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HomeMy WebLinkAbout0093 CHOPTEAGUE LANE - Health 0pp- 93 Chopteague Lane ` Kills�ii1iS i , "c ar'ions r i A f y A.;�;012 611 I' Town of Barnstable Barnstable Regulatory Services Department Mllnenlcally Public Health Division �" �• 200 Main Street, Hyannis MA 02601 2007 0 Office: 508-862-4644 FAX: 508-790-6304 Thomas F.Geiler,Director Thomas A.McKean,CHO CERTIFIED MAIL# 70081.830000205009823 9/09/2009 Wells Fargo P.O. Box 10335 Des Moines, IA 50306 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE,TITLE 5 The septic system located at 93 Chopteague Lane, Marstons Mills was last inspected on August 27, 2009,by Robert Paolini, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed" under the guidelines of 1995 TITLE'5 (310 CMR'15.00) due to the following: • Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS. You are ordered to repair or replace the septic system within Sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action.- 'PER ORDER OF T E BOARD OF HEALTH Thomas McKean, R.S., CHO Agent of the Board of Health Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 93 Chopteague Lane Property Address Wells Fargo Owner Owner's Name information is required for Marstons Mills Ma. 02648 8/27/2009 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: A. General Information When filling out forms on the I�JnJ computer,use 1. Inspector: only the tab key to move your Robert Paolini cursor-do not Name of Inspector use the return key. Ca_pewide Enterprises,LLC. Company Name r� P.O.Box 763 Company Address Centerville Ma. 02632 City/Town State Zip Code (508)428-4028 S14454 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuan j Section .34f Title 5 (310 CMR 15.000). The system: ' ❑ Passes ❑ Conditionally Passes ® 5i s "+ W ❑ Needs Further Evaluation by the Local Approving Authority sy- cn .. CIO rX elCA 8/27/2009 n co Inspector's Tignature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. l�O t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 v• Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 93 Chopteague Lane Property Address Wells Fargo Owner Owner's Name information is required for Marstons Mills Ma. 02648 8/27/2009 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•01/0, Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 93 Chopteague Lane Property Address Wells Fargo Owner Owner's Name information is required for Marstons Mills Ma. 02648 8/27/2009 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ ,Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 93 Chopteague Lane Property Address Wells Fargo Owner Owner's Name information is required for Marstons Mills Ma. 02648 8/27/2009 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is.less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: *`This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No" to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or.cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ® ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y2 day flow t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form _ a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 93 Chopteague Lane Property Address Wells Fargo Owner Owner's Name information is required for Marstons Mills Ma. 02648 8/27/2009 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 93 Chopteague Lane Property Address Wells Fargo Owner Owner's Name information is required for Marstons Mills Ma. 02648 8/27/2009 every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes"or"no"as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ❑ ® Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 93 Chopteague Lane Property Address Wells Fargo Owner Owner's Name information is required for Marstons Mills Ma. 02648 8/27/2009 every page. City/Town State Zip Code Date of Inspection D. System Information Description: The septic system consists of a 1000 gallon septic tank,distribution box and leaching pit. Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d Well Water 9 ( Y 9 (gP ))� Detail: Sump pump? ❑ Yes ® No Last date of occupancy: unknown Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(9Pd) Basis of design flow(seats/persons/sq.ft.,, etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 93 Chopteague Lane Property Address Wells Fargo Owner Owner's Name information is required for Marstons Mills Ma. 02648 8/27/2009 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): I General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments GSM ,•°'v 93 Chopteague Lane Property Address Wells Fargo Owner Owner's Name information is required for Marstons Mills Ma. 02648 8/27/2009 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 1984 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 3'feet Material of construction: - ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line. 70'+feet Comments (on condition of joints, venting, evidence of leakage, etc.): Joints appear tight.No evidence of leakage.System vented through the house vents. Septic Tank(locate on site plan): Depth below grade: 2.5' feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 gallon Sludge depth: 8" t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 93 Chopteague Lane Property Address Wells Fargo Owner Owner's Name information is required for Marstons Mills Ma. 02648 8/27/2009 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 24" Scum thickness 1' Distance from top of scum to top of outlet tee or baffle 4" Distance from bottom of scum to bottom of outlet tee or baffle 3" How were dimensions determined? measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pump septic tank every two years.lnlet and outlet tees are in place.No evidence of Ieakage.Tank appears structurally sound. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•09/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M •''y 93 Chopteague Lane Property Address Wells Fargo Owner Owner's Name information is required for Marstons Mills Ma. 02648 8/27/2009 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 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 per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 93 Chopteague Lane Property Address Wells Fargo Owner Owner's Name information is required for Marstons Mills Ma. 02648 8/27/2009 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert yes .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.): Box is Ievel.Box has one outlet lateral.Evidence of solids carryover.Stain line observed over outlet invert. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 i Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 93 Chopteague Lane Property Address Wells Fargo Owner Owner's Name information is required for Marstons Mills Ma. 02648 8/27/2009 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 1 ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Sandy soil.Pit had 2'of water at time of inspection.Stain line was over invert.Leaching pit is in hydraulic failure. 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 ❑ No t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M ,•''r 93 Chopteague Lane Property Address Wells Fargo Owner Owner's Name information is required for Marstons Mills Ma. 02648 8/27/2009 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 i Map Page 1 of 2 Town of Barnstable Geographic Information System Parcel Viewer Custom Map Abutters Map Size 0 ❑ Zoom Out U J IJ'fl J;f�'fl nIn 'A h R,r n '+ O 4. -� �9 q3 a a A 4 ------------- Ali- - 4 4. O \ \ , 4 0 20 Feet \ Set Scale 1" = 20 I Aerial Photos I MAP DISCLAIMER (`— i„ hf 9Mr.-9nn0 Tnu,n of RAA All r;nhfe rocor„ http://www.town.bamstable.ma.us/arcims/appgeoapp/map.aspx?propertyID=012011&map... 8/31/2009 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 93 Chopteague Lane Property Address Wells Fargo Owner Owner's Name information is required for Marstons Mills Ma. 02648 8/27/2009 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: Bottom of LP 45' feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health-explain: As-Built ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: USED:USGS Observation Well Data.USED:Technical Bulletin 92-0001 plate#2 annual ranges of groundwater elevations. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 I, Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 93 Chopteague Lane Property Address Wells Fargo Owner Owner's Name information is required for Marstons Mills Ma. 02648 8/27/2009 every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 Town of Barnstable P# ; Departinent of Regulatory� ry Services Public Realth Division Date 3 �� �ArEo 1 200 Main Street,Hyannis MA 02601 Date Scheduled The Fee Pd, Uu Soil Suitability Assessment for Sewae Performed Dy: g isposal Witnessed By: U(AVI�P w, S ,e Ci Location Address LOCATION & GENES,INFORMATION .� C`n pe +r����t 2j . owner's Name ame C.r ko" fkj L �A V_Z"f Assessor's Map/Parcel: Address q'3 C-1,o V +-CS pt (2 J NEW CON / Engineer's Name STRUCTION REPAIR V .iced '-- Telephone# 6 Land Uses <�1 L Slopes(go) U pro Surface Stones C..)Distances from: Open Wafer Body Possible Wet.Area ---,__ft Drinking Water Well ft Drainage Way ft Property Line —__ft Other ft SIMTCH: (Street name,dimensions of lot,exact locations of test holes&pert test s,locate wetlands In proximity to holes , 1 ) vy a N A,) C-3 o �J - / _A3 3 c� r- © M Parent material(geologic) O-zi f-t Depth to Bedrock 2r3ti -f- Depth to Groundwater. Standing Water in Hole: r . � ---- Weeping from Pit Pace Estimated Seasonal High Groundwater N/A Method Used: DETERMINATION FOR SEASONAL IIIGH CATER TABLE Depth Observed standing in obs.hole: Depth to weeping from side of obs.hole: In. Depth to soil mottles: Index Welllt1^ Reading Date: OroundwuterAdJtisttneot tn, Index We11 Icvel__ �T Adj,factor _ tt. Adj.droundwaterLcval Observation PERCOLATION TEST ST bate i- Hole 8 g Illrie�U_. _tiG Depth of Pere Time at 9" Time at 6" Start Pre-soak Time @d cje� --- ` _ Time(9".6") End Pre-soak --- _ Rate Min./Inch LZ Si[c Suitability Assessment: Site Passed --v_ Site Failed: Additional Testing o Needed(YM) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- *'k*If percolation test is to be conducted within 100' of wetland, you must first notify Barnstable Conservation Division at least one (I) week prior to beginning. the Q:\SP-nlC\PERCFORM.DOC Depth from Soil Horizon DEEP.OBSE RVATION HOLE LOG Hole#i Surface(in.) Soil Texture .Soil Color (USDA) Soil. Other (Munsell) Mottling (Structure,Stones;Boulders, on i to c °b ravel ZZ DEEP OBSERVATION HOLE LOG Depth from Soil Horizon Hole# Z Surface(in,) Soil Texture Soil Color -- (USDA) Soil Other (Munsell) Mottling (Structure,Stones,Boulders. �{ L� Consiste 4o Gravel)____'_^ 49 Depth from DEEP OBSERVATION HOLE LOG } SoilHo Horizon Hol e# Surface(in.) o Texture Soil Color --------- Soil O . (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Co i to c 3 Grav I ' Depth from DEEP OBSERVATION HOLE LOG Hole# Soil Horizon Soil Texture Surface(in.) Soil Color Sol] Other (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consi ten Flood Insurance Rate Ma : Above 500 year flood boundary No Yes_v__ . Within 500 year boundary No : Yes" Within 100 year flood boundary No V Yes , Depth of Naturally Occurrine Perviouc Material Does at least four feat of naturally occurring pervious material exist in all are&s observed throughout the area proposed for the soil absorption system? Y&S If not, what is the depth of naturally occurring pervious material? M Certi-----fication I certify that on /I �� `�� (date)I have passed the soil evaluator examination approved Department of Enviro ental Protection and that the above analysis was performed by me consistent with . the required train"n , e ertise and experience described in 310 CMR 15.017, Signature Date Q:1S EPTIC\PERCFO RM.DOC TOWN OF BARNSTABLE .LOCATION CV C7!Q�e_c�c _ )y SEWAGE# VILLAGE ASSESSOR'S MAP&PARCELS i INSTALLER'S NAME&PHONE NO. cb"t-c a 9 4 SEPTIC TANK CAPACITY Cr LEACHING FACILITY:(type) 1 a AV S Ar-C, 3� v size) t_:1) NO.OF BEDROOMS OWNER PERMIT DATE: ( ` �6Q�.COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater.Table to the Bottom of Leaching Facility /AJ44 Feet Private Water Supply Well and Leaching Facility Of 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 pr-CIl-'l mac, 1 �3 CH No. a�"�' Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS YeS Application for disposal 6pstetn Construction i3ermit Application for a Permit to Construct( ) Repair(,)/Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 9 ; l-,60 v ` L<w4 Ow er's Name,Address,and Tel.No. Assessor's Map/Parcel NJ — O UL k�<(X,_ Installer's `N?et Address,and Tel.No. Designer's Named Address,A Tel.No. ` 5 G v�1!rt.-�K. �,7 � �\✓�i, 1��' ���C \�h Cn S �e. � Ulm Type of Building: Dwelling No.of Bedrooms Lot Size �Q , 0 l� sq.ft. Garbage Grinder(( Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 gpd Design flow provided 3y.t gpd Plan Date < < /30`61 Number of sheets Revision Date Title Size of Septic Tank QV 6 Type of SAO A 13S A r C. Description of Soil M ex) CGC r� 5 Nature of Repairs or Alterations(Answer when applicable) UA.JJS C) C. /fir r� 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 Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved by - ' Date Application Disapproved by Date for the following reasons Permit No. 20fl`t ^ 312 Date Issued ----------------------------------- - l _ _ 'Yw" ,r..r .`�►i„�WY� f.ii`FVw`w+" "'^ �'Wi •sN_.'.."... .»..�:,:r — .s..^!+".._-0^awn".,.,t`�M" .f-v"V'+.:rt:..--- n.. �.�:. No. W — 312, Fee ' 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTSI� Yes RpPlitatlon for *pBtrm ConstrUttlon 3permit � Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. C 1*-** tA t�v ` l O er's Name,Address,and Tel.No. Assessor's Map/Parcel M _ OVA t, Installer's Name Address,and Tel.No. Designer's Name,Address,and Tel.No. &-, br,36 f 3-,) Type of Building: Dwelling No.of Bedrooms Lot Size 0 --sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures s Design Flow(min.required) 3 3 gp'd Design flow provided_aLR gpd Plan Date \ t /3� 14 9 Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil M t c) C6c,, Sc� Nature of Repairs or Alterations(Answer when applicable) `t'ncst c� S V 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 Certificate of Compliance has been issued by this Board of Health. Signed Date 1 Q q Application Approved by ZI tA} -6 - S Date 0 �J Application Disapproved by V Date for the following reasons Permit No. p17`l " 31 2— Date Issued --------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certifitate of Contpliante THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( )by 1 at been onstructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.a 39 z- dated /)-—/— oq Installer C 6 Designer Pry-,fi`J �Z_,C, #bedrooms Approved design flow A (� r gpd v The issuance of this p'rmittlshall not be construed as a guarantee that the system I function as designed. Date ��a J �} Inspector r r V THE COMMONWEALTH OF MASSACHUSETTS Fee PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS MispoBal Opstent Construction i3ertnit Permission is hereby granted to Construct( ) Repair,( �,}/ Upgrade( ) Abandon( ) System located at 3 CG`Vi and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit Date O Approved by L O CATION SEWAGE PERMIT NO. VILLAGE INSTALLER'S A J& ADDRESS S U I L D E R OR OWNER DATE PERMIT ISSUED -aa _ DAT E COMPLIANCE ISSUED I i ,f Q rf �� No.. l...._ t Fpsv.... ...... THE COMMONWEALTH.OF MASSACHUSETTS t. BOAR® OF HEALTH OF............................................................. ............ Apphration for BiBposal Works Tomitrnrtiun 1hrmft Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Sys at 9 - a . ��- AY� ........ ..................•..-- ............----.-----.....--..........._ Locat dress -�—^� or Lot No. XJ::::......... �-....... �......!_..1. ^............. ..........7................. ......... .. ............................................. 11wner W ;ier ;' �/� a Address ak. ..... n -----••------•...................... �c/A. aJ ---- Ista Address Type of Building 3 Size Lot.&Q4 q0__�C______ fe a Dwelling—No. of Bedrooms Expansion ttic ( ) Garbage Grin erfG/l p, —Type g h No. of persons........V.................. Showers ( ) — Cafe ter Other—T e of Building �gGjpVl_So __ Q' Other fixtures ...•........................................................................................ ------------ - *.......__.. W Design Flow............................................gallons per person per day. Total daily flow............._..............................gallons. WSeptic Tank—Liquid'capacity............gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length.....................Total leaching area..........._........sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by........................................................................... Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a .........-•-•--•--••-••--•--•--•-••-••-•----•••--••--•-•.............•-••-----•.....--•.......•-•-......•-•--•-•-•-------•.........---•--•--•-••-•••-......-- 0 Description of Soil........................................................................................................................................................................ 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 Co —The undersi rther agrees not to place the system in operation until a Certificate of Compliance has been u d by the o of h lth. i S d .....-••••-. .. ---- -------- ----- ApplicationApprove -•---- •...... --" ---• ..................................................•- Date Application Disapprove or a following reasons--------------------------------•-----------------------•---------•-------------------'----•.....•-•-•.....------ ....-•..............••....---•--•--'--•--••-----......-••-•-...............--••--•....•-•••-•---.....••••-••---•----•--.....•---••••---- ............................................................... Date PermitNo........................................................_ Issued....................................................... Date No..fr....... Fss` ....�.:......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ~ .................... .................O F.....------....I............_..._...... Allpfiration for-Disposal Works Tonstrurtion rnmit Application is hereb made for a Permit to Construct l pp y ( ) or Repair ( ) an Indlv>dual Sewage Disposal S ste� at di --- Locatio �. ddress e �� - or Lot No. i ..... -- ....r ._. .., ? :d.....�- .:_.......- �l� ••----------------------•-----•---- ...........................................0 Qwner J Address Installer Address d Type of Building Size Lot_]>>-�T- --_ f ett aDwelling—No. of Bedrooms ........._. Expansion ttic ( ) Garbage Grin er aOther—Type of Building t ._ C,'t. ._. No. of persons..._._............... Showers ( ) — Cafeterla dOther fixtures ------------------------•------•--------------......-------------------------------------------........----------------.....-----------.........---- w Design Flow........................................_.gallons per person per tl�y, Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. . Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area_...............sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed bY.........................................................•................ Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fZ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 ----------------------------------------------.............................................................................................................. 0 Description of Soil........................................•------------------..--•••---•-•- x w U Nature 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 TITTIE 5 of the State Sanitary Cod — The undersign� ther agrees not to place the system in operation until a Certificate of Compliance has been i e by the a- f h h. S� Application Approve y -•- ......'`t`- -•--••...................................... ....... Date Application Disapproved or t following reasons:..............................................-................................................................... Date PermitNo......................................................... Issued--........----------------._...•-----...---•------•-_.. Date THE COMMONWEALTH-OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Trrtifirate of TompfiFanrr THI ` ,T ART That the Individual Sewage Disposal System constructed or Repaired ( ) by .-. c... .. . ..• -- -- -- ------------ ------•-•------...-•--------------•---..........-------------•--------..._...-•-------......-- ' �, � Installer at. ; .--••--- t.. •----- -- ----------•-----•-----•---------•--•---•--•-•-••-•--•----------•-......----••...................... has been install e accordance wit he prow' ions of TITL _5 f The State Sanitary Co e s bed in the application for Disposal Works Constructio Permit No._�� .—X ............... dated_. __-Z'- /.-_____-------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE. ----------------------------------------- Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No.I� FEE. .................. Aspos of , 11 -- Tongtrurtion prrufit Permission ' ereby grantees `= .. � - y -•-•-- ---•-•-------•••---•-•-----------------•--•••------•--••--•---...........-•--•:....•-••--.............. to Constru �Repairr ;an Iv1 a rage Disposal System -------¢'-- ------------------- --------------------- ....--........................................................... Street as shown on the application for , isposal rks Construction Permit No.......... Dated.......................................... ............................. _-- L r { Board of Health DATE. --------------------•-----------=-----•••----•--- FORM 1255 HOBBS & WARREN. INC., PUBLISHERS - Town of Barnstable �F THE Tp� yP� do Regulatory Services Thomas F. Geiler, Director + BARNSTABLE, MASS. � i639. Public Health Division p ,0 Thomas McKean, Director 200,Main Street,Hyannis,MA 02601 C Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: )'./.. 101 Sewage Permit# 000 5 s 35� Assessor's Map\Parcel O/ a. Designer: RE4 , /l. VJ4A! PE Installer: ,15ccTT— EAC L-E- SoR-velf'1r�. Address: 12-3 V-&� A Address: 113 C t.b YA9_Ytam7i-A p_b: yZ&77; H ?A-oi_.)i s, M A, e� I On_�2 /� /y tip , / was issued a permit to install a (date) (installer) septic system at based on a design drawn by (address) -[-E P Hf=4� A. 14AAA,, PC dated ///30 l 6J (designer) ferenced above was installed substantially according to I certify that the septic system re the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. 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. -ij OF ®� � � (Installer's Signature) a GNIL i No.354si At (Designer's Signature) (Affix Designer'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 YOU. Q:\Septic\Designer Certification Fom Revised.doc pJ t SECTION - SEWAGE 4- II -SEPTIC TANK - 1 O` "D"BOX - 4 Co - LEACH 1 ( �G-�'' • qz TOP OF FDN ram= (MSL)# „2"OF 118TO Ih. WASHED STONE IN OUT- IN • OUT- IN • G EPTIC �74jLf___ TANK 9 t 9 �1 O.5 ELEV. ELEV. ELEV. ' 1 - ELEV. ELEV. ELEV. : ...OF 34"-1V2" EL.0 V. WASHED STONE ! l J TEST HOLE LOG TEST BYRE/@"°`�'C�?• '• ! Na 1"E 'IIZ�►`�1 WITNESS DESIGN 3 BEDROOM HOUSE TEST DA T.H. # 1 T.H. # 2 9z.� l I If A4 oc"- ELEV. o© ELEV. NO PERC RATE C Z__MIN/IN. DISPOSER DISPOSER � LcaAn+I f� -b=1a.. ®„ FLOW-RATE S-10 (GAL./DAY) SEPTIC TANK 3'�b (t.S)= 49 S j l �. I �cl Z.\ REO'D SEPTIC TANK SIZE C;L,�Ah.l MCifa.R�e►.N'O C•I.�/+�N� PAfr••D �AM� ' � �^� 1 LEACH FACILITY SIDE WALL 'I'IT x (If ISQ,g (Z.S ) = 3-1'l. t7 G/D. ` CO" Ste.o qa'" T5.1 BQTTOM s.'Tr 5O,3 I 1.c� ) = S o,3 G ID. TOTAL Z 2ot.1 G r�M "wt>, USE: 4�G LEAC I G —� —I—T- ` � ltl(c V �4" c>,.S I$4" �c>.� 6�"`" � � , �Q WATER ENCOUNTERED NOTES: -(UNLESS-OTHERWISE NOTED) 1 �� 1. DATUM'(MSl)+TAKEN FROM-.•.-_ .........A-T— --._QUADRANGL€MAP �7� OF S" '' ()F gcl hsc AVAILABLE fir\ �� ��' 6% ,,,,_ �,,/ 2.MUNICIPAL WATER._: L.__.. '!•------•••-----_..._. a 4S+ ctiar1'?er 0i- .. 3. OWE PITCH:44' PER FOOT I Q O ARNE 4.DESIGN LOADING FOR ALL PRE-CAST UNITS: AASHO- 44 H At}��F };• ;;.`Y 3. MIN.GROUND COVER OVER ALL SEWAGE FACILITIES: (1) FT. QjALA ++ '�DISTANCE AS CERTIFIED � iiJAW =-+ 6.PIPE JOINTS.SHALL BE MADE WATERTIGHT v c i rz� 4� crvc: SETS. PLAN 7.CONS'TRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. I HEREBY CERTIFY THAT THE BUILDING - STATE ENVIRONMENTAL CODE TITLE 6 Iia 31T82 t w d SHOWN ON THIS PLAN IS LOCATED ON THE LA-=- zZ _ wY,�T�-a✓'( .cD '�fCtS1ER``ya '°' .c 4 r, GROUND AS SHOWN HEREON&THAT IT LOCUS: S11RN� CONFORM TO THE ZONING BY LAWS OF THE _ _ TOWN OF ., 1 ..�... REG.P a rMIL GINEER WHEN CONSTRUCTED. DATE REF: 1"�`� �'! -�� .t �Ie •'�-'12" �Z"" dGI J1 C4�@ en IfteeIIap PREPARED FOR: CIVIL ENGINEERS - LAND SURVEYORS n • • � s REG,I_AND SURVEYOR BOARD.OF HeALT- SCALE 61 _ I-Zrf,•.' �5.' ti <,..�+ .w, ....;,Ma .e..« aK - (1=XIzu.TING) - �� �M u MA I^?f1NT(1f IRS t naPanuFn:`_-- --_-nATE A _ o D o Yarmouth D • 1 ACCESS COVERS MUST BE WITHIN INSPECTION 9" MINIMUM. INVERT ELEVATIONS : DESIGN CR I TER I A : GENERAL NOTES : RA 6' OF FINISH G DE PORT 3 MAXIMUM COVER FIRST 2' TO INVERT OUT SEPTIC TANK: 107.4 DESIGN FLOW: BE LEVEL INVERT IN D/ST. BOX: 104.37 3 BEDROOMS AT I10 G.P.D. PER I. THIS PLAN IS FOR THE DESIGN AND CONSTRUCTION INVERT OUT DI ST. BOX: 104.2 BEDROOM EQUALS 330 G.P.D. OF THE SEWAGE DISPOSAL SYSTEM ONLY. 4- DIAM PIP TEE CLEAN SAND BACKFiLL INVERT IN LEACH CHAMBER: 104.0 AROUND AND 2' OVER CHAMBERS ''BOTTOM OF LEACH CHAMBER: l03. 1 NO GARBAGE GRINDER 2. VERTICAL DATUM /S ASSUMED. FOR BENCH MARKS 107.4 l04.2 /0. 75" SET. SEE SITE PLAN. GAS J 104.37 "` AD,.'USTED GROUND WATER: N/A BAFFLE l 04.0 SEPTIC TANK REQUI RED: 12 ADS ARC 36HC CHAMBERS OBSERVED GROUND WATER: N/A 3 OUTLET 330 G.P.D. X 200x - 660 GAL. 3. ALL CONSTRUCTION METHODS AND MATERIALS AND EXISTING D-BOX IN TRENCH FORMATION. 2 x 6 'BOTTOM OF TEST HOLE *1: 97.2 SEPTIC TANK PROVIDED: 1000 GAL EXISTING MAINTENANCE OF THE SEPTIC SYSTEM SHALL 1000 GAL CONFORM TO MASS. D.E.P. TITLE 5 AND LOCAL SEPTIC TANK 6' CRUSHED STONE OR SOIL ABSORPTION SYSTEM REOUI RED: BOARD OF HEALTH REGULATIONS. COMPACTED BASE DES l GN PERC RATE l 5 M/N/!NCH PROFILE : 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 T 330 GPD / 0.74 GPD/SF - 446 S.F. REOU/RED THAN 3' IN DEPTH SHALL BE CAPABLE OF WITH- STANDING H-20 WHEEL LOADS. PROVIDED: 12 ADS ARC 36HC CHAMBERS `1 IN TRENCH FORMATION. 60 LF x 7.6 SF/LF 5. ALL SEWER PIPE SHALL BE SCHEDULE 40 OR 468 SF x 074 GPD/SF - 346 GPD APPROVED EOUAL. \ s \\ Q�. 6. SEPTIC TANK AND D-BOX SHALL BE REINFORCED L 0,T SOIL TEST PIT DA TAB PRECAST CONCRETE AND WATERTIGHT. D-BOX SHALLI p �\ BE WATER TESTED TO CHECK FOR LEVEL WHEN THERE \ 20. 00�± S. F. \ INDICATES �_ INDICATES \ \ PERCOLATION = OBSERVED IS MORE THAN ONE OUTLET. TEST = GROUNDWATER •� \\ �\ �, \`_ 7. BEFORE CONSTRUCTION CALL 'DIG-SAFE'. t rowN TP P*12764 TP *21-688-DIG-SAFE AND THE LOCAL WATER DEPT. �l WA TER FOR LOCATION OF UNDERGROUND UTILITIES. ' EXISTING \ �. LEACH PIr J1 is HORIZON TEXTURE COLOR HORIZON TEXTURE COLOR � 0' 107.2 0` 107.9 \ \ LOAMY (OYR LOAMY IOYR R y \ A A 8. EXISTING LEACH PIT TO BE PUMPED DRY AND SAND 3/3 SAND 3/3 �\ K 4 ............................. ... ..... 106.9 6- ...... ..... ............. .... 107.4 /LLED. - BAC F �\ +1 � \� /� � / ao LOAMY IOYR D LOAMY IOYR " .\ \ 1 o D SAND 4/6 SAND 4/6. € t f { ........... .......... ....... 22 ......._..., .;.......'.............,...... 105.4 24- ... ... . 105.9 _ \ ` 1 f I { g MED-COARSE IOYR /� MED-COARSE IOYR \` 2 ROWS OF 6 AtDS ARC 36HC CHAMAERs i t / i 1 F SAND 6/4 SAND 6/4 -BOX +1I0.7 / 1 ! 1 'oRl3 ! ry _t 40 q TP*?{ ( G o EXISTING o �0°.9T I SEPTIC TANK y�� \ t TPOI i / l / \ - ---- NO WATER NO WATER 120- 97.2 120' 97.9 I pF DATE: NOVEMBER`20. 2009 \ \ o o \ .. TEST BY STEPHEN HAAS BM.;CORNER OF �� 1. �____ WITNESSED BY., DAVID STANTON CONCRETE. EL-I06 9 (�x `.\ / \ \ � / PER RATE: ! 2 MIN/INCH �• , , ; c.,,ca tis<8'rya , • 4 , p :y _. ... / / / ___ � .. ail- t t,+: ,•l�j ,� t" SO so t ` 105.2 /Z-// E TOWN y� 1 /'Pj \\\ \\ 11 0 WA TER /v � t �"� ` .-•t/ G� EXISTING F 1 V \ WELL SEf� T / C S STzs-m 0E.S / G/V lop 9 0 CHO P TEA 0UE _ L A ",E . MA P 0 / 2 . PA R CEL O / / BARIVS TA SL E tMARSTONS MILLS ) ti 1 PRE-PARED = FOR ;. LEGEND � � UL H / CK E Y 9 L OCUS -a ■ CB CONCRETE:BOUND . ' ysq .A� rowN S CA L E .• / - 2 0 /\/O VEMB ER 3 0 2 0 0-9 ; m� yc WATER -W WATER LINE Ep wre u O HYDRANT , OIL &o t �yF - , Q Q _ -G ` GASLINE ,'.^ •- . - OHW- OVER HEAD WIRES EA0L E SURVEY i NG 1 NC LIGHT POST 923 Route- 6A -E- UNDERGROUND ELECTRIC LINE j ` Y a rya u t h� p o r t` . MA '. 02675 +� -� -T- `UNDERGROUND TELEPHONE LINE ���i%��\ 11 �h-` ( 5 0 8 ) 3 6 2-8 1 3 2 • -CTV- UNDERGROUND CABLEVISION LINE 'S /t { 5�8 432-5333 .'Sp EVA l -�-40:4 OT EL N T 0 -40 EXISTING CONTOUR Nam PRIVAT (401_ PROPOSED CONTOUR 0 /0 20 40 WELL L O C US MAP JOB NO. 09 097 FIELD.CFW/EEK CAL C. SAH/CFW CHECK. CFW DRN. SAH r n