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HomeMy WebLinkAbout0105 CHOPTEAGUE LANE - Health 105 Chopteague LAtU, Marstons Mills i i i i' r l/ Commonwealth of Massachusettsfood A� ` Executive Office of Environmental Affairs F, ,, Department of RECEIVED Environmental Protection in MAR 2 8 1996 Wiliam F.Weld Goremor F Trudy Coxe '� 44 S...ry,EOEA 0. . David B. Struhs . ,` qj Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INFORMATION FORM / 9 PART A - '�-- CERTIFICATION Property Address: 105 CHOPTEAGUE STREET.MARSTONS MILLS Address of Owner: Date of Inspection: MARCH 21, 1996 (if different) Name of Inspector: TAMES A_ORPHANOS Company Name,Address and Telephone number: CERTIFIED INSPECTION ASSOCIATES 47 CAMERON ROAD.N.FALMOUTH MA 02556 (508) 564-5653 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: X Passes Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails Inspector's Signatu :sub7mita G 1r— Date: MARCH 21, 1996 The system Inspect r shallopy of this inspection report to the Approving Authority within(30)days of completing this inspection. If th syst red system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the rt to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority. INSPECTION SUMMARY: Check A,B,C,or D: A] SYSTEM PASSES: X I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system,upon completion of the replacement or repair,passes inspection. Indicate yes,no,or not determined (Y, N,or ND). Describe basis of determination in all instances. If"not determined",explain why not. The septic tank is metal,cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. 1 (revised 8/15/95) 1 One Winter Street • Boston, Massachusetts 02108 a FAX(617)556-1049 a Telephone(617) 292-5500 w i,Printed on Recycled Paper . SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 105 CHOPTEAGUE STREET Owner: DAVID HEGG Date of Inspection: MARCH 21, 1996 B] SYSTEM CONDITIONALLY PASSES (continued) Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. The system will pass inspection if(with the approval of the Board of Health): broken pipe(s)are replaced _ obstruction is removed distribution box is leveled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection(with the approval of the Board of Health): broken pipe(s)are replaced obstruction is removed c] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health,safety and the environment.. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: v3' or Cesspool privy is within 50 feet of a surface water P p 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 APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system and is within 100 feet to a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within a Zone 1 of a public water supply well. The system has a septic tank and soil absorption system and is within 50'of a private water supply well. The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. D] SYSTEM FAILS: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is outlined below. The Board of Health should be contacted to determine what will be necessary to correct the failure.. Backup of sewage into the facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or the surface waters due to an overloaded or clogged SAS or cesspool. (revised 8/15/95) 2 SUBSURFACE SEWAGE.DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 105 CHOPTEAGUE STREET Owner: DAVID HEGG Date of Inspection: MARCH 21. 1996 DJ SYSTEM FAILS (continued): 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 1/2 day flow. 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 Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a 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. If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen. E)LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria above: The design flow of system is 10,000 gpd or greater(Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: 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) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 8/15/95) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 105 CHOPTEAGUE STREET Owner: DAVID HEGG Date of Inspection: MARCH 21, 1996 Check if the following have been done: X Pumping information was requested of the owner,occupant,and Board of Health. X None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. X As built plans have been obtained and examined. Note if they are not available with N/A. X The facility or dwelling was inspected for signs of sewage back-up. X The system does not receive non-sanitary or industrial waste flow. X The site was inspected for signs of breakout. X All system components,excluding the Soil Absorption System,have been located on the site. X The septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected for condition of baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge,depth of SCUM. X The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. X The facility owner(and occupants„if different from owner) were provided with information on the proper maintenance of Sub-Surface Disposal System. (revised 8/15/95) 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 105 CHOPTEAGUE STREET Owner: DAVID HEGG Date of Inspection: MARCH 21. 1996 FLOW CONDITIONS RESIDENTIAL: Design flow: 330 allons �� Number of bedrooms: 3 Number of current residents: 1 Garbage grinder(yes or no): NO Laundry connected to system (yes or no): YES Seasonal use (yes or no): NO Water meter readings,if available: HOME IS SERVED BY A PRIVATE WELL. Last date of occupancy: CURRENTLY OCCUPIED. COMMERCIAL/INDUSTRIAL: N/A Type of establishment: Design flow:--gallons/day 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 OTHER: (Describe) Last date of occupancy:: GENERAL INFORMATION PUMPING RECORDS and source of information: MARCH 1995,ACCORDING TO THE OWNER NO System pumped as part of inspection: (yes or no) If yes,volume pumped:gallons Reason for pumping: TYPE OF SYSTEM X 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) Other(explain) APPROXIMATE AGE of all components,date installed(if known) and source of information: 8/6/86.ACCORDING TO PERMIT#86-662 ON FILE AT THE BOARD OF HEALTH Sewage odors detected when arriving at the site: (yes or no) NO revised 8/15/95) 5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 105 CHOPTEAGUE STREET Owner: DAVID HEGG Date of Inspection: MARCH 21, 1996 SEPTIC TANK: X (locate on site plan) Depth below grade: 7" Material of construction:X concrete metal FRP other(explain) Dimensions: 4' WIDE X 8' LONG X 4'.DEEP Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 29" Scum thickness:0" Distance from top of scum to top of outlet tee or baffle: 8" Distance from bottom of scum to bottom of outlet tee or baffle: 17" Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert, structural integrity,evidence of leakage,etc.) PLASTIC INLET TEE AND CONCRETE OUTLET BAFFLE ARE PRESENT AND IN GOOD CONDITION LIOUID LEVEL IS 48" BELOW THE OUTLET INVERT. NO ADVERSE INDICATORS.NO RECOMMENDATIONS. GREASE TRAP: N/A (locate on site plan) Depth below grade: Material of construction: concrete metal FRO 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: Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert, structural integrity,evidence of leakage,etc. g ) (revised 8/15/95) 6 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 105 CHOPTEAGUE STREET Owner: DAVID HEGG Date of Inspection: MARCH 21, 1996 TIGHT OR HOLDING TANK: N/A (locate on site plan) Depth below grade: Material of construction: concrete metal FRP other(explain) Dimensions: Capacity: gallons Design flow: gallons/day Alarm level: Comments: (condition of inlet tee,condition of alarm and float switches,etc.) DISTRIBUTION BOX: X (locate on site plan) Depth of liquid level above outlet invert: 0" (STATIC) Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.) BOX IS LEVEL. NO ADVERSE INDICATORS.NO RECOMMENDATIONS PUMP CHAMBER: N/A (locate on site plan) Pumps in working order: (yes or no) Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) (revised 8/15/95) 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 105 CHOPTEAGUE STREET Owner:DAVID HEGG Date of Inspection: MARCH 21, 1996 SOIL ABSORPTION SYSTEM (SAS): X (locate on site plan,if possible;excavation not required,but may be approximated by non--intrusive methods) If not determined to be present,explain: Type: X leaching pits,number: ONE: 6' DIAM X 39" DEEP(BELOW INVERT) leaching chambers,number: leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) COVER IS AT 19". LIQUID LEVEL IS 22". BOTTOM OF PIT IS 93" BELOW GRADE. NO ADVERSE INDICATORS NO RECOMMENDATIONS. CESSPOOLS: N/A (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(cesspool must be pumped as part of inspection) Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) PRIVY: N/A (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.) (revised 8/15/95) 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 105 CHOPTEAGUE STREET Owner: DAVID HEGG Date of Inspection: MARCH 21, 1996 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' I OS CHOPTFAGUF STFt FT 3 ' 7' 3716" 31'3" 5 ' 48' 82' 9 ' NOT TO SCALE DEPTH TO GROUNDWATER Depth to groundwater: 34 feet method of determination or approximation:WELL DRILLERS LOG ON FILE AT THE BOARD OF HEALTH (revised 8/15/95) 9 CAT10li SEWAGE P RMIT NO. � U V ; L � AGE PARCEL NO.: INSTA LLER'S NAME , i ADDR.ESs�e�G B U I L D E R OR OWNER QQ�� eo•�G�. 2�1 AP e7 W13 CO/ DA T E P ERMIT I S S U E D DATE COMPLIANCE ISSUED,, , �� .� _ ���� \ d � � 1. �, � � ` � 1 I �� -L�'� �' � � ,� `� �•, �(^, �� �� i a� ASSESSORS MAP NO: /2 N Q....�.C&?.� PARCEL NO.: �r 2._ F>$............._............... ------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH ... OF.....:.. ... . ./, $ ............................. Appliration for Mipwial Works Toustrnrtiun ramit Application is hereby made for a Permit to Construct (—Repair ( ) an Individual Sewage Disposal System at ocation-Ad s e4 ... .... ................................ ...... ..�c ....... ............ Ur ../ -•--..- - ... . - - . ...... Qwner Address a �a e:3.._. nab ------------------------------- ............ ............................................... ;. Installer Address Type of Building Size Lot/!- >)1l%eO----Sq. feet Dwelling—No. of Bedrooms.......-�.............................Expansion Attic k,7& Gaibage Grinder (7 J 44 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fi tur W Design Flow........._�.__­5......................gallons per person per day. Total daily flow........... e ._..........__gallons. WSeptic Tank—Liquid capacityl .gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No----_--------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank Percolation Test Results Performed by__(.,,,0 '-_- .t-....... Date........................................ Test Pit No. 1..65•5.....minutes per inch Depth of Test Pit... ..f.._. Dept to ground water.._. Test Pit No. nlinutesper inch Depth of Test Pit---_:.. _____.__. Depth to ground water. . . Description of Soil.... ._ '. i.. � �P�.. ... ` -----------•- -----•-•----------•-----------•----•....................... -----------•----•-..... 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 iITALE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the bDard of heallhZ . E�i-1 �.... ..�ZD �� Application Approved By..... - •................................................ ......7_7 Date Application Disapproved for the following reasons---------------------------------------------------------------•-•---------------------------------....--.------ .................•--..........••----•----•--•-----•--••---•--•---•----•...-•----------...-•------•--•--..._...........•---•---••----•-•-----•-•••----••--•--•-------------••-•••--•-•---•••........._.... �`' Date Permit No..--- --s=X _ t.,fL-lSl .. Issued..--•-----•---•------------•---------------------------- Date THE COMMONWEALTH OF MASSACHUSETTS , .--~ BOARD , F H EZ-6 LT - F 0 ..................... .. , ppliration for Di-opoutti VvrhO,Zonstrurtion Prruti# Application,is hereby made for;a Permit to Construct ( or Repair (. ) an Individual Sewage Disposal 43 � system at: -, . I ..� ,• _ 6' I ocation Ad ss • -O- .......................... . ... fir?• --•-•--- -- - Ownerr W � 5:�- ................................... F ? Y Address A Installer Address � d Type of Building `Size Lot ..... ......� ..Sq. feet U Dwelling—No. of Bedrooms___..._..._.............................Expansion Attic ( Garbage Grinder II pi Other—Type of Building ____________________________ No. of persons............................ Showers ( ) .- Cafeteria ( ) Otherf,xfur s ------------------------------------...----------- ••.. W. Design Flow............ _______ gallons per person per day. Total daily flow...........�J.i.... .........__gallons. 1 Septic Tank Liquid capacity:t gallons Length________________ Width__.:_: . Diameter.................Depth.............. Disposal French-No. Width.................... Total Length....................Total leaching area...................sq. ft. =3 Seepage Pit No...............,::____ Diameter.................... Depth below inlet .............. Total leaching.area..................... q. ft. Z Other Distribution box ( ) Dosing-tank ( ) =~' Percolation Test Results Performed b � '� r�t�-rr�� Date___ a Test Pit No, 1 °: ' minutes per inch Depth of Test Pit._ P P e Depth�'to 'ground water.. ,44_ Test Pit No. :...._`�nlinutes per inch Depth of. Test Pif._,��.�._....... Depth to ground water**77 {yell 'a .........................................................---- ................................................ . O Description of Soil ...::: � ...661l... ...e .. �. ................. . W .................... - ..................................................----------..._.............---------------..._----•-•-•.----.----._._...----....------••... U Nature of Repairs or Alterations—Answer when applicable........................................................................................ r -----------------------------•............. .._...._..----------......._......-_---- ....------------------------. Agreement The undersigned; agrees to,install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of:the.�State Sanitary Code—.The undersigned further agrees not to place the,•system in, operation-until a Certificate.of.Compliance has been:issued by the rd of health � - 1 Application A roved B X -• .....__... I � ...... ate Application Disapproved-for the folio aiing reasons______________________________ ------•--•-.--------•-•-•--.•---•...............................................« _. ............................................ ............. _.._.._........---•--.._..._._.............._....._...---.._..---_-•---------.--•---------------••---•---••-...---....----.•..---.._._.... Date Permit No.,..:... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD•r.0 HEAL H (Intifiratr of fgoutplittnrr bIS TO GE-9,TIFY `Th he Individual Sewage Disposal System constructed ( or Repaired (, ) Y1i.. .. = --- -•--•-------- - --------- . .... / b Install / l _._ has been installed in accordance with the prisions of TITLE 5 of he State Sanitary C e s d scribed in the application for Disposal Works Construction Permit No 6?.___�? zr...__. dated._ ................. .. THE ISSUANCE OF'THIS CERTIFICATE SHALL.NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUN!-7M,QIV SATI ACTORY. C •--•-•----•-• Inspector_....:.DATE. .�� -------••-••--•---•---......................................... THE COMMONWEALTH OF MASSACHUSETTS ,BOARD F: HEA �r-* ...............0F.................. - ........................................................ N0 .. 2 FEE.......:: . �to�oo� � ork� ono#r ion �rruti� Permission is hereby granted. --- S -d l : •. ............. to Noonst ct - or Rear man Indivld wa a disposal Sy� ( P O / ................... =-...... e ; --- ............................ - �.. Street C as shown on the application for Disposal Works Construction Per � _?Dated_._ 40 �b ......................................................... ----------- __ _---------•--- 't Board of Health DATE................ •----••-- ................................................. FORM 1255 A. M. SULKIN, INC., BOSTON - I Department of Environmental Management/Division of Water Resources R WATER WELL COMPLETION REPORT WELL+`LOCATION Address�/)� City/Towns G.S.Quadrangle Map Grid Location Owner - /'Pf/ 17f11�)p pp Address /M .";4. Uep, .�re r "S eg6?to � w WELL USE CONSOLIDATED WELL i Domestic❑� Public ❑ Industrial ❑ + Type of Water-bearing Rock Other Water-bearing Zones Method Drilled At 16 poor t) From To J 2) From To Date Drilled 3) From To 4) From To CASING Depth to Bedrock Length ")f) f tyDiameter r� Type f-I `F a C UNCONSOLIDATED WELL STATIC WATER LEVEL Water-bearing Materials Feet below land surface /!Sand: fige©/medium®�coarse❑ Date measured t'o-/�.,_ A Gravel: fine❑ medium❑ coarse❑ Screen: ,,ll GRAVEL PACK WELL Yes ❑ SlotrF /C! length 3/ from to No 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 4 hours at GPM. How measured Can/ p4er r"s p Recovery feet after hours. LOG of FORMATIONS COMMENTS: (On well or water) Materials From To 0 /,r 01 Cb c I DRILLER 'y� y ) _ Firm I b44a a i l� Address b,/ 6y- Ran City A4 n Registration No. Tic Lperator'S Signature Please pant rrm y BOARD OF HEALTH COPY zsln to as sonot n _ , .. Y-nvnvYlS hAl 1 T C•Y1 pEk-%VIsE �• I ' Ji�JIVI'Y'11YYV V.Y Y�• „.YE- INSTALLATION AND CERTIFY IN �I BOARD OF HEALTH ; THE SYSTEM WAS INSTALLED ACCORDANCE TO PLAN. TOWN OF BARNS7ABLE P.O. BOX 534 c HYANNIS, MASS. 02601 �� v-,g s 43 49 4a.al. as.o9 - Sf� A•p�.� 'N (f C A Pi 4� ,lor � 3 Yy-z2i Y 66r t'L/4 7 1.z \. cml 132 4I .o ' / _ t wry Wd4x 'o tocA?i0✓ - — — — — — — — — — _. ._ _�—✓—.— .— ,- — — — —,— — — - — w�ic of PAver-ItAJT 5 Z 93 N0.0© OBI UPPERCAPE-ENGINEERI ;� ' o.814 P.O. BOX 616 E: SANDWICH, MA 02537 362-6281 L: O i R�s�z TOP OF FOUNDATION CONCRETE COVER CONCRETE COVERS 4"CAS IRON 12"MAX. OR SCHEDULE 40 12'MAX. P.V.C. PIPE .VSCHEDULE 4'0 •� PITCH"1/4"PER.FT PIPE- MIN.. ' LEACH. e. PITCH.1/4+PER.FT. PIT.. PRECAST + EL Vl Vie. �y `+. ( LEACHING INV T" INVERT PIT OR °'. SEPTIC TANK EL. . DIST. w �,• INV RT :".7.. BOX EL.Y.�:� i >_ ' EQUIV. y�.Q.. .lC1pP.: GAL. INV i�T ~°~-" 3 4��T011 EL. ELU:�: INVER�JT•. ;' w w C�. / /; E1,.1?,7Q �� WASHED 6 38 'DIA. !. , ,. —►-� 4 �• /Z D1A. PROM LE OF A/ GROUND WATER TABLE •. .. c.(/GvvNTFzF� SEWAGE DISPOSAL. . SYSTEM"! NO SCALE SOIL LOG WITNESSED BY: DATE . ....., BOARD OF HEALTH TEST HOLE I `TEST•HOLE 2 ' U� r �(� �i►l� EL-l;V.:lz?: ' P�c.vAivi 7�f%a�4i►y .SuJso)L DESIGN DATA : NUMBER OF BEDROOMS. . ...�. . . . . . . . . . III, TOTAL ESTIMATED "FLOW J�? . . .GALLONS/DAY S'"L) M �' OOTTOM LEACHING AREA ./�3 . . . .SQ.FT./PIT { SIDE LEACHING AREA .. .����. . . . . SO,FT/ 1T GARBAGE DISPOSAL.....'.'. ..(50% AREA INCREASE) TOTAL LEACHING AREA . %lG,f. . . ..." SQ.FT . 29:5 _ �3i PERCOLATION RATE iC `.Ss . y': .. . 'MIN/INCH EleJ/ ' 28.S LEACHING AREA PER PERCO.LATION RATE.. SQ.FT. ��.-.WATER ENCOUNTERED NUMBER OF LEACCHIN`G PITS . .0��'. . . . . .. . . . APPROVED. ... . .�./Y'—s,4, - //3,�F. !,' • %3, ./�4??0�1, .. BCARD OF HEALTH 1 DATE. . . .. . . . . . . .�►,stdta •5 AGENT:'OR• INSPECTOR Of JIqf J. J C0B1 �4: UPPERCAPE ENGINEER 814 � T.,4a P.O. BOX 6.16 ,E sF0i 1Ott E. SANDWICH; MA 02 37 �,, gNAT PETITION ar`�`. . I:R�:" 362-"62F�1 . .. . J IL ` r