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HomeMy WebLinkAbout0045 LONG POND ROAD - Health e • s • • • —-- — — — — — --- — — — — — - — — —- —- - — — — -- -- _- • / � 11 • , ■�������■■■�■■��■����■��������������■��■sue■■■ ■■��■������■■■■■���■�■ems■■s■■�■�■■��■����■■�■ ■■■��■����■��■■s■■�����■■�■■ems■■■■moo■■�����■■ ®�......o.....................�........�.....�. , i■EMM ■■ s OO■ NM■■■SM■i ■■■■■■■��r � �r 'r.�r ►k( fir■MM■MMMI ■■■■■■r�i/f�M��■��■ ■M■ ■■■■■■■■I ■■■■■■■i) iJii114i111111 L 'e �`'C�' �■■■■■ MONSOON 0111 ordflow 0 0 v I MEMNON so 0 NO 1,14 MI NMMMMM a's w MI ■EMN■■it % MM ■IJ ■COI MONSOON ,jam �. . i/1V„ 1 � ia4LL� / MONSOON ■■■■■�rrriril �M■Sir■■E NMI ■■■■MMMfSi■ ! ■■ ■ Si■■[j'ri��/■■I SEMEN■■I� /: i!!E !f SO r C■■■■■■■■I MONSOON 0 0 M a MMMMMM@@@MMMoI MEMNON WE 0 NMI 0 MI MONSOON■ -■ ■ ■ ■■■ 2 ■■I ■MM■M■M■MN�i1rMi` ■il�IlrMrM�Ii� S 31 WOMEN ■■MMMMMMMi` �%fir■fir■ �PAv M F EOEM■ ■MMMMMMMM N■ NirME ■MSS/NMI MNMMMMMME (?A ! All MEMMEMEMEM unown , No ME wool ■ENOMONEE SON ER■/]N■ORMNOF�T�I ■■■OMO■Ei��l:!�l' '��,,! ,��!r l� t► ,<o�l� MMM`%■MMM■■ ■ENOMON■■ t !I'II W � EINI M■■I EMMMMMM ■■N■MONEEr/iM MEN i■I/.1/ MI ■ENOMONE■ IF NMMMMMMMM HNNIMMEEMME SEEN El MMMMEMEMMMMMMM !�/t%7i'c� ?%17c" ', . ram'/M[�iE[�'L/ ■I ■■NNE■■NN��:ai�1��!`i, 1�1�1M,��i■N■■M■■i�■NNNI i ■ ■ o u ■ MOP oil�rz� Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 45 Long Pond Road Property Address Steve McGrath a�' Owner Owner's Name information is Marstons Mills Ma 02648 3/17/2015 ~� required for every State Zip Code Date of Inspection page CitylTown 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-When A. General Information filling out fonrr, / on the computer, use only the tab 1. inspector: key to move your cursor-do not Sean M_ Jones use the retumi Name of Inspector key. S.M.Jones Title V Septic Inspection Company Name 74 Beldan Ln. Alf- Centerville -f><la 02632 City/Town State Zip Code 774-248-4850 sTjonestige5@gmail.com SI4522 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 pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 3/17/2015 Inspector's Signature "r 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. t5ins•3113 Title 5 Official inspection Forrn:Subsurface Sewage Disposal System•Page 1 of 17 110 yet V.S Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments r 45 Long Pond Road Property Address Steve McGrath Owner Owner's Name information is required for every Marstons Mills Ma 02648 3117/2015 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: ® 1 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: The dwelling located at 45 Long Pond Rd is served by a Title V septic system consisting of a 1000 gallon septic tank,distribution box and a 1000 gallon leach pit.The system was found to be in proper working condition at the time of inspection -- - 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•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System'Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 45 Long Pond Road Property Address Steve McGrath Owner Owners Name information is Ma 02648 3/17/2015 required for every Marston Mills page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. 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 pipes) 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 s is not functioning in a manner which will protect public health, system 9 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-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments a 45 Long Pond Road Property Address Steve McGrath Owner Owners Name information is Marstons Mills Ma 02648 3/17/2015 required for every of Inspection e Date .page. Cityfrown State Zip God Pe B. Certification (cont.) 2. System will fail unless the Board of Health(and public Water Supplier,if any) determinesy g 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 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 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 ElBackup 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 '/z day flow t5ins.3113 Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form rY 45 Long Pond Road Property Address Steve McGrath Owner owner's Name information is Marstons Mills Ma 02648 3/17/2015 required for every state Zip Code Date of Inspection page. Cityrrown 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. supply E] ® Any portion of a cesspool or privy Is within 50 feet of a private water pp y 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 16,000 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•3113 Title 5 Official Inspection Farts:Subsurface Sewage Disposal system•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments W s 45 Long Pond Road Property Address Steve McGrath Owner Owner's Name information is required for every Marston Mills Ma 02648 3/17/2015 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 sitehas been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® 0 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): 2 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330 gpd t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 51 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 45 Long Pond Road `J Property Address Steve McGrath Owner Owner's Name information is required for edL-ry Marstons Mills Ma 02648 3/17/2015 page. CityRown State Zip Code. Date of Inspection D. System Information Description: 1 Number of current residents: Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): Detail: 2013= 58,000 total= 156 gpd 2014=66,000 total= 181 Sump pump? ❑ Yes ® No current Last date of occupancy: Date Commerciallindustrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) 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•3t13 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 45 Long Pond Road Property Address Steve McGrath Owner Owner's Name information is required for every Marstons Mills Ma 02648 3/1.7/2015 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): 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/Altemative 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-3113 Title 5 Official Inspection Form:Subsurface Sewage Qisposel System-Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ,. 45 Long Pond Road Property Address Steve McGrath Owner Owner's Name information is Marstons Mills Ma 02648 3/17/2015 wired for every f Ins edion Date o page Citylrown State Zip Code P D. System Information (cont.) Approximate age of all components,date installed(if known)and source of information: original system 1979 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 2 Depth below grade: feet Material of construction: ❑cast iron ®40 PVC ❑other(explain): Distance from private water supply well or suction line. feet Comments(on condition of joints, venting, evidence of leakage, etc.): Joint were ok, no leaks,vented through the roof Septic Tank(locate on site plan): 1.5 Depth below grade: 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 1000 gallons Dimensions: 6„ Sludge depth: t5ins•3113 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 45 Long Pond Road Property Address Steve McGrath Owner Owners Name information is Marstons Mills Ma 02648 3/17/2015 required for every ode Date of Inspection q State Zip C page Cdylfown D. System Information (cont.) Septic Tank(cunt.) 3„ Distance from top of sludge to bottom of outlet tee or baffle 3„ Scum thickness 6„ Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 10" opened covers,took How were dimensions determined? measurements Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank does not need to be cleaned now but should be done soon and again every 2 years for proper maintenance.water level was even with outlet, tank was not leaking and was structurally sound. recommend risers be installed to make access easier. Grease Trap(locate on site plan): Depth below grade: feet Material of construction.- El 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 t5'trts•3113 rate 5 Official tnspedon Form: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 45 Long Pond Road Property Address Steve McGrath Owner owner's Name information is required for every Marstons Mills Ma 02648 3/17/2015 page. Cityrrown 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.3113 title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments «b 45 Long Pond Road Property Address Steve McGrath Owner Owner's Name information is Marstons Mills Ma 02648 3/17/2015 required for every page. CitylTown State Zip Code Date of Inspection D. System Information (cons.) Distribution Box(if present must be opened)(locate on site plan): 0" 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.): Distribution box was video inspected and found to be in good condition, no rot, water level was even with 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.): If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System(SAS)(locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System.Page 12 of 17 Commonwealth of Massachusetts _ - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 45 Long Pond Road Property Address Steve McGrath Owner Owner's Name information is Marstons Mills Ma 02648 3/17/2015 required for every page. C ITown State Zip Code Date of Inspection �Y D. System Information (cont.) Type: 1x1000 gal ® leaching pits number: ❑ leaching chambers number: ❑ leaching.galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/altemative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach pit was video inspected and was found to have approx 1 of standing water with a stain line only slightly higher. . 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•3/13 Title 5 Official Mspecton Form:Supswrace Sewage oi5posel System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official inspection Foam Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 45 Long Pond Road Property Address Steve McGrath Owner Owners Name information is Marstons Mills Ma 02648 3/17/2015 required for ever) State Zip Code Date of Inspection page Cityfrown Da System Information (coot.) 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.): t6ins•3/13 Title 5 Official Inspection Form:Subsurface sewage Disposal system-Page 14 of 17 Commonwealth of Massachusetts -- - 'Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 45 Long Pond Road —'/ Property Address Steve McGrath — Owner Owners Name information is Marstons Mills Ma 02648 3/17/2015 required for every Crtyfrown State Zip Code Date of Inspection page. D. System Information (cunt.) Sketch Of Sewage Disposal System: Provide,a view of the sewage disposal system,including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building.Check one of the boxes below_ ® hand-sketch in the area below ❑ drawing attached separately O O , � • CO bt, I-F-i l�fo t 15 fi•'' Zb •j 7(„6 A-1 TIUa s official inspection Form_Subsurface Sewage Disposal system•Page 15 of 17 :5rns•3113 ', Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 45 Long Pond Road Property Address Steve McGrath Owner Owner's Name information is 11arstons Mills Ma 02648 3/17/2015 required for every State Zip Code Date of Inspection page Citylrown D. System Information (cont_) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells 12'+ Estimated depth to high ground water: 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: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Groundwater elevation was determined by accessing Town of Barnstable groundwater contour map. Before filing this Inspection Report,please see Report Completeness Checklist on next page. tSins•3113 Title 5 official inspection Fonn:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form.-Not for Voluntary Assessments 45 Long Pond Road Property Address Steve McGrath Owner Owner's Name information is Marstons Mills Ma 02648 3/17/2015 required for every page. Cityrrown 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;3/13- Title 5 official.inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 Parcel Detail Page 3 of 4 Il 31 * 1986 I $59,0001 $01 $01 $15,1001 $74,100II Photos 1 w w LL . m ¢'—sae Y . y r i t \ ti ht+.pJ/issgl2` ntraneti'propdata/ParcelDetail.aspx?ID=420 3/9/2015 Parcel Detail Page 4 of 4 t a u 4r . T � � RA http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=420 3/9/2015 Map Page 1 of 1 Town of Barnstable Geographic Information System New Search I Home I Help Parcel Custom Map IFAbutter,7 Map size t3 Zoom out 1 I I 11n ,.�Viewer F ® d0ie=JPG r 1 4 • r � t ♦ .:`� ;:.�:...: ♦ y �`♦ Turn map layers on/off f b Refresh selecting check boxes below ♦ r tr ` a rr r ^ r ) [J Town Boundaries ,,. ;r �'` •., 1�: Li Road Names .�,. :: x s� r .� ..-; ,XT ♦ y. s ,� �....� Voter Precincts rr S \ Ef: � t ♦� � \` • ♦,rr ❑ Multiple Address House Numbers .. Y - \ ` r r ♦ r [..J Map&Parcel Numbers :�:' :����' .�.. ..:.:::.:a.'x:•'il: ::x.. .,.;.:'.. ...�ix. .x"?.k. :�k�.. .. � Parcels Set Scale 1" = 76 I Aerial Photos v I MAP DISCLAIMER [l. FEMA Flood Zones Effective July 16,2014 Copyright 2005-2010 Town of Bamstable,MA All rights reserved.Send,uestions or Co!1s/l_N4CQScity Zone BanstableMA v1.2.5494[Production] 13 AE-100 year flood ®AO-100 year flood 0.2%Annual Chance Flood Open Water C Neighboring Towns C1 Water ❑ streams Jetties I� V ❑ Edge of Water http://maps.townofbarnstable.us/arc>ms/appgeoapp/map.aspx.propertyID 014005&mappar... 3/9/2015 Health Master Detail Page 1_ of 1 �'a. s.�,{j's•a�.cAltrdC�ay "" ^.+..+tr:.x - Lo99ed In As: TOWN\health Health Master Detail Monday, March 9 2015 Application Center Parcel Lookup Selection Items Parcel Septic Perc Well Fuel Tank Parcel: 014-005 Location: 45 LONG POND ROAD, MARSTONS MILLS Owner: MCGRATH, STEPHEN T&STEPHANIE Business name: Business phone: I Rental property: r Deed restricted: r Number of bedrooms Contaminant released: r Fuel storage tank permit: r Save Parcel Changes Return to Lookup Parcel Info Parcel ID: 014-005 Developer lot:LOT 31 Location:45 LONG POND ROAD Primary frontage: 110 Secondary road:LAKE SHORE DRIVE Secondary frontage:105 village:MARSTONS MILLS Fire district:C-O-MM Town sewer exists at this address:No Road index:0917 Asbuilt Septic Scan: 014005_1 Interactive map: Town zone of contribution:SPLIT(parcel is split between districts and State zone of contribution:IN should be looked up on the map) Owner Info Owner: MCGRATH, STEPHEN T&STEPHANIE Co-Owner: Streetl:116E GALLATIAN DR Street2: City:BOZEMAN State:MT Zip: 59718 Country: Deed date:9/10/2004 Deed reference: 19021/209 Land Info Acres: 0.46 Use: Single Fam MDL-01 Zoning:RF Neighborhood:0105 Topography:Level Road:Paved Utilities:Septic,Gas,Public Water Location: Construction Info Building No ear Buil Gross Area Living Area Bedrooms Bathrooms 1 1979 2696 1292 2 Bedroom 1 Full-1 Half Buildings value:$103,600.00 Extra features: $38,800.00 Land value: $109,000.00 http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=014005 3/9/2015 Parcel Detail Page 1 of 4 L� 40 � n i STA _ v , Logged In As: Parcel Detail Monday, March 9 2415 Parcel Lookuo Parcel Info Developer Parcel ID - T ce 31 !014005 LO Lo t Location 45 LONG O N POND ROAD 9 Pri FrontageI Sec 110 Sec Road 1LAKE SHORE DRIVE I Frontage 1105 Village;MA� RSTONS MILLS Fire District C-O-MM Town sewer exists at this address No � Road Index 0917 w«; Asbuilt Septic Scan: Interactive �q 0140051 Map ( =' � ' a Owner Info Owner�MCGRATH, STEPHEN T& STEPHANIE Co-Owner j Streetl 116E GALLATIAN DR � ) Streetz City I BOZEMAN �� State MT zip 159718 Country Land Info Acres 10.46 use 1Single Fam MDL-01 Zoning FRF � Nghbd 0105 Topography[Level Road LP2yed Utilities I Septic,Gas,Public Water ' Location I Construction Info Building 1 of 1 Year 1979 1 Roof Ga Ib e/Hip Ext Wood Shingle Built J Struct� Wall Living 1292 Roof As h/F GIs/Cm� AC None Area Covert p p Type Int Bed Style Ranch Wall Drywall Rooms 2 Bedrooms Int Model Residential FloorlCarpet RoBoms 1 Full-1 Half f . � Grade Average Heat Hot Water total 6 Rooms 2 caRz z, � �' 24 ' Type Rooms 213, stories 1 Sto Heat I Oil Found Poured Conc �''� �4d ry Fuel i atioi �16 Gross 2696 Area Permit History http://issq]2/intranet/propdata/ParcelDetail.aspx?ID=420 3/9/2015 r Parcel Detail Page 2 of 4 Issue Date Purpose Permit# Amount Insp Date Comments 7/1/1989 Addition B33055 $20,000 1/15/1990 12:00:00 AM MM ADUN 6/1/1978 Dwelling B20276 $0 1/15/1979 12:00:00 AM MM 1 STOR Visit History Date Who Purpose 9/19/2014 12:00:00 AM Susan Ricci Cycl Insp Comp 2/8/2005 12:00:00 AM Paul Talbot Meas/Est 2/24/1999 12:00:00 AM Donna Dacey Meas/Listed-Interior Access 1/15/1990 12:00:00 AM IM Sales History Line Sale Date Owner Book/Page Sale Price 1 9/10/2004 MCGRATH, STEPHEN T&STEPHANIE 19021/209 $1 2 2/15/1986 MCLEAN, MARGARET E 4931/82 $1 3 4/15/1982 MCGRATH,THOMAS M&MARGARET E 3472/40 $0 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2015 $103,600 $38,800 $0 $109,000 $251,400 2 2014 $103,600 $38,800 $0 $109,000 $251,400 3 2013 $103,600 $38,800 $0 $109,000 $251,400 4 2012 $103,600 $38,000 $0 $109,000 $250,600 5 2011 $133,100 $5,200 $800 $109,000 $248,100 6 2010 $133,000 $5,200 $100 $109,000 $247,300 7 2009 $130,900 $4,600 $100 $146,000 $281,600 8 2008 $155,800 $4,600 $100 $152,100 $312,600 10 2007 $155,000 $4,600 $100 $152,100 $311,800 11 2006 i $138,100 $4,600 $100 $157,200 $300,000 12 2005 $127,600 $4,400 $200 $142,800 $275,000 13 2004 $103,600 $4,400 $200 $142,800 $251,000 14 2003 $93,400 $4,400 $200 $40,400 $138,400 15 2002 $93,400 $4,400 $200 $40,400 $138,400 16 2001 $93,400 $4,400 $200 $40,400 $138,400 17 2000 $73,000 $4,300 $100 $32,700 $110,100 18 1999 $68,100 $4,100 $100 $32,700 $105,000 19 1998 $68,100 $4,100 $100 $32,700 $105,000 20 1997 $78,800 $0 $0 $21,800 $100,800 21 1996 $78,800 $0 $0 $21,800 $100,800 22 1995 $78,800 $0 $0 $21,800 $100,800 23 1994 $74,900 $0 $0 $26,200 $101,300 24 1993 $74,900 $0 $0 $26,200 $101,300 25 1992 $85,400 $0 $0 $29,100 $114,700 26 1991 $84,600 $0 $0 $50,900 $135,800 27 1990 $80,400 $0 $0 $50,900 $131,300 28 1989 $80,400 $0 $0 $50,900 $131,300 29 1988 $59,000 $0 $0 $15,100 $74,100 30 1987 $59,000 $0 $0 $15,100 $74,100 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=420 3/9/2015 Assessor's map. and lot number ..... ...`1"'•• •-•- SEPTIC SYSTEM _ r2 �� INSTALLED I�'V C0�/II'Liq>3E .:: 2 77 Sewage Permit number - WITH ARTICLE CE ...............-........ �T rS�aAP�V T'AR li STATE TOWN , OF BAR S '1`6 ll-1�1 AND TOWN P OF•THE T��4 Z 89HH9TAILS� 900 6 9 INSPECTOR UFL I AlPPLICATION FOR PERMIT TO .................................................. .... TYPE OF.COldSTRUCTION ....... ...® .D ............... .............................. .�` '...:..�. ......... .19 TI dersigned hereby applies for a permit according t the following information- ®/ ✓ ' .iVIJ Ai ......... Lp� .�........ - .. �:. '.. : Prop, Use ...... L�GL �! ,�'................... t . Zonin ...............Fire District ...................................................... strict ......................................................... .../ ...................... / /(J f 1 Name o CIV � .� �....�� ...1 ' CAddress .................................f...:..®.......l..r..��..� ,t� rer/q.... sue " �I Name of Bider SAS ..Address �� ............................................. ................ Name of Archl ct .........Address ............................................................ Number of Fcoorn;, � .. ... .........Foundation ....��.:�. ...,6......... Exterior a , .. ............................. CIX ........ Roofing ........................................ Floors � nterior ` nglri <Pl.uing. Z...... ........ .......................................... . x ....... .. 'Approximate Cost - .K a.......................................... ..... Definitivilan Approved by Planning Board ------------_—-----------19-----• &ea . ......... ••:..••.•••• �- Diagranif Lot and Building with Dimensions Fee ............................................. SUBJECi/TO APPROVAL OF BOARD .OF HEALTH o 6 90^:3/Y o A-T ION SEWAGE PERMIT N 0. VILLAGE ' INSTA LLER'S NAME ADDRESS eno 1 .h es B U IL D E R 0R 1,WNER 2S Zi DATE PERMIT ISSUED t--_;? s- � .7 OAT E�CODPLIANCE -ISSUED / _7 �.. ti re - �AL' 4 No........;:7 7.... Fxs:.. .'^.._ THE COMMONWEALTH OF MASSACHUSETTS h BOAR® OF HEALTH b ......!�..�........I.........OF....�A 9,'1 S .. .. k ................................. �. Apphra#alan for DaipniFal Works Tv'mitrnrtann Urrmit Application is hereby made for a Permit to Construct ( it) or Repair ( ) an Individual Sewage Disposal System at• Q W14Ls / Location-Addr ess, ,fir/- t Nye Address (sa . ............................................../lMtnuT/7� _� S :. _..... Installer Address d Type of Building Size Lot.. a®O._.._____Sq. feet a V Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Otherfixtures -----•-------------------------•----•---------------------•-•---•---.....••-----------------•-•-----------------•---------------------•--•-•--------- WDesign Flow............................................gallons per person per day. Total daily flow............Z_ ....... Septic Tank—Liquid capacity/©q®.gallons Length................ Width---------------- Diameter................ Depth................ x Disposal Trench—No..................... Width--------------------Total Length--------._._....__- Total leaching area....................sq. ft. Seepage Pit No.......f------___. Diameter-__ .�_. __.. Depth below inlet._.6Q Total lea hing area.!?e ....sq. ft. Z Other Distribution box (✓) Dosin tank ( VA �c ` '��•� i ►-� /f ...--- '�' Percolation Test Results Performed by.�..___....... � -����____........................ Date.....__l4��_.._..._._..__. ,-a Test Pit No. 1.<_Z.minutes per inch Depth of Test Pit--- Depth to groun water..... ..................�� Test Pit No. 2......:........minutes per inch Depth of Test Pit.................... Depth to ground water....!��?.G TE •-----------------------------•--------. ?O — ' �------------ Des ptanoi--- ---� .. ---------------- 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 iITL L 5 of the State Sanitary Code—The'undersigned further agrees not to place the system in / operation until a Certificate of Compliance has bee issued,by the boa health. Sighd.. .�/•• .............T------------•-----•---------------------•--•-•------- �.. ...� Date ApplicationApproved By.............. ...... -- . ------ .............................. --------------------------------•--•--- ate Application Disapproved for the following reasons------------------------------------------------------------------------------------------- n ..-•----_.---- -•....................................•--•-•-------•-----••--...••......-•--------------•------•----...•.----------••-----------------------------•---------------------------•------•-----•------------ Date PermitNo......................................................... Issued... ............................................... Date No.........!!�_'7 ., ::4 Fss . �- - THE„COMMONWEALTH OF MA'SSACHUSETTS r ° BOARD OF HEALTH ' 'D....J............O F.............................f r 1.i3 1 ....................... = ' ApplirFa#ion for Disposal nrk� t� �t�#rnr#inn eruti# Application is hereby made for a Permit t ',Construct ( ) or Repair ( ) an Individual Sewage Disposal System.at Lo ion-Address _ or t N O er r^ Address W •- `...... � w- tel: `: G/�?_� ................... .......-'-�-5.................................. a Installer ? Address �O�6D d Type of Building Size Lot.___.../..._.._____._....Sq. feet U Dwelling—No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder ( ) 4 Other—T e of Building No. of ersons____________________________ Showers — Caieteria M:,s dOther fixtures -----------•••• ------•--•-•••--•••--•-----•••--•-••--••-•-•----•••••---•-•-------•--•---•---•••----•••---••-••----••--...._.....---•--•---•-•...•-•- ' Design Flow............................................gallons per person per day. Total daily flow..___.___.__z__Z-®...............gallons. W WSeptic Tank—Liquid capac>t _ __gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No_____________________ Width.................... Total Length----- _. ........ Total leaching area....................sq. ft. Seepage Pit No. --------- Diameter Diameter___lo._-..�_.... Depth below inlet._.4_............ Total leaching area__:?_6_1__sq. ft. z Other Distribution box (� Dosing arils '� Percolation Test Results Performed by._._ __.._ •....._.. Date______ _________ .-_________...______.. IF aTest Pit No. 1_._.__�Z_.minutes per inch Depth of Test Pit._ ��__ Depth to ground water.. v_. '¢�E wTest Pit No. 2..........._....miriutes per inch Depth of Test Pit.................... Depth to ground water...__ >.O Des ription o0;0(l-- 017 _ 0 �!l -----:.C:Q'��__.�4_'�SG�! ........!�-0�/i�/----`--�-�--�1J1.�- --•C � x _ ��cr�� �%v/�2 5 2ocv. .sue}>vl ----- / . . UNature of Repairs or Alterations—Answer when applicable___________________________________________________________________________________________ r� -•-•--------------•- --------------------------------------------------------------------------------------------------------------------=........................................... Agreement: tK S thOPThe undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with iovision of T IT I.^. 5,of the StateSanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Comphane 'has`°bee ssued by the'board,4 health. Signed_ '' `2 ate Application Approved By...-........ ,;; ........................D -------- 1 Date Application Disapproved for the"following yeaso . ----------.`..------------------------------------------------------------------•----------•------._.._..----- •-••---------•---•-•.........•-------••----•--•------•-•------------•-•-------•--------------•-••--•....l----••--••-•----•---••--------•--••-----••-•--•••--•------•-•-••-••............................ Date Permit No............................... Issued------------------------.-------•---------•------------ -•--•------•----•-------• Date , ^' THE COMMONWEALTH OF MASSACHUSETTS s:w BOARD�_OF- HEALTH 14— .... t,,r rt. ....OF.............ylL;� ...................... _ er#ifirFa#r of ( ompliFanrr THIS TO CER Y, That e Individual Sew ge Disposal System constructed ( Al'or Repaired ( ) by.•-""'...... _.ej ... r .. :Q ----------- --------------- ---- - Jos atSa___Y"�-•-__ �. `:'S ��--t�'��4�� '"�Jrr � dC-/-R==•7-Y""•�"�_a_____ �� krs'.'a >±a� has been instal)/d in accordance with the provisions'of T 5 of The State Sanitary Coe as described in the 3 application f Disposal-Works Construction Pert�irt No--- f`____'.Z._�._7_•______ dated__ .r{¢ p�-_, _ TFIE 15SUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A '_U RANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ..........................••----••-•---•-_..... ,cDATE..._..-r------- -:.. _., _. Inspector----•----------------------------- -----------------------------•----•--........ � - - fir ._. • _ i�,' ; - THE COMMONWEALTH OF MASSACHUS`ETTS BOARD OF HEALT ° r �' ' .........OF...........: ..................... No°-;-....r��" FEE........................ Disposal Forks Mnaw#r tion Vrrmit Permission is hereby granted--•`•-•- - --- --•---•- to Construct � or Repair an Individual Sew e Disposal System ( P ( ) ge P Y at No.... �- - :•V-1 __ � e�E� � p �1 t s+ '� - � t r� ._ t, o+�. '3'�••_ �, P`� � Street l as shown on the application for.Disposal Works Construction Permi ated-----„'� ._� 477'���'__.. '- ' r 'Board of alth .._ r DATE .' C ......' FORA 1255 HOBBS & WARREN. INC.,PUBLISHERS✓ ,j F. F. 52,00 AREA PLAN TYPICAL SYSTEM PROFILE -ail FDN TOP FINISH GRADE=, NOT TO SCALE SCALE , I FINK FINISH SH_GRADE `OVER ,TANK= .nal qg ' GRADE OVER PIT=_'�� y �1 LOT I LONG PO 1D FARMS � •48.CY.3p � P V C OR :.. O O :.. • • . • 48.6 '�7 �C. I. TEES 1 0 0 $ 4 C 5, F ± I , BSMT ry:a . .: o..:,a .:.: Q.:. v • e o • • ` e 1 o e a A 4. ? � :: GAL. ;; 4 ; , • � , p e e � 1 1 • 0 1 REINFORCED :> DIST. BOX '• CONCRETE ;,, 11 .. 1 / / • • • • e • o 0 1 8 r� ,.•,.,.,,- TO BE INSTALLED ON o 1 �.q + .. �# SET t .coo _.. + LOB � T.K.. - , o..._ -. .�. .o . .... .b :.- - o ._-: A LEVEL STABLE S'I"K, SET BASE .d ` • p ......•.. - SEPTIC TANK � i .� � • 1 " o • • • • • / • p i TO BE INSTALLED - IO + � 'ON A • `i e i a . • � _p � � f LEVEL STABLE BASE� Qd • • ' 0 • • • • p • 1 e p T.H. r. - - ARi*A MR t� T �_ , 2 J 8 12 "WASHED PEASTONE ALL BRICK a MORTAR COURSES A, ,. � AROUND FREE OF IRONS FINES e 1 REQUIRED TO BRING COVER TO GRADE ' 0 AND DUSTIN PLACE .: . LEACHING P 1 I` . ..: 24 C I. MANHOLE COVER 8r 3 4 TO 1 12 WA IT PRECAST CoNCQtT� LEACH I�iG_C7 T to � / / SHED CRUSHED � ,. ::. FRAM T ALL t " � F�iLE � .,: :� ,.: E SEE DETAIL STONE LL AROUND FREE F : B/� T f, L RE p. -ti..S�� f�'I~"CA L. 'P20 ---'------ � . �._, . ., e__ � E 0 BASE 0 B E LEVEL V E L .• ,r .. - .. > IRONS FINES AND DUST IN .. .: s ..:,. PLACE � y i FOR FIN `.. ,. • 1 : 4 N GRADE E3,t?Ca 0 ��> , SCE SYSTEM PROFILE _ __�S01 L -AND 0 E CO LAT 0 N • v " , r� �.. , IVC TE ©isT�ZtI3V"t hats x 4 r ,._ � DATA W =- PERC. RAT MI 71 E . .2 N IN. 3 _o FOR INV_.ELE'V S --- 4 SEE (r . I C. D SPOHR ' INLET , o , ,- SYSTEM PROFILE , . , Itf TAKEN BY .. 6 LOT 31 � v `,� I LINE - _ . o ' o ,'P- tr MISR s b 1 C?Q� C�Ai. . P�EC.A5T COAiGR�1`E SEPTIC , . _ , . - .�• ,. 4, o n t3Qs+.tU oi~ 1( /: T �0 Q _ WITNESSED BY. t+ . Tanrt6 s�� 'pRot=t� � o OPENINGS W 4 t ,' `r' t^ •� OUTER OIA. 81 I, 3/4 _:o � o , , DATE. f # r SCJ�Ub � , r o o INSIDE DIA. o _ 1 O T ii 7 = - } 1 1 TEST PIT GND ELEV. 48._Ob $ 00 _ TOTAL .- •.".. t E � . ,. s O W o 3 1 � , , • • • A EA o , to s R - o o' o 'Noah LtJA1�i r a4 , o o �3:5 � � • . GIs, .,,. o 0 0 ,3z . . . c4ap N 0 0` 0 - n I31�Y+lAI SA Q No RUST LEDGE� i 5f its o o . a qg r 5C�.o o �, 1 ,, , : , , OP, V�f r4T E�( ouoo �r 1 0 0 1 A o �. ,. .13 5tDE I 24r x GARAGE FULL. F35M _ �•O Ate S ice„ I n 2 6 6 DIA 2. F r 1 t d 2 �{°1 r 2 , r z E F F E CTI V D BOT. 'PERC. HOLE 4�4 . LLI a I C� ,�. E I A. iP D ,, 50. oo - DOWN 1 �, I A. r LEACHING PIT SECTION r C; 1~3. 1=Nth. z{ I 19 �! << �..t I h2 p TOP �.55U N0 ` SCALE � � ..,, _ DESIGN T 4 .+ oa' I G DATA : 4 , EL�Y_ 5 t�. NOTE. DO NOT RUN' HEAVY .EQUIPMENT.. OVER 'SYSTEM I �i5u ; ! NO. OF BEDROOMS B. M f I I . ,, DISPOSAL . � I�QNT - � �r x�.�: t� � F _ . ,. LEACHING PIT G I NOTES. _ EST. TOTAL 2. .C? L DAILY EFFLUENT GALS. Cl CONE. TO BE 4000 P.S.I a 28 DAYS . SEPTIC TA 1E3Q S C TANK GAL. + t 2. RCINF W 6 Ile x 6 6 GA W. W. M. OtV COi= P 9_0P LOCAT I C>.Wk't�. , 3. 2 AND °4 SECTIONS ARE AVAILABLE FOR GENERAL NOTES 101 , GREATER DEPTH REQUIREMENTS I ...ALL SYSTEM COMPONENT- -- :_-�-r••-----�. `_� � _.�..,.T - ., SHALL B E INSTALLED' !N iva. IVUTE . 1 ,_�3 F' 1 ACCORDANCE.WITH TIT .4O,C7o :' LE 5 OF THE :STATE SANITARY CODE:: STK, S'ET,+48.�{J •.r- EXCAVATE TO ELEV. OR LOW ERAS ER AS q0 - ' DATED � U , J LY :I 1977'aANY LOCAL RULES APPLICABLE. _, � L LE REQUIRED I EQU RED TO REMOVE ALL LOAM AND A CL 'Y CONTAINING 1 . A CHANGE E TO THIS S PLAN MUST B E APP BENEATH P1T. REPLACE>.. �•. . .. -. _ _. . . . _ .. .._ EXCAVATED MATERIAL BD OF HEALTH, . �• xl,.. N CNARLES D. . , SPOHR . - .. •� .. .. �', . - WITH C AN LE CLAY FREE "`GRAVEL:` MECHANICALLY i r.. ,.. _u. / I C LLY r - ,ar: r _3. WHEN C�. EN CONSTRUCTION ., O y .. .. ._ ON IS COMPLETED 2 ._ ,. , -. � , ,� COMPACTED IN PLACE. PRIOR TO BACKFILLIN PCN P� D - _ , G .,.. :_ .LONG NOTIFY - Y THE ENGINEER FOR INSPECTION. _ I ; �# � , SIDE _A AREA 9 5 f ... R S.F,�_S.F. GAL _..� / GALS - a. Y F _ • .... ..u^... , .. _ :. ..mac,.. FOUNDATION ON ELEV. MUST S BE CHECKED�... , . . ;�-7 . CJ -7 WHEN COMPLETED. _ ! ` E3 BOTTOM AREA : F.�_ S GAL A 5. THESE ELEV . M- -. _� S UST NOT BE CHANGED WITHOUT WRITTEN` ' , TOTAL AREA - S. F. '' TOTAL ° �$2 GALS I APPROVAL BY CHARLE D. H S SPOHR. , LEGEND 6. FOUNDATION IN PEC r S T I ON R�QD. WHEN EXCAVATED. + 50.0 EXIST. GROUND ELEV. OWNS , 50.0 FINISH GROUND ELEV. UNDERLINED T � !�c B. 1. NOT E. �, �e C. t s C� _ _ _ R V. DATE �, L. � .-� _ Ni�•r.7,,,.���/, _., 475 PIP E D E DESCR'CPTkOfV L ,� E INVERT.. ELEV. - WOR 'C, B. P ��I� C.Cr S. hl. 'E. R 12'`Y tF t I�l�S - TEST' PIT CATION _ t O Loa oN SEWAGE DISPOSAL SYSTEM c� �.s�ut��p >���Y. + �c�,oa 0 o P FOR - SEPTIC TANK McNULTY 'HOMES I NC. ❑ DISTRIBUTION - BOX # %_ LOT 31 LCNG POND RD/LADE HORE R: of MA D _4 C. I . PIPE �'� m r_ � La�O POND FAR. ; ,fly `'><!y�K M� /yL axle D. .,. ' 4 BIT. F1 R H= MAR TONS M 1 LL�J MA hfifitHttf BE PIPE TIGHT JOINTS s SF s `��. -P No. 7468, DESIGNED. C D.SPOHR DATE. — PROPERTY v_ F 19 MA`S: ?8 DRAWING N0. LINE E F DRAWN: C,S, SCA�E:ASSHOWN MIN. CODE DISTANCE Ss,cr,�L_ 1 5 8 'MAP: SEC PCL LOT cHECKEO: C. D. S,. , . .wv