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HomeMy WebLinkAbout0113 MISTIC DRIVE - Health 113 MISTIC DRIVE, MARSTONS MILLS A= 079 048 r Town of Barnstable Regulatory Services Richard V. Scali,Interim Director BARNSrABLK .' � Public Health Division Thomas McKean,Director 200 Main Street,Hyannis, MA 02601 } Office: 508-862-4644 i Fax: - 08-190-6304 Installer& Designer Certification Form Date: � Sewage Permit# 2011 a nCEl' Assessor's.Map\Parcel 'O Designer: .0 by i rieer;n o, Lup, L(S Jor, Installer: iV;A , C6VS-,4 Address: t2 (A9 C s_St e (j 1 Address: l d lC I Lt T:o re s V46 ,e .MA 0 Zia:Yy i Oil rp`A— P5'rz �`' " L was issued a permit to install a (date) (installer) septic system at bused.on a design drawn by �el-e r (addi. s) 4 y E WaAu ��C , dated_ 1 I_Z� ( `J z (designer) l I certify that the septic system referenced-above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip Out (if required) was..inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with ( major. changes i.e. J b greater than 10' lateral relocation of the SAS or any vent-ical,relocation of any compon.ent of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to..follow. Strip out (if required) was inspected and the soils were found satisfactory. v' -Z l I certify that the system referenced above was constructe ncc with the terins. of the 11A approval letters (if applicable) 10OF PETER T MCENTM y it taller s Stgnature) No'.�tos gF�tSTER (Designer's Signature) (Affix Designer amp Here) i 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\DcsigncrCcrtification Form Rev 8=14-13.doc TOWN OF BARNSTABLE LOCATION 112 M iS f j r SEWAGE# 6LO 1"] 309 `VILLAGE hAc&M j L3% ASSESSOR'S MAP&PARCEL©Z l -0(AS INSTALLER'S NAME&PHONE NO. a_mac ,Jc^ SEPTIC TANK CAPACITY e6 I LEACHING FACILITY:(type) NO.OF BEDROOMS OWNER_}-c�,� PERMIT DATE: C( —I r-( —I COMPLIANCE DATE: Separation Distance Between the: N30N e ce — trc- Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If 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 V C•C-)Jr7 y 3 AQ -H(7 Burl 2(b 3of t�tf s l-c�t\vo tip- lac P r � i a NoQvz_ i Fee /CIO THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 4pliLation for MispoSal *pstrm Construction i3Prmit Application for a Permit to Construct( ) Repair(0) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot IIg�o. S I'3 M t 9 4-1 r- �t 0:t Owner's Name,Address,and Tel.No. /+�rar5to Mtll �O �fft�� Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. ID o oSlc.�Pf `J row ej 1 N C s-o —ya)--f �`v s 1N ca✓tS� Type of Building: Dwelling No.of Bedrooms Lot Size ()C]O sq.ft. Garbage Grinder( ) Other Type of Building f M }` No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) (pCo(l gpd Design flow provided 66L!5�: gpd Plan Date Number of sheets 1X_ Revision Date Title Size of Septic Tank e.1Ct!j}iNc Type of S.A.S. !!;QO Description of Soil Nature of Repairs or Alterations(Answer when applicable) koS4CA) C, 0—c" �0" � (, S oo CICA[c ekwn,6 LLAI a 4 torke tj r-_ I S/X Ara, 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 B f Health. igned Date 'Application Approved b j Date Application Disapproved by Date for the following reasons Permit No. l Date Issued I .r y , fi:i, ...r 1.. ..✓'i'«`. ra". � `-•nT .. -, e ' t . , t 1 i tF... No. ' Fee f /CIO, - ' Entered in computer: THE COMMONWEALTH OF MASSACHUSETTS f PUBLIC HEALTH DIVISION - TOWN OF,BARNSTABLE, MASSACHUSETTS Yes f ` 6' 2pplitotlon for Disposal 6pstrm Construction i3Prmit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 11'3 1ai f5 e C l ` Owner's Name,Address,and Tel.No. �u(S Nolg Assessor's Map/Parcel ? *O H8 } ,� Installer's Name,Address,and Tel.No. " .c Designer's Name,Address,caned Tel.No. JJOJ�{GSA 1` Fc�,teJ j n1C TOR`14a)'7/J ` NS 1A) evv t�3S tM�1{o.J Type of Building: Dwelling No.of Bedrooms Lot Size H 5 (-A-)O sq.ft. Garbage Grinder( ) Other Type of Building e% }10 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) (jo C6 gpd Design flow provided r.Ce _-7 gpd Plan Date 8 -12-~1 "7 Number of sheets Revision Date Title l Size of Septic Tank e*Ki�-,t1An Type of S.A.S. SOO Description of Soil Nature of Repairs or Alterations(Answer when applicable) _!^OS�C..{� C_, 0% CA-03 dyluyM60, tAJlt-V? w 1 st)(`ir i �� faw { �!X 4k 1 (r(. Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in ' k 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 ef L i-Z-7, ApplicationApproveddby J( Application Disapproved by I OF Date for the following reasons _ J Permi o. �f Date Issued . P .. .r•C.—er fir•:�yt... THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed Repaired /� Upgraded ,.-�-^� A g P Y ( ) P ( ) ( ) Abandoned( )by ti_.�)00c, A n [�) T7Nr at 11 � M �,1-r r, 1)1 Anfskr^n M c{1 has been constructed in accordance with the.provisions of Title 5 and the for Disposal System Construction Permit Now� 1l _ dated Installer .Y�"���G G/i �r� NC Designer i-ly%14 r•1"r/ r 1 /�t ,s/r #bedrooms �_ Approved design flflooww �r,P y gpd The issuance of this permit shall not be construed as a guarantee that the system 11 funcfio` 4 d'es`ignea. Date 14—AZ , / 7 Inspector ----------------j------------ - ---------- ----------------------------------------------------------------------------- ------- -------. . . No. / 3C !Q Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS bisposal *pst ,(ConstrUttion Permit n o s hereby Permission i e eby granted to Construct( ) Repair( ) Upgrade( ) Abandon System located at // l t ,'y-1 L f., M fa/S t Cant S MAI-, M G. 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 emmustt b/e'cco.mplleted,9within three years of the date of this permit. l Date J { / / Approved by t'4 +., k isfi ricx,r-- 3ec� B C � - oFInv Town of Barnstable PO I S I gyp' ' Department of Regulatory Services > az„H Public Health Division Date �e 1 MAS& 200 Main Street,Hyannis MA 02601 tJ Date Scheduled G'� L� Time L Fee Pd4ao.CO -- — X F Soil Suitability Assessment for Se e Dis,�osal � _ 1 �gPerformed By: �erw�ese. �� S E LJ"IZ Wimessed By; _ LOCATION & GENERAL INFORMATION �s� • Location Address Owner's Name (��-C4f 1,03 t- W_, Vyt,s Address M`5 J- 0�9 -�y� g, MrS+&-ts Mf��s N, oz q Assessor's Map/Parcel: En 'neer's Name , NEW CONSTRUCTION REPAIR � �e�t�'ri'l�n�'�2. ��� e�xn5 Telephone# �`-cf'7'�,313 Wilyi �k4,c Land Use I"-S e Vt�- �l %Slopes Z-� nn pp P ( ) Surface Stones Distances from: Open Water Body ,!v��` ft Possible Wet Area �� ft Drinking Water Well ft Drainage Way Uy ft Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands In proximity to holes) 4 Z • Parent material(geologic) CJ -"UPS tA Depth to Bedrock. Depth to Groundwater. Standing Water in Hole: �d/xR- Weeping from Pit Pace «`v Estimated Seasonal High Groundwater _ DETERNIINATION FOR SEASONAL HIGH WATER TABLE Method Used: _ f)eM,h OF`$P.NP.(t stand;np in reh;.hnle- — Depth to weeping from side of obs.hole: in, Groundwater Adjustment___ft. Index Well# Reading Date: Index Well level Ad1,factor -. Adj.Groundwater Laval PERCOLATION TEST bate Time _av Observation Hole# _ Time at 4" Depth of Pere � Cz 461r,zJrO Time at 6" I Start Pre-soak Time ScJt�S .Q� �i+utS`�Timc-e(9 6") _ End Pre-soak iJJ/54�d ay.d (-ecav-Ok_ SCJi( Rate Min./Inch. Site Suitability.Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) j Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one (1) week prior to beginning. Q;\SEPTICIPERCFORM.DOC jo�y V P.OBSERVATION HOLE LOG Hole#_L_ DEE Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) �._t{ — �� 8 u C: Pt sc",, Sill- a- ZQSY 3/3 L)4's I `,ly Gz- Kl.-el �S'Y-7/-3 DEEP OBSERVATION HOLE LOG Hole# y Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. j Consistency,% rave 18 Zy A 5-ztj Gera-, lo`I fZI/?- 2� 13 -54 t d;, &M, Fly K d 4 .Sr)4 Z5Y-/3 UA S (^1-e: —>Y G L Melhd z�sY �13 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, o Gravel) r ' DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) r Mottling (Structure,Stones,Boulders. Consi ten ° r Flood.Insurance Rate_Map: M1 ' Above 500 year flood boundary~ No— Yes Within 500 year boundary No 4-1 Yes Within 100 year flood boundary No Yes Denth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the • area proposed for the soil absorption system? .�. If not, what is the depth of naturally occurring pervious material? Certification I certify that on j Q 4� (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,expertise and experience described in 310 CMR 15.017. I ��n l�-- Date.=�17 Signature._(\X 1 C '� Q:�S BFTIC\PhRCFORM.DOC > V11 DEC BORTOLOTT'h CONSTRUCTION,INC. V 6 199 - 765 WAIs.EBY ROAD, MARSTONS MILLS,MA 02648 ` 508-77.1-9399 508-428-8926 FAX: 508-428-9399 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM � PART A N j>, CERTIFICATION Properly Address: 76 Date of Inspection: - Inspector's Nannc Owner's Name and Address: � CERTIFI ATION TAT M1L NT• I certify that I have personally inspected the sewage disposal system at this address and that the informa- tion reported below is true, accurate and complete as of the time of inspection. The inspection was per- formed based on my training and experience in the proper function and maintenance of on-site sewage disposal stems. 'file System: i/ Passes Conditionally Passes Needs Further Evaluation y tl c Local Aproving Authority Fails Inspector's Signature: Date: The System Inspector shall submit a copy of this inspection report to the Approving authority within thir- ty(30)days of compltig this inspection. if the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and lie system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY: A)SYST PASSES: I have not found any information which indicates that(lie system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B)SYSTEM CONIDI T IONAI,LY PASSES; One or more system components need to be replaced or repaired. The system,upon comple- tion of the replacement or repair, passes inspection. Indicate yes,nor,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 enfiltration, or Link failure is iuuuineut. The system will pass inspection if the existing sep- tic tank is replaced with a conforming septic tank as approved by The Board of Health. Sewage backkup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of The Board of Health): - 1 - r SUBSURFACE SEWAGE, DISPOSAL SYSTEM INSPECTION FORM �# PART A CERTIFICATION (continued) Broken pipe(s)replaced Obstruction is removed Distribution Box is levelled or replaced The System required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of The Board of Health): Broken pipe(s)are replaced Obstruction is removed 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: a Cesspool or privy is within 50 Feet of a surface water P� P Y t 50 Feet of a bordering vegetated wetland or a salt marsh. i is within 6 Cesspool or privy b F.,.,.. 2)SYSTEM WILL FAIL, UNLESS TI_IE BOARD OF HEALTH (AND PUBLIC WATER r FUNCTION- ING I N SYSTEM IS I'UNCT + DETERMINES THAT THE 5 YS IER IF APPROPR IATE) f.I, DE'I E SUPP LIER, ) �T D AND SAFETY AND THE I II.EALT.IY A - PROTECT THE PUBLIC p7�� MANNER THAT�Tn 11\ A MAN 11\lII ENVIRONMENT: The system has a septic tank and soil absorption system and is within 100 Feet to a surface water,su ply or tributary to a surface water supply. The system'has a septic tank and soil absorption system and is with a Zone 1 of a public � . water supply well. The system has a septic tank and soil absorption stem and is within 50 Feet of a private y p _ P Y water supply well. r. 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 j the facility and the presence of anunon►a nin-ogee and nitrate nitrogen is equal to or less LL than 5 ppm. D)SYSTEM FAILS: I have determined that the systern violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Backup of sewage into facility or system component due to an overloaded or clogged SAS .° or cesspool. Discharge or ponding of efluent to the surface of the ground or surface waters due to an 1 overloaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to an overloaded or clog- ged SAS or cesspool Liquid depth in cesspool is less than G" below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOI,due to clogged or obstructed pipe(s). Number of times pumped. -2- t SUBSURFACE SEWAGE DiS1'®SAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) 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 I 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 a large system in addition to the criteria above: The design flow of a 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, 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 (IWP,1)or a mapped Zone 11 of a public water supply well. The owner or operatokof any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CNM 5.00 and 6.00. Please consult the local regional office of the Department for further information. SUBSURFACE SEWAGE DISPOSAL,SYSTEM INSPECTION FORM PART B CHECKLIST Check i�hc following have been done: V Pumping information was requested of the owner, occupant,and Board of Health. None of the system components have been pumped for atleast 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. '-introduced plans have been obtained and examined. Note if they are not available with N/A. ::�ZThe facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow. ;/.The site was inspected for signs of breakout. Alh system components,excluding the Soil Absorption System, have been located on site. The septic tank manholes were uncovered, opened, and the interior of the septic tank was in- spected for condition of baffles or tees, material of construction, dimensions,depth of liquid, _jZdepth of sludge, depth of scum. 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. -3- r` L � SUBSURFACE SEWAGE (DISPOSAL SYSTEM INSPECTION FORM PART B CIIEC➢CLIST(continued) C/The facility owner(and occupants, if differciii.from owner)were provided with information on the proper maintenance of Subsurface Disposal System SUBSURFACE SEWAGE(DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION FLOW CONDITIONS RESIDENTIAL Design Flow: gallons Number of Bedrooms: J Nun►ber of C'urre►tt Residents: L-7 — Garbage Grinder: S Laundry Connected'ro System: Seasonal Use:_ Water Meter Readings, if yailable- Last Date of Occupancy: lr—/2/-- - — COMMERC'IAI/INDUSTRIAAL•,N(j Type of Establishment: Design Flow: gallons/day Grease Trap Present: (yes or no) Industrial Waste Holding Tank Present: Non-Sanitary Waste Discharged To The'I'itle V System: Water Meter Readings;If Available: Last Date of Occupancy: OTHER: Describe)_ Last Date of Occupancy: .____! — GENERAL INFORMATION PUMPING RECORDS and source o1,in.formation:_1�16 Q/�? � Sv System Pumped as part of inspection:,NCO If yes,volume pun►ped._ gallons Reason for pumping: _ TYPE SYSTEM: Septic Tank/Distribution Box/Soil Absorption System Single Cesspool Overflow Cesspool Privy Shared System(If yes, attach previous inspection records, if ally) Other(explain): AP ROXEV ATE AGE of all components, date installed(if known)and source of information: 6 2'79 . Sewage odors detected when arriving at the site: -4 - f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C GENERAL INFORMATION (continued) SEPTIC TANK: � Depth below grade: //.1\/J Material of Construction: d�concrete metal FRP Other (explain) +�— -- Dimisions: // X X' i5c9 Sludge Depth:_ J�Scum Thickness: cT" Distance from top of sludge to bottom of outlet tee or baffle: 3 i/ Distance from bottom of scum to bottom of outlet tee or balllc:_ k "/ 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.).T_�� CL /b6U y j GREASE TRAP:-,/-V/0 Depth Below Grade: _Material of Construction: concrete u►etal FRP Otlier (explain) _ _ — — Dimensions: Scum"Thickness: Distance from top of scum to top of outlet tee or baffle: Continents: (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, ctc.) 'y TIGHT OR HOLDING TANK:. . L Depth Below Grade: Material of Construction:_concrete^metal_FRP_Otlier(explain) Dimensions: Capacity: gallons Design Flow: gallons/day Alarm Level: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) _ DISTRIBUTION BOX: Depth of liquid level above outlet invert: '��D �� Z�16 '�11 Comments: (note if 1 yel and distribution is c�c u:1 evide�(�ce of solids arryover,evidence of leakage into or out of box,etc.) S. �� 1X C � - PUMP CHAMBER: AA Pump is in working order: Comments: (note condition of pump chaniber,condition of pumps and appurtenances,etc.) -5- t A SUBSURFACE SENVAGE DISPOSAL SYSTE M INSPECTION FORM PART C SYSTEM INFORMATION (continued) SOIL ABSORPTION SYSTEM (SAS): (Locate on site plan, if possible;excavation not required,but may be approxiniatcd by non-intrusive methods) If not determined to be present, explain: _ Type: Leaching pits, number: 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;coj tiyyo��n of vegetation, etc.) — tCi .2 ✓ - c f� / 1 CESSPOOLS: Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: llepth of scum layer: Dimensions of Cesspool: Materiajs of construction: Lndical.ion of groundwater: Inflow(cesspool nmsbbe pumped as part.of.inspcct.ion) ._ Comments: (note condition of soilk, signs of hydraulic failure, level of ponding,condition of vegetation, etc.) -- PRIVY: A // Materials of construction: Dimensions:_ Depth of Solids: _ Comments:,(note condition of soil, signs of hydraulic failure, Level of ponding,condition of vegetation, etc.) -- ---- -G - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART SYSTEM INFORMATION (continued) SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to atleast two permanent references, landmarks or benchmarks. Locate all wells within 100 Feet. 0 DEPTH TO GROUNDWATER: Depth to groundwater: —z_ —Fect, Meth�d of Determination or Apprompiation: - 7- R,S$ESSOR'S MAP NO. `7 q PARCEL , LOX-ATION SEWAGE PERMIT NO. YILLAC , I N S T A LLER'S NAME i ADDRESS (7/41P l/YIITT- CD/1l5zzz' 7�� 0, LvX 1,60 �/r��f��Z 1-9027T S U I L D E R OR OWNER DATE PERMIT ISSUED /a3 DAT E COMPLIANCE ISSUED } 171 77� 6� 45 35I TOWN OF BARNSTABLE Y DN i SEWAGE# vlL�AGE t�'�SYj� /��f�S A�SSSESS MAP& OT �s��-C%7JaQ S AME&PHONE NO (�-k/ SEPTIC TANK CAPACITY LEACHING FACII.TTY: (type) 7i C:�)/ (size) �a NO.OF BE BUILDER R O PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility a� Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility If any wetlands exist within 3 t of achin facili Al Feet Furnished b �n ' 1 y � _. ... � ��,,,, � F I'� v I` �� , n r�'(n 3 , �� �, �� � � � �� ,� �,� qqI� f' I( No..... �''" `1 _,'',NSTAOLE, MASS, Fs ........ ����1 ..�.. i THE COMMONWEALTH OF MASSACHUSETTS BOARD �AEI eAt F 1...0.5✓.�! ....................OF...... �i !.y.S.T---4. 1�.,............................... Appliration for Disposal Works Tontrurfion Prrmit Application is hereby made for a Permit to Construct k�'N) or Repair ( ) an Individual Sewage Disposal System at: Loca ion-AddFess� ) or Lot No. Owner Address M Installer Address Type of Building Size Lot_-------1-------------....Sq. feet U �., Dwelling—No. of Bedrooms__________________ ______________________Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria a Other fixtures ---------------------------------------------- - ------------------------------------ W Design Flow................✓ ...............__.gallons per person per day. Total daily flow............5.45W.. .................gallons. WSeptic Tank—Liquid*capacity.��Z-V gallons LengthLo: o'Widths_.�.._ Diameter................ Depth.r1.7 x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........ Diameter.�A.!-6.."_ Depth below inlet.'r��__o.'_'_. Total leaching area..."576.0.sq. ft. Z Other Distribution box (A.) Dosing tank ( ) P• `,,Z 446 '_4 Percolation Test Results Performed by.,6V.' ��t_... �.......Q N�............ Date a Test Pit No. 1...._4 ..._._.minutes per inch Depth of Test Pit. Z.__.__.Q... Depth to ground �T4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a •-----•-------------•-------.....-•••••••••••.......--••------------...........-----.............•••......................................................... ° 2=•...---...... o a�, Sv�ts.a.��....O Description of Soil. x ............................. !!...------...... --------------•---...-------•-------------------•--••••......--------••••--- -- - - - - --------- y��i••'�.Z�...._.._M_�dgat �`^'� ----------------------•-.. .. E'v�n w_. . �^....�'a boy.. x V 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 TITL- 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be issued by he board of health. Signed-------- =... ..�......••• --.................---------------- 1 Application Approved By.............................................. � �at� s Date Application Disapproved for the following reasons___________________ _______ _...................................................... .........................•--•------•----............---------.....---•----•---------...................---------------------------------------•----•••------•----------------------------------••-•-•--- Date PermitNo....................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.........................I..........I................................................ Tatifirab of Tontplianrr THIS IS TO CERTIFY, That the Individual Sewag isposal System constructed 0<) or Repaired ( ) by.................. _ 1 i/�l d� - -- --•------------------------------------------------------------------------•--------- _ Installer at.....................................LOJ.......... - t------- 1 S ` ------�AmY- ........... ............................................. has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No...S?�a.".. 5`�".............. dated----------t. � 3 -9/6 ------------------------- -- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. . DATE................................................................................ Inspector.................................................................................... 1 � No' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH i awe' . ....:.:.........OF....... ApPration for Bispaoai Works C oustrnrtinn Permit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: / ~� ............................................L� r E/ �61 r5__.T v:-r........r..!.......5-----.............------......................... Location Address / t� rh rral"e.:�•---•'ae:.�!frr f !/��s r 7� V�."' �....!:iG/ P I Lot....... ................ ... -----•........................... Owner Address W ..... ^..................... Installer Address d Type of Building U Size Lot_. 9�5._.....i. :v....Sq. feet Dwelling—No. of Bedrooms..'..'............ ......................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Buildin a Other—Type g ,_-------•------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures :-=-................................................................................................................................................... W Design Flow...........................................gallons per person per day. Total daily flow............. ................gallons. WSeptic Tank—Liquid capacity.!�S_ alIons Length 5�../.���Width.5..=U... Diameter................ Depth..—5-/7 x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......�..__...... Diameter..�2.'_:j.„ Depth below Total leaching area.....2sq. ft. Z Other Distribution box ( A.) Dosing tank ( ) _ P , '-' Percolation Test Results Performed by. !' ,rre.._. =c,;rY._._ o_/�,C............. Test Pit No. I......A......minutes per inch Depth of Test Pit..!. ...`.a.. Depth to ground water... fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 •...............................•--•••----•-•---•-•••----•---••--•--------•••--.........--•-----•----•----•-------•------.....----•--••--------------.---•- O Description of Soil..!?....:....--.•----�, �" -.3 v. s.n�.f.... x '- v '-- C 1�, ......••• y��i —1 Z� fyl erlrv_ .....S�.rtr --•-------------------••..../,iQ...-•a1-s- aNrt!/lr... 7 Ls,cav� 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 TITI,^. 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be issued by e board of health. Signed---•--••. .. ---- - ---------- --------------•---.......••..---- 7 lye Application Approved By........................................----• ------__---- - __-_ .................. ..----•-• •� . - -�...w' Date Application Disapproved for the following reasons:................... •---•••••-----•-.....---•----•••-•--•---•-------••-•.......................- ---....-•-•----------------------•-•-----.........-•--------•--•-•---------•-----•--------...---.........._.........-----•--------•-------•--•---•----------- ........................................... Date PermitNo......................................................... Issued......................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........I..............................OF..................................................................................... (Intif irate of Tomplianrr THIS IS TO CERTIFY, That the Individual Sewage isposal System constructed (X) or Repaired ( ) by-------------------------------•--•----------•--•--•--•------�akt%..........Mot. e..:--•-•--------..............-----------•----------•----........---------•------------ Installer at......................................1.0-....•-----5 ........ 1c �V.41" has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No._--<�?b'-_--St............. dated--------__'`�— -;t 3 -9/s -- ------ AT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector..................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH st.......................................OF...............................----.......••-• No................... ... FEE...--.................. D lo' vosal Norks (LeMnstrnrtinn "permit Permission is hereby granted.......................... j t e -•--------------------------•-••.................__.. . - to Construct (X) or Repair (.. ),'an Individual Sewage Disposal System atNo..-•--••.............•--...-•--- ---• :. Street as shown on the application for Disposal Works Construction Permit NoPC715''t.._ Dated......... _ :tza (116......... •-•--•-------------•-•-••-- ----- _ Board of Heal DATE---- ....... ................................. FORM 1255 -HOBB & WARREN;r1INC; PUBLISHERS ' ---- CATION L:: 0-r- N0. LLAG>J =' g2 / PLI CAN T ' 13i9y Ll�piNG Co F1;1 DRESS9 �F,�,, ,���, � ; F - 1'I�:LEPHONE NO. (Non -refundable) : sr 3INE2;R 7)9, n� �.�4��v 1 $��v_4 O fN�_'i'L'LEPHONE NO, ZS �244 TE 'SCHEDULED A�EivT Ap s plicant' s sign tune) • • •.• o.• o •,o o:• o. o,o 0 0 • • oa.• • •:o'• • o 0 0 • • • • . • • •.+ u • • • • ♦ •.• • • • • • e-• • • • • o • o • • • •-o • u • • • • • • „ ." SOIL LOG 3 DX VI S I ON NAME. N D1 R L Ak DATE'MAkH 14� � �� TIME 'ANSIbN, AREA: YES ✓ NO 1���►>6h1 ENGINEER IN WATER PRIVATE WELL .I : �o2"Le -, BOARD OF HEALTH . ��aco EXCAVATOR ,TCH (Street name, etc. ,dimensions of lot, exact location of test holes and - `.per,colation tests, locate wetlands in proximity, to test holes ) . • NOTES: . �is.7 ar s� . d . � N s2 � 1 oo i, 300 goo . S't v 5-3 OLATION . RATE: "2 i'►�.�, i w c° C HOLE NO ELEVATION: TEST HOLE NO: ELEVATION: Z r p.'i;ut✓S i 5'�!¢j�o 2 i 3 _ Z�- i . 3 4 �%t ear' Cz-,+.% 4 8 8 10 . S/gA/D 10 19 19 15 fir . - 1.6 'ABLE FOR SUB SURFACE SEWAGE: LEACHING FIELD LEACHING PITS LEACHING TRENCHES. ` ITADLE FOR. SUB-:-SURFACE. SEWAGE. ASON$: ENGIN'f 1:RING PLANS 1.1UST S11OR",NUMBER ASSIGNED ON PERC'TEST APPLICATION E "A -- 98 -- EXISTING CONTOUR N X 100.98 EXISTING SPOT GRADE y _W EXISTING WATER SERVICE Ti -G EXISTING GAS SERVICE UJ UNDERGROUND WIRES old Falmouth IS TEST PIT 4. LOCUS Rd BENCHMARK LEGEND Q,o ysr;C oss c Drive ti° .a LOT 56 LOCUS MAP NOT TO SCALE S 59'53'40" E LOT 57 150.00' i l l I I I I LOT 54 - '` '$ LOT 52 LOT 51 I 45,000 S.F.t PARCEL ID: 079-048 --_----- - EXISTING LEACH PITS TO BE PUMPED, FILLED W/ SAND AND ABANDONED r � rw� ry _-,VEN T 103.71 0 103.93 SHED z•� Y84 - -o7W 0 :"y -_ TP-2 104.1 x ICLP-3 LOT 53 to o . , , x 104,86 104.78 fit :,..1 ; l \ EXIS77NG SEP77C TANK TOP OF TANK, EL.=103.57 k . 0 ' \ + 04.92 104.69 INV.(OUT)=102.24t 10' c,, (FIELD VERIFY) 104.81 (A p 12. 105.5 ® p O O rn o C) N o p 110 . PATIO - +105.44 O p (V 105. EC O + p Q04.96 105.16 16.25 +10 .9 �' 106.24 BENCHMARK o 105.27 4.91 CORNER/BOTT. STEP z GARAGE /EXISTING EL.=105.88 HOUSE(#113) T.O.F.=106.5t os.12 105.33 1P5.#4. P 105.15 104.72 G + 04.91 DRIVEWAY WALK 104.42 x _ Coc�t 104.5 +104.49 i x - 103.49 103.12 `` C 102.24 102.52 -�8rL37,- 101.15 x _- _�� +101.77 0' 100.01 +101.0 S .59'53'40" E 100.26 100.07 EDGE OF 99.96 PAEMENT ^CA9 BASIN 99.12 99.32 MISTIC DRIVE ��P��� of Mgss9��G • PETER T. PROPOSED SEPTIC SYSTEM UPGRADE PLAN C McENTE CIVIL E PLAN REVISION 10/23Z17 o. 35109 S.A.S. LOCATION 113 MISTIC DRIVE, MARSTONS MILLS, MA R£GIS E�S� Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 �OFS G� OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO. FATER, MARC C & 1"=30' P.T.M. 213-17 I� FATER, C PATRICIA 2�i Engineering Works, Inc. l J J 113 MISTIC DRIVE 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. MARSTONS MILLS, MA 02668 (508) 477-5313 8/12/17 P.T.M. 1 Of 2 tr NOTE: TO PREVENT BREAKOUT, FINAL GRADE SHALL NOT BE AT, OR BELOW, EL.=101.0 FOR A DISTANCE OF 15' FROM THE EDGE SEPTIC TANK PROPOSED D-BOX OF THE PROPOSED S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER PROPOSED S.A.S. OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER AND T.O.F.=106.5t SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT F.G. EL.=105.5t F.G. EL.=105.5t F.G. EL.=104.1t F.G. EL.=103.Ot VENT TO 105.Ot MAINTAIN 2% SLOP OVER S.A.S. L = 50' L = 23'(MAX.) ri ® S=1% (MIN.) p S=1% (MIN.) 4"SCH40 PVC 4"SCH40 PVC 2" LAYER OF 1/8" TO 1/2" T607 DOUBLE WASHED STONE 6 aaaaa (OR APPROVED FILTER FABRIC) 14"EXISTING -3/4" TO 1-1/2" DOUBLE WASHED STONE INV.=100.90 PROPOSED 4' 5.2' 4'INV.=100.73 INV.=102.24t D BOX EFFECTIVE WIDTH = 12.8' " (VERIFY) 3 OUTLETS INV.=100.50 EXISTING SEPTIC TANK 5-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN H-20 RATED NOTES: TOP CONIC. ELEV.=101.6t BREAKOUT ELEV.=101.00 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPES & INV. ELEV.=100.50 eases INVERTS EXITING HOUSE, PRIOR TO INSTALLATION. aaaaaaaaaaa aaaaaaaaaaa 2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE BOTTOM ELEV.= 98.50 ON A MECHANICALLY COMPACTED SIX INCH CRUSHED 4' 5 x 8.5' = 42.5' 4' STONE BASE, AS SPECIFIED 310 CMR 15.405(2). 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 50.5' 3) INSTALL INLET & OUTLET TEES AS REQUIRED. PERVIOUS MATERIAL 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE 5' (MIN.) ABOVE G.W. LEACHING SYSTEM SECTION AS MANUFACTURED BY TUF-TITE, Z.ABEL OR EQUAL. BOTTOM OF TEST PIT, EL.=92.2 SEPTIC SYSTEM PROFILE SOIL LOG DATE: JULY 18, 2017 (REF#15,414) SOIL VERIFICATION SOIL EVALUATOR: PETER McENTEE PE(SE#1542) GENERAL NOTES: WITNESS: DONALD DESMARAIS R.S.HEALTH AGENT OCTOBER 23, 2017 ELEV. TP-1 DEPTH ELEV. TP-2 DEPTH ELEV. TP-3 DEPTH 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. 104.2 FILL 0" 104.2 FILL 0" 104.2 A 0" 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS 102.5 20" 102.7 18 SANDY LOAM OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE Ab Ab 103.5 10YR 4/2 8„ LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: SANDY LOAM SANDY LOAM B 10YR 4/2 10YR 4/2 -310 CMR 15.405(1)(b): 102.0 26" 102.2 24" 1) A 3' variance to the 3' maximum cover requirement, for up to B B SANDY LOAM 6' of max. cover. S.A.S. shall be H-20 and vented. SANDY LOAM SANDY LOAM 10YR 5/8 -- 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR -100.2 10YR 5/6 48" 100.2 10YR 5/8 48 101.2 36" TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE C1 C1 C DESIGN ENGINEER. MED. SAND/ MED. SAND/ 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING SILT SAND SILT SAND FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 2.5Y 5/3 ENGINEER BEFORE CONSTRUCTION CONTINUES. 2.5Y 5/3 MED. SAND 5. ALL ELEVATIONS BASED ON AN ASSIGNED DATUM. 97_2 84" 97.2 84" 2.5Y 7/3 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF C2 C2 PERC THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF MED. SAND MED. SAND HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 2.5Y 7/3 2.5Y 7/3 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 92.2 144" 92.2 144" 92.2 132" 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS PERC RATE <2 MIN/IN. "C2" HORIZON AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE REFERENCE PERC P-4248, PERFORMED MARCH 1, 1085 DIRECTED BY THE APPROVING AUTHORITIES. NO GROUNDWATER ENCOUNTERED 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND TING REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE HOUSE(#113) INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. T.O.F.=106.5t GARAGE 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC SYSTEM COMPONENTS NOT SHOWN ON THE PLAN to 'cP 8 0' DESIGN CRITERIA / o h NUMBER OF BEDROOMS: 6 BEDROOMS / A ��:s• �„�. SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) ``�ROpO �� r" DESIGN PERCOLATION RATE: <2 MIN/IN DAILY FLOW: 660 GPD DESIGN FLOW: 660 GPD GARBAGE GRINDER: NO-not allowed with design LEACHING AREA REQUIRED: (660 GPD) = 891.9 SF .74 GPD/SF SEPTIC LAYOUT EXISTING SEPTIC TANK:. 1500 GALLON CAPACITY t, PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED USE 5-500 GALLON LEACHING CHAMBERS IN SERIES PROPOSED SEPTIC SYSTEM UPGRADE PLAN SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 1 1 3 MISTIC DRIVE, MARSTONS MILLS, MA SIDEWALL AREA: 2(12.8' + 50.5') x 2 = 253.2 S.F. Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 BOTTOM AREA: 12.8' x 50.5' = 646.4 S.F. Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:........................................................I.....899.6 S.F. Engineering Works, Inc. N.T.S. P.T.M. 213-17 DESIGN FLOW PROVIDED: 0.74 GPD/SF(899.6 SF) = 665.7 GPD 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 8/12/17 P.T.M. 2 Of 2 e S YS TEM PROFILE NOT TO SCALE TOP FON. FINISH GRADE �' �' FINISH GRADE OVER EL . 8 :c.`ee e FINISH GRADE OVER_ DI.iT. BOX c FINISH GRADE OVER ° SEPTIC TANK•° LEACHING PIT ' y o: VARIES :a::° °. •:q._.a;;,;e..; ,:..; 'o:. '.'.•.. 3„ OF 1/8 " _ 1/2" o. . . ..°. . ..o. 'a: °'. p PRECAST CONC. OR SHED PEA S TONE .:.a•.e.:o.o-- BRICK & MOR TAR OUTLET PIPE LEVEL TO 12" BELOW GRADE o:o:.'e _..________________._ . - a FOR 2 FT. MIN. oo'a� .b.o.po b:eO.ao.;• ,•Q,4 .•o c - .:Q •'e:::.•.;..:..•o.... :o..0`.4'.'.o.•.?•o.o. .o 'a; .• o •'o •o • ° .b: •� C. I. OR PVC TEES__ o•. .� : , � � ,. -o.'•'e: . e .o.l BSM'T. FLR. : :: �= - ' GALLON DISTRIBUTION BOX 141 INc,TALL ON LEVEL BASE a ' PRECA S T CONCRETE " 3/4 TO 1-1/2 Qo PRECAST I a::e'.•p'. b °:o: 4 <' WASHED 4 H— 0 REINFORCED :f o CRUSHED •° .. °• CONCRETE oo.:: : ,o- o-.°.00:a .o.o..e° o.:ae.•Q• o. STONE I .0.°.o; o•. Q d o. °.° °:, .op l H— / 0 REINF. . SEPTIC TANK ° I INSTALL ON LEVEL BASE 'c.� NOTE.' EXCAVATE TO ELEV. OR o •p.p;.ov, a. 'a. ' ' •p0:: p• •••p'•0'� LOWER TO REMOVE ALL IMPERVIOUS — o •' _ — ` MA TERIAL BENEA TH THE L EA CHING AREA REPL A CE EXCA VA TED MA TERIA L WI TH y CL EAN, CL A Y FREE SAND `_ "`•" `. " `'•`_ `"` "_"�"� — EFFECTIVE DIAMETER M .l S T 1 C VE 9 • �� - y� �--- — LEACHING PIT ,Xo, C a ' �� GENERAL NOTES INSTALL ON LEVEL BASE f I. ALL ELEVA TIONS SHOWN ARE BASED ON %+'�� s ' r•=:y 2. AL L PIPES IN v S YS TEM MUS T BE CAS T IRON L TH MUST BE NOTIFIED OBSER VA TION PIT WHEN CONS I tiu,: _3N IS COMPLETE PRIOR '='y • ��`'`'"`�-,� �`-,;�:„��,-'..m � '"A PERCOL A TION RA TE.- TO BA CKFIL L ING ' 4. ANY CHANGES INTHIS PLAN MUST BE APPROVED MIN. /IN. 6tLt�ry BY THE BOARD Of' HEAL TH AND CAPE & ISLANDS WITNESSED BY.' CAACWTE SURVEYING CO. , INC. sepTrc 5. MATERIALS AND INSTALLATION SHALL BE IN COMPLIANCE WITH THE STATE SANITARY �'O' �' BRO. OF HEALTH DESIGN DA TA CODE — TITLE V — AND LOCAL APPLICABLE G DA TE.' .+_ _9 cQ: ee,i RULES AND REGUI,A TIONS L s. Bd.,» NUMBER OF BEDROOMS 6. NORTH ARROW IS FROM RECORD PLANS AND s a 5 o, ; G xf 27 sy' M �ra IS NOT TO BE USEO FOR SOLAR PURPOSES GARBAGE DISPOSAL N 7. FLOOD HAZARD Zo?NE C DAIL Y FLOW ,,,` ....v.,..� _. ' _ _� B. WA TER SUPPL Y_ y� ram. G rG y SEPTIC TANK REO 'D. / ,\ : �\ R y 8 SEPTIC TANK PROVIDED riv/..re .,.,�.¢ �\�fRP�., @ Ze LEACHING REQUIREDrAST •Y�p ,� • t LEACWAIIS PI 0 — f2 ALFQ'O.1 SIDEWALL AREA `7 S. F. t ' G/S. F. � �4 Z GPD Ja BOTTOM AREA = S. F. E LEGEND = S. F. X - G/S. F. _ Z Z GPD g — A FFy^ ,�.�'` �2, n/m GJry •*�w��°ri ,�t LEACHING PROVIDED GPD PPOPOSED ELEVA TION Z P, -/= ° Jo y Pp EJ'ISTING CONTOUR ^� SINGLE FA MIL Y RESIDENCE 6 19 Ot?SERVA TION PI T /' + ❑ D_'STRIBUTION BOX ✓ OF PROPOSED SERVA GE DISPOSA L S YS TEM .� � PREPA RED FOR e;� TR�iia iv xr p .5. ye ' / o o -PTIC TANK CA MME T T CONS TPUC TION `RP t -SERVE L O T 52 MIS TIC DPI VE '` ?' i �" '` g �° '� BA PNS TA BL E — M. MILLS — MASS . g6 PIPE INVERT ELEVA TIONHAa, s :s 5ANIC8;? i �� � DA TE.' CAPE ISLANDS SURVEYING, INC. PLOT PLAN l'� Q,sx E-� i> SCALE.' 1 "_ tea " � ���;� SCALE. AS NOTED P. O. BOX 334 TEA TICKET, MASS. PLAN NO. SAP SEC PCL LOT HSE r -