The URL can be used to link to this page

Home My WebLink About0039 RASCALLY RABBIT ROAD - Health 39 rascally Rzibbit IAUO�z Marstons Mi lls A= 078 — 069— 006 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M , 39 Rascally Rabbit Rd Property Address WHITE, CHRISTOPHER M & DANA Owner Owner's Name information is required for every Marstons Mills Ma 02648 12/31/2013 page. Cityrrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information on the computer, use only the tab 1. Inspector: �I key to move your cursor-do not Sean M. Jones use the return Name of Inspector key. S.M.Jones Title V Septic Inspection Company Name 74 Beldan Ln. Centerville Ma 02632 Cityrrown State Zip Code - 774-2484850 smjonestitle5@gmail.com SI4522 -- Telephone Number License Number }. ` ' - B. Certification 0-1 w I certUthat I have personally inspected the sewage disposal system at this address and that the CD = inforrA40ton reported below is true, accurate and complete as of the time of the inspection. The inspection was I)Walrmed based on my training and experience in the proper function and maintenance of on site p N sewag��isposal 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 12/31/2013 Inspector's Signature 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. I t5ins-3/13 Title 5 Offi af1pction Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 39 Rascally Rabbit Rd Property Address WHITE, CHRISTOPHER M & DANA Owner Owner's Name information is required for every Marstons Mills Ma 02648 12/31/2013 page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The dwelling located at 39 Rascally Rabbit Rd is served by a Title V septic system consisting of a 1500 gallon septic tank, 2 distribution boxes, a precast leach pit and a leach field 40'x15'x6" . The system was found to be in proper working condition at the time of inspection. I 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 Form: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 39 Rascally Rabbit Rd Property Address WHITE, CHRISTOPHER M & DANA Owner Owner's Name information is required for every Marstons Mills Ma 02648 12/31/2013 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 pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 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 39 Rascally Rabbit Rd Property Address WHITE, CHRISTOPHER M & DANA Owner Owner's Name information is .required for every Marstons Mills Ma 02648 12/31/2013 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for 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 ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less day flow than 1/2t5ins•3/13 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of17 i Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM s 39 Rascally Rabbit Rd Property Address WHITE, CHRISTOPHER M & DANA Owner Owner's Name information is required for every Marstons Mills Ma 02648 12/31/2013 page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ IR Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form: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 wM 39 Rascally Rabbit Rd Property Address WHITE, CHRISTOPHER M & DANA Owner Owner's Name information is required for every Marstons Mills Ma 02648 12/31/2013 page. Cityfrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® El 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 4 3 (design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 444 gpd provided i t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 39 Rascally Rabbit Rd Property Address WHITE, CHRISTOPHER M & DANA Owner Owner's Name information is required for every Marstons Mills Ma 02648 12/31/2013 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 2 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: Sump pump? ❑ Yes ® No Last date of occupancy: current Date Commercial/Industrial 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•3/13 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 39 Rascally Rabbit Rd Property Address WHITE, CHRISTOPHER M & DANA Owner Owners Name information is required for every Marstons Mills Ma 02648 12/31/2013 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 Z No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System,Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 39 Rascally Rabbit Rd Property Address WHITE, CHRISTOPHER M & DANA Owner Owner's Name information is required for every Marstons Mills Ma 02648 12/31/2013 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: tank, d-box and precast pit are original, 1990. a d-box and leach field were added 6/1/2005 Were sewage odors detected when arriving at the site? ❑ Yes E No Building Sewer(locate on site plan): Depth below grade: 2 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): Depth below grade: 1.5 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 gallons Sludge depth: 61t t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 r Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 39 Rascally Rabbit Rd Property Address WHITE, CHRISTOPHER M & DANA Owner Owner's Name information is required for every Marstons Mills Ma 02648 12/31/2013 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 3" Scum thickness 3" Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 10" How were dimensions determined? opened covers, took 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. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 39 Rascally Rabbit Rd Property Address WHITE, CHRISTOPHER M & DANA Owner Owner's Name information is required for every Marstons Mills Ma 02648 12/31/2013 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 t f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 39 Rascally Rabbit Rd Property Address WHITE, CHRISTOPHER M & DANA Owner Owner's Name information is required for every Marstons Mills Ma 02648 12/31/2013 page. City/Town State Zip Code Date of Inspection D. System Information'(cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 01. 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 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•3/13 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 M 39 Rascally Rabbit Rd Property Address WHITE, CHRISTOPHER M & DANA Owner Owner's Name information is required for every Marstons Mills Ma 02648 12/31/2013 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 1 ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: 1 40'x15'x6" ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach field was video inspected from the vent pie and was found to be dry with no sign of past hydraulic overloading. Leach pit was not opened. 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 Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 39 Rascally Rabbit Rd Property Address WHITE, CHRISTOPHER M & DANA Owner Owner's Name information is required for every Marstons Mills Ma 02648 12/31/2013 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•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 39 Rascally Rabbit Rd Property Address WHITE, CHRISTOPHER M & DANA Owner Owner's Name information is required for every Marstons Mills Ma 02648 12/31/2013 page. Cltyfrown State Zip Code Date of Inspection D. System Information (cont.) 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 4 ' I 1 2 J +r. Pi*00 _ Fla 4T, i I t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ,•'' 39 Rascally Rabbit Rd Property Address WHITE, CHRISTOPHER M & DANA Owner Owner's Name information is required for every Marstons Mills Ma 02648 12/31/2013 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 12'+ 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: 5/24/2005 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 design plan on file at Town of Barnstable health dept. Plan indicates that no groundwater was encountered at 125"and system is designed to have 5' seperation between bottom of s.a.s. and adjusted groundwater elevation. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form: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 M 39 Rascally Rabbit Rd Property Address WHITE, CHRISTOPHER M & DANA Owner Owner's Name information is required for every Marstons Mills Ma 02648 12/31/2013 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 } { A t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 07,g06,1 700& No. Fee THE COMMONWEALTH OF MASSACHU.SETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Rpprication for Migpont bpotem Construction Permit Application for a Permit to Construct( . )Repair>( Upgrade( )Abandon( ) E]Complete System ❑Individual Components Location Address or Lot No. 39 1 Qsccly i`V D 1�/ Al Owner's Name,Address and Tel.No. Assessor's Map/Parcel 7@ QG—I WCO � R�� 1 Installer's Name,Address, (and Tel.No. Designer's Name, ddress and Tel.No. �xjl�ssc � J6�\N I.cacfS C4,)�_-j Type of Building: Dwelling No.of Bedrooms 31YA!5 A) Lot Size 43A&3} sq.ft. Garbage Grinder( ) Other 'I�pe of Building In use_ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design.Flow 4 y O gallons per day. Calculated daily flow : gallons. _ Plan Date Number of sheets Revision Date. Title Size of Septic Tank C'A Type of S.A.S. 16 Y,4 6 4te_0 Description of Soil Nature of Repairs or Alterations(Answer when applicable) IZeloa f Se pk\c S,A I 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 Certifi- cate of Compliance has been issugd by this Board of Health. Signe Date S—' 7 Application Approved by Date Application Disapproved for the following reason Permit No. Date Issued V. No _ t Fee_0Z) #s w Entered in computer: THE COMMONWEALTH OF MASSACHUSETTS. a Yes - PUBLIC HEALTH DIVISION,-'TOWN OF BARNSTABLE., MASSACHUSETTS ZIpprication for 0iopozal *pg;tem Conotruttion Permit Application for a Permit to Construct( )Repair(Upgrade(`t )Abandon( ) El Complete System O Individual Components `J1 Location Address or Lot No. 19 _Kcs(c ky RC,bb►V/ //►! wner's Name,Address and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. JO�Nh) LC S08-46CO-16-1 Type of Building: Dwelling No.of Bedrooms "' C fS(Lot Size 91 SG 3} sq.ft. Garbage Grinder( ) Other i:, Type of Building 100use No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow W 4 O gallons per day. Calculated daily flow gallons. " -Plan Date Number of sheets Revision Date Title Size of Septic Tank G,` Type of S.A.S. 1 S k 410 'Nekc) Description of Soil Nature of Repairs or Alterations(Answer when applicable) (�Pa�..f C e pN\c S�J sje- n rv(0k.1) S. A l Date last inspected: t{ ,,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 Certifi- cate of Compliance has been issued by this Board of Health. Fk � - Signed Date S"; Application Approved by � %� Dale Application DisaPPrSoved for the following reasons t - Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS .+r XU� BARNSTABLE, MASSACHUSETTS Certificate of Compliance- THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( )Repaired ( >0 Upgraded:(.,. ) Abandoned( )by at -z A has a constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No, ated r Installer _Zhotic A R m,_0t,) Designer The issuance of this rmit all not be construed as a guarantee t at the syste w unc 'on as �e . ~' Date 1 Inspecto No.2 1' / — ---/--------=__-- Fee d~ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Migpoof *pg;tem Cow5tructiou Permit Permission is hereby granted to Construct( )Rep (}�Up radeM)((Abandon ) System located at 3� 2 Q� c Y 1 t and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. n Provided: Construction us bdcompleted within three years of the date of this/p rrd Date: ' . Approved by y + f 06f02 005 08:18 5085403344 JELANDERS PAGE 02/02 • Town of Barnstable . Regulatory Services _ a Thomas F. Getter,Director At�'!'N9L8, 6 9; Pubbe Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office; 508-852-4644 T-ax: 508-790-6304 Installer&Designer Certilxcation Form,, Date: Designer: Installer: -T Address: I?.O , l x 5CA Address: r• O oX /4S '� ��✓lu,�� p o236 L On was issued a permit to install a (date) (installer) septic system at 39 based on.a design drawn by (address) �. L410_�K2 — P A A dated. m5 -Z4—o5 (designer) certify that the septic system referenced above was installed substantially g accordin to the design, ,which may include minor, approved changes such.as lateral relocation of the distribution box and/or septic tank. I certify that the septic system. referenced above was installed with major changes (i.e. greater than 1.0' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified a,s-bualt by designer to follow. of nstal,ler's Signature) �� JOHN LANDERS-CAU LEY CIVIL , No.35101 4 F'�fCIST1, ( esigner's Signature) Wflx p Here) PUA, E RETURN TO BARNSTAJRVE PUBLIC HEALTH DIVISION CEitTIFICATE OF CO , ZANCE WILL NOT BE ISSUED UNTIL ;00TII TITS FORM AND'ASm BUILT ARE RECEWED BY THE BARISTABLE PURL,JC MAL WDIVISION. 1 HA.NK.a'Q . Q:Health/Septi.c/Dezi.gner Certification Form . �' 05/16/2005 09:17 5088885955 CANAL LANDSURVEYTNG PAGE 02 5/25loi Notice: This Foam Is To Be Used For the Repair Of Failed Septic Systems Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION PURM Z, Jx14 hereby certify that the engineered plan signed by me dated_�`TI--D a5 ,coacerAing the propczty located at meets all of-the following criteria: • This£ailed system is conmeeted tQ'a residential dw011uag.only. There are Ito commercial or busimess uses associated with the dwelling, + tle soil is classified as CLASS I aid the percolation rate is loss than or equal to 5 Miuutes per inch: The applicant may use historical data to coaQlude this fact or may conduct, preliminary tests at the site without a health agent present. • There is zoo increase in flow au,d/Qr change in use proposed • There are no varimces requested or needed.. • The bottom of the proposed leaching;Facility will'be located no less than five feet above the maximum adjusted groundwater table elevation. [Adjust tic groundwater table using the Frim:ptor mct'bod when applicable] Please complete the follow iug:' A) Top of Ground Surface Elevation(using Gl;S infbrmatioo) B) G.W.Elevation O' +adjustment-for high G.W. DWnRENCE B TWEEN. d I3 SIGNED �► DATE: NQTICE Based upon the above Wu o maatWaa,a.repa:ic permit will be issued for_bedrooms maximum, No additional bedrooms are authorized ia tho future without cngineorod septic system plans. a q:hcalt6 fnldcr.po�rcL-°mp en fW 0 TOWN OF BARNSTABLE 6 - C 'Y'AT1ON '- �0 �SCCt SEWAGE # VILLAGE ASSESSOR'S MAP & LOTo%W,4 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 1A00 pt LEACHING FACII.ITY: (type) P� (size) NO. OF BEDROOMS I BUILDER OR OWNER t _ PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility W74 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 `l I,a Alt ' 3 TOWN OF BARNSTABLE ATION a l�lrS l5�i �i ��.+SEWAGE L� VILLAGE Xadr WL!l ASSESSOR'S MAP &LOTAF LAZj � 4 IFF /- 4 i-,s AWe ? INSTALLER'S NAME & PHONE NO. C SEPTIC TANK CAPACITY 1�—g LEACHING FACILITY:(type) ,101'7"" (size) �A /� NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER 57 DATE PERMIT ISSUED: DATE COLIPLIANCE ISSUED: VARIANCE GRANTED: Yes No : ..' I `Vy ice. V7-. i �� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............O F......�'�k�?5 ....................................................... ApplirFation for Biapos al Workii Tonstrnrtiun Prrutit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at �j ..................... r L.�.r..s-----•-----------------------•--•----------------------------•----------. Location-Address or Lot No. ............... �r��al .1.r..�r ............................................ ......._R.15 u//w RA S v.l-k /�?o�� .............---•--•. . --- ZY wner Address .................................... Installer Address Type of Building Size Lot.......4.315 .1...Sq. feet Dwelling—No. of Bedrooms.__.�'1 roc..........................Expansion Attic (Aj,) Garbage Grinder ) `4 Other—Type of Building ............... No. of ersons__.......................___ Showers — Cafeteria Pa YP g ------------- P ( ) ( ) fs, Other fixtures ------------------------- ------ - W Design Flow....................................Z'- ---gallons per person per day. Total daily flow............................3. a.0...gallons. WSeptic Tank—Liquid capacity)..5.0a.gallons Length Width Width 5.�-�5-`�--_ Diameter________________ Depth.+....... x Disposal Trench—No..................... Width...i.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No....C-j-1J2........ Diameter-----1_�____.___. Depth below inlet_ =.7......... Total leaching area....e .....sq. ft. Z Other Distribution box ( K) Dosing tank ( ) ~" Percolation Test Results Performed by.__!F2-i-cvx___W.dS.CAi...............................•.. Date----6, ,r�-----..----_--- aTest Pit No. I......Z .....minutes per inch Depth of Test Pit....L 4 ....___ Depth to ground water. fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground wa ®o- x •--•-• -- ---- ---•- ----•.... .................................................•••-...........-•----•-••--•----•--••• ................. _+ , STPHE Description of Soil..... 4 j..Tr�p .a�.l..�.. �i� n��. �...... AtCYN...... x4.-.14E1._ `�iski cccQ 11xlliu_r_n_. ►�C.X.------------------------------ ----- -------•---- -- ••-•---•.............................................................•-•--•-•--.......------.....----...------........-----------••---......------.....-•---•---....... ��a 3021fi� V Nature of Repairs or Alterations—Answer when applicable---------------------------------------------------------------- a gig Agreement: «.0 The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in ace rdance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Comppice as beeen issueed b�the board of health. Signed -- -------------(O--..Ls------.....-..........-- ...................................... c -� a Dace Application Approved By .............. V.--... ----�/.- - 5.-------------------------- Application Disapproved for the following reasons- -------------------------------------------------------------------------------------------------------------------te-............. . .......... .. . ............................................... ...............----....---....---------...---.................. -------. ...........------------ ...... ---- �y Dare Permit No. ............v ................. Issued ------- --- .............---......................--------...... Da=e----- ---.....--.... s :rrt ua.�a�rri No. « ---G-. G FEs......l 7......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliration for Dispau al Works Tontitrnrtion ramit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: Vicar .: .................... ---..................-•----••-----•-••...._-•--••-•-•---___,............. ........ ..T ---- Location-Address or Lot No. .................! -4-1r---................. "r r, / -- .. �. _....._._ �:: '1 ....................... /mOer yy� Ad/dress H a .......-- ..__......^ ................... ..... Installer Address d Type of Building Size Lot_______ ---Sq. feet Dwelling—No. of Bedrooms___._;_....°4�__________________________Expansion Attic (4) Garbage Grinder (41) Other—T e of Building ............................ No. of persons____________________________ Showers — Cafeteria a' Other fixtures ___________________________ _ W Design Flow................_____________________�`..gallons per person per day. Total daily flow______._____._________._____' ,�_0_._Olons. W Septic Tank—Liquid capacity_ __gallons Lengthh?`.:: .`_.. Width_S`-_s..._._ Diameter__:."_._. Depth�:� .._.... x Disposal Trench—No_____________________ Width.................... Total Length___.___.____....____ Total leaching area....................sq. ft. Seepage Pit No cirjje_______ Diameter-----1__0_-------- Depth below inlet_. _e'Z_..______ Total leaching,area.. _ ....sq. ft. Z Other Distribution box ( X) Dosing tank ( ) ~' Percolation Test Results Performed by...=?_ vr:..-C.,,-) _..__� ��___________________ Date...k/ �.................... �a Test Pit No. 1......_v----minutes per inch Depth of Test Pit----1___-�_.______ Depth to ground wat r ..... f= Test Pit No. 2................minutes per inch Depth of Test Pit............._...... Depth to ground DF ----•------------------------------•-C----._........-.,••.........,............•............r............_.............. _ ............... O q I �u i of •-•------••------•............... STEPHfN Description of Soil___.O-••zg: i t,i• -- � � � ALLYN • ' x GQ -jJ1Yt�i_, lc �� l.Gall.r_.. �c'_i, VM•SOM... ••---•-•---••---------------------------------------------------------------•-----•-•-----------------------------------•-------•-••--......••..................• pki:302k6� U Nature of Repairs or Alterations—Answer when applicable---------------------------------_.......................... _��.rEQS -------•-------------•--•--•------------------------------•------------------------.....I..--•--••----•----...--•..................................................... •h A " Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with Gnri.- the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the/!4/1r system in operation until a Certificate of Comph ce as begp issued b the board of health. _ . ............................................ ---------------------------------------- Signed ...... ........ -� Date Application Approved BY _... ate-, ,�."',, �1-.� .�'.' . Dale Application Disapproved for the following reasons: ....___............................................------------------------------------- .-- - -- ------------ .- ---'--'-- -- - --------...-..----..--....-.....--....--...---------........-.....-......-------........--......--- -- - -...........--..-. /� Date PermitNo- -----------F---1-----.--�..a-&................ Issued -- -------..-...-....------------- -- -------- - ...- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ------------ ......... OF ...................... :c ^ ............................ QuTertifir tr D C11IIIajilia t.CP THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired ( ) by...................................................---------------- -. -.......-----------"-------------- - -----------Insta e at -.-....... ✓ .. ------------------------- has been installed in accordance with the pro ' ions of TITLE 5 of he, State Environmental Code as described in the application for Disposal Works Construction Permit No. .......... - &.---� dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE .................................................. .....................'-- "- Inspector --.-....-..-----------........-......... --- -- - ...------------- --..-- THE COMMONWEALTH OF MASSACHUSETTS q ff BOARD OF HEAL/T�1H, ......... ..... .................................... No........................ FEE-7. ...- .. Disposal Works Tonotrnrtion amit Permissionis hereby granted.............................................................................................................................................. to Construct C> or Repair ( ) an I ividual a age,Alsposal System -- Street as shown on the application for Disposal Works Construction Permit No.� .. Dated.......................................... ----...-•----•--•----------------------------•----------------------•-•----------•----...--••--••-•----•- Board of Health DATE............................................................................... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS 1 ! 00 Q F S'Q LOT 4 41 e O U tlld. o o r' � 1. ► LOT 5 �.w 150OO, 43,563t S.F. CB/DH J� (fnd) LOT 6 ��w o ,V � O i/ i JO NG R LEY Ol- - - - I O , . 35101 co 9 O 10Z - - - — CLEAN \ C p� ,'VENT PWE . WITH NOTES: - r ' OUT op`3 RODZNT SCREEN 103- - THE EXISTING SEPTIC PIT SHALL - AREA BE ABANDONED, PUMPED AND FILLED q- - 4t. - \_ J ,® _ _ � 1p54� - - SITE PLAN WITH CLEAN INERT MATERIAL OR - SEE NO I'Ea , PREPARED FOR REMOVED AND DISPOSED OF AT CB/DH ' - _ _ '- ' - SCOTT FRANK A SUITABLE LANDFILL. (fnd) 5- - _ _ - OF THE EXISTING SEPTIC TANK SHALL N7 115 p2� _ = - 39 RASCALLY RABBIT ROAD BE INSPECTED FOR REUSE. 9 31'55"W 585°31'02 86.85' BARNSTABLE, MA A IRON PIPE } CANAL LAND SURVEYING I (fnd) o ; AND PERMITTING ' cr 306 OLD PLYMOUTH ROAD SAGAMORE BEACH, MA 02562 0 15' 30' 45' 60' 05/24/05 JOB # 05-035 1"=30' ' �. SCA'*E: 1" 30' -OL e F.F. ELEV.=EXT'G ' --- VENT PIPE _ 1 2O'min. WITH ELEV.= 101_5 RODENT t.j 4" CAST IRON OR ELEV.= 102.0 SCREEN SCHEDULE 40 P.V.C. CONCRETE COVERS` l` 4" CAST IRON OR 4" DIA. SCHEDULE 40 PERFORATED PLASTIC PIPE SCHEDULE 40 P.V.C. 5' ON CENTER 3" L ER OF DIST.=EXT'G LP.= EX'T'G SLP.= 0.005 12"min. A /2.. INVERT CONCRETE COVER DIST.=1�___ WAS STONE EXT'G FLOW LINE DIST.=15.`55' SLP.=0.02 0.o.0 0. 0 0 0.,0 ,o 0 0.0,o 0 0 080 0 080 0 08080808080„08 ELEV.___-- ELEV.= 98_59 - _ INVERT ELEV.= 97.85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o D o ' 10" MIN. --- , 0°0°0°0 0°0°0°0°0°0°0°0°0°0°0°o- -0°0°0°0°0�0°0°0° °oho°o°0- -—o_ - -— 19" 98 34 ( 6" LAYER OF THE LENGTH of ELEV._ __ ELEV.= 98.03 -" ELEV.= 97.86 0 0 OUTLET TEE 1S BA < O /4" TO 1-1/2' O v v c� v v v c� U U U U (� O O U U U U U U 0 C WASHED STONE DETERMINED BY THE 4" CAST IRON OR 0 O O O O O O O O O O 0 O O O O O O O O LIQUID DEPTH OF SCHEDULE 40 P.V.c. DISTRIBUTION BOX 0-o„o 0 0 0 0 0 0�0�0�o�0� - o„0 0 o0„o�o„0 ELEV.= 97.12 TtlttE TANK USED. A(SEE CHART AT RIGHT) LIQUID OUTLET TEE IF MORE THAN 4' OF COVER, DEPTH BELOW FLOW LINE USE H-20 LOADING USE STONE EXISTING 1500 GALLON SEPTIC TANK 4 FEET-.....14 INCHES TO BE WET TESTED IF TO LEVEL THE 5 FEET.......19 INCHES MORE THAN ONE OUTLET. 5.5' NEEDED. SEE 310 CMR TO BE PLACED ON 1&227 (6) 6" OF STONE OR — — — — — — — — — — MECHANICALLY COMPACTED SOIL. BOTTOM OF 'TEST HOLE OR USGS PROBABLE WATER TABLE ELEV =91_6_ ACCORDING TO WATER TABLE MAPS SOIL TEST DONE BY: J.E. LANDERS—CAULEY P.E. GROUNDWATER IS GREATER THAN WITNESSED BY: ________________________ 20' BELOW THE BOTTOM OF THE S.A.S.. PERCOLATION RATE: _S---MIN/INCH P# 3" LAYER"OF TEST HOLE 1 DATE: 4/29105 ELEV._LQ2 __ �oyoyoyo�o�o "o�o�o�o�o�o� r11Al 8; d2jroNE �"0�.0� "0 0 0 PROFILE OF o •oo o0 0 LAYER OF DEPTH HORIZON TEXTURE COLOR MOTT. OTHER I.SHED STONE SEWAGE DISPOSAL SYSTEM 3 PERFORATED PIPES NOT. TO SCALE 0"-4" O/A SECTION A-A 1 HERE 7OA' M A CERTIF THE COM H OF MA SETTS. GENERAL NOTES: AND ESE THE 4"-27" B LOAM 10YR 5/8 PERC SOIL 4 0 30" N 1. THIS PLAN IS FOR THE REPAIR OF AN EXISTING SEWAGE DISPOSAL SYSTEM. __ ss�o-' _ -_- 2. PLAN REFERENCE Bk 438 Pg 18 LOT 5 BARNSTABLE REG. OF DEEDS. 3. THIS PLAN IS FOR THE INSTALLATION /REPAIR OF SEPTIC SYSTEM AND NOT TO BE USED FOR SURVEYING AND ZONING PURPOSES. 27'.'-125" C I MED. SAND IOYR 6./4 D ATA: 4. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. NO H2O . TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS ENC'D FOR THE SUBSURFACE- DISPOSAL OF SEWAGE. NUMBER OF BEDROOMS 11 REI-13)-_- 5. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN TEST HOLE 2 DATE: _______ ELEV._______ (0 NONE- )-__- 12" OF THE FINISHED GRADE. DEPTH HORIZON TEXTURE COLOR MOTT. OTHER GARBAGE DISPOSAL • 6. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE TOTAL ESTIMATED FLOW -a3Q--__ . GPD . SAME, UNLESS NOTED BY FINAL CONTOURS. ( 11SL-- GAL/BR./DAY X -3__-- BR. ) 7. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE 1 OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR SEPTIC TANK CAPACITY -EXLS.TING-1500 GAL. WITHIN 10' OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE USED UNDER OR WITHIN 10' OF DRIVES OR PARKING LEACHING AREA REQUIREMENTS AREAS UNLESS NOTED. 8. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL SIDEWALL AREA 0____ S.F. BE MORTARED IN PLACE. BOTTOM AREA -5-0--__ S.F. 9. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO LEACHING CAP. BOT. & SIDEWALL)_ GAL. OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 10. THE EXCAVATOR/CONTRACTOR SHALL VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES PRIOR TO ANY EXCAVATION. { RESERVE LEACHING CAPACITY _444 GAL. APPLICANT: SCOTT FRANK DATE: 05/24/05 SHEET 2 OF 2 JOB # 05-035 J4/4P 7e; Po9RC EL G 9-6 f�l.4N AFF ; PD 938,f, i8 Ul oloot. P' � �7-- — � e h •3� � 0 k _ 1 job , it STEP HEN ALLYN WILSON No.30216 MT lool /i �c2 PERc Tt:fi Tfiartw 1.1 31-61V Rfl 8i / VL �� / � �p,7lfY�tG1s�-._Tsrry..�ynr11r1Ct 10 • � -Pe�c R� �t ;.2 rv�w�f�v�e.4� \ 4 \o Tapincl T Subsar l s i 24"— —SG$ toZ " e ALB. �,P ►e�S� � S�t�fi�d L o r iurr, 43, 56 .. SF , Sa.hc1 r ' +cow►pl � ,1{, +Ita rlelML a oR 5e-fbcack vrc, vlrcmc►rig `jr� .' 144�� Ne W�k, qL,B oyse - 5hown hereon Y o RICHAP.0 '. of 4.he- .Town (4 $a�611L and ►c hot A. r � ` AAkTR No,24048 _ --� 1� ,a �1. .) c�,C •...., T_ Ct— p�fCISTEa`��v;4 Date 4,,l S __mot Ay Aa✓JaJE /n/tt. Cover -,to b2.� Oft �OOC` .t:7C IOW.O�i'.tdG J I V -T000 % 1NV BOA 54,0 2 s9,4 ` GALLON s9'q Sz716 n SEPTIC "reActi pit: TAMI Berk on of Vitt 3 DESIGN DATA SINGLG FAM I L`-',-3 ' 5EDROo1'YI NO GAROAGE GRINDER SEPTIC w;)YSTEM DESIGN DESIGN FLOW :3. -x1lo--- 33Q -Gpcl SEPTIc TPtNFC Z.a A 160'Jo =-_:4_ 51aal. Ls�7-5, Rr1dcALr.Y I�ii�B�r ?or►p U5C_;1_�� _:G AL�o►.r TANK __--.___ h�,gasrmvs :Mists LEACHING FACILITY 1000 '4//on.ro,f SiaeW-P, Il 1,78 3 x 2,5 gi�cP/s f . 44.s�p� FOR _ T!�d m Icy s 79 gpcQ TRtP,�E :Rust _ Z57 S F C A LE : I" ■ 4d DATE ; Nov. 9, 1989 Boma R ti NYE , INC . REGIS GAG D LAND SVRVEYOAS C%VIL ELGINEEP-S OSTeRVILLC , MASS . 69145