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HomeMy WebLinkAbout0062 SAINT ANTON'S WAY - Health (2) 62 Saint Anton's Way jMarstons Mills P -A = 031 001 i i i i i i d 1 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PRO EC'l6QE1VED OCT 2 8 2003 TOWN OF BARNSTABLE HEALTH DEPT. TITLE 5 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 62 St. Anion's Way MAP Marston Mills, MA 02648 Owner's Name: Gina Leonovich PARCEL Owner's Address: Same LOT Date of Inspection: September 19, 2003 Name of Inspector: (Please Print) James M. Ford Company Name: James M. Ford Mailing Address: P.O. Box 49 Osterville,MA 02655-0049 Telephone Number: (508) 862-9400 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ✓ Passes Conditionally Passes Neeo Further Evaluation by the Local Approving Authority Fai s Inspector's Signature: Date: September 24, 2003 The system inspector shall sub 4acop3 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. Notes and Comments ****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. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 1 I ' OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 62 St. Anton's Way Marston Mills, AM Owner: Gina Leonovich Date of Inspection: September 19, 2003 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: ✓ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined (Y,N,ND) in the 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. ND explain: 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 obstruction is removed distribution box is leveled or replaced ND explain: 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 obstruction is removed ND explain: 2 Page 3 of I 1 ' OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 62 St. Anton's Way Marston Mills, MA Owner: Gina Leonovich Date of Inspection: September 19, 2003 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 2. System will fail unless the Board of Health(and Public Water Supplier, if any)determines that the system is functioning in a manner that protects the public health,safety and environment: The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 62 St. Anton's Way Marstons Mills, M4 Owner: Gina Leonovich Date of Inspection: September 19, 2003 D. System Failure Criteria applicable to all systems: You must indicate either`yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than ''/z day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. ✓ Any portion of the 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] No (Yes/No)The system fails. 1 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 System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) 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 11 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. 4 Page 5 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 62 St. Anton's Way Marstons Mills, MA Owner: Gina Leonovich Date of Inspection: September 19, 2003 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: Yes No ✓ Existing information. For example,a plan at the Board of Health. ✓ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)]. 5 Page 6 of 1 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 62 St. Anton's Way Marston Mills, MA Owner: Gina Leonovich Date of Inspection: September 19, 2003 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x #of bedrooms): 330 Number of current residents: 4 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system (yes or no): No [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings, if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Currently occupied COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seat s/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system (yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Pumped 3 years ago-per owner Was system pumped as part of the inspection (yes or no): 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) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components, date installed(if known)and source of information: May 30195-per as built card Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 1 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 62 St. Anton's Way Marstons Mills, MA Owner: Gina Leonovich Date of Inspection: September 19, 2003 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron 40 PVC other(explain): Distance from private water supply well or suction line: Comments(on condition of joints, venting, evidence of leakage, etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 20" Material of construction: ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1000 gal. Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or battle: 30" Scum thickness: 8" Distance from top of scum to top of outlet tee or baffle: 5" Distance from bottom of scum to bottom of outlet tee or battle: 10" How were dimensions determined: Measuring stick Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc.): Cement tees were present. The liquid level was even with the outlet invert. There did not appear to be arty signs of leakage. The inlet cover was 20"below grade. Recommend pumping GREASE TRAP: None (locate on site plan) Depth below grade: 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: Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc.): 7 r Page 8 of I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 62 St. Anton's Way Marston Mills, MA Owner: Gina Leonovich Date of Inspection: September 19, 2003 TIGHT or HOLDING TANK: None (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/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Even 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.): The D-box was level. No solids were present. The cover was 2'below,erade. PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Comments(note condition of pump chamber, condition of pumps and appurtenances,etc.): 8 Page 9 of I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 62 St. Anton's Way Marston Mills, MA Owner: Gina Leonovich Date of Inspection: September 19, 2003 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type ✓ leaching pits, number: 2-6'x 6'(1000ga1.) leaching chambers, number: leaching galleries, number: leaching trenches, number, length: leaching fields,number, dimensions: overflow cesspool, number: Innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation,etc.): The newer pit 04)had 1'ofwater on the bottom. The scum line was approximately 2'up from the bottom There did not appear to be any sign offailure. The cover was to grade. There did not appear to be any signs of failure in the other pit (#.i) The bottom to grade for both pits was approximately 86". CESSPOOLS: None (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 or no): Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): PRIVY: None (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.): 9 Page 10 of I I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 62 St. Anton's Way Marston Mills, MA Owner: Gina Leonovich Date of Inspection: September 19, 2003 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch 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. Pro117 6\ I a � Q 3 S a �q6 3s y 3 ay 36` y y sg 3a 3S" 10 i Page 1 I of 11 f OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 62 St. Anton's Way Marston Mills, MA Owner: Gina Leonovich Date of Inspection: September 19, 2003 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to.ground water 50 +/- feet Please indicate (check) all methods used to determine the high ground water elevation: Obtained from system design plans on record- If checked, date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain: topographic and water contours maps Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Using the Barntabie topographic map and the Cape Cod Commission water contours map,the maps were showing approximately 50'+/- to ground water at this site. This report has been prepared and the system inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the system, the inspection and/or this report. 11 o3 k �t _7 NO.. ------ �J� FEa.. 0..__d�f THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiott for Di-tipooul Works Tott,itrur#ion rumit Application hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System a o --.14 ............ As ------------ ----N-----------•----•.-•---.•-•-------•--•-.-----.-----.....---..........--.15 .. r� L Loc do \ddress or Lot No. wncr F Addr ss a �...� 1 �,'��•�;c.1.t.S............................ � C�= .... .=-- tN�Gc nQ e_-e_ K___14 _.Da�.q Installer � Address UType of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons---.------.------.-.--..---- Showers ( ) — Cafeteria ( ) Otherfixtures -------------------------------------------------------------------------------------- .............................................................. w Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity------------gallons Length--- ------------ Width...--........--. Diameter......--.....--. Depth---------------- x Disposal Trench— No----------------------- Width-------------------- Total Length-----.--.---........ Total leaching area....................sq. ft. Seepage Pit No--------._-_------. Diameter.................... Depth below inlet---.---............. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 1.4 Percolation Test Results Performed by.......................................................................... Date........................................ ,.a Test Pit No. I----------------minutes per inch Depth of Test Pit.------_----------. Depth to ground water...........--.--........ ri, Test Pit No. 2................minutes per inch Depth of Test Pit.-_----_--------- Depth to ground water........................ 1:+ --•------------•-------------------•---------------------••-----•••---------•----------......-------........................................................ 0 Description of Soil........ -•---••--•-• ......... .....•--• .. x t V .................•-------. ..............-. -• -�� �1-�:` G . ..- - . -----•----•-•-•-•-•--••--• -•-- ..--•-••--•- ---•-•-•---•-----•----....-•---------- W --------------------- ----------------•-------...----------------------------------....... ----------------------------------------------------------. U Nature of Repairs or Alterations—An wer when pplicable.-. .a-`a -S�- �^? L�© � `^ • ` L /�. vJ 5-------------------------•-...... IQ .......................................... �. t.........�. ..�-_:-.-....A ..... -� ...................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance 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 Com^nce h s been is ued by the board of health. q v Signedj... ......... ........... .. ------------- ------ .................... -...b-r-©~------------ Qare Application Approved B . -------------------------_P -- --'�. n-- Dam Application Disapproved for the following reasons: . ............................................................... ............... ..... ------------------ ---------- [�r .. �� Permit ........ Issued ............................... LNo. ------ Dae p....... as 1 , RC:<6 No:. Is/T THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Avg ftra ion for Dioiao3a1 , ork,i Towitrur#ion remit Application s,hereby made for a Permit to Construct ( ) or Repair A an Individual 'Sewage Disposal System a �. L ........ow 5 .............c .ICJ .. __ ---- ...... ..........................................................// roc do -Address or Lot No- t -�--------_._..... n��--------------•------------------------------_ E 2 f�_c _ 5 VJ°� �V1 , .'►') caner Address a Qr.l. z 1s�_ lcs--- : .... � zS� 1C�=` 5 :...._.__IMl� �p ' 4.:...fla�g9 Installer Address JType of Building Size Lot............................Sq. feet ., Dwelling— No. of Bedrooms.-_-_______�____________________4---_--Expansion Attic ( ) Garbage Grinder ( ) Other,—Type of Building - ---------------- ________ No. of persons-----------_................ Showers ( ) — Cafeteria ( ) Other fixtures ------ - - ---- ---- ---•- . -- -••---- Design Flow...._ ..... ..... gallons per person pe ya ,,,Total daily flow ..__ _ _____________gallons. t 1 � x Septic Tank—I_iqufd'�apacity _.-: _...gallons Length __..____ V idth..__L_`__.__ Df�meter..._.. ._.`____ Depth_______________ Disposal Trench--No_ _ _________________'Width............ ,____._ Total Length-------------------- Totat leaching area....................sq. ft. Seepage Pit No--------------------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) •" Percolation Test Results Performed by----•-- ----------------------••••-•-•--------------•••••---••-----•----. Date........................................ 1 ,.-I Test Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ Gi, Test Pit No. 2______________minutes per inch Depth of Test Pit-------------------- Depth to ground wafer_.-__.-_______-____._--. 9 _....•••••------------------•..__...-••--•-•••--•......__._.......-••••--•-•----------••--•••----•--......................................................... ODescription of Soil- -------- -----•• ' ==----------------------------------_.-__---------------------------------------------••------------ - - kV ......................... ............... --- et - - :z --------------------------------------------•-----..._...-------•---•-------•---•-•-----------•---•-------•---------------------------------.._......---------._.._._._...._..._-------•--- U Nature of Repairs or Alterations—Answer when applicable-11applicable- �.5 -1`.-.-_V--en � I OODC,c«�_ (� °`..�.=..._.. rl �e� ? mot. c `1 alb P ,... _ - .. ... - = ••-••• •--•-••. ......--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance 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 Compli nce h s been issued by the board of health. .g . //��'U ,ate Application.Approved By ...... .......� i'/--- _-- ---- --------- ..-.. . !------- .. ...�'.._... ...... -5�... A Date 7 Applicatton Drsapproved for the following yedrorir: }_ ------------------- a---------------------- > t --- .......... to Permii No. ,....... Issued ..... ..-- .................. = �� -- 1 Date —__— --. ------s...r �.� -�-sr� +a �..,:._..r. •—..��. :�-- - .- - - THE COMMONWEALTH OF MASSACHUSETTS, ' t , BOARD OF HEALTH TOWN OF BARNSTABLE C�Et'�t�tC2x�E II� �IIZtC��i�[YiCP .)IIIS IS TO CERTIFY at the {ndividual ewage Disposal System constructed ( ) or Repaired (` ) by-- ...�..r-� V 11------------- at - ^�' � �'1!�Iw�' /f� Installer � ........................__..�............... • ------ ---------------- ---_.... .-......................... ........ i"`� cr _... T .-- ------------------------............-------------------------- has been installed in accordance with the provisions of TITLEaWe tat nvironmental Code as described in the application for Disposal Works Construction Permit No- - -- -- f dated ....-,�....=1. ..�'-�.5.....-.-- THE ISSUANCE OF THIS.CERTIFICATE SHALL NOT BVC'0NSkRUEA AS A GUARANTEE THAT THE SYSTEM WILL UNCTION SATISFACTORY. DATE ',...;` _... Inspect,r--''------- � ... ----- ... ---- ...... ' .... -----.__—__— _------ --- _, -- _-———_—---— THE COMMONWEALTH OF MASSACHUSETTS ..BOARD OF HEALTH TOWN OF BARNSTABLE -3No..V.. tra t0001 Norkii Toasrtion V"rrtttit Permission,is hereby granted----- C -C?.Kr........... ......................................................... to Constr t ) o a n Individual Sewa Di os- ystem atNo. -----------------------•--------•---------•-- t st ee j as shown on the application for Disposal Works Constru tiofi P rmit No. ___r __..___ e`__ ..__�! ---"'_.� ...___..__ J •-•.• � U.__....._ 1, DATE I« and of Health/ `FORM 36508 HOBBS h WARREN.INC.,PUBLISHERS THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA Q (0.� 0 T B E pf TF4 L�Tp a SYSTEM iU U I S°' LI i-D IN COMPLIANCE WITH TITLE 5 t BAUSTABLP, MAea 0 Ir: �I 9h O lI1 EI 1'AL CODE ANE 'pp s639. ®� t t Po TOWNtGlJ�.�,TiIf3 A'tc�ava. ALIRNSTABLE `P E C T 0 R ....L.«. .,.. .�.S.I..e.L.1/../ .. 1... . ........................................... ................... i i,v ........................ .... .....1......... ' S (3 it according,t/ofl foil/owing 1nformatio ................Y......................., ............. ,............................................ X, ................Fire, District ..Z......�s ....Q!~...�.. ... � /�........... c' 74 4. .KPI ..,,J—Address ss ........... ..t...J��.. ......�,r.. `.... .t...{ ..G.�.� Address . ............. ......Four,drttion ........ LL..Q.C�......C.. ...(^ ... .t Lit cT .,a, ,'a.� a •t.,S1„+�' ,:M""� � `. }r'a '.r. Y{'�. -'�. �'..^r-�-�' dot t��CS•�'<�t.'ACES �. ,.,�:14 4 $ ,.�t��,�.„..yv tt � '�. Y'...s•. �.k.._... 0 f+. 4` A da f�. 4� F b k :"2, ra - ♦.. ,^' L zl i c, e r- - L- ;rat«ors Ai the Town of Barnstable sejarding the cbove 0 As �f L oT/5- f J\ /So"^CdAe r•A r,L 1 'Cl7ysf o ��•� 3o�iG�t StT44sc,*5 � I , a dog• �F o :I y S, oco s.c l 08 1d p-P N .�� plSf �'• •L toot gGAt t r 4 0 D O !0q•3 � r. 1 Lc) \M OF �•; _ s / ROC 0 V, N Tor PHILI,? WEtMBERG ,o .p No. 366 NAL yo,00 �� GO LEGEND • ",_s 86•�s•oo"w � "ISTINS SPOT ELEVATION CAO EXISTING CONTOUR --- O --- •5r.ANroNE3 WAY CERTIFIED PLOT PLAN FINISHED SPOT ELEVATION go so• , w WAY wA ,[ 7- 15-,q Sr. fIAYToAVEs w.4y FINISMEO CONTOUR --- 0---- e NOTE: The location of any existing underground d sewerage, ���� �- �j wells, or other utilities shown on this plan its approx- IN imate only as determined from records and/or verbal SA fi kI S Tdui-9 L� information. .The contractor is responsible for the, ♦ ,���• verification of the existing locations in the field.. SCALE� �o ! DATE Z 2 S�$c `' DREDGE ENGINEER/NB MIN "` CLIENT. I CERTIFY THAT THE PROPOSED E CIVIL RF REGISTE ED. JOB NO.8.1a6.�. BUILDING SHOWN ON THIS PLAN DR.DY CONFORMS TO THE ZONING LAWS �� OF 0 RNSTABL MAS 712 MAIN STREET CM. oY� HYANNIS, MA'S. �s96 f =-="_� SHEET.LOF .'�.. A E RE(i. LAND SURVEYOR C, A 6JAV SUBSURFACE 8 AGE DISPOSAL SYSTEM INSPECTION FORM Address of property �p �l +�N ll�N�$ WQ�_, VV)a_4-i 6 W Owner's name fe � Date of Inspection 1 �^�, S �'t�1 11 dOAft �3f Pk�`L� PARaA y'` ��� �ssr 9 onb CHECKLIST Check ' f the following have been done: Pumping information was requested of the owner, occupant, and Board of Health. _Z None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the ystem recently or as part of this inspection. As built plans have been obtained and examined. Note if they are not vailable with N/A. T he facility or dwelling was inspected for signs of sewage back-up. .Z The site was inspected for signs of breakout. JZA11 system components, excluding the SAS, have been located on the site. The septic tank manholes were uncovered, opened, and the interior 'of P � f the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the SAS on the site has been deter mined based ZThe existing information or approximated by non-intrusive methods. facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of SSDS.• I Y SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECI16N FORM PART B ' SYSTEM INFORMATION ; I I 0 ` FLOW CONDITIONS I1 If residential ' ; Alaunnu'mbe" 0f ' edrooms " , numb ,ol-wocurrent residents garbage grinder, yes or no- �S dry connected to system, yes or no 'NO seasonal use, yes or no If nonresidential, calculated flow: Water meter readings, if available: 11>19 0 ODD Last date of occupancy - r U 000 P- y 4 `t , Iq GENERAL INFORMATION Pumping records Ind source of information: \\ e Nc� OL0 o - ' Q b 4C' System pumped as part of inspection, yes or no if yes, volume pumped Reason for pumping: Typ 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) ' Other (explain) App ximate age of all components. Date installed, if known. Source of inf rmation: �A S rS . e �o AS . 00 Sewage odors detected when arriving at the site, yes or no a i a. , i I r f ' 9 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B r SYSTEM INFORMATION continued SEPTIC TANK: V (locate on site plan) depth below grade: material of construction: concrete metal FRP other a lain ( xP ) dimensions: is �v� �� �( . ,�L ,� / e�G X 2'5� .7 sludge depth distance from top of sludge to bottom of outlet tee or baffle scum thickness distance from top of scum to top of outlet tee or baffle distance from bottom of scum to bottom of outlet tee or baffle Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, recommendations for repairs, etc. ) DISTRIBUTION 'BOX:j (locate on site plan) depth of liquid level above outlet invert Comments: .(note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, recommendation for repairs, etc.) QO \ 7�. ��-t- PUMP CHAMBER: (locate on site plan) pumps in working order, yes or no Comments: (note condition of pump chamber, condition of pumps and appurtenances, recommendations for maintenance or repairs,etc. ) i � 10 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORK PART B SYSTEM INFORMATION continued SOIL ABSORPTION SYSTEM (SAS) : (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: TYPe• r i leaching pits and number leaching chambers and number leaching galleries and number leaching trenches, number, length tN' t leaching fields, number, dimensions we_ c,.•r� a\ Dt.Sa��q "t-D overflow cesspool, number OL T C._"�% -- 'u \ve- kA aS c�\'0crCJ4-L.Q tyS+ -VYI Comments: (note condition of soil , signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs,etc. ) 4 v r51 *5 CESSPOOLS (locate on site plan) : N. F. number and configuration depth-top of liquid to inlet invert depth of solids Payer depth of scum layer dimensions of cesspool materials of construction indication of groundwater inflow (cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs,etc. ) PRIVY: �V (locate on ite plan) materials of construction dimensions depth of solids _ Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs,etc. ) r K 11 • SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SKETCH OF SEWAGE r:SPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' faci�l,'w �000941• ��� N�� , goo o9a1• C. �'� t;. 10. ' ZZ31 ' DEPTH TO GROUNDWATER depth to groundwater method of determination or approximation. .J �o Sk4 v E s k r%kc w� S 12 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C FAILURE CRITERIA Indicate yes, no, or not determined (Y, N, or ND) . Describe basis of determination in all instances. If "not determined", explain why not) Backup of sewage into facility? N Discharge or ponding of effluent to the surface of the ground or surface waters? Static liquid level in the distribution box above outlet invert? Liquid depth in cesspool <6" below invert or available volume< 1/2 day flow? Required pumping 4 times or more in the last year? number of times pumped Septic tank is metal? cracked? structurally unsound? substantial infiltration? substantial exfiltration? tank failure imminent? � I Is any portion of the SAS, cesspool or privy: �V below the high groundwater elevation? within 50 feet of a surface water? within 100 feet of a surface water supply or tributary to a surface water supply? within a Zone I of a public well? within 50 feet of a bordering vegetated wetland or salt marsh (cesspools and privies only, not the SAS)? i within 50 feet of a private water supply well? 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 analySiL .for coliform bacteria, volatile organic compounds; ammonia nitrogen and nitrate nitrogen. : TOWN OF' �_-.- --------^-._------•-_- BOARD OF HEALTH SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D - CERTIFICATION TYPE OR PRINT CLEARLY- PROPERTY INSPECTED STREET ADDRESS ASSESSORS MAP, BLOCK AND PARCEL # _(")3 -6 al-007 uyt OWNER' s NAME (LE I , ms, PART D - CERTIFICATION NAME OF INSPECTOR COMPANY NAME C-d� '� COMPANY ADDRESS « 6JK, b. 5 Street Town or City State ZIP COMPANY TELEPHONE �Og ) Y-77 - 76 02 6 FAX CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system a .this address and that the information reported is true , accurate , and complete as of the time of inspection . The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on site sewage disposal systems. Check one: i lz�System PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. System FAILED* The inspection which I have conducted has found that the system fails to protect the public health and the environment in accordance with Title 5 , 310 CMR 15 . 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form. Inspector Signature T)1 01n,.,.tJ1CJ1J Dateq4. 995 One copy of this certification must be provided to the OWNER, the BUYER (where applicable ) and the BOARD OF HEALTH. * If the inspection FAILED, the owner or operator shall upgrade the system within one year of the date of the inspection, unless allowed or required otherwise as provided in 310 CMR 15 . 305 . partd.doc ASSESSORS MpO: 4- No..... PARCEL 90.: d $............._............_ THE COMMONWEALTI ,BOARD OF HEA TI f JGcJ/1 --OF..... rs��i. . ... � ...................... .... Xpli iration for Ui ipasal Morkg Tnnitrurtinn Famit -- Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal Syslr.Q..l -Z- -------•----- Gi b.X.o!? _.. F 1 ................... Location-A ess �j ..or No. // _A.....0 1 Q C�.f:l...7�1:�.k..(.. Owner / Address ------------------Jf�.Y.vi.. .......---•--.._.. -•---- Installer Address U Type of Building Size Lot.aS—/'?.�Sq. feet ,., Dwelling—No. of Bedrooms.......... ........:....................Expansion Attic (`2e) Garbage Grinder (I Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures -------------------------------------------------------------------------------- ---------------- ` d .------- -.----- W Design Flow.............. .� __......__..._...._.gallons per person per day. Total daily flow_._....._._ _. .: ._=::...gallons. WSeptic Tank—Liquid capacity/4.�!Qgallons Length................ Width................ Diameter..._..... ' Depth-. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area..........--..........sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..---. ....:-....sag. t. Z Other Distribution box ( ) Dosing tank/( ) . ' '"' Percolation Test Results Performed by...... :1 �1..Gj��... -�y !IP�'�/%� ate..._. _. __ ...../� ., Test Pit No. , csS---minutes per inch Depth of lest Pit.__.jj._.✓_..r... Depth ground water..._.. s _. (s, Test Pit No.�1f1l. liiinutes per inch Depth of Test Pit..l_.8......... Depth to ground water__ . - a ---------- _ . / f Descriptionof Soil._.._�Q. - .. ------------------------ ----------•-•------------------------------------------- v .........••--•--••--•--•••--•-••-••. �.--./_ '... rP ------------•----------------------------------------------------------------•••......-••---•--•- w ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL U 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the b rd of health. Siged..... ••• ---_................................--•-•---..._-----•---••.•-• ----- .... ...... ate Application Approved By.......................... ---•• ............. --`----- ��}._.. Application Disapproved for the f ollowin reasons--------------------------•----....----...._......-------------•---------------......-•-----•---•........_... --------------------------------------------•----....---------------.....-•-•-----..............----•---•'--------------------------------------------------......--------------•---••--.....------•----- Date PermitNo......................................................... Issued-....................................................... Date No................_....... Fizz............................ THE COMMONWEALTH OF MASSACHUSETTS ,----,- .BOARD OF HEA T� .........OF..... - c "" r" .. -- Appliratiun for Disposal Works Tonutrttrtiun fumit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal Syst at Zo. ..*_'- 's, ��?�L/-1. /d�.41........... ................... Location-A ess .._.. l: 's 1� e^" ... I'p�x.. .. ! *„... �..� ... ........ _...... )./-•f-.,p Owned Address a .......... ' . A . ..... 4 . ........................ ........ .-" ......... � Installer Address � � �________ U Type of Building Size Lot_. = �___ _ __Sq. feet Dwelling—No. of Bedrooms___________ .............................Expansion Attic (_111? Garbage Grinder (#f 0 " a`4 Other—Type of Building _______________ No. of ersons_______._._.________.__.. Showers — ( ) YP g --------•--•- P --- ---•-----... (._ >...._• Cafeteria _.__._... Other fixtures -------- ---•--••---•--••-••-•-- . . W Design Flow............. ..................gallons per person per day. Total daily flow...... .......................gallons. WSeptic Tank—Liquid capacity Ogallons Length................ Width................ Diameter_.- .......... Depth................ Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area....... ..........sq)t. Z Other Distribution box ( ) Dosing to& ( ) Percolation Test Results Performed by... � f"j _..� f !°'�'a' ate_:.. Test Pit No. l c�'��,__mmutes per inch Depth of Test Pit_____ __ __.�__. Depth. ground water...... . . f4 Test Pit No. �&tl_a`minutes per inch Depth of Test Pit._ . _______. Depth to ground water.__ ,x--- --------------------•-- - • t O Description of Soil 0 "" �! Q4 � GG Q �qiZ-------------------------•---- ... ---•---•--------•--••- w ..............•-•-•---•.._._.. •----�'..�~_ %:�.......r � . -------------------------------------------------------------------------------- x •••-••-•---•------------••--•-----•--•---•-••-•••--•--•--•---•-----••----•••-•-•-----•-•--•-•-••-•---•••-••-•--•--------------------------------------------•-•----------------•--------•-•--•-•-------- 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 TITLE 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the b dof health- Signed r •-� ` Application Approved By _ .,. 0 �� Dace Application Disapproved for the following;reasons_..........................................................-............................................... _--- Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............OF..?: .. ✓ fi ...._.._._...-.._......._... (9ertif irate of Toutplittnre THIS IS TO C�TIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by ...1•- __ ---•---- ----------------- = ----- •---------• ------ --•---- ---- ------ - at......fp �, Installer i-4? .-. f ? . - -.r, � ``'r�'l---------------------------------- has been installed in accordance with the provisions of TI1 E 5 ofaThe State Sanitary Code as described in the application for Disposal Works Construction Permit No-----------r�_�cP_ , °� dated-...........41. _4 1 --6................ THE ISSUANCE OF THIS CERTIFICATE.:SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEW WILL FU CTION SATISFACTORY.., DATE.............. / 1 ... .: Inspector;...........................................--...................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD /OFHEAL, H ..........9F......r'. ±" /.?.. '`c_ No.......... - � Disposal Works Tunutrttrtion "p.erutit Permissionis hereby granted------------=---......-................................................................................................................ - to Constru Rea-it,( ) anIndividu Sewage Disposal/System r ,� .............................................. .. Street f tt as shown on the application for Disposal Works Construction Permit Dated______........ �---•------- ....... alth���t ��t�� DATE--------------••-•. _ .)...-•-----•-•----••••-•---•--------- Baard°of�Ie-f FORM 1255 A. M. SULKIN, INC., BOSTON �� s a ! y I _ i � x P E O' t �/1M°.� K !! y{.'; f; •i rf :f a •_ '. \ 96, y s fi�cR ., oT/ fj`1 �, z� Ar.CAr?;a*C.*5. .�. '.Q_� Q - R9 Q X f b` C[vsrea [/v 9 i t • r iI i =Aviv A6�: ., te,��a�� t \✓� 4r ' - � •,.?5�+, ` Yi�_��r-! O.. �� y�,��y K l �i�t��� � x F ! r-.y�?i �.. �,,}z a 106 Y s t y 4rr \ . \I �71CP.xMS/ - � r�..Qr ��•�Q! ep , . . 4► �4 v�' � '��i�' rq ,�� •h O` ��� g In ry ;£, t.. x <. 'c%� •sue •n s i r O ,w. r.rWEINIBEI SH OF Mp'till;r'AWEINBERG No. O , F' . OF, C'ISTSP' �3S�ONAI Ems"A � LEGEND • .._S 86w EXISTING SPOT ELEVATION : On0 CERTIFIED PLOT PLAN EXISTING CONTOUR ——— 0 - ST.ANTON6s. WAY FINISHED SPOT ELEVATION so•)b12iv, WAY �:o�- 1.�'�9 Sr,f7�VTorVL-S RINISN90 CONTOUR -�—~ 0--�-- " . NOTE: The location of any existing underground sewurar&, wells, or other utilities shown on tFis plan is approx- IN I imate onlyas determined from'records .and/or verbal, information. .The contractor'•is responsible for the° verification of the. existing locations in the -field.= SCALE, S© � DATE Z a 5�� .. DREDGE ENG/NEE 8 Ca IH CI.I�NT. I_ CERTIFY THAT THE PROPOSED ` EOISTERE REGISTER, JOQ.NO Sy BUILDING SHOWN ON THIS PLAN yr CIVIL . ,'LAND CONFORMS TO THE ZONING LAWS •NV! OF^ ;R RNSTAB.LE , MAS 712 MAIN STREET. CK GYM MYANN 1 $, SNEET.L.Of . - A E REG. LAND SURVEYOR 20 FT M/N• a'O I E /F- E/TNE•Q ?A/�� S=PT IC TA.V,k D.R ; ��4Cr,';rYG PIT ARE MORE TAVA,-V /2"BE40W � '"�'E'AOE fa 24 "L7/.4METER' COryC'R�TE COVER M/N. SgALL gF B.POUGNT TO G14ADE:��+,✓ .EXT/P/9 C-ONCRC-TE !-IE,4VY CAST /?O/Y Co NE/4 L L 3E• USE1� Nf/N. PITCH '" ie.. co A8 PF,Q FT_' C,EA/V SAND 47.1 r.=77. Y _ _ L/pU/O LEVEL •"•- ��• .�_:� .;.- ; . Ia SCN=D ULZ • .�.- r 1 r ,..�,2� 6- I.. � PV.C. P/YE t /006 '�: M/N. P/TCr1 �U� ' o� r • afi. . , • • • • 1 D 'o ' WASHFO STONE i4 PeR PT. . r EC TANK D/sT, S PT/ - BOX f � • r •; • • • • • • • - � o „ al a.:.•� . D 1 •EFFECT%Ve 1 ,` . 3�Q - �2 . . t. . o i • • pEPTt/ • 1 o WASHEa STONE a:. • • .• h f • • • • D .� PRE445 T SEEPAGE 1 IS!X 2. -mil' O '• °. p 1 Nve EL E.tiATlON S s , f . i • +s o P/.7. OR EQ U/V /NYERT AT BUILDING MA /08OFrz.INLET SEPT/C TANK /06 fT _ FT, M, C.t!SFE.TABULATION OUTLET SEPT/C TANK - 1e6'3 FT. i j7NLET D/STR/BIlj1ON BOX /O�,l FT SECT/ON OF' W . GRDuNo WfITER,T,aBLE �DcJTLETO/STR/9llT/UN BOX /as9FT FT SEWAGE D/SPOSA L SY.STE/Y! INLET 4RACHIA4 /ail- /oc:s= ,7A' .JLATID/V i LFACH/>VG, ~PIT K ' N SCALE DESIG O. p/ME/V3/oni. A FT j a ry I1 CRITERIA D/M.IF/vs/aA/ i/Iui+fBER OF BE�•QooMS FT,. T;aR�3AGE0/SPOSAL (/iy/r-_/VB�� SO/L y LOC7 1",' w" -SOIL TEST To7-,g1 E571mA-rFo FLOrv" 3.3� G.4 _/DAY SOIL TEST 'ALL l SOIL TE5.T#2 r ; t- A NUMBER OF iEACIVJNG j P/T.S _ ELEKs OAS,T.EL OF SO.IL TEST S OE 4--,qCH/NGRP/T Y rG� .50TT0I+7LErgCHINO AlER P/T_L3 j; . � CHQ 70Tr9L LEACH//YG A.4cr4 2.6�SQ. FT. ` 7°1ERCOLaT/ON RATE{ 2 '""-'T71IV.IlJVGf/ �eF5�RvE LEAC,y/NG AReA 2G -S� FT. soB�ei _ i s7 $803 -/3 LOT" �'� .ST -N'r✓TpI✓�s Ay i RQSERT c�G\�� PHI{f' WEI64BEr2' No .366 EL DGE N,EERlNG CO JIV DR.E ENT G �'= r :Y� !_ �o ���s r e —EL, 71 Z MA IN ,S T., �'Y,a,�'iv;5, M:a ._ t `, r`r 4 S/pNkl� ° [J /YOGRDUNv�.LVi2TFR E/VCDUNTE.250 LL/E�/T�� '/ Z rJ.dT= Z/21 ti �p, Q GROC,rN0 !,v"ATER A7- SOS NO. 8.qA SHEET ZOF