HomeMy WebLinkAbout0021 STEERE WAY - Health 21 Steere Way
Marstons Mills P
i
TOWN OF BARNSTABLE
LOCATION 21 J��IQ,/L� UrR�I SEWAGE# 2 0— 191
VILLAGE AW�O �/N ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO. 900tM4 ):�i S bC17-
SEPTIC TANK CAPACITY 10P)pl', &A-L aa
LEACHING FACILITY:(type) QUIU►~ JIR1I�I�RD . (size) _t
NO.OF BEDROOMS LI n
ftm
OWNER 4- 0
PERMIT DATE: , 7 I.Z COMPLIANCE DATE: �-
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water'Supply Well and Leaching Facility(If any wells exist on
site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) Feet
FURNISHED BY
A Z J9 ti ,
ovti4o06
Svc
y
1 '
No. � 1 Fee 16 _�
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
01ppYitation for Disposal Opstem Construction Permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. oil 5A66K(%/ / Ow)neer's_Name,Address,and Tel.No.
Assessor's Map/Parcel 91Y- Sd/
Installer's Name,Address,and Tel.No. Designer's-Name,Address,and Tel.No.
0 ir/--2 "5,va -4JV6?
Type of ilding:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) j 0 gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) mez j `j
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 ace the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signed Date 7 /Z
Application Approved by Date — 2--
Application Disapproved by Date
for the following reasons
Permit No. 6;10 l Date Issued Lo '— �--
---------------- ------ -- ----------- -------------------------------------- - - -
No. �d 6 '. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 4�
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
4plitation for 13isposal Opstrm Construction permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. ,,/ el p Jd Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel / ' S le,/I y Irf . o klzf �l �► �
Installer's Name,Address,and Tel.No. Designer's'Name,Address,and Tel.No.
,1-ke2 6,X v
Type of Aildi
ing:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 33 y gpd Design flow provided _� gpd
"Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
r
Nature of Repairs or Alterations(Answer when applicable)
it
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 ace the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signed O Date /L
Application Approved by Date Z-
Application Disapproved by Date
for the following reasons
Permit No. o`er I + Date Issued- L
------------------- - - - -.7 -- -- - 7 - ---- - - -- - - ------- - ----------. ---- ---
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site eiwage Disposal system Constructed( ) Repaired( wlUpgraded( )
Abandoned( )by N
at has been constructed in accordance ��^^
with the provisions of Title 5 and the for Disposal S stem Construction Permit No. 2 O 1 2 - dated
Installer /�p�i t, 4ex__ Designer '' u
#bedrooms ? Approved design flow gpd
The issuance of this permit shall n t be co strued as a guarantee that the system w'kl'fun is �esi d.
Date // Inspector7. I
- - - ---- ------ ----- ----- - - - - - - - - ------------------
No. I ^' 1 Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Disposal 6pstem onstruttion Permit
Permission is hereby granted to Construct( ) Repair( L41 Upgrade( ) Abandon( )
System located at "A-!I
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
Provided:Construction must be co pleted within three ears of the date of this permit. _ )
Date — (} Approved 1: ///
Town of Barnstable
off IKE'Q!{, Regulatory Services
�. Thomas F. Geiler,Director
-BARNSTAM E,
MASS. Public Health Division
ArE0 Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer & DesilZner Certification Form
Date:
Des .ner: Installer: bCr V\e✓
Address: O �`12 Address: �lh
On //oe / " /31M was issued a permit to install a
(date) I in aller)
septic system at Z 1 �ddress)
—based on a design drawn by
—
�/te� �' 'ev '.. dated
(designer)
IV—
I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank.
I certify that the septic system referenced above was installed with major changes (i.e.
greater than 10' 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 as-built by desi follow.
�<cpVl,,A OF MAS`q
DAVID ti
(Installe 'Si ature) Q D.
FLAHERTY, JR.
No. 1211
�FG I s T Ems-
(Designer's Signa e (Affix Des t p ere)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE :ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
Q: Health/Septic/Designer Certification Form
,HE
Town of Barnstable P#
' Departilnent of Regulatory Services
Public Health Division Date /
MAM
•r�o �� 200 Main Street,Hyannis MA 02601
�/Date Scheduled-�---�-�—T��_ Tune J/ Fee Pd,
30iZ i bility .A.ssessmentfor S e Disposal
Performed BY:Y ` Witnessed By:
LOC TION& NERAL MFORMA,TIQN
Location Address �/ Q�Y Owner's Name � �/ h
AddressZ ,'[�%
Assessor's Map/Parcel: 9/44' Engineer's Namc wreloot
to .P Gem 7a.rlC y !'
NEW CONSTRUCTION REPAIR Telephone# ��-SZ5 j_3(p
�.a's r
Land Use: ��� �� Slopes(` ) D Surface Stones
rAtQ —
Distances from: Open Water Body A/ ft Possible Wet Area 4—ft Drinking Water Well t do
//
Drainage Way ,r ft Property Line _�� Other d ft
SKETCH:(Street iame,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
�Z V "
L-776A
_ a
t
Parent material(geologic) G � Depth to Bedrock
76
--�'
Depth to Groundwater. Standing Water in Hole:. �Una � Wepin'g/fro Fit Fgpe Olt 64-75%7M,E
Estimated Seasonal High Groundwater
DETERMIN TIONVO1t SEAS O AI,,HIGH WATER TABLE
Method Used: /,f
Depth O served standing nobs. ole: .,,�`in, ,Depth to sell mottles: in,
Dcpth to weeping from side of obs.hole: �a j In, Groundwater Adjustment ft.
Index Well#�Reading Date: Index Well level Adj.factor ��AdJ.Clraunr water level
PERCOLATION TEST
Observation �� � p
Hole# lj� �C_, l Timo at V
Depth of Perc �2 W t!l s2
Time at G' __
Start Pre-soak Time @ / Time(V-0)
End Pre-soak S/
Rate Min./Inch
Site Suitability Assessment: Site Passed_ Site Failed: Additional Testing Needed(YIN)A111
Original: Public Health Division Observation Hole Data To Be Completed on Back----------
***If percolation test is to be conducted within 100' of wetland,you must first notify the.
Barnstable Conservation Division at least one(1)week prior to beginning.
Q:%S EPTICIPERCFORM.D OC
DEEP-OBSERVATION HOLE LOG Hole# ��3
Depth from Soil Horizon Soil Texture .Sdil Color Soil• Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders.
o i ten y,96'Gravel)
20 k3�" C chi �Laa Z•�' ��
2`I021 Zt y� 7
-y
DEEP OBSERVATION HOLE LOG Hole# Z
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
(Longistency.%Grave
Lam
W z s le e/
94`-/321K Gz Z• 0
• '� .i� avr� �✓ Y G�rit1B1� 1'2C
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Stricture,Stones,Boulders.
Co i to c Gravel)
DEEP OBSERVATION HOLE LOG. Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stone9',Boulders.
Cositn
a
Flood Insurance Rate Map:
Above 500 year flood boundary No— Yes
Within 500 year boundary No Yes
Within 100 year flood boundary No._,_, Yes
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring perviopp material exist in all areas observed throughout the
area proposed for the soil absorption system?
If not,what is the depth of naturally occurring pe vious material?
Certification
I certify that on �/� (date)I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysis was performed by me consistent with
the required training,ex ertis and ex ri ce escribed in�10 CMR 15.017.
Signature Date 5-�U
QASEPTICIPERCFORM.DOC
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
TITLE 5
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Address: 21 Steere Way Ct r
Marston Mills. MA 02648 P 1 G
Owner's Name: Jay Salz
Owner's Address: Same
Date of Inspection: March 20, 2002 K U u ZU 02
TOWN OF BARNSTABLE
Name of Inspector:(Please Print) James M. Ford HEALTH DEPT.
Company Name: James M. Ford
Mailing Address: P.O. Box 49 Map: 149
Osterville,MA 02655-0049 Parcel. 158
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
Nee Further Evaluation by the Local Approving Authority
Fail
Inspector's Signature: Date: March 22, 2002
The system inspector shall submrC0pVy 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 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 21 Steere Way
Marston Mills, MA
Owner: Jay Salz
Date of Inspection: March 20, 2002
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 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 21 Steere Way
Marston Mills, MA
Owner: Jay Salz
Date of Inspection: March 20, 2002
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( PP Y)and Public Water Supplier,if an 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 I 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: 21 Steere Way
Marston Mills, MA
Owner: Jay Salz
Date of Inspection: March 20, 2002
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 I of a public well.
_ ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well.
✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water
supply well with no acceptable water quality analysis. [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. 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 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 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.
4
Page 5 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 21 Steere Way
Marston Mills, MA
Owner: Jay Salz
Date of Inspection: March 20, 2002
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?
P �
✓ 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 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 21 Steere Way
Marston Mills, AM
Owner: Jay Salz
Date of Inspection: March 20, 2002
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms(design): 4 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: 1
Does residence have a garbage grinder(yes or no): Yes
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)): 2001- 139,000 gals.; 2000-216,000 gals.
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(seats/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: Never pumped-per owner
Was system pumped as part of the inspection(yes or no): No
If yes,volume pumped: Qallons--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:
Sept. 30191 -per as built card
Were sewage odors detected when arriving at the site(yes or no): No
6
Page 7 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 21 Steere Way
Marston Mills, MA
Owner: Jay Salz
Date of Inspection: March 20, 2002
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)
( P )
Depth below grade: 2'
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: 4"
Distance from top of sludge to bottom of outlet tee or baffle: 29"
Scum thickness: 10"
Distance from top of scum to top of outlet tee or baffle: 9"
Distance from bottom of scum to bottom of outlet tee or baffle: 7"
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.):
Tees were present. The liquid level was even with the outlet invert. There were no sign of leakage. Recommend pumping and
installing risers on covers.
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
Page 8 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 21 Steere Way
Marstons Mills, M4
Owner: Jay Salz
Date of Inspection: March 20, 2002
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. There were no signs of leakage or solids. There were no signs of backup or failure from the leach pit.
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.):
6
k
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: 21 Steere Way
Marston Mills, MA
Owner: Jay Salz
Date of Inspection: March 20, 2002
SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required)
If SAS not located explain why:
Type
✓ leaching pits,number: 6'x 6'with 2'stone-per design plan
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 pit was located, but not dug up. There were no sign offailure or back-up in the D-box. The bottom to grade was
approximately 10'.
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 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 21 Steere Way
Marston Mills, MA
Owner: Jay Salz
Date of Inspection: March 20, 2002
Map: 149
Parcel. 158
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. w
. k
h Al - y$
Porgy
f
' 10
i
Page I I of I I
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 21 Steere Way
Marstons Mills,.AM
Owner: Jay Salz
Date of Inspection: March 20, 2002
SITE EXAM
Slope
Surface water
Check cellar
Shallow wells
Estimated depth to ground water 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:
The bottom of the leach pit to grade was approximately 10'. Using the Barnstable topographic map and the Cape Cod
Commission water contours map, the maps were showing approximately 30'+/-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.
1]
TOWN OF BARNSTABLE
LOCATION o� I STfn�e (NA SEWAGE # C) 1 ^ 3aO
A, LAGE lam• ASSESSOR'S MAP & LOT
INSTALLER'S NAME& PHONE NO.
SEPTIC TANK CAPACITY /CID GA'
LEACHING FACILITY: (type) P r X 40 ' (size) a ST0elk
NO. OF BEDROOMS 3
BUILDER OR OWNER - Z
PERMITDATE: - COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility (If any wetlands exist
within 300 feet of leac ng facility) Feet
Furnished by
Al -
Aa- So.
a3- a
a �
3
TOWN OF BARNSTABLE
LOCATION L +-e-e c e Wa SEWAGE # q, ZD
V I
VILLAGE 'MA 5 ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO. -5- �SCd�I -7`7!-(d qd
SEPTIC TANK CAPACITY �000 4Zei tjdh S
LEACHING FACILITY:(type) ����^ I (size)
NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC` WATER
BUILDER R OWNER W• (L t a k. cO u2 U
DATE PERMIT ISSUED: Z •Z <�
DATE COMPLIANCE ISSUED: o
VARIANCE GRANTED: Yes No
II - '
t ,
-:�....,
`y- _
3
� �9'
�'
�d� � I
��w f
4' 4
THE COMMONWEALTH OF MASSACHUSETTS,
BOARD OF HEALTH
........ ............. .. ...............oF.......
N3,9, . rq..............................................
Appliratinit for Dispusttl Workii Cnnnitrixr#iun Vern fit
Application is-hereby made for a Permit to Construct ) or Repair ( ) an Individual Sewage Disposal
System at:
................__.._4-07- / T P /� 5iDe Js �tC_
................. - ---..--------------___---------_____--------•---------------Of: .
•---• ----•----
-Location-Address or Lot No.
--
Owner w dres � r
W ..... .................. ....-•----••---..._..---1 •1-�1. x, .nstaller AddressType of Building Size Lot...... LV ... feet
., Dwelling—No. of Bedrooms............. ..........................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
Other fixtures ___________________________________
Q -_-•4S� _-•--•--._ ---•---------------- -------- -------- ------------------ ------
WW Design Flow................. ..............gallons per- peF day. Total dajly flow________-____ 3 0...............gallons.
WSeptic Tank—Liquid*capacrty_/tgallons Length___ _._.fa___ Width: -/Q Diameter________________ Depth_ __ ...
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
3 Seepage Pit No......../............ Diameter....../__a...... Depth below inlet..__...(P....... Total leaching area-Z412..sq. ft.
Z Other Distribution box (X Dosing tank ( )
aPercolation Test Results2 Performed by.........��' ! __. _ K............... Date.... �(8_1C1_�......_..._.
Test Pit No. 1................minutesper inch Depth of Test Pit____.___.��... Depth to ground water.W_Q.K-J_.6_..
44 Test Pit No. 2.. _ _.. •
minutes per inch Depth of Test Pit...... Depth to ground water.__).D_k.I.e�..
x ---•.........................................................................................................................................
xDescription of Soil__.................. ... Z:................•-•---•••-•-••------•--•--------•--•--•...----•----•--......-•----•---••--------.._................._•••---
-.........-------------------
---------------------- --------------•---------------------------------...._..-----------------....-----------------------=-----------.....---.....................................................
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 LITLZ 5 of the State Sanitary Code—The undersigned further,agrees not to place the system in
operation until a Certificate o:;;;;i
e has been • ued by the rd'of luea
gned------------- •- _... .. .................................. � ( /
Application Approved By..... ..... _ ,.. . ------------------ ... ..........
Date
Application Disapproved for the following reasons:............................................ ...._________.._...._______................................
_--
.............••-----...--•-•--•-•.............__......-------•--••---•-----•--....--•---.._.__.._.._...-•---•-•-•-•-----•--------------------•--•----•--•-...---•-------•-----••--------................
k
Permit No.......��
---- ---�-------�------��------�--------. Issued-------------:...._D/�._. ....�.--
No...911- _13�110
.................... ..........................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.......7�6-- &/-------I.......OF....... �,4 ................_........I...................
Appliration for Disposal Works Tonstrurtibn Permit
Application is hereby made for a Permit to Construct (/X) or Repair ( ) an Individual Sewage Disposal
System at: /-197- / S 7�26 1-f'4'g5 7z;ej S /"(/C_e"7;�
........................ ............................................................................... ....:_....._.......
Location-Addre—ss-- or Lot No.
C.4 e —Z—,
....................... '---- ------------------ ----- ..........................
�_
Owner "P�5 (
............ .. .. .......
or
Installer Address
Type of Building Size Lot.....4,.'.A-....62...0...../....Sq. feet
Dwelling—No. of Bedrooms___._._._..:3..........................Expansion Attic Garbage Grinder
Other—Type of Building ............... ............ No. of persons............................ Showers Cafeteria
Other fixtures ........................................r -
..........................................................................................................
Design Flow.................LLZI..............gallons per-pemon per day. Total -3 P..............gallons.
daily fl ow..............................
Septic Tank—Liquid capacity./9 flons Length---t�'Ar, A��". Widthz2.'.. Diameter................ Depth.
Disposal Trench—No. .................._ Width_._._......`._...... Total Length..........._....._._ Total leaching area....................sq. ft.
Seepage Pit No......../........... Diameter....._ILO Depth below inlet.........6.7....... Total leaching area:Z(!r?:2..sq. ft.
Z Other Distribution box (A), Dosing tank ( )
04 Percolation Test.Results Performed by........ C ................ Date.... A
1-j� - .....I..............................
Test Pit No. I..."-2-...minutes per inch Depth of Test....P"it_... Depth to ground water.A).OA1.E..
44 Test Pit NO. 2... per inch Depth of Test Pit..... Depth to ground water&Ok)
0
Description of Soil......... .....
r..... ............. 7........
. .... . .....................................................................................*:.................................;......
-----------------------*-------------------- ------"----------------------*---------------------------------------------------------------------------------- ------*-------
.............................................................................................................................z................................................................I.......
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 jssued by the board of 11��tw�
p
X
-Signed"( . .S* ZZz�-. ".�
...................
< Da4
............... ..........
Application Approved By................................r ...... ... ..........
Date
Application Disapproved for the following reasons:............................................................................................................
.......................................................................................................................................................................................................7_ Date
PermitNo.._._..�Pz�! Issued............. ......................... ..............................................
Date
----------------- — ---------------- --------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
........... ..............................OF.........-- ...................
Trrtifiratr of Tompliattrr
THIS IS TO CERTIFY, That the Individual age rage Disposal System constructed or Repaired
b ................
y ................. .................. ..................I.............
----------
Install Installer
---------------------------------------------------------------
.....................at.........................Z. J ...................�C.. .. .............................
I " 7....I-------------------------------7---------
has been installed in accordance wi,h the provisions of TITLE 5 of The State Sanitary Code as described in the
/ C4,- �V/
application for Disposal Works Construction Permit ............. ..R..451. dated..... ........................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTI FACTORY. C
DATE.....................................................14V .................... Inspector....... ..................... ..... ............;---------------------
f r ' I I
-------------------------- - -_----------------!---------------------------------- -----------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF
19 ............ HEALTH
..; OF....... . ..4 ........................
1 "AR. .......... 7
No.. .................. FEE:.
... ...........
Disposal Works Tonstrurtiott Permit
Permissionis hereby granted---------------- zns............... ..............................................................
to Construct or Repair an Individual Sewage Disposal System
atNo...................................... ..............
Street
as shown on the application for Disposal Works Construction Permit No.9/'-'Z��ated......&77_1e�_?l
.. . ............. ... ................................
..............................
hoard of Health
DATE............... .712611--1
7 ---;----------;------------------------------------------
Y MARSTONS MILLS-
PARCEL ID:
149/010 109•�1 PARCEL ID:
149/159
S
61°0920„w S8S°�SS4
e
S
44.5' 46.4' o�
,`• Opp
RACE
WOODS N r81,5g ➢ LANE
vJ ~
69 -- P
- -� - - U TI LS O LOCUS
�' o
OBS PORT O �''
w #21 STEERE WAY
68.4 TM16e. �p, yp�// :. „� — UTILS ��_\ ,�— — — P�OJ
X WATER
68.2
PROPOSED S.A.S. 25 0 #21
� %3—BEDROOM;
6e.1
;DWELLING �// j o� LOCUS MAP
SAVE 1000 GAL ;TCF=69.66 0
TANK
LOCUS INFORMATION
/ I PLAN REF: 424/40
TITLE REF: 15515/80
O ABANDON LEACHPIT
PER TITLE FIVE �\ PARCEL ID: MAP 149 PAR. 158
Cn '; ;,,,,;'; IN ZONE II "RF/GP"
: Co I ,f; �\ FLOOD ZONE: "C"
68.4 \ COMMUNITY PANEL: 250015-0001—D DATED:07/02/92,
68.1 TOP OF BRICK I -- �\\ SEPTIC SYSTEM
STEP EL=68.73 ;,;"" E REPAIR PLAN
oLOCATED AT:
o #21 STEERE WAY
N — 68 _ , 53.9 / MARSTONS MILLS, MA.
PREPARED FOR
_ ,� PETER M. & KRISTEN M .
PARCEL
ID �����55 N M ON 2 EII RO
PARCEL ID: NMAY
149/011 AREA=46,000f S.F. ►- �+
0 OF Mgss9 aF
o �AN
DAVID ®VV91R®
125�-5 A.
PARCEL ID: FtAH Ty, ,J o
STONE
„ ,149/040 N 1211 o N 80
0°00 39 w `�►s T e�` �°
6 s
S
z
- SA O
N NITAR �Z
W /
PARCEL ID: o
149/018 E. A. S.
GRAPHIC SCALE 1 SURVEY, INC.
�,. - 141 ROUTE 6A -
30 0 15 30 60 SALT POND BUILDING
P.O. BOX 1729
o SANDWICH, MA. 02563
( IN FEET ) N
o 'i inch = 30 ft. // '� ,
�, BUS:(508)888-3619 CELL:(508)527-3600
SHEET 1 OF 2' J 1431
TOP OF FOUNDATION x
EL=69.66 P'ROFILr ..1 OF
4" SCHEDULE 40 P.V.C.
�- (10' MIN.) MIN. PITCH 1/8" PER FOOT SEWAGE DISPOSAL SYSTEM OBSERVATION PORT
CAP
(15.3' EXIST TO GRADE
:'... TO GRA
(NOT TO SCALE) DE
EL=68.9 EL= 68.7 -
::� ............. .• .........r:.. ,. ;,, :;�: ..; EL= 68.3 EL= 68.2
'�•WI' 6" MAX. ...,.,,. ,,, xaaa... EL= 68.2
;;;tf::::: ;;:: ;8 h.... .....................
9" MIN. ....................,.,....,,,.,,. ..>...
CLEAN SAND FILL
COVER CONC. PER 310 CMR 15.255
RISER &
LEVEL INVERT " 36"
EL= 66.50 : BETWEEN AND TO A MIN. OF 6
COVER EL= 64.87 OVER UNITS
15.3' 16 S= .01 FOR 2' EL= 65.21
4 SCH40 PVC
FLOW LINE 5.0' S=:o1
�10" 14'0 INVERT INVERT INVERT 12"
EItt
XIST EL= 65.42 MIN. EL= 65.25 EL=65.09 6" SUMP EL=64.92 8"
INVERT (EXIST) 4
ADD EL= 64.21
INVERT BAFFLE 6" BASE OF MECHANICALLY
COMPACTED SAND 32.0'
PROP. DB3 24-QUICK 4 STANDARD INFILTRATORS
DISTRIBUTION 34"W X 48"L X 12"H EACH
SAVE EXISTING BOX SOIL ABSORBTION SYSTEM (S.A.S.)
1 ,000 GALLON TANK (BED FORMATION) 8.5 X 32 _
f"- 34" CLEAN SAND FILL EL= 65.21 o
�Sri
k EL= 64.87 j
EL= 64.21 8.50'
END VIEW
GENERAL NOTES BOTTOM OF TH #2 ELEV.= 57.1 11
(NO GROUND WATER)
1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. I CERTIFY THAT I AM CURRENTLY APPROVED BY THE DEPARTMENT OF
TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS ENVIRONMENTAL PROTECTION PURSUANT TO 310 CMR; 15.017 TO CONDUCT
FOR SUBSURFACE DISPOSAL OF SEWERAGE. SOIL EVALUATIONS AND THAT THE ABOVE ANALYSIS HAS BEEN PERFORMED
2. ALL ACCESS PORTS OVER TANK TEES SHALL BE BY ME CONSISTENT WITH THE REQUIRED TRAINING, EXPERTISE, AND EXPERIENCE DESIGN DATA:
ACCESSIBLE WITHIN 6' OF FINISH GRADE, WITH ANY REMAINING DESCRIBED IN 310 CMR 15.017. 1 FURTHER CERTIFY THAT THE RESULTS OF MY
ACCESS PORTS BROUGHT TO WITHIN 6" OF FINISH GRADE. SOIL EVALUATION, AS INDICATED ON THE ATTACHED SOIL EVALUATION FORM, NUMBER OF BEDROOMS.........__3
S. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE -
CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE ARE ACCURATE AND IN ACCORDANCE WITH 310 CMR 15.100 THROUGH 15.107. GARBAGE DISPOSAL................. NO
UNDER OR WITHIN 10' OF DRIVES OR PARKING AREAS THEN THEY TOTAL ESTIMATED FLOW
MUST WITHSTAND H-20 LOADING. pt�i110 GAL./BR./DAY X 3 BR. _ 330
4. THE EXCAVATION CONTRACTOR SHALL VERIFY THE LOCATION E RD k STONE, CERTIFIE SOIL EVALUATOR ( )
OF ALL UTILITIES PRIOR TO ANY EXCAVATION. 330GPD X 200% = 660 GAL
5. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE D INSTALL: USE EXIST. 1000 GAL. TANK
OR WITHIN 6" OF GRADE SHALL BE MORTARED IN PLACE. TEST PIT RESULTS.- I 13 6 3 4
s. FINISH GRADE SHALL HAVE A MINIMUM of 2% GRADE 24 QUICK4 STANDARD INFILTRATORS (34"W X 48"L X 12"H) �*
OVER THE S.A.S. AND DISTRIBUTION BOX. AND BACKFILL WITH CLEAN SAND FILL PER 310 CMR 15.255
T SEPTIC TANK SANITARY TEES SHALL BE CONSTRUCTED OF SOIL TEST DATE: MAY 10, 2012 '
SCHEDULE 40 PVC AND SHALL EXTEND A MINIMUM OF 6' ABOVE (8.5' X 32 )
THE FLOW LINE AND SHALL BE ON THE CENTERLINE AND B.O.H. AGENT: DON DESMARAIS, R.S. 1
LOCATED DIRECTLY UNDER THE CLEANOUT MANHOLES. SOIL CLASSIFICATION................_______
SOIL EVALUATOR: EDWARD A. STONE DESIGN PERCOLATION RATE.....
8. THE INLET PIPE INVERT ELEVATION SHALL BE NO LESS THAN <2 MIN. IN.
2 INCHES NOR MORE THAN 3 INCHES ABOVE THE INVERT BACKHOE: RODNEY FISHER EFFLUENT LOADING RATE.........
___
ELEVATION of THE OUTLET PIPE. REQUIRED LEACHING CAPACITY.....330 GAIDAY
9. THE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9 INCHES.10. THE OUTLET SANITARY TEE SHALL BE EQUIPPED WITH A GAS TH#1 EL.=68.3 PERC RATE<2MIN./IN. @64»
BOT. LEACHING CAPACITY PROVIDED.....336 GA.L/DAY
BAFFLE, 4 INCHES IN DIAMETER AND CONTRUCTED OF 4" PVC. )11. ALL PIPES SHALL BE SCHEDULE 40 PVC SEWER PIPE AND ELEV. DEPTH (IN.) HORIZON TEXTURE COLOR MOTTLING OTHER (3) ROWS OF (8)INFILTRATORS X 4.73 S.F./L.F.
FIRST TWO FEET OUT OF THE DISTRIBUTION BOX SHALL 68.0 0"-4" A LOAMY SAND 10YR4/2 --- -- 96 L.F. X 4.73 S.F./L.F.= 454 S.F.
BE LEVEL. 66.6 4"-20" B LOAMY SAND 7.5YR6/6 --- 454 S.F. X .74 GPD./S.F.= 336 GPD
12. CHANGES OR REVISIONS TO SEPTIC DESIGN REQUIRE NOTIFICATION -----
TO EAS SURVEY, INC. FOR B.O.H. AND DESIGN 65.6 20"-32" C1 SILT LOAM 2.5Y6/3 --- -----
ENGINEERS REVIEW AND APPROVAL. 57.3 32"-132" 1 C2 IMED/COARSE SANDI 2.5Y7/4 I --- 336 GPD PROVIDED - 330 GPD REQUIRED = 6 GPD RESERVE.
-PER
NO'GROUNDWATER/NO MOTTLES ,
CONSTRUCTION NOTES: TH#1 EL.=68.1 f OF"'AITS. OFASs SEPTIC SYSTEM DETAIL PAGE
1. CONTRACTORS / INSTALLERS SHALL VERIFY GRADES AND ELEV. DEPTH (IN.) HORIZON TEXTURE COLOR MOTTLING OTHER
ELEVATIONS AND SITE CONDITIONS PRIOR TO COMMENCING �° DAV ti� OF/VARDN 21 STEERE WAY_
WORK ON THE SITE. 67.8 0"-4" A LOAMY SAND 10YR4/2 --- ----- F H A. #
2. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE 66.6 4"-18" B LOAMY SAND .5YR6/6 --- ----- No 1 STONE H MARSTONS- MILLS, :MA. `
WITH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT 65.3 181, C1 SILT LOAM 2.5Y6/3 --- ----- F �O MAY 22, 2012
IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. GIST E� �+
3. ALL SYSTEM COMPONENTS SHALL BE MARKED WITH MAGNETIC MARKING 57.1 34"-132" 1 C2 MED/COARSE SAND 2!5Y7/4 - 10%GRAV 4 ITA
TAPE OR A COMPARABLE MEANS. 1 SHEET 2 OF 2 J# 1431
NO GROUNDWATER/NO MOTTLES (Z !2
1 ' i fir•--f .. +"�.•-• r ,'ti - 1
--1-7
c- i,
F-tiG^irJ�EE" -r !� =�-��-�anl (�r�teJ eaM�
j. Z
^are
y ' 1 Erg r`aTE' I
Z
-72 8
6 r t
w
I --
,: -
^ 2 Mu�li�iPAt-k1aiE� _ a���o�t,�,
�.: � �i ` � � 3 P�P� P�TG'*�� �� IFT U►.It-e5s lTlaEQl.11SE �dT�
r
( d --- L-M TS 4A-' 0 44
--+ --- - —
Ick
i 5. PIS JOwJZS SF•FALI. gE MAC W,4T��TtC�l+Y.
^ETA!L.S To ec I" t4l T14
'� f..1 e.�,�. Etl��(�v►_1 M F t�'D.L Go DE Tm-E
FL L oeV- UA1L`( S+40vw
Cf,A 1....E �1cT � usE� �e �er�eTYu�� �•-Cii►c.t�1�.
\ho ,
N,1�r
LPN -7 IF
—2' v F PeASToaE !
)7 j� "('pi•of coU�De•"f'd.t
O I
Nk
--GA t- T-
/ t ?
11
(o4!GX7
' .� .- {- �' \ � - �� 3��• -I��Z W ASr�EDSToJE— •I
�€ `
b �� ,✓� �- ' V � /— 1./�
\, � t�CDftooc� � 4 t a GPG'(�� _ ?•a�v GpD
�t �Lr Op C v P�til ` r,7ci,epoo—&-
LjGe j OG1� Get.tCO.A �4ti11L
��J y�r,r c,n:g23T- �8 s CJ.o �� Jr— — t�iG ,dr,►V G FL-:A►,
Tr> TaL
"� 1.!��, l,1 i �O X- tP�G!-�c'}t�K r1 p 1 1 - ^.•L'7T '` �`. k._�- �j,1
^ `�� PeEPn�Eo Foe
3x •:' A'Z N F N.
` 2E QErI LE +-►J L
N
. f -=n
C( T7 Ca�vG dfj//7CCr"iv�4 /r1G . ^ p _ AE�oG I��pl�� ScaLE pn.TE
' r� J �
r
�'E Y�et�tot3f , M k• AQ t 1 e N • CLI AAA , Q.L.�, • ,t?E x PATS r� p CAT E
S
s
5+^