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HomeMy WebLinkAbout0068 CONCORD LANE - Health 68 Concord Lane A = 122 — 111 i, a� r . Town.of Barnstable P# 007/ Department of Regulatory Services M Public Health Division Date V �p a63y 200 Main Street,Hyannis MA 02601 } PfD fAA'l u� Date Scheduled_ Time Fee Pd. I()U f Soil Suitability Assessment for Sewage is Osai Performed By: Witnessed By: (j l LOCATION& GENERAL INFORMATION 12S Location Address {o C-,JCrz-,p L 4,Js Owner's Name T-bb 145 KAR , 5 Address '0'69.'(f Curly L.&l Assessor's Map/Parcel: . �A tZ t t► Engineer's Name 6 ,GA5 5v Q✓�= j r-41 . P"�4-c 2SG 3 ' sr�i tl� NEW CONSTRUCTION REPAIR VZ� - v�_ Telephone#GP-�fie—ej Z 7—3G O.U t=r st►a led S«3 t�v✓�' Land Use 3 pw— �5 � I Slopes(%) � Sur/tace Stones �If ud Distances from: Open Water Body .(71110�_ft Possible Wet Area A- A ft Drinking Water Well k) Drainage Way �!� ft Property Line �ft Other 2U SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) 70 v/V 3 tj�,iz­ C) M 3 j J Parent material(geologic) �V��)/ l�f l�r ¢�/ Depth to Bedrock Depth to Groundwater. Standing Water in Ho e: l 2- �G P h p [V cg�n� l Weeping from Pit Face f� O " Estimated Seasonal High Groundwater f \ Z DETERNIINATION FOR SEASONAL HIGH WATER TABLE Method Used: _ Depth Observed standing in obs.hole: 7 l.2�(NvN�)a. Depth to soil mottles' ,4� - In, Depth to weeping from side of obs,hole: ��/�- (n, Groundwater Adjustment /1^ ft. Index Well# Reading Date: Index Well level-:��Adj,factor — Adj,Groundwater Level_>l 2 PERCOLATION TEST Date S 3b t xYtne Observation Hole# -�r--L Time at 9" Depth of Perc ba Z�( Time at 6" Start Pre-soak Time @ u t�( Time(9"•6") End Pre-soak t V 2 �4+M••n Rats Min./Inch Site Suitability Assessment: Site Passed (J Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division r 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 EI'rlC\PER CFORM.DOC DEEP-OBSERVATION MOLE LOG Mole#_�� 5 9, 6 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stones;Boulders. _ orisistency,%gravel) �hesd; y� 6 o DEEP OBSERVATION DOLE LOG Dole# 2 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsis en % ra Y Sae /OYjL 4 jj 144 DEEP OBSERVATION DOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Con i to c Gravel) r DEEP OBSERVATION DOLE LOG Dole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stotler;Boulders. Cons' ten r, Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes 4— 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 pervio material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring per ious material? Certification ,, I certify that on n' (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 trainin a pertise and expe ence described in 3 10 CMR 15.017. Signature Date 5-34`13 Q:WEMCVERCPORM.DOC No. ` / Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pplitation for MispD8al *pstrm Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. b g ttoxo l.n Owner's Name,Address,and Tel.No. Assessor's Map/Parcel °j2 — YY7 S14 ,e: S Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building. Dwelling No.of Bedrooms \3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank 1000 Type of S.A.S. Goo K, U ►t/}. Description of Soil Nature of Repairs or Alterations(Answer when applicable) DIE 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 Co not to place the system in operation until a Certificate of Compliance has been issued by this Board of Healt - Signed np Date 2 Application Approved by Date -;z-- Application Disapproved by Date fof the following reasons Permit No. ! �� Date Issued '/1- ��` No. _ � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: V Yes PUBLIC HEALTH DIVISION -TOWN,OF BARNSTABLE, MASSACHUSETTS 2pplitation for Jbisposal opstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. �g &t'Y A J L.h Ownner's1 Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. j Designer's Name,Address,and Tel.No. &dA t5 Sul2�ie Type of Building.- Dwelling No.of Bedrooms \� Lot Size sq.8. Garbage Grinder( ) Other Type of Building No.of Persons Showe s( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3&7 gpd Design flow provided x_ gpd Plan Date Number of sheets Revision Date - Title f Size of Septic Tank ODD Ty`pexot;S.A.S. 'Qy( o626) -.,„ Description of Soil ' Nature of Repairs or Alterations(Answer when applicable) DIAW e14C6 ` 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 Co and not to place the system in operation until a Certificate of �. Compliance has been issued by this Board of Health. Signed --,/�nn Date /?r Application Approved by l 1� Date Application Disapproved by Date for the following reasons Permit No. �✓f 3 XS(,i Date Issued T14 E COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the OrokxA_ ' Sewage Disposal system Constructed( ) Repaired( UpgradedAbandoneedd( )by h at O n GmJ✓ ) 21 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.P 13 •A 5G dated 7 -0 �(3 Installer Designer #bedrooms �� Approved desi ow .. 0 ' gpd n n The issuance of this permit ll no onstrued as a guarantee that the system will nct'on fss desi�g'ned � I / i f ; fl A Date � � Inspector (Wi4f Ae ( t/ y V - - - --------------- No. d 13 S r Fee ( O, y THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposar fppstem Construction permit Permission is hereby granted to Construct( )^ Repair Upgrade( ) Abandon( ) System'located at �0 ( 0�C tD FYI 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 completed within three years of the date of this permit;,-� Date —(l '(3 Approved by s Town of Barnstable �t►�, Regulatory Services Thomas F. Geiler,Director * MAS& Public Health Division 9�Ar . a � Thomas McKean,Director Fp Mp2l 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: 1- L?- 13 Sewage Permij# / —effk Assessor's Map/Parcel Installer & Designer Certification Form Designer: S S lS<(Z t/ E`f 33�G Installer: �G`f ��- Address. �o « Z9 Address: C> til �JC4 t�t�, a�5�3 pew r uF ILIA, On (-4' t:y F'i sN s=�� was issued a permit to install a (date) (installer) septic system at c,-s, Cc.Jcorr.,) L t, based on a design drawn by (address) kt ec-rY -Y' dated (designer) 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. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. 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-b ilt by designer to follow. Stripout (if re inspected and the soils were found atisfactory. ���IH MASs9 , DAVID D. 7;e FLAHERTY,JR. N (Ins er's Signature) No. 1211 rsTER�`� S�VITARk � V41De—si'gneN Signa r (Affix Designer's Stamp Here) 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:\office forms\designercertification form.doc r i /n COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS John Grad DEPARTMENT OF ENVIRONMENTAL PROTECTION DEP Title V Septic Inspector ONE WINTER STREET BOSTON MA 02108(617)292-3500 P.O.Box 2119 TeaTicket,Ma. (508)564-6813 TRUDY COXE Secretary ARGEO PAUL CELLUCCI DAVID B.STRUHS Governor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION ^ rl Property Address: 68 CONCORD LANE (3_`T="`_:___ AAAP 122 PAR 111 Name of Owner BARRY NUNES rn Irv? Address of Owner: SAMEIke- Date of Inspection: 3/16199 r Name of Inspector:(Please Print)JOHN GRACI I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000) moo', '19199 Company Name: John Graci Title V Septic Inspection Mailing Address: P.O.Box 2119 TeaTicket,Ma.02636 Telephone Number: (608)664-6813 CERTIFICATION STATEMENT I certify that I have personalty inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of inspection.The Inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.The system: X Passes The inpection is based on criteria defined in Title V Conditionally Passes code 310 CMR 15.303.My findings are of how the system Is Needs Further E luation By the Local Approving Authority performing at the time of the Inspection.My Inspection does _ Fails not imply any warranty or guarantee of the longgevity of the septic system and any of Its components useful life. Inspector's Signature: Date:3/17199 The System Inspector shal submit a copy of this Inspection report to the Approving Authority(Board of Health or DEP)within thirty(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 Department of Environmental Protection.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. NOTES AND COMMENTS THE SYSTEM PASSES TITLE V INSPECTION.RECOMMEND MOVING TREE THAT IS NEAR SEPTIC TANK TO PREVENT ROOT DAMAGE. RECOMMEND PUMPING SYSTEM EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFULL LIFE. revised 9/2198 Page 1 of 11 l— SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 68 CONCORD LANE OSTERVILLE MAP 122 PAR 111 Owner: BARRY NUNES Date of Inspection:3/16199 INSPECTION SUMMARY: Check A, B, C, or D: A. SYSTEM PASSES: _ I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist.Any failure criteria not evaluated are indicated below. COMMENTS: System passes Title V inspection B. SYSTEM CONDITIONALLY PASSES: na 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. Indicate yes,no,or not determined(Y,N,or ND).Describe basis of determination in all instances.If"not determined",explain why not. na The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance(attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection;or the septic tank,whether or not metal,is cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank failure is imminent.The system will pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. na Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken,settled or uneven distribution box.The system will pass inspection if(with approval of the Board of Health). broken pipe(s)are replaced _ obstruction is removed distribution box is levelled or replaced na The system required pumping more than four times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): _ broken pipe(s)are replaced _ obstruction is removed t revised 9/2/98 Page 2of11 V} f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 68 CONCORD LANE OSTERVILLE MAP 122 PAR 111 Owner: BARRY NUNES Date of Inspection:3/16/99 C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: _ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 15.303(1)(b)THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT ThE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ Cesspool or privy is within 50 feet of 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 AND SAFETY AND THE 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 soil absorption system and the SAS is within a Zone I of a public water supply well. _ The system has a septic tank and soil absorption system and the SAS Is within 50 feet of a private water supply well, The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,Method used to determine distance nla.(approximation not valid). 3) OTHER nla revised 9/2/98 Page 3 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 68 CONCORD LANE OSTERVILLE MAP 122 PAR 111 Owner: BARRY NUNES Date of Inspection:3116/99 D. SYSTEM FAILS: You must indicate either"Yes"or"No"to each of the following: I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303.The basis for this determination is identified below.The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No X Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. X Liquid depth in cesspool is less than 6"below Invert or available volume is less than 1/2 day flow, X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped n1a. X Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. X An portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Y P P vY PP Y rY X Any portion of a cesspool or privy is within a Zone I of a public well. X Any portion of a cesspool or privy is within 50 feet of a private water supply well, X Any portion of a cesspool or privy is less-than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis.If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic ompounds, ammonia nitrogen and nitrate nitrogen. X The liquid level in the SAS is over the invert pipe,Is in Hydraulic Failure. E. LARGE SYSTEM FAILS: 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: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No X the system Is within 400 feet of a surface drinking water supply X the system is within 200 feet of a tributary to a surface drinking water supply X 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) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.30412).Please consult the local regional office of the Department for further Information. revised 9/2/98 Page 4 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 68 CONCORD LANE OSTERVILLE MAP 122 PAR 111 Owner: BARRY NUNES Date of Inspection:3/16/99 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following: Yes No X Pumping information was provided by the owner,occupant,or Board of Health. X 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 system recently or as part of this inspection. X As built plans have been obtained and examined.Note if they are not available with N/A, X The facility or dwelling was inspected for signs of sewage back-up. X The system does not receive non-sanitary or industrial waste flow. X The site was inspected for signs of breakout, X All system components,excluding the Soil Absorption System,have been located on the site. X The septic tank manholes were uncovered,opened,and the interior of 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 Soil Absorption System on the site has been determined based on: X Existing information,For example,Plan at B4O,H, X Determined In the field(if any of the failure criteria related to Part C Is at issue,approximation of distance is unacceptable) (1 5.302(3)(b)J X The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of SubSurface Disposal Systems. revised 9/2/98 Page 5 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 68 CONCORD LANE OSTERVILLE MAP 122 PAR 111 Owner: BARRY NUNES Date of Inspection:3/16/99 FLOW CONDITIONS RESIDENT1A1; Design flow:-=g.p.d.lbedroom Number of bedrooms(design): 3 Number of bedrooms(actual):.1 Total DESIGN flow: 1111 Number of current residents:2 Garbage grinder(yes or no):NQ Laundry(separate system)(yes or no): NO If yes,separate inspection required Laundry system inspected(yes or no):M Seasonal use(yes or no):.I,LQ Water meter readings,if available(last two year's usage(gpd): nLa Sump Pump(yes or no): NQ Last date of occupancy: n& COM M ERCIAL/INDUSTRIAL Type of establishment: nla Design flow: n&gpd(Based on 15.203) Basis of design flow: n& Grease trap present:(yes or no):DLO Industrial Waste Holding Tank present:(yes or no):.NQ Non-sanitary waste discharged to the Title 5 system:(yes or no):NQ Water meter readings.if available:n& Last date of occupancy: n& OTHER: (Describe) nla Last date of occupancy: n& GENERAL INFORMATION PUMPING RECORDS and source of information: System pumped as part of inspection:(yes or no):NQ If yes,volume pumped nLa_ gallons Reason for pumping: nta TYPE OF SYSTEM XSeptic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no)(if yes.attach previous inspection records,if any) I/A Technology etc.Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other: nLa APPROXIMATE AGE of all components,date installed(if known)and source of information: SYSTEM.WAS INSTALLED IN 1983 PERMIT#82-658 Sewage odors detected when arriving at the site:(yes or no): NO revised 9/2198 Page 6 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 68 CONCORD LANE OSTERVILLE MAP 122 PAR 111 Owner: BARRY NUNES Date of Inspection:3/16199 BUILDING SEWER: (Locate on site plan) Depth below grade: 1'6" Material of construction:_ cast iron X 40 PVC _ other(explain) Distance from private water supply well or suction line: TOWN Diameter: n& Comments: (condition of joints,venting,evidence of leakage,etc.) nLa SEPTIC TANK: X (locate on site plan) Depth below grade: i Material of construction:X concrete_ metal_ Fiberglass _ Polyethylene _ other(explain) nla If tank is metal,list age Is age confirmed by Certificate of Compliance(Yes/No): NO WA Dimensions: L 9'6"H6'7"W 4'10" Sludge depth: 2. Distance from top of sludge to bottom of outlet tee or baffle: W Scum thickness:-11 Distance from top of scum to top of outlet tee or baffle:6_ Distance from bottom of scum to bottom of outlet tee or baffle: A How dimensions were determined: MEASURED Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage, etc.) SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND RECOMMEND PUMPING SYSTEM EVERY TWO YEARS GREASE TRAP: (locate on site plan) Depth below grade: Material of construction:_concrete_ metal_ Fiberglass _ Polyethylene_other(explain) nla Dimensions: n& Scum thickness: n1A Distance from top of scum to top of outlet tee or baffle:_nla Distance from bottom of scum to bottom of outlet tee or baffle nla Date of last pumping: Wit Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage, etc.) Wit revised 9/2198 Page 7 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 68 CONCORD LANE OSTERVILLE MAP 122 PAR 111 Owner: BARRY NUNES Date of Inspection:3116199 TIGHT OR HOLDING TANK: NO (Tank must be pumped prior to,or at time of inspection) (locate on site plan) Depth below grade: Wa Material of construction:_ concrete_ metal_ Fiberglass _Polyethylene_ other(explain) Wa Dimensions: n/a Capacity: Wa gallons Design flow: nLa gallons/day Alarm present: NQ Alarm level:j3La_ Alarm in working order:Yes_No_ NQ Date of previous pumping: Wa Comments: (condition of inlet tee,condition of alarm and float switches,etc.) n& DISTRIBUTION BOX: X (locate on site plan) Depth of liquid level above outlet invert:n& Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.) nLa PUMP CHAMBER: NO (locate on site plan) Pumps in working order:(Yes or No): NQ Alarms in working order(Yes or No): NQ Comments: (note condition of pump chamber,condition of pumps and appurtenances.etc.) BLa revised 9/2/98 Page 8 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 68 CONCORD LANE OSTERVILLE MAP 122 PAR 111 P Y Owner: BARRY NUNES Date of Inspection:3/16/99 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods) If not located,explain: nLa Type: leaching pits,number: 1000 GALLON LEACH PIT leaching chambers,number: _nLa leaching galleries,number: _nLa leaching trenches,number,length: nLa leaching fields,number,dimensions: nLa overflow cesspool,number: Wa Alternative system: n& Name of Technology: _nLa Comments: (note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) THE LEACH PIT IS STRUCTURALLY SOUND AND FUNCTIONING PROPERLY PIT WAS 1/2 FULL AT THE TIME OF THE INSPECTION CESSPOOLS: _ (locate on site plan) Number and configuration: Wa Depth-top of liquid to inlet invert: Wa Depth of solids layer: Wa Depth of scum layer. a& Dimensions of cesspool: Wa Materials of construction: n& Indication of groundwater: Wa inflow(cesspool must be pumped as part of inspection)nta Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) nLa PRIVY: _ (locate on site plan) Materials of construction:n& Dimensions:n& Depth of solids: n& Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) Wa revised 9/2/98 Page 9 of 11 l SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 68 CONCORD LANE OSTERVILLE MAP 122 PAR 111 Owner: BARRY NUNES Date of Inspection:3/16/99 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) n/a �,yG C� Aa a� Ab 3� A( 4y L PA IL 030 � 3a _ revised 9/2/98 Page 10 of 11 t�� SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 68 CONCORD LANE OSTERVILLE MAP 122 PAR 111 Owner: BARRY NUNES Date of Inspection:3116199 NRCS Report name: WA Soil Type: nla Typical depth to groundwater: n(a USGS Date website visited: n(a Observation Wells checked: NO Groundwater depth:Shallow _ Moderate _ Deep _ SITE EXAM _ Slope _ Surface water _ Check Cellar Shallow wells Estimated Depth to Groundwater 12 Feet Please indicate all the methods used to determine High Groundwater Elevation: _ Obtained from Design Plans on record X Observed Site(Abutting property,observation hole,basement sump etc.) _ Determined from local conditions _ Checked with local Board of health Checked FEMA Maps _ Checked pumping records _ Checked local excavators,installers X Used USGS Data Describe how you established the High Groundwater Elevation.(Must be completed) USGS MAPS AND CHARTS AND VISUAL-12+FEET revised 9/2/98 Page 11 of 11 T//O��WN OF BARNSTABLE 3 �� LOCATION (�0o'J ©/ SEWAGE# VILLAGE �l ASSESSOR'S MAP&/PARCEL INSTALLER'S NAME&PHONE.N0. SEPTIC TANK CAPACITY .1000 LEACHING FACILITY:(type) ig 1 K, y 5 (size) NO.OF BEDROOMS i ?, OWNER /� S PERMIT DATE: COMPLIANCE DATE: Separation Distance Be en 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 47 z Al - o y Q /000 61 13y,- `/ . a LOCATION SEWAGE PERMIT NO. CO to r(3 VILLAGE INSTA LLER'S NAME i ADDRESS K ti I BUILDER OR OWNER DA T E PERMIT ISSUED DATE COMPLIANCE ISSUED �� �e7 30 �� 3 Z � b No. �........... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ..I...0-CLn'k-. oF......... ................. .... � -----------------•-•-•-•---• Applirattion for Dispoii ai Works Toutitrnrtinn Famit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal tem Sys , at: T *.......... � of C-d �. ...?- �'� �, , , `4 .... ----- ----------------------- ----------------------------------- ..... . ....... .... ........ Locati .Addre or No Address a .........�!CZ 1 . O er....... -' 1 ... v............................................................................................... Installer Address Q Type of Building Size Lot............................Sq. feet ap Dwelling—No. of Bedrooms...... �._..._......................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ..........�ir..—. No. of persons............................ Showers ( ) — Cafeteria ( ) fl, Other fixtures ---------------------------------- W Design Flow.......... ............gallons per person per day. Total daily flow......�__.�._ .......................gallons. WSeptic Tank—Liquid capacity./dA0..gallons Length... .... Width... ........ Diameter________________ Depth................ x Disposal Trench—No. ........./........ Width.................... Total Length.................... Total leaching area._/q� ........ ft. Seepage Pit No--_---------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.... i!- 'C .R._.±'__ _......................... Date........................................ aTest Pit No. 1.1.-•-.2-.minutes per inch Depth of Test Pit___-__-_•_-_-._-__. Depth to ground water-41/07---_-- Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ c� ............................................ -- -------•-•............... O Description of Soil -^ ........ t �_,- i0 f l..........��'_...J!4 �.... x W -•••-•-----------------•------------------------••----•------------------------------....-•--••-•••----••--•--•---------------•-------•---••••-•---••••••---•-•-•-••••••--•-•-••-••-•••••......-•----•- UNature of Repairs or Alterations—Answer when applicable................................................................................................ ................... ----------------------•------------•--•------------------------.........--•--------••----------------------------------•-•-------•- .............................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iI'L iZ 5 of the State Sanitary Code-The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issu b the r ,f ealth. ig -°tea ...._......_ Id... -- D, Application Approved By -•---• --------------------------------•----•---._.....................------ l`� y Date Application Disapprove or t e following reasons---------------------•--•--------------------------------------•---------------------------------._._............ -•------------•-•••-•---••---••••-•---••--------•----••••-•••--•--•••-••••-••-•-•--••-------------------•--•-••---•--•••------•-•-------•••-••-••-•••-•-•-••---•-••-•••-••--••••-•------•-•••-•-----••-- Date Permit No.......................................................-- Issued_............................ ........................... Date � - \ --_-_ THE oomMowvvEALr* or wAssAoxussrrs ^ Y` � ������ ���� ���� HEALTH ���~^^" ~�� �," ..........................................OF..................................... ---'..................................... ��� Disposal. ������lir��tmw�� ��/� ���� l Works To4ws44uurtmwu» pumot Application is kcrcbv made for u I`crnoit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System.at: ................-................................................................................ -'--------------------'------'--'--------'----- Lo=tio" Address m Lot No. ----------------'--------------------------------' ------------------'--'-------'-'--'---'----------' � o°m, Address ----------------'-----------------'--------'-'---- -----'---------------'-----'-----------'---'----' Installer Address Type ofBuilding Size Lot............................Sq. feet Dwelling--No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder ( ) Other—Typeof Building ............................ No. of persons............................ Sbm~cro ( ) -- Cafeteria ( ) P4 (Jtbec fixtures -.-_---.-_-_-----_--.--_------_------------------------.----------- 4 Design Flow............................................ per person per day. Total daily flow............................................ . Septic Tank--Liquid capacity............gallons Length................ Width................ Diao`ctcr_----- Depth................ Disposal Trench--No..................... Width.................... Total Length.................... Total area....................sq. ft. Seepage Pb Nu.-'-_-'--. Diameter.................... Depth b6mv inlet.................... Total area..................ag. b. Z Other Distribution box ( ) Dosing tank ( ) ~~ Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. l................minutes per inch Depth of Test PiL-.-------' Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................' Depth to ground water........................ o4 '--'--------'---''-----'------------------'-'--'..............................................*. Description` of Soil........................................................................................................................................................................ -----_-.---.-'_--'---.-------_-_-------__--_'_-_----.----__--_-_.---'''_-_._____. L) Nature of Repairs or Alterations--Answer when ----------_--_-_'-----'--'-.--___- ............_....._...................._......_...................................................................................'.....'''..............._............'.._'.......................... Agreement: The undersigned agrees to install the uforedescribed Individual Sewage Disposal System in accordance with the provisions of T IT IL- 5 of He State Code— The undersigned further agrees not to place the system in operation until o Certificate of Compliance has been issued bv the board ofhealth. ig -----'----' ---- ------ lall Aoolicntioo Approved 8 -----_-------------_-------------- .�.'��.--- Date�ypucuoouu ;Kjol�lowzin_grxoxomx�---_---.----------_----_.-------------------------- _-_-__'_-_--___------_.-___'----_____------_-_--___'-_---_-'_--'_-_--_--'__---___' Date Permit Date THE CowMmwvvsAcrH or xv^ssAc*ussrrs .BOARD OF HEALTH ..........................................OF..................................................................................... � ^ at the Individual Sewage Disposal System construc r Repaired Installer -------------------------------------------------------------------------------------------------------------------------- has been installed inaccordance with the provisions of TITLE the application for Disposal Works Construction Permit lJo--' .'............'............... dated .............. THE ISSUANCE OF THUS CERTIFICATE SHALL-- — A GUARANTEE THAT THE SYSTEM WU SATISFACTORY.- ------ - ' -- ---------------------------' -' , - ------------------------------- rr� sr*s oowwomvsAcrH o uss BOARD OF HEALTH ���� .......................OF..................................................................................... to Cons�tr r Repa�ip-b a!nI 4 ual,-S�_wage Disposal System atNo............. .... ....... .era . . ... ... .......... Street as shown on the application for Disposal Works Construction Permit No;--- -------------- ed.. .......... ponw 1255 xooaswWARREN. INC.. ruauexEnS LOCUS DATA PROPOSED 11.32' x 24.0' 70 ,O S.A.S. EXISTING SHED TO A �.� = CURRENT OWNER STEPHEN TIBBETTS / o BE RELOCATED N � LOCUS Q LIANNA TIBBET o TS \ z ` ( � 3' D.T.H. o CONCORD PLAN REFERENCE 326771 \ #1 7� LANE SHE 8�95 . �' DEED REFERENCE 25789-171 \ ^o 0, r ?64, Fki A ZONING DISTRICT RF / GP ..`� D-Box �y �s � q/ 99 LOCUS MAP FLOOD ZONE "C" \ . T.H #2 � FF NOT TO SCALE: ASSESSORS MAP 122 � r POOL � NSF � 13-0120 PARCEL 111 \ EXISTING LEACHING PIT TO 'J L O / 18 OVERLAY DISTRICT ZONE II � BE PUMPED, CRUSHED ANDO ' h ABANDONED IN ' LOT AREA 20,003f S.F. ACCOf DANCE WITH TITLE 5 e — 60 SITE 8c SEWAGE �� . EXISTING —OVERHEAD WIRESUTILIT BED REPAIR PLAN ` ' �POLE Y" \ ` ' 3DWELLINGM / / EXISTING 1,000 #68 CONCORD LANE ���� �� GALLON SEPTIC TANK TO REMAIN OS TER VIL L E o� / IN �� � � ��� ��` ��\9� ' LOT l9 ,� BARNSTABLE, MASS BENCHMARK �'>� 20,003t S. CORNR DATE: JUNE 17 2013 �0 \I CONCE BUOLKHEAD /� ' \ ,ELEV. 61.66 \ Q IN, OWNER/APPLICANT: MR. STEVE THIBBETTS \ 68 CONCORD LANE / OSTERVILLE MA 02655 LOT 20 SHEET 1 OF 2 PREPARED BY: N �► �^ / GO / EAS SURVEY, INC. i �� ,' � /' 7' / °FM" ssq�y 141 R T. 6 A o I \ o�� // , o ED HARD 20 30 40 / STONE P . O. B 0 X 1729 ��o. 800 i SANDWICH , MA 02563 GRAPHIC SCALE: E PH. (508) 888-3619 1 INCH = 20 FEET , CELL (508) 527,-3600 1 SYSTEM DESIGN RAISE COVERS TO WITHIN 6" OF FINISH GRADE (2) OBSERVATION PORTS TO EXISTING DESIGN FLOW TCF = 62.50 FINISH GRADE GRADE / SCREW ON CAP 3 BEDROOMS AT 1 00 GPB/D 3-N- GPD ELEV. 60.9 FINISH GRADE \ ELEV. 59.0 ELEV. 58.8' REQUIRED SEPTIC TANK TOP 60.64 \ _ GROUND ELEVATION 59.0 . ///.� / �� �� 330 x_2 _ _ 660 GAL. �\ �\ 10.0'CADS= 0.01 2.3' OF COVER 7.5'®S= 0.02 TOP ELEV 57.00 SEPTIC TANK PROVIDED = _1.000_GAL. EXISTING 4" PVC 42'®S=0.058 5.0'CADS= 0.03 v 13 OF SCH 40 �- 4" PVC SCH 40 2.5'CADS= 0 04 a• EXISTING INV.= 2 MIN-3 MAX SIZE OF LEACHING FACILITY REQUIRED ,. 59.56 10"TEE 14"TEE INV.= N ,,t TO REMAAN 5-7" INSTALL 59.39 6" DESIGN PERC RATE _<?___MIN./INCH GAS BAFFLE 6 OUTLET LONG TERM APPL. RATE 0.74_GPD/S.F. OF 4'-6 1/2 4'-1" LIQUID LEVEL H-10 DB6 (24) 34 x 48 x 12" CHAMBERS Sc INV.=56.94 INV.=56.67 QUIK "4 INFILTRATORS SIZE OF LEACHING SYSTEM PROVIDED: �02 D VI ti 4 ROWS IN BED FORMAT � INV.=56.77 0 � -� 24.0' -I a o 56.00 330 _ 0.74 SF/GPD = 446 S.F. MIN. REQ. L 1 LA R C % 6 CHAMBERS PER ROW T 1 °1 'n USING 6 CHAMBERS IN 4 ROWS (24 UNITS) EXISTING 1,000 GALLON SEPTIC TANK ELEV. 47.0 �F 0� TO REMAIN � AND NO STONE AROUND c�STER QUIK "4" INFILTRATORS SANiT. �P CONSTRUCTION NOTES: OBSERVATION PORT 4.73 SF / LF X (4 x 24) = 454 S.F SCREW CAP 13-0120 1. CONTRACTORS / INSTALLERS SHALL VERIFY GRADES AND 454 x 0.74 G/SF = 336 GPD ELEVATIONS AND SITE CONDITIONS PRIOR TO COMMENCING SAND FILL 336 GPD PROV > 330 GPD REQ.= 6 GPD RES. WORK ON THE SITE. SITE & SEWAGE 2. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE o NO (GARBAGE DISPOSAL / GRINDER ALLOWED) WITH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT �T o FROM REPAIR PLAN 3. IVEHICULARAIN TRAFFIC, PARKING OFSUCHOVEH CLLESAPPROPRIATE AND PLAC NGAUTHORITY. o MATERIALS OVER THE SEPTIC TANK, DISTRIBUTION BOX AND P 14021 , 68 CONCO' ?D LANE- S.A.S. AREA IS PROHIBITED 2.83' 2.83' 2.83' 2.83' D.T.H. #1 0 D.T.H. #2 91 NOTES: DATE: 5-30-13 DATE: 5-30-13 OS TC R V IL L C c 1GE 4. ALLAWORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. 11 SIDE.32 (VIEW ) GROUND ELEV. 59.0 GROUND ELEV. 59.0 IN TITLE V AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS NO GROUNDWATER NO GROUNDWATER FOR SUBSURFACE DISPOSAL OF SEWERAGE. DATUM : A A BARNSTABLE, MASS 2. AT LEAST ONE ACCESS POINT OVER TANK TEES SHALL BE „ t LOAMY SAND LOAMY SANG ACCESSIBLE WITHIN 3 OF FINISH GRADE, WITH ANY REMAINING VERTICAL DATUM: 10YR 4/3 10YR 4/3 DATE: DUNE 17, 2013 ACCESS PORTS BROUGHT TO WITHIN 12" OF FINISH GRADE. 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE } MSL± / BARNSTABLE GIS 6" 4„ CAPABLE OF WITHSTANDING H-10 LOADING UNLESS BENCH MARK USED: B B OTHERWISE SPECIFIED. LOAMY SAND LOAMY SAND OWNER/APPLICANT: 4. THE EXCAVATION CONTRACTOR SHALL VERIFY THE LOCATION I CORNER OF CONC. BULKHEAD 7.5YR 5/6 7.5YR 5/6 OF ALL UTILITIES PRIOR TO ANY EXCAVATION. ELEVATION 61.66 EL = 575 18" EL. = 57.7 16" M R. S TE VE TH I B B E TTS 5. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE . . HIN 6" OF DE L BE MORTARED 68 CONCORD LANE 6. FFIINISHTGRADE SHALLAHAVEHALMINIM M OF 0.021FEETAPER DTH #1 i INDICATES DEEP FOOT OVER THE S.A.S. AND DISTRIBUTION BOX. I TEST HOLE 42" 0 S TE R VI LLE 7. SEPTIC TANK SANITARY TEE'S SHALL BE CONSTRUCTED OF MA 02655 THE EFDLOW ULE LINE AND S40 PVCDHALLALL BE ON THE C NEXTEND AITERLINEOAND, ABOVE INDICATES NO MOTTLING LOCTEDSHEET 2 OF 2 8. THEAINLETDPIPETI VERTDERLEVATIONESHALLL BE NO THE CLAN OUT MANHOLES. LESS THAN P-1 42" PERC TEST NO WEEPING C C 2 INCHES NOR MORE THAN 3 INCHES ABOVE THE INVERT MED. SAND MED. SAND ELEVATION OF THE OUTLET PIPE. 2.5Y 7/6 2.5Y 7/6 PREPARED BY: 9. THE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9 INCHES �� 144' INDICATES ADJ. GROUNDWATER NO G.WATER I 144" NO G.WATER 144" E A S SURVEY, INC. 10. THE OUTLET BAFFLE,4 INCHES INRY TEE SHALL BE DIAMETER AND CONSTRPPED UCTED ITH A OF 4"GAS PVC i NO OBS. GROUNDWATER ELEV = 47.0 ELEV = 47.0 11. ALL PIPES SHALL BE SCHEDULE 40 PVC SEWER PIPE AND B.O.H. 141 R T. 6 A SHALL BE SLOPED 1/4 INCH PER FOOT MIN. EXCEPT FOR THE NO OBSERVED GROUNDWATER DONNA MIORANDI FIRST TWO FEET OUT OF THE DISTRIBUTION BOX WHICH SHALL DEPTH TO BOTTOM OF HOLE 12.0' SOIL EVALUATOR P. O. BOX 1729 BE LEVEL j ED. STONE 12. CHANGES OR REVISIONS TO SEPTIC DESIGN REQUIRE NOTIFICATION VARIANCES REQUESTED BACKHOE OPERATOR. SANDWICH M A 02563 TO EAS SURVEY INC. FOR B.O.H. AND DESIGN ENGINEERS REVIEW RODNEY FISHER AND APPROVAL. NONE �/ q SOIL TYPE: PH. (508) 888-3619 13. MAGNETIC TAPE ON ALL COMPONENTS. `� � / Z�Sj RATE:PERC LOADING RATE? OI N. PER INCH 74 GAL MIN CELL (508) 527-3600 SITE PL Aril T YPICAL PROFIL E ' NOT TO SCALE SCALE 18"ST9. LT. WGT. C.I. MH COVER 4 C.1. PIPE 4"BIT FIBER PIPE TIGHT JOINTS OJrLET LEVEL ; FLOW L INE O TO FIRST JOIN 4. DWELLING EE l4 T �Z O O C.I. TEE _ _ _ _ STANDARD PRECAST T44'r- e,6: CONCRETE GALLON SEPTIC TANK r DI S TRIBU TION BOX B TO BE INSTAL L ED ON LEVEL, STABLE BASE. /j To SEPTIC TANK TO BE INSTAL L ED ON �4 4 LEVEL , STABLE BASE .sF ;C ~ \ 2' - //8" TO 1/2` WASHED PEA 5TONE LEACHING PIT ALL AROUND FREE OF IRONS, FINES BASE TO BE LEVEL AND DUST 11v PLACE .5 T v• P.�ZEG�t 5T �o UC. �� �� BRICK Q MORTAR COURES 3/4" TO / 1/2" WASHED CRUSHED 4&A C N E3 A s)A-/ hx I AS R£OUIRED rO BRING STONE ALL AROUND FREE OF ` "{ r COVER TO GRADE 24C.I. MH COVER IRONS' FINES AND OUST IN PLACE. A NO FRAME t f t :r. / ,2E5E,2vE SEA Ci+ P Pee o I 4" a w e LEACHING PIT SECTION— B x s ..FLO /NE - - ;,,% o V INLEr a ; I. CONCRETE TO BE 4000 PSI 28 DAYS 2 REINFORCED WITH 6 6" x 6" NO. GA. W.W.M. 3. 2' AND 4' SECTIONS ARE AVAILABLE FOR GREATER / m 32 n DEPTH REQUIREMENTS. OPENING W1TH 4-1/8 4. NUMBER OF PITS REQUIRED •' OUTER DIAMETER S ' ,57,0 b '� 0 1-3/4„ INS/DE DIAMETER � NOTE EXCAVATE TO ELEVATION ' OR LOWER AS d �,� '� REQUIRED TO REMOVE ALL LOAM AND CLAY BENEATH WITH L O T /� r PIT REPLACE EXCAVATED MATERIAL CLEAN /4 � 20; 00 � 5j� I ? �s - GRAVEL TO DESIGNED GRADE . / I X � r 1 • ♦ 4,-0 ' —— v T ZP j _.....r MIN. EFFECTIVE DIAMETER (NO T TO EXCEED 3 TIMES EFFEC T/VE DEPTH) WATER TABLE-- 5 SOIL AND F'ERC. DATA GENERAL NOTES - _ PERC. RATE 2 MIN. /IN . NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. — - - — — - - - ra.� — /',t IJ.E,� E.UT 3�`� 8 T k' `1 E /�( L ��1 � SEPTIC TANK, DISTRIBUTION BOX , LEACHING PITS TO BE STANDARD 4► TEST BY; E5 G E, PRECAST REINFORCED CONCRETE UNITS. WITNESSED BY G� 4-;, B• 'o �- ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE C D Ltd / 40 60 J p P > TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE , h C TEST PIT GR. EL. — DATE j ' MINIMUM REQUIREMENTS FOR THE SUBSUFACE DISPOSAL OF h TEST PIT NO. I TEST PIT NO, 2 SANITARY SEWAGE EFFECTIVE I JULY 1977. 0 0" ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE zq' _5_J _ '.___.___ -- BOARD OF HEALTH. AT COMPLETION OF CONSTRUCTION , PRIOR TO BACKFILLING, THE D, A U'' A AA E BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. PI ER LINES /4" / FT. UNLESS INDICATED PITCH ALL SEW I OTHERWISE. • , ,pry�{`7`6 r v k DESIGN DATA BEDROOMS DISPOSAL c n EST. TOTAL DAILY EFF. moo' GALS. L EGENCJ -- SEPTIC TANK GAL. SIDEWALL AREA Z ' GAL./SQ. FT. BOTTOM AREA I GOAL./SQ. FT. Oxoo EXISTING GRADE LEACHING REQUIRED / e?."'O SQ.FT. SEWAGE DISPOSAL SYSTEM ZONE _ z o. oo FINISHED GRADE ACTUAL LEACHING AREA `T So SQ.FT FOR �"oC ��J 1�_, A 7 :2 ca. oo INVERT ELEVATION t.�L1.-act✓ G� ♦L .. GoT / � C© yG r✓. ,d L A DOMESTIC WATER SOURCE � ___� � �_.. • PROPERTY LINE Ad 2 �.7� : c eL' i Z. .. 01A,FL-4�' T 4 8 PLAN REFERENCE: L. v 7- GJ �a 7- A,—V LE 41T.5 . �S �( ,4 �s ¢` iRlr eCTlo�l C�>crroD ` x cQ�c'LrSLE LI✓SfJ�9Ep 3�� MEAN HIGH WATER '� � SCALE AS INDICATED DATE : � '� „, /a/2 2/ga BENCH MARK DATUM A ` ` } Ll - G l� s=1-2 y E �` .Y/- �L MARSH . _ WM. M. WARWICK B ASSOCIATES BOX BOI - NORTH FALMOUTH � o�z� z0 t /E A)4, tJ ,4'A Z Q E' "G '` /�A ,tJ E L a 5ooc/ ©o/�-A 41-3 ti; t' Mt SSACHUSE T TS 02556