HomeMy WebLinkAbout0005 HIGH VIEW CIRCLE - Health 5 HIGH VIEW CIRCLE
MARSTONS MILLS
-- A= 030 - 023 -
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No. '' Fee \�
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
2pplitation for -MispoBal 6pstrm Construction permit
Application for a Permit to Construct( ) Repair(,/) Upgrade( ) Abandon( ) ❑Complete System ✓❑Individual Components
Location Address or Lot No. 5 H*1wiew C:rLIQ, Owner's Name,Address,and Tel.No.$uso n L:cnLbucner-
mckr"CAOns M•,U s
Assessor's Map/Parcel 030- 07-3 S H4, Vitw C:r c le_ Mgcsk-anS A'%kks Mc�
Installer's Name,Address,and Tel.No. Qj 115 SY r_GN0Aio,% Inc. Designer's Name,Address,and Tel.No. Q,no,:neoct noJ�nJorkS
3�y Ro04__ 13o 5andw,0-% 509• y7'7-0toS3 IZ W. Grossf:2ld P,d. Ga[askd�lt 1"�0�
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size 3S, 300 sq.ft*c- Garbage Grinder(p1o)
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 330 gpd Design flow provided 330 gpd
Plan Date 11 - IZ 19 Number of sheets 3 Revision Date
Title
Size of Septic Tank Sx�SVC %000 <V / Type of S.A.S. (Z) S-00 ocxkka , t Qgc,�, Cho cnbc[S
Description of Soil rjGe. 0R S
Nature of Repairs or Alterations(Answer when applicable) I tl Sk-eAk Soo -A0 n 0M C�p be(-
d,-box Qnd SAS. Conna6 +o 1060 Qejon }i c
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health. ,
S' ed ���.. Date (a.LP' 2
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. I ic Date Issued
('� �t?�'
No. -a�i�r`1 J '" ,(/ 11 ! ' 4 Feec
`~ I THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION" kTOWN'OF BARNSTABLE, MASSACHUSETTS
' 2pplitation for Disposal �. stern Construction. 3permit
p
Application for a Permit to Construct( ) Repair(/) Upgrade( ) Abandon( ❑Complete System ❑✓ Individual Components
Location Address or Lot No. 5 H•r�rwi e,w C,r c 19, Owner's Name,Address,and Tel.No. SUsa n L%me b.v r n r
Assessor'sMap/Parcel bhp_ OZ-1 S 1-{'rco, tr,rcie, M. ckrskon; A11s a
Installer's Name,Address,and Tel.No. p} {1 i v c cojo ti un Designer's Name,Address,and Tel.No. ry ,n v er t nod�Jur K;
3��t (�r,va� 13U Sanc4w�C�-, �ofi• c{�'�'t�LSS ��. �I• C.t'nw:f,�lc�.. Y,ct. �tit�`.�Glc.iC l�c,.
E
Type of Building:
Dwelling No.of Bedrooms Lot Size �J S, 3 00 sq.ft+r- Garbage Grinder(9(3)
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 330 gpd Design flow provided 330 gpd
Plan Date 11 I2 • {LI Number of sheets 3 Revision Date
Title
Size of Septic Tank E z; :-k i n 10 d-U p r-"V ! Type of S.A.S. Z) `�00 tw.il 0 Ck C t,
Description of Soil See, C1 rA - J P 'lll
9
--` Nature of Repairs or Alterations(Answer when applicable) �n S5 ,li •S00 gcwtko rr Pump J,a b(,( D !mr) , n tn(rr)
6- box , On6 `iha. Crnne(.l io eY r,tilnR (QOQ
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5.of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health. i
Signed ""_ t� ) Date (c'//��0" Lt//�
Application Approved by .. ~� Date t1/J
,y Application Disapproved by Date
for the following reasons
1 G7��� Date Issued Permit No
- THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( �) Upgraded( )
Abandoned( )by 1P) t,
at "!7 �i;v,a ,r c I e, has been constructed in accordance
J q, r
with the provisions of Title 5 and the for Disposal System Construction Permit No 7 tWated
Installer b 1
. .., �x CnUC- c�� I,�t . Designer
ner ,n v n-?.�f,n „Irrk y
#bedrooms Approved design flow gpd
d
The issuance of this permit'shall not be construed as a guarantee that the system will funV
as designed.
Date '�. 0 Inspector
No `a,—_6'... tl Fee
r THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -BARNSTABLE, MASSACHUSETTS
Disposal 6pstem Constraction ermlt
Permission is hereby granted to Construct( ) Repair( V) Upgrade( ) Abandon( )
System located at
a
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 musube completed within three years of the date of this permi' t.
Date t(; r Approved by`�,
TOWN OF BARNSTABLE
LOCATIONS F4;oJ✓iLLJ ( :rc)c SEWAGE# 2-0-o v 17F
VILLAGE �►, ,�; )�.$ ASSESSOR'S MAP&PARCEL 030 - Q Z 3
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY /DOD
LEACHING FACILITY:(type) S00 5p.) L cC (size) /O x Z9 x Z
NO.OF BEDROOMS 3
OWNER Sc�Snc% U rnr-,5,irncC'
PERMIT DATE: G•I2-ZO 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
�.
J;;7- A
Al-
REAR
A3
os ' ZS�L Riser
DL' 13 ° /
TRANS. NO..:
CITY/TOWN: 25
APPLICANT: 3
ADDRESS:
DESIGN FLOW: gpd
REVIEWED BY: , DATE: _
N/A OK. NO
GENERAL
Legal boundaries denoted [3.10 CMR 15.220(4)(a)] �✓
Street, Lot, tax parcel number and lot number noted on plan [310
CMR 15.220(4)(u)]
Locus Provided 310 CMR 15.2204(t
Plan proper scale? (1"=40' for plot plans, 1"=20' or fewer for
components) [310 CMR 15.220(4,
Easements shown [310 CMR 15:220(4)(b)]
System located totally on lot served [310 CMR 15.405(1)(a) for
upgrades]- if not, a variance is required 31.0 CMR .15.412(4)]
Location of impervious surfaces (driveways, parking areas etc.) ✓
1310 CMR 15.220(4)(d)]
Location all buildings existing and proposed 310 CMR
15220 4 (c)]
Location and dimensions of system components and reserve
areas. [310 CMR 1'5.220(4)(e)]
System Calculations [310 CMR 15,220 4
daily flow
se tic tank capacity (required andprovided)
soil absorption ti:on system (re Lured anal rovided)
whether system designed,for garbage grindej
North arrow [310 CMR 15.220(4)(g)] ✓
Existing and ro osed contours 310 CMR 15.220(4)( )]
Location and log of deep observation holes(existing grade el. on
each test) [31.0 CMR 15.220(4)(h)] v
Names of soil evaluator and BOH representative [310 CMR
15220(4 h and i ]
Location and date of percolation.tests (performed at proper
elevation.?) [310 CMR 15.220(4)(i)]
Percolation test results match loadin .mate? [3]0 CMR 15.242
Certification statement by Soil Evaluator[310 CMR 15.220(4)(j)]
Observed and Adjusted groundwater(method for adjustment
given or indicated) [310 CMR 15.103(3) and 310 CMR
.15.220(4) n
Address Sheet 1 of 7
NSA OK NO
Location,of every water supply;,public and private, [310 CMR
within 4'00 feet of the proposed system location in the case
of surface water supRlies,and gravel packed public water supply
within 250 feet of the proposed system location in the case
within 150 feet of the proposed system location in the case /
of private water supply wells t/
Location.of all surface waters and wetlands located up to 100 ft. n �,
beyond setbacks listed in 310 CMR 15.211 and any catch basins
located within 50 ft. [310 CMR 15.220(4)(1)]
Water lanes and other subsurface utilities located [310 CMR
15 220(4)(m)] (if water line cross see 310 CMR 15.211(l)[1'])
Profile of systern showing invert elevations of all system
components and the bottom of the SAS 310 CMR15.220(4)(o)]
stomp of designer.[310 CMR 15.220(1).and;31.0.'CMR 15.220(2)]
Stamp of Reggistered Land Surveyor(required if construction /
activities within 5 ft..of lot line) [310 CMR 15.220(3)] r/
Test Holes,adequate(two in each of the primary and reserve
unless trenches as permitted in.310 CMR 15.102(2) or as
approved for an upgrade under LUA at 310 CMR 15.405(1)(k)
Test hole adequate to demonstrate four feet of suitable material?
[310 CMR 15.103(4)]
Test Holes adequate to confirm adequate groundwater separation?
31:0 CMR 15.1033]
Benchmark within 5045' of system 310 CMR 15.2200)(9)]
Materials specifications.noted? [various sections of 310 CMR
15.000'1
System components not>36" deep(unless Local Upgrade
Approval or LUA requested) 310 CMR 15.405 1 b
]
Address Sheet 2 of 7
N/A OK NO
SEPTIC TANK
Sizc OK? [310 CMR 15.223 1
Inlet tee located ten inches below flow line [310 CMR 15.227(6)]
Outlet tee 14" or 14" + 5" per foot for increase ft depth. [31.0 CMR �
15.227(6)]
Outlet tee with gas baffle or approved filter [310 CMR. 15.227(4)] ✓
Note regarding installation on stable compacted base [310 CMR
15,.228(1)] �C�
Separation between inlet.and outlet tees (no less than liquid ✓.
de th) 3:10.CIvIR 15..227(2
Inlet/Outlet elevations at least 1.2" above high groundwater
(except as described 310 CMR 15.227(5)) or permitted for
upgrades grades under LTJA [310 CMR 15.405(1)(k
Minimum cover 9" (Tanks buried more than 9"must have risers
on all openings and on the d-box) [310 CMR 15.2228(1) and 310
CMR 15.232 3 (f)]
Three access covers (inlet and outlet must be:20" or greater) -
middle access at least 8" (by 7/07 310 CMR 15.228(2)]
Access to within 6 " of grade - one port for systems<I 000gpd,
two fors stems>1000 gpd. [31.0 CMR 15.228(2)]
All at-grade covers.secured to unauthorized access? [310 CMR
15.228(2)]
> .10 ft from building foundation [310.CMR 15.211(1)]
Buoyancy calculation.Required/Done [310 C.MR 15.221(8)]
14-20 Where a ro .riate? 310 CMR 15.226 3 .
Setbacks from:resources [310,CMR-15.211
Ntultt fCompartmen�Tanks �` �`�3„ ��
Required when other than single-family dw:ellmg,or flow>1000
d[310 CMR 15..223 1)(b)]
First compartment 200% daily flow; Second compartment 100% l
daily flow [310 CMR.15.224`2)and(3) w
"U" pipe through or over baffle,outlet of each compartment with
as baffle or approved filter [310 CMR 15.224(4)]
Address Sheet 3 of 7
N/A OK NO
BUILDING SEWER ANU®THER PIPJ<NG
Located at least ten feet from any
water line? [3.1.0 CMR
15.222(2)]
Disposal piping,at least 18" below water line(when water and
sewer cross, see 310 CNM 15:211(1)[11)
Cleanouts re aired/ rovided ? 310 CMR 15.222(8)]
Thrust blocks specified in force.mains? 310 CMR 15.221(6)(c
Slope of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable
[310 CMR. 1.5.222(6)]
Proper pitch on all runs?(.005 within gravity-distributed trenches j
and beds) 310 CMR 15.251,9 and 310 CMR 15,252(2)(c)]
Siphonproblem/ leachfield below pump chamber
) ndea s or vent manifold s" "ecified?
Size and orientation of discharge holes specified? (not,sm.aller
than 3/8"not larger than 5/8")[310.CMR 15.251(8) and 310
CMR 15.252(2)(h)]
Materials specified (310 CMR 1.5.251(5) specifies various pipe
t:ypes allowed
=DIST'RIBUTION BOX
Stable compacted base [310 CMR 15.221(2) and 310 CMR
15.232(2)(a)] ✓
Splash plate or baffle tee required on inlet/provided? (when /
pressure sewer to d-box or steep pitch of gravity sewer) [310
CMR 15.323(3)(a)]
Riser if deeper than 9" [310 CMR 15.232(3)(f)]
.Inside minimum dimension 12 310 CMRA 5.232(2) b ]
Minimum sump 6" [310 CMR15.232 3 (e)]
Watertight cover if<2000gpd);waterproof manhole if>2000gpd
[310 CMR 15.232(3)(d)]
P�U7VIP�CIAMBERS ,, ; � z
CMR Capacity
(emergency storage above working=design flow)? [310
(2 ]
Proper setbacks 310 CMR 15.211 (same as septic tanks)]
Watertight 20-in im.mum access manhole at least 20" MUST BE /
TO GRADE [310 CMR 1,5.23](5)] T/
Sen• ee components accessible (not too deep with piping, j
disconnects accessible) (/
Alarm floats- alarm on circuit separate from pumps specified?
Exceeds two units must have two pumps operating in lead-lag
mode. 310 CMR 15.23.1.(6) and 8)]
Stable Com acted:Base 310 CMR 15.221
Buoyancy calculations needed? Provided? '310 CMR 15.221 8'
Address Sheet,4 of 7
Gil
N/A OK NO
SOIL ABSrURPrTION SYST>�MS (SAS)}GENERAL
Calculations correct? ,/
4 feet of naturally occurring material demonstrated? [310 CMR
15.240(l)] �✓
Re aired separation togroundwater? 310 CMR 15.212)
Aggregate specified as double washed[310 CMR 15.247(2)]
System Venting required/provided? (system under driveway or /
>36" deep) [310 CMR 15.241] c/
Inspection ports specified and within 3 final grade. [310 CMR
15.240(13
Breakout requirements met? (No violation of breakout elevation
within 15 ft of SAS unless barrier) [310 CMR 15.211(1)[4] and.
Guidance Document]
GAILER7#ES�PI T`S.7 CHAMBERS 310#CMR,i5:253
.)Z.,,. .
Chambers and Gal.. in trench configuration supplied with inlet
every 20 ft. [310 CMR 15.253 6 f
Each structure with"one inspection manhole(if>2000 gpd.must
be tograde) 310 CMR '1.5.253' 2
Aggregate I' minimum-4'maximum. [310 CMR 15.253(.1)(b)] v'
2' sidewall credit maximum 310 CMR 15.253 1 a]
In bed confi ration, irdetevery40 sq. ft.. [310 CMR 15.253(6)] CJ
1CRENCHESu31Q CM]R.�15 251
Width 2'minimum 3' maximum [310 CMR 1.5.251(l)(b)]
100 feet-maximum length [310 CMR 1.5.251.(1)(a)]
Minimum separation 2x effective depth or width whichever
greater (3x if reserve between:trenches) [3.10 CMR 251(1)(d)]
Situated along contours [310,CMR 15.251(2)
Breakout.OK? [310 CMR 15.2I1(1)[41 and Guidance Document]
d f bB� M 40077minimum distribution lines [310 CMR 15.252(2)(a)]
Maxiinurn separation between lines 6' [310 CM RI5.252 2 (d)]
Maximum separation between lines and outside of bed 4' [31.0
CMR 15.252(2)(e)]
Aggregate depth below discharge pipes 6" minimum, 12"
maximum. 310 CMR 15.252 2)( )]
Separation between beds 10'mini.mum. [310 CMR 15.252(2) ]
Bottom area used in calculations only[310 CMR 15.252(2)(1)]
Address Sheet 5 of 1
NIA OK NO
DIn THE,PLAN�INVO]LVE,';
Pressure Dosed System ? Provided pump and piping
calculations,as required 31.0 CMR 15.2M 4 r)
Pressure dosing required on all systems>2000gpd or alternative
systems under remedial approval [310 CMR 15.254(2) and I/A
Remedial Use Approvals]
If used it gravelless system-make surejet is directed as.not to
scour soil.interface [Guidance Document
Inspections once per year(systems<2000 gpd) or quarterly
(>20g0 dgood to note on plan [31,0 CMR 15.254(2)(d)]
Construction in fill -Did the plan specify that the fill shall meet
the.s ecifieat on.of 310 CMR
Impervious barrier and/or retaining wall? [Guidance Document]
Impervious barrier 'installation must be supervised by
designer[310 CMR 15.255(2)(b)]
Retailing wall must be designed by Registered Professional
Engineer [310 CMR 15.255(2)(a)]
Side.slope not exceed 3:1 ? 310 C.MR 15.255(2)]
Breakout requirements met? [310 CMR 15.252(2) and
Guidance.Document
At least 5 ft. from impervious barrier to edge of SAS (10 ft.
recommended) [310 CMR 15.255 2 (e)]
Grrvell`ess.Sys#em jI/A Approval Letters] r
Check DEP Approval letters for credits and design conditions
If used with pressure dosing do not allow pressure discharge /
to scour soil interface
Alternatcve Septic.System 17! Ap�rvval Letter�j"
Was DEP Approval Letter provided and/or have you.
reviewed the letter for conditions?
Is the technology being properly applied and does it meet all
DEP Approval Conditions`?
Is there a note on the plan regarding the requirement for m l
perpetual maintenance agreement? �V
Any alarms involved on separate circuits
Did the applicant submit an operation and maintenance
manual?
Has a plicant submitted a copy of a maintenance
Variances`
Are the variances listed on the plan ? [310 CMR 1.5.220
(4)_( )
RLS Stamp necessary on plan if a component is within five
feet of property lane 31.0 CMR 15.412(4)]
New construction or increased flow proposed - [Refer to 310
CMR.15.414]
Address Sheet 6 of 7
r
N/A OK NO.
Is the system in a Designated Nitrogen Sensitive Area(Zone II for
a public supply well)? [310 CMR 15.214,310 CMR 1.5,215 and
310 CMR 15.216- also refer to Policy regarding upgrades of such'
existin systems] �S �J�✓`�
Is the system proposed on the same lot as served by private well 7 .
[310 CMR 15.214(2)
Are the nitrogen.loads proposed in compliance? [310 CMR
15.216 1
1Vliscellai�eous
Pumping to septic tank ? 310 CMR. 1.5.229
Shared System [31.0 CMR 15.290]
Address :Sheet 7'of 7
I'ONVU of BArii&table,
Re i1latt)ry Services
vnatrt,rAi�tc Richards 1. Stali,filteriin Il reetor
y 61A3S:
Pablie Health Division.
ThOmAs.*Kean,-Director,
.200 tl� ain.Sfreet,MY-aanis Y1.4<02:Ci01
0IT'ICe: :50R-862:4644
fax; a0�-70-f:3,t14
I❑staiLer S Desioriert.'ertificate n;Tf'tse=na
Date _
0 0. 1'77 Assessor's 2tilap\Parcel ��
Designer:
r1Wl+
l.nstkl.ilet':
Address, 12 ail, C r�SS L�e ld l�
-- —Ts2 q` Q 1�•r
_tpennit:to install a
(installer) l
optic systpn1 at f+a C based'on a°design,&,aw-n by
--;�-- .
3ddxe�,):,_ _
e 'r esr _lnlar�L�sF1 dated; �t�j�Z�,
(di;gner-)
f ' f ceitify ih,lit the Septic system reft;crtce.cl above��as itl5falled,substarttially accciidifi tL�
tiie d04ari,.wtitclt ttiay include minor appro'vtd.chrn s:aids as.lateral relocat'ioti of isle tli�tribution:.box and/or septic lank, Sfri,lr out (i:f:i :tltrirsd �vti's a spected an
t�erE Toriud:satisf t�iy
_ _ l,aerttty that the seltae s98relp Mfgtenced ab6.N1e w<is installed With major than es (ie:
greater than 1 Q' lateral iclocati5n bftiie S-AS ,a any vertica,f.relacaGion'of'a,ny Coiiiponea"t
of the,
cel•tif7e9
de0, c w a� L , . iPoioa or
as-Eaualt by(,ie.si'gnc.r t0 fallow; Strip aat.(if requi'r-cd)tivtas inspected'and the soils
Nvere.found,sati.sfactuiry:
1 cettify tltat the sy eizz ce£er.enccd above was constructed in �b viCh-t11e teri l5
of the.T1A a�i'laroval'It uer5{ii'.appli4tble) -
�bSN
PATER E ...
(lristgler s Si'g'iita tic' Mct:�?TE
&VIL
typ,351051
is
Desi.�irer's�i�?izature)�-- � ,
(A ITA Desi=rate er
PT Lt1SL' RC l'C7Riti:;IU I3FIEZNS'I'AIiLi? Plili'IC. I3EzT Tkf I>TtrtSltO\. � R i CFJGG .TE-PL CC}1411'LTAIV L W(T L"NIOT ]3E:ISSLrLI? >1l;VT1L Bt�1'Ti T1EfI5 TnRll AND ;AS-
BUT`L1 CARTS A[2 CtD�GI�fD;BY C'EC3 ,Bi�R'ISTAEi1,T P'C7B LC tL4T TI' DI'VTSlOir',
otj
Q`.SLftu D--08,iizi Certirtcalion Form Reu Y•I --I:'s;doc
Eng?noers note.This csrtrtleaiinn ts.limtYefl to ert buiff rhspeclion of system comp orerts.ac io•talid'd-prior;io backfiil.The
cngin r dsd no'supe vise con trust on_pf the syste The igs.alror assumes resppnsib I ty rci all materials,worhn ah hip bacpifll0,zg
io spoc fied gradee w lh,pfapsr Ov npacban.and sett ng users coversa's she•r omtile eign.plan:
TOWN OF BARNSTABLE
LOCATION s l�;o�✓icy. :ram 1� SEWAGE# �
VILLAGE r1. /n; I J.$ ASSESSOR'S MAP&PARCEL 03p - p 3
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY Q
LEACHING FACILITY:(type) .si�•��.��c Z� (sue)
NO.OF BEDROOMS '
OWNER $ 5,ar% LIrn r Surncr'
PERMIT DATE: G.I Z-ZO COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility
Private Water Supply Well and LeachingFeet I
Facility(If any wells exist on
site or within 200 feet of leaching facility)
Edge of Wetland and Leachin Facili Feet
8 ty(If any wetlands exist within
300 feet of leaching facility)
Feet
FURNISHED BY
I
I
Ax- I �wv
81 - 31 + 3 A
A2 'i&
3q + .6 RE
6Z, R
A3.3$G Puw•Q C'
6o�.�cr
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CS -39 5 G
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DL" 13 10
��sTti Town of Barnstable
Inspectional Services Department
BARNf4TA8LE,
""
i6 sq. Public Health Division
��
Ufa"ma's 200 Main Street, Hyannis MA 02601
Office: 508-862-4644
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL#7015 1730 0001 4988 0954
October 15, 2019
LIMEBURNER, BRYAN & SUSAN
5 HIGH VIEW CIRCLE
MARSTONS MILLS, MA 02648
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 5 High View Circle, Marstons Mills, MA was inspected on
09/30/2019 by Chad Hathaway, certified Title V Septic Inspector for the State of
Massachusetts.
The inspection of the septic system showed that the system "Fails" under the guidelines
of 1995 TITLE V (310 CMR 15.00) due to the following:
• Leaching facility with standing liquid level at or above the invert pipe (per
Town Code 360—20h).
You are.ordered to repair or replace the septic system within two (2) years from the date
I
you receive this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
PER ORDER OF TH OARD OF HEALTH
n, R. ., CH
Agent of the Board of Health
Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\5 High View Circle Marstons
Mills.doc
Town of Barnstable
BARNSTABM
MASS
63 ,�� Inspectional Services Department
AT fD MA'S�
Public Health Division
200 Main Street, Hyannis MA 02601
Office: 508-862-4644
FAX: 508-790-6304 Thomas A.McKean,CHO
Feb 6, 2007
Rev. 4/26/19
DEADLINES TO REPAIR FAILED SYSTEMS
(Town Code §360-44 and Title V: 310 CMR 15.000)
An"x" marked in the ❑ is the failure criteria and associated repair deadline
60 DAY DEADLINE CRITERIA
❑ Discharge or ponding of effluent to the surface of the ground
❑ Pumping more than 4 times during the last year not due to clogged or obstructed
pipe.
❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool
❑ Structurally unsound septic tank or SAS
ONE (1) YEAR DEADLINE CRITERIA
❑ Static liquid level in the distribution box above outlet invert due to an overloaded or
clogged SAS or cesspool
❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation
❑ Any portion of the cesspool within a Zone 1 to a public well
❑ Any portion of a cesspool within 50 feet of a private water supply well with no
acceptable water quality analysis. (This system passes if the water analysis
indicates the well is free from pollution).
TWO (2) YEAR DEADLINE CRITERIA
❑ Single Cesspool
❑ Any "conditionally passed systems" (broken cover, relocation of a pipe, relocation
o a driveway due to H-10 components, etc)
Leaching facility with standing liquid level at or above the invert pipe (per Town
Code §360-20 h)
OTHER
Repair deadline:
Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc
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LOCATION SEWAGE PERMIT NO.
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VILLAGE
INSTALLER'S NAME i ADDRESS
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R U I L D E R OR OWNER
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DATE PERMIT ISSUED f17/ _
DATE COMPLIANCE ISSUED
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Commonwealth of Massachusetts
Title 5 Official Inspection Form
�- Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
5 High View Circle formally 183 Lake Shore Drive ;.
Property Address
Limeburner
Owner Owner's Name /
information is required for every Marstons Mills Y Ma 02648 9/30/19
page. City/Town State Zip Code Date of Inspection "
Inspection results must be submitted on this form. Inspection forms may not be altered in any
way. Please see completeness checklist at the end of the form.
Important:When filling out forms A. Inspector Information / .
on the computer,
use only the tab Chad hathaway
key to move your Name of Inspector
cursor-do not H PS
use the return Company Name
key.
P.O.Box
151
Company Address ,
Forestdale Ma 02644
City/Town State Zip Code
774 274 2581 12866
Telephone Number License Number
B. Certification
I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5
(310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address
listed above; the information reported below is true, accurate and complete as of the time of my
inspection; and the inspection was performed based on my training and experience in the proper function
and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined
that the system:
1. ❑ Passes
2. ❑ Conditionally Passes
3. ❑ Needs Further Evaluation by the Local Approving Authority
4. ® Fails
9/30/19
Inspector's Signaomita
Date
The system inspector shis inspection report to the Approving Authority (Board
of Health or DEP)withig this inspection. If the system has a design flow of
10,000 gpd or greater, system owner shall submit the report to the appropriate
regional office of the DEP. The original form should be sent to the system owner and copies sent to
the buyer, if applicable, and the approving authority.
Please note: 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.
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18
Commonwealth of Massachusetts
�n 11P Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
5 High View Circle formally 183 Lake Shore Drive
Property Address
Limeburner
Owner Owner's Name
information is required for every Marstons Mills Ma 02648 9/30/19
page. City(rown State Zip Code Date of Inspection
C. Inspection Summary
Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6.
1) 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:
This inspection is not a guaranteeand applies no warrantyof the described septic components in this
report including but not limited to piping structual intergrity of components and life exspectancy of
leaching and described components. This inspection is to describe conditions witnessed at time of
inspection only. Regular tank maintenance and water conservation can prolong life of septic systems
Information on care and do's and don't's can be found at town health dept or mass ov
2) System Conditionally Passes:
❑ One or more system components as described in the"Conditional Pass" section need to be
replaced or repaired. The system, upon completion of the replacement or repair, as approved by
the Board of Health, will pass.
Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not
determined," please explain.
The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally
unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass
inspection if the existing tank is replaced with a complying septic tank as approved by the Board of
Health.
*A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of
Compliance indicating that the tank is less than 20 years old is available.
❑ Y ❑ N ❑ ND (Explain below):
l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
b Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
5 High View Circle formally 183 Lake Shore Drive
Property Address
Limeburner
Owner Owner's Name
information is required for every Marstons Mills Ma 02648 9/30/19
page. Cityrrown State Zip Code Date of Inspection
C. Inspection Summary (cont.)
2) System Conditionally Passes (cont.):
❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if
pumps/alarms are repaired.
❑ Observation of sewage backup or break out or high static water level in the distribution box due
to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will
pass inspection if(with approval of Board of Health):
❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below):
❑ distribution box is leveled or replaced ® Y ❑ N ❑ ND (Explain below):
❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The
system will pass inspection if(with approval of the Board of Health):
❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below):
3) 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.
a. 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:
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18
cam, Commonwealth of Massachusetts
jn - ,p Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
5 High View Circle formally 183 Lake Shore Drive
Property Address
Limeburner
Owner Owner's Name
information is required for every Marstons Mills Ma 02648 9/30/19
page. Citylrown State Zip Code Date of Inspection
C. Inspection Summary (cont.)
❑ 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
b. System will fail unless the Board of Health (and Public Water Supplier, if any)
determines that the system is functioning in a manner that protects the public health,
safety and environment:
❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within
100 feet of a surface water supply or tributary to a surface water supply.
❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water
supply.
❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water
supply well.
❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or
more from a private water supply well".
Method used to determine distance:
**This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal
coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal.
to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must
be attached to this form.
c. Other:
4) System Failure Criteria Applicable to All Systems:
You must indicate"Yes" or"No"to each of the following for all inspections:
Yes No
® ❑ Backup of sewage into facility or system component due to overloaded or
clogged SAS or cesspool
❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 18
Commonwealth of Massachusetts
1� ,p Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
�a
5 High View Circle formally 183 Lake Shore Drive
Property Address
Limeburner
Owner Owner's Name
information is required for every Marstons Mills Ma 02648 9/30/19
page. Cityrrown State Zip Code Date of Inspection
C. Inspection Summary (cont.)
4) System Failure Criteria Applicable to All Systems: (cont.)
Yes No
❑ ❑ 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 '/2 day flow
❑ ® Required pumping more than 4 times in the last year NOT due to clogged or
obstructed pipe(s). Number of times pumped:
❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation.
❑ ® Any portion of cesspool or privy is within 100 feet of a'surface water supply or
tributary to a surface water supply.
❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply
well.
❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well.
❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet
from a private water supply well with no acceptable water quality analysis. [This
system passes if the well water analysis, performed at a DEP certified
laboratory,for fecal coliform bacteria indicates absent and the presence
of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,
provided that no other failure criteria are triggered. A copy of the analysis
and chain of custody must be attached to this form.]
❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd-
10,000 gpd.
❑ ® 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.
5) Large Systems: To be considered a large system the system must serve a facility with a
design flow of 10,000 gpd to 15,000 gpd.
For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the
questions in Section CA.
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
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
5 High View Circle formally 183 Lake Shore Drive
Property Address
Limeburner
Owner Owner's Name
information is required for every Marstons Mills Ma 02648 9/30/19
page. Cityrrown State Zip Code Date of Inspection
C. Inspection Summary (cont.)
If you have answered "yes" to any question in Section C.5 the system is considered a significant
threat, or answered "yes"to any question in Section CA above the large system has failed. The
owner or operator of any large system considered a significant threat under Section C.5 or failed
under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner
should contact the appropriate regional office of the Department.
6. You must indicate"yes" or"no"for each of the following for all inspections:
Yes No
® ❑ Pumping information was provided by the owner, occupant, or Board of Health
❑ ® Were any of the system components pumped out in the previous two weeks?
® ❑ Has the.system received normal flows in the previous two week period?
❑ ® Have large volumes of water been introduced to the system recently or as part of
this inspection?
® ❑ Were as built plans of the system obtained and examined? (If they were not
available note as N/A)
® ❑ Was the facility or dwelling inspected for signs of sewage back up?
® ❑ Was the site inspected for signs of break out?
® ❑ Were all system components, excluding the SAS, located on site?
® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank
inspected for the condition of the baffles or tees, material of construction,
dimensions, depth of liquid, depth of sludge and depth of scum?
® ❑ Was the facility owner(and occupants if different from owner) provided with
information on the proper maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System (SAS) on the site has
been determined based on:
® ❑ Existing information. For example, a plan at the Board of Health.
Determined in the field (if any of the failure criteria related to Part C is at issue
® ❑ approximation of distance is unacceptable) [310 CMR 15.302(5)]
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18
c Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
5 High View Circle formally 183 Lake Shore Drive
Property Address
Limeburner
Owner Owner's Name
information is required for every Marstons Mills Ma 02648 9/30/19
page. City/Town State Zip Code Date of Inspection
D. System Information
1. Residential Flow Conditions:
Number of bedrooms (design): oo design Number of bedrooms (actual): 3
file
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms):
Description:
Number of current residents: 2
Does residence have a garbage grinder? ❑ Yes ® No
Does residence have a water treatment unit? ❑ Yes ® No
If yes, discharges to:
Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No
information in this report.)
Laundry system inspected? ❑ Yes ® No
Seasonaluse? ❑ Yes ® No
Water meter readings, if available (last 2 years usage (gpd)):
Detail:
Sump pump? ❑ Yes ® No
Last date of occupancy: currentDate
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18
Commonwealth of Massachusetts
fF - Title. 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
. 5 High View Circle formally 183 Lake Shore Drive
Property Address
Limeburner
Owner Owner's Name
information is required for every Marstons Mills Ma 02648 9/30/19
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
2. Commercial/Industrial Flow Conditions:
Type of Establishment:
Design flow(based on 310 CMR 15.203): Gallons per day(gpd)
Basis of design flow(seats/persons/sq.ft., etc.):
Grease trap present? ❑ Yes ❑ No
Water treatment unit present? ❑ Yes ❑ No
If yes, discharges to:
Industrial waste holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available:
Last date of occupancy/use: Date
Other(describe below):
3. Pumping Records:
Source of information: pumped in june 2019
Was system pumped as part of the inspection? ❑ Yes ® No
If yes, volume pumped: gallons
How was quantity pumped determined? unknown
Reason for pumping: backing up
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System.Page 8 of 18
Commonwealth of Massachusetts
rn - Title 5 Official Inspection Form
Subsurface Sewage Disposal System form-Not for Voluntary Assessments
5 High View Circle formally 183 Lake Shore Drive
Property Address
Limeburner
Owner Owner's Name
information is required for every Marstons Mills Ma 02648 9/30/19
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
4. Type of System:
® Septic tank, distribution box, soil absorption system
❑ Single cesspool
❑ Overflow cesspool
❑ Privy
❑ Shared system (yes or no) (if yes, attach previous inspection records, if any)
❑ Innovative/Alternative technology. Attach a copy of the current operation and
maintenance contract(to be obtained from system owner)and a copy of latest
inspection of the I/A system by system operator under contract
❑ Tight tank. Attach a copy of the DEP approval.
❑ Other(describe):
Approximate age of all components, date installed (if known) and source of information:
1970s'
Were sewage odors detected when arriving at the site? ❑ Yes ❑ No
5. Building Sewer(locate on site plan):
Depth below grade: feet
Material of construction:
El cast iron 2 40 PVC 3.25'
❑ other(explain):
Distance from private water supply well or suction line: 2 fe eett
Comments (on condition of joints, venting, evidence of leakage, etc.):
none
t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18
'Ohl
Commonwealth of Massachusetts
�n = Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
5 High View Circle formally 183 Lake Shore Drive
Property Address
Limeburner
Owner Owner's Name
information is required for every Marstons Mills Ma 02648 9/30/19
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
6. Septic Tank(locate on site plan):
Depth below grade: 3'feet
Material of construction:
® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain)
1000 gal. H10 tank riser on inlet. concrete baffles in place
If tank is metal, list age: years
Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No
Dimensions:
8'x5'
Sludge depth:
3"
Distance from top of sludge to bottom of outlet tee or baffle 31"
Scum thickness
0"
Distance from top of scum to top of outlet tee or baffle
0"
Distance from bottom of scum to bottom of outlet tee or baffle oil
How were dimensions determined?
0"
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
inlet and outlet are concrete baffles no visable cracks, decay or leaks. riser on inlet side. Staining in
riser when tank over fills during peak use
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
5 High View Circle formally 183 Lake Shore Drive
Property Address
Limeburner
Owner Owner's Name
information is required for every Marstons Mills Ma 02648 9/30/19
page. Cityfrown State Zip Code Date of Inspection
D. System Information (cont.)
7. Grease Trap(locate on site plan):
Depth below grade: feet
Material of construction:
❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
Date of last pumping: Date
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan):
Depth below grade:
Material of construction:
❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Capacity: gallons
Design Flow: gallons per day
t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
4 5 High View Circle formally 183 Lake Shore Drive
Property Address
Limeburner
Owner Owners Name
information is Marstons Mills Ma 02648 9/30/19
required for every
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
8. Tight or Holding Tank(cont.)
Alarm present: ❑ Yes ❑ No
Alarm level: Alarm in working order: ❑ Yes ❑ No
Date of last pumping: Date
Comments (condition of alarm and float switches, etc.):
" Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No
9. Distribution Box (if present must be opened) (locate on site plan):
Depth of liquid level above outlet invert
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.):
no Box
t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18
Commonwealth of Massachusetts
(F Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
5 High View Circle formally 183 Lake Shore Drive
Property Address
Limeburner
Owner Owner's Name
information is required for every Marstons Mills Ma 02648 9/30/19
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
10. Pump Chamber(locate on site plan):
Pumps in working order: ❑ Yes ❑ No*
t
Alarms in working order: ❑ Yes ❑ No*
Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.):
* If pumps or alarms are not in working order, system is a conditional pass.
11. Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
Type:
. 1
® leaching pits number:
❑ leaching chambers number:
❑ leaching galleries number:
❑ leaching trenches number, length:
❑ leaching fields number, dimensions:
❑ overflow cesspool number:
❑ innovative/alternative system
Type/name of technology:
t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 18
Commonwealth of Massachusetts
r= Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
M 5 High View Circle formally 183 Lake Shore Drive
Property Address
Limeburner
Owner Owner's Name
information is required for every Marstons Mills Ma 02648 9/30/19
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
11. Soil Absorption System (SAS) (cont.)
Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of
vegetation, etc.):
pit is full.
12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan):
Number and configuration
Depth—top of liquid to inlet invert
Depth of solids layer
Depth of scum layer
Dimensions of cesspool
Materials of construction
Indication of groundwater inflow ❑ Yes ❑ No
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
5 High View Circle formally 183 Lake Shore Drive
Property Address
Limeburner
Owner Owner's Name
information is required for every Marstons Mills Ma 02648 9/30/19
page. Citylrown State Zip Code Date of Inspection
D. System Information (cont.)
13. Privy(locate on site plan):
Materials of construction:
Dimensions )
Depth of solids
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 18
Commonwealth of Massachusetts
,d Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
�n
5 High View Circle formally 183 Lake Shore Drive
Property Address
Limeburner
Owner Owner's Name
information is required for every Marstons Mills Ma 02648 9/30/19
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
14. Sketch Of Sewage Disposal System:
Provide a view of the sewage disposal system, including ties to at least two permanent reference
landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters
the building. Check one of the boxes below:
® hand-sketch in the area below !1,
❑ drawing attached separately
14 (-:,7 �
F
r �
t5insp.doc-rev.7/26120 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18
Commonwealth of Massachusetts
r - Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
5 High View Circle formally 183 Lake Shore Drive
Property Address
Limeburner
Owner Owner's Name
information is required for every Marstons Mills Ma 02648 9/30/19
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
15. Site Exam:
® Check Slope
® Surface water
® Check cellar
® Shallow wells
Estimated depth to high ground water: 20
feet
Please indicate all methods used to determine the high ground water elevation:
❑ Obtained from system design plans on record
If checked, date of design plan reviewed: Date
® Observed site(abutting property/observation hole within 150 feet of SAS)
❑ Checked with local Board of Health -explain:
❑ Checked with local excavators, installers-(attach documentation)
❑ Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
sloping lot to pond. bottom of pit is 10' below grade
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18
Commonwealth of Massachusetts
r - ,ip Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
5 High View Circle formally 183 Lake Shore Drive
Property Address
Limeburner
Owner Owner's Name
information is required for every Marstons Mills Ma 02648 9/30/19
page. City/Town State Zip Code Date of Inspection
E. Report Completeness Checklist
Complete all applicable sections of this form inclusive of:
® A. Inspector Information: Complete all fields in this section.
® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked
® C. Inspection Summary:
1, 2, 3, or 5 completed as appropriate
4 (Failure Criteria) and 6 (Checklist)completed
® D. System Information:
For 8: Tight/Holding Tank—Pumping contract attached
For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached
For 15: Explanation of estimated depth to high groundwater included
t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18
LEGEND
--20 -- EXISTING CONTOUR 1 .�
>O 84.81 x 20.98 EXISTING SPOT GRADE
PROPOSED CONTOUR •
�GW-- UNDERGROUND WIRES /
` 4,� W EXISTING WATER SERVICE �, k
ROOF OVERHANG tilG�� \ \ \ \ G EXISTING GAS SERVICE '� Q
(TYP.) a9L, W6 98 O WETLAND FLAG
"� Y
TEST PIT �,, • a _� � 4 �
T SO,�O .�`0.
C \ \ e6 \ �l v BENCHMARK D Y Q
O/� �GBF,Q \\ x 7�.�s\ ♦�` `�t \ 1 6 a7 PoVemP 4
�9ti �F \ \\ \ .♦ a n/ PROPOSED S.A.S. A.
�q \ \ ♦ 76.32 � x 81�a� 87.85 SURROUNDED WITH STONES n
\W.76 25 7a.71
�'N DOS\ N NO.3e C , SHED �� I� \
5 •� \\ % , \ LOCUS MAP
1.6 ., � l82.01 \ x 88.65 NOT TO SCALE
\ \ I
N \ \\ \\ \ .`(a.141�,���` x 69.26 71.89 ♦ ��, R 7'a.48 \\ � % x 87:8\
GENERAL NOTES:
N � \ \ \ \ �. ♦♦ 7 �� 75,34 \ .y
Co �' \ �� \ ♦ R �� VENT 7�38 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL
GARAGE ��� SPIK x 2,89\� I BOARD OF HEALTH AND THE DESIGN ENGINEER.
\Bvwl-2 Q�� �� �b.6$x�\ \ +67. EXISTING ��"r, • �„�6,,7s' p 1 I I 7'39 �j 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS
_�.27 �� \ \ i c� K OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE
��� 5N20 \ \ \ HOUSE(#5) • 7e 1 L1J 6? E LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW:
\ \ \ \ \ 44 w �T.o.F.=76.2f ��_ -TP ' .: ��� �35,3OfS 6. 6
v� 3 \ \ �' j •• o -310 CMR 15.405(1)(b):
0. 5�09� 59\C \ \ +j ;`� CELLAR FL=68.7f 76.7 a�52: ?o.1.1,. .::. , \ 75.6
/ \ � "\' � ,. ,. , •,. �z \ \ I � 1) A 5' variance, S.A.S. to garage slab, fora 5' setback.
\ \ \64.72 \�
+ . . ,•.. T 07 \� I o -LOCAL REGULATION Chapter 360-1, Location of Components with
I o Respect to Water Body's:
CONCRETE..`'` I c
+ is \ x�9.i� , O 77.811 I 2) A 25' variance, pump chamber to closest wetland resource
/ \ \ L)R/VEWAY' I a area, for a 75' setback. MADEP Title 5 requirement is 25'.
09 .75s1::: •ti.:.. 7
/_ �• \ \ \ \ ® , /,;.. •. 7 4" RAVIl� S WE Q a 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR
$4,� / TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE
CK a�7 DESIGN ENGINEER.
48.83'+ 1 \ \ \ \ \ (a ove),.�' �',6771 ' "ter / 86.26 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING
I i \ \ \ \ 67 6 7j'99 r 2" FORCE TO 4" GRAVITY PIPE
t / FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN
Lon and I \ \ \ \ I ;y \ 4" INV.=77.5t AT HIGH POINT ENGINEER BEFORE CONSTRUCTION CONTINUES.
/ WATERS FACE EL.=48.9 ` s�.70\ V 7.66
x 52 0 \ ` +67.74 I 7e a 9.9 a.23 I 85.60 : 86.14 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM.
OCTOBER 17, 2019 1
aa.ea+ 1 x 57.7 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF
THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF
67.4p N82 T.: O HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION.
/ox
V) PK SET ^ 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE.
! ` s\ 7 9.�s� # 6 .94 1w� t O�G \\ �\ \ \\ o e5.75 ` 1 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S.
54.36� x / ft \ \ \ \ IP+/ !$1.39 ` �\ ` / 2 73,01\ �� 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS
48.86 / , 61. 5 `\ �\ 77 AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE
/ O 1 \ DIRECTED BY THE APPROVING AUTHORITIES.
avw2yl 75' Q_• \
52.ZZf i 7 ( f, oG W i 3 16a. 1 1 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY
ffj�i1, I ► a 85.81 THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING
CONSTRUCTION.
avw2-2�,f / J ; (m I ; W } SAW CUT PAVEMENT
54.12 V 0 7 J J j WORK LIMIT-SILT FENCE OR MOLE UNDERNEATH 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS
% p ���~O '
IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND
' m� REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3).
3046 00„ w O� ��� BE NCHMoTR oo c P\ � OF MASsgC 12. AREAS
INSPECTED BIRI DESSGNIPO GIN�ERUPRIOR UNSUITABLE
BACK MATERIALS SHALL BE
s �9 i EL.=74.61 � y�`� y�
o PETER T. �, 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND
McENTEE NOT CONSIDERED TO BE A PROPERTY LINE SURVEY.
BENCHMARK-1 PROPOSED PUMP CHAMBER CIVIL `n
WETLAND CONSULTANT TOP OF RET. WALL INFILTRATOR IM-540 No. 35109 PROPOSED SEPTIC SYSTEM UPGRADE PLAN
2ABA I, INC. Ln EL.=67.72 , '�E/ST���\�`� 5 HIGH VIEW CIRCLE,
EXISTING S.A.S. MARSTONS MILLS, MA
Pocosset, MA 02559 EXISTING SEPTIC TANK (APPROXIMATE LOCATION) ,
TO BE PUMPED, FILLED Prepared for: Susan Limeburner, 5 High View Circle, Marstons Mills, MA 02648
(508) 563-5349 (TO REMAIN-SEE NOTE 14) WITH SAND & ABANDONED 1\ (1 Z1 '°-
TOP OF TANK, EL.=64.97 Engineering by: SCALE DRAWN JOB. NO.
MAP N0. 25001 C0564J
FLOOD ZONE DESIGNATION INV. Engineering LIMEBURNER, BRYAN & SUSAN 9
(OUT), EL.=63.64.t OWNER OF RECORD En iin Works, Inc. 1"=30' P.T.M. 267-19
EFFECTIVE DATE: JULY 16, 2014 5 HIGH VIEW CIRCLE 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO.
ZONE X (NON HAZARD) PARCEL ID: 030-023 MARSTONS MILLS, MA 02648 (508) 477-5313 11/12/19 P.T.M. 1 of 3
NOTE: TO PREVENT BREAKOUT, THE PROPOSED
FINISH GRADE SHALL NOT BE < EL. 73.5
EXISTING SEPTIC TANK & FOR A DISTANCE OF 15' AROUND THE
PROPOSED PUMP CHAMBER PROPOSED D-BOX PERIMETER OF THE S.A.S.
PROVIDE RISERS & COVERS AS DESCRIBED: INSTALL RISER & COVER PROPOSED S.A.S.
1) SEPTIC TANK INLET COVER SET TO 6" OF GRADE. SET TO 6" OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER AND
2) SEPTIC TANK 20" OUTLET COVER SET TO GRADE SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT.
3) PUMP CHAMBER 24" ACCESS RISER/COVER SET TO GRADE F G EL=75.9t F.G: EL.=75.2 to 75.9t
COVERS SET TO FINISH GRADE SHALL BE SECURED . . . VENT
MAINTAIN 2% SLOPE OVER S.A.S. EXISTING
F.G. EL.=67.7(EXISTING) F.G. EL.=66.9(max.) mow HOUSE(15)
L = 17' L = 23'f GAR4GE
" SCH 40 PVC @ S=1% (MIN.) p S=1% (MIN.)
24° DIA. 2 4"SCH40 PVC
L = 34' PROVIDE THRUBSTNBL CKS 4"SCH40 PVC 2" LAYER OF 1/8" TO 1/2"
TOP=63.91 AT ALL DOUBLE WASHED STONE ) ,
S=1% MIN.), a� 4
( �� s. Limf(c
R APPROVED FLTER FABRIC)
4"SCH40 PVC 2' EFF. N INV.=77.50 DEPTH 3/4" TO 1-1/2" DOUBLE e a
14" PROPOSED 2.6' 4.8' 2,g' WASHED STONE �A'A.4�'
INV.=73.47 INV.=73.30 DECK vo N
ADD floots Yi ie<a � EFFECTIVE WIDTH = 10' NN
EFFLUENT DEPTH 3 OUTLETS INV.=73.00 m
FILTER INV.=63.30 H-20 2-500 GALLON LEACHING CHAMBERS WITH STONE 39,36.6' o
INSTALL INLET TEE AROUND AND BETWEEN CHAMBERS AS SHOWN
EXISTINt--1o'--t
INV.=63.64f H-20 RATED INSTALL PIPE
SEPTIC TANK EXISTING BOTT.=59.36 BETWEEN CHAMBERS
(FIELD VERIFY) See Pump Detail
Sheet 3 of 3 TOP CONC. ELEV.= 74.1 t
PROPOSED 500 GALLON PUMP CHAMBER BREAKOUT ELEV.= 73.50 ease as SEPTIC LAYOUT
INV. ELEV.= 73.00milli
NOTES: INFILTRATOR IM-540 GALLON PLASTIC TANK aaaaa ease® 66a B
aBaa eases aaaa
1) PUMP CHAMBER & D-BOX SHALL BE SET LEVEL AND BOTTOM ELEV.= 71.00
TRUE TO GRADE ON A MECHANICALLY COMPACTED 6' 4' ENDS 8.5' 4'
CRUSHED STONE BASE, PER 310 CMR 15.221(2). 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 29.0'
2) INSTALL INLET & OUTLET TEES AS REQUIRED. PERVIOUS MATERIAL
GROUNDWATER
3) MAX. COVER TANKS, D-BOX & S.A.S. SHALL BE 36".
5' ABOVE
4) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INVERTS LEACHING SYSTEM SECTION
PRIOR TO CONSTRUCTION. NO GROUNDWATER, EL.=65.2 - 3/4" TO 1-1/2" DOUBLE CE�
E3EOE3 0
5) EFFTEELASNT FILTER SHALL BE MANUFACTURED BY ZABELLLED ON OR EQUAL. FILTER WASHED STONE ®®®®E3 E3®®E3 E3 37„SHALL BE INSPECTED AND CLEANED ANNUALLY, OR AS3" LAYER OF 1/8" TO 1/2" 't wREQUIRED TO PREVENT BACK UP. THE HOMEOWNER IS DOUBLE WASHED STONE N z ®®®®®®
RESPONSIBLE TO SCHEDULE CLEANINGS. SEPTIC SYSTEM PROFILE (OR APPROVED FILTER FABRIC)
SOIL LOG 102"
DESIGN CRITERIA DATE: OCTOBER 22, 2019 (REF#TPT-19-188) 4" KNOCKOUT
NUMBER OF BEDROOMS: 3 SOIL EVALUATOR: PETER McENTEE SE#1542 20" DIA. COVER
WITNESS: DAVID STANTON R.S. HEALTH AGENT
SOIL TEXTURAL CLASS: CLASS I ELEV. TP- 1 DEPTH ELEV. TP-2 DEPTH 4" KNOCKOUT / 4" KNOCKOUT 58"
DESIGN PERCOLATION RATE: <2 MIN/IN
75.2 0" 75.3 0" 0
DAILY FLOW: 330 GPD FILL FILL
DESIGN FLOW: 330 GPD 4" KNOCKOUT
74.2 12" 75.4 1 1"
GARBAGE GRINDER: NO C C
LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF PERC 500 GALLON CAPACITY, H-20 LOADING
.74 GPD/SF 30"/48"
EXISTING SEPTIC TANK: 1000 GALLON CAPACITY CHAMBERS
PUMP CHAMBER: 500 GALLON (INFILTRATOR IM-540)
PROPOSED D-BOX: 1 INLET, 3 OUTLET (MIN.), H-20
M-C SAND M-C SAND
USE 2-500 GALLON LEACHING CHAMBERS IN SERIES WITH 2.5Y 6/6 2.5Y 6/6 PROPOSED SEPTIC SYSTEM UPGRADE PLAN
I STONE AROUND AND BETWEEN CHAMBERS (10.0' x 29.0') 5 HIGH VIEW CIRCLE, MARSTONS MILLS, MA
SIDEWALL AREA: 2(10.0' + 29.0') X 2 = 156.0 SF Prepared for: Susan Limeburner, 5 High View Circle, Marstons Mills, MA 02648
BOTTOM AREA: 10.0' x 29.0' = 290.0 SF Engineering by: SCALE DRAWN JOB. NO.
TOTAL AREA:..............................................................446.0 SF 65.2 120" 65.3 120'
Engineering Works, Inc. N.T.S. P.T.M. 267-19
PERC RATE <2 MIN/IN. "C" HORIZON 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO.
DESIGN FLOW PROVIDED: 0.74 GPD/SF(446.0 SF) = 330.0 GPD NO GROUNDWATER ENCOUNTERED (508) 477-5313 11/12/19 P.T.M. 2 of 3
NEMA 4 JUNCTION BOX CORROSION RESISTANT
PROVIDE WATERTIGHT 24" RISER WITH & LIQUID—TIGHT CABLE CONNECTORS SUPPORTED
SECURED FRAME & COVER TO GRADE BY 1-1/4" PVC CONDUIT. JOINTS TO BE MADE
(INFILTRATOR TW RISER SYSTEM OR EQUAL) WATERTIGHT. AN SJE RHOMBUS—JB PLUGGER
OR EQUAL IS RECOMMENDED. PROVIDE ENOUGH WIRE
SLACK TO REMOVE PUMP A A
INSTALL 1' PVC CONDUIT TO HOUSE FOR WIRING
HOISTING CABLE 7x19 STAINLESS STEEL WITH WATERTIGHT JOINTS. WIRE HIGH WATER ALARM t
1/8" DIAMETER. / 1,760 LB. STRENGTH.--,,,,,,. WI.D.DW FLOAT TO SJE RHOMBUS TANK ALERT XT ALARM PANEL
(IF QUICK DISCONNECT NOT USED) ON CIRCUIT SEPARATE FROM CIRCUIT TO THE PUMP.
INV.(IN)=63.30 2"SCH. 40 DISCHARGE (THROUGH RISER—SEE PROFILE) — —
2" BALL VALVE (FIELD ADJUST FOR 20 GPM RATE) O
ALARM ON EL: 60.87 (INSTALL QUICK DISCONNECT FOR EASY REMOVAL) '
2" 90' ELBOW W/ 1/4" WEEP HOLE
PUMP ON EL: 60.62 FOR SELF-DRAINING FORCE MAIN
" 2" SWING CHECK VALVE
BOTTOM OF PUMP OFF EL: 60.04 18j 15" t
1 8" 2" SCH. 40 PVC DISCHARGE PIPE
ELEVPUMP� ��ROF TANK, EL.=59.36 WALL THICKNESS=0.2" ADDITIONAL 3/16" VENT HOLE (MIN.) ABOVE PUMP FLANGE
PROVIDE 2 FLOATS: (TO PREVENT PREMATURE PUMP BURNOUT)
64.9 [1,648] EXTERIOR LENGTH
FLOAT NO.1: PUMP ON/OFF-POLYLOCK FLOAT PROVIDED WITH PUMP LIBERTY LE40 SERIES PUMP .4 H.P. 115 V
FLOAT NO.2: ALARM ACTIVATION FLOAT-PROVIDED WITH ALARM PANEL WITH 2" DISCHARGE, OR EQUAL TOP VIEW
(ON SEPARATE CIRCUIT FROM PUMP SPECIFIED)
PUMP CHAMBER, PUMP & ACCESSORIES AVAILABLE AS A UNIT
CAPE WINWATER WORKS CO., HYANNIS, MA. (508) 862-0166 0
NOTE: APPROVED ALTERNATE MAY BE SUBSTITUTED.
PUMP DETAIL
. _j
N.T.S. tA
54.6 111 if -1-11 MIR
M1,387]
E TERIOR
HEIGHT
1
1-4" POLYSEAL
INLET
3-4" POLYSEAL OUTLETS 22'
BUOYANCY CALCULATIONS 4' 4"
NOT REQUIRED, TANK IS ABOVE WATER TABLE END VIEW
4"
f NOTES:
N I 1. ALL DRAWING DIMENSIONS IN INCHES[MILLIMETERS]OR AS NOTED.
N 2. EXTERIOR OR ACCESS OPENING LID INCLUDES THE FOLLOWING WARNING IN
N ENGLISH,FRENCH&SPANISH:"DANGER DO NOT ENTER:POISON GASES."
m 3. TANK MARKINGS WILL INCLUDE:MANUFACTURING NAME,MODEL NUMBER,LIQUID
4„
4 CAPACITY,DATE OF MANUFACTURE CODE,MAXIMUM BURIAL DEPTH,INLET,AND OUTLET.
MAXIMUM BURIAL DEPTH IS 48 in[1,219 mm].
WIGGIN PRECAST CORP DB3H2O 1 4 r & MINIMUM BURIAL DEPTH IS 61n 1152 mm].
CROSS SECTION PLAN VIEW 6. TANK IS FOR NON-TRAFFIC APPLICATIONS.
DOSING & STORAGE REQUIREMENTS 8. NOMINAIRSPAL CE IS
H—20 LOADING s. NOMINAL WALL THICKNESS IS 0.20 In[5 mm].
DESIGN FLOW: 330 GPD SECTION
PLAN INFILTRATOR IM-540 TANK
DOSING REQUIRED: 4 CYCLES/DAY (SAND) SPECIFICATIONS
330 - 4 = 82.5 GALLONS/CYCLE 1.) CONCRETE STRENGTH 5,000 PSG ® 28 DAYS. PROPOSED SEPTIC SYSTEM UPGRADE PLAN
DISTANCE REQUIRED BETWEEN PUMP 2.) CEMENT, PORTLAND TYPE II PER ASTM C150-81
ON AND PUMP OFF FLOATS: 3.) REINFORCEMENT PER ASTM C1227-93
82.5 GAL/CYCLE --1-- 138 GAL/FT = 0.6 FT/CYCLE (USE 7
4.) 15" RISER SECTIONS AVAILABLE 5 HIGH VIEW CIRCLE, MARSTONS MILLS, MA
")
Prepared for: Susan .Limeburner, 5 High View Circle, Marstons Mills, MA 02648
STORAGE REQUIRED ABOVE WORKING LEVEL: 330 GALLONS DB-3 Engineering by: SCALE DRAWN JOB. N0.
STORAGE PROVIDED:
INV.(IN) EL: 63.30 PUMP ON EL: 60.62 2.68'
DISTRIBUTION BOX: 3 OUTLET Engineering Works, Inca N.T.S. P.T.M. 267-19
- =
STORAGE PROVIDED = 2.68' x 138 GAL/FT = 369 GALLONS WIGGIN PRECAST CORP., BOURNE MA. (800) 564-6774 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO.
(508) 477-5313 11/12/19 P.T.M. 3 Of 3