HomeMy WebLinkAbout0101 HOLDER LANE - Health 101 Holder Lane, Marstons Mills
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MTOWN OF BARNSTABLE
LOCATION 1,04 SEWAGE # 96 - d 9
VILLAGE _ ASSESSOR'S ;MAP 6Y LOT �'00
INSTALLER'S NAME St PHONE NO. .1, Q,`� ol� •S�V, ��I ' ��s!
SEPTIC TANK CAPACITY 1,000 6 e tioi„
LEACHING FA.CILITY.:(type) '��'��^ '�°� (size) 1 ,00 0
NO. OF BEDROOMS 3 PRIVATE WELL O PUBLIC WATER_
BUILDER OR OWNER � �;,, `�I' �' � ctu
DATE PERMIT ISSUED:
DATE COLIPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
LO/ /06
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A InCommonwealth of Massachusetts .John Grad
Executive Office of Environmental Affa(rs D.E.P. Title V Septic Inspector
Department of P.O. Box 2119
D Environmental Protection Tealick 02536
� 1
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FOR
PART A
CERTIFICATION �
4.79
Property Address: 101 Holder LaneVr mastalllt3__., Address of Owner:
Date of Inspection:517197 (If different)
Name of Inspector:John Gracl Bettencourt
Company Name,Address and Telephone Number:
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate
and complete as of the time of 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 This Inspection Is based on criteria defined in Title V
_ Conditionally Passes code 310 CMR 15.303.My Tindinps are of how the system is
_ Needs Fu her Evaluation B the Local Approving Authority performing at the time of the Inspection.My Inspection does
Y PP 9 ty not Imply any warranty or guarantee of the longevity or the
Fails septic system and any of its components useful life.
Inspector's Signature: Date: 518f97
The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this
inspections. 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.
INSPECTION SUMMARY:
Check A;B.C,or D:
Aj SYSTEM PASSES:
x I have not found any information which indicates that the system violates any of the failure criteria
defined as in 310 CMR 15.303. Any failure criteria not evaluated are indicated below.
B) SYSTEM CONDITIONALLY PASSES:
_One or more system components need to be replaced or repaired. The system,upon completion
of the replacement or repair,passes inspection.
Indicate yes, no,or not determined(Y, N,or ND). Describe basis of determination in all instances. If "not determined", explain why not.)
_ The septic tank is metal,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 conforming septic tank as approved
by the Board of Health.
(revised 11115195)
One Winter Street a Boston,Massachusetts 02108 9 FAX(617)556-1049 9 Telephone(617)292-5500
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SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 101 Holder Lane W.Barnstable
Owner: Bettencourt
Date of Inspection:517197
_ Sewage backup or breakout or high static water level observed in the distribution box is 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 leveled or replaced
_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
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 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 a surface water
Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh.
2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES
THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE
ENVIRONMENT:
_ The system has a septic tank and soil absorption system and is within 100 feet to a
surface of water supply or tributary to a surface water supply.
The system has a septic tank and soil absorption system and is within a Zone 1 of a public water
supply well.
The system has a septic tank and soil absorption system and is within 50 feet of a private water
supply well.
The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private
water supply well,unless a well water analysis for coliform bacteria volatile organic compounds indicates that the well is
free from pollution for that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal or less than 5 ppm.
3) OTHER
D] SYSTEM FAILS:
_ I have determined that the system violates one or more of the following failure criteria as de
fined 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.
_ Backup of sewage in facility or system component due to an 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
cesspool.
SAS is in hydraulic failure.
(revised 11115195)
2
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SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 101 Holder Lane W.Barnstable
Owner: Bettencourt
Date of Inspection:517197
D] SYSTEM FAILS(continued)
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 1/2 day flow.
Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).
Numbers of times pumped
Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation.
Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply.
Any portion of a cesspool or privy is within a Zone 1 of a public well.
Any portion of a cesspool or privy is within 50 feet of a private water supply well.
_ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no
acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for
coliform bacteria, volatile organic compounds,ammonia nitrogen and nitrate nitrogen.
E] LARGE SYSTEM FAILS:
The following criteria apply to large systems in addition to the criteria:
_ 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:
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)
The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program
requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further Information.
(revised 11115195)
3
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SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECLIST
Property Address: 101 Holder Lane W.Barnstable
Owner: Bettencoun
Date of Inspection:W7197
Check if the following have been done:
X Pumping information was requested of the owner,occupant, and Board of Health.
•X None of the system components have been pumped for at least two weeks and the 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.
nla 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.
X The size and location of the Soil Absorption System on the site has been determined based on existing information or
approximated by non-intrusive methods.
X The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of Sub-
Surface Disposal System.
(revised 11/15195)
4
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 101 Holder Lane W.Barnstable
Owner: Bettencourt
Date of Inspection:W7197
FLOW CONDITIONS
RESIDENTIAL:
Design flow: 330 gallons
Number of bedrooms: 3
Number of current residents: 3
Garbage grinder(yes or no): No
Laundry connected to system(yes or no): yes
Seasonal use(yes or no): No
Water meter readings,if available: nla
Last date of occupancy: nla
COMMERCIAL/INDUSTRIAL:
Type of establishment: Na
Design flow:9 gallons/day
Grease trap present:(yes or no) No
Industrial Waste Holding Tank present:(yes or no) No
Non-sanitary waste discharged to the Title 5 system:(yes or no) No
Water meter readings,if available: nla
Last date of occupancy: nla
OTHER:(Describe) nla
Last date of occupancy:
GENERAL INFORMATION
PUMPING RECORDS and source of information:
System was last pumped last summer
System pumped as part of inspection: (yes or no)No
If yes,volume pumped: 0 gallons
Reason for pumping: nla
TYPE OF SYSTEM
X Septic tank/distribution box/soil absorptions system
Single cesspool
Overflow cesspool
Privy
Shared system(yes or no) (if yes, attach previous inspection records,if any)
Other(explain)
APPROXIMATE AGE of all components,date installed(if known)and source information:
0 years
Sewage odors detected when arriving at the site:(yes or no) No
(revised 11115195)
5
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 101 Holder Lane W.Barnstable
Owner: Bettencourt
Date of Inspection:517197
SEPTIC TANK: X
(locate on site plan)
Depth below grade: Z'
Material of construction:X concreate_metal_FRP_other(explain)
Dimensions: L 9'6'H 5'7"W 4'10-
Sludge depth:V
Distance from top of sludge to bottom of outlet tee or baffle: 26"
Scum thickness:1'
Distance from top of scum to top of outlet tee or baffle:6'
Distance form bottom of scum to bottom of outlet tee or baffle: 17"
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.)
The septic tank and all components are structurally sound.Recommend pumping the system every two years for maintenance.
GREASE TRAP:
(locate on site plan)
Depth below grade: n1a
Material of construction: _concrete_metal_FRP_other(explain)
Dimensions: n1a
Scum thickness:n1a
Distance from top of scum to top of outlet tee or baffle:n1a
Distance from bottom of scum to bottom of outlet tee or baffle: n1a
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.)
Na
r
(revised 11115195)
6
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 101 Holder Lane W.Barnstable
Owner: Bettencourt
Date of Inspection:WIN
TIGHT OR HOLDING TANK:
(locate on site plan)
Depth below grade: n1a
Material of construction:_concrete_metal_FRP_other(explain)
Dimensions: rda
Capacity: n1a gallons
Design flow: n1a gallons/day
Alarm level: nla
Comments:
(condition of inlet tee, condition of alarm and float switches, etc.)
nla
DISTRIBUTION BOX:
(locate on site plan)
Depth of liquid level above outlet invert: r9a
Comments:
(note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box etc.)
n1a
PUMP CHAMBER:
(locate on site plan)
Pumps in working order:(yes or no)
Comments:
(note condition of pump chamber,condition of pumps and appurtenances, etc.)
n1a
(revised 11115195)
7
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 101 Holder Lane W.Barnstable
Owner: Bettencourt
Date of Inspection:517197
SOIL ABSORPTION SYSTEM (SAS):X
(locate on site plan,if possible;excavation not required, but may be approximated by non-intrusive methods)
If not determined to be present, explain:
n1a
Type:
leaching pits,number: 1,000 gallon leach pit
leaching chambers,number:n1a
leaching galleries, number: n1a
leaching trenches,number, length: n1a
leaching fields,number, dimensions:n1a
overflow cesspool, number:n1a
Comments:(note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.)
The overflow is structurally sound and functioning properly.@ had 2 5'of water in it.
CESSPOOLS:_
(locate on site plan)
Number and configuration: n1a
Depth-top of liquid to inlet invert: n1a
Depth of solids layer: n1a
Depth of scum layer: n1a
Dimensions of cesspool: nfa
Materials of construction: n1a
Indication of groundwater: n1a
inflow(cesspool must be pumped as part of inspection)
n1a
Comments:(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
n1a
PRIVY:
(locate on site plan)
Materials of construction: n1a Dimensions: n1a
Depth of solids: n►a
Comments:(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.)
n1a
(revised 11115195)
B
. .. 4
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address' 101 Holder Lane W.Barnstable
Owner: Bettencourt
Date of Inspection:517197
SKETCH OF SEWAGE DISPOSAL SYSTEM:
include ties to at least two permanent references landmarks or benchmarks
locate all wells within 100'
f WAJ
o �
o �
AP
AR bo
DEPTH TO GROUNDWATER
Depth to groundwater:12 feet
method of determination or approximation:
USGS Maps and Charts
(revised 11115195)
9
No.._.�
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
44Jt2........ .....OF...-... -/?�c.......................................................
Appliration for Dhipaii al Works ��aa��r�r#i�g� praati�
`O Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal
System at:
L tion----••-res ..._._.. —
Location-Addres�. or Lot No.
.eX-Call2mc.t-.. Ps,.�a: .Caar-Pr---•-----tl-- --------------------- ------ .......................................................
Owner Address
Installer Address
dType of Building Size Lot----ljZ _1146_....Sq. feet
U Dwelling—No. of Bedrooms....... .......................Expansion Attic (/Un) Garbage Grinder (/
pa-, Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
a' Other fixtures ____________ ___ ____ _ _
W Design Flow....................................a5-_gallons per person per day. Total daily flow..........................33.3.n.....gallons.
WSeptic Tank—Liquid capacitv.JS�gallons Length.&!-(o.t ��..... idth'4._..i0..... Diameter................ Depth.i_6..._-.
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area--------------------sq. ft.
Seepage Pit No-----e4n.R..------- Diameter------i_Q_I------- Depth below inlet....42f.......... Total leaching area.._i-R.v._7....sq. ft.
Z Other Distribution box (K ) Dosing tank ( )
aPercolation Test Results Performed by. �y_..>:._lrllrcrcA4......(b9_ �1aR!v............... Date_____.S/L �cj 7...............
a Test Pit No. 1------- ___minutes per inch Depth of Test Pit----14.....__.... Depth to ground water. _ ___-____.__-
ti, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground CIA_{#
IX -------------------------------------------••---•---••---------.•----------........ •... s ;
x Description of Soil......... ... 1.o L E..Ss�.��s�i�1.............•---•----•-------....----•-......----------------•-•-•--•- - --.STEPHIN... $�
.._..... � ..rVYlCsQIl1AY1_.c�9d�c? ..!rk .C�.r Ct11X ALLYN rn�
W L • c / v WILSON '+
•--•-•---------------------------------7----1-.f ,&n,..I ---;.,�i�/_... ---------._.._....-----------------------------
-------------------•---• •0 'A No:3i721B
V Nature of Repairs or Alterations—Answer when applicable---------------------------------------------------------- _. �► ..._..
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal Syste cor ance with
the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has jbeeis y the board of health.
tSigned--- = . o.--- •--•--••-•-• --••••......•---•-•. --------•-
O toApplication Approved By.-• �? ',� � ----- •.. . ---- ------ �Da
Application Disapproved for the following real -----.....-----•-------•-••-......----•--•--...._..--•---•-----•-------------•--.............---•-•......•--•-
•-•••••.....•-•-----•-•----•••--•••---•---••-••••-••••-•-•-••-----•--••••-••••--•-•----••-•--•---•---------••••-----•---••--•-•--•-•-•-••-....--••- . .......... ...............••-•-•-•-•••..•..._.
Date
Permit No. 0..... Issued . 9�f
Date
N . ....... A
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............7--ow-e?................OF......... ...........
Apphration for Dispaaal Works Tomitrurtion Verutit
Application is hereby made for a Permit to Construct ()<) or Repair an Individual Sewage Disposal
System at:
.kg —.J.jo.�' HoL-0612- LA/ U)
............. .....................) .......0...mm ...... .................
or-ation-Address or Lot No.
.......................................................
........ A;M....Irax+.................................. ....W.C&el?e...41
Owner Address'r �_ Ile ... ------*--Installer
---------------*-----------
----------------------- --- Address
........
Type of Building Size Lot.....1_3:�aA!a....Sq. feet
U
Dwelling—No. of Bedrooms.....7VA.r.r_-e......................Expansion Attic (A14 Garbage Grinder
`4
yp Other—Te of Buildin g ............................ No. of persons.__________._.___.._______._ Showers sCafeteria
04 Other fixtures
Design Flow....................................57,S.gallons per person per day. Total daily flow----------------_--------3.3.0....ga llons.
Septic Tank—Liquid'capacity..1.000gallons Length..S.-' ( f,
. ...... WidthA't0."._ Diameter....:7�. Depth,5`6.....
Disposal Trench—No. .................... Width._.................. Total Length........_..._.._..._ Total leaching area....................sq. f t.
Seepage Pit No.....zev%R-------- Diameter.......C.0........
Depth below inlet.....(a.'.......... Total leaching area...a 7...sq. f t.
Z Other Distribution box (X ) Dosing tank ( )
Percolation Test Results Performed by__6A�A)r....EldLmck.W4 1 ..) ;I- IfflA-7............... Date...._.4E
..................
Test Pit No. I........Z-....minutes per inch Depth of Test Pit-----14.......... Depth to ground water- —---------
44 Test Pit No. 2................minutes per inch Depth of Test Pit--......_......._... Depth to ground w *'�
------------------------------ .......................................................................................... ..............
0 Description of Soil.........0.:�Z ..................................... ...................................... STEPHEN
tYYl
. ............. ...... .................................................
U .......................... -----VMS G N....... ..4
W C3
............... ........................7 ..... co
�i / -------_-------------------------------------------------- ...... *D.7-302i-6- _
U Nature of Repairs or Alterations—Answer when applicable-------------------------------------------------------------- 'Q�d . -
.a I
. .........................................................................................................................................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in cor ance withG"'*"6'
the provisions of TITIE 5 of the State Sanitary C de—The undersigned further agrees not to place the system ir_71�Zho
Sanitary
C de The undersigned further
operation until a Certificate of Compliance has bee ss y the board health.
.. .... ... .................... ...
Signed... ... ...................... ...........................
8
D to
Application Approved By---- .............. .. .. .... ...... ----
D t
at
Application Disapproved for the following real S:................................................................................................................
........................................................................................................................................................ ..........
Da;e
�' ) 9
Permit No....9 --------- ..................... IssuedL..... ......
�/Date
_/?0 .............
THE COMMONWEALTH OF MASSACHUSETTS
BOARDAF HEALTH
6
............. 0 F........ A ..L.
.............
Trdifirair of Toutplitturr
THIS,U 4.4.TOCERTIFY, That the Individual Sewage Disposal System constructed or Repaired
by ...
..............V P/
.i�01 ..............................................................................................................................................
at.......�01 .....10(o...... .1Z.C-14Z.... Wo. .5
40Ins
has been installed in accordance with the provisions of TIT*-------- of'_T4 e. aCo Xa s ibewinth;
,,$t te Sanitary C
application for Disposal Works Construction Permit Nc ......... dated-..---- ___0-----------
f
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS RUE®
SYSTEM WILL FUNCTION SATISFACTORY. JRUED AS A GU;kRAN EE THAT THE
...... ... . ... ........
DATE........i .................................. Inspecto ..... ...... ... ............. ...........
THE COMMONWEALTH OF MASSACHUSETTS
�POARD OF HEAL
0.1 ....OF............ .........................
.0 .............ro-WA/
NFEE....
Disposal pr J4�#ii Tontudion " rmit
Permission is hereby granted........... ..............................................................................................
to Construct Rep it pLji Individu I wage Di Syst
. .......... ....... �V er
atNo....- ..............
Street . 07d W- -----------
as shown on the application for Disposal Works Construction Permit No_�_... ......_&Dated....
-------------------------------------------------- -4�1111_111 ",-I'll----------------------
Boa f Health
DATE.
--•-•---•-
FORM 1255 HOBBS & WARREN, INC., PUBLISHERS
i
. D'TOWN-OF BARNSTABLE
LOCATION.,GO4 4I0(sec C�-e SEWAGE # 9
VILLAGE v � °i�d5 tr ASSESSOR'S MAP.6t i3OT
I .
!. INSTALLER'S NAME 6: PHONE NO. -7 6
SEPTIC TANK CAPA.CiTY coo
I.
LEACHING FACILITY:(type) size)
NO. OF BEDROOMS PRIVATE WELL O PUBLIC WATER
BUILDER OR OWNER q-tz-v"O.-`e p£'Qci,
DATE PERMIT ISSUED: ^ , �
DATE COLIPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
j
/0
71
�se r
- y
i
- i
i
i
20' MMUM OR A6 VOWAMM ON PLAN ti.
NOTES:
Sb
to`WN. 1. ALL WORKMANSHIP AND MA A ALA CONFORM TO D'.E.Q.E. as
a• ewu TITLE 5 • THE TOWN OF F� iL.�� A RULES AND
p 1f i1 J3
REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE;
T.O. FOU'DA / /r TM AND THE REQUIREMENTS OF THIS PLAN.
•waM. w 2 ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO � " 4`
WITHIN 12" OF FINISHED GRADE
3. ALL MASONRY UNITS USED TO BRING COVERS TO GRADE , s
TbM 4'SON. so PvC Pie SHALL BE MORTARED IN PLACE .• ,;,
i �' PER Ff. w@t PM t/i'PER 1V i 4. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE 2A
r LAYER a OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR "` �►
r1aMr LINE 1/8'- 11r WITHIN 10 FT_ OF DRIVES OR PARKING AREAS. H-20 LOADING
WAS STONE SHALL BE USED UNDER OR WITHIN 10 FT. OF DRIVES OR ' `" '
t PARKING. 4 i�"
4�- r rs Q 5. CAST IN PLACE CONCRETE TEES ARE SPECIFICALLY DISAPPROVED. • as
uquO '4'- r ,/r SANITARY TYS WHERE INDICATED ARE REQUIRED.
DISTRIBUTION /3•s�' ASNfn STWE S. EFFLUENT PIPING FROM DISTRIBUTION BOX SHALL ENTER LEACH PIT
BOX �y 07 THROUGH SDEWALL OR TOP ONLY. ENTRANCE THROUGH MASONRY LOCATION MAP
EXTENSION WILL NOT BE ALLOWED.
IdU�tcALLON SEPTIC TANK ;TEST
7. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEED
RESTRICTIONS OR ZONING REGULATIONS. OWNER/APPLICANT SHALL
1. _I OBTAIN SUCH DETERMINATION FROM THE APPROPRIATE AUTHORITY.
SEWAGE DISPOSAL SYSTEM PRQ� BOTTOM HOLE 8. HORIZONTAL AND VERTICAL. CONTROL, SEE LEW, ELDREDGE
NOT TO$CAI - & WAGNER FIELD NOTEBOOK
CURRENT ZONING INTERPRETATION: DESIGN CALCULATIONS:
MIN. FRONT SETBACK _ FEET
� ,� -. __ __ ___... .,�•____--_ - - NUMBER OF BEDROOMS
MIN. SIDE SETBACK I S FEET
IS' TOTAL ESTIMATED FLOW
T
' MIN. REAR SETBACK FEET
(�Q CAL./BR./bAY X � BR.) t, GAL/DAY
�Q �/�� REQUIRED SEPTIC TANK CAPACITY ,CAL
ACTUAL SIZE OF SEPTIC TANK � 7 GAL
PERCOLATION SOIL TEST LEACHING AREA,REQUIREMENTS
��{x0 $IDEWALL AREA 2.5 GAL./S.F.
I. BOTTOM AREA 1.0 GAL/S.F.
DATE OF SOIL TEST----- LEACHING CAPACITY (BOTTOM + SIDEWALL) ;Z41GAL
WITNESSED BY 21T(10/2)(6 )(2-5) +7f( 10/2)1(1.0)' GAL
PERCOLATION RATE -42, _MIN./INCH RESERVE LEACHING CAPACITY
SAME
T OBSERVATION HOLE 1 OBSERVATION HOLE 2
` ELFv.6 .I/ ,S ELEv.�• BREAKOUT CALCULATION:
� ' , I: • ' —0.00 t V. seer tl —0.00
LEGEND:
EXISTING SPOT ELEVATION OOXO
ME EXISTING CONTOUR-------00-----
,c A V j, FlNAL SPOT ELEVATION 00.0
- FINAL
LIEONTOUR LOCATION xx
{�/(} ID
"~ ! "I WATER AT ELEV. /O •5 ' WATER AT ELEV. TOWN WATER W-�—W
Fz I < SEPTIC TANK p
I ,, � /�� DISTRIBUTION BOX ❑
aT10 _
�1 _ '" ' .a,I PRIMARY LEACHING PIT O
ilk WATER LEVEL ADJUSTMENT: RESERVE LEACHING PIT 46
�"..".•.,..�-^^ ` TEST DATE I`Vrfs '' " WATER LEVEL / t2 uwa c
n
r { ,r 1 /�' INITIAL ISSUE JL
}-^ INDEX WELL N0. DATE DESCRIPTION BY
WATER LEVEL RANGE ZONE ---
1 DEPTH TO WATER LEVEL FOR INDEX W LL SITE PLAN
n &}y SEPTIC /DESyI-GNf
p� FOR THIS MONTH V 1V r lC tl i L O/ �p(�j
WATER LEVEL ADJUSTMENT
W.ftX9A&F MASSACHUSETTS
"'
� �
p L 0 Q�/ o � DEPTH TO HIGH WATER
Ig' j tT fi 1 T���!��DF Afllp,� SCALE: .."^`1c to JOB NO. fr /SPLAN
_ STEPHEN
---�-- APPROVED: BOARD OF HEALTH v ALLYN
No.30216
RE 51PA C E P FISTS- o�� UW, MWGI TAM MOGIAM RIC
SITE PLAN DATE AGENT FS 0 L � uwim mtm rj= Lm
889 WEST MAIN STREET CENTERV= MA 02632