Loading...
HomeMy WebLinkAbout0028 CARRIAGE LANE - Healthr28CARRIAGE LANE,BARNSTABLE n e Jai _ sNo. Fee /10 6 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftPhration for his osa *pstem Construction permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. c\7 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel f -4 K11 Leveh� Installer's Name,Addr ss,and Tel:No. �- Designer's Name,Address,and Tel.No. Type of Building: _ Dwelling No.of Bedrooms 3 Lot Size �oz;s�a83 sq.ft. Garbage Grinder(/J) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.requir d) 30 gpd Design flow provided 3 Lt gpd Plan Date �� Number of sheets 1 Revision Date \ (� Title S 1'C t� S tn.�AC, t j `` Size of Septic Tank !�d O Type of S.A.S. �� C� Description of Soil Sic CLAN Nature of Repairs or Alterations(Answer when applicable) 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 Health. Signed ��--�� Date JL a Application Approved by ti Date Gl It Z.116 Application Disapproved by Date for the following reasons Permit No.2005 - S2,s = Date Issued No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: .% PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zippfiration for IDisposal bpstem Construrtion Permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components kt Location Address or Lot No.r,��!5,� L-Acre= Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 2q$ 1_A0 4. Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 1-��etom`�• &owe Type of Building: _ Dwelling No.of Bedrooms Lot Size /.23'/�a-93 sq.ft. Garbage Grinder(/�) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min:required) Z 30 gpd Design flow provided b gpd Plan Date I Number of sheets Revision Date \n (7 _ Title l C (F- Size of Septic Tank /S'C�Q Type of S.A.S. �c,J29 cl. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 y Compliance has been issued by this Board Health. Signed �•d-- Date 9 /Z- d a/ Application Approved by Date e4- f Z k)r Application Disapproved by Date for the following reasons Permit No.2.0o 5- S 2S- Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS tertifirate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( Upgraded( ) Abandoned( )by N\C K� +.l S5 at Z k ck• wa has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit N —S dated {• t5 V215�• �.12 G�} Installer Y\Ncl« Im Ste— Designer #bedrooms 21 Approved design flow `f?Yd gpd- The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date `I - (� Inspector No. ��' �� Fee s" THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair( Pl °-Upgrade( ) Abandon( ) System located at 2-97 Aa 61_ LANZ {aC�-vJS�'lR�L1c 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 2 " C>15 Approved by No. V �� _ �.. Fee Kyo` �- THE COMMONWEALTH OF MASSACHUSETTS . Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIPPgicatiou for Th5po5al 14p5tem Cou.0truction permit Applicati for a Permit to Construct( ) Repair( 14upgrade( ) Abandon( ) ❑.Complete System ❑Individu Components Location Addr s or Lot No. �j Ca_vrt qq� �e- Owner's Name, ddress,and Tel.No. Assessor's Map/Pa el 3—G18 O Z r(j CCvr�C(,���L fe I'saer's N m ,A r s,and Tel.No. esigner's Name,Address and Tel�No, qIld Type of Building: 43-)'-oS A20 1%Q.S} _ $ 3 3 1-4-T 7 Dwelling No.o\Brooms l��yc. �j3+� q gLot Size s ft. Garba e Grinder Other Type g No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min. equired) gpd Design flow provided gpd Plan Date o t::5 Number of sheets Re/on Date Title Size of.Septic Tank UCO Type of S.A.S. W D r V..( j S Description of Soil ^- Nature of Repairs or Alterations(Answer when app 'cable) vc rrO ic� ( a i n4-6C Ga ( Cyr` Date last inspected: Agreement: The undersigned agrees to ensure the construction aVlan e a re described on-site s age disposal system in accordance with the provisions of Title 5 of the Environmean plac the system in operati n until a Certificate of Compliance has been issued by this Board of Health. �• Signe t/ \ Date Application Approved by ° Date irl Application Dis proved by: "rA Dat for the following reasons \Abandole �bf��1 Da Issued _--..— -----------=--THECOMMO WEALTHOFMA ACHUSETTSBARNS BLE, MASSACH SETTS�Ce ficate of �Compli ceTU O ERT Y,tha e On- ite e e is - al System Constructed ( ) Repaired (V/Upgradedby has b n nst cted in a� o ce with the provisi s of itle 5 and the fofSpox-t—, sal System Construction Permit No. � dated Installer C Designer ts�n #bedrooms Approved design flow gpd The issuance of this permit shall no e construed as a guarantee that the system will function as de ' ned. Date Inspector A _ M . No. -� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: =' Yes PUBLIC HEALTH DIVISION -'TOWN OF BARNSTABLE, MASSACHUSETTS ! Rpptication for ai5po!gar �&p5tem Con0tructton Permit f ApplicaU for a Permit to Construct O Repair( pgrade( ) Abandon O ❑ Complete System ❑individual Components Location Addr s or Lot No. d-s A vet qq�, �-0'�l� Owner's7Name,Address,and Tel.No. Assessor's M" dap/Pa clro In � aller sts am , r san, d Tel.No. esigner's Name,Address and Tel.No. V6 C.(\ dt ror) lot 3 Type of Building: lases 183 47ft. Garbage C 3 1 177 Dwelling No.of B \rooms Lot Size sq. GrinderOther Type of Bul ding No.of Persons owers( ) Cafeteria( ) Other Fixtures Design Flow(min.[equired) �O gpd Design flow provided OFF gpd Plan Date 1 y - Number of sheets Revi4on Date ✓�- Title 5 t j Size of Septic Tank UC> TypeofS.A..S,.( WCi �r H trC �� S Description of Soil T" '- �S,�-1 / J Nature of Repairs or Alterations(Answer.when app icable) C� p C�I) R I nS_C } 1 Date last inspected: Agreement: \�a The undersigned agrees to ensure the construction atenan /ofe afore described on-site s wage disposal system in accordance with the provisions of Title 5 of the Environment I �'�eand to plac the system in operati n until a Certificate of Compliance has been issued by this Board of Health. QV` / 1 SigneipF v/x Date �7 J Application Approved by h /J Date 6 l/ Application Di'a' proved by: Date for the following reasons / Permit NoA a00 al Date Issued U Ljf Q Y r THE COMMOT WEALTH OF MA ACHUSETTS /` } BARNS 'ABLE, MASSACH SETTS ale fificate of qzont ltanre Q� \Abandone�� TO Cl Y that�t e On-site :.e a e Dis o al S stem Constructed ( ) Repaired (il/) Upgraded ( ) } / P Y ,by l„ / /� 7A _n _� k /LJ1 has b en onstructed in cc ordance with the provisiis of' itle 5 and the for Disposal System Construction Permit No. ' - dated Installer u-4, //`(-� ��C Designer y'G�-�f t C� 4 #bedrooms Approved design flow \ gpd The issuance of this permit shall no/t be construed as a guarantee that the system will function as designed: Date //I Inspector \ No. ��� Fee 1_1 THE COMMONWEALTH OF MASSACHUSETTS nn PUBLI HEALTH DIVISION-BARNSTABLE, MASSACH ETTS / �U [� OaYtE11I �COlgtrUctiOTC ern�it p V Permission is herebygraynted-to Construct ( ) e�air ( � U•grade ( ) - %Abandon-g(,1.r� ). � _ System located /X/1 t /ll/ �tr r. and/ddesibed in the above Application f'or Disposal System ConstructionPermit.The applicant recognizes h /her duty to cith Title 5 and the following local provisions or special conditions. Proonstruction must be conhlleted within three years of the date of this eDa 0�� ,/ 11 Approved by es '.0 Town of Barnstable Regulatory Services Thomas F.Geiler,Director iAR23 B E, • Division Public Health Div . TFo � Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office:.A8-862-4644 Fax: 508-790-6304 Installer &Designer Certification Form Date: Designer: ,OWV 1 V 13. MIOX4 ,�S Installer: Af C ev &JST _ Address: . EA9 64--1LwV,4 Address: On LA (1,I)S- was issued a permit to install a (d te) (installer) septic system at 2'g 642P �•' "C based on a designdrawn awn by (address) DI 4Y l mi✓041!�S dated 15 2 0 g (designer) IZbb g : 1� !-certi fy that the septic system referenced above was installed substartti4y- accbrding'to he design, which may include minor a proved-char es such as latera relocation o the ii txtbu 'on box andlor eptib l5 ,b �D S t,. OT ,ill t I certi&,Ilhat the septic system referenced above was inst d-d with ma}or_changes, (i.e• greater firm 10' lateral relocation-of the SAS or any vertical'reiooation of arty component of the.septit-,.system)but in'accordance with State&Local,Regillations. Plan,rdvi,i ork of certified as-bolt by designer to follow. .�ZN`DFjMgs(Installer's Signature) : �• '11►" iSON. . m --� Ido 19.66 Q/STEP ' sA�lTAR�Pe� . (D er s Signature) ( $X er's Stamp Here) PLEASE RETURN TO BARNS" B. :-PUBLIC-HEALTH DIVISION. CERTIFICATE OI'._ CONiP3L,IANCE WILL".'NOT �lE� SSITED¢ :t =BOTH TT�III�"3FORM=AND' AS_ BUII,T CAttD ARE RECEIVED R' `:THE:BAIL ST ►I3LE PU BLIC REA'M Ur SION. THANK YOU. Q:Healti/SepticMesigner Certification.Fora x r . • r r t C ' I i •. t t i a i •i. '` �•� r �♦ � r:i ! � tIi � 'i+� r `t♦ ♦ . � � . •t , p .t f ,. i TOWN OF BARNSTABLE LOCATION ag SEWAGE# `IILL,AGE ASSESSOR'S MAP&PARCEL� t 9 INSTALLER'S NAME&PHONE NO. I Ti&kw °77/ - V 1 W SEPTIC TANK CAPACITY I �( LEACHING FACILITY:(type) (size) NO. OF BEDROOMS OWNER Vve, PERMIT DATE: 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 NO feet of leaching facility) feet Edge of Wetland and L,aching Facility(if any wetlands exist > within 300 feet of leaching facil' ), feet FURNISHED BY 37 � 3� 71 � y TOWN OF BARNSTABLE O LOCATION �� Wi t/} L � SEWAGE # 9-S'—4-73 L� VILLAGE (�/+� ASSESSOR'S MAP 6 LOT�'lF- 0'10 yf INSTALLER'S NAME & PHONE NO.VUt-�Ld_r-'_7 ate' SEPTIC TANK CAPACITY iNoei LEACHING FACILITY:(type) e-_> (size) Ce p NO. OF BEDROOMS PRIVATE WELL p11Ri] W,4T R BUILDER OR W� �f DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes �No1 Rena zc, 39 i 3b yy 36` 41' D r y��sl9s �a THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for Bi,rnVu!3Ml Work.6 Tomitrlgrthin t1unfit Application is hereby made for a Permit to Construct ( ) or Repair (p4 an Individual Sewage Disposal System at: 644-0_0-e-c�.. C�rf -_��a,.l.N .. -----------------------------------------•------------ Akoeation-Address or N .................................................... ......••- Owner Address W 1�0/Z-e aY�'7+7"f CONS 37W vyJ 7fad !f N1 v ✓V) I�� - ............... Installer Address Type of Building 3 Size Lot............................Sq. feet Dwelling— No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons----------- ................ Showers ( ) — Cafeteria ( ) a' Other fixtures ------------------------- ----- - - -------------------- ------------------- -------------------------------- ------- W Design Flow-------------------:! .j-........._--.gallons per person per day. Total daily flow............ 3Q------._.._.._....gallons. WSeptic Tank—Liquid capacity../(lfl4-.gallons Length---------------- Width.....-.-.------- Diameter---...-----._.._ Depth................ x Disposal Trench—No. .................... Width.................... Total Length...._-....__-------- Total leaching area....................sq. ft. 3 Seepage Pit No....-....../....... Diameter.......... --- Depth below inlet...... .......... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.-.--.-.--..__..-_ Depth to ground water...--------....._---.:.. fZ4 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ a --------------- ---------------•---•----•--•----•--•---••-•--.._......---••-----••--•••••-••-•••.---•-•--•..........................-•--•••............•--- 0 Description of Soil......................................................................................................................................................................... x w UNature of Repairs/.or Alterations—Answer when applicable.-..._ 0.-------._....1ogQ ., 'r.-Q---.--. Q�Ffl4-1............. 7T ---w! --`5-��-�......-'771----?b4.�---- i..S'TTn/�..-----'S.......... t"..�.�` Agreement. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance h bee issued ;t��,oard of health.Signed -- ...._.... ......... ......:..... ............. .... 7s --- ----................. / Dare Application.Approved B ----- - -��--------------------- -------------------...G�j �. r.S.. Application Disapproved for the following reasons- ---------------------------------------------------------------------------------------------- .............................. . ...................... .............. ..................... .... ........ .............._......... .. . -- .. ....... -_..... ------------------------------------- Date Permit No. --- ........ Issued ........3-...2. .......................... Dace 3 No. Fss.............................. da THE COMMONWEALTH OF MASSACHUSETTS BOA13D OF HEALTH TOWN OF BARNSTABLE Appliratiou for Divjip i al Workii Cnomitrur#iuu lirrutit Application is hereby made for a Permit to Construct ( ) or Repair (/ ) an Individual Sewage Disposal System at: ................................................................................ .................----............................................................................. Location-Address or yLo No. ......}. C�-"".-..-'f.......................................................tr;�........ ...............................................V �.......................................: 7n 7 o r� r Owner Address .-•-----•-�---•�jNS'S'(7,..J�(J'J.-•--7��_ W ..L�Q-...... �-a---•-•-- ---•-'M----V=---5-•-------••--- Installer Address UType of Building - Size Lot............................Sq. feet Dwelling— No. of Bedrooms.... .-------.'&----------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ------<.................... No. of persons_-------------------...... Showers ( ) — Cafeteria ( ) A4Other fixtures ---------------------------------------------------------------------------------------------------------------------------.------ ------------------ w Design Flow................Ste~.-_-.-.-.-__.. gallons per person per day. Total daily flow------------- 35 ..................gallons. WSeptic Tank—Liquid capacitv../()G—gallons Length--.------------- Width................ Diameter................ Depth................ x Disposal Trench— No. .................... Width-------------------- Total Length------------- ------ Total leaching area....................sq. ft. Seepage Pit No---------.. ---..... Diameter..........r --.. Depth below inlet._....-�t......... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date........................................ a Test Pit No. I----------------minutes per inch Depth of Test Pit...._.............. Depth to ground water........................ LZ, Test Pit No. 2................minutes per inch Depth of Test Pit...----------------. Depth to ground water.,...................... P4 -----------------------•-------•-•••--•--••-•-•--------------------•------......-•----..........----......................................................... 0 Description of Soil.......................................................................................................................................................................x U •-•••--•......--••-----••-•-----•••--••-•-••---•••••-•-•......••-•-•......•---------•--•-•-•-------••--------------•--------------•---•---•----•-•..................................................... U Nature of Repairs/or Alterations—Answer when applicable-------� �._.- -.----- � �.......� :1............. Ive— .... . Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code.—The undersigned further agrees not to place the system in operation until a Certificate of Compliance��bee itsss-ue Signed o-a rd of health.... ' �I 3//// . / gre Application.Approved By ........-_..._.....__--.�.�------- -------------------- ------------------- ��2...7 ---------- Application Disapproved for the following reasons: ......... ......... .... ................................. ..................................................... -------------------------------------------------------------------------------------------------...._...............'-__-'.............._..._..................................... -------------------------------------- Permit No. ��---- 7 .. Issued .... Dare —'———r _®Q--o THE COMMONWEALTH OF MASSACHUSETTS ~�' BOARD OF HEALTH TOWN OF BARNSTABLE (ITQrtIfirate of (ItIomplizince THIS IS TO_CERT�II Y That the Individual Sewage Disposal System constructed ( ) or Repaired (p� ) by ..... ............. ._._.. S�rr.�, ..... Ct;�,Si c��-i----.1 ..................._..- - - ... -' --- - -...._... MC Ins�allcr ......... .............-.t/�� j�-�nl� /�.�A-l---~�•-iS i P L at - -' /------ _...-......._.........._.......- has been installed in accordance with the provisions of TITLE of The State Environmental Codp asdpscribed in the application for Disposal Works Construction Permit No. . '_�a. .. 5.......___- dated //..Z.�.... ._.... . THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE --._...----` ' .. ...`... /� ------- Inspecto -... � - --1— -- -- --THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE FEE................... �iu�n�tt1 urk� �uu,�#rttr�Uau �rruti�Permission is hereby granted......_................ U/ c r;,'7 C UN S71-W Ci IuJ ................................................... ...................................................... to Construct ( ) or Repair �) an Ind a Sewage Disposal System at No........ --------•---•---------------••---------•-------------------.....�/� G--� L�a.l�, /1/�U�/.. L_. -- ... Street as shown on the application for Disposal Works Construction Permit No�.5_ Dated--------- I? ........... l�7/ .•.••........••............... Board of Health DATE-----------"----- •/----• --••------------------•----- FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS ­04 ( BORTOLOTTI CONSTRUCTION, INC. to �Lqg SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ----------- AddressProp.2,? t -99 Owner Date of Inspecl map t C, PART A — CHECKLIST CHECK IF THE FOLLOWING HAVE BEEN DONE: -..------"'PUMPING INFORMATION WAS REQUESTED OF THE OWNER,OCCUPANT,AND BOARD OF HEALTH. 4.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 COLUMES OF WATER HAVE NOT BEEN INTRODUCED INTO THE SYSTEM RECENTLY OR AS PART OF THIS INSPECTION. ri AS-BUILT PLANS HAVE BEEN OBTAINED AND EXAMINED. NOTE IF THEY ARE NOT AVAILABLE WITH N/A. i---THE FACILITY OR DWELLING WAS INSPECTED FOR SIGNS OF SEWAGE BACK-UP. THE SITE WAS INSPECTED FOR SIGNS OF BREAKOUT. .__i--_ALL SYSTEM COMPONENTS,EXCLUDING THE SAS,HAVE BEEN LOCATED ON THE SITE. t,-..-THE SEPTIC TANK MANHOLES WERE UNCOVERED,OPENED,AND THE INTERIOR OF THE SEP1 IC TANK WAS INSPECTED FOR CONDITION OF BAFFLES OR TEES,MATERIAL OF CONSTRUCTION,DIMENSIONS,DEPTH OF LIQUID,DEPTH OF SLUDGE, DEPTH OF SCUM. THE SIZE AND LOCATION OF THE SAS ON THE SITE HAS BEEN DETERMINED BASED ON EXISTING INFORMATION OR APPROXIMATED BY NON-INTRUSIVE METHODS. THE FACILITY OWNER(AND OCCUPANTS,IF DIFFERENT FROM OWNER)WERE PROVIDED WITH INFORMATION ON THE PROPER MAINTENANCE OF SSDS. PART B — SYSTEM INFORMATION FLOW CONDITIONS RESIDENTIAL No of Bedrooms _No of Current Residents Garbage Grinder _>�ZS_Laundry Connected to System A/C___-.-Seasonal Use -INION _(Calculated flow WATER METER READINGS,IF AVAILABLE: GALLONS ping Records and Source of Information: SYSTEM PUMPED AS PART OF INSPECTION?_Zk IF-YES,VOLUME PUMPED = GALS Reason for Pumping: TYPE OF SYSTEM: -------.—Septic tank/distribution box/soil absorption system Single Cesspool Overflow Cesspool ----Privy ------------ ----Shared system (if yes, attach previous inspection rec9ovys, if any) Other (explain) '�- —7— / v A-p proximate age of all components. _D ate installed,-if-known---Source of---information _.N �.-'`S /_.'l_.l�+�r�/.5_- u.l/ SEWAGE ODORS DETECTED WHEN ARRIVING AT THE SIIE?_WC)_.. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B - SYSTEM INFORMATION (Continued) SEPTIC TANK Depth below grade: Dimensions* 6 x -Materdal of construction: te Concre Metal FRP Other} Sludge Depth Distance from top of sludge to bottom of outlet tee or baffle Scum Thickness Distance from Top of Scum to top of outlet tee or baffle Distance from bottom of Scum to bottom of outlet tee or baffle Comments: ct. /(-)(>j acw//00, -b-ISTRIBUTION BOX: VO-19 DEPTH OF LIQUID LEVEL ABOVE OUTLET INVERT Comments: PUMP CHAMBER: Pumps in working order? Comments: SOIL ABSORPTION SYSTEM (SAS): ✓ -------------- IF NOT PRESENT,EXPLAIN: TYPE: P4 /0 Q C) qc?A -Qf Pments- Z V/- NtfM C—0; dc- S T �7- V CESSPOOLS: At Number and configuration Depth-top of liquid to iniet invert Geptii of solids layer Depthof scum layer Dimension of cesspool Materials of construction Indication of groundwater inflow(cesspool must be pumped) Comments: PRIVY: AU Materials of construction Dimensions Depth of solids Comments: I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B — SYSTEM INFORMATION (Continued) SKETCH OF SEWAGE DISPOSAL SYSTEM: INCLUDE TIES TO AT LEAST TWO PERMANENT REFERENCES, LANDMARKS OR BENCHMARKS. LOCATE ALL WELLS WITHIN 100' O DEPTH TO GROUNDWATER: DEPTH TO GROUNDWATER METHOD OF DETERMINATION OR APPROXIMATION: T, S, /-d v� �/e�?Q °O22 (An Cva ler SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C — FAILURE CRITERIA (Indicate Y-yes N-no ND-not determined.Describe basis of determination.If"not determined",explain why not.) /Y Backup of Sewage into Facility? Discharge or ponding of effluent to the surface of the ground or surface waters? Static liquid level in the districution box above outlet invert? y / Liquid depth in cesspool, 6"below invert or available volume, 1/2 day flow? Required pumping 4 times or more in the last year? Number of times pumped _ Septic tank is metal?cracked?structurally unsound?substantial infiltration? substantial exfiltration? tank failure imminent? Is any portion of the SAS,cesspool or privy, below the high groundwater elevation? _IV _ Within 50 feet of a surface water? _ Within 100 feet of a surface water supply or tributary to a surface water supply? Within a Zone I of a public well? Within 50 feet of a private water supply well? /V Within 50 feet of a bordering vegetated wetland or salt marsh (cesspools&privies only, not the SAS)? 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,amonia nitrogen and nitrate nitrogen. PART D — CERTIFICATION INSPECTOR: ROBERT J. BORTOLOTTI ADDRESS: 765 WAKEBY ROAD, MARSTONS MILLS COMPANY: BORTOLOTTI CONSTRUCTION INC. MA 02648 (508) 771-9399 CERTIFICATION STATEMENT I CERTIFY THAT I HAVE PERSONALLY INSPECTED THE SEWAGE DISPOSAL SYSTEM AT THIS ADDRESS AND THAT THE INFORMATION REPORTED IS TRUE,ACCURATE AND COMPLETE AS OF THE TIME OF INSPECTION. THE INSPECTION WAS PERFORMED AND ANY RECOMMENDATION REGARDING UPGRADE,MAINTENANCE AND REPAIR ARE CONSISTENT WITH MY TRAINING AND EXPERIENCE IN THE PROPER FUNCTION AND MAINTENANCE OF ON-SITE SEWAGE DISPOSAL SYSTEMS. CHECK ONE• I HAVE NOT FOUND ANY INFORMATION WHICH INDICATES THAT THE SYSTEM FAILS TO ADEQUATELY PROTECT PUBLIC HEALTH OR THE ENVIRONMENT AS DEFINED IN 310 CMF 15.303. ANY FAILURE CRITERIA NOT EVALUATED ARE AS STATED IN THE"FAILURE CRITERIA"SECTION OF THIS FORM. I HAVE DETERMINED THAT THE SYSTEM FAILS TO PROTECT PUBLIC HEALTH AND THE ENVIRONMENT AS DEFINED IN 310 CMR 15.303. THE BASIS FOR THIS DETERMINATION IS PROVIDED IN THE"FAILURE CRITERIA"SECTION OF THIS FORM. INSPECTOR'S SIGNATURE: DATE: ORIGINAL TO SYSTEM OWNER,COPIES:BUYER(if applicable),APPROVING AUTHORITY t No........... ....... Fala.... .."'�............. O �O THE COMMONWEALTH OF-MASSACHUSETTS ' BOARD OF HEALTH q1�, a __..- , .... ....OF......--.�. .... . .. . . .. ......................... _Appliration -for 13hapoiittl Works Cnnnstrnrtion Pumit Application is hereby'made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ........................••-•------• --. L ation ddress r or Lot No. ....................... D.O_ Q........ Alt?W S n O er Address �� o �---------------------•-----.----- -----.... ........................................... Installer Address UType of Building Size Lot....3aOW---.___-Sq. feet Dwelling—No. of Bedrooms_________ _______________________________Expansion Attic ( ) Garbage Grinder (ko) aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixtures _______________________________ _ _ W Design Flow............5 ............:............gallons per person per day. Total daily flow--------90-0 __ gallons. WSeptic Tank-4 Liquid capacity_10 .gallons Length------------_- Width------.......... Diameter_-.---.--------- Depth---------------- x Disposal Trench—No..................... Width.___ ----------- Total Length.................... Total leaching area_.____...___.____-_-sq. ft. Seepage Pit No.......t............ Diameter/W.. ��epth below inlet____-___-___•._-_--_ Total leaching area-------...........sq. ft. z Other Distribution box ( ) Dosing tank ( ) -a A- 00 e 170, / A - 14-/-7 G aPercolation Test Results Performed by.......................................................................... Date-------------------------------------- a Test Pit No. 1----------------minutes per-inch Depth of "lest Pit-------------------- Depth to ground water.......... '.__.._______- CL, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_.._..._._._-_-._______- ------•--------------------- -----_. --- .411 O Description of Soil----- •-----V-- 6 -- ° d121- ''o-- ✓� y 41: �---- ----------------------------------- Z ---]�/� --------------------- U Nature of Repairs or Alterations—Answe hen applicable---------------------------------------------------------------------------------------------- --------------- .. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the oard of heal Sig d._.._.__. -------------------•-- s Date Application Approved BY r° ------------------------- --- /-`--�/n.7--�..... Date Application Disapproved for the following reasons: ----------------------------------------------------------------------------------- -•-••-••••---------•-•------•-------------------------------•--•---------••-•---•------•-----••-•----•-•- ...... Date PermitNo......................................................... Issued...................... ..................=.............. Date ?1 No........... � ....... F��....�!3`............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH (j'7"Zt/h...........O F......... .a! ����'mot` Apphration -f>orr Diri weal Morku Ton-strurtion Vamit Application is hereby'made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: L ation ddress or Lot No. �n w�en-•- ------•-- ......--•------- W O yper Address �A O 1...... 5 - p Installer Adddrr ess UType of Building Size Lot----W GUU--------S q, feet Dwelling—No. of Bedrooms--------- --__-------------------------Expansion Attic ( ) Garbage Grinder (Mu) per, Other—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a Other fixtures •----- ----------------------- W Design Flow............5 _________________________gallons per pet-son per day. Total daily flow........ gallons. Monti. x9 Septic Tank-L Liquid capacity_1QUd..gallons Length---------------- kVidth................ Diameter_-.-_-_---__--- Depth................ DisposalTrench—No_ ____________________ Width.�� .____------- Total Length---------.---------- Total leaching area--------------------Sq. ft. Seepage Pit No-------1-I Diameter!n,K.St=- WDepth below inlet____________________ Total leaching area------------------sq. ft. Z Other Distribution box ( ) Dosing tank ( ) -t)P- 11�'G 1711 -- / ;1 - !,V- 7 / Percolation Test Results Performed by---------- -------------•--•-----------------------------•---------------- Date-----------------------------_------- Test Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water._.-----....._---.----- 4, Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water-----...___-_-__----.--. Q."._.. ------ ( Description of Soil.---- ---- / U --- ---• " -: - W --------------- U'L� T Gr?/ -.. .. . �.-f--f rc'f-, --. r. � t17 UNature of Repairs or Alterations—Answet hei�plicable....-------------------------- --------------- --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beennsue. d by the oard of heal Sig ed .- rt�t = =---••-------------- ----A/ t/_7_-.... Date Application Approved BY--- Gs. /�llvl h .- f- � .7 7----- Application Disapproved for the following reasons____________________________ ----••------------------------------•-•------------•-•---------Date _------------ -----------------------------•---------------------------------------------------------------------------....------------------------------------------------------------ -----------. ---------- ---- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............. .../i 1 -1,........0F........ . .. .. 1- '✓Yt�!.. ............ ................. 6.1rrtif irate of TiMp aurr THIS S Tj(( C RTIFY, That the Individual Sewage Disposal System constructed ( �yor Repaired ( ) by..=17"L. & ................................ --- ------------ ----------------------•--------- n � Installer Liir y j-------------------------------------- has been installed in accordance with the provisions of A'icle XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No_.............//-._._______--_-_. dated..... -._ ............... THE ISSUANCE OF THIS CERTIRCATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL, FUNCTION SATISFACTORY. -- s -------------- Inspector------ f f " -, _., DATE_ ......•-- ----- :_:,; -: r ---------------------••---- i � I THE COMMONWEALTH OF MASSACHUSETTS 71 � BOARD OF HEALT 11 � No.........A......... FEE------ ............ Binvoiittt r omitrurtiott Vrrntit Permission is herebyranted /� -- �� - - -------- ------ to Construct/`(////) or Rep 'r ( ) an Individua Sewa Disposal Syste at No.. ��'v �� �:ri 1.1i1 x �"t -A.................. Street as shown on the application for Disposal Works Construction P No__ _____ --------- ated------ --.'.7-.1__........ Board of Health — DATE...................................................... ------------------------ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS , i t trtp n"3 �ia t At- �t a s. '' - • ;;r � t :�r kn ��t4.��<bS'• rd�.i�t. k ti a �. ..� r -:t • - t `Y� �^ ` i py � ' s{ '�� ¢Y� � ''F �t •, � Yk-, dry �`' -: • .. - ,� rl . �� a� i � 6 n2 ynro'k.tt rx `"r A7 it g \'L! i G�•, 4 w ��+ ,' t7 ""'�S+.k�Nr 9„-r 1�F F� Af „A.y• r + - P 2^..�M,t k �id�y�1I r�� rf �. i AS a a � t s y � � t ®7' t 'A A4, �`5 A. t .LASFE,e&.c/cE ., :¢ , aiST©/3UTiUC/ ' Ba�C4 � .�. /iL� ����� l_ � 'G_ /iC•: F'�r_3/,:.3,�� aLy4-e> T/-/E z S±NOI4/.tJ O,l/ "TN/s PL.QAtl ./S LOC!9,TEL7: O.V THE r P�`yq ' co A5 SeNObV.V HE.�BoI�/` Ait/D T.�-/AT, S CO.vFO AA TO Ts�Fr �O.tJ/it/G O Y-G AeNs' O.- THE 7 27WN OF f�•�•V 5?/�3G +@ ` " r e�1 s,Ne7 'Cie� La,V6/A/dff*E.e'S r Lga/O SCJ.ldVBYOBs jr.t / y��/.y/� �•• '•' E.,' �'�. to�'L �.� f` '�i,.; &-MfOurs-i, .NAs�. a.�5-�- ��►.vt� u t--o Y . � •. p,. .fie',• TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL. STORAGE SYSTEMS tN CJ JAG ASSESSORS MAP NO. c PARCEL NO. 29(t - ,(Y40 ADDRESS; VILLAGE' 14AME',. {U. CONTACT PERSON PHONE NUMBER ,3G�-�(®„� ' �i�-' '0,? LOCATION OF TANKS: - CAPACITY: .TYPE.—OF—FUEL.. AGE: PE: LEAK rOR CHEMICAL: DETECTION SYSTEM! DATE OF PURCHASE OF EACH: 1. eoIJ177 2. 3. 4. 5. _ DATE OF FIRE DEPARTMENT PERMIT:�J17`J TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD. vv f BARNSITABLE FIRE'DIS 1RICT ABPLICATI, N.rOR PERMIT FiJ g ALTER FUUELLOIL`,,BUR-NING EQUIPMENT �Tn the)lead uf3the Fil'p.:tDPoariment P �'" ,� _.;_ ,T• ,��--� ,y:� _ .,; T A 'placation;�s he ebyl m de m,aecordaucer.w,ith.the prgvisions of-Chap 1148, E1 L,`.,and gulafibns4,iriade under,authonty�thereof�yheundersined�for perlhit to install, alter,for tithe person ox,personsandrat the;iocation,�iamed�herein; Fcertain egingment for.the keeping, ` storage'o use,of ehtior otherhlammable llqutd produ�ts;used o> fuel as descrlbedbelow V ,;�De"r`iFlt><on ,�''Name�. � �_�'°'�i�•'�1�` ��L�� �� � �� . � I , aF._-'""`•r."�` Manufacture :.' a _ BuYnerJ f Tyke ! y, �� x J Model for $iz",e r ` Location -`sA a ; ��► '": :` Mass,Approved.No .ati.... �°.. `J -,- i - �a ��:�I��h:-iJ�.rs-.� �!_.� /•-� ��4°/�../t'is A.. `ale !n 1 .0 �a .� 1 Y� .-:.-LL..o••u.,. - r .-.14 F .._..,:/1.,�- �.� ..✓•c..�?P1 La%aas.v.�... 's. "/ -.V ��.. y r ^ Amount�ofv�fueh'required for:testing ipturpose v, dt" !4g`afs �l T,his;ap�plrcatton is made with�fu113know,ledge ofatli�e Current reuirements of thef regulations goue�rning such installation,*which.,w�ih'be`ma ,�n comf,liance tfie�ewth ;µ Note �If this application in�olu�esF-alterations Yo,existing, quippi-nt- r ,describe fiilly.onl reverse Sider CERTIFICATION OF COMPE� i® BAFNSTABLE FIRE DEPARTMENT Date ...... /........�.... ! "1'0: HEAD OF FIRE DEPARTMENT Subject: CERTIFICATION OF COMPLETION- INSTALLATION OR ALTERATION OF FUEL OIL BURNING EQUIPMENT The undersigned hereby certifies that the installation (Or alteration) Of fuel oil burn- ing equipment made under the authority of permit No. ............ dated ........ issued b ou and a 1 in to the installation for f �'" I C ytix, �N PPy g �/�? :::..,,.....LL"..Y'.r?..1?.' .i.%'.../.:�... at •••.? !4.•. �•��(••.•` ..•••Y:��••• �•p••T1.'.�. .. has been made in accordance with provisions of Chapter 148, G.L., and regulations made under authority thereof now currently in effect and pertaining thereto. Furthermore, this installation has been tested in accordance with such requirements, is now in proper operating condition and complete instructions as to its use and mainten- ance have been furnished to the person (or persons) for whom the installation was made. T he following data applying to such installation is submitted for the record: BURNER 5' �Y�v Name 2:........f::.: �,��a.'!. ['..::'..`.` Mf b g. y ................................................................. Type .Q..! ......... ........................... Model No. or Size................................................ To use not heavier than ........5`-...........fuel oil. STORAGE TANK ,type �, .. ; :j................................CapacityJ . ....gals. (or) Size Location .Lr... ..cd!.;`..1.Z......(`ar..ri. .. ..'3z.. ........................................................................ �. CONTROL Type .automatic or manual) �S Automatic shut-off valves at bur>'&tank Installed by Manua.. shut-off valve at tank ................ (•: �• D (additional safety devices ellenoid Ferematie. By .::�`d;::P,.• r If,.� ,' . rY: a-tom J o � C gnaturC pf. ..:=D ,lua'• � ."vvY��Y----'�'�.•.3'n'�- '���n R`.s �I�4'�?f',�-,�,i•,3`L+�.L_�� �s..+- y •t�L.a.s+u�:.;- ovx r[ lr � ��L--.,ate.-i� � s�i�{�' �: ---n er��I t •� �' r. _-.-s-.a, .A-Ual`��S� 's'`..`.��,�-r_'�•"'# �^af'+'�F•r. ��� y �Nt Y{ �— -. 06lit��SSUed4 e a ca _ y: F.T s Certfwc?te of�Comp�en, # ' F M e �tr}yS;' bi� �r r�rr'R +� �'Gi r•; E'� .�' eV.�"r-pis � y� � 9r..�Th � r r L i,�� ti 9 ti3fc�S` C'r Grtij �s Nz y, , yF a ? Avr .,r•• gip=€ aft ° 4 t s.'� i � er cL, .d a s � [k`5'�"'� ri A e�� { e „r •'�i M; 1 T •y.Y"1Ty�Y� ;����aC f�' �'TJl ':9i��r� y,R-T.•e��_�....+/r�.° 1r"'� .,. `+SI 4 �4�� a a 4 �h f;a r � ..r c •L *r�' ' 5 z e -."c �, .. w° P i- - t� ri Jy �. `L fl ai £.•. 1 f i / t � .. 7. _ _. '." ., ,��•��;3°�w b a`'7` -�aee �,�."k.,�.m��"�yb t"X -tr ����`y ran ,fi '' r B^A ° Asa BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT SUPERIOR COURT HOUSE O BARNSTABLE, MASSACHUSETTS 02630 J M ,IJ AS`� o �C) PHONE:3S2-2511 ll EXt 330 LAB 337 CLINIC 340 NAME Margaret Linthwaite DATE TESTED 12/28/88 TANK LOCATION 28 Carriage Lane, Barnstable, MA TANK AGE 11 TAG # 472 CAPACITY 1,000 gallons Thank you very much for participating in our program to test underground storage tanks (UST) by soil gas analysis. The free test was offered under a grant the Barnstable County Health & Environmental Department received from the Environmental . Protection Agency. . Because the use of soil vapor monitoring for UST system release detection is very recent and only limited information and experience exists with using vapor sensors in this manner, we can . not g1_rarante-e :that-your }ank= has niteake`d w-o Ho��ever=I - _66r tests did not indicate a problem. You should als realize that a "good" result from our test is no indication of ho.w long the tank will remain sound. If you ever decide to remove your tank , it would help our work if you notified us so we could take a look at . it after excavation. This method has been given an interim approval for 1988 by your Board of Health. Depending on results of research this year, complete approval may be given, otherwise you may be required to pressure test your tank to keep it in service after 1988. A copy of this letter has been sent to your Board of Health and the . records reflect that your tank test indicated no problem. If you have any questions, please contact Charlotte Stiefel at 362-2511 extension 334. NOTE: To prevent possible contamination of your monitoring well with oil or other substances, we highly recommend locking or covering the well . xC: Board of Health - Barnstable I ASSESSORS MAP : _ =— iYOTES; TEST HO � LOGS -L� V d PARCEL_ ?_ _ g FLOOD ZONE: C� SOIL EVALUATOR : 1) The installation shall comply with Title V and Town of Barnstable Board of REFERENCE —C 'r277 3 WITNESS t At4 A W110l2-y"Ot , 1� Health Regulations. poft'/ 1�& DATE: 2) The installer shall verify the location of utilities, sewer inverts and PERCOLATION RATE: -< z. I t4 1�, - coin septic � components prior to installation and setting base elevations. �� 1'�"--—~ Z► I tz.. �} , 3) All gravity septic piping to be 4 inch Sch 40 PVC at 1/8"per foot. The first ji'TH 1 TH-2 two feet out of the d-box to the leaching shall be level. 4) This plan is not to be utilized for property line determination nor any other A mom ` q L°o�,L y purpose other than the proposed system installation. /°'� ��, 6 5) All septic components must meet Title V specifications. Fj / �/, ! e ,4 6) Parking shall not be constructed over H10 septic components. ?�$ 3 7) The property is bounded by property corners and property lines. LOCATION MAP 8) The property owner shall review design considerations to approve of total �C` ! � ..}L� design flow and number of bedrooms to be considered for design. Receipt S'-t P ! p # } of payment for the plan and installation based on the plan shall be d4emed l Z` approval of the design flow by the owner. 1 ' 9) The existing leaching or cesspools shall be pumped and filled with material per Title V abandonment procedures. Those within the proposed SAS shall � � ` U ! �•� j3�} � be removed along with contaminated soil and replaced with clean sand per Title V specs: �.. l 1 ! - 10)System components to be 10 feet from waterline. Sewer lines crossing the t _ water line shall be sleeved with 4 inch SCH 40 PVC with ends ;routed if SEPT applicable, P in t �d b i .,.,LL �A E P T I S Y S I�E IVi DES i G l�l line. The line is to be sleeved being L .- e sc` I e a ---- + # a plicable, The ronosed CAS is barn Ott, ,!ov, tl. s e ved as aforementioned and maintained t ice. 11 If a garbage grinder exists it i` b s to be removed and is the resp onsil, of the r owner to ensure such. ; FLOW ESTIMATE .�---•--����� /Oo ' F•�"`��"��aY� \ f f � � � --- 12 The installer is to take caution in excavation around the gas line. ; BEDROOMS AT GAL/DAY/BEDROOM 3GAL/DAY 1�)The installr shall verify the location, quantity and elevation of the sewer \ ry i 'f �� ye-_ lines exiting the dwelling prior to the installation. 4. T i Tl iin `fit! SV_T -C`.TANK- GkL/DAY x 2 DAYS - GAL , USE GALLON SEPTIC TANKr f --- — i a -- ,, i Rio __ -- �� 9 f SO I L AI SORPT I ON SYSTE'a _ �T,a.� 'i' •:td"A,.::r°:^,c_ 2 .8l �. J r --- _. �--- � SIDE DC AREA: - i SoTT0'A AREA: tD .7 �-Z6,8 _. )4'LA A,� � � �_..� ------ _ �--►-i-t��-_�R1� vim., -��, _ oix SEPT I G SYSTEM SECT I ON ��-�� �� _�- --� ,� - V - f 10 ( - ' -. ,� -- - } , el GAL SEPTIC TANS ?q. ' c , '44 +Jr� -- — -__ �t i i"�O.���� ��� 5 I TE AND SEWAGE PLAN LOCATION : •JA - PREPARED FOR :10 a j..,. . ,. SCALE: i z - DAV:I D B . : MASON DATE; c ` DBC, .ENV I RONMENfAL DES I GNS s z EAST" SANDW I CH MA DATE HEALTH AGENT "` Ste V/�r/o z ,,.,. ASSESSORS MAP:. ` U rJ NOTES: TEST HOLE L 0G S 'y a• PARCEL ._. ._ SO I L EVALUATOR : lr FLOOD ZONE: 1) The installation shall comply with Title V and Town of Barnstable Board of ,�. _. ....__C,..- WITNESS : 'DDk.1 W IA t11 DO-Vk^I 01 , Health Regulations. REFERENCE: p �(J41.•.f j•�� ATE: 2) The installer shall verify the location of utilities, sewer inverts and septic PERCOLATION RATE: Z 1te1 1 ICU rt/ 0 KE •� 2 cz> components prior to installation and setting base elevations. Q 3) All gravity septic piping to be 4 inch Sch 40 PVC at 1/8 per foot. The first t feet out of the d-box to the leaching shall be level. 4 his plan is not to be utilized for property line determination nor any other �&AtM 6 4:=10 purpose other than the proposed system installation. 5) All septic components must meet Title V specifications. 6) Parking shall not be constructed over H10 septic components. 7) The property is bounded by property corners and property lines. 8) The property owner shall review design considerations to approve of total L 0 CA T I O N MAP design flow and number of bedrooms to be considered for design. Receipt S'Rtit of payment for the plan and installation based on the plan shall be deemed approval of the design flow by the owner. 9) The existing leaching or cesspools shall be pumped and filled with material per Title V abandonment procedures. Those within the proposed SAS shall be removed along with contaminated soil and replaced with clean sand per Title V specs. o t-__.._ __.__ _ 10)System components to be 10 feet from water line. Sewer lines crossing the water line shall be sleeved with 4 inch SCH 40 PVC with ends grouted if i ✓y� applicable. The proposed SAS is being installed below the water service 1 SEPTIC S Y S T E E S I G N line. The line is to be sleeved as aforementioned and maintained in place. • _•� µ � ' 11) If a garbage grinder exists it is to be removed and is the responsibility of the FLOW ESTIMATE owner to ensure such. t.. - brt iao • F,�a,�, Ed£ � . i 12)The installer is to take caution in excavation around the gas line. Sy— / ¢ y o \ t Z BEDRO SAT GAL/DAY/BEDROOM - GAL/DAY 13)The installer shall verify the location, quantity and elevation of the sewer 1 i lines exiting the dwelling prior to the installation. �( 907 TANK .... _ ry %GAL/DAY x 2 DAYS qqo GAL - f 'IND GALLON SEPTIC TANK ��iLtS'T►hIC��__. _.. -- gym- J 1. I SO I L A 0 PT I ON SYSTEM ...... r0y1 i- w . / � _.�-�-'� •' ' 2 �81•� � i UL-:} f.1• �, }_.. ��.2.t�� Ire '*,� _ _ __ _ _ - , SIDE AREA: -X i �-T Zei x �.•X . '7 � � � BOTTOM AREA: I ' 'x Z� X O f =Z30 coo A'/ SEPTIC SYSTEM SEC ON ;r; , ( ,•;t ► OF foOWD r,,,� _ _._•_ _ ...ems f 10 I LD�t"�lf ice► ..:A'�'xt�f,0�.. \ ftv" � 1� n t�. 3 , p GAL Wjq �:q ._SEPTIC TANK �b �� j7 i 3�,�j' kk O� f 3oTfbK aF -Ms; L-bb L— —� MASON r40.1QS6 SITE AND SEWAGE PLAN LOCATION : PREPARED FOR : -jDWNC. Ve7bfRIWQ MA 0 SCALE: s 4 a DAV I D B . MASON Rv DATE: (� . DBC ENVIRONMENTAL DESIGNS U Z EAST SANDWICH . MA 3 DATE HEALTH AGENT W ( 508 ) 833- 2177 z