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HomeMy WebLinkAbout0017 IRIS LANE - Health 17 IRIS LANE, BARNSTABLE - A = 334 050L 'yt X. _ - n • o ', i'F�« ., g �. r. a *' sF� 'a .- ,x. �,s° .. -,� al,,. - �....,�,.� C ,.. ..:rN, r '"�` � - _ ' '� s - ;..x•Via• > � — � r. t , �y7 Y t: f r fir• rV. - � Y' ;.{ t { � ... .- F. ' �� Y .) a'Y, '.Y • t ` , �} } .') •� :- � S ,1. r �� r 41 � y ^. ry�' n 1 ti ^'I'k q• � e - '� u' ' a - ^ � � - � •f .w ,. y 4 V 'f a, .. ti s ... n ` . J r .... T •� Yi = r i .w • r ^ - t • G +r aa• " ! 1 1 ♦1. n t Commonwealth of Massachusetts P 33y 06D Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments '( 17 Iris Lane, Cummaquid M -334 P-50 Property Address Kathleen &Michael Lablanc Owner Owners Name information is required for every P.O. Box 360, Cummaquid 1/ MA 02637 May 5, 2015 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. General Information on the computer, I 1 D A 1�11 f use only the tab 1. Inspector: key to move your cursor-do not Troy Williams use the return Name of Inspector key. Troy Williams Septic Inspections my Company Name 19 Hummel Drive Company Address South Dennis MA 02660 Cityrrown State Zip Code (508) 385- 1300 SI682 i4n s' Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. 1 am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority jwe� May 5, 2015 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****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. �oj yd g t5ins•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 17 Iris Lane, Cummaquid M-334 P-50 Property Address Kathleen & Michael Lablanc Owner owner's Name information fired is every P.O. Box 360 C re wired for eveummaquid MA 02637 May 5, 2015 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: System meets minimum standards set by Massachusetts DEP at the time of inspection only.This inspection is not a guarantee or warranty on the future working conditions of leaching, pipes, components or the future structural integrity of said components and only represents conditions found at the time of inspection only. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. 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 structural) sound, not leaking and if a Certificate of Y 9 Compliance indicating that the tank is less than 20 years old is available. ❑ Y ® N ❑ ND(Explain below): t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts upTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 17 Iris Lane, Cummaquid M -334 P-50 Property Address Kathleen &Michael Lablanc Owner Owners Name information is required for every P.O. Box 360, Cummaquid MA 02637 May 5, 2015 page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ 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 El N ND(Explain below): C Further rthe Evaluation is Required b the Board of Health: q Y Conditions exist which require further evaluation by the Board of Health in order to determine if the system is.failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 l Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 17 Iris Lane, Cummaquid M -334 P-50 Property Address Kathleen &Michael Lablanc Owner Owner's Name information is p O. Box 360, Cumma uid MA 02637 May 5 2015 required for every q Y , page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, 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. 3. Other: D) 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 El ® 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 99 P ❑ ® 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 %day flow t5ins-3113 Title 5 Official Inspection form:Subsurface Sewage Disposal System-Page 4 of 17 r 4 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ldp 17 Iris Lane, Cummaquid M :334 P-50 Property Address Kathleen &Michael Lablanc Owner Owner's Name information is required for every P.O. Box 360, Cummaquid MA 02637 May 5, 2015 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® 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. El ® 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 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.] 0 ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 16,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. • Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form s. Subsurface Sewage Disposal System Form-Not for Voluntary Assessments v.y�< 17 Iris Lane, Cummaquid M-334 P-50 Property Address Kathleen &Michael Lablanc Owner Owner's Name information is required for every P.O. Box 360, Cummaquid MA 02637 May 5, 2015 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ 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)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 4 Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 440 t5ins-3113 Title 5 Official inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments r 17 Iris Lane, Cummaquid M-334 P-50 Property Address Kathleen &Michael Lablanc Owner Owner's Name information is P.O. Box 360, Cummaquid MA 02637 May 5 2015 required for every Y page. Cityrrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No 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 ears usage d 14=43,000 gals. g ( y g (gp ))' 13=42,000 gals. Detail: r Sump pump? ❑ Yes ® No Last date of occupancy: occupied iDate Commercial/Industrial Flow Conditions: Type of Establishment: N/A Design flow(based on 310 CMR 15.203): N/A Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): N/A Grease trap present? ❑ Yes ❑ No. Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: N/A t5ins•3M3 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 17 Iris Lane, Cummaquid M -334 P-50 Property Address Kathleen &Michael Lablanc Owner owner's Name information is p O B required for every P.O. 360, Cummaquid MA 02637 May 5, 2015 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: N/ADate Other(describe below): N/A General Information Pumping Records: Source of information: Tank pumped approx. 2011. Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)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): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 I' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments .r 17 Iris Lane, Cummaquid M -334 P-50 Property Address Kathleen &Michael Lablanc Owner owner's Name formation is P.O. Box 360 Cummaquid MA 02637 May 5, 2015 squired for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 4. Approximate age of all components, date installed (if known)and source of information: Tank, d-box and leaching were installed on 3/20/00 per compliance. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 18'+ feet Material of construction: El cast iron 0 40 PVC El other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Lines were found clear at the time of inspection. Septic Tank(locate on site plan): ' Depth below grade: 1 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 6'X10.5'X6' 1500 gallon Sludge depth: 4" t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 17 Iris Lane, Cummaquid M-334 P-50 Property Address Kathleen & Michael Lablanc Owner Owner's Name information is p O. Box 360, Cummaquid MA 02637 May 5 2015 required for every Y , page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 21811 Scum thickness 1" Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 13" How were dimensions determined? probe/measured Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pvc inlet and outlet tees were found present and in working order. No evidence of leakage or damage was found. Grease Trap(locate on site plan): Depth below grade: N/A feet Material of construction: ❑concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain): Dimensions: N/A Scum thickness N/A Distance from top of scum to top of outlet tee or baffle N/A Distance from bottom of scum to bottom of outlet tee or baffle N/A Date of last pumping: N/ADate t5ins•3113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 17 Iris Lane, Cummaquid M -334 P-50 Property Address Kathleen &Michael Lablanc Owner Owner's Name information is required for every P O. Box 360, Cummaquid MA. 02637 May 5, 2015 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: N/A Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: N/A N/A Capacity: gallons Design Flow: N/A gallons per day Alarm present: ❑ Yes ❑ No Alarm level.' N/A Alarm in working order: ❑ 'Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): N/A *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 11 of 17 Commonwealth of Massachusetts 17lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments — Iris Lane, Cummaquid M-334 P-50 Property Address Kathleen & Michael Lablanc Owner Owner's Name information is p O. Box 360, Cumma uid MA 02637 May 5, 2015 required for every q page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert level 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.): D-box was found level and in working order with equal distribution to outlet lines. No evidence of solid carry-over or backup in the past was found at the time of inspection. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): N/A *If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form' Subsurface Sewage Disposal System Form-Not for Voluntary Assessments '< 17 Iris Lane, Cummaquid M -334 P-50 Property Address Kathleen &Michael Lablanc Owner Owner's Name information is p O. Box 360, Cummaquid MA 02637 May 5 2015 required for every Y page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ® leaching trenches number, length: 2-36'X 4'X 2' ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Soil was sandy. Checked stone and found dry and clean. No evidence of hydraulic failure or problems in the past were found at the time of inspection. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration N/A Depth—top of liquid to inlet invert N/A Depth of solids layer N/A Depth of scum layer N/A Dimensions of cesspool N/A Materials of construction N/A Indication of groundwater inflow ❑ Yes ❑ No t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 N Commonwealth of Massachusetts Title 5 Official Inspection Form v Subsurface Sewage Disposal System Form-Not for Voluntary Assessments "t 17 Iris Lane, Cummaquid M -334 P-50 Property Address Kathleen & Michael Lablanc Owner owner's Name information is required for every P.O. Box 360 Cummaquid MA 02637 May 5, 2015 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): N/A Privy(locate on site plan): Materials of construction: N/A Dimensions N/A Depth of solids N/A Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): N/A l5ins•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments "t 17 Iris Lane, Cummaquid M -334 P-50 Property Address Kathleen &Michael Lablanc Owner Owner's Name information is p O. Box 360, Cummaquid MA 02637 May 5 2015 required for every Y page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 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 ❑ drawing attached separately C, l,J...�aa.✓ I ti�J J 34,1 r t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ..y 17 Iris Lane, Cummaquid M-334 P -50 Property Address Kathleen & Michael Lablanc Owner Owner's Name information is p O. BOX 360 required for every , Cummaquid MA 02637 May 5, 2015 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 13.0'+ 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: 11/10/98 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: AIW 247 Zone C 22.4' 2.3'adjustment You must describe how you established the high ground water elevation: Test hole recorded on plan showed no water found at 13.0'. Hand augered 4.5' below bottom of leaching with no water found at a depth of 9.0'. Groundwater adjustment at the time of inspection was 2.3'. Bottom of leaching at 4.5'was found not to be located in the high groundwater elevation at the time of inspection. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 44- Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 17 Iris Lane, Cummaquid M -334 P-50 Property Address Kathleen &Michael Lablanc Owner Owner's Name information is required for every P.O. Box 360 C ummaquid MA 02637 May 5, 2015 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist I ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 17 of 17 e,c f TOWN OF BARNSTABLE I! LOCATION �✓ ��,5 ,oAe— C-Uif rffi SEWAGE # VILLAGE 41t Qj2k-,,N4 41A P_ ASSESSOR'S MAP & LO v INSTALLER'S NAME&PHONE NO. Z44uz:si'R —06—, 50T `43a-Fi-7r' SEPTIC TANK CAPACITY IS L O r 1 A LEACHING FACILITY: (type) I (size) 26-.H.-t � NO.OF BEDROOMS EDE�OR OWNER ILI PERMTTDATE:�'—A- 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 :i �� � s ? g J -� I _ � ry _. ' �'y;J'f� •I I ! � I �� ` � s � , � �° i L 3i THE COMMONWEALTH OF MASSACHUSETTS ASSESSORS MAP NO. 0 3 BOARD OF HEALTH PARCEL NO: %'o6cilv 0/ ,�,iPivFSlflaCE_ Appliratiun for Disposal Works Tonutmrtiun f rrmit Application is.hereby made for a Permit to Construct (k or Repair ( ) an Individual Sewage Disposal System at: .L..16.t. ✓LYLJ..�...... .Lion%�ddress ......................... 1..�Y....k3:1..._..Y..._.��r.t.N �/p J y� Address. Type Installer Address ��C� - T of Buildingsize Dwelling—No. of Bedrooms.._.......�............................Expansion Attic ( ) Garbage Grinder ( ) Other—T of Building .............. No. of rsons............_............._. Showers p, Type g .............. persons ( ) — Cafeteria ( ) Otherfixtures -----•-----•----------------•--•--- ----••-----•-•-----•------•-••---.....----•----------------............--........---•- W Design Flow..........//0--------------------------gallons peA per day. Total daily flow......................!�"V_ ..........gallons. W Septic Tank—Liquid capacity_/__ Ions Length...... Width.....t:5—.._... Diameter................ Depth................ 11 x Disposal Trench—No.......j�,?.......... Width...... .......Total Length...__ le_.-_---. Total leaching area...................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area-.................sq. ft. x Other Distribution box (y) Dosing tank ( ) Percolation Test Results Performed by.J—.,CY-,-tM,.Z- :.12!,',✓�&A'94 ate......IZ._12=. �........ minutes per inch Depth of Test Pit....��._....... Depth to ground water___NE �7YC Test Pit No. 1..__�..---_-- , ��.................. Test Pit No. 2... ....minutes per inch Depth of Test Pit.... ...... Depth to ground waterl",&VYC.: 04 ........... ••---------- ••-••--•Pelf-- 76r .7S1`• ..... ..... O Description of Soil............ ....:...............: !�Ti�l�g7�101�s�lPdf<3 ,7 i `civ �e tii i o;pia...... U - THE_SY'^S�Tp�^cE?A.le4�•d�l W ....................ACCOf3YANCE.A Y�9aAN,...._....................._....................................................................................................... ............. _..... UNature of Repairs or Alterations—Answer when applicable............................................................................................... ............................................... •-------------------------------- ----------................ ............ --_-__-_--------- ......... ------• ............. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance ha]bee �t a board of heal . qSigned 1. '..C!_�" .... .. .. 1...-- -- X-. -- Application Approved By.......... -•• -----•-------------------•----•--••-•---_._ ...... ._-. . .-.. ��.... Date Application Disapproved for the following reasons:.......................................................................................................---- ..............................•--------•-c....................................------------.......---............................................................................................---- Date Permit No........1_1._ . -5 0 3...-•••••--•.......... Issued-....... .............. ..._ Date f, .�;!r�,�+r'Da:•iP�-°� �._ � ',. " ?nip ir+r...rr.. ,{mom• . 4rK ;i,,"3.•,k r-+i'•S" *"1'M+# " ' .'" T1Tt, .,.�,c. Y,:+,: ,� S#.:' r 4 THE COMMONWEALTH OF-MASSACHUSETTS BOARD OF".HEALTH ' } ,A irttt m-fu t `p a EndsCon trurtion Applicatigm is,her'eby made for a Permit to'Construet °(.x)�or Repair `('. ) an Individual WSewage Disposal System at: ' p . - Locati n�-Addr s - / or Lot No. .... .;Y __................--. �� as�•�= ........c�_2............ w /� _t .tij>7�1 _ Address ......... a .... �. 1.` _ °Pt�lier .G ... ........... .............. ............_............_.. Address ............... i Type of Building. Size Lot/.-37/_7r16�Sq_feet U Dwelling*-Ne!"of Bedrooms----------- ....... (......:.......Expansion Attic ( ) Garbage Grinder ( ) '•� Other' Type of Bu ldii�� .. � hY °Other fixtures ---•.............. ......... E........ .._..... ......_.. -- - W Design Flow..........//__Q••-•••...•-•---•••••••••..gallons pe day. Total daily flow...................... ..........gallons. 04 Septic Tank—Liquid capacity./_:��4galloris Length ..... ... Width.....Z_..... Diameter._.- .... Depth................ W Disposal Trench—No. .2.......... ______._.. Total Length......3(p.....___Total leaching area...................sq. ft. 3 Seepage Pit No_____________________ Diametei..a...t�.......... Depth below inlet;................... Total leaching area.................sq. ft. x ._Other Distribution box (X) Dosing tank ( ) -Percolation Test Results `" Performed�by..�.-f 1!t?i31.t5:.. ..1 !t'I+'!/.y�,. Date_.....1 l.Q.- ,.a Test Pit No. 1......6_......minutes per'inch Depth of Test Pit..../3.......... Depth to ground water/yU/V.r•--•r_(YG Li, Test Pit No. 2...�a�.___minutes,per inch Depth of Test Pit.... Depth to ground water�YUrvE_ iYC:. Q Description of Soil.:..: ... E !% /'c9V ................ WW --__..._.. ...................... --- --- .t--------------------------------------------------------------------------- VNature of Repairs,or Alterations—Answer when applicable....:... ...................... ----------------------------••-------........---------..__...._._..._....._..._..-----------------......---•----------------------•-----------------•---...---------•-•-•-•-•-••-........-........--•••- Agreeinent:- __ � d -The undersigned agree to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees'not to place the system m operation until a Certificate of Compliance has bee sped'�khe board of health. qc� �- APPlication Approved By........ n .. .� t� _ ........ ..-. - �'....U J ; - Da A y-licaton Disc' roved or=tke oldouriii reasons i •--- ................___ L PP PP f f 9. .. ......... ........ ............... ...... .._ .._................__..... ................»--....__........_. _,...__........_..... ................. Dom...•..__.._ Permit°No..-••../... .-..J�C�.................. Issued.------ ...: ..... ... na _....._..._. ; -=---------- ---�--------;------------------------------ --------------------------------------------r-------------------------------- THE COMMONWEALTH OF MASSACHUSETTS Lr r� BOARD OF HEALTH firrtif ratr of Tomplinnrp THIS.IS T0"CERTIFY, That the-Individual Sewage Disposal System constructed' (,' ) or Repaired ( ) Installer at............`.7..... .:........... -=' ;-----....•••-•••-••....... ......... ......... .•---. :.......... has been installed ;in accordance with the provisions of TITIE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No....??_c_���Q_........... dated................................................ THE ISSUANCE OF THIS,C,ERTIFICATE SHALL NOT BE CONSTRUED AS A,GUARANTEE THAT THE SYSTEM WILL FUNCT ON SATISFACTORY. ,.J So C DATE.................... .. ........... Inspector.r.,...........;............ .....o..{...._.........._..... ............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No. Z...J�......... Fn...�a:�......... : Disposal Works-Tonsh rtion f rrmi# Permission is hereby granted... _---.�..&// -------_••• ..................................................................... to Construct ( ) or:Repair ( ) an Indiviaiial Sewage Disposal System atNo.....................•-••:....... -....••-•--••••........••-_••-- -......... .•__._.----- ----- ....•_• •-_... _........................................ Street q�, as shown on the application for Disposal Works Construction Permit No,[_T Dated.......................................... '> — O? r ....... .............. Board of Health .. DATE........ '----- .....................••••..... i f BENNET T A O'REILLY, Inc. Engineering, .Environmental & Surveying Services 1573 Main Street Sanitary 21E/Site Remediation Property Line PO Box 1667 Site Development) Hydrogeologic Survey Subdivision Brewster,MA 02631 Waste Water Treatment Water Quality Monitoring Land Court 508-896-6630 Water Supply Licensed Site Professional Trial Court Witness 508-896-4687 Fax BO98-2155 July 17, 2000 Mr. Thomas McKean BARNSTABLE HEALTH DEPARTMENT 367 S. Main Street Barnstable, Massachusetts 02601 RE: 17 Iris Ln., Barnstable. Assrs.' Map 334, Parcel 50 Dear Mr. McKean: As per the requirement of the Massachusetts State Sanitary Code 310 CMR 15.021(3), BENNETT & O'REILLY,INC.has conducted an on-site inspection ofthe newly installed sewage disposal system atthe above referenced property. At the time of our inspections, March 10, 2000 (soils for S.A.S.) and March 14, 2000, (system final, prior to backfill), the system installation had been completed with the exception ofbackfilling and final grading. Based on our observations,the sewage system was installed within substantial compliance with the approved plan dated 1/5/98, revised 5/11/99, as filed in your office. This letter represents BENNETT&O'REILLY's inspection prior to backfill. No warranties or guarantees are expressed or implied for the future operation of this system. Please contact my office directly with any questions,comments or for any additional information you may need. Very Truly Yours, BENNETT&O'REILLY, INC John M. O'Reilly, P.E. Principal JMO/ljs �L _��--- KINCAIAN. ROGER r f KlNGMAN, LAURfN M G/BS:OA Rt/SSELL A JR ec✓AM/E L ueplty I I JT7 OAKMCWr RD 19@KMONT RO 11 Poles C!/MMAOtND. MA 017J7 YARrl•IPOR'.. MA 02674 a � -15.2T ' 1 ?1594' ICt 1 )ZIbN v I ►1 I ► O C a �I II I I Lot 12 Lot 54 ot Area-43561aE Sq. Ft ic- I � aor Area-51.873-• Sq. Ft. )I 1 1 Q Lot 21 � 1.00 Acres a or ( v rn Z =� (Shope=21.6-T) 1.19 Acres II I I Area—43,569. Sq. Ft. (t'j (Shop*=f5.58) a v p or f W 1.00 Acres I ,` e . V pock :F I ,� (Shop*=16 77) t . / B gxtel I .r I I hry - ,� �7 Uia L0^e ~ VW Cv I ® ® C I to I i 1 I i v I I ti cONNORS, dOMN M f 100 aARENDON s I - k BOSrOW, MA 02116 I/ is (50'Rafe —PNrotsJ Lan (Pored Surfoce 22'IWO) I I 4/10Y III+ Pole* Ulnity _ Pole -- ZONING SUMMARY _ OWNER OF RECORD ZONING DISTRICT. RF-1 RESIDENTIAL DISTRICT SAMUEL TRAYWICK P.O. BOX 216 PLAp MIN. LOT SIZE 43,560 S.F. WEST HYANNISPORT, MA 02672 MIN. LOT FRONTAGE 20' ;-MIN. LOT WIDTH 125' JONATHAN TYLER rN. SIDE SETBACK SETBACK 35' ox so WEST BHYANNISPORT. MA 02672 FRONT N R SETBACK 15, BARNSTABI MI REA LEBBLANC. MICHAEL J do KATHLEEN M � .3 7 BEING A RECOIA'IGURA 7I01 ` 295 LINCOLN RD 1 ^r%l IC KA A P 1.' HYANNIS. MA 02601 i ,��� - w p. TM nwtt Ui. Ina 91'077 --___ oAKua+T Row ! � i f 4 LOCARM uM(uo smn i f _ bQ OWLL /1^l` BENCHMARKTF- 7I.0 �. TOP OF a TEL RISER ELEv 71.44' PIMP jk _ TH INo ` ELECTRIC 6A EASEMENT .40 bf 1� i �o b br ob, 11 � V t ELEC7MC EASEMENT IRIS LANE Peoaosm LOT AREA p 436M SF TES: ELEVATION APPROX. NGVD i a MUNICIPAL WATER IS AVAILABLE FLOODZONE C ASSESSORS MAP 334 P/0 51 & 50 ZONING: RFI (FRONT: 30'. SIDE. 15'. REAR. 15') SITE PLAN y; R FOR HISTORIC FILING PURPOSES ONLY „OF,,,,s PROP. LOT, IRIS LAN. NE IN UIE rOM OR FL �a oK N BARNSTABLE, PREPARED FOR: JONATI N TYLRR � o 30 O 30 60 90 Feet ARNE H. PE. PLS DATE t —056 SCALE t ' 3W OAIE JANUARY 4, 2005 JUL-17-00 009 ::31 AMREpN_NET&O•RE I LLY-I NC. 508t896+4687 P. 01 BIJENNETT O'REILLY, 1573 Main Street P.O. Box 1667 Brewster, MA 02631 (508) 896-6630 (508) 896-4687(FAX) M TRANSMITTAL (508) 896-4687 B098-2155 NUMBF..R OF PAGES TO FOLLOW: 1 FAX NUMBER: (508) 790-6304 (BOH)/(508)432-4902(Casey Homes) DATE: July 17. 2000 TO: Thomas McKean and Jim Russo FROM: John M. O'Reilly, P.E. Rli'GARDING: Sewage System Certification 17 Iris Lane, Barnstable MESSAGE: Call with any comments or questions I IF THERE ARE ANY PROBLEMS WITH THIS FAX PLEASE CONTACT US.AT(508)896-6630 JUL-17-00 09 :31 AM BENNET&O"REILLY-INC. 508+896+4687 P. 02 BENNETT A 'REILI:y'Y Inc. Engineering, Environmental & Surveying Services 1573 Main Street Sanitary 21E/Site Rcincdiation Property Line Q PO Box 1667 Site Development Hydrogeologic Survey Subdivision A Brewster,MA 02631 Waste Water?rcaimcm Water Quality Monitoring Land Court V 508-896- Water Supply Lice 6630 Licensed Site Professional Trial Court Witness 508-896- 630 Fax B098-2155 July 17, 2000 Mr. Thomas McKean BARNSTABLE HEALTH DEPARTMENT 367 S. Main Street Barnstable. Massachusetts 02601 RE: 17 Iris Ln., Barnstable. Assrs.' Map 334, Parcel 50 Dear Mr. McKean: As per the requirement of the Massachusetts State Sanitary Code 310 CMR 15.021(3), BENNETT & O'RF.ILLY.INC.has conducted an on-site inspection ofthe newly installed sewage disposal system at the above referenced property. At the time of our inspections, March 10,2000(soils for S.A.S.)and March 14,2000,(system final, prior to backfill). the system installation had been completed with the exception ofbackfilling and final grading. Based on otirobservations,the sewage system was installed with in substantial compliance with the approved plan dated 1/5/98.revised S/l 1/99,as filed in your office. This letter represents BENNETT&O'REILLY's inspection prior to backfill. No warranties or guarantees are expressed or implied for the future operation of this system. Please contact my office directly with any questions,comments or for any additional information you may need. Vcry Truly Yours, BENNETT&O'REILLY, INC John M. O'Reilly, P.E. Principal JMU/ljs I I � 08/02/00 12:49 FAX 5084324902 CASEY REALTY IZI02 JOhN1 ! 1� J[ 1 I l %--oor 1%s1-%XILf AdX9 .S,4%e. I EngiaeerinS,ErtYi(AamCntal & Surveyl�►a erviees 1 573 Main Street ➢ 0 Box 1667 ; 3anicary 27F�ireRemedi ie�a ptv�+slyLtaue 1 rawstcr MA 02631 lr �c�c at Uldmowa 301VOI lugd OD , t?Ilnstc WtiL-r Twattnrn� Water Oualiry Monitwft L!Court . 79-996.6630 Wow Supply LicenRcd 9 to ftroaiwid Tri�f Ceurc Wlmass •''35-896-�657 Fad B098-2155 July 17,200 Mr.T1,0>Dtas 14SCKsan t3&RN%'%'CA,BLE HEALTH DEPARTMENT 367 S. Main Street 8ornsteble, 1vMlassachuaens 02641 RE: 17 trim l.n.. Rltrnstabtc. Afsrs,' Map 334.Nrw)50 Dear Mr. McKean-. As ner Zhu requireMertl of tht 1A+t$ss8cl UMM $twte Sanitary Code 310 CVR 5,02101, BENNE'fT & 0'RE:ILLY.INC.has conducted an on-atefnspect ispmalsy+stemeAs�eabove referenced property, At the time of our irrspectirmt, %,481 w Pk 2WO Evils fos S.A.S.)arid,Mamh 14,2 100. (system fln4l,prior to beeOl,l) the system ytt4tsllatiost had betnaornpleted with the exception ofbeckfilliv land final grading. 6aried onmw pbWvatkmL the awap system was installed within substantial Compliance 1.Filh the approvcd ptan dated (t5198,revised 5!1 1199,as filed in your office. This letter represents FJENN ETT&O-KEI LLY's inspcetion prior ry back rift. Nei 'amntks tx gaera0w are expressed,or implied for the ruturc epcMion of ciiis system. Fluose contact myofflcrdireetE .wi*any*lestic Ils.comtnentsar for any additions informatianyou may geod. Very Truly Yours. RENNE-1T&UREll_LY, INC John M. U'Rcitty. P.E. Principal I i _ TOWN OF BARNSTABLE — -- LOCATION f/ P ;SL1r71rYA14/�� �� SEWAGE # Soc VII-LACEi' � ASSESSOR'S MAP LO IINSTALLER'S NAME&PHONE NO. U � r SEPTIC TANK CAPACITY I�3 LEACHING FACILITY: (type) (size) NO OF BEDROOMS UU.DE OR OWNER i PERMITDATE:- - ?9 COMPLIANCE DATE: „Q Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Well and L Feet_. Private Water Supply Leaching Facility ty (If any wells exist I 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) p . Feet Furnished by I mm EEP 08S 1.ERVATION HOLE LOG SYSTEM DESIGN CALCULATIQN'S GENERAL NOTES LEGEND ��} � f�Tl� st Nvlt Depth From Soil Horizon Soil Texture Soil Color Soil Mottling Other A) Neither driveway not parking of*as are allowed -- --32 Existing Contour I umber SurfoCe(i K+&,%) (USDA) (munsell) (Stru;ture, l.) Basis of Design ova septic sy;t•m uMsss H-20 components are used. Q�d �FG � Stones,CAnsis- 4 '' Proposed Contour tency,%Grovel Number of Bedrooms: ................... 5)The designer will not.be responsible for the system 24x g Existing Spot Grade WOOL F#JUUAr Other: -• �•• as designed unless constructed as shown.Any changes Proposed Spot Grade 35,58 o o,4L Q tomy sA"o y,i- Zi ow���5 p , ........_--- -• - --._....... _... . ..... . '�" 2.)Design Daily Sewage Flows ....-�4. ... ...G.P.D. shall be approved in writing• ..._...._.... . - -- w— Water Service a� ,3 0,4Z' ZL. 8 t4AMy s4A06 ,, O -urn; S ouF >t 8S� Gal C)Contractor shell be responsible for verifying the —ohu— Overhead Utility Lins(s) . - eQ 1 an C! location of all underground and overhead utilities I Line(s)L 3. S t c T k Co a ty Required= — t Y tcA $4 sc �A5, �,,, Provided: ........ .......... Gal. °" — Underground Unity 7 g.�..... z(0) ' �• © _.`�� .. !V/',.'T r ....�S. °.. . .... j f 4 6oLo PA" 1 .7b� prior to commencement of work. — — GasLine r �pyrt p &�l' ' • -• - 4.)Soil Absorption System Capacity o TH Test Mole and/or Boring Locution `` 8,v' l3, ;t � s. 440 ° Oopt: �• -._ �, _. _ ._.. - n� G�. S,Awo �' �,$ o Required, ...... .. .. ... ... G.P.D. ._.3� SST. Septic Tank IF>` 3754 �' - 0.4Z' A �dM se,vV t p �z �!� v coo�E F,u�c 60A,1 Provided- .._.._y .Q... .. G.P.D. D.B. Distribution Box Y3g _ }� y / i saga w�r:SAE-G> .�NC� 3(P �l C� Z `' ,�GN, TI�Fk>Ciily-+ CAfJ C ,4Gl' S.A.S. Soil Absorption System KEY MAP n0 scale 35,5 f>>4 . .1�5 t ,......... Go,dM\, Sai/p ;.... .' /g ... ... e ...... � 'ra'w; t V :.?. (3G ` j f-�3{. z z,.�-�4 x?�- 1'.'. .....4 50 4FiD Res. Reserved for System 3Z 0 2,5=-(,.o' Ct sr`� �4� '_ '%L o -rout 5.)A Garbage Disposal is No:7permittud w/this design, i Plan Book ... ....... Page....84!. Utility Pole Z ® Catch Basin L,iAJAA / 5ANf1 # o �iooi[ w0 i- Fire Hydrant Well Deed Book .. .__..3o,a (o D g,D CZ 5�� � Page. C3, SA".0 �/ �' w�,ctorx` A4w- M NF ; Assessors Map.' . - Parcel.r'D... � � v Date of Test .. .. .. . . .) �- 1.v -..9 -5. .. Use Soil Class -• 1„with a " - Percolation Rate ' pare. rate of less than . . % , Min./in. for a loading rate of t 3e - Witnessed by .. , /.� F_�AA41 Tz� FLOW PROPI LE 34 Top of Foundation x p� : Sl 1 �,�� `�� Elevation= ..... � O Finish Grad. Finish Grade=.. ..�.'�' . i 1 I I r / I / 36"max. 9 min. 36" mox. 3�.5 3 Nb4y' /� l f I r 1� ' �'�' l �� 40 Q" M it1 I r 72 flow line to"min. 14" �� r- — 35,t7 34,5 l 1 �#,z� 33.1a ,� ,11\ �a �,'`,�1� '\` � �� 3z.�Z / i/ I / I i �' -.! gas bafl e. I r ',- _x`1 ` — _ 30. S Zvi _ t \ \ \ 5 I Sov.. Gal. Septic Tank Distribution Box 2.j4 do LEA G i-i I MCI CONSTRUCTION NOTES `�. 0 All construction shall conform to the State 10.) Boss aggregate for Isochir g facility shall ' Environmental Code rifts 5 and the requirements of " " ; the boa! Board of H•tlth. � � consist of 3/4 to 1-t/2 double washed stone fro* of Iron, fines and dust and she l be installed from 2.?Septic tank(e),grease trap(s),dos ing chamber(s), below the crown of the distribu'ion line to the bottom and distrtDution boxiles) shall be set on o level stable of the soil absorption system. @sae aggregate shall be covered with a 2 fayer of 1/41 to V2 double � t oo ice . bee•wbiah has hoes m•Cltarslactlly compacted, or ono Noshed stone free of iron, fines and dust. Y / ' e tech crushed stone bee•. , ' 3�Septic tank(s) si►eif>iNeet4tSTM standard C IL) Vent soil absorption system �rhen distribution lines exceed under feet when legated either 1n whole . THIS IS A REVISED PLAN 1127-t?3 and shell have of least three 20 diateter or in port under dnvewoys, pC king, turning areas manholes. The: Minimum depth iraia'4Ae.botlim of q � � or other impervious material, r:r when dosed.septic tank b iM`tlow one:nou be 480. REV. DATE: 12.)Soif absorption system shall I e covered with a 1� 4.)Sphedui• 40 PVC Inlet and outlet toss shall extend a aNainme of 6'above fM-flow line of' the minimum of 9"of Clean medium send (excluding . 40 DISCARD ALL PRIOR PLANS _ topsoil) septic tank and shall be.installed on the centerline P of f1be tank directly under the cleonout manholes. 13.)Finish grade shalt be a maxi num of 36" over the T "1_�11 ,A1�'ir/•1 t 5 ',1r pt�F ti` �,r SJ Rates covers of the septic taali and distribution tap of oU system components, Including tin septic took, �' W A) WA T'ir r'y.-. box with pre-Cast concrete rrofer fight risers era distribution box,dosing chamber and soil absorption inlet and outlet tees to within 6"ot finish grade. system. Septic tanks shall hue ° minimum Darer of 9" PnorecT 6.)Piping $hall consist of 4"schedule 40 PVC or , �� «- 14.) From the dote of installation of thesoil E�. A-F/ATE ;;, Al 600D LfACM1 17 to e I� J�• ' equivalent. Pipe shall b• laid on o minimum ice} t� � �.. ,zontlnuous grade of not less then I •!., aborpfion system until receipt of o Certificate of i�iW,V > lul: 1(r.t o WFi F tr f Fo F o ,�t`) `J'f. HAl2L'` 141. M4 o Compliance, the perimeter of the soli absorption �:Z0 �,Q,V�f $E4!i�S. Carrrocl 3p �,�J�s ��-.-,v,,,;� TITLE SEWAGE. DISPOSAL SYSTEM T.)Distribution lines for soil absorption system system shall be staked and fl<,gge,d to prevent the P.) OwuEVIA6-1E0T SAUL 12EVIEW A005F CO(AT10tJ y (as req'd) snail be 4"diameter schedule 40 PVC tree of such area Mr all activities which might 4�POSEe 612ADWC, PRa0Z TO <DNSTzxnOrj• 1?}i~ li1 112IS .i,A�JE laid of 0.005 ft./ft. Line shall be capped at damage the system. PEE��Y GF-LT1FY -tom 1 •ud ac do sated. Ira11� r. ►s Mvr tt»s �+�si 1St€ ti tt�� apt r b 15.) The Board of Health shall require inspection of OV�EX.5 L0t.D,T• 0A.) C �Ep LuNe) 0i2} ,fAT'r0P-� a ENNETT 1� �'REILLY Inc. " 8.) 09fl•t pip" from D-box shall remain level forat y d fc��n�UAh.>`E W ?A/� �>~Ti!s S 5a-IAi� 1°5>r 71-t1~ � f 4�1 o�.t ISOF P all construction b an of the Beard of Health I' Nast it fain before pitching to soil absorption system. (or the designer if this system requires a variance)and RFtiSp t151L4 F TA OVet�tlEp Ai;Jf��OA 1' C d5 � dl f ►., ngrnrtrnng 4 Envsronmental Services ti F Want fast p-bore to ossrrn even distribatGor►. CAp�.TRAC.Tp� tat fC+ SITE may regain such person to ce-tify inwriting that all 9)0-box shell Neva a minimum sump of 6"measursd work has been completed in oc:ordanc• with the terms Ii.))4t) CAA04�,S To H60.7 UYIli otj i G2}DIV4 ' CIVIL � 1573 Main Suneet - Roue 6A - bebtr tin outlet Invert, of the permit and approved pl ins. 48 hours advance / P.O.Box 1667 AsVlbrl LotATIC%�`6F ►rAf�� S%/5T*M Q44A notice requested. a �P 508-896.6630 'Office Brewster, MA 02631 308-896-4687 Fax g ta3E l9 W11"NiSU"I VYirfiTY ) drlFic�irr�lU 'TD .4 4 DE SCALE; By: HECK: .nor;;;; t: 7. ,-