145 Title 5 11-28-17 Commonwealth of Massachusetts
. * u, :Title 5 Official Inspection Form
b Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
1/44::
145 Chesterfield Road
Property Address
Sue and Kevin Costa
etermsten N per's Name
rostered for Leeds MA 01053 11/28/2017
eYery Dee.' C1tyfro ml Mete Zip Code Date of Inepecibn
Inspection results must be submitted on this form.Inspection fonns may not be altered In any way.
Please see completeness checklist at the end of the form.
When filling A. General Information
one fume an
me computer. 1. Inspector
use only the
tab key to Marcus Millett
more your Name of Inspector
poor-do not
use the return Homestead Engineering Inc.
key. Company Name
IM
... 1664 Cape St.
Company Ado...
Williamsburg MA 01096
Dail ClyiToam sate zpcoe.
413-628-4533 SI-13748
Telephone Minter 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. I am a DEP approved system Inspector pursuant to Section 15.340 of Title 6(310 CMR
15.000).The system:
® Passes ❑ Conditionally Passes 0 Fails
j/❑/j�N,_eeed,dsFurtherr Evaluation by the Local Approving Authority
* tAy November 28, 2017
Inspector's Moisture 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 aid 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.
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14 Commonwealth of Massachusetts
. - - f, Title 5 Official Inspection Form
eSubsurface Sewage Disposal System Form-Not for Voluntary Assessments
,‘ 145 Chesterfield Road
Properly Address
Om
« Sue and Kevin Costa
Inramallon le Oxeere Name
required for Leeds MA 01053 11/28/2017
seen sso.
csfam n eats Zip code Date a kopecmn
B. Certification (cont.)
Inspection Summary: Check A,B,C,D or E I always complete all of Section D
A) System Passes:
® I have not found any information that 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 we Indicated below.
Comments Leaching system was not excavated
a) System Condldonaly Passes:
O 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 it it is structurally sound, not leaking and if a Certificate of
Compliance indicating that the tank is less than 20 years old is available.
❑ Y ❑N ❑ND(Explain below):
❑ Pump Chamber pumpslalarms not operational.System will pass with Board of Health approval if
pumpsfalarms are repaired.
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t Commonwealth of Massachusetts
•
. ,. * v e/ Title 5 Official Inspection Form
e Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
- 145 Chesterfield Road
ProperNAddrees
OmerSue and Kevin Costa
tnformaIion Is Owner's Name
required for Leeds MA 01053 11/28/2017
every Page.
Ctty?own State Lp Code Date of Inspection
B. Certification (cont.)
B) System Conditionally Passes(cont):
0 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 ❑V ❑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 ❑ V ❑ N ❑ ND(Explain below):
❑ obstruction is removed 0 V 0 N ❑ ND(Explain below):
C) Further Evaluation is Required by the Board of Health:
❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the
system is failing to protect public health, safety or the environment.
1. System will pass unless Board of Health determines In accordance with 310 CMR
15.303(1Xb)that the system Is not functioning in a manner which will protect public health,
safety and the environment:
❑ Cesspool or privy isiwithin 50 feet of a surface water
❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
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• LIrk Commonwealth of Massachusetts
" Title 5 Official Inspection Form
b Subsurface Sewage Disposal System Fonn-Not for Voluntary Assessments
, !S• 145 Chesterfield Road
Properly Address
Own
« Sue and Kevin Costa
information's Owner's Name
required for
even,page Leeds MA 01053 11/28/2017
city/Town 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 (SM)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 SM 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 am 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
❑ HBackup of sewage into facility or system component due to overloaded or dogged 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
❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or
dogged SAS or cesspool
Liquid depth in cesspool is less than 6"below invert or available volume is less than.14
0 r. day flow
Me•8/111 lass Official
Inspection Fm,[Subsurface Stags q¢vY%vi m•Fags 4tl t]
, 321,, Commonwealth of Massachusetts
• t Title 5 Official Inspection Form
■ � Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
'', * it
,. 145 Chesterfield Road
Property Addess
Donau Sue and Kevin Costa
Information b Owners Name
required for Leeds MA 01053 11/28/2017
every page.
Cay/Town State Zip Code Date of Inspection
B. Certification (cont)
Yes No
❑ ® Re
quired
Np bpitimes of
ping more than
44 times in the last year NOT due to clogged or obstructed
pi
❑ ® My portion of the SAS, cesspool or privy is below high ground water elevation.
❑ ® My 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.
❑ (21 My portion of a SAS,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 analysts, 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 am triggered.A copy of the analysis and chain of custody must be attached
to this form.)
❑ Z The system is a cesspool serving a facility with a design flow of 2000 gpd-10,000 gpd.
❑ ® The system falls. 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 15,000 gpd.
For large systems, you must indicate either eyes'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
D ® 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 I)shall upgrade the system in
accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the
Department.
Sas.SMB The Official Inspection Form:eawear Swage gep"rl Sybm•page 5w 17
14 Commonwealth of Massachusetts
. wl Title 5 Official Inspection Form
y Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
- 145 Chesterfield Road
Property Mdrew
Sue and Kevin Costa
Owner
Informeeon Y Owner's Name
regiked br Leeds MA 01053 11/28/2017
every page.
atyrrown State Zap Code Data of osimo ton
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
O ® 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?
D ® 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/Al
® 0 Was the facility or dwelling inspected for signs of sewage beck 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:
® 0 Existing information. For example,a plan at the Board of Health.
D ® 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 unknown Number of bedrooms 3
bedrooms(design): (actual):
DESIGN ft*based on 310 CMR 15.203(for example: 110 gpd x#of 330+ gpd
bedrooms):
SYw•W16 1W 5CMJinga..,Form:Subsurface SWOP Wpo IayOm• needn
Commonwealth of Massachusetts
. •lft! 1111 _` Title 5 Official Inspection Form
Subsurface Sewage Disposal System Fonn-Not for Voluntary Assessments
• 145 Chesterfield Road
Properly address
Omer Sue and Kevin Costa
hfmmeyon is Owners Name
required kr Leeds MA 01053 11/28/2017
every per.
Cferovm State Zip cods Oeta ofInspeelbn
D. System Information
Description:
900-gallon septic tank and a gravel filled leach pit.
Number of current residents: 2
Does residence have a garbage grinder? ® Yes 0 No
Is laundry on a separate sewage system?(Include laundry system ❑ Yes ® No
Inspection information in this report.)
Laundry system inspected? ❑ Yes ® No
Seasonal use? ❑ Yes ® No
Water meter readings, ifavailable(last 2 yews usage(gpd)): 58
Detail:
2/10/17 to 5/9/17 used 800 ccf
Sump pump? 0 Yes ® No
Last date of occupancy:
continuous
Commerclal lndustdal Flow Conditions:
Type of Establishment:
Design flow(based on 310 CMR 15.203): "mons per day(ypd)
Basis of design flow(seats/persons/sq.ft.,
etc.):
Grease trap present? 0 Yes 0 No
Industrial waste holding tank present? ❑ Yes 0 No
Non-sanitary waste discharged to the Title 5 system? 0 Yes ❑ No
Water meter readings, if available:
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, I Commonwealth of Massachusetts
. • w, „ Title 5 Official Inspection Form
; Subsurface Sewage Disposal System Form-Not for Voluntmy Assessments
145 Chesterfield Road
Property Mean
Omer Sue and Kevin Costa
Inkrmetlan b Own ere Name
required for Leeds MA 01053 11/28/2017
ovary paps,
City/Town State
2Ip Code Date of Inepectlon
D. System Information (cont)
Lest date of ocapancy/use: Date
Other(describe below):
General Information
Pumping Records:
Source of Information: Pumped task August 2016
Was system pumped as part of the inspection? ❑Yes ® No
If yes, volume pumped: owns
How was quantity pumped
determined?
Reason for pumping:
type of System:
® Septic tank,distribution box, soil absorption system
❑ Single cesspool
O Overflow cesspool
❑ Privy
❑ Shared system(yes or no)(ff yes, attach previous inspection records, if any)
❑ Innovative/Altemative 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
❑ light tank.Attach a copy of the DEP approval.
❑ Other(describe):
Lam•NIB 11114 5 Mil Impale,Form:&Aminawap EYpooll System•Pay s 0117
. 14 Commonwealth of Massachusetts
. ' wi .'Title 5 Official Inspection Form
11/44,
-1 ' Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
145 Chesterfield Road
Property Address
owner Sue and Kevin Costa
nbrnmtion fe Owner's Name
'wind f" Leeds MA 01053 11/28/2017
every Page.
City/Town state Zip Code Dab of Inspection
D. System Information (cont)
Approximate age of all components,date installed(if known)and source of information:
Septic said to be built in 1948
Were sewage odors detected when arriving at the site? ❑Yes ® No
Building Sewer(locate on site plan):
Depth below grade: 4.5 average
bet
Material of construction:
i4 cast iron ❑40 PVC li other(explain): Orangeburg pipe
Distance from private water supply well or suction 24
line: feet
Comments(on condition of joints,venting,evidence of leakage, etc.):
No problems seen. Under basement floor slab. Measurement is between water
inlet and sewer outlet in basement.
Septic Tank(locate on site plan):
Depth below grade: 4.1 average
hit
Material of construction:
®concrete ❑metal ❑fiberglass ❑polyethylene 0 other(explain)
Concrete septic tank. About 900 gallons nominal.
If tank is metal, list age: Years
Is age confirmed by a Certificate of Compliance?(attach a copy of ❑ Yes ❑ No
certificate)
Dimensions: 48" wide, 88" long, 65" height
Sludge depth: 2"
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. t:., Commonwealth of Massachusetts
. u Title 5 Official Inspection Form
e Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
145 Chesterfield Road
Rommammm
amen Sue and Kevin Costa
information is Owners Name
required far Leeds MA 01053 11/28/2017
every page.
atiyamm Stam np Dode Dar of Impaction
D. System Information (cont.)
Septic Tank(cont.)
Distance from top of sludge to bottom of outlet tee 26^
or baffle
Scum thickness 1
Distance from top of scum to top of outlet tee or 6^
baffle
Distance from bottom of scum to bottom of outlet 1e"
tee or baffle
How were dimensions determined? calculated
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid
levels as related to outlet invert, evidence of leakage, etc.):
900—gallon septic tank. Removable baffle type. Outlet baffle was replaced in
1996. Unconsolidated gravel soils precluded extensive excavation to evaluate
both tank ends. Riser to the surface over center cover for maintenance.
Grease Trap(locate on site plan):
Depth below grade: feat
Material of construction:
0 concrete 0 metal 0 fiberglass 0 polyethylene 0 other(explain):
Dimensions:
Scum thickness
Distance from top of scum to top of outlet tee or
baffle
Distance from bottom of scum to bottom of outlet
tee or baffle
Date of last pumping:
am
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. 14 Commonwealth of Massachusetts
• s,, !i Title 5 Official Inspection Form
. Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
..
. ,.. 145 Chesterfield Road
Propwty Addreee
Q,11re Sue and Kevin Costa
Flonnauen k ownele Naas
fOquirISfor Leeds MA 01053 11/28/2017
oven Pepe.
Ctiyrtown Stere 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:
Material of construction:
El concrete 0 metal 0 fiberglass 0 polyethylene 0 other(explain):
Dimensions:
Capacity:
gallons
Design Flow: gallons par day
Alarm present: 0 Yes 0 No
Alarm level: Alarm In waking order: 0 Yes 0 No
Date of lest pumping: pate
Comments(condition of alarm and float switches, etc):
Made copy of current pumping contract(required). Is copy attached? 0 Yes 0 No
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• % Commonwealth of Massachusetts
. „ • s r Title 5 Official Inspection Form
w ' Subsurface Sewage Disposal System Form•Not for Voluntary Assessments
- `` 145 Chesterfield Road
Property Mnfto
Owner Sue and Kevin Costa
Information IS Dyne s Name
f°4ikedbrLeeds MA 01053 11/28/2017
owl Par. Clty/To•n Stab tip 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 None in system
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.):
Pump Chamber(locate on site plan):
Pumps in working order. 0 Yes 0 No
Alarms in working order: 0 Yes 9 No
Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.):
• If pumps or alarms are not in working order, system is a conditional pass.
Soil Absorption System(SAS)(locate on site plan,excavation not required):
If SAS not located,explain why:
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.a:.. Commonwealth of Massachusetts
. • ."Title 5 Official Inspection Form
• t 1, Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
!' 145 Chesterfield Road
Property Address
Owner Sue and Kevin Costa
Inforlllaeen le Deers Name
required Por Leeds MA 01053 11/28/2017
awry peps.
avian an Zip Code Deb of Inspection
D. System Information (cont.)
Type:
❑ leaching pits number. one
❑ leaching chambers number
❑ leaching galleries number:
❑ leaching trenches number, length:
❑ leaching fields number, dimensions:
❑ overflow cesspool number:
❑ innovative/alternative system
Typeiname of
technology:
Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of
vegetation, etc.):
No surface issues seen. Earlier inspection report defined size and location.
No open-able components. Made with large volume of washed stone in a pit
excavation.
Cesspools(cesspool must be pcanped as part of inspection)(locate on site plan):
Number and configuration
Depth-top of liquid to inlet invert
Depth of solids layer
Depth of scum layer
Dimensions of cesspool
Materials of construction
Indication of groundwater inflow 0 Yes 0 No
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Commonwealth of Massachusetts
. w. Title 5 Official Inspection Form
w ,n Subsurface Sewage Disposal System Fonn-Not for Voluntary Assessments
y
. 145 Chesterfield Road
Property Address
owner Sue and Kevin Costa
bronnatlon la O*n&s Name
fepiked for Leeds MA 01053 11/28/2017
eyed,Page. ClryRown 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.):
Privy(locate on site plan):
Materials of construction:
Dimensions
Depth of solids
Comments(note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation, etc.):
sero•e16 Tile a011dNlmp lens Fa,:Bubo'face Sewage rapaa&Ieem•Page 14d 17
A , Commonwealth of Massachusetts
5 _ -�y Title 5 Official Inspection Form
• b 1 J Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
•�"+.; 145 Chesterfield Road
Property Address
owner Sue and Kevin Costa
information is Owners Name
required for Leeds MA 01053 11/28/2017
every page.
City/Town 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
ens•&16 The sol lel Inspection Form:subsWace Sewage Disposal System-Page 15a 17
Commonwealth of Massachusetts
i e Title 5 Official Inspection Form
7'911—.1 Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
•'q.,.7, 145 Chesterfield Road
Property Address
owner Sue and Kevin Costa
information is
Owner's Name
required for Leeds MA 01053 11/28/2017
every page
City/Town City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
® Check Slope
® Surface water
® Check cellar
❑ Shallow wells
10+
Estimated depth to high ground water. feet
Please indicate all methods used to determine the high ground water elevation:
❑ Obtained from system design plans on record
If checked, date of design plan
reviewed: Date
• Observed site (abutting property/observation hole within 150 feet of SAS)
❑ Checked with local Board of Health-explain:
❑ Checked with local excavators, installers-(attach documentation)
❑ Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
Site immediately surrounded by steep drop-off of approximately 20 ft. No surface
water seen in vicinity. Glacial outwash soils are extensively drained. Saw
roots to 5 feet below grade.
Circ•6116 Title 5 Oseii dap tion Form.Subsurface 6ewge Wpovl SpMm•Page 16 U 11
Commonwealth of Massachusetts
1, srTitle 5 Official Inspection Form
_--�`- ;.,T/Title
Subsurface Sewage Disposal System Form •Not for Voluntary Assessments
-r-
aAm�' 145 Chesterfield Road
Property Address
Owner Sue and Kevin Costa
information is Owners Name
required for Leeds MA 01053 11/28/2017
every page.
City/Town state Zip Code Date of Inspection
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
E. Report Completeness Checklist
® 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
lens•6/16 Tile s Official Inspection Form.Subsurface Sewage Deposal System•Page 17 of 17
COMMENTS:
Recommend pumping on a 3 to 4 year schedule. Also, a copy of this plan posted in the
basement/utility area would keep this information accessible in future years for maintenance.
12'
/ /
htiiih
Septic Tank
Site constructed gravel leaching
area, reported size and location
ii
NORTH
House Outline
Town water in
IP'
As-Built Drawing Date: Owner HOMESTEAD INC.
Existing Septic System 11/28/2017 Sue and Kevin Costa maks.
tIGYµ \ Thomas S. Leue R.S.
Scale: 1 : 20' Revision Date: 145 Chesteffield R•-d/ , „ �2 - 1664 Cape St.
a, Williamsburg,MA 01096
Except as Noted Leeds MA 01053 \ ii, [413162845n