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HomeMy WebLinkAbout0022 KALMIA WAY - Health 22 Kalmia Way Centerville A= 188-1187002 d `R' No.-_�1..� _G_�� F�s...Fl_ ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ----......�Q w 4...........OF....... ----------------------------------------- ApplirFa#iun for Bhipuual Workii Tonotrurttun Vantit Application is hereby made for a Permit to Construct ( YI or Repair ( ) an Individual Sewage Disposal system t: � --.....'--. ..... Q . ............ ocatio A re 4 or Lgt .............. .. .4 ^ ..__ ... ...................._ ......7--- -------- �... Owne./f� Address .................. .... .... .....11.N- ------------------------------------------- .......--1�G :.�...................................................... Installer Address U Type of Building Size Lot...'G12.t 212-1......Sq. feet Dwelling—No. of Bedrooms..._.___..__.............................Expansion Attic ( ) Garbage Grinder ( ) pa., Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ............................ . WDesign Flow......................I_.<---________..gallons per person per day. Total daily flow......................... .......gallons. WSeptic Tank—Liquid capacity..�� -gallons Length----------_--- Width__-------------- Diameter................ Depth................ x Disposal Trench—No.................... Width.._- ............. Total Length.................... Total leaching area___.. .....sq. ft. Seepage Pit No---------------l____ Diameter........... Depth below inlet....-.......__ Total leaching area... ...sq. ft. Z Other Distribution box ( � Dosing tank ( ) _ ''' Percolation Test Results Performed by............. RX:T ? _'f-__ ? _t ................. Date........5: �7 .7�S........ aTest Pit No. I........Z...minutes per inch Depth of Test Pit--------IZ!...... Depth to ground water................_. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •--•-•-•....................................•--•----._......---•-----------------•-•......••--•----•......................................................... Descriptionof Soil.................................................................................. -----------------------------------------------------•---•----------.......------ ve W:;-.------`�A�l�-----------------------•----------------------•---............-•--•---- W -------------------------- ---------•-------•--•-------•----------------------------•---•---••--------...---------------------------------------------------•---------------------•---•--•--•--••-----•- 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complia ce h s been issued b e board of health. Signed .. . . ----------------------------------------------------- -------�---- �1..���f.... e te Application Approved By --- ? - - oar 0911 Application Disapproved for the following reasons: _....... --------- ------------------------ / ---------------.-------...--Date....- �--- Permit No. -.. ... ................ Issued -l. Ua[e e— 00 No. 1... ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................J.Q.0.! ...........OF....... a :: . .97 .Rd:.......................................... ApplirFation for Disposal Works Tons rnrtiun rumit Application is hereby made for a Permit to Construct ( r/S or Repair ( ) an Individual Sewage Disposal System at• t _ ............ ......... .;�.. � ..... : : ........... ................ .......................................... ocatro A9re d+ / r Lo N w Address Ownerr a ................. :.........fad:--d!:b.rC``�Z�ST`'.:::....-•--•--------------•-•--.....---•*. ........ fd f i"�'� ....,�S�?....................................-----^-••--•--•--- ......:.................. Installer Address t" d Type of Building Size Lot-__ 422.1......Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ................................. W Design Flow............................:9....I..........gallons per person per day. Total daily flow..._.........__.............:�..........gallons. WSeptic Tank—Liquid capacity..°Q .gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. ................... Width................... Total Length.................... Total leaching area.....:_•...........sq. ft. Seepage Pit No---------------�---- Diameter........._...... Depth below inlet....tr�........... Total leaching area........5 ...sq. ft. z Other Distribution box ( Dosing tank Percolation Test Results Performed b �� .TW'"- . Date.....•..............1.................. Test Pit No. 1......... "...minutes per inch Depth of Test Pit------- __ "'...... Depth to ground water-------_':'""°-------.-. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ W ---••-•--•••-----------------••-•-••---------•-••......•...•---.........._......................-•--......................................................... 0 Description of Soil-------------------------------.--------•-----1--1-----••••...........•• •----•-•a •-•--•......--••-••--•••-----•-•......---•-•-•-•-----•-•--•-................. -----• .................. / -----•-•-•-- ------------...---•----••-•-•--••••.......---- ----••--•----•------- ------ - W ---------------------------- 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complia, ce has been issued by •he board of health. Signed ----- ---------54- k.. . ----'----- `�.i A lication A roved B `- ./�.� f e ....... ......................'-----'---..-.......-'---- Dale' Application Disapproved for the following reasons:................... ............................................ .......................... ....... .......................... ........................................ �.-)) Date Permit No. .. 1................... .. Issued �' Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -91a'---- '`-------------------- ...... OF .....................� - - ....=-- --------------------------------- Cfertifirate of Tomplianre THIS I TO CERT Y That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by .�....F ..�. -1� -�.-�..,-....... .................. .......................................------------- ............ ----- ' . •• Install A ` y�, at - - Y'...\1 -`. ."�..t ---....WAY-- `1- ..... C V.-��L.C �.. - has been installed in accordance with the provision/0t�TITLE 5 o State Environmental Code dZT ' e in the application for Disposal Works Construction Permit No. ..........f�......f77-7......� dated .--�-..- -.--THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO STRUED AS A GUARA EE HE SYSTEM WILL FUNCTION SATISFACTORY. DATE t 7 `- Inspector `... .. ........................................ THE COMMONWEALTH OF MASSACHUSETTS - �-- BOARD OF HEALTH (d .----...--•--....................... o. F . ............... < ll .......OF........... .N . FEE....... ....... Disposal Works Tnntrnrtio rrmit Permission is hereby granted....._ _� _ _ .L.<- Lp to Construct (,,0 or Repair ( ) an Individual Sewage Dis osal stern /./ I/ c' at No... jr� .°1� l ......� ..: .. ---- ./11 .� , `-c_L!-1� ..---- Street G�' as shown on the application for Disposal Works Construction Per ' N( �`�`� Dated._am: --(Y./-------------- .. .-- X-e----- •-•----------------•-.----- DATE. l �� � Board of Health FORM 1255 HOBBS & WARREN. INC., PUBLISHERS ppp- VA�als use- t000 GAL. - lr.-CTEWIAL-L AeEA. j lsO s.7. Ic.7� $ter-row aZMa= st= So �.RD. ` TOTAL ' ESIGF.1 = �25 G.RD. d \.'', � 'roTo L mat 1_�f FLoV_/ PM2Cr,>L&noU OLTF-L '0lz LASS. ' _ \ � _ P1 TER F� � RICFi4,;p tiG SULLIVANNO. '0733 RUTER A. �o No.24043 s �fCrSTEQE� IJ •� 2 © ` "T- -t- d2L1 1- �OL - Tor T7No c � FG s g " 4. pAt11 Q'�P� E IUV.•'�� �+IOIC-, IOoo I . 4'PIP I.IV 2 INN 1000 sS* tw- N LmAr-LEA► PIT �V t rN ••i MM, I e Z SAT WASi1ED . STbNt= El,:Zr� . CEQT17- aD p Lc)-r F L./,tii - LOCATIOt.J C ►tt ,�/rs-E� Sci�LC- IIi- l G G IZ T t 1=-,{ TWAT' , T 1-1 G ttS� 5 t low t.l Sot-A►�1 R�1='�tZ i=v"I c a u�:Pt_nIJ Gc�lPL�IS W I't'I-Z 'Y'1-1�.: SIDG.t_1►-ltr f I ---..�.--� -Tow w cT- W24 A r.,U-g ANC ;5 tlm- Lca~A-r�U f.t ZLL_ �u ICI V4 -l"A e f'c A t N L. C. G. ✓�. f ;r," F3I�)CTCt2- Gf u-(C- I c- t2GGlS't-C-._tZ�D 1..1�1�1G SUwcYoc: Tl-Ai5 ' 01`4 p�J OSTE2�/ll_LG o I�AS�i� uS('i?:J:✓�C_I.1, ;u;_.rl=� -f'Av:U L �it�Pt_1 Ga.1.1T' !�iC- hitc �> L� jCs i�r._VU.ZM►�4C LO"C' t_twaG WN OF BARNSTABLE Z. � LC.-ATION d +M IrA lnl®t SEWAGE # T�'" VILLAGE ( @e" f y�, _ ASSESSOR'S MAP & LOT,/" INSTALLER'S NAME & PHONE- NO. De'.5c0l( 7 �f b SEPTIC TANK CAPACITY 1 .060 LEACHING £ACILITY:(typ, ���� 4 _(size) I,06L) O%A\1GIA$ NO. OF BEDROOMS 3 PRIVATE WELL O PUBLIC WA�R­ E"WLI)ER. OR OWNER, �A 4i� �. Lo DATE PFILMIT ISSUED: -Z-t " q J.ATe COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No cF t i 1 AsBuilt Page 1 of 1 0� . Yffi T, WIC OF BARNSTABLE 2 LOCATION O �r� (n1 j ,i SEWAGE VILLAGE Cev, tv'h ASSESSOR'S MAP Si LOT r/r�.r4 INSTALLER'S NAME & PHONE NO, 1.1 Dt�cOl( 771 -W(6 SEPTIC TANK CAPACITY LEACHING FACILITY-(type) ( vid^ —(Gze) 11 00d 7a L�6"s NO. OF BEDROOMS 3 PRIVATE WELL O PUBLIC WATER BUILDER OR OWNER._ 6-AV" DATE PFF%.MIT ISSUED: DATE COMPLIANCE ISSUED: L:f� VARIANCE GRANTED: Yes No ,r i N 1 � i http://issgl2/intranet/propdata/prebuilt.aspx?mappar=l 88118002&seq=1 2/8/2012 SEPTIC SYSTEM PROFILE ALTTOPEOFATE FOUNDATION ARK NOT To SCALE NORTH SOIL TEST P �I 0805 R� 2$ � A NAIL TO BE SET DATE OF SOIL TEST 09-23-04 z ELEV 28.00 6" MAX WITNESSED BY DAVE STANTON SOIL EVALUATOR BERNIE YOUNG �0 1.00' MIN, 3.00' MAX PERCOLATION RATE <2 MIN. INCH. RISER REQ'D 9" MIN, 36" MAX LEVEL 2' MIN M C3v P�� 0.17 3" SEEDED TOPSOIL, 2% SLOPE " OBSERVATION HOLE > ? 1.25 26.55 MIN 0.93 2 PEASTONE 28.55 MAX ELEV.= 23.40 25.50 1 j 7 ELEV. DEPTH HORIZ SOIL TEXTURE COLOR MOTTLING c� 25.30 25.05 w{'':.' ,. --- ------ :.::.,:.: 25.55 0.25 r------- -� 25.73 0-2 A LOAMY SAND 10YR3 2 N y;. :: , / ''S`''`" °' 'w �®®® ®� y' 24.57 2-16 Bw LOAMY SAND 10YR4/3 0 0.83 4.00 24.82 24.65 .:}v '` I®®®C3 ®rr-3 I 'r ..::.;.;..:;: - "t "`r' ` 3/4" TO 1-1/2" DOUBLE WASHED STONE 17.40 16 102 C COARSE SAND N no 22.62 1500 GALLON SEPTIC TANK LOCUS MAP 15.70 AS FOUND ST-1500-H-10 DISTRIBUTION BOX 24.75' x 4.83' DB-3 OR DB5 H-10 4.00 5.00 NOT TO SCALE E 17.62 WATER TEST TO 3-500 GAL LEACHING CHAMBERS 6" GRAVEL ON NATIVE SOIL OR PROVE EQUAL FLOW PROBABLE HIGH GROUND WATER MECHANICALLY COMPACTED BASE, TYP ELEVATION OF BOG 17.62 GENERAL NOTES PERCOLATION TEST DONE AT A DEPTH OF 30"-42" 1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM 2.75' x 12.83' x ' WATER ENCOUNTERED @ 86", EL 16.23 TO 310CMR15.00 THE STATE ENVIRONMENTAL CODE TITLE J V: MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF SANITARY SEWAGE, AVAILABLE FROM STATE OBSERVATION HOLE 2 HOUSE BOOKSTORE 1-617-727-2834, AND TOWN OF "'---�_ ELEV= 22.20 BARNSTABLE RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SANITARY SEWAGE. ELEV. DEPTH HORIZ SOIL TEXTURE COLOR MOTTLING 2) CONTRACTOR SHALL VERIFY LOCATION OF EXISTING T ° 25.13 0-2 A LOAMY SAND 10YR3/2 N UTILITIES. CONTACT DIG-SAFE AND LOCAL WATER DEPARTMENT 3 BUSINESS DAYS BEFORE BEGINNING 24.30 2-12 Bw LOAMY SAND 10YR5/4 0 CONSTRUCTION. To 17.80 12-90 C COARSE SAND 10YR6/6 E 3) CONTRACTOR RESPONSIBLE FOR OBTAINING ADEQUATE HORIZONTAL AND VERTICAL CONTROL. 4) CONTRACTOR SHALL VERIFY ALL PLUMBING FLOWS TO 00, o PROPOSED SEPTIC TANK, AND SHALL LOCATE ALL OTHER BOG ELEV 17.62 e �p z EXISTING SANITARY FACILITIES ON PREMISES NO LONGER WATERELEV 15.69 93 USED AND PUMP, AND FILL OR REMOVE SAME IN WATER EL Op. ACCORDANCE WITH LOCAL REQUIREMENTS. 5) ALL COVERS OF SANITARY UNITS SHALL BE BROUGHT 100' FROM ISOLATED ti� 24 r� TO WITHIN 6" OF FINISHED GRADE. ALL MASONRY UNITS WETLAND AND WORK LIMIT k' ��� 4 � . 4- PERCOLATION TEST DONE AT A DEPTH OF 28"-40" TO BE MORTARED IN PLACE. ALL PVC PIPE TO BE 23. 1�k �� Qj '�'?.,>>� SOLVENT WELDED. WATER ENCOUNTERED Q 78", EL 15.70 6) UNLESS OTHERWISE SPECIFIED, EXISTING AND FINAL 26 0 TPToSa GRADES SHALL REMAIN ESSENTIALLY UNCHANGED. �aG� 7) NO DETERMINATION HAS BEEN MADE AS TO � ?p COMPLIANCE WITH DEEDED OR ZONING RESTRICTIONS x , AND/OR REGULATIONS. OWNER/APPLICANT MUST OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. �3 8) EXCAVATE AND REMOVE UNSUITABLE MATERIAL TP�o� ' 6 BELOW THE LEACHING INVERT ELEVATION FOR 5' AROUND �? LEACHING SYSTEM AND REPLACE WITH CLEAN SAND. -s 2 9 IF ANY DETAIL OF THIS PLAN IS NOT UNDERSTOOD, 20 �30p, CONTACT DESIGN ENGINEER AT 432-6360, PROPOSED 20.00 0 0 ,® 10) 48 HOUR NOTICE IS REQUIRED FOR ANY INSPECTION TPTo5a OR CERTIFICATION REQUIRED. ,00 FROM ISOLATED '� 11) SITE LIES WITHIN FLOOD ZONE C AS SHOWN ON MAP DWELLING 32.7 ? $ WETLAND AND WORK LIMIT 23. 250001 0016 D DATED 07-02-92. 26 FUTURE TOF 28 . TP POOL .00 2475 100' FROM TOP OF BANK T 1 0.00 ADJ. TO 13OG S \ N / N 22.20 GW 15.70 O R RV t { .. <,:.' .:.. \ _.. ..:" „ tS- <:.'+ ,.' •�� PROPOSED 20.00 - 1 DWELLING 32.;°. .. J 12.83 �11r�, TPa POOLFUTU TOF 28.00 24.75 �p `S00 O 00 S 10.00 7 \ Csr W 1 T � GW 15.70 o R R ,S2 ST 24 12.45 LOT ? ODO Jr � �O o 12.83 fv o OD 3. 0 4.00 r, �ST 4 12.45 F LOT 2 24 GW 16 4.00 UPLAND= 1 .63 AC. cg GW 3 0 \ �� 4.00 400 _ OB �'2 UPLAND 1.83 AC. 26 ATERIAL WETLAND=O. 10 AC. 36.00 F WETLAND llQ.AC. -�\ LIMITS OF 5' EMOVAL TOTAL-1I.73 AC. 36.00 UNSUITABLE EN`C UNTERED LIMITS OF 5 EMOVAL TOTAL= 1 .73 AC. UNSUITABLE ATERIAL � °R1 I WHERE ENC UNTERED \ DRIVE I �^ L IN ti i 9 � � Jq RESERVE APPROVAL ENG^�EER A J � MP 04 ' 4r ti 11/03/04 HOUSE SITING AND SEPTIC DESI N JY `3' 3 O DESIGN CALCULATIONS ° '° 6 Date DESCRIPTION Drawn Checked 5 s TOP TAG BOLT ON NUMBER OF BEDROOMS 4 ��3 , BENCHMARK R E V I S I 0 N S GARBAGE DISPOSAL UNIT NOT ALLOWED N / �� HYDRANT DESIGN PROPOSED SITE PLAN & SEPTIC 4 BEDROOMS x 110 GAL/(BR-DA)=440 GPD. APPROX. NGVD REQUIRED SEPTIC TANK CAPACITY 1500 GAL (MIN), / ` SYSTEM ACTUAL SEPTIC TANK CAPACITY 1500 GAL �q1- �1 7- LOT 2 KALMIA WAY LEACHING AREA REQUIREMENTS h, --BOTTOM 0.74 GAL/(SF-DA) cep°�2 IIN --SIDE 0.74 GAL/(SF-DA) CENTERVILLE LEACHING CAPACITY ((32.75'x12.83') + 2x(32.75'+12.83')x2')xO.74 GAL/(SF-DAY)= 445 GPD NOTE: TOPOGRAPHIC SCALE: NOTED DATE: OCT 26, 2004 RESERVE 445 GPD INFORMATION TAKEN FROM LA BARGE 20 0 20 40 60 TOWN OF B A R N S TA B L E ENGINEERING & CONTRACTING, INC. SCALE: 1"=40' BASE MAPS AS 237 MAIN ST. - ROUTE 28 SITE PLAN N OTES o SUPPLEMENTED BY ON THE WEST HARWICH, MA02671 1 = 20 1 . LOCUS REF: D.B. 2114/239; P.B. 568/68 LOT 2 GROUND SURVEY. (508) 432-6360 10 0 10 20 30 2. ASSESSOR'S MAP: 188 PARCEL 49 DRAWN BY: BJY CHECKED BY: TAL SHEET 1 OF 1