HomeMy WebLinkAbout0289 LAKESIDE DRIVE WEST - Health .289 Lakeside Dr }
Centerville
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ry'r
Norman Grossman, P .E.
226 Holly Point Road
Centerville, MA 02632
June 6 , 1978
Board of Health
Town of Barnstable
Barnstable, MA 02630
r
As ' required by the Board of Health regarding deviations from
approved plans which required a variance, I am hereby submitting
a certified plot plan showing the location of the as built
sewage disposal system located on Lot 25 .
This minor deviation in no way, affects the environmental impact
on Lake Wequaquet or the adequacy of the system to. function
correctly .
Sincerely,
Norman Grossman, P.E .
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[�R5':S'T`�,A1 , /MASS•
Norman Grossman, P.E .
226 Holly Point Road
Centerville, MA 02632
June 6 , 1978
Board of Health
Town of Barnstable
Barnstable, MA 02630
As required by the Board of Health regarding deviations from
approved plans which required a variance, I am hereby submitting
a certified plot plan showing the location of the as built
sewage disposal system located on Lot 7 .
This minor deviation in no way, affects the environmental impact
on Lake Wequaquet or the adequacy of the system to. function
correctly. .
Sincerely,
Norman Grossman, P.E .
NG:mm
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177-370
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gi.--MBY CERTWY T14AT THLS FOUNDATIOff
A
10 LOCATED ON THE LOT AS'S!-(t)^ AM) '-
C*r4FQitMS TO THE, TCAM OF S�04Nsr,*4zE
t STAtET UNP-St MID LOT UfgtS.
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THE COAVONWEALTH OF MASSACHUSETTS(
'v-P BOARD OF HEALTH
Appliration -for Bhipwial Works Tonstrnrtion Vrrniit
Application is hereby made for a Permit to Construct ( ) or Repair ( } an Individual Sewage Disposal
System at:
...pw,..... �- re_ E------ ...............1i�T S"
Location.Address or Lot No.
-� .e/ -V 4.1 •---•------ ......... _�3.r" v r� �x ........�r, -a-7X4�a�,�:J
W "Ow er Address
.............4,
�
staller Address (�
U Type of Building Size ---Sq. feet
Dwelling—No. of Bedrooms......................3
...................... Attic ( ) Garbage Grinder ( )
aOther—Type of Building ---------------------------- No. of persons............................. Showers ( ) — Cafeteria ( )
Otherfixtures -••-------------•------------------ •--------------•-------------------------------------
Design Flow___________________S.-�_........__..gallons per person per day. Total dail flow...........33 0--_-__-___-_----..gallons.
WSeptic Tank—Liquid capacity/6'-gallons Length_./27_A. Width.�:. .._._ Diameter................ Depth._.._____.......
x Disp&a44+eteh—No.....FF.-4D Width..._.Z®.._.. Total Length..__.."----. ------- Total leaching area--------------------sq. ft.
Seepage Pit No--------------------- Diameter.................... Depth below ' let_..._____ ______. Total leaching<trea__°v° ......sq. it.
Z Other Distribution box ( k� Dosing tank ( ) O -�� ' �-
'-' Percolation Test Results Performed by._.,W ......��- -a �t"i � .............. _-_3._Q_.-77—_
Test -Pit No. 1.....1--_V_-.__minutes per inch Depth of Test Pit.. ___- ----- Depth to ground water----0__74f.......
(� Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water__._---.-__.----___----.
------------------------------ --------------•---------•-•-•---•--•--•---------............------•.•---------•----t--•----.-.---------- --•-----
O Description of Soil '`_ � a � 00,
eg
_ a,
v -------.---- '.:-.�?�5.''. �, �!E � .. �_ 1 -0s= / T�--------------- -
w ew
x -------------------------- ---- -,--1�- -----••----_... ---- --
U Nature of Repairs or Alterations—Answer w en appli'� ---• ------------ ...........
---
• •------ ------•----------------- -----
Agreement:
The undersign% re to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of ^ ��' �,— of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been ' d �thf)b�oard �halth,.
Sined --------•-•- ------ -------------------
nDate
Application Approved BY 4.----- -----. ....................
..... � V �.
r
411 Date
Application Disapproved for the following reasons-------------------------------------------------------------------------------------=----------------------•-•-•
•---------------------------------------------------------------------------------------•---------•---------------------------------------------------------------------------------------------------
�' Date
Permit No......................................................... Issued......�-.F._1 to ...
Date
1
No......................... FEa........ '' ...
THe COM''MONWEALTH OF MASSACHVSETTS
BOARD OF HEALTH
;;02�4etl1V--....OF......., .,,� . ............. .............
Applirtttiau -fur Uhip oal Worho Tonutrurtion Prrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at
...........`?l`� L_/.L --- --=--------------------- °.T �` --------------------------------------------------
YLocation.Address Q '.y�'�. ` oor?.Loot No.
,4 -. ....�.a_l ..l'_GfYS!Y[7It.�'.,6...!5`� Jw---........�lr - -y! /-Q�l'.
- �Q L/. -------• ----
( nr4 Address
!t;a I I e r Address
Type of Building Size Lot__17_y _____._.Sq. feet
U DwellingNo. of Bedrooms.--_--_--.-�____________________________Ex ansion Attic Garbage Grinder
— P ( ) g ( )
aOther—Type of Building-.-_-__---- ---------------- No. of persons............................. Showers ( ) — Cafeteria ( )
Otherfixtures --------------- ------------------------------------_-------------- -----
W Design ) low................... r..'�...._.....__.gallons per person per day. Total daily flow...........3a_0-__--_____----.._....gallons.
R; Septic Tank—Liquid capacity/0'40gallons Length_.L0_-6__ Width... ..-_.. Diameter................ Depth----------------
W
Desch-- __ «%idth___ a=_.._. Total Length_____:------ Total leaching area--------G -------sq. ft.
x
Seepage Pit No--------------------- Diameter-------------------- Depth below inlet.............._..... Total leaching area------------------sq. ft.
z Other Distribution box (C.4 Dosing tank ( ) .. C,. ,p► • t
~' Percolation Test Re ults Performed by.------ -rkS'J' -J ✓Y Date------ : mod_^-�-------
Test Pit No., l_...._.�..._
minutes per inch Depth of Test Pit.R--- Depth to ground.water..... r:8�_ .-----
fXA Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground
M •J 43.. � �_ . water ter--.-.------.---.----__
-- ----------------------------------------------------------••• - / ----' .................'+4Description of Soil G.�- 1 , • � L• fLl& ,I
-------------� __... . .J.
�
v _.__._� �!_ �.----. _ ---_ -. "--_ ------ " „--------_<::c
U ` Nature 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 Article NI of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issue the bo rd of heal h.
tgne
I' ���✓/ Y k Date
ApplicationApproved BY ------------------------------------------------------------- -- ------------ •• ........ *? -7-!Z--------
Date- •
Application Disapproved for the following reasons:----------------------------- ............. ...... ._:_. .. ...... .....................
------•------------•-----•------•------------------------------------------------•----•---•-•---------------------------------------------------------------•--•---•-------...-----•--------------------
y Date
PermitNo......................................................... E Issued........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD ,0�P�'jf HEALTH
..........................................OF.............. ........ .....................................................
Trrtifirutr of 01.10utnlitturie
T*IS T6 IL, �T�iat�p�th Individual Sewage Disposal System constructed ( ) or Repaired ( )
,
by .------ � Ig , --
has been installed in accordance with the provisions of eYel The State Sanitary C rje "cle3c,%ed in they.-
application for Disposal Works Construction Permit No------------------------------------------ dated----------------------------------.............
THE ISSUANCE OF THIS., CERTIFICATE SHALL. NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM.wILL FUNCTION '.SATISFACTORY. .
DATE......................... --------............--............................... Inspector,3-:-----------------------------------------------------=-----------------------------
THE COMMONWEALTH OF MASS;ACHUSETTS_
�1' 7 BOARD HEA
1 OF l+�
No. �' FEE....................................
t
Risnur� Work, n u,itrurtivu Prrmit
r - '
Permission ls„Jtereby g.anted _ - - '----- r. = =
to Cons ( p" dr air (. ar > i ual e s 1 y m f.
at No.-` _--1 � . - --- ----- -- - --
as shown on the application for Disposal Works Construction.Pe •t�0 _ ' d..._ -.___.. ` :.................
- '
•
• '_• ' Board of Health
DATE. --....._...:_. -`--------------- ------------ .........................
tFORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
•_
_ . WOM -
,1
MPu d
r
rGid CRITFRIr1
z.
of Bvdroomr,
- ...._ 1-a o of People/tledroOm
4f
tY
i
Gal/per/Day So
_
----
.ca -- - -- - - ----=-
L.; �.. Garbage Grinder --4fh _
0 Total Dail
N �
'" �',td ,•' 1; � Yi 1i„trot Mx�� , � Y Flow
2 People/PedrooiT x 3 HR x So Gal/nay/Per son = 3c 4 c;1 1/Ijay
k
Leaching Area Required �,�al i�ooGa
_
' t
�. Leaching Area Provided
Point
l
Test Hole Location —
XRd.iCBt�f Tip �- -�� ��� •.�. t '
r � t>1 .,, I .71 •�,,ta.� .1 Jr t711r1 N' • PontJ ' lP aF d� �_ ---------. ._ ,.------
f a tib. �:.� Indicates Perc . hole No. 1
•' !' j R 4 10M -- �1
�I y
r-
�7 t t•",p. vy <.,. .' - G. Indicates F f'r c • Hole I30• 2 - ..---- r
� FT
LIQUtD LE.VEI_3& Existing Contour aC.a 1 �Q,—indicates Proposed Contour.
_
1T:c3ica.tes �:xistinc; Spot Gr.arci-c� .
Z" S AN T �
� f � C AQ ,I
Indicates Proposed Spo t`ixdCZc? 1 tEES
' 'r a•t 1 * t r 4 j t ,
47
SS t 4 -j•-----
/ P• • 1 �- L, i I t 71.E
GENERAL NOTES
I' �an Upr, .' /. - rr h7lg ��••� D•�`' L ���0 [rsr•r�,,. i-ti1 .,i - '_:
" � �^ 1 Gal reinforced concrete septic tank and conci.cte TY�iGA.L-
�«I 4r SEPTIC_ -rx_Kj{L TYF'� GAt` C�lST2lIIVT 1 Ot�.1 303L
distribution box by American Precast Concrete, or equal. Nor ro sc�a+,>c
►J o r' 'rp sc,�a�E
,!` CAS Q'' / «=.ZQa4
ti;c'" PT;C T 1v r1 pw CC l�'S. b/1/I tJ"o LDS R
2 . M�pN.'l1iJlOL>v Board of Health must be notified when system To ens Qa-0UC." - 0P-'rC3 s;lr.�s .�N%3 paav►r��t�
is nearly complete and prior to back.`.illing . wI-ru T✓iC.N•r_'�Ir-M441 TI �tts
1 1 3 . Elevations fused on U5tg45 natum Plane.
4 . UnYc-ss otherwise noted all system components shall :be
instal led in accordance with Title 5 of the State
• ,�'" �: ,`�� Sanitary Code dated February 26 , 1976 and any local rulo:'s
. .•, "�`�.� 1-Y�_ applicable. i ��,��(,:, - .: ` + .•}. - �1f.ilSµ �2A.�t= _`•"0 FSF�\SK �q Pr/L C1C �1Nts" �c(C0.0 fib
�•: ,,,,. •. U
5. Any deleterious maaterial must 4P excavated and removed -- -- nv�c To.►.��= 43XCS �✓�� '-' �� �� ` l
to 3" below the surface of the natural permeable soil. Tc�P oc Fpuwtp
_.
�, ;;E - "..--=•�-- -~` ' -.� ., �`' Backfill 3s required with a gravel or and fill material. , Et_av =
i- q 2 having ;.a percolation raft_ in its original location of L
. �..', Rilrr, �9f?r inch OY bet.tCr, and fr�se S �'At1t £alres , c l<1y, 7T. ,... ~-, ""`�,,,�, \�. organic rnatcrial , <and large moulders. �i• C z_ ` w-- 4\Ixt
4d��� �� �, �. �^- ,- �f 'f�� � �'
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