HomeMy WebLinkAbout0112 LEWIS POND ROAD - Health cl, A--
_ -
'w'. �- C f/� TOWN OF BARNSTABLE
�.00ATION L�� SA L ewl`S 00PVC0 SEWAGE # 7 - 79
VILLAGE of ASSESSOR'S MAP & LOT
t_0 FA
STALLER'S NAME PHONE NO. f K14n?c.�`�c�a /�►� s l�,c
"EPTIC TANK CAPACITY
LEACHING FACILITY:(type) P - ,;?o LC-4 (size) /000 S41
NO. OF BEDROOMS_ .OR PUBLIC WATER lw�'
BUILDER OR OWNER 04
a
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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IC.C"J nI
No....�..7.: -72� Fis......2
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH _
ply ._........ a .N.---.....OF....... .A.F'.K�:-o--ABLE.------------------
d -XV.Pration for llhipoiial Work.5 Tom5trurttort Prrutit
Application is hereby made for a Permit to Construct (L111or Repair ( ) an Individual Sewage Disposal
s at:
l.. Z.._._...L��a.....�... a.N -..... .. IQ...--...•....... ...................................'��--......-'�...�------------- - .-s
/LL_o_ca.tion-Addressfo
or Lot No.
Minas_-�1' .> =-
Ad
W -•---•-•----•----•-- AX. /....
e..--•-
Installer Address
d Type of Building Size Lot..a?kj_zod..__._Sq. feet
Dwelling—No. of Bedrooms......... ................-----------....Expansion Attic 04) Garbage Grinder (6)
aOther—Type of Building ............................ No. of persons..........y_.............. Showers (Z) — Cafeteria ( )
Q' Other fixtures ___________________________________
W Design Flow..............._�............................gallons per person per day. Tot a daily flow......... .....................gall onss.a�
� Septic Tank—Liquid capacity.'QQ%allons Length__..__ ?.. Width__....... .. Diameter................ Depth___--__....._..
Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area........ ._..sq. ft.
Seepage Pit No.........I----------- Diameter......I Q. .... Depth below inlet......?.......... Total leaching area.2. r q. ft.
Z Other Distribution box ( I ) Dosing tank ( )
Percolation Test Results Performed by----- ..........At.Wtc9 L�_L....... Date__AUC_._1-•-•-91• Sr-
Test Pit No. 1-------Z------minutes per inch Depth of Test Pit.......!_Z. ___. Depth to ground water.l'_'16T__E-1" .,
minutes per inch Depth of Test Pit ----- Depth to ground water.. _ ��_.___CAcl
f� Test Pit No. 2........ _. I� '
xU----------------- -- - - •----------------•-•••- D
O Description of Soil.......... . l 1 f�.: 'Z--....... -
V ----------------------- ® i o tom_ u b i. - t� Y► J 5 b t
�-- j L« t.5------
W ---------------------------------1, u...l ------.M.e__d_L& S. -------------------- --- - ------....�Z. N�� lica,• �. xs
VNature 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 7111 LEE, of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issW by the boa health.
1 .Signed------- -------- ------•- ---•-- --` -•--•----------------•- ......---------------•-----•-=
Application Approved BY - -•-_----- ......•..I....... Date..............
b Date
Application Disapproved for the following reasons:______________________________________________----••--•---......-••...............................................
-------------------------------------•---•••-•---•-•••--•••---....--••---•••••-•-•--.......-•-•-•---•---•--•--••-••--•-••---•••-•••••-•••••----•-•---••- ------•--------------.........................
p Date
PermitNo...... ................... Issued.......................................................
Date
FizE
THE COMMONWEALTH OF MASSACHUSETTS
r -- BOARD OF HEALTH
..........-T�.W_H.........OF........�.1...A..1^'y...W.5TAB LE..............!
Appliration for Disposal Works Tonstrurtiun runfit
Application is hereby made for a Permit to Construct (L-Of or Repair ( ) an Individual Sewage Disposal
System at: ,�..� `y
.........._. ........... ............ ---------...... ---- --..._ ......-r
Location-Address or Lot No.
................................................................................................. ..........--......................................................................................
Owner Address
W
Instal'_er Address
UType of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic O Z) Garbage Grinder NO)
Other—T e of Building No. of persons............................ Showers — Cafeteria
Q' Other fixt es ..---•----------•---•......---•-••.............. . 3
Design Flow................. .............gallons per person per dq Total daily flow .�. ons.
__._0...........•.._.._.•._gdl
W T
14 Septic Tank—Liquid*capacity l POQgallons Length 8.�_ �.•--G•. �`idth4.'- __._..._•-_!.O.. Diameter________________ Depth.5__1:71Q."Disposal Trench—No..................... Width............ Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No._..-__.1_..__.____.- Diameter.__...0r�.._........ Depth below inlet............... Total leaching area.Z.. ...sq. ft.
Z Other Distribution box (( ) Dosing tank (^ ) q
'-' Percolation Test Results Performed b __..! I AN.�.� ---......,C�.�`'.N� C L_ l........
y �.- - - -- - - - - -- �-.._E----_ ..--------
minutes per inch Depth of Test Pit......�.4....... Depth to ground water. __._"i1c
1
Test Pit No. l______ _____ .
f14 Test Pit No. 2....... .....minutes per inch Depth of Test Pit........12:...... Depth to ground water.N(54_.___ 5,
ft+' .
D Description of Soil Nl� 1 •--•- --•-••-•---------- - t-- -- ------I- - ._.___.,
W c' ± • 5 v :M :u su1 Lea to sb
ll 'k•----------------- 1
W "���rt? Z' M eci�uk1,._ ahG1 �� t �--.. ��,'►s�►a-, -'�
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 Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issW by the bo health. .I.e L
...Signed. �
Date
Application Approved By.......... a,,3__.c.�.,
1 1
Date +
Application Disapproved for the following reasons:............................................
.............................................. --------------..............---------------.....-------•-•--••-••-------------•-•--•-••••-------•---•-•••--------•---•---•----••-••-----•---•••-•_:•-----
G Date
PermitNo....... ? g ------------------- Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF....................................................................................
�rrtif irtt#r of Toutpfiattrr
THIS IS Tg CERTIFY:, That the Individual Sewage Disposal System constructed ( ) or Repaired ( }
byc." 4�.r- ......... .�.} ----------------------------------------------------------------------------------------------------------
c� -4 l— A Ie�r
"� �,...
at. 7~..-5-^•-••... ------------•-•---------•-•-----•••••.... -••-••••••-----•••--•---•-••-•-•....................•---
has been installed in accordance with the provisions of TIT E j of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No..... .......... dated__-.-_-_._________________-___----•---__----••
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE..................... .... -- -. ........................ Inspector.......................
ns ector........------------... ----------•---------------------•---•------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
NO.�� '`j /..( Gf�?!(...............OF.........I j?t--.:5; -ryir�i .................................
1.Q FEE.. ...�...�....
Disposal Works Toildrudion frrutit
Permission is hereby granted �a�=............ ='c=...------...........................................................................
to Construct ('><"orRepair o tarn IndividL'I�I Sewage Disposal S,y��tn
atiV O. A......-.�......I:.....................................
Street
as shown on the applicat'on for Disposal Works Construction emit Nod f=_. 1�,��f__ Dated..............:..�_-•-----.---------...
�...
Board Health
DATE
........................ f
..........
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
6 1
v
EDWARD S . NOWAK
_ ADELA C. NOWAK
Town Conservation
Land
ON
o ✓ / Ik
� �e of _ ��'e� ^2503,
I2�—�---- 54.97
/6
2 Z ^ 20
22
26
24
24
N_ — 28
0
2
o-
32
28 /
34
_ 0 T 5A
2 61 2 00+ -/S. F.
30--�C\i Oo�
00
LOT 6 A 32 CC)c~ 00 36 L O T 4
34 a 1000 Gol. H-20 NN
36 Wd iom.x 6'deep)
LEACHING PIT ,
�--- 2ft`.of stone. j8
38-�� DIST.BOXY 9'�� �.'� ' �
--'—"— 'RE;SE RV E
42 100 a s \� _ 40
40 _ EPTIC
TANKf � 32 \ _ 42
i 2'2' -
15 ?J�ck' 1 Nest- _ 44
Hole I 20'
igara ge Test
Hole#2 46
44.5 /� 48.5
i I
( 47.0 4TO 48
Retaining 10/28/87 Revised House and Grading Ijt
1 alI
1 DATE DESCRIPTION Drawn Checked
Z, R E V I S I O N S
N 0 T E S N Old road line
1 . ZONING DISTRICT: RF . 12' akj 9 8.89' — PLOT PLAN
2 . FLOOD HAZARD ZONE: C . �.-- 76 ' Pole 8 46 OF PROPOSED SEWAGE DISPOSAL SYSTEM
125.E 4
3 ASSESSORS MAP NO . : 20- 10 . �� ROAD PREPARED FOR
5 . THE, NOR'`T'H �AR90W IS DERIVED FROM RECORD PLANS w � F0 1967 Town Layo t M I M I PROPERTIES
4 . HOUSE NO.: 112
� E t
OR DEEDS . THE NORTH ARROW SHALL NOT BE USED 46wide FOR LOT 5 A LEWIS POND ROAD
FOR ORIEN'TAtION FOR SOLAR HEATING PURPOSES . p ^ IN n
6. REFERENCE: PLAN BOOK 162 PAGE 85 . _ COTUIT B A IV /� MASS .
7 CONTOURS AND ELEVATIONS FROM AN ACTUAL ON THE GROUND
INSTRUMENT SURVEY. BASED ON AN ASSIGNED ELEVATION . BENCH MARK SCALE: 1 '_ 30' DATE: NOV. 24, 1986
Spike in oak tree
_ holmes and me rath, inc . r��hE T
EI.-49.10(assigned) g
c4b4l engineers and land surveyors �. ;
8UR' ANN —+
200 main street"
f almoUth, ma 02540
DRAWN: R.S.J. CHECKED: lt' ,3 \�W31ONAI '
JOB NO .86320 DWG .NO.41-2-14 SHEET 1 OF 2 0 �
c SOIL TEST
BASISO DESIGN -< Finish grade above and adjacent to system shall slope a min.of 2% away from system . � DATE OF SOIL TEST AUG. 14, 1986.
u
4 diam. cast iron or Schedule 40 PVC pipe (install with tight joints.) TEST TAKEN BY JAMES ANNICELLI
I. NUMBER OF BEDROOMS 3 (EQUIVALENT TO 330 G.PD. First Floor -F-- 20'minimum distance (building to 6dgeof leaching system_ ) RESULTS WITNESSED BY N. LEITNER
2. GARBAGE DISPOSAL UNITS NONE Elev.:: 48.5 10'min. dist. PERCOLATION RATE 2 MIN✓ INCH.
GRouNO WATER NOT ENCOUNTERED
3. LEACHING CAPACITY REQUIRED 330 G.P D. P
d Acrress cover set within,
4. SIDE AREA 188 SQ. FT., BOTTOM AREA ZE SQ. FT. °� 12' of finish grode :
5, TOTAL AREA PROPOSED 266 SQUARE FEET
SOIL LOG
6. PROPOSED LEACHING CAPACITY 549 G. PD. -"
COTUIT WATER DISTRICL u' N° I N° 2
7WATER SUPPLY `„i�.\ Inv. E I.= 38.70 Depth---- Soils Elev. Depth Soils Elev.
���// I���i , --__ _ 0 44. 0 45.5
8. PRECAST, REINFORCED CONCRETE UNITS 6" /�� %7%�'��: i�•
Finished �iiT��j� �� ,+
a', Grade 77,
- I Top of pit EI.=33.0 LOAM , LOAM ,
FOR H - 10 AND H-20 LOADING. ao � ���,
--Removable covers--•• I To of stone El. = 32.0
s=0.45' - Removable ' SUBSOIL SUBSOIL
NOTES: ?" s-0.02' cover �2�'I" s= O.C2 1.5 43. 1.5 4.0
V � I I Clean backf ill
• o _ __ 2'layer of�6'08"
c 0 0 - - L7 v °' ° ' t o 0 0 0 0 washed stone.
0 SEPTIC TANK cv o DIET cv ro o ° , „" °,a; a
I. NO CHANGE TO THIS SYSTEM SHALL BE MADE UNLESS G`a - o - o) BOX cv �� oa Medium Medium
v� 1000 GAL. °' M rn o7 y O O 00 O O eaO 'n�
APPROVED IN WRITING BY HOLMES AND MCGRATH INC. " ;; �a>8 6 Effective `o;'4 SAND SAN D
' i�b': N > :�, - 4••, N > r� .a o' Depth
2. A COPY OF THESE PLANS SHALL BE KEPT ON SITE r w
W W W � �� � �,.. o a , "� o0
Foundation °o
DURING CONSTRUCTION. Design b others c c c c c !�;+.a 4: PrecasH orrete o`o
g y LEACHING PIT ,0 3 I 32.5 12 335
3 • A COPY OF THESE PLANS SHALL BE FURNISHED TO �oo.r ;o t I. = 25.0 --- -
'�' " -� The contractor shallfurtner
' � � excavate to a depth of Oft.
CONTRACTOR INSTALLING THE SEWAGE DISPOSAL SYSTEM. �2ft.hf410IV2"!wcrhed
6ft.didm.--�.�.2ft..l 4, below the proposed bottom
4. HEAVY CONSTRUCTION EQUIPMENT SHALL NOT TRAVEL P R®FILE 2ftrecas stone in the pit and have the soil
all around precast'Ipitprovidingan inspected for suitability
effectivediameter`pfl loft. by the engineer.
OVER DISPOSAL SYSTEM DURING OR AFTER CONSTRUCTION. , _ El. = 22.0
Not to scale.
5. SEWAGE DISPOSAL SYSTEM SHALL BE CONSTRUCTED IN
ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRON-
MENTAL CODE.
6. BEFORE BACKFILLING THE SYSTEM, THE CONTRACTOR
SHALL NOTIFY HOLMES AND MCGRATH , INC. OR THE BOARD OF 12.2'
HEALTH AGENT TO INSPECT THE SYSTEM AS CONSTRUCTED.
i
' El, = 9.8 at Edge of Wetland
All outlet pipes from the distribution box shall
Outlet beset level for at least 2ft.from the box.
81 _ rill Knockouts t
j - INLET OUTLET N
All access Manhole covers for Septic Tank, a :p
�j O Distribution Box and/or Leaching Pits set
I ,,; - more than 12"below finished radeshall be "`'`� `�``4 °
INLET :• � ; I � ; �, OUTLET _, raised to within 12"of finished grade. Outlet
{�I 4 Knockouts
Metal frame & cover or concrete cover
over T s where required.
t_ _ _ _ _ __ __ J 2'_0" 2„ 10/29/87 Revised Profile Elevations Ijt
L-s Concrete block masonry DAT E DESCRIPTION Drown by Checked by
STEEL REINFORCED PRECAST CONCRETE = or o 4 ' : a R E V I S I 0 N S
„ „ �-`� Brick masonry Crete coven a n .Conc.ccover'.��a
''o IN T
I�3 Removable covers 3 '1 �+ [� 0DETAIL
*/2" INLET -+► /`� /~� Outlet ti e Outlet SHEET
-1-' 3 min.clearance re wired--' �� yy II 1 OUTLET-o• Kn k I �'
INLET --. 8" ;2"min.inlettooutet 6'n. 13 INLET`f nr 2 l oc outs .�. 21 in in Knockouts OF PROPOSED SEWAGE DISPOSAL SYSTEM
it
UTLET Q � PREPARED FOR
- _
10"min. Liquid level-�` 14" min. `;� ,° 6�rnin.---
: _
-�- min, - - - MIMI PROPERTIES
Eca , •:P a: °cti 'IV p E FOR LOT LOT 5A LEWIS POND ROAD
a� -- .._ -
-- o� o � TYPICAL DISTRIBUTION BOX COTUIT B A R N S TA B L. E MASS .
U fi SCALE: 1 = 1'-0" �
a Scale : As shown Date: NOV. 24, 1986
J r.
e 'r2„ L ,. hotmes and mcrath inc.
fi civil engineers and land surveyors
-�-- 8 -6 -�-I 4 - 14 1 - - 200main street
falmouth , ma. 02540 ;R ,-
TYPI CAL 1000 GALL „ SEPTIC TANK Drawn By R.S1,J . Checked By ,g
SCALE: 3/8 = I -0
JOB N2 86320 DWG.N2 41- 2-14 SHEET 2 OF 2