HomeMy WebLinkAbout0024 OLD SHORE ROAD - Health o`� ► -cx�t - co-fLu�-
i:.WN OF BARNSTABLB `
cccA N � �Id� Shy Rd SE AGE 88 6�
YILI,AGF co JTv 1 ASSESSOR'S MAP & LOT ±/�
1INSTALLER'S NAME & PHONE NO. rrs '' yr
SEPTIC TANK CAPACITY 500
gP ar/0
LEACHING FACILITY:(type) 4,c Rc�i i -- (size) G'
NO.OF BEDROOMS ,3 PRIVATE WELL OR PUBLIC WATER/8h-c
BUILDER OR OWNER /`�,OR �,T Pof luL h' ._
DATE PERMIT ISSUED: -�A
DATE COUP LIANCE ISStfED:
VARIANCE GRANTED- Yen Ila
L
1.
j
�3
FN p
J
OD
No-q..Q.:_r 91 w Fas.......75-.--
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
Town......................OF..............Barns table
-- -------------------------------------------------------------
ApplirFation for UiiliniiFal Workii Tnnitrnrtiun "rrntit
Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal
System at:
24 Old Shore Road Assessor 's Ma 35 - Lot -1_ p . _ _
Horst Dorner Location-Address or Lot No.
Owner Address
W
Installer Address
dType of Building Size Lot......Q A.9...._Ag._ tx
Dwelling—No. of Bedrooms................_...........................Expansion Attic ( ) Garbage Grinder ( )
Other—Type T e of Building No. of persons............................ Showers
� YP g --------•-----------------•- P ( ) — Cafeteria ( )
dOther fixtures ----------------------------------------------------------------------------------------------------------------------------------------•--------.....
W Design Flow... Total daily flow...............33Q....................gallons.
WSeptic Tank—Liquid capacityl_500_gallons Length....1.1....... Width....6........ Diameter................ Depth...6.........lift
x Disposal Trench—No. .................... Width............ Total Length-_............'.... Total leaching area....................sq. ft.
Seepage Pit No......1-....-...... Diameter.-_.....� �....... Depth below inlet.__......6....._._ Total leaching area......267...sq. ft.
Z Other Distribution box ( X) Dosing tank ( )
Percolation Test Results Performed by--......M........___.Dortoya.............................. Date.......9l_.z7/g .............
Test Pit No. 1.....2.........minutes per inch Depth of Test Pit..........1Q---- Depth to ground water..-_....N/A.......
LZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a ---•-------------------------------•---------------•--....---------.....-•----------••-••---...••---.........................................................
0 Description of soil.......1......Top_and..subsoil} medium__- coarse_ sand
x
w
U Nature of Repairs or Alterations—Answer when applicable_....Upgrade to Title V s X s t e m
-------------------------------•---------•--------•-------•-•---------------------•----------......----•-------------------------------------------------------........----------------•-..............
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System.in accordance with
the provisions of iITLL 5 of the State Sanitary Code The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Signed . ........ --•------------•- ................................
Application Approved By............. Date
�""'-��13............................. Date
Application Disapproved for the following reasons---------------•--•--------------------------•-------•-----------------------•---------------•--•-----•••.-•----
--------------------••--••-•-•-•-••••---......----------......-----------••••-------•--•---•----••------•--------------•--••---------------------------------------------------------------•---••••••---
Date
Permit No........... Co
............. ...................... Issued........................................................
Date
QD
No.. :..kf r' F$s_...... ...._.�
I. THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
_..-..Town.......................OF..............Barns table
.......
Appliration for Disposal Works Tons#.rnriion Frrmi#
Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal
System at:
...24 _Old S11ore- Road .......... .......... •--.... Assessor's...Flat> 35. Lot---71'�1•---•-•--
Horst Gorner-Location-Address or Lot No.
......................__...._............. ................................................. . _...........------......•----.............------..._.........----...............-......._-•---
Owner Address
W
- -- ------------------------------•-------------............................................----•----
Installer Address
d Type of Building Size Lot.....0.9- AC.gr�c c
Dwelling—No. of Bedrooms..........................................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons .................... Showers
a YP g ----•---•-••-•------------•- P ( ) — Cafeteria ( )
dOther fixtures ------------------------------------------------------...---------......------------..........------------.....................----••--...---------•--
W Design Flow--- Total daily flow...............330---................gallons. it
Septic Tank—Liquid capacity l...QQgallons Length....11...... Width....6.1....... Diameter................ Depth.........`t 1
W Disposal Trench—No..................... Width.......i. .._._._.. Total Length.................. Total leaching area....................sq. ft.
3 Seepage Pit No......1._.:........ Diameter........1Q...... Depth below inlet.......... ........ Total leaching area......267...sq. ft.
Z Other Distribution box .( X) Dosing tank ( )
aPercolation Test Results Performed by.........1 �.. J�,___Dongyan............................ Date.......91ZZIAA.............
Test Pit No. I.....2........minutes per inch Depth of Test Pit...........1.0.... Depth to ground water.........Jb/A........
LN Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground
water.----....................
a ........o Z - - . ------------_--..-----
escrptono Soil....... .TAP---P�d..gMh4.9i;...med um__�-___coarse-._sand V --------------------------------------------------
•---------------------------
.--------------------------------------
•--------------
------------
-------------
•------
......--------•----------------..
W
•-------- ................. -
U Nature of Repairs or Alterations—Answer when applicable.....UPgrade___t.......................title _ByStem___________________
------------------------------------------------------------------------•--..............------....•--------•-•--------------------•--..............----------...._.....-----------.....................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLiv 5 of the State Sanitary Code The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Signed.... �
� Date
Application Approved BY .------•---- -........................... --•- Date
Application Disapproved for the following reasons:..........................................................................................................___
...................•------•-----.......------•--•----.....--------............--------...........•........---•----•--...---------•--------------.........------------....------.....-------•---........_
Date
PermitNo..-•---•-•-•----.......•G----------==----------------- Issued........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...........re:G,!�...........OF.......r.>- ........................................
Trr#if iratr of womplinurr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (-
by----•--------------------------•----...----•---..-..--•--------.__----------- -.----------- ----•- ----•----.............................................................. ._.....
--- ...
Installer—
at 6..1: ....:s-T.�.....--..1. ........ �
has been installed in accordance with the provisions of TIT G 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No.._..._ C7..:.1-�r�.��> ....... dated..............r.................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE....................... ............................ Inspector........ - .................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
No... ........ _ ...........................................OF...................................... 7
Fu......
Disposal Marks Tono#.ror#ion frrmii
Permission is hereby granted.................................................
to Construct ( ) or Repair ( )4 an Indivirlual.Sewage spo System
at No...........a" ..t. .... .. i ' ..... ..: .� ......---•-
Street g�- ��
as shown on the application for Disposal Works Construction Permit No..........: .... Dated..........................................
........................................... -► -He . ........---....-----.................._
�' B rd of alth
DATE.................... -- -. ..:�..1--......--:...........
FORM 1255 A. M. SULKIN, INC., BOSTON
SOIL TEST PIT DATA: MANHOLE COVER TO rIMSH GRADE 15-1/2" NO. OF OUTLETS: 3 isk
II, NOTZSr MANHOLE COVER TO GRADE PROPOSED GRADE
GROUND#xAT1tJe � •�� ��t �� C0 T U I T DATE pE.St:ReI�T1 �!
IXDICATE'S OdStRVaD 0
IXD I0 t2•tdlN. !. DISTRIBUTION B02'Tb WITHSTAND H-!0 2 LAYER OF
PI COVER r-----) LOADING UNLESS UNDER PAVEMENT. DRIVES 4 LAYER ONE
.� OR TRAVELED WAYS WHEREBY H-20 LOADING
TEST' r �,•-1. - -.-- - -- - - -- ---- -- - 'j - ' . r :.•... i « ��-� ) ;fIALL APPLY PEAS
TONE
! 4 INLET 15=I/
2 P1
12 �-L 3. PROVIDE INLET rEE AS SHOWN WHERE �
TP No. i TP No. 2 _ �i EqJ SLOPE OF INLET PIPE EXCEEDS 0.08 FTlrr �o�a °�o INLET
GRD.EL 28.0 CRDEL 14.0 i _ H 0 I_6 3 I,oT .
- { OR IN A PUMIED Sl'STE�1[. (;GW.EL N/A GWEL N/A RltT•7tT�L 6' 5_I PLAN VIE�I 11 J. FIRST TWO FEET OF PIPE OUT OF rH6� 3/4- I V2• DIS'TRIBUTION BOY TO dJC L.dID LEVEL0 ItEPM TANIK - 5 ° DILET 4•-0.OAKOVTt-E ) I. RECOMMENDED XAMlFAC7VRdlt • �
f500 GAL. 4- 9 �g TEE 6-1 WASHED
TOP& SUBSOIL + TOP&SUBSOIL LJOUID DEP H ROTONDO OR APPROVED EQUAL STONE 3" 6' � 0
o `
7.0=1 13.0'± -i E/R4•TO H/Z'� 1-3/4" ABLE COVER l
F...LotvS
2 MEDIUM- 2 MEDIUM- .41 r ►.: 8.'. ::•�; �:�.': ,;R;�+ .;� :� OIJTLETI:�D
qp BOTTOM ON LEVEL STABLE BASE Q,r 6" 2 3- ; C oTU'T
00 P'R�
• • p • :. 4• .•• . .•. o1
$ COARSE 3 COARSE \..-24"CXJL MANHOLE COV'EA r• 4"INLET (T WATERTIGHT) ' q
`yam`' 0 SCjj0fI sIT
4 SAND 4 SAND 4.OUTLET 2' �' 6' 2'
. � Reterences:
PLAN V1 CROSS SECTKkN Y1E1fI I_2" ( � 10,
5 5 XOrt� 7-1/2 2 ii'1/2" g'p UL SUBDIVISION PLAN OF LANDIN
1. SEPTIC TAN[ TO lFrrRSTAND H-10 LOADING !. INLET AND OUTLET TEES T'O BE CAST IRON, . �_ � L_ - INLET CO T U I T, BARNSTABLE, MASS.
6 6 UNLESS UNDER PAVEMENT. DRIVES OR TRAVELED SCHEDULE 40 PVC OR CAST-IN-PLACE CONCRETE. _
HAYS. WHERE NY H-20 LOADING SHALL APPLY. TEES Tb BE CENTERED UNDER MANHOLE COVER. 2��1:1 • '�� L STABLE ° �•4"I BY NELSON B E A R S E- R I C H A R D LAW -
7 7 7 0 ± 2. ALL PIPE CONNECTIONS AND CONCRETE CON- 4. RECOMMENDED MANUFACTURER - ROTONDO OR BASE y S U R V E Y E Y O R S. FEB. 18, 1964
BOTTOM OF STXUCT70N TO BE WATERTIGHT. APPROVED EQUAL H-20 CROSS SECTK)N VIEW 1_ 2i/20 SM•TTo16 11 HOLE STONE ASSESSORS MAP 35 LOT 71-1
TOWN OF BARNSTABLE REDEF-
NO WATER SEPTIC TANK DETAIL NO. OF GALLONS: 1500 DISTRIBUTION BOX DETAIL LEACHING PIT DETAIL INITION PLAN OF OLD SHORE-RD.
ENCOUNTERE NOT TO SCALE BOOK 281 PAGE 51. SEPT. 27, 1972
LOWS MAP 4
BOTTOM HOLE NOT TQ SCALE NOT TO SCALE SCALE 1-=2093 N
10 - 18.0-+10
NO WATER NOTES LEGEND DESIGN ANALYSIS
11. ENCOUNTERED 11
12 12- 1I) PROPERTY LINES SHOWN HEREON WERE CONCRETE BOUND/DRILL HOLE CB/DH
COMPILED FROM A PLAN RECORDED AT _ -x x -•-x --x
• POST AND RAIL 'FENCE
THE BARNSTABLE REGISTRY OF DEEDS -_ pESIGNFLO�': ,I10 GPD/ BEDROOM
DATA' 9/27/88 DATE: 9/27/88 IN BOOK 185 PAGE 151 AND DO NOT POST AND WIRE FENCE 3BDRM X I10 GPD/BDRM 330 GPD
REPRESENT AN ACTUAL SURVEY ON NO PARKING SIGN Q ' =
TEST Sr-'M.J.DONOVAN TAT Sr-M.J.DON0VAN THE GROUND. EXISTING CONTOURS 20 ---- __
WATER GATE W.G.
Projed Title:
W17NJrSSJ:Dsr. WTNESSED6T.- CONCRETE GUARD POST � _ SYSTEM PROFILE
G.DUNNING G. DUNNING 2) Et,EVAT10NS ARE BASED ON N.G.V.D.
N4S .
SEPTIC TANK REQUIREMENTS.- W/ GARBAGE GRINDER
rERc RITE rERc RATE
EXIST. MANHOLE AND COVER BROUGHT FINISH GRADE TO HAVE 330 X 200% = 660
2 3) 100 YEAR FLOOD ELEV. = 12.0� AS DWELLING TO FINISHED GRADE MIN. 2% SLOPE OVER
�/•X�I1� MIX�I1�8 MAPPED BY F E.M.A. ZONE A13 LEACHING FACILITY-1
FINISH GRADE USE 15000AL.
LOT 71 i
FIRST TWO FEET TO
- TP N� TP No. I B E LAID LEVEL
GRD.EL GRD.EL 26.80 26.55 26.39 a
2"LAYER OF PEASTONE OLD
GfY.EL GW.EL 27.0 1500 GAL_. 26.22 26.04 T
3/4"-1-1/2"WASHED STONE
0 0 H -20 DISTRIBUTION 6 LEACHING FACILITY REQUIREMENTS.
SEPTIC TANK BOX v (TO BE INSTALLED ON A i. 330 GPD X 150% = 495 GPD
-
SHORE
,�°
i J LEVEL, STABLE BASE BOTTOM EL= 20.04 6' DEEP, 6'DIA. PIT W/2' STONE
2 2
3 3 LEACHING PIT SIDE AREA = 188.5 SF (2.5 GPD/SF)= 471 _ ROAD
BOTTOM AREA= 78.5 SF ( 1.0 GPD/SF)= 78.5
4 4
5 5 549.5 COTUI
� 6
7 7 381 LEACHING FACILITY PROVIDED:
11 8 - 40 36 �
1-6' DIA, 6' DEEP PIT W/�2' STONE _
9 14 12 8 CAPACITY PROVIDED 549 GPD
32 22 20 18 16 I 6 I 34 REQUIRED 495 GPD
10 10 CB/ H 30 28 26 24 , 10 l
CAPACITY
l � I
CB /D4"
1
12- 12 l - ado - - f NOTES
' I
STONE SJ EPS-1' PREPARED FOR
oa q I
DATE: DATL: / It �/� NCO CR TIE �ALK / I UNLESS OTHERWISE NOTED, ALL CONSTRUC-
TZ1T 87. TUT dT: 6' DIA. LEACH PIT 0 6 TION METHODS AND MATERIALS SHALL CON_ H 0 R S T DO R N E R
W/2' STONe 1 ) FORM TO TITLE Y OF THE STATE ENYIRON
\ / J MENTAL CODE AND ANY APPLICABLE LOCAL
`
WITxEssED dt: WITNESSEDArr. 10 PINE
7: � I LOT 7 i -
I RULES AND REGULATIONS.
_ 1 I ID W 2 GROUT TO BE USED AT ALL POINTS WHERE
•� PIPES ENTER OR LEAVE ALL CONCRETE
rElec d.ATE. rERG Jt.ITZ'.• / / � � a � o P s
M STRUCTURES IN ORDER TO PROVIDE A WATER-
N A
MrXJrl�lr Mrx,�INCH � M o' \ I � TIGHT SEAL �
N.
��1 �
3 ALL SHIPLAP !DINTS IN SEPTIC TANK SHALL t
qr
D-BOX 1 r5
40 I 10' BE SEALED WITH NEOPRENE CASKETS OR Sri`A x r
� /
W ASPHALT CEMENT TO PROVIDE A WATERTIGHT �
INVERT ELEVATIONS MIN v SEAL. � ,F
/ ( E S. - I 2� , I 4 PRECAST CONCRETE SEPTIC TANK, DISTRIBU-
500 GAL.
/ TION BOX. AND LEACHING FACILITY TO WITH
-
4- ` /
_ 4' INVERT AT BUILDING 27.0 TANK I , � STAND H-10 LOADING UNLESS UNDER PAVE-
1 , �- MENT. DRIVES OR TRAVELLED WAYS WHEREIN
4- INVERT AT SEPTIC TANK (ire) 26.80 � ` H-20 LOADING SHALL APPLY.
r / / A.M. Wilson
Assocfates
4 A SEPTIC TANK out 26.55 ] I S ALL PIPES IN THE SYSTEM SHALL BE SCHED-
INVERT T S (out) / ULE t0 ORE UAL Inc.
l � Q
I f
4 INVERT AT DIET. BOX (ere) 26.39
I I AF / ,� / 6 WASHED CRUSHED STONE SHALL BE FREE OF
4' INVERT AT DIST. BOX (out) 26.22 f STORY �� I 1 / l . ALL DIRT. DUST AND FINES. Main Street
WOOD FR. „�`010 LUST 911
7 AT ALL POINTS OF INTERSECTION OF WATER
/12 M PLE••-� � o ( O Osternfle/MA 02655
INVERTS AT LEACHING FACILITY, / 5 MAPL 1 „ PINE / I O �O LINES AND SEWER LINES, BOTH PIPES SHALL 617-428-1450
111 CONC PAD � ro\'\ A, ; BE CONSTRUCTED OF CLASS ISO PRESSURE
4 INYERT AT BEGINNING OF " LIGHT POST / �o PIPE AND ARE TO BE PRESSURE TESTED TO
LEACHING FACILITY 26.04 1 ASSURE WATERTIGHTNESS. Drdwirg Title:
38 � � � 2" LOC ST MAPLE PIPE Q',` ,, `
4' INVERT AT END OF 8 SEPTIC TANK . DISTRIBUTION BOY ETC.
LEACHING FACILITY l ` ' SHALL BE MANUFACTURED BY ROTUNDO OR
/ / \ ` YMANUFACTURER.„ �� / �.. AN EQUIVALENT
ELEVATION AT BOTTOM OF STQ�1E WALL L4 MEMLOC � f�j'�
20. 04 / 2. " APLE „ / o l O SUBSURFACE
LEACHING FACILITY �APLE � 9 EXCAVATE ALL UNSUITABLE MATERIAL IN
J / / TP 2� * p LEACHING AREA AND BACICFILL WITH CLEAN
- 18 MAPLE
NOT 36 / STO E STEP / / / � Q• GRAVEL OR COARSE SAND.
SEWAGE
OBSERVEDELEVATION ND WATER / o I 10 HEAVY EQUIPMENT SHALL NOT BE ALLOWED
ENCOUNTERED / !/ �
TO OPERATE OVER THE LIMITS OF THE
/ �TP I SEWAGE DISPOSAL SYSTEMS DURING THE DISPOSAL DESIGN COURSE OF CONSTRUCTION OF THE SYSTEMS.
II NO FIELD MODIFICATIONS TO THE SEWAGE
l DISPOSAL SYSTEM SHALL BE MADE WITHOUT
/ / �? >3 2' W _ PRIOR WRITTEN APPROVAL OF-THE ENGINEER U P G A D E
/ _
0- 3
AND THE LOCAL BOARD OF HEALTH.
3 4 _ / / . S 7 Y D. "-' E 6
/ W.G S H R u�M _ ... 0- II THIS SYSTEM SHALL BE INSPECTED AS RE-
W.G r ONC.GUARD POS VE AT „�.� U.P. 8 QUIRED BY SECTION 2.10 O&TITLE Y. _
--f / _ -
• / 7 88 I �/ p�`v€ O L� OG-- - W ZONE A 13 �ns�t �i� �� ,' ✓
Ij A CERTIFICATE OF COMPLIANCE AS RE-
/ "oF N . \ QUIRED BY SECTION 2.d OF TITLE Y MUST BE /1 ;
2 r EDGE 0' OBTAINED BY THE CONTRACTOR UPON COM- 1I i
BUILT' PLAN IS REQUIRED DUE TO CONTRAC-
32 �I CB/DH S 7g-5 10 PLETION OF THE ABOVE WORK. IF AN 'AS
/ o I U.P PLAN VIEW TOR DEVIATING FROM THESE PLANS. WORK �: ' AS NOTED
30 f / - FOR SUCH 'AS BUILT' PLANS SHALL BE
`' - W.G. 14 12 I" = 2 0' COMPENSATED BY THE CONTRACTOR p � ` FEET
28 16 14 THIS SYSTEM IS DESIGNED FOR A
.H �y GARBAGE DISPOSAL UNIT
2 6 _,�--'" 0 20 18 Date: 1 I /17/.8 8 Dwg No:
\ 15 ALL ELEVATIONS ARE BASED ON •' N. G.V.D. n: M J D
U.P DATUM.
22 JV8
Jch No: 2.0 371. 0 r I