HomeMy WebLinkAbout0655 SAMPSONS MILL ROAD - Health ,Sa.rnpscn s m i t 1 2-
CA)bI
l
i
I�
SMEAD
No.2-1 S3LY
UPC 12934
smud eon • made in USA
i
SUSTAINABLE
MOM
Ca�IM�AR�►�ourea0
wrr Ar+ar�.�a
I
Q� TOWN OF BARNSTABLE
S�w.pseys
,
LOCATION J_o7- 125 to t o LGR& SEWAGE
VILLAGE w T y ASSESSOR'S MAP & LOT 3`,7 Tr-,
INSTALLER'S NAME & PHONE NO. 6u-t)S.
SEPTIC TANK CAPACITY tiS o
LEACHING FACILITY:(type) T-S (size) c-0
NO. OF BEDROOMS `t' PRIVATE WELL OR PUBLIC WATER
BUILDER O OWNER �L 6 14 ® I
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No t/
1
. Z
3�'
aSESSORS MAP NO:
C� 12 3�'ARCEL NO.: g_a •7 � ��
No. ------•- Fps............._.............
TF4 COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
...........TOWN.-------_---.....OF.....B.ARNS-' ABLE..---------(-Co-t.ud-t.)--.----_-----
, ppliration for Disposal Works Toustrurtion Frrutit
Application is hereby made for a-Permit to Construct a ) or Repair ( ) an Individual Sewage Disposal
System at:
...... ampaQx l.a...Mill...Raced...................................... ......J,Q.T...# 1.3.,...�Dtuit r$ar�Is.ta]a1•e..............
Location-Address or Lot No.
--...K.Q.Rat.aat i.a...&....C_axal._.El-i a di...-------•---------- ....21.._We s_t p-Q-x t-- X.....BA.
fer ��vS. �a West Yarmouth Ma.,
a dress
Re..........11 i. ............................................................................•-•--••-----•-- ............................................ ..................--......,
Installer Address
Pal +
UType of Building Size Lot_z_�.a.O.Q.Q...._....Sq. feet
Dwelling—No. of Bedrooms_._..SOUR...........................Expansion Attic ( ) Garbage Gander ( )
`4 Other—T e of Building No. of persons............................ Showers — Cafeteria
a Other fixtures ................................. .
w Design Flow..............5
............................. per person per day. Total daily flow........ 4 0...._................_._.__.gallons.
04 Septic Tank—Liquid capacityl.5 0 0_gallons Length.l 0._0_'_ Width..5.,..Q...... Diameter____.?Q(X_ Depth_5._5!___-
Disposal Trench—No..................... Width....................
Total Length.................... Total leaching area_.-____........._.__sq. ft.
Seepage Pit No-------2 Diameter_1O_,-5-1
..... Depth below inlet.k.,.Q........... Total leaching area..S_7.0........sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by...... lines....LECGrath•.....Inc_,_____:.__ Date__J.ULY_}_._24-,...-1.9_8.6
aTest Pit No. 1..... .........minutes per inch Depth of Test Pit..l2-'.......... Depth to ground water---DrY____-._____-
(X Test Pit No. 2................minutes per inch Depth of Test Pit.-12........
-_--. Depth to ground water u...........__..
Description of
c.� Soil......._..2To of mediumsand
_ ._ l.....
x or ed e .--
............. •• ••••--•. ••----•• ••••-•-• ---••...................................................
,••-n _y�fl_t_Qx_,rust_--
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 T T E 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 t board of iealth.
Signed• --•- --•................................. '��y � ••---
Application Approved BY I _ �G
•---------•••..._....
Date
Application Disapproved for the following reasons----------------•-•---------••-------.......------------•------------------------•---•--•--•......•--••---------
........•-••••-••-••--••-----•-••-•••••••..... ....---••••-•--••••••••••• --------------•--•••......-•-••-•--•---•-- ------------------------------•----------------------...--•---
Date
3
Permit No.._U-IG1 11 - Issued.......................................................
Date
No......................... FEs............._............
_
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
--------TOWN- --------..........OF.....BARN-S-TA-B-:.E-....-------(-Go-tu: t-)------•---------
Appliratiou for Disposal Works (fonutrurtion thrmit
Application is hereby made for a Permit to� Construct ) or Repair ( ) an Individual Sewage Disposal
System at:
Sampson-1-6••gi1:1---R-o-ad--------------------------------------- ......LQ'T• twb•1--
Location-Address or Loto.
&...Car 94---B 1 a a d i---------------------- ....21__._We-s t-par-t----Dx.-i
Owner Address
a ....R40•id---F,1-I4 s.................-•------------------------------------------•--- .....Kest---Y-armaut11,...NIa.............................................
Installer Address
Type of Building Size Lot.2-1.gJlIlD-__+___._Sq. feet
�-, Dwelling—No. of Bedrooms.....FGUR......_....................Expansion Attic ( ) Garbage Gander ( )
'4 Other—T e of Building . No.- of persons....................... Showers — Cafeteria
P4 Other fixtures -----------•-••--•------•-••---• .
W Design Flow..............5.5......------.._._...._.._gallons per person per day. Total daily flow........ `_.:___..__.___......gallons.
WSeptic Tank—Liquid capacityl_S-GD-gallons Lerigtha0_0.1. Width._5_41.... Diameter------X.X__ Depth.5_5.......
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area---------------------sq. ft.
Seepage Pit No......2------------- Diameter..1.0-_5-l..... Depth below inlet.6•.-0-!......... Total leaching area.S.7-I1........sq. ft.
Z Other Distribution box ( ) Dosing tank.( )
{Percolation Test Results Performed by._-H0_1jie's...F+._:sic.Gx th,-••-Inz......_.... Date.J.u1y-,-...24,---1.0$6
Test Pit No. 1.....2.........minutes per inch Depth of Test Pit..l_2.!........... Depth to ground water.-.Dry
............._..
Gr, Test Pit No. 2.....2........_minutes per inch Depth of Test Pit..l2.f........... Depth to ground wate'r�.r�'................
a'
--------••.......:... .:.......... .........................
D Description of Soil..........2.`._._op...uLd.__.Subs-Mop 1.;:..10-'-_____-of_..c e-cli11m---s_and,...nja.._siit;,t_er.,_rust....
UQ Y...l e.t�ge• _ -----------------•------- ----
W __ -1
Nature of Repairs or Alterations—Answer when applicable_____________________________•___.---.-..____-__--_--_-__;____.- ....................._..
------
_ __ _ 1
agrees to install the aforedes...... ...............................................................
Agreement:
The undersigned
g cribed Individual Sewage Disposal System in accordance with
the provisions of TIT 1.." 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 '---- ,
� APPApplication Approved B .........................................................�\ .. ----�`� �� 1-•I i CDate
� PP Y -•--.... Date
Application Disapproved for the following reasons:: -----------------•-•---------•---•------•------------------------•-----------......--------•----'-
---------•-----------•-----------------•---------------------•--••-----•---------------••-•-•--------•----•---------•--------•---------•----•-•-...-------•--•-----•----------•--------•-----•-•--•-----
Date
PermitNo.............................................•••....... Issued.................. ...-----..._---•--••-•••-...---
Dattee .
THEtCOMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF.....................................................................................
(IntifiraIr of Tompliuna
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ()�) or Repaired ( }
by.. ='!.t?= .3....... ...............................................•.............................•......................................
Installer (�
at. .....................................1 ✓H
------ . •--- --••-•---
has been installed in accordance with the provisions of Ti TIE 5 of The State Sanitary Code as described.in the
application for Disposal Works Construction Permit No..... :....... dated-----I!---L A-�_�_�'�_�................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................�..�. -_ . ................................... Inspector........------...... _, ...........................................
L.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
./.....oF.....&�. V. fit._:'.......................,. Ir .. FEE.......... ............
Uiuposal Works Tono#r ion rrutit
Permission is hereby granted.........................!ft........... `-).............fr 1-t
to Construct (i ) or Repair ( ) an Individual Sewage Disposal System
, ( + l
T { ... .. - c---- !J .s_ ..............................................t �.
at 0...........................................................: r, -•---••:"•--•-•--••---'...------•-r--_..•--•- ;--------�-•-----^-•--..._.
Street v 1 2 ? I,
as shown on the application for Disposal Works Construction Permit No..................... Dated............ .-1-_-.......-:-�........
g •-----------------•---•-
to , l
1� _ -----•..................•....... jBoardtoi Health
DATE------------ -----------• (v/
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
FINISHED FLOOR= sI ' TYPICAL SYSTEM PROFILE
REGISTEIVED ENGINEERS & SURVEYORS FDNFINISH GRADE= 49± SURFACE DRAINAGE >2 %
5 0101
FINISH GRADE OVER TANK= 46 ± FI
NISH t
8 , . GRADE OVER PIT:- 44 —
DESIGN DATA: „
URED ;,•:+.-.......c 7 ..
OWNER KONSTANTIN & CAROL ANN ELIADI _ '` ''r• _ __ _
LOCATION: BARNSTABLE ,(VILLAGE OF COTUIT ) MASS r'+ 43.58 PVC OR o
LOT N0. LOT 13 �C. 1 . TEES .40
DATE: SEPT. 27, 19 86 B SMUT '' :'
4DISPOSALA FLR 42.50 -';� (5__00GAL. 42.00 1 . , . . • .
BEDROOMS' g AUTOMATIC WASHER YES REINFORCED DIST. BOX
• • . 1 +
'' CON CRET E
DATEJULY 24, 1986 BY HOLM:ES a MC GCATH,INC. • TO BE INSTALLED ON ' ' ' ' ' ' ' • '
OF TEST
PERCOLATION RATE MINUTES PER INCH: 10"x 20' <<< a"_` n9 i "' eta:,•, 'r,'. " •• b •�a. S LE BASE • 1 . 1 • . "�
�'. •• A LEVEL TAB •
LEACHING AREA REQUIRED: '; TANK SIDE: 1500 FOOTING04
SEPTIC TANK 1 "
NOTES: -r..• USE TWO LEACHING PITS PER REGULATION
T0 BE INSTALLED ON A „
* f- SOIL TEST AND PERCOLATION WITNESSED BY NANCY LEITNER LEVEL STABLE BASE
( PERMIT It 5976 ) .
NOT TO SCALE w • / +
LEACHING PIT
BASE TO BE LEVEL
BOTTOM PIT 36 .00
( 2 REQ,D) .
BRICK & MORTAR COURSES AS
REQUIRED TO BRING COVER TO GRADE
(OVER 2000 G.P. D.)
24"C.1. MANHOLE COVER 8c �/q t1 TO 1I2� WASHED CRUSHED
FRAME— OVER 2000 G.P.D. STONE ALL AROUND FREE OF
'O IRONS, FINES AND DUST IN PLACE
OO FOR FIN. GRADE I FT. MIN
SEE SYSTEM PROFILE COVE
I 4 ( •' I N
4.. _N f'-r of /8 4o /2
ASSUMED ELEVATION ` �� 1� — " " — -- '� WASHED STONE
AT 50.00• .� ` �L --�-- ,�
DISC IN Z4 - 8— — — — — —
" , 'e ' ~ FOR IN V. ELEV. SEE
\ INLET , O SYSTEM PROFILE"
LINE 6
: • '' a o OPENINGS W/4-1/8"
OU TER DIA. Q 1-3/4"•
® / 7 e +3 0 INSIDE DIA. ' •
�'OS 6' TOTAL • 1 .
3 I
Iretis j e a o a AREA
b \iD�/ \ • •, e' i.I' v o la 01 285 i 0 • • '
�4Z- 4e`� �� as o o o o e I PIT + a a
ev
I Ira \ - . 1 d Qe a 0 0 6
0 -• l
/ 1 q - _
21 6 ' 6 " DIA . 2'
SO 1 ' 10 6u EFFECTIVE DIA.
I q 3sx3 / / l •O '� LEACHING PIT - SECTION 2 RE 'D.
lb NO SCALE Q
/ NOTE_ DO NOT RUN HEAVY EQUIPMENT OVER SYSTEM
f l 3Z cx l �1 � � LEACHING PIT NOTES
/50 Q
PR J /0 l I / I 1 • CONC. TO BE 4000 P.S.I. (V .20 DAYS.� f
�✓ \P �O G4 / -2. R E IN F. W 6" 3t 6" 46 6 G A . W.W. M.
A'Q0o ` TANK nu 20fi J , 3• 2' AND 4• SECTIONS ARE AVAILABLE FOR
40 OSF d ' 20 OTHER DEPTH .RE UIREMENTS
44 h e0k ° O NOTE t
' �� / / EXCAVATE TO ELEV. 32 —
/ O OR LOWER AS
O• 2 ° '� -! ��FFA / A,' REQUIRED TO REMOVE ALL LOAM AND CLAY CONTAINING
�N O, MATERIAL BENEATH PIT. REPLACE EXCAVATED MATERIAL
WITH CLEAN,CLAY FREE GRAVEL M ECHANICA LLY
c#) PROPOSED LEACH PIT 21' ' 2 / / COMPACTED IN PPLACC .
(2REQ'D) _ # \\ SIDE AREA = 198 S.F&2.5 GAL/S.F. 495 GALS
1 ./ J
t)EEp SOIL EST �� / / BOTTOM AREA= 87 S.F. GAL,S.F. 87 GALS
TOTAL AREA = S.F. TOTAL
._.285 S 5 82_ GALS
ABOVE CALCULATIONS ARE PER UNIT PIT. TWO PITS ARE REQUIRED.
\\ / THEREFORE GRAND TOTALS ARE= AREA• 570 S.F. — TOTAL GALS= 1164 GAL.
E /
az �� 4S >< 20 \ Z. / /
� Q DESIGN DATA :
oO FESERVF' AREA `
\ \ \ \ / O NO. OF BEDROOMS 4
a NO -DISPOSAL
EST TOTAL DAILY EFFLUENT 440 GALS.
\ SEPrIC TANK GROUND WATER ELEV.500 GAL.
ELEV. N /A.
xs ' t
N - 27 -00 .00
EL.= 44
61.5r Frr..Il?. h,_}f 1
. 2.0 TOP 8c SUB
?
SCALE • 1 = 20 �
cl
i PLUGGED OUTLET FOR MEDIUM
LEGE
FUTURE EXPANSION � ('9 ND
SAND
INLET —• ; --►
OUTLET + 30.0• EXIST. GROUND ELEV. O
50.0, FINISH GROUND ELEV.—"UNDERLINED" N ��-� BOT. PERC.HOL.E
4
�7.50 PIPE INVERT. ELEV. DOWN 60u
, ,
ACCESS & CLEANOUT MANHOLE CLEANOUT MANHOLE
PLAN VIEW ��
T.P. ( TEST PIT LOCATION 1 '
NO WATER ,
�
INLET -- �' 2'MIN✓ 112"MIN. 7�2 OUTLET / o o SEPTIC TANK `rc RUST OR LEDGE,
1 " SEE NOTE 4
0 C l
.: 24"MIN. INLET
/ ❑ DISTRIBUTION BOX o `
2"MIN 0 -� OUT
SET ON LEVEL
Q r TANK MUST BE -
. 6.. 4 " C. I .OR PVC PIPE (SCH 40)
';� In �•'
UNDISTURBED
',; SASE SECTIONAL ELEVATION OF DISTRIBUTION BOX G= GAS DUCT LINE - ��', DRY EL.=32
SOIL LOG
DESIGN NOTES: Ts TELEPHONE DUCT LINE
;;'.�••�'.o;••:p••-';a;-Z!•a• • ,•..rQ-.;,.,-';• I.DO NOT CONSTRUCT BOXES LARGER THAN NECESSARY
2-INVERTS OF ALL OUTLETS SHOULD BE LEVEL
3. INVERT OF INLET SHOULD BE 2"ABOVE INVERT OF OUTLET Es ELECTRIC DUCT LINE
SECTIONAL ELEVATION OF SEPTIC TANK 4.SANITARY TEE TO BE PROVIDED ON INLET IF LARGE FLOW PUMP OR
1500 GALLON TANK t0' 0" x 5'0" x 5' 5" SIPHON IS USED. LEG OF TEE TO BE 1" ABOVE LIQUID LEVEL., MIN.CODE DISTANCE
1