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HomeMy WebLinkAbout0044 ICE VALLEY ROAD - Health - cevalley- 0tcoaa, �{ stervlle :1 gui A= 096- 004—.005 TOWN OF BARNSTABLE �y LOCATION �r,-r �- Tc e J,4(l�Y l�-� SEWAGE # [ p .' ILI:AGE ®Sf'�n.�;l�a ASSESSOR'S MAP & LOT�7�. � INSTALLER'S NAME & PHONE NO. 2 . J . Zvi Laccwk SEPTIC TANK CAPACITY , EACHING.FACILITY:(type) f (size) X /avp NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER .BUILDER OR OWNER DATE PERMIT,ISSUED: 3/ - ?3 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No [�^ r . -c 7o' A-C 4, 3 ` 3 1 6 .4 , fir.. Fimic THE COMMONWEALTH OF MASSACHUSETTS �D / BOARD OF HEALTH 4 ?............................OF......-BarrLstal?le..........--------------------.............................. 9� pfiration Af ar Di-4prioal lark, Tonstrnr#inn anti# l� b Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ..........•_-Ice Ualley Roac3-------------------------------------------------------- -Assessors NIa .96•..IAt 4-5 Location-Address or Lot No. Ronald Silvia ..................... ..._..`... -- -•-- - 1 y --------------- • - --......---...... � Owner •-•--- Address/ �.. ........ �5.2.9. 1�P1�.......................................... .. 4 Sd/�.._. fPl l�:.. f... +._.......... a Installer Address d Type of Building Size Lot.... ........Sq. feet Dwelling—No. of Bedrooms_____________--__-_-_-:_-_.______________._Expansion Attic ( ) Garbage Grinder (X) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) IL Other fixtures ------_-.--••--------------------•----------- Design Flow.._llQ----------------------------------gallons per er day. Total dailyflow.......M5......................__._..g�aalIlons. w 2000Length ' 11" 6'- " W Septic Tank—Liquid capacity...._....._.gallons __...__-_..__._ Width................ Diameter.._-.____..__._. Depth__..._....._.... x Disposal Trench—No. .................... Width-.�............._.. Total Length........_.._._.._._ Total leaching area....................sq. ft. Seepage Pit No--------2........... Diameter........6_..___..._ Depth below inlet......6._.......... Total leaching area..................sq. ft. Z Other Distri ution box (X ) Dosing tank ( ) Percolation Te esults Performed by.......................................................................... Date........................................ Test Pit No. 1..... .........minutes per inch Depth of Test Pit------W........ Depth to ground water-----N/A............ Test Pit No. 2;3_.........�.minutes per inch Depth of Test Pit....... ------- Depth to ground water.... .3.............. p -----••------------•----•--••-------------------------•---•--...................•--••••-•--••••........................................................ 0 Description of Soil.........0.5 top& sul soil, 0.5'-12' Inchon - coarse sand • ----••-•-•----------------------•-•-----...--•--•----•-••--------...................._._..... x 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 iITIE 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beeU issuyd by o rd of health. j Signed............. - ... ............ ••--- . ,__._-•�•••3 Sdfe Application Approved By--•••-----•-- -- . ----- . -_•---:-. --•° J ..........-...--- .- . Date Application Disapproved for the following reasons------------------•-------•------------------------------------------------------•---_---. -•---••---------•-•- ••......._---••-----••-------•---••••-------------•----------------------•-------•-•-•---••••••--------...---•-••--------------------••--•••-----...•--•-••-••--••••-•------•-----------•---.._....._••- r q Date PermitNo....... .-�.1_..7,r.••-----`--•-------•----... Issued-....................................................... -- ---«-- � _--°-3¢/#Y_------------------------------------------------ -- --- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH / --�... . Appliration for Disposal, Works Tonstrurtion Permit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ....:........ »Y. ............................... ................. .As.1! 96»-»Ivt 4-5....... -......-----....._........... Rara nml Location-Address or Lot No. .. i�i..it»t..c,S■.V.J.......................••-•-----............._..._....._._._._ _ ............................................. ---__-------------------------------- ....... W Owner Address ................. ..„......... .........- ........... r ........ - .. Installer Address Type of Building Size Lot....13�5x�b? ........Sq. feet Dwelling—No. of Bedrooms..............7.._..__.______.__._.._.__..Expansion Attic ( ) Garbage Grinder (X) Other—T e of Building ............... No. of esons........_..._....._.._...... Showers a YP g ------------- iZZ1 ....persons ( ) — Cafeteria ( ) Other fixtures ..............•--•••......••••..._• f Design Flow----Q.................................gallons per rWy. Total it flow----•--_ ------•--=_--•_---------..__ to S. W Septic Tank—Liquid capacity ._ gallons Length._.._ Width...6 `._ Diameter.. "o -•----•••_... Depth........:....... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area...................sq. ft. 61 1 � Seepage Pit No........2.......... Diameter........ ........... Depth below inlet....... .......... Total leaching area..................sq. ft. Z Other Distribution box (X) Dosing tank ( ) 1.4 Percolation Test Results Performed by....--•--•-••••••••••••-•••............................................... Date........................................ Test Pit No. I.....2........minutes per inch Depth of Test Pit..._....U......... Depth to ground water......WA............ GL, Test Pit No. .....minutes per inch Depth of Test Pit....... ....... Depth to ground water..:8e3�............. W ........................... ....- .... ...... Description of Soil.---•---_0... UT&s1d�9031A•...5.'".12 .tuec iuu...'ao�use sand .................... rJ -----------=----------------------- •••--------------- --------------------------- •-•----•--•-•--•-••-•----------- ---------- •-•--------------- _-------------- __-__------•----•------•-•------•----------- 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 TITLB 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issue by t oard of health. r'j Signed - / �. . •/ z... { �C -n V! 1H , J /jt V,v Date" { / � / Application Approved By....-- ��` t4 ,...�_„..�. �r j��- Date Application Disapproved for the following reasons-............................--..............----.....K.119 -•---..........................................._»_ ......................••-•------•---------•--•--•----...----------.........---...._..------•-------.....-.••-•-•-•-----------..._..--•••-•-•-•._....._....-••--.......••-........•-•-••••-•--------_...» Fg--•--- Date PermitNo.------ --,?-------------•---� � Issued...-------.......-----------------............-----•---• ID / 7 Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .(.4 ..........OF................. - ............................. Trrtif irair of from linurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired ( ) by.................................................................................................................... ......--........................................................... _....._ In der at.... •� ......5 ..G ._... t.. . ..........................�,�s :'� Q.------------•----•---------- has been installed in accordance with the,provisions off T of The State Sanitary Cod P 5 _ S y e as described m the application for Disposal Works Construction Permit No..__....._..a.�._::..�.79... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THEl SYSTEM WILL FUNCTION SATISFACTORY. DATE....................�.-�---=----�-•�•--- --------------....__.. - Inspector......•i---- .................................. -............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7 ~7� ; . .....OF................ f.:....:... ..._XXr ............................ ��-�_ FEE. ..... �,., —~ Disposal Works �onutrurtion Permit "'Permission is hereby granted......................................................................................................................................»»»» to Construct (_>� or Repair ( ) an/Individual Sewage Disposal System h fA at No............ ,ter ......�t..... Street as shown on the application for Disposal Works Construction P�t No..................... Dated.......................................... C�:. . ... ............` op •• - ��—DATE. • Beard of Health -- .........................•--•--------- FORM 1255 A. M. SULKIN, INC.. BOSTON J ,` , APPLICATION FOR PER(:OLATION TEST AND OBSERVAI,Cq .P!!S LOCATION �T7' �� ��'T�. � No.- VILLAGE ��c�l LC,E - DATE APPLICANT 44 t`�VV^• • 0.1.LSDIU , � . FEE 7S / q II (Non-refundable) • ADDRESS /`� G � _. TELEPHONE NO. yZ8 '/5'S_6 ENGINEER.. (M• W\l...S y fJ 4•SSdC.Toy -.TELEPHONE NO. DATE SCHEDULED J V\21I Z �' J (Applicant's Signature) .. ... .... . ....... ...... ........................................................................................... ASSESSOR"S MAP & LOT NO: SOIL LOG SUB-DIVISION NAME DATE to /Z l/ g8 TIME 10100 EXPANSION AREA:'.YES " NO /M J . O �� c7J(4 tt) ENGINEER TOWN.WATER L--' PRIVATE WELL E• C`���lz•`� Z• J,J(J� 0C-, BOARD OF HEALTH 1. t-y EXCAVATOR SKETCH:_(Street name, etc., dimensions of l0 -exac't location of test holes and percolation tests, locate wetlands in proximity .to test holes) .NOTES: 1 _ , 5'7j see Ptoh� 7 p. :OLATION RATE: ' HOLE NO: / ELEVATION: S`/-8 TEST HOLE N0:.3 ELEVATION: /G 3 1 0 If 3 1 3 3 -1�DivM — Ceo i SANS 4 wD 4 5 5EsriA,ar&-D r�i�fl wrir�u. 6 7 his} r14' t 8 �y// Q� •��C�LN y E'11 t El �i 3 9 9 10 1..<� 10 _._ .. •'11 1 11 ' 12 m v��'; yz812 13 Nv c.�ATt ,c/ta� t� 13 14 14 f 15 15 16 f: 16 TABLE FOR SUB-SURFACE SEWAGE': ...LEACHING FIELD /LEACHING PITS c� r LEACHING TRENCHES y UITABLE FOR SUB--SURFACE SEWAGE.­ REASONS: E: ENGINEL4RING (PLANS MVST .SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION GINAL: COMPLETED IN ENTIRETY BY P. E. AND RETURNED TO BOARD OF HEALTH Y: RETAINED BY APPLICANT •� 3 Pevisk=: MANHOLE COVER TO FINISH GRADE NO. OF 0 ETS: SOIL TEST PIT DATA: 15/2 DATE DESCRIPTON iI 24" DIA. COVER 12"MIN. 2 LAYER OF INDICATES 1. DISTRIBUTION Nor T(0 WITHSTAND H-10 6" INDICATES 0SS9Xr1D W COVER 4 LOADING UNLESS UNDE)Z PAVEMENT. DRIYES PEA STONE PSAC 4- GA0VNDWATZX OR TRAVELED WAYS wHEjuar M-20 LOADING SHALL APPLY. Z z z TZff 4 IN ET e . ADJUSTED GROUNDWATER r - -- - - - -- - - - - -- -- - - - LEVEL 2. PROVIDE INLET TEE AS SHOWN 1rHEXZ INLET 3 0 TP No. SLOPE OF INLET PIPE Er,'--EEDS 0.08 FTIFT 06 OR IN A PUMPED SYSTEMti TP NO. 01 54.8 16.3 L3 14• ti GRD.EL. GRD.E1_ PRECAST,STIML so 3/4 11/2" J.FIRST TWO FEET OF PliE OUT OF THE _p 6 N/A GW.EL. Ij.,3(ADJUSTED) 4 5 Oj PLAN VIEW DISTRIBUTION SOX TO Sk LAID LEVEL .4 OUTLET-1 WASHED GW.EL.. d ;0 LINLET 4`-0"M1K it SEFTOC TANK 8 4. RECOMMENDED MANUFACTURER - 0 - 54.8 0 - 16.3 46" TEE UgUID Do"_ TEE 51 STONE 4 TOP SUBSOIL ROTONDO OR APPXOVFD EQUAL 6 54.3 it 3 Locus 11 - 1 - TOP a SUBSOIL 6"M11N 3/le TO H/ZNSTONE 174 - REMOVABLE COVER t- - - - - - - - - - -- - - - - - 211 1XA.OUrLET(3) 14.3 2 - 2 - 00 V& y BOTTOM ON LEVEL STABLE BASE L4" 3 PROVIDE 3 - 3 - A- MANHOLE COVER WATERTIGNT (Typ) J4"INLET I I Refenx"s: is 3 6'D I A. 3, 4"OUTLET 4 - to POND MEDIUM - CROSS SEC ION VIEW it MEDIUM- PLAN VIEW 2 #I it 12'DIA. L.C. 'PLAN 5725-43 COARSE . 5 - COARSE 17 -11.3 NOTES.. 5Y, SAND SAND SUBDIVISION PLAN OF LAND IN INLET 1. SEPTIC TANK TO WITHSTAND H-It 1,49ADING J. INLET AND OUTLET TEES TO BE CAST IRON. ..: � ..'. ,.,.. - 6- 6 - UNLESS UNDER PAVEMENT, DRIVES CX' TRAVELED SCHEDULE 40 PVC OR CAST-IN-PLACE CONCRETE. • BOTTOM ON BARNSTABLE11BARNES ENGINEERING 11-1 %Q* or" - - WAYS. WHERE BY M-20 LOADING SHAL,'� APPLY. TEES TO RE CENTERED UNDER MANHOLE COVER. 2 LEVEL.STABLE CO., INC., SURVEYORS, 3/3/86 BASE 45VVN�471 # 7- 7 - 2. ALL PIPE CONNECTIONS AND CON�';ZETE CON- 4. RECOMMENDED MANUFACTURER - ROTONDO OR CRC)SS SEC ION VIEW L-60MIK3AOTO APPROVED EQUAL STXUCY70N TO BE WATERTIGHT. W20 STONE "THE FARM", TOPOGRAPHY a SITE 8.3 LEACHING IT DETAIL PLAN OF LAND IN BAR STABLE I-r% 10CUSNAP MASS., SCHOFIELD BROTHERS,INC. 2000 BOTTOM OF TIC TANK DETAL NO. OF GALLONS: DISTRIBUTION BOX DETAIL NOT TO SCALE 9- 9 - HOLE SCALE I"- 1/28/88 NOT TO SCALE NOT TO SCALE 2083 10- to- NO WATER DESIGN ANALYSIS II.- II _ SYSTEM PROFILE ENCOUNTERED BOTTOM OF HOLE NOT TO SCALE 12-- 42.8 12.- DESIGN FLOW.- 7 BEDROOMS W/ GARBAGE GRINDER P 6985 D WELL. NG MANHOLE AND COVER FINISH �GRADE TO HAVE DA7&* 6 21 8 8 6/21/88 BROUGHT TO FINISHED GRADE 7XI 10 770 GPD MIN. 2% SLOPE OVER LEACHING FACILITY 7 70 GPD X 150 % 1155 GPD 7ZSr R. TEST`87. FINISH GRADE M.J.DONOVAN M.J.DONOVAN TOP OF � Projed Title. 4 N AT N 11rITNESSED sr. WITNESSED Arr. FOU D 0 SEPTIC TANK REQUIREMENTS.- k )ef I 53.5 G. DUNNING G. DUNNING LAID LEVEL PEAC. XArIL' PEAC. RATE.- FIRST TWO FEET TO BE 770 GPD X 200% 1540 GPD Re 2" LAYER OF PEA STONE USE 2000 GAL. TANK 2 INCN %44.00 7 V 40 0 1 i 36.5 �2 .5�O 00 0 29.33 y L5�O 1 1/2" WASHED STONE P <-- 3/4' ICE V�L2 TL ' TP No. TP No. 36.80 6 000 GALLON 2 < 0 DISTRIBUTION 50.1 REINFORCED CONC, BOX • GXD.EL. GRD.EL. • SEPTIC TANK N/A ROA TO BE INSTALLED ON A GW-Ez_ Gwx ,i wo eu I50.1 D LEACHING FAC1LfTY REQUIREMENTS.- 1155 G P D J0 LEVEL, STABLE BASESR � LL" E ' TOP a SUBSOIL 7 BOTTOM EL.= 19.5 2'-6' DEEP- 6' DIAMETER PITS Who STONE 49.1 LEACHING PIT SIDE /PIT (2) 2.5 1131 GPD WALL AREA 226.2 SF 2- 2 - MAS5 BOTTOM AREA 113. 1 SF/PIT (2) 1, 0 = 226.2 GPD 3- 3 - TOTAL 1357 GPD MEDIUM- 4 - 4 - COARSE SAND 5- 5 - W6- 6 - NO WATER LEACHING FACILITY PROVIDED: 7- 7 - ENCOUNTERED 2!- 6'DEEP- 6' DI AM. LEACH. R1 TS W/ 3' STONE a - DCAPACITY 1357 GPD PR,QVIDE _7 9- 9 - -2 8 -QU, BOTTOM OF Ro- RED CAPACITY 1155 GPD , HOLE 32 10 40.1 10 - 36 Z6 I 150 Z, 11 11 34 40 44 48 56 38 42 46 EDGE OF PAVE NOTES 12. 1 12. 50 52" 54 i AMAILSON, ASSOC.�`INC. 56 DA7T6-* 6/21 /88 DATE- ETI_ UNLESS OTHERWISE NOTED. ALL CONSTRUC AIN 414.85 TION METHODS AND MATERIALS SHALL CON- .91 1V TEST Hr. rLrSr sr. FORM TO TITLE V OF THE STATE ENVIRON- M.J.DONOVAN NOTES 5 E#EMENT MENTAL CODE AND A MY APPLICABLE LOCAL.. RULES AND REGULATIONS. 0STEAVILLE, A WITWESSED Mr. WITNESSED sr. G,:DUN NG -REON WERE COMPILED PROPERTY LINES SHOWN H 2 GROUT TO BE USED AT ALL POINTS WHERE FROM A PLAN RECORDED A7 THE BARNSTABLE PIPES ENTER OR LEAVE ALL CONCRETE (508)14 PERC. "rL. PEAC. AArJ_r - 43 STRUCTURES IN ORDER TO PROVIDE A WATER- REGISTRY OF DEEDS IN L. PLAN 5725 TIGHT SEAL. MINVINCH 24 AND DO NOT REPRESENT AN ACTUAL SURVEY RIM 53.55 3 ALL SHIPLAP JOINTS IN SEPTIC TANK SHALL t. ON THE GROUND, \ \ BE SEALED WITH NEOPRENE GASKETS OR 2) ELEVATIONS ARE BASED C�N N.G.V.D. ASPHALT CEMENT TO PROVIDE A WATERTIGHT 1` SEAL. \ , INVERT ELEVATIONS 3) ASSESSORS MAP 94 L07 4-5O 4 PRECAST CONCRETE SEPTIC TANK, DISTAINU TION BOX. AND LEACH/NG FACILrrY TO WITH­ 44.00 40 INVERT AT BUILDING , STAND H-10 LOADING UNLESS UNDER PAVE- MENT� DRIVES OR TAAVELLED WAYS WHEREIN, 36.80 H-20 LOADING SHALL APPLY. 4' INVERT AT SEPTIC TANK (in) 4 PREPARED FOR: 22 4'INVERT AT SEPTIC TANK (out) 36.55 5 ALL PIPES IN THE SYSTEM SHALL BE SCHED- • FRO OS ULE 40 OR EQUAL. 29.50 TP I 4- INVERT AT,DIST. BOX (in) LEGEND \ -t-,BEOROOM 56 6 WASHED CRUSHED STONE SHALL BE FREE OF 29.33 4' INVERT AT DISn BOX (out) ALL DIRT. DUST AND FINES. RONALD SILVIA CD 54.8 EXISTING CONTOURS 0 7 AT ALL POINTS OF INTERSEMON OF WATER EXISTING ELEVS. 50.0 LINES AND SEWER LINES. BOTH PIPES SHALL 5 .5� BE CONSTRUCTED OF CLASS 150 PRESSURE �\ / Uj I I INVERTS AT LEACHING FACILITY.* 20 LOT 103 a 123 EDGE OF WETLANDS Rok E 3.103 Ac HY PIPE AND ARE TO BE PRESSURE TESTED TO 4' INVERT AT BEGINNING OF UTILITY POLE D 25.50 �OOL ASSURE WATERTIGHTNESS. Drawing Title: �GAS LINE LEACHING FACILnT PROPOSED ELEVATION (50.0) 8 SEPTIC TANK , DISTRIBUTION BOX, ETC. 40 INVERT AT END OF PROPOSED CONTOUR ffO 2 > FACILITY (42-Cl PROPOSED DRIVE SHALL BEMANUFACTURED BY XOTUNDO OR LEACHING N/A AN EQUIVALENT MANUFACTURER.3 ELEVATION AT BOTTOM OF 19.5 SUBSURFACE 18 y EXCAVATE ALL UNSUITABLE MATERIAL IN LEACHING FACILnTff PROP6$ED LEACHING AREA AND BACKFILL WITH CLEAN E Bb GRAVEL OR COARSE SAND. F. (4 0\71 OBSERVED GROUND WATER TP 3 10 HEAVY EQUIPMENT SHALL NOT BE ALLOWED SEWAGE 8.3 ELEVATION IN (37V\ G AG\�. TO OPERATE OVER THE LIMITS OF THE L S 16 L VkL= SE AGE DISPOSAL SYSTEMS DURING THE 16.3 45. COURSE OF CONSTRUCTION OF THE SYSTEMS. DIPSOSALDESIGN ADJUSTED GROUND WATER 2 2 ELEVATION 11.3 4 11 NO FIELD MODIFICATIONS TO THE SEWAGE • DISPOSAL SYSTEM SHALL BE MADE WITHOUT 14 Uj PRIOR WR17TEN APPROVAL OF-THE ENGINEER AND THE LOCAL BOARD OF HEALTH. V 8 T 12 THIS SYSTEM SHALL BE INSPECTED AS RE­ zo QUIRED BY SECT70N 2.10 O&TITLE V. 2 0 0 13 A CERTIFICATE OF COMPLIANCE AS RE- �fl' Z37 Y- CIO '0 14 QUIRED BY SECT70N 2.8 OF IT V MUST BE 2- OBTAINED BY THE CONTRACTOR UPON COMIt o - i 16 170.0 PLETION OF THE ABOVE WORK. IF AN OAS BUILT" PLAN IS REQUIRED DUE TO CONTRAC- 18 SCa`16: 40' TOR DEVIATING FROM THESE PLANS. WORK 20 F SUCH AS BUILT' PLANS SHALL BE ON COMPENSATED BY THE CONTRAC.TOIJL 0 20 40 80 FEET 22 52 54 2-4 26 1,28 0 14 THIS SYSTEM IS DESIGNED FOR A � 30 32 48 GARBAGE DISPOSAL UNIT. 34 44 46 Date: 9/8/88 Dn No: 0 42 36 38 15 ALL ELEVATIONS ARE BASED ON Doesign- MJD DATUM. Check: RFD Drawn i V B Sheet I of I Job NO: 2,0353 T of I T Li 3 4 42 44 4C 38 52