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HomeMy WebLinkAbout0004 LAKESIDE DRIVE - Health 4-,akes7cle give Marstons Mills A = 102 O o'1 - - TOWN OF BARNSTABLE �" ✓ LOCATION 4 LAf,4L- �Z 0�v6 SEWAGE # ACr.)f _ 7Ci VILLAGE MA M4 9-Ml ASSESSOR'S MAP & LOT'C ;7 - INSTALLER'S NAME&PHONE NO. lSl �0 SEPTIC TANK CAPACITY `'5®® LEACHING FACILITY: (type) (size) oZS7C 1�Xm2_ NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE: /2Y"1 COMPLIANCE DATE: `2-2/—,0/ Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by t � Day Ik . 38 s � � saa (,'#uovL4v-#C4y, 5 LOCATION SEWAGE PERMIT NO. VI-LL�A /GE 5 H i I S INSTALLERS NAME/ i ADDRESS BUILDER OR ,I `D-ATE PERMIT ISSUED DA-T E COMPLIANCE ISSUED i I i IN. No. GfG/r `�€3" FEE ' Board of Health, APPLICATION FOP DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) - 4 complete System ❑Individual Components Location L 1, e ( D6 DR i V.P- Owner's Name SC, cv IS, Map/Parcel# /0 7 Address Lot# Telephone# Installer's Name Q Designer's Name � e S v R U d-r/yt (jc 7A A jj Address 'a Address "m P-Sk),Aj S M 11/S Telephone# _ (f ' Telephone# S-o Ef- &- po 5 S" -i- Type of Building Lot Size 04 ro S sq.ft. Dwelling-No.of Bedrooms Garbage grinder NO Other-Type of Building r No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow (min.required) 3 o gpd Calculated design flow 3 3® Design flow provided 3 ya• gpd Plan: Date - - 01 CX-.> Number of sheets Q, Revision Date Title S t*t- -SZ gL ,(J&A 1J Description of Soil(s) e-t (-AP Soil Evaluator Form No. Name of Soil Evaluato ,xe ,MV/'0 Y Date of Evaluation 10"a 7-0 DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above de cribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to to placvPf-S-?,5M26Wt1on until a Certificate of Compliance has been issued by the Board of Health. Signed Date ��'� -� 4v FEE !/ COMMONWEALTH OF MASSACHUSETTS C. Board of Health, ]��C2irV s l�'V/ MA. APPLICATION FOP, DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair(�LTpgradeO Abandon( l<omplete System ❑Individual Components Location L ., 4 Q,L{,e.�( Imo" iW Q Owner's Name Map/Parcel# /-0)e00 W,5ML4 Address Lot# Telephone# Installer's Name 90' Designer's Name yr9 n���e S u R V �vtiS UCTp N Address a©" tZ- OVQ 125T0/l/ nla5 Address �l'0 (ri 0 M-4(L.S7bNS Nll/�S Telephone# _ ({ Telephone# -8- pp 5 5 Type of Building Lot Size 1 04 S sq.ft Dwelling-No.of Bedrooms - D-eS t Garbage grinder NO Other-Type of Building No.of persons. Showers ( ),Cafeteria ( ) Other Fixtures Design Flow.(min.required) 310 gpd Calculated design flow 3 3 O Design flow provided 3 gpd Plan: Date Number of sheets "IQ, Revision Date Title A 1 J Description of Soils) ZG L N Soil Evaluator Form No. Name of Soil Evaluat0 0Ce •M V✓y9 Y Date of Evaluation /0-ol 7-0 DESCRIPTION OF REPAIRS OR ALTERATIONS t t The undersigned agrees to install the above de cribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to to place e e ��_Igation until a Certificate of Compliance has been issued by the Board of Health. Signed Date No. U u I - 76 FEE COMMONWEALTH OF MASSACHUSETTS f Board of Health, I J�-/ Srli I'J�� ' MA. CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) 0-Complete System The undARIA �O�'gned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired (v�Upgraded ( ),Abandoned :y b 'N/9 -at f V e has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application N opts l.� '��/dated ��. !Approved Design Flow 3 4/ (gpd) Installer NIZINRC1,077K6 1 6,C /!1't/ la n Designer:V6 OL,kM Sv✓VeV dU+AS(X nspector: JV'✓nll Date: 11171 A 4 Yt � i The issuance of this permit sliadnot be.construed as a guarantee that the system will function as designed. No r FEE COMMONWIA T14 OF MASSAC14USETTS Board of Health, 1 Yam-/yt S MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct( ) Repair(4,� pgrade( ) Abandon( ) an individual sewage disposal system at -1 -KC S t c-e 1 U - - ` as described in the application for Disposal System Construction Permit N;Z%flof dated Provided: Construction shall be completed within three years of the date of�thh's permit. All local conditions must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date/ ��Board of Health/✓ � TOWN OF BARNSTABLE i LOCATION 4 CA� <U4 Q&rL,4— SEWAGE # AM/ VILLAGE Mmgy—NS BLS ASSESSOR'S MAP &LOT ZC Q - INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY A`7®o LEACHING FACILITY: (type) �®C/!`�"A� (size) .&25—�C 113 XQ— NO.OF BEDROOMS u BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: 42-217®9 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet j Furnished by I 9 � � l k 9 i BARNSTABLE ..;�„ C.C. A RAM W i Cus LANE ff LAKESIDE POND N/F -CAL VIN FULLER POND ' ' O C $ N8818'30"W 113. 85' t _� � o. 114 o AREA �o or 12.5 = 10,650fS.F. o LOCUS MAP O GE O 0 p MURKY ASSESSORS MAP. 102, LOT 7 I 0 5, - O No. 749 PLAN REF 138/125 2 _ _ 9 O ZONING.• "RF" o _20. y' FLOOD ZONE: "C" ()OL TA COMMUNITY PANEL �2 �2 2 8' __ �_tV 4°4 �ESs 250001 0015 C Gi cz I O � 4 DA TED.• 8119185 �. 0 0 0, LLy 43. ' 0 VERLA Y DISTRICT "GP" 45. 0 CK T ti NOTE.• EXISTING TWO BEDROOM MAXIMUM E � I off' o°' o D w 4 I SITE AND SE WA GE PLAN OF LAND I C.$• -�' q I d' LOCATED AT I RESER VE LoI 4 LAKESIDE DRIVE MARSTONS MILLS MA, 61VCH ARAM I I BLB =1000(AS9UAWD) O DArM CAM � o� � PREPARED FOR _S8818'30"E PA VED 81. 07' HAROLD. E & DORO THY SCHOOLS — — NO VEMBER 3, 2001 LAKESIDE Dj?IVE REVISED DECMEBER 15, 2001 GRAPHIC SCALE YANKEE SURVEY CONSULTANTS UNIT 1, 40B INDUSTRY ROAD 20 0 10 20 40 so P. O. BOX 265 MARSTONS MILLS, MASS. 02648 TEL• 428—0055 FAX 420—5553 ( IN FEET 1 inch = 20 ft. J# 52934 PM EL. = 101.15 YVP OF Ft7UNDATION f� 90' MIN. 10' MIN. CONCRETE COVERS f.l 4" SCHEDULE 40 P.V.C. MIN. P17rH 1/8 PER FT. 2"LAYER OF - to EL = 100 I/e"-I/2" CONCRETE COVER WASHED STONE i i ♦ i i i . . e e1Az EL= 100 4" CAST IRON PIPE S" A04 P017L&/4 PERTMUM FT RISER CLEAN 2 RISERS FLOW MNE SAND EL=97.0. NEW PLUMBING INVERT llo" rlllN. 14" H. a. — 98. 0 H ' _ oa o 0 0 0 o m aEL.— 0 GAS1) INVERT LEVEL °BAFFLE 6" SUMP o 0 0 0 0 0 0 0 _ 94.,25 INVERT EL.= 97.5 INVERT00 EL.= 9 75 EL.= 97-0' EL.=9675 " 4 4 INVERT DISTRIBUTION DIS EL. 1500 GALLONS BOX PROPOSED SEPTIC TANK 7V BE WATER TESTED 25' X 12.5' TRENCH FVRMATION IF MORE THAN ONE OUTLET O �O PLACE ON 6 S7VNE SOIL ABSORPTION 3/4" M 1-1/2" PROFILE OF DOUBLE WASHED STONE SYSTEM (SAS) SEWAGE DISPOSAL SYSTEM BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE ELEV.= 88__ NOT TO SCALE NO OBSERVED WATER TABLE (10127101) ELEV.=__88' P OBSERVATION HOLE 1 ELEV= 100. 0 PERCOLATION RATE _!!L_?_ MIN./ INCH AT _36_ INCHES 0 VERLA Y DISTRICT "GP" DEPTH HORIZ TEXTURE COLOR MOTT OTHER NOTE- EXISTING TWO BEDROOM MAXIMUM 0-4" A SANDY LOAM IOYR4-3 4"-2.5' B LOAMY SAND IOYR5-6 2.5'-5' Cl MED. SAND lOYR6-6 PERC (SMALL STONES) 5'-12' C2 MED. SAND IOYR7-6 GENERAL NOTES NO WATER �12' 1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. SOIL TEST TITLE 5 AND THE TOWN OF _BARMLIBLE____ RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 2) TWO COVERS ON SEPTIC TANK SHALL BE BROUGHT TO DATE OF SOIL TEST 1012710.1 SOIL TEST DONE BY BRUCE G. MURPHY • RS. WITHIN 6" OF FINISHED GRADE. 3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN DESIGN CALCULA TIONS.' 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE USED UNDER OR WITHIN 10 FT OF DRIVES OR PARKING AREAS. NUMBER OF BEDROOMS (2 EXISTING) 3 DESIGN 4) ANY MASONARY UNITS USED TO BRING COVERS 719 GRADE SHALL GARBAGE DISPOSAL . . . . . . . . . NO BE MORTERED IN PLACE. INSTALL TWO (2) ACME TOTAL ESTIMATED FLOW 5) NO DETERMINATION HAS BEEN MADE AS 719 COMPLIANCE WITH 500 GALLON LEACHING 110 ) / DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS 719 ( __ __CAL/BR/DAY x _3_ BR 330 GAL DA Y OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. FOUR FEET,OF DOUBLE WASHED PROPOSED SEPTIC TANK CAPACITY 1500 GAL 6) UTILITIES SHOWN ARE APPROXIMATE ONLY. EXCA VATION CONTRAC7OR STONE SIDE'S AND ENDS IS TO CALL "DIG- SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS 25' X 12.5' SOIL CLASSIFICATION . . . . . . . . I PRIOR TO COMMENCING WORK ON SITE. DESIGN PERCOLATION RATE . . . . . < 2 MIN./IN. 7) CONTRACTOR IS 719 VERIFY GRADES AND ELEVATIONS AS WELL AS '. EFFLUENT LOADING RATE . . . . . . •74 GAL/DA Y/S.F. SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. � LEACHING CAPACITY (AREA X RATE) 342 CAL/DA Y 8) PARCEL IS IN FLOOD ZONE___C"_____. RESERVE LEACHING CAPACITY . 342 CAL/DA Y 9) LOT IS SHOWN ON ASSESSORS MAP _1O2 AS PARCEL _� . (25 X 12.5 X . 74)+(25 + 25 +12.5+12.5 X . 74 X 2) 10) CESSPOOL TO BE PUMPED AND FILLED. SHEET 2 of 2 JOB NUMBER _ 52934 ____