HomeMy WebLinkAbout0167 LAKESIDE DRIVE - Health 67 Lakeside Drive
Marstons Mills
A= 102 - 173
ILI
TOWN OF BARNSTABLE
L aCATION I��] �,�„e_S;�►P_ otc. SEWAGE# � -
`vAiLLAUE.� ASSESSOR'S MAP&PARCEL /Q QL --1 73
INSTALLERS NAME&PHONE NO.y3af�o�f, �'� j;L� 'on g 77t q3�t$
SEPTIC TANK CAPACITY k 5®_mac
LEACHING FACILITY:(type) ;Z,� �� �Q\, � ;nc (size) 2 3i cqj
NO. OF BEDROOMS ?
OWNER ! ,.ebngAy
PERMIT DATE:C A/66 COMPLIANCE DATE: s
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) ►eo' } Feet
FURNISHED BY_'�syw�► o C. �-nca r e.P_f`
�'"ISS �s�hd
TOWN OF BARNSTABLE
LOvATION // 7 A L-e- SM6- d/r�k-SEWAGE #
:j
VILLAGE , ,/ S ASSESSOR'S MAP & LOT
I G NAME PHONE NO. QY�( F�S� I�
SEPTIC TANK CAPACITYKrSi t tic C�e.S /,�OLS
LEACHING FACILITY:(type) (size)
NO. OF BEDROOMS—PRIVATE WELL PUBLIC w RL---
BUILDER OR OWNER C VC�— YGCA AZZZI
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
i�
167
ioc,�c
No. D Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
r Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
Rpplic tion for Digoal 6pztem Con.5truction Permit
Application for a Permit to Construct( ) Repair(,,)/Upgrade( ) Abandon( ) Ycomplete System ❑Individual Components
Location Address or Lot No.1417 Owner's Name,Address,and Tel.No.
Assessor's Map/parcel
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
Type of Building:
Dwelling No,of Bedrooms _ Lot Size sq.ft. Garbage Grinder ( �
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 3: 0 _gpd Design flow provided .33 gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank �/!�'U® Type of S.A.S. Jam® Q 1y,1jL�j�
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board •f He lth.
Sig Date 46 A _
Application Approved by D Date
Application Disapproved by: Date
for the following reasons
Permit No. Date Issued
A
No. �// Fee /
f` Entered in computer:
_ § THE�COMMONWEALTH OF MASSACHUSETTS Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
Z[ppYication for Tigpo5al *p5tem Con.5truction.Permit
Application for a Permit to Construct O Repair(1l(Upgrade O Abandon O LJ Complete System ❑Individual Components
Location Address or Lot No. /,� O �r' Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel' ,/l��j`uc 1-,t�pe5 �/ y
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
for *911~ �71,
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( �
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
� r 1
Design Flow(min.required) 3 3 gpd ,Designfow provided 3.3 gpd
Plan Date Z/d' , Number of shdeQs I—l Revision Date
Title aV !� le
Size of Septic Tank /�7�t� Type of S.A.S. —' _7
Description of Soil
,a
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected: "
Agreement: All
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of He It�h.
Sig e / r) Date
Application Approved'by / l /� d„ ,��!/�1 y _� ,Date
Application Disapproved by: .� '' --ra- Date
for the following reasons
Permit No. Date Issued `
—————————————————————————————'———————————————
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-sit o.al S Constructed
Sewage Dis stem C Repaired Upgraded
r
g P/� Y y— ( ) P ( ) Pad' ( )
Abandoned( )by
at �'l�La 5/%' L�/ • 61 li4///5 has been constructed in accordance /�
with the provisions of Title 5`and the for Disposal System Construction Permit No. -` dated J/Ca'-A
Installer i� Designer
#bedrooms Approved design flow gpd
The issuance of this permit, /s all not be construed'as a guarantee that the syste(m will a etio �igned.
Date / .,.. Inspecto4l i
--------- — --------------------- �
No. Fee�—-
-
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS
1=i,!5:vo!5al,,p5tem Cow5truction Permit
Permission is hereby granted to Construct ( ) Repair ( ✓) Upgrade y, ) Abandon ( )
System located at
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty
to comply with Title S and the following local provisions or special conditions.
Provided: Cons kction ust be completed within three years of the date of th',714
Date / Approved by
' •f
FROM :down cape engineering inc, FAX NO. :15083629880 May. 26 2006 08:53AM P1
Town of Barnstable
Regulatory Services
Thomas F.GeUer,Director
Y M Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508462-4644 Fax: 508-790-6304
Installer&Designer Certification Form
Date: ✓6 Z Sewage Permit# "a"- Assessor's Mapftrcel 1 a I73
P
Designer: V o,,J d i ewA Installer: 16 0 y f!f G
Address: r-3 NG I^ J t - Address: qJ�,,-`l S /'
all-
on V /a el)&✓75/was issued a permit to install a
(date) (installer)
septic system at rl 6 "4f i cCl' V 2 based on a design drawn by
(address)
.�—9, a 14, dated d
(d igner) -�
l certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank_
I certify that the septic system referenced above was installed with major changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system)but in accordance with State &Local Regulations. Plan revision or
certified as-built by designer to follow.
9
a� ARNE
(.nst is Signkure) - CIVILOJALA �u
No. 30792
fr G STE°�oaL
ANAL
(Designer's Signature) (Affix De I s Stamp Here)
yJLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF
COMPLIANCE WILL NOT BE ISSUFn_UNTIL BOTH THIS FORM AND Afi-BUILT CARD ARE
RECEIV D BY THE]BARNSTABLE PUBLIC HEALTH J.)WISION. THANK YOU.
Q:Hoatth/Septic/Desiper Ceriificmion Form 3-26-04.doe
SYSTEM PROFILE NOTES
TOP FNDN. AT EL. 67.4' APPROXIMATE NGVD
ACCESS COVER TO WITHIN 6' OF FIN. GRADE (� � s� 1. DATUM IS t
' ACCESS COVER (WATERTIGHT) TO
Lokesid Dr.
WITHIN 6' OF FIN. GRADE 2. MUNICIPAL WATER IS EXISTING
68.0 MINIMUM .75 OF COVER OVER PRECAST F 2X SLOPE REQUIRED OVER SYSTEM
3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. '� Sbxbl
RUN PIPE LEVEL r 2" DOUBLE WASHED PEASTONE POI
�*65.4' FOR FIRST 2' 3' MAX. 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO
PROPOSED 1500 H- 10
GALLON SEPTIC 4. , '
65.0 TANK (H- 10 ) 65 65.22 GAS 5. PIPE JOINTS TO BE MADE WATERTIGHT. O
CAI BAFFLE 64.65'
�6 64.48 pppp pppED L C S
r._§±,4�12' p p p p p p p p p 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH
( 2'5X SLOPE) 6' CRUSHED STONE OR MECHANICALED p p p p p p MASS. ENVIRONMENTAL CODE TITLE V.
COMPACTION. (15.221 [2]) p p p p p p p p p o 62.42'
DEPTH OF FLOW a 4' ( 1 X SLOPE) ( 1 X SLOPE) 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO
TEE SIZES: 3/4" TO 1 1/2" DOUBLE WASHED STONE BE USED FOR ANY OTHER PURPOSE. SCALE. T - 25,000
INLET DEPTH = 10_
ouTLET DEPTH 14" 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC.
' 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED
FOUNDATION 15' SEPTIC TANK 10' D' BOX 6' FACILLEACHTYG 6.9 WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION ASSESSORS MAP 102 PARCEL 173
OBTAINED FROM BOARD OF HEALTH.
LOCUS IS WITHIN FEMA FLOOD ZONE C
10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING AS SHOWN
.�,
6, DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION ON COMMUNITY PANEL #250001 0015 C
• E30TTOM TH 2 EL. 55.5' OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO DATED AUGUST 19, 1985
� COMMENCEMENT OF WORK. ZONING: RF GP OVERLAY DISTRICT
pc• 1
3 *THE INSTALLER SHALL VERIFY THE R.P. OVERLAY DISTRICT
co AREA: �� -
LOCATIONS OF ALL UTILITIES AND ALL
IN '�� . BUILDING SEWER OUTLETS AND ELEVATIONS SEPTIC DESIGN.
294 SQ. FT. `O � A PRIOR TO INSTALLING ANY PORTION OF
SEPTIC SYSTEM GARBAGE DISPOSER IS NOT ALLOWED
PERIMETER: I'� I o T DESIGN FLOW: 2 BEDROOMS ® 110 GPD 220 GPD
USE A 330 GPD DESIGN FLOW
77 FT I �``•� s/��` SEPTIC TANK: 330 GPD 2 = 660
USE A 1500 GAL. SEPTIC TANK
1J BENCHMARK , :
CDR BULKHEAD
EL=66.49' v PAVED �' \� LEACHING:
/A DRI�IEWAY \ ip \ '��, SIDES: 2 (77)(.74) 114 GPD
LEACH AREA DETAIL O ° \ I r;.
i °: �,, BOTTOM 294 So (.74 = 217_ GPDScale:1 10
r
TOTAL: -- FT 331 GPD
/ SHED
0 10 20 30 40 50 FEET
GAS / - \.� USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL)
EXISTING / O `� METER , S I \\
�o / WITH STONE AT ENDS AND SIDES AS SHOWN IN DETAIL
CESSPOOL O , P RO
TEST HOLE LOGS I �
N 0 EXISTING 7 / °
/ DWELLING (I� h
ENGINEER. DAVID FLAHERTY, R.S. / - TOP OF FNDN-67.4 / / o� / IIMA
/ �� / DECK
�'/ 9 // APPROVED DATE BOARD OF HEALTH
WITNESS: DON DESMARAIS, R.S. / / I \ CRAWL PORCIi/ 1 ,366 $Ft
APRIL 14, 2006 / r ( 1
DATE: - I \ � as 6 / TITLE 5 SITE PLAN
PERC. RATE < 2 MIN/INCH �ry / 0 1 \ / ��/ / /i OF
CLASS I SOILS p.LL# 11264 j �I / ��l / � �l tl sl /�Ji
o, �i_2w ` , � 167 LAKESIDE DRIVE
i ELEV. 2 ELEV. MARSTONS MILLS
" 67.5' " 66.5
(BARNSTABLE), MA
LS LS 5 REMOVAL OF UNSUITABLE SOIL
MAY BE REQUIRED AROUND b0, s �/
" 10YR 3/2 " 10YR 3/2 PERIMETER OF LEACHING FACILITY, / / 1 0/ „ �- PREPARED FOR
9 66.7 1 1 65.6 DOWN TO SUITABLE SOIL LAYER / %. ry/ cp ;� v�
(SEE SOIL LOGS). IF SO, REPLACE
B B WITH CLEAN MED. SAND. ENGINEER + //
TO BE NOTIFIED AND TO INSPECT , / / o o BORTOLOTTI CONST .�
LS LS AND CERTIFY REMOVAL / /
--
6�,
" .
1 OYR 5/6 653' " 10YR 5/6 63 2' 63_ %: JOSEPH KENNEDY
26 40
s2 i '0o
ro
C1 ' ij �q �a�� SHUBAEL DATE: APRIL 18, 2006
SILT LOAM C Q:• POND
PERC
2.5Y 6/3
50
40" 64.2' off 8-362-4541
M S O fax 508-362-SBW
C2 PERC LEGEND
MS 10YR 6/4
100.0 PROPOSED SPOT ELEVATION ./ ��(H OF�,fqs down cape engineering, Inc.
H.
`� S9
10YR 6/4 0E ss9cyG ��o�� AO ALA oyG�
+100.00 EXISTING SPOT ELEVATION �� H.ARN �, cIVI AL CIVIL ENGINEERS
132" 1 56.5' 132" 55.5' 100 PROPOSED CONTOUR 4 � JALA y No. 30792 LAND SURVEYORS
NO GROUNDWATER ENCOUNTERED _ _ 1 Op EXISTING CONTOUR E off. SG/NAL EN a�
939 main st. yarmouthport, ma 02675
0 10 ?0 30 40 50 FEET DATE s yE' A' P.E., 06-076 BORTOLOTTI_KENNEDY.DWG (DDF)
DCE #06-076