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HomeMy WebLinkAbout0125 LAURIES LANE - Health 125 Lauries Lane Marstons Mills A = 027 - 110 _ -- - - - - -- i i I, FRz.AAJ` ......... THE COMMONWEALTHI OF- MASSACHUSETTS " BOARD OF HEALTH rOWI.�....................OF.....8 .i\\S" ! .�3�- Applutttion for Dispaual Works Tnnstrurtiun Permit Application is herebyde for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal system at -c�2 ;. A G�TS3.-.i-SlfffKt3 ... 4T./?€.5..- .o.• !r�..�..1•YSrA!K:V:....---• ion; ddress or Lot_ - Locat v/fi /YI Owner Address W a = --------------nsta - : dr ........... Installer � Address Type of Building Size Lot..4_?/J ...Sq. feet U Dwelling—No. of Bedrooms..................................Expansion Attic ( ) Garbage Grinder ( ) W Other—T e of Building f� YP g ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ---------- ..............._........•----•----.....----•----•--•-----.........._...................................•---•- W Design Flow........... .. .......gallons per person per y. Total dailyw......... VL.-0................gallons. WSeptic Tank—Liquid capacity./dZZI-gallons Length...$.1-5-.--.. Width:.,1 6 ... Diameter................ Depth...... 0. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No.....t-------------- Diameter....r5�............ Depth below inlet........4....... Total leaching area90.1../..sq. ft. Z Other Distribution box ( ) Dosing tank ( ) / ~' Percolation Test Results Performed by.-_ ,, .1�j /1.......AsE ................... Date. l.�� � -------------- 1.4 Test Pit No. 1......:4••....minutes per inch Depth of Test Pit__../, l.._- Depth to ground water........................ f=, Test Pit No. 2................minutes per inch -Depth of Test I'it._..,l�1 .�._... Depth to ground water........................ a __... ------------- Description of Soil. ../Y1 14 ...t, . t�`G? Us; Y� �A i.... .....................•. UW --------------------•----------•--... ......................................................................................... Nature of Repairs or Alterations—Answer when applicable................................................................I....I...........----.---...... .......................•----•-------------..........-----•-•---.....--------.................----•-•---•----....---•-----------------------.....----......---•----•---.....................----••-•..... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of LITL U 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. eflowing d............................................---•----••---•----•-•--•.................. _.... ApplicationApproved BY ..••••-•-•-•...••-•--------•-•-..........•-•••-.......-••-••-•---•. - Date Application Disapproved for teasons---------------•----.............-•----...............-•----......-•-----------•----............._.._....--••-- -•---...-•--•--•.....--•••-••••-•...............••------••.......•--------•---•-••--•---••-••----..........--•---•........••--....•••-••••-••••-•........--•-•-..............•••----•-••..............._ Date PermitNo......................................................... Issued..................................................... Date ✓. r``` No. .......... _ FEs..,Z/ ............ THE COMMONVVEALTH+OF MASSACHUSETTS BOARD OF HEALTH ....... ..............OF...." Applirtt#ion for Disposal Works Tomitrwivit V.ermi# Application is hereby-made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal r System at: s s _ 1/ ,c��r ,. °r" �. •- Location Address CaAr /a �A�EIKI T 1�+� � � r + , Ioty t .:...,.:"'" - owner »✓ Address....................................................... .. ....... .... ............... --- ----------- ---------------------------------------- .............................. Installer "" ' Address Type of Building Size Lot:. I ..._..r�a_ . Sq, feet U Dwelling—No. of Bedrooms............ .. ...Expansion.Attic ( ) 1. . Garbage Grinder ( ) Other—Type of Building No.- of persons...................... .....Showers - a YP g ---------------•--••------ �. P ( ) — Cafeteria ( ) dOther fixtures '..�::::� ..............---•-•-••----------•---•--- ...................................................... W Design Flow.. ;, =....gallons per person per day. Total daily flow.......... r�- :.......:...:...gallons. c� Septic Tank—Liquid capacity,�.gallons Length-_ 15n.. Width.!.--"_ Diameter... Depth....*f n Disposal Trench Y, No..................... Width.................... Total Length.......: : Total leaching area....................sq. ft. 3 Seepage Pit No..... ............. Diameter.._. .......... Depth below inlet........ ....... Total leaching area.A ?l:_Lsq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by...-q,;xco A-4 A/f�(-•_•-•A:�;::................... Date. ��`�� � �- Test Pit No. l.. _+.__.....minutes per inch Depth of Test Pit..../V......... Depth to ground water........................ fs. Test Pit No. 2................minutes per inch Depth of Test Pit....A!�. ..... Depth to ground water........................ x D Description of Soil...........--4e_4 d,,.A, "w,4,0"A -ems �'•> rn s � �!!� .w e�.Q�s�r W ........................... .----------- ......... -------- ------.-•--- ------ -•-•--.----•---- ....:.. ....-----.x.....r... _.....�.... ... ----------- ..---•.................................................•-------•-•---•------.....-•-------...._........-•----••--•-•--•-------=-•--•-------.........................----.....-------•---...._..._..... U Nature 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 TITLZ 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation'until a Certificate of Compliance as been issued by the board of health. ned...................................................................................... ApplicationApproved By •.•--• --------•••••-•----•------•-•-•-•••••••-•-•••--------------------------------- �i� f Date Application Disapproved for a !lowing reasons----------------•---:................--------•---------••-•-•-------•----...-•---........._...................... .................•-•--.............-••-...........---•............................... ...........---------•----....._..........-•-••--•-•--.............•.............•..... Date....•-••----- Permit No........................................... ...... Issued.-. !s. ' t Date THE COMMOWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Trr#if iratr of fauut�litt�trr THI#'IS T ERTIFY, That the Individual Sewage Disposal System constructed Repaired i r by............. ...I--tall-Installer at....... -----------------------------------------------------------------------------------------•••-•--•-.... has been installed in ace r nce with the provisions of TlT E /The State Sanitary Code as described in the application for Disposal - orks Construction Permit No.__ ".Z.....I................. dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. .----1 .:: (.;f Inspector........ DATE............................ f� t � --------- ---- -------- --- r THE COMMQNWEALTH OF MASSACHUSETTS BOARD OF HEALTH No. ...... I ................ �i��o� �on��r�r#ion �rrmit Permission is her ranted...••--• .........---•--••. ................................. •-•-----•---•-----•-------•.......................•-...-•-•--................./ to Construct ( Repair ( ndividual-�Sewage Disposal System atNo.............. ......... .... .. .... ...•-- 1 Street as shown on the a ion for Disposal Works Construction Perm' . .:............ Dated.......................................... ............. ..... ---••-••..........--•--------------------•-•-•--••--••-••-.----- (� _ Board of health DATE........................ = Q Massachusetts Water Resources Commission/Division of Water Resources WATER WELL COMPLETION REPORT WELL LOCATION Address ."t. E •a c .l.y 1 GI.r -� City/Town t j J/Lln r G I �CLr- G.S.Quadrangle Map Grid Location Owner Address WELL USE CONSOLIDATED WELL Domestic Q' Public ❑ Industrial❑ Type of Water-bearing Rock Other Water-bearing Zones METHOD DRILLED 1) From To Rotary(type) Cable ❑ 2) From To Other 3) From To 4) From To CASING �r Depth to Bedrock r �--" Length �t Diameter (^- Type , �r fl( , UNCONSOLIDATED WELL STATIC WATER LEVEL/. Water-bearing Materials Feet below land surface a.� Sand: fine❑ medium Q�coarse❑ Date measured Gravel: fine❑ medium❑ coarse❑ Screen: GRAVEL PACK WELL Slot# length from to Yes ❑, No ❑ Split Screen (or 2nd screen) WATER QUALITY TESTS MADE Slot#It) length '� from 14 to Chemical Qy Biological ❑ Depth To Bedrock PUMP TEST /J Drawdown feet after pumping days hours at GPM. How measured -e Recovery feet after hours. LOG of FORMATIONS COMMENTS: lOn well or water) Materials From To 0 n' m (� } DRILLER ` Firm �rJ H r �jC`i1 �wy�-<r� o Address City ee���%�� Registration No. 1»� 1 + Operator's bignature Please print rirmly 10M•9-78.150519 J Log Number: Bottle # C019 Date: 5/2/84 OF snR �•� ti3� BARNSTABLE COUNTY HEALTH DEPARTMENT SUPERIOR COURT HOUSE J - BARNSTABLE, MASSACHUSETTS 02630 ° SAS$ ' DRINKING WATER LABORATORY ANALYSIS PHONE; 362-2511 EXT. 331 Client: Donna Booth Collector: Q. A. Scannell Mailing Address: o Joe Pennini Affiliation: D. A. Scannell Well . Drilling 246 Willimantic Dr. Time & Date of arstons Mills, MA 02648 Collection: 4/30/84, 2:30 Telephone: 477-2811 Type of Supply: well water Sample Location: Ot 3 .Spur Lane Well Depth: 60' Marstons-RiTTE Date of Analysis: 5/l/84 Parameter Sample Result Recommended Limits Total Coliform Bacteria/100 ml 0 0 - pH 5.5 = Conductivity (micromhos/cm) 50. 500.0 Iron (ppm) 10.05 0.3 Nitrate-Nitrogen (ppm) 0.40 10.0 Sodium (ppm) -- 20. XX Water sample meets the recommended limits of al.l above tested parameters. - Water sample has higher than average levels' 'of nitrate. Future monitoring is _recommended (2-3 times per year) . . The low pH of the water• may shorten the useful life of the house's plumbing. Water sample may present aesthetic problems due to Water sample has high levels of sodium. Persons on low sodium diets should consult their doctor. Water sample is not recommended for human consumption due to Retesting is suggested. REMARKS: CC: Barnstable Board of Health � e th � CC: D. A. Scannell Well Drilling Lab Director 11/7/83 , SECTION - SEWAGE - - -' �, � = 6�•��.tio ��. -SEPTIC TANK - - "D"BOX - - LEACH 'I TOP OF FDN • • (MSL)* "2"OF,IeTO V2" -i WASHED STONE � '�;' �-'�j_•�,,. —,•___a_._ \ 60 . y IN• OUT IN• + �'� {C7Gj[,G OUT• IN• — _tf ; - l• Ian l I. I la TANK EPTIC �' S I \� \J1 , ELEV. ELEV. ELEV. �O 1 ELEV. ` ELEV. ELEV. '7 I.d —.� I.o' \ �� /�'! n El.1sV• " / ------..:p. OFH."-1V2" \ / WASHED STONE \ 4 5 ! TEST HOLE LOG TEST BY 'FA,�$�ou�C, 1 TEST DATE 4-/I /Z-4- WITNESS DESIGN Z BEDROOM HOUSE T.H..# 1 t�� T.H.I 2 ELEV. ELEV. � / N� / !� Vn NO ` I PERC RATE LZ MIN/IN. DISPOSER DISPOSER J© PLOW RATE Z2o (GAL./DAY) Z2. �- � , /'" _ r,S t SEPTIC TANK Z-Z.c> (1.5)= REO'D SEPTIC TANK SIZE I CDG'C� .J \ rf r 1 j r JI r to cam+✓ �.,,, ,u�.. LEACH FACILITY >+� I r,�M• ,..� l�� / �` ' r• ,/ SIDE WALL xSo.& (Z,S ) _ �'�-7 G/D. -T w,w 41-Tl•' c 50 4- ( �.t7) = SO• i G/D. Lr�ca �.�- ..wr• \ ' /, BOTTOM p�T r r �A ,� c vim` •TOTAL ZoI. I `� _ 4L-1 6/U , ` t_� 3 ! USE: CJI`I>� LEACHING SIT 144' S[o.Co rr ` ' W o Ca b G s✓T� 'A ?S G t-� s7�A, WATERENCOUNTERED s r NOTES: (UNLESS OTHERWISE NOTED) I r 1. DATUM MSL I TAKEN FROM GL�TU IT ( ) _ - QUADRANGLE MAP � ','"', ,,,��:�w \ _ •g�o N 2.MUNICIPAL WATER••••••_•AS I`+c>T AVAILABLE �' •,;.,� ••---•---------•--..• - 3.PIPE PITCH: 4."PER FOOT �• IU r/;��,. •'��.n�'1 f 4.DESIGN LOADING FOR ALL PRE-CAST UNITS:AASHO - ry DISTANCE AS CERTIFIED 44 t/;•-; ���(} I S.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES: (1) FT. 6.PIPE JOINTS SHALL BE MADE WATER TIGHT 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. • <+ I F�R,3a�• ; j STATE ENVIRONMENTAL CODE TITLE 5 4 SITE PLAN t Jt L�Z LOCUS: �6'3 -WA4Zi 'Y ESCf�"rF— nH•F��2we Tc REG.PR y` ION'A GINEER REF: a�' 2,�' ?�' cA—1 .. .�%� y�D Yd cape engineering PREPARED FOR: (' CIVIL ENGINEERS LAND SURVEYORS. _-----_----- BOARD OF HEALTH REG.LAND SURVEYOR SCALE 2 CONTOURS (EXISTING)-----•--• Bp.Z',•Ig'1'/i.�l.. �, 828 IiA $!. (PROPOSED)—0-0-0-0— APPROVED __.�.,DATF __._.._ (MA Y� DATE � ��" k0 110 MPH EXPOSURE B WIND ZON� . Table 2:General Nalling 3itmdule JOINT DESCRIPTION Number of Number of Nail Spacing _ Common Nails Box Nails Roof Framing .. Blocking to Rafter(Toe-nalled) 2-8d2-10d each end RIM Board to Rafter.(End nalled). 2-16d. 3-16d. each end . Wall Framing Top plates at Intersections(Fac-nailed) 4.16d 5.10d at joints. Stud to Stud(Face-palled) 2-16d _ 2 Y6d 24'o.c. f Header to Header(Face-nailed), 18tl' 16d 16'o.c. lpng edge, Floor Framing Joist tb Sill,Yop Plate or Girder(Toe-Nailed)(FIg.14) 4$4 4-10d perjoiat- .Blocking to Joist(Teeilaiied) 2-8d 2-10d. each and j3bekln9.to.SIII or TOP Plate(Toe-palled) 3-18d 4-18d each block i... Ledger Strip to Seam,or Girder(Fa-railed) 3-16d 4-16d each joist Joist on Ledger to Beam(Toe_Naiied) .3.8d 3-100 perjo(sl Send Joist to Joist(End=nalled),(FIg.14) 3.16d 4A6d perjoist- .. Sard Joist to SIII or Top Plate(Toe roiled)(Fig.14) 2-16d .3-16d per foot Roof Sheathing . - Wood ShuCWrel Panels " Rafters ar tiµsses spaced up to 18'o.a Bd 10d 8'edge!ss Held 1 - Rafters or trusses spaced over 16'o c.,. 8d t00 4"edge)b'tteid . Gable endwall rake or rake miss w/o gable overhang 8d 10d S'edge/6'field Gable andwati rake or rake truss w/structural cut Ieokers 8d 10d 8'edge/B'field . Gable a or rake try w/lookout blacks 8tl 4 g 4 field ; r 0ndwall take buss ocks 10d 'ed e! ' Ceiling Sheathing 7'edge/10'.field ' Gypsum wallboard Sd coolers Wall Sheathing _ ..Wood Structural Panels .. Studs spaced up to 247 o.e. 8d '10d fl�edgef 12'field . - J and 25/3Y Fiberboard Peneis 8tl C1) _ 3'edgef C geld . "W Gypsum Wallboard Sd coolers - 7'edgel 101 field . Fibs Sheathing Wood Sbtictu2l Panels - 1'or less 8tl 10d t fletc . Greater than l' 10d 162 6'edge/6:.._,... ('1)Corrosion resistant 11 gage nails and 16 gage staples are permitted;check IBC tar addNonal requirements. Nall:Unless otherwise stated.sizes given for nails ere compron wire saes.,Soz and pneumatic pails of equfvale diambler d eq common s may subsbW o Ise _. tli ual or greeter len th to the speaffied n pad m be " tee unless thew ! p 7. .. . _. _. $iT I I i y .. ..LPj AA.tuS"'-/CTL0N I SIr3E 'CtO_ i' . -. ._.. --..... -. -_-_ , I �— 0_cc j'T 41 In f1:"Y1l,t-'M440CY1'CPaCFILLEr) CCf'w*TutlES CGCt:6ivK''), '4Y`ht>V..gILLJ.v FINIC.N 1�48,0'77 1