HomeMy WebLinkAbout0142 CARLSON LANE - Health 142 Carlson Lane
West Barnstable
A= 110-034
i
ry r-
TOWN OF BARNSTABLE
LOCATION 4yf'&/2 J, L ggLsoN* �alve SEWAGE
VILLAGE We5f-iiA0�fKl6d'f ASSESSOR'S MAP & LOT �D'� 7
INSTALLER'S NAME & PHONE NO. CEW Al& fe-`
SEPTIC TANK CAPACITY �� � ( �a O ✓��- LG
LEACHING FACILITY:(type) Preca-cif (size) LDD 44
NO. OF BEDROOMS 1 PRIVATE WELL OR PUBLIC WATERf 2&44#4
BUILDER OR OWNER ?oI erg ,4a a. lJ4A4
DATE PERMIT ISSUED: C o -23r e6
DATE .COMPLIANCE ISSUED-. 3 � 16
VARIANCE GRANTED: Yes No
2 Vo0AeA-L
LPc 4-e,
O
Lo
t 03
Ficic..7 ..........
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
.-. -W---i'.1.-----.....OF.....75AFn 15 A,_51�C--------•------------------
Applira#ion for Disposal Works Tonstrurtion rrrutit
prI Application is hereby made for a Permit to Construct (�or Repair ( ) an Individual Sewage Disposal
Of IN
at:
................Z_--�A �:��.�....-L'� P_ L-67--•••------------------------� ........1Z-.....---•----------------..............--
Location.-Address or Lot No.
zL A: 9 , I. .._Tu�•Tj.6.1?&�►� ��:...'►�1I-� S IDS_.. 1�4.�-5... A�_ c64�
..hj( „Owner .Address
.`....•...........
Installer Address
Type of Building Size Lot---�3,510-----Sq. feet
Dwelling—No. of Bedrooms......... ----------..4.................- .Expansion Attic (ND ) Garbage Grinder (Yt-,�
Other—T e of Building No. of persons............................ Showers — Cafeteria
Q' Other fixtures ............................ .
W Design Flow................5_5_.._....__._.._.._..gallons per person p4er day. Total daily flow........4. Q............._....... lons.
W Septic14
ank—Liqu d capacity�J.O.0.gallons LengthA.Q.--�o-.. Width._S.._".8.- Diameter................ Depth.5....j. .
x Disposal Trench—.:`o..................... Width.................... Total Length.................... Total leaching area--------------------sq. ft.
Seepage Pit No........2--------- Diameter.......l.Q_ Depth below inlet....!. ._._. Total leaching area--- ft.
Z Other Distribution box (' ) Dosing tank (
Percolation Test Results Performed by... _.___Q _L�- _._. SG.�A:1_ ....... Date..................... ..................
a
Test Pit No. 1....... ._..minutes per inch Depth of Test Pit.._..�. ........ Depth to ground water____- QT...FNC,
fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
R+' f---------------------------•.-._..•-••:-
Description of Soil...-f�_`rjez__ -.__. __��+o t_1..._. --. Q .....................
d.. ..- -
t �r �IGN4�1- _
litiST__ALLATIO[1t. t�!!?.��r `�t`r%_r1V)St
U Nature of Repairs or.Alterations—Answer when applicable--------------
----------
Tpl:_'S'Y�JEM
�"�$9rY ilv ijyyIYING
Tp SYSTEM._l�JAS_.I. TA���f3 fib i RiCT
..._______________________________________________________________________________________________________________________S i . _ ....
Agreement: AL-�ORDANCE TO PLAN
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Ti Ti 1,E 5 of the State Sanitary Code— The undersigned further a t to place the syste in
operation until a Certificate of Compliance has been ' su by the a of health.
Signed ... s ...... ..... ... ......... .. -
Date
Application Approved By----.. -- --------- - ----------- -•-------. ....................
.�..
Date
Application Disapproved for the following easons:..................................... ..............
...------•---------••---------------•.....-----------------......--------------.......---------.......--------------------------------------------------------------•---•-----•-----------------•------
�7 Date
Permit No........ ................. Issued_.........-b.._ -L -..a1n-- -----------
Date
� � Y
s
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
......... -oF....�� AR .S T'A. 1� .........................
Appliration for Disposal Works Tons rurtion rumit
Application is hereby made for a Permit to Construct (/-�or Repair ( ) an Individual Sewage Disposal
System at:
................................................LANE l"Z..
---------•-•-•--•-••.....---••---••--•-------- -----------------------••-
��� Location-Add'ess � ' 1 ug-r _` AcK or LoSi � `c �' �/ JI S
'... .._A K 4._.....�'11� ..........................
.�. ►Yl A N..J..... .L .._4 (p`'}
Owner Address
W
Installer Address C
UType of Building Size Lot__-3'•_,.-r__.....A......Sq. feet
Dwelling—No. of Bedrooms........ -...............................Expansion Attic (40 ) Garbage Grinder Yes)
`4 Other—T e of Building No. of persons............................ Showers — Cafeteria
Q' Other fixtures ..._.....--•----•---------•---•• . •. ••-• •-
W Design Flow..............a_5....................gallons per person per day. Total daily flow.......4-4-Q-_-------•---•---........gallons'
G: Septic Tank—Liquid capacity S Qd_.gallons Lengthi b..- ___ Width.�- ...'8._ Diameter___-_-_---_-•-_- Depth5
W Disposal Trench—No..................... Width.................... Total Length...............T... Total leaching area-----------_--------sq. ft.
x
Seepage Pit No....._.z_--______ Diameter......I-Q_._------ Depth below inlet...3 t ....... Total leaching area___;�_ Z...sq. ft.
Z Other Distribution box (' ) Dosing_'-' Percolation Test Results Performed by.-___.__C'YI- .=..__._�S �G i......':�S Date_____________________ _.
�a Test Pit No. I......z.....minutes per inch Depth of Test Pit.....1.z-..._..... Depth to ground water.N:JT._.F IBC.,
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
-------------1...... ,_t it. ------•-----------------------.........................................................
D Description of Soil O p.T�?-�J; 1 ti' .......................... -------------•----. ----- ---
------------ --------- -----
------?� �' 4 Al Y .�_ .1............................................................................................................
•-•---------------- --- ------------�----�Q---!--------------V_-----------W------•--- -------------------------••---•------•-------•-•-•---•-•-••-•-•------------------------
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 11=L°•. 51 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issu d by th boas`of health.
Date
Application Approved BY !r�......
Application ----•'-f..?::.=----•---•---•-••-•-•-••-•-_- . ,
'� `� ��
Date
Application Disapproved for the following easons:--•-•-•-•--•._........••-••••••-••••---••---•-•••--•--••---••••-------------•----••--•-••... a.t e-------------
..••••••••••--•-••--•••••-•--•••---•-•--...--•--....•---•---••-•--••-••••-----••--•----•.............•---•--••••••-•----•-••----••-•--•--••••••---•---•--•-----••••--••-------•------•--•-••-•-••••-----
Date
Permit No.......` 1 ------ Issued_.................................-
.......... �..--•-•---•--•- -•------------------
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
,a� ! ? ..............OF...+ � ..................................
wrtifiratr of Tompltanrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (t..- 'or Repaired ( )
b ... t ^��: � ....rl s�Z tfc.7. �2.� �_ .: �11- / ! -s..:..............•---....-•---...------------------
Y r
has been instailed in accordance with the provisions of T T T LE 5 of The State Sanitary Code as described in the
^ t ---- L
application for Disposal Works Construction Permit �o.__�._-_____-i__'____________________ dated_....�__�' c-----`___---_______..
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRU ® AS A GUARANTEE THAT YHE
SYSTEM WILL FUNrTION SATISFACTORY.
DATE. ..l ... Inspector................ .. ..•...........�L �••--•-••••-•---••-......----........_•.....
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
r .-............................
.... FEE ..................
Disposal Works 01111natruction rrrmit
Permission is hereby granted.-!!&max!_1"ea.<�. ..
to Construct (l or Repair ( ) an Individual Sewage Disposal System
at No.---1 eLX..../_ �....l�r� (__.fit :.2 �:... ....— :,✓.y._�et --------------------------•--
Street �-
as shown on the application for Disposal Works Construction Permit No.�___a..'._'..... Dated.I-'....................................
/ r
.................. .................... ..ar••ot Health•••-••••....•-•--._..........------•-••—
1
' S
DATE---•--------�E----Z.--=;-•-lj�-•�•�---�j--------••-•---..
••--------------•• d 1
FORM 1255 HOBS & WARREN. INC.. PUBLISHERS
OG° Department of Environmental Management/ vision o ater RErces
WATER WELL COMPLETION REPORT
_ WELL LOCATION+
Addressr Je (i •:�
r
City/Town r r(
G.S.Quadrangle Map
Grid Location
Owner
Address •XJ r)C,S
WELL USE CONSOLIDATED WELL
Domestic Q Public ❑ Industrial ❑
Type of Water-bearing Rock
Other
Water-bearing Zones
Method Drilled [ f," a ' 1) From To
S�4 "- +*.
2) From --ram"- -
Date Drilled 3) From Tc
or 4► From To
{ CASING Depth to Bedrock
Length `' Diameter
Type O�f'c UNCONSOLIDATED WELL
STATIC WATER LEVEL Water-bearing Materials
Feet below land surface Sand: fine❑ medium❑ coarse❑
Date measured Gravel: fine❑ medium❑ coarse❑
Screen: __" 1
GRAVEL PACK WELL Slot#(9 length from t I"' to I
Yes [� No ❑
Split Screen (or 2nd screen)
WATER QUALITY TESTS MADE Slot# length from to
Chemical 0 Biological ❑ Depth To Bedrock
PUMP TEST
Drawdown'> r k- feet after pumping days hours at GPM.
How measured Recovery feet after hours.
LOG of FORMATIONS COMMENTS: (On well or water)
Materials From To
0
M
i r m
Firmt r.
` U( 0
Addressti �'' S jr \
City
Registration No.
I,
• 4
perator,s Sign re
Please print irm y
BOARD. OF HEALTH COPY . 4 15M-2 84-176471
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PLAN BK. 89 FG.
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1-�
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i
- --------- -- - — - ----
C.' BENCH MARK
CS p s ^ !
O Survey disc at LOT 13 \
% m I lot Corner.
m Elev.- 86.60 \
LOT 10 C) Cn
' r 1
E I CF+::ts_, LOT 14
' � 3 � � Win• � _ :=. '.;':� r;� -
1 _ �flof clnr•e
v
Epp` J
\�( �-' E_,EP. E
i
- \.\ EXIST. - - 150CGci:--�I� _ I
0 T ! FDN. /W �- TEoTK ; gEc�R'v'E LOT151
1 _. ...._ 01
125.7 /
ARCEL "All E Hi , PIT ,.e S
jr--�88
LOT 16
�0
rig
• �.' C' Xis,•,
LOT I I ,
p
r
'•p
i
F—
::� Z 0
c _ �
FE
Catch BENCH MARK
� y. w
Basin 0 IL J
0 Survey Disc at Z �
lot corner. L 0 1 13 �' F
c, Elev.=86.60 CL v z g
� Zia.
(o M
t �\ '. O f Y 7 ¢ < O
L 0 T 10 in
�� 'so Z s0 � U
�/ - a 3p � Z
' J } Q
a_
<
I s {� U
I \ h `y
� 92
, 2
90
r
a' n 6 diam.( 600 Gal.)
LEACHING HIT• LOT 14
s, - 2 ft.of stone all
_ w around. N wells
O Goroge°= 4 Fad-jus
8- 15 0
6' / g' O
w
(9�p O i/ — 34 —
' Hole . PRESERVE
/ 4 N 14 i 12' O'min,
I�j� 25 DIST.BOX
— /�/ III�I1
CV \ e / 1500Ga: I '
�/� Proposed w D ck SEPTIC �-�, ,RESERVE L O T 15
L <,,,. u' HOUSE/ TANK I j�
rn
43, 5 9± S.F.
M g, 2
O tn
u N CO 6'diom.(600 Gal.) NO
II a �p Is LEACHING PIT
/ 2ft.af stone all
PARCEL A
around. .
88
:S
3
LOT 16
0� Existin o
9
,i l: 0T
y
i f
°Existing
O Well
tT.
i
t
f 10/22/86 Changed size of leaching pits. R.S.J. ✓[/9�
DATE DESCRIPTION Drawn by 'Checked by
NOTES
R E V I S 'I 0 N S
1 . ZONING DISTRICT: RESIDENCE F. PLOT PLAN
2 . FLOOD HAZARD ZONE: C . OF PROPOSED SEWAGE DISPOSAL SYSTEM ,
3 . ASSESSORS MAP NO 110- 3 4 I
PREPARED FOR
4 . HOUSE NO.: 14 2
5. THE NORTH ARROW IS DERIVED FROM RECORD PLANS POLCARO CONSTRUCTION COMPANY, INC.
OR DEEDS-, THE NORTH ARROW SHALL NOT BE USED I F O R LOT 12 C A R L S ON LANE
FOR ORIENTATION FOR SOLAR HEATING PURPOSES . IN
6. REFERENCE: PLAN BOOK 389 PAGE 5 . WEST BARNSTABLE MASS .
7. CONTOURS AND ELEVATION.,$ FROM AN ACTUAL ON THE GROUND INSTRUMENT
SURVEY BASED ON THE NATIONAL GEODETIC VERTICAL DATUM. SCALE: 1 40' TDATE: SEPT. 17 , 1986 ----
holmes and mcgrath, inc r;9
civil engineers and land surveyors
- 200 main street !{{` No 30255
? t CIVIL
falmouth. ma 02540 - ,
GrST01
DRAWN: R.S. J. CHECKED: /1 q� \s`!or�aI �h
JOB NO B6343 DWG . NO 39-4-6 SHEET 1 OF 2
- 1 r
,,
, 3
-
` I E
SOIL TEST
.� in. w " from system.
- `a a and a t to stem shall slope a m of 2 /o away ro s e
Finish grade ,above djacen y Pe Y Ys
DATE OF SOIL TEST 19$6.
B OF DESI
GN BASIS
TEST TAKEN BY DOYL-E ASSOCIATES
4 diam.cast Kronor Schedule 40 PVC pipe (install with tight jomts:)
B Mr.' JACOBY
EQUIVALENT TO �4SZG.P.�.)
• <• RESULTS WITNESSED Y
I. NUMBER OF BEOROOMS.�_( it in to edge a of leach�n s stem )`
. 20,minimum distance (bud g 9 9 Y
_ 2 '
_ PERCOLATION RATE MIN./INCH.
2. GARBAGE DISPOSAL
L UNIT _
_ 10 min. dust. ,
GROUNDWATER NOT ENCOUNTERED I
` 6 ,
G.P D.
LEACHING CAPACITY REQUIRED
- .
3. a
3169
FT. ,
PERC TESTAPPLICATION N
- 2 2 6 T M AREA ���. S.Q.
4, SIDE AREA SQ. FT., BOTTOM
Tw
o o Pits Required
382
:
5. TOTAL. AREA PROPOSED SQUARE FEET
(Typical) SOIL LOG
7 I r
2
6. PROPOSED LEACHING CAPACITY G.P D.
- N 2
FfiYst Floor Access covers set ' N 1
WELL _ , .
7. WATER SUPPLY �- -Elev.- 90.5
1
at finish grade. - Depth Soils Elev. Depth Soils Elev,
NITS
8. PRECAST, REINFORCED CONCRETEU
a
0 68.5
. : A \
Finish - Grade � � � �
Pd
FOR H 10 LOADING. -. _., TOPsaI.. ,
0
- - in i
l 4 max. for H_10 loading design 8,
.. 2
S 0.02 . Removable M LOAM
cover 2, S-0.02
S-0.02 Ian backf ill
. }
,. Clean
,,. level
GRAVEL
�, � ., 2 la r of�8 to3/8
NOTES*
_ _� _ -- • , 4 4.5
� (� '. ' •" o' To
0 o s'-o e o va n washed Stone.
p "_— IL
o � � DIST � a� ,
. m TAN o
- SEPTIC T
80X Medium
ALL BE MADE UNLESS � _ ...
o o. M
(. NO CHANGE TO THIS SYSTEM SHALL ;� ,� o o{ _-GAL. m �, . ,.. ,,0 . 500 00 � SAND
$2.0 _n ; ++. ,� 36 Effective
AND MCGRATH INC. +� as
APPROVED IN WRITING BY HOLMES ,
r Y... o > > > „ Depth b
KEPT N w
2. A COPY OF THESE PLANS SHALL BE E 0 . w _ ,60o Gal.
y y > > > w Prevost concrete 'v
Foundationc c
Clc : _ _ � ` o � � 3 �
— — AC
SITE DURING ' CONSTRUCTION. o c LE H1NG PIT
Design by others o o Ei.-81.4 12 76.5
TFURNISHED
r �q-r�
3. A COPY OF THESE PLANS SHALL BE
2ft. 6f d►
CONTRACTOR INSTALLING THE SEWAGE. DISPOSAL -
t. om. 2ft
TO
2 ft of 3'4 to 1/2 washed stone 4.9
SYSTEM.
al around precast pit providing. PROFILE .
,
effective diameter of lO ft.
T TRAVEL .
Y CONSTRUCTION E EQUIPMENT SHALL NO -
_ 4. HEAVY QU - Not ,to `scale. ' - t El.= 76.5 bottom of test hole
SYSTEM _DURING OR 'AFTER CONSTRUCTION.
OVERDISPOSAL S S
I
SYSTEM HALL `BE CONSTRUCTED N
S. SEWAGE DISPOSAL. SST S
ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRON
MENTAL CODE.
_
F � THE SYSTEM, THE CONTRACTOR Y ,.
6. BEFORE BACK FILLING S S
MCGRATH INC. OR THE BOARD SHALL NOTIFY HOLMES AND ,
r l
CON -
HEALTH AGENT ' TO INSPECT THE SYSTEMAS
STRUCTED.
f
All ` let s from the distribution box shall
out pipes 10 6 All r
`be set.level for at least 2ff.from the box.
Knockouts. .
` p
.1._.�1 ,
tV
NNLET OUTLET -4111-
r r k l covers for a tic Tan .•• ,All access Manhole cov S „
OUTLET _.
INLET •. 4 , .
( p
Distribution Box and/orLeachi Pits set
�\ _I more than 12"below finished grade shbil be Outlet
co raised to within 12 of finished grade.y
� s g Knockouts
Heavydutyme tal frame cover or reinforced
r here required. •
concrete cover ove Ts w q p
Changed profile elevations .
�+ " Changed size of leaching its.
_ 2-0 1_2 10/22/86 g g p R.S.J.
Concrete block Conc or DATE - DESCRIPTION Drawn b Checked b
EEL_REINFORCED 'PRECAST CONCRETE
=: -
STEEL Back masonry, a. �, Concrete..cover. ,_..,, . Co�nc.cover'`-, R E V ( S I 0 N S
_. s 4 2
3 3
U_ Q
_ Removable covers a_
_ PLOT PLAN DETAIL SHEET
41/2+►
*._. ;--� .�. , a . -- .- • - '.- ..• • . - 1.--.- INLET—' �"`� / � Outlet � � ''z
Outlet
�1
„ 3 min.deorancx fired ------ _•- INLET"T,� - -„{ LET Knockouts ; Knockouts
IN>_ET ri' .�- _t3 z t OF PROPOSED SEWAGE DISPOSAL SYSTEM
;,2 min-inlet to outlet 6 min 2 mnn.
i �- -�- 4'_rnn_. — PREPARED FOR
.� ,4 - Dr,• to ,� � ALi id level-- amin. '�' 14 _ 6 min POLCARO CONSTRUCTION COMPANY INC.
' min.
'
ci t
--- _F o p FOR LOT 12 CARLSON LANE
E - EW
_ 4 - TYPICAL DISTRIBUTION Box IN 6 RNSTA6LE
WEST A ASS .
SCALE. I " = 1'-p" +
Scale,: As shown Date. SEPT 17, 1986
holm es and- me rat h inc.
9
civil engineers and land surveyorsROBERT
�, +� Qua +
0 5 -- 8 200 main street
t
f o lmou h , m a.0254 0
TYPICAL 1500 GAL LDN SEPTIC TANK h ked �
Drawn n By R.S.J. C ec By �-� ss�cr;
SCALE:*8" = I�-O"
JOB N2 86343 DWG.N'139-4-6 SHEET 2 OF 2CIVIL N
r