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HomeMy WebLinkAbout0111 LOTHROP'S LANE - Health 1,11 Lothrop's Lane A=110-038 West Barnstable . F i v V '; N a ti t 4210113 BLU 10% N ���'� TOWN OF BARNSTABLE 1 0 O 3$ LOCATION L jr L0114�OpS ( .��-AVA SEWAGE # R7-7VO i1��o3 8 VILLAGE (?Fgf ASSESSOR'S MAP LOT INSTALLER'S NAME & PHONE NO. C0 �e SEPTIC TANK CAPACITY fs00 CA(OAI LEACHING FACILITY:(type) pRECt%jr L&oq�A Prr (size) 6 j& NO. OF BEDROOMS- PRIVATE WELL OR PUBLIC WATER U&L, BUILDER OR OWNER VlL�E tF� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No t� �216 6-71 5 y f� / '3 > No..��---�_.... � ...... ............. THE COMMONWEALTH OF MASSACHUSETTS Fps BOAR® OF HEA -TH ApplirFatiun for Diapm al Marks Tonstratrtiun Prrutit Application is hereby made for a Permit to Construct (�) or Repair ( ) an Individual Sewage Disposal S stem at: ��.�...._. ..............*) a .... L ...................................................... --. . ....--......................_ .--. Lat -Address 6 / A c -------------- ------ -------- Ow r r s ........ 4,s, r ---------- e .._ :T r s_[�^l�i ..... Installer Add, s Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms_._....�------•-_-----•-•-------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ------------------------------------------------------••-•---------------•-•-----•-•-------••---•--••-••-•-•----•-••---------•-••----------------•--- W Design Flow............................................gallons per erson p r day. Tota a' --------------------------------------------gallons. W Septic Tank—Liquid capacity_._._...___.gallons Le t ...... ...6�h Width. Diameter________.____.__ Depth................ x Disposal Trench—No_ ____________________ Width............ . ota L ................... Total leaching area....................sq. ft. Seepage Pit No-----------_-------- Diameter.................... pth b .ow inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ) '-, Percolation Test Results Perfor by---•------------------•............-------•---•-------------------•.•--... Date........................................ Test Pit No52.. .......m' ut inch Depth of Test Pit.................... Depth to ground water-._____.______-----__.-. GL, Test Pit No .......ni es per inch Depth of Test Pit___................. Depth to ground water..____....._........_._. ----------------------------•----•-•---•-•----------------•--••--------.....................•_.....-•-•------•-••-........-----------•---------------0Description of So -----•..............•-•---------------------...._.......-----•--------•---•------------•----••-•-----•--.....------------------•--•-•-•-••-•-------------... x --•-•----------------•---•- ---------•-----------------------------•-----------------------••--------------------•••••-------•---•--•----------- -------------------- •--------------- 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 iI:t 1 51 of the State Sanitary Code— The undersigned further agrees not to place the system in p p e n issued e health. S_i n g ' /1 operation until a Certificate of Compliance has� '���' --- - -----------------••-•-•---------...--------•--------- -------- ---..... ....-- --- ---Application Approved By---A, •••. ---------•••---------- ................................................ ate Application Disapproved for the following reasons----------------•-----------•---------------------------•----------------------------........................... ...--•------•--......•••-•....---•---••••••---•---------•--------•.-•--•-----•-•-------....-•--------••-•------------••-•••----•-------•-------------------•-------------•---------•----•--•--...•-•--- Date Permit No.. 8. -F-1_..- ----------------------- Issued_....................................................... Date FEic THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H EAt..b TH a. w -_-----_--OF....... ��:..r....�..�.. ..................... Appliratiou for Disposal Works Toustrur#iott Prrutit Application is hereby made for a Permit to,Construct ( ) or Repair ( ) an Individual Sewage Disposal S stem at: ---h-------------------------------•------ ..._ .............................•-- -•---_..................-•-•------------ _I 1 L I Locati o -Address _ / or U t I � Lf� r�` .. � a�y f�.4 �x_-� t C -------------•--------.. ......•.......... ...- ...� W { .^- Installer Addrees Type of Building Size Lot_____----------------•--.-.Sq. feet Dwelling—No. of Bedrooms___....................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers �1 — Cafeteria Q' g Other fixtures --- ---..........._ --•----•. .....--.-••-- ------•----•-----.••------------••-•--------------------------•-•--••----�•--•---- d W Design Flow...................... gallons er- erson r day. Tota� y_flow.........................•........_._............................................ WSeptic Tank—Liquid Td capacity.._..._._..gallons Le`�gt ---------.-•-- Widths........—....._ Diameter________________ Depth_.. .Ions. Disposal Trench—N o. .................... Width..........._. Tot th,_...........•.._-_- Total leaching area_........__...._.._.s . ft. x a P q Seepage Pit No--_-----_-------- Diameter.......... pth b low inlet.._..._............. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank 1( ) Percolation Test Results Perfor ytq by Date -_______m• ut er mch Depth of Test Pit.................... Depth to ground water........................ Test Pit No --�,. J� Gr, Test Pit No 2________________nQi�Iutes per inch Depth of Test Pit.................... Depth to ground water.__-.______..._-.._____- ODescription of Soil........-•--•-•-----•--•-•---••-•---••--•--•------...•---------------------------•-•----------------•-•---•---••-•-----•----•-•---.................................... x VW ------------------------------- ----------------------------------------------------------------------------------------------•----•--••--••----....--•-----••--•------•----•-•----•---•------•..---•-- 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 T! i j of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has ben a issued the f health. Signed.._ c�L / a ' Application Approved By--- -----t---- � �r -- ----- ------- Date Application Disapproved for the-following reasons------------------•--------------•---------------•---•-----------------------•---------------------._......------ ----------------------------------------------------------------------------------------------------•--••--•--•--••--••-----•••-----•••----•••-•--------•-----------•-----•-....-----•-------•-•--- q, ' o 1 Date PermitNo. .- I......,.__.........--• ---------------------- Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS /� '1 �6r BOARD Oy�FHE�ALT 6 .........!...v 4 v ..OF..... - /....1.!'. .!.!!.. .....".. .................... Trtifiratr of Tompliaurr THIS I TO C�, T That th fit' idual Sewage Disposal System constructed) or Repaired ( } by ----------------- at.............. -y!°: � �m y c)--- .. . i=S l t�---------------- has been instaiied in accordance with the provisions of TI1 E j of The State Sanitary Cod as esc 'bed in the application for Disposal Works Construction Permit No.._$_7r__ ---_--__. dated_-..-E� _. �. ................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GU RANTEE TI•IAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................... ....... ........................ Inspector..---•--•--------..W.'D................................................. THE COMMONWEALTH OF MASSACHUSETTS ......... r .1.44..OF RD.Bp�OHEALTH ---------------- r ' ��.lnd/J l"t .....` Disposal Works � Its io rrmit Permission i hereby granted..----L- '�:t l ......... ............................................................. to Construct ) or epair ( ) an Indivii �a rspos S t � ) �� „ D,�) �Q ) 4L i�'C,.. �.1L.4.�.. � Yt:eet f�/rl%J uC77 .......... ` � C."..._...... as shown on the application for Disposal Works Construction Permit No.��l.—]'.74.vDated...... ............. ....................•--•-•-•----------------------------------------------•----....................... Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS Department of Environmental Managemegt/Divisionof Water Resources Ct i WATER WELL COMPLETION REPORT _( WELL LOCATION i Address ! I t P d.0 r City/Town r (3rxr^11,5'-�m Yt �e G.S.Quadrangle Map \ Grid Location Owner ���t` bt, ,r I pc4 k E�/ \\ Address ('00) S.3/r�r � Q/1f flA)er A M)q 62 r i WELL USE CONSOLIDATED WELL Domestic[l Public ❑ Industrial ❑ Type of Water-bearing Rock Other Water-bearing Zones Method Drilled C� fp Y(� 1) From ' To - 2) From Tn.� Date Drilled >'�- 7 3) From To 4) From To CASING Depth to Bedrock Length (a i Diameter Al Type P16?.'>"f / G UNCONSOLIDATED WELL STATIC WATER LEVEL Water-bearing Materials. Feet below land surface r/f Sand: fige❑ medium[coarse Mf Date measured R7 Gravel: fine❑ medium❑ coarse❑ GRAVEL PACK W Screen: WELL Slot* length-�/�/from to Yes ❑ No [. Split Screen (or 2nd screen) WATER QUALITY TESTS MADE Slotg length from to Chemical Biological ❑ Depth To Bedrock PUMP TEST / Drawdown D feet after pumping days hours at C20 GPM. How measured On 11_pC' fj ;n Recovery feet after hours. LOG of FORMATIONS. COMMENTS: (On well or water) Materials From To 0 1b DRILLER ran l t l� . Firm �A� � - VtG- ; "'5()n Address City 1::,! Y-10's Registration No. pe ator's Signature ease print ormly BOARD OF HEALTH COPY 25M•10 115•so71o1 ::::sf::{:ss:s::s:::r:rr:r{:rf::sf::::::::::{:::r:s ss:r::{s{: {::f:s ssff{fffrsff{{{ruff{r f f{sf:::i::Frif fir:s::ss:s:{ frrs s: ::s::{sf:: fsfff{:s:::rf:r s:ffr:f::s::::r:ss f f rrtR t{s s.=i „#,r: 5,,f,,, t :r,n,t#1,=,#„�j, ...tt{ ,rt1„ ., t, (1.t # EN` IROTECH ]LABORATORIES 449 Rte 130• Sandwich,MA 02563• (617) 888-6460 CLIENT: Peter Hawl eV LOCATION: LOT 5 Cedar Street ADDRESS: Box 317 W Rarnstabl_e,HA E. Sandwich,MA 0253- COLLECTED BY: Meehan well SAMPLE DATE: 1()/20/87 TIME: Q 30 AM DATE RECEIVED: i n/�?n/87 SAMPLE ID: RT 1gQ » JOB #: New Well WELL DEPTH: 135 ft RESULTS OF ANALYSIS: Parameter Units Recommended limit Result Coliform bacteria/100 ml (MF Method) 0 0 pH pH units 6.0-8.5 6.68 Conductance umhos/cm 500 102 Sodium mg/L 20.0 12.8 » Nitrate-N mg/L 10.0 .07 Iron mg/L 0.3 <.05 Manganese mg/L 0.05 Hardness mg/L as CaCO 3 500 Sulfate mg/L 250 Potassium mg/L 20.0 - Alkalinity mg/L 200 Chloride mg/L 250 is » COMMENT: » YES NO µ g ❑ WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TE ED DATE EE fttiJii!#itiiiiiiiissiiii�J�i�fiiiii:i:::iisiiiii;iii:iii::iiiifiiiliiiiiif�ii132iii:iiiiii�ii:iiiiiiifiiiiJiiiiiiiiiiiiiiiiiiii:iif:SiiiiiiiiiiiiiEiiitiilili:i SSllitfiili&IEiilitiiiliiii!li::iiiiieiiiiEiltiiiiiiiii:siiiiililiiiiifiiiiiii ` ` S 0 1 L LOG i -_ NO. 1 5� 0 NO. 2 SITE PLANF 56 (L �.1Jt��'R 'G0 ) _ 4.q 1 /1U CCo 0 S 15T A u T W +r N �v,� a �� 2 Lc�G, As ODWu COroTAC,T 4 3 E IJ 61 1�I E Q !� N �A 2 I�Fi2N 5 TA 8c 4 b 4 WOW- ��JDA 20 r x�-rti A F_-JT C, �u 4 S 9 •.. TOP Of FOUNDATION EL.: ___ _._ , E1, ' ' ¢ .• L �' l� �7 pin _ 4 ✓ ' t;J\�c' •,l�� r , ' 4 z B • _ INA �_ Wit � 4 FL 9 "' dfs9 11 ^- 2' COVER 1/1 -S/B WASMEO STONE • IN.lt. • ' �n VIJATEtZ 12 ' E_0L. 0/8 W/ i" SUMP IN El as���, ,,� ..� : a S/4-- 1•-1/2" WASNED STONE Id 13 •• 4 LIQUID LEVEL a • • ;r� , , , 14 �^a V � • 6•EFf. OEPTH6 PERC TEST 1 RESULTS e : p00e, • r . ' PERC RATE : < z r` 1 PRECAST SEPTIC TANK WITH i e • � ' PRECAST LEACHING PITS --- - - - CAST IN PLACE INLET AND EL. f:� ; ' 6 "EF_F, , u� - WHITNESSED BY: T, NO.: _� SIZE : __. �� 'vNc OUTLET T S PER TITLE �— ,. ,. , ,� � ., j- ;444, lb W".•r JiEA�ITH i • SIZE : ! I �.. DtA . -� - y �r4= 1A ksw, . �0 PROFILE OF PROPOSED SEWAGE SYSTEM SYSTEM DESIGNED BY THE TOWN OF 2l !�7t� �' _ RESULATIONS AND w - STATE TITLE Y FOR SUBSURFACE DISPOSAL Of SEWAGE . SCALE : 1/4 = 1 O I' 13 • — t 50 _________ _ __-- w 1. All PIPES SHALL BE SCHEDULE 40 P.Y.C. SEWER PIPE 2. All PIPES SHALL BE SLOPED 1/4 PER FOOT EXCEPT FBI THE FIRST 2 FEET OUT OF THE 0 / 1 WNICN SMALL BE UVEl `1 ►ins +, ` S.. DESIGN FLOW 4 BEDROOMS AT lle GALDAY PER IN. 44,2. GAL/DAY SEPTIC TANK SIZE X GAL. J / o ARBAG 01 P SA EAt oil-r �-- . 1 ' w \ v� © W . USE ..,.,�L 6 Al. W ____Z 6 E S 0 l , . LEACHING SYSTEM: USE Asr (_.. a- �c_ti imp tr'- Ts EFFECTIVE AREA: S ?" _ .� ,. • BOTTOM err ��z- '4 � ; � 26 ' TOTAL FLOW �¢�X2 -''J� �! � ,, � ; :. t, • , - �_ � TOTAL RE 'O FLOW -� X 1, o � Q W/a..;� RBA6E DISPOSAL ' ' RESERVE FLOW AL/0AY • A 6 �: REFERENCE PLANS : ______ �$ � s•� ' N '►s-Qo_pp6 i i } _ 4 I APPROVED BY : _. _ .. BOARD OF HEALTH + DATE : PROPERTY OWNER • 4�j1 y - - SITE AND SEWAGE PLAN _ uv rq6 T1; - `s BE D R00m Si N dAM F1W►►l`1 L7wi.1.11 rr G , A i ti A r U 2 DA uCam F-pi+w QA TL oc Z 2,, 11�V 7 vU rT N 1/I S Tc.Q �`� `► E�+STER� � W 1 Ll l.1 E IL it m/BUJ • r 1 1p►Q r 23�� 1 IIA e 5