HomeMy WebLinkAbout0215 PERCIVAL DRIVE - Health LOT 24 PERCIVAL MW.
WEST BARNSTABLE
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LOCATION a(j e RJ , SEWAGE # 'S
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VILLAGE � � lAS�-Rb� ASSESSOR'S MAP & LOT# - ,(.(
INSTALLER'S NAME & PHONE NO. T \Iaa-,, 'Carr
SEPTIC TANK CAPACITY /Soo
BLEACHING FACILITY:(type) (size) /qdp cello
Q.NO. OF BEDROOMS 4� PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED: S 9
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes ..No,�/
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
i............ O(J1l�............OF....... STA.Pj.L, ............
ta-1�
Allpfiration for R-4paiial Workii Tonotrurtion Prrutit
Application is hereby made for a Permit to Construct 0(—) or Repair an Individual Sewage Disposal
System at:
......!&T_.2A.....?15RU)AL...Pe................... ...4.)...T.......L_.,4....... ...... 0............. ........... C)
...................I..47)----
Location•Address Lot No.
Owner ST U—)OP—C T
.................................... Address.................ch .5.MIZ
.................................... ..................................................................................................
Installer Address
Type of Building Size Lot__a6j_0s5;5*Sq. feet
U
Dwelling—No. of Bedrooms--------=--t...............................Expansion Attic Garbage Grinder
PL4 Other—Type of Building ............................ No. of persons----------------_---------- Showers Cafeteria
PL, Other fixtures ----------------------------------------------------------------------------------------------------------------------------------------------------
Design Flow..........SC5..........................gallons per person per day. Total daily flow.......".4.0........................gallons.
fl -- 1 Septic Tank—Liquid capacity-1!5-00.gallons Length Widthg4b..- Diameter................ Depth-S.......-71....
Disposal Trench N ..................... Width-.7................ Total Length..........7....li Total leaching area....................sq. f t.
Seepage Pit No.... Diameter.... .... Depth below inlet.._6.n.tO..... Total leaching area..5,34....sq. f t.
Z Other Distribution box (P( ) Dosing tank ( )
Percolation Test Results Performed by.,ow-ij....emer.. Date....7,.4r�...,J.�..........
Test Pit No. 1................minutes per inch Depth of Test Pit..... Depth to ground water-----
Test Pit No. 2....7........minutes.per inch Depth of Test Pit-_-__ Depth to ground water---2WAX__..
............................ ...........................v---------------7------------------------------------------------------ ----------------
e 5 le- M..1..Xf/ .4.4vo
0 Description of .......W......./Yy..I....... ...6ww. ......
W ......................j.................................................................................................................................................................................
U
W
Z ........................................................................................................................................................................................................
U Nature of Repairs or Alterations—Answer when applicable.--.............................................................................................
...............................................................................................................I........................................................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance hM)6een iss>�a,4 the board of health. /�
Signed -------- ......... ........... ---------- -----------------_------_---------- .........
Dace
Application Approved By ------ ......... ..... .......
-------------------------------------------------------------- ------
Application Disapproved for the following reasons: .....................................................................................................................................
........................................................1_ --------------------........................................................................------------.................... -------- --------------------
pe
Permit N ----------------- Issued .............. .
j/--- -------------------------------
Date
No. �.? F:ns.... r.."" �.
THE COMMONWEALTH OF MASSACHUSETTS
,,. BOAR® OF HEALTH
{ .........OF...... � LN S--h--A--e-C- :�................
Appliration for %qpiiFal Workii Tnntitrnrtion Van it
Application is hereby made for a Permit to Construct k or Repair ( ) an Individual Sewage Disposal
System at: {
... f .a if.................................................. �
Location-Address or Lot No. r
1 UT.T. .53 �.....#�f../��-�1C:L.E1 ?....5.17.....—Z.(.-E aT!=
,.
Owner •• •------Address
!..
Installer Address
Q Type of Building Size Lot.-.. f_55."L Sq. feet
U Dwelling—No. of Bedrooms........ ------------------------------Expansion Attic ( ) Garbage Grinder ( )
a Other—T e of Building ............................ No. of persons............................ Showers — Cafeteria
QI Other fixtures .................................
W Design Flow........ •.......................:..gallons per person per day. Total daily flow_...:'�144�).........................gallons.
WSeptic Tank—Liquid capacity_15-Wgallons Length.jf.A (.- .".. Width;,,,-:--6_ _ Di D .. ameter________________ epth. .:. .._.
x Disposal Trench—N . .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No.....�.._ :_ _. Diameter----��?_ _.-_ Depth below inlet.._ _ ?..._. Total leaching area__ .....sq. ft.
Z Other Distribution box (X ) Dosing tank ( )
'—' Percolation Test Results Performed by..i�'WAJ.... Aj ' .... %i l!_ ':!._ Date---- ...........
�l r
Test Pit No. 1... .........minutes per inch Depth of Test Pit-----ZZ...... Depth to ground water--_-
(i Test Pit No. 2..... .......minutes per inch Depth of Test Pit----- .'. Depth to ground water_._ ! 1i ,�„_-
-----------------------------------•----------------•-•----•---.....-----•----•-•---------•-•----•--........................................................
Description of Soil_; 1 .....
x
W
UNature 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Complian een is the board of health. /
Signed : � .............. . ......l....�� ...
6; h.
,'e.
Application Approved By ......
to
................................................................................................ ................ ................
Date
Application Disapproved for the following reasons: ....................................... ----......------------------------------------------------------ -----------------
..........................Via..-..:- -- r� --- -- ----..........--------..............----------------- ---.....
Permit No. / / ff
..----- ............................ Issued r . ... :✓
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOA�DnO I
OF ' ��-
Certi ira e of Chum li2Sn e
f
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by ............................. " id.
... ...`.................................
in�il
_ //fit (/ Jt 1 ,1 _,
V/.
f t �. �,. t.. ..
has been installed in accordance with the provisions of TI%14LE/_5 of he S tg Environmental Code as described in
the application for Disposal Works Construction Permit No. ...... . .......... ....... ....... dated .....................................:.---......
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT B ONS AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE------------------------------------------------------------------------------ ............. Inspector ................................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
F No. ...............` ;
1E TL BQARC�OF ............
....... / E1✓ ........ .....OF.... 9
Ef.........•-...........
i �rar � Mit
n k T Ypitrurtion
rr
": _Permission is hereby granted_.._ t _ .._...: . e .. w ,
�
Ly i
to Cons ructi )rqr epa' `In ' 'dual S3 e Disposal, Sytem
at No.. S=� I .. .. { - !• 1�= to Ja�`� „................................................•..
r
as shown on the application for Disposal Works Construction Permit N 1 Dated....................:.....................
................................ r- = ----•------...............................................
J Board of Health
DATE......
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS /./'--
No. __ --- ----_--_
J[I! e -�
BOARD OF HEALTH
TOWN OF BARNSTABLE
Applicat ion-for Vell Con0ructionAermit
Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at:
Location — Address / Assessors Map and Parcel
-------- ----------- -
Owner Address �r
� _�JCtltir� _____________-_________---_-__________________ D_'_�ok____�nC� 4 (��� �J
----� --- -- -(A -0C-------------
Installer — Driller Address
Type of Building Dwelling 4ji-<-----------------------------------------------------
Other - Type of Building--------------------------------- No. of Persons---------------------------------_-_______
Typeof Well--y------------------;-- - ------------------- Capacity---------------------
Purpose of Well----Qn n•k P S AC-------------------------- --
Agreement:
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to
place the well in operation until a Certificate f Co liance has been issued by the Board of Health.
Signed
Application Approved By -- -- t - -----
ae
Application Disapproved for the following reasons:--- --------------------------------------------------------------------
------------- -- ---- - — —------_____----------------------------------------------------------------------------------------date
PermitNo. --- ------------ Issued--------------------- ------------------------------------
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
(tertificate ®f Compliance
THIS IS L(O CERTIFY, T at the Individual Well Constructed ( ), Altered (_-), or Repaired ( ) -- --- ---
b / --- ----- - --- -
at ------------6V A-4 - ------------------------
has been installed in accordance with the provisions of the Town of Barnstable Bo of He t rivate Well Protection
Regulation as described in the application for Well Construction Permit No. -- -- ------ -----Dated--------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE-------------------—- —--------- ----- Inspector--------------------------------------—- - -----------
.Y
• G�'b,y .�� /ter+ .;
9
Fee,-
11 . ------------- -
BOARD OF HEALTH
TOWN OF BARNSTABLEa
" ���iicatiori,�or�e[Y �on�truction�ertttit .'
Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at:
'v _ffO/C!ta! -4 - --- ----- -- - -_-- --- -- -----—- --------
/� / Location — Address Assessors Map and Parcel
`-'---(U�11----�-i'n.�0 _�/C/•v_!��w �7, �v1C.�f P/ /4.f�t U/6cSr
- -------------------------------------------- -------------------- --------------------------
1/ Owner ,Q Address
eoe
7
--- � - — —
l`- 1 Installer-14,p llevb. Address
Type,,of"Building
Dwelling-_01ji-1------------------------------------------------
Other - Type of Building ---------------- No. of Persons--------------------------------
Type of Well--�' ----- Capacity
Purpose of Well..... MPS_ iC--------------------------------------
Agreement:
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to
place the well in operation until a Certificate f Co pliance has been issued by the Board of Health.
Signed
Application Approved By - i-
Application Disapproved for the following reasons:------------------------------------------------------------------------------ ------
- - -- ---- - — — — ------------------------------------------------------------------------------------------------
date
PermitNo. — ---------- Issued-------------------------------------------------- --------------------
date
BOARD OF H;EALTy y�,.
le "' a xA
4
TOWN OF BA RNSTABLE , '?—, ;
c�erttftc"R V ompriance
THIS IS L(O CERTIFY, Tat°the,I• d vidual Well Constructed ( ), Altered ( ), or Repaired ?` ) N-
- - ------------------------------------------------------------------ ------------------
o, rA---=------- 1 ® -- — —--------------
has been installed in accordance with the provisions of the Town of Barnstable Boa of Hea rivate Well Protection
Regulation as described in the application for Well Construction Perini'N r ___ _Dated ---------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL .
SYSTEM WILL FUNCTION SATISFACTORY. y'
DATE ' - -- - - —_-= " --'`= - r '`.* - - Inspector- -- ---
BOARD OF HEALTH
TOWN OF BARNSTABLE
lVell C05tructionpermit
No. IA)-q
,---0 f Fee
Permissio i hereby granted_�!�iv►�9 v - -- - — ------------------------- - -- ------------------
to Construct_ Alo ), oc R p '(�' 4 an I.dividuaI e1VA I
No. - - --- -- ��= - -1- -----L-- )-------- AM- -------
Street 14�
as sho o 4e,�plicati n fo Well Construction Permit '#°No. - -=- -- --- - --- - - Date -----------
Board of Health
DATE-----�___�•��-���---------- ---
ENVIROTECI•I LABORATORIES
Mass. Cert. #:MA063
449 Route 130 Sandwich, MA 02563 • (508) 888-6460
CLIENT: William Lento LOCATION: 24 Percival Drive
ADDRESS: 582 Franklin St. Barnstable, MA
Worcester, MA
COLLECTED BY: D.A. Scannell SAMPLE DATE: 1-25-93 TIME: 1:OOPM
DATE RECEIVED:1-25-93 SAMPLE ID:BC 570
JOB #: New well WELL DEPTH: 84'
RESULTS OF ANALYSIS:
Parameter Units Recommended limit Result
Coliform bacteria/100 ml (MF Method) 0 p
pH pH units 6.0-8.5 6.47
Conductance umhos/cm 500 103
Sodium mg/L 20.0 9.4
Nitrate-N mg/L 10.0
0.03
Iron mg/L 0.3
0.77
Manganese mg/L 0.05
Hardness mg/L as CaCO3 500
Sulfate mg/L 250
Potassium mg/L 20.0
Alkalinity mg/L 200
Chloride mg/L 250
Turbidity NTU 5.0
Color APC units 15.0.
Background bacteria
EPA 601/602 * Chloroform ug/L 3
COMMENT:* See report attached.
Iron level is not a health hazard.
yu NO WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARA TERS TESTED.
yinx ❑
DATE -�
2= 4—G3 _. . _ s."._"...',i=•--= .=AIALYTICAL. ,oua
GROUNDWATER
ANALYTICALEPA METHODS 601 and 602
Volatile Organics (GC/PID/ELCO)
Field ID: 9C570 Lab ID: 4529-01
Batch ID: VHA-11424
Project: Lento - 24 Percival Sampled: 01-25-93
Client: Envirotech Lab Received: 01-28-93
Cont/Prsv: 40ml VOA Vial/NaHSO4 Cool Analyzed: 02-03-93
Matrix: Aqueous
PARAMETER CONCENTRATION REPORTING LIMIT
(ug/L)
BRL 5
Dichlorodifluoromethane BRL 1
Chloromethane BRL 1
Vinyl Chloride BRL
5
Bromomethane BRL 1
Chloroethane BRL 1
Trichlorofluoromethane BRL 1
1,1-Dichloroethene BRL 1
Methylene Chloride BRL1
trans_
l,2-Dichloroethene BRL 1
1,1-Dichloroethane 1
cis-1,2-Dichloroethene * 3 BRL 1
Chloroform BRL 1
1, 1,1-Trichloroethane BRL 1
Carbon Tetrachloride BRL 1
Benzene BRL 1
1,2-Dichloroethane BRL 1
Trichloroethene 1
BRL1,2-Dichloropropane 1
Bromodichloromethane BRL 1
2-Chloroethylvinyl Ether BRL 1
trans-1,3-Dichloropropene BRL 1
Toluene 1
BRLcis-1,3-Dichloropropene 1
1, 1,2-Trichloroethane BRL 1
Tetrachloroethene BRL 1
Dibromochloromethane BRL 1
Chlorobenzene BRL 1
Ethylbenzene BRL 1
m+ -Xylene * BRL 1
o-Xylene * BRL 1
Brfomoform 1
1,1,2,2-Tetrachloroethane BRL
BRL 1
1,3-Dichlorobenzene BRL 1
1,4-Dichlorobenzene - BRL 1
1,2-Dichlorobenzene
QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS
Bromochloromethane 30 26 87 % 83 - 117 %
Fluorobenzene 30 30 100 % 87 - 113 %
I
BRL - Below Reporting Limit. * Non-target compound. Method References: Method 601 - Purgeable
Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986).
FIRST FLOOR
SEPTIC SYSTEM PROFILE SOILS LOG 8
Ib .5 _
ELEVATION FIN. GRADE FIN. GRADE OVER FIN. GRADE OVER FIN. GRADE OVER PERCOLATION 'TEST
TOP of
AT HOUSE SEPTIC TANK DIST. BOX LEACHING PIT
FOUNDATION io5.a to4. 5 TEST HOLE I' TEST HOLE 2
ELEVATION I12425
O,. ELEV. = 102.o dt, ELEV. = 102.a
`
•..•• ... . .. LEVELING RING TO WITHIN �� �� �� '
INVERT at ,. ; 2 of I/8 TO i/2 TOPSOIL rz =aIL
�. .. 12" OF FINISH GRADE _ I� -
r,,
FOUNDATION P A SUBSOIL
WASHED STONE S B L
ELEVATION lot.to
' 2" T: -
W
.y.v lGtO 05 . 0 > t Ip�. bo Kb•So 100. 33 loo ~ M
W q,
-J
�; �. • PRECAST, C.I. OR P.V.C. TEES c ' TO GDa.2sE
3.. ; g = DIST. BOX 3/4" r�1>✓olu*�i sa��
GALLON To e
- H-IO LOADING I-1/2" ro coa. sc '72"
SEPTIC TANK
WASHED -
BASEMENT FLOOR TO" H -IO LOADING To BE SET ON A
CRUSHED
ELEVATION .� :e. 3.. ... .;.,...... .;. . LEVEL 8 STABLE ISTONE i°
o BASEPRECAST �[4 '
- (N ACME DB-3 OR '� LEACHING PIT .� se.,wM
APPROVED EQUAL ) ! F[ E n
TO BE SET ON A LEVEL AND STABLE BASE H -10 LOADIN ��
( ACME ST + OR APPROVED EQUAL ) ( Profile not to scale ) �' a
L.btlf> Ci �� 7d.00 144" 90 l38` �1.3
1�
�Q r lT /� g 6'-01, 2'-0 p -7
., n� l� ��W - - 9 Z7
v •' PERCOLATION SATE: 2 MIN./INCH
rs'C EFFECTIVE DIAMETER TESTS BY : flovd
•t� ~� Q, I TO BE SET ON A, LEVEL AND STABLE BASE. WITNESSED BY : J. TD0),.JKJ I►,IG4
o ( ACME 1000 GAL LEACH PIT OR APP'D EQUAL ) PS/�R�sT'Atx.E BOARD OF HEALTH.
Al*��`!� q,�' DATE t-3o-'2Z-
DESIGN DATA WATER ENCOUNTERED AT NONE
NUMBER OF BEDROOMS
VA,,-.&0 G.P.D./BEDROOM no G.P.D.
`•. ° TOTAL DAILY FLOW 440 G.P.D. GENERAL NOTES
GARBAGE DISPOSAL. NO
LEACHING REQUIRED 440 G.P.D. 1. ELEVATIONS BASED UPON ASSUMED DATUM.
do C�C'ISTI►�G �`�El�l''�' LEACHING PROVIDED t G.P.D.. 2. ELEVATIONS AND LOCATIONS SHOWN ON THIS PLAN
I`'C; C>F FIAC)P' ARE NOT To CHANGE WITHOUT WRITTEN APPROVAL
3�6 , L6A,cN I►Jc-� n17� OF:THE ENGINEER AND THE TOWN HEALTH AGENT.
SIDEWALL AREA : 188.5 S.F. x 2.5 = 471.2 G.P.D. 3. AtL SYSTEM COMPONENTS` ARE TO BE INSTALLED IN
BOTTOM AREA _ 781.5 S.F. x 1.0 - 78.5 G.P.D. ACCORDANCE WITH S.E.C. TITLE V AND LOCAL HEAL7:7H
'Al \ TOTAL PROVIDED= 267'.0 S.F. 49.7 G.P.D. x 2 RULES AND REGULATIONS.
\ 1 54� 7X2= ►��• .'> 4 0 G.P.D. 4. ALL PIPES ARE TO BE CAST IRON OR P.V.C. SCH. 40.:_
\ 5. THE BOARD OF HEALTH AND/OR ENGINEER TO BE
NOTE: EXCAVATE TO EL. OR LOWER AS SOIL NOTIFIED WHEN SYSTEM IS COMPLETELY INSTALLED
CONDITIONS REQUIRE To REMOVE ALL TOPSOIL, SUBSOIL, AND READY FOR INSPECTIOt4. ;
CLAY OR OTHER UNSUITABLE MATERIAL BENEATH THE 6. NORTH ARROW IS NOT TO BE USED FOR SOLAR
is \ #2 INLET INVERT OF THE LEACHING PIT FOR A DISTANCE ORIENTATION.
UcT23 S ` '�� OF 10' AROUND THE PIT AND BACKFILL WITH CLEAN 7• WHEN COMPONENTS ARE SET SUCH THAT THE TOP
V� ro \ OF STRUCTURE IS GREATER THAN 4' BELOW FINISH
\ SAND HAVING A PERC. RATE OF 2 MIN./INCH IN PLACE.
GRADE, HEAVY-TOP OR H-20 LOAD UNITS SHALL BE
- \\ REQUIRED.
\ ` LEGEND
y \CPI
EXISTING SPOT ELEV. : 23. 50
EXISTING CONTOUR 24 1 JTi-I (-9-g3 fiEIOG,. VJEJ t_4 Fr--V- MA5MV, R,aj j
PROPOSED SPOT ELEV. : 7
d \ / REV BY DATE DESCRIPTION
PROPOSED CONTOUR 2
/ TEST HOLE
\` LOT 244- r PROPOSED SEWAGE DISPOSAL SYSTEM
\ , o55f s.>= � �`� �.:9f LOT 24 PERCIVAL DRIVE
`• s B RNSTABLE MA.
GROSSMAN
\ \ " ND 12705
APPLICANT: WILLIAM LENTO
ADDRESSF FRANKLIN STREET
WORCESTER, MA. 01604
\ ? 0 M.00
Top off= ENGINEER:
\. 'r, �" V co,.1c. +v,�,lo NORMAN GROSSMAN, P.E.
v ��G` Q�Jv� ZONING DISTRICT FLOOD ZONE ELEVATION 226 HOLLY POINT ROAD
�� o� CENTERVILLE, MA.
PLAN REFERENCE: MAP SEC PCL LOT HSE SCALE DATE DWN. BY / CK'D BY PLAN NO.
BARNST. CNTY. REG. PLAN BK443 PG � SITE PLAN---SCALE I + 71 d 1-5 2 E-�G.AS NOTED D 31 �, 2- J T H / NG H- 967
. 3a �•
To lAT 48 P�RC'�/V+- _D� bV�
ESCtS'I't�6 �`�
UEAu-1►�1G.PIT
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