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HomeMy WebLinkAbout0381 OLD JAIL LANE - Health 381 act Jai L Ut .............. aoa/oo� ld ;- %0l tlb0 E/�O�Zb A c � c ASSESSORgfAlo. 'a PARCEL Qp Aploo� LOCAT N Zn - SEWAGE PERMIT No. la VILLAG I N S T A LLER'S NAME A ADDRESS B U I L D E R OR OWNER ' 4 DATE PERMIT ISSUED DATE COMPLIANCE ISSUED F b\e e I a �\ f Z - No._ ._..._..---- t; Fes .................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH w.0...................OF.....a,'t 3l 4.6f�.......................................... Appliratiou for Uhipoii l Worke Tnntrnrtinn Prruat Application is hereby made for a Permit to Construct (>() or Repair ( ) an Individual Sewage Disposal System at: ................_........_..................................................................... ............ .............................................................. Locafionj ddress ) -� or Lot No. ---.....C4?r�/ P..��a: _ ,, .---6-e.11.4e_"s'2S� 1 z2zk rl •:`�_....4 G ------•------••------------------•-----•-- a ner tl / r,,. 9 Address ............. ---•--`--•. "_...... ��� r��? f .h/. :....-•------•--..•---•-•------•----•----------•-•--.... Installer Address Type of Building Size Lot__90_7_Q_z_.0....Sq. feet U Dwelling—No. of Bedrooms.......... __________________ _____Expansion Attic (4) Garbage Grinder Other—Type of Building _______________ No. of persons____________________________ Showers — Cafeteria Other fixtures _________________________________ _ W Design Flow................................._ter_ __gallons per person per day. Total daily flow.................. .'IE1__0___.___.___..gallons. WSeptic Tank—Liquid capacityld.C4__gallons Length Diameter________________ Depth_S_�'q__- x Disposal Trench—No_____________________ Width.................... Total Length.....................Total leaching area....................sq. ft. Seepage Pit No........,"_________ Diameter...../0---______ Depth below inlet__S.4_7__.!. Total leaching area._S./4_____sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.c(TI_.CA._&9ru>K Test Pit No. 1_____?:_______minutes per inch Depth of Test Pit--- l3___. Depth to ground water____ . 'fit of �4 (r4 Test Pit No. 2................minutes per inch Depth of Test Pit__:_-/_.Z_`____ Depth to ground water_ .......... a0 7'/--'- v-6 �� ktua�.l 2z�_.�,`.�.4Zu .. r.C�__ ne .` a c Fl j.4 ��.b�"._!'ern....--•-----•---... S��R6t td G Description of Soil_. x) -- cancl'y-- _I I�fkk_-dab_ 7sn �__►Y11 cA-Fyl¢___5.ctnd_______________________ A.LLYN_ vTP Z J_L? �.'J_L�aa /c airr�_ '_''4$.__ rn�.. lcan� _. Iz e� l�_Qfs"=. .� -•--=•-•-- •------------ � ._.•wILSO.. y No.30216 ------------------- - '� GIST V Nature of Repairs or A terations—Answer when applicable__ ._ -__8 c//.a_ ...................................... Agreement: v�G The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with/,e_4-r_T the provisions of TITS 5 of the State Sanitary C de— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issue b t e boa Signe -•- •-- .4,ealth. - -- -----••---•...-----•- / ate Application Approved By......... •- •--•• -• -••---•••----- ---••---------•----•--• ---•f --- - D t Application Disapproved for the following reasons________________________________________________ ............:.....y_;...._....__..._._______._.____..._.__________________.._.___.__.______._._._.____._................................................................................................. / �� Date (/:�__Permit No. . ....I....-----..................... Issued_.__.._.........------------ Date ._ 1 � THE COMMONWEALTH OF MASSACHUSETTS ABOARD OF HEALTH ti -•----. .................~4.:::......OF....... /"R.c ?T9.t1...�'..._...... Appliration for Bhip ial Workg Toutitrurtivit ramit Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal System at ................_.....__.......... --•-••........Q x-...1 ' ....... ----•------------..........------.... Location-Address or Lot No. ' r _fa�izt iSc ......................................... ----- L9/.c ._1;5 c l-.t.19e1_1.----•-••---•----------------.............. r Owner Address W ...................................................... Installer Installer Address Type of Building Size Lot...00t.70Z_-...Sq. feet U Dwelling—No. of Bedrooms............ ----------------------Expansion Attic Garbage Grinder (A 4 Pk Other—Type of Building -------------•_-__--__--_.__ No. of persons............................ Showers ( ) — Cafeteria ( ) QI Other fixtures .._................. . . . Design Flow..............................5'a�_ allons per person per day. Total daily flow.............___..._ W g --- g P P P� �Y• Y N '�-•--- ............gallons. G; Septic Tank—Liquid'capacity.0.0,d_gallons Length.1D--A... Width._.T_4Z.- Diameter--___- --w.. Depth..�_"y.. Disposal Trench—No..................... Width....../............ Total Length.................... leaching area....................sq. ft. __ Seepage Pit No---------a-------- Diameter------10. ..... Depth below inlet....SA_Z____ Total leachirg area----:T14....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by..Ca►arc__Lei•Su�t�,�?..�Gonssl ri'h=....... Date_._:!2.S.' a Test Pit No. I......a......minutes per inch Depth of Test Pit---- Depth to ground water- QF •y i6j� •�'. Gz, Test Pit No. 2................minutes per inch Depth of Test Pit_._"-/Z.�... Depth to ground wat �, ........... s ............... �g - �I a n w SIEFI04-- Description of Soil__. SetncliyT��'-(obi-��ifa�A�tt��._1121sta-F►Lo__�a ................. Q - _._ALLYR---- WILSON `� �---------------------- f��n 71 .o `No.30216 --=✓�Id-.�.��artc-At1ar,✓,fiac-aSn -�r ,�o.Er6l�--------------------- n,-� ....... UNature of Repairs r A erations—Answer when applicable___u. .yb_..8!'.�ja�_______________________________ sS%ONAL Agreement: ot The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance Witb --� the provisions of rt iZ rr i I.5.E' 5 of the State Sanitary C de—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beenlissued b the board of,health. Signed y =it ........ ��-r"'f... ................................pate Application Approved B !z�.~�— rp/_.__ _j ' .�.._ / f Date Application Disapproved for the following reasons:.............................................................................................................. --------------•------------•-•------•-------•---------------•--------------------.•....----•-------------••••-•••--•-•---•••-•--•-•-•---••-•----••••-•--•--------------•-•-----•••------•--••••••-----•- Date PermitNo.......F---Z--------/•'--------------------- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............................................................., �prfifiratr of, flu t�rli �tr�e THI IS TO CERTIFY, That the Individual Sewage Disposal System constru•tc,gd ( � r Repaired ( ) by. ... . L/ /~ Installer ..._.. �" •._.....----- .. .................. at. f has been installed in accordance with the provisi is Of r' 1 5 of The State Sanitary Code as described in the application for Disposai Works Construction Permit No....U,E_ _..-__1� ............ dated_...__.?_ fir._ .................... THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUE® AS A G ARANTEE THAT THE SYSTEM WILL FUN ION SATISFACTORY. DATE.................. ._/ . .............................. Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS �~ BOARD OF HEALTH _ NO. r.... Y�E ........................ apaoal Morkii Tomitr ion-- rratit , Permission is hereby granted.__ y..................... to Construct r Repair ( ) an Individual Sewage`bisposal Syst .- ' Street N as shown on the application for Disposal Works Construction Permit No.... /..'._��Dated.'._ -----.�.-.. ________________________ __--._-._...................................._.......... Board of Health DATE..... 11.►...... , ..................... ........ FORM 1255 HO'BBS & WARREN. INC.. PUBLISHERS Thi o 805 Date: December 20 '1985 +Eog°Number: Bottle_.# � r BA BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT a SUPERIOR COURT HOUSE v BARNSTABLE. MASSACHUSETTS 02630 Ase DRINKING WATER LABORATORY ANALYSIS PHONE: 362_2511 i t. . . Ext.'337 Client: GaryA Houser ' ' Collector: Davi°d` E'. Cahppell Mailing Address: ' P: 0. Box 534. '' Affiliation: well driller Barnstable, MA 02630 Time & Date of `Collectiori: 12/19/85 11:30 a.m. Telephone:. Type of Supply: well Sample Location: Old Jail Lane Well Depth: 93' W. Barnstable, MA Date of Analysis: 12/19/85 12:00 Noon " `PARAMETER•' SAMPLE RESULT RECOMMENDED 'LIMITS Total Coliform Bacteria/100 ml[ 0 0 pH i Conductivit ` (micromhos/cm) 500.0' Iron ( m) 0.3 Ni trate4i tro en ( m) 10.0 Sodium ( m) 20.0 I . X Water sample meets the recommended limits for drinking of all above tested parameters. II . Based only on results of the parameters. tested for this sample, the water is suitable 'for drinking but may 'present` the problems checked below: A. ' ' Water sample- has higher than- average levels of Nitrate. Future monitoring 'is recommended -(2-3 times per year) to establish any upward trends. B: 'the water may shorten the useful life of the Phouse's plumeirly.r� C. Water may present aesthetic problems (taste, odor, staining), dUe- to D. Water sample has high levels of sodium. Persons on low sodium diets should consult their doctor. III. Due to one or more of the reasons checked- below, this water sample is unfit for human consumption: . °A. High Bacteria B. High Nitrates REMARKS: Department shall not endorse any statements, interpretations or conclusions made by anyone R, else concerning these results without written axweK. CC: Barnstable Board of Health . CC: ; d orat y Dir r 1 /7/85 l C ,1. D Y Explanation of Test'Results V lo Total Coliform Bacteria + Coliform bacteria are an indicator of the sanitary quality of a water supply. Water supplies may become " contaminated from malfunctioning septic systems, cesspools and surface runoff. A total coliform count of zero indicates that your water supply is safe and approved for human consumption. A total coliform count.of greater than zero is most often the result of accidental contamination of the sample bottle through improper sampling methods. For this reason, it would be advisable to retest any well water that is not approved.— pH pH is the measure of acidity or alkalinityof the water:On the pH scale,the number 7 is neutral,less than 7 is acidic and more than 7 is-alkaline. The pH of water on Cape Cod tends to be acidic,in the'range of 5:0 to 6.5. - Conductivity Conductivity,is a measure of the dissolved salts in solution. Amounts in excess of 500,micr?mhos/cm are generally considered unacceptable and'may have a laxative effect upon users. �' Iron The presence of iron in water in concentration of .3 ppm or greater may-' give the water a bittersweet astringent,. w taste, cause an unpleasant odor,'often gives the water a brownish color and cause staining of laundry and-porcelain. The average concentration of iron in Cape Cod's water is .2 .6 ppm.'Although the presence of iron, in water may cause the problems listed above, it is not considered deleterious to health. Iron may be'removed-by-use of an iron removal system. Nitrate-nitrogen r , , t 3 ��} 'a ^!•r The Massachusetts Drinking Water Regulations have set a maximum contaminant level for nitrates at 40 ppm. Excessive concentrations may cause methemoglobinemia (an infant disease) and have been suggested to form potentially carcinogenic nitrosamines. Contamination-sources include fertilizers, cesspools and industrial wastes. Copper J ; ,X J '� Due to the acidic nature of the water.on Cape.Cod', copper tends t%o leach,from pipes. This,normally does not present a health 'hazard; however, concentrations in excess of 1.0 ppm-may cause a metallic taste and/or a bluish-green stain on porcelain fixtures. _ Sodium A concentration of sodium over.20 ppm is only of concern to people who are on'a low sodium diet. If the .water. supply has more than 20 ppm sodium, it is,up,to the people whosare on*such a diet to find another source of drinking water or contact their doctor to determine if consuming the water is advisable. Concentrations exceeding 50 ppm indicate-ttiatithleretrnayrbe7fd ean!`watbt�or water getting into the well.-- - - F2#,7::Yi:)eillr: �t1L) rys:iF.7s,.7,?:') ja �.�'J+l?• it ' [71i C i{i ii eNt w4';.'ryno 'kd; s37Jm a::;t:it; (i.:) IQ e 1r m4thw 3oo4tiW xt44sam f';wAt sale -n - SOIL TEST PIT DATA. " INDICATES INDICATES SEPTIC TANK DETAIL: ! " . = _._ DISTRIBUTION BOX DETAIL: LEACHING PIT DETAIL: PERC. -5-- OBSERVED NOT TO SCALE NOT TO SCALE NOT TO SCALE rvo I)AIE TEST GROUNDWATER -.- -,. T :- -LOAMB SEED -I IZ/� NO ES SEPTIC TANK SHALL BE STEEL 4. INLET AND OUTLET TEES TO BE CAST IRON OR __/ '�� _ NO. OF OUTLETS: _ MANHOLE COVER LOAM PAVEMENT TP TP TP NOTES - / H GRADE / � :� TP REINFORCED CONCRETE. T_ BROUGHT TO FINIS I �- SCHE0. 40 PVC. TEES TO BE CENTERED UNDER T GRD. EL. -__-._-__-.- MANHOLE COVER. L__. .__-___ GIRD. EL. �y-4_ GRD. EL. __ GIRD. EL. 9 •`� SEPTIC TANK TO WITHSTAND H-IO LOADING r- - �'- `--- I. DIST. BOX TO WITHSTAND H-IO LOADING 2 MIN OF I/B ,,/ UNLESS UNDER PAVEMENT, DRIVES OR GW. EL. _�-r�— GW. EL. �_ GW. EL._// Q• GW. EL. TRAVELED WAYS,WHEREIN H-20 LOADING I I UNLESS UNDER PAVEMENT, DRIVES OR TO 1/2" 12°MIN. FILL Z .0 /�cC� /Air/ 4 — '' C1'' q SHALL APPLY. j J PRECAST I TRAVELED WAYS WHEREIN H-20 LOADING WASHED / DIST ( I SHALL APPLY. STONE a ice. 3 ALL PIPE CONNECTIONS AND CONCRETE MANHOLE COVER f .' ► _7?N�� STONEY CONSTRUCTION TO BE WATERTIGHT. BROUGHT TO FINISH GRADE Box r 2 PROVIDE INLET TEE OR BAFFLE WHERE SLOPE OF PVC INLET PIPE i on o r� to o 0 oac i I INLET PIPE EXCEEDS 0.08 FT/FT. OR IN c c a PUMPED SYSTEM. oQ9P�. Ctjj tf5 ofL 2"MIN !____�� ! ❑ o o 0 0 o n ❑ NOTE GENERAL NOTES. 3 FIRST TWO FEET OF PIPE OUT OF DIST _ /l ° o� LEACHING PIT TO ALEIEL BOX TO 8E LAID LEVEL. O � WITHSTAND H-10 LOADING PLAN VIEW w R o >>° o � • ❑ o 0 of oSo n o ❑ o, ,,Q� I. CONSTRUCTION OF DTHEIGSEWAGE � UNLESS UNDER REMOVEABLE PAVEMENT DRIVE ORNORMAL WATE w 4 3/4TO 1-1/2" ❑ A r-D c Q a o n ❑ � DISPOSAL FACILITY ONLY.COVER DOUBLE LEACHING PIT oTRAVELED WAY' WHEREIN7-1 � H-20 LOADING SHALL 2 ALL CONSTRUCTION ME7HJDS ACJD - - _. gJ I w WASHED APPLY.zt- PROVIDE U_ STONEuMATERIALS SHALL CONFORM TO MASS. I _ — INLET TEE w • ❑ a r� o 0 0 0 ❑ b gvOF HHEALTH EGULATIOS. BOARD WATERTIGHT <L r (no fines s JOINTS(tyq) I I I 7 �tf"J1 eJ�_ PRECAST 1,. ,�/ _ 7 -'1 I „ 4'-0" MIN. OUTLET J ¢ ._ _ f- l SEE 1 I L . v0 Q ,I SEPTIC f LIQUID DEPTH TEE 4" INLET �INOTE 2 ''I r. I - + R� -� 3. ALL PIPES LOCATED UNDER PAVEMENT TANK I`' .� i -. _ 1 I - ,•� , 1 l n ❑ o 0 0 0 0 o n ❑ OR TRAVELED WAY SHALL BE F I — — I �!1 �• 4"OUTLET � 1 � � � --1--- q5 ° D -J_ f %/✓� T. t S� /✓f j a o o SCHEDULE 40 OR EQUAL �i-1/� S7N� L ; - - - - - - - - - - - - - --J --- --1- - - - •L------1J L--------�. — 2, ----- DIA _ �? �` 6 MIN 4 IF ENCOUNTERED, At_t_ UNSUITABLE SOIL ��; > 5 ---- • - o .� b .► - BOTTOM ON lr SHALL BE REMOVED WITHIN A +a'WIDE f�1 /� q ao� BOTTOM ON LEVEL STABLE BASE O. _po "o �o� F- ____...._ __ -_. .. ._ _ -__.- - - SH I FACILITY BASE � yo. LEVEL STABLE -- /J DIA--------- # ZONE AROUND THE LEACHING CROSS-SECTION '"3j " �-/�//: PLAN VIEW � CROSS-SECTION VIEW AND SHALL BE REPLACED WITH CLEAN CROSS-SECTION SAND AND GRAVEL IN ACCORDANCE WITH TITLE. Y. 5 PROPERTY LINES SHOWN HEREON DATE: DATE: DATE: Ps .- DATE: �, ; O INVERT ELEVATIONS: WERE COMPILED FROM A PLAN e r- RECORDED Al BARNSTABLE REGISTRY TEST BY: TEST BY: TEST BY,: TEST BY: Q 50.e) OF DEEDS IN PLAN BOOK 389 PAGE 12, ZONE RG INVERT AT BUILDING _ L AND DOES NOT REPRESENT AN WITNESSED BY: WITNESSED BY. - WITNESSED BY: WITNESSED BY: INVERT AT SEPTIC TANK(in) sEreACKs -- ACTUAL SURVEY ON THE GROUND. ` INVERT AT SEPTIC TANK(out) 07 . b Q " .y 6 TOPOGRAPHIC SURVEY BY TRANSIT 9 PERC. RATE: PERC, FRONT .30 �. RATE: PERC. RATE: PERC. RATE. p� �� � � c =. MIN./INCH __._. - MIN./INCH - - MIN./INCH MIN./INCH SIDE 15' ,�0 �I , INVERT AT DIST. BOX(in) �`� STADIA METHOD REAR /5" `� � � o � INVERT AT DIET. BOX(out) 0� ,� �� INVERT AT LEACHING PIT rd�•�l �, n rn DA UM. E I °D 't BOTTOM OF LEACHING PIT loll 1 ` U.S.G S. MAXIMUM GROUND VERTICAL DATUM: WATER ELEVATION s "~ °` `�08 -- " =�' , ` m OBSERVED GROUNDWATER ;,� / `� g g BENCHMARK USED , .,�. 3 207 .�=%�" ma's/ s f i LOT /7 / DOP ' LOT l6 .• __. cr i 1 750 6, 00 120-00, DESIGN CRITERIA.: LOT 19 _ ,� / �I �,. t DESIGN FLOW: Je r y ~ — — \ '� ` j ° 55 _BEDROOMS AT /:! G.P.B./D HOG.P.D. - LOT 18 - — - -- r' 90,702� SF \ ..-' �� / r' - v T(�P O F�&Y'( E T) fir J r1 t .•^' t \ ` �' ELEV.V.68_39' ` 79 / Group r / , ell � \ ` � � f � _ ' j � 19 _.- REQUIRED SEPTIC TANK: The B -... r, , SEPTIC TANK PROVIDED: _ GAL. Cape Cod Survey Consultants �, / / �4 ( ./ 1 . '";.: p► 53 SIZE OF LEACHING FACILITY REQUIRED: ff J a `� \ / f 9� ' I -�" 4� i r _ -- ro Ir`N PERC. RATE: _ _ _-_ MINJNCH 3261 Main Street 2 0• i � � r'' �-•" --% � / � q'' / � r ,,- _-' I � r;= , � ._, ._ -- - - `-.—i - - _ - Route 6A f 94 yr i `_ �` \ '`*`' / I �' ,, �/, .. - _- - - - Barnstable Village MA 02630 �, ti✓ `� �'' ,b \l -- ' ' �, , �` f r, �, �J f �f --- _ -- - -- - 617 362 8133 in \ Vy G - - I ,` l✓ l -- SIZE OF LEACHING FACILITY PROVIDED: F'"T"7' `� �r ~` pc+� d 2 r I ` , i'ROJECT TITLE ; + � ,; WA TER L/NE q W - SEWAGE DISPOSAL }t PROPOSED CONTOURS , EXISTING CONTOURS Cw<�,�..i r .74 SYSTEM DESIGN yy / loll 'Y ��� _J' t _w /�`I / J�.v �a'�- �-- -- / ► I '� t 5�� ' i �' >� - o� 0 L D JAIL LANE : ,r o - — - BARNSTABLE, MA. 1.4 c loll, '. � ✓ 2 LOCUS PLAN: 7f 5 , ° f / /# �' ` PRf PARED FOR 1 / ! / � 1 ` V' "' - __-• l � � y¢ f / I � GARY ROUSER a � l \ - .. f l / 1 / PROFESSIONAL LAND SURVEYOR DATE '` .4 �� JOSEPH BELLEROSE S 75 6 _ , im (� DATE. 12/ 3/85 0.00 yvtLS ✓ ` 4/..38' / _ 7 /3 29 '`4 '\ '� of COMP/DESIGN G G.M. 2 " \ — -- - I S 64 r / \ `�,c}' „��?/� Q CHECK: S.A.W. PLAN VIEW r 6 - G.G.M. --- - rJ RAW N __ FIELD: D.J,B./ T.J.Y. SCALE: 1" = 20� PROFESSIONAL ENGINEER-CIVIL DATE UNDERGROUND UTILITIES WERE COMPILED FROM AVAILABLE , FILE NO: _ — RECORD PLANS OF UTILITY COMPANIES AND PUBLIC AGENCIES _ _ }, - _ -''' _ _._ ------ — - � AND ARE APPROXIMATE ONLY. BEFORE DESIGN AND CONSTRUC- 0 10 20 40 6o F F F I scaLE� I" = 2,083'± DWG NO: 1042 SHEET JOB NO 03-1684-00' 1 OF I TION CALL DIG SAFE' I - $00 - 322 -4844 . '