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HomeMy WebLinkAbout0070 BLUE WATER DRIVE - Health 7o QCve wo4�tr Df Ctn rViIIf, zS 3 - 077 S M E A D KEEPING YOU ORGANIZED No. 12534 2-153LOR FORES�TRYN� MIN.RECYCLED INITIATIVE CONTENl10% Certi 12-11rSourcinp POST-CONSUMER ®WYIW��tdipgtp MADEINUSA GET ORGANIZED AT SMEAD.COM i I I i U Op sll�llfd-- /r.,C.� TOWN OF EARNSTABLE r� LOC//ATION /" 4 o' _SEWAGE VILLAGE 6PAAL11171 ASSESSOR'S M P Cz LOTO-3 -0,� INSTALLER'S NAME & PHONE NO.5 00 PU ��� 7,a �oo, SEPTIC TANK CAPACITY /900 LEACHING FACILITYAtype) o/ (size) w OU NO. OF BEDROOMS PRIVATE WELL OR �WATE BUILDER OR OWNER DATE PERMIT ISSUED: O7� DATE COMPLIANCE ISSUED: Z, . VARIANCE GRANTED: Yes No !h✓ 9� a 2,07y { . No.�.-�...... ....... `-�—..�, Fps. .. THE COMMONWEALTH OF MASSACHUSETTS - BOAR® OF HEALTH /.-a ....................OF.......... �..-................................................... Appliration for Disposal Works Tomitrnrtiun Prrutit Application is hereby made for a Permit to Construct (Y,,) or Repair ( ) an Individual Sewage Disposal System at: /✓&r_ Wei,, �P l iiZ � Z NS T �S • ......_....._...................:.... ......................... - -•---•-- --•--....._._..._..•--••...........•••---•------•-•••----•••••---•-__.......•-•----•........-••--- Location-Address or Lot No. ....... .��� t�s...,� r:. s h� z....................... . --- f � �.�.. Owner Ad re" s ................ ......_. Installer � Address Type of Building Size Lot...... feet Dwelling—No. of Bedrooms......'7rr�_....................Expansion Attic (A Garbage Grinder aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures .•-••-••-----•--------------•-••-•'------------..__.__..----•--•---•--•---------------..---'--•-------------------....--------.....-••-•---........... W Design Flow....................................5.gallons per person per day. Total daily flow............................30� __gallons. WSeptic Tank—Liquid*capacity.e"OnniKkallons Length.9:_6.y__ Width.:4_�� i.O Diameter._.—___--____ Depth_S�R.ti. x Disposal Trench—No. .................... Width.....A.......... Total Length........... _ Total leaching area_____._.______......sq. ft. Seepage.Pit No.....� _____ Diameter.....1 Q`_._._ Depth below inlet.___.?_.._..Depth Total leaching area__� _.._.sq. ft. Z Other Distribution box (Z) Dosing tank ( ) aPercolation Test Results Performed by-C.L_1=LrA&``_ e: a�. _ _�..Jt �s Date__..3�, _Sv-•---------------, Test Pit No. 1....... .____minutes per inch Depth of Test Pit__ __.. ..... Depth to grou ............ Test Pit No. 2_______________minutes per inch Depth of Test Pit.................... Depth to gr . ........ O ------------------------------------------------------------•-•--••••--••-••---••-• ff�F4Epd--- Description of Soil.. _�_��- .'._t o p il. ?6z?d..................................................... ALLYN... - U .................................�s5...:=_,.3. .....f"/.lam_�.1.�� VU}LS.M!..---- 7 / ! `- .: '�.7�7_._. !r __ �t �� w ................•.--------------••-• �No.EE�16 -- U Nature of Repairs or Alterations—Answer when applicable....................................................._ o -----------•.................................. -•--•-----•--•-••-•••-••-----••---------•----......-----•-•------------------••-•••-•-•--•-•---•••••••---••• ............. Agreement: d The undersigned agrees to install the aforedescribed Individual Sewage Disposal Sys em in accorance 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 has b issued by the board of h Signed ..............: . ....... 4r-,Application Approved By --..--. ..- -- - --------- ----- - . - Application Disapproved for the following reasons- --------------------- ----- ------------------------------- -------.......................................................... ...............................------------------- ............-------......................................................... Date Permit No. �. :............. Issued --......- -------------------- e No - ... F>cs/!...✓...�- ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -... OF..........4� V -/-.I .'.'.ent............................................ Appliratinn for Disposal Works Tonstrnr#ion ramit Application is hereby made for a Permit to Construct (K) or Repair ( ) an Individual Sewage Disposal System at: "Z?' c_ Grp r 3 5 Location•Add-reesss or t No. CC�t.Sst<TfrXzTEr°?�L---------------••--•--•----- ' ?__XG�I715[ ��"L._s "1... ..................... Owner Address W Installer Address U Type of Building Size Lot.4%57.(0_5;:�.....Sq. feet I—I Dwelling—No. of Bedrooms.___.___%�_ar- .....................Expansion Attic (A4 Garbage Grinder (!�) a Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures W Design Flow.................................;`S__.gallons per person per day. Total daily«flow.............................._3.3_c..gallons. WSeptic Tank—Liquid capacityY allons Length_15.1'�.____ Width-4_ .... Diameter...==.. Depth::EL$ 4 x Disposal Trench—No. .................... Width......._............ Total Length.................... Total leaching area....................sq. ft. Seepage Pit NO.__Cyt,�_______ Diameter__._./-p.�_.._. Depth below inlet.....�,_P...... Total leaching area_a2.....sq. ft. Z Other Distribution box A) Dosing tank ( ) '—' Percolation Test Results Performed by.r :_, L l l`_.e '.__ Date_�__:? 8___________________ Test Pit No. 1.... .?. .....minutes per inch Depth of TestXt___/2,_T_____._ Depth to groun _ _________________ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to gr 0 Description of Soil.... ."_/_S_.... +?i: ................................................ -•••..TELH ... .....................•--•-------_.s.rl 3 ' -----!'ti �5rl _...--•-•------- ---------•----------••••-•---------•-...._-------••- --- o •---•1P01t:SC3Pt" 3-r---•- -• ----------- ---------------------•- U Nature of Repairs or Alterations—Answer when applicable.________________________________________________ _ ` _" Agreement: +r g��z��/ The undersigned agrees to install the aforedescribed Individual Sewage Disposal S ste 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 has been issued by the board of health. Signed ............. ----- - ------- e Application Approved By ------- --. -:..-_- ----------- ------------ L / �, Date Application Disapproved for the following reasons- -- ------------------ -- . --- ---------...-...---- ....................................... .......................... Dace ............... _ Permit No. ......... ... ........... .... Issued - t�/. .- . ..... -- t THE COMMONWEALTH OF MASSACHUSETTS BOAR OF HEA T , ------------ V.1w.... --...- OF ------�-�-- - .u' e>r#tft.cate C ontlatiance TH T C RTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by ----------- --�---� .. ------- at .............. \p ".. a ......-- 4 . ..---..--------A Q 1 C 7------.cc I&-C has been installed in accordance with the provisions of TITLE f The S t En ronmental Co as d crib d in the application for Disposal Works Construction Permit No. -.-... .-- -.' dated ...--. ..-1.31 .- --{--........ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT B ONSTRUED AS A GU A NTEE/THAT' THE SYSTEM WILL FUNCTION SATISFACTORY. DATE ............. ( "( { Inspector .....--- - ....---------------- . - ---..-....-...-- -- -- ----------- -- THE COMMONWEALTH OF MASSACHUSETTS ...............-rowpl..OF.... .................. 15 tFEE. . . ..... lgisposa TonotrndUan rani# Permissis hereby granted------•-.._..._ --•---------------------------------•.____...••-••----------..._...._....----••.._..__--------.... ....._ to Construct Repair an Individual Sewage D' s S� I Street as shown on the application for Disposal Works Constructio rmit No. _ ____ /i>7� ed-------- l ._. _!_...__ v -- -- J�-- • - . ............ B .. oard of ealt DATE...................... FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS m w .. .. , P , a , '.ry -''. ..- y. ..t:•. xl - '., ' ., n'zLL , ,�.... :. e: ,' n .. sIy - ,:, a ,. ., ..L .ir. x . ... 4 ,,: t , r , . ,. - . j.. , ` " , -. , , , ..i ' .: . .. MINIMUM ,: I 20 M MUM OR AS tNDICA7ED ON PLAN x .: , NOT S. . ... //��a 'It M, i k.. r11 , YT'� 1 . 10 MIN ALL WORKMANSHIP AND MATE IA SHA F R LS LL CON ORM TO D.E,Q.E. .., _, III �j1:1II,:,II.,I�1 I I I.�I.I�.,�"zI,.I I.I,I1 I.�I���I Ij I..I�5 1 1�,.I.III1,�IIIII I,��,1 I,I�I I,I I I��II-�Ij I�I��I-.I�I�i I�1r I I,,.I-�,.1�­;11 r I j—�I,fIj 8�,I1I_1—,1-i��",,,1;1.j,I���I0I�,,I,1 1 I I j,1 I:jIII I'1I.II_I,�1_j1-"I��II�.1.-I",�I j 1_j._��1.�,,1,�",1I�1II�_1,I-1c,I:�1I��I.II�j.jII L�­�I,I'1_II,I�I,I1�1Ir,,:--r 1�I/II.l 1 I,I"I-,I."2��I1I.I,'I,�rj1�,I,,..LI I I_�I��,.j'I�,II"1 II�1 II/r III I�Ij!�'.,11I.1.,I-I.I.!,I".,,7.,I,II 7��j,,_—I�I"II:,�--I,I I II.(­,L 7�II II.�I Ii_I-­�I,�,j t—:�I j,�I Z'Z 1,1�I�II�-Ij1 I�,.I��I_�,��j��'`-,,I—,:1,�;�1 I_I�I�r-/I-III I�I/1I III��,,�,-I�jL 1I.�,�-I�II I I,;1 I�,.,I��I I.�,�I-I LIIII"I,�j�,I I_II�.II'll�I�_iII j�I1�—.�,II-"L.A�'.-�1 j1j I I�II..I11I-��11-"I���-LI��/:I.,1I I 11 I#�III,,- I1.,II,I­4I.:I 1,.�j1I It I 1 I�I,-I I,I 1I(,I I,j����-l�-/I,�� '..j�I�j I I,I,r-11II L�.I.j.I,I�,I I,1I,..�—rI�:I.,I j_.�IjI.I I��I:,I I�1 t/I�I 1-I�j5 I���-.I II�j.�II,-I�..I.1,Fi,�II,�I II jI I,,j,I p I I,/I,�I�.:I�.-��1�I�Ij I I�,III.'I�".1 I�,,,I I I I lI�,"j j.II 1I��-1�I I'I�IIi 1I I1 I j I.,1-Il I lI-�/I�I-�.I�-1,�jI IIIr, I�p II�-1 I,tI11I II.I,�,.I-1�.I���1 III"�,�LjI�I I j.�,I,1*�11,II 1IIIj�,,I 1�I�I�1.I�,ijj�­j�-�I I�I jI-.I%I 1 I,1I II I,.jII II1 jII MASON ;S RY EDEEN510N Td 12 TITLE 5 THE TOW "t.. _ ,BELOW GRADE ,< N OF RULES AND 3 OP N N 9A CKFILt VNTH it 7 OF FOU RATIO r , EGU' I0 U`�R LAT NS FOR THE . SUBSURFACE 'DI PO5A O S W s MIN. '` - 5 L F E AGE, T � _ c4 C5 C3 CLEAN SAND MASONRY NSIQN 7Q 1 EXTE 2 AND THE R ',_ Rc w EQUIREMENTS OF THIS PL N. r� BELOW GR A ►1l~5 c,F W i� ADE y wP CIF 2. ALL COVERS' SAN 5c.5 TO ITARY UNITS SHALL BE BROUGHT TO ` ,e Z WITHIN 12 OF F(NI H » 5 ED GRADE. 4 SCH. t0'PVC PIPE x L MIN . PITCH / ER ER A L ASONRY UNITS USED TO R NG M 1/8 P FT. : � B I COVERS TO GRADE � ,� : , _ 5 ,, 1 » SHALL_BE MORTARED IN PLAC 4 FLOW.LINE 2 LAYER OF E F 1 8 — 2» _ 1 / 4. :.ALL CO _. MPONENT5' OF TH SANITAR , SYS A R�rtD 10 TEE' W WASHED STONE ' . E Y TEM SH LL BE CAPABLE m �0 0 , m 55.0 OF W1 THSTANDING H, 10 L _„ r MIN. LOAD NG UNLESS THEY ARE UNDER OR j.. i ' x 4.5 cAuorr WITHIN 1 2 �N 0 FT. OF DRIVES OR v. y LEVEL A PARKkNG AREAS. H 20 LOADING �1 fl Iv LE CH ,�' t1D , PIT SH L E U >. 54 AL B SED UNDER OR WITHIN 10 FT._OF DRIVES OR 4b ., . MIN. 5Q�3 4 - 1 1 2 UQU Ip WASHED STONE PARKING. . DISTRIBUTION :. 'LEVEL 53; ,0 BO X 5. NO I'DETERM NATION HAS BEEN MADE TO D AS COMPLIANCE WfTH DEED ,. It , RESTRICTIONS OR ZONING REGUI`ATIONS. OWNER APP T - 4�.t j LICAN SHALL I. 15r j t, , 1 ,., OBTA N SUCH DETERMIN f ATION FROM THE APPROPR ATE AUTHORI Y.oozy f T ,...�ALLQIV SEPTIC TANK OCATIO P '' V. ,. Z Z H N MA L S. ORfZO N V Z. _ NTAL A D ERTICAL CONTROL SEE LEVY ELDR-DGE , Z5 , , --�--� ASSESSORS MAP ' Z'7 z53+� PARCEL & WAGNER FIELD NOTEBOOK �_ `�- , t f . p .. .DEPTH 1N C -LFfli111 SEF'`ii TANK DEPTH flF 0U , ,,.;TLET TEE 8£LOW FLAW UNE, , 8O OM OF T' TT EST MOLE K { ...,_ .. 33 ;# FEET ,: _14 iNCtiES OR 'USG R 5 P 0 A i W ,.. I B 8LE }� GH ATER LEVEL_FEET.. 19 INCHES a ; ,,. : g FEET 24 NCH ,i,; s { E5 . ,_ r x; ;� 1` ._ CU R T mar � ' :: REN ZONING INTERQRETATION. DESfGN CA�.CULA`TI©NS � . 7 w F)LW A G(E c c�i S WAG I E E D PO F S . SAL SYSTEM PROFIL , :.; fN. FRONT SET 3 c t. : M BACK 3 �)3 06P FEET _. .a . . NUMBER 0 BEDROOMS 43SGo or, Q s N ? CJ1LE 6 . GARBAGE DISPOSA UNIT 6 .L� MIN SIt2 SETBACK FEET , 3 3C3 f't7 �-- _ TOTAL ESTIMATED FLOW �, :. MlN. C.� REAR' SETBACK , 3 _ FEET 3 3p t t t� GAL. BR: DAY X BR. GAL. DAY r •._ - ' ' ( / / ) / -r E U RED SEPTIC TANK CAPACITY GAL. i� , ACTUA 1 O S PT1C A A ,k,,. :,. _ L S ZE F E T NK 104 G L .! .._. - _ AHNG : A ' U ; NT 1. : , _ LE C I .ARE REQ 1REME S . ., 6ERCOL TIONi (� 5ta I ✓' A S L TEST 7 w S DE ALL AREA G D. S BOTTOM `A A GPD - I j RE Sa✓' r A ;a.,., D TE OF SO1 TES L T / / :. _ SIDEWAL I Z L 2TT 2 SF x GPD 5F 4 GAL DAY. t :w. C j )�) j / --, G� G t EST' BY I =. . , BO TOM C5 T I 2 SF GP F .. 7 . ,-- x D S GAL DAY : T ITNESS D �BY ., x Ise P RCOL ION E AT RATE MIN. INCH ; � ' ..�- f Z. SF • _ , . 11 / l up _ _ __ -- ._ 4 - - � . , .. T. _ . _ "` ! �: 1 »_�• BREA OUT CA U TI N: _ �, . �TEST� PIT' 1 TEST ..PIT 2 LC LA O , I ># 1 s� . � �ELEV. .8 _, { ELEv. •-0.0 - 1 .. O 0 00 1 bp__ sU__a r 6 x, �, �' llC f/ .o CAA Y q `f 2SE G A .- „� /� n _ w s a+ LEGEND. i _,r / ,•�' .. .. . _. I . - :. . J .� - EXISTING VATI .11 SPOT ELE ON 00 O . »,✓ — ——-- —EXISTING EXISTING CONTOUR 00 �+ "o U_ r I3 5` . . : .. _ F1NALSPOT ELEVATION 00:0 : �. ./` EW L CONTOUR _. ✓/ , A T T� ,..- , . _ SO ST PtT OCATfON ., '�- _ / ;: � BO F r IL TE 1. .....-- � / r T70M � .TES .HOLE BOTTOM OF TEST HOLE � _ 1 v .. •, .r.-. ._.. r _ / . �'` ..- o oR waTEa`ELEV. TOWN WATER --�—W. W N a A e''� ./. _ „�°� SEPTIC TA K ..�- �, DISTRIBUTION BOX ❑ ,,�" .. /' R LEACG PiT . / `� WATER �.EVE� ADJUSTMENT. AJ P IMARY H1N 0 , r 1 , _ , , t .11 � . . .. .� RESERVE .LEACHING PIT . ,_.�.- ,,' 4- . , : . ES R LEVE ;. :I .... , TT DATE a ,, r -:E 0 r'° _ " , r {, INDEX ',., Gk-� s,Q WELL l`c .,. . ,, . \ : , :" W AT EVE.� ER L L RANGE ZONE ,� ;. _ INITIA fSSUt= G .. '' 3 9 `3 C7 L �� /' DEPTH W TO ATER LEVEL -FOR INDEX WELL l ENO. E SCR P ON ... _ ,� , , •,. „� f � -; DAT DE i TI _ BY n , # _ v , , ' , I < , : r�' ,�"� , a _ 0 MONTH OF. 0-0 + , /` � _ . c 1 �� t �l �. ,�- _:. ; A ER 'LEVEL ADJUSTMENT T 1 ,�.. 4 _ C..> ,. H T HIGH WATER '" "6"' t . ;:D'. �,� , �, . . . xa . . . x F - - . Ar! r l.'ij' ,, . , , .. _ , _ a '1.• . U* t APPR r , OVER. BOARD OFHEAt�TH s EPHEN bI . LLYN I WI .-e LSON e aes I 1 No.302 .. >s S A JOB � ��5 SIT P LAN PATE GENT I�T� 1� � , A N ,,.. ,I G R SOCIATES INC.LEVY ELDRED E & WAGNE AS mI , I „` >, S ENGUIEBBS ' LANDSCAPE ARCHITECT PLANK PE RMIT 9� yr N . , - .o: 889 ST MAIN `STREET WE CENTERVILI MA 02632 , E ENGLAND PEPROGPAPHI P L ..CS&SUP L Y CO I _ .