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HomeMy WebLinkAbout0012 BLUE WATER DRIVE - Health 37 Olve vAfer Dr c-tAl*'fVI f R Z33 -073 r S M E A 6 KEEPING YOU ORGANIZED No. 12534 2-153LOR 0 FUSI RYILl MIN.RECYC INRIME CONTEN clLEDmos CerfifiedFherSaurcnfl POST-CONSUMER® wwwsfiDroflremAtp SFlL1290 MCEINUSA GET ORGANIZED AT SMEAR COY i TOWN OF BARNS'TABLE of q,bjqq_, 4 LOCATION Lo,- J4 SEWAGE VILLAGEy'y� ASSESSOR'S MAP & LO'T, 2 _?_3 14 y �,INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY ® d � LEACHING FACILITY:(type) / (size) ` NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER MILDER OR OWNER a DATE PERMIT ISSUED: ';,DATE COMPLIANCE ISSUED: ,N:ARIANCE GRANTED: Yes No r/ 18067 0 5 clo JAv � PW- r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .Q.cci .................OF........60. kd5w5fa.6lc -------------------------- Appliratiou for Uiipoiittl ork i Tonitrurtiou ramit Application is hereby made for a Permit to Construct (K ) or Repair ( ) an Individual Sewage Disposal System at: 37 a 131ut lx� c .-----•----•-------------•--•.........�l �..Zo T �.73....................... Loca-ion Address orLt No. J �sri14 .. Gt.�s.'...J.` HJ�c{n�ti,5............................. Owner �LiddreSS W Installer Address d Type of Building Size Lot.....'`13j .....Sq. feet V Dwelling—No. of Bedrooms.....Zhn<< ..........................Expansion Attic VVO) Garbage Grinder (/I/.) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures .................................. .. . .. . � - ----------------------------- -- --------•---•-----------•-•-------------.... ------..... W Design Flow...................................$__gallons per person per day. Total daily flow_______.._...................�a.3.Q...gallons. 04. . Septic Tank—Liquid capacity.!�_gallons Length___ ..... Width.4!-:i1d.._ Diameter................ Depth.,5.;La../ .. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...ae?��......... Diameter--- ©........... Depth below inlet....�r........... Total leaching area..z�Z`.__.sq. ft. Z Other Distribution box (n ) Dosing tank ( ) Percolation Test Results Performed by._C:._ �d----------------------------- Date__ � 7yG...._.....___.._.. a , -------- . Test Pit No. 1...Avv....minutes per inch Depth of Test Pit.../_ ....... Depth to ground water- - .. ... -; t LT.t Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground w RS --------•------------------------------------•------------•-------------••--------•-.•.......•-----..........---•-••...... I . ................ . O Description of Soil..... :_ �t ...lsz i� :.�Ssa4 +i.I•--•.....•-••--•-----•-----------------•----•-•--•--.......-•--••-------- $TIH€N y ALtYCY V Z.� �� ii 7 C©c�r3�..C�tti4St> ..toi�CS- -------- •....V" 7P) W --------------------•-,f �LI�.�... �e lt2�42 Lr'1/LC!_.. 6/!Y_............................................................ . $� U Nature of Repairs or Alterations—Answer when applicable............................................................. ` ` -----------------------------------••----------------------•-----------------------.....-•---•----------•-------------------------------------------. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal Sy..g 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 ..... .. ............................................................... ............. ........................................ Date Application Approved B � 2? .�'s. �2 ......:.................. ............... '"... '�.'*. / PP PP Y .:..'... :............... Date , Application Disapproved for the following reasons: ............................................ .......................!.......... ------ ------------------------- --------- --------------------- --- -----• --- ........-- . . . -- .--- --. ----- . ---- .---...--.... --....---- ..................................... 9 / Date Permit No. ..........1��'..l...p................................. Issued ......:... /.. `......5. ; Date ':........--................................---......--- SSIt 4 --------- -- Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................... .................... OF -------------------------------.............--------..........:---- ......--------------------- Cer#ifirate of Tontyliattre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by .............................. ................................................................................................................................................................................................................... Installer at ---------------------------------- --------------------------------- ----------- -------- ------------------------------------------------------------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ................................................ dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................... ��'...-..'3..z.. ... �.. .... .......... Inspector . s THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ¢ ................................O F..................................................................................... No.........'. FEE........................ Diaposal Works Tunstrudian "rrmif Permissionis hereby granted..........................•-----.........-•--------------•----------....-•---..........----------•---------------............................ to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo................••---•----------------•---------------------------..........-----••---------.........--------...--------------------•.........---------------------------------•.............•. Street q as shown on the application for Disposal Works Construction Permit No...--���-���?�.�. Dated.......................................... .............................. .. ..t........................................-............_ �J DATE....... ✓ f -----------------•------............. Board of Health Form 1255 H HOBBS&WARREN TM Publishers No......................... FIns.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....................OF........�G//��r 2.6le-.. Appliratiou for Bitipusal Works Tomitrurtiou Prrutit Application is hereby made for a Permit to Construct (K ) or Repair ( ) an Individual Sewage Disposal System at: „C31c.........lx7c.... -J.......-•---------•---•- ...... ?33�.. g✓tic/ 73...................... Location-Address or Lot No. r c c �vie/i� s . ............................. Owner V dre Installer Address Type of Building Size Lot..... .....Sq. f��ff t U g— -Expansion Attic W.) Garbage Grinder (70),►...� Dwelling No. of Bedrooms___.TLii'cc...._.._.•.••_---___----_ aOther—Type of Building ............................ No. of persons.........._................. Showers ( ) — Cafeteria ( ) a' Other fixtures ____________________________ W Design Flow.................................. _.gallons per person per day. Total daily r flow-------- ...gallons. WSeptic Tank—Liquid capacity.ljP5;�o.gallons Length_1;i_-.4a..... Width.4!-1.6 .._ Diameter_____ _______ Depth 4FL8/_-. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No.__any_-._-____ Diameter--............ Depth below inlet................ Total leaching area...!?�6- ...._sq. ft. Z Other Distribution box (X ) Dosing tank ( ) '~ Percolation Test Results Performed .............................. ....... Date... -? e! 1.4 a Test Pit No. I...AMU....minutes per inch Depth of Test Pit...t?�_____-- Depth to ground water...... .............. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water. ............ 0 Description of Soil---. ..•.............•----------------------------------------•------.....--- ........... V ........ ��.._/Ly_�_. oar _. Y .4�s�...t 2fS ..................................................... .-STEP-HEM... ALLVN U Nature of Repairs or Alterations—Answer when applicable........................................................ .. . ... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal Systerti in Ith the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to p ace the system in operation until a Certificate of Compliance has been issued by the board of health. Signed ........................... .. .. . ...................-- .-- --.....----------.- ...................................... Dace ApplicationApproved By ...................... ............................. . .... . ............... . .........------........................ ........................................ Date Application Disapproved for the following reasons- ------------------------------------------- -------------------------- ------------------------------------------------------------ ..................:..................... ............................................ .............................................................. .. . ........................................... .............. ........... Date Permit No. -....... N 20' MINIMUM OR AS INDICATED ON PLAN NOTES: " 10' MIN, j 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.Q.E. MASONRY EXTENSION TO 12' TITLE 5 ; THE TOWN OF _ P,ARlSTfBL� RULES ANDti� BELOW GRADE BACKFILL WITH 465 1 I REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE; Paat Z t-ocU TOP of FOUNDATION 8" MIN. .QQ,S 44.b CLEAN SANDr Ui1(�- MASONRY EXTENSION TO 12" AND THE REQUIREMENTS OF THIS PLAN. BELOW GRADE 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO rdLI, O� `^"' J"" AFC WITHIN 12" OF FINISHED GRADE. 4• scH. 4o PVC PIPE ! 3. ALL MASONRY UNITS USED TO BRING COVERS TO GRADE 5+}ALLU MIN. PITCH 1/8" PER FT. N 1 SHALL BE MORTARED IN PLACE. 4 A> a� ��, PER FLOW LINE LAYER of NE 1/8" - 1/2" 4. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE !D Qp 10" TEE �.+ 1 WASHED STONE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR 48. Z 3' MIN. Li 2'-0" Ft GALLON -� 4�,7 I WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING 2" MIN. LEVEL LEACH 48.0 MM0. 47.5 i L�7,3_ �1 {� PIT 3/4" - 1 1/2- SHALL BE USED. UNDER OR WITHIN 10 FT. OF DRIVES OR LIQUID F WASHED STONE PARKING. LEVEL DISTRIBUTION q, 1 Box 1., 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEED RESTRICTIONS OR ZONING REGULATIONS. OWNER/APPLICANT SHALL 1 = 1500 OBTAIN SUCH DETERMINATION FROM THE APPROPRIATE AUTHORITY. LOCATION MAP /600 GALLON SEPTIC TANK z SEE LEVY ELDREDGE 6. HORIZONTAL AND VERTICAL CONTROL, S , � ASSESSORS MAP Z33 PARCEL r73 '1 I & WAGNER FIELD NOTEBOOK L /a ' -I � LIQUID DEPTH IN SEPTIC TANK DEPTH OF OUTLET TEE BELOW FLOW LINE BOTTOM OF TEST HOLE 4 FEET 14 INCHES S FEET 19 INCHES OR USGS PROBABLE HIGH WATER LEVEL 6 FEET 24 INCHES I CURRENT ZONING INTERPRETATION: DESIGN CALCULATIONS SEWAGE DISPOSAL SYSTEM PROFILE 3'S�t�PD�� x 435Co5/ 5 330 GcPD MIN. FRONT SETBACK 30 FEET NUMBER OF BEDROOMS 3 NOT TO SCALE FEE MIN. SIDE SETBACK is T GARBAGE DISPOSAL UNIT ` �xiST I MIN. REAR SETBACK �� FEET TOTAL ESTIMATED FLOW 336 /DAY Pnv�µ .iT REQUIRED 110 ASEPTIC D AY X TANK CAPACITY q'Vs GAL. } � ACTUAL SIZE OF SEPTIC TANK ISIC0 GAL. $ {y PERCOLATION SOIL TEST �p-75�2� LEACHING AREA REQUIREMENTS s • i SIDEWALL AREA Z•5 GPD./S.F. BOTTOM AREA � '� GPD./S.F. S DATE OF SOIL TEST 3�7 �o SIDEWALL 27r( 10 /2)�)SF x 2.5GPD/SF = 4'71 GAL/DAY C ,rt1 C4 TEST BY BOTTOM Tr ( LO /2)2 SF x VO GPD/SF = 7'.) GAL/DAY LOT WITNESSED BY I b �AizR1( 113 60 ro" 6 PERCOLATION RATE 4-2- MIN./INCH 2!lA7 SF 550 GAL/DAY 3�\ z��� TEST PIT #1 TEST PIT #2 BREAKOOT CALCULATION: u/A \ zo \ ELEV.= ELEV.= -0.00 -0.00 -WITH sTo,aG LEGEND. Z EXISTING SPOT ELEVATION OOXO EXISTING CONTOUR-------00----- 8 f ; µt \ `�- vo �\;.; � -� `� \ \ \ �� ►nFv/Ft�tE sauo -1Z 5 _ FINAL SPOT ELEVATION 00.0 Q '" c �- . \ 6� ►�o wAr FINAL CONTOUR ' SOIL TEST PIT LOCATION H� BOTTOM OF TEST HOLE BOTTOM of TEST HOLE rl- OR WATER ELEV. 35•S OR WATER ELEV. TOWN WATER W W SEPTIC TANK ° 1 DISTRIBUTION BOX ❑ U1 IT 0 CA'ric,++ \ s —!' WATER LEVEL ADJUSTMENT: 1.11q PRIMARY LEACHING P RESERVE LEACHING PIT ' w ^�AS �� J�a TEST DATE WATER LEVEL CT ,, \R ATE - Lc—'T z' INDEX WELL WATER LEVEL RANGE ZONE 1 411194 INITIAL ISSUE DEPTH TO WATER LEVEL FOR INDEX WELL N0. DATE DESCRIPTION BY 1 FOR MONTH OF: SITE PLAN WATER LEVEL ADJUSTMENT ` T L. Lc-- 37 oLvE Wnl-op, DRIoF DEPTH TO HIGH WATER "�� �. G E►rs-VM V I L_L c <A' �" � Sac ucs h'1©r'tn !off I APPROVED: BOARD OF HEALTH STP"E" ALLYN WILSON t� C► 'x; ' ,A o.30216�p SCALE: I"- 4d JOB NO. 1?0 O SITE PLAN DATE AGENT 00 LEVY, ELDREDGE & WAGNER ASSOCIATES INC. j PERMIT # BNGINI M LANDSCAPE ARCHI]E(,"1'S PLANNERS LAND SDRV6YORS n 889 WEST MAIN STREET CENTERV= MA 02632 NEW ENGLAND REPROGRAPHICS&SUPPLY CO i