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Home My WebLink About0120 BLUE WATER DRIVE - Health (2) l�.0 flue Wc�✓ �/, (�$. �.53/Ozy�XOZ � \ No....7�3........ D ... ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH /. .... ....OF........ rorr{5. . Appliratiun for Disposal Works Tomitrurtiun trrmit Application is hereby made for a Permit to Construct (—A) or Repair ( ) an Individual Sewage Disposal system at: ... -- -- �J�� - •=tt''•�1-/3Ivr- 06 A--r D�•iv - ........................... �5.C5SC?tS..� /� ;153� i41�. F_.Z: .................. Location-Address 1Q or Lot No. cJ�. -3�.__'i��.r:�e�a.._(e1dsR, _ _._I-{. �sx►x�i.�-•......................--...---..�,v.�5..1.�1.:...XC.rlt2.c_'t.ca.-=-----•.....................................•--... --)) �Nq - •--- Owner Addressl W Installer Address Type of Building Size Lot...._.__,`i!7.........Sq. feet Dwelling—No. of Bedrooms......1 ........................Expansion Attic (Alo) Garbage Grinder (�o) Other—Type of Building No. of persons............................ Showers — G4 YP g ---------------------------• P ( ) Cafeteria ( ) a' Other fixtures .................................. d W Design Flow....................................:F�5.gallons per person per day. Total daily flow.......................___.33p__...gallons. WSeptic Tank—Liquid capacity._/. gallons Length:ff'-fie-a-.. Width.1..—!�u_- Diameter.......- Depthsy6./'._. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No-------vxw...... Diameter......./.-2. Depth below inlet.....4,1......... Total leaching area...4?�.7.....sq. ft. Z Other Distribution box (x) Dosing tank ( ) Percolation Test Results Performed by..U.v_!j...�l.c-i-t mJzr... :.lrsJa nsr.............. Date....4/2/-df0................. �j Test Pit No. 1.. .....minutes per inch Depth of Test Pit.....1 t.......... Depth to ground water. ............... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground R+ •.......---------------- -•---•----••---------•--------.--•------------.-.------•---•-----•---------------.-------- .{� ......•.-- Description of Soil......®•-- !---%..:). TMaAp.�axl. ._ _ _Qi.l--•--•------------------------•--------------.......... �tEtS1_._ __,. z o , V ............•-• (. .-.i' �arc Q._C7!�^ _vel.-W . #zn�.; ......----- . ......A!k-n-..--•-- SON W ••-•••••---------------•--•---------•----•-•--------•--•-•-•------- . -- �nr...... U Nature of.Repairs or Alterations—Answer when applicable.............................................. ..... $i -•-----•--••.............•--•--•---•----------------.........--•--•-----------------...........................-----------------•--------------•-••-•--•-••--••--•--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in actor ante 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 Co li e has bgen issu by the board of ealt Signed .......-_.. . ...... ................... ...... ...... .. e Application Approved By ...... ... .. ........ ....... .. .......... ..... ....... ..... Application Disapproved for the following reasons: ........................ ........................... ..... .........--------...-----....------------------ ................................................. .. ..... .. .... ...i ..............................................................--- ----. ................... Permit No. .-- .-��..----... - .......- Issued Date ` --[e- --..... ..Da ' ................ C � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............. /Oc.1i1.............OF......... l�er.r�25_ Appliratiuu for 11iupuuttl IVorkg Tonutrurtiun ramit Application is hereby made for a Permit to Construct (x or Repair ( ) an Individual Sewage Disposal System at: ..!A — ................ Location-Address or Lot No. ----------------•---___-___------•-------•-•------ 3QO 13F��s e.a• bk�� drl-�'1-4:+n+----_--_----_____-__-.._-__- Owner W Instal ler Address Type of Building Size Lot___a_3_ cr_l:2.........Sq. feet V Dwelling—No. of Bedrooms.....71:�-r-- c.......................Expansion Attic Al Garbage Grinder (,t/o) Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) N Other fixtures ------------------------------ d - ------------------------------------------------------•---------_...._ ....... WDesign Flow_____________________________________. .gallons per person per day. Total daily flow............................Z-4;..Ct....gallons. WSeptic Tank—Liquid capacity__/..octcgallons Length__d'.4.°__ Width_.4__L1_d."_. Diameter_-.__ DepthS:&.'_-- x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........�____ Diameter..-_._...t a.'..__ Depth below inlet______` ........ Total leaching area...26 2.._.sq. ft. Z Other Distribution box ( x) Dosing tank ( ) ''' Percolation Test Results Performed s:__LOGr n4..._____________ Date......V.7/1Q................ ,.a Test Pit No. 1___. -rs___minutes per inch Depth of Test Pit....... _a__...... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ------------------------------------•---••------•------------_---------•------ ... 0 Description of Soil........ ••�1•-Z•..•.j••• "�staoi.J..�..5�.��oi- --------------------------•---------------•---------------------------•--______________-____-- �. .9...! f doer 6 rc+�a.� `�1 -------------------------------------_.............. ............... W -•-•.................•--•-----------•------------------------.......------------....------------•---------------------------•----•-•---------------...-----------------•--------••••-••••-......---_.... V Nature of Repairs or Alterations—Answer when applicable................................................................... ..��p./y,.......... •..................................................•----•--------•-------------------..............._....--•-••--------------------------------...._••-•••••- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance witlf 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.................t......,...�..................... .. __ I Dare 41 Application Approved By i. ' �. /► /j. f - Dare Application Disapproved for the following reasons: .......... ,........... ........ .................... .......................... .................... ............................. ....---....-=---:....--- ................................................................------...........................---.. ........................................ r J �-' 01 Permit No. ---r .....�... ...L "' '--..... Igsued --------..I>:� ............................................Dare �+ .,� ✓ —f I THE COMMONWEALTH OF MASSACHUSETTS } 1 BOARD OF�.yHEA�{L�fTHA��.......................1 . y l-.. OF --------- .) , .! :.. ........... I ............................... THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) ................................................ ............................................................. ....................-................ ---............-'------------. 1/� has been installed in accordance with the provisions of TITLE 5 of The State.Enviro mental Code as described in the application for Disposal Works Construction Permit No. .........,!......�''"I�'--1f" dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED` ' A UAR- TEE THAT THE SYSTEM WILL FUNCTION SAT T DATE........................................................ ......-------------- Inspector ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH— (A 01 OF........r'S!... ....:.. 1. •�� 7.............L.....6 • y No........................ ✓ FEE..-- .................. Disposal lVarkii Tunutrnrtiun Vrrmit Permissionislhereby granted........................................................................................................................................ to Construct ( ) or. Repair ( ) .an Individual Sewage Disposal;System at No......... • / r ................' ` -'-" f'f tv' i r ! 11 !_ .. i ..... - fr r Street as shown on the application for Disposal Works Construction Permit No...........:.." ZA___._._._._.__._._.____...___._........ ...........................•--•------....-------•--------------------------••••----•_••-•---•-•-•......_ Boa,rd of Health DATE.................--------•-•-----•-----____---••----------•-------•---•--•--•-- Form 1255 H&W) HOBBS&WARREN TM Publishers 3 f i K r ' 20' MINIMUM OR AS INDICATED ON PLAN NOTES: o� 10' MIN. 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.Q.E. rt3t- ____ RULES AND MASONRY EXTENSION TO 12' TITLE 5 ; THE TOWN OF �� BELOW GRADE BACKFlLL WITH sa REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE � � ya TOP OF FOUNDATION 443 ' MIN. rjl,Oo Co CLEAN SAND p ai MASONRY EXTENSION TO 12• AND THE REQUIREMENTS OF THIS PLAN. 2� BELOW GRADE ^, 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO z WITHIN 12 OF FINISHED GRADE. e SCH. 40 PVC PIPE MIN. PITCH 1/s• PER �r. IN 3. ALL MASONRY UNITS USED TO BRING COVERS TO GRADE N' Yu SHALL BE MORTARED IN PLACE. 1 4 P Flow LINE jai-- 1YER/2F 4. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE ti S am/ ,f \ 10" TEE IOOO WASHED STONE — OF. WITHSTANDING H 10 LOADING UNLESS THEY ARE UNDER OR Z. 3• MIN. F 477 �=-0• a GALLON r MIN. LEVEL W LEACH WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING 4'-0• o PIT SHALL BE USED UNDER OR WITHIN 10 FT. OF DRIVES OR MIN. 97.'�' 7r 3 3/4' = 1 1/2• t " LIQUID WASHED STONE PARKING. _ LEVEL DISTRIBUTION �, O eox W 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEED �, { I " W RESTRICTIONS OR ZONING REGULATIONS. OWNER/APPLICANT SHALL ! = /5av - 40,o �p�p OBTAIN SUCH DETERMINATION FROM THE APPROPRIATE AUTHORITY. LOCATION MAP GALLON SEPTIC TANK z_ 6. HORIZONTAL AND VERTICAL CONTROL, SEE LEVY, ELDREDGE Z � 24 6 �?J ASSESSORS MAP PARCEL . & WAGNER FIELD NOTEBOOK # Z53+Z5¢ o , _I ` LIQUID DEPTH IN SEPTIC TANK DEPTH OF OUTLET TEE BELOW FLOW LINE BOTTOM OF TEST HOLE 34,8 4 FEET is INCHES OR USGS PROBABLE HIGH WATER LEVEL S FEET 19 INCHES 6 FEET 24 INCHES CURRENT ZONING INTERPRETATION: DESIGN CALCULATIONS r 47 e.u,ov',lAsLE rLov,/ SEWAGE DISPOSAL SYSTEM PROFILE MIN. FRONT SETBACK � FEET NUMBER OF BEDROOMS oc � x �3g17�43�C�U - 333pp NOT TO SCALE �2 IO GARBAGE DISPOSAL UNIT ►�ortE. MIN SIDE .SETBACK FEET TOTAL ESTIMATED FLOW MIN. REAR SETBACK IQ FEET ( ►�aGAL./BR./DAY ) 334 / / X 3 BR. GAL. DAY REQUIRED SEPTIC TANK CAPACITY � GAL * ACTUAL SIZE OF SEPTIC TANK �_ _ _ J/ PERCOLATION SOIL TEST '(T' -742) LEACHING AREA REQUIREMENTS t A 82 /fib 3 7 q� SIDEWALL AREA •15 'GPD./S.F. BOTTOM AREA GPD./S.F. DATE OF SOIL TEST SIDEWALL 27T( id /2)( (o )SF x 2•15 GPD/SF = All GAL/DAY TEST BY c.>;a� 'F L3- t_,E.W. 2 ..J BOTTOM 7T { id /2) SF x I GPD/SF = '�"� GAL/DAY WITNESSED BY PERCOLATION RATE Z MIN./INCH Z(07 SF �'S0 GAL/DAY TEST PIT #1 TEST PIT #2 BREAKOUT CALCULATION: ELEV.= 4'18 ELEV.- ` - -0.00 -0.00 "•" """ _"" • y! � TOT' ', SU's�i>✓ I.S `l , 1 � o� .� "® •.r... �f jai `�I "�`" �'� -- ___. ._. ...r ,,,, � !� �R� v�.r... I ra Ns �¢ LEGEND: EXISTING SPOT ELEVATION OOXO n XISTING CONTOUR"-------00----- E tiro waR FINAL SPOT ELEVATION - 00.0 1 FINAL CONTOUR t� E,' '� ;..� "" '•-� fL SOIL TEST PIT LOCATION BOTTOM OF TEST HOLE BOTTOM OF TEST HOLE N OR WATER ELEV. TOWN WATER W W — I SEPTIC TANK DISTRIBUTION BOX C7 w 0. WATER LEVEL ADJUSTMENT: /A PRIMARY LEACHING `PIT 011 \ r RESERVE LEACHING PIT h ' TEST DATE WATER LEVEL INDEX WELL ;;. S I, _. br•s WATER LEVEL RANGE ZONE 1 8 I A ISSUE Atd DEPTH TO WATER LEVEL FOR INDEX WELL NO. DATE DESCRIPTION BY , .. FOR MONTH OF: WATER LEVEL ADJUSTMENT T� N c. La 7- /4 DEPTH TO HIGH WATER . . Bloc D •� t 1 APPROVED: B FHEALTHBTEPHEN ire. G BOARD 0 � Y� �i ALL wtLsoN }a �i r NQ.30 64 e SCALE: 1 - 4© NO. 1700 ., AL JOB SITE TEj PLAN ,ls '� ' a. 1 1 1� DATE, AGENT LEVY, ELDREDGE & WAGNER ASSOCIATES INC. I . BNGIN�RS LANDSCAPE ARCH1TBt,`f5 PLANNERS . .LAND SURPEYORS PERMIT „ 889 WEST,MAIN STREET , CENTERVILI� MA 02632 E GLAN p N W�N� D REl'�70GRA MCS&SUPPLY CO.