HomeMy WebLinkAbout0021 BLACKBIRD ROAD - Health 2V Blackbird Road
Marstons Mills
_ _ A= 151 - 008 = 015
ns e� . jy
'YN Or BARNs7ABLE
'LOCAnON SEWAGE
VILL-.—GMt ASSESSOR'S MAP & LOT �T
L'YS a ALLER'S NAME Si PHONE NO. 8 he
-,,SEPTIC TANK CAPACITY 1X0 d�S
LBACHING FACILITY:(type) /'iJ (size-) d a o
()NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER. OR OWNER L P �6 l" Sc)l/ciw s
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED: l - �L ' ir q
VARIANCE GRANTED: Yes
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THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
Appliration for Disposal Murks Tonstrnr#ion Frrmit
Application is hereby made for a Ee it to Co st�uct (' or Repair ( ) an dividual ewage Disposal
System at: oc 1 Q,
..... . G" ....!.� . ._..... --------------- ------•-•---------------.... . .........
--.. ......• -- ---- --•-•-
- - L ca' ddress or t t
._._. . I---------------------------------------------- -------------------------------�����_ :- ------------_______-____---
a -•-•----- ------- lSf.. .... /� 6---------......_._..... .................. SY._!--[_C. ......................
Installer Address
Q Type of Building Size Lot__L__,1----Z._�18q. feet
Dwelling—No. of Bedrooms...............3........................Expansion Att c_� Garbage Grinder—(�
Pk Other—Type of Building J__.r�'^'t%l�N of persons.__..__._ z______________ Shower,—(-'j — Cafeteriff-�l
Otherfixtures .-------•---------------------/•---•••••--••••--•-•--•••---•••••••••----•---•-•---•---------•-----•••-•-••-.....---••••••-•--••-•--•-•••..........._••-
w Design Flow______________________�--?��____gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacityl wgallons Length__lis'_4___ Width______t._!j T)iameter________________ Depth__. _"_$-�1
x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area............ _�_sq. ft.
Seepage Pit No____________________ Diameter.....V:?�....... Depth below inlet......
___3A_,S___o Total leaching area...`�_4�___sq. ft.
Z Other Distribution box ( 1�< Dosing to
Percolation Test Results Performed by______________________________________ Date----_--•-- -_--- �_---- G
Test Pit No. I.__..G.Z�_minutes per inch Depth of Test Pit------1___Jr__. Depth to ground water..___ �!.f� —
44 Test Pit No. 2...... _______minutes per inch Depth of Test Pit..... Depth to ground water_____
-----------•--•- ---- -------------------------------------------- � -----------._......._._...E � 6
O Description of Soil..................C1',t... ......... ._ "�-flL � �. ......................
------__.... --¢
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VNature of irs or Alt Answer when applicable............___________________________________________________________________________•--_._..
- - ------------------------------------•--------•--•••••-----•-......__.
Agreement:
The undersigned agrees to install the aforedescribed Individual S ge Disposal System in accordance with
the provisions of TITL 1Z 5 of the State Sanitary Code and sig e f t r agrees not to place the system in
operation until a Certificate of Compliance has been i th r
n �� ••_
ApplicationApproved By......................... ...........��.._•.....'..........--•--••-•---...--•--••-----------.._
Date
Application Disapproved for the following reasons:----•---------••-•---------••---•-------•-------------------------------------•-------------•••••-•-----_••----
...._...-•-•---••••••--•_--•---•----••-•...•---•-•-•-••--•--•--•---••••••--•-••-•---------•-•--•------•---••-••••--•••--•-•-•-••-•-••---•••••-•--•------•--•-----------•-•-----•----•••---••--•---••----
Date.
PermitNo......................................................... Issued_.......................................................
Date
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THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
I M ^C&L
DATA
FEB.........................._.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD_OF HEALTH
�..... ... .........
Allpliratio OF ........................._...._...."'.---------------------......_......_........_..._.
n for Disposal Works Toustrur#iun Vprrmit
Application is hereby made for a Permit to Construct (i/) or Repair ( ) an Individual Sewage Disposal
j System at:
G% :! ....
I Loc Address / or Lot No./ .t //' r�.
--�-�_- _- --`F ---•--....._..-•----=------------------------ ----------------------------�.____2 76'-`_........ -------•----................
�ii Owner --- _ Address
,.a -•-••---- - ---..�...._� �.�4. ----------••••• r------..._,t..,r: x. -------------------------
/ Installer Address
Q Type of Building Size Lot_/._-�3------3__cy_!�-Sq. feet
U Dwelling—No. of Bedrooms..............._--�__.........................Expansion Attic ( ) Garbage Grinder-(—)
`4 Other—T e of Building I ��t -gal.: No. of persons......... __________________ Showers — Cafeteria-
Other fixtures ______________________________.._- --..--
W Design Flow........................ :_____.gallons per person per day. Total daily flow........`:___.-...... ____.__._._.___..____gallons.
WSeptic Tank—Liquid capacity____._%-1_gallons Length___:' ____ Width..�t_____-�___ Diameter________________ Depth_...........__-."
x Disposal Trench—No- ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No........ Diameter------�__?_._�____ Depth below inlet............. Total leaching area._:?_'!:_._A----sq. ft.
Z Other-Distribution box ( tomr Dosing tank-(-'')"
Percolation Test Results Performed by................................`_._._.___.r'_'.___�!'v_�_�?_._ Date.___`"�!_...�1% -+, Co
1 Test Pit No. 1................minutes per inch Depth of Test Pit..... = _._L_ Depth to ground water...............:-___:_
f=I Test Pit No. 2.................minutes per inch Depth of Test Pit____ Depth to ground water.......................
----•-------------------------------------------------------------------•--:.........__...------._.....-----------•----------••--•-•--•---•--._....— J
0 Description of Soil_____________________ — - �� r__ ✓ c'
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,
`? ---- :� -------- -----------------------------•••------------------------------
w ----------------------------------------------------------------------------------------------------------------------------------------------------------------------.................................
UNature of Repairs or AI Ma- Answer when applicable...............................................................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual S age Disposal System in accordance with
the provisions of TITIE 5 of the State Sanitary Code undersi Ie, f er agrees not to place the system in
operation until a Certificate of Compliance has been s th a
G
Signed -"`-_---•....................... ". ............................•- -r...... rl
Application Approved B .. _--X`rl-
ate
Application Disapproved for the following reasons-------------------------------------------------------•-------------..........................................
----•------------•.............•------._...--•--....---------------------•-------••--.......------------•-••-•-••-----------•----------------------•-------•--••-••---------------------•--•-•----•-----
Date
PermitNo--------------------------------------------------------- Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF............................................_......_._..............................
Tntifirate
THIS fSTO C1 IIFY, That le Individual Sewage Disposal System constructed (V) or Repaired ( )
by //./ l I` = ...•. '-......��-�-- -_.__ ---------------------------------------------------------------•-------
Installer
has been installed in accordance with the provisions.of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No._ ___ .e _ dated._I_`' ._ _.s^/E�TH'AT
r��________________
G f cci`1
THE ISSUANCE OF THIS CERTIFICATE SHALL NO BE CONSTR E® AS A GU ANT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................................................................................ Inspector....................- -... ..--•------.._..----•------------------..__...--
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.............OF....... ._.._.._....._............---•---••-••-- .-....
FEE........................
Permission is hereby granted._�/""-/0=_._._ ,; ._..._.•.__.,r' l_ _ !_________________•___...............................................
to Construct or.Repair ( ) an Individual Sege Disposal System
at No.. -'- I...............I ...... i / ,..........tZ---••••--.=- / ✓ r ' l
l / Street
as shown on the application for Disposal Works Construction Permit N
- - Board of Health
DATE 2 � i--------- ------------------
FORM 1255 A. M. SULKIN,.INC., BOSTON
BENCH MARK : sPIxE-
EL4FV, r33. 92 IV. C ,•V.ZD, TEST HOLE RESULTS e. P .�-6 '4
DA T E
TOT-' OG, 1�� 1=Hy F'20M �
WITNESSED BY
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D R �/ ' E / / 7A•S
7` ,D 7�3 418 S -- L
SUA3 r.:,:J.r
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� 07' ���J \ CLEW <� 1 -2. 2'T �-//3.6 /32 _ � =L. ..C7 `=
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7— / G i
M'ANHOLES AND COVER TO BE BUILT TO
!DECa 'o (,J ELEV. TOP OF WITHIN 12 OF FINISHED GRADE
+ � a �: / ' ti FOUNDATION
G1 FINISHED GRADE MIN, 2% SLOPE
pRopasn•z� ie % 3 �•s 4 DIA. _-- -_ - 4" DIA. PIPE /-/-20 FIRS 2~MI _
NwA I 1 F- v.��� i �' \ 'Pl P E N•r,'�;:.. . . MIN.PITCH i 2LEVE -- MIN. 2 LAYER OF
t I z)wx4c. _ FT. t �� ��
N �, g PEASTONE _
l �—
� ( `Z7V2HAM� !2' / MIN. �srivl FT. 0/N• M
.• I . PITCH
I/ �%
2
u-,
•� / INVERT 6"scwtP INVERT F— (� �• . '
` ' � •,�o � �,! INVERT / IS.SO a H.2v 1�s �7 .,® , � .� l.� A.
GALL N
125�,t`�y. ,' SEPTIC TAI, _ :. •. d DI
_ INVC •T . / / 3.0
INVERT :. K BOX v
L �f� I '( sspric �Gv _ - Gp W to WASHED STONE .
NVERT
-
p a . PLA'C E OI`s ,� � �; t;- l_4,_ A I? -
---30
FIRM BASE �F----- ---- `4-- 7 v BOTTOM AT ELEV. l D 7,O
j- �` � I � ...__ . ' Its , ` �•°• nax�a ,' 1 ' i 0 MIN.
"OGARB,AGE ( 2 0' MI N.) 2 G 2
GRINDER �p '
WAO f � ow 'o
PR 0 F I, L E OF GROUND TER TABLE
,� G C /-" � ,�- r `I� � 1� S A N I TA.R Y DISPOSAL S Y S T'E M
� ( NOT ;TO , SCALE )
DESIGN DATA r'
• CONSTRUCTION OF SANITARY DISPOSAL 3 BEDROOMS
SYSTEM ' SHALL CONFORM TO THE MASS. DESIGN FLOW 330 GAL/DAY
ENVIRONMENTAL CODE TITLE 3Z' LEACH RATE G MIN./INCH
(REVISED . 7- I-7T� AND T-HE TOWN OF.
t3AF`'/1JSTigZ3L HEALTHI REGULATIONS. REQUIRED LEACHING CAPACITY : 330
• SEPTIC TANK, DISTRIBUTION BOX AND LEACH- PROPOSED '' SSA GAL/bAY.
ING UNIT TO BE OF REINFORCED CONCRETE .
MIN. CONCRETE STRENGTH = 3000RS•I. REQUIRED SEPTIC TANK � / 000 EA'94,
MIN.' STEEL STRENGTH 20,000 P. S. I.
MIN. DESIGN LOADING : �' io �'ti' Za � ���� 1c-� PROPOSED SEPTIC TANK ` �� ' ••
• DRIVEWAYS NOT TO BE LOCATED OVER SYSTEM
UNLESS H2O DESIGN LOADING IS USED
I,
• ALL PIPES AND " FITTINGS TO BE WATERTIGHT
AND TO BE OF CAST IRON OR APPROVED P.V.C. HEALTH AGENT APPROVAL- DATE I.
SITE PLAN HOWING PROPOSED CONSTRUCTION
Z 0 NIN.G DATA L E G E N D LO CAT I 0► N : .3�'Z y s71--;�
FOR L_ , soL �. �, : Q�V- CORE DATE ' 7/2 &16 �
Z O N E � o P�-w s.��� c.� i� lz'F� � ,T E S T HOLE LOCATION � � .� ..
n, \ " °F �� E F E R E IN C E • G_ 0 �'` / .a .� Q ,.�, rV REVISIONS :
REQUIRED- AREA ' L4q s � is � 70 EXISTING SPOT ELEVATION 17.6 ���A �s9�.
REQUIRED FRONTAGE :— _(/ ) -� EXISTING CONTOUR 16
REQUIRED FRONT SETBACK : 30 3o PROPOSED CONTOUR16 A N 749a f� _- �" . �, .... � t3S 2 8 S�
PFc/3T[ ° SCALE .: / = '
REQUIRED SIDE SETBACK : 4,Z PROPOSED WATER SERVICE —VK '
A'm
• �/ PROPOSED GAS SERVICE G s- wpm
REQUI RED REAR SETBACK .
1 Z f 7, �6
PROPOSED ELEC. 8r TELE E 8T
-7- a 9_1 2
. CRAIG Re SHORT , P. E .
PROFESSIONAL CIVIL ENGINEER
Ile-
BUILDING INSPECTOR APPROVAL DATE 131 OLD ROUTE 132 HYANN IS , • MA, 02601 FILE NO. i -sao
( 7- L.E. <"�/7) 362- 7 SHEET 0F 1
-- BENCH MARK : sa/xc / po,LE 'c' / / 9
ELEV 1,33, 92 NG;.vo. TEST HOLE RESULTS . P#-� •� i
DATE :
WITNESSED BY : T-,� ,-"e.c)A/ . c;, ✓.
n/) O L
D,q . rx a -
8 T . 7.IS*
24, su ,��., ,::.. ,EG i I q• 0 24
.sum =' `'_�
loll
ti 9 �
O T .�� �/ 1 . 2 _ /i d_ ,y/I 3•S i 3 20
�,
t~ Na .rc;0v�tw.ar
f`
�4 Q T /
%•i Z ELEV. TOP OF MANHOLES AND COVER TO BE BUILT TO
- (.� :. . ; WITHIN 12° OF FINISHED GRADE
FOUNDATION
(Alb'IIVJSHED GRADE MIN. 2% SLOPE
1�
—— �izopc�sE•za (� 4�� D I A, -- - 0� `
-. _" + i %. PIPE ��-FI R '
Q3 N, A I �`,��r.•sie. ;� `PI P E _. .':'"„v. �, t4j,-! `�'`'CH I • FT. 2 VEL{ ; MIN 2" LAYER OF
�.
r r
� ..: PEASTO
J
• �.,�' I <aV2HAM� ►z' � �� / /�.p0 :' N. C :llf .� ,Q t ; � N
• MI PITCH • � � ' � ��2
INVERT
FT '
8�, I a
4
lr
.-- --- -- s pric �ij _. - I N V T
�
+---R�► ,w-S'" a �y '
CE ON
7 T V.
.. �1 R ,
BOTTOM A ELEV. / 07•0
vsl' , a >.o •- 10 M1N• b cir�E
I 1 �I ,i, recur +_ G A,R B A G 0 2' .
w -
114
N� ( 2 � M I N.) �, 2,
IiT GRINDER
307— Or T, ,00 ELEV.
' PIR0F�, I• LE OF ROUND WATER TABLE �� bw
S A N I TA•R Y D I S_P 0 S A L S Y S T-E,M
-
k ��"" l► a/ II �� �( N(�T ,:TO SCA L�E )
w )
-- DESIGN DATA
• CONSTRUCTION OF SANI ?I'ARY DISPOSAL 3 BEDROOMS
�-
SYSTEM ' SHALL CONFORM TO THE MASS. DESIGN FLOW 33 GAL./DAY
ENVI RON M E N TAL CODE T I T LE �C' L
• (REVISED . 7- 1-77) AND T-HE TOWN : OF LEACH RATE - MIN./INCH
HEALTH "REGULATIONS. REQUIRED LEACHING CAPACITY : 3, 30
�1� • SEPTIC TANK, DI STRI B UT•ION BOX AND LEACH PROPOSED " SRO GAL/DAY.
O ' 2 .5 3. 1?�I O -1- �. 0
ING UNIT TO BE OF REINFORCED CQNCRETE . ( a )
MIN. CONCRETE ' STRENGTH 3000PS.1. REQUIRED SEPTIC TANK
MIN.' STEEL STRENIGTH 20,000 P. S. I.
MIN. DESIGN LOAD I N G :
� • DRIVEWAYS0 B LOCATED SYSTEMPROPOSED SEPTIC TANK :
NOT TO EOVER
UNLESS H2O DESIGN LOADING IS USED
• ALL PIPES AND * FITTINGS TO BE WATERTIGHT APPROVAL DATE
AND TO BE OF CAST IRON OR APPROVED P.V.C. HEALTH AGENT
SITE PLAN HOWING PROPOSED CONSTRUCTION
Z O N I N.G DATA LEGEND LO CAT I ON : !�
• FOR L E L , 5o L L,0 ,� C'�F DATE ' / /
o r��'�/ .s,� -�- /N lZi� TEST , HOLE O L E LOCATION C A T I 0 N 7 2 G.
-- � �j" OF �Rs REFER►, ENCE � G-• 07" /k=� � .� s �� �� �h/ REVISIONS �'1121
REQUIRED- AREA • -, G' � /� ��a EXISTING SPOT ELEVATION 17.6 0�' CRAIG ` �y PLAN , ; - � , , ��- ; %� ��i 7
REQUIRED FRONTAGE ����� 37•S� EXISTING CONTOUR 16 sH
N d83
REQUIRED FRONT SETBACK : �3 ®� 30 ; PROPOSED CONTOUR 16 c�sTER�° �� SCALIE
REQUIRED SIDE SETBACK l� /` PROPOSED WATER SERVICE —W— s�aNAi �
REQUIRED . REAR SETBACK : ��S PROPOSED GAS SERVICE G i-,7/7 a$
PROPOSED ELEC. 81 TE.LE E B T
CRAIG R . SHORT , P. E .
PROFESSIONAL CIVIL EN G I N E E R
B U I LD I NG INSPECTOR APPROVAL DATE 131 OLD ROUTE 132 HYANNIS . ' -MA, 02601 FILE NO. i -15"8Q
7) 0Z ?•f SHEET OF 1
4o
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