Loading...
HomeMy WebLinkAbout0049 WEATHERVANE WAY - Health '� � ��� 1.��(C�.�IIQ. ra � Yr,a �'s T' n s � -�. ��� IN SMEAD� KEEPING YOU ORGANIZED No. 12134 2-153LGN SUSTAINABLEFORESM MIN.RECYCLED INITIATIVE CONTENT10% WHO Sourcing POST-CONSUMER www.sfiprogram.org SFW1290 MADE IN USA GET ORGANIZED AT SMEAD.COM -- --- - _ - -- V Sewer Permits No. _ate 1l Name eeN rai, r- ror / -4 / e e r e ILLS � Location d � Installer's Namc and Address "''� -�e—r(-, 'Ile 0 Builder's Name and Address (�r•e&tiJ /' t r CO rip CC AA Oryr ! c_ /1 /2 T" Date Permit Issued: 9 2 Date Compliance Issued: ��� 3 w Ur Fim THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........0 F....... k./ ............................................... Appliration for Dhipviial Works Tom3uurtion Prrmit Application is hereby made for a Permit to Construct (%) or Repair an Individual Sewage Disposal System at: ..... ...... .....1-4.................................................................... Loc'Ition-Address or Lot No. kk............................ .......!f—/............................................Address ..... Ownter . ................................................... ........................... ...Je................................. ............................................... InstalYY er er Address Type of Building Size Lot.._. .......Sq. feet U 4) Dwelling—No. of Bedrooms.......!_..................................Expansion Attic W.) Garbage Grinder ( Other—Type of Building ............................ No. of persons................_._.._______ Showers Cafeteria Otherfixtures ...................................................................................................................................................... Design Flow..................................__gallons per person per day. Total daily flow--------*-------------------3.Z.Q.....gallons. WSeptic Tank—Liquid capacity.hc.-_gallons Length.O.' Width.1 Diameter__----........ Deptho_vc...... Disposal Trench—No. .................... Width....._...._.._._._.. Total Length___................. Total leaching area....................sq. ft. Seepage Pit No......ov�_ ....... Diameter..../;;?.......... Depth below inlet.-_...6............ Total leaching area... 7...sq. f t. Z Other Distribution box (-,-,) Dosing tank ( ) 0-4 Percolation Test Results Performed by._,5.+r_-pkiot-i---A......W..1.-c..r........?JE............. 1.4 ------- Test Pit No. I....-ILLi�rj--minutes per inch Depth of Test Pit-_____I 10.... Depth to ground water------------------------ Test Pit No. 2................minutes per inch Depth of Test Pit_..___......___..... Depth to ground water-_.tA,"-_4"A------- .............................................................................................................................. 0 Description of Soil .... ......................................................................................... ................... STEPHEN ................................ U ............................................................... -------........ .......ALLYN------- --------------------------------------------------------------------- L:sf N V* ........................ .............................................. Wr ON ..... U Nature of Repairs or Alterations—Answer when applicable............................................................ ..................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System acc F. ith 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 By ............... ­­-­-------I D--- - -------------------------------------------------------------------- -----/-----7...�)j..n1_1 Dace Application Disapproved for the following reasons: ........................................................................................................................................ ------------------------------------------------------------------------------------------------------------------I............I.............................................................................. ....................................... LPermit No. ....... ------------------------- Issued .........................................................77------- Date �t No...l... .:.. � .' FE$....... ..... ......:..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH /./Q-wn....... OF....... in AVVliratiou for Disposal Works Tonstrurtion Prrutit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: CXl'1i.11s.... 'T 4 ....................................... L.. ion-Address ..........Lot.No......................................... _Gf_crev�l�rlcr U-1n�cw!ci�� ..�C?.:__��K__�{0 Gcr,fz/'ui/� Owner Address W Installer Address Type of Building Size Lot....A3,s64.......Sq. feet Dwelling—No. of Bedrooms.__.....h!'... ........................Expansion Attic Garbage Grinder (Alb) aOther—Type of Building _____________•_-________-__- No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures .................................. W Design Flow..................................S- ..gallons per person per day. Total daily flow-----------................Z- o.....gallons. WSeptic Tank—Liquid capacity.l�z2gallons Length_�_�-�_`_. Width.' _'_44 Diameter--. �-'_-__ Depth �.4:....... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.....j�? -------- Diameter----lv'......... Depth below inlet.....6'......... Total leaching area...Z 7'_...sq. ft. Z Other Distribution box (X ) Dosing tank ( ) aPercolation Test Results Performed by..str--p t!---A......W., .I.�a.......?E............. ,.a Test Pit No. 1_...ftvo..minutes per inch Depth of Test Pit------ ...... Depth to ground water_____ fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------__-----•_-------•. ODescription of Soil----- •--•---•--•---------------•-••----------------------------.........------------------.. TA.. ......... x d! + 121=156ry--•_S ef���e� .....etQ.v►n •--•---•--•--•--•--• •-•--••......................•-•--•---•---------•--•-------•-•--•----------••---------------•-------.....-•--••••............--••-•......... _ ......ALYM...... . U Nature of Repairs or Alterations—Answer when applicable._........................................................ c.. ....W!LSO..._. .p No.�3.....`� ---- Agreement: f S Z. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System j the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not ace the system in operation until a Certificate of Compliance has been issued by the board of health. Signed ----- ------------ ----------------------------------------------------------------------------- -- ---------------------------------------- Date ApplicationApproved By ----....-� '& � ..--�_._J. n�_-, ...................................................................... ....•------... Application Disapproved for the following reasons- ----------------------------------------------------------------------------------------- -------------------- --- -- -- --------------------------------------- --------------------------------------------------------------...........------------------------------------------------------------------------------------ -- --..........--------------------- Date PermitNo. ........�.y�---------,ti -- --------------------- Issued ....................................................--------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �1---------------- OF ) "9&_ ----------.......-...--......-------------------------- �c "�� CIle>r#ifirate of ontyltttn e THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by...................................................................................................................Installer----.--..---.--------------------------------------------------- -........-----.--...---.-------.---.-...---..------...-.. at ------- ------- -._----------------------------------------------------------------------------------- -- ----------------------------------------- has been installed in accordance with the proviss of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. .......... .a..:..----- ......... dated -------------------------------------------- ---- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON- UED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE---------------------------- •� '-�.�� ....---, ---- Inspector . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � OF........ ..P,.,.�... 1 . �x�.t(........................................... No._._,1= ._. _ .. :;:E.................. .. � FEE... ...-------- Disposal Works T-Fonstrarrtion rrutit Permissionis hereby granted............................................................................................................................................. to Construct 1 or Repair ( ) an Individual Sewage Disposal System at No•-------••--�:... .. -y--•-• -•-•---------------------------------------------------•---- - �.......1.__........_.._ Street � as shown on the application for Disposal Works Construction Permit No , :.; : _.... Dated.......................................... � DATE........................................................................ -----• Board of Health FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS i j 20' MINIMUM OR AS INDICATED ON PLAN NOTES: 10 MIN. W `,Weathervane 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.EQ.E , MASONRY EXTENSION TO 12 TITLE 5 , THE TOWN OF ___N_ RULES AND tj• �,, Pond BELOW GRADE ?�. TOP OF FOUNDATION BACKFILL WITH REGULATIONS FOR THE 'SUBSURFACE DISPOSAL OF SEWAGE o 5- ' F o�c� D' 8 MIN. 9 3.3 �� . 93. t'. CLEAN SAND D-a"97 ? MASONRY EXTENSION TO 12' �d Q` f BELOW GRADE AND THE REQUIREMENTS OF THIS PLAN. Locus Fin Fir CA 84.9 2. ALL COVERS .TO SANITARY UNITS SHALL BE BROUGHT TO _e � � z „ - WITHIN 12 OF FINISHED GRADE. - _ 4' SCH. 40 PVC PIPE � MIN. PITc>+ 1 a PER N 3. ALL MASONRY UNITS USED TO BRING COVERS TO GRADE ( r / Weathervane 4 P 2. LAYER of SHALL BE` MORTARED 1N PLACE Way ER FT. FLOW LINE T } 2'_ 10• TEE, /e / 4.' ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE I - m /000 WASHED STONE O 6e m OF WITHSTANDING H-10 LOADING` UNLESS THEY ARE UNDER OR 8 3' MIN. I'ii < - ►- 2 0 � GALLON - A - 2' YIN. a WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H 20 LOADING 4'-0' - LEVEL o LEACH 7 7 PIT SHALL `BE USED UNDER I V = �a' MIN. B ER OR WITHIN 10 FT. OF DRIVES OR .. m 8 6 �+ 3/4 — 1 1/2 � LIQUID WASHED STONE PARKING. ( Lumbert DISTRIBUTION F ED ONE o m LEVEL DISTRIBUTION $ c, Pond 5. NO DETERMINATION T 1 eox D E N HAS BEEN MADE AS 0 COMPLIANCE WITH DEED W RESTRICTIONS OR ZONING REGULATIONS. OWNER APPLICANT SHALL s+.s / _TION lao OBTAIN SUCH DETERMINATION, A FROM M THE .APPROPRIATE AUTHORITY. a GALLON SEPTIC TANK LOCATION MAP f z 0 z 6. HORIZONTAL AND VERTICAL `CONTROL, SEE LEVY, ,ELDREDGE 1. .1- L -1 - ASSESSORS S RS MAP 14-7 PARCEL 42 WAGNER FIELD NOTEBOOK 1. LIQUID DEPTH IN SEPTIC TANK DEPTH OF OUTLET TEE BELOW FLOW LINE BOTTOM OF TEST HOLE 4 FEET 14 INCHES 4 O 5 FEET 19 INCHES OR USGS PROBABLE HIGH WATER LEVEL 8 FEET 24:INCHES NOTE. rl a. cl: h a INTERPRETATION: � ,/ CURRENT ZONING N ERPRETATION. DESIGN- CALCULATIONS o f Soils liH� /'uurfc.�tcJea lC✓� �row�f 9 E✓c v 7 SEWAGE DISPOSAL SYSTEM PROFILE E L TE MIN. FRONT SETBACK 30 T FEET NUMBER OF BEDROOMS 3 NOT TO SCAL E LE � .. MIN. SIDE SETBACK /5 FEET GARBAGE DISPOSAL UNIT TOT AL AL ESTIMATED FLOW es 148 4 MIN. REAR SETBACK FEET //0 3 C ( GAL./BR./DAY X BR.) �— GAL_ /DAY , � I REQUIRED SEPTIC TANK CAPACITY 49.5 GAL. O 1 ACTUAL SIZE, OF SEPTIC TANK 600a GAL. �• A REQUIREMENTS PERCOLATION SOIL TEST (� 782 .E LEACHINGR EA /.b 148-82 SIDEWALL AREA_.�GPD./S.F. BOTTOM AREA GPD./S.F. DATE OF SOIL TEST �l Lot ` 14 SIDEWALL 277 a 2 4 SF x2,,- GPD SF = GAL DAY 43,561 s .ft.t TEST BY q o � o _ - BOTTOM 7T ! 2 SF x ,.� GPD SF 75 GAL DAY WITNESSED BY RAC MI PERCOLATIONRATE N./INCH _-----=-----`----- 88 06 7 SF 5_5 0 GAL/DAY \ G ------- =-- ------ 89 93 T- --------------- 90_ � TEST Plfi< 1 - TEST PIT 2 -BREAKOUT CALCULATION. 148-83 94 ELEV.- 9?,o `ELEV. u� = __ `l, 0.00 0.00 N. ` -- O S41,6_5c> 97 � 91 LEGEND: 1 EXISTING SPOT ELEVATION ` 00' 0 ,- EXISTING CONTOUR 00 G FINAL SPOT ELEVATION 00.0 ` .. /- I, ON\ � Ir„n of FINAL CONTOUR � P I�n-o> S01 TEST PIT LOCATION BOTTOM OF TEST,HOLE BOTTOM OF TEST HOLE �- ,� dirt Pl« OR WATER ELEV. g�1.o OR WATER ELEV. TOWN WATER W W i c c -- 95 SEPTIC :TANK R 25.00 DISTRIBUTION BO 0 1 � _ N x 3 L = 6.18 r WATER LEVEL ADJUSTMENT. PRIMARY LEACHING PIT O.. . SM on hydrant R Y RESERVE LEACHING PIT \ 97 i ► to bolt El. - 94.47 �. I 9 W T \ � r TEST DATE A ER LEVEL � � � ► �i INDEX :WELL... � g WATER 'LEVEL RANGE ZONE 1 � ' g 9Z. INITIAL ISSUE srg-ciJ O � `L Q DEPTH TO WATER LEVEL FOR INDEX WELL `\ I I•�' . NO. DATE DESCRIPTION BY , ___' �• FOR MONTH OF. ec. �j�� WATER LEVEL ADJUSTMENT SITE PLAN AND SEPTIC DESIGN , I C 96 DEPTH TO HIGH WATER Lot 13 ,f, LOT 14 WEATHERVANE WAY 1 _.. � _ i Lot 17 1N t BARNSTABLE MASSACHUSETTS v :., FOR i <, . APPROVED. BOARD OF HEALTH vo GREENBRIER CORPORATION STEF'I•IEN , k ALLYN z,r p , ., - 1599 1599 1 40 / WILsoN ��. SCALE. JOB N 0. .e No.sous TT�j PLAN : u SITE a� DATE AGENT � C7 ti LEVY ELDREDGE & WAGNER SO AS CIATES INC. B%MW LINAS 0 A m PERMIT s s M= PIJNNERS 1}IHD SUR91r1I0RS N 889 WEST MAIN STREET CENTERVM MA 02632 P SUPPLY: NEW ENGL AND REPROGRA H iC CS b SU L CO. '.`