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HomeMy WebLinkAbout0050 WEATHERVANE WAY - Health f 1 I Sewer Permit 'No. Name l 1 r PAN 11CA i r MJ2e LS Location D� h! Installer's Namc and Address �� r,,N s r de �a,41 Ile- —,O� 6 C7 r*&LOA) �r/111 Builder's Name and Address r Date Permit Issued: Date Compliance Issued: X is v r'r a No.........7`k a.,13 1 / - 6 V ) FIB$.../.OlC.7.........._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH /OLW7..................OF........4�..,<!^�?5 . App iratiou for Uhipoii al Vorko Tnnitrurtinn Permit Zvi' Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: ....We*.f.X.C: ru....��!a�r:..hl.�r r ...-` ?�� ..CMz_-1-.7...-•-•----••............ ............................................•- Location-Address or Lot No. ��rxikar..t€x. ,d` u�.lc.. :c�s►�r PG: - �®1<. ►� cr..u_i.1.1��................................._----- Owney ` -•••••......•...................Address a ..... ....? Installer Address UType of Building Size Lot___AA3 .!�_(_1.....Sq. feet Dwelling—No. of Bedrooms---�nc.e .......................Expansion Attic (Al.) Garbage Grinder (A/6) `04 4 Other—Type of Building No. of persons............................ Showers — Cafeteria a' Other fixtures ............................ W Design Flow..............................l..S-5.._gallons per person per day. Total daily flow---_--_.-_------.-----__--�?3--.0.....g�allons. WSeptic Tank—Liquid'capacityLOVO.-gallons Lengtha�-Ga`..... Width.'q_-W"... Diameter- ---- Depth-'4.::1.01' x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. > Seepage Pit No------ W......... Diameter.....1.0.._._..... Depth below inlet......(a.......... Total leaching area......sq. ft. Z Other Distribution box (9C Dosing tank ( ) aPercolation Test Results Performed by... in,n---A...1�.1i.hsr _._,. Psi...._......•_. Date.15...(2C_ a Test Pit No. 1....2tmo..minutes per inch Depth of Test Pit.... ...... Depth to ground water...-_.—____......_ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground Yvaterk-_:AA>ar .......... ....-••--••............................• •-•----••-----.........--•-•-•--•-----•-----.....--................................�tp`t'� . O Description of Soil....... Z_u �Sr✓6scaj--1.....................••----••--•-----. ........................................... s' C e �A a� (� -•-•-•-•-•---•--•--- /L'•:_�ad�P_rrLttlzs7�/ 71�l-...� ?f�l�?l�t_-_ 9Y 5�� yy ^:4i_vni 11 ,' x Nature of Repairs or Alterations—Answer when a ... ..applicable..................................................... No.302I€ The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in8rd cc 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 q, Application Approved By ----------- .C% ...�.. ,� .-...1 Ca_ Date Application Disapproved for the following reasons- ---------------------------------------------------------------- ---------------------------------................................ -- --- ------- ---------------- -- -- --- ----------------------------------------------------------------------------------------.............................................................. ----------------------------------------- Date Permit No. ...........— ��� Issued ----- -----..... ..... .. .......... ........ Date 2. . / _ L No..--....I_ _.....:�, c.� r` 1 Fes$........................... THE COMMONWEALTH OF MASSACHUSETTS" BOARD OF HEALTH ...........l..ows� ...............OF.......L3�r�n /z?.�2 ' .... = Applirafiun for Uhipasal Workii Tuntrur#iun ami# Application is hereby made for a Permit to Construct (-X or Repair ( ) an Individual Sewage Disposal System at: ._..........� 'r�.,y�;.... �� i/./fno ? '..._` .!l�,s...... C?T._. .7•...............................••-•-----.........................------. Location-Address or Lot No. ....��! 4n}ar'►cv �- u Rs! PC3 Owner Address W Installer Address dType of Building Size Lot___ ......Sq. feet U Dwelling—No. of Bedrooms...7h r'��......................Expansion Attic (Al.) Garbage Grinder (/Ve) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) at Other fixtures -------------------------•. . Design Flow..................................�.5_ _gallons per person per day. Total daily flow__........................t;�a.Q......gallons. WSeptic Tank—Liquid capacity_(9 .gallons LengthL'�a"_... Width4�'! �t__. Diameter___—_ Depth'4.'����.. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit. No.... --------- Diameter.....10..__..... Depth below inlet.._..4r_......... Total leaching area.Z�.7.....sq. ft. Z Other Distribution box (7C ) Dosing tank ( ) '-' Percolation Test Results Performed by._S#rpl r►__I-...lt�i.l t ------------------------ Date-l5-..� Test Pit No. 1.__74- ..minutes per inch Depth of Test Pit...Z --- Depth to ground water..._____________•---___. fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground wateH�­_°AAU ---•---------------•---•-•----••--••---•--------•--•-•----.......-••••-•----•-------------••-...----- iCif r `ti a - Description of Soil-...... .Sc�bsoi-� - = '= x t. �, ff �TEPNEN y Z -/S� �cQrvin- `first Sew ....--••-•---•-------------------1__....----•-----•-- `�eft --�--�....._....._..�Q...-•-------------•---�---•--•---------•-----•--�== V Nature of Repairs or Alterations—Answer when applicable____________________________________________________ ,� �1 ?r?eF jJJ ,1 s Agreement: g P Y *'" -V 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 --------------------------------------------------------------------- -- - --- --------------- --------------------------------------- Date Application Approved By ........... ram^ �:•� - ,: ------ --- 1 Date Application Disapproved for the following reasons- ......................... -------------------------------------------------- -- ----------------------------------------------- ---------- --- ----------------------------- -- -------- .........---.............--------.........---...--------------...------------. ---- ......--.................................... ---.....-------------------------------- to PermitNo. ....... Issued .................-..--.......---...-..--..--.-.---......... __ __ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -------------;"1kt----------_ OF ... ���K-���=r�---............------------------------------ Tertif ra e of '01omplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) b ------------------------ -- -------------------------- -----------------------------------------------------------------_-------------- Installer at ------------/. -- ------------1-----7- 1t�1 P n 1 / .....� �, '--------------------------------..............---------- ` f f -Y -.. z�1 G-.vt� .-+2- —....{ - f....� ..... .. ........ has been installed in accordance with the provisions of TITLE 5 bi The State Environmental Code as described in the application for Disposal Works Construction Permit No. ........1-_j>.;).•._..fir' j.,.-... dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION ATISFACTORY. DATE-----------------------------3..... -- . ......................... Inspector ------........ ...a THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ,� ...`2( !l/(..............O F......t. .IFiYt►%4�� XT(......................................... C No.. ..�i..-. j... FEE...10...:............... �i��u��l urk� �un��riun rrmi� Permissionis hereby granted................................................................................................... .......................................... to Construct ( ) or Repair ( ) an Individual Sewage Disposal System t /?.? $t eet n `� _ as shown on the application for Disposal Works Construction Permit No.__�_:x..>___. Dated.......................................... ----------•---•--------- q _ oar fl of Health DATE................................................................................ FORM 1255 HOBBS & WARREN, INC., PUBLISHERS 7 INDICATED ON PLAN 20 MINIMUM OR AS ' NOTES. 10 MIN. D. Q.E. Weathervane 1. ALL WORKMANSHIP AND MATERIALS SHALL- CONFORM -T0 D Q a. Pond . C `` • i TITLE 5 E ;'OWN F a RULES AND .MASONRY OCTENSION TO t2 T! E , -TH T O ���+�ht>.�_----- ' J BELOW GRADE .d O _ BACKFlLL WITH : REGULATIONS 'FOR THE SUBSURFACE DISPOSAL OF SEWAGE; � . TOP OF.FOUNDATION 0� b 9 © N 6 MIN. Q` ... �l 8 - EXTENSION TO 12 $ w�soNRY ExrE sl N HER REQUIREMENTS OF THIS PLAN. 9s.Q AND T EQ E _ BELOW GRADE �e t Locus 'O - O B BROUGHT TO 2. ALL COVERS TO SANITARY UNITS SHALL E fir $25 i WI IN •1 OF FINISHED GRADE.: TH 2 , , PP r 0 4 SCH. 40 PVC PIPE r . ' 3. ALL MASONRY UNITS USED TO ::BRING COVERS TO .GRADE r N i, Weathervane , MIN. PITCH fi 8 PER FT. / Wa SHALL BE MORTARED IN PLACE y 2 LAYER OF I r*1 i l 4 ROW LINE 4 PEfr Fr. _ t a - t z, Y ALL BE CAPABLE I - / / , 4. ALL 'COMPONENTS OF THE 'SANITARY SYSTEM SHALL . �6 10 TEE WASHED STONE O e /OC T m o ARE UNDER OR -0F WITHSTANDING H 10 LOADING UNLESS THEY r MIN. �< _ 3 a 2 o � c - r GALLON V PARKING AREAS. H 20 LOADING r >�s WITHIN 10 FT. -0F DRIVES OR PARK N R 2 MIN." LEVEL �: LEACH _ 1 4-0 cn 0 PIT ` SHALL BE 'USED UNDER OR WITHIN 1O FT. OF DRIVES OR S MIN. l 3 4 t t 2 to 8 3 � / f ,� Lumbert LIQUID F WASHED STONE PARKING. 0 d `.DISTRIBU110N � Pond LEVEL W 5. NO DETERMINATION HAS BEEN MADE ;AS TO COMPLIANCE WITH DEED Box RESTRICTIONS OR ZONING REGULATIONS. 'OWNER APPLICANT SHALL l �t -OBTALN SUCH DETERMINATION FROM .THE APPROPRIATE- AUTHORITY. LOCATION MAP /00 0 P TANK GALLON SEPTIC AN -z 6. HORIZONTAL AND VERTICAL CONTROL, SEE LEVY, ELDREDGE � L I _ s�-�- �, ASSESSORS MAP PARCEL �s L .L � WAGNERFIELD NOTEBOOK �$4 & AGNER IE D TE #____...�. W OW LINE LIQUID DEPTH IN SEPTIC TANK DEPTH OF OUTLET TEE BELO fl BOTTOM OF TEST HOLE 4 FEET 14 INCHES OR USGS PROBABLE HIGH WATER LEVEL &5.0 5 FEET 19 INCHES` I 6 FEET 24 INCHES G t f 1 � 1 •• > CURRENT ZONING INTERPRETATION. DESIGN ' CALCULATION 0 , WAG DISPOSAL SYSTEM PROFILE SEWAGE I ^oc+r�o MIN.' FRONT SETBACK 3� r« y , R FEET NUMBER OF BEDROOMS �— T T CA tJ NO 0 SCALE F/ 3.9 :�- GARBAGE DISPOSAL UNIT e MIN. SIDE SETBACK FEET 5 ......TOTAL ESTIMATED FLOW �`MIN..: REAR SETBACK � FEET �a A _ 3 'BR. 3_ � GAL. DAY c AL. C TANK CAPACITY G REQUIRED SEPTIC ��� BM on hydrant ,` ACTUAL .:SIZE OF SEPTIC TANK /oo o G AL. _ A _ _ LEACHING ARE to bolt. EL. 94.47 P PERCOLATION L TION SOIL TEST. . . 782(0 g E CO A WA AREA GPD. S.F. BOTTOM AREA � GPD. S.F. SIDE WALL .� / � / /.� © to#� DATE OF SOIL :'.TEST. 1! - S DEWAL 27T /0 2 6 SF x2,5 GPD SF - GAL DAY R 25.00 I L ( / }E—� / 4 7 / / TEST � 4 Gc� lsc�rr ,. 2 _ (-Lc—, /:r� _ ' _ ' BOTTOM 1T _2 SF x GPD/SF 7 9 GAL/DAY WITNESSED BY Lot 16 .... \ I w a MIN NCH PERCOLATION RATE: 1 / 5 2<i SF 5' © GAL DAY. V > TEST PIT 1 TEST PIT 2 ' BREAKOUT CALCULAT ION: �. Lot 1 -,. (� O 94 7 ELEV. 4E , c� ELEV. 43,561 s q.ft. 7 SS 0.00 0.00 96 % s�� a.r ._ I�rt of • � � dirt lei V t t I l �. r. '( LEGEND . SG _ 96 1 , EXISTING :.:SPOT ELEVATION 00 0 ,- I , I r \ \ EXISTING CONTOUR 00 \ t \ , ELEVATION 00. FINAL SPOT 0 / . \ FINAL CONTOUR SOIL TEST PIT LOCATION ., � � __ - S L E � ..•—.` \ ► rn• � , _ � BOTTOM OF TEST HOLE BOTTOM OF TEST HOLE W WATER W W OR ELEV. 85.0' OR WATER ELEV. TOWN 1 . o 0 SEPTIC TANK C=7 _DISTRIBUTION BOX ❑ WATER LEVEL ADJUSTMENT. PRIMARY LEACHING PIT 0 \ �RI 88 RESERVE LEACHING PIT \ . 89 .` 6, ► .� _� �� � � TEST DATE WATER LEVEL 90 91 INDEX WELL 92 WATER LEVEL RANGE ZONE 93 1 ! g y� INITIAL ISSUE \ 94 \ DEPTH TO WATER :LEVEL FOR INDIEX` WELL NO. DATE DESCRIPTION BY \ \ 95 Lot 18 \ � � FOR MONTH OF: 96 SITE PLAN AND SEPTIC DESIGN WATER LEVEL ADJUSTMENT \ o V DEPTH TO HIGH WATER V WAY 97 E LOT 1 '7 WEATHERVANE 147-3 IN t \ E - MASSACHUSETTS BARN,�TABL , \ 98 FOR 1 , ter , R CORPORA TION . .� STE � �, , GREENBRIE APPROVED. BOARD OF HEALTH � �,� 99 .� r , � ALLYN rn _ 1599 1599 SCALE. JOB N0. No. 0 1 SITE PLAN T /� ►J 1 1 1J 1 Lti� ;DATE AGENT { ELDRE GE & WAGNER .::ASSOCIATES. INC: LEVY, D "PERMIT �rcu�es »sc0 PIANNO IM S MUORS -889 WEST MAIN STREET: CENTERVnJZ MA 02632 A I PP . NEW ENGLAND REPROGR PH CS 8 SUPPLY COCD