HomeMy WebLinkAbout0029 WATER VIEW CIRCLE - Health 29 WATER VIEW CIRCLE
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
'0 .......H. -:---
.......76.r4...................OF.........barA5.1vbIr .............................. ... ..
Appfiration for Disposal Works Toustrurtion Prrutit
Application is ereby nja e for a P pit to )apnstruct (X_) orAepair an Individual Sewage Disposal
System at: k)o*efl- V)-etJ fc,.A-vl C_Q�-
�- ,:................. o•rt ........ -----------------
,io,Address r Lot No.
............................... .. .......
0 Address
.Lner
..........................cax....... .. ..................................................................................................
4d.4. 'e-----------------------
_Installer 42' fA Address
U Type of Building Size Lot.... ....Sq. feet
Dwelling—No. of Bedrooms...Fo.vc.............................Expansion Attic Garbage Grinder WO)
Other—Type of Building ............................ No. of persons.....__..............______. Showers Cafeteria
Pa
Other fixtures ......................................................................................................................................................
< Design Flow......................................55..gallons per person per day. Total daily flow..............................14-.6.....gallons.
1:4 Septic Tank—Liquid capacity).S.M...gallons Length!!.' .0 Width.� Diameter__._--_--_._ Diameter__._--_--_. .457�io.,_. Depth �.
Disposal No. .....4........... Width.....1_Z......... Total Length.....V;Z_....... Total leaching area...ca_.2.4. ......sq. ft.
Seepage Pit No--------------------- Diameter.............__..._. Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box (X ) Dosing tank ( )
aPercolation Test Results Performed A q1_A�e,.............. Date... IF...................
11
Test Pit No. I......Q4.......minutes per inch Depth of Test Pit---------12Z.. Depth to ground water......................
44 Test Pit No. 2................minutes per inch Depth of Test Pit.._.............._.. Depth to ground ..............
................................................................................................................... . ..........
0 Description of Soil—.—.—. IF"-1_1....................................................................................... .. .....
STEPHEN
-----------------------------------------------------------
---------------- ......ALI-M...
---------------------------- .......................................................................................................................... .....WILSGN...... .....
U Nature of Repairs or Alterations—Answer when applicable................................................ Ro..30216. ...........
.................................................................................................................................................... ........
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Dispos S tem. Ace 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 Comtnce has been-issued the board of health.
Signed --- ......................................
- ------------------ .......
Date
Application Approved By _---------�� ----- -
'7
-------------------------------------------------------------------------- ----
Application Disapproved for the following reasons: ------------------:.....................................................................................................................
.......................................................................................I........................................................................................................................ ........................................
Date
PermitNo. ..........2X-3ja�.8r......................... Issued ..............................11....................................
Date --a A
r
No........ � �FkB........ ........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
0. ...................OF.........&Cq�! zPblr. ............................................
Allp iration for Uhipsal Works Tonstrnrtiun ramit
Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal
System at:
....... •-^- for !1� cf�u► L O T" 42
-----,--/-----
Location
-Address orLotNo. .........
---•--•---
e i7 `J7 /m
---•......................... . //Glzrj Fv 0/e................
Owner Address
W
Installer Address
Type of Building Size Lot....".`)14�.P-----Sq. feet .
�-, Dwelling—No. of Bedrooms...1F_.Q.r..............................Expansion Attic Garbage Grinder Q410)
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
dOther fixtures ------------------------------------------------------.••-••-•••••••-••----•-•---------------•----••-••-••---•-•••--•-•--•••••...-•••--•-•....._.._...
W Design Flow....................................S�_gallons per person per day. Total daily flow.._.........._......._..... .......gallons.
WSeptic Tark-�Liquid capacityt�00..gallons Length..:7Q..... Width .`.!D..___ Diameter................ Depths/Or'.
x Disposal "1 —No. .....I 2.._......_.. Width----- Total Length..__SZ....... Total leaching area... _ ------sq. ft.
Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box (x) Dosing tank ( )
`-' Percolation Test Results Performed by..45:,,,'L1�-� r .r�..lJn!fir..__........ Date.._ ..%f.-�
t-7 I % / ...................
Test Pit No. 1......4......minutes per inch ISepth of Test Pit......... Depth to ground
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to groun
D Description of Soil....... ..g. l/............. - -- ��PPFtTefl... �y
a �k k�l - <s
UW •••---•--------------------------•---------•--••••-------•-----------•-............-- ....................... ;rra fv0216
Nature of Repairs or Alterations—Answer when applicable._......................................................... a
1
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System n accorda ce 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 ssu_ed by the board of health.
Signed --.-.�-�:..�--:::.._.--
Application Approved By ................... --------
----....------Dzre-------------'----
Application Disapproved for the following reasons- ------------- ----------- --------- - -- ----------------------------- ----------------------- --------------------
-------------------------------- -------------- -------------------------------------------------------- ---------------------------- -- ----------------------------- - -- -- ---------- ----------------------------------------
qq Dale
PermitNo. ...................1../.---_,3_D.g.........--...... Issued --.........................................................
Dace
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...................../ 1----- OF ...................
.................................
(fertifirate of Chum littxcre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( )or Repaired ( )
by .
1 � � Ins ler
at .... ` -------.1n1--- ---------- - --- -- -- ------------------------------------ ----------- -------------------- --------- -- --------------------------------------
has been installed in accordance with the provisions of TITLE 5 of Wja g%yg ronmental 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 ,°5..... ........................................................... Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH q .
OF.......................
No...............?/: .3�g FEE........................
Mipwi al World 041nmirndinn arAft
Permission is hereby granted................. b�,Q !'.........
.................
........................................................
to Construct ( ) oj-),,R air ( ) an Indivi l Sewage System
at No e w L
Street
as shown on the application for Disposal Works Construction Permit No.............71.,
........ Dated..........................................
.................................•••-•-••---••--•-•-••---------•----•-•-•••-•••--••-----•--......_....._
DATE................................................................................ Board of Health
FORM 1255 H4(BBS WARRE IN ., PUBLISHERS
_c
3/4" - 1-1/2" E
washed stone 2" peastone Polyethylene Leaching Chamber
H-20
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I •G • • .0 • � ••0 a .•C • •G • G • • • • I
EV
6" 4' 2.3' 4' -� 2.3't 4' 2.3' 4' - 2.3' 4' �2.3 4'
- IJ 6"
35.5'
36.5' effective leach area
PROFILE
no scale
io
1-1/2" in
--- I �� A washed stone r
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I, ^ STEPHEN
ALLYN
P.y .
. is WILSC V -
A 4" PVC 302IG �� a
PLAN " vex.
1
- n l o scale
3/4" - 1-1/2" �` _
c washed stone
E ; Note: Effective width is 6" wider on all sides of the actual bottom area.
_ >
N a
2" peastone
1
4• sCH 40 1 ¢!2 93 INITIAL ISSUE -S,4cJ
PVC '------------- NO. DATE DESCRIPTION BY
.e .. . .. . . ... •
0 Polyethylene Leaching Chamber
In v:el ev. H-20
6
-
LEACL-..._IN.. G
/ Bottom ofLOT FA.0 ILITYDETAIL-
7.5' „�Lsystem elev. GJ,+7 L� lJ l 1-W C i R C L 6-
�'
. /�a•-n,s c5>b� Cap*-t'�"vch o.v
BOTTOM OF TEST HOLE 37'
OR USGS PROBABLE HIGH WATER LEVEL SCALE: None JOB NO.--/2.5.
contact
SECTION A—A
LEVY, EL DREDGE & WAGNER- ASSOCIATES INC.
QNGpERS LOSCAPE ARCIUTECPS : PLWE'RS
no scale I LAND SURVEYORS
889 WEST MAIN STREET LAND
MA 02632
i
20 MINIMUM OR AS INDICATED ON PLAN
, � .� :;,-14v r��e �,-�t NOTES:
10' MIN.
1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.Q.E.
MASONRY EXTENSION To 12' TITLE 5 ; THE TOWN OFKt�`aT"A1C �____ RULES AND
BELOW GRADE — —
TOP OF FOUNDATION BACKFILL WITH ��• REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE;e' MIN- 55.4_ � _. CLEAN SAND AND THE REQUIREMENTS OF ,HIS PLAN. �trcyc TL
�Z 7 MASONRY EXTENSphl 12• T
BELOw GRADE �
t 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO
4• SCH. 40 PVC PIPE WITHIN 12" OF FINISHED GRADES t. `
MIN. PITCH 1/8' PER FT. - �. N I 3. ALL MASONRY UNITS USED TO BRING COVERS TO GRADE
1 4 PER FLOW LINE WASHED STONE 2" LAYER of SHALL BE MORTARED IN PLACE-
10' TEE `
1/8" - 1/2"
4. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE
„ �' WAS
44• s' MIN. I � 2•_0• OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR t
= ='— a
' WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING v
2' MIN. LEVEL
4'-0'
MIN. �} _-_ _ ' SHALL BE USED UNDER OR WITHIN 10 FT. OF DRIVES OR '
LIQUID � u' WASHED iSTO E PARKING. ) ''
LEVEL DISTRIBUTION /
/ Box 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEED j1
`' cr.>:,►ti+c.G vicAc base. ' RESTRICTIONS OR ZONING REGULATIONS. OWNER/APPLICANT SHALL L I
00- S`mas r5nr� block 104se OBTAIN SUCH DETERMINATION FROM THE APPROPRIATE AUTHORITY.
1 U ._ GALLON SEPTIC TANK LOCATION' MAP 5
6. HORIZONTAL AND VERTICAL CONTROL, SEE LEVY, ELDREDGE PARCEL Y
ASSESSORS MAP .-
----�� �-� 4-
& WAGNER FIELD NOTEBOOK # ZS;,t Z�¢
LIQUID DEPTH IN SEPTIC TANK DEPTH OF OUTLET TEE BELOW FLOW UNE
BOTTOM OF TEST HOLE
4 FEET 14 INCHES 5 FEET 19 INCHES OR USGS PROBABLE HIGH WATER LEVEL
6 FEET 24 INCHES
TEL _-...
CURRENT ZONING INTERPRETATION: DESIGN CALCULATIONS
89,9sos/= iq 3 5/oc 01 SEWAGE DISPOSAL SYSTEM PROFILE �` MIN. FRONT SETBACK 1 FEET
NUMBER OF BEDROOMS
0 o scALE ! GARBAGE DISPOSAL UNIT ► 4E,
MIN. SIDE SETBACK i Q _ FEET ---
Q TOTAL ESTIMATED FLOW
MIN. REAR SETBACK l.0 _ FEET ( II0_GAL./BR./DAY X _ BR.) 0 GAL- 'DAY
r
REQUIRED SEPTIC TANK CAPACITY �.�5" uAL.
�U
ACTUAL SIZE OF SEP PC TANK /ads �;AL.
PERCOLATION SOIL TEST f'- 754 / LEACHING AREA REQUIRE-MEN TS
SIDEWALL AREA . ' GPD. ;S.F. BOTl„M AREA __ �.-. _ GPD./S.F.
DATE OF SOIL TEST 6tI490
I
TEST BY BOTTOM 4?2 ' SF x /S _ - GAL/DAY
WITNESSED BY 4GPD aF = �5�_ GAL
PERCOLATION RATE _ 2.C> M!N./INCH I
GAL/DAY
0 TEST PIT #i TEST PIT #2 i_; T CAS_'ULATfON: �Vf/.I
_ _
ELEV.- �ti p ELEV.- - t
50 -0.00 — —� -0.0C E r c. Ar _ .3c.c X /2 438 S/'r
.3-1 •� •- i _ __ cab
i — — 3 O'
�; ` .-- .�-• Y _-� ::` �� ,� �� Gr�u e/ i LEGEND
\ 4
4 f/o
ZS,le fT//G X
�~ EXISTING SPOT ELEVATION 00 0
G
EXISTING CONTOUR-------00- ----
�2 ✓' / \ ` 4t _ _ I z I _ FINAL SPOT ELEVATION _00.0
/ MI�.- �z° FINAL CONTOUR --tom-}—
/ "r v� BOT OM OF TEST HOLE BOTTOM OF TEST HOLE SOIL TEST PIT LOCATION -
OR WATER ELEV. .3 7: O OR WATER ELEV. TOWN WATER =W W
' p SEPTIC TANK
DISTRIBUTION BOX ❑
/ , WATER LEVEL ADJUSTMENT: /� PRIMARY LEACHING PIT O
c� RESERVE. LEACHING PIT
TEST DATE _ WATER LEVEL
INDEX WELL -- Z 4 �2/53 f� 17orjst lot +E cph<, ,—
(.._,.57 175 WATER LEVEL RANGE ZONE 1 71%j 5/ INITIAL ISSUE s�W
1 � 51 4{017 F u DEPTH TO WATER LEVEL FOR INDEX WELL NO. DATE DESCRIPTION BY
FOR MONTH OF:
- - A10 r i
v� / ` ` � , /. Lin. F of Gv0'`E .. fr•// Gcns.st of 3/sfet�/
WATER LEVEL ADJUSTMENT 51T-, PLAt, AUD LOT 1�S
h4y6-Ar-F ar Sl/E J*lW_6 DEPTH TO HIGH WATER
1 2.A// /ccaQ c,,S -rAo// *r
.3. NO wor/c oo/bt r v! ao UJ 107// 4
-f 3 ifS uCe� F �
APPROVED: BOARD OF HEALTH S}._PHEN T,>F-Q A i STAF,, C1 4Z>T?-UGT(0 Kl
ALLYN
Sa _R 22S 1 WILSON
6 °a SCALE: `n, 4r-,' JOB N0. (2 5'T
SITE PLAN O �4r 04 GmU1c`jI+C-1
$ 1$ �UGaP — --- _ � , ,{v,c-
DATE� AGENT
s �n ��^-` I 9s — � : ��'� LEVY, ELDREDGE & WAGNER ASSOCIATES INC.
q �—_""'"-- �L✓ 1 �� Or�G�^ o f- C G r,J-.+'7 ur'�`. I'�C_LO rcJ[c[y � �/��/y
N ., 2 O O on .- 3 e,�a�, e k 773 z , a�+6�t PERMIT # _ BNGII LINDSCAPB 11RCHITECTS P1JNtii&RS LEND SURV�1fORS
�, I' ' 889 WEST MAIN STREET CENTERVIIJ E MA 02632
NEW E NGL AND REPROGRAPHICS&SUPPLY CO.