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HomeMy WebLinkAbout0030 REGATTA DRIVE - Health 3.0 Regatta Drive Hyannis u A= 252 —051 —028 o a ° c o ° a . o ° E r O TOWN OF BARNSTABLE LOCATION 77",04, JlL SEWAGE # VILLAGE ASSESSOR'S MAP &0—� INSTALLER'S NAME&PHONE NO. 2— —1,98 SEPTIC TANK CAPACITY _,/4?0 U LEACHING FACILITY: (type) /T (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: I 3D- IS COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leachi facility) Feet Furnished byn" i ti w Cj Y ® t�tI P do c't Fwm)...0 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Allp irFatton for Di-nVooFal Midw Tomitrurtiora Famit Application is hereby made for a Permit to Construct (� or Repair ( ) an Individual Sewage Disposal System at/�-� (� ............ ....._..... ........---...-- � ... '�.e VN.� Ow rl/1 A �/] Address W ..........:................ .• . ••- r.� L n Installer Address Type of Building Size Lot-_L;�b.l.-3.d_3.._..Sq. feet Dwelling—No. of Bedrooms._...._.3..._....... ...._._--Expansion Attic ( ) Garbage Grinder ( ) -:�! C No. of ersons---------------------------- Showers — Cafeteria pa., Other—Type of Buildiiig�iW�-`-1...--- P ( ) ( ) a' Other fixtures ------------------------------- - - d -- ----------------------------------------- ---------------------------------------------------•--------- W Design Flow............................�_1_��_.___--gallons per p`�o per day. Total daily flow...... ---------------___-__-_----gallons. WSeptic Tank—Liquid capacityl.Q(�U-gallons Length---------------- Width---_-----_---. Diameter---------------- Depth_.............. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter----.--.--_-.-_.-. Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing �J -'� / � J/ ' !/S aPercolation Test Results ` Performed by----= --------- --------------••.....------------------------•-•-...._.. Date----------------••-•---------------•--- 1 Test Pit No. I---_0._.-_-_--minutes per inch Depth of Test Pit-------------------- Depth to ground waterwoA/F:_.. fZ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-.--__---.----_------__. _ O Description of Soil..... . .. ______________v✓?�...........................................................n -- --- ---- ---- -----------------------------•------------------------------------------ •--------------------- x W -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable................................................................................................ ----•-----------------------------------------------------------------------------------------------------------------------------------•----------------....--------•-••------••................._. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System 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 ................... ............ �-------------------- ---Q.......... Dace Application.Approved By -------- ... '�.... .. ..... .... ................ ............... . ...ip................ .... ..................... -------.-......Dace---'---------- Application Disapproved for the following yearons ..... .................................... ------------------------------- -- --- ....... . ............ ........................................................... i � Date Permit No. ....:'. .. ---- ----... Issued Dace TOWN OF BARNSTABLE LOCATION SEWAGE VILLAGE ASSESSOR'S MAP INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY D LEACHING FACILITY: (type) ;2/T (size) -NO. OF BEDROOMS 'BUILDER OR OWNER FERMITDATE: COMPLIANCE DATE: 7 ——� 9 � Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist Within 300 feet of leachi faciiity) /9"- Feet Furrtished by ys M 1 T � 2 Q,S Z y 34: Y r0A Finc) 00 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Diripwial Works Tonitrnrtion ramit Application is hereby made for a Permit to Construct (,-/) or Repair ( ) an Individual Sewage Disposal System at .....:.�. ...' ------------r----------------- - ................../_.....---•--- ^% -_' ._'.o..,...... ..-..---- / --- -- ..................... L... .. .... y� ✓✓ o No .L.. Own Address w �'1�1 �; ----------------........... - - ;, ----------------------------•---------------.-----------------...-----------.....--------------- Installer Address U Type of Building Size Lot__ 6.(_3.G.3 Sq. feet ., Dwelling—No. of Bedrooms______________------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Build'ii - ..T. No. of persons_______________________._.. Showers ( ) — Cafeteria ( ) dOther fixtures ------------------------------------- -- ---------•--•-----------------•---------- --------•--•-•----•--•••------•------•-•-----•--•-•.......... W Design Flow............................./1 0......gallons per pt per day. Total daily flow.__--2,o___--__-____-__-------_.___gallons. WSeptic Tank—Liquid capacity0UU_.galIons Length................ Width---------------- Diameter_............. Depth................ x Disposal Trench—No. .................... Width.................... Total Length.._____----___--___• Total leaching area----------..........sq. ft. Seepage Pit No---------------------- Diameter-------------------- Depth below inlet----................ Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) _ Percolation Test Results ` Performed by �L� ... ......-� -------------- Date..... .. 3.. _ �!�_� Test Pit No. I....;.__.__.minutes per inch Depth of Test Pit.................... Depth to ground water��!�!�-0-4 .._ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ W -� Description of Soil L!d� �-?t Gc!t�------------------------•------------------. x W -------------------- -------------- U Nature of Repairs or Alterations—Answer when applicable._______________________________................................................................ .......................................................•--------------------.....----------------------...-•----......---•------•--•----•--•-----..........-----------..............................._. Agreement: The undersigned agrees to install the aforedescribed.Individual Sewage Disposal System 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. r Signed -------------- ............ Dace----------------- - ---------------- , Application.Approved By .... ---._.:.......................'.. l i�` l/ �, — .............. ---- ................. Dare.........------- Application Disapproved for the following yeasons.�.................................................. . Da e ....- .............................. ...._....... ......_n------------- ---- -------- -------- ----------------------------------- . .. ..da.re - No. Issued ...........Permit . -.. .. .... _....... .` f. ----_--_-. --— ._,®� .�......v�.�, ...a _,� .---s--e,e_e----o_.._,._. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALT H TOWN OF BARNSTABLE �LPI'tt�t.C22tE of ILIII<ti�tlt2XYiCE T S IS TO CERTIF , That the Individual-ewa e Disposal System constructed ( �) or Repaired ( ) y ,. r b .. ---;(, - .... J. ..�.. r .- f I ------------------ has been installed in accordance with the provisions of TITLE 5 f The State E.vfronmental Code as described in the application for Disposal Works Construction Permit No. ... _� ---_�. ._ .. dated ..........._ .................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUEA AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....- ....€ ---- .......)...........................,- ...... Inspector ------------ ....:... _............ ......... .... .._............... .. IZ7 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No....!. .- FEE... io oottl orko �unotrurtion VerTit / j Permissions hereby granted u su = �Z.__U(.._.. ?' � to Construct ( ) or Repair ) an I 2iividual Sewage Disposal System at No... - p t , Street (' L�y/14 Oated as shown on the application for Disposal Works Construction Permit No.;_______.•__-_____._ D/ated..............................._.._._.._... ---...-•---......---•----------------------.............................................................. Board of Health DATE................................................................................ FORM 36508 HOBBS&WARREN.INC..PUBLISHERS �!c 6>AZ3AGE' .::.�A1��( F�-oW 3xllo•,3�ti'tff'o : : 7gi SEFrl C TANS 33v X.1r.,6 GPo 7� r 05 10 Op GALS : , '. . LAG%. \ C . PISPGrAI 1�IT l-,1�00 lsr�L�'Z' S�'pN� � 2v���c,3 51DEW4LL _ AREA,`-- 166 BOTTOM ARZA =;-7a 5F TOTAL va516N 54-5 m / TOTAL. CAI Ly rLoW = 3-30 �ft �, cV � TA u. T� '�i�LATt oN ¢A'(E I►J ' ti+J/1 E5S 3i I OF N' j20 LL ' s¢tMAW. PETER " �a2 \ tti "LOW 7,7 TF P.V.C.V.C' ,o vIST 74. GAL 7<..3 xv.5 1oOID r 75.7 BOX 75.q SEPTIC GAO. 75.E T N Z MAD. I-�A�} , i d 1 i v✓,KFj�v : �: Au_STzucrvzcn sir c� STDIJE MOW TMAiJ 44 'DEep S14AU- ZE. �4-ZD �5 apE►J :%PAGE S��t�v�S�oN MAP 2SZ/51 253 �9 I A? ED LoC.�T1oN Sea Lc- _. CFJ1TcfZVILLE /4yAuu15 IVO ic.�r ;C% f� �. yz ni EL_y5' SG�I LE-: I �i 174TE MAc,q, f9.Rr2 PLAN ZelrERFJJC.E SFr, NE'zeoN coivlp�YS wlTµ -01S 51DEU+JE '�IE- 7DWN of �Arz.rJSr�aL� pL BL soy h4�IJ I i r.�T' l-o�T''D W1,-rgILf VF- 1'WoD r' b, ,y LAUD CovrzT -PLAID 3666 1 III.:. T�II� {=:..hl� i5 NC1- �'3A�� oN AN luSTfzvti4E+J'1" p�SSfo�Jdl_�Aug Suev�/o;cs SurZ�,E-:,( AIJP rNE op:SETS i44DOLD vj cr &E o I L E�JGI N EE[.5 u;e�� To EST �LIS; ev �,uLS STErzv►�I r MAC , --------- APPL.Ic-ANT; I�Ays►Lt $v►Lb)ti& Co . JNr } r n {. ..'PAIL- FEW 5xllo� 30 Hai $EM C TANk. 336 x'l %•:d•45 GPQ . lx I o0 1 9e ._��AL PST 1-�aoa:l.�c.�z's•ivN.._ 2c� 5 l D E WM LL. $OTTOM A2a 54-b i L ,16N .. ,Z TOTAL VAILY ,M.p1N = .330 �4b J-ak-. TA Ak T�c?GDLATION OATE a Illiu UJ+Jle �L.ESS OF PFTFSA .R Igo. 2.9733 +f. -------------- I \ ta AL E �•/5�s ra wirR/��/ 7y T'F viST 7�_ GAL A,3 lock.) 75.7 6OX 7`5? t, T'IC TAN K c GAL- , A . 5-A,fO �! C 1` WA49a;, 1�0�: Aur 5rzLctvZE3 SrT o s1'04l(: MOPS TMlJ 4.' vEze St-FACE 8E Il-2.0 ` GIG opew �PAG� �suUtivislp4 5 3o/Io%o MAP 2S2/51 253 A9. j _"PNFa.aPq-, Imo. 6eZr1F1ED PLgr �[dN scat. 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