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Home My WebLink About0045 REGATTA DRIVE - Health 45 Regatta Dr 1 t E i I I i i TOWN OF BARNSTABLE i LOCATION SEWAGE # VILLAGE .. ASSESSOR'S MAP & LOT. .... INSTALLER'S NAME&PHONE NO. e . SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 'f �i (size) e9tO NO.OF BEDROOMS BUILDER OR OWNER /,Df- PERMTTDATE: �` 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 Ifthing facility Feet Furnished byF C.s� � v.a c�, THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Applirativit for Diripwial Ourks Towitrurtion rumit Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal System at ..4dao-oq .. ............... .. ..................... . . ............... ........................................................ "ne ress , or Lot No. �'9e! L.... .•---- .... ..... > ......... ...... W -------- --------------------------------------- ----------'•------••---------••-----•------ Installer Address Q Type of Building Size Lot..... !- 09-33...Sq. feet Dwelling— No. of Bedroo i�__-____ _ Expansion Attic ( ) Garbage Grinder ( ) Other—Type j'� No. of persons-------------------------_ Showers ( ) — Cafeteria Other—T e of Building..___..__._ ( ) dOther fixtures ------------------------------------ -- W ................... --------------------------------------............................................................... Design Flow 1_ �___ .-.-____gallons per per .3 per day. Total daily flow ........................gallons., --- WSeptic Tank—Liquid capacity PqC,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 tk( _ '~ Percolation Test Results Performed by._....-. .�........... ............................ Date ---•--------'--••-•'-•-- ,� Test Pit No. -__--minutes per inch Depth of Test Pit-------------------- Depth to ground water./L/ e� ...__. 444 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water....-_--.._.____--_-_--. a ------------------ __ Description of Soil Q ��'4-------------------------------------- ------------------------------------------------------ ------- ---- x W UNature 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 Comp ' as be!,p issued by the bo rd of health. Date Application.Approved BY �.. rti.----... ...... Application Disapproved for the following reasons: ...................................... .. ..................... ._......................... ......................q57�6'- -----------------------------------------------------------------:.----- ------ - Date Permit No. ----------------- Issued - Jam. ...................... Date 3,_4 ' t "` THE COMMONWEALTH OF,MASSACHUSETTS ` BOARD Off HEALTH TOWN OF BARNSTABLE Alipliration for Di-nVini tl Work.6 Tonotrnrtion runtit Application is hereby made for a Permit to Construct (V) or 'Repair ( ) an Individual Sewage Disposal system at* 44_4...y ... ...... Lf---------------- ------`""-----.------ -- i" ---- --'--=`''" ------ --------.....---•----------------------- Lo �ti � ddrrss t✓ Lot No. / .. . W 0 O«�r/ . .. �j elk Address a .......•.-•--r---- - --------------•-• = : ... . ------..........-----------------------------------------------------------------------------•.--- ./ Installer Address UType of Building Size Lot_--_/...�`^.!..�...........Sq. feet Dwelling— No. of Bedrooms........................ ---Expansion Attic ( ) Garbage Grinder ( ) a, Other—Type of Building- .-.----- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) A,114 d Other fixtures ��------------------------------------------ -----------------------------------------------------------•- W Design Flow...................�_.l(..............gallons per per-sertl per day. Total daily flow..-_--._-�3 ........................gallons. WSeptic Tank—Liquid capacity 0 G-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 tank ( )_ a Percolation Test Results Performed by.. (` r ._...�... _�__I 2 — �� •---••' - ----- ----•----._....--•--. Date---•----•------•----•-•--•-----••------ Test Pit No. l.. ..`-.__-minutes per inch Depth of Test Pit-------------------- Depth to ground water_,fl'_�a�____... __. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Description of Soil..._,)A.._.� "�C -- U ----------------------------------------------------•---------------------------------------------------------------------------------------....------------------..................................... W ---------------------------•-- .................................... -----------------------------------•--------------------------•--------------•-----•-----•---•----•---••--•----•-•--•-----......... UNature 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 b oard of health.Signed ----..� X �(.. i� Application.Approved By ... .. —------ ............_.......... _............... .. j 1 Dace Application Disapproved for the following reasons: ........................................................................... ---------------------------------------------- ------- Permit No. l� Issued ..........:... .Y...:. ' ._ /V(( .........................._ix...._.._.v................... ..! ......_.... Dare...... / Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH t TOWN OF BARNSTABLE Certificate of Compliance THI•S_LS TO CERTIFY ,hfat the Itr vid al Sewage Disposal System constructed ( v ) or Repaired ( ) by �_.1. --------_---- ..�..�- -�0. --- - - - at ......��... - 1 .' .... ----- ..... ......._--------------------- - ........ has been installed in accordance with the provisions of TITLE�5, ff T-he State E vironmental Co e as described in the application for Disposal Works Construction Permit No. ..� 1.�...:.. 2.� . ....... dated A....��' � .: _..... NOT BE CONSTRUEAS A GUARANTEE THAT THE THE ISSUANCE OF THIS CERTIFICATE SHALL O SYSTEM WI LLFUNCTION SAT SFAC ORY. .� x DATE------- '� - -----..,/... .�.�%..�... - Inspects'rs ......._... _.. - ,C THE COMMONWEALTH OF MASSACHUSETTS �- BOARD OF HEALTH TOWN OF BARNSTABLE � � No.....:.. ..... ,.. FEE....................... .Permission i hereby granted--__ _. ._._._._....:...:._.._..__._--_--�_")- 0__._ to Construct (V),or Repai^ ( ) an Individual Sewage Disposal S?'stem -r _ 1 �, .... r i Strcet� ��'��y as shown on the application for Disposal Works Construction Permit No.l..._:_______________!(D'ated........................................... q .............................P�......._..............__...........__...._.._..............._ DATE. Si—, 1 a Board of Health FORM 36508 HOBBS do WARREN.INC..PUBLISHERS , TD=SI6N StNGLi_ FAMILY 3 -Bevv m A �o 5EFr1 ;TAtJ� 330:x sod• 45 GPo , ; .� 1 , � _ -� 'PIL' 'l r la_I a•;Chc. �Z�°stnN o► ? `-9g t . 130.70 •. LET. �'� i6 T TOCAL DAL . �-0ri/ = $�D�D:7:L� m � .: . • C�� Pu 26 p t-AT1 oN i::lZ-� �'► s. � V. erla i �_ • ZN.OF .. 7 } i t RICHARDA. BAXTEA I �' { . o �r TF-Bz Z04M. 2.5 : .f DUST ,r✓ JAW GAL 10� '' ,>,r rN✓ Box 70¢ 7?4 S rIc 7 i "Z T�N . 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