Loading...
HomeMy WebLinkAbout0096 REGATTA DRIVE - Health 96 Regatta Dr TOWN OF BARNS LOCATION SEWAGE # 9 "� VII_LAG �SSESSORW'SAP&LOTy INSTALLER'S NAME&PHONE NO. _ SEPTIC TANK CAPACITY 14M 429e. y LEACHING FACILITY: (type) Ar /ed� Se , (size) NO.OF BEDROOMS BUILDER OR OWNER Y516EE 66116 b IA16 G� / PERMIT DATE: .V- T —,f� COMPLIANCE DATE-:,?—;?� Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility /vt�fvjeo 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 fe of leaching facility) _ Feet Furnished by eMv 1-0� J_ - J7/lOG ' riJ ® l I I I I oo � 5f THE COMMONWEALTH OF MASSACHUSETTS ,BOAR® OF HEALTH TOWN OF BARNSTABLE ApplirFativaa for Diinpmi al Vurkii Tomitrurtion Urrmit Applica ' n is h eby made for a Permit to Construct (V) or Repair ( ) an Individual Sewage Disposal System . ..__..._�..�,$-�_..._..J--... ..... ............................................................. 9�................------------- - ------- -------- 3�' Gam° Loc oc A dress or Lot No. � i ..../... -•... .... ................ ......•-----............................ ---•--..._..•----------•-•--._...................---•••. Address Installer Address d Type of Building Size Lot...... .......Sq. feet Dwelling— No. of Bedrooms------- . __-----------Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building moo. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q Other fixtures . --- - --------------------------------- -----_ ----- W Design Flow..................... �_�__-_-_----__._gallons per p€r- e per day. Total daily flow_.-_...-------------------------------------gallons. WSeptic Tank—Liquid capacity..lXVgallons 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 tan Q� ~' Percolation Test Results Performed by------------------------------------ -y-- ==/ ---------------. Date-----, 31 W Test Pit No. 1._ ______minutes per inch Depth of Test Pit____________________ Depth to ground water..._ !/.U _. �14 Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water........................ P4 ... ... ... ...................................................•--•-----------------------•--••-------.--------........••-•---•--•------ 0 Description of Soil.....nA lLl -----------•--•------------------------------ U -----------------------------------------------•-------------------•-------•--------------------------------------------•------------------------------------------.................................... 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 Co e h bee=ju y the rd of h th.Signed ......... ..... .. ----- ...... ........ - ------ ..... ........ Dace Application.Approved By ........ -------------------- - -3 — e3-- Application Disapproved for the following reasons: ..................... .............................................. . ................ ----------- ....:........... .............. ...... ................ ................................. ..... .................................. ........................................ �.6-..&c.Q L� Issued ...:. .-- J-------------- ............- are ..Da[e......Permit No. ---------- No..._�/S.:_ � .�1 Fizis ....L.Q.!:?....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Apphration for Mi5pwial Worlai Tonitrnrfion Vatnit Application. is hereby made for a Permit to Construct (V) or Repair ( ) an Individual Sewage Disposal system at:j11C�,GI 9� .---- .--------- 3..-....---- ............. -Coca�'oitfi 1ddress or Lot No. - -- /- f' r vne Address wb /De, �'yl -•-•-- ---•---••-•--• --•-• ..................... �1. Installer Address Q Type of Building Size Lot.._.a�r_ --�.._..Sq. feet Dwelling—No. of Bedrooms------ __-3 _-__--_--Expansion Attic ( ) Garbage Grinder ( ) �.'._.........�_� -No. of ersons---------------------------- Showers — Cafeteria p-, Other—Type of Buildillg(M1U�T p ( ) ( ) 04 Other fixtures _--•--•---------•-------- ----------6 - --------•--•---------- -------------- - ---------•-- g ..............gallons per per-st per day. Total daily flow-,...........................................J gallons. i7 �i w Design Flow----------------------�1� WSeptic Tank—Liquid capacity-_0 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 tanky(�� M1 Percolation Test Results Performed by--------..__j.......................`�__._._ .------_----_--___ Date-_-_-.1.131__.._.�.......... a Test Pit No. l..� .....minutes per inch Depth of Test Pit-------------------- Depth to ground waten.__,U!/v (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.......................... --------------------� Descriptionof Soil------ ------ ----.�C�-•-----•--•-------------------------------•-------------------•--------------------...---------------------.......---.----- x 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 y 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 CornIiarI a has been issued by the board of health. Z�J 6 Signed 1--� � ...- .,_ . ......... .. ace------- Application.Approved By ........ °L` .......... . . , Application Disapproved for the following reasons- --------------------------------------------------------------------------------------------------------- -- ------------------------------------------------------------------------------------------------------------------------... .. ............................ ......... ....... ......... . Dace Permit No. -------- ..j ''n-t"s------------ Issued ............. ..— 1-., - -.f.. ---.-. -_.-- Dace v THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TO��TTWN OF BARNSTABLE IS 1 TO CER �FY, Thatrth Indivi•ual Sewage Disposal System constructed( �) or Repaired ( ) by ----- ---- ---------------- ---------------_-------/�J -. d- - ---......., ... ...--.... -----..------------------------------------------- -....-------------------------------------- `ins(ii-t at ...- -... `'2. - 1� �'�'.�......---------.. --.,.......... C�.t.�wt�i.o-..... - - -- - - has been installed in accordance with the provisions of TITLE 5 of The State Environmental 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- "%° �----- �_47........ _ Inspector - -...- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No......�(...�..:�.�?.fl t"l FEE......:''">.�:`:�..... �. �i��roottl or�o �uno#r� io �rrutit Permission i hereby ranted__a .................... _....._ . t y g -�—'' ' -------•-- to Constr ct ( " or Repair ( ) a Individual Sewa e Disposal System atNo...- F ` ' -� ---------------------------------------------•---------------------.....---...... St eet as shown on the application for Disposal Works Construction Permit No...,__ --- Dated_-___--_. .__-_� ... _.:. ��...... Q B art of Health DATE-------------------------------------------------------------------------------- FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS , r FAMILY. ,3 , $EL`fza�Nts I GRIiJ� FarAU _ PAIL'( �w 3 x l io= 3q0 _f _ $E'Frl c ::TAt V, 33c x i so%•dA5 GJ� b PlSPoS a WJo :lac. ' \� go'15 _ - \ \09 ;.. SIDEWdLL:.; A?F� .=,Ig8.:S1= rwILO X. TOtAI: VAi LY - Q oar3 y,. ,'!' I�.��/� ' ' I I �• 11 I �� ' I. I .J �. I •� I � i I i � � i j � I i - � i • , I I I ' ; I I 1 3/195 Svc„'�: : RvC• 2/z P15T INv GAL S aid Inoo N✓ ,N✓. gox . �•� Sr�r(c XIf� GAL �''Z T N Z L P } i wl 1 Wmg B sTONE � titv¢� N a!vEw G14 ALL BE 14-2.o f'•--- G --►j 2 ; MAP 252/51 753 A9 ELOPED Lo T-T ; CEJJTC`RVICLE /4yA0015 UATc-s MAUZ t C E27r►FY .T�1 AT TEE aw 6c.Lr r�L PL4 N ZEJEE cz- 5f�cw� Ne2EoN WITµ THE 5(�EU�JE h, o; T4 N F AVA P •-BL SOS P&. -►g � ( '1ayV o � �rASLE � �r L-04AT D I WI .41 d VF- PZOD LAUD Coo2:T PLA14 3(d�G9 rz..,alt,1 , Our ''3AI� oN tiN l�S'iL'vti4EtlT p SSrorJdL Auk Suev yoz5 Sura,, illJp Tf{� o�SETs ��ouL� u ur �3E C%V I L. 2061 N EE!✓$ 5'[ 2v t MA•4 . I QPPLICA w 1�AYSJDE 131)ILDIW& Co . INC., I If SINGc Ft►i_Y `_. 3�0 — _. SID 60 � _92•J5_ �� - ivC� L. O/ _ 51DEWdLL :;:.ARC• ,. I�B Sf'_.... ,: � Bo7TOM ::AQt� 8� 31 va516N ._ 54.5 �P,' - M TOTAL VAIL l T .�i�LAT1 oN QATE; l I I IJ.'l t IV/ � 6 I��`��,:" a,�:w�'•.. °��5 . . PAP - I v-�-�o� . ��/��i�: . qw. tp �q At TkJ;...: ai VrrLb pp seq.�;:��{ I FJu 2�; 3 . IIt3•qG ,� / . . . a sTr � 4.3 I � If ! I iIII ; l V.C. ,Nr wv 6AL w✓ 8�0 lnoo � goc �.� ' �� r►C 8 , SAL a✓ 7�, �Z Ne Vr IVA GizwEl 2� 3�4 �x ' . g� WiKFIF� �:.ALL rj'T'RVGTuRE3 S�.T � O Mow �ALL -aE �7-o opEIJ �pAGE SvBt�vlsl 2 �. . . 0 MAP 252/51 253 A9 -pNE1 oP C�i'i�I® Pam, PId N o scrl G�1'TIOW �`'` - - � , 1 =7o L->✓'. . L0 — �TE'7ZVId.E b4yAuWs I �r DA MAC,7 Rq 4 C EZTI Fy .7' I d r THE vw w-44 NI✓ZEoN �oMFLYYS WITA TNS 51'DEUIJE z � �1ti•`fL. tZEQ, 'T4( TDWN OF BAIzN51'ASI.Jr PL QED i5 �r L.ocQT wl 14I d VE TIZOD QI{�,r LAUD coL)¢.T PLAW 3�Gg 'TFIIS �i..h� IS NOT- �=3a�» oN I,N lu5"1Lvti1E�i' p>�°F xtoNdL Aug Suev��ozs 5urz,,lay A14P rNlE OFFSETS 440uLD u QT- T3E EJGI N EEL5 u,c» ro EST�I��I� R PElZ,'T'y laIl�S '>TefzvILLe MAC , I APPLICANT: �Aysl $UILDI Go . 'NG, i