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HomeMy WebLinkAbout0067 REGATTA DRIVE - Health 67 REGATTA DRIVE HYANNIS r A ,t f d t y ;l 'I it - '=TO WN.OF B,.AARNSTABLE LOCATIONS g}� -/`y`� � SEWAGE # \ � VILLAGE ASSESSOR'S MAP & LOTX,7? INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /OZ'/-P �Gl 1 LEACHING FACILITY: (type) _�l �' (size) 494Z NO.OF BEDROOMS OR OWNER � �r�/ � a PERMIT DATE: ^J {`�% COMPLIANCE DATE: 121 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 leachin fa ility) Feet Furnished by •�� LOT NO. : ADDRESS: OWNERS NAME: ,g� ``,, SEWAGE PERMIT NO. : ,"EW:�REPAIR: DATE ISSUED:9P30,,7J�'DATE INSTALLED: / 9,�, INSTALLERS NAME: 'fie C� INSTALLATION OF ��� CP ? k ;j' WATER TABLE: FINAL INSPECTION BY: DRAWING OF INSTALLATION 014 REVERSE SIDE: � �' � �- - � � � ; �, v� �; � N � � � � �, �, O 4: C�• b No...... ' Fizic 10-0....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ,pphratiou for UiripwiMl Mirkii Tomitrurtion, runtif Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: -- --- -•- _-- cation-i d s or Lot No. { O�. ^��Address ................................. a ---••••-•••••••• ........................... ------•-•---------- ---••••---••-•••••------••--••--•••-••--•-._...........-- G4 Installer Address UType of Building 3 Size Lot......_�___ U...Sq. feet 1-, Dwelling— No. of Bedroom--________ ____________ -----------Expansion Attic ( ) Garbage Grinder ( ) �X�Cf -U^ �No.. of ersons____________________________ Showers — Cafeteria pa, Other—Type of Buildiu p ( ) ( ) a' Other fixtures -------------------------------- - - - w Design Flow___________________________�_f _____-_gallons per p� per day. Total daily flow........3.3o____________._____-_______-gallons. WSeptic Tank—Liquid capacity_/©�D-C�gallons Length---------------- Width---------------- Diameter---------------- Depth................ 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 ( ) '_' Percolation Test Results Performed by........�/�. ----------------- Date........!.............................. � 14 .4 Test Pit No. _____minutes per inch Depth of Test Pit____________________ Depth to ground water..# 04t ._-.. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......:................. -------------- ----- - ------------------------------------------------------------•------------------•---•----•------ --------•••---------- DDescription of Soil.--a----./� 't, �Ga�h --------------------------------------------------------------------------------------------------------------•----- 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 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 ----- - ---- -------------- ------------ ..... t _.... Application.AP -------- --------------- ----------- / ----- -- . ..... - Proved BY Application Disapproved for the following rea r: _................................ .. - ..................................-..................... - . ...... e -- Dac Da---- ---------- . ........ Issued ------ .........................� .. .Permit No. u . ———_.——————————— ———————————————————————————--——————————————————————___-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE QIex#ifi>rate of CoanpliaauE &f. S I TO CERTIF hat the Individual Sewage Disposal System constructed ( �) or RepairedbY -- ... -------A�. -------------------------- --------------- .... �(..... -...---------......._..... .......... .. --------_--- in,t nr C ac .. . .. ....-.�''�.. ..... .... ...--1 ......- GZ°t'cwq.................------------- ----------------------------------------_----- has been installed in accordance with the provisions of TITLE 5' f The State Environmental Code as described in the application for Disposal Works Construction Permit No. ._. .�...... '� dated ------------__....._.._........_._..- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT B 106NS�R �AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE------17' .../ ...................................... Inspect -:. . ........ .. .................. ..................--------------- --- I --------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE �D No.. ............. FEE•-•___.0 Diapolla1 nrkii T olr ion "antic Permissionhereby granted--- ............------•-•-------------------- ---------- ------------------------------------------•----.-•------_----- to Con§tr ct ) or Rep it ( ) Indiv�' 1ual Sewag isposal System Street as shown on the application for Disposal Works Construction P it No. _Ooar� . a _________________________________________ �+ r� �f s ealth DATE......... .......... ..........�-•=•............................. FORM 36508 HOBBS 6 WARREN,INC..PUBLISHERS _ r II _. N. Fss....[00........ 1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiou for Mipw3al Workii Tontitrurtion ramit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: Location-. d 'ess or Lot No. Owner rw Address a •---••--•------•• -�_ �__..:� -•-•--•__...-•---••-------- -- ----------------- ------•._...•--•-----------.............__. � Installer x Address Type of Building 3 Size Lot_____1._ ...Sq. feet `.'�U --.0 U Dwelling—No. of Bedrooms Attic ( ) Garbage Grinder ( ) p, Other—Type of Buildiug'U lC _ —No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures _______________________________ _ _ W Design Flow................................._U__.....gallons per p�on per day. Total daily flow........ 30__________________________gallons. WSeptic Tank—Liquid capacity_PjK.__galIons Length---------------- Width---------------- Diameter---------------- Depth................ x Disposal Trench—No_ ____________________ Width-------------------- Total,*L 1.ength.................... Total leaching area....................sq. ft. Seepage Pit No-_------------------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tan., ( '~ Percolation Test Results Performed by........ ................ ••v _................. Date--------l----•-l....-a--....................... Test Pit No. -----minutes per Inch Depth of Test Pit___________________ Depth to ground water...-va- :..... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Pi •-••--------------------------- --•_._._.-._.__.__.__...•------•-•-----•---•-•--•-•-•--•---._..._........................................................... xDescription of Soil-• > - CG----------------------------------------- W UNature of Repairs or Alterations—Answer when applicable_______________________________________________________________________________________________ Agreement: The undersigned agrees to install the aforedescribed'Ihdividual 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 -- -A-------- �r -� _..... .......... -1------- ----- 1. C! ce Application,Approved By ._ d, : ....-._............. 1.. I ..........-!.. .... q.. Application Disapproved for the following reasUS: ...................................... ................... _....... -- - .....1........-....-_.... .................................................. �- - ----------------------------------------------- ------------------------ ..-- - ......... ...... �.�J /�Jf�j / �? 4./-.t. �/( Dare Permit No. �_ .... ..... -............._ Issued ..... ` ' f Dace _ �. ae.>.o_....•,.�-s,..�.�.r.g.--,—s---«.­------------- _ — ————— a---_—__- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of (fIImpliance :I IS IS, TO CERTIF ; That the Individual Sewage Disposal System constructed ( �) or Repaired ( ) by ...�.� .....:. .... --- --- --------------- - - t �/ at .. '�.. ..... ..-�7..Cc. C..lt. ... ----_. ._......-_G(--r a t/J------------------------ ------------------ ------------------------------ has been installed in accordance with the provisions of TITLE 5/� f The State Environmental Code as described in the application for Disposal Works Construction Permit No. ....C... .�'` a..�."�_.... dated ....... ----- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE' CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. .,. DATE------- ~............. ........_ ... _-----------------_--- ---- or -- Inspects THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No. ••--••-.......... FEE.. .................... ` �i��n��i1 urk� �ua��tri�rtuan �prmit . Permission/hereby granted_. to Constrr ct ) or Repair ( ) an Indiv`i,dual Sewage Disposal System at No._•- __.._ ......`1_.� G ---•--- ............ -6 y - Street as shown on the application for Disposal Works Construction P-rm—it No..s� ~� ........................... + ~� 4Board of�Health ------------------ DATE-----•. , I FORM 36508 HOBBS✓!<WARREN.INC..PUBLISHERS SI�IGL� Rkii Y 3 $EL' M •5P�` '' __ v I �o GA3Ac,l= GRi+J�E opb . . . 2 FLOW �j?�IIoa (/Q SE'M C TANS 33o xlL,o%.,�5 GPQ � � _ - - '6G UiG IOOO SPoSA P T l- laoo 51DEWdLL , AR�Q; - I�B Si=; � � � :___ °••-1 o BOTTOM A "18 TOTAL ti 16N i AT7oN eA7G c 11IQ. 44AWILEX ,D 14 . ��lC a SS ESN OF . aia+aa� PETER A.. SUDL1471,11 ; BAXTER w` ^" I aaoee & Pao 28733 .•-n / i -isr 4oLc— F�=75 TF=Bl VVAJ m P.V G iv✓ Soeabi� `,�' Inon ;�v✓ -77 viST ,v✓ ✓ GAL 74 . - Sp4 ' � gA ✓an wl— W,u9m : ks° ALL-5rzv_r�QE s' SST " TONE P�� 5 sc 4A�tl SE �k 20 cc-�/ opEu` :SPA SvB�+v(SioN S4 rJ to--+ - MAP 2G2/51 253 /9 j "P�IEl-cpi Pl 1Tj" PLA iI �0 SGAIZ_ Loa-mow CEATEIZVILIZ /t4yAUQ15 Lir MAIZ,io 1ag7 • +�o�s�n _-�PLAN 1 C Ertl FY T�,Kr T1 S c7w w_j_- tJL SFlc�v�1 NE'ZEoN CoMPL S w1Tµ "'AS 5('DEUfIE o; , (lr Ta1NN OFBAe.►J°srA$t� P� -76L SOS' P&. -16 Q+tv IS kOr �.ocQT ,` It IU E POD LA6JD 4oL)v-T 'PLAN 3W.0q --- io 1 .01I,t , - 95qs Ilk l5 �Ld� IS Nct- Ai pxroud� ' LAUD Su�V `/az5 QED oN AN luSTLvti4E�'i" ,� 6u2118*,� AIJp T'NE PFFSETs 440L)D u or ae o �w I L E Gi N EEtcs > U:C--1D T'p E-%ABL,IS R EtzTy I��L5 5'flErrzv.lc Lr- ..: MAs4 . _ ! APPLICANT- 13VILb)N& Co . INC., n C C7 L----- tQ ry M� rn -t ° �. . .� D iv n� v fi d x p � r O_ ter::.._ F .:., s. 0o-..D.._„_, tl =4 JJ LA --� t o f �' F e�►. . a O v u, aJ f 3 -- - m aril Lm O C7 (Tv 4� i I v - - - _4 CO � Z : o TJ ' IT) �.. R d ® s _ _ m i c CfnN � �•� nI � J .. \ NSA _ `. � 1 � � �..� , ' � , „ � i- r ZapyL m a ,� e t A C � � � � � � � � � � � � � r � � � � ��.,,� � � � J' r � '�� � � z �r, � �� �,'�: � �� '� � � I � �� �. �' �c ., r e