HomeMy WebLinkAbout0153 REGENCY DRIVE - Health 153 Regency Drive — Marstons Mills
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THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
TOWN OF BARNSTABLE
Appliratiou for Di-tipuial Eorlw Towitrurtiun Urrmit
Application is hereby made for a Permit to Construct ( ) or Repair (O� an Individual Sewage Disposal
System at:
Location-Address Lot No.
--•-•• -••----•--...--••----•--••......... ••••-- ----------------------------
Owner L Ad ress
a - 0 L4 �/ r�k5�/L.Jc O/J
Gam- -----------------------------------------�4-'-----�'A -----�-----....�---t--.e4...t. 416
, ...------------
Instalter Address
U Type of Building Size Lot............................Sq. feet
_-_--_."-__..__-__Ex Garbage Expansion Attic e Grinder �Z
Dwelling— No. of Bedrooms.___.___.__...____ p ( ) g (-�—
aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( )
04
Other fixtures. ________________________ __
--------------------------------------------------- --
W Design Flow....................,______..........gallons per person er day. Total daily flow.------------- --s�_..d...._..........__gallons.
1:4 Septic Tank—Liquid capacity/40.0---gallons Length-__��_Z,---- Width_.--:!�..__. Diameter---------------- Depth................
W
x Disposal Trench—No. ......./.......... Width------7.._....... 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.......................................................................... Date........................................
W
1_4 Test Pit No. 1................mtnutes per inch Depth of Test Pit.................... Depth to ground water------------------------
Li, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
1:4 ----------------------------------------------------------------•-------------•-•---•-•--•-••---•---........................................................
0 Description of Soil........................................................................................................................................................................
x
V .................•---------------------..........---•--•--------•-----------•.................-•---..._._...............--•--------••.....-•--------------------•-------................................
W
------------------------------------------------------------------------------------- ---------------------------- ------------ -------------------•-------------------------------------•---•-••----
x -- -
V Nature of Repairs or Alterations—Answer when applicable---l! .-� ___�-:.. �..r'U�1._4....5 ........
y----------------- --------------------------------------
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 Compliant as been i ue y the board of health.
Signed - - - .. . .. �-
---- ---- -- --------------------------------- ---- ---------------- .....
Dareb
Application.Approved By ------------------ V � ... -c. ��- --------------------------------------------...---......-------- ----------=�----- ------
Application Disapproved for the following reasons- ------------------ ---------------------------------------------------------------------------------------------------------------
...... ...._.............._............... -- - ............. - ---- - ....... .... ... - ......... --.... - - -... ............. ........ ......... --
o
Permit No. --------- .. � "" " (�� D�e
Issued ...
Dare
a63 — e�' 7y
No.. Fis............... ..........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF- , HEALTH f�
TOWN OF BARNSTABLE - D 7 c/
Appliration' for Dijrpooal Work, Tonstrurtion rrmit
Application is hereby made for a Permit to Construct ( ) or Repair (Dg. an Individual Sewage Disposal
System at:
' r
....� .... -G C. Cl = {J� Y�I%y��S }'I'I 7 is
............... •---•---••-•-•---....-- -----------------------------------------••-------------------------•-------•---••--••-••-...
Location-Address _ or Lot No.
Lin1 Gk _ —Tf�,�of �`3 � �F nJG f /9/(.-i✓� r/d/J< /!/1 / J tS
....................................... ----------------------------•--------•
Owner Address ...........................
WGl �-4:U n' C�(r�15%/!!�!t `!Gnl `�41. �'�'�1./LG1�f.. �./1�1/(�,5
a •. . ---•••-• •• -------------- ......---•-••--
Installer Address
Type of Building Size Lot............................Sq. feet
., Dwelling— No. of Bedrooms--------------------- --_-----.-_._--._.--Expansion Attic ( ) Garbage Grinder ^/d
114 Other—Type of Building ---------------------------- No. of persons-------------------------- Showers ( ) — Cafeteria ( )
a' Other fixtures ------------------------------
d --------------------
.--------------•-•---..-..-----•----------------•-.......
.....
W Design Flow...................._ 3 -_____---_gallons per person per day. Total daily flow..---...--..-7 3a_................
WSeptic Tank—Liquid capacityE!G.0.0---gallons Length--- Width----�.-�_ Diameter_............. Depth................
x Disposal Trench— No. -------/---------- Width......7.......... Total Length.... .-_ Total leaching area....................sq. ft.
Seepage Pit No---------------------- Diameter........--..-------- Depth below inlet......i_ T.._. Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by-------- ----------------------------------------•----•-••----•-••-•-•--•- Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit----.---._-_------_ Depth to ground water...-----...--.--...---..
fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
9 •-------••-•...................•-•-•----••--------••----••••-••••-•-----•-----------------•----.--.---•-.......
•------------------
...•.-------•--------------
ODescription of Soil........................................................................................................................................................................
x
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W
x - -------------- ---------- ------------------------------------------------------------------------------- ------- ------•----------------------••-•--•-------••••-••-••---••--............••---•••.
V Nature of Repairs or Alterations—Answer when applicable.-../ __-_rJ-__ ........
r-- _ -✓
_ .,` /N-�...........9LS 7....
.... �-C? ......c........... ----//�l�`«-T!- f-V71 -.5--- �i' c�?_�-T_. ........ .................
., " 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 Compliant / as been i ued y the board of health.
Signed -----llvla*-------- --- --- ------------------------------ � .. �
...--.....
' Date�y
Application.Approved By ----------------- ..-�- •-�*��-� ------------- --------- ---.---------.------------------------ 3----.-� '.-/ ......
> Date
Application Disapproved for the following-reasons: --------- ---------------------------------------------------------------------------------------------------------
-------------------------------- -------------------q------ --------...........................................1 ... ...------------------.....-......................--............------*........ ------------......--.............-......
Permit No. ----------f 5...._ .1�+-o ..... Issued ---------=� - 1 �r .. Date......
Date
.c-c-.—..—— o ..ems-.. _._v.,-.s_.a._,_.__.—..:.-,.o.»._. ... —_ --
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
C1ertiftrate of Compliance
THIS IS TO CERTIFY, That-the Individual Sewage Disposal System constructed ( ) or Repaired
by .:�G4-71� 1cei.)-,. --fl�3 i?.1c,� rbnJ )
- - ......_......-... _----------- ------------------------------------------_--------------------------------------------
Instauer
at --------------------------------------------------------------/ -..--------- C,/--- � 4' ,411 � ��-------------------
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- ------ -------"�.`_cZ.Z.a-.- dated ---..-......-... 4-
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE,
SYSTEM WILL FUNCTION SATISFACTORY.
t- "- -----_.....-.. � -- Inspector -DATE -
------------------------------------ -
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
GG TOWN OF BARNSTABLE
No.... t/._4_._:_ FEE..
Dillpoild luorkii Tomitrurtion "prrmit
Permission is hereby granted -'.1. - 5%; .................................................
to Construct ( ) or Repair an Individual Sewage Disposal System
atNo........ ------------------------------------- ` -------- i %r .J `"� /7 ,-`14�------------./ -^---v�I.(..ct -----------••-•---...--
Street qq pp
as shown on the application for Disposal Works Construction Permit No..- __ Dated------- - /- ..........
................................... ' .................................................
Board of Health
DATE.................. _..-._ ...... _�..-----•---------------•-----•-
FORM 36508 HOBBS&WARREN.INC..PUBLISHERS
TOWN OF BARNSTABLE
LOCATION SEWAGE #
�VILLA'GE dV1• ✓� c�S ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO. e�Z?�GLo 1—7 60J ` lJ
SEPTIC TANK CAPACITY leo-o
LEACHING FACILITY:(type) Av)- c-71�'
NO. OF BEDROOMS PRIVATE WELL OYFYUBLIC W- ATr E.�
II BUILDER OR
DATE PERMIT ISSUED: f
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No k
-:;54153
.r
ASSESSOR'S MAP N0. PARCEL CI 0` cR f
'LOCATION SEWAGE PERMIT NO.
1�1? ?c����
VILLAGE
I N S T A LLER'S NAME i ADDRESS
d U I L D E R OR- OWNER
DATE PERMIT ISSUED
r
DATE COMPLIANCE ISSUED C�o �°
O` e ` R
No— -.---- -------- Fim.A....32..00_
THE dOMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Apptiraation for Disposal IV.arks Tonstrurtion Ilermit
Application is hereby made for a Permit to Construct ( ) or Repair R an Individual Sewage Disposal
System at:
153 Regency Drive Marstons Mills
................__---_....-...................---.......--------------- - •--•-------------------....-••-------------------...---------•-••---.................--••-••-•--
Th r op a Location-Address or Lot No.
........................ ....------..........................._..._ ....---..._-.................................--- .--------•--•-••••••-•••--•-•---......--•-•-.
Ownerr Address
W J.P.Macomber Jr.
,-� .......-- .........
Installer Address
_Type of.Building Size Lot............................Sq. feet
U DwellingXL No. of Bedrooms-------------------------------- -Expansion Attic ( ) Garbage Grinder ( )
�-+
Other—Type T e of Building ............... No. of ersons.._..__._...----..._........ Showers — Cafeteria
a YP g ------------- P ( ) ( )
G4 Other fixtures -------------------------------•
d - -----------•------------
W Design Flow-------------------------------------------;gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity------------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 ( )
Percolation Test Results Performed by.......................................................................... Date........................................
aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
44 Test Pit No. 2........:.......minutes per inch Depth of Test Pit.................... Depth to ground water........................
R4 ----------------------------------------------------------------•----------------------•----•....---........................................................
0 Description of Soil....... ---------------
W nand & graved
U . --•.....-----••--•••-•-....-•----------•••••-•-•........---•-••-------•----•-----•-•-----•---•----.•----------------------•-••-------•-----•-•.._..
W Repairs .-••-----------•-••••--•-•••••--••••••••----------••------•••-•••-----.................................................................................
Nature of Re or
U P Alterations—Answer when applicabj .............................................................
1 1000 gallon leaching pi�.
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 beenAsued by the boa of h alth.
Signed. .. 5/1/9Q.
--- -- ----------- ..........................
Application Approved By -------------------- ----------------- =
/J�re
Application Disapproved for the following reasons: .... L
-------------.................................................... ........................................................................................................--_ ----------------------------------------
Date
Permit No. 9 ."-'. .-...-` Issued -----
Date
No................-....... Fxs.. ... o..0Q._
THE COMMONWEALTH OF MASSACHUSETTS
s
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliratiun for Disposal Works Tonstrudion ramit
Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal
System at:
191 Fegenev Drive Marstons Mills
............ __........ ........... ..._..... •. ...............................................................-..................................
Location-Address or Lot No.
ThroDe
......................_----.............-_....................................................... ---------------------------------------..........................................................
Owner Address
W sTA P 1V(f#C'.nn1k�P..r .Tr
.
a ....... .... ......... ..•---... ...... ------......................................... --...---------------------.........•••---..........................._.. ...
1 Installer Address
Type of Building / Size Lot----------------------------Sq. feet
a , DwellingX No. of Bedrooms........ ..................................Expansion Attic ( ) Garbage Grinder ( )
p.,+ Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria,( )
Other fixtures ____________________________
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............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 ( )
aPercolation Test Results Performed bY.......................................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
Test Pit No. 2................minutes per inch Depth of Test Pit--------------------- Depth to ground water.......................
----------------------------------------=----------•------..........--------------------------------........................................................
0 Description of Soil........................................................................................................................................................................
x Sand & gavel
V .....••-••------------------------------•------•--------- ----••-------•--------•--------------•---•...._....------------------....----------••---•----.........•.
W
---------------............................................................................................----------------------------------------•---.....--••------------------••••-•.....-•-.••...
U Nature of Repairs or Alterations—Answer when applicable................................................................................................ i
--------------------•-••....... 11e :c hn pit
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 . _ .. .�a....�-`--------------- -------9Q-------------
b w t
�j
Application Approved By ------- -- ------��-' . -%=.�a`......-- -- G ' ' /..." 1
/ Date
Application Disapproved for the-following reasons- ----------------------------------------------------------------------------------------------------------------- -----------
------------------------------------------------]....--------------------------.......------------------------------------------------------------------------.............---------------------------- --. ... ..................
te
PermitNo. -------- ----------------------------------- ---------- Issued ..... -------------------------------------- ...--------------
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
C��elr�tftrttte,tuf C�II��it�l�c>ce
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX)
by.......... -�.P-, �_ _ b _x.. ^--------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------.
Installer
at ..........1 ...egj5 ncm..._ ....M!A.ls....................__..............................................................................................
has been installed in accordance with the provisions of TITLE 5_1ofThe St E v_jonmental Co e.-ass de�ibed . ,
the application for Disposal Works Construction Permit No. ....??..''...........i............................. dated :.. ....................._-..-.. ........
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. j
DATE �5 ... Inspector ... ................... -------_------
1
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE #30.00
No........................ FEE........................
Disposal Works Turns#rudiatt ramit
Permission is hereby granted... ..............-•-•-•..................................................................••......
to Construct ( ) or Repair (XX) an Individual Sewage Disposal System
at No...152...Re Pnnv... ?_ve..Margt ns_.M-;_y,Ts._.Masss
Street F
as shown on the application for Disposal Works Construction Permit NOR
.'...`...'�f� Dated � " �
/ ._....
................. �`.... ................
y Board of Health
DATE........... ..r—..... G� l
FORM 36508 HOBBS 6 WARREN.INC.,PUBLISHERS