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HomeMy WebLinkAbout0153 REGENCY DRIVE - Health 153 Regency Drive — Marstons Mills A = 063 - 074 1 'R a6 3 a 7z 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 V ....................... ..............................••-•---•-•--•-•-•••---•--••••------•-••-•-----•-••--•-----•-•---•••••------•--•---•--•---••-•••-•-•----•---•---•-•••••••--•••----••--••--••-•••••. 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