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HomeMy WebLinkAbout0359 REGENCY DRIVE - Health 359 REGENCYXI'k�,Je) MARSTONS MILLS - A=64-34 I!� 4 ............... THE COMMONWEALTH OF MASSACHUSETTS r BOARD OF HEALTH .............. ...OF. r� Appliratilan for Disposal Works Tnnstrnrtfun ramit Application is hereby made for a Permit to Construct (/ or Repair ( ) an Individual Sewage Disposal System at: ..!.`.r.e.OL1afY.ft ....iI 1, X... d1's I d !S ! s ........................ - -----• ------- .-. Location-Address � or Lot.No. • ' •=�,'�....................... .. :.C.!_ 1r�"'�"d .. ddJG /l�I�/�-�ll '._. .N.... -- A r'ss ........ .8 Installer Address uu Type of Building Size Lot..-_[.3.f_7 .4/---Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic (N9 Garbage Grinder (1*4 aOther—Type of Building __________________�._____ N of persons............................ Showers ( ) — Cafeteria (vo dOther fixtures ----------�—...f...V� &-+ .h.-•-----•-----------•--------'-----------------------•--•-------------•-----------------•-•-•---. W Design Flow... ..........gallons per person per day. Total daily flow... _.3__0.......................gallons. WSeptic Tank—Liquid'capacitylQ00.gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.....................Total leaching area....................sq. ft. 3 Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ), Dosing tank ( ) aPercolation Test Results Performed by.......................................................:.................. Date........................................ a Test Pit No. l......1.......minutes per inch Depth of Test Pit.._�_3.......... Depth to ground water.................:...... (T Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0 Description of Soil......51l9 _ ................... U .-------------------•-••---..........••-•-•---------------...--••-...-•-•--•-•--------••--•-•-•---•--.....---•--•-----------••--•-------....---........................................................ ----•-----------------------------•--------•---------------------------------------------------------------------------------------•--•-----------------------------------------------------........---- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... Agreement: The undersigned agrees to install the aforedesctibed Individual Sewage Disposal System in accordance with the provisions of iI'L a 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been i ued by the board of health. ed--- y�to ApplicationApproved By-•-• ----•- ..... ............................................•••-------•------------------••. •--- .......................... Date Application Disapproved for t f owing reasons---- -----------------------•-•------•----------•-------•----•------------- -------------•--•-••--••--------- -----------------•---•-----•••._...•••--..............--•••-•-------•------------•-•....-•-••-----------•---•-•-------------•----•----------------•------•-•----------------••---•------------------••-- Date PermitNo......................................................... Issued................................... Daie V NO.........+!_....... FEB. /v............ THE COMMONWEALTH OF MASSACHUSETTS BOARD j�OF HEALTH ..................OF........!,�.1a /!�... -!.<.s.................................. Allp iration for Uispnatt1 Works Tonitrnrtion rand# Application is hereby made for a Permit to Construct (Y/) or Repair ( ) an Individual Sewage Disposal System at: r pYre;ss��'on A /' .-or Lot No....... ... .7,� .... j ocati ._._ _.,�� r" • ( y ner Address. � Installer Address Type of Building Size Lot__.�43f_71..Cf.-Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic W41 Garbage Grinder (NO) Other—Type of Building p,, yp g ---------------•--• ..... o. Qi;persons............................ Showers ( ) — Cafeteria (CVO) dOther fixtures ------�,. ............................................./...................................................... W Design Flow_.V ............gallons per person per day. Total daily flow__-_3---3.b.....................gallons. WSeptic Tank—Liquid capacityQdO.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........................................ 4Test Pit No. l.._...d....__._minutes per Inch Depth of Test Pit----_- Depth to ground water--_•____________________ Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ......... D Description of Soil---.3�!!�- ------------------------------------------------------••--------•-- f, —---------------- ----------------------------------------------------------- •------------------------------------------------------------------------------------------------------------------- ----••-----•-----------------------•-----------------------------------------------------•---------------------------------------------•---------------------------------------------------------------- V 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 TITTIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance h�as been is'sued by the board of health. `-S`k ' p ------------- t ---------- Application Approved B PP PP Y........... ---•------••----------------•--•-•---•--•---------••----------------------•--------- - -- - .............................. Date Application Disapproved forte . Mowing reasons:................................................................................................................. ....................•-----------------••-•------------------•-----...........---------.......----------...---•-------•---•--•...................................-....................................... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................................I.........OF..................................................................................... 4IS Tatifiratr of Tomptiattrr THIS' TO CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by .............. ... =... --•-----•-.° '......-----------------•---- ..-- Installer. at ..._ - ---- ........................ .....• •-------...--------•-----....•-••-----....---•-••-•---•--••-•.._..............---•••---------•-----•---••-••. has been installed in accor cJe rth the provisions of T .5 The State Sanitary Code as described in the Yapplication for Disposal 1 orks Construction Permit No.- i -•----------•--- dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. i DATE-----•-----•--------------••----•----•------.......:... ..... Inspector.....1s_.(7�---------•------•--------••-............--•-•--•-•---•-•-....•-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....OF.............No......................... �- FEE........................ Billp ,ol ark.5 Tlans#rnrtuan andt Permission is hereby granted ...-•••-.••-•--••••----------•---••••---•----. •••--•••••-•----------------•-••------------------.........--------.....•----•.............. to Construct ( ) or Repair)/Individual Sewage Disposal System atNo.............................••-•----.......•--•••-•......-•--•-------•-•-------•-------•-•--•..-••-•--------•--•--•-------••-•-------••--....---••---•---•--•----------•-•-•----.............. Street as shown on the application for Disposal Works Construction Permit No..................... Dated...................._..................... --•-------------••--•----•-•-----•----------------------------------....------.......--------•••-......_ Board of Health DATE.................••-•-----------......------------...---....................•... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS r s/ttLI Go�L �F r �{ q f�9 9b • 7— "Ole r ��J•oZ ,r \\ \ qq o� m , �0 9 a. AvP�A)nA pal, 4�c.9Tt o AJ IN, A/ OF A1,�ssc' OF�,�, RICHARD yv, o`er ALANA. .�• •/ = p' j(/p�/ ? BAXTER Jt)r,ES . �No.21.Oti S� , � s � ��;��;:� •; ,e�v�-�a(S7Ee�"�:C�i1�l�.SlJ�1/ErG1t.�S 1; 9 t .0 4 7— c3 /G171Z7p ! q " r .I �\ \ qq \ R \ tollQ APPAx 1 nA I MJ e 4�CA It o/J A/ kk e> RMHARD \� o ALAN 1"ofA. / o BAXTER ��' ' v. '�1 Gd4d"rE'�6.✓1��=�it/G. �' - ��3 No.aia;�a f v� ; ,e =G-,(sr6' p 1�.�/�S�JP�YErG► S / .U� .:5W6W7Z- �,IN6L�= FAMi�Y - � QcoanoM , No GActfdAGEc (,aaNc�cz y � � . . . ©A,L`( F1.ow .: 110 A 3 = 33oG.PI? jEPT►G TANK = 33oxi5o% = a95G.Ro USE- ' t o0o GAL. r 0%5Po5AL PIT v4E I v oo GAL. 5►DG.h/ALt. AR.6ts = t�o S.t= � :, 50TTOM ARE.A: ., 1`� S,F._ � PL.�dJJ � �LG1L 9EMWIF 5o S.F X I• 0 5o G.Po -TO'rAl— pS51GN ' 425 lTcbTA%- 'PA►LY FLOW = 3306,PD, ,I ,I AA r,�•v� t� ((G�,, .� PE2cOLATION RATE{ 1''IN 2MIN OP_LE5S 1N 0 S o O F 'NA,f a q RICHARD �J• o` ALAN \'C o BAXTER ;I' iUNr f _a, No.2404t3 �4p�STQ� `9 sunV` y o I P-Z64o �p0: 'roP FND r' 1 ' EL . 99• / y .A ^ i > 71F loot/ INV. LO 015T. INd. �iA1, �J,4 u OIL �a£PT1G S S 0�X 19 Z WANK . I Doo Fl,N i Lr 6,cV. INV.1,8 cl 'I MEN WA ,NGD 6TvN6 SAuo GERTtFIGP PLAT PI..AIJ i PRvFiL.r= L.oCA•T ►or-N Hq(u7—Qp4s Hdl,� i B�o�G ti4o SGAI.t~ SCALE ASNllreP •DATE 1Z-/2//g3 �i//6��y3 pL.AN REF62ENGE I CERTIFY ?NAT TH6p��st-v�oavAviat' SNo4YN NE REow GOMP A,WC> 56TQ�.GK 2.6Qu►R.EMENT� oF �CN� 1,oT * Q -TOWN Or- 94 eM Sn iZ Lt' A t•I D I S A/O T- LC . ) 6 4 Z -7 D LOC, TEO MIT WN6 GLOOD PLAIN t>ATE Iz Zi 83 BAXTEIZe i.l`(E INS• R.E6 15'T E7-6.U'►..Au D 5 u e.V EYoes "Tins PL&NJ 1 '5 Norr f3n5c p oM AN 05TIc9-VILLF-- - SASS• t>JSTR.�MEI�IT Su2V�Y 'fNE p1=F,SE'T-5 Suave APPLIGP.►JT' HAYES� =QC. NOT �F uSEDTd pG`TER,/^I►.lE L.cT -1NE5 - U 5 - 0 O , \ , VI ... \,, . wQ so � •,moo�, � �o X. 1 .r ► U d.� t.-�.._ ��TOWN OF BAMNSTABLE LOC�►TiG>v'' CC<F� ' Cl '�: SEWAGE # 22 ' VII,LAiiE �� � j ASSESSOR'S MAP & LOT OL INSTALLER'S NAME&PHONE NO. A-- dL4% C nA6f— SEPTIC TANK CAPACITY LEACHING FACILITY: (type) ��%'G'tJ LCik�� /��� (size) NO.OF BEDROOMS Ad( y�l p, Duel tn�' BUILDER OR OWNER Jd�cr• a PERMTTDATE:_I I 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 leaching facility) Feet Furnished by r 53 IC p � apt No. Fee�5�r THE COMMONWEALTH OF MASS HUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNS ABLE, MASSACHUSETTS 21ppYication for Mioogar *r5tem Conotruction Permit Application for a Permit to Construct( )Repair( Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. tp{,r, h7 R. Owner's Name,Address and Tel.No. L�p fn 4�Srf Assessor's Map/Parcel 7o 4 34 hl_ ;cLs dKa—, stafler's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. U MI/ 5jvt6 M 11- Type of Building: Dwelling No.of Bedrooms 3 Lot Size /Awe- sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repai or Al ations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environme tal Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by is Board e Signed Date Application Approved b g Date Application Disapproved for the following reasons Permit No. '' Date Issued `� s 1�f.. % No. / / Fee U� THE COMMONWEALTH OF MASS HUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION-TOWN OF BARNSTABLE, MASSACHUSETTS 01ppprication for Digogal *p5tem Con6tructi:on Permit_ Application for a Permit to Construct( )Repair( j/)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components 6; Location Address or Lot No. � y7 - Owner's Name,Address and Tel.No.,p ,n1 rs es.�o s ✓h ' Assessor's Map/Parcel b tF 3 3�'S �r .eac�r �+�. /Y►.nt�u-5 ,/'�-.= " ' I staller's Name,Address,and Tel.No. 6/,�� Designer's Name,Address and Tel.No. 7'Z3 y ao TA 6-6-TOP 6(12- /nlu 5 Type of Building: Dwelling No.of Bedrooms 3 Lot Size / Acie - sq. ft. Garbage Grinder( ) _ Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number`kof sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Rep ai or Al rations(Answer when applicable) s Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system 4 in accordance with the provisions of Title-5 of the Environmep tal Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by is Board e Sigted / Date '7 Application Approved b ` :1' � Date:•%"�"• + Application Disapproved for the following`reasons Permit No � Date Issued --————————————————--—— —— � ——————— ;r' THE COMMONWEALTH OF MX SACHHUSETTS BARNSTP BLE;,MASSACHISETTS q erttAficate 0f4 �Cont � ittce THIS IS TO CITIFY, that the:;Q sitSewage Disposat Sy tern Constructed ( )Repaired(/i Upgraded( ) Abandoned( )by '�� "- at .✓ .; i has been constructed in accordance with the provisions of Titl 5-and the or Disposal System Construction Permit No dated Installer • - Designer The issuance of this'.permit shall not be construed as a guarantee that the syste will4 .ction as designed. Date Inspector_ — — ————— ——————————— ————————————— No. THE COMMONWEALTH OF MASSACHUSETTS PUBLIC°HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS a ' lwigogaf *p5tem Construction Permit Permission is hereby granted-toC nstruc )Repair(!/)U rade( )Aban on System located at 97 z y and as described in the above Application for Disposal System'Construction Permit. The applicant recognizes his/her!duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completedlwitfin three years of the date of this permit.\ Date: .- .',��*7 Approved by N 6-1D ! •.R.6p►G� ;Ga�Noc�a. �Y FI-oW s tto x 3 = Z30 6.P o •=10 -rANK a 3309154>V- S 99 j6.P. o- USG• ' .100o GAS-. PDSAL PIT USE WOO GAL, 'S 1 DGHlA1.L AR& %o7TOM AR.6.A 6A- . . ;5za=_ FL14jJ CO _F-:w\C4 F•la wow -TGTA 1- CO T"51aw • .4.2 5 I;.P D. eprA%. 'PA16Y F1_oV4 : 330 G.Po•• it�GO1.ATtON RATEI 1''IN ZMIN o�t_655 /�/(t .1"OE•kj Mlu-5 \A 0 rjr.RICH AftO `1•'\V 'C� ALAN ` r •Y A. o BAXTER 41 40 o du `�Q�aTca�oa at • 1=Zc-•(;# a�T T�': )oof /0/1 31 I Y w loco tNJ. O y D%6T. Ga�. . lOoO INS I? TANK L6aG11 PIT INV. INV. I MriD = WAS69QD 6TuN6 Moo° 90.G -�t�r' G �I•� _ C. cT PL I-j i 1.,o L A''�10 ra /'�A1 2Sro,JS Mr// ' N o �5 GA.LE 5 cA t.G AS NoT�o V_AT E �Z/Z//�3 I r4/a3 ' pLp. 2EWC.E I E R•f 1,FY T ItAT 'f N�R�.����owv4vTiaq�}10 WN _R�O1,1 GO1rlP1.•`(5 1rJ1TN-f vie, S t ptLIN S! D S 6.Z�►GK R.6 Q v l R.�ME NTH o F -t µ fc foT' 8 � 1� c-� VqM or- g4lw5.r4aLtr AWU t-- f4or LC . 16 4 Z -7 2Cps'CED MIT W N6 GLODp PLAtN T� 1Z. Lt 83 gAXTE�e 1.1YE IN 4LF_6 t 1.5'1 f--V_WD`IAu P 5 v lt� t.®W 16 KjaT AIJ ®S"f' -2.dil.L-E • n pa r . q l � A 1 VZ 7' 4 1 \ \ fir E+P I CZ 4 lit -4: V-I!/46 75-1:�' •�C.iS ;a L(4, ......; �O� 4.1 ►i1CHAHt) •V. ALAt4 C .f�LL� I"=f0 Ala✓. Z.3 SAXTEH tru..:u,y� +GcSTEe- Z-JP C�n�J.SVL;yEI� �S LOCAj10N SEWAGE PERMIT NO. Lot 8, Regency Drive (Lynxholm) 84-4 VILLAGE Marstons Mills 1NSTA LLER'S .NAME i ADDRESS � William Bonito e U I L D E R OR OWNER . R. F. Hayes i ` DATE PERMIT ISSUED 8_27-84 DATE COMPLIANCE ISSUED 9-21-84. (RG) moo,) • � 7Pi/J. 1. i 1.336 56" A'A k, ' 1 q 9�OA1 T ; l Q J y' �� .., ;: ,. ,.. IZ -- - - -- - �`` -�- - 4 , �:. �, �; ,. �:_' , . , � � ,. kr � � � ' f 'j ' � � ' � i , � i ' 1 �\ i �`. ,, ;, - � r - __ ! , 'III I � I I M ` 'fig 1 �vB 64, k�M a was{,. ---- Y \ � .a (j 5a8 v p gjej<WwI rgYl` 3'°��Ro ��td7 Jt9v 390 10 q g b pP ✓y \ i 10 � 3 �.tc*oSe�. IOU yec { J l i 1 Y; .F a 1 jQ: i i F <D k , 000u,q—.E vLoc,I ° (` �rE ! 3�� C?v<,—RNA� i i i' � Rtc� , I axe 4V id {_� ---- s h " L• . :-- _ • _`_ - L..cr.:-'• i — j �Q��,� ,,,,� Neu, �:aC:,w--� S k-d J