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HomeMy WebLinkAbout0033 BUTLER AVENUE - Health 3 3 Butler Avenue '. Centerville { A= 226 —023 Slll a o UPC 12534 No. 2-153LOR HASTINGS,MN . 'eau�..a.�"yti���, ,.._...a..-xu-rucrL. .._—_ _..—_..— .,.... .a._..:L., .�.0 ..�:L..:........_.... ,.•,,�tanw,..:ueim._. _ ��.,�atu.1..uu,-...a,....,......mw:;.vs No.V - t7o-�5---� i� Fee--- ------------- BOARD OF HEALTH TOWN OF BARNSTABLE 0(pplitatioulbrVell Congtruction Permit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: ------------ - -- - ------- --------------------------------------------- Location — Address Assessors Map and Parcel 17 2 22 C Owner e 3 Address Installer Dri ler Address Type of Building � Odle-If-I Dwelling -------- ------ -------------------------------- Other - Type of Building--------------------------- No. of Persons-------------------- _---------__ _ _ _ _ A� Type of Well-S� -- --=�- �`� Capacity----- - - -- —- ---— Purpose of Well------ ,-1! Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation un ' a rece has been issued by the Board of Health. Signed — - --------- - -------date Application Approved Bydate Application Disapproved for the follow -----------------------------------------------------_________ ------------------------------------- --------------- ------- ---- ------------------------------------------------ date Permit No. -- ZD �..- ---------------- Issued ------------------------- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS;9-C,ERTIFY, at the In ivid 1 Well Constructed (Altered ( ), or Repaired ( ) bY- - - -_--- ------ - — Installer at------- �_ (� _- v C� -------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. ------------------------Dated---------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------------------- -— -- ---------- --- -- Inspector------------------------------------------------------------------ f t Vj Zoo's-0 N5 yS� No.-------------------- Fee--------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Appticat ion-ft lVeii Con5truct ion permit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: -- --------- ---------- --- --------- Location — Address Assessors Map and Parcel o Owner Address C�� o tvv�CC / ---------- Installer Dril er Address Type of Building Dwelling -— -- t ------------------------------- Other - Type of Building -------- No. of Persons----------------------------- Type of Well— -------------- - ------------------ E --'— �- ---—---- Capacity-- --Id Purpose of Well 1 �z' ----- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation unti a Ce ' 'cate .o pl'd*n?e has been issued by the Board of Health. Signed - -- - - — — ------------------- - date Application Approved By------ — --- - - —-- -— -- --�"- - date Application Disapproved for the followin reasons:------------------------------------____________—___—___—_________ ------------------------------------ ------ ---------------------------------------------- ------------------------------------------- date w ZodB- �� _ Permit No. --------- ----------- ------------- Issued --- -- ----=—�'�5— — date i -. ---- --.-------- .— .--------------------- --.— ------—.--------------------- ---- ------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO QRTIFY, at the In 'yidu 1 Well Constructed (L<Altered ( ), or Repaired ( ) -- ?` - ��-c ---A-1 - ��•--- - ------ - - -- by-- -- ----- ----- ------------------------------ ---------------- ----- -------- ----------- ;� / Installer at- -,3.3 _ ,r�li4l��-c.__ y G.�--— ------ ------------------------------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. ------------------------Dated------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------------------—--------—----------------------------- - -- Inspector---------------------------------------------------------------------------- ---------------------------------------------------------------------------------------� BOARD OF HEALTH TOWN OF BARNSTABLE Ve[[ Con5tructionjermit No. ------ 4 115 Fee---- s----- Permission is hereby granted to Construct ( .Ater ( ), or Repair ( ) an Individual Well at: No. - - v -t!'------ ------------------------------------------------------------------------ Street as shown on the application for a Well Construction Permit No. ------- Zb ob- D 1 ---- -- - - Dated ----------``�- -r Z ----------=------------------------ -------------------- -- " --------------------------------- ... Board of Health DATE--------`-�------------------------�-- !/ ' 1 L O CATION SEWAGE PERMIT NO. VILLAGE I N5 TALL R'S d� Al�lE ADDRESS BUILDER OR AgNER DATE PERMIT ISSUED DAT E CaMPLIA- NEE ISSUED 1 0 / �-P Town of Barnstable Geographic Information System May 7,2008 t 4a� Qv w orn S m tv ti' to 2� r x c�qL � ma e0 F t 0 20 Feet DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:226 Parcel:023 Selected Parcel F-1 N1 boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:GREENE,JOHN J&BARBARA L Total Assessed Value:$593200 1"=100'may not meet established map accuracy standards. The parcel lines on this map are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:0.28 acres Abutters . . ��; �V ,E boundaries and do not represent accurate relationships to physical features on the map Location:33 BUTLER AVENUE such as building locations. Buffer ,• f of NoL2:...�'.6..?._ a a O 3 Fimi3 ....5..oo........ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH T own. ..-.......0 F.........Barnst able..... -------------------------- Appliratiou for Dispm al Works Toustrurtion rmnit Application is hereby made for a Permit to Construct ( ) or Repair (x) an Individual Sewage Disposal System at: 33 Butler Ave ., Craigville, MA --•--------•---.................................................................................. --•-----•-•-••-•---•---.....-•----•-•----•-•-•----.....---•-••-•-•--------••-----•-------------•-• Thomas Greene Location-Address 33 aigv Butler Ave., Crai idle, MA •------------------- - -- - ..................................................... ...•••....---•••-•-.......•----•----••----.........••-----•-•...-•---........----.............•--- W A & B Cesspool Service 128 Bishops Terrace`, Td annis, MA 02601 Installer Address Type of Building Size Lot.--__----------•-•---.----Sq. feet Dwelling—No. of Bedrooms..................3 .......................... Attic ( ) Garbage Grinder ( ) 004 Other—Type of Building ............................ No. of persons..........2............... Showers ( ) Cafeteria ( ) a' 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........................................ a Test Pit No. I................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........................ a -------------------------------------------------------------------------------------••-•-••-................................................................ ODescription of Soil....................Sand.......................................................................................................................................... x V .......................................................••••---------------------------------------•--•-------•-•---------------•---••---••--•----------•---•-•-•--------------•-----•-------•-••-------- W ---------------------------------------------------------- ---------•---------------•-•--•---•-•--------•-•--•-•-----•----------------•-----••---------------•--•---------•--......••----------------... VNature of Repairs or Alterations—Answer when applicable.._.insta�llation__of_a__1_.000-_gallon, pre-cast, --sttnne.Fa.cked..le,ach_-pit_._�oVQX:aC r-)t•---•------------------------------- ------------- -- - -- - Agreement: The undersigned agrees to install the afotedescribed Individual Sewage Disposal System in accordance with the provisions of TITLi; 5 of the State Sanitary Code—The undersigned-further agrees not to place the system in operation until a Certificate of Compliance has been issued by the b I alth. ned- ....... Application Approved B;6�rthe --- .••�... 10a2......................... Date Application Disapproved following reasons-----------------------------------------------------------------------------•----------------••-•-----........_ ..........................................------•------------------------•----......-------------••--•-- -'J Date Permit No.........82- o ` ------------------•--- Issued..........•.i.o�.4/82 Date w No.�'Z::................ Fps..... ...5..00....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T.own 0F.........Tarnstable ---------------------------------------------------- Appliratiou for Dhopos al Ifork.6 Towitrairtioat tirrinit Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: 33 Butler Ave., Craigville, *'A ................_................................................................................ ..........--------------••-----•------------------............_....-•-------------........-------- �'homas Greene Location-Address 33 Butler Ave. LCm% _ ilet "`{A ......' W A & B Cesspool Serv�cer 128 ishops Terrac&,d`_P!kannis, YA 02601 Installer Address UType of Building 3 Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building _________________________ __ No. of persons...........2.............. Showers ( ) — Cafeteria ( ) dOther 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........................ ------------------------------------------------------------•-----------.........._..._..._.......--........................................................ Descriptionof Soil....................5gAA..------....-----------------------•-----•-------------------------------------------------- U ------------------------------------------••-----•----------------------------------•--------.........----------------•-•------------------•----•-•-------------....................................... W ...............-------------------------------------------------------------:------------•----------------------------------...----------------------------------------------------------------••------. U Nature of Repairs or Alterations—Answer he applicable._.__installation of a 1,000 gallon, pre-cast, stone__.packed leach Rit (overflow -- --------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary 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. ned. _':! "= j rk .. ,<< (r 10/ 4-/B2 10 I4 F,2APPlication Approved By----•........ .............•--------------•---•-•----•----...---------------------....._... ... Date Application Disapproved r wing reasons-------------------------------------•-------------------------•--------------------------------------•---•••-- ---------------------------------------------------•------------.............--------........-----•-•-•-------•--•-----------------------------------------------------------------------------......._. Date // �J Permit No..........£?2--�a-------------------------•--. Issued ........................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......................mown........OF..........yarnstable .......................................................................... TrrfifirFate of ToutpliFatta THIS IS TO CERTIFY, Th tt he IIn ividua�,Sewa e Digosal ste co ct-A c ) or Repaired (X ) �1 & B Cesspool Service, z '�is�ops Lerra�e, ann. A O�b. 1 b --• ... ....-----•-----•--------_.. .. . ................................................................•---...._.. ..---------...---------•----......_ at.. 33 Rutler Ave. , Craigvi.11e, ."A -- TA JkA Greene -----•-------------------------------•----------------•---•---------------------------------------.. has been installed in accordance with the provisions of TOE ,r-r�o jThe State Sanitary Code ��rle cx d in the application for Disposal Works Construction Permit No.__.........a_�...................... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT /CO/NR ® A A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.10�......../t-�--•---------•--------------•------••----............__. Inspect THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 82-5"`6 ..............Town.......OF,.........�arr�stable 5.40 No......................... FEE........................ Permission is hereby granted.. A & B Cesspool Service ------------ ----------------- -------------- to ConstrjSt ( l or Re air (X ) an II vidu ll Sewag Dis osal S stem 3� Butler A e. Crai rvi �e TA &I'hordas Gr;ene r ` Street n 2— 10 t. 82 as shown on the application for Disposal Works Construction Permit No:........ ....! Dated ''.-_...................._............ DATE_ 10� /*2 oard of Health FORM 1255 HO SS & WARREN. INC., PUBLISHERS �ofr �3 1qp .226 � 1z LOCATION SEWAGE PERMIT NO. ,J3 ` C�2 VILLAGE 1--N,S T A L LA R'S NAME b, ADDRESS 8 s U IL DE R- OR QNINER DA-TE PERMIT ISSUED DATE CO-M-PLIA-NCE ISSUED / _ J �� J / / �55 rocs r Uoo g A-