HomeMy WebLinkAbout0033 BUTLER AVENUE - Health 3 3 Butler Avenue '.
Centerville {
A= 226 —023
Slll a o
UPC 12534
No. 2-153LOR
HASTINGS,MN
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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
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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 / /
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