Loading...
HomeMy WebLinkAbout0320 STEVENS STREET UNIT BLDG A UNIT A2 - Health '32Q St!o evens'Street Hyannis A = 308 004 11to.----------------- Fee--- ------------ BOARD OF HEALTH TOWN OF BARNSTABLE coy Zppiicat ion-for Ver[ Congtructionpermit Application is hereby made for a permit to Construct (V/), Alter ( ), or Repair ( )an individual Well at: 32O-S- `�__3�- — 1 1 -- ---- — ------- Location — Addresq -- Assessors Ma and Parcel f 1-h320 ,E-C�ns Owner Address Installer Driller Address Type of Building Dwelling ---- - -— - ---------- Other - Type of Building--=----_—___________ No. of Persons------------------- -f Type of Well H It--5—=\",A 0 P" (= —-- Capacity— — Purpose of Well.---- 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 until;a:Certificate .of Compliance has been issued by the Board of Health. dye Application Approved — __..__—________—___— 7 date PP PP g Application Disapproved for the follow in © � / date Permit No. � ` � Issued---�-�= F_U-7 date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ("tered ( : ), or Repaired ( ) byerzoz�p ULLI > - ----- - =- -------- ------_-- Installer at U_ 2 -�L has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well P otec ion g pp �COZ7-ate �5 7 Re ulation 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---- — - - - - � s No.------------------ f . Fee--- -------------:� BOARD OF HEALTH " 0 TOWN OF BARNSTABLE Y 01pplication'rVell Con5tructcon.Vermit Application is hereby made for a permit to Construct (V ), Alter ( ), or Repair ( )an individual Well at: - -- ---------- ---------------------------------- Location — Address Assessors Map and Parcel • .� �—_--�--_—_—_ --------------------- ss — Owner Addre l�_ __130 L� d rl em n�__�1'�p2b53 - ------------ -------------------- ------ - - --------------------- Installer {Driller Address Type of Building Dwelling------------------------------------------------- Other Type of Building-- —___—_____________ No. of Persons--------------------__ Type of Well �,S C�y�—p V( - --- Capacity—3U_ — -- —- ---— Purpose of Well C14;OY�,_--—_------ — 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 ih operation until a Certificate .of Compliance has been issued by the Board of Health. Signed ( � = --- --- — - Z��dZ------ Application Approved t3 _ _ ?).4 ;, - .._. date Application Disapproved for the following reasons: __—_____------_____-._—__________________—__—___��_________ n ( date { Permit No. 9,00 2 _(34 __ -- Issued-----/- IC.) date BOARD OF HEALTH r++ ' T TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( Altered C ), or Repaired ( ) Installer at- - — _=v- =_-,;-- --_ has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protec ion g PP jz n7--a� )S Regulation as described in the application for Well Construction.Permit No. -------- _______Dated—�---- ---------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO K.TRUED AS A GUARANTEE THAT THE.WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-----f-�—�� —-- - - ------ Inspector------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE y Vell Con!5tructionAermit 007 - 0 No Fe -- --- e Permission is hereby granted -- - -------------- to Construct (.-iT, Alter ( ), or Repair ( ) an Individual Well at: No: _: --------------------------------------- Street , as shown on the application for a Well Construction Permit No.-- - -- -------- D t d- — --- ——------------------------------ -- Board of Health DATE —-- ---- 7 Y� ., �. :.hit _ •.1� PP. ` s cci + �0. i - cli ��L�e,► U " mom•"" r s� �' <t I ... 1 r . j &( . 2F 1 C.y )i'! `�, •fit _�;' ` - t. •��� `lw._ y • �d ��=. IAJ co U � f br. r w � � 1 ' No. lU —�� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: �P PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes �aa S S//6apphcation for � gpogar *p5tem Cow5truction Verna Application for a Permit to Cons ru t niu.) Upgrade( ) Abandon(.��� Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Adddress,and Tell.No. Assessor'sMa�p/M oc arcel 1� a �1 dulAdC�G^ma ofw�K /w ci Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. xv'� � 07( Wre,s� C.�,eUe Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building CIO (1�ti& No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank _Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Q pes&() 4t,:S�-C� 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 Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by thisBoard of HeaUh. rr,, Sig d Date V Application Approved.by Date //6 .Application Disapproved by: Date for the following reasons Permit No. Date Issued �� J'"" ..--5 i Fee ` z No. 1 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer /Y1 P A. PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes Sr62pplicat,ion for �Ngpogat *pgtem Congtruction Permit Application for Permit to Cons c ] epair(�) Upgrade O Abandon(1�j�❑ Complete System p PP O pIndividual Components Location Address or Lot No. M Owner's Name,Address,and Tel.No. 3a9or'sCMbe A60(,—,kCa �tc CO�t ap/Parcel HY(j4\1N13 t l do 1 M0, ry\,j 6«-� rci Installer's Name,Address,and Tel.No. ( (� Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of BuildingC8mA.,cif-lGk No:of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design-flow provided gpd Plan Date t Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) ��SM A� , _yl(S-\I-'C 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 Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this-Board of Hea t ( rrllp Sig ed Date Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. � So Date Issued 1 - THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS _ Certiffcate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) Abandonev)by �U Gam. Can 5 at Or1A has been constructed in accordance ) with the provisions of Ftle 5 and the for Disposal S)stern Construction permit No. �Ct�� S�� date_d Installer SCb *& )`'�. '�c-cn Designer #bedrooms Approved design-flow gpd ���. The issuance of this pe it shall ((o__f,,be construed as a guarantee that the syste\m will unctiomas es ned. r---- '-- -- Date � 7 f��" Inspector•`-•-- Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS lwigogal �&pgtem Congtruction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ([/<� System located at , and as described in the above Application fonDisposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction m7ol be completed within three years of the date of this pe Date o+- Approve�b. i , dC r. Massachusetts Department of Conservation and Recreation 7Vrc fsooHus Office of Water Resources Well Completion Report 17-ocT-07 15:s7:to WELL LOCATION 250651 GPS North: 410 38.97, GPS West: 700 17.628' Address: 320, Steven's Street Property Owner/Client: c/o Greenscape Landscaping Subdivision Name: Mailing Address: 100 Revolutionay Drive City/Town:Barnstable City/Town, State:Taunton MA Assessors Map: Assessors Lot #: Permit Number:2007-028 Board of Health permit obtained: Y Date Issued: 09/05/2007 Work Performed Proposed use Drilling Method Overburden Drilling Method Bedrock New Well Irrigation Auger CASING From (ft) To (ft) Type Thickness Diameter .00 -31.00 PVC Schedule 40 .4.00 SCREEN From (ft) To (ft) Type Slot Size Diameter -31.00 -35.00 Stainless Steel Well .012 4.00 Point WELL SEAL / FILTER PACK / ABANDONMENT MATERIAL From (ft) To (ft) Material Description Purpose WELL TEST DATA (ALL SECTIONS MANDATORY FOR PRODUCTION WELLS) Date Method Yield Time Pumped Pumping Level Time to Recover Recovery (GPM) (hrs & min) (Ft. BGS) (Hrs & Min) (Ft. BGS) 09/25/2007 Constant Rate Pump 20.0000 01:00 12.0000 00:01 10 STATIC WATER LEVEL (ALL WELLS) PERMANENT PUMP (IF AVAILABLE) Date Depth Below Ground Pump Description:Goulds 33GS15422 Measured Surface (ft) Type: 2 Wire Constant Speed Submersible Intake Depth: 31.0000 09/25/2007 10 Nominal Pump Capacity: 33.0000 Horsepower: 1.5000 WELL DRILLER'S STATEMENT ADDITIONAL WELL INFORMATION Driller: Patrick Desmond 'Developed: Yes Fracture Enhancement:No Supervisor: Patrick Desmond Rig #: 36 Disin�ected: Yes Well Seal Type:None Firm: Desmond Well Drilling Inc. Total Well Depth: 35.000 Depth to Bedrock: Registration #: 877 Date Complete:10/05/2007 Comments: OVERBURDEN From To Description Color Comment Water Loss/Add Drill Drill (ft) (ft) Zone of Fluid Stem Drop Rate .00 4.00 Gravel No N/A 4.00 35.00 Fine to Coarse Sand Brown Yes N/A BEDROCK From To Code Comment Water Drill Extra Drill Rust Loss/ # of (ft) (ft) Zone Stem Large Rate Stain Add of Frac Droll per ft 1/1 ENVIROTECH LABORATORIES,I1VC MA CERT: NO.:M-MA 063 8 Jar Sebastian Drive Unit 12 Sandwich,MA 02563 (508)888-6460 1-800-339-6460 FAX(508)888-6446 Client Name Desmond Well Drilling Location Flagship Estates,320 Stevens St. Address PO Box 2783 Hyannis,MA Orleans MA 02653 Sample Date 09/10/07 Collected By Desmond Wells Sample Time 3:OOPM Sample Type Irrigation Well Date Received 09/11/07 Lab Order Number DW-72845 Well Specs 4"SCH40 PVC/3571 V Locatron Source Date Collected �»te Collected Contnterats Analysis Requested a^ Units Recommended Limits Analysis Restdt Metltod IDateAnalyzedi Analyzed By Total Coliform /100m1 0 0 9222 B 9/11/2007 RS pH pH units 6.5-8.5 6.25 4500-H-B_ 9/11/2007 LL Specific Conductance umhos/cm 500 311 120.1 9/11/2007 LL Nitrite-N mg/L 1.00 <0.004 300.0 9/11/2007 LL Nitrate-N mg/L 10.0 4.87 300.0 9/11/2007 LL Sodium mg/L 20.0 50.6 200.7 9/11/2007 MC Total iron mg/L 0.3 0.12 200.7 9/11/2007 MC Manganese mg/L 0.05 0.060 200.7 9/11/2007 MC Comments: Sodium level is not a health hazard,but if on a low soduim diet,consult a physician before drinking pH is below recommended limit and may have corrosive characteristics. Water meets EPA standards and is suitable for drin "ng for parameters tested. • Date Ronald J.Saari Laboratory Director BRL=Below Reportable Limits Page 1 of 1 'See Attached YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G_L.- it does not give you permission to operate.] You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: Zj Fill in please: APPLICANT'S YOUR NAME/8-. . BUSINESS YO R HOME ADDRESS: S4,C-V pcti e C� (,,V\ i S�� 863 3v 3if vt1/L�h L TELEPHONE, # HomL Telephone Number 6 0 •- NAME OF CORPORATION: NAME OF NEW.BUSINESS c2,t l ' ' C3&vT(z Cilui C�— TYPE OF BUSINESS 9. Gov ytC2�T1a1G- IS THIS A HOME OCCUPATION? ✓ YES NO O ,tll ADDRESS OF BUSINESS 1 C-. InWi. MAP/PARCEL NUMBE r (Assessing] i When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street)-to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM SSIO ER'S OFFICE This indivic hays n-in#or d f any ermit requirements that pertain to this type of busirM&LST COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE TO Aut e Sign re** - COMPLY MAY RESULT IN FINES. �OMMENT . 2, BOAR❑ OF LLTI H This individual has.f erf or � d of the permit requirements that pertain to this type of business. f�iC 1?PUST XMFLY WITH ALL Authorized Signature'V l ( �D( d t 'F'fJ:i IF,�r<�r[W r1)k! S Fir.,19 AT,„ COMMENTS: WqI y l 3. CONSUMER AFFAIRS [LACEN NG AUTHORITY] This individual has In i d f the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: