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0290 WINTER STREET - Health
290 Wnt 310-179 tyaln fs r No. 3� �-- ------------------ Fee--------�- ---^ BOARD OF HEALTH TOWN OF BARNSTABLE Application jorlVefr Construction.Permit Application is hereby made for a permit to Construct (A ), Alter ( ), or Repair ( )an individual Well at: Location — Address Assessors Map and Parcel caner Address Installer — Driller Address Type of Building ` Dwelling ...... — Other - Type of Building-------------- - No. of P Persons-------------------------------- Type of Well A�W1 �v_l� ��� — Ca acit )A J, Y---— -- - --—— --- —-- 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 Priva rotection Regulation — The undersigned further agrees not to place the well in operation until a to .of Co liance has been issued by the Board of H alth. Si _I 1 0/ ---- ------------ — date Lf Application Approved By JO G date _ Application Disapproved for the following reasons:------------- —-- — - --- --- ---------—--- — - -- — -- —--- -- --— -- __--_______ ( date Permit No. � _ --� ---__-____-_- Issued------ 1- �� - ------ date —------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) bY----------------- - — ------- =-- - ---- -- - --- -- --------- Installer at- ----— -- ------__--- - -- — ------ ---- --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---------------------------------——----— - No.W ---� 3 1 ,_ Fee---- -1-- -----� BOARD AF+IiELTH _. TOWN OF BARNSTABLE , Zippiication-*rlVell ConOtructionpermtt 01 Application is hereby made for a permit to Construct (lid Alter ( ), or Repair ( )an individual Well at: Location'— Address ~ Assessors Map and Parcel —R�_'I—� An��l v._ -- Wow v- S-Y, 1_4 ,4kL,�jts - ",A wrier— Address ��_S_ . _ C',k\sVt�1c # --.. � iv l+t , Van_ - - � Address Installer — Driller Type of Building p " Dwelling �•b1µVIrC�c, �tMIC t--------- Other - Type of Building- '----------- No. of Persons----------=---------- MCA 1�� �U e(1 �4 �_�_ Capacity �� A Typeof Well --- ----- --- ----------------------- - Purpose of Well--ElGll �Qa- -°1�ASScCSWI�►. 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 Cer_[ifi ac to .of Compliance has been issued by the Board of Health. Sign- — -------- — - ; -- date Application Aproved By �„� .T- --------------— /Q p .x date — Application Disapproved for the following reasons:------- ------------------ -- — i .. __—_—_— _ —__---------------- date d ' Permit No. (K Issued G - - -- s date BOARD OF HEALTH R TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) by------- ---------------/___--= - ----- -- -- - - -- - -- --- - Installer y� at- - _--_------ -- -- - -- --------- 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 Yell Con$truct ion Permit No. — -�—C=� e'J C� Fee--l -- Permission is hereby granted I C --- —-- ---- V to Construct Alter ( ), or Repair ( t ) an Individual Well at: ------------------------------------------------- 'wn ion the application for a Well Construction Permit a street as sho �:. No. Dated- - - ------------ t _—------—------ - I f rG Board of Health DATE—— l --- - �OS+C� �.�t�l lT�lz.[f•1� LUCZ.L Ayak o nhiS R llt6l I!6 l s/� I N� r eNE -ST09-Y • D%Lb r�6 ID LAOP t"mr'UNC: WELL = Wit, THR STt���T N:rs, UoTUS: WeILS wILL coxrmocTe1J dF #-i`t w C i"o -"I dv P4tj U�klts out l 6s ;uIS6j v —DV a Fee-----=------------ BOARD OF HEALTH TOWN OF BARNSTABLE Zipp[icationArlVell Co0truction.Vermit Application is hereby made for a permit to Construct (✓), Alter ( ), or Repair ( )an individual Well at: Location — Address — Assessors Map and Parcel F+,/_K3.T AK I'jc� - - A ✓L-A7RY'C-2 — — Address 0 r;i C vVX,s'NTla AM n _ Installer — Driller Address Type of Building Dwelling ----- -- — —- - Other - Type of Building-- F�G"�----- - No. of Persons--------------------------- Type of Well off ,-a 2 f A16 - Ca acit — Purpose of Well-----!ti'v�: D N IT-0 1 NC—_ 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 ertificate . f C mpl' nce has been issued by the Board of Health. Sign ed — date.f Application Approved B --- -----— date Application Disapproved for the following reasons:---------— - - —----- - --------- l date QC' s5 .� —_ l ® � ---- - Permit No.�----— ------- Issued--- ---_ _---- - date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate Of (COMPhance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) Y Installer at— —-- — ------— --- ------------- 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 Yell iton5truct ion Aertnit 5 _©a Li5 No. -� Fee--- — Permission is hereby granted re® �c" ^f` — -----to Construct VL Alter ( ), or Repair ( ) ajn Individual Well at: No. — -' �°1 to 21 i%Q� ' -- -------— -- ---- - - - street as shown on the application for a Well Construction Permit i No.-- yJ' — Dated a1 G®5 Board of Health DATE i kAiC G✓ . ------�/�-- ! No.-LJ 00 � .-- ------- Fee BOARD OF HEALTH TOWN OF BARNSTABLE [ication or efr Congtruction Permit Application is hereby made for a permit to Construct (V/), Alter ( ), or Repair ( )an individual Well at: 29.0-2-96 VvINi'r2 5-i/tce- Location = Address Assessors Map and Parcel Z-'G: 67$?4-77 Dtl�-_ f•XAlVe -5.'r3,�7,IA5L (/Lc-rS<vr r �Si s-c_ 2 ; — --=--— —-------Address ---------------_tV---------------------------------------------- Installer — Driller Address Type of Building . Dwelling Other - Type of Building-- 4 Fr-i G _ _ No. of Persons------`--------------------- Type of Well Purpose of Well /1 ?N s�o9 1 N(, --- -- ----— - —- - ,--- --- ---- - — frt - Agreement: ti 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 ;ertificate .of C mpliance has been issued by the Board of Health. Signed �l, — n� � — - _ � j� j date) Application Approved Bye — ---- -------— '`)�— date Application Disapproved for the following reasons:-------------- --- -- ---=— _-.v. ------- -- ----- ----- ---- )�-----_ date Permit No. ©� �_ �. -- Issued date t BOARD OF HEALTH TOWN OF BARNSTABLE r F Certificate Of ComPiiante r THIS IS TO CERTIFY, That the Individual Well Constructed ( '), Altered ( ), or Repaired ( ) Installer at- -- --------------- -- ------------ 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--- --- ----- ------ -- i BOARD OF HEALTH TOWN OF BARNSTABLE Melt Construction-permit No. ------` ? 5 Fee-----�— Permission is hereby granted E'© -`� C' to Construct ( ,. Alter ( ), or Repair ( ) an Individual Well at: No. — street -------as shown on the application for a Well Construction Permit v�'2ao S 4 No.-- ------ Dated Board of Health DATE -- a 9� A)zitlanfic �9 DESIGN ENGINEERS,INC. a ?.a-' March 17, 2018 -fl Mr. Thomas McKean Director-Barnstable Board of Health Barnstable Town Hall 200 Main St. Hyannis,MA 02601 RE. Phase V Completion Statement and Permanent Solution with No Conditions 290,294, and 296 Winter Street,Hyannis,MA Dear Mr.McKean: The purpose of this letter is to inform the Barnstable Health Division that a Phase V Completion Statement(Phase V CS) and Permanent Solution with No Conditions (PSNC)has been filed for the 290, 294, and 296 properties in the Village of Hyannis(RTN 4-18675). This Phase V CS and PSNC is being filed following the completion of a Land Use Study in the area and the completion of Phase V monitoring operations in order to achieve a level of Permanent Solution. This public notification is being provided pursuant to the Massachusetts Contingency Plan, 310 CMR 40.1403(3) (f). This documentation has simultaneously been filed with the DEP Southeast Regional Office located at 20 Riverside Drive in Lakeville,Massachusetts.A copy of the report may be reviewed or obtained from the property owner,Mr. Scott Bearse. All documentation relating to the Site can be found on the DEP website under its associated tracking number.If you have any questions,please do not hesitate to call me at(508) 888-9282. Very truly yours, ATLANTIC DESIGN ENGINEERS,INC. Simon B. Thomas,PE, LSP Principal P.O.Box 1051 Sandwich,MA 02563 (508)888-9282• FAX 888-5859 email: ade@atlanticcompanies.com www.6tianticcompanies.com i C.6� Q' mlctces' ; 9� Li rla n tic 9 � DESIGN ENGINEERS,INC. m�> March 17,2018 :7v7 i -f] �y Mr. Thomas McKean Director-Barnstable Board of Health Barnstable Town Hall 200 Main St. Hyannis,MA 02601 RE: Phase V Completion Statement and Permanent Solution with No Conditions 290,294, and 296 Winter Street,Hyannis,MA Dear Mr.McKean: The purpose of this letter is to inform the Barnstable Health Division that a Phase V Completion Statement(Phase V CS) and Permanent Solution with No Conditions(PSNC)has been filed for the 290,294,and 296 properties in the Village of Hyannis(RTN 4-18675). This Phase V CS and PSNC is being filed following the completion of a Land Use Study in the area and the completion of Phase V monitoring operations in order to achieve a level of Permanent Solution. This public notification is being provided pursuant to the Massachusetts Contingency Plan, 310 CMR 40.1403(3) (f). This documentation has simultaneously been filed with the DEP Southeast Regional Office located at 20 Riverside Drive in Lakeville,Massachusetts.A copy of the report may be reviewed or obtained from the property owner,Mr. Scott Bearse. All documentation relating to the Site can be found on the DEP website under its associated tracking number. If you have any questions,please do not hesitate to call me at(508) 888-9282. Very truly yours, ATLANTIC DESIGN ENGINEERS,INC. Simon B. Thomas,PE,LSP Principal P.O.Box 1051 Sandwich,MA 02563 (508)888-9282•FAX 888-5859 email: ade@atlanticcompanies.com www.6tlanticcompanies.com TOWN OF B.ARNSTABLE LOCATION SEWAGE VILLAGE 4�{ ASSESS:--., INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) ?"-C CO-5"r VC' - (size) NO. OF BEDROOMS PRIVATE WELL OgPUBLIC W_ BUILDER OR OWNER I. y fz'�� �v' S —��W-G DATE PERMIT ISSUED: S DATE COMPLIANCE ISSUED: -/ 3 q 2 VARIANCE GRANTED: Yes No �/ ,. 1. O� � ti 1 � - . . t r .� � S��rv� w '�' �� C � -� z f �% � � rN I � J No.».................._.. J FzZ THE COMMONWEALTH OF MASSACHUSETTS - BOARD OF HEALTH v✓w. . ;r eti$�a& -- ...............OF.-- ... Appliratiun for Bispuuttl Works Tonutrur#iun ramd Application is hereby made for-a Permit to Construct (, ) or Repair ( ) an Individual' Sewage Disposal Sy at . �. :. - --... ... ,. ,. .... .....:.0 - _._ -......... .......... 1y�. .=k. ._ ._.. ----.--.-------..-_.»......_..»...._. LcZtio .Address / or Lot No. �j e 4Prl/. 1Ltil..................... ..................... .....lc...--•---...--..--....................»....»......_. Owner Address a .......tea----..'.. d.. ................................... ...................B.y.�.,���5............................................... Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms...................................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—Type of Building No. of persons............................ Showers — Cafeteria Other fixtures .. ---------------------- r person per day. Total daily flow........�..42k.0.................. WSeptic Tank—Liquid capacity.__.........gallons ' Length................ Width................. Diameter.--............. Depth................ I x Disposal Trench—No..................... Width.................... Total Length............. Total leaching arm...................sq.ft. 3 Seepage Pit No.•--..-I............. Diameter...... Depth below inlet.._..._........ Total leaching area.................sq. ft. Z Other Distribution box ( ) 41 Dosing tank ( ) ' 0.4 Percolation Test Results Performed by..................................••-•••------••---•--••-........•--•_._. Date............................ ••..... Test Pit No. 1................rninutes 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 •------•-...........•-----. ----...----•--- -----------•-----------------•---._...--- . ------.....----------- Descriptionof Soil.......... - =-------------••--•-••---.....................---------••••••.......•----•------•-_.. -•-•-•-•-••-. - ......-•--- ---------- - U Nature of Repairs or Alterations-Answer when applicable......_... .........A.:�........... CP._... -•...--------- . 3 54 --....------tea------? Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLi: 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance ed by the bo d f h alth. Signed.. = = ! . ate ApplicationApproved By................................................ ... ................................ �?` ... Date Application Disapproved for the following reasons:...................................................***-,*--------------------- ..............•--.........---•-----•-=---•--........---------------•-----•-•-•--•-...-•.....------...........................----------•-.........-•------------•---•----.........•......----._........Date Permit No..:M r __._. . Issued...............•--•---•---------••------•.... Date .... 3 _ oy - No THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTHq ---------------------------------•------------••-•-----._...._. Appliratiun for Disposal Works Tonutrurtion 11ertnit Application is-hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: � .. ........t:-p. « b..«�:. ._ : z ..... , ......,.,.....-- N ...- .. ............».. Location-Address or L ........»«---• ..................... ...................... .......................»..»......-...... Owner Address t- '1 �"� �<< ,n ail, r_ -------- Installer l Address Type of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms.......... ..........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ------------------------------------------------------------------------------------------------------•--------..._..---...........__......••••....... WW Design Flow........... ..K ..... gallons per person per day: Total daily flow.___... : . .................gallons. WSeptic Tank—Liquid capacity ________gallons Length................ Width................ Diameter__................... Depth................ xDisposal Trench—No..................... Width.................... Total Length.................... Total leaching area...................sq. ft. 3 Seepage Pit No.......I............ Diameter......L D_..... Depth below inlet...... ......_. Total leaching area.................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by......................................................................... Date........................................ 1.4 1.4 Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water........................ 114 Test Pit No. 2.._.._.._.'-:..minutes per inch Depth of Test Pit.................... Depth to ground water........................ ....------•-----•------------------------------------------•---..................•••..........-----•.................................. .................... ODescription of Soil----------------------------------------•-•--.....-•--------......-----•------------------------....---------•--•--••---•-----••------•-----..._..�................... -----...---•---------•------------••---•-----------------------------------------•----------......-----....--..-----------------------------=----.....-----•------....-----------------------------_... U Nature of Repairs or Alterations-Answer when applicable..........Y::_!22.__._____0-A- .................................................. (AJG c pcx,1- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITTLE 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. - yam'/ Signed`- -~! -- ............................ .. . _..... ........`... Date t Application Approved By............... --....-----•......•--.. rl� 4 _ ... es E� ate....:.... ; bate ' Application Disapproved for the following reasons:__________________________________________________________________________________________________________«« ....................•-----...._..._..--------------------------------------..•._.._...•...-•---.._....._.--------------•---------------......----------._._._.............----•----.....--•-•-••------- . Date Permit No................3_...-- ...X71� Issued............................................«......_.» ate --------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...... OF....... .................................. Traifirate of Toutplittnrr THIS—IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repairedby ( ) , .'......_._.Yi..s�- l-.r % (� ............................................................»..«....« Installer ---------------•- -•--••••..._.... ..........-•-------•------•-------............--•-_....•........ has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No---- =—.?. ..�_. dated_...._ ` � .'.. ...... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.......• :._......ems.. ?-----•--•--••-•--- Inspector `-` - ' . ;,�_ ---------- -✓i ;, 1 L71) THE COMMONWEALTH OF MASSACHUSETTS --� BOARD OF HEALTH - ` ou'.J\77 ..O F.. r � ,�/ �ti YL oS �-ra 0 .......... .c� ......... ...............• FsE 6...... Disposal Yorks Tonstrttrtion f rrutit Permission is hereby granted........ _______ �� .L=:. ' to Construct ( ) or Repair an Individual Sewage Disposal_System at No.:- ._. G.% 1 ---•-a � ,l Asti`-•r-------------�}------------------------------------------•- ...... --_.... ----- Street �--� as shown on the application for Disposal Works Construction Permit No`...._.._� . D' ted........... _,- '._...... ........ . -- Board of Health DATE...... ............................................