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Home My WebLink About0048 HIGH STREET - Health (2) q? d3�- 6 Lf( No. l��'l Fee BOARD OF HEALTH TOWN OF BARNSTABLE application if or Ivell C gtructiou permit Application is hereby made for a permit to �struct( Alter( ), or Repair( ) an individual well at: Location- 'dlkss Assessors Map and Parcel Owner Address A /�0 IZ S ve ws4 ev • Installer-6jiller Address Type of Building Dwelling Other-Type of Building No. of Persons Type of Well !l —P c Capacity 16AI Purpose of Well /V(- D Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well P de 'own-Regulation-The undersigned further agrees not to place the well in operation until a Certificate of " I Co i nc as. enssu d by the Board of Health. / Signed - _ �1 Date Application Approved By rT q Date Application Disapproved for the following reasons: f' Date Permit No. )lj/1 �)7� ��/� Issued 7 2' ►" Date ------------------------------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Commp "auce THIS IS TO CERTIFY,that the individual well Constructed Altered( ), or Repaired( ) by A h Pd/ I tal r ` at has been installed in accordance with the provisions of th T wn of Bast le Board of Health rivate 1 otection 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 SATISFACTORILY. Date Inspector No: Yy` � 'f Fee -( _. BOARD OF HEALTH ..� =r TOWN OF .BARNSTABLE f' T[ppYicatiou _for Vell.Coftgtructiou hermit Application is hereby made for a permit to Gonstruct( Alter( ), or Repair( ) an individual well at-'-- c, Location-Address Assessors Map and Parcel �2Ct {� �,sfirti 13 Owner Address ( 10 Installer-Driller Address C Type of Building Dwelling Other-Type of Building No. of Persons Type of Well �"-� y Capacity Ct to A, Purpose of Well /y(//C_ J Agreement: The undersigned agrees to install the afore described 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. F, Signed Dated P "t%Application Approved By /Date' Application Disapproved for the following reasons: y . , Date Permit No. is 4 r I j r �'� Issued Date s—..--.. -- _ ----,..o-44e------..a.------e--vaoe..e.«e-....eeemsme.«—mee...,00vo®mo-.—,,.._—k..—a---..---e-----o—®—ee--d BOARD OF HEALTH TOWN OF BARNS,TABLE "'Certificate of Compliance 1 THIS IS TO CERTIFY,that the individual well Constructed Altered( ), or Repaired( i by hP_ �/ has been installed in accordance with the provisions of the'T6wn of Barnstable Board of Health�Private Well Protection t Regulation as described in the application for Well Construction Permit No K&) -M,,( Dated I P THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date - Inspector BOARD OF HEALTH TOWN OF BARNSTABLE � F Yell Cougtructiou Permit No Fee Permission is hereby granted to Installer to Construct(�,).,�Alter( ), or Repair O an individual well at: Street ( J ' -as.-shown on the application for a Well Construction Permit No. �Mf /0 f Dated r 4 Date 1/ t �t �. Z Approved By No. VU�/l�� Fee �fs� BOARD OF HEALTH TOWN OF BARNSTABLE 2pplication -for Yell Cottgtructiou Permit Application is hereby made for a permit to Construct( }, Alter( ), or Repair( ) an individual well at: Location-Address Assessors Map and Parcel Glee �e+e�r P i e i c4 p d Io®x c L C-c&_e I �- . MA 02(0 Owner Address L��YY1F)V1� ls.�,°I I ill he : Py Bo)c -2:7F5:3 Qr 02.1A'5 3 Installer-Driller Address Type of Building / Dwelling J Other-Type of Building No. of Persons Type of Well GGh"40 SIC Capacity Purpose of Well I rr L- o D Agreement: The undersigned agrees to install the afore described 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 Certificat of Co 1' ce has been issued by the Board of Health. Signed i73 Application Approved By 6 L/ ate Application Disapproved for the following reasons: i�, n , ^� q Date Waa Permit No. l ,-DSO 1 Issued [ .3® Z ate BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed()6, Altered( ), or Repaired( ) by 7DPSfYjMd (. CA I ]�r t tL 1 V1A I vlc-. Installer at -ko 5 D I GQ 100c has been installed in accordance with the provisions of the Town of Barnstabl'e,Board of Health Private W Pro ction Regulation as described in the application for Well Construction Permit No. Vv 21DA—DE-7Dated 3b THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector No. Fee •y S""'""" BOARD OF HEALTH �? TOWN OF BARNSTABLE ZIppYicatton _for Yell ctCottgtruction Permit Application is hereby made for a permit to Construct()e), Alter( ), or Repair O an individual well at: }�h'k i iF,d�• _ /�� b/�� F S.✓""?1- 1'1� f C.�EJ� \,..� 1 � 4•+ 7��wi.'V' �` . t t t. Location-Address Assessors Map and Parcel 00 ' ' Y -i '1 l ' C I is (f t 1_ i - 1�i Cam& Owner Address �L ��YIC>d1 t�✓€ !��tailYYE f�►t . CII n -2-7F7a, Installer-Driller Q Address Type of Building - Dwelling . Other-Type of Building No. of Persons Type of Well Capacity F Purpose of Well 11(V'I C l GI f't C:5 n v Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the t Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the .well in operation until a Certificat/e��of�Co/mplance has been issued by the Board of Health. „ Signed g • Date �fcc •* ' Application Approved By ri Date l Application Disapproved for the following reasons: V r r a Date r q e Tit No Issued Date BOARD OF HEALTH .. ..-_.� TOWN OF BARNSTABLE , Certificate of Compliance s `THIS IS TO CERTIFY,that the individual well Constructed(J(5, Altered( ), or Repaired( ) byr- sm,r v)rj G,e. al 1 1)r i it 1 ncf. I . �./ Installer A at 1 , 0 i CA ' Rd t leas 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. �, Z-l'U 7Dated 1 �krl / - , 1 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector --- - _--___ ___----- --- - ------------------------ ,----------------------- --------- .. . ._ _ - BOARD OF HEALTH TOWN OF BARNSTABLE Yell Con,5truction Vermit No. V I 'lad"- Fee Permission is hereby granted to Installer �r to "Con struct°((); Alter( ), or Repair O an individual well at: No. I!�✓ f 11"10 _ff 1�A Street / as shown on the application for a Well Construction Permit No. w" ' ' Dated �/ Z36 1� K ; �.r,.. '-Date / ?0� Approved By t!3 P 0 J: T y .A jA y 1VISITORS&;j it - � 1 s r latehfi r _ .ST FLffA srr.r4; C4 y a HOUSE . m _ - J '� L[ � l FAY . y - rd ismsBJtL2l ./ j o e g._;.. n:•,=mac' y lW .rY. ;. °{ N rL 191, le Y'` � �leg r L , P.SS.: N - ,r�,x.. f rlaA K' -wmu 1.j.. _•ai:. '�^.'i:GT.i; 70 !tR J'? P.-t.P. t eE.t. gr4:'wA( ..uaepN.Krs 1.0C�Tfr VPf! 7Ral r,9;iFw-;?' _ iat_•f!rF r A" J• IN of+r:, �:J',i 4t_c <!^ A!thsrat#✓:h`C,=d. G1+EFl, LOAD.. Tr # 'f'Y� ✓t GJU! t +_ tt i G-ri!' ''-! � r - f�Q° 1C s/N(x Oh a _ ti �'•. E y Y �� l.{f�f U)J ! t! rV vi r' -Y' - '!c :S. f { ➢ L b.(il4 L Svucj ntt = ly, aT ..S �! F �i r .-+ _ # -ttv 'n .0 s ec ,t• PWPEF ; PRY SH. t,f V 'ANA v UUTAi.t. .� a. 53�"`.e � f L�•% �- �` G% v,.,=- l � ,-+,r; �#-+;- w r - s -u ;"i'X, A < s�'{t- .:� S r i 1.;� 4i D -. 161 i:. I$1 .,..2,�p GPO I, r_',f 1 f�P91; -u pJ Frry 3>•�a.aitl CSt.P Y rMt.ti' y ssE' G A r+-! �' • i�{ri sFAi!LYtE' i ryN '�. } - .: ... 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