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Home My WebLink About0092 MAIN STREET (COTUIT) - Health VfW� Ma¢ Street (Cotuit) uit - - - ---- -- - -- __ - _ A = 023 008 TOWN OF BARNSTABLE pip LOCATION e?,,7- ^c)pL� 67 '} SEWAGE # VILLAGE 7` ASSESSOR'S MAP LOT INSTALLER'S NAME & PHONE NO. Ale��l • I SEPTIC TANK CAPACITY A966 LEACHING FACILITY:(type) ),,eA (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER nj u ,t I DATE PEd IT.ISSUED: DATE COLIPLIANCE ISSUED: e� VARIANCE GRANTED: Yes { N.o ,� / � � ti._-. �..� � ��,� - �, �� , � �� a �!, x _� '1 �� . No.-----__---------- Fee------------------- BOARD OF HEALTH TOWN OF BARNSTABLE 0(ppYication-*rVell Conoruction Permit Application is hereby made for a permit to Construct (!-1, Alter ( ), or Repair ( )an individual Well at: Location — Address Assessors Map and Parcel Owner Address - -_____._ ---------- ----------------------- -Installer Driller— Driller Address Type of Building Dwelling Other - Type of Building-- ---- No. of Persons-------__ ___-___ Type of Well 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 Certificat .of Compliance has been issued by the Board of Health. Sign — date Application Approved BY __— )-?10 _-!,-__ date Application Disapproved for the following reasons: --- --- ------ _____—� —_ date i� 3_ ' � 41 1 �7�m3 Permit No. — Issued date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (✓), Altered ( ), or Repaired ( ) � ScliN f/ by—_ A ----------------------- Installer -- at-- M1A;, s �l` 9a -�;T 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 t Y 1,J C-Y�3 —C o No.----_--------- > Fee-------------------- BOARD OF HEALTH TOWN OF BARNSTABLE 2pplicat ion-for lVell Con5tructiouPermit Application is hereby made for a permit to Construct (V), Alter ( ), or Repair ( )an individual Well at: T t _ C) Location — Address Assessors Map and Parcel — Owner Address — R ��Cr^�nrell v,P /( �I l/,� /;b.! oX /(�6 /NGJ�t�- .r4 C` n // Installer — Driller Address Type of Building Dwelling ___-----------____-- Other - Type of Building-— ----- No. of Persons--------__--_— _____ � ry Type of Well / ------ 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. �'�''� Sign �" — c/ /) - / date Application Approved By ___—___— y ` 7 )O 3 date Application Disapproved for the following reasons: --------------- ----- — —_ date Permit No. �� 3_ — Issued 1'7 [6 3—-- - date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (✓), Altered ( ), or Repaired ( ) D A S c,, ./l Installer at- 9a . s t c�r�;T 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 Ivell Cootruct ion Permit No. 3 Fee— Permission is hereby granted D Ato Construct ( K, Alter ( ), or Repair ( ) an Individual Well at: No. l AIu _ S 7- 0 7-' -f — - ----— - - Street — as shown on the application for a Well Construction Permit No.- -- .ated 1 1-7 1 U 3 DATE Board of Health 1, I� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................_.........---.....OF....................................... ApplirFa#ion for Di-spooaal Works Tonstrurtion Famit Application-is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: - ....-if.�......._., :rAlt. : . . F.�.....-- ----•--•••...--•-••---•................•-•- ------------..................... . ... .. - Location;Address or Lot No. ....... tea !. !.........`� /..��.......................................... ! /Y. ........................................................._.... Owner Ad ress �. a ........ '1.. ------------------------------•-•-----......---- ...7. ....,max®� _...:��' ��• ��t�.... ' Installer Address UType of Building Size Lot............................Sq. feet Dwelling_—No. of Bedrooms.......-3.....•.........................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building . ,fit _` ... No. of persons..........J.............. Showers ( ) — Cafeteria ( ) Q' 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.........f.___...�Total leaching area....................sq. ft. Seepage Pit No.....____.�PL-_.__.. 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--___---___-_--_-----.-. (4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0 Description of Soil......_�.4;_ ----___----_ V ................................••--•••-----•-•-•--•-•---•......-•••-•-•-•--•---•-•-....._....:........----------------------•-••--•••--•---•••. --•••••--•-•--•....-•-••••.........-•---•---- W ••---•----------------------------------•--••-•-•-----•••-----------------------------•-•-•--••--•-•---------- .� -----------------•----------- •----- x > U Nature of Repairs or Alterations—Answer when applicable.___--d/_`°P ..... ----?� ___. .�:.�--..,1- _•----•----r --------•---------------------------------------•-•-----•••------•----•••-•••---••-•-••......•••-•-•-•-•••--•-•----------------------•---••••---•----•••••--•-••••-•...••••-•••••-•.....----.......--•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iI'IU, 5 of the State Sanitary o e The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee' issue b the /bo -d off, . Signed............... --•••� d........... `_ .................. Date Application Approved By-••--•-•--•... • . --- •••. A =` '� Date Application Disapproved for the f ollowang reasons----------------•-•-------------------------------------•------•----------------------. ...................... .........................................................................................................................-...... ................•...... ..................-............... Date Permit No.-•--•--0, f�-� ....•..... Issued-------------•-----------------.....•.....----••------. Date . oo ti THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............... ................. .......OF.......................................................................................... Allp iration for Ilh4pas al Works Tomarnrtinn Frrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: . ......... ? % . -�..... ....................................................No...........•............................... Lo ......................................... ._...........----------•--•--..........._...._------Owner Ad ress ----.�`-.Jp--------MA/. ..................................................... ---7-g:..... ..1. .....f ---------73e Installer Address QType of Building Size Lot............................Sq. feet V Dwelling No. of Bedrooms.__..._ ._ .....Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building fir! o9 j.!C... No. of persons..........3 Showers Cafeteria Otherfixtures ...••.-•--•----•----• ----------------•-----•------ ---------•---------------------------•-••------.--------.---- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Ix Septic Tank—Liquid capacity,...........gallons Length................ Width................ Diameter................ Depth................ W Disposal Trench—No. .................... Width ....... Total Length........... __ Total leaching area-_____-_---_------sq. ft. Seepage Pit No..__...._.p g .._ ..•...... Diameter................. Depth below inlet_. f it Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground.water________________-_____-- (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ........... -------•--•-•-----•------... ...... .-----•-•-----..---•---•.......................................... ..............•---•-----.--•-- D Description of Soil 1~. x /I/ X.....................................................•---•------------------------------•--------- ------------------------••---•-•------ W --•-•••••--•----------------•----•••••••-•-•--•--••••-••-•----------------•------------...--•------ --------- UNature of Repairs or Alterations-,Answer when applicable....._ ...._.___..er�._' C .__. .4. ....f/ f Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TILT I E 5 of the State Sanitary o e The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued b the b d o ea h. Signed -•--- •-••�rt .......�,`�' Date Application Approved By...... -`' V i-Ka-.�"�." -----------------•----- at Application Disapproved for the following reasons:-----•--------------------------------------------------------•----------------------------•--••......--••..._._ ............................................ --•••-...-•-•--.......---...•--•--•--------•---•--••---•------•--••.........._..-------•--•---•-•----------------------------•--•--•••-------•-----•-- ��JJ Date Permit No........ �'-•-.'...:.. - �........... 'Issued.........................•-------....----.- -•---- Date 9.. THE COMMONWEALTH OF MASSACHUSETTS., BOARD OF HEALTH .......................................OF................... ................... Trr#ifiratr of TnntpliFanrr THIS I,� TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired PC) ...t. F ---•----------•...................••------..................---•----•-•----•------•--------•--•._........•....................._ Inst ler C� L - k.. at.__•-•••..._._I.Dk._...#11-a: 1J;%----•- r.......... . c� ... . ............................. has been installed in accordance with the provisions of T-I T 7 r 5 of The State Sanitary Code'as described in the application for Disposal Works Construction Permit No..._... ___?'-_��_..__.. da.ted__`:.......................................... THE ISSUANCE OF THIS CERTIFICATE $HALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE, ..........................•--•------...........--------.......-----••------_.. Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALT]�H .........OF..............to NO ! FEE.. Dispns 1 %rkp Tnno#rndinn . amit Permission is hereby granted....... A-?-------¢t"•. '2•----•---•-•-----------•-----------------------------------------•--••---................ to Construct ( ) or Repair�( an�ndividuaal Sewage Disposal System at No ,� . ... Cs.:- ---4. ;....... •--•.....-•••••-•--•••••••-•-•-----•-----------------•-••---•-•---•------------••-- Street as shown on the application for Disposal Works Construction Permi No....:................ Dated.......................................... ....................... ---------------------------------------•-•-------.--•-- � DATE................................................................................ 3�>.ard of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS + TOWN OF BARNSTABLE LOCATION �/�7fJl � SEWAGE # 6 7 It VILLAGEa Tf. ii ASSESSOR'S MAP F1 LOT "CC, = INSTALLER'S NAME 6i PHONE NO. � ...^ /^&/16 SEPTIC TANK CAPACITY �� LEACHING FACILITY:(type)IA141w-o "d f 9`�� '(site) NO. OF BEDROOMS t PRIVA4 WELL OR PUBLIC WATER BUILDER OR OWNER L' k! DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: " VARIANCE GRANTED: Yes No IL120&4�f t ko d 5 c ASSESSORS MAP N0: 9r 3 0 o Q No .s�..... F1� ............................. �i�r�L(d0: `O — THE COMM ALT OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for Diripwi l Wor1w Tonfitrnrtion rrntit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .... .-•--• ..... o tion- Adds or Lot No. Q `?_............ '.1 ......---•----•--•......-•...---•------ _...... ........................ Owner Ad w---------------------------------------------- ..........................................................`` Installer Address d Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms._-_----_:f ---------------------------------Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) 04 Other fixtures ------------------------------ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Gd Septic Tank—Liquid capacity............gallons Length................ Width-------------... Diameter................ Depth................ Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..-_-_-_.---_-_---- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 1.4 Percolation Test Results Performed by.......................•--•------------•----------•--•--•------••-•...--.. Date......................................... ,.� Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a'+ 1-----••---------------------••-----••-•---•------••----•-----••-------•-.............-------•-------............................... -...... ------------------- 0 Description of Soil...................................................................................... ..----•-------•--•-•--------.............--------•--................------....... V ----------------------------------------------------•-•------------------------------•----....-----------------------------•-------•---------------------------•-•--------------•---•-••......---......_ W ------------------------------------------•....--------------.....------.....---------•-----•-•--•--- --...... x - .............. U Nature f Repairs lterat,°ns—�nsw%when applicable_.. ��. .._......./.___ _._is_.... O/.. t,QFreement: l , The undersigned agrees to install the aforedescribed Individual Sewage osal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complia s by board�of ealth. Signed ..... .. ... . . ..... .... ...........: /..................... ...........Dace................ Application Approved By ..-------.. ... . ..... /....-.�.Cu...- .�� Due Application Disapproved for the following reasons: ... ...................................... . ......... ................... ........................................... ... ....................................... ........... ... . ....................................................... ............................................... . ............ .......................----------------- PermitNo. ........... ---.-...�... .......................... Issued ......................................................... Dace ^�� `✓'-.�__._ _ ,....,,,� .,,,.,may .�....., .21.,,.'+. r_� _..:-.-�.. ... .>. � _. y � -_ �... .,,`•. ..�. •__,�.�'__ ��J "i—,.-c.... • s ' i Cr. - 0 0 C) No. -----.._. � FRR15! . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Diripooui Works Tontitrurtion Prrmit Application is hereby made for a Permit to Construct ( ) or Repair (. = )/�` an Individual Sewage Disposal System at: A�.(l ....._.. ---•-- - -•• -- .. oc3tion-Add css or Lot No, .)__............................................. --•---•---------•-----••••.•-.--•.••.•---.....------.---•-----.-.•----------.....___........•--_-- / Owt r LC) % Address Installer Address Type of Building Size Lot............................Sq. feet .� Dwelling— No. of Bedrooms-------- ------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ___...................____...No. of persons---------------------------- Showers ( ) — Cafeteria ( ) QOther 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. 3 Seepage Pit No--------._---___-__ Diameter____________________ Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by..---...................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R+ •---•---•-----------------------------------------------------------------------•---••-•-•--•---•-----..__-_---•-•--------------------- ------------------ 0 Description of Soil........................................................................................................................................................................ Z ----------------- -------- ------------.-..---------------------- ....-----------••---------------------- -:�._...-.�_... - •------------•---•--- Nature `f,Repairs or Alterations—Answer when applicable_____ �/ ...... -______—co 0 0 U P T r n PP �. t .............. `Algreement. 1 f �f�' The undersigned agrees to install the aforedescribed Individual Sewage D'Vosal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compl�ce s be --te by - e board-of ealth. Signed - '.. ---- -----".............., /... ............ S �. Dare Application Approved B ` -�' , . ......_c. ......... ..- ,. PP PP Y ................ ] Dare Application Disapproved for the following reasons: ....................................................................... ................... ..................................... .. ....................................................................................................................... . .... .......... -- -- . .... -- . ........... ........................................ .- Permit No. ........... ... ............. Issued Dare-- -- Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Gertifirate of C�omplian e THIS IS '-0 C4Rf%TIFY, Thatd5e Individual Sewage Disposal System constructed ( ) or Repaired (ZI-r by........... ..... �/�.._✓,<�.. ........in.....u.......... ........ -- ..........-- -- ........................._....._..._............. . at .........��. �.� /J...............�,�, ...........p.. C / .........._....................._.._.................................................. . has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ......... 5......_-.- _7..... dated ...f._--....�5"' THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......�-.........:........... _ Inspector . ........................................ ...... - ... — THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ;�;7 TOWN OF BARNSTABLE No ................ FEs`.._...__........ �i��o��t1 fox � �o�tr�rtion rrutit Permission is hereby granted.............. f' _ �== /� 5-------•---•--------------- ....................................... to Construct ( ) or Repair (//) an Individual Sewage Disposal System atNo. F,r 5 -----�--- ----------•-....-----•------------------- ............. ............................... ---•- .----.............. j G... C Street qq as shown on the application.for Disposal Works Construction Permit No._i'ry5—:!�Z_- Dated.............. -•---- - ----_- p, !-------------------•_-•-_•-•--•• Board of Health DATE............./.-_ �_-../-_.`.._ FORM 36508 HOBBS&WARREN,INC.,PUBLISHERS