Loading...
HomeMy WebLinkAbout0070 SPRING BROOK LANE - Health 11. No. IV"" ) 1 Fee BOARD OF HEALTH TOWN OF BARNSTABLE 2pplicatiou _for Vern Cougtructiou Permit Application is hereby made for a permit to Construct Alter( ), or Repair( ) an individual well at: Location Address Assessors Map and Parcel L.eN S'cAwat z 70 5P,-i^1 13r'oo<< La c©Tz, 17 Owner Address Installer-Driller Address Type of Building Dwelling Other,Type of Building No. of Persons Type of Well y /�U G Capacity Purpose of Well &N jZio o PJ 1z 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 Comp 'ance as been issued by the Board of Health. / Signed .e«+ to Application Approved By Date Application Disapproved for the following reasons: J Date Permit No. vV v( Issued 3 Z- Date -------------------------------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS"TO CERTIFY,that the individual well Constructed,(& Altered( ), or., Repaired( ) by DeNnVi 1 9441- nN N e�f Installer at 1 a S P/i`mot /oc%( N D i 7- has been installed in accordance with the provisions of the Town of Barnstable�Board of Health Private We Projection Regulation as described in the application for Well Construction Permit No. W �il tJlit Dated 30 1 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector No. � � �b2 Fee BOARD OF HEALTH Tom' TOWN OF BARNSTABLE � ' 2ppficatton _for Yell Congtructton Permit Application is hereby made for a permit to Construct(L); Alter( ), or Repair( ) an individual well at: 1°^" W 70 SPr�-5 131rv�/>' 4--J Cc) 0Ir C; Location)Address Assessors Map and Parcel Get. S'ct%,J6 / Z 70 13roo/<' L^-) Colt t 7— Owner / J Address �e�tiiS SCoryNe�l �O� c�� o�GSS 2c� N!°S�,pvr �c� �JG��' Installer-Driller Address Type of Building Dwelling Other-Type of Building No. of Persons Type of Well y PU C Capacity Purpose of Well ///194 O w 0'1/y 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.Signed D.-e. -�1cct.,. y��s(/ -)/ k Date N Application Approved By � 3 i V ! Date Application Disapproved for the following reasons: �' Date ( Permit No. �ry 'j Issued ! /3 6/Z- Date BOARD OF HEALTH TOWN OF BARNSTABLE V., Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed(v); Altered( ), orb i'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 4,-//'3 0/1 t 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 Vern couttructton permit No. MAi O ! Fee % Si Permission is hereby granted to D e i�,J tJ lS Installer to Construct Alter( ), or Repair( an individual well at: No. 70 341-1- 1 /31aaff L•v C67D r T Street / as shown on the application for a Well Construction Permit No. ��2 Dated lT �� /V Date i 3 �2 Approved By 4------ O..lv=5\2005-214\CML\DESIGN\2005-214PBLOTS.dwg,7/16/20145:06:18 PM,smatson, \� -----`— --- _ + CutePDF Writer,ki — 0 _ pfN M 9 L Z* .ZO N i SINCf r . i ,i►L'£4 N 09'1("12 58.01' i GO Ot -4 Ulf i �1 W -4 O i O cn n a 6-00 gn g q y �-► \ \ 74.0' Ce PRPA70 HOUpi SE i Qo i i i ti� C �s �ia r i i 19 X 1 ' .. N 80 VEGETATWif DEEP RAIN GARDEN (250 C.F. STORAGE) ` TOP=60.0/ •• S` BOTTOM=58.562•" Cep VIDE (1 `6' DIA. x,. EEPCL`I�ACHM G� 6♦.0 17.0 N W/ 1' S ONT E /� e �O tOUNdiNG (OR 9 RNA y � �t h VALEIT VOLUME '` i ' \'WOT 94 \ 89 PF) CONNECT _ Z OOQF _ 11,57 S.F. �� N 4 OUTS TO 0.27t' ACRES MIND BASIN I �.to 641 ` 4.3 ed o " i pCE l o z 84.1 i2.0'64.1 14RUA. hcLr - - _ CURB Z 57.67 o ff LF 4" w STOP J C/O _ ao I ,-c3 w .82 DRIVE *a � 63.03 37 6 9X / �4i�' 64 s a7 INV OUT O �0 a =55.4Z So`O 68 ��.2 1 • E \` � � V� N \ ` J �i O IN1h• s x 63.10 / 55.57 �PC� N -� 6 3.6 6 LOT 95 x Gai • i' �