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Home My WebLink About0032 DEBORAH DRIVE - Health Q Deborah Drive Marstons Mills A = 065 009 i ' r3o S.jc_PT/ g41C o e i d 0 N rr11 a C11 ) 1 2` 1 ` LZH OF A14 EVERETTH. a � HINCKLEY �; I rrl 1 13230�O � . S�ONAL�N ` ooDJ C 3 E D FL FD L A N J_ 0 0 A T ! C a,. r4 S%OAS /mil/G G S s�'s i 1� - C AL E: lf `5'4 � D A T- T: z Al� `3111 7 Z) AT ; -- � G% -f EAE8 't G E R , , `;' T H A T TH, E _ u ! .i v N �' RE G. LAND S U R ' yOR i-40WN ON TH ; 5 FLA14' IS L O CA � � ) O *J ?' HAT iT Qv�S CO :4FORM 70 TIME A sc? ti/S 1 fi 8 LZE T . JOSEPH M. MONAHAN;JR. y 13660 R EG i S 'rERE0 ENG ; N E' ERJ 1 N Cl 5U ,; V E YOr m i O -CAPE O ';' F i G'E S U i ! 0 i N G _ ; 2 0 'U i E ? =5 No........ ........... Fug.../..J.................... THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH 16 ._..__..-.OF...... ... .. —------------------------------------------------ .,�� Application -fur Uiivuial Works Tomitrurtiutt Pumit Application is hereby'made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: L_ -r i Z Address or Lot .. Locaton Eyey D. ,►s�U = {- r u o Se- elJ s Co�aY� L'� s-' `, IV)14 t Owner Addr ss -Q fiT 0 /<-/ � /� �. ...�3 Y U �.._ /Z�✓�B�vri'tz d YP g Sq. feet ' � Installer Address Type of Buildin Sl UGr Lt�Wn""-1 Size Lot.......�__a4.Y: Dwelling—No. of Bedrooms.---_--------------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons......... -____--.__--.__ Showers (j ) — Cafeteria ( ) G4 Other fixtures ------------------------------ Design capacity._.._--_-_kallo s Le gallons p Length pet-son per day. Width_ ��lal daily flODiameter................ Depth- -gallons. 04 Septic Tank—Liquid a. W Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area--------------------sq. ft. x Seepage Pit No--------------------- Diameter.................... Depth below inlet----------- __ Total leaching area--.-__....--__----sq. ft. Z Other Distribution box ( ) Dosing tank aPercolation Test Results Performed bY.........------- -----------------------------•---------------------- -_.. Date---------------------------------------- a Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water._.._-_.__--..--....__.. L14 Test Pit No. 2___-------------minutes per inch Depth of Test Pit_................. Depth to ground water-_.-..---__---------.._. Ix -------------- -------------- ,,�// - - ---- = ---------•----••--•-------•---•--------•----- 0 Description of it---_' �7___ ___:.l�f/lr4!. .. -. / W -------------- -------------•----------------. -------•.........-••--•-•---•---------•--•-------------------------------------------------------------------------------------------------------------- UNature of Repairs or Alterations—Answer when applicable------------------------------------------------------------------------------------------------ -------------------------------------------------------- •--•------------------------------------..-.-..--_--------------------------•------•-.-----•--•----.•----------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article \I 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. igned c � n-?.................. ....y2_ i ........... Date C�, ----------------•---- �s 7 ...... Application Approved BY7' Date Application Disapproved for the following reasons:---------------------------------------------------------------------------------------------------------------- ---------------------•----•--•----•-------•---------......---•-•----•-....---•---------------••-•---- -----------------------•--.....•-----•---------....•-••--.....-•-......_..._ ---- ------------------ Date PermitNo......................................................... Issued........................................................ Date -- -----------------------------` No.. ................. Fim.. �.................... THE COMMONWEALTH OF MASSACHUSETTS , BOARD F HEALTH r ..........OF.... . .... ..d'r '7!^ ' Applirntiort -fur Biquoiittl Morkii Tonitrurtion Vrrntit Application is hereby'made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Lo n ress or Lot �g VV ��'�,��ner �',al'aP'¢ l Add , />� �T� .... ... ...... .../.. FInstaller Address d Type of Building,%IQGr 1GWM1164 Size Lot......I<?►_L:Y'.k=»___Sq. feet U ' Dwelling No...of Bedrooms.........................______________-__.Expansion Attic v( "� , Garbage Grinder ( ) x ...: 4m- ... Other—Type of"Buildin "__ .__g No. of pet-sons -__ Showers (t ) Cafeteria ( ) d = }Otlier fixtures = u i W Design Flory____ ;gallons per person per day. Total=daily flow___-_____________ ........ .:.gallons. G: Septic Tank=Liquid cap tclty llons Length................ Width_.... Diameter..,_._ _ Depth.-.------------- DisposalTrench,—1aTor n _ __________________ Total Length.................... Total leaching 'refit `�*_.-__------------- q. Seepage Pit No------1------________ Diameter_t-Width _............ Depth below i let Total leaching area.....__-_.._ sq. fI. z Other Distribution box ( ) Dosing tank ( ) , Q • §` � .� /: ' S's`T '—' Percolation Test Results Performed by------------- ;__ ............................................. :.f Date-•-•-----....__,...---•------------- ,� Test Pit No. I................minutes per inch Depth of: Test Pit .......'......... Depth to ground water..-.-_-----_---.. .. -. f4 Test Pit No. 2................minutes per inch Depth 'of Test Pit------.............. Depth to ground water------------------------ Q+' ., - Descri tion of ih_.____ __ 3 __: ' 4sr1s_ l °t.�o` U --•-----•- W U Nature of Repairs or Alterations—Answer when applicable..---------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------------•---•--•--•------------•-----•-•-....-••-=-- =----------------------- t Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI 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. -Signed {i�� 17 7 --------••-----•-- -- - - Dat�jr Application Approved BY-•-- ----- .-,_.__--••---__-•---- �•:_ .................. --------- Date Application Disapproved for the following reasons:--•-•------ ----- -- ------------"• --------------___--••-•--•-------•----._._...-•-------••---._...-•------- --________-•----••---•----------------••-•---------------=----•-----•------------------•-------------•--•__--------•-- ............--::•-•-••-•---•--------•--•-----_-_--•------------____---------•--- �•>4:°'': e+n+�,,,,.. Date r Permit No................................. ;., Issued................................. ---•-- td l i� Date THE COMMONWEALTH OF MASSACHUSETTS BOARD . O HEALTH iK ..........OF..... ...�, .. ............................................ QW.1ertifirntr of Tomplitturr THIS TO CE " I- Y, That the Individual Sewage Disposal System constructed ( r Repaired ( ) -.r staller c.fr at---` --- ------------------------ has been installed in accordance with the provisions of Ar I�f�The State Sanitary C cle as _des m the application for Disposal Works Construction Permit No __-____! _____________________ dated.... _"'f� _.. ....._______. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO SYR � Ag"A GUARANTEE THAT THE SYSTEM Wllk ,FU CTI TISFACTORY. 1�., DATE------•--- ............... Inspector •-•- ..... COMMONWEALTH OF MASSACHUSETTS -7-r y BOARD OF EALTH .�y ....... ..O F............. d '(""li. w NO. ,l_ FEE....... r n rttrtioit Vrrntit Permission reby granted..... •-_._ .....-•---------- ------------------ -- -----------•---------___ to Construct or Rep t ( ;) an I iv' al S e Dispos stem • at No._." 1� l .�:...._L3.t..-- - V. i� --- ........................... eet �} �'7r' '�'7 as shown on the application for Disposal Works.Construction . r rt Dated _.. -•-- - ...... ---- `�-�--`-- - . -------------------- Board of Hea. ;.. ,... L DATE......... ...............................:-.._...--•--------•-.--------===------ FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS r;. �?Jit ^- i �0.3� � ��ST•� �� w�� o m J ,Q�p�� ,ate/moo GAIT I� v 0 N y 0 f `C V � V? i9PP,ev,l. 4 � ZN OF N4 ss9 ids T' t/ EVEHTT G" /O! o( HINCKLEY 0 -' / y) M ` U Q 1323 O O Aa 4X 1\ Fss�ONAI �6 ,3v•oo 2s "9= /90-/SS ,�. �-<) - .cam C E R T I FIE D PLOT PLAN ,e/o74E:s`gAl 7-149'Qy ols•o<DSAz L o c a T I o N: �,Q,eS ,�'o ,/s SAS%��/ iS .oevl�os E.o ,�1 a/o .moo o�S/�S S C A L E: l� ` �� D A T E �i9ieCh! 1977 of nAio Z-5 yS'T7,C=:^7 45 7'E'Yo1-40 R E F E R E N C E: ,43,�S/A/6; s'iyco 4e",— o•� L �v vo cover 9 y�8 ,��h�� Ar/� DACE I HEREBY CERTIFY THAT THE BUILDING E LAND SUR SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT Qa�-5 CONFORM TO THE OF ,�ss9�y ZOM1NG pY - LAWS OF THE TOWN OF Q�9�E?�/S 7;'94f4 WHEN CONSTRUCTED . JOSEPHM. G,p � MONAHAN,JR. O H v 13660 C S ASSOCIATES, INC . 'A��''IT��oQ` m1 REGISTERED ENGIEIEERS b LAND SURVEYORS CgNpSNR�f,l MID -CAPE 0FFICE BUILDING - 1265 A U T E 29 j SOUTH YARM O UTH.. MASS. 02664 R ASSESSORS MAP NO; No. F- __ "�' PARCH.NO: _� . ; -_ Fee------------ -- ---- BOARD OF HEALTH TOWN OF BARNSTABLE Applicat ion,forVe[[ Con5tructionj3ermit Application is hereby made for a permit to Construct ( , ), Alter ( ), or Re" air (�'an individual Well at: a �0-e&teH R� �ufS/.� � ,, = - - - - -- ------------ 1� 1------------------------------------------------- Location — Address F Assessors Map and Parcel /J 3a • ��o , G/S oats Owner Address �o. you 9GoUs� = -pad y- Installer — Driller Address Type of Building Dwelling-----�s3 -------------------------------------------------- Other - Type of Building------------------------------------ No. of Persons---------------------------------------------------- z Type of Well---�-//-------------�--------------------- ------------------ Capacity----------------------------------------------------------------- Purpose of Well �eN--`�� --------------------------------------------- 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. ` 1 ¢�� - - --- -- - -—G-AX 4---------- Signed u�---``- --- -------------- date 011— Application Approved By -- "— --- = -- - ` -— ' �' date Application Disapproved for the following reasons:---------------- --------------------------------------------------------------— - - - - ---- -------------------------------------------------------------------------------------------------------------- date Issued - ---------------------------- Permit No. date BOARD OF HEALTH TOWN OF BARNSTABLE �ertif icate ®f �om�fiance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired (�( DA _S �( ---11_6 --- ------------------------------------------------------------------------------------------------- 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 NoY*--,9W-v 3 Dated 7-® THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- - - - ——--- — - - --- -_ Inspector— - -A----------------------------------------------------------------- THE . FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I MF�L DATA Fee-191 �t U ------------------ - BOARD OFJHEALTH ` TOWN OF �BARNSSTABFLE N Applicat ton-*r Vell Con tructionVermit { Application is hereby made for a permit to Construct ( „1, Alter ( {), or R pair (4-"an individual Well at: Location Address Assessors Map and Parcel v... : .3c� l✓�o'/G /�-'1'G fi/n�-_� /t-+! / r - - - Owner Address n ------------------------------ ----------------- oY4= °' y p Installer Driller Address ~Type.,'of,-Butld>ng ' Dwelling s < , u -..- Other -,,Type of Building -------------- No..of Persons----------------------------------------------------------- Typeof Well_9- ------------------------------------------ Capacity--------------------------------------------------------------------------- Purpose of Well.&-= -)Tc------------------------ - - ------- 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. _ Signed Application Approved By ___V_�y 011� date -----------F Application Disapproved for the following reasons:---------------------- ------------------------- ------------------ ----- ---------------------------------------------- ------------------------------- date ._Permit No. -��' - -- -- Issued ---.4 ----r------ -'` ----------------------- date. .3.::...:..:w...M!� ,�. •+w....rwe:��..!...+,.w...:...�n,c.�..+n•�..r ?w.�:...w..��4F. +�.f a+r..r!.^-ys.+car.w.�r-m+�r+vsMv+�:.:rc"e,Ya.rr�.'�-..`n. -'7.r�+:zr w....�r�:,;i�.. BOARD OF HEALTH j TOWN OF BARNSTABL. E Certificate ®f Compliance THIS IS TOCERTIFY, /That the Individual Well Constructed ( ), Altered ( ), or Repaired (- d�_�_'J_CG n,r.c�!— S �1 Q/i//°�------------------stall---------------- _..._. at- - a= has been installed in accordance with the provisions of the Town of Barnstable Board of-Health Private Well Protection "r Regulation as described in the application for Well Construction Permit No -_-, J�Dated g PP f�✓ i° THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THERINELLt SYSTEM WILL FUNCTION SATISFACTORY. ta DATE----------------------------------------------------------------- - Inspector-------------------------------------------- BOARD OF HEALTH a ,far TOWN OF BAR:NSTA'atE Veit ConmructQoni' r nit /�I ff.CC" No. l� y � LV I'AV Fee-- Sca /( -- --------------------------- •` - - ' -----------,. Permission is hereby granted'a--------- ------------- -- ----- -- -- ------------------�.�� t3 f f to Construct ( ), Alter ( ), or Repair an Individual Well at: No. - --3 = g o/a -- - ��-`�- --------------------------------------------------------------------------------------------- Street as shown on the application for a Well Construction Permit 1�' No. �/�__ �- - - -- Dated - ! ,Y - 1.- ----- ---- ------ ------------------------------------ . - =='------------------------.- _ � /-- Boar f Health t; _ �K�v r u.SQ r X 1-O (. 3a • � e 11