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HomeMy WebLinkAbout1664 OST.-W.BARN. RD - Health i 1664 Ost,_'j., �- �to . Marstons Mills - A= 127-001-T00 / No Z � A --- � --- Fee----- ----------- BOARD OF HEALTH TOWN OF BARNSTABLE Zipplicat ion-for Well Congtruct ion Permit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: Location — Address Assessors Map and Parcel Owner Address h IL lf Installer — Driller Address _ Type of Building Dwelling--- # Other - Type of Building------------- No. of Persons-- ------------ ------. Type of Well I Capacity -----------_--—___—_—_ Purpose of Well---- - f��--�—_ 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. —_—__——_— ate/ date Application Disapproved for the following reasons � date - o Permit No. �w I i-^� � — Issued---� �/0�- 1--------_ _---- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( Alpt_eree/*�R"eplefr( ) by--- - ` —_�� -> - -------- --__----- Installer at � �-"v` —_- - --- -- -- --has been in talled in accordance with the provisions of the Town of Barnstable Board of Health Private Well Prot . ction Regulation as described in the application for Well Construction Permit N � 1:= � �_Z_k�- --Dated-, L - 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 Z.pplication-forWell ConiStrurtionVermit . �# Application is hereby made fora �permit to Construct ( ), Alter ( ), or Repair ( )an uidividual Well at: Location — Address Assessors Map and Parcel _ Owner Address ---- ------ ----------- Installer — Driller V Address Type of Building Other -- Type of Building--___—__--____ No. of Persons--- Type of Well-_ _ � __—_ Capacity ------------__--___—___ Purpose of Well-- -- Agreement: The undersigned agrees to install the aforedescribed indiAtkIl 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 Complian,c�re has been issued by the Board of Health. Signed � � — - S - /bte / 11 Application Approved By. date Application Disapproved for the following reasons: - rdate Permit No. l� I _ — -- Issued--- I � !------ -------- date -------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE ttC ertif irate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ); Altree���Reed ( ) ��L by _- t Installer has been inalled in accordance with the provisions of the Town of Barnstable Board of Health Private Well Prot ction Regulation as described in the application for Well Construction Permit Nc�l,"-A--�_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 } Well eon�truct ion Permit 2 No.�' " t___` Fee-1-- - Permission is hereby granted yyl to Construct ( -), Alter ( ), or Repa' ( ) an Individual Well at: ------- - - --------- Street as shown on the application for a Well Construction Permit No._ J d 11 ^0? -- -- Dated--- d_U I i 1 DATE t . Board of Health / , 6 � �—_ ____ �L0 ON a SEWAGE PERMIT NO. VILLAGE , • %�i.c.L�i ��/ G�f C O 1 k I N S T A LLER'S,� NAME i ADDRESS I L D E' OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 39 No.........ft m xg Fss... �.................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTHg ... .............O F. Appliratiou for Uhiltas al Works C�owitrurtiom Vanfit Application is hereby made for a Permit to Construct ( " ) or Repair ( ) an Individual Sewage Disposal System at: _ .................................... __----------------------•.......... ...............----�. .�~--_�:�, II c---- =� Location-Address or Lot No. - --. --- W Owner, Address ,4 ----........ /1 � 0?2 !._.,. _ ^..... ..........................•••-•--••----••••-•---..........----•-•--•---•-... . .............•--- nstaller Address Type of Euilding Size Lot...H,,..R2' Sq. feet U Dwelling—No. of Bedrooms....................... .._..Expansion Attie Garbage Grinder aOther—Type of Building ...%Ze. .....< ..,No. of persons......... ---_-__.__-_ Showers ( ) — Cafeteria ( ) dOther fixtures-•-:.......•----•---- ----•-----•-...--••---•-•--..----•--••--•-•----•-----•-•----•----•------•-------•------•---•----•........................•-- w Design Flow.....................s. ` ____..gallons per person per day. Total daily flow..........__-.______-----..__....._...__._..gallons. `Z WSeptic Tank—Liquid capacity/Ilons Length__�'..r�o_..... Width.....'-`.%®"Diameter.....:.......... Deptl���.. f( x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.......... .......... >ameter.__.,�_e Depth below inlet....... Total leaching area....Z.�.7sq. ft. Z Other Distribution box (� Dosing 1.4 Percolation Test Results Performed by._.. ........................ Date._._L __Z_____. ,_l Test Pit No. L_ _._.minutes per inch Depth of Test Pit---- ._-4'__- Depth to ground water----- r=., Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........ ODescription of Soil--------------�e-•_- ..P:.r .. .......:t�- - 'y .... ' --------------------------••-----_-___-- x M w U Nature 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 TITLE 5 of the State Sanitary Code— T ndersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued b of health. �ign ----•------•---. --•-------------------------------------------------------- ------ _• -_____--___-Application Approved By•---------. .............................................•--•----•-- Date Application Disapproved f o th following reasons:-•-----•------------•-•-----••------•-----------•-----••-••-•-•------------••--••------••-•-•--•......•••------- ••••----•-•-••----•-----•-••-----•-•••---•-•---.....•-•-----•...---•--•---••......-•----.....••••---••••-------•------•••---•----•-•------•-----------•-•--------------------------• --•-----••-...--- Date PermitNo......................................................... IssuecL....................................................... Date -oK No w r/�Z- t U 2- - Fw%. //i... THE COMMONWEALTH OF MASSACHUSETTS ` BOARD OF HEALTH -- Appliration for Disposal Works Tonstrnrtiun ramit Application is hereby made for a Permit to Construct ( P11"Or Repair ( ) an Individual Sewage Disposal System at: ...vT'.a ,! Y-� f c . .s..r. ••.............. ......_ .. ...................................... •---- w... ._.._.... Location-Address --• ---------------------------------------Lot No. c L, .,-�� � e �/ ­ ­ Owner Address a ..... ............................. Installer Address QType of Building _ Size Lot.._f...4.,.q.�-:;�+__Sq. feet U Dwelling—No. of Bedrooms___________________________________________Expansion Attic,'(-� Garbage Grinder,,-(^ Other—Type TyP e of Building } Q j:- -. No. of P ersons....... ______________ Showers ( ) — Cafeteria ( ) Pa r p" Other fixtures ... W Design Flow......................... gallons per person per day. Total daily flow.......-• ' �--- gallons WSeptic Tank—Liquid capacity/ lons Length._f..'(a_..... Width... .�.r 'mvDiameter________________ Depth=..`_.. x Disposal Trench—No. .................... Width.................... Total Length................. Total leaching area....................sq. ft. Seepage Pit No._-------- _________. iameter.___,/....:`" Depth below inlet......A........... Total leaching area...._7t-_.-._(t_ .sq.,ft. z Other Distribution box (y+' Dosing. nke 1--I Percolation Test Results Performed by... ..._.1� ____:-� 1......................... Date.... ,yr Test Pit No. L._.<t= -minutes per inch Depth of Test Pit....A,��t.'.. Depth to ground water.. !�_<d..._"0" Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_..................... RI' ................................-• O Description of Soil----.....-4� ` - 4-• ---------------------------------------- x -----•---------------------------------------------------------------------------------•-•--...----------------------------------------------------•---------------------------------••--••-•-...-•--•- U Nature 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 TITA U 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".Zhe b ,ar+d of health. Signed---•-------==/ ----.......-•----------------•---------•--------•--------- •-•---------D-e._...---_..._ i"'= r / 7 Apphcarion Approved By/--__ . . ---•-------------•-_ Application Disapproved-for,the following reasons-----------------------------•--------------------------•----•-•---------------------------------------•--------- -----...-••-------------•-•---•-•-----•.......•-•----•---••--...••-••---------••.._........._.....---............•-----•----••-•••••--------•••••---•••-•-•••••-•••---••-••-•••-•-•--•-••--•••••--------- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS ^•��'' BOARD OF HEALTH ........1.....`....!f✓ra....OF........ ...±K ./".. ...5+. ! .. ........... CIrdifiratr of TuntpliFantr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by................................................................................................ -----------•-------------- ---------------------------------------------------- Installer at....+5R �-._._...'�-�.x- __ e._'' y' !/P 1 !�i-....-� r`� -------------------------------- 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 Nbo.Z._....F a_i..................... dated------,------f......................... THE ISSUA JNCE OF THIS CERTIFICATE SHALL NOT BE CONSTRU �A GUARANTEE THAT THE SYSTEM WIL SATISFACTORY. 71, DATE--.•--. -e"CTION 57..................................................... Inspector.---.-.- ---------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......./ .U..L-*.`°r�...........OF........ ""'�-�t- .....Q.................. No......................... FEE........................ ,Disposal 18orks TmInstra ilan amit Permission is hereby ...... _..........._..--•-------•........................................... to Construct (vj or Repair ( ) an Individual Sewage Disposal yst at No.... --''1 .��......_�..."'..,..`t �" crr .!�/...... ....... E---�..�-� •--------------- ................... -- e,... -•- -• ------•- Street as shown/thh.e/�Pplitlon for Disposal Works Construction Permit No... .......... Dated.......................................... ................ ..----------oard•-- of Health -•-------------------•----•-•------------••-•---•---•...� DATE.. ...................................................... B FORM 1255 A. M. SULKIN, INC., BOSTON /-� I-^� - No.---------� - -j Fee--- BOARD OF HEALTH TOWN OF BARNSTABLE Zipplitat ion-for Vell Con�tructionVermit n i her a for a it to Constr c Alter o Repair an individual el at: Application Is a m� � ( ), ( ), p ( ) Ale n — Address Assessors Map and Parcel /a7 /p /�_` -- — ------ — —--------------- ------—-----— ---------—----------------------------------—-------- — — -- Owner Address— — -- — — -------- ------------------------ -------------------------------------- ------ - --- -------- ----------------------------------- Installer — Driller Address Ty of Bui ding Dwelling-------------------------------------------------- Other - Type of Building------------------------------ ---- No. of Persons------------------------------------------------------- Typeof Well----------------------------------------------------- Capacity-----=-----------------------------------------— ----------------- Purpose of 1Ne11- ----- -- ------ -- — 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 beenkssued by the Board of Health. Signed— — date Application. Approved By- -------- -4s - ------------- -----`�° ��-= ff� date . Application Disapproved for the following reasons:------------------___---------_-------—--------------------------------____________—_____—__ ------------ ----------- date PermitNo.--- - - - -- - Issued------------------------------------------------------— --— -- date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate Of Compliance THIS IS TO CER FY, That the Individual Well Constructed ( ), Altered ( ), or Repaired�) 15 - - -- ----------------------------------------- ---- ----- ---- by — / Installer at — G2!�LF--- -- — — ter''= ----- ------—----- -- 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. V--=-�O-/�Dated------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE----—--------------------------------------------------------------------------- Inspector—------------------------------------------------------------------------- _ No:--- -��--- Fee-- -—= BOARD OF HEALTH - _ TOWN OF BARNSTABLE Zppiication-*rVerr Con5tructionpermit AppliicaMtio/n is hereby made fora rmit to Construct,( ), Alter ( ), or Repair ( )an individual Well at: P - — — --- —-- —--— --— -- —— — — rL'ocation — Address Assessors Map and Parcel l l /!J� J /J _ -- Ownerr --- Address --�- - — —i `v -- - ---- ——-------- - Installer.—'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 Certificate of Compliance has been issued by the Board of Health. Signed-- ��E d— ----------------- �f Application Approved By -- V— "__ _ _=a----------------- -- aac? 'J Application Disapproved for the following reasons:----------------------------------- --------------- --------------------------------------------------------—----- ----------------------------------------------- ----------- ------------ date �- �l - _ s Permit No.------------------- ----------------------- Issued-------------------------------------------------------------------------------------- ---------------- ---------- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual ell Constructed ( ), Altered ( ), or Repaired,,(') 0--b— - -� —�- - - - ----------------- - Installer 04-1 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. ------------ -------------------- Inspector- -- - — -— --- ---------------------------- DATE----------------------- -- BOARD OF HEALTH TOWN OF BARNSTABLE Very Cootruction jermit No. -- - ll---r-� Fee- 2=;1_ - Permission is hereby granted--- ------------------------------- --------------------------- to Construct ( ), Alter ( ), or Repair an Individual Well at: No. - -- ' �n ----------- Street as shown on the application for a Well Construction Permit No.------------------------------------------------------------------------------------------ Dated-------------------------------------------------------------------------------------- ---------------- --- ---�: ?----------------------------------------- Board of Health DATE------------------------------------------- - ------------------ / G 6 y rsa-.�-� � - � ,_„` s � �� � , �s =s , �— - r• _ .. ` ! . . , � '``�.,t r- o a +' �rl, a �'- �� � R — r .41•. . ;` .r�� ,� ,r�y.a� ' -t r a,i� � �``,-•� - _s December 2 r,:. 197� f� ` 1 . • ai - ;.� a .,f _ .i 5H r•b i3 q J n{' 5... ,' ! •aa Airs, Madelaine• B.,. Lewis Hyannis Port; Massachusetts p264'7 �` -r r is �1.:, .,�t� r... � t '�, �r «�, �•...w, L ,,��:�r .t.Y , Dear Mr3• LP,W]aS t n t a • # " (.� ? S s r 4 'Your 'request far ,a va.ricind6 to 'your'progeny on Feat F•, a t arnstable' R©ad ' �arstons I i.�.3's to install a .se tic- stern `ilk feet from thewell ,ratt er,,than th ' � e "� _ e )required 150 feet, is .• approved.. F This system must conform 7,to. the;othe requirements of. :y ,. Article XI of the,State -Sanitary. Code•.arid;,Towrn:-•of'. Darnstasle , Rules and Regale"t3:ons and- mu st be`�'. alied�` ion''aec' ,dance caith . the Plans -on file ins this off3.c r... '• r � .. '• ,� �; ,HS "•.�X _. r � r is ,z. ° Rob®rt . .Childs'*­chh,irma3 x r, - r • Wes• * a• .Arai.Jani Eshbaugh` f. Gerald "W. ,Hazaird, M' p tBOARD OF HEALTH ..- ; • 5,/ • op - '/ •'wf ft'r• •,?a 3.ni '.. 1 m p Jr \ `. S•. , . •t e � ^. of }` � ' ., .- L .. 1 a . •` .. r+-• � •'' - WELLS PUMPS BOX 739 WELLFLEET, MASS. 02667 TELEPHONE: (617) 349-3430 and 349-2367 1 ' Well ' ill MASS. TOLL-FREE CALLS: 800-352-3187 WATER SYSTEMS November 5, 1974 Mrs. Madelaine B. Lewis Box 417 Hyannis Port, Massachusetts 02647 Dear Mrs. Lewis, The new well on your property on West Barnstable Road, Osterville was drilled through sixty (60) feet of clay. This clay layer started at ground level and extended down for sixty (60) feet. Therefore contamination from surface water seems very unlikely. Sincerely, William J. Cobb, President WJC/abc I ti � x �3 � p.l 1 ' � J Lt1v 9� , 4 1.--7 eay" wok t `' _ Got La a a t 3G u t� �•�G �..7/za ?7C� Zo7- ~ 1. foos&- 14 ` p,rl itq Zo7- #t G,egv Air 10x No V. / Z SW - by, 1ao7v 1'Z"47;'*Ats 8"d-X> o%/ Mft3jnR 5 vEJILt7l�,161 R�R V. 80.NfJA !D MANHOL' To 'A o O FiN�SKC�tz<auE NU�d. 2% wtl'Wi?4 ONE. FoO=T OF PIPJ ESM GRAPE OVER LEACH AREA (to'MIN 2A''ca. 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CAPAG1�..,.. hnlw . c tzFA-F' STgam6m4 so=ml H 10 1,OAC)Jr4cq _ DRt,1E.W4 Nor To DE LOG,a'MD OVSA WOrEM Uf--lL9Aoap 1+ Zo PLA ref At�L. n PF.*To tie WJATg grid -r gyr:W�-m 7b tsl FI S mz R 0ARM5. R1ca. OF vF.Evs _ 'CAE 5 � G�►�' !� � P��-C�1�T ! �� .'ice.t� � Fit�E# --. nA APo 1z © ENGINEERING . o DESIGNING BUILDING INC. � NEALt�-1 A�a�`T' APPh��t- (PRU DENNIS, MASS.