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Home My WebLink About0022 RUSSELLS PATH - Health 22 RUSSELLS PATH, MARSTONS MILLS A=027-095 I� ASSESSORS MAP NO• 1�� ___�__ � PARCEL NO' 0 ��No.- - --� Fee- BOARD OF HEALTH TOWN OF BARNSTABLE Applicat ion-for Vell Congtruct ion Permit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair (t4an individual Well at: Location — Address Assessors Map and Parcel _ -a,r rt--lee� - -------- - ----- - - u s Y11_s_ 1' M.A . �J, a ----- --- - -------------------------------- Owner Address Lal`CL,-- Driller Address Type of Building Dwelling--IT`S=e - Other - Type of Building----------------------------- No. of Persons------------------------------______ Type of Well U C __ - -------- Capacity--------------------- -- —- - --— Purpose of Well---00^'�s — 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 Certifica .of Compliance has been issued by the Board of Health. Signed_" 1/°a date Application Approved By date Application Disapproved for the following reasons:------- ------------_______ --_ date Permit No. Issued-- `-�1--� --1 — date _ --------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That he Individual Well Constructed ( ), Altered ( ), or Repaired (-I Installer at— - c�. /Cu$q�ffr "0Q d 't n,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 46��_�V_��Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE--- Inspector-------------— _ �_ -- _— —..-.r __ _ • ._ r. - • •. - -. .- yr �.Inv n ✓ ... —. - - U Fee---r'�--` BOARD OF HEALTH TOWN OF BARNSTABLE [ication Ar V 'Onotruction emit_, Application is hereby made for a permit to Construct ('j ), Alter ( ), or Repair (,/fan individual Well at: Location L Address..r !} Assessor's Map and Parcel t /L( ✓lit —Owner --— ——_-- Address A .s ..�. ( X o-- Qa c�ys. Installer — Driller Address Type of Building, _ Dwelling o u S e : - _ r ---------- -- -------------- -------- ----- j 4,-Other - Type of Building No. of Persons--- Type of Well-AL--�M Csi r��i fi 'w Capacity--- - - ---- --- --- 7 Purpose of Well----Q�?--- - - ------- �`"'--- Agreement: The undersigned agrees to install the aforedescribed individual well in accorda cn a with'tli rprov�sipns'of The Town of Barnstable Board of Health Private Well Protection Regulation -,,,-The undersigned furthei-agrees)not to place the well in operation until a Certifica of Compliance as been issued by the Board of Health. Signed - date Application Approved-By - date Application Disapproved for the following reasons: --- , —------------=------- --- _— _, --�—date-- Permit No. Issued--- ------ � date ppI F.�!u*3eTi'T�!.it4^Jim!iOi'S�'•✓�''!i!G4fi7ti'1G41Y1T�s?i4l�4iPli�'i1t6!•AIBTaiDG�ira':td:�f►i�iT3t6t6'Md'4162�4Y Qil+Goo'!fGTfiliTtisiY:iai9ai4i9iSi:liSfli9Y9�!ITOR6li!MlG!+etiNlie!iLrilGwi!�.►rlrili 4i!i� BOARD OF HEALTH TOWN OF BARNSTABLE �ertifitate�f THIS IS IS TO,CERTIFY, That the Individual Well.Constructed ( ), Altered ( ), or Repaired,("' ` ,• • Co Iv�..� I by--- ---------=--- ---------- -------- � Installer _ -- — — --— -- -- - -------------- 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 THE ISSUANCE.OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL ' SYSTEM WILL FUNCTION SATISFACTORY. DATE----- - - Inspector-_----------- -- -- f*3.:$�ir4sPsf�►.itaQi�ilV'MliQi!':.0iKe44G4ifiili?d4i3144iB�4i'±iQiO(Nisigi4i9i4�i'4ietiBi'4i4i4i9�Qa4Ntw63eb¢iTa4iiii�i6G4i?a44Ts!5!a�`il�Yi!'i'�Nili4Yi^Tr�.i�i^�!i!Ii�i!i�i!+ili4i!V.�� BOARD OF HEALTH n % TOWN OF BARNSTABLE Ve[[ Construction hermit Fee . No. - Permission is hereby granted ;O,A `'Ck to Construct ( ), Alter.( ), or Repair ( L-l"an Individual Well at: Street . . as shown on the application for a Well Construction Permit No.- __ Dated-- --�''- '- ---------------IF I .DATE Board of Health j i fi S° V111 9� I 1 LOC ION SEW1' GE PERMIT N 0 7 V I L L A C E A/a I N S T A LLER'S NAME i ADDRESS e U I L D E R OR OWNER 0 DATE PERMIT IS.SNED `~ Q D A T E COMPLIANCE ISSUED -A R, w s.........�...a.......... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH �d/ ..........................................O F.......................................------...---------------------............_........ Appliration for Uiipuaal Workii Tnnitxnrtiun Famit " Application is hereby made for a Permit to Construct ( ) or Repair ( ) any Individual Sewage Disposal System at: ti lRw s 11-5-- a_ ------------------------------------------ ------------•................----•-----..... ......---.-----------------------.....--- Location•Address. or Lot No. . r.�!. ... �G ?/;X.E ..psi::..__._... fit-Er_.�,...1�'. :...--•--•---- lOwner / ......................•...---...Address Installer Address d Typ Building Size Lot............................Sq. feet awelling o. of Bedrooms___....... .............................Expansion Attic ( ) Garbage Grinder ( ) p, Other— ype of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtures ..................------............................ W Design Flow................ `__________________gallons per person per day. Total daily flow........2 0...................._..gallons. WSeptic Tank—Liquid capacity............gallons Length___-___-__--•_• Width................ Diameter---------------- Depth................ x Disposal Trench—No. ......: ................ Width ....... Total Length.......71-••__- Total leaching area...6."6.......sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank (� �� ~' Percolation Test Results Performed by...... /__....................................................... Date.._��_•�`-� -_---•.--.----- aTest 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........................ fYi ................................... ......... ....................................................................................................... O Description of Soil•--•-C ®U: ....---•----•M--04 lwel_.Lela...6/c ------------------------------ x -- •--••---•---•-•.................•J 13......... 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 TITL% 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee uled by the board of health. agne(-• • • •• ....... ...... ----•-.... •----•----- D.. _..--------- ApplicationApproved By•.. ...... ...................... ........................................................... .. _, -! .. . .......... Date Application Disapproved or a following reasons:................................................................................................................ ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued................................................ N Date NoZ3A F>cs.......'..................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � � .2w ...-----..... ...........................OF.......................--------........ ------.......................................... Appliration for j3hipoii al Worka Ton.strn.rtinn Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ._. .....,1../. .� �.5......f AI A.._......................... ................................................ .� ..............__ 4 Lo n- dd ess or Lot No. Owner Address W Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ') PL4W Other—Type of Building No. of persons............................ Showers — Cafeteria 0.1 Other fixtures ---------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow.........._3.a..CI.........._._....gallons. R+ Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ W x Disposal Trench—No......./........... Width...... ..Q.'' . Total Length......... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank Percolation Test Results Performed by..... . _.��.. oe �............................ Date.....................e................. a ,.� Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 --------•----------------------------------------------•---•............ ------------..•• .---- •-•----•--------•--•---------------------•---------- O Description of Soil......G%:Z_-, -....:./P .............reTalk-l--)....e-=3 s; � G r `1-------------- W ------------------------------•----•----•-•--------------------------•---•-----•---------- `y! � ' ---- ----------------------------•----•-•-•-•••••-----------•-----•-•-•••-••--•-•----...--•--••-•----•------•-•••••••--••-••••----•--•---•••-•••-•-•••-•••-•---•---•---•--•-•-•-----•-•-•-•--•......-- UNature of Repairs or Alterations—Answer when applicable............................................................................................... --------•-----•-------------•-------------------------•---•----•--...-•---------------------•----------•----------------------------•--•-----------------......---------------•••-•-•-•-••••---•••...... Agreement: The undersigned agrees to in tall the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee ' ued by the board of 1 It . " igne --•. .. ........... -...?r"'. ............................ ------- Application A roved B �.... :......... ... ........•--------•---••---------------------------- •------- ! -------- PP PP Y Application Disapproved or a following reasons:............................. � Date Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............................OF..................................................................................... ' Trr#ifiratr of Toutplittnrr . THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by........•- --------- -•-•---•----------- Installer at... ..-- ----_..._ - u -----�f--- - ------'- --- - ----------------------- ------------------------------------------------ -------- ------------------ has been installed in accordance with the provisions of TTJ4 .-5�, Tie State Sanitary Code e d in the application for Disposal Works Construction Permit No._____..1_........__..................... dated_-_ ._._._ __-___.___................ THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -,� ...........................................OF..---.....---....._..----.......---...............--•--•......•••••....---........... �!� No. .. .... ... ..... FEE........................ Disposal Worb TuOns r inn ami# Permission is hereby granted.................... -------Z ---••-----•-•-•-----•--------------•-------•---•---•----•-•-•-••--........-•----•-••--•---...........-- to Constru ) or Repa ( ) Ind' ge Disposal System atNo....... --7/----..; -- ....... ----..... ----.---------------------------------------- -- ---------------- ----- ----•--- Street as shown on the application for Disposal Works Construction Permit No._______ _________ Dated------3_.____�_.. ........ -••................•---......-•-- y-Boar----d-••o•f Heaallth--H.e -•----••-•••--•-••---•-----•-•--•--•-•--••. DATE.------ = 2-. ---•-•------•----•---•••-•-•-- -_•- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS r _ -1E�: nL SvSIE M NO - LET C,3 �`d%�c�\c 1-r ) pc^W, .PILO �3 012, bA-ifb MAC (� A r'_ :�.i=. /I�� L'tu�iAGE Peil MA"�lf;:.-F-,..A..t J ^�V - N,. P-- f'�Ki1� 4�_7(nC� 1 �1 �A1 r,S.F. I� �f. _ t �IAPr 1ZL .�O 'lE /��51 ►AEi) Fl..:�iFi �J urJ(Ll:_ ..fir-Lt-1., 10 M /J O A IbJ �AIt'A LY:FI—X.IL FoQ S�Anc sdSTEM FLL'-AAh�ni1- C•,.Avj lip. �3�ILTt�T I Grr�c[�iSliu-wry+- _I lid, < i4� Q C '1C (ISO• MN,u .M, I CiCii /� J. f I / � L1E5T OF k N Ln sTe Su Q3 _ -0 I —!_ _ 1 - - ool.6, A -.- 45± 1 41-± � 100.5 \ 1 r Q I l a2'f I A M EID U AMOOW Tf ir° C.B `{ A&AP=-W I. 1"'S EL' I�-o � We,.,_tea AAAseQ alA.,- b�' - a-- ---- -- -- �t,SS�LL-1'S 1 4c�'w l C,E `) •f:�T�'-� Lo=1 rI S I LoT 80 �MATC-i- f-LA (vACA"T ) CERTIFIED PLOT PLAN EXISTING SPOT ELEVATION OxO ��Sµ OF,�, 1 4. EXISTING CONTOUR --- 0 --- FINISHED SPOT ELEVATION [ ] g PH ,-� �H AA- Lt5>TONS kA ILLS FINISHED CONTOUR 0 W'g1Af6ERG H IN Na 366 °� APPROVED BOARD OF HEALTH A F � �� •tA�� j A+�s STfa �a4 NAL EpG DATE AGENT SCALES' I SLIM' DATE I OS-OS "33 LDREDGE ENGINEERING CQ /N CLIENT• MILAM 0 - I CERTIFY THAT THE PROPOSED EOiSTERE REGISTERED JOB N0. 8� --- BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING LAWS ENO NEER RV IDR.BY�___Q'L__ OF 8ARNSTA LE, ASS. ��E A% 712 MAIN STREET. CN. 8Yt put. HYANN I S, MA$S. sHEET_.L. OF 3 DATE 0 LAND SURVEYOR n(OTF ; /F EITNGR Ts•/E.S PT•/C TA,,t/K OR 20 FT- M/N. iEACN/NG PIT AA&r /"JORP 7'Nlq:'/ /2"BELOW /O MIN =JRAOFj A 24 'O/AME7ER CowC.RBT� COVER SHALL 8F BROU6,Y7' TO 4)gA0E.6-;N EXTRA GO/VCRCT,E 4�PVC' P/pr t•IEAVY CAST /RO/Y CO{/ER .Sf/ALL 3E USED MIN. P/TCN /F/IV DR/VEyNA Y � EL 10'�..o COVERS - �g'PF,p FT. GJCA D E co r E'4 C L E.4 N SA N AO A • H— 4.,L / '• .• 2*4AYER �cP�TEk4. o C3F ��g _3/C 4 usr `-�• • �� O �'M•�M 1_I CAIv . IRON P/PE I SOCK GAL. • • • • • • • • • WA SHFO 5;rove wim.P/TtM DIST. • . • • • • • •SAEPT/C rAA,, C . • •EFfECTI✓L• DGPTH WA5)i-=O STONE PRECAST SEEPAG E/A/VCR'r' L'LE✓AT/ONs -76.S X `7 S v / 7 T E:I__ q . c,q �, c Fr. oiA�r. T INVERT AT OUlLD/NG �=FT. �Q FT p/Al,,l C(SEE TA ULA7-1ON) !HEFT .SEPTIC TANK 98.8 FT, PST cr�PAc iT( ci �iD OUTLET SEPTIC TANK �' Fr.' GROuNDiTER TiIDLE. INLET DISMDVT/ON BOX 9 6.4 7 S O O F OtlTLZT p/sTRIBf/T/ON BOX `18.2 FT. SL�wAGE O L SYST.EIN IM4.ET LEACH/N6 f�/Y Gl-1'3 FT TAdUL�T/ON LEACH T OIMEIN.SION A _FT DES/GN CRITERIA D/HENS/ON C 4 FT.(M I W Nl/.NdER OF BEDROOMS �;SO/L Z- pARoAGEv/5P0s44 vw/T SD/L TEST TOTAL ESTIIrtA'TED FLAW 3a GAL./DAY SOIL TEST A/ SO/4 TLFST,*2 NUMBER CIF LEACHING P/T3_ I f'E[�`Y�3 I"�`LFY, 100,S pATE OF SOI(, TEST SIDE LIWACHING PER P"r Igo Sa fT. TpPMOIL RESULTS ICl/TNESSED J. - PtRCOLAT/O!v )eATL•,1E/ �_=S M/N�/INCH r 9orOM Lrv4cN/NG pER P/T �� S4• FI" p _3 �� ,tCOLA►T/ON RATF f 2 i 1-IAw MJNVINCH TOTAL LEACH/NG AREA .SO. FT. RESERVE LEAC•fll Vd AREA _ SQ. FT. �> �-t - ; ice-; r• ,J•? (%- i 4-7 3 a • AAE:0 ids c��- -7 I - s 'S Pam-► nn �:, sr=1_� OF �/,y�.� i tN 0f Masi ': r 3-13 fii V fJ o� w� E1 i , 13 " 1�lEMtBERIi / 1/ H EL.D ACED GEENGINEERING co,/lv/C. l8674�p •\ M . 366 C 7/2 MAIN Sr.. , oVY,4,vN/S. IN.4S1. lr O NO SUR`�`� •`.._`'rSmNat ECG [v�NO GRO[lNc7 yV,4TCR NCOC/NTER.. CL/ENT: M I MMO TORTE • 03 dL. e3 ` M GROUI'IO WATER AT ELEV. - JOB NO' B,LZI I SHEET- Of �_ 1 40 Am Ow Ly �.. •zr• ra:•�� 'moo �q� +� �::., �- ;'.'��:�<.-. :'� '. dwi 49 or 0'; 146 J in O • "ba. !i zw ro Nk oUs �Pf,_zA�a, -._ ems 9r �1 �S O X �t•� �'' r��• �, SSA'�4 t�,� 9 �' � .� _�; 1: :� .. s �d '