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HomeMy WebLinkAbout0201 TIMBER LANE - Health 20 1 TIMBER LANE MARSTO S IMILLS A=149-046 r No.ODC�(D __dp 3 Fee----- --- ---- BOARD OF HEALTH TOWN OF BARNSTABLE 01pplication fforlVell Con5truct ion Permit Application is hereby made for a permit to Construct ( ), Alter ( ), or epair ( "an dividual Well at: �..� Location — Address Assessors Map and Parcel --- — -------------------------- Owner - —------- // Address -------------------------------------------- ---—- Installer — Driller Address Type of Building Dwelling l-------- Other - Type of Building No. of Persons-----------------------__----__. Type of Well -- — 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. Sig date Application Approved date Application Disapproved for the following reasons:— —---------- date Permit No. r 3 —----- Issued---3�j --- — —— ----— date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f (Compliance THIS hS TO CERTIFY, That thelndividu Well Constructed ( ), Altered ( ), or Repairedby (� - -------------- ---------------------------------- ---------------------------- .taller at "7&< _!�tJ _—/7 (e l L_-------------------------------- •--- -- —— J has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well frote9tipri Regulation as described in the application for Well Construction Permit No. 6 d?3--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 2pplication-for Veil Con5truct oni3ermit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( individual Well at: N f Location — Address Assessors Map and Parcel -------- Owner Address r- --- Address_ _ ------ ----------------------------------------- ------------------------------ Installer — Driller Type of Building Dwelling f--------------------- Other - Type of Building--=-------- --------_ No. of Persons-------------------------------------- Type of Well — Purpose of Well____ -A_&_-----_------— 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 - ate Application Approved By __3!,�h-_----- -- _---_—_—_—_---------- date • Application Disapproved for the following reasons: ------------________—_-______________—__—_—_________ ' �dWtG W 3 ✓//7// date (gyp 1 PermitNo. --- -- ---- Issued------------------------------------------------------- date -----------------------------.------------------------------------------------------------------.------- BOARD OF HEALTH TOWN OF BARNSTABLE C ertif irate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired (4-) f r nstaller . - -------------------------------- at " 17 ✓ —!� ---------- --- ---------------—---------------------------------------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protec ion Regulation as described in the application for Well Construction Permit No..Q?X--- 0_3 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 Veil Con$truct ion permit No. T Fee- Permission is hereby granted--=� cr�•r„ rfG✓r------------------------ to Construct ( ),-Alter ( ), or Repair (V)n�Individual Well ato. ----------------------------------------------------------------- Street as shown on the application for a Well Construction Permit No.- �-,d � �-— ------- Dated----- ��1� ---- --- --------- - - -- - - - -- ------------- f L�/ Board of Health DATE w. LOCATION / SEWAG RMIT NO. Z-/Z/, VILLAGE INSTA LLER'S NAME i ADDRESS BUILDER OR OWNER C 0 s G-l'v uL DATE PERMIT ISSUED DATE COMPLIANCE ISSUED U L J`y ��,�! � �� ��� �� � ® � �� �� �� y� ��a� THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) A- DATA .ur_ri 0 %j l 2- 0 �r c a i ;xi.�. „ r ., l rip ' 3F 1, /A RCH 9�a�' P Hum,ils i \ �vp No.22162�0/a 0NaI �N LEGEND EXISTING SPOT ELEVATION OxO CERTIFIED PLOT PLAN EXISTING CONTOUR --- p -- - , FINISHED SPOT ELEVATION 0.0 FINISHED CONTOUR 0 IN APPROVED l BOARD OF HEALTH JgAll h T S ' ` DATE AGENT SCALE= DATES 9�zZi�3� LDREDGE-ENGINEERING CO. IN ` CLIENT I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED JOB NO. -�' BUILDING SHOWN ON THIS PLAN r� CIVIL�oc � LAND p DR. CONFORMS TO THE ZONING LAWS vn "•"'""" IS'_'R • - • -• c OF BARNSTABLE , , MASS. 712 MAIN ST. CH. BY= & ;i R HYANNIS, MASS. ISHEET' --LOF DATE REG. LAND SURVEYOR 20 FT. M/..V. /YOTZ /F ZrPrAfGR TN0 SEPT/C TA.-V K OR ' /D PT. M/N. Lgi�lCN/ivG P/T ARE P'lOR& rqA o / /2"BEt01�{/ N. a. GRA P&j A L 4''D/.4METER C'ONCMF7'F COi�!' 9"PVC P/Pd •SJrA4L SF B/POC/CSNT TO 41fAO.E,6qN AFX7-MA CONCRt.'Tt! JYE.4V y CA ST/RO US /Y C o rC/r SHALL BE E ♦ eL !/. /D a,O coYE M/N. P/TCN '�f -O�i FT.• OVA= CC V.ER CZ.-FAN .BAN /ROCN ST 2 LAYER // ••d M/N.P/T N /� Q O �rAL. �'�,� A �' V8 3/0' :•.' %q'P&M r'T SEPT/C rANX D/sT, o • • . .• • e •. u . BOX v • �. 8 • . e ►• •� �. f�'� • ♦ o • • • OrPTN ��� � �e o� jV.4SHED STGiYE i s • • • • • • • • • y v PRECAST AjrAM6£ lNiiCR'Y ELEf�AT/OHS •o ! ► • • • • • • • • a 'o P/7 OR EQU/V. /NYERT AT OU/LD/NG c 1.0 FT b--r. PIAM. !HEFT .BEV T. Y/C 4/VK FT, / FT -VI/�4M. C(SSE 7Meut.Arlow� OUTLET SEP'7/C Ti�NK = FT. �— //VLE7'D/ST/q/B!?/ON i 30X A7 SEC•T7pN OF GROPNO NITER 7A- B4 OtITLETD/STR/ev7/ON BQX_".� P-r /NLrrT LE.9CN../NG P/T ! L-12 FT. S�JVA4GE, L�/SPASA L SYSTBM LEACH//VG P/T 7A4LY114AT/O/V ICES/6N CRI7A=. '[/A JCA LE : Y4 s /=0" D/MENS/ON A 5 XT. N/lMOER OF QEGVE00/yS =_ D/M£NS/ON C F7;. oil GARQ11GE0/SPO.S�lL v/y//T n SOIL LOG _ TOTAL /-LOAV G,4L,!DAV SO TEST o/ SO/4 r'jrs77'*2 SD/L TEJT - NUMBER Ole 4r.4CN/Nl Ao/TS / ECEY yf'-n EtrrY, S/Orr 4CACH/NG PER P/T _ �" .DATE OP SO/L TEST 9 / As I fT. to, . RESULTS JV/TNESSED dY t`' ,Y E`'•'��/ r BOTTOM L.�IG'N/NG POR P/T sq, /:T; 'z:. i /_t%°,°i o"i ;: AdFA•COL AT/ON RATE / TOT�►L LEACHI/VG AR&A h S .iv # 1 Q -" ,;,?: (. '!__ /-, ^..'..F 'r' 7�.'c11'CO LAT/ON RAT�'r A is ReSORVEr ZZ4C/V.IMSAREA & SQ, FT. d chi.C�lJ;=�_ M/N�/NCH Js.\' q� S/j/•'i..r :.�S •�{, LS.ir;.a " /D 7- ?- / l�r1 %;:°. Gam;/'r��=� 1 ROBERT /1?/l u'4- e`_ ►� %� ! P. i3U N I K I S •-�` Gjr',r2� �/�L: /�`�, ! �,,�'.r�...; a� / [,.. � �.t ELOR.ED6E EAIG/NAMMAW 4W.1 7/2 MAIN Or., . °"`�N� �: No G?OVNO yY,a NYANN/.9, MA". ' No. a '2'.... Fps.....3........... ........ THE COMMONWEALTH �OFUMASSgACHUSEETTS BOARD gJH Z ......... ...... Appliration for Uiipniia1 vrk�i Tnnstrnrtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 201 T I -.L .,--.kURZTQ173..k1ZTZ........ ...................JA-24--21_._...... .............. Location-Address or Lot No. .THONiA,S..A,...COB.CaR.UE...sm............................ ..22...�vWILDWOO-U-2ATH...&ST---YAH1`OUTH...USS 02673 �����'p�T/� (�c Owner /��7� Apddpr7e��ss�+�p�p•�� W .........V't_'-1 r:!"•j 95!...BR5[1.7....................................... ..VJ.LLJ_--•Riti111--1ttiLY.C�---Bti.LhLb,1.7.1.Ci.Lei►la---------•-----•--•-•--•--- Installer Address Type of Building �` Size Lot__ F��- 5 ........Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder *4 Other—Type of Building No. of persons............................ Showers — Cafeteria a Other fixtures ------------------------------ . W Design Flow.-.-------- 1.-1,f. ....................gallons per person per day. Total daily flow--------- �. ,Or....................gallons. WSeptic Tank-I Liquid capacity gallons Length................ Width................ Diameter-",--_-.--.---_- Depth............ xDisposal Trench—// No..................... Width.................... Total Length----------_ll------- Total leaching area--------------:_:.:_sq. ft. Seepage Pit.No._.!___ ..... Diameter...../:D....-- Depth below inlet......... Total leaching area. __W/11...sq. ft. Other Distribution box ( ) Dosing nl ) - Z Percolation Test Results Performed by.--- '.- � -• ---------•-•----•-••--•-•..._... Date-......- �,�--! C....... 04 Test Pit No. 1..��---minutes per inch Depth of Test Pit.................... Depth to ground water...i/.Xtl. e--- , 44 Test Pit No. 2................minutes per inch Depth of Test Pit__-___-_•-.._______- Depth to ground water-.---_--.-_-_-_--______- t--- - ---- - - Description of Soil ........ A - ................................................ a- U -•--•-•--••--••••---•-•----•--......_... ---- --------•-•- x ••-•••--------- -----_-------------------- �� tIVI '0 V 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,L-i p S of the State Sanitary Cod The tin sign rees not to place the system in operation until a Certificate of Compliance has been ed by th ar 1>alth Date Application Approved B G%% ' y ate Application Disapproved for the following reasons-------------------------------------------------------••--------------------------------- ..................... ..............................••-•••-••--•-.....---••••-----------••--••-----••-------------•--••--•••--...---•-•--------•-•••••----••---••------•--•----------•-------......--•---" ......----••---- Date PermitNo......................................................... Issued-----••---•----------------------------•----•------••-- Date NiOl.. ........... z FEs.�...r1..................... THE COMMONWEALTH OF MASSACHUSETTS BOARDPF HJ JH 40. -- � OF.... ----------- ........................................... Appliration for Uhipoii.al Works Towitrartion Vautit Application is,hereby made, for a Permit to Construct or Repair an Individual Sewage Disposal Sys tem at: 26-1 -TIMBER LANS ......................................... ...mILLS..... . .......... ........................................................... or Lot No. C& bAddress 9-1.§HCHAS...At.........b;-------�)M.Jm........................... P.2... 0 - ................ ..... .... Owner Address MASS 26,73 VETERINO BROS' OLD...JAIL..LA,b7,.-3MRN_ST-A=............................. ................................................................................................. Installer Address Type of Buildina Size Loi;.�"-r ..........Sq. feet f U N elling-!f-No. of Bedroonis.,­-' ......... Tinder W ................ _-t----Expansion Attic Garbage G V!, ng ................... V d of.persons.. — Cafeteria Other—Type of Building --- ----- ------------­----------- Showers Other fixtures ........................ ..........ZS ------ ------ --------7- --------------------------------------------------------_------------- Design lzlom; .......................gallons' per person per day. Total daily flow____._. ........... ................�.gall ons., IY4 Septic Tank V-Liquid capaci ...gallons� Length ........... Width...............: Diameter-<_'I'_ Dept .............. Disposal Trench—NO. ...........- .......... Width'.,. .......... Total Length.......... Total leaching ...........sq. ft. below Seepage Pit Nol.J�W- ------- Diame'tIr'i./..&_,.----- Depth' low inlet......ik......... Total leaching area2_ ft. Z_- Other Distribution box Posin tan Percolation Test.Res is Performed!by. --I.-7. :!............................ Date--- ............ Test Pit N ------minutes per inch Depth'of Te9t Pit'--a---------_------ Depth t-6 ground-water./*_A '-_ 71� Test Pit NO.­2_,-�-.­.,e......minutes per inch Depth of Test._Pit�__'........ Depth to,ground water - -. ---------------------------------------- .V............................ 0 Description of Soii* ...... . . ----- ............................. -----------------------------------.-.-.-------------- - - . ..------ ............... /---------- U - .......... ­......---- ..-...---..-..- - .- &D 7------- ------- 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,-'-1= 5 of the State Sanitary Co,02—,The ui rsi r grees,not to.place the system in operation until aCertificat4 ued b' eal e of Compliance has bee/jt's y Ce.. .............11........ign I "n. 1, " Da�.. ........ ..... ----------- -- ----------- Application 4pproyed By. ..... ..... 7, /Da Application Disapproved for the following reasons:.............................................................. ................................................. ..................................................................................................................................................................................................... Date PermitNo......................................................... ssued-....................................................... Date 4 THE COMMONWEALTH OF MASSACHUSETTS BOARD) GW HEALTH ..........OF:::. .............................................. of Toutphatta IS age Disposal System constructed T, IS11TO CE.YYIFY, That the Individual,Sew, d e4e) or Repaired by.. ......�. ......................... -------------- ............. talle� .ate. ...rA...................... — --------------------------------------- "installed ��TT 5 has been alled in accordance with the provisions of of The State Sanitary Code as d scribed in the /,�; g r applj�Otion for Disposal Works Construction Permit N --- .. ................................. dated----I........................ .................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS.A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. — DATE................ ...................................... Inspector....... ---------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS %71— BOARD OF HEALTH rX .. ... -......OF............ ....... ............................................ FEE ............. Permissionis hereby granted.____ ........ . ........................................................................... to Cons e an J�ndivi ua Wag Disposal tem at No.� or 1�pj7air L r, 4 Str et a shown on the application for 74 ated..-.2--/d s Disposal MTori-ks Construction P,e�lit No._,".'._�..........!� D ....................................... . . ..... .. ..... ....... ....... ........... --------.........­_ Board of Health DATE..:�Z7,5— ...................................... V--7------_-------- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS