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
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LOCATION / SEWAG RMIT NO.
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VILLAGE
INSTA LLER'S NAME i ADDRESS
BUILDER OR OWNER
C 0 s G-l'v uL
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
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THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
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DATA
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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
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"•"'""" 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�{/
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CONCRt.'Tt! JYE.4V y CA ST/RO US
/Y C o rC/r SHALL BE E
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'�f -O�i FT.•
OVA= CC V.ER CZ.-FAN .BAN
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/NYERT AT OU/LD/NG c 1.0 FT b--r. PIAM.
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OUTLET SEP'7/C Ti�NK = FT. �—
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/NLrrT LE.9CN../NG P/T ! L-12 FT. S�JVA4GE, L�/SPASA L SYSTBM
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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 #
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7/2 MAIN Or., .
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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