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Home My WebLink About0081 KETTLEHOLE ROAD - Health �y�81�;Ket'tlehole Ro"ads� � �y�� w n . �,.�West Barnstable ��g . S �,,�.� r� s � ��JJJ - � a �� _ ,. . 4 �_ ,. ' _ 11 . � � I AT ION SEWAGE PERMIT NO. VILLAGE A INSTALLER' NAME & ADDRESS H 0 BUKDER pOR LOWNER kA DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED ju 09do u1� ew / No.--- --------------- Fee— ---------- BOARD OF HEALTH TOWN OF BARNSTABLE Applicat ion-for Vell CongtructionVermit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair Man individual Well at: _81_ KettleHole-Rd.,W,Barn stable dre _ Location — Adss Assessors Map and Parcel Dave_-Robberson ____________________________________________ _81 KettleHole,--Rd. ,W.Barnstable- Owner Address Meehan Well Drilling,-= Inc. P.O. Box 800, ForestdalerMA 02644 Installer — Driller Address — — Type of Building Dwelling---ReSicW-Uti&I ---------------------------- Other - Type of Building No-of Persons —_____ Type of Well -Platie --- ---- -- - Capacity-- — ---- --- --- Purpose of Well-------Drink-iX19---------------------- 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 aCertificate of Compliance'has been issued by the Board of Health. Signed---'�� `1U - -� — � — 5 - 13 19 8 9 date Application Approved By------- - s--4= 'S ----- date Application Disapproved for the following reasons: ------------------------------------------------- date PermitNo. ----- ----- __ _----------- Issued------_—__—�__ --------- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) bY-------------------tk---4a-P �-,------------ -Alf ------ _ ------------------------------------------- —-- --- 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 No. - Dated--------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE — -- -_------------------ ----- - -- Inspector----- -- --- ------------ 1 r NO. �+ 0 T- BOARD OF HEALTH TOWN OF BARNSTABLE 0[ppricatiolf-ArVell CongtructionPermit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair �Y)an individual Well at: 81 _Kettle---Hole_Rd e W.Bar-nstab1e--- Location — Address Assessors Map and Parcel nave-Robberson----------------------_____ 81 Kettle_-H©le,_Rd. .W.Barnstable- Owner Address Meehan Well Dri1lin_g.-- nc�----------- P.O. Box,_8Q0._Rorestdale.t�_ 02644 Installer — Driller:t - Address Type of Building ' DwelingA � - :— Other - Type of Building -------------- ---------------- No. of Persons----- - ----- ------------------------------- Type of Well--4 e:_Pa sti c- --- — -- -- Capacity------------------------------------------ --— -- - --- Purpose of Well ?Tlici.n_9_------------------------------- 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. e D � _Its{n t� Signed— � - t ---- date Application Approved By---------Ilk • , s - Application Disapproved for'the following reasons:---------------________________________________�___ 1 A date Permit No. Issued------- ------- ---date 0 «. 1 ".BOARD O� FwHEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO*CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) ---------- -^" ._�--- ---------1� o-- -�1 =x—�-��;---------------- ------------- by_____ ___�4 ..._. r, 4 �--f' a"'�Installer [�5�-- ----------- ati- I 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. --- = yc�=- 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 Yell Con5truct ion Permit No.-=-=-=-"--------� Fee Permissionis hereby granted-------- -M—-------- . ------ -------------------------------- to Construct ( );, Alter ( ), o epair ( )'pan Individual Well at: No. -- —-- --------� �—- - -------------------------- - — ---� --____— -- ---------------- Street as shown on the application for a Well Construction Permit No.- — -_-- ""--------------------- --— - —------------------- Dated------------------------------------------- ------- — --- - - — - - CBoard of Health DATE------------------------------------------------------------------------------- i A ---------------- �u�x+- Judd �..)s��E c,d�� sS 81 h5e 1� N I1e o1� eA— LOCATION / SEWAGE PERMIT NO. 4q VILLAGE INSTA LLER' NAME & ADDRESS f* � B U I'L D E R OR OWNER E R � h DATE PERMIT ISSUED R647�9', DAT E COMPLIANCE ISSUED f 3�r of f fs� '0o!0 10 - D5q No........... Fas.............................. *- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _ . . .........OF...........�- . a'TL- ...................... j1 Apphratiun -fur 43Wpuiittl Worho (nuxt,itrurtiun rrmit v Application is hereby made for a Permit to Construct ( ) or Repair ( } an Individual Sewage Disposal System at: ... ...........................•---....---•----•-•--••-•------......------ Location.Address or Lot No. •---Lu7...... ....................................................... -•---.SAcv_r . t4?s--- ........................................................... e� Owner Address a --r' ........................ ........................................ Installer Address UType of Building Size Lot...` 1. yv69 0-......Sq. feet .-� Dwelling—No. of Bedrooms...-----LJjr-......------------------------Expansion Attic ( ) Garbage Grinder 04) aOther—Type of Building Z� �9► s'. No. of persons....... .................. Showers Cafeteria ( ) Otherfixtures ............. --------------------------------------------------------------------------------------------------------------------- W Design Flow..........5`;...........................gallons per person per day. Total daily flow--------4:`.-�.0-_-----------_---....gallons. WSeptic 'r.ink—Liquid capacity.l'� gallons Length---------------- Width................ Diameter_............. Depth...... xDisposal Trench—No. .................... Width.................... Total Length............_....... Total leaching area....................sq. ft. Seepage Pit No....._`Z ......... Diameter......_ES--------- Depth below inlet---_(*............. Total 1 hirer ar -.__�2....sr. ft. z Other Distribution box ( �f Dosing ,nk ( ) ��' C _ �Ilf-117 Percolation Test Results Performed by.._ ,.G`%� - - �'/dam 7 a Date Test Pit No. I.....Z.....minutes per inch Depth of Pest Pit......Z........ Depth to ground water....µo_-."e....... tip Test Pit No. 2....._..,....minutes per inch Depth of Test Pit........i-Z----- Depth to ground water----MAC-'...... ----------------- - ------------------------•------------------------------------------------_-------.........••-•------------ Csi---•--GDescription of Soil '."La �' - - x i c.� t-...1.. ---------------------------------------------------------- W -----------------------------------------------------•-------------------._......-----------------•---------•---------------- X :: U p pp - - Nature of Repairs or Alterations—Answer when applicable.. .............__._......____._.._.____._.._.....__.___._ __..�;� .. _.. *.;._ .. Agreement y. The undersigned agrees to install the aforedescribed Individual Sewage Disposal Syste''(`nr�lii.4ccor ance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to, ace,t stei3pit�` operation until a Certificate of Compliance has been i. ed tho hea Signed........ 3 j Dae Application Approved By------.. _a; E - -----••----•--------- :. Dat , Application Disapproved for the following reasons:-------------------- ----------------- -----•-----•-•--••------•--------•--------------------•---------------------------------------------------•--------•-----------------------------------•••--------------.......-----------•------------ Date PermitNo.........................................................•--•---...-•------•--•-•--•--..... Issued......... ~_Z_r` 7r Date No...._....... ---. Fox.............................. THE COMMONWEALTH OF MASSACHUSETTS T' BOARD OF HEALTH 'OF ...........�'a.Q:.CL`>`*r %�.• c�, ... Apphratiun -fur Diopoott! Works Tonotrurtion V- unit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Location-Address or Lot No. Owner 'a Address yW Installer Address UType of Building Size Lot--_.--- i-_:. J._...__Sq. feet ., Dwelling—No. of Bedrooms.......° t--------------------------------Expansion Attic ( ) Garbage Grinder (�0) `PL4L Other—Type of Building, No. of persons.....- ----------------- Showers — Cafeteria W Other fixtures ------------------------------------- ----- _ ------- W Design Flow-------------------------------------------gallons per person per day. 'Total d.tily flow.-__.__._4`-�_S?_..--..._...-----_--.--gallon;. USeptic Truk—Liquid capacity. _45P...gallons Length---------------- Width------._........ Diameter................ Depth----------------- x " Disposal Trench—No- ----------------- Width-------------------- Total Length-------------------- Total leaching area...............-----sq. ft. Seepage Pit No....... -------- Diameter_---_-_�____.... Depth below inlet----�_*............. Total leaching area...�'�P----sq. ft. z Other Distribution box ( vy Dosing tank ( ) Percolation Test Results Performed by.......... ----- ------------------------------•----------------..._..__.. Date_-----------------------------------. . W 1 Test Pit No. 1...... -__-.minutes per inch Depth of "lest Pit......y'�------- Depth to ground water....tryv+�>R.._-_.. fX4 Test Pit No. 2........Z___..nwinutes per inch Depth of Test Pit........1.`1 Depth to ground water.... •-------------------------------------- ------------------------------------------------------------ -•--••------I-------------------------- •-•--•------------ O Description of Soil--- _aa� `°` ` Y '' `a:_.. -� ti.+ _.... r �� r ' a e _ ----- U --------------------••-•--•••------..._ @'0! .1 rrass� ------------------------------------------------------------------------ Z. -- ---------- ------ - ------- � - - U Nature of Repairs or Alterations—Answer when applicable............................................................:. :.,_,..,, •-------•-------------------•---•------------------------------= . Agreement: o; 115C5 The undersigned agrees to install the aforedescribed Individual Sewage Disposal System u%,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 h/cnue by d h ltl 4 Sign .......... .. «- --- --- - , �7.__.._...DatA lication A roved B G --------------------- Application Disapproved for the following reasons------------------------...................---_..-----.....-•--••--------F----•-•-•-•_--__..Dat�...---...--•-- ........................................................ --•------------.._.._....-----------•----•-.___- Date PermitNo........................................................... Issued................................................- �-. Date r'•o,�Pljt10F�,a3sr� . THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEAL H .............O F:..:. ... ................ ........t2:.......... .............................. , �c�Fu� G`�k�� { �'�.•. �C;Y`Alrry W.rrtif irotr of 01omphatta THIY IS TO RT Y, That he I dividua Se a isposal System constructed ( Y,or Repaired ( ) 7-7 r �. '"X _.... ._.Ji '� nsta -e,- - /✓ /f...___.!'"�F t �4R _.----------• at.................... .R . ! Z f G I/�/ has been installed in accordance with the provisions of .\ t 1I of " lie State Sanitary C e as described in,the application for Disposal Works Construction Permit No. -- --------/)&.............. dated...... ~ ''.. f..__.-_-__-_______- M• THE ,ISSUANCE OF THIS CERTIR'ATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WIIL.L FUIJCTION SATISFACTORY. DATE......... s � - .............................. inspector. ............................................... Ito nF f TH-E' COMMONWEALTH OF MASSACHUSETTS Sri r ' i.;LD J. ,LL BOARD OE HEAL ! ��r t....: OF.......... .. , ,: 10,,`AL Diovoo ,k5 C n urtion Vrrmit ✓. _ , _Permission i h ebY_granted------ -- ---- ---------- �� ,-- ------•-•-••-•----•----•-••-- -----•-------------...---•-------.......-•---...--------__.._ to Construct ( or Repair ( n ndividual S e is os+ Sy en Street as shown on the application for Disposal Works Construction Per No._. .. . llated_.. ,f�._7 ................. _ ...__ � Boar( of Ilcalth �. DATE..... _.._ _. ... .:. /•--------•------ / rtw t , Ie1� zzo ul +1IlL_Ll ` � f s I ' DONI-D J. 1-7 r�� .' 1.M1 TRH R,V,;IOUS ..,1�aAc-K r- LL ' - / / � ,.... -. �-�..• _ � - j��' /'�'/1,f f � �;�� f.�� % � b. 5L4pL ,.oyez.` r FT ',Y �a'�'Rll{JS`6?RtF4 .Jt*YTx � PEA = 141>v' F-i i ' A A9PTvP — _ . .