HomeMy WebLinkAbout0062 MAPLE STREET - Health 62 Maple Street,W.Barnstable
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piTMETp`y The ,Town of Barnstable
`p Health Department
1 s'RI'T'e' 367 Main Street, Hyannis, MA 02601
039.
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Office 508-790-6265 Thomas A. McKean
FAX 508-775-3344 Director of Public Health
August 27, 1991
Tom,
An inspection was done on the well location of 37 Maple Street, West Barn-
stable on 8/27/91.
Well is located as indicated on the plan submitted to this department. In
addition, Jerry Dunning met with the designing engineer and shall meet with
him on Thursday if necessary.
John Jacobi of Upper Cape Engineering designed the plans and Attorney Theodore
Myers of West Barnstable obtained the legal papers and right-of-way from the
railroad.
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August 26, 1991
TO: Jerome Chinning
7i,,O-M: Thomas McKean,
RE: .Lot 37 Maple Street, West Barnstable i
Please read the attached letter received today
from Robert Keller to the Chairman of the
Ord of Health. Please write a report to me
of your findings to date and submit said report
on or before Tuesday August 23, 1991 .
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1� In general , wells intended for human consumption shall
be located as far' The as possible f llo it g from minimum potential
distances sources are
con tamination .
required:
Property line 10 feet
Roadway //. 10 feet from edge of road layout
(not edge of pavement)
Leaching catch 50 feet, but recommend that this
basil,/drywell distance be maximized
,Utility righte-of-way - '50 •feet , but recommend that this
�_�_ - distance be maximized f
Septic tank 100 feet
Septic leaching 150 feet
-facility
Septic distribution 100 feet
box
Subsurface drains 25 feet , but recommend that this
distance be maximized, as
pollutants frequently
travel along the outside
of subsurface drain pipes .
I
2 ) where , in the opinion of tide Board of Health , adverse
conditions exist , the above distances may be increased . In
certain cases , the Board of Health may require the owner to
provide additional means of protection . Wteie posse tradien , fthe
well shall be located up the groundwa g
sources of contamination .
IL_ HAM OALUI
1 ) Prior to approval of the well and approval of a Disposal
Works Construction, Permit Application, the owner or his
agent silall take a water sample( s) from tile well and subir,it
it to a state certified testing laboratory for analysis ,
with the cost to be borne by the owner . The results of all
1 analyses shall be submitted to the Board of Health. At a
minimum , water must be tested for the following chemical and
bacteriological standards : total coliform, nitrate-nitrogen ,
pH, conductivity , sodium, i2'oln, and EPA methods 502 . 1/503 or
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No. _!_f__ -- Fee-- -�.1�-_--------
_ BOARD OF HEALTH
TOWN OF BARNSTABLE
ZIppCitation-for lVell Cow5tructionPermit
(Application is hereby made for a permit to f Co�rnstrucltt ( ), Alter ( ), or Repair ( )an individual Well at:
4-7 3f /41� ar'e .S'!�� 4f✓; rA,,+-�(2_
-- -- -------------� --- ---Jai---- --------------
--- --_-_--____- - -- ----
Location — Address Assessors Map and Parcel
Owner Address
iA 5:.k �P (( cf 1 is�i fC>
Installer — Driller Address
Typejof Building
Dwelling------------------------------------------------
Otheri-Type of Building -------------- No. of Persons---------------------------------------
Typedf Well. ---- - - --- ------ - Capacity--------------------------------------------------- - - ----------
` Mr ticw____ Wkr fey` G1 Z
Purpose Well--_-__S__-- __-----___--_________
AgreemeAt:
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 Cpmpliance has been issued by the Board of Health.
Signed- ---------------------------------- ----uJ--__=—_-_
date
Application Approved By----- =+ ---- ---_ -- -= = �date
-Application Disapproved for the following reasons:-------__-------_---------_\!-----------_---___----__—___________
date
Permit No. �-�--*'��-� - -- - Issued------- -- -------
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate Of Compliance
THIS IS TO CP12TIFY, That the Individual Well Constructed Altered ( ), or Repaired ( )
by--- --- --- - ------- ------------------------------------------------------------------------------------------
-----------------------------
-- �� 'J -
Installer
athas been installed in accordance withiKe provisions of the Town of Barnstable Board of Health Private Well Protection
r 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-- -- -- -- - --------------------------------
'4~
' r.�i 1• �� .c 4 �,�.
.�_,1 r I/_-�
No -- Fee- ,== '-------
BOARD OF HEALTH
TOWN OF BARNSTABLE
' Zpprication-*rIVell Con5tructionPermit
Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at:
----— -- —— —— —-- — — -- — —----------------------------------------------P--—--------—---—----—------------------
Location — Address Assessors Ma and Parcel
+`Pr- s(" I 1``-- S-11 oJ, /q J
Owner Address
Of t$N a ------- -- —f /S/ M W Q 1' —+ v'n{
CC,r -----—---------------------------------------------------_--------------------------------
--------------------------- -------------------
Installer — Driller Address
Type of Building
Dwelling-------------------------------------------------------------
Other - Type of Building--------------------------------- No. of Persons-------------------------------------------
s r r e e n e� w e l Capacity Type of Well— - - --=—----- - -- -----------------------------------------------------------------------
Purpose of Well---QOA'e -t -`-' W 4 c! ----------
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 aaCCertificate of�Commpliance has been issued by the Board of Health.
Signed---------------------------------------------------------------------------- f�-��— ) 5' -/g?/
date
Application Approved By------- ^ - - - ___- -== 1 ---- - — --Q_�_je--
_ date
Application Disapproved for the following reasons:--------------------------------------------------------------_________
-
--------------------------------------------------------
- -- - ----------------------------------------- ---------
date _—
�,A.� I _ _�r!
Permit No.------------------ � -------------------_--------------- Issued-----------------------------------------------------------
date
BOARD OF`HEALTH &
TOWN OF BARNSTABLE
Certificate (Of Compliance
THIS IS TO CERTIFY, That the Individual Well Constructed ( Altered ( ), or Repaired ( )
-�:p ==:r=== - ----------------------------------------------------------------------------------
Installer
has been installed in accordance withithe provisions of the Town of Barnstable Board of Health Private Well Protection 1
Regulation as described in the application for Well Construction Permit No. ------Dated---------------------
z
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE-------------------------------------------------------------- ------------- Inspector---------------------------------—----------------------------------------
y BOARD OF HEALTH
TOWN OF BARNSTABLE
Vern Con5truct ion Permit
\AJC4
N �------- -- ------ Fee
Permission is hereby granted---------- � —^n^-^� -�__2 f: ^---------
to Construct Alter ( ), or Repair ( ) an Individual Well at:
No. -----------�. % . J1'1_r, 1. 0.1 c I 1 /1-1 -�) "=-=M---^---o; - —- - -
V 4 ` Street
as shown on the application for a Well Construction Permit
c
--------------------------------------------------------- Dated-- �`� = r-� `� "- -----------------------------------
--------------------------
.J
Board of Health
DATE---------------------------------------------------------------------------- � I