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HomeMy WebLinkAbout0230 MAPLE STREET - Health 230 Maple Street West Barnstable e A = 132 - 025 04-Jan-06 Town of Barnstable Page No: 1 List of Storage Tanks kBelow Ground Tanks Outside Zones of Contribution which are over 29 years old As of: 1/5/2006 Fire Tank Tag Tank Installed Tank District Owners Name/Address Map/Parcel l; Loc ZOC No. No. Permit Fuel Date Age BA BARNSTABLE,COUNTY OF 313007 02 01263 Y FO 1/1/1976 30 B N POLICE/TRAINING SCHOOL P 0 BOX 397 BARNSTABLE MA 02630 BA CIRRITO,FRANCES E 259001001 01 00462 N FO 1/1/1976 30 B N 11 SHEPHERDS WAY BARNSTABLE MA 02630 BA HICKS,ROBERT J&ALLYSON J 317042 01 00848 N FO 1/1/1970 36 B N 2 GREYLAN AVE-#281 NANTUCKET MA 02554 BA MASS,COMMONWEALTH OF 236005B00 02 01111 P 1/l/1972 34 B N 2240 ROUTE 132 HYANNIS MA 02601 BA VETORINO,MARGARET M 298011 01 00036 Y FO 1/1/1976 30 B N P 0 BOX 234 BARNSTABLE MA 02630 CO APOG,VERA M 138008 01 00917 Y FO 10/1/1972 33 B N °roZ J014N SKAPARS 2 TOWER DRIVE DOVER MA 02030 CO APOG,VERA M 138008 02 00000 Y FO 1/1/1973 33 B N °roZ JOHN SKAPARS 2 TOWER DRIVE DOVER MA 02030 CO BAGSHAW,ROBERT E JR 207014 01 00732 N D 1/l/1968 38 B 609 TREMONT ST#2 BOSTON MA 02118 CO BIRD,MARGERY W 162013 01 00313 Y FO 1/1/1974 32 B N %BIRD,ANNA C PO BOX III E WALPOLE MA 02032 04-Jan-06 Town of Barnstable Page No: 2 List of Storage Tanks Below Ground Tanks Outside Zones of Contribution which are over 29 years old As of: 1/5/2006 Fire Tank District Owners Name/Address Map/Parcel Tank Tag Tank Fuel Installed Age Loc ZOC No. No. Permit Date g CO BORG,NANCY J& _ 140159 01 00374 N D 1/1/1957 49 B N BORG,LINDA A P 0 BOX 113 OSTERVILLE MA 02655 CO CALLAHAN,RICHARD P&CYNT 072026 01 00209 N D 1/1/1971 35 B N 345 SEASPRAY AVE PALM BEACH FL 33480 CO CANZANO,GAIL A 114018 01 00713 N D 1/1/1968 38 B N 483 EEL RIVER RD OSTERVILLE MA 02655 CO CENTERVILLE/OST/MM FIRE DIS 118110 03 00424 Y D 4/1/1969 36 B N 1875 FALMOUTH RD CENTERVILLE MA 02632 CO HOSTETTER,DANIEL C JR 228107 0 0 fo 1/1/1968 38 b 485 PINE ST CENTERVILLE MA 02632 CO MELLON,RACHEL L 070010002 02 00230 Y P 1/1/1975 31 B N P O BOX 151 UPPERVILLE VA 20185 CO MELLON,RACHEL L 070010002 03 00231 Y P 1/1/1975 31 B N P 0 BOX 151 UPPERVILLE VA 20185 CO MELLON,RACHEL L 070010002 01 00229 Y D 1/1/1975 31 B N P 0 BOX 151 UPPERVILLE VA 20185 CO PARKER ROAD FAMILY LTD PRT 115025 01 00249 Y FO 1/1/1976 30 B N 979 SEAVIEW AVE OSTERVILLE MA 02655 04-Jan-06 Town of Barnstable Page No: 3 List of Storage Tanks Below Ground Tanks Outside Zones of Contribution which are over 29 years old As of: 1/5/2006 Fire k Tan Tank District Owners Name/Address Map/Parcel Tag Tank Installed Loc ZOC No. No. Permit Fuel Date Age CO RIEDELL,CARL S 140035 01 00067 Y D 1/1/1973 33 B N I Sri ARRON E RIEDELL 178 SCUDDER RD OSTERVILLE MA 02655 CO SHAFFER,BENNETT A&SEMA L 124005 01 00478 N FO 1/1/1968 38 B N 24�CORCORAN ST R NDOLPH MA 02368 CO WHITCOMB,STELLA PRZIREMBE 115031 01 0 fo 1/1/1968 38 b ,/.WHITCOMB,STELLA PRZIREM 131 CLIFF RD WELLESLEY MA 02181 CT GOODMAN,ALLAN E&COLLETT 033014 01 00441 N D 1/1/1974 32 B N 4711 JAMESTOWN RD B THESDA MD 20816 HY AQUA-LEISURE INDUSTRIES INC 288213 01 00024 Y D 12/4/1974 31 B N PO BOX 84 HYANNISPORT MA 02647 HY DUI ONT,DAVID S TR 327063 01 00000 Y 1/1/1960 46 B GREENWOOD STERLINE REAL T 67 WILLOW ST HYANNIS MA 02601 HY DUIONT,DAVID S TR 327063 02 00000 Y FO 1/1/1970 36 B GREENWOOD STERLINE REAL T 67 WILLOW ST HYANNIS MA 02601 HY NEW MAN,MARY F 287006 01 0 fo 1/1/1968 38 b IRi INGAVE HYANNISPORT MA 02647 HY OGILISHEN,JAMES S&DEBORAH 307227 01 00200 N D 1/1/1968 38 B N 123 MILLER ST FRANKLIN MA 02038 04-Jan-06 Town of Barnstable Page No: 4 List of Storage Tanks Below Ground Tanks Outside Zones of Contribution which are over 29 years old As of: 1/5/2006 Fire Tank District Owners Name/Address Map/Parcel Tank Tag Tank Fuel Installed Age Loc ZOC No. No, Permit Date HY PARTYLITE WORLDWIDE INC 327160 03 01010 N WX 1/1/1973 33 B 59 ARMSTRONG RD PLYMOUTH MA 02360 HY PARTYLITE WORLDWIDE INC 327160 02 01009 N WX 1/1/1968 38 B 59 ARMSTRONG RD PLYMOUTH MA 02360 HY SIMON,FREDERICK L 287028 01 00065 N D 1/1/1953 53 B N 23 AVONSIDE AVON CT 06001 HY SOARES,RAYMOND 328062 01 01073 Y FO 1/1/1971 35 B N 141 SPRING ST HYANNIS MA 02601 WB BARNSTABLE,TOWN OF(CEM) `136027 01 00000 N G 1/1/1927 79 B N 367 MAIN ST 90 AA �5T PV.tPA-rT C ' eczv b HYANNIS MA 02601 `WB CARDOZO,THERESA A 152013W00 01 00334 N FO 1/1/1973 33 B N 1504 LELAND DR r �� o SUN CITY CENT FL 33573 -WB POKRASS,EDWARD H&SARA C r 132025 01 00996 N FO 1/1/1975 r31 'B N r - PO BOX 495 _ W BARNSTABLE MA 02668 Z� � w TOWN OF BARNSTABLE .— UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION MAP NO. ti�C> —PARCEL NO. ADDRESS OF TANK: ,a ? A F- V I LLAGE: A t, Number O�tr��t MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : O -D OWNER NAME: M A'IZ F G1.� ( 1'DS PHONE: 6,q/ n� IIVSTALL`A-T-I OPl`*DATE s -t,_A__t INSTALLER ADDRESS: '' vv �' -CERT.NO. *TANK LOCATION: b ou -s `8 Ir-Z &y -T O t� ,—IfQe- fez V�f -D06 P. C DCOCPQ S iiG TANK LOOAT I ON W 2 TH RGORKCT TO m 2 L_D I NO) t�- CAPAC I TY-t av a 4L—TYPE OF TANK c�`�L` 'L AGE C _YRS`. FUEL/CHEMICAL Cl L TESTING CERTIFICATION C ] PASS C ] FAIL DATE 4 LEAK DETECTION [ ] CHECK IF N/A TYPE/BRAND i ZONE OF CONTRIBUTION [ ] YES [ NO DATE TO BE REMOVED 005 FIRE DEPT. PERMIT ISSUED [ ] YES C ] NO DATE CONSERVATION' CHECK IF N/A DATE t BOARD OF HEALTH- 4,TAG N0. [ ] DATE PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD _ r �� co) all N i3a aa� zm S M EA® KEEPING YOU ORGANIZED No.103U 2453L MADE IN USA GET ORGANIZED AT SMEAD.COM Town of Barnstable o r Regulatory Services Thomas F. Geiler,Director C,� , Public Health Division * M snxxsrns ,.*`" Thomas McKean,Director 9 MASS 200 Main Street, Hyannis,MA 02601 ie,39 5E Phone: 508-862-4644 Email: health a�town.barnstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 February 2, 2006 Mr.Edward Pokrass PO Box 495 W. Barnstable, MA 02668 Dear Mr. Pokrass: Recently a letter has been released to homeowners and commercial business owners regarding the removal of Underground Storage Tanks (UST). When removals, abandonment, and testing of the tanks have occurred,our electronic files are updated. We have found that many files have not been correctly updated and/or the proper notification was not received by our Department. The Town of Barnstable,Health Department,has completed the research on the address of 230 Maple Street,West Barnstable,MA. This tank is listed on Parcel 025-on Assessor's Map 132 and is registered with the Health Department as tank tag#996. The Underground Storage Tank of Fuel Oil has been properly removed by Advanced Environmental Service in 1993. This information will be placed in your street file and the electronic files will be updated correctly. We thank you for your cooperation in this matter and if you have any questions about this topic or you need further information, guidance or assistance,please do not hesitate to contact the Public Health Division. Sincerely, V Ili i 4AIiisL. Parker Hazardous Materials Specialist Tho as A. McKean,RS,CHO Director of Public Health >5 � , Town of�Barnst ble Map/Parcel 132025 � OW Health Department HealthSystemOwl r Al Mao/Parcel-5 TankwFVbr 01Tag Nbr 00996 Installed t 01/01/1975at Locaf ngR a «f z Te oNf ation Date — Status Date Remo'�val Notrflca Date � Test: �t �� 04/27/1992 i# : �r �, ' � � \a y' , Abancion• o� rs� *z's - l t y j f2emoual' f 03/10/1993` a x� U�anance n , sFuel Stored FO F NO el forage Reason 'H ?w y� �apactyb„Construction ' �eak Detetion � Ca'hod�c®etection Storage Tank Info,000500 SS /�tltlitFonal Details permit#93 25 FDID#01923 t ONE ,r �.,,,� ffll.X-M,Q......... ..w .. _.. . ,..... FmiigMa{/,Parcel 132025 `Tow or 6arrp I Hea#th Depaent Health System 60/ '. 41, MapiParcei r,� 132025 TankNbr 01 Ta Nbr:µ 00996 �a nstall°eii 01/01/1975 ovation B 1 , �Remo 04/27/1992 - Yal r -� nceEl WIN F e Stored FO FUeIStorageeaso H 1 %� Capacity Construction / leak Detec ion Catholic Detectson� Sfge Tank�lnfo 000500 K,_ SS r AdditionaiIDetahs 36 /) % {p/ i JAN-06-06 11 :54 AM WEST BARNSTABLE FIRE DEP 5083623683 P. 01 �'. WEST BARNSTABLE FIRE DEPARTMENT 2160 Meetinghouse Way t West Barnstable Ma. 02668 : .; --vestbarnstablefiredept averizon.net Joseph V. Maruca Fire Chief Emergency: 911 Business 508-362-3241 Fax: 508.362-3683 FAX TRANSMITTAL COVER SHEET 1"llI_:RC: ARI: PAGES INCLUDING THIS COVER SHE ET' ---...3. .._ DATE: TO: FAX NO: FROM r.. y COMMI.:NTS: -- c h�a•.., .r. ._........... r CONFIDENTIALITY NOTICE: The facsimile transmission may contain confidential information belonging to the sender which is legally privileged and which is intended only for the use of the individual or entity named above. Any copying, disclosure, distribution or dissemination of this information or the taking of any action based upon the contents of this communication is strictly prohibited. If you, have received this transmission in error, please notify us immediately by telephone and return the original transmission to us by mail or by delivery to our address as listed above, 1, it l JAN-06-06 11 :55 AM WEST BARNSTABLE FIRE DEP 5083623683 P. 02 c FORM F.P. 292 (rev. 9/90) cDtle (9l1tlutttiittu pit till of fKassudlitselfil Department of Public Safety Division of Fire Prevention and Regulation ;+t &=T ION FOA PERMIT, AND PERMIT, FOR REMOVAL AND TRANSPORTATION TO APPROVFD TANK YARD FDIDA 01923 Permit f 93-25 UatelQ-Marsh, 19 93 West Barnstable City,Town or District _ C . 82 5 . 4 0 M . O . L . J. DIG SAFE NUMBER Fee Paid:$ 25. 00 93100659 start date 10 Mag 3 .;' In accordance with the provisions of Chapter 148 , Sec. 38A, M.G. L. , 527 CMR 9. 00 application is hereby made by: Advanced rrAyiro_n_mentalRrv1 a Street Address ` City or Town: P.O. Box 472__.So. D n iMA 02660 W ✓ Signature of applicant: _ t Applicants name printed-. � /�vr"���1C /j'�f),'� For permission to remove and transport one unde :=st- ank from. Owner: Mary Phillips Street Address: able Firm transporting waste: same State Lic. V5083856100 Hazardous waste manifest n/a —_-.... -----..-.--�� E. P.A. # Approved tank yards Grant ^ 03501 Tank yard Address: Wallcott St_ Readville MA Type of inert gast vent UL tank : n/a Tank capacity: 500 gls Substance last stoned: home heating fuel. Date of issue: 10 March 93 Date of expiration: ll March lg 93 Signature/Title of Officer granting permit:_:! �_.,_ �fcz� KEEP ORIGINAL AS APPLICATION AND ISSUE DUPLICATE AS PERMIT '� JAN-06-06 11 :55 AM WEST BARNSTABLE FIRE DEP 5083623683 P. 03 .'..s., WEST BAR NSTABLE FIRE DEPARTMENT 1 T - - - FIRE PREVENTION DIVISION # 91�. E C T I O N E I N S P R P 0 R T , . 1►TE OF R UESTs c.iLLOi i'�`i) TIME I�,, SUS. DATEt REC'D BYt �; E8 _ .: QUFST BY t.„1 �-l>�r��+ec: t ,� al�j� � r ��C�; PHONE t YPE INSPECTION: FA FP OB NS 26F BLASTING COURTESY PRE—PLAN PUB FACIL TANK OTHFR_,l1 ,�1, ► r C�c.r 1 — *.EASON FOR INSPECTION (if applicable) i INSPECTION LOCATIO�N� '' ENT OWNER i N1_ — - �l;? A P -- —_—_--. -- 1RI;ENT OCCUPANT i N P OWNER t N �..��.� A .�. P OCCUPANTt N P Y01„ h.F D::TIONAL NAMES, OCCUPANTS i iMRKS t ..."SLIM INSPt 2nd INSP: FINALi $ DATES (y Tit<<�("%') RCPT FEE: $ DATE RCPT # NUMBERS i + Ei01E STICKERS LOCATOR FILE STREET LISTING OTHER ji .1i i. i J K m: r, JAN-06-06 11 :55 AM WEST BARNSTABLE FIRE DEP 5083623683 P. 04 x r U . I; 1'. 1, .y ,I ali 1 j a!� f 1. ' Barnstable Assessing Search Results Page 1 of 2 ni F r x �� E k Neu � Horne: Departments:Assessors Division: Property Assessment Search Results ................. 230 MAPLE STREET Owner: POKRASS, EDWARD H&SARA C Property Sketch Legend Map/Parcel/Parcel Extension 132 /025/ � 9J Mailing Address POKRASS, EDWARD H&SARA C2.1 r :... PO BOX 495 W BARNSTABLE, MA.02668 - ( 2005 Assessed Values: Appraised Value Assessed Value Building Value: $ 160,200 $ 160,200 Extra Features: $6,000 $6,000 Outbuildings: $0 $0 Land Value: $ 184,800 $ 184,800 Interactive property Map: Map requires Plug in: Totals:$351,000 $351,000 1 have visited the maps before Show Me The Ma p k! April 2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: POKRASS, EDWARD H&SARA C 5/15/1996 10193035 $ 1 POKRASS,SARA C 12/15/1989 7008/327 $ 1 PHILLIPS, MARY F 8/15/1986 5239/310 $ 1 PHILLIPS, GILBERT A 2235/224 $0 2005 READ. ESTATE Tax Information: Tax Rates: (.per$1,000 of valuation) Land Bank Tax $63.71 Town Fire District Rates Other i $6.05 Barnstable-Residential $2.12 Land B Barnstable-Commercial $2.80 W. Barnstable FD Tax(Residential) $505.44 C.O.M.M.-All Classes $1.01 Cotuit FD-All Classes $1.28 Town Tax(Residential) $2,123.55 Hyannis-Residential $1.52 Hyannis-Commercial $2.39 W Barnstable-Residential $1.44 W Barnstable-Commercial $2.10 http://www.town.bamstable.ma.us/Assessing/AssessO5/displayparce103.asp?mappar=13202... 2/2/2006 Barnstable Assessing Search Results Page 2 of 2 Total. $2,692.70 Due to rounding differences these values may vary Lard and building Information Land Building Lot Size(Acres) 1.25 Year Built 1976 Appraised Value $ 184,800 Living Area 1816 Assessed Value $ 184,800 Replacement Cost$ 186,223 Depreciation 14 Building Value 160,200 Construction Details Style Cape Cod Interior Floors CarpetHardwood Model Residential Interior Walls Drywall Grade Average Heat Fuel Oil Stories 1 1/2 Stories Heat Type Hot Water Exterior Walls Wood Shingle AC Type None Roof Structure Gable/Hip Bedrooms 3 Bedrooms Roof Cover I Asph/F GIs/Cmp Bathrooms 3 Bathrooms Total Rooms 7 Rooms I Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL2 Fireplace 1 $2,600 $2,600 BGAR Bsmt Garage 1 $3,400 $3,400 Property Sketch Legend BAS First Floor, Living Area FST Utility Area (Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area (Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) I I I http://www.town.bamstable.ma.us/Assessing/Assess05/displayparce103.asp?mappar=13202... 2/2/2006 i� No. 7....... Fus... THE COMMONWEALTH OF MASSACHUSETTS J� BOAR HEA�H/ :r.. ... .....oF.......L.. ..... ........ . Appliratinn -for Uiiip tittt Works Tomitrurtion Vrrutit I .32- � Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal S tem at: pb ..1 . . ..... ._-` -` .................. ........ ...... ..----------...-------•---.........---•-- Loc on,A �s C y °Cj� or Lot No. = ..... ... .l Ownera `A...Addre............. ........� -------•----......---_--•-_--•.............._.... ....... . Installer Address Q TypeDw Building Size Lot_._3_��0..'.... . feet of elling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) QOther Yttires ------ --------------------------------------------..----------------------------------------------- .50 W Design Flow............. .. ..... .......... Mons per person per day. Total daily' flow __--__-__ g - --- g< P P P Y gallons. WSeptic Tank—Liquid capacity/,D®Pgallons Length---------------- Width................ Diameter---------------- Depth.--.---.-.-.---- x Disposal Trench—No. .................... Width---------- Total Length-------------------- Total leaching area--------------------sq. ft. Seepage Pit No.......1__.......... Diameter.............-:..... Depth below inlet-.,................. Total leaching area-.---..----_-____-sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed bY------- --- ------- ---------------- = .... Date--------------------------------------- a Test Pit No. 1----------------minutes per inch Depth of "Pest Pit-------------------- Depth to ground water........................ f4 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water--.---..------.--..-.--- 0 •-••------- ------------------------------•--•----•----•--------•---------------••--••-•--••--•...-••---....-••-•-•-•------_..........••---•---•----- Description of Soil---.---�.�`c.._A .' V ...••-••...----=•----------------------•-•••....••--•------------ ----------•----------------•----------•----•--•-------•--••---------------------------------------------•--•..........------------. W U Nature of Repairs or Alterations—Answer when applicable..---------------------------------------------------------------------------------------------- ----•---•--------------•-•--------------•-------•-•-- ............................................... ------------------------------------------------------•------------------------------------------ Agreement: Theis undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary C e he u ers• ned further agrees not to place the system in operation until a Certificate of Compliance has b e s e y.th o of hea Signed ............. ---••------ ------------ --------• '_ / ! ... Date ApplicationApproved BY------------ --�-��----•------------------------------------------------..._..----------------- ---------•-•---•- -------------- Date Application Disapproved for t e following reasons------------------------------------------------•---------------••----- ------------••-•---•-------------•--•-------•-------•----••---------•--•••---•------------------------_--•----•-----•--•--•...-•----•--•------•--•------•------•---------•--•-----------•---••-••------- Date - - Permit No.---- .................................... Issued----��----�-`'2_'_�-"�-= -------------.. Date j w No.._.. 7........ FEE.....Z(......U a THE COMMONWEALTH OF MASSACHUSETTS BOAR HEALTH . x. ..h.... -- .O F ......../. .. .K'19 ..................,�- �---.'...... NpVftra ion -for Bi,ipo,itt1 Workii Tonitrnrtion Vrrniit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal S stem at T ... S :..` 32 Loca i n•;d r�ss or Lot No. n�owner �p t Address _ t - t� Installer Address Q Type of Building Size Lot...................... ____Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building ____________________________ No. of ersons.........------------------- Showers ( ) — Cafeteria ( ) a YP g P dOther fixtures ----------------------------------------------------------------------------------------------------- 1 W Design Flow_____________ ___ ___________________gallons per person per day. Total daily flow......._._�C...............................gallons. WSeptic Tank—Liquid capacitvA�12gallons 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......____.___--_.sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed bY-------------------------------------------------------------------------- Date------------------------------------.... Test Pit No. 1----------------minutes per inch Depth of "Pest Pit-------------------- Depth to ground water...____________.__._.... Test Pit No. 2________________minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ Ix O Description of Soil.------- ----------------- U - - - ......._... -....... - 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 Article XI of the State Sanitary W rsi ned further agrees not to place the system in operation until a Certificate of Compliance has bed of heal Signed ------------- --�.J. U :�J C Date ApplicationApproved BY---...._....j -----------------------------------.................................. ... Date Application Disapproved for the following reasons-------------------------------------•-•--------•-------------------•----•-•-----•------------------------------- ----------------------------------------------------------------------------------•-•---••.......----•- ._......._...--------...-----•---------------------•-------------------•--..._------.------. Date PermitNo.---- =----•------------------------------- Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOA F HEAL-Ttlt,H 1 ( Ile- .................. .......................................... %Urrtifirtttr of ITNImplittnrr THIS I TO CEI<IFV That the Individual Sewage Disposal System constructed (>�Ior Repaired ( ) by..----•----- ES -' --- ------------------------------------------------------------------•-•------------- -----le- --- --------------------------- Inst ler at r has been in iri ''Iccordance with the provisions of Article XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.____*_G/ ._7____________________ dated..._...e.�.._. ---_______-------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT TIME SYSTEM WILL FUNCTIOLN SATISFACTORY. DATE S 4� 7 T Inspector .............. �...'.i► ' THE COMMONWEALTH OF MASSACHUSETTS BOAR�� HEALT .ow..h.. ......OF............. .. ..✓... .. � :... .. --............. " No.-----.`�r}----�--- FEE........................ �i��o�ttork.� �strnrtion �rrrnit Permission is hereby granted S --r- - ----------------------- / Xe --------------------------------- •-•---- to Construct (?or p it ( an iv_iitial Sewa Di posa �S em /c atNo. L�r ------------------------------------------------------------- Street as shown on the application for Disposal Works Construction Permit No--------------------- Dated---------.--__________--.-________---_--_-. ---•-•-•--•--••-•--------•-----------•-------•--------•-----------------------------•---......----•----- Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS V � � t Y i y \ L. a z,. Ju S/LG„1-�.✓------FEET�48C1✓E EIVA O PL O T PL A /V P L OCA T/ONC� � �a�/�isT1�,a • A'/-AA/ 2EFEQEAvC4: a.41y OF t NEV4BY CEQ7'1FY TNA T 714E Wfu 4PVlkrw FOUVDATiON 40C,4710 v iS GM.ee,,4- 7RYi i f ?,R 4 841/i-Z>1,V6 SETt3.4Ce 'E u�P M iv9_ aF T/,IE /'OWAol OF _ a rry (, � MASS - N v R�� ., i ,} ie Ca y404w- C4�z& ?' tr e dvrGGdw;sr: y.41�iNo:u�i�i'.�'r'M,q. I BARNSTA 3LE COUNTY HEALTH DEPARTMENT BAR.NSTABLE, MASS. 02630 Ts+.BPNONt6 362-2511 Ext. 331 Date: November 17, 1975 To: Mr. Gilbert Phillips 72 Pond Street Belmont, Mass. I On the basis of a sanitary survey and 'a laboratory examination on the sample of water taken from a . ...Jell... .. .. . . . . . . .. . .. . . . . .. . .. . . .... . . ........ . .. .. located on the premises of . .Gilbert.PY�} , ,lp�. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .0 . . .. .. located at . . Ma]2le.Streets . .. . .. .. . . . . .on. . .NQYWWC.13s.1975. .. .... (Place) (date) this supply is approved for domestic purposes at the time the examination was made. If you wish further information regarding this supply, please contact us at the County Court House, Barnstable, Massachusetts (Tel: 362-2511 Ext. 331) and we will be glad to assist you in any way possible. Signed.. . . . . . . . . . ..-?/.. . . . . . . . . . ... . ... Public Health Sanitarian I � i --- Fee-------------- ------ No.-W--q---- BOARD OF HEALTH TOWN OF BARNSTABLE App[icationArVell Con5truct ion permit tVSa-Lpta-a� Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: - �- Location — Address Assessors Map and Parcel CL -- _� _ E c�K - - - Owner Address ------- ----------------- -- ....... ....-. W ( 0 Installer — Driller Address Type of Building a S 6z Dwelling - Q_✓ —------------------------------------- Other - Type of Building No. of Persons-------------------------- ' — Type of Well--�---=—�=�`---------- P Y------------------------- --- Purpose of Well--��'�-Ki— ------ 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 unti a rtificate .of Com liance has been issued by the Board of Health. Signe &-g --- O date Application Approved By date Application Disapproved for the following reasons: ---- date Permit No. ---- Issued---- / - —------- - a ---------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Comp[iance (✓) (Z;e-P 10'C;eA THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) Install has been installed in accordance with the provisions of the Town of Barnstable Board of ealt Private Well Protection Regulation as described in the application for Well Construction Permit No. 9 �� --Dated---- -- g PP C` THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE---- - — Inspector--------- ---- -- —-- ..�_,y, nw^ .rf...,w.:. - ..ram, r... Sri.», f....w." +C)+:++y+.'"_)S r • _. ... _ _._-"w^U\yCr'.'l'aY ry.-.v+....wM.-•.n -.......i,.`!I No.----- -- -- - --—� _y j e ----- - i� F ---------------- - ''�-----=ro,a-,--�•—°=��z-µ_.'�.�-_ . 8 O A'R D"O'F:ffiE'A C - _ ..; .. TOWN OF BARN,STABLE p iatt�on 'eff n�truction Application is hereby made for a permit to Construct ( ),'Alter ( )_,'or Repair,( )an individual Well at: a ocahon.`-Address' , 'Asses3ors Map and Parcel o ----- --- i Owner Address } Installer -;Driller Address t Type of Building S t r1 G� Dwelling _ _ - Other Type of Building =- :--= - -= No'. of Persons------------------------- -- Type of Well-------- � ---------- Capaclty---------------------------------- 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�eHealth Private Well_Protect on'Regulation Thei undersigned further agrees not to place the well In operation'untl a Crtlhcate of;Compliance`has beenR issued'hby the`Board of Health , ,i _ 1 - Signe -y -- — G --------- date 1 Application Approved By C r"' Q, ——— —_ date Application.Disapproved,for,.the-following.reasons:,,, -- — --- - --- � � --- ------- Permit No,.­ BOARD date 'Issued --—=' -- y- �li�TSYilitiitasitL'�ii_Soli',*GsAli?i±filS93'ki!IpleTµ!iti[:.s�i 7ili�}y?iTf9i•Ti+taNiR.►s6iittltTifaisGlt'sigi3iO3si4isisasili4 :39Gr�Qt'ssY4i9JiRieali'1p46}•Osia�lihsisrsisbsilSscsv!a�!0'-!ilfi'la�.ls' - BOARD OF HEALTH O F B A R N S T A BL E, Certificate Of Compliance .. • ,, ryTHiS`'IS TO~CERTIFY..Zhat:=ChetIndi�idual-WelllCoristructed by__t p _► -- —�_►1 ��1 —�- -- ----� -- - ------ --�_ Installdrlat-- `�C'3 V�Q' __ S-t" •� G�G= t_ CL has been installed in accordance with.the provisions of the Town of,Barnstable Bckard of ea Private Well.Protection Regulation as described in the application for Well Construction Permit Dated— -- . ----- (. THE ISSUANCE OF THIS CERTIFICATE,SHALL NOT.BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE— --- - — ---- - --___ —Inspector— ---- '�i+�YR�4i�G!'i4►si�i0ils4i@i�iAilililiK'Nli9is�.'i2i�P4lllsyEiNlwlil�ilAliRisfl9Ei9l1fiSi?i4;4iRi�J{!iS69esi9i4i}iSysa4i�ls!iw.7K14eS.!Yi�i°itif6�MisisiM?i4i9ia!i!i±G�i�i^d'•� BOARD OF HEALTH TOWN OF BARNSTABLE Well Con0ructconVertnit Fee—� ��( Permission is hereb grant d �—! , ✓� to Construct ( 'Alter ( ), or Repair( ) an Individual Well at: ' treat. - as shown on licatio a Well Construction Permit No.;. ALl — Dat e "I —— - Board of alth t DATE , y 0 SENDER:�Complete items 1 and 2. +� Add your address in the "RETURN Q1aFOi on 3 reverse. w 1. The following service is requested (check onq}a--4 ® Show to whom and date delivered- -s�21 D 154 oShow to whom, date, & address of delia e�0 35� DELIVER ONLY TO ADDRESSEE and 14 show to whom and date delivered------------ 650 w DELIVER ONLY TO ADDRESSEE and show to whom, date, and address of delivery ------------------------------------------------ 85Q 2. ARTICLE ADDRESSED TO: Rev. Gilbert A, Phillips' M 72 Pond St. M Belmont,Mass. 02178 rn m 3. ARTICLE DESCRIPTION: REGISTERED NO. CERTIFIED NO. I INSURED NO. m 1833540 w (Always obtain signature of addressee or agent) zI have received the article described above. G SIGNATURE4. m DATE DELIVERY T ARK G 5. ADDRESS (Complete only if m G� a SQt� m 6. UNABLE TO DELIVER BECAUSE: CLERK'S p INITIALS 3 D o GPO:1974 0-527-803 f UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS PENALTY FOR PRIVATE � -'—`— '-- ' USE TO AVOID PAYMENT SENDER INSTRUCTIONS of POSTAGE, $400 Print your name,address.and ZIP Code in the space below. LLS MAIL • Complete items I and 2 on reverse side. • Moisten gummed ends and attach to back of article. + RETURN v TO + 00ard Of Health Tov.,rn of Barnstable -`S-7 min Street F#YA NIS, I ASSACHUSETTS 02601 t � a _ _ t octvber. l7 1975 Re--: y Your property on !Maple Street West Barnstable u 3 ! ^ ReV. Gilbert 'A'` Phillips ,¢ m Y 72: Pond' Street : $£ 141o31t c17 , Mass husettsA2 . ,`. -Dear Rev. Phillips`: xour re( uest' to',. install a well 120 feet rom -y.;,, sc �at�.c ,. system ©n the 'above-referenced proty in, lieu of ths: required- per, 150 feet is 4;anted r State Healthv-rtRegulat ons A11 other-;Tt�wn of Barnstable and' apply. The well: and sewage system gust. Sae- installed as•! `shown 'on plot plan No, �.-254' -:datsd October 8, :;19'95,; , .Taylor, •;:Registered• -Land Surveyor, a c „ This ;variance: expires rom='t 'one gear fhis; date ti 'Very Illy yours, to . Rob t L.. Childs Chairman • h. Anne an Shb{{aL ,Gerald .' HU/1]QVf BOARD OF HEALT n a ,.. m - k "E� . ! &k x't ".. +r x• .,X 5 F _ e - t. •.lr - t t 3.„ ' - 'ail, a. - ` F • r 7. �o N �t U tom! ir776- n r of - — - /d ��'ra�•�.." Gg O ram°'r�cum �a Gb2�� sI /f_e_,' l f i � � .'_�_ - � _ �; 1 4 . n Crowell & Taylor Corporation PV L 89 WILLOW STREET YARMOUTH PORT, MASSACHUSETTS 02678 617.362-2626 �a TO DATE SUBJECT 70 7:'0 n/t7 .5� / ... ...... -- 4F._ ao00 ! a✓. / .o< %� .Avg Ay,/,y �G� v G-.-���' Wi.:7�//%v. .�0� _:%c��r..Or- _���/. Gv/•�� �i���lb� F—MGO The Drawing Board, Box 505,Dallas,T�s .' oo Uc, ' �i kr a` h 4 Q'� T �. SILL f1.E.✓..__--__Fir 48o►i� PoaD No/ar s I`a+J/ 4t ,1,0I-d eaL,,V PL. 0 T P4 .4 b✓s!/ fEb � t L O CA T/ON: --ws z4,. PLAN 124F&,eL—,VC4.: 7444, O,ir' f ,4/E,e646Y C,6V77F'Y TiL/A T 7HE . _ i,VtLFk Cf' FOUND.+4T/ON GOCLtT/DN 15(3V�� ' F -� AS 5W0PV V N f TAYLOR ' �1 � 7s�E EfCJ/Ll�/�i/G S�7'�.4��;�'f..�"✓(JiPEhfE�/�' � �I OF 7rt/E T'OWAI OF _ r,ry Pill s C,?O ALL 7.4 YG,01.J Coif'?? 8 I'V144,0 :a. Y.Q'1->Mou7X/ ?QT M,qw s September 19., 1975 Res Variance for Lot 25, Map 132, Maplo :treat Barnstable Ms. Ruth H. Carlson . Route 149 ,} West Barnstable,. Massachusetts .... Dear Mrs* Carlson: The Hoard of Health cannot approve your request for- a variance until you furnish more specific information# ` Please furnish this offfce'a plot plan showing accurate dimensions, location of house, location of septic system and location of welt* Please include any streams, brooks,,- marshes or any knovn water supply within 200 feet of the sewage system#;` You must also shod location of teat hose and location of sewage expansion area. In addition, you must be specific .in What you acre:requesting for Da variance* y The Board will give further consideration to your request after this information is received Y s very truly, RbbefrtCh Ids, Chairman An Ja a hb$uAl Gfiri-ld W. liaza 11140a. BOARD OF HEALTH , Tl '"OF TM E lY i BABHSTABLE, y MASS. 1639 0 MAY 0,p60! PAUL C. BROWN, CHAIRMAN z WILLIAM H. ESHBAUGH MARY K. MONTAGNA �C je Ze �s Lo / /y If .t1 V 1