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HomeMy WebLinkAbout2506 MEETINGHOUSE WAY/RTE 149 - Health (3) 2506 MEETINGHOUSE*. WEST BARNSTABLE A = 155 025 A&B - i l No.-- ----1-4 Fee--------`-�-------- BOARD OF HEALTH TOWN OF BARNSTABLE Applicat ion-*r Well Con!5truct ion Permit Application is hereby made for a permit to Construct Alter ( ), or Repair ( )an individual Well at: Location — Address Assessors Map and Parcel - - --- Owner Address ---------------------------------------------------------------------------------- Installer — Driller Address Type of Bui din Aa/•�����•�� welling -- -- - Other - Type of Building No. of Persons--- Type of Well--94-1407'WIk ,-- -----—- Capacity-------------------- --- - - - --— 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. Signed --- /�S- -- - .-OM ee date Application Approved By n �. ----------- —_ 3!_—�-fi ate Application Disapproved for the following reasons: ------------ --------_ --_ ------------- --- ------ --- --- -------------------------------- _ date------- Permit No. V Issued----- --- ------ ---- - - date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed Altered ( ), or Repaired ( ) ------- ------- - -- 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. f—=- --Dated__% = d 6 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 0(0fficat ion jbrVeil, Con5trutt ion Permit j. .Application is hereby made for a permit to Construct.O- Alter,( ) .or Repair ( )an individual Well at: tddres ouS _zJA ¢/SS A5 0*M c nd•Parcel Owner Address Installer — Driller . Address Type of Building Dwelling-- ----- Other -.Type of Building------ =- - No. of Persons-.-- -7-------------- --- Q� = --- - --- Ca acit Type of Well— -- P Y-- - - --— ---- - --— r Purpose of Well ----� — ---- —------ Agreement: R The.undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of�Healih 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. F _ I Signed - � - �U'' �`"•-' d-0?q'dtJ'_ date Application Approved By Application Disapproved,for the following reasons:—�;— - -- =----- --- ---------- --- date Permit No. -- Issued--- - - ---- = — - —at 9it1#bsi±i4iai+a¢b4ili4i4s4s¢i1i!.bi#e!¢'?iri#i9i 43fi¢n!i4iai4i4wTi78fit+Si164ieGiSiS.ititbRi;liYblb',iG#itii#wAi#&tJli@ofiTi4ie(wa!34:#iRilb4i44AiTi9.fstatit�it ita4�Tili#bola 1, BOARD OF HEALTH TOWN OF BARNSTABLE - Certificate Of Compliance- I THIS IS TO CERTIFY, That the Individual Well.Constructed ),.Altered ( ), or Repaired ( ) by, — 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. =-- =��---Dated­1=j '-Q 6 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A bUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE---- - — Inspector------—----- -= -------- :tai±._.:..<sis xiacaaeic:saeasaecaiassio�saaiassiai+is:sraaaeasa�iscsaeae:nisi±:±i±iuimr ititaebaasiwsa:xwsa...cae..bl:ei�ia3ri#:�iesmili+sxa#isusaesra±b+'ari�t^sPsPi=i=at.�s BOARD OF HEALTH TOWN OF , BARNSTABLE 'yell Contruct ion Permit No.w �� Fee Permission is hereby granted — - ------------ --to Construct (/), Alter ( ), or Rep' .( ) an Individual Well at: 0. Street as shown on the application for.a Well Construction Permit No. __— Dated---` l -©� Board of Health DATE ? � - f i ' � y ��✓6 � � G�"'� �Gj !'G. G �� ��� Fee No. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01pprication for Di5pozar *potent Construction Vertnit Application for a Permit to Construct( )Repair(x)Upgrade( )Abandon( ) lecomplete System O Individual Components Location Address or Lot No.2 gctg ;��l Cl Owner's Name,Address and Tel.No. �0 e 1 VIq/L U C►4 Assessor'sMap/Parcel /S5 25"6,4 Ye) InstaDAs Name,Address,and Tel.No. Designer's Name,Address and Tel.No. TJC)C.0 I�r� cS�/1 r 7/�t�/ J e/v C2 ZjvC D 15 L �/\!2/1 — S/�,v� • ��� �ecu �3 3�Z/�7 Type of Building: Dwelling No.of Bedrooms ` 4- Lot Size 2—sid 20 sq.ft. Garbage Grinder( ) Other Type of Building SYyt)t e /ded- No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 5-50 gallons per day. Calculated daily flow 617 gallons. Plan Date 2--fo-6 n Number of sheets / Revision Date /7 601.2 Title Size of Septic Tank Soo Type of S.A.S. Pl-lf"57 y2yl ve.%/S Description of goil Se e 101AN Nature of Repairs or Alterations(Answer when applicable) Uet. rAD-e -exts-ri/v!s� C eSS.006(S Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. Signed s Date 3 I'7 Application Approved b � Date !!9- Application Disapproved for the following reasons_ Permit No. VL� 16`11 Date Issued w^•� -ti!. �7�i��r / 'f %:/� ��l s/J m � ..,,,� ,E.—,vet No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: L PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTSz, 0(pprication for,Migpo.5ar *pgtem Congtruction Permit Application for a Permit to Construct(.i )Repair(x)Upgrade( )Abandon( ) lecomplete System ❑Individual Components Location Address or Lot No.Z q%9 Q i t{Q Owner's Name,Address and Tel.No. r Assessor's Ma /Parcel 3v 11?g7�td u4 Map[Parcel 2S��A�B) Instal_lcc,s Name,Address,and Tel.No. Designer's Name,Address and Tel.No. t.Svc.c�C T.i,./d SA,7,/W Cy SQ"r/ce 2,vc 17GG E�vv� - /(/ 4N 3e6tI5 irf+ K ,44!' ck E "57 SAN?%„ 'S/a%Vc7 • afr`2 Z610 d 33— Type of Building: Dwelling No.of Bedrooms 4 Lot Size Zsio Zo sq.ft. Garbage Grinder( ) Other Type of Building,5A bl o /lSeo�- No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow SJ�U gallons per day. Calculated daily flow 6/7 gallons. ~Plan Date ` G -6 n Number of sheets / Revision Date /7 Ury 4Z_ Title Size-of Septic Tank /SO O � rM. ._ Type of S.A.S. Pre CA5�1 y2 Description of Se t° PIA At zz.. � M Nature of Repairs or Alterations(Answer when applicable) Up ei rAO e •ex;s 7 rn/s. 5S o o d( 5 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. Signed Date 3" -6 O " ; Application Approved b Date `?•Application Disapproved for the following reasons .�y Permit No. Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS i BARNSTABLE, MASSACHUSETTS Certificate of Compliance 1 THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired(k)Upgraded,( ) Abandoned( )by h 7 2 (cl S f�dl iTik 2u R v i c S AC , ,at - b2 44 A 2 t l /L/ has been constructed in accordance with the provisions of Title 5-and the for Disposal System Construction Permit dated '' -�.. "Installer 0v5F,e 1 C{ Designer L-)[3c- E'"11.I d ©� The issuance of this permit s 114be onstru d as a guarantee that the syftiqA&I'Alo l fuction s desig Date Inspector l ---,�..—y�----------------------------------- /! 4, Fee ♦♦ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mfi6po!6af 6potem Conotruction Permit Permission is hereby granted to Construct( )Repair(�' )Upgrade( �'✓1,44�andon System located at and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: CC000nstruction must be completed within three years of the date of t ' rmit. Date: y'� Approved) �� f Y (�` 111111 �S ASSESSORS MAP : 15� _ -- TEST HOLE LOGS PARCEL: SOIL EVALUATOR : t y , IWti TW TIPW-1j174kj �__ C.O 0, G FLOOD ZONE : ,�--pT � Gf�,�}�L� w7� I G WITNESS : w 1 � �(9Jtr� , REFERENCE: 1�' OnK — ''A1 > .. _ ._ DATE: PERCOLATION RATE . C mN„ _.__---- z.. r 461 -lam _-.tomLA - ALILI Av- )lc) e �J�,H- /o � 1 FDIC- Uttili�_ �Z LOCATION .� L- tveblta w�M _ T_ _ - s .. -- _ ►' - — '7 t'� LJ� �?� is-�1'11 �_NJ t _ ��---- �`` _ � l � 2 �1✓ -wry IQ ._.. . . •. ` � lD� � Via. � �L'li�__1��'il t +-- - I t'}, ��i�" ` ' ✓ — �c9,00 SEPT I C SYSTEM DES I GN E - FLOW ES�IMATE Ap \ -- Fy ._, � � GAL/DAY cam_.- G� 4EDROOMS AT IID GAL/DAY/BEDROOM - I' 2 _�� - --- 1 - F PLC \ - SEPTIC TANK N r \ ' J Q GAL/DAY x 2 DAYS - A00 GAL / __. I 1 USE J� � GALLON SEPTIC TANK e. �- -� � ? - Ted-1 4 l✓ ` I SOIL ABORPT I ON SYSTEM 11 #K its iN Gt.l .y SIDE ,AREA: ZxC. o + v' XZX C>,_7 = / 721, 6' BOTTOM AREA: SEPT I C SYSTEM SECT 10N �- .� � DID i q 6,/B�/�r --- - •-,____ 1 _ ->- -L / ✓ .� /5007 GAL 11357 hr SEPTIC TANK - - -------------� � � 's- 3 ... . 00 �, D ` \� '4 .fir\ �/ RR / SNOfMq !t � L/Cr�i 50 Cuf -T r J fi 1 J� � `�� r � � 'Do - s ��� TERRY Gs� -O ANN ID WARNER ` o� ®A B. i No.38721 MASON SITE AND SEWAGE PLAN s 1 IV ��� LOCAT ION : /off t — — — INEJ: ���IS MA ` -� • ' 1 I \ PREPARED FOR VIA o o o o a f 1 SCALE : r. �bd DAV I D B . MASONS DATE: 00 DBC ENVIRONMENTAL DESIGNS I '( EAST SANDWICH . MA DATE HEALTH AGENT ( 508 ) 833- 2 1 77 a ASSESSORS MAP : 15� TEST HOLE LOGS • _ � t I PARCEL: 213, FLOOD ZONE : 1�-dT ��GIL SOIL EVALUATOR : y ,�, i, - �1�-��jT .. _ - _COW � ,ri_E��w oc,T� i G WITNESS : —Dowwlor MIt? REFERENCE : ,� Db�- TA/,,�*g5- DATE: 1 .� �- (� PERCOLATION RATi� .! .< /4/4/, 7, r TH- 1 TH-2 �Nl'7 r L ti ate ~ $ _ _ - -- - - -- ---- LOCAT I ON MAP,4. ' ' _�` � LAJO �U t � WTI i` -- �� /7I °' ; 2 �!c� �� 31� —wn _..s,z"` }.:.>' - x • ,tf.,'s.':__-r-:ac: 's: ' "'°t `p'q,=;' - -fig,.x.-='v /�� � '` �5V ✓� !_ � SEPTIC SYSTEM DESIGN y t y FLOW ES � i MATE -- - x� BEDF}OOMS AT I IQ GAL/DAY/BEDROOM GAL/DAY ( -� 1- �1 ►2 M�11 i �P��i0 GI j577G�1 _ Gc.�L�., T _- - ,.. -- SEPT 1 C 'TANK U GAL,/DAY x 2 DAYS //00 G�L /�..I-zc-� Fo� - CSC>G/� Cam✓ - 1 USE 1500 GALLON SEPTIC TANK J,�/(;'� L \ SOIL AB.>4RPT I ON SYSTEM \D � r t SI DE AREA: (� X - / 721, 6 ;F J BO`�TOM AREA: (a ' X 010 w1 SEPT IC= SYSTEM SECTION �iLT_ -- 2 o �EL,� I 107, D-BOX ` � 1 GAL Q / SEPTIC TANK 1 Z �'� (�7�--5-i'r7`"I .� DAV D MB. ASON - - _-- — '� �' 901°� SITE AND SEWAGE PLAN LOCAT I ON : � � `ROOT I cckk a PREPARED FOR : �c� �' Ac V, SCALE l r bD DAV 1 D B . MASON i�v DATE: � & 00 DBC ENV I RONMENi L DESIGNS EAST SANDWICH . MA � HEALTH AGENT \ DATE ( 508 ) 833- 2 1 77