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1095 SERVICE ROAD - Health
1095 Service Road West Barnstable _ A = 153-036 v A a ,. , .. a- - - _ • - tiv ` Ki t.. , s s _ � a , '1 Health Master Detail Page 1 of 1 "a :_ , ep�•:;a,.H1 .:",„ 1.�:: y * 'x ,g Logged In As: TOWN\health Health Master Detail Friday, August,23 2019 Application Center Parcel Lookup Selection Items Parcel F Septic erc F Well-1 Fuel Tank Parcel: 152-033-002 Location: 1135 SERVICE ROAD, West Barnstable Owner: LAPINE, JOHN C &CHRYSTAL A i s B Business phone:Business name: _ Rental property: ❑ Deed restricted: ❑ Number of bedrooms Contaminant released: ❑ Fuel storage tank permit: ❑ Save Parcel C.hanges.: Return to Lookup I _i Parcel Info Parcel ID: 152-033-002 Developer lot:LOT 5 Location: 1135 SERVICE ROAD Primary frontage: 150 Secondary road:OLD STAGE ROAD Secondary frontage: 113 Village:West Barnstable Fire district:W BARNSTABLE Town sewer exists at this address: No Road index:2101 Asbuilt Septic Scan: 152033002 1 Interactive map Town zone of contribution:AP (Aquifer Protection Overlay District) State zone of contribution:OUT Owner Info Owner: LAPINE, JOHN C & CHRYSTAL A Co-Owner: Streetl: 1135 SERVICE ROAD Street2: City:WEST BARNSTABLE State:MA Zip: 02668 Country: Deed date: 1/18/2013 Deed reference:27055/259 Land Info Acres: 2.80 Use: Single Fam MDL-01 Zoning:RF Neighborhood: 0105 Topography:Above Street Road:,Paved Utilities:Gas,Well,Septic Location:Rear Location Construction Info Building No ear Buil Goss Area Living Area Bedrooms Bathrooms 1 1997 4424 2075 3 Bedrooms 2 Full-0 Half Buildings value:$228,100.00 Extra features: $57,800.00 Land value: $135,300.00 r a http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=152033002 8/23/2019 r Bellaire, Dianna From: Stanton, David Sent: Monday, August 26, 2019 4:09 PM To: Bellaire, Dianna; Desmarais, Donald; McKenzie, Marybeth; Miorandi, Donna Subject: RE: 1135 Service Road All set From: Bellaire, Dianna Sent: Friday, August 23, 2019 1:05 PM To: Desmarais, Donald; Stanton, David; McKenzie, Marybeth; Miorandi, Donna Cc: Bellaire, Dianna Subject: 1135 Service Road Hi; I've placed a septic permit and plan that was filed under 995 Main Street, WB. However, that permit number was not under that address. I was able to see a map/lot number on the AS built card for that permit number and that belonged to 1135 Service Road. I didn't want to mess it up but, it looks like it might be in the wrong file. I've placed the documentation with a note on your center table for someone to review when they have a moment. Thank you. Dianna Bellaire Permit Technician Town of Barnstable Health Division 200 Main Street Hyannis, MA 02601 P:508-862-4643 Fax:508-790-6304 Email:Dianna.Bellaire@town.barnstable.ma.us 1 I TOWN OF BARNSTABLE LOCATION 11b, ra-*/©f S— � �„nD/c ►�, � SEWAGE # q 7— VILLA GE (f 0 ASSESSOR'S MAP 8c LOT /J� 3 3 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) .lCj 7C' NO.OF BEDROOMS BUILDER OR OWNER /✓� %/l C% /��/. /� �c PERMITDATE: 12 COMPLIANCE DATE: 7 - 3 0 Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility /0 / Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Z 76 Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by SN t No. II, �U 6 �Y! /�_ Fee THE Co MOM ALTH OF MASS'A,CHU ETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Y **0 , pprtratfou for Migozal *pztem Congtructtou Vermtt Applicatio or x Permit to Construct()()Repair( )Upgrade( )Abandon( ) El Complete System El Individual Components i Location Address or Lot No. 00' f8,v1 C! Owner's Nam Addressed Tel.No. 6 ZG 7,9 Assessor's Map/Parcel /A /S-2 Installer's Name,Address,and Tel.Noo/ (5�3 Designer's Name,Address and Tel.No. 362 G Z Type of Building: Dwelling No.of Bedrooms Lot Size d� sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons 2 Showers( ) Cafeteria( ) Other Fixtures Design Flow 37 U gallons per day. Calculated daily flow 7—AZz gallons. Plan Date 3/ /V Number of sheets / Revision Date 40 Title Size of Septic Tank ZS_U b Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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. -11 Signed Date 2 Z Application Approved by Date Application Disapproved for Ye following reasons Permit No. 2 - to 5L Date Issued No. 4l / ��2 Fee r Entered in computer: THE CO MONWE1(LTH`OF MAS GHU TTS I IfYes PUBLIC HEALTH DIVISION - TOWNOF BARNSTABLES MASSACHUSETTS 7 Vora-vermit plication.for Migq!5al *p!tem Cowaruction,Permit Application to Construct)(Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Namy,Address end Tel.No. _ -7 G Z G Z Assessor's Map/Pazcel �a�� �. /1 14, Installer's Name,Address,and Tel.No. ' T3 Designer's Name,Address and Tel.No. 7C 2 G 7'? P37 Type of Building: a Dwelling No.of Bedrooms Lot Size qq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Z Showers( )'Cafeteria( ) Other Fixtures Design Flow ~`` -3 U gallons per day. Calculated daily flow 3-71" gallons. i Plan Date -3 Z / Z Q Number of sheets Revision Date O Title Size of Septic Tank /S_ (1 G Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) r' t 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 2 Application Approved by Date b Application Disapproved for t- Y following reasons " Permit No. , 7 . 2.,0 Date Issued f ——————————————————————————————————————— THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( -)Repaired ( )Upgraded( ) Abandoned( )by �or en<z I C V Ar'i at ",C) Her, v Je '.e /p 9 T VL/t/i(f 17,o/ 4 /1 has been constructed in accordance with the provisions of Title 5 and the for Dispo al/System Construction Permit No. . - AP S' dated 1 Installer t mil' . Designer 'T The issuance of this pert shall t b onstrued as a guarantee that the system w' function as designed. Date f/ Inspector ——--7 ——————————————————————————————————— /No. _ 1: O b Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Migpogar Went Congtructton Permit Permission is hereby ranted to Construct t) epair Upgrade Abandon System located at Z4 PO/- / HO cllc Po /n 1-5— 4.,kf ram? 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:Construction must be completed within three years of the date of this permit. -�Date: L.! - D Approved by E 449 Rtp.130 44 . Sandwich, MA 02563 (508) 888-6460 1800-339-6460 FAX (508) 888-6446 = µ S= CLIENT: Nickulas Building LOCATION: Lot 1 ADDRESS: PO Box 2783 Service Rd. Orleans MA 02653 W. Barnstable MA COLLECTED BY: Tom Desmond SAMPLE DATE: 4-8-97 SAMPLE TIME: 11:00 WATER SAMPLE TYPE: New Well DATE RECEIVED: 4-8-97 LAB I.D.#: 97-4090 WELL SPECS.: 85/23 _ RESULTS OF ANALYSIS: Parameters Units Recommended Results Met'kod Limits °$ oliform bacteria /100fhI 0 0 9222 B pH pH units 6.0-8.5 6.11 4500 H+ a Conductance umhos/cm 500 102 120.1 ' °Y Sodium mg/L 28.0 10.1 200.7 4 Nitrate-N/Nitrite-N mg/L 10.0 < 0.04 4500-NO3 E Icons z mg/L 0.3 0.20 200.7 Manganese: mg/L 0.05 0.010 200.7 Volatile Organics rug/L See Report ND 502.2 r sr YES WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED. za R V C _ Date x lkoAald J. Saar' Laboratory Di ctor <=less than >.=greater than w rv" TNTC=too numerous to count 4 141 r F ll'I I UeN t k,ui i Ij Vice ?%wwle Aw 3 TOXIKON CORP. REPORT Work Order# 97-04-158 -E ~Received: 04/09/97 Results by Sarple s �x .......... SAMPLE ID 97-fi094 FRACTION TEST CODE 5 NAME VOC IN H2O BY Ply 6 TRAP Date & Time Collected 04/08/97 Z Category WATE$ , w 1 rip t r Dichlorodifluoromethane -so 0.50 1,1,1,2-Tetrachloroethane NO 4.50 Chloromethane ND 0.50 1 1-Dichlo a,r , ropropene No 0.50 Vinyl Chloride NO 0 eromoform NO - 0 DSO M, Bromomethane NO 0.50 1,1,2,2-Tetrachloroethane ND 05O y{ Chloroethane NO a jo 1,2,3-Trichloropropene ND 0.50 Trichlorofluoromet4ne ND 0.50 Bromobenzene NO 0.50 k -- :' 1,1-Dichloroethene 0.50 2-Chlorotoiuene Methylene Chloride ND 1.5 4-Chlorotoluene NO 0.50 �{ trans-1,2-Dichloroet:hene NO n 50, 1,3-Dichlorobentene ND 0.50 1,1-Dichloroethane NO 0,50 1,4-Dichlorobcnzene ND 0.50 cis-1,2-Oichtoroethene 0.50 1,2-Dichlorobenzene ND 0.50 ' 2,2, Dichloropropane ND 0-20 1,2-Dibromo-3-Chloropropane ND 0.50 Chloroform NO 030 1,2,4-Trichlorobenzene _jD 0.50 Bromochloromethane ND 0.50 Hexachlorobutadiene NO 0,50 1,1,1-Triehloroethane NO 0,50 1,2,3-Trichlorobenzene ND 0.50 1,1-Dichtoropropene NO 0.50 Benzene ND 0.50 Carbon Tetrachloride w D 0.50 Toluene _AID 0.50 1,2-Dichloroethane ND 0.50 Ethylbenzene __�M 0.50 Trichloroethene ND 0.50 m-Xylene ^_NP 0.50 1,2-Dichloropropane NO 0,50 p-Xylene NO 0.50 Bromodichloromethane NO 6.50 o-Xylene NO 0.50 Dibromomethane _ NO 0.50 Styrene ND 0.50 cis-1,3-Dichloropropene NO 0.50 Isopropylbenzene NO 0.50 trans-1,3-Dichloropropene NO, 0.50 n-Propylbenzene NO 0,50 >. 1,1,2-Trichloraetharna _ O 4.5Q 1,3,5-Trimethylbenzene "A 0,50 1,3-Dichloropropene ND 0.50 tert-Butylbenzene No 0.50 Tetrachloroethene NO 0.50 1,2,4-Trimethylbenzene ND 0.50 Dibromochloromethane kD 0.50 sec Butylbenzena __ND 0.50 1,2-Dibromoethane NO 0.50 p-Isopropyltoluene NO 0.50 Chlorobenzene NO 0.50 n-Butylbenzene NO, 0.5 x Napthalene ND 0.50 A, Notes and Definitions for this Report: DATE RUIN OG/15197 ANALYST XL INSTRUMENT 8 UNITS ua/L DILUTION 1 NO = NOT DETECTED AT DETECTION LIMITS t TOWN:OF BARNSTABLE SEWAGE # .':LOCATION �III.LAGE we.I f +�n19�•��f ASSESSOR'S MAP &LOT JI 33 `INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY :LEACHING FACILITY: (type) cr c Y a (size) /U KC Lz OF BEDROOMS BUILDER OR OWNS PERMTT DATE: �L --=COMPLIANCE DATE: Separation Distance Between the: �O Feet Maximum'Adjusted Groundwater Table and Bottom of Leaching Facility. Private Water Supply Well and Leaching Facility (If any wells exist / 7D Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by •\ � . Jos G Legend end M€� a Town Boundary Railroad Tracks Buiidings �\ rJ' Approx.Building A. rJ Buildings \ Painted Lines Parking Lots Paved Unpaved Driveways _ 0 Paved Unpaved Roads 13 Paved Road Unpaved Road �t Bridge ;51i5'203330p 1 / � `, Paved Median #2.54 4 ..T• Streams Marsh Water Bodies .: 153037 #1095 t - 3 1 ., 1530,18 fjJ{j �• ry #fi1�5 ?iL l.� T i •� ' 153i11 # 1150339 �153001 tt \�11i �li. _ ,J„ tit a_<<: .. :�� v1.� W� �� �'°;�•� �'.. Map printed on: 8/26/2oig This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are _ Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA 026oi O 83 167 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 5o8-862-4624 reflect current conditions,and may contain such as building locations. Approx.Scale: 1 inch= 83 feet cartographic errors or omissions. gis@town.barnstable.ma.us � 9-7i�No.- --- Fee-----�--�5- - BOARD OF HEALTH TOWN OF BARNSTABLE Applitat ion-*rVe[C Congtructionpermit App Ication is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: --------------------- ^ �� - - - �..C_'�--- �-��� °' - - -��- - Location — Address Assesso�and Parcel � � _ -----------`-J z!--------------------------------- /� Address f`--------------------------------------------------- nstaller — Driller Address Type of Building Dwelling--------------- --------�.r_-------------- Other - Type of Building----------------------------------- No. of Persons---------------- -- - ----------- Typeof Well---- --;- --/ - - - - - Capacity--------------------------------------------- -- - ----- Purpose of Well------------ '`'`FZ----------- 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 lace the well in operation until a Certificate .o om fiance has been issued b the Board of Health. P P Y - - - - ------ - G Signed Application Approved By, date Application Disapproved for the following reasons:----------------------------------------------------------------__—___—__________ ------------------------------------- ---------------------------------------------------- date PermitNo. ---—-- - - --- ------------------- Issued----------------------------------------------------------------------------- date BOARD OF HEALTH TOWN OF BARNSTAB LE C ertif sate ®f Compliance THIS IS TO C TIFY, That the Individual Well Constructed (Altered ( ), or Repaired ( ) by------- =�1---------_- ------------------------------------------------------------------------------------------- Installer at ------------------------------------------------ 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----------------------------------------------------------------------- No.- --------------- Fee------- - --�--�— BOARD OF HEALTH TOWN OF BARNSTABLE Application-*rlett Con5tructionPermit 0/ 16 y I,.-- /s�lo�� App icatioonn its h�yy made for a permit to Construct /( ), Alter ( ) or Repair ( )an individual Well at: Location — Address ` Asses Map and Parcel— � � - - ner Address --/ /--------- � � Q!C,_---------------- ------------Cj fi b? J -------------------------- Installer Driller Address Type of Building �' t " �wr At Other Type of Building -- - r No. of Persons-- -- ------------------- Typeof Well- --- - ---------------------- Capacity---------------------------------------------— —— ----— Purpose of We'll----------- =``f-/ - �"' -------------- 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 . ompliance has been issued by the Board of Health. G Signed— - -- - - ------ - - Application Approved By date Application Disapproved for the following reasons:-------------------- -------------------- ------------------------- ----------- -----------— - ----—--------------— ---------- -------------------------------------------------------------------------------------- date kPermit No. ------- — -------- ---------------- r ` Issued---------------------------------------------------------------------- date .- _ - �raanta�se�-s�sa-sa�t�efrs eer►am.-r�s. � `�s�smcs-sa-e�s- -.��' BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO C TIFY, That the Individual Well Constructed Altered ( ), or Repaired ( ) by-------- — —7------ - ------------------------------------------—- - — --- Installer at- -G__ L_ -- --- 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--------------------------------------------—- = ------------ n.+rnwg now*"von-a" N91* mate � gnu 0,*are»�aex BOARD OF HEALTH TOWN OF BARNSTABLE Vell Con5tructionPermit q -� No. - --r 1 Fee---- ---- a-x ----- -Permission is hereby granted------- � ry --- � �-------�-------------------------------------- ------------ to Construct ), Alter ( ), or Repair ( ) an Individual Well at: No. ------------------- Street as shown on the application for a Well Construction Permit No.-----------------------------— - — - ------- -------------- Dated-----------------------------------—---------------------------------------------- --------------------.._..--- ...-.._- f Board of Health i DATE---! '—F-- -- ——--- - so/�s 7�s ,e�su rs . 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