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No. �ZL�U�Z nl� �v°7 —�� 1i7 Fee_
BOARD OF HEALTH
TOWN OF BARNSTABLE
01pprtcation ,for Yell Con5tructtort permtt
Application is hereby made for a permit to Construct(✓), Alter( ), or Repair( ) an individual well at:
S�S S�•.��u tT,2� C o-ru ,T
Location-Address Assessors Map and Parcel
/3a C S�S 5�..�7-u I T /t J L) c 7
Owner Address e
Ottin�lS SCA,U'hJe G� /08 cYe�rGsS �e 1W&9A4,-e plcs d'26 Yl
Installer-Driller Address
Type of Building
Dwelling
Other-Type of Building No. of Persons
Type of Well V Po Capacity
Purpose of Well
Agreement:
The undersigned agrees to install the afore described 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 s been issued by the Board of Health.
Signed �.re+.� � ' �j_y�a�
Pate
Application Approved By 3 �Z
D to
Application Disapproved for the following reasons:
Date
Permit No. V y L% �— Issued V3 Z
Date
---------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate of Compliance
THIS IS TO CERTIFY,that the individual well Constructed(t4% Altered( ), or Repaired( )
by 40eNnNi co" ,j e
Installer
at
has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Wel ro ection
Regulation as described in the application for Well Construction Permit No. L(/�i(Jt1Z bi 2 Dated 10
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORILY.
Date Inspector
MA'No. pyFee
BOARD OF HEALTH
TOWN. OF BARNSTABLE '
Yicat on. or Derr-Construction Ve-mit �
C>
Application is hereby made for a permit to Construct(t✓),. . Alter( ), or Repair O an individual well,at:
Col^u T 8 ,_ , SI.
Location'-Address Assessors Map and Parcel
r,7 5, S�.
Owner ! / F Address f
Jcc k)J je (/ �li f C/G'f�%lCt.' i�r! "ItlUS( /JPg /i'1C4 �� yc/
Installer-Driller L Address
Type of Building
t.
Other-Type of Building No. of Persons
Type of Well Y /9L) G Capacity
Purpose of Well 1/i 1,6 C,-v w
Agreement:
The undersigned agrees to install the afore described 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 Y12 y�a
rDate
Application Approved B
rr �P Y
v� Date
Application Disapproved for the following reasons:
Date
'Permit No. 4 Issued �`" C
Da .. .
tea �.
vq/.. M'ewYvah:.-. 4.. yr:. a w.«.Vi•. .... . ...Y.. �.Mvi:n
—T — 6--- -----a------------------------------a----------------a---------------------.—a----e-----------
BOARD OF HEALTH
w TOWN . O. F, ,B,ARNSTABLE l
Certificate of Compliance
�f
THIS IS TO CERTIFY,that the individual well Constructed(i-); Altered( ), or Repaired(
by cc,,hJ
Installer '
at Sg S SO..�tJ t � T
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. W/wry ,: (L Dated
, I
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORILY.
Date Inspector
BOARD OF HEALTH
TOWN OF BARNSTABLE
Yell Construction 3permit
No. Zz d�2 Fee a
Permission is hereby granted to ovn,!
Installer {
to Construct Alter( ), or Repair(: ) an individual well at: .
�f
Street
as shown on the application for a Well Construction Permit No. Dated '
Date ' r'�! �'�� Approved By /( i
Y
i
NOTE ` �T
BIAIDING FVOTPRNT EWANS01
AAEA ATINN THE FIFTY FOOT ,9
COASTAL BANK IT.0.8J FER BUF yg N
CONE+SB S.F.
CT TDP OF OAST& i
BASIC-STATE
GENERAL NOTES:
I 1
Bapx-TOB i ASSESSORS DATA:
MAP 7 PARCEL 6
, I PA'LA REFERENCE DEED: 12560-287
N 18-1qJ LOT AREA-21.262E S.F.TO MHW
M.
I I \ N o/ n t 1 39•IQ ItsB REFERENCE PLANS
( 21 6Y 19-143,257-28 &230-85
�� / / I 4 / CONING DISTRICT: RF
t 'IF" 'LOT 14 MIN.LOT AREA-87120 SF.(RPOD)
,'� 4 MIN.LOT FRONTAGE-IW
(!✓ �:' _N. ,,k I ! ,ryR' V�`�1 /r`^� '"^" I/w' MAX.BUILDING HEIGHT-30'OR
. :d,... ,� / / - __y;.�'( -r-, 1 2-1/2 STORIES,WHICHEVER IS LESSER.
f_`�--;QI I / �I BUILDING SETBACKS:
nesreR LAImNas ' I 0 I i ' d j`-J Q / FRONT-30'
Q SIDE&REAR-15'
RR = OVERLAY DISTRICT.
_ ��•: I '� I �' RPOD.MA ESTUARY&AP
Q F.XISTIN3
O \ S /��I °�-9 DWELLING ¢2 g SEPTIC COMPONENTS SHOWN PER
/ J AS-BUILT CARD AND OWNER INFO.
F DST NG Pata — I D'1 FEMA FLOM ZONE: •AEe(12')&STEPS ;' ./y I'f MAP: 250DIOD752J
MAP EFF.OATF: 07/16/14
I( / PLAN VERTICAL DATUM: NAVD1968
& V� awx„ p"I ( WETLAND CONSULTANT:
$d l 1 r h / r�B•�.: =' _._._ l A,� ` ARLENE WILSON
/.� 'Y'F %/ A.M.WILSON ASSOCIATES.INC
20 RASCALLY RABBIT ROAD
MARSTONS MILLS,MA 02648
7 �9ph i AYYT C., \y ''sA�q I 508 420-9792
/ m p
WETLAND PERMIT PLAN
PREPARED FOR
PIAH LEGP.ND' DD'COAST aM.% J') /
cur"mm- °pTy ,3+ d' I/ �� I 5&5 BANTUIT ROAD
H-39.1 rrnlu sral cwux /` �8a'y / COTUIT GDATF ABLE,NA
um�n ftNC % O SCALE:1"m 20' DATE OCTOBER 1,2020
__..24..._._ EvsnNc oohouN }'39.2 ��OQ G`L--�•m
.IT REvmONS
DW� lEONS'�IlYnY3t �' - .
RE`AY BYSIEL AS-8110.T
• ,.. nRfRR.D W6UNt. .. ..
Y
" F: :C.WA%V Wt Stephen Doyle& Associates
P. 0. Box 621
East Falmouth Massachusetts 02536
Telephone: 508 540-2534
_.._..._ _.__.-------_ ........_..._� .___.—_._..._._.-...._... !J survey@coi.com