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Home My WebLink About0857 MAIN ST./RTE 6A(W.BARN.) - Health 857 MAIN ST West Barnstable A = 156 - 029 I TOWN OF—S Sewer Permit No. ., Name Location � .�� Installer's Name &Address i Builder's Name &Address ._ Date Permit Issued Date Compliance Issued c l No...� ...........X7 Fizic -Zo......... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH _ 93TOWN OF BARNSTABLE ,��lirtt t�ri fur �li��t�ul 3��jrli� Cna�><t;��r�rtinn �eruti� Application is hereby made for a Permit to Construct ( ) or Repair (w an Individual Sewage Disposal System at: ............�'J..............'qt'`)---•s.....�-- 1T--------------------•-•- --•---- ............�---".... R...........---•--•--._........-------------------• Location-Address or Lot No. -----------------------------•-••---•---•-------......-•-••'--'...-__.......------............... /7� Owner Address ...........WV-kJS,i'" itssl�1'L�Y "Ll'�i ly ...................... a Installer Address UType of Building Size Lot............................Sq. feet ►, Dwelling— No. of Bedrooms-----.7----------------------------------Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity_-__.-_.--gallons Length.-.............. Width---------------- Diameter---------------- Depth................ x Disposal Trench-- No. .................... Width..............------ -rotal Length.................... Total leaching area....................sq. ft. 3 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 Test Pit.................... Depth to ground water......................_. G4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -----------•-------------------•••------•••------•-•---••-...._..••--•-.........._...........•........................................._.__..�.. 0 Description of Soil.... ^-n....-'-..SO.d......•--Z^.y....... e� ."".. ------.Cis . 7.........._ � .............. x w _ x •-•-----------------------------------------------------------------------------------••-----------•-------------------------------------------------•-••-•-••----••-•-•-•--•--••-••-.._..............•. V Nature of Repairs or Alterations—Answ r when applicable._._5 .__._ __.i oaf.._......-5.-)._.-._ _._..p �`'`�.......... �. ........ t�y-� t2t1 �B.LS .......e!7 ......................................A� f� ------------ ---- -- l. ; ....... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has d b the�board ;health. Signed ..........................'ur..4 r: ... ... } ApplicationApproved By ............C� ....0.. ... ...:w,.� ...... ....................................................................... ........ Application Disapproved for the following reasons: .................................................................................................................. ........... ............................................................................. . .................................................................... Permit No. F3..-......��^G�.................... Issued ..............--...................... ............ �.e / Dace �.,s-.�..„.��.._.,,,_.... �,_ _-.�.aY,�•..Yb.:w:e.�....:,.-.-..�,.._.�.«�._.-�� ._ �.:k,�-uv-•w....ti�_.-...-:.:;r+,..w�.�..=�..:y.-.;...-.>1�,.E,.�.a..-�+�-'�:.-m..;L.«.t; -.:..::.,ae.:.wv..�v-..r.�,.......v..�._St • i THE COMMONWEALTH OF MASSACHUSETTS 1 BOARD OF HEALTH 9}TOWN OF BARNSTABLE Appliratiun for Diripntiul Wnrk.5 Tomitrnr#inn Permit Application is hereby made for a Permit to Construct ( ) or Repair (L,) an Individual Sewage Disposal System at: -•----------••--•.................•-••---•--••-••••......••-- Location-Address or Lot No. .....!�f1-�'.... Nor._eta• 5.---•---•----------------------------- --•--•......--.......... ...... �t owner Address W l \ 1C= ...........` ?��5 Q5? t2 L" _:.... Jhl�l/1 ...................... Installer Address Type of Building Size Lot............................Sq. feet ►.� Dwelling—No. of Bedrooms.....—3 ----------------------------------Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures ................................ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity---.----___gallons Length---------------- Width................ Diameter._-.._--.___._. l9epth................ x Disposal Trench—No. .................... Width.................... .Fotal Length.................... Total leaching area....................sq. ft. Seepage Pit No------------------ __ Diameter-------------------- Depth below+inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by----------------------------•----•-•••._..........--..........----•----- Date........................................ 4 Test Pit No. I................ininutes per inch Depth of Test Pit.................... Depth to ground water........................ (1;4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......................... R+ ....................................................... 0 Description of Soil `....'...............:-'..�.......Sir -----------`-... ._.'7-......�..........----•----..- _.. ................'... W r U Nature of Repairs or Alterations—Answer when applicable----� ?.5.� � _.__.__.. c�tar�..._._.__: �. ?,......'P*^n.......... ` .._.... �ca- r t.v 1 ---- -c i 7� 4' ----- T t�' �\�--( `Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with ' the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance h-a-s�been_issue �,Dnard of health. k Signed .....y�.... -''.�.-.. .......-----�'!- .... Dare ! Application Approved By ............. a�..��1..�., .............................................................I........ ......... - teY. . .. Application Disapproved for the following reasons: ...... . ..... .............................................................................. .. . . ........................................................ .................................. . ...................... ..... ......-........................ . .............................. Date Permit No. .. ....F -- .................... Issued ....... .-- .... ... ............ ..................... Dare THE COMMONWEALTH OF MASSACHUSETTS Z _ BOARD OF HEALTH TOWN OF BARNSTABLE (11wErtifira#e of CnIImylianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by .....- ` .1. . .t...`►.............ed"..�...._.. at ._......9 ..._.........�•�•tvl..... .....' ..... � C. '-`.....J ....... .. .................... ............._..... ..... ... has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ........9...3..—.� .. ... dated ....___------......... -------------...... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WIL FUNCTION SATISFACTORY. DATE _........... ..............�. ....__ �..... _..__..:.. Inspector rf`• :�-. �-ti �.r'?..�?� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No..�� FEE...��):-•----- J Disposal Works Tunotr ion "anti# Permission is hereby granted.....� � .`L:L � "3 to Construct ( ) or Repair _( )�an Individual _ewag_e Disposal System at No. `' �.� a ct f_£. •. ---- ----- .�-'�•--i l �..I I ................. Street as shown on the application for Disposal Works Construction Permit N. ._.3._�,�6. Dated........................................... --------------•--•-------•-----•----J_--- --*- ------------------------ DATE---...-•-----�=...V_ --------------------------•--•--- Board of Health , FORM 36508 HOBBS&WARREN,INC..PUBLISHERS ` � i No. -------------- f Fee--------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Z(pplication-*r Vell Cootruction Permit f Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: -------�J__?---_--------I Location — Address Assessors Map and Parcel ----------Owner ------Address ---------------- Installer — Driller Address Type of Building Dwelling----—---— ------------------------ Other - Type of Building----------------------------- No. of Persons----------------------------------- Type of Well— —--- —- -- - ----— — 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 f Co Tian has been issued by the Board of Health. Signed � —�' ,,.�-�- ----- ---- ----------- ---- '---�-� date Application Approved 13 -- ------ date Application Disapproved for the following reasons:----------------------------------------------------------------------- date r� Permit No. Issued-----------------------------�----------------- date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate ®f Compliance THIS IS TO CERTIFY That the Individual Well Constr Fted ( ), Altered ( ), or Repaired ( ) by `fit — -- - - - - --------- _-__--_- ------ Instal er / --------------------------------- 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 FUNCTIONS TISFACTORY. GG , � DATE------- — �_ -y —--- Inspector--- - —-— r`"""* 7i�^+v� X�e` .5 j•`! ' ti ti, ,. µ; .yti. �� y�.rr�, .�� f' h .. �,,, ... a .so.-r�,. ` -v �-,% -- aC --- ^fir✓ _• Fee------ - ---- ' BOARDS OF HEALTll '" t TOWN -OF BARNSTABLE - y AppiitationforWell Con5trurtionpermit Application is hereby made for a permit to Construuc�ct ( ), Alter ( ), or Repair ( )an individual Well at: ;Location - Address Assessors Map and Parcel —----------------- Owner Address / Installer Driller Address Type of Building Dwelling-------------- --------------------------- Other - Type of Building ---------- No. of Persons------------------------------- Type ----------- of Well-—-- ---- - ------- - 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 f Co>�r plian has been issued by the Board of Health. Signed - - - -- date-'�= ry Application Approved By— _ =r?- _ - date Application Disapproved for the following reasons:---------------------------------------------------- ----------------- -- —-- -------- -- = -- - -1---- ----------------- -- -- -- -—-- - ti date _� Permit No. ----- --'�- ~'"= ?------- - Issued-- date — a®11.1 6plw Q��@EY:1�'i�inllL::.-.�0s w sY.�aw�:'@m Y�w.a�!iY.i.�e�'�is'iNRll 3bb'@�'l"�TAP FlISI�YI.nI.IY Wns•P 4M�i4N vdRGO�w�B.i1O NIA��V iQ�4.i.�Q'®'QAC!�lY-a s�.0 Q. BOARD OF HEALTH TOWN OF-,-BARNSTABLE Certif Late Of Compriante THIS IS TO CERTIFY/, That the Individual Well Constr 'teed/(/P/), Altered ( ), or Repaired ( ) by ' Installer / at-------------- J— --- ---1 J 0---- —�"--'_ r_ -G - - 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 S TISFACTORY. �t DATE-----------1 --- Inspector-- --------------------------------—- - ---- BOARD OF HEALTH TOWN OF BARNSTABLE Well con5truct ion permit No. Cv------ 7ooeeo' Fee- ---------- � ,/� Permission is hereby granted ' <<"='-''r' _��'_'`�-------- to Construct (Alter ( ), or Repair ( ) an Individual Well at: No. --------- R �S7-'it=—-C 1-7 -___ 'l-r Al -_ �%!?--mac 1 - f == ------------ Street as shown on the a lica ion for as Well Construction Permit No. -- -- "=— "'=-------- - Dated-- - -'`- --------------------- of --DATE Board of Health ----_%1'�• _ �_--_ DETAIL \ _ I A Ss38S f-MHB FND ` h 41 R � ~• \` ti ryo' ,po LOCUS �lJ mce r EASEMAENT �� , fi4• s'•� STET grFoeF EXISTING SHED LOCATION MAP (NO SCALE) To BE REMOVED ROAD ,r �.3a.00 °o• ��.'S'� MANHOLE FOR REGISTRY USE Area = 18,133 sq.ft `� gaF A91�-9�" ABOVE 0.42 Acres ASSESSORS MAP 156 . PARCEL 29 If 0 ? F �Yr'Q CULVERT BUILDING ZONE. RF �, 5 5 l``y` �� oT��TF MINIMUM LOT SIZE 43,560 S.F. 6� e y MINIMUM FRONTAGE = 150 FT. ,�f `� o° 6,9 SETBACKS: FRONT = 30' �� 4c�, r1910-1 SIDE = 15' REAR 15' a �b�, MAXIMUM BUILDING HEIGHT = 30' PARCEL 30 FLOOD ZONE C, PANEL 250001 0011 D UPLAND AREA OF LOTS 1 & 2 = 94,409 S.F. LUCILLE B. MCCALLUM �P� r�` �, ROAD AREA = 18,133 S.F. DEED BOOK 5174 1' DIAMETER AREA OF WETLAND = 1288 S.F. PAGE 218 ��P }� G CONCRETE PIPE s TOTAL AREA = 113,830 S.F. ry�oti �,\o cuLVERT ?e PLANNING BOARD SUBDIVISION #741 • '� NOTE: NO TOWN WATER AVAILABLE 1.5' WIDE_ ORA AGE �5 DITC \4' WIDE DRAINAGE DITCH /y M LOT 1 UPLAND = 48,749 S.F. WETLAND 5 WETLAND = 1`288 S.F. TOTAL = 50,037 S.F. • • tim'3 _ r 1 .15 ACRES , ,. , a t ,.• wY ,,.. ; rp=• `y ,, �, SHAPE FACTOk 18.7 b t I . \ ti \ ' PARCEL 34 ►'�'�,!� .k W2s.00 JAMES F. ROBICHAUD ,d� Z,As�J DIANNE L. BARTER r, r� ,5 , DEED BOOK 7694 5k�r`'' \°ems PAGE 23 LOT 2 - 4 5 45,660 S.F. �} �•' "APPROVAL OF THIS PLAN SUBJECT TO } 1.05 ACRES �� ry0ti �sroNE WALL COMPLIANCE WITH COVENANT TO BE RECORDED HEREWITH" SHAPE FACTOR - 18.5 PARCEL 28 JOHN P. OWEN # DEED BOOK 7812 y" PAGE 20 ' APPROVAL IS REQUIRED c°°otio t BARNSTABLE PLANNING BOARD TE: t 4 kOltsyud s� Q3' DEFINITIVE PLAN OF LAND AFN� �90, I, __LINDA P.._LEPPANEN CLERK OF THE TOWN OF cF�T BARNSTABLE, HEREBY CERTIFY THAT THE IN THE TOWN OF: NOTICE OF APPROVAL OF THIS PLAN BY THE I CERTIFY THAT THIS PLAN WAS MADE IN �qi��, +r RECORDED APLANNING T THIS �FICEBEENARECEND I NOTED ICE ACCOI I,?A WITH R Y ;QF DEEDS O110 �,,' (WEST) BARNSTABLE.,ABLER MA OF APPEAL WAS RECEIVED DURING THE 20 REGU'I:� Tl XFFEG: AidL Y 1, 1976 DAYS NEXT AFTER SUCH RECEIPT AND 3 RECORDING OF SAID NOTICE. PREPARED FOR DATE \ ; / DAT° TOWN—CLERK 01 NI CKULA S BUILDING COMPANY d wn cape engineering, inc. CIVIL ENGINEERS SCALE: 1" =40' DATE: NOVEMBER 30, 1993 LAND SURVEYORS � a, z-is-94 Rte 6a, YARMOUTH, MA OWNER OF RECORD: DONALD NICKULAS P.O. BOX 507 W. BARNSTABLE, MA 02668 DEED BOOK & PAGE PENDING PREVIOUS DEED BOOK 1176, PG. 155 93-203