HomeMy WebLinkAbout0000 MILLWAY - Health 0.Millway Rd.
Barnstable
A = 299-03 9
I
a �
No. �,o 603
Fee
BOARD OF HEALTH
TOWN OF BARNSTABLE
ZippYication jFor Vern Cougtructiou permit
Application is hereby made for a permit to Construct ), Alter( ), or Repair( ) an individual well at:
Location-Address
Assessors Map and Parcel
Owner Ad ess
Installer-Driller Address
Type of Building
Dwelling
Other-Type of Building No. of Persons
fi
Type of Well t%` SC,Y1Al) Capacity � 1U1nn
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 Certi a e o Compliance has been issued by the Board of Health.
0
Signed Z02p
ate
!?q<LA.Application Approved By
Date
Application Disapproved for the following reasons:
L, Date
Permit No.W gUa 0 — 60 J Issued
Date
--------------------------------------------------------------------------------------------------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate of Compliance
THIS IS TO CERTIFY,that the individual well Constructed*, Altered( ), or Repaired( )
by QLS Y oy' ,\ A Q �\ I I�1 i r�A YNc-
Installer
at �i 1�1n:Mo �� 2-cn1 6 �
has been installed in ac rdance 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. jt110)-0 -Do5 Dated 2- -,-f-a D
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORILY.
Date Inspector
605 L45
No. Fee
BOARD OF HEALTH
TOWN OF BARNSTABLE
01ppYication _for VCU Construction permit
art ' Application is hereby made for a permit to Construct�JQ), Alter( ), or Repair( ) an individual well at:
Location-Address Assessors Map and Parcel
�dv3Y, n� '�jGc�S�'aki�, `i;uA F }c1�uc-� W0�4."Aa,r,-,is YYA 07-10u1
Owner 1 e Address
\d Q-\\ 10 6\\iYA � �.�1-'�0�. "2. $3? Ad—dress
M O z6 S3
Installer-Driller J Address
Type of Building
Dwelling
Other-Type of Building No. of Persons
5 „
Type of Well KWAO Capacity t IPA
Purpose of Well
v
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
Date
Application Approved By ` !� - 7-C�
0
Date
Application Disapproved for the following reasons:
}-l Date
Permit No. 11�J )�`� � � 6� � Issued � ^� � � �
Date
BOARD OF HEALTH
f TOWN OF1 BARNSTABLE '
_ Certificate of Compliance
THIS IS TO CERTIFY,that the individual well Constructed()q), Altered( ), or Repaired( )
by C�V-S Y^,no�d\ W Q-\1 ]D ti W nA 1rC
,p Installer
at ` 0 Y'�\i�kywOkt
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. W90-10 O05 Dated .2 -,1 ti ` c)
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORILY.
Date Inspector
---- ------- ------------- --1+9------ ---------•i-----------1e+ ------wee._sN ------------------------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
Yell Coufstruction Permit
No. Fee
Permission is hereby granted to (>-.SVVV%-4 \ao
Installer
to Construct(X), Alter( ), y�or Repair( an individual well at:
No. 0 W\VJ`°q Rc`
I Street
�aZQ- boy ::Z.
as shown on the application for a Well Construction Permit No. Dated
v
Date - y 2C) Approved By �"'�` 19 C1 9
�j
Legend
TOWN OV
BARNSTABLEPROPERTY MAPS Road Names
3000 300040 1
60 aiaE
71
x, .
look
2 Oe9
09
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4 y�
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Ma printed on: 2 21 2020 This ma is for illustration purposes only.It is not Parcel lines shown on this ma are only ra pti is
P P �'P Y P Y g 1 P P / / 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
0 42 83 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= 42 feet cartographic errors or omissions. gis@town.barnstable.ma.us