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Home My WebLink About0389 OLD JAIL LANE - Health ,;+k K'a.. :it �4„j. j x 4, :. { ...?'' r:. ,.k ,wr. � ..t,: rA{r t•, .�C °, t - :� 'a 1 e , w. , , a ,tx •,. .r. r , A � 3 {�,"d� xs ..•,+ .''Y"- ' 1 ., ,.'.,`,rr+l ' .,. r e .` 1� a .?� t1 F, r .�.i%" t., ��• x.�>;, n .�`mac s: r:x•t ,r z:�rt- > '.. .: N - ,�.� .n { ), ,. ,, r x•. .fir, .. r .. ' +, .. , V ; t s , r ,, �S ,. „ uF '", .. ,sf. � u.. -' s f .. ., ".Aw .. 1' • . tt . r .,`s' , y e f ., a. r „ •�� 4 1 t `•r ,T r ,.. ti V -Y' � tf„' r S. f � r .. !.:,_ �+ -- ' • f+ zx I, !r . , A . , r , f q • i i , 3• , ti, 4 •.if. .,ra � { t•? 9 �� 1'' t\, `Sfe 4 s .,.� a_ J i , d: r' .• ', .;.r ry n'y ' !R 1, t, L.y 't41. ', M1r .4 1 l.i r• '' i+r ir: .� � .e t it.,y, >• 'a'?' *g �� t • i ,� _ y� 1 - ::,•r n ,. , ,. ' .� ',:tF, .,.' x'.:9 .h .f., A i ti k ry 1r t k .,,.ii. .: ♦.. :. »: •'A ): a - _ :i - d^ 19, {q , S•' ,y"',t,:[, a• .,..wi;...:. n . ,:^:r. 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'- r .. - ��1...' .. .. - - _ _ ,. -. ,i � ! � �, � .. `, � .. 1r - � ,. a • .. , . Y:. c. _�.: ,.. .. yr, .. ._ ,. �.. - t ..,� : . _ h 't,. . ., .. � .. - �� ., �, ,a a ..... �, ,; x r .. .. ., � r , ' .:. c ,. , �r t . r ,. " . , . t Y F,. w .. � ` '< ' , ». -.'. r .' ' � � . M1 •, i ` ,Y.i .. , 4 11. .. �•I - `'- r ° Ir , , - ` r ,. f ' , • s .�.r, ' .,., ' i S ,f� .� f . v ,. _. ♦ � - - '�. - - i � .. ' • � �r� . f i. �. ♦ �' i- �r /� �: It �� u !� ,. ,}�. :1•'^ ., .. r t� - i t.' / _. - • • ' , 1. :. p ' t '• U. u :. r _. .. ��i 3 � � c n t �I � .. ., � _: .. , S �. � i \�� V-- Fee-- - - BOARD OF HEALTH TOWN OF BARNSTABLE Zpprication j%rVell Congtruct ion Permit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: Location — Address c Assessors Map and Parcel — ,Z6�C—C_ ------ —-- =- ----- -------------------------------------------------------- Owner Address Installer — Driller Address Type of Building Dwelling------------------------------------------------------------ Other - Type of Building No. of Persons _----------------------- ---- Type of Well —-----—------------- Capacity-------- Purpose ------------------------ - ofWell----------------_------_______--_�__-- 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 '- �- .. 70 a- O ® date Application Approved By — date Application Disapproved for the followin reasons:----------_-_--------------_----------_---_—----_-__-_______—_____�______�___._____ PP PP g — - — -- - a -- ------------------- date Permit No.-�1 -�f -- - ---- -—— Issued------ 7 -��.... — date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed/Al, Altered ( ), or Repaired ( ) l" ------------- C--- - - -s-�-C - ---------------------------------------------------------------------- Installer at-- 4—` -------C�-`'=� —---��► 1��. � -- —__ YLi'�---- has been installed in accordance with the provisions of the Town of Barnstable B a f ealt vate Well Protection J Regulation as described in the application for Well Construction Permit No. ated------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------------------------------—-------------------------------------------- Inspector-- - ------ ---- ---- -—___ 3 -- No.�--�------------- Fee----�------------ BOARD OF HEALTH TOWN OF BARNSTABLE Application-*rlftl C-ootructionpermit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: - - 0 4-2!�N---'^C� �L— —�" —------------------------------------------------P---------------------------------------------- Location — Addd'�r-etssss Assessors Map and Parcel Owner Address S2�N Installer — Driller Address Type of Building '. Dwelling---------------------------------------------------------------- Other - Type of Building------------—-------------------- No. of Type of Well----- — — -- - —--——--— - Capacity--------------------- — Purpose of Well ---- - -----— - -- -- r 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-' -� �= �. � .0 -------------- — -5a2 id 5 O ate ' ,�� , 9 � Application'tApproved By-;�-- --z=----;- --_----------'-- �=--�- -- -.;- - - -- ---=�_�"=��- • x� � / date Application Disapproved for the following reaso :-�!---- -- 4 date _�__ -.-----------PermitNo. _ Issued-----------------j�_ - V� date I BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed,(A<Altered ( ), or Repaired ( ) bY---------- ----------------i-Dr�.'�— -- — ' ------- - ------------------------------------------------------- Installer at- ?=��`— —(--*,--- _ =� - —'� - - � �8�5 �k ------------------------------------------------------------ has been installed in accordance with the provisions of the Town of Barnstable Boar of Health Private Well Protection Regulation as described in the application for Well Construction Permit No.!�!_-- �1::YOated------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------------------------=------------------------------------------------------- Inspector---------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Yell Con5tructionpermit __---- No. --- Fee C7 Permission is hereby granted----------!-N Ls----------�'`�=� `? - —``------ ---------------------------------------- to Construct (X), Alter ( ), or Repair ( ) an Individual Well at: No. - ------ ----- —-------------- - -------------------------------------------- Street �as shown o he application for a Well Construction Permit No.- v) - L ------------------------------}------- Dated-- -V)R" --/-/-,--/1------ --------------- o a ------------ ---------- Board of Health �- DATE _ r 3 r 4''Depirtnient of Environmental Management/Division of Water Resources WELLrCOMPLETION REPORT .�. 4s .WELL L'O ATOM _ GEOGRAPHIC DESCRIPTION t ,Address 14.r 't I S E. W of I> ,y re tl * it ow » �� r roadl Well owner 7Ft4. 11 Address N S W of , (mi.in tenths! �• erc,el Board of Health permit obtained: es no ❑ ulrersecr. w 11/� 9. p Y WELL USE WELL DATA Domestic Public❑ Industri I❑ al'al Aell�de)Dv��to . edroc � ft. - Monitoring❑ Other /. i�2 Water-bearing rock/uncoYlsolida� material: II Method drilled ` / Date drill el �� Description d Water-bearing zones: t CASI!VP 1) From /00 To 1-1 0 T y p 21 From To Lengthh&—ft. Dia(I.D.) in. r 3) From To fi Length into bedrock_ ft. R: aE Gravel pack w,ell;�/P di�lf I Protective well seal: Screen: / � , Grout-❑ Other Slot J length fr`o wA a_ STATIC WATER LEVEL(all wells) Static water level below land surface ft:/ Date "( err r WELL TEST(production weiis) DrawdowiL�ft. after pumping hr. av min.at-�?D_gpin How measured—Recovery tt: efter_hr. mlm o - I LOG of FORMATIONS COMMENTS 8 terials From- To T N d Driller 0 ?o Firm Q Address /(/la ta City/Town Dfl Supervising Driller Reg.# J i nature o!wPervising re istered well cirliler. P/es3aPnntfirm/y B, ARD-`GF HEALTH; COPY I"