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HomeMy WebLinkAbout0246 SOUTH FLINT ROCK ROAD - Health *1WY114O,/" (Barnstable Fire Dist . �y Barnstable ` 2.�1 (, S. }-J\� Cc,G�G 1 A—i 314.0261903 y <: 1 1' - t w' � i, � .. + .. `•� S �T � ..t, ✓.X r _ TwTtT �.,:�� _ P — s Fr �k ; D ,� f'Y 'T k ri 'a �'.,a �. :y 4 .. 'yr T' •. _ t, •+t �, ry,. y' ,. y y '! r ,N l , { n n 0 s a v � , n , e. u „ ,. •ik �t �'. ..,. ,. S 1 V'9- �. .a' M:r• C .,s.a ah'• ._, , ' a " t, _ r S V. ,F ft . , ._r -.X:sv: s-. .. G .. a , N x ;.. > .. ..a r. � r r - •' a of g,ra_ w, k �=y w. ._ „� -.;� _..;� �.. �: _ 't� , �`�:a- 'K"J 3 " ca .. r ,..' ,:,.. a -.._ u K a t •yj�- "A.C �` ji .. .� �, .. - a c a,. r ,.f 1..'. a is �>M k • - e'r y F �. •,F t C n r5 f o a. 'Ni S fl n a 41. + r .n .A + , 1,f"., S,F�c, y,!ul _Y , d o . .n , No.— — ---- Fees ---------- BOARD OF HEALTH TOWN OF BARNSTABLE �z3 2pplicat ion-for Vefi Congtructi n Vermit �� s F�' - 1 Xcck Application is hereby made for a permit to Construct i( ), Alt ( ) or Repar n individua Well t: _ _ 1 - _ oa -003 Location — Address Assessors Map and Parcel 277q rg C t f=! - Owner Address ALL Installer — Driller Address Type of Building Dwelling ----- - - - —--- -— f-Building--------------------- erso s-----------._——__ _____.__: t� Type of Well Capacity--_ ¢._� Purpose of Well-- e-� eD 3C ►q-Q�34Dox� �� R � Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of th Private Well Protection Regulation — The undersigned further agrees not to place the well in operatio 1 Certificate o pliance has been issu by the Board of Health. Signe {'' U ate / Application Approved By ate _ Application Disapproved for the following re ns: --______ —------ vim, � � date Permit No. Issued date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate ®f (Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) Installer athas been installed in accordance with the provisions of the Town of Barnstable Board of Health a Well Protection Regulation as described in the application for Well Construction Permit No.U)-- meted-- ----- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-- —_ - Inspector---- —---------------- r No. -- ---- /// FeeJ_5-------- a BOARD OF HEALTH h TOWN! OF BARNSTABLE ,')2 � yl 1 7�y•9s:ryj x.94G, dx M `"'r/f ' leock lt�a'tton' orIVell CoOtructt hpermit Application is hereby made for a permit to Construct ( ), Alter ( ) or Repair an individual Well at: Location - Address _ Assessors Map and Parcel ­ ;k003 Owner p Address -.l�1 ---- - 1- �k�'- ------01- Installer - Driller Address Type of Building Dwelling -— -- - -------------------------- - Oflie-r-Trype oaf-building--=------------------- A1&r-o'('�''ersoo s----------------------------___ u x .: . :Type of Well—�— -- ----__- Capacity-- --��— - ---— Purpose of Well--- -TD B C lc BA 4 D O X-P Agreement: The-undersigned agrees to install the aforedescribed individual well in .accordance with the provisions of The " 'Town of Barnstable Board of th Private Well Protection Regulation - The undersigned further agrees not to _ place the well in operatio 1 Certificate.o Co pliance has been issue by the Board of Health. ? .;� Signe -- . p r -- - ate • Application Approved By — �!1_ f�' ___1_ _ k . ^ .date A Application Disapproved for the following re ns: - — - -------------------- --------- ----- - date IZ6 Permit No. ---- Issued - - T--------------------- -— ---- date -------------------------------------------------------------------°------------------------. t BOARD OF HEALTH i TOWN OF BARNSTABL, E ~ f Certificate ®f Comphatxcr x ., THIS IS TO CERTIFY,-That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) by----- ---------------------��------------------------------ __ Installer at--- -- ------- ------ --- has been installed in accordance with the provisions of the Town of Barnstable Board of Health - e Well Protection Regulation as described in the application for Well Construction Permit No.t)0/ �- ----------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE---- --- — - --- Inspector-------------------------- - ------- - ----------------------------------------------------------------------------- X BOARD OF HEALTH v VUTOWN OF BARNSTABLE ' ' ' l Vell Com6tructtonprrmit W No. - - Fee= ------- - Permission is hereby granted to Cons ct ( ), Alter ( ), or ir ( ) an Individual WellK.- Wtafi Street as shown on t�_appl'cation Eor Well Construction Permit / No.-- V n _____----- Dated - - -- — --------------------- - - -- -------- -...... DATE - Board�o�t Health Town of Rmstable Gc*;jmpXc Irfornalien 31 ns'n Aumact 1,200( F; r 314f125 31402,5004 3i4/326005 319050 ..� Z40*f ^_1=8`e 24JF33 91 e.1A'a—a =204 j=ao .- si 46 F314024�.L l 3_4051 3:4c1a6G04 x 50 1 ',296031i Es 3 0\ ( ei270� o t fl 3te003 i 6025 �• a a'e 314027e=1 &`0 314052 5 400 92 •o C±e3 60 ° 332010002 as " O' s• ea O 314022 314027005 at 15 =45 !`. 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O PS-52-92(2f.ote) ops pS 47-92 O .. PS 5-92��0 O PS-4 -92 PS-49-92 0 (1 :z fir. �.�� O DESMOND WELL DRILLING, INC. •� 5 RAYBER ROAD,BOX 2783 �' 1`` ORLEANS,MA 02653 �6�$ -p- .`` (508)240-1000 T�- 1 �: °R o c�L `Po N D