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HomeMy WebLinkAbout0172 CHURCH STREET - Health 172 CHURCH ST., W.BARNSTABLE A=153.033 o c o 0 i TOWN OF BARNSTABLE LOCATION / h .ST/L T SEWAGE# L7 VILLAGE ASSESSOR'S MAP&PARCEL/,S3 —0 3� INSTALLER'S NAME&PHONE NO SO$-S/20-97;fT JOS SEPTIC TANK CAPACITY )6161 .-LEACHING FACILITY. (type)] OD ��i�sn�!i"� (size) NO.OF BEDROOMS 3 OWNER,L?,, .DD/7 1 e�� PERMIT DATE: COMPLIANCE DATE: Separation-Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY �J/J QAc� 1 par, i • A . 13 l43 �o. � S� No. p_o aQ ��j Fee l V c THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes RpPlication for Mi!5poal 6p.5tem cou5tructiou permit Application for a Permit to Construct( ) Repair t�-)-<pgrade( Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No./72 �f#a \eIY Sr/QC15' Owner's Narne,Address,and Tel.No. ePIAPI Assessor's Map/Parcel/_3_Q� TW/��. s sJ / C� //2D 973, Sob-S27— GGo Installer's Na e,Address,and Tel.No sob'7 Designer's Name,Address and Tel.No. Jg; !'e l3..�os SS��2✓�� it/C Type of Building: Dwelling No.of Bedrooms ] Lot Size S 1) 0 1W ± sq.ft. Garbage Grinder ( ) Other Type of Building s� (i No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow min.required) y gp g ( q ) 3 gpd Design flow provided 1 d Plan Date f 5 Number of sheets Revision Date Title Size of Septic Tank X IODD Type of S.A.S. 13 aO �X 33 65 3 Sly Description of Soil Nature of Repairs or Alterations(Answ r when applicable) — /-/—20 A/— D Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date g o� Application Approved by Date Application Disapproved by: Date for the following reasons - Permit No. aoao?K1 Date Issued /o����Ila ., No. W V -� 1 Fee THEICOMMONWEALTH OF MASSACHUSETTS Entered in computer: 4 Yes PUBLIC HEALTH DIVISION,.! TOWN OF BARNSTABLE, MASSACHUSETTS: ^f ZIPPrtcation for M'i!5*A1 *Pztem Construction Permit I Application for a Permit to Construct( ) Repair(G)-Jpgrade(,-" Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No./72 �f111 .5e1KC/Y rR /_— Owner's Name,Address,and Tel.No. e Assessor's Map/Parcel J Installer's Name,Address,and Tel.No. /�1 J 3� re, r *1 ,5 f7~ 36 j� 7 Designer's Name;•Addjes and Tel.No.iL Type of Building: Dwelling No.of Bedrooms 3 Lot Size 5- f) U sq. ft. Garbage Grinder ( ) w Other Type of Building 5—flit,"� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ?j 3 gpd Design flow provided Vl 5 gpd Plan Date !' ��' a r Number of sheets D�l Revision Date Title x Size of Septic Tank X + Type of S.A.S. 3,rj ) 3 50Z) Description of Soil fe Nature of Repairs or Alterations(Answer when applicable) //V S IVI/=G(f Q Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in- accordance with the.provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date /�� /t� Application Approved by j Date /1h Application Disapproved by: Date for the following reasons Permit No. a�� —?, Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( 44 Upgraded (�)f Abandoned( )by at /�� �ifj//��f/ ���/'/— (�� j4`fr�j�/j /= has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ( .0 -;?n— /GJ dated Installer)/1,2—�1/..w -�/�/df�� Designer #bedrooms Approved design flow !3C gpd The issuance of this errriit shall not be construed as a guarantee that the system will undff on as designed Date 7 Inspector No. .C� �� 1! /j Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION — BARNSTABLE, MASSACHUSETTS 'Wi000l 6raem Construction Permit Permission is hereby granted to Construct ( ) Repair Upgrade Abandon ( ) System located at r and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. Date a 1 >'ll 1 a Approved by Town of Barnstable VIE Inspectional Services Public Health Division KAM t�ntttvsrat�, : • , ��' Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer& Designer Certification Form Date: t Z Sewage Permit# '0 2© - Assessor's Map\Parcel/s.3�_4 Designer: IBC Installer: p5��✓� Ql�yril�S Address: =Si4�l/���1 G �� Address:r On � /�� !/� �/�/"/D was issued a permit to install a (date) , (installer) septic system at 1 i f 4S� based on a design drawn by (address) rrZ&Zdated f - f (de 'gner) r I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in cornpliance with the to rms of the BA approval letters (if applicable) �aFpVs'A OF* DAVID y�N o D. Q FLAHER T Y, JR. N (�) 116r's Signature) No. 1211 01STER�o BgNITwPN esi ner's Si nature (Affix Designei-TIS`famp Here) g g } J PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. WoMdeptAHEALTMSEWER connecASEPTIODesigner Certification Form Rev S•I4-I3.DOC him Oka J CERTIFICATE OF ANALYSIS Page: 1 of 1 Barnstable County Health Laboratory (M-MA009) ACHv � Report Prepared For: Report Dated: 6/4/2012 Sally Desmond Desmond Well Drilling Order No.: G1267910 P O Box 2783 Orleans, MA 02653 Laboratory ID#: 1267910-01 Description: Water-Drinking Water Sample#: Sample Location: 172 Church St.West Barnstable, MA Collected: 05/31/2012 Collected by: Customer Received: 05/31/2012 Routine ITEM RESULT UNITS RL MCL METHOD# TESTED Nitrate as Nitrogen 0.47 mg/L 0.10 10 EPA 300.0 5/31/2012 Copper ND mg/L 0.10 1.3 SM 3111E 6/4/2012 Iron ND mg/L 0.10 0.3 SM 3111B 6/4/2012 pH 6.4 PH AT 25C NA 6.5-8.5 SM 4500-H-B 5/31/2012 Sodium 83 mg/L 1.0 20 SM 3111E 6/4/2012 Total Coliform Absent P/A 0 0 SM9223 5/31/2012 Conductance 650 umohs/cm 2.0 EPA 120.1 5/31/2012 -- Sodium level is above the maxium contaminant level. Those on a low sodium diet may wish to consult a physician. i-- -- -----`- _------ rBy: — Attached.please find the laboratory certified parameter list. Approved a (Lab Director) cl Z IS:2 77 \ Iry ND=None Detected .RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 f ti pF A CERTIFICATE OF ANALYSIS r� mi .k. Barnstable County Health Laboratory (M-MA009) [Recipient: Sally Desmond Matrix: Water-Drinking Water i Desmond Well Drilling Sampled: 05/31/2012 11:45 P 0 Box 2783 Received: 05/31/2012 14:55 Orleans, MA 02653 Collection Address: 172 Church St.West Barnstable,MA 1 Order#: G1267910 Sample Location: Description: 2day-172 Church St Lab ID: 1267910 Ol Date Analyzed: 5/31/2012 @ 9:55 Sample#: Analyst: yn Method: EPA 524.2 Dilution Factor: 1 Comment: Sodium level is above the maxium contaminant level: Those on a low sodium diet may wish to consult a physician. EPA 524.2- Volatile Organics by GC/MS Result MCL MDL Result MCL MDL Parameter ug/L ug/L ug/L Parameter ug/L ug/L ug/L Dichlorodifluoromethane ND 0.50 Chloroform 1.1 80 0.50 Chloromethane ND 0.50 ds-1,2-Dichloroethene ND 70 0.50 Vinyl chloride ND 2.0 0.50 ds-1,3-Dichloropropene ND 0.50 Bromomethane ND 0.50 Dibromochloromethane ND 0.50 1,1,1,2-Tetrachloroethane ND 0.50 Dibromomethane ND 0.50 1,1,1-Trichloroethane ND 200 0.50 Ethylbenzene ND 700 0.50 1,1,2,2-Tetrachloroethane ND 0.50 Hexachlorobutadiene ND 0.50 1,1,2-Trichloroethane ND 5.0 0.50 Isopropylbenzene ND 0.50 I1,1-Dichloroethane ND 0.50 Methylene chloride ND 5.0 0.50 11,1-Dichloroethene ND 7.0 0.50 Methyl-tert-butyl ether 0.82 0.50 1,1-Dichloropropene ND 0.50 1 Naphthalene ND 0.50 1,2,3-Trichlorobenzene ND 0.50 n-Butylbenzene ND 0.50 1,2,3-Trichloropropane ND 0.50 n-Propylbenzene ND 0.50 1,2,4-Trichlorobenzene ND 70 0.50 p-Isopropyltoluene ND 0.50 1,2,4-Trimethylbenzene ND 0.50 sec-Butylbenzene ND 0.50 1,2-Dibromo-3-chloropropane ND 0.50 Styrene ND 100 0.50 1,2-Dibromoethane(EDB) ND 0.50 tert-Butylbenzene ND 0.50 1,2-Dichlorobenzene ND 600 0.50 Tetrachloroethene ND 5.0 0.50 1,2-Dichloroethane ND 5.0 0.50 Toluene ND 1000 0.50 1,2-Dichloropropane ND 0.50 Total xylenes ND 10000 0.50 1,3,5-Trimethylbenzene ND 0.50 trans-1,2-Dichloroethene ND 100 0.50 1,3-Dichlorobenzene ND 0.50 trans-1,3-Dichloropropene ND 0.50 1,3-Dichloropropane ND 0.50 Trchloroethene ND 5.0 0.50 1,4-Dichlorobenzene ND 5.0 0.50 Trichlorofluoromethane ND 0.50 2,2-Dichloropropane ND 0.50 2-Chlorotoluene ND 0.50 4-Chlorotoluene ND 0.50 Benzene ND 5.0 0.50 Bromobenzene ND 0.50 Bromochloromethane ND 0.50 Bromodichloromethane ND 0.50 Bromoform ND 0.50 Carbon tetrachloride ND 5.0 0.50 Chlorobenzene ND 100 0.50 Chloroethane ND o.50 Labire Attached please find the laboratory certified parameter list. Approved( Director) (Lab D ) ECo�nta/inant ZND=None Detected RL = Reporting Limit MCL=Maximum Level Superior Court House, P0. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 Page 1 of 1 o' Massachusetts Department of Environmental Protection j Bureau of Resource Protection WELL DRILLER Please specify work performed: Address at well location: New Well Street Number: Street Name: 1 172 r �� CHURCHSTRE Please specify well type: Building Lot#: Assessor's Map#: / Domestic I r —� Assessor's Lot#: ZIP Code: Number Of Wells: —� 02668 City/Town: Well Location BARNSTABLE In public right-of-way: GPS r Yes r No North: West: 41.69644 70.37760 Subdivision/Property/Description. Mailing Address: click here if same as well location addres Property Owner: Street Number: Street Name: BRIAN 0 DONNELL� 1172 �� JCHURC H STREET City/Town: State: Engineering Finn: 1BAR NSTABLE MASSACHUSETTS —� ZIP Code: 02668 Board of health permit obtained: r Yes 0 Not Required Permit Number: Date Issued: W2012 012 5/30/2012 Massachusetts Department of Environmental Protection Bureau of Resource Protection—Well ell Driller Program Well CompletionReports(General)i � Well Driller - General Well Form DRILLING METHOD Overburden Bedrock uger Choose Bedrock-- WELL LOG OVERBURDEN LITHOLOGY From To(ft) Code Color Comment Drop In Extra fast or slow Loss or addition of . (ft) drill stem drill rate fluid F20 lFine To Coarse Sand 113rown BONY r Ye r Fast r SlowyjLoss r Addition 20 F40__j IFine To Coarse Sand 113rown (-Ye G Fast G Slow r Loss r Addition 40 60 Medum Sand Brown Ir r Fast G Slow r,L ss G Addition 60 74 Fine To Coarse Sand Brown _ Ye 0 Fast r Slow + Loss G Addition WELL LOG BEDROCK LITHOLOGY Visible Extra From DropIn Extra fast or slow Loss or addition of To(ft) Code Comment Rust Large (ft) drill stem drill rate fluid _ Staining Chips Choose Code Ye G Fast G Slow r Loss r Addition O Ye O Ye ADDITIONAL WELL INFORMATION Developed r Yes G No Disinfected I)Yes f No Total Well Depth 174 Depth to Bedrock Fracture Surface Seal TypeNone Enhancement G'Yes C:) No CASING P-1 Is Casing above ground. From: t' To: 10 — � From To Type Thickness Diameter Driveshoe 70 Polyvinyl Chloride ISchedule 40 O Ye SCREEN ❑No Scree From To Type Slot Size Diameter 70 74 Stainless Steel Well Point 0.012 WATER-BEARING ZONES ❑DRY WEL From To Yield(gpm) 27 74 I PERMANENT PUMP(IF AVAILABLE) --���� 2 Wire Constant Speed _ Pump Description Submersible Horsepower 3/4 i I Massachusetts Department of Environmental Protection ``•�� Bureau of Resource Protection—Well Driller Program 4 Well Completion Reports(Generall 1 Pump Intake Depth(ft) [69 Nominal Pump Capacity(gpm) [15 ANNULAR SEAL/FILTER PACK From To Material 1 Weight Material 2 Weight Wale Water Batches Method Of Placement Choose Material � Choose Material � -Choose One--—� WELL TEST DATA Time Pumping Time To Date Method Yield(gpm) Pumped Level (ft Recover Recovery(ft BGS) (HH:MM) BGS) (HH:MM) 6/6l20-- Constant Rate Pump 15 1:30 28 0:01 27 WATER LEVEL Date Measured Static Depth BGS(ft) Flowing Rate(gpm) 616/2012 27 115 COMMENTS WELL DRILLERS STATEMENT This well was drilled or altered under my direct supervision,according to the applicable rules and regulations,and this report is complete a knowledge. Driller THOMPSEDESMONDIII Registration# 764 —� Monitoring[M] supervising Drill Firm [MSMOND WELL DRI Rig Permit# 1023 �� Date Job Compl NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion. 0o*4/'2012 MON 16: 04 FAX 5083627103 Barnstable CTY HealthLab -•• Barnstable Health 0001/002 CERTIFICATE OF ANALYSIS Page: 1 of 1 Barnstable County Health Laboratory (M-MA009) ` ACHos�S/ Report Prepared For: Report Dated; 6/4/2012 Sally Desmond Desmond Well Drilling Order No.: G1267910 P 0 Box 2783 Orleans, MA 02653 Laboratory ID#: 1267910-01 Description: Water-Drinking Water Sample#: Sample Location: 172 Church St.West Bamstable,MA Collected: 05/31/2012 I Collected by: Customer Received: 05/31/2012 lRoutine ITEM RESULT UNITS RL MCL METHOD# TESTED Nitrate as Nitrogen 0.47 mg/L 6.10 10 EPA.300.0 5/31/2012 I Copper ND mg/L 0.10 1.3 SM 3111B 6/4/2012 Iron ND mg/L 0.10 0.3 SM3111B 6/4l2012 pH 6.4 PH AT 25C NA 6.5-8.5 SM 4500-H-8 5/31/2012. Sodium 83 mg/L 1.0 20 SM 3111E 6/4/2012 Total Coliform Absent P/A 0 0 SM9223 5/31/2012 Conductance 650 umohs/cm 2.0 EPA 120.1 5/31/2012 i I Sodium level is above the maxium contaminant level Those on a low sodium diet may wish to consult a physician. Attached please find the laboratory certified parameter list. Approved By: (Lab Director) o 2— � 1 I E l l NO=None Detected .RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 0.6 4/2012 MON 16: 04 FAX 5083627103 Barnstable CTY HealthLab --- Barnstable Health 4002/002 a -S` CERTIFICATE OF ANALYSIS U nf. Barnstable County Health Laboratory (M-MA009) i -- fRecipient: Sally Desmond Matrix: Water-Drinking Water Desmond Well Drilling Sampled: 05/31/2012 11:45 P 0 Box 2783 Received: 05/31/2012 14:55 Orleans, MA 02653 Collection Address: 172 Church St.West Barnstable,MA Order#: G3267910 Sample Location: Lab ID: 1267910-01 Description: 2day-172 Church St, Date Analyzed: 5/31/2012 @ 9:55 Sample#: Analyst: yn Method: EPA 524.2 Dilution Factor. 1 Comment: Sodium level is above the maxium contaminant level. Those on a low socium diet may wish to consult a physician. EPA 524.2- Volatile Organics by GC/MS Result MCL MDL Result MCL MDL Parameter ug/L ug/L ug/L Parameter ug/L ug/L ug/L Dichlorodifluoromethane ND 0.50 Chloroform 1.1 80 0.50 Chloromethane• ND 0.50 cis-1,2-Dichloroethene ND 70 0.50 inyl chloride ND 2.0 0.50 cis-1,3-Didh oropropene NO 0.50 'Bromomethane ND 0.50 Dibromochioromethane ND 0.50 1,1,1,2-Tetradhloroethane ND 0.50 Dibromomethane ND 0.50 1,1,1-Trichloroethane ND 200 0.50 Ethylbenzene ND 700 0,50 1,1,2,2-Tetrachloroethane ND 0.50 Hexachlorobutadiene ND 0.50 3 1,1,2-Trichloroethane ND 5.0 0.50 Iscpropylbenzene ND 0.50 1,1-Dichloroethane ND 0.50 Methylene chloride ND 5.0 0.50 •.1,1 Dichloroethene ND 7.0 0.50 Methyl-tert-butyl ether 0.82 0.50 1,1-Dichioropropene ND 0.50 Naphthalene ND 0.50 1,2,3-Trichlorobenzene ND 0.50 _ n-Butylbenzene ND 0.s0 '1,2,3-Trichloropropane ND 0.50 n-Propylbenzene ND 0.50 1,2,4 Trichlorobenzene ND 70 0.50 p4sopropyltoluene ND 0.50 1,2,4-Tdmed ylbenzene ND 0.50 sec-Butylbenzene ND j 0.50 1,2-Dlbromo-3-chloropropane ND 0.50 Styrene ND 100 0.50 1,24bromoethane(EDB) ND 0.50 tent-Butylbenzene ND 0.50 l 1,2-Dichlorobenzene ND 600 0.5o Tetrachlorcethene ND 5.0 0.50 1,2-Dichlaroethane ND 5.0 0.50 Toluene ND 1000 0.50 1,2-Didiloropropane ND 0.50 Total xylenes ND 10000 0.50 1,3,5-Trimethylbenzene ND 0.5o trans-1,2-Dichloroethene ND 100 0.50 1,3-Didhlorobenzene ND 0,50 - trans-1,3-Dichloropropene ND 0.50 1,3-Dichloropropane ND 0.50 Tochloroethene ND 5.0 0.50 1,4-Dichlorobenzene ND 5.0 0.50 Tdchlorofluoromethane ND 0.50 2,2-Dichloropropane ND 0.50 2-Chlorotoluene ND 0.50 4-Chlorotoluene ND 0.50 Benzene ND 5.0 0.50 Bromobenzene ND o.50 Bromochloromethane ND j 0.50 Bromodichloromethane ND 0.50 Bromoform ND 0150 Carbon tetrachloride ND 5.0 0.50 Chiorobenzene ND 100 Chloroethane ND 0.50 i € Attached please find the laboratory certified parameter fist. Approved By: . (Lab Director) �2�� ND=None Detected RL = Reporting Limit MCL=Maximum Conta inant Level Superior Court House, P0.Box 427, Barnstable, MA 02630 Ph:508-375-6605 Page i of 1 Y � I , Fee-��--1 ---------- BOARD OF HEALTH TOWN OF BAR'NSTABLE ZipplicationforlVell Congtrurt ion Permit Application is hereby made for a permit to Construct ("'f, Alter ( ), or Repair ( )an individual Well at: 3- 6-33 Location — Address Assessors Map and Parcel ` l /' Owner — Address A/&—u - —/�iL//l E !v� 3 ------- Installer— Driller Address Type of Building t/ Dwelling----------------- Other - Type of Building -------- No. of Persons--- _.---.----_—_—_____. Type of Well s?�h /4 Plle, YP ' ____------- - "-`"Capacity----��------��- ---------- Purpose of Well- _-- i 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 ertificate.of 9oppliance has been issued by the Board of Health. Signed -- ------ --- _ . /�- ^ Application Approved By date C� J-�=—-— ----- date Application Disapproved for the following reasons: date Permit No. �d Issued —__—__ date ------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certifirate ®f Compliance THIS IS CG�CERTIFY, That the Individual Well Constructed Altered ( ), or Repaired ( ) by =�ZQ2�—�� �— wit-�-------.__------------- -------------------- ��� Installer at--- 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 SATISFACTORY. DATE -- Inspector—--------—_---------____ ? 8 +--� No - - -� --- Fee-��-- ---------- BOARD OF HEALTH TOWN OF BARNSTABLE 2pplicat ion for Melt Con0tructionPermit Application is hereby made for a permit to Construct (✓f, Alter ( ), or Repair ( )an individual Well at: !� _�/ja/t'fi ST _f3AA2s�i5T�c°L�= _--.—_. AE3T J3-_3._------- --- Location — Address Assessors Map and Parcel Owner — Address Installer — Driller _— — Address Type of Building Dwelling Other - Type of Building- No. of Persons--- _.-___.____—__—__ T eofWell 4rh40 PUi"_ _ � capac oL Purpose of Well--- -TZs! __--� __ 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 ertificate of Compliance has been issued by the Board of Health. Signed date Application Approved By /t-vo � - / -— ----------- date Application Disapproved for the following reasons: --- --------------------------------— 1 /� / date Permit No.�n '_ d� __ _ ----- Issued— -� _!L_ 2L -_--------------- --.. — — - ---- ------- ---- --�---_----------------------------- — -- � date _ _ --- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( v), Altered ( ), or Repaired ( ) --In fler has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection t Regulation as described in the appliic`ation for Well Construction Permit No. _-_-__--------____Dated 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 Melt Cootructionpermit Fee- Permission is hereby granted— �` -5/.��r�- 'L- to Construct (t--), Alter ( ), or Repair ( ) an Individual Well at: No. - street as shown on the application for a Well Construction Permit / I No.- ! J --—_-- Dated �- " -------------- - V DATE v Board of Health I J . SNEFT / of .?SNEii'Ts' W— —F LEaCHV Wr ez.48.8 , A &A XI ��►/.7 .� Q-4ZS �r P.?oopoSEO i Ez--fss .SEw.vGE -Ty STE7y 0. ' t2:9rs:7 Et.47� 4/,9 lit 74 9 szav TiPeF ,V j E7fisTir�G ' ,LoT�z ,rv...rar►�i�• si� � So.00 Er• R.49. t oz.47 3 ? r w Wa WAY _.-- PRELIMINARY CI✓eTE EZ6✓�17i CERTIFIED PLOT PLAN 0 ,WEST B �nrsrA [E ,vlAss. LOCATION R. � •. .5 r SCALE . .{ ,�,,. . . . DATE•`1A,e+csr /978- `!/. PLAN REFERENCE . frF,•vG SWARD E KELLEY 637 s,�r WAI a,v A PGA ! F,e CUMMAQUID, MASS. . .EZiZABE7N OF EDWARD aF E. �rivvpATioN Y I CERTIFY THAT THE h7isT�NG No 2 t G SHOWN ON THIS PLAN IS LOCATED ON THE GROUNC 41 AS SHOWN HEREON AND THAT IT CONFORMS TO THE 4 QJsT�ya� SETBACK REQUIREMENTS OF THE TOWN OF . i SUR lfZ�?8AA�. ..... . ._ WHEN CONSTRUCTEE s - f/[Toni P HA roBt�.� DATE 111-4 /Z f TOWN OF BARNSTABLE LOCATION 17Z 4//'C_WS SEWAGE # '79- VILLAGE 4J, C/1195>`!1� !� ASSESSOR'S MAP & LOT 15 43� INSTALLER'S NAME&PHONE NO.&_/OZG IOZ SEPTIC TANK CAPACITY &-Oe GG LEACHING FACILITY: (type) rOd G,et Z,*c 4 41A04 -) (size) NO. OF BEDROOMS 3 BUILDER 0 OWNE PERMITDATE: IC> `7✓Z —�y COMPLIANCE DATE: I1 Separation Distance Between the: Maximum Adjusted Groundwater Table to the.Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) /� Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by J � 7� . ty O chi. i� 1 i� l TOWN OF BARNSTABLE LOCATION 172 SEWAGE # '719- VILLAGE �✓ G�C/lyl5�`d !G ASSESSOR'S MAP & LOT lam`43.3 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 1 0e �� L LEACHING FACILr Y: (type) f-00 G,rL Ze%c 4 11,kw 4.-i (size) NO.OF BEDROOMS 3 BUILDER O OWN); PERMPTDATE: ICE '7rZ —P/�! COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) /� Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of.leaching facility) Feet Furnished by 1'/7� to TOWN OF BARNSTABLE LOCATI011 17Z �WfC v�� SEWAGE # V)r:.AGE �!/, �CllYlS�`!�',��� ASSESSOR'S MAP & LOT UWALLER'S NAME&PHONE NO., CZ?rZcP1i`%e4esJ` SEPTIC TANK CAPACITY lono Cr, L LEACHING FACILITY: (type) f0Q GsL Lgmc4 44,y4-1 (size) 10'y-3v`7Ca NO.OF BEDROOMS 3 BUILDER O OWNE4.v���� PERMITDATE: COMPLIANCE DATE: lal 6 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) f�� Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by �p t V � 1 1;�3 _10 3�3 No. / V� Fee�v THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Yes Zipplication for Mi_qpool *pgtem Con.5truction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. /7 Z C s 7— Owner's Name,Address an Tel.No. Assessor's Map/Parcel �!� ® rr � � Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. j!:�017 1` 7?/-- '� Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder Other Type of Building fi C�No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow Ila gallons per day. Calculated daily flow 3 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank IeW Type of S.A.S. l Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued b his Bo of ealth. Signed 5Date Application Approved by Date A-a.-9'tis Application Disapproved for the fo owing reasons Permit No._� 't�' Date Issued �3 / NoA/O 6,9,r ?! V Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 3pphration for 35igpozaf braem Construction Permit i Application for a-Permit.to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 17 Z el--4,fich 57 77, Owner's Name,Address ano,Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: r Dwelling No.of Bedrooms Lot Size sq:'ft. Garbage Grinder( Other Type of Building l'�t�Sl �'� No.of Persons Showers( ) Cafeteria,( ) Other Fixtures Design Flow gallons per day. Calculated daily flow ' gallons. Plan Date Number of sheets Revision Date Title _ Size of Septic Tank � ,!.('/�9 Type of S.A.S. Description of Soil i .t° Nature of Repairs or Alterations(Answer when applicable) xr t Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-siteF'sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in:;operation until a Certifi'-'- cate of Compliance has been issued b his Bo of ealth. Signed � � Date Application Approved by - - --Dater bh-4�A -?,s Application Disapproved for the fo lowing reasons ' Permit No. 7 - G ?t r Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY hat the O -site ewage Disposal System Constructed( )Repaired(Upgraded( ) Abandoned( )by 44w, at 7Z C has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer _ Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date . ! _�'( Inspector �a5 No. �U � Ll' ------------------- l s7 ,J� Feet CJ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Digogar *pgtem on5truction Permit Permission is hereby granted to Cons ct( )R pair( )Upgrade( )Ab ndon( ) System located at l 7 Z tl' 4411-e- 41 5 and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date: C, - I-)- -q Approved by -� t J'7t3- Gb1-J�Lf✓� �— zpl� � L C di�� f ' 10/9/97 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT ENGINEERED PLANS) I, kpkel-- �7— leo- � Ilvhereby certify that the application for disposal works construction permit signed by me dated l�lzz��� , concerning the property located at 0 Z G��!/�G� 7` Z&r Aa/>'5'Ar'/meets all of the following criteria: t✓ There are no wetlands located within 100 feet of the proposed leaching facility There are no private wells within 150 feet of the proposed septic system 'e/There is no increase in flow and/or change in use proposed :V/ ere are no variances requested or needed. If the proposed leaching facility will be located within 250 feet of any wetlands,the bottom of the proposed leaching facility will=be located less than fourteen(14) feet above the maximum adjusted groundwater table elevation. Please complete the following: A)Top of Ground Elevation(according to the Engineering Division G.I.S.map) ' B)Observed Groundwater Table Elevation(according to Health Division well map) SIGNED: DATE: LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system.Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. q:health folder:cert LOCQTIOPI ' SEWO C-4E PERMIT UO. IW57ALLER5 W&NIE ADDRESS BU LDER 5 Q&V AE P .P, ADDRE 55 DNTE PER"IT 155UED Db,TE COMPLI &MCE ISSUED : ��T� :� a ���+ r ...w s �3 No................7Y v..... Fx$.... � ............. THE COMMONWEALTH OF MASSACHUSETTS BOAR®. F HEALTH ----------------�'1�f/.?.. ..---......OF....... Q� ------ .....'. Applira#ion for Bhipoii al Works Tomitrurtiun Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System or Locat' n dr4 j -------Lot No. Ownae Address nstaller Address Type of B ding Size Lot............................Sq- f9et Dwelling�No. of Bedrooms.._......_. .-- .........•.__..__..Expansion Attic ( ) Garbage Grinder Other—Type of Building No. of persons............................ Showers — Cafeteria Other fixtures ..---------•------------•------• . Design Flow.. .......: , ----•-----_•_.�__,, gallons per person per day. 'Total daily flow........21 Q.......................gallons. WSeptic Tank 4-Liquid capacity. M."gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area..............._ ..sq. ft. Seepage Pit No....I-------------- Diameter......../a..... Depth Belo m1e .� ......... Tota leachin area..,Z q. Z Other Distribution box Dosing tank ( ) 4 '~ Percolation Test Res#s Performed by..................................... -=--------------..._•----- Date........................................ aTest Pit No. 1.-4-2....... per inch Depth of Test Pit.................... Depth to ground water........................ fr Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a' ----------•---------•--•--• .. ............ .. .. .. •••• n Description of Soil...... j ....... - G✓rr�t a�! u.`�!�o Vs =�� ---1x-------. ,.P--• -•---------------•------•-----------------•-----.---------------- W ------••---•----------------•---------•---•••---•-•••--•-•-•------------•----------•-•------•---•--------••-••••-----------------•--•---------•------•-•--•-•------••-•---••••-------•--••....----....•. VNature of Repairs or Alterations—Answer when applicable................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of L ITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the.system in operation until a Certificate of Compliance has been issued by the board 9j health. Sign :f.-•--- . ..F•(------. _..._ i. a, Application Approved BY = / -. -fe`-5- 7� Application Disapproved for the following reasons:.................................................... '' �°' V11;! ..............•--•-••--••-•-•-----•------•------------------...............------•--------•-•--------------.................----••-•------•-----.......-••--•----•--•••--•--•--•------••-----•-•-•.-••-- Date- Permit No. ., •t;r-�,^;rep:: . .... Issued_ .... Date (7f No.-\J•-/// ?-.... Fizz.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD 9F HEALTH ' '� /i" ° '° ...---OF......... /'+21 .d ?e`''1 /J ApplirFation for Dispwi al Works Tonstrnrtion ranfit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System ....> .:... _:.: ............................. --------------------------------------•-------..........-----.. J Loca on" ddress J ... or LotNo. Owner Address -------------------------------------- ------•-•---------------...... ............................_.............. /Installer Address T e of B ildin Size Lot............................S . feet U vg ;2•---� q Dwelling—No. of Bedrooms-------------_------_._--__......___.._..Expansion Attic ( ) Garbage Grinder vy'�� Other—Type of Building No. of persons............................ Showers Pa YP g ---•--•-------------•--•---- P ( ) — Cafeteria ( ) Pa Other fixtu_res -----•-------------------------- - W Design Flow_._..__.._. 5.......................gallons per person per day. Total daily flow-------- ---------------._._._..._._gallons. WSeptic Tank J-Liquid"capacity Z4 __gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area............ :..sq. ft. Seepage Pit No..................... Diameter....... /'_..... Depth below inlet : Total leaching�area-_2.� q. ft. Z Other Distribution box ( ) Dosing tank ( ) - Percolation Test Rest? Performed by......................................................................... Date........................................ Test Pit No. __.____1.___- minutes per inch Depth of Test Pit..................•. Depth to ground water........................ (= Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R4 f 'f � > Description of Soil.....••-•--...... ... _.. r__ c...�-. --- - G:. `"'`'� ``� W x ----•------------------------•----•-•-•---•------------•-------------•--•---------••-----------•---------•-----•-•-----------------••-----••-•-----------------•----------•---•--------•--------•---_--- U Nature of Repairs or Alterations—Answer when applicable..._............................................................................................ ------------------•----••--------...-----------•----------------•------------------.....•-•••-•--•••---•-•--------•------------------------------------------......................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T I T T-Zj 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board health. , Sig drr '- / ----- =r�l .. •-•------ -.........------- ` --- i' _ �;` /bate _ Application Approved By.... ... ..:.................... � f_�z ..... --... o—. Date Application Disapproved for the following reasons:......................•___.._____...__._...__.__._......_..._.--_-_-__-_-_------------------------......._.._... --•---------------------------------------------------------------------------------------------------------------------------•------••-----------•--•---•-----------•--•--••••---•-•-----•-•------..-•- Date PermitNo......................................................... Issued....................................................... Date $ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r�. t........... _6 �,L �pfifirat e of ToutpliFanrr THIS IS TO CERT�FY, That the Individual Sewage Disposal System constructed (v) or Repaired ( ) by--.... ....................................... ------------------------------------------------------- - at--...-- _•- t�--�--•-/'-- ---1 "`^:J..._!. Instal '' `J,c%• l- `CC,G..Q J ��i ��>' /ll:f/y-t has been installed in accordance with the provisions of TITIZ 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No._' f' .... Lj�!------------- dated-3__`_-�_ .,:-_7: .._._.__..... THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.-•-•-•-•....................art .r. ..... Inspector...._ ............................... CC. THE COMMONWEALTH OF MASSAC US TS BOARD OF HEALTF� 1� aI.f........OF......... ` C`"`L 'Lt .l ( ............. .... .......•-•-f�` ...�...................... �� o Nb-'�...1.... .:.. FEE..... -----•-•--•-•. �i��la,�atl .�r�,��nn� nr#inn rrnti� Permission khereby granted....A.,Z=�--- :.� `� ------------------------------------------------------------------------------------ to Construct (�, ) or Repai `(/ ) an Indid1 Sewager iD spos System f l at Gt ..'• ls. r ...C.ti... . .L ict 1 r.�lt Street as shown on the application for Disposal Works Construction Permit ':.. Dated.:? 15 _... �`T /i --- •----- ---------------- - Board of Health DATE....................................................................--••••••••- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS \ •.. ti LN r ' I r LE 9CH D 01, 6Z.48.a a,T pox ,x! Ec4!7 f .. a,4zs r�r P,PoPosEo ° M FysT��y 4; �.4"' Ac ° \ �.S/.-¢ — ---� T. Ez c-v To OF f l E7frTliNG s ez.47.3 - E,nsn•JG ' watt, - -� C4. ¢.y 7 -'Rq JE[ED � T giftallIMINARYi1/oBAaj.Z> oN VA7-914f CERTIFIED PLOT PLAN UOCATION ,WEST 8Ar?n!STA�LE !vlAss. SCALE .- ! . . . . DATE ! ,qIL ! !4 i978 ivG LoT #.Z As . , EDWARD E. KELLEY PLAN REFERENCE . .�E...... . . .. . . . .. . . CUMMAQUID, MASS. 02637 syowry /) PL�t�r Foz �i LTry P, .4�.0 IZ/ZABE77-1. Al 114,-p.SLiv 41VD .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . `q1R�F i!9,Iss� ,2�•'�oeDb"D in/ PL.B� .298 �;' 4/ EDWARD L� 4 E. Vey I CERTIFY THAT THE hI�ST!NG' !r vrrDATioN No 2j»� SHOWN ON THIS PLAN IS LOCATED ON THE GROUND .41 AS SHOWN HEREON AND THAT IT CONFORMS TO THE 4 srE �y�� SETBACK REQUIREMENTS OF THE TOWN OF �� SUA� . . . . . . . . . WHEN CONSTRUCTED. DATE M.a4 14�y78 G� PETITIONER: ln/Esr Q.9eMSTigBLE MAss. REGISTERED LAND SURVEYOR L. .'s:.44.. .. ... . TOP OF FOUNDATION CONCRETE COVER CONCRETE COVERS . - 4',CAST IRON 12°MAX. 12"MAX. � PIPE (OR 411ORANGEBURG(OR EQUIV.) ` EQUIV.)— MIN. PIPE- MIN. LEACH • ' PITCH I/4"PER. PITCH 1/4"PER.FT. PIT. PRECAST LEACHING NVERT a INVERT INVERT p . AD Q•e` PIT OR SEPTIC TANK EL. 4?-3/ DIST. EL !Sq >_ ';% EQUIV. ,.o INVERT BOX ' 42 /000 GAL. INVERT �� oa o ;.�; 3/4"TOIVZ `e; EL........,.,. INVERT UW W o' : WASHED ° 3/' W STONE zo v-�' - - - - - - PROFI LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE /V'oTE— .Sole- Goa o(3T�9ivLsD F,Qor -3og20 oF.f/�L7I� �teb.eDS. SOIL LOG WITNESSED BY : DATETwE // /q 7G TIME._. ... .. . . .. . P,gc.C" '`we2'4,/ BOARD OF HEALTH ,. .74 TEST HOLE I TEST HOLE 2 ENGINEER i oDCoq y F,2 DESIGN DATA NUMBER OF BEDROOMS" TOTAL ESTIMATED FLOW . . '�?� . GALLONS/DAY Y BOTTOM LEACHING AREA 7B So . SQ.FT. /PIT SIDE LEACHING AREA . . .�BS So . . SQ.FT./ PIT GARBAGE DISPOSAL !Uon/E (50% AREA INCREASE) Sq.vp TOTAL LEACHING AREA .2�7 0o SQ.FT PERCOLATION RATE .L� MIN/INCH /44- LEACHING AREA PER PERCOLATION RATE .. SQ.FT. .!!!o .WATER ENCOUNTERED KELLEY CO. NUMBER OF LEACHING _PITS -. . TH�1Y�'g. .E'. S,OpVEYORS ENGINES�.pAi�ID DRIVE APPROVED . .. . . . . . . . . BOARD OF HEALTH ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' -346'I10'N . . . . . . . . . . . . . : . . . . . SOUrT#YARMOUTH# DATE. . . . . . . 02644 AGENT OR INSPECTOR 'PDRELIMINARY S.a OF pT4 ,rS�c TH s ti .Co T Z EDWARD . . ti C//zc// .ST WEST BAP�/STABGE� kEY ,A No.24260 No 23100 O A9o /ST�QFi 19GTon/ /�,gr�l3L�.t/ ,�c�STE��p �Fss�ONALENG\� PETITIONER WE3T,8ye.vsrABcc-'� �IRSS bhp SUR��'y a S — t k. f.t S" - v : ♦ 1 t - - - _ OFF - e i ,{ a., t d , ., r � - .. ._...... ..... .. .. vim- •;, Jr. 3 � doe :Fo— S. C - 1r , y t .y t • ���. �}G�� � 8 Q'� G-mil. �l..b �GY��-t-� " t2�� t� ► - 7r C 17 ......----- A. fan �. _ _ I G/,C►] Ill�a.i I�n� FFP in 'lei .. K / ..�..., ( I f i I i 1 • r ry ► f uc C.v.aL6� t-_t.e.� .tee ► 11 t-t _ . _�_ j I -74 IQ 00 t , °A Lk)) - t. f — J PROPOSED SAS. 13'x33.5' 3 NOTES: LOCUS DATA 60. 1.2, 500 GALLON CONCRETE CHAMBERS 1.) EXISTING SAS. TO BE ABANDONED IN ACCORDANCE WITH TITLE 5. CURRENT OWNER BRIAN & MAUREEN 04S? " i S 81*55'51 " E 34 !ti � \ 5.86' 2.) TWO TREES TO BE REMOVED WITHIN 0DONNELL NEW SAS AREA PLAN REFERENCE 287-100, 298-41 / PROPOSED D BOX DEED REFERENCE 21521-255 Ars 9- \_ 11779-272 � � �- -50- - — - ZONING DISTRICT RF LOT/ \� SHED tK FLOOD ZONE "X" / �/ ,� �� \ \ PARCEL A ASSESSORS MAP 153 / - \ \ 51,040f S.F. p x� PARCEL 033 ,aa- / / r/�� ° WEL �o ss \ .off / \ OVERLAY DISTRICT WP / � � �^ 9� o� � H i I � \ LOT AREA 51,040f S.F. °' S / I / / "' 150.0' i rn Lo 57 , � EXISTING 1,000 GAL.8 SEWAGE / S.T. TO REMAIN h / Z REPAIR PLAN 4. 5`'ttCHURCH STREET ,- 5� �� /' i OFM IN w\ / / / / o EDWAF D W. B A R N S TA B L E - 150.0' /� \ �/ / Q y, No.2BNE DATE: NOVEMBER 15, 2020 REV: DECEMBER 10, 2020 a, o \ // #172 OWNER/APPLICANT: z �� ,�� / / / // �A` 12' BRIAN 0' DONNELL GARAGE `� <�' WELL 172 CHURCH STREET J —56 _ WEST BARNSTABLE ( ' \ � � `/ ;� / / 20 0140 508- 367- 9097 SHEET 1 OF 2 149 �s _ 1 5 S 87° LOCUS s / 38 40 E PREPARED BY: / ------ N 54�� 165.02 - - - 135.29 EAS SURVEY, INC. S/85704A0 / S 85•04 20 W - —54 4.15 CHURCH ST. P. O. BOX 1729 to 1/ .32 ��\S 4�� S 87-38140" E SANDWICH , MA 02563 d ` 0 30 45 so 6 CHURCH STREET EXITS. 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