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HomeMy WebLinkAbout0058 SHEPERDS WAY - Health 58 Shepherds Way Barnstable - \ A= 258-013-003 i E i i �, r. YJ � 1 oJfd X�' �� ��Vif�"� 1 n ��i '��� � � �a� ��� Search foreMap/Parcel 258013003 TowR`of Barnstable t ��,For Parcel Number 258013003 d.,. �,� Rer tai� rs perty( lN)z Busl essrName � _ 77 77-7_ one aid Con rbutlon(YIN) >w a COntaRllRa'toe�Y� w i tr .' Phone Fuel Storaga�Tank Pe its " xf " w �� �� Card On File t .X' nave av' } Perc" ° _s� p CI(US t a aW Test ' nstructl%' 1, PAPy �� �`FllelPermlt No � ff � issuaR'ce'Date 'x ' lo 06/06/2006 _ p'nCom"Ietldn�DaYe a � �� 11/22/2006 � Slze'of Septlu - Type Size bf SAS (3)500G chambers j }, dank Y 1500 . � �`�-,�3��, �3 bedrooms Old see 05-574W�11 be house#58.pkm � 258013003 C)w AUSTIN JOHN BRADBURY proploc ;;0 SHEPERDS WAY k ._, # � .m - a�=- --ems- p Ino atiie/Alt ratl a ec nologSetic�S`�stems �hAWkngfe or x � .0 utte vd.. t _ f C � TOWN OF BARNSTAB LOCATION '(6r S!'!�.nF �C�� SEWAGE ��'' '• V"iiL'AGE �(� /> S a- 6°"Ii�ASSESSOR'S MAP & LOT�-S�©l3 mJ INSTALLER'S NAME&PHONE NO.. �C SEPTIC TANK CAPACITY /,5100 LEACHING FACILITY: (type) Z_AQ el cA&Mloje(size) S QC) ✓� NO. OF BEDROOMS BUILDER OR OWNER . Q pp�� n A lk!� l E q PERMITDATE: � ei ft COMPLIANCE DATE: Separation Distance Between the: -Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and LeachingFacility (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 i I f� ,�;, �/f � 1 - � � p r�r � - '` a� �� .�� '� e i � ;,,. � •. V .. { �1 No. :2.CrO 6 .THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: � Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZippYication for 30ioaaf &proem Construction Permit A cation for a Permit to Construct( air( )Upgrade( )Abandon( ) Complete System ❑Individual Components Location Address or Lot No. LOT'a �-- Owner'_ s_IVame,Addre�sTan�Te.No. 60 Assessor's Map/Par 1 r V 7 ��'r„S .y a 2d/ r Installer's Name,Ad o. C)13—00 3 esi er's N Address and Tel.No. ��?� I�GtTD�S I1ITC Zs _ Type of Building: Dwelling No.of Bedrooms Lot Size Garbage Grinder(AQ Other Type of Building ANEI DWE", No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date ��.118 S Number of sheets i Revision Date A_ Title Size of Septic Tank 16_Db Qell Type of S.A.S. S�t6lI f ![7/tH �2�.(�i9177fSs✓R'S Description of Soil c�tLOOM -2 sai L•Tl LORM Lfjfm Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees do ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisi of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been s y his and o H 1 (} Signed Date 0 (f Application Approved by T Date U Application Disapproved for the following reasons Permit No.^D M I Date Issued d jay AI� 'No. (1 �;(�. --.-......s:.; -- .., .r Fee - ��'' fi THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Y ` PUBLIC HEALTH DIVISION,`=TOWN OF BARNSTABLE., MASSACHUSETTS •61pprication for Congtruction.permit Application for a,Permit to Construct-a, 'Repatr( )Upgrade( )Abandon( ) Complete System ❑Individual Components Location Address or Lot No. [j?r or?(p f"ou'W .� Owner's Name,Address and,Tel.No:' Assessor's Map/Pardtel U.r s a 201 C,i kl3x1) L g pgo''l_ AI c , Oil Installer's Name,Address-and TeL No. U 3 3 ; esigner's N�e Address and Tel.No. �'"��Urt r p I�II�}-�-� A"Triq C'771iP S I/U C y� - "-mac 7 -l� E 0,EA1 AJQ , 1;'1,4 0d407/ Type of Building: Dwelling No.of Bedrooms ',3 Lot Size 6?-ro3= sq-.k. Garbage Grinder(NC) Other Type of Building %'FS. .DWELLII, No.of Persons Showers( Cafeteria( ) Other Fixtures Design Flow 33 D gallons per day. Calculated daily-flow gallons. Plan Date -7� c� D Sr Number of sheets / Revision Date Title Size of Septic Tank /5yo Wit/l• Type of S.A.S. ✓ Description of Soil; 6-Af l)i/ l/)/If'? 7 L$`1,LT-f 1.6Air) 1-n /�. ,'714AII)I,I`//t/f_; �.54All)t/ t O/9n72 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 s in accordance with the provisi ns of Title 5 of the Environmental'Code and`not to place the systern in operation until a Certifi- cate`of Compliance has been/As 'Ed�/by his hoard of�Health. ,. ' 4:t ' Signedi�1, ��1,/� 4Date Application Approved by /1N `' f Date , 3 Application Disapproved for the following reasons A Permit No. _)021 -_k�2 6 e , Date Issued °� 6!A1d 4 - THE COMMONWEALTH OF MASSACHUSETTS i BARNSTABLE, MASSACHUSETTS , 3Redrwm .' Certificate of Compliance THIS:-I_S_TO CERTIFY-that;the On=site Sewage-=Disposal,-System=Constrticted(4 )Repaired( )Upgraded( ) ,T Abandoned( )by �l O) �,t)A '!A'f C Ti}Ii�S, I AI C at 1/fil- has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.�GVG 6�dated t,�d Installer �l�jY� "�[)C7WS Designer FlWMW C. KF11 The issuance of this permit shall not be construed as a guarantee that the•systewill fu cti�o�n a}s�desine FU d. ,-- —� Date Inspector e�Ilan No. .�Ob�o '` �h/� —------- -------------------Fee' � tJ,� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS R �Dtgooa1� /*pgtem �Congtructton Permit f Permission is hereby granted to Construct(v).Repair( )Upgrade( )Abandon( ) System located at 077_' o�In 7l l= �l✓Jr �:7 t It 3'tt y" V i 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: r Approved by a No.----__---------- Fee---- --------------- BOARD OF HEALTH TOWN OF BARNSTABLE 01ppYicat ion ArVell Con5truction3permit Application is herby made for a permit to Construct ( "), Alter ( ), or Repair ( )an individual Well at: ovation — Address Assessors Map and Parcel Owner -------------------- —____—.---------- Address Col° ��x a -- - - Installer — Driller Adofess -- Type of Building Dwelling s—��'e - - ----------- Other - Type of Building--=---___._________ No. of Typeof Well -- .�_ Capacity___ C �� -�•.����___--_____—_ Purpose of Well---,;-4 —— 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 un ' a Ce ificat om liance has been issued by the Board of Health. Signed _ a _— Application Approved By e Application Disapproved for the following reaso -- -A) ��� ----------__—_—_ /- - -------- date Permit No. ——_ Issued—� J--.. - - ----__—_____._-------• date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS ERTI th di` That In b l Well Constructed ( Altered ( ), or Repaired ( ) c «�� y -- Installer has been installed in accor ance with the prov ions of the Town of Barnstable B a d f H alt�P ' e Well Protection Regulation as described in the application for Well Construction Permit No. � d-- ----------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE -— -- - —-- Inspector-- - —---- t ! s 6 No.------------V6 Fee------- ' ------------- - - +� BOARD OF HEALTH - TOWN OF BARNSTABLE Application-*rVert Con5tructionVermit Application is hereby made for a permit to Construct ( ` ' Alter ( ), or Repair ( )an individual Well at: -- � -___—-- t, Location — Address Assessors Map and Parcel ` Owner Address - _ ------------ -- r - -------- - - - -- -- — - Installer Driller Add ss Type of Building Dwelling _5_1-b!-- --------------------------- Other - Typpe'oofL�BBuilding--------------------- No. of Persons-------------------------- --------- Type of Well ______.�C__����_—___ _ Capacity YP -----•-- — Purpose of Well - - L _-_-------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The •-a Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation unti. Certificate om liance has been issued by the Board of Health. Signed _ -- "`- ---- - _—/o ��✓d G__ ke Application Approved By Application Disapproved for the following reaso :--------------------------------------------------_--------- --- ---------------------- date Permit No. `'`� ✓ ---- Issued-- /`;- -- I date ------------------------------------7---_------- ___e____--_-------_---------------------_------_--_-- r F. �a BOARD OF HEALTH TOWN O`F BARNSTABLE Certificate Of (Compliance THIS IS TO CERTIFY,,That the Individual Well Constructed ( 6/f Altered ( ), or Repaired ( ) by— � Gl Installer r d�� r—s� has been installed in accordance with the provisions of the Town of Barnstable Board P f Health Priv to Well Protection Regulation as described in the application for Well Construction Permit No. =-sated---------------------- is 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 -0-3 Very Con$truct ion Permit No. -� ----____— Fee-- --------- Permission is hereby granted ----- to Cons rucVrAlter ( ), or Repair ( . ) an Individual Wejl at; --------------------------------------------- �— Street as shown on the application for a,Well Construction Permit No.-_v� e , - ->-t� Dated--'�—`-.�' f - -— ---�----^-�----------------------- ----------- — -d- __ �,,2.r. fBoardyof`�Health DATE— �✓ — — CERTIFICATE OF ANALYSIS �•� 9, Page: 1 Barnstable County Health Laboratory. 9sstCH�55� Report Prepared For: Report Dated: 7/18/2008 John Austin Order No. 60847866 P n Box 472 Barnstable M.A 02630 S Laboratory ID.#_ t� . ' � 0847®6tD•�O1 Description: F1�a:er. Drinking Water iSample#: Sampling Location 58 Sbeperds Way Barnstable,MA Collected: 7/16/2008 Collected by-. J.Austin Received: 7/16/2008 i i Routine ITEM RESULT UNITS RL MCI, Method# Tested j Nitrate as Nitrogen 0.32 mg/L 0.io 10, EPA 300.0 7/16/2008 Copper ND n,g/L 0.10 1.3 SM 31 1 1 B' 7/17/2008 n t9 z cr„t 3; 7;: n��, Sodium 1] mg/L I 0 20 SM 3i11B 7/17/2008 Total Coliform Absent PIA 0 0 SM9223 7/16/2008 Conductance 81 umohs/cm 2.0 EPA 120.1 7/16/2008 pH 6.9 pH-emits 0 5.5-8.5, `SM' 4500 1-1-B 7/46/2008 .Neater.saniple meets the recamniended limits for drinking water of all the above tested parameters.. Approved By -— ---... 7'd t - t CID a r rn { 1.41)- Norc Deiccted hL = R;:purfin Li;pit MCL Contaminant 1,evel SUY)C for Court House, PO.Box 4-6'i, Barnstable, MLA 02630 Pei: ^OS-375-6605 EDWARD_E. _KELLEY 508 362 2266 P. 01 r Town of Barnstable �TME Regulatol•y Services q UANWAIUM ii Thomas F.Gciler,Director MA88. p 1639. ,$` Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office.. 508-862-4644 Fax- 508-790-6304 Installer& Designer Certification Form Date: / 4 o Sewage Permit# �©p � Assessor's Map1I'arcel U 33 cs&.3� Designer: T2xT�r,��„� /Z /1AAZZ S Installer: ple Address: Address: � nrs, ��fl • ���1(S O'a(o3� On4inns' � was issued aermit to install a daf� pller O) L septic system at �'`� based on a design drawn by a dress) w k�2 AG �Qf'Zs dated (designer) „ZI 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. Stripout (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, late ° location of the SAS or any vertical relocation of any component o the septic syste but n accordance with State & Local Regulations. flan revision or c .' I re as-built y desi er to follow. Stripout (if required) was inspected and the soils r fo nd sati ac o (I staller's Signatu e) (llcsigne s Signature) Af'f x t ( tamp Here) PLEASE RET'URN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT 13E ISSUED UNTIL BOTH THIS FORM AND AS I3UIL'I' CAM) ARF. RECLINED BY THE BARNS'I'ABLE PUBLIC 1iEAl..'I'1I DIVISION. THANK YOU. Q:1ScptieWosigner Ccrtifieatiwi form Rev 03-09-06.do-. (wit .253 13, f Ss D I SC�p I 3%A1 -rAt_c _ 1 r SINK SNf:tv�s 3W. � r rc sc.tsar/_ 1 �U4 t,6c+t 3. spa rcc;t�s N� 3w -. ..R.0 C 44 _ _ I t p 00 - � L f CPeC3f'N:c' c0 : Z AMP 6c{ (n �, .7 w- i - L r c_ FA _ I _I. I Ir - 4 _ • i - i . WASHER GETS ( 'WALE li✓dAIyJ Jcol I Fo am' 40 IN 4r-aor GHES PrL.L 'BAT4 BITTLETS �P _ _ S oX f- u COT "El q ou " ks �rl I �\ FR LiGci I _ _ 00 - !i U 1 — 1 I 4 - - s i — . . u , � .F M r i � F O - _ S!7 G I i In 1"G n F Ar-J L�LC H T L C i _ J ' L 1 G(A t lj 1 E c o 1 c) M 3 . e suppc. _ PrtiD WA STE -.. PIPETo -�•n- - - - . . _ _ � , A lT 1 c r o.�Kz F, .mow ..:. s s� l _ , W _ R _ _ u i I X- ICA/ALL Al Cnu7L i S �Fr/� Tn c FLo� �La � -- FLU N Go � t �F� 1 S 77 .3ZZ. 7/ / %4p I DIZ/VL W��I O E. ADD/T/oNRG TEST fkrCE To Bic -✓ I FIZt) HE' o F 19YCA ._N �NsT2c-,C7'1 N / 45?7-C F 4z_ rr^j s-t,iTA13L" uS fl7p / o Mtrrt l2/f)L i/J T�/L GE�Cr/ q/2�✓a Ani D S�l3Ey'nAll, fI SSESSoR S ti1/►� Z SG�/'� 1, `\ �_ G�GI/ ioP nF ' • Ra Qn/ /�L[ S/DE.S TO QEX?Cf7oV!7J /IN/> /ZCpllIG�G j G _ FcY�nfDRTiv = /,no. 1pl /&CEG. O/3 oc3 S 3 � _! � LR B,r ' � �, / r ` \ \' ` - r1,E3 • 'o'er �— 0 OF FOUNDATION / \ 2/ 1 _ coN�. cnvEas vary ( _` \\ \• \\ �\` \ C )Ir- -�., I.- ►- II -�-- '.% .S l�p ORSCHMXXE 40 rVG. OLY) � IL EACHING TRENCH�0 5' DJl_ N rim- MR ro'- uz WASHED SONE/ER}T. O 3S so i 3 \ „ ,' : Gas e�FSLE-► 3�'q`p`L-�•,o c�•C7 ; �1oL t EL_ vERT ��.d90 i�o:p� d o c•.o",b S SEPTIC TANK ._GAL_. �JG o7 DIST. p,r J=i 500Gal.Leoch w-1V2' E� 33.✓�0 �"� ?tLd'r 7 NoLE 3 /p•%„X �2,0 BOX ��SGS ( j)RflD Q er5 6'CRUSHED STONE wmber +�►91E� STONE I aVE1L I9oSG� QT, 32' / r � P- 9889 PROFILE OF GaO,NO w!—�A -AaLZ SOIL LOG SEYVAGE DISPOSAL SYSTEM 7rr,cx CRoZ $EC'710N Z�i� •' r Dar Noyz/ zAoo TIME /a:o°00 _ No S_a, LEACH„I s<—TRENCH I 4. - L�. 3� Sp 3 33 DESIGN DATA , S ELEV. ..... .. ve-12 t i. _ 7 wSRED � -36'YAI r l �r •r.•- ___ S N NU NL==R C= `_::7 L5 ." . . . . .. - 9 S+;?l. � 4Z..73,p8s 'D /3 TOTAL ES1mg7ZD FL?M ;�O .. Gk:ONS/DAY a" .35. ti.3 32tf Q cL J/,L7 yo 2 5 4/0.5� - "O_ 3 �..-__ , Y - 017.0" LE AC A;t A . .. 50,r�./-a-NCH 24. s.�O �- /-..�����_\--- 5_��l 4i, G �13c> j �0 2 SIDE ls.f:.`1ING Au't��-- 7-`'3�•--. >0.�./T�c-NCH % \ Z /]G�� P/,}�-1 I �'-r S 3 MGT>.5-17`�D/00 G.XArJ.['E DI5?OSAL .-flNE...(509'e AR-A INCRISE) �� Bere roy2�/4 zzztL �AL,AINZ %RE.A.�8... SC.. I��5�' s c`j ` �` °y 'EACOLA'ION aArt ,' ��RINM4^ 'Z�/o"� xCD S.C}.,1D LJ1C11 N C AREA P_�R ?"CO L.A-10 N rn/E.S ra/p % - GRCUNo •NGvI �3Lc 2/rJ(3 ur N v._ CW D Or McA ,n /✓O...W.% R EmCOUN=RZD Ds: WITNESSED BY S N . =11GIN_=R oOARD Or NJL7 4 Wy�� 7ZTSG � O SNE! eUS '.,�rf Ai1,4 � I � �;?'='��%���---- �•_�_ '-' \ -� .\ \1J \ \ _— ��� C=bkr/ar� Lam, 1�L1-E• ,(jf�TL!`!S. - . . �o' 'p�. °�� r � /1�f F =Z � a_1-,o:v=a : ,Tos�w M✓.�T/�/. . . o`� ,//( Z npC Q 26100 No. `a J / 1 / / TF ti /rl / -� r SOIL LOG I • e DATE TIME Z TEST HOLE _. .. TEST HOLE �... 9 LovS ' DtC. 30,2005 ELEV. 3?:oo ELEV. 71.4o Z- \ \ /3a x -5 \ \ \ \ \ Bo' covey SCcAv C v'yMAQC/rD /r7. - E_ ZF-1� 4009H 4LG j/ \ 2 MED. \ \ \ \ C .S/f AM /08 c x .f/L/ j \ cogf, \ WATER ENCOUNTERED WITNESSED BY : EYr S7/.�/G G2�DE \ \ BOARD OF HEALTH � �4 . ...:. ENGINEER s-�7Jo,., � fly! / .s P , \ /8 PZA)N /zE/': LaT "'-76, Z bvt �- 1