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HomeMy WebLinkAbout0027 FERNDALE ROAD - Health 27 FERNDALE ROAD Hyannis A = 290 - 009 N� ri i o e � 0 Town of Barnstable PO ' Departitnent of Regulatory Services t0 �b M P Public Health Division Date f 7 s'e79 200 Main Street,Hyannis MA 02601 Date Scheduled ' J / Time ` '_p Fee Pd. r� • rAJ S ► SuitaVIty Assessment for Sewage Disposal Performed•By:. ,re / - Witnessed By: Location Address LOCATION&GENERAL INFORMATION �4 Owner's Nnme X'0& HX41VA,PAddross Assessor's Map/Parcel: ®� Engineer's Name NEW CONSTRUCTION REPAIR Z Telephone 0 Lend Use- 7 Slopes(96) Surface Stones .. Distances from: Open Water Borly ft _Possible Wet Area ft Drinking Water Well . ft Dralhago Way ft Property Line _R Other R S1�TCII:(Street name,dimensions of lot,exact I.Ocatlons of test holes&pore tes(, Dent wetlands in proximity, to holes) Parent material(geologic) Depth to Bedrock Depth to Oroundwater. Standing Water In Hole: Weeping ft•otn Pit Fnao Estimated Seasonal High Oroundwater DETERMINATION FOR SEASONAL-HIG WATER TABLE, Method Used: Depth Observed standing In obs.hole: In. Depth to ttgll tngttles:DelIth to weeping from side of obs.hole: Ornundwaler AtiJuetment Index Well Reading Date: Index Well level Adj.thetor Adj.ptoundwdter Level ,,_ I Observation PERCOLATION TEST Hole 0 --r = Time at 9" Depth of Pere Time at 6" Start Pre-soak Time Timo(9"-6") End Pro-soak t Rate Mih./lach i Site Sal tab[11ty Assessment: Site Passed Site Palled: Additional Testing Needed(Y/IV) Original: Public Health Division Observ*dlon Hole Bata To Be Completed on Back ***If percolation test is to be conducted within 100° of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:\S BPTIC\PERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Shcl Color Sol[• Other Surface(in.) (USDA) (Munsell) Mottling (Slucture,Stoneif;Boulders. I st ietency.96'(3rayel) �bI RZj � DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soll Texture Soil Color Soil Other. Surface(in.) (USDA) (Murisell) Mottling (Structure,Stones,Boulders. Consistency.%Cia DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (MUniell) Mottling (Structure,Stoncs,Boulders. Consistonev. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Boll Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stopos;Boulders. Consistoncy, i • j • • t i Flood Insurance Rate Mau: Above 500 year f lood boundary No— Y s Within 500 year boundary No Yes Within 100 year flood boundary No.-,— Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring per aterial exist in all areas observed thrpughout the& area proposed for the soil absorptibn system? 1 If not,what is the depth of haturally occurring per lous material? . Certification I certify that on *menta (date)I have passed the soil evaluator examination approved by the Department of Eotection and that the above analysis was performed by me consistent with there Upired fining,a rg8h descriaed in�10 CMR 15.017. . Signatur Date Q:\9 EPT1C\PBRCPORM.DOC ' i TOWN OF BARNSTABLE LOCATION ?�/7 Fee/�'e 4 SEWAGE# 0 VILLAGE ASSESSOR'S MAP&PARCEL—� 0®9 INSTALLER'S NAME&PHONE NO. / SEPTIC TANK CAPACITY LEACHING FACILITY:(type) e®� (size)�a X NO.OF BEDROOMS OWNER .r4P41 PERMIT DATE: AA COMPLIANCE DATE: A2—.13—J> Separation Distance Between the: A ® 4"T��e r 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 %4 ricr M �: rq o N ri Ae '.< ® �JN ® ,c �Py TOWN OF BARNSTABLE LOCATION i/J�y©�� /�ieA,�i� SEWAGE # a VILLAGE At Z/—� ASSESSOR'S MAP Cz LOTa INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY /�G® LEACHING FACILIT :(type) (size) �d�G NO. OF BEDROO 4f PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER OLi I1�" DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 1 � `- �'! `� �\ � �. '� �. 4 J L/ No. 1 1 b Fee U THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:,_ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftplitatlon for -Misposal 6pstem Construction permit Application for a Permit to Construct( ) Repair(>� bpgrade(kT Abandon( ) ❑Complete System iidividual Components Location Address or Lot No. 7�' �h-ab�s'� Owner's Name,Address,and Tel._No. T�Q Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. TI pe of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building d �f��/Y�i� o.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd gpd Design flow provided ( �) gpd Plan Date p "�� /� Number of sheets Revision Date Title Size of Septic Tank ,���*1�/ �'O® Type of S.A.S. 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 Certificate of Compliance has been issued by this BoardoWealth. Signed Date �� /.7 Application Approved by C W, A Date G Application Disapproved by Date for the following reasons Permit No. / 7 3 Y k Date Issued U A _� ------------ - No. G ' q17 Fee U THE COMMONWEALTH OF MASSACHUSETTS Enteredincomputer: Y PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Application for Disposal *pstpm Construction permit Application for a Permit to Construct( ) Re)a`dr'(iX4pgrade((kT Abandon( ) ❑Complete System N6dividual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. Assessor's Map/Parcel � 1 a p p 9 /Yx- Ire�`'��� Installer's Name,Address,and Tel.No.— Designer's Name,Address,and Tel.No. Ze �,4G'i�' Type of Building: Dwelling No.of Bedrooms r Lot Size, sq.ft. Garbage Grinder( ) Other Type of Building �C6.�/O�'/�' i��lo.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided� ) gpd Plan Date /G'-",000,Z, Number of sheets / Revision Date r t Title �t Size of Septic Tank ype of S.A.Sc O,Jy-C-ZET•�` d~Description of Soil ,�Q' O P �� Nature of Repairs or Alterations(Answer when applicable) G�G� t/ icy✓ 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 ealth. _Signed 4X_ Date Applicatior Approve3 by 1 Date /0 , Application Disapproved by Date I for the following reasons Permit No. a / -7 - l� Date Issued /U 4.2 -1 ------------------------------------------------------------------------------------------ -------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded(X Abandoned( )by 07J!'yJ L EQ�oEvF J'��'T�c J,llyc, at /V.d ,/i��y, has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. )U 7 -1 Ybdated Installer S' y� Ze4o4p dr,-(0,A- Designer /�j�!/jQ '%'�j�j�O/"� �'.P #bedrooms Approved design flo . /10 gpd The issuance of this permit shall not be onstrued as a guarantee that the sys em will fun as esig ed. Date �� �;2 Inspecto --------------------------------------------------------------------------- ----------------------------------------------------------- No. a 0 i-7. 3'1 b Fee w THE COMMONWEALTH OF MASSACHUSETTS , PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction 3permit Permission is hereby granted to Construct O Repair Upgrade) Abandon( )� System located at cZ �O✓e �,�. �aze? and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. r' Provided:Construction must be completed within three years of the date of this permit. f Date ( 6 '/ If Approved by �" I r tiv1 Statement of Dwelling History Status The residential dwelling at 27 Ferndale Road, Hyannis, MA has been a four(4) bedroom dwelling since the dwelling was built in 1966 and shall remain as such in perpetuity. I attest to the aforeme tioned statement. Prope y Owner V Date (� �( �- Tr- MAN OJ KL'MAR CNATIRI Notary Public Commonwealth of Massachusetts !` My Commission Expires ALq,24,2023 Assessing As-Built Cards http://www.townofbamstable.us/Assessing/I-11Vldisplay.asp?mappar=2... J7 TOWN OF BARNSTABLE LOCATION_OW h- n.,eOd Z� SRWAGR P VILLAGE 'dfi.—_f ASSESSORS YAP Y LGTjS2-GV4 INSTALLER'S NAPE•PHONE NO. SEPTIC TANK CAPACTTY /OOO LEACHING PACK' /OOP �— NO.OF BEDROO PRIVATE WELL O0.PUBLIC VJITERj_ - j BUILDER OR OWNER, DATE PERMIT ISSUED DATE C011PmNCH ISSUED• VARIANCE GRANTED:Yo M f Print Page http://www.townofbarnstable.us/Assessing/printl7.asp?ap=0&searchp:.. "t this page •Owner Information-Map/Block/Lot:290/009/-Use Code:1010- Owner - MapBlock/Lot G/S MAPS 290/009/ SOUVE,NEA,SON J JR - - - - 27 FERNDALE RD Properly Address Owner Name as of 1/1/16 27 FERNDALE ROAD HYANNIS,MA.02601 _ - Co-Owner Name Village:Hyannis Town Sewer At Address:No GIs Zoning-Value:R13 - •Assessed Values 2017-Map/Block/Lot:290/009/-Use Code:1010 - - _ 2017 Appraised Value - 2017 Assessed Value Past Comparisons _ Building Value: - $122,800 - - $122,806 Year ( Assessed Value $34,700 $34,700 2016-$231,000 Extra Features: - 0 $2,000 $2,000 2014-$226,500 Outbuildings: 2013-$226,600 2012-$227,800 $70,900 $70,900 2011-$224,200 Land Value: - - - 2010-$261,300 - - 2009-$318,300 2017 Totals $230,400 $230,400 2008-$342,000 2007-$364,000 Residential Exemption Received=$90,532 •Tax Information 2017-Map/Block/Lot:290/009/-Use Code:1610 - - - Taxes Hyannis FD Tax(Residential) - - $564.48 Community Preservation Act Taa $40.03 Town Tax(Residential) . . - $1,334.34 - Fiscal.Year 2017 TAX RATES HERE $1,938.85 •Sales History-MapBlock[Lot:290/009/-Use.Code:1010 Owner: - - Sale Date _ - Book/Page: .. Sale Price: SOUVE,NELSON J JR - - 1986-07-15 C37977 $1 - - SOUVE,NELSON J JR C37977 $0 - - - •Photos 290/009/-Use Code:1010 There are not any photos for this parcel' _ - -• - •Sketches-MapBlock[LoC 290/009/-Use Code:1010 e S IIAS - L_ 21__ TQS2 J UAT As Built Cards:ctia card a to view:Card#I j •Constructions Details-Map/Block/Lot:290/009/-Use Code:1010 - Building Details Land Building value $122,800 Bedrooms 5 Bedrooms USE CODE 1010 Replacement Cost $168,167 Bathrooms 2 Full-0 Half Lot Size(Acres) 0.4 Model Residential Total Rooms 8 Rooms Appraised Value $70,900 Style Cape Cod Heat Fuel Gas Assessed Value $70,900 Grade Average Heat Type Hot Air Year Built 1966 AC Type None Effective depreciation 27 Interior Floors Carpet Stories 1 1/2 Stories Interior Walls Drywall Print Page http://www.townofbamstable.us/Assessing/printl7.asp?ap=0&searchp... FPL2 Fireplace 1.5 stories 1 $4,100 $4,100 •Sketch Legend Property Sketch Legend .. B2N Bam•any 2nd story area - FPC Open Porch Concrete Floor REF Reference Only BAS First Floor,Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished) FUS Second Story Living Area(Finished) SPE Pool Enclosure BRN Bam GAR Garage r TQS Three Quarters Story(Finished) CAN Canopy GAZ. Gazebo UAT Attic Area(Unfinished) CLIP Loading Platform - GRN Greenhouse UHS Hall Story(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front .UST Utility Area(Unfinished) - FCP Carport _ - KEN Kennel UTQ Three Quarters Story(Unfinished) FEP Enclosed Porch MZt Mezzanine,Unfinished - - UUA Unfinished Utility Attic FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story(Unfinished) FOP Open or Screened in Porch - PRT Portico WDK Wood Deck - - .PTO .Patio .. .. Microsoft VBScript runtime emor'800a01a8' - Object required: /Assessing/printl7.asp,line 153 - - - __ ... - a•'� [ •Legend ,TOWN• y • ' •ROPERTTMAN t 'Spot Heights(NAVD88) Imennediab C.M n;(NAVD88) 269092 02 index Contou a(NAVD88) B 269091 V "0 ti ^(, Parcels \—Town Boundary A 40 23 -Railroad Tracks ■Buildings i Painted Lines FEND ACE Rp A >'C' 290008 Parking lots .. Drt—y9' .s, •um . y Roads �•''�sT s.., 3. i.a"...duwm . 290007Y� Streams AN ,� Marsh ,�/yy ■Water Bodies 290009 -G.• ? 2?0117 ` S 9771 927 1'(<. }' 290010 J 862 290011001 024 . 290011002- - - 26907d IF - 959 MaPPhnnd.n: s0/11/"17 Tw mapbfw lg..vw..•m•.e.nq.nbem rnaa 0.e.h.w.onmbm.•m•..btPmob - TownofBa.tble GlSUnk . PM Benbr dmdemmlv.tlm rcpnOm.dAomoY.rnpwl.TnpOma 6 O 47 83 bo8-862-4624 Aoaem .. - emrm�co.dtdo..md m.yamt b w.bo0dbal.ntlmn Appiox.Scale:i IDCL=42 fee[ O urtop.phieannwmd.m... BIs42lown.harnstablama.Us . V. � .T �� o 4- Town of Barnstable .°C.IME T°'wti° Regulatory Services + + Richard V. Scali,Interim Director + + + BAMWABL& �$ M'S g Public Health Division 1639. �0 Th6mas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: 10 ((_ zo • Sewage Permit#AcV-7— OV' Assessor's Map\\ParcelZ CCr) - - Designer: �� Installer. Address: Address: On tz '()T7 /" was issued a permit E tall a ��� p o install ( ate) (`installer) septic system at based on a design drawn by (address) MW dated (designer) 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 construct —"A_:�`*,fiance with the terms of the IAA approval letters (if applicable) s���t�QF�l44gS1_• ' o� DAVID 0 r g NIASON m (Installer's Signature) No.loss q , .i (Design s Signature (Affix Design s Stamp Here) 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. Q:\Sepric\Designer Certification Form Rev 8-14-13.doc 1 ASSESSORS MAP: �q� o € , TEST HOLE LOGS PARCEL: --- 1) The installation shall corn pl with Title V aria 'town of� r � Board of FLOOD ZONE: I�•�v i `Y✓C� ��'�/ SOIL EVALUATOR: r J I lealth Regulations. WITNESS: �� r i1�. V�t• �, - j` 2 The installer shall verifythe location of utilities, sewer inverts and septic REFERENCE: �f �'��� DATE; f ;° ��;; ' t' ' fr, "`: J ) components prior to installation and setting base elevations. PERCOLATION RATE: '� ;� ! , .�- �.._- .� � ,.. 3) All gravity septic piping to be 4 inch Sch 40 ['VC at 1/8 per foot. The [first 1 j� two fect out of the d-box to the icaching shal I be level. i 4) This plan is not to be utilized for property line determination nor an other TH- I TH-2 y purpose other than the proposed system installation. � kk.. � 5) All septic coin specifications. 6 ) Parkin components must meet Title V speci g shall not be constructed over 1110 septic components. '/j-� 7) The property is bounded b property co - l ��' P P Y Y P P Y comers and property tines. - �. 8) The property owner shall review design considerations to approve of total LOCATION MAP _ � design flow and number of bedrooms to be considered for design. Receipt K4Tof payment for the plan and installation based on the plan shall be deemed /Dl�q ,- A l approval of the design flow by the owner. 9) The existing leaching or cesspools shall be pumped and filled with material --' ✓ 1� per Title V abandonment procedures. Those within the proposed SAS shall t. be removed along with contaminated soil and replaced with clean sandper ) #Ll ` t ,� l Title V specs. - -- 10)System components to be [0 feet from water line. Sewer lines crossing the j 1oQ' tip." i� "` water line shall be sleeved with 4 inch SC1140 PVC with ends grouted if applicable. The proposed SAS is being installed below the water service line. The line is to be sleeved as aforementioned and maintained in place. SEPTIC SYSTEM DESIGN 11) If a garbage grinder exists it is to be removed and is the responsibility of the 0 owner to ensure such. �...� T ' FLOW ESTIMATE 12)The installer is to take caution in excavation around the gas line if such exists. /k / —� 7— lines AT 110' GAL/DAY/BEDROOMls' GAL/DAY 13)Tne installer shall verify the location, quantity and elevation of the sewer 6 5v 5 _ lines exitin¢the dwelling prior to the installation. �C) ���` SEPTIC TANK 14)This plan is representative only that a system can fit on a property meeting { i 'Title V requirements. + GAL/DAY x 2 DAYS - ' GAL I USE " + .% GALLON SEPTIC TANK ! SOIL ABSORPTION SYSTEM It%OF --A SIDE AREA: t-� ��, _` I�(� 1 r DAVID ty - _ _ . _p c. T) , BOTTOM AREA: , -, MAso B. r� l 'r SEPTIC SYSTEM SECTION00 =- 1ti 6n!�f, 71. Ur D- GAL y ILI � _ SEPTIC TANK ` 1 1 1 _ i C3 i I 73 x 1l, {!� SITE AND SEWAGE PLAN LOCATION : "1� �� lVUVV T/ PREPARED FOR : -'..j1N' • �_ ,, � ., , -_- 1 i SCALE DAV 1 D B MASON R DATE •1 � 117 Jl DBC ENVIRONMENtfAL DESIGNS ` Z EAST SANDWICH . MA DATE HEALTH AGENT 508 ) 833- 2177