Loading...
HomeMy WebLinkAbout0030 IYANNOUGH ROAD/RTE 28 - Health 3(� Iyannough Road A= 343-015-01 J i I �i I i i III. i - 0- = �� No. l t o Fe THE COMMONWEAUH'OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS es Application for Tigpogar *pgtem Congt uction Permit Application for a Permit to Construct pair( ) Upgrade( ) Abandon Complete System ❑Individual Components Location Address or Lot No.lb Owner's Name,Address,and Tel.No. Assesso ' Map/Parcel IV 34P3 )0 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms N G9" Lot Size sq.ft. Garbage Grinder ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) /1 !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 a ro ental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Boar of He ^� ''nn Signed Date Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. 2no n�a Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS certificate of Compliance THIS IS TO FY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned( by��I—ha ?,1^y at TA —5 has been constructed in accordance with the provisions of Title 5 3741 the for Disposal System Construction Permit No. dated Installer Designer #bedrooms N A— Approved design fl w gpd The issuance of thi permit shall not be construed as a guarantee that the system will f n on as signed. Date �b r Inspector (fW ——————— —————————————————— i �fq® ate-- No. Fe { Entered in computer: THE COMM ONW EAL'Y'H �F`^MASSACHUSETTS es �h PUBLIC HEALTH DIVISION -'"TOWN OF. BARNSTABLE, MASSACHUSETTS . f - Zipptication for Wgpoal *pgtem,Con!6-t UCtion Permit l Application for a Permit to Construct(%�) epair( )i Upgrade( ) Ab don Com lete S stem� , � / p y ❑Individual Components , Location Address or Lot No. 3� � L/_. -L�#, .Z Al Owner's Name,Address,and Tel:No. t Assessors Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. ,. 1 { b Type of Building: Dwelling No.of Bedrooms /!� Lot Size sq.ft. Garbage Grinder ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd j Plan Date Number of sheets Revision Date Title Sizelof Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: r i Agreement: «� t 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 ofth'e Environmental Code and not to.place the system in operation until a Certificate of Compliance has been issued by this Boarc�of HeakI/' - r _^ Signed ,��/�� Date - l V Iv Application Approved by / Date Application Disapproved by: ( Date for the following reasons Permit No. C�U' � Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO ,FORTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned( -')by —Imna't at 1(� 37a..J�jn YL� r has been constructed in accordance for Disposal System Construction Permit No. dated with the provisions of Title 5"and the Installer Designer #bedrooms /�- 1 Approved design fl w gpd The issuance of thi Y permit shall not be construed as a guarantee that the s stem will f n on as�esigned. Date u/f,, Inspector Nw 9- _ Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS xigpoaf *pgtem Construction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( E .)...--- ` System located at' )l., SC,I 7-CA ,n Oy� P #--ic4,� f J v f i and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Constructio must be completed within three ears of the date of this permit. P Y Date �/� Approved 8 13 14 JOINS PAGE 11 Rd �h � 15 e � 16 ;Israel:' ° eeas�\\ ``�♦ Littl � ` pper' I 3 I U a a D I a a Yi4R�10UTH ack Tr p (Pages 92-96) ` J � �n G1 Lu ber aG _ ? 'ate R 2 aaee 6 La Dnn .tj Gh - MERSMARL m I ve. A T t Ap ELEMENTARYSG rson s Cochziet y Rd Air o Jefte a v f MA s P RdQ SCIL /a o Wan ton m Chan I:e Gra Rd CAPE BARNSTABLE TOWN I A e CHAND r PLAZA MUNICIPAL I da kson ® AIRPORT Wa l 32 / Lin /n Hollan Ae E mw d ^a i I m c I m I pd " \„ <� L m t RO � �' / ♦ I I c _ 2 m. by 28 '»R� ¢RHda lleOt dNm a 4Np D �Fo 'oj BG� . ende ood 0k Oakw o e 3 I d Orchid o La La Horse- ed- 3 ,a` North ort v m y9a` �m 28 BrpO I Mall Pond Di SANDY a m Rd a` a Al q ° ° I Marshes BEA ina is m mY Ja mil St m `Q I 3 9 d mm race y g Y R Ac m¢ s I P O c o th ort d a m y tiIa ulber S �, a /qH 1 oc Pa hpv �H u ors o °T Elm .O S S comm raunad P°. ae go B a St Pi e n m 4N v m t o 4m St t -O Crock .. m 3m /p� St aR` do Chesfnut a acr w Lyn dlrr gS 9 , 1 level d s nway •�• Sh, - o o m HYANNI Rd M J nW Qr e7 - -°v m \ .m ;y FisherMILL $ . a ?.•- O: .EAST u�? Q i5 St'S p rP m ..- P F o I D 3La O HS _ E\m r ar f Qa o Astona a 9 .3 N ve v NSA\N Gle k S Y d _ _ �Y o � N.i . P.. �, v _� on St St_ s dd g a' iddl m Cir d.... -c e e lei3 OSt 28 nd 6 it{1 0 SOuth "m St N SPITAL C7 S oc or p fbe j O �� S�mly e�eq? bead a<a Pleasant °9 °o® .. I Trenton agar r a O i//o o• °'�� St N !yi h Booms D . N Gris 9 a s Hill La = `� HY-L/NE r"' �� Ro ¢t ', Rpun wo � �•� all���� TOWN RU/SES a e 2 adeton St HALL` cP nne- I Har r Rd 1 ° m m �o ° Bon Ct TEAMSHI r I bury st 1st Rd Pnn6e c.-. daC M/DD G 1\y C paQ . V 3rdRd a 9 9ao a'ey a ,S, o a' n in rac 0 9� Ml scHo m Priscil - Summers" eAlde a°Q� e � on Gy aim o o� �e o Rd oe 9 "�Ap moo ae• 'O�e Qa br�" m� 'odbu Sunn oll D N _ ea Shore R♦ t lff °ARKS�y _ dam o Yi♦cocR S� m ma es' S�� e�Fl q rnef S 9d�' TARAn'"-- rANN/S m st c C ok m m ` �1 d Q a rs nF �s 'LO l�al!'AND ` Marra Wa Cre`sc;e tip L' �e ♦ Fie yet, Q sic�m' IGG�; N Mal Q.£E au .�`' 0 eA ams St ms r F s; Vo o .c`P3P Le Is Blv i R o e _,c�*r`.ram B ACH ,ek 'x,�t s '� �- d a alle m ils n e °°�° �°m m° 5� Stetson. St ' A F nirr cWiJO` -C o So th ate Dr R G°snota m tson> St �• r S ;m t 7. c Norris St - O o -x /r° O J -Nfat ♦♦ U '.,£ y r` °tee �P ., m e orrisse, .. Stridle Rd ..R 3 m Dc A ve ♦ a t uy y i J nnI Ci am m r m m v: eta ♦ p"r i �p Thous �W .ea a �a a O9ve _ ♦ o r2s = s ILE .. �rren ��� utLM EACH ;1 ,� ♦� .v� n... >_- r - � .. XEYE,S�G �, � r '�Y -„,P RK � rs v. y ♦ � +0 s 25 "- �5 K�IµIOMETER; FBEA- asr�EEr '� Dunbar -olnt � �♦' J� f'� � f, t 4 � � .4 A Ilya nzs �,� �.� ff ,�♦ t �� �� Plne , � �♦ `- edar Island e t ------ ---/ r, \ iN r Iq 40 At r c 5 tiff °sc c -"AG " a ` i 1 • ai a Lr a •7 ' ~ fO ® of N •OAc If o 1.0a46 « j44L.• i . 29 V 404C .YG.I2t '1I 4Py.4 • ' � •� 684 .1. �REFAREq UNDER THE DIRECTION OF j� BARNSTASLE BOARD Of ASSENORS S �( A AVIS AIRMAP INC. 4 ( MASSACHUSETTS COMILCTICUT }t _ s - n a S- DATE: /� Z IP- 4i639,'A�� REC. BY Ti�9Crt Town of Barnstable SCHED. DATE: �/o Board of Health 200 Main Street;Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM LOCATION ( - Property Address: �0 16 ,� �aa�� 2=1 Z ) o,0 to o2� r 11&410i s Assessor's Map and Parcel Number: ?,fir 6/S Sr-O/6Size of Lot: 5S- �6 �/ ''� S 1� Ca,u b;K ecY Wetlands Within 300 Ft. Yes ✓ Business Name: No Subdivision Name: APPLICANT'SNAME: T�.�es (.O,Zn0>'S Fes. Phone 1'6"09) 3 z�S- 001 r Did the owner of the property authorize you to represent h�or her? Yes f�No PROPERTY OWNER'S NAME CONTACT PERSON Name: ,,, t 9- r �Zi` v Name: .0—weS Lit.uorrsa Address: /Soo et.^.0 oyTti �ou�t Address: �241 At&;st 5rep--f" / 7 Phone: Phone: ( 087) 3*;F5- 0 0 1 S- VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) V ec---% dwetf-Cr Ckse fO Guryfie= N _a arg, rvt 1-&-% 1 SS V 1'0 a fD 4 NATURE OF WORK House Addition 0 ????? House Renovation 0 Repair of Failed Septic System 0 Checklist (to be completed by office staff-person receiving variance request application) t Please submit copies in 4 separate completed sets. _✓ Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans)t Signed letter stating that the property owner authorized you to represent him/her for this request _ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meetidg date at applicant's expense (for Title V and/or local sewage regulation variances only) Full.menu submitted(for grease trap variance requests only) C:\Documents and Settings\decollik\Local Settings\Temporary Internet Fi1es\0LK3\VARIREQ.D0C DATE: / 2- a— ` FEE: REc- BY Town of Barnstable SCHED. DATE: Board 0,41ealth 200 Main street,Hyannis MA 02601 Office: 508-862-4644 Swan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM LOCATION Property Address: 72)O Q' A, .7Ya-4,41wItp G Zeal Z ROAe /'T bri&,Ali 5 Assessor's Map and Parcel Number: ?,3 16/S W O/6 Size of Lot: Wetlands Within 300 Ft. Yes ✓ Business Name: No Subdivision Name: / APPLICANT'S NAME: Phone Did the owner of the property authorize you to represent h4d or her? Yes %.X �No � PROPERTY OWNER'S NAME CONTACT PERSON Name: )W,1- r•ti 4- 11`1-_Nj3 ✓ Name: �a_ute5 Lo:ruors� �4�• Address: S-0��"cov e �a� Address: 3 241 A&;,z a.sH,`s !`7A 32�n slid bli° �/ O2 30 Phone: Phone: � off, 3 7S= D o 1'5— VARIANCE FROM REGULATION(List Rog.) REASON FOR VARIANCE(May attach if more space needed) NATURE OF WORK House Addition 0 ????? House Renovation 0 Repair of Failed Septic S�stem 0 Checklist to be completed b o tee staff-person receivin variance request application) P Y .�`� S Please submit copies in 4 separate completed sets. _✓ Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) C:\Documents and Settings\decollik\Local Settings\Temporary Internet Fi1es\0LK3\VARIREQ.D0C K Town of Barnstable ; P# �'2 �pFZHE rpk� h�P p Department of Regulatory Services saxrrsTaar.E. * Public Health Division Date S 0 MASS.ib39. a� 200 Main Street,Hyannis MA 02601 Qj Alfa MP'1 A .. 60 A-IM FeePd.�yy Date Scheduled Time Soil Suitability Assessment for Sewage Disposal Performed By: &&nTA✓ Witnessed By: LOCATION & GENERAL INFORMATION Location Address 3 o iI(n,IAO'l�L 10) Owner'sName (y\AIO � Address Assessor's Map/Parcel' / Engineer's Name �t/I/Ie# NEW CONSTRUCTION REPAIR' Telephone# -...- -_ Land Use Slopes(%) 0_3 Surface Stones t_4"__r9= Distances from: Open Water Body 1®L7440 ft Possible Wet Area 1 C ft Drinking Water(Well 00 ft Drainage Way `�a'l0 ft Property Line �`'� ft Other tt SKETCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands in proximity to holes) A PMM WITLA-4-> LOc-Af7o,1 L.O1 z LP Al OP i5®/Z Depth to Bedrock Parent material(geologic) 'rwCs�"��•w`� .�y G itB Depth to Groundwater. Standing water in Hole: (� 1 Weeping from Pit Face _ Estimated Seasonal High Groundwater to, i DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: " r g.4`a-.col in. Depth Observed standing in obs.hole: ��in. Depth to soil mottles: a! Depth to weeping from side of obs.hole: in. Groundwater Adjustment R• et Index Well#MivJ2. Reading Date::;_. �',�,_-.. Index Well level Adj.factor 3.i Adj.Groundwater Level-3,Sb PERCOLATION TEST Date Time Observation Time at 9" Hole# Depth of Perc Time at 6" Start Pre-soak Time a Time(9"-6") End Pre-soak + Rate Min./Inch 1 3P4Di� _ ATV Site Suitability Assessment: Site Passed _ Site Failed: Additional Testing Needed(YM) Original: Public Health Division Observation Hole Data 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:HEALTH/WP/PERCFORM DEEP OBSERVATION HOLE LOG Hole# Depth.from Soil Horizon Soil Texture Soil Color Soil Other Surface(In.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. anslstenov %�lravell. GZ SAD 1 -15/1l DEEP OBSERVATION HOLE LOG Hole# Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) 13 490 C Z 6AAD LoW-11I © MAD 14 047�4 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistences %Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Stricture,Stones,Boulders. Consistency.%Gravel) Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes Within 500 year boundary No_ Yes s Within 100 year flood boundary No_ Yes Depth of Naturally Occurrin>i Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? M5— If not,what is the depth of naturally occurring pervious material? Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Envir mnental Protection and t ne above analysis was performed by me consistent with the required train' ertise and exp nce de gibed in 3 R 1.5.017. S.ignatur Date 1� Q:HEALT}i/W P/PERCFORM .w WF 5 WE, qj �26 v1 I ]]1� \ SS9° W N/F h 7 \ 2' TOWN OF YARMOUTH x4 s O \111/ 7�C �, y _ ••� _, t'i, sa g .y,rl ASSESSORS MAP 343 \111, x2 WF \I�I/ N — PARCEL 17 WF WF#6 T1 P3 o . \1�1/ \III/ r" °• . . � ' s + wed ,ova L TAV& LO�� — '• • '. v 2, 9 WETLAND \I I/ R. OVERLAY DISTRICT: ... v� 24 52 S.F. UPLAND — ,g 27,349f T AL AREA 77 WF 7 \ ,,�, g _ \ / # \111, c,n� \I�I/ SS GP Groundwater Protection Overlay District �� T1 P 2 — rn ( (o 7K \ A r' if •?0 C i � "' 39 FLOOD ZONE: \ WF 8 Z F a , \ T1 P1 # F � Zone C \ WF s • � \ � ., Community Panel No. #250001 0005 C Aug 19, 1985 /— ASSESSORS REF. .\ .` s.Printed From TOPO!®1998 Wildflower Productions www.to .com �� \ WF# 2 `1 I Map 343 Parcel 015 & 016 LOCATION MAP: Scale: 1" = 2000' N/F w q WF#13 DMITRY & IRENA ZING / SESSORS MAP 343 PARCEL 15 ZY,350±S.F. 69 \ !y Q) WF 14 o 2,800 SF �0s60' WF#15 40 18.0' N/F DMITRY & IRENA ZINOV \ Nv� ASSESSORS MAP 343 ' PARCEL 16 WF#16 28,614±S.F. \ oo WF#17 \\I// 0 S �Q) SA S739, WF#18 Vv 796 0 o F O s0 2,8100 SF7 RFs FF el.: 18 0' , WF#19 — . ® Fq FRtr \ 7 F �• \1 I I/ \1 11/ Oy z \ 0 WF#21 00 C9 . 2 ® �� .Q WF#20 e � ;° , WF#` BENCHMARK: N w V HYDRANT TAG BOLT #216 ELEV.=16.17' (NGVD 1929) 0 ; YD \ y � � Q10 General Notes: / 1.) The property line information was compiled ZONE. _ _o from available record information. The topographic o� MS DISTRICT N/F information was obtained from an on—the—ground \ \ / REALTY OF CAPE COD LLC survey performed by CapeSury on or between Area (min.) 10,000 SF 021SEP104 and 15/SEP/04. Frontage (min) 20' 2.) The datum used is assumed local. Width (min) 100' Setbacks: 3.) The intent of this plan is to certify completion of work Front 20' in substantial compliance with Site Plan Review Side 10 DRAFT approval under SPR-081-04. Rear 10' Title Prepared By: Prepared For: Sullivan Engineering; Inc. p Sate: AUG 25, 2006 DRAFT PLAN OF DMITRY & IRENA ZINOV r-t- IMPROVEMENTS AT PO Box 659 500 YARMOUTH ROAD Scale: 1 "" = 20" 30 & 16 1yonnough Rood Osterville, MA 02655 r J HYANNIS, MA 02601 0 (508)428-3344 (508)428-3115 fax BARNSTABLE, (HYANNIS) MASS. info@sullivanengin.com Project # 26014