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HomeMy WebLinkAbout0028 CONCORD LANE - Health � �' � onCo��� � � � �- _�, © s �e� y , < �. � 12� -,�o G r r { I v i I I .I N SMEA KEEPING YOU ORGANIZED No. 12134 2-153L'GN FORTAJNABLE EE5STRYY MIN.RECYCLED INITIATIVE CONTENT10%� DrUliied Fiber Sourcing POST-CONSUMER WMAfipropram.or0 S1 012C0 MADE W USA GET ORGANIZED AT SMEA -MM TOWN OF BARNSTABLE LOCATION S LX SEWAGE# 1' 4 VILLAGE �C,L- 11 L.La ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY -S G , L �T LEACHING FACILITY.(type) e-T-F K� NO.OF BEDROOMS OWNER��OLL�I�I� 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 00 \ I 110 I, t 2C1,j LK,J No. 0 � f() Fee f � -7f In THE COMMONWEALTH OF MASSACHUSETTS Entered incomputer: es PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pplitation for Disposal 6pstrm Construction permit Application for a Permit to Construct(/f Repair( ) Upgrade( ) Abandon( ) ❑Complete System 01ndividual Components Location Address or Lot No. nC��-� Lay1Q Owner's Name,Address,and Tel.No. ��S/-99f!_. 006 Assessor'sMap/Parcel/,2a -1,06 Installer's Name Address,and Tel.No,SO$'`�l ag- Designer's Name,Address,and Tel.No. da o�6(�C:�nS �1� g US�rrlfuSEry A/1 Type of Building: Dwelling No.of Bedrooms U" f Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) v f gpd Design flow provided j� gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature A�of(Repairs or Alterations(Answer when/applicable):Yh S6i Y>a) SQ 4"p 1r 01 a,% Ji r.r�., f'A.-, 04 Celt-1�lJY'� 1�'I��C(�Gc^ln '�'C� C�1C.fS�'I�pCi �!J'�IC_ `t'Glnis� •J / 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 aad=t to place the system in operation until a Certificate of Compliance has been issued by this Board of Heal Signe Date /.2 "0a J.'2/ Application Approved by Date ;Z Application Disapproved by Date for the following reasons Permit No. j- Date Issued a �, 1 a C l 1 No. 1 U !" L� ( 7: Fee / _ ii44� —7 y THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION- TOWN OF BARNSTABLE, MASSACHUSETTS 1p�Itatlott for jBIspoBal 6'potem Construction Permit Application for a Permit to Construct(.-) Repair( ) Upgrade( ) Abandon( ) [:]Complete System Individual C mponents 7c , Location Address or Lot No. n���� T)Q Owner's Name,Address,and Tel.No. nr7 V- Ga t�. 1 %>6ler a'�5 C nCc���,/Gn• Assessor's Map/Parcel/,2 9. -/�G v (!S+_-,,rc Qua . N)A v aw,ss* t~"« Installer's Name,Address,and Tel.No5O8-1/99- $9--Co Designer's Name,Address,and Tel.No. (>or ko�s�..�ns��c.�-icm, nr• �IS?..rr�t,�f ry�' ` Type of Building: � q Dwelling No.of Bedrooms J" E /+ Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures , Design Flow(min.required) Iv `�" gpd Design flow provided fylj ' 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) .lnSIO&OP-10 S.a uV r" r,;r r rn, rrurr �+-Q. rl�la ac"i�1011 U,1VA1_Jrrw_1 + i aeoff•f"t ` aok. �j t 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 offHee'alltth..--_-_� - �, Date d.2 f,2�_ Application Approved by �1U _ Date ! / .9�1�7f Application Disapproved by r Date i for the following reasons U ` Permit No. d) /— 1 S Date Issued I a, /,A THE COMMONWEALTH OF MASSACHUSETTS for `t'�°�` }�^ BARNSTABLE, MASSACHUSETTS ��P ttt ••�c�E� rs1-7r7 (Certificate of Compliance THIS IS TO CERTIFY,that thee`On-site Sewage Disposal system Constructed(✓ ) Repaired( ) Upgraded( ) Abandoned( )by a r�-U'�or/, t r�r?S ►'lJ!`_T� /y� 3� at-A( n nC0 -8 tiP,l 1�?. ��tz C t) f C hasbeen constructed in accordance with the provisions ,ofr Title 5 and the for Disposal System Construction P(ermit No.) :0 Pt— Y10 dlated, Installer 2br6U4+in_ (IX- y'crvi,_J rC_ Designer AI)A-(SXIt"_4 /t'✓1V elPl' 1, r #bedrooms �1 I Ar r 4proved design floe i V p- U gpd The issuance of this permit shall not be construed as a guarantee that the system will functiO as designed. n Date 1 +? �— Inspector C) u No t3 12 Fee THE COMMONWEALTH OF MASSACHUSETTS _ PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS { a r Misposal *pstem Construction Permit Permission is hereby granted to Construct(may) / Repair( ) Upgrade( ) Abandon System located at a f �t/)C,6 f"�19 I",/ /)P— 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. Provided:Construction�m Just be�pleted within three years of the date of this permit Date f a l Approved by W REC0RD'0 WNER: REVISIONS LEGEND ZONING DATA ASSESSORS PARCEL ID No. 122-106 EXISTING DESCRIPTION DISTRICT: "RF" DISTRICT LAZAROS TSOLERIDIS and NINO MEKUDISHVILI . „ h "RESOURCE-PROTECTION-OVERLAY DISTRICT" j -- NgsQ�r -- ----- _� - ----- _ 28 CONCORD LANE - --- 40 ----------- i' CONTOUR "GROUNDWATER PROTECTION OVERLAY DISTRICT"- OSTERVILLE, MASSACHUSETTS v o DOUGLAS tiG +4as SPOT ELEVATION DEED BOOK 27393 PAGE 318 Qg L : REQUIRED EXISTING PROPOSED LOT 22 - PLAN BOOK 326 PAGE 71 ;g AABERG i PROPERTY LINE < No.35382 A , EP EDGE OF PAVEMENT LOT AREA 43,560 S.F. 23,412 S.F. NO CHANGE ccs CAPE COD BERM LOT FRONTAGE 125 FT 210.9 FEET NO CHANGE FLOOD NOTE: �c , r o,aw OVERHEAD WIRE LOT WIDTH N/A N/A NO CHANGE BY GRAPHIC PLOTTING ONLY, THIS PROPERTY IS LOCATED IN` APPR0A'M4TE PlArCR APPROXIMATE WATER SERVICE FRONT YARD: 30 FEET 49.6 FEET NO CHANGE ZONE "X" OF THE FLOOD INSURANCE RATE MAP, AS SHOWN ON SERME(RECORD) r'= COMMUNITY MAP No. 25001CO542J, AND COMMUNITY MAP No. DRAWN BY: KH f p C8N SIDE.YARD: 15 FEE( 48.6 FEET 40.5 tET R=40.7f 3 CATCH BASIN 25001 CO517J WHICH BEARS AN EFFECTIVE DATE OF JULY 16, o REAR.YARD: 15 FEET 51.6 FEET NO CHANGE 2014, AND IS NOT IN DESIGNED BY: A SPECIAL FLOOD HAZARD AREA.. / , UP Sda"-l� `UTILITY POLE HEIGHT: 30 FEET 23.1 FEET NO CHANGE e ®hf868 aMAIL BOX p c8/0H SURVEY MONUMENTS FOUND CHECKED BY: DLA �� CONIFEROUS - -. _ e - y Don TREES C5 DECIDUOUS ASSt~SOPS r'.41it,':f. it R p p m o N /tfral _ NOTES: j-r 0 718NU1 6 F71 BARr S7•:1E1..F..ROAI) - REP } n`rF lh 7/ s.!FI I U5 (set) - - H in o 1. PROPERTY LINE, STREET LINE AND OWNER INFORMATION RE54R/caa D FD r00 l•la'11Ct?Us 6g26 ® � ✓� ,��� 1 (5 WAS COMPILED FROM RECORDS ON FILE AT THE s (et) v , _ BARNSTABLE COUNTY REGISTRY OF DEEDS AND THE TOWN ;'N88'48 ��� e 6v 7 ��o° !' OF OSTERVILLE ASSESSORS DEPARTMENT. s 36'f 5 ice/av N5o o� \� = N zZ (` '�\\\ 052" (fnd) `\ ,AP`-?0.:n.fArE LOCAMiN OF E/,/S d \\ 2. TOPOGRAPHIC AND DETAIL INFORMATION SHOWN HEREON IS t,r,C s�rD COr R D FRav RccORO BASED UPON AN ON THE GROUND SURVEY PERFORMED BY r�°"'s 0m'ncE nrn+THE aaRsrECF oI ` BOARD e,=REAtrr DEPARruENr , _titi MERRILL ENGINEERS AND LAND SURVEYORS DURING MARCH (CONrPAcrOR TO 0E0 OF 2021. - 3. ALL ELEVATIONS ARE BASED ON THE NORTH AMERICAN Sl/ 1' yP --\ice LAWPi N?Ea ( ,• VERTICAL'DATUM OF 1988. r c_ �1.;c - SS S'Sh1 5 PARCEL ID ASSESSORS P:1RC''It. 11) �•, r��/ ` `� �, v \ ASSESSORS PARCEL Id \�;1't.rc__: t\/'� rv;r 4. SUBJECT SITE IS IN THE "RF" ZON_ AS.DEPICTED ON THE• •r Ir" _'l ' \ No.122-106 i \ Ct CurD4vvF F /i) ) 7 / / ty ' ` 23.412t S.F. ! 0 O I.A\t _' $ ! ✓ 1' n /Va t k.7 t S9\U/t 1 f F.SRI+17 J TOWN OF BARSTABLE ZONING MAP. \r r,LDFt t t t Dr st.i.'S4 /r \ Lt,.tx?h 't r,u' +ta t \0.54±RACRES 9 n • rE 219 f W - i)I nC I JQ 1 h7 r.s:rf F8•; o -4-_i itt i• r 68. �fL4& HhE - 5. EXISTING UTILITIES, WHERE SHOWN, HAVE BEEN COMPILED /(!g•, `'I 44 + 405 \ `SM\N - i i c0 BASED ON OBSERVED ABOVE GROUND EVIDENCE AND I [it 486' APPROX1 x re LOGArtON Or Ed1571NG i - - AVAILABLE RECORD PLANS AND ARE TO BE CONSIDERED sEPnc srs t COMPILED FROM RECO79 f5i tl,ua` so.o 1 N PLAVs ON PLF ara n+E RN?sr,;eLE �'- cw M spot s rcK APPROXIMATE. MERRILL'ENGINEERS AND LAND SURVEYORS N'R� �� LT,,_ X - - c0A 0 0,�,YEAL,'P DE°ARIr.4CPil ti i j t ,' ORIVJYAY 5,.4 2d o,. PROPOSED - DOES NOT-GUARANTEE THE.LOCATION OF THE _ - `)9NrR4crOR r-0 uERir,) 4Y ; S I t�t{; - ! s.o y EX.6 mG.DWELLING ADDITION -; u, o UNDERGROUND UTILITIES SHOWN OR-THAT ALL EXISTING ;, ; / ! ' + , pa-I oorPRIAT 673t S.F. I= PROPOSED h s 11i sr ( 1 3, �� -UTILITIES AND/OR SUBSURFACE STRUCTURES ARE SHOWN.- -J' !,ADDmoN it7-- \ - N , 2 srORY t^00 FRaME) 0.148 oh \ o s. - _ « _ ., e i5 '� �'�� !1..,•\ t, �. � f, �'��>yr�. -rr€m�:>< taacsczcErR,A ' ���� aRROR�"rAE r+-57-Tt55 (l)P) \ a ENVIRONMENTAL NOTES: }/ t1 .. f 4 +\ w'c�c N, X Sa_ = - �r -------- l O Q (n - - f .,. ti t1 __ �%1,, .•..r = 1. SITE IS NOT WITHIN AN A.C.E.C. (AREA OF CRITICAL / ` , o I z - ,54 p z _ � e ENVIRONMENTAL CONCERN). _ 5 ` F .Q' t °' --- II� \y/ __ _ 55 _ __ Q• L'i o ,q \t \t a ^o. �l _ - _ _ /`\ ��/-- 30'�''/� 63 - `�4 H Q J w< 2. SITE IS NOT WITHIN AN AREA OF ESTIMATED HABITAT OF RARE �PJ / _ ta' --- Y,� o s2 tAVc� a EA w i i m a �' -`53- ul WILDLIFE PER-NHESP MAP AUGUST 1, 2017 "ESTIMATED HABITATS F oo OF RARE WILDLIFE" FOR USE WITH THE MA WETLANDS _ cc �aa g 5g 4S .4 1 }" `> r. --- __ So st W `� �; o y FG'Cn 0 B L ', .f` ''1"Br 4rn -tl= �.-� -_� -�'-t:i w F - s PROTECTION ACT REGULATIONS (310 CMR 10)," AA N �48'gp' c' 1 . F R y Z �' 4 _ _ c _ ,ag - Sfn� __g _ O Ln I w - v . "� `�(�j_�__ _4` _`'\_ = _ --y P�EIdEP'T Q cw o46 .. i - E _ - , ' jl 3. SITE DOES NOT CONTAIN A CERTIFIED VERNAL POOL PER NHESP - _^'CB/DN_ .F,._.�----------- "� _ - ' ---- E4C Ta wIII MAP AUGUST 1, 2017 CERTIFIED VERNAL POOLS. 3 -zo'_; '- ----1=-___ 4. SITE IS NOT WITHIN A PRIORITY HABITAT PER NHESP MAP O C OD y ccs ' o AUGUST 1, 2017 "PRIORITY HABITATS OF RARE SPECIES" FOR 40 f `� EXE OF PAUEMGV JULY 9, 2021 o� SPECIES UNDER THE MASSACHUSETTS ENDANGERED SPECIES ACT, e. REGULATIONS (321 CMR10). N 1� SCALE: 1"=20' JOB NO.=21-045 r� 5. SITE IS LOCATED WITHIN A STATE APPROVED ZONE II GROUND w REwst N: ..„05 WATER RECHARGE PROTECTION AREA. 20 0 20 40 60 SCALE IN FEET SHEET 1 OF 1 1