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HomeMy WebLinkAbout0080 WILLINGTON AVENUE - Health 80 Willington Ave. Marstons Mills A— N: 029 TOWN OF BARNSTABLE P 1114-S1®3 !/ LOCATION ?0 (Q j^ Q iJ SEWAGE # VILLAGE MA4 610&&S ASSESSOR'S MAP & LOT- 3 INSTALLER'S NAME&PHONE NO. 757?5 Cu�tJS (r cfG� o L � SEPTIC TANK CAPACITY 0© C. / K LEACHING FACILITY: (type) � A d v (size) / ,5 k to NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: I I O "� COMPLIANCE DATE: l � J I 03 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 9A o�s� G�vl� s � � __ J No. oe 3 1? j Fee AV ' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISIQN -TOWN OF BARNSTABLE., MASSACHUSETTS ZIppffcatfon for Of 5pogar *pgtem Congtructfon 3permit Application for a Permit to Construct(�O)Repair( )Upgrade( )Abandon( ) lycomplete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. e^4 W11I1Y%j"n A,d*— %'1na.s6Y%3 XACtts C_ Assessor's Map&arcel fd 7 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size 6 s� t: Garbage Grinder( ) Other Type of Building No.of Persons S Showers( ) Cafeteria( ) Other Fixtures Design Flow -• gallons per day. Calculated daily flow 6 6® gallons. Plan Date 7 u n t- .706.2 Number of sheets f Revision Date Title Size of Septic Tank /So® 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 co tru ion and main ance of the afore described on-site sewage disposal systerp in accordance with the provis' o it e f e viro nt ode and not to place the system in operation until Certi - cate of Compliance has en issued b o He Sig ed _ea-TDate Application Approved by 4Vd Date Application Disapproved fo the following reasons Permit No. 20013 —/ Date Issued d,�0i'• fr yM. " Fee U red in computer:Entered THE COMMONWEALTH,OF MASSACHUSETTS ' Yes N PUBLIC HEALTH DIVISI -TOWN bF BARNSTABLE, MASSACHUSETTS _ ZIpprccation for Zie;p0 .6al"*potem Congtruction Permit F Application for a Permit to Construct(X)Repair( )Upgrade( )Abandon( �) Complete System O Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor's Map/Parcel ` 3 I a (a7 $pauC t; S�- 1 �e r Installer's Name,Address,and TeAo. Designer's Name,Address and-Tel:No. w. Type of Building. r- Dwelling No.of Bedrooms' Lot.Size -7 6 f Garbage Grinder( ) Other Type of Building' \No.,of Persons S Showers( ) Cafeteria( ) Other Fixtures t Design Flow - gallons per day. Calculated daily flow 6 6 Q gallons. Plan Date 704.2 N beur �r of sheens 11A / Revision Date Title 14 - - Size of Septic Tank /So 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 co stru lion and main ance of the afore described on-site sewage disposal syste in accordance 'of�with the provisionsTi ltle S�of I e E viro nt ode and not to place the system in operation until Certi - cate of Compliance has been issued b s/B o He Sig ed Date Application Approved by /W_ _ _ Date Application Disapproved fo the following reasons Y Permit No. U 3 -/ Date Issued //CJ k Z ——————— '- .,`_—THE COMMONWEALTH OF MASSACHUSETTS , BARNSTABLE, MASSACHUSETTS • Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed()0 Repaired( )Upgraded( ) Abandoned( )by at g4 Q,1 ;,R 4 t"", Aj r,,%ka-s kyiA t m* has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 2 tb'l/ dated / U Installer Designer The issuance of th' permi shall not be construed as a guarantee that the system w' a as esi�� V Date 9S d3 Inspector mr Wes.: No. ;)UV3— 17 Feed= THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Migpogar bpotem Con!6truction Permit Permission is hereby granted to Construct Repair( )Upgrade( )Abandon( ) System located at S0 to I 1\,"c .� A,, rvvsrr-_Igt1r w\. S 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 thispermit. Date:_ Ili,)7 Approved by V i THE� � DATE: FEE: + BARNSTABLE, MASS. 1639. ��� REC. BY ' Town of Barnstable S CB:ED. DATE Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-8624644 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: 41/1-L1A1,a 400V Assessor's Map and Parcel Number: /14if/P.3 Size of Lot: .�GrG Wetlands Within 300 Ft. Yes Business Name: No Subdivision Name: ly.(1L,Q APPLICANT'S NAME: &Sr,66Z4gr Phone 08• 28 .9/O D Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON Name: 52" 41 V,4 -& 7-ew ME A? Name: !,&&ma's S rZ41,4A7- Address: 6 7 SP/c;/JG� t�j�, Address: 305� 55T /960A7wg5z7 /ff,QptJl2,cls'/I�/ Phone: 77S'- Phone: H= S0& -47J-?9 O !a/= .SDg_ .4P87 VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) �Ekc !�lous� NATURE OF WORK: House Addition 1100000 House Renovation ❑ Repair of Failed Septic System Checklist(to be completed by office staff-person receiving variance request application) _ 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) Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance renewals [same 7- owner/leasee only],outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems [only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G.Rask,R-S.,Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Wayne A.Miller,M.D. Q:\HEALTH\WPFILES\VARIREQ.DOC TOWN OF BARNSTABLE /V /®3 LOCATION 90 SEWAGE # 0,003 —6 11 VILLAGE M ASSESSOR'S MAP & LOT 3 _Oa INSTALLER'S NAME PHONE NO. ( l�VC c0 AJ f/ S®IV_ - SEPTIC TANK CAPACITY 400 aAf. A K LEACHING FACILITY: (type) A d v (size) I k to NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: --f---'--�— _COMPLIANCE DATE: h 5 ) 2 3 Separation Distance Between the: I Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet i 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 i r i r Town of Bali•nstable P# 1042(00 Department of.Health,Safety,and Environmental Services Public Health Division Date 9„ 367 Main Street,Hyannis MA 02601 eARMABIA . MARS. � / - °rEo►Jrt�at"�� Date Scheduled .;./,Vr � f! � Fee Pd.� Z Time i)U Soil Suitability Assessment for Sewage Disposal Performed By: Witnessed By: ....,:.:.....:::; ..::. .......:::.... CTOltt+& FIi >t,li) ORIVIATI01�1...:::::...::. . . .. Location Address Owner's Name /�/✓S.. �i GL.f/ 1114. Address Ofolwe 4ryr ,��IidBS Assessor's Map/Parcel: A9 ��/ Engineer's Name /CP ��ff�7Z.%[L yj p NEW CONSTRUCTION _k�REPAIR Telephone# Or— f f Land Use 4-5r ale-#77 4--G Slopes N D-- Surface Stones /YOy�`CJ�S Distances from: Open Water Body O 7'awN p y � � R Possible Wet Area—=a��R Drinking Water Well Drainage Way eV 1 R Property Line ::�o R Other /��� R SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) 70 5eALC 050 l le� 0 Parent material(geologic) ©yTdr/ S fig Depth to Bedrock ! �T Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face (,? Estimated Seasonal High Groundwater L'DC 41 F4&V Ahn W4e&POND tSt jo:f :....... . . ........................................................................:. .....................:.....,.:..:: ::: :: : ..:.... : S.::DE .0s� �R: ONA�A >>: ....... ....:..:....:...........G;....... ............nerhoa Used: .H.........:.;.?....U....V:....A...;...,..:'......'.........:..t..2...:.:.;<....Y....`.A..;...,..;T....3....:.......::.E......:.;;:.<.:.;..:.:.;<.>.:..;.:..;.:..>.:..;>.::;..;.;<:>.;;:.;>:.;: Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment R. Index Well#__....•._. .Rending Date:,_.•._•_ Index Well level.,_.___ Adi.factor __ Adj.Groundwater Level :.::.::.::.:::.::.::::;:.;:.;;:.;:.;:.::.;::.;:.;:.;:.;.::.;:.>:.;;::;;>:.;::;.::.;:>::;:::<:::>::::..... . R. .( T Ol�i'TEST...... ......b. e. : :: e Observation Hole# Time at 9" �.Z r� Depth of Perc Time at 6" Start Pre-soak Time @ Time(9"-6") .3 Z 7lrUGrGC/ End Pre-soak 3 Rate Min./Inch /Al Site Suitability Assessment: Site Passed_ Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back j Copy: Applicant 1 -Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.°o rave " Jrl— ,.2s 3 0 0 4W 7WAa-3 4 SICTGEf 444M APOV t Z• ,rya n/c- y. t2 EEP C�BSEt�A'�'�ON HOLDtG : ale Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Slones,.Boulderes. Coiisistency.° Gravel) © " Aw Zos ', ?/5 o ve _ G Irmces s,.4Td ::::::::::::::.::: J����:OI3, �lY�ATt.0.�1:�0�.�:.t..O :.;::.;>;::;;:.::;;:::<:.;��le:#:::<:::>-;:;.>;;; Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency,°o Gravel) :..:.:.:.::.:..:>:.:AEP..OSE ATION:HCIL LOG': Depth from Soil Horizon Soil Texture Soil,Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency,o Gravel) Flood Insurance Rate Map;. Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No f/ Yes L.. Depth of Naturally Occurring 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? 3 If not,what is the depth of naturally occurring pervious material? Certification j I certify that on 31200 (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experiencedescribed in 310 CMR 15.017. i /v' Date 6 Signature �� to "'� CF tME 1p� " Town of Barnstable + BARNSTABLE, Board of Health 9 �p i639• ♦0 lFD MA'1 A P.O. Box 534, Hyannis MA 02601 Office: 508-8624644 FAX: 508-790-6304 Susan G.Rask,R.S. Sumner Kaufman,MSPH Wayne Miller,M.D. Mr. James Stewart September 9, 2002 Box 557 1960 Main Street Marstons Mills, MA + 8® �ll�ngdton°Auenue;MarstonsM`lisSA0329 �� LA"' Dear Mr. Stewart, You are granted permission to construct a soil absorption system designed to be connected to a new six bedroom home proposed to be constructed at 80 Willington Avenue, Marstons Mills. The septic system shall be constructed in accordance with the submitted plans dated June 2002 which were recently revised (revised plans undated). Sin erely yo , a Miller, M.D. Chad an BO OF HEALTH TOWN OF BARNSTABLE Q:HEALTH/WP/Sixbeds OFtNE T DATE: FEE: • IAMSfABLE, MAIM REC. BY 9� i639. ,0� Town of Barnstable SCHED. DATE: Board of Health 200 Main Street, Hyannis MA 02601. Office: 508-8624644 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: 60 4//GL114,e7 "D1l /QV ,+�s roNs W,044 s, /�A• Assessor's Map and Parcel Number: /1'A0 IPS,462 94 Size of Lot: 41, �o�'jJ • 9S3 ,�GrG Wetlands Within 300 Ft. Yes Business Name: No_� Subdivision Name: APPLICANT'S NAME: Phone r08' 28 Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON Name: Name: NZD*,oS S rG�W,4�T Address: 6? L�p?/JG� .`' j"o & A4Wi5/*AAddress: .3ox 5S7 /960A7wwS�' /ffRPi Phone: 1 .r49` ??.S�—87�� Phone: y= 5a `4?, 9�00� l✓JSD1��Q62�4D87 VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) 9fd On t 2 a'�,onn Pet/,'g,J t�1"r ix N�wt blouse NATURE OF WORK: House Addition ❑❑❑❑❑❑ House Renovation ❑ Repair of Failed Septic System Checklist(to be completed by office staff-person receiving variance request application) _ 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) Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance renewals [same owner/leasee only],outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems [only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G.Rask,R.S.,Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Wayne A.Miller,M.D. Q:\HEALTH\WPFILES\VARIREQ.DOC n Y r, PRICE & MYERS, P.C. Attorneys at Law 6F Bayberry Square 1645 Falmouth Road Centerville, MA 02632-2936 William A.Price,Jr. Telephone 508-790-1221 E-mail wprice@capecod.net Facsimile 508-790-1238 July 3, 2002 To: Thomas Perry Building Commissioner Town of Barnstable 200 Main Street Hyannis, MA 02601 SEPARATE LOT EXEMPTION STATEMENT ZONING ORDINANCE 4-4.2 NONCONFORMING LOTS Re: Contiguous ownership of the following lots (to be considered as one building lot): Lots 67 and 68, known as 80 Willington Avenue, (Marstons Mills) Barnstable, MA and is shown on Plan of Land dated 1960 entitled: "Connecticut Village" and duly filed with the Barnstable Registry of Deeds in Plan Book 157, Page 97. Said lots are also shown on Barnstable Assessor's Map 103 as Parcel 29 (hereinafter called "the exempted lot'). The exempted lot contains .96 acre Present Owners Lithuanian Foundation, Inc. Date Acquired October 26, 2001 Date Recorded December 5, 2001 Title Reference Book 14531, Page 193 The following 4 lots are contiguous to Parcel 29 as shown on Assessor's Map 103: Parcel 28 Shown as lots 65 & 66 on aforementioned plan, are currently owned by Francis R.Ledoux&Denise A.Ledoux title by deed dated October 23, 1984 as recorded in Book 4307, Page 287 with said Deeds. Parcel 25 Shown as lots 60 and 61 on aforementioned plan, are currently owned by Malvina Svarcas (surviving tenant?by:the entirety) 'title by deed_ dated November 1, 1967 as recorded in Book 1382,Page 853. John Svarcus died. See death certificate recorded in Book 13177, Page 263 with said Deeds. Parcel 24 Shown as lot 59 on aforementioned plan,is currently owned by Lisa J. Fournier, title derived by deed dated December 29, 1997 as recorded in Book 11139,Page 113 with said Deeds. Parcel 30 Shown as lots 69&79 on aforementioned plan, are currently owned by Christopher S. Eordekian and Wendy L. Eordekian,title derived by deed dated August 24, 1999 as recorded in Book 12501, Page 196 with said Deeds. In 1960, when both lots 67 and 68 (exempted lot) were created by the aforementioned plan, they were designated as being located within Residential RD-2 zone and required a minimum of 10,000 square feet, 100 foot width with a minimum of 20 feet frontage. In 1969 the exempted lot was still designated in a RD-2 zone which now required a minimum of 20,000 square feet with 125 feet frontage. Therefore in 1969 both lots 67 and 68 were still separate, conforming building lots. In 1978 the property was changed by Article 9 of the Zoning Bylaws to RF zone requiring 43,560 square feet in area. Since lots 67 and 68 were in common ownership, and the 5 year period has expired, the lots were merged into one building lot which was nonconforming. I hereby certify that, according to the records of the Barnstable Registry of Deeds that as of the date of the zoning change that made the exempted lot nonconforming on 1978 by requiring one acre minimum,the exempted lot was not held in common with any abutting lots at the time of the zoning change and has remained in separate ownership since November 8, 1967. As of October 26, 2000, the date in which the RPOD (Resource Protection Overlay District) was adopted and created by Section 3-5.3, requiring a new minimum lot area of 87,120 square feet, the exempted lot was located in a designated Residential F zone which on that date required a minimum of 43,560 square feet with a minimum of 150 feet frontage. The exempted lot has an area 41,600 square feet, and fronts on Willington Avenue 260.00 feet. On that same day,the Town Council adopted a new paragraph 6 to Section 4-4.2,Non-Conforming Lots which states:"Any increase in area,frontage,width,yard or depth requirements of the Resource Protection Overlay District shall not apply to a lot for single or two-family residential use which immediately prior to(on the effective date of this ordinance)was protected from the applicable bulk requirements of the Zoning Ordinance by the provisions of Section 4-4.2 (1), (2), (3), (4), or(5) of the Zoning Ordinance. I hereby certify that,according to the records of the Barnstable Registry of Deeds,that as of the date of the zoning change that made the exempted lot nonconforming on October 26,2000,by requiring a two acre minimum lot area, the exempted lot was already a nonconforming lot protected by Section 4-4.2 (1) and the exempted lot was not held in common with any abutting lots at the time of the zoning change and has remained in separate ownership since November 8, 1967. I am enclosing a chain of title for the exempted lot and each of the four contiguous parcels along with copies of the deeds in each chain of title for your review. It is my opinion that since the nonconforming,exempted lot meets the requirements of Section 4-4.2 Nonconforming Lots, of the Zoning Ordinances of the Town of Barnstable, and A) was not held in common ownership with any adjoining land since November 8, 1967 and B) has a minimum of 5,000 square feet(actually has 41,600 square feet)of area and 50 feet frontage (actually has 260 feet); and C) conformed to the existing zoning bulk requirements in 1960 and again when it was conveyed in 1967, when both parcels were owned by the same person; and D) was separately owned at the time of every subsequent zoning change,beginning in 1978, which made it nonconforming; and E) since the protection afforded by paragraph 6 to Section 4-4.2,Non-conforming Lots which are protected from the applicable bulk requirements of the Zoning Ordinance by the provisions of Section 4-4.2, is permanent; it is therefore grandfathered, should be considered a legal, nonconforming, building lot, and a building permit should be allowed for a single family residence. Respectfully submitted, William A. Price, Jr., Esquire enclosures cc: Town of Barnstable P# lo, z Department of Health,Safety,and Environmental Services oat Public Health Division Date 367 Main Street,Hyannis MA 02601 eAruvareat.a, / Date Scheduled Time I! Fee Pd. vU — Tf0 .h Soil Suitability Assessment for Sewage Disposal Performed By: Witnessed By: Location Address OO i �N��� ��c , Owner's Name � Td Ns fW, L.<.f �/4. Addressg �We4ryr Assessor's Map/Parcel: �O� ��/ Z Engineer's Name / y . I 10 lc_ NEW CONSTRUCTION _k�REPAIR Telephone# Land Use 165r alew 77 4-L Slopes N Surface Stones —/V W A/ Distances from: Open Water Body 1 as R Possible Wet Area-'�� R Drinking Water Well Drainage Way�, R Property Line ..��n Other SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) mor 7a 5e4 � oT p � 9 0Yo ' Z 6 0 c� Parent material(geologic) ©lrAW Al Depth to Bedrock Depth to Groundwater: Standing Water in Hole: de) Weeping from Pit Face /ail Al-e Estimated Seasonal High Groundwater _40CU3 67Lt7/ :>:>: :DTIYS' 'Z1• +'.( .t2s:►SS.O . . :.:; : .. . w. . .. ':<:::>:.............. MethodUsed ....................................................................................................................................................... . ................ Depth Observed standing in obs.hole: _ in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment index Well#_ _.,._.,. .Rnnding Date:__.__ Index Well level., Adj.Factor __ Adj.Groundwater Level :::::::::::.::::::.::::.::.:.:.::.;::.:.:.:<.;:.;::<.;::;;:.;:.;::..P.... (J' AT>C( 1!Y:TEST .:: ::b.ute:: irnA>:.:.;::. Observation q, 2 Hole# Time at 9" ✓.27 Depth of Perc 3 Time at 6" : Start Pre-soak Time Q ;0d Time 9"-6" End Pre-soak .23 Rate Min./Inch Al Site Suitability Assessment: Site Passed_ Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back j Copy: Applicant Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.% � G�CJf/Rnt�" 10 -0: .� `. : Depth from Soil:Horiion` Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,,Boulderes. Coiisistency.% — Air � �/ moo" M. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. r :•. SE V....T 1 aL Depth from Soil ftI i-zon Soil Texture So it Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. % Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No f/ Yes Depth of Naturally Occurring 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? 4 1k:--s If not,what is the depth of naturally occurring pervious material? Certification .I certify that onEn-?/100 D (date)I have passed the soil evaluator examination approved by the Department of vironmental Protection and that the above analysis was performed by me consistent with the required training,expertise and ex erience described in 310 CMR 15.017. Signature //�' Date "?�-� Town of Barnstable P# 0 10, 260 Department of.Health,Safety,and Environmental Services 7 f Im Public Health Division Date �+ Q, 367 Main Street,Hyannis MA 02601 RARNSTA11M Date Scheduled �l/AI� Z Time f/ Fee Pd. VU Soil Suitability Assessment for Sewage Disposal Performed By: Witnessed By: ,O ATIOI`d c c E1�J., AL 1 S FORMATION Location Address p O Q 1,1���/N(�,�17/�/�'!/� ' Owner's Name, (� �/i(�A NU IJL� Address Assessor's Map/Parcel: IO,g 67a/ Z(P Engineer's Name NEW CONSTRUCTION _�REPAIR Telephone# Land Use _4--gr ale. Ti , -C- Slopes(%) ©'�/D Surface Stones Distances from: Open Water Body ��6Q R Possible Wet Area R Drinking Water Well Drainage Way ,�` g y R Property Line _� R Other / /tt R SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) /A/pT 70 5L*A1-,1ET- ,CaT o � 9 DYo V 7J3 77' , In+ 6 C-) lv o p t2 4a Al �1 Parent material(geologic) wTlr/ S fig !� . / Depth to Bedrock Depth to Groundwater: Standing Water in Hole: /�6l )VA7 Weeping from Pit Face_ VO Ale" Estimated Seasonal High Groundwater [1 CIlJ g74&V T1TENA 'YON () SEASONAL DYGT Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment R. Index Well#_ __. Reading Date:.__..._.- Index Well level.-_.__ Adj.factor Adj.Groundwater Level pERCt��.AT1CJ�1�1'I°LSrI"..: 1�ate .. �;ucI�q_ Observation A6 qq,, Hole# Time at 9" ✓.2 re Depth of Perc Time at 6" Start Pre-soak Time @ ; 09 Time(9"-6") End Pre-soak .Z� Rate Min./Inch /A)l /Al Site Suitability Assessment: Site Passed_ Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To-Be Completed on Back j Copy: Applicant EE WAR- TzON;�O�,E�O;G Hbl� . ....:.. .. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency,°o Gravel). o f & � 7 r�rAces g2 s.�rcE� �lQ Lai M Z)&W e to40Z•S .s n Nr3 r• 'Z .. DEEP'OBSER.AAT1ON HbLE LAG Hole Depth from. •Soil Horizon` Soil Texture Soil Color Soil ` `Other Surface(in.) (USDA) (Munsell) Mottling - ,(Structure,Stones,.Boulderes. n i tenc ° Gravel) ® c�t� 2•�" It �3 O"J 02 — n ®vet e V 6 ✓� Nry.- _ n/� 2• �Y bEE t�T3EtATtONIOIE EOC Taile# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. nsi tenc %Gravel) r ►14 r 1 ABEP O 8ER�-A- 0 ;;�C1L� 1.(7�G Hole Depth from Soil Horizon Soil Texture Soil,Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency,% rave Flood Insurance Rate Maw Above 500 year flood boundary No_ Yes Within 500 year boundary No a/ Yes Within 100 year flood boundary No // Yes L.. Depth of Naturally Occurring 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? 3 If not,what is the depth of naturally occurring pervious material? Certification I certify that on D (date)I have passed the soil evaluator.examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise anddexgerience described in 310 CMR 15.017. Date Signature /v' / g �� 6 6� I j ' GLd 556-K 13dT'H.' L'e1 77 -l - —°(— d FIB li•I-L FZ.,. � I I _ s-�uvo `o I ":aTra' e,vem.. •- i � : P ic 1 A I I .. .' .i-' � _. ,:,. � 5-t : ,. 5: U'- ' .r' S�=G-.L Fh � 3- e: � I °� ._ .-. �_._• --.__ -g-'O`-_� e I 5i. (7..:.ry yr 7-:Z.. 3•ye .TD. °'4 G'.I'Z g� 4".Q°.. CL5••'o'w � _F`� i �/ I 1 243ta Q' 3 O r h �1 I 1A3t4 '•..,:. .. `�'... rvlw t �/ I I'I I -I .I ; 5✓y -:.."...,L3"5'/2' '_gLti _. _ 4-n-xG,-,$ t. ,': .,, _g/'. $ _ —_ <- - 11 S i±a,l LK1L•q - I..S�g. 1liip. 2. 3x.. .8' i:... y jl.{r.. - - `oN.l:cleuealo " _ 1 a I rh� q .. C jaA•x °� I m _ 7' I ' w4n,prP6 CAL' =vMexeav,�T¢n" - � „ � I I - ' a�.vs GXJf fqr.�• �-:n�f'7+sp or.Fau ro" Ktt$,Ap. 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