HomeMy WebLinkAbout21-E043 of.YAA ='i.'MilF.r_- TOWN is CLE—�K
�vCCT TOWN OF YARMOUTH �' `°�
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RECD 'i r, 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
21tii72 RE
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836 ' t:k i '•sC
JUN 7 2021
LD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
YARMOUIr,
OLD KING'S HIGHWAY APPLICATION FOR
CERTIFICATE OF EXEMPTION
Application is hereby made for the issuance of a Certificate of Exemption under Sections 6 and 7 of Chapter 470 of
Acts of 1973, as amended, for the proposed work as described below and on plans, drawings, or photographs
accompanying this application.
Type or print legibly:
Address of proposed work: (v 3 t`� l``( ' " '' Map/Lot#
Owner(s): -SA S4 Nt CA l Ver 1 Phone#: t7.79—ti C's/44
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: 4.03 W i I(at—) `", A Year built:
Email: Preferred notification method: Phone Email
Agent/Contractor:/41ME RC04-.Z r1 a Si L'( /-46'""16' 5, c,Phone#: 7 2—( -- 3 ( -d 3 3 3
Mailing Address:S 14A4�). �� 6_ (-.3-4,40-,0L-17--4 m/1 et).l a
Email:(t2.(i / V Arn�/7c-00.t m 0 Gil-<- 140"1 -5 Preferred notification method: Phone Email
- LC ^"
Description of Proposed Work(Additional pages may be attached if necessary):
L�t =c 1 GC) ---
e-�[� rn 6 Cr,t C.e t 4 c ,fr- t,•_ . Fu' A- V rk. cz.
C.,.) (J.4r Z,<-.S-5 'v E Lij 4%C1..-". 1- r"v i .4A Pr5<- v-----t;‘c- Si `,L v7 cAn Tli
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Signed(Owner or agent):/44/444"-t. ..„..)„.07‘2_7,---(
gent): ' 4",s � 7`2 ( Date: 4/-7 (-Z 1
Owner/contractor/agent is aware that a permit may be required from the Building Department.(Check other departments,also.)
'r This certificate is good for one year from approval date or upon date of expiration of Building Permit,whichever date shall be later.
For Committee use only:
Date: „, .. 7 Approved Approved with changes Denied
Amount 0.UC Reason for denial:
Cash/CK#:- 1-10S1-1
JUN — 7 2021
Rcvd by:i.
YARMOUTH
OLD KING'S HIGHWAY
Date Signed: Signed: _
APPLICATION#: ”,
V5.2on
ASSESSORS MAP: '�/17 .,___ _ NOTES:
��//\, TEST HOLE LOGS •
�� yj PARCEL: �y3_
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FLOOD ZONE: 3 q➢FC./GsIBG£ _ SOIL EVALUATOR: ••VI/ i.Nl' QUIL 1) The installation shall comply wdh'I'ilteVand Town ofYarmoulh Board of
WITNESS: ,Wl. OW W• f Health
REFERENCE: t.S/-TY� PLgc.J pF,L.Al,/C:, f�FP/121sQ DATE: Regulations.
r - - --- <: W 2) The installer shall overifyithe ionalocation ening n. sewer inverts and septic
�� S �54J�4�TS�ILEW4/WkiF2As(� 2w1'+CO PERCOLATI 7. RATE: <Z N9 s,
�7 'Pablo - - - -----' � components prat to installation and silting base elevations.
9[Ou _ 6 _76/7g 8 9_-.1-LL)LLGO L RC II9,QD `✓ fen
3) All gravity septic piping to be 4 inch Sch 40 PVC at I/R"per foot.The t
TN-1 {' TH-p two feet out of the d-box to the leaching shall be level.
-- - - - 4) This plan is not m be utilized for property line determination nor any other
purpose other than the proposed system installation
Y 1, ywltp 5)All septic components vast meet Title V specifications.
ID ow/w HOT 6) Parking shall not be constructed over H10 septic components.
1111 - C}/MVO• bbl 7) The property is bounded by property comm and property lines.
LOCATION MAP If I 2,517A� � ' 5) Thedesign f�lowyowner amd number))review
bedrooms he considered for design Receipt
9`
ti� of payment foe the plan and installation based on the plan shall be deemed
gG',IS/ �- /�D�c/Z - 01 approval of the design flow by the owner.
_- `_"!� —111. MBO. biWO ,,,)0c1" 9) Thee'is existing 6eachng or
shall be pumped and filled with material
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per pmcediues.Those within the proposed SAS shell
---1 �•l',-•?
-- `� 2,5A1iq pp be removed along with contaminated soil and replaced with clan sand per
561/040.77-,
{-CJJ 110_—_ 31• Title V specs
cJ6 /O __�l0 4u^tV.11301 10 System yat components to be 10 feet from water line.Sewer lines crossing the
L �•
water line shall
The sleeved with 4 inch SCH 40 PVC with ends grouted if
app proposed SM is being installed below the water service
SEPTIC SYSTEM DESIGN line.The hoe is to be sleeved as aforementioned and maintained in place
1 I)If a garbage grinder exists his to be removed and is the responsibility of the
FLOW ESTIMATE owner to ensure such.
/
l2)The installer is to take caution in excavation around the gas line if such
5 BEDROOMS ATM) GAL/DAY/BEDROOM • GAL/DAY exists.
/ 13)The installer shall verify the location,quantity and elevation of the sewer
SEPTIC TANK Knee exiling the dwelling prior to the installation.
GAL/DAY a 2 DAYS • 7460 GAL .. N-Oi�
USE IDDD GALLON SEPTIC TANK Q(I/1' a''�
�Sti14$ne4C- 1gQIWDF(t. LIf3TLA)
W W ) '`?•'Bve "t?`
I / / SOIL ABSORPTION SYSTEM : SDN NI
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V }ao.tons ZilLuLZ SX�r12 (-"ecta (uaf.A. ,cj • e•areas6V91 brow . V�20uW 1, - I � �x
/ o SIDE AREA: 2.7s(Ly't1aj/)y,ZX ,1q- Io9,55Z_
0 BOTTOM AREA: 2--Ir X I-72' X Oil/ = 29),615
RI
a oP w,\ ( Bio
0
Ivo\ 1 yo 'TIC SYSTEM SECTION
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\ AIb:91 . -4k,�z.lD ape / / / `fib s /ow r' 45.15 L_1 1.:10' )= ' P •• r .ru, oneeK 3"^er.
Cl j=.I =I=ll •``l5'�`� i rt Q3 z3
VO._ _� // / / 1000 GAL "1, i...= I�r= .I, SEPT CTANK rJ "15..4, -
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!� -0yrt'Ld �" r r It�3 ,z3�t_ 4� 1 _5D1 •R =_mu \e\,- iti v..1.-DE.; 90-ra( is-?�$e. Loc �o 3DT�L of (ESr D��, >t.Ey, zst,00 V
A , _ /IF/.i•�1 4111111, v ouu.) s,q�.c 3Et,o(v_-tz� SITE AND SEWAGE PLAN
F 2.OK, 112', VILA. wm-4 ,t q>d.. l LOCATION: 6� W"--4--.0b•-3 �h'w�
ifi !, .G`1 e' ,.I. yn to veQ c1,T e 5��'s, Lr,v_m�v�CPoQ-) ) 4,'1)61
lD,I, , �- l•X3 ' '`SZ rt•=ssi`rsP^:"1:3 C�crnnnt PREPARED FOR: C. C'�11'�l'rJd--I
et
Kl��o — I _ v�el .�lYo Y ,,
\G712 —fes .., l-• I SCALE:
_ ----_ -- -.. cN'/'mC / --. DAVID B.•MASON F:°j DATE:9 14 zoul
r .Lid_ 0}t.014,y_:-/„. v( �,& glister-[{ CIN-L -ptiy DBC ENVIRONMENTAL DESIGNS
��— — —
i -wl_roo-100 l DATE HEALTH AGENT EAST SANDWICH. MA
e ---------.._1:.� -- -- .-.— (508) 833-2177 (
ILLn 4, -... ,? 4,n4: '1..c 1-lv,.,y:.
Rogers, Grayce
From: 'RICHARD GEGENWARTH' <r.gegenwarth@comcast.net>
Sent: Monday, June 7, 2021 12:22 PM
To: Rogers, Grayce
Subject: Re: Certificate of Exemption - 63 Willow Street
Attention! This email originates outside of the organization. Do not open attachments or click links unless you
are sure this email is from a known sender and you know the content is safe. Call the sender to verify if unsure.
Otherwise delete this email.
I approve of this temporary structure for 6 months.
I would hope that this plot plan would also be reviewed by the highway department as they may have
concern in having it so close to a very busy roadway.
Richard
On 06/07/2021 11:04 AM Rogers, Grayce <grogers@yarmouth.ma.us> wrote:
Hello Richard,
I have attached a Certificate of Exemption for your review.
Thank you,
Grayce Rogers
Office Administrator
Old King's Highway Committee/ Historical Commission
508-398-2231 Ext. 1292