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PlACATIAW E 2 . . 06i;OAT TAN 3 . OWNER OCCUPANT STATEMENT IF NOT 5 j 6 . CURB CU wi At G� 8 . REMODELING INTERIOR 9 . ADDITION 10 . ACCESSORY STRUCTURE 11 . SIGN / AWNI 12 . PERMIT FEE ngfibj&M ONLY - MONEY 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127- CMR 780 15 . FORM A 16 . FILL COMMENTS : f` *'4 s ,tt o d b r„ M , En w o a En K o m p ej SiLI Z C d m p ! C 3 0 -n D z M cn pr Ca 0 m r Ln rn o rn c No........... ........... Fss_..._._M..._.. ._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................0 F..................... 1 ��►� �doo� 1 UW N N r?i Ff/=t�r. 1�-'trJ +� Applira#inn for Eiijinatti Worlm Tumitrurtinn UVON r �i�dw s Application is hereby made for a Permit to Construct (t) or Repair ( ) an Indiv' �ewageo ; System at: irfrM, 10 N►�t�'� ...................................... ................................................. ........------------------------ ....._.. •Location.Address or Lot No. ......... ............................................... .............................. ........ �C per.......................................... .......:Z.r.::... f. i .... �a!FS^f 4. t Iaataller f� Address Type of Building Size Lot.. n :...��..Sq-feet- welling—No. of Bedrooms...........�..............................Expansion Attic ( ) Garbage Grinder (alo) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ...................................•------.................-•----.............................................................................._...... Design Flow............5..�........................gallons per person per day. Total daily flow...............T. d...................gallons. Septic.Tank—Liquid*capacityl!.r.;'.!!...gallons Length...8..-. : Diameter................ Depth...z::.-1(.'. p rt........... Width..:.............. Total Length.................. Total leaching area.. ...............sq. ft. x Disposal Trench—No. �"' 1 - /_'n nn Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area.................sq. ft. z Other Distribution box (+/) Dosing tank ( ) � . � l!;:5.^. .::'.... Date.....�f a Percolation Test Results Performed by....��....:............l..:... ......... ...................:;�........ a Test Pit No. 61........7..minutes per inch Depth of Test Pit.../..k?Z........ Depth to ground water......-,.:."; .......... Lt, Test Pit No."26........'...minutes per inch Depth of Test Pit..11 ......... Depth to ground water.....X ............. P4 ;JA q O Description of Soil. ...L�1.1::a!1 _ :..... ,E.... rill.....t%L_l f',�. :, tr.-' � a:�", :i:..... :...:.'.!1!..C:...:?INN.:.:�?..... l�,�/'i v ..... 7. .D......-:K:.l`.... :>,..1../.. ...........�: :r......Zz__.:Z:...r'6r..v11 A.-------•--...................._......................---............... x ......................................•-•--•----.......................................................----------..........---...........----•----------.........---------------•--..................... U Nature of Repairs or Alterations-Answer when applicable................................................................................................ ...................................................................•----•-•-•--•--..........................----...............--•-•-.................---..................................----••------• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance jhaen issued by She b ar of health. Signed ........... . ..............�/ ?0 0-:X66y j�°1Z ........................................................ . . Date ApplicationApproved By ...................................................................................................................................................... ........................................ Due Application Disapproved for the following reasons: ........................................................................................................................................ •••-••••••..............................•••......•••••••••...................................................................................................................................................... ........................................ Date PermitNo. .................................................................... Issued .................................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............................................. OF .............................................._................................................... ( rtifirate of Cnumplianu THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by...................................................................................................................................................................................................................................................... Installer at ............................................................................................................. ................................................................................................................................... has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ................................................ dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. nATF. Inspector revrtvaa•.r orator U. Box 1192 Stadler Street, Belchertown, MA 01007 413-323-7134 Name: Doug Kohl Sample Date: 7-21-93 Address: Baker Road Report Date: 7-22-93 Shutesbury, MA 01072 Collected By: I;t zzy Booth Sample Location: 'Type Supply: Well --20 .Sylvester Roach Sample No.: # Q_AL 52 2 X Northampton. MA 01060 Mass. Lab. # 02454 -rESTPA) FOR . R [ 1 `>tSM MAC. RECOMMENDED LF, VELS "Dotal Coliform Bacteria Nog Pos or Neg Nitrite Nitrate 0 10.0 mg/) pD _8.40 Alkalinity 41.0 No Limit Iran , 66 .30 tng/1 Manganese . 033 .05 mg/1 s - < topper . 02T 1.3 rang/1 -. _ . Sulfate . 15. 0 «1- No Limit C:hlorid4' 15. 0 "'a 250 mg/1 SODIUM re .. 6. o w � 2 V. 0 MG/L 666_6«6666.«.,.,.,,.,.,.._ ^.,._� . .?t y,...tr •r.;•au Hardness .� 63 6 0 No Limit Conductivity 114. '7 No Limit Total Dissolved Solids �� •t 500 mg/1 Turbidity 1 *10. 4 5 NTU Results are ow for those items listed above and on the above collected date. Except for (lie following See,BMW_ tl►e sample was found to be within acceptable levels for D.E.P. Drinking Rater Standards, If there are tiny questions on thus report, please do not hesitate to call this officer # Iron & Tiirbidi•t;y David Eredenburgh, Director zo� �oti CITY OF NORTHAMPTON, MASSACHUSETTS DEPARTMENT OF PUBLIC WORKS $ 125 Locust Street ' Northampton, MA 01060 Samuel B. Brindis, P.E. 413-582-1570 Director, City Engineer Peter J. McNulty, Sr. Assistant Director of Public Works BOARD OF PUBLIC WORKS DRIVEWAY PERMIT GENERAL INSTRIJCTIONS AND REGULATIONS 1. A. "Driveway Permit" is required in all cases where a new curb cut or an alteration to an existing curb cut is proposed on a city public way. 2. Driveway permits issued by the Board of Public Works (BPW) shall be attached to and become part of the "Building Permit" issued by the Building Inspector. 3. Prior to the issuance of a "Building Permit" the owner of any lot to be serviced by a new. driveway shall apply to the B.P.W. for a "Driveway Permit" by completing the pertinent portions of the permit (see attached) . Once the location of the driveway is approved by the BPW, a building permit may be issued. 4. The Building Inspector shall issue no "Occupancy Permit" unless the driveway to the lot has been approved by the BPW. 5. By the issuance of a driveway permit for the stated location, neither the City of Northampton nor the Department of Public Works imply that no drainage problems will result with the driveway when constructed. Properties situated or driveways installed in low lying areas in the path of the natural drainage will be subject to water problems. These problems may include water sheeting across roadways adjacent to the driveway. The City and the DPW assume no responsibility for any such drainage problems. The owner of the property is respon-sible for constructing and maintaining the driveway with adequate provision for natural water runoff situations. Samuel B Brindis, P.E.cd Director of Public Works 4;F J1\ �I1 \DRVv7AY.PER Conditions: Driveway Permit In lieu of plan approved by City Engineer I agree to the following added conditions: 1) I will contact the Department of Public Works and have an inspector check and approve the graded gravel base prior to paving to insure compliance with slope and location; 2) I further agree that if in the inspections any of the permit conditions are not met that I will at no expense to the City remove and replace the driveway as directed by the City Engineer. By: Petiti er - Douglas Kohl NOTE: The Public Works Department recommends that you provide a plan showing the proposed driveway with grades and location in the future to avoid possible expense which you will incur by not getting approval of actual plans in advance. -C I T Y OF N O R T H A M P T O N, M A S S. July 23, 1993 THE BOARD OF PUBLIC WORKS The undersigned respectfully petiition your honorable body for Permission to install driveway at 88 Sylvester Road Fifteen (15) foot maximum width at the street line. Gutter drainage not to be disturbed. All drainage shall be directed off the driveway surface to adjacent land and not on the existing roadway. Driveway surface to be paved if the grade of the proposed driveway exceeds 3% or more. By: Doug s Kohl a S-9-/3/S� Proposed Location Inspected by: - Gravel Base Grade Inspected by: 4 r Final Approval: 2 ,.J THE BOARD OF PUBLIC WORKS Voted that petition be granted. $25.00 Fee Paid_`//__ �� 7� Samuel B. Brindis, P.E. , Director of Public Works (SUBJECT TO ATTACHED CONDITION 1 & 2) ! s 22) Any fill used in this project shall be clean fill, including soil, gravel, rock, and loam. The applicant is prohibited from using demolition materials, asphalt, large chunks of concrete, tree stumps and limbs, and general refuse; 23) The contractor is responsible with the applicant and property owner for any violation and the penalties under the law for such violation. While all activities regulated by this Order are being performed and during the construction phase for this project, an on-site foreman, or project engineer, shall have a copy of this permit at the site, be familiar with the conditions of this permit, and adhere to such conditions. A copy of the plans and Order must always be on-site and in all excavating machinery when work is being performed; 24) All required permits must be obtained from the Planning Board, Zoning Board, Department of Public Works, & Building Inspector prior to the start of this project and all permits must be complied with. Army 404 permits and Water Quality Certifications must be obtained prior to the start of projects involving fill within wetlands; 25) Upon completion of the project, the Applicant shall submit a statement that all work , has been done in conformance with the? provisions of the approved Order of Conditions and request a Certificate of Compliance. (if checked) Statement shall be by a Professional Engineer or by a Wetlands Consultant who has been approved by the Commission: [ XX ] YES [ ] NO 26) (if checked) An "As Built" plan shall be included with the project engineer's statement, detailing the post-development conditions of the site: [XX ]YES [ ] NO. As built plans of driveway crossing and culverts only. 27) No work is allowed on the wetlands side of the haybale line. 28) The area west of the driveway and west of the proposed well site and the area within 50 feet of the wetlands line on the north side of the property (as shown on the plans) are no-disturb areas. No work can occur in these areas, including mowing or cutting of vegetation. 29) Stone shall be placed by the outfall of the footing drain and the owner shall undertake any other needed actions to prevent erosion from the outfall. 30) The wetlands line shown on the plans is accepted, except that flag A2 should be dropped (connect Al with A3 as new wetlands line) , flag B39 (in the detail) should be dropped (connect B38 with B40 as new wetlands line), and wetlands extend in a 5 foot bank on all sides of the intermittent water course shown extending northeast from flag A15. (conditions.cc 12/15/92) � R v Issued By Northampton onservation Commission 7 Signature(s) I 4rA---- G This Order must be signed by a majority of the Conservation Commission. On this day of 6LJL"6e/7— 19 " before me personally appeared Gov 2f .M y°/LF to me known to be the person described in and who executed the foregoing instrument and acknowledged that he!she executed WAYN[ M.PKIDBN the same as his/her free act and deed. NOTARY PUBLIC MY COMMISSION 6XPIR[S JAN. 11L 19es Notary Public My commission expires The applicant.the owner.any person aggrieved by this Order.any uwnor of land abutting the land upon wnich the proposes work is to be cone,or any ten resteents of the city or town in wnich such land is iocated,are nereoy notified of their right to request the Department of Environmental Protection to issue a Suoerseeing Oroer,providing the request is made by certified mail or hand eelivery to the Department, with the approonate filing fee and Fee Transmiral Form as provided in 310 CMR 10.03(7),within ten days from the oats of issuance of this Determination.A copy of the request snail at the same time De sent by certified mail or hand delivery to the Conservation Commission and the applicant. v r Detach on dotted line and submit to the Northampton Conservation Comm. prior to commencement of work. ....»............................................................................................................................................................................................................ To Northampton Conservation Commission Issuing Autnoricy Please be advised that the Orcer of Conditions for the project at Sylvester Road, Northampton, MA Nort tam�thon, MA F,ie Numper 246—3/6 has peen recorded at;he Regisry of am s ire Gounty anc has been noted in the chain of title of the atfectee property,in accordance with General Condition 8 on . 19 It recorded land, the instrument number wnich oenafies this transacuoin r.L If registered land. the document number which identifies this transaction is Sicnature Acclicant 5.4A Plans: TITLE DATED SIGNED & STAMPED BY: ON FILE: Site Plan In Northampton, MA For Souf Kohl, Sylvester Road 10/15/92 Douglas J macLeav Cons. Comm. Cons. Comm. Cons. Comm. Cons. Comm. Cons. Comm. Special Conditions: 13) All construction areas shall be restored to original condition or better upon completion of the project, including vegetation; 14) No areas within the 100 year floodplain nor within 100 feet of a wetland area, as defined in 310 CMR 10, and Chapter 24, shall be permissible disposal sites, unless otherwise approved by the Commission; 15) Excavated material and topsoil stockpiles shall be located and stabilized so as to minimize washing into wetland areas or waterways; 16) Adequate measures shall be taken to prevent erosion and siltation of all disturbed areas, and shall be implemented prior to any construction. Sedimentation and erosion control devices shall be placed according to standards set in the U.S.D.A. Soil Conservation Service, "Guidelines for Soil and Water Conservation in Urbanizing Areas of Massachusetts". Placement shall be directed at the site by the project engineer in order to accomplish maximum control of erosion and ensure than no eroded materials will reach wetland resource areas. Hay bales must be staked. Silt fencing must be placed in a dug trench with sufficient porosity to allow detained water to pass while trapping suspended sediments; ' 17) The areas of construction shall remain in a stable condition at the close of each construction day. Erosion controls shall be inspected at this time, and maintained or reinforced to meet specifications in the plans and this order; 18) This Order of Conditions shall apply to any successor in interest or successor in control; 19) Members and agents of the Conservation Commission shall have the right to enter and inspect the premises to evaluate compliance with the Conditions and to require the submittal of any data deemed necessary for that evaluation; 20) The Applicant shall notify the Commission, in writing, as to the date that work will be commencing on the project. Said notification must be received by the Commission no sooner than ten (10) days and no later than five (5) days prior to the commencement of the approved activity; 21) The owner of the property described in this Order must advise any potential buyer of the property that any construction upon or alteration to said property, including brush clearance, may require action by the Northampton Conservation Commission and any instrument conveying any or all of the owner's interest in said property or any portion thereof shall contain language substantially as follows; "This property may be subject S-3A Therefore. the Northampton Conservation Comm. hereby finds that the following conditions are necessary, in accorcance with the Performance Standaras set forth in the regulations, to protec:those inter- ests checked above.The Conservation Commission orders that all work shall be performed in accorcance with said conditions and with the Notice of Intent referenced above.To the extent that the fol- lowing conditions modify or differ from the plans, specifications or other proposals submitted with the Notice of Intent, the conditions shall control. General Conditions 1. Failure to comply with all conditions stated herein, and with all related statutes and other regulatory meas- ures. shall be deemed cause to revoke or modify this Order. 2. This Order does not grant any property rights or any exclusive privileges;it does not authorize any injury to private property or invasion of private rights. 3. This Order does not relieve the permittee or any other person of the necessity of complying with all other applicable federal, state or local statutes. ordinances, by-laws or regulations. 4. The work authorized hereunder shall be completed within three years from the date of this Order unless either of the following apply: (a) the work is a maintenance credging project as provided for in the Act:or (b) the time for completion has been extended to a specified date more than three years, but less than five years, from the date of issuance and both that date and the special circumstances warranting the extended time period are set forth in this Order. 5. This Order may be extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. 6. Any fill used in connection with this project shall be clean fill, containing no trash, refuse, rubbish or de- bris, including but not limited to lumber, bricks, plaster, wire, lath,paper, cardboard, pipe,tires,ashes, refrigerators, motor vehicles or parts of any of the foregoing. 7. No work snail be undertaken until all administrative appeal periods from this Order have elacsed or,if such an appeal has been filed, until all proceedings before the Department have been completed. S. No work shall be undertaken until the Final Order has been recorded in the Registry of Deeds or the Land Court for the district in which the land is located,within the chain of title of the affected property. In the case of recorded land, the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the Jana upon which the proposed work is to be done.In the case of registered land. the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is to be done.The recording information shall be submitted to the Commission on the form at the end of this Order prior to commencement of the work. 9. A sign shall be displaved at the site not less than two square feet or more than three square feet in size bearing the words,"Massachusetts Department of Environmental Protection, Fie Number 246— 3/ 6 10. Where the Department of Environmental Protection is requested to make a determination and to issue a Superseding Order, the Conservation Commission shall be a parry to all agency proceedings and hearings before the Department. 11 . Upon completion of the work described herein, the applicant shall forthwith request in writing that a Certificate of Com,.fiance be issued stating that the work has been satisfactorily completed. 12. The work snarl ccnform to the following plans and special conditions: 5.2 310 CMR 10.99 Form 5 oEP Fits No. 246--3/ J (To be wwom try DEP) Commonwealth city Town Northampton of Massacnusetts Nw Applicant 001391ac A Kohl T Order of Conditions Massachusetts Wetlands Protection act G.L. c. 131 , §40 AND THE NORTHAMPTON WETLANDS PROTECTION ORDINANCE From Northampton Conservation Commission To Douglas A. Kohl game (Name of Applicant) (Name of property owner) 27 Baker Road Address sriitQ skiuzz-, xA 81072 Address This Order is issued and delivered as follows: by hand delivery to applicant or representative on (cafe) by certified mail, return receipt requested on Z2 11(n'29_1 (cate) This project is located at Sylvester Road, Northampton, MA Northampton, MA The property is recorded at the Registry of Hampshire County Book 3853 Page 31 Certificate(if registered) The Notice of Intent for this project was filed on.. 11/10/92 (date) The public hearing was closed on (date) Findings The Northampton Conservation Commission has reviewed the above-referenced Notice of Intent ano plans ana has neid a public hearing on the prciect. Based on the information available to the Conservation Commission at this time,the Commission has determined that the area on which the prcoosed work is to be done is significant to the following interests in accordance with the Presumptions of Significance set forth in the regulations for each Area Subject to Protection Under the Act(check as appropriate): ❑ Public water supply �] Flood control ❑ Land containing shellfish Private water supply ® Storm damage prevention ❑ Fisheries ❑ Ground water supply ® Prevention of pollution f Z Protection of wildlife habitat Total Filing Fee Submitted $250.00 State Share $112.50 City/Town Share $137.50 (1/_ fee in excess of S25) Total Refund Due S Cityrrown Portion S State Portion 5 (r/z total) (1/2 total) Effective 11/10/89 0'1 VLI�A `11.Date Fled File No. ZONING PERMIT APPLICATION (510 . 2 ) 1 . Name of Applicant : k-k-,) C-$ � k` Address : 2-7 fhA Telephone: 15-`i )31y _ n�o� 2 . Owner of Property:_ y ot- (re^l;-V 1 lv Address :... `I�, �e11 Si, �`,/ �.�. pts., l" Telephone : 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain: GQ-N rr, 4 . Parcel Identification: Zoning Map Sheet# Parcel# , Zoning District (s) (include overlays) Street Address S lue.. , Required 5 . Existing Proposed -by-Zoning Use of Structure/Property L_-,A ;� Ho-z' (if project is only interior work, skip to #6) Building height Z %B1dg. Coverage (Footprint) Setbacks - front rCt7 - side L: R: L: IL R: �4qo - rear Lot size Frontage Floor Area Ratio %Open Space (Lot area minus building and parking) Parking Spaces 3 Loading signs Fill (volume & location) 6 . Narrative Description of Pro osed Work/Project : (Use additional sheets if necessary) 1 r � ) (4^,_NL1 • r 7 . Attached Plans : Sketch Plan Site Plan 8 . Certification : I hereby certify that the information contained her in is true and accurate to the best of my knowledge . Date : 2-3 \)"\ la\� Applicant ' s Signature: / THIS SECTION FOR OFFICIAL USE ONL . � AApproved as presented/based on information presented Denied as presented--Reason : pecial� Permit and/or Site Plan Required: Fi ing q red: Varian Required . h r lgna e of Bui pector Date NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Public Works and other applicable permit 41ranting authorities. a� V c o o gv to t w w .a t~ �O a •EO �l � � 3 � ' .� � z co t* w c a c .moo '�° ENO Z3 Col Iona Z �", "� c ro o •� a � � � o Q' gz u O c tEAl `^ in r-i z} 0 b0 0 Vol Al Q M � � � > S =a .2 a � c F I Ey co v 00 c -� ° w >, r-i J 'A 4 �-E it oW o � a ... � � w a� ° . '•� •� V a z d c�O.� .��� w Ln y w E•� C�. U R M . O Z O O�,•4VA s