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HomeMy WebLinkAbout2018 Oct 12 - Sign Off Transmittal, Plan - Demo of Rear Home Section of ,, TOWN OF YARMOUTH ' ' ° HEALTH DEPARTMENT o: 1-/ "' PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: / Building Site Location: 8> 7 i,r�- $4 . c ! 'i \! "' U - *1 i Proposed Improvement: j � c: 1 r co ( frc 1--)c-,,,../ ee �- 110 -e+ kr.,,to,(c / (Y 0 / 1 I. .P,A, C. o,,,j Y +. S i F' C 11 .+i f)i t'^{ 'f 1a 11 S, 1"f 0 e 0 e 1 ti . a► N <, N7, I( p1 e ,..i -rev✓,r e( l 1).0,‘, 1,U ((C v2 4, S (,,a 9 / v . Applicant: ADA vl. Fk'Sk 'l+en Tel. No.: -fl `( - 60 2 0 1 i( t_ Address: A„� '`">1 • G' *; L, (( ° ;`�/1 Date Filed: k / 11 / (6 **Ifyou would like e-mail notification of sign off please provide e-mail address: ( d t ol e 1„,---t-e II ip(Z - G'o N19 5. (-,),An Owner Name: ) Oki N ( 1 A ( k ti Owner Address: 1 2 1 s'n . 1 - e,/ e-'0,- - I`1 . Owner Tel. No.: 6 13 - I f - 4 6 ‘ 3 i 0 , RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Health Activities. Please submit three(3) copies of plans, to include: (1.) Site Plan showing existing buildings,water line location, and septic system location; (2.) Floor plan labeling ALL rooms within building (all existing and proposed)— Note:Floor plans not required for decks,sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY: - 0 ' '/ r DATE: // -' / PLEASE NOTE fiQ ! CO MENTS/ O J DITION,. ,. /1y ;,44'(.iOf,/?;, ft ' , G/l c� YI ,r I'�dG .1� TOP FOUND. EL 13.3' PRECAST H!O RISERS (TW. 2'e EXISTING PROVIDE MIN. 20' DIAM. WATERTIGHT ACCESS COVERS TO WITHIN 6' OF FIN. GRADE SYSTEM PROFILE (NOT TO SCALE) 2' PEASTONE OR GEOTEXTILE 1 FILTER FABRIC OVER STONE ALL SYSTEM COMPONENTS SHALL BE MARKED WITH MAGNETIC TAPE OR COMPARABLE MEANS FOR. FUTURE LOCATION. CONCRETE COVERS TO WITHIN 3" GRADE 27. SLOPE REQUIRED OVER SYSTEM NOTE: 2" MIN. WALL THICKNESS REQUIRED - BLOCKS OR 4"OSCH40 FVC MORTAR ALL HR 100 CAST RISERS 6- MIN. SUMP PIPES LEVEL 1ST 2' COMPONENTS 12' MIN. INT. ole �2.5' (TYP.) INV'S EL. 9.1 3 �f ENDS ( SIDES 9.93' 10" EX ;'-G TEE TEE SEPTIC TANK t9,$'± WATERTESi O'BOX GAS BAFFLE - „ „ , , '- FOR LEVELNESS ®® 9.37' 9.2' = - `° ° 3/4"-i-1/2 ' DOUBLE WASHED STONE 4' MIN. LIH-10 500 GAL LEACHING CHAMBER BY ACME PRECAST OR EQUAL (5) UNITS REQUIRED ALL AROUNO PRECAST STRUCTURES 6' CRUSHED STONE OR MECHANICAL OVERALL NO TO OIJTSME OF STONE: 47.50' X 12.63' COMPACTION. (15.221 [2]) ;n (_L.4 .. SLOPE) (-L-% SLOPE) FOUNDATION -EXISTING- SEPTIC TANK 31 D' BOX 12' 'THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS LEGEND - 1 -99- EXISTING CONTOUR X 99.1 I EXIST. SPOT ELEV. ! --(991-- PROPOSED CONTOUR. 198.41 PROPOSED SPOT EL. TH 1 TEST HOLE 2-/_- SLOPE OF GROUND rQ; UTILITY POLE - sY FIRE HYDRANT III NOTE: NOT ALL SYMBOLS MAY APPEtR IN ORAWING PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM TEST HOLE LOGS ENGINEER: DANIEL E. GONSALVES, SE X13587 WITNESS: BRUCE G. MURPHY DATE: JUNE 20, 2018 PERC. RATE _ < 2 MIN/INCH CLASS I SOILS ELEV. i 0 12.1' - A - LS IOYR 4/2 6" TB LS 1OYR 5/6 30" 9.6' CG -W ADJ. DATA: WELL: MIW-29 PES ZONE: A MS ADJ: 0.5' 1OYR 7/4 2.1' ADJUSTED GROUNDWATER 126" 1.6' GROUNDWATER ® 126" DCE #18-021 Sccle: I"= 20' 0 10 20 30 40 50 FEET ADJUSTED GROUNDWATER - EL 2.1 NOTES 1. DATUM IS ($ 2. MUNICIPAL WATER IS EXISTING 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS TO BE AASHO H-14 S. PIPE JOINTS TO BE MADE WATERTIGHT. 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH 310 CMR 15.000 (TITLE 5.) 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. B. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4' PVC. 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. 10. CONTRACTOR SLL BE CAWNG DI SAFE (ti 888 344-77233)BLE AND OR LOCUS MAP VERIFYING THE LOCATION OF ALL UNOERGP.CUND do OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF SCALE 1"=2000'± LEACHING WORK. FACILITY 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL ASSESSORS MAP 43 PARCEL 39 BE REMOVED BENEATH AND 5' AROUND THE LOCUS IS WITHIN FEMA FLOOD ZONE X (0.2 PROPOSED LEACHING FACILITY. PCT ANNUAL CHANCE FLOOD HAZARD) AS 12 EXISTING LEACHING FACILITY SHALL BE PUMPED SHOWN ON COMMUNITY PANEL #25001CO589J AND REMOVED OR PUMPED AND FILLED WITH CLEAN DATED 7/16/2014 SAND. i I PRIMATE lY'Ay (E V7 PORTION 0 ISTING VG 1 Z. N L +N = tXi 5-1oj6, �- EXISTING CESSPOOL SHAL BE REMOVED OR FILLED WITH CLEAN SAND SYSTEM DESIGN: GARBAGE DISPOSER IS NOT ALLOWED EXISTING 5 BEDROOM DWELLING PROPOSED 5 BEDROOM DWELLING DESIGN FLOW: 5 BEDROOMS ® 110 GPD = 550 GPD USE A 550 GPD DESIGN FLOW SEPTIC TANK: 550 GPD (2) = 1100 USE A 1500 GAL. SEPTIC TANK LEACHING: SIDES: 2 (47.5 + 10.8) 2 (.74) = 172.5 GPD BOTTOM 47.5 x 10.8 (.74) = 379.6 GPD TOTAL: 746 S.F. 552.1 GPD USE (5) 500 GAL LEACHING CHAMBERS (ACME OR EQUAL) WITH 2.5' STONE AT ENDS AND 3' AT SIDES MA DATE BOARD OF HEALTH TITLE 5 SITE PLAN 1 OF 78 RIVER STREET ►UTH YARMOUTH, MA PREPARED FOR JOHN CLARK & CAROLYN PRATT DATE: JUNE 22, 2018 \cy% oft 508-302-4541 SC8-362-9880 IZ downcape.com down cape engineering, Inc. asDR,�"O� civil engineers land surveyors 9J9 Main Street ( Rte .6A) DATE DANIEL A. OJALA, P.E., P. .S. YARMOUTHPORT MA 02675 18-021 CLARK-PRATT.DWG