HomeMy WebLinkAbout2019 May 28 - Sign Off Transmittal, Plan - Deck at TOWN OF YARMOUTH
- :1 ter HEALTH DEPARTMENT
�• ,I, ' `-• PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: I 6v4) -t) -(in k L IV
Proposed Improvement: kck of 6a�.E or (17(,..1/4-1.4.,-.7) J
' b Lt. 10 . 6 // Lor
Applicant: K,-/In )".-jr3c-k- Tel. No.: 171 q300 ) 7
Address: �>�l�- Date Filed:
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**lfyou would like e-mail notification of sign off please provide e-mail address:
Owner Name: ' �'�� 6"--Alr
Owner Address: I " `O `t..,,K C t✓ Owner Tel. No.: SA
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 j
(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: i� DATE: 'c----/,aal
1
PLEASE NOTE
COMMENTSICONDITlONS:
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i
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A
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EXISTING CESSPOOLS
LOCATION TAKEN FROM RECORD
AS—BUILT DATED 6/7/07
TO BE PUMPED, FILLED WITH SAND
AND ABANDONED, OR, REMOVED.
Benchmark Set
Left cor. bulkhead
EL.=100.00 (Assumed;
MAY; 2 8 2019
TH DEPT. I V;
fait valid for REPAIR OF SEPTIC SYSTEM
LY, due to State and Local septic variances.
rd of Health review and approval is required
any future additions/renovatious/alteradlW to,
age facilities and/or structures/
Yarmouth
PROVED ,czW�c
OWNER OR RECORD
ROBERT RHODES ET AL
22 GLENVIEW AVENUE
AUBURN, MA 01501
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CD
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�I I/2 5TY.
/WD; FRM.
T_0 -F. = 101 .(
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TOP OFD
LOADED L ;71'.I N
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1 1 1 1 1
99I 1 _L..li Z
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UTILITY POLE
GUY WIRE
W W-
99
S�
APN 58-394
10,000±SF
81 .59'
531 04820" E
9 9) 19> EDGE OF
.3� 'slj '6'j
PAVEMENT
805 -0 -LINK LANE
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9]
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LEGEND
— — ag — — EXISTING CONTOUR
x 100.98 EXISTING SPOT GRADE
99 PROPOSED CONTOUR
99 PROPOSED SPOT GRADE
W EXISTING WATER SERVICE
G EXISTING GAS SERVICE /
G. H. W. OVERHEAD WIRES
mo
TEST PIT
R.
BENCHMARK
ml
0
LOCUS MAP
NOT TO SCALE nvl
C)
V
53104,5
GENERAL NOTES; N
O
99 102.E
1' ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL
CzSEP
2 20 8
BOARD OF HEALTH AND THE DESIGN ENGINEER.
2
ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS
>_
HEALTH DEPT.
OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE
LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW:
a
—310 CMR 15.405(1)(b,t
--
PROPOSED
1) A 1' variance, S.A.S. to cellar wall, for a 19' setback.
BE BACKFILLED PRIOR
/
SEPTIC TANK
TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE
1 fi'S
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>>,
4. THERE ARE NO WELLS LOCATED ' WITHIN 150' OF THE PROPOSED S.A.S.
0
99.68
5. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING
FROM THOSE SHOWN HEREON 'SHALL BE REPORTED TO THE DESIGN
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a 9 38
ENGINEER BEFORE CONSTRUCTION CONTINUES.
6. ALL ELEVATIONS BASED ON ASSUMED DATUM.
z
7. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF
I-
CD
V.=!jO VU= /
0. I /
�I I/2 5TY.
/WD; FRM.
T_0 -F. = 101 .(
I -I-
0 1 E-1-T_r__1 '
l i l
I I I
TOP OFD
LOADED L ;71'.I N
I
r -I -t -r -I
1 1 1 1 1
99I 1 _L..li Z
X919, TP co
O
0) Q
N �
UTILITY POLE
GUY WIRE
W W-
99
S�
APN 58-394
10,000±SF
81 .59'
531 04820" E
9 9) 19> EDGE OF
.3� 'slj '6'j
PAVEMENT
805 -0 -LINK LANE
9]
R
0
J;1
9]
; /0, .
19>
v 66"
LEGEND
— — ag — — EXISTING CONTOUR
x 100.98 EXISTING SPOT GRADE
99 PROPOSED CONTOUR
99 PROPOSED SPOT GRADE
W EXISTING WATER SERVICE
G EXISTING GAS SERVICE /
G. H. W. OVERHEAD WIRES
mo
TEST PIT
R.
BENCHMARK
ml
0
LOCUS MAP
NOT TO SCALE nvl
C)
V
GENERAL NOTES; N
O
�c��adr�
1' ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL
CzSEP
2 20 8
BOARD OF HEALTH AND THE DESIGN ENGINEER.
2
ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS
>_
HEALTH DEPT.
OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE
LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW:
—310 CMR 15.405(1)(b,t
1) A 1' variance, S.A.S. to cellar wall, for a 19' setback.
BE BACKFILLED PRIOR
3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT
TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE
DESIGN ENGINEER.
4. THERE ARE NO WELLS LOCATED ' WITHIN 150' OF THE PROPOSED S.A.S.
0
5. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING
FROM THOSE SHOWN HEREON 'SHALL BE REPORTED TO THE DESIGN
_J
' n
ENGINEER BEFORE CONSTRUCTION CONTINUES.
6. ALL ELEVATIONS BASED ON ASSUMED DATUM.
z
7. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF
THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF
HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION.
OFM
8. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE.
Assq�
9. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED
o
TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR.
RICH ARDtiG
s
J. �',
10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE
HOOD
THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING
0 35031 o
CONSTRUCTION.
11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS
S
H
S
IN TLAND
AND EPL E WITHATH CLEANDFILOLRAS SPECIFIED INS131E0 CMR255HE (3).255(3)
12. ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED BURIED
SEPTIC SYSTEM COMPONENTS THAT MAY EXIST ON THE PROPERTY.
Mgssq�yG
o PETER T.
McENTEE
CIVIL
No. 35109
n�^RfGI SiER`�p..S`��
PROPOSED SEPTIC SYSTEM UPGRADE PLAN
1 BOB—O—LINK LANE, WEST YARMOUTH, MA
Prepared for: B & B Excavation, 14 Teaberry Ln., Forestdale, MA 02644
Engineering by: Surveying by: SCALE DRAWN JOB. NO.
Engineering Works HOOD 5URVEY GROUP 1 "=20' P.T.M. 222-08
12 West Crossfield Road 18 Route 6A DATE CHECKED SHEET NO.
Forestdale, MA 02644 Sandwich, MA 02563 9/18/08
(508) 477-5313 (508) 888-1090 P.T.M. 1 Of 2