HomeMy WebLinkAbout2019 Aug 12 - Sign Off Transmittal, Plan - Inground Swimming Pool RECEIVED
TOWN OF YARMOUTH
Ate 1 ?2019
,c HEALTH DEPARTMENT
o �-''� HEALTH DEPT.
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: !? Nor-E-11 dOtivt9f,'i C(/1Q JariiuApor4
Proposed Improvement: hyoUrtel Stu,'mmt J Pool
Applicant: 8e.„11&., Poo t c Tel. No.: SP'39g-- 077
Address: 5a1LOkif-e5 ecith jgb til QOM QtyDa Filed. (a 1"/
**Ifyou would like e-mail notification ofsign off please provide e-mail address: / /.z.-rd . eafe 1j_?,1,I Qr& c J'Aitl^ t .1-s n 4-
Owner Name: C-7 ii n K—I 1(A K
Owner Address: Ea d°Lk-51)Y1 bhv ltt-54-0-A A ?Y1t" Ol��lp SbF-3O8- `7(ti(0
�� Owner Tel. No.:
16i N 0 --4-tS cuvvc1 Si-AL L t t \)a-rm o u ma4- 0)._to 15-
RESIDENTIAL
SRESIDENTIAL 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: ' DATE: /1
PLEASE NOTE
COMMENTS/CONDITIONS:
r1
ICE REQUEST:
A VARIANCE TOINSTALL AN SAS GREATER THAN 3 FEET
ME. A VENT AND CHARCOAL FILTER HAVE SEEN PROVIDED
N/F BANK OF BOSTON
Permit valid for :PAIR ()h SEPTIC' SVS'fl•M Is
ONLY, flue to Stat, and f anal sclNic variances., k0
Board. of lleallh reci(- and :11qr1+ %al 1\ require�f8+ 0'
ary fulure additi-1 Jre�++a :ulouti:llteratfjll}J:
A 5A
sewagelaeilities and,'or s ria u, cshlltrllln .
N armouth IleaIla I)V.. r t�tettt
AYt'R(' LD /.4
ECT BENCH MARK
OF FOUNDATION
= 100.00 (ASSt
LOT #7A
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LOT #sD
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� GRAVEi.� \ GRAVEL
DRIVEWAY / \ \ ` , DRIVEWAY
SSS
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. 98
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1. Contractor is responsible for Digsafe notification, Verification of Ut-111ties
and protection of all underground utilities and pipes.
2. The septic"tank a l distribution box shall be set
level on 6 of 34 —1 1/2" stone. ys
3. Backfill should be clean sand or gravel with no
stones over 3" in size.
4. This system is subject to inspection during installation
by Shay Environmental Services
5. The contractor shall install this system in accordance
with Title V of the Massachusetts state code, the approved plan
/ and Local Regulations.
6. If, during installation the contractor encounters any
0!.9fsoil conditions or site conditions that are different
from those shown on the soil log or in our design
gkp. installation must halt & immediate notification be
made to Shay Environmental Services
7. No vehicle or heavy machinery shall drive over the
septic system unless noted as H-20 septic components.
8. Install Tuf—Tate gas baffles or equals on all outlet tee ends.
9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes.
10. All solid piping, tees & fittings shall be 4" diameter
1
AUG 12 2019
POC C'
HEALTH DEPT.
Schedule 40 NSF PVC pipes with water tight joints.
11. Municipal Water is Connected to ALL OF The Abutting
Properties Within 150 Feet.
THE PROPERTY LINES ARE APPROXIMATE AND
COMPILED FROM THE SURVEY PLAN BY SURVEYING/ENGINEERING CONSUTAP
ENTITLED: "PLAN OF LAND OF LOT 6D N SANDYSIDE LANE YARMOUTH, MA
DATED: JAN 17 2002
AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN
XV67ZNc' / /y 0 20 40 50 IT SHOULD BE USED FOR NO iPURPOSE OTHER THAN
3 JWDXOOAf
auasa // THE SEPTIC SYSTEM INSTALLATION.
fuU foundation / EXISTING LEACH PIT TO BE PUMPED OUT AND FILLED IN PLACE
NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE
SCALE: 1 "=30' FROM THE. EXISTING CESSPOOL/LEACH PIT TO BE DISPOSED
OF AS PER BOARD OF HEALTH SPECIFICATIONS.
/
REVISED OCT. 12, 2015 — Per Board OF HEALTH CORRESPONDENCE
ED I
EXIST. g
s� Tunk
76 v
3f
TEST HOLE #1
ELEV.- 98.50
/Y"CCBDD.H. Y
VENT
PIPE l'.8 PORT f / / t'a F
w/CHARCOAL FILTER /
/' GARAGE
/
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0
L.g4.3y • , i
p0.
CB D.H.
cern
First Floor
Kkchen I pmk,y
J , Bedroom
® 19 N Sw*vIde Ln
J 3D ± L
LOCUS MAP
PLOT
PLA N
OF PROPOSED SEPTIC SYSTEM UPGRADE
6
Second Floor
- DESCRIPTION BY OWNER
Bedroom
Both
Bedroom
1 4 ZOISit Q
PREPARED FOR
ln
RALPH ALBERTI
AT.
NORTH SAN DYS I D E LANE
ASSESSORS MAP 122 PACEL.#1
YARMOUTH, MA
PREPARED BY: 3 I
3 j
+��4RMEN E. SHAY
ENVIRONMENTAL SERVICES
P.O. Box 1576
MASHPEE, MA 02649
TEL/FAX : 508-294-7498
SCALE: 1"=30' DRAWN BY: CES DATE: SEPT 25, 20015
PROJECT#19 N SANDY FILENAME: 19 N SaNDY.DWG SHEET 1 OF
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