HomeMy WebLinkAbout2018 Sep 14 - Sign Off Transmittal, Plan of Land - Foundation ov:;44_'"Itt. TOWN OF YARMOUTH
HEALTH DEPARTMENT
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` PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant: tt
Building Site Location: CO C
Proposed Improvement: f axi (9, Pei ,2, w�
Applicant: Val n t5 mo Tel. No.: 67(- )3Z-(0-3716 CiU.<
Address: 0 R`(_ SC �` e A'A Date Filed: l sol i t
**Ifyou would like e-mail notification of sign off please provide e-mail address:
Owner Name: I)E'u..h.) LtSi,
Owner Address: + C .IC St F-`Otai inn A Owner Tel.No.: Sv•3Z‘• 3f(la
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: ((j(f/ZijW DATE: 9:-/i /:;tf
PLEASE NOTE
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NOTES:
1. THE BEARINGS AND DISTANCES AND THE COORDINATES THEY
ARE BASED ON SHOWN ON THIS PLAN ARE IN U.S. SURVEY FEET
IN THE MASSACHUSETTS STATE PLANE COORDINATE SYSTEM
REFERENCED TO THE NORTH AMERICAN DATUM OF 1983, CORS
ADJUSTMENT (NAD83/CORS) AS DETERMINED BY GPS
OBSERVATIONS MADE MAY 21, 2015 USING THE KEYNET GPS
VIRTUAL REFERENCE SYSTEM (VRS)
2. ELEVATIONS, IN U.S. SURVEY FEET, ARE REFERENCED TO THE
ASSUMED DATUM OF PLAN ENTITLED "PROPOSED SEPTIC SYSTEM
SITE PLAN" DATED 1/15/2008 BY ENGINEERING WORKS & HOOD
SURVEY GROUP.
3. WETLANDS DELINEATED BY DAVID DURANLEAU, WETLANDS
SPECIALIST AND BYRON HOLMES, P.E. ON MAY 16, 2015.
4. HOUSE AND SEPTIC TAKEN FROM "PROPOSED SEPTIC SYSTEM
SITE PLAN" DATED 1/15/2008 BY ENGINEERING WORKS & HOOD
SURVEY GROUP.
25` t --1 (2)1"x1"x4' STAKES
W INTERV L
BALES TO
BUTT
TOGETHER oz
SLOPE 81 EXISTING
GROUND
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STAKES m
FOR EACH
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/ EACH BALE
25•
p �
PLAN VIEW SECTION THROUGH
SILTATION BARRIER
NOT TO SCALE
I CERTIFY THE LOCATIONS ON THIS PLAN RESULT FROM AN
ACTUAL SURVEY MADE ON THE GROUND BETWEEN THE
DATES OF MAY 19 AND MAY 21, 2015.
Com/
REGISTERED PROFESSIONAL LAND SURVEYOR DATE
FOR ALPHA SURVEYING & ENGINEERING, INC.
4-Kti OF Aq,-,
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N/F THOMAS M. TULLY /
52 CAMP ST.
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/ MAP 45 LOT 28 REBAR 3ET- `
N/F SCOTT P. CONROY /
r 48 & 50 CAMP ST.
S / LC. DOC.#1114354
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30 0 30 60 90
SC'AlE 1"=30'
Yarmoutla Hen1th Dei anent MAP 45 LOT 39
p V / N/F TOWN OF YARMOUTH
47 PONDVIEW AVE.
_ :• / LC. DOC.#497380
�T. `ne a Date
PREPARED FOR
KEVIN BAR BATO
31 OAK STREET
FOXBORO, MA 02035
DATE REVISION
PLAN �A-�
3 ` O F
00 CAMP STREET
YARMOUTH, MAS S AC HUS E TTS
'
_
-
-- w__
-
' ENGINEERING'®�
SURVEYING A N D
6I 5 W A R E H A M STREET
- MIDDLEBOROU 9 - 02 0 5
(508) 295-5505
JOB. NO.
15115
6--24-15 ADD HOUSE &SEPTIC SYSTEM
7-27-2015 ADD GRADING
SHEET N0.
1 of 1
DWG. N0.
15115
DATE
i5/22/20151
SCALE
1"=30
DRAWN
AMC
FIELD
JD/GA
CHECKED
RAP