HomeMy WebLinkAbout2022 Sign off Transmittal - Remove existing deck replace with addition and deck ,, . k TOWN OF YARMOUTH
• r HEALTH DEPARTMENT JUN 14 2022
I 47- HEALTH
DEPT.
PERMIT APPLICATION SIGN OFF TRANSMITTAL S - '
7o he completed by Applicant:
Building Site Location: 8 se--7-0 acer l'eo, t '/4g 0' 70
Proposed Improvement: 7E OI/ e XIS!i f C CGX. 7 Cr C4 /5 X'2 '
000/7/Ok) I /.5 :,C /2,„0 r-'
Applicant: ?,'4 g eg41 Tel. No.: 77 4.-Ge9s7
Address: /6 Si elf( , Z )/ ' ' 14Date Filed:G XVA-2-
**If you would like e-mail notification of sign off please provide e-mail address:PSN j9-5(PEWC lJn/10 r/114/C...COr"J
Owner Name: ia/al '1 POS'
Owner Address: eS 7VC/CeT D 1O)7 Z Owner Tel. No.: (..e/7 7/0 - Y
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:
7/. DATE: //7/--2- '
PLEASE NOTE
COMMENTS/CONDITIONS:
9q EXISTING
CONTOUR: --- SEPTIC SYSTEM DESIGN SEPTIC SYSTEM SECTION
9Cti PROPOSED CONTOUR: .............
EXISTING SPOT. ELEVATION: 25.5 FLOW ESTIMATE:. 2 PEASTONE OR FILTER FABRIC
PROPOSED SPOT ELEVATION. 25, 4 BEDROOMS AT 110 GAL ! DAY = 440 GAL / DAY 89.61 COVERS WITHIN 6" 3/4"- 1 1/2"
TEST HOLE: OF FINISHED GRAD
QO - _ TOP U v ,,, WASHED STONE
y3D UTILITY NE: 0 FOUNDATION ^" INSPECTION PORT
ES CKET _ SEPTICTANK: U FENCE LINE:
HYDRANT: -.6-440 GAL 1 DAY x 2 DAYS = 880 GAL ELEV.- 81,0
� " `" `
c RETAINING WALL:3VER
' MAX.
USE 1000 GALLON SEPTIC TANK (EXISTING) e R-� -
CO
(1' MIN)
80.9
z LEACHING AREA: ELEV, -
USE 3 - 500 GALLON CHAMBERS (8.5 x 4.8'x TEFF. DEPTH) WITH. 0.4
LOCATION MAP ELEV. ELEV. ELEV. • ' •. ^ 78 0
LOT 24 (17,831 SF) 4' OF STONE ALL AROUND (33.5' x 12.8' x 2' DEEP) D-BOX <4j-ELEV.
ASSESSORS MAP: 143 PARCEL: 160 1000 GAL (6" STONE UNDER) 4 4
PLAN BOOK: 206, PAGE: 45 SIDE AREA: (33.5' + 12.8') x 2 x 2 = 185 SF (0.74) = 137 GAUDAY SEPTIC TANK (H-20) 33.5' x 12.8'---->
BOTTOM AREA: 33.5'x 12.8'= 429 SF (D.74)=117 GAUDAY OUTLET PIPE TEE SIZES: (TO BE CONFIRMED) 8l) 0 3 - 500 GALLON CHAMBERS WITH
INLET. 6" UP, 13" DOWN 4' OF STONE ALL AROUND
UNDER BASEMENT OUTLET: 6" UP, 14" DOWN ELEV.
CAPACITY = 454 GAUDAY FLOOR (33.5' z 12.8' x 2' DEEP)
GAS BAFFLE(H-20
AT OUTLET TEE (TO BE ATED)
B ED KITCHEN NTH-1 S4,0
ROOM BATH AREA / 86 `F. `\. TEST HOLE LOGS O/AHORIZON BEV•
/ �e �� S'� LOAMY SAND
ENGINEER: McLELLAN, P.E.
16" tOYR 4!2 R2.7
WITNESS: AMY VON HONE,R.S. B HORIZON
BED BED ROOM M 6/ i \� �� � F (SEENOTE1ING 3)H PIT 42" 10YR 5//8 AND
�. DATE: 7.10-14
ROOM ROOM GARAGE a �Cv ` PERCOLATION RATE: <2 MIN/IN 5
th-1 �V LOAMY SAND
''
1 at FLOOR `78" C.25Y 8/4O
77.5
HORIZON12" ` FINE-MED SANDoak 88
16" ...
2.5Y 7/4.
. s pine /01
MUD 156„ 71 0
NO GROUND WATER ENCOUNTERED
[BATH
ROOM S / ,pine �,,,, Oek ` t````T
FAMILY i \
ROOM \o NOTES:
I BED I NAl
ROOM.. Ai' Is. \ oak �� J �`� 1. VERTICAL DATUM: ASSUMED
_ I %4c.})^„�Oa 9,65 a 2. MUNICAPAL WATER IS AVAILABLE.
BASEMENT �' X _ ; .\K opt ) tt 3. SCHEDULE 40 - 4" PVC PIPE TO BE USED THROUGHOUT SEPTIC SYSTEM.
82.1 90 4. ALL PRECAST UNITS SUBJECT TO TRAFFIC LOADS TO CONFORM WITH AASHTO H-20 SPECIFICATIONS
EXISTING FLOOR PLAN S yng 5. PIPE PITCH =. 1/4" PER FOOT (UNLESS NOTED OTHERWISE).
�0� �ypK �z
B. FIRST T OF PIPE OUT OF D-BOX TO BE SET LEVEL.
- G shoves J 7. THE SEPTIC SYSTEM HAS NOT BEEN. DESIGNED TO ACCOMODATE THE USE OF A GARBAGE DISPOSAL.
NG B. ALL CONSTRUCTION DETAILS ARE TO BE IN CONFORMANCE WITH THE STATE OF MASS. ENVIRONMENTAL
CODE (TITLE FIVE) AND LOCAL HEALTH REGULATIONS.
` \ k P8 23 to 9. CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR TO CONSTRUCTION.
y t
88� i 10. GROUND COVER OVER ALL SEPTIC SYSTEM COMPONENTS NOT TO EXCEED 3'.
\ kn
11. FIELD SURVEY PROVIDED BY TERRY A. WARNER, P.L.S., HARWICH, MA.
12. THIS PLAN REQUIRES THE REVIEW AND APPROVAL OF ONE OR MORE TOWN DEPARTMENTS AND
��� OEGK II IS SUBJECT TO CHANGE UNTIL SUCH TIME.
W _ / ! i �^ 13. EXISTING LEACH PIT IS TO BE PUMPED AND. REMOVED.
14. D-BOX TO BE WATER TESTED TO ENSURE LEVELNESS AND EQUAL. FLOW.
HEALTH DEPT II GPS //
+ / 88 i 15.THIS PLAN REQUIRES THE APPROVAL OF A VARIANCE FROM TITLE 5, SECTION 15.221 (7),
-A e 90 PROPOSED LEACH AREA TO BE MORE THAN V BELOW GRADE, (VARIANCE OF 2').
r � ,
0 x
BENCHMARK AT .yw.
ORANGE PAINT i SITE PLAN
.MARK ON WALL
Permit valid for REPAIR OF SEPTIC SYS"1 " ELEVATION = 89.67
17NLV. due to Stale and Local. septic :vuriancrs.
\
Board of Health review and npyroval is required fur. % LOCATION: \
any future aand/or s/ructureions/aling. ions to 5.365 •,� S SETUCKET RD. YARMOUTHPORT MA
sewage facilities and/or struruu tvd»�rihng. S 85°36'53" W � - „- ; , ,
Y'armonth t#eallh Utlntrhnrnl PREPARED FOR:
mum
APPROVED I Sidewalk 1r [ F ANNA PONS
'10 SCALE: I"= 20'
,. 4
me Uat _ - "' BASS RAVER ENGINEERING
EDcEofP"_ Pte-- SETUCKET ROAD
THOMAS J. McL AN, P:E. P.O. BOX 1163, EAST DENNIS, MA 02641
M14-25 508-385-3426 OR 508-364-9048