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HomeMy WebLinkAbout2022 Sign off Transmittal - New Deck TOWN OF YARMOUTH HEALTH DEPARTMENT '�• ' PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: `� f e. � ✓t% Proposed Improvement: 4..bi) X G v CSC_ -- S-L c G F H—C S Applicant: Ala i N j J a yTel. No.:6( ?Z( .3// Address: /0 7 /4r---A- -6-="1K � �G'�y�„ ei TSI /144 Date Filed: 7-'Z **/fyou would like e-mail notification of sign off please provide e-mail address: JOwner Name: o/C 7tq -L %tIf) - �"Li Z C-'N Joyee/;974,2riAr i r• c e A170 Owner Address: /3S >irn` C(/ yni Cf WI Owner Tel. No.: 6r ? • 3it 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: RECEIV :< (1.) Site Plan showing existing buildings, water line location, and septic system location; . ' ?:0? ' (2.) Floor plan labeling ALL rooms within building (all existing and proposed) — HEALTH DEPT. Note: Floor plans not required for decks, sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY: iG� DATE: 47 PLEASE NOTE COMMENTSICONDITIONS: ISTING CESSPOOL (FOUND) ONTRACTOR SHALL PUMP & FILL W1 SAND STRIPOUT SEE NOTE 10 / AD" IS ?enchMark No,2 Left car, cone. blk. �D" E _ 40'� 1 'NATO 2576' EL=7.43 (NGVD) N 818848' ter • .. p s5¢P gAm <• 15' 39• i 29' C i O , r 17 N W No 203 PG. Land S€v.fR NOL =5.65(lE xi TING) '. v PL eµ tefgd Lane N ` Uf,re9'jed 5%` CLEAN uT 5 sto 258 C sEwca Nai W L0. rtay.=e.16ieR41Pos€c1 �! /I EXISTING m. SE(I¢`56) SnNG VY HOUSE (#60) gHOU l d3 TOF=8.24 TOF=8 (NGVD) a-� (NGVD) � Total area= z 25,686E S.F. -- v 0.59± AC. m Map 19 �— Parcel 25 191.09 „ W 5 80 z 0 RECEIVED SOUTH JUL;25 2022 J HEALTH DEPt•- �--COASTAL Or E SNORE DRIVE LEGEND �$--� PROPOSED CONTOUR 9$ PROPOSED SPOT GRADE EXISTING CONTOUR EXISTING SPOT GRADE --- EXISTING WATER SERVICE EXISTING OVERHEAD WIRES TEST PIT q�3 PROPOSED 1000 GALLON PUMP CHAMBER (H-20) �I PROPOSED 1500 GALLON I SEPTIC TANK (H-20) EXISTING CESSPOOL (NOT FOUND) CONTRACTOR. SHALL LOCATE,. PUMP & FILL W/ SAND UCr . B nchmark No.1 "` : 2s y�n� N.T.S. GENERAL NOTES: t' ALL CHANGES TO THIS PLAN MUST BE APPROVED 3Y THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER, 2- ALL WORK AND MATERIALS SHAI.L CONFORM TO THE RFOUIREMENTS LLOF OCALLRSTATE ULES AND REGULATIONS EYCEPNTAL CODE, T AS REQUESTED r3ELOWABLE -310 CMR 15.405(1)(o)(b)(9) & (h) 1) A 1' reductlon t© the required 5' sepatolon between moximfor urri seo6onal Hign groundwater elevation and bottom of S.A.S_, a a' Gupurutlon. 3. 7'0 INSPECTION SEWAGE I�PGSAL SYSTEM AND APPROVAL BY THE LL JBOARD OFCHEA HEALTH ANCIKFiLUED O�HE DESIGN ENGINEER, 4, ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM -HOSE ENGINEER BE SHOWNRE HEREUCTIONSHALL BE RESORTED TO THE DESIGN 5. ALL ELEVATIONS BASED ON NGVD. 5, THE i�FSIC,1,4 THE CONTRACTORORUWNERTTOENOTTIFY RESPONSIBLEFOR ELGCAL BOARDII OF OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE B. 0 A �OtiDITQNJ DISTURBED DURING RPON CBETWE NTOOWNER AND BCONTRACT�OR. 9. IT SHALL BE THE RE5PONSIBILITY OF THE CONTRAACCTORRTo VERIFfINGE THE LOCATION OF ALL UNDLRGROUND UTILITIES, CONSTRUC'HON. 1a, WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN AND REAREA P ACE BENEATH CLEAN FOR 5 FT ON PLL AS SPE IFIEDL INSI ES OF 10 CMRHE 255( )_S, e o "IN D cWAnoN Tawn of Yarmouth Ben c4 rerk 4d A NET AND DELIN EATION 32 (No 01) y- na. No. 252515 0005 D ..., ,�.....,e,,.«. :...�... �AOCB��r'�tas Con culling ZonerfieAv se SEL '1 2. 1992 a 2) Sandwich, MA 02563 �T. (508) 888-5855 y OF Mg6J arhG PROPOSED SEPTIC SYSTEM UPGRADE PLAN 00rij PETER T. s, MCENTEE YARMOUTH, MA _ clvl 2 88 56 & 60 SOUTH SHORE DRIVE, No. 35109 Prepared for: Marty Joyce, 109 Academy Ave., We DR WN MA B. 0 a ({�1 , Q V Surveying by: SCALE s , "' �.•uGk`� " Rfi;IS1E `��`�` Englneerng by: Warner Surveying 1"=30' P.T.M. 112-06 Fssl L F. EngIf9BBlrflg %�079fT --SHEET NO. 12 West Crossfield Road 22 Lang Road DATE CHECKED Forestdale, Mn 02e44 HarwlaH. MA 02545 7�23�06 O.T.M. i oaf 3 (508) 477-5313 (508) 432-8309