HomeMy WebLinkAbout2022 Sign off Transmittal - Free standing deck TOWN OF YARMOUTH
, . HEALTH DEPARTMENT
'�•`' PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant:
Building Site Location: ct CA er,y L h ` W' /II'l4tt`4-h
Proposed Improvement: /t�/ /'( /i1
Applicant: (a e-ti Tel. No.: 77V- 2/2- )--.?ct(
Address: q CAeiry G•iv d44 Date Filed: 7 7-2--2-
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**If you would like e-mail notification of sign off,please provide e-mail address: \I Oil(6 «ck Ce 7604/6-1, a/*I
Owner Name: TUGS (24/114h
Owner Address: q e Y A W • 1/ivihey-a-4 Owner Tel. No.: '.77'/-2/ 2_- 2597/
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:
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(1.) Site Plan showing existing buildings, water line location,
and septic system location;
01 1! (2.) Floor plan labeling ALL rooms within building
(all existing and proposed) —
HEAITH 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: / DATE: / ` l
/ PLEASE NOTE
COMMENTS/CONDITIONS:
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FEB 0 2 1999
HEALTH DEPT.
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SYSTEM SHALL BE
STATE OF MASSACf
TITLE V, AND SHALL
THE LOCAL BOARD
REGULATIONS,
- THE CONTRACTOR SM
LOCATION OF ALL U
SHALL NOTIFY DIG—,,
CONSTRUCTION.
-NO GARBAGE GRINDE€
DESIGN CRITER(
DESIGN FLOW'
3 BEDROOMS AT 0C
PFO-UtRED SEPTIC. TA
_ USE K1 t,�t OuuA
SEPTIC TANK PP,OVIDE
SIZE OF LEACHING FAR
DESIGN PERC. RATE
SIDFWALL 40 8"- (35.45
BOTTOM t 351ZS
S17 5 0 y+ ?(0,5
SIZE OF LEACHING FA(
EFFECTIVE DEPTH
EFFECTIVE Ij-.N(,TN
- r'FGTIVE W I D TH
t L CONSULTING EN,
ti 7 W110 00110 DRIVE
SANDWICH, MA. 02644 •
Hunter Engineering ASSOCI)teS
PROJErT, 5epTic S
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