HomeMy WebLinkAbout2022 Sign off Transmittal - Addition RECEIVED
�`�e..l/ 'r TOWN OF YARMOUTH
JUL 19 2022
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HEALTH DEPARTMENT
S `- •l s HEALTH DEQ
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant.
Building Site Location: V7 eia 1 54-rpt+
Proposed Improvement: 0-011,14,'0r-) / i XI 7 + „I cc r c 1•,w,_,L f 11Z OG t"
Applicant: Aci 4-vex 0\(Aryl��� Tel. No.: Sod'---29‘-- (315-
Address:
-Z96 (3K>Address: g 7 Ske.44:--(j 204 ‘.1 Date Filed: 71 2°2z
**/f you would like e-mail notification of sign off please provide e-mail address: U 4 r'^6 hi_ P2rn o.1 e 1.rs i a,„,U,„.,
Owner Name: eA,r;; S led Y1.--ed
Owner Address: I7 C_P„,-k., S 1^.e•.t--k- Owner Tel. No.: 7315 S9) '6`1 Z
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. •
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REVIEWED BY: DATE: 7).s--- �.L
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COMMENTS/CONI�TIONS:
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DONALD I. MEYER REvl-
— Professional Building Designer
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P.O. Box 532
So. Yarm 394 59 02M T 6 1113 NUM5ER
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DONALD I. MEYER REMW°
Professional Building Designer
P.O. Box 532
So. Yannouth, MA 02664 DRAWING NV
(508) 394-5296
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DONALD I. MEYER REMW°
Professional Building Designer
P.O. Box 532
So. Yannouth, MA 02664 DRAWING NV
(508) 394-5296
S STEM PROFILE�L rs LDMPDNEY S SHALL BF NOTES
NARKED tMM M"ONE11C T"D oR
...EMEWS FDO FUNRE I➢CWTON.
POOMR, 11'
(x0! N uq 1. DAWN IS NANL9d
POSESO 'T
N 5 i0 1HIN?E' OF NM GRADE FN O OR GEOIFtthE WNCRE2 CWNs TO VIHHIN 0" GRADE R. MUNICIPAL WATER IS E315EHS.
P L Bl, Fl RIL WIS STONE
MINIMU
MIxIMUM OF COVER WER PREGS!
1B OLDIE REOUIRED OVER SY W 26 2$.T 3. LEARN PIPE PRM TO BE 1/8' PFR FOOT..
ECT, 2" MIN VN_ RpCI(5 OR 4UNITS ftiO BE LOADINGMR
XR �L PROPOSED PRECA9i
!T LINO
26 5 OB. PVC R.111A LL CAST
0 TS 5 PIE JOINTS N BE MME MMIrIGNi.
"• E%m ENDS _ - _ 50 2383_- 6. C,,VMCMNq OSLBUE TO BE IN ACCORDANCE
"x s
Ip- m0O O g�Ig3 E[e�� q y 3p® MW
__TET
tEE Pi 0 TETE Ofiax pFBI 9 ED
E � 2l4 PP P� � �., 1 310 cMfl 1sa50 (nR£s)
D eAFF 1EVFwLss e rau�EP . �P� P,®® ® ]. MIs PLAN s FOR PRovosc0 wDRK O Lv Arv0
• • • ""° - -"" ° • 23 4]' ""I 3 30 • ° MIN. L e e 21.0' NOT 70 8E USED FOR LOi LINE STAMENS OR ANY
E, MFA PURPOSE.
/ -1/1' OOUOLE WASH O.STONE -IO 500 FACXNG ..F. BY ACME INCLASI CR EDTA B. PIPE FOR. SEPT. SYSTEM TO SUIT 90 6' PVC.
SIR CIURE9 H () UNTs ADMIRED
°a"e°+°e°e"e°6" LRUMED STONE OR NFLHPNI WLL ALL URD INONS N TATSOE OF ETONS. 85.00' % IE 6] 9. WMPONENIS NOT TO BE BACKFlLLED ON
i CpMPIC11oN 0.`. I DS) HEALLTH FDD PEEMBEROONPONTUXED MOM BORD
OF HEALTH.
10. CONTRACTOR MALL BE ...G,EIBIE MN
Nos' BOTTOM M-1.CALLING BGSAFE (I-888 03F Y7ALL2331 AND
ORKRUDED
j2J F E:OPE) (2 R SLOPE) D GROUNOWATIN FUUNO p�EEINH�EAD VTUNES PRIOR N OCMMLENCEMENT OF
LEACHING WORN
FOUNDATION— EXIST SEPTIC TANK — 5" 0' NO 12FACWIY H. MY BEEPTABIE MATERIAL ENCOUNTERED SHALL
VARIANCES REWESTA: BE REMOVED BENEATH AND 5' AROUND THE
-THE INSTALLER SHALL VERIFY THE LOCA DNS OF ALL PROPOSED LFncxlNc FAclutt.
UTILITIES AND ALL -BUILDING SEWER OUT TS AND ELEVATIONS VNOEA A. IEASIBLE WMWANCE 15.105 12. E%ISTNG LEACHING FACIUN SHAL: BE PUMPED
— 09-
ryC CONTOUR
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CPET. SENT IN,
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PROBES. CON
IS"]
E.MS. SPOT
GH
W
IFS
SATO OFS.U.
Qt
ICLI
26.0'
—
FIRE
PRICE TO INSTALLING ANY PORTION OF PRC SYSTEM (ID): REIIULN w sEiBACR, SA9 i0 FWNOnnON (20 ip 16) M'D RMOVEO.ON FVMPD) AND CLUED 1NM CLEAN
SAND.
f\
TEST HOLE LOGS
ENGINEER:OANIEL E. GONSALVE5,
SE 1358]
WITNESS: AMY VON HONE, RS
DATE:_ 1 18 18
PERC. RATE _ _.< 2 MIN INCH
CLASS SOILS
Q- ELEV.
4"
26.0'
—
FILL
20
BAN 0
A
P9'i y
Ls
SFLINB OF
26"
tOYR 4/4
23.8'
B
10YR 5/6
CED2
123.036"P
5Y 7
PA. FLODR
138
FR.. SCOR ALE
NO GROUNDWATER ENCOUNTERED
DCE #17-484
J
SELL, 1'= 20
1
MAP 132 PARCEL 131
QMMSfIBUROM 6YFL. 20Y J �- lLuw e 1
GARBAGE DISPOSER IS NOT ALLOWED
'x� 21. O DESIGN FLOW. 3 BEOR00 IS ® 1t0 GPD - 330 GPO.
10 y USE A 330 GPD DESIGN LOW
$EPT1C TANK 330 FAR 2) 660
--RE-USE EXISTING 1000 GAL SEPTIC TANK
LEACHING:
%ISINNG O ( SIDES: 2 25 + 1283 L4) 112 GPD
/ DECK TOF�LIN20J w lIV BOTTOM 25 1283 74 237 GPD
TOTAL 4J SF 349 GPD
2G✓ �.`W� a USE (2) 500 GAL LEAD NO CHAMBERS (ACME OR EOUAL)
WITH 4' STONE ALl Aft0 NO
/I BO:
O\O DOORORILL
SNA
-rz] PAVED -29.8- VD00 W �1%
DRIVE \D --b w I h I� C .M,
APPROVED DATE BOARD OF HEALTH
LOT/12 U f
16211 S.F. i�"-�.e ,fix
4 TITLE 5 SITE PLAN
1528� � Y. evanE ( ' n OF
9A20'
o
APPO v LV/. g 47 CENTER STREET
�\J Rai YARMOTHPORT, MA
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T De a PREPMED FOR
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� OANIELA DA i 'm wit/ 0 P Com
down cape engineeimg, kC.
4 oz x.4D9s0.,
civil engineers
land surveyors
_ M 939 Min Street ( Rfe 61)
Yew IN 11 FIT DANIEL A OJALA, P.E. PLS TAR&gT A,,,Ar MA o26]5
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