HomeMy WebLinkAbout2022 Sign off Transmittal - Replace Deck TOWN OF YARMOUTH
SS� \ ° HEALTH DEPARTMENT
o
mite PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: 220 Winslow Gray Road, West Yarmouth, MA 02673
Proposed Improvement: Replace external deck with deck of same footprint; redoing sonotubes.
Applicant: Daniel Johnson Tel.No.: (857) 389-2611
Address: 220 Winslow Gray Road, West Yarmouth, MA 02673 Date Filed: 10/18/2022
**If you would like e-mail notification of sign off please provide e-mail address: danieldonaldjohnson@gmail.com
Owner Name: Daniel Johnson&Lauren McGillivray
Owner Address: 220 Winslow Gray Road, West Yarmouth,MA 02673 Owner Tel.No.: (857) 389-2611
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,
G :75 .0gE) and septic system location;
(2.) Floor plan labeling ALL rooms within building
OCT 18 2022 (all existing and proposed) —
Note:Floor plans not required for decks,sheds, windows, roofing;
Df=PT. (3.) If necessary, Title 5 application signed by licensed installer
'th fee.
REVIEWED BY: DATE: /.?C--/"
PLEASE NOTE
COMMENTS/CONDITIONS:
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See Note 71
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any future to
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APPROVEDFV
Date
'ATION = 100' .
5UMED DATUM)
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LEGEND
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0 �-r - PROPOSED CONTOUR
EXISTING CONTOUR
x 99, 8 12
EXISTING SPOT GRADE
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EXISTING WATER SERVICE
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EXISTING CESSPOOL FEB 2 6 Z007
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,"il HEALTH DEPT.
ill ed with sorid,
PROPOSED SEPTIC rANKI
Pump CHAMBER uNir
SEWER CONNECTION
INV, =- 98, J 7±
R CHA D
HOOD
No, 35031
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PETER T.
M,,EN7EE
CIS 1L
No. 35109
5 L C ).. W GRAY 'Ru"AD
OWNER OF RECORD
ESTATE OF WALTER J. THOMPSON
MARK & DONNA TRIPP
401 PRENTICE STREET
HOLLISTON, MA 01746
VOCK ISr�tlD �RV
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LOCUS MAP. N.T.S.GENERAL NOTES:
1 • ALL CHANGES TO THIS PLAN MU` I BE APPROVED BY 'THE LOCAL
BOARD OF HEALTH AND THE DESiGN ENGINEER.
2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS
OF 'rHE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE
LOCAL RUI.ES AND REGULATIONS, ECE-PT AS REQUESTED BELOW:
- 310 CMR 15405(1)(a)&(b), CONTENTS OF LOCAL UPGRADE APPROVAL:
1, A 3' variance, Septic Tank to crawl space, for a 7' setback,
2, A 1' reduction to the required .5' sepatoTion between m-oximum
""soma high grounciwater elevation and bottom of S.A,S., for
o 4 separotion.
3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR
TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE
DESIGN ENGINEER.
4, ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING
FROM T40SE SHOWN HEREON SHALL BE RE PORTrID TO THDESIGN
ENGINEER 13EFORE CONSTRUCTION CONTINUES.
5, ALL, ELEVATIONS BASED ON ASSUMED DATUM,
6.. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF
THE CON7RAC70R OR OWNER TO NOTIFY THE LOCAL BOARD OF
HEALTH FOR PROPER INSPECTIONS DURINC CONSTRUCTION,
7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE,
8. THERE ARE NO PRIVATE WELLS LOCATED WITHIN 1010' Or THE S.A.S.
9. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED
TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR.
'10. 17 SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE
THE LOCATION OF' ALL UNDERGROUND UTILITIES, PRIOR 70 BEGINNING
CONSTRUCTION.
11, WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS
IN THE AREA SENrA7H AND FOR 5 FT, ON ALL
L SIDES OF THE S.A.S.
AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3).
12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY
AND IS NOT TO 9E CONSIDERED A PROPERTY LINE SURVEY.
PROPOSED SEPTIC SYSTEM UPGRADE PLAN
�
220 WINSLOW GRAY ROAD, SO. YARMOUTH, MA
Prepared for: Mark & Donna Tripp, 401 Prentice St., Holliston, MA 01746
Engineering by: Surveying by: SCALE DRAWN JOB, NO.
En91fW9df19W0rb HOOD SURWY GROUP 1 "=20' P.T.M. 102-07
12 West Crossfield Road 18 Route 6A
Forestdole, MA 02644 Sandwich, MA 02563 DA7E CHECKED SHEEP NO.
(508) 477-5313 (508) 888-1090 1/20/07 P.T.M. 1 of 3