HomeMy WebLinkAbout2023 Sign off Transmittal - New Bedroom over new Garage / Septic upgrad MAR Li C [UZ3
HEALTH DEPT.
�ci,12 YN TOWI OF YARMOUTH
o AI ° HEALTH DEPARTMEI T
PERMIT APPLICATIOI SIGI OFF TRAI SMITTAL SHEET
To be completed by Applicant:
Building Site Location: /6' hactr/0
Proposed Improvement: ,Improvement: -dee Q Cam- q c y w [ new be v r n d-
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A licant: &/CC)rn cpP �U�V .�� � Tel.No.: �(/� 64/a l
Address:'(0__,a o r Date Filed: 3-/—�3
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Owner Name: / 1Jé1 &,(c.,,,, J
Owner Address:�[ (J �G jyy� Owner Tel.No.:co? 9 siA).-
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RESIDE' TIAL AI D/OR COMMERCIAL BUILDII G
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e.,Requirements
For Septage Disposal and other Public Health Activities.
PI se submit three (3) copies of plans, to include:
.) 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: - DATE: cY- a3
PLEASE I OTE
COMMENTS/CONDITIONS:
(rt7 1�10 ��2
W-6' .. 9'•0'
4C-034'
MAR J2 Z023
HEALTH DEPT.
4
LOCUS
LOCUS MAP
SCHEDULE OF ELEVATIONS
/
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1
FIRST FLOOR
2
TOP OF FOUNDATION
3
EXISTING PIPE INV. AT FOUNDATION
4
INV. OF PIPE AT SEPTIC TANK INLET
5
INV. OF PIPE AT SEPTIC TANK OUTLET
6
INV. OF PIPE AT D-BOX INLET
7
INV. OF PIPE AT D-BOX OUTLET
8
INV. OF PIPE AT LEACHING FIELD INLET
9
BOTTOM OF LEACHING FIELD
10
TOP OF STONE
11
FINISHED GRADE OVER LEACHING FACILITY
12
FINISHED GRADE OVER D-BOX
13
FINISH GRADE OVER SEPTIC TANK
14
FINISH GRADE AT FOUNDATION
15
BOTTOM OF SEPTIC TANK
NOT TO SCALE
16
TOP OF CELLAR FLOOR
%J
i
I
DWELLING 1 EX.13.5
2 TBD
3 EX. 9.93
16 TBD '
. ,1..
' EXISTING BUILDING SEWER NOTES
1 - BUILDING SEWER PIPE INVERT ELEVATION TO BE CONFIRMED PRIOR TO CONSTRUCTION.
CONTACT ENGINEER IF INVERT ELEVATION IS LOWER THAN SHOWN.
N/F
RUTH PAPPAS
REVOCABLE TRUST
(017 - 21)
1 4 1 9.55 1
1 151 4.80 1
SEWAGE SYSTEM PROFILE & DETAILS
NOT TO SCALE
113 111.5 1
1 5 1 9.30 1
NOTES:
1. FURNISH RISERS TO SET COVERS WITHIN 6 INCHES OF FINISH GRADE.
DB
SEPTIC SYSTEM NOTES
Z. H-10 SEPTIC TANK AND CHAMBERS AND H-20 DISTRIBUTION BOX ( - OX), AND SCHEDULE 40 PVC PIPE THROUGHOUT. 1. ALL CONSTRUCTION AND MATERIALS SHALL CONFORM TO THE STATE
3. THE CONTRACTOR SHALL BE RESPONSIBLE FOR OBTAINING A TRENCH PERMIT FROM THE LOCAL MUNICIPALITY IN ENVIRONMENTAL CODE, TITLE 5 (310 CMR 15.00), AND THE LOCAL BOARD OF
WHICH THE WORK IS BEING PERFORMED. HEALTH.
4. QUICK 4 PLUS STANDARD LP CHAMBER: MASS DEP GENERAL USE APPROVAL, TRANSMITTAL NUMBER X259183
5. QUICK 4 PLUS CHAMBERS TO BE INSTALLED WITHOUT AGGREGATE IN ACCORDANCE DEP APPROVAL 2. THERE SHALL BE NO CHANGES MADE IN THIS PLAN WITHOUT THE WRITTEN
DATED JUNE 12, 2015 TRANSMITTAL NUMBER X264258 PERMISSION OF THE ENGINEER AND LOCAL BOARD OF HEALTH.
1 10 1 9.27 1
MIN. 9" COVER H-20
"D" BOX FIRST 2' SHALL
W/ SPEED BE SET LEVEL
LEVELERS
S=0.01 MIN. L=13' S=0.01 MIN. L=VARIES
O O
o -
SCH. 40 PVC TEES
� o
GAS BAFFLE v
6 9.15 7 8.98
8 8.88
1500 GALLON SEPTIC TANK 9 &60
H-10 PRODUCT - SHOREY
PRECAST MODEL OR EQUAL
APPROXIMATE LOCATION
OF EXISTING WATER MAIN
N/F
RAYMOND CERICOLA
(017 - 40)
6" MIN. CRUSHED STONE BASE
NOTE:
THIS LEACHING FACILITY IS NOT DESIGNED FOR H-20
LOADS AND SHALL NOT BE DRIVEN UPON.
ESTABLISH VEGETATIVE COVER
/ l/ 1�11 \W �1/ \W
34"
TOTAL LENGTH = 19'-6"
LEACHING BED CROSS SECTION
NOT TO SCALE
GEOGRID (BX1100)
UNDER CHAMBERS TO
MINIMIZE SETTLEMENT
0 10 20 40
SCALE: 1 " = 20'
3. ALL ERRORS, OMISSIONS, AND CHANGE OF CONDITIONS AT THE SITE SHALL BE
BROUGHT TO THE ATTENTION OF THE ENGINEER PRIOR TO PERFORMING THE
OBSERVATION PORT
RELATED WORK.
S=2% MINIMUM
FILTER FABRIC
4.
ALL DISTURBED AREAS ARE TO BE LOAAED, SEEDED AND MAINTAINED TO
11
11t
PREVENT EROSION.
15' MIN. BREAKOUT
5.
FOR PROPER PERFORMANCE, SEPTIC TANK SHOULD BE INSPECTED AT LEAST
ONCE A YEAR AND WHEN THE TOTAL DEPTH OF SCUM AND SOLIDS EXCEEDS
1/3 THE LIQUID DEPTH OF THE TANK, THE TANK SHOULD BE PUMPED.
BACK FILL WITH
CLEAN FILL
6.
THIS SYSTEM HAS BEEN DESIGNED FROM DATA REVIEWED AND
9" MIN. 36" MAX.
3.5" ENDCAP
ACKNOWLEDGED BY THE MASS. D.E.P. AND THE LOCAL BOARD OF HEALTH;
5' STRIPOUT
AND CONFORMS WITH THE REQUIREMENTS OF THE STATE ENVIRONMENTAL
CODE, TITLE 5. NO GUARANTEE OF PERFORMANCE IS EXPRESSED OR IMPLIED.
7.
TEST HOLE INFORMATION SHOWN HEREON IS LIMITED TO SOIL CONDITIONS
7 CHAMBERS @ 4' = 28.0'
FOUND AT THAT PARTICULAR TEST HOLE LOCATIONS AND IS NOT CONSIDERED
AN IMPLIED OR EXPRESSED WARRANTY OF SOIL CONDITIONS BEYOND LIMITS
OF SUCH TEST HOLES.
Z
g
5?
USE (42) QUICK 4 PLUS STANDARD LP
(0
CHAMBERS INSTALLED IN A 6 ROW
8.
ALL ORGANIC AND UNSUITABLE MATERIAL MUST BE REMOVED FROM THE
n
BED CONFIGURATION
AREA DIRECTLY UNDER AND 5 FEET BEYOND THE PROPOSED LEACHING
TOTAL LENGTH = 28.0' (28.75' w/ END CAPS)
FACILITY. THIS AREA MUST BE BACKFILLED TO THE ELEVATIONS INDICATED ON
OBSERVED GROUNDWATER EL.= 3.5't (NAVD88) V t
TOTAL WIDTH = 19.5'
THESE PLANS WITH SELECT ON -SITE OR IMPORTED SOIL MATERIAL,
CONSISTING OF CLEAN GRANULAR SAND OR OTHER GRANULAR MATERIAL,
REDOX FEATURES OBSERVED
FREE FROM ORGANIC MATTER AND OTHER DELETERIOUS SUBSTANCES.
MIXTURES AND LAYERS SHALL NOT BE USED. THE FILL MATERIAL SHALL
TEST PIT BOTTOM @ EL. 1.7' NAVD88
CONFORM TO THE STATE ENVIRONMENTAL CODE, TITLE 5 - 310 CMR SECTION
15.255 (3) AND SHALL HAVE PERCOLATION RATE OF BETWEEN TWO AND FIVE
MINUTES PER INCH, BEFORE AND AFTER PLACEMENT.
9.
ALL STONE MUST BE DOUBLE WASHED AND FREE FROM FINES AND ANY
ORGANIC MATERIAL AND MUST HAVE LESS THAN 0.2 PERCENT MATERIAL FINER
DESIGN DATA
THAN A NUMBER 200 SIEVE.
10.
THE DESIGNER HAS NOT BEEN RETAINED BY THE CLIENT TO CONSTRUCT OR
1. TYPE OF ESTABLISHMENT: EX. 3 BEDROOM, PROPOSED 5 BEDROOM SINGLE FAMILY RESIDENCE
SUPERVISE THE CONSTRUCTION OF THE SYSTEM. THE CONTRACTOR IS
2. SEWAGE SYSTEM DESIGN FLOW: 110 GALLONS PER BEDROOM = 110 x 5 = 550 GPD
RESPONSIBLE FOR MAKING ARRANGEMENTS FOR INSPECTION OF
INSTALLATION OF THE SYSTEM WITH THE LOCAL BOARD OF HEALTH.
3. WILL THERE BE A GARBAGE GRINDER: NO
4. SEPTIC TANK CAPACITY REQUIRED, MINIMUM OF 200% OF DESIGN FLOW OR 1,500 GAL.
11.
THE GENERAL CONTRACTOR IS RESPONSIBLE FOR ALL HORIZONTAL AND
VERTICAL CONTROL OF ALL SYSTEM COMPONENTS.
= 200% x 550 GALLON = 1,100 GALLON (USE 1,500 GALLON MINIMUM)
5. DESIGN PERCOLATION RATE: LESS THAN 2 MINUTES PER INCH
12.
TIGHT JOINT PIPING MATERIAL TO CONSIST OF POLYVINYL CHLORIDE (P.V.C.)
SCHEDULE 40, UNLESS OTHERWISE NOTED.
6. SOIL ABSORPTION SYSTEM TYPE: QUICK 4 STANDARD LP BED CONFIGURATION
7. LEACHING AREA REQUIRED: MINIMUM 550 GPD / (0.74 GPD/S.F., CLASS I SOIL) = 744 S.F.
13.
THE CONTRACTOR SHALL NOTIFY THE DESIGN ENGINEER FOR CONSTRUCTION
INSPECTION AFTER EXCAVATION FOR THE LEACHING BED (PRIOR TO THE
8. LEACHING SYSTEM PROPOSED: 6 ROWS OF 7 CHAMBERS IN A 28.0' LONG BED
PLACEMENT OF STONE) AND ALSO AFTER PLACEMENT OF PIPE & STONE PRIOR
EFFECTIVE LEACHING AREA PER LINEAL FEET = 4.73 S.F. / L.F. OF CHAMBER
TO BACKFILLING.
TOTAL LENGTH PROPOSED = 6 X 28.0' = 168.0 L.F.
14.
DESIGN ENGINEER SHALL CERTIFY CONSTRUCTION OF SYSTEM AND
TOTAL AREA PROPOSED = 168.0 L.F. x 4.73 S.F. / L.F. = 794.6 S.F.
MATERIALS INSTALLED. THE CONTRACTOR SHALL PROVIDE A SIEVE ANALYSIS
OF THE FILL MATERIAL REQUIRED. AN AS -BUILT PLAN SHALL BE SUBMITTED TO
9. LEACHING SYSTEM CAPACITY PROPOSED = 794.6 S.F. x 0.74 GPD/S.F. = 588 GPD
THE LOCAL BOARD OF HEALTH UPON COMPLETION.
SOIL EVALUATOR'S LOG
15.
NO RUBBER TIRE CONSTRUCTION MACHINERY SHALL DRIVE OVER THE
PROPOSED SEPTIC BED EXCAVATION DURING CONSTRUCTION.
Depth from surface
in inches
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munsell)
Soil Mottles
and Depth
Other Relative
Factors
DEEP OBSERVATION HOLE TP, ELEVATION 11.1
0 - 10"
A
LOAMY SAND
10 YR 4/4
10" - 31"
B
LOAMY SAND
2.5 YR 5/6
31"-113"
C
MEDIUM SAND
2.5 YR 6/4
PERCOLATION RATE = < 2 MINUTES / INCH IN C LAYER
DEPTH TO GROUNDWATER = 106" TO WATER LEVEL, 92" TO REDOX
OBSERVATIONS BY L CARREIRO
WITNESSED BY JAY GAR.DINER
DATE TESTED JULY 12. 2022
GENERAL NOTES
LOCATIONS ARE BASED ON AN "ON THE GROUND" INSTRUMENT SURVEY SPOT ELEVATIONS BASED ON
THE NAVD 1988 DATUM, AND CONTOURS BASED ON 2011 NOAA LIDAR COORDINATE SYSTEM USED IS
THE MA -MAINLAND COORDINATE SYSTEM DATUM: NAD 83, UNITS U S SURVEY FEET
DIMENSIONS OF EXISTING BUILDINGS AND BUILDING OFFSETS SHOWN HEREON ARE TO CORNER
BOARDS OR SIDING EXTENTS AND ARE DISPLAYED IN ENGINEERING UNITS WITH A PRECISION OF ONE
TENTH (0.1') OF AFOOT.
THE FINISHED FLOOR ELEVATION (FIN. FL. EL.) SHOWN HEREON IS BASED ON AN ASSUMED 1" LOWER
THAN THE SURVEYED THRESHOLD ELEVATION. AN INTERIOR INSPECTION OF BUILDINGS WAS NOT
PERFORMED.
ZONING DISTRICT: R-25
PROPERTY IS LOCATED WITHIN AN AREA HAVING AZONE DESIGNATION OF X(500YR 1 AND AE(EL.11) BY
THE FEDERAL EMERGENCY MANAGEMENT AGENCY (FEMA). ON FLOOD INSURANCE RATE MAP NO.
25001 C07##, WITH A MAP EFFECTIVE DATE OF JULY 16, 2014
WIND EXPOSURE CATEGORY: ZONE C
LOT COVERAGE:
LOT AREA = 14,108t S. F
EXISTING LOT COVERAGE BY STRUCTURES (HOUSE AND DECK = 1565t S.F. (11.1%)
PROPOSED LOT COVERAGE BY STRUCTURES (HOUSE, GARAGE & SHED = 2447t S.F. (17.4%)
DEED REFERENCE: DB 22683, PG 5 PLAM REFERENCE PB 58 PG 21
OWNER: KEVIN A. BALCOM & KATHLEEN BALCOM
810 ADAMS STREET
HOLLISTON, MA01748
16. DIG -SAFE AND ALL OTHER NECESSARY AUTHORITIES SHALL BE NOTIFIED FOR
THE PROPER LOCATION OF EXISTING UTILITIES PRIOR TO ANY EXCAVATION.
17. WATER SERVICE LINE SHALL BE LOCATED AND MARKED PRIOR TO ANY
EXCAVATING AND 10' MIN. SETBACK DISTANCE FROM SAID SERVICE TO THE
SEPTIC SYSTEM SHALL BE MAINTAINED.
18. ALL WATER LINES WITHIN 10' OF SEPTIC SYSTEM COMPONENTS SHALL BE
SLEEVED WITHIN 4" PVC SCHEDULE 40 PIPE.
Yarmouth Health Department
PROVED
Iv.,...e Date
N. DOUGLAS
SCHNEIDER
CIVIL
No. 38540
N.DOUGLAS
SCHNEIDER
No.47383
'5;
NOTICE
THIS PLAN MAY NOT BE ADDED TO, DELETED FROM, OR ALTERED IN ANY WAY BY ANYONE OTHER THAN
HOLMES AND MCGRATH.
UNLESS AND UNTIL SUCH TIME AS AN ORIGINAL (RED) STAMP APPEARS ON THIS PLAN NO PERSON OR
PERSONS, MUNICIPAL OR PUBLIC OFFICIAL MAY RELY UPON THE INFORMATION CONTAINED HEREIN, AND
THIS PLAN REMAINS THE PROPERTY OF HOLMES AND MCGRATH.
COPYRIGHT (C) BY HOLMES & MCGRATH. ALL RIGHTS RESERVED
9/19/22 REVISE GARAGE LAYOUT LAC
DATE DESCRIPTION Drawn Checked
REVISIONS
PLAN
OF PROPOSED SEWAGE DISPOSAL SYSTEM
PREPARED FOR
KEVIN & KATHLEEN BALCOM
LOT 41, #16 ANDRINA ROAD
IN
WEST YARMOUTH, MA
SCALE: 1 "=20' DATE: SEPT. 7, 2022
s La L=��
0holmes and mcgrath VAR U2
civil engineers and land surveyors
205 worcester court • suite a4 • falmouth, ma • 02540 HEALTH I
508-548-3564 www.holmesandmcgrath.com
DRAWN: WNH ICHECKED.
ASSESSORS INFORMATION: 017-41 1 SHEET 1 OF 1
2
MAR 0 2 Z023
HEALTH DEPT.
Co
MRS
MRS
DOUBLE
OUBLE HUNG
On
DOUBLE
OUBLE HUNG
On
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DATE/
REVISIO
11 /03/2022
11 /11 /2022
11 /16/2022
12/11/2022
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25'
q'-2 1 /4" 5'-3 1 /2" --� 15-6 1 /4"
3'-6 5/4" 2'-1 1 /411
- 4'-q 1 /2" 4'-4 3/4" 6-1 1 /2" 4'-q 1 /2" -3
l'-5 3/4"
--------- --�--- -- ------ ---- 1
OFFICE
q'-2 1 /4"
D02
CLOSET
l3
BEDROOM
O 0
BATH
D05
SD
(� I
o� I GD
002
- 5-3 1 /2"
LIVING ROOM
5D
G�
W02 W02 W02 W02
----------- ------ ------ ----
4'-q 1 /2" 6-1 1 /2" 6'-21 6'-1 1 /2" 4'-q 1 /2"
28'
SFGOND FLUOR PLAN
SCALE: 1 /4" = 12"
zo
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NPIC.AI RnOF/CFILIN�
3/12 PITCH MANUFACTURED ROOF TRU55E5
a 6" OVERHANG @ GABLE AND EAVE5
ASPHALT 5HI NGLES
ICE AND WATER BARRIER 5UP FROM EAVE5
1/2' ZIP WALL SHEATHING
R-49 BLOWN IN INSULATION
VAPOR BARRIER
1l2' GYP. BD.
10/12 PITCH OVERFRAME ® GABLE FN05
12- OVERHANG ® GABLE AND EAVES
AL FLOOR
& G 5UBFLOOR GLUED AND 5CREWED
I FLOOR.:OIST5 ® 16' O.G.
IBERGLA55 BATT INSULATION
POLY VAPOR BARRIER
YPE'X' GYPSUM BOARD
IC.AI wAl l CnN5TR�IC.TION
IAR SHAKE SIDING 5' EXPOSURE
ZIP WALL SHEATHING
65TUD WALL
I FIBERGLA55 BATT INSULATION
.Y VAPOR BARRIER
TYP'X' GYP. BD.
TTOM PLATE ON 2 X 6 TREATED PLATE
ICHOR BOLTS CAST IN PLACE ® 72' 0.6
'ROM ENDS AND 5PLICE5
X POURED GONG. WALL
OW5 OF REBAR
'GONG. FOOTING
w/ (2) ROWS OF REBAR CHAIRED & TIED
YVALL SECTION VIEN
SCALE: 1 /4" = 12"
m
DATE/
REVISION'
11 /03/2022
11/11/2022
11/16/2022
12/1-1/2022