HomeMy WebLinkAbout2023 Sign off Transmittal - Front Porch TOWN OF YARMOUTH
,fir HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant:
Building Site Location: ` G L
Proposed Improvement: Fd4 l'-� /16 [ C� k� Q PPR: 12
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Applicant: 7k/Q402,./ - Tel. No.:SO Z ?(
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Address: 7 /19X/e-lc % I%/ i 9 ;, � M�i'L/ Date Filed: I / k-- ZZ
**If you would like e-mail notification of sign off please provide e-mail address:
Owner Name: '
Owner Address: ?l 2 l/ // ✓/ (6.1 Owner Tel. No 5 W
7/9e. 7
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:
(l.) 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: 1 1 S — '�
l PLEASE NOTE
COMMENTS/CONDITIONS:
NOV 18 2022
<c.4, HEALTH DEPT.
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CONSTRUCTION AS PER AY1C
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1 4i I I 1 GUIDELINES&2015 IRC___ , 0
D.. 5— 'OW -41ATION__112.0. 10 Ur cpx,IcE4ArER. 2
...,:- .. NAIL WV EDSES b"FIELD, = 511
FOUNDATION PLAN ASPHALT SHINGLES PER 2.5 12 ° re>0
V-4"., 1506 S2 FT MAliF.SPECS .1. ...1.1123are.. 1, ... 0 lb"OG
1..._„.. 2- E- *V%
RIII—VERIFY IN FIBo1roM OF FEILDDR 8
SECTION G
NOV 1 8 2022
HEALTH DEPT. (4.rel,, 111;1 'l'N.."':3111-E1^1 PORCH
I,v iiii c.y. , MIN.6Xb FT
1. ,POSTS
1 In
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1 EXISTING HOUSE 8
0
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'EXISTING GRAVNL 516-isZES&ALL EASTING FLR.JS'r- -1 DEGir4N6 P.T.2X10 LEDGER-BOLT z 8
' OR EQUAL SPACE%' , THRLJ TO BAND JST.IN/2 doRt i
2X5 610 20"OC le\l/2.X6 GIRT5&I NAJ3,EGUATE PTO's MIN.25" , LEDGER LOGS 0 16"0.C. '31/1
PROPOSED: __fiNisil FLR.LN 1
'.I ',FY IN THE FIELD i L_L_T_:___ _ -—--- U26-JST 1-114GR.016,0.C. teaThii 1
SISTER PT2X8 FLR J5Ts I N-BETNEEN EXST.BRINGING J5T5 TO 16"OG M- nw=11 '
SEE SEP.DETAIL SECTION G ADD FTG's 12"X 12"X 12"INHERE NEEDED. ' -—-47 _ Oil g I I
INCREASE ALL GI RTs TO(3)2X9 THROUGHOUT. REPAIR EXST.ELK FND _- b
WHERE NEEDED. NOTE:HELICAL PILINGS BY
DATE:
D6 IETH ETE
12fr11 NT - AD D I N FIELDCEiyAF0CAPACITIES
11/17/2022
SCALE:
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AS SHOWN
SHEET
A-3
TOWN OF YARM
ileTtli
OUTH Board of
Health
%14'11:y
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-24451
` Telephone(508)398-2231, ext. 1241 Health
Fax(508)760-3472 Division
December 7, 2021
Edward J. Dever Jr.
Patricia M. Dever
15 West Road
South Yarmouth, MA 02664
RE: Subsurface Sewage Disposal System Inspection Report
15 West Road, West Yarmouth, MA
Dear Owners:
This department is in receipt of a subsurface sewage disposal system inspection report conducted
by Brett Hickey of B&B Excavation, regarding the above referenced address. The inspector
failed the septic system for the following reason(s):
1. Single cesspool in the front of dwelling in failure. Full over inlet invert.
2. Cesspool in rear of dwelling has an overflown pit. Systems are tied together
which is not authorized and need to be replaced.
As the current owners of this property, you have sixty (60)days from the date of this notice to
begin the process of bringing the septic system up to State Title 5 regulation requirements.
If you should have any questions, please contact the Health Department at the telephone number
printed above, Monday through Friday between the hours of 8:30 AM to 4:30 PM.
Sine ely,
C
Bruce urphy, MPH
Director of Health
BGM/ehp
cc File
Fo --;,.. L..
c Commonwealth of Massachusetts
l'
Title 5 Official Inspection Form
_ h Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
r
k__.
--#_
15 West Road
Property Address
Edward&Patrick Dever
Owner Owner's Name
information is West Yarmouth Ma 02673 11/17/2021
required for every
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
14. Sketch Of Sewage Disposal System:
Provide a view of the sewage disposal system, including ties to at least two permanent reference
landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters
the building. Check one of the boxes below:
® hand-sketch in the area below
❑ drawing attached separately
GCesspool
Driveway
C3-44'
D3-31'
A1.44'
A2.29'
B1.22' 111111
B2.36'
Cesspool
Pit
t5insp.doc•rev.7f26/2018 Tile 5 Moat Inspection Form Subsurface Sewage Disposal System•Page 16 of 18