HomeMy WebLinkAbout2023 Sign off Transmittal - Front entrance extention p17,-Y ,� TOWN OF YARMOUTH
. 1,12 n HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant: �
Building Site Location: 7 t� .o �� S ,oµ- /2 � v S , ! c w`-- e--4, `/ /i,
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(Proposed Improvement: e.n t.-4 e <' /2 cc p- e_a c .- LA- 7- 'eci `I
Applicant: v' 6 c( 1-ia' .�/L, e ----- k'<-(-- Tel. No.: bi / 7C 7"j co r -
Address: 3 7 (V)0 /f9 o.v n d 5 .rd( 12 -e--0 a- lAr Date Filed: 21 Z 2 C
**If you would like e-mail notification of sign off,please provide e-mail address: _ l
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Owner Name: )t 4- e(i(,---c.-/2 i-e---1 w
7 l2 o /ems ' . ez c ¶. Yee ie.-`'"`v) Owner Tel.No.: 6° r7" 77 7 �'-)s-
Owner Address: ,
Jf * 0 2 6' 6 2.
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:
GOYIGD (1.) Site Plan showing existing buildings, water line location,
and septic system location;
FEB 2 1 2023 (2.) Floor plan labeling ALL rooms within building
HEALTH DEPT. (all existing and proposed) —
Note:Floor plans not required for decks, sheds, windows, roofing;
(3.) If necessary, Title 5 application signed by licensed installer
ilp 'th fee.
REVIEWED BY: ?-3
/ DATE: bA -- 1")----.), 3
/PLEASE NOTE
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ALWAYS DIG SAFE PRIOR TO CONSTRUCTION--UTIUTY LOCATIONS SHOWN INCOMPLETE. 7..2 JOB NO.Y15-11
NOTES canes.d.y
1.LOCUS IS A.M.100.PARCEL 50. FB31/BD S914/09
g IM •
AXUM FEASIBLE COMPLIANCE APPROVALS REQUESTED: 2.ELEVATIONS SHOWN ARE ASSK,TIED.At....
Z Q.,,�
3 LOCUS IS IN FL000 ZONE X(<0.2%RISK)ON FIRM DATED DULY 14 20I4.
1. NO RESERVE AREA IS SHOWN.310 LMR 15248. 4.ALL PIPES TO BE 4'SCH 40,AND PITCHED AT 1/4'PER FOOT(muss
NOTED) 4 �,tot5.MUNICIAVAILABLE.tX) AL WATER IS AVAILABLE. LOTS NWITHIN100•ARE ON TOWN WATER. ;
axe 8. IPCI4ETIiS TO BE AASHID H-10.UNLESS NOTED.
•57.40 MB( ':
90401 M --TOP NE.CORNER 7.INLET
TEE TO PROJECT DONN 13',OUTLET TEE DOWN 14'.
'S3.a9
S BOTTOM 51EPe 54.44 ASSIGNED 9.F , OR MORE LENS.WATER TEST 0-BOX FOR EQUAL FLOW (^
s 0-BOX EXIT PIPES TO BE LEVELFOR FIRST TNO FEET. NOT TO
9.DEPTH OF COMPONENTS NOT TO EXCEED 3',OR VENTING MUST BE PROVIDED. SCALE
C2�RS: BUILD UP COVERS TO 6'BELOW GRADE-2 ON TANK.1 ON D-BOX,1 ON LEACHING
. 1\°......
' 10.STONE TO BE DOUBLE WASHED 3/4 70 1 1/2'WITH 2'MIN.1/6 TO1/2'PEA STONE ON TOP. LOCATION MAP
� 11.IF UNSUITABLE SOILS.OR SOILS DIFF RING FROM THE SCL LOG ARE FOUND,
i� CONTACT THE BOARD OF HEALTH.OR R.J.CADalAC._, Sf6 12 IF AN OVEROW IS CALLED FOR BELOW.FILL MATERIAL FOR 5'AROUND AND UNDER LEACHING
S O -
IS TO BE CLEAN GRANULAR SAKI)MEETING SPECIFICATIONS OF 310 OMR 15.255(3). TEST HOLE 1
• 53.% ESE�� 13 PUMP AND FILL ANY EXS1ING CESSPOCE/LEACHPIT. REMOVE ANY CLOGGED SOL.BLOCK•
.�i5 �E� AND STONE W LEACH AREA.AND DISPOSE OF AS DIRECTED BY HEALTH AGENT. DEPTH(Inches) ELEV.(tast
O E ta.ALL CONSTRUCTION TO MEET RILE 5 AND LOCAL REGULATIONS.
A �70 E. NO GRADE CHANGES 0 A las� 3/3 5
3.9
.73 !..E ' .0 ARE PROPOSED TEST HOLE DATE: May 5, 2015 6'
1.' 'a{'S2 .�:rf PERFORMED BY: Ron Cadllac.Sol Evaluator E i`o r 1.m,dn 4 5 _ 658 ESE ,g-B13a .��>!':.I 53. TNESSED BY: alp Reno�4(B layer)
F1ERC RATE lr B la)ar 10yr 5/6 528
•'.1f,E /E// .•, • SOs �.1l�1 aqf.��• \ SEPTBAIC TANK= 63 G Lo opC y AND CENTER OF SOIL 799R66}. H weWosl+aner coarse so ploin n d��w 27•`2' loamy sa,d sa4
a f 50.E3 PI.VEO �� .17 pai
x
1 ORrtE \`\ . \ Invert�.32 21 ARC 36HC CHAMBERS c layer loyr 6/6
L 14 4.0 % ^ Iles TAa Bolas hvst 50.29 T Units.-50.58 medWn send
.-4\
Y) 546 I SOP«� O Fits Qatlh
•52.9 , 53.4 = 7C I `---'-( Existing 5�3/4'/ft Ssi/8�/it 1�3'Maw.
sdb 1 .._,•`_.•-. G .
Got.
1/F`. NWectlan Part
mF.
1 ,t ...:-- ✓ - - - .I 10.75. 13Y 429
L ti u5 :, Ina'It".xr LNG �0 •
\Z N�F I `49.3s
EX�S N0. 3 9 _ DIN i kneel 50.46 haw(
6' Stone or pact v 6.15 Bottom
I
N/F ::_._ ._•- $,Y ° , _� _ 4 I LEACH AREA
I-- `. •-4 i-- • Bottom
r SUL F •504 n
LI .47.6 49.9 -.^:"2, j; *d D, hI `£ DESIGN DATA
o V 314 `=Z.6 ,�53.7 BEDROOMS, 3
I::, Q '. :-53.4 ,\ GARBAGE GRINDER: No USE 21 ADS ARC36HC CHAMBERS IN - -
1.\ Q i:�$S• _�' 3L2 53. REQUIRED CAPACITY: 10000 GPD
GA BY 10.7S1 DEEP LEACH-BED.
_ EXISTING SEPTIC TANK: GAL
^ EFFECTIVE BED LEACHNG AREA 504 SF
�`� _VG,AA-...• - 19 r21 UNITS X 24.0 /UN
.54 7 \552 4.�gAF X 5•NNT24.00 SF/LART
. g
V.$ 51.: J • 5a3 gR-504 SF(EFFECTIVE)
a'' . '3 ` i DESIGN CAPACITY: 373 GPO LVRM BORN BERM
m • 'D LOT 2 4 \ [(504 S)X.74 GPO/SF)
GAR
20,490±S.F. ` h KIT BA BDRM
--0 DESIGN NOTE TOP OFF SYSTEM IS TO BE ABOUT I 1/2 BATH! BA
0 • Si.4 3'DOWN TO GET BOTTOM OF LEACHING INTO
O MEDIUM SAND.
BENCH MARK--HAG NAIL SET • -- .354• $45 FLOOR PLAN
IN DRIVEWAY v 50.00 ASSIGNED s
6125,5 .J
NOT TO SCALE
5:.3 4 I.5 Yarmouth Health Department
• .2 : ry� P:' a V)✓ID
P7�~ N/F 1 ..4(' 677`-4
i URONIS ame _ Date
N/F euc/IL- ,,,G 3/t6z/ SITE PLAN
50.9 VESPA
FOR
H j4.�15 E THIS PLAN IS A VAUD COPY ONLY IF IT BEARS
AN<5 1� RED P ND SIGNATURE. MICHAEL F. GORHAM ET AL
EGEND L '
4.TH I TEST HOLE LOCATION.NUMBER -.,‘0,,...,- AMR ,-_ LOT 24, 37 WOLFSON ROAD, S. YARMOUTH, MA
HYDRANTES - RONALD e JUNE 2, 2016 SCALE: 1"=20'
-V- WAATERRLINE MARKINGS
-E- OVERHEAD ELECTRIC WARES(IF SHOWN) CADILLAC 's CADILLAC
-G- GAS UNE MARKINGS a 1060 - y a35779
.9.5 .8,7 EXISTING&PROPOSED ELEVATIONS CX'MARKS POINT) . 'F00eo5� *
tea°esN°,..•,
6-- DOMING CONTOUR 84 8 NiTAR . 0SUR0E RONALD J. CADILLAC, PLS, RS, P.C.
Wig•►- PROPOSED CONTOUR 6121I4o``` PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN
0 WRUTY POLE(IF sNONN) P.O. BOX 258
ES oolitic DRAINAGE CATCH BASIN WEST YARMOUTH, MA 02673
4 -.- FENCE(IF SHOWN, NOT ALL SHOWN)
(508) 775-9700 PAGE 1 OF 1
0 TREE (I-- SHOWN,NOT ALL SHOWN) HEALTH AGENT APPROVAL DATE 02016 BY R.J. CADILLAC
MAP No. 4 z.. -_,�1`_ M tt/ 3" .;/:,
LOT NO ' ADDRESS: 3 11.1.64., ki
OWNERS NAt:r.: /41.1clae/ SDr/4M /
SEWAGE PERMIT NO.: /41-/99 NEW: REPAIR:
DATE ISSUED: %{-/7-g DATE INSTALLED: 6 ZZ-i'
j I
INSTALLERS NAME: of 7
. / yam/ si c j•
INSTALLATION OF: Z 1-AO5 114(3 HG
do 0 /4i" 3S'x 8,6'k d.&q� 3�.
WATER TABLE:, FINRL—INSPECTION..BY: /14 7)1
DRAWING OF NSTALLA ION ON REVERSE SIDE:
TOP 7 /
A2 '37
113' Z 7 FROG✓ t......21
3 3 15�2. If-'s"'
3 a 1El2 ç -_ ; '
FEB 2 1 2023
HEALTH DEPT.