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Home My WebLink About2023 Sign off Transmittal - Deck oN Y�� TOWN OF YARMOUTH Y- HEALTH DEPARTMENT ''�•`` PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant. Building Site Location: a � oil tse Proposed Improvement: jC 11O 43 C �c` (71N. Applicant: Y t•'�,, \mot �(^ Tel. No.: 6 C' cl( Z(� Address: jO9© 4-v►Gr' o cj- c Date Filed: t fL fr/ U1'3 **If would like e-mail notification of sign off please provide e-mail address: r Owner Name: k t v\,\ t a Owner Address: S t� S D r'1 Owner Tel. No.: 7 6.-/ 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; J (2.) Floor plan labeling ALL rooms within building(all existing and proposed) - LII 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: / t 01-1-3 EASE NOTE COMMENTS/CONDITIONS: BENCHMAR*',: TOP k--"F Fr)UNDATION 52.12 ell -sip MAX llam A r, r- DESIC-N CALCULATIONS NUMBER OF BEDROOMQ. 3 b.1 i N GARBAGE DISPOSAL UNIT NOT ALLOWED DESIGN FLOW 3 BEDROOMS x 110 GAL/(BR-DA)=``•f)_1_4 REQUIRED SEPTIC TANK CAPACIT)' GAL (MIN), ACTUAL SEPTIC TANK CAPACITY 1500 CAL LEACHING AREA REQUIREMENTS --BOTTOM 0,74 GAL/(SF-DA) SIDE 0 _7,4 GAL/(SF-Da) LE.A(__,HiNG CAPACITY 2*((19.5'xg.00') + xO.74 GAL/(SF--DAY)- L E G E N D: - .DESCRIPTION EXISTING SPOT ELEVATION EXISTING CONTOUR FINAL SPOT ELEVATION FINAL CONTOUR SOIL TEST LOCATION UTILITY, ROLE TOWN WATIEP CATCH BASIN GAS LINE FIRE HYDRANT SYMBOL ox 00 Ell) 7_70 op___ I / I49. 4/2 i 4. 0 LEVEL 9-1 MIN, .36" MAX 49.1 4-9. -17 11J-Pllx ( 4"ID SCHED 40 PREF PIPE 3" SEEDE7D TOPSOIL, 2% SLOPE PEASTONE _J0 MIN 4 END 0 MAX 4�7 98 48 80--' if !.I 4680 I/ _-Ile" 13.67 . DISTRIBUTION BOX 2.92 ENDS, 2.50 SIDES 1500 GALLON SEPTIC 1ANKDB-3 H-10 J-77 TRENCH , trz ' ST-1500-H-10 WATER TEST TO 19.5xT x 2' PPOVE EQUAL FL(--)W `KITH 2 RECHAPGEP 33C.-5 6" GRAVEL ON NATI SOIL OR PR 'BLE HIGH GROUNDWATEP S � MECHANICALLC COM�!-'TED BASE LEV: �) A D'it V*_,5" T. T'h- :`?ENCHES REQUIRED BATH 5.00 19.50 CESSPOOLS) BELIEVED TO BE IN THIS AREA TO BE ABANDONDED ACCORDING TO 'STATE AND LOCAL REGULATIONS, r- i , 0 J . `j s 24. 'Z.' T 20-92 14� / EL 51.17 7 illoo I 0.40 L U6.00 3/4" TO D J 6, L E W AS IcI30 HiIVEH Roz 9 t Nvp c, --/ 'I co CD VARIANCES REQUESTED- 31OCMR15.2.11 DISTANCE OF SOIL ABSORPTION TF M TO PROPERTY LINE, 10' REQUIRED, 5' PROPOSED, VARIANCE 1-' 310CMR15.212 DEP TH TO GROUNDWATER, RL" 4.38' PROPOSED, VARIANCE 0.62. DRIVE SOIL 11E`�T DATE OF -SOIL TEST _28 30_/ 00 WITNESSED BY AM`f '1/QNH0,NE SOIL EVALUATOR BE,�NAPD J. YOUNG " 7� 1 PERCOL 1A710N RATE ___.�MIN./INCH. UbSER'VATION HOd-t- I LEV. 51.17 ELE\/. DEPTH , HCiRiZ C C-) L _0 R L I TEXT IvI('_)TT' IN(]. 50.42 f)-q FILL 1 - - N 50.04 4-1-3 E LOAMY FINE SAND 1 OYR 4/1 0 4917 13-24 Bw '-OAM f FINE SAND 10 YR 3/6 N 40.17 j 24-132 C , NE SAND 10YP 6 /61 E A PERCOLATION TEST CLY-)NE AT A DEPTH '--,F 36" 48" WATER AT 1129" EL.= 4'1142" ADJUSTED 4 WELL ZONE -----A I INDEX_ 8.69 L'IUST_ 2.0 R 0 7 .41 ex 4.7. ^0 74*1� C�j 5. CIO 23.37 ------- - 3'4 5 _4 PROPOSED 16' ADDITION, 7 50 DPAINA(GE EASEMENT CRAWL SPACE UNDER 9500.0 -� (). FT 0.22 ACRE I--- !! H APPROVED: B0,4RE) t L'AILTH Pi""'JE AGESI; ---------- FP.D. Cy\,,t NI.40,j. Vc VENED RD. WI.N-_L0W'GRAY RD, LOCATION MAP ESSORS MAP: 0 N 0, T_ L`_, A.RCEL: j61 SEPTIC SYSTEM TO BE INSJALLED ACCORDING; TO 310 CMR 15-000 TITLE 5 AND THE TOWN Cf YARP,40IJTH, MASSACHUSETTS RULES AND REGULATIONS FOR THE !BSUPFACE AL OF SEWAGE. 2) EXISTi,.N�_ AND FINAL GRADES SHALL REVAIN ESSENTIALLY THE SAME. (UNLE-_-S ELSEWHERE NOTED) -5) ALL COMPONENTS OF THF NITARf SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 UNLESS THEY ARE UNDER OR WITHIN 0 FEET OF DR I VES C;' NG AREAS, IN WHICH CASE H-20 Lr`A'C)1Nf_ SHALL BE USED. 4) ANY MASONAF, ,.!NITS USED T)01 BPINI,-7 COVERS TC GRADE SHALT. 3i. MORTAREP IN A, -E. I LAC 5)) NO DETERMINA-11'-;N HA'S BEEN MIADE AS TO COMPLIANCE WITH DEEL' RESTRICTONS t-* 7DNING. 1'' THE INSTALLER IS TO VERIFY THE LOCATION OF UTILI IES AND SEWER LINE: ELEVATIONS. PRIOR TO WST-'.LLIAJION. /.f SOIL ABOVE THE C LAYER. (SHOWN ON S01 LOGS) SHALL BE REMOVED AND, REPLACED WITH CLEAN SAND '-"C0FfjING.T0 MASS. LOCAL SPECIFICATIONS WITHiN 9-3" AND BEL6v` '''.-IE S.A.S. 81 EXCAVATION FOR SPFFA WHERE FILL !S PEA-IiREL). SHALL EXTEND 5 FEE F LATERALL'. BEYON',.. .-S.A.S. 9) VERTICAL DATUM ---- ASSUMED__.___ BENCHNIARk -TOP C'_ FOUNDATION ELEV. = 52.122 11) ALL PRECA .__T UNITS E T(i BE PLACED ON 6" MIN, CFUSHED STONE MECHANICALL * C(DMPA,, TED, 12) GROUND COVER OVER '�.fQTEM COMPONENTS SHALL NOT EXCEED 3 FEET 13).ALL EXISTING UNUSED COMP"NENTS SHALL BE PUMPED, REMOVED LND//C)R .FILLED WITH CLEAt-i SAND ACCOPPING TO LOCAL REGULATIONS. 14.1 CkDNTRACJf+? TO VERIFY ALI PLLJMr" tNu` IN Tl-!r FLOWS TO `J'Ti " TANK. CONTFACTOR '100 GI'A_ Ha'tv4EO*NfP OP'TfOh or-1 /1100 (I)R EWAL) FFLONT,fjLTER, 16) THI� CROPE-IRT f,10ES /DOES NiRES( AITHIN THE 17) THIS PROPER FALLS IN FLOG ZONE _C_ AS SHOWN 01-N FIRM ('t.'MIUINIT'y PANEL NO. _250015DATED __0004 C__ 17) ALL COVERS TO BE WITHIN 6" OF FINISHED GRADE. SITE PLAN SHOTf_IAA _G PROPOSED SEWAGE DISPOSAL SYSTEM . I -IV THE TOff-AT OF YARMOL.TTH, YASSACHUSETTS AS PREPARED FOR JOSEPH DUGAN k j j1jjk1w mi 18 ?mi HEALTH DEPT PAUL E. STf_EET.3ER PROFESSIONAL LAND SURVEYOR 900 ROUTE 134 # 15 SOUTH DENNIS, MA 01_'--'660-_25t3 (50 8) 385-6530 FAX (508) =385-7854 c4_VQ_/r_ a- cle 41,T)t RE VI.SIONS - DATE: OCT. 2417 ?000 NOV 6, 2000 .-SCALE I'. - 20' NTIJ FILE NO. 1861--- 00 SHEE T I O.T'l I r4� rN