2023 Sign off Transmittal - Remove & Replace roof 4''YA
s� � � TOWN OF YARMOUTH
off. �� c HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: 8 /0I4-.IZCf S i S . w 41,e
P osed Improvement: 2� /i7 R oc��- — /?4/ 36 R 00/4-^ c/N&S
•
f YIoV� .cal sZCe_
Applicant: 7;)4A) 4. SP eif 71rAllAi Tel. No.: 22 SSG 4.55
Address: J S 6'P�4 GrJ/f //C% /CA ' Date Filed: Z/2 )/23
**If you would like e-mail notification of sign off please provide e-mail address:
Owner Name: ,3 & Tl-f C'j
Owner Address: 5-Vi3/91e/OZ3 0412 0 A 4 /M2 Owner Tel. No.: 7 /- 05:2
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:
Feo . vzlec (1.) Site Plan showing existing buildings, water line location,
y ?� and septic system location;
�yo�p 3 (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:
COMMENTS/CONDITIONS: PLEASE NOTE
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97.3
PROI ISEO
BASEhIENT
SLAB B
EL. 9.5 Ia
-6� I �, 98.7
DEC.; n
INSTALL RISERS t COVERS TO
WITHIN Go OF FINISH GRADE
(SEE PLAN VIEW FOR LOCATIONS)
T.O.F• 100_0 _
EL. 16200 .
98.75 10'
98.5 IN5
5
M7. FL. ® "`
EX15TING DWELLING
EXIST. F.F. Q EL. 99.5
PROP. T.O.F. @ EL. 102.0
PROP. F.F. ® EL. 103.0t
96
94
\ CESSPOOL
O E PUMPED
� • FILLED
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94.2
_ -
- 96
- 98
100.0
100
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Evil
annnum
Noonan
-102
'FELT. / 101.5 tMp
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99:0 \ J
t� 100.0
` \ 100.2
98.3
_ ` 1
97.6
96
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PIPES TO BE LAID LEVEL FOR
2' OUT OF DISTRIBUTION BOX
7 WATER TEST D-BOX FOR
LEVELNESS F FLOW 6' INSPECTION PORT
EQUALIZATION SEE PLAN VIEW FOR LOCATIONS
a• �" TOP EL. 98.3
4• LEACH FIELD - 17' x 28'
8.08 (42 INFILTRATOR QUICK4 PLU5 LOW PROFILE CHAMBERS) BOTTOM Q EL. 97.6
rAu crs eWa 98.30
wTrtT Tee 98.50 97.SB
SOIL AB50RPTION SYSTEM
INSTALL SEPTIC TANK 1 DIST, SOX
ON 6• LAYER Or CRLJ9NED STONE
1 500 GALLON PRECAST DB-6
SEPTIC TANK (H-20)
SEPTIC 5Y5TEM PROFILE
DE51GN CALCULATION5
DAILY FLOW: (3) BDRM5. x 110 GPD - 330 GPD
SEPTIC TANK: 330 GPD x 200% - 660 GPD
USE: 1500 GALLON PRECAST SEPTIC TANK
5A5: 17' x 28' LEACH FIELD (42 INFILTRATOR
QUICK4 PLU5 LOW PROFILE CHAMBER5
BOTTOM: 17' x 28' x 0.74 - 352.2 GPD
TOTAL: 352.2 GPD
501L LOG
DATE: JANUARY 30, 2020
SOIL EVALUATOR: D. MEYER, IRS 4 CES N 1614
WITNE55: M. LANGLER, YARMOUTH HEALTH DEPT.
TBM m EL. 100.0
TOP OF STONE BOUND
98
EL. 101 .5 A 0•
LOAMY SAND
I OYR4/ 1
EL. 100.3 B 14•
LOAMY SAND
I OYR5/8
EL, 98.6 C 35'
MEDIUM SAND
2.5YG/4
EL. 9 I .5 120•
PERC RATE <2 MIN/IN (C HORIZON)
GROUNDWATER 055EPVED: 1 14• (EL. 92.0)
WELL: MIW-29 ZONE: B
LEVEL: 6.3 ADJ: 0.6'
ADJUSTED GROUNDWATER EL. 92.6
Q(55�0�'IGD
FEB z 7 2023
HEALTH DEPT.
`y t,AOF Mq.�_ Oy
I SsTEVEN W.
RUMBA i
N0.3ST91 rn
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GENERAL NOTES
I . SEPTIC SYSTEM 15 TO BE INSTALLED IN ACCORDANCE
WITH 310 CMR 15.00: TITLE V
2. T11I5 SEPTIC SYSTEM 15 NOT DESIGNED FOR THE USE OF
A GARBAGE DISPOSAL.
3. THI5 PLAN 15 NOT TO BE USED FOR PROPERTY LINE
DETERMINATION
4. CONTRACTOR SHALL PROVIDE 48 HOUR NOTICE TO
DESIGN ENGINEER FOR ANY REQUIRED INSPECTIONS
5. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION
OF ANY UTILITY, ABOVE OR UNDERGROUND, PRIOR TO
ANY EXCAVATION OR CONSTRUCTION
SITE - SEWAGE PLAN
FOR
8 PIERCE 5T., WE5T YARMOUTH, MA
PREPARED FOR
E.J.IAM A
INa 30'
7-08-2020
TMW
R
5P-1
WELLER * A550CIATE5
P.O. BOX 417 CENTERVILLE, MA
TEL: (508) 328-4692
EMAIL: trlsweller@gmall.com
REGISTERED LAND 5URVEYOR5 t ENVIRONMENTAL CONSULTANTS
Tva,e, a PC