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HomeMy WebLinkAboutBPHDC-23-3143 � r `ice. Z - vim' "-V7z--1 No. 1J/•12_ • 5114 5 FEL 55 1 0 1 COMMONWEALTH OF MASSACHUSETTS 2` J Board of Health, Yarmouth,MA APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct()Repair()Upgrade()Abandon O- Complete System 0 Individual Components Location fay.133 R44...(p fk, `Qfis1tl f,MA Owner's Name o --s & ��{ Map/Parcel# ('oil d- da Address /�� 1 let) / �f� j(i��I(y�Lot# ,2, g5 h D(p tz... -1 Telephone# C'�ft° so- I �Y Installer's Name japt,LS bitratiif- recr4", Designer's Name Dank?'Dank?' A 0i�0. Address 31 Mob can Axle-,.t't064�"-iMA)09 LnAddress C/3t th are,..*fyul�,M48 O.�+�5' Telephone# 5o 7-Lill-�. 53 Telephone# 9 _-3(,, 4 q i Type of Building (.Call YEQ(Cai, Lot Size 9 3, 5 c�DO sq.ft. Dwelling-No.of Bedrooms RJ'Q Garbage grinder Other-Type of Building 1144 eet out O rfiC 6 No.of persons 2 Showers(),Cafeteria() Other Fixtures Design Flow(min.required) og, t QU gpd Calculated design flow rQ, I 0 0 Design flow pro ide r^*i (d0 gpd Plan: Date Giaxlak Number of sheets 7 Revision Date Title LtA-CC.- f.)A Cdt7A't±ctfl Nan-,Description of Soil(s) S I�7U�f d1a44 .Ia tofu -4fr Ask C id- i lit s Soil Evaluator Fomi No.pko Ciao Name of SoilEvaluatorrpold $SAL Date of Evaluation 2 f i 1/z02i DESCRIPTION OF REPAIRS OR ALTERATIONS ,vl W7 502444 12E@C OWED .The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE S and further agrees t not to lace the system in operation until a Certificate of Compliance has been issued by the Board of Health.ry (�� FEB 1 4 1023 ., gn Date t1 !!t43 lnape ions / ` HEALTH DEPT. Nn.2-a\-+�eae• 2_3 . u.k-3 a,l/i / > / FEE 55 COMMONWEALTH OF MASSACHUSETTS 3�`J" Board of Health,Yarmouth,MA t CERTIFICATE OF COMPLIANCE cy\.16\--C9-1---4 PIL---- Description of Work: El Complete System O Individual Components The undersigned hereby certify that the Sewage Disposal System;Constructed() Repaired() Upgraded() Abandoned() by: at: /a s -k 6 A - has been installed in accordance with the provisions of 310 CMR 15.00(Title 5)and the approved design plans/as-built plans relating to application No.i�, �,dated 1-' ..2)Approved Design Flowcztv/tit0 (gpd). Installer: p id .../4• Designer: Inspector: .)2 0 ds/4. Date: i; The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Nt001W.'9 3.31(4; FEE SS COMMONWEALTH OF MASSACHUSETTS Board of Health, Yarmouth,MA DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct( Repair ) Upgrade() Abandon() an individual sewage disposal system at as described in the application for Disposal System Construction Permit No..2 2'Oil,dated a-a.3".2.3 Provided:Construction shall be complete elf the date of this permit.All local conditions must be met. Dated' A 30'/,3 Board of Health 62/1— S e TOWN OF YARMOUTH SEWAGE PLAN REVIEW CHECKLIST Location: A.M._ / . 1 Lot 1.Z Z. Zone of Contribution: In Out" Acreage /3,S 8c) Commercial Residential: ' Street: Village: Floor Plan: #Bedrooms: Owner: Installer: t._.\.c..,.,t i p LLB.../4 Address: Phone: Phone: Builder: Engineer: /17 o Ltd it, C6/ Address: Phone: Phone: N/A YES , NO 1. Required#of copies received _ 2. Date of soils exam and percolation test not older than 2 years 3. 4-5 ft of naturally occurring pervious material, above water table 4.Foundation 2 ft above high point of road H.P.: Fnd: Var.: / _ 5. Water line 10 ft from septic components Var.: 6. Benchmark indicated and shown-NGVD if near wetlands 7. Septic tank minimum 10 ft from foundation, deck Var.: _ 8. Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: e/- 9. Leaching minimum 100 ft from wetlands Var.: • v 10. Leaching minimum 150 ft from drinking we11/25 ft irrigation well Var.: 11.Tank/leaching minimum 10 ft from property line Var.: 12. System meets all other setback requirements Var.: / _ 13. Uses adjustment for maximum high groundwater Var.: / 14. Leaching set 4-5 ft above adj. water or bottom of test hole Var.`. / 15. System not in top or subsoil(A,B horizons)or 5' removal _ 7 16.Proposed contours are suitable e/ 17. System meets slope requirements-min. 1/8", %"preferred / _18. System meets breakout requirements PVC liner: Wall: l 19. Specified tee sizes are proper, gas baffle on outlet tee l 20. Sewage is under 10,000 gpd for parcel _ 21.No garbage disposal 22. System adequately sized for its intended use a/ 23.Minimum 6"stone or compacted below tank and dbox 24.Manhole covers within 6"of grade, pump chamber cover to grade C� 25. Inspection port on plastic chambers/leach field 26. Electrical permit for pump chamber/Separate meter for duplexes 27.Pump system-2"line,weep hole,check valve, tee in dbox,pump size 28. Septic tank/pump chamber to be factory waterproofed .---- 29. Vent provided if leaching below 3 feet,under driveway/parking 30. Buoyancy calculations for tank/pump chamber 31. Engineer to inspect and certify soils: wall: commercial: 32. Engineer/Registered Sanitarian and Land Surveyor stamps/signature 33.H-20 loading is subject to vehicular traffic,groundwater / 34.Title V Application and permit fee, installer signature 35.Foundation footing min. 2 feet above adjusted ground water for new house 36. Deed Restriction required max. #bedrooms: max. flow: gpd 37. Check area lots for groundwater/Label groundwater in Assessor's Map " Plan reviewed 1).._ Q^.••e - _ o:o; INVERT ELEVATIONS in I`, PAVED PARKING �1 PIPE (INV. A) 43.40' j LOT PIPE INV. B) 42.43' \ r PIPE f INV. C / ,__: TANK IN 42.00' 38.40' A _/ TANK OUT 38.15' PC IN 38.06' ``' PC OUT 37.97' 1.�' SAS IN 43.46' CD 6 COMBINED O LOT AREA: SEPTIC L.C� INV.A 2.14 ACf TATIK TANK INV. B ———' 43.0' gliri v PUMP CHAMBER N i. �, 0 ' ; ' 44.8' ,,,a EJ(ISTiNG BUILDING I�■ /125 ( 5-C.0 \ 7,843 S.F. tn / I / N +� i , ELECTRIC I // g Cfl , PANELS 99 4 g --W 1 I v) f \111111111111111M/ III ' / �a / .--9 OFFICE _ INV. C n �� c/0 / (TYP.) / P VEO G _ / W / LOT DUMPa R , _ - J / PAVED • "-, PARKING � _. ... - .,. 1111 LOT •i ��� ��. p0"OOL (+OM X.60.12 N 3.6LV, JOB #18-890 AS BUILT SEPTIC SYSTEM PLAN PREPARED FOR: LOCATION : 125-133 ROUTE 6A YARMOUTHPORT, MA UROLOGY ASSOCIATES SCALE : 1" = 40' DATE : AUGUST 29, 2024 OF CAPE COD, P. C. off 508-362-4541 Ql' DAI I L. ''&� F I fax 508-362-9880 downcape.com © Li0 1,6 1 !v No 11/980 down cape engineering, inc. � � , /civil engineers �`"- •`� " i � land surveyors a �, ., .__ 939 Main Street ( Rte 6A) r YARMOUTHPORT MA 02675 DATE DANIEL A. OJALA, P.E., P.L.S. 9,5 ( cm.. zPc.o2'0-)