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HomeMy WebLinkAboutApp-Permit-ComplianceNo. Ws Ca.' �sl � Q Lb-'rP, - 16 - 006 g 73 FEE "5POV //Oc 3 COMMONWEALTH LTH ®IF MASSACHUSETTS Board of Health, Ymbioy-n4 , MA. APPLICATION F®I, DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair( ) Upgrad Abandon( ) - 0 Complete SystemJWI lidual Components Location 495Owner's CL ��t[ Name 131>0 O'SAAb Map/Parcel# The issuance of this Address -;L75 CAP -A b j Be,$&e e Lot# ;:D")0.:.o Telephone# 0000000000000000000000000i'. Installer's Name d4D6w e G"T&-Kk15e5 t JJQ Designer's Name C C Address 1 S Address A85 Ct ,� ,, Kq0� �% L tW , /ae&4 Telephone#,.. r • Telephone# � . d '1 Type of Building P -SS QGA)TW, Lot Size 1.500 sq. ft. Dwelling - No. of Bedrooms 13 Garbage grinder ( ) Other - Type of Building No. of persons Showers ( ) , Cafeteria ( ) Other Fixtures Design Flow (min. required) 3 3 D gpd Calculated design flow Plan: Date 9-, S- A O t s Number of sheets I Title Description of Soil(s) _ Soil Evaluator Form No. W Design flow provided gpd Revision Date Name of Soil Evaluator Date of Evaluation `7 -3n � 010 (� DESCRIPTION OF REPAIRS OR ALTERATIONS V5G CIC`�T(?-)Q I©e>o cy. p 5ao7'<C-- -1(' iJI, The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date 9 -;LO--1ci 5: Inspections No. 5014VC*'1C9..�Q�_,_._.,_..__,,..._...,__._�.,...._...,,.. _... _ ....__,.. ''�"/,7 FEE�✓ _ COMMONWEALTH OF MASSACHUSETTS Board of Health, Xminqu � , MA. CERTIFICATE Of COMPLIANCE Description of Work: -iW' dividual Component(s) ❑ Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ), Repaired ( )> Upgraded 4,�-kbbandoned ( ) by: 0—AP C -w t n,6 t V7F— l?,FA (S'8Z LJ -r. at. Qd has been install application No. Installer CA Ath'the fovisions of 310 CMR 15.00 (Title 5) and thea proved design plans/as-built fans relating to dated '2-PApproved Design Flow - Z—Tpd) z� ,,, -TL CL ��t[ Date:Designer: The issuance of this permit shall not be construed as a guarantWth/at the system will function as designed. ;:D")0.:.o JDOJ000 JOO'DOoo0000Oo0Jr;:"Z-.>000000:DO000 JO OO 00000_ 0000000000000000000000 0000000000000000000000000i'. No. �tJ �fD C" � "° .� Q .i t �� � FEE ', 00 j COMMONWEALTH Of MASSACHUSETTS W Board of Health, y4jIyL0OT4 , MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct( ) Repair( ) Upgrade Abandon( ) an individual sewage disposal system at 95 d47- W 6ES$j5'oAD as described in the application for Disposal System Construction Permit No. dated Provided: Construction shall be completed within L_ - s f the date of this p' ' 't. All local conditions must be met. Form 1255 Rev. 5/96 A.M. Sulkin Co. Chadeslown, MA Date -�� �� Boa d(of Health .� L No.:BOHDGIS-4109 Commonwealth of Massachusetts F� ` $55.00 Board of Health, Yarmouth, MA APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to:Upgrade-Individual Component(s) Location: 25 CAPT BESSE RD, SOUTH YARMOUTH,MA 02664 Owner: MASSAAD ABDO Map/Parcel#: 078.13 HAT4A7'Y 1tANDA 25 CAPT BESSE RD SOUTH YARMOUTH,MA 02664-2804 Phone: Sepfic System Installer Designer CAPEWIDE JC ENGINEERING.INC. 153 COMMERCIAI STREET 2854 CRANBERRY HIGHWAY MASHPEE,MA 02649 WEST WAREHAM,MA 02538 Phone: 508-273-0377 Type of Building:Dwelling Lot Size: 11,326.00 Acres Dwelling-No.of Bedrooms:3 Garbage Grinder: Other Type of Building: No.o[persoos: Showers: Other Fuctures: Plan Date:08/18/2015 Number of Sheets: 1 Cafeteria: Title:PROPOSED SEPTIC SYSTEM UPGRADE 25 CAPTAIN BESSE ROAD Revision Date: Desigo Flow(mio.required):330 gpd Calwlated design Oow:330 gpd Design ilow provided:3552 gpd Description of Soi1s:SEE PLAN Soil Evaluator Form No.: Name of Soil Evaluator: Date of Evaluatioo:07/30/2015 MICHAEL PIMENTAL,EIT , DESCRIPTION OF REPAIRS OR ALTERATIONS:SEPTIC DISPOSAL-REPAIR-EXISTING 1000 GAL SEPTIC TANK,DBOX,20 ARC 36 UNITS W/OUT STONE:20'X 14.4'X 7" The unAersigned agrees to install the above tlescrihed Individual Sewage Dlsposal3ystem in accordance withlhe provislons of • TITLE 5 and furlher aorees not[o olace In ooerallon un[il a CertiFlcate of Comnlianee has 6een issued 6v the Bosrd of Neakh. Signed Date Inspec[ions Commonwealth of Massachusetts Board of Health, Yarmouth, MA Fee DISPOSAL SYSTEM CONSTRUCTION PERMIT ass.00 Permission is hereby granted to; CAPEWIDE ENTERPRISES, LLC, 153 COMMERCIAL STREET, MASHPEE, MA 02649 To perform: Upgrade an individual sewage disposal system. Owner. MASSAAD ABDO � HAMATYRANDA i 25 CAPT BESSE RD SOUTH YARMOUTH,MA 02664-2804 � Location: 25 CAPT BESSE RD, SOUTH YARMOUTH,MA 02664 Disposal System Construction Perrnit No.: BOHDGIS-4109 ,Dated: August 28,2015 Provided: Construction shall be completed within six months of the date of this permit. All local conditions must be met. CONDITIONS: t. SEPTIC DISPOSAL- REPAIR- EXISTING 1000 GAL SEPTIC TANK, DBOX, 20 ARC 36 UNITS W/OUT STONE: 20'X 14.4'X 7" 2. ZONE II MAXIMUM 3 BEDROOMS Bruce G. Murp , P ; R.S., CHO/Amy L. von Hone, R.S., CHO ealth Director/Assistant Health Director The issuance of this permit shall not be construed as a guarantee that the system will function as designed. '