HomeMy WebLinkAboutApp-Permit-ComplianceNo. t0 ff�C �� �O � 3 / idy6 t � Q / C7 LG FEE �.
10
bvkvt /%vo/sOMMONWEALTH OF MASSACHUSETTS
r,/;>)e;4 Board of Health, ` A? -MO UTii ,1VIA.
l�t PPLICATI®N FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to Construct) Repair (y) Upgrade( ) Abandon( ) - ❑ Complete System 59 Individual Components
Location 90
Nottingham Dr.
Owner's Name
Craig & Nicole Whitten
Map/Parcel#
150-41
Address
90 Nottingham Dr. Yarmouth Port
Lot#
41
Telephone#
508-790-0615
Installer's Name
Whitten Landscaping
Designer's Name The Bsc Group, Inc.
Address P.O.
Box 1210, S. Yarmouth, MA 02664
Address 349
Route 28, Unit -D. W. Yarmouth
Telephone#
508-790-0615
Telephone#
508-778-8919
Type of Building Residence /-pool--House L.ot Size 151,366 sq. ft.
Dwelling -No.of Bedrooms Ex. 7 Bedroom, Proposed pool house Garbage grinder P9
Other - Type of Building No. of persons Showers( ), Cafeteria ( )
Other Fixtures
Design Flow (min. required) gpd Calculated design flow Design flow provided % 9 gpd
Plan: Date 1-17-2014 Number of sheets 1 Revision Date
Title Septic System Repair, 90 Nottingham Drive, Yarmouth Port
Description ofSoil(s) See old plan
Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation
DESCRIPTION OF REPAIRS OR ALTERATIONS
Adding a 1,500 gallon plastic septic tank to connect the new pool house to the existing
leaching field
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
further agrees t/° yot to place the system in operation until a Certificate of Compliance has been issued by the Board of Health.
Signed (v Date l7%
No. - C®MMONWEALT14 Of MASSACHUSETTS FEE
1.4 .) �� (A, r
Board of Health,
CERTIFICATE Of COMPLIANCE
Description of Work: yridividual Component(s) ❑ Complete System /W/e,Aaqbried The undersigned herebyJcertify that the Sewage Disposal System; Constructed �Repaired ( ), Upgr( )
41
at ','-AA t�./f.��_
has been instal�clli4f cou ce Adi-jiigprovisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to
application No. ja dated - Approved Design Flow-... �(gpd)
Installer'1
f 22
Designer: ` Inspector: f 1/''; ; / . Date: r
The issuance of this permit sh not be construed as a guarant /etha • the system will function as designed.
No. r7UTT `, / 1 r ' �C FEE
COMMONWEALTH Of MASSA US TTS
Board of Health,/o_Q�� ,, , m 1 , MA. 3S'7
DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permission is hereby granted to; ConstructRepair( ) Upgrade( ) Abandon( ) an individual sewage disposal system
at 90 Nottingham Dri-ire. Yram rX0711 Pnrt as described in the application for
Disposal System Construction Permit No. 141 ---)4 dated A
Provided: Construction shall be complef99 4f in �e� kars the date of this permit All local conditions must be met.
Form 1255 Rev. 5/96 A.M. Sulkin Co. Chadestown, MA Date Board of Health
No.:BOHDGI4-0639
Commonwealth of Massachusetts Fee
E55.00 '
Board of Health, Yarmouth, MA.
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to: Upgrade-Individual Component(s)
Location: 90 NOTTINGHAM DR, YARMOUTH, MA 02675 Owner
Map/Parcel#: 150.41 � Name:
WHITTEN, CRAIG R
WHITTEN, NICOLE L P O BOX 1210
Phone:
Sepdc System Installer
Name:
WHITTEN LANDSCAPING INC.
Address:
45 COMMERCIAL STREET SOUTH
YARMOUTH, MA 02664
Phone:
Type o[Building:Dwelling Lot Size:3.47 Acres
Dwelling-No.of Bedrooms:7 Garbage Grinder:
Other Type otBuiidiog: No.of persons: Showers: Cafehria:
Ot6er Fixtures:
Plan Date:Ol/i7/2014 Number of Sheets: 1
Tit1e:SEPTIC SYSTEM REPAIR 90 NOTTINGHAM DRIVE Revision Date:
Design Flow(min.required):770 gpd Calculated design Flow:770 gpd Design Ilow provided:793 gpd
Description of Soi1s:SEE PLAN
Soil Evaluator Form No.: Name of Soil Evaluator: Date of Evaluation:
DESCRIPTION OF REPAIRS OR ALTERATIONS:
The undereignetl agrees to insfall the above deseribed Individual Sewage Disposal System in accordance with the provlsions of
TITLE 5 antl furfher aarees no!to nlace in ooeration untll a Certifitafe of Comoliance has heen issued 6v the Board ot Neakh.
Signed Date
Inspections
Commonwealth of Massachusetts
Board of Health, Yarmouth, MA. FBe •
DISPOSAL SYSTEM CONSTRUCTION PERMIT sss.00
Permission is herby granted to;CRAIG WHITTEN Address:45 COMMERCIAL STREET
SOUTH YARMOUTH,MA 02664
To perform: Upgrade an individual sewage disposal system.
Owner. WHITTEN,CRAIG R
WHITTEN,N[COLE L
P O BOX 1210
SOUTH YARMOUTH,MA 02664 �
Location:90 NOTTINGHAM DR,YARMOUTH,MA 02675
Disposal System Construction Permit No.: BOHDC-1�0639,Dated: December 04,2014
Provided:Construction shall be completed wi[hin six months of[he date of this permit. All local conditions must be met.
Conditions
1.ADD I500 GAL POLY SEPTIC TANK FOR POOL HOUSE ADDITION, CONNECT TO EXISTING
DBOXAND LEACH TRENCH(12'X 64'X 2)
2. PRIVATE WATERLINE WITHIN 10'OFANY SEPTIC COMPONENTS MI1ST BE SLEEVED.
Bruce G. rph , MPH, R.S., CHO/Amy L.von Hone, R.S.,CHO
Health Director/Assistant Health Director
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
Commonwealth of Massachusetts
Board of Health, Yarmouth, MA Fee
CERTIFICATE OF COMPLIANCE $55.00
Description of Work:Individual Component(s)
The undersigned hereby certify that the Sewage Disposal System; Upgraded
by: WHITTEN LANDSCAPING INC.
at:90 NOTTINGHAM DR,YARMOUTH,MA 02675
Has been installed in accordance with the provisions of 310 CMR 15.00(Title 5)and the approved
design plans or as-built plans relating to application No.: BOHDC-14-0639,dated Ol/08/2015.
Installer: WHITTEN LANDSCAPING INC.
Address:45 COMMERCIAL STREET SOUTH Inspector:AMY VON HONE,R.S.
YARMOUTH MA 02664
Designer:BSC�GROUP INC.
Conditions
1.ADD 1500 GAL POLY SEPTIC TANK FOR POOL HOUSE ADDITION,CONNECT TO
EXISTING DBOX AND LEACH TRENCH(12'X 64'X 2')
2.PRIVATE WATERLINE WITHIN 10'OF ANY SEPTIC C ONENTS MU BE SLEEVED.
Bruce G. u , MPH, R.S., CHO/Amy L.von Hone, R.S.,CHO
Health Director/Assistant Health Diredor
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
BOH_Disposal_Construction_CofC.rpt