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Home My WebLink AboutApp-Permit-ComplianceNo. BCN�C—IS'iF7 , ! (/�.s �`� I +'��" FEE I ° VD /&--247 / !! z,7 r®� ` i �� COMMONWEALTH LTH ®F MASSACHUSETTS � % 6 Board o Health, YaAW , MA. _ APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT a Ap lication for a Permit to Construct( Repair( ) Upgrade�bandonO - W/eomplete System �Avidual Components f� wI ocation Owner's Name 6 Se Type of Building Dwelling - No. of Bedrooms Other - Type of Building _ Other Fixtures Design Flow (min. required) 3.70, gpd Calculated design flow Plan: Date ` 0 Number of sheets Title Description of Soil (s) Soil Evaluator Form No. Name of Soil Evaluator DESCRIPTION OF REPAIRS OR M Lot Size No. of persons sq. ft. _ Garbage grinder ( ) Showers ( ), Cafeteria ( ) Design flow provided J� �}}6 gpd Revision Date 7 /S Date of Evaluation The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to tAce the m operation until a Certificate of Compliance has been issued by the Board of Health. Y Signed J�t-i% ( J Date ! J Inspections /? No. 1'�4 t-� 4y�el��G�9� FEE COM MO LTH OF MASSACHUSETTS �airon, Board of Health, A72M D U -�F , MA. O CERTIFpCom TE Of COMPLIANCE Description of Work: ❑ Individual Component(s) plete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ), Repaired ( ), Upgraded (..); Abandoned ( ) at has been installed iri accordance with tlrovisions of 310 CMR 15.00 (Tide'5),and the approved design plans/as-built plans relating to application No. / - Zrl , dated � %> Approved Design Flow � L (gpd) i Installer f- P f Designer: � Inspector: The issuance of this permit shall not be construed as a guarantee that the system will function as desiined. No. L.yil;'G'ij l.�t� �l'C✓�-�(� FEE �? 7 COMMONWEALTH Of MASSACHUSETTS Board of Health, V.4 -g -m D UT 14 , Am. 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. ✓ '== % % , dated /� 2 / Provided: Construction shall be complete wtthtn-r , rs of the date of this permit. All local conditions must be met. Form 1255 Rev. 5/96 A.M. Sulkin Co. Charlestown, MA Date"' ate/ ' , Board of Health /� � y j H ap/Parcel# 3 / Address Lot# 1 Telephone# Installer's Name Designer's Name AddressG ✓r� f yid Address %, ) 7 7 S10A dtJ41V Telephone# Telephone# S6 lr- " Type of Building Dwelling - No. of Bedrooms Other - Type of Building _ Other Fixtures Design Flow (min. required) 3.70, gpd Calculated design flow Plan: Date ` 0 Number of sheets Title Description of Soil (s) Soil Evaluator Form No. Name of Soil Evaluator DESCRIPTION OF REPAIRS OR M Lot Size No. of persons sq. ft. _ Garbage grinder ( ) Showers ( ), Cafeteria ( ) Design flow provided J� �}}6 gpd Revision Date 7 /S Date of Evaluation The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to tAce the m operation until a Certificate of Compliance has been issued by the Board of Health. Y Signed J�t-i% ( J Date ! J Inspections /? No. 1'�4 t-� 4y�el��G�9� FEE COM MO LTH OF MASSACHUSETTS �airon, Board of Health, A72M D U -�F , MA. O CERTIFpCom TE Of COMPLIANCE Description of Work: ❑ Individual Component(s) plete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ), Repaired ( ), Upgraded (..); Abandoned ( ) at has been installed iri accordance with tlrovisions of 310 CMR 15.00 (Tide'5),and the approved design plans/as-built plans relating to application No. / - Zrl , dated � %> Approved Design Flow � L (gpd) i Installer f- P f Designer: � Inspector: The issuance of this permit shall not be construed as a guarantee that the system will function as desiined. No. L.yil;'G'ij l.�t� �l'C✓�-�(� FEE �? 7 COMMONWEALTH Of MASSACHUSETTS Board of Health, V.4 -g -m D UT 14 , Am. 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. ✓ '== % % , dated /� 2 / Provided: Construction shall be complete wtthtn-r , rs of the date of this permit. All local conditions must be met. Form 1255 Rev. 5/96 A.M. Sulkin Co. Charlestown, MA Date"' ate/ ' , Board of Health /� � y j No.:BOHDC-15-4479 � Commonwealth of Massachusetts Fee 555.00 Board of Health, Yarmouth, MA APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to:Upgrade-Complete System Location: 18 ALISON LN,WEST YARMOUTH, MA 02673 Owner: VENNERI ROBERT T Map/ParceUf: 031.196 � VENNERI ROSE A 18 ALISON LANE � WEST YARMOUTH,MA 02673 Phone: Septic System Installer Designer i � BOSETTI SEPTIC EAS SURVEY.INC. j 199 CHURCH STREET EAST P.O.BOX 1729 HARWICH,MA 02645 SANDWICH,MA 02563 Phone: 508-888-3619 . Type otBuilding:Dwelling Lot Size: 1Q454.00 Acres � Dwelling-No.ofBedrooms:2 GarbageGrinder: � Other Type of Building: No.of persons: Showers: � Other Fiatures: Plao Dah:Ol/07/2015 Number of Sheets:2 Gfeteria: Title:SITE&SEWAGE REPAIR PLAN 18 A[.ISON LANE Revision Date:09/09/2015 � Design Flow(min.required):220 gpd Calculated design ilow:220 gpd Design ilow provided:336 gpd DescripHon of Soi1s:SEE PLAN Soil Evaluator Form No.: Name of Soil Evaluator: Date of Evaluafioo: 11/20/2014 , EDWARD STONE,PLS � DESCRIPTION OF REPAIRS OR ALTERATIONS:SEPTIC DISPOSAL-REPAIR-PROPOSED 1500 GAL SEPTIC TANK,DBOX,24 �� QUICK 4 LOW PROFILE INFILTRATORS W/OUT STONE:32'X 8.5'X 8" � The unAewigned agrees to insh�l the above describetl Individual Sewage Disposal System in accoManee with the provisbns of TITLE 5 and furfher aareea not to olace In ooeration unfil a Certificate of Comoliance has heen isaued bv the 8oard of Health. Signed Date Inspections i • ! Commonwealth of Massachusetts Board of Health, Yarmouth, MA Fee DISPOSAL SYSTEM CONSTRUCTION PERMIT ass.00 Permission is herby granted to; . BOSETTI SEPTIC SYSTEMS, 199 CHURCH STREET, EAST HARWICH, MA 02645 To perform:Upgrade an individual sewage disposal system. � Owner: VENNERI ROBERT T ' VENNERI ROSE A 18 ALISON LANE WEST YARMOUTH,MA 02673 � Location: 18 ALISON LN, WEST YARMOUTH,MA 02673 Disposal System Consiruction Pemilt No.: BOHDC-1S4479,Dated: September 25,2015 . Provided:Construction shall be wmpleted within six mon[hs of the date of this permit. All local wnditions must be met. CONDITIONS: 1. SEPTIC DISPOSAL-REPAIR-PROPOSED 1500 GAL SEPTIC TANK, DBOX,24 QUICK 4 LOW PROFILE INFILTRATORS W/OUT STONE:32'X 8.5'X 8" � 2. PLUMBING PERMIT REQUIRED � Bru . rphy, 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 funMion as designed. � i � Commonwealth of Massachusetts Board of Health, Yarmouth, MA Fee CERTIFICATE OF COMPLIANCE 555.00 Description of Work:Complete System The undersigned hereby certify that the Sewage Disposal System; Upgraded { by:BOSETTI SEPTIC SYSTEMS at: 18 ALISON LN,WEST YARMOUTH,MA 02673 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-15-4479,dated 10/24/2015. Installer:BOSETTI SEPTIC SYSTEMS Address:199 CHURCH STREET EAST HARWICH,MA Inspector:EAS SURVEY CERTIFICATION 02645 Designer:EAS SURVEY,INC. Conditions 1.SEPTIC DISPOSAL-REPAIR-PROPOSED 1500 GAL SEPTIC TANK,DBOX,24 QUICK 4 LOW PROFILE INFILTRATORS W/OUT STONE:32'X 8.5'X 8" 2.PLUMBING PERMIT REQUIRED �� + Bruce G. ph ,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. BO H_Disposal_Construction_CofC.rpt