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HomeMy WebLinkAboutApp-Permit-ComplianceNo. DC— ✓—o 44. 1 FEE COMMONWEALTH Of MASSACHUSETTS 0431 4 8 Board of Health, Wjn'o u +n , MA. A kt ff APPLICATION rOR DISPOSAL SYSTEM C TI�IJCTI�N P�I�NIIT Application for a Permit to Construct,(�Repair( ) Upgrade( ) Abandon( ) - Complete System ❑individual Components Location 30 Crest Circle Owner's Name Kathryn Nahill Map/Parcel# 22 / 48 Address 152 Broad Meadow RD.Needh Lot# Telephone# 781 -540-1322 Installer's Name Barrows Excavation Designer's Name BSC Group Address Great Western Rd.,Harwich Address 349 Rte. 2 ,W st Yarmouth Telephone# 508-400-6347 Telephone# 7 7 8- 8 91 Type of Building New Residential d ell Dwelling - No. of Bedrooms 3 Other - Type of Building Other Fixtures Design Flow (min. required) Plan: Date 6/23/15 Title Septic system d Description of Soil(s) Soil Evaluator Form No. DESCRIPTION OF REPAIRS OR Calculated - Nu1L17 r of sheets ign for #30, Cr Name of \ t Size 10 7 3 4 sq. ft. "` Garbage grinder ( ) No. of pe Q s Showers ( ), Cafeteria ( ) flow provided A Revision Date _ ircle,4West Yarmouth Date of Evaluation gpd The and igned agrees tall the above described ndividual Sewage Disposal System in accordance with the provisions of TITLE 5 and further ees to not t -P'?-e- the system in operation until a Certificate of Compliance has been issued by the Board of Health. 7 Sign Date Inspections f No. ftkDc—i—o `'� Comm Board / FEE 0, 0-0 -3t 8 ol C1� 11N� Description of Work: ❑ Individual Component �` �' ffIThe undersigned hereby certify that the Sewage. A�tded ( ) , Abandoned ( ) by: B�(L(L©w-5i„I ! at 310 has been installe m • cortiaRcwith rovisi _ v `Aiuc a) an thea proved design plans/as-built plans relating to application No.LeLl02 % -1 dated . Approved Design Flow (gpd) Installer LM14 61 -U-0 t.J S Designer: /2 -Se= 7 Inspector: Date: The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Bo WDC -,t16- No. ij T� rJ��f�'�^' J �xC+ FEE COMMONWEALT14 Of MASSACHUSETTS 031q'8 Board of Health, T ^D LQ , MA. DISPOSAL SYSTEM , CONSTRUCTION PERMIT Permission is hereby granted to; Construct Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system at -30 CR -mi- GRZC,A—(—::: as described in the application for Disposal System Construction Permit No. L7! dated $—m:3 % Provided: Construction Construction shall be completed within t MV,s of -the -1te of this permit.l local conditions must be met. Form 1255 Rev. 5/96 A.M. Sulkin Co. Charlestown, MA Date B and of Health No.:BOHDC-15-0441 Commonwealth of Massachusetts Fee . $110.00 Board of Health, Yarmouth, MA APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT � Application for a Permit to:New Construction-Complete System Location: 30 CREST CIR,WEST YARMOUTH,MA 02673 Owner: NAHILL KATHRYN M Map/Parcel#: 022.48 152 BROAD MEADOW RD NEEDHAM,MA 02492 Phone: Septic System Installer Designer BARROWS BSC GROUP,INC. 2 VINEYARD LANE HARWICH, MA 349 ROUTE 28,UNIT D 02645 WEST YARMOUTH,MA 02673 Phone: 508-778-8919 Type of Building:Dwelling Lot Size: 10,890.00 Acres Dwelling-No.of Bedrooms:3 Garbage Grinder: Other Type of Building: No.of persons: Showers: Other Fixtures: Plan Date:06/23/2015 Number of S6eets: 1 Cafeteria: Tit1e:SEPTIC SYSTEM DESIGN 30 CREST CIRCLE Revision Date:07/28/2015 i Design Flow(min.required):330 gpd Calculated design f1ow:330 gpd Design flow provided:355 gpd i i Description of Soi1s:SEE PLAN I Soil Evaluator Form No.: Name of Soil Evaluator: Date of Evaluation:04/21/2011 RONALD J.CADILLAC,RS ` DESCRIPTION OF REPAIRS OR ALTERATIONS:SEPTIC DISPOSAL-NEW-PROPOSED 1500 GAL SEPTIC TANK,DBOX,3-500 GAL PRECAST CHAMBERS W/STONE 3'ENDS,1.5'SIDES:38'X 7.83'X 2' ' The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of ' TITLE 5 and further aarees not to olace in ooeration until a Certificate of Comnliance has been Issued bv the Board of Health. � Signed Date , Inspections � I � I i ! Commonwealth of Massachusetts � Board of Health, Yarmouth, MA Fee . DISPOSAL SYSTEM CONSTRUCTION PERMIT $110.00 ' ; Permission is herby granted to; BARROWS EXCAVATING, 2 VINEYARD LANE, HARWICH, MA 02645 To perform:New Construction an individual sewage disposal system. Owner: NAHILL KATHRYN M 152 BROAD MEADOW RD NEEDHAM,MA 02492 Location: 30 CREST CIR, WEST YARMOUTH,MA 02673 Disposal System Construction Permit No.: BOHDC-15-0441 , Dated: August 03,2015 Provided: Construction shall be completed within six months of the date of this permit. All local conditions must be met. CONDITIONS: i 1.SEPTIC DISPOSAL-NEW-PROPOSED 1500 GAL SEPTIC TANK, DBOX,3-500 GAL PRECAST � CHAMBERS W/STONE 3'ENDS, 1.5'SIDES: 38'X 7.83'X 2' ' 2.TOWN OF YARMOUTH REGULATIONS SECTION 3.7: FOUNDATION VARIANCE APPROVED ; !/� . ' Bruce G. Mur�ph , M H, R.S., CHO/Amy L. von Hone, R.S., CHO . Ith Director/Assistant Health Director The issuance of this permit shall not be construed as a guarantee that the system will function as designed. � i i j I i I