HomeMy WebLinkAboutWithdrawn Permit Application & Correspondencei
No. Nvijc. 20 °`Lel FEE ' `t)
2/) i L 1 COMMONWEALTH OF MASSACHUSETTS OX_ ‘ Of
Board of Health, Yarmouth, MA
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to Construct()Repair Upgrade Abandon()-Complete System 0 Individual Components
Localior _.Q Owner's Name j'1,�� .._l�'\r',41 -
Map/Parcel# v-�`�U Addres itc,rsr_ ,�
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Lot# Telephone# N. �
Installer's Nanye�,_ 'V" Designer's Na ;
Addres2tte U k'� e ,® `,. :- Address\ �
k.�,,t 1C
Telephone#1 a '4r.i.11: Telephone# . �� �6 @`S J`G��'\
,, A
Type of Building Lot Size 7 1-4s() sq.ft.
N.
Dwelling-No.of Bedrooms _ Garbage grinder( )
Other--Type of Building No.of persons Showers O,Cafeteria()
Other Fixtures
Design Flow(min.required)/ %Clio, gpd Calculated design flow 1-4- Design flow provided __gpd
Plan: Date Tmm Number of sheets
Revision Date
Title "`^�� � 7'A f,tiC'�
Description of Soil(s)
Soil EvaluatorForm No. ame of Soil Evaluator , ` a 3 Date of Evaluation
DESCRIPTION OF REPAIRS OR OR{A'L�'fF.•RATIONS
` -N s r.•.?;.._!:...4, e
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.The unders' agrees to install the a ve described Individual Sewage Disposal System in accordance
tiwwh the provisions of TITLE 5 and
further reel to not to place the system operation until a Certificate of Compliance has been issued by the Board of Health.
Sign -_ � Date f ' /
Inspections
No. efOY 1�✓`-. Z lie
FEE '
-ENWieu' .� (�fy r•Ut ct1d COMMONWEALTH OF MASSACFIUSETTS
i- �G� .�'IL1 Board of Health, Yarmouth, M4
y� .?' DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permission is hereby granted to; Construct(4 Repair() Upgrade() Abandon() -an individual swage disposal system at
as described in the application for
_
Disposal SystemConstruction Permit No. -- I 17 ,, dated _mm
Provided: Construction shall be completed within three years of the date of this permit.All local conditions must be met.
Date `fII UJZULOBoard of Neal '
Slack, Christine
From: Shay Perry <shay.perry@cavossa.com>
Sent: Friday, September 4, 2020 11:16 AM
To: Slack, Christine
Subject: RE: 5 Salt Meadow Rd- Installer of Record Removal
Attention! This email originates outside of the organization. Do not open attachments or click links unless you
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Hi Christine,
Can you please confirm we were removed as the installer of record for the 5 Salt Meadow Rd (Septic Upgrade
Project). We were not awarded the job, but I submitted the septic permit application for the builder to assist with
permitting.
Just want to make sure the new installer is referenced and we were removed from the project.
Thank You-
R/
Shay Perry, Project Manager/Estimator
Cavossa Excavation, Inc.•Office:(508)563-5530 x118/Fax:(508)563-5028
Mobile:(508)274-8012
210 Nathan Ellis Hwy•E.Falmouth,MA 02536
From: Slack, Christine [mailto:CSlack@yarmouth.ma.us]
Sent:Thursday,July 23, 2020 12:47 PM r` t 0AP a
To:Shay Perry<shay.perry@cavossa.com> �'
Subject: Installers License ne, VT? Y)n()(A7\c,„OPE'
Afternoon, (IS
Attached please find your 2020 Disposal Installers License.
If you need anything else please let me know. I will be your new contact for the Health Department.
Thank you,
Christine Slack
Division Assistant
Yarmouth Health Division
1146 Route 28
South Yarmouth, MA 02664
508-398-2231, ext. 1240
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