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HomeMy WebLinkAboutBLD-23-005308 MAR 28 2u23o TER& TWO FAMILY ONLY- BUILDING PERMIT i Town of Yarmouth Building Department 3lJILL71r DEPARTMENT 1146 Route 28, South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 ! ` Massachusetts State Building Code,780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish __ a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: �(�—2 3- D� j v VDate Applied: i11 Se,1TE r Lk 4—a.3 Building Official(Print Name) • Signature Date SECTION 1:SITE INFORMATION L1 Property Address: 1.2 Assessors Map&Parcel Numbers 244 Blue Rock Rd South Yarmouth MA 02664 101 72 1.1 a Is this an accepted street?yes V no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: R-40 no change 19166 Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) no change to setbacks Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public t 1 Private El _Zone: Outside Flood Zone? Municipal El On site disposal system a Check if yesuc . SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Dan & Justine Rogers Millbury. MA 01527 Name(Print) City,State,ZIP 110 Grafton St 508-361-1472 jdjirogersverizon.net No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK=(check all that apply) New Construction 0 Existing Building G' Owner-Occupied il f Repairs(s) 0 Alteration(s) a I Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units 1 Other 0 Specify: — Brief Description of Proposed Work2: Frame and roof a farmer's porch 8'x 24'for a total of 192 s.f. Remove and replace one window and re-frame opening in garage to accept one new door. SECTION 4:ESTIMATED CONSTRUCTION COSTS. Estimated Costs: Item Official Use Only '0(Labor and Materials) 1.Building $ 1. Building Permit Fee:$ rj( indicate how fee is dete a;Nil �� lb Standard City/Town Application Fee . 2.Electrical $ a 0 Total Project Cost t m 6)x multiplier - -^:Y�', �_ 0 3.Plumbing $ 2. Other Fees: $ Ci 8-79) � }` ' �1�' N-c 4.Mechanical (HVAC) $ List: QQ i 5.Mechanical (Fire ' • . aC P 11 $ Suppression) Total All • Fees:$ -,;�c•\� Check No. Check Amount: Cash ;� , • 6.Total Project Cost: $ $31,949.38 0paid in Full 18 Outstanding Balan- ue: h i• r__ rc‘ , -mow.:>,.....�.r....<y._ _. __. 7-_, _._. _.- t i , , -'-� 4 � -✓I ARTRA-Rr 'titer! t \\,-,-4,e, ,il rrtz- +1 gLtif?f1#!f!� r ; F -. , .. . a¢,. L, ' ' . ..1 A V ._ Fir a•. 3 s; ,.. a, , 3_- X x _'719 #.) I r 7L.f y �`.i1F.Lr�p .___ ' r Jfl�9VC.rCf7ii i k _ 444, i `.;, s t SECTIONS: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-058987 02/04/24 Stephen E. Bobola, Sr. License Number Expiration Date Name of CSL Holder 259 Great Western Rd Suite B List CSL Type(see below) U No.and Street Type Description South Dennis MA 02660 U I Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted 13c2 Family Dwelling City/Town,State,ZIP 1vI Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 508-694-5618 steve@sanddollarcustoms.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor CHIC) Walter R. Warren, Jr. /Sand Dollar Customs LLC 193567 10/29/24 HIC Registration Number Expiration Date I-IfC Company Name or HIC Registrant Name 259 Great Western Rd Suite B rob@sanddollarcustoms.com No.and Street South Dennis MA 02660 508-694-5618 Email address City/Town,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(MMI.G.L. c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes cl No ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize Sand Dollar Customs to act on my behalf,in all matters relative to work authorized by this building permit application. Dan & Justine Rogers 3/21/23 Prim Owner's Name(Electronic Signature) Date SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. see attached authorization 3/21/23 Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.e.ov/oca Information on the Construction Supervisor License can be found at www.mass.nov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston. Massachi setts 02118 Home Improvement Contractor Registration y Z -,..> °J wrrrr�� so-- ANWWWWWWIW �''" - '� Type: LLC r+, :,; f2egipiration: 193567 SAND DOLLAR CUSTOMS LLC t .+1 •�••••- Expiration: 10/29/2024 1851 FALMOUTH RD. ;, o • CENTERVILLE, MA 02632 •.' _ Cj inn Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:LLC Office of Consumer Affairs and Business Regulation Registration Expiration 1000 Washington Street -Suite 710 193567 10/29/2024 Boston,MA 02118 SAND DOLLAR CUSTOMS LLC '` . • ati V1 r`::0 WALTER R.WARREN JR J�;! /J 259 GREAT WESTERN RD. UNIT B ` cd,,,,,,,e.f' SOUTH DENNIS, MA 02660 Undersecretary Not valid without signature A CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 12/14/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Tina Reeves NAME: Dowling&O'Neil Insurance Agency PHONE (800)640-1620 FAX IA/C,No.Extl: ( No): 973 lyannough Road E-MAIL ADDRESS: treeves@doins.com INSURER(S)AFFORDING COVERAGE NAIC# Hyannis MA 02601 INSURER A: NGM Insurance Company 14788 INSURED INSURER B: Associated Employers Ins Co 11104 Sand Dollar Customs,LLC INSURER C: 259 Great Western Rd. INSURER D: Unit B INSURER E: South Dennis MA 02660 INSURER F: COVERAGES CERTIFICATE NUMBER: CL21121493449 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MMIDD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 500,000 CLAIMS-MADE X OCCUR -PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 10,000 A MPP9284Q 12/15/2021 12/15/2022 PERSONAL&ADV INJURY $ 1,000,000 GENIIAGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 POLICY n JECT PRO- X LOC2,000,000 PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ A OWNED %iI SCHEDULED M1 P9336Q 12/15/2021 12/15/2022 BODILY INJURY(Per accident) $ AUTOS ONLY /''• AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY (Per accident) $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY X STATUTE ER Y I N 500000 B ANY PROPRIETOR/PARTNER/EXECUTIVE Y NIA WCC50050197212021A 12/04/2021 12/04/2022 E.L.EACH ACCIDENT $ , OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements.Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended thecoverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Sand Dollar Customs ACCORDANCE WITH THE POLICY PROVISIONS. 259 Great Western Road,Unit B AUTHORIZED REPRESENTATIVE South Dennis MA 02660 s tUrimumain ` �+-- I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Commonwealth ot Massachusetts' s Division of Occupational Licensure Board of Building Rsergulations and Standards Co i is i. .k. :rtiPtir8IiI)F9prisor CS-058987 -... Eacpires: 02/04/2024 -- STEPHEN E OBOLA, SR 24 ST FRANGIS CIR HYANNIS MAtft2601 ... ," .... ••., , 10' 4 ,-- 4i- Commissioner dtG K. Bticha....^ .... The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Lafayette City Center 2 Avenue de Lafayette, Boston, MA 02111-1750 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Sand Dollar Customs LLC Address:259 Great Western Rd Suite B City/State/Zip:South Dennis MA 02660 Phone #:508-694-5618 Are you an employer? Check the appropriate box: Type of project(required): 1.1=I I am a employer with 9 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. El New construction listed on the attached sheet. 7. 0 Remodeling 2.❑ I am a sole proprietor or partner- These and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions officers have exercised their 11.❑ Plumbing repairs or additions 3.❑ I am a homeowner doing all work myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.0Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Associated Employers Insurance Company Policy#or Self-ins. Lic. #:WCC50050197212021A Expiration Date: 12/4/23 Job Site Address: 244 Blue Rock Rd City/State/Zip: S Yarmouth MA 02664 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under/ J the pains and penalties of perjury that the information provided above is true and correct. L ' Signature: Date: 3/21/23 Phone#: 508-694-5618 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License # Issuing Authority(check one): 10Board of Health 20 Building Department 31:City/Town Clerk 4.0 Electrical Inspector 5Elumbing Inspector 6.❑Other Contact Person: Phone#: 0.4 ` -7 Sand Dollar Customs LLC j : 259 Great Western Rd. Unit B South Dennis MA 02660 508-694-5618 0 Sanddollarcustoms.com General Contractor and Owner Agreement Authorization To Proceed I hereby authorize Sand Dollar Customs LLC to proceed with construction at . 6141 1 oc i`o p in accordance with 17 signed estimate # I ci 9 3 , dated 0/ / 0,0`),3• Homeowner agrees to make payments to Sand Dollar Customs LLC in accordance with the payment schedule listed on the signed and agreed upon estimate. / J3 i/ `?,o a3 Homeowner Date Gl) 1/31/23 Sand Dollar Customs Represe ative Date GENERAL NOTES: I. THIS PLAN IS FOR THE DESIGN AND CONSTRUCTION / Of THE SEWAGE DISPOSAL SYSTEM ONLY. F. /' 2. ALL CONSTRUCTION METHODS AND MATERIALS AND J �J j / MAINTENANCE OF THE SEPTIC SYSTEM SHALL CONFORM TO MASS. D.E.P. TITLE 5 AND LOCAL " BOARD OF HEALTH REGULATIONS. /'" S. ALL SEPTIC SYSTEM COMPONENTS LOCATED UNDER13 /� ...-- AREAS " SUBJECT TO VEHICULAR TRAFFIC OR ROTATOR J . /' THAN A' IN DEPTH SHALL BE CAPABLE OF WITH- .--STAN01NG M-70 MNFEt. LOADS. • /i 4. ALL SEWER PIPE SHALL BE SCHEDULE 40 PVC OR �`V /' • -�� A/PROVED EOVAL. G /" 5. SEPTIC TANI(AND D-BOX SHALL BE REINFORCED / i PRECAST CONCRETE ON APPROVED POLYETHYLENE. • �� BOTH SHALL BE WATERTIGHT, 0-BOX SHALL BE WATER /' TESTED FOR LEVEL WHEN THERE IS MORE THAN ONE OUTLET. 'Pero—it—valid for REPAIR OF SEPTIC SYSTEM 6. BEFORE CONSTRUCTION CALL 'DIG-SAFE-. ONLY,due to Stab and Local septic rr ..",csx I-BBB-DIG-SAFE ANT THE LOCAL WATER DEPT. Board Of HMItA dIdoM and Approval is•I�;�• d FOR LOCATION OF UNDERGROUND UTILITIES. se any titan Bddlt101tTTtCN''e I'dwelllerrT�,^•to sewage facilities a•NeW ett•et\PWdwrinng- 7. EXISTING CESSPOOL TO BE PUMPED DRY AND Yarmouth ReaitltDepartment BACNFILLED. APP OVED ll Nfc� Name Dal. LOT I • • • • f7;/SJIND 3 BEDROOM ORE(L INO W RAGE CLEAN OUT x NEW 1500 ft1U0 PP SEPTIC TANK Z n • • +P -• i FVJ _� URf'SAS nt • •} 0-BOX CESSPOOL ADD RISER _ W EXISTING A:trw..,, ��.� `D LEACH PIT '•''Ace I i e s1 Ru•a Ap1 Aa. Ts Al S' BLUE RO CK RO AD �_�_�� 01 p0. q1_ SKETCH PLAN OF SEPT/C SYSTEM sh 744 BLUE NOCK ROAD. 6/AP 10/. PARCEL /72 44,}II Of H wy SOUTH YARMOV TFl. MA, rIAA$ \• PREPARED FOR crvtl "` AL ICE CORE/V Nn.3S,e6t yL '� •'�r.'WICL :1T ,5 `a•�( SCALE• /'. pp NO vERIBER /4. 2008 ��w.+ t EAGLEw SURVEYING , I NC IL//V' (/ � YormOusnDert, Route 00,0 -,.� (Doe) aez—e l az 0 10 20 40 L• (eoe) ♦az—caaa P f 99 gq )4-rat.. YARMOUTH WATER DIVISION 99 BUCK ISLAND ROAD WEST YARMOUTH, MA 02673 PH.: 508.771.7921 RECEIVED FAX: 508-771-7998 MAR 29 2023 L..._____ BUILDING DEPARTMENT BUILDING PERMIT APPLICATION By. DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET Bldg. Site Location 244 Blue Rock Rd S Yarmouth Map #: 101 Lot#: 72 Proposed Improvement: Frame a new 8'x24' Farmer's Porch per plan Applicant: Sand Dollar Customs 259 Great Western Rd Unit#B S.Dennis,MA Address Tel. #: 508-694-5618 Date Filed: 3/28/23 RESIDENTIAL AND / OR COMMERCIAL BUILDING Water Department: Determines Compliance of Water Availability and or Existing Location Engineering Department: Determines Compliance for Parking and Drainage Conservation Commission: Determines Compliance to Wetlands Acts; i.e. If Lot(s) Border any Type of Wetlands, Streams, Ponds, Rivers, Ocean, Bogs, Bays, Marshland, Etc... Health Department: Determines Compliance to State and Town Regulations, i.e., Requirements for Septage Disposal and other Public Health Activities Fire Department: Determines Compliance to State and Town Requirements for Personal, Safety, Property Protection;, i.e. Smoke Detectors, Sprinkler Systems, Etc... - - a)a - , Q• 3/28/23 Signature of applicant Date PLEASE NOTE: COMMENTS: • Reviewed by: Water Division I Date TOWN OF YARMOUTH \° HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: (9,4 \)[ e G C1-- Qck cu (I.VVvA -0A__ Proposed ImproveW -ent: '� ��� cA ywtQ1� ‘'}O1cr_,1 ( 1 r x s Applicant: SaV' DnqGr- C.Q,,lM'OWLS Tel. No.:'50b (9C.L{ S(p Address: a S ot O/l Cam,, vvyt(S AV Date Filed: 3 19N a **If you would like e-mail notification of sign off,please provide e-mail address: 'CU5 A Owner Names mitt '\ v-O? Owner Address: c)-<A, ec.042- e.O( I j Ovmo Owner Tel. No.: l Lt RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Health Activities. Please submit three (3) copies of plans, to include: (1.) Site Plan showing existing buildings, water line location, G` ` -LIw -J and septic system location; MAR 2 8 2023 (2.) Floor plan labeling ALL rooms within building (all existing and proposed) — HEALTH DEFT. Note:Floor plans not required for decks,sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY: C�.„w �, �� DATE: ' oZ 1/--/ PLEASE NOTE COMMENTS/CONDITIONS: . ., ...i, m a) 0 , 7) . D , Is.) .„." ' . (71 li/ zz' 1?. • ,, , .., ,,/ ..a I ..-- I , ..--, .„--- V ,, . ,,P*j I —4 ° ...r. 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I • • GENERAL NOTES: I. THIS PLAN IS FON THE DESIGN AND CONSTRUCTION / __ OF TIE SEWAGE DISPOSAL SYSTEM ONLY. R /' 7. ALL CONSTRUCTION METHODS AND MATERIALS AND 1 J MAINTENANCE Of THE SEPTIC SYSTEM SHALL I V /'/ CONPORM TO MASS. O.F.P. TITLES AND LOCAL — 80AR0 OP HEALTH RE(NLATIONS. J. ALL SEPTIC UBJ SYSTEMN COMPONENTSICL LOCATED UNDER - I� THANABEA SUBJECT TO VEHICULAR TRAFFIC OR GREATER iy !K_ ',L / THAN 4' IN DEPTH SHALL OE CAPABLE OF WITH. Y~j y STANDING H-20 WHEEL LOADS. 5 V / 4. ALL SEWER PIPE'SHALL 8E SCHEDULE 40 PVC OR �E / APPROVED EQUAL. C 5. SEPTIC TANN AND 0.80X SHALL OE REINFORCED / / i PRECAST CONCRETE OR APPROVED POL YETHTL ENE. , ROTH SHALL DE WAIERTIISHT. D-BOX SHALL BE WATER ....--'"--/ l./ TESTED FOR LEVEL WHEN THESE IS YORE THAN ONE OUTLET, - 'hrti valid for REPAIR OF SEPTIC SYSTEM O. OEFORE CONSTRUCTION CALL -010-SAFE'. ONLY,doe to Mat*and Local septic v.^Ti:�'ices. (-BBB-0IG-SAFE AND THE LOCAL WATER DEPT. Board of Hula'review mad Opproval IS•l,;r.rd FOR LOCATION OF UNDERGROUND TIff. UTILITIES. for any WW1�adOat/alkrol,,,,,, 10 uwge facilities inidier N I v fdwelnnr. 7. EXISTINO CESSPOOL TO BE PUMPED DRY AND BACRIIu eo. Yews*Hada Department APP'OVED Name / Dam LOT I • EXI WR4 ,,,..,,,A,,,J BEDROVAI ORECC INO - -.`_-- LEAN OUT NEW 1500 OALL4 TP SEPTIC TANK Z n # �/_ MAR 2 8 2023 --_ . Rr _ HEALFH DEPT SAJ } \ 1 ADD RISE' 80X ' CESSPOOL P. W EXISTING KtrA. O LEACH PIT i I i o KO' ° °y TS A5' K°' N o - BLUE ROCK ROAD K, 0 Kt' SKETCH PLAN OF SEPTIC SYSTEM 244 BLUE ROCK ROAD. MAP 10/. PARCEL /72 l.:l ,S `+-r�4� r SOUTH YARMOUTH. MA, a STEPNET4 ,, - PREPARED FOR' • a �ws • k3,546: c.0,L H= ALICE COREN C 477E•. ,6E44� SCALE' / 20' NOVEMBER /4. .2OOB EAGLE SURVEYING , INC --- (/�//� D3J ROut• SA. ' J'5` 1"O rmou thport, MA. 02es70 0 IO �, ,� I (apes) Jotes1J2 20 40 'i�l• (ooe) 4J2-0333 N 00 s U5 r N r r I. r ! 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