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3'IRVOI'I(IdV 3H3HM NI THA UO )MID
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF
�0
Appliration for Diti-Voiittl Works (gomifrnr#inn ramit
!r i
Application is hereby made for a Permit to coast uct ( ) or Repair
( ) an Individual Sewage Disposal
4.
A..g1....._.
0System at:
••1 ..................... :.. ��..� :�_.__..... .....
,��/,�.:/..�:...............
•
. ....... ..... ------- .»..»..»��__..
,!�/��r�11//ji1JJrif11����� fly+ Location -AddTV39 4 or Lot No.
............................................... r..�.ni: �� r......_
.......................
�52�.� ..»._ ...._..»_ C,'•'••---
�¢
U
It,aatler
Type of Building r�
Address
Size I ot...-/ Z•S- '.(1.»».Sq. feet
r.
a4
Dwelling —No. No. of Bedrooms... ............. .i[........................Expansion Attic
4..........,.....,
( ) Garbage Grinder ( )
Other — Type of Building ............................ No. of persons.......
Showers ( ) — Cafeteria ( )
Other fi tures
Design Flow .............. O... ilf) ............. gallons per person per day. Total daily,, �.Q....................... gallons.
capaetty..l�0. gallons Length. 1.. �Yidth.... �......
Tank — ..
Diameter Depth-. ...�
- .
'i'
x
Disposal Trenchic
— No....___ �.......... Width....4..LC Total Length Total leaching area .... 0d,�.:SL
p 8� g gP6
Seepage Pit No ..................... Dimneter .............. ...... Depth below Inlet...........,,......
Total leaching area .... .......... ...sq. ft.
7.
Other Distribution box ( ) Dosing tank( )
Percolation Test Results Performed byAAf!itL........1................................
Date--... /7 .Z 5 ��.... .. t
,1
Test Pit No. 1.... �.I..minutes per inch Depth of Test Pit.... f...............
Depth to ground water.__./.!s,.l...'.�.......
cL,
Test Pit No. 2....LI-...ntinutes per inch Depth of Test Pit.....n y..........
Depth to ground water ...... �•
1¢?. ��.....___. -
a...............
.....................................................................».................__.......................
O
Description of Soil.. G " �p .� » 1 oel ::..».:�'1r;:2 :................................................
..... .. .... ....
..... ...................................................
U...............»...........
.........'.��:..»'? _: �:1" T.........i11an wL, Co a , s C trarJl7 {,�...................
..........,..._..........».._........ .............._..........._....
U
x
._.......... .._...__...._.
Naturi of Repairs or Alterations — Answer when.ap applicable.........................................�..^................
...........�
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Cock — The undersigned further agrees not to place the
p board of health.
system in operation until a Certificate S �=.lt�nceihas been by the ..,•.,...-..,.
,Application Approved By .......... I _..(.rt T�� .... ..
Application Disapproved for the following reasons: ._............. J'
_.... r................................................ ....-- - - - - - - - .... .. - - - ........................ QQ --
Permit No. .......Z. 5 . "l!� �� Issued .. _ .....�1�':....A�......
THE COMMONWEALTH OF MASSACHUSETTS �n91"6Pal i ' S
BOARD OF HEALTH I �ka r?a
TOWN OF 8T
@lertifirate of Tomplianre
THIS IS TO CRR 1,f•Y, That thy Ind] *dual m ; Sewage Disposal Syyreconstructed ( ) or Repaired ( )
by ...
at 9 7 -_ ...._.._...._ _.
has been installed in accordance with the provisions of TITLE 5-of The State )environmental Code as ¢esccibed in
the application for Disposal Works Construction Permit Nodared 1 '
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANtEE THAT THE
SYSTEM WILL FU
NCTION SATISFACTORY.
.„� — '>- DATE Inspector -, 1�
i :' '�..•' �- X
Andrew Crivelli
12 Boulder Brook Road
East Sandwich, MA 02537
Re: 47 Webster Road
West Yarmouth, MA
Dear Mr. Crivelli
TOWN OF YARMOUTH
SOUTH YARMOUTH
MASSACHUSETTS 02664
BOARD OF HEALTH
Variance from Provisions of Title 5:
Regulation: ---
Town Amendments: Section: 3.7
Date: March 31, 1995
As Shown On Engineered Plans By:
Weller & Associates
Dated: March 22, 1995
The Yarmouth Board of Health has received your application for a Variance from
the provisions of Regulation ---- of Title 5 of the State Environmental
Code and/or Section 3.7 of the Town of Yarmouth Amendments for Subsurface
Disposal of Sewage.
Having determined that strict enforcement of the above Regulations in this
instance would do manifest injustice, and further, that your requested variance
does not conflict with the spirit of the State Environmental Code or the
Regulations of the Town of Yarmouth Amendments, the variance is hereby granted
on this date March 22, 1995 , as follows:
A variance to allow the top of foundation to be set at elevation 15.5 which
is 1.5 feet above the high point of the fronting road. The high point of
the fronting road is elevation 14.0. This is a total variance of 0.5 feet
from the required two feet above the high point of the fronting road.
You must provide a 3/4 inch negative grade for fifteen feet surrounding the
foundation.
You are hereby advised that the variance granted herein will expire in 90 days
from date of issue unless all work authorized by said variance has been
completed prior to the date of expiration.
In granting this variance the Town of
water damage to the foundation, septic
I have read and fully understand the
conditions of the above variance and
accept them as written
Date: 61/,Jl/ 21
Yarmouth will not be responsible for any
system or adjoining lots. //
U
Bruce %rphy, M.P.H.
Health Officer
Town of Yarmouth
cc: Building Department
file
90.3Z
1 1 �� �r V
W
CERTIFIED PLOT PLAN
FOR
LOT 49 - WEBSTER RD., WEST YARMOUTH, MA.
PLAN BOOK 91 PAGE 47
PREPARED FOR
ANDREW CRIVELLI
SCALE: 1" = 30' MARCH 22, 1995
NOTE: 'THIS PROPERTY LIES IN FLOOD ZONE "B"
WFT,LER & ASSOCIATES
P.O. BOX 119 YARMOUTHPORT. MA. 02675
(508)362-8131
NOTE: TOP OF FOUNDATION IS 1.5' ABOVE
THE HIGH POINT IN THE ROAD AT EL. 15.5.
I CERTIFY THAT THE FOUNDATION
SHOWN ON THIS PLAN IS LOCATED ON THE
GROUND AS SHOWN HEREON AND THAT IT
CONFORMS TO THE MINIMUM SETBACK
REQUIREMENTS OF THE TOWN OF
YARMOUTH.
��* M OF Ma�'4'�
�i
�M
s /
3 zz-�5
Location: AM_�� LOT�Date of Subdivision Approval J�
Street `. Zone of Contribution: In Out��
Village ` Commercial
Residential
0w-ner
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