HomeMy WebLinkAboutPermit 00-107 HEVr1H DEbl'
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CAPE COD ENGINEERING, INC.
Robert M. Perry, P.E.
• 50 Leland Road
Brewster, MA 02631
Tel. 508-896-4861 R E P fE n e// rg,
MAR 1 0 2000
March 1, 2000 HEALTH DEPT.
Town of Yarmouth
Health Dept.
1146 Rte 28
South Yarmouth, MA 02664
Re: Red Jacket Inn, South Shore Drive, So. Yarmouth, MA- Septic Certification for
SAS Upgrade Serving Units 169 thru 176 & 269 thru 276
To the Health Dept.,
On Tuesday, February 29 and on Wednesday, March 1, 2000, construction inspections
were made in connection with the referenced septic system. On the 29th, a soil quality
inspection in the open excavation confirmed the presence of adequate suitable soil around
and below the new SAS.
On March 1st, a final inspection of the completed `D' Box, SAS and related pipe
connections was made. Remaining at time of inspection was the installation of the Zabel
filters on each existing septic tank outlet. The cast iron tee fittings required reaming prior
to the filters being fitted. It is our understanding that the Health Dept. accepts the filter in
lieu of a gas baffle. We hereby certify that the system components have been installed
consistently with the approved plan, Title 5, and Town of Yarmouth Health Code
Regulations. Please contact me directly should you have any questions regarding this
_ certification. Thank you for your cooperation and assistance with the project.
Very Truly Yours,
Cape C En eering, Inc.
Robert . Perry, P .
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COMMONWEALTH Of MASSACHUS TTS
Board of Health,
APPLICATION
�nA], - ! �n�A`\l\TION FOR DISPOSAL SYSUM CONSTRUCTION CTION I��:R�1[IT
! 1 ������1 ]l
Application for a Permit to Construct( Repr Upgrade ( ) Abandon ( ) - ❑ Complete System ❑ Individual Components
A ck-r Mc
n I Owner's NameLocation d3-f o, L2t1 1/ ••y� / '�J'�
},yew Address e9OAJOt i/ 2Hf/ V5!
Map/Parcel# I� �D
Telephone# 3.97 darir
Lot# p( 0M�qn l � Z' � emperOorki5agrily)1Desi ner's Name
Installers Name et, aO&J7tMaI
ROW. 9�& 'LflMiJ4 /� /1 , Address `�Address �Cr����/J�/. �' I v I �
Telephone# 8- & - 4Ecio/
zanajzbjs----Eas
Telephone# ���—' 329ct9'7)
/ I h j f 6 (hilts Lot Size sq. ft.
Type of Building -{�J(/
Garbage grinder ( )
Dwelling - No. of Bedrooms
Type of BuildingNo. of persons Showers ( ) , Cafeteria ( )
Other - yp
Other Fixtures
- Design Flow (min. required) gpd Calculated esi n ow Design flow provided gpd
Number of sheets a Revision Date
Plan: Date
Title
1.
Description of Soil(s)
Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation
DESCRIPTION OF REPAIRS OR ALTERATIONS `
The undersi' • d agr: el o install the above . • 'bed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
further agree• to ► . . r! ce the-syste ' in ' per : don until a Certificate of ompli ce has been issued by the Board of Health.
Signed .ifir / '' , ,� L _ Date �' V
Inspections
No. 6G — ) 67 FEE (C)
COMMONWEALTH Of. MASSACHUSETTS
Board of Health, YnifliQJ77d , MA.
k. A -/\ CERTIFICATE Of COMPLIANCE .
Description of Work: ❑ Individual Component(s) LI Complete System
The ersi ned herebycertify that the Sewage Disposal System; Constructed ) , Repairedpi, U radedAbandoned ( )
fY g P Y ( p Upgraded ( ) �
by: al OD I
G7S8
at •C )1\FTW...W
has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to
application//N��o. , dated 2 a8'0O . Approved Design Flow )74 0 (gpd)
Y ,
Installer � ��f�-✓, l
Designer 0 0 reiVe) . Inspector: ‘41 — Stec f r -t, t 4-''!'A' Date: 3 / !1 0 0
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
No. CO ^ , 07 FEE _4 a
COMMONWEALTH J101 V V V EALTH OF 1 JlAIJ• AGI VT1 UT1..+• r- , .r • it " )Ca7 Lf
Board ofHealth, oVial � , MA. is J g ' F ,
f
DISPOSAL SYSTEM CONSTRUCTION PERMIT 44 ' ),
Permission is hereby granted to; Construct( ) Repair Upgrade ( ) Abandon ( ) an individual sewage disposal system
at 0/95501lni Sr/Ott D as described in the application for
Disposal System Construction Permit No. �07 , ated � ja3/QC)
C. Av., A M
Provided: Construction shall be completed within threes of the date of thi rmi . All loc conditions must be met.
Form 1255 Rev. 5/96 A.M. Sulkin Co. Boston, MA Date a h8/06 Board of Healt .
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COMMON \\ 4, 1111 OF MASSACHUSETTS "n aC -7 `1
YARMOUTH HEALTH WT.
Board of Health, 1146 ROUTE 28
APPLICATION FOR DISPOSffJ i I ; ;• \ ' LCCTION PERMIT
Application for a Permit to Construct( ) Repairkp Upgrade( ) Abandon ( ) - ❑ Complete System ❑ Individual Components
PkEb TA c.tc-, /Ac - .
Location45.1)1/
., 0`5-/-oiec DR1jJ6 Owner's NamRV D
Map/Parcel# Address
�l
.T
0104/0,-7WinthAA5/
Lot# 00MLiarJ/ Li a i Telephone# ,..:5q D `
Installer's Namep • (1' �/5_, 1 Ar, Designer's Name j}� ,c
- ,,p,
Address paie 4?- , f /6a 4 Address 573 - gk. fi
, )_,c
Telephone# e / Telephone# - J , /
•
i f rC� � r i 9 c7C
Type of Building !' •
n f � ► J Lot Size s . ft.
YP (� q
Dwelling - No. of Bedrooms Garbage grinder ( )
Other - Type of Building No. of persons Showers ( ) , Cafeteria ( )
Other Fixtures
Design Flow (min. required) gpd Calculated esign ow Design flow provided gpd
Plan: Date Number of sheets d . a Revision Date
Title
Description of Soil(s)
Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation
DESCRIPTION OF REPAIRS OR ALTERATIONS
The undersi: • . agr • e-I o install the above I - - ribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
further agree to t Jg F. . ce/1/)
• _ • ' a in ►pe : don until a Certificate of ompli ce has been issued by the Board of Health.
AirSigned ` Date 'L- . " ‘1 Q
Inspections
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