HomeMy WebLinkAboutBOHDC-14-0035 54 BRADDOCK APPLICATIONFee
$55.00
Commonwealth of Massachusetts
Board of Health, Yarmouth, MA.
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to : Upgrade - Complete System
No.: BOHDC-14-0035
Location: 54 BRADDOCK ST, SOUTH YARMOUTH, MA 02664
Map/Parcel#:
Lot#:
Owner
Name :
PHELAN, JEAN M
Address:
DOWNEY, MARY E 25 HILMA ST
Phone:
Septic System Installer
Name :
JIM LEBOEUF SEPTIC SERVICE
Address :
55 BODICK ROAD HYANNIS, MA 02601
Phone :
5087750707
Type of Building: Dwelling Lot Size: 0.23 sq. ft.
Dwelling - No. of Bedrooms: 2 Garbage Grinder:
Other Type of Building: No. of persons: Showers: Cafeteria:
Other Fixtures:
Plan Date: 06/19/2014
Title: Site and Sewage Plan 54 Braddock Street Revision Date: 07/10/2014
Number of Sheets: 1
Design Flow (min.required): 337 gpd Design flow provided: 337 gpd Calculated design flow: 330 gpd
Description of Soils: 0-7" A L.S. 10YR3/1
7"-40" B L.S. 10YR6/8
40"-120" C F.S. 10YR7/4
Water @ 86:
Soil Evaluator Form No.: Name of Soil Evaluator:
David Mason, R.S.
Date of Evaluation: 06/12/2014
DESCRIPTION OF REPAIRS OR ALTERATIONS: 2000 gal Combo Tank
1500 gal Tank/500 gal Pump Chamber
DBox
12' x 38' Leach Field - Pipe and Stone
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE
5 and further agrees not to place in operation until a Certificate of Compliance has been issued by the Board of Health.
Inspections
Signed Date