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No.:BOHDC-14-0701
Commonwealth of Massachusetts Fee
$55.00
Board of Health, Yarmouth, MA
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to:Upgrade-Complete System
Location: 39 OCEAN AVE, SOUTH YARMOUTH, MA 02664 Owner:
Map/Parcel#: 033.89 FINNEGAN EMILIE H
FINNEGAN JOSEPH P
39 OCEAN AVE
Phone:
Septic System Installer Designer
JIM LEBOEUF SEPTIC DAVID MASON,R.S.
55 BODICK ROAD HYANNIS, MA 02601 4 GLACIER PATH
Phone:
EAST SANDWICH,MA 02537
(508)833-2177
Type of Building:Dwelling Lot Size:0.25 Acres
Dwelling-No.of Bedrooms:4 Garbage Grinder:
Other Type of Building: No.of persons: Showers:
Other Fixtures:
Plan Date: 11/10/2014 Number of Sheets: 1
Cafeteria:
Title:SITE AND SEWAGE PLAN 39 OCEAN AVENUE Revision Date:
Design Flow(min.required):440 gpd Calculated design flow:440 gpd Design flow provided:444 gpd
Description of Soils:SEE PLAN
Soil Evaluator Form No.: Name of Soil Evaluator: Date of Evaluation: 10/29/2014
DAVID MASON,R.S.
DESCRIPTION OF REPAIRS OR ALTERATIONS:REPAIR-1500 GAL SEPTIC TANK,DBOX,30'X 20'X 6"LEACH FIELD
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.
Signed Date
Inspections
Commonwealth of Massachusetts
Board of Health, Yarmouth, MA
Fee
DISPOSAL SYSTEM CONSTRUCTION PERMIT $55.00
Permission is herby granted to;
JIM LEBOEUF SEPTIC SERVICE, 55 BODICK ROAD, HYANNIS, MA 02601
To perform:Upgrade an individual sewage disposal system.
Owner: FINNEGAN EMILIE H
FINNEGAN JOSEPH P
39 OCEAN AVE
SO YARMOUTH,MA 02664
Location:39 OCEAN AVE, SOUTH YARMOUTH,MA 02664
Disposal System Construction Permit No.: BOHDC-14-0701 ,Dated:December 15,2014
Provided: Construction shall be completed within six months of the date of this permit. All local conditions must be met.
Conditions
1. REPAIR-1500 GAL SEPTIC TANK, DBOX, 30'X 20'X 6"LEACH FIELD
2. BOH TO INSPECT SOIL REMOVAL
3. PLUMBING PERMIT REQUIRED
jee dC_Ideel
Bruce G. Murp , H, R.S., CHO/Amy L.von Hone, R.S.,CHO
alth Director/Assistant Health Director
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.