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No.:BOHDC-14-0422
. Commonwealth of Massachusetts Fee
sss.00
Board of Health, Yarmouth, MA.
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to: Upgrade-
Location: 159 WIANNO RD,YARMOUTH, MA 02675 Owner
Map/Parcel#: 12627.1 Name:
FALLON JOHN K .
Address:
FALLON ROSA M 159 WIANNO ROAD
Phone:
Septic System Installer
Name:
PKM CONTRACTORS, INC.
Address:
313 HOKUM ROCK ROAD EAST
DENNIS, MA 02641
Phone:
Type of Building:Dwelling Lot Size:0.91 sq.R.
Dwelling-No.of Bedrooms:3 Garbage Grinder:
Other Type of Building: No.of persons: Showers: Cafeteria:
Other Fixtures:
Plan Date:06/06/1996 Number of Sheets: 1
Title:SITE AND SEWAGE PLAN OF 159 WIANNO ROAD Revision Date:
Design Flow(min.required):330 gpd Calculahd design flow:330 Design/1ow provided:358.5 gpd
gpd
Description of Soiis:SEE PLAN
Soil Evaluator Form No.: Name of Soil Evaluator: Date otEvaluation:06/OS/1996
ARNE OJALA,PE,PLS
- DESCRIPTION OF REPAIRS OR ALTERATIONS:EXISTING 1000 GAL SEPTTC TANK
DBOX
61NFILTRATORS W/2'STONE ENDS,BOTTOM, 17"UNDER:
• 41.5'X7'X2'
The undersigned agrees to install the above described Individual Sewage Disposal System in accortlanee wRh the provisions
of TITLE 5 and further aflrees not to plaee in operation until a CertHicate of Compllance has been issuetl bv the Boartl of Health.
Signed Date
Inspections
F
Commonwealth of Massachusetts
Board of Health, Yarmouth, MA. F�
DISPOSAL SYSTEM CONSTRUCTION PERMIT sss.00
Peanission is herby granted to;PATRICK K.MCDOWELL Address:313 HOKUM ROCK ROAD
EAST DENNIS,MA 02641
To perform:Upgrade an individual sewage disposal system.
Owner: FALLON IOHN K
FALLON ROSA M
� 159 WIANNO ROAD �
YARMOUTHPORT,MA 02675-2168
I
i Location: 159 WIANNO RD,YARMOUTH,MA 02675
Disposal System Construction Permit No.: BOHDC-140422 ,Dated: October 07,2014
Provided:Construction shall be completed within six months of the date of this permit. All]ocal conditions must be met.
� Conditions
1. Faistrng 1500 gal Septic Tank, DBox, 6 High Capacity Inftltrators w/Stone 2'Ends, Sides, 17"under:
41.5'x 7'x 2'
Bruce G. Mu hy PH, R.S., CHO/Amy L.von Hone, R.S.,CHO
ealth Director/Assistant Health Diredor
T6e issuance of this permit shall not be construed as a guarantee that the system will function as designed.