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No.:BOHDGI4-0635
Commonwealth of Massachusetts Fee
� E55.00
Board of Health, Yarmouth, MA.
� APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERNIIT
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I Application for a Permit to:Upgrade-Complete System
Location: 27 WINSOME RD, YARMOUTH, MA 02675 Owner
Map/Parcel#: 10970 Name:
� � WATSON WADE
! � 73 DESERT SANDS LANE
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I Phone:
Septic System Installer
Name:
DAN A. SPEAKMAN CONSTRUCTION
Address:
15 SPEAK WAY HARWICH, MA 02645
Phone:
Type of Building:Dwelling Lot Size:0.23 Acres
� Dwelling-No.otBedrooms:2 GarbageGrinder:
Other Type of Building: No.of persons: Showers: Cafehris:
Other Fixtures:
Plan Dah: 1 t/]0/2014 Number of Sheets: 1
Title:SITE PLAN OF PROPOSED CONSTRUCTTON 27 WINSOME ROAD Revision Date: ll/27/2014
Design Flow(min.required):220 gpd Calculated design ilow:2 gpd Design flow provided:338.8 gpd
Description of Soi1s:SEE PLAN
Soil Evaluator Form No.: Name of Soil Evaluator: Date of Evaluafion: 11/OS/2014
BERNIE YOIIND,PE
. DESCRIPTION OF REPAIRS OR ALTERATIONS: 1500 GAL SEPTIC TANK,DBOX,6-3050 INFILTRATOR UNITS W/STONE L6'
SIDES,2'ENDS:47.94'X 7.5'X 1.85'
The untlersigned agrees to inatall the above tleseribed Intlividual Sewage Dlaposal System in accordanee wkh the provislons of
, TITLE 5 and furthar aarees not to olaee in ooerafion until a Certificate ot Comoliance has 6een Lssued hv the Board of Meatth.
Signed Date
Inspections
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Cammanwealth of Massachusetts
� Board af Health, Yarmouth, MA. F8�
DISPOSAL SYSTEM CONSTRUCTION PERMIT 555.00
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Permission is herby granted to;DAN A. SPEAKMAN Address: 15 SPEAK WAY
HARWICH,MA 02645
To perform: Upgrade an individual sewage disposal system.
Qwner. WATSON WADE
73 DESERT 5ANDS LANE
� YARMOUTH PORT 62675
�
Locadon:2?WINSOME RD,YARMQUTH,MA 02b7S
Disposal System Construction Permit No.: BOHDC-140635, Dated: December 03,2p14
Provided:Construc[ion shall be eumpleted within six mo�ths of ttre date of thr"s permit. All lopal conditions must be met
{ Conditions
1. 7500 GrtL SEPTIC T,2NK, D&OX, b-3QSO IN�7LTR12TOR UNITS Wt STONE 1.6'SIDES, 2'ENI}S:
47.94'X Z 5'X 1.85'
2. PLUMBING PERMTT REQUIRED
3. ZONE II M�1.XIM(1M 1 BEDROOM �
Bruce G. M h ,MPH, R.S., CHO/Amy L. von Hone, R.S., CHO
Heaith Director t AssistaM Heaith Direc�tor
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.