HomeMy WebLinkAboutApp-Permit-Compliancem
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No.:BOHDC-14-0379
' Commonwealth of Massachusetts F�
sss.00
Board of Health, Yarmouth, MA.
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to: Upgrade-Complete System
i
, Location: 3 CARRIE LN, SOUTH YARMOUTH, MA 02664 Owner
Map/Parcel#: 050.152 Name:
SARAH HORNE
Address:
HORNE, SARAH 3 CARRIE LN
Phone:
Septic System Installer
Name:
CHASE&MERCHANT INC.
Address:
P.O. BOX 5 DENNISPORT, MA 02639
Phone:
i Type of Building:Dwelling Lot Size:0.30 sq.ft.
I Dwelling-No.of Bedrooms:4 Garbage Grinder.
� Other Type of Building: No.of persons: Showers: Cafeteria:
Other Fistures:
Plan Date:OS/26/2014 Number of Sheets: 1
Tit1e:SITE PLAN FOR 3 CARRIE LANE Revision Date:
Design Flow(min.nquired):440 gpd Calculated design Flow:440 Design ilow provided:461 gpd
gpd
Description of Soi1s:SEE PLAN
Soil Evaluator Form No.: Name of Soil Evaluator: Date of Evaluation:08/13/2014
RONALD J.CADILLAC,PLS,RS
DESCRIPTION OF REPAIRS OR ALTERATIONS: 1500 GAL SEPTIC TANK
� DBOX
2 TRENCHES OF 8 UNITS EACH ARC 36HC W/OUT STONE:
40'X 34.5"X]0"
� The underslgnetl agrees to insfall the above deseribed Indlvitlual Sewage Disposal System in accorclanee with the p�oviaions
of TITLE 5 and further aprees not to plaee in oparetion uMll a Certificate of Compllance has been issued bv the Board of Heakh.
Signed Date
Inspections
Commonwealth of Massachusetts
Board of Health, Yarmouth, MA. F�
DISPOSAL SYSTEM CONSTRUCTION PERMIT sss.00
Permission is herby granted to;JAY MERCHANT Address:P.O.BOX 5
DENNISPORT,MA 02639
To perform: Upgrade an individual sewage disposal system.
Owner: SARAH HORNE
�. HORNE,SARAH
3 CARRIE LN
SOUTH YARMOUTH 02664
Location: 3 CARRIE LN,SOUTH YARMOUTH,MA 02664
Disposal System Construction Permit No.: BOHDC-14-0379,Dated: September 29,2014
Provided:Construction shall be completed within six months of the da[e of this permit. All local conditions must be met.
Conditions
1. MFC: Yariances granted 1. Depth 2. Setbacks
2. I SOOgaI Septic Tank, DBox, 2 Trenches 8 Units each with ARC 36F7C w/out Stone.• 40'x 34.5"x 10"
Bruce G. M hy,MPH, R.S.,CHO/Amy L.von Hone, R.S., CHO
Health Director/Assistant Health Diredor
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.