Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0032 PUTTER LANE - Health
32 Putter Lane Centerville A= 247 - 214 r No. 42101/3 ORA o ESSELTE 10% (a o O O O I TOWN OF BARNSTABLE LOCATION 3 a Q y.�t� �^ 1-.t� , SEWAGE # VILLAGECe-N\ft ��i\�E ASSESSOR'S MAP 6z LOT=Ilq at7 INSTALLER'S NAME & PHONE NO0G,,rk V0 tlfl Are Aq- . SEPTIC TANK CAPACITY b © 0 ow LEACHING FACILITY:(type) !� , p o° (size) (DO NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER De-6J N "'y S Vv\,6 DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: "J5 K 99 VARIANCE GRANTED: Yes No _. � =� s �� TOWN OF BARNSTABLE LOp,TION 5- .er 1,4 ri••� SEWAGE # LV 7- i VILLAGE ASSESSOR'S MAP pit LOT�� a INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 0 O n_.0 LEACHING FACILITY: (type)84yfta c se r__J')PLJ< (size) (Q22 e"",!/ NO. OF BEDROOMS .� 1 BUILDER OR OWNER• G er- [/ Sr PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: �, Maximum Adjusted Groundwater Table to the Bottom= of Leaching Facility Feet Private Water Supply Well-and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Y ' ti '- Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feef'of leaching.facility)i - Feet Furnished by _ p ;� _ � f�'� - - �� f r � fJ t1r �7 .� t �� No. Fee 77 1---- j THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION . TOWN OF BARNSTABLE, MASSACHUSETTS ZIPPtitation for Misposal 6pBtem Construction permit Application for a Permit to Construct( ) Repair(X Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No. 3 a P V-RC-R �G7 Owner's Name,Address,and Tel.No. L� Ct-ialkye- ANu l,5;1M0 Assessor's Map/Parcel v�'{ / V I(-LC- 3,?; Acp-.r-- tl le-L AD 3ZXASY Installer's Name,Address,and Tel.No.50'? -({Z 7- ,Ty'7") Designer's Name,Address,and Tel.No. <!AP&1,>1pE Li-C, 5'3 c s t .sA Type of Building: Dwelling No.of Bedrooms lufq— Lot Size sq.ft. Garbage Grinder( ) Other Type of Building R6(DE-QT(AL No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �V gpd Design flow provided W(rgpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) __vU,5ML_ i1CJTLar -'6E" &F-F-L c- Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Hth. Signed Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. 2c 6 Date Issued f No. Fee' ' + THE E COMMONWEALTH OF MASSACHUSETTS Entered incoinputer: PUBLIC,HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2,pplication for MispoBal 6pBtem Construction Permit Application for a Permit to Construct( ) Repair(X Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No. 3 01 Po—r t5k cAve Owner's Name,Address,and Tel.No. tt �H e'ky(_ ANV U 5l r O Assessor's Map/Parcel o�,t 7 / Gl`Y C.C,� 3 a, AC{2i= 14 IG(. AD C.1g Installer's Name,Address,and Tel.No..50'R -Lf'17—S-,1j77 Designer's Name,Address,and Tel.No. CAftw1pE G&JWDJSt5 L ..G SS Gv S� r4•S A / Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building BjES(DE1JT1 AL_ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil i t Nature of Repairs or Alterations(Answer when applicable) Date last inspected: `Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of th. Signed Date Application Approved by Date Application Disapproved by r Date for the following reasons Permit No. 2o(6 Date Issued _=-------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS ✓� ��L ��, BARNSTABLE,MASSACHUSETTS l i Certificate of Compliance pYlattce THIS IS TO_-QERTIFY,that the On-site SewageDisposal system Constructed( ) Repaired(Al) Upgraded( ) Abandoned( )by �l AP C W( p� t� —rsQ/L(.Scs LL C at ;�PcrrT&,>_ L*A,)6 S-M�has been constructed in accordance with the provisions of Title 775^—and the for Disposal System Construction Permit Nov 4(6 2 dated t Installer PGccx G>� A1,$ZS (.LC. Designer N A- #bedrooms Approved design flow gpd The issuance of this permit hall of be construed as a guarantee that the system will furjc4ones designe Date �b' �p Inspector /( F! ----------------------------- - - - i ff No. 10 0 2 ;�CT Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair(4) Upgrade( ) Abandon( ) System located at 3 0;t. PoT rEz L x.)e and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/h duty to comply with Title 5 and the following local provisions or special conditions. Provided:Csstru,c(ptirs be completed within three years of the date of this permit. Date Approved by AsBuilt � Page 1 of 1 Q TOWN OF BARNSTABLE LOCATION �.to SEWAGE VILLAGEC.. N\10'r y°\\� ASSESSOR'S MAP & LOM=11�__ a17 INSTALLER'S NAME& PHONE NO0(Lr�l VwJ SEPTIC TANK CAPACITY l V O LEACHING FACILITYAtype) --(size) I D o O NO. OF BEDROOMS PRIVATE WELL OR PUBLIC C WATER BUILDER OR OWNER e N rN :.s . ` y4N DATE PERMIT ISSUED: -5 " 14 DATE COMPLIANCE ISSUED; J —J "gq VARIANCE GRANTED: Yes No j is o p http://issgl2/intranet/propdata/prebuilt.aspx?mappar=247214&seq=1 8/18/2016 }� TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date Time: In Out Owner CR6 k 061 M 0 TenantVNQ q 1- - LDMAR'D Address L ��-�� nILL 02 Address �� �u1��� R Li SAW�-TAbLCI DIA aa)u- uji.,LE� AA Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom FacilitiesK t✓141 A 110� JPJ Lk?.ti Ai 4. Water Supply V 5. Hot Water Facilities 6. Heating Facilities 'Loi2/L�LT t 7. Lighting and Electrical Facilities 8. Ventilation ►ur ��r . 9. Installation and Maintenance of Facilities ....�.. 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural h�LiSS 7 1 ILS �Y Elements 14. Insects and Rodentsj2p�' i' I C I�SInD 15. Garbage and Rubbish Storage and Disposal 'O ,0'0 16. Sewage Disposal 17. Temporary Housing t) 18. Driveway Width bs� 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed (max) Number of Persons Allowed (max) Person(s) Interviewed 6-6AU1 Inspector If Public Building such as Store or Hotel/Motel specify here TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date � � I S Out Time: In Owner 6 Tenant �- — Address 3�' � — """` Address Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities ,5—(o 3. Bathroom Facilities tCert. ,Ao�-' 4. Water Supply 5. Hot Water Facilities " 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17.Temporary Housing 18. Driveway Width 19. Number of Tenants Observed 8-�{ ' S� i a-C) 0-6 PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed (max) Number of Persons Allowed (max) —E zo) Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: lad( � �' Fill in plea e- �� _ 1 #wu3zW�"! APPLICANT'S YOUR NAME/S. (JV��� D e? 1- A BUSINESS YOUR HOME ADDRESS: 37 U-CT��- f,a:;.�',1^�xi:.:_�` •.r.�i;` ri'u j`O S a I S LI S 19 0 7 (00 t, !' •:'�t�`;i:r � t is;.,j.•.�L�'�' TELEPHONE # Home Telep ne Number 501 3� &Z AS GeN Necmi wAr` ro NAME OF CORPORATION: eA N�N TYPE OF BUSINESS N�N� NAME OF NEW BUSINESS I t vkl C� A i t�1.1'y� IS THIS A HOME OCCUPATION? X YES NO 1 f p?I [Assessing) ADDRESS OF BUSINESS SG��� MAP/PARCEL NUMBER When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has bin informed any permit requirements that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION Authorized Signature** RULES AND REGULATIONS. FAILURE TO COMPh.Y MAY RESULT IN FINES. COMMENTS: 2. BOARD OF HEALTH MUST COMPLY WITH ALL This individual has been informed of the p .m' e US MATERIALS REGQLATI ents that pertain to this type of business. �i4ZARD0a iS: Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: TOWN OF BARNSTABLE Date: G/02 ./ TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: Pfl )MT I M G &delfi N w G BUSINESS LOCATION: 0-CT L IZ LANE +A M M S INVENTORY MAILING ADDRESS: GLIVL�kM A-q)1G G-I (AS @ ROT AR iL.COM TOTAL AMOUNT: TELEPHONE NUMBER: 5 O - 'K Lk LI ---)5 q 3 R _ CONTACT PERSON: ZO V 1 V) rDL m R N EMERGENCY CONTACT TELEPHONE NU BER: 50 8 -a L S LI MSDS ON SITE? TYPE OF BUSINESS: PA 1 N T 1 N C7 w C`e p N i r\)C-s INFORMATION / RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive �DNEW ❑ USED Cesspool cleaners /Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides 6 NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED - Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) j� NEW ❑ USED Any other products with "poison" labels (including chloroform,formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Appli nt's re Staffs Initials I� • n.j N mPostage $ r Certified Fee OZ r P Pos�rk O Return Receipt Fee Mire p (Endorsement Required)C3 OF) (n Restricted Delivery Fee y I Q, (Endorsement Required) NQ Total Postage&Fees $ �y m Sent To M C-Hc�- 1----------------------(jS �Md M or PO Box No. 1 Z/ 4 N e,--IASLC :rr r t Certified Mail Provides: ■ A mailing receipt IN A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Maile or Priority Mail®. ■ Certified Mail Is not available for any class of International mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,.a USPSe postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement'Restricted-Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post off ice,for,postmarking. If a postmark:on the Certified Mail receipt is not needed;detach and affix label with postage and mail. IMPORTANT.Save this receipt and present It when making an inquiry. PS Form 3800,August,2006(Reverse)PSN 7530-02.000-9047 SENDER: COM* PLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature Rem 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X — ddressee so that we can return the card to you. B. Received by(Printed Name) C. Da of a ery ■ Attach this card to the back of.the mailpiece, or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1 Y If YES,enter delivery address below: ❑No GNe�.•� L Us ;Mo P v fbo x 3 3 A9.ty Q.T N 3. Service Type QO IQ Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑YA3 2. Article Number (rransfer from service label) 7 0 0 7 3020 .0001 3429 7762 L _. _Y FPS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 I� c,,.4�ti,>s„�:�i^.ia::tia:... ,. .. ro+xnr.N.i�. ..�,:..wvi..�,.•h. UNITED STATES POSTAL SERVICE -• .. .�j�t,ClassIVf�i1�<:��=+" Pos "Pees-Paid 11SPS Permit No.G-10 • Sender. Please print your name,address, and ZIP+4 in this box • Town of Barnstable d Health Division 200 Main Street I Hyannis,MA 02601 � 3 L Patz• t c.v I I li �ppSHE Tp� Town of Barnstable Barnstable P ti Afd-Antmlea CI${1 l BAR Regulatory S-ervices Department III , F 'TABLE, tt MASS. - a - �o Public Health Division �ArFD MA� 200 Main Street, Hyannis MA 02f90I 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL 7007 3020 0001 3429 7762 January 30,2009 Cheryl Osimo P.O. Box 633 Barnstable, MA 02630 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 32 Putter Lane, Centerville was inspected on January 29, 2009 by Jaime Cabot, R.S. Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of the rental registration in accordance with Chapter 170 of the Town of Barnstable Code. 2 t 'j The following violations of the State Sanitary Code were observed- HAS ' '`' 105 CMR 410.190- Hot Water: Temperature of the hot was observed at 144 degrees. F. Hot water temperature shoulil not exceed 130 degrees F. and not be less than 110 degrees F. You are directed to correct the hot water violations within thirty (30) Days of your, receipt of this notice. Note that the basement rooms of 32 Putter Lane, Centerville do not meet the requirements of the State Sanitary Code Chapter II: Minimum standards.of fitness for Human Habitation. 105 CMR 450 Means of Egress and can not be used for sleeping purposes. _ You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in a fine of$100.00 pet:violation. Each day's failure to comply with anjand shall constitute a separate violation. Should you havquestions regarding the above violations, please contact the Town Healt) ivis> sk to speak with the inspector who performed the inspection. PERORDERHE BOARD OF HEALTH r as A. McKean, R.S., CHO Director of Public Health Town of Barnstable cc; Kim Gomez, BHA Approved:_ 2 • 2�° ®� �, TOWN OF BARNSTABLE NiLD Cert:_ _�-1 BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date �( � 0,1 Time: In //° 2U Out fE Q Owner ti L h S IA %e p Tenant Address 3 z xC,at 1N I LC- Address 3 Z Vv`K t A¢ N S'tp 3L C. LAA L2 t-J't A.-J 1(-1,lt. nA Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities ^^� 3. Bathroom Facilities ,ISO 3 4. Water Supply d r' 5. Hot Water Facilities �( I o - I(,oG 6. Heating Facilities ��^ 1 L F VA A 7. Lighting and Electrical Facilities ej LhVlC,� ��n.i Tv ,gd7 Gf7 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Used T 12. Exits G N ZS-T 13. Installation and Maintenance of Structural (�jE p goo wt Elements c,�(��,p �v�.�► Z S' �� 14. Insects and Rodents ��-O ��U►� i eq tl 15. Garbage and Rubbish Storage and Disposal F,0 f1 vuu.- Lk z t� 16. Sewage Disposal 17. Temporary Housing 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; 620S-r� Removal of Occupants; Demolition Number of Bedrooms % Number of Vehicles Allowed (max) J Number of Persons Allowe (m x) Person(s) Interviewed AAA spector _ If Public Building such as or of Is i 7 � FORM 30 C&W HOBBSS WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H A H ~ e CITY/TOWN W / D ARTMENT ADDRESS GSM sey`0 `-���^J� � TELEPHON Address �1/ Occupant Floor Apartment o. No.of Occupants_` L ^N No.of Habitable Rooms No.Sleeping Rooms L , No. dwellingor rooming units No.St ies 9 Name and address of owner Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: UV Roof Gutters, Drains: An Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: .7nAA Hall Windows.- HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: Stacks, Flues,V 449s,Safeties: Kitchen Facilities in ve Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR. (See Over) "THIS INSPECTION REPRj IS SIGNED AND CERTIFIED UNDE THE PAINS AND PENALTIES OF PERJ INSPECTOR TITLE ll A.M. DATE_ s PI K TIME V THE NEXT SCHEDULED REINSPECTION P.M. t. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B) and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide-a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. 1 vv% I TOWN OF BARN STABLE LOCATION �c K SEWAGE # VILLAGE -` ASSESSOR'S MAP& LOT `-o NSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /000 C a . LEACHING FACILM: (type se r 7',Dr (size)_.�. No.OF BEDROOMS BUII.DER OR OWNER G ;e/ Sim PERMITDATE: COMPLIANCE DA j 1 TE Separation Distance Between the- Maximum Adjusted Groundwater Table to the Bottom of Leaching Eacihty Feet Private Water.Supply We11 and 4eachin8 Facili ty (If any Wejls.",fNjst , on site or.within 200.feet of leaching faciLty) Edge of Wetland and Leaching Facility(If any weflands eiu, . F4t within 300 feet'of,- eaching facility) Furnished b Feet Y t x el L i 1 / 1`D n'f a . f ...ui)f'4l,\lib K•P�,If .4 S.iNUfk4)3 (IN)I !aluaw 'AUaa IUM buiA*idd**41 pua,*jggjIWd+1! 'wAep 044 at Wrr 2wdOO$19;4 MciMB t:N10Ar a+s.of +r+t•7 4�t^n4r Pw+e6No sVJ. 'v"osmad MUMKUua4Aj,Ia awWa,adsO aUl in aay+a Ivunl6r,asauebJdds strt n1 IrocioJ sot)dus;n r isVr ,su ntc WOW wµ jxm ,waadsu}s4a ,saasiE,o pdg di)o,o, 1a easy�p a to tuKSAe Ic.rAsp lot) Wf4l yNAi+Ntr3C!m 19e,atls a*I WnSAc s4t H •uogc•rdg%A s?W Bups;tluw� 4tlaal4�o p+ro®) AI},oys�yr su$,,Ciddy"o3 ajada,uostosetsw anp►o,tdoo•lruagnr awls.wa.asa!su)cuw.ra6 +41 t' TFI, u�aNfdV Isc�Q 1 041 As ualasnlat3+sw"WqW sN ad AI@auoptptea� „"" as�aod "�►' uraaAs*41 ►cuaasA-t pesodsep 08OAtss s3ls.;>ct ;o s:,„sucluiaw pus kx oa„r ,adaW sot u1 sowWwlra pua OUIUII14 Aw wj ius@q pouu►oy,ad sstst taa aariiu!aUj Iwr :iartysdlul M k►Ha aap ba �•saaµtauc;f lout4ap t etl,w attote4 Wa�OG's,voeystu,afu+s4a aeC42 ptrls ssuppa 0041 W 6uc,t6As wtods,p ass,wsr sy patWsdran Aysuss,sd swct! AlFur* e ............._..._.. i - Z= as®u felts w}pa�r1�}r O S StiJ .,.....,..a.1.�.w..,,.. ....,.5,�.. _.-,�.�_4II. ..�o....r...,... . �Mrll•ts .r VEYM �9 �'' s.�asly 4u+anlWtr� tt10O's S Mm DSc)8 amt so fte-I t wa%=$ ids i3+Ji s"cr�e I 1 O 9 ® 1'S v f *'S M%.a 1,)m /7 J" e ....t +-AMM:MdWq p►.*tuft ...... ' au�O le f+Mgoprr s�aiylAQ obe :c�I;ssdfy 1p•:plaQ ,w"0 is"we MMa V JWWd titxcl;;r�nttlft_,�I / �tOU*3dM MILWAS'1VWdsIC130VAUS 3*VjVn W1fi SHi t i3i:'tt tll; fit.' :::?ti.:4n'iiJ 40170 =itl:ik.t Din: a• Sl '.l'O:LfiUtt ',L;,;:i'tMS,h 4a.,unt6 2(h+:) �.apr }y T �{t� y 4 f.0 !♦ "t�`.lyQ�r T+,11��,�F Ht •�c��.'�/[Yy'. ,. •; .�. //}� 4 '1►aNra.dYls-OUL N. 't ao aaTta.1U al cL.L,.,13.g,:i1 � D r hV VOo? I, .. s l \� DI V&"SMTA VAMCTHM FOP PAR?A CMIFICANM (OOR*VM0 $4 W-40 ("WICOMM:rl*4 too WAVIC710M MUMMY: Colo* A. L C, ear D: A- UYSTUR ftean. --j,Pol' 1 118-00 net found"I"lotmallon wrooh indicates that [InVOI the ls"s conditions described in 310 CMR IS 303 *mist cftieis net ouslusled we Indk oted bojqw, COMMMrst ... .... ............................ .. ....... ................. ... .... -- .............. ......... ......-...._.................—.-.......................... One or olloto system components as described in t16"ConairO"41 Pat&' 0`00tibn Its"to be reMaced or repeired. Tht, vt%.m�.jj 1. C*lr';:d*t'on of the r4PI&COrrian Of repair, 00 approved bit the 1 0 n Board al Mgrafth, WNI pass. lft&:MtP yes, $M, or not determined iY, M. or MD). Ddracnbit basis of dotgrptgnatior In p j OR Cos. deftroyined'.oxgftirlii-hy not 'rho 000C tank is Metal, WN at 082 the Owner op li Water has. ��ths system inspoctor whiff a copy of a qej tj%cute of 114VIRSCh6d)i"000MV that the two. was, MM:!!Ba#—W'lh'n twenty (201 V*&Al POW to the deft offt i "V"c S*r*, whather Or not MOW, 14 Cracitod UMQLWA.Shows substwtied WdUbution Or usliftr 4ion. am tj�aj 4ailuro Is ifflrninarn, rho system WiN pass i it the 41M 4topp-lisrod by the board al Health. St'"9 D*PtW tank is rlrOscod with a gorvWVjnq$4 Pft'twk ;',,$ I ew*"bozkup of b- t or high Static Winu 16441 06000"d in the dietribotiors boy Is dve,to broken m 43o. I uct"1,j I Or WWvs0 distribution bas, w due to a brO&O". j=Thg gygftm WN pass iftspoctilm if j "Wove, DI'm with OW Board 0 boken jA"al are repleC60 a astructiorr Is temwn-*d datlibutOOM boll it lsvfftd rpr rboo"d T sipatern r*4WWAreo puMp"q ,AA6PVCftn if(with sopraval of more the"four bm"6 VOW 60 to broken of obstructs!pipsj*!. The sy,glim w:j p6_64 the Board of ffev"hj: b,*ken P00401 or*replaced aiunuction is fornavolo q PW 14 SMSUMAC*SFWAM DapoN L SVSTFjM NSfprCTMJM F�IIWI ►AO" A �y + CEM M MA IHpM low1 besiadll Aepnrtyr AAllstree; `7!O" ��/�CatL4 C. Mp1HHER EMI LUAT90M N IWA M ED by TM SOAM Of i*ALTH: __........_. Ctx+•3ftlareil exist which require fLmtw evak.+stldM bt+ *dl Board of Heallh in owdar to d+tWmino a syetam '1q ,•rats,�t pubiie�14mAth, safety and the trnvironment. le h�ilirrp ►ht t} SYMN'waL.PAW tlMM8 WAND OF HEALTH MTOWA O N 310 CM IS-303(INN Tmwt.THE ii9tll'TM IS NOT AAMCTIONNO N A M�AMIIM WHCH�L PROTECT THE Hb1AtiC Till AND SAFETY AND THE Etr1MNtZUMi ttilli 042616ae!ON Orivv is mftn 60 feet of owfocs water M s�esai 001 w privy» wriftrs So fees of a bordel.,n4 Vol", wetland or a salt merah. �) IMS"MI Yfs,3.FAA UIMM IMF. 0r`ALTM(Am Prir"Im sUmum,v own DSTE S TKwir n w s,fs, lit is VVM:VM)NNO 64 A MIAIII M THAT TECTS TM/UMM NSALTH AND&AK"AND THE�t �. The systam has a sal nk and soil obsogx4m sysIam f$A81 lead tha$AS is� ,"n 1tY0 fiaot of a suttees wt ter s t or tributary to a surface stet eupply. rifts"atem naa a *C atlnit and soil allot Sion it atem and rho SAS is within a Zorww i of a w,blk water su r+'a s +� r astern has FOC teak etd soil abearpbon systenw ante the tHAS is witmn 6o fwR of s pova a water asist r w04, The systems he septic tank and*90 obsomlon eyatam WO the SAS its less than to()feat but go teat o+•rrwr„ private water pply e+sll, unleu a tasty water ongt'fsis fa as�llfomt bacteria and volatile ta born e: wetl is free arts Polk fiver from that fttelaty arKl tlta RrbMos of �C aontpounds ln:ci loste s the:the tltor. 5 MathA used to dotanrBne 1Trstanty o w4nonia WtroMen on:1"his"nittlopan is*Qua;W a+teas _lapproabeaei"wmt Woo. 3; 01'HE�I ..._................................. _.._.., _. •....... _._....•... . '.:'w?".•.; area''. a, , ?:i� M+�.��1t >SUm0QRFACE 10EWAQE 0101ggAL SW5Tl1BB ibfSPWT*N FofIM PART A CERi1F1CAT10N taeeta4aarli► t4tr�sty AIMInMws; 3� �� �..pb� o D. 1fiY8TElII Rtyt_: Yru rust irxlk;ate Nthsr "Yes" ar„Ale' to Inch at the la lowin6i; +Itt,ve determined that one m -nuts of the foilowtng fskgo ca ndhiarts exist dosenbed:n 110 CMR i s.303 Thin bets, to rNa tfet;serisnetioty is ide"fisd Wow. The Board of Heahtt should be can me to Mtwtenrte what will be r+scsassry fo ¢r+ri j f the to +rrs. Yet- No Backup of sewage into 4466 y o►system component to 4" averlaaase or Clogged SAS or asaapoei. Discharge or pondi.:; of etfiusnt to the surfore o he ground or surface weasrs dw to an owfloeaad or aloSel d SAS „.telspod Static liquid level in the distribution box vo outist invert,sue tr>an nvsodoaded or uiogged SAS or cos lbof-d. liquid depth in ensitooi is toss " bfriow invert or evrsilabil vrofurne is less than 1 j2 day,p _ laagtrired pumping matte then+1 mes in the lest as T due to cl oned wed or obstructed snipelsi• ltlumbsr of rinses pwr►ped .._ .,. Any portion of tine Saul sorption System, Voss .... P�Or privy is below the high groundwaew slsvetiort. Itnt portion of a C .i{Seo1 or privy is withnf, i00 het of a suncea water supply or tributary to n surfsoe Wntsr unply. Az y portico,o ces::Pooi of urlry is within a 20M I of a ouMic wall. .tiny ports of s ens-oriel of privy to within SO feet of a private water suo"Y well. A.ny p ion of a com pool or privy is loss-than 100 Not but pteatar thav So}eat frartn a gtivats water stop ell, well with m: act, able water qu„llty anislysis. it the wall Itaa bon analysed to tee acceptabts, rt+ech Copy of woo W tier s,ialyais 'or o rm beatarie, volatile orgarne eorrtpaurlda, antenp,o mp;, and»,teats nitrogen. r f. .ARIM$1'STEM)PACS.. you,earl indiVinns silhar "Yes" or "No'` to each of the Wow' The fuilawing rrltafia apply to wqs systems in ion to the eritorie above: The o storr:serves a taality w72h a design of 10,000 gpd a gres.ter aefga System)Ind the sKstwn is a signsflos u lunar m)pubic hsshl! and safety and the environrtnsnt cause arse or nneq of the following Conditions exist: yet No the sy'stsm is wi CO feet of a surface dhnb:kv water supply the system is him.!00 last of a tromery to a surfs drinking water supply iris sysq s located In a ttfaagaet esnptive area(Interim WaWtaad Pratmsetion Ares- I1VPAi or a mopped Mona 'i of s putrlic waters y"o", '?�i c rvnsr,t:r q nnrio ±any suc�lt systln+shall upgrade the aytbrn in aayardrtcs with 310 CIWR Y 6.304 r21. M'aa•oanwl:tF,e seal reGE;a,:at a1Res of thrr Gel;wr+. ,ant for turthsr irstor-totion, I SUMSURFAM SMA".SAL SYSTM WS►ECUM F MA PART t4opaety ABdliataa.: SLO (>04A Lo-.44 ®anMvr Vc. g,^*-O 0040 s1 Mnspor+saer ed Chart .it ttta R401'Virkg halo*6aaro dons:'rou roust iridiesta either `y" ur "No" se to each of ohs k**wl;ng• Yes %o _ Newping infarmartion was provided aV the owser: '"u►rrrt, Or Beard of►ealth. - aHgH@ e4 the aystern C:ln"nants have'bean pumped twat feast two weeks end%he a stare.has Nm r nst*s during twat par.aai. Lar"v iumas at wsts►have root t aen introdu:ad in the the rrtam roc aptly ow as 0#141 ow•rrrwr 1••�r�alc ae tit)n. _. As Lu11 plane Have bs;*n obtained rand exattabrod, Note if they we not avaiN93 a wktN►iiA Ti1a facNity or dwaNin f was lnspa¢tad for signs of SOW*"bsaia up. 8�.. y+•o system does mat racnave non-s*Ntary or k�g+uatrisi waste%V. _. Tim oRa was rnspa.tt F)for*agns of brookeut. *0 i tyst&m Co*npoasn s, oat lading the $oil Absorption 3ysteltl, have bean lotmotl off ifta sk*. _ The*optic tank moo Ase were uneaveaad, o►*;nad, st►d the interior of 101w soptic tank was:inep*Ctod for const;t mw or t*ss,rnstwlel of acnstruetlan, dimOnsi4tts,414600 of liquid, depth of sludge,darpth cr`se,sm. The site and 4acetion of the Sail Absorption SYMiltm an the site has been dater rr�irted b*cad On. ... £xiettng infarmetl*M 1'91 examols, Plan at K.A.bI, 044orrninod in the f4eid lrf any of the far'Ittre ctitsria raisted to Poet C is allerua:. approsi"ban or Wstance a arm ocertalsis !7 15.9A2ts:lb3'� ?fie foaiNty owralt mnf eceupa»ts. it offer"from own*r7 Mtats r mods*B with intawmatiAn er the WNW na:nr.i ttar4:c,r! %"b3u,fec00+arosai `'yrtems. SUISUMACE SEWAGE DOPOGX SV-SUM C'!K*(kMM PART C Ornaars ���v® Met of wimpa10onr. Q 60 t ROW CaiMamm" �g.p,A.lbsdr m. kvi isat of bwiral ms(d at 1: IV:rerttrw 01 badrowns(acti,ai;:. TOtad C�ESgp:tsar �brirrrbsr of ew rant ta1+dR+lp llot►+�dry taaP�stv atatenti lyaa s+ no;: : If yes, saw"inspection Iapuired t wru*l r Of".lit bmswcttd "yes or flo) Q Ssacoelo.►se Ufa*VA.no):. -J-4 N(ru AvWetor fllat;er/liddinpa.it s(Iatt t Ko yasr's uaega teod): 00�5)�L�4um M W s at nol Lost data r+9 w pulaalttey:_„[, g�y.�' M,"P_4M0!ftjV T rpa 04 69mmYlowp ia: ....._......... arRstyvr Now: osd +tfasac9 On 16.1. davit all ttaslen tt0'w Grea.lo trap OW41motl; IYes or 816�. MrdWMi11 waistit 140ilt ttg Tax+ir 1posen�T--ife 00 rev of no, %a#$-j sa�Wv w;wgo tNachmged to 6**mtd ra-.IV**Or not Water:Itatet rtilduRgn,it avo aaf tete of Oc aNtl _Y^_.....�..,........�- �...... - _... C OBaE1iiAL Id1�ONMAT1gk PUJR ING NMIALti and sour R of inh:�►!npstion, u1/► �� $yslar I ywlmmm"pan at inl►f r titian: IYy"ia�or It yes, 'alutne Purfmad: ,� "_. �`{►aiiaR6 "sm"It trx iwenptnQ: ._ . ......._.................................... 7� Off'� 11iAA Sooft tsi*'diatt*vOOn bosisaN' absorptian sysisrr, _.�..__ Siflgta uhtsiroot .,,._„_.._ OwrA:iw aesepool .........,._. Privy .� ehartdl stybsm(yes tir nql lit 1005, ettat;h Plsvioils inspection raoords,it any) VA T04tnoicgV etc. Attach o".v of up to dets operation ens maintansnco cantract Tight.mnk Copy of DUP Approval Gtlte APliNl�Cd>111TE i1fiE a4 W aarloptereR tlaq btstailad lit krwJw�n�l�and saurze ofiritcwn ation: Sa►wwipr Meyers 6Motaed when arriving at the sits: tysa at no)►"V PW11ul'7t IaJBS flfACR SEWAGE DOWICICAL SYSTWA M111VIECTIM Mpf l ►A IT C p _ee``..,- srsTenl■�flMIIATgf1A aaaet�su.dl Pmemp Ades: \1`1fM"t �iirJ Orareer: 0';.40.O' 011lnl Of Ift"1114011: 00 . ffri1 xxw snosi: floe:-bts or,as plan' tlep h Uslow 9rN0s::22 MatcMal of eor Wuadan:r.asst:run A 40 PVC Other IRRpfainf 9tattrxa fr Iwfvrts watep supply well :w suatfon New Diarrlstuf J'—. - r•.. ComrMntb:1441rdean of joints. vantinq< avidane*of leakage,alt. ._�.� ...........� _-- _._.__._....._.._........_..... ..........._......... ......_ PC TAM;'X (totals Dee vita (MwNI 0"06 ftafow gl esl►.,/Q 114016"Iaf of tonnenutlon:,,,Jvonapeta....Jroltsi ,_itilberglaa �fdYlthyfelNl ,,otMr(rnplain) It twit 1'4 Alta,Gift ago.._..... Is ags Carl If sacf by Certificate of Co"Whantf~ t�'Rf.TYO;' ..^•^•�._.••.— D&"IMonn; o Oif+saCr►from 110 of�tfrdps to bottom a, outw too or ho".9: st'srr.ttliaknest: p Distoml,hurts 1110 of scum"to top of outtat tea or baHlr:—ji,—I fr Distaettu 0 on t:pttrwo of*cum to bottom Of outfitr Or brffflr,lgj +ew :/insefeseop+i,eslflp dltermfpsld:.,Q�AS"Aga Cenu:e:lrRs: treeornrrrrrdstk n for pMl"", craredp of iM and coffers tea*or battles,dep s of Uquiddswel in relab outlat ire Mott .'intae W. ava)r:ecs;of)eai . v a dv� qt �. . J im ffaoatal On luttf piseel 0000,below grs fie:..__. fkatW99 10 cansiructicn:^oenCrets_rrlatM _�bepWase 01YsthV14116,,,rgthe'(esplafn) Die.seerNlM:......._._...�............Y. .....,. ......--..._.__....._ ...__.__ iftunt lfttMdrnass: ..,..__.,..._...._...,.,..,-.d............_....._ ......•_. nistsn.,s kam telp of sour►to top of outb+t tN C"stlnca from fu:Nom of scums to bat to, tee sr bsMtl: Bets 00 kwt p"101lS. sr Comn.ier: irsoar«lreksdatfapr for pwmgping, to Lion of kdat and OufMt t"s or baffles, depth of Squid level W rajo6m tro outfat inset,*trLl+:�lfr intryrfir. avido c:9'sf leaks-1*. sit.i_ uwv"I.SYSIM nsptcTm*-onllo PART C SVISTITA$W*R"TWN fewiltwed, OMPOPIne"Joic 001: 110d TIGHT OR!HDIJXPKI TAXX:I.....___41*,A lust he Pumi)ed prior Io, or at tij."a of, In6poetion't 0004sto an the 00"i".WOW jvqdq:__ 011116twill of vollstroc,tion.__cOncreto ~811 Aiwer preseni ............... Alarrit 1, wrm In warkinS:order. Yes No ate 1WW of O-04ale true e' CWn-nel"tv lconfk'46zin nt c0futd4"Of MOM ard Moot switches.Or-, ..................... ............................... Dop4k of liqued ievti obovo ouset jrv*n:_&r_WJ Coor►ritrxs !M*?Aiflqvto nit�jstiplh4ggVis otitial.. *v�danc.*of solidsCarrV*vQ1' *%40#fte of itok into W Wt of bos, Otc, ........................................ PM,C4AM (19cotp an slit panl: pur"Ps ir WOM1.0 w4w.'ives ot WA k*),-- Arrielil workiliq;pwcler (Yes or No)_ (Male :gPi't0low.af twrv%p r. toosdit an of pumps end appunviances,etc,I .......... .............. 70 SAJ6$UWACE SHAGS 04POSAi SYST0A 411111PECTI M FORM PAIIT C SYSTEM MOFQIMMTOR aeswlM+Nrdi .t�s't,►Adar.�t.IR ��a no W O s Dees erf bengraillart Mr/01-6 /DO "a.^IMCqop'M011 VMTMM isi/1l11 OCC6`10 Otr+ :cito 1i44111.14 possible:sxCsvetio" not rorsuired. IOCO%OA meY bo apa OMmetod by rwn-ir iousive methodsi It not lauated.4iltpleliv .. wlkeoMltg plea.rtumbsr:_0 ,...�. _._._��...� � ... _.._._...._......_._.._...._ _ ioaoNi%g chultbore. number' j- ►eooNiva 96WIss,number:_ loedsiuy trenches,rteorAw.Ienyfhr IHleft v Plaids,nwnba,dinwrnr"31ns: oveM'.nN oesopool.numbergiwm :, AllierriMirlto .............. Coamwas Mots tandidan sf acril.Awns of r.ydrouli4•124ure.lawol of onding., gEemp a ondMlio of a staoitm.*tc.i tiocettr on site plena Wtenebvt aeteE aarligEastlorr _. .__,....._.. . "?spth ttlll of lirpild to irllat irtven:,,,,,,.,., — spt►; at solids layer;_._ __.._.... _ depth o1 scut"pi"r:_ _. Hater+'rs M t rwdl„avot, of grO waiwEttr: _-_ inflow eessirad must pumped as pat of ins tion CorllrerMeta: ,'not*candttlan 0 tatil gns cf hydrsuiic feNwe. iovel of panding, ccw%dtion of vogMotron.o►c.', ...,._..�.._..W............._. _._ ..,.�_...,...,.»._.... ----......_.... _ .._. _....._.. lMM11Y._ � tlacete;;-site pitEgl Msesri.ils of cons iauirtilw. Dirrre,eslors. Doom Hf Coannra+t r: tnots vwwtitton a'scot sign hydr&Ac s:SlWrs.level of ponding,condition of vsgstatlon. sw.i NOT c r ftvf;TM MRPORMATWN Isw oramw P+r�vP,r Mt1Yd�i6�: ^�� psr fad ' Clrrwww; � y�s`l.tP / Darr of wwpftalw". Sfxf.4r.61 w"WAGE OWPOSM.RYfg'31EW ww*x t tines to 0 leret two aermanow mfwence fandenarjka or bpa.ftmitjA �c�:mta OP WON*vvttf" IJO'it-1e;ete where public venter suppjV cerneE into housaj i V ro i �S� SUBSURFACE SEWAGE DISPOSAL SYSTEM PkSPECTWN FININ PART C SYSTEM 11WOMATION(twelow" ftqwt"-AdWow- OWN R: 0- .>t'IMP Do" as % Mim 4P—/aalf too NACS Roparl nums 8-Al 7 ve'.... ........................................... ............................. ........ .... .............. ..................... .... I well-7-i4 depth to groundwals'. ... .... .......... L!S G S; 01111110 !vatisil"s visited Obsouroticm Wallis chovited Orawl4wator depth: Shallow _—Modwate SITE lVAJ4110 Siops, Surface water Check Collar Shallow wells EntioLirtwd Oept!!i UP Geoundoobler Feet %4"so w4csie !di the m**,ods used to adierrvitne ltiyh Groundwirtist Elevation: -11itained ivoin D"gn Plant an tocard t"Aivelvvi 9:11%fAbo"ing property, oLoervetion hole,bosorywil sump sic.) 17'd4affnifle'd Owl Weal cwAnt6ons �'"*aked Whit local hoard cyt health .Pacff.ed 141ARA Maps excavators: inttellers ljv*d USCA 13*sjb i Oosct Ioe I nu estod3oli*."d the H;qh 0-oundwatew Elevation. (Efte be complotom �OQ rS r.;IV I I of I I SUBSURFACE SEWAGE PSPOSAL sysrus rapEcTm FORM PART C SYBTM IMORMATUM 01.'it 0-4111 Deft of j ion.. 4 NAC$ Roper I nums.......................................... ........ .............I................L............................................ ....................... S'A I fpq, __-_... ....................................... I voo,ii deprh to groundwater .. .................... ............... "QC Oase,ipstssilm visited Obso-OnlCe. WoNs ctift-ked Grouiridwatior depth: Shallow,_............. ............ ............................. SITE 1XAMI Stops 9401aft wow Chack Ciew 11111811low wells Estirna"-d V*pV1 tco ma,sma mmice-to iJ',the methods weed to d#iorvrens Migh Groundwater R-avation: ;n-Iggined hi�um Naign Pions an record 01 Viservoil 5.1-m lAbu"ing property, of m4mrVation hole,bae*nWit sump*1c.j tNKw-miv'1'CI*01"local conditions Ctwckeod Potth Meal Board of health -:heveed 140#4 ?A*pA C:Ow-kod wrftonp records checked ocul excavalavis, i-notsherp 'j1wpd VsCAS IDate Nor-1 iov haw ou 01-tasbOO-ed th*4igh G-Oundwater Elevation. (LM.Mg be corMktwd- es �vv ril LOCATION . SEWAGE PERMIT NO. ogn=e �� ti1 LA L 'GE 1NSTA LLER'S NAME J& ADDRESS - � Z,9w c ,y R U I'L D E R OR OWNER \ r/ DATE PERMIT ISSUED DATE COMPLIANCE aISSUED t i {1 S :N �, 43 r c O r•�s Y /- v✓ t � f _ Fmc.........L6.............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................O F................................_............---------------------.-........------------- ApV iraflo i for Di-gpsal Works Tnmunrtinn t1unfit Application is hereby made for a Permit to Construct ( ) or Repair (�an Individual Sewage Disposal System at: Location-Address or Lot No. ................ .......................................................... --......••---.............................................-••-•-..........•---................•-- /� / owner Address .f......_Lr w$oszJ................................... ---.-•-•-------•-----.- Installer Address dType of Building Size Lot.................... .....Sq. feet U Dwelling—No. of Bedrooms... .......................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P., Other fixtures ................................. . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. W- Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( )` Dosing tank ( ) 1.4 Percolation Test Results Performed by.......................................................................... Date....................................--- Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch ee th of Test Pit.................... Depth to ground water......................... O �......- ... - ...... ._..r_-aa-u✓-aaud.ea-.-... ....`:4 Description of Soil.............A4�t ---• ®,�.._...R;;L1';7.Aej--•---- ..................................•---------------- x w Z. ----•------------------------------------------•--------•---.--------••--------------....•-•••---•-----••••........_.......---•-----• j ........................................................... U Nature of Repairs or Alterations—Answer when applicable._--.'S......lek...fF _ riS1'P ................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ' sued by the board of health. Signed...... . ----.----- ........ .. .... --- ----- Date Application Approved By- •---•- -.......,,,�r� ..................................... A�-...---- ate Application Disapproved for the following reasons:................................................. .................... ................•-•-•--•-------•-----•--......__....---------------------.........-----...........-•-•-----------------••------•-•-•------••-•--...-•---••-•••--•-•--•-•..• ............................ Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.......................................................... Appliratiun for Diapu,sal lgorkii Tunitrurtiun Vamit Application is hereby made for a Permit to Construct ( ) or Repair (40 f' an Individual Sewage Disposal System at: } .r +�► p �A° �s.r 2iC/..1.-..5... ....-- '•`c ! ........... .................................••----... Location prLot No. •------------- A............................................................ ......._..----.._...._--_...-- -- -••• .-----....._......--------•---------------_...Owner a Address.'. ,. ... &► ._.-•------------------------------ -------------•-•-•--------•--•-••-•-•------ ---------.......------...---............__. Installer Address Q Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.__................................Expansion Attic ( ) Garbage Grinder ( ) P4 Other—Type of Building ____________________________ No. of persons............ Showers ( ) — Cafeteria ( ) Q' Other fixtures ------------------------- --------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity------------gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water--------------- _....... . 0 � •---=4'°'aa`�,`"''J'".....�r_a�t`a"°y�`�'--...eta...:-s.���. .,f� Description of Soil............1�aS,4__ •-••---•C'S --•--•--• ...... ................ ......................... . W x ---------•----------------------••-------------------------- U Nature of Repairs or Alterations—Answer when applicable._._,3•--__�Ev___�4—e--_e. esxE',,<___________________________________ ---------------------------------------------------------------------------------------•------......----.._..----------------------------------------------- ........................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLi, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been. sued by the board of health. Signed .;� �^ - !•�---"'---•- .. � ���� Date Application Approved By. ... ��y __...... t* i2 -_ 0- ••...............•--------- •----- !bate .. ...._.... Application Disapproved for the following reasons:.......................................................................................... ................ ------------•-•_-•--•---•-----•-•----------•-•-----------------------------••-------------------------•-------•--•--•----••--.........................•-............................................... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................... ....................................... (9rdifiratr of fauutplittnrle T S IS TO CERTI Y, That the Individual Sewage Disposal System constructed ( ) or Repaired (400j'" !/C � 4v Sow✓ by..... -------�----•-••.............•------....----------------•-------•-••------- ----------•-----...-•--------------................----......_..------•----._....----•-•------- Installer has been installed in accordance with the provisions rf�TITLE 5 of The State Sanitary. Code s d cribed in the application for Disposal Works Construction Permit No------- _-_, _ ____ dated---.. .A.5..-.•--:.----.--. THE ISSUAN E OF THIS CERTIFICATE SHALL NOT BE CONSTR D A A GUARANTEE THAT THE SYSTEM IL� F ffTION SATISFACTORY. DATE..............�° Lt. .................................................... Inspector__......- -••------ ......................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .�' No._....----�.r-3Pi y FEE- ........ !T�t u inn iun �erutit Permission is hereby granted _ .ram ,..- --------------------------------------------------- to Construct ( ) o Repair (41-an I�vidual Sewage Disposal System at No.----- , ..... ' z° .........I-----•--- ._.. rl'/ . •--------------------•----•-•-----•--------------------...----••----........._ treet as shown on the application for Disposal Works Constructions Permit No.................. Dated.......................................... oar of Health DATE...................................... �1'„ FORM 1255 A. M. SULKIN, INC., BOSTON €{��wM�." L0'T,A 0i4 � � t Y_p F SEWA:C''E � PERMIT i> I M STA BC l;E R'S4 11.A:ME: ."b `i# D DR ES S _f x a � r7 fi I jr 47 i i�. �""�..a. � 4t. _.. w ,yam `,•r R P' '.� -,.. � 2 .. t D'A T E P ERM1.T ISS`U1,11 = f DA=TEE C 0"IM►L IAA;NC°� `� 1 S`S`UED ! ki` ;z ?, t Assessor's map and lot number •L� �" !::.I 6l �oF rod �Sewcge%J Permit number .::.:: . ........`... ............................ Z 8A ASTABLE,.i House number ... ... .:............................................. 90- MM6 p i639.,'\0� . RFD MA-4 f►•, TOWN ;OF BARNSTAB;L B-UILD-IHG INSPECTOR 1 APPLICATION .FOR PERMIT TO ... j:. .:.1..c ..,f.:� .�:...... .. .�rkCl:. .�� 1 .............................. TYPE OF CONSTRUCTION .......19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the-following information: Location .................4.s :............. t�:?.:.r::. .... ..h.�' r1.s.,.....:.... .i. i .0 xl,J,i rt .s: ......... :?.f.:: r.Proposed Use ... c.t.... �. .. . ` .. .................. Zoning District ............. ...:�::>................................:.... .........Fire District Name of Owner . .�}::fl l,jl ,'> g(. .� '1 I,..��,t�,�� :d. t>..Address ..."�.� 4 . , s::T� ?....: �:I: . .E a ...E:•. .rl:tt�.i:' 3.. Name of Builder .'1-1k. h.19 � �_�.r_:!: ^.�.ti:�.. t.C............Address ... .`:a r{.L�l :;.�•...... �7�� i\! 1 . ..... . .. ............................... Name of Architect .........:. r!....?:: ::..... ................................Address .................................................................................... 1 r. Number of Rooms - � ....Foundation `' •v�.'�.. "h ........................r.. ................................ ............... ........................................................... Exierior e ;7 .- 4..!..... ( .1 c� •. l e 4 , i 'j t........ ......Roofing .......... y............................................................. ... ................... ... . Floors Interior `< ....................................................._ .. ............ . ................. ......:1 :....... ................. Heating ............�: :' F:.:. . :.:.�:::.:.... ��E ..............' Plumbing .................. . ...ti..... .:.... 'i �J` `.:..... °Firelace J. ` .Approximate Cost p a ...r. c.�................................... . ... ........................ r;, Definitive Plan Approved by Planning Board ---------------____-----------19________ . Area ` J`y .. ........... .. ..... :...... '...!..: Diagram of Lot and Building with Dimensions Fee ...........i._.. ...... SUBJECT TO APPROVAL OF BOARD OF HEALTH LO:CATION S WAGE PERMIT N0. VILLAGE INSTA LLER'S NAME & ADDRESS AGO Si�s� fc"� ���r�vlle� .BUILDER OR OWNER _ DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �z_ t� X 0 Z X . No,. .....✓ s�`:.. - '.-" ' Fps....RN �... i' ` 1 THE COMMONWEALTH OF MASSACHUSETTS t ' BOAR® OF HEALTH `tt _.._..h�1.Gt.�- . ---------.OF.... ..................................... -- A;*firation.for Disposal lgorkg Tonstrnrtiun Prrinit ,m s Application is hereby made for a Permit to Construct (y) or Repair ( } an Individual Sewage Disposal ` System at: ........... ............... _?._. -_......--------•---.•.....•....------------...........--------- Location:-Address. or Lot No. Own LJ Address Insta er Address Pq UType of Building Size Lot./®.�18.........Sq. feet Dwelling—No. of Bedrooms....--..... ...........................Expansion Attic (Ives) Garbage Grinder (wo) P4 Other—Type T e of Building ....AJ .e� No. of persons............................ Showers W YP g � -•--•-------•- P ( ) — Cafeteria ( ) P-4 Other fixtures .................................... ------------------•-•--..._..._...---•-•-----------------....--•---•...........------ W Design Flow........Z/0........................gallons per' per day. Total daily flow-------- 4------------------l�lons. WSeptic Tank—Liquid capacity/.A.0�_gallons Lengthe3...C2___r_. Width-12O.:.___ Diameter________________ Depth .... x Disposal Trench—No. Width._.. ......._._.. Total Length....__....... Total leaching area---Z,9 .......sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (t� Dosing tank ( ) aPercolation Test Results Performed by._-ROA04,0..... �-lf_ �1�1�_o. ._a..... Date_-_,e�,C&d..... Test Pit No. 1.4.2.____minutes per inch Depth of Test Pit-_8_ .......... Depth to ground water.._............... . 0-4 fX4 Test Pit No. 2..A=.-.;&..minutes per inch Depth of Test Pit.a.`.._...._._. Depth to ground water..a_'.............. R+ --------•----------------------------.......................................................................................................................O Description of Soil......C2. -•--- --.. ��eAP'f...... x ................54AU.2).............................-----------------•--•-------•-•-------------•-•----•----------- W -•-•------------------- �f CC/9�..-_.....__--�o- e C.GlJdil•zz /��/ l/� Q1'�J�..._. Sd'..-.- Gz ----------------- UNature of Repairs or Alterations—Answer when applicable............................................................................................... -"--------------------------•--------------"----•--•------••---------------=-"•-------............-----•----------------------------------------------•-----------------------------.....--•-----...... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT1L 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued b the eejboard of health. Sig d. . ._ k� --------ef� Application Approved By....... •••. . -- • E.� G ........... .. ".2 Q'. '7E'....._ (/ Date Application Disapproved for the following reasons-----------------------•-----"------------------------------------------------------........................... ------•----••...........................•••--------•-•--•-•••-----------•--•--••-......•-•-----•••--•-••---•---••••-•-----------•--•--•----•---------•---.............................................. Date Permit No................................. Issued_._ Date / '.....�.. e "FEs.. No. -.... ...�� .. .... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH rQ .r► .............OF.... ,$-/R--. 117,,e 4.....------------..................... Appliration for 11hipati al Worko Tonatrurtion 1hrmit a� Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: J. , t.. ............ .............. o .. ....----------------------------------------........-•-----•---- ....................... .... Location-Address f or Lot.No. ........... ...... —- --- ... _..-•---•••---•.............••--••......-• - wner ....... Q.�'l( }�� O Address W �te:o�. tit`_...... Installer .....Addreess--- 's —------------ --------------------------- Type of Building Size Lot/j s!' .........Sq. feet Dwelling—No. of Bedrooms............ --•--•--:_ •-•--_----Expansion Attic Garbage Grinder tV0) Other—Type of Building ______________ No. of persons............................ Showers (. ) — Cafeteria ( ) a' Other fixtures ---------------. �� BAD oar! -•---------- --------•-- . ......--•-• . WDesign Flow...............0........................,gallons per sen per day. Total dailyflow.__.... 0..................gallons. WSeptic Tank—Liquid capacityd�0®_.gallons� L ength8...0._.._.. Width!4 O....__ Diameter______ _________ Depth. ..___.. x Disposal Trench—No. .. ................ Width... Total Length..._r�.__Gt--- .... Total leaching area__f_.19......sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box Dosing tank ( ) ' `-' Percolation Test Results Performed by YWA....4....l.�r.1A-.1�'A4A�2L.$._._.. Date...Arar 2 8 Test Pit No. 1.�� �'�"_ minutes per inch Depth of Test Pit_&j..•....... Depth to ground water 6................. 00 Test Pit No. 2_4'.:F1...minutes per inch Depth of Test Pit_$............ Depth to ground water._e.............. '•---- t•---� ---•-•--•••-.... ---•--•----• .... -•-•--..... ............................................................ D Description of Soil . 1 e .r _It / tTtr✓.t/ t.......... x •--- --------------------- •. ----•••. --•----• -- •-••-•--•---• --•-----.... •-•---••-------- W ,S/�r.G19R............lsoiAv.....co.N-.4"?�tp,l., ......... ate//-------T_ 'S ��' 'S Z. Nature of;Repairs or Alterations—Answer when applicable.................... ...................... ..................... ...................... -------------------------------------•--•--•--- ......-••••------•-----•-----•••--••-•••-•------•-•----•--•-------•----....------•----------------••----------------------•••--•--••---.._.._••-•••-••- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITS 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issue the board of health. i ! . .� Date, Application Approved BY ....... ............... !....t c._1.=I ` = ...................................... Date Application Disapproved for the following reasons------------------------------------------------------------------------------------------------------------•--- ..................•--•-•-•-•----.....--•----•••---•-----•----•••-----•--•-----••••------.......---•----••-••---••-•-•--••-•-•-•--•-••----••------••---••-•-----•----------------••-----•--------••••---- Date PermitNo.......................................................... Issued....................................................... THE COMMONWEALTH OF MASSACHUSETTS • _ BOARD OF HEALTH I ,72 N s i ) 1L W .).........I........ C OF..................................................................................... Tntif iratr of Gautph attrr THIS IS TO CE`RR�T�IF ,That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) U,c,..l-.. _L IL ti�iT° by ............ _ (.., ............... ---------•------.-------------•-----.... at..................................................................................................=-- --------------------------------------•--------....------------------------------------------ � has been installed in accordance with the provisions of,TITr-'LE 5 The State Sanitary Code as described in the v / application for Disposal Works Construction Permit No_________________________________________ dated--------- .................................... TIME ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..............................................................:.-•-•--••-•.----- Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH J ��rJ Jt�klU;t 1=1VLe —s U No......................... FEE........................ Dispanl Works TDonitrur tion rranii Permission is hereby granted...l_.�:.. .....:....:.� ? to Construct/4( or_Repair an Individual Sewage Disposal System / at No. tl = 5 tl c.t�d._t t ✓'`�f • C i. f t' CG-�� �-Sul J,�E . --.....----•---------------------------- ............................ = 7Street as shown on the application for Disposal Works Construction. Permit/No...... ............. Dated.:-...._.':.__.__.'................. _•------_• --•_-.-k---------- ---------- ---;-_----____--•-----------_ --------------- Board o'Afealth DATE-....... . .'. -----------•----------•-•-•-•---•--•......... (J j FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS `T A , ' y 2� V L f 1. n y i a p J r38.. LOT S /03/6 o r± LOT 4 - LOT P424, FOUND ca 4 31 at4� t a Rio A PUTTER LANE SILL ELE✓,-, ---FEET .480✓� PO.dD PLAIV —/OA = ' CLOCA .— F SCALE 3E/N& LOT 5 AS 5HO&M _ /N PLAN BOOK 98/ FAt�rE !3 jr /./,QEBy CEPTiFYT/!AT Tf,/E EXIST- /.,v& F-O Un/DA 7"iON L OCL1 T/pN.i5 GY�PP� AS S/`/OI'Vn/QND._7?.Q�S_ S T t K lr• Ts-/E S UIL D/NG sE Tt3AC�Pf.�U/t'L�9�vT sRv�. s OF T-46 7OWAI OF -ZjjHjV>STAgif------ ,. .. _ .. �--•.i Jam" � _.../"_. ,!1 r IM ORTANT MESSAGE FOR •' A.M. DATE- -TIME M OF //� Q {r p PHONE - 9/- O'D / 7�- p Y30 AREA CODE NUMBER EXTENSION TELEPHONED PLEASE CALL CAME TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU RUSH RETURNED YOUR CALL SPECIAL ATTENTION MESSAGE SIGNED LITHO IN U.S.A. TOPS 3002-P CAPE'OFFICE PRODUCTS INC. (617) 775-6000 '45 BARNSTABLE RD., HYANNIS. MA 02601 DDRE Ile on 777-77 qB U 11 DER 4R� .OWNyEN 77 D Al E C ISSUED 5, f + - y '4 h !M1.YrwM.ulwrwo-'iaw�aYy,�,,,,'MwaW��M�Mr•w+ ~ �ro-4�+��� 4 � + R� ♦ e eVrN 91'p M F!'Wl+' tY4.,�-w.�e, �� �� a4 a.vp✓MXy.,y#„wwyww:��.,rw. .�,,. `+..:R.p .. � .A �µ dim ,.�r �Ip...r~ � � s r T, j' ',f �"F� T s r P/�{JL I J(�i? 'f - 2 TV S -' c C 7" R' i MON EL E V 17 8 PR{?N U i D-a9 L0,0N? 00 i ct ss' 4 176 i,1?Ef�1UM LOT S Q ' 3 A 1 s i 0 JN � EI.EV PUTTER LAND w f - TOWN 9A/A7-ER l5 AVA,,lL A,F,,L k • - � S/lYit�RR SL?If- ��tt#P�'ft/�,��c' � � `L(: a Cu/LD//vG S F-7-OACrG F-�U1,2e-1-jeAJTS s Gf3 L E .` I 3L F"24/V 7' 1� 'S/L7� T2E4.—;e P2o�v SFD i BE,DI�OOMS SEPT/C 5y5TEM CONST2UCT/ON • Sf4A LL (--Z-ONFOA?M TO M,ea 5S FL O GV ; ) GAL Y ENV/Q OivM-A. 7A- L CODE. T/ri-4 Q _ C.�f GX.-' 2.4 TE .;?: /A/CN P2OP®SED A G rAv, ��6.41LA 7?0,a✓5� FQ'A L +I�'RGN. F/t c, P (330)C.4) s /�� rap or caS L EAC, I A4AN140L.E CO✓E,G 70 ,L—XTEAJZ> TO �NIPE�✓/OCIS COVE,/2 TO ,a2E V&A17- W! T/-!/N /' `OF F//�1/S/d LG17 GI?.ADE '' ,c20M /ti/F/LT2AT/it/6 ` 57-2 AA E z4'"GoVc.�zs 7 DrSr ` I / � 4' BOX _. CAST/ 3"MrN ., .. M/N/A�I!/�1/ — 6 M r a! _y �.•N/,V. . D/A. �2• i T/GMT M� ..` 0�•4. L EA�t l�r P/7�N FLOu/ L/NE a.tL (� i a 4`/FOOT /¢"y �4 �FOo� M�n� ��rcH �ff l r Get�. o�/ j /^/✓E pe r /N VE.2T C<1 8.0 CWA TG/2 7"/G N /NVE�T TO No GA�e6,4G6 Ad Ux �.a,:: W LOCA7-/0A/ -Z3ARNSTA Li ,�W,#YAr'�miskFa `t MASS . �inrG L r>z s - /N I-�LI�Af 13��f� e �l •/�A f sSE3�T/G TA/`/K, D/S7-'.2/BUT/ON BOX P 1 T .x .i / '�5 An/D L EdlC.v/n/G �i 7 S7,0EAJ(577y 3000 '.Y "` , .;:} �. STEEL 20000 r+ � , ' H-/O LOA D/^/G _. .� 66, A,107 TO BE Lo CA D)e/vE wQy >"ZI A„A4 CJ U 7._., � O V,6 Ee 5 YS ra A-1 Un/L E s S N- 20 I CERTIFY THAT THE BUILDIA16- SHObA 'ON PLAN /5 PROPOSED ON THE GROUND AS Stf GtN NER,FON . AND THAF /T DDE5 CONFORM TO THE " 13-WL.DIN& 56-r CX R ' !i;XCM!NTS: OF THE + TOL-ON OF 2ARNST'Ai?L 1:>,4 TE NE.4L77-/ 40e,,/7- R'�.e''A. •x c J .� ,,��,r. ys Cy.va,h. �{trr as ;; r s+ b5 y ."' .`P 1� 4 'E� �xra� ^k e✓yrM'� 1 a •s tiw t;it`•'R, �.: 7 + 4 'r,# f• +,4m r yy {' t �..�'� 'e, Ii t. v'• �- ''F.: � 1 1 r �: r£ r a ,'{•tom l �', �, Gfi. ♦9 F 7.S r. 1 µ.�' � Ir' , , 44 s �' `• d F? S P r.4 ro r q��. « •'c s °.: ° . ,+ 1 t' r t ,S t' , t };7 } A ` ',. t L `w 4 ,' ? 4 r '' y r '• 5r L 1. 7 t" '+ >�tf` y :yt v e T r'� rJn Y 4 'i 4r r la c i t v .ro. a k�#+t t; „¢ 7 J :;, ��• �.y..' C ,e�.. Sv r• .�'erg t,, r. _ ,rr' .s'. 3 y i t ,E'S r �: y ar'}'4 t y`; •. ♦ t r'^ fr �t 's•r .:i+.�a� � ;,.. * „# i. t z.. 4ke .. t.�:t r ; h ` ;'•'r, IIw :�. f i h y 4 .;y _. .. .w. va.. .S 4 t • 1' F- _ett 1 i � s'�:. C.. h i�.r' t. _ 'S'-. ,,.u. Z t ♦JY t.t 1,� tf � " r, sif' �+ '� Viz- •k t' June 8, 1983 x•r. " k 11, '.'� A•i•! t R! $ a` 1 { y 1� 9 t_ .,r a � ... Yt s• t :::+y a � t`:-� r � 1 � w .`*f � *'+i'' hs�#p,,SKr 4 b �.r .,a.• r 'd •.•,.i r, `y, aC �,77 t f .., f '. ka. �'. ... �`i 2: r'�' •'x a # ..t;r,q_-. �f y . , � t - .� '.i'S,'1 !� t r''_ x" � �-, t 4 ' ° �. `" a�•1 �..r5 # r..Fl� $ ` t�1 '., Mr. •Bruce. Law$on F Yt3, ,Lakeside Dr ve rwKt � # �t5 #' t• t z / 7 Y W' 1 e 3, �'' F : •� i w � .:Q264$ t a " � y � { . � `'f° 44 S � �. s � ���'t✓'4r� ya� Y� r { •� Mare;tans :Mill$° }�$. � f ,. { y FY +,• 4 7^ 1 ^'^ s he Y' `. t F ' OF ".i•' t q t '�• �`i '" _1 �" ems. vi."" ." ,i l t t r " - 7 •} < to �.. ♦, t t�k-#� 4 4d ..'Y .d. ' + rf� r }r � � •},;_ 4. ' Dear'Mt.' 'Lawson:,.' r? , • F ' r �r� ..: !I °4 y , .` You are gtanted an "emergency,.variance�to install-three.'flow iffuserjeaching .. i t# 'q. t ..�� �a -' � r. as �- � n•^ i-C' (.7 .• ° :'-� ° 4 - W :* �. s s', r cham n bers eightee feet from a dwelling .located at 32 Putter Circle-, West r 5". ` fi .y tF ���.n � m '. t � r y♦ a; t r - ' •. � `t x M... .e `1 y, e _� 7 -- 9• �'a E c i' -, � _.;. 4 .nfi .,' 1 s �,4�'t`' n :t*t� �. t-✓'. ,+l.» J i-. ,y# �._F,6 ,� •�, .ry t ' F'.Y ,. �i - R.. ♦ Y Y � 9 V� � 1k T+4 r•.! :7 Hyannis Port, in {lieu of `the-"required twenty, eet.,• °' 4 ♦ t `� 4 . '} r .r •' ih a:x! t ,. s ,k . AIA r_ ay 1", ',.h r#,, `'G ♦,t `tin ct ♦x s _ h.v :'. r t ': t ,. '%' . �7 � r - :�f.,� � i: ; AU`other, regal tions'contained in' Titre; S,'of-the JState�Environmental'"Go" _ . ''��.: Cr-rs ., i.. �� <+. �', it ;�e�� �CA :?�� n1 Yf�. � � t '4 ` 4 L,r � !l"':•�;Yt @� .�� '`• � `. rf•, # • '.'�+r s � .. �!fit• i ' d ¢ is �!•1. +. � f' r� and ,Town of Barnstable Health 'Regul'ations mi ser'=be°coinpl.ied"Vith i t aa, f C •} `• l - ''•' r, ro ♦t. �i T!`1;',xr t� , f hs D��M4'. J •t`v 5rw '+ � r4 nx v,[ �f .. 3 Y very ru youir's s ' K 1 a x j7 V, .. '� ` j:•7-'��i h4 :er.r S., t ?- � � 1 ,�". rp i x�'1 ..r .4 � w i tit 4"N � • i ♦,�* r h,.4 ° t •;_ '�' i": 31"4" �. < S-� -� ,� K � �4y 7 a � .� ri`. MII � •� 7S, trk .-t , bert Ls', ds Chgirman ` ,Y.• -,.. " `,c *_-";�{ 4�� ] a `E•r i''�` ,+� 'i z''3',F r.' '�u•c +F t� t ,:Y 4 ?! .- l t. �' i. .t i-t, > h.. {'1 `",Vry gyp. �..f `.ic- F t ,y�•i 'r �., .r i.�.sjrFF.f� %trtt„ s�i,t .3 - .. y. 3r` ry, .'yt' '4 • x � �` .s: 4... I r• f :�` d. ,y -t 4 _ _�.. 1�ti4 r�';i;` �T ° i ,•`�,�.' �i�4 n a f II Ann , n '&ugh a IS FA.�t ` •t � ':♦ �' Z"'—'s 5 h4`.` 9 � ,1 .!, f r s {,.S x � .#i.. :ark e , tr t v x .�Y '* r 1�' ,� , .r f'� at t t,. .: �•r` A __ {W•• H. t? I n a �M.: D.�'C'.t r a f w: ,�, �" :• ze ` BOARD OPgHEALTH � k TOYFiN`OF'`B ' ev h'y:_': t t s.rra,p� It k°: 5 - ` ,tY - .r' n k t a .•.C :♦ "� a' •u rL t S 4 J'F."' k it t o!i{ L ,4 �f � i>" r '+� _ K r` - ' -'" � + '�-.�♦ �,. _ t' 5, rF!� 's s .>;%e i. :si 11 .J � r r4,�,� Y r '! �+.�/ r to at S3: , tr fS S h•- r '� a e «, t•�' .+s �' °$ , Y .7�'ss 7t n, Y�} aY. f.{ qt r 4 ^ V•' t} ` q ° a s ,+ t :^•y,,t, ,"' !+ 3 '' �.' ✓ Y t �.; rY f t4 < '1` +,b e s w r• `s. :.. w,s• �' 1�a r y 'iq t st f�r..f•" � �fE.,,tt 3 f♦t. '� ! �• • t i y'� ,`�V a: ,y•' r +,,�r4� �3 s ; y ` r� � i t�`. IIF �:Nq �.� 1�1 .! I, �. w i,t , �, r _lJ ,.J{• •.� j.� .' - 7 r 41 f.• 0 f r - � ,a .s v .r I c _ '. ...it 4''.-. •� h ,, t't "i{.:v f k a ♦ .. • r1 *•; s °, ..s. -5 ♦ r.,{�4 ti�aL ~r,'`y Sir • ! rF "A y "i t t Y a t s f <a., r yE.... r r,� ,.t t �".,- J ♦ ; Ir •� t9 hf _ _ tr .S�x .."" r /...�' �� ,v f M,„,� m ��� ..' .. '•: •sLr {t., �'i � tirtfrY)v.��a a'wp' 4,. ;;f y�r x"ii'':.r".. la t` ' °-, .. . - _r R 'ti.: " p*a y ",''+♦ .,t?yc �. A-3 310 i s o.3 , � � � 3 i �PoAA �aowr • I V 5 M ; T r� o DIc� F�el�� �l o