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HomeMy WebLinkAbout0055 PLEASANT PINES AVE - Health L leasant Pines Ave rville233 051002 ap"deflor 1521/3 ORA 100/0 P2 f SECTIONSENDER: COMPLETE THIS ■ Complete items 1,2,and 3.Also complete A. Signatu item 4 if Restricted Delivery is desired. ent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B.-Bapelved by qdnted Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different f Item 17 ❑Yes 1. Article Addressed to: If YES,enter delivery add below: 0 ❑No r -c. TWA. 4--) Ze—' 32 3. So"Type 1111"Certified Mail [3 Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes �o,o�,D Orr N 6,ALT� � 2. Article Number � 3 3110 0001 5901 6207; . (Transfer from service hVwo 700 PS Form 3811,August 2001 Domestic Return Receipt 102595-02.M-1540 UNITED STATES POSTAL SERVIG15� i'r First-Class Mail .`' ,postage-&,Fees Paid n a USPs Permit No.G-10 M • Sender: Please print your Name, address, and ZIP+4 in this box • JOSEPH L CAIRNS JR 55 PLEASANT PINES AVE I CENTERVILLE MA 02632 11I,fill 1,1,life,,IL„1,1,,,fl,i„1„i,fli,,,,l,i„1,1,fi,,,i i SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature Rem 4 if Restricted Delivery is desired. y ❑A9� ■ Print your name and address on the reverse Ad-dressee so that*we can return the card to you. B. Raged by(Prfnted Name) C� �e ivery ■ Attach this card to the back of the mailpiece, / o� or on the front if space permits. D. Is delivery address different from item 1? Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No �S �L C�f�v`ANTi iN�.S./9✓Gs G GS"N rg e✓/G[-G MW O Z�32 3. Service Type G 6ertifled Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑insured Mail ❑C.O.D. 130l� D d 1' N��acT 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (transfer from service labeq�_ 7003 3110 0001 5901 6191 PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 1 UNITED STATES POSTAL SER , /,, First-Class Mail ` Postage&-Fees`Paid f n pi, USPS Permit No.G-10 • Sender: Please print yvug>,name, address, and ZIP+4 in this box • JOSEPH L CAIRNS JR 55 PLEASANT PINES AVE CENTERVILLE MA 02632 _ III 1111111111111i ! II1 I ) 111 11 1Iil , lfiti 1 1 ! ifl I f! !! } !!It i )t i ! If If ' SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Si ature item 4 if Restricted Delivery is desired. Agen ■ Print your name and address on the reverse ❑ ssee so that we can return the card to you. Rece ed by(Printed Name) C. Die elivery ■ Attach this card to the back of the mailpiece, [/va, or on the front if space permits. D. Is delivery address different from item 1 10 Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No AV6. 3. Se ce Type I CLs/�!�/1 Vi G �A• p��3Z13 Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise i ❑Insured Mail ❑C.O.D. 'BOA f?0 O F N C-'T'N 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number p p 3 3110 0 0 01` 5901 6221 (transfer from service labei) PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 i UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • JOSEPH L CAIRNS JR 55 PLEASANT PINES AVE CENTERVILLE MA 02632 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature ,,� item 4 if Restricted Delivery is desired. n A9em ■ Print your name and address on the reverse Addressee so t that we can return the card to you. R Ived gyri(Printed C. Date of Delivery ■ Attach this card to the back of the maiipiece, `I/� or on the front if space permits. D. Is delivery address different from Rem 17 ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No EL�rrf��•vo e% t� z 3. Se Ice Type G�S NTLs,G✓V EGG Lf�'/�fI. O Z6 32 Certified Mall ❑Express Mall v ❑Registered ❑Return Receipt for Merchandise ❑Insured Mall ❑C.O.D. 80-4,e p r 7-11 4. Restricted Delivery?(Extra Fee) ❑Yes I 2. Article Number (liansferfrom service label) 7 0 3 3110 0 0 01 5 9 01 6 214 . Ps Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 , -� - . UNITED STATES POSTAL SERVI First-Class Mait.-. Postage.&-Fees Paid ,, M •'� ::-. lisps Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • JOSEPH L CAIRNS JR 55 PLEASANT PINES AVE CENTERVILLE MA 02632 +s ::: TOWN OF�BARNSTABLE LOCATION J �l_ iq��N7� l'%�/1�,��y� SEWAGE -S I9 VILLAGE GI�N7-,g`�V/GGl, ASSESSOR'S MAP-& LOT e33-0v/-0AZ INSTALLER'S NAME&PHONE NO. /c na ZGs7;0.2lNO SEPTIC TANK CAPACITY /Do4 lig� LEACHING FACILITY: (type) �V/% (size) 4� �Diff- NO.OF BEDROOMS BUILDER OR OWNER ae'.,6 l 1Z o y1y4f=� PERMITDATE: //1/B/D-;e 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) Feet Edge of Wetland and Lea g Facility(If 5!7�ds exist Feet within 300 fee ng facili Furnished by II SWCM PLAN SNOWIN& AS CUib.T 1106 TO SBPTIG SYSIOU 55 P"ASANT PIN$$ AVO G6NT6RdIWA MAP 233 Of 051 .002 0At6i 11/16/04 6' 61,66V6 6.5' ��• JB.5' 0 COX 66PTIG TANK NOW 6` BX16ftNb 1.6AGN Ptt HOUSE NOW POCK , i [Home use only] ...\sewer asbuilt.dgn 11/1712004 6:50:55 PM No. ay� '�'�.. _ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE} MASSACHUSETTS Z[ppYication for 33igozal *pgtem Cougtructiou Vernnit Application for a Permit to Construct( , )Repair( )Upgrade( )Abandon( ) O Complete System O Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor's Map/Parcel G LfNTG « 5 S�OLGsAS9 /NGjS A lrG` 233- osi-oo2 G rN%`�'Y/GLGT MA. 026�2 Installer's Name,Address,and Tel.No. S'p 8 3 6 2 3S 4 Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms _ Lot Size .31),0°d sq.ft. Garbage Grinder( ) Other Type of Building 1 jo mg No. of Persons I. Showers(2) Cafeteria( ) Other Fixtures Design.Flow 3 3 c7 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank +o a Ct G Type of S.A.S. Description of Soil Nature of Re airs or Alterations wer whe plicable 1 o Mo✓d- T]tST4/9"T-1 Date last inspected: Agreement: The undersigned agrees to ensure the truction and maintenance of the afore described on-site sewage disposal system A— in accordance with,the provisions of T' of the Environ o and not to place the system in operation un ' a Ce ' 1- cate of Compliance has been iss his Board owe It . / D Signe 6' Date Application Approved by Date Application Disapproved for the following ns a o Permit No. Date Issued Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer; ` Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE MASSACHUSETTS ;i ZIpprication for Mi2;po0al *pgtem Cott!6truction PertnMt., Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) El Complete System ❑Individual Components i Location Address or Lot No. Owner's Name,Address and Tel.No. q 7a3 'SS`%�L�AS�wT�rJrss f�✓� r,/osEs"P� L Ci9i,Q�vJ .fG Assessor's Map/Parcel GGrMr��v/LGLr 5 S/oLz�A5/Tir7`/C 4-//-rr A1-Lr 055 05i.062, G N%-,Mtl, Installer's Name,Address,and Tel.No. sp8 3 6 2 35t Designer's Name,Address and Tel.No. k Type of Building: Dwelling No.of Bedrooms Lot Size .3 sq.ft. Garbage Grinder( ) Other Type of Building Ho Mz= No. of Persons 2 Showers(2) Cafeteria( ) Other Fixtures Design Flow '1 3 D gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title " 4 --size of Septic Tank i ov o - G� ,.� Type of S.A.S. Description of Soil . ` Nature of Re airs orAlte tioons(A wherlA pl'cable �o /Mo vG P1-5T,C1,6417-rz, j3a k 7T4/ /�f C' l lii Date last inspected: Agreement: i The undersigned agrees to ensure thwrrstruction and maintenance of the afore described on-site sewage disposal system in accordance with.the provisions of Tidjr5 of the Environ ode and not to place the system in operation un ' a Cert' i, cate of Compliance has been iss by this Board o�� 1 / D Signe Date r Application Approved by Date Application Disapproved for the following 61ons Permit No. Date Issued11 r -- , ————— r THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,/MASSACHUSETTS Certificate of Compliance move d hox-4 rO pip C�? THIS IS TO.CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded( ) Abandoned( )by l o�, I/e , r at C' 0�o C, // 6--o 4 rR.,11 hWsconstructed in accordance withthe provisions of Title 5 and the for Disposal System Construction Permit N . ated l l Installer Designer The issuance of this permit shall not be construed as a guarantee that the systemwall function as Date -7 4.S Inspector \ " �' l Jr. . . No. Fee —.�------------------ — Fee-�—���/C� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS ligpoq;al *pgtem ConMruction Permit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of thedate of this permit. Date: Approved by ,pyw9 �gp�e iw46 _t r.Lar SY r 3 sl opt L-14 y$ � jM .. o. .. u ,for" ,�� 7# r y «x x f r , y � 1.01f fir ,Y R 4 y ..,... i �,tee,�� ,`>„*Y" kj� SanE 7. V*, a § , y l LVCATION r SEWAGE PERMIT NO. V,iJ L A G E INSTALLER'S NAME & ADDRESS -27J / .3 � �2 B UILDER 0'R==0w-Klm- DATE PERMIT ISSUED tz DATE COMPLIANCE ISSUED jl-av 2 � 3 � i I r TOWN OF BARNSTABLE 14VZ-f SENVAGE.# LOCATION J ���A�S ,VY VILLAGEi rir� ��1 ASSESSOR'S MAP &LOT V—L- ,— �C�it, �, gob 3G 2 9�33"� INSTALLER'S NAME&PHONE NO. o � SEPTIC TANK CAPACITY / LEACHING FACILITY: (type) (size) NO.OF BEDROOMS 3 /� BUILDER OR OWNER d PERMITDATE: //�/0��� COMPLIANCE DATE: Separation Distance Between the: Feet Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist z Feet on site or within 200 feet of leaching facility) ds exist Edge of Wetland and Lea g Facility(If �/p ' Feet within 300 fee ng facili Furnished by S&SIC41 ALAN SHOW 1 N& AS 6W Lf floe 10 SOOf I G SyStOM 35 PLOASANt PINOS AVO G6NtORVI"o 1W 233 Of 051-002 WOE 11/16/04 6' 61,66V6 6.5. 38.5' 0 OOx 66PtIG TANK NOW &ARAb6 i Ox1SfIN& - y 1,6AGH Rtf HOUs$ NBW i 06GK [Home use only]...Wower adbuiltAgn 1 111 7/2004 6:56:55 PM 7j P .4I'AaA r i 5r Ado "1 ;Mpmr iudyl M f fi ^.x�n .._ai IKE tp�� r Town of Barnstable � �ARNSfABL>~, $ ,0� Board of Health Fb �b 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,RS. FAX: 508-790-6304 Stunner Kaufman,MSPH Wayne Miller,M.D. June 22, 2004 Mr. Joseph L. Cairnes, Jr. 55 Pleasant Pines Ave. Centerville, MA 02632 RE: 55 Pleasant Pines.Ave. Centerville A= 233-051-002 Dear Mr. Cairnes, You are granted a conditional variance to construct an addition to your home.in close proximity to your septic tank at 55 Pleasant Pines Avenue, Centerville. The variance granted is as follows: 310 CMR 15.211 (1): The septic tank will be located six (6) feet away from the foundation wall, in lieu of the ten (10) feet minimum separation distance required. This variance is granted with the following conditions: • A polyethelene liner shall be properly installed in the ground in between the septic tank and the new foundation wall. This variance is granted because the Board is of the opinion that maintaining the existing septic tank in it's present location along with the installation of a polyethylene liner should not adversely affect the health or safety of the occupants in the home. Sinc 'rely yours I t F ayne Miller, M.D. Chalrtm n r� CaimesMarcello t �OFt"E rti r y DATE: FEE: + BARNSTABI.E, MASS. p t679• `�� REC.. Y r7 "'"�' Town of Barnstable s 5 CHED. DATE Board of Health up N 200 Main Street,Hyannis MA 02601 u' 10 i Office: 508-8624644 SusanRask,� FAX: 508-790-6304 Sumner4aufm*%iM.S.P.H. Wayne 5VMiller,M.D. VARIANCE REQUEST FORM LOCATION _ Property Address: -SS �_LE/���/�TS A✓� ��jl/%l�,�V/LL Assessor's Map and Parcel Number: 233'0.6 0 00 Size of Lot:_ 33�5_41,i9 77i�C, Wetlands Within 300 Ft. Yes ✓ Business Name: IVIA No Subdivision Name: N ,q APPLICANT'S NAME: .- ,e, Phone �f�8-3, 7 4-7 �� Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON Name: c5zr_ 'f Z �9/,�/N�S -�•e. Name: �j�j►�G Address: �j ��GGs, �jNr // ,,,U AVZ Address: Phone: ,S R Z� Phone: VARIANCE FROM REGULATION(last Reg.) REASON FOR VARIANCE(May attach if more space needed) cSGrTr�AG.� DFcS�'F'T/G Tk� �T l�ivST,eLJ i /IIC�W lA,es�GGl t9NO _�SL14F� �nuNd>f''T/�/V /�/�0/fJ �0��✓1 tVN/J �S% GAL/ND Yy • NATURE OF WORK: House Addition House Renovation �/Repair of Failed Septic System ❑ Checklist(to be completed by office staff-person receiving variance request application) _ Four(4)copies of the completed variance request form _ Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance renewals [same owner/leasee only],outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems [only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G.Rask,R.S.,Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Wayne A Miller,MD. Q:\HEALTH\Application Forms\VARIREQ.DOC No... Fns./ /tom/ THE COMMONWEALTH OF MASSACHUSETTS L✓, BOAR® OF HEALTH ............ ......... ....................OF............................... Appliration for Utz niitt1 Worko Tomitrnrtion ramit Application is hereby made for a Permit to Construct (,X� or Repair ( ) an Individual Sewage Disposal System at: ¢ _ f ......... .....•. .... Location-,Address No. 1. Cb�z X l FT /0c use 5ve— df"1tJ>1/C t :J.�> - ...: ....r. ^ ------------- ------------------------ ......---------- ----------------------...........-----. Ow er Addresit a f2c e f � 'x . ...... � .�u�. ..................•------ ........ .................................. Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............. ..........................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons........ ............... Showers — Cafeteria Otherfixtures .•-- •------•--•----••••---•-.._..•-•-----•--•---••-------•-•••------------•---•-•-•------••---......•-- . . Design Flow__ _____ o_ '?�_��� :__gallons per person per day. Total daily flow............................................gallons. W 2-X1I-- -- � WSeptic Tank—Liquid capacity/_0.0®.gallons Length................ Width................ Diameter................ Depth...._._.._...._. ' x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area/ O.41.....sq. ft. 3 Seepage Pit No........6.......... Diameter....,...( _...._ Depth below inlet.................... Total leaching area.rO°a5;�`t/sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date------------- Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.---.--_-_--_-__--__--_. w Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ----------------------------------- Description of Soil-----•..... .ur.....--`� ------�� v ............................................. W U 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 TITLE, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in _ operation until a Certificate of Compliance has b u he a Si --•• . Date Application Approved BY ---.. 4. . ate Application Disapproved for the following reasons:............................. -------------------------------------------._...----•------------------ Date PermitNo......................................................... Issued-....................................................... Date ti i t ' � •n 1� y ` A z . gel f a - 1 a ,;�a �'4•{ i �>�.0 .t of (`,� - s', Y�r•,t� �f�! � r� t ��r �� � 5 � � i-kt� .. t' y�x }3�. �. � � -T ,�, ;i`+ , v � No.... ..........:.................- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........................-----.......;` ........................................................................................ , ppliratiun for Disposal Works Toustrnr#iun jhrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal w3,y: System at -.........-.......... ........ ........- ......• ......._........... - Location-Address or Lot No. .......................................... N Owner .............................................. ddress W Installer Address UType of Building Size Lot............................Sq. feet �-� Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures -------------------------------•---------------------•.---------•-----•----- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 04 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.......................... fX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 ..•--------------------------------------------•---•-...•---•---••-•------........-•-•-•......-----•......................................................... O Description of Soil-.,P ............... x ------------------------•--•-•-------•--------•---•---------------------------- V .............................------•----------•.....-----•---- W I . 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 TITLE 5 of the State Sanitary Code— The undersigned further rees not to place the system in operation until a Certificate of Com fiance has�.b issued by t e-board f-healtlf %�'C,. yy/ ned. --- --._... ----- ---------`-----------------••------------•--- + — 4 Date Application Approved BY �` � � :'."........ r _mac,_ ;�G �-- -- _� late Application Disapproved for the following reasons----------------•-----------------------------------•----------------------------------------------:.._----._...:. ...................................•------•--•-----------•--•---......-•-•------.....----...•...----•----•-•----•----••..._..-•-------•--•-•-•--•---•--•----------------- Date Permit No................................................... - Issued__.... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................... .OF. .................................................................. i Trrtifiratt of Tuntpliatta THI y1IS TO CCE^RTI./FY, T71 wit the Individual Sewage Disposal System constructed ) or Repaired ( ) by /mob 3 (/r Gt S t v //(/i-<.5 `J Installey f l-/ at......----------•--------------------- ------------------------•-------- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......f.` -___G... ........... dated--. `>-_1_!.j2�........ ' THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE C NSTRUED AS A GUAARANTEE THAT THE r SYSTEM WIL4 FUNCTION SATISFACTORY. DATE........�Z �� •..................•----•---•---•-----------. Inspector.... ............... THE COMMONWEALTH OF MASSACHUSETTS s BOARD OF HEALTH OF.................... ..»... ............ Disposal Works TDonotrnriiun autit k Permission is hereby granted---- }=--•------------------•--.--------•------•--......---------------... ..................... ° ................ to Construct ) or,Repair ( ) an divi ual Sewage Disposal Sy.tem at No.----=L .. / 17���i r.�, i/1// S et/y '� i 'i u°�/!� .......................... f'. .....---•...................•-•••••-•••--- -- Street as shown on the application for Disposal Works Construction Permit No ` ?.... Dated Board of Health �IATE-------•---------- i `FORM, 1255 A. M. SULKIN, INC., BOSTON so I �0 6' 6146V6 IN 1 PROP05O0 PROV WALLS NOW LOGAfION OP 1 015fR16VION OOX 100' SOfOACK LING BX15f I Nb P HB 5qjV E LIOGUS L6 AGH1 Nb f_ANK J 1 ct 1 06AR565 oyS •� 015tRx9Ut10N 00X I ' PROP0560 \ P0N0 90 f0 OB MOVBO f0 WOOF POCK W000 SHOO \ NOW LOGAfION �o ALL NOW PIPB{N& t0 06 _ K E Y M A P r•—•� 1' SGH 10 PVG PIPE VON6 PRIVOWAV\\ i ' — A66E66oR6 REP 233-051 -002 fIMOOR ' PROP0560 ,�� m I I AININ& WALL O&RA55P OVERLAY 0 1 6TK I GT GP a CAR bARAbO woof POCK &ROUNOWATER PKOTEGT I ON ON GONGROf6 5LA0 OR I � s >� I BxlSf NIN" b a c PAf�O 6EWER OE61 GNAT I ON = SOPf10 TANK / C;6i AREA OF GONGERN ihe X / _ i m OE61 &N OATA: / EX 1 6T I & 3 OEOROOM HOME QD TO REMAIN A 3 OEOROOM HOME ' I10 X 3 = 330 BEPTIG TANK = EXISTING 1000 GAL,. PLAytIG LINOR fo OB I,EAGH I N& AREA 355 !�. P. D. PROV 1 OED, ��. ♦ ' {NSTA"00 A"Nb 6066 OP V666fAf60 WOfI ANO 330 Ca. P. 0. REOU 1 RED bARAbB POUNOAt10N WALL NOXf t0 56PfIG fANK AS SHOWN ON 1985 x� 61f6 PLAN VARIANCE NEEOEOs I 09 310 GMK. 15. 211 TO REOUGE 6ETOAGK OF &AKAGE POUNOAT I ON WAL-L, TO SEPT I G TANK FROM 10 TO 6 016KIOUTION i PROPO6E0 OOX r INV EI, RE610ENGE TO OE GONNEGTEO TO TOWN I NV E1, 45. 63' 44v 93' 44' 00 6EWER A6 60ON A6 AVA 1 L AOI,E EXI6TING 6ROUN0 4° PVG 6' P90PO660 ADO 1 T I ON 6GH 40 EPFEGTIVE to OAPPL,E 4435' 7—j, i5, 55P1.EA5ANT PINE5 AVENUE 2L GENTERV I LLE MA . 10I�X 0gT , MOTIN6 1000 CAAIL, 1000 faAl, PROP69tY Of BEPTIG TANK I,EAGH PIT J066PH I, . Oe PATRICIA M . GA I RN5 JR. WITH 2 OF STONE SCALE e 1 ' 30' GA'f 6 e 5/.1 7/04 [Home use only] ...\Addfion\site1.dgn 5/20/2004 6:24:15 PM • 1 ✓F tiT �t � Cam- _��," • 44 R • _ 5 >> ... .. ..n®-.arse•+ f, � a ar`� #•r.Nx� area *ra.,Rc�'.,�,., .w..a ,.-.,�• ... ..x-#.' ....�fr - ... ,. .....r �rl'-ai_Ns b.. 4�54:'�� ..r. .-.._.r.4 r..,�;. `,-� f ; r - t 3, * �'' t a7•f .. e�.//y,.d �!`'L'�:..P/PAC'� �� St ��Y 1.�. is - ._. .-'.. 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