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Home My WebLink About0067 BETTY'S POND ROAD - Health 67 Bettys .Pond Road y H arms r 089 . A D i I 0 } 8 i d e Town of Barnstable Inspectional Services Department CAB Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO March 2021 Excel Building Systems Co. Inc. P.O Box 436 Forestdale, MA 02644 RE': SEWER CONNECTIONpDE'A'DLINE EXPIRED, 67 Betty's Pond-Rd, Hyannis A= 290'089 Dear Property Owner, Your sewer connection deadline extension has passed. Please contact the Public Health Division Office to provide an update relative to the status of property's connection to public sewer (i.e. contractor name, DPW sewer connection permit number, anticipated connection date.),_. If you would like to request an extension, such request must be in writing addressed to the Board of Health (200 Main Street Hyannis, Massachusetts) or e-mail Sharon Crocker at: sharon.crockergtown.Barnstable.ma.us within fourteen(14) days.. Sincerely yours, rn Karen Malkus-Benjamin Town of Barnstable Health Division Coastal Health Resource Coordinator karen.malkus(a�-town.barnstable.ma.us 2 ►�-� � � �' c� _'tau , SS�� Town of Barnstable Barnstable °fs"E Teti Board of Health 200 Main Street, Hyannis MA 02601 BARN. BLE, 2007 9Q MASS. -O 1639' �0 ArFD MAt A, Office: 508-862-4644 FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi March 13, 2015 Ms. Mary Grace Tavares 61 Betty's Pond Road Hyannis, MA 02601 RE: Extension of Time to Connect Dwellings to Public Sewer A=290-080 67 Betty's Pond Road, Hyannis, MA Dear Ms. Tavares, At the March 10, 2015 meeting of the Board of Health; you were granted an extension to connect your property to public sewer. You are granted an extension until such time there is a change of ownership of your property located at 67 Betty's Pond Road, Hyannis to public sewer. This extension is granted with the following conditions: 1) If the existing septic system hydraulically fails, you will,be required to connect your dwelling to public sewer within sixty (60) days of discovery of the failure. 2) You must record a properly worded deed restriction at the Barnstable County Registry of Deeds of the extension granted and all conditions of the extension as granted by the Board of Health. 3) This extension expires in five (5) years, .on March 31, 2020. You may request an additional extension from the Board of Health at that time. . This extension is granted due to financial hardship as detailed in the e-mail letter dated February 27, 2015. Sincerely yours, Way e Miller, M.D. - Q:\WPFILES\Tavares67BettysPond SewerExtMar2015.doc f G M/Vfl ILn ru rmu .4� M d O Postage $ �rr FEB Y Q/1� Certified Fee 1 C3 Return Receipt Fee ` Post rk (Endorsement Required) 1 re o \USpS Restricted Delivery Fee p (Endorsement Required) O ti Total Postage&Fees $ rl Sent To 1FY O Street Apt.No.; -------- --- - - i1 or PO Box No.��+.-- r am... P�s a r . City State,ZIP+4 Certified Mail Provides: o A mailing receipt c A unique identifier for your mailpiece e A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Maile or Priority Mail®. o Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. c 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. a 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". a If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office 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 to Comple, items 1,2,and 3.Also complete A. Signs re item 4 if Restricted Delivery is desired. X �1 Agent • Print your name and address on the reverse 1/ b Addressee so that we can return the card to you. B. Re eive, Tinted Name) C ate of Deliv o Attach this card to the back of the mailpiece, nt M or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑No ((-c- c-r-1 F rn(::iL,-a E Fo-L)o—re 5 �'k.. 3. Service Type N ct r1 S M (N- QCertified Mail- 13 Priority Mail Express"' ! ❑Registered ❑Return Receipt for Merchandise D 2('iJ ( ❑Insured Mail ❑Collect on Delivery 4. Restricted Delivery?(Extra Fee) ❑Yes i 2. Article Number 7014 1200 000i-0358 2325 fir'" I (Transfer from service labeq _ PS Form 3811,July 2013 Domestic Return Receipt r : I UNITED STATES POSTAL SERviCE I First-Class Mail Postage USPS &5pes Paid I I Permit No.G-10 I I I • Sender: Please print your name,address, and ZIP+4®in this box* I � I � I I I 's Town of Barnstable Health Division � 200 Main Street Hyannis,MA 02601 Town of-Barnstable Barnstable Regulatory Services Department I HAP" ABM : 0 D 9� 9. ,�� Publi'e Health Division �fOMP'�p 200 Main Street, Hyannis.MA 02601 2007 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7014 1200 0001 0358 2325 f February 9, 2015 FELICIANO & MARY TAVARES, SR 67 BETTYS POND RD IMPORTANT NOTICE HYANNIS, MA 02601 Map & Parcel: 290- 089 DEADLINE APPROACHING According to our records your dwelling at 67 Betty's Pond-Road, Hyannis;MA, should be connected,to public sewer on or before 3/30/2015.. This is a reminder that all permits need to be in place before this date to be in compliance: 1) Septic Abandonment Permits ($ 25) are issued at the Public Health Division, 200 Main Street, Hyannis. The old septic system must be either removed or filled in due to future safety concerns. This may be done by the same contractor who connects you to the sewer. 2) Contractors; approved to perform sewer connection work in the Town of Barnstable must obtain and file a Sewer Connection Permit with DPW-Water Pollution Control Division, 617 Bearse's Way, Hyannis—contractors, please call Dave Anderson at(508) 790-6244. P LIMITED TIME FOR SAVINGS .ON GRINDER PUMP The Department of Public Works(DPW) is still offering grinder pumps at no charge, if you obtain your permits and connect to sewer promptly. (This can save you thousands of dollars, but this offer will expire.) Please note: You must pay the installation cost of the pump through yqur own contractor. FOR ANY QUESTIONS /ASSISTANCE`. Len Gobeil at the Town Manager's Office is available to provide you with direction you may need in reference to the Stewart Creek Sewer Connections. You may contact him at 508-862-4701. Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health e �IHEh Town of Barnstable Barnstable Regulatory Services Department A14madcaCRY .wuvsrnauE, KAS& g 0 � �,0 _-_--__._._---.-.---___. __ Dub ic.Health-Division. ____... 0 MainStreet, Hyannis MA 02601 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7012-1010-0000-2848 -0066 March 28, 2013 FELICIANO &MARY TAVARES, SR FVT&MGT REALTY TRUST 67 BETTYS POND RD IMPORTANT NOTICE HYANNIS, MA 02601 Map & Parcel: 290- 089 The Department of Public Works informed us that public sewer lines are now available in your neighborhood. According to our records, your property has a septic system. This letter directs you to connect your dwelling, at 67 Betty's Pond Road, Hyannis,MA, to public sewer on or before 3/30/2015. The old septic system must be either removed or filled in due to future safety concerns. This may be done by the same contractor who connects you to the sewer. Septic Abandonment Permits ($ 25) are issued at the Public Health Division, 200 Main Street, Hyannis. Failure to comply with this Board of Health Order may result in a complaint against you, in a court of law. k For additional information pertaining to the sewer connection, please see the reverse side of this page. PER ORDER OF THE OARD OF HEALTH Thomas A. McKean, R.S., C.H.O. gent o t e oar — Cc: Barbara Childs,WPC/Roger Parsons, Town Engineering, DPW Enc. QASEWER connect\Letters Stewart Creek Sewer Connects\MAIL.ING LetA Sewer 2Pgs Merged 3-28-13 Yr2015.doc r Public Health Division March 28, 2013 ADDITIONAL INFORMATION AND REMINDERS FROM OTHER DIVISIONS: SAVINGS AVAILABLE/GRINDER PUMP: A reminder to those of you who need a grinder pump for your connection: Department of Public Works (DPW) sent you a letter in December 2012 stating the town, for a limited time of two years, only from the receipt of the DPW letter, would provide you with the pump at no charge. (This can save you thousands of dollars.) Please note: You must pay the installation cost through your own contractor. Please make your contractor aware of this, if interested. Also be aware: this is a shorter deadline than the Public Health Division's deadline on the reverse side of this page. SAVINGS AVAILABLE/PERMIT FEE: The Town offers a waiver of the residential sewer connection fee of $420.00 for those properties that connect within two years of the receipt of the DPW December 2012 letter. LOANS: For loan(s) available, please see the enclosed brochure, or see the town website: http://www.town.bariistable.ma.us/cdbQ (under the "CDBG Programs", see "Sewer Connection Loan Program). For loan specific questions, you may contact Kathleen Girouard, Growth Management, at 508-862-4702. CONTRACTORS: Information on Licensed Sewer Installers is available on our web site at www.town.barnstable.ma.us/PuubllcWorksTech/sewerinstallers. Contractors, approved to perform sewer connection work in the Town of Barnstable must obtain and file a Sewer Connection Permit with DPW-Water Pollution Control Division, 617 Bearse's Way, Hyannis—contractors, please call Dave Anderson at (508) 790-6244. FOR ANY QUESTIONS /ASSISTANCE: Len Gobeil at the Town Manager's Office is available to provide you with direction you may need in reference to the Stewart Creek Sewer Connections. You may contact him at 508-862-4701. QASEWER connectU.etters Stewart Creek Sewer Connects\MAILING LetA Sewer 2Pgs Merged 3-28-13 Yr2015.doc 4 o Complete items1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ` ❑Agent X 0 Print your name and address on the reverse ❑A dresses so that we can return the card to you. B. Received (Printed Name) C. Date f Deliv G Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from Rem 1 ❑ e 1. Article Addressed to: If YES,enter delivery address below: ❑No �(FELICIAN0 & MARY TAVAk U, �FVT&MGT REALTYZRUST (47 BET,TYS POND-, HYANNIS, MA 02601 3. Ice Type 7erufied Mail ❑,124press Mail ❑Registered WRetum R pt for Merchan Q / ❑Insured Mall ❑C.O.D. b 7 A!N,i Restricted Delivery?(Extra Fee) Yes 2. Article Number r 7�12 1�10 DODO 2848 ��66 (Transfer from serv/ce/abeq PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL,SERVICE � First-Class Mail Postage&Fees Paid LISPS No.G-10 • Sender: Please print your name, address, and,ZIP+4 in this box • a Sewer Connect Public Health Divison Town of Barnstable s 200 Main Street I Hyannis,MA 02601 - I I I l�'ilil►l�llr�l� :i,f�lliji:,flflf'}it ,itll ��i�lli'If�11�I � I I O O to I . CE) Postag - $ ru . C3 Certified Fe MO Return Receipt Fe C f m cH re C3 (Endorsement Required) , Restricted Delivery Fee O (Endorsement Required) M Total Postage&Fees Fs 6, 11 VA�A rq - — — r„ sent FELICIANO & MARY TAVARES, SR o srrei FVT&MGT REALTY TRUST, _ r` "( 67 BETTYS POND RD �S C*± HYANNIS, MA 02601 w Certified Mail Provides: c Amailing receipt + n A unique identifier for your mailpiece n A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail®or Priority Maile. o Certified Mail is not available for any class of international mail. is NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o 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 USPS®postmark on your Certified Mail receipt is required. o 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". o If a postmark on the Certified Mail receipt is desired,please present the art;,- cleat the post office 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 Town ®f Barnstable Barnstable ~� Regulatory, ulator. . Services Department A„�caca,r � lARNSCABLE: * ' " Public Health.Division m 9 i63q 200 Main Street,.Hyannis. v' ----...__...:_-----------------..._._._...--------..._.__...-- -- --- -------------- _......... . Office: 508-8624644 . Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7012-101&m0000-2848 -0066 t March 28, 2013 ' FELICIANO &MARY TAVARES, SR FVT&MGT REALTY TRUST : 67 BETTYS POND RD , EAPORTANT NOTICE HYANNIS,MA 02601 -Map & Parcel: 290- 089 The Department of Public Works informed us;that public sewer lines are now available in your.neighborhood. According to our records, your property has a septic system. This letter directs you to connect your dwelling, at 67 Betty's Pond Road, Hyannis,MA, to public sewer on'or before 3/30/2015. The old septic system must be either removed or filled in due to future safety concerns: This may:be done by the same contractor,who connects you to the sewer. Septic Abandonment Permits ($ 25).are issued at the Public Health Division, 200 Main Street, Hyannis. :Failure to comply with this Board of Health Order may result in a complaint against you,in a court of law. For additional'information pertai=' g'to the sewer-connection, please see the reverse side-of this page. PER ORDER OF THE OARD OF-HEALTH r Thomas A. McKean,R.S., C.H.-O. Agent of the Board of Health _. . . Cc: Barbara Childs,WPC I Roger Parsons,Town Engineering, DPW Enc. Q:\SEWER-connect\L etters Stewart Creek Sewer CoInlects\MAILING LetA Sewer 2Pgs Merged 3-28-13 Yr2015.doc Public Health Division March 28, 2013 ADDITIONAL INFORMATION AND REMINDERS FROM OTHER DIVISIONS: SAVINGS AVAILABLE/GRINDER PUMP: A reminder to those of you who need a grinder pump for your connection: Department of Public Works (DPW) sent you a letter in December 2012 stating the town, for a limited time of two years, only from the receipt of the DPW letter, would provide you with the pump at no charge. (This can save you thousands of dollars.) Please note: You must pay the installation cost through ygur own contractor. Please make your contractor aware of this, if interested. Also be aware: this is a shorter deadline than the Public Health Division's deadline on the reverse side of this page. Also, County Septic/Sewer Loan program: Contact Kendall Aver 508-375-6610 and ...-6877 SAVINGS AVAILABLE/PERMIT FEE: The Town offers a waiver of the residential sewer connection fee of $420.00 for those properties that connect within two years of the receipt of the DPW December 2012 letter. LOANS: For loan(s) available, please see the enclosed brochure, or see the town website: http://www.town.barnstable.ma.us/cdba (under the "CDBG Programs", see "Sewer Connection Loan Program). For loan specific questions, you may contact Kathleen Girouard, Growth Management, at 508-862-4702. CONTRACTORS: Information on Licensed Sewer Installers is available on our web site at www.town.bamstable.ma.us/PublicWorksTech/sewerinstallers. Contractors, approved to perform sewer connection work in the Town of Barnstable must obtain and file a Sewer Connection Permit with DPW-Water Pollution Control Division, 617 Bearse's Way, Hyannis —contractors, please call Dave Anderson at (508) 790-6244. FOR ANY QUESTIONS /ASSISTANCE: Len Gobeil at the Town Manager's Office is available to provide you with direction you may need in reference to the Stewart Creek Sewer Connections. You may contact him at 508-862-4701. QASEwER connectEetters Stewart Creek Sewer Connects)V1AILING LetA Sewer 2Pgs Merged 3-28-13 Yr2015.doc TOWN OF BARNSTABLE LOCATION !'� 1A SEWAGE # 8 I VILLAGE ASSESSOR'S MAP & LOT 2 70 INSTALLER'S NAME & PHONE NO. « ? SEPTIC TANK CAPACITY &{klr SEPTIC LEACHING FACILITY:(type) 3(0TWFCLcWrWf vc*-> (size) 2 0- sTars� NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER J��k �( ` f DATE PERMIT ISSUED: DATE .COMPLIANCE ISSUED VARIANCE GRANTED Yes No ,�C 5�5 - Z . N � ro 't' No..6 .._12 76 Fizz ..._......_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliration for Ui_gpasal Marks (9onotrurtion Prrnti# Application is hereby made for a Permit to Construct ( ) or Repair ("n Individual Sewage Disposal System at: Location.Address or Lot No. ............. G�fC ...... 6... _ _ — ................... _!1x C.. ....... .. W JI fgri _ Address a •......................... ....... .......... ! Cam:�i .......P.&.n ..................... Installer Address Type of Building Size Lot.................... .....Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ----------------•-------------------•--•---•-••-------.•-••----•-•----------•••-••••-•-----...... IT, DesignFlow............. ... ............... allons er erson ,day. Total dail flow_.. ?_..y... gal g P P P Ions. WSeptic Tank-� Liquid capacitv_�.O gallons Length-_--__�'_..___ Width... Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No........J......... Diameter.....J.3) ...... Depth below inlet......Cj.'......_. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 04 Percolation Test.Results Performed by......................................................................... Date......................................... Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fT4 Test Pit No. 2................minutes per inch Depth'of Test Pit.................... Depth to ground water........................ a ---------------------------------- --------- ------------------------------------ ------- -------- ---•............... -...... 0 Description of Soil................................. W ..............•--••-•-•••-....•••---••-••-•----•--•--...---•-•----••-------•--•--- - --.•-•--.......------•---•-......-----•---••--•-----_._.. --•---••--•............._....---•-----.. --- x ....-•-•--•----------------•------••-----•--•-•-•-•••-•--------------••••--•-------•......-----•... ---•------•----------- -••••-.... -•-••-.......... U Nature of Repairs or Al erations—Answer when applicable._-.7.` _zki�!�..___.d(-�.`.�..__._C-VS�:F�4�� ................ ...................T_.V�t�:�.[S............ ...... M4'T........ ........... Agreement: The undersigned agrees to install the aforedescribed Individual.Sewage Disposal System in accordance with the provisions of iIT:...i: 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance h_ as been_issued by the boVd, of Ea . Signed-,..........� ---------- �� - Dat ------------ Application Approved BY ....._. .. 1. .: Z. e� Date Application Disapproved for the following reasons:-----•-------------------------•----••--------._...------....---------------•----------•--•......-•--........... .........................................................•---•-------•-----------•-•-------•----•----------••-------•--•--•-----------•-----------••--•-----••-••---••--------......................... Permit No. f..?: _ Issued........-•-----••------•---•-•--•--------.Date ....... Date No _12-7-76 Ficz 1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ,,vv tratiou for UWposal Vviks Tonstrurttun jimnit Application is hereby made for a Permit to Construct ( ) or Repair ( ) ari-Individual Sewage Disposal System at: q ............ ._....... i h. 5 U ��'.'............. . ................ 0 .�v+ l c r- ....-----•----------------- Location-Address _ { or Lot No. �.�. S t Owner f a Address- .................. It- a `...............�`"'_.._ ��.. �� ._f J...................................... ........tom._.. �tl 1 ..................... `. Installer r e of Building naaress Type g Size Lot--- .................Sq, feet ►-, , Dwelling No. of Bedrooms.._..._ ...... :--:--- ---------- Attic ( ) Garbage Grinder ( ) Other- Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) � Other fixtures .................. ------ -------- -------- ------------------------------------------: .. -------------------------------.......... . W Design Flow..... .'�•._. ....:.................gallons per person per day Total daijy flow......�'�. ? ....................gallons. W Septic Tank Liquid' capacity �r?4X4allons Length...... ....... Width.--_•_'?......._ Diameter---------------- Depth................ x Disposal Trench=No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...........)......... Diameter ... ` ..... Depth-below inlet......t- ........ Total leaching area..................sq. ft. Other Distribution box Z14 ( ) "Dosing tank Percolation Test Results Performeby................................................ Date. Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f�a Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fYi 0 Description of Soil..•--....•-------•----•--....••---•----••---•••--•---••-•--....•-----•-•--•-------•--------•-•---•-•-----------------••---------------- -----•-•---.............. V : ..............•--•---------...---•-•--•---••-•-----.....-•---•----......-------•-•-•---.........--•-----•-•••---•-•-•--••---------••-----......--•---....----------•--•--------•---•------•-----•---•-- W x ------------------------- ... U Nature of Repairs or Alterations—Answer when applicable ................ t/� a r�? _1,{"I_/1f- C C l n� a1 1 C F aft 5 _..7.. -t 1- •----- -------------•-•--•------- ------... ......' -r-- •r -•. Agreement: undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'I' 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issuedbythe b ar-,d'of 1 fealth------ --- r Signed. ------- � Fi '�"-t �. ---- - `-- Application Approved BY............ _ Date.. --- APplieation Disapproved for the following reasons------------------------------------------------------------------------------------------••.. •--•---•••--..... ................................•---------------....---------•-------....--------------......-----............---------------------------------------------------------.....--•......-------•------------ �n e _2—7 Date ". Permit No.................................. Issued_----•---•---------ti D ..----•.......................... --__------ _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH F c.- 4 �nrttftratr ,af f�ompliattrr `THIS IS TO CE12TIF_Y, That—the.Individual Sewage Disposal System constructed or Repaired 6 ..................•--•-•...------.......- ` ..........' .. - c;.g P �' ( ) Y ---------------- ------------------------•---•----•----•----------...-•------ -•--••----.....-------•--••-----...... , r •Installer -• at..........................•-`=°:._T/ 2. \- t 7 1�.'1 Y K G.\_ r r l . ... 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----r -�c......L s'. E. dated......- _.., .X _o�__�'S. ..... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL IFUNCTION SATISFACTORY. DATE 1..... f.�5 .-----•-----------------•- -•----... Inspector.. r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH f .a1.........0F............. .... FEE........................ DisposalWorks-Towitrttrtion f amit Permission is hereby granted ...-",`....--.. ....... 1 4_".._% =- to Construct ( ) or-Repair (L.)—an—Individual Sewage Disposal System ;. -+ = --------•--- ----•-•--•-------- Street as shown on the application for Disposal Works Construction Permit No lDated....... �i .. DATE---------- _-------•-��-1-=�-----------� ............Gt.`'�v. x._..__...... Board of Ile:alth