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HomeMy WebLinkAbout0092 OCEAN VIEW AVENUE - Health 92 Ocean View Avenue Cotuit A = 034 052 , a i .i f TOWN OF BARNSTABLE LOCATION t /4Ca SEWAGE # 98'tog IL) 5 VILLAGE . Cd r ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. D E— Co '/ZP 3, Rd- SEPTIC TANK CAPACITY t$Q LEACHING FACILITY: (type) 4— �Z#ae A A L C;b W (size) NO.OF BEDROOMS BUILDER OR OWNER d l PERMITDATE: /2:�,=mil`"" 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 Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by _p may`�� ���� _ � • ' �. �. 0 TOWN OF BARNSTABLE LOCATION—` 2 ®C2c5PAV!�'Al2- SEWAGE VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) iT (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VA&IANC2 GRANTED: Yes No ifAASA- !9y ST #4Ac,0m8F2 ; 5 X r ' e Or% . �2 OC eAA1 -V/eW A co7" No. 1 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0[ppfication for Mi-4pool *potem Con!5tructiou Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. � � �'d�xe/ Owner's Name,Address and Tel.No. Assessor's Map/Parcel Z Z V14 ®���(Q/ i Installer's Name,Address,and Tel.No. ^S® , Designer's Name,Address and Tel.No. 2--Z��p r Type of Building: Dwelling No.of Bedrooms Lot Size q.ft. Garbage Grinder( ) Other Type of Building No.of Persons j— Showers( ) Cafeteria( ) Other Fixtures Design Flow �i��'� gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil�To r/�%!/yyf �• 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 Environ ntal Code and not to place the system in operation until a Certifi- cate of Compliance has been ssue `fhi •'oard Qf H Signed�: Date Application Approved by Date /B. Application Disapproved fo a fo owing reasons Permit No. ?X - 4- / Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed(,y)Repaired ( )Upgraded( ) Abandoned( )by 1 at y `7`�E/ .' has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated ZO— Installer `)off o Designer The issuance of this permit shO n be construed as a guarantee that the s ill funct' as esigned. Dates Inspector _ . f!� No. �j f Fee' ►: , THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS q 2pplicatton for 30t5pozar *proem Cougtruction j3ermit Application for a Permit to Construct( )Repair( )Upgrade( )'Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. ��&1e6_#L Ill eul496� Owner's Name,Address and Tel.No. 41�73a__3 Assessor's Map/Parcel vY 0, 4:� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Qp 8,� 2_ 1 zw:. F Type of Building: �� � y ft Dwelling No.of Bedrooms IT Lot Size� sq. . Garbage Grinder'( ) Other Type of Building No. of Persons "S� Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons gallons per day. Calculated daily flow J�9�.y gallons. Plan Date Number of sheets Revision Date Title " Size of Septic Tank Type of-S.A.S. Description of Soil S A"I r— 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 Certifi- cate of Compliance has been .ssuedi hi oard o�Hea Signed Date Application Approved by Date /B-,2./ - Application Disapproved for a foVowing reasons Permit No. 9` 4 !<l/ Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed(y)Repaired ( )Upgraded( ) Abandoned( )by 47)w/,f r-> at L? 0 r'1 r*r�• !�n ter/ "i✓-, �_'.;`a /"�[J t`/ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ( dated Zed Installer )::)or,,,, Designer The issuance of this permit shall not be construed as a guarantee that the syst m�will function ass,designed. Date �f,, Inspector No. _l �"h � � -- -------- -------Fee , THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS lwigoa[ *pMem Conotructiou Permit Permission is hereby granted to Construct(,,A 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 the date of this permit. Date: '�.l '( � Approved by �� I `a // TOWN OF BARNSTABLE LOCATION 1..1 'L ,.:� "�v /`� G�' SEWAGE # VILLAGE : : ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE N0. '" SEPTIC TANK CAPACITY ! LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER f) PERMITDATE: /L—-;3/ l, 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 Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by r , y i . Lj DATE:_5/3195_____ PROPERTY ADDRESS:_ 92 ,QQ-e yieW. Ave ______ Cotuit,Mass ---02635 ---------------- MAY 5 1995 ------------------------ 4 EPT STABLE On the above date, I inspected the septic system at the above address. This system consists of the following: A. 1 -1000 gallon tank. B. 1 -distribution box. C. 1 -1000 gallon leach pit packed in stone. D. All Sch:' 40 4" PVC pipe. Based on my inspection, I certify the following conditions: A. This is a title five septic system. ( 78 ) R. • The septic system is in proper working order at the present time. . SIGNATURE*_ enmhe�.�,•------- Company: Address: Box_rQ_____________ Centerville,Mass. 02632 P h o n e:_5Qa�_7J.5_-333>l_`_--____ THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY JOSEPH P. MACOMBER & SON, INC. Tanks-Cesspools-Leachfields Pumped & Installed Town Sewer Connections P.O. Box 66 Centerville, MA 02632-0066 775-3338 775-6412 ��-- AI-( 2, 1995 sv'•,8U8 ACE SEWAGE DISPOSAL SY STEM INSPECT ION FORM Address of, property Owner ' s name.,;` .. Date of Inspection PART A CHECKLIST Check if the ':•following have been done: Pumping'`'': r4formation was requested of the owner, occupant, and Board of Health. -None of .the system components have been pumped for at least two weeks and the :.system has been receiving normal flow rates during that period. *. •Large volumes of water have not been introduced into the system .recently or as part of this inspection. ✓ As built plans have been obtained and examined. Note if they are not available~with N/A. 2cPAj � $�- 980 The facility .or dwelling was inspected for signs of sewage back-up,, V The site. :V`as inspected for signs of breakout. All s,ystem;.:components, excluding the SAS, have been located on the site.; ✓ The septic•<tank manholes were uncovered, opened, and the interior pf' the septic tank was inspected for condition of baffles or tees, -mater`ial 'of. construction, dimensions, depth of liquid, depth of sludge.;;:,:depth of scum. The size and location of the SAS on the site has been determined based on existing information or approximated by non-intrusive methods. The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of SSDS. Z. 5 '&ED ECOMS Ae2G Ta '&C USED T4�E� 2. � 1CUO Gunl-� �R Pt� �.l l l�-'� 2 C�t�S �Qj 7 211995 a SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM -INFORMATION FLOW CONDITIONS I. f re s nt'ide . . is number' of bedrooms number .of current .residents i a. g rbage grinder,. yes or no' • laundry connected to system, yes or no seasonal use, .yes or- no : i If nonresidential, calculated flow: -7 4 ,oMGALcovs 92l93 �p�x 2 oS G P' Water meter re.adings,, if available: Last date. of:.occu anc i GENERAL .INFORMATION �r Pumping records and source of information: ' �0 . System pumped as part of inspection, yes or no' if yes, volume pumped Reason for. pumping: T e Of. s. stem -� Se t t ank a is tr ibutio n box /s oil ab s or tion s Ystem Single cesspool Overflow..cesspool;:; 'Privy' k : � Shared system (yes or no) (if yes, attach previous inspection f records, if any). f. —`-' Other. (explain) } Approximate age ofall- components. Date installed, if known. Source• op : information:. �K ZO 198� �A Sewage odors detected when arriving at the site, yes or no ti g20GEAN3 iEA., V" Con,cr .. . 9 .SUBSURFACE.' SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SEPTIC TANK:,_ (locate on. site plan) depth below`grade: material of construction: _concrete metal FRP other(explain) dimensions,::`...:: .:gj�--��c sludge depth ' distance . from top of-sludge to bottom of outlet tee or baffle scum thickness distance from top of scum to top of outlet tee or baffle distance from bottom of scum to bottom of outlet tee or baffle. - Comments: (recommendation ' for pumping, condition of inlet and outlet tees or baffles depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, recommendations for re airs, etc. ) SC.U LA E +�P� �2D►vt A M.C— yne t_ QS DISTRIBUTION (locate on _s`it'; "tan) - VMV ELEX .depth of liquid level above outlet invert Comments: w (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, recommendation for repairs, etc. ) ----------- PUMP***.CHAMBER: (locate on .'site plan) pumps in working order, yes or no Comments: (note condition of pump chamber, condition of pumps and appurtenances, recommendations for maintenance or repairs,etc. ) E.0 C_D-rU L—c Y.2 ► �J5 0... io SUBSURFACE SEWAGE DISPOSAL SYSTEM INSP ECTION ECT ION FORM PART B SYSTEM INFORMATION continued ) . SOIL •ABSORPTION SYSTEM (SAS) :— { (locate on site plan, ifPossible; excava tion on no t' required, qu red, but may be approximated by non-intrusive methods) I f' not determined to be present, explain: Type leaching pits and number leaching chambers and number leaching galleries and number leaching trenches, number, length leaching fields, number, dimensions overflow cesspool, number Comments:; (note condition of soil, signs of hydraulic failure, level of ponding, co ition of get tion, reeccomm n_ddaationss for maintenance or repairs,etc. ) CESSP00LS.-.:(l-ocate".on . site ,plan) : .: number and configuration © C depth-top- of . liquid to inlet invert depth of solids layer . E depth of scum layer dimensions of ,cesspool materials of ;construction indicatioR' of groundwater y. inflow '010spool must be 'pumped as E part ,.of''inspection) Comments: (note condition of soil, signs of hydraulic failure, level 'of ponding, condition of vegetation, recommendations for maintenance or repairs,etc. ) PRIVY: (locate on site' plan) materials of' construction �� L' dimensions ; a depth of . s.o.lids Comments:` (note condition '•of soil, signs of hyd:aulic' failure, - level of.ponding, condition of vegetation, recommendations for maintenance or repairs,etc. )'`� COTU t 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM 1 i✓i PART B SYSTEM INFORMATION continued E SKETCH. OF,.SEWAGE DISPOSAL SYSTEM: include ti&s to at least two permanent references landmarks or' benchmarks i locate all wells within 100' f �S- 46c) . • �i DEPTH TO:.GROUNDWATER At depth to• groundwater ` met od of determinatio or .approximation: , 1�l�C-c�l� 2LX.�►...Q p . ,c� ��. Dl�t L'Te- xxrs8 Vt Cw A`l C—C)T , C k 12 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C FAILURE CRITERIA, Indicate yes, no, or not determined (Y, N, or ND) . Describe basis of determination in all instances. If "not determined" , explain why not) Backupi` of .s.ewage into facility? Discliarge`'`.or pond`ing of effluent to the surface of the round or surfade;.w.aters? g IVO Static liquid level in the distribution box above outlet invert? IVO Liquid. depth in cesspool <6" below invert or available volume< 1/2 day flow? Required pumping 4 times or more in the last year? number of times pumped ►yv Septic tank is metal? cracked? structurally unsound? substantial infiltration? substantial exfiltration?. tank failure imminent? Is any portion of the SAS, cesspool or privy: 90 below the high groundwater elevation? within 50 feet of a surface water? within • 100 feet of a surface water supplyor tributary to a surface water supply? Y rface IVO within..a,•;Zone I of a public well? �0.. within 50 feet of a bordering vegetated—,-_ •. g etated g wetland or salt marsh • (cesspools and privies only, � SAS of the ? ) Iyf� p , within 50 feet of a private water supply we'll? - IVY less than 100 feet but greater than 50 feet from a private water , supply well with no acceptable water quality analysis? If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile grganic compounds, ammonia nitrogen and nitrate nitrogen. t r .....-.��...._.`.�......... ................ .... .. _ .��... -tr.. .. ....r.r.........vi'l.�.. ........I...r.... _ . THE COMMONWEALTH OF MASSACHUSETTS BOARD 9F HEALTH No. S .0 ...............(.. ... :.OF.... .. ,.. ................. �,� �u ��trt' �rxntif . Permission is hereby grante E ,c.... G..Si�u�^ 1'.......� ifs -:.. . to Const t ( or Repair an Indivi �1�SwaggeDispos ,�Sst - ���������at ... ......r ....G�(/le ......... ........... ..J) Strcet �v =1..1�<.............. .. ad.' wn on the application for Disposal Works Construction Permit No d .......... Dated........... �.7..-: DATE----...... .. �.. ....... .. d' ealth........................................ �' FORM 1255 A. M. SULKIN. INC.. BOSTON . . . .r._. �............ .ti_ . .. ..w..��. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TlJ2......OF....... ......... Trr-tifiratr of (guntpliattrr THI IS 0 CERTI Y, That the Ind.v ual Sewa a Disposal System constructed ( ) or Repaired ( 1� ' ' a ! J f Installer/�J r has been installed in accordance with the provisions of TIT13, j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE � SYSTEM WILL F TIO SATISFACTORY. DATE..........................L.4�..... .�............................. Inspector........4.0...... ................................................... f y v SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART D r CERTIFICATION Inspector: Peter Sullivan PE Location : 92 Ocean View Ave. Cotuit Date : May 2,1995 Certification Statement I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true, accurate and complete as of the time of inspection. The inspection was performed and any recommendations regarding upgrade, maintenance and repair are consistent with my training and experience in the proper function and maintenance of on-site sewage disposal systems. I have not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15.303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. However please take note of the recommendations outlined in the report. Very truly rsloop h V Peter Sullivan PE Distribution: Original to system owner Buyer Board of Heath NUIVAN No. 29733 �ST6R��,y� OA1Al l Mq y EO 1 6 199 Ica' —A T—44w No.... ......... Fps... ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -----....,law ........._0F....A ;v,-OA�� Appliration for Dhipmal Works Toustrurthin Famit Application is hereby made for a Permit to Construct or Repair (,j'J"an Individual Sewage Disposal System at: .. .. ........... .................................................................................... 0 n-Addres*s or Lot No. .................. Owner Address Installer ....................... .............................................Address........................................... e of Building Size Lot............................Sq. feet Dwelling-A'o. of Bedrooms............................................Expansion Attic Garbage Grinder 04 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria 04 Other fixtures ................................................................................................................................................... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Septic Tank—Liquid capacity...........gallons gallons Length................ Width.---..........-- Diameter----.--......... Depth..--............ Disposal Trench—No. .................... Width...--............... Total Length.................... Total leaching area....................sq. f t. Seepage Pit No--------------------- Diameter..........--.--..... Depth below inlet.................... Total leaching area.--...............sq. f t. 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..---.--............---. 1-4 * 44 Test Pit No. 2................minutes per inch Depth of Test Pit..--._.............. Depth to ground water......--...._...._....-- 0 Description of Soil......-- ......................................................................................................................... .L_--to�_- W U ............................................................................................................................................... ......................................................... W -------­-------------------I........................................................................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable--/m/"0904P---e4.&d&Av....Zal-C-4................................. ........................................................................i------------- .......-e�.................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE LE 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 by t�p boar 4 of health. 1 0 Signed---- . .. ............. A a' Application Approved By...................................... ... .. .. ......... ........................... ...........�.= _� Application Disapproved for the following rea rs: ................................... .......................................Oate'------------— ......................................................................................................................................................................................................... < Date PermitNo........... .................. Issued.-----.................................................. Date THE COMMONWEALTH OF'`MASSACHUSETTS BOARD ®� HEALTH / t ApOir ation flan Disposal Works Tom3 rndion unit Application is hereby made for a Permit to Construct ( ) or Repair ( 2.)-an Individual Sewage Disposal System at: p .......1 L.«..... ..y _ .............f ! 1 .......................................................................... ,Loc�,6IDn-`Address rh' lY,a!`i, ' or Lot No. .......................................... .........'----............................. _ .............................................. W ` fr rzj + l f Owner Address ........................ f Installer Address Type of Building Size Lot............................Sq. feet Dwelling-&o. 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. WSeptic Tank—Liquid capacity..........--gallons Length................ Width..............-- Diameter--------_ --_- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total.leaching area._-.• ------------sq. ft. 3 Seepage Pit No----_--------------- Diameter.................--- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) `"'y-- Percolation Test Results Performed by................................................. a ------••--------------:_._ Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit...........--....... Depth to ground water..................... (s, Test Pit No. 2...I I.............minutes per inch Depth of Test Pit.................... Depth to ground water........................ ................................................................................................... O Description of Soil........ ,t <''...•...........................•--•-•----------...•-----------------------------------....---- U -••--•---•-•-••'--•••••-•-•-•-•-•---'-----...-•----'--------•-•--••......-'---•-•--•-----'-•-'--••-----....---•----••--•.....-•---'--•••-•--•------••--•--•..---•••••--•-......--•-.......--•--•--•-•••. W --•-•------------------------•-------------- -----------------------------•......--••••--PP•--•---• o.� .. ' ;a . .... •.. .....�.. V Nature of Repairs or Alterations—Answer when a livable ,e,. y - * � ________________________ -----------------------•----•------•----•------------------•----------------------........'--'-_•.... • t �`."+ ' ---••-•• ....--- ......... 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.issued by the board of health. j f Signed Date Application Approved By..................... .-----.. C� . Application Disapproved'-for the following real :.--------•----••--------------------------------------•--------••------------------------••......---"........ ------------•................................................... Date Permit No.------ �t3: = Q.................. Issued.------ ' ... ..................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF. Y r.r .............�,2. •�............... Tnt firFate of fananpfiFanrr THIS7IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by--•e..Ja.r-- T .................. .......... .�_ •---------------------------- •--------------- --- ........----.....-- } } f Installer-,,,,, s ' �� .i Fr._ w �. >i3 at. - _-- _,, -'--.......... _ ----------•- tom.-�. -------------------------------------•-------•---•--------•------. 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........................................ dated-----------:................................ ..._. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO TRITE® S A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.-----.••....�... �--- ........................ Inspector.... L --' THE COMMONWEALTH OF MASSA USETTS BOARD OF HEALTH ................r ......OF.....,.. y r. r � I No. .... =� Disposal,Works Tons#rudiatt Prrutit Permission is hereby grantedr 'r f t `T to Construct+, ( ) or Repair ( � a.n Individual Sewage Disposal System atNo. �....-..... � �✓�..._t. ,�. . -.- -� t.. .......... ` 1 ........................... Street as shown on the application for Disposal Works Construction Permit No..................�� Da��d...... _-___.._.�.... BB ......................................... o -.•--- DATE........... "- 4— ----.----- FORIVI-1.255 A 9f M. SULKIN' INC.. BOSTON .�`,# 'LOCATION c SEWAGE PERMIT NO. IVIIAG E INST ll 'S A i ADD E S S I U I L 0 E R .OR OWNER M c) f DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED --,� �-�-- L t � � �`- � \ � � ♦� �� �. �� -r ���y:, � . v � � �: r-. 1 1 : ! - I ! . I '...; I : - , , I I , 1_1_4 ; 4-- 1_7 1 ,_ 1 I . 1. � +".._._ _', : :: ' .--' r I • I N-}4 , _"_ 1, t _: f - 1 i I Lot 9 . -- - , ! 1 , I ' t I r F • '51 "__.. �_ ; ( ,. _1> _., ( 1-4j,L - ---- r _ ,. Ocean + - r i f. , i _ _ ��`�`i _ 1. ,.. 1 Vie ( � - j �' ; '»' . + s ; '�} 1 `4 % i4 +poach i ` :Ave. , i , r I i 1 +i ( ! ; t L ,0 { r i 4 I _a_ ! ! d 1 -j , t _ ........._.. t . /f -mil f . __._ _�._�' .-,� •�. - _ ,._.._.. t ... .» _ .. - 1 I .._ __. .. _r{-1. 1.- ( -, , .� mow-. 1 -4._.{ C , ..- .. �. _ ' i34 : L � S '40- wide , , I ; I . . C, _! I I_. � -, GG 3 . , N — � ' -( existing house "I92 + - I-lr__ = t , . , r - ' . -,sill e1=41:0 i ' ; } • I _ The shaded" •area 'is tHe-- Addito it _ j._.... ._I ,a._ i. ".: ptic design.._ I 1 I _ _ w. ., , .- .-� -. t_. . . I ! No bedrootd Se. . I �: ,. deck , I { s r ' �::. ' . , t �` _I n Disposal I ' nd I 1 (_.. - 9 " 1 " /bop , 4 Lot ( - ; 1 r iyst t t: . Req. 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