Loading...
HomeMy WebLinkAbout0246 OCEAN VIEW AVENUE - Health � 46 OC -,.rfN VIEW ,�,�✓]�,tyf�Ul.� . a � - A= 033 003 001 Bath owder Laundry pGym Garage. Kitchen Hall Bedroom 1 Ba h Great Room Dining Room 2 Stud 246 Ocean View ki First Floor Plan Sketch f `.J }; Co 5. l aw rT7 edroom 7 Bath edroorri Living Room Stairs Bedroom 4 Bedroom 5 M aster Bath. Bedroom 3 Master Bedroom Office Attic 246 Ocean Viewer Second Floor Plan Fee No.c 07 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIPPYication for Mioozal *pgtem Congtruction Permit Application for a Permit to Co )Repair(A1,,'U'pgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. G7L'���,I f/jly Owner's Name,Address and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No. of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 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 Nature of Repairs or Alterations(Answer when applicable) ���C ��i�C`•1 /'�d7"�dl��- --�'�•-b dCid�i4Gx, ®l+� �`i.t�F°DI o.ol 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 not to place the system in operation until a Certifi- cate of Compliance has been issued b is o d o ealth. Signed Date Application Approved by Date Application Disapproved for the following reasons Permit No. creo S Date Issued `No �5I 7 Fee! THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01pplication for Migpool *pgtem Comaructfon Permit. - � Application for a Permit to C f( . )Repair4z)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address cr Lot No. Owner's Name,Address and Tel.No. cofo Assessor's Map/Parcel`L + '_Idp ��R/q Installer's Name,Address,and Tel.No. :Designer's Name, Address and Tel.No. Type of Building: Dwelling No.of Bedrooms �" Lot Size sq.ft. Garbage Grinder( ) Other Type of Building_,gE el—r t,». No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. - Plan Date w Number of sheets Revision Date .;� Title Size of Septic Tank ,,_.:: Type of S.A.S. Description of.Soil; r _ Nature of Repairs or Alterations(Answer when applicable) �i��r/�.✓'�C C T�� `�� /G ��i���l' /'147�di'�if' �' ,b GP�"/"�ifG�'1� Of�� DZ`/J'E oN Date last inspected: The undersigned>.agrees to ensure the construction add maintenance of the afore described on-site sewage disposal system in accordance wir_h the provisions of Title 5 of the Environmental Cod and not to place the system'in operation until a Certifi- cate of Compliance has been issued his JB ardof Health. _ SignedDate "A Application Approved by Date, `� Application Disaiproved for the following reasons v Permit No. Goa r Date Issued ZS ^ 1 �. . ------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS Q\1 BARNS-TABLE, MASSACHUSETTS QCertif irate of (Compliance THIS IS TO CERTI Y, that the . n-site Sewage Disposal System Constructed( )Repaired (/ )Upgraded( ) Abandoned( )by r) leu _ at iD V�� �C` V"Q l yi has been constructed;n ac ordance.. _ with the provisions of9NO 5 and for Disposal System Construction Permit No.��y� 6'dated T? Installer / e0 L) Designer The issuance of this pe shall not be construed as a guarantee that the system vua n do• as desi ne Date ` Inspector �� i — - �———————————————————————————————— y THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Ofi6po5al *p!5tem �Con5tructtan Permit Permission is hereby granted to Construct( )Repair(f/)Lb grade( )Abandon( ) System located at 94 9 0cgp4c 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 st be completed within three years of the d e of f this pe t. Date: 26 5 Approved by TOWN OF BARNSTABLE LOCjATION DC��. l/er'r.✓� C SEWAGE # 133 s0 VILLAGE ASSESSOR'S MAP 6z LO INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY -J.000 LEACHING FACILITY:(t pe) (size) /,tpa NO. OF BEDROOMS PRIVAT TNELL OR UBLIC WAT BUILDER OR OWNER a i wT SU.. DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No i 1 �A 11-0 0 ✓ 5� 4lp i F �v TI Y g ASSESSORS MAP N0: 33_.. PARCEL E COMMONWEALTH OF MASSACHUSETTS ` o �s I BOAR® OF HEALTH OWN OF BARNSTABL.E �c►crs Apip irat- it for DijVotial Nurbi Towitrurtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair (K) an Individual Sewage Disposal System at: Z 61 .... ©C.�Al:.l_ �Cam,,( 1 .......... ........... ------•--•------------•-------•-••-•----••---•---•---•---- -spL ..................••••.. _.. Address ...k4- Address Type of Building Size Lot_-33 06'9.._..Sq.. f et Dwelling— No. of Bedrooms.--._.. _____________________._.___.__Expansion Attic ( C� Garbage Grindere)s aOther—Type of Building __________________________ No. of persons..-.__-__._---_---.--__.__- Showers ( ) Cafeteria ( ) a' Other. fixtures _............................ .. W Design Flow........ -----------gallons per person per day. Total daily flow....... ....................gallons. WSeptic Tank—Liquid capacity gallons Length_Il__--l_l------ Width_,5_- --. Diameter__-- -- Depth�..Ia_ x Disposal Trench—No. .................... Width.................... Total Length-------------------- Total leaching area--------------------sq. ft. Seepage Pit No........Z.......... Diameter...... Depth below inlet..(0............. Total leaching area... ...sq. ft. Z Other Distribution box Dosin k ( t Percolation Test Results Performed b €�?kKTT-1_ �� -..._JCS Date---�� -5-- - -- Y --- � i , I- ------ Test Pit No. I_._�2-----minutes per inch Depth of Test Pit---- Depth to ground water.. ?....-N-.mUtUZ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ------------------------------------- -------------------- --- ------•• •-•- O Description of Soil------.. �"�'A%sl ------..0J6�-1 L'-----Z- 1--------- - x U -•••••••-•-•---••-•••---••-----•••••-••---••••••••-••-••••-----------••-•-••-----••---•-•....._.....••-•-•--------------•••••-•---•-----•--•----••-•....••••-••--•••-••••-............••-•-•--••--•••... x ---................................................------------------------ ---------------------------------------------- ------------.......................................................... 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 Environmental Code —The undersigned further agrees not to place the system in operation until a Certificate of Compli has been issued b the board of health. I Signed .. ----------- ----- -- ------- h Application Approved ...... _.. .. ......... f....^ r..................... - PP PP Dare Application Disapproved for the following reason . ........................ ------------------------------ ......------------......--------- .............................. ------------------- --------------- ---- -------------------------- ------------------------------------- ------------- ........................................ Permit No. / c^ � r �K� Issued � ....:--L---.......,�_._ Dace _ ` 1 J THE COMMONWEALTH OF MASSACHUSETTS rf BOAR® OF HEALTH A. ,TOWN OF BARNSTABLE Applirat&bit for Divi-poiittl lVor1w, Towitrurtiott Vautif Application is hereby madeffor a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: Z y(o e K.'. Lg.n on-Address or Lot No. =`�? 1�L_l d '_�'�...........--- -2�l--�- �...Ea.�..�(�c.��--- ..................... Address �7 Installer Address Qa d Type of Building Size Lot-33rg�-----Sq. feet Dwelling—No. of Bedrooms___--------------------_--___---__.-:,Expansion Attic (K\Q) Garbage Grinder':'VG)5 aOther—Type of Building ---------------------------- No. of sons---------------------------- Showers ( ) — Cafeteria ( ) Other_fixtures --------------------------•----•----------------- =::------------=----------------- ............................................................. Design Flow-------- ...........gallons per person per day. Total daily flow.............................................gallons. W Septic Tank—Liquid capacity,Z'gallons Length.11:7J ...... Width,,:"g--.- Diameter_-_.__.. Depth:�..2x.. :., x Disposal Trench—No_ ____________________ Width-------------------- Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.___..._ ._.____ Diameter__._.J -.___.._. Depth below inlet__±_ ....... Total leaching area.__-a :I....sq. ft. Z Other Distribution box Dosing,. k (� ' '-' Percolation Test Results Performed by__-_1 /�k-ice. ..�--_2 •-- IBC Date L ��._� ........ a , Test Pit No. L__�___......minutes per inch Depth of Test Pit-_.X.___-.j_�.... Depth'to.ground water__�•�.v�..--(Q--vUtt)7aZ fs Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth-to ground water......................... - -----------------••-- -0 Description of Soil--------�----Z"--�'o�l�1------�c-�-C�.3�J(-C. Z—!Z. �� ----------+ � 4 I. 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 Environmental Code —The undersigned further agrees not to place the system in operation until a Certificate of Comph ce has been issued by the board of health. Signed . - - --------------------------- - .��....................-- _ Application Approved ... -------------------- -----------�..._. .... -------------- -- 1 � ' Date Application Disapproved for the following reasons ------ _.......... ...... .................. ........................ ---------------------------------------- Permit No. i - � -------------- Issued -- Date _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of C ompit'U re THIS IS TO CERTIFY, Tfiat'the Individual Sewage Disposal System constructed ( ) or Repaired ( � ) by ---------------- - - - ---------------_.._...------------ ------------- ---- 't ........ --... - CAI -t_.-Y 1..C. (.......h �/----- ----4O-C1------'�------------------......._.....�----------- ----�...----------------------------------- .......... .......... - -.-----. .,E has been installed in accordance with'the provisions of TITI. 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit N . - ...... dated THE ISSUANCE OF THIS CERTIFICATE,SHAW NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ¢ �., - ... - Inspector -------0.•..J- - ...._.......... DATE ................. .�..-_�C3 . ---------------- - ------------------ --------_------- ------_,—__,.----- THE COMMON_.WEALTH OF MASSACHUSETTS BOARD OF HEALTH O�5- TOWN OF BARNSTABLE No.. TOWN FEE./......... Lt sttt �#r rut i�� Permission is herebyranted_. ------ ....... ----- ` � � g to Construct ),Qr�Repair (},) an Individual ewage.Disposal System at No.--- ZA�..-�.X3 A_L`�---Y_i_t-'�c P l `�1------....Lo..�12f7-------- --------------------------------------------------------------------- Stre f as shown on the appficati n for Disposal Works Constructionfrrrit o- - �� / ���/_-....� �.. �7----��--- Dated.:-=�i '---�'- - ,`... ) l 1 I ----- ---•----•- = z41 Y DATE.............. . .--- ---/�m ------- ---•---------------------•• Board off Healthy FORM 36508 HOODS&WARREN.INC..PUBLISHERS TOWN OF.,BARNSTABLE. LOCATION h/ �G' SEWAGE # / 3�—OUP-eo VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. "'`C i SEPTIC TANK CAPACITY L 0^Ot-0 17-i/ LEACHING FACILITY:(type) ;, / 5 _(sue) /U,9O fe --- NO. OF BEDROOMS PRIVA. WELL OR "PUBLIC WAT r _ BUILDER OR OWNER +� `)a r3 e&I d e-fi50. DATE.PERMIT ISSUED: i DATE COMPLIANCE ISSUED: .JTT VARIANCE GRANTED::Yes No to 0 s C;� y✓ v 5I116LE FAA-IL-r 8• BEVIEa.Wir ��i� l &F 2 Wit-4 GAZ73Ar E GRi► v2v- 'PAIi_-( FLoW t3 x 110= Ego Ci?c> 6PD 5EP-i c TA Nv— Leo )(io,%= rj(,,o "L- vS ig 2 cx�o cAL sEt-: 'PLAN 00 -Wi. 9c--ems:of Dl goSAL PST 2-�ovp L/3' %TONG 51DEV/ALL AFeA 4qC Z s(-- �v� 1`2 aoUSE: 1+ 2d4 4S25F X 2�S = 113� �Pt�, BoTTo vi A Z-z eo s F OC EA N View AVE ) 60-ro 1 T lam` x 1,o 2'z6 6.f'D, ToTX\L t)&5I6N = 135l 6fp, TorA L DAILY rlo pJ = 131Zo 6,QD PELcvLATI oN eATE t��IIJ'LN►IN/LC-SS Of� fFi OF RtCHARD P:TER a � BAXTER "' c� SU!!IVAN N0.24M No• 29733 , �casT ���c@ NA L a C) oc T, ilsk �,s ci2s 4 c >rc�s ��_ 33� �aNd MP, u rz"o c' FEi TF I 77 Wl. P.V.C. Qu-n.G T 1 2 sow r z !' ' - 'Zaov==::-- b1ST 6AL 32, 5 ric IGAo 'S 1� Boic T-AANe- 3i P, I L ; t',r 3 1,� 31.4 i t IMF- , W, A 1• 3�3/4.I/Zp 1 Au_ 5rev:ruQEs s�-r f %Tour= MOPS 'MAfJ 4' vt:�-' Ii si4ALL BE ►"t-Lo E LZ S S$�i"I e iU tb G IJ ' 12 i `G'�VEl.opl �i�- CErzi-1 Fi© P�7" pa — . - _ --- - PLAN ZE•1C.E l.oT- I'Z t D DA xYi Z (KC P2oFr--%to,4AL i AtJ� 5u�v�/az5 CIS FLAQ (S HOT- t� cN hN l�1STL'vti4E 1" Supv/c-:�-/ ,41JT-�, 1-NF_ 440L)_D uM- -aE /;5 uSC1� T"o ESTA,at�l5 E� 5'[�2•itc t MAA � , APPL-i cA W7 ' P�-- M2ab �ID�TsviJ . �j•, QIcNAQD �EUDE"fSaiJ 5caLz I''=-e�' ocT, 0gg4 5 . i ca Possiact cESSPooL 32.7 32.6 > $C--W.,4 MA�,c 4�� E: covE C.B. 3/ . 5 3i OB -1 q,22 A=32dY, vo A�sauaoa s=x1sT1Nr; r � 14p°MAP4E- P�r 33 . 3 5.3 T 33.2 %9 33.4 ? 33� 33 4 Poor, ems. A r �. N �x P, 4 ,i. 1I FF EL43¢33 , �� •�_ EXISTIa(' � r 1450 `b 1 i 1 c� l�s•os cry V f Eft/ � �OF' " �� �►S, s„� RK34Aaa PETER A- SUL:_.vAN J 1 aAXTEA No. 29733 `�h "v c� �S�J"pcE�i eu lii�N VC L 0'_C AT ION SEWAGE PERMIT NO. yfilia VILLAGE INSTALL 'S N ME i ADDRESS I U I L D E R OR OWNER Jol.� DATE PERMIT ISSUED � � DATE COMPLIANCE ISSUED �_�y R aG OVS A;o ez_ rip O �vE'S7 S�0�2n7C s r ss�M IN F�$ .......5 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH % r J D ..) /V.. . -.0F.........L�J92.M.S-ZA L /6_........................... Appliratiun -fur 43itipuuttt Murky Tonotru tiun Prrntit Application is hereby made for a Permit to Construct or Repair Tan Individual Sewage Disposal PP Y ( ) P ( ) a P System at: SY ........................................ ------------------ --------------------------------.._..___-...---------------------------------------- Locat' n Address or Lot No. ------_Jo y✓---.. - -------------------------------=------------- ---------- ?� -------------•-------------------------------.. 200 -------•-•- •.. _..• ----------• ----••------•------- Installer Address d Type of Building Size Lot----------------------------Sq. feet +► U Dwelling—No. of Bedrooms.......... ..................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures .............................................. e per gallons n Flow Design Flow p prsoner day. Total daily flow per y ..........__._.._._._.....___.._____...-__..-g W111ons. 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 ( ) Percolation Test Results Performed by----------------------------------------------------------- __ Date____-----------------------------_-.---. Test Pit No. 1----------------minutes per inch Depth of "Pest Pit.................... Depth to ground water..-._--_-____.-._-.----. fZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-_.-_-_-_______-__-_-._. ------------------------------------------•-•-..__.__....-•-•-•-----•--•-._..-.-----------------••-•......................................................... O Description of Soil___. . ._.. x - - •-•••••• ----•-----------•••--•---------------•.----------•----------------------•----.-----:......:------------ W ___________________________________________________________________________________________________________________________________ L --yyam� - .................:... U Nature of Rep•irs o Alte tions—Answer when applicable.-.-I-_e Q....o.�/�-_ - -.CN& `� _,lNs . li. 8 ...----..L�cll �J G+2�01 .�' � ` �1J1 � �? -� Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal S stem in accordance with the provisions of Article XI of the State Sanitary Code . The u rsigne furth ,gr not to place the system in operation until a Certificate of Compliance has been i by t he ���ned-------- - -- -- -- ------------------••---•----••-•-. ...................... Application Approved BY------ 62 ��� ._._.. ....... LI. U_---- Date Application Disapproved for the following reasons:................................................................................................................ ----•-••••••-•---•---•---•---...•-•-•--•--•-•---------------•-------------•------••••-•----------•-------I----------------------------------------------------------------------------------------------- Date Permit No......................................................... �S^ -------------- Issued..__._.�...-------------------------•--•-------•---•--- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r .— �.N-- of .......... ,�f.='..1►�..5.1A.. . .Z_.�.,w........................... Application -for 43iipotitt1 Workii Totw4rnrtion PProiit Application is hereby'made for a Permit to Construct ( ) or Repair (7), an Individual Sewage Disposal System at /�1<f.... 5 -------- --------a;61;.o ----------------------------------------------------------------------------------- Loeati Address or Lot No. 'a �✓_._. '.u. " -- -------------------------------- ............ e .--- ----•-------------..............--•------ Installer Address Q Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms________________________________ _Expansion Attic ( ) Garbage Grinder ( )U aOther—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) P4 Other fixtures ----- --------------------------------- - - W Design Flow--------------------------------------------gallons per person per day. Total daily flow............................................gallons. 04 Septic Tank—Liquid capacity------------gallons Length---------------- Width................ Diameter................ Depth................ xDisposal 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 "Pest Pit.................... Depth to ground water....-----.--.--.--..___. G=, Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water--_-.------------_-.._. ------------------- --------------------------------................................................•---------•----....---•-• ....... ---••---•-------------- O Description of Soil____ _ .._. ------ a `----- �.--��- W -••----•----------------------- ---•--------------------------------------------•-•--•--•-•••••......---------- . . d -;+- t U Nature of Rep-irs o Alter. tions—Answ r when applicable..._ ee_.-O- _. _ __!/VG �T '" -- - ------ ------ 5�.1 5 ..... , 1. lx.....,&�,J ....•---1.at ./?- ►--------C4. 1 -� GJr�' w1104 Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal S stem in accordance with the provisions of article XI of the State Sanitary Code The un rsignel furth gr not to place the system in operation until a Certificate of Compliance has been i e by t he ed-------- - -- -- -- --------------------------------- ---------- ----------- -- --- ----1�02 Date/ Application Approved By . /''.-•--�t� Date Application Disapproved for the following reasons:-----•---------•--•------•------•-•-•------------------•----------•-----•-------•------------------------------- ---------------------•-------------------------------•-----------------------------------------------------------•-•------ -----------------•------------------------••------•-----•------.------ Date PermitNo-------------------------------------------------------- Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1t ..... .............OF...... ...:. . . ,4....................................... %: rrtifiratr of GUNIm haurr THIS IS TO CERTIFY, hat the Individual Se ge isposal S em const cted 001 Repaired b . e. . xx y------•------- ----Jam•--� '---------------------- /"%��_ ,,r[� Ins ller at----------------- `�_ �---- _...d.!..I:._•-•--•---. •---------•--------.----•----•-----•-----------------------------------•-•---•--•---•----------•-- has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No---Bt ...-.5',2_�_.____.__-_ dated------------------------------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYJTEM WILL FUNCTION SATISFACTORY. DATE------_-----------------1 'ZS- �_------------------•------------. Inspector. ----- ---- .................................. N THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH c��,.� r '�..7n►.............OF------ ............................... C� �� No.................. FEE----J--m°.r'"/ Dinpoiittl Norkqoo trnrtion rrmit Permission is hereby granted- ------- �.Gr_ �d,zX—.t---------T lo__.Y _-.-_------ -------- ----------------------------------------•--------- at No.......... c�Q tz P �.. �............. Disposal -System to Construct or Repair -an.Individual Sewa-��Di� - - Street as shown on the application for Disposal Works Constructio It No..................... Dated.......................................... ------------------------------- p� Board of Weallh DATE.......... -- --- --�..�---------------- FORM 1255 HOBBS & WARREN. INC..-PUBLISHERS e A r