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HomeMy WebLinkAbout0009 PINEVIEW DRIVE - Health (2) (�uc�— Town of Barnstable Health Inspector Office Hours Regulatory Services 8:30-9:30 Thomas F.Geiler,Director 1:00—2:00 • it's rearm • MASS. ,0� Public Health Division �fD MA'I Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 AMNESTY PROGRAM APPLICANT— SEPTIC QUESTIONNAIRE L . General Information: Size of Property:�� Address: 7/-/lF Map 040 Parcel Q 7c2 C�-f u;+ i�'I,¢ O o16 3S Name: / �Czi�la o� So v�50 Phone#: ��OS 77� � 3lfH) ems+ sag- 7 7 yq I(W) 2a. How many bedrooms exist at your property now? U q rS 2b. Are you planning to add any bedrooms? AVD If yes,how many? 2c. How many bedrooms total are proposed at this property(including the amnesty unit)? �S ssy SZ 2d. Please include a copy of the floor plans for the entire property-showing the existing rooms in the home plus the proposed amnesty apartment and/or addition. Please label G Z� each room clearly on the plans. 3. Is the dwelling connected to public sewer? o NO 4. Location of dwelling is INSIDE OUTSIDE a Zone of Contribution to public supply wells? 5. Is the dwelling connected to an ONSITE WELL or to PUBLIC WATER? 6. Is a disposal works construction permit on file? YES or NO . 6a. If yes,how many bedroom were approved according to this permit? Bedrooms. 7. Were any building permits obtained for construction of additional bedrooms? YES or. NO 8. Is there an engineered septic system plan on file at ine Health Division? YES r NO 9. Has the septic system been inspected by a DEP certified inspector within the last two year ? YES or NO FOR OFFICE USE nT w t The Public Health Division has no objection to'3 �_ _ ooms at this property. Special Conditions: �s Signed: _ Date:: _ILy l 2 O"-f_ Q,Aealth/wpfiles/amnestyapp `3.3o ¢ g a lr 5 0r 3 I1kadlrpoMS McKean, Thomas From: McKean, Thomas Sent: Wednesday, June 30, 2004 9:11 AM To: Mcauliffe, Paulette Subject: RE: 6 Pine View Hello Paulette, According to the official record, the disposal works construction permit, the septic system was approved for only two (2) bedrooms in 1982. The Building Division shows no records of any additions of any rooms (except for a deck) since that time. The septic system is located within a nitrogen sensitive area and is therefore limited to no more than two(2) bedrooms due to the small size of the lot of 20, 700 square feet. The applicant does have an option available to him to rectify this situation. The nitrogen sensitive area (WP District line and State designated Zone II line) location line runs through this particular property-through approximately the middle of it. It appears that the septic system's leaching facility could be relocated to the north-east side of this property. If the applicant constructs a new leaching facility outside the WP and Zone Il, the number of bedrooms could be increased. -----Original Message----- From: Mcauliffe, Paulette Sent: Wednesday, June 30, 2004 7:56 AM To: McKean,Thomas Subject: RE: 6 Pine View Tom, Sorry, I meant to say I sent over a hard memo. It's attached for you here. Thanks. PT << File: MEMGLO.DOC >> -----Original Message---- From: McKean,Thomas Sent: Tuesday,June 29,2004 4:32 PM To: Mcauliffe,Paulette Subject: RE: 6 Pine View Hi Paulette I looked through my a-mails and I did not find an email in my in-box on 6/25 in this regard. What is the specific question? -----Original Message----- From: Mcauliffe, Paulette Sent: Tuesday, June 29, 2004 4:11 PM To: McKean,Thomas Subject: 6 Pine View Dear Tom, sent you an e-mail last Friday, June 25th regarding this property. His attorney is anxiously awaiting an answer, as Mr. Johnson, who is the potential owner is supposed to participate in his purchase& sale for said property on July 6th. Whatever you may have on this one, I'll be happy to pass it on to Mr. Johnson, because he probably will not purchase the home should Public Health not give him the approval to move forward with his Amnesty application. t w Deck #41 Ir �W� 3 7�00 Vl/\ mas !.. MA 1 A/ �f t� v�l \A) / Je Lla 3 L u v\4 y v VXA Ar _ LOWER LM4r T- Jd- A TJ"MIN Of BARNSTABLE July 5, 2004 2004 JUL 13 P14 12: 03 Barnstable Board of Health ATT: Mr. Thomas McKean Town of Barnstable 0 ° � �JN 200 Main Street Hyannis, Mass. 02601 Re: 6 Pine View Drive, Cotuit, MA Mary McLaughlin, Owner Dear Members of the Board of Health: My name is Mary McLaughlin and I am writing this letter affidavit to clarify a matter which apparently has arisen from the records of the Board of Health and about which I have just recently heard of for the first time. It is my understanding that by submitting this letter, it will clear up any confusion about the status of 6 Pine View Drive, Cotuit as being a 3 bedroom dwelling. At least from what I can understand,.the records.,of the.Boar.d.of Health,include a ... "disposal works construction.pennit",from 1982 fora septic system approved for only 2 bedrooms.My buyer, Mr. Ron Johnson, has spoken with Mr. McKean about this as has my broker, Mr..Rick Shechtman. Mr. Shectman, following his meeting with Mr. McKean, informed me.that by writing this letterto;:you and explainingahe background of the property,the Board would be in.a.position_to clarify.its records on this property so that it would correctly reflect that my home is.a valid 3-bedroom: . . By way of background, I and my husband, George McLaughlin, first looked at this Property in 1985 when we were looking to move to the Cape.and we purchased it in April 1986. We have lived there ever since, although in February of this year I lost my husband, George, when he died of a heart attack at age 71. I am 68. The home was built by a developer by the name of Spero Theoharidis and he sold it to Mr. and Mrs. Robert Proulx in 1984. As I mentioned, my husband and I first looked at the property in 1985, signed the contract to purchase it in September 1985 and closed on the purchase in April 1986. We purchased it from Mr. and Mrs. Proulx and we have owned it ever since. From the very first time we saw the house(in 1985) and right up to now, there have always been 3 bedrooms in the house and in the same locations (my husband and I never added or changed the location of any bedroom). Mrs. Proulx explained to us back:in 1985.and 1986 that-they,;had had the third bedroom-installed because they had additional,family visitingo with them.from time.to time (I believe it was their.daughter) We have always believed the house to.be a legal and existing 3-bedroom home.,The septic system is;designed fora 3 bedroom, theassessor's records have listed it as a three bedroom and I and George have always been taxed and paid taxes on it as a 3-bedroom. My husband's recent death requires me to sell my home and move nearer my remaining family outside of Boston. In order to purchase my new place, which will be a condominium in an over age 55 community, I need the proceeds from the sale and I am having to cash in a money market account and use the proceeds from my late husband's life insurance policy. The buyer of my home, Mr. Johnson, has expressed his concern about the status of the Board's records and is requiring that I escrow funds and provide an indemnity to him until the Board's records are clarified. I have had to borrow the escrow funds from relatives of mine, as I cannot afford to default on the purchase of my new place. It is my understanding that by writing this letter to the Board, explaining that the property has always had 3 bedrooms at least since 1985 when we first saw it, the Board will have enough support in its file to enable it to certify the home as a 3-bedroom. I thank you for your time and consideration. If you have any questions or need anything else that I may be able to add,please feel free to contact me at 978-341-0302. Sincerely, /n Mary McLaughlin,/ AFFIDAVIT I, Mary McLaughlin, on oath and under the penalties for perjury state that the foregoing is true and accurate and of my own personal knowledge. Date: July 5, 2004 a ` Mary cLau hli g COMMONWEALTH OF MASSACHUSETTS Niidd esex,ss On this 5th day of July, 2004,before me,the undersigned notary public,personally appeared the said Mary Mclaughlin,proved to me through satisfactory evidence of identification,which were said person's Massachusetts Driver's license,to be the person who signed the preceding or attached document in my presence, and who swore or.affirmed to me tbat th co n of the document are truthful and accurate and of her own personal knowle e. s9, WILLIAM B. DAILEY William B. f ey,Notary ublic Notary Public M_yCommission Expires: May 5, 2011 Commonwealth of Masszchuseits My Commission Expires May 5,2011 O_®cA►Vn®N ®F PM®PEozw LANES 1fView Nc3-r 6E ^ccyR^-irE STANDARDIEGEND NOTE:not all symbols will appear on a map ta!' GOLF COURSE FAIRWAY EDGE OF DECIDUOUS TREES ^^^ EDGE OF BRUSH ORCHARD OR NURSERY O V—v— —V EDGE OF CONIFEROUS TREES c l l , MARSH AREA —- • — EDGE OF WATER DIRT ROAD DRIVEWAY State Zo e o L2� PA LOT PAVEDVED ROAD Contri Ut1O M P.O4O — DRAINAGE DITCH — — — — - PATH/TRAI L PARCEL LINE** MAP 326 -<-MAP# 021E--PARCEL NUMBER #367 HOUSE NUMBER / 2 FOOT CONTOUR LINE —tom— 10 FOOT CONTOUR LINE o Elevation based on NGVD29 ` `,•�4.9 SPOT ELEVATION STONE WAIL \\` -X—X— FENCE ` RETAINING WALL \ T ` 1 o off. ` ' sta r t—+ RAIL ROAD TRACK \\ on® o ion © STONE JETTY VtlP SWIMMING POOL ` V V f� , PORCH/DECK 0 BUILDING/STRUCTURE DOCK/PIER - _ r HYDRANT e VALVE O MANHOLE 0 POST 0P° FLAG POLE T O W N O F B A R. N S T. A B L E O E O G R A P H 1 C I N F O R M A T 1 0 N S Y S T E M S U N I T o - SIGN ® STORM DRAIN M PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES:Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The James 1"=1OD'scale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE TOWER w J ' 0 25 50 National Map Accuracy Standards at this do not represent actual relationships to physical objects Corporation. Planimetria,topography,and vegetation were mapped to meet National Mop Accuracy Standards s 1 INCH=50 FEET* enlarged scale. on the map. at a scale of V=100. Parcel lines were digitized from FY2004 Town of Barnstable Assessor's tax maps. ¢ LIGHT POLE o ELECFRIC BOX I FTHE ram, TOWN OF BARNSTABLE Office of Community and Economic Development BAMSTA9 MASS. 367 Main Street,Hyannis,Massachusetts 02601 1 39. 0. (508) 862-4683 or(508) 862-4695 Fax(508) 862-4725 AtFD MAr MEMO To: Tom McKean From:Paulette Theresa-McAuliffe Date: June 25,2004 Re: Amnesty Application For Ron Johnson Dear Tom, Please have a look at Page #6 of the attached DEP Report. Applicant, Ron Johnson is looking to purchase the house located at 6 Pine View in Cotuit. It is in a WP area. However, according to the report, the property is good for up to a total of three (3) bedrooms. The property already has three bedrooms as is, (Main house = 2; and Unit = 1). His intention is to, of course legalize the accessory unit should he buy the home. The question is: Would you okay his moving forward with his Amnesty application as is. Please let me know whenever you've had a chance to review the situation. Thanks in adv e, PT MEMGLO/END01 Town of Barnstable Health Inspector Office Hours Py°�j"�Teti Regulatory Services 8:30-9:30 Thomas F.Geiler,Director 1:00—2:00 HARNSTABM ice. 16;q. Public Health Division Qj ♦0 Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 AMNESTY PROGRAM APPLICANT—SEPTIC QUESTIONNAIRE 1. General Information: Size of Property:_,��. Address: ,/1 e. e 2 I'e— Map C#C Parcel 0- 7:2, _ Name: �,,�a �c k Phone#: ICY- 7 77. E 2a. How many bedrooms exist at your property now? C%zStu rS 2b. Are you planning to add any bedrooms? -AIGJ If yes,how many? 2c. How many bedrooms total are proposed at this property(including the amnesty unit)? 2d. Please include a copy of the floor plans for the entire property- showing the existing rooms in the home plus the proposed amnesty apartment and/or addition. Please label each room clearly on the plans. 3. Is the dwelling connected to public sewer? o NO 4. Location of dwelling is INSIDE or OUTSIDE a Zone of Contribution to public supply wells? 5. Is the dwelling connected to an ONSITE WELL or to CPUBLIC WATER? f 6. Is.a disposal works construction permit on file? YES or NO i 6a. If yes,how many bedrooms were approved according to this permit? Bedrooms. 7. Were any building permits obtained for construction of additional bedrooms? YES or N 8. Is there an engineered septic system plan on file at the Health Division? &YES Ir NO 9. Has the septic system been inspected by a DEP certified inspector within the last two yearor NO FOR OFFICE USE ONLY The Public Health Division has no objection to bedrooms at this property. Special Conditions: liJ Signed: Date: 0;/hea1t1z/wpfiles/amnestyapp i 05/11/2004 12:46 5083629001 KINLIN GROVER GMAC PAGE 02 RESIDE /1r AAL• 'L '+ D 1' � INC. : OFFER TO PURCHASE REAL:EStATE. IUS IS A LEGALLY BRONO'(ONTRAi-1'. IF NOT UNDER91j000.S&K COMPETSNT,4DNIGE'' TO: Mary MCL,AU(;HUN -or wtomeurer•is emp9*eredto:9el1-' FROM:Rotwld Johuson or his noukiaee UATo:May 10;loo4 (1) t Hareby offer to bW the propc rty herain refun- d tit and iderndted as Mlowst.d lslr►e V(ew.Drive;Btttitstablt;('cmh)r Mr'�'buiag t atguc i. Assessors Map nmba 040.Pan*Number f 724 in the1dw rt:6f Atff- table(CMh),c�Pr approxfma th 2002 4&ui0ti>1 inelt4ing the Lwa apaatmem and.48 acres o'f'Iattd. (2) I will pay therefore Three Jlurutndand Thirty t�iicLtiotasattzi' S#35,01)n)du(ttyrs''nt"wM ►:. (a) $ 5.000 is paiQ herrwith w a 6epoditaa-bft d,this per,. (b) S 1'1,750 is to be paid as an additional d0Wu erd Won*(Purela sa mM We Rgeem t-prrnvideid-for below. (c) S ,� �2 is to'bn paid in cash,an�f�md:cheek os lk'dt8fl tlt ths,Htne of the deEivdryr the Deed. (d) S335,000 is dw Total purchase prire, . (2) This Offer is good until 5:00 P.M.on MotWiyr May t0,.20(14:at cr:befbre whloh anae uleopy lsereofsltall.lse sigttacf b3''Y�, ' aria of this Oft,a�{tt atxl'trtoartcd tv�me for,fbt't1t4VI6#t; otheruilse tbis:'0�c alutiJ be ix�n&idded es'rcJ«xed aad:ahy money dep�os •>,>;•, shall be returrMed to the forthwith, (3) The per hereto shall,out or bc�ure gcOla 1�'1VL:rn:tvl'iy^��,. #o9WCWs:a Aura tutd Sa3e Agreement,which wltcrt e�tectrted' C .tic;:; Agrcctnerit between the panics hereto. . (4) A good aad'suf'iLieat Deed,eoavoYirtg:o grand,.8i>ral'tttid,mIoAW.'titk of:rccsud stilt be deli'va ed.at W.0oa.1v .00 July. ' i 2084 at the Bannstabk County Re istry oFUcedt;utilesT:wnre oth� tlfirre:and pl c hr�tttt�tia�ll`y:agr�ed upom ' (5) (e)if you(Seller)do not i'u1fi11'your(Seller'a).:obligaciot 5:tua(ior siis Apeittc'4 sard:Agrc=dnt shall be ettbarcaalr'1a:both ei law ; d. (inelusivc of;peci'fc perf=ancc)_(b))f:l(B.*r)-do hot.fulgN ty obligadons:under dii*o0d.;,'thb dopasit(1° b}'mi tioncd abo s h;.::::::. :e become your(sailor's)property as.liquidated:ddmsje�-withoclt noun to:efdW pasty- ; (6) Tim is orthe essence hcxcof (7) A fcc as agreed will be paid by the Scher to Kin12n GMV.Er(3MAC Real FAro ,the lMO'g.bi±4ilt+sr.; .5%of ft.f4c.will ba.pa9d t*R bid E ltj-.�'. Advisors,Inc..aWag as buyer's a&ni,the sating biter:upog,' Passing title: .(&) This offer is subject to the.foliowiiag terms,Avd copolftms:Sec Addendaen:96tchedia id-lai rflorsted herela. W m ( ) is i (tand(s)and scal(s). SSC)NFp.: r' " ��F (Buyer) Print) _y 7 l (Phone A) 7'7$= This Offer is armed upon the foregoing feline and bondidotas Receipt of the deposit of$ is hireby Aokrtowfedged. W ZSS my(our)hands)and seal(s), (Seller's Spouse) ........... ..:. . . .... . .. .... ... ........................... ... ;............. ..................... tvYCEIF T FOR DEPOSfT , 2004 ke cived from dw sum of S as deposit under the resiiu and c4ndfEionsSof the above nf&r ta.-.bo held in-Wr`oW Phase (508) 862-16a+D 'acx ( 0�)BIZ-9Ztr0 05/11/2004 12:46 5083629001 KINLIN GROVER GMAC PAGE 03 � 0A77, Lo ADDENDUM TO OFTER TO f'i&CKA,9E SLJDMrrrED BY•!Rot*ld'Johnsoa '. OR Hl'S NOM[i&2 DATED Wye•1.%2�*4 FOR THE PtX0.JAS9 f31" 6 f ine.View Drive.-Barnsmbit(Cdtu t),,MA berg on BA-MSTA�BL9:AS$8SS01 MAP NW- BEE 040,Pr�itOEL t+lUMt31AR 072, rN..'Et ''C�,)W-N'O 4*16.(Cotuit);-MAi CONS;itM- O OF APPROMMATELY 2002:SQ:1"W f3F IWILDINd SPACE;RC- LUDt�d� .Ca THE-EXTRA APAItTItr�,F.- THIS OFFtR•IS'•CONTIW-0FNTLWW,THE FOLLOW. -IN- 0ARM -AND•CCJMI—IONS:. 1.13uycr obtaining an anslrectiart of tihi;.l l y,satisf�c ary tp'buyer,+A W 10 days fr n ac+�eptance of <`'r this offer, 2.Seller providing ti passing Tills�+inspWion.re�sc r4,wwwtoty,ta li<tyer: i ry Ihin 30 days from acoepWce of this offer. I.I3tryer vbraining fina�ttci at crmar(tly:prevailing kd ratesiwi in.:I+4:c ys &aiu-aio tance.of thi& Offer,subject to appraisal and any.ithw-bank rr;qWreajaas;buys 10-abrAW--Pr&quati€tftfloa fetter withi r days from aeon ance of this'ofq forte. doffs` •rust s" ..1. . Pt tutu fat m ve seller shall rctt rn. all deposit titonin to buyer and this cvtittaaahatbimuiva d void. <4 s •th'U.subject 10�uyer's:dfe ilfl*8oe ih Uds mgthbmlf as.tdte" ,.. .: :. feasibility of an amraesty:apathn t prlar t he twee iorr of tlie: 4nd 5ele A. � coQpecare•with�tnm a3'rnay be i;oquketl;.I ordtr tco.min appt walls ke.the-wse of Ott arnttesty a 5.All Appliances,-clrapes.artd.11)mk s to•-be-be pan of the setic:: ' BUYER 5 LJa Date K COMA40NWE_ALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMEIN-rAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PI OT E P°E® (!!N 0 1 2004 TOWN OF BARNSTABLE HEALTH DEPT. TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: jai rya 1 Qi tJ�r` kj f�'�� O CA•1• 4 , M.R• F',4RCEl 2 Owners Name: aav 'fie Ln .c \`�_ LOTS_(p Owners Address: I,, ;,,�, Y�Z �,.� ,0+V_1 MA Date of Inspection: Name of Inspector:(please print) M% ? Company Name' 41XLqU3, Mailing Address: st-u Uo1 b�{ Telephone Number:tea$ _3ffr DJ7-3 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: _ Passes Conditionally Passes ._.. Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: 2.1 hate: The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6115/2000 page I Page 2 of 11 OFFICIAL INSPECTION FORM--NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE I)NSPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: C Ti ✓:tic. jr; &0( Owner: C.~'— Bate of Inspection: 571X Y Inspection Summary: Check A,B,C,ID or E I ALWAYS complete all of Section D A. System Passes: I have mot found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: l B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need replaced or repaired.The system,upon completion of the replacement or repair,as approved by the Bo of Health,will pass. i L Answer yes,no or not determined(Y,N;ND)in the for the following stat enis.If"not determined"please explain. The septic tank is metal and over 20 years old*or the septic (whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank a is imminent_System will pass inspection if the existing tank is replaced with a complying septic tank as' ed by the Board of Health, *A metal septic tank will pass inspection if it is structuurall und,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is avai e. ND explain: - Observation of sewage backup or osn or h%h static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settl or uneven distribution box.System will pass inspection if(with approval of Board of Health): pipe(s)am replaced bstructiors issurmoved distnl6don box is leveled or replaced ND explain: The system req ' d pumping more than 4 times a year due to broken or obstructed pipe(s).The syshm will pass inspection if(wi approval of the Board of Health): ` broken pipe(s)are replaced ob�tniction is removed ND explain: i Page 3 of l l OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) r .Y Property Address: fii l7EK Owner: .,J.j kA Date of Inspections: C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine' e system is failing to protect public health,safety or the environment. I. System will pass unless Board of Health determines in accordance with 310 CM 5.303(1)(b)that the system is not functioning in a manner which will protect public health,safety d the environment: — Cesspool or privy is within 50 feet of a surface water — Cesspool or privy is within 50 feet of a bordering vegetated wetlan or a salt marsh Z. System will fail unless the Board of Health(and P is Water Supplier,if any)determines that the system is functioning in a manner that protects the Iic health,safety and environment: _ The system has a septic tank and soil ab tion system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surfs water supply. The system has a septic tank and AS and the SAS is within a Zone I of a public water supply. The system has a septic d SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic and SAS and the SAS is less than t 00 feet but 50 feet or more from a private water supply well* .Method used to determine distance "This system passes• the well water analysis,performed at a DEP certified laboratory,for'coliform bacteria and volatil rganic compounds indicates that the well is free from pollution from that facility and the presence of onia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other. failure criteria trix,er ed.A copy of the analysis must be attached to this form. f 3. Other 3 i Page 4 of l i OFFICIAL,INSPECTION FORM--NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DrROSAL SYSTEM INSPECTION FORM i< PART_A- CERTIkICATION(continued) f Property Address: Owner: •..q __ Date of Inspection- D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: . Yes No #� Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6"below invert or available volume is less than'h day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped Any portion of the SAS,cesspool or privy is below high ground water elevation. of Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface T water supply. Any portion of a cesspool or privy is within a Zone 1 of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than la0 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis.('Phis system passes if the well water.analysis, performed at a DEP certified laboratory,for arm bacteria and volatile organic-co indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is.equat to or less than g ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] Ak(Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CNIR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the systems must serve,a facility with a design of 10,000 gpd to 15,000 gpd' You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the a above) yes no — the system is within 400 feet of a surfa g water supply — - the system is within 200 feet tributary to a surface drinking water supply the system is locate a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone 11 of a pub. water supply well If you have answ "yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Sectio above the large system has failed.The owner or operator of any large system considered a significant t under Section E or failed under Section D shall upgrade the system in accordance with 310 CNM 15.304. a system owner should contact the appropriate regional office of the Department- 4 Page 5 of 11 t OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B rr^^� CHECKLIST Property Address: 47''r•+e �;.,�J .� Owner: t-A— Date of Inspection• Check if the following have been done.You must indicate aes"or"no"as to each of the following:. Yes No Pumping information was provided by the owner,occupant,or Board of Health Of Were any of the system components pumped out in the previous two weeks — Has the system received normal flows in the previous two week period Have Iarge volumes of water been introduced to the system recently or as part of this inspection? A _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) Was the facility or dwelling inspected for signs of sewage back up? Was the site inspected for signs of break out? Were all system components,excluding the SAS,located on site? L_ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? Was the facility owner(and occupants if different from owner)provided with information on the proper Anten_ance of subsurface sewage dispbsai systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no Existing information.For example,a plan at the Board of Health. _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] k 5 Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORM ATION Property Address: ` fzl i Ca-le s^F Owner: C „ Date of Inspection: / D FLOW CONDITIONS , RESIDENTIAL, Number of bedrooms(design):_a Number of bedrooms(actual):. DESIGN flow based on 310 CMR 15203(for example: 110 gpd x#of bedrooms): Number of current residents: Does residence have a garbage grinder(yes or no): Is laundry on a separate sewage system es or no): [if yes separate inspection required] Laundry system inspected(yes or no): Seasonal use:(yes or no): "U Water meter readings,if available(last 2 years usage(gpd)): 03 I3 OZ Sump Pump(yes or.no): Last date of occupancy: u M COM[MERCIAL/tNDUSTRIAL r Type of establishment: Design flow(based on 310 CMR 15.203): �zgpd ` Basis of design flow(seatstpersonslsgft,etc Grease trap present(yes or no): Industrial waste holding tank p t(yes or no): Non-sanitary waste dischar to the Title 5 system(yes or no). Wa ter mete r er readin s i aila e' Last date of occu fuse: P OTHER(de be): GENERAL INFORMATION Pumping Records „ Source of information, 5 t a3 103 . (0 tZ l oo Pell �. . Was system pumped as part of the inspection(yes or no): If yes,volume pumped: rations—How was quantity pumped deiemined? " Reason for pumping: TYPE OF SYSTEM Septic tank,distribution box,soil absorption system _Single cesspool . —Overflow cesspool ; Privy Shared system(yes or no)(if yes,attach pevious inspection records, if any) Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank Attach a copy of the DEP approval `Other(describe): - Approximate age of all components;date" stalled(if known)and source of information: ot Were sewage odors detected when arriving at the site(yes or no):— 6 Page 7 of I l OFFICIAL INSPECTION FORM=-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 9'Lc Owner• Aft Li L( Date of Inspection: If 6'y BUILDING SEWER(locate on site plan) - h Depth below;grade: -.2Y_ Materials of construction:—cast iron /40 PVC `other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: (locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass`polyethylene —other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance_ (yes or no):_(attach a copy of certificate) / Dimensions: _/4060 jam/ Sludge depth: 3 a Distance from top of sludge to bottom of outlet tee or baffle: a S Scum thickness:�___ Distance from top of scum to top of outlet tee or baffle: •r pr Distance from bottom of scum to bottom of outlet tee or baffle: JS How were dimensions determined: md4Syr4 Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as relaNd to outlet invert,evidence of leakage,etc. : _ CG a f CREASE TRAP:_(Iocate on site plaIm ` Depth below grade:_ Material of construction: concrete e ____fiberglass_polyethylene`other (explain): . . Dimensions: Scum thickness: Distance from top of scum to of outlet tee or baffle: Distance from bottom of s m to bottom of outlet tee or baffle: Date of last pu€ttpmg: Comments(on purri ' g recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to oud vert,evidence of leakage,etc.): Page 8 of 11 i OFFICIAL INSPECTION FOIL—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE IDISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: ,—A.k .cd�P Owner: rt Date of Inspection• Ary TIGHT or HOLDING TANK: (taZpat time of inspection)(locate on site plan) Depth below grade:Material of construction: concretelass�polyethyiene other(explain): Dimensions: Capacity: Xalarm Design Flow: s/day Alarm present Alarm level: order(yes or no): Date of last pu Comments(c switches,etc.):. DISTRIBUTION BOX: (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: eve oi Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage4tr out of box,etc.): PUMP CHAMBER: (locate on site plan) = Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump ber,condition of pumps and appurtenances,etc.): 8 Rage 9 of l l OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner: Date of Inspection: _ 6 /- o- y SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number._ leaching chambers,number: beaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): IX CESSPOOLS: (cesspool must be pumped as of inspection)(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer- Depth of scum layer: Dimensions of cesspool: Materials of construction- Indication of ground er inflow(yes or no): Comments(note c dition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: (locate on site plan) Materials of construction- Dimensions: Depth of solids: Comments(note ndition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 6 IU YiYc.,-- Cf L Owner: Date of Inspection: , SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building. -71 e . • qj f o .Page 11 of]] OFFICIAL.INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner: Date of inspection: SITE EXAM! Slope VAS Surface water Check celtar � Shallow wells r 40 dL Estimated depth to ground water "W feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with Iocal excavators,installers-(attach documentation) aC Accessed USGS database-explain: You must describe how ou established the high grouted water Ievation: � lI FTHE�p� DATE: ; i 0 BARNSTABLE FEE: + EMMrAHLE, NAM. JUN 28 PM 2: 39 REC. BY Town of Barnstable Jq SCHED. DATE: '� DIVISION Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM LOCATION /_ � a/] Property Address: (P (�Y Assessor's Map and Parcel Number: Size of Lot: Wetlands Within 300 Ft. Yes Business Name: 1 !9, / W S C C r C i' P`QR4 No Subdivision Name: APPLICANT'S NAME: � ���<Se Oa i o- Phone � � -7c/LO 7Y Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON l i Name: —Z/J Name: 01 ,, II/C9l Address:(' DV Address: Phone: ) V�" �Q�Q U Phone: VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) G-/,— NATURE OF WORK: House Addition 13❑❑❑❑❑ House Renovation ❑ Repair of Failed Septic System 13 Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. _ 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 Wayne A.Miller,M.D.Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Susan G.Rask,R.S. Q:\HEALTf\Application Forms\VARIREQ.DOC June 24, 2004 Town of Barnstable Public Health Division Attn: Thomas McKean 200 Main Street Hyannis,MA 02601 Dear Mr. McKean, I would like to apply for an exception on the decision to deny my application for a variance on the requirement to have all employees Servesafe certified. I am certified, as well as one of my employees who works approximately 20 hours per week. My other five employees (who only work 10-15 hours per week) are not certified, but have been trained by me in all applicable Servesffe polic ies. I feel that very little of the Servesafe class pertains to our ice cream business. Most of it is about kitchen restaurant procedures, such as proper cooking temps., cooling procedures, cross contamination, etc. I have been inspected at least twice in the past and have passed easily, proving we are practicing safe policies and procedures. My other reason for requesting an exception is financial. Most of my employees are High School students, some who only work for me for a few months. I would have to certify all of the employees, since we sometimes work alone, and then certify any new employees as well, and pay them for their time. As you can see, this could become quite costly. I am confident that my staff follows the proper Servesafe measures to insure our customers receive a safe, delicious product. Thank you for your consideration, and if you have any questions, please don't hesitate to contact me at work, (508) 790-2374. Sincerely, Denise A. Caia Owner/Operator Brigham's Ice Cream Cape Cod Mall LOCATION SErlAGE PE It MIT 930. �/U� vices✓ 12 � �� 1LLAGE o -Tu INSTA TIER°S NAME 8 ADDRESS TP 0 1 BUILDER OR OWNER DATE PERMIT ISSUED �i��r_ ,4:Z� DAT E COMPLIANCE ISSUED ` �I :may 13 y Amp, 6.Z3._ Fps /....._ THE COMMONWEALTH OF MASSACHUSE17S / BOAR® F HEALTH . ApplirFation for DiipnsFal Works Towitrurtilaat Urrmit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: �� �-� -- =••• .- '�•� vf. .... -.crr. ......... •.....S..O .� ....._. :.. ..... . .......... .... • •....f..._.._.. t►i Address Lt No . .- ------------------•----.................t . caner 3• Address .......................................... -------- ----- ' ----------------- Installer Address Type of Building Size ---------Sq. feet Dwelling—No. of Bedrooms........ ................................Expansion ttic ( ) Garbage Grinder ( ) Other—T e of Buildin a —Type g��4,f............... No. of persons....._... ._.._---------_-- Showers ( ) — Cafeteria ( ) dOther fixtures .----•-------------------------•---••--•--------------••-•------------•-••-•••-••----------------•-------------•-----•......-----•------•------------ W Design Flow_._.. �'�..............................gallons per person per day. Total daily flow............�3a....................gallons. WSeptic Tank—Liquid capacitylp�?e...gallons Length.W't...... Width..S.......... Diameter_('_3_..... 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..... ................ g�Date / ------------ Test Pit No. 1......t�-.....minutes per inch Depth of Test Pit---1.1..._....... Depth to ground water.._ ...... Gt� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R+ ........................................................ ........................................-•••••••-----•-•••----......-------••.........-----...... O Description of Soil..5&N1-.j..-tc-"•.ri..----- u 6 s!�.r.C.�..:._.F t r'e:.S '" ------------------------------------------------------------- x U ................••---•-.....••-••--------------•-----•••---••-•••••••••-•••-•---------------••••---•-•---•------------•---•-••-•-•----------•••----------......------••-•••-•-----•---•------......-•-•-- w VNature 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 TL IT,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 i ued by e board of health. Si d... Application Approved BY --------------•--••----------•--..........----- fo 2D �at� "Date Application Disapprove f the f ollowing,reasons:----••---••-•--.......--••-...--•-••-----------------••----•---------•--••---------•--------------.....--•--.._ .........................................•-•-------•-•-----------•-----------=-•---•-•-----••----------•--•------------------••------•---------•--•----•-•-----•----•--------•------------....•-•--- Date PermitNo......................................................... Issued....................................................... Dati � r THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I M f� DATA V .............. Fins........ ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _;7_7�e_ i. r. ApplirFation for Disposal Works Toustrurtion thrutit Application is hereby made for a Permit to Construct ( ( or Repair ( ) an Individual Sewage Disposal System at: f07 ..._.... � :/........ '�!:�'.:'n r r�.l•--- /�=-=_,_- ` ---------- ------•( ..' ..._. .�'�... .. ................................................. _ Location Address or Lot No. Owner Address a ............i 6'�ri.—! i< ------J-.f/'_.f.....................................................•-----..........-------- Installer Address d Type of Building Size Lot__ r _^........Sq. feet V Dwelling—No. of Bedrooms.........no................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building _______________ No. of persons____.__._`Z............ Showers ( ) — Cafeteria ( ) Otherfixtures .--•-•-----------------------------------------------------------•----------•-------•--....__.__...-•----------------•--•-----••--•--•----•-••....---• W Design Flow_____=`_ ________________________________gallons per person per day. Total daily flow..__.._..._..:.= .......................gallons. W Septic Tank—Liquid capacity_!........gallons Length_!.!.......... Width.... ...... ___.. Diameter.+�...__'...... Depth._`............ x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area_____'_.______.._...sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ~" Percolation Test Results Performed by..... ______________r.:-..___:_._r.'.__.__._____._________. Date.........��t,'. /:_^............ Test Pat No. I....... .._...mmutes per inch Depth of Test Pit_.__L:�'.._______.. Depth to ground water___r '.c.'_!._____. (X4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..............._........ Ra ..................................-•----...._.....-------•--.......----........;a..--•-••-----_.............................................................. 0 Description of Soil.-.'.!................. c. r_ -•.............�_•-----_.=.._.:_..-•--••--'•----•••--•••••-----•-•--------•-••-•-----------------•-••••-•-----._......-------- W 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'TTL, 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 and of health. Si -d.._a�_!'::. 1>/r � -�F -•-•-------------------•-------•-- ate Application Approved By _ Date Application Disapprove f the following reasons:.........................•----------------------------..---•--•-----------------•-----------------......--••_. ................................•----•--...__._....----•----------•---•--....-•-•-----..._....------...--'•------•----------•----••---•-----••------•••----•--•--•------•-•------...- ------...__. Date PermitNo......................................................... Issued.....................................................-- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD O�F HEALTH .........................OF....l�•�f�!` <%%� ................ ........_................................ Tnrtif irab of Toanplianrr THIS IS TO'CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) r . s ..... .............•••---•-•- •••....... . ... . f /�/ ----a Installer at__..�.............•----•-----•. -••- -----------•---•-••--•--------•---..----•--•----••------------ -•••••••-----•-----------------•--•--•----------------_--•--------••-•--•---------•-- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Codes d, gibed in the application for Disposal Works Construction Permit No._,��I .".3............... dated__✓�. a/p'_7 -r................. THE ISSUANC OF THIS CERTIFICATE SHALL NOT BE CONSTRUED S A GUARANTEE THAT THE SYSTEM. Vlll. F CTION SATISFACTORY. DATE... ', 1..__..... ......•-• Inspector......:. .. ........................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH y OF._.`-.... •.......... '...............•--•----•-•---------.••--._...._._.. ue . No. ._.._!!... FEE......................... Disposal Vorkii Tuuotrt ion .rrutit Permission is hereby granted...____?_I?'�! -ry'..:........... ............ "'_. --•-• -•----- ...... to Construct (� )nor Repa�( ) a vt Individual Sew Difposai 1ystem � . � Street as shown on the application for Disposal Works Construction Permit No. ' Dated..___ ds?, . ......... ........................................................................................................ Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS --- --Io' cam'--- C�Eo.lEIZ4. NOTES r SL_._f 5�9 U f>y .• T< !►----- - -AL L EEL CV. 9 C "0,,/tj A2Ac M E Ao.i SEA L E�d1EL BAS[- OWT L»" P1 1.►.It� Pt7cc4 ALL U W ES A M i U lrn Ut� of 1/b"/F:�--r7 SulSSG�L U)-AL Et,- f3THFe14itsE s�EcaF1ET�. ALL- TO A►milD I.orl TF c SYSTEM SHALL_ 24• IL - f - ---- --- - CsE CAST i c2.o" nip-, Sc_"l D U, AO P C A,LL. 'SEPT@C TAAJK5 DI�T21gJT�a.� �x A��D (/�) _, ^Cw1I1C-, Pry SHALL gE L7EStu,..lEo �z _•_ .N _- \J 00 a O C) 1110/ 0 THE iN�/E2T El-EVATIo fS OF LEACF�r. P�rS _ i U "►�- �_, __ - I nT V^ _ _ JT ni 0C �O O A �a�US of '� Iwo LA_ wlnl CLAY P-_ c _ 1. s�lD A.,a D > I 1 O 0 C) O, TNE hr/ !i' -- +x ( r E Q � 0 0 �E r -lF Ep WHO T�+c �`i�TE� tS NEAP _�2•� - ,c' I �\ JI o 0 C' O ® CL�M►�ET�b, f 1�.�0 Pe+o2 Tp pACIKFiu_tu6, O- �a-1�_E_�,5 oTE�?, ALL SYSTEt•1 0 LY V �� 0 3/ O CorAPO wt E►JTS �/Vsu.►L►_ P,�E I.�ST-A.�`ct� 11� Z i I `r TYPI�4L _ ©IST�tP_�VT►er`m ©x I 0 ® 0 11D IC14E"� Uo-F- TAD §cAL_E - - --- —� ------ - .{ i _ �N1Gt1 lwAY AP►�y. 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