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0282 BAXTERS NECK ROAD - Health
ka? fez S Neck _ol-It J" — L ll.Vl.l is t'� = 075 004 1, i 1 /// 5 M E A D _j No. 53LY UPC 12943 HASTINGS,MN J��vco00 3 r 1A� 60 oo � � 9/ 7 rloo� its t . 4 I I Health Master Detail Page 1 of 1 Health Master. a . e r!/ x • Logged In As: TOWN\sousav Health Master Detail Thursday,March 29 2018 Application C'nter Parcel Lookup Selection Items Reports Parcel ' Septic I Perc I Well Fuel Tank Parcel: 075-004 Location: 282 BAXTERS NECK ROAD,Marstons Mills Owner:O'KEEFE,TARA M Septic changes have been saved. Septic 1 New Septic... Permit number:F Permit type: Select type V Complete system: ❑ Issue date : Or;i;I: Complete date :Of Septic tank size: Type/Size of SAS: Installer: Select Installer V Card on file: ❑ I/A service type: Select service v Innovative/Alternative Technology type: Select IA type v Variance date : �' Abandon complete date Abandon permit number: Repair deadline date : 12/13/2017 Repair notification date : 10/23/2017 Keyword: Comments: Created for septic inspection Delete Septict: Inspection 9/26/2013 Inspection 4/11/2006 Inspection 4J9J2004 New Inspection... Number Inspection Date Inspector Result 8168 9/26/2013 Brown,Douglas A. V CP(Conditional pass) V Received Date Comments Per T.M and D.D - passing Title V. See Letter from C Delete Inspection Ready Rooter Excavating on file. °t 10/18/2013 i I C Save Septic Changes r Return to Lookup, http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=075004 3/29/2018 Town of Barnstable Barnstable Regulatory Services Department ;e`cal j BAMSTABLL MASS. ,�� Public Health Division �E°N1A�p 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7015 1730 0001 4990 4001 October 13, 2017—SECOND NOTICE Tara M. O'Keefe 282 Baxters Neck Road Marstons Mills, MA 02648 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 282 Baxters Neck Road,Marstons Mills MA was last inspected on 9/26/2013, by Douglas Brown, a certified septic inspector for the State of Massachusetts. • The inspection of the septic system showed that the system "Conditionally Passes" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. • Distribution Box is about 3 to 4 Ft down with no risers. • Risers need to be installed and brought to within 6" to grade. , You were ordered to repair or replace the septic system before November 30, 2016. However, this system was not repaired or replaced as ordered. You are ordered to repair or replace the system within 6 months. Failure to repair/replace the septic system within six month period will result in scis ;ean, ECH ard of Health at a public meeting. PEF HEALTH . , Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Conditionally Passes Letters\282 Baxters Neck Rd MM SECOND NOTICE 10- 12-17.doc i ti Town of Barnstable Barnstable Regulatory Services Department ;ericac j • 1AMSfAHM 9 MAS& I 1639. ,m Public Health Division m �f°N10�b 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7015 1730 0001 4990 4001 October 13, 2017-SECOND NOTICE Tara M. O'Keefe 282 Baxters Neck Road Marstons Mills, MA 02648 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 282 Baxters Neck Road, Marstons Mills MA was last inspected on 9/26/2013, by Douglas Brown, a certified septic inspector for the State of • Massachusetts. The inspection of the septic system showed that the system "Conditionally Passes" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. • Distribution Box is about 3 to 4 Ft down with no risers. • Risers need to be installed and brought to within 6" to grade. You-ke ordered to repair or replace the septic system } ear frmffdTF-MaTe f �4 you reeeive this-notifrsation. ,u '1 f,,,jA°` _cl s, J1 '� failure to repair/replace the septic system within , pe odAwi11 result in future11�f�rCPm PHt n..4:..n. 7a n, °7�. - f/► PER ORDER OF E BOARD OF HEALTH v ''` -e Tlromas Nc dean, S., CHO v, A ent of the Board of Health l! Q:\ EPTIC\Title V Inspection Report Letters Mai ling\Conditionally Passes Letters\282 Baxters Neck Rd MM SECOND NOTICE 10- lj r 1 -17.doc Town of Barnstable Barnstable .� Regulatory Services Department A NAM 0.59. Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7017015 1520 0000 1971 7125 November 30, 2015 Tara M. O'Keefe 282 Baxters Neck Road Marstons Mills, MA 02648 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 282 Baxters Neck Road,Marstons Mills MA was last inspected on 9/26/2013,by Douglas Brown, a certified septic inspector for the State of Massachusetts. The inspection-of the septic system showed that the system"Conditionally Passes" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: One or more system components as described in the"Conditional Pass" section need to be replaced or repaired-The system,upon completion of the replacement or repair, as approved by the Board of Health, will pass. • Distribution Box is about 3 to 4 Ft down with no risers. • Risers need to be installed and brought to within 6" to grade. You are ordered to repair or replace the septic system within one (1)year from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. -/ PER ORDER OF THE O.ARD OF HEALTH Tho ikea�nR.S Agent of the Board of Health V Q:\SEPTIC\Conditionally Passes Ltr\282 Baxters Neck Rd MM November 2013.doc o i �ead1 Roote Excavagin August 25, 2014 Barnstable Health Dept. Thomas McKean 200 Main Street Hyannis,MA 02601 Re: Tara O'Keefe 282 Baxter's Neck Road Marstons Mills, MA 02648 Dear Mr. McKean, On August 22, 2014 Ready Rooter Excavating was contracted to perform work on the existing septic system at 282 Baxter's Neck Road, Marstons Mills in response to letters from your office. The following is a description of the work performed: o Distribution box was uncovered, 3' below grade. Installed riser to bring cover within 6"of grade. o Located leach it under asphalt driveway and exposed. Leach it was found to be P P Y P P H-20 with a riser in place below asphalt. Installed new H-20 metal ring and cover to grade and patched asphalt. See attached pages for supplements on existing Title 5 Report from 2013. Please feel free to call my office with any additional question. Best regards, --a Patrick Sullivan Ready Rooter Excavating C P.O. Box.89 _ Forestdale, MA 02644 Office: 508-888-6055 ' Cell: 508-509-0802 --- ' P.O. Box 89 Forestdale, MA 02644 I � 8 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M ,•''r 282 Baxter's Neck Road Property Address Tara O'Keefe Owner Owner's Name information is g required for every Marstons Mills MA 02648 August 22, 2014 page. Cityrrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way.Please see completeness checklist at the end of the form. Important:When A. General Information filling out forms on the computer, use only the tab 1. Inspector: key to move your cursor-do not Patrick T. Sullivan use the return Name of Inspector key. Ready Rooter Excavating �y Company Name P.O. Box 89 JXA Company Address Forestdale MA 02644 City/Town State Zip Code 508-888-6055 S112843 Telephone Number License Number B. Certification 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. 1 am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority August 25, 2014 Inspector's Signature Date 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. ****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. 65mn •3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M , 282 Baxter's Neck Road Property Address Tara O'Keefe Owner Owner's Name information is required for every Marstons Mills MA 02648 August 22, 2014 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 have not 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: D-box has riser within 6"of grade. Leach pit is Located in driveway. H-20 with metal ring and cover to grade. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): l5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 I Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 282 Baxter's Neck Road Property Address Tara O'Keefe Owner Owner's Name information is required for every Marstons Mills MA 02648 August 22, 2014 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert 0" Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): One inlet, one outlet. No solids carryover. No sign of leakage. D-box is 3' below grade with riser within 6"of grade in planting area. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 282 Baxter's Neck Road Property Address Tara O'Keefe Owner Owner's Name information is required for every Marstons Mills MA 02648 August 22, 2014 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 1-6'X6'w/stone. ❑ leaching chambers number: ❑ leaching 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.): Leach pit is 4' below grade in driveway. Leach pit is H-20 with risers and metal ring and cover to grade. Pit had 1"of liquid at time of inspection. High water staining 4' below invert. No sign of past hydraulic failure. Cesspools (cesspool must be pumped as part 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 groundwater inflow ❑ Yes ❑ No t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 t Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 282 Baxter's Neck Road Property Address Tara O'Keefe Owner Owner's Flame information is required for every Marstons Mills MA 02648 August 22, 2014 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view 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. Check one of the boxes below: ❑ hand-sketch in the area below ❑ drawing attached separately ?<t's�� � �M—c�1 G a��'r��� � r`��, �..a.�•cis 2, i I `3 `f 3 1 I !Sins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Parcel Detail http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=4530 1 _- Logged In As: Parcel Detail Thursday, November 7 2013 Parcel Lookup Parcellnfo Parcel 1075-004 ( Developer I Lot Location F282 BAXTERS NECK ROAD Pri 115 Frontage Sec;— Sec F— I Road Frontage _._.._ Fire; Village,MARSTONS MILLS District iC-O-MM Town sewer exists at this Road address No �� Index 30083 Asbuilt Septic Scan: Interactive 075004_1 MapL - Owner Info ii Co- Owner! o FITZGERALD,WILLIAM J � 1 Owner %6-k EFE,TARA M Streets;1424 MAIN STREET ) Street2 l City 1COTUIT m ) State-E—Aj Zip.[02635 Country+) Land Info Acres 10.96 Use(Single Fam MDL-01 I Zoning I RF �J Nghbd 0118 Topography I Level Road Paved Utilities jPublic Water,Gas,Septic _ Location Waterfront,Excel View Construction Info Building 1 of 1 Year Roof Ext Built! i950 — Struct,Gable/Hip Wall Wood Shingle soy: Living 4'283 Roof Asp F/h GIs/Cmp AC lC to rn ala - Area Cover Type-- Pro I Int;-"-, Bed Style(Cape Cod 1 Wall iPlastered Rooms 5 Bedrooms ns Int __ _ _ _ Bath _ y Model lResidential , Floor Hardwood Rooms 14 Ful1+2H r� ' Grade Custom Heat[HOt Air Total 9 Bas _ 1 K Type° r Rooms 19 Heat Found-� Stories`1 3/4 Stories �) IGas Conc. Block Fuel ation Gross http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=4530 11/7/2013 jiW- CR Town of Barnstable Barnstade Regulatory Services Department U-Anm'cac j BAMS ABM . Public Health Division "dy�FONb 200 Main Street, Hyannis MA.02601 2007 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7012 1010 0000 2851 1111 William J Fitzgerald % Tara M O'Keefe 1424 Main Street Cotuit, MA 02635 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 282 Baxters Neck Road, Marstons Mills MA was last inspected on 9/26/2013, by Douglas Brown, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Conditionally Passes" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. • Distribution Box is about 3 to 4 Ft down with no risers. 0 Risers need to be installed and brought to within 6" to grade. You are ordered to repair or replace the septic system within two (2)years from the date you receive this notification. Failure to_repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH o d� ciean�/ RS., CHO •r Q:\SEPTIC\conditionally passed\282 Baxters Neck Rd MM November 2013.doc i AsBuilt Page 1 of 1 TOWN OF BARNSTABLE Wit ATION _ 'ZS c -MLL—-e tie--ref C . SEWAGE# 85/— /8'S VILLAGE ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. �1io�ernH t/ Rr �{OTT� SEPTIC TANK CAPACITY DOO d LEACHING FACILITY: (type) (size) /J'' NO.OF BEDROOMS BUILDER OR(OO�pWNE� -P,��[/['G PERMUDATE: 3 3 COMPLIANCE DATE: 6ZZ,4 Separation Distance Between the: Maximum.Adjusted Groundwater Table and Bottom of LeachulS.Facility Z& 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 r 2zc' ' h+N47 r/qo� T ,�80o,,,E� within 300 feet of leaching facility) f ' Furnished by G�iG Sl�il/ /,f ssvn• /�/e ,D o "stir y De I http://issgl2/intranet/propdata/prebuilt.aspx?mappar=075004&seq=l 9/12/2012 TOWN�OF BARNSTABLE'BUILDING PERMIT APPLICATION Map Parcel l� Permit# Health Division ��'( Date Issued1 1 - ,V- JVf l " Conservation Division Nov G1 e, Fee /%7, Tax Collector yJ's- Treasurer A— INSTALLED ICE CMPLIANCE Planning Dept. WITH TITLE 5 Date Definitive Plan Approved b Planning Board ENVIRONMENTAL CODE AND PP Y 9 Historic-OKH Preservation/Hyannis Project Street Address a.X"I �� ��C.� Ic'I Village too f-Sh 1-3 ill l i rr�S Owner s�btu Zk + C,k r 11"S--hA . (U 7 lut Address Z J r�/�i. ' -e� /l'f Lk_.)a Telephone Permit Request 6 A 7 O Square feet: 1st floor: existing proposed 2nd floor:existing proposed Total new Estimated Project Costs Zoning District Flood Plain Groundwater Overlay Construction Type 0 e i i Lot Size lip 401 i--t. Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes I[No On Old King's Highway: ❑Yes O(No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other - Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing / new Number of Bedrooms: existing_ new Total Room Count(not including baths): existing new First Floor Room Count 7 Heat Type and Fuel: O Gas ❑Oil ❑Electric ❑Other Central Air: 4 Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 14 No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use 1 BUILDER INFORMATION Name o f� .ic4✓ 0,011ceds Telephone Number W 7 f 1?_ P `f Address License# J>� 4&- to 3 Home Improvement Contractor# Worker's Compensation# 3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO A(% .LiA SIGNATURE DATE i tOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Cd S Parcel_ r��lf-'y Permit# i I Health Div iBr�°_ S IG S 1 � )fin rA4ttIssued Conservation Division �. c� �,I lication Fee < Tax Collector ��3 `' -1 Permit Fee kIS,Oy I' Treasurer SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE 5 ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TOWN REGULATION Historic-OKH Preservation/Hyannis Project Street Address Village //�/� w� /D e S rvG� Owner ��jf� �if�/�S � Ad( �vTe, p Tele hone � Permit Request ,g y wy �jear°e Square feet: 1st floor: existing proposed r°�i_� 2nd floor: + D N �/' G 0 �,� Zoning District Flood Plain / _. � Project Valuation 700 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ZrTwo Family ❑ Multi-Family(#units) Age of Existing Structure -s Historic House: ❑ �Yes 0 On Old King's Highway: ❑Yes &N-0 Basement Type: aFull ['Crawl ❑Walkout ❑Other - Basement Finished Area(sq.ft.) _ ZI�W/f Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new 61 Half:existing new Number of Bedrooms: existing_ new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ]'Gas ❑Oil ❑ Electric ❑Other Central Air: l�'S'es ❑No Fireplaces: Existing �_ New Existing wood/coal stove: ❑Yes ©iro Detached garage:❑existing ❑new size Pool: sting ❑new size� Barn:❑existing ❑new size Attached garage:81e_xisting ❑new size 0 Shed:®'existing ❑new size �'X� Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ®"No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name �0/1/ Telephone Number Address Z0,� / License# Home Improvement Contractor# Worker's Compensation# _ (� C _5 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT W LL BE TAKEN TO C6W /-ems SIGNATURE ;�/ - v DATE _ ��� �/< l/ TOWN OF BARNSTABLE BUILDING PERM I/AWLICATION Map Parcel C� S 7 ® 7 (� �' Permit# j Health Division Y /$ L F Date Issued eeAPPlication F Conservation Division f .. -2 Tax Collector Permit Fee � t7 g 3- �� Treasurer ""'' SEPTIC SYSTEM MUST BF — �;�: ;..;;�..;;s INSTALLED IN COMPLIANCE Planning Dept. �/��`��,c VA y WITH TITLE 5 Date Definitive Plan Approved by Planning Board �ic o d6 ENVIRONMENTAL CODE AND / 3 �` � TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address � � X�J'�14O fc4 , / Village — _ r/ 1(1(, Owner f� � � �� S Address Telephone /o D S Permit Request i �G��� it i X ON // ' a 117'- 3�S �0 2nd floor: existing proposed $ C) Square feet: 1 st floor: existing proposed 9 osed Total new P P Zoning District Flood Plain O Groundwater Overlay /T/-U • /' Project Valuation ' - /",I`i i� 7(�7�ont ruction Type e�W Z Lot Size x11A Grandfathered: Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes 9-Ko' On Old l King's Highway: ❑Yes 64-ht6 Basement Type: �ull rawl u Walkout ❑Other Basement Finished Area(sq.ft.) //,/ Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing / new Number of Bedrooms: existing new �— Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: 2(Gas ❑Oil ❑Electric ❑Other Central Air: f'Yes ❑No Fireplaces: Existing )- _ New Existing wood/coal stove: ❑Yes a, o Detached garage:0 existing ❑new size/ld Pool:❑existing ❑new size_Barn:0 existing ❑new size /VU Attached garage: sting O new size Shed:❑existing ❑new size /�y Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name �'� / ^ i 67,/ Telephone Number Addres • aX �/ �' License# �' S LC� s Y //��� /1/S. Home Improvement Contractor# mil`5 Worker's Compensation# /iry_c do ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO / %' a 514 1 DATE SIGNATURE �� U TO N OF BARNSTABLE LJCA'f UN GfS �`•SEWAGE # VILLAGE ✓VI ,M.1�S ASSESSOR'S MAP & LOT �S INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY n LEACHING FACILITY: (type) P--r Cox(o" (size) vu� NO.OF BEDROOMS y BUILDER OR OWNERe.VC_ STpt✓ FERMITDATE: 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 leachi�g facility) Feet Furnished by ��S�eU1 i aq6 38 a3 16yI a ' 0-0 y a� 3-7 TOWN OF BARNSTABLE PM,_:'�11WON - '08 Z 24XI-E-ie A/G-04- .e� SEWAGE # 85/' VV.LAGE 0'f4,es io-c/S' W 14C S ASSESSOR'S MAP& LOT S INSTALLER'S NAME&PHONE NO. 41,11&VA41 SEPTIC TANK CAPACITY DOO d LEACHING FACILITY: (type) (size) G�aC(� f s8 �f NO.OF BEDROOMS BUILDER OR O r''it�,ClC� G�DyC iC'�t¢�T T.cusT PERMUDATE: 3 -COMPLIANCE DATE: 6 4 8 Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility ± Z& Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) '11_lg Feet Edge of Wetland and Leaching Facility(If any wetlands exist zac/ �V' W""7 within 300 feet of leaching facility) p T. Furnished by i?. r'/• a1'C!;01V ,¢ M ry 44 7 I�Rx, NC=C(7 1 A � 10 OCATION SEWAGE PERMIT NO. VILLAGE INSTALLER'S NAME AND ADDRESS O,v e6 BUILDER OR OWNER 1 DATE PERMIT ISSUED — d DATE COMPLIANCE ISSUED �-/ �' t _ -., /;t � , t � .i ��r � � „® �p � i V Y �� �. � .�' j r ���� �C �� 0'� ���r � TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION OWNER AND INSTALLER INFORMATION ADDRESS: l© ►etc + � 4�k'! k ttc�, . - - MAP......NO. .3 PARCEL -NO -?0 j OWNER NAME: VILLAGE: INSTALLATION DATA: BY: ADDRESS: CERT. NO. O Ar r — 1U 17 ) TANK INFORMATION LOCATION OF TANK: ck-i�►�. i Cac CAPACITY 4Aga(% TYPE _ k AGE srr t FUEL/C M I CAL TESTING CERTIFICATION C I PASS C I FAIL DATE t JJ � . LEAK DETECTION EJ� CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION C I YES C ] NO DATE TO BEREMOVED FIRE DEPT. PERMIT ISSUED [-al YES C I NO DATE I ) 0 CONSERVATION C CHECK IF N/A DATE .BOARD OF HEALTH TAG NO. Wr ]C H ]C 1 DATE •PLEASE' PROVI'DE A SKETCH SHOWING THE TANK LOCATION ON THE. BACK OF THIS CARD � �/ /���� �� y �� � Ll— IT'S7 No... ................. ...... ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................. ........................OF...,................I.................................I................................... Appliration for Billpas'al Works Toustrurtion Prrutit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: ...................................................... ...............................................................................................................'.. ... ..................*....................".."...."............................................ LocatlAddress or Lot NoPA ... . .... — — ................................Address .."........ Installer, Address . Type of Building Size Lot.___..9'6-------------Sq. feet U Dwelling—No. of Bedrooms_____._._ __ __.__Expansion Attic Garbage Grinder Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Otherfixtures ........................................................... .....................0...........................0........................................ Design Flow....... ..Cr-U-0....................gallons per person per day. Total daily flow............................................gallons. 04 Septic Tank—Liquid*capacity............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 ( ) 0-4 Percolation Test Results Performed by......................................................................... Date........................................ 1.4 Test Pit No. I................minutes per inch Depth of Test Pit_______._____._____. Depth to ground water..______._.._____.__._.. �, Test Pit No. 2................minutes per inch Depth of Test Pit_______._.._________ Depth to ground water.._____.._..___._____... � ...........................................................................-.....-...-.....a... ....................*.-.-.-.-.-.-.-.-.-.......-.-.-.-.-......-.-..............Y......................... . 0 Description of So ................. . . ...... ...... "............. U4 ....................................... .................................. W .............................................................................................................................. .............. ............................... U Nature of Repairs oroAlterations—Answer hen H able_ O' ----------------------------- ...........0!5;.....I.......... ... .. ...... .............................................................................................................. Agreement: The undersigned agrees to install the ,edescribed Individual Sewage Disposal System in accordance with the provisions of TITLE.'I U 5 of the State S h ersigned further agrees not to place the system in operation until a Certificate of Compliance th oard of health. ign .................................................... .......................... Date Application Approved By. ------------ .................................. ....... Date Application Disapproved for the following reasons:............................................................................................................. ........................................................................................................................................................................................................ Date PermitNo....................................................... Issued....................................................... Date ------------ No ... FEic........................... ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................OF..........................._............. ------*-----------------................ Appliration for Disposal Works Tonstrurtion ramit Application is hereby made for a Permit to Construct or RepAir an Individual Sewage Disposal System at: ............Ro........................................... Loon—Address_Z2_ 7 or Lot .... ............ ...... ............................. -------------------------------------------------------------------------------------------------- Address ............................. ................................ ................................ ............................ Installer Address Type of Building §"Yze-Lot... - ----------Sq. feet D"welling—No. of Bedrooms.......:!;:�................................Expansion Attic' Garbage Grinder I......... — Cafeteria Other—Type of Building ............................ No. .,of,persons................ Showers P4 Other fixtures . .................i ----------------------**-------------------------*--------*------------ ..Design Flow..._...O-0-13....................gallons per person per day. Total daily flow...........................................gallons. 9 Septic Tank—Liquid capacity............gallons Length................ Width.............._ Diameter____.__......... Depth.....__......... Disposal Trench—No..................... Width.._................. Total Length................... Total leaching area....................sq. f t. Seepage Pit No_____________________ Diameter.._.._..._._.__..... Depth below inlet......._......i..... Total,I'Lching area..................sq. f t. z Other Distribution box Dosing tank Percolation Test Results Performed by.................................. .............. Date......t................................. 1..4 ------------------ ,.-I Test Pit No. 1................minutesperinch Depth of Test Pit._____._........t_ Depth to ground. water........................ Test Pit No. 2................minutes per inch Depth of Test Pit______-_--------_-� Depth to ground water........___........____. ------_- ..... . , .) ..;......................... .......... ......................................................................... Description of So .......................... ....... 0 ..... .............................. . ........................................................................................................................................................ U k ......................................................................................................................................m4----------- ........................ ----A------------- U Nature of Repairs oy?Alterations—Answer when alp jcable.._4?1-_P----(.7_qrl A ------<_jo-ZI701- 4- � A_3L I (T............................................ .JA43 Cj 1". ................. .............. ..../. --------------------------------------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install th edescribed -Individual Sewage Disposal System in accordance with the provisions of TITIS 5 of the State -a- th n ersigned further agrees not to place the system in operation until a Certificate of Compliance th board of health. ... . ....... .................................................... ...............o............... _Pate Application Approved XV-------- .............. ...................................... ------I-- Date Application Disapproved for thi following reasons:................................................................................................................ ......................................................................................................................................................................................I—............... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Tntifirab of Tompliaurr THIS IS TKO That the Individual Sewage Disposal System constructed or Repaired by----------_-----------4��v:........................................................................................................................................................ p 9z nstaller 1 14 .. ................. . ........... .......... at............................................ ... ..�.22......................................................... ----------- ...... has been installed in accordance with the provisions of TIT LE 5 of h State Sanitary Code as described in the application for Disposal Works Construction Permit No._�n_�/ .................. dated-............................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.........................................1 Inspector..............PL.,11......................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF..................................................................................... FEE....je?!�c........... Disposal Yorks Ou"Onstruction "pamit Permission is hereby granted....................��. Ie�....... ............................................................................................ to Construct or Repair (v n Individual ewag Disp, al Sy t an I �,v i o S . .......... at No. K-Z- ------- --- ------------------------------- .............................................. Street as shown on the pb tion for Disposal Works Construction E t No ®a_o Dated.......................................... RO/' ...................... Board✓ of Health ..... . ...�L�....----•------..1-----------------••-.DATF.....C/� .............. FORM 1255 A. M. SULKIN, INC., BOSTON :dM moil ' IF MR if A milt i WINDOW and _X7 N�Me,ER R-o. ��xyf - 2411 2.6'/e x 5 o wJ^`•��• _ . -{ e./Ix4 1--,J•n a-Ej 4.5E vw vlalD 2'.fJe x4�lY% _p\^`-' !R.za.o 2�IOIe x Z�'2/t ?!-IxssaJ, ^' _.-'-., :,•w,y��: VaaU e�� ALI i'�o x z'•o a _=.aJ-cws.r..1:rn w wla S n�R�t Fn+.te vt� I � a � . c-rcx.,� �'.o'h.•x i''e�" ...,�azsa.,ux«e� .r/F••o....e r-���,. -�.L �C�S !d•C�p'^x 3211' _i'(V.Gccs.�b�R:7trE.b_ _ >'--' -cu�fOAA laM�1. �wr-coin O o FatB tiN,atcc+s•.+c¢..� casWG �- ..--- --i'-.._. S 2P1_6. Z'�loltxln'�IJIi ZPu+tL.1U-6 STL Ex_/T3L Ofi-z.�•�w.rf� �.'.- !- 41 9p'i3 PBL W.,-Wr.5R71_ '{Pe+32,Z:."b S:�.FX+7=er'Jt+_'a't I+�w.otiy _ � 4-�I�E'_"7��-. �x�e.-cep/roue e»s-- - _ FI- T „r7 'V,\' .tea-�'ua.•.�-.,_ _i_.._ - ! .. •e�]6�v. �/ �� \> S &Yg�Gg�"�a M --lip'.x8`.'?tE;q l` Cn TW:Y W S 3'n J--I ffA-♦ I I P•^' I I :.: I �. �...___^P x4 �• _d.v C/]�6 \ Z � 1 oac�. ... LG•'btto-�.v.6-�� Z G�Q _-.-_--lo•O PI^�Bt�l ca-i. � ��.'Vs i - c�^ 00 ' I 15'NP�cev ciFS.rn pI 6 ¢ rf�a€ ee��E 10�.7� ,� ,�4nF•T.NPlrRl.tllE•�TKa.: /'/ � \\ � ilD � ���ky'g4�'6 ��Q EEE� • a�/I xe�....rn, �� ' � rz�sn.x.lrs�•.:ra.-�e.--x�r;- � \�•. Y: ¢ pp .✓:::.o,r.-ro ix4 �_- I .! \ '.0 I r.�ir':]Se B• 6 g 8 II, III i F— xrty - I m O .-5�1. 41 - REAEZ EL-_VATI Dt-� The*Ucbgr ftVk*iV 7muwewn foofirgs a d*Wrigey De� _ _,y�•,�'.o , \\ wl,ti>�I.m.m.ayry.e mewro.a.o!wwea u pfarm and arirq � .�,�-��� oaww5m ald b m!a whrrmro..a!a a¢meafile m wrk a=! P.cp IWA b povf0e for s ml%K%O R�n oo SUbe a Nd V on p.a.Mrs ona niYnwn ulwda.at forth In MA San eDsdhp Code ertl mon coee�r oA4wloes. � _� 1 ..ln. '�T3 .:d.F'",.JeaLla,J6• 1I :. -r• �- � •. n -: - �� �GL_la G.r-E.:s.t - �f '�gy'J�RL'.KT I _ I' �. - 7�{ ,^ . ��_.. ice• ---_-... �,xH9c'�� ��. 1. - ._... --._.-._— o; s f L 1a��e��$ba�Q�b IJ L am' i ': �. ��I J �fl' I -IrS,Ixr.ccfJJRR-Evc. u M�Ciul� I I I I I — -- --- -- a I 1 CD LIM p [[ � ,LLy€y��y3#y3ppyyY 99e�yp p$e6`p@>l� F F(—•e�I � �IJ'=/ITB Pv+._Tor( �e � Y p ' �< ' 6l esI I E—P i N LE�1-1.411i.✓� 3v':TO IJIh PRIFI-C pm ax w-c- _ - I - K-f4hY 4Mxri:t n�.n...4 n.� ' `w.c. Iw+v ss'hoc.-- -� `� ♦1 fifi . ','�. }�� P�II I'. I --__... _ _, txN.?rw i-•r ri+. .,.. .--__' I - I xa•r+.c�.v m. �a�� .- - — — MI_ dPPi'JRE - Ib Fr i- - I �O sc M�grr ,ha drewirpn e rex..,.�a ie,leeJat-p.oese. Thee tC is es"wify MbstwV sn,be9nps end hlenlq sy Were. ii ls•�/q`..,•.d' - _--- Csreradorbb.its vaiyWeJlinrp...popo.ea aondi6 PkbeM d1+eW _ OOMnRtb end b make etlelsliau end/ar edj,nt—ft tO b wdk es k p.gj,sble IiIY,Ylun cw,.Wr b eels.(1aM'n MA St.N ButldMp C-&eM eovr�bNYlssdee/e�r,el,oea � N 5: TS . �,_•2'e,°� �'..,' � I I 4'6 f i - y__>:� l. oci�A... i gG]UAL. I f' 2 Lri i • I Ile I' rrt I III ^..ns-E�f I ¢ • I I�., P.p-:ri �FF-.NILY + _F R ;� y� a- � 1-'� Q ZI m a n a N e D n < �z 5 a= 1 � � � eta 1.. _ .�_ :Xu•e T\S iR0.oIc Ar A^rT \- l H`a i iNrov r7c.K ;r Hc) y � 15 �. � ➢ .� I � .• -.ten. -_—______ ___-___.__-_ V s CONTRACTOR TO SITE VERIFY TH PLATE tlE1 GALS . CONTRACTOR FIRST FLOOR ee ?(--`- II ^ AIGAEST PLATE HEIGHT WITH NEW STIR WALLS. CONTRACTOP TO PROVIDE 4�� L[¢a (lpS� 55 A FINISHED PROJECT TO MATCH THESE DRAWINGS 1N COMPLIANCE VITH RRyg 8 a, I LIVI �ZR7h•� J ,f.. -!�- ,{I,p° t- DESIGN PARAMETERS. 'f'J-iE KBj�C2f7 # .� •7 STRUCTURAL ENGINEER TO SITE INSPECT ALL EXISTING LARD HF.ANI NO S � F3 BYP�yy� • I. d E'R- PAREASARAM WHEN EXPOSED TO CERTIFY STpUCTl1AAL COMPLIANCE WIT➢DESIGN ,�(Qfl{1`t 7 PARAMETERS. l��F 861� Li' _ I 3 BN s i--•IA_y Fly" LVIRAATOO➢TO SITE VERIFY ALL EXISTING vf. PROPOSED CONDITIONS LEA S �«.. PRIOR TO AND DURING THE COURSE OF CONSTRUCTION TO PROVIDE SEARING � '$s� pp�CB��jg DER ALL STRU uxCNRAL LOADS. qp;; Se NQ p g p55 qqp99� I T ' I 3 d I b :Kaz6i56'di�i£766 HVAC CONTRACTOR PR SITE INSPECT STRUCTURAL CONDITIONS PRIOR TO •� CONSTRUCTION TO EXISTING A AND PRO DESIGN TO CONDITIONS. SPECS AND P.eiL PRT - - i, !-�F �'• �•X`�• KI $ COMPATIBLE WiTT EXISTING ANp PROPOSED CONDITIONS. 7r P—PGLIr_ a'''Z IYU+I._. S� _...L.__ Tf.._... v I T'."P4wT^ �I ANDI FOOTINGS SHALL Sin INSPECT ALL LOAD BEARING FOUNDATION PALLS _...._. 1 AND iOOTi MGS Yp10R N TO AND DUAING CONSTRUCTION. ty- '� } 7T---' '�"-' �•A -- Q _ ..Z]- --4 \ INSPECT AND JOISTS, SILLS, r IIJRU AEAMS, ETC. ENEOUNTEXF.D DURING CONSTRUCTION TO MA IATAIN A REPAIR AS NECESSARY ALL STRUCTURAL STPUCNAAL INTEGRITY OF FINISHED RESIDENCE. i I !;I L •+ 1?'•..-� ALI NEW FOUNDATION PALLS AND FOOTINGS TO BE OF 3000 DA° MIN. 17 - �.`J _ ._ y�'2" COMP B•O M—�. . STRENGTH CONCRETE WITH FROST WALL PROTECTION MINIMUM OF 48' Il7]Pr 1 BEI OW FINISHED GMOE. ■■Y 1 � lk i I• zI' i KI-TG4-IE�I •1'`, g ,I.I \ M LL uuj Th➢AX e,M'.W a rnYn.re br 1111-fth"afPDte.- The A;M&.XI XrQbmwft br IaMXfiwt b0'DrOf Xnd ft—"M Od—. .Oabma,b bWWmb XH-d-&p Y'+PAD�d mt�orr R�b rit0 dIXNq I I . DO'd o-➢Mbn"I.XHBretiDR4 XIId/aaQubnarbbwksX ylapegas b 111 bramWWWd PDi-In-Wa—*,Ih deMpl bXIaDls➢t M.h I m➢1➢rld-b RM bah i„W seta.8DOdW Code b y. -t V I E y. ••�ayxa„ + I I I I� kJ I �z - r�`Yeia6 i t\ Asa I I r WN I q w LL- cnC7 ae-or, C> O W con co « raga,,.ri. n I ti o•J a-�x.�t�i-F s:z:vc I I s gat A-�-gZ.�»•-.4 5° 3s CCqqyyy pp v.lD'+Flo7 T.]S7 C C�r ���x Ykx6��g xQy y ggg p99CC,• <� ,•� j__. 11 �,m_..rr FaGza''rw:,+rerrw,.. >, /- ��fB�nSb}E�� �i�4x�A�npg36�����g a .. �-- u-g �j �T'Pl•t °� I j :R.a.,^_, I i �i'€�lii��✓s��x8�d6@n ' 1 �� zxI25Qw o i } T i 1 I ' �JI-l.4J•Y_.. �T.'L%,o�2 14"o.<. . �_._. —.:���_— - } —.. -� ..�t ,•la.1f�aTii:••y.. ` '.�!'f9.oYo.11L. , � -..�:.. 1 o j 4--- c6lstEiG Jr w.W 5 s� sEcl-laN t�LGoNY �nn J ' I T A4 LL i y , j WEw 7hme 6--gs es shww,are for Ngaaedve P,+Doses 0*d 'a �' ,�. ,'�• ;_ CoND - .- Cn .dM IS for)dWKV W. taneeaor h to sxe wttY N eriefr,O W.p,OpOsW en to cOMNio primprimeM d+vq mnYnslion er,d b nrolu enerenw,s d/a edFwrents b rork ss N propeases to po.i0a lar a oonipleled Polev in o.T.O rz.dh design peraneters end mirirtsn,kar,dads set lorV,ti NA Suro BuRdlrp Cod.sr,d — - qvb. ro W—odes f efdinm,r-aa _ rQ i .4y 0. ri � I� I• I I� �� ,,I, � wh Zvi ER rE— r- CID h e� t o goo E--•Ucn U of 1 F�<1(✓ac. �af.�b_I�a _ RCS EK@pS�♦ ID I -'fd'�i11 4:t I E"%r�.J_i -a 0 ae Sao pgK b .emu=-f.��.��_t�. quo CA" i rt � 1 r - LL T»se q.-a.- r x ilkatralive pupwes wy. - . tt+..mcurr V/cr fb.-rAki bZ bati,ps ad b.-M h.0— --.-�•,,- Ca*amx is to of vary an eaetrq ve,prapoaed cadilf pw mend s+iW *.r.b rbar ad b make aker"—arld/a.6"o—tn be—k m! PoTas+es b prwMe kY a—0,1ed projaO in cwnpIt a wM dnpr prrrwlan and mkimerl ardadx ea IMh in W$mt.ftHdAmg Code-4 s;f-d'aW HHU I x V] dST - ZqQ �43 ��cg9gg §a T:�2�oc�ct3�s� � D lL Z ..A+aa.*-tw ea amirr.n for 4mb.N.wpowa . ltie eb„a.r.npo-.erYy tur bi.tl.tiorl+oaYw.ndS.mrp by ol— Coren°br w b.ne vedy.e.>s+wo r<f+°wb°m,ab"pror bww Artip - _ wWj*obrOrs6aro s0/apuWwbbwk=f . prWfto.to provIde for•mrtplebd paisd in ompla wM deelpn p..nran-0nb-&—A-d.,ft OwMinKA SM.errdl gCo* V AB' I Al M �I I_EI ixirlP„ III � IF�s � � I •• _ - �- � � I 6 +��[�� rtj- -f_ �� - -��:� ��•- -- �7 �<< 5'••�` I, pru 4 � �� � �' �`�_�� 'F �-�.• - -;�_ �-_-""` 'fit-'7•...�.- "�-'--"!"- _ 1� � ..:7�.. - �C�=�aps k I J I ' try„� }.� _— --`-- y rP cw :Iw§ �. �. { �` Y.. � . .- • --- - - g �m�a��� I 'r44_ T G C:) a mn FM J tl. •� � "c - _.. _.�-� ' T---a- - 1 it _ .,�r��>•_.,,.�. _i sl9� 99 Ilk ( 13 - it I u• � � � �� � , -- +I l+ V `1 - 061 >L FfZAMi ='.ar Thy d—gs ea eie-..for WAft d-papaws _ Ca*.OQ i.b tll-ft dl edatlnp n.prgMW-,db r Prior to d*AV c nNUObn end b melu:IUredarr erd/a e coriV w b rok n d lrepeeeee t.P-Ade br oonpleW piop0 FI oonpfia�ae wAn deelPn S.: Per ,W. end mi*"$I lord-oM fwM in OA P6ee B-l&V Code erd d-... . C.•: ,'gPpkmM.6 w odes I a,Onalm► 1. ' xortm q:• - ._Suw �ro�cm/v�Z � '.>�.e.�ata-.-O'�m�mrt+¢s 2'II /s • � \ f x �: _�¢io lus•+c—�� � - ![aYlionw.,4.Iu5+1..' �i'vs�Jv:ft•' -'_-- n1b u �"�� t:. O a_'' - .. _ ¢nheeaa•t-Yak76. Q .._.- � crr.�^nw..rs�a'nsw�e.x ,._t,:�?;:,•• �-�'- � /ly�aW si•�sv 7o "/'1 1't-WV.aria- ....�T. ux�ao��RM�: :11ri•G .I�•o.c. Q ftl1FW+lDD N.7o1�iL_. 1aaD's.a+T"eYr i « � rh4a"f w.rlEessF.li"s•. �i'� �d �.ga'il •i sctotab term L 7fP— uwstL••t^'9^'c'>���sos- IY tD 2.2 RE.TAS� WF mvu To�+7iJP. �Iql . .• fFppfF.. _ bE�RDoM F F �catcn.w • � a ' I Y..1t Tu-Rlt�MTS� —t'1ReR awt-Ticrof st+atc! � F A. ' FULL E# Mfl JT i —x "v zQC h SZ C3lJILbINCx �-"Tlo).l E sl 6U1 �� ° All. ' U1i 144'.4 LO. !MF•THLeeLUE'nc.P•i[LT "` Vn - warvw its• - a.�sc a e°•colc RX+aa. i r Plo.a[.saPAT�bR 11O'Yu6T !�_D"s!r•tT CTUms;T - fb+.wv.Rar'nGR t✓cox - y Z ':L n 1 i�tt : iJ 4 CRAYJL T1ar�AsrYlp�asYowiObr OWabadrsPacoN. ----.-- ._L__J The Mntcoaral�ttpinarb°brbuddloM1 bow atd r.�,�,o by d Pcdw+. .CaVr�clr IIIlu."ary r Odom w pw-w ow—t- �b.rtd vtrq .. EOttN1I�a�l rtdb ntlA�►erMWlM�d/Or ptWlMPfabLCfktl° • �1 lµ .�'.d ' +.Aiv'�• . Pmps to pwbe br•CxMWAd pWect In CWTR c WM dales :p�mWs artd niiu°°Mvdrda yet lo�°t b W 36r1•BUOdh•y CaM artl � d T•..•'•i;%' �pfcaOM f~coda/adlr"IMa