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HomeMy WebLinkAbout0396 FLINT STREET - Health 396 FLINT STREET, MARSTONS MILLS 1 A f 1 I' 4 TOWN OF BARNSTABLE LOCATION 3 q 6 F c,h fr^ r SEWAGE # ZO (0 -L`Z 3 VII.%AGE �' ~sue,... �''"'c ASSESSOR'S MAP &LOT 0Z Z `1 INSTALLER'S NAME&PHONE NO. y���''�n"�"`- 9 �39 SEPTIC TANK CAPACITY w 0 v LEACHING FACILITY: (type) -Y d"J (size) NO.OF BEDROOMS-1 BUILDER OR OWNE `moo PERMTTDATE: C COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) n Feet Furnished by �Z/,1 y �',o^'" C"�'t ° /✓�"n�`'``� 2 3 sy 3 g 34 29•s 3 2,ed I C. p f Q 3 . o � No. Dom - P 3 Fee /J " THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BA:RNSTABLE,, MASSACHUSETTS Zippricatiou for.Migpogar bpgtem Construction 'Permit Application for a Permit to Construct( , )Repair( )Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. 3q(o } 5�- � Owner's Name,Address and Tel.No. ? Assessor's Map/Parcel �.�• J®�,1 L etwtl\ ``�®�� 7G -Z�.2 1 am ON rrt%A a A-.ft /C} Installer's Name,Address,and Tel.NO. �� 3q�= Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms L4 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) _E.r_ s� *TQ A +0 l-a Date last inspected: hTq 9 e Cmi 0 6 7 Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of T' o e Env' metal Code and not to place the system in operation until a Certifi- cate of Compliance has been is5vea by s BoarTOUUedith. Signed Date, 91,ziho Application Approved by Date Application Disapproved for follYwing reasons Permit No. a010 3 Date Issued 1 0 No. 0 P 3 1 lj Fee '_ THE COMMONWEALTH/OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ti application for Digpogai *pgtem Congtruction Permit Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. C�(�, `� s�- yZ Owner's Name,Address and Tel.No. �S og) �G v' - Z.Z 2 M Assessor's Map/Parcel Df 7 A+- (,,C'.qC� 2 1 V C, 'Fl,,4- %1. V4 r:10 ) Installer's Name,Address,and Tel.No �a�� ?95�c���~�y Designers Name,Address and Tel.No. Q. _y� n 17 s �pt�1oC/� �SAYtncj SAP_ t�� � 04 Type of Building: Dwelling No.of Bedrooms t../ Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) ` Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Ex s i 3, a Se n�,c _rO ABC ' > 4b e �0©(r)A8 Zi V..<.. Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions offTTitle-5-6t e E�on ntal Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board'of_Heialth.Signed i Date 9/nhD Application Approved by ) d.«.- j -/ Date 41 ? . Application Disapproved for tVl�/following reasons Permit No. )0/0 — %3 Date Issued 91,7o ----_----------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by r c.T Pr,, at 4 A,. 4,JIj� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. i D -?C7 � dated Installer Designer The issuance of this permit shall not be construed as a guarantee that the systmwl ill function as designed. Date In !l C4 i!., Inspector j I /N(A ,.,_Y_u 9-- , � . �j No. 7 r� I - r^i Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION = BARNSTABLE, MASSACHUSETTS Zigpogal 6pgtem Congtruction Permit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) System located at �? l��-� nA , n Pf and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special,conditions. Provided:Construction must be completed within three years of the date of this ermit. Date: C� 1-,) f 7 /t v '°` Approved by el AS�. �"" I R �A C� ���� 1 �1 I �� � � � i �q� CJ'�. b �\ I �- -� --- - - -- -- - �`l Y TOWN OF BARNSTABLE LOCATION _ SEWAGE # PILLAGE l�LI�H�rah� %j�p ASSESSOR'.S MAP & LOT O �y ,_. INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY `000 (size) �' 1r5' / LEACHING FACII,ITY: (type) , `'` NO.OF BEDROOMS 7� BUILDER OR OWNER PERMIT DATE: l b- % COMPLIANCE'DATE: /O- 7- T9 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 Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist : Feet t within 300 f 4 of leac,hing f ty) Furnished by l • r >j # ^r { s J { r c ; f t i' �fF r Cr �P J � ��g11 OFmm 1�}g5S ppICM6L 9cyGa No.34774: STRUCTURAL ? Q'L/k C STD LtC I G, ,vlj `t r. aFzi Aug. , ! _ i L U N � _a ' 4 �x 1 y �c ep4 v 0Ix lk oIx� � � Qh ik Y � 4 `�o IT r Wok r TOWN OF BARNSTABLE L ATI0N �11�T Y-&Iz�/— SEWAGE # f7—l®S�� t''I. .LAGE ASSESSOR'S MAP& LOT O INSTALLER'S NAME&PHONE NO. '1 V'- 5,-5p 13 SEPTIC TANK CAPACITY Aw �/-� LEACHING FACILITY: (type) -3 02V C�k`' %/ru 44hsllh (size) 3.3 X Ir-3- l NO. OF BEDROOMS BUILDER OR OWNER ./a�e� L/Ifae�✓Z PERMIT DATE: COMPLIANCE DATE: /O- 7- 19 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 leac 'ngflity) Feet Furnished by � a V 6 0 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓/ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for Digonl *p6tem Construction Permit Application for a Permit to Construct( Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. r 5 regi_-r Owner's Name,Address and Tel.No. %9/169Hsf'4s'/.s %'ylrJ��f 'V 1'llly/ L..'�i8�/ Assessor's Map/Parcel Installer's Name,Address,and Tel.No. q 71'D 1,5�f Designer's Name,Address and Tel.No. Jds--el"ll 0-c l�;4JAe0$ i Type of Building: Dwelling No.of Bedrooms_ d Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) .Q ST%l/ - .5'"«�� 6,4 1),�54 GUrTL 9'.STtJ�� �y't�iicl�l 2���z'_i� )�vrrr Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Booar4 of Hgalth. Signe Wtot� ��i/ Date Application Approved by Date Application Disapproved for the following reasono___� Permit No. "� Date Issued `91 r.► No. Fee THE COMMONWEALTH-OF•MASSACHUSETTS Entered in computer: ✓/ Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS Application for �igpool 6.p.tem Con.5truction Permit Application for a Permit to Construct(!-'Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. w 3 9G h�p ,ST/^/'e r Owner's Nam'e,Address and Tel.No. Ms01eS '1,qS //,g - Jalti L�cGt Assessor's Map/Parcel � a z / Installer's Name,Address,and Tel.No. qj,7-d f 4,9 Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) ' Other Type of Building- No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Ar, Size of Septic Tank Type of S.A.S. Description-of Soil �,Aaj4 Nature of Repairs or Alterations(Answer when applicable) Xn SA1,11 3- 5 U!J l)rN W_a�S cup t� y'srah-� �s►r�yh� 2"f�i?'� S.T-nh s Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Boaz of alth. " Signe Date 10 Application Approved by !l Date Application Disapproved for the following reasbn C) Permit No. LF """ 1 Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIE(,,that the On-site Sewage Disposal System Constructed(A—TRepaired ( )Upgraded( ) Abandoned( )by log .4 '011�&IAr0 5 at Ao vi has be constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated I Installer 454,�?Xi /4evr0S Designer r'H6 The issuance of this permit shaU not e;co strued as a guarantee that the syMt4611 fu tion 'shesig fa v ( � �Date Inspector ` /� f (�j �`- 1 . No. ------------- �-------Fee—�� !/ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Zigogar *pgtem Construction Permit Permission is hereby granted to Construct( air( )Upgrade( )Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be col eted vAthin three years of the date of i�pspepniit. Date: Approved by `-- " r aim NOTICE:: This Form Is To Be Used For the Repair Of Failed __Se tic Systems Only. R ► ..I S?s' T 'I � N OF SKETCH AND s pLICATT®N FOR A DISPOSAL w48K5'S? ° D ELAiN hereby certify that the application for disposal works constriction i:Fe:rmit signed by me dated /0— G - q% concerning the property locates at 3 9'G �l hr ,S'a�; s�t�, !? !/� meets all of the following crit(wia. �Tha failed s re�rttem is connected to a residential dwelling only. There a no commercial or business uses assocuut:d with the dwelling. ✓—The soil is cinssified as CLASS I and the percolation rate is less than or equal to S minutes per inch. 6(- There are n;o wetlands within 100 feet of the proposed septic system ere are nO private wells within 150 feet of the proposed septic system ejThere is no increase in flow andlor change in use proposed r/There are n�: ,-Ariaaces requested or needed • The bottom Of'the proposed leaching facility will MLbe located less than five feet above the amucimum&-di usted groundwater table elevation, (Adjust the groundwater sable using the Fri method when applicable] mptor • If the S.A.S.mill be located with 250 fat of any vegetated wetlands, leaching fax;;( ry will aZ be located less than fotuteen(14)feet the bottom of the proposed groundwater table elevation, the tttaarimturt adjusted Please complete the following: A) Top'N'Ground Surfac ovation(using GIS information) r//7 B) G.W, .elevation MAJC High G.W. AdjuWnent ao,33_ Da:FFJX1kJC'E BETWEEN A and SIGNED Z Jam, (Sketch PXopose:r plan of �, DATE: q.helm toes; system on bade]. - t� Q �� t OI .. ��i � e � rr'' �� � V� r i � - �✓��r Srr��r i 0-.-21 y-coo 0 CATION /®t 41"$ f/,;,> s> SEWAGE PERMIT NO. �r— /00 y. lip ,VILLAGE /�la r S toe?s I N S T A L L S RAN A. AALTOEBA KHOE E R R E SS VICE a nut Street West Barnstable, Mass..026.68 BUILDER OR OWNER 10 fz., DATE PERMIT ISSUED DATE COMPLIANCE ISSUED ���. / sb \ � � . i �~aS � -/.7' � o i Yf � / �� ��/ .�� /^� '' `� � �� w 1 , 'ems No... ..�lOo j R. b FEB.. . THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ...... ::. ......OF....... ............................. ApplirFa#inn for Disposal Works Tnnstrnr#inn Prrmit Application is hereby made for a Permit to Construct ( //111"or Repair ( ) an Individual Sewage Disposal System at: ...-Stn---- ---------------- --I aIaA, 5---••---1�'(��1 ......................................... •��� rr�` •11-Location-Address ` or Lot So. f �s. .._._�c.�.. ,ar ...........-•---------------- .,.. -- �Q. {�-• ----- ��•---._��.��.... .s�.� Own r Address ` ° W 5 � .....c.�.�`:�..------------------ ............/V��d. rP ......... L-II.S... .................... Installer Address Type of Building Size Lot... lag a_.____-Sq. feet �-, Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P4 Other fixtures .. W Design Flow......././,0..........................gallons per person per day. Total daily flow----------3..-3..................-gallons. WSeptic Tank—Liquid capacity/.gallons Length_10........ Width. .'-'-...---- Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (� Dosin tank a Percolation Test Result Performed by-_._ 4_C�0� ... .. .... Date___�1� / _ .. Test Pit No. 1_-_----..minutes per inch Depth of Test =/d.o_ .. Depth to ground water........................ rZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ x O Description of Soil ------. ••---•-- ----�►"'-- . ........0.41 tb{s1 � }- - .... - U ------------------•--•-•--•---------------...._.....-------•-----------------•-•--•-------------•-------••••---------•-•--•••---•----------•------------••............................................. W x ----------------..........-............................................................................................................................................................................. U Nature of Repairs or Alterations—Answer when applicable............................................................................................... --- ------------•--------•---•-•------------------------------•----------•---------------------------...... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iIT1Z 5 of the State Sanitary Code—The undersigned further agrees not to Y place the system in o ati n until a Certi gcate of Compliance has been issued by the board of health. Signed._d ---- -------------- (� atg PPlication Approved BY ��....... !'.A�...._... t l - ---•----- Date Application Disapproved for the following reasons:................................................................................................................ --......•-----•-•..............•-•---••-----•----•-•-------...-------------••------.....---._...-•-----••---------.........••-•-----•-----•----•--•----------•------•---•----•----------•----•-----•.••. Date PermitNo......................................................... Issued.------------...----------....._..--••-••---•-•--•-•--- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......./I/ti5�-----------------OF........7.r ......................... , ppfiratinn for Disposal Works Tonstrnrtion Prrutit Application is hereby made for a Permit to Construct (44 or Repair ( ) an Individual Sewage Disposal System at: .1.�. .. ..._..� ,1�n. ........ z . . . ---•.........•-••-- •••---_-_...� �... 1 . ....................... ocati.n-Address or Lot .. C ..� . ........... . .�.I .. U-� _ t Address 1 Lem � caner L_ � p / n J W [U t�fr51_ 11.$.1L�._•_--•---- •�+1 aST/GY..S/T[_S�!!!_.. P1�4..�.Ct]..�._.... i [1.�1..,�.:.------•-----...---- ►-a � Installer Address Type of Building Size Lot....................-- • .....Sq. feet � I—. Dwelling—No. of Bedrooms.......�................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Buildin a yp g ____________________________ No. of persons............................ Showers ( ) — Cafeteria. ( ) d Other fixtures . W Design Flow.........110............................gallons per person per day. Total daily flow..........,'_� .....................gallons. WSeptic Tank—Liquid capacity/ ..gallons Length,b±Q-......... 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 Dosin tank ( ) a Percolation Test Result Performed by... / /S. - ��.' Date__ C,?� . Test Pit No. 1-__---...minutes per inch Depth of T t................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 ^f --••-•.j----------------------------................. --------------•-----------•---------_-___-_--• ------ D Description of Soil..t f ...._..... ....../O'a �, 3A- ---- U ----•-----•--••••--••-•--------••------•-•------•...................•-•--••••....... . _..--•--........-----------------•------•••--•----.-- ---•---•----------------•---•---•-•-•-------•--••-••- ----- ----- W .................................--•------------••----- ......................................--------•----------------••---•--------------------------•------•-----•--------••-••-•--.....•---------- U Nature of Repairs or Alterations—Answer when applicable.-.:............................................................................................ •-----....-•-------------------------•------•--•---------•------••---------------•-----......_.. ........_-•-................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in op do until a tiff e of Compliance has been issued by theboard of health. Signed. ..._...!,.Z +:��;�.r ------•--------------------- ----�. . IT � � Date APPlication Approved By.._..__ ... `a 't_v '............................C_ - <,&---------------- �r Uate Application Disapproved for the following reasons:---------•------------••----•--------------------------•------•----•------------------------•--•-•---•----..._.. ..........-............................................................................................................................................................................................... Date PermitNo......................................................... Issued-....................................................... Date ti. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH V ................OF........ Y...........,.:.................................................... (Irrtif irat�r of (to plianrr THIS IS 0 CERTIFY, That the Inplividual Sewage Disposal System constructed, k,.') or Repaired ( ) by------..gl. '; Us sR............. _lily. ......... '1 �• /" f e staller t has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as de cribed in the application for Disposal Works Construction Permit No.__..` _b!�_"^_1 s)t �?-__..__.. dated_-. ................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM '1dlll L nFiJNCTION SATI•SFACTOV@Y. DATE......-�-�!5'-- . .................................................... Inspector.---•- 6ZV.4�•-••••-------------• THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH :: OF........... No......�---....... FEE........................ Disposal rks Tonstrnrtio .rr tt Permission is hereby granted--- ............. -................................... to ( Repair ( ) an ge Disposal System at No..struco. )..or . _. air....•-__. .._ �4ndav1..ua1 Se - f el ri 5 �`�r�ls '--------•---......_. Street as shown on the application for Disposal Works Construction Permit No. t 4"' _. Datre�•d ------"--------------•__- DATE..............=.................................................................. Board of Health FORM 1255 A. M. SULKIN, INC., BOSTON �,1nJGttc FAMIL`� - :6 BEORooM }, I.ID'`�AR�GE G¢��toECZ _ ✓r�ls PG-�/j/s0�/ ;n-ow . I►o x 3 = Z306•PO SEPTIG rA%jK = a3ox,5(>% =A95G.Po 1< � use I000 GAL. ouSPoSAu P1'r vsE 1000 GAL. t �� � Igo s.F x �.•5 a 3�5 G.Po F SorrOM AREAL .. � 5o s.F x �•o � �o G•P� _ . t .. �� pEaQCOLA.710N RATE] i''IN 2MInJ o�LE55 OF # OF ih PETER ����, `�� ,• SULLIVAN '' FMCHARi� r A No. 29733 ti SAXT.E.R Na 2404 �0 FcIsT&o at }. SrIONAI 000/1 W. ,za►gy y looms lay. Z, i (000 INS/ / L: TANK s F PIT 114V. 1N V. , -flow Wo01 w� GE aT1�Y ?NAT 'TNT R�� GL!!�. SNOWW .. -: ♦t6RSOW COMPL`(5 VJITN"T HE S I cEL%W E � � Auk SEsT�►GK R.6QvIQ-EM�N'Y� of -tNE ��'� # . �3 t.�oWN OFj�h2�'�L,4— AND 1S 1.(0� �Gi1/�.c'�, �' 00�- 7.5� U ' LOCp►-rFpiWITNIIJ T1Afx %:%..OGPD PLAIN PA'T L u/... _.�V a'J c..,�/"��•� - - gAXT6 iZ AJ�(Ee 1 N G. r j ;,. .� REG IS'tCsQ6fl uo survaroes `"t'utg pt_e► 15 MOT IV' -'D o►a AtJ oSTEiZVIt.LE • MASS. .I ' Iu'5TR.uMENT SvP-v�Y -Ti.As rep-r.5 SWOULD n r .�cCf1?b 17t=TER'^I►J� 1. pT -INE�j APPLICAIJT //'f ram- p f f a 1 "` r 1' A, .�•r A ( e�: � j t 4 k f -$ Mt..tL#��•,;.q+,/T7 I',iy�yy�w�D �iT . �/O� � r t ' s r-+ a ,y f ,� Ad4'.sOA/ It PETER i `tiH of SULLIVAN ! '' R9CHARD �G\, No. 29133 Na 24W IN