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Home My WebLink About0091 WATERS EDGE - Health 9 t WATERS:' c � MARSTONS MILLti -- - - A = 062 049 i Rk TOWN OF BARNSTABLE LOCH TIO`i\ 91 (.y 2►'S 4' 2_ SEWAGE # d�torr VILLAGE - YYn- S ASSESSOR'S MAP & LOT h r .� -O INSTALLER'S NAME&PHONE NO. CCi 7 7(f—D(v F / �l V SEPTIC TANK CAPACITY f D y d 9 Cc..l LEACHING FACILITY: (type) V`0 fd r (size) NOI F BEDROOMS BUII DER OR OWNER Ni a r- )Qm,.D A PERMFFDATE: COMPLIANCE DATE: ? t dt? 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) Feet Furnished by 41 _ �r 4 t5l �2- 26 w .. TOWN OF BARNSTABLE LOCATION q ;��P r S r^—,c� � SEWAGE # VII LAGE ASSESSOR'S MAP & LOT -Q INSTALLER'S NAME&PHONE N0. 7 7,f SEPTIC TANK CAPACITY v Q . LEACHING FACILITY: (type) :1-�t -4,ira S (size) y j NO.OF BEDROOMS 3 BUILDER OR OWNER C PERMITDATE: —J► — 1Sd 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) Feet Furnished by , I , i i 1 C, 44 ^1 _ No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION.-TOWN OF BARNSTABLE, MASSACHUSETTS ZippYication for Miopooal *P.5tem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade(V Abandon( ) El Complete System YIndividual Components Location Address or Lot No. Ct 6 I(Vt Owner's Name,Address and Tel.No. n Assessor's Map/Parcel ''� \` ��' ��4� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 1 D-C/ 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 �vXn gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title _ Size of Septic Tank \(X;V Type of S.A.S. G� Description of Soil ,PC � t Nature of Repairs o Alterations(Answer when applicable) 0 Al, I- —eIL—M i r, X �t � 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 issue s o Signed Date Application Approved by Date 7--If - O o Application Disapproved for the f low' g reaqns Permit No. gn22, Date Issued No. '7 a Fee y - >,; ; THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH-DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppfication for Migpool *pgtem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade(X/)Abandon( ) El Complete System YIndividual Components Location Address or Lot No. WI F E S-. t Owner's Name,Address and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. c,v L A-( � Type of Building: Dwelling No.of Bedrooms _ Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. r &l C 47 Description of Soil Nature of Repairs ojr Alterations(Answer when applicable) 5 PA V ,.Crl"� y� "ems dGt�G� �� OW s6oP- Date last inspected: ` Agreement: 0 a 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 issu s d�ofea� •�°- Signed Date Application Approved by Date^7--/f - 6 o Application Disapproved for the fp low g rea ns Permit No. yzr — Date Issued --------------------------------------- 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 `G S t E — at Ck k uki 4-v `` s--_ CSC . `� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.- L/O S° dated Installer Designer The issuance of this permit shall not be construed as a guarantee that the system ill f nction as designed. Date 7 - 1 7- 620 Inspector_, --------------------------------------- No. dl^' D 7 Fee k r) THE COMMONWEALTH OF MASSACHUSETTS N PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS x1h6 pool *p.5tem Con!5truction Permit Permission is hereby granted to Construct( )Repair( )Upgrade(Abandon( ) System located at g �- and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. Date: —7 ' / r c)G7 Approved by . � '1` r v , ti A 1/6r99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CER=CATION OF SKETCH �YD APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PEPNIT (WITHOUT DESIGNED PLANS) 1, \� hereby certify that the application for disposal works construction permit sued by me dated conc�r uns the property located at c'l "7r,S�O /1« il/ meets all OI the followwing criteria: Ir c� • The failed system is conne^ed to a residential dwelling only. There are no commercial or business uses associated with the dwelling. • The soil is classified as GLASS I and the percolation rate is less than or equal to 5 minutes oe:inch. 1 Tize:e are no wetlands within 100 fee;of the cro=ed septic s szem Z. There are no private wells within 1.40 fee;of the proposed septic srs<em These is no increase in flow and/or change in use proposed There are no variances requested or needed_ 4 T ne bottom of the proposed leacain;facliry will not be located less than five feet above the ma..dmum adjusted undwate:table elevation. (Adjust the zoundwate:table using the rzmntor method when applicable] ✓• If the S.A.S. will be located with 2_50 tee;of any vegetated wetlands, the bottom of the proposed leaching facility will not be located!ess than ,ounetn(11) fey;above the maxcimum adiusted a,oundwater table elevation, Plesse complete the following: (/ A) Top of Ground Surface =!evation(using GIS information) � lr B) G.IN. Elevation of -Lhe NLa:(. ,sigh G.W. Adju=ent J/ _ Vb` DFFERE`+CE HET'. SIGNED D a.i c: (Ske;ch proposed plan of,—✓stem on bac!cf. q::'CULLS iaidcr. ✓off �" .._ 0 I I l No. T Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 3pprtcation for Zioogal *pgtem Construction rmit Application for a Permit to Construct( ')Repair( vl Upgrade( )Abandon( ) ❑Complete Syst ❑Individual Components Location Address or Lot No. Owner' Name,Address and Tel.No. 1_0,T 33 9 ( Wq�•_% 9-av� 16a u% Vie� Z Assessor's Map/Parcel � Q6 2- D ,lM. rk6_-,-S"V0q,% - Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Cow-. Type of Building: Dwelling No.of Bedrooms - Lot Size sq. ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil S gJD Nature of Repairs or Alterations(Answer when applicable) F S�Tt 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 this Board of Health. Signed Date qa- Application Approved by Date ~� Application Disapproved for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( V11upgraded( ) Aband ed( )by C "qz at S -a 040A has been construc�teo in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. AOdated 6 -- t7-- 9, Installer C. �_% q Designer The issuance of this ermit shall not be construed as a guarantee that the system will function as designed. Date Inspector No. 7 Fee r , THE COMMONWEALTH OF MASSACHUSETTS` Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN-OF BARNSTABLE., MASSACHUSETTS f 01pprication for Migaal *p5tem Construction rmit Application for a P rmit to Construct( ' )Repair( V,Upgrade( )Abandon( ) El Complete Syst ❑Individual Components Location Address or Lot No: Owner's Name,Address and Tel.No. Assessor's Map/Parcel rS10 SNA Installer,-Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building:_ • Dwelling No.of Bedrooms —' Lot Size sq. ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan. Date r Number of sheets Revision Date Title r ' Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 4*� o- V \h. PK S\t i L P 'r �•^S�w 5 SbO \ fare i Date,last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage dis�osal 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 issu6dk this Board of Health. Signed 01- .�...... Date 3 sd- Application Approved by Date -'14"e Application Disapproved for the following reasons . Permit No. *'" Date Issued w ---------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS" Certificate of �Cotnpriattcc. THIS IS TO CERTIFY,ithat the'On-site Sewage Disposal,System Constructed( )Repaired ( V Upgraded.( : ) Aband ed(r )by at" has been constructed in accordance with the provisions of Title 5'and the for Disposal System Construction Permit No. s:>datedr ` 10 Installer C�. , '`c" . Designer . The issuance of this ermit shall not be construed as a guarantee that the system will function as designed. Date Inspector ' -�------_---No. 7 4 ^ °�/��i-- -.-_-�._-_•_�_——___-___——_—Fee_ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS !Ypogar *raem Con.5truction permit Permission is hereby granted to Construct( )Repair V-1 Upgrade( )Abandon( ) System located at LOT .S`3 g/ W 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 th' it. � Date:_�' y Approved aJ :� 10/9/97 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT ENGINEERED PLANS) 1, "�5n„` N4--k' , hereby certify that the application for disposal works construction permit signed by me dated BSc , concerning the property located at Wat-tr% 2-8— t L qT ig" meets all of the following criteria: • There are no wetlands located within 100 feet of the proposed leaching facility • There are no 3rivate wells within 150 feet of the proposed septic system • There is no ir_crease in flow and/or change in use proposed • There are no variances requested or needed. • If the proposed leaching facility will be located within 250 feet of any wetlands,the bottom of the proposed leaching facility will not be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation. Please complete the following: I of A)Top of Ground Elevation(according to the Engineering Division G.I.S.map) 1 B)Observed Groundwater Table Elevation(according to Health Division well map) SIGNED : riw - DATE: °t k LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system.Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. q:health folder:cert L7L lci-z AS§ESSOR-S MA N0. PARCEL_q- LOCATION SEWAGE PERMIT NO. VILLAGE i I N S T A LLER'S NAME i ADDRESS Q d U I L D E R OR OWNER 4Qo o Ac- 06 Ai c DATE PERMIT ISSUED DATE COMPLIANCE ISSUED. 6 J J I i 44 .s ,j,SSESSORS NiAP N0: ocz -- ,- � PARCEL NO.: j �� a. THE COMMONWEALTH OF MASSACHUSETTS � BOAR® OF HEALTH ��► � e �. ,�, 1.®W!!........OF....... --------------------- -- Appliratiou for Bhgpvii al 19orbi C om1rurtiun rami# Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal 4.61 ( System at: W /t-j �anrs /7ildS S3 .........!'� .........................•------ems.... ................... --•-•----•----.....--------•-----••----------•----•--------....................................... Location Address or Lot No. ---•--•-----•-------•- ................................................................................................. Owner --•-•----------------•------•.Address a .................................... ............. ...---------•--•--•----.....-••-------•---- alley Address �3�� d Type of Building Size Lot_.__.._�..................Sq. feet Dwelling—No. of Bedrooms._....•..._.....3........................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria A' Other fixtures ............................ . W Design Flow............... �...__...._....._..g ...........................per person per day. Total daily flow_._..._.._..._3.3n________._.__.___._gallons. WSeptic Tank—Liquid capacity.l.gallons Length. /�_f___ Width__`--��__ Diameter---------------- Depth.s'. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No----------/-------- Diameter-____®'` __._... Depth below inlet...3_ ..... Total leaching area_401, 0..sq. ft. Z Other Distribution box ( ) Dosing tank Percolation Test Results Performed by................................................._.�� ___-. Date.. ��f�i98Z aTest Pit No. 1_G_Z-.....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 ................. Q+' •-------•--•-------------------------------------------- ------------:.....---------------..._.....................------•--------•••....._......-----.•••-- O Description of Soil-------------6��-4-yN•-_.W00046/a�--i.. _S'c,8-_SpyL ¢Z��--IZ* - �y,�6-79Z ........ _ '7 •� JV�Z........._..70."-.1.5 ......r-m__�...SG-r....s'.P.......................... 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 iITIL 5 of the State Sanitary Code The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by-. the board of health. S ed i ` � Application Approved ------•-- --BY • . -- •--- ..... Da.....----------•--•------------ -�E--- e ------ Apon D' .pproved f or.the following reasons: ------------------•------------------•----•------------------------------------------•-------- v ------------------------------------------------------------------•----•------------------------------------------------- Date Permit No.... ..... .............. Issued........................................................ Date .;5 FEs' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF..... ...... Appliration for llhipoti al Works Tomitrurtiun ramit Application is hereby made for a Permit to Construct (Ir) or Repair ( ) an Individual Sewage Disposal System at: .�. �. f9/GCS , - _ Location-Address . or Lot No. Owner a Address W 1 ------- a ............................ ------------ ------------ - ----------------------•--... ...................... . I aller Address d `3 Type of Building Size Lot___________________________Sq. feet Dwelling—No. of Bedrooms................ __..__..................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria Q' Other fixtures ............................ . Design Flow............. %_-�._..............•_...gallons per person per day. Total daily flow..........._.................................................gallons. WSeptic Tank—Liquid capacity.f.°a5'.gallons Length--_a'�._:6......_ tiVidth._'`?�`'_"._ Diameter---------------- Depth_ x Disposal Trench—No. .................... Width.................... Total Length._............... Total leaching area_-_--•-•-•---.------sq. ft. Seepage Pit No......... 1......... Diameter.... 4....._.._ Depth below inlet_-_ �__ 4_..•..... Total leaching area_t�!?1:.4!..sq. ft. Z Other Distribution box ( ) Dosing tank '-' Percolation Test Results Performed by._._t._ 'L^' T�L�'..... '._ �� ......_ Date__ <'1�j -84 ................••... aTest Pit No. 1. .L......minutes per-inch Depth of Test Pit..../A_ ........ Depth to ground water..... "............ Test Pit No. 2..f..Z......minutes per inch Depth of Test Pit----- s ------- Depth to ground water..................... R+' ••----------------------•--•-...••---•••-•-•••......................•••...•---•--•-•........................................_.......................--.---•- O Description of Soil V Soil. � : 4 � Sv"4. ? 5 /t:Z'`f __ ---- 5 __----- hZ S `�W j � Zo"_� � `"- GdS - .----• v Z.. CU �- -�. -•-•------ �--------------------------- ----•---••-•---------------•----------- ------•-------------.....•••-•----•------ •-••-•••••.....•---•------------------------•--•••-•....•••.....------••------•••••••...:_..._......••............. 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 TITL Z 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Sped.................. �� Dat Application Approved By------•--••• � .................... •------------•••...••.._....... :` -. � Ddte Api ion D' PProved f or.the following reasons---------------------=--•--------------------------------------•-----------------------:•---••......-•--•------•- ....- •-•-•;:,�. •---�-f ---�-•-------------------------------------------------...-------..._.,..---•-••------------------------------------------------------------------------ Date V PermitNo...... .................. Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS f BOARD OF HEALTH Tnrtifiratr of TnntpliFanrr T TIFY, That the Individual Sewa e.Dis osal S �,�stem constructed 'or Repaired ( ) by -•-- . ...TO `al �---------•.....................•-------g �P -. . Installer at............. .. •. '.. `"'.."-. : ............................ he--_. _.... Code as descr'bed in the has been installed in accordance with the provisions of 5 o State Sanitary y application for Disposal Works Construction Permit No_ ...... dated-.dated-..._ _.y ____... THE ISSUANC OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A C- 2NTE THAT THE SYSTEM Wl CT N SATISFACTORY. DATE........... ::.. ... �=•" iwa THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH (>C v .........,OF.......... NO ....* 3 FEE.-,_ 1 ........ Dillp r nrkii 'Tianitrttrtion rrntit Permission is hereby granted...................... '°``' -------------------------- -------...................................................... to Construct (t./for Repair ( ) an Individual Sewave Disposal System atNo.... ....... ................................. Street as shown on the application for Disposal Works Construction ,PPermit No Dated....'"•-' � ........ -. -T-•_�.-� �/ ........................... Board of Health DATE-•-S�C3 T 'f Nn FORM 1255 HOBBS & WARREN, INC., PUBLISHERS y. Z N LOCATION !`!LJ??STp;vs rfiGGs SCALE . !. .�� .�. . . PATE ,iy!l�� 'o o"�-�s'r . PLAN REFERENCE . .,6G-,7n/G 47 .5,3 �� all .LMLEY Or 23100 IM so . o EL�Y• ra�� of----�► �/ 30' f 8$ o / 340,00 7W 7W a D,x. p 77J� Sl 7e, N o0 7sz, L0T .5`Q N 74' N 7a 7--P Loi A5-3 L-rJG L o 1 1 r r r l �—�• � .�, st��T Z o� Z sy�TS All TOP OF FOUNDATION T a CONCRETE COVER CONCRETE COVERS 4' CQST IRON 12"MAX. OR SCHEDULE40 12"MAX. P.V.C. PIPE 4„SCHEDULE 40 PVC.(ONLY) PITCH 1/4"PER.FT. PIPE- MIN. LEACH PITCH 1/4"PER.FT. PIT PRECAST a LEACHING INVERT ° EL-77..¢S INVERT INVERT ? . e•: PIT OR SEPTIC TANK EL ?7r97. DIST. EL.7`�Z. >_ : EQUIV. ... ° INVERT BOX 7 /oo o GAL. INVERT INVERT 3'�°~ 0: ::�. 3/4��T0 i I/2� .. w w EL�c,�g. WASHED o EL.71C w STONE Zd' D I A.—+� rx PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE S /ice /�- S743 SOIL LOG WITNESSED BY : DATE /yA�iS�7�8L TI ME.(o%ov!R?`Jr-l�t5 N1G.E!E:.9i✓ BOARD OF HEALTH TEST HOLE I TEST HOLE 2 �DWA:tzD .C�671�E,! ENGINEER ELEV. . 8Z•6o . . . ELEV. . IND�Loqrj WGcDLeAsj . s„8 sa DESIGN DATA . Svg.$oleo 4Zri „ EL,78.ic GE2,78, /a NUMBER OF BEDROOMS '3. . . . . . . . . . TOTAL ESTIMATED FLOW . . 3�'SQ . . . GALLONS/DAY Spa S�D BOTTOM LEACHING AREA . . . SQ.FT. /PIT/C.P.D, EZ,7S,Co �'' �' SIDE LEACHING AREA . . ��3 /. . . . SO.FT. PIT1384, PA. �Zou Q,7/Go GARBAGE DISPOSAL .!� `�-' . .(50% AREA INCREASE) JAW C s� TOTAL LEACHING AREA 3C?•8 . SQ.FT G2 ffL Sq+vD R LESS 91,�u►r 7WO in" Ez,LB,6e PERCOLATION RATE . . . . . . . . . . . . MIN MIN/INCH LEACHING AREA PER PERCOLATION RATE .439.. SQ.FT./C,PV, NO. .WATER ENCOUNTERED NUMBER OF LEACHING PITS APPROVED . .. . . . . . . . . . . BOARD OF HEALTH aF S?baGs CIA/ ,gLG Siam, DATE. . . . . . . . . AGENT OR INSPECTOR P nf 4. H 0 s1iq T - -° LEY N w S CDG� �+30. 26 i00 l a SAnrran�a� ,� PETITIONER : Do�GLs}�.� M�Do•�r.92D