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HomeMy WebLinkAbout0234 LAKE SHORE DRIVE - Health MF234 Lake Shore Drive arstons Mills A = 030 - 067 t No. 13 — L Fee "v THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2ppliLation for Nspo8al *pstem Construction permit Application for a Permit to Construct( ) Repair(i<Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 2 3'1 L46, a br— Owner's Name,Address,and Tel.No. Assessor's Map/Parce 1 1 ;gstallp�r�s l e, ddcess,and Tel.No. �� —`E,3(cJzS�s}� Designer's Name,Address,and Tel.No. '(,71R�� i'1�"1 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(min.required) 7T gpd Design flow provided f gpd Plan Date Number of sheets. Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil a. Nature of Repairs or Alterations(Answer when applicable) 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 Certificate of Compliance has been issued by this Board=He 9 V e 3 Signed Date i Application Approved by Date Application Disapproved by Date for the following reasons Permit No. sLo Date Issued No. 13 e lI Fee 60 wf THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2pplitation for VspoAal *pstpm Construttion Permit Application for a Permit to Construct( ) Repair(1r) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components' Location Address or Lot No. Z 3 L1 � At &p br-- Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 1 M 141?S IM�L( (J A r\ ) alorLs`1XaU,,� ddress,and Tel.No. ��u{—86&-SOc*Lf Designer's Name,Address,and Tel.No. U$x�t''``I►►�'bbZ.""11"2-_-�� ,r Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) r. Other Fixtures Design Flow(min.required) 1 V gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil i I -yam y� •� i Nature of Repairs or Alterations(Answer when applicable) l✓ [x>X �� �FJ�- 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 Certificate of Compliance has been issued by this Board ofVe h. Signed Date Application Approved by Date 6 a0r' Application Disapproved by Date for the following reasons Permit No. Cku 19 V Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Comptiante THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed Repaired Upgraded ( ) 1 Abandoned( ) y at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction.Permit No. Odd 13-4(06 dated Installer Designer #bedrooms Approved design flow gpd The issuance of this permit shally not be construed as a guarantee that the system will funcf n'as,esigded. /1 Date { Inspector �' ` .t - ----------------------------------h-------------------------------------------------------------------------------------------------------- No. OI J �! V Fee l w I THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposat 6pste Construction Permit Permission is hereby granted to Construct( ) epair( Upgrade( ) Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided-Construction m t be completed within three years of the date of this permit.J^ Date t U r Approved by ' i I J \ ?HE T°�y Town of Barnstable Barnstable Regulatory Services Department ' ``a'C j `" LY- ^ter Public Health Division � 1639. a 200 Main Street, Hyannis MA 02601 200 7 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL #7012 1010 0000 2851 0039 September 9, 2013 Ann Ritter 234 Lake Shore Drive Marstons Mills, MA 02648 • ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 i The septic system located at 234 Lake Shore Drive, Marstons Mills, MA was last inspected on 4/30/2013 by Matthew Gilfoy, 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 the 1995 TITLE 5 (310 CMR 15.00) due to the following: • Distribution-box is deteriorated and must be replaced. i You are ordered to repair or replace the septic system within sixty (60) days 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 • Qs cKean, R.S. CHO Agent of the Board of Health Q:\SEPTIC\conditionally,passed\234 Lake Shore Dr MM May 2013.doc I Town of Barnstable Barn Regulatory Services Department i63 Public Health Division I 9. �� 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL #7012 1010 0000 2850 9255 May 30, 2013 Ann Ritter 234 Lake Shore Drive Marstons Mills, MA 02648 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 234 Lake Shore Drive, Marstons Mills, MA was last inspected on 4/30/2013 by Matthew Gilfoy, 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 the 1995 TITLE 5 (310 CMR 15.00) due to the following: C Distribution-box is deteriorated and must be replaced. You are ordered to repair or replace the septic system within sixty (60) days 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 • Thomas cKean, R.S. CHO Agent of the Board of Health Q:\SEPTIC\conditionally passed\234 Lake Shore Dr MM May 2013.doc �. Ln L', ru Er C3 ! IaZO F F I I Ln CO f rLi Posta n Q� Certified Fe Y i`".or, C3 a a posfi p Return Receipt Fee p (Endorsement Requi 6- Here 0 Restricted Delivery Fee S�N r 0 (Endorsement Required) r� O Total Postage&Fees „A r� /V' I n� r Ann Ritter r 234 Lake Shore Drive Marstons Mills, MA 02648 Certified Mail Provides: a A mailing receipt o A unique identifier for your mailpiece o A record of delivery kept by the Postal Service for two years Important Reminders: p Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. o Certified Mail is not available for any class of international mail. n NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return,receipt,a USPS®postmark on your Certified Mail receipt is required. —— o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3600,August 2006(Reverse)PSN 7530-02-000-9047 i PLETE THIS SEC SENDER" COMPLETE THIS SECTION Com TION OWDELIVERY ■ Complete items 1,2,and 3.Also complete A. Signatu —item 4 if Restricted Delivery is desired. ❑Agent i P X Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Received by(Printed Name) of Delivery ■ Attach this card to the back of the mailpiece, kU _ or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No I F Ritter ake Shore Drive 3. Service Type Marstons4TAills, MA 02648 i ❑Certified Mail ❑Express Mall ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Dellvery?(Extra Fee) ❑Yes f 2. Article Number I, - fransfer from service label) 'I' 7 012 1010 0 0 0 0 2850 9 2 5 51 PS Form 3811,February 2004 Domestic Return Receipt p10205-02-;W1540 J UNITED STATIMR0 �'r7: '�;:.. "i Ir b'& ees Paid • Sender: Please print your name, address, and ZIP+4 in this box • Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 a � Town of Barnstable Barnstable Regulatory Services Department AFAmeftCft • sn vsrnst.& 16lig. Public Health Division a�� 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7012 1010 0000 2850 9255 May 30, 2013 Ann Ritter 234 Lake Shore Drive Marstons Mills, MA 02648 • ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 234 Lake Shore Drive, Marstons Mills, MA was last inspected on 4/30/2013 by Matthew Gilfoy, 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 the 1995 TITLE 5 (310 CMR 15.00) due to the following: Distribution-box is deteriorated and must be replaced. You are ordered to repair or replace the septic system within sixty (60) days 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 Thomas cKean, R.S. CHO Agent of the Board of Health Q:\SEPTIC\conditionally passed\234 Lake Shore Dr MM May 2013.doc Parcel Detail http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=1910 TILE e Yll j _� � m Logged on As: Parcel Detail Wednesday,May 29 2013 Parcel Lookup Parcel Info Developer Parcel ID 1030-067 Lot LOT 109 Location 234 LAKE SHORE DRIVE ' Pri Frontage 35 Sec Road a Sec r I 1 Frontage] f Vi'lage[MARSTONS MILLS Fire District Town sewer exists at this address I No I Road Index 0855 Asbuilt Septic Scan: p Interactive 030067_1 Map - Owner Info _ Owner IRITTER,ANN M _ _I Co-Owner Streets 1234 LAKE SHORE DRIVE ( Street2 i City FMARSTONS MILLS State'MAT zip j0 648 mm Country - Land Info Acres 0.67 use Single Fam MDL 01 I Zoning AF Nghbd 0105 Topography Above Street Road[Paved Utilities IS p ltlt ,Gas,Public Water 1 Location Construction Info Building 1 of 1 Bear Fj-683 — Roof(Gable/Hi Ext 1Nood Shingle Built� Struct! p Wall Living 1528 Roof Asph/F GIs/Cmp I T Ac None Area Cover Type � - Int Bed Style Cape Cod wall Drywall Rooms 13 Bedrooms A Model Residential Int Carpet Bath Full f o Floor Rooms l teM Grade]Average Heat Hot Air Total 15 Rooms , Type Rooms e stories E1 1/ Fuel ation I 2 Stories J Heat +Found poured Conc. Gross 3570 1 Area Permit History http:/iissgl2/intranet/propdata/ParcelDetail.aspx?ID=1910 5/29/2013 i �� 14 iP Commonwealth of Massachusetts .. _ w : Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments °V 234 Lakeshore Drive - Property Address ... Ann Ritter: Owner: Owner's Name information i e required for every ry Marstons Mills MA 02648 - 4/30/13 page. Clty/ToWnr 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 ertd.of the form. Important:'JVhen A. General Information - filling out forms on the computer; :. use only the ta..::::. - . . Key to move your 1. Inspector: _ cursor-do not Y S1 use the return Matthew Gilfo .. (/ key. Name of Inspector N B & B Excavation;I nc. o Company Name k- 14 Teaberry Lane . - Company Address �. .. . Forestdale :.::::. a-- =' MA::. 02644. :.. City/Town State Zip Code 508-477-0653 S113640 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.. I am a:DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15000). The system: ❑ Passes_ z Conditionally Passes ❑ _Fails Needs Further Evaluation by the Local Approving Authority 5/1/13 - 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'systern 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 systemmill perform in the future under the same or different:conditions:of use. t5ins•11/10 Title 5 Official Inspection Form u urface 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 234 Lakeshore Drive Property Address Ann Ritter Owner Owner's Name information is required for every Marstons Mills MA 02648 4/30/13 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: ❑ I have noffound 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: 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 ®—A40. lain below): D- box is deteriorated and must be re laced t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 234 Lakeshore Drive Property Address Ann Ritter Owner Owner's Name information is required for every Marstons Mills MA 02648 4/30/13 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 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 if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 234 Lakeshore Drive Property Address Ann Ritter Owner Owner's Name information is required for every Marstons Mills MA 02648 4/30/13 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No El ® 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 '/z day flow t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 234 Lakeshore Drive Property Address Ann Ritter Owner Owner's Name information is required for every Marstons Mills MA 02648 4/30/13 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® 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. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface 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 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 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 system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area— IWPA)or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins 11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 L Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 234 Lakeshore Drive _.-.. :::. Property Address: ... .... ... Ann Ritter Owner: Owner's Name information is .. . requlred for every:: Marstons Mills MA 02648 4/30/13 page. -City/Town State Zip Code. Date oflhspection C. Checklist .. . .... :.:::Check if he following.have been done: You must indicate"yes" or"no"as to each:of the following: Yes:. . .No _. Pumping information was provided by the owner, occupant, or Board of Health ❑ Z 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 large volumes of water been introduced to the system recently or as part of ® this inspection? ZWere:as built plans of the ystem.obtained and examined?(If they.were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back.up? Z El Was the site inspected for signs of break out? ® ❑. . Were all system components, excluding the SAS, located on site?. . .... .... ® ❑ Were the septic tank manholes uncovered, :opened, and the interior of the tank inspected for the condition of the: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 maintenance of subsurface sewage disposal systems? . The size and.location of the Soil_Absorption System.(SAS)'on.the site has. been determined based on: ® ❑ 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(5)] D. S.ystem.lnformation Residential.Flow Conditions: - Number:of bedrooms (design)::: 3 Number:of bedrooms(actual):: 3 DESIGN flow based.on 310 CM 15.203.(for example: 110 gpd x#of bedrooms): 330 t5ins-11/10:;: Title 5 Official Inspection Form:Subsurface Sewage_Disposal System.-:Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 234 Lakeshore Drive Property Address Ann Ritter Owner Owner's Name information is required for every Marstons Mills MA 02648 4/30/13 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 1 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available last 2 ears usage n/a 9 ( Y 9 (gpd))� Detail: Sump pump? ❑ Yes ® No Last date of occupancy: current Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•.1,Y10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 I Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 234 Lakeshore Drive Property Address Ann Ritter Owner Owner's Name information is required for every Marstons Mills MA 02648 4/30/13 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ❑ No If yes, volume pumped: gallons How was quantity pumped determined? 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 previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 f Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 234 Lakeshore Drive Property Address Ann Ritter Owner Owner's Name information is required for every Marstons Mills MA 02648 4/30/13 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 1982 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 2' Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: >20 feet Comments(on condition of joints, venting, evidence of leakage, etc.): At time of inspection building sewer appeared to be in working order. No sign of leakage or blockage. Septic Tank(locate on site plan): Depth below grade: 1 feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ® No Dimensions: 1000 gal Sludge depth: 1 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts u r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 234 Lakeshore Drive Property Address Ann Ritter Owner Owner's Name information is required for every Marstons Mills MA 02648 4/30/13 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 34" Scum thickness 1/2 Distance from top of scum to top of outlet tee or baffle 5" 9„ Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? scour stick Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): At time of inspection septic tank appears to be structurally sound. No sign of back-up. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 234 Lakeshore Drive Property Address Ann Ritter Owner Owner's Name information is required for every Marstons Mills MA 02648 4/30/13 page. Citylfown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): "Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 234 Lakeshore Drive Property Address Ann Ritter Owner Owner's Name information is required for every Marstons Mills MA 02648 4/30/13 page. City/Town 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.): At time of inspection d-box is deteriorated and in poor condition and must be replaced 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.): Soil Absorption System SAS locate on site Ian excavation not required): p Y ( )( p If SAS not located, explain why: t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 234 Lakeshore Drive Property Address Ann Ritter Owner Owner's Name required fo is Marstons Mills MA 02648 4/30/13 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: (1) 1000 gallon ❑ 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.): At time of inspection leaching appears to be in working condition. Water level 22" below invert. Shows some sign of carryover in the past 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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 l � Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 234 Lakeshore Drive Property Address Ann Ritter Owner Owner's Name information is required for every Marstons Mills MA 02648 4/30/13 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition 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 condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface.Sewage Disposal System Form-Not for Voluntary Assessments 234 Lakeshore Drive Property Address Ann Ritter Owner Owner's Name information is required for every Mars tons Mills MA 02648 4/30/13 page. Citylrown 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 f�oN'i c� -Moue � k B A , A3- 3i 3` 3 t5ins•11:10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 234 Lakeshore Drive Property Address Ann Ritter Owner Owner's Name information is required for every Marstons Mills MA 02648 4/30/13 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: >10' feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 8/5/82 Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers -(attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M s 234 Lakeshore Drive Property Address Ann Ritter Owner Owner's Name information is required for every Marstons Mills MA 02648 4/30/13 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file l5ins•1li10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 H-OLL4A3 / P a . LOCATION SEWAGE PERMIT 0 ILLAGt 634 - 06 INSTA LLER'S NAME & ADDRESS IT 1p a R ;tv BURDEN ON WNER DATE PERMIT ISSUED F DATE COMPLIANCE ISSUED �� r �t 6 bey �awt 0�6­ 0(o-7 � o......� ... 7� ' �' yJ. w FSS..... "... ..... F THE COMMONWEALTH OF MASSACHUSETTS f BOAR® OF HEALTH C ................:.........................OF..............-................... lutt#iou for Uiupuu�al Works C�uat��ra�r�iva� rruti� j A cation is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal S at: t A fill- Location-Address or Lot No. ........... . . .. _,9_d....... .t.L.T... i � Zr. _kcrcr..r .1�f_i.l,�..... s�R...��t9.T.4.Y_Yt Owner Address W Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.......................................Expansion Attic ( V-� Garbage Grinder (wo) aOther—Type of Building ............................. No. of persons.......2...._.........._ Showers ( ) — Cafeteria ( ) POther fixtures --------•---------------•-----------------------•-•---••--------•-••-••--------------------•---•-----------•------------------•--••••------._......_. W Design Flow.:......5�...........................gallons per person per day.. Total dail flow.........*..1_®................__...gallons. WSeptic Tank—Liquid capacity �� _.gallons Length----- Width__....__ Diameter________________ Depth................ x Disposal Trench—No.......'...:......... Width;-'.__48...___.... Total Length....40._._......_ Total leaching area----2.Q.®'.....sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (v Dosing tank ( ) a Percolation Test Results Performed by._. i_C. L�_�s�._..BO-K.I.Ir J.1.a........_............ Date..G:/z,6/0-1.......... a Test Pit No. 1...V.�---minutes per inch Depth of Test Pit________ _ ______ Depth to ground water.._�?IC_ fZ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ .......................:...................................._..........._._..___.__.......p..____...._._______._.._.............._.....__-_____.._..._...... xDescription of Soil..... ? -_ .�..Lacun----*-.S.V_b-._S.�.e--1--•------ --- 1-- ---- tJr.6 ---.54.k.ncty--- -Y_etYG/ V ......•-----•------••---•••------•-•--•-----------------••-----••-•-•-------------...-------------•---------•-------••-------•-••-----•------••-•-----••-----------•-------------...--•---•......._..._.. 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 operation until a Certificate of Compliance has bccn iss e by board of health. Sign •---•--•-------------•--------------•••-•--- --------------- -------------- \. L Date j Application Approved By.. .... .... ... -� �° ......--...,Date------......_ A lication Disapproved or the following reasons________________________________________________________________________________ PP PP f f 9 -•---------------•------------•--------------__-----••----___----_-_-___---••-----------------------------•----------------•----------------•-------•------- ------------------------------------_.._.. Date Permit No............... Issued_---` -__.._::... -----------•-•-•------------... Date i �: n No.....�................ - FEs.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................OF.........................---•--........ ........-.........................--•---• ApplirFa#inn for Elhipoliaal Workii Tnnstrurtinn rrmi# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal r System at: -a�k.�...4h�r..e...P.r.►.�1 ¢.r�G.x.�!ns..Ms js ................................................10.9......................................... Locatton-Address or t No� :J;r-------------------- ------------------------ rZG�v�xa.�rb�r� .. ..Rcl..�t n rx r..r,: Owner Address w Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms._._.___3................................Expansion Attic (� *Garbage Grinder (No) 1..a W p.l Other—Type of Building ............................ No, of persons...................... Showers ( ) — Cafeteria ( ) Q' Other fixtures --------------------------------•-•--•-••-......-- ------- --------------- WCW4� DeP>ic Flow.......... _........................gallons per son per day. Total daily _flow........... gallons. Set Tank—Liquid capacity] o..gallons Length._.. ........ Width......6y.... Diameter................ Depth................ x Disposal Trench—No. -------`............ Width....... ..._...... Total Length-------f/__........ Total leaching area....W.o.....sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (V� Dosing tank ( ) Percolation Test Results Performed by...... rd...... ................ Date...!/ZS AV......__. aTest Pit No. 1.1"......L.minutes per inch Depth of Test Pit-------12,. ....._ Depth to ground water.OYr!^.....IZ Test Pit No. 2________________minutes per inch Depth of Test Pit.................... Depth to ground water-___.:_..______._._____. o •••-•--••----•-••••--•-•-•-•••••••-•••••--••••-••-`.......................................... -- •---_-------......-••�.....--••_... . x Description of Soil..... ,r, .m... 6t�?..5�11-_..--••-Z....L?�---- -c';wn-e=--64-s�� ---- ..ra.r:e1 V .....•-••••••-••--•••--....•----•------.....••---.....--•-•-----•--------------------------------••----•---------------......--•----•----••-•---•-•---•---••--......---•----•-------..._..._•---------••. 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 TIT1.i� 5 of the State Sanit CokYe�" Theme/undersigned further agrees not to place the system in operation until a Certificate of Compliance -iy s�xe��e-board of health. Signed........ at e>fr Application Approved B PP PP y-•••--••-••......--•- ......--•-••• ---....................................................... -----•-----••-••-••----•--- ••......--- Date Application Disapproved for the following reasons-..................................................... ........................................=................................................................................................................................................................ Date PermitNo.......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF...........................................I......................................... Trrtifirtttr of TnntpliFanrr THIS S TO CERTIFY, ap the Individual Swage Disposal System co2structed ( ) or Repaired ( ) Installer at....................••-•--------------.......-•••-•--•••--•---------••----•......---•-•......-• 2 .- has been installed in accordance with the provisions of TITLE. 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No----------------------------------------- dated_............................................. THE FSSA CE OF THIS CERTIFICATE SHALL NOT BE CONSTR E AS A GUARANTEE THAT THE SYSTEM UNCTION SATISFACTORY. DATE... . .......................................................... Inspector ................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH J f ...........................................O F..---•----------.._............._._........._.._............._....................... No......................... FEE........................ i rr a1 nrk %pal Ilan rrnt # Permi!!i tf h eb granted-=- >r r :�%t: °v ® }' �c--- to Construct or I:epair ( an ndividual Sewage Disposal System atNo.................................----•---...-------------•----......-----------•----.......---.---••••--••--------••--•••......----•-••-•••..................•-----.......................... treet as shown o/thhe pplication for Disposal Works Construc 1I o`n O r`mit 2gb...:� Dated.......................................... Board of Health DATE_'. -------------------------------- FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS Ioo O St►.IGt.�. FaMI��( - 3 BEoczooM `II•Coo /•.10 GARgAGt= �•jWtJAE�. 4� $I O W 11 o x 3 = 3 3 SEPTtG TANK = 330x1.5cP% =<}9�iG.P. Q D15Po5A1- PIT v5E 10 oD Gat_, I� l j 1 L)SWALL AVLE4 t5o S.F X = 375 G.t?`v, 100,0 BOTTOM A2EA- fr' o 6,F• � I10. 50 5.F- x 1. o = 9 o ap o • b(P -T oT A I- 17 E S I GN = 42 5 G.P A •Te'TAt- DA 1 t_Y FL-ova! = 33o G.Po ngpRq' �i PE1ZcDl-ATIDl�I RATE : I"IN 2/`AIN ' TowI4At AN t To PIE ST kA TOP FN09 IDI ' NOLf 1000 IWV- �' { DIST. INS. GA16.. q•1 g i. S�65o►L tdu)c ql (, sj�.vrtG I tl 2' 10vo INS TANK II I� L-EACN P1T INV. ;NV. - Vi&r vjITu � Q, •Z q� i 6"tllf I'/34-1 WAS416D 6'To'.1 E Ce9-TI1=1ED pLo-T PI-AW P?-O ti=I L-I= - L o G a-T 1 o N �t A�5Tbr15 /Ill I L L5 is 8 �Z NO SCALE `jCALa I'L 5U �ATrc g'S�SZ � 1' I4o VJArEe-. Przapv5� 1 1 GERTtFY 'T HAT TNE: DWtt�-t�1L SµO�,rYN PI--AN REFEszENG�c µER1C=0W COMPL%(5 WITN-tHI:. S1V>E<_1NC-- �01 AWD 5G-T5 .CK fL6Qu1R.EMENT� oF -Cµ� I .� TOWN ol^ BAZA4)TA;3L3 ,ANv is �la•C Pc t_ocp.T D �NITNI►J TN6 t=t_oa� PL.a.tN � ; BAXTGV-P- WYL- INC. (I71.1ty Pt_&N I'�' tiforT gA56v pki AIJ R-EG1S?t�Q6U't.A1.tD5u>zYEYoeS OSTE2.VILLE JKA55. IIN5-T1Z,uMcNT S�eV�Y �-rHE oFFSE--rS suou►,� it NoT f3E VS�UTb �ETt=ILM1N� LvT L 111��j- --�APPLICA►�T � U ITTEP-- - SIQ GLL FAMU-Y - --5 BEORooM 1.10 G�2gAGE GwND>✓�. oZo 1 ` s S pAll-k FLOW z I10 X 3 = 330(,PR SEPTIC- TANK = 33Ox1.5o% =,49�;G.P. O 94.9 I .u$ l o 0 o GA►.-. 2�,231 ot5Po5AL PIT y5E 1ooD GAI_. loo j►DEWALL AREA 50TTOM AREA= �o S,F, •� 98•z- O P o F X 1• 0 5 G.p � . A¢eA d -TOTAL- c)E$1GN = .4.25 G.PD -TOTAL pA t L%-{ F�-DN�I = 33o G.Po r.N tea' M PERGOLAT►DF•l RATEt 1''1�] 2MIN o�.LE55 �. ;� , e ? ;�� ,- — Aft ,•� f "'''"' TOWN Nkk Of VjkTIEZ <j i �v p58 AI rN -� 0 . f�•00 OsTvp�pQ' STtP 4^'o su1 � �o►u TOP FWD 9 IDl 4IoLF (0�28( Q C4 INv. 9g o LoAwl 1000 INJ. i t Dt-.T. INS. Gay. ql,g SugSotL j ovo 1J b�X q� L Sg. 2' INS TANK GAS-• 9� LEAC" PIT INV. INV. - Q LSB WITu �•Z 9��• L r WASNrp 67014 E Elsa I Gi--- 9--rIF•IGD PLOT FIL-A- J P R O F.J L..r L_o c A'T►o rJ �(itA25Tor15 /1/l I LDS 647 , W o S'CAL.E SCALE. `lit 50 p P.-I' F-- (�o VjATEZ- przopoS D tnit.I PLAN REF'ESZ'EtJ Ga 1 G E RT ►F Y .T N AT "T N>G -Dv-/t�-1-1 u L 5Kd' a{E2E:U 1�.1 GoMPL�(5 yJITN-t HE S 1 o6LIN 1✓ �..o'[' l o� . AWD SET15AGK 26Qu►1'L)rN��NT� oF �tti�ir . -Tc-1,WII-I oF:= B42ASTABLl A►J-o ►s 00T pc i � 'L2� PL IS1 LOCp.T W I-F"W TN 6 G%-000 PL,& I W BAATETZe W E: INC. R7~G I SZ 6Q6•-'LAW c>5 u 2Y EYp>zS FM:t PL&IQ 115 KlOr AQ C�STEQ.VILL�' - ��S• 1N5TRUMENT Su QVI--y -Tk OFFSF---r,j 6I,l6U►3) �d®T L'SE V56DTb DETFVMINE LbT 1 1NE- PL.Ie- A►-AT" F i'Lo`f� �l1"Trap, LOCATION SEIMAGE PERMIT N0, 4/7 g " ►.I A G E I N S T A LLER'S NAME J& ADDRESS �l( 0 Rim t SL& 41 N UILDE R OR WNER DATE PERMIT ISSUEDy//f� � i DATE COMPLIANCE ISSUEDZ s� b �4Wt