HomeMy WebLinkAbout1071 MAIN ST./RTE 6A(W.BARN.) - Health 1071 MAIN STREET, W.BARNSTQ BLE
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_p(X TOWN OF BARNSTABLE
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LOCATION'1 2 :U lUld Sf QOS-` SEWAGE #
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VILLAGE W-1&CASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO.
fl
SEPTIC TANK CAPACITY — S
LEACHING FACILITY:(type) (size)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER_
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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TOWN OF BARNSTABLE BAR-W
Ordinance or Regulation
WARNING NOTICE
Name of Offender/Manager �, +' c �',�r
Address of Offender 1 MV/MB Reg. #
Village/State/Zip l ' drr/ t+s„9ft
Business Name am/pm, on 20_
Business Address
Signature of Enforcing Officer
Village/State/Zip
Location of Offense
Enforcing Dept/Division
Offense
i
Facts
This will serve only as a warning. At this time no legal action has been taken.
It is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary compliance. Subsequent violations will result in
appropriate legal action by the Town.
WHITE-OFFENDER CANARY-ORD)REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPI
.... -: -,. .. .. � .r . ....• _.:.. �. -ti -. -i�.,. .. �.- � .K ,.v:. .,a -+,- .� . P-.-,Y- .r r 4 . .r _.._
TOWN OF BARNSTABLE BAR-W #
Ordinance or Regulation
WARNING NOTICE
Name of Offender/Manager i
Address of Offender MV/MB Reg.#
Village/State/Zip s ; ,r r? E ;s '
Business Names ,A ,am/pm, on 20_'�
Business Address
Signature of-Enforcing- Officer
Village/State/Zip f
Location of Offense
Enforcing Dept/Division
Offense
r
Facts �,A r =.j, .' _•ak, r
This will serve only as a warning. At this time no legal action has been taken.
It is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary compliance. Subsequent violations will result in
appropriate legal action by the Town.
WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.
N �Q.. 7 ..........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OE HEALTH �Ep*I
l�
Appliration for Dhgpoiial Workii Tontitrnrtion ramit
Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal
System at:
................_..1.Q.. .: .....bra LV.....St,---------------------------- .................................................
Lo cation
�-Address � or Lot No. p ���v� ��may.
........R +�C�.c�'.L.fa r=aa..L.D.•........................... . [_!.P.-BQ X-----aal----�C-L.� - .em �.l----......---
Owner Addy ss
a .... ---------15....0v.C---Got-------------------- --- _T-SR.l�.
Installer Address
Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms............. •___•.-.--__•••________-Expansion Attic ( ) Garbage Grinder (!1(P
04 Other—Type of Building ______________------------ No. of persons............................ Showers ( ) — Cafeteria04 ( )
Other fixtures l�o{�_.Sff .�?0 O G.P.-— -- ----------- :-.!t...._ ...._.. ----•---------- t
Design Flow..............*'�r ... gallons per person per day. Total daily flow.�'�_.. _S.z O gallons.
9 Septic Tank—Liquid capacit�if�._.gallons Length,/O.I.4.H._.. Width 8•---- Diameter................ Depth................
N
W Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
x
Seepage Pit No.......�1._____- Diameter......!_----- Depth below inlet._ L ... Total leaching area.8.8.-.Vc.4%q. ft.
Z Other Distribution box (L,-' Dosing tank ( )
aPercolation Test Results Performed by......��tl�._D NO .............. -. Date......'o I j. !......__..
Test Pit No. l..............minutes per inch Depth of Test Pit____` __ ____ Depth to ground water....
fs, Test Pit No. 2..L". minutes per inch Depth of Test Pit.... ... ......... Depth to ground water..... :..dl( ....
0
x aS -----------------------------------------------------------=----------------1- .....................................................
lou ..
O Description of Soil.......... N..-.FL. E-_.. �-N�
V ..............................-..................................................•••-•--••-....••-••••-•--•••------•••---•••-•-••-••--••---•-•---•••----•••-••-••--•-••-•-•.........--•-••......------...
W ••--•------•-------•--- ----------------••-••--•-••------------•-•--•--•---•---•••--•-••-•-•------••------ - --------------------------- ------- -----
UNature of Repairs or Alterations—Answer when ap livable.______•.l* LAGL••- �. -.-_- •_$�-P¢O .-•-•L,�_/
-------I.�....GV - t-.8.......Z�...4-9-4.....RI:M.-� .41---sTb_ )..E ............................................................
Agreement: Y
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TIT!L- 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has Vissued the d of health.
� DApplication Approved By•••... ............................. -----
Date--
Application Disapproved for the following reasons-----------------------------•-----------------------------------------------------------------------------.-•--
...................................................... -••--•-----•-•-•-•-•••••-•---.........•-•--------•---••••-•-••••---••••-••-•-•--•-•-•----••-•-----••---•--••-•••-••---•--••--------••---••••••---
Date
Permit No........ ........L29—7 Issued.......................................................
Date
( l% THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH Z(7 I qj2
........../.�� ....OF.................. .... .... \.;....-•----...._................
%TF. rrtifiratr of Tomplianur
T TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by--•---�� .. ........ �.2`��.................... ----•---------------------------...---------------..•......------------------------•---........--
yy ,•^ (.(_
at.•-•-•-•--I-V -_...•• ��_ ...--W .. ...I --------------------•-----------------•--------------•---•---•----------......-•---------
has been installed in accordance with the provisions of TIT13 5 of The State Sanitary Cod, as d�scrr_ibed in the
application for Disposal Works Construction Permit No. .___.f_L� ........... dated----. 0 _1_�t�0..................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE...........................----......--•---•--.............------••-------•-•.. Inspector....................................................................................
NZ.&_40 7 F17S .......
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.................71�, ........._OF........... ....................................
Applirativu for Bhqpaaal Warkii Tomitrurtion Frrmit
Application is hereby made for a Permit to Construct or Repair (X) an Individual Sewage Disposal
System at:
.................. ...7.1------jllkw d.....ST4............................. Ide,5r-s.4 nIRMe=................................................
Location-Address or Lot No.
... ............................. ..........
Owner Add e,a................ Zq_Wu?.-r......._&.....0 u.r......C-10..................... ...( ......2. ...... ...........
Installer Address
Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms.........................................Expansion Attic Garbage Grinder (
Other—Type of Building ............................ No. of persons__---____-_--__...__- -____ Showers Cafeteria (
Other fixtures ......... ......... ..................................
Design Flow.............._T T...................gallons per person per day. Total daily flow'44O.-P a 0 12... ---n-s-
04 Septic Tank—Liquid capacitl�_5 ---gallons Lengthl-0-'�k.' Width_4_'_'.6.".. Diameter________________ Depth.............__.
Disposal Trench—No_-----_-----_---_ Width..........__..__....
Total Length_.....__............ Total leaching area....................sq. f t.
Seepage Pit No... Z---------- Diameter------1Z...... Depth below ... Total leaching area.8.6.4�t_!�Psq. ft.
Z Other Distribution box (j-d e Dosing tank ( )
Percolation Test Results Performed by.... ...............I..................... Date..... ..........
Test Pit No. I................minutes per inch Depth of Test Pit....I.......... Depth to ground water----
Test Pit No. 1.4t .Z.-minutes per inch Depth of Test Pit-__- -'*..... Depth to ground water_.__IY421-V ....
P4 ............................................................................1.. ....................................................
0 Description of Soil..-------. ....sa'�d)_.................................................................................................
W
----------------------------*----------------------------------------------------*-------------------- --------*--------
------------
............................................................................................................. - --------------------------- .... .....................................
VNature of Repairs or Alterations—Answer when applicable----It
11.......... ....... . ..........................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of 7"1 T LE, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Signed----------- ••..... ................................................................ .........................
Date
Application Approved By.........:;Lz
. ... . .......................................... ......
Application Disapproved for the following reasons:...............................................................................................................
................................................................................................................................................................................I........................
Date
Permit No._.........Z=L__0......... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
........ ......OF.....
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired
by..............._-..4.... ..............................................................................................................................................................................
Installer
at............................................................ ................................................................................................
has been installed in accordance with the provisions of 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No.��<�p-----I-0!I__7------------ dated....//). tv,/%- -------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GU IRANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................................................................................ Inspector....................................................................................
THE COMMONWEALTH OF MASSACHUSETTS/
BOARD OF HEALTH
NoDLO... .... ......... Z........ . .................................. FEE"I'VS ......
n;
.vtopoal
Permission is hereby granted............ = .........................................................................................
to Construct or Repair an $-Mv� posal System
atNo.........ft)..Tr......f"�U.7 m�- ----....... ................................................................................
- `Street
as shown on the application for Disposal Works Construction Pr! N& ; ... Dated.._._jdf .................
........... ....................
. V0
ATE............ . .....................................
FO M 1255 HOBBS & WARREN, INC., PUBLISHERS
TOWN OF BARNSTABLE
LOCATION /D 7/ SEWAGE # i2c-6 `/a
VILLAGE, , �,., _ ASSESSOR'S MAP
^^ Cz LOT
INSTALLER'S NAME & PHONE NO.�,.l�i�.�
SEPTIC TANK CAPACITY /,SO D
LEACHING FACILITY:(type) 4. (sue)
NO. OF BEDROOMS PRIVATE WELL OR P-UB/L�IC WATER
BUILDER OR OWNERR��
DATE PERMIT ISSUED: I o
DATE .COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
2 y�F
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D_ px 6!S 1
3S
-------------
S �r �a��i Gd Eass2F�Y�usettsX. -D1'<
Holificatlon Fcnn— ANF-001
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i
Asbestos Abatement Description ` L
1. Facility location: -
DfslFlxne><s W>Y
C pp.e.1..1.i.ni1 ....................................��.1_1. ...a G,i.r�..._ �r...e:�: ...... --..._...
`..I �e:S k'�1c_n. tC 1 ..._.................. .�r..tc2._..............5�'
1.Alt sac ions of:is G.y/ra.m • nD ode Ider6one
Unnmclber"r;Va
In ordar to gr.Fy will,
theDag srtmarsfof ........ -0 --...... ..WT....]. .........................._......................_..._....-----............._._...._........_......._._...----- —r
Em4orlmerdsl Wa Is ot*00th JoVW tadrq am,/.ftlbo.mom
Protection noLsolun 2. Is the facility occupied? I Yes 0 No
requienarts o1310 CM
•7.15(61*Wi�v Cks pia nolfdion is3. Asbestos Contractor.
a, �de,a���-sy iJV r1 �Ct/1C� 5::�f�lC(� (Y1C(i ✓Y�nC L1-P 3�0 � (Sh�n 'I Sfree�-
Department atLaSor WRe Ad&Wand Industries W e (�Glr7 p O, -1 6`�
nolifiralionreq.•ier..e~ts _......................--...t...- ....................._.......... L..l.......... ................_.._......._.._.................__.................................. _----..�
of W CMR 6.12 (:a+ Gry/rorn zo code ldep1ar
days prior noCfcr=s [�
repuuad dAxr A C oco j Cj(7 .........._.
.........................................................................................
absrem 1X.1 P".,,.. IXllYnv/ i:minC 7rpaiwritrv5e9dJ `
run Me A-"or
-%—W)- 4. On-Site Project Supervisor/Foreman:
2.Srbmi 00gir4f Form �.� J.TS 1... �. _. .... ................ .4� !.V` L_I........_.__.......
_..._._.....__To: maim Orl ca111bdod/
commooveallS of
Massachusetts 5. .Project Monitor.
Wastes Prosraa (��`^ ��
?A .120097 �.:_..�-5/.C...1.�/!....5.........................._........ ............-.......---......._....._............--•---.................---......_..._......._.,_ _--
Vostok LUD2112- Wmr IXlCaraedbn/
DOfr7
6. Asbestos Analytical Lab:
3.This form may Se l IX1Ce...... / ..............
used for nciifyrg:Y .
UsAnyirarvrWstal
Proledion Agrcy±,g ion
Iofssbeslosd3nciliorV 7. Project stag 49.e'3J�nddates�J specdicworkhours Mon.-Fri. �� Sat.Sun.
rencvaflmoper�iers -I.... _.........__._.__.._._...._......_.._.._..._...._._.
srbjed to NEStirlPs(40 S. What type of project is this? (circle one): dwa ion reWN wem aw(apuln)
CFR Subpart M). '
9. Describe the asbestos abatement procedures to be used (circle): glove coo *xbsraa codarime ds&eV
...
anaryadaibo atrpaaroar oAer(uyuln)
10. Is the job being conducted .Indoors 0 outdoors?
on pipes linearft. ,-12 or other
qy 11. Total amount of each type of Asbestos Containing Materials(ACM)to be Handled p p ( }_1_
surfaces(square ft.) to be removed,enclosed or encapsulated:
lineadsquare feet
boiW,broxhbv.tfuctfinkArfmcwtiw...� frlelma(solid Core piMLasrdalka......
_�
earvpWorh)ersdx-p;Vkzwl&Um.... itsulafingowwg..................
sMl`anfilWoo6rp....................._J boweUsrrayercoarings.............. _J
data,woven bbri:s..................... ............
odw(pkase ciesorbe)....................
12. Describe the decontamination system(s)to be used:
U��ram.._. •
13. Describe the wNaineriulion/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2)(g):
. . ... 14. For Emergency Asbestos Abatement Operations,the DEP and OLI officials who evaluated the emergency.
_N. .........._ .................... .. ............. .................
l _...
,v>naDrr'aear�
...........--- ...__._..,_............................._ ..........................................._......_._............_....
_...
NJ"Of Mi Ma. 171k
_.s......._....__............................_...... ........__.._........... ......................._.........._....................�._.._..........._._...._..__.---
Or2 dAuroarhYir Warwr/
45: Do prevailing wage rates apply as per M.G.L.e.149.§26,27.or 27A-F to this project? ❑Yes 0o
Facility Description
1. Current or prior use of facility-
-----
2. ..Is the facility owner-occupied residential with 4 units or less? Yes O No ,
3. Facility Owner. ✓r�`
,conic ........_..__...._—._............._............._....�m z.---•---....._............._..........---......
------T__----------
1p� r✓ .
4. Facility's Owner's On-Site Manager.
1J. ._..k ..........
,ddmz
UK— h mdr _._.-
5. General Contractor.
Addnss
efly?orn ......._.._.........»_....___.._--
zip code rsbDham
Confrrfors Workers Comp.insurer Poesy/ f�ROsts
6. What is the size of the facility?1-21oo(sa H)—(/of floors)
Asbestos Transporfallon and Disposal
1. Transporter of asbestos-containing waste material from site to temporary storage site(H necessary)to final disposal site:
L-Q
�S O WuS��I� -r Cyr Str�2
n
_.....................W�y ........... ...............0._ �. ............ .._-i.d��... ._ .3 .. ._ �—�
Gry/rarn lfp Wade rdrDAaae
2.- Transporter of asbestos-containing waste material from removal/temporary storage site to final disposal site:
USA Wu
r;M Add= _--
�m� r�...... -U6�yZ
Note:Transfer Gry/ran — _.......
Stations must 3. Refuse transfer station and owner(it applicable):
comply with the
So(d Waste
Division repula- .-
dons 310 CMR
18.00 _
4. Final Disposal Site:
J2 ou[,(k,�
rmaear Xsmr am is Afa e
Pi INN ROD ,
-.__......—L� _. _........t �,y- --._.H!�-7 y-`Ml--H_0 0�
cnylr— nD mar AWAY
U Certification
The undersigned hereby states,under the panallies of perjury,that he/she has read the Commonweafth of Mas sach u soft a Regulations
for the Removal.Containment or Encapsulation of Asbestos,453 CM 6.00 and 310 CM 7.15,and that the Information contained In
this notification is true and correct to the best of his/her knowledge and belief.
fba 1.1 0 0
NOW.Contractor
must sign this r11q LL�
form for DLI — ---— __ »___. ___..__.. _._.____ 1 1
PosahNnrr Aansemnp '— releplar
nofilication
purposes
Fee exempt(City,Town,district,municipal/housing authority,owner-occupied residential of four units or less)?6p yes O no
Sticker i(from front of form):
i
a3
L 0 C "IMMin St. SEWAGE PERMIT NO.
We.t n r st ahle 79-5z6
VILLAGE
INSTALLER'S NAME i ADDRESS
A & B CESSPOOL SERVICE
128 Bishops Terrace, Hyannis, MA 02601
e U I L 0 E R OR OWNER
Douglas Carpenter D/B/A Bayview Kennels
1071 Main St. , West Barnstable MA 02668
DATE PERMIT ISSUED 8/ 7/79
DATE COMPLIANCE ISSUED 8/16/79
_ ___
r.��
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,I
//
No.. 9—-°� FPS,:oo.............
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
Town OF.............Barn.stab le...........................................
Appliratilan for Uiipna al Workii Tomitrurtinn Prrmit
Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal
System at:
1071 Main St, . West__Barnstable 02668
......... .... ..........•--- ••••......------............••• .......--•-•----•--•...--••--•••-•-••-•-•••••••••••-•--••-••-•••-•-••--•-••-•---..................
Douglas Carpenter'°'074 Bavview Kennels 1071 Main OIA.;°' West Barnstable
-----------------------------------------------••----............................................
a A & B Cesspool Servfrce 128 Bishops TerAd64, Hyannis 02601
Installer Address
Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms..................4..............,..__....Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building ............... No. of persons......_.. Showers — Cafeteria
Pa Other fixtures ..................................................
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............gallons Length---------------- 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 ( ) Dosing tank ( )
`., Percolation Test Results Performed by.......................................................................... Date........................................
aTest Pit No. I...............minutes per inch Depth of Test Pit.................... Depth to ground water-__________-_-.------__.
�T4 Test Pit No. 2.t ...--------
minutes per inch Depth of Test Pit____________________ Depth to ground water____-______--------._...
R+
Description of Soil_),tv—Sand
x
U -------------------------•--------------------------------------------•----....----.......-•-•----------...---------------------------------------------•-------------•--.........-•--•-•••.............
-------------------------------------------------------------------------------------•-------------------------------------------------------------------------------------------------.............
V Nature of Repairs or Alterations—Answer when applicable_.I.}QQQ___ga.11onl__-s_t_one___paeke_d_9___pre
cast---leach...pit------------------------------------------------------------------------------------------ ----------------- -----------------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of'i i'�. "
p 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance s b issued by the board of th.
Sig >3
.....81- 7/79-----
Date
• T----_--_---_------ ---••--•---•-- I -71
79•----Application Approved BY
Date
Application Disapproved for the following reasons--------------------------------------------------------------------- ........................................
............................................._.....----------...............----._...•......-----------....-------------•---------•--------------------------------------------------------------•-----
Date
Permit No....79 -issued..81....71?9................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
A ��4�.°* ����� ���mK
���4����K��K ]�� �� Workii Toast4urtion Prru»it
Ano\�adoo �� �czcbv ou�d� for u �crou� to Construct ( ) or Repair ( n) an Individual Sewage Disposal
'' -
System at:
10 Main St. . -]���I�� '026�(�------'---------_-'----'_---_'--'-___-_---__---
Location or
Dpu a
Own Address
Type of Building Size Lot............................Sq. feet
Dwelling--No. of Bedrooms--..----_...i
......................Expansion Attic ( ) Garbage Grinder ( )
Other—Typeof Building ------------ No. cf persons..........4--------------- Showers ( ) -- Cafeteria ( )
PL4 (}f6or fixtures ------------------------------------------------------------------------------------------------------------------------------------------------------
Design Flow'---'--------.-.-------g�l000per person per day. Ictu du�vflow---..-.-.--_---.-.--.-'��J�x�.
04 Septic Tank—Liquid --.-..galloos Length................ Width................ Diameter---------------- Depth................
Disposal Trench-�No----------------- ... Width.................... Total Length.................... Total area....................sq. ft.
Seepage Pit No--.----- Diameter---.-.--.. Depth below inlet.................... Total area.-..-----'ml. ft.
Other box ( ) Dosing ( )tuo�
�� ` ' ~ ` '
^� Percolation Test Results Performed by.......................................................................... Date........................................
14 ][�t Pit No. l-.._-.--n�outesycrincb Depth of Test Pit'.-------' Depth to ground water
1-� Test Pit No. 2................minutes per incG Depth of Test Pit.................... Depth toground water........................
--_--.-�-_-------_----...-_.-------------'-'----'-_--'__--------------'-'----
�J c� So�--_-----_--~--_---_----____'------'--------'------''---------------------''
-'-------''-----------`------------`--'--------'--------`---'-------'---'------`----------------
---------------------------------------------------_----_ ..............................................................................................................................
� ���d�s �o�c ��o
�j� �w �oyu�sor -- s�cc applicable-.1*000...gallon---stone''�aak49d'..'-pre—
mat-I.earh...pit..................................................................................................................................
ugrcroznur: . ' ' |
The undersigned agrees to instal) the afo/edescribed 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 Cerifficate of Compliancie has been issued b 6 board of h tb
-------------------
--
^ pp^~~~-' '-r,'-'-- -, �r '-- -'
i Date
�
� -------------' --.---'_--------_ ---
Date
Pcrozit DJo....12m--' ---'_-'-'_-_ -
BOARD OF HEALTH
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired
in St'. . W.Barnsta 1�taller
THE COMMONWEALTH OF MASSACHUSETTS
application for Dis _79_Nr'��
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILLFUNCTION SATISFACTORY.
has been instilled in accordance with the provisions of TIT= 5 of The State Sanitary Code as described in the
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
to Construct or Repair (X) an Individual Sewage Disposal System I I
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..Kennels