The URL can be used to link to this page

Home My WebLink About0055 POWDER HILL ROAD - Health 55 POWDER HILL RD., BARNSTABLE A - �V ,f • c . r - o. n a u °.•.ram >. e i � p r , u o , i - ,r I ee Fhe. s , iw TOWN OE BARNSTABLE LOCATION ®��! ' �" � SEWAGE # f '� "��'n LACE ��'/l• r �,6I ASSESSOR'S MAP &LOT }INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY eqcy/, LEACHING FACILITY: (type) ize) NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: t COMPLIANCE DATE: ir 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) r Feet 1'Rt iushed by i� a` No. / / lA Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ZIppYtcatton for 33tg!�IOT *pgtem �Congtructton Permit Application for a Permit to Construct( ;,'Repair( pgrade( )Abandon( ) El Complete System ❑Individual Components Location Address o Lot N Owner's Name,Address and Tel.No. Assessor's Map/P c bQaz 1CLC� Fl M Installer's Name,Address,and:Tel.Wo. Designer's Name,Address and Tel.No. %t Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) r Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) in g 3 W ,-%r1A sM d!:94 II-s o/ g& 4_�rz — Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. Signed "V>C..A.1_ .T� Date 10-6w13 Application Approved by Date — Application Disapproved for the FollowPg reasons ,t Permit No. Date Issued No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS 0(ppYication for Mi!6po *pgteaton5truction permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address o�LotK'N�o `�``1 ��t+S 5s" Owner's Name,Address and Tel.No. As se is Map arcaj ^} V'.k �F-` NM �M fP S1" ". Install`e`r's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. t'�'�a\L..-ey �O.r•�5� �"� f Type of Building: Dwelling No.of Bedrooms Lot Size_i + !' sq. ft. Garbage Grinder( ) Other Type of Building No.o Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date ' Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 1,2Umoe 47Xi_Strgw rS CZA 3 1 750" C4 r j Lb tj� i Date last inspected: / Agreement: ti The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. Signed %V>C.110 r 7T=A q Date 10—6 -g 13 Application Approved by Date ) 0 —b — Application Disapproved for the HIlowiWg reasons Permit No. Date Issued, --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS a Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired Keupgraded( ) Abandoned( by W•c�VU ou at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer I Designer : t The issuance of this p rmit Mall norat construed as a guarantee that the s/ %,11function s desigrIeV Date ! 1 Inspect --------------------------------------- No. 9�— �U�� Fee T> THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES M�ASS�4CHUSETTS lwiopooai *p5tem Conotruction permit Permission is hereby granted Construct( )Repair( grad )Abandon System located at S5 o <r A, V-L. 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. sto Date: ! c) —� - 7 5� Approved by. 1i6i99 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 PERNEIT (WITHOUT DESIGNED PLANS) i i hereby certify that the application for disp'osal works f construction permit signed by me dated \fb — concerning the property located at meets all of the following criteria: • The failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. • There are no wetlands within 100 feet of the proposed septic system • There are no private wells within 150 feet of the proposed septic system • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facility will not be located less than five feet above the ma-mmum adjusted groundwater table elevation. (Adjust the groundwater table using the Frimptor method when applicable] • If the S.A.S. will be located with 250 feet of any vegetated wetlands, the bottom of the proposed leaching facility will not be located less than fourteen(14) feet above the ma.-dmurn adjusted groundwater table elevation, Please complete the following: ` A) Top of Ground Surface Elevation(using GIS information) r B) G.W. Elevation the MA.`C. High G.W. Adjustment . DIFFERENCE BETWEEN A and B �9 SIGNED a �. DATE: ��—�' �`� [Sketch proposed plan of system on back]. q:health folder.cat Ih I, �y G ti Q r c b Ql TOWN Q B STABLE -` LOCATION SEWAGE # VILLAGE ASSESSOR'S MAP & LOT W-nr')o INSTALLER'S NAME&PHONE NO.. C�fty L,il� SEPTIC TANK CAPACITY e,fe LEACHING FACILITY: (type) ize) A NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: 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 --------------- j . i t� Q�� EDWARD E. KELLEY REG. LAND SURVEYOR CUMMAQUID , MASS. 02637 TEL : ( 617 ) 362-2266 July 21 , 1986 Town of Barnstable Board of Health Hyannis,Mass. Ref: Lot # 48 Powder Hill Road Barnstable The Sewage System was installed in accordance with the approved plan submitted to the Board of Health. t F 'iss n j . v �71it1„��G. R.HAIL N..527 .y I KELLF.Y Re its Reg. `�Profesa; onah GIST ` L Land •Surveyo:- $4FROA�o� \s. 1 LOCAT ION `�� SEWAGE PERMIT NO. /-O r &/,g 8-6- 91 P� VILLAGE I N S T A LLEIt NAME L ADDRESS d U 1 L D E R OR OWN EA DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED Q � PPIZ, 24, �- 0 No Fes .............. ' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................... �---.....OF........ 5Y*... /-57,-'5 GG.............................. Xppliratinn for Dispniitt1 Works Cnnntrur#inn amit Application is hereby made for a Permit to Construct (�-j or Repair ( ) an Individual Sewage Disposal System at: .........f iLL /Tj> ST L GC. .............................. l°T................................................... Location-Address or Lot No. .!? _f�....C!�`.1.'1ft'-..... 5_:... ! 7. .... . ......f�." -� G .--.-�`I/ems............................ Own �ddress a vEV --•••----•-• ....._------ r . ................... . -----•-•------------ ...... Installer Address' 8 Type of Building Size Lot...4.1_.--Ke_.._....Sq. feet - Dwelling—No. of Bedrooms..........................................................................Expansion Attic,( ) Garbage Grinder ( ) Other—T e 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.A!b'.gallons Length_g.G_��-.. Width. �_6 e�__ Diameter................ Depth_.s�8 x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter----ZIP.......... Depth below inlet....4_*....._._.. Total leaching area....Zi�.7...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed by....7?0!'Z s.... j:._ !« Y....._P 6... Date..., Test Pit No. 1... ....minutes er inch Depth of Test Pit �¢p p Depth to ground water-----........ ........._. Test Pit No. 2...G. ....minutes per inch Depth of Test Pit...... Depth to ground water........................ --------------------------------------------------------------------------------------------•--------------------- ---------.....---------.......... 0 Description of Soil..... Z4 Lv/Xr� S��- .So�L........Z4 4P y �i�. S.9�d ------------------------------------------------------------------------------------•- U W ------- U Nature of Repairs orAlterations—Answer n a hcable.....---------------------.4 -------- �-- = G �� ...................�. v ----------------- �?•----... -••-------------------------- ------------- ...... --- . Agreement: A) ✓0(at�i ov- G -)-f�� <<c S The undersigned agrees to install the aforedescribed Individual Sewage Disposal System.in accordance with the provisions of TLITAIL4 5 of the State Sanitary Code—. e undersigned further agrees not to place the system in ope tion until a C 'ficate of Compliance ha ss the board of health. Application A roved �0 Z PPPP Y = ....................... Date Application Disapproved for the following reasons:............................................................................................Date•.......----- ................................•-----........_...--•••-•---------•-••-------.....-----•--••--------•-------....---------------------------------------------------------------------------------------- Date Permit No........ � ��---------------- Issued....................................................... Date ----------- -- ------------------------------ No.�...- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH / OF...:.......... :....'.......... ..... ''.... To I.i�........... �> �r 7-�g GG. . Appliration for Disposal Works Tons#rurtion Vrruti# Application is hereby made for a Permit to Construct ( w) or Repair ( ) an Individual Sewage Disposal System at: ^� Location-Address or Lot No. W Own A � •.ddress ......... . ..... ........................................................................a ........................... •-^•-------• -----Installer Address Type of Building 0� Size Lot.... ....Sq. feet Dwelling—No. of Bedrooms............".......:.........•..........Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers a YP g ........................•-•- -•-----•-•-•- P ( ) — Cafeteria ( ) Other fixtures .....: -------------------- ---------------------------------------------- --- - •---------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity.-/a?�gallons Length.- G .. Width.. _G Diameter................ Depth................ x Disposal-Trench—No..................... Width.................... Total Length.................... Total leaching area...................sq. ft. Seepage Pit No.......... __._.... Diameter.....1d......... Depth below inlet....G............ Total leaching area....Z A.2...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) a Percolation Test Results Performed by._._.Ttfa�i s... ::....lcZc. ....... E,_. Date...r? .1 .... .................. a Test Pit No. I....i;L.:?:....minutes per inch Depth of Test Pit.....Z?_tL'. Depth to ground water...................... Test Pit No. 2... ... ...minutes per inch Depth of Test Pit...... ? Depth to ground water......._"........... ------------------------------------------••-----......----••---•............ ...........--......................................................... 0 Description of Soil...... ;?' 5oi(- 24 "- 4ti" ..........................-................-.._..........----•-......•••••...........•• ..._.. ••--••---• -----.... ..../`7/lF /F?ZSG� C!? '✓��..._.. V ................ ........ ••.. ••.... ........_._...................._......_.. ._, 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—T e undersigned further agrees not to place the system in operation until a Certjficate of Compliance ha e n ssu y the board of health. ,Si ned_. . :...s.. .. pr'.s.... Application A roved B .. . C R...l....:'`.- 1 'v 1 .. PP PP Y tF t. .. _ ( Date Application Disapproved for the following reasons:.......................................................................................................... ---------•----•--...--•-••......................................................•------------.............-•---•-•-------------------...------------...---------•--•-------.......•-•--....--•--.......Date Permit No.........`.= -i--7.Z............» Issued_............ ---................... . Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................CNN OF...... /3?��vSTs�� G �."............... ............... ..... ........................... Trr#ifinar of Toutphana TH is TOLE 2TIFY hat the Individual Sewage Disposal System constructed �'or Repaired by------.- .. L. ... . ------• .: .............. ............ > . ............................--...------------.................----------_..... ._...._ �� -j �1 at-•••-•.. ,.. ..: 3........ u k: la_...•. ._.. .. - ....: �J�.----•----•--•-----------•---•-----•--------------------------. 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........L.4'2,/��. �t : '�...._.._... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ . Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............ No.. r--j`."�2`r Fn.....�..L.............. Dispoott arks Tansfrur#ion f rrutff Permission is hereby n anted._._..-. . .......1/�-•--'---i-`• ........»»»» � l to Construct (✓f or Repair (r--) an Individuale e Disposal System at No........L-t ..._ -�a---••-•- �a. a -..-. r.'�1---� s _.. � _t�. ............. Street as shown on the application for Disposal Works Construction Permit No :��.12-Dated........1 P/ 1 n- ................ .......................................... Board of Health DATE............................. �.... .. .................... FORM 1265 A. M. SULKIN, INC.. BOSTO_N ` 1 N L 4 TOP OF FOUNDATION CONCRETE COVER CONCRETE COVERS EUw ` L r�`cfaK s fs�r> -�� `� •.; 4'CAST IRON 1I2 M'r�"'•��r �mmss�r 12"MAX ➢/c- P.V.C. PIPE ' �4 NTo f1 OR SCHEDULE 40 4"SCHEDULE 40 PVC.(ONLY) � /VO PITCH 1/4"PER. PIPE - MIN. LEACH PITCH 1/4"PER.FT PITf3/ dd INVERT a t o EL. . 'i. INVERT INVERT • `� �•e INVERT SEPTIC TANK EL ''` !/ BOX' EL. >=EL ' 't' GAL. INVEF��. INVERT va a 2aEL..36noEL.- -.r ' . LL w8 (3 !� • 6 DIA. tinti-� DIA t-Hr'nc,r*c�x PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE v q Lo7- '4``7' c^ Rif ,ems A04�le- 1!� � SOIL LOG WITNESSED BY DATE MRY /4 TIME > / BOARD OF HEALTH � �� ,�G� -�? / >^ _ � L4c. O D /`J' /�. - XcE•� 7' ',c, q• /a.•. . _ \ < TEST HOLE I TEST HOLE 2 7AO(IP �- E KEjIEx E ENGINEER JM/t.55. r ELEV 41 io ELEV. ` •-. `Jo \\ 4A riL6G¢ f DESIGN DATA 1 \ t1 r4 rr< : /!y'v p :r NUMBER OF BEDROOMS 5 �. .� 3A'1 ,', � � � ,f4+� � -•o��A TOTAL ESTIMATED FLOW �'" GALLONS/DAY 4)� I , L. BOTTOM LEACHING AREA /b SO.FT. /PIT SIDE LEACHING AREA / `' �' SO FT / PIT Y1 \ \ 1 1 44 5.\ � .Y� " `o 3.7, GARBAGE DISPOSAL L'fi (50 % AREA INCREASE) .A.1 'flwm TOTAL LEACHING AREA =7 o SOFT i %24vst- PERCOLATION RATE MIN/INCH - f".-t 1X• uv/ � � \ � I � �`� `,\ /�, 3v '/ p1' �� b — — — _, / / - LEACHING AREA PER PERCOLATION RATE �. . SO.FT. WATER ENCOUNTERED NUMBER OF LEACHING PITS APPROVED BOARD OF HEALTH T i�- r'aYwaa. ✓ _ .-.. .� y��-rt.� J � /-' , DATE . . . AGENT OR INSPECTOR. . _ '�)4,, o c /_ - } �+( I f - i ! ,,� •• //� / /a0 wDE,�. .ti/�. . •Pow 9 red rtAa�� PETITIONER c 4&4 AVIVOZd►v C S Bfiiv�C 0. Tom?L:4C-, a ,C9J,JI-Z-- -S.csYi•vG'S L`'.a.y,tf -�-- 3o7 /1A-lAl s-7,Q-4e7- �:oc,rT++ Z LG �: M�ti�c�1 L 1964 c'Samstzbl2 � J J I �� +OWE U �' Sc'A�� I 0 OF a ,3C f L►�S C LS LI\l� Ll��t✓ 5 L-DW G E ICc�LL � EDWARD s9 ,fC�/STt� 14 6;.cw>/ 2 E n K LL /. 100 H APR 2 4 1984 � FAl O/STEP oe Y i /_ �M D.,.5 U�P l Egg / o �- •` _ .�.'1t i. .��`"" a..�"'r<- fhs y.. y ; 5�:� �f fi.... t. a {'y, ! rtr' 1 � }, .3 rr� '. t,, .: , -x, t 4 � �• t• x< y'` tiY�� '�4 4f "`'f - _ ra''. � fr .,t �.., N i 4 t � ,>:�.s✓ ,lg� - . �X "• � j r r�x 'y •• � ,�. s .. a "." '!».7 f 1 r' r • •St =F,'' f``.�;s^ ` , t '4., •# .} �.` � ... S �t 5 K." '� *.{;``" �-t.�•'a�f.�a f�^ f� "1 �: s .t } -,a4 � - { e • :!.•.,! ate. + - �-04�t«,t1+ .1-- � .: L =' 'r f. �_ .` ` . . r - tf 4 � .� � 14 s _ 'rr vi 4 � k + 1~ r• ! �,+ '.f .r _rr�k• ,� c •'iyt'V �} ((''��1 S .�,5 ✓.15M r ! t t ' qS A Play. 27 1084�,'7 '' ':r�, } lj� l' G 'Y yi:'1 +• �,• '�Y.' 'p.. .+.. 6y✓, D t f ✓�' ':kfi` 3•}',: 1.:, '` '`.t 't': `Y�'4 ,a t,�' i .tA ♦' its _ �p �...� 1' A:_A +7 �, "�CC ' 'p MJA:K,�. � ,yt �,.,+, :k` : a� ,r + .c• `�'` t ' � f «. �` >« � :�, :�� ;', T :1 a -U J i } `,. `a 1•n{. (r =•'J r •2`• }. ''L Z ,•% ..f J 'r= {r 4 ..Y«• ° ,- a r a f _ ., f •,�? J •� r � »` 2 - e �,. !t� �` t ;:. S,��« S n ''fi 4 a- ,.1.,r a :' ` S.k'. Mr. John F:'Rlisi , �y t E 9 ;y D r� sd a: l ..r a f i•� t r 6t I.�. ! yfl ' r. - ' .p 4!'§7 `, h a f•. f y k •tw .t r { i L. - : ,,158`Salt'Rdekq"Road �'BarnsCable 02630^ Y.r: r _}n ,.' `; }•e'_ r.r, i•'- a t p �i +c:,` .: .` ^y ,.. M �,. Re: Variance on. Lot.'4$, 'owderfhill =Rbad,,•Batnatable , J • ; r t, - ..Y y. v' Property dvAed by Rri$ta,A , Gregory v; 1�4, t� +.i"'s n Yy fi r,: Dearr Hr Rliffi2 S .".. �. !r"y t � } a±`' ft •�,.y''. f. •"�1'hr � G' G ^'.t, � 2 R �F s�'•t �' � 'y:.�y ,� , i."Q.. f:"r �pn• 6 �ti •�°,� fj a €'�� a � X'x,.A ,Y"�•.fi x � E ff r r • ��J '�s '# You are granted;a1variance'bn property owned` by,Rristo At.GGre, to' install •a septicWleac Ing p .:88'�feet''from'.'we la�ids +Vitb the reserve area'+85 feet • Y from' etl'arWs, in 'lieu of'!the 'required}'100-feet,, on Lot'4 Powder•:"Hill• Road; ;Barnstable.; with:ithe follawingvtondiCanse f ., '� •`, �` {ID}". The'septic system must be 4nstailed in strict:1accordance`with',the t✓3 r ``r plan submitted us.. �� ., L ,' . .• '�'' r s_:'' a �at p - � ,Y' .. r �t E s a, (2)r You moat receive antbrae.r.of`CConditions'.from�1•they_Conservation"Commis y, . �,5 ` sae r r• op ''! J s t . (3) ;f Thedesfgning-engineer `must ,fie prseni 'on .ste 'ai►d'• supervi�sea the' ' t* construction oaf'the"septic-,system and must certify in'writing to jy i 'd Y i the;Board` that the system vas constructed in strict accordAnce = '}' Yt we, : - •.4 ..+_. a-� ;` witti' his 8eaign ;..•r 's -- 1 »'{. '.�' t r'• r.4� nJ f y ^f _j. �.� a` i+ r : y t (43 All`other requirements';of Title 5,, 0€ .the State:Bi�vironmentei` Code + ^ •an4 the';Town `of Bar"nstable«Aea1th A ulations%mus't,'be° strict y IV adhered••to: _ •r- '' . +i.` f , J to"_ ,+•' . _��? !y rr', �,a }9'2,�' 1r*�"!r r fi, � ,� `•'r r� .. 3. J r �1„t '� ` '`� r D }, }tt2 f , s k } •* (S).' The;dwei2ing'. aust .ie pxovi'dedrrriCh public wafer ` rt er This Variance expire$ June i;".19$5 a �:- 4' �`! 4:,� �, «,.,Y r rk .,a-• 3 p;l iti.� . . 'r t a',:�3"L{ 1.`' r+tL<xp�� '(•ar y},'. 3 F,,:'. •i s "r'• .ev'D G4 Sa 4 ;very, ly your8'�• �. ,4 }4, M '..?.,i•^.4,q rr +4iS `n' A ¢•Ae = .. .� t Q' -3 '. ' 2 , t ` P it 21 5 r-a'4• f .. t � '_ .y ! ,-L, r� �.•h! •�"�` � t ��`k ram ✓ �� y «� i 4 GD .`' t y.f y' ;r`t :� �r _ .� S {A„ "�`L, Ro ert..l. Cttitds; :Chairman m' r: ' _ 4! ti ,i, �!� +. �. � .f r_t •i' +k_ ,•-�r�! � d�z`�_ ; J e � t �, ,� _ 1 �d•.�d�. r � Y. .r' F. � t�.H+ftit 'f- •�, AnAIn-g augh ° ,. +. } E t J a+y _ s , 4:� >;.GH/.►'�DM. .D. ar «� a+ < ;ems ;,?',.; J, fi�7�Vt�[�S7iRD,O,F,piZCDtLA1LTEl pt 'w.! t , t ,r ' �k l k` •~ Z` ti'' - +l%^t• a g a �t t' ~r`F( r%T'bW11 �P LfAPEs�.7TA� }a .o,^ �'-..:,J w ¢ ax..•' `=Gt ¢ "{xX G r.' `, �` .lt' ='r 'k Y} , i�ery,,f}-` F r.x, y: ,S' •.,� 64.' td l• '� .,f ;..c it#E a A01 � t 1. •. } t r t '� r a D yl wd• r st �r p • -.« a��?"(,�,,�P ' { e A Imm �,t7. .� i ;r.. , `!' si r �At r.• .' p, .y !' r 'a' ct 3{t ` r. `'{y. �,�i„- �t � : ,t�Ky"h. 4 fit, Y , �•y+ `r a! •r• A t' >. s.' '�'E "- .Y; L•.. .`.arh - xs��z�'.��.�I ',� i� >.J ra •t L♦ Ya ��,.a, < d _ M,r J, Er .r' v '� Fw,l..� r ` y; .��- '' NO. • DATE ' FEE 5 �O*THE ro TOWN OF BARNSTABLE v OFFICE OF - t BAaM"L 1 BOARD OF HEALTH °p 163 MAY \0� 367 MAIN STREET �0 k' HYANNIS, MASS. 02601 VARIANCE REQUEST FORM A11 variance requests must be submitted five (5) days prior to the scheduled Board of Health meeting. NAME OF APPLICANT .Tf/.�/ .Awr, C S, LAG//�j TELEPHONE NO. .3�Z- 37L ADDRESS OF APPLICANT /.SB SALT AZ c/C .� Bi�i¢�/sT�'BG� /y.�}55 ' o z,(3a NAME OF OWNER OF PROPERTY �2iSTa A. C;26rG'o,e�,/ LOCATION OF REQUEST 407 ' .�wa fiGGa /.STF3B�-� VARIANCE `FROM REGULATION (List regulation) 1,0-o To e!�eWG// VARIANCE REQUESTED (Specific request) Vg4e/x;wc6- REASON FOR VARIANCE (May attach letter if more space needed) �TiSTin/C Di rc/� 77 eo,,d-X1 467- kl& =G4svZ> oA/ WasiYG'. .Sipe O F- SySTc�s �dc<Yl'4`r7� /�✓ �"E'3T SST-�Y'G �P..p v/ /.�o� . PLANS - Two copies of plan must be submitted clearly outlining variance requested. VARIANCE APPROVED NOT APPROVED REASON FOR DISAPPROVAL 1 1 1 1 Health Dept. 7 a n, ,nctahl? I� 1 lu Robert L. Childs, Chairman 2 4 193 4 A Eshb 7 H. F. n e, M. 'D. BOARD HEALTH TOWN OF BARNSTABLE NO. DATE 2 0 • FEE 2S - THE Tod TOWN OF BARNSTABLE p f rc = OFFICE OF . HAA357ADL BOARD OF HEALTH ' oo� j639.0 MAY k\ 367 MAIN STREET HYANNIS, MASS. 02601 VARIANCE REQUEST FORM All variance requests must be submitted five (5) days prior to the scheduled Board of Health meeting. NAME OF APPLICANT �JyN-L/ .R�+/Tj Gay V .S �Li.y TELEPHONE NO. ,3dZ- 3741 6- ADDRESS OF APPLICANT /S8 S.447- e HWAls7pq BGE- NAME OF OWNER OF PROPERTY LOCATION OF REQUEST LoT �G' ,�wp iGG /20 �fyl2st/SABLE VARIANCE `FROM REGULATION (List regulation) /oo'�eoti WET-L4ivD T1> 7C/,/ �*-9 VARIANCE REQUESTED (Specific request) V,q,e%9iyc5- of /Z ', -7 o/c- /S ,C?-�,,y �� VG �8-s•> REASON FOR VARIANCE (May attach letter if more space needed) Z-37157-1i./6- r .eo�c v log- .�� wZ7=Z,4�Z> o.v e'W.131 .scene syl -7-, �oC.g}r�a /,y PLANS - Two copies of plan must be submitted clearly 'outlining variance requested. VARIANCE APPROVED NOT APPROVED REASON FOR DISAPPROVAL DHealth Dept i n To�vn of BarnstaRRblen� I II � '�v Robert L. Childs, Chairman Ann shbaugh H. F. IngeV M. D. BOARD OF HEALTH TOWN OF BARNSTABLE