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HomeMy WebLinkAbout0005 CEDAR POINT CIRCLE - Health 5 Cedar Point Circle Centerville A-=228-114 i 0 =A[D:� /// S M No. 2-153LOR UPC 12534 smead.com • Made in USA z J���cvccFo oy c �a �ST-CONn� FIBER USED IN THIS PRODUCT LINE [I 5 D OF THE SS PROGRAMREQUII�ldENTS SOURGNG WWUMTROPRANLORG 0 • Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 5 Cedar Point Circle Property Address William Hebenstreit Owner Owner's Name information is required for Centerville MA 02632 10/29/09 every page. Cityrrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Important: When filling out A. General Information forms the computer, r,use 1. Inspector: only the tab key to move your Michael Kellett cursor-do not Name of Inspector use the return key. Aardvark Environmental Inspection OL Company Name P.O. Box 896 Company Address East Dennis MA 02641 Cityrrown State Zip Code 508-385-7608 S13742 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. 1 am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority �''6r c��✓ 10/30/09 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 system 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 system will perform in the future under the same or different conditions of use. USGS•12/07 Title 5 Official Inspection Form:subsurface Disposal yb stein 1P .1 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 5 Cedar Point Circle Property Address William Hebenstreit Owner Owner's Name information is required for Centerville MA 02632 10/29/09 every page. Cityrrown 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: ® 1 have not found 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. Answer yes, no or not determined (Y, N, ND) in the [] 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. ND Explain: ❑ 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 ❑ obstruction is removed USGS-12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 5 Cedar Point Circle Property Address William Hebenstreit Owner Owner's Name information is required for Centerville MA 02632 10/29/09 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ 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 ❑ obstruction is removed ND Explain: 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 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. USGS•12/07 Title 5 Official Inspection Form:Subsurface Sawage Disposal System•Page 3 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 5 Cedar Point Circle Property Address William Hebenstreit Owner Owner's Name information is required for Centerville MA 02632 10/29/09 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ 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 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 ❑ ® 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 %day flow ❑ ® 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. USGS•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 5 Cedar Point Circle Property Address William Hebenstreit Owner Owner's Name information is required for Centerville MA 02632 10/29/09 every page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): Yes No ❑ ® 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 11 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. USGS-12/07 Me 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 5 Cedar Point Circle Property Address William Hebenstreit Owner Owner's Name information is required for Centerville MA 02632 10/29/09 every page. Citylrown State Zip Code Date of Inspection C. Checklist Check if the 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 ❑ ® 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? ® ❑ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ 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)] USGS-12/07 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 6 of 15 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M ' 5 Cedar Point Circle Property Address William Hebenstreit Owner Owner's Name information is required for Centerville MA 02632 10/29/09 every page. Cityrrown State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms(design): 4 Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 Number of current residents: 2 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 Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage(gpd)): 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: Last date of occupancy/use: Date Other(describe): USGS•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 5 Cedar Point Circle Property Address William Hebenstreit Owner Owners Name information is required for Centerville MA 02632 10/29/09 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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) ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and source of information: 06/24/03 per BOH Were sewage odors detected when arriving at the site? ❑ Yes ® No USGS•12107 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 5 Cedar Point Circle Property Address William Hebenstreit Owner Owner's Name information is required for Centerville MA 02632 10/29/09 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) t Building Sewer(locate on site plan): Depth below grade: 2.0 feet Material of construction: ❑cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 1.4feet 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: 1500 gal Sludge depth: 3" Distance from top of sludge to bottom of outlet tee or baffle 28" Scum thickness 4" Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 15" How were dimensions determined? measured USGS-12107 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ,••�t 5 Cedar Point Circle Property Address William,Hebenstreit Owner Owner's Name information is required for Centerville MA 02632 10/29/09 every page. City1rown State Zip Code Date of Inspection D. System Information (cunt.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): The tank was sound and tight with tees in place and liquid at outlet invert. 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 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): USGS-12107 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 5 Cedar Point Circle Property Address William Hebenstreit Owner Owners Name information is required for Centerville MA 02632 10/29/09 every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) 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 Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert even 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.): The box was level and tight with no sign of carryover. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No USGS•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 5 Cedar Point Circle Property Address William Hebenstreit Owner Owner's Name information is required for Centerville MA 02632 10/29/09 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ❑ leaching chambers number: ® leaching galleries number: 4 ❑ 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.): The system has infiltrators in an 11'x38'field of stone. There was no liquid visible in the stones in the observation port. USGS-12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 5 Cedar Point Circle Property Address William Hebenstreit Owner Owner's Name information is required for Centerville MA 02632 10/29/09 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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 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.): USGS•12/07 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 13 of 15 Commonwealth of Mach Ti tle 5 Offic ial Inspection Form Subsurface Sewage Disposer System Form-Not for Voluntary Assessments 5 Cedar Point Circle William Hebenstref Own owners NWW wbmudion MPdMd for is Centerville MA 02501 10MM every pag& CWrown state zip Coda lute or hapeetion D. System Irttbmation (cont.) Sketch Of Semage Disposal System Provide a sketch of itre sewage disposal systern uwkWfM ties to at lead two pemnanent referenoe landmarks or benchmarks.Locate ap wells within 100 feet. Waste whare public water supply enters the bolding. r a� - 31 UB©8.12W TMs V,OWM d kmp.am Fast @,&ammo 0,,W DiqoW Qysbw•Paip 44 of tb f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M r 5 Cedar Point Circle Property Address William Hebenstreit Owner Owners Name information is required for Centerville MA 02632 10/29/09 every page. Citylrown 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: 20.0 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: 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: USGS maps show an elevation of over twenty feet. USGS-12107 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 15 T No. � d" � I ,�- FEE SO �s COMMONWEALT14 OF MASSAC14US ETTS Board of Health, r7?�)Cx r�g�nb ,MA. APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) - ❑Complete System ❑Individual Components Location Owner's Name Map/Parcel# Address Lot# * --� Telephone# Installer's Name Designer's Name ' ul ct�n(r-QnS Address �' Address '-5 C00-al Telephone# A-j Telephone# 51Qfg—� C��, di1 53�0 Type of Building cJ`OU m \ Lot Size 15, E)00Y sq.ft. Dwelling-No.of Bedrooms 4 F6U iZ Garbage grinder (111,q Other-Type of Building No.of persons 0 _Showers (yy`,Cafeteria Other Fixtures Design Flow (min.required) -440 gpd Calculated design flow Design flow provided pd Plan: Date �� ®`0 3 Number of sheets Revision Date l' Title Description of Soil(s) �kc<t Soil Evaluator Form No. Name of Soil Evaluator ate of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS K � �u ?Lc.<.\ DESIGNING ENGINEER MUST SUPERVISE INSTALLATION AND CERTIFY IN WRITING THE SYSTEM WAS INSTALLED IN STRICT ACCORDANCE TO PLAN. The undersigned agrees t • tall the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further a ees to not lace a system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed ! Date (0`1��3 Inspections N e9. FEES_/ ,.� .;.t ^� � qn`� /per T`/v� r�I�rIITpy /� ' ry ` ` 4 " COMMONWEALTH ®f '1 JLASSACH F E JL I�-Y wPi� Board of Health, MA. APPLICATION FOP, DISPOSAL SYSTEM- CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) - ❑Complete System ❑Individual Components Location Ce G�GC• [C l lc'C`C' r(- IJt Owner's Name W l 'C to V\,V 1po�S_V' Map/Parcel# `� 114 Address Lot# Telephone# Installer's Name CC op Designer's Name S Address 5 t�` Address — Telephone# ( Li Kk ^ 5 , Telephone# Type of Building e—� St 6s '�j cA Lot Size /,S, sq.ft. Dwelling-No.of Bedrooms 4 (_,bQ 2. Garbage grinder (/Fjl 1 Other-Type of Building / No.of persons Showers (,/Cafeteria Other Fixtures 6i kkn Sink. Design Flow (min.required) /440 gpd Calculated design flow UDesign flow provided L{-5 ,3(tgpd Plan: Date �q i !O$ Number of sheets Revision Date Title Description of Soil(s)4 Car �'kcc� z r" Soil Evaluator Form N4�. Name of Soil Evaluator ate of Evaluation ' ED 1 1 DESCRIPTION OF REPAIRS OR ALTERATIONSf" t�,l The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not t�place t'heeJsystem in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date Inspections i , r + E A� 3 No.�`— ' ! / FEE ®5 COMMON WF-ALT14 OF MASSACHUSETTS alas .. Board of H'�ealth, A 2�15� , ;. MA. CIER1 ICATE Of COMPLIANCE Description of Work: �d Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded (I�Abandoned ( ) by: i)��rt 5 S i-1 of L at �' rnl,nT c r�� has been installed in accordance withtthe provisions of 310 CMR 15.00 QT e 5) and,the approved design plans/as-built plans relating to application No.ZQA3-2r]4/, dated (0 2611)3 A roved Desi I Flow 1 -} 55d PP �•, PP gp t (gp ) Installer Designer: Inspector: f J Date: 4 The issuance of this permit shall not be construed as a guarantee that th systemwill function as designed. No. c 3 ' a FEE COMMONWEALTH OF MASSACHUSETTS Board of Health, it Pr W l e, MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct( ) Repair(G,)---Vpgrade( ) Abandon( ) an individual sewage disposal system at 11'1 +r'r a, '. I ef"t t G.� c C F��( as described in the application for Disposal System Construction Permit No. �G�3 a7y dated Provided: Construction shall be completed within three years of the date ofithi p it local conditions must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date 6b" %`•3 Board of Health f Sep - 20- 01 1.3 : 62 , BARNSTABLE HEALTH DEPT 5087906304 S/25�01 !NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. PERCOLATION TEST AiYD SOIL EVALUATION EXEMPTION FORM hereby certify that the engineered plan sign ed by ^.e UcteC (0- k8j 03 concern-un�g the property located at 1 ��©i1�� meets all of the tcl:owmg nteria. • This failed system is connected to a residential dwelling only. There are no .omrnerzia! or business uses associated with the dwelling, • 'T.e soil is ciass:;ied as CLASS l and the percolation rave is less than or equai to m.autes Per !rich. The applicant may use historical data to conclude th,s fsct or may, .onduct ore!inrx.a-- tests at the site without a health agent present • There :s no increase to Flow and/or change in use proposed • There are ,to variances requested or needed. • The bottom of the proposed leachin, ;acility will not be located less than fourteen aoove the maximum adjusted groundwater table elevation. (Adjus( the r.)undwater table using the Fnmptor method when applicable] Please complete the following: ,,i -fop of Grouno Surface Elevation (using GIS informauon) S; G-W E;cvat:on, ad;usement for high G.W. 1237.. = �'-FFER= E N C F C. ETWEEN and B SYY"-Q' _ D ATE: NOTICE 3asec j1-0n t^e aco`ie ir.forrnauon, a reoair pCnTut wil! be issued For �edr^erns bedrooms are authorized to the future without en,tneerec jtep plans. __---- -1r_11n:r,:Oci Pucc.AMP Permit Number: Date: Completed by: HIGH GROUND-WATER LEVEL COMPUTATION Site Location: �� ex ��'� ��C� Lot No. Owner: Address: 759-1 \�Q Contractor: C3 ®� Address: °2 �M } �a � Notes: 0 STEP 1 Measure depth to water table y to nearest 1/10 ft. .............................................................................. Date 1g 83 month/day/year STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: /„ LJ OAppropriate index well.................................................... OWater-level range zone ..................................................... STEP 3 Using monthly report "Current Water Resources Conditions" determine current depth to water level for index well ........................... m nth/year STEP 4 Using Table of Water-level Adjustments for index well (STEP 2A), current depth to water level for index well (STEP 3), and water-level zone (STEP 26) determine water-level adjustment .......................................................................................... STEP 5 Estimate depth to high water by subtracting the water-. level adjustment (STEP 4) from measured depth to water levelat site (STEP 1) ..................................................:.......................................................... f�r Figure 13.--Reproducible computation form. 15 II i I I CARMEN E. SHAY (508)-548-0796 ENVIRONMENTAL SERVICES, INC. P.O.Box 627,East Falmouth,MA 02536 June 24, 2003 RE: Certification of Title V Septic System Installation: Residential Property—5 Cedar Point Circle, Centerville, MA Dear Sir or.Madam: On June 20, 2003, Roger Roberts, Inc. was issued a permit to install a Title V Septic System at 5 Cedar Point Circle, Centerville, MA, based on a design drawn by Shay Environmental Services, dated, June 18, 2003. XX I Certify That The Septic System Referenced Was Installed Substantially According to the Plan I Certify That the Referenced Above Septic System Was Installed With Changes but in Accordance With State and Local Regulations, Revisions or As-Built Plans/Sketch will Follow. The Septic System Was Not Installed Per State and Local Regulations and Corrective Action is Required. If you have any questions, please do not hesitate to call the undersigned at(508)-548-0796. Sincerely, CARMEN E. SHAY ENVIRONMENTAL SERVICES,INC. (M OF Mass� 9 a� CARMEN y�N E. SHAY C. Carmen 'hay, R.S., C. No. 1184 . �► o President a S T. re.- SgNiTARtPN TOWN OF BARNSTABLE LOCATION C�� '� �t��Gz� SEWAGE# ASSESSOR'S MAP & LOT 2� VILLAGE C. INSTALLER'S NAME&PHONE NO. ✓�S ' G SEPTIC TANK CAPACITY LEACHING FACILITY: (type) Q (size) NO.OF BEDROOMS BUILDER,OR O R PERMUDATE: COMPLIANCE DATE: 2 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by i �f f P06�- I A �� 31 S'. 71 TOWN OF BARNSTABLE ,h LOCATION SEWAGE VELLAGE w`�r ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. &As C- c SEPTIC TANK CAPACITY C110 LEACHING FACILITY: (type) � �� L/ '�/� (size) NO.OF BEDROOMS BUILDER OR O R PERMIT DATE: 13 COMPLIANCE DATE: Z:U 6 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by �f V06 � No...J.�P..�© .. .................... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .................. ........................O F.................................I....... ...... Apptiration for Uiopooa1 Works Towitrur#ion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( } an Individual Sewage Disposal System a��11t: ftm Location-Address or Lot No. .... �.............. «�• Owner Address --------------------------------•------. --- ...................................FAQ5-im s.....1U.�m V a...�.Dfl Installer Address dType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms-------3................................Expansion Attic (�� Garbage Grinder '4 Other—Type of Buildin (z PPS No. of persons............................ Showers — Cafeteri a Other fixtures -------------------------------- W Design Flow.....................................•..._._gallons per person per day. Total daily flow............................................gallons. 'W Septic 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit-------:........... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit_----_-._.•--_._._- Depth to ground water........................ ---------------------------------------------------------------------------------------•••---.•...--......................................................... 0 Description of Soil........................................................................................................................................................................ x w ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- V 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 Compliant has b i sued byte bo rd of health. lg""7 \ --------------------•-•-. � .......--� -8•0__ Date Application Approved . ..----• •---•--•-•-----•••......•--•-••-•-• -----•---• -•--••-•-•-•. ••-• `'L 7'-- �`--- s Application Disap ov f o the following reasons:......... - ---------------------------•-----------------------------------------•--•-•...Date ----------•-. ..................................... ...................••............................. •-•••-••-•------------••---•-•---••-•--•-•-•-••--•-••-......-----•.................--- ......--....-- Date Permit No......................................................... Isv_ _ .......................................................Daze i. No._ fd,- .°.. f'� Fxs.. ................._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................OF......................................................................................... Appliration for Disposal Works Tom unrtion Vantit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an--Individual Sewage Disposal System t ,. �5 �w.e .. ... StJt Ii .._: t_�Se a,m:.,j i �!- ------------------•--------•-----------......-------•----............................--. Location Address ,. _N y • � �or o. --• .................t.....---•• _s." ............ Owner �,,j{�\ Address W .Zk� A ..,•• 'X• .:.G l •� ----------------------------------- (aww,-W 4.....: Jt± ..i:.... . Installer Address 3 QType of Building Size Lot............................Sq. feet f V Dwelling—No. of Bedrooms-------"__................................Expansion Attic (d., Garbage Grinder7 Other—Type of Building Q off:' ................ No. of persons............................ Showers ( ) — Cafeteri `("" a ; d Other fixtures .....................---------------------------------------------------------------------------------•----....-----------------------------......---- Design Tank—Llquid capacity .gallons per person per day. Total daily flow............................................gallons. 9 Se city....__..__.gallons Length................ Width................ Diameter................ Depth................ W Disposal Trench—No..................... Width..................... Total Length.................... Total leaching area..........._........sq. ft. x Seepage Pit No----------_--------- Diameter........._.......... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water--__-__-_____-_--_---. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to 'ground water........................ 04 ••----••--------•-••-•--•----•••••••••--•---•-••-••--•--•---••••--•---•--•-----•••------•••--••-......••----•---•-----•-•--•••............................... ODescription of Soil...............................................•----•-•--......--•--------------------------------------------------•--------------------------------•-•----•--=-.-•---- V ............••.......................................................................................................................................................................................•••-•----•-•-••-.._......••--•----••--•-•-•••-••-.....--•--••--•-•-•----•--•-•--..._._...-------•-•--•----••-•---•--•-••---•-•--•-•••-•-•-•-•-••-•--•----•-----------••------•--•--••. W ••-••••-••---------------------------------•--•-•-••--•--•------...-•----•-•----------•-••••••-•--••----••-•••--------._.....••--------•-------------••----...----••••-•-••......_......--........----•- UNature of Repairs or Alterations—Answer when applicable.---------------------------------------------•--___-_--__-------.---•----•.-____----•------•--. -•---------•--•------------•-•----------------------------•-------------------•---................--------------------------------••-----•--•-••--------------------•----•-••-•••-•-----------....._. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT1Z 5 of the State Sanitary Code—The undersigned,further agrees not to place the system in operation until a Certificate of Compliance has be i sued by t e bo rd of health. } �. + ( Ign, , --- •-•------------------•---. R(+ _t_'. .x7!.. ti I 666 D e Application Approved,$y %=", - / _�..2 ......... '...... r Date Application Disapp for` the following reasons: .... ------------------- ............................................................... ......---•---••--•••........--•-•--•"'.....-••----••-••------------•-------••----------- ---•••------•-•---••---•-••-----••---•••••-----••.....-•------•--•------•----•------------------------- Date PermitNo... .. Issued----------------------................................ ' Date THE COMMONWEALTH OF MASSACHUSETTS BOARDOF HEALTH f„ ;.........................OF t: r��?> M .. ....... ....................................... At tiT HIS11S TO"CFRTIFY, That the Individual Sewage Disposal System constructed ( .) or Repairedby ( ) p � Ltd ------------------------------ has been installed in accordance with the provisions of TjITL� ` ofe State Sanitary Cod as d riled in the application for Disposal Works Construction Permit No.)g-__�•'_._.... � _________________ dated-�?_._:. ........ .. ..._................. THE ISSUANCE OF:THIS CERTIFICATE SHALL NOT BE:/C/ONSTRS A GUAR NTEE THAT THE SYSTEMi F NOTION SATISFACTORY.DATE.... ..----••----••-•------------------------••--•--- Inspector •----.......-----•----•-----------.._.............••-- THE COMMONWEALTH OF MASS BOARD OF HEALTH ..........................................OF.. N.:.x................ FEE... _.. ......... �i��ta�, t1 axrk� ��aat��rti.�n rruti# Permission is hereby granted� `,�' ---•= --=------------•--------.._.....--••-- ................... to Consfrud .( ) or , epair ( )an ndlvi ff"I-Sewage D,(p sal'System "at No,/(._ �' e Street �^ r as shown on the application for Disposala.Works Construction Permit,.. o ........... Dated/22 .... ............... -- f .-= -Board of Health x; / Y DATE-----------------------•... -•-•_. :._ +`" "r r FORM 1255 HOBBS & WARREN. INC., PUBLISHERS 4at L0 � A ION+ cQ��.- � f j� SEWAGE PERMIT NO. lest 5 V1L E j INS TA LLER'S NAME i ADDRESS BUILDER OR OWNER /93 //o 40h sd, �i`le � OATE PERMIT ISSUED �DAT E COMPLIANCE ISSUED ��� 0 w � p e IIVENT'PIPE ,(O Least 24 jnches tall S1 2000, +/ ?CTION 'A ��A Schedule 40 PVC,w/Churcoal Odor Filter 'ALL 014a F" IIIE WBW tOF LEACHI)Vl7" 1110i 0V_ 40 P.V.C. -W co%"fromeN' 4 SdiECOLE PROFrLE :S'YS rEM,, ISET LEVID.FOR T LL14T 2 FT- comcft Existing Founda �h;I�jse to septic tank !ALL PIPESARE TO BE tkin Not to Scale 00 Assumed SeptkAW* obvent ftiet be TOF CLEV "100. wN ok a in. *f fk*ohed VxWe T Oracle w'septle f.* 99.00 otods ower D-9" owr SAS ELEV-99.00 IMOCKM7S 4b who" oulm a S to S-010 op of SAS-G*Vs.-9&50!DIST Sox T MGX*YWM 10, EXISING OR OWAIM 4 740 ntm (D SEPIC TAW PLAN ,SEc-nON RO$$�--S' J1- 0 H-10 I -N Eftoc" Depth 4M sidewftu H-10 DISTRIBUTION. ROX:S 31-2 tiO E..0,62T,­ 3 3 inbf 3 r_l 5 3 NOT TO_5Y$TEM PROFILE ;n LOCUS MAP-N-A io Scale f*f*q#fv* Length 4D 'th!Eff*Cth,f %rft 6 in.of 3/rl;�j S13IC AP"'S1JRP 1EIN, SYSTEM (SAS)onvwtecl sta" MODEL 3050 N ­GEN L� NOTES BE 4��Q OADI b/ SUMNER �UNBAR_LOW GRADE ENTS 4UST 14ANE M t ALL,CWPOh �R!St0S 0,MTHIN 6" -is responsi e notification for' Digsaf(OR EQUIVALENT I Contractor�,%ftapn of Teet Hose,I and protection of alfi pipe NOTE. OVERALL HEIC4,1T OF WILTRATOR Iunde�r§roud_utilities and S.`lS W.-ATPECTIVE HEIGHT IS 24* 2. "Me pc a g ution 'box shall' be set'of 3 k"I on 6 27 stone.t-ir W" A0am umi.ws I -,Bockfill shotild,-be`�tlean and or grav I e wi no 7 3" in-eize.'EXISTING LEACH PiT �',stohds over PED FILLED IN PLACE T ation,4. This�ayst#m is subject to inspection, during in�sfolj OR REMOVED IF,FOUND TO' 13E NECESSARY, IN5TALL, SAS. C-'by , drmen 'E. Shay i�,Environmental'Services, Inc.STRIOPE6,0 '5.- The ni6tor,shall install this system in accordance EAC ,cont NOTE , ANY LIT L CONTAINING L HATE,',THE PrrS/CESSPOOLS TO BE 'DISPOSED with Title'V of the'Massachusetts state code, th FROM e:approved.plan HE SEM TAINK egt'lab EXISTING LEACH and Local.,R j ons.,,PER BOARD OF HEALTH �8pvbincxnONS.1W A, F`AS��n 06s�SFOR .7,VSIMUTM SM AM LEACHM COMPOINIMT 6. If, during instal ation ther:,dor rd or encount6rs a ny SET DEDIER IHAN 6 OAMES BEUDW FIOSHM ou ite�:�GRADE %ML BE RASED To vAim a oF "Soil conditions oe",s conditions, that are different-shown:'on Al from those in our design-117E GAS BAFFLES OR EQUALS Installation must'�halt irnmedio%ite notification, be flif&"GRAM he"soil'iog -or MTALL TW Imode,*6 Cormen'�_E '�Shoy -t 'Environme nc.6tol Services,7. No vehlicl h iiichinery� s all deive��ovei STEECRENNI e or, eavy IT h ETE septic ,system unte ss noted as'��H­20 septic tomponen s.��N VIEW LAI, t_t"les�'or e,quals on ee a 8.',:install Tuf—Tite ods A;off 'a e d n s.:,,4" A919 CO%IM 9. Ail Distribution Uneis',i;holl be 47. diameter, Schedule 40 NSF PVC pipes. diame er,10. Ail 1. t aid piping, tees fttings sho e 4.pipes with .water 4' mir, dearaxa 13* NJET*,r INLET-4� Is-nixl-fr,"*.*"t ta�OAM 1 1. munic pal w6ter,js 'n to e Residence and'Abutting ICO Meted �Th OUTLET W S 80d 45 40 E Properties Within' 200 Feet.5' -7 -98 120.60'E lb Ui*M depth LINES APPROXIMATE AND IP. -COMPILED MOM THE SURVEY' PLAN GENERATED, BY YANKEE�SURVEY CONSULTANTS.I�OP`MARSTON UILLS, MA ENTITLED CERTIFIED PLOT PLAN OF LOT 17:CEDAR POINT CIRCLE LOTI�#7 CENTERVILLE� MA",'DATED APRIL-1 5.'-1 992,'117e 15,000 Squwe Feet D AND IS�NOT: INTEN ED 70.,BE�A SURM PLOT PLAN ND 'SECTION IT S OULD j BE�,USED FOR, .NO PURPOSE OTHER THAN'H SEPTIC SYSTEM, INSTALLATION._0 SEPTI G­TANK7,X z USE t C��O-AUL -__14 1 tt� M,0 00 NOT ,'TO',SCALE V) A EN D V) C5 DE GAM GE NOTESiPROPbSED SPOT-GRADE PERCOLATION -:TEST V) :0 NOT S :EXISTING Xl 0 4.4 6 DE E te of. SPOT GRADE Do ercolation Test;,'.,­JUNE 9. 2003 0 Test Performed.By_:,CARMEN E;� SHAY, R.S.,�C.S.E. 2 0 Results',Witness( __4 PL id By. -WAIVER(Per Baimstoble B.O.H.)EXCAVATOR: Sh6y 6virarim PROPERTY LINE'wital Services, Inc.n 2 MPI,0 40" Below'Lond Surface DECK Percolation Rate- Less Tho' 0 U_ —Murli6po"Iatei-Line--z 49 6A PROPOSED CONTOUR LLJ 4 est H61 e' 0 NTO N 0� TING CO EJUST EXIS 97 UR LL_ B DEPTH SOILS, ELZV� D_ 0 4 BDROOK z Ho,tr, >0 DEEP TEST4 HOLE 06my L Cb I -EST PERCOLATION ,1 0CATION Sond 10 YR'3/2 * 000 gal.9&25 IS00C Tank C) 6 FOOT STOCKADE 'FENCE Loomy Sond Le PI 10'M 5/6 'THERE ARE NO WETLANDS WITHIN 200' OF THE PROPERTY,8'-'40* 94.66 Medium 2.S Y'7/4 HOLE #1 99.00 EtEV�=4n"- 14-4� 'A 4' PVC Vent IP LOT. PLAN ' ' .r r 18.70 I Pere #1 S 80d 45' 40" E 0 F : PR OPOSED , SEPTIC . SYSTEM " U PGRAD E Depth -to Pere: 40* to 56'�Pere Rate= Less Tho 2 MPI PREPAREDFOR ''Groundwater N6t'Observed Observed tSH No WI IT PROJECTBENC "�A ADJUSTED H20,El e v. None H ARK AT TOP FOUNDATION 'd)' JST S NGINEER V '1'00.-00 �(As��Me DESIGNING E I R C E ELE 5 ""CEDAR, POINT :''��C L UPER ISE INSTALLATION AND CER' FY IN WRI NG THE SYSTEM WAS INS LED MA 6 IN ERVILLE,L ST ACCORDANCE TO PLAN. z j ICT t M PREPARED :'14Y:-N6mbee,bf Bedrooms-, qu an 440,Cal./Day' (440 dal.'/Day MInj per;;Tltle 4 Geinder-",No F Iapacykhrilini urn on, $Leoching &4-Y-i�j Y" L 0�440 CA N pric Tank DaGAL.�7' ank. 0 miln.jin'ch AB ARtA: Using�ORPTION` Per'go sq. "g'32 EN VIR MMEIVT.U'�-,$ER f WES, INC.a Ions t 80� 1 41 Bd torn Aiea: 034 � I/ ft- ft ide �0.14� al ft' P"0,. ox,��S won Area:]. x 'A 96"sq. k .145.04'gallons IIJ -4, 6 roviding'-, 454 P, .36 gallons u L-25 Mk 0�EASt FALMOUTH 2536 "SCALE-- 1 '20' TE 508:��548"'(5) HIGH CAPACITY JNFILTkX_T'O' R­CkAMBERS, 14 IT R\ ��046 AVkG W 2* EFFECTIVE DEPTH L/ WN 8' CES 'DATE''A 75' OF WASHED UNE' 18, �-5.'25 J0 USED"WIIJ "OF WASHED STONE ON:THE SIDES NO C =20'STONE l�m THE SHEET:�,I' PILkNAME,��SD436PPZWG 1 F, i WA! 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AGCESS M��H�.ES T� I P A� co,,� is -aoo0 rsa- TEST' SEPTIc TA"4L-' ^430 L.F-4c-"r"G, PrrS Tc) %IE Bkj t L.i � ;O -rn (-,2 e!S q7) d TOP FOUwIDAT+nr.� ,ro y%r E Lev FI�J+SN G,2t coa Ft►..l�Sta tmesm.oi'c F�.J�S►.r EreAr�E c�•� _ �g-"_ c�vr3rd.�_ �I� 11SN CaQADE� _ O�IEe TASK lZXTO�/EQ�dXO t.��►�t+�ti1�� --._ >+ og n.. Tad C'.1? �< \'� s•AAJ� � `1` ' t c �• ` r ( Aga,'$-t-o�,.l� .� - u I �J 00 C.-.VL I'� � � t h!L.E T > °•-f•- 3 �27tEEt Q Se�ric Tav,c 1A1 s` �( } IM�� ` ^ I • e 4 K � i,l 1� f � � fi � � � �/vX � f/� � �./} a/� J �i/ tf � r��• ,nF �rrY� 1 R.` T. �� q �wH/ '� v e �L f+�•�5f- STI�r+ ! � O0 . • . srAa c. I•�— G'• C)e6E?,VAT O r.1 PITS - r _- ` ---•--_..._ �'� � � �n Q PEQC O t...AT I o� ���'� ' .7 �M �r..1/t f•1�l-1 sn ( OaSE 21JATI o►J S T5 q4,,o � _ _._.... ..____._....�.3-_---- �.-_—_ - , ,o��� �A,ojysT�t31E" 80I►.2t�� n F H E A�..Tl-� 5 ' . .��``,-'.:�vr.` ! � n — 98 Ek�ST►,.1C� CL�e.1T�2. IDE:51c-Gt ,J c2tTE Q.cA. PROP05Eo 5FwA*r& 0isqosA,%. SvsrZM �_ - ' t�JUMt3ErZ OF t3Enecx�MS .} g7X2 ExtST SPo-r L4-c- �7 G�`T.�r4. �'l�1/i/1 1 •. w �l P'EQ.So,J g PEA BEc��.aoNt —..ltnx5 C-*A rrLO�J S P4EV- PEeSC*J PfiV DAY ....� c�� ►o,J -r "cs" �-,�,Y/1.�, M ASS I.EAC 1-� "JGl PF�CJv+e�u �? � ir.�?. m ��SE 2✓AT'tO�..1 T�.ST l-iC)l.E l-EAG H+►J Ea P'P���t�C� 1 --t,� •-� \QI P�-OPOS ED LE.NC-0 i,,1 P T 5 c A t_E A-�> "C-�7-EO ATIE ' ,6�G2-15Ee7- ,c'L'��/`Y�r. .�► s> - v U. G.-t; '/ _. �Q`�H+-F�.�� u, 93 r' �`. �'yC)C .�✓.'�9JU�+� �aFvr; s _ 0127 ���I„, s1c� �aHO �,�d5� Ft�l�c �►.�CE� rYQ/P�J'Q ., 4T� �1 �,"�,.rcrL \"°�• 6 �NV�w/ �Ar�C/iT v�: ,22,� /7'�.�y� .J'C3G'�:��/, . •�� _ Lo T` SH�ac.•✓✓ T" 7 iJ