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0130 CENTER LANE - Health
i30 Center Lane, Centerville f` . 1 S IIII �RECVCLfpCo J Z„ OO _i llll UPC 12543 Now 53LOR coNS° HASTINGS. MN f Massachusetts Department of Environmental Protection Bureau of Resource Protection t_ Well Completion Reports 1 Well Driller Please specify work performed: Address at well location: New Well Street Number: Street Name: 130 CENTER LANE Please specify well type: Building Lot#: Assessor's Map#: .�Domestic 251018 Assessor's Lot#: ZIP Code: Number Of Wells: 02632 City/Town: Well Location BARNSTABLE In public right-of-way: GPS r�Yes (7 No North: West: 41.66832 70.32783 Subdivision/Property/Description: Mailing Address: click here if same as well location addres Property Owner: Street Number: Street Name: JOSH MILLER PO BOX 16 City/Town: State: Engineering Firm: BARNSTABLE MASSACHUSETTS ZIP Code: 02630 Board of health permit obtained: Yes C!Not Required Permit Number: Date Issued: W2021002 01/14/2021 Massachusetts Department of Environmental Protection f Bureau of Resource Protection-Well Driller Program Well Completion Reports(General) Well Driller - General Well Form DRILLING METHOD Overburden Bedrock uger Choose Bedrock- WELL LOG OVERBURDEN LITHOLOGY From(ft) To(ft) Code Color Comment Drop in drill Extra fast or slow Loss or addition stem drill rate of fluid �� 10 Sand And Gravel + Brown N" Slow Loss �J YES NO ��� Loss Addition 10 20 Fine To Coarse S i� Brown (,Fast r Slow � r-� C� --- — 1 YES INO C�_� [Loss Addition i — 20 25 Fine To Coarse S + Brown t Fast Slow YES NO Loss Addition ............... — �_. .. - C'� � C�Fast(�Slow f C" 25 30 Fine To Coarse S J) Brown ) YES NO Loss Addition WELL LOG BEDROCK LITHOLOGY --._. ...----- --- ---- — ................................................ _..... ........ Drop in Extra fast or Loss or Visible Rust Extra From(ft) To(ft) Code Comment addition of Large drill stem slow drill rate fluid Staining Chips F- C � Choose Code C"t C YES NO Fast Slow Loss Addition ryes ryes ADDITIONAL WELL INFORMATION Developed 'Yes r No Disinfected Total Well Depth 30 Depth to Bedrock Surface Seal Type CNone racture Enhancement CASING 177 Is Casing above ground? From: 1 Ta 0 From To Type _ Thickness Diameter Driveshoe [o i 27 Polyvinyl Chloride — Schedule 40 `4 r Yes SCREEN ( No Screen .. ............ .... ...... ---- — ....... .................................................... _—.........._ ...From To Type Slot Size Diameter 27 30 ((Stainless Steet Well Point � 0.010 4 Lmm._. WATER43EAMNG ZONES r DRY WELL To Yield(gpm) PERMANENT PUMP(IF AVAILABLE) Wire Constant Speed Pump Description Horsepower ubmersible 3/ Massachusetts Department of Environmental Protection Bureau of Resource Protection—Well Driller Program Well Completion Reports(General) Pump Intake Depth(ft) 26 Nominal Pump Capacity(gpm) 15 ANNULAR SEAL/FILTER PACK From To Material 1 Weight Material 2 Weight Water Batches Method Of (gal) (count) Placement Choose Material �� lCCh"o�ose Material ( —Choose One— (; I ——.. ....... � WELL TEST DATA Date Method Yield(gpm) Time Pumped Pumping Level(ft Time To Recover Recovery(ft (HH:MM) BGS) (HH:MM) BGS) 03/08/2021 Constant Rate Pump Jl 12 01:30� �3 00 01 (2 WATER LEVEL Date Measured Static Depth BGS(ft) Flowing Rate(gpm) 03/08/2021 12 .................-...... ---—-- ._... - -- --— -- COMMENTS WELL DRILLERS STATEMENT This well was drilled or altered under my direct supervision,according to the applicable rules and regulations,and this report is complete and accurate to the best of my knowledge. Supervising Driller DESMOND THOMAS E Monitoring[M] Signature III, DrillerDESMOND III Registration# 764 THOMAS,E DESMOND WELL Firm DRILLING INC. Rig Permit# 0551 Date Job Complete 04/Os/2021 �..� NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion. ENVIROTECHLABORATORIES, INC. MA CERT.NO.:M-ILIA 063 8 Jan Sebastian Drive Unit 12 Sandwich,MA 02563 (508)888-6460 1-800-339-6460 FAX(508)888-6446 Client Name: Desmond Well Drilling Location Address: PO Box 2783 130 Center Lane Orleans, MA Centerville,MA 02653 Lab Number: DW-210750 Collected By: Desmond Well Drilling Date Received: 03/08/21 Sample Type: Well-Raw Well Specs: New Well 4"PVC 30/2 ' DatejCc�llected} Collected F � C sp Lacrrtfan:ace $ Analysis Requested Units Recommended Limits Analysis Result I Method DateAnafyzed Analyzed By ....... .... pH pH units 6.5-8.5 6.22 SM 4500-H-B 03/08/2021 SD Specific Conductancen um_ hoslcm 500 100 EPA 120.1 03/08/2021 SD Nitrite-N mglL 1.00 <0.006 EPA 300.0 03/08/2021 SD Nitrate-N mg/L 10 0 UM EPA 300.0 03108/2021 SD Sodium mg/L 20.0 14 EPA 200.7 03111/2021 KB Total Iron mg/L 0.3 1.87 EPA 200.7 03/11/2021 _ KB Manganese mg/L 0.05 0.039 EPA 200.7 03/11/2021 KB Total Coliform(Presence/Absence) Present/Absent Absent A SM9223B 03/08/2021 JR @ 17:30 Comments: pH is below recommended limit and may have corrosive characteristics. Iron Level Is not a health hazard,but may cause taste and staining problems. All samples were analyzed within the established guidelines of US EPA approved methods with all requirements met, unless otherwise noted at the end of a given sample's analytical results. We certify that the following results are true and accurate to the best of our knowledge. Water meets EPA standards and is suitable for drinking for parameters tested. Date. 3/11/2021 Ronald A Saari Laboratory Director BRL Below Reportable Limits See Attached Page 1 of 1 nCertiflcation is not available for this analyze for potable water samples.. F.NVIROTECFd LABORATORIES,.INC. MA CERT NO.: M-MA 063 8 Jan Sebastian Drive Unit 12 Sandwich,MA 02563 (508)888-6460 1.800-339 6460 FAX(508)888-6446 Client Name: Desmond Well Drilling Location Address: PO Box 2783 130 Center Lane Orleans, MA Centerville,MA 02653 Lab Number: DW-211548 Collected By: DWD hate Received: 04/22/21 Sample Type: Tank Well Specs: New Well LOCQf101t.Source it 'Date Collected TimeCommen OM2ZJ21 10 OO.r Analysis Requested Units Recommended Limits Analysis Result MetW-�DateAnalyzedj Analyzed 1Av Volatile Organic Compounds` ug/L See comment. 0.94 EPA 524.2 04/29/2021 NEC* Comments: Toluene is used as a solvent,especially for paints,coatings,gums,oils and resins,and as raw material in the production of benzene,phenol and other organic solvents and in the production of polymers and rubbers. All samples were analyzed within the established guidelines of US EPA approved methods with all requirements met, unless otherwise noted at the end of a given sample's analytical results. We certify that the following results are true and accurate to the best of our knowledge. Date 4/29/2021 Ronald J.Saari Laboratory Director BRL=Below Reportable Limits "See Attached Page 1 of 1 ❑Certification is not available for this analyze for potable water samples.. New England Chromachem 6 Nichols Street Salem,MA 01970 978-744-6600 Sample Information EPA Method 524.2 Rev 4.1 Volatile Organic Compounds in Water Lab ID: '104367 Client: Envirotech Laboratory,Inc. Client 10 _ DW-211548 State: Liquid Date Sampled: 04/22/21 Date Received: 04/23/21 Date Analyzed: _ 04/23/21 MCL Regulated VOC'.s Results ug/L); tug/L) Unregulated VOC's Results u L) "Benzene ND 5 Acetone' ND 'Carbon Tetrachloride ND 5 Bromobenzene ND 1,1-Dichloroethene ND 7 Bromochloromethane ND 1,2-Dichloroethane ND 5 Bromodichloromethane ND 1,2-Dichlorobenzene ND 600 , Bromoform ND 1,4-Dichlorobenzene ND 5 Bromomethane ND Trichloroethene ND 5 2-Butanone ND 1,1,1-Trichloroethane ND - 200 N-B.utylbenzene ND Vin (.Chloride ND 2 .... Sec-But benzene ND Chlorobenzene ND 100 Tert-Butyl benzene ND .cis-1,2-dichloroethene ND 70 Chloroethane ND trans-1,2-dichloroethene ND 100 Chloroform .N.D_ 1,2-Dichloropro ane ND 61 Chloromethane ND Eth benzene ND 700 2-Chlorotoluene ND Styrene ND 100 11 4-Chlorotoluene ND Tetrachloroethene ND 5 Dibromochloromethane ND Toluene 0.94 1000 1,2-Dibromo-3-Chioropro ane ND Xylenes otal ND 10000" 1,2-Dibromoethane ND Methylene Chloride ND 5 Dibromomethane ND 1,2,4-Trichlorobenzene ND 70 1,3-Dichlorobenzene ND 1,1,2-Trichloroethane ND 5 Dichlorodifluoromethane ND 1,1-Dichloroethane ND Acetone Detection Limit=10 ug/L 1'3-Dichloropropane ND ND=-c Method Detection Limit 2,2-Dichloropropane ND NA=Not Analyzed ; 1,1-Dichloro ropens ND cis-1,3-Dichloropropene ND ......... trans-1,3-Dichloropro ene ND . Hexachlorobutadiene ND Iso rop benzene ND P-Isopropyltoluene ND Methyl-tert-butyl ether. ND Naphthalene ND N-Propylbenzene ND 1,11,2-Tetrachloroethane ND 1,122-Tetrachloroethane ND._ 1,2,3-Trichlorobenzene _. ND T:.richlorofluoromethane ND 1,2,3-Trichloropro ane ND 1,2,4-Trimethylbenzene ND 1,3,5-Trimethylbenzene jND Surrogate Standard Recoveries °lo Benzene d6 93 MCL TTHM's=80 ug/L 4-Bromofluorobenze..ne_ _. 99 Method Detection Limit=0.5 ug/L 1,27Dichlorobenzene-d4_. 106 Analysis performed per 31 OCMR42 Electronically signed and approved by Mr.Bruce A.Bornstein,Lab Director Date: 4/26/2021 No. Fee BOARD OF HEALTH TOWN OF BARNSTABLE 01pprication _for Yell Cou5truction Permit Application is hereby made for a permit to Construct�jL), Alter( ), or Repair( ) an individual well at: - "V3 G C' ILLYV 2 G1012 Location-Address --� Assessors Map and Parcel Owner Address &n10YId ,L�� �rtil�l 1V'�L• �.® • ��X Z7$� ©rIZUn5 i Installer-Driller Address Type of Building / Dwelling I/ Other-Type of Building No. of Persons Type of Well G�GI�Si �r�t.se 1�{8 p4�- CapacityVV Purpose of Well Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Zf30 2D Date Application Approved By I L/ y,l Date Application Disapproved for the following reasons: Date .Permit No. V" 9-0 b Issued Date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of (Compliance THIS IS TO CERTIFY,that the individual well , Constructed()(, Altered( ), or Repaired( ) byS Installer at C-If4) �-e-1✓ has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. W 90 of 1 -00bated I — L THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector No. �`✓ Fee BOARD OF HEALTH TOWN OF .BARN`STABLE C: 01ppYication jor Yell Cougtruction ermit - - Alication is hereby made for a permit to. Construct',/, Alter or Repair an individual well at: s Location-Address n' Assessors Map and Parcel_ l A 1� � 136 CCm4 V- IX�V�C r �C.►l (� " r— �V Owner Address Installer-Driller Address Type of Building / Dwelling Other-Type of Building No. of Persons Type of Well t16MOSt I c L t".i`C4A46 PVC Capacity Purpose of Well CSYW-S'hG.- �� 3. Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the ' well in operation until a Certificate.of Compliance has been issued by the Board of Health. { Signed �Jl. .>`> �i�" t2j'5g(76Zp Date` Application Approved By / 1 L/ ~ t Date r Application Disapproved for the following reasons: Date Permit No. " " a Issued L( + '— Date BOARD OF HEALTH f s TOWN OF BAR`NwSTABLE TM +; Certificate of Com 'fiance THIS IS TO CERTIFY,that the individual well Constructed(X), Altered( ), or Repaired( ) by s rin 0h 61 oh it Installer >+ at Cam'V)4-Cl/ W Y LP- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protect i0 Regulation as described in the application for Well Construction Permit No. yl/ 3Ua l '66?Dated "!C ' 4 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector BOARD OF HEALTH TOWN OF BARNSTABLE , Yell Cou5tructtou Permit " " � No. Fee Permission is hereby granted to U S Il Y1(3Yt d V f•� y 1(�(Y �0'1 . �Yt L,. Installer to Construct 4), Alter( ), or Repair( an individual well at: ° Street as shown on the application for a Well Construction Permit No. W C) `- " Dated Date r Approved By / / l r PH,Z 3 t F + Na SS f o �� �_. ��� � �� Gy•. .ate list ¢v. �daxS``� 'u • 3�,, a� /' `!� - f TIuF[f�TAfVKI `�\ � � ac l� r �a �,. y ;s '> is : ViqR!. k, } I mmug ,>aa !r•�{.::� fk 2111 pow kq�.>�`n ��T£$IS7X ,.. <a a .'sx5; �1. .�� •' a'IP °' z � :. ^,� v:-,.r+%.�, -..ask ,.�. ��'a "�' 1 � .`� ~.—••-- ^` '>d`.r' c, � �} -�� s `s�` „ ._ al OUT ,F:. �'r :: E z SLGN ,�+;,yam r ' opts _ Am _ ems FAG/ - �.5` d -•4 K g -�:7 ,". t,:, 'x WkT � q}, .41 r MCA/ Postal (DomesticCERTIFIED MAILT. RECEIPT Ir . • . ! MTor�lvery information visit our website at www.usps.como I � Postage $Ln f1J Certified Fee _ 0! 0 Return Receipt Fee Here C3 (Endorsement Required) O Restricted Delivery Fee (Endorsement Required)i � USpcJ IU Total Postage&Fees $ M ro Sent To((�� Street.Apt.No:;.........__�-•••• ••••.............•-•-••--............•-^------ ra� or PO Box No. J r U S�� fY� - --•--- -- cm seta:ziP,a CY )A,., 02.G 2 5 PS Form :11 AUgUst 2006 See Reverse for Instructions Certified Mail Provides: in A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Made or Priority Mail®. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. to For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a LISPS®postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it when making an inquiry. PS Form 3860,Augus12006(Reverse)PSN 7630-02-000.9047 SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS DELIVERY- 0 Complete items 1,2,and 3.Also complete A. Sig to item 4 if Restricted Delivery is desired. 0 Agent X ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Fkceivtd by(Printed Name) C. Date o pelivpry ■ Attach this card to the back of the mailpiece, L or on the front if space permits. t D. Is delivery address different from item 1? 0 Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No �CL-L.s7 �. �CIL-1 , UckvN � V c�S S 4 I 3. Service tf'Certificl Mail 0 Express Mail ❑Registered ❑Return Receipt for Merchandise ❑.Insured Mail T3 C.O.D. !1 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7008 3230 0002 5178 3449 jG✓�. (transfer from service labeQ PS Form 3811,February'.2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid CUSPS-1 Perrr Cit-t4o.G-1 0 • Sender: Please print your name, address,46'nd ZIP+4 inthis 62� • <Jvyl Toi-vu o Bamstab'fe in C:) Health Division 1A- SZE 200 IA.ai.n.Street IIIII III[if I I IIIII IIIII I fill I if 1111111 It 1111.11 11111 Town of Barnstable Barnstable A"mm9caCily .� Regulatory Services Department 1 nnwvsrnBM I 9� KAS& Public Health Division m 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO l David Dali 11/08/10 1 Jerusalem Lane Cohasset, Ma 02025 According to our records, the tight tank owned by you located at 130 Center Lane, Centerville MA, has not been monitored and/or pumped every three months as required by the Massachusetts Department of Environmental Protection. Therefore, you are ordered to hire a licensed septage hauler to have the tank pumped on, or before November 15, 2010. After that date, the tank shall be pumped once every three months. If your tank was already pumped sometime within the past three months, please submit a copy of the receipt for the pumping. Our last record of pumping is from 08/09. Please submit a copy of the pumping record(s) to this Office at mailing address: Town of Barnstable Health Division,200 Main Street, Hyannis, MA 02601. Failure to comply with an order of the Board of Health may result in the issuance of $100.00 non-criminal ticket citations. Tickets may be issued daily until the violations are corrected. You may request a hearing before the Board of Health, if written petition requesting same is received by the Board within seven days of the date of your receipt of this letter. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S., CHO Agent of the Board of Health As the ACO does pertain to septic, it is wise to give the mandatory two public notices, thus, may not be able to install until the July meeting. B. 130 Center Lane, Centerville —yes, the tight tank has been pumped. Dr. Canniff recommends contacting the Department of Environmental Protection (DEP) for the list of all holding tanks in our town as each one must receive a permit from the DEP before installing them. MOTION TO ADJOURN -4:43pm. � s Z V C'— Page 6 of 5\'�OH 5/11/10 .. I )L Commonwealth of Massachusetts A Executive Office of Environmental Affairs s /Vp� � Department of ,:. • Environmental Protection William F.Weld Gowmor Trudy xe 8sereteryCo,ECEA David B. Struhs Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: l3 b Cenkr 6 r1,e_ ���LlX Address of Owner: Date of Inspection: -i'j-.q (P (If different). Name of Inspector: Company Name, Address an Telephone Number: CERTIFICATION STATEMENT 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 inspection. The inspection was performed based on my training and experience in the proper.function and maintenance of on-site sewage disposal systems. The system: f rii r Zpasses — Conditionally Passes Needs Further Evaluation By the Local Approving Authority .Fails Inspector's Sign Date: �d rJJ The-System Inspector shall sub it a copy of this inspection report to the Approving.Authority within thirty (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 Department of Environmental Protection. The original should be sera to the system owner and copies sent to the buyer, if applicable and the appro�ing authority. INSPECTION SUMMARY: Check A, B, C, or D: AJ SYST M PASSES: have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. f� BJ SYSTEM CONDITIONALLY PASSES: Al -'. � r''One or more system components'need to be replaced or repaired. The system, upon completion of the replacement or, repair, passes inspection. ;± Indicate yes, no, or not determined (Y, N, or'ND).rtDescribe basis.of determination in all instances. If"not determined" ,explain why not) ' The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is, . imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 8115195) 1 One Winter Street • Boston,Massachusetts 02108 • FAX(617)556-1049 • Telephone(617)292-5500 <x _ 0 Printed on Recycled Paper l ` SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 1 6Q Owner: 1 Y`t S kF►fits E Date of Inspection: ; Bj SYSTEM CONDITIONAfLY PASSES (continued) Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced } The system required pumping more than four 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 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 failingto rote public health, safety and the environment. P ct the 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES.THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water c Cesspool or privy is within 50 feet of a bordering vegetated"wetland or a salt marsh. 2) ?t.SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES,THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The WStpm ha,, a septic tank anu soil ausorpoun system anu is within JOG foci to a Sui-ce Yvutcf su :y or tributary, to a surface water supply. PN The system has a septic tank and soil absorption system and is within a Zone I of a public water supply well. _ The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the welly is . i free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal_to or les's than 5 ppm. s Dj SYSTEM FAILS•. ✓i I have determined that the system violates one or more of the following failure criteria as defined in 310 CIvIR 15 303: Th e for this determination is identified below,.Th basis,. . < e Board of Health should be contacted to.determine what will be necessary to.correct the failure. �o,Backup of sewage into,facility.or system component due to an 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 't cesspool: ,I,Orpvised' .8/15/951 2 x - . SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: J3© hdali /a.ru— Owner: m2.J' Date of Inspection: D] SYSTEM FAILS (continued): 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 1/2 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 Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply., 16 Any portion of a cesspool or;privy is within a Zone I 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 So feet from.a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile.organic compounds, ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: `' The following criteria apply to large systems in addition to the criteria above: " The design flow of system is 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: the system is within 400 feet of a surface drinking water supply _ the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area{interim Wellhead.Protection Area (IWPA) or a mapped Zone II of,a public water suppiv well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. t §., 5r a. g +v= 3 f 3t � `lrevased 8/15/95). SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM FART B CHECKLIST Property Address: /J l�-� Oulu— Owner: OV 6 Date of Inspection: Check if the following have been done: Amping information was requested of the owner, occupant, and Board of Health. (None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates ZAs duri that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. built plans have been, rained and examined. Note if they are not available with N/A. ✓The facility or dwelling was inspected for signs of sewage back-up. c/The system does not receive non-sanitary or industrial waste flow _V�he site was inspected for signs of breakout. jelAll system components, excluding the Soil Absorption System, have been located on the site. �he septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles qr trees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System on the site has been"determined based on existing information or a�p oximated by non-intrusive methods. Tlie facil;;) c;.,.,c ;Zlnd occupa^;s, if diffe-7— from.ownerl were provided with information on the.proper maintenance of Sulr, Surface Disposal System. �nr (kev}s-d 8/15/95). q V. lrfat 1 ± E r,N ..a. .y _.. - - .. - • _ .. s - ,,.._.. ... •s n._ sir f� su ..r.. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(, Property Address: Owner: I��ji$ KlLm l /� Date of Inspection: , FLOW CONDITIONS RESIDENTIAL:,/ Design flow: 'l U all ns Number of bedrooms:, Number of current residents: Garbage grinder (yes or no):Tt Laundry connected to system (yes or no): Seasonal use (yes or no): ) Water meter readings, if liable: N^ Last date of occupancy:s�ly1M at(p COMMERCIAUINDUSTRIAL: Type of establishment: Design flow: gallons/day Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings, if available: Last date of occupancy: OTHER: (Describe) Last date of occupancy: — ` GENERAL INFORMATION PUMPING RECORDS and source of information: �dn.� Y✓� System pumped as pan of inspection: (yes or no)_ If yes, volume pomred: gallons Reason for pumping: TYPE OF TEM 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) Other (explain) APPROXIMATE AGE of all components, date installed (if known) and source of information: --'—r=�s 4 t l 3 Sewage odors detected when arriving at the site: (yes or no) 5 (revised 8/15/95) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) . r Property Address: Owner: M r"') Date of Inspection: lU 17_y (p SEPTIC TANK:✓ (locate on site plan) It Depth below grader Material of construction: �ncrete _metal _FRP—other(explain) Dimensions: Sludge depth:_ Distance from top of kludge to bottom of outlet tee or baffle: 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:� Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth 9f liquid level in relation to outlet h invert, structural integrity, evidence of leakage, etc.) l'i of tie,4 T GREASE TRAP: N/ (locate on site plan) Depth below grade: " Material of construction: _concrete _metal _FRP _other(explain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottorrm n+ sri— in hottnrn o! ou!!et tee or battle Comments:. (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert;structural:' integrity, evidence of leakage, etc.) f • a� 6 (revised 8115/95) •r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION.FORM PART C SYSTEM INFORMATION (continued) Property Address: Owner: /� � / Date of Inspection: b _�7-I TIGHT OR HOLDING TANK: (locate on site plan) Depth below grade: Material of construction: _concrete _metal _FRP—Other(explain) Dimensions: Capacity: gallons Design floe,,: gallons/day Alarm level: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX V. (locate on site plan) Depth of liquid level above outlet invert: Comments:- (note if level and distribuoui, eywai, evidence of sulid: ca:r�u�er, evidence of leakage into or out of boa, etc.) PUMP CHAMBER Y (locate on site plan) Pumps in working order.(yes or no) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) ,T;. .. (revised'B/15/95) a . :y , ,. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C 1,5 /] SYSTEM INFORMATION (continued) Property Address:' � Owner: rn a~YI l Date of Inspection: /U �/7- o� SOIL ABSORPTION SYSTEM (SAS):_ (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number:_ leaching chambers, number. leaching galleries, number:—.T�—Avw 0.t leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number.:. Comments: (note condition of soil, signs.of hydraulic failure, level of ponding, co ditjon of v etation,eettcc.) ir CESSPOOLS: �( (locate on site plate) 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 (cesspool must be.pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY: / (locate on site plan) Materiels of construction: Dimensions: Depth'of solids: .,. Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) (revised 8/15/95) 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: Owner: �✓ Date of Inspection: C b -/ 7- 1 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells w'thin 100' j 0 a p `i N DEPTH TO GROUNDWATER.. " Depth to groundwater. feet ' method of determination or approximation:. di—r-d W\ o �-��� rn �� %•! ' �� A LoV / ( U--S-Cyn Upc(, - m� ate .. ;'(sevised`8/15/95) 9 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: Owner. ,( Date of Inspection: l b "1 7- �h SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells w'thiCD n 100' �fwQhQ C�Z'tp `� N CeWt�F (syl �l A J 1 C� �bps c�11 O�t"Yrl DEPTH TO GROUNDWATER Depth to groundwater: feet method of determination or approximation: v►� o / 4 `"s� o. G. S s� /� Q�0v-c fed.( �TWI 6. f (revised 8/15/95) 9 i 1 I _ 1 No...q 30 ( ,". Fss.... ............ THE COMMONWEALTH OF MASSACHUSETTS ®� BOARD OF HEALTH TOWN OF BARNSTABLE k Appliratiou for Di-vipoottl Worko Tomitrur#ion throb# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .......�. 0__... a ' ......... wn=e res ' ------------------------•--------------.-----•---------------------------•-------•---------------- Loa iOottdi or Lot No. -_ . Address ------...._•---- ---------------------•-------..---•.-_---- .----•--•-••-..-••......................--- = Installer Address dType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms-------------- ---.---_ - . .Expansion Attic ( ) Garbage Grinder ( ) a ' Other—Type of Building _------------------------- No. of persons----------.----------------- Showers ( ) — Cafeteria ( ) Q, Other fixtures ---------------------------- WD e'sigri'Flow:..........................................gallons per person per day. Total daily flow............................................gallons. C4 Sepik Tank—Liquid capacity............gallons Length._............. Width................ Diameter...------------. Depth.............. 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........................................ � J Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water............----.....--. w Test Pit N,—oo. 2.......---------minutes per inch Depth of Test Pit-----............... Depth to ground water.....--................. --••---•-•-------------••-•-----•-•-........-----------.........-•-•----------•-•--•••-••--•••----•-......................................................... ODescription of Soil---------------------------------------------------------------------------------------------------------------------------------------or..-----•--...........--•-_... --------------- W ----------------------------------------------------------------------------- ----------------------------------------- - ----------- Vk U Nature of Repairs or Alterations—Answer when applicable.............. ...P ---------------- ................................... --••-•--•-•-----------------•-••••-•-•••----•-•--•---------••••----•••--••-••--•-•-••-----------•----•---------......-----------•-•----•••••--•--....--......--•---•---------••••-•--•---•------•------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal Systep in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compiia h n iss • � l 5° Sign -, .... - - -------- e �^ Application Approved BY �---------------__ -----------------------------------------------:.............. --- �DaJ� �r Application Disapproved for the following reasons: ........... . ..... . ... .. ....... .. ................................................ . . -------------------- ------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------ ........................................ Date Permit No. ----------- .. -�.. �� . Issued ............................... . I Date ... l v THE COMMONWEALTH OF'MASSACHUSETTS $ 07 BOARD OF 'HEALTH TOWN OF BARNSTABLE Appliration for Uhnp t ial Workii Tomitrnrtinn rrrntit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .......Oa__-A�K.... .. ..>.G2,!c P�.rr�,(J�� -------------------------------------------------------------------------------------- Loca ion.Addres or Lot No. -- - �r( ( oo� ,) Own ^ Address a ................................................................`................................. ....................•.......... Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms________________ ___------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ___________________- ----- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q' 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. 3 Seepage Pit No---------------------- Diameter.---_-..--_.-.----. Depth below inlet.................... Total leaching area..................sq. ft. .-.Z Other Distribution box ( ) Dosing tank ( ) a 'Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit_................. Depth to ground water......................... f=, Test Pit)No. 2................minutes per inch Depth of Test Pit-_._---_.__-____-_- Depth to ground water........................ P: .....•••--••------------------------•-----..._...........------.....-••-•-•-•------•-••.....--------•------•------•-•--•--•--•--•-••.......--------------.... 0 Description of Soil........................................................................................................................................................................ x U .---------------------------------------------------•--------------------•------------------•----------...---------------•---------------•------•--•--------•---------------•-•-•--•---•-----------••--- W --- -------------------------------------------------------------------------- ---------------------------------------- - ---------=-------------- ------ .......................... e U Nature of Repairs or Alterations—Answer when applicable-------------- p .___a r .................................... r ..__•-----•.....................................•-----._------.._..------------------•--•-•-•..................•----------------...----------------•...._.__................_....---.................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complian has�been issu�he-b`oa d of health. ��f J Signs: ......= - - ................ ..........._........... � - ., Dare .� - t7APPlication Approved BY ..... --Application Disapproved for the following reasons- --------------------------------------------------------------------------------------------------------------------------------- a Date PermitNo. ----------- L ..� -�� -------------------- Issued ......----------------------------------------------.. ---- Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ertifirate of 01.11omplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired - ...................... .i'�'_h------- ci f r: ;:. h-----------------------------.-- ---- ------------------------------------------------------------------------------------------- by Installer at .- U �1>h .�...f:(t r - �. .`�f. i-�!. .�-------------. ----------- -------------------------------- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. -------- ...��....._.. dated ----------.------------..--------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. f DATE ..........- ......................c .-=. .. Inspector ... --------. ----4 --------- --- /' V .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH p 73. TOWN OF BARNSTABLE 3�i��nntt1 nrk� ��an�trttrtilan �rrntit Permissionis hereby granted.............................................................................................................................................. to Construct ( or Repair ( ) an Individual S owage Disposal System at No...............E3.v------• ( !?!iJ• F � ) P t PY-I/_I_j ----- -- Street 01 as shown on the application for Disposal Works Construction Per _____ D,�.ti r__ ed______..,_—------------------------------ DATE......•-/..�../__.v...�.------.�F---• ---•--------• .... / Board of Health FORM 36508 HOODS 6 WARREN.INC.,PUBLISHERS G TOWN OF BARNSTABLE LOCATION j 3 6 (f A SEWAGE # VILLAGE ASSESSOR'S MAP LOTk? INSTALLER'S NAME & PHONE NO. A flt C J' ''7 SEPTIC TANK CAPACITY lk S✓ 6-0 LEACHING FACILITY:(type) 4-/ �/� l'�� p (size) Lj NO. 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' j _ N! - - - 7 y • . ? r>�-..' r 'I r-- .,fir . r Y li - r�rA . -i4' --- --- - 3 - L - _.. 7^i / AA it ] yin (`^I` 'i: A �'' 'Z v j 7 1- ;_ r r [_ : ___ _.. .. .. ___.._ �I._: . - t . ,_RT ,,,'Y _r.AL.!'7 CHAMBER . r - , _ ,r ,,, / AL_ �_FT1 Y�T_.M _OMPONENTo �G:.AT�C —_ � , +� �, �nn �rN _ >..•4lir.k _q - :��:t „srG ync-R AREAS SUBJECT TO VHICULAR rRAFF•' f__-�-----_- - `P nY •, ,:;_+ _. ti:_F, 'r^A! Or `y,., >` �,1lBE:R, v r YREi:? -'R THAN N ...:PT?l :.iA_L --- �' 6'_._ :W THS TA ND I N(s H 'S- c i wrf' E_ �� A! . _ r .%"AL_ °t . _t _ s �; -- j y # A , ' F'cFGRt CONSTRUCTION Ar --. — - - s),J-,T2-4844 FvR L6,_ATt0N C.r _;ti`.:.... . - . . . ----- 1, Y ` '4VC=R'sROU, UT t; i • r , - - - _ (: Tar _ 6. 'ERT 1 .:AL TA T•Lw APP.ROXl MA TE r`1•i'r'? ,:-_l- __`f P✓` - _. _C;, N i�: - - - - - :rfE1ULc 45 - -'� it 1�tL'(,"rf. ti ;_ �� _.;j. 4 £ _ ' FOR P v'�H -4ARKS -T. �t / TF r'_.:"I. -- 7c ,. . 6. _XI ST 'Ii = '�PC OL,. , _ .'',alFcl' "'RY iieC J MIN. I .,.�C JAL ;r .;{ �'J ,n :r ''ES _ Y^! =ATE$ - L+ 14 PERED COLATION _rRUN_ TER 3HT +i 4 c.L UNS U i -a fi'. . -,,",. _ ,', rH;N THE - ';,.,`, =, (. A�. !d; TS l c ; ,r .. �t:�J'" �'�:._ r;AL_ BE -, r,-. •- -r• J. ,'AR t ANC �' t.,a -; c' AND 1 i _OCAL SOAR!, vF _rc_ .N ._. ';r'NS FOR THE SEPTIC SYSTEM _ 1 . HAYBALES ARE TO BE ';,rAKED ALONG THE ENTIRE LENGTH OF THE WORK LIMIT. 4 , 1 12. ALL 'DISTURBED AREAS TO BE REVEGETA TED � "" i =JA, ,r/it Z ,.r .4a FOLLOWING CONSTRUCTION, _ _apj���• -"" - !-!�. 4 .. _.,, �. T 1. � ? ' r --• ,y- --.► ..'t L � 13. CONCRETE BREAKOUT WALL TO BE LINED WITH i' - ,.�- -�` .- QO MIL. FLEXIBLE PVC MEMBRANE LINER. `- i 14. THE TIGHT TANK MUST BE EQUIPPED Wi rH AN ALARM W/ TH A BELL AND L iGHT FOR iVr4EN i TANK REACHES THREE FIFTHS CAPACI TY TO St y c • - r_si. IiN A SUi TABLE CONVENIENT L"rION. 5. THE 7, BHT TANK 13 TO BE PUMPED ON AN AS NEEDED BA5l FY A I /LENSED HAULER AND ;POSED OF IN THE PROPER LOCATION. ! 6; THE TivHT T4NK , S TO BE WATER PROOF A'r,, WATER T 1 OH t _RS Rt•,5.tt.y, aA� WA �_ PUMP MuL ' �KM U TO E� a ,�. Si- ON 5. I 4t ,LoTRG, rN 1k = %, "eR'/:0. T:Rr TOPMPJUALB t ��' '=lr .'^!► FOR A TANCE c;f i AROI;N,' T t LEA' NG Fn rLT,' YL hL k_'zr: W. .'.-I -AN SAND. _ ' "_MOVAL /5 PROPrS A FF n i E A , :krYCE OF l OUtSTc T-'c PIJUP SHALL -RT AND TOP AT TNE _E✓A. iOfvS HOWN. 1:5,03:171 C'ISTANCES, 50' .7FOUfRED BET:+YtEN THE PU,4IP SHALL 1?E INSTALLED ;N aTP _r CONFORMANCE WITH r 1'�`J .;TY• A Dl�'TANCE OF 35' /S PRBPOSEr . A IAR.ACE OF , REvL "!:�. "NE 'VANUFA_TURER•S SPECIF%CATIONS A,Nn rITLE V REGULATIONS, y , . PUMP .,HOULD BE ABLE TO BE a, PUMP D15CHAR•:sE SHALL BE 2 NCHE: I ��. ��< •' ui t REQUIRED 9E,rWEEN A CRAWL SPACE AND L EA N6 FA'.:;L; TY. .. TAN'-'- t.• 5 � 'I SCGNNECTED AND LIFTED OUT OF ;N�, PUMP ::HAMSER BY 'HE _!F r1 N,- _ !\%) a 0. -__ OROPOSED. A /ARIANCE OF 5' iS REQUESTED. _.fAif WITHOUT HAVING TO ENTER rHE PUMP c_HAUSER. A ^ARIANCE . - •7EQUESTED FRC•M THE SLCF.Z BREAKOUT CAL.:ULAVo.v. A c cW DARR;ER 4. rHE ALARM SHALL START AT THE ELEVATION 5Hc,#N AND BE �' I _^NCR,E'ti WALL .' 1.5 PROPOSED. `0WERED BY A CIRCUI T SEPARATE FROM rHE PUMP POWER. `Ip�� `.-, T 1,3HT TANK i , : zr ---1 Y �• / , - fa i --_ ._� \ _ ` jEC ri ON /5. ,B: : , 1 USE. THE USE OF ANY DISPOSAL FACILITY OTHER THA,y HOSE i 'm )ESCR f 9ED I N 3/0 CUR /5 1$ PROHI B I TED. A VARIANCE IS REQUES J�ED TO A.L(fl' :;i" r l T,Ni", ` r1 E SAL OF TOILET WASTE ONLY THE LEA iNG TY A TlOHT T41YK FOR THE DISPO r r CH ; W1 LL BE USED FOR ALL OTHER WASTE WATER. .d, P r:1NAMB I ' � Nt.R,,URY FLOAT _.---• - - - -- --- r i t�M E/� :w l Tcm 5 7At ION ! I' ` T OUPLINO PVC CUTLET I a �' NA ,'L SET IN 'kl4rll r 70;* k c,c BARN; TABLE HEALTH RE'I ._ATIONS 4' °V- NLET _— ;T: 40, 72 Fr/N+i 1. , 3. 100 FEET " REQU/REC �'ETWE T iWA T 4ARM ON -- - _ G I N EN HE ER:OURSE �yrVD THE F 4 C i i_:' TY. A D i 5 TAN;:E OF .,.5' 1,5 PROPOSED. A `BAR ANCE OF 65 ' ,�S REU!, 1 Y _N I SC-�tr f' , a \� j J PUMP ON ¢�F, U"� it r SE:TiON ; . i 4. A VAR'ANC'' o RE )UES ri `IOT ` ,;,. 'Nc A"., , ,. I r ` A ` • ��' ' SPECIE rD TH,' SLCTiON. %H� P J' r L 'Y r PUMPi TO 5-_ r;ON 15. r1': . rii•1 i= Ti L 5. ;. f�FF _ — c- ��� NO r TO SCALE U: , No 4 n AM WA T R T 1'iHT Mk:, HO r C ! _ /CN r [ �a i -TOY (�- • 41 8 _ , h _a 7J1 b �' ~~ 01 r~C,E OF W,4 ' ., / / - i �� r i / �% i i ✓ 14 , UL US T 2O . / :�93 a eS-A Gl. 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