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HomeMy WebLinkAbout0023 ELIJAH CHILDS LANE - Health 23 Elijahs Childs Lane Centerville P A = 171 276 i k i SIII �Orct4 UPC 10259 a No. H_163O_R .� �''` NAtTINQ• UN .� COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A RECEIVED CERTIFICATION Property Address: 93 L1r`ja k C k Lav,,¢ j.UN 18 2002 Ce#4er��l�:rhA F BARNSTABLE Owner's Name: Ro r T��HEALTH DEFT. Owner's Address: *-n Eli ial C i s 1. v c �N f rnA S 6 t Z 5 3 S Date of Inspection: D Name of Inspector: (please print) ffi:-&kaA Company Name: 4ckrawAr k E n va�ort Mailing Address: 'p C1.$eX 8 q b Ea►at -Cyst -a-� A PARCEI. Telephone Number: SOS '385=760$ LOT CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: �"�` Date: S $ Od 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. Notes and Comments report only descrhes condrttons at the time of mspect�on and under the cnndifions of use at that . ttme.Thts Inspection does not address how the system will perform m the future underahe same or different coaditivns ci#use. Title 5 Inspection Form 6/15/2000 page I OFFICIAL INSPECTION FORM—NOT FOR VUU[[NTARy ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) . Property Address: a 3 �l �1� (L i Owner_ NerrQS6f Date of Inspection: Inspection Summary: Check A,B,C,D or E/ALWAYS complete an of section ID z A. System Passes: I 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 statemen f"not determined"please explain. The septic tank is metal and over 20 years old*or the septic tank ether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failur ' existing tank is replaced with a complyingunminent.System will pass inspection.if the ex metal septic tank will ass septic tank as appro y the Board of Health. p inspection if it is structurally s d,not leaking,and if a Certificate of Compliance indicating that the tank is less than 20 years old is availab ND explain: Observation of sewage backup or br' out or high static water level in the distribution box due to.broken or . obstructed pipe(s)or due to a broken,se d or uneven distribution box System will approval of Board of Health): pan inspection if(with broken pipe(s)are rcpl►md obstruction is removed distribution box is leveled or replaced ND explain: The syste required pumping more tham4 timesa.year due to broken or obstructed pipe(s).The system will. pass inspectio (with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed- ND explain: Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: o)3 Ft WOLD C�. kis "v'1' Owner: t h Date of Inspection: Wp C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in o er 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 accordan with 310 CMR 15.303(1)(b) that the system is not functioning in a manner which will protect pub " 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 v etated wetland or a salt marsh ?. System will fail unless the Board of Heal (and Public Water Supplier,if any)determines that the system is functioning in a manner that pro cts the public health,safety and environment: _ The system has a septic tank an soil absorption system(SAS)and the SAS is within 100 feet of a surface water.supply or tributary t a surface water supply. _ The system has a septic and SAS and the SAS is within a Zone 1 of a public water supply. — The system has a sep 'c tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a ptic tank and SAS and the SAS is less than 100 feet but 50 feet or more frool a private water supply ell'`.Method used to determine distance "This system es if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and vo tile organic compounds indicates that the well is free from pollution from that facility and the presence o ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criter' are triggered_A copy of the analysis must be attached to this form. 3. Othe . t rage 4 of 11 OFFICIAL INSPECTION FORM—N0TF0RVCq,-UNTARy ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM HqS PFCMN FORM PART A CERTIFICATION(continued) Prropei-ty Address: 0,I.S Owner: (4e,.-%Aej5*C. Date of Inspection: p� D. System Failure Criteria applicable to all systems: You must indicate"Yes"or"no"to each of the following for alI inspections: Yes �o 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'h day flow Required pumping more than 4 times in the last year N4}T due to clogged or obstructed pipe(s).Number of times pumped 4- Any portion of the SAS,cesspool or privy is below high ground water elevation_ _.5( Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone 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 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from taut facility 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.I _ . - (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CUR 15303,therefore the system f kils..1he system owner should 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 mus e a facilkY with a design flow aff 10,M gpd to 15,000 gpd- You must indicate either`yes"or"no"to ea . of the fol]owing: (Tbe following criteria apply to large sys n in addition to the critmsa above) Yes ao — the system is within 4 feet of a suiace thinking water supply _ the system is wi 200 feet of a tributary to a staface drinking water supply the system is ocated in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of public water supply well If you have ans erect"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Sec . n D above the large system has failed.The owner or operator of any large system considered a significant eat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. a system owner should contact the appropriate regional office of the Department. Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: a 3 ( 'a, 0�, Owner: cv� Date of Inspection: S 6 n Z Check if the folIowing have been done. You must indicate"yes"or"no"as to each of the followin : Yes No _ Pumping information was provided by the owner,occupant,or Board of Health X Were any of the system components pumped out in the previous two weeks —eL Has the system received normal flows in the previous two week period? X Have large volumes of water been introduced to the system recently or as part of this inspection? X T Were as built plans,of the system obtained and examined?(If they were not available note as N/A) X4 _ 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? J _ 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: Yes no X _ 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 CNM 15.302(3)(b)] Page 6 of I 1 OFFICIAL INSPECTION FORM—NOTFOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: a 3 El• al. er` Dille Owner: N eh,N e w Date of inspection: S b[o et FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 9 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 3�0 Number of current residents: Does residence have a garbage grinder(yes or no): NO Is laundry on a separate sewage system(yes or no): A tb [if yes separate inspection required] Laundry system inspected(yes or no):jJa Seasonal use:(yes or no): AM Water meter readings,if available(last 2 years usage(gpd)): Sump pump(yes or no):_ Last date of occupancy: COMMERCIALANDUSTRUL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sq Grease trap present(yes or no): Industrial waste holding tank p nt(yes or no):_ Non-sanitary waste dischar to the Title 5 system(yes or no):_ Water meter readings,if fable: Last date of occup /use: OTHER(d ribe): - GENERAL INFORMATION Pumping Records I Source of information: 11 y d R-,0C a J PQA J,b,� , Was system pumped as part of the inspection(yes or no): ItIO 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.Attac La 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: Were sewage odors detected when arriving at the site(yes or no): OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:23 G ��d� Lw4� CeK44► V,((e. Owner: 4(w is Date of Inspection: 6 0? BUILDING SEWER(locate on site plan) Depth below grade: a8 a Materials of construction:_cast iron f 40 PVC_other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage, etc.): SEPTIC TANK: x (locate on site plan) u Depth below grade: a-O Material of construction: ff concrete metal_fiberglass_polyethylene _other(explain) f tank is metal list age:_ is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: to00 j'V Sludge depth: „2 Is a Distance from top of smudge to bottom of outlet tee or baffle: 30 Scum thickness:� t Distance from top of scum to top of outlet tee or baffle: 7 it Distance from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined: Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as e r fated to outlet Invert,evidence of.leakage,etc.): •./c r.g , k+ Lj 4, (-%-k.4e.s Ge 6, t)4Lo.� _An LA tt* -&&,IfAt GREASE TRAP:_(locate on site plan) Depth below grade:— Material of construction:_concrete. mZ—fiberglass __polyethylene other (explain): Dimensions: Scum thickness: Distance from top of scum to to of outlet tee or baffle: Distance from bottom of sc to bottom of outlet tee or baffle Date of last pumping: Comments(on pumpi recommendations, inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet' ert,evidence of leakage,etc.): 7 i x agc o v. ii OFFICIAL INSPECTION FORM—NOTFOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: �..CV%A- Owner: v.,�,es Date of Inspection: TIGHT or HOLDING TANK: (tank m=fiberglass of i npectian)(lgcate on site plan) Depth below grade: Material of construction: concrete m �olyethylene other(explain): Dimensions: Capacity: gallo Design Flow: g ns/day Alarm present(yes or no): Alarm level: Alarm' work or ing der(yes or no): Date of last pumping: Comments(conditionXofarm and float switches,etc.): DISTRIBUTION BOX: _,f_(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: 0 VeO 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.): -r-L box . is (e✓e ( .a-J It, 44 w,4 no s;Svi o-' ec,vr)6'JO. PUMP CHAMBER: (locate on sit Ian) Pumps in working order(yes or Alarms in working order(ye r no): Comments(note co nditio f pump chamber;contras ofptim1 and.agpurtenances;etc.): i OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C. SYSTEM INFORMATION(continued) Property Address: 673 C.e�{eit v�llc Owner: \A"Awes es Date of Inspection:���o SOIL ABSORPTION SYSTEM(SAS): 01 (locate on site plan,excavation not required) If SAS not located explain why: Type _2L leaching pits,number: ft leaching chambers,number. leaching galleries,number: leaching trenches,number,Iength: leaching fields,number,dimensions: overflow cesspool,number: inn ovativelalternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil, condition of vegetation, etc.): - ` '^ gt 41 a M ova CESSPOOLS: (cesspool must be pumped as p f 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 groundwate flow(yes or no): Comments(note condi 'on 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 cond' ion of soil,signs of hydraulic failure, level of ponding, condition of vegetation,etc.): 9 Page 10 of I 1 OFFICIAL INSPECTION FORM—NOT FM VOLUNTARY 14SSESSMENTS SUBSURFACE SEWAGE DISPOSAL-SYSTEM INSPEkMON FORM PART C SYSTEM INFORMATION'(continued) Property Address: �3 ��'.,j•� C����`S �r•� ch.�J� lie — Owner: cv^.n?b Date of inspection: 6 0 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building. f i� 04 y I Page 11 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: J3 j44 Chi 4& Lr.--t e ✓� Owner: h400 _ Date of Inspection! S o R. SITE EXAM Slope &JO Surface water Nn Check cellar Y+� Shallow wells 00 Estimated depth to ground water 30* feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: 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) of Accessed USGS database-explain: You must describe how you established the high ground water elevation: US GS a kVC4,4%& el OaA 3D C44 TOWN OF BARNSTABLE LOCATIONM 21-17�4 Cott T R-Z- SEWAGE # VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. 0-0+AV- SEPTIC TANK CAPACITY 0-0-0 Z - ' x LEACHING FACILITY:(type) - r'� (size) 1,00G NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER 1 BUILDER R OWNER DATE PERMIT ISSUED: C DATE COMPLIANCE ISSUED: 3 VARIANCE GRANTED: Yes No__ j� Q i L16 C AT ION SEWAGE PERMIT NO. Lot 51 Elijah Childs 83-1146 VILLAGE ' Centerville, Mass. INSTALLER'S NAME i ADDRESS Robert B. Our Co.. Inc. Great Western Road, N. Harwich 0 U I L D E R OR OWNER Allan Small DA T E PERMIT ISSUED /z DATE COMPLIANCE ISSUED �� BACK n S V r 11� i No. n./ ,ft Fes$...,,. ... _......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH L_Jt:- .� +::a......... ....................... .r-:....... 9.. AVV iration for Digpo,ial Works Tonotrnrtion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at tl .......................................................... ---------------- --••---------••-•----•----•-•...... ...... Location Address or Lot No .......................... i•.f-.._ ......./.................... ............{_ � !:_ :� r!, C-_[ cf..................................... I , Owner4 Address , f Installer Address Q Type of Building Size Lot..__ >_ _ _...::'Sq. feet v DwellingNo. of Bedrooms............: Expansion Attic w — 4 _n A -- P (r t)` Garbage Grinder'( ) aOther—Type of Building ...................7!!° o oir p asons............................ Showers ( ) — Cafeteria ( ) Other fixtures('.`,",. �:- gallons per person•per day.- Total dailyflow__ �.__S:.Z_... gallons. W Design Flow :ti 1, a ...........er d ••........ E WSeptic Tank—Liquid capacity... = .g lions p LengthpyWidth...___.._ ..... Diameter................ Depth.......... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq.4t. Z Ot r Distribution box ( Diameter•- Dosing tank (th)below inlet.................... Total leaching area..................sq. ft. Seepage a Percolation Test Results Performed bY.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ G% Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 ---- •-------------------------------------- •.............. _-.... _-------------------- •••-------- •--•-•••------------- ••••••••--•-••••..... •-••.....••••_••••. 0 Description of Soil..............................................................................................--------------------------•-•-•---•-------•-••--......._•--•----......... U •••--------•-•---••-----•-••---••--•-•-•-•--••--•-•-••-•••----•---•-•-.._..••---•--•••---......•--•-•-•-•-•••....••••-•---•-•--•-••-•-•-•---••--•-•--••-••-••......................••-•....•--•-•-----•- W VNature of Repairs or Alterations—Answer when applicable................................................................................................ --- --------------------------------------------------------------------------•-------•-•-•--•-•••--•-•••-•--•••......---••-••-•-• •-••--••••--•----•---••-•-•-••-•••-•---•---•--•-•.................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TAITIE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been,issued by the board of health.,. Signed. ._._.,_1W.1' i r... '. - r� '� Z........... .._+.:..... •- -✓' - to ApplicationApproved BY•- ---- --------••----•---•--•••----•-•••-••--•-•-.....-••-••-•--.._.............._...._••---•-- Date Application Disapprov , f o the following reasons---------------••--..........._..----•--•--------------......------------------------•---._. .-•------•-------- .....................................................•--..................................................................................................•---••-•--•-••••--••-••-••-----•-••-••-•••--•- Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF........................... ........................I............................ (Irrtif iratr ; ff faomplittnrr THIS IS TO CERTIFY, That kie Individual Sewage Disposal System constructed ( ) or Repaired ( ) by C is J,........................ •'" /i c✓/ I ! .t T�f stall " � - t� has been installed in accordance i the provisions of T M 5 ofghe State Sanitary Code s d ribed in theapplication f'or Disposal Wor s nstruction Permit No.X�en./� ............. dated.�1! . s _ ,,?r__._......_._..._.. T :1(rISSUANCE S CERTIFICATE SHALL NOT BE CONST AS A G ARANTEE THAT THE SYST M WILL U " zTION SATISFACTORY. i DATE....1.- .....A..---••-• .................................... Inspector. _..--•---------............-•--.._..•-•-------•-------------......----••.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE,AI TH ? / t No. J.....l...f_... �f FEE-,).................... Dioppttl VqAg Ma ,strurtWu "prrmit Permission is hereby granted , - 7----------•-•--------------•---•----•-------•_._.-__--.--•••••_-_--__•----•- to Construct (�) or Repair ( )n iv-dua 'e ra'_-ge°"�D.aspo �� ystem eel atNo.......'� --.z.� ......_l :.% .. �': K:- --------•----------------•-------.....------••--------•---•••--•-....._-••••• -. j(/ r- ..... a.�shown on the/application for D orks Construction Permit ................ Dated.......................................... c_ Board of Health DATE........� 'a FORM 1255- A. M. SULKIN, INC., BOSTON ,I5►N �-c F A M►LY G B�ORooM • �i uo �,A,iZA6E I. P/�,il,y FtLoW z 110 x 3 = II 5EPT%C TA►JK = 3309I50% = -49�I 5-&-.R 0. 3S ► 34 ;..33 000 GAL. S2 j • US��, 1 � • . I 015Po5AL PIT u6E IaoO COAL. ._ �50 S.F, x �.•5 = 3?5 G.Po 1 Expo BOTTOM AREAS �Q 5 F•_ ` � .g SEA , I 5 p S.F x I iWt • _ �, fl 'ToTA I- C�ESIGN a ,Q 2 5 G,P D. .o 9 PaopT ;d r,: I '•T•oTAL. DA►LY' FLO1r! = 330 G•Po. �4 M rhNk �,_ A PaZCOLATION RATE , 1"IN ZMW Oti`LE`15 SON FouaDAT'ror.] 0, ,I x IS, 837 Ikk Of 13 ALAN ys� /�, I 04 t L.0S LAIvE ,. RICHARD A. JONES BAXTF,R ti I ,0 .! N0.24048 U. 25 TF6'�T F� a SZ -TopFND' NoLr,-. :i EC.Jrz ir.ty. 50,o Go.yM if (oov INS• ii f•+BbuC. DUST. GAS' 9 i �� Bux INJ. efiPT�G '¢ ;! (Odo INS(, 4�.G TANK s/IN4y GAL. 49.0 �: LEAG41 �• PIT INV. INV. D! I WITH Z 49•¢ WA S►dG D 670 H 6 L43.0 �I f�,AAlO GERTIFIGD PLOT PLAW y <� /3� Wo SCALE SCALE /�� So' �A.Trc n/o w4 7WR— N GE PLAN RE1=E2E i CF_ P.-r 'THAT 'fNf-_ FouNADAT,3►1 SuoWN NER6o►.1 COMPL`(5 1rJITH TNT S I DELIN L.oT S/ AUD S6TI�GK R•6QVIR.EMENY> of 'ToWN. OI~ 3i)aVS746(,C- AND 1S A307— 'Fy. Q4 . 343 6— f LOC, .TED -WIT IW TN•F_ GLooD PL4-1 4 DATE �� 8� �PIe �%� BA�cTE2e t•.l`(E INC• I R.EG I SZ f-_26U t.A►.1 D S U PLY feYCt�'S I Tu15 PL�.N 15 NoT 4n5c D ob AN os-rGP_VILL.E - MASS. II Iu5-rR.�MENT 5v2.VE`( �- 'T14S 01=F,SETS NoTDfc USEDTO �E"TEFZ!^I►aE L.oT �_INES APPLICP,►-J A1Aki G. SNALI. �T.+�C.,