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HomeMy WebLinkAbout0590 LUMBERT MILL ROAD - Health 590 LUMBERT MILL RD., CENTERVILLE A= 147 085 llll UPC 12534 ' No.2 153LOR � HASTINGS,MN e L 4A COMMONWEALTH OF MASSACHUSETTS PECE1 EXECUTIVE OFFICE OF ENVIRONMENT-Al FAIRS E® M� DEPARTMENT OF ENVIRONMENTAL PRO TW 3 1998 ONE WINTER STREET, BOSTON MA 02108 (617) 292-5 0(I r0WN0F HEAL H DEP'ABLE WILLIAM F. WELD �l TRUDY COXE Governor �� r - Secretary ARGEO PAUL CELLUCCI ''AVID B. STRUHS Lt. Governor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM V- 1 V' PART A _ u6s CERTIFICATION` ss o -ter �tL�tl\4—Address of Owner: Arv**j Property Address: S [ U �'`� L� + r� Date of Inspection: '7 f 1 '►t`1 (If different) Name of Inspector: M,C i-A C%&4 � I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000) Company Name: r `- l_. Mailing Address: H AcS��,e ss Telephone Number: •—i `11 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 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: Passes _ Conditionally Passes Needs Further Evaluatio ocal Approving Authority F 'Is Inspector's Signature: Date: 1 ] The System Inspector shall submit 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 sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, B, C, or D: A] SYSTEM PASSES: I 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. 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. Indicate yes, no, or not determined (Y. N, or ND). Describe basis of determination in all instances. If"not determined", explain why not. The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance (attached)indicating that the tank was installed within twenty (20) years prior to the date of the inspection. or the septic tank, whether or not metal, is 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 04/25/97) Page 1 of 10 A Pn t"d on Rrcwlrd Pam, c_ r 0 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: Owner: Date of Inspection: BI SYSTEM CONDITIONALLY 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). Describe observations: 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 failing to protect the public health. safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTION 4G IN A . MANNER WIUCH %VILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONNiEN"r: Cesspool privy is within 50 feet of a surface water _ P or _ 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 APPROPRIATE) DETERNIINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface water supply or tributary to a surface water supply. _ The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. _ The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and soil absorption system and the SAS 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 well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance (approArnation not valid). 3) OTHER # (revised 04125/97) Page 2 of 10 SLIESURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PARI B CHECKLIST Property Address: S,10 .AutMZic Owner: Date of Inspection: Check if the following have been done: You must indicate either "Yes' or 'No' as to each of the following: No Pumping information was provided by the owner, occupant, or 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 during that period. Large volumes of water have not been introduced into the system recently or as pan of this inspection. As built plans have been oo;atned and a\arnined. Note if they are not available with NIA. The iac:lm or dwelling was inspected for signs o-*sewage back-up. _ The system does not receive non-sanitary or industrial waste flow. _ The site %\as inspected for signs of breakout. _ All s�sterr. components. excluding the So-1 Aosorpuon System, have begin located on the site. r The septic tank manholes Kere uncovered. opened. and the interior of the septic tank was inspected for condition of baffles or tees. materta'. o'construction. dimensions, deptn of liquid, depth of sludge. depth of scum. —The size and locat-on of the Soil Absorption System on the site has been determined based on The fac.lit. o%\ne• ,ano occupants. o dtrteren: trom ownerr were provided with information on the prope, maintenance of Sub-Suriace Disposal System. Existing inio--nation. Ex Plan at 6.0 H. _ De;ermined to the field of am of the failure criteria,related to Pan C is at issue, approximation of distance t<- unacceotabie 115.302 3t:btt SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTIO♦ FORM PART A CERTIFICATION (continued) Property Address: Owner: Date of Inspection: DI SYSTEM FAIL5: You must indicate either "Yes" or "No' as to each of the following I have determined that the system violates one or more of the following failure criteria as /,n3MR 15.303 The oasis for this determination is identified below. The Board of Health should be contacted to dell be necessary to correct the failure. Yes No Backup of sewage into facility or system component due to an overloaded or clospool. Discharge or ponding of effluent to the surface of the ground or surface waters dded or clogged SAS or cesspool. Sza:ic houid leyei in the distrib.ition boa above outlet invert due to an overloaded or clogged SkS or cesspoo. Liouid depth in cesspool is less than 6" below invert or available volume i0ess than 1/2 day floe. Recuired pumping more than. 4 times in the last year NOT due to clo or obstructea pipe's . Number o'times pumped Anv portion o'the Sod Absorption System, cesspool or privy is below the high groundNate• eieyation Am por.:on o'a cesspool or privy is wither. 100 feet of a surface;water supo!y or tributa-v to a surface v.ater suppi� t / Any portion of a cesspoo' or pri.-,• is a ithir. a Zone I of a pubi well. An. pc^.io- e:a cesspool or prt%-v is within 50 fe-et of a private water supply well Anv por:.or. of a cesspool or privy is less than 100 feet bZtlyzed greater than So fee: from a private water sucoly well with no a:ceo:able •ate• quality analysis. if the %vell has been to be acceptable. attach coop ai well water analysis for coiiiorm bacteria yolanle organic Compounds, ammon' nitrogen and nitrate nitrogen. El LARGE SYSTEM FAILS: You must indicate either "Yes` or "No- as to each of the following. The folioN:r.g criteria app;% to -'arge systems in addition to the criteria above: The system serves a facility with a design flow of 10,00 gpd or greater (Large System; and the system is a significant threat to public hea!th and saier� and the environment because ne or more of the following conditions exist. } Yes No . the system is within 400 feet of a surfac drinking water supply - - the system is within 200 feet of a trib tary to a surface drinking water supply the system is located in a nitrogen nsitive area (Interim Wellhead Protection Area - IWPA) or a mapped Zone II of a public water supply well) The owner or operator of any such system shall b ng the system and facility into full compliance with the groundwater.treatment program : requtrements.of 314 ChiR.5.00 and 6.00. Pleas consult the local regional office of the Department for-furthe.r.informaiioc►:--- - - --- - - (revised 04/15/97) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 51�7 0 Owner: 8t��1 Date of Inspection: FLOW CONDITIONS RESIDENTI Design flow: 4 4 0 p.d./bedroom for S.A.S. Number of bedrooms: Number of current resrdents:-L— Garbage grinder (yes or no): Laundry connected to system (�s or no): Seasonal use (yes or no):__%,1 Water meter readings, if available (last two (2) year usage (gpd): �J Sump Pump (yes or no): Last date of occupancy:4iln G, COMMERCIAL/INDUSTRIAL: Type of establishment: Design flow: eallons/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: GE\ORAL INTFORMATION PUNIPING RECORDS and source of information: System pumped as pan inspection: (yet or no)­&O If yes, volume pumped: eallons Reason for pumping: TYP 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) I/A Technology etc. Copy of up to date contract? Other APPROXIMATE AGE of all components, date installed (if known) and source of information: v.rtt Sewage odors detected when arriving at the site: (yes or no) (revised 04/2S/97) Page 5 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C r SYSTEM INFORMATION (continued) Property skdd 5—to to �v`( r1 lP-(l Owner: )p"t Date of Inspectidn: 1y� BUILDING SEWER.- (Locate on site plan) Depth below grade: Material of construction: _cast iron _40 PVC _other (explain) Distance from private water supply well or suction line Diameter Comments: (condition of joints, venting, evidence of leakage, etc.) SEPTIC TANK:_ (locate on site plan) Depth below grade: Material of construction: Aconcrete _metal _Fiberglass _Polyethylene _other(explain) If tank is metal, list ape_ Is age confirmed by Certificate of Compliance _(Yes/No) Dimensions: dQ3 a*k Sludge depth: 644 tl Distance from top of sludge to bottom of outlet tee or baffle: -)�A Scum thickness:_ u Distance from top of scum to top of outlet tee or baffler_ it Distance from bottom of scum to bottom of outlet tee or baffler How dimensions were determined: •tat�l Comments: (recommendation for pumpin . condition of inlet and outlet tees or baffles. depth of liquid level in relation to outlet invert, strut ural integrity, evidence of leakage. etc.) T v ?PSIS GREASE TRAP: (locate on site plan) Depth below grade: 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: 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.) (revised 04/25/97) Page 6 of 10 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: Owner: 5C. t Date of Inspect A: ,7f TIGHT OR HOLDING TANK: (Tank must be pumped prior to, or at time, of inspection) (locate on site plan) Depth below grade: Material of construction: _concrete _metal Fiberglass _Polyethylene _other(explain) Dimensions: Capacity: gallons Design flow: gallons/day Alarm level: Alarm in working order _ Yes: _ No Date of previous pumping: Comments: (condition of inlet tee. condition of alarm and float switches. etc.) )ISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet invert: �� Zs.� I�.:��i Comments: ^((note if level and di tribution is.e �c ua(l, evidence of solids c( ryover, evidence of I kag�e Tinto or out of box, etc.) d/-&ok _ o 5' o o—'(q%j %ilc�J �►`�S s�c��� 4SJ11pA4(3u.'e q NZZ PUMP CHAMBER:_ (locate on site plan) Pumps in working order: (Yes or No) Alarms in working order (Yes or No) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) (revised 04/25/97) Page 7 of 10 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: {�iN^-�(le yr V_k `l Owner: 5--a-b Date of Inspection: (7 `5 ` SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, if possible: excavation of 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: leaching trenches. number,length: leaching fields, number, dimensions: overflow cesspool, number: Alternative system: Name of Technology: Comments: (no a condition of soil, signs of hydraulic failure, level of ponding, condition of vege ion tc.) 1N CESSPOOLS:,�W (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 (cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) I i 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.) (revised 04/25/97) Page 8 of 10 A SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued; Pro ert% Address: `10 P L �az—T vk i t( Owner: �r �1 Date of Impec(ion: i�t SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) C. 3 S � k AZ - �� 93- A,+_�aZ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTIO,% FORM PART C SYSTEM INFORMATION (continued) Property ddres.• 5C1 O Owner: i Date of Inspection: I _ � Depth to Groundwater S Feet Please indicate all the methods used to determine High Groundwater Elevation: . Obtained from Design Plans on record Observation of Site (Abutting property, obsen•atton hole, basement.sump etc.) Determine it from local conditions Cnec� with loca! Board o• nea!tr Chec:. FEMA naps Check pumping records Check local exca.ato,s tnstalle•s l_-se LSC5 Data 4 t• i Desc'ribe to vou, o%%-. %%oros r.o•.% %o:, es:abhthed tie !-iieh Ground%ate! Elevation. (Must be completed! v:5t �6�r� ���. �t1-��Ci`-j,tC: S�—(.fv2.�i1`i►f.�b'��Gr"�� �'ti� . �`�Z. 0 '� �l(% I Page 10 of 10 i;�ri \TOWN OF BARNSTABLE @ LOCAT-JON l U � �.D'�l-I M� .. SEWAGE # ASSESSOR'S MAP &LOT 1 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER R9� PE-RKff `� i'�� `i��COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) I ~ Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by, �daeh Si I i �..1..� a(5 No.-- -.. ��._.... /f ' (� � Fizz............._............... THE COMMONVEALTW OF MASSACHUSETTS BOARD ® H E LT ---------�I�✓1 1-..........OF...... Appliration for Disposal Works Tonstrurtion Prrutit Application is hereby made for a Permit to Construct ( ' r Repair ( ) an Individual Sewage Disposal System at: s"Q.D ............................................ Locatio Address or Lot Owner Address Installer Address Type of Building Size Lot. ......Sq. feet Dwelling—No. of Bedrooms.......... .•......................Expansion Attic ( ) Garbage Grinder 00 Other—T e of Building ............... No. of ersons...._....._..........._._... Showers a YP g ------------- P ( ) — Cafeteria ( ) Otherfixtu .---•- --------------------------------------...---------•--------•--•----------------------- W Design Flow.............157_......_....._......_ . allons per person per day. Total daily flow-__....__..�J- -.__...... .......gallons. WSeptic Tank—Liquid capacity.... .gallons Length................ Width................ Diameter.....__..._..... De Depth................ x Disposal Trench—No..................... Width ....... Total Length...._............... Total leaching area..-----•-•_-___----sq. ft. Seepage Pit No.......a-------- Diameter...��(_�7..... Depth below inlet.................... Total leaching area. .40..sq. ft. Z Other Distribution box (°� ) Dosing tank ( ) /, I aPercolation Test Results Performed by..................•---.....-••••-•-•-...------•-•---•-•-••------••-------- Date--r7`W..-.-�J-..7............ Test Pit No. I.....Q_.....minutes per inch Depth of Test Pit.................... Depth to ground water........................ (14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 - -• -/........................ -- ---- -`` ---•-------------------------••..._-••--•-------------- ---•------------..--------••---••--------- •-------- Description of Soil. ?2.r��---......-�?�1...._&_L.-=...--•--•----------------------------------•-------.........--•-----•--•------.......-----••--• -------------------------- ...... . ........3 - V Nature of Repairs or Alterations—Answer when applica le.:............................................................ .:.............................. ----------------------------•------••--••---------•------------•------------------..........-•----.....-------•---------------------------------------------------------...._...----••-•--••--•-------.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of LI`YLE 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. 'gne ------.- ----••-•----------•--------•-•-•----•-----•-----------------••---•----- •-----------Da-te-------------- /' Da Application Approved By...... ............................. _..'(:_r�-7./- Date Application Disapproved for the following reasons-................-----------••---•--------------------------------------------------............................ _ Date Permit No......... ... Issued: o2, ........ 11...... ' Date k 5w L b L 0?"C AJT ION�u J I` � S E?9 G I � �PERMIT NO. YILLAG " � -��erv1Ao INSTA LLE 'S NAME i ADDRESS r C-1 7 BUILDER OR 0 ER rC UNIlk 'i-t DA T E PERMIT ISSUED DATE COMPLIANCE ISSUED �` �., ���r� ���o�s� $' la 1'7 . . -2 `� 3 3 � �3 ��� ' EPIC q� .".. THE COMMON,„WEALTH OF MASSACHUSETTS ._. BOARD O HE LT y 2r/1�.--.........OF........� .....:. ..::.::..ram''...:.... Apli irFatiou for Disposal Murks Toustrurtiou ramit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at t ................. ,•-_.C* ;�� ____Locati Address o Lot No- .. N . �.. .. E: C...Vr_.. 1S.dish✓ ../h! ... ._.._^• ................... Owner Address Installer Address Type of Building Size Lot_ ..0,'>1...._S q ee U Dwelling—No. of Bedrooms.___ 4...............................Expansion Attic ( ) Garbage Grin ( i Other—T e of Building No. of ersons_________................... Showers a YP g ---•-----•--•--•-----------• --•----•P ( ) — Cafeteria-(•---). dOther fixt s ...................---••-=--•----•_._... --•••-•-•-••--••-••-•-••-••----•------•-••----- W Design Flow________.___ L� allons per person per day. Total daily flow..__._..._ -•••- gallons. WSeptic Tank—Liquid capacity___ .._ allons Length________________ Width._.._...:._.___. Diameter................ Depth................. x Disposal Trench—..o_____________________ Width__ .............. Total Length................ Total leaching area___ .___....sq. ft. Seepage Pit No ___. ____ Diameter__. ... Depth* below inlet ................ Total leaching area � --- �" g 10_�`�'�___---sq. ft. Z Other Distribution box O Dosing tank ( ) aPercolation Test Result-r Performed by.. Date "_ _-:.�.�_-,�•_---------- Test Pit No. 1___ ______minutes per inch Depth of Test Pit____________________ Depth to ground water_____..__.._.____....__. lz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P ------------•--•---------•-•--•----••--•------- ----------- -------------------------------- •--------- •---•---------- O Descri non of Soil _�'��....____._ Z.x -.._.... .: �-:.. O Nature of Repairs or Alterations—Answer when apphcable�______________________________________________________ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System-,,in accordance with the provisions of T I"LE, 5 of the State Sanitary Code—The undersigned further;agrees not to place'the system in operation until a Certificate of Compliance has been issued by,the board of health r ign ............................................. .. _.... --- ,/ s Date Application Approved By..-- /.. `� '+ ......................... �=... ..A7`.............. Date Application Disapproved for the following reasons:.....*....................... ........................................................................ .....................................................----------------------------------------------------7. 7 7=------------------------------------------------------------•-••------------- Date Permit No....................................................... Issued-...---.......... -•................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ;�4� .... ..............OF.......... .................................................. Cnrrtifiratr of ToutpliFattrr T IS T CERTIFY, That the Individual Sewage Disposal System constructed or Repaired ( ) by....... . •-•_... ^-----------• ••-•--•--......-- .. .wi nstall j T - s r' has been installed in accordance with the provisions of �{jjm f1ryof e State Sanitary Code as described in the 7 -I --y r. application for Disposal Works Construction Permit Now __ (__ _____________ dated'"__.�__�_-_._��'_"_____.__._.___..... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION,SATISFACTORY. ----•-•----•-•............................"---- Inspector-.-. DATE.... ...���_.7_�•_ ----• - -- - ----•------- ,) L7 THE COMMONWEALTH OF MASSACHUSETTS BOARD 9F HEALTH �G 7 f �' � �'�iYl1 .........OF.... " ................................................. v N ............. .l...... _ FEE.1 ............. U ott� ttrtion rrutit - . Permissio is ereby granted....,r'' ...-'-.................................................................. ........ to Cons ct ( ) o epair ( ) an ldu K,�g�eDis osal Sy, " treet •' f.. as shown on the application for Disposal Works Construction Pe it No __:_ Dated._!' .9`._ ................. ? ' •....------..•--•-.....----- DATE--------U D' 7jC......"...........:.. oe xea Board lth FORM 1255 HOBBS & WARREN. INC., PUBLISHERS F I'A - Y 077 201605-33�. n �� ., o"p 141 VIP xo rs ell �a Eta 6 Q� �J 44 o bsrr�f p x off' 30 -- ----------�-_ ---_- _ _ _--- 35 3 " _ _ --- - - - -- _ __ -..._ __ - -- _ •- _ 1 f i yp2/Z. SGALE-: /"� /O` —_.___ .�_ � �- � T - v —�- ProPoseo/ 9rou�e� Profi/� V C- �T SG ,,9LE- L O LA/ — ---'- EquFl.• To SEP7-/G �„�" per- foot ) --2" 014 �B - �2' washes/ Stones -t --—`t� —nv LMIa • c:1/Sr Box • . , . � d,a Y'` G<i c.. S E f�T/G 7R A/.iG 3/4„ �f- � washed Stones • Hse. f P ' ua-34 y ( G UME �/e 7T o 35 Ci .5 G / • O„ G E�q G N G/ T 1 " 14 G AJ - -- -- 7--� S H O L E- L.. O G - 40.0 AD TE TE• 57- BY: -'�f�;erY`--_------- 170 c�iSPose/- f�E� G. ,C?ATe�- M1,V.IIAJCH W/Tti/E5s _f'f�U_L_�rJ - ' FLOW r ,E'ATE 4. OS.� i9Y f�a,r-r�sfctb/E Bd �' Nea./�-h a 5E-F'T/ G. TigAJ O x / ORTuM /"75.4. t 4 _2.�__— S f` c 5 tot D� ,JSE /Doo TEST Ho LE #/ TEST h/DLE 4•2 LEA G H P/T loam Q- H,• �� 4'+ E-FF ©errf'T/•/ '�n•C? . �u gof H � �4• S/OE4t/ALL � /(�0.2 c 400.5 � — S.F. (r 2.,, � _ -_ GAL S/OAy o�.Z 4-04 � COQrre rp / GENET'/,Ic 7-HE7 TH il1G ' \ F',COF'OSEG Oti/ 7H& G�E'OU�/L� ,9S 6J, 7_E— �', S of ZAJ tAq 6 L�'=-- PL /9 AJ S H O Lit/AJ D/V" 7T i-• /. L7 r9/'J !�/i L L O �i -74�� c: A G0Aj/=0�N1 TD T�E B�iiLO/IVG SET- ' 75 OF TflE C1� � �_ a /l�I/�. '_ F� F~•'J .SETBACK 0, FPn f� L '? 7 /A../ /}�? / E C_ �'flfy u u/ eE ,'L-7&tiro ", ,e Ea � E � C �? ULCr' HIN<_)rLtY 1p 1,230 0 H o tAJ A l C) A9 T � : .. -...:..✓'.{L,� -Pry\F 4 • � - -- - -. __-L_� 1 — JIs i, /`J A-//1V FqT�- S sc ,qLE / " = 30' c? C o r7 t o v r-s o o B 0 ,49 ,� O --a -- --- --o --- io r o,-o 5 g o/ G o r7 o U r-S -* 79 - o�c�