HomeMy WebLinkAbout0056 SHORT BEACH ROAD - Health 56 Short Beach Road
Centerville
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No. > �, I �' Fee (v V
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
9pplitation for Misposai *pstrm Construction permit
Application for a Permit to Construct( ) Repeir( ) Upgrade( ) Abandon Complete System ❑Individual Components
Location Address or Lot No.0 9 LWal2,7—J0Z--A70A1 A-V Owner's Name,Address,and Tel.No.
--VY W— �
��i�'ou,F-�Tc���-t!� Cleoc✓ev—�y
Assessor's Map/Parcel OW&
Ins er's Name,A dress,and Tel.14o. Designer's Name,Address,and Tel.No.
6Z U %,u
Type of Building: l
Dwelling No.of Bedrooms i346 f6-k R1-T1 kt6t�K of Size T",ael=� sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) D gpd Design flow provided 33(� gpd
Plan Date .S/fo A d Number of sheets / Revision Date
Title %/GEES
Size of Septic Tank Ac/14 Type of S.A.S. •(�O�l C=
Description of Soil 13',!5 ,Sr AC/
Nature of Repairs or Alterations(Answer when applicable) �¢,t/7���
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environm Co and no�toplace the system in operation until a Certificate of
Compliance has been issued by this Board of Heal
r. Signed Date
Application Approved by Date
Application Disapproved by Date
for the following reasons
J _
" Permit No. �' Date Issued 5(6 ��
.r('C'
/T rfry}�✓[ 4 ` rfV � t C
,r ►� �5� .� ;.
J / No. ,. Fee
_ cf THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes
PUBLIC HEALTH DIVISION,-TOWN OF BARNSTABLE, MASSACHUSETTS
application for Deal 6pstim Construction Permit 4
' Application for a Permit to Construct(` ) 'Repfai ) Jpgrade.( ) Abandon ' Complete System- El Individual Components
Location Address or Lot No.Lf-f "471e7" Owner's Name,Address,and Tel.No.
0,—_1117-eA f//G GGl �Y� r. -7'�9 GE/'O CI F �TaA�i(l� (k'OcJLG.-✓
Assessor's Ma /Parcel' fro' �r f'r•g.•r .4 v�
y Ins ler's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
•� '� ti�1 �,�v+1 CJ.IN [ ��7�l -� 359 R-• -se. 4-t'e-ads ilssoe.
::7-a.f 4 V r3"1^'1
Type of Building: -
Dwelling No.of Bedrooms i3(As 1F2 R-5--rTl-f0// of Size ,S;�'S� '-� sq.ft. Garbage Grinder( )
4 $: Other Type of Building No.of Persons Showers( ) Cafeteria,( )
Other Fixtures 2
' Design Flow(min.required) �3 D gpd Design flow provided 3/ a gpd -��s
i f
Plan Date ,S//o A 0 Number of sheets / i � ' Revision Date '"�.,/
Title %16,- T 7-A,'Cam.
Size of Septic Tank /Type of S.A.S. VoAl C'_
Description of Soil
r
Nature of Repairs or Alterations(Answer when applicable) 40R A/�JpoV iS?A,'G
Date last inspected:
rf
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environm lit" Cand not to place the system in operation until a Certificate of
Compliance has been.issued by this Board of Heal
Signed Date �C,I(y_
Application pproved by �,� f . ,c 't Date
Applicationl isapproved by Date
s for the following reasons r'
Permit No. a U Z- - ► �' t` Date Issued �- 16- �-""
- -- ------------- ---.----------------------------------- --- ----- ---------- ---- -------- ----- ------ -- .,
L THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
(Certificate of Compliance
J orn�
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( )
Abandoned( )by "13Q �,A: r t L,4 J 57-
at 51 J o t T e c, c has been constructed in accordance _
with the provisions of Title 5 and the for Disposal System Construction Permit No.do! ' 1 dated S ►6" !�--
Installer Designer
#bedrooms �j Approved design flow A (1 gpd
The issuance of this pe ' it shall not be construed as a guarantee that the system will funct n'�as designned.
�.
Date "� I f � Inspector (Ar
u - ------------------------------------- ---------- ---- ----
No. ao I I5 (o Fee Po
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
33isposar Opstem Construction Permit
Permission is hereby granted to Co ( ) 1;4Repair ) Upgrade( ) Abandon( )
System located at S c71✓�""
i
VA
and
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
Provided:Construction must be completed within three years of the date of this permit.
Date 5 ' �� Approved by 4-
Town of Barnstable
Regulatory Services
BARNSINUM t Richard V.Scah,Interim Director
z6�p Public Health Division
. ��
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-8624644 Fax: 508-790-6304
Installer&Designer Certification Form
Date: 5 I Sewage Permit# J 01a-- 1! Assessor's Map\Parcel ao�, 03�{
Designer: Fbe4 t-t. LD Ae. Re. Installer: 3C I
Address: 20 ►2asc,_lt,� R��1�;� Zd- Address:
Un•I 3
fti'1c.r5b s 001% PIA oZlo4� Cy,_o�M�� / �� ✓�l (J344�i�
On 5 1 b I I-L 3C I was issued a permit to install a
(date) (installer)
septic system at 5t1 13e_Ac_l (tat. Cer-,-",It based on a design drawn by
(address)
,A.Itil.w,lxn ('1SSOL-.Ir)c. dated l2ev'd '511 /17-
(designer)
—Z I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank. Strip out (if required) was inspected and the soils
were found satisfactory. i
I certify that the septic system referenced above was installed with major changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system) but in accordance with State &Local Regulations. Plan revision or
certified as-built by designer to follow. Strip out(if required)was inspected and the soils
were found satisfactory.
I certify a system referenced above was constructe ce with the terms
of t roval letters(if applicable) 01 1"oF&C sr
0 C C �r 00� .
0
y(In taller's Signature) 6c t
F
C�STERE� �P
+Besitmer's Signature) (Affix s tamp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
QASepticDesigner Certification Form Rev 8-14-13.doc
-08-2018 06:08 From: To:15087906304 Pa9e:1/1
' I
Town of Barnstable
Rr4 utatorY Services I
g
Richard V.Siati,interim Director
NAM ° Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Fax: 508-790-6304
OiTice: 508-862-4644 I
Installer&D"Wrner Certification Form
Date: 5 I� Sewage Permit# of - Assessor's Map\.Parcel off- 034
Designer: &berl A tD-rakc n� Ems— Wtaller: '6C 1
A.M. w,150-, AS�' � I,c Address: 'i'S
Address: 20 ,+ fZ_L L:; - `�-�
Un•1- 3 �Oa.(e 4�
f�lArsi,u, aLl c MA o L1-4 V
On was issued a permit to install a
(date) (installer)
septic system at 5q S�or F e'en ruau based on a design drawn by
(address)
�f A-D,,-
Assoc— c. dated 12@d'cl 5 I 2-
( esigner)
I certify that the septic system referenced above was.installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank. Strip out (if required) was inspected and the soils
were found satisfactory.
l certify that the septic system referenced above was installed with major changes (i.e.
greater than )0' lateral relocation of the SAS or any vertical relocation of any component
of the septic system) but in accordance with State&Local Regulations. Plan revision or
certified as-built by designer to follow. Strip out(if required)waa inspected and the soils
were found satisfactory.
I certify a system referenced above was construct ce with the terms '
�,tt M OR
oft (if roval letters applicable) ?r+
CIN
c L
In er'8 Signature) p
reaEo
,,n,
�a Signature) Affix s tamp Here)
PLEASE RETURN TO BARN TABLE PUBLIC HEALTH DIM ION. CERTIFICATE
OF C�OM_pL[ANCE WILL NOT BE ISSUED IL BOTH THIS FORM ADD AS-
BUILT CARD ARE RECEIVED BY THE BARN TABLE PUBLIC HEALTH DIVIS[O
THANK YOU.
Q-.\5gtic\Deslgaer Certification Furm Rev 8.14.13.doc
1
EXCERPT FROM THE BOARD OF HEALTH MEETING MINUTES 10/11/2011:
I. Variances — Septic (New):
A. Arlene Wilson, A.M. Wilson Associates representing Jay Bergeron and
JoAnne Crowley, owners —59 Short Beach Road, Centerville,
Map/Parcel 206-034, 6,534 square feet lot, two setback variances.
Arlene Wilson presented her plan for a tight tank to replace the current single
cesspool. The property abuts the Centerville River at one point. It is a four
bedroom built in 1940. The high ground water over a one month period is approx.
2.25 feet and the ground surface elevation is five feet. This means it is not .
possible to meet the Town's requirement of four feet of dry, permeable material
above ground water.
Arlene explained there is an added problem as the property is located in the DCPC
area which requires that all structures built on grade must comply with a 20 feet
front yard setback and a 15 feet side yard setback. A structure under this ruling
would include any retaining walls so a mounted system is not an alternative. No
variances are permitted.
A tight tank is proposed because it is underground and does not have to conform
to the front and side yard setbacks. The tight tank would be 78 feet from mean
high water which exists on a small sea wall.
Mr. McKean said he and the staff reviewed old plans on file to see if a Title V
system could be installed. It appears the ground water level has risen since the
previous plans and is now only about 2 feet above grade so a comparison with the
old plans is not possible.
The staff also had a question on the bedroom count. A previous plan approved in
2002 was for 3 bedrooms, not 4, and the floor plans submitted appear that the
second room identified as a bedroom on the first floor is too small.
Dr. Miller stated that this property is restricted to a 3 bedroom as it is in the Estuary
and the DCPC area and can not approve an increase in flow.
In the past, Brian Dudley, DEP, had turned down a tight tank on Short Beach;
however, that was prior to the DCPC and now a mounted system is not allowed in
the DCPC area.
The Board supports the tight tank plan and acknowledged that it must go to DEP
for approval.
Mr. Pinho, the father of James Pinho at 65 Short Beach spoke to the committee.
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
I M ^C&L
DATA
A.M.Wilson Associates Inc.
December 8, 2011
Barnstable Board of Health
Town Hall Annex
200 Main Street
Hyannis, MA 02601
Re: Bergeron/Crowley Tight Tank
59 Short Beach Road, Centerville
(Our File 2.1593.0)
Dear Dr. Miller;
To confirm for your file, our office received the original signed authorization for a
tight tank at 59 Short Beach Road, Centerville on November 30, 2011. Although
the authorization is dated 10/24/11, the envelope bears a postmark of 11/29/11.
I am aware that the authorization was not signed on 10/24/11 as my office
obtained an unsigned copy so that we could make the filing for State authorization
that day. We were informed at that time that it would not be signed until the
Board's next meeting.
The application was filed with your office on 9/27/11. The hearing was held and
the vote taken on 10/11/11. Consequently, the decision appears to have been
"issued" (mailed) on the 49th day after the close of the hearing and the 65th day
after the filing.
ii,,Q
Yours, SENDER: . >COMPLETEM. . . .N DELIVERY
■ Complete liemszl;2,and$ Also completes +'A#Sig to
item 4 IVRestricte-Delivery is desired r; I
A. M. WILSON ASSOCIATI ■ Print your,riame and address on tlle:reverse X I\gent
z u ❑Addressee
so that we can return the ca rdto you 13 R ived
■ Attaeh`thlss card to the back of the mallpl by(Printed Name) G Date of slivery
or on the;front If space permits 4:. 0116dl Ll
1 Article A�dtlnessed to �n D Is delivery address different from kern 1? ❑Yes
If YES,enter delivery address below No
Arlene M. ilson, PWS i — - ---- x 4
Principal Environmental P = Ott
Barnstable Board of Health 1
cc: Attorney James Qui
Town Hall Annex
�'�' i
Joanne Crowley I 200 Main Street I ;; linsured.Mall
iPe
Hyannis, MA 02601 """""Mall
Express Mall-
Return ReceiptforMerc
W
20 Rascally Rabbit Road -
' 7010 1870 0003 2591 3423
Unit 3 !' I
Marstons Mills,MA 02648 WIMP;
3811 ,February 2004 Domestic Retum:Receipt
G IP;1 i 1 1 7 I I i { ( ; i , 102595-02-M-1540
Message Page 1 of 2
Crocker, Sharon
From: McKean, Thomas 1 I
Sent: Tuesday, April 03, 2012 10:01 AM — -----
(Z A L l SGLSS )o N
To: Ford, Barbara '
Cc: Crocker, Sharon; wamdoc@verizon.net
Subject: RE:'59 SHORT_BE'ACH
I talked to Ms. Crowley yesterday afternoon on the telephone and provided her with some suggestions.
(a) It is possible that she could install an onsite sewage disposal system if she renews her variances
previously issued from the Barnstable Board of Health (which expired several years ago). We could
place this case onto the April 26th agenda if she is interested. It would involve the installation of a
raised septic system to maximize the separation distance above the groundwater table.
(b) Her other option is to pursue approval of the tight tank at MA DEP. The Barnstable Board of Health
already approved it back in October 2011. It is still valid locally. It is possible that it may be
an "administrative grant" by DEP because she said that she has not yet heard back from DEP as to
whether or not they approved it after several months. I told her that she should contact Arlene Wilson,
her designer, to see what the status is in this regard.
FYI - Ms. Crowley seemed more interested in pursing DEP approval of a tight tank. She seemed
disinterested in having a raised septic system in the backyard. She is also hoping public sewer will be
available in the area someday soon.
-----Original Message-----
From: Ford, Barbara
Sent: Monday, April 02, 2012 3:50 PM
To: McKean, Thomas
Subject: RE: 59 SHORT BEACH
Thanks very much; I'll let her know.
Barbara A. Ford, MPA
Acting Administrator
Barnstable Town Council
367 Main Street
Hyannis, MA 026ol
(P) 508-862-4738
(F) 5o8-862-4770
-----Original Message-----
From: McKean, Thomas
Sent: Monday, April 02, 2012 3:49 PM
To: Ford, Barbara
Subject: Re: 59 SHORT BEACH
You are correct. The applicant should come to the Board of Health meeting for an
informal discussion to seek direction in resolving this case.
4/11/2012
v M&ssage Page 2 of 2
From: Ford, Barbara
To: McKean, Thomas
Sent: Mon Apr 02 15:45:42 2012
Subject: 59 SHORT BEACH
Hi Tom,
Joanne Crowley called for President Chirigotis concerning installation of a tight tank on
her property on Short Beach,but want to check with you first.
She said the_BOH granted her a permit(or the permission) to install a tight tank, but that
Brian Dudley from the DEP said she should have a regular septic. She is looking for
guidance/help, but I would think this is something that if your department can't help
with, that the Council certainly wouldn't have any jurisdiction.
Please advise if you are familiar with this situation.
Thanks,
Barbara Fora MPA
A cling A dninistrator
Barnstable Tozen Council
367 Main Street
H1arnas,MA 02601
508-862-4738
508-862-4770
u
Town of Barustible
THE tpw. �g>t)ilatli�lt S�Ird1c��
Thomas:F Ge�le'r,I9►rector
�. aaivsTnau;�`. $91i�d1I1��idiSi(Dll
HAM
Thomas Perry,Bwlding Co#riuussioner
200 Main Street, Hyannis,MA 02601
O'ffice: 508-852-4038 Fax: 508-790-6230
March 15, 2012:
Vs. Arlene Wilson.
A M, W�Ison Associates I;nc.
20 f,Zjag,.a,lly Rabbit Road Unit 3
Marsft n, s Milt ' MA 0264$
Dear AfljaIne,
This letter is In regards to your inquiry about the Cen#erville DCPG area. The
question.posed was Whether or not a retaining wall for a mounded title 5 septIe.
system constituted a structure under this:overlaly The simphe answer to this is.
yes;and no What does this meany in tte definitions.for the Village District rr
the DCPG, structure is defined as "anything constrpg.ed or erected on the
ground or which:is attached to something located on the ground Structures
include buildings, sheds, swi"mining l
poos and towers, but sflall exclude fences of
si J.eet o less in he�gf t, flz Dies and retaining walls
9P
fn the LBSB Neighborhood Overlay District, the;definition for structure is,
`an hin or erected o.n the ground or which is attached tq
yt g constructed
something located on the ground :Structures irjclude bui(d�ngs, shreds, srvirnmi:ng
pool and towers but shall exclude fences`on six feEA or h height and
fCa'gpoles..;
As one can see,; the definitions are smilar but not the same:: In th.e Village
Distnct the definition of structure exempts retaining walls but in the LBSB:
Neighborhood retaining Wa{1's are n:ot exempted from the definition and therefore
Would,be consid'ere'd a structure acid would be sp. ,Ject to set back requirements:
If you require additional information; please do not hesitate to contact me.
+ Sincerely;
Thom4s Perry, CB`O
Building Commissioner
a
Doc z I r I9Us 265 04-30-2012 9 a 52
BARN TABLE LAND COURT REGISTRY
JGdIZ-cQ CF�Jcc�I�'y
We, Jay Bergeron and Joanne Crowley, are the owners of property
located at 59 Short Beach Road, Centerville, Barnstable County,
Massachusetts as described and recorded in the Barnstable County
Registry of Deeds as Certificate of Title No. 123134; Document No.
525, 984 .
We hereby place a voluntary restriction on said property that
the existing building on said property shall be used for residential
use with a limitation to three (3) bedrooms and that any future
dwelling on the site is also to be restricted so as to limit the daily
sewage flow to not more than 330 gal. per day.
Said restriction shall run with the land until such time as the
Barnstable Board of Health shall find it otherwise appropriate and
documentation to that effect shall be recorded in said Barnstable
County Registry of Deeds .
J6y B6kgeron
Joann V
Crowley
COMMONWEALTH OF MASSACHUSETTS
SS. April ,2 $ 2012
(County)
On this day of April, 2012 before me, the undersigned
notary public, personally appeared Jay Bergeron and Joanne Crowley,
as aforesaid, proved to me through satisfactory evidence of
identification which was personally known to me or by a Massachusetts
Driver' s License, to be the persons whose names are signed on the
preceding document, and acknowledged to me that they signed it
voluntarily for its stated pur o e.
W
"N oYtaqU WANTAIKRISNANDA
Puc -or ma„ad„� / Y PUBLIC
M �o.2o,e mmission Expires : NOUr�nI�S (J 2 Q
f
A.M.Wilson Associates Inc.
LETTER OF TRANSMITTAL
TO: /07;y �� ���c . e���� DATE:
e4-12 A s Sly_ 61 K4edAl-� FILE NO: 02. 1,5 9,3 - i
RE:
�erzr X/
We are sending you the following items(s):
Copies Date Description
s /z
")
COMMENTS: `
00
rl
Please do not hesitate to call us with any questions. If enclosures are not as noted,kindly notify us at once.
Signed
20 Rascally Rabbit Road
Unit 3 508 420-9792
Marstons Mills, MA 02648 FAX 508 420-9795
Commonwealth of Massachusetts
Executive Office of Energy&Environmental Affairs
Department of Environmental Protection
Southeast Regional Offices!20 Riverside Drive, Lakeville MA 02347.508-946-2700
DEVAL L:PATR CK RICHARD K SULLIVAN JR.
Governor secretary
IIMGI'HY P.IVURW KENNETH L,KIMMELL.
Ltoutenemt Governor Corn micsioner
COVER SHEET
TELEPHONE#(508)946-281,4
DATE:. May 16,201.2 FROM: Brian.A.Dudley
TO: Barnstable Health Division
FACSIMILE NUMBER: 508-763-5379
TOTAL NUMBER OF PAGES: 2 INCLUDING THIS COVER PAGE)
PLEASE CALL IF YOU DO NOT RECEIVE A COMPLETE I
RANSMISSION.
SUBJECT: TITLE 5 PRESUMPTIVE APPROVAL
The attached letter was sent to an applicant in your town seeking a
Title 5 Tight Tank approval from DEP. It is the Department's intention to
streamline its .review process and allow presumptive approval in this case.
If the project or plan changes in any significant way; please contact
the reviewer referenced in the attached letter immediately. 0therwisei
continue with local permitting in accordance with Title 5 and please
coordinate with,the deli ern as appropriate.
This information is available in alternate format.Call Michelle Waters-Ekanem.Diversity Director,at.617-292-5751.TDD#1-866,539.7622 or 1-617-574.6868
MassDE'P Website:mvw,mass,,gov/dep
Prinied on Recycled taper
Commonwealth of Massachusetts
Executive Office of Energy &Environrrmentdl Affairs,
Department of Environmental Protection
Southe9
st Regional Office•20 Riverside Drive, Lakeville MA 02347.508 946 27t10
RICHARD K.SULLIVAN JR,
DEVAL L PATRICK Stc{scary
Governor
K=�tJhETH L.KiN MEiL
T'1fAUFHY P MURIF Y GQ^tiris ipnar
Lieumnant Gtrternor
May 16,2012
Ms.Joanne Crowley Re: BARNSTABLE--Title 5 -Application for:
Mr. Jay Bergeron BRPWP64A Approval of Tight Tank
337 Great Plains Avenue 59 Short.Beach Road,Centerville
Needham,.Massachusetts 02492
Transmittal Number:,X240478
Dear Ms. Crowley and Mr: Bergeron:
This serves to acknowledge receipt of your application for the Title 5 Tight`Tank approval
referenced above. An official start date of 01/1.1/12,has been_established for this application. In
accordance with 310 CMR 4.1.0 and 310 CUR 15.260(1)the Department has 30 days from this date
to perform its review and either request additional information or issue a decision to grant or deny
the:application.
If the Department does not act on your application within these 30 days, your application shall be.
considered presumptively approved by the Department in accordance with 310 CMR 15.260(1).
li
Please note that this permit remains subject to the application fee,even in the event that your
application is presumptively approved. Any such approval does not alter your obligation to comply
with other applicable federal,state, and local statutes,.ordivances,bylaws and regulations before.
any work.may commence.
If you have any questions regarding your application.,please contact me at(508)946-2814.
Very truly your
T3A,
Brian A. Dudley
Bureau of Resource.Protection
This information is available in alternate format.Call Michelle Waters-Ekanem,Diversity Director,A 617•292-5751..TDD#1-866.538-7622 or i-617.574.6868
MassDEP Website:w%vw.mass.goviaep
P irited on Recycled Paper
cc: Mr.Thomas McKean,Director
Health Division
200 Main Street
Hyannis,MA 02601
Ms.Arlene Wilson
A.M.Wilson Associates,Inc.
20 Rascally Rabbit Road,Unit 3
Marston Mills,MA 02648
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p D PROJECT: FOR: REVISIONS:
northside building 11.23.2015
s CROWLEY / BERGERON RESIDENCE consultants, inc.
o1.os.2ols
o #59 SHORT BEACH ROAD"CENTERVILLE'MA
8 t3 141 Main Street 02.22.2016
,w TITLE: Yarmouthport,Massachusetts
�/■ ..PP900R PLANS 508-362-9802
// TOWN OF BARNSTABLE
LOCATION ��' �!0 2 i ��C-4 c �� .SEWAGE #
VILLAGL' ��wi L/2 ��1� ASSESSOR'S MAP & LOT_
INSTALLER'S NAME & PHONE NO./
/� �'s '��-' I-
SEPTIC TANK CAPACITY
LEACHING FACILITY:(typeW)C/o cv 1-PI-o t&,s._21- (size) d _
NO. OF BEDROOMS
PRIVATE WELL OR PUBLIC WATER/y,g
p BUILDER OR OWNER t/7-1-1A /
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes v No __ _
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1
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CIAO
No._ •F - ..� Fxs....*
THE COMMONWEALTH OF MASSACHUSETTS
EOAR®. OF HEALTH
Gam.N...........OF.- s'✓S�13� �...
Appliration for Miplaii al Workii Cn. mitrurtilatt 1hrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal
System at:
...... ....... ................
---• •..e........................................
ddyess T or Lot No.-• .._.. �....._.. -- . ......... .............
Owner Address
Installer Address
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 ( )
Otherfixtures -------------------------------------------•--------...---------------------........------------ .....................................................
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.
Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
a
Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................
rL, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
Ix --••---•-••------•--••-•-•••---•---••-•-•-•--•-•--••--------•--•....--•----•.......-•---------------.........................................................
0 Description of Soil........................................................................................................................................................................
x
U •-•-•••--•-•-•------••-••••-----•-••-••------••••-•.._....-•---•-•----•-----•-••-•......--•-••--------•-•-•••-------------•-•---•--•••-•----•••••••----------•-••••-•••••...._......---•••-----•------.
W
---------------------- ---------------------------------------------------------------------------- ----------------------------------------------------------------•---• ••--
V Nature of Re airy or Alteratic(ns—Answer when applicable-1__J)�,!�' ...........
f- y /o c v A ,c P ti s Zf
4.7
..........
•-------------------
•-------------------------------------------------------------------------------------------------
•---------------------------------------------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iITi 1, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has be issued by t e boar of lie
Sie •• --•- ...........................................................
D to
Application Approved BY •--•- �, '
Date
Application Disapproved for the following reasons:................................................................................................................
-•-------••------------------•------------•-••------•-------•----•-----•--------.....------•-----------•.•-•-••••--••-•-•----••-•-••-•-••-••---------•----------------••--------••-•-----•----••••-.....
CV Date
Permit No....(!--- '�✓�_� -------------•-••---•••- Issued-....... to -
? , rev
THE COMMONWEALTH OF MASSACHUSETTS
�. BOARD-OE HEALTH
Z pplirttfilan for Dispnsttl Works Tonstrnrnun rantit
Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal
System at: / -2 `
...................................................
7- // ocaoq%ddyess or Lot No.
-- ..............................._....�. .T............................. ....
W y O�er Address
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling No. of Bedrooms...........:...............................Expansion Attic ( ) Garbage Grinder ( )
`14 Other—T e of Building .__........_ o. of persons............................ Showers
1�•1 YP g ---------------- �---------- --.-- ( ) Cafeteria ( )
Pa 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.
Seepage Pit No..................... Diameter.................... Depth below inlet.........--......... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
44 _ Test Pit No. 2................minutes per inch Depth of Test Pit..............._.... Depth to ground water........................
19 ....................................................•....................e...................................................................................
0
Description of Soil........................................................................................................................................................................
Wx
.........:..•--••----•------•-••-••-------•...,_...----•--•---•--------•--•-••-••••-•--------•-•••--•--•-•-••-•----------------••-•-•.....--------••••---•----•-•-•••---•-•-•-----•---••--•-••------•----
UW --•-------------- -----------------•----------------------------------------------------..------------------------------------------ -----------•-------------------
Nature of Re airs or Alterations•—Answer when applicable_. ? ��v__�!................v.....G.._.�.�i9.'=4j3�....\
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has be issued by
te boa of he
--C� -- � •--•- --•-•_
Si /
Application Approved BY....... .. � ,y f� l• �
Date
Application Disapproved for the following reasons:-----••------•-•...............••---•---•---•----------•----------....------------------.........-•-•-•----•_...
-•---------------•-----------•----------.........----------.....---......--------.•..........--------....-••-•-•--•-•--•--------•---------••-----•-•--•••------•-------•---•---•-------•--•-•----.......
Date
Permit No....; �!'�1� ��'°--------------- Issued-...._._�,�t��,,l��
THE COMMONWEALTH OF MASSACHUSETTS
r BOARD OF HEALTH
'�yl ..................OF....... �. ....................
C�rr#ifirtt�le laf f�nnt�r�tttnre ._-_ �` �
THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( A1101 or Repaired ( )
/y
by.................... Y i�rA fjY` Instau ----------•----------------------•....•.
/�'
------
at.................... 15� .----. ------ ------------•---•--•---
has been installed in accordance with the provisions of "'!i. a5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No.......1P ff.- V dated_....�. .�Z
��.... �.'THE ISSUANCE OF THIS CERTIFICATE SHALL NR'ON`BE UED AS A GUARANT AT�WE
SYSTEM WILL FYNC ION SATISFACTORY. /�
DATE.......... . ./... .. ............. Inspector! .�%e •�-L2�.....�..
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEA TH
......... ... ................. ./�
No. ...... L�� FEE..J< —
Disposal Workv TDOnotrnrtion Nermit
Permission is hereby grantt
to Construct ( or Re air ( an Individual Sewa Disposal.,Sys
at No. �� .....
Street
as shown on the application for Disposal Works Consty� ermit No J� ed.._�L.�-.._ ..
Board of Health
DATE.................................................................................
FORM 1255 HOBBS & WARREN. INC.. PUBI ISHERS
Revisions:
24•a rRLF?N TVVt " TO GRADE GRADE 5.0' '9/
� � �' 1 TOP OF SILL-6.28 24 FRAME AND COVER PROPOSED FINISH C',p C
12866 GRD. EL 4.60, TEST BY: STEVE DOYLE
TEST PIT #i GW EL. N A WITNESSED BY: DAVID STANTON, R.S._ ��?'°°&�, e� "� 5/29/10: Added Plan Scale
BATE: 03 29 t0 MOTTLING EL....._.... CERTIFIED BY: . ... . .. :.. . • ...: •• ... ...•; R\�i
EFZ �` 8/10/10: CHANGED MERCURY S'11TCH
1• •I.YMI.YY•Wbwr 1•Wr.rwwrw.�.
ELEV. SURFACE SOIL SOIL SOIL s01L 24' otA. MANHOLE COVER ,W. m gEPC OC TO MECHANICAL SWITCH
4.60 DEPTH HORIZON TEXTURE COLOR MOTTLING OTHER _ -, _ -
_ 9/03/10: ADDED WATER SERVICE
O
0"--13" A sL 1oYR 3/2 NO - 2 42 •• G 9/26/11: ADDED NOTES AND SCALE
3.52 '
13"-•24" Bw L5 10YR S 8 No - �.r•,•-r.,..•�••-� ••. ••a•coNCRere euu�sr .•. .•
/ 4" PVC SCH. 40 2 25� MECHCANICAL FLOAT SWITCH SET AT 05/01/12: CHANGE TO 3 BDRMS
4.60 PRECAST CONCRETE TIGHT YANK ;,• eoTTOM�oN tEVE� sTA9• �+ Q,�• '��'•' 60X CAPACITY FOR AUDIO AND � pGVs
24"-120" C FINE SAND 2.5Y 6/4 No - REINFORCED WITH STEEL
VISUAL ALARMS, cNa. v�
-5.40 PLAN VIEW CROSS SECTION VIEW 3.30 G�
BOTTOM 3) INLET IS TO BE EQUIPPED WITH NEOPRENE BOOT OR
DATUM: NGVD WATER OBSERVED ® PERC RATE: NOTES
TOP pEAC HOLE 1) SEPTIC TIGHT TANK TO WITHSTAND H-20 LOADING SEALED.
ALL OTHER INLETS AND OUTLETS ARE TO BE t „ ACN Ro
NONE o NONE N A MIN NCH SEALED. -2. at a: . . e3 CONCRETE BALLAST d Q, G Btv
'� 2) ALL PIPE CONNECTIONS AND CONCRETE CON- 4) MIN. 6" BEDDING 3/'TO 1-1/2" STONE •:" ' """'• """ •"•'•"""""""""""""•:""""""" ... �QN
S UCTION TO BE WATERTIGHT AND WATER PROOFED. •.........••..........•. ................................. ..........I. .... ....
THE MID-SEAM TO BE SEALED EITHER AT FACTORY OR. -3.42'
TEST PIT #2 GRO. EL 4.60 TEST BY: STEVE DOYLE ONSITE TO INSURE WATERTIGHTNESS. FOUNDATION BOTTOM ON LEVEL STABLE BASELl
cw EL. N A WITNESSED BY: DAVID STANTON,R.S. PROPOSED 5.000 GALLON TIGHT TANK DETAIL
. DATE; 03 2A 10 MOTTLING EL CERTIFIED 8Y: c
ELEV. SURFACE solL solL SOIL solL NOT TO SCALE PROPOSED SYSTEM PROFILE--- -N.T.S � � SOUND
4,60 DEPTH HORIZON TEXTURE COLOR MOTTLING OTHER
NANTUCK T
A SL 10YR 3/2 NO •� / 1
3,52 �• \�\�
" \ , ,\, � f LOCUS MAP SURVEYING SUBCONTRACTED FOR:
t3 -24 Bw LS 1OYR 5/6 No `•� f NOT TO SCALE
2.60 `•\ `` 0� ;� ,� aJt 60e-540-2584
24"-120" C FINE SAND 10Y 6/4 No E , Assessors Map 206 Parcel �34
-5.40 i ; Flood Zone: A-13 El. 11 Step�f m J Doyle and A88oclates
BOTTOM
DATUM: NGVD WATER OBSERVED 0 TOP FERC How PER RATE: ,`
0 2e MIN./INCH 1� f LAND SURVEYORS
, \, � NOT S
HIGH GW OBSERVED AT 2.25 NGVD ON 4/26/10 IN GROUNDWATER OBSERVATION WELL. \\,`• �q f f FOR BENCH MARKS 42 Caaderbury lane, East FaIntoWk YA 02536
�. ► f 1. VERTICAL DATUM IS NGVD,
to SEE SITE PLAN.
DESIGN ANALYSIS \•` ••' ' • to
••• ' ' \ f 2. UNLESS OTHERWISE NOTED, ALL CONSTRUCTION
�� . .
• -. \\ 1 f
•.\• . • • ,• . ,. • : :.•. � ••. f f METHODS AND MATERIALS SHALL CONFORM TO
\• •' •, • •• ,,• ,; • , .•r f f TITLE V OF THE STATE ENVIRONMENTAL CODE AND Project Title
TOWN OF BARNSTABLE RULES AND REGULATIONS.
• , . -� I 3. GROUT TO BE USED AT ALL POINTS WHERE PIPES
110 GPD x 3 BEDROOM -- 330 GPD * '• •• ' " •' . ' • • ..~~` l ENTER OR LEAVE ALL CONCRETE STRUCTURES IN
_ ` •' ORDER TO PROVIDE A WATERTIGHT SEAL.
CIO
• •' ' • "• �` 4. ALL SHIPLAP JOINTS IN SEPTIC TIGHT TANK SHALL #45.7
'AS PER DEED RESTRICTION ' ', �' \ • . . . , � , ' � • r, _ . 'Z '• '••• �`�\
T.I(�HT�1 �K REQUIREMENTS: •• • r f`' •:'� • •` k�STlNG ' �.•' ' � .' � ••. \\`\ � HE SEALED WITH NEOPRENE GASKETS OR ASPHALT
• :• ' •, ;P!� �/�•M ' •• • .••;• . ...�•'•: •• , •:• .• \\ CEMENT TO PROVIDE A WATERTIGHT SEAL.
. �N : to to '. . .... : . . �' . ..•.. Short get?ch
(500 %) x 330 GPD = 1650 GPD • ..0 . '"-=-- '• "• ••••• .• .. .. T. •• ; .•
G''•' ' • 5. PRECAST CONCRETE SEPTIC TIGHT TANK TO
MINIMUM SIZE ALLOWABLE: 2,000 GALLON TANK ••. Road
. , �•�,,.�.� ,� WITHSTAND H-20 LOADING.
• 0,0g 4 • �'AI %•f'• ' '• • .• . •to • 6 ALL 4" PVC PIPES IN THE SYSTEM SHALL, BE
DESIGN USE: 5,000 GALLON TANK `' li • :
. • • .• . SCHEDULE 40.
• • �, ' 4 ' •;•.•' ,• ~i •. ••' ;•' .• 7. WASHED CRUSHED STONE SHALL FREE OF ALL
�, •' DIRT, DUST AND FINES.
X 0. 0 • • •.'. . . . . .
INVERT ELEVATIONS: S > �� Tp_ • ' . • • • 8, AT ALL POINTY; OF INTERSECTION OF WATER LINES •
LAWN (Celverm1w
• 5.•4 C� A � •4 [ O AND SEWER LINES, BOTH PIPES SHALL BE CON--
4 ' STRUCTED OF CLASS 150 PRESSURE PIPE AND ARE TO
5.30'� �-. CONTRACTOR TO BRING GRADE ; �i�ta
PROP. GROUND ELEV. AT BUILDING PROP. rJ,000 GALLON * eE PRESSURE TESTED TO ASSURE !4?ERTIGNTNFSS. �P" f `
3.30't H2O TIGHT TANK '� -� ° ,TO ELEV. 5.0 NGVD. wCA11 1, L LA�.4,
PROP. 4 INVERT AT BUILDING �' ( •. PIs/ -2 / 9. SEPTIC TIGHT TANK, DISTRIBUTION BOX, ETC. SHALL BE
MANUFACTURED BY ROTONDO OR AN EQUIVALENT
PROP. GROUND ELEV. AT TANK 5� d• �� LLl a 5`2 MANUFACTURER. ma
MAP 206 PROP. 4" PVC �' / p� • X
INVERT AT TIGHT TANK 2.2PARCEL 10 5 • LAWN 10.EXCAVATE ALL UNSUITABLE MATERIAL IN LEACHING
SEWER LATERAL a • AREA AND BACKFlLL WITH MATERIAL AS DESCRIBED
• n APPROX. LOCATION ON PLAN.
OBSERVED HGW 2'5. • ° p q P s W �'
PROP. BITUMINOUS D 0 4 �,�,. ' 0) OF WATER SERVICE 1t.HEAVYOPERATEEQUIPMENT
OVER THE LIMITS OF BE ALLOWED 05-
CONCRE IVEWAY �'�I/ '• POSlL SYSTEMS DURING THE COURSE OF CON- r Prepared For
5.000 GALLON TIGHT_ TANK:. X •' ° •• '1 12" CONIFER STR CnON OF THE SYSTEMS.
5,7' i r 12.NO FIELd MODIFICATIONS TO THE SEWAGE DISPOSAL
DISPLACEMENT: 17'x10'x5.67'x62.4 lbs/ft3: = 60,147 LBS. OF S.W. I �` V• Jay Bergeron &
� I i • . • ,,1 SYSTEM SHALL BE MADE WITHOUT PRIOR WRITTEN y 9
i 4 ,� X APPROVAL OF THE ENGINEER AND THE LOCAL
MANUFACTURED WEIGHT OF TANK; = 59,610 Ibs oo • 4/ $� 5.9' BOARD OF HEALTH.
I sT. cP X i1 ; c Joanne Crowley
TO BE PUMPED, 5. 3 �RAcE x
BALLAST REQUIRED: = 537 Ibs ` 'S ' 0 13.��SE SYSTEM SHALL BE INSPECTED AS REQUIRED BY
A ANDONED LA ,Y 'G• �J "! rJ' ,1 O 20 Rascally Rabbit Rood
CONCRETE BALLAST: (537 Ibs.)/(150 Ibs/ft3): = 3.6 ft3 -� '�. O. 14.A CERTIFICATE OF COMPLIANCE AS REQUIRED BY Maratons M1113, �,+A
AN FILLED IN t j 5.�' �� TITLE V AND AN AS-BUILT PLAN 02648
BALLAST INSIDE: (3.6 ft3)/(16'x9'): = 0.02 OR 1 O X ' , ,••, • •,;:•,,• : _':
,f CP OF THE SYSTEM MUST BE OBTAINED BY THE
„ LAWN CONTRACTOR UPON COMPLETION OF THE ABOVE WORK.
USE 3-INC
HES OF CONCRETE BALLAST - 3 X � LAN �'' ♦ • •• '.• ♦I S '
7' � LAWN 15fTH15 SYSTEM 15 NOT DESIGNED FOR A GARBAGE t•af�,�' • ' • • •. ��f .; �'+'� ,•;
. • •• • H
• '-. 3' = 5118 al. 5' � `s/L(, S/y �DISPOSAL UNIT.
ADJ. CAPACITY. 16 x9 x(5 .25)x7.48 gal/ft f gal. off'` E�, 6, R• ^•5 MAP 206 MALL UNDERGROUND UTILITIES SHOWN WERE COM- A. M' IN 8011 A880C�t88 �1C,
28 r. ° PARCEL 55 AND PILEDARE APPROXIMATE ACCORDING TO VO LY.LESEECCHAPT'ERORD N370, 608 420-9792 1 FAX 420-9795
TIGHT TAN � �' EkjS `�' �`�
ACTS OF 1963, MASSACHUSETTS GENERAL LAWS.
/ WE ASSUME NO RESPONSIBILITY FOR DAMAGES
1. TIGHT TANK SHALL BE REINFORCED PRECAST CONCRETE `� 13, INCURRED AS A RESULT OF UTILITIES OMMITTED OR
PROOF. INLET IS TO BE EQUIPPED
RTTGHT AND WATER O /� n
HATE LAWN ' X �`� V •- °� � INACCURATELY SHOWN. THE ENGINEERING DEPARTMENT
WITH NEOPRENE BOOT OR EQUAL. ALL OTHER INLETS AND OUTLETS T.0.W. �` 5. 1 LIAIC 5.6 SHALL BE CONTACTED PRIOR TO WORK FOR
EL. �5 eR/ 4,8 Q• X -. E •----REQUIEM
ADDITIONAL REQUIREMENTS AS WELL AS Drawing Title
ARE TO BE SEALED. THE MID-SEAM IS TO BE SEALED EITHER 4,33 �
AT THE FACTORY OR ONSITE TO INSURE WATERTIGHTNESS. 5 LAWN 9 pq ��( (� �� LOCAL BEGS.
DIG SAFE (PH. NUMBER 1-800-322-4844).
2. PROVIDE CAST' IRON FRAMES AND COVERS TO FINISH GRADE. '�•., 5 2 �.-•- �� r TIO 360-1 ALL COMPONENTS 100' FROM WETLANDS.
TO BE CONSTRUCTED TO PROHIBIT ANY �� (/ X TANK VARIENCE OF 22' 17.ABOVE TIGHT
SHALL BE REQUIRED TO GRADE AREA
INSTALLED COVERSABOVE 11GHT TANK TO ELEV. 5.0' NGVD AS SHOWN ON
SURFACE WATER ENTERING CONTAINMENT TANK. �- TIGHT SEWER VARIENCE OF 62'.
.��, `','.`, I� C `�� `��G/Q� q•.g� V Q �� TIGHT TANK AS PER 310CMR 15.260 AND ARE APPROXIMATE ONLY.
FOR AN `• ILI O�C 5` ���\ � Sy r �� try 18.TANK TO 8E CONSTRUCTED ON STABLE, COMPACTED
3. MECHANICAL FLOAT SWITCH SET AT 60% CAPACITY
AUDIO AND VISUAL ALARMS TO ACTIVATE WHEN LIQUID LEVELS � •., Imo, �TF �� 4. 7 \\`-v�5 --�, � �, BASE.
REACHES 60% FULL. `'�. FN D Spq W ,�'F��C\ �'�� � Tigh t Tank
4. FACTORY OPERATOR SHALL MAINTAIN RECORDS IN ACCORDANCE '`•. /lk/ 31 4.7' X \ � X �
WITH 310 CMR 18.09.
5. FACILITY OWNER OR OPERATOR SHALL SUBMIT A CERTIFICATE •��`�� '�. �q 4.9 WIN X o�A 0 .
OF COMPLIANCE FORM DEP 01 TO DEP WITHIN 60 DAYS `�., X ' PLAN
OF TANK INSTALLATION. `''•'-•...,,,,„,�,� 5, 5. 5 ,2 ^� a
001.
6. HOLDING TANK SHALL BE PUMPED BY A LICENSED SEPTAGE MEAN ,.,.,,�,�� � 3 �� � C�• •� No 4"42 �
HAULER WITH CONTENTS DISPOSED OF AT AN APPROVED HIGH 0, 00
RECEIVING FACILITY. FACILITY OPERATOR TO PROVIDE HAULER WITH �---. `'`'••.,
A SPILL CONTROL AND RESPONSE PLAN (TO BE APPROVED BY �/q r '• .,�,�,,,, LAWN X
LOCAL APPROVING AUTHORITY). tit( c0N My ER '�'�, 5.2' I LI 117 Scale:1"=10'
7. ANY ALTERATIONS TO THIS PLAN MUST BE APPROVED BY DESIGN \ cR�TF �ON `''�• `SpgR
ENGINEER AND HEALTH DEPARTMENT PRIOR TO EXECUTION OF CHANGE. rs� � S C \ T/ 0 10 20 25 FEET
8. CONTRACTOR SHALL BE REQUIRED TO SUBMIT DEWATERING PLAN FY . W� •,•�•� � � Date: May 10, 2010 DrawingNo.
• TO ENGINEER AND TOWN CONSERVATION COMMISSION FOR APPROVAL. �3 C� •� Design 8 . R.D.
NO WORK IS TO COMMENCE PRIOR TO RECEIVING APPROVAL OF �7 �•
DEWATERING PLAN FROM THE TOWN. 2� 7 �,
• Check By: A.M.W.
Drawn BY: R.O.
9. ALL ELECTRICAL COMPONENTS AND WIRING ARE RESPONSIBILITY OF ) ♦ Job. No.: 2.1593.10
THE CONTRACTOR.
Last Rev: MAY 01, 2012 of 1