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HomeMy WebLinkAbout0240 FAWCETT LANE - Health 240 FAWCETT LANE, HYANNIS A=270-131 I 131 go COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON MA 02108 (617)292-6500 TRUDY CO? Sto'eta ARGEO PAUL CELLUCCI Govemcr DAVID B. STRT:j SUBSURFACE SEWAGE DISPOSAL SYSTEM nspECTION FORM Cotm—ws:or, L" F,?w I lL L/l/ PART A CERTIFlCAThON J Property Address: a crvtn(f /1T� Oa Pm/ Norm of ownsrja- < 2ue5 Aort i7 Date of Oo a of owner: 3�� _ P.sFs 4/�Gv9✓/�f �'I�, Od co/ Nam.of��'- ��� / p•cte•:iPtsasai I am a IDF oved system ins to Section 15.340 of Title 6 3 �+► f 10 CMR 16.0001 corttp.rty Name: L— h.L 0 Ma&V Address: o Telephone fll=ar: L S c�) A6 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the informaticn 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 es ago disposal systems. The system: _ Passes Conditionally Passes Nee ds Further vslustion By th cal Approving Authority ,.� ail inspector's Signature: Date:The System Inspector a copy of this inspection report to the Approving Authority (Board of Health or DEPlwnhin 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 ofeEnvironmsrttal Protection. The original should be sent to-" system owner and copies sent to the buyer, If applicable, and the approving authority. NOTES AND COMMENTS nR t7r t� pOOWOyFF revised 9/2./98 Page Ior11 17 Printed on Receded Pepe, f SUBSURFACE SEWAGE DISPOSAL SYSTEM MPE=ON KMM PART A C6ATMAT10f11 foonllrtrredl A C2c f0 ��w�e'f �► ���a,���1 / � O,z 601 Data of Inspecton:� cc INSPECTION SUMMARY: Chock A. 6. C, of A l PASSES: I have not found any Information which Indicates that any of the failure corAldons described in 910 CMR 15.303 exist. Any fatlws orherle not evaluated are Indicated below. COMMIT4TS: e. SYSTEM CONDITIONALLY PASSES: One or more system components as described In the"Conditional Pass"station need to be roolocod or repaired. The evotern,noon complstiom of the replacement w repair.as approved by the Board of Health,will pass. indicate yes, no, or not determined(Y.N, or NOI. Describe basis of determination In all Instances. If "not determined",explain why not. The septie tank Is metal, unless the owner or operator has provided the system Inepeetor with a copy of a Certificate of Compliance itmoohed) Indicating that the tank was Installed within twenty(201 vows prior to the date of the hapsotion;or the septic wink, whether or not metal,Is cracked,structurally unsound,shows substantial InStratlon or exfittration, or tank failure is imminent. The system will pass Inspection If the existing septle tank is replaced with a complying teptle tank to approved by the Board of Health. Sewage backup or breakout ar high sistle water level observed In the distribution box Is due to broken or obstructed ptpa(al or due to a broken, settled or uneven distribution box. The system wi'a pees inspaetten If(with approval of the Board of Heahh). broken pipes)en replaced obstruction is removed distribution box Is levelled or replaced The system required putriping inota then fourlmos,ti year-**to brcliel or etirmatid plpe(st. Thep+ysriinj wNtlstN Inspection If Iwfth opprovtt!of the Board of Health); broken pipt(sl are replaced obstruction is removed =e'::aed 9/2 98 page 2or11 f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: Owner: L) Date of Inspection: 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 W ACCORDANCE WR}I 310 CMR 15.303(1)(b)THAT THE SYSTE IS NOT FUNCTIONING IN A MANNER WHICK.WILL.PRO ECT THE PUBLIC HEALTH AND SAFETY AND THE ENWBONMEN.T: Cesspool or privy is within 50 feet of surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 21 SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF ANY)DETERMINES THAT THE SYSTEM I. 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 of 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 tl 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 (approximation not valid). 3) OTHER revised 9/2/98 Page 3of11 f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION fcontir►ued) Property Address: �J0/'v7 Owner: /,, Date of Inspection: 3 /a_co D. SYSTEM FAILS: ( Yo ust indicate either "Yes" or "No" to each of the following: y or I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes Nq� _ fVVf Backup of sewage into iecih"r-system component•doetto en overloaded ort4*gged SASor cesspool. v Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. V Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. VA Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow. _ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. l/ Any portion of a 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. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic-compounds, ammonia nitrogen and nitrate nitrogen. E. LARGE SYSTEM FAILS: You must indicate either "Yes" or "No" to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No the system is within 400 feet of a surface drinking water supply the system is-wvit4in 200 feet of a Hi(suta►y to a eurEaoo drir►kwrg wate►suPply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone 11 of a public water supply well) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office of the Department for further inforciation. revised 9, 2/98 Page 4ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B / / CHECKLIST ONO l=awce�L/V, Property Address: f Owner: T ��'� Date of Inspection:3-4-00 Check if the following have been done:You must indicate either "Yes" or "No" as to each of the following: Yqe; No Pumping information was provided by the owner,occupant, or Board of Health. (f _ None of the system composenis.haw men puarpad,for-atJsast two awaahs an&the system hasbsaoaceiaiagwsmW.flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. _ As built plans have been obtained and examined. Note if they are not available with NIA. The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow. The site was inspected for signs of breakout. v _ All system components, excluding the Soil Absorption System, have been located on the site. lt/ _ The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System on the site has been determined based on: Existing information. For example, Plan at B.O.H. Determined in the field(if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) 115.302(3)(b)) V _ The facility owner (and occupants,if different from-owned,ware-prmrided.with inWrmat*otLon.tha-pzzkpwmaintanamQaof Subsurface Disposal Systems. revised 9/2/98 Page 5of11 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C a�Q FQ(i✓fG� G�! SYSTEM INFORMATION GJ f / Property Address: �L d 4Q Owner: 7-/10et � Date of inspection: /C-00 FLOW CONDITIONS RESIDENTIAL:Design flow:Wg.p.d./bedr om. Number of bedrooms(design): Number of bedrooms(actual): Total DESIGN flow7�_ Number of current residents:0 Garbage grinder(yes or no):-Z/—V Laundry(separate system) (yes or no)l�C: If yes, separateinspectiomrequired _ Laundry system inspected (y!4 or no) Seasonal use(yes or no): /VG -L Water meter readings,if available (last two year's usage(gpd): Sump Pump(yes or no):-JtC:) Last date of occupancy: 16-oc COM M ERCIA UINDUSTRIA L: Type of establishment: Design flow: qpd ( Based on 15.203) Basis of design flow Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings,if available: - Last date of occupancy: OTHER:(Describe! Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: ,� e { /ree / System pumped as part of inspection: (yes or no) O C /` , C/p If yes, volume pumped: gallons Reason for pumping: TYPE YSTEM 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. Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other 9- APPROXIMATE AGE of all components, date insta8ed4if known)-and source e�fvwformation: ---* ®� '-9_2- Sewage odors detected when arriving at the site: (yes or no)lr " revised 9/2�98 Page 6of11 f i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C �O Cew � JEM INFORMATION(continued) Property Address: / 11 o A Owner: Al oirl G7 Date of Inspection: V BUILDING SEINER: (locate on site plan) Depth below grade:! Material of construction:_cast iron 40.PVC_other(explain) Distance fro nvate water supply well or suction line Diameter Comments: (bondition of joints, venting, avidTe of taak."e, tc.) SEPTIC TANK:_ llocate on site plan) / Depth below grade:—? Material of construction:(((—concrete_metal_Fiberglass _Polyethylene_otherlexplain) If tank is metal, list age_ 1s.age conformed by Certificate of Compliance_(Yes/No) Dimensions: /Q a L Sludge depth: Distance from top of/sluoge to bottom of outlet tee orbaffle:*.*" -. U / Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottof out t tee or baffle:: How dimensions were determined: p( w QI/t Cl- Comments: Irecommendation for pumping, condition o inlet and outlet tees or-baffles depth of li u� level in relation to outlet inv�tstryctur"tegrity, evidence of leakage, etc.) Gf�� %��� C;O� I r4 k/ t/!O/'✓t 6z-' 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 9/2/98 Page 7of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address. �f v FGl,'eif�/ "/ 00fIIf o� - / Owner: �— /�l o Y, � Date of Inspec*m: 3 4 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 present Alarm level: Alarm in working order:Yes_ No_ Date of previous pumping: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX:_ (locate on site plan) Depth of liquid level above outlet invert: (��✓� Comments: (note if level and "stribution is a)ual,eve ce ov of sol' carry , eviAence of leaks into or t of box, etc.) PUMP CHAMBER:_ (locate on site plan) Pumps in working order:(Yes or No) Alarms in workino order(Yes or No) Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) revised 9/2/98 Page 8of11 ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Add INFORMATION Prop" PART C D ��wee It L�1 SYSTEM 441j 41 G • od-4o/ erty ress: Owner: Date of Inspection:* " 4- � SOIL ABSORPTION SYSTEM(SAS):_ (locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods) If not located, explain: Type: leaching pits, number:_ /) X�oO leaching chambers,number._ leaching galleries,number:_ leaching trenches,number,length: leaching fields,number, dimensions: overflow cesspool,number:_ Alternative system: Name of Technology: Comments: (note condition of soil, signs of hydraulic f ilure, v "I of ponding, damp soil,c nditioyof vegetation, etc.) - 19 O N l r OG^ Gi Lt Gr - l)r eG CESSPOOLS:_ (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) 0 Comments: (note condition of soil, signs of hydraulic failure,level of pending,condition ef.vegetation, etc.) PRIVY:_ (locate on site plan) Materjals of construction: Dimensions: Depth of solids: Comments: (note condition of soil,signs of hydraulic failure,level of ponding, condition of vegetation:etc.) revised 9/2/98 Page 9or11 SUBSURFACE SEWAGE DISPOSAL SYSTEM WSPECTION FORM PART C a`t"U / GIBE SYSTEM INFORMATION(continued) Property Address: I` rT G��Yl t1�S /l�G pa 6 / Owner: Date of Inspection: to o SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) 14G 41 � Ole- LfLt revised 9/2/98 Page 10of11 ` SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:d�f0 rAlCeW LIv �ti�lis /17a O�� Owned Da /�/JO Date of � NRCS Report name Soil Type_ Typical depth to groundwater USGS Date website visited Observation Wells checked Groundwater depth: Shallow Moderate Deep SITE EXAM Slope Surface water Check Cellar Shallow wells Estimated Depth to Groundwater Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observed Site(Abutting property, observation hole, basement sump etc.) Determined from local conditions Checked with local Board of health Checked FEMA Maps Checked pumping records Checked local excavators, installers —L4/sed USGS Data Describe how you established the High Groundwater Elevation. (Must be completed) A17 4OV-7 14-�oVe, tic h irtow n 4j, ivd v� �1 Jp l ' �30 revised 9/2/98 Page 11of11 TOWN OF BARNSTABLE ✓— LOCATION -D ►" 1 U'Cf' ' `tom SEWAGE # VILLAGE l`J�r ' ASSESSOR'S MAP & LOT ;L7d�- 1.3i INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS__ ` BUILDER OR OWNER • 3 A ` 1- )Vf;•-' PERMITDATE: 10 `��0— `� 7 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility.. GnccJLe.—cd Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) c t' Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) /lo ve Feet Furnished by C' y r � ..A V rr No.0 9��•0l— Fee — THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: � Yes / PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppiication for Migogai *p5tem Construction 3permit Application for a Permit to Construct(vIl Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. R Z-114 /I' . Owner's Name,Address and Tel.No. • F Assessor's Map/Parcel �,® 11 .33 s--C ✓+e<.f Installer's Name,Address,and Tel.Nof Designer's Name,Address and Tel.No. A--GQ.ve-s Mer;,4 ` 7 75--Org d- a- o Type of Building: Dwelling No.of Bedrooms _ Lot Size • 3 2- sq.ft. Garbage Grinder( ) Other Type of Building A,,9-A1C_A o. of Persons_ VNK Showers(?J Cafeteria( ) Other Fixtures % /CA 2 p4154 7-G1% Design Flow 9 gallons per day. Calculated daily flow gallons. Plan Date%_i F to 7 Number of sheets �� Revision Date Title Size of Septic Tank Zzm AA Ty,,perzof S.A.S. Description of Soil 40d"4!Y / -✓/9"/U0�- ' L�i9i2c �l��� Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to a the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions de 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued this Board of Hea h. Signed Date �© Application Approved by V6 Date /o Application Disapproved for the fo owing reasons ermit No. Date Issued ' OF BARNSTABLE ✓� TOWN LOCATION `f �q✓fF'1Y �t� SEWAGE# VIIIAGE ASSESSOR'S MAP&LOT-!IQ 70 n INSTALLER'S NAME&PHONE NO. TANK CAPACITY I S SPIPMC ( I:EACHII�IG FACII.'ITY:.(type) size) 1q'0:'0F BEDROOMS' i "DER OR OWNER � A � ftRMITDATE [) Q10 ,�'7 COMPLIANCE DATE' l _'14, -] NL „,gyp>tt I Sear Lion Distance Between the: -N;p;n Feet_ , luiaxriium Adjusted Groundwater Table and Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist ���r U e t Feet , on'ste or within 200 feet of leaching facility) Ed e`of Wedand and Leaching Facility(If any wetlands exist Al :v�' Feet within 30o feet of leaching facility) Ft�reushed by �: �. ' Y 4: ; No.4 Fee loo t U�B b THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: LIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Y� 01pplhation fOx:Diopogahbpgtem Construction Permit Application for a Permit to Construct(&01 Repair( )Upgrade( )Abandon( ) ❑Comp to System ❑Individual Components r. Location Address or Lot No. ay/o AG p ��. Owner's Name,Address and Tel.No. Assessor's Map/Parcel /1 3 e ✓�.s D Installer's Name,Address,and Tel.No. Designer's Name,Address.and Tel.No. C it ul S Mo ;A - 7 7s'-8'� a` e'1�I��� c c o ;tl Type of Building: S�ieas- Dwelling No.of Bedrooms Lot Size - 3 2- sq.ft. Garbage Grinder( ) Other Type of Building Igo.of Persons UNK Showers(2.,1 Cafeteria( ) Other Fixtures%��/ 2 D.�Ttd l✓ IC�TGf6 10 Design Flow� � gallons per day. Calculated daily flow 3 3:O gallons. Plan Date.�Ti,R� I Number of sheets Revision Date Title Size of Septic Tank ZZW A Type of S.A.S. Description of Soil 4 -' 405t!Yl�i _J, 9mX , a — Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to a the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions tle 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued this Board of Hea h. Signed Date 9 Application Approved by $ Date !o- o• 77 Application Disapproved for the fo owing easons Permit No. 7 - Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certif cog,of (Compliance THIS IS TO CEjqFY, that the Orii a Sewage Disposal System Constructed( ✓)Repaired( )Upgraded Abandoned( )by ` at ` -4- has been constru ed in accordance with the pro ions of Title 5 and the for Dis sal System onstruction Permit No. 9 dated .j• 9 . Installer Designer The issuaniWof thfs permit shall not be construed as a guarantee that the system will function as designed. Date �.. � Inspector f / --------------------------------- No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mi5p0a[ *pgtem Congtruction Permit Permission is hereby granted to Construct Rep ' ( )U grade( )Abandon( ) System located at 4a%2 �Gu/C and as described in the above Application for Disposal System Construction Permit.The applicant recognizes 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: /0 Approved by n .—YI) TMETo� TOWN OF BARNSTABLE e�Q ♦� OFFICE OF 31esa9TABL BOARD OF HEALTH MA6A p� 1639. `00 367 MAIN STREET �0 MAY k. HYANNIS, MASS.02601 September 16, 1997 Jacques N. Morin 300 Bearses Way Hyannis, MA 02601 RE: 68 Pitcher's Way&Fawcett Lane, Hyannis Dear Mr. Morin: You are granted a variance from the Board of Health"330" Regulation in order to construct an onsite sewage disposal system at 68 Pitchers Way and Fawcett Lane, Hyannis. The variance is granted with the following conditions: ' (1) The septic system must be installed in strict accordance the submitted plans. (2) The dwelling shall be connected to town water. (3) No more than three bedrooms are authorized. Dens, study rooms, finished basements, sleeping lofts, and similar type rooms are considered bedrooms according to DER This variance is granted because the proposed home of three bedrooms is consistent with the other existing homes in the neighborhood. It is the opinion of the Board that the installation of one additional septic system which complies with Title 5, the State Environmental Code, in this area should not significantly alter the quality of the groundwater. whip r Also, the Board is of the opinion that, although the proposed septic system does not strictly meet the nitrogen loading requirements in 310 CMR 15.214, the applicant has achieved maximum feasible compliance because the use of an alternative-type system with nitrogen removal would exceed ten percent of the estimated real estate value. In addition this site is in an"area of concern" as defined in the Town of Barnstable Wastewater facilities plan and other alternatives are being explored for wastewater disposal in this area in the future. Therefore, the Board of Health is of the opinion that you have achieved maximum feasible compliance. Sincerely yours, Ralph A. Murphy, M.D. Acting Chairman Board of Health Town of Barnstable RAM/bcs whip TOWN OF BARNSTABLE ypF THE raw OFFICE OF s �AHI9TSBL i BOARD OF HEALTH YM6 �o i639• � ' 367 MAIN STREET HYANNIS, MASS.02601 July 25, 1997 Jacques N. Morin 300 Bearses Way Hyannis, MA 02601 RE: 68 Pitcher's Way&Fawcett Lane, Hyannis Dear Mr. Morin: You are granted a variance from the Board of Health "330" Regulation in order to construct an onsite sewage disposal system at 68 Pitchers Way and Fawcett Lane, Hyannis. The variance is granted with the following conditions: (1) The septic system must be installed in strict accordance the submitted plans. (2) The dwelling shall be connected to town water. (3) No more than three bedrooms are authorized. Dens, study rooms, finished basements, sleeping lofts, and similar type rooms are considered bedrooms according to DER This variance is granted because the proposed home of three bedrooms is consistent with the other existing homes in the neighborhood. It is the opinion of the Board that the installation of one additional septic system which complies with Title 5, the State Environmental Code, in this area should not significantly alter the quality of the groundwater. whip Also, the Board is of the opinion that, although the proposed septic system does not strictly meet the nitrogen loading requirements in 310 CMR 15.214, the applicant has achieved maximum feasible compliance because the use of an alternative-type system with nitrogen removal would exceed ten percent of the estimated real estate value. In addition this site is in an "area of concern' as defined in the Town of Barnstable Wastewater facilities plan and other alternatives are being explored for wastewater disposal in this area in the future. Therefore, the Board of Health is of the opinion that you have achieved maximum feasible compliance. Sincerely yours, Susan G. Rask, R.S. Chairman Board of Health Town of Barnstable SGR/bcs whip . Jul -22-97 11 : 31A Jacques N_ Morin 1-508-771-2116 P_01 JAN-24-2997 09:59 ATTY DOBIN F.►-Q RICHARD S. DuBIN ATTORNEY AT LAW 4A DAY99RJRY SQUARE 57 BQACN ROAD.UNIT2w )N6 AOU7!2e POST eFaGG pox iiad C&ITERVILLQ,NA 0207 V+NC7►RQ XAVlN,Ka 02505 M")771-07l0 (m)03-4751 FAA:(500)77609ft PAX;pee)4612776 January 24, 1997 Building Inspector Town of Barnstable South Street Hyannis, MA 02601 Re: Current Omer: Cynthia Simmons Property Address: Lot 68, Fawcett Lane Hyannis, MA 02601 Map 270 Parcel 131 Dear Sir: This office represents the sellers of the above described premises_ Please be advised that this property has not been held in common ownership with any adjacent property since at least ,November 23, 1965. Accordingly, it is the opinion of this office that the premises qualify as buildable under the Town of Barnstable Zoning By-Laws. Please contact me if you have any questions with regard to this matter. Very truly yours, �S Richard S. Dubin, Esquire RSD:ges TOTPL P,02 i Z�3 �- RECEIVC-® NO. , 0' JUN 6 jg DATE 6 � STA8 9 7 t AS& HEALTK 02PT. FEE 4el/r% 7r 039. GRI�s �r� �c��of Barnstable REC. BY '17 Board of Health 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Susan G.Rask,R.S. FAX: 508-775-3344 Brian R.Grady,R.S. Ralph A.Murphy,M.D. VARIANCE REQUEST FORM All variance requests must be submitted at least fifteen f151 dW prior to the scheduled Board of Health meeting. NAME OF APPLICANT /2�0R/N TEL.NO. 776--?8 k� ADDRESS OF APPLICANT �300 �c .e sT G��I, � yu; /ylff NAME OF OWNER OF PROPERTY �'Ara�tC SUBDIVISION NAME (/�/4 DATE APPROVED ///I/& ASSESSOR'S MAP AND PARCEL NUMBER /V,, a 70 A9;'-C6L 131 LOCATION OF REQUEST �t //�1Lcc ,��ir/E SIZE OF LOT . 3-2 /J2,�5-SQYT WETLANDS WITHIN 200 FT.YES NO VARIANCE FROM REGULATION (List Regulation) 3.3.0 REASON FOR VARIANCE (May attach if more space is needed) r PLAN - FOUR COPIES OF PLAN MUST BE SUBMITTED CLEARLY OUTLINING VARIANCE REQUEST. VARIANCE APPROVED Susan G. Rask, R.S., Chairman NOT APPROVED Brian R. Grady, R.S. REASON FOR DISAPPROVAL Ralph A. Murphy, M.D. '�r� aY. •�Bt L9to . .63 w.. 82 n ASK °� 1 1 S ••yZ • Zug O i ,1�19 J340 •?oqC ° V ° aC- 21, 'a � ^ yqe ,s 9a � • g � °ar•A V tee 'O r-l!•',+., yl o.:..• �, Sjw a ` y .11.�c •91 AL •21 ac 94C cd r3et L�b� o° \.,� 129 128 1.7e ert 2 ,gd4C_S B Y v LGt .jj e � - �+ - Zz O ® DDaNw ry ql ° ^y .33— • ;7 zr zqe 0 189 c j4 0 303 144 re, 97 "'.24•c a1oC LANE 304- . goe 'or•rB^ '�v�---_ 305 'l 1p ec. El Y ©• •C O BO 2 eL � II 1-ra Z,bP+ - .26oL ® ne .29gC. Li f/s z3A, /30 rr 9,F^, .• 9.?5AC-3 ®. ` eoA .294C, roe. p 397 .z f III a1 .234C. Ila e'e no . . for L tf.. Q o ,31 et- u �e .?34C, W, 4> 3 t4 og !0 I 0 309 •a1 AC .2349 8 196 O 8 - 32"'- 'a•' '� RO? 108 O CG G e o LBI Q 'O o e34c ; a O .3rAC.I34 8 o .ZZ« I^ a, V .234C, 8 a 311 P R 40 /9-113S 1 zy� o o �o .33AC. U �`•\ 9 1 06 ku o A 13 2 31L N bA n - 25^`• /Y8 0 •3Q.AC. e r O 2/0 10 (N� lb k ►OS o U Q a 2l4C. 8 1q y�5 y ye I a . ZA 9' .25 or•. 5� /97 ?// .31AC-S 27A4 . 3tS .26Ac .e%4, 104 8 b G Z"A y ..SS.. 9 .kfr' � �../ D I WT Wo.usm' -3 1:G n 0 •{94c W Q « torf N,M 37 J1,02 Nor Z Y aaAc` uAC•! YI19EV. SY AV/S ( �i' 'o too ORIGINAL ISSUE \� 1' 280 271 292 Ei SCALE .100 . 2'° riY M.uc�' 1 ��.E49•Z'Z 911, ., ae a eeo •oorav � - 249 270 291 • — 248 269 290 ,.I ¢ _.- �1 ,II.II: ail�Y ._ _'--= I`lt� -,.► � — _ - �; � •'.�iu"_'I��: ��1�',::i�uuul,�l /��■ � _ vim'• - ^T�s. j�•ii•</i4/,ru,ltll`� Lr ���`s t �,I ii1,=11Plllll V.W/M �% %t:t'iti:_ a.,._•<•, ./ ,.r,'//�6wJ1111' Hill n �• =: :iii; lllflll 1 it/',•,i,;,ltp, p� �, - _ -i-L:-. p,,, ;I,IIII t Roma-- �s t•i �UII Y��r `;`��^'ls ` •I ■ 1 • `� • • � � •• BEDROOM .S •• BEDROOM BEDROOM -'fir • � � f0 No................_....... A F s. , D D,.. .... oTHE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH m AUG 2 5 1997 TOWN OF BARNSTABLE TowN� ,� HEALTH DEFT Appliration for Bi-nipooul Mork,s Tonitrnrtion it 4 Application is hereby made for a Permit to C:ortstruct (k) or Repair ( ) an Individu age i System at: Location-Address or Lot No. W Owner ddress .._ _e_. D//� .._.... 3 � ' /�/����JJ// �/�j.�'f�.11.!„S--mt4e.dLbd/ Installer nddFess (/ UType of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms.-_3------------------------------ ....Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building W oaab� r_rt!Ae_ No. of persons---Li-t-0-►(------------- Showers (a) — Cafeteria ( ) d Other fixtures ------------------------------------------------------------------ W Design Flow............ ...................gallons per person per day. Total daily flow------------- ....� ?.........._......gallons. WSeptic Tank—Liquid capa6ty.154R.gallons Length-----,10.------ Width___,. ------- Diameter---------------- Depth-----___-___--- x Disposal Trench—No. .................... Width----- ?......... Total Length...... a__--_-_ Total leaching area-.-__. 2..saZsq. ft. Seepage Pit No---------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( P( Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date...................•------ ell Test Pit No. I _ ..__.minutes per inch Depth of Test Pit.--/YY-----._._ Depth to ground water.... t4'----.--.. (s. Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ Pr D Descripti n of ...........a.= e -- c 2...... •- UW ..----•------- -------------------------------------------------- -•----------- ........... ---------- -•--------- ........ -------------- ............................................................. Nature of Repairs or Alterations-Answer when applicable..........................................................................•---.------_--.---__-. ..---------•---------••••-------------------------------•--•----------..........--•--•-----------•--------------- Agreement: The undersigned agrees to install the of re cribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Envir m tal Code—The undersigned further agrees not to place the system in operation until a Certificate of Complia een issue. by the board of health. / Signed �....... ............ ....���.1..9 7-------=------ Dace Application.Approved By .................................................. -------------------------------------------------------------------------------------- --------------- Dace Application Disapproved for the following reasons- ------------------ ---------------------------------------------------------------------------------------------------------------- -------------------------- ---- ----------------------------------------------'-..............----- ----.................----------- -------- ---------------------............------------ Date PermitNo. ..... ---------------------------------------------- Issued ------: ... 7----------------------------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C�er#tictt#E. u Cnom}�Ii�xncE THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed () ) or Repaired ( ) by.. C JW�,S ..._ --------- --------------------------------------------------------------------------__-----------------------------=' .-.....-------------------------------------- at ....3.G"T?.._.....Qta.{SAS-.-.w.Q ..... n.I 5..�-7N�----.�a-b o!--- has been installed in accordance with t e provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ._-7-./.................._............... dated .....--J- 4.M7_ -- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE.CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............--------------------------------------------------------------.._...---------- Inspector ----------------------------- ----------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE /oo, No......................... FEE................... ..... Bispoott1 Works Tonotrurtion amit Permissionis hereby granted-----------------------------------------------------------•-------------------...---------------------•----••---•-•...---•---••-••-••-.•---- to Construct (X) or Repair ( ) an Individual Sewage Disposal System atNo............................................................................................................................................................................................... Street .� as shown on the application for Disposal Works Construction Permit No.....7.1_......... Dated--.- ..........................................................--............................................. Board of Health DATE................................................................................ FORM 36508 HOBBS&WARREN.INC..PUBLISHERS i l: THE COMMONWEALTH OF MASSACHUSETTS 1 BOA,RD OF HEALTH TOWN OF BARNSTABLE Apphratioit for Divi-Viiiitt1 Workii Tomitrnrtion ramit Y' Application is hereby made for a Permit to Construct (k) or Repair ( } an Individual Sewage Disposal System ate�-'' 1/ .1-4 ,\1 • �1u rl,ILl eP[l..Clr h ................................................. ............----------------------== X :. Location-Address or Lot No, W j� Owner ✓ Address ° Installer Address d d Type of Building Size Lot............................S�q #-eet Dwelling— No. of Bedrooms---r_______________________________--_-Expansion Attic ( ) Garbage Grindeir( ) Other—Type of Building l.;"c_zc _r�rx ,. No. of persons----+�_,_�* _M------------- Showers O — Cafeteria ( ) aI Other.,fixtures . W Design Flow............. `1-___. ' 'a gallons per person per day_ Total daily flow-------------31..•-'—��___________,_____-gallons. WSeptic Tank—Liquid capa6ty__/ P-gallons Length_-- �__ . Width._-_7_-_--. Diameter---------------- Depth................ x Disposal Trench—No.- _________________ Width_._.al-------- Total Length'_____/69_._____ Total leaching area_---___--V.! '_f�tsq. ft. Seepage Pit No._._-__.__._ k----- Diameter-------------------- Depth below inlet....._.............. Total leaching area---------_........sq.•ft. Z Other Distribution box ( j Dosing tank ( ) aPercolation Test Results Performed by---------------------------------------------........................... Date----_------------•-------- ---------- Test Pit No. 1 ..2.._._minutes per inch Depth of Test Pit---/`_y----_-__ Depth to ground water_---N ........... �Zq_ Test Pit No. 2................minutes per inch Depth of Test Pit----------•--------- Depth to ground water-----_.................. a ------------------------`------------- .............................................................•+� D Description of Soil-- Q�' rn.t "! ------------�------ �a � _ r � x .� '�'YJ—C S .�- - U W UNature of Repairs or Alterations—Answer when applicable.___________________________________________..................._................................ Agreement; The.undersigned agrees to install the of;e inscribed Individual Sewage Disposal System'in accordance with the provisions of TITLE 5 of the State Env' tal Code —The undersigned further agrees not to place the system in operation until a Certificate of Complia,c s-been issue by the board of health. gSI ned -- -- -- - ------ --- 7----------------------------- Date r Application.Approved By --------------------------------- ------ ---------------------------------------------------------------------------------------- Date Application Disapproved for the following rearonr: ------...__--------4. .......................................................................................... .....................................................................•--....--............------_------------------ .............-....__------.-----....._-- Date Permit No. ---------..: .. `=:``7,i' Issued ------- '.- -? Date '. 4. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH /+ TOWN OF BARNSTABLE Tertiftcttte of C�omplinure THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( g( ) or Repaired ( ) bypt`f 5-- A - -------------------------- ----- --- ----------. - ------------- ---- -- -----------�-,-.- -'F------------------------- at 5. � /--+ Installer e -E. . - S ----c-----�vl----------------------------------------- - --------------------------------------------- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ---r ll__. ....-__....... ._. dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE---------_----------------------------------------------`----- -` ' .--- ------ Inspector -------------r I---------- ------------------------------------------------------- .. __,_—_ —T._,—_ _ — ___: __ —_..___,r_3_��,_,�____�. ____:____ THE' COMMONWEALTH OF MASSACHUSETTS r ,;f ,, BOARD OF HEALTH TOWN OF BARNSTABLE �/v0 aU No..:..................•-• FEE................, ` �i� n��1 �rk� �unotr�rtion rrntit Permission is hereby granted------.- ---••------ ---------------------••------------------------------------------ ...................................................... to Construct (X) or Repair'(' ) an Individual Sewage Disposal System i atNo.......................................... -----------------------------------------..._._.......__ ... _V� � � Street y .. as shown on the application for Disposal Works Construction Permit No.---_7.1_......... Dated....�_Gh:_..... :%%.7_____.... Board of Health DATE........................................................... ------............ FORM 36508 HOBBS Q WARREN,INC.,PUBLISHERS - r UUNUM I JU11 EL + EXISTING GROUND SURFACE EL 4, 'EXISTING GRDIJND SURFACE EL • 6 MIN STANDARD NOTES 4- OUTLET PIP E LEVEL11 Nil- VENT RE QUIRED ITIP EL KN 2' LAYER DOIJAX VASIED FIRST TWO FEET i va- V21 $1131C 1) THIS,PLAN IS FOR THE INSTALLATION OR REPAI'R OF A SEPTIC SYSTEM, AND IS NOT INTENDED FOR SURVEYING OR 70NING LIQUID LEvfl PURPOSES, D_Bnx tl 1120 2) ALL INSTALLATION PROCEDURES C3 TOWN ID MATERIA,�q SHALL CONFORM 10 310 CMR 15,000, THE STATE ENVIRONMENTAL CODE, w M r-3 C:3 ED M M C3 M 'JEFFECTIVE DEWALL TITLE 5, AND THE SUBSURFACE DISPOSAL REGULATIONS. 14' INVERT EL 4- 3) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE ❑OF AVAILA13LE PROPERTY INFORMATION WITH RECORDED DEEDS Im OR ZONING REGULATMNS, Gns 3affLe at Outlet INVERT EL OPERTY, 4) TOWN WATER SERVICES THIS PR� INVERT El- Flo wdiffusors 1 112, DOUBLE 5) THERE ARE NO KNOWN PRIVATE WELLS ON THIS PROPERTY OR WITHIN 100' OF THE PROPOSED SOIL ABSORPTION SYSTEM. INVERT EL L 4' x 8' 6) ALL COVERS -OF SYSTEWCOMPON ER OF THE WASHED STONE - ENTS S14ALL B�' BROUGHT TO WITHIN 12' OF FINISHED GRADF_ WITH ONE COV Oypfoal) SEPTIC TANK' BROUGHT WITHIN 6' OF. GRADE, DIVERT EL INVERT EL 7) ALL,SYSTEM COMPONENTS SHALL REMAIN ACCESSIBLE FOR INSPECTION. NO STRUCTURES SHALL BE LOCATED DIRECTLY 61 STONE BASE e SICIes IROTTU14 EL ncls/3 BOTTOM EL UPON OR ABOVE THE COMPONENT ACCESS LOCATIONS, WHICH WOULD INTERFERE WITH THE PERFORMANCE, ACCESS, INSPECTION PUMPING OR REPAIR, 1500 Cal Sepije Ank EL 8) NO DRIVEWAY, PARKING OR TURNING AREA, OR DITHER IMPERVIOUS AREA SHALL BE LOCATED ABOVE A SOIL ABSORPTIONCitl SYSTEM, EXCEPT WHEN VENTING HAS BEEN.PROVIDED. • 9) SEPTIC TANKS, GREASE TRAPS, DOSING CHAMBERS AND DISTRIBUTION BOXES SH.ALL BE PLACED ON A 6' STONE BASE + F (10, MIN) TO ENSURE STABILITY AND PREVENT SETTLING,i� 10) OUTLET DISTRIBUTION LINES SHALL REMAIN LEVEL FOR A MINIMUM OF THE FIRST TWO FEET OF THEIR LENGTH. 11) ALL SYSTEM COMPONENTS SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10' OF DRIVEWAYS OR PARKING OR TURNING AREAS,�IN WHICH CASE H-20 COMPONENTS SHALL BE USED. 12) ALL BUILDING SEWER LINES SHALL HAVE AN IN:NER,DIAMETER OF 4' AND S.HALL BE CAST-IRON OR SCHEDULE 40 PVC, CIS/3 sides en THE DEPTH OF THE TOP OF ALL SYSTEM COMPONENTS SHALL NOT EXCEED 361 UNLESS VENTING HAS BEEN PROVIDED, 14) IN THE AREAS OF EXCAVATION; EXISTING GRADES S14ALL BE REESTABLISHED UNLESS NOTED AS PROPOSED CONTOURS, i3) IF SOILS ARE ENCOUNTERED DURING THE EXCAVATION OF THE SOIL AB BLY FROM SORPTION SYSTEM, THAT DIFFER NOTA THE DEEP OBSERVATION HOLE LOG, CONTACT THE ENGINEER BEFORE PROCEEDING. 16) CONTRACTOR TO VERIFY LOCATION OF ALL UNDERGROUND UTILITIES. ON_:.HOLE. LOG DEEP OBS L"VA TI Test Hole Test Hole (EL = /00.1 (EL D H= Soil SDI LWfl DM orHods ft.r rUSIDT (Munseli) qq.3f 3 S I GN D A T A D F -yo s�r4eld, Arc Top of Conc. Bnd TEM 100.00 + NUMBER OF BE o A 4y BR 0 q76— V1 /(9,09) GARBAGE GRINDER NO q.11 IA-f-&eJ -e 4A 100.0) Sa, DESIGN FLOW __.K0__GPDbb 10 (110 GAL/BR/DAY x NUMBER OF BR) 6,01- 06 lilq 4,14- C_'SA + C-L /W-(-sanA f1A I - — 3 SEPTIC TANK (joai) (MINIMUM DESIGN FLOW x 200%) LEACHING. AREA 00.0) 24.00' / 39 , SIDEWALL (100.3) (2 SIDEWALLS x _�-j�_FT x 3e ---a__SF _FT) + Deep Ohs Hole Date: June 26. 1997 Deep Obs Hole Date- it" W. 1997 Soil Dvaluntor RICHARD LXARNWD Soil Evaluator RICHARD LEARNED Prop- D—Box (2 ENDWALLS x _0_3�kFT x FT) Witneased By LI ZRY intnessed Dr. JEERRY DEnWW Nrc Rate: 4r_ r &&R, ' "I; 51 pere Rate: VZ BOTTOM SF Soil Survey Description: 0A r\ (10 __FT --a-Q-FT) Soil Survey Descriptio= 71, Geologic Material OUFWASH Geologic MaterialOUTK - 7 8� Mfl Ile 0.74 Depth to Standing 'Water. No Water 9,wountered Depth t, Stadtg Vate, LONG TERM ACCEPTANCE RATE (LTAR) GPD/SF Depth to Weeping Water NA Depth to Weeping Water, 14� 0. 32 A 0-res (99-6) ti Depth to Mottling(Color): NA Eat Seasonal H10 GW- NA Depth to Mottlindrolor), NA LEACHING AREA DESIGN CAPACITY _GPD Ent Seasonal Nigh GIF USGS Observation Iffielk NA t5GS Observation iffelL IV Prop. 3 Bed (100. C.. ...*-. - , (srDEWALL AREA + BOTTOM AREA) x LTAR "A Date of last Measurement NA Date of Last Measurement Prop. 40.00' TOF = 101.5 .10- Comments: Comments: "A Water Ab Inv out - 0 Line TH#2 (992) 0 O 9705) (95-9) (96.9) ..... (98.7) Prop -zo A. 0 1,500 Gal Septle Tank (98-2) (100.1) !x (99.le) PROJECT LOCATION (99-9) 34.001, 1-70 ASSESSORS MAP LOT 98. (999) (99-2) APP • LICANT- J Aj Baybeirr Building Company, (96-5) 300, Bea tees Wax' Ha n n is, AfA In V (98.0 . ,�Y` PRETARED' .RY ;,4&:P173 A & M land Seridoes Cape-Tecb 'En vw. wronmental 33 Old Main Street 0. Box 154i South I ye, A , 02664 Bre wster .AfA rmouth, M 02631 —2121 Fa x 394-9642 (508)1398 (508) 896-4999 W, V Sly ne LE- ?0' DA TZ JU 30, 1997 V% OF REV, V LOCUS� AfAP 3u ZO T 69 FA �EPT LANE D W. No. T1065 SHEET H va nnis, MA OF, 1 6"