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HomeMy WebLinkAbout0053 GLEN ROAD - Health ..53 GLEN ROAD 0 A TOWN OFBARNSTABLE LOCATION C-rkC!\ RU SEWAGE# Lk 0 VILLAGE ASSESSOR'S MAP&PARCEL �{� INSTALLERME&PHONE NO. SLOB \ V i l l SOY D-11;1ti 00ycl SEPTIC TANK CAPACITY Vk \6 VAC;`)rt<- k,�U Gs`,L VA 2U 1D e 0 X' LEACHING FACILITY. (type) Qkr_\C7 (size) JS )C r I NO. OF BEDROOMS OWNER NG. PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on A site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within g 300 feet of leaching facility) ` !� Feet FURNISHED BY `�R� IJ 67' C LV No.�� " Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF 13ARNSTABLE, MASSACHUSETTS Yes ftpliLation for Bispo8al i�pstem Construction Permit Application for a Permit to Construct( ) Repair('Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. �G.,k �fr� Owner's Name,AMress,and Tel.No. Assessor's Map/Parcel _ �� t (111n C: Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. �;0 Co J Type of udding: U d Dwelling No.of Bedrooms „2 Lot Size j sq.ft. Garbage Grinder(NP Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures `,Design Flow(min.required) 22 2,10 gpd Design flow provided `))(,. ( gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Lam(;,(`••ti.G QC C"\ Description of Soil Nature of Repairs or Alterations(Answer when applicable) ( 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 Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board f Health. * Date Application Approved by Date [�— Application Disapproved by Date for the following reasons Permit No. Date Issued _ I i No. Fee w THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: V j s Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftpfication for Disposal Opstem Construction J)ermit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components I L,0 > Location Address or Lot No. afir `�t Owners Name,Ad ress,and Tel.No.ay L Assessor's Map/Parcel ' r� , i Installer's Name,Address,and Tel.No. t ` Designer's Name,Address,and Tel.No. ' � Z�1 OG v�V o b•r.�,.ovy�r �S�' C��v X��+�tN. Type of Building: 0 Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) . Other Fixtures Design Flow(min.required) v2,10 gpd Design flow provided ; ( gpd Plan Date �,f ��0 L Number of sheets Z Revision Date Title Size of Septic Tank Q G aN_, �A 1 L) Type of S.A.S. k-eX,( N^1,.r, Cc C,\ X IS Description of Soil Nature of Repairs or Alterations Answer when applicable) �' ..� v !` P ( l �. 't 1h�,e �[ 4, �' lSS• XC�x a (— t�.L. L 4tc.LL �t c k 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 Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. C- "-" S*gned �.-` `.'=a°' Date j l-Zr )t j Application Approved by //X� Date A__" Lt— I-? - Application Disapproved by V Date for the following reasons 1 Permit No. I Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Comptiance r �TRfY,rt a heOTHIS IS h tt , n-site Sewage Disposal system Constructed( ) Repaired(i/) Upgraded( ) Abandoned b (�'Ey • f (�'t'` {� at S ,yam` 4h �' q3q '.,�.r\•N%� L t has been constructed in accordanceIf f J with the provisions of Titlet5 and the for Disposal System Construction Permit No. o 0-l45 dated �+ I L/ / Installer 5 c7 1M t `t' "' Designer Zc_.)i J t". A'I n," r n r\tn d" #bedrooms Approved design flow_jaa�q.)� gpd The issuance of this permit shall not bee1co�n-ssttr-u�ed as a guarantee that the system will function ) as esrgned. f Date /�/ ( ( Inspector -----------------------------— -------------- ---------------------- No. C;20( r `� Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Bisposal *pstM Construction permit Permission is hereby granted to Construct( ) Repair(✓✓t) Upgrade( .) Abandon( ) System located at 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:Cons ction m st be co leted within three years of the date of this permit..l Date 1 L�-- Approved by u Town,-.of.Barnstable OWE Regul'at0 - -Sr evices; Richard V wScah,IiEe>un'Dii ectitr BARN 9TADl E •' _... . . btAS3 Public'tealtli Division Thbrnas,McKeani Direct6 200 1\tain Stree.,Hya mis,.114 U2)01 i xUfficei, SU3 $62=t:G44 t i`►c 503 790,6304' Insialler&-Designer Certification,Form 1 ;Dare:; 11/29i2016 Sewage Permit# 2017/403 Assessor's,' ap\i?arcel 288/23 l _ pesigner; David D. Coughanowr RS Installer: ;rid ess: 155 George Ryder Rd South Address;; Chatham, MA 02633 11/14/2017 scott Frank was' ssueda permit,fo:install<a (date:) J _ ( (installer)• c ptc systemat; 53 Glen Road 'lascd'nn a`dcsign'cIrawn !iy i 1p (address) t avid D.Coughanowr, RS i dated 6/20/17 _ ,,(designer)' X ,I certify thatthe:`septic�system'referenced above was installeii substantially according,;to. the des�gil "W rich may-include minor approved changescspeli as,latetal relocafiMi oCthc` distrivution box antl: 1 Selitic; tank. Strip out (if reniiu ed) was it speeted :and the soi s ;were,fotaft satisfactory: Polyethylene Tank substituted for concrete -see as built card. [�ccrtify_'that the septic, systmA.—ref6mnced abovc°vas ihstallcd 4Nvith Major`ichangcsJ(i c ;gicater�than 1.0' lateral relocation:<of the.SAS bnany.vettical'reloeation of;any component iof thc`scptic system) but in.accordance.with�Statc &'LoCal Regulations flan icvisioniof certified as-built by des gncr to follow:. Strip out (if mq'Uircd) was inspcir--d and,tl c soils ;were,foiuid',sati sfactory� I I certify tl at,the-'systdii .ref6renced above .was:constrtictcd;in,coinpliance wnh the teni s •of tl e'NA'approval letters;(if applicable) - iiQiN.,st�! ,a S DAVID 1 J, ov DAVID, (Installer's S'ignature 1 COUGHANONB COUGHAtJ640 r n _ (Designer's Signature) _ �ner's Sta N1004W. 'PT EASE RETURN 'I'O BARN S'I'ABLE.:PUB LIC HEALTH DIVISION. CERTIFICATE OF= COMPLIANCE WILL it 01'BE °.ISSUED,UNTIL, BOTH.'1 IIS :FORM ANU AS= IBUfLT.CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC FrEALTH'DIVISION THANK=YOU. ' QASCp is\Dcsiglekertification fonn Rev$-14-13;doc ep , '. RECEIPT Printed: October 12, 2017 ® 15:11• "8 BARNSTABLE COUNTY REGISTRY OF DEEDS JOHN F. MEADE, REGISTER Trans#: 260577 Oper:MONIOUE JOHN ------------------------------------- Bock: 30825 Page: 1 Inst#: 52181 Ctl#: 1265 Rec:10-12-2017 ® 3:10:24p BARN 53 GLEN RD DOC DESCRIPTION TRANS AMT --- ----------- --------- 1 BARNSTABLE TOWN OF RESTRICTION County Fee $ 10.00 10.00 Surcharge CPA $20.00 20.00 State Fee $40.00 40.00 Surcharge Tech $5.00 5.00 Total fees: 75.00 *** Total charges: 75.00 CHECK PM 3672 75.00 Bk 30825 PSI 452181 r 10-1?—`017 a 03 e 10 g® DEED'RESTRICTION. This restriction is entered into on July 1 - , 2017 by Natalie Marie Taylor, of 23 Burt Street, Acushnet, MA 02743 WHEREAS,Natalie Marie Taylor is the owner of the premises located at 53 Glen Road, Hyannis,by virtue of a deed to Richard M. Taylor and Natalie Marie Taylor as joint tenants dated April 15, 1991 recorded with Barnstable County Registry of Deeds at Book 7517, Page 235 and being shown as Lot 14 on a plan entitled"Glen Haven Village, Hyannisport, Mass." dated March 1949 by Fred A. Joyce, Surveyor,which plan is duly recorded with Barnstable Deeds in Plan Book 86, Page 127 ("the Property"); and WHEREAS,the death certificate of Richard M. Taylor is duly recorded with said Deeds at Book 30293,Page 278; NOW THEREFORE: In accordance with and pursuant to the requirements of the Barnstable Board of Health respecting the installation of a new sewage disposal system, the property located at 53 Glen Road, Map/Block/Lot: 288/023, shall be subject to the restriction that it shall not include more than two (2) bedrooms. This restriction shall be released or modified only by an instrument executed by the Barnstable Board of Health-and Natalie Marie Taylor, her successors or assigns. The consideration for this restriction is the approval of the sewage disposal system for the Property by the Barnstable Board of Health. Witness my hand and seal this '���' 0-day of July, 2017 Natalie M. Taylor r( { COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss On this day of July, 2017,before me,the undersigned notary public,personally appeared Natalie M. Taylor,proved to me through satisfactory evidence of identification, which was/were or [ ] , to be the person whose name is signed on the preceding or attached document, and acknowledged to me that she signed it voluntarily for its stated purpose. Notary Public: My Commission Expires: Naay.P�wc, i j BARNSTABLE REGISTRY OF DEEDS John F. Meade, Register SEPTIC u�IF® AT GARB' R I v EC®_TECH-US OT f GISW AA "U 0 ELEVATION ° 16.37 � l4 \7�P OF FOUNDP��C� � PROPOSED SOIL �1ol ABSORPTION I o SYSTEM -SEE DETAIL 15 ON BACK 2 16 It MINIMAL Q/JQ�a 5 � � B O / GRADING G ofZ i. // p Q PROPOSED ��, ®� �� �\ �� 36 in MAPLE Ci O '/v Q G' �- 14 ♦ \ { / ,�w v LEGEND n o-r G \O� SEPTIC COMPONENTS ' -00 \ AREA = 8798 sf+- INSTALL ''r PLAN BOOK 86 PAGE "� SEPTIC TANK j WATER ASSR MAP 288 PCL 23 16 FO\ATE PUMP COLLAPSE 15% �� O & FILL OR THIS IS A REMOVE EXISTING COLOR CESSPOOLS OoF� PLAN INSTALL H-20 D-BOX oO F 2\ USE COLOR PLAN ONLY TEST PIT Q ' FOR INSTALLATION FULL DETAIL IS BEST CLEAN OUT PLAN � � VIEWED IN TO GRADE �\ FULL COLOR SCALE: 1 in = 20 ft VARIANCE REQUESTED T 2 i 0 410 MAY BE GRANTED IMMEDIATELY BY HEALTH AGENT OR HEALTH INSPECTOR. 310 CMR 15.2110) — SOIL ABSORPTION III 0 l0 20 A DEED RESTRICTION SYSTEM TO CELLAR WALL. 20 ft MIN LIMITING THE DWELLING'S REQUIRED — VARIANCE TO AN, 11 ft TO PRINT ON 8-1/2 x 14 in BEDROOM CAPACITY TWO SHALL BE RECORDED AT SEPARATION REQUESTED. PAPER FOR PROPER SCALE THE BARNSTABLE COUNTY THIS PLAN IS INTENDED SOLELY FOR INSTALLATION OF THE SEPTIC SYSTEM f REGISTRY OF DEEDS. DEPICTED ON IT. FOR ANY OTHER CHANGES TO THE PROPERTY INCLUDINGI --- PLACEMENT OF ADDITIONS. SHEDS. FENCES OR SWIMMING POOLS. OWNER SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. ra TOP OF FOUNDATION RAISE COVERS TO WITHIN ALL PIPE TO 4 in BE SCH. 40 PVC EL = 16.37 +- ZX in OF FINAL GRADE AND TO PITCH AT 1/8 in/ft MIN' 16.0 15.59 in USE H-20 MIN *PIPE USED IN LEACHING FIELD TO INSTALL BE 4 in SCHEDULE 40 PERFORATED i PVC AND TO PITCH AT 0.005 ft/ft 14.90 1500Oo GALLON a .. . p�a Q ..$O A.vOpCo O 8".M 0 0. Ob116- EMS77NO WILL"BOTH � `�oq o � «�o e SEPTIC TANK 14.40 14.16e�o:������A o���ooa o�� I SEWER uNES 6 in � —� .n- REFER TO DETAIL BOX LEACHNG RFELD STONE 14.65 14.33 BASE 14.11 -REFER TO DETAIL BOX 25 ft 6 /n STONE BASE - O 3-7 ft 13.50 ADJUSTED SEASONAL 8.50 HIGH GROUNDWATER SMITH STREET SEWAGE DISPOSAL ��Mgssgn� OFss9� �� �o ti SYSTEM PLAN DAVID D. G� o DADVID yG -TO SERVE EXISTING DWELLING COUGHANOWR COUGHANOWR c-9 O R No. 1093 No. 461 � - N A TT ALY L IE R I E �? �� p •• �� � P 90 `� NOT cl� °i PR OWNER(SI OF RECORD �� %° �I 53 GLEN ROAD ` TO 155 Geo Ryder Rd S ' PROPERTY ADDRESS HYANNIS. MA SCALE I Chothom, MA 02633 �DATE )UNE 20, 2017 REVISED NOVEMBER 5, 2017 Davidcou@HotmoiLcom L O C U S M A P 1508 364-0894 j P_, 1_— JOB,' ETE-4172 1, SODLL, TEST LOG PDATE: MAY RC# 535323 2017 DESIGN CALCULATIO � DC��OC�3a �ad�Mda40�a� , SOIL EVALUATOR: DAVID D. COUGHANOWR. ASE #461 DESIGN FLOW: 2 BEDROOMS X 110 GPD = 220 GPD WITNESSED BY: DONALD DESMARAIS, HEALTH DEPT. GROUNDWATER ENCOUNTERED AT 93 In SEPTIC TANK: 220 GPD X 2 DAYS = 440 GALLONS TEST PIT 1 2 MIN/INCH IN C SOILS INSTALL 1500 GALLON SEPTIC TANK AS DEPICTED.. ELEVATION DEPTH SOIL USDA SOIL . SOIL COLOR SOIL OTHER ' INCHES HORIZON TEXTURE (MUNSELL) MOTTLES DISTRIBUTION BOX: INSTALL UNIT DEPICTED BELOW. 14.25 0-60 FILL 60-68 A SANDY LOAM 10 YR 2/2 NONE FRIABLE SOIL ABSORBTION SYSTEM: III. 7.25 68-84 B LOAMY SAND 10 YR 5/6 NONE FRIABLE THE LONG TERM ACCEPTANCE RATE FOR A CLASS ONE 6.50 SOIL WITH A PERCOLATION RATE BELOW 5 MINUTES 84-132 C MEDIUM SAND 10 YR 6/3 NONE LOOSE P-EVINCH = 0.74 GALLONS PER DAY PER SQUARE FOOT. 3.25 THE 21 ft x 15 ft LEACHING FIELD WITH CUT GROUNDWATER ENCOUNTERED AT 108 In AN LEACH: TEST PIT 2 CORNER DEPICTED BELOW C PERC AT 45 In - 2 MIN/INCH IN C SOILS ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER _ BOTTOM AREA = (21x15)-I/2(3x6.25) 305.6 s . ft. INCHES HORIZON TEXTURE (MUNSELL) MOTTLES q 15.45 - -I FILL i SIDEWALL AREA -0 0 so. ft. 6.45 120-120 C MEDIUM SAND 10 YR 5/4 NONE LOOSE TOTAL AREA = 305.6 sq. ft. 9 5.45 FLOW CAPACITY = 0.74 x 305.6 = 226.1 gal/day INSTALL THE LEACHING FIELD AS CONFIGURED BELOW. FLOW CAPACITY = 226.1 gal/day WHICH EXCEEDS THE 220 gal/dog REQUIRED FOR A TWO BEDROOM DESIGN. 1500 GALLON SEPTIC TANK DIMENSIONS USE SHOREY ► DISTRI : UTION = OX LEVEL AND DETAIL .•DIMENSIONS .• DOWN I in NOT TAPER _ _ TO 12h,- -� SCALE c _ MIN ,0 fl _ © Lr) FROM a —� 5 N TANK TO ft a ® 0 8 in O KO. ^ SAS �O � . -__ " G'"t �• z�CT0�7r,bCCA VOb�r R' \� 6 in STONE BASE 21 '; 2� CROSS SECTION VIEW Ip ft-6 INLET OUTLET COVER COVER �������� STONE TO BE DOUBLE WASHED & FREE OF IRONS. FINES & DUST. G 3 IN DROP �- ��ELD DIMENSIONS PLACE END CAPS ON LINES /l FLOW LINE AND DETAIL WITHOUT VENT. FROM - INSPECTION PORT WITHIN 3 In F FINAL GRADE. O L G BUILDING! 10 in 14 TO 14.75 ft ,,, ° - x D 80 48 in 6.25 ft SAS Z. LIQUID 3 f T I LEVEL , BAFFLE I �r W All b In STONE BASE SEPARATION BETWEEN INLET & OUTLET TEES NO LESS THAN LIQUID DEPTH w N CROSS SECTION VIEW `� I A 21 ft DISCHARGE HOLES NOT SMALLER THAN 3/8 in. NOT GREATER THAN 5/8 in. I • l. -INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE GROUNDWATERSTARTING WORK. ADJUSTMENT N -ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM OBSERVED GW 6.50 (TP_1) O REQUIREMENTS OF MASSACHUSETTS TITLE 5 SEPTIC 1 INDEX WELL M1W-29 CODE (310 CMR 5). -INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND ZONE B T UTILITIES .BEFORE EXCAVATING FOR SYSTEM. READING DATE MAY, 2017 E -ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION READING 7.70 L OF LOW FLOW FIXTURES & APPLIANCES. AND PERIODIC ADJUSTMENT 2.0 PUMPING OF THE SEPTIC TANK. I S -SYSTEM 15 NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. ADJUSTED GW, .8.50 DO NOT PARK OR DRIVE VEHICLES OVER SEPTIC 'SYSTEM. . SEWAGE DISPOSAL SYSTEM PLAN 53 GLEN ROAD HYANNIS MA DUNE 20, 2017 ETE-4172 ' PG 2/21 f Town of Barnstable P# S.3 5- De artinent of � P Regulatory Services � aarwartecra F Public Health Division Hate ie� 200 Main Street,Hyannis MA 02601 i • tftt I � I � Date Scheduled Time ` Fee Pd,_ r, • I }Soil Suitability Assessment for Se a Disposal Performed-By: 1��1 V,�4 Y• ��1 a/I b✓r, IDS d i Witnessa By: ' I I LOCATION&.GENERAL INFORMATION y Location Address S3 oe h Owner's Nama%cG qr4 -t �Yc/(N [I ylOr n Address �'3 (, to yi o{ Assessor's Map/Parcel ( ao'i' /n1 Engineer's Na mo YG NEW CONSTRUCTION / REP AB2 O7 Tele hone It 191 5� �� Land Uee Slopes(96)_ Z- `6 Surface Stones d B e r Distancoa from: Open Water Body ft Possible Wat Area 0+ ft Drinking Water Well L a ft f I Dralhage Way. + ft Property Llne _ L0 ft Other I it SIKETCHe(Street name,dimensions of lot,exact locations of test halos&pars costa,locate wetlands i'n proximity to holes) 0 0 I TP1 • � For �� Parent material(geologic) rO�IgC4 I OV I s Depth to Bedrock Depth to Groundwater. Standing Water In Hole: q 3 (0!9 I n Woepina from Pit Rod : Estimated Seasonal High Groundwater_ Peet C bo V c DETERMINATION FOR SEASONAL'HIGH WATER TABLE Method Used: fir,,Wer- AG{J �SfW►elq� De th Obsarvcd standing In ohs:hole: Iu, Depth to soil mottles: ►n,' . Do th to weeping from aide of bs,hole: In, Gmundwatar A ustmont I Index Well-t Iki �Fteading Mato:�7 Index Woll]oval 7 Adj thotdr., , Atu.Or'tiundwater•Lavol-„_ �oq PERCOLATION TEST Hale /51 _1 ObservationHole# Tinto at 911 1119-� Q,[ t Depth of Pero '` � t h Tlmo at 6" `1 � Start Pro-soak Time @ O -0� Time(9"-6") _ End Pro-soak q V[7 /�_ I • _ Rate M(b./Ineh 31to SuilAility Aseessment: Sltd Passed e 5 51tp Failed: Additional Teating Nooded(Y/N) Original: Public Health Division Observdtlon Hole Data To Be Complated on Back ' ***If percolation test Is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SBPTIC%PHRCFORM.DOC i . i DEEP-OBSERVATION HOLE LOG Hole# Depth from Sall Horizon Sall Texture Shcl Color Soil. Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stonef,Boulders. r sis tenr,y.96116tvall Lim 2`Z C&Lk- (31 Met2om 'So 04. 10 P_ G13 DS DEEP OBSERVATION HOLE LOG Hole# 2-- Depth 14nm Soil Horizon .. Soil Texture Soil Color Soil Other Surface(In.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. • t?-- IZD L . Mel; um eA CD s/ ( oeS e f . DEEP OBSERVATION HOLE LOG Hole# Depth from Sall Horizon Soil Texture Sall Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Bouldem. Consistency. Univall DEEP OBSERVATION HOLE LOG Hole# Depth tfom Soli Horizon * Soil Texture Soil Color 8011 r Other Surface(in.) (USDA) (Munsall) Mottling (Structure,Stones;Boulders, Consistency. 0MyjI1_ I , Flood Insurance Rate Map: , Above 500 year flood boundary No V Yes I , r Within 500 year boundary No_ Yes; t Within 100 year flood boundary Na,l Yes penth of Naturally Occurring Pervious Material Does at least four feat of naturally occurring pervious mtitorlal exist in all areas observed thrpughout the area proposed for the soil absorption system? !�,E5 If not,what Is the depth,of haturally occurring pervious matorlal? Certl—�°;! U - �R� date have the soil evaluator examination.approved by the ' I certify that on _K )I assed( p ' Department of Environmental Protection and that the above analysis was performed by me consistent with . the requir, wining,a ortise and o perlence described In 4 10 CUR 15.017. t3i VIE l 2417 ��NQF4fgg Signature Datb �o DAVID yes o D. COUGHANOWIR Q-.WRPTIt1PHRCPORM.DOC I • �O l�C�NSE0 Q" 0 FVALUP�