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Home My WebLink About0291 GREAT MARSH ROAD t, > F 4' �° •.i4,� '4 a ;'.,. .. ��, �'. CP ,p� .. C 1 : - - 0 e r ., ,k it fiY'l/I� Town_ of Ba U rnstable Perm Expires 6.mo m' date Regulatory-Services Fee ' SnBNsc KAM Thomas F.Geiler,Director.1639. " Building Division . Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508 790-6230 EXPRESS PERAUT APPLICATION RESIDENTIAL ONLY - s.� l Not Valid without Red X-Press Imprint , Map/parcel Number r� 6�--�� Property:Address h/ , O� Residential Value of Work` �a' Minimum fee of$35.00 for work under$6000.00 Owners Name&Address j c�� oxo2�03 �291 Contractor's Name ` Telephone Number , Home Improvement Contractor License#(if applicable) tN ! - Construction Supervisor's License#(if applicable) 1j \� Workman's Compensation Insurance - Check one: �� am a sole proprietor D�C" �o I am the Homeowner 7. 12 " ❑ I ve Worker's Compensation Insurance OWIV o Insurance Company Name �STgB` Workman s Comp.Policy# �) Copy of Insurance Compliance Certificate must accompany each permit. Permit Re�qu t(check box) LJ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going.over existing layers of roof) ❑` Re-side #of doors ❑" Replacement Windows/doors/sliders:U=Value -- (maximum.35)#.of windows" d ❑" Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required: *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic;Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. ` A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: " Q:IWPFII:ESTORWbuilding permit forms\EXPRESS.doc Revised 053012. . i Town of Barnstable Regulatory. Services aaxrvsrnsrE Thomas F.Geiler,Director Mass. 039. � Building Division Tom Perryf Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office:. 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION r Please Print DATE:_G /a /0 i / JOB LOCATION: number street village / rl "HOMEOWNER": C- ® — r ( ` . name j home phone# work phone# ; CURRENT MAILING ADDRESS: � O� city/town state zip code The current exemption for"homeowners"was extended to include�owner-occupied dwellings of six units or less and to allow p homeowners to engage an individual'for hire who does not possess a license,provided that the owner acts as supervisor. . DEFINITION OF HOMEOWNER` Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures.-Aperson who constructs more than one ' home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form, acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner"assumes responsibility for compliance with the State Building Code and other'applicable.codes, bylaws, rules and regulations. The undersigned "homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection,.' procedures and.requirements and that he/she will comply with said procedures and requirements.. Tie i nat re of HomeoW r Tie M1 Approval of Building Official Note: Three-family dwellings containing 35,000.cubic feet:or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors),provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall,act as supervisor. Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. " Q\WPFIL'ES\FORMS\building permit forms\EXPRESS.doc �. snxivsTasrs. ' ,�� Town of Barnstable Ajfp�,�p Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02661 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 roperty Owner Must :Complete d Sign This Section If Usin Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name 7 - If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on..the reverse side. QAWPFILES\FORMS\building permit forms\EXPRESS.doc vo..:..va n-rni in The Commontreaaltth of Massachusetts at"ttnent rx�'Ind.'r�st�rzl� ea� Office Of Investigafions 600 Washington Street Boston,Ali 02111 . wnwv mass govldia ' Workers' Compensation Issuance Affidavit BBuffiers/ContractorslEIect ici:anslPbur bees Applicant Information �P�lease Print Lt�b y Name(Busmess/Orgau�tiQnllndividuai);/ r�/"T7 Itj , CifigfStatea'Zip y L I�� Phone# �5 -- 75' Are you an employer?Check the appropriate boa.: Type of project(required): 1.❑ I am a employer with 4- ❑ I am a general ctmfractor and I employees(full and/or part-time)_ * have hied the sub-contractors6. ❑New construction 2_0 I am a sole proprietor orpartner- listed on the attached sheet. 7. ❑Remodeling slip and have no employees These sob-contractors have 8_ ❑Demolition working for sru any capacity- employees and have workers' 9. ❑Building.addition [No Workers. comp_-insurance 5. t„c�ra,�r,�2 r ed_] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3' laomwaer doing all workofficers have exercised 11.❑Plumbing repairs or additions myself. [No workers'comp- right of exemption per NIGL 12.❑Roof repairs insurance required.]r c. 152,.§1(4),and we have no employees-[No worlms' 13.❑other . comp-insurance required.] 'Any apphcaw thsi checks box#1'must also fill out flue section belaw showing their workers'compensation policy infunaatiao- I Homeowners who submit this affidavit indicating&ey are doing&U weak and then hue outside contractors must submit a new affidavit indicsong such tContractors that check this boa must attached as additional sheet showing the tune of the sub-Maus and state whether or not those entities have employees- If the sub-•coontisctors have emplajwr,,they must.pxwAde tax *wkers'comp-policy number. .rain an employer that is protdding workers'compensation in=rvance for InY err�glo3* BeIo�v is hhc�pr cps and jab site information. Insurance Company Dame: Policy 4 or:Seff ins:Lic.#: Expiration Date: Job Site Address: City/StateMp: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under.Section:25A of MGL c. 152 can lead to the imposition of criminal penalties of a line up to$1,500_00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine' of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification_ I do hereby certify n thug 'ns and penalties ofpedwy that the information provided above is true and correct. �Phoae Official sure only. Dv not write in this area,to be ampleted by city or tFiim officiat C7itr, or Tows: PerwiULicense 9 Issuing Authority(circle one): 1..Board of Health 2.Budding Department 3.C ity1rown Clerk d.Electrical inspector 5.Phimbing Inspector 6.Other . Phone#� Contact Person: h �d Age oof L EVE l � �pP p Town of Barnstable *Permit# Expires tniontlisfrom issue date STABLE, Regulatory Services Feed 45 pa MASS. $ c� i639. �e BMtN Thomas F.Geiler,Director p'ED'A0`A Building Division Tom Perry, Building Commissioner y�np�s'`� PERMIT 200 Main Street, Hyannis,MA 02601 Jet rr II�� Office: 508-862-4038 MAy 6 2002 �V Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENT IOIDE'BARNSTA+BLE a +Q Not Valid►vithottt Red X-Press btipriut Map/parcel Number t?I 1 Property Address &rcgr l f1�lrcr5 / C en kr 1z/I (X— Residential Value of Work $3160.. ' Owner's Name&Address Pna 1 6 nMc. 4k.,n X.,(/ Contractor's Name ��,n 1 Z Zi/ � /�� jQ/jD �elephone Number ��' Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) CU C>5 76 3 Vorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ( M-7fhave Worker's Compensation*Insurance Insurance Company Name Matui tcw d :1�— suy-a&fy- Owa Workman's Comp.Policy# Permit Request(check box) ❑ Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side _ Re lacement Windows. U-Value maximum.44 d V7 GCS A- ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature Q:Forms:expmtrg Revised121901 Town of Barnstable *Permit# � Expires 6 months from issue date Regulatory Services Fee tom. A�O� Thomas F.Geiler,Director Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601w �� AC Office: 508-862-4038 �-O T 3 0 ® Fax. 508-790-6230 ��l OF ZQ41 EXPRESS PERMIT APPLICATION e�RN Not!Valid without Red X-Press Imprint S�,q Map/parcel Number /0 3 AIL �� M / Property Address qq 1' l�l /� � /Q �•�l l [residential OR ❑Commercial Value of Work io QG Owner's Name&Address matib 1 MC 6 h V C In kv i Contractor's Name/ "1 2i✓/ Meo iy�[n7�I'elephone Number Home Improvement Contractor License#(if applicable) Z2�_ 7y� Construction Supervisor's License#(if applicable) Vorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name l -g j Workman's Comp:Policy# W e 3 -'6 �" 116 -00 Permit Request(checkbox) F ❑ Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over *existing layers of r000 ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) 4r I M (0 LAiT49 []"Other(specify) Q !Um 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature ctk C� expmtrg �C / r Assessors map and lot number ......... k:....... F?HE T ' o� Sewage Permit numb r .....(9• ..-. 7..1.U? .. . ' :. �� I _ @ q �+ ! g f ='� t m7 Ai.3 ED IN Z AHHSTAD 4 C B LE, > Y 4-0 House number .... ..... .. ...!..�. ' ,�. MAes :...... TOWN OF BA-RNS `A-B�LE "` Y BUILDING INSPECTOR t APPLICATION FOR PERMIT TO .....r......'"r`?` TYPE OF CONSTRUCTION .... .... r .I::�°`� ................:.x:�?..L...... -- ' -............. %°' ' ......... .............19 i TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...�-� .. ...... :..........'`'........... ...'. '!:7'.... `1 .`Sa..1.... . ProposedUse ... ............................................. ....................................................................... i Zoning District ..... ........ .............................................Fire Districts.-c- :'...V.....,1 C:/.....� ...................... Name of Owner `1�4 dr.�:'n w�. L ..........Address .. ........... .,�c:Lt�.-...D ::�...... .....:.......... Name of Builder ... S ..E.. a''�...............Address .... ............................................................ Name of Architect %`.,�.� C� v1 Q�1 �' •N LQ t......... Address ..........................~...... . . . ... d Number of Rooms .......�.......................................................Foundation .................... ..................................................... Exterior a?...... .......... Roofing ... .i�.`.'f ` ..................................................... Floors ......�... .5;.:.... ............. ..........:.................Interior .. . ..�.. ...........,............................. .. c Heating ....E.:A... .....................................Plumbing ��..F'.r 1�=:•, �:...:: S - .,-``J..:.`.':`::.i. ...��. .. 1 7 4 . Fireplace ....'L?. . v�rC.........................................................Approximate Cost ........ ' ..................................................... Definitive Plan Approved by Planning Board --------------------------------19--------. Area .......2...................:................ Diagram of Lot and Building with Dimensions Fee ..................................../r SUBJECT TO,APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. � C_ c1 Name ............................. `L=- ��............................ *,MACHEL FLEMING 25237 V- A, 2 Story A 6 .................. Perrnit for .................................... Single Family Dwelling . ............................................................................... Lot 138, . 291 Great Marsh. Road Location ........................................... Centerville ............................................................................... Owner ...E�.!�Min,qf Machel .. ................................................ Type of Construction ...Fxame.......................... ........... .................................................................... �� ` i ` Plot ......................... Lot ........................ .......... -3 "q "Permit Granted ........................................ 83 June 2 1 _7 Date.of'Inspection ....................................19 Date-Completed .... ................9,R3 PERMIT REFUSED .............................................................;;.... 19 ................................................................................. ........................................................;....................... ................................................................................ 14 ............................................................................... Approved ................................................. 19 ........................................ .................. .. .................. Assessors map and lot number .............. . . k. ,... '...........f �pF IN E t0 Sewage. Permit number .....7;1 .1.�. Z�... r_ ,�CP... roe' �+► BAHB9TABLE, i House number .... ...... ...!..9.....................................:..::... 9 rags & i639, e�0 • �•o war a� TOWN OF BARNSTABLE. _� - BUILDING INSPECTOR .+ APPLICATION FOR PERMIT TO ....CA47!21! `: C -) ............ . 7...........!'..r .. ....................... .. TYPE OF CONSTRUCTION .... x.? ... ! -etg•-ee............... c TO THE INSPECTOR OF BUILQINGS: The undersigned hereby applies for a permit according to the following information: Location ...� 4?` ... ... 3$........C-t?c-- .G...:� .......... `?.. �..�.................,.......................... , ProposedUse ... .! ' .C. ..:.................................................................................................................................... 1 Zoning District .... .........................................................Fire District�� n G(,V.•�•�\��'• ....QS`�' Name of Owner �':�'!?.�.1' ? ... PrC .` -'4M..........Address ...q. :......�7 !�J c C'u ?G? ...... �- ......... 1 AG' ..M , ? J � t� Cam - 'M��-s � �. , Name of Builder -4v........................ Address .........` ............ .............................................. ...... Name of Architect 's �� { Address � .- `�!�� 'M v ? .......................... t. ....................... . ................................................ Numberof Rooms ........7........................................................Foundation ... ... .? .7�.. ................................................... Exierjor ... V„�.N t3,C1 Roofing ... 5.1�1�.!!. ..................................................... 1 i t. . ..................l. Floors A�.��.5. cck,, ... ,ICI;,St:.&...C.,r..C? ...interior .. ..` ..{ 9. ................................... Heating c ........ ....'. .........................:.....................Plumbing .4 r. :�'.c ......:t:..... .. .:.�............................ t ��t Fireplace ..:�1PCr .........................................................Approximate Cost .....4 i Definitive Plan Approved by Planning Board ________________________________19________. Area .... -. .LA...................... Diagram of Lot and Building with Dimensions Y Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. C Name C.............. . - !.................................. -MACHEL, I7I,EMING A=210-138 � 2z2.3 / Pertnit for l� Si�o lini -----..~.--. . ---_--.. ^ - . Lot 138, 291 GreatRoad ' Location ----------------.. -Centerville ----.----.------.---,--. � ~ ' ' Fleming Maobel Owner —'----------------' I7raoze Typo of Cono/ruc�un ---------- ~ -_ - . �. ----------.-----...---------- ' P|ni -------�—.� �� —.--..------.. - � ~ � � � � - � Permit Granted ......!Tune... «____]g 83 Date of Inspection ------------l9 � Dote Completed _-----------.]g . . . . ' .' ERMII �FUYED ^ --------..------------.. lA ' � . � . ~----.---.--..---------.-----. . . _ . . � ---.--------.------------.--.. ' � ~ . . ---^----^—'~--^'~^^^--^^'--^^~`— ! � . ` -------'--^'-----^—'----'----- � ' . . � . Approved ................................................ lQ � '--------.r-----'--^---'—'---'' ----------.—.-------.—.......—.- � . � . e•„ . TOWN OF BARNSTABLE p Permit No. --------..5237------------------- »n� Building Inspector, cash .... ----------------------- OCCUPANCY PERMIT Bond _--____--x_�_L� 3 Issued to Fleming Michel Address lot #138 291 Great Mardi Road, Centerville U � i Wiring Inspector f/ Inspection date s Plumbing Inspector , Inspection date Gas Inspector 06ZZ _ �1/x l�^i7�� Inspection date Engineering Department `" f� i:_#fG�'�4, 1Inspection date Board of Health . ,r��. Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. `� �.' 191! ;s%rf-cG Pam'` Je Building Inspector a .k_0 � , y a h r+ +. {t + u 1 , c } x , 5 I , . ? 4 11.,.E ; t ` .=rb 0.. i y -, . ,' Y fi L A t -k r 3 r k 35 ti1x S1 r 3-` ,� - _ r a �: t 7 ' t Y .yF m r ," 0 i� s 5+ yY[ s% 4s'� , ( £ 7 II,"i 'f 2r s, r f r 1 :t R T 4 J N f J 5 1 m.' 4 a r b t x W ..,vii 1, ,,'£ r 4 s t S x 'LL1V � < 5 i s ,,i.�-I.I.�.1 1w,..-1��II:.�.,�:I�.Iz.:�"I w..I...;��I,,I I-��I:-,�.o.I_,I..:,,1.,1..'.,..."_..1..�.l�..(,�.,,1;,I,:.1I...I.�I._.-,..;-..�.,,.,,-�.I:�:I,i.:I.:-..".7Z 1-1,,.:,—.,I-1_�I;�,�—,,.I�1,,L�:--..I—:1I�.,,'i.I.�I,,.--,�-,._-,,."1%:.�.:I;,.I_.�,I,-Ir:.,,-,.,�..-I.,,�.�,..I,II:�':..,'-..�.--.�;.--I__e�.t�.I.�,..I�t1.�...:-.,,�.�..,p,:-..2 I,:;�.,�1.��.,.�,I�_.,..-.:.?.1,-�,0.�I,i..:,�I..,�.,'.�-.l:�.,_.�I''�1:.�-.�,._.,.,,.m.-1 I.k-��.I�..�,.,-�.:.,I�.�,.I-;.,.._7-�,II-�I.I.,�I I'1-1�--...*,.��—�-:I.f-,�_.I-.I-�."��',I_"`�61.,1,,,._,:.-I I.,1 1I�-,-,..4 I Cfj .V y ` +'- Jr- V ,7 -, r r.. ash° i. � L -e y,� E t r „ e �eT/ hG(J (, 1� �a t 1 n a ? tx .t ppU 1 ue�y,r e k v 'rc 7 +x 1 /'� T h r",x r x#y 1fS) 1 x ',' ,+v I, q ,r ;� y3 P * 'k 4 ' , �. * f ti=� t + ` ( r 4 1 �Yc sg r ., �- y r n t °/L -�5' '�� ;ny , 4 , �}I1 7 t 'J ,f I; 5 .}t x { :if 1 , T a a' `$. �' t i ! ,. t tf 4 • ~ / y Af s K a L f7k ti ' / �f 1 T,y _' . -0 - ', t i �: k . 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's , $ F - .1.1W6EMA4i-knJ Fa6tit .10L !93 OG; 'A3 , ar= ¢ CERTIFIED ` PLOT PLAN Yx s N p I �. _9 fir- Go R.: L i?. r�►A r M .;Y?d? : �' tx �/9 Pvll� OQE��rIE� f2Q. {- . ( hr $ 4 a�'o4 (� _ . ,.:: I, t: SCALES <;¢0 DATE G /'3./a`3 . ,*' 3;?,r .' + .. ._ 0 f.�lVofp"Ord 0��l 4, LOR DGE ENQ/NEERIIIIQ" G�D.I _•.L -CERT.IFY,.THAT` THE -. . OLIE, T .. SHOWN' ON THIS PLAN 1$ LOCATED . EGISTEREO REOISTE EQ "' w ,3 fiQ S` ON` `THE GROUND A9. INDLCATED-AND .�;, 4 RO Clllil LAND=, < €x "�'" : CONF.ORS 'TO` THE ZONING I.AW9: ENGINEER SURVEYOR z� DRRY¢ ...�... pF ,��iRN3TA LE , MASS. ' 712 MAIN ST.�- � ��, DY�s A'' . `.HYANNIS, MASS.w :; t EET 1..oFt A E R G. LAND SURYEY0R Y. .: . . . . ,,. y , -. �, q;. - Y K,n r ELF *.00l Jr� Gov.9 71-21 19 Ix @ .3 SIP ch u , 4— PL gK 255 Pv 2-7 o I<STAPaU4NED t F�fCaMATc.Sw P&nAA Pi &K- 193 Ob 93 ,c 7 a T r a a SN OF, { q b a e pO �[iJT'a{ r , z, y YMi9tl[Il I 4 stg o Sgzo %� o NO..Sl1RV� r L E'G N D = EXIBTINt3 =SPOT ELEVA-'�O.ON OxO �� CERTIFIED PLOT PLAN t EXISTING -CONTOUR 0 -- �•`�� cy 1 /aTIC'r� f FIN'I:SNED '`5PO.T ' ELEVATION ;.: 4� ��, C✓+ i n oPE c.� E l% 4C�J' A ,FfN`I:.SNED CONTOUR 0 �. 0RsE IN No•10951 l) APPROVED 9OARD ,OF HEALTH �� 3 51oNAL ., DATA AGENT -;SCALE / — �f 0. DATE , COREDGE EN.G/NEER/NG CQ tN CLIENT.,.✓- +� -----� I CERTIFY THAT ''THE PROPOSED. 3 EGISTERE REGISTERED JOB:NO S3 BUIL.DINO 3HOW,N "ON THIS PLAN. :. r x CIVIL LAMA i :'CONFORMS; TO ':THE .ZON`ING �AWS. ENGINEER ` DR 9Y t � ` ' :$UR.VEYOR -4F ®ARNSTABLE , MASS ?. 12 M,A1 N :STREET CH 8Y� HYaNN15, NfASS SNEET...L::Af DATE EG LAND .,SURVEYOR 14 , "� r IKOTl�. /F E/TN�i4 THE S'rP?7C.TANK OR' r 20'F717 M/N' .. _,Eiq cx�/vG P1'T ,4 RE. MORE TN A.v /2"BELO n/ f !! 1R/1 GECDLQM.ETER CO^!C,•eJ'TE COP'4 P R j!/N I SHALL Bar. BROUGHT n { PIC C o .4' .i4 CONCRCT'a' •¢:PYC PJ t�ERVy c� ST /RO/Y YE Si S �.4L� 3_ Ur:� Nf/N_ P1TC/! V A E Lv I /F/N. c�Rl Y �FiP fT � GR�pB C R C� =.4/V LL a,. l tjgt�JO'LEYEL _ ' ., - �lcomic2ic r{ .2'LAYER € ., 4 4/�.�.� GHI M LJ LQ`-�' •Y�4 sI Gram I/B•- .�/B ft jR; P/PE D O t7 �t�[L • •- • • •• o o •� WA S�YEO S7ONE ' M1JN:hitTt • l � � • • sot • w ;ids"Pst rrr...: SFPT . • • •/� /(" TANK - DlST, • a � ®dX f • do s ♦ • t i"• E� �• E TON o aV,4 1,+ D S S • DEPTH 'c a r' • - r � v / • • CP • o • • e • • • :�.A PRECAST SEEpA��F ` .ai d- .+.. rt /- • • • •. • •' f / S O P/7 �r IT.4W Ul V. .INY�RT tLEt/AT/OAI�r�r}+r CR�Ir�/TY S4$ G�►c /� Y . • . a Et_ ra fT. D/Atf: /ntY�lt�' �tT du/tO/N�r .FiC i a o/A1�. 0�sFF r.�eutt,�TVOw) ` 7MVAf as 3 MAX GROUND KA7'Zit 7i4QLg EL- 83. e R/a!/FI�IiR gpp .,4ES_t 9 F 7 ;Sl `TOa/1 ® _ cc,A P S, pit ., tG 7. T' IJLAT/O ffAGvt11AG .,« .� ,�. -� . .� _: +�' ..�-�,- w. .;:'> i-=s; ,3...�•ra s / j�,�,:..a i � " 1 a.�- ®IAFN.S/ON � a x • 4 ., 1� '' `: /� ! i j� 'CjgtTE1�PI� m y x t •s.. ,*w_ xY � L wl xs . QUef.ENS/OAIL. � N D�MdJVS/alit; C� F EJ3' eF00MS �r .ae L BOG: RQItC1c D/SPO��-!!X!T iy o,J'� SO!{ T�TAt E3Tl/rt�TFO FLOI�V 3 3 6wt./ttwy '..SO/L. TESTTFST�itZ :9 3.p ..O XUMBER:QF.4WACJItNG P/T3_ ELFy G44TE OJc SO/L VEST t�LEY `- SJOF E,C!ACHlMG.P&R 0/T .SY.'t fT. ' RESLIA rs wirNesszo. BY J.R JA cvf3 t i 0 Z.` CJ 2 OGTTOM'LF�1CN/NCri'DERPJT '7 SGi. FT f'L�RC.OLAT/0N RATBr, t/ ASS Ml/�SI/INCH •' 46"q rt't TOTAL.L C'H1'V& A.R&A ZC C: ;SQ .FT FWVCOLATICN AA7-,F 02 rt Ml JAI.f/NCH yr Sa�� 7ans��c i RESERt!ELEAClr/NGARE.!� /v1C—D'ci'/N -74 SA{✓s' f f 1' -s�OF ��HOF/� �„io sr, �� M i� s/�µ �U �� :� M+c Cnns vi' L E i ACEI �y� �a n `.L c�ln!1Er. f/ k Xv o A` No. 10951�o �3• ,Ps FL DREDGE ENGINRIJV� �O,1NG. 9oFFG/5TE�l6�� wof (c C la E� . :� %.r. 7/2 "AIV ST• ► yYANr//S: MASJ F FSS� �� ❑[� GNKO GROUN D Y447CR. Zr CO .' : / . 6U AI YAEATEL0Ul"40: G JOB.NOS pt-pt�tC�H GP ,�.►a w�+E� +a�Rs HIGH .GPOUNp-WATER LEVEL. COMPUTATION r SIt e Location: GASPr�D� r+EE r_A AP- -4 Qc��L�S ' LOL No. � .�•sn •s 2�o�:13; Owner: W/F aE7Sr+ALL- Address: : �/A Addresst �-. ,�-D_• Li.c Contractor: A/e__L -L - -- Notes: NE IL 7E5T �, P - :�-74. STEP 1. Measure depth to water table 5 24 $; . . . _ / -- r to nearest, 1/10 ft.' --, date STEP 2 Using Water=Leve1 Range Zone and Index Well Map locate site and determine: M1W -. A) Appropriate index. wel.l B) Water-level range zone'. D STEP 3 Using monthly report"Current Water: Resources Conditions" determine current depth to ' 2t.5g water. level for. index wet 1 mo yr F STEP~. 4 Usi.rig Tab1_e of Water-level s Adjustments fo.r index. w.eII STEP 2A current depth to , water I e v e1 for in`,dex well (STEP 3) , and water level E zone' (STEP 28) determine o c water.-level adjustment .STEP 5 Esti`m te 'depth, to hig9.h water E by subtracting the00 water- - level'.adjustmetit t, x fironi 'meas.ured: depth to water. L �* level a't . site .(STEP 1) 1 ♦ t