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HomeMy WebLinkAbout0082 OXFORD DRIVE - Health 82 OXFORD DRIVE, COTUIT A= 021 066 'M f r Commonwealth of Massachusetts Executive of Environmental Affairs EP DEC 3 1996 _ Department of Environmental Protectiona � eJ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A - -_ -- . CERTIFICATION --- - - - .----------____- - - - - - .. Property Address: %7- Address of Owner: "a''G" (if different) Date of Inspection: Name of Inspector: Michael DeDecko Company Name, Address and Telephone number: Atlantic Environmental P.o Box 2384 - Mashpee Ma 02649. Tel : (508)4771420 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection . The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. The system - Passes ---- Conditionally Passes ---- Needs further evaluation by the local Approving Authority ---- Fails Inspector 's Signature: Q4Date: . The system Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (30) days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office or the Department of Environmental Protection. The original should be sent to the system owner and copy sent to the buyer, if applicable and the approving authority. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 9.,2 cox�orL.& Owners : Nt-Le„ccjov Date of Inspection : � t\2s 1C,.� INSPECTION SUMMARY: . Check A, B, C, or D A) SYSTEM PASSES. AN have not found any information which indicates that the es any failure criteria as defined in 310 CM 15.303. Any failure criteria not let alua edfaree indicated below B)SYSTEM CONDITIONALLY PASSES: -- One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair, passes inspection. Indicate yes, no, or not determinate (Y,N, or ND). Describe basis of determination in all instances. If "not determinated", explain why not. ---- The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. ---- Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). ----- broken Pipe(s)are replaced ---- obstruction is removed distribution box is levelled or replaced ---- The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ----- broken pipe(s)are replaced -- obstruction is removed e9 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address : &2 mac`=veca Owner: 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 _de-__ - -termine if the system is failing to protect the public health, safety and the environ- ment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETYAND THE ENVIRONMENT: -- Cesspool or privy is within 50 feet of a surface of water -- Cesspool or privy is within 50 feet of a bordering vegetated wetland or a small marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IFAPPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNC- TIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT. ---- The system has a septic tank and soil absorption system and is within.100 feet to a surface water supply or tributary to a surface water supply. ---- The system has a septic tank and soil absorption system and is within a Zone I of a public water supply well. -- The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. ---- The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analy- sis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate notrogen is equal to or less than 5 ppm. D)SYSTEM FAILS: -- I have determined that the system violates one or more of the following failure criteria as defined in 310 CM 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to cor- rect the failure. --• Backup of sewage into facility or system component due to an overloaded or or clogged SAS or cesspool 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: Owner: W,�v�vcca , Date of Inspection : l i \ D j SYS T E M FAI LS (continued) -- Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. --- Static liquid level in the distribution box above outlet invert due to an over- loaded or clogged SAS or cesspool. --- 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. --- Any portion of cesspool or privy is within 100 feet of a surface water supply ortributary 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 ana- lysis. 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. k. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 82-Cc';=�-426t Owner:Date of Inspection: E) LARGE SYSTEM FAILS:The following criteria apply to large systems in addition to the criteria above : The stem design flow of s is 10 000 y 9 y 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 : --- the system is within 400 feet of a surface drinking water supply --- the system is within 200 feet of a tributary to a surface drinking water supply --- the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area - IWPA)or a mapped Zone II of a public water supply well. The owner or operator of any such system shall bring the system and facility into full compli- ance with the groundwater treatment program requirements of 314 CM 5.00 and 6.00. Please,consult the local regional office of the Department for further information. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: SZ C'DKVolzc� Owner: "Cl a , Date of Inspection: ' Check if the following have been done : -x Pumping information was requested of the owner ,occupant and Board of Health. --x None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during the period. Large volumes of water have not been introduced into the system recently or as part of this inspection. --x As built plans have been obtained and examined. Note if they are not available with N/A. --x The facility or dwelling was inspected for signs of sewage back-up. --x The system does not receive non-sanitary or industrial waste flow. --x The site was inspected for signs of breakout. --x All system components,excluding the Soil Absorption System, have been located on the site. ---x The septic tank manholes were uncovered, opened and the interior of the sep- tic tank was inspected for conditions of baffles or tees, material of construc- tion, dimensions,depth of liquid,depth of sludge, depth of scum. ---x The size and location of the Soil Absorption System on the site has been deter- mined based on existing information or approximated by non-intrusive methods ---x The facility owners and occupants if different from owner were provided with information on the proper maintenance of Subsurface Disposal System. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 8 2 � Owner: �AC VQveA Date of Inspection: RESIDENTIAL: Design flow: S30 gallons Number of bedrooms : p3 Number of current residents: o G arbage grinder (yes or no) :raj Laundry connected to system (yes or no): tkf-S Seasonal use (yes or no) :tom Water meter readings, if available: N Last date of occupancy : COMMERCIALIINDUSTRIAL : Type of establishment: Design flow: gallons/day Grease trap present: (yes or no) Industrial waste holding tank present(yes or no) : Non-sanitary waste discharged to the Title 5 system (yes or no) : Water meter readings, if available : Last date of occupancy : Other: (Describe) ............................................................................................................ Last date of occupancy: GENERAL INFORMATION P PING RECORDS and source of info ation: System pumped as part of inspection(yes or no):......:NC? if yes,volume pomped. .................... gallons Reasonfor pumping:............................................................................................................ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 82 OKIPc- Q Owner. Date of inspection: TYPE O}F. SYSTEM f-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) --- Other (explain)........................................................................................... APPROXIMATE AGE of all components, date installed (if known)and source of information .. O.0 OX...E -c.... ..N7- ct ......................................................................................... ................................................................................................................................................ ................................ Sewage odors detected when arriving at the site : (yes or no).......1 SEPTIC TANK : ..y-S.... (locate on site plan) Depth below grade: . r.� � Material of construction: .`K. concrete ......... metal ........ FR P ........ other (explain) .............................. ....... ....................................................................................................... ... Dimensions: ..IL? .1t. Sludge depth :...Q.t........ Distance from top of sludge to bottom of outlet tee or baffle:.....�y.................. Scum thickness:...jp!.`........... , Distance from top of scum to top of outlet tee or baffle: ...........0........................ Distance from bottom of scum to bottom of outlet tee or baffle :......11................. Comments : (recommendation for pumping , condition of inlet and outlet tees or baffles, depth of liquid level in relat n to outlet inner str tural integrity,evidence of leakage,a c.). ( c;�.tD.f.O.R.11f. 1�acu. z`s....�� '�. z ?....... 11 r�►. r r........................................... SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PAR T C SYSTEM INFORMATION (continued) Property Address: oxRlo,.-A Owner: t-kQkj,,jC-ACf— Date of inspection: k..,. `.�V'kclj GREASE TRAP: ..... (locate on site plan) Depth below grade: ............... Material of construction: ........concrete.........metal........FRP........other(explain).... ........................................................................................................... I.............. Dimensions:............................... Scum thickness:........................ Distance from top of scum to top of outlet tee or baffle:....................................... Distance from bottom scum to bottom of outlet tee or baffle:............................... 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.)........................ ................................................................................................................................................ ................................................................................................................................................ TIGHT OR HOLDING TANKS:... (locate on site plan) Depth below grade:............... Material of construction:........concrete........metal.........FRP..........other (explain).......... ...:........:................................................................................................................................... Dimensions:............................ Capacity:....................gallons Design flow:...............gallons/day Alarm level:............................. Comments: (condition of inlet tee, condition of alarm and float switches, etc.) ................................................................................................................................................ ................................................................................................................................................ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: C 2 co V oa& Owner: Date of inspection: DISTRIBUTION BOX:..Q6 (locate on site plan) Depth liquid level above outlet invert:................:.. Comment: (note if level and distribution equal evidence of solids carryover, evidence of leakage into orout of box,etc.).................................................................................................................. ................................................................................................................................................ PUMP CHAMBER:.... d... (locate on the site) Pumps in working order: (yes or no)............... Comments: (note condition of pump chamber,condition of pumps and appurtenances, etc.).................... ................................................................................................................................................ ................................................................................................................................................ SOIL ABSORPTION SYSTEM (SAS):... S...... (locate on site plan,if possible: excava*6 not required,but may be approximated by non- intrusive methods) if not determined to be present, explain: ................................................................................................................................................ ................................................................................................................................................ Type: leaching pits,number: ..(.`.�Myoa. 4 leaching chambers,number:........ leaching galleries,number:........... leaching trenches,number ,length:..................... leaching fields,number,dimensions:................... overflow cesspool,number:.......... Comments: (note condition f soil ,signs of hydraul ailure level of p nding, co�d ition of v etation, )...�, ►. . .. .. .����.... tc. tY1S.. ... . ...... ,�o SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property address: &2 Owner: Date of inspection: CESSPOOLS:.....�3(731 (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: ..................... Indicator of ground water: .................... inflow (cesspool must be pumped as part of inspection) ................................................................................................. ................................................................................................. Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) ................................................................................................................................................ PRIVY : ........ ..... (locate on the site) Material of construction: ................................... Dimensions: .............. Depth of solids: ................ Comments: (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.). SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 8 2 cc-V-z�sed Owner. Date of inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate wells within 100' e at � 8L A 2 �1 - �I g I • as A 2.. 93 IS-3 _ (� 3 DEPTH TO GROUNDWATER: Depth to groundwater:—&.feet Method of det}rmir,�ti?q or approximative: :: .U. ...................................................... ..................................... . ................................ TOWN OF BARNSTABLE LOCA:TQN SEWAGE # VII.LAGESGI!y1 1 ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILIW: (type) (size) NO.O F BEDROOMS , BUILDER OR OWNER PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by CN � � � c� � � r - � � � _.. w � � � �' � , � ,� � 4j�. � s Q c �1• q � - v 0 s f Cb �`y1-♦ Irl ws � 1 o -28 v ! v fA v r" a ON N m a Q � k r � r .�10 RI TV r a L No..... —:�.4��.�°� THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH To.w. O F..........SCR ..5-?...FF, L. Appliratiou for Bhipoott1 Works TongtriArtiou Prrutit Application is hereby made for a Permit to Construct (K) or Repair ( ) an Individual Sewage Disposal System at: ................qx Fo-'c, - ' ......------------................ •....-----....-----...--------•--- G,oT.....7�� .................................. Location-Address or Lot No. .......................... =. CLUB ..-------------•-----.-----.------- Owner Address w .? .•••• A.2� ..................... ,-a .......................•-- Installer Address UType of Building 3 Size Lot..�.... ........5...Sq. feet ., Dwelling—No. of Bedrooms-------------------------------------------- Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria W Other fixtures •------••---------------•-------•--•-•-------- w Design Flow...............r...`�..................._....gallons per person per day. Total daily flow.........._.3.3 a................._gallons. WSeptic Tank—Liquid capacity�M!.gallons Length---,....... Width----4.` h.... Diameter---------------- Dept _._....... t r x Disposal Trench—No..................... Width.................... Total Length.....................Total leaching area....................sq. ft. Seepage Pit No--------/.......... Diameter... Depth below inlet........6..f ..... Total leaching area.? J 44-it.(s/mob Z Other Distribution box Dosing tank ( ) aPercolation Test Results Performed by.ZA ATE&.•.•F...._.Y ................... Date..... Test Pit No. 1_-_�.Z-__minutes per inch Depth of Test Pit---- _. Depth to ground water.A-�0 T...E!L) — (i, Test Pit No. 2................minutes per inch Depth of Test Pit._-__-_-----_-__-- Depth to ground water5;9?4!: �1 -b --••----•------------------------------------------------------------------------------•-•••........•-----••-•--............................................ Descriptionof Soil-------------•-•--.......----• `SEA------P4-t1A.4----------------------------------------........................................................... w V Nature of Repairs or Alterations—Answer when applicable............................................................................................... ---------------------•---•------------------------------- ------------------------.....--•-••----•--•------•-------------•-----•------•••---••----•----------•---•-----•-••......-•----.....•---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIliLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the d of health. Signed--•- -------. •-••- ---•-------•......--• _�.l�Z Date Application Approved BY ------------------ --------e3'•,'l�. ... Date Application Disapproved for the f l owing reasons---------------------------------------------------------------•-------------------------------------......_..•-- ••------•-•-•-•------------•----•-----•--••--• ...................-•---•------••-•.......-•--••••. -----•------------ Date PermitNo......................................................... Issued....................................................... Date FEii No...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................OF.............1.:2.4 Z�._.. ..... Works Tonstrurtion rumit Application is hereby ma Permit to Construct ( X) or Repair an Individual Sewage Disposal de'for a SyAem at: Z-0 7 7 ................................................ ...... Location-Address ------------------------------------------or iot No. ---------------------... ------------- ................................................................................................. .............................................Owner Address ................................................................................................. .................................................................................................. Installer Address PQ Type of Building Size Lot---1�71.1---2....5.......5....Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder P4 Other—Type of Building ............................ No. of persons---------------------------- Showers Cafeteria P4 Other fixtures -----------------------------------------------------------------------------------------..................X Design Flow...............5 ' ......5......................gallons per person per day. Total daily flow.._.......__.-.3..Q.................gallons. 1:4 Septic Tank—Liquid capacity Z2QQ�gallons Length_____'.... Width.....4-------- Diameter................ Depth_.._.4........ Disposal Trench—No. .................... Width_-_--____-_-___--_.- Total Length_._____............. Total leaching area--------------------sq. f t. Seepage Pit No--------/----------- Diameter-___ Depth below inlet............... Total leaching area_,��J_4sqjx_ 6 Z Other Distribution box ( A Dosing tank ( ) 1 Percolation Test Results Performed by._5yq.X.7'(a.e.... `......*J.5...*'_a................... Date__.._. ai Test Pit No. 1....�.G._minutes per inch Depth of Test Pit.... ..... Depth to ground water-.& Test Pit No. 2................minutes per inch Depth of Test Pit---____-----____-_-- Depth to ground water.C2��-T .............................................................................................................................................................. C) W - Description of Soil.................................6 C-:........... ..................................................................................................... U ......................................................................................................................................................................................................... W ....................................................................................................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable--------------------------------------------------------------------------------............... ....................................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'T"_,:;,7 - 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed_.................................................................................. ........................... • Date Application Approved By............... Q�#�.I. ......... ----------------------------- .......... 1�-. 2 S. Date Application Disapproved for the f I !ng reasons:................................................................................................................ .......................................................................................................................................................................................................... Date PermitNo--------------------------------------------------------- Issued__-.,. ............................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........................................OF...... .............................................................................%. THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired b !!�i LV y .................4....................................................................................................................................... Installer at..................L&.-T.......... 4_4.........0.X --------Cal--',-)J-.7-------------------------------........................................ has been instilled in accordance with the provisions of T.-IT—" 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.___ -------------- dated-..------- ........... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM- WILL FUN TION SATISFACTORY. DATE.. .......................................... Inspector...--... k"iw ....................... jjj A THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 0 F............... .............. No!.....e:S-.Ltd. ................... Disposal Vorks TwOnstrudion Vrrmit Permission is hereby granted.............................................................................................................................................. to Construct or Repair an Individual Sewage Disposal System at No....................................... ----------------------------------------------------------*S-,t,r,e,e-t----------------*-------------------------------------------- ----------- as shown on the application for Disposal Works Construction Permit ................... Lted.......................................... ..................... ........................................ 12 cI:s -93NOA4 a&lAt DATE--.-. .......... ....................................... --- ti FORM 1255 HOBBS .& WARREN. INC.. PUBLISHERS J c LOW & WELLER, INC. "Fiddler's Green Plaza" 714 Main Street, P.O. Box 119 Yarmouth Pbrt, Massachusetts 02675 362-6868 362-8131 Registered: George Low, Jr., R.L.S. Land Surveyors A. Paul Simard, P.E. Professional Engineers William G. Weller, Consultant 12/31/85 HEALTH DEPARTMENT Town of Barnstable Town Hall Hyannis, MA RE: Lot 74A Oxford Drive, Cotuit (84-410 - McLevedge) Gentlemen: Please be advised that we have inspected the installation of the sewage system and certify that it is in compliance to Title V as shown on the "as built" plan dated August 12, 1985. Very truly yours,. A. Pa Simard, P.E: APS:dlw cc -'t_ �� �F ���v�_1 r 410 o 1 1 _ 3G 34 30 1� O 24 -- 2� — -------- a xfstinq ground fro f'i1� H0�2/Z. SCALE: / '" _-.e— o—o—o — �roPoserd c��-o vn d prof► l e � . D �/O' � T � � � COVE,25 TO hl HlIV SCHED. 40 P . V. C. OAR EQUAL 7b SEi'T�C Cr»inirnurn y" Per foo-f� e" 0i�' ® + Y21. we-shad _tonne NKS --/ti/rr D/sT• Box ° • . . , G'dia. , � ° o ° p }-A / 7 1✓ � /0 00 GAL.. SE PT/C 7-i3A./i1C Y � washed sfone ° ° ° ° •° . /9_ ` o • �� ion, o q , •\ • , _ DE- T1 / LS -7-4 A ,\ SALE: "= / =p" LEACH F> Zq -2515 3Z•7 31 •p 3, G 3Z GAJ T4C— S7- fyOL LOG Gr�c ,o?rN �ED� OOM HOUSE D/-ATE : '' - �': L� TEST BY. '` i !N ATE --� GALS./Di9Y t 5E,4' r/C 7-,,9/V,fC - X /. S'r e/.3( .� p" Ni G,9L.. TfAA/� afrM (`p ' Su850f d��rr. LEACH P/7': e% 34.� 24 S/DE:Ln/ALL - S. F. � _� G.�? �.• MCD 40 3 8 oT T0/`�7 $• F - a fi TOTAL _ � - I `F _ q- -7 / G'EA2T/F Y THAT THE F3 U/C.D/AJ G L 3 / TE '- � E vv f� G � /"� � /�/ r_WoPo3ED Cm.1k_THE G�2©unJa i9S SA40tooVAJ OA,J T74/5 PL-,,qAJ DOES4 fi FLH�`-r >OO�G 37C PHGE C-0Ah=0,2M 7 0 TP•-/E Bu/G D/A/G L`' T>r2! V BAck ARE-QuIe&.^�EA/TS 0, THE coTu T To w^! � ;r t� l}r ` AS SHOl�/A./ DATE . JR�lu � I 230 f� L / `►-j / CLAJ E` L3 LIPJAN . 29 /98S NAL t -- - Inc . O oO axis+fnq e /eva-fion BL D6• SET't3Ac� _ 1-70 cJTH , M�95S. o. pp Proposed a/� vcttron �EQU/,2E•MENTS ,�'''=r'„j `- - -- - - a XISffn ConfoUr-S -o—�- - — Pr••oPos�© confour5 re a«- #