HomeMy WebLinkAbout0021 ALISON CIRCLE - Health (2) i erg life
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TOWN OF BARNSTABLE
\-LOCATION Z.1 AliSot, Circ.lc.. SEWAGE# Z01G • y$)
VILLAGE 054at'u.I lc.. ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO. Q • _ �X CaJc��i o
SEPTIC TANK CAPACITY /000 Qa_J
LEACHING FACILITY:(type) r,'c)cL (size) /5 x 30 x .$
NO.OF BEDROOMS 3
OWNER z
PERMIT DATE: 1 Z -15-11. COMPLIANCE DATE: If/di:7
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
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 b t 8 f-X(a yafiov) Jn C
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THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
.01pplication for Misposal *pstrm Cottet urtiott 3pPrmit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No.a LAN I son CLri�j P Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel J rv, _r Nc E; 1e5
Installer's Name,Address,and Tel.No. 60 - -7 7 - Designer's Aame,Address,and Tel.No.
�f 06P53 hejeiV En V r7 l' gLf-I t
Type of Building:
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) gpd Design flow provided 3-3— gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank 100 Ch () Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) Le-ack,t(Zq ..cp 1 .0 W zodbcx.
CMacU PO Vq h L)MD
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 o
Si Date
Application Approved by Date D
Application Disapproved by Date
for the following reasons
Permit No. AD Ito — � Date Issued 116
Y I�
[�,,5 /
N��(P / �¢ ,,. , Fee
• THE COMMONV�EA�TM OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ftplicatlon for M spos�l *pstrm Construction Permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No.Q ,.,4 0 son g Owner's Name,Address, nd^Tel.No.
Assessor's Map/Parcel /44 1 �� @ Qr Nu J/c�
Installer's Name,Address,and Tel.No. - '7 7 g0 — D-e-siig-;ner's N°ame,Address,and Tel.No.
Type of Building:
Dwelling No.of Bedrooms �13 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons i Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided a3 gpd
Plan Date Number of sheets Revision Date
Title / 1_
Size of Septic Tank 10�1 e X I S T 109 Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) IV Zod
(000 coal P v cry C hCAmL PY 6t.)/ `J'+ h p D
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 o
Sigog Date
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. Date Issued
---------------------------------------------------------------------------------------------------------------------------------------
`' THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIF((Y,,that t e On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( )
Abandoned( )by XLQ y W(on
at Z L4k 5D`l has been constructed in accordance
with the pr•visions of Title 5 .d the for Disposal System Construction Permit N 16 —��5 dated
Installer �,� � I � Designer Q1l l 9n`,j
#bedrooms Approved design flow 3 gpd
The issuance of this plit shall not be construed as a guarantee that the system 11 fii ctio designed. c
Date I t Inspector J
------------- ----------------------------------------- -----------------------------------------------------------------/--- --n--1,-------
No. 'w& — �/ Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Disposal �bpstem (Construction Permit
Permission is hereb granted to Construct( ) Repair( ) 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:Construction must be co/ plete within three years of the date of this permit.
Date l / /S p Approved by /
c
Town of Barnstable
O*IHE la, Regulatory Services
Thomas F. Geiler, Director -
" '"R AIM, ' Public Health Division
neat" Thomas McKean, Director.
-200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Date: I Sewage Permit# a O I(p' J Assessor's Map/Parcel
Installer& Designer Certification Form
Designer: Flboy nw romOdl �Nl Installer: �Xcfty
Address: l O ��X U I Address: N Tt a b-ty m
�I a,Y►rnu ��� M V ForASU a I e M y}
On a 115 I I L� �� b Call CCU (�O n was issued a permit to install a y
(date) (installer) l
septic system at a I /1 l I So n 1,O'b WMA Q based on a design drawn by
(address)
t
i l Q I h Io Envl'(6 I In to dated M1 a I E I �o
(designer)
I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank. Stripout (if required) was inspected and the soils
were found satisfactory.
,0
I certify that the septic system referenced above was installed with major changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system) but in accordance with State & Local Regulations. Plan revision or
certified as-built by designer to follow. Stripout (if required) was inspected and the soils
were found satisfactory. r
' e OF i ss
//,✓lam✓ A ,,'f
+ , staller's Sx.® ature) j Fr`` LAHERTY,'JR. N
X fro. 1211
a
'�SQISTE��
i
(Designer's Signature (Affix D sir.: amp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
q:loffice formsWesignercertification form.doc
r
��:A�,+•, Town of Barnstable r#
Department of Regulatory Services
Public Health Division x Date
MABi j
r'e39• �200 Mein Street,Hyannis MA 02601
' AlFll MK`� � , � t wi.!,�., •� �l ��r�4„ `, tit .
Date Scheduled Z ..(N ` + ' Time O—00 -
Fee,Pd.
Sail Suitability Assessment for.Sewage Disposal
Performed-By: Aiq" /,0 Witnessed By: r► " lk� S
LOCATION&.GENERAL INFORMATION
Location Address Owner'a Name /L ,
0S-?!�, V `(,r, Address
Assessor's Map/Parcel: ` L� 1
lt�X� Engineer's Name r/ v�� p, �
NEW CONSTRUCTION REPAIR t Telephone# �y-q Q �;�4 G.
Land Use 1&4 Slopes(9h) ' Surface Stones
Distances from: Open Water Body ft Possible Wet•Area��ft Drinking Water Well ��ft
Drainage Way ?✓" ft Property Line Lzf)__ft Other {)
SKETCH:(Street name,dimensions of lot,exact locations of test holes&pare tests,locate wetlands fin proximity to holes)
7 r7 `
Parent material(geologic) Depth to Bedrock
• 1, / , I
Depth to Groundwater. Standing Water in Hole: 1Weeping from Pit Fnea �lJ
Estimated Seasonal High Groundwater
DETERMINATION FOR SEASONAL•HIGH WATER TABLE
Method Used:
Depth Observed standing in obs.hole: In, . Depth to loll mottles,
Death to weeping from side of obs.hole: l In, droundwater Adjustment tY.
Index Well-# Reading Date: Index Well 14vol Adj,factor _. ,_ Adj.Groundwater Level
PERCOLATION TEST — Dale a n,�
Observation qq�
Hole# ,Time at 9"
Depth of Percr� Time At 6" Nj
Start Pre-soak Time® �a'0 J/�� _ Time(9"-6")',,(lj
End Pre-soak O71�
Rate Min.Anch
Site Suitability Assessment:,Site Passed Sit;Failed: Additional Testing Needed(Y/N)
Original: Public Health DIvIslon l' Observation Hole Data To Be Completed 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:ISEPTICIPERCFORMMOC
��� .US
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DEEP.OBSERVATION HOLE LOG Hole#"`
Depth from Soil Horizon Soil Texture Sdil Color Soil• • ` Other 1'
Surface(in.) (USDA) (Munsell) Mottling (Stnucturc,Stonef,Boulders.
ornsIstency.%'travel)
INIt S'
YY
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soll Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) ` Mottling (Structure,Stones,Boulders.
Consistency.
t'
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders..
Consistency,
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil, Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Scopes;Boulders,
Consistency,
t
Flood Insurance Rate Map.
Above 500 year flood boundary No Yes
Wlth(n 500 year boundary No; Yes,
Within 100 year,flood boundary No../— Yes
Depth of atutrauy accurrin Perviovs_Matertt,l
Does at least four feet of naturally occurring pervlou material exist in all.areas observed throughout the
area proposed for the toil absorption system`?
If not,what is the depth of naturally occurring pe ious material?
Certii"ication
I certify that on �• 2 (date)I have passed the soil evaluator examination approved by the
Department of Envi,6dental Protection and that the above analysis was performed by me consistent with .
the r tiired tra. . ,expertise. d expe 'once Opscribed in 10 CMIt 15.017.
e9 g --,
1.
• Signature Date ,
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Name of Owner ......... ` /
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Name, of
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Name of Architect ................
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- Foundation .••••••••••
Number of Rooms ...............:.��....,.................................. , ......
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Floors ..................... ..........
......Plumbing ...
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Heating ........ (��.., ... .. ......
......Approximate
roxi mate Cost
........................................... S..
Fireplace
Area o�
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Definitive Plan App
roved by Planning r , �.
Fee
Diagram of Lot and Building
with Dimensions
SUBJECT TO APPROVAL OF BOARD. OF HEALTH
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` map and lot number (O '7 /t E of Twf t0
/Health(3rd floor): SEPTIC SYSTEM M
Permit number � .3? INSTALLED IN COMP i
eeringi
f/e number
Department(3rd floor): WITH TITLE 5 'o "1° LL
fuse number WITH
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,'afinitive Plan Approved by Planning Board 19 AL (,,'�� d•
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
TOWN OF BARNSTABLE .
BUILDING -INSPECTOR
APPLICATION FOR PERMIT TO _Db KCLM.S Po �bZf 9&:�'4y E%F bf )((S�JI�(Y (ST�Z, c�C'TZ9'e 6-
TYPE OF CONSTRUCTION �f ZAJUL
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location 2 A h L S dQ C`_l Ie_L 6S MA CZCOX" I Zc
Proposed Use fU�C S �� L l�l(� t V, ��C�. a �I fJ C��Co �:
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—111111k Zoning District Fire District cE_"`L-�_2Vtt,<
Name of Owner ��(i� �t,4 J1��-� Iy�� r��S Address 21 4(S0
Name of Builder K A- Address
Name of Architect i\j ( !T Address
Number of Rooms N-k)I) Z� CooAAS FoundationEmyli,�
Exterior_ 17b � !':�Z �" �S t �Cl I Roofing 41 Twct, Cluj t11 ��2�SSC'.��u O,0-
Floors 17� Wi1�l.lLy.1, .1t,;5 tcy InteriorD� �`u4LL tiLvYtt� ;� C�'{�S
OV 2 L AZ A-P s3 422 E�
Heating �5� t4�Z.D fiav, %e r)(L_ Plumbing
Fireplace Approximate Cost �G, C.,Co �O
Area 3c6 Sa Fi,.
Diagram of Lot and Building with Dimensions Fee
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S7-rzccr�.L�� �J �Z XIS?T Jr--12
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"LOCATION ,,�a>Ile ��fi'� 5ENN&C,F71 PERMIT UO.
VILL
IMST LLER 5 ►J E ADDRESS
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DUI ER 5 tJ L1 !F—�k AD0/2E SS
CYL
DN'('E PERMIT ISSUED
: DATE COMPLI &MICE ISSUED;
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COVERS TO BE WATERTIGHT AND SEPTIC SYSTEM EM PROFILE FlahertyEnvironmental Services
BROUGHT TO WITHIN 6 OF FINAL GRADE
" TOP OF FOUNDATION .
EL. 60.0' EL. 58.0' (NOT TO SCALE) P.O. BOX 81
INSP. PORT W/I 3" OF GRADE' Yarmouth Port, MA 02675
.
ALARM AND CONTROL PANEL n, 774.994.1166
' TO BE INSTALLED INSIDE 2 PEASTONE OR -
BUILDING. ALARM TO BE ON GEOTEXTILE
4" CAST IRON or EQUIVALENT . T SEPARATE CIRCUIT PROM PUMP EL.S8:0't CLEAN SAND
MIN. PITCH 1/4" PER FOOT FILTER FABRIC
4"SCHEDULE 40 PVC PIPE 4^SCHEDULE 40 PVC PIPE VENT
FLOW LINE
60.
• EL. 5 .
OUTLET COVER TO GRADE frlrst 216,be IBVe/) •.
EL. 57.0' .
L.EXISTING REs R uNE
',,•', 14" • INV.IN SS.B' 1000 GAL H-10 S U -
EL EXISTING 440 GAL+ SLOP E TO DRAIN BACK
EL. 56.63'
- _ - FLOAT SWITCH ALARM ON RESERVE WEEP HOLE'
SETTINGS: EL.56.8' 6"
ZABEL A1800 PUMP`oN CHECK VALVE _
FILTER OR EQUAL as'WORKING RANGE 9• MYE*S SRM 4 EL.56.0'
' 5,3' SUBMERSIBLE 4 f0 HP PUMP -
...a -
• PUMP OFF B^ SYSTEM(OR EOUAU PC - EL. 56.6' I
Yo INSTALL INLET SOIbABSORPTION SYSTEM
•g °,.,• TEE r'ABOVE (1) LEACHFIELD 15'W X 301 X 0.5`D USING 5.0'
• . 1000 GALLON PUMP CHAMBER OUTLET INVERT
1000 GALLON SEPTIC TAW - PERFORATED PIPE AND SURROUNDED •
CLEAN,DOUBLE
`(DATUM: ASSUMED (EXISTING) (PROPOSED) 0:5'CRUSHED STONE OR WASHED 'TO 1 STONE BY DOUBLE-WASHED :4 TO 1 21" STONE
FEASIBILITY OF ACCOMODATION AND CAPACITY MECHANICAL COMPACTION -- EL, 51.0
OF EXISTING ELECTRICAL SYSTEM FOR NEW ELECTRICAL
COMPONENTS MUST BE CERTIFIED PRIOR TO
INSTALLATION OF ANY COMPONENT LOCATION MAP
. _g BOTTOM OF TEST`HOLE EL. 48.0 -:
REDOX AT ELEV. 51.0'
_ ti
G.W. ELEV: 49,25' No TH ,
12,5' ,
64� 12,5'
Rebecca Ln,
+ m
TH-1
V�. LOCUS _
v _TH-2 js
Rr 2,9 ,
_` O 20. CAUTION 23,3'
`V 17^ SEE NOTE #61 BENCHMARK: �NTS
`CEO O \ TOP OF FNDN Y
EL. 60.0' �SNOF44.4
PR P.
EXIST, S.T.
�114 J
EXISTING LOT 32 1 J f19
3 BR .0.49 ACRES±
DWELLING
MAP -146 'LOT 41 O�srER``
S4NI TAR\P
DECK
DATE:1112912016 REVISED:121812016
GARAGE SITE AND SEWAGE PLAN
58 = Zti�33 FOR
N B & B EXCAVATION, INCo/
MARY HUGHES
21 AUSON CIRCLE
58 SCALE : 1 n _ 3 0' � OSTERVILLE, MA
REF.'LCP 32225-8 SH 3 PAGE 1 OF 2
.............. ....................................... ................................................................................................................................................................... ..................................................... ................ ........................... .... ................ ................................................................................................................................................................. ............ .......................................................................
GENERAL NOTES DESIGN CAL CULA TIONS S YS TEM DETAIL Flaherty Environmental Services
P. 0 . Box 81
1. ALL PRECAST COMPONENTS TO BE H-10, -Yarmouth Port, MA 02675
RATED. ALL COMPONENTS WITH ANY 774.994.1166
NUMBER OFACTUAL BEDROOMS 3
ANTICIPATED VEHICULAR TRAFFIC TO BE
H-20 RATED, 1,
GARBAGE DISPOSAL UNIT NO
'2. THE DESIGN OF THIS SYSTEM DOES NOT.
ALLOW FOR THE USE OF GARBAGE. TOTAL ES TIMA TED FLOW
GRINDER. (I 10 GAUBRIDA Y X 3 BR) 330 GAL./DAY
3. MUNICIPAL, WATER is AVAILABLE.
REQUIRED SEPTIC TA
NK CAPACITY CITY 660 GAL.
4.' ALL CONSTRUCTION T CONFORM WITH
310 CMR 15.000 AND ALL OTHER SIZE OF SEPTIC TANK 1000 GAL:(EXISTING) 15'
APPLICA
BLE LOCAL, STATE AND FEDERAL SIZE OF PUMP CHAMBER 1000 GAL. (PROPOSED)
CODES AND'REGULA TIONS.
5. INSTALLER/CONTRACTOR TO REVIEW& 0
VENT
VERIFY ALL,ELEVATIONS AND DETAILS SOIL CLASSIFICATION
AND REPORT ANY DISCREPANCIES TO
DESIGNER PRIOR TO CONSTRUCTION OR <2 MINANCH DESIGN PERCOLATION RATE
ASSUME ALL RESPONSIBILITY.
EFFLUENT LOADING RATE 0.74 GAL./DAY/FT.-`
6. INSTALLER/CONTRACTOR IS 30, 41
RESPONSIBLE FOR MAINTAINING SAFE
LEACHING AREA
WORK AREA, VERIFYING ALL UTILITIES
4'
AND NOTIFYING. "DIG'SAFE". 15.0',x 30.0' =450 SF
(1-888-344-7233) 72 HOURS,PRIOR TO 450 SFx 0.74 =333 GPD
CONSTRUCTION.
USE PERFORATED PIPE WITH STONE
7. ANY CHANGES TO OR DEVIATIONS FROM
AS DIAGRAMMED INA 15.0'X30.0'X0.5'FIELD CONFIGURATION
THIS PLAN MUST BE APPROVED.IN
WRITING BY FLAHERTY ENVIRONMENTAL
SERVICES AND LOCAL BOARD OF r RESERVE LEACHING CAPACITY NIA
HEALTH. •
8. FINISH COVER OVER COMPONENTS IS
NOT TO EXCEED 3'PER 310 CMR 15.000.
(NTS)
UNLESS SHOWN PER PLAN.
9. ALL ABANDONED SEPTIC SYSTEM
COMPONENTS TO BE PUMPED DRY AND,
FILLED WITH CLEAN SAND OR REMOVED SOIL, EVA L UA TION
AND:REPLACED WITH CLEAN SAND.
TEST HOLE#1 P#15215 TEST HOLE#2 P#15215,
10.ALL COMPONENTS TO BE PROVIDED Evaluator- David D.Flaherty Jr,RS,REHS Evaluator. DavIdD.Flahertydr.,RS,REHS
WITH WATERTIGHT ACCESS PORTS qE#2755 SE#2755
BOHWitness. David Stanton, BOH Witness: David Stanton,RS
WITHIN 6"OF FINISH GRADE. RS
Date: November22,2016 bate. November22,206
11.ALL SEPTIC TANKS, DISTRIBUTION
BOXES AND PIPING TO BE INSTALLED
TH-I ELEV.58.0' TH-I ELEV.58.0'
WATERTIGHT. 7 certify that on November 12,2002,l have passed
12.NO KNOWN WETLANDS OR WELLS 0"-15" AIE LS 10 YR 212 0%15" AIE LS 10 YR 212 the examination approved by the Department of
Environmental Protection and that the above analysis
WITHIN 100 FEET OF PROPOSED has been performed by me consistent with the
LEACHING. 15%25' B LS 10YR 516 15--25- B, LS 10 YR 516 required training,expertise,and experience described
in 310 CMR 15.018(2).
13.THIS IS NOT CERTIFIED PLOT PLAN
AND UNDER NO CIRCUMSTANCES IS THIS -�kA OF 414
PLAN TO BE USED FOR ZONING OR
BUILDING PURPOSES. DAVI
SITE AND SEWAGE PLAN
14.LOT IS SHOWN AS ASSESSOR'S PARCEL
FLA R j N FOR
MAP 146 LOT 41 .
— — 25%120" C MS 2.5Y 614 2511-120" C MS 2.5Y 614li B & B EXCAVATION, INC./
15.LOCUS PROPERTY IS NOT LOCATED
........................................................................ ....................................................................
11113G I STEM MARY HUGHES
WITHIN AN AQUIFER PROTECTION REDOXATELEV.-51.0'. REDOXATELEV.51.0'
G,W ELEV.49.25' G. ELEV 49.25' 17
NIT
DISTRICT(ZONE 11). W. 21 ALZSON CIRCLE
BOTTOM TH-I ELEV. 48.0' 'BOTTOMTH-2 ELEV.'48.01 OSTERVILLE, MA
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