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HomeMy WebLinkAbout0420 STARBOARD LANE - Health 420 Starboard Lane Osterville P A 167 027001 i 1 r <74 COMMONWEALTH OF MASSACHUSETTS x EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS s DEPARTMENT-:OF ENVIRONMENTAL PRr TION- _. MAP . -­-MAP ®Z I . AUG 14 NO LOT TOWN OF BARNSTABLE HEALTH OERT, TITLE 5 OFFICIAL INSPECTION.FORIM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE ]DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address:. Owner's Name: Owner's Address: 1 2!p Date of Inspection: LL Name.of Inspector• (please rint). , f TUl(2� Company Name Mailing Address: Q 00-40 Telephone Number: ^ '7-7 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 the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to ection 15.340 of Title 5(310 CMR 15.000). The system: ►' Passes Conditionally Passes Needs.Further Evaluation by the Local Approving Authority ils Inspector's Signature: / Fate: (i(543 The system inspector shall submit a copy of this 'inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. Ifthe.system is a shared systemor has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes.and Comments( k� ��L � _ ., _... "This report only describes conditions at the time of inspection and under the condition's of dse at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form. 6/1.5/2000 page 1. Page 2'of I I r OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 4,1A Owner: Date of Inspection ` Inspection Summary: Cheek A,B,C,D or E/ALWAYS complete all of Section D A. stem Passes: I have not found any information which indicates that any of the failure criteria described in 10 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If,-"not determined"please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as'approved by the Board of Health. *A.metal septic tank will pass inspection.if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or-replaced ND explain: The system required pumping more than 4 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 ND explain: 2 Pane 3 of 1'1 OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued). Property Address• Owner (-2,&&, Date of Inspection: `7 ar C. Further Evaluation is Required by the Board of Health: Conditions,exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance.with 310 CMR 15.303(1)(b)that the system is not functioning in a�manner which will protect public health,safety and the environinenti _ Cesspool or privy is within 50.feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier,if any)determines that the system is functioning in a,manner that protects the public health,safety and environment; _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic.tank and SAS and the SAS,is.within a Zone. I of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a.private water supply well. _ The system has a septic tank and.SAS and the SAS is less than 100,.feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory,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 nitrogen is equal to or less than 5 ppni,.provided that no other failure criteria are triggered. A,copy of the analysis must be attached to this form. 3. Other: }• 3 Page 4 of I I OFFICIAL.INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART:A CERTIFICATION(continued) Property Address: Owner: . Date of Inspectio . D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to-each of the following for all inspections: Yes No „ _ 1 Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool Discharge or ponding of effluent to the surface of the around 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 overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6"below invert or available volume is less than '/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 SAS,cesspool or privy is below High ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface 'J water supply. "[ Any portion of a cesspool or privy is within a Zone 1 of a public well. Any portion of a cesspool or privy is within 50.feet of a private'water supply well. V Any portion of a cesspool or privy is less than 100 feet but.greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,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 nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system jhe system must serve a facility with a design flow of 10.;000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply-to large systems in addition to the criteria above) yes no — 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 If you have answered"yes"to any questibn in Section E the system is considered a significant threat, or answered "yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of 1.1 OFFICIAL INSPECTION FORM.-NOT FOR VOLUNTARY. ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM =PART B , CHECKLIST Property Address: � �}f�T,c� Pa A Owner: . Date of Inspection: Check if the following have been done.You must indicate"yes"or."no" as to each of the following: _ Yes No: Pumping.information.was provided by the owner, occupant,or Board cf Health ✓Were.anv of the system components pumped out in the previous two weeks? Has the system received normal flows in the previous two week period? Have large.volumes of water been introduced to the system recently or as.part of this inspection? Were as built plans of the system obtained and examined? (If they were not_available note as N/A) Was the facility.or dwelling inspected for signs of sewage back up Was the site inspected for signsrof break out Were all system components,ezcludin-the.SAS,-located.on site? ' Were the septic tank manholes uncove'red,.opened,and.the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions,depth of.liquid,depth of sludge and depth of scum?. 1/ Was.the facility owner(and occupants if different from owner).pro.vided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the SoilAbsorption System (SAS)on the site.has been determined based on: Yes no Existing information. For example, a plan.at the Board of Health. V — Determined in the field(if any of the failure criteria related to Part C.is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)). 5 Page 6 of 11 OFFICIAL INSPECTION,FORM-NOT FOR VOLUNTARY ASSESSMENTS . .SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION.FORM PART C SYSTEM INFORMATION Property Address: Owner: Date of Inspection- FLOW CONDITIONS RESIDENTIAL Number of bedrooms.(design): .. Number of bedrooms(actual): . DESLGN flow based on 310 CM 15.203 (for example: 1]:0 gpd x # of bedrooms): Number of current residents:_ 3 Does residence.have.a garbage grinder(yes or.no): ,�/(• T � ' Is laundry on a separate sewage'system (yes or . .f.if yes separate inspection required] Laundry system inspected(yes or no') Seasonal use: (yes orno):_ �/ Water meter readings, i available(last 2 years usage (gpd)): C NkAzzV 62—i63,MO Sump pump(yes or o y Last date of occupancy: �`, COMMERCIAL/INDUSTRIAL/� Type of establishment:.. Design flow Oased on 310 CMR.15.203): gpd Basis of design flow('seats/persons/sgft,etc.): . 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/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information:4part , /c31 Q Was system pumped asf the spection(yes or no): If yes,volume.pumped: gallons --How was quantity pumped determined? Reason'for pumping: . TYPE F SYSTEM eptic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool _'Privy —Shared system.(yes*or no)(if yes, attach previous inspection records,4f any) Innovative/Alternative technology..Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank _Attach a copy of the DEP.approval _Other(describe): proximate ag f all compo ents date installed(if known)and source of information: Were sewage-odors detected when arriving at the site(yes or no): 6 Page 7 of l l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM . ' PART C SYSTEM'INFORMATION(continued) V,:>)O Property Address• ofi h'y'& I Owner Date of Inspection: BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction:_cast iron _40 PVC_other(explain):- Distance from private water supply well or suction line: Comments(on condition of joints,venting;eviderice of leakage, etc.): } ' SEPTIC TANK: Zaocate on site plan) Depth below Grade: Material of construction: vCncrete_metal_fiberglass_polyethylene —other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) I _, Dimensions: Sludge depth: Distance from top cif Mudge to bottom of outlet tee or baffle: _ ; Scum thickness: Distance from top of scum to top of outlet tee or baffle: Z >� Distance from bottom of scum to bottom of outlet tee or baffle: How were.dimensions determined: c Comments(on pumping recommendat ons, inl t and outlet tee or baffle condition, structural integrity, liquid levels related to outlet invert evidence of leakage,etc. . GREASE TRAP ,locate on..site plan).. Depth below grade:_ Material of construction:_concrete_metal_fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet.tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid-levels as related to outlet invert,evidence of leakage,etc.): `` 7 l Page 8 of 11 OFFICIAL,INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner. 3 . Date of Inspectio . TIGHT or HOLDING TAN! (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete .metal fiberglass_—polyethylene_,other(explain): Dimensions: Capacity: Gallons. Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of fast pumping: Comments(condition of alarm and float switches, etc.): DISTRIBUTION BOX: .✓ (if present must be opened)(locate on site plan) A Depth of liquid level above outlet inv�tributionto Comments (note if box is level and dis equal, any evidence of solids carryover, any evidence of akage into r out of boxVet ): �!( PUMP'CHAMBEFI (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments (note condition of pump chamber,condition of pumps and appurtenances, etc.): 8 Page I 1 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner. Date of Inspection: IVp 4L1 J? SITE EXAM, Slope Surface water Check cellar Shallow wells Estimated depth to around water Z Z feet Please indicate(check) all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked, date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) Checked-With local Board of Health-explain: Checked with local.excavators, installers-(attach documentation) Accessed USGS database:-explain: You must describe how you established the high ground water elevation: I1 Permit Number: Date: Completed by: �7 HIGH GROUND-WATER LEVEL COMPUTATION Site Location: 6 ZO 541rh6urdler 0,51,ely lk Lot No. . Owner: p Address: Contractor: ���• /:. C© Address: J`�,7 dl l/SI yl� Notes: STEP 1 Measure depth to water table tonearest 1/10 ft. ....................:...................................................... .... .Date month/dzy/year ST=P 2 Using Water-Level Range Zone _ and,1ndex Wel'I'Map locate site and determine: M/'W OAppropriate index well.......................... ........................ i J Water-level range zone ..................................................... C STEP 3 Using monthly report•"Current Water Resources Conditions" determine current depth.to © � . I water level.Jor index well .......::................. j month/year STE using Table o=_Water-level.Adjustments for index well (STEP 2A), cun:ent depth' to water level for index.well ('STEP 3), 'and water-Ieverzone (STEP 2B) determine water-level adjustment-............................:.............................................................. I STEP S . Est.imate depth to hign:wrter by subtracting the water- level adjustment (STEP 4) from measured depth to water level a site (STEP 1)'.:.................................... ......;.......................... I 5 Figure 11--Reproducible compuiat.ioli form. ID i.. .�....,.....��,,...�,,:T�. �.,.:�....i, ��... .m.J,,...-....._..~_._,,........,,..��......�:•;i�J....>,�-...,.... ......,,.....� t lr�%a�l����`e���y... ......... i LOCATION _ SEWAGE PERMIT NO. VILLAGE INSTALLER'S NAME A ADDRESS BUILDER OR OWNER . !lit &�tf20 �( ti DA-'.T .E PERMIT ISSUED /�= 7,Y DATE COMPLIANCE ISSUED _ � � . ti� �� L"� „�� �. �. � __ _.. ge No.... F ............ ER.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD 0,F HE�ALTH 4";;0 OF........... . .............................................. Appliratiott for Dhqpviial Works Tatulrurtion ramit Application is hereby made for a Permit to Construct (� or Repair an Individual Sewage Disposal System at: et . .............................4Yst............... oco%nz Address or Lot No. -----------------------------------*----------------"................................ . ........ Owner Address ..........Aimlpl............................................................... .................................................................... Installer Address Type of Building Size Lot............................Sq. feet U oms........ ................._..._...Ex ansion Attic Garbage Grinder (L-�) Dwelling—No. of Bedro 44 Other—Type of Building ............................. No. of persons............................ Showers Cafeteria PL4Other fixtpres ------------------------------------------------------------------------------------------------------------*---------------------------------------- < 7$7— ---------------6.�_ .jd........_..gallons. .........k5 Design Flow........ .... ..................gallons ��rperson per day. Total daily flow. W 10 9 Septic Tank—Liquid capacity/56'D.gal ns Length................ Width___-___-_-_____. Diameter._._............ Depth..........__._.. W 1. Disposal Trench—No. ---_---_--------- Width.....X.......... Total Length............ Total leaching area....................sq. ft. .......e2— Seepage Pit No ............ Diameter.........ye.1...... Depth belo,% Total leaching area..._ZT...sq. ft. Z Other Distribution box ( ) Dosin nk ) . 0 0-4 Performed by... --L.. .. ...... Date... Percolation Test Res I �P' 2 -- _ ---_------_-----_---- Test Pit No. 22k-----minutes per inch Depth of Test Pit---- ............... Depth to ground water------------------_---- 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.._..:...............___ f S 0 Descripti ----------------------------------------------- Igno oil................................................ 9 .......... ............................. .. .............................................................................................................................................................................................. U Nature of Repairs or Alterations—Answer when applicable------------------------------------------------------------------------_---_____---------_--- Agreement: The undersigned agrees to install the of es, 'bed In ual age Disposal System in accordance with c 5 of the State Sz C_ T the provisions of TITL ry Code e undersigne further agrees not to place the system in ,- operation until a Certificate of Complianc has been is ed y the board health. Si ....... ...... ................................ 7.......... Date Application Approved By....... Date .. Application Disapproved for the following reasons:....................... 77............................................................................................. .....................................................I.................................................................................................................................................. -09 Ad Date PermitNo........................a.........-----.....- ... Issued_.�- .................. Date IVea 1�.... «a Fins.......�....... ...... .. y THE COMMONWEALTH OF MASSACHUSETTS {f .5 BOARD QF HEAL"T1-1 1 f .... O F .:.. T- ,���?Iir�#i�a�t 'A' I" tion" hereby',made fora Permit Ito Construct '(VA or R`p�air ( ) an Individual Sewage`Dispo Al system atOW pn-Address. or .Lot No. Owner Address a` "Installer Address " - d ~f Type'of Building Size Lot---- -------------------Sq. feet Dwelling—No. of Bedrooms_ ....... .- :Expansion Attic ( ). Garbage Grinder (+L Qther—Type, of .Building ...... No. of persons. ... Showers — Cafeteria Other fixtures Q. -•---•--•--•••---- -,+ ______________gallons er> erson,"er day. Total Bail flow..___.._______^. d.....` ..gallons. W Design Flow ... ------ g P P P Y Y g� W • Septic'Tank Liquid capacityX -gallons Length................. Width Diameter................ Depth... .... x Disposal Trench No ..............._.... Width___ a� Total Length Total leaching area....................sq. ft. +r ; Seepage,P.it'-No.__..., -�-_. Diameter......... "... Depth Uelow let .___. Total leaching area.... '_ sq. ft. `mz :Other Distribution box Dos a; Percolation Test Resin ,°Performed`by_ :` tKf Date.7.f,l °,�t "" ' Test Pit minutes per inch Depth of Test Pit Depth to ground water G� ,Test`P No 2 _._.........minutes per inch 'Depth of 'Test Pit. ......:......_._. Depth to :ground.-water _:_.,...________._... O Description'of Soil.. .... `._. 2_' its. Z / . x �v Y U Nature of Repairs or Alterations4—Answer when 2pplicable,................... .. r ------------- ---------•••-----•-----•----•-. --•••- --• .•. -------•.._...•• --- •--•-•--••----- ................................. Agreement: The tindersigned agrees;Ito: install the of red�'bed IrrcTf ual_S age rDisposal'System in;accordance with the provisions of iITL: 5 bf the State Sa nary Code T e uiidersigne' further agrees=not to place the system in � . operation until a Certificate of Complianc has been.is ed y the board health f Application Approved BY-•---- --. dr--- ate Application % , Date Application Disapproved for the following reasons' .. ... ..;:_._. ;___. :..... .................... , j .............................. .. ............••• '.. . ................................................ Date .,Permit No=------------------------------------•---• ;, n Issued--------------------- --------.....----•--•--.. Date THE COMMONWEALTH OF MASSACHUSETTtS• BOARD OF ALTH r ' THr is T�CERTIFY, That the Individual Sewage Disposal Sy tem Zconstruc:ted or Repaired ( ) by.... .{�- ..........- --------ns---- ------- at �, r -. has been installed'in accordance with the provisioiis'of of Thf State Sanity Code as described.m the application for Disposal Works Construction Permit N .. t __: „�' _ ..... dated � ?_._.__._... THE ISSUANCE OF THIS, CERTIFICATE SHA NOT BE.CONSTRUED,AS.A'•GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. � � - ` DATE................. -Ins `ector THE COMMONWEALTH''OF MASSAC-HUSETTS Y 13040D OF HEALTH OFL ..e................................ No ....... FEE....a . ..... Permission, hereby granted...._ ¢ -to Construct (kjor Repair' ( . ) Indivi ual eiiia Dispo al' t at No:.. ;rat, � _;?� - treet ' as shown on the application for:DisposaLW'rks Construction Permit o or ABar�� . Dated.::. ............ oth DATE . •... ---•---•-....... ,....................- .. . -• ' FORM .1255,HOBBS & WARREN'. INC.; PUBLISHERS J N. f 7/13/2021 ShowAsbuilt(1700X2800) LOCATION SEWAGE PERMIT NO. LOT 19Q57AR&Apri Lnae 05Ti :7N — U ?,0 VILLAGE INSTA LLER'S NAME R ADDRESS H 31r.C, peP ST 14), 130~ R n/ f�rA fLC- BUILDER OR OWNER F? 1 CfQnb DATE PERMIT ISSUED �,_�!�— ?g DATE COMPLIANCE ISSUED 0 2y-7k. r ZM� t 3C SI https://itsqldb.town.barnstable.ma.us:8431/Home/ShowAsbuilt?mp=167027001&sq=1 1/1 t -7. ir Re . moR Air "/,v CO VC a Apo OfflADO CAN, :EXTRA fir Irre A az 41S.-s'a, S7 foo: li;o,:,. W"4 Y co elffl L AVlJV. CIO CR& 04 4D 4ff, C 0 joeE"4? c -TAV-,O 1 2 AYER-;.C /S 0A v 2 IA. P1rCW ' l WA 5,YeD .570N.- # EPT• A 5,VE,* .011'd, 0 4 PA" r e A71es �.S P r PIAM INY V1l_,D1Afr, 6 IR_, &,R.7 AT ff C( EE 7,-48Z/j_A "J&4�k'r: SCPrIC. -r.4 M,< 01,4 m .5 DAo, BOX 94,8 7* d F SHC -7 _94- 0(1-;r2E7'P15MRl,9&F-rION-Box �sy r POSA I /A?Z-.j57- 4.rA CH IMCF PIT 7. 7A49411-A VO l.5ACH11V6- 00/ r 0 DIMENS1ON A S/6V Cq rER1A j TF r TOTAL &-ST/A%47-,-D -1-0*V QGAL DAY 'So/4 TEST A/1 NUM 8EA1.OvF TEST 71 lT1dO,=-4eACAf1MCl APEA?Pl 7' 7, of 41A.7 JS AV1tA1&SSZD AY /< 490 7rOWAA A so','FT�� -4 aA-M,' r o 5 TOTAL' ? e4cH1wr AA?eA 5 2 SQ.. r CC04ArlOMqAr _3 1 V INCH . DENSE A '4- Fr?A/& 0 OF .12 lieb /_,%AIE "z C p .BUNIKIS NO 22162 e MA IV- Y, AIA Y. -A,hiob a, - ��,. ti `,- { _ _. ?�•' ,<._ <r / fir'•',+ � - , • Va .. r - '.�• F .a .may _.. �! ILO 44 /OQ%b. $ . ��k' �.. 16 , _- ` is -`_ S ��3»�j�' •- - -q - . ' ,.-., - , Si=lE : vI Al Cam. p. 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