HomeMy WebLinkAbout0062 ABLE WAY - Health 62 Able Way
Marstons Mills
A = 046 122
i
TOWN OF BARNSTABLE
LOCATION 62 196 L_E . W%---o SEWAGE #ZOO I��
VI LLAGE.� - � 1-ar5�61,f h1�°�15,�ASSESSOR'S MAP & LOT 0�1�o�ZZ
INSTALLER'S NAME&PHONE NO. &i7-Z>h j J9jeC'-,tca:t'o, Y;79my 177
SEPTIC TANK CAPACITY .1 P770 i—::!'X
LEACHING FACILITY: (type) 2 k 5-0 (size)/3)e 75''><
NO. OF BEDROOMS ¢ f®^ X
BUILDER OR OWNER TQAiq �fir %da
PERMTTDATE: ''�`—ZO ` eT COMPLIANCE DATE: `
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility (If any wetlands exist k-1-
within 300 feet o leaching facility) Feet
Furnished by °
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.� 0 3 /� i�d ��
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No. � 79 Fee -5o
^^ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
' Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
y
01pprication for nigpont *pgtem Con5truction Permit
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. &2 10L-E w f x r i yt Owner's Name,Address and Tel.No.
Assessor's Map/Parcel G_ ,Z 7—
Installer's ame,Address,and Tel.No. Designer's Name,Address and Tel.No.
S ��Gl�xn9" �S
n 3 N
Type of Building:
Dwelling No.of Bedrooms Z— Lot Size 20.40 sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow Z Z gallons per day. Calculated daily flow 71 O gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank ADC I agp 9 a/ Type of S.A.S. Z-S'017 S CZ,- of k e- -J
Description of Soil,
Nature of Repairs or Alterations(Answer when applicable) IA-
Date last inspected: DESIGNING ENGINEER MUST SUPERVISE
INSTALLATION AND CERTIFY IN WRITING
Agreement: THE SYSTEM WAS INSTALLED IN STRICT
The undersigned agrees to ensure the construction and maintenance of the afore describAC ($/$I &7GIib.system
in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issue thi d ealth.
Sign Date
Application Approved by Date
Application Disapproved for the following reasons
Permit No. Date Issued D
---------------------------------------
N111T
No. ` ��. �' O :+ Fee 5 Q
' THE COMMONWEALTWOF MASSACHUSETTS 4 ;Entered in computer: t�
Yes
P. We e-hEALTH-DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS
r
Zippricatfon for Oigogal *pztetn Conofruction Permit
Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) El Complete System. El Individual Components r
Location Address or Lot No. 6 Z ` Y,�� Owner's Name,Address and Tel.No.
1
Assessor's Map/Parcel .�(�_ Z Z
Installer's ame,Address,and Tel.No. Designer's Name,Address and Tel.No.
S ��� l 'Ql'r✓ j M5'f-Uv� �,
Type of Building: -
Dwelling No.of Bedrooms Lot Size 2 U.OU 9 sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow Z gallons per day. Calculated daily flow -73 0 gallons.
Plan Date K J Number of sheets Revision Date
Title I ,--�
S ze�of Septic Tank 1�=' (s / Type of S.A.S. - SvU G G,A wt k e r 1
Descripof Soil f f' /Gw
Nature of Repairsor Alterations(Answer when applicable) if e,4 4.U 11
G4 A,w,
Date last inspedteQ-,
Agreement: f��
t The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
t in accordance with.,the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issuedby this d noealth.
i
Sign Date G "
Application Approved by Date ` n
-
Application Disapproved for the following reasons -
Permit No. V "/7� Date Issued 14dP To-4
_.. -------------------------- —.—.-- ._ - _...._. .
THE COMMONWEALTH OF MASSACHUSETTS
7 _L: BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site.Sewage Disposal System Constructed( )Repaired( )Upgraded( )
Abandoned( )by 0 A A, f S- /" r C A c)A d 1 u
at G t -9 44 CAA as been constructed /n accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. 2oo V- 1 7�dated y Z° u l�
r ,
Installer Designer
,The issuance of this pefTnit shall not be construed as a guarantee that the systO will functiondesigned.
Date LA ��' (^/ 1 LI Inspector I ) H,.,oL' ►�S
No. ��� ---------_---- ————— —
.. .�--- Fee
THE COMMONWEALTH OF MASSACHUSETTS
oqG- lz7-
PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS
DiopogaY *pgtem Construction Permit
Permission is hereby granted to Construct( )Repair( Upgrade( )Abandon( )
System located at / Z 1.1;rk
and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided:Construc on mu t be completedwithin three years of the datQby �E�
Date: L/ /2:�!/o`( Approved
Town 6f Barnstable
*1HE Tp�
• �. Regulatory Services
Thomas F. Geiler,Director
* .BARNSGABLE,
v MAss- Public Health Division
t65.9. �0
A'Fo ° Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer& Designer Certification Form
Date: ZG 0
Designer: qJ"'F° 6.►rrlC45 J .- Q,S' Installer: i4;",S
Address: 971elp, f&� Lo Address: Z---.,
eM4
On �x eav a4 ro—.- was issued a permit to install a
(date) (installer)
septic system at 6 Z based on a design drawn by
(ad ress)
6m-7 dated tzz,1410
(de-signer)
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.
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.
GLEN C`ycGn
ERIC0
r�
(Installe No.. 1070 Signature) HAR 070 N
0
STE`��"�� .
All AR\
(Designer's ' ature) (Affix Designer's Stamp 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:Health/Septic/Designer Certification Form
TOWN OF BARNSTABLE .
LOCATION -2 LE • Wako l SEWAGE #722
VILLAGE 691a ASSESSOR'S MAP & LOT 0146-I ZZ
INSTALLER'S NAME&PHONE NO. J! 22&j J5ieCa,,,q: ea,., V79-v 177
SEPTIC TANK CAPACITY Ono �X
LEACHING FACILITY: (type) -Z k 5-o (size)/3)e-z S 4 -5j,4'14;
NOr.OF.BEDROOMS
BUILDER OR OWNER T6 A 14%A
PERMITDATE:; ` �� COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater.Table to the Bottom of Leaching Facility Feet
Private Water Supply Well- aching 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 -o
within 300 feet o leachin facility) Feet
Furnished by
:
C
000
l
E
LO QTION / SEW&C;E PERMIT UO.
VILLAGE
INSTQLLERS W&ME ADDRESS
J C/
uBUILDERS -lJ &"F— �. •ADDRE SS
DATE PERMIT
SSUED 1 Via_" 7S
D ATE COMPLI &&ICE ISSUED :
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Fl�a..:� ...r No..... ��.... .........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HE
..........OF...
Appliratiun -fur Bi,ipuuttl Workii Cnunitrurtiun Vrrniit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
Systat
- ----------------- -----------------—-/.'�---•-- -�- .... -------------------------------------------
cation•Addres or Lot No.-
---------•-• •--•-•--••.............•--.... --• -• ......•-••--
ow.(.
w e� Addres
--••-••. ---•- ------------•--------------
w �_ S.A?rt„�_ � a•a.,
Installer Address
Q Type of Building Size Lot_�o ------�____Sq. feet
U Dwelling—No. of Bedrooms......... .............................Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( )
Otherfixtures -------------------------------------------------------------•-••--•--------•------------------------------------- -----.---•---
w Design Flow---------�.®...........................gallons per person per day. Total daily flow.................._...._.......__...........gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter-------......... Depth.__....-_----_.
x Disposal Trench—No..................... Width.................... Total Length-------------------- Total leaching area....................sq. ft.
Seepage Pit No--------------------- Diameter_/_tf 11Q__S"Depth below inlet........:........... Total lea,c1png ar . -.-. __--sq. ft.
Z Other Distribution box ( ) Dosing tank ( ) ��— it� ��- % ��.
aPercolation Test Results Performed by------- ------------------------•---•-......--•-•-----•--• •• Date---------------------------------------
,a Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water..-.--------.--.--.-----
f� Test Pit No. 2................minutes per inch Depth'of Test Pit.................... Depth to ground water--_---__--_-..-----__.
rt - ��- �4. 1 ► i--t--6 ----•---
O Description f Soil_ "-..... _`. - --- - ---
�.,
;�
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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been is ued by the bo health.
Z P_7 P
S14ned ----- --------- - --•---•------------------------------• --------------------•---
/ Date \
Application Approved By---------------- ----- . --•••- --
Date
7.. _..
Application Disapproved for the following reasons:......................................................................:
.................... ----••-•--•---
••-•-••••••------------••-•-•---•-----------••------------••-----------•--••••......•-•••••••••---•---•---------•-------•-••--•-••-••--•••-•---••-••---•---•----------------------•-........-------••-•-
Date
Permit No. Issued.. ..................................................
Date
No..-•---J�.....__�.--• - FnE A).....Z...........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HE T
OF... ................................
Applirtttiun -fur Uhiposttl Works C om4rurtion Vanift
Application is hereby made.for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
Syste t
ti
�r k..................... .............- Q ........ - -
cation-Addres / or Lot No.
�- Addres
� Installer Address
Q Type of Building Size Lot:21V_t 0_0-- ......Sq. feet
V Dwelling—No. of Bedrooms---------.I'_"__•--------------------------Expansion Attic ( ) Garbage Grinder ( )
a`q Other-Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( )
0.' Other fixtures :' --------------------••-•---••-----------------------------------------•---•-------•--
W Design Flow......... d---------------------------gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity--------_-_gallons Length---------------- Width................ Diameter---------------- Depth----------------
x Disposal Trench—No. .................... Width--------------------- Total Length.................... Total leaching area--------------------sq. ft.
Seepage Pit No..................... Diameter,,/V.N..irk! Depth below/inlet.................... Total leaching ar /. . _.__----scj. ft.
z Other Distribution box ( ) Dosing tank
aPercolation Test Results Performed bY--------- --------------•------------------------------------------------- Date---------------------------------------
Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water_..-------__-._---------
�14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-.....---_:.-.-..----__-
j 'T
Descriptionpf.Soil > `A✓ ° �(� = j1�''f,{�A�i/'� ' ---
--- $/�S ...."""
.--•---•--------•-•-- ------------------------- -_-1A__ Y.7�i!'�,'t� t'_I-.� ..-_ -------•__ _�Z!!~
W
--------------------------------------------____________________________________________________________________________________________________________________________________________________________
1491
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 Article lI of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been is ued by the bo . health.
Date
Application Approved By.--• -•-- ~
" - ate
Application Disapproved for the following reasons-------------------------------------------------------------.........................................=-=--------•-
--••--••--------------•------••---••------•--•---•--••--•••---------••-••----•--•-•--•-••---......----------•-••---••----•---=-----=- -------------•----•.--_-.--.---------------------------------
Date
PermitNo.........................................................' Issued........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
-
..........OF......... ........ ..............................................
�rrtilirtttr of 10-Tomplia'Mr,-
T S IS, •O C " FY, T the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by = * ---
�I Installer
/ ]� A
___ T ___.
has been installed in accordance with the provisions I The tate Sanitary Code as described in the
application for Disposal Works;Construction Permit No_________________ _ -------- dated.:.le "'_..�y- .t_. `..__.____._.
`,
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE TFIAT THE
SYSTEM WILL FUNCTITI.ON SATISFAC RY.
DATE -----------••------- Inspector ............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD HEALTH
......................... ..O F........ ............
No.......... .. k FEE- ............
�i��att�ttl k� non nrtinat •rntit •, .
Permission 's by granted_♦*►•---- ....__ ..- -- ------------------
to Construct R it ( ) �& ua Sewage Di s 1 S� ;at Now--•- .---------� ``". `----.._- --- ,/'-----.. S eet ... . ... ............ ...._....
as shown on the application for Disposal Works Con uction P it No. _ -__ ----- _ ated_A-.�-. 3.............
6 _.-----
Board _ ealt _..
DATE... ,
FORM 1255 HOBBS & WARREN.- INC.. PUBLISHERS -
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r77
L i D+rs �G 7�/' !"Q``' �'. r ,.. { ". f 4 !'O O777 /
/r c 7-4�i 1-
10,/ Ze4r-A
o 0Q . .�
I CERTIFY THAT THISµ PLAN SHOWS
Io' `N THE ACTUAL LOCATION OF THE
STRUCTURE_ ON THE E....AND AND'
THAT IT CONFORMS WITH THE
BY-LAWS OF THE TOWN
t P LAN of LAND
z.57 8 19 4<5. 3 a I i�
x
MASS.
/'o i4 / 0111tN�1C! BY
14 Of Af or
or
FRANK FRANK a WYAMOS. MASS. 02WI
i CONERY "^ CONERY •
v ry to RMIS7M90 ffA*W ZR 4 LAND SUAWVI"
r No. 6232 C Au. 6573�4�Q
�� 51�R`�Ei / � �'�s'ONAL
SITE PLAN SITE N
N SCALE: 1 =20' � " 3�
BENCH MARK CORNER OF CONCRETE
��.�EN /
F�A.L NOTES
J
SONG TUBE ELEV.=100.00' (ASSUMED) 1. ADDRESS: #62 ABLE WAY Q
2. ASSESSORS NJMBER: 046-122 ASA °9
.16' 3. DEVELOPER'S LOT: 18 MEIGGS SCHOOL STREET
4. TOPOGRAPHIC INFORMATION WAS COMPILED FROM AN 0
ON THE GROUND INSTRUMENT SURVEY. 4z
5. TOWN WATER IS PROVIDED TO SITE & SURROUNDING PROPERTIES. 0
6. REFERENCE PLAN: PLAN BOOK 273 PAGE 22
REFERENCE PLAN: "PLAN OF LAND IN MARSTONS MILLS OWNED BY JOSEPH P. BREEN
�0 BY FRANK CONERY, 5 TRENTON STREET, HYANNIS, MASS., 02601, SCALE: 1 IN=20 FT., DATED DEC. 8, 1975.
99.4 �j`r �e 7. NO WETLANDS ARE LOCATED WITHIN 100 FEET OF SAS. 7J
U. 8. NO POTABLE WEILS ARE LOCATED WITHIN 150 FEET OF SAS. p
1-25'L X 13'W X 2.0' D 5`9e9� 9. SOIL INFORMATION OBTAINED FROM APPLICATION FOR DISPOSAL fl
leaching trench using c°e 99.11, WORKS CONSTRUCTION PERMIT. LOCATION OF OBSERVATION HOLE UNKNOWN. -
2 H-10 500 gal. chambers with sets
4' of stone on sides & ends. e�oCw° ot "MarstonS Mills"
6 S
OG' 98.54' LOCUS�
�S
1 1 Q 99 s NO SCALE
11
119 � O
99O. 91 CONSTRUCTION NOTES
O 1. Contractor is responsible for Digsafe notification
99.92, 100.02• ,� o�` and protection of all underground utilities and pipes.
Ve\ 2. The septic tank and distribution box shall be set
level on 6" of 3/4"-11/2" stone.
r 3. Backfill should be clean sand or gravel with no
, 4stones over 3" in size.
99.73' 98.19 . This system is subject to inspection during installation
by Glen E. Harrington, R.S.
5. The contractor shall install this system in accordance
with Title V of the Massachusetts Environmental Code
to" u ryro and the Regulations of the Town of Barnstable.
9`. 6' �0.6 Over, "d te/. 6. Provide on Acme Precast H-10 5-hole D-Box and
de 2 H-10 500 gal. chambers or equal.
o °Ob/e 7. No vehicle or heavy machinery shall drive over the
SHED J3' 1oa.0r % °.Oo / septic system unless noted as H-20 septic components. ,
+' 8. Install gas baffle or equal on septic tank outlet tee end.
0 �O� J 9. All existing inverts and site conditions shall be verified by contractor.
10: Existing leach pit to be pumped and backfilled.
shell driveway LOT 1 % S�
o pg• 11. A five foot stripout of soil shall be performed all around SAS and down to C1 layer.
AREA = 20,004 SQ.FT. 'r'• o
c 00- +. Design C3Iculations
o�
a41. `O� X 99.96' �''� Number of Bedrooms: 2 EXISTING
:r`e `c,.o"or. / Garbage Grinder: NO, GRINDER NOT ALLOWED WITH THIS DESIGN
Leaching Capacity Required: 220 Gal./Day
Leaching Area Required: 220 Gal./(0.74 Gal./Sq.Ft.)==297 Sq.Ft.
Proposed Leaching Structure: 1-251 X 13'W X 2'D Leaching Trench
garden area 98.55' Leaching Area Provided: 477 Sq.Ft. (3 BEDROOM MIN. PER TITLE V)
Proposed Leaching Capacity: 353 gpd > 220 gpd. req'd.
�e
ti
e
�110� ,ow
4. ,1X9 L2 9'
J 1-20'pMl.ACCESS MANHOLE
98.29'
V� e 5,' r
' rig ation OBSERVATION HOLE
9 � b
Well / Date of Excavation: December 4, 1975
WITNESSED BY: Paul C. Murray O n
/ PERK RATE: LESS THAN 2 MPI (ASSUMED) O
® ® CM ® 34"
Test Hole ® ® ® ® 24"
STEEL REINFORCED PRECAST CONCRETE
DEPTH SOILS ELEY.-I PLAN VIEW 2 H-10 500 gal. chambers
94.34'
O END-SECTION
wood- H-10 500 GALLON CHAMBER
6„ loam
NOT TO SCALE
36"r subsoil 97.00'
94.77' 48' clay ql_qa USE ACME PRECAST OR EQUAL
96' ,Ot°prod° �����NOFIyq PROPOSED SEPTIC SYSTEM UPGRADE
X 93.06' a "title. ,ICY N N PREPARED FOR
sand LEGEND tf%144"1 88, ® TO
0-4 JOHN E. QUIP ET UX
!R
XISTING LEACHING PIT 0. 1070 AT
1�Q F(to be pumped & filled) � 62 ABLE WAY
a1S'(��P
EXISTING 1,000 GAL. VfTAFt BARNSTABLE (MARSTONS MILLS), MA
10' min. from *NOTE: ALL PIPES ARE TO BE 4" DIA. SCHEDULE 40 P.V.C. FEE H-10 SEPTIC TANK
house to septic tank *NOTE: INSTALL GAS BAFFLE OR EQUAL ON SEPTIC TANK OUTLET TEE.
ssPuc tank covers must be DENOTES EXISTING PREPARED BY:
Existing Dwelling within e' of finished grade Finished grads over system=27i elope away X 104.46
first fl. elev.=101.76 5 HOLE SPOT GRADE
EXISA DE DIST. BOX Existing Grade Elev._100't GLEN E. H AR R I N GTO N, R.S.
sacearr 95 EXISTING CONTOUR
Crawl D-box cover moat be Min. 2'-1/e'-1/2' 1 chamber cover must be 2•min LEDA ROSE LANE
space S O.Oy' within 8' of lahed grade double ached stone within 6' f finished grade g"max.
t1' EXISTING 24 Level for 2' s> of Tip Peastone Elev.=97.3't APPEX ST NG WATEROLINE MARSTONS MILLS, MA 02648
14 1000 GAL
o rnn a 13' EIe1L-26.83'
a SEPnC TANK ^ a, 0 0 0 C2 0 z4•Mm. m f h APPROX. LOCATION TEL: 508-428-3862
a a. H GAS BA m a• a rent ev.= .83' EXISTING GAS LINE
• AL o 0 25' FAX: 508-428-3862
a LEACH TRENCH 6't
Sl 6' OF 3/4'-11/2'STONE c $ II
s aoor4x. Pot am of Test Hole elev.=88.0,
SCALE: 1 =20 DRAWN Y: GEH APRIL 4, 2004
SYSTEM PROFILE 6. OF 3/4*-11/2' STONE ;
Not to scale DATUM: ASSUMED FILE: QUIP SHEET 1 OF 1
I