HomeMy WebLinkAbout0083 ABLE WAY - Health -� 83 ABLE WAY, MARSTONS MILLS -�
A=046-108
f
OWN OF BARNSTABLE
LOCATION SEWAGE
VILLAGE ASSESSOR'S MAP LOT
INSTALLER'S NAME 6i PHONE NO. �Illf° G� � 7J
SEPTIC TANK CAPACITY /ry- 7AS&}y----
LEACHING FACILITY:(type) .: c-H (size) :53 x I �)
NO. OF BEDROOMS PRIVATE WELL R PUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED: 7 . :�Z 7
DATE COMPLIANCE ISSUED: 1
VARIANCE GRANTED: ,Yes No (�
l5' 3
. -u
No. 7 - 36"1 Fee -
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
ZtppliCotion for Digogal *pgtem Con.5truction Permit n
Application for a Permit t Co struct( )Repair(k)Upgrade( )Abandon( ) ElComplete System ElIndividual Components
Location Address or Lot No. Owner's Name,Address and Tel.No.
Assessor's M"12-
Installer Name,A dress,.Qd Tel.No. Designer�amme,Address and Tel.No.
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 3`3 gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) /m x l
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 Certifi-
cate of Compliance has been issued by this B and of Health. ,
Signed (�/ Date
. 7h 917
4
Application Approved by Date 7 /V — 7
Application Disapproved for th ollo tng reasons
- Permit No. � ,7 �-- 3� �� �_��V-i�y�`_ Date Issued
No. ` Fee %7 J�
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes V
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
ZippYication for Migpozar#,*pgtem Con,5truction Permit
Application fora Permit t Co struct( )Repair(x)Upgrade( )Abandon( ) O Complete System El Individual Components
Location Address or Lot No. O
p wner's Name,Address and Tel.No. 4
Assessor's Ma /Pazcel V�w
Installer' Name,Address,and Tel.No. i Designer's ame,Address and Tel.No.
Type of Building:
Dwelling No.of Bedrooms._ Lot Size• N sq.ft. Garbage Grinder( )
Other. Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 33 L/ gallons per day. Calculated daily flow r• gallons.
- Plan Date--.- Number of sheets Revision Date
Title °
4 Size of Septic Tank AZ� Type WS.A.S.
J
Description of Soil
f
Nature of Repairs or Alterations(Answer when applicable)
YZV UL d
Date last inspected:
' t
Agreement: '
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with t'e provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued by this Board of Heal h.
Signed Date 7
Application Approved by Date
Application Disapproved for th ollo ng reasons
Permit No. _���L Date Issued r
..----------------------------------_ :--.----
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
y Certificate of Compliance
---THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired (/V,)Upgraded( )
r Abandoned.( )by PA&_ik-
at C), � Z& i.r r � d�i r �/� has been constructed in accordance 1.
i
with the provisions of Title 5 and the for Disposal System Construction Permit No. 7- dated
Installer Designer >>`
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
Date " 1 Inspector
————— ------.-----------------------
_,_ +�"
No. 3 S L Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
lwi!5pogal 6p.5tem Construction Permit
f 4
Permission is hereby granted to Constru t( )Repair( )Upgrade( , )Abando .('
� (� r �ry
System located at / ,� P/f F' %l/I r 1; ? I 1 5
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty toy `
comply with Title 5 and the following local provisions or special conditions.
Provided:Construction must be completed within three years of the date of thins pe!nit�z J' -
Date: ,`Approved by
s W .
OWN OF BARNSTABLE
f I LOCATION SEWAGE # 17 31 ..
VILLIGE ASSESSOR'S MAP fa LOT
Z73.ZZ-+
I INSTXl'iER'S NAME. & PHONE NO. �i1LI `�S'7OJ�9
SEPTICITANK CAPACITY
LE -C.�iNG FACILITY:(type) �—(T (size)
NO. OF_:BEDROOMS PRIVATE WELL R PUBLIC WATER
BUILD,F.R OR OWNER •�5
DATE::PERMIT ISSUED: YZ c) 7
DATE:> COMPLIANCE ISSUED:
Y VARIANCE GRANTED: Yes No (/
I
5 +
t
Town of Barnstable
• Department of Health, Safety, and Environmental Services Ili
� M&W Public Health Division
� MA98.
EOMa+'' 367 Main Street, Hyannis MA 02601
Office: 508-790-6265 Thomas A.McKean
FAX: 508-775-3344 Director of Public Health
May 1, 1997
Karen Lane
83 Able Way
Marstons Mills, MA 02648
ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE,
TITLE 5.
The septic system owned by you located at 83 Able Way, Marstons Mills was inspected on April
30, by Jerome Dunning a health inspector for theTown of Barnstable.
The inspection of your septic system showed that your system has failed under the guidelines of
1995 TITLE 5 (310 CMR 15.00)due to the following:
• Raw sewage observed flowing onto School Street from a pipe originating from your
property.
You are directed to hire a licensed Town of Barnstable septic system installer to submit a sketch
diagram of a proposed system to the Town of Barnstable Health Division Office (Town Hall, 367
Main Street, Hyannis) that will bring the septic system into compliance with 310 CMR 15.00, the
State Environmental Code, Title 5 within (7)seven days of receipt of this notice.
You are also directed to bring the septic system into compliance within fourteen (14) days of
receipt of this order letter.
You are further directed to maintain the system by hiring a licensed septage hauler to pump the
septic system to prevent discharge of sewage or effluent into the buildings, onto the surface of the
ground, or in to surface waters.
Any person aggrieved by any order issued by the local approval authority may appeal to any court
of competent jurisdiction as provided for by the laws of the Commonwealth.
PER ORDER OF TH BOARD OF HEALTH
Thomas A. McKean, R.S., C.H.O.
Agent of the Board of Health
t
Health Complaints
23-Apr-97
Time: 3:05:00 PM Date: 4/22/97 Complaint Number: 760
Referred To: JEROME DUNNING Taken By: bs
Complaint Type: TITLE V SEWAGE
Article X Detail:
Business Name:
Number: na Street: Able Way
Village: Marstons Mills Assessors Map_Parcel: V I n� (ff AA
w
Complaint Description: Septic overflow onto his property from
neighbor. Spoke to the neighbor about a
month ago but to no avail.
Actions Taken/Results:
Investigation Date: Investigation Time:
� �Nw9
t
Town of Barnstable
Department of Health, Safety, And Environmental Services
�ARNgI'ABti, �
�+ Health Division
367 Main Street,Hyannis MA 02601
r • Installer
A_ORce 3 -790-6265 D anallfivdo A.McKean
1 AX: 508-775-3344 iredor of Public Health
TO: �en Lam (Date)
ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL
CODE, TITLE 5.
The septicY Y s stem owned b you located at 1-3 0 0-0- _ Lane,
u L_ct�Ppt ;n the village of was insp Cted On (� ,ypb2y�o'
The inspection of your septic system showed that your system has failed under the
guidel' es of 1995 TITLE 5 (310 CMR 15.00) due to the following: r
tidJ q, Z�Lj VJ,n cn d 0
_ 1 oC q I n Q T 1�
/
You are directed to hire a licensed Town of Barnstable septic system installer to sketch a
proposed system that will bring the septic system into compliance with 310 CMR 15.00,
The State Environmental Code, Title 5 within(4en days of receipt of this notice.
The septic system must be brought into compliance within LY
(days of your receipt of this letter.
You are also directed to maintain the system by hiring a licensed septage hauler to pump
the septic system to prevent discharge of sewage or effluent into the buildings, onto the
surface of the ground, or in to surface waters.
Any person aggrieved by any order issued by the local approval authority may appeal to
any court of competent jurisdiction as provided for by the laws of the Commonwealth.
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean, R.S., C.H.O.
Agent of the Board of Health
Town of Barnstable
title 5(1)
Kuchinski Christina
From: Kuchinski Christina _
To: McKean Thomas
Subject: 83 Able Way, M. Mills
Date: Thursday, July 31, 1997 4:15PM
Mr Weber called at 3:45 pm today (457-0109) and said that his back hoe had been dropped off at the site today
and that he would begin work tomorrow morning. He said he checked the leach pit today and it was dry due to
conservation of water by the Lane family. Also spoke with Mr. Beavis to let him know what was happening.
Page 1
NAME OF OFFENDER Dnn DAD 40163
K-4rv�n Lana,
TOWN OF ADDR SS OF OFFENDER
BARNSTABLE CITY,STATE,ZIP CODE
=.c
BIKE t MVIMB REGISTRATION NUMBER
♦ ti
OFFEN
HAR♦IMABLE. • Y LLi
M.
.639.
rE0 �► J
"D10 (idly fi 00 ! W45f0.LOle Atsonre �;A� 3�a >
TIME AND DATE OF VIOLATION LOCATION OF VIOLATION W
NOTICE OF ;. / P.M.)ON "* 19 p u ctlSt » . !?/11( a
SIGN;fURE.OF,ENFOR ING PERSON EVQRCING DEPT. BADGE NO. �LLLJ
VIOLATION - t�
I-
OFTOWN I HEREBY ACKNOWLEDGE RECEIPT OF CITATION XLU
O f��NANCE u ble to obtainn�a�ture o ffender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS S a-5•0 W
_! Date mailed w
OR YOU HAVE THE FOLLOWING ALTERI ATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL a
DISPOSITION WITH NO RESULTING CRIMINAL RECORD. Lu
REGULATION 0)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, LLU
before: The Barnstable Town Clerk,367 Main Street,Hyannis, MA 02601,orb mailing a check, money order or postal note to Barnstable Clerk, a
P.O.Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATIYOF THIS NOTICE.
(2)If you desire to contest this matter in a noncriminal proceeding,yyou may do so by making written request to DISTRICT COURT DEPARTMENT,
FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA02630,Att:21 D Noncriminal Hearings and enclose a copy of this citation
for a hearing.
131 If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the
hearing to be due,criminal complaint may be issued against you.
❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$
Signature
NAME OF OFFENDER a,_e k, BAR 4 4 718
TOWN OF ADDRESS OOFFEfl
BARNSTABLE CITY,STATE,ZIP CODE�A� �f �' jI4 {( i+j /'t S l t�
DIME►pw
(..+ d ! MV/MB REGISTRATION NUMBER
OFFENSE'„
IiAN\Il APlk:.
MASS. ' �' t7 v'r'Y.' „t-C` �ra�"``G' (1`� Y/-t?�-c..' _:�L�4t.. ";�•,. '" ""�C�F'i-r ,Q,/PFr y'- r'` :'cr`
J '1 w
lEo ru+' t' t,"r(} jiff tx } /L)f��� C t�3 C f i It j
TIME AND DATE:OF VIOLATION / �r LOCATION OF VIOLATI N j W
'r NOTICE OF - "� (A.M. a.M. ON ✓ a ;1s i 1r
SIGNATURE OF ENFORCING PERSON �,/'' ENFORCING DEPT BADGE NO. . W
VIOLATION (1Jl / '1L- 1 ` + �'
0
OF TOWN I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X a
ORDINANCE Unable to obtain signature of offender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS S J ~J
LU j
Date mailed w
OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL a
DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w
REGULATION
(II You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w
before: The Barnstable Town Clerk,367 Main Street,Hyannis, MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk, a
P.O.Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE.
(2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,
FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA02630,Att:21 D Noncriminal Hearings and enclose a copy of this citation
for a hearing.
(31 If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the
hearing to be due,criminal complaint may be issued against you.
❑ 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$
Signature
C -Y.& v _ L art'L/
commonweaM of MOSSOChusetts ,John Grad
ExecutIVe Office of ErMrolV1l@11tol Affairs D.E.P. Title V Septic Inspector
Department of P.O. Box 2119
Environmental Protection Teaticket,MA 02�36
� S 3
8
A do
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FOR p
PART A m IIECEIVE0
CERTIFICATION �
MAY 3 0 1997
Property Address: 83 Able Way Marstons Mils Address of Owner: TOWN OFBARNSTABLE N
Date of Inspection:5115197 (If different) HEALTH DEPT.
Name of Inspector:John Gracl Lane
Company Name,Address and Telephone Number: �►
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 This inspection Is based on criteria defined In Title V
_ Conditional Passes code 310 CMR 15.303.My findings are of how the system is
performing at the time of the Inspection.My Inspection does
_ Needs Fu er Evaluation By the Local Approving Authority not Imply any warranty or guarantee of the longevity or the
X Fails septic system and any of its components useful life.
Inspector's Signature: Date: 5119197
/X
The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this
inspections. 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 of the Department of Environmental Protection.
The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority.
INSPECTION SUMMARY:
Check A, B,C,or D:
A] SYSTEM PASSES:
_I have not found any information which indicates that the system violates any of the failure criteria
defined as in 310 CMR 15.303. Any failure criteria not evaluated are 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 determined(Y, N,or ND). Describe basis of determination in all instances. If "not determined", 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.
(revised 11115195)
One Winter Street • Boston,Massachusetts 02108 • FAX(617)556-1049 • Telephone(617)292-5500
1 I
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 83 Able Way Marston Mils
Owner: Lane
Date of Inspection:5115197
_ Sewage backup or breakout or high static water level observed in the distribution box is 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 leveled 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
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 the public health,safety and the environment.
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
SAFETY AND THE ENVIRONMENT:
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.
ER SUPPLIER, IF
2) TSYSTEM HAT WILL FAIL
IS FUNCTIONING pRD OF HEALTH(AND PUBLICIN A MANNER THAT PROTECTN HTE PUBLIC HEALTH AND SAFETY MINES
AND THE
ENVIRONMENT:
_ The system has a septic tank and soil absorption system and is within 100 feet to a
surface of water supply or tributary to a surface water supply.
The system has a septic tank and soil absorption system and is within a Zone 1 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 analysis for coliform bacteria volatile organic compounds indicates that the well is
free from pollution for that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal or less than 5 ppm.
3) OTHER
D] SYSTEM FAILS:
_ I have determined that the system violates one or more of the following failure criteria as defined in
310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be
contacted to determine what will be necessary to correct the failure.
_ Backup of sewage in facility or system component due to an overloaded or clogged SAS or
cesspool.
_ Discharge or ponding of effluent to the surface of the ground or surface waters due,to nn overloaded or clogged
cesspool.
X SAS is in hydraulic failure.
(revised 11115195)
2
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 83 Able Way Marstons Mils
Owner: Lane
Date of Inspection:5115197
D)SYSTEM FAILS(continued)
_ 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 1/2 day flow.
_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).
Numbers of times pumped
Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation.
Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface 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.
_ 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. 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.
E) LARGE SYSTEM FAILS:
The following criteria apply to large systems in addition to the criteria:
_ The system serves a facility with a design flow of 10,000 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 compliance with the groundwater treatment program
requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information.
(revised 11115195)
3
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECLIST
Property Address: as Able way MarstonsMils
Owner: Lane
Date of Inspection:5115197
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 and the system has been receiving normal
flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this
inspection.
NaAs 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 septic tank was inspected
for condition of baffles or tees,material.of construction,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 determined based on existing information or
approximated by non-intrusive methods.
X The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of Sub-
Surface Disposal System.
(revised 11115195)
4
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 83 Able Way Marston Mils
Owner: Lane
Date of Inspection:5115197
FLOW CONDITIONS
RESIDENTIAL:
Design flow: 330 gallons
Number of bedrooms: 3
Number of current residents: 4
Garbage grinder(yes or no): Yes
Laundry connected to system(yes or no): Yes
Seasonal use(yes or no): No
Water meter readings,if available: n1a
Last date of occupancy: n1a
COMMERCIAL/INDUSTRIAL:
Type of establishment: n1a
Design flow:0 gallons/day
Grease trap present:(yes or no) No
Industrial Waste Holding Tank present:(yes or no) No
Non-sanitary waste discharged to the Title 5 system: (yes or no) No
Water meter readings,if available: Na
Last date of occupancy: Na
OTHER:(Describe) Na
Last date of occupancy:
GENERAL INFORMATION
PUMPING RECORDS and source of information:
System was last pumped 1 month ago.
System pumped as part of inspection: (yes or no)No
If yes,volume pumped: 0 gallons
Reason for pumping: n1a
TYPE OF SYSTEM
X Septic tank/distribution box/soil absorptions 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 information:
1978
Sewage odors detected when arriving at the site:(yes or no) No
(revised 11115195)
5
4
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 83 Able Way Marstons Mils
Owner: Lane
Date of Inspection:5115197
SEPTIC TANK: x
(locate on site plan)
Depth below grade: Z'
Material of construction:X concreate_metal_FRP_other(explain)
Dimensions: L 8'B"H 5'7"W 4'10-
Sludge depth:0
Distance from top of sludge to bottom of outlet tee or baffle: 0
Scum thickness:0
Distance from top of scum to top of outlet tee or baffle:e'
Distance form bottom of scum to bottom of outlet tee or baffle: 0
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.)
Septic tank and all components are structurally sound.Recommend pumping system every two years for maintenance.
GREASE TRAP:_
(locate on site plan)
Depth below grade: n1a
Material of construction: _concrete_metal_FRP_other(explain)
Dimensions: nfa
Scum thickness:n1a
Distance from top of scum to top of outlet tee or baffle:n1a
Distance from bottom of scum to bottom of outlet tee or baffle: n1a
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.)
n1a
(revised 11115195)
6 j
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 89 Able Way Marston$Mlls
Owner: Lane
Date of Inspection:5115M?
TIGHT OR HOLDING TANK:
(locate on site plan)
Depth below grade: n1a
Material of construction:_concrete_metal_FRP_other(explain)
Dimensions: n1a
Capacity: n1a gallons
Design flow: n1a gallons/day
Alarm level: n1a
Comments:
(condition of inlet tee,condition of alarm and float switches,etc.)
Na
DISTRIBUTION BOX: X
(locate on site plan)
Depth of liquid level above outlet invert: Liquid level with bottom of pipe.
Comments:
(note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box etc.)
D-box Is structurally sound
PUMP CHAMBER:
(locate on site plan)
Pumps in working order:(yes or no)
Comments:
(note condition of pump chamber,condition of pumps and appurtenances, etc.)
Na
(revised 11115195)
7
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 83 Able Way Marstons Mils
Owner: Lane
Date of Inspection:5115197
SOIL ABSORPTION SYSTEM(SAS):x
(locate on site plan,if possible;excavation not required,but may be approximated by non-intrusive methods)
If not determined to be present,explain:
Na
Type:
leaching pits,number: 1,0oo Gallon leach pit
leaching chambers,number:nla
leaching galleries,number: n1a
leaching trenches,number,length: Na
leaching fields,number,dimensions:n1a
overflow cesspool,number:Na
Comments:(note condition of soil,signs of hydraulic failure,level of ponding, condition of vegetation,etc.)
The leach pit is past the effective depth of leaching The sas is in hydraulic failure.The pit was ponding.
CESSPOOLS:
(locate on site plan)
Number and configuration: nfa
Depth-top of liquid to inlet invert: Na
Depth of solids layer: n1a
Depth of scum layer: n1a
Dimensions of cesspool: nia
Materials of construction: Na
Indication of groundwater: n1a
inflow(cesspool must be pumped as part of inspection)
Na
Comments:(note condition of soil,signs of hydraulic failure,level of ponding, condition of vegetation,etc.)
Na
PRIVY:
(locate on site plan)
Materials of construction: Na Dimensions: n1a
Depth of solids: Na
Comments:(note condition of soil,signs of hydraulic failure,level of ponding, condition of vegetation,etc.)
Na
(revised 11115195)
8
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 83 Able Way Marstans Mils
Owner: Lane
Date of Inspection:5115197
SKETCH OF SEWAGE DISPOSAL SYSTEM:
include ties to at least two permanent references landmarks or benchmarks
locate all wells within 100'
16,4 B
pj C
w I
AA
At
AC
3L
Y�
0
DEPTH TO GROUNDWATER
Depth to groundwater:12 feet
method of determination or approximation:
USGS Maps and Charts
(revised 11115195)
9
l
No......................... .._ Fps..............................
THE COMMONWEALTH OF MASSACHUSETTS
-, BOA R HE L H
, a.®....... .OF........
.. .
Applira$ion -for Digpniitt1 Works Tomiltrurtion Prrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
Syst ate ;,,
- ! '
ocation-Address or Lot No.
----- .........................................`
Owner ss
a --------- --------------�---•--••• --------------------------------------•-• ..... •. ------------------.--- ----------------..
I taller Address
Type of Building Size LotA0,tJJ- 77-------Sq. feet
U Dwelling—No. of Bedrooms--------3-------------------------------Expansion Attic 140 Garbage Grinder*6
aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
Q' Other xtures -------------------------- -
W Design Flow.......: ---------------------------gallons per person per day. Total daily flow........ _ _ -----------------gallons.
WSeptic Tank—Liquid capacity/QQ Pgallons Length................ Width_.............. Diameter_------------- Depth.-----.-_-------
x Disposal Trench—No. _ __ Width-------------------- Total Length-------------------- Total leaching area--------------------sq. ft.
Seepage Pit No% iameter.................... De4-Te
th below inlet.................... Total leaching area----....----------sq. ft.
Z Other Distribution box ( ) Dosing tank - ' �' 2 - 7 7
'~ Percolation Test Results Performed by---------------' _._..........._.._...._............. Date---------------.------------------.----.
Test Pit No. 1................minutes per inch Depthit--.-____•-__-__.._. Depth to ground water.--__-__---------..----.
f� Test Pit No. 2----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water...---------_-----_--.-.
0 --------- d
O Descri tion of Soil- °� d, �._7. ...._.---
P -••---�. -. .... ` /-lei ............� ox-----------------� "`'-- --------------
x -------------- A _'-----�� �z- �''titi���-� �'1� �_
c� l' =
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 bee issued by th �health.Signe ------- '.. • -• --• ................. ��74r-'---`
Date
Application Approved BY i. - ---------------
Date
Application Disapproved for the following reasons----------------•----------------------------------------------------------------------------•-------------------
--••••-••------------••--••-•...-----•----------------------•-•••--------•-•••-•-•--.._..•-•-•-----•-••--•-------------•••-. ..................................................
Date
PermitNo......................................................... Issued......=:J................................................
Date
PHONE ^CAtL
FORS�� GATE a TIME ��` P.M./ E
Im
OF PHONED
❑FAX RETURNED
PHONE MOBILE — ® l ® YOUR CALL
AREA CODE NUMBER EXTENSION
PLEASE CALL
MESSAGEWILL
CALL
AGAIN
ID L /j A CAME TO
i,/b SEEYOU
WANTS TO
R S' Lo/l l ���% Q E UMle+ SEE YOU
SIGNED P V. FORM 4003
NOTES -. ,.
b
L ,
fl1 T
s
No.............'........... Fmc. ......
THE COMMONWEALTH OF MASSACHUSETTS
BOAR HEALTH
A'0irtttiaau f Ui_gvaalsal orks CnrrwArftrtion Vlermit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage. Disposal
Syst at �r _
. ........ ....I.....W-14W.. ---
..........
---- --- - ----------------------
Location-Address or Lo
=__�o
....�--------------------------------------- �� . . --- -- ----- . - --
wner ess
......-• .. ?............................................... + .......................................
sstaller Address
UType of Building Size Lo111�e_O,_/47'?........Sq. feet
Dwelling—No. of Bedrooms....... .................................Expansion Atticc) Garbage Grinder-WO)
Gam, Other—Type of Building ------_-.•__________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
a' Other fixtures ____
W Design Flow-_____$- ...........................gallons per person per day. Total daily flow____' -�."r__._....._..._..gallons.
R; Septic Tank—Liquid capacit 4OP-gallons Length................ Width................ Diameter-----...._...... Depth.._..-.----_----
.
Disposal Trench—No. -----------
Width-------------------- Total Length--___________--__ Total leaching area--------------------sq. ft.
Seepage Pit N ± # Diameter____________________ Depth bel w inlet. .�_.. _�_. �tal leaching area------____...._.sq. ft.
Other DistributionJ_x
Dosing tank4Tie
Percolation Test Results Performed by------------ - •-----------......-•--••••---• Date-------------- ---------------------
a
Test Pit No. 1................minutes per inch Depthit_.-_-__--__-_-__-. Depth to ground water.---_--.--------.--._..
GAL/, Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water---------
W 9
o T ... .� 'f
Description of Soil__ Hi9 Er �`
x - ---------
U ...._ .....
...........'� . Z. ...... �.
--- ... .�__ -- ......................... ......................---------------
W -------------------------------•------ ..................................,'................................................................................................................ ---------------
VNature 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 bee issued by tha�boa f health.
--- Signe _ � .
Ialp
! 7
Application Approved By----- n .. P=.""
Date
Application Disapproved for the following reasons:_`-'--=------------------------------------•---------•---------------•----------------- -----------------••---
•.........•••-•--•-•--•••--••---•------•-•-•••-•.....•---••-•---•--------•-••••••••...••••-••-••---•-•-•-•••••••••••-----••----•-••••-••-•-•-•••••-•---------•••---•••--•••••--- .......•-••••-••-•---
Date
Permit No. Issued............ ...........
Da0
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.............. ...OF........:.., '.: ................ . ..
0lertift z6 of 10111m0aurr �,,,.
TjS S TO RTIFY, That the Individual Sewage Disposal System con ructed ( ) orr Repaired ( )
at. •. ••.. r .�
has been installed in accordance with the pr isions of Ac I fl State Sanitary C e a scr 'n the
' �� �'�..
application for Disposal Works Construction Permit No_____ _________________________ dated_._____.__::_._...:........._____........_.__...
THE:ASSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.................................................................................. Inspector....................................................=•-••••••-.....................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD O HEALTH
7 Ott
=- �
NO. ..... ..... FEE........................
�i� la tti k,lAl-,_nstrurtion Prrmit
Permission is h by grant.d-----r------•• •- .... ••- -� ------- --- -- -
to Constru ( or;Rep I. Indiv dual Sewage sal
at No. - •. ••• --•---•...
-- -- ----------------------
- - � ii--•---•--- ---- - Street .. fL
/ I «
as shown on the application for Disposal Wor Construction Permit ~`
7 . ^ - - ------------•-•-•----- 0 --Board of 1Health-------`/ ------------------------
DATE y
.....--•------------•----------------------------------------------------------- ..
j
FORM 1255 HOBBS.& WARREN. INC.. PUBLISHERSAi
-
r
... r.. , -
r
�OP OF FOUNDATION
CONCRETE COVER
CONCRETE COVERS
n o 4"C)777777
AST IRON 10"MAX. ° 10"MAX. "
PIPE (OR 4 ORANGEBURG(OREQUIV.)
EQUIV.)— MIN. PIPE- MIN. LEACH
° PITCH 1/4"PER.FT. PITCH 1/4"PER.FT PIT PRECAST
° LEACHING
INVERT Q
INVERT INVERT e e w PIT OR
o , SEPTIC TANK EL..�9. .�3. DIST. EL7s1W ' ; >= EQUIV.
o INVERT BOX �� ,�•
/-boo. GAL. INVERT
6 /S INVERT e `+ ww 0 %:�. 3/4"TO II/2
EL.7..•.... :oo WASHED
o �`rt.... w o 0.
w
STONE
/o/ 78 ,Zoe °
/D DIA Nl+on/C
o• � ' O 1
PROR LE OF GROUND WATER TABLE
SEWAGE DISPOSAL SYSTEM
NO SCALE
SOIL LOG WITNESSED BY :
DATE Save ?� TIME. . . .. ... . . . . ?�yL. .�'. �Lve! BOARD OF HEALTH
TEST HOLE I TEST HOLE 2 / G���J�- . ENGINEER
ELEV. . . . . . . . . . . ELEV. . . . . . . . . . .
DESIGN DATA :
NUMBER OF BEDROOMS 3. . . . . . . . .
TOTAL ESTIMATED FLOW .330. . . . GALLONS/DAY
BOTTOM LEACHING AREA 78 S v SQ.FT. /PIT
/68,s
SIDE LEACHING AREA . . . SO.FT./ PIT
GARBAGE DISPOSAL !Va'!� . .(50% AREA INCREASE)
TOTAL LEACHING AREA . SQ.FT
R PERCOLATION RATE �-�-SS TN. / L MIN/INCH
LEACHING AREA PER PERCOLATION RATE .. . . . . . SQ.FT.
d .WATER ENCOUNTERED
NUMBER OF LEACHING PITS . . . . 1. . . . . . . . .
APPROVED . . . . . . . . . . . . BOARD OF HEALTH
DATE . . . . . . . . . .
AGENT OR INSPECTOR
�Vo OF ss'
�� �¢ � a
THO
K
/STEQ`
. . . SS�ONALF-�
PETITIONER : /4X>-sr9,1S /tl/GGs
' to/STIn/C' I •• ••, Al
LO7 W/7 ® I
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r4 970
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EC.9 A. . 1 i
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t '�cyRcN F'=r r
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CERTIFIED PLOT PLAN
LOCATION /!? Ta.v
SCALE . $/. ..'. . . . DATE
PLAN
Irv-le
�lvl OF
LFY -+
N° 2s1a) 1 CERTIFY THAT THE ! 7 ^•'G ?^�1 '�at�-'✓
r o / SHOWN ON THIS PLAN IS LOCATED ON-THE GROUND
AS SHOWN HEREON AND THAT IT CONFORMS TO THE
SURY SETBACK REQUIREMENTS_ OF THE TOWN`OF
WHEN CONSTRUCTED.
jo-se 1N P, Rzez;w - �v& DATE
PETITIONER: .?2Z el e _ ^l7^lk 'e ne.
REGISTEAED 'LAND SURV�7O R
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o�
o g �
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1a3 � LOT 5 LOCUS
c� ASSESORS PO 040
y LOT 109 w
LOCUS MAP
PLAN, REF 273-22
o ASSESSORS MAP- 46-108
ZONING. "R1,
9 'O SETBACKS. 30'-15'-lt)'
LOT 4
AS-5ESORS PLOT PLAN OF LAND
LOT 108
LOCATED A
p AREA=20158-1 F.
83 ABLE WA Y
MARSTONS MILLS, MA.
,,,,,,,,,,,,,,,,,,, PREPARED 1!70
CD
SCOTT F. LUIG
SHE'D SCALE- °,
2 ` _ OCTOBER 26, 2004
-
REV
II
.
REV
LOT 3
o E - II� REV
�� Li
ASSESORS 2 ,
��, a56 ASSESORS
LOT 107 CO- �59 LOT 2 YANKEE SURVEY CONSULTANTS
UNIT 1, 40B INDUSTRY ROAD
P. 0. BOX 265
MARSTONS MILLS, MASS. 02648
TEL• 428-0055 FAX 420-5553
SHEET 1 OF 1 [:JOB=. 537819 JF
I
Previous to editing of plans -
( tt. by Architects Studio L Td,
I Q 1 ti
the footings, foundation walls, rL i
network of re-enforcing bars
and anchor bolts were already
o ;
in place on site. No accuracy of
i I
i
code com liance o� ! p f any of these '
components can be assured
a.
J7 : by Architects Studio L_TP.
N
i
•
F-X16TNG FOuNnATON .
rZY �f -IN .1f;41ct-S, iri l~ 2'= r ,
... � �-' �z•1�� 1 L1 �C 1 Vw� �,', �'C:�V.''J �� . l.'�., ' ��:.(�I.rNn.4,:t.�YR �Ll'�"1� 1.•j'�..;�
'(S PO BOX 488 SOUTH WELLFLEET MA 02663 Luiz Garage Scale
489 ROUTE 6 SOUTH WELLFLEET MA 02663 83 Able Way 1/4" = V-0"
PHONE: 508-349-7672 FAX:508-349-6307 Marston's Mills, MA Date
office@archstudioltd.com - 1/1 2/07
�`_ `•' www.archstudioltd.com
S
DI _
r I Any fill under grade supported slabs to be a
i minimum of 4" granular material, compacted to 9591b ,
yt -. ••-
-Concrete slabs to have a minimum density of 3500 P51
-Concrete slabs to have control joints in both directions
i every 25-0" max
1 -\Vaterproof aLL basement walls before backfilling
ALL wood in direct contact with concrete to
r- I be pressure treated.
Use 4-185 &x& steel mesh reinforcing in all 1
' slabs.
4" SLab to slant 114" per foot toward opening
I {
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^. 1 T?" .' . . . '
\
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to *ts'
�S PO BOX 488 SOUTH WELLFLEET MA 02663 LUIZ Garage Scale
489 ROUTE 6 SOUTH WELLFLEET MA 02663 1/4" = V-0"
PHONE: 508-349-7672 FAX:508-349-6307 83 Able Way
Marston's Mills, MA Date
office@archstudioltd.com ���2�0�
P Sw www.archstudioltd.com
t
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• _.
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Unheated
o Attic/storage Space
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489 ROUTE 6 SOUTH WELLFLEET MA 02663 g 1/4
PHONE: 508-349-7672 FAX:508-349-6307 83 Able Way
office@archstudioltd.com Marston's Mills, MA Date
PS`V www.archstudioltd.com 2/07
I
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16" � I t
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/` 489 ROUTE 6 SOUTH W ELLFLEET MA 02663 1/41 = V-011
`�►�` `O PHONE:508-349-7672 FAX:508-349-6307 83 Able Way
c ` Marston's Mills, MA Date
office@archstudioltd.com 1/1 2/07
S� www.archstudioltd.com
InstaLL Steel ,
P to
Connect the Rafters
over the Ridge
IV--
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--- _._�_. --- fir•�;�'� a.c-�' � �..
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'`S O PO BOX 488 SOUTH WELLFLEET MA 02663 LUIZ Garage Scale 489 ROUTE 6 SOUTH WELLFLEET MA 02663 g3 Able Way
1/4" = 1�-
0"
��� `O PHONE: 508-349-7672 FAX:508-349-6307 Marston's Mills, MA Date
office@archstudioltd.com 1/12/07
www.archstudioltd.com
P S V
i
NOTES ALL Plywood to be
glued and nailed as per MA Code
to form rigid structural frame.
steel straying to be extended
;.r from one rafter,over ridgeboard
v.t;n E' to the opposing rafter to add
rigidity to roof structure.
. ..�. . �., 5i���ttt:irt a►, h�. l;Q r�,i:T�Fs __.___..._.�.. - .-`•
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117
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MASS.
PO BOX 488 SOUTH WELLFLEET MA 02663 489 ROUTE 6 SOUTH WELLFLEET MA 02663 LUIZ Garage Scale
v 1/4" _ I I-oil
PHONE: 508-349-7672 FAX:508-349-6307 83 Able Way
6,0
office@archstudioltd.com Marston's Mills, MA Date
P` S� 2�0�
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FRONT ELEVATION
Scale: l/4"=F-0"
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MASS.
,�.._. a.... ;.�.,........--,.. . ..- -. _. +AyOF
PO BOX 488 SOUTH WELLFLEET MA 02663 Luiz Garage Scale
489 ROUTE 6 SOUTH WELLFLEET MA 02663 1/4" = Y-0"
\ `O V PHONE: 508-349-7672 FAX:508-349-6307 83 Able Way
Marston's Mills, MA Date
-. • Q '(``O office@archstudioltd.com
PS www.archstudioltd.com 1/.l 2/07
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+�OP
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489 ROUTE 6 SOUTH W ELLFLEET MA 02663 1/4" = Y-0"
6\0
83 Able Way
GPHONE: 508-349-7672 FAX:508-349-6307 Marston's Mills, MA Date
office@archstudioltd.com 1/12/07
Pv
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RIGHT ELEVATION
Scale: 1/4"=F-0"
/ O
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'�Tk pR �S
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V� 489 ROUTE 6 SOUTH WELLFLEET MA 02663 1/4
O rr 1'_Orl
PHONE: 508-349-7672 FAX:508-349-6307 83 Able Way
office@archstudioltd.com Marston's Mills, MA Date -
P� www.archstudioltd.com 1/12/07
. S .
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LEFT ELEVATION
Scale: 1/4"=F-0"
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489 ROUTE 6 SOUTH WELLFLEET MA 02663 1/4" = V-0"
PHONE: 508-349-7672 FAX: 508-349-6307 83 Able Way
6\0
Marston's Mills, MA Date
office@archstudioltd.com 1/12/07
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