HomeMy WebLinkAbout1044 OST.-W.BARN. RD - Health 1044''OST-W.BARN. RD
Mlarst0ns Mills
A 124 — 043
Town of Barnstable P#
Department of Regulatory Services
Public Health Division Date t3
'bs 200 Main Streets Hyannis MA 02601
.Date Scheduled J r/d t�
Time Fee rd.
South Suitability Assessment for e Disposal
Performed By: L Te�✓" �CG•t -s /S�r Z Witnessed By: 1/ --�
LOCATION& GENERAL INFORMATION ,l 4
Location Address (� (��,,,er's Name ZoC. >T S P ci tjj'Le
�� I e.� f%/� ��C�E`tiry.S�'c�zi�' / G �
Me;rsh el-f /11,11-5 AddressC/C�{��'
Assessor's Map/Parcel: 1'Z Engineer's Name , Cr
NEW CONMUCT70N REPAIR ! Telephone# ,�'�oF`73.7'H-7 (''
Land Use Slopes Surface Stones Vj -
Distances from: Open Water Body ? ft .Possible Wet Area, )U� ft Drinking Water Well 71:: ft
Drainage Way 7"f'�� ft Property Line '4/-- ft Other, . ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
Uj
_ I
i
p
Parent material(geologic) Depth to Bedrock
Depth to Groundwater. Standing Water in Hole: 0", Weeping from Pit Foce a
Estimated Seasonal High Groundwater
DETERMINATION FOR SEASONAL HIGH WATER TABLE
Method Used:
Depth Observed standing in obs.hole: in, Depth to soil mottles In,
Depth to weeping from side of obs.hole: _in. Groundwater Adjustment ft.
Index Well# Reading Date: Index Well level a---, Adj.ihctor, �_,- Adj.aroundwater7 Bevel,,
PERCOLATION TEST Date Time
Observation
Hole# � Tithe at 9"
Depth ofPerc � `� C��w� � Time at 6"
Start Pre-soak Time @ , ^� Time(9"•60')
End Pre-soak
Rate Min.linch li-2i
Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division 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:\SEPTICVERCFORM.DOC
DEEP.OBSERVATION HOLE LOG Hole#.
Depth from Soil Horizon Soil Texture .Soil Color Soil- Other
Surface(in.) (USDA) (Munselp Mottling (Structure;Stones;Boulders.
it .v1
�- z_• s�-- to�►�s��l
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones Bou_lders.
Consistency,%-
rZ
(-3a
,Nt--c 61 z.,_5
I
DEEP OBSERVATION HOLE LOG Hole#
Depth from. Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,'.Bouldem.
Consiite e
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
I �
Conti
� II
Flood Insurance Rate.Ma IX
Above SOO year flood boundary No_ Yes
'Within 500 year boundary No Yes,.:„„,
Within f 00 year flood boundary No Yes
Death of Naturally Occurring Pervious 1Vlaterial
vious material exist in all areas,observed throughout,the.
naturally occurring pervious Does at least four feet of n y g p
area proposed for the soil absorption system? —'
If not,what is the depth of naturally occurring pervious material?
Certification \\�
rcertify that on J (date)I have passed the soil evaluator examination approved by the
Department of Environmental Protection and,that the above analysis was performed by me tonsistent with r
the required tra expertise and experience described in 310 CMR 15.017.I,
Signature
Date `
q:\S•gpnC�PBRCFORM.DOC
TOWN OF BARNSTABLE
LOCATION'10HQS,t-ry111e W t3q-rAs, /W SEWAGE#
VILLAGE ,J je" Mill, ASSESSOR'S MAP.&PARCELAPI M
INSTALLER'S NAME&PHONE NO. SC S48' 77C6 9963
SEPTIC TANK CAPACITY I -06 Casa-/
LEACHING FACILITY:(type) �cf (size) 3 1 G 2, X O
NO.OF BEDROOMS
OWNER IA K eiILC �n
PERMIT DATE: �Z-l�913 COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility" 11 G+ etrw(K.+e`&eet
Private Water Supply Welland Leaching Facility-(If any Wells exist en
site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of lea Feet
FURNISHED B
G
3 5.3
aA 4. S.3�,, Jj
-5 3
1 —35
D 3 4 �,�ao
C..
5 �13
r � I
No /3 5a_)_1 Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ?�
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
ZIpplitatlon for �Dis loSal �bpstrm Construction i3Prmit
Application for a Permit to Construct( ) Repair( ) pgrad ( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. ✓ o O er's Name,Address,and Tel.No.
o �? ar �s,p I Yl1 r �rti
Assessor's Map/Parce f �"'d'�3 � )1�Y)��
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 5C4
s �c,-- `7? 6 163 Ch I vi Ce r/ o
Type of Building: n /r�
Dwelling . No.of Bedrooms '` Lot Size 4 ( 916 sq.8. Garbage Grinder( )
Other Type of Building K1 C No.of Persons 2 Showers( )) Cafeteria( )
Other Fixtures
Design Flow(min.required 2 QO gpd Design flow provided 330 gpd
Plan Date /3 Number of sheets Revision Date
Title
Size of Septic Tank 15(Z Type of S.A.S. {gyp t,Ds 36 14C /►I r k 4or-C
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) y G O 111x'
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
Sig Date /3
Application Approved by Date q
Application Disapproved by Date
for the following reasons a
Permit No. � d"— __ Date Issued 14 bPck 1
No KY mi a � ,
3 _Z Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:_Af__7'—
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
9pplitation for MIsp'os(a .pstein Construction Permit
Application for a Permit to Construct( ) Repair( ) pgra ( ) Abandon( ) ❑Complete System ❑Individual Components
AA
Location Address or Lott No. �� / �" Owner's Name,Address,and Tel;No. i
Assessor's P0,1 p7/9c7�2 j'4- 3 ✓)A V1
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
7? 9 Cr 6 n n r 1-► cr
Type of Building:
w Dwelling No.of Bedrooms ,,^^1Z Lot Size 9/ sq.ft. Garbage Grinder( )
Other Type of Building tJ we l kA C No.of Persons 2 Showers( )) Cafeteria( )
Other Fixtures
Design Flow(min.required) 2 20 gpd Design flow provided 3c� gpd
Plan Date q �/4/3 Number of sheets Revision Date
Title n
Size of Septic Tank 15Q) Type of S.A.S. (`n 6D e
Description of Soil
Y
Nature of Repairs or Alterations(Answer when applicable)
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
✓r, Compliance has been issued by this Board
Si d Date 2 3
Application Approved by Date 1
Application Disapproved by Date
for the following reasons
Permit No. 1-40 � Date Issued
TH E COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded
Abandoned( )by
at fiI ( _ � �/'� m has been constructed in accordance
with the provisions of tl 5 an t eefor Disposal System Construction Permit No. dated
Installer � 9 v Designer [— ),I 'Pr e,I" ci oe`
#bedrooms Q / Approved design flow 3 / gpd
The issuance ofllis ermit shall no be c nst 'ed as a guarantee that the system it fu\ctio as designed.
Inspector
--
< ---------------( J---------------------------------------------------------------------------------------(/---------------------------------
No. ! / 5 Fee �Q�
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Disposal *pstrm Construction Permit
Permission is hereby)granted to Construct( ) Repair( ) Upgrade( ) Abandon( )
System located at /o q T to y+er ul l 1/e- w e 5-f
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 completed within three years of the date of this Qb
Date lj I Approved
a
05/02/2013._ 07:27 5084775313 ENGINEERING WORKS PAGE 01
Torn of Barnstable
Regalatury Services
Thomas F.GeHer,Director
t Public Hnkh Division
Thomas McKean,Director
200 Main Street, Hgsnnis,MA 02601
Office: 5WM4644 Fn! 508-790-5304 '
Sewage Permit#,DJ(3— SA=ssor's Mapfflwcel
Des` ]Form
DesiVM1 Ent'. n. War4s. lnc . Installer: � t�►tie�Ove� �XCs.vo►+l'/`?
Address: tz W. C. :s lc! -1U• Address: 3v ,^c�cc�—IZrr
On k C CAAJI'n was issued a permit to install a
(date) (installer)
septic system at Id ��s '^7 y w Ga,.s4,14 used on a design drawn by
(address)
dated t q 1
(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.
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 or 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) ed and the soils
f nd satisfactory. tN of
PM 'r,
MCEHTEE
's Signature CIVIL
(Designer's Signature (Affix Design
PLE E PTURN TO [EALTH ION. ICA
NOT B IL BO F AS-
LU
T C RECE B L FUHUC HEALTHI
MMUM
q:l ice*rV%\dedgawcff4fpmUcm form.doe
1 - -
LEGEND N
tone ridge t-n
--
99 EXISTING CONTOUR
x 100.98 EXISTING SPOT GRADE ® SOatherlan d
PB 270 _ PG 60 O,H.•W.- OVERHEAD WIRES R
W EXISTING WATER SERVICE °4a LOCUS Qo«
o etYd\e
TEST PIT ��. a tY�be`
BENCHMARK
Round Pond 1 y
J o
1i \n`outh R 3
. .. / Old F° i
Lance's Lo
River (a rox°) Mountain p5
5kunkri _-- Ash R Sho\chet d
PROPERI1L-i-a(`fE' _---4� Rp55`o "°\W°y e
i REAR ____ �eatheNon
LOCUS MAP
NOT TO SCALE
_56---.----- -- =- _
_52------ ,----_
--5 - , . \
5�'- -'_ ---------54� ---
---------
n, APN .124-043 b I _
47,916 S.F.t
\FLT
OF NDt
100' 8 FER TTo WE
PROPOSED:
S.A.S. J �� �� t 00
j� +57.`17� s
* NF 58.55
x Y' S8.Q8 -
f `, EXISTING CESSPOOLS
s 05 q, TO BE PUMPED, FILLED+WITH
C ,-., INSPECTION / 1 6 1 SAND AND ABANDONED
\� PORT r r j
8.5
s r 10'
s f o LI_I� garde` +57.48 l / CP
�+..
58.70 Q
� ss.z? / /
Jam!
,4•.•a^-:.. sa-°.�,^- '• ^°»d •--,..,w�..;°r 1_ ,,, ,,. ..u,,,;,,..� -,prw:.v. Nr�l TP.:r
56,93 � / •�/ >
2
.', LA + �=
}z + r ,;• . a� \ .. III I I^\ 4.
BENCHMARK SET
\ gyp. ,� 1 1 I / t`�' OUTSIDE COR./BOTTOM.STEP +
Y II ! EL.=60.21 (ASSUMED'DATUM) .
T
4 PROPOSED .-4 60.23 x 59.62
SEPTIC TANK v 5811P1�7.36 11 +sass
+ .� W 59. 9.15 .I
'a 6 .09 r 1 3h 58.05
w
INSTALL CLEANOUT. D CK 1 I j I 1/ .; �J' x J p • ate`,
Yy 60.3 X 18.34. ,49 111 �v a / /r , t
1 I 1 1 / ate �7
\b
ti 6a z iEXISTING I' `r�i /! / o) J,
58.45
. 60.95 HOUSE(#1044
T.O.F.=61.4t `
e:..� rk • z , 60.93 /0 _ 58.4 � 11 II /
# 61.14 + 9631 60.06 I l� 51.89 ct _ / q.
LO)60.34
a
t J. �59.66
59.83
\ +
r _0 ss LAMP 60.98 \� \ x 5Nq�7
60,04 60. 8 \ ���x
o PETER T. STONE w ❑ \` �-
McENTEE - -
o . k
� CIVIL "' DRIVEWAYS'
No. 35109 61.44' s 60.69 130.00.
R£G/SZEF� � 61.00 60.97 N 08°05'10,.�E -
t 61S 61,31
,
edge of pavement 6o.s6 61.16
y " ca 6 Oz r 61.01` 61.15
tc asin
e .A
F OWNER OF RECORD OS TER VILLE- WEST BARNS.TABLE ROAD r
ROGERS, DIANE L
16 OLD MILL ROAD . ', F
EAST SANDWICH, MA 02537
C/O MARTIN, DIANE
Engineeri"9 by: sE DRAWN JOB. NO. PROPOSED SEPTIC SYSTEM UPGRADE PLAN
Engineering Forks, Inc. 1"=30' P.T.M. 119-13
1` 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. 1044 OSTERVILLE-W. BARNSTABLE ROAD, MARSTONS MILLS, MA --s
(508) 477-5313 3/19/13 P.T.M. 2 of 2. Prepared for: Diane Martin, 16 Old Mill Rd., East Sandwich, MA 02537
a
I:•
„e
NOTE: TO PREVENT BREAKOUT, THE PROPOSED
FINISH GRADE SHALL NOT BE < EL.56.08
PROPOSED SEPTIC TAN FOR A DISTANCE OF 15' AROUND THE
K PERIMETER OF THE S.A.S:
PROVIDE RISERS & COVERS OVER SEPTIC TANK INLET AND PROPOSED D-BOX
INSTALL RISER & WATERTIGHT PROPOSED S.A.S.
OUTLET MANHOLES AND SET TO WITHIN 6" OF FINISH GRADE COVER SET TO 6" OF GRADE INSTALL 1 INSPECTION PORT(MIN.)
AT END OF S.A.S.
T.O.F.=61.4t
F.G. EL.=60.3t F.G. EL.=58.8t
EXISTING F.G. EL.=60.Ot F.G. EL.=58.8f
f MAINTAIN 2% GRADE (MIN.) OVER S.A.S.
L = 42' INSPECTION
® S=1% (MIN.) L - 6' = 6' PORT
4"SCH40 PVC ® S=1% (MIN.) % (MIN.) (1 MINIMUM)
4'SCH40 PVC 40 PVC
P6' ===Jl
10-1 E74'�S�CH
7.13" TOINV.=58.00 48" UOUID
14 INVERT
LE
'��EINV.=55.87 PROPOSED . 5.70 (3 ROWS OF 6 UNITS AT 5.0'/UNIT) + 1.2' (1 COUPLER) 31.2'
INV.=57.75 D-BOX SOIL ABSORPTION SYSTEM (PROFILE)
INSTALL INV.=55.59
PROPOSED SEPTIC TANK INLET TEE
PROVIDE NEW OUTLET EXISTING ESTABUSH VEGETATIVE COVER
HOUSE AT, OR ABOVE, INV.=58.42 BACKRLL WITH CLEAN NATIVE OR
PERC SAND TO TOP OF CHAMBERS
NOTES: BREAKOUT=TOP .
1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE TOP ELEV.=56.08
INVERTS, PRIOR TO INSTALLATION. INV. ELEV.=55.59
` 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND BOTTOM ELEV.=55.00-'
TRUE TO GRADE ON A MECHANICALLY COMPACTED 2 83'
SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN 5' MIN. ABOVE EST. HIGH G.W.
310 CMR 15.221(2). 4' MIN. NATURALLY OCCURING EFFECTIVE WIDTH=8.5' 4
3) INSTALL INLET & OUTLET TEES AS REQUIRED. PERVIOUS MATERIALS
4),. GAS BAFFLE TO INSTALLED ON OUTLET TEE
AS MANUFACTUREDD BOTT. OF TEST HOLE, EL=47.7 - EXISTING SUITABLE MATERIAL
BY TUF-TITS, ZABEL OR EQUAL. USE 3 ROWS OF 6-ADS Arc 36 UNITS 4+ 1' COUPLER PER
d` ROW WITH NO SEPARATION BETWEEN EACH ROW & NO STONE t
` SOIL ABSORPTION SYSTEM (SECTION) -
_ SEPTIC SYSTEM PROFILE r
N.T.S.
GENERAL NOTES:
. SOIL LOG - � ` •
1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL
DAfE-71 MARCH 12, 2013 (REF _P#13,890) BOARD OF HEALTH AND THE DESIGN ENGINEER.
SOIL :EVALUATOR: PETER McENTEE, (SE#1542) 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS
__.-WITNESS: DONALD DESMARAIS R.S. OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE
HEALTH AGENT LOCAL RULES AND REGULATIONS.
' ELEV. TP-1 DEPTH ELEV. TP-2 DEPTH 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 4
58.8 A_ `DESIGN ENGINEER. -
SANDY LOAM SANDY LOAM 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING
5a_2 1 OYR 4/2 6,,. 58 3 10YR 4/2 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN '
6" ENGINEER BEFORE CONSTRUCTION CONTINUES.
B B 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM
SANDY LOAM SANDY LOAM
10YR 5/4 10YR 5/4 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF
56.0 32" -55.8 36" THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF
C1 C1 PERC HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION.
36"/48"
7. WATER SUPPLY PROVIDED BY•TOWN WATER SERVICE. -
M-C SAND . M-C SAND 8. THERE ARE NO PRIVATE WELLS WITHIN 150' OF THE PROPOSED S.A.S. ,
2.5Y 6/4 2.5Y 6/4 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS
AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE `t
DIRECTED BY THE APPROVING AUTHORITIES.
10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE ,
47.7' - 132" 47.8 132" THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING
` CONSTRUCTION. `
PERC RATE <2 MIN/IN. ("C" HORIZON) -
NO GROUNDWATER OBSERVED 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS
IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND,
REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3).
12. ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC SYSTEM
COMPONENTS NOT SHOWN ON THE PLAN.
1 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND
IS.NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. '
DESIGN CRITERIA Note: Are 36 SIDE PORT (H-20) COUPLERS ARE TO BE
ALSO USED WITH THIS DESIGN.
NUMBER OF BEDROOMS: 2 BEDROOMS 63..5",
' SOIL`TEXTURAL CLASS: CLASS I
DESIGN PERCOLATION RATE: <2 MIN/IN 13"
DAILY FLOW: 220 GPD
DESIGN FLOW: 330 GPD 1 , 33.8"
GARBAGE GRINDER: NO
LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF ..
74 GPD/SF� TOP VIEW
PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY ti
w 60„
PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED END CAP END CAP ,
USE 3 ROWS OF 6-ADS Arc 36 UNITS + 1 COUPLER PER FRONT VIEW SIDE VIEW
ROW WITH NO SEPARATION BETWEEN EACH ROW & NO STONE REEND GAP
AR/TOP VIEW.
BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.80 SF/LF OF UNIT) NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT SIDE VIEW _•' Y ,,
(Arc36 Units) 18 UNITS x 5.0 LF X 4.80 SF/LF = 432.0 SF TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY
COUPLERS DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE.
(COUPLERS) 3 COUPLERS x 1.17' x 4.80 SF/LF = 16.8 SF
TOTAL AREA = 448.8 SF 4640 TRUEMAN BLVD
HILLIARD, OHIO 43026 Arc 36 DETAIL
DESIGN FLOW PROVIDED: 0.74 .GPD/S'F(448.8 ;SF) j= '332.1 GPD ArnANCED DRAINAGE SYSTEMS.INC.grow.
UNITS MUST BE STAMPED H-20
Engineering by: SCALE DRAWN JOB. NO.
Engineering Works, Inc. N.T.S. P.T.M. 119-13 PROPOSED SEPTIC SYSTEM UPGRADE PLAN
12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. 1044 OSTERVILLE-W. BARNSTABLE ROAD, MARSTONS MILLS, MA
(508) 477-5313 3/19/13 P.T.M. 2 of 2 Prepared for: Diane Martin, 16 Old Mill Rd., East Sandwich, MA 02537