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HomeMy WebLinkAbout0039 STARLIGHT DRIVE - Health TOWN OF BARNSTABLE L( rATION t �`7���tir2� SEWAG Va LAGE .�l`t\��\ --� ASSESS (MAP & LOT d 0 0 INSTALLER'S NAME&PHONE Nd——/oiv /� SEPTIC TANK CAPACITYVr I (�`7� /, Gr ►n/F'hLrYLt06 (size) 'f- LEACHING FACILITY: (type) a— NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: -COMPLIANCE DATE: i tab Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet. Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by c 1101 _ - .41, -3q (Sao 2E�Z_�o6 No. FEE COMMONWFALT14 OF MASSACHUSETTS Board of Health,�T�t'��'�C��2 MA. , APPLICATION FOP DISPOSAL SYSTIA CONSTRUCTION PERMIT 11 Application for a Permit to Construct( ) RepairK Upgrade( ) Abandon( ) - i Complete System Individual Components Location Owner's Name a Map/Parcel#'M 0 Address S ham • ` Lot# Telephone# s Installer's Name Designer's Name Address fl Address zF Telephone# SOS• .. Telephone# Type of Building �F `E' p,(1�\Q, Lot Size AD _ sq.ft. ` t Dwelling-No.of Bedrooms C pR �a 1 Garbage grinder Other-Type of Building_ No.of persons Showers (M�Cafeteria (� Other Fixtures � 1V/�i T�2`�. M a�I rl�z. LA VN ARY Design Flow (min.required)" O gpd Calculated design flow�2C Design flow provided •49 gpd Plan: Date A•aV ;l Number of sheets Revision Date x Title �\ Description of Soil(s) Soil Evaluator Form No. E- Name of Soil Evaluator-GaHEN Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS A—c> a.*iLCIN bA 17)4L � l The unde igned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agr s to n t to place em in eration until a Certificate of mp' nce has been issued by the Board of Health. 1 gqSigned Date Z L Z 3U o Z Inspections 06." No.•• Z FEE COMMONWEALTH OF MASSAC14USETTS - r Board of Health, MA. APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) RepairX Upgrade( Abandon( - ❑Complete System XIndividual Components Location Owner's Name .H t n l w) len. �S Map/Parcel# Address 39 S� Lot# Telephone# Installer's Name ; _��GP Designer's Name �OUI pt>ttile(l IC �) 5 Address t.�l Address �, m v M I-) Telephone# SOS _ S Telephone# Type of Building �P S 1 C�et7 tQ 1 Lot Size sq.ft. Dwelling-No. of Bedrooms T-V- C eQ 3' Garbage grinder W I q Other-Type of Building I`J one P- No.of persons_�Showers (►' Cafeteria (VI f Other Fixtures L�\I I,-YOQ.1� ���C'414 Cl 1 C1k . LFl vN Ot�ilt Design Flow (min.required) ?),�3d gpd Calculated design flow Design flow provided -__ 34-42 gpd Plan: Date 1 , og Number of sheets \ Revision Date Title Description of Soil(s) r C, �(C�C ` _ 1 c Soil Evaluator Form No. `� �� Name of Soil Evaluator�¢aRM E N 4-10 Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS C-*C c\\Qc\ The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed I f,1)-1 �11 '_ f-af� 1�1 ��/1 Date to Aeptdv byv �z��30 0 -z Inspections No.wo2-(0c)� FEE COMMONW 14 OF MASSAC14USETT Board of Health., �l I ►"d/��..� MA. CERTIFICATE Of COMPLIANCE Description of Work: ]Individual Component(s) ❑Complete System i The ixndersi' ned her..,y certify that the S wage Di+spo al System; Constructed ( ),Repaired �,Upgraded ( ),Abandoned ( ) by: f Y .1 1 )tt�AAV'✓%./ hI ,J ��erV�1-. � pSy_. x 4i tic �at y -t6krU '1t ��1 t (C , I � Yl/)r toJ -) �j 1 115 has been installed in accordance with th isions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. 2//-fij��Z' �D�?�dke In��- '02 . Approved Design Flow (gpd) Installer ��(R�1 t U A(,i�i Ii�_41/_,tl J I� Designer: 61��, Inspector: Af� Date: 9° r v The issuance of this permit shall not be construed as a guarantee lat the system will function as designed. No. ZUOZ'k;o6 FEE �G Board of Health � fT t IL , MA. DISPOSAL. SYSTEM[ CONSTRUCTION PERMIT Permission is hereby gJranted to; Construct( ) iRepair,(X Upgrade( }) Abandon( ) an individual sewage disposal system at 9) ��/u�:(� �� J�' l I% - !` Ll,� t " r� J �j 06 6 as described in the application for Disposal System Construeltion Permit No. ZexWz-(o(o , dated (2 30 GZ- R, Provided: Construction shall be completed within three years of the date of thi t. o a conditions must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date (2 3U 1 Board of Health l FORM 11 — SOIL EVALUATOR FORK Page 1 of No.: Date: 12/27/02 COMMONWEALTH OF MASSACHUSETTS Barnstable Massachusetts Performed By: Carmen E. Shay Date: 12/27/02 Witnessed By: Waiver Location Address or#39 Starlight Drive Owners Name: John Mullen Marston Mills,MA Address and #39 Starlight Drive,Marston Mills Lot# (Map—100,Parcel 039) Telephone Number: New Construction : X Repair : OFFICE REVIEW: Published Soil Survey Available: No ❑ Yes ❑ Year Published: Publication Scale: Soil Map Unit: Drainage Class: Soil Limitations: Surficial Geologic Report Available: No❑ Yes❑ Year Published: Publication Scale: Geologic Material: (Map Unit): Landform: Glacial Outwash Flood Insurance Rate Map: Above 500 Year Flood Boundary: No ❑ Yes Within 500 Year Flood Boundary: No F-xl Yes ❑ Within 100 Year Flood Boundary: No Fx1 Yes ❑ Wetland Area: None National Wetland Inventory Map (map Unit): Wetlands Conservancy Program Map (map unit): Current Water Resource Conditions (USGS): Month } Range: Above Normal ❑ Normal FXI Below Normal ❑ Other References Reviewed: USGS Topographic Map DEP APPROVED FORM 12/7/95 FORM 11 — SOIL EVALUATOR FORM Page 2 .of 3 Location Address or Lot No.: #39 Starlight Drive, Marston Mills, MA On -Site Review Deep Hole Number: #1 Date: 12/27/02 Time: 8:00 AM Weather: Sunny, Cool Location (identify on site plan): Refer to Sketch Landform: Outwash Plane Position on Landscape (sketch on back): Refer to Sketch Distances From: Open Water Body N/A feet Drainage Way N/A feet Possible Wet Area N/A feet Property Line 25' feet Drinking Water Well N/A feet Other DEEP OBSERVATION HOLE LOG Depth From Soil Soil Soil Soil Other Surface Horizon Texture Color Mottling Structure, Stones, (inches) (USDA) (Munsel) Boulders, Consistency, % Gravel 0" — 10" AP Sandy 10 YR 3/2 None <5% Gravel, Friable Loam Friable 10" — 24" BW Sandy 10 YR 5/6 None <5% Gravel, Friable Loam Friable 24" — 50" C' Loamy 2.5 Y 8/6 None Fine Sand, 15% gravel, Sand Friable 50" 156" Cs Medium 2.5 Y 7/4 None Medium Sand, <5% Sand gravel, Loose Parent Material (Geologic): Glacial Outwash Depth to Bedrock:None encountered Depth to Groundwater: Standing Water in the Hole: None Weeping From Face: None F 4 ated Seasonal High Water Table 156" Assumed — No groundwater Observed DEP APPROVED FORM 12/7/95 FORM 11 - SOIL EVALUATOR FORM Page 3 of 3 Location Address or Lot No.: #39 Starlight Drive, Marston Mills, MA Determination of Seasonal High Water Table Method Used: ❑ Depth observed standing in Observation Hole: N/A inches ❑ Depth weeping from side of Observation Hole: 156 inches (assumed) ❑ Depth to Soil Mottles: None inches ❑ Groundwater Adjustment: None feet Index Well Number: Reading Date: Index Well Level: Adjustment Factor: Adjusted Groundwater Level: N/A DEPTH OF NATURALLY OCCURING PERVIOUS MATERIAL: Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system: Yes CERTIFICATION: I Certify That on September 17, 2000, (date), I have passed the soil evaluators examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature: Date: �a\'L81Oa FORM 12 - PERCOLATION TEST Location Address or Lot No.: #39 Starlight Drive COMMONWEALTH OF MASSACHUSETTS Marston Mills , Massachusetts Percolation Test Date: 12/27/02 Time: 8:30 AM Observation Hole #: #1 Depth of Perc w" a" Start Pre-soak 8:30 AM End Pre-soak 8:45 AM Time at 12" 8:59 AM Time at 9 9:13 AM Time at 6" Time (9-6") Rate Min./inch 5MP1 ' Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Performed By: Carmen E. Shay Witnessed By: Waiver Comments. Would Not Hold 24 Gallon Presoak - 5 MPI Site Passed X Site Failed DEP APPROVED FORM 12/7/95 Sep - 20- 01 13 : 52 BARNSTABLE HEALTH DEPT 5087906304 P • v2 snsroi ' :NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. PERCOLATIO:N 'TEST AND SOIL EVALUATION EXEMPTION FORM hereby certify that the engineered pian signed by me ucteC I O concerning the property 1located at 1"15meets all of the • This failed system is connected to a residential dwelling only. There are no ommerzia! or business uses associated with the dwelling. • 'The soil is class:;led as CLASS I and the percolation rate is less than or equal to 15 m.%(es per inch. I'ne applicant may use historical data to conclude this fact or may _onduct Pre!trr_war;% tests at the site without a health agent present. • ;here :s no increase in now and/or change, in use proposed • There are no vanances requested or needed. • The bottom of the proposed leaching facility will not be located less than fourteen 14) Feet aoove the maximum adjusted groundwater table elevation. (Ad,)ust the 7rnunL_wwer table using the Frimptor method when applicable) Please complete the following: 1. Top of Grounc± Surface Elevation (using GIS informauon) t� W' E;cvacor, � ad;ustment fornigh c.w.h... BETWEEN r\ and B D — p ATE: a 8 U :NOTICE 3asec jpon. the above rformaclon, s repair permit wil! be issued For bedroors Ta .,mu:r.: ` o add.n��nal bedrooms are authorized to t`1e future without engtneerec plans -- — �ctun:c'Au ,7u ccamp Permit Number: Date: Completed by: i I HIGH GROUNDWATER LEVEL COMPUTATION i Site Location: M M1�_�� C_ Q� \Q1�1� ��� � 1 �Lot No. � Owner: :Te),+t, MOVQV. _ Address: Contractor: �1hC�� !Z1L�UtCDrlccYA4`Address:_}"7[�1C Notes: I I STEP 1 Measure depth to water table G tonearest 1/10 h. .............................................................................. Date m0nth/0aV/Y*ar I STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: O�J OA Appropriate index well.................................................... OWater level range zone..................................................... i STEP 3 Using monthly report "Current j Water Resources Conditions" determine current depth to water level for index well ........................... —mon Lr•ar—r i i STEP 4 Using Table of Water level Adjustments for index well (STEP 2A),current depth to water level for index well (STEP 3), and water-level zone (STEP 2B) determine water-level adjustment.......................................................................................... . i STEP 5 Estimate depth to high water by subtracting the water. I level adjustment (STEP 4) from measured depth to water level at site (STEP 1) ................................................................................. s , L' I. i I t �I Cape Cod Commission: USGS Well Data-November 2002 Page 1 of 2 United States Geological Survey Observation Wells As a service to Cape officials, engineers and other interested parties, the Cape Cod Commission publishes monthly groundwater data gathered by its Water Resources Office. The water level measurements shown below are taken monthly from United States Geological Survey (USGS) observation wells and compiled during the last week of each month. They are published as soon as possible thereafter. Listed below are nine out of the 61 wells measured across Cape Cod by the Commission's Water Resources Office. These nine are employed as index wells to be used with Technical Bulletin 92-001 to predict high groundwater levels. For your convenience, we've also provided links to USGS national and state data. See the last column in the table and the footnotes below. For further information, please contact Hydrologist Gabrielle Belfit at the Commission offices (508-362- 3828). r November 2002 1,31S :rS site Water Record Record Departure from Number** Location Well No. Level* High* Low* Average** (Links to I SGS Monthly Overall national water-level database) Barnstable 230 25.6 20.5 26.6 -1.1 -1.9 413956070164301 Barnstable 24W 27.4 20.5 28.6 -2.2 -2.9 414154070165001 Brewster BMW 21 13.4*** 6.9 13.6 -2.6 -3.2 414518070020301 Chatham CGW138 25.4 20.9 26.6 -0.8 -1.4 414100070011101 Mashpee MIW 29 9.2 5.6 10.0 0.0 -0.6 413525070291904 Sandwich ZI52 47.8 45.9 48.2 -0.2 -0.5 414418070241601 k Sandwich 2DW 54.6 45.8 55.1 -3.8 -4.5 414124070265901 Truro TSW 89 12.1 10.2 13.0 0.1 -0.1 420206070045901 Wellfleet [!1!7W:: 12.2 7.3 12.8 -1.1 -1.7 415353069585401 I http://www.capecodcommission.org/wells.htm 12/11/2002 TOWN OF BARNSTABLE LOCATION ``n�,��T—( �� `��l`L� SEWAGE # �1V\� . VILLAGE � � ASSESS MAP& LOT .Ba INSTALLER'S NAME&PHONE NO��.JZiy�C� I SEPTIC TANK CAPACITY LEACHING FACILITY: (type) Lr iNiZn L-.TIT (size) e� (�° YL NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE: [' �D— ��T— COMPLIANCE DATE: I obl 0 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by I i 9 s1tt J i _ 0.- n l1 1 � 54 CARMEN E. SHAY (508)-548-0796 ENVIRONMENTAL SERVICES, INC. P.O. Box 627,East Falmouth,MA 02536 January 6, 2003 RE: Certification of Title V Septic System Installation: Residential Property—39 Starlight Drive, Marston Mills, MA Dear Sir or Madam: On January 3, 2002, Roger Roberts, Inc. was issued a permit to install a Title V Septic System at 39 Starlight Drive, Marston Mills, MA, based on a design drawn by Shay Environmental Services, dated, December 28, 2002. XX I Certify That The Septic System Referenced Was Installed Substantially According to the Plan r I Certify That the Referenced Above Septic System Was Installed With Changes but in Accordance With State and Local Regulations, Revisions or As-Built Plans/Sketch will Follow. The Septic System Was Not Installed Per State and Local Regulations and Corrective Action is Required. If you have any questions, please do not hesitate to call the undersigned at (508)-548-0796. Sincerely, CARMEN E. SHAY ENVIRONMENTAL SERVICES, INC. ' 1� rrYi (i. S ASo 'nt y. R Can E. Shay, R.S. C. No. 1 8 y AN President �`�G/sIVIT Tt�`� s TOWN OF BARNSTABLE LOCATION' cS"T-4� -)X&T SEWAGE # 5le-166 r VILY:AGE ASSESSOR'S MAP & LOT/oOQ , INSTALLER'S NAME & PHONE NO. � � C'Qrv�1 SEPTIC TANK CAPACITY /®®� LEACHING FACILITY:(type) l (size) /D NO. OF BEDROOMS .3 PRIVATE WELL OR FCl-a IC WATE BUILDER OR OWNER P-/AJ /WZ1 DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes Noe �.: �.� -off ��,Cs� ., J ol- Le S /-/C, L 7' �eoT` Sep tm�rl—W -A-_tea u S ESri o S�•?G l�o A a Q TTI- P o_.V_�.. /�e.4LTH tjePT SePT/C SyST--m L.oT S3 No.2.2� .'�'-'��O Fim --�'-... .. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE ` ApfirFatilan for Bispwi al Works Tonstrurtinn Frrutit Application is hereby made for a Permit to Construct ( ) or Repair X) an Individual Sewage Disposal System at: ---------------- �J /Ll/L L S------- !......................................... Location-Addres or t No. ..�Z11 11.1........t'vl V .T`' G � - i!J6---- ..W..... �-- O75Address ..... .................. ..................... ......._.._ ..... .....___.__.. .e ......_.. t Installer Address d Type of Building Size a Lot_c !_ © feet Dwelling—No. of Bedrooms.................. ......_...___....Expansion Attic Gar:age Grinder ( ) p., Other—Type of Building ------� 5..----._.. No. of persons.........................._ Showers ( ) — Cafeteria ( ) a Other fixtures ------------------------------- - - W Design Flow...................�-....._..._..gallons per person per day. Total daily flow-----------. (1_........_-------gallons. Septic Tank—Liquid capacity.Ze allons Length................ Width................ Diameter................ Depth................ W Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...............Z.. Diameter....._ 6..... Depth below inlet.....--------- Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date-----•------------. -------------- a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fi Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ C4 -----------------------------------------------------------•---.....------------------....--•-...---......................................................... 0 Description of Soil......................................................................................................................................................................... x W U Nature of Repairs or Alterations—Answer when applicable......./! L.......__laQo -_�Z�f � f T! sue? -•--•-•• SST^�-�'A TnJ/C„1 �t1L Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance b n issued by the board of health. -- Signed--- - -- - - /�1�� Date ApplicationApproved B = ��G�..---- -- - ----- ---------------- ----------------------------------------------------- .......... Date Application Disapproved for the following reasons- ----------- ............. .......................................................----------------------------------------- - - - --------------------------------------------------------- ---------------------------------------------------- ------------------------------------------------------- ---------------------------------------- Date Permit No. 15�1 6 Issued ------. �� 77 - a - - . :.. -fir Date No.., Fss....� ...t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE x Appliration for Dhiposal Works Tonotrixr#iun rami# Application is hereby made for a Permit to Construct ( ) or Repair (9) an Individual Sewage Disposal System at: ...........✓ ic/ /1�1/11%LLS �-•----------------•---•-............-•---- Location-Address or Pot No. ......�7Ta_A a T r�� ,r _1 s � Div --•- !� - r ---------------- - ---- .. .......... Owner Address W ✓� e�fr1/17J7..... 'LJ/�J�S?. � !��' - � . �5� -� .:..__/��c�'L1�1¢Gl. .......... Installer Address Type of Building Size ...Sq. feet V Dwelling—No. of Bedrooms................._ '�......._ _Expansion Attic ( ) Garbage Grinder' ( ) Other—Type of Building _____Xz.a.......... No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ---------------------------••••- Design Flow.................. -_--_-------gallons per person per day. Total daily flow........... .................gallons. tx Septic Tank—Liquid capacity,_-�26.6gallons Length................ Width.........._..... Diameter................ Depth................ ' x Disposal Trench—No. .................... Width.................... Total Length.............. Total leaching area....................sq. ft. Seepage Pit No.............. .. Diameter...... Depth below inlet.....411----- Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �r4 Nest Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water--_-.._____-_-_....____- 0+ •-•-•••••-•-----•---•--•••--------•---•••-•••-•-••••••••••-•••-••...................•--••-----•••---......................................................... 0 Description of Soil................................................................................------------------------------------------------------------------------------------•--- V -•--•-... •---•--•-•-••-••-•-•••-•••-•-•-•--•--••-••••••••-•-•-•-••-•--•-•--•-•-•••••-----••••---•-.....-••-••••-•••••--•-......-•••••............•-•••-••-•-•-•-•-•-••-••---••---•-•---•••---••-•---- W UNature of Repairs or Alterations—Answer when applicable_.....Zf.........1 �ow ..Q ..---._.��-...-----= ?J S ----------- =........ ST t='------ - ---- -'-UC'.........,_c. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of�TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed .- �`� r l Date% Application Approved B,y.:......... ...... ^v1 �--�C�? ` -u I — 'rJ -I I Daze Application Disapproved for the following reasons: --------- -------------------------------------------------------------------------- ------------------ ------------------------------=4- =�--....... -----------------�--------------. -------------------------------------------------�..------------------------------------------------------. .............-------------------------- Permit No. .. ��':1 G • Issued -------- '��.��`i'''l1.D7 ------------------------------- �__ .- 3 Date ` THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ' Ter#tftrate of (9oxttylizin e NN THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (-V ) by......................................... ��//�71 ............ `........ iVC' ./.......----------.............------------------1......--------------------------- at ..................................................... l-i .............. ..... .................. at .. has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. `-1........... dated ............"'y'�s--. PP P �f THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE -AS A GUARANTEE,THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.----------1 �' �' _ ��2��/v".-...:: Inspector ---------------------------- V ........--------.............------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No .......... Q FEEA&,... ?..... Oispnsal lVarko Tuns#.rnr#ion "land# Permission is hereby granted......... 0/ lSlO2 ........G10nl1s7._.....1' C----------•...........................•-•-•--- to Construct ( ) or Repair (�e) an Individual Sewage Disposal System at No.. ... ........... s. _... SrU ' l-....... /vf �� '1�/'� .................................. Street as shown on the application for Disposal Works Construction Permit Npo e,�'f �l� Dated...��..:.'��` ..........�... Board of Health DATE.....Z�r ^'ma y ------------------- FORM 36508 HOBBS 6 WARREN.INC.,PUBLISHERS 3 No....... .............. THE COMMONWEALTH OF MASSACHUSETTS ' ®AR® HEALTH OF........... i Appliration for Disposal Works T. nstrurtion Pumit Application is hereby made for a Permit to Construct ) or Repair ) an Individual vrae,Disposal Syst at: A �_s�... ..— .... ...................... - -� ...... L io -Addres or Lot No. ....... ...... _. ....:� - ....................... -••___•_____________......................... O ner - Address _ :.. ---�, h '= ---- -- ---------.....----------"-"................ n`st'11er Address Typ f Buildi Size Lot............................Sq. feet U �' a Dwelling—No. of Bedrooms....--- ........................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ...........____............. No. of persons............................ Showers ( ) — Cafeteria Other fixtures0-.gaU@R"er-person-.per.-day.---Total--da-i-ly-fl-o,;-.-.-.-..I --------------------•------- ----- ------- --------- --- •----- "- Design Flow-�................. -._gallonsSeptic Tank Liquid capacity_`._ g lons Length................ Width..... Diameter t__.__._______. epth................ x Disposal Trench—No. ......... _____ Width-- ----_-_-_-_- h.. ______ ..... -ot I ng ar ....................sq. ft. Seepage Pit No...... _____________ Diameter.-,/' ___: D ml ___.._ .__._..... ota 1 c any ar _._.._____ . ft. // f Z Other Distribution box ( ) osing tank '-' Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit-----_.............. Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O a ................. Description of Soil / - ?�*----- -------- U •--•----------••-•---••••••................•-------'--•--•-•-------•-•------------•--••---'•--------_--•-• . _____________________ ----------------------------------------•--•-------------------------------------------•---••-----••------------------------------------------•----••------•------•---------•-•-•-••-••-•-•-•.......... 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 NI of the State Sanitary ode— The undersigned further agrees not to place the system in operation until a Certificate of Compliance ha ee i ued by t e bogfdof health. s ......__.._..-• --• ---•--fie°�� r---�.---•------------- a � � ....... Date Application Approved By..._.......... - �_. w----••- - ._. .. Dat -•••--•- Applieation Disapproved for the following reasons:................................... -••-•••••_.._._..._-•-•-•-••-••-•........................•-••--•-------•-----•--••-••-••--•--••----•---•------------•--.._..----••-•--•----•-•-•----•-•------_..--••••--•-•-••-••---•---------•---..._.. Date PermitNo......................................................... Issued........................................................ Date No...... .•. Fes$./!./................. r THE COMMONWEALTH OF MASSACHUSETTS //4 ' B®A RD H EALT1-�11 ----;� OF.......... ` t Appliration for Bliipviiai Works Tonstrurti n �rutit Application is hereby made'for a Permit to Construct. ) or Repair 1 ) an Individual w e `Disposal Syst at ' - . ... ...... ..... .. o -Addres ' ., or Lot No. t • .......... ... ......... ner Address W staller Address A Q Typ of`�uildi Size Lot............-- •-•----_Sq. feet U Dwelling—No. of,Bedrooms.............. .....................-Expansion Attic ( ) Garbage fiGrinder ( ) aOther—Type of -Building ............................ No. of persons............................ Showers ( ) — Cafeteria. ) a' Other fixtures _ W Design Flow....................... er person per day. Total daily flow-------- .............._.....gallons. WSeptic Tank Liquid capacity __. ions Length................ Width__._...... . Diameter._..______.__. th................ Disposal Trench— o......... .:........ Wid i.. h _--- t 1 x P ..................sq. ft. Seepage Pit'No______ _____________ Diameter__ ........._ D w inl .___ ............ ota l c in ar ft. Z Other Distribution box (_ ) osi - � Percolation Test Results Performed by.......................•••••---•-•---•-••-••--•.......................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0:4 Test Pit No. 2................minutes per inch Depth,of Test Pit___.._.......... .. Depth to ground water._-.::.................. Q+' •-------•-•................•...-- --- - -••-_ .. ............................. 0 Description of Soil.......................... ............. . W UNature 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 ode— The undersigned further agrees not to place the system in `. operation until a Certificate of Compliance has*„ ee i `ued by t e bo d f health. ,0 S. C =- ------------ 7 - ------------------ ----- Date, E,/j/ Application Approved By.. Er •-•--- r� F Dat ` Application Disapproved.:.for the following rea' fdns:.-- •.... •-•-•---•••-•---- -................................................................ . ,ems:» .,. Date Permit No............. .----------.............. Issued Date THE COMMONWEALTH OF MASSACHUSETTS • BOARD W HEALTH �...........Q.F....... ... ....... ................................. (9rdifkatr Lit Cautphatta S IS O Y,,T at L I dividu Sewage Disposal SysMffi constructed or Repaired ( ) by = =+ -- ....... -•--- .................. .... . --------••- . ------------•-_. ......._._. _.... has'beeil installe ic��n accordance with the provisions of Article YVj.Qf The State Sanitary Code„as d cribed in". ,the f:' ' , apphk,atlonfor Disposal Works Construction Permit No_________________ __,'_................. dated--_ _16�'THE THE BSSUANCE OF TEAS CERTIFICATE SHALL NOT.I3E CONSTkVkD AS A GUARANTEE SYSTEM. WILL FUNCTION 'SATISFACTORY. PATE-...................................................................:.------••-• -Inspector....-=...............................................---............................ f THE COMMONWEALTH OF MASSACHUSETTS BOARD OF' HEALTH ........OF. .......................... No..... -• ..------•-- .� FEE... „............. �rla� 1 •�,� �t��r�r�i�r� rr�t�� � - Permission he y granted...... . . to Co str (" or Repair ( ) vid al ew a i�osal System atNo.. ........ '".*c.......... .... --- . . •. -- , . st eet as shown on the application for Disposal orks Constructio r N _---.---_----•• Dated.. _ Z :_. ......... ................................... . •. Board of He h DATE..:!.........................-•••---•---• ..._. ---•------------•--- FORM 1255 HOBSS.& WARREN. INC.. PUBKISHERS ' � 5 fA F ............. No.a-• ... �a... THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH Appliratinn -fur Bhipviitt1 Work Tnnitrnrtinn Prrutit Application is hereby made for a Permit to Construct 7' Or Repair an Indiv' ual Sewage Disposal PP Y .- ( ) P ( ) a P Syst ---•-- cati Address .- or Lot No. / ..........._ 1 - Owner Address Installer Address _ �( d Type of Buildi n ,g Size Lot-2-4 feet V Dwelling Ko. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) P-4 Other fixtures . _ d ----------------------------------------------------------------------------- Design Flow. ........a____gallons per person per day. Total daily flow...................��._�.........gallons. W .. .............. �J�j W Septic Tank—Liquid capacity ___ __ Ions Length---------------- _ _ _ Width-.-_--.......... Diameter_-----_ . -_ Depth.... ---------- xDisposal Trench— 9No. .-•----------------- Wid li-.--_---- -- _ Tol� `" T :...--- otal eaching area--------------------sq. ft. Seepage Pit No..--:-/------------- Diameter. _ Depth elow m e ____.________._..... of 1 leaching area..................sq. it. 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...------.-.--._-_..___. Test Pit No. 2................minutes per inch Depth of Test tt.. ______......__... Depth to ground water..................... P4 ----•-•---------------------------•------------------... -•-••••-••-••.._...---•-•••-•-....--•-........ ............. Description of Soil------•------•--------------•---.-------•---•-------------------: ----- = o x 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 b n issue by t e board of health. Sign ------- -------------------------------- Date Application Approved BY- ---- ------ E �. . a Application Disapproved for the following reasons______________________________________________ ----------------•-----------------------------Date----------•--- ....................... .........•••--•--••-•----------------------------•••--•-••-••-••--•-•-•--•-•..••... Date PermitNo......................................................... Issued-------------------------------------------------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEAUTH t, � OF........ ---------..,........ . �_ _./+ 5 Applirtt#iuti -fur Dispoiial urn Totts#rur#iott Vrritti# Application is hereby made for a Permit to Construct Tor Repair an Individual Sewage Disposal PP Y ( ) P ( ) � a P System,at• /, f/ n/ iz CO ,.L a'l� s. i4�f �fi( . -------------------------------------- A 44,le Addres� f�x or Lot No. / of 4. r t y�(_. r. _EI.r,(.! �} •...._.... Owner Address W Installer Address U Type of Building / Size Lot__?. �--�� Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) a4 Other—Type of Building ---------------------------- No. of persons..-______-______-___--___.-_ Showers ( ) — Cafeteria ( ) Q' Other fixtures ------------------------------ -- Desi n Flow..........................t''U.-_-- Mons er erson er da Total daily flow.............- �..J-- ---. gallons. W gg P P P Y Y .- g� 1:4 Septic Tank Liquid capacity.�g�llons Length---------------- Width.__-_.......... Diameter---------------- Depth.......... W Disposal Trench—No. .................... Width___._________ __ ot 1 • n th__..�1 ; � oti'eaching area-----.--------------sq. ft. x Seepage Pit No--------------------- Diameter_/�'�•�__ Depth elow in ety _____.._____._ f tal leaching area--__-.-_--_-_-_sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by-------------------- ------------------------------•---------------------- Date--------------------------- --------.-.. Test Pit No. 1________________minutes per inch Depth of "Pest Pit-------------------- Depth to ground water..-.---..-------__--__-- f� Test Pit No. 2................minutes per inch Depth of Test Pit Depth to ground water....................... �+ --------------•------------------------------------------ --------....................................................... D Description of Soil--------------------------------------------------------------- x W UNature 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 w� board of health. operation until a Certificate ofvCompliance has been Issued by the boa ' Signed. ..: !/!1/!v Y_, G-« r� r ' e LiG /j Date Application Approved By- c=r - .' � � ct =--------------•- e7 ----• Date i Application Disapproved for the following reasons-------- .....................-•-----•-------•--------------•----------_---._-.---------.--------------------- -------•-•-•-----------••-------•--•------•-•------------•--•-•-----------------•-------------------•- .. Date PermitNo......................................................... �� 1 Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH ^,-. A z /..... ,«...........OF....:'' ..Ct { ter. ft.,. �...- . ..,.. Orr#ifira#le of Tompliittirr THIS ISZTO CERTIFY, That ,the Individual Sewage Disposal System constructed ( or- Repaired ( ) by ----------- --- ----- -------------- -- ----------- -�� ----- --------------------------- at....... iP'l i'r �:d__ �- .d_4/ .f' `zfnstallerYr------ e- 'f --------Fr ,� i_ _ - ....................... •d'�J has been installed in accordance with the provisions of Article�X f Ve State Sanitary Code as described in the application for Disposal Works Construction Permit No.--__.__ _.. / ------------------ dated.....{ A-�__Z..........__..__ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE--------------------------------------------------------------------------------- Inspector------------------------------------------------------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS �-.... I BOARD OF HEALTH , j, .............OF fr'7 .• ftL-��L-f �i - -.. �� . t..:.... No. ........... FEES Dispulitttrk � ( uti #rtir#iuttrruti# Permission ,ismhereby granted .� --r,��-!1- •- _- r�,�-------------------•-----r •'....................... to Construct( V)/or Repair ( )i ndividual Sewage'Dtsposal System /� f - = d. Street as shown on the application for Disposal Works Construction Pert'No.!---_ru_,____:7 Dated___ /E_. ...... Board of Health DATE-------=-------------------------------------------- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS i j n SECTION A A 1, 2000 / T s THE ALL OUTLET PIPE FROM OLD F AL Mal)T H R VENT PIPE (O Least 24 inches toU) D a<:. T - 10 min. Main `. PIPES ARE'T BE a SCHEDULE 4o P.V.C. ( Fat PROFILE 'VIEiw'-OF ..ADDITION "I'0 LEACHING SYSTEM DISTRIBU 1oN pox$MALL aE NOTE. ALL P ES E 0 Schedule 40 PVC w/Chorcod Odor Filter tr _ [ho�use to .Septic tank -. .. » : • - SET LEVEL FOR AT LEAST 2 FT. CONCRETE COVER ExistingFoundation Septic tank covers must be -- 3 of t/8 - 1 J2" Washed Peastone _. ••,. �¢¢ i Sep .. A within 6 in, of finished prod! - 3/4 tO.T 1/2,..:1Noshed Crushed Stone 3- S OUTLET •+•- 2 t"T Grade o er Septic Tonle - ".00 Orode ovw D-Box - 95100 -Grade Over SAS-99.00 �. KNOCKOUTS y of S I T v 3 a O a f tS,S . tY INLET c`t L _ ;TIT , _ L 3 S - 0,02 3 HOLE M-10 r p15T. BOX 3 Maximum Cover Top of SAS-. e.'.y1T00 _ :`�; 2' J O O . •:,•• N 25' O 1 000 GAL_ S"O.Ot S- 0.000" per-foot IIfMIM t5.5` 14- = SCH. 40 T 1.75' 9d j' FROM EXIST.FOUND:TJ Ui N SEPTIC TANK tw 30 P $ ENect,ve Dean .< U ' rn H-10 0 la ' g 6 Units e 6 . 30 PLAN SECTION CROSS—SECTION N Carlr,et Ln m 1 STONE UNDER CHAMBERS 3, CONCRETE FULL FOUN p R p N O p _ > o d , 6 tn.af 3 4--1 1 2• 'a "- 36' 3 HOLE H-10 DISTRIBUTION BOX Cnrlrlet way SYSTEM PROFILE "j compacted stone j v p u Effective Length NOT TO SCALE ` _C MAP Not to Scale c m LOCUS M r P N 4. 4. j - 2.5' F SOIL ABSORPTION SYSTEM (SAS) 6 in.of 3/4-1 1/2• c 10 Y compacted stone - EfFectweht+ldtn _ m° .CULTEC MODEL 125 (H-10 LOADING)/ SHOREY PI�ECASTE �Q�car'_9f T�> ft��_�_>:�.. �-- _•,. GENERAL NOTES (OR EOUIVALENT) Not--to Scale"' ' ^3 NOTE;. OVERALL HEIGHT OF INFILTRATOR IS 18" /EFFECTIVE HEIGHT IS 12" 1. Contractor is responsible for Digsafe notification ,e and protection of all underground utilities and pipes. f. 2. The septic"tank and distribution box shall be set level on 6 of 3/4"-1 ,/2" stone. 2-1s' DIAM. ACCESS MANHOLES , 3. Backfill should be clean Sand or gravel with no i stones over 3" in size. - B' 4• This system is subject to inspection during installation a: ,:." ,• ,_ .: . ,.. LOT 35 by Carmen E. Shay - Environmental Services. Inc. LOT #36 # 5. The contractor shall instoll this system in accordance • :2` �:, � L and Local Regulations.:. state code, the approved plan a e, -• with .Title V Of the Massachusetts e r THE ACCESS COVERS FOR THE SEPTIC TANK, r » S 36d 32 43 W - 6_ If, during installation the contractor encounters any **`' L INLET ` =-" DISTRIBUTION BOX AND LEACHING COMPONENT / Oki ET SET DEEPER THAN 6 INCHES BELOW FINISHED , soil conditions or Site conditions that are different • GRADE SHALL BE RAISED TO WITHIN 6" OF 9 VENT PIPE 130.00 from those shown on the sail log or in our design FINISHED GRADE. 8 -~� J installation must halt & immediate notification be INSTALL TUF-TITS GAS BAFFLES OR EQUALS • �� Zt >! , made to Carmen E- Shay - Environmental Services, Inc ,J .•.T-t' _�i,'�� t_-fir-•T ,T�:� \ ' 7 37' 36 57' h y � septic .system unless noted as Hall drive over the -20 septic components: ' No vehicle or heavy machinery shall STEEL REINFORCED PRECAST CONCRETE ; � � =w\ - 8, Install Tuf-Tlte as baffles ore cols on all outlet tee ends. PLAN—VIEW g a Y w 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC p pes. 3-24 REMOVABLE COVER .� I 1.3:.�;� a.ti,:;;.ic•` N+,i'; ti 10. All solid piping, tees & fittings shall be 4" diameter ' _ i i••..� E Schedule 40 NSF PVC pipes`.with'' water ,tight joints. — < •" :' : : 4" " I -11. Municipal Water is Connected"To The Residence and Abutting . „. TEST HOLE 1 I s _ p • - --3" min. clearance .. 13'" INLET -T-. . I - s INLET 8' min. 2` min. inlet to outlet •min. n, f ! , ELEV. 99,00 Pro ertle`s Within 15p :Feet. . " - - ----------- tiOUTLET p. -- Liquid IevN D=BO a nr — — w i a y S5 �, / Foiledl ' THE PROPERTY LINES ARE APPROXIMATE AND £ r L[4 ,mirn. depth GENERATED BY 4 46.6 Leach Pit DAVIDCOMPI H. GRELED OENE, SURVEYORS' M THE SURVEY FOF BARNSTABLE, MA '• .� . ENTITLED •„ PLAN OF LAND IN C1=NTERVILLE, MA" , EXIST. TOOO 9a1,c DATED OCT. 1961, L.C. 2950q-C (Sheet ,)' - Septic Tank tr+. t " , _10 - _I - AND IS NOT INTENDED TO BE A'SURVEY PLOT PLAN B-o -'f -, l,< IT-SHOULD BE USED FOR NO PURPOSE;OTHER THAN T1 N f END, •- TJO PROJECT' BENCH MARK — - CROSS SEC `.-� -. 4.y TOP OF FOUNDATION • ``THE SEP-TIC SYSTEM INSTALLATION. ELEV. 100.00 ssu ed DECK -_. _ PTIC 1ANK LOT 52 LOT '#54 USE EXISTING IOaO `GALLON H 10 SE # T T ALE LEGEND NO 0 SC EXISTING - i 8 BEDROOM HOUSE DENOTES PROPOSED q PERCOLATION TEST #38 104X1 SPOT GRADE Dote of Percolation Test:- DECEMBER 26, 2002 _ D e TES EXISTING Test Performed By. CARMEN E. SHAY, R.S., C.S.E. p X 104.46 GRADE rBarnstable B.O.H SPOT' DEMO Results Witnessed By WAIVER ( per ) Excavator: Roberts Septic Services Rote: Less Than 2 MPI Percolationa 99---- ----------------�------ ----=i----- ----------- -�� --------- -." ---gg PL PROPERTY LINE --�- . n >6P PROPOSED CONTOUR —97 EXISTING CONTOUR Test Hole o r ' No. 1 LOT #53 �' I - q DEEP TEST HOLE & DEPTH SOILS ELEV. _ > Z T 06 o 99.00 I of I 20,800 Square Feet PERCOLATION TEST LOCATION Sandy Loam FOOT a ! - -- OT STOCKADE FENCE 10Y3/2 98---- ----------------- ------1-- -------=---------- --- ------------�-- - 98 0"-10" A 98J5 + 0 i Sandy l I 1 Loam 10 YR 5/6 I I I t0,_ 24" B. 97,00 97------------------------ ---------------= ----- _------- 97' LoamySand _ -- _--PL P SOT PLAN f30.00`- i 25 Y 7/4 S 36d 32' 43" W 24--54• C, 94.50 �-- OF PROPOSED SEPTIC SYSTEM REPA f ' Sand PREPARED FORT, 7.S Y 6/t; - Perc #, ,...S7 -7—4 H T. D h I VE' 54 168 r 85,00 M R . J O H N M U L L E N Depth to Perc: 50" to 68" :-" Perc Rate= Less Tha 2 MPI Groundwater Not Observed (40 FOOT RIGHT OF WAY) AT No Observed ESHWT39 STARLIGHTi DRIVE ADJUSTED H2O Elev. None Design Calculation 0 20 40 50 ` MARSTON S MILL S , MA 9 Zit Number of Bedrooms: 3 Equivalent to 330 Gal./Doy (330 Gol./Day Mina per Title V) � Of PREPARED BY: � Garbage Grinder. No N F. SHA Leaching Capacity Proposed: 330 Gol.%Doy.Minimum (Min. Per Title V) Gr 660 USE t•500 GAL. Septic Tank. SCALE: 1 "=20' ENVIRONMENTAL SERVICES, Septic Tank 3 x 330 Gat./Day - ES, INC. SOIL'ABSORPTION AREA: Using percolation rate of <2 min./inch .74gal/sq. ft. x 360 s . ft. 266.4 ollons i t�1 Bottom Area: 0 q g ' �o ;: P.O. BOX 627 Sidewoll Area: 0.74 gal /sq. ft. x 92 sq. ft, _ 68 08 gallons •t P 2536 Providing: 334.48 gollohs ' EXISTING LEACH PIT TO BE PUMPED & FILLED IN PLACE. r 44 TAR%li, TELSFAX AL508 548 M07 6 ! / I T MODEL 135 UNITS, HAVING A 1' EFFECTIVE DEPTH. Use. (5) CUL EC NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE _ SCALE 1 "=20' DRAWN BY: CES DATE:. DEC,. 23,` �'01:)2 _::D TO BE USED WITH 4.0 OF WASHED STONE ON THE SIDES, AND 3 OF WASHED STONE FROM THE EXISTING LEACH PIT TO BE DISPOSED ON THE ENDS. NO STONE UNDER: OF ASPER BOARD OF HEALTH SPECIFICATIONS. PROJECT#SD373 FILENAME: SD373PP.DWG SHEET 1 OF 1 I Large Format Box # Doc # GG Image # JMIA-�GE DATA