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HomeMy WebLinkAbout0082 LOMBARD AVENUE - Health 68 LOMBARD AVE.,W. BARNSTABLE A=155-015 ° . 1 e a o e r f�; 03-17-1999 08:02AN FROM TOWN of SANDWICH BD CC HL TO 915067753344 P.01 David B. Mason, R.S. DBC Environmental Designs March 17, 1999 Town of Barnstable Health Department 367 Main Street Hyannis, MA 02601 Attn. Donna Re: 68 Lombard Ave, West Barnstable, Ma Installer: Ron's Excavating This office conducted an inspection of the installation of the system'at the site referenced above. This office witnessed the installation and certifies the components were constructed and properly located as proposed. This certification should not be misconstrued as a guarantee that the system will function properly. Please call this office if you have any questions. Sincerel I �fZO� David B. Mason, R.S. 249 115 A z- s 3o , G 51 Service Road, East Sandwich, MA 02537 -SM&3-2177 TOTAL P.01 -2 �-� C_ 9 6_ ,4l°7 2. OFSNE "°`�O� 'down of Barnstable + BARNSTABLE, • Board of Health MA & 1639. 10� P.O. Box 534 Hyannis MA 02601 Office: 508-8624644 Susan G.Rask,R.S. FAX: 508-790-6304 Ralph A.Murphy,M.D. Sumner Kaufinan M.S.P.H. June 26, 1998 Dan A Speakman 15 Speak Way No. Harwich, MA 02645 RE: 68 Lombard Ave., W. Barnstable Dear Mr. Speakman: You are granted variances from the State Environmental Code, Title V, and from local health regulations to construct an onsite sewage disposal system at 68 Lombard Avenue, West Barnstable, Massachusetts. The variances granted are as follows: 310 CMR 15.104: To utilize sieve analysis test results in lieu of the requirement to conduct percolation tests. Town of Barnstable Part XII, Section 2.00: To install an onsite private well 145 feet away from the future reserve area Town of Barnstable Part XII, Section 2.00: To install an onsite well on a lot of only 28,500 square feet in size. These variances are granted with the following conditions: 1. No more than three (3)bedrooms are authorized at the dwelling. Dens, study rooms, finished attics, sleeping lofts, and similar-type rooms are considered bedrooms according to the MA Department of Environmental Protection. The floor plans must be submitted to the Health Division office for review prior to obtaining a building permit. 2. Sieve analysis must be conducted to determine if the fill material meets the standards contained in Title V. speakman/wp/q -- i 3. The designing registered sanitarian shall supervise construction of the onsite sewage disposal system and certify in writing to the Board of Health that the system was installed in strict accordance with the submitted revised plans dated June 16, 1998. Percolation tests could not be performed in the fine sand because it would have been a life threatening safety hazard to conduct these tests at such a depth, ten feet below ground. The remaining variances are granted due to the fact that town water is not available to this area and due to the physical constraints of this parcel. Sincerely yours, /Ow40�(jL LAAP=0 Susan G. Raskk,, Chairman Board of Health Town of Barnstable cc: Brian Harding David Mason speakman/wp/q i J h'. dtNe�y, DATE s _� i 3 � V FEEt _ tAEM8TA6L6. KASIL Town of Barnstable RrMurphy,M.DA/Sr48,,, rfo tom" � , � 'Board of Health �367 Main Street,Hyannis MA 02601 �CC1VFRORice: 508.790.6265 S.1 `3 I9FAX: 509-790-6304 i M,�S^P.H. 98 M;UtPSTgB�f T VARIANCE REQUEST FORM N. LOCATION Property Address: f3�ai`� �Q �9U G�- �?�c�S T/9 6 G6 t` .Assessor's Map and Parcel Number: /$s /S Size of Lot:_ 0 e0c5l 0 Wetlands Within 300 Ft. Yes Subdivision Name: No Business Name: �— APPLICANT CONTACT PERSON Name: gyp) h/.4YF�Q/-J G' Name: - Sezz?4k^0mj Address: eIIY7 NtJ Address: 15. SR6,Aff 6&1AYA,10. Phone: ov Phone: y3 2- S75'-K,S FAX:39 — 30 SZ FAX: 4111.3 Z VARIANCE FROM REGULATION(Ua(Reg.) REASON FOR VARIANCE(May attach If more space needed) �I2®� /.F-D� i��Qyi i2� _ G't�.Jn�OT ^f�5►..J T�f� /5a'i°-��? / TAs.S C67 :f�a cu�l� �G�7ra c �xi s��•�� evEGC, c7` J 2v /OC>SC-0 Checklist(to be completed by ofce staff-person receiving variance request application) Four(4)copies of plan submitted(including septic system plans and/or restaurant floor plans) Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variances only) Variance request application fee collected(no roc for lif ford modinesdon.enewels,greats trap variance--Is[same owne.neoee only),eeeide during variance renewals[some owner/lessee only),and variances to repair railed sewage disposil syalems[only if oo eapanslon to the hullding proposedp Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G.Rask,R.S.,Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Ralph A.Murphy,M.D. Q:/WP/VARIRpQ DAN A. SPEAK MEAN CONSTRUCTION LAND SURVEYING & TITLL'Y ENGINEERING DIVISION IS SPEAK WAY NORTH HARWICH, MASSACHUSETTS 02645 Phone: (508) 432-5565 / FAX: (508) 432-5099 1.y Dennis 1. 1. & Pundit 1). Browm P.O. Box 729 W. Barngtable, Ma_ 02668 2.) Attatatic Build Products Cor. c.io Bird Corporation 1077 Pleasant Sti,eet Norwood, Ma. 02062 3.) Town of Banistabic Barnstable County Supply Co. Inc. P.i). Box .1287 LakeviHe. Ma. 02347 4.) John Scmidlen 66 Blsanyd Read Onomi0c., Ma. 02655 w DAN A, SPEAKMAN CONSTRUCTION LAND SURVEYING & TITLE YENGINEERING DIVISION 15 SPEAK WAY NOwru HARWICH, MASSACHUSETTS 02645 • Phone: (508) 432-5565 i FAX: (508) 432-5099 Date Dear Abuttor: In accordance with the Town of �g�,�s ��' minimum requirements for the subsurface disposal of sanitary sewage, you are being informed, as an abuttor,that variances are being requested as follows: Lf.4.�CCS � d /Sa e 2rBYO �oPZ ��� c For eg G.O ^�" &:�2 �.�GJ 64) 22As 72,f, Address of subject property A public hearing will be held at / l�(}� /2r�2 Time/Date Location DAN A. SPEAKMAN CONSTRUCTION Land Surveying and Title 5 Engineering Division 15 Speak Way,North Harwich, Ma 508-432-5565 June 22, 1998 Director of Health Barnstable Board of Health Barnstable,MA Re: House#68, Lombard Ave, West Barnstable,Ma Dear Board Members, This office conducted a soil analysis on June 3, 1998 at the request of the Board to verify soil conditions that exist on the site. Those results as subrrdtted to your Health Office are what the design proposed by this office are based on. The Board had concerns relative to the Soil Horizon C1 which was determined to be a Silty Clay Loam with a Soil Color of 2.5Y6/1. This office was asked by the Board if soil mottling existed in the aforementioned horizon. The soil evaluator, myself,did not note soil mottling due to the low percentage(approx. 2%) of soil mottling noted when comparing matrix and background colors. Such a low percentage does not suggest nor indicate a groundwater level or a perched water table. Additionally, no soil mottling was noted in any of the soil horizons. Please call this office if you have any questions. Sincerely, David B. Mason,RS, Certified Soil Evaluator cc:file 06-23-1998 08:22AM FROM TOWN of SANDWICH BD CC HL TO 915087753344 P.01 i i I I i DAN A. SPEAKMAN CONSTRUCTION Land Surveying and'File 5 Engineering Division 15 Speak Way,North Harwich,Ma 508-432-5565 i June 22, 1998 I Director of Heahl Banx0able Board i,,of Health Barnstable,MA Re:House 968, Lombard Ave, West Barnstable,Ma Dear Board Mw&rs, This office conducted a soil analysis on June 3, 1999 at the request of the Board to verify soil conditions that exist on the site. Those results as subnfitted to your Health ce are what the design proposed by this office are based on. i f The Board had cons relative to the Soil Horizon Cl which was:determined to be a S ty Clay Loam*ith a Soil Color of2.5Y6/1. This office was asked by the Board if soil mottling existed i*the aforementioned horizon. The soil evaluator,myself,did noi note � soil mottling due the low percentage(approx.2%)of soil mottling noted when 1 j comparing matrix and background colors. Such a low percentage does not su nor indicate a ground,Awer level or a perched water table. Additionally,no soil mottliz g was noted in any of tde soil horizons. Please call this oike if you have any questions. I Sincerely, i � David B. Mason,RS,Certified Soil Evaluator i cc-Ae j I i i I i I TOTAL P.01 i �I I TO: HEALTH DEPARTMENT ATTN: TOM MCKEAN FROM: BRIAN& SUZANNE HARDING RE: VARIANCES FOR 68 LOMBARD AVE ,WEST BARNSTABLE,MA. Tom after receiving your message on Friday June 12, 1999 we would like to participate in the Board of Health Meeting scheduled for Tuesday June 23,1998. The following information will be in the Health Department Office on Tuesday June 16, 1998. 1)Request for variance for 15.214. Three bedroom dwelling on a lot of 28,500 square feet. In writing on revised plan. 2)Request for variance for a private well on a lot of 28,500 square feet.In writing on revised plan. In addition a revised set of plans showing all test holes that were dug with soil evaluations. QC�{ A�est results from Sieve by Coastal Engineering of Orleans,Ma.. �� 0�� F� ' Tom if there is any ad in ormation needed please contact Brian or Suzanne Harding at 508-394-3052 or Dan Speakman at 508-432-5565. Thank you for your help in this matter. TO: HEALTH DEPARTMENT ATTN: TOM MCKEAN FROM: BRIAN & SUZANNE HARDING RE: VARIANCES FOR 68 LOMBARD AVE ,WEST BARNSTABLE,MA. Tom after receiving your message on Friday June 12, 1998 we would like to participate in the Board of Health Meeting scheduled for Tuesday June 23,1998. The following information will be in the Health Department Office on Tuesday June 1691998. 1)Request for variance for 15.214. Three bedroom dwelling on a lot of 28,500 square feet.In writing on revised plan. 2)Request for variance for a private well on a lot of 28,500 square feet. In writing on revised plan. In addition a revised set of plans showing all test holes that were dug with soil evaluations. d(�' 'est results from Sieve A by Coastal Engineering of Orleans,Ma.. W P4 6Aq w^ Tom if there is any ad 1 in ormation needed please contact Brian or Suzanne Harding at 508-394-3052 or Dan Speakman at 508-432-5565. Thank you for your help in this matter. 06d16/1998 13:34 5082556700 COASTAL ENG PAGE 03 (yUAS'TALEN*V4Z8AMKGC(, NC. ® Me OF• 142 ~_' own Y II C .ewe.. ..'^:., ,� ::::.'_°»:" CEC FILE NO: SIEVE ANALYSIS DATA AND COMPUTATION SHEET Silaec,�of f CLIENT A a'�L 5A1�'�p saa+�La rrcn I DATE PROJl:cr I L 0W Avg- W, 1&". TASt. DRY WEIGHT OF SAM PU �P Z%r ' Sm SOURCE OF SANDL E SAMPLED BY: 1PA0 S P?,tt M A$lk Sieve O enirkto U.S.Slays W afgbt Aaedaed Percent Cumulative Project Inches Mllllmetet� Mall In GnMI Retained Percent Manual Pates --Specifications IS 7,-7 (,►7) 412, 5,3 13.0 7.4 .ZO O ( 7 3 Passed Mesh Siege ,OTAL SIEVE ANALYSIS MBRFORMED I Y:��� B 7 GFE�t i F3�E REMARKS: f, M �L- 252'*►A 7 'C�'`� `b�A•� ,A_1ti M A rl ti IN t:,rl.rAS � A- Sate... A�v ism ON 11111110111111112 Mulligommilligmumm Ism �� 111� � � � ■ L !l11l10 `�-IIIIgimmmIIIYmomm ME i■i 111 �� �1 � �����i�11H�!■��lllfl���� OEM ■ �Nl1 ■��111�� 111■■�� , 11IM1�i9�5'68�6 �ee "6B6E�'�'�� A � 1 � ■�1 111■�� 06416/1992 13:34 5082556700 COASTAL ENG PAGE 05 • 310 C.NJR: DEPARTMENT OF ESIVMONWNfTAL PROTECTION 1���= 7vR,�s Of Snil Trce rwl('twti�rc (1) The following soil temurai classes apply to soil tvpes of which they are aotnposed' CLASS 1 Sands.Loamy o Sands CLASS 11 Sandy Loams-Loams CLASS M Silty Loams CLASS IV Clays,Silry Clay Loams (2) Textural Clasaificetions are made based on the relative proportion of und.silt and clay in the soils and in accordance with the follovAng textwral rriaag►c SOIL 17XTURAL TRIANGLE �pIoo aaA AVJ sa ry0 80 70 av� 60 so d0 l C y � oaut ola ZO 10 can to ° to a a � fbt percent sand 1211/95 (Effecdve 11/3/95)-corrected 310 CMR-526 TO: HEALTH DEPARTMENT ATTN: TOM MCKEAN FROM: BRIAN& SUZANNE HARDING RE: VARIANCES FOR 68 LOMBARD AVE ,WEST BARNSTABLE,MA. Tom after receiving your message on Friday June 12, 1998 we would like to participate in the Board of Health Meeting scheduled for Tuesday June 23,1998. The following information will be in the Health Department Office on Tuesday June 16, 1998. 1)Request for variance for 15.214. Three bedroom dwelling on a lot of 28,500 square feet.In writing on revised plan. 2)Request for variance for a private well on a lot of 28,500 square feet.In writing on revised plan. In addition a revised set of plans showing all test holes that were dug with soil evaluations. �est results from Sieve A by Coastal Engineering of Orleans, Ma.. Tom if there is any ad in ormation needed please contact Brian or Suzanne Harding at 508-394-3052 or Dan Speakman at 508-432-5565. Thank you for your help in this matter. 0F/16/1998 13:36 5082556700 COASTAL ENG PAGE 03 1 ® Cc�srwr.Exa�rrx� G�o.rivc !!-- ' CEO FILE SYEVE ANALYSIS DATA AND COWUTATION SHEET of CLIENT 1/A 11 t�L. S ri,�`�(1� SAWLE NLMUM <- ] DATE JUN*. 1S i .�.`�� FRO]ECr �f �IM i Lo NIS. u, -1&"tTABlk- DRY WEIGHT OF SAMPU AL —Sm $OVRCE OF SAMPLE 1 r 5r SAMPLED BY: "T-7AL1 S'Fe^y M Au� Sieve Openl5n U.S.Sieve Walgbt utaiaed Pem mt ruftmiative Project Inches Milimmen lualk In Grams ReWced percent Manual Pessln S ecii'scatioae 33►� �.Z 5.3 1�,0 7.0 i 31.5 ,l 4osl Passed Mesh Sieve TOTAL SIEVE ANALYSIS PERFORh=BY., l� D�u ix . 7 IA ILL A=F3 V F-- BARKS: ,�-�fa M n�. y !, ''( ` :)A rl SPA A 1-M �- So«.. `JAKp • i � ����1■ 11��■��illl/i�� O1 /16/1998 13:34 5082556700 COASTAL ENG PAGE 05 310 CNIR: DEPARTMENT OF D'VfRONWNTAL PROTECTION 15 14; hypes mi Sn'i Toxmirl,0043C (1) The following soil textural classes apply to soil iv es of which they are composed: CLASS[ Sands.Loamy Sands CLASS It Sandy Loams_Loams CLASS III Silty Loarns CLASS IV Clays.Silty May Loams (2) Textural Classifications are made based nn the relative proportion of sand.eih and city in f,.� + �+ the soils and in accordance with the following textural mangle; SOM TEXTURAL TRIANGLE SK�s� 100 90 $o 70 ay �y �030 so l y � non ale ' ZO esn to l 01 l0 a a fit perms sand �wri1P►,� 12/l/9! (Effmiva 11/3/93)-cotTeeted 310 CMR-lo26 TO: HEALTH DEPARTMENT ATTN: TOM MCKEAN FROM: BRIAN& SUZANNE HARDING RE: VARIANCES FOR 68 LOMBARD AVE ,WEST BARNSTABLE, MA. Tom after receiving your message on Friday June 12, 1998 we would like to participate in the Board of Health Meeting scheduled for Tuesday June 23,1998. The following information will be in the Health Department Office on Tuesday June 16, 1998. 1)Request for variance for 15.214. Three bedroom dwellingon a lot of 28 500 square feet. In writing on revised plan. 2)Request for variance for a private well on a lot of 28,500 square feet. In writing on revised plan. (Aaddition a revised set of plans showing all test holes that were dug with soil dluations. Qt�( est results from Sieve A by Coastal Engineering of Orleans,Ma.. Tom if there is any ad i in ormation needed please contact Brian or Suzanne Harding at 508-394-3052 or Dan Speakman at 508432-5565. Thank you for your help in this matter. 06/16/1998 13:34 5082556700 COASTAL ENG PAGE 03 CC%49'PALENC11N88RJNGC0.Md as �^•.A•���/_pwl/. I•Mt. MA 7683 C&C FILS NOS SIEVE ANALYSIS DATA AND COWTJTAIJON SHEET Stet��of CLIENT �lC A►S lEL S ��, �,� SA&MLs NUMM <" DATE JUNY� ISM �� PROO I �� �onl ,a�o AUK, W. -Ex+K.i,►9A0Lk- DRY WEIGHT OF SAMME Z3• 8m SOURCE OF SAMPLE SAWLED BY: "7AU Sieve O 1U.9.Slays Wa sw Itotalasd Percent Cumulative Project Iachea mmimesen Mesh to Grams Relaieed percent Maaual Paaaiu S acifiicatioae 3 ►� la)5.3 13.E 710 1°► h N11 !.5 5��� 4o °I Passed Mesh Sieve tom_ , �3'� tar` �/.�/`�►(,� ,. .� TOTAL SIEVE ANALYSIS FMORMB,A BY; D �' lR • � t jl.E. F:FMAItICS: t'o� ��-� t�+zoV A r1� �PG AK ra►•l M13-0 1- Sots... S a ra�v �� �1 � 1 ■�fUli��■ ■ p ! ��Illl��i�� 06/16/1998 13:34 5082556700 COASTAL ENG PAGE 05 • 310 C.IA: DEPARTti[E\'T OF EI`"vUONNMNTAL PROTECTION 1 11: Tvnes of Snil Tg=r&l C10 , , (1) The following soil textural classes 4ppiv 10 soil types of whiCh they are unposed CLASS I Sands.Loamy Sands CLASS It Sandy Loams.Loams CLASS M Silty Loams CLASS IV Clays,Silty Clay Loams (2) Textural Classifications are made based on the relative proportion of sand.silt and clay in +,' ( the soils and is accotdance with the following textural triangle; SOIL TEXTURAL TRIANGLE A�,�y SKt�1A 100 6g LoMAU Of $4 ti 70 8y 60 40 4 30 son ale ZO t0 sett b I ei Ic e ant b percent sand 12/1/95 (Effective 11/3/95).corrected 310 CMR-s1d McKean Thomas To: Lavoie Debbra Subject: RE: Johnson The Board of Health held a public meeting last night pertaining to the applica is requests for variances to construct a new replacement well and a new replacement septic system on hD property close to her neighbor's existing wells. The Chairman of the Board of Health, Susan Rask, asked me to send you the following information in writing: At this time, the Board of Health has insufficient information in regards to the existing system at 38 Moco Road, specifically whether the existing system would pass or fail a certified DEP inspection and whether the existing system is designed to handle the daily wastewater discharge flow from the existing five or six bedroom dwelling. The owner was therefore ordered to hire a DEP certified septic system inspector and a professional engineer to make these determinations. Also, the submitted engineered plan was deficient because it did not show the locations of the neighbor's septic systems. Any upgrade/replacement of the septic system at this property would be difficult due to the small size of the lot and due to it's proximity to wetlands and wells. In addition, there was either a lack of knowledge or inconsistency of information being told at the meeting in regards to what is actually going on at this house, specifically whether this is a five bedroom or six bedroom dwelling. This needs to be determined before any variances can be granted. The Board of Health voted unanimously to continue this matter until the May 26, 1998 Board of Health meeting. At or before that meeting, we anticipate receiving (1) a certified DEP septic system inspection report concerning the existing system, (2) a determination from a professional engineer rerlative to the existing daily wastewater discharge flow, and (3) revised plans for a proposed replacement septic system. From: Lavoie Debbra To: McKean Thomas Subject: Johnson Date: Thursday, May 07, 1998 5:30PM Tom I spoke with Attorney Mark Boudreau and he told me Mrs. Johnson is scheduled for Board of Health for May 07th on her property at 38 Moco Road. < <File Attachment: 199815.DOC> >Anything I should tell the Board? I am attached the minutes from that hearing. Thanks Debbie Page 1 TOWN OF BARNSTABLE ' LOCATIONI©MldAZ-0 SEWAGE # �J V7 Z VILLAGE ASSESSOR'S,MAP & LOT 016 INSTALLER'S NAME&PHONE NO. kod/ 7 ' a0 SEPTIC TANK CAPACITY 16�Ytd l.4 LEACHING FACILITY: (type) E/ ZZ., 04"!—'f'&ra jr (size) u NO.OF BEDROOMS BUILDER OR OWNER 16, i Oq— '7 PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: ;y ` 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 + � ` ` � =� l�� 4� �� .�,� `` . � � .� r �,, ���, t n` O c No. �CJ ' Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ve PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 0[pprication for Migogal *p!tem Comaruction i3ermit Application for a Permit to Construct( Vjlepair( )Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. 66 fW t- Owner's Name,Address and Tel.No. 'v j A444irk(ii k t-. a �In �3a ,� SL�-7-AiV v L H;N2s9,W t' Assessor's Map/Parcel 4`iR r63• rt St_ 0% 4 1 S S 9 to 0 t tc co rr, • o Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel No. aSyn .vNS tixc, �zac�( ���j,: it1'1 �1-►'1 c?�Tt °ERrrra..i/ein� JAM Type of Building: Dwelling No.of Bedrooms Lot Size 0•�sq.f Garbage Grinder(AJ6 Other Type of Building No. of Persons_ Showers(2_) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date r67 ` Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Deser`iption of Soil r� C L±thZ ,(— Nature of Repairs or Alterations(Answer when applicable) RM 1_2T SUPERVISE TAI I ATAAN AND CERTIFY IN WRITING WM INSTAIJ.ED IN! D A rtluf 4 Date last inspected: ACCORDANCE TO 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 yunt' a Certifi- cate of Compliance has been issued by th' and ealth. Signed- ' Date Application Approved by Date _v?=�M Application Disapproved for the following reasons Permit No. 72 Date Issued 7 $ E t . e�� t� J THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: • es PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS Z(pprtratt"on for �Dtqpaar *patent Con5t uctton Permit Application for a Permit to Construct( Y<epair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Component Location Address or Lot No. lot) Owner's Name,Address and Tel.No. W• QA•Q•Nl.£ GILIPRN SuZANNt. Nnii��,r.ia Assessor's Map/Parcel LI 1-17 rll�• '—A 1.4 S T. M A S S Q Ll O It, Co 1,4 1a-k r^. J>1 'rr A 2(o b ti. Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 0 �.unl S t� I•�,vPZ ��c.� Spp. �t"11 •v�h'1 CXar.l -1 IPA",t,,.1 rr.n N%,M k, rn DLL Q nl •1� �c lei.tt A• U t t� S Type of Building: Dwelling No.of Bedrooms Lot Size ddd sq.f Garbage Grinder(Aid Other Type of Building jt . S h-i No. of Persons Showers(I—) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 3 gallons. Plan Date R s Number of sheets Revision Date 6��qf t` Title Size of Septic Tank Type of S.A.S. Pescription of Soil L�-/ _ 8 L/ YFF 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 Certifi- cate of Compliance has been issued by th• B and pRiealth. Signed-, Date 7 1 Application Approved by Date 25 8 Application Disapproved for the following reasons 1. Permit No. Z Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (toutpftance THIS IS TO CERTIFY, that�the On-site Sewage Disposal System Constructed( Repaired( )Upgraded( ) Abandoned( )by leo A at ___ -_L LUM Ord rj-e d has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer toDA (-;-c, Designer The issuance of this permit shall not be,construed as a guarantee that the syst ill fu tip s d�sig e /2 Date . 3 ��9 Inspector I f�'—� ---t�—('�— /— y—------------------------------- No. /Z� ' "T / �— Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Mtgpotar *pgtent Congtructtou Permit Permission is hereby granted to Construct( air( )Upgrade„( )Abandon( ) System located at (0 r3 L a!m.,,A M V`GS'f" 1 t-An�4-6z and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this a it. Date: ��'� ` �i Approved __ �y�.s�ic,�— l P No. - -- - Fee--- =-J�------ BOARD OF HEALTH TOWN OF BARNSTABL. E Zipp[icat ion for Well Cootructioni3ermit Application is hereby made for a permit to Construct (V Alter ( ), or Repair ( )an individual Well at: ------------------------------------------------------- Location — Address Assessors Map and Parcel War 71 �� wner Address ------------------------------------------------------------ ---------- --- --------- ------------------------------------------------------------------ Installer — Drille Address Type of Building Dwelling-------x--------------------------------------------- Other - Type of Building ----------- No. of Persons------------------------------- __________ Type of Well—-----—�'Sc�iO f? C=-- - Capacity Purpose of Well- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until A�Certifi tmpliance has been issued by the Board of Health. Signed ------ --------------------- date p Application Approved By ____ _ ___� — ` -----— —— date — Application Disapproved for the following reasons:------------------—-------------------____________—__—__—_____—_ ---------------- — - ----- --------------------------------------------------- date Permit No. --- Issued--------.... -............... ----_ --- — ----------------- date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate ®f (Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) bY-------- - - - -------------------------------------------- Installer _ at- - - — - --—- t--`� - ��.-zuau�, -------------------------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. --------------------Dated------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- --- ---—--_- —--- Inspector-- - ------------------------— - - ---— -..t' �"t* v .-..+!" `"-9-•r'�Y'"`.`,+v;N:.;, '„M,vr�p,""�s "'�v �',/'1 ya�y„`Jr,�,'r`.�,•-�rr�}..- �,,.y„o - Y s .r r" N ' 1 7a1_ No.- ------� -- �� Fee-- , ---- ----- BOARD'OF HEALTH TOWN OF BARNST RLE Application for„ ell Com5truct ion Permit Application is hereby made for a permit io Construct ('V rAlter ( ), or Repair ( )an individual Well at: _ Location//- Address Assessors Map and Parcel - —v- `/� F /� / rJ//Vr '7 -�A!!/Tf7 4WI M� \/�f'✓1f�R�/�7CX+�Yj! - -- - -- - - - — 3- -----— -=—- - - - — - - - -- ----------- � ,/ Owner Address !/l 6e"_�%i�'�Gu�, � GY G,'%cP3 1 /we;1l1/5 ---------- ----------- - _ ----- - f�r = = -------------------- Installer Driller Address Type of Building Dwelling -- -- --------------------------------------- Other - Type of Building ------- No. of Persons-----------------_____—_—_—________ .�- /.S< f�ri ✓`�G C z: -Type of Well- --------.--- - ------ - Capacity---- - --—---- �� Purpose of Well--`�'� ! `-77 ---------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a�Certifi!to .of Compliance has been issued by the Board of Health. •• Signed -----;--------------------- ------------��--- - date 'Application Approved By ---------__— —�_= -_9_ date Application Disapproved for the following reasons:---------------------------------------------__________—___________________ --------------------- - --------------------------------------------------------------------- g. date i.. Permit No. Issued--- -- -- ---- --— ------------- t date r J.1 BOARD OF)HEALTH /AJ TOWN OF BARNSTABLE s. (certificate ®f (Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) -- - ------------------------- Installer at------------- — -- -- l�=`�t - tom- � - -.'J,r.�-.4—o4 i------------_----------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. ---------------------------Dated------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION,.SATISFACTORY. DATE------------------—- — — - - - --- -- Inspector-------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Well Construct ion Permit No. -- --- Fee Permission is hereby granted - '� i'�e_— � 11-� ---- - --to Construct ( ), Alter ( ), or Repair ( ) an Individual Well at: No. --- -- -------- - -- - ---- -—- --- - - --— ----------------------------------------- Street as shown on the application for a Well Construction Permit No. --------------------------- ------------- - - Dated ------------- Board of Health DATE kk , 'Department of Environmental Management/Division of Water Resources WELL COMPLETION REPORT Q r I WELL LOCATION GEOGRAPHIC DESCRIPTION Address __/ ,*P /55 l�C�C /6 l� N S E W of. �OO �/m'0.4;d Ave— (feet) (circle) City/Town GC/ . ,Qi�.E'/yS7f7BG� Well owner h -"qyv # -.�U&-11-4p—d (road) Address ��7 'lam' >hq1 ti`ST J N S E W of (mi.in tenths) (circle) Board f Health permit obtained: tg no intersect. w/ �. yes El (road) III WELL USE WELL DATA Domestic ] Public❑ Industrial ❑ Total well depth A ft. I Monitoring❑ Other Depth to bedrock ft. Water-bearing rock/unconsolidated material: Method drilled S �U�P/L Description 11 v/J Date drilled �'/�9� Water-bearing zones: CASING 1) From—�y To 7W I Type .JC�j yO "Vile ` 2) From To Length ft. Dia(I.D.)--,4—in. 3) From To Length into bedrock ft. Gravel pack well: dia. Protective well seal: dia. Screen: Grout ❑ Other Slot# /a length from "/'y'to Z� STATIC WATER LEVEL(all wells) y Static water level below land surface ft. Date WELL TEST(production wells) Drawdown 0� ft. after pumping hr. --- min. at AS gpm How measured � ��� Recovery _ft. after_ hr.—min. LOG of FORMATIONS COMMENTS Materials From To F SgNo o S ,�=tn satin 3S �S 'Driller -> IC-7yl 5 1,17 .Firm � 1 r Address S e.7 City/Town 4lif/ S f�l L1. �d� s� Su ervising Driller Reg.# `�yL signature of supervising registered well driller Please print firmly BOARD OF HEALTH COPY ENAIROTECH LABORATORIES, INC. HA CERT. NO.:H XA 063 449 RTE. 130 SANDWICH, HA 02563 508(944-6460) 1-900-339-6460 FAX(508)999-6446 CLIENT: Brian & Sue Harding LOCATION: Ass. Map 155 Pd. 16 ADDRESS: 447 N. Main St. 68 Lombard Ave. S. Yarmouth, MA 02664-2001 W. Barnstable, MA COLLECTED BY: Desmond Wells SAMPLE DATE: 7-15-98 SAMPLE TIME: 4:OOPM WATER SAMPLE TYPE: New Well DATE RECEIVED:7-15-98 LAB I.D. #: 987455 WELL SPECS.: 4"X 72734' RESULTS OF ANALYSIS: Parameters Units Recommended Results Method Date Analyzed Limi& Coliform bacteria /100ml 0 0 9222 B 7/15/98 pH pH units 6.5-8.5 6.34 4500 H+ 7/15/98 Conductance umhcs/cm 500 109 120.1 7/15/98 Nitrate-N/Nitrite-N mg/L 10.0 0.52 4500-NO3 E 7/15/98 Sodium mg/L 28.0 10.6 200.7 7/16/98 Iron mg/L 0.3 0.16 200.7 7/16/98 Manganese mg/L 0.05 0.008 200.7 7/16/98 Volatile Organics ug/L See Report ND EPA 7/17/98 ND =None Detected. COMMENTS: pH is below recommended limit and may have corrosive characteristics. WATER MEETS EPA STANDARDS AND IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED. Date - Ronald J. Saa r Laboratory Director <=less than >=greater than TNTC=too numerous to count R.I. Analytical Specialists in Environmental Services CERTIFICATE OF ANALYSIS Envirotech Laboratories, Inc. Date Received: 7/16/98 Attn: Mr. Ron Saari Date Reported: 7/23/98 449 Rte. 130 P.O. #: Sandwich, MA 02563 Work Order #: 9807-05594 DESCRIPTION: HARDING (ONE AQUEOUS SAMPLE) Subject sample(s) has/have been analyzed by our laboratory with the attached results. Reference: All parameters were analyzed by U.S. EPA approved methodologies. The specific methodologies are listed in the methods column of the Certificate Of Analysis If you have any questions regarding this work, or if we maybe of further assistance, please contact us. Approved by: i r Jams E. Mic ichael J. H Vice President Quality ControlCoordinator enc: Chain of Custody 41 Illinois Avenue,Warwick, RI 02888 - 950 Boylston Street, Unit 102, Newton Highlands,-MA 02161 Tel:(401) 737-8500 Fax: (401) 738-1970 Tel:(617)965-5133- Fax:-(617)965-5624 Page 2 of 3 R.I. Analytical Laboratories, Inc. CERTIFICATE OF ANALYSIS Envirotech Laboratories, Inc. ' Date Received: 7/16/98 Approved by Work Order# 9807-05594 Oldal Sample#: 001 SAMPLE DESCRIPTION: #987455 68 LOMBARD AVE 07/14/98 SAMPLE DET. ANALYZED PARAMETER RESULTS LIMIT UNITS METHOD. DATE/TIME ANALYST Volatile Organic Compounds Bromodichloromethane <0.5 0.5 ug/l EPA 524.2 7/17/98 12:52 LGF Bromoform <0.5 0.5 - ug/I EPA 524.2 7/17/98 12:52 LGF Dibromochloromethane <0.5 0.5 ug/I EPA 524.2 7/17/98 12:52 LGF Chloroform <0.5 0.5 ug/1 EPA 524.2 7/17/98 12:52 LGF 1,2-Dibromoethane <0.5 0.5 ug/I EPA 524.2 7/17/98 12:52 LGF Benzene <0.5 0.5 ug/1 EPA 524.2 7/17/98 12:52 LGF Carbon Tetrachloride <0.5 0.5 ug/I EPA 524.2 7/17/98 12:52 LGF 1,2-Dichloroethane <0.5 0.5 ug/I EPA 524.2 7/17/98 12:52 LGF Trichloroethene <0.5 0.5 ug/I EPA 524.2 7/17/98 12:52 LGF 1,4-Dichlorobenzene <0.5 0.5 ug/I EPA 524.2 7/17/98 12:52 LGF 1,l-Dichloroethene <0.5 0.5 ug/I EPA 524.2 7/17/98 12:52 LGF 1,1,1-Trichloroethane <0.5 0.5 ug/I EPA 524.2 7/17/98 12:52 LGF Vinyl Chloride <0.5 0.5 ug/l EPA 524.2 7/17/98 12:52 LGF Bromobenzene <0.5 0.5 ug/1 EPA 524.2 7/17/98 12:52 LGF Bromomethane <10 10 ug/I EPA 524.2 7/17/98 12:52 LGF Chlorobenzene <0.5 0.5 ug/1 EPA 524.2 7/17/98 12:52 LGF Chloroethane <5 5 ug/1 EPA 524.2 7/17/98 12:52 LGF Chloromethane <5 5 ug/1 EPA 524.2 7/17/98 12:52 LGF 2-Chlorotoluene <0.5 0.5 ug/1 EPA 524.2 7/17/98 12:52 LGF 4-Chlorotoluene <0.5 0.5 u€/I EPA 524.2 7/17to8 12:52 L^F Dibromomethane <2 2 ugil EPA 524.2 7/17/98 12:52 LGF 1,3-Dichlorobenzene <0.5 0.5 ug/1 EPA 524.2 7/17/98 12:52 LGF 1,2-Dichlorobenzene <0.5 0.5 ug/1 EPA 524.2 7/17/98 12:52 LGF trans-1,2-Dichloroethene <0.5 0.5 ug/1 EPA 524.2 7/17/98 12:52 LGF cis-1,2-Dichloroethene <0.5 0.5 ug/1 EPA 524.2 7/17/98 12:52 LGF Methylene Chloride <0.5 0.5 ug/1 EPA 524.2 7/17/98 12:52 LGF 1,1-Dichloroethene <0.5 0.5 ug/l EPA 524.2 7/17/98 12:52 LGF 1,1-Dichloropropene <0.5 0.5 ug/1 EPA 524.2 7/17/98 12:52 LGF 1,2-Dichloropropane <0.5 0.5 ug/1 EPA 524.2 7/17/98 12:52 LGF 1,3-Dichloropropane <0.5 0.5 ug/1 EPA 524.2 7/17/98 12:52 LGF 1.3-Dichloropropene <0.5 0.5 ug/I EPA 524.2 7/17/98 12:52 LGF 2,2-Dichloropropane <0.5 0.5 ug/1 EPA 524.2 7/17/98 12:52 LGF Ethylbenzene <0.5 0.5 ug/1 EPA 524.2 7/17/98 12:52 LGF Styrene <0.5 0.5 ug/1 EPA 524.2 7/17/98 12:52 LGF 1,1,2-Trichloroethane <0.5 0.5 ug/1 EPA 524.2 7/17/98 12:52 LGF 1,1,1,2-Tetrachloroethane <0.5 0.5 ug/1 EPA 524.2 7/17/98 12:52 LGF 1,1,2,2-Tetrachloroethane <0.5 0.5 ug/I EPA 524.2 7/17/98 12:52 LGF Tetrachloroethee <0.5 0.5 ug/1 EPA 524.2 7/17/98 12:52 LGF 1,2,-3-Trichloropropane <0.5 0.5 ug/1 EPA 524.2 7/17/98 .12:52 LGF Toluene <0.5 0.5 ug/1 EPA 524.2 7/17/98 12:52 LGF Page 3 of 3 R.I. Analytical Laboratories, Inc. CERTIFICATE OF ANALYSIS Envirotech Laboratories, Inc. 41� Date Received: 7/16/98 Approved by:Work Order# 9807-05594 .I. Analytica Sample#: 001 #987455 68 LOMBARD AVE 07/14/98 SAMPLE DET. ANALYZED PARAMETER RESULTS LIMIT UNITS METHOD DAT&TIIIZE ANALYST Xylenes <0.5 0.5 ug/I EPA 524.2 7/17/98 12:52 LGF 1,2-Dibromo-3-Chloropropane <10 10 ug/l EPA 524.2 7/17/98 12:52 LGF Bromochloromethane <I 1 ug/l EPA 524.2 7/17/98 12:52 LGF n-Butylbenzene <0.5 0.5 ug/1 EPA 524.2 7/17/98 12:52 LGF Dichlorodifluoromethane <0.5 0.5 ug/I EPA 524.2 7/17/98 12:52 LGF Trichlorofluoromethane <0.5 0.5 ug/l EPA 524.2 7/17/98 12:52 LGF Hexachlorobutadiene <0.5 0.5 ug/1 EPA 524.2 7/17/98 12:52 LGF Isopropylbenzene <0.5 0.5 ug/1 EPA 524.2 7/17/98 12:52 LGF p-Isopropyltoluene <0.5 0.5 ug/l EPA 524.2 7/17198 12:52 LGF Naphthalene <0.5 0.5 ug/I EPA 524.2 7/17/98 12:52 LGF n-Propylbenzene <0.5 0.5 ug/I EPA 524.2 7/17/98 12:52 LGF sec-Butyl benzene <0.5 0.5 ug/I EPA 524.2 7/17/98 12:52 LGF tert-Butylbenzene <0.5 0.5 ug/1 EPA 524.2 7/17/98 12:52 LGF 1,2,3-Trichlorobenzene <0.5 0.5 ug/1 EPA 524.2 7/17/98 12:52 LGF 1,2,4-Trichlorobenzene <0.5 0.5 ug/I EPA 524.2 7/17/98 12:52 LGF 1,2,4-Trimethylbenzene <0.5 0.5 ug/I EPA 524.2 7/17/98 12:52 LGF 1,3,5-Trimethylbenzene <0.5 0.5 ug/I EPA 524.2 7/17/98 12:52 LGF Methyl Tertiary Buthyl Ether <1 1 ug/1 EPA 524.2 7/17/98 12:52 LGF n-Hexane <10 10 ug/I EPA 524.2 7/17/98 12:52 LGF SURROGATES RANGE EPA 524.2 7/17/98 12:52 LGF 4-13romofluorobenzene 92 80-12017 EPA 524.2 7/17/98 12:52 LGF 1,2-Dichlorohenzene-d4 75 8u-120"o EPA 524.2 7i i7,08 12:52 LGF METHOD 524.2: Sample was rerun and Surrogate was still outside acceptance limits. 03-17-1999 eB:o5m FROM TOWN of SANDWICH BD CC HL TO 915087906304 P.01 David B. Mason, R.S. DBC Environmental Designs: March 17, i999 Town of Barnstable Health Department 367 Main Street Hyannis, MA 02601 Attn. Donna Re: 68 Lombard Ave, West Barnstable, Ma Installer: Ron's Excavating This office conducted an inspection of the installation of the systemat the site referenced above. This office witnessed the installation and certifies the components were constructed and properly located as proposed. This certification should not be misconstrued as a guarantee that the system will function properly. Please call this office if you have any questions. Sincerel , t David B. Mason, R.S. l Z � A G 51 Service Road, East Sandwich,MA 02537 508-833-2177 TOTAL P.01 TOWN OF BARNSTABLE LOCATION,'Zom/a den SEWAGE # g V 7 Z j VII.LAGE .� ASSESSOR'S MAP & LOT ISMS 'dC6 INSTALLER'S NAME&PHONE NO. 7 -0 1� 70 r.4 SEPTIC TANK CAPACITY T-- LEACHING FACILITY: (type) F/ery �O/ , �,t'a/— (size) ,.. NO.OF BEDROOMS 3 BUILDER OR OWNER 16P I PERMTTDATE: 7"Z3 COMPLIANCE DATE: ISeparation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet i iPrivate Water:Supply Well and Leaching Facility (If any wells exist Feet i on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility If any wetlands exist Feet within 300 feet of leaching facility) iFurnished by V Q 7s y� � SUPERVISE EI`1GIN��IF`( IN WRITING fop o f f"o un of DrESTGl '.n'oW D if lD ►N STRICT 3; ' 19 ,C;ft SYSTEM .ro rrti n. p6CORDAN per. - Conc. covers �� " GQst iron or t: � i 2 �0.t/er Of sch. •40 PVc- = pipe. w1min. 3G,maX in aeascl pi-t-Cc 7 per " �P one fool` 4 Sc/7. 20 pvc pipe h7ir7. pi7 c/� c/ea.n Sand q"min. l/n a ,,. . precast -Flowdi usor • o' • 10 o inv. e . .G'.•c'rushed;: y� o o 0 o r o c� /50o c3al. stone base inv. e/. •' a ° � Sepfic fa.nit 74!G� ,• ` ------•- r• n v • 3�q - �z W e o/ ; ' I sh ' __ . .--__- ~--'_. .... ;;crushe°cl,;sfone;base •: C(isf I 9rout7d wafer fable e/ey. / "— bo/torn fesf hole e%v = 33. `,� ` SE- LAh9GE- SYSTEM P,2oF/LE- EX/Si, 6VE4L ` --.' /2ENJ 0�/�./`,i G.L �fj•T 2/f�Cr C]N/J..='2 � `' f OE- S /G JV ZD 7 /VUMBEIE o�. BED,�oon�ls T ST GA,2B/9GE ID/ UN/T : TEST OAT.E : T-07 ?9L EST/MATED FLOW Lt!/TNE SS E BY: h� ( • ( GAL./8/2./DAYx _� B2� : pC-jecOLATIOAJ )BATE : { 2 M/N.//NCH E-Q• SEPT1 G TANK CfiPAC/TY: B�� GAL. Ho E 1 Ha E z Gc. ��} I -- ycTc./AL. .=�PT;C TRti.I�� s/ 7 P • _ T / ^c`� SAL_ .�' P/L / 1 I I LEF�cH/NG/�A�e�A !i/e_EQU/ieE\ ME�vTS •,/ ��a�! A �p,�t/'1 G✓ r Cc-' i i S/DIG W Iq L L. -�5J l G.:�IS': j. ..'a./2 = / .S / GAL.. kX `^ c.� _ �S ii C TOTAL L.EACH/NG CAPF9CITY / •�- r,•i1, f°� G ��j NJ ' /} '/ 2c?0 / _7L.,Fik' / )eE E� C- L E,9CH/1VG CAPt9 l gip' Jr5 , � S v Jv � TY Lqq�`/ AL / S A iiel<M,q NS H/P AIVD MATE Pe/AL S f s 4� i SHHLL CoivFO)eM To U. E.P. T/TLE 5 AAJD THE To/,�/R/ OF 1�,�lr?�JS7fO /2ULE D t S - AlV iE EGUL AT/ONS PD�E' �/��- ,� I tic. SA IV / 7 tq,P-Y SE WAGC-. W/TH ROAJIAJG RE-GUIAT/O/VS to / BE- DETE12M/AJED BY BUILO/lVG j :3 _ /NSPE CTo�2 � CoMM/SS IONEF2. � wE�L i \ 3� �X/S7-IAJG .9ND F/NAL GRADES SHALL v G,nov i w 12 E M A /Ill E-SS E N T/ ALLY THE S q M E-. DEF . NING ENGINEER MUST SUPERVISE ___ - -- - -r--- ---�- - -- IN;��ILLATION AND CERTIFY IN WRITING THE SYSTEM WAS INSTALLED IN STRICT \ 1 D /9 T E� fq PP/z O V E- D : —ACCa�:E T.,OMI A D. O F H� ,,9 L T H �� P o f F--�)e o F� 05 C O�l S T/a UC7T/Q A J <` L oc �9T/oJV � � /2 E F E )E'_ E IV G E• fr � ��� a 7-C— PLAN a aw P E P Iq IE_' r- D F o le . 13?/ . 1 s <7 u Sc ale / " _ ` � . S C A �- D T E ->�C T1 ����a�. �' !s ,� � .= ' wR� � �+ �7 __.r _ 1.. .1_ I. �.f ` � '`� L..-�L''•!�f k^,,,,,�/ �Jam-•"-T f'�,�f'` • v LEGEiII� I � -J � - ; ..i �..,•. ..'-y� -.:;�,.,/. v '.,; I f r ._ _nth.-. c� -fyP' e'Xistinq spot elev. = o.o �. 1r9 Sv iJE, II�JC /i�ETiJ / f� t f ` ' r \ � 2 �,, exist�n9 contour , gyp. prop. fi11, spot ale-v. o. o ( - - _ \ �� 0 prop, fin. con-f-our - o o— .�» rest hole location � - LoC A7'/o/v MAP I