HomeMy WebLinkAbout0141 PLUM STREET - Health r;J � �-, ��Lum S�t��
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TOWN OF BARNSTABLE
LOCATION 10T ti ly I SEWAGE
VILLAGE W,6rnSTQbIe, ASSESSOR'S MAP LOT
INSTALLER'S NAME G PHONE NO.
SEPTIC TANK CAPACITY 1U4 G(a\S
LEACHING FACILITY:(type) VreCQS-V size) \000 !41
NO. OF BEDROOMS PRIVATE WELL OR PuB e w t:;B
BUILDER OR OWNER kne CT ConSTcoc,T;.on
DATE PERMIT ISSUED: 7 'Q
DATE :COUPLIANCE ISSUED;
VARIANCE GRANTED: Yes No
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THE COMMONWEALTH OF MASSACHUSETTS i
t
BOAR® OF HEALTH
TOWN OF BARNSTABLE
App iratinn for liapuua1 Workii Tomitrur#inn runfit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at
�t.::....:..!4! I vnn. a ...................-------- ..................................11---------------------------............................---
� Lo tion- ddress ` d�/ or Lot No
! ���....--•.................................. ..................... --�. A.h_..` �..__....-----�t�cic:a.._.�..... f1�llt�_.�,..... o L -
Owne �/ , L ._..... ..
a ---•.............�- -...
--•........................................
--••--------- "'�`,,a---._....... Addres II
Installer Address
QType of Building Size Lot....--.. feet
U Dwelling—No. of Bedrooms................................... .....Expansion Attic ( ) Garbage Grinder ( )
U
Other—Type of Building .......S2Aj.0f.!k!;i: No. of persons.............I............. Showers Cafeteria ( )
Q' Other fixtures ----------------------------
W Design Flow...............3V.................... per person per day. Total daily flow...................3,$0................gallons.
WSeptic Tank—Liquid"ca.pacity._001.gallons Length....--- ..... Width.--- ....... Diameter---------------- Depth..2.5r ..._.
x Disposal Trench—No. .................... Width.................... Total Length.............�.... Total leaching area....................sq. ft.
Seepage Pit No........ %t7_ biameter........fv._..... Depth below inlet........ ....... Total leaching area.......�������f't�
Z Other Distribution box ( ) Dosing to (
'~ Percolation Test Results Performed by......j__Zj.5.. .................................... Date_......................................
Test Pit No. 1................minutes per inch Depth of Test Pit...........--....... Depth to ground water...--..---..............
G Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water.......----..--......--.
-----------------------------------------------------------------------------------••---•---•-••••--........................................................
ODescription of Soil........................................................................................................................................................................ .
x
U --•---•.....•••------.....-••-•----••-•------••--------------•-•-••••-•••-•--•---•-••...-•••--------••--•------------•••--•••-•--•------------.....•------•----------•-----•----••-•--...........-•----.
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,TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
�+'_n operation until a Certificate of Com 1' ce has been issu d by the board of health.
Signed
Application Approved By .. . .. >
---- -- ............. ..... - - -------- ..---- .------------------- ...> r�
Application Disapproved for the following reasons: .............-- -
------------------ --
- - - Dare
Permit No. ------------------ Issued --. ....
No...../ . �t _ Fps.....lob
..- _..............
r /
THE'COMMONWEAL, OF MASSACHUSETTS
BOARD/,,OF HEALTH
TOWN OF BARNSTABLE L--/
Appliration for Dislim l Workii Tomiunrfion rantit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
......t4? ..�(t------. -f Y!- I�i ..��. ----------------•---------- --•-----------------...
........... /..........................................................
LLoc - ddress or Lot No.f�- f - ..................•P-d....f�K..ot.1.. 5 It. .� �-•• .•. - - nFe Address.
a ......._... . - _ ..............•-•-•.........._....__.--_- :. .�- ..........................
Installer Address
d Type of Building Size Lot........ � 'a!q.Q._Sq. feet
Dwelling—No. of Bedrooms.....n..�.....................................Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building .......&DVW.k� c_ No. of persons.............I............. Showers ( 24 — Cafeteria ( )
(ZI Other fixtures ----------------------------------
W Design Flow...............3W....................gallons per person per day. Total daily flow.................... 3v.........._._..gallons.
WSeptic Tank—Liquid capacity_._ 00.gallons Length....... _ Width.....-`.�...._ Diameter................ Depth...5t'.�...
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No......�.f!t_.ej.Q. biameter-___-___Lv__..... Depth below inlet.__.......�...__.. Total leaching area....... y� �sc:-ftl
Z Other Distribution box ( ) Dosing tanl�
/ Date
W Percolation Test Results Performed by-------�_____________C -.� ._........_................•..........
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 Pit.................... Depth to ground water---_-____-_•--_••---__--
W <--------------------------
'-------------------------------
---_.--.--------------
-------------•------------------------------------------
•-----------
Descriptionof Soil. ---------.....................................................................................................................................................
U -----------------------
---------------------------------------------------------------------------------------------------
-•------
•------------------------------------------------•--------------------
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 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 issu d by the board of health.
Signed r- --�•�
Application Approved By --V i71 --.... . ------ . .......... .. .. ----t------------------ ----
Application Disapproved for the following reasons- ............................ -----------•----.......------ ...... ----------------------------........ ....-------- --------
- D
-------------------------------------------------
are
s
Permit No. _ _......................... Issued -. -
I 3 Date
i
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH -
TOWN OF BARNSTABLE
Tertif%cate of Contpliattre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by ..... - ..---- . . ............. .....� .................... _ ..-- .......
at / /�/ ��y/yjf ////�f �J/'j////7f�_---. nstle .�1.- ...........
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. ................................ ......... dated .........................................
THE ISSUANCE OF T S CEJZTIFICATE SHALL NOT BE CONSTR s ED AS A GUARANTY HAT THE
SYSTEM WILL FUNC 1 1 f&r1rORY.
DATE.................................................... ..... ----------------------_------- Inspector ...........................................------ ----------- --------------- .........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
No.�/ TOWN OF BARNSTABLE
! FEE./.................
Disposal Workii T-Wansfrnrtion rrntif
Permissiohereby granted................................................................................... ..........................................
to Construct r e air ( a I vid eA e D i s o System
_ -----.
rl Street //�� � /_ '� (�
as shown on the application for Disposal Works Construction Permit No..l/ ,2'' ated....�%__-_%_o_....... .............
.................................................._
DATE................../0--' /-•--------
_ Board of Health
FORM 36508 HOBBS&WARREN.INC.,PUBLISHERS
.' Department of Environmental Management/Division of Water Resources
h i-,� ,..a' i t`! ♦ s `WATERWE;`W,P311�IPPE fON REPOR' t ,/. ,�, , ',tt'r':t'.•
4 WELL LOCATION GEOGRAPHIC DESCRIPTION
r
f Ad dr ss
(� N S E- W of
lfee (circle)
City/Town Lf�'t./
Well own r (road)
Address ' , N S W Of
(mi.in tenths) c rcle)
Board of Health permit: yes no ❑ intersect. w/ -(road)
WELL USE WELL DATA
Domestic Public❑ Industrial ❑ Total well depth Q ft. -
Monitoring❑ Other Depth to bedrock
Water-bearing rock uncon liclated material:
Method dri
Date drilled
U Description Y � i
�
CASING Water-bearing ones:
V,G
1) From To
Type L
2) From To
Length,/!A-ft. Dia(.I.D.) in.. 3) From To
Length into bedrock ft. r�
Gravel,pack well:/v``''A di,.-
Protective well seal:V P Screen:
$t f d
ten th from t
Grout-0 Other Slot g
PUMP TEST / V f
Static water level below 1,nfece ft. Date
Drawdown ft. after pumping-fir. min. at " "gpm
How measured Recove,Oy% -A _ft. after_V_hr. min.
0
LOG of FORMATIONS COMMENTS
Materials From To a
V
,y <
�
Driller
M d Mass.�Rgisratti n _
Id 1,4 Firm
Address AWkh in,•
City/Tovvn '
10 /0 0
ka
r
i nature o/su 'erv�sm registered we//dn!ler
P 9
Please
BOARD OF HEALTH COPY
Ae
• - `tom
=-a- Fee - --------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
0(ppiicat ion-*rVell Cootructionpermit
Application is herb made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at:
-- — — — -- —---------------------------------------- ------—--------------—-----------------------P---------------------------------------
LocAddress Assessors Ma and Parcel
- �- - - - -- ---------------------------------------------------------------------------------------
favyne� Address
Cv
Installer — Driller Address
Type of Building
Dwelling----------------------------------------------------------
Other - Type of Building------------------------------ No. of Persons---------------------------------------------------
Type of Well /�/�f--- - — - — 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 H alth Private Well Protection Regulation — The undersigned further agrees not to
place the well in operation unti Certificate of -5ompliance has been issued by the Board of Health.
Signett _L ------ -------------------- -----------— ----- --
date
Application Approved By--— —. — --- -- --��'
n .J date
Application Disapproved for the following reasons:-----------
------------------------------------------__________________________
---- —_— - --- --— ----- - - = -———---------------------------
—--_-----------------------------------------
Q/ date
PermitNo.— f f `' �-------------------------- Issued------------------------------- ---------------------------------------------
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate ®f Compliance
THIS.IS TO,.gERTIFY, That the Ind(i 'dual Well Constructed ( ), Altered ( ), or Repaired ( )
aik
by el
�y _____________ Installer _.
at Q- !!�_ �1�-�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. _W?Yn-2X Dated-----------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE--------------------------------------------------------------------- Inspector— ---— - - - -- - - - ------------------
No.-�--=-------=-=--= Fee--------------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
Z.PPrication-*rVerr Con5trurt ion Permit
'p K Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at:
F -- ' - - ---- - - - ----------------------------------------- -
i 7 Loc lion - Address Assessors Map and Parcel
/`,
�3wner Address
---------------------------------------------------------------------
Installer — Driller Address
Type of Building
Dwelling--------------------------------------------------------------
�.- Other - Type of Building--- ------------------------- No. of Persons----------------------------------------------------
Type of Well - --------------------------- 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 Certificate of Compliance has been issued by the Board of Health.
Signe t��/tait=C'vt�---- t 7
date
Application Approved By ------ --- �" �,- ---
date
Application Disapproved for the following reasons:—--------------------------------------------------
--------------- - -— ----—---- -- - - -- -------------------------------
----------------------------
}} � � Q date
PermitNo. - 4 1 —" ' '- '=- --- — - --- Issued--------------------------------- -------------------------------------------
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
rt �
Certifirate Of COMPliance
THIS IS TOK-CERTIFY, That the Indi idual Vyell Consti icted ( ), Altered ( ), or Repaired (,4 4
by 0( _ i - ci deo
- ----------- -
� -
Installer
at � -- - ___ -- ------- - -= .---��`�� - - -------- --------------------------
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. =-- 1 -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
Very Con5tructionperrnit
No.( f-— =-- Fee =-�'----�--
------W-111-1-n------------------
Permission is hereby granted------ -------=- ----------------------->-----------------------------------------------------
to Construct /) Alter (n) or Repair ( Lan Individual •Well at: n
No. ",-c._�G� "--------------------------------------------------
Street
as shown on the application for a Well Construction Permit
-� Dated--------------•
V+� / - l_------------------------------------------
�- ---- ---
-----------------------I - ------------------------------------------
Board of Health
DATE----------------------------------------------------------- -- - -
g11It1111iTitttii(n111liTniitttlptltinnirttttnilrrnntnrrrnnrstint++ntm+rist++s++++s+tnr++tr(i?(iirttnt......stsmttt+ssr+rn+......- ....rr ..... .. ...nts... tt xttsn n srr+xxm x t+ nr+nnrttrr
M
E, ELL
LABORATORIES -_
°= Mass. Cert. #:MA063 =-
`—_ 449 Route 130 Sandwich,MA 02563 (508) 888-6460 _-
CLIENT: Dave Finnerty LOCATION: Lot 2 (100') Plum St. _
`— W. Barnstable, MA
- ADDRESS: _ --
COLLECTED BY: L. Wile SAMPLE DATE: 5-8-91 TIME:
DATE RECEIVED. 5-8-91 SAMPLE ID: Z258 =
it
JOB 0: New Well WELL. DEPTH: _ 100'
c
_ RESULTS OF ANALYSIS: -_
Parameter Units Recommended limit Result
Coliform bacteria/100 ml (MF Method) 0 p
pH pH units 6.0-8 5 6.69
Conductance umhos 'cm 500 53
Sodium mg;L 20.0
6.8
Nitrate-N mgi L 10.0 0.03
Iron mg/L --- 0.3 <0.05
Manganese mg/L 0.05
0.01
Hardness mg/L as CaCO 500 3 17.2
c _
-x
PE Sulfate mgi L 250 <1.r.:: Potassium mg/L 20.0
0.6
Alkalinity mg/L 200 8.4
Chloride mg; L -- 250
_ 10.7
Turbidity NTU 5.0 1.3
Color APC units 15.0 2.0
Background bacteria
COMMENT:
M Z
EPA 601/601 All parameters below reporting limit. "=
E:
_ (see attached report) -
;r:
'= YES NO WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED.
c XKY 0 =
za A- 0�l/' -�. DATE
�ittJliilllUllilllUllUliU111i11ll111UlUl,UllU111U1U1!tt11111,1w all ui1lUriuuulurluir�ilu{tittiiiiiiiiiiiiriiii+iriiuuuiuuul Isis luu:uulluliiiiliiliiiiliil{illlUlilillillll{ll{itii{1li{!li{illllli lliilliiiGt+�
�r
GROUNDWATER .
ANALYTICAL EPA METHODS 601 and 602
Volatile Organics (GC/PID/ELCD)
Field ID: Z-258 Lab ID: 1300-01
Project: Plum Lot 2 QC Batch: VGA-766
Client: Envirotech Sampled: 05-08-91
Cont/Prsv: 40ml VOA Vial/NaHSO4 Cool Received: 05-' 09-91
Matrix: Aqueous Analyzed: 05-10-91
PARAMETER CONCENTRATION REPORTING LIMIT
(ug/L) (ug/L)
Dichlorodifluoromethane BRL 5
Chloromethane BRL 1
Vinyl Chloride BRL 1
Bromomethane BRL 5
Chloroethane BRL 1
Trichlorofluoromethane BRL 1
1, 1-Dichloroethene BRL 1
Methylene Chloride BRL 1
trans-1,2-Dichloroethene 'BRL 1
1,1-Dichloroethane BRL 1
cis-1,2-Dichloroethene * BRL 1
Chloroform BRL 1
1, 1, 1-Trichloroethane BRL 1
Carbon Tetrachloride BRL 1
Benzene BRL 1
1,2-Dichloroethane BRL 1
Trichloroethene BRL 1
1,2-Dichloropropane BRL 1
Bromodichloromethane BRL 1
2-Chloroethylvinyl Ether BRL 1
trans-1,3-Dichloropropene BRL 1
Toluene BRL 1
cis-1 ,3-Dichloropropene BRL 1
1,1,2-Trichloroethane BRL 1
Tetrachloroethene BRL 1
Dibromochloromethane BRL 1
Chlorobenzene BRL 1
Ethylbenzene BRL 1
m+p-Xylene * BRL 1
o-Xylene * BRL 1
Bromoform BRL 1
1,1,2,2-Tetrachloroethane BRL 1
1;3-Dichlorobenzene BRL 1
1,4-Dichlorobenzene BRL 1
1,2-Dichlorobenzene BRL 1
QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS
Bromochloromethane 30 31 103 % 83 - 117 %
I Fluorobenzene 30 30 100 % 87 - 113 %
BRL = Below Reporting Limit. * Non-target compound. "Trace" indicates probable presence below listed
Reporting Limit. Method References: Method 601 - Purgeable Halocarbons and Method 602 - Purgeable
Aromatics, 40 C.F.R. 136, Appendix A (1986).
SOIL LOG
NOTE•' DUB('/Nr /^.`i% L L i477eW. PiQOBE So/LS A/v "'
LA NADD/770Nf�L 7.S� dDt/N TO EL EV�9770/V -¢7 7 7V
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TOP OF FOUNDATION El .: - tayPAcr�.o G I
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• � . . E L . . I N E l S8.
COVER �B j /ASHEN ST�ti'E AUO 1414T�iP
N E l I ..... 585 38./Z a " o o E[.SS2 12
D/ 8 W/ 6 SUMP ° ° ° �=/4" W,45�E� sToAt/E 13
4 LIQU1.0 LEVEL ' G ,
° "� 14
n '
', c,4S7 L�,Q C�//NG /'ice P E R C. TEST H E:S U LT S
15
• ° a ° °
j1/o. / SIZE' G'�% Wi7i�/ ff�C77 VE.
PSECAST SEPTIC TANK WITH a ° n ° 1�EAs'TA*! A�/D. Z'ofsr& 1AROV�D - P`ERC RATE :
4 M/w/Lvcy_
CAST IN PIACE INLET AND �L. sz/z ° ° • ° WHITNESSEO BY : /yie. JAgcod/ .
OUTLET T 'S PER TITLE V. .. ��RAvs7Ae�E _ BOARD OF ` HEALTH
2" G' �fA. z' df 57tlVE
'
CNEC,� fOR AROlIAvD
SIZE : /ODD GA4LL O/VS DATE : /yARCfi�. . Z2, ../�84 I
4 ��viovs
I!8 G" L O/VG X S.,¢.. W/D.0 X -'7" D�Eia� /0 ' D/A /1/e O8/.
[y,Ar AL
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--�' AS f�D
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PROFILE CIF PROPOSI� DSEWAGESYSTEM I .
SYSTEM 0 E S I G N F D BY THE TOWN OF 96211SLA48LE REGULATIONS AND
STATE TITLE V FOR SUBSURFACE DISPOSAL OF SEWAGE SCALE 1/4",& 1 ' 0 "" ce �..CBF�►v I
90.DD Sa, Op
3
N � _
5� ,aitn, 1
• N—� NG
/�«
p " :;p ;
- r /vv
1 :
1 , ALL IPES SHALL BE SCHEOULE. 40 P,V.C . SEWED R � , ,I_ /b2s�n�cr. �
_
I., ALL � IrtJ SHILL" L tik Sl0, 1/4 PER FODs EXI~ EPIT FGR
f
THE FI RST 27 MT OUT OF THE 0 /•6 . WH I C H SHALL BE LEVEL' A. - ; �• 3 ., , -- -�:54, to
B. LIESIGN FLOW . 8E0AO'OMS - AT 110 GA-LOAY PER
GAL / DAY o � •_ .. . w' •::: G, _ �„ -
-
SEPTIC TANK SIZE �, 330 X /.s -- ¢9S GAL ,
•
r USE /DDD GAL, W/. GARBAGE DISPOSAL5�� =-- 2��
�\
i L I A !; H ! N G SYSTEM : US E (0 �' a�A. ,aAPEC�f 5T LEACH/it/G p/T W/T.�/ � . �```� �00° �o, o�
C77 Vr Peg; AIVD Z DF STI�NE AlL �ROU.�//�? -, - -- r�tN�t
8' `
. r
E F F E C T I V E AREA : S 10 E 2n-RH x 2.o : 2�-��"��G�x I.0 = 37G GAL�DA� � .�c \`" --Gd' lB' 0p R VyA� y l
8 O T T O M oL4 83 = 0 GA/IP,4Y
TUYAL FLOW 44/
TOTAL REQ 'D FLOW __330 X _/v L 3so - - W/ ovT 0AR8AGE DISPOSAL
RESERVE FLOW 4¢/ GAL / DAY, /N R�RV�f mi
50
� � rr ��II t� P PLANS
+ A PtAAI BaO.t- 3/7 PfIGE
G
APPROVED G
BOARD OF HEALTH
PnOPERTY OWNER CdNS7,fUCnON SAT E ADD S E WAG E PLAN
A
- M F 0 R : �"/A�/ERTy COit/STRUCT/D/V
S�l�t/DW/Cf/, MISS. O'Z5G3 ZN f �� I �.P`AN uF qss
ROB
ERT i BEDROOM SINGLE.. . FAMILY DWELLING
7. �� o • 2 RL vw . STREET
a (�` DCYd..0 4. L 0 T @9 N •. DAVIDSON y t nn
t+o.33Bf�9 .o A No.,24500 D A T E O�TOBE�Q �
tA II
!� kFCISiFj rj4TER �•a`�; „F`t
NAIEN', ADDYLE � .,� ASSOVATES FALMOUM, MASS .
own
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P 5 E C A S T SEPTIC T A IN'K WITH I " I ��.!-/'r/1 f�.�i�2 'o.F ,sTdn�i= ou/vo N l Ii C i4 AT
s WHITNI: SSE0 QY . !''h, J,�ca�r/ ---1�
, AST IN PLACE INLET A U fr_ _ � I_ r I
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