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0020 VILLAGE LANE - Health
oo3 i r f f i No. 4210 1 f3 BLU ESSELTE 10% w o © 0 o° CERTIFICATE OF ANALYSIS � Y} Page: 1 Barnstable County Health Laboratory tY Y Report Prepared For: Report Dated: 9/24/2007 Dorie A. Paley Order No.: G0743527 20 Village Lane West Barnstable, MA 02668 Laboratory ID#: 0743527-01 Description: Water-Drinking Water Sample#: Sampling Location `20 Village'Ln W:Barnstable,MA�--1 Collected: 9/20/2007 Collected by: D.Paley Map 155 Parcel 007-003 Received: 9/20/2007 Routine ITEM RESULT UNITS RL MCL Method# Tested Nitrate as Nitrogen ND n,g/L 0.10 10 EPA 300.0 9/20/2007 Copper ND mg/L 0.10 1.3 SM 3111B 9/21/2007 t oii 0.23 mg/L 0.10 0.3 SiM 31 i 1B 9/21/2007 Sodium 11 mg/L 1.0 20 SM 3111B 9/21/2007 Total Coliform Absent P/A 0 0 SM9223 9/20/2007 Conductance 170 umohs/cm 2.0 EPA 120.1 9/20/2007 pH 6.9 pH-units 0 SM 4500 H-B 9/20/2007 Water sample meets the recommended limits for drinking-water of all the above tested param to ers-A Approved By- (Lab ctor) i 1 i ET ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 �11�1 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS 1 1 z DEPARTMENT OF ENVIRONMENTAL PROTECTION n r a W M I.� W ��M Yev e TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM J ' PART A CERTIFICATION Property Address: 20 VILLAGE LANE, LOT 3 WEST BARNSTABLE,MA 02668 Owner's Name: RICHARD SHANNON Owner's Address: 20 VILLAGE LANE WEST BARNSTABLE,MA 02668 Date of Inspection: 9/4/01 / j o o 7 0 d 3 Name of Inspector: (please print) JOHN GRACI Company Name: SEPTIC INSPECTIONS Mailing Address: P.O. BOX 2119 TEATICKET,MA.02536 Telephone Number: 508-564-6813 FAX 508-564-7270 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: X Passes _ Conditionally Passes _ Needs F he valuation by the Local Approving Authority Fails Inspector's Signature: Date: 9/4/01 The system inspector shall submi 'a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspe ion. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. t Notes and Comments SYSTEM PASSES TITLE V RECOMMEND PUMPING EVERY TWO YEARS TO MAINTAIN SYSTEM. ****This report only describe`conditions at the time of inspection nod tmdvr the condifions of use at that tinter This inspection does not address how the system will perform in the future under the same or different conditions of use. Tilly 5 Incnrrlinn Form 01 5/10M) I Page 2,pf I 1 1 ? l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 20 VILLAGE LANE,LOT 3 WEST BARNSTABLE,MA 02668 Owner: RICHARD SHANNON Date of Inspection: 9/4/01 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: X I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: SYSTEM PASSES TITLE V RECOMMEND PUMPING EVERY TWO YEARS TO MAINTAIN SYSTEM. B. System Conditionally Passes: _ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND) in the for the following statements. If"not determined"please explain. n/a The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: n/a n/a Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): _ broken pipe(s)are replaced _ obstruction is removed _ distribution box is leveled or replaced ND explain: n/a n/a The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): _broken pipe(s)are replaced _obstruction is removed ND explain: n/a Page 3.Qf I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM IN SPECTION FORM PART A �= CERTIFICATION(continued) Property Address: 20 VILLAGE LANE,LOT 3 WEST BARNSTABLE,MA 02668 Owner: RICHARD SHANNON Date of Inspection: 914101 C. Further Evaluation is Required by the Board of Health: _ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank:and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. �N4 _ The system has a septic tank and SAS and the SAS is within a Zone I of a public water supply. _ The system has a septic tank`and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance n/a "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: n/a ' Z Page 4�of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 20 VILLAGE LANE,LOT 3 WEST BARNSTABLE,MA 02668 Owner: RICHARD SHANNON Date of Inspection: 9/4/01 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all-inspections: Yes No X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool _ X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool X Liquid depth in cesspool is less than 6"below invert or available volume is less than day flow X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped nLa. X Any portion of the SAS,cesspool or privy is below high ground water elevation. X Any portion of cesspool orzpeivy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool orprivy is within a Zone 1 of a public well. _ X Any portion of a cesspool or privy is within 50 feet of a private water supply well. X Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system th'e system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no X the system is within 400 feetof a surface drinking water supply X the system is within 200 feet of a tributary to a surface drinking water supply X the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—I W PA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed,The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. ,t Page 5.af 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 20 VILLAGE LANE,LOT 3 WEST BARNSTABLE,MA 02668 Owner: RICHARD SHANNON Date of Inspection: 9/4/01 Check if the following have been done. You must indicate "yes" or"no" as to each of the following: Yes No X _ Pumping information was provided by the owner,occupant,or Board of Health X Were any of the system components pumped out in the previous two weeks? X _ Has the system received normal flows in the previous two week period? X Have large volumes of water been introduced to the system recently or as part of this inspection ? X _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) X _ Was the facility or dwelling inspected for signs of sewage back up`? X _ Was the site inspected for signs of break out? X _ Were all system components,excluding the SAS, located on site'? X _ Were the septic tank manholes uncovered, opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum ? X _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems The size and location of the Soil Absorption System (SAS)on the site has been determined based on: Yes no X Existing information. For example,a plan at the Board of Health. X _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] S Page 6-of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 20 VILLAGE LANE,LOT 3 WEST BARNSTABLE,MA 02668 Owner: RICHARD SHANNON Date of Inspection: 9/4/01 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms):330 Number of current residents:3 Does residence have a garbage grinder(yes or no): NO Is laundry on a separate sewage system (yes or no): NO [if yes separate inspection required] Laundry system inspected(yes or no): NO Seasonal use: (yes or no): NO Water meter readings, if available(last 2 years usage(gpd)): n/a Sump pump(yes or no): NO Last date of occupancy: n/a COMMERCIAL/INDUSTRIAL Type of establishment: n/a Design flow(based on 310 CMR 15:203): n/agpd Basis of design flow(seats/persons/sgft;etc.): n/a Grease trap present(yes or no): NO Industrial waste holding tank present(yes or no): NO Non-sanitary waste discharged to the Title 5 system(yes or no): NO Water meter readings, if available: n/a Last date of occupancy/use: n/a OTHER(describe): n/a GENERAL INFORMATION Pumping Records Source of information: n/a Was system pumped as part of the inspection(yes or no): NO If yes, volume pumped: n/agallons-- How was quantity pumped determined? n/a Reason for pumping: n/a TYPE OF SYSTEM X Septic tank, distribution box,soil absorption system _Single cesspool _Overflow cesspool _Privy _Shared system(yes or no)(if yes,attach previous inspection records, if any) _Innovative/Alternative technology.ryAttach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank Attach a copy of the DEP approval Other(describe): n/a Approximate age of all components,date installed(if known)and source of information: 5 YEARS Were sewage odors detected when arriving at the site(yes or no): NO Page i of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 20 VILLAGE LANE,LOT 3 WEST BARNSTABLE,MA 02668 Owner: RICHARD SHANNON Date of Inspection: 9/4/01 BUILDING SEWER(locate on site plan) Depth below grade: 18" Materials of construction:_cast iron X40 PVC_other(explain): n/a Distance from private water supply well or suction line: n/a Comments(on condition of joints,venting,evidence of leakage,etc.): TOWN WATER SEPTIC TANK: X(locate on site plan) Depth below grade: 18" Material of construction: Xconcrete_metal_fiberglass_polyethylene other(explain)n/a If tank is metal list age: n/a Is age confirmed by a Certificate of Compliance(yes or no): NO(attach a copy of certificate) Dimensions: 150OG L 10' 6" H 5' 6" W 5' 8"" Sludge depth:2" Distance from top of sludge to bottom of outlet tee or baffle: 32" Scum thickness: 2" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 16" How were dimensions determined: MEASURED Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc.): THE SEPTIC TANK AND ALL COMPONENTS APPEAR TO BE STRUCTURALLY SOUND AND FUNCTIONING PROPERLY. RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFUL LIFE. GREASE TRAP:_(locate on site plan) Depth below grade: n/a Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a Dimensions: n/a Scum thickness: n/a Distance from top of scum to top of outlet tee or baffle: n/a Distance from bottom of scum to bottom of outlet tee or baffle: n/a Date of last pumping: n/a Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): n/a .R E 7 Page 8.of I I 3. OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C 3, "SYSTEM INFORMATION(continued) Property Address: 20 VILLAGE LANE,LOT 3 WEST BARNSTABLE, MA 02668 Owner: RICHARD SHANNON Date of Inspection: 9/4/01 TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: n/a Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a Dimensions: n/a Capacity: n/a gallons Design Flow: n/a gallons/day Alarm present(yes or no): N/A Alarm level: N/A Alarm in working order(yes or no): NO Date of last pumping: n/a Comments(condition of alarm and float switches,etc.): n/a DISTRIBUTION BOX:X(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: LEVEL WITH BOTTOM OF PIPE Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover, any evidence of leakage into or out of box,etc.): DISTRIBUTION BOX APPEARS TO BE STRUCTURALLY SOUND AND APPEARS TO BE FUNCTIONING PROPERLY. BOX IS EMPTY. PUMP CHAMBER:_(locate on site plan) Pumps in working order(yes or no): NO Alarms in working order(yes or no):NO Comments(note condition of pump chamber, condition of pumps and appurtenances,etc.): n/a i R Page 9 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 20 VILLAGE LANE,LOT 3 WEST BARNSTABLE,MA 02668 Owner: RICHARD SHANNON Date of Inspection: 9/4/01 SOIL ABSORPTION SYSTEM (SAS): X (locate on site plan,excavation not required) If SAS not located explain why: n/a Type n/a leaching pits, number: n/a 500 GALLON LEACHING leaching chambers, number: 3 CHAMBERS leaching galleries, number: n/a n/a leaching trenches, number, length: n/a n/a leaching fields, number: n/a n/a overflow cesspool, number: n/a n/a innovative/alternative system n/a Type/name of technology: n/a Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation,etc.): THREE 500 GALLON CHAMBERS APPEAR TO BE FUNCTIONING NORMALLY.BOTTOM IS 6 FEET CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: n/a Depth—top of liquid to inlet invert: n/a Depth of solids layer: n/a Depth of scum layer: n/a Dimensions of cesspool: n/a Materials of construction: n/a Indication of groundwater inflow(yes or no): NO Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): n/a PRIVY: (locate on site plan) Materials of construction: n/a Dimensions: n/a Depth of solids: n/a Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation, etc.): n/a Page 10.of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 20 VILLAGE LANE WEST BARNSTABLE,MA 02668 Owner: RICHARD SHANNON Date of Inspection: 9/4/01 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. x l_ v A C �A 10 M 19 B� �3 0 t1 C 8 �i y C L""efts . cc Sa in -Page I Pof 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 20 VILLAGE LANE,LOT 3 WEST BARNSTABLE,MA 02668 Owner: RICHARD SHANNON Date of Inspection: 9/4/01 SITE EXAM _Slope _Surface water _Check cellar _Shallow wells Estimated depth to ground water 12+feet Please indicate(check)all methods used to determine the high ground water elevation: NO Obtained from system design plans on record-If checked,date of design plan reviewed: n/a NO Observed site(abutting property/observation hole within 150 feet of SAS) NO Checked with local Board of Health-explain: n/a NO Checked with local excavators, installers-(attach documentation) YES Accessed USGS database-explain: n/a You must describe how you established the high ground water elevation: USGS MAPS AND CHARTS- 12+11TEETAND VISUAL..ADJUSTMENT TO GROUND WATER 1S 1.6 FEET FROM SDW 252,ZONE A. 6 it pF.B ro CERTIFICATE OF ANALYSIS Page. Barnstable County Health Laboratory Report Prepared For: Report Dated: 09/06/2001 Order Number: G0111512 Richard Shannon 20 Village Lane West Barnstable, MA 02668 Laboratory ID#: 0111512-01 Description: Water-Drinking Water Sample#: 11512 Sampling Location: 20 Village Lane West Barnstable MA Collected: 08/28/2001 ollected by: D Jensen Received: 08/28/2001 Routine ITEM RESULT UNITS MDL MCL Method# Tested LAB:IC Lab Nitrates <0.1 mg/L 0.1 10 EPA 300.0 08/28/2001 LAB:Metals Copper <0.1 mg/L 0.1 1.3 SM 311113 09/06/2001 Iron <0.1 mg/L 0.1 0.3 SM 3111B 09/06/2001 Sodium 31 1 mg/L 1.0 20 SM 3111B 09/06/2001 LAB:Microbiology Total Coliform Absent P/A 0 Absent P/A 08/28,/2001 LAB:Physical Chemistry Conductance 147 umohs/cm 1 EPA 120.1 08/28/2001 pH 8.8 pH-units EPA 150.1 08/28/2001 )r - Note: /Water-sample has higher than average level of Sodium. Persons on a low sodium diet may-wish•to_contact their physician. Approved By: (Lab Director) 9/-7Izoo1 Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 f 9 ENVIROTECH LABORATORIES, INC. MA Cert. No.: M-MA 063 449 Rte. 130 . Sandwich, MA 02563 (508)888-6460 • 1-800-339-6460 FAX(508)888-6446 CLIENT: Nickulas Bldg. Co. LOCATION: Lot 3 ADDRESS: P.O. Box 507 Village Lane W. Barnstable, MA 02668 W. Barnstable, MA SAMPLE DATE: 10-8-96 COLLECTED BY: Desmond Wells DATE RECEIVED: 10-8-96 TIME: 12:OOPM LAB I.D. #: E10-159 JOB TYPE: New Well SAMPLE I.D. #: E10-159 WELL SPECS. : 4" 59'/ 12- RESULTS OF ANALYSIS: Parameters Units Recommended Limit Result Coliform bacteria/100m1 (MF Method) 0 0 pH pH units 6.0-8.5 6.56 Conductance umhos/cm 500 159 Sodium mg/L 28.0 8.6 Nitrate-N/ Nitrite-N mg/L 10.0 0.03 Iron mg/L 0.3 0.10 Manganese mg/L 0.05 0.029 Volatile Organics See attached report. EPA #524.2 None detected. COMMENTS: Yes WATER IS SUITABLE FOR DRINKING PURPOSE?2 FOR PARAMETERS TESTED. XXX Date & a" 6 'Ronald J. Saari Laborato y Director LT = Less Than LAPUCK LABORATORIES,INC. ENVIRONMENTAL TESTING WASTE WATER DISCHARGE 50 Hunt Street TESTING Watertown, MA 02172 FOOD ANALYSIS (617)923-0300 CHEMICAL ANALYSIS FAX(617)923-0301 FORENSIC TESTING REPORT LAB NO. 56525-1 October 18, 1996 Mr. Ron Saari ENVIROTECH LABORATORIES, INC. Sample Received: 10/09/96 449 Route 130 Client I.D.: Desmond Well Drilling Sandwich, MA 02563 Sample I.D.: Lot#3 Village Lane Test Results: Volatile Organics-ppb(ug/L) Method#524.2 Benzene ND 1,2-Dichloropropane ND Bromobenzene ND 1,3-Dichloropropane ND Bromochloromethane ND 2,2-Dichloropropane ND Bromodichloromethane ND 1,1-Dichloropropene ND Bromoform ND Cis-1,3-Dichloropropene ND Bromomethane ND Trans-1,3-Dichloropropene ND N-Butyl Benzene ND Ethylbenzene ND Sec-Butyl Benzene ND Hexachlorobutadiene ND Tert-Butyl Benzene ND Isopropylbenzene ND Carbon Tetrachloride ND P-Isopropyltoluene ND Chlorobenzene ND Methyl Chloride ND Chloroethane ND Naphthalene ND Chloroform ND N-Propylbenzene ND Chloromethane ND Styrene ND 2-Chlorotoluene ND 1,1,1,2-Tetrachloroethane ND 4-Chlorotoluene ND 1,1,2,2-Tetrach loroethane ND 1,2-Dibromo-3-Chloropropane ND Tetrachloroethene ND Dibromomethane ND Toluene ND 1,2-Dichlorobenzene ND 1,2,3-Trichlorobenzene ND 1,3-Dichlorobenzene ND 1,2,4-Trichlorobenzene ND 1,4-Dichlorobenzene ND 1,1,1-Trichloroethane ND Dibromochloromethane ND 1,1,2-Trichloroethane ND 1,2-Dibromoethane (EDB) ND Trichlorofluoromethane ND Dichlorodifluoromethane ND Trichloroethane ND 1,1-Dichloroethane ND 1,2,3-Trichloropropane ND 1,2-Dichloroethane(EDC) ND 1,2,4-Trimethylbenzene ND 1,1-Dichloroethelene ND I,3,5-Trimethylbenzene ND Cis-1,2-Dichloroethylene ND Vinyl Chloride ND Trans-1,2-Dichloroethylene ND Total Xylene ND N.D. =Not Detected Analysis Date: 10/16/96 Method Detection Limit =0.5 ug/L Recoveries of Surro atg e-% 1,2-Dichlorobenzene-d4 90 P-Bromofluorobenzene 80 Testing &.C'onsnlfing Services for over 30 Years . a es Fontenarosa, Lab Manager This report is rendered upon the condition that it is not to be reproduced wholly or in part for ad sing or other purposes over our signature or in connection with our name without special permission in writing.Total liability is united to the invoiced amount.The results listed refer only to tested samples and/or applicable parameters. No. * Fee THE COMMONWEALTH OF MASSACHUSETTS - PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYtcation or Digo ar *pztem Construction Permit Application is hereby made for a Permit to struct( )or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. -��� 1/��? /L1r ����Gg� Ow,lnter's Name,Address and Tel.No. $9 2,/-Z1�� Assessor's Map/Parcel /J4�` e-, �J Zz � �` � Oyl t� lv/S Installer's Name,Address,and Tel.No. /" / Des' ner's Name,Address and Tel.No.�a kj3—1f77S �,/.'cam cldj y� 5'P Ir � 7�?G CTa Ar 5YY BZS-70'- 4 Type of Building: Dwelling No.of Bedrooms Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 00 /04X— 40 ZO�V gallons per day. Calculated daily flow Jn' gallons. Plan Date 7—1/-9l Number of sheets Revision Date Title .5/fe 2�jt4 Afle-A_--�,I-s d Lei( C',o Description of Soil 40— v 1 07 2% 74' ®y% 6 S' _ Za %,�q/ 1 ; 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 Codde and of to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Signe Date Application Approved by J Date Application Disapproved for the following reaso Permit No. Date Issued � ,*"7No.. - �' ,;�-�-=r���. Fee THE COMMONWEALTH OF MASSACHUSETTS j -- PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS i ZippYication for �Digpogal *pgtem Congtruction j3ermit Application is hereby made for a Permit to onstruct(X)or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No.L O I�' V A6 L Owner's Name,Address and Tel.No.tj6, Q ,N1FiiCvG/!S 1g�G Co Assessor's Map/Parcel ,,y� ,= G 1-7 �7 b OwwWle,,;,-n7o Gf Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 73` 77,S Type of Building: Dwelling No.of Bedrooms .3 Garbage Grinder Other Type of Building �No.of Persons Showers(. - ) Cafeteria( ) Other-fixtures Design Fi w,���' B��a� gallons per day. Calculated daily flow 33 y gallons. Plan Date Number of sheets Revision Date Title 57re SC-W,05;CE' Aee, AleA_. ULASS e4A6 Co Description of Soil 10' Z y AM Y L,0,401 Z` -S74' LO,407�ff�Sef'/0 i!!o�l 1Z0/6 8 Nature of Repairs or Alterations(Answer when applicable) f Date last inspected, j ei 1 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 of ta-place the system in operation until a Certifi- cate of Compliance has been issued by this Board of /I Signe Date C 'C c d v Application Approved by _ Date ge Application Disapproved for the following reaso6L4_ f t Permit No. Date Issued s THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed y t )or repaired/replaced( )on by Installer Za rr n/,'r A /cam _- at /—o/- � w, ,74i�5 ��h �, pas been constructed in accordance with the provisions of Titre-5 I and the for Disposal System Construc ' AlPermit No. --dated� ^ Date Inspector 'iHE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYS- TEM WILL FUNCTION SATISFACTORY. —— --------------------------------- No. Fee _9 -- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE,MASSACHUSETTS 33i5po0al *pgtem Congtruction permit Permission is hereby granted to G ��'` l i ` G_ ' l to construct( repair( . )an On-site Sewage System located at No.# + �i 'I /7Al�G✓`i' ��/ li Sueet and as described in the above Application for Disposal System Construction Permit. No. Date / The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special e nditions All construction muse completed within three years of the date below. Y Date: / Approved by Board of Health/ Fee ` BOARD OF HEALTH TOWN OF BARNSTABLE ApplicationArVelt Con5truct ion Permit Application is hereby made fg�a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: ------------�/ �-� - ------------f��'--------------- Location — Addles Assessors Assessors Map and Parcel ---_____1&4/ _____-__ ---------------/' x-------S-fi---- -_____-----------------_---------- /f Owner Address ----------C�-' - J '-. •ram--r_`' ---- -------------------------------- ----------------------- Installer Driller Address Type of Building Dwellingyrn � -------------i7 Other - Type of Building ------------------ No. of Persons---------------------------------------------------- ---------- Capacity - ----Type of Well--------- ------------------------------ P Y---------------------------------- ----------------------- Purposeof 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 C plia as been i ued by the Board of Health. Signed------ r�--------- - - -- � � f B _� - - --- --- -— --- - `- �� APPlication Approveddate o— Y-- Application Disapproved for the following reasons:------------------------------------------------------------------------- ----------- -- ------------ - --- --- - - ---- ----- --------------------------------- ------------ ----------------- date PermitNo. -- -� --------------- Issued----------------------------------------------------------------------------- — date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TOE RTIFY, That the Individual Well Constructed ( y), Altered ( ), or Repaired ( ) bY------------- --------�% y==`-a • c -- -- -- / taller------ -------------------------------------------------------------------------------- at- / �4----- -0e 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.T -- -_Dated-------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- --- —-—-- —------------- -- Inspector---------------------------------------------------------------------------- 'e � � � d� .! •d - .� � � r^ r d•. . ter.,. : Fee �- i� BOARD OF HEALTH TOWN OF BARNSTABLE Application,for Vell Coott"rust ion Permit Application is hereby made for a permit to Construct ( ), Alter (Q ), or Repair ( )an individual Well at: _ __,: . ------------ - --�c-��� -- s-. = - -� ------=-------&--- -- -------A�. Location — Address Assessors Map and Parcel -. /- � s��/ --�G=—- - c�KQ -- - - ------------------- Ow/ner / Address — u IrYI---------! - -_ 'L/!"7 --- � _ — Lt�-✓! J' ------------------------------------ ------------------------------------------- Installer — Driller Address Type of Building h Dwelling '�1 ----------------ram Other - Type of Building --------------- No. of Persons-------------------------------------------------- Typeof Well= -—- —-- -------------------------------------- Capacity---------------------------------------------- Purposeof 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 C plia as been i ued by the Board of Health. Signed---- --- - - ------- — -- -- ©-��� ate Application Approved By ' date Application Disapproved for the following reasons:---------------------------------------------------------------------------------------- - — -- -——-- -- —------------------------------------------------------------------------------------------------------------ (� date Permit No. -- -7�'=��- ---------------- Issued-------------------------------------------- - — - - -- ---- --------------- date it BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( 4), Altered ( ), or Repaired ( ) bY---------- - ----------------------------------------------------------------------- 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.W 1b Dated-----------------------__ i THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. " DATE- ---- — —---- — - — — -- Inspector--------------------------------------------------------------------------- ��.�.�.,i.....,bpi.�.+.1�.m.�..w...«!ins�dri.,nos.:wa.*�P.e.ass...:,�A�§,G,.�»�1+ .�. •�+K4�Y�M„w�i .w!�4"��......e?+a„K,�i.KfY�4�l.r�.�fit.N +M•�M�+n�M.,�a€� j BOARD OF HEALTH TOWN OF BARNSTABLE Yell Congtruct ion permit No.W-�£Q` Feel-3-Is _--- Permission is hereby granted---—-----—= ------------------------ to Construct Alter ( ), or Repair ( .) an Individual Well at: /1e� No. --— - �' 3_�-�//�CD. ---Lo --------------- �--4--- `''�---------------- 1 street as shown on the application for a Well Construction Permit No. -- - -- ----- - Dated--- �X�' C��? ------ ------ ------------- t , ' -------------------- ----------------------------------------... -- Board of Health DATE 3• Department of'Environmental Management/Division of Water �Resources ;y WELL COMPLETION REPORT �... r WELL LOCATIQ.N' < GEOGRAPHIC DESCRIPTION Address l4 V l 6.6 14 4G 44 4 A lV E' N S E W, of (reef/ (cinlel City/Town- Well owners G ,�j�de/ (road) Y0a .5-a Address � N S E W of ri/ "1N /�,L�t' A/f (oil.in tenths) (circle) W �/ intersect. w/ Board of Health permit obtained: yest� no❑ (road) WELL USE WELL DATA. Domestic D-Public❑ Industrial Q Total well depth ft. Monitoring❑ Other Depth to bedrock ft. r/fir Water-bearing rock/unconsolidated material: Method drilled 77 Date drilled /e'�`��- Uescriptfon ' Water-bearing zones: i CASING 11 From To Type �..�,..fi 90 RUC° 2) From To Length-f?',, It. Dia(.I.D.► in. 3) From To Length into bedrock ft. Gravel pack well: dia. Protective well seal: Screen: dia. Grout-[] Other Slott' length` from"V_ to STATIC WATER LEVEL(all wells) Static water level below land surface_ft. Date WELL TEST(production wells) Drawdown-- .ft. altor pumping 3 hr. min.at /S gpm 'f How measure d'10UA -Recovery "fit`` �ater_'��frr: min. 0 LOG of FORMATIONS COMMENTS Materials From To r/NoF S4116 0 .;?d p p . rsnr Al Ph Driller )t /NE 20 5C1 Firm ' 1_ i641 m 11J6_-zL le 1,e IA k F- A'I-e— .-0 S5 Address •� '+ 1f C, DK. fdcuAl ��ieGANs /r/ l0'�5� 51. City/Town �r Supervi ing Driller Reg.# Si nature of supervisin"`re istered well driller Plesse prier firmly BOARD OF HEALTH COPY SOIL EVALUATOR& PERCOLATION TEST FORMS pp1HE Tp� Page 1 of 4, Town of Barnstable BA MASS. Department of Health, Safety, and Environmental Services E&639. 0� Public Health Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6265 FAX: 508-775-3344 Soil Suitability Assessment for Sewage Disposal ASrESSORS MAP K AGI PARCEL A NO. I'? `/�' Date: 2>' Performed By: UO� �"' /. � Date: C Witnessed By: Location Address Owner's Name A,� 7 4 /.IGG., 6t� for- 1090e elevlcl I Lot#: 3 Address,a;/� d Y -5 d S� � r� ?a • /cr -1 r Assessor's Map/Parcel: S� Telephone# NEW CONSTRUCTION K REPAIR Office Review Published Soil Survey Available: No Yes Year Published 837 Publication Scale Soil map unit G'c Drainage Class it",DPWOZ) Soil Limitations D14/lye—h Surficial Geological Report Available: No ✓ Yes Year Published Publication Scale Geologic Material(Map Unit) Landform A/ RGP/N Flood Insurance Rate Map: Above 500 year flood boundary No Yes Within 500 year boundary No Yes Within 100 year flood boundary No _X_ Yes Wetland Area: National Wetland Inventory Map(map unit) Wetlands Conservancy Program Map(map unit) Current Water Resource Conditions(USGS): Month Range: Above Normal Normal Below Normal X Other References Reviewed: N47C- �4 t, Z S TO J%r&1Wd7V1r6r1e-S-6 Ci DEP APPROVED FORM-12/07/95 FORM 11 - SOIL EIVALUATOR FOR f I Page Location Address or Lot No. On-site Review °L Date: 8" "�6 Time: 12400 Weather .S(INNV Deep Hole Number Location (identify on site plan) Slope (%1 ¢•�/ Surface Stones Land Use ✓/3CNT... Vegetation .. .. ,:.:. .. Landform w�isJ Position on landscape (sketch on the back) Distances from: , �0 , feet Open Water Body �� D feet Drainage way 1 ��.. Possible Wet Area 35b' feet Property Line feet Drinking Water Well /50 . feet Other .. ...,..:.. . DEEP OBSERVATION HOLE LOG' Other Soil Depth from soil Horizon Soil a Munsesoil lll) Mottling (Structure,Stones,G Gravel) Consistency, °� Surface (Inches) l0 —�2 •, � GdAm r Firm Z 57" 18 5'N' 5 7„- /32„ c Inc-6, `v low014 r-IA12�- /� �QG��N C DepthtoBedrock: Parent Material(geologic) Weeping from Pit Face: De th to Groundwater: Standing Water in the Hole: ,f/ �/`L raj S�UJ� 2,5 �_ P� /��//✓�� Uv &'7 J MEstimated Seasonal High Ground Water: �� FAG 7 2- DEP APPROVED FORM-12/07/95 S Tb //2o 04th La.T No, �T 6N 76 { FORM l t - SOIL EVALUATOR FORA'[ Page 3 of 4. Location Address or Lot No. Determinah'oiii�tor Seasonal High Water Table Method Used: U P De th observed standing in observation hole........ inches ❑ Depth weeping from side of observation hole. inches ❑ Depth to soil mottles . . inches ❑ Ground water adjustment ................... feet Index Well Number .................. Reading Date .................. Index well level ... Adjustment factor ..... .......... Adjusted ground water level ...J/.................. . . gi95�D � 19ATV,S7- T-/ '11M �J�-2S`Z 7r-sT G� = A32, S� Depth of Naturally Occurring Pervious Material /,,g -d 060711 7-6 Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? YE S If not, what is the depth of naturally occurring pervious material? Certification I certify that on (date) I have passed the soil evaluator examination approved by the De artment 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 DEP APPROVED FORM•12/07/95 FORM 12 - PERCOLATION TEST Page 4 of 4 Location Address or Lot No. � G �S It COMMONWEALTH OF M ASSACHUSETTS Massachusetts Percolation Test* Date: .. . 8/0/ Time:. /2 .¢—. 3c) pP7 Observation Hole # Depth of Perc Start Pre-soak /2;4Z,' 30 End Pre-soak �uoZE , �av�-tea 24 6-"4'L Z�i2avGFf Time at 12" /,V -7 I-ti Jr,�:s-f s a Time at 9" Time at 6" Time (9"-6") Rate Min./Inch G Zvi°�lo Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed Site Failed ❑ .....................................................................................................................................__..._......-......._ Performed By: Witnessed By: Comments: :.::::,. :::::...:.:...::.::,::::..:.::.... ::..:_.,.. .:::..._.:...:...::_..:..w:. :.:.....:...,.::.µ..M.M _��.:.�:::..._..__,.....,.,.. DEP APPROVED FORM-12/07/9S �s • _ N 1 TOWN OF BARNSTABLE 0014�- a . C -aATION &� 4 � Par e VILLAGE Gt1-G J� /SQ✓ice ASSESSOR'S MAP&LOT/n INSTALLER'S NAME&PHONE NO. /✓r4�`r1 SEPTIC TANK CAPACITY cS '� LEACHING FACILITY: (type) ^�/0. C (size) NO.OF BEDROOMS % // BUILDER OR OWNER � k C �!G /���` cc PERMITDATE: !D ZS yG COMPLIANCE DATE: !T�` Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility /'�' Feet Private Water Supply Well and Leaching Facility (If any wells exist r on site or within 200 feet of leaching facility) �U _ Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facili / ( 17f Feet Furnished by ,,� o �a ! o �� a� °q 9 �� �� _ G"'� ��_ i1 �'llas� I , 1_. �li�941 19 T/ON RESULTS 7-1 TrJ �liNd�i'T70rt/ EG. = ,SEW9G E sys7�N/ P2oFi�E D 3fINoY � o ,Si9niAy 'I /2" /Z Cows, Co VFR 9 "/i✓, 6 - GDs1MY L0�9My p - //VV, 27,Po nCa�1,4,We 4Q P✓.c. -SG.S! -�D P ti c. PiOF40 .�I�C. �iL F/P 3Z E�.33.597' /Oyu,�//6 8'Y/"Vi /a LEIiEL �t" /NVi //V►/,// /Nv ZB,/p eCN9S (%"3 J.%:.f l��'1 / M2r _, o P Tes/v 5Tf (3) h'cr�E�Qb G, TONE AvZ , �// MEO/UM AL USE /SDO G• 'SE.�TiG f TANlt' W/Th/ s ✓E17" `f'/D I 12 7. G/NP G F/wE C,P..�JSh'�.!> �"TGN/ SANS SAN,� /NLE�OtITG ET TEES PEiC T/TL E /f/� 4.3 sT4/✓E ' /OY�/8/6 wyeIS/G 2/.S ,BOTTOM G� TEST 6/Z4UNd 1t//lTE.0 NOT 41/CO�// 7 ---., D 30 J 8 7�5 TESTS' ,oE/ZFG�M�D ON 114/G. 8� /9 9 G Wo95N�D S1DNF 2'7'' ( f3A�P�✓, B. D, l/V Z..D BVIA11 (3� S0o G. G�.9CN MBElt'S , /D' ,9✓fi7-p2: LAMP/- Z.�.. 8'G,,I = So/L,S EY,gLUgTO.P � v; .hOYLE • ';^ - 2 /�!/ � Cis; PEi2C, 7Z-T 7 0" 1�E,v T/,! ��4AI �//F.,`I/ OF Gr/ YSTEM �,eo�sEA LEA tCNiwa Si'_cyV q G'E h�S/GN G9GC(/L 9 T/ONS' � � 47- //O Gf'.D o BaRM �' 3 'co'OFMS. = 330 0.0�. -- _33d LoT NO. -¢ . .13) �1CN/�vG GfV,9MBEi2,� W/Z'7'dF Jt/A5r1�4 ST�S�i/� 47- 2, l/S� PlPEG9Sr ,5'Oo G. Z 3. piPO V/SioN.' Bo TTo,y= /o x 3a = 300 SrDES=(20 ao,,) x 2 = /�O . ,F, Q b ' n2'BD I o </PPL/fA/V7.' /V/C�t lzoo9z By1"11VG Co . �` '�~y�.Q�VE ', 391'� ; �3> 708 •-TF. 27o COM�1vN/C.4TiONs vVAy (� ia' V f1�SE�3-OAS /y/IP ; ND, /SS lorWwc, 3 T G DT .3_ �'tV,97 f , 01 , co CNN ' 3 , • �� ', ,; -�i,�j�;�87.g2. ', \` LOCUS/�i9� S�A[E: /"a 2000 ' , I 9 �3 Sri ti `^�� S/TE qAI� 6 �EW4C-E PL,4AI Eo P Wp Lt. ti �o I SNC`(//NG PlP4l�O�Eh 3 BEJ.eOGM LOT No, Z ^� g�'L� 1>y✓EGL/!t/G ArtfQ �s-A1X9E YSTFNj ov\ OF Mq .lownt s�gcti tK L D T /L/4, 3 Y/L G AGE L•9 NE I a P. � DOYLE,III No.33589 WILLIAM LiEKRM11M GRAPN/G slfwl-e //✓ / �T O E No.23971 �q GISTER D Sd /00 Po' BOx 59S h/, ,4L MOUTh/ OZS7¢ L=t�9LU�9T/d/V ,eESULTS ToLit/D.9T70A/ L=L. _ SE h/AG E �Ys7�,A/ 7- 1 r, %t/. 6.�'A 1�E /�!/i✓, O� T GOf�F /2 L DAM �Z L-14 9M1 G"MAX, Corvc. 9""/N. 6 LD9MY LOAM�y CO VET' /ST. ,f�' /'✓ G St/MP RISER cL+V�E/Z. 3G"M9,Y .D /►1�9x. 9 MAN, Sqn/� 33.5 B SANLD 27.Pe " 2 cov e nf�" srcv✓E 3Z„ /6yx 6 B y �JdI E�. 57` /a Sc// 40 A✓.c. .SG,S% .ZD P.V C. P/�E ° sGs! �o P Y.c. Fir. Ff /NV, /N✓, ID LEVEL %�." /NVi /N!/, o o ° /0 ,.e ,,i.;r.�;t• EG.ZJe� 29.OL 28,8G 28.6/ 28.17 28. 6 a o 00 i - �", ( {1 S'.J•.�:.f /!!�i - 3 s/�z v C.S O G7 O �._ a �4Y /�Y v T v STDNE (3) 4oVzc-£d,5,Lf 9chl cN/lr7B �TO�✓E 2 �F NJED/UM ' v o o e p; Ec, 2S•80 e o °o `o Tb TD 2.7v ./ •r 2.7s USF /SOO .!i•J�Ef�T/G TAN/' W/Tiy �" �3�h O� sTLINE d 5711+/ SANK SA/ z!> /.vcE�arJTG ET TEES PER T/Tz F /✓F 4. �oNE 3' �4 • /Z•3 " IoYR�B/` /DYR�B/G Lam, 21,5- 7 l 72�Sr f40,7US,7� G epl/A 6 U/47��. /32 Z-t,25./ 6.000Nd/J//ITE.E NOT VCOC//V 7�,f'E17 --- — 30' TENS h//ISN� 576NC 2'7,, ! �A�PJ►/, B. D, h� �D 8A�/�Y �-CAvfITo2: LAiyP/ (3j SOO G. S LEAGN; MBERS '" /0' 8,�., SO/LD EV.gLU.4TD,2 �/, daYLE /. •- ,• TL:ST fI'T 60" �E�T.�! pzAN 'V/5AV OF 4,r;'1C1/ <5vsTEM peo�nsEA ' 1 G DE5/6W r-l-OjV 47- //O 6,�D PEie B1�RM, X 3 "/PM.S. = 33e GPP-. - /8/... ,33d 6'P.D _ D.7¢ G�SF/1) 9% = 546 S,�% �AG//i�✓G ,�U/.eE1J. L o T w0. •¢ Z, 61.5c : e13 PR€G9ST 500 G, 6E5ICt///►� C1VK1V6EiQS a✓/Z'�„�-{1/,gSrf�O �s7aA/Z 17- f' ' 47 3• �i�a Vis�ow.• Bo TToM= /� x 30 = 300 �f ,�� I tx� . 5/DES=�Zo�Go> A, Z z /GD `SF �`D � 1`1 ZZ780 C?�� ' TOTi¢L ,�.P1JV/S/aN = 300 0ry APPL/CA�✓T N/C.c'ULAS 8v/�D/NG Co . ' , /\� �_bei�E 39.', 1' ; 43a 748 27o G4M�pUN/C�9T/6,V.s' W19y �wR 01 < a I ,Q Q map •, �. �_ , � , o•� ' / lo y ' -�- a ¢ , 3 `OC11S PLAN •�h' OF O W,1=1_L//t//O AA16 .SEl Wa E LDT /Vo, Z �ZN Mgss9c1 ' - oz JoHN L D T /ti/0, 3 Y14 4 4(56 L 4/VE P. �`' tNOF DOYLE,m C3.9�'iU,S74Z�' /'MA• ' No.33589 _ WILUAM SCfIG6 / So' DULY //-, ,✓ 1) 99G VER'PEG � �qN ST gyp ems+ UEKRMAN GRAPH/C SCALE /�✓ FT SUR hD YL E 4.5SOC/A7 r5 P.O. SOX 69S w: AGMD[/Th/ OZ -7¢