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HomeMy WebLinkAbout0061 INDIAN POND POINT - Health 61 INDIAN POND POINT, MARSTONS MILLS _ u f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Property Address �ht1s Owner Owner's Name information is required for every page. Cityrrown State Zip Code Date of Inspection -4 Inspection results must be submitted on this form. Inspection forms may no be alteredcn ante way. - pl Important When filling out A. General Information forms on the computer,use --1 1. Inspector: only the tab key y, to move your 17011 I I'll 140 cursor-do not Name of Inspector use the return key. Company Name /70 C1.0VZ:RF/'64P WAX Company Address ° City/Town State Zip Code Sig g- ;�3-l9.j�i�' �'z 2loy6 Telephone Number License Number B. Certification 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: [el/Passes ❑; Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority In a or's Signature Date system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. 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. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments M Property Address Q � �/�9So�/ Owner Owners Name information is Q42��T��L D2 l�C� �Q s 2 — 9 required for �/ every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: 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: 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. ❑ 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: ❑ 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 t5insp.doc•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 4,I,,/ /A/elfAl / A46 Ao//vT Property Address Owner Owner' Name ����`information is required for /�-X Q # qz every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ 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: 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. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 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. t5insp.doc-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 15 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Property Add/ res Owner Owner's Name information is /o _ 2 _6, required for N �7` every page: City/Town State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ 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: "*This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent 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: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ r Static liquid level in the distribution box above outlet invert due to an overloaded VY or clogged SAS or cesspool ❑ rvt Liquid depth in cesspool is less than 6"below invert or available volume is less LIN than day flow ❑ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. t5insp.doc-08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 6/ 11LAb/.,oW ��AIA /ter Property Address , o/A5-0, / Owner Owner's Name information is d QN �1 Z � `Q _ Z _d q required for U - every page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems(cont.): Yes No ❑ ( Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ �Q Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ 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 fecal coliform bacteria indicates absent 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 and chain of custody must be attached to this form.] ❑ The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ 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 the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems,you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No P//R ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)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. t5insp.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments to 111/011J AI 140AU 106,i AI-T Property Address , e os.Si Owner Owner's Name information is required for Q���ST��L ��y�1 �2 4 �=LS' �D _ 2- - ori,2 U every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ Were any of the system components pumped out in the previous two weeks? Iq ❑ Has the system received normal flows in the previous two week period? ❑ 'WrHave large volumes of water been introduced to the system recently or as part of 11 this inspection? ❑ Were as built plans of the system obtained and examined?(If they were not available note as N/A) _ ❑ Was the facility or dwelling inspected for signs of sewage back up? ❑ Was the site inspected for signs of break out? ❑ Were all system components, excluding the SAS, located on site? ❑ 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? ❑ 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 4 T been determined based on: 5V- 7C- ❑ Existing information. For example, a plan at the Board of Health. ❑ 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(5)) t5insp.doc-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 6/ /N(b/yN /001/,6 . 4o 1A)7_ Property Address c,1AS6A1 Owner Owner's Name information is required for every page. Cityrrown State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms(design): 2 Number of bedrooms(actual): —�— DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): z 2,0 Number of current residents: /'O4 L//°v 5 L Does residence have a garbage grinder? ❑ Yes r'Q' No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes No Laundry system inspected? ❑ Yes ( No Seasonal use? ❑ Yes No Water meter readings, if available(last 2 years usage(gpd)): Sump pump? ❑ Yes [ �N/o Last date of occupancy: TL! Date _ 2_O Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): t5insp.doc-=06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 15 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M yv0 Property Address J'45D A) Owner Owner's Name information is / � required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: /VdAl Pa,4C114_r6p Ila 2006 Was system pumped as part of the inspection? ❑ Yes X No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: L i Septic tan distribution bo soil absorption system I-e4clIiy6 P!T WlST6AIL5 ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no)(if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach 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): Approximate age of all components, date installed(if known)and source of information: Were sewage odors detected when arriving at the site? ❑ Yes I No t5insp.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Property Address Owner Owner's Name information is �� Si G� A14 0210/�L� 1 D _ 2- _ ,o y required for �� every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑cast iron 40 PVC ❑other(explain): s Distance from private water supply well or suction line: D� fi feet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): /� DQ/7 Gil-o A) Depth below grade: feet Material of construction: concrete ❑metal ❑fiberglass ❑ polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ YesA No -------------=------------------------------------------------------------------------------------------------------------ Dimensions: 1 ` X .S Sludge depth: fr Distance from top of sludge to bottom of outlet tee or baffle 3 ,/ Scum thickness / Distance from top of scum to top of outlet tee or baffle r' Distance from bottom of scum to bottom of outlet tee or baffle f3 fr How were dimensions determined? t5insp.doc•0a106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments r Property Address Owner Owner's Name information is �L d 2- -D required for f every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 7-f&,< Je)gS Alcrr 445�czd 4y4v o�xr e, i✓D 40 GHi 4`< /T .fAlWaW-1- .,fr 4-r TV& / L E T /Z 5"Z M*A,'/Y'O L 6- Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑concrete ❑metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments(on pumping recommendations, inlet and outlet tee or baffle condition;structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): t5insp.doc•08/06 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 10 of 15 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments M She yr< �/ /• _ �/'V 7��I./i// �®//- � ' Property Address J s�,A/ Owner Owne s Name information is � ����L �D required for `J / every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Distribution Box(if present must be opened) (locate on site plan): /t/pN; Pie ids EAJT Depth of liquid level above outlet invert 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.): Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No t5insp.doc•0aft Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Property Address '.9ser/✓ Owner . Owner's Name information is required for ARA J5T ,6 /7/,4 024/, AO Z D every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: 4 leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): L v C4 r&,o .4 G ` '6 L- � f�i r w�2 o f Sr. lc- i4,/Lo J� i�/T?�� � /?� ill 5��. �o w��%�i� 9 ry Fi�✓ �'�e, t5insp.doc•06/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments Property Address , Owner Owner's Name information is Aq,r, A -15- required for /vim �_� Q 9 every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Cesspools (cesspool must be pumped as part of inspection)(locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �M 6/ /A!h«A/ 1100.4.6 100/AI T Property Address .✓�s0/c/ �oSS/ Owner Owner's Name information is �ARAf�'1_1419L f� • Z 6 /� D� required for every page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) Sketch Of Sewage Disposal System: Provide a view 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.Check one of the boxes below: [(hand-sketch in the area below ❑ drawing attached separately jFp p L yo tI3 /FAIN 110 v5t5 i000 6 s cPT/G AZ. = ss, 3 O 3 ,61 = 3 8. &9C4Y c A P P/T c 03 8 3 a t5ins•09108 Trtle 5 Official Inspection Form:Subsurtace Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments //vJI,1�1-iU AA,0 /�PIAIT Property Address IV 14ed Owner Owner's Name information is required for every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: QKlCheck Slope 2 `7,o SAD P�� �b 94810� Od T- Surface water Al2 44PS7_ O'8SERf/E4 IS /)ly Check cellar ❑ Shallow wells Estimated depth to ground water: feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: 64-&V1971 a IV D�-' G 2D yA✓4 Sfl S ?6 o G.UJ- Ek • P6R C&/ZAC6fTy M/LL6 GRo(JN.Dft)*T&Rz in ,I P = o s'��2�70,✓ 6' ���� 7� Two = �t-f ��- t5insp.doc.06/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 -` ' Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Property Address 114sON IleosS�' Owner Owner's Name information is required for AAP/V� every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view 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.Check one of the boxes below: [(hand-sketch in the area below ❑ drawing attached separately po 0 L. f/o as MAIN HD 05,6 s EPr/G TA1✓K 2. Q �y /7! � �O• p a i O 3 EAC-Y C AR P/T gz = 5�-/� 0 GARS G C3 = C 03 �-3. $ ` � 3 t5ins-090; Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 m SENDER: I also wish to receive the 'a ■Complete items 1 andfor 2 for additional services. ---Z 203 499 130 a`a ■Complete items 3,4a,and 4b. following services(for an o ■Print your name and address on the reverse of this form so that we can return this extra fee): US Postal Service card to you. m Receipt for Certified Mail > ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Addr No Insurance Coverage Provided. permit. 9 m ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2.❑ Restricted Delivery N Do not use for Intemational Mail See reverse S ■The Return Receipt will show to whom the article was delivered and the date n Sent to J1J�' o delivered. Consult postmaster for fee. �[ v 3.Article Addressed to: 4a.Article Number rest umber « /2 ,2 n 97 /�. r�e�°-r �� Z Z©3CL y9 pQyyOffi�stat,`BZ Cod a o � �� 4b.Service Type �a 7- 7- / ❑ Registered Certified o go $ to 61 /17 a� � ❑ Express Mail ❑ Insured 5 W / q Certified Fee C G� l?/J ���,� � 74 02v� ❑ Return Receipt for Merchandise ❑ COD o 7.Date of D 've w Special Delivery Fee /� c 5.Received By: (Print Name) 8.Addressee's Address(Of my if requested Restricted Delivery Fee I and fee is paid) 10 rn Return Receipt Showing to Whom&Date Delivered 6.Sig lure:(Addressee orAgent) n Retum�m&emseesAddrms Wh Xylyll Q Date,& . $ - —PS Fo 3811, December 1994 102595-97-B-orr9 Domestic Return Receipt TOTA - M Postmark or Date a NOTICE TO ABATE VIOLATIONS OF THE TOWN OF BARNSTABLE REGULATION REGARDING FUEL AND CHEMICAL STORAGE SYSTEMS Our records indicate that you have an old underground fuel oil tank located at 1123 Race Lane, Marstons Mills, MA. This tank is listed on Parcel 083 on Assessor's Map 013-001 and registred as tank tag #108. This tank is located in a critical zone of contribution to our public drinking supply wells and is 20 years old or older. You must have your underground tank removed within 30 days from the receipt of this order letter. For the removal of the tank you must first obtain a removal permit from the Fire Department. I have enclosed tank removal information for you. Upon removal of your tank, please return valve tag # 108 to the Health Department. You may request a hearing before the Board of Health if written petition requesting same is received within seven (7) days of receipt of this notice. Sincerely yours, omas A. McKean Director of Public Health Enclosure: Tank Removal Information 11 11998 03*36PM CENT OST FIREDEPT 5087902385 P.02 j iwaKe appucauon to iocai rtre uepartmenL (� C Fire Department retains original application and issues dtq*cate as Permit. Z 013,0 0/ APPLICATION and PE' RMIT FQe: for storage tank remcval and transportation to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 148.Section 38A, 527 CMR 9.00, application is hereby ntde by: Tank Owner Name(please print) Ethyl Aerchenroder X ihN6 20�Pr91dfAssn Address 61 Indian Pond Point, Marstons_ Mills, MA Rivet QRy Smte Zip • • 1 • • • , Enviro-Safe Corp. Company Name Co.or lndividuai Enviro-Safe Corn. Print Pent Address P .O. 304, Sagamore,Beach, MA Address PON nn! Signa asp yi irr cermit) Signature(if applying`tr=ennit) AZ !r co�lawnr'*rzJD LSe t,cL 6t6t� TIFCI Cartineci Other = IFCI Certified Other Tank Location 61 Indian Pond Point, Marstons Mills, MA Stoat address G, Tank Capacity(gallcrs: 1,000 Substance Last Store_ #2 Fuel Oil Tank Dimensions(diarreEE.-x length) Remarks: LOV i Firm transporting waste Enviro—Safe Carp. State Llc.# MA-329 Hazardous waste mzrc�= E.P.A. Approved tank disposal;ard Turner Salvage Tank yard# 002 Type of inert gas Tank yard address CorneXc I a l Street, Lynn- MA City or Town Centerville FDtD 01920 permit# Date of issue November -10, 1998 Date of expiration November 24, 1998 Dig safe approval nuntw.. 984102501 Dig Safe aflinree Tel. Number-800-32.2-4844 Signature/Title of 0f6c­_ ;ranting permit i� JPIVC) After removal(s)send F. ?-29OR signed by Local Fire Dept.to UST Regulatory Complizax Unit, One Ashburton Place, Room 1310, Boston, MA 4708-1618. FP-292(revised 9/961 TOTAL P.02 i ,�� �e.M1� i � � � �c�� �- -� �- ,� �- t �. �;►,��� f � �a �'"' o e t .�a :� "'M`s Esther Herhenroeder Now DSECI) �1 f, Fobx 97` Gpp USA 32 w c,�.� �/r�:�-�Q► LIf,,,,,I,f,FI, aff»,rOffdv i{ ?ft if {{ ?ifi ?ifi {f.f i{ i {i {i { -{;{{ f{fiii �r �f �i ii ii:i Fi E� :Ii �; i[ ii •i it ?i iii7i� � i 2a 203 499 130 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sent to otNu x`97 Post Offi te,&ZIP Cod h � � 7T ge $ Certified Fee Special Delivery Fee Restricted Delivery Fee LO Return Receipt Showing to Whom&Date Delivered Retum Receipt Showing to Whom, Data,&Addressee's Address 0 TOTAL Postage&Fees $ M Postmark or Date 2 a 1 Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier(no extra charge). m 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the Q) return address of the article,date,detach,and retain the receipt,and mail the article. cc LO 3. If you want a return receipt,write the certified mail number and your name and address rn on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a RETURN RECEIPT REQUESTED adjacent to the number. ? Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the O O addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. to 6. Save this receipt and present it if you make an inquiry. 102595-97-B-0145 d i ,. �TMEI ,,Q� Town of Barnstable • Department of Health, Safety, and Environmental Services �a MAS& Public Health Division i6� , p'FDN10'�A P.O. Box 534, Hyannis MA 02601 Office: 508-790-6265 Thomas A McKean,RS,CHO FAX: 508-790-6304 Director of Public Health August 27,1998 Mrs. Herchenroeder Esther P.O.Box 97, 61 Indian Pond Pt. Marstons Mills, MA 02648 NOTICE TO ABATE VIOLATIONS OF THE TOWN OF BARNSTABLE REGULATION REGARDING FUEL AND CHEMICAL STORAGE SYSTEMS Our records indicate that you have an old underground fuel oil tank located at�l 123 Race Lane,] Marstons Mills, MA. This tank is listed on Parcel 083 on Assessor's Map 013 A0-1-and-registred as tank tag #108. This tank is located in a critical zone of contribution to our public drinking supply wells and is 20 years old or older. You must have your underground tank removed within 30 days from the receipt of this order letter. For the removal of the tank you must first obtain a removal permit from the Fire Department. I have enclosed tank removal information for you. Upon removal of your tank, please return valve tag# 108 to the Health Department. You may request a hearing before the Board of Health if written petition requesting same is received within seven (7) days of receipt of this notice. Sincerely yours, omas A. McKean Director of Public Health Enclosure: Tank Removal Information 1 I,. TOWN OF BARNSTABLE LOCATION ' �q� 1e)®ycl _pr_ 61 SEWAGE # S VILLAGE -� ASSESSOR'S MAP & LOT 19100 5 , --ter .INSTALLER'S NAME & PHONE NO.J. P *Sn n SEPTIC TANK CAPACITY LEACHING FACILITY:(type) �� (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER � r -BUILDER OR OWNER CJ� DATE PERMIT ISSUED: / - ! 6 7 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No `/' i � � � m � � /`ram ��� / � ��� r } — = ASSESS T. ''. PARCEL I - THE COMMONWEALTH OF MASSACHUSETTS / - a BOAR® OF HEALTH � ..--.OF..... /�!� f O 13 vo` Appliration for Bhgpoii al Workii Tonstrurtiun Vamit Application is hereby made for a Perm' to Construct ( ) or Repair (k<an Individual Sewage Disposal System at ..... / -lei ...... --------------------------------------------------------------------------------- 9dres or Lodtr No.Adess�� ; ;—,jW Installer Address Type of Building/ s� Size Lot............................Sq. feet N.-� Dwelling— o. of Bedrooms-V................................Expansion Attic ( ) Garbage Grinder ( } Other—T e of Building No. of persons____________________________ Showers — Cafeteria Q' Other fixtures __________________________________ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. IY4 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-----------_-------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water_____-________________-. (i Test Pit No. 2................minutes per inc, Depth of Test Pit.................... Depth to ground water........................ if- .......................................................................................................................... 0 Description of Soil........... x U ----•-••••--•••---•-•---------------•-------••----------------._._._...---------•-------------------•-----•------•----------•-------••-•••-••-----•---------- ....................................... W - --•-- ................................. Z Nature of Repairs or Alterations—Answer when applicable______________ '�.. .____._._._.-.__.________.________________. -•------------------------•-----......-•---•----•-•---------------------•----------......----•-•--•-----•--------------------------------------•-------•------------•--------------------------.....•--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TTL p 5 of the State Sanitary Cod —The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been/- ,I b t eboard4oflth. Signed-•- o. --_-_... -------------•-•----•-----•. ---- -----� ... Date Application Approved By.............. •-. ....... •-D ..----- Date Application Disapproved for the following reasons:.............................................................................................................. ....-•••-•••--••-•••...---•-----•---------•-----...--•-----------•---•••--------------------------------•-----•--•-•--••--•-••--------•-•••--•-•---•-••-•------------------------••--•••-------....----- Date PermitNo.......?.7_.n...&.0•l---------------------- Issued_....................................................... Date No..S.;7 THE COMMONWEALTH OF MASSACHUSETTS . BOARD OF HEALTH ............../11.4�......OF.... -- ---_------------_----- Appliration for Diapoiial Works Tomitrurtion ramit Application is hereby made for a Permit to Construct or Repair 44an Individual Sewage Disposal System at:.— oo, � . . ���� .--• , ........ ..... ...................................................................................... or Lot No. ................................... .................................................................................................. Owler Address 4 -------------------------------- -------------------------------------------------------------------------------------------------- instafler Address Type of Building 0' Size Lot............................Sq. feet U Dwelling—PONOO. of Bedroorns.::W..................................Expansion Attic Garbage Grinder ( ) P4 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria ( ) Otherfixtures ...................................................................................................................................................... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter-_._--__-__----- Depth................ Disposal Trench—NTo- .................... Width..........._........ Total Length___................. Total leaching area..........---------sq. ft. Seepage Pit No_____________________ Diameter........_....__..... Depth below inlet.._................. Total leaching area..................sq. f t. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit._..__.............. Depth to ground water..__........_.._......_. Test Pit No. 2................minutes per in Depth of Test Pit.................... Depth to ground water......_____._...._.._.__ .................... ............................................................................................................................... 0 Description of Soil.............. ------------------------------------------------------------------------------------------------------------------------------------ U .............................................................................................................................................................I.. ........................................ - ------------------------------- ................................................................................................... ............... ................................... U Nature of Repairs or Alterations—Answer when applicable.__-_-__-_-- ------ ­---------------- -------------------------------------------- ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual. Sewage Disposal System in accordance with the provisions of TiTLE 4 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee is ed e board of kealth. Signed. ,!I/S , '% . ....... ���"- .. (, -------------------------- Approved By...... Date Application ........ . ...... ............................. ...... Date Application Disapproved for the following reasons:.............................................................................................................. ......................................................................................................................................................................................................... Date PermitNo......9.-z- ........................ Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Z. ..........0 F.... ...................... Urtifiratp of (foutpliatta !j4;SWS O CERTIFY, That the Individual Sewage Disposal System constructed or Repaired 0'__1 b------ -------------------------------*--------------------------------------*------------------------- at.......i�./..................... r........e*/X.......................................................................... has been installed in accordance with the provisions of TLITIE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit ............ dated--------------------------- -------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD 9F HEALTH lel� 0 F...... ...................... No......................... FEE..�'. Permission is hereby granted "Ale. .................................................................... ajy')Indi id 1 S /1' Fe Disposal S to Constr)acj (--)-fir Repair- yt at No.- 1A4 ............................................................................................... Street as shown on the application for Disposal Works Construction Per Dated.......................................... .................. -------------------*---------- DATE......../-(z- ...................................... Permit Board of H_-7ail FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS TOWN OF BARNSTABLE LOCATIOIOi'+�i Col SEWAGE # 8 UO I VILLAGE_ -fif'Yf ASSESSOR'S MAP & LOT I�d o/ " . INSTALLER'S NAME & PHONE NO.. SEPTIC TANK CAPAC7Y LEACHING FACILITY:(type) r, (sue) Crj�j NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER C BUILDER OR-OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes ; No ii i 9 l-9 �► .47-q r -1'7? Tlo......1 FEim .................... THE COMMONWEALTH OF MASSACHUSETTS _. BOARD OX HEALTH/As OF............. - ----- ",,...''�....... . .. ... G ---" . Appliratiou -fear 431-gpoiia1 Workii Tomitrurtiou Prrutit �I Application hereb made for a Permit to Construct. ) or Repair ( ,)�a'n-Indrv-rdual.Serrabe Disposal System at: D 7 RrJ a✓� -,� -� Lo 'o ••Add re or'Lot-�ro. Ow r Address W Installer Address Q Type of BuildrIn ILV Size Lot Sq. feet U Dwelli No. of Bedroo . _ - -------------Expansion Attic ( ) irbage Grinder ( )a4 Oth r—Type of Building ___ ___ ___ ______ N o er ---- (`* QQ _.__ Showers ( — Cafeteria ( ) a Other fixtures ----- -------------------------- - -- w Design Flow.................................... .gallons per person per day. Total daily flow--------------------------------------------gallons. WSeptic Tank Liquid capacity gallons Length................ Width................ Diameter_._.___._------ Depth__.--.-__-._.. x Disposal Trench—No-____________________ Wid)9i............._ ._ otal Ley i_. ________ T tal leaching area..------------------sq. ft. Seepage Pit No....- ._.. Diameter..l_l �o nl ----------------- otal leaching area sq. tt. z Other Distribution box ( ) Dosing tank aPercolation Test Results Performed bY---------------------...................................................... Date............. ------------------------- ,� Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water....---..-----.--.-._._. �14 Test Pit No. 2----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water__.....--___.-.--.___. a -------------------------------- ---------- -- -- Description of Soil................................... x w V Nature of Repairs or Alterations—Answer when applicable.-.'------------------------------------------------------------------ -------------------. -------------------------------------------------------------------------------- ------------------------------- ----.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article \I of the State S itary Code— The undersi ed further es not to place the system in operation until a Certificate of Compliance e issued by the b �wal ' Signed --------------- - `- . --... .. -- .............................. Date Application Approved B --z ----------- -J------. `--------------------Da----------------- PP PP Y---- �---------•-- ---- - - - ---l�.�L 7 Application Disapproved for the following reasons: .................................................... ------------------------------------------------------------- ------------------------------------------------------••------------...----------------------------------...._....----------------------- Date PermitNo......................................................... ' Issued........................................................ Date -- _ -- 1-------------------------------- --------- -- - M y , No....--t-1............. Fus.... .................. THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH ------ OF.:..... Applira#inn -for Ubpoiial Worko Tonlotrurtion Prrmit _ Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: -------- - A—- J- - -• � .....................--------------- ,� _.. L i -Add e or Lot No. Ow r Address W tl Installer 4 „/� Address Type of�B•utla' Size Lo.............................Sq. feet Dwell No. of Bedroo �N,� Expansion Attic ( arbage Grinder I Other Type of Build' ra ns.:_-_- ....>Showers — Cafeteria Ga Other fixtures -----=-------------------------------------------- , W Design FlowV ......................... ....t.�.... gallons.per person per day. Total.daily flow-..._. _--_.---- gallons. 9 Septic TctnkL,iquid capacity +gallons Length________________ Width.:.............. iameter--.--_-..-_- Depth---.-.._------. xDisposal Trench�-No Width _- otal Le� tal leaching area..............__---sq. ft. Seepage Pi` i o -- ---_._-- Diameter _ t nl 4tal leaching area---_----.-------sq. ft. Z Other Distribution box' ( ) Dosing tank ( ) � aPercolation Test Results -Performed by------ Date = = Test Pit No. I-----------------minutes per inch Depth of Test Pit.................... Depth to ground, water........-_-----------.- f14 Test Pit No. 2........'.......minutes per cinch Depth of Test Pit..........:.::_..__ Depth to ground water........--...........--- -------- --- - Descriptionof Soil- -----------=---- ---- - ►'teY---------------------------------- .--------------------------------------------------------- x U W UNature of,,Repairs or Alterations--Answer when applicable..*"................_-_...-.....-........-_.....::--..-.....-..._..._---- --------------- ,i _----•---•------•---------------------------•-----•----•--------------------------------•-=-•----.-_-_-...--..--•---=---•----•-------------------------.----.. J .. Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of.Article XI of the State S itary Code—The undersi {ied further es not to place the system in operation until a Certificate of Compliance e 1 issued by the b o 1 Sign r f Date Application Approved BY----"'.' ------- - - :- ........... Application Disapproved for the following reasons:.-.__-----i--------------------•-_-------- _:_.---.------- -----------------.._--------ate-------------- -----•----------------------------------------------------------------------------------------------------------------- -=---------------------------------------------------------------------- Date Permit1*0.....=................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS .. BOARD F HEALTH ....o F... •e,...e.�,.,. ` err#i�ir��ie � nnt�li�nrr •• ' T IS CERTIFY, That th dividual S ag Disposal System constructed ( or Repaired ( j by -''L' �G►r •---••--- ---- ..--------- ���,, wry // JY //���t. at..... .... -- 'ik ----- SV i er.e � !j ---+ 'i' V..-• r...4 ............ has has be nstalled.; rt accordance with the provisions Article XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No------------------ ---------' -_._--.... dated........................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE r�4�. Tnspector -- - y' .. � 7.�`s""c�-v Y'•.'t+&"e�!^Y^�:s'F^�-mow riS'�•,"�.,�-.._ .., ��:. ..: + _ -Y .C` .q� .. b� THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH e. No.. a a FEE_ l Permission' is hereby granted__-.• > =s----------------- .....X_' ..... ........ at No.. ...._ Id Sew a e Dis al S s to Const ct - or Re air an In � g y Street as shown on the application for Disposa Works Construction ' . it IN0 ..-Daied__A0_:./�9`.,j/`« ._._.._- Y ATES �.--.- e........... t D �-�- --r�-. i t, t` oar ofr ea 4x'l FORM 1255 HOBB WARREN.S & INC1'. PUBLISHERS, • � _ � "� {av � t � e { _ .ems,...d. ,:ra•,.wi "`_. ' uze r r � TOWN OF BARNSTABLE 'flfl�yy **rAC,:, •tir t UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS ASSESSORS MAP NO. PARCEL NO C �� _ ADDRESS:w�r �'1 �1 c � r I VILLAGE '1G CONTACT PERSON PHONE NUMBER �- '— LOCATION OF TANK: - CAPACITY: .TYPE. OF' FUEL AGE: E• LEAK OR CHEMICAL: - DETECTION _ , - '�. `• .�,� �i _ _ �� _ _ SYSTEM e DATE OF PURCHASE OF EACH: 1. 2. 3. 4. 5. DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID--NOT PASS i" PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD: -' i COTU IT- FIRE.DEPARTMENT t PERMIT: FOR. STORAGE:OF .FUEL,•OIL ,_ ed 4 Se III accordance with m ovisio der authority_the, G,1 , and Regulations , Ms.Herschenroder Name.`' Maurice- Dufour �w Name .... ..... r_ (owner or occupant) + (Installer) �'y 11I �31 4Race Ln. 1 Old Barnstable le Rd Address Aress ... ..... . 4'. 4 tora e ;.. Burner i Make BeCCkett ,.............................. aTy%of Tank ...... x1.,,gUx1g..., ,:e Manufacturer R.W.BeCkett x'-Capacity, ..............gals."(or ,Size. } ' s Model No. or Size Locatio ground Type.XY.0 ....?........ Mass. Approval No. 969 Permit issued ...�+... . �.. '��' @f. �TAxlh M. .k'ax'7C 7121g .QII tt Ch (He�}ad of ri�rie Department uA{: ... Bye J,Rb�tx�i � xaVasS " ;(THI ERMIT.,MUST BE CONSPICUOUSLY POSTED +pFl THE PREMISES) - ''* t4A air i Fl-� -70 �. -Nor 17a0L —Tp COMA, , Do b N tlu i r —r« cJl � i -47 [USTlcs(s -o S�Io�C LXIS�rICT SL�17 -i'J 16 LOc + Dooc,x w3,uoods r\rli� '.L�:',x�4c�i� ..... ?_ 6-0 n N AlE APPROVED BY: ,- � 9C :��.,.1�.�CJ 1 DRAWN B� - \ DATE:I ���V� REVISED . C%xf >v Wes. o r�' 1,e*L— DRAWING NUMBER 43 1 2-4'` e~ C'O�tc.2�cFoaFc+c� M W� Zoux ro" eorJr' �► - , 70 I * j _. ., __. ._. ..-.. f -0)( -0 rhwco0 —tb 'Q6' O.eo�c� UJcc� �-2A�1b 'DOJa,.� �1c�UdrnlUO� l 6-oK 47-Q— --� Mta+l YZ �Q, IVWZ7, c Mires SCALE:I��Q APPROVED BY: [OR Be- OATE: / I` REVISEO -/ �CX4fT1�✓6- /l "ztl� f f6YJ. �if�Q�C 6 90 . ORAW INC N V MBER I i �I Z204 Mptrl 1- o; m CA2. r I c, �F L�i�lfr tea a t� 5 I � t - ¢j_Q Il -T6 id- APPROVED BY: SCALE:�G}.v r(/ DRAWN BY_q 2Fs REVI9E0 DRAWINt.NUMBER i i Do 5 co \ I I H I . A-h APPROVED BY: '^ $GALE: 3/ /� DRAWN BM�`_!Si REVISED DRAWING NUMBER 3 { i + I r W41- --rn )ac ev&J v wr + &Wires LL, j i � I I � i t � f PF2 Wn.ro cone r � F \ SCALE:F AID APPROVED BY: DRAWN B DATE:I�•.20��(� REVISED - DRAWING NUMBER o G. { i _ � Y�ODf- go" , F 1 C.K6 - M �L S+°+0- Fall I ' v I • o I ! i � � �` ' - � f _ t O j I Ik i II i SCALE:/4- APPROVED ST: DRAWN BY DATE:1i°20 i6 REVISED . ' Z,,o oc� , /fr, ' ORAWINC.NU.SER j t I t • ° i i v � � i � 1 ! t � I - � i ! �I I f l { iH I p APPROVED BY: ' KALE.A WN ;rAil - - DRAWING NUMBER , I r 4E f,I P'Ib co -To Com y hl rrra 777 3 r " K L SCALE: �Iii,. „n AP-VEO BV: T' pRAWn BT��� DATE: REVISED ' + ORAWINC NUMBER u �inl�ot� C'D�IQ!~h�---�i9tf:...-... _ _ --y � . . 1�6��--- l=�r�--,fir-yitr,-_ _Wt�fLS � $f✓ I� nn rC�t;l+�lf l � — I IO J�? JU,�Iv Cates i r-- j 7 [Ell 1 �l�vq-r� pa�1RD �SCALE: Y-.�//�J. • - �a I-Q� "ROVED BY: DR AWN B V ,oq< j PP ` DATE: I I 2 0, REVISED DRAWING NUMBER I _ T--r !ul C�S n�llr IJ� L=Y LL M46- z+C _...._._ .._ .. _ .... - . SCALE:`.iia I'p APPROVED BY: . _ DRAWN 84d - DATE: REVISED DRAYyING NUMBER i i { LLLJ SCALE: APPROVED BY: ��a ORAWN� Of f' DATE:,I t ZD./,6 REVISED �E> 4Z—,Y T r av DRAW ING NUMBER l0 0 e �Urc�wTiE M IxYWoOO . �. � I Z-N t+sr... � OL _- ' CXI� dG A�flb' t FXISTIr(C�' IaNG 1ti�H."l.C. SCALE: —� AP OVEDBY: c / � %L.�.� � DRAWN BY,-7 DATE: ��/ Or, �j REVISED - DRAWING NUMBER _ I S � c� 3f•t c ,I - s c� J• s- P� z 03 y O Pol �s� s-YX7W,H 3 93. 544 ' Q� z� � aa 331 4 3 �G.4� .E'CF.iriE'6rr/cir .Oaa,,kl 3.940 "Wax . .4"45sSOWS N9Ii 83 A4,fcAx4 /3 G O T 1 .4 O T P/- Ate/ OF 4.41 /.D i, • f'R Ei'�9/t E0 R'Q R Of A9gs� p $ORR P. r. MYLE,III H No.sssa9 Ji`r�014//NG THE f�RO/�OS�,A GARA G E �qHD SUPR� G/ /^/.U/oI^/ ONE AO/N RaAAD �" T AX,57,0,tVs' A4144 S, IWA . ZG0 7 O' O DLO" ✓oh'N f' .D oYG E, r�L S so a - 5,C 3- O{/EAP AI,6G.1) WAY