HomeMy WebLinkAbout0039 MAIN ST./RTE 6A(W.BARN.) - Health �39 MAIN—STREET,_W.BARNSTABLE
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CERTIFICATE OF ANALYSIS
.r Barnstable County Health Laboratory
...�F113 S
Report Prepared For: Report Dated: 8/26/2003
Order Numbe .22�6-
Francis O'Neil RECEIVED
P O Box 822
West Barnstable, NIA 02668 S E p 0 5 2003
Laboratory ID#: 0322286-01 Description: '`E1'
Water-Drinking Water
Sample#: 22286 Sampline Location: 39 Main St.,West Barnstable Collected 8/19/2003
Collected by: F.O'Neil Received 8/19/2003
ta'utine
ITEM RESULT UNITS MCL Method# Tested
LAB:IC Lab
I
Nitrates <0.1 mg/L 10 EPA 300.0 8/21/2003
LAB: Metals
Copper 0.1 mg/L 1.3 SM 311113 8/21/2003
Iron 0.1 mg/L 0.3 SM 311113 8/21/2003
Sodium 4 mg/L 20 SM 3111B 8/21/2003
LAB: Microbiology
Total Coliform Absent P/A Absent 307 8/19/2003
LAB: Physical Chemistry
Conductance 164 umohs/cm EPA 120.1 8/19/2003
pH 7.5 pH-units EPA 150.1 8/19/2003
Note: Water sample meets the recommended limits for drinking water of all above tested parameters.
Approved By:
b Director)
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Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605
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CERTIFICATE OF ANALYSIS
Barnstable County Health Laboratory
Report Dated: 09/11/2000
Report Prepared For:
Order Number: G0007552
Francis O'Neil
P O Box 822
West Barnstable, MA 02668
Laboratory ID#: 0007552-01 Description: Water-Drinldng Water
Sample#: 07552 Sampling Location: 39 Main Street West Barnstable MA Collected: 08/31/2000
Collected by: F O'Neil Received: 08/31/2000
Test Parameters
ITEM RESULT UNITS MCL Method# Tested
LAB. Metals
Manganese <0.01 mg/L SM 3111B 09/06/2000
Zinc <0.01 mg/L SM 3111B 09/06/2000
Routine
ITEM RESULT UNITS MCL Method# Tested
LAB: IC Lab
Nitrates <0.1 mg[L 10 EPA 300.0 08/31/2000
LAB: Metals
Copper <0.1 mg/L 1.3 SM 3111E 08/31/2000
Iron 0.1 mg/L. 0.3 SM 3111B 08/31/2000
Sodium 9 mg/L 20 SM 3111B 08/31/2000
LAB: Microbiology
Total Coliform Absent P/A Absent P/A 08/31/2000
LAB: Physical Chemistry
Conductance 81 umohs/cm EPA 120.1 08/31/2000
pH 6.9 pH-units EPA 150.1 08/31/2000
Note: Water sample meets the recommended limits for drinking water of all above tested parameters.
Approved By:'/ _•�--•�--
(Lab Director) ..
Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605
i AsBuilt Page 1 of 1
LOCATION2Z, EMIAGE P OMIT NO.
VILLAGE
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INSTALLER' N ME i ADDRESS
Il u I L O E R 04 OWN ER
DATE PERMIT ISSUED
DAY E C0M ►LIANCE ISSUED )
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.+� ......Ton.. ..................OF........... ......._...................
C�I' ttMxP A� �> ��IYItII'
THIS IS TQ„C,ER7' Y, That the I 'i�v]idual Sewage Disposal Sjstcst construe
by........................
.. r.:... ...... .. e.G.s.. _..liittSLct ........__.........._.............
at..... �. �" �_.. ......................
has been installed in accordance with the provisions of TITLE j of The State Sanitai
application for Disposal Works Construction Permit ................. dates!
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A
SYSTEM WILL FUNCTION SATISFACTORY. 'L r
DATE.......... —------------_........... Itzspector._....
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH s
........................OF....... ..........5 .................................................
Appliration for Ili4pnsal Works Tonstrn.r#iun ramit
Application is hereby made for a Permit to Construct (\/Or Repair ( ) an Individual Sewage Disposal
System at
. .: .__ .... ......... -
. ►UA.I S��1 • ... T.... . . -.......
Z..
Local
s ���Ll �1 ....
....... L-•-....... .. � _.......a—
Owner Address
W .........
Installer Address
Type of Building Size Lot.
......./......... Sq. feet
v Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Q' Other fixture
---------------------- - - -
W Design Flow...............1� -----.................gallons per person per day. Total daily flow............................................� gallons.
WSeptic Tank—Liquid capacity.k;l pgallons Length...b—V.. Width._ '10.- ,Diameter................ Depth..15�_�_ ---.
Dis osal Trench—No. ............... . Width.._ Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No.............�.____eiameter.... ------_-- Depth below,inlet...1.0........ Total leaching area_._?__ ....sq. ft.
Z Other Distribution box (- Dosing tank ( ) /
aPercolation Test Results Performed byl t tAcj1W__L.L LJ.... � __________________ Date..........` �_�?'J .......
Test Pit No. 1...:............minutes per inch Depth of Test Pit...... .._-..... Depth to ground water......----..............
Test Pit No. 2.... ...minutes per inch Depth of Test Pit.......J_3.'....... Depth to ground water-____�"._..........
--------------------------------/- ---•---------------------------------------f-----•--••-----•--•----•-----•--------------•-----•---------------•--
O Description of Soil............. - /��!� e l Cam.. ......�- 1 S-A Q
V . ----------- --•--................-•-----•........••-••---••----•---------•---•--••---...-----•-----....------•---................----...-----
W ---
UNature of Re airs or Alteratio —A saver when ap livable_ �V� _�--____ - /� ......
, .. ,,:-T.-• u•�......�'---p ro - Cam` `. .
Agreement: � V�6��
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of'I'LL 5 of the State Sanitary Code—The and signed further a no to place the system in
operation until a Certificate of Compliance has been ' e y the oard of It
Signed........... --•-- ......... .. D--at--
�
Application Approved. BY '......._•---•---- .--•--•-• -•-•-- -------- �.
Date
Application Disapproved for th following reasons:........... •------•....-•-•----...----••-•---••--•---•.----...-•-------•-----•••-••--•......................._
.............................................................:-•----------•------•---.......-•------.......-•--•---------------------•-•-----•-----••..................•....-•----...Date-----••--^._
PermitNo......................................................... Issued.....................................................
Date
UIC, THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...... ! .�J.J...........OF..... 7T1 ........................
Trrtifirtt#.r of TompliFanrr
THIS IS �AC,,E�TeIFY, T t the Individual Sewage Disposal System constructed ( ) or Repairedif NA,
( )
by ...........................................
at........... L .--- '_f.�'::-....V _R.'�R !1' G?� 1�_jj,. d-----------------------------------------------
has been installed in accordance with the provisions of TIT IL-, of The State Sanitary Code j
s dgscribed in the
application for Disposal Works Construction Permit No..•..._ `'_�Q�7___ dated_--.....� Cf .................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................................................................................ Inspector....................................................................................
TOWN.CIF BARNSTABLE r U
LOCATION ta=� , T PT&,f'—/' SEWAGE
VILLAGE f,<-J� ASSESSOR'S MAP & LOTZZ L Ti
INSTALLER'S NAME & PHONE NO.n,\ i; `:'�� h� i�4��-' ' " e 't�•rrh`'
P. SEPTIC TANK CAPACITY .ram-Y0-
LEACHING FACILITY:(type) (size).6, ryo `ter
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER405?4
BUILDER OR OWNER
DATE PERMIT ISSUED: � �
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF
HEALTH
/c tr H SE AL TH
;C WOF...... : t_..
........
Appliration for Disposal Works Tonstrurtiun ramit {
Application is hereby made for a Permit to Construct Vor Repair ( ) an Individual Sewage Disposal
.
........................................................
�{ Location Addr t� A t� ' ' or Lot INN f
- S 1 Jv.a c 1 e C.� �.. lL.... P�:u.�'Q:�L:_!�. J �
._.... -..-- •••-• .....---••- ...._.. .... ....... ...... 1---- -—
Owner Address
W
............................
U
� Installer Addrdress C�r� , //Type of Building Size Lot___.___ __ O�______________Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons............................ Showers — Cafeteria
04
Other fixtures ••--•••••--•••-------------•---•----------------•---••••------•----•••-------•------------•••-•...............---------•--•................•.........
W Design Flow..............._ra ..._.._._._.._....gallons per person per day. Total daily flow..__._.._.. °��� ....__.._._..__gallons.
WSeptic Tank—Liquid capacityktG&9.gallons Length.- _QV.. Width. .-.(4?.._ Diameter................ Depth.._?.-....
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No............I._...... Diameter... ............ Depth below inlet..�J..c.k........ Total leaching area. _ .....sq. ft.
Z Other Distribution box ( Dosing tank ( )
a Percolation Test Results Performed by�,,r1A'R.S .l_..._ �r� G -_-•--__ Date._.______`__�_f_4 �
Test Pit No. 1 G_2�
.....minutes per inch Depth of Test Pit.....�!.5.......... Depth to ground water...... .............
fs, Test Pit No. 2................minutes per inch Depth of Test Pit___--_1. ......... Depth to ground water.____P.............
•--......--••••......-----•..... •--•.........................................................
O Description of Soil.............. J }�' T - -ram........... L .............................................f.
x •-••----------------- .......................................... _� .:_............---------------------------------•---------'�._---------.--------------------------.----.---------------
U
W --------•-_......
UNature of Re airs or Alteratio n. Answer when applicable. 1 0.7 OR. 4 ...
Agreement: a s. tl/ 2��t(: !1V s-1� 1ti f"tN P� �1 dal
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITA LL 5 of the State Sanitary Code—The un sign d further s no to place the system in
operation until a Certificate of Compliance has been ' ue by th ofird o_ It .
Signed-----•--- ----- -•-•-- t ----- •- -----------------•
Application Approved By--------. ...................
Date
Application Disapproved for the following reasons-------------•----•-----•----•--•---------•--•---•---•--•----------------------------------•---•-------------_.
.....................•-----.....------------'---•--'-------------'-------......--•---•-----•-•---'-•---....-----------------------------•--...'•------•--'•-•---.•....._...._.....•••---•-•-'--------•---
Date
PermitNo.---' ................................................ Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
1..4 ............OF....� '1 ........................
Trr#ifirab of (�lant�rli nr�e
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by............................................. •--------------------•--- ------....---------...---r---(-------..........•.........----'-------••-••'......----
at -^. +w ` _i. ............•---------------•---......----------
has been installed in accordance with the provisions of TIT 5 of The State Sanitary C[od� as c}escribed in the
application for Disposal Works Construction Permit No._._. "._..�'�?"'7 dated '1).Cf1W ------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................................................................................ Inspector....................................................................................
THE COMMONWEALTH OF MASSACHUSETT E S I e0 ilve) a,W6'NsE(z
BOARD OF HEALTH D cjz(.�"11:ny IN wt11 SYSr�titn
� �5"l"�S 4c�'" 1 T c L`•C� t as�iR}S fPcJ �
t ;' ..............OF.....4 .......... ...................................
N ........................ FEE.r ..........
Uiopnsa1 nr`kii Tnnitrnrtion rrutif
Permission is hereby granted.................... .�r '. __.__... .. �,.�Yd'� '
--•----••................................•--......•••....._..
to Construct ( ) or ReA r ( an Individual Sewa a Di s osal System
141........................................................
Street
as slfown on the application for Disposal Works Constructii Permit N' <o�.. '__aDated...'1]9 _ ?................
DATEI. ....PD.V.:...��4.... .....--'-_.....•..... r Board of Health
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS --'f
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Log Number: 5457 Bottle # D001 Date: November 8, 1985
�
'�A�- s BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT ;.
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7 SUPERIOR COURT HOUSE
BARNSTABLE. MASSACHUSETTS 02830
ws3d 0 DRINKING WATER LABORATORY ANALYSIS PHONE: sel-as11
EXT. =1
Client: Cynthia Mantalos Collector: L. Wile
Mailing Address: 452 Mashie Circle Affiliation: well dril I er-
New Seaburx. MA 02649 Time & Date of
Collection: 11/6/85 4:00 p.m.
Telephone: 477_2073 Type of Supply: well
Sample Location: tot 2 tcorton HnI Rd. Well Depth: 1001
& Rte 6A.W.�Barnstable.MA Date of Analysis: 11/7/85 1:00 p.m.
PARAMETER SAMPLE RESULT RECOMMENDED LIMITS
Total Coliform Bacteria/100 ml 0 0
H 6-5
Conductivity micromhos/cm 500.0
Iron m 0.3
Nitrate-Nitrogen m 10.0
Sodium m 20.0
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I , X Water sample meets the recommended limits for drinking of all above tested parameters.
G
II. Based only on results of the parameters tested for this .sample, the water is
suitable for drinking but may present the problems checked below:
A. Water sample has higher than average levels of Nitrate. Future monitoring is
recommended (2-3 times per year) to establish any upward trends. r
B. The low pH of the water may shorten the useful life of the house's plumbing.
C. Water may present aesthetic problems (taste, odor, staining) due to
D. Water sample has high levels of sodium. Persons on low sodium diets should
consult their doctor.
III. Due to one or more of the reasons checked below, this water sample is unfit for
human consumption: 'A. High Bacteria B. High Nitrates
REMARKS: The ` 6l `'etmty Heehf e►s
Department shall not endorse any statements,
interpretations or conclusions made by anyone
else cernino these results without written consent,
j
CC: Barnstable Board of Health
CC: L. Wile & Sons Well Drilling
boratyry Dire r
- �_.._--.�....�.��_.a:Y-.._....i_+.Y.•..:..._••-�.L_ri.-.�sr .+... -Sara._. ..u._•__�..�..�-��_._._.-����-+.+.•.._..w.._.;dCi-.
Department of Environmental Management/Division of Water Resources
WATER WELL COMPLETION REPORT
_ 1
WELL LOCATION
14 -D�DN W I- 2tE 6Ir l t�
Address /►���sTg
City/Town
/MNr'
1N
N
G.S.Quadrangle Map_. 1 C 7.2
' I Grid Location o / u
Address-4sk—P& 6 Cin[_L2—
WELL USE
�•
- CONSOLIDATED WELL
�-�/-y Domestic 4V Public ❑ Industrial❑
Other Type of Water-bearing Rock
.
Water-bearing Zones
'• led Method Dril ROA O
1) From To
2) From To
Date Drilled 3) From
To j
{ 4) From To
CASING
Depth to Bedrock
1 Lengt / Diameter
f Type. O Vf✓
ti UNCONSOLIDATED WELL
FFtl STATIC WATER LEVEL / Water-bearing Materials
9 Feet below land surface e��'T_ Sand: fine❑ medium❑ coarse
Date measured Gravel: fine❑ medium❑ coarse❑
GRAVEL PACK WELL Screen: /
Slot length from to
Yes No ❑
Split Screen(or 2nd screen)
WATER QUALITY TESTS MADE Sloth length from to
Chemical LV
Biological Depth To Bedrock
i
- I PUMP TEST
' Drawdown feet after pumping days hours at LQ_GPM.
- How measured Recovery feet after hours.
LOG of FORMATIONS COMMFNTt: (On well or water)
l Materials From To
0
RILLERCb
A y
f FirmI�E �DAI DQIC,GA((a [0`
AddressSdAPITI
City
Registr tion No.
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ease pant rrm y
iCLWTOMER COPY. 15M-2 84.176471
SITE PLAN SHEET I OF 2
SCAL E: I = 40'
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Es fl2 ®�ALL 170 - .... _..
�Sh
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<0 G Ix�
170
L"A -
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da 5M DIU /
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BPTIG TAr..1 K.
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` � -' _ __.._.__...._.- •---..._...� ..�" TEST piT#2 -� Z3
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0�1� UitILLIAM oy� rz d P MT._:l?WARWICK
J No. 19771
A �r70'
.9E6Islf��
LAB®�' Oh%
loe3 -__-
. FOR ywT /S� . mA KIi, dL ...
REGISTERED LAND SURVEYOR T ZL)` 6,A-
ZONE
PLAN ,REF. A''2h P—h. I-AA ' IIL LvT DATE 2/ /e&
BENCHMARK DATUM_ 'M' ��`'��' GL10�2� 4JU'JD WM. M. WARWICK 8 ASSOC., INC.
DOMESTIC WATER SOURCE BOX 801 — NORTH FA L MOUTH
• n u
�". FLOOD ZONE. C p � t: Z�C»OO1 o0!(G 8/1%/�rj MASS. 02556 - (617) 563 -2638
LEACHING BASIN S _CT/ON NOT TO SCALE shce7/ 2 of Z
' 24"C.I.A!H COVER _
I EARTH f/LL
BRICK AND MORTAR COURSES AS REO'D• TO BRING
' _.r• , _ COVER TO GRADE
4" B' FLOW LINE _:•
-_ _ ._ _ 2 -� TO/' WASHED PEASTONE FREE OF IRONS,
P/PE FINES AND OUST /N PLACE
.. T.
�! ' OPENING WITH 4% 314" TO 1,k2"WASHED CRUSHED STONE FREE OF
�3 ' OUTER DIAMETER
IRONS, FINES AND DUST /N PLACE
AND 1314"INSIDE
! DIAMETER
I. CONCRETE TO BE 4000 PSI 28 DAYS
2. REINFORCED WITH 6fix 611 NO. 6 GA. W.W.M.
3. 2'AND 4' SECTIONS ARE AVAILABLE FOR
GREATER DEPTH REQUIREMENTS
4,0., I-- 31--- 6'0" 3'—� 4. NUMBER OF PITS REQUIRED 42LJ•1
MIN. L IZ1 NOTE: EXCAVATE TO ELEVATION OR
EFFECTIVE DIAMETER
(NOT TO EXCEED 3 TIMES EFFECTIVE DEPTH) LOWER AS REQUIRED TO REMOVE ALL
WATER TABLE - LOAM AND CLAY BENEATH PIT. REPLACE
EXCAVATED MATERIAL WITH CLEAN
TYP/CAL PROF/LE GRAVEL TO DESIGNED GRADE.
IB"STO. LT. WGT. C.I.MH COVER
4"C./.PIPE 4"B/T.FIBER PIPE
TIGHT JOINT OUTLET LEVEL
DWELLING _ FLOW LINE TO FIRST JOINT00
rl
3Z 00 C.I. TEE 2�j,pj 1 1 0 1 0 0 1 1
STD. PRECAST CONC. Z ,OD Z 1 !A 0 0`O O 0 1 I I I
D/ST. BOX TO B£ (.rjp ' 11 000 00 1 1 I I
IOOOGAL.SEPTIC TANK. INSTALLED ON LEVEL 1 1 1 0 00 0 0 0 1 1 I
STABLE BASE I it 000 00 1,1 1 i
IJO r P l PG y�SEPTIC TANK iTO•BE 1 if 000 00 1 11 1
I,�AV�y I�f7U INSTALLED ON LEVEL ! !f 100 10 0 1 1 ;
����✓ �1 STABLE BASE. 0 00.0 1 i !
i '
LEACHING BASIN i 11100 1 A O 10 ,
0 0 0 1 1 ,
BASE TO BE LEVEL i 1 0 O O 0 1 1 , , V'
SOIL AND PERC. DATA '� '}J 17 19
. PERC. RATE : MIN. /IN.
0 TEST PIT NO. I TEST PIT NO. 2
Tol�.1-�-LJP=!vIL_
TEST BY: —
WITNESSED BY JAMS C.o�JL_c>1.1 IIJ� i�'�
TEST PIT GR. EL. IiRc
DATE: 1z et, � srt . z� 0 13� 7��, 1✓�, Il•5
IJo c-��?oU�D�cJLt•-i ��z. D,t�M F�
DESIGN DATA GENERAL NOTES
BEDROOMS NO HEAVY EQUIPMENT TO RUN OVER SYSTEM.
DISPOSAL 00 SEPTIC TANK, DIST. BOX AN LEACHING BASINS TO BE STANDARD
EST. TOTAL DAILY EFFL2..�GPD. PRECAST REINFORCED CONCRETE UNITS.
SEPTIC TANK IOOa GAL• ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE
TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE
SIDEWALL AREA�'� GAL./SQ.FT. MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF
BOTTOM AREA I
GAL./SQ.FT. SANITARY SEWAGE .EFFECTIVE ON JULY 1 , 1977.
LEACHING REQUIRED SQ.FT.. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD
ACTUAL LEACHING AREA OF HEALTH.
—SQ,FT. AT COMPLETION OF CONSTRUCTION, PRIOR TO BACKFILLING, THE
iD ►AJQI.tr BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION.
PITCH ALL SEWER LINES I/q" / FT., UNLESS INDICATED OTHERWISE.
t3d•t'Tan�
Ah
OF A's , c�Q,ty SEWAGE DISPOSA L SYS TEM
o MARTIN ro P� 7-I.
E. FOR._ G-Y , I f r-,A A p, J -r� L c7��
3 MORAN � .
a .p J23417�
ST
SCALE AS INDICATED DATE
WM. M. WARWICK 8 ASSOC., INC-
8OX 801 - -NORTH FAL MOUTH
MASS. 02556 - (6171 563 -2638
PROFESSIONAL ENGINEER
TOWN.OF°BARNSTABLE „V
LOCATION 4A; SEWAGE # "
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VILLAGE pp -r<�
ASSESSOR'S MAP Cz LOT j,/Q T
INSTALLER'S NAME & PHONE NO.t«V—Q�P—;,f� �, 1?
C`'•�a ''�.y' S
SEPTIC TANK CAPACITY
LEACHING FACILITY:(t ) 1���-�?
YPe (size) ��-� r,�-�
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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