HomeMy WebLinkAbout0095 NORTH WINDS LANE - Health 195 NORTH�WINDS -LANE, .WEST •BARNSTABLE
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Q CERTIFICATE OF Page. 1
ANALYSIS
er�h�Y
Barnstable County Health Laboratory
Report Prepared For: Report Dated: 03/07/2000
Demayo,Tom Order Number: G0005202
Tom Demayo
95 North Winds Lane
West Barnstable, MA 02668
Laboratory ID#: 0005202-01 Description: Water-Drinking Water
Sample#: 05202 X709 715 Sampling Location: 95 North Winds Ln W Barnstable Collected: 03/06/2000
ollected by: Charlotte Stie Received: 03/06/2000
Routine
ITEM RESULT UNITS MDL MCL Method# Tested
LAB:IC Lab
Nitrates <0.1 mg/L 0.1 10 EPA 300.0 03/07/2000
LAB: Metals
Copper <0.1 mg/L 0.1 1.3 SM 3111B 03/07/2000
Iron '0.2 mg/L 0.1 0.3 sM 31 i iB 03/07/20100
Sodium 31 mg/L 1.0 20 SM 311113 63/07/2606
LAB: Microbiology
Total Coliform. Absent P/A 0 Absent P/A 03/06/2000
LAB: Physical Chemistry
Conductance 200 umohs/cm 1 EPA 120.1 03/06/2000
pH 6.2 pH-units 0 EPA 150.1 03/06/2000
EPA 502.2- Volatile Organics by PIDIECLD
ITEM RESULT UNITS MDL MCL Method# Tested
LAB: GC LAB
1,1,1,2-Tetrachloroethane BRL ug/L 0.5 EPA 502.2 03/06/2000
1,1,1-Trichloroethane BRL ug/L 0.5 200 EPA 502.2 03/06/2000
1,1,2,2-Tetrachloroethane BRL ug/L 0.5 EPA 502.2 03/06/2000
1,1,2-Trichloroethane BRL ug/L 0.5 5.0 EPA 502.2 03/06/2000
1,1-Dichloroethane BRL ug/L 0.5 EPA 502.2 03/06/2000
1,1-Dichloroethene BRL ug/L 0.5 7.0 EPA 502.2 03/06/2000
1,1-Dichloropropene :.BRL ..ug/L 0.5 EPA 502.2 - 03/06/2000
1,2,3-Trichlorobenzene BRL ug/L 0.5 EPA 502.2 03%06/2000
1,2,3-Trichloropropane BRL ug/L 0..5 EPA 502.2 03/06/2000
1,2;4-Trichlorobenzene BRL ug/L 0.5 70 EPA 502.2 03/06/2000
Superior Court House, PO.Bog 427, Barnstable, MA 02630 Ph: 508-375-6605
a
Page: 2
CERTIFICATE OF ANALYSIS
Barnstable County Health Laboratory
Report Dated:
Report Prepared For:
Demayo,Tom Order Number: G0005202
Tom Demayo
95 North Winds Lane
West Barnstable, MA.02668
Laboratory HI#: 0005202-01 Description: Water-Drinldng Water
Sample#: 05202 X709 715 Sampline Location: .95 North Winds Ln W Barnstable Collected: 03/06/2000
Collected by: Stiefel Received: 03/06/2000
1,2,4-Trimethylbenzene BRL ug/L 0.5 EPA 502.2 03/06/2000
1,2-Dibromo-3-chloropropan BRL ug/L 0.5 0 EPA 502.2 03/06/2000
1,2-Dibromoethane(EDB) BRL ug/L 0.5 EPA 502.2 03/06/2000
1,2-Dichlorobenzene BRL ug/L 0.5 600 EPA 502.2 03/06/2000
1,2-Dichloroethane BRL ug/L 0.5 5.0 EPA 502.2 03/06/2000
1,2-Dichloropropane BRL ug/L 0.5 EPA 502.2 03/06/2000
1,3,5-Trimethylbenzene BRL ug/L 0.5 EPA 502.2 03/06/2000
1,3-Dichlorobenzene BRL ug/L 0.5 EPA 502.2 03/06/2000
1,3-Dichloropropane BRL ug/L 0.5 EPA 502.2 03/06/2000
1,4-Dichlorobenzene BRL ug/l. 0.5 5.0 EPA 502.2 03/06/2000
2,2-Dichloropropane BRL ug/L 0.5 EPA 502.2 03/06/2000
2-Chlorotoluene BRL ug/L 0.5 EPA 502.2 03/06/2000
4-Chlorotoluene BRL ug/L 0.5 EPA 502.2 03/06/2000
Benzene BRL ug/L 0.5 5.0 EPA 502.2 03/06/2000
Bromobenzene BRL ug/L 0.5 EPA 502.2 03/06/2000
Bromochloromethane BRL ug/L 0.5 EPA 502.2 03/06/2000
Bromodichloromethane BRL ug/L 0.5 EPA 502.2 03/06/2000
Bromoform BRL ug/L 0.5 EPA 502.2 03/06/2000
Bromomethane BRL ug[L 0.5 EPA 502.2 03/06/2000
Carbon tetrachloride BRL ug/L 0.5 5.0 EPA 502.2 03/06/2000
Chlorobenzene BRL ug/L 0.5 100 EPA 502.2 03/06/2000
Chloroethane BRL ug/L 0.5 EPA 502.2 03/06/2000
Chloroform 16 ug/L 0.5 EPA 502.2 03/06/2000
Chloromethane BRL ug/L 0.5 EPA 502.2 03/06/2000
cis-1,2-Dichloroethene BRL ug/L 0.5 70 EPA 502.2 63/06/2000
cis-1,3-Dichloropropene BRL ug/L 0.5 EPA 502.2 03/06/2000
Dibromochloromethane BRL ug/L 0.5 EPA 502.2 03/06/2000
Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605
F CERTIFICATE OF ANALYSIS Page. 3
Barnstable County Health Laboratory
Report Prepared For:
Report Dated: 03/07/2000
Demayo,Tom Order Number: G0005202
Tom Demayo
95 North Winds Lane
West Barnstable, MA 02668
Laboratory ID#: 0005202_01 Description: Water-Drinking Water
Sample#: 05202 X709 715 Sampling Location: 95 North Winds Ln W Barnstable Collected: 03/06/2000
ollected by: Charlotte Stie Received: 03/06/2000
Dibromomethane BRL ug/L 0.5 EPA 502.2 03/06/2000
Dichlorodifluoromethane BRL ug/L 0.5 EPA 502.2 03/06/2000
Ethylbenzene BRL ug/L 0.5 700 EPA 502.2 03/06/2000
Hexachlorobutadiene BRL ug/L 0.5 EPA 502.2 03/06/2000
Isopropylbenzene BRL ug/L 0.5 EPA 502.2 03/06/2000
Methyl-tert-butyl ether BRL ug/L 2.0 EPA 502.2 03/06/2000
Methylene chloride BRL ug/L 0.5 5.0 EPA 502.2 03/06/2000
n-Butylbenzene BRL ug/L 0.5 EPA 502.2 03/06/2000
n-Propylbenzene BRL ug/L 0.5 EPA 502.2 03/06/2000
Naphthalene BRL ug/L 0.5 EPA 502.2 03/06/2000
p-Isopropyltoluene BRL ug/L 0.5 EPA 502.2 03/06/2000
sec-Butylbenzene BRL ug/L 0.5 EPA 502.2 03/06/2000
Styrene BRL ug/L 0.5 100 EPA 502.2 03/06/2000
tert-Butylbenzene BRL ug/L 0.5 EPA 502.2 03/06/2000
Tetrachloroethene BRL ug/L 0.5 5.0 EPA 502.2 03/06/2000
Toluene BRL ug/L 0.5 200 EPA 502.2 03/06/2000
Total xylenes BRL ug/L 0.5 10000 EPA 502.2 03/06/2000
trans-1,2-Dichloroethene BRL ug/L 0.5 100 EPA 502.2 03/06/2000
trans-1,3-Dichloropropene BRL ug/L 0.5 EPA 502.2 03/06/2000
Trichloroethene BRL ug/L 0.5 5.0 EPA 502.2 03/06/2000
Trichlorofluoromethane BRL ug/L 0.5 EPA 502.2 03/06/2000
Vinyl chloride BRL ug/L 0.5 2.0 EPA 502.2 03/06/2000
Note: Based on the results of the parameters tested,the water has high levels of sodium.Persons on low sodium diet should consult
their doctor.
Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605
4
CERTIFICATE OF ANALYSIS Page. 4
Barnstable County Health Laboratory
Report Prepared For: Report Dated: 03/07/2000
Demayo;Tom Order Number: G0005202
Tom Demayo
95 North Winds Lane
West Barnstable, MA .02668
Laboratory '11D#: 0005202-01 - Description: Water-Drinidng Water
Sample#: 05202 X709 715 Sampling Location: .95 North Winds Ln W Barnstable Collected: 03/06/2000
ollected by: Charlotte Stie Received: 03/06/2000
Approved By: 'tw�
(Lab Director)
3/7/2a Va
Superior Court House, PO.Bog 427, Barnstable, MA 02630 Ph: 508-375-6605
AWX
LOCATION 9 SEWAGE
VILLAGE ,' ASSESSOR'S MAP & LOT,C Ir 4lil,_Z
h INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY
r
LEACHING FACILITY:(tVpe)�, a� (size) lj}�� �
'NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER ® rG
DATE PERMIT ISSUED:
.r
DATE COMPLIANCE ISSUED: G
VARIANCE GRANTED: Yes No
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1 To
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No.._ ��..�.. Fps�.... .0
THE COMMONWEALTH OF MASSACHUSE17S
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for lliipuoal Workii Tnnitrnrtion Famit
Application is hereby made for a Permit to Construct (41)/or Repair ( ) an Individual Sewage Disposal
Syst'em, t: f
.1r__--- oQ°°...... G .....................
'.-- -Loc ' n-Address Lot No.
,e! rH .�lo........ -•---•-•- ------ --- �., r..T..�...........................
-Qper
ress
W ��" `!„�/�^ ✓ �--••-----..1(1-iC ...[.� r~�,�' iK�(�`t — �ile�a!ds_/..�t!l'�'�i..lifrJ[/.....' ~�!G�7_
a w� --••---•
Install ✓ Address—Z // 9
��U Type of Building Size Lot__�fi._. __y��_Sq. feet
Dwelling—No. of Bedrooms___________ ____________________________Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons____________________________ Showers — Cafeteria
Q' Other fixtures ---------------------------•-•-- -
W Design Flow.......3,� ........................gallons per person per day. Total daily flow........ ��l�r1r__ ..............gallons.
WSeptic Tank—Liquid capacity gallons Length___. __.____ Width_. ._ Diameter________________ Depth_�j__..__._..
x Disposal Trench—No_____________________ Width_._.___ ___._____ Total Length.................... Total leaching area__:_________________sq. ft.
Seepage Pit No........./........ Diameter-------- Depth below inlet____-_4_.......... Total leaching area_/,,- . s ft.
Z Other Distribution box ( ) Dosing tank ( .
W Percolation Test Results Performed by...... 1y<_C1.... ............. Date_413...._..��...................
Test Pit No. 1...4;-------minutes per inch Depth of Test Pit._/_..1__________ Depth to ground water_!� �.
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
_ •-----•-•------•----------
J ..�Qr ---------�./,�--- �',y!-- 'Ic.�.� --7-.��. T�=
O Description of Soil-
x
W
UNature of Repairs or Alterations—Answer when applicable:_______________________________________________________________________________________________
-------•--------------------•----------•----------------•--•----------------•-------•-•---••--•---•-----•-----------------------------------•---•---------------------_.......-------._........------••.
Agreement--
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance been issued by t rd of alth.
Signed --------- ----. /�
Irate
Application Approved BY A ��.k, -------------------- ----- -----------------------_---. ----.-'Application Disapproved for the wing reasons- ---------------------- -.......................................----------------------------------------------- ---------------
.............................I...............------------.......-------------------------- ...----------....-------------- - ------..................................................... .-------......-------------------------
Date
PermitNo. -------- ..1 ., ---.................I...... Issued --------------..........................................
Date
-�--�.-. h
No... �' Fns..`/ /EY cJ..
c THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE.,
Appliration for Disposal Works Tonstrurtinn Vrrmit
Application is hereby made for a Permit to Construct ( 41'/or Repair ( ) an Individual Sewage Disposal
System at*
. ° �-� % lip... G�,ti� w�.,. L `�` �v �G �✓ = - 3�-
------- ------- ------------ -----
Loc n-Address r Lot No.
�... .......... —j � lz 4n —
Owner - Address
(z� .G Address
!..L. i-� __ iG.c..
I lle /tGer�iG
pq r
nsta ✓
Type of Building Size Lot... _ %_> Sq. feet
Dwelling—No. of Bedrooms........... ........._---_-.-__--___-___Expansion Attic ( ) Garbage Grinder ( )
aOther ,,Type, of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
dOther fixtures ---------------------------------------•---•-------------------------•------
W Design Flow........3--G-_-------------------gallons per person per day. Total daily flow........... ;...........gallons.
04 W Septic Tank—Liquid"capacitv_15'?�?g .__allons Length '`I' _/_.- Width... -- ........Diameter . .... Depth_-,77`.�.:_.
x Disposal Trench—No..................... AAidth.................... 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------- �____._...._. / �y�
1 Date.-- r ------- ----------------
a. Test Pit No. 1----P.......minutes per inch Depth of Test Pit._,,.a ......... Depth to ground water._ or'£%.-
4 ' Test Pit No. 2................minutes per inch ' Depth,,of...Te&Pit..................... Depth to ground water........................
A+'
- ----... --------------------------------------------------
W4 Description of Soil--l /i-._7 _ �� ��/,`l /yfelc -----� -----•--
V --------------------------------•--•---•-•......--•-•-•.------•-•--•-----------------------------•----•---------------•--••---•-•••-----•-------------•---•-•-----------------•-•----•......-•--------
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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance een issued by theb'a d of h nth.
Signed ----------- --- -- - -- ----- /..... . -- !--
Application Approved By - --------- ------=4 M� - — cf/
------------------- ----- -------------
Date
Application Disapproved for the following reasons- ------------------------------------ --------------------------------------- ------------ -----------'.------------------......
--------------------------------------------------------------------
- ------..................................... ..........--------'----'-----------
Date
PermitNo. / - Issued --------------------------------------------------------- ......
Date I
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH i
TOWN OF BARNSTABLE
Trortifi ate of Tontylianre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (�) or Repaired ( )
by- r- �-y -----------------------------------------------------------------------------
......... V
ffn instta_ller
at ---------------........:/df ... - ✓�-� ?�C: -.....-. IIU,i
has been installed in accordance with the pi;ovisions 6f TITLE 5 of The State Environmental( ode as described in
the application for Disposal Works Construction Permit No. /....-. dated --.f.........................................
PP P -- -- ��-----------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUi6'AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE----------------�......... �� , �,--......................---------------------=----------- Inspector ------ ....
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
� 3 TOWN OF BARNSTABLE
No...e.;_._ ... FEE.../(241.........
Disposal Works Taon#rnr#ion rrntii
Permission is hereby granted................. _..._____
to Construct (v) or Repair ( ) an Individual Sewage DisposXS"y"stem
atNo............................--l.=. ...... �� ��1.... ------ /? _- r .
P Street ��qq
as shown on the application for Disposal Works Construction Permit Dated..........................................
...................................fit ....................................................
�...
DATE.............I•'--- 2.1...............................
Board of Health
FORM 36508 HOBBS&WARREN.INC.,PUBLISHERS
I � i
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_�No.----- --- -- � Fee------------ -------
BOARD OF HEALTH
TOWN OF BARNSTABLE
Zippricat ion-for VrIl Cootructiou3permit
Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at:
Lot 26 - Northwind Dr., w. Barnstable
---------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------
Location — Address Assessors Map and Parcel
_-Tom DeMayo
----------------- Address
_Meehan_Well Drilling,...Inc. __ _ _ 338 Rte._-_130,__Unit_l, Sandwich,__Ma-__02563
Installer — Driller Address
Type of Building
Dwelling__Residential _____________________
Other - Type of Building ------------------ No. of Persons------------------------------------------------------
Typeof Well tt------------------------------------------ Capacity-----------------------------------------------------------------------------------
Purpose of Well----Drinking----------------------------------------------
Agreement:
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to
place the well in operation until a Certificate of Compliance has been issued by the Board of Health.
t
Signed - ---- ------
date
Application Approved By--------- -- - -------------------------------------------- - rO---? _--------
date
Application Disapproved for the following reasons:-----------------------------------------------------------------------------------------------------
--- -- --- ------------------------------------------------------------------------------------------------------------------
-------------------------------
J -
A i w date I
PermitNo.- ------------------------------------------ Issued------- - ---------------------------------------------
j date
BOARD OF HEALTH
TOWN OF BARNSTABLE
(Certificate Of Compliance
THIS IS TO CERTIFY, That the Individual Well Constructed ( X), Altered ( ), or Repaired ( )
Meehan Well Drilling, Inc ___
- ------------------------------ -----------------------------
Installer
338 Rte. 130, Unit 1, Sandwich, Ma. 02563
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. -- - J --Dated-- �--- = ---
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE--------------------------------------------------------------------------------- Inspector----------------------------------------------------------------------------------
---� No.---------- =- ---- Fee---------------------
1 BOARD OF HEALTH e
TOWN OF,
BAR1\iSTABLE�
���Yication,�or�erY c�on�truction�ermt! �, - �. �� �- _
Application is hereby made for a permit to Construct ( X),,,Alter{ ), or Repair ( )an.individual Well at:
Lot 26 - Northwind Dr. , w. Barnstable
- - - -----------------------------------=--------------
Location — Address Assessors Map and Parcel
e r ,
Tom DeMayo 450 Lower Rd., Brewster, Ma. 02631
Owner r Address
Meehan Well Drilling, Inc. '' '338. Rtee�.I30, Unit 1, Bandwi•ch, Ma. 02563
- - --- - - -- — -------------------- ------- - - - - - -
Installer — Driller + Address
Type of Building
Dwelling Residential
Other - Type+of Building ;- --- ----------- k No. of Persons-- --------------------- ----------- --
Water4" -------------------------------------------------
Type of Well--------------=---------------------------------------------------- Capacity
of Well--Drnkinq __ —...-............
Agreement:
The undersigned agrees to install the aforedescribed individual,well in cordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation - he,undersigned further agrees not to
place the well in operation until a Certificate of Compliance has been issued by the Board of Healtli.
Id Signed -- ------------- , --�ta2 .- ----- --'�- - -90
date
Application Approved BY--- - --------------------------------------------
-J,—b----------
date
Application Disapproved for the following reasons:-------------------------------------------------------------------------------------------------------------r
------------- -- -----------------------------------------------------------------------------------------------------------------------------------------------------------------
date
Permit No. -L � --------------- Issued--------� `� -------------+---------- --------------------
- -_- - --
date
- BOARD OF HEALTH
4; ... T--OWNf, OF BAR-NSTABLB
Certificate Of Compliance
THIS IS TO CERTIFY, That the Individual Well Constructed (X), Altered ( ), or Repaired ( ) r
Meehan Well Drilling, Inc
by---- -------------- - -- - --------------------------------------------------- -----------------------------------------------------
Installer
338 Rte. 130; Unit 1, Sandwich, Ma. 02563
at- - -- --------------------------------- -------------------------------------------------------------------------------------------------------------------------
has been installed in accordancerwith the provisions of the Town of Barnstable Boa`r'd�of Health Private Well Protection
Regulation as described in the application for Well Construction Permit No. - "`I-d--� �--=Dated--10--3J-�2)
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
fDATE - - - ------ ------------------------------ Inspector------------------------------------------------------------------------------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
- x well Con5truct ion Permit
No. --------------------- Fee------------------
Permissionis hereby granted----------------------------------------------------------------------------=---------------------------------------------------------
to Construct,�N , Alter ( ), or Repair ( ) an dividual Well at:
No. - "- -' -'"`�-,?6 ��`�v� -�/�l�-��t d == 'd.>���v_J___�GL� u✓----------------------------
Street
as shown on the application for a Well Construction Permit
No.------------------------------------------=----------------------------------- Dated-_ =----------------------------------��j------------------- .
Board of Health
DATE -------------------------------------------
. 'q
v ,
No.-------------------- Fee--------------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
appritation forVell con5tructiolupffmit
Application is hereby made for a permit to Construct (X), Alter ( ), or Repair ( )an individual Well at:
Lot 26 - Northwind Dr. , W. Barnstable
Location — Address Assessors Map and Parcel
__Tom DeMayo_-______-_____ _- ________________ 450 Lower Rd. , Brewster, Ma. 02631
------------------------ - -------------------------------------------------------------------------------
Owner Address
Meehan Well Drilling, Inc. 338 Rte. 130, Unit 1, Sandwich, Ma. . 02563
Installer — Driller Address
Type of Building
Dwelling----Residential_ _____--_____---
Other - Type of Building ---------- No. of Persons-----------------------------------------------------
Typeof Well----Water -4tt------------------------------------------ Capacity------------------------------------------------------------
Purpose of Well Drinking -
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 ertificate of Compliance has been issued by the Board of Health.
Signed -----
date
Application Approved By-_—_—---- - —--------------------------------- ---- -- - -
date
Application Disapproved for the following reasons:----------------------------------------_----_----__-------------------------_--------------______
--------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------
date I
PermitNo.--- ___— -------------------—-------------------- "dattee ---------- -- — —
L_ .
--- Fee------------77------
BOARD OF HEALTH -
TOWN OF BARNSTABLE
Application-for Vell Cootruct ion Permit
Application is hereby made for a permit to Construct (X), Alter ( ), or Repair ( )an individual Well at:
Lot 26 -----------------------Northwind Dr., W. Barnstable
-------------------- ---------------------------------------------- ----------------------------------------------------------------------------------------------
Location — Address Assessors Map and Parcel
Tom DeMayo 450 Lower Rd., Brewster, Ma. 02631
------------------------------------------------------------------------------------------------ -------------------------- ---------------------------------------___----------------------
Owner Address
Meehan Well Drilling, Inc. 338 Rte. 130, Unit 1, Sandwich, Ma. .02563
-------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------
Installer — Driller Address
Type of Building Residential
Dwelling------I------------------------------------------------------
Other - Type of Building---------------------------------- No. of Persons---------------------------------------------------------
Water - 4" ------------------------------------=--
Type of Well--- z--------------------------------------------
------- Capacity---------------------------------
Dri--:----nking
Purposeof Well--------------------------------------------------------------------
I
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 -Certificate
ertificate of Compliance has been issued by the Board of Health.
1?a - --
Signed- ------r--� - ----------------- - ---�---------� -
,ff date'.
ApplicationApproved By----------------------- ----------------------------------------------------- _ -- - -- -- -
-_ , k -date
Application Disapproved for the following reasons:------------------------------------------------------------------------------------------------------------
--
date
Permit No.-- � j J
------- Issued-----------------------------------------------------------------------------------
date
y BC939 'January 7, 1991
L`�g Number: .Bottle. Date:
F BA
BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT
_ SUPERIOR COURT HOUSE
v BARNSTABLE, MASSACHUSETTS 02630
MASS DRINKING WATER LABORATORY ANALYSIS PHONE:362-2511
_Ext. 337
Client: Thomas DeMayo Collector:. " C, Stiefel
Mailing Address: 450 Lower Road ;;Affiliation rife. BCHED
Brewster, MA 02631 Time`,& Date of
:' ,,
Collection:,, .` .
Telephone: 896-4799 Type of Supply: well.
Sample Location: Lot 26 Northwind Drive Well Depth:
West Barnstable, MA Date of Analysis: 1/3/91 2:35 p.m. -
off Cedar Street in back
PARAMETER SAMPLE RESULT RECOMMENDED LIMITS
Total Coliform Bacteria/100 ml 0 0
pH 6.0
Conductivity (micromhos/cm 500:0
Iron m 0.1 0.3
Nitrate-Nitro en m <.1 10.0
Sodium m) _ , '10 '20.0
Copper m <.1 1.0
I. X Water sample meets the recommended limits for drinking of all above tested parameters.
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"sampl*e`' has` higher'than'k`average levels'`of; Nit'rate:' `°FutuI e6`monitoring''-is
recommended (2-3 times per year) to establish any upward trends.
B. The low pH of the water may shorten the useful life of the house's plumbing. :: :.
C. Water may present �aesth`et'ic";`prob'lems''(tasfe;rodor,,,-'sta`i'n'ing)''d'ue-'to "*r"lia: `
, .., a . ., t ..,.... t . . .. :.i,. ,J. I:' ilit, 1 h.J 3,1 T:.• .-.v..t ,.. ...t. ::,..:.i'.1.,.,...} 'c)lt t i... •
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:
CC: Barnstable Board of Health
CC:
.. 117/85
borator irector
v .
i
i# BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT LABORATORY REPORT
VOLATILE ORGANIC CHEMICAL ANALYTICAL RESULTS
Client : THOMAS DEMAYO Collection Date: 01/03/91
Mailing Address: 450 LOWER ROAD Date of Analysis:01/04/91
BREWSTER, MA 02631 Type of Supply: WELL
Well Depth (FT) : Not Given
Telephone: 896-4799
Sample Location:LOT 26 NORTHWIND DRIVE LAT. (DDMMSS) : Not Given
WEST BARNSTABLE LONG. (DDMMSS) : Not Given
Collector: C . STIEFEL Map/Parcel :
Affiliation: BCHED
Analytical Method: 502. 1=1 , 502. 2=2, 503 . 1=3, 504=4 , 524 .1=5 , 524 . 2=6,
502 .1/503=7
Contaminants Anal. Result MCL Detection
Detected Meth, ug/l ug/1 Limits (ug/1)
------------ -------
Chloroform 2 13 . 1 0. 2
Only those compounds listed above were detected. Attached is a list of
compounds for which this sample was analyzed.
NOTE: Contaminant levels equal to or exceeding the Detection
Limits are reported.
MCL means Maximum Contaminant Level for EPA-regulated
compounds. (ug/1 = micrograms per liter = Parts Per Billion)
The Environmental Protection Agency has set Maximum Contaminant Levels
(MCL) for the following compounds. This sample compares as follows:
COMPOUND MCL (in PPB)
Benzene 5. 0 * level not exceeded *
Carbon Tetrachloride 5.0 * level not exceeded *
1 , 2-Dichloroethane 5.0 * level not exceeded *
1 ,1-Dichloroethene 7 .0 * level not exceeded *
1 , 4-Dichlorobenzene 75 * level not exceeded *
1 , 1 , 1-Trichloroethane 200 * level not exceeded *
Trichloroethene 5.0 * level not exceeded *
Vinyl Chloride 2. 0 * level not exceeded *
Comments or additional compounds found:
Bernard E. BartelsZPh Labo tory Director
s B
BARNSTABLE COUNT-Y HEALTH AND ENVIRONMENTAL DEPARTMENT
SUPERIOR COURT HOUSE
v tr BARNSTABLE, MASSACHUSETTS 02630
TABLE 1_ Compounds Detectable by EPA Method 502.1* PHONE: 362-2511
ATAS-
EXT. 330
LAB 337
COMPOUND D.L. COMPOUND D.L. CLINIC 340
Benzene 0.5 1 ,1-Dichloroethane 0.5
Carbontetrachloride 0.5 1 ,1-Dichloropropene 0.5
1 ,1-Dichloroethylene 0.5 .1 ,3-Dichloropropene 0.5
1 ,2-Dichloroethane 0.5 1 ,2-Dichloropropane 0.5
para Dichlorobenzene 0.5 1 ,3-Dichloropropane 0.5
Trichloroe.thylene 0.5 2,2-Dichloropropane 0.5
1 ,1 ,1-Trichloroethane 0.5 Ethylbenzene 0.5
Vinyl Chloride 0.5 Styrene 0.5
Bromobenzene 0.5 1 ,1 ,2-Trichloroethane 0.5
Bromodichloromethane 0.5 1 ,1 ,1 ,2-Tetrachloroethane 0.5
Bromoform 0.5 1 ,1 ,2,2-Tetrachloroethane 0.5
Bromomethane 0.5 Tetrachl'oroethylene 0.5
Chlorobenzene Q 0.5 1 ,2 ,3-Trichloropropane . 0.5
Chlorodibromomethane 0.5 Toluene 0.5
Chloroethane 0.5 para Xylene 0.5
Chloroform 0.5 ortho Xylene 0.5
Chloromethane 0.5 meta Xylene 0.5
ortho Chlorotoluene 0.5 Bromochloromethane 0.5
para Chlorotoluene 0.5 . Dichlorodifluoromethane 0.5
Dibromomethane 0.5 Fluorotrichloromethane 0.5
meta Dichlorobenzene 0.5 Nexachlorobutadiene 0.5
ortho Dichlorobenzene 0.5 Isopropylbenzene 0.5
trans-1 ,2 Dichloroethylene 0.5 n-Propylbenzene 0.5
cis-1 ,2 Dichloroethylene 0.5 Sec-butylbenzene 0.5
Dichloromethane 0.5 Tert-butylbenzene 0.5
D.L. is Detection Limit in micrograms -per liter or parts per billion (ppb) .
This table lists our normal limits of detection. If we report a smaller amount,
then our detection limit was lower for that analysis.
*A photoionization detector is used in series with the electroconductivity
detector, thus allowing for the analysis of most of the compounds listed in
EPA Method 503.1. as well .
TABLE 2. Compounds which have Maximum Contaminant Levels (MCLs) set by the
Environmental Protection Agency.
COMPOUND MCL (in ppb)
Benzene 5.0
Carbontetrachloride 5.0
1 ,2-Dichloroethane 5.0
1 ,1-Dichloroethylene 7.0
para Dichlorobenzene 75
1 ,1 ,1-Trichloroethane 200
Trichloroethylene 5.0
Vinyl Chloride 2.0
Total Trihalomethanes 100
Chloroform, Bromodichloromethane, Chlorodibromomethane, and Bromoform comprise
the total trihalomethanes.
1 .
Log Numbers Bottle # * BC93tw Date: Januery 7, 1
sa BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT
SUPERIOR COURT HOUSE
v BARNSTABLE, MASSACHUSETTS 02630
a s
AlAS`✓ DRINKING WATER LABORATORY ANALYSIS PHONE;362-2511
'_Ext. 337
Client: Thomas DeMayo Collector: C.; 5tiefel
Mailing Address: 45U Lower Road Affiliation: BCHED
Brewster, MA 62631 Time & Date of
Collection: 1/3/91
Telephone: 696-4799 Type of Supply: well
Sample Location: Lot 26 Northwind Drive Well Depth:
West Barnstable;, MA Date of Analysis: 1/3/91 2:35
(off Cedar Street in back
PARAMETER SAMPLE RESULT RECOMMENDED LIMITS
Total Coliform Bacteria/100 ml 0 0
pH 6.0
Conductivity (micromhos/cm) 67 500.0
Iron m) 0.1 0.3
Nitrate-Nitro en ( m) <.1 10.0
Sodium ( m) IQ 20.0
Copper (opm) <.1 1.0
I . X Water sample meets the recommended limits for drinking of all above tested parameters.
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.-
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:
CC: Barnstable Board of Health f
1 /7/85 Llaboratory,,,D1 rector
Explanation of Test Results
Total Coliform Bacteria
Coliform bacteria are an indicator of the sanitary quality of a water supply. Water'supplies may become
contaminated from malfunctioning septic systems, cesspools and surface runoff. A total coliform count of zero
indicates that your water supply is safe and approved for human consumption. A total coliform count of greater than
zero is most often the result of accidental contamination of the sample bottle through improper sampling methods.
For this reason. it would be advisable to retest any well water that is not approved.
pH
pH is the measure of acidity oralkalinityof the water. On the pH scale,the number 7 is neutral,less than 7 is acidic
and more than 7 is alkaline. The pH of water on Cape Cod tends to be acidic in the range of 5.0 to 6.5.
Conductivity
Conductivity is a measure of the dissolved salts in solution. Amounts in excess of 500 micromhos/cm are generally
considered unacceptable and may have a laxative effect upon users.
Iron
The presence of iron in water in concentration of .3 ppm or greater may: give the water a bittersweet astringent
taste, cause an unpleasant odor, often gives the water a brownish color and cause staining of laundry and porcelain.
The average concentration of iron in Cape Cod's water is .2 - .6 ppm. Although the presence of iron in water may
cause the problems listed above, it is not considered deleterious to health. Iron may be removed by use of an iron
removal system.
Nitrate-nitrogen
The Massachusetts Drinking Water Regulations havc set a maximum contaminant level for nitrates at 10 ppm.
Excessive concentrations may cause methemoglobinemia (an infant disease) and have been suggested to form
potentially carcinogenic nitrosamines. Contamination sources include fertilizers, cesspools and industrial wastes.
Copper
Due to the acidic nature of the water on Cape Cod, copper tends to leach from pipes. This normally does not
present a health hazard; however, concentrations in excess of 1.0 ppm may cause a metallic taste and/or a
bluish-green stain on porcelain fixtures.
Sodium
A concentration of sodium over 20 ppm is only of concern to people who are on a low sodium diet. If the water
supply has more than 20 ppm sodium. it is up to the people who are on such a diet to find another source of drinking
water or contact their doctor to determine if consuming the water is advisable. Concentrations exceeding 50 ppm
indicate that there may be ocean water or road'salt runoff water getting into the well.
1
BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT LABORATORY REPORT
VOLATILE ORGANIC CHEMICAL ANALYTICAL RESULTS
Client: THOMAS DEMAYO .Collection Date: 01/03/91
Mailing Address: 450 LOWER ROAD Date of Analysis:01/04/91
BREWSTER, MA 02631 Type of Supply: WELL
Well Depth (FT) : Not Given
Telephone: 896-4799
Sample Location:LOT 26 NORTHWIND DRIVE LAT. (DDMMSS) : Not Given
WEST BARNSTABLE LONG. (DDMMSS) : Not Given
Collector: C. STIEFEL Map/Parcel:
Affiliation: BCHED
Analytical Method: 502.1=1, 502.2=2, 503.1=3, 504=4 , 524 .1=5, 524.2=6 ,
502.1/503=7
-------------------
Contaminants Anal . Result MCL Detection
Detected Meth. ug/1 ug/1 Limits (ug/1)
---------------------------------------------------------------------
Chloroform 2 13 . 1 0.2
Only those compounds listed above were detected. Attached is a list of
compounds for which this sample was analyzed.
I
NOTE: Contaminant levels equal to or exceeding the Detection
Limits are reported.
MCL means Maximum Contaminant Level for EPA-regulated
compounds. (ug/l = micrograms per liter = Parts Per Billion)
The Environmental Protection Agency has set Maximum Contaminant Levels
(MCL) for the following compounds. This sample compares as follows:
COMPOUND MCL (in PPB)
Benzene 5.0 * level not exceeded *
Carbon Tetrachloride 5.0 * level not exceeded *
1, 2-Dichloroethane 5.0 * level not exceeded *
1 ,1-Dichloroethene 7 .0 * level not exceeded *
1 , 4-Dichlorobenzene 75 * level not exceeded *
1 , 1, 1-Trichloroethane 200 * level not exceeded *
Trichloroethene 5.0 * level not exceeded *
Vinyl Chloride 2.0 * level not exceeded *
Comments or additional compounds found:
Bernard E. Bartels, Ph La bo tory Director
No. .:.. I Fs .............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliratiun for Disposal Works Tonstrnr#iun jhrmit
App •cation is hereby made f r a Permit to Construct (�) or Repair ( )'an Individual Sewage Disposal
S................h...D_.. . ..._... CeGCr S- .� n �
. - ---•--------------------------------- •----•-•--
t, Z�
t dress or Lot No.
- -------------•-----.---•--...._._... -----
O ner Address
W
-----....--•------------•--•-•--------^---------------^•--........----.....---•------...--•----- •-•-----•------------------•--------•----•--..._..----•--••---------......------ ---------•------
Installer Address
.U Type of Building Size Lot._ k¢__�2��-.__S q. feet
Dwelling—No. of Bedrooms........:.............................Expansion Attic ( ) Garbage Grinder (>Q
Other—Type of Building No. of persons............................ Showers — Cafeteria
Q' Other fixtures
-------------------.----------------------•------------•------------------------
W Design Flow.............-.5.6........................gallons per person per day. Total daily flow..........5-3 ......................gallons.
W _J �
Septic Tank—Liquid capacityf•�..gallons Length__lo� -"_. Width._`vtg"._.. Diameter________________ Depth.__44.v,
x Disposal Trench—No..................... Width.................... Total Length.........._......... Total leaching area....................sq. ft.
Seepage Pit No........I............ Diameter.....Ap.-....... Depth below inlet...... ........... Total leaching areas` t .2—.,X--ftCl
Z Other Distribution box (;Iq Dosing tank ( )
'-' Percolation Test Results Performed g �M _. ---------------- Date...�J�3_'_ ............
Test Pit No. 1_ L....minutes per inch Depth of Test Pit...._ ...... Depth to ground water....M-C*1
G4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-.-_-___--_-____--_____.
ODescription of Soil ...�1.�1.....-•---•---•---............---..........................................................................
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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been issued by the board of health.
Signed --------------------------------------------------------"--'---' ....._------------------...--- ......
Application Approved BY ..-' ' " " �'...� " '
Date
Application Disapproved for the following reasons- ---------------------- ----------------------"--'-----'-'-------------------......--------------.......------------------------_---
Permit No. G� - Z.--------------------------_-- Issued ua�e.. Date
------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
V&rttf ratr of C11umplianre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ?cam) or Repaired ( )
by.............,C - 1...........J....................._......-....-../.....................5...
at �.p.l..a.�a.....0 �7/-_.�l/049 �i%�.-L-��.. � `(` = -----------------------------------------..........................................
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. ...-. --��/.j............... dated ...-. .71��--�a...........-----.---
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUA ANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE------ -----'----'.. ........................................................'......................... Inspector .'-----'......................................................... .............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
No......................... FEE./Q_0............
Disposal Workii T-Funu#r ion frrmit
Permission is ereby granted..............................................................................................................................................
to Construct (Xor Repair ( ) an Individual Sewage Disposal System
atNo.................................................................................................................................................................
Street `/
as shown on the application for Disposal Works Construction Permit No. �r_7y, Dated.___y��_.� ...............
.......--••-•---•-•-----------------------------------------------------------------••---••-•-•-•--_...._
Board of Health
DATE................................................................................
FORM 36508 HOBBS&WARREN.INC.;PUBLISHERS
:lk
62)
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliratinn for 0iiposal Workii Tnnitrnrtiort rumit
j Application is hereby made for a Permit to Construct (X or Repair ( ) an Individual Sewage Disposal
s La,,,e
g C'Edar Sa .
.... ... . . _.__ ------------=---------W:.&t?P!`?�S!�,�._....... ----_.-..._..------•---�=� ►z'—�--------------------------•--..........-----------
Lac �njddr.ess or Lot No.
`I:41�"' �_.... a-------------------------------------- -------•---------------------------••--------------------------------------•------------------r Address
W
Installer Address
Type of Building Size Lot___ ------Sq. feet
�-t Dwelling—No. of Bedrooms____.________........._...............Expansion Attic ( ) Garbage Grinder (�
p,, ; Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
. 11 Other fixtures ------------------------------------------------------.••••---•-•---------••••-----•---- ••---•---•-•••-•-•-••••••--••-•--•-••---••--•-•••...........
Design Flow.............456.......................gallons per person pef day. Total daily flow________.53-�.....................gallons.
WSeptic Tank—Liquid capacity_3f.�9_ -gallons Length___ Width__;*._f._ Diameter________________ Depth____.'..c>"
x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--------I----------- Diameter......1Q1....... Depth below inlet____._�r_[________ Total leaching area_5YI!_R-sq—Et.ci
Z Other Distribution box (7< Dosing tank ( )
'-' Percolation Test Results Performed by.-.'?A __ Date____r-�_'3_" ..................
�L
a Test Pit No. 1________________minutes per inch Depth of Test Pit____-(��____.___ Depth to ground water_...AC*
444 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
------------------ -----------------
ODescription of Soil --- - ) l----------------=-----------•••----•-•-••••............................................................
--------------------------------------------------------------------------•--•---�• �.;•-•--_�--=� ------------...---------------•-------------•-------------------------._.._......__.
U Nature of Repairs or Alterations—Answer when ap licable_______________________________________________________________________________________________
-------------------------------------------------------------------------------•----._...-----------------------------------------------------------------------------------------------------.....-----
Agreement:
* The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
.the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been issued by the board of health.
Signed .
......... -------
Application Approved By ... ... f �% 9 -----------
Date
Application Disapproved for the following reafon.r- ------------------------------------------------------------------------------------------------------------------------------------- ,
------------------------------ --------------------------------------------------------------------------------------------------------------------- ............................................. ----------------------------------------
Date
Permit No. ............=' Issued
f Dale
THE COMMONWEALTH OF MASSACHUSETTS "
BOARD OF HEALTH
s'
TOWN OF BARNSTABLE
Q'Irdtftca#e of Tomplia re
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( )
by-----------..................................... ---------- ... .............................
at �Q � ------------------------------....................--------------
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Cody as described in
the application for Disposal Works Construction Permit No. ...... - . dated .-.. -A...................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE�CONST UED AS A GUARANT E THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE---------------------------------------------------.................................................. Inspector -------------- ---------------------------...--------------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
G�a_cl/ TOWN OF BARNSTABLE to
No.......... ...... FEE.. S.1 .....
' Disposal Vorkii Tonstrnrtilan omit
Permission is ereby granted--------------------------------------------------------------------------------------------- -------------------------....................
to Construct ( ) or Repair ( ) an Individual Sewage Disposal System
atNo...............................................................................................................................................................................................
Street
as shown on the application for Disposal Works Construction Permit No.� 7_�,�_' , Dated_____��_�/-��E_______________
---------------------....................................-••••------•---••..........................
Board of Health
DATE...........................----•-----------------------------------------•---•• . ..
FORM 36508 HOBBS&WARREN.INC.,PUBLISHERS
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