HomeMy WebLinkAbout2250 MAIN ST./RTE 6A(BARN.) - Health ` ,. BARNSTABLE
TOWN OF BARNSTABLE
I0CATION SEWAGE# ®('9' JQ
-
VILLAGE Sly ASSESSOR'S MAP&PARCEL �7 4_ --
INSTALLER'S NAME&PHONE NO. -L•'. �®�- 'Y - ��
SEPTIC TANK CAPACITY I
LEACHING FACILITY.(type) (size) �O /�• IC��
NO.OF BEDROOMS . Gc G Gay C a�lsy i/°fie
OWNER
PERMIT DATE: COMPLIANCE DATE: (;
Separation Distance Between the:
i
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility(If any wells exist on
site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) f- Feet
FURNISHED BY
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No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Application for ]Disposal *pstrm C®nstCurtion 3permIt
Application for a Permit to Construct(Y Repair( ) Upgrhde( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. at a 5b (¢ Owner's Name,Address,and Tel.No.0-79-I;t;L- OG&2
Assessor's Map/Parcel a�j� !W' �` o6 S� `�h Za-SU M0J-n SF
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Installer's Name,Address,and Tel.No. "I �anvl- Designer's Name,Address,and Tel.No.-ot 3(.�L
3,bT -o(q c.�i zi�"uc--l�-+'�1»L v +R��a X t 00�n C ® ►arc 34 Met&n 51
Type of Building:
Dwelling No.of Bedrooms Lot Size INO sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 336 gpd Design flow provided 3 3 q gpd
Plan Date d J,5o 2-c0f 26 nI" 'Number of sheets ! Revision Date a F. �,�U!$
Title 'i,,�--�e:6 �[. p�" C9, 2 a 50- Aou tz C A O1 o 5 E Aa&m.d 16019 MA
a
Size of Septic Tank I SOSra e d is Type of S.A.S.
Description of Soil 6e 2 Isexr,G /er,d
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenaneg of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environment d Lplace system in operation until a Certificate of
Compliance has been issued by this Board of Health.
i ed Date l
Application Approved by ( Date
Application Disapproved by Date
for the following reasons
Permit No. ..v Date Issued
77,
{ No. �) Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION.--TOWN OF BARNSTABLE, MASSACHUSETTS Yes
01pplitattott for ]Disp6isaf 6pstettt (Construction Permit
Application for a Permit to Construct( Repair( ) Utgt9de(r ) Abandon( ) [:]Complete System ❑Individual Components
Location Address or Lot No. .ala T6 (auk�� +SY ? Owner's Name,Address,and Tel.No.'712y-Z;L
Assessors Map/Parcel 230 ba-ti + LA.).
Installer's Name,A��Address,and Tel.No.� Designer's Name,Address,and Tel.No.j 06 3 �(e
I&r'4-otU� ��� r&y-6 't)C.W4M l..yi(- 0 ate X p)CAV
fV1 to C 1--kr3r+ d %.a jQ.4t.Q n Vatl..rtno�
Type of Building:
f•
Dwelling No.of Bedrooms Lot Size ��� �- sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 3 gpd Design flow provided ��� gpd 1
Plan Date "'�,,9,, ti a i C, Number of sheets / Revision Date ter. 5 , {'f
Title T_, -� 5&.t, P".r-Ok a"z at�U Ar,:,t Cn g i.s y S(- &tn,A;6d /t A
Size of Septic Tank 1`cX>q,.,p t4jo Type of S.A.S. S'c, x r7-1 r,;, ,��.) OtCrC f •F3(ta
Description of Soil
Nature of Repairs or Alterations(Answer when applicable).
Date last inspected:
Agreement
"= , The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal,system in
accordance with the provisions of Title 5 of the Environmental-Code and oeto place the system in operation until a Certificate of
Compliance has been issued by this Board of Health. 1 -
i ed
Application Approved by Date i �
Application Disapproved{>y / Date
for the following reasons a.
Permit No. ...» Date Issued
-- - -- - -_ _- -- _ r. - -- ------- - --- -- - ---- � ---------------- - - ------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS -
Certificate of Compliance
THIS IS TO CERTIFY,/that the On-site Sewage Disposal system Constructed( ) Repaired(iN� Upgraded( )
Abandoned( )by
r
__. . . at- 7.150-- P) ` A.
Tat t: /n n�ae S F2_ has been eons c a reek
with the provisions of Title 5 and the for Disposal System Construction Permit No. ated
Iristaller � r��.- � 1 r,v� r�_t i�r�{ --hG Designer '" ,.r AA d A o , 7l�_IC
#bedrooms } V o Approved design flow f`� � gpd
The issuance of this permit shall not be construed as a guarantee that the systelrtl fun"�f n6as de g,e .
Date 6/ {f Inspector ' t
t
------- -.- ------ :---_---_---- - _ --..--•------•------- ------------------ ---- ------------------------------' ---
No. 1 U Fee .•/r
' THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal 6pBtpm (Construction Permit j
Permission is hereby granted to Construct( ) Repair Upgrade( ) Abandon( )
�p r
System located.at �.}� C> i�i r,t4 6 /)Al 4 LI 44 ,
f
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
Provided:Constructidn mu )b`^co pleted within three years of the date of this permit.
Date "/ / Approved by ) ;.�✓
i
Town ®f Barnstable
1WHE Regulatory Services
s xsr� i Thomas F. Geiler, Director r
ALAS& Public][health Division
'Thomas McKean,YDirector
200 Main Street,Hyannis,MA 02601
Office' 508-8624644 Fax: 508-790-6304
installer&][Desiner Certification Form
][Date: D 9b SewageY'ea�uait# d7e Assessor''sMap\Parcel a37
s
Designer: DOWN CAPE.L'.NL L I Wc, J astaflier: ft im LO -T1. UNWA CTIbg
Address: 'M,MN !Xr( [M Address: . Ii�lDtl y =
W=MM (val A 'oa��� MAf fMi MILLS, MA NUB
On ci n I �� permit a
1 0 �was issued a p rmx. o install I
.(date) (installer) ,
septic system,at` �2Jr le 0 wte based on a design drawn by
(address)
b
Q
a✓� 4,( /l• a ICE dated re✓•
(designer)
-
I certify that the septic system referenced above was installed substantially according to
the design, which,may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank.
I certify that the septic system referenced above was installed with major changes (i.e.
• greater than 10'lateral relocation of the SAS or any vertical relocation of any component
of the septic system)but in accordance with State&Local Regulations. Plan revision or
certified as-built b designer to follow.
c
OF A4i,q
DANIELA. s
(Installer's
� Lam__._ - � �IVIL ^�aller s Signature)
N 4 o..� 6502
�a
' ) T� G�S T E� ����•'
�Olet I rS/ONAL ENG ^
(Designer's Signature) (Affix Designer's Stamp Here)
]PLEASE RETUM TO BARNSTABLE PUBLIC HEALTH DMSION. CERTMCATE OF
COYRL NCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND_AS-BUILT CARD ARE
RECENED BY THE BARNSTABLE PUBLIC HEALTH DMSION THANK YOU.
Q:Health/Septic/Designer Certification Form 3-26-04.doc
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GAS 1
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EXISTING
DWELLING
TOF=53.4'
13-011
SEPTIC AS-BUILT
PREPARED EXCLUSIVELY FOR THE PURPOSE OF OBTAINING A SEPTIC CERTIFICATION, NOT FOR ANY.OTHER USE
LOCATION 2250 ROUTE 6A
t I
SCALE : 1" = 30' OCTOBER 9, .2018 PREPARED FOR:
JUDITH GH
REFERENCE MAP 237 PCL 12
o� DANIEL tics
S• ^^ 11 '
off 508-352-4541 a No.4080
fax 508-382-9880
downoape.aom® lO��� r�
MR ca.Oe dWk/Wefina,i7t. l �A/Q S I) I ,
clvll englneers
land surveyors
939 Ma/n Street (Rte 6A)
YARMOUTHPORT MA 02675 DATE REG. LAND SURVEYOR
x
Town of Barnstable P# 115,57817 Department of Regulatory Services � 02
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BARNSTABLE, : Public Health Division Date >>
y MASd .
200 Main Street,Hyannis MA 02601 P
ED MA'l i;d.:a
Date k-Scheduled Time Fee Pd.
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X
Soil Suitability Assessment for S e Disposal f ,,
.y--, OD
Performed By: .� Witnessed By: (�
LOCATION & GENERAL INF0104ATION
Location Address 1 S D K, Owner's Name Ke"VA✓l av
Address
Assessor's Map/Parcel: 7//a 1 Engineer's Name
NEW CONSTRUCTION y REPAIR / Telephone6 U l?aa 4G
Land Use ~ -f f"%�; l Slopes(%) ( Surface Stones CV , .
t'
Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft
Drainage Way ft .Property Line ft Other ft
. SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
Parent material(geologic) Depth to Bedrock
Depth to Groundwater: Standing Water in Hole: d Weeping from Pit Face
Estimated Seasonal High Groundwater .
DETER IINATION FOR SEASONAL,L,HIGH WATER TABLE
Method Used:
Depth Observed standing in obs.hole:. in. Depth to soil mottles: in.
Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft.
Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level
PERCOLATION TEST Date Time
Observation
Hole .,Time at 9"
w
_ r Depth of Perc T T ime at 6"
Start Pre-soak Time @ + ll - .,,Time(9"-6")„
End Pre-soak
Rate Min./Inch .
Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back ------
***If percolation test is to be conducted within 100' of wetland,you.must first notify the:
Barnstable Conservation Division at least one(1)week prior to beginning.
Q ASEPTICIPERCFORM.DOC
DEEP OBSERVATION HOLE LOG Hole
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
n Consistent %Gravel
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistent %Gravel
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistent %Gravel
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistent %Gravel
Flood Insurance Rate Man:
Above 500 year flood boundary No_ Yes ,
Within 500 year boundary No Yes
Within 100 year flood boundary No Yes
Denth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the
area proposed for the soil absorption system?
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on r (date)I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysis was performed by me consistent with
the required training,expertise and experience described in 310 CMR 15.017,
Signature + �-` Date `
Q:\SEPTIC\PERCFORM.DOC
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TOWN OF BARNSTABLE
SEWAGE #
VII,L a so ASSESSOR'S MAP
AGE
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY (�
LEACHING FACILrrY: (type) 5 !P (size)
NO.OF BEDROOMS
BUILDER OR OWNER r ✓ �� ✓i �+ �"
PERMITDATE: COMPLIANCE DATE:
Separation Distance Between the:
f Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
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LO C'"AT ION SEW G E PERMIT NO.
AMLAL r
VILLAGE
INSTALLER'S NAME & ADDRESS
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OR OWNER
DATE PERMIT ISSUED S 7 �
MPLIA 1 SUED
DATE CO NCE S 79
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ALL
S SHALL
SYSTEM DESIGN: SYSTEM PROFILE MARKED WITH MAGNETICOR BE
LEGEND NOTES
PROVIDE MIN. 20" DIAM. WATERTIGHT (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION.
- - 99 - EXISTING CONTOUR ACCESS COVERS TO WITHIN 6" OF FIN. GRADE CONCRETE COVERS TO WITHIN 3" GRADE 1. DATUM IS NAVD 88
GARBAGE DISPOSER IS NOT ALLOWED TOP FOUND. EL. 53.4' 2' PEASTONE OR GEOTEXTILE
X 99.E EXISTING 2 BEDROOMS DWELLING FILTER FABRIC OVER STONE 2. MUNICIPAL WATER IS EXISTING
EXIST. SPOT ELEV. \ 47.0'
PROPOSED 3 BEDROOM DWELLING MINIMUM .751 OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 46.5 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. Locus
-[99]- PROPOSED CONTOUR DESIGN FLOW: 3 BEDROOMS @ 110 GPD = 330 GPD i 6P
PRECAST H-10 BLOCKS OR 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS o 0 0 oJtie
[98.41 PROPOSED SPOT EL. USE A 330 GPD DESIGN FLOW R2smRs (TYP.) , " MORTAR ALL PRECAST RISERS TO BE AASHO H-LQ �' R
,A. 46.0 4 OSCFI40 PVC COMPONENTS H-10
TH1 6" MIN. SUMP PIPES LEVEL 1ST 2' 4r 5'-- INV'S EL. 42.7' 4' 5. PIPE JOINTS TO BE MADE WATERTIGHT. do v
12" MIN. INT. DIM, �ENDS (NP') SIDES 43.70'SEPTIC TANK: 330 GPD (2) = 660 �+ BET.00
TEST HOLE 50.3f*
10" 14" _ EE p000 �. �0�� 00 oao �.�0� °° °° ° 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH
2� SLOPE OF GROUND USE A 1,500 GAL. SEPTIC TANK TEE 1500 GAL H-10 TEE ° ° °°° °°°°°°°°°
44.60 0 0 -��EIm
;00000000 310 CMR 15.000 (TITLE 5.) CommuCcpe �fy
SEPTIC TANK ° ° ° ° ° ° WATERTEHT D'BOX °°°°°°°° ®®®o®0000ao °°°°°° ®000a00000 °°°°°°°°
r 4' LIQ. LEVEL GAS BAFFLE ;• o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LEACHING: °O°O°O°O°O°O. 'a°° o 0 0 0 0 o 0 0 o o°°o°o o 0 0 0 0 '00000°oCl% e
UTILITY POLE ACME OR EQUAL ''° ° °^° ° FOR LEVELNESS o 0 0 o a0000�oao�o 0 0 Q=7=1O�Oa44.85 °" `� ®a®oa00000� 00°0°0 mm=mFnmm ;00000000 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO
SIDES: 2 (30 + 12.83) 2 (.60) = 103 GPD 43.03' 42.86' °°°°°°°° °°°°°°
FIRE HYDRANT °°°°°°° °°°°°° °0°0°0°0 40.7' PURPOSE.
BE D FOR LOT LINE STAKING OR ANY OTHER o
i..r ,;.. :. �: :•• 6" MIN. SUMP G
°°o o"o 0 0 0 o a o 0 0 o c o 0 0o 0 0 0 0`� co Route 6
o°o°o°000°o°oao°aoo°o°oaa°000°000°000°0000000 12" MIN: INT. DIM.
NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING BOTTOM 30 X 12.83 (.60) = 231 GPD ooaooaaoaa000000000ao
�,o a o a a 000_�_°_a_n_7.o a I LH-20 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC.
3/4"-1-1/2" DOUBLE WASHED STONE (2) UNITS REQUIRED
TOTAL: 556 S.F. 334 GPD � 6" CRUSHED STONE OR MECHANICAL 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED
OVERALL DIMENSIONS TO OUTSIDE OF STONE: 30' X 12.83' WITHOUT INSPECTION BY BOARD OF HEALTH AND Exit
COMPACTION. (15.221 [21) 114 PERMISSION OBTAINED FROM BOARD OF HEALTH.
USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) 15.5 % SLOPE) ( ( � SLOPE) 6
WITH 4' STONE ALL AROUND AND 5' BETWEEN CHAMBERS 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING �6
13 % SLOPE) 1
DIGSAFE (1-888-344-7233) AND VERIFYING THE
FOUNDATION- 35' SEPTIC TANK 12' D' BOX 18' LEACHING LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES LOCUS MAP
FACILITY PRIOR TO COMMENCEMENT OF WORK.
35.5' BOTTOM TH-2 SCALE 1"=2000'f
*THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL NO GROUNDWATER FOUND 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE
MA UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS REMOVED BENEATH AND 5' AROUND THE PROPOSED
APPROVED DATE BOARD OF HEALTH PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM LEACHING FACILITY. ASSESSORS MAP 237 BLOCK 12 LOT 1
12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND LOCUS IS WITHIN FEMA FLOOD ZONE X
REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. (AREA OF MINIMAL FLOOD HAZARD) AS
SHOWN ON COMMUNITY PANEL #25001 CO554J
DATED 7/16/2014
SHED
I I
I ZONING SUMMARY
I " ZONING DISTRICT: RF-2 AND RF-1
I GAR D N DISTRICTS (DWELLING IN RF-2)
aX MIN. LOT SIZE 43,560 S.F.
MIN. LOT FRONTAGE 20' TEST HOLE LOGS
I MIN. FRONT SETBACK 30
I � MIN.- SIDE SETBACK 15'
LOT AREA MIN. REAR SETBACK 15' ENGINEER: CRAIG J. FERRARI, SE #13871
CLAY 44,054f SF MAX. BUILDING HEIGHT 30'
PATIO WITNESS: DON DESMARAIS, RS
SITE IS LOCATED WITHIN THE AQUIFER
DATE: 2/23/18
I PROTECTION OVERLAY DISTRICT PERC. RATE = 9 MIN/INCH
• I
I II I CLASS II SOILS P# 15589
I I DECK I I NO
I
I 7.9' II II
ELEV. ELEV. ELEV. ELEV.
I �8 �' ' '4 4 p• 4 46.1 '
I I I I of, 46.0 p 46.5 p» 46.4 '
I II I REFERENCES A A A A
I I I EXIST. SHED LS LS LS LS I
DEED BOOK 10130 PAGE 60 _ - _
10YR 3/2 -
10YR 3/2 10YR`3/2- 10YR 3/2
II Q> I PLAN BOOK 332 PAGE 57 24" 44.0' 12" 45.5' 16" 45.1' 14" 44.9'
I col oo B B B B
I I .
O I 17.7' \ II o LS LS LS LS
I i TREE NOTE: 10YR 5/6 10YR 5/6 10YR 5/6 10YR 5/6
I STUMP UNDERGROUND I 48" 42.0' 24" 44.5' 36" 43.4' 32" 43.4'
I O 12" TREE ELECTRIC IN \ \
3 46 THIS AREA 1 TREE
I I z \ \
O UNDERGROUND \ \ C C C C
Y PERC
N WIRE TH4 TH'3 \ \ 34. '
\ I-
MS MS MS MS
Ln \\\\'0C 11 w I --I \\
rl� � VV
5' REMOVAL OF UNSUITABLE SOIL REQUIRED I I N qN S`I N�INOs wj \ 1 OYR 7/4 1 OYR 7/4 10YR 7/4 1 OYR 7/4
AROUND PERIMETER OF LEACHING FACILITY,
2 DOWN TO SUITABLE SOIL LAYER. REPLACE WITH CLEAN MED. S�OOLI\ �\ 41
EET
SPECIFICATIONS OF3 SAND,0C R TO � 5.255(3)
I I 24" TREE
i I 30.0' I ICFSIOL\ \ 120" 36.0' 132" 35.5' 126" 35.9' 126" 35.6'
- - O 201 TREE \ NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED
\� I LAWN ARE \
� 1 TITLE 5 SITE PLAN
NTI / ` 50
\ \ o. / I , 1 OF
1 o .2'
� 1
1 \\ I GRAVEL 1
1 I `12 ` 0 RO' 'TE 6A
m DECK j \ DRIVE 1
1 doo, u
BENCHMARK. TOP I o I
OF FOUNDATION' I I BAR"NISTABLE,
�6 = 53.4 NAVD88 I GAS
I 0 INV. METER
oHWIR ELEc 50.3f 2 I PREPARED FOR
METER 5 I
-PR9,�OSED
EXISTING ADDI N 22.2' I
DWELLING JUDITH KAVANAGH
1 Do. I r TOF=53.4' \ Ate.,
3.4 \
90y V4 9�y •�
O_
/ (• -�-�Hpf Mgss. OFMgss'�:w1,,, DATE: JULY 5, 2018
l l
DECK N 1 DANIEL A. DANIEL ism REV.: SEPT 5, 2018
OJALA A.
1 .4' CIVIL Ica OJ.r?I
ENO. 02Q �N& 1J980 -L_ Scale: 1"= 20'
o
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13-011 KAVANAUGH.DWG