HomeMy WebLinkAboutApplication & Soil Test Results - 06/14/2018 - Soil Testing Results - 50 SAW MILL ROAD 9/13/2019 TOWN OF NORTH ANDOVER
Community & Economic Development `]
HEALTH DEPARTMENT
120 Mainn Street
,�NFNO�QP M�c�� NORTH ANDOVER, MASSACHUSETTS 01845
0 p�c
978.688.9540—Phone
978.688.9542—FAX
healthdept@northandovenna.gov
www.northandovertna.gov
APPLICATION FOR SOIL TESTS
DATE: June 4, 2018 MAP&PARCEL: Map 104A Lot 86
LOCATION OF SOIL TESTS: 50 Saw Mill Road (front left side of yard)
OWNER: Mark LaRosa Contact#: 781-799-2831
APPLICANT:Same as Owner Contact#:
ADDRESS: 50 Saw Mill Road North Andover, MA 01845
ENGINEER: Jack Sullivan Contact#: 781-854-8644
CERTIFIED SOIL EVALUATOR: Jack Sullivan email:jacksu1153@comcast.net
Intended Use of Land: Residential Subdivision Single Family Home Commercial
Is This: Repair Testing: XX Undeveloped Lot Testing: Upgrade for Addition:
In the Lake Cochichewick Watershed? Yes No XX
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM
➢ Proof of land ownership(Tax bill,or letter from owner permitting test)
➢ 8.5"x 11"Plot plan&Location of Testing,(please indicate test pit sites on the plan)
➢ Fee of$585.00 per lot for new construction. This covers the minimum two deep holes and
two percolation tests required for each disposal area. Fee of$440.00 per lot for repairs or upgrades.
GENERAL INFORMATION
➢ Only Certified Soil Evaluators may perform deep hole inspections.
➢ Only Mass.Registered Sanitarians and Professional Engineers can design septic plans.
➢ At least two deep holes and two percolation tests are required for each septic system disposal area.
➢ Repairs require at least two deep holes and at least one percolation test,at the discretion of the BOH
representative.
➢ Full payment will be required for all additional tests within two weeks of testing.
➢ Within 45 days of testing,a scaled plan(no smaller than I"-100')shall be submitted to the Board of Health
showing the location of all tests(including aborted tests).
➢ Within 60 days of testing soil evaluation forms shall be submitted.
Please Do Not Write Below This Line
N.A. Conservation Commission 4 roval Date: `
Signature of Conservation Agen.
Date back to Health Departnren • amp in):
29A
LEGEND.
28A� 1 EOP EDGE OF PAW30VT
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GALLON f. THE RIPOGRAPNY,SrTE DETAIL A•SURFACE IMPROW3ENTS DEPICTED
CO�NC.SOOSEPr TANK / (, J / HEREON JJW zz 20018 BYTE Gas,sLLARC4Er CONDUCTED ON
/ 2 THE LOCATION OF ALL UAIGINGROUR)UTILITIES MOWN ARE APPRdtlMATE
AND ARE BASED UoON A PARIUL FIELD SURVEY AND CONPLA 11GN OF
PLANS OF RECORD. IW DESIGN ENGI EFR DOES NOT WARRANTY NOR 0
4, / i� IED�2A GUARANTEE INE LOCAII04 OF ALL UWM3 DEP OR NOT DER IEA
/ IT£OWMACT02 PRIOR 70 COIM� LL MENT OF CONSIRIACIIOM,SHA
/'�• -"'2/ / m9wrY INE LOC4770N OF ALL UTILITIES AND CONTACT W SAFE AT
�P WTI / tV� / S TINS PLAN DOES NOT SHOW ANY UNRECORDED OR UNWRITTEN EASEMENTS
/ I 1. 70 W�APP�T ABLE AND DILIGENT
ATOPT HAS BMW MADE
7W LAAQ NOI IIMS
GOES NOT OGNSRIUTE A GUARANTEE THAT NO SVCH EASEMENTS EXIST
� � I f2A� 4. DIE ELEVA7KM DEFICIED hEREGN WERE BASED UPON AN ASSAYED DATUM
/ TWO pL� S 7hE LOWS PROAE'RTY IS NOT LOCATED WTIM A FLOOD ZONE AS
104 1A./ RF IA DEPICTED 04 PE LATEST FLOW INSURANCE RATE MM.
AL/ AL OWNER:
o eA ' SD MARK OSA
SAW MILL ROAD
I�7A Ac NORTH AOVER,MA 01843
/ /y_�1SA A. DEED REFERENCE.•
8� BOOK: 1349J PAp:: 1J
1r
fe AL ASSESSOR REFERENCE,•
I IB P ow l AL BY NORSE OEUMEAIION DrARONMENTALAL SEn11cEs / ASSESSOR MAP 1D4A PARCEL ee
I / 0
Mir� Bow
NORTH ANDOVER, WSSACHUSETTS
1 4, / p (M=COUNTY- NORTRERN DMMCT)
135,11 / PREPARED FOR
$ l \ YARE LARDSA
SC.166• 1•—gO, DATE.
JUNE 1, 2018
SULUVAN SNGINBERIM GROUP, LW
GRAPHIC SCALE
FEET SCALE: •-20' SAW MILL ROAD \ , /
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SfinT No. 1 OF 1
June 4, 2018
Town of North Andover
Board of Health
120 Main Street
North Andover, MA 01845
Re: Owner Authorization for Soil Testing
50 Saw Mill Road, North Andover
Board of Health,
This letter is intended, as owners of the above property,to permit soil testing on our
property for purposes of a future septic system.
Thank you
Mark LaRosa A�u
Sign a Date:
Heather LaRosa &oxg, (7
Signature Date:
i
R Lry 7 ,
O` NORTN 9y V 3 V
F •- y I
♦ i
Town of North Andover
HEALTH DEPARTMENT
SACMUSt
1
CHECK#: S 3 -) DATE: a0/8
LOCATION: 56 Sa.-W (').
H/O NAME:
CONTRACTOR NAME:
Type of Permit or License: (Check box)
❑ Animal $
❑ Body Art Establishment $
1
❑ Body Art Practitioner $ j
❑ Dumpster $
❑ Food Service-Type: $
❑ Funeral Directors $
❑ Massage Establishment $
❑ Massage Practice $
❑ Offal(Septic)Hauler $
❑ Recreational Camp $
❑ Sun tanning $
❑ Swimming Pool $
❑ Tobacco $
❑ Trash/Solid Waste Hauler $
❑ Well Construction $
SEPTIC Systems: U
XSeptic-Soil Testing $ - 7Q`
❑ Septic-Design Approval $
❑ Septic Disposal Works Construction(DWC) $
❑ Septic Disposal Works Installers(DWI) $
❑ Title 5 Inspector $
❑ Title 5 Report $
❑ Other:(Indicate) $
Healt Agent Initials'
White-Applicant Yellow-Health Pink-Treasurer
7/13/2618 Town of North Andover Mail-Soil Testing 50 Saw Mill
`NORTH ANDOVER
Massachusetts Toni Wolfenden <tolfenden@northandoverma.gov>
Soil Testing 50 Saw Mill
3 messages
Toni Wolfenden <tolfenden@northandoverma.gov> Thu, Jun 14, 2018 at 1:04 PM
To: Isaac Rowe <irowe@millriverconsulting.com>, Dan Ottenheimer<dano@millriverconsulting.com>, Pamela Lally
<plally@millriverconsulting.com>, Michele Grant<mgrant@northandoverma.gov>, Brian LaGrasse
<blagrasse@northandoverma.gov>
Please find attached the application and supporting documents for soil testing at 50 Saw Mill Road.
If you have any questions please call or email.
Thanks,
Toni
50 saw mill soil test ap_1.pdf
Toni K. Wolfenden
Health Department Assistant
978-688-9540
Pamela Lally <plally@m ill riverconsulting.com> Mon, Jun 25, 2018 at 11:10 AM
To: Toni Wolfenden <tolfenden@northandoverma.gov>, Isaac Rowe <irowe@millriverconsulting.com>, Dan Ottenheimer
<dano@millriverconsulting.com>, Michele Grant<mgrant@northandoverma.gov>, Brian LaGrasse
<blagrasse@northandoverma.gov>
Cc: Jack Sullivan <jacksu1153@comcast.net>
Hi Toni,
We've scheduled this soil testing with Jack Sullivan for Thurs.July 12th.Jack will arrive in the morning(8:00-8:30am)
and Isaac will arrive around 9:30am.
Let us know if you have any questions.
Take care, Pam
Pam Lally
https:Hmail.google.com/mai I/u/0/?u i=2&ik=aOc6f4e4cf&jsver=sfKgELK_b44.en.&cbl=gmai I_fe_180709.15_p3&view=pt&search=inbox&th=16493a26eO... 1/4
7/13/2018 Town of North Andover Mail-Soil Testing 50 Saw Mill
Administrative Assistant
4
MILL RIVER CONSULTING
i:itatitr .Sollitic'11%for l and lk-Vel pmrttt
6 Sargent Street
Gloucester, MA 01930-2719
978-282-0014,x805
www.millriverconsulting.com
From: Toni Wolfenden [maiIto:twolfenden@northandoverma.gov]
Sent: Thursday, June 14, 2018 1:04 PM
To: Isaac Rowe; Dan Ottenheimer; Pamela Lally; Michele Grant; Brian LaGrasse
Subject: Soil Testing 50 Saw Mill
[Quoted text hidden]
All email messages and attached content sent from and to this email account are public records unless qualified as an
exemption under the Massachusetts Public Records Law.
Visit us online at www.northandoverma.gov.
Isaac Rowe <irowe@m ill riverconsulting.com> Fri, Jul 13, 2018 at 8:34 AM
To: Toni Wolfenden <twolfenden@northandoverma.gov>, Pamela Lally<plally@millriverconsulting.com>, Michele Grant
<mgrant@ north andoverma.gov>, Brian LaGrasse <blagrasse@northandoverma.gov>
Cc: Isaac Rowe <irowe@millriverconsulting.com>
Brian,
Attached are the repair soil testing results for the above referenced property. Let me know if you have any questions.
Thanks,
Isaac Rowe
Senior Project Manager
https://mail.goog le.com/mai I/u/0/?ui=2&ik=aOc6f4e4cf&jsver=sfKq ELK_b44.en.&cbl=gmail_fe_180709.15_p3&view=pt&search=inbox&th=16493a26e0... 2/4
7/13/2018 Town of North Andover Mail-Soil Testing 50 Saw Mill
tXMILL RIVER CONSULTING
Creativc Sob ttious for Laid Development
6 Sargent Street
Gloucester, MA 01930-2719
Phone: 978-282-0014 ext.804
www.millriverconsulting.com
From: Toni Wolfenden [maiIto:twolfenden@northandoverma.gov]
Sent: Thursday, June 14, 2018 1:04 PM
To: Isaac Rowe; Dan Ottenheimer; Pamela Lally; Michele Grant; Brian LaGrasse
Subject: Soil Testing 50 Saw Mill
Please find attached the application and supporting documents for soil testing at 50 Saw Mill Road.
If you have any questions please call or email.
Thanks,
Toni
Toni K. Wolfenden
Health Depar$ftm>l bsi p_1•pdf
978-688-9540
https://mai l.google.com/mail/u/0/?ui=2&i k=aOc6f4e4cf&jsver=sfKgELK_b44.en.&cbl=g mai I_fe_180709.15_p3&view=pt&search=inbox&th=16493a26e0... 3/4
7/13/2618 Town of North Andover Mail-Soil Testing 50 Saw Mill
All email messages and attached content sent from and to this email account are public records unless qualified as an
exemption under the Massachusetts Public Records Law.
Visit us online at www.northandoverma.gov.
.� 50 Sawmill Road -Soil testing results 7-12-18.PDF
885K
hftps://mail.goog le.com/mai I/u/0/?u i=2&ik=aOc6f4e4cf&jsver=sfKgELK_b44.en.&cbl=g mail_fe_l 80709.15_p3&view=pt&search=in box&th=16493a26e0... 4/4
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RECEIVED
Commonwealth of Massachusetts
City/Town of North Andover SEP 21 2018
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal TOWN OF NORTH ANDOVER
V
HEALTH DEPARTMENT
A. Facility Information
Mark+ Heather LaRosa
Owner Name --
50 Saw Mill Road Tax 104A Lot 86
Street Address Map/Lot#
North Andover MA 01845
City State Zip Code
B. Site Information
1. (Check one) ❑ New Construction ® Upgrade ❑ Repair
2. Soil Survey Available? ® Yes ❑ No If yes: USDA NRCS 421C
Source Soil Map Unit
Canton Fine Sandy Loam_ none listed
Soil Name V Soil Limitations
Coarse loamy over sandy melt out Moraine
Geologic/Parent Material Landform
3. Surficial Geological Report Available? ❑ Yes ® No If yes:
Year Published/Source Publication Scale Map Unit
4. Flood Rate Insurance Map
Above the 500-year flood boundary? ® Yes ❑ No Within the 100-year flood boundary? ❑ Yes ® No
If Yes,continue to#5.
5. Within a velocity zone? ❑ Yes ® No
6. Within a Mapped Wetland Area? ❑ Yes ® No MassGIS Wetland Data Layer:
Wetland Type
7. Current Water Resource Conditions(USGS): 7/2018 Range: ❑ Above Normal ® Normal ❑ Below Normal
MonthNear
8. Other references reviewed:
50 Saw Mill, NA.doc-rev.8/15 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal -Page 1 of 8
Commonwealth of Massachusetts
City/Town of North Andover
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
r
C. On-Site Review (minimum of two holes required at every proposed primary and reserve disposal area)
Deep Observation Hole Number: 1 7-12-18 10 am 70 degrees/overcast
Date Time Weather
I. Location
Ground Elevation at Surface of Hole: 96.2 Latitude/Longitude: /
feet
Description of Location: In rear yard...see sketch plan for location
2. Land Use grassed -residential None 2-4
(e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope 0/)
grassed moraine
Vegetation Landform _ Position on Landscape(SU,SH,BS,FS,TS)
3. Distances from: Open Water Body 145 Drainage Way 145 Wetlands 84
feet feet feet
Property Line 85 Drinking Water Well n/a Other
feet feet feet
4. Parent Material: coarse-loamy over sandy melt out Unsuitable Materials Present: ❑ Yes ® No
If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock
5. Groundwater Observed: ® Yes ❑ No If yes: 77"
Depth Weeping from Pit Depth Standing Water in Hole
Estimated Depth to High Groundwater: 36 93.2
inches elevation
50 Saw Mill,NA.doc•rev.8/15 Form 11 -Soil Suitability Assessment for On-Site Sewage Disposal -Page 2 of 8
Commonwealth of Massachusetts
City/Town of North Andover
_ Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (continued)
Deep Observation Hole Number: 1
Redoximorphic Features Coarse Fragments Soil
Soil Horizon!Soil Matrix:Color- Soil Texture /o by Volume
Depth(in.) Layer Moist(Munsell) (USDA Soil Structure Consistence Other
FDepth Color Percent ) Gravel Cobbles (Moist)
&Stones
0-9 A 10 YR 3/3 none fSL
9-26 Bw 10 YR 6/8 none SL
26-77 C 2.5 Y 6/4 36" LS Water cLD
77"
Additional Notes:
50 Saw Mill,NA.doc-rev.8/15 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 8
Commonwealth of Massachusetts
City/Town of North Andover
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (continued)
Deep Observation Hole Number: 2 7112/18 loam 70 degrees/overcast
Date Time Weather
1. Location
Ground Elevation at Surface of Hole: 96.2 Latitude/Longitude: /
feet
2. Land Use Grassed- Residential none 2-4
(e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones, boulders,etc.) Slope(%)
Grassed moraine
Vegetation Landform Position on Landscape(SU,SH,BS,FS,
3. Distances from: Open Water Body 110 Drainage Way 110 _ Wetlands 77
feet feet feet
Property Line 45 Drinking Water Well n/a Other
feet feet feet
4. Parent Material: coarse-loamy over sandy melt out Unsuitable Materials Present: ❑ Yes ® No
If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock
5. Groundwater Observed: ❑ Yes ® No If yes:
Depth Weeping from Pit Depth Standing Water in Hole
Estimated Depth to High Groundwater: 35 93.3
inches elevation
50 Saw Mill, NA.doc-rev.8/15 Form 11-Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 8
I
Commonwealth of Massachusetts
City/Town of North Andover
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
Y
C. On-Site Review (continued)
Deep Observation Hole Number: 2
Redoximorphic Features Coarse Fragments Soil
Depth(in.) Soll Horizon/Soil Matrix:color- Soil Texture %by Volume Soil Structure Consistence other
Layer Moist(Munsell) )(USDA Cobbles (Moist)
Depth Color Percent ravel Stones
0-10 A 10 YR 3/3 none fSL
10-26 Bw 10 YR 6/8 none LS
26-77 C 2.5 Y 6/4 35" LS No Water
Additional Notes:
50 Saw Mill,NA.doc-rev.8/15 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8
Commonwealth of Massachusetts
City/Town of North Andover
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
D. Determination of High Groundwater Elevation
1. Method Used: Obs. Hole#1 Obs. Hole#2
❑ Depth observed standing water in observation hole _
inches Inches
❑ Depth weeping from side of observation hole
inches inches
® Depth to soil redoximorphic features (mottles) 36 35
inches inches
❑ Depth to adjusted seasonal high groundwater(Sh) _
(USGS methodology) Inches inches
Index Well Number Reading Date
Sh= Sc—[Sr X(OWE—OW..)/OWrl
Obs. Hole# Sc Sr OWc OWmw OWr Sh
Obs. Hole# Sc Sr OWc OWmax OWr Sh
E. Depth of Pervious Material
1. Depth of Naturally Occurring Pervious Material
a. Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil
absorption system?
® Yes ❑ No
b. If yes, at what depth was it observed? Upper boundary: 26 Lower boundary: 77
inches inches
c. If no, at what depth was impervious material observed? Upper boundary: Lower boundary:
inches inches
50 Saw Mill,NA.doc•rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal -Page 6 of 8
Commonwealth of Massachusetts
Cityfrown of North Andover
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
F. Board of Health Witness
Issac Rowe _ North Andover BOH-consultant
Name of Board of Health Witness Board of Health
G. Soil Evaluator Certification
I certify that I am currently approved by the Department of Environmental Protection pursuant to 310 CMR 15.017 to conduct soil
evaluations and that the above analysis has been performed by me consistent with the required training, expertise and experience
described in 310 CM 15.0 1 further certify that the results of my soil evaluation,as indicated in the attached Soil Evaluation Form,
are accurate and in rd n , th 31 MR 15.100 through 15.107.
-a
. 9-19-2018
Signature of Soil E uator Date
John D. Sulliva_III #: 2378 _ 6-30-2019
Typed or Printed Name of Soil Evaluator/License# Expiration Date of License
Note: In accordance with 310 CMR 15.018(2)this form must be submitted to the approving authority within 60 days of the date of field testing,and
to the designer and the property owner with Percolation Test Form 12.
50 Saw Mill,NA.doc•rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 7 of 8
Commonwealth of Massachusetts s� � � 24A
City/Town of North Andover 25A 23A
Form 11 - Soil Suitability o`' TAX MAP 104A LOT 26 26A
Field Diagrams WINTER#0 STREET
N/F ES CHASE + _
Use this sheP� 98x96 '00
, O O
97x86 \ N�6422p„e ¢
xW c9
�X MAP 104A LOT 87 � i 12"
f34 SAW MILL ROAD 97 9sxza _
/F BOUTROS CHASSIBI / 96 65
7x 97 it 97x57 NBA,
24" ( 96 49 4 S0
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50 Saw Mill,NA.doc•rev.8/15 ge Disposal •Page 8 of 8
Commonwealth of Massachusetts
City/Town of North Andover
s Percolation Test
Form 12
H
Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage
Disposal_ DEP has provided this form for use by local Boards of Health. Other forms may be used, but
the information must be substantially the same as that provided here. Before using this form, check with
the local Board of Health to determine the form they use.
When filling out'p°'l"t A. Site Information
W
forms on the
computer,use Mark& Heather LaRosa
only the tab key Owner Name - --to move your 50 Saw Mill Road
cursor-do not use the return Street Address or Lot#
key. North Andover MA 01845
City/Town _ State Zip Code
781-799-2831
Contact Person(if different from Owner) Telephone Number -
B. Test Results
7-12-18 _ 10:30 am
Date Time — Date Time
Observation Hole# 1 —
Depth of Perc 43"-6 1"
Start Pre-Soak 10:35 am
End Pre-Soak 10:50 am
Time at 12 10.-50 am
Time at 9" 11:25 am
Time at 6" 12:22 pm
Time(9"-6°) 57_min
Rate(Min./Inch) 20 MPI —
Test Passed: ® Test Passed: ❑
❑ ❑
John D. Sullivan III, PE, CSE Test Failed: Test Failed:
Test Performed By: - -
Issac Rowe, Mill River Consulting(Consultant to NA BOH)
Board of Health Witness ---
Comments:
t5form12.doc•08/15
Perc Test•Page 1 of 1
TAX MAP 104A LOT 26 LUH \
#0 WINTER STREET
N/F JAMES CHASE PROP. 12" DIAMETER \
COMPOST MULCH SOXX =
.Q Q 22A�
LIMIT OF 5 FOOT OVERDIG (TYP) so,
" a 0p
FILL MATERIAL TO MEET gF el, N) Z
SPECIFICATION IN SECTION FFR 642' 0,e ti o0 21A
15.255(3) OF TITLE 5 CODE ✓F
EX. 24" PINE TREE �, 12
TO BE REMOVED
'ROP. H-20 CONC. 20A
-BOX - 6 OUTLET 24" EX. BOUlR REMOVE N83� 19A
99x0ii o IN JUNE 2019 DURING SD"
V. FINISHED GRADE �.)' _n EXCAVATION. EX.�GROUND
ER D-BOX = 98.81 6UF0FR 6 x5 / 9 -)3i gOFRBOITOM OF FACE = �BOULDER REMOV L
98xt
?p A 8) o ELEV- IM ± (OR 4.5 BELOW EX. GRADE) 8A
BENCHMARK:
TOP OF FOUNDATION
ELEV= 100.00'
PR P. SOIL ABSORPTION AREA
(ASSUMED DATUM) tip 82' LEACHING BED
' 18'W x 471
4LLON CONC. SEPTIC 97x W� 3 DISTRIBUTION LINES
AONOLI THIC) \• — l INTERCONNECT ENDS OF
RADE OF TANK=99.55' �•. \ \ l DISIRIBUIION PIPES W/
\9� �9 S 96" \ 4" PVC PIPE.
of
JK TO BE PUMPED 98x4 �t 97x2s
VD DECOMMISSIONED `� 9y / , Yll,,,, IWSPECTION PORT TO WITHIN
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CE WITH TITLE 5.
3" OF FINISHED GRADE 5
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