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HomeMy WebLinkAbout0373 BAY LANE - Health 373 Bay Lane A =187 — 002 Centerville 5 M EAD® UMWM c UM smead.com 9 Made in USA 44 Commercial Street Raynham, MA 02767 Tel: (508) 880-0233 Fax: (508) 880-7232 December 11, 2017 Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Attention: Board of Health Agent Reference: BioMicrobics FAST Treatment System Serial Number: 0209525 To whom it may concern: Attached please find a copy of the Product Registration Report for the FAST Treatment System, for the startup performed on 12/8/2017 at the home of Peter Favat located at 373' Bay Lane, Centerville, MA. Also, attached is a copy of the fully executed Operations & Maintenance Agreement. If you have any questions or require additional information please do not hesitate to call. Sincerely, �• ems„' Sharon M. Foster Enclosures } �y E7141 9 P 0 B A T E 0 8450 Cole Parkway Shawnee, KS 66227 * Phone 913-422-0707 * Fax: 912-422-0808 e-mail: onsite@biomicrobics.com*www.biomicrobics.com *a*800-753-FAST(3278) PRODUCT REGISTRATION ION "PORT Product Regis.tration Report must be completed and returned to Bio-Microbics, Inc. in order to effect warranty. Date of Start-Up I1rj lP1 Date Shi ` to End User 11/21/17 Serial# 0209525 OWNER NAME Peter Favat ADDRESS 373 Bay Lane CITY/STATE/ZIP Centerville, MA 02632 PHONE/FAX BIO-MICROBICS DISTRIBUTOR NAME J&R Sales and Service,Inc. ADDRESS 44 Commercial Street CITY/STATE/ZIP Ra nham, MA 02767 PHONE/FAX 508-823-9566 FAX: 508-880-7232 INSTALLER NAME Bortolotti Construction ADDRESS 45 Industty Road CITY/STATE/ZIP Marstons Mills, MA 02648 PHONE/FAX 508-771-9399 CONSULTING ENGINEER if applicable) NAME Down Cape Engineering ADDRESS 937 Main Street CITY/STATE/ZIP Yarmouthport,MA 02675 PHONE/FAX Good Bad NA Good Bad NA ELECTRICAL PANEL(S) TREATMENT UNIT(S) Visual Alarm Operating Air vent clear Audio Alarm Operating 0, C] n Septic tank level BLOWER(S) Septic tank meets min. size Wired for correct voltage Septic tank filled to operating level Inlet/outlet piped correctly Air Lift Operation Filter element installed 01- 0 Recirculation tube in place Blower hood secure 0"- 0 Fasteners tight Blower works correctly g. 0 WATER-TIGHT JOINTS Blower located within 100' of Treatment unit to septic tank - treatment unit Air line clear �. Entrance tube to insert cover �— Air inlet screen clear Insert to insert cover Blower hood vents clear �/ Discharge line connection Factory Authorized Personnel. y Title: Firm: Wastewater Treatmentgervices, Inc. Date: T � /'VQ-&ecva, e/- 91—w& P.Cdti Jelv,r al, ✓w. 44 Commercial Street Please complete all items marked Raynham, MA includingthree sign alures. Mail 02767 signed original contract to: Wastewater Treatment services.Inc. Tel: (508)880-0233 44 Commercial Street Raynham,MA 02767 Fax; (508)880-7232 INSPECTION AND EFFLUENT TESTING AGREEMENT Agreement entered into by and behveen Wastewater Ti-eatment Services,Inc.(herein called WTS)and the FAST®System OWNER(herein called OWNER)for the inspection by WTS of certain equipment of OWNER which is described below. Upon acceptance of this agreement at WTS's office,WTS will render the following services only: Equipment will be inspected at jeast 4 ti_mes_ r that this Agreement remains in effect,with the first inspections beginning These inspections will include: 1) Testing of the sludge depth in the septic tank. 2) Inspection,power testing and clean/replace intake filter of the air blower. 3) Inspection of the alarm system. 4) Inspect overall condition of FAST®System. 5) Notification to OWNER of any problems encountered. 6) Service other than routine maintenance will be billed at an hourly rate,plus travel and pants. WTS shall notify the local Board of Health and Department of Environmental Protection in writing within 24 hours of a system failure or alarm event including corrective measures that have been taken. OWNER will be billed standard WTS charges for any parts used hi repairs or maintenance. Any additional labor time will be billed to the OWNER at current labor rates of$80.00 per hour. Emergency service between regular inspections Will be provided at standard labor rates during normal business hours;at time and one-half after 5:00 PM and on Saturdays;and at double time on Sundays and holidays. Emergency service charges will include a minimum four(4)hours of labor, plus standard WTS charges for parts,plus mileage and travel charges. The annual rate includes routine maintenance,but does not include repairs required for damages caused by abuse,accident,theft,acts of third persons,forces of nature, or alterations made to the equipment. WTS shall not be responsible for failure to render the agreed services if caused by strikes,labor disputes,non-cooperation by OWNER,or other factors beyond the control of WTS. OWNER understands and agrees that WTS is not responsible for special,incidental or consequential damages, including but not limited to loss of time, injury to person or property,or equipment failure. OWNER agrees that WTS may enter OWNER's property and have acceptable access to all areas deemed by WTS to be necessary or appropriate for WTS to perform its duties hereunder. Current WTS practice is to send OWNER approximately 10 days before expiration of the term Of the current contract an invoice for one year of service. It is OWNER's responsibility to timely return the payment. WTS must receive the payment before expiration of the current contract year to assure continuous contract coverage. Failure to return payment may result in suspension of service, cancellation of the contract and/or nullification of warranties,at the election of WTS. OWNER may not assign this contract without the prior written consent of WTS. It will remain in force until a party cancels by written notice to the other at the address given herein. MANUFACTURER MODEL NO, SERIAL NO. LOCATION ANNUAL RATE Bio-Microbics MicroFAST Centerville,MA $470,00 EQUIPMENT OWNER Wastewater Te ea lent See ices Inc. a •z-. *Signed by OWNER(;�� Peter Favat Signed: *Address: ell 373 Bay Lane 44 Commercial Street Raynham,MA 02767 Tele:(508)880-0233 *City: State: Zip; Fax:(508)880-7232 Centerville MA 02632 ff Telephone Effective Date of Agreement -I �� l E-Mail address: OWNER understands that(1)ANNUAL RATE payment is for one year only commencing on the effective date set forth above and is non-refundable;and(2)Current DEP Regulations require OWNER to maintain a service agreement for the life of the FAST®System;and(3)ANNUAL RATE is subject to change based on current WTS rates. I HAVE READ AND UNDERSTAND THE FOREGOING. *Signed by OWNER—e � Effluent Testing Effluent sample taken 4 times per year and delivered to a qualified testing lab for evaluation. . Results sent to State and local Agencies as well as the OWNER. OWNER is responsible for providing acceptable access to effluent to enable a grab sample to be taken for laboratory testing performed. PERMIT: *(PLEASE CHECK ONE) ( )GENERAL (X )REMEDIAL ( )PROVISIONAL *SPECIAL CONDITIONS PER LOCAL BOARD OF HEALTH(Y)or(N)if YES,please attach copy of permit (X)pH,BOD5,TSS,Nitrate,Nitrite,TKN ( )Other: *Cost for testing: $275.00/Visit Operator assigned: Michael Moreau Telephone: (508)880-0233 *Approval for Effluent Testing Owner's Signature ' TOWN OF BARNSTABLE LOCATION .-a•ra Ze1 LK SEWAGE# �6 t-7-35Z VILLAGE - t e.,.//c ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. 2� (• 5nd -?11-�3 � SEPTIC TANK CAPACITY 1�aO-4ckL_ t r cep.tot onn,4 Ac-�e LEACHING FACILITY:(type) �t(_Z� (size) `30 At0 "X G NO. OF BEDROOMS _'.L. � �A� OWNER •A+atJ F�f- PERMIT DATE: {®-i,L ('7 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 3 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) / �`S'�. Feet FURNISHED BY �/OfJ✓ c9/fT L��piv�..-ice �373 C,411 4n �J H Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 4phration for deposal 6pstpm Construction pendit Application for a Permit to Construct( ) Repair O Upgrade ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No.��3 8,tJ 6,r)• Owner's Name Address,wd Tel.No. &/7 Len'cru j Assessor's Map/Parcel /eq .Z � r��� �al't� ��" 3�3 Installer's am Ad ss,and Tel. o.Svc v4ts--8, o`2(a Designer's Name,Address,and Tel.No. ,-4-, Q(jr1��('UZ 0",4..!Y ba4�� �/) C /M4V-/A. ��G Type of Building: Dwelling No.of Bedrooms Lot Size I'�Sf4e ± sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) .2940 gpd Design flow provided �,a ZL gpd Plan Date ZLLAIP- as a017 Number of sheets Revision Date Title 1 H e.J� p.P,&nn � .)-3 &8 U r!atn', ���a<'U/G/� d4 a ) Size of Septic Tank 15"4V�?L'a/» A�f1 ��CDM�Type of S.A.S. /Glw X 3d I L na6_SLnp�o,,fw 61VA J 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 Environmenta e a not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. n Signed -' Date Application Approved by Date D Application Disapproved by Date for the following reasons Permit No. 356 Date Issued ----------------_--_-___--------- - - - Il✓NX SX.'..a'ry •"•••M'+��(}4.q/ti"F•.— . l —+n.� l ',t{}'6.r—r *A .— �'a ' �_ �j a r Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftplication for 33ispo,satz.6pstem Construction Permit Application for a Permit to Construct( ) Repair ) grade"( ) Abandon( ) Complete System ❑Individual Components" Up Location Address or Lot No,3 ,1) C.n 0 Owner's Name Address,and Tel.No.&/rI 0_en` erul'1142 L43yf Assessor's Map/Parcel leg .Z � Installer's Nante,Address,and Tel.No.5U tS-V,;ks-Sr1,,P& Designer's Name,Address,and Tel.No. �� P ri"�i c "(.t..�„ C.�"'sk c✓c�ir :, Cdc -snc. y3�t' Type of Building: Dwelling No.of Bedrooms Lot Size �• 35 s{ke ¢ sq.ft. Garbage Grinder( ) (Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures *«-. Design Flow(min.required) ZZ Q gpd, Design flow provided *7491�- gpd Plan Date ujnp- 2-A, DL019 Number of sheets `,7ti Revision Date Title 1 , -1 J N�i�.�n .�`�J �1 � ��°�14-rwilk i �14//�i Size of Septic Tank/�? �Ab� � �Type of S.A.S. /v}w X 3f5I/_ navt�SltmjnK,_6 64.ikt2t{; Description of Soil c'J,2p �a�n e Q jrx n rt t W Nature of Repairs or Alterations(Answer when applicable) Date last inspected: ✓' Agr Aent: r� The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system`Tn accordance with the provisions of Title 5 of the Environmental Cod`e d not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. i Signed Date f Application Approved by Date Application Disapproved by Date for the following reasons / t Permit No. f'� 356 Date Issued / // -------------------- u THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compiian' to THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) RepairedX Upgraded,( ) Abandoned( )by gtiv Iva C'v�,S� rr.� has been constructed in accordance ' r� dated 35 o with the provisions of Title 5 and the for Disposal System Construction Permit Noo� Installer :JfiY � Our)4Y'c�L e n 11-ne- Designer ,l,Ur_Lyn �(�,t� tqn a I n4er-1-;V-4 t7G #bedrooms 9 Approved design flow gpd The issuance of this permit shall 7) 2 be construed as a guarantee that the system w i'1`functi n as d si ed. Date / /(�i Inspector :. . (----No.�- � / ���� ----.--------.,---.----------_---.-�-----^-------- ------------------------------------Fee "". THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEATH DIVISION- BARNSTABLE, MASSACHUSETTS _ Misposal *pstem Construction Permit Permission is hereby granted to Construct j ( ) Repair(x) Upgrade( ) Abandon( ) System located at 3 93 ( _a ne— Oe_i /�ru,A e J Pd.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:Construction must be completed within three years of the date of this pe t. Date /�//C�/�� Approved by __ -11-2017 23:08 From: To: 15087906304 Paee:1/1 Town of Barnstable "1e Regulatory Ser6ces Thomas F.Geiler,ID ector ]Public Health Di ' ion n ° Thomas McKcan,Di* ector 200 Main Street,Hyannis, 0Zfi01 Office: 508-8624644 Fax: 508-790-6304 ifastaller OWIMer CertilTca--on Form - I Date: IA (D I Sewage Permit# 0?01 Q`M sessor's MZPWarcel (!� Z Designer: Instal Chy Address: 9 ZYM LEA _ Addres n ! WDV'AF—y E�-D 1I�R TN 609L MWA 02-(o�8 On /v d r /D as i 3sued a pemait to install a (installer) septic system at '37-3 0A [.AN E ILLF- based on a design drawn by (address) OJ ALA , _ dated P, 22 2-0 1 (designer - V I certify that the septic system referenced above installed substantially according to the design, which may include minor approved chm iges such as lateral relocation of the distdbution box and/or septic tank. I certify that the septic system,referenced above 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 mvidon or certified - t by designer to follow. -%A of MASS DANIEL a ,� (ftLaaller's ignature) OJALA W CIVIL N No.46502 4 0 � �Q1STEP� 0 Sfo AL —(Designer's Signature) x Desig i6i%Stamp Mere) PLEASE MUM TO BARNSMIME PUBLIC HEAL ION. !rF.RUffCATE O iYIOPLUNCE WJ1U1 NOT BE IS W.,,ID ANTIOL BOTH TEIR, AND A&HUM CARD An RECE b Jay TIM 11ARNSTABLE LUMC HEALTH D 4 X C7 Q:HealtWSeptic/Designer Cc►tif cation Form 3-26-04.doe �a�va,�ei� ✓�ea�mer�cfe��trces, �i2� 44 Commercial Street Please complete all items marked a Raynham, MA ineiudingttueos)gnatures. Mail 4 02767 signed original contract to; wasM-YaterTrtatnwnt Services,me Tel: (508)880.0233 44 Conneroial Street Rarii6am.MA 02767 FAX: (508)880.7232 INSPECTION AND EPrLUI;NT TESTING AGREEMENT Agreement entered into by and between Wastewater Treatment Sevviees,Irte,(heroin called WTS)and the EASP System OWNER(herein called OWNER)for the inspection by WTS of certain equipment of OWNER which is described below, Upon Acceptance of this agreement at WTS's office,WTS will render the following services only: Equipment will be inspected at least 4 times per year that this Agreement remains in effect,with the first inspections beginning Tliese inspections wilt include: 1) Testing of the sludge depth in the septic tank, 2) Inspection,power testing and olean/replace intake filter of the air blower, 3) Inspection of the alarin systein. 4) Inspect overall condition of}<+ASP Systein, 5) Notification to OWNER of any problems encountered. 6) Service other than routine maintenance will be billed at an liourly rate,plus travel and parts, WTS sliall notify the local Board of Health and Depailnient of Environmental Protection in writing within 24 fours of a system failure or alarrn event including corrective measures that have been taken, OWNER will be billed standard WTS charges for any parts used in repairs or maintenance. Any additional labor time,will be billed to the OWNER at current labor rates of$80.00 Pei'hour, Emergency service between regular inspections will be provided at standard labor rates during normal business liours;at tune and one-half after 5:00 PM and on Saturdays;and at double time on Sundays.and holidays, Emergency service cliarges will include a mininwin four(4)hours of labor, plusaWi dard WTS charges for parts,plus mileage and travel charges, The annual rate includes routine maintenance,but does not include repairs required for damages caused by abuse,accident,theft,acts of third persons,forces of nattu'e, or alterations made to the equipment. WTS shall not be responsible for failure to render the agreed services if caused by strikes,labor disputes,non-cooperation by OWNER,or otlier factors beyond flip,control of WTS. OWNER understands and agrees flint WTS is not responsible for special,incidental or consequential damages,including but not limited to loss of time,injury to person or property,or equipment failure, OWNER agrees that WTS may enter OWNER's property and have acceptable access to all areas deemed by WTS to be.necessary or appropriate for WTS to perform its duties hereunder, CUi7•cit WTS practice is to send OWNER approximc fcly 1.0 days before expiration of the term of the current contract an invoice for ono year of service. It is OWNER's responsibility to timely return the payment. Wj,S must receive the.payment before ON of file current contract year to assure continllolls contract coverage. Failure to return payment may result in suspension of service,cancellation of file contract and/or rl Lill Ification of warra11ties,at thee lection of WTS. OWNER may not assign this contract without the prior written consent of WTS. It evill remain in force until a party cancels by written notice to the other at file address given hereill, MANUFACTURER MODEL NO, SERIAL NO LOCATION ANNUAL RATE Bio-Microbics MIcroFAST Centerville,MA $470,00 gU_I1'MEN'I`OWNER Wastewsltel'Trea lent Sec ices lie, ' *Signed by OWNER;� - ` Peter Favat Signed: Address: 373 Bay Lane 44 Commercial Street Raynham,MA 02767 Tole:(508)880-0233 "City; State: Zip: Fax:(508)880-7232 Centerville MA 02632 Telephone Effective Date of Agreement E-Mail address: OWNER understands that(1)ANNUAL RATEpayment is for one year only commencing on fhe effective date set fol•th above and is non-refundable;and(2)Current DEP Regulations require OWNER to maintain a service agreement for the life of the FASPSysteln,and(3)ANNUAL RATE is subject to change based on current WTS gates. I HAVE READ AND UNDERGS,TAAND THE FOREGOING, "Signed by OWNER' P_� Q G��C Effluent TPSIIIE Effluent sample taken 4 tunes per year-and delivered to a qualified testing lab for evaluation. . Results sent to State and local Agencies as well as file OWNER. OWNER is responsible for providing acceptable access to effluent to enable a grab sample to be taken for laboratory testing performed. PERMIT: `(PLEASE CHECK ONE) { }GENERAL (X )REMEDIAL O PROVISIONAL *SPECIAL CONDITIONS PER LOCAL BOARD OF FIEALTH(Y)or(N)if YES,please attach copy of permit (X)pH,BOD5,TSS,Nitrate,Nitrite,TKN ( )Other: *Cost for testing; $Z75,00/Vlsit Operator Assigned: Michael Moreau Telephone: f508)880-0233 *Approval for Effluent Testing 0►vner s Signature `�. i INVERT ELEVATIONS PIPE (1)(NEAR HSE 8.09 S. TANK IN (1) 6.19 }:+ \. PIPE (2)(NEAR HSE 7.21 S. TANK IN 2 6.14 E° \ S. TANK OUT 5.89 P. CHAMBER IN 5.80 INV. 2" PRESSURE LINE 7.33 DECK o FENCf \\ of \ \\ \ \\ EXISTING - DWELLING TOF 8.6' C/o 2 \ O PORcy \ J O O C/o AS BUILT LOCATION OF 2' PRESSURE LINE C/0 0. C t � I A�8 AS BUILT LOCATION R-3 9 3S ' OF LINER AS BUILT LOCATION ` 95 5O 1 0) OF SEPTIC TANK AD' (FAST CHAMBER) I AS BUILT LOCATION AS—BUILT OF SAS LOCATION OF PUMP CHAMBER \ I JOB #17-125 AS BUILT SEPTIC SYSTEM PLAN PREPARED FOR: LOCATION 373 BAY LANE BORTOLLOTI CENTERVILLE, MASS. ®NSTR QC��IOlOT SCALE : 1" = 20' DATE DECEMBER 7, 2017 �Z4 OF Mgss 0F MAC REFERENCE: MAP 187 PARCEL 2a� Sqc DANIELA. yG� �r DANIEL ties mA. o OJALA NJo OJALA off. 506-362-4541 CIVIL fax 508-362-9660 �. No.46502 � No.409$OP ha ° down Cape engineering, Inc. °�1�G/STE��G��k� ��<q�Fess\O ;3 " SsIONgL CIVIL ENGINEERS iM1 LAND SURVEYORS 939 main st.. yarmouth, ma 02675 DATE DANIEL A. OJALA P.L.S., P.E. I i Town ®f Ba r nsta Re Regulatory Services v o Thomas F. Geiler,Director MASS aaxrrsTnat�, qua . �0g Public Health Division. 1659 Thomas McKean,Director 200 Main Street,Hyannis,IOTA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&)(Designer Certification Form Date: l� (t �`� Sewage Permrnit# c2Q I Q"3rD Assessor's Map\Parceflz- -- )[Designer: DU6vN CFI PE Et,iV,�I�►tk:� _ -Installer: Address- cl 59 MA(N !!�j f��I e A Address: t i � I?-!✓i(?UT! PGA!—{`` i�E ��(%�i�t�[5 ILA (BLS, MA On r �y �„ <, � W' --was issued a permit to install a (date) (installer) septic system at 5-73 13A-Y L N E� based on a design drawn by (address) �_ /wta- A. OJ ALA; Fe dated J L)Nia 22 2-01 „ / (designer) - V 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- t by designer to follow. OF 1114,1sS9 DANIELA. (Installer's Signature) oJALA CIVIL con No.46502 IS -� SS/ONAL (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLIE PUBLIC HEALTH IDMSION. CERTIFICATE OF i COMPLIANCE WILL NOT BE ISSUEID UNTIL BOTH TMS FORM AND AS-BUILT CARD ARE RE,CEIVEID BY THE BARNSTABLE' PUBLIC HEALTH IDMSION. THANK YOU. Q:Health/Septic/Designer Certification Form 3-26-04.doc Do--: 1 r 33ia r 534 09-26-2017� S:38 BARNSTABLE LAND COURT RE GISTRY DEED RESTRICTION nve� - ��� WHEREAS, �e�w �a�at of 55 (owners name) _ +r o�L mL S Ne A?T 3 1 B-oS TDB 211 $ MA (address) is the owner of �j �ay /AU located (add r'as) at C'e�,�—�,•✓ t l MA(hereinafter referred to as N and being shown on a plan entitled "Subdivision of Land in CZ +e'ry%11•Q MA, Property of�N et al, duly recorded in Barnstable County Registry of * r Deeds in Plan Book N , Page 1 A ; Or on Land Court Plan Number SS3OJ— /� Shcet( Lot)— " �a�at` 3 13 0 — � 7 WHEREAS, Peter as-�e owner o said lot has (owners name) p� agreed with the Town of Sarnsta Ih e�oard o ealth to a restriction as to the number of bedrooms which can be included in any home built on said lot as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code,Title.V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage;. WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CM 15.200, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this property, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document, dmdr f NOW,THEREFORE, V elm'' FCXVltt does hereby place the (owner's name) following restriction on his above-referenced land in accordance with his agreement with the Town of Barnstable Board of Health,which restriction shall run with the land and be binding upon all successors in title: 1. 3Ct+✓, _may have constructed (add ess) upori the lot a house containing no more than ttoo (Z)bedrooms. e`�"e., Favaf: agreesha hi shall be ermanent deed (owner's name) restriction affecting N Pc located on i. MA, and being shown on the plan recorded in Plan Book .. J A- , Paged N�. Or on Land Court Plan 353 0-t- fi Agef I "� Z •t- J_,3od`0 4r 7 For title of �J Pr see the following deed: Book N Pr , Page - rj Pi-- . Or Land Court Certificate of Title Number /2.4,3'f 5 Exe Tealed instrument ? day of A'0164- 20 Owner A45-ure Owner's-signature Owner's signature COMMONWEALTH OF MASSACHUSETTS ,ss ao_. Then personally appeared the above-named known to me to be the person who executed the foregoing instrument and acknowledged the same to be free act and deed, before me, Notary Public My commission expires: (date) deedr I CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate Is attached,and not the truthfulness,accuracy,or validity of that document. State of California } County of 4.05 tliJ On Att(_4s'T �l . 20 before me, TxZt�i AC,6 6M26 P"&'i C.- Date Here Insert Name and Title of the Officer personally appeared Pe-TZE:(Z- FA,4 A 1 , Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the personw whose name(p'f is/ere- subscribed to the within instrument and acknowledged to me that he/sha4hay executed the same in his/heWtheif authorized capacity(iaQ,and that by his/be~signature(s)on the instrument the person}, or the entity upon behalf of which the person()acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California th a foregoing paragraph Is true and correct. DENISE AG80 WITNESS my han nd o 'c Ise I. CORunlaaion#2113984 [(%— MY Notary Public•CaliforniaLOS An4alaa County - SignatureComm.Ex Iran Afar 23.2020 Sign re Of o ry Pu Place Notary Seal Above OPTIONAL Though this section is optional, completing this Information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: 7) QC'5_iN?t C11 d1J Document Date: AUGULV Z9.2V14 Number of Pages: W U Signer(s) Other Than Named Above: Capacity(ies)Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer— Title(s): ❑Corporate Officer — Title(s): ❑Partner— ❑Limited ❑General ❑Partner— ❑Limited ❑General ❑Individual ❑Attorney in Fact ❑Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other. ❑ Other: Signer Is Representing: Signer Is Representing: 02014 National Notary Association•www.NationalNotary.org•1-800-US NOTARY(1-800-876-6827) Item#5907 BARNSTABLE REGISTRY OF DEEDS John F. Meade, Register oFIWHEr Town of Barnstable Barnstable Board of Health 9BARN M sS. 200 Main Street,Hyannis MA 02601 I ' I.F 1639. 2007 QED MAy s Office: 508-862-4644 Paul J.Canniff,D.M.D. FAX: 508-790-6304 Junichi Sawayanagi Donald A.Guadagnoli,M.D. August 9, 2017 Mr. Daniel A. Ojala, P.E., P.L.S. Down Cape Engineering P.L.S. 939 Main Street, Route 6A Yarmouth Port, MA 02675 RE: .' 373:Bay Lane, Centervlle,'MA A= 187=002 Dear Mr. Ojala, r You are granted variances on behalf of your client, Peter Favat, to repair an onsite sewage disposal system at 373 Bay Lane, Centerville, Massachusetts. A secondary treatment unit, a MicroFAST 0.5 unit, will be installed along with pressure dosing. The variances granted are as follows: Section 360-1, Town of Barnstable Code: To construct a spoil absorption' system 50.8 feet away from a vegetated wetland, in lieu of the minimum 100 feet separation distance required. Section 360-1, Town of.Barnstable Code: To install a septic tank 59.2 feet away from a vegetated wetland, in lieu of the minimum 100 feet separation distance required. 310 CMR 15.405: To install a septic tank eight (8) feet away from a property line, in lieu of the ten (10) feet minimum setback required. 310 CMR 15.405: To construct a soil absorption system 6.2 feet away from a property line, in lieu of the ten (10) feet minimum setback required. 310 CMR 15.405: To construct a soil absorption system 10.3 feet away from a foundation wall, in lieu of the twenty (20) feet minimum setback required. Q:\WPFILES\Ojala Favat 373 Bay Lane Variances 2017.docx 1 , 2 310 CMR 15.405: To install the soil absorption system three feet (3) above the maximum adjusted groundwater table elevation, in lieu of the minimum five (5) feet separation distance required. The variances are granted with the following conditions: (1) No more than two (2) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to two (2) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) The Designer, the System Owner, the Service Contractor, and the Company shall comply with the conditions contained within the State of Massachusetts approval letter dated November 20, 2016, entitled Standard Conditions for Secondary Treatment Units Approved for Remedial Use. (4) The secondary treatment unit shall be operated and maintained by a licensed contractor and the wastewater effluent shall be tested in accordance with pages 8 — 11 of the State of Massachusetts approval letter dated November 30, 2016, entitled Standard Conditions for Secondary Treatment Units Approved for Remedial Use. (5) The system shall be installed in strict accordance with the engineered plans dated June 22, 2017. (6) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the plans dated June 22, 2017. These variances are granted because the physical constraints at the site severely restrict the.location of the septic system box due to its close proximity to high groundwater and wetlands. Sincerely yours a J.v6 ni . .D. Q:\WPFILES\Ojala Favat 373 Bay Lane Variances 2017:dccx 5 t CF THE h DATE: FEE: + BAMSTABIX * ., MASS 1639. ��� REC.BY: �FDNiF'�A Town of Barnstable SCHED.DATE: Board of Health 200 Main Street,Hyannis MA 02601 r. Office: 508-862-4644 Paul J.Canniff,D.M.D. FAX: 508-790-6304 Junichi Sawayanagi Donald A.Guadagnoli,M.D. Alternate:Cecile Sullivan,RN,MSN VARIANCE REQUEST FORM LOCATION '1i 13 8 G PropertyAddress: � �..ti..�,E rc�-lcrc2,A�c1.1 Assessor's Map and Parcel Number: 1$'1 2 _ Size of Lot: Wetlands Within 300 Ft. Yes X Business Name: No Subdivision Name: APPLICANT'S NAME: r2 FA vA-T Phone Did the owner of the property authorize you to represent him or her? Yes 5C No PROPERTY OWNER'S NAME CONTACT PERSON Name: &T1F-vz- V A`SAT" Name: t5 a P7 8o,2-r-o&--o T-r Address: k�(ol VEI— M 1 O 10, A.vr . Address�oa-I c►moo m ��••�?—/t._k GA, Phone: 5 o z Phone: ( 3 EMAIL: 2-1b VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) MW NATURE OF WORK: House Addition LJ House Renovation LJ Repair of Failed Septic System Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in S separate,collated packets. Five(5)copies of the completed variance request form Five(5)copies of engineered plan submitted(e.g.septic system plans) Five(5)copies of MA DEP approval letter for I/A septic systems only. Five(5)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) A completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian Signed letter stating that the property or business owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only) Full menu—Five(5)copies of fall menu submitted(for grease trap variance requests only). $95.00 variance request application fee collected (No fee for lifeguard modification renewals , grease trap variance renewals [same owner/lessee only],outside dining variance renewals[same owner/lessee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Paul J.Canniff,Chairman NOT APPROVED Junichi Sawayanagi REASON FOR DISAPPROVAL Donald A.Guadagnoli,M.D. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\BMQD49H2\VARIREQ Rev APR2017.DOC L tel. (508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down cape engineering, inc land court civil engineers&land surveyors Daniel A.Ojala,P.E.,P.L.S. surveys July 7, 2017 Ame H.Ojala,P.E.,P.L.S. Daniel E.Gonsalves,E.I.T.,S.E Craig J.Ferrari,EAT,S.E. structural design Barnstable Board of Health 200 Main Street site planning Hyannis, MA 02601 Re: #373 Bay Lane, Centerville sewage system designs Dear Board Members: inspections Enclosed is a variance filing request for the above-referenced site. On behalf of our client, we are requesting variances under Town of Barnstable Health Regulations(VIII) Chapter 360-1: leaching facility less than 100'to Bordering Vegetated Wetland (100'to 50.8') and permits septic tank less than 100' to wetland (100'to 59.2'). Under Title 5 310 CMR 15.405(1a): reduction in setback, septic tank to lot line (10'to 8'), leaching facility to lot line (10'to 6.2'); (1b): reduction in setback, leaching facility to foundation (20'to 10.3'); (1h): reduction in separation, SAS to adjusted groundwater, 5'to 3' (note: Remedial Permit for FAST system, pressure dosing). The existing cesspool septic system is to be replaced with a 1500 gallon septic tank and pipe and stone leach field sized for the existing 2 bedroom dwelling (deed restriction required). Due to the size of the variance needed for the setback to wetland, a F.A.S.T. component has been added to further treat the effluent. The system will be installed under a Remedial Permit to allow a 3' separation to adjusted groundwater; pressure dosing is proposed as required. No construction is proposed. The site, containing 1.3+/-acres most of which is wetland, is bordered to the north and northwest by a Bordering Vegetated Wetland, Salt Marsh and Bumps River. The proposed upgrade was filed with the Conservation Commission and expected to be approved. Due to severe site restrictions,variances are necessary for the proposed septic system. Groundwater was encountered at elevation 2.0 NAVD; an adjustment was applied and the base of the leaching facility is 3' above this adjusted ground water elevation. This elevation would be considered conservative, as the groundwater would be tidally influenced here. The requested groundwater variance would avoid the need for a wall and the potential drainage issues associated with it. In that the site does not lie within a Zone II,the area is served by town water,the septic tanks are water-tight, and no construction is proposed, we feel that the proposed Title 5 septic system will not adversely contribute to the decline of existing water quality or food sources and is a vast improvement over existing conditions. Very truly yours, Daniel A. Ojala, PE, PLS Down Cape Engineering, Inc. r i tel. (508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down cape engineering, inc land court civil engineers&land surveyors Daniel A.Ojala,P.E.,P.L.S. surveys Arne H.Ojala,P.E.,P.L.S. Daniel E.Gonsalves,E.I.T.,S.E Craig J.Ferrari,E.I.T.,S.E. structural design July 7, 2017 site planning Dear Abutter: sewage system designs A public hearing has been scheduled for the Barnstable Board of Health to take action on a request for variances from the Title 5 Regulations and from Town of Barnstable Regulations inspections for the subsurface disposal of sewage for the proposed Title 5 septic system at#373 Bay Lane, Centerville. The variances requested are as follows: permits Under Town of Barnstable Health Regulations (VIII)Chapter 360-1: leaching facility less than 100'to Bordering Vegetated Wetland (100'to 50.8') and septic tank less than 100'to wetland (100'to 59.2'). Under Title 5 310 CMR 15.405(1a): reduction in setback, septic tank to lot line (10'to 8% leaching facility to lot line (10'to 6.2'); (1b): reduction in setback, leaching facility to foundation (20'to 10.3'); (1h): reduction in separation,SAS to adjusted groundwater,5'to 3' (note: Remedial Permit for FAST system, pressure dosing). Said hearing will be held in the Hearing Room 300,South Street, Hyannis,July 25, 2017 at 3:00 pm. Plans and the application describing the proposed activity are on file at the Board of Health office,200 Main Street, Hyannis. It is recommended to check with the Health Department to confirm date and time if you are interested in attending. Sincerely, Daniel A. Ojala, PE, PLS Down Cape Engineering, Inc. cc:Abutters file Barnstable Board of Health PostalTM 0 RECEIPT ru ul Domestic Mail Only IUvisit c ru OFFICIAL USE I f11 Certified Mail Fee m $ 3 mi&Fees(cheekbaradd—teeaseppmdate) .�����Ln) erpt Oiard-pY) C3 Return ' I Receipt(electronic) $ Postrneflr , C ❑Certified Mail Restricted Delivery $ �F' Here p ❑Adult Signature Required $ 11 J14 []Adult Signature Restricted Delivery$ 1V J LJ Postage � Total Postage and Fees Gs Ln $ .,5LQ Sent To StreetanifApt IVo.,orP Box 0. T Q � �r' ------- 2;N �___lti>n__5 Cate,ZIP+4 L �PS Form :11 April 201511 10 •1 Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. 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Ps Form 3800,April 2015(Reverse)PSN 7530-02.000.9047 ' Postal oRECEIPT Lr) CERTIFIED Domestic ru For delivery information,visit our website at www.uspsxom1O. lv OFFICIAL USE I M Certified Mail Fee $ Services&Fees(check box add tee as a S etum Receip dcof $ ;"""�♦♦♦7�`.' , C3 Retum Receiptt((elecbonlc) $ PO Omar(,' ❑Certified Mail Restricted Delivery $ Here F Ili ❑Adult Signature Required $ �/I/�', ❑Adult Signature Restricted Delivery$ —"� IO Postage . . R( it � $ Total Postage and Fees $ U1 Sent To NSheet and Y.'No.,or 6 Box No. � fifty,sraie,z�a+a AAA O Z fPS Form 3800,April 2015 PSN 7530-02-000-9047 Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mall label). for an electronic return receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,presenfthis delivery. 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Ps Form 3800,ApdI2015(Reverse)PSN 7530-02-000.9047 PostalTM CERTIFIED o RECEIPT m Domestic ru For delivery information,visit our website at www.usps.com". ru OFFICIAL MSE m Certified Mail Fee '^ Extra Services&Fees(checkbax add fee as appropdate) TARetum Receipt(hardcopy) $ _i.�'�[ .U 0 ; Return Receipt(electronic) $ %'" POi4k 0 ❑CartifledMallRestrictedDelivery $ �_�f .` Here`%' VVV 0 ❑Adult Signature Required $ -111 JUL ❑Adult Signature Restricted Delivery$ M..M N JUL d 0 Postage ru $ 4r t > �v r� Total Postage and Fees 00 $ Co ,- s rr=1 Sent To Mef and i.Al:,or Pt3 Box FIo: ll-Co1•---GL...MQdiSQ--- `^u�----------•--- City State,Z)P+4e "G \�S 5 02 i :r r r r ,,,•,. 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PS Form 3$00,April 2015(Reverse)PSN 7530-02-000.9047 Postal o RECEIPT a Domestic ru For delivery information,visit our website at www.usps.com". ry OFFICIAL USE -J ITI Certified Mail Fee m $ '� Extra Services&Fees icheckbo y add fee as appropriate) `"'+• 0ffRetum Receipt#wdooPy) $ (,-_'•IC DH.rfe Retum Receipt(electronic) $ ,'mo *I3 ❑Certified Mall Restricted DeMery $ ZO ❑Adult Signature Required $ rCD Adult Signature Restricted Delivery$0 Postageru Aj Total Postage and Fees$ Alto— $ ul Sent To O ---- - -� �)-=sue-------' � 3treeA Alo.,or��Box No. City,State,ZIP+4 vi 1 2� 2 PS Form 3800,April 2015 ,r r„•,. Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return recalpt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. 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PS Form 38OO,April 2015(Reverse)PSN 7530-02-000.9047 Postal CERTIFIED o RECEIPT ra Domestic Mail Only I� For delivery information,visit our website at www.uSPS.Como. fu Iru OFFICIAL USE, M Certified Mail Fee SeNiCes&Fees(checkbo y add fee as appro date) rReturn Receipt(hardcopy) $rl Z <_ '•�' '.,�,'�,. � Receipt(electronic) $ uspc-11 r3 ❑Certtfled Mall Restricted Delivery $ ��- '? 0 ❑Adult Signature Required $ I�Adult Signature Restdcted Delivery$O PostageTotal Postage and Fees <$ S Sent To irq (� Street and Apt No.,o�Box7P -- Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this. delivery. USPS®-postmarked Certified Mail receipt to the ■A record of delivery(including the recipient's retail associate. signature)that is retained by the Postal Service- Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent Important Reminders. Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. 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Ps Form 3800,Apr9 2015(Reverse)PSN 7530-02.000-9047 Postal CERTIFIED o RECEIPT O Domestic Only flJ For delivery information,visit our website at www.usps.como. ru OFFICIAL - US E M Certified Mail Fee ' m $ 3.�5 Services&Fees(checkbox,add fee as�e!3ifaatte) y" I111 Return Receipt(--pY) - $—�1�L E3 etum Receipt(electronic) $ ! Postmatky E:) ❑Certified Mail Restricted Delivery $ - Here F v p ❑Adult Signature Required $ ,) ❑Adult Signature Restricted Delivery$ ```"*QF,:y. � O Postage Q ru Lr) $ rq Total Postage and FeesCns. $ �A` Ln Sent To Street and p IVn.,or Pa�oz N - - airy;-stare,z7P+ae :00 April 20150- 10 •r. Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,presentthis delivery. 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USPS postmark If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office-for the following services: postmarking.if you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailplece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt attach PS Form 3811 to your mailpiece; IMPORTANT.Save this receipt for your records. PS Form 3800,April 2015(Reverse)PSN 7530-02-000.9047 COMPLETE • COMPLETE • ON DELIVERY ■ Complete items 1;2,and 3. A. Si ■ Print your name and address on the reverse X ❑Agent so that we can return the card to you. ❑Addressee B. ceiv tl b (Printed Nae) Date of Delivery ■ Attach this card to the back of the mailpiece, .� / or on the front if space permits. � V� L 1. Article Addressed to: D. Is delivery address different.from.item 1? Yes If�nter-delivery address below: p No �W /V o �, r Cy-"o u- \A- W�Ssc, 3c�-,v�nS�cl�tie, A oZ(a(o`6 t3I I (III I'll III(III I I II I l III I I ll � ' l III III 1 r Sevice Type ❑Priority Mail Express® ❑Adult Signature ❑Registered Mall- du, Signature Restricted Delivery ❑Registered Mail Restricted 9590 9402 2740 6351 2620 84 ❑cert�ed Mall Restricted Delivery ❑Returrn Receipt for ❑Collect on Delivery Merchandise _2. Article Number(transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation*" 9 1115,2 0 t l0 Or 01 t'],3 Ma I Restricted Delivery ❑Signature Confirmation Restricted Delivery PS Form 3811,July 2015 PSN 7530-02-000 9053 -BCC-/,F� } -�6W Domestic Return Receipt uSPS -'-•y••-C• �•--� First-Class Mail A= Postage&Fees Paid USPS Permit No.G-10 j 9590 9402 2740F6351 2620 84 I United States •Sender:Please print your name,address,and ZIP+4®in this box* Postal Service I I Down Cape Engineering, Inc.. 939 Rte 6A-Suite C Yarmouth Port-MA 02675. I I I I I I 1,i111„l111 j/111,,1/1,11,l.11,il,l)11i,l,.i f)„tIlillil,l,l,llilli I ■ Complete items 1•,2,and 3. A. S' at � ■ Print your name and address on the reverse X _SENDER: COMPLETFTHIS SECTION COMPLETE,THIS SECTION ON DELIVERY so that we can return the card to you. dressee ■ Attach this card to the back of the mailpiece, rived� (Prin ed Name) C.Dat of Delivery or on the front if space permits. _ 1. Article Addressed to: D. Is delivery address different from item 11 ❑Yes ek o—vv �& S t If YES,enter delivery address below: ❑No r (, 3. Service Type J ❑Priority Mail Express® I I I I I I I I I I I I 'I I I I I I I I I I I I I I I I I I I I I I I I I I III ❑Adult Signature ❑Registered Mail R ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted Certified Mail® Delivery 9590 9402 2140 6351 2621 14 4Cenified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise 2_ Artirle,Number_f hansfer from,secvice labeQ�,r ❑Collect on Delivery Restricted Delivery ❑Signature ConflrmationTm i 7 i I ii t �- ' `"'1Mail ❑Signature Confirmation - 015' 1,820 ' 0 0 01' 13 3 2 2622 Mail Restricted Delivery Restricted Delivery 00> PS Form 3811,July 2015 PSN 7530-02-000-9053 �� l rr�xl Domestic Return Receipt USPS TRACKING# First-Class Mail Postage&Fees Paid USPS Permit No.G-10 9590 940�3274'iOL6351 2621 14 United States •Sender:Please print your name,address,and ZIP+4®in this b;F Postal Service Down Cape Engineering, Inc. 939 Rte 6A- Suite C Yarmouth Port MA 02675 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY, ■ Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse X e ❑Agent so that we can return the card to you. _ ❑Addressee ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery �+ , or on the front if space permits. _ (1r L W 1. Article Addressed to: D. Is delivery address.diffe►ent. m item d Yes If YES,enter` very address I , x �3 II I IIIIII III III III II II II III I III I III)II I I 3. Service Type otit�A s® Adult Signature ❑R ❑ It Sign re Restricted Delivery ❑Re ggistered Mail Restricted Certified Mail® Del'r 9590 9402 2740 6351 2620,91 certified Mail Restricted Delivery ❑Return Recelptfor ❑Collect on Delivery Merchandise ❑Collect on Delivery Restricted Delivery ❑Signature ConfiirmationTm It f 2 Article Number(Transfer from sernc_e./abeQ r ,__ ❑Signature Confirmation 7'01#5 ],52 '0 0 0113 3 2 �'2 6 4 5` t•E 4 ul Restricted Delivery g Restricted Delivery PS Form3811,July 2015 PSN 7530 02-000-9053 5oinesti.Return Receipt I USPS TRACKING# First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 9590 940.2"Xe274I 6351 2620 91 United States •Sender:Please print your name,address,and ZIP+4®in this box* Postal Service Down Cape Engineering, Inc. I 939.Rte 6A-Suite C w Yarmouth Port MA 02675. iji ?�-Fi;';F:ii?_,:F=:FiFi°''F'i-Fi='•"'9FE� i SENDER: • • • • ■ Complete items.1,2,and 3. nature ■ Print your name and address on the reverse X ❑Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B. ived by(P'tinti ame .Date of el'v . or on the front if space permits. �l 1. Article Addressed to: Is delivery address different from ite 12 es If YES,enter delivery a slow: ❑No Ln I®S•�U'�\��f 1�•-its O�-(ASS � 1 � ❑Priority Mail Express® II I IIIIII IIII II I III I I II II I III I I III I I I I I I III ❑Adult Signature ❑Registered Mahn" ❑Adult Signature Restricted Delivery D Registered Mail Restricted 9590 9402 2740 6351 2621 38 Certified Mail® Delivery Certified Mail Restricted Delivery ❑Return Receiptfor ❑Collect on Delivery Merchandise ❑Collect on Delivery Restricted Delivery`,❑Signature Confirmation t firta Numhar_lTransfer from_service labe/l� i _- Mail ❑Signature Confirmation 7 015 L 52 0 '0.0 01 *i 3 3 2 2 6 0 7. Mail Restricted.Del-lye ry Restricted Delivery � PS Form 3811,July 2015 PSN 7530-02-000-9053 "ISomestFc Return Receipt .` �v�E_/j c crE 'SCI USPS,-,- �lIG# First-Class Mail Postage&Fees Paid USPS Permit No.G-10 9590 9402 2740 6351 2621 38 United States •Sender:Please punt your name,address,and ZIP+4®in this box• Postal Service I Down Cape Engineering, Inc. 939 Rte 6A-Sullte C I Yarmouth Port-MA 02675, I I I I I IiI,II b1-1,1),tilt)111111if�,1,:,1ff���1!'i�1l11"� 111�"111I1 E SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY; ■ Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse X ❑Agent so that we can return the card to you. Addressee ■ Attach this card to the back of the mailpiece, Received by(Printed Name) C.Date of'Deli ery or on the front if space permits. DS' r 1. Article Addressed to: D. Is delivery address different from item 1? O Yes I enter d5iv below: /p No -T d.v� Coves-t v��� ,��T V f J JULE 132017 e, � II I'III I I II II I II I I I I III III I II I I I I I I I I I I I I I ❑0 Adult Adult Signature Restricted Delivery ❑Registered Mail Restricted Certified Mail® Delivery 9590 9402 2740 6351 2621 21 rtified Mail Restricted Delivery ❑Retum Receipt for ❑collect on Delivery Merchandise _2..Article.Number(11ansfer from SeNice labeq ❑Collect on Delivery Restricted Delivery ❑ TM Signature Confirmation r "i Mail ❑Signature Confirmation ± r- t F : � !, i t i 1 1 60Ujll Restricted Delivery Restricted Delivery 7�15 1520 .0�01 13322614 PS Form 3811,July 2015 PSN 7530-02-000-9053 � /����� �70H Domestic Return Receipt USPS TRACKING# First-Class Mail ` Postage&Fees Paid USPS Permit No.G-10 9590 9402 2740 6351 2621 21 United States •Sender:Please print your name,address,and ZIP+4®in this box• Postal Service .� Down Cape Engineering, Inc. 939 Rte 6A-Suite C Yarmouth Port MA 02675 I I I .. I , I n. P - i 7/7/2017 AbutterReport Board of Health Abutter List for Map & Parcel(s): '187002' Direct abutters (no set distance) and the properties located across-the street. Total Count: 6 Close Map&Parcel Ovuneri Owner2 Address3 Address 2 Mailing Country Deed Citysatatezip 186016 MACDONALD,ALBERT P 0 BOX 739 OSTERVILLE, MA C137358 P&CAROLE L 02655 c— 186017 MCMAHON, 360 BAY LANE CENTERVILLE, MA 1411/1017 COURTNEY&JOAN 02632 187001 ASIAF MARILYN R %ASIAF JOSEPH R& ASIAF FAMILY TRUST 361 BAY LANE CENTERVILLE, MA C110305 MARILYN R TRS 02632 1167 EL MEDIO PACIFIC 187002 FAVAT, PETER P AVENUE PALISADES, CA C124345 90272 187003001 SCHERER, HAROLD N BEECH LEAF LANDING PO BOX 82 CENTERVILLE, MA 13467/304 JR ET AL TRS TRUST 02632 ORENDAWEST 187004 LAND TRUST,INC WILDLIFE 1000 MAIN ST AR STABLE, MA 15978/22 LAND T 02668 I This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters.If a certified list of abutters is required,contact the Assessing Division to have this list certified.The owner and address data on this list is from the Town of Barnstable Assessor's database as of 7/7/2017. http,'•Imaps.townofbarnstable.us/arcims/appgeoapp/AbutterReport.aspx?type=BOH 1/1 Town of Barnstable Geographic Information System July 7,2017 187061 187055 IM 187081 #40 #529 187066 187068 #0 #515■ #522 167046 Z #116 187057 1187067 187082 187080001 :5� #504 #104 #59 67045 i•: 187003007 w.w 1 187064 187078 118 485 • #492 187077 ;•:..:.::•::' i'::i.i':. i=:i:• :'•.'.:187003006`:: #22 0 ;::::'187004';::°:•':{;'c;':::.:;i:: 187079001 # ::; #0; {,•.`•:• .::::::`• ':::::.;:'. 67 187003004 #49 #473 BEECH LEAF ISLAND RD 187003005 187079002 ' 5 _ #0 187073 = 187076 187003008 #11 07S #10 #461 187065 Z #464 WRI .1870'6i":';:•,:':':'•:::i::;;', ?::..:.....:' Z 187075 87003003 1 14#373:•: :::: ::,_:r;:;.;.;;•;:%: :::::•. . :.: #447 �#22 ::187003002:. 1 7001 •'':;'•.�: :::�::.`:�::#459:ii::;:: 187066 Z #361, ::;:: #456 187074 r 186091 #36 :::187003001;. .`s.::::r:i ::(r•' #446 8 18605 186014 #360'.::'.::';;• :.;: ;:;:;:;i::,::.,.• #442 #309 ::::? '::::: :.:.:::::i.:,': '::':`.:::': .... 186092 #0 186019 186084 #314 #444 186090 166059 #57 #29� 186020 186018 186088001 #366 18 1 .. #62 t 186015001 #420 186021 186015002 #282 #430 166058 #277 186023 186087 #274 #64 #261 1860 8 02 64 186086 166 57 186025 186028 186029002 186034 #0 18 1#230 #214 1#6866 #146 #142 #0 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:187 Parcel:002 Board of Health boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel 1"=100'may not meet established map accuracy standards. The parcel lines on this map Abutter List Type-Direct abutters(no set distance)and the properties located are-only graphic representations of Assessor's tax parcels. They are not true property across the street. Abutters boundaries and do not represent accurate relationships to physical features on the map such as building locations. 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J a� �'s3 �.'��_..� .c�,,;,r��f��,F��'Y�+.,•C�.fi,;�,r,�Fr+=. ��,:, � SFfi.i,�': �7'; ''`.' _ ,�I-7'-�'.,',�}�'.:�" s zrr�.,,�;t���.�S,va s?�F7. �t,�`I��>X:';>^a-(�,�-r s � � !N�iv';��� -a .�C�rr 1•�.' h � t 'W:,o��, � , :.,,a�7, �[ �-�' � r d 4 .'� 1'' �•"T"z�' 4 �:`c����^i.�r� 1=- r yy��r.��€. _ �' ,4�N,r�,-''s s.5•1�-�. �,(.''r4»"tj'�TM'r��'ICZ+'''���.�z �'��t���� 4 �vpa ����"'t�'aye+ '-v,�•n; •`�,�� v �,�`r, i( ✓ 4 C ��Sry Jyy L� I , l� June 27,2017 Re: 373 Bay Lane, Centerville(Favat) To the Barnstable Board of Health: f I hereby give my permission for Down Cape Engineering, Inc.to represent me at the upcoming public hearing. Ow r/I�ega rx ative/agent date F L f Commonwealth of Massachusetts Executive Office of Energy &Environmental Affairs Department of Environmental Protection One Winter Street Boston, MA 02108.617-292-5500 DEVAL L PATRICK RICHARD K SULLIVAN JR. Governor Secretary TIMOTHY P.MURRAY KENNETH L KIMMEL L Lieutenant Governor Commissioner REVISION OF APPROVAL FOR REMEDIAL USE Pursuant to Title 5, 310 CMR 15.00 Name and Address of Applicant: Bio-Microbics, Inc. 8450 Cole Parkway Shawnee, KS 66227 Trade name of technology and models: MicroFASTO Treatment System Models MicrOFAST® 0.5, 0.75, 0.9, 1.5, 3.0, 4.5 and 9.0; HighStrengthFASTO Treatment System Models HighStrength FASTS 1.0, 1.5, 3.0, 4.5 and 9.0 and NitriFAST® Treatment System Models NitriFASTO 0.5, 0.75, 1.0, 1.5, 3.0, 4.5 and 9.0 (hereinafter called the"System"). Schematic Drawings illustrating each System, a design and installation manual, an owner's manual, an operation and maintenance manual, and an inspection checklist are part of this Approval. Transmittal Number: W 072367 Date of Issuance: June 16, 2006 (modified January 23, 2008) Revision date: November 05, 2012 Authority for Issuance Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000, the Department of Environmental, Protection hereby issues this Approval for. Remedial Use to: Bio-Microbics, Inc.,8450 Cole Parkway, Shawnee, KS 66227, (hereinafter "the Company"), approving the System described herein for Remedial Use in the Commonwealth of Massachusetts. The sale, design, installation, and use of the System are conditioned on compliance by the Company, the Designer, the Installer, the Service Contractor, and the System Owner with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Approval constitutes a violation of 310 CMR 15.000. November 05, 2012 David Ferris, Director Date Wastewater Management Program, Bureau of Resource Protection This information Is available in alternate format.Call Michelle Waters-Ekanem,Diversity Director,at 617-292-5751.TDD#1-866.539-7622 or 1.617-574.6868 MassDEP Website:www.mass.gov/dep Printed on Recycled Paper Bio-Microbics,Inc.-MicroFASTO,13ighStrengthFASTO,NitriFASTO Revision of Approval for Remedial Use Revision Date:November 05,2012 Page 2 of 3 TechnoloLry Description The System is a Secondary Treatment Unit(STU). The Systems, MicroFASTO 0.5, 0.75, 0.9, 1.5, 3.0, 4.5 and 9.0, and HighStrengthFASTO 1.0, 1.5, 3.0, 4.5 and 9.0, and,NitriFASTO 0.5, 0.75, 0.9, 1.5, 3.0, 4.5 and 9.0 units are installed in a tank or tanks having a primary settling zone and an aerobic biological zone. Solids settle in the primary settling zone that is quiescent. In the aerobic zone,the sewage is continually agitated and aerated. Bacteria in the sewage attach to the surface of a submerged plastic media; they reproduce by consuming the organic material in the sewage. Conditions of Approval The term"System"refers to the STU in combination with the other components of an on-site treatment and disposal system that may be required to serve a facility in accordance with 310 P Y Y q �' CMR 15.000. The term"Approval"refers to the technology-specific Special Conditions,the conditions applicable to all STU's with Remedial Use Approval, the General Conditions of 310 CMR 15.287, and any Attachments. For Secondary Treatment Units that have been issued Remedial Use Approval for the upgrade or replacement of an existing failed or nonconforming system., the Department authorizes reductions in the effective leaching area(310 CMR 15.242), the depth to groundwater (310 CMR 15.212), and/or the depth of naturally occurring pervious material (310 CMR 15.240(1)) subject to the conditions that apply to all Secondary Treatment Units Approved for Remedial Use and subject to the Special Conditions applicable to the Technology. Special Conditions 1. The System is Secondary Treatment Unit Approved for Remedial Use. In addition to the Special Conditions contained in this Approval, the System shall comply with all the "Standard Conditions for Secondary Treatment Units Approved for Remedial Use", except where stated otherwise in these Special Conditions. 2., The System is approved for facilities where the local approving authority finds that: a) there is no increase in the actual or proposed design flow; b) the System is for the upgrade of a failed, failing or nonconforming system; and c) a conventional system with a reserve area, designed in accordance with the standards of 310 CMR 15.100 through 15.255, cannot feasibly be built on-site. biomicro.doc Bio-Microbics,Inc.-MicroFAST®,HighStrengthFAST®,NitriFAST® Revision of Approval for Remedial Use Revision Date:November 05,2012 Page 3 of 3 3. The MicroFASTO 0.5, 0.75 and 0.9, HighStrengthFASTO 1.0 and NitriFASTO 0.5, 0.75 and 0.9 are installed in the second compartment of a two-compartment tank with a total liquid capacity of at least 1,500 gallons constructed in accordance with 310 CMR 15.226. 4. The MicroFASTO, HighStrengthFASTO and NitriFASTO 1.5 are installed in the second compartment of a two compartment 3,000-gallon tank constructed in accordance with 310 CMR 15.226. 5. The MicroFASTO, HighStrengthFASTO and NitriFASTO 3.0, 4.5, and 9.0 units are installed in a separate tank constructed in accordance with 310 CMR 15.226. The units are located between a standard Title 5 septic tank, designed in accordance with 310 CMR 15.223 and 15.224, and the soil adsorption system(SAS). 6. Access shall be provided to all tanks in the primary settling and aerobic biological zones in accordance with 310 CMR 15.228 (2). The primary settling tank shall have at least three manholes with readily removable impermeable covers of durable material provided at grade. Two manholes, over the inlet and outlet of the primary settling tank, shall have a minimum opening of 20 inches. All access ports and manhole covers shall be installed and maintained at grade to allow for maintenance of the System. biomicro.doc I Commonwealth of Massachusetts Executive Office of Energy & Environmental Affairs Department of Environmental Protection One Winger Street Boston, MA 02108•617-292-5500 Charles D.Baker Matthew A. Beaton Governor Secretary Karyn E. Polito Martin Suuberg Lieutenant Governor 1 Commissioner t �1" ���� � nay Standard Conditions for Secondary Treatment Units Approved for Remedial Use Last Revision Date: November 30, 2016 A Secondary Treatment Unit(STU) is an alternative technology that may be used as a component of an on-site sewage disposal system where soil or site conditions make conventional soil absorption systems more costly to construct or infeasible. A conventional system may be more costly to construct or infeasible where there is a shallow water table and/or limited area for the siting of a conventional system. As compared to a conventional system, in certain instances, an STU provides for higher loading rates (smaller leaching area) and may require less land area, potentially less fill, and less disturbance of the site. The System consists of an STU designed to reduce the organic material and solids in the wastewater which reduces the demand for treatment in the soil absorption system. A conventional septic tank precedes the STU unless exempt by the Special Conditions for a specific Technology. The use of an STU in accordance with this Approval for Remedial Use requires, among other things: • A Disclosure Notice in the Deed to the property (310 CMR 15.287(10)) (A Deed Notice template is available from the Department); • Certifications by the Designer and the Installer (310 CMR 15.021(3)); • A Massachusetts certified operator who has received training for the technology and is under contract for periodic inspection and maintenance (310 CMR 15.287(10)); • Periodic sampling, recordkeeping, and reporting, in accordance with this Approval; • Notification within 24 hours by the System Owner to the local approving authority of any System failure; • When pumping is required to discharge to the SAS, 24-hour emergency wastewater storage capacity above the elevation of the high level alarm; and • System Owner Acknowledgement of Responsibilities, in accordance with this Approval. This information is available in alternate format.Call Michelle Waters-Ekanem,Diversity Director,at 617-292-5751.TTY#MassRelay Service 1-800-439-2370 MassDEP Website www.mass.g ovidep Printed on Recycled Paper Standard Conditions for Secondary Treatment Units for Remedial Use Page 2 of 18 Revised November 30, 2016 . Definitions and References: The term "System" refers to the STU in combination with the other components of an on-site treatment and disposal system that may be required to serve a facility in accordance with 310 CMR 15.000. The term."Approval" refers to these Standard Conditions applicable to all STU's with Remedial Use Approval, the Special Conditions contained in the Technology-specific Approval, the General Conditions of 310 CMR 15.287, and any other Attachments. The Conditions contained herein MUST be read in conjunction with any Special Conditions that are Technology-specific. I. Purpose 1. Approval for Remedial Use allows the use of the Alternative System only where the local Approving Authority finds that the Alternative System is for the upgrade or replacement of an existing failed, failing or nonconforming system with a design of flow of less than 10,000 gpd, where there is no increase in the actual or proposed design flow, and where a conventional system with a reserve area, designed in accordance with the standards of 310 CMR 15.100 through 15.255, cannot feasibly be built on-site. 2. The sale, design, installation, and use of the System shall be subject to these requirements for any system that submits a complete Disposal System Construction Permit (DSCP) application after the effective date of these Standard Conditions. Existing Systems and Systems for which a complete DSCP application was submitted prior to the effective date of these requirements shall not be subject to the design and installation requirements, however,the System Owner, the Service Contractor, and the Company shall be subject to all other requirements contained herein. 3. With the other applicable permits or approvals that may be required by 310 CMR 15.000, the Approval authorizes the installation and use of the Alternative System in Massachusetts. Except those provisions that specifically have been varied by this Approval, the provisions of 310 CMR 15.000, including the General Conditions of 310 CMR 15.287, apply to the sale, design, installation, and use of the System. 4. Unless stated otherwise in the Special Conditions that apply to a specific Technology, all the conditions contained in this document shall apply to secondary treatment units which have obtained Remedial Use Approval. (Special Conditions may be more or less stringent than the requirements of this document.) 5. Provided that the local Approving Authority approves the Alternative System in conformance with the Department's Technology Approval, Department review and approval of the site-specific System design and installation is not required unless the Department determines on a case-by-case basis,pursuant to its authority at 310 CMR 15.003(2)(e), that the proposed System requires Department review and approval. Standard Conditions for Secondary Treatment Units for Remedial Use Page 3 of 18 Revised November 30, 2016 II. Design and Installation Requirements 1. Effluent BOD5, TSS and pH - The effluent discharge concentrations from the Secondary Treatment Unit to the SAS shall not exceed secondary treatment standards of 30 mg/L BOD5 and 30 mg/L TSS and the effluent pH range shall be 6.0 to 9.0. 2. The Designer shall be a Massachusetts Registered Professional Engineer or a Massachusetts Registered Sanitarian, including when designing systems for repair, provided that such Sanitarian shall not design a system with a discharge greater than 2,000 gallons per day. 3. Except where the Approval specifically states otherwise, the Alternative System shall be installed in a manner which does not intrude on, replace, or adversely affect the operation of any other component of the subsurface sewage disposal system designed and constructed in accordance with the standards of 310 CMR 15.200 - 15.279. 4. Except where the Approval specifically states otherwise, the Alternative System shall include a properly sized and constructed septic tank, designed in accordance with 310 CMR 15.223 — 15.229, connected to the building sewer and followed in series by the Technology and the SAS; 5. Alternative Design Standards - Provided that the Designer demonstrates that the impact of the proposed Alternative System has been considered and the design requirements of 310 CMR 15.000 have been varied to the least degree necessary so as to allow for both the best feasible upgrade within the borders of the lot and the least effect on public health, safety, welfare and the environment, the local approving authority may allow any combination of the following alternative design standards without the need for granting a variance under 310 CMR 15.400 or obtaining Department approval: a) If a reduction in the size of the SAS is necessary, the size of the SAS may be reduced up to 50 percent from the effective leaching area required when using the loading rates for gravity systems of 310 CMR 15.242(1)(a) for Systems sited in soils with a percolation rate of 60 minutes or less per inch, or for soils with a recorded percolation rate of between 60 and 90 minutes per inch, the loading rates of 310 CMR 15.245(4). (Alternatively, the effluent loading rates provided in 310 CMR 15.242(1)(b) for pressure distribution may be utilized, however,no reduction in the effective leaching area may be taken when using these loading rates, as stated in the regulation.); and/or b) If a reduction in the depth to groundwater required by 310 CMR 15.212 is necessary, the depth to groundwater may be reduced by up to 2 feet, resulting in a minimum separation distance of two feet in soils with a recorded percolation rate of more than two minutes per inch and three feet in soils with a recorded percolation rate of two minutes or less per inch, measured from the bottom of the soil absorption system to the high groundwater elevation; and/or c) If a reduction in the depth of the naturally occurring pervious material layer is necessary, a proposed reduction of up to 2 feet may be allowed in the four feet of naturally occurring pervious material layer required by 310 CMR 15.240(1) provided i Standard Conditions for Secondary Treatment Units for Remedial Use Page 4 of 18 Revised November 30, 2016 that it has been demonstrated that no greater depth in naturally occurring pervious material can be met anywhere on the site. 6. Any proposed reduction in the required depth to groundwater, specified in 310 CMR 15.212, may only be approved when: a) An approved Soil Evaluator who is a member or agent of the local Approving Authority determines the high groundwater elevation; b) No reduction is granted under LUA for setbacks from public or private wells, bordering vegetated wetlands, surface waters, salt marshes, coastal banks, certified vernal pools, water supply lines, surface water supplies or tributaries to surface water supplies, or drains which discharge to surface water supplies or their tributaries, is allowed; and c) In accordance with 310 CMR 15.212(2), for systems with a design flow of 2,000 gpd or greater, the separation to high groundwater as required by 310 CMR 15.212(1) shall be calculated after adding the effect of groundwater mounding to the high groundwater elevation as determined pursuant to 310 CMR 15.103(3). 7. The Alternative Design Standards for effective leaching area, depth to groundwater, and depth of naturally occurring pervious material contained in the Department's Standard Conditions for Secondary Treatment Unit Approved for Remedial Use shall not be made less stringent by the local Approving Authority under the LUA provisions of 310 CMR 15.405 or under the variance procedures of 310 CMR 15.411. The local Approving Authority may vary other design requirements under the LUA provisions of 310 CMR 15.405 or under the variance procedures of 310 CMR 15.411. 8. Except those allowed under LUA and the Approval, any further deviation from the siting and design requirements of 310 CMR 15.000 for the remedial use of a Secondary g q Y Treatment Unit shall require the following: a) The applicant may propose the use of a Bottomless Sand Filter(BSF) as the means of on-site effluent disposal in conjunction with a Secondary Treatment Unit. The installation and use of the BSF must be in accordance with the conditions of the Remedial Use Approval issued by the Department for the BSF; and/or b) The applicant may request the approving authority to grant a variance. 9. The proposed use of a Secondary Treatment Unit Approved for Remedial Use shall be subject to the following: a) the approved record drawings, on file with the local approving authority, shall clearly indicate an area for the best feasible upgrade that could be installed to replace the proposed System, including the STU, in the event that the proposed System fails or it is determined that it is not capable of providing equivalent environmental protection; b) the installation of the proposed System shall not disturb the site in any manner that would preclude the future installation of the best feasible upgrade that could be installed to replace the proposed System. Components of the proposed System may Standard Conditions for Secondary Treatment Units for Remedial Use Page 5 of 18 Revised November 30, 2016 be sited in an area for the future installation of the best feasible upgrade, provided that it does not render the area unusable for a potential future upgrade; and c) except for the installed SAS, the System Owner shall not construct any permanent buildings or structures in the area for the best feasible upgrade that could be installed to replace the proposed System and the System Owner shall not disturb the site in any other manner that would preclude the future installation of the best feasible upgrade. 10. When identifying the best feasible upgrade that could be installed to replace the proposed System, the Designer shall consider these options in the following order: a) a conventional.system designed in accordance with the standards of 310 CMR 15.100 through 15.255 that can be built feasibly, with the exception of providing a reserve area(15.248); b) a conventional system that can only be built feasibly under a Local Upgrade Approval (LUA); c) where a conventional system cannot be built feasibly under a LUA, a Bottomless Sand Filter, in conjunction with an STU; d) where a System can only be built feasibly with variances, a System that has been demonstrated to vary the design requirements of 310 CMR 15.000 to the least degree necessary and have the least effect on public health, safety, welfare and the environment (the System may be an Alternative System with variances); or e) a tight tank. 11. For the upgrade or replacement of an existing failed or nonconforming system in a nitrogen sensitive area (NSA), as defined in 310 CMR 15.215, Systems serving facilities with actual or design flows of 2,000 GPD or greater must include treatment with a Recirculating Sand Filter (RSF) or equivalent technology, as required by 310 CMR 15.202(1). Secondary Treatment Units with Remedial Use Approval are not approved as an RSF equivalent technology and shall not be installed in a NSA, as defined in 310 CMR 15.215, to serve facilities with actual or design flows of 2,000 GPD or greater. (The technology may also have a separate approval for nitrogen reduction, but must be installed under that approval, when appropriate.) 12. Except for septic tank covers which are not required to be at grade, the frames and covers of the other access manholes and ports of the System components shall be watertight, made of durable material, and shall be installed and maintained at grade, to allow for necessary inspection, operation, sampling and maintenance access. Manholes brought to final grade shall be secured to prevent unauthorized access. No structures which could interfere with performance, access, inspection, pumping, or repair shall be located directly upon or above the access locations. 13. Any System structures with exterior piping connections located within 12 inches of or lower than the Estimated Seasonal High Groundwater elevation shall have the connections made watertight with neoprene seals or equivalent. Standard Conditions for Secondary Treatment Units for Remedial Use Page 6 of 18 Revised November 30, 2016 14. All System control units,valve boxes,distribution piping, conveyance lines and other System appurtenances shall be designed and installed to prevent freezing. 15. The System control panel including alarms and controls shall be mounted in a location always accessible to the operator(or service contractor). When pumping is required to discharge to the SAS, the System shall be equipped with sensors and high-level alarms to protect against high water due to pump failure, pump control failure, loss of power, system freeze ups, or backups. Emergency storage shall be required when pumping to discharge is employed, including pressure distribution. Emergency storage capacity for wastewater above the high level alarm shall be provided equal to the daily design flow of the System and the storage capacity shall include an additional allowance for the volume of all drainage which may flow back into the System when pumping has ceased. 16. System malfunction alarms or high water alarms shall be readily visible and audible for the facility occupants and the Service Contractor and the alarms shall be connected to circuits separate from the circuits serving operating equipment and pumps. 17. The System shall not include any relief valve or outlet for the discharge of wastewater to prevent flooding of the system, back up or break out. 18. In compliance with 310 CMR 15.240(13), a minimum of one (1) inspection port shall be provided within the SAS consisting of a perforated four inch pipe placed vertically down to the elevation of the SAS interface with the underlying unsaturated pervious soils to enable monitoring for ponding. The pipe shall be capped with a screw type cap and accessible to within three inches of finish grade. (A locking cap at-grade is preferred for annual inspection.) 19. Upon submission of an application for a Disposal System Construction Permit (DSCP), the Designer shall provide to the local Approving Authority: --a) proof that the Designer has satisfactorily completed any required training by the Company for the design and installation of the Technology; for any proposed non-residential System or any residential System with a design flow 2,000 GPD or greater, certification by the Company as specified in.Paragraph V.3; c) certification by the Designer that the design conforms to the Approval, any Company Design Guidance, and 310 CMR 15.000; and d) a certification, signed by the Owner of record for the property to be served by the Technology, stating that the property Owner: i) has been provided a copy of the Approval,the Owner's manual, and the Operation and Maintenance manual and the Owner agrees to comply with all terms and.conditions; ii) has been informed of all the Owner's estimated costs associated with the operation including, when applicable: power consumption, maintenance, sampling, recordkeeping, reporting, and equipment replacement; I Standard Conditions for Secondary Treatment Units for Remedial Use Page 7 of 18 Revised November 30, 2016 iii) understands the requirement for a service contract; iv) agrees to fulfill his responsibilities to provide a Deed Notice as required by 310 CMR 15.287(10) and the Approval; v) agrees to fulfill his responsibilities to provide written notification of the Approval to any new Owner, as required by 310 CMR 15.287(5); vi) if the design does not provide for the use of garbage grinders, the restriction is understood and accepted; and vii) whether or not covered by a warranty, the System Owner understands the requirement to repair, replace, modify or take any other action as required by the Department or the local Approving Authority, if the Department or the local Approving Authority determines that the Alternative System is not capable of meeting the performance standards. 20. The System Owner and the Designer shall not submit to the local Approving Authority a DSCP application for the use of a Technology under this Approval, if the Approval has been revised, reissued, suspended, or revoked by the Department prior to the date of application. The Approval continues in effect until the Department revises, reissues, suspends, or revokes the Approval. 21. The System Owner shall not authorize or allow the installation of the System other than by a locally approved Installer and, if required by the Company, a person certified or trained by the Company to install the System. 22. Prior to the commencement of construction, the System Installer must certify in writing to the Designer, the local Approving Authority, and the.System Owner that (s)he is a locally approved System Installer and, if required by the Company, is certified by or has received appropriate training by the Company. 23. The Installer shall maintain on-site, at all times during construction, a copy of the approved plans,the Owner's manual,the O&M manual, and a copy of the Approval. 24. Prior to the issuance of a Certificate of Compliance by the local Approving Authority,the System Installer and Designer must provide, in addition to the certifications required by 310 CMR 15.021(3), certifications in writing to the local Approving Authority that the System has been constructed in compliance with the terms of the Approval. 25. The Department has not determined that the performance of the System will provide a level of protection to public health and safety and the environment that is at least equivalent to that of a sanitary sewer system. If it is feasible to connect a new or existing facility to the sewer, the Designer shall not propose an Alternative System to serve the facility and the facility Owner shall not install or use an Alternative System. When a sanitary sewer connection becomes feasible after an Alternative System has been installed, the System Owner shall connect the facility served by the System to the sewer within 60 days of such feasibility and the System shall be abandoned in compliance with i Standard Conditions for Secondary Treatment Units for Remedial Use Page 8 of 18 Revised November 30, 2016 310 CMR 15.354, unless a later time is allowed in writing by the Department or the local Approving Authority. III.Operation and Maintenance, Effluent Quality, Monitoring, and Inspection 1. From start up and thereafter, the System Owner and Service Contractor shall be responsible for the proper operation and maintenance of the System in accordance with this Approval, the Designer's O&M requirements, the Company's O&M requirements, and the requirements of the local Approving Authority. The System Owner and Service Contractor shall be responsible for compliance with the sampling, monitoring, and inspection requirements. Any inspection, operation, maintenance, or monitoring requirements remain in effect until the conditions are modified, terminated, or superseded by a new Approval. 2. To ensure proper operation and maintenance (O&M) of the System, the System Owner shall enter into an O&M Agreement with a qualified Service Contractor whose name appears on the Company's current list of Service Contractors and has been certified, at a minimum, at Grade Level II (two)by the Board of Registration of Operators of Wastewater Treatment Facilities, in accordance with Massachusetts regulations 257 CMR 2.00. 3. The System shall comply with the following monitoring requirements and effluent limits. The required O&M Agreement with the Service Contractor shall include the following monitoring schedule, at a minimum, subject to modifications that may be required by Paragraphs III.8.a)and 8.b): Monitoring ,Sample ; Effluent,. 'Parameter � � Location �5, CAI � °Fre uenc T , e ;": e Limits �, w See pH frequency grab effluent to SAS 6 to 9 specified below. See frequency effluent of turbidity specified measure treatment unit 40 NTU below See Measure and settleable frequency measure effluent of record ml/l solids specified treatment unit only below See Record color frequency visual effluent of observation specified observation treatment unit only below Standard.Conditions for Secondary Treatment Units for Remedial Use Page 9 of 18 Revised November 30, 2016 MonitoringSampe y Effluent ,`Parameter;` . Lo°catio . Fre uenc T e, Limits'- See dissolved frequency effluent of oxygen (D.O.) specified measure treatment unit 2 mg/1 below Depth of once every Inspection port to See Paragraph Ponding year measure bottom of SAS 1I1.10 Within SAS Thickness of Septic tank or floating Once every other process Pump out, as grease/scum 3 years measure tank where solids necessary layer are retained Depth of Sludge and Septic tank or distance to Once every measure other process Pump out, as effluent 3 years tank where solids necessary tee/filter/outlet are retained 4. An individual household shall be monitored at least,once every 12 months)(exclusive of alarm responses or other maintenance visits). -_---_— — -- 1 5. Facilities (residential and nonresidential) with a design flow of less than 2,000 gpd, other than an individual household, shall be monitored a minimum of twice/year with a minimum of 5 months since the last monitoring inspection(exclusive of alarm responses or other maintenance visits) and a maximum of 7 months between monitoring inspections. 6. Facilities (residential and nonresidential) with a design flow of 2,000 gpd or greater shall be monitored quarterly not less than 2 months since the last monitoring inspection (exclusive of alarm responses or other maintenance visits) and not more than 4 months between monitoring inspections. 7. For Systems that include a Bottomless Sand Filter (BSF) for effluent disposal, the monitoring requirements shall be as specified in the BSF Remedial Use Approval. 8. 'Systems installed under this Remedial Use Approval shall be subject to the following Performance Requirements: a) Whenever field tests indicate a pH outside the specified range, an exceedance of the turbidity limit, or D.O. below the desired minimum, the Service Contractor shall make adjustments and/or repairs to the System, as deemed necessary during the inspection, and collect an effluent sample for laboratory analysis for BOD5 and TSS; b) For an individual household, if laboratory analyses indicate an exceedance of 30 mg/L BOD5 or 30 mg/L TSS, the Service Contractor shall conduct a follow-up inspection and field-testing within 180 days of the original inspection date. Should the follow-up field-test indicate a pH outside the specified range, an exceedance of Standard Conditions for Secondary Treatment Units for Remedial Use Page 10 of 18 Revised November 30, 2016 the turbidity limit, or D.O. below the desired minimum, the Service Contractor shall make adjustments and/or repairs to the System, as deemed necessary during the inspection, and collect another effluent sample for laboratory analysis for BOD5 and TSS; and c) Whenever two consecutive monitoring rounds for any Secondary Treatment Unit include at least one exceedance of the limits for BOD5 or TSS, the System Owner shall be responsible for submitting to the local Approving Authority, within 90 days of the second exceedance of the limits for BOD5 or TSS, a written evaluation with recommendations for changes in the design, operation, and/or maintenance of the System. The written evaluation with recommendations shall be prepared by the Service Contractor or a Designer and the submission shall include all monitoring data, inspection reports, and laboratory analyses since the last annual report to the local Approving Authority. Recommendations shall be implemented, as approved by the local Approving Authority, in accordance with an approved schedule, provided that all corrective measures are implemented consistent with the limitations described in Paragraph IV.9. 9. Each time an Alternative System is visited by a Service Contractor the following shall be recorded, at a minimum: a) date, time, air temperature, and weather conditions; b) observations for objectionable odors; c) observations for signs of breakout of sanitary sewage in the vicinity of the Alternative System, which indicate a failure of the Alternative System; d) depth of ponding within the SAS, if measured e) identification of any apparent violations of the Approval; f) since the last inspection, whether the system had been pumped with date(s) and volume(s)pumped; g) sludge depth and scum layer thickness, if measured; h) when responding to alarm events, the cause of the alarm and any remedial steps taken to address the alarm and to prevent or reduce the likelihood of future similar alarm events; i) field testing results when performed as part of the site visit; j) samples taken for laboratory analysis, if any; k) any cleaning and lubrication performed; 1) any adjustments of control settings, as recommended or deemed necessary; m) any testing of pumps, switches, alarms, as recommended or deemed necessary; n) identification of any equipment failure or components not functioning as designed; o) parts replacements and reason for replacement, whether routine or for repair; and p) further corrective actions recommended, if any. I I Standard Conditions for Secondary Treatment Units for Remedial Use Page 11 of 1.8 Revised November 30, 2016 10. Whenever an SAS inspection port measurement indicates the ponding level within the SAS is above the invert of the distribution system, an additional measurement shall be made 30 days later. If the subsequent reading indicates the elevation of ponding within the SAS is above the invert of the distribution system, the System Owner shall be responsible for submitting to the local Approving Authority, within 60 days of the follow up inspection, a written evaluation with recommendations for changes in the design, operation, and/or maintenance of the System. The written evaluation with recommendations shall be prepared by the Service Contractor or a Designer and the submission shall include all monitoring data, inspection reports, and laboratory analyses for the previous,year. Recommendations shall be implemented, as approved by the local Approving Authority, in accordance with an approved schedule, provided that all corrective measures are implemented consistent with the limitations described in Paragraph IV.9. 11. Unless directed by the local Approving Authority to take other action, the System Owner shall immediately cease discharges or have wastewater hauled off-site, if at any time during the operation of the Alternative System the system is in failure as described in 310 CMR 15.303(1)(a)I or 2, backing up into facilities or breaking out to the surface. IV.Additional System Owner and Service Contractor Requirements 1. The System Owner shall not install, modify, upgrade, or replace the System except in accordance with a valid DSCP issued by the local Approving Authority which.covers the proposed work. 2. Prior to commencement of construction of the System and after recording and/or registering the Deed Notice required by 310 CMR 15.287(10), the System Owner shall provide to the local Approving Authority a copy of: a) a certified Registry copy of the Deed Notice bearing the book and page/or document number; and b) if the property is unregistered land, a Registry copy of the System Owner's deed to the property, bearing a marginal reference on the System Owner's deed to the property. The Notice to be recorded shall be in the form of the Notice provided by the Department. 3. Prior to signing any agreement to transfer any or all interest in the property served by the System, or any portion of the property, including any possessory interest, the System Owner shall provide written notice, as required by 310 CMR 15.287(5) of all conditions contained in the Approval to the transferee(s). Any and all instruments of transfer and any leases or rental agreements shall include as an exhibit attached thereto and made a part of thereof a copy of the Approval for the System. The System Owner shall send a copy of such written notification(s)to the local Approving Authority within 10 days of giving such notice to the transferee(s). i Standard Conditions for Secondary Treatment Units for Remedial Use Page 12 of 18 Revised November 30, 2016 4. The System Owner and Service Contractor shall properly operate and maintain the System in accordance with the Approval, the Designer's O&M requirements, the Company's O&M requirements and the requirements of the local Approving Authority. 5. Prior to commencement of construction of the System, the System Owner shall provide to the local Approving Authority a copy of a signed O&M Agreement that meets the requirements of Paragraph IV.6. 6. .The System Owner and the Service Contractor shall maintain on-site, at all times, a copy of the approved plans, the Owner's Manual, the O&M Manual, a copy of the Approval, and a copy of the O&M Agreement. The 0 & M agreement shall be at least for one year and include the following provisions: a) The name of a Service Contractor who meets the qualifications specified in the Approval; b) The Service Contractor must inspect the Alternative System as required by the Approval; c) The Service Contractor shall be responsible for obtaining lab analyses and submitting the monitoring results to the System Owner and the local Approving Authority in accordance with the reporting requirements; and d) In the case of a System failure, an equipment failure, alarm event, components not functioning as designed, or violations of the Approval, procedures and responsibilities of the Service Contractor and System Owner shall be clearly defined for corrective measures to be taken immediately. The Service Contractor shall agree to provide written notification within five days, describing corrective measures taken, to the System Owner, the local board of health, and the Company. 7. The Service Contractor shall notify the System Owner of any changes to the terms and conditions of the Approval within 60 days of any changes. 8. Within one year of any changes to the terms and conditions of the Approval, the System Owner shall amend, as necessary, the O&M Agreement required by Paragraph IV.6 to reflect the changes to the terms and conditions of the Approval. 9. In the case of a System failure, an equipment failure, alarm event, components not functioning as designed, components not functioning in accordance with manufacturers' specifications, or violations of the Approval, the Service Contractor shall provide written notification within five days, describing corrective measures taken, to the System Owner, the local board of health, and the Company and may only propose or take corrective measures provided that: a) all emergency repairs, including pumping, shall be in accordance with the limitations and permitting requirements of 310 CMR 15.353; b) the design of any repairs or upgrades are consistent with the Alternative System Approval; : I Standard Conditions for Secondary Treatment Units for Remedial Use Page 13 of 18 Revised November 30, 2016 c) the design of any repairs or upgrades requiring a DSCP shall be performed by an individual meeting the qualifications of Paragraph I1.2; d) the installation of any repairs or upgrades requiring a DSCP shall be done by an Installer with a currently valid Disposal System Installers Permit, in accordance with 310 CMR 15.019 and the Installer shall also comply with Paragraph 1I.22. The System Owner shall also be responsible for ensuring written notification is provided within five days to the local board of health. 10. The System Owner shall provide access to the site for the Service Contractor to perform inspections, maintenance, repairs, responding to alarm events, field testing, and sampling as may be required by the Approval. 11. At a minimum, the Service Contractor shall inspect, properly operate, and properly maintain the System: a) any time there is System failure, equipment failure, or an alarm event; b) in accordance with the O&M manual and Designer requirements; c) in accordance with the requirements of the local Approving Authority; and d) in accordance with the Approval. 12. The Service Contractor shall collect samples, if required by the Approval, and obtain analysis results from an approved laboratory, perform any required field testing, and submit results to the System Owner with the O&M report and inspection checklist within 60 days of the site visit. The O&M report and inspection checklist shall include, at a minimum, any required wastewater analyses, any required flow data, and all the information required to be recorded for a maintenance inspection of an Alternative System. 13. The System Owner and the Service Contractor shall maintain copies of any wastewater analyses, wastewater flow data, field testing results, the Service Contractor's 0&M reports, inspection checklists, and all reports and notifications to the local Approving Authority for a minimum of three years. 14. Upon determining that the System is in violation of the Approval or the System has failed, as defined in 310 CMR 15.303, the Service Contractor shall notify the System Owner immediately. 15. Upon determining that the System has failed, as defined in 310 CMR 15.303, the System Owner and the Service Contractor shall be responsible for the notification of the local Approving Authority within 24 hours of such determination. 16. In the case of a System failure, an equipment failure, violations of the Approval, an alarm event, or components not functioning as designed or in accordance with the Company specifications, the Service Contractor shall provide written notification to the Company within five days describing proposed corrective measures or corrective measures taken. I Standard Conditions for Secondary Treatment Units for Remedial Use Page 14 of 18 Revised November 30, 2016 17. Violations of the BOD5, TSS, or pH in the System effluent shall not constitute a failure of the System for the purposes of 24-hour notification or 5-day written reporting as required in provisions applicable to all Alternative Systems. Breakout constitutes a failure of the System. If breakout occurs, the Service Contractor and System Owner shall comply with the 24-hour notification or 5-day written reporting provisions applicable to all Alternative Systems. 18. By March 1st of each year,the System Owner and the Service Contractor shall be responsible for submitting to the local Approving Authority all O&M reports, all monitoring results, and inspection checklists completed by the Service Contractor during the previous calendar year. 19. The System Owner and the Service Contractor shall provide written notification to the local Approving Authority within seven days of any cancellation, expiration or other change in the terms and/or conditions of a required O&M Agreement with a Service Contractor. The Service Contractor shall provide written notification to the Company within seven days of any cancellation, expiration or other change in the terms and/or conditions of a required O&M Agreement with a System Owner. 20. By March 1 st of each year, the Service Contractor shall be responsible for submitting to the Company copies of all O&M reports including alarm event responses, all monitoring results, violations of the Approval, inspection checklists completed by the Service Contractor, notifications of system failures, and reports of equipment replacements with reasons during the previous calendar year. 21. To determine whether cause exists for modifying, revoking, or suspending the Approval or to determine whether the conditions of the Approval have been met, the System Owner shall furnish the Department any information that the Department requests regarding the System, within 21 days of the date of receipt of that request. 22. The Approval shall be binding on the System Owner and on its agents, contractors, successors, and assigns, including but not limited to the Designer, Installer, and Service Contractor. Violation of the terms and conditions of the Approval by any of the foregoing persons or entities, respectively, shall constitute violation of the Approval by the System Owner unless the Department determines otherwise. V. Company Requirements I. The Approval shall only apply to model units with the same model designations specified in the Technology Approval and meet the same specifications, operating requirements, and plans, as provided by the Company at the time of the application. Any proposed modifications of the units, installation requirements, or operating requirements shall be subject to the review of the Department for inclusion under a modification of the Approval. The Designer shall be responsible for the selection of the appropriate model unit except, for systems of 2,000 gpd or more and nonresidential systems, the Company I I I • j I Standard Conditions for Secondary Treatment Units for Remedial Use Page 15 of 18 Revised November 30, 2016 shall be responsible for verification of the appropriate model unit as part of the review of proposed installations under a Remedial Use Approval. 2. Prior to submission of an application for a DSCP,the Company shall provide to the Designer and the System Owner: a) All design and installation specifications and requirements; b) An operation and maintenance manual, including: i) an inspection checklist; ii) recommended inspection and maintenance schedule; iii) monitoring (i.e. water use and power consumption) and sampling procedures, if any; iv) alarm response procedures, if any, and troubleshooting procedures; c) An owner's manual, including alarm response procedures, if any; d) Estimates of Owner's costs associated with the operation including, when applicable: power consumption, maintenance, sampling, recordkeeping, reporting, and equipment replacement; e) A copy of the Company's warranty; and f) Lists of qualified Service Contractors and, if training is required, qualified Designers and Installers. 3. Prior to the submission of an application for a DSCP, for all nonresidential Systems and Systems with design flows of 2,000 gpd or greater, the Company shall submit to the Designer and the System Owner, a certification by the Company or its authorized agent . that the design conforms to the Approval and all Company requirements and that the proposed use of the System is consistent with the Technology's capabilities. The authorized agent of the Company responsible for the design review shall have received technical training in the Company's products. 4. The Company shall maintain programs of training and continuing education for Service Contractors. Training shall be made available at least annually. If the Company requires trained Designers or Installers, the Company or its authorized agent shall institute programs of training and continuing education that is separate from or combined with the training for Service Contractors. The Company or its authorized agent shall maintain, annually update, and make available by February 151h of each year, lists of Service Contractors and, if certification or training is provided by the Company, Designers and Installers. The Company or its authorized agent shall certify that the Service Contractors and, if training is required, Designers and Installers on the lists have taken the appropriate training and passed the Company's training qualifications. The Company or its authorized agent shall further certify that the Service Contractors on the list have submitted to the Company all the reports required by Paragraphs IV.16, 19, and 20. The Company or its authorized agent shall not re-certify a Service Contractor if the Service Contractor has not complied with the reporting requirements for the previous year. Standard Conditions for Secondary Treatment Units for Remedial Use Page 16 of 18 Revised November 30, 2016 5. .If training is required, the Company shall not sell the Technology to an Installer unless the Installer is trained to install the System by the Company. The Company shall require, by contract,that distributors and resellers of the Technology shall not sell the Technology to an Installer unless the Installer is trained to install the System by the Company. 6. As part of the required training programs for Designers, Installers, and Service Contractors, the Company shall provide each trainee with a copy of this Approval with the design, installation, O&M, and owner's manuals that were submitted as part of the Approval. 7. The Company shall provide„in printed or electronic format, the System design, installation, O&M, and Owner's manuals, and any updates associated with this technology Approval, to the System Owners, Designers, Installers, Service Contractors, vendors, resellers, and distributors of the System. Prior to publication or distribution in Massachusetts, the Company shall submit to the Department for review a copy of any proposed changes to the manual(s) with reasons for each change, at least 30 days prior to issuance. The Company shall request Department approval for any substantive changes, as stated in Paragraph V.B. 8. Prior to publication or distribution in Massachusetts, when substantive changes in the design, installation, operation, or maintenance of the System may be outside the limits of this Approval and may require a modification of this Approval or may be the basis for a separate Approval, the Company shall request approval by the Department. 9. Prior to its sale of any System that may be used in Massachusetts, the Company shall provide the purchaser with a copy of this Approval with the System design, installation, O&M, and Owner's manuals. In any contract for distribution or sale of the System, the Company shall require the distributor or seller to provide the purchaser of a System for use in Massachusetts with copies of these documents,.prior to any sale of the System. 10. To determine whether cause exists for modifying, revoking, or suspending the Approval or to determine whether the conditions of the Approval have been met, the Company shall furnish the Department any information that the Department requests regarding the Technology within 21 days of the date of receipt of that request. 11. Within 60 days of issuance by the Department, the Company shall provide written notification of changes to the Approval to all Service Contractors servicing existing installations of the Technology and all distributors and resellers of the Technology. 12. The Company shall provide written notification to the Department's Director of the Wastewater Management Program at least 30 days in advance of the proposed transfer of ownership of the Technology for which the Approval is issued. Said notification shall include the name and address of the proposed owner containing a specific date of transfer of ownership, responsibility, coverage and liability between them. Standard Conditions for Secondary Treatment Units for Remedial Use Page 17 of 18 Revised November 30, 2016 13. The Company shall maintain copies of: a) the Approval; b) the installation manual specifically detailing procedures for installation of its System; c) an owner's manual, including alarm response procedures, if any; d) an operation and maintenance manual, including: i) an inspection checklist; ii) recommended inspection and maintenance schedule; iii) monitoring requirements and recommendations(including water use and power consumption when required) and sampling procedures; iv) alarm response procedures, if any, and troubleshooting procedures. e) estimates of the operating costs provided to the Owner, including, when applicable: power consumption, maintenance, sampling, recordkeeping, reporting, and equipment replacement; ' f) a copy of the Company's warranty; and g) lists of trained Service Contractors and, if training or certification is required, Designers and Installers. 14. The Company shall maintain the following information for the Systems installed in Massachusetts: a) the address of each facility where the Technology was installed, the Owner's name and address (if different), the type of use (e.g. residential, commercial, institutional, etc.), the design flow, the model installed; b) the installation date, start-up date, current operational status; c) the name of the Service Contractor, noting any cancellations or changes to any Service Contracts; d) a summary of system failures, system malfunctions, and violations of the Approval with the date of each event and corrective actions taken to reach compliance, including but not limited to: design changes; installation changes; operation/maintenance changes; monitoring changes; and/or changes in roles and responsibilities for the manufacturer, vendors, designers, installers, operators, and owners; and e) copies of all Service Contractor records submitted to the Company, including all O&M reports with alarm event responses, all monitoring results, inspection checklists completed by the Service Contractor, notifications of system failures, and reports of equipment replacements with reasons. All of the information required by this Paragraph shall be maintained by Company and shall be made available to the Department within 30 days of a request by the Department. 15. The Approval shall be binding on the Company and its officers, employees, agents, contractors, successors, and assigns, including but not limited to dealers, distributors, and resellers. Violation of the terms and conditions of the Approval by any of the foregoing r . y i Standard Conditions for Secondary Treatment Units for Remedial Use Page 18 of 18 Revised November 30, 2016 persons or entities, respectively, shall constitute violation of the Approval by the Company unless the Department determines otherwise VL General Requirements 1. Any System for which a complete DSCP Application is submitted while the Approval is in effect, may be permitted, installed, and used in accordance with the Approval, unless and until: a) the Department issues modifications or amendments to the Approval which specifically affect the installation or use of a System installed under the Approval for the System; or b) the Department, the local approval authority, or a court requires the System to be modified or removed or requires discharges to the System to cease. 2. All notices and documents required to be submitted to the Department by the Approval shall be submitted to: Director Wastewater Management Program Department of Environmental Protection One Winter Street - 5th floor Boston, Massachusetts 02108 3. The Department may suspend, modify or revoke the Approval for cause, including, but not limited to, noncompliance with the terms of the Approval, non-payment of any annual compliance assurance fee, for obtaining the Approval by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for discontinuance of the Approval, or as necessary for the protection of public health, safety, welfare, or the environment, and as authorized by applicable law. The Department reserves its rights to take any enforcement action authorized by law with respect to the Approval and/or a System utilizing the Technology against the Company, a Designer, a System Owner, an Installer, and/or Service Contractor. f._.-{._.._�..1 .... 8;Y rl'own of BarnsiaZle P 4 d. Department of Health,Safety,and Environmental Services tT Public Health Division Date 367 Main Street,Hyannis MA 02601 � BABNBPABI$ � lE �� Date Scheduled (d1 /� —2 Time e"' Fee Pd. PV- dd Ca Soil Suitability Assessment for Sewwge Disposal Performed By: `I/e Witnessed By: �t' y. # S3'r'S3E15'i...:.,:.,,,y,,_ ..,;.,.,.,��.;.;:,;:..�,..;.'.:..:::o:.,.. ;?`.E. Si' ....•,:.:��;,;:.:':::.: ! i<:r:iiii:i:i[>:i:iiiii:iii2:' i � i .............•.................................i::isL�::i:is:i:•i:i::i:v,LL:ii:4::•::v}:•i:iiii:LL:i�ii:•::L�:v::::.�:i:;.::::::.�:::.: :::::.�.:.:•.::;::n:�:::n�::.� Location Address 3?.3 fdo- � � Owner's Nnme Cava Address Assessor's Map/Parcel: Engineer's Name 2 NEW CONSTRUCTION REPAIR Telephone t1 ,S—08 Land Use L.a wo Slopes % /' q/ p ( ) y —� Surface Stories/Ves a/)i[ Distances from: Open Water Body .O R Possible Wet Area t/ R Drinking Water Well >00 ft Drainage Way - (> 00 ft Property Line J n Other R SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) �• M M T.� h 5 — T�2 0b ri Parent material(geologic) ia�`ca GGtIN�� Depth to Bedrock Depth to Groundwater: Standing Water in Bole: S- 5 Weeping from Pit Face Estimated Seasonal High Groundwater_ .. E -(�• y :. T. . .. .. Meth � ......r.•...::::1•..:::.�:•:::....:...::::.::::.::.:.....................•...... :...:.........;. Od USed. ..Y/t(/ }C R,�Pr� //lA—f-`� ...::....::::::::::..:�:.:::•;:s.;:;.>:.r:,:•::•::......�;t•:;:<:::»::».:................... ' . Depth Observed standing in obs.hole: .y in. Depth to soil mottles: ../y� .•,., in. Depth to weeping from side of obs.hole: N�� in. Groundwater Adjustment ft. Index Well H z�[ _ -Reading Date:_ Index Well level•-,_.__ Add,factor Adj.Groundwater Level E:RC ','•,, ",;::::::;:;,is,..•, Observation I Hole# Time at 9" Depth of Perc Time at 6" Start Pre-soak Time© ( Time(9"-6") End Pre-soak >t,e Ve, Rate Min./Inch Site Suitability Assessment: Site Passed— Site Failed: Additional Testing Needed(YIN) A// 1 7 �d Original: Public Health Division Observation Hole Data To Be Completed on Bacit j Copy: Applicant 5 ..:..:..::..:..........:.....:: ::"%;i}:i Y;.:... i'.::i:;"'':i.'•3:: i%i :!:fXi::ii?::::<<:ii5 i:i:i :<i:: ::: 0 Depth from Soil Horizon Soil Texture Soil Color - Soul Other Surface(in.) (USDA) (Mansell) Mottling (Slruclure,Stones,Boulderes. % 0-13 S L- loyk 34 r 1 3-Iq Q a Yk 'IAO ::>: ,. . :.::. l� :;.;.�.•:•.:. ; , :x• .CIIL�:�.;.�.G:.:.::.:::.::::::::::::::.Hole.:#:.:::.:::.::::::.:.:......:.:......::..:......:.:: . ..........................::............. .. ... Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. ° Gravel) S L - z-20 L 20-79 ' C -Y Alk :.,..:...::;..:..::.:::::.;::.:::. .....�C ......4........:.. ... o e Depth from Soil Horizon Soi(Texture Soil Color Soil Other Surface(in.) (Nlunsell) Mottling (Structure,Stones,Boulderes. ConsistencV.% «::»>::> + : TLO :.; Ip.L :.L(3:G::...::::::::::.::;.:Hots.:#;:.:::..:.....:.::.::::.....::.;:.:..:.:... ........... :.:::.:::::::.::::.::::.:,.::.:::.<:.:::::;.::::.;<.::::::::::::::.:::.:;..::;...<:.::.;:::::.::..:.:.:.:.....:.:..,:....::...:::......:................................... ...................... .. Depth from Soil Horizon Soil Texluro Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Comistencv.°o Crawl) Flood Insurance Rate Map; Above 500 year flood boundary No x Yes Within 500 year boundary No— Yes Within 100 year flood boundary No_ Yes) Depth 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 � (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 *' j ,,IKEr Town of Barnstable Barn Regulatory Services Department ertcaQ1.1 � •ARN31'ABIY. MA9. i679• Public Health Division ♦� . 'sec MP'I" .200 Main Street, Hyannis MA 02601 2007 Office: 508-8624644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7012 1010 0000 2847 8704 April 28, 2017 FAVAT, PETER P 1167 EL MEDIO AVENUE PACIFIC.PALISADES, CA 90272 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 373 Bay Lane, Centerville,MA was inspected on 03/21/2017 by Brett Hickey, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Any portion of the SAS, cesspool, or privy below high groundwater elevation: You are ordered to repair or replace the septic system within one (1) year from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH Eom a QKean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\373 Bay Lane Centerville.doc Town of Barnstable • s,►�vsreacE, Regulatory Services Department Public Health Division 200 Main Street, Hyannis MA"02601 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 5/11/16 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An"x" marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ouse due to an overloaded or clogged SAS or cesspool ONE 1 YEAR DEADLINE CRITERIA c li uid level in the di ox above outlet invert due to an overloaded or clogged SAS or cesspool VI-Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑ Any portion of the cesspool within a Zone 1 to a public well ❑ Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2)YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any"conditionally passed systems" (broken cover,relocation of a pipe, relocation of a driveway due to H-10 components, etc) ❑ Leaching pit or cesspool with high liquid level, <12" below inlet(per Town Code §360-9.1) ❑ Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER CI Repair deadline: Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc Commonwealth of MassachusettsOOa- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 373 Bay L -QQQ Lane Property Address Peter Favat Owner Owner's Name -n information is Centerville Ma 02632 3-21-17 �.� required for every 41+."� page. City/Town State Zip Code Date of Inspection ti b Cri Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information 61*on the computer, oZ use only the tab 1. Inspector: key to move your cursor-do not Brett Hickey use the return Name of Inspector key. B&B Excavation Company Name 374 Route 130 _ Company Address Sandwich Ma 02563 City/Town State Zip Code (508)477-0653 SI 13747 Telephone Number License Number B. Certification certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ❑ Passes ❑ Conditionally Passes ® Fails ❑ Needs Further Evaluation by the Local Approving Authority 3-21-17 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•3/13 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 14119-qtd VS Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 373 Bay Lane Property Address Peter Favat Owner Owner's Name information is required for every Centerville Ma 02632 3-21-17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 373 Bay Lane 'M Property Address Peter Favat Owner Owner's Name information is required for every Centerville Ma 02632 3-21-17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts F Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 'M 373 Bay Lane Property Address Peter Favat Owner Owner's Name information is required for every Centerville Ma 02632 3-21-17 page. CitylTown State Zip Code Date of Inspection B. Certification (cost.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than 'h day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 373 Bay Lane 'M Property Address Peter Favat Owner Owner's Name information is required for every Centerville Ma 02632 3-21-17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ® ❑ Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 l x Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ^M 373 Bay Lane Property Address Peter Favat Owner Owner's Name information is Centerville Ma 02632 3-21-17 required for every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ❑ ® Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 2 Number of bedrooms (Actual) _2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 220 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 373 Bay Lane Property Address Peter Favat Owner Owner's Name information is required for every Centerville Ma 02632 3-21-17 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ® Yes ❑ No Water meter readings, if available last 2 ears usage d See below 9 ( Y 9 (gP ))� Detail: 2016-89,000galIons 2015- 110,000gallons Sump pump? ❑ Yes ® No Last date of occupancy: 2 weeks ago Date Commercial/Industrial Flow Conditions: Type of Establishment: NA Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 373 Bay Lane Property Address Peter Favat Owner Owner's Name information is required for every Centerville Ma 02632 3-21-17 page. CityFrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General.Information Pumping Records: Source of information: Owner- last pumped 2 years ago Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 300 gallons How was quantity pumped determined? Sight glass Reason for pumping: Check for inflow of ground water Type of System: ❑ Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ® Other(describe): Tank and cesspool/manmade pit t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments GSM 373 Bay Lane Property Address Peter Favat Owner Owner's Name information is required for every Centerville Ma 02632 3-21-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: Unknown Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 2' Depth below grade: feet Material of construction: ® cast iron ❑40 PVC ❑ other(explain): Distance from private water supply well or suction line: Town feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 1 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000gallons Sludge depth: 3 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 373 Bay Lane Property Address Peter Favat Owner Owner's Name information is required for every Centerville Ma 02632 3-21-17 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 33" Scum thickness 1 Distance from top of scum to top of outlet tee or baffle 6 Distance from bottom of scum to bottom of outlet tee or baffle 16 How were dimensions determined? Measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank was in working order at time of inspection with liquid level equal to outlet invert. Tank is not in need of pumping at this time but should be pumped every two years for maintenance. Grease Trap (locate on site plan): Depth below grade: NA feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 373 Bay Lane Property Address Peter Favat Owner Owner's Name information is required for every Centerville Ma 02632 3-21-17 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: NA Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 373 Bay Lane Property Address Peter Favat Owner Owner's Name information is required for every Centerville Ma 02632 3-21-17 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert NA Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No" Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): NA * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts W Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ^M 373 Bay Lane Property Address Peter Favat Owner Owner's Name information is required for every Centerville Ma 02632 3-21-17 page. CityrTown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions. ® overflow cesspool number: (1) 4'x6" ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching was in working order but sits in groundwater. GW @ 67" (per perk on file with Board of Health)and bottom of SAS if 73". Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration NA Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No l5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �^M 373 Bay Lane Property Address Peter Favat Owner Owner's Name information is required for every Centerville Ma 02632 3-21-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: NA Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �^M 373 Bay Lane Property Address Peter Favat Owner Owner's Name information is required for every Centerville Ma 02632 3-21-17 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately FRONTOF HOUR All 31 ". _ -1 ' e t ' ' .36 U11 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 373 Bay Lane Property Address Peter Favat Owner Owner's Name information is required for every Centerville Ma 02632 3-21-17 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 67" feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: Perk on file with BOH 9-27-11 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: Perk on file with BOH. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ° 373 Bay Lane M Property Address Peter Favat Owner Owner's Name information is Centerville Ma 02632 3-21-17 required for every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF BARNSTABLE LOCATION 7 SEWAGE # VILLAGE ASSESSOR'S MAP & LOTIj Q o?9V Z1y- E�?US.NAME&PHONE NO. 6Q�lz SEPTIC TANK CAPACITY LEACHING FACIL=: (type) (size) NO.OF BEDROOMS - BUILDER O OWNER PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the: 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 exists* , within 300 feet of leaching facility) Feet Furnished by r Cfl Q,3 _ 3 TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGE Ile ASSESSOR'S MAP & LOT r/J Q 2941 1N*GPCCY0RS NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO. OF BEDROOMS a- BUILDER O OWNER I PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: MaximumAdjusted 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 ' 1 1 .6 ZZ If1u0? _ ro Ba' _0 t�^ CUS' r ,w 'w. � � r n Y LOCUS PLAN Sc a le:l"=2000' \ 4/ 2 Ip r2 Di Assessors Map 187 0 /� Parcel 002 v X. Ar /_o �pm� tymv Of �o X � F Gs� / �a`" W apo Ujai'r ° (�/�I V f , y r rF Jr r L_Jj _ O `G3 \q T oy e 11 LJ\4 y,yyi c G MAR -5 200 1 ' M„ � C+EMP'N � p � mm r,��P m BARNSTABLE %ONSE :VATION c } \t\CNJ 0 / Ali of RETER nor 10 SULLIVAN qn r9cE< Q- P N0:29733 CIVIL PLAN VIEW Scale:I"=20 °e� R�4v s A The applicant acknowledges that the phragmites are not to be cut unless a separate NOI or RDA N?"es4. 'v � is filed with and approved by.the Commission. r PLA N PETER$ITE P LAFAV N The applicant will file an annual report to the Commission for a three year period.The report will 373 BAY LANE have photos and will address the health of plantings.Within the 3 year reporting period all dead CENTER AYLS 'MASS. plants will be replanted. SCALE; AS SHOWN DATE:MAR.4,2009 Directions to Site from Hyannis:Take Route 28 toward Osterville. Take a left onto Old Stage Road SULLIVAN ENGINEERING INC. and follow as it becomes Main Street.At the second stop sign take a right onto South Main Street. OSTERV I LLE,M ASS. Take a right onto Bay Lane- House is on the left 4373. 2F30 0 r _ f Zql rl) SPA r, ___ II G -2 iCg P2f4NRe' TREfhI'CD YO�SY I6• J•G• II !I ' IFEKI$rIrJG SONG � �5— �o�� �ONLP ETE f-I�.I.EO `.O rho Tu(�E'. . j I N i I I II down cape engineering, inc. SIEVE SOILS ANALYSIS Harrington 373 Bay Ln Cville.xlsx DATE OF REPORT' 8/25/09 .JOB : GRAIN SIZE ANALYSIS-SIEVE TEST SITE: 373 Bay Lane Centerville, MA LOCATION: Glen Harrington TH 8/17109 SIEVE ANALYSIS Weight Sample(Grams): 365,2 ' SIZE :WEIGHT RETAINED ; % RETAINED : % PASSED ------------- -- (sum-� - v----------------- ------- 1" 0.0: 0.0%: 100.0% ------------- ..........................a------------------------------------- 3/4" 0.0: 0.0%: 100.0% --------------------------------- ---A--------------- --_L------------ --------------------------------- 0.0: 0.0%; 100.0% _ --------------r-------------------------•Y------_-----------r---________------- . #4 0.0: 0.0%; 100.0% #10 27.6; 7.6%: 92.4% #20---------.------------------- .................. #40 303.6: 83.1%: 16.9% -------------- ------------ - Y------------------� #50 341.3; 93.5%: 6.5% -------------%- - - v------------------•------------------ #80 351.2: 96.2%: 3.8% =------------->------------------- ----- -------------------------------------- #100 357.4; 97.9% 2.1% ________t..........................A_---______________I.-_____-_______---- #200 363.9: 99.6%: 0.4% -------------.--------------------------•------------------------------------- PAN: 365.2: 100.0%: 0.0% V ----- PLff---r--------------------------T------------------------------------- SAMPLE: 365.2; NOTE: TEST ON PASSING#4 ONLY, 6% RETAINED ON#4 <45% O.K. RESULTS: SOIL CLASSIFIED AS AASHTO A-3 (GRANULAR, COARSE SAND) (UNCOMPACTED) PERCENTAGE OF MATERIAL PASSING#4 SIEVE : #4 100% (TEST ONLY MATERIAL PASSING #4) OK #50.10%-100% NOT OK,TOO COARSE #100 0%-20% OK #200 0%-5% OK SAMPLE CLOSE TO MEETING TITLE 5 FILL SPECIFICATION SAND NOT QUITE FINE ENOUGH TO MEET TS FILL SPECIFICATION, BUT IS SUITABLE FOR DISPOSAL OF SEPTIC EFFLUENT IN NATURAL CONDITION. RESULTS: PERMEABLE MATERIAL-CLASS 1 <2 MIN./IN. MATERIAL NONCOMPACTED SOIL DESCRIPTION: COARSE SAND, 0.74 GPDISF MATERIAL �y��`jH oFMgss90 (SAMPLE IS 99.6% SAND 0.4% SILT, 0% CLAY) DANIELA. tiN o OJALA CIVIL No.46502 0 TE S� AL ^� Town of Barnstable P# 1 Department of Regulatory Services Public Health Division Date 72 MUMBrABLM MASS _ . 163g6 16$ 200 Main Street Hyannis MA 02601 a� Date Scheduled (7 Tune Fee Pd.' Soil Suitability Assessment for Sewage Disposal Performed By: Witnessed By: LOCATION & GENERAL INFORMATI Location Address ,J�3 �?, i,l,� Owner's Name �t - �n .NA\ V",vy "�. Address 373°4 z2.,1 Imo. Ct'w�cevvi� Assessor's Map/Parcel: (�7—610;? Engineer's Name GNZ" C18wi1110l m NEW CONSTRUCf10N REPAIR Telephone# Land Use ice* 6" Slopes(%) 0 -3 Surface Stones N Distances from: Open Water Body 3-0ft 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) IT �, Ilill�llllll o a, R=395.50 R e d t d BAY LANE �. 00 k Depth to Bedrock. Parent material(geologic) o ► 2�y1 ,e Pit b Water in Hole: (�� ( )/eeping from Fu Depth to Groundwater. Standing t Estimated Seasonal High Groundwater T��/ jo e, f���l s 3 � SL DETERAHNATION FOR SEASONAL HIGH WATER TABLE Method Used: in, Depth to soil mnttigs: in, Depth Observed standing in obs.hole: in. Groundwater Adjustment---- Pep' ft. th to weeping from side of obs.hole:. _ Adi.factor. �.�- AdJ,t)roundwater Level index Well# Reading Date: Index Well level - PERCOL+ATION TEST Thne.....__ Observation Time at h" .-- Hole# Time at 6 -- Depth of Perc - Start Pre-soak Time @ - owEnd Pre-soak S/eve f �� g. Rate Min./Inch -- -Site Failed: Additional Testing Needed(Y/N) Site Suitability Assessment: Site Passed Observation Hole Data To Be Completed on Back----------- original: Public Health Division ***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:\SFPTIC\PFRCFORM.DOC le# DEEP.OBSERVATION HOLE LOG Ho I Soil Other Depth from Soil Horizon Soil Texture Soil Color Mottling (Structure,Stones;Boulders. (USDA), (Munsell) i Surface(in.) Consistency, ravel Bt 54 ah�J DEEP OBSERVATION HOLE LOG Hole# Soil 'Other Depth from Soil Horizon Soil Texture Soil Color jlQottling .'(Structure,Stones,Boulders. Surface(in.) (USDA) (Munsell) C nsistency.%Grav 1 DEEP OBSERVATION HOLE LOG Hole# Soil Other Depth from Soil Horizon Soil Texture Soil Color Mottling (Structure,Stones,Boulders. (USDA) (Munsell) Surface(in.) Consi to c gb G vel DEEP OBSERVATION BOLE LOG Hole# Depth from. :Soil Horizon Soil Texture' Soi l Color (Munsell) Mo Soil Other (USDA) ttling .(Strucfure,,Stooes,,Boulders Consi ten surface(in.) Flood Insurance Rate Map: Yes Above 500 Year flood boundary No Within 506 year boundary No— Within.100 year flood boundary No— Yes De th of Naturall Oceurrin Pervious Material f naturally`occurring pervious in exist in all areas served throughout the Does at least four feet o y area proposed for the soil absorption system g material7 —�---- If not,what is the depth of naturally occurrin pervio us Certi_ f ion roved by the I certify that on /'0 ` :�I (date)I have passed the soil evaluator. s perforined by me consistent with Department of Envirpnmis I enta eProtdeerion and Department above 310 CSMR 15 017 ): the required tra' in ,expertts , s� Date Signatur .. j a Q:\SEP CIC�PERCFORM.DOC i I I ALARM AND CONTROL PANEL SYSTEM PROFILE BUOYANCY .CALLS: s RJeI Road LEGEND (NOT To SCALE) H 10 1000 GAL. PC WEIGHS 8,240 LBS BUILDING. ALARM TO BE ON PROVIDE INSPECTION PORT TO .GRADE � gump TO BE INSTALLED INSIDE c REMOTE 4" SCH40 PERFORATED PVC DOWN TO 2.55' X 8.5 x 4.83 X 62.4 = 6,533 LBS UP (OK) o SEPARATE CIRCUIT FROM PUMP ALI SYSTEM COMPONENTS SHALL BE 99 - EXISTING CONTOUR BLOWER SAND AT BOTTOM LEACHING FIELD, LOCATION ALL WIRING TO CODE. MARKED WITH MAGNETIC TAPE OR PROVIDE 4" THREADED COVER AND EXIST. SPOT ELEV. OER WNER CGdPARABLE MEANS FOR FUTURE LOCATION. H-1 O '1500 GAL. ST WEIGHS 1 1 ,1 12 LBS X 99. ACCESS COVERS TO WITHIN 6" OF FIN. GRADE LEBARON LA910 CAST IRON ACCESS t 2' CAST IRON COVERS TO GRADE OR CONCRETE PORT H-20 CONSTRUCTION. 2.25' X 10.2 X 5.3 x 62.4 = 7,590 LBS UP (OK) -[99]- PROPOSED CONTOUR 1.5" VENT PIPING S I DRILL LAST HOLE IN EACH FEMALE ADAPTOR & THREADED PLUG Locus (98.4) PROPOSED SPOT EL. TOP FOUND. EL. 8.6' LATERAL ON TOP TO VENT s 1.5"0 THREADED END CONNECTION �o 8.0' MINIMUM .75' OF COVER OVER PRECAST 8.0' AIR WHILE LATERAL FILLS 600 A� `odd TH 1 8.2' SCH 40 PVC NOTES lL boy TEST HOLE � 2%SLOPE REQUIRED OVER SYSTEM 1/4' SHIELDED 7 42' 1. DATUM IS NAVD 88 lo�P P� �o�P ACCESS PORTS - TREATED WATER OUTLET INV. IN 5.70' ORIFICES oln SLOPE OF GROUND 1000 GAL PUMP CHAMBER 2" PRESSURE LINE INV. 7.25 1.5" INVERTS LEVEL AT 7.25' M t -2".- H-10 � o0 0 0� 00 0 2. MUNICIPAL WATER IS EXISTING O S y / �Q� UTILITY POLE \6..lf 22o GAL.+ SLOPE TO DRAIN BACK og Oo 0 000 0 o0c l� oo 0 * l ALARM ON RESERVE d'" PRESSURE LINE / „ 6.05' I" 5.8, FLOAT SWITCH 0.25' WEEP HOLE 3. MINIMUM PIPE PITCH TO BE 1 8 PER FOOT. J } FIRE HYDRANT SETTINGS: PUMP ON CHECK VALVE 4:,DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS �� �,•J WASTE INLET (MIN. NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING 3" ABOVE OUTLET) 4" WORKING RANGE 3 TO BE AASHO H-ZQ MYERS SRM 4 BOTTOM LEACHING LEVEL AT EL. 6:75' SUBMERSIBLE 4/10 HP 2" CENTRAL FED MANIFOLD CONNECT ENDS Nantucket b 4„ PITCH TO DRAIN BACK TO 5. PIPE JOINTS TO BE MADE WATERTIGHT. PUMP OFF 18" SYSTEM (OR EQUAL) 3.0'** Sound 50" PUMP CHAMBER- NO LOW SPOTS. *THE INSTALLER SHALL VERIFY THE LOCATIONS 6" DIAM. HOLE � 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH 0 0 0 0 0 0,0,0,0 0 0 0 OF ALL UTILITIES AND ALL BUILDING SEWER o000000000000000000000000000000000000000000000000000000000. 3/4" TO 1 1/2" DOUBLE WASHED STONE 310 CMR 15.000 (TITLE 5.) •+,o�o�o_r_n_n_o.� o 0 0 0or.r_r_r,_�„n.00 OUTLETS AND ELEVATIONS PRIOR TO 0°o�00000000000000"oo°00000000000v00000000°oo°o°o°o°o` SIDE ELEVATION VIEW 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO LOCUS MAP INSTALLING ANY PORTION OF SEPTIC SYSTEM °000000000,o,o°,o°o,0,00000000000°0°0°0�0,0,0000*0* WATERPROOFED AND WATERTIGHT i BE USED FOR LOT LINE STAKING OR ANY OTHER 6" CRUSHED STONE OR MECHANICAL PURPOSE. SCALE 1"=2000't COMPACTION. (15.221 [21) USE ADJUSTED 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. MIN. GROUNDWATER ® EL. 3.75- ASSESSORS MAP 187 PARCEL 2 (_% SLOPE) ( 1 SLOPE) I 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED 2 WITHOUT INSPECTION BY BOARD OF HEALTH AND LOCUS IS WITHIN FEMA FLOOD ZONE AE (EL 12) FOUNDATION 13' OH 510 I FAST ACH CHAMBER - 10' PUMP CHAMBER 5' LEACHING PERMISSION OBTAINED FROM BOARD OF HEALTH. AS SHOWN ON COMMUNITY PANEL #25001 CO563J (MIN. 1500 GAL. SIZE) I FACILITY DATED 7/16/2014 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING SYSTEM DESIGN: � DIGSAFE (1-888-344-7233) AND VERIFYING THE Y N j LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES ; I PRIOR To COMMENCEMENT OF WORK. GARBAGE DISPOSER IS NOT ALLOWED ( ) I 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE REMOVED BENEATH AND 5' AROUND THE PROPOSED EXISTING 2 BEDROOM DWELLING LEACHING FACILITY. '' 5' S' ' VARIANCES REQUESTED: DESIGN FLOW: 2 BEDROOMS @ 110 GPD = 220 GPD REM. REM. 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND 10.0' �' o UNDER MAX. FEASIBLE COMPLIANCE 15.405: REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. USE A 220 GPD DESIGN FLOW Lj (1a): REDUCTION IN SETBACK, SEPTIC TANK TO LOT LINE (10' TO 8') 13. INSTALLER TO VERIFY THE ELECTRICAL SYSTEM IS g PORCHEL 8.2' (1a): REDUCTION IN SETBACK, SAS TO LOT LINE (10 TO 6.2') 8 ,,,,, ,a SUITABLE FOR PUMP CONNECTION. ELECTRICAL PERMIT SEPTIC TANK: 220 GPD 2 = 440 (1b): REDUCTION IN SETBACK, SAS TO FOUNDATION (20' TO 10.3') REQUIRED. ( ) SAS EXIST USE A 0.5 MICRO FAST TANK (H-10) & 5.3 (1h): REDUCTION iN SEPARATION TO G-W, 5' TO 3'** LINER (ADDITIONAL FOOT TAKEN UNDER REMEDIAL PERMIT FOR FAST 14. WETLAND FLAGGED BY BLH ENVIRONMENTAL A 1000 H-10 GAL. PUMP CHAMBER (TYP.) ) coNsuLANTs SYSTEM. PRESSURE DOSING PROPOSED TEST HOLELOGS O C TEST HOLE S LEACHING: 13.5 23.5 30 8.4 UNDER TOWN OF BARNSTABLE HEALTH REGULATIONS: 220 GPD (.74) = 297 SF REQUIRED PROFILE A-A (VIII): REDUCTION IN SETBACK, SAS TO BVW (100' TO 50.8') ENGINEER: DANIEL E. GONSALVES, SE13587 1 1 ' & SEPTIC TANK TO BVW (100' TO 59.2') REFER TO INSTALLATION INSTRUCTIONS 10' X 30' = 300 'SF OK AND SPECIFICATIONS FOR THE WITNESS: DON DESMARAIS, RS 300 SF X .74 = 222 GPD OK (TWO BEDROOM DEED RESTRICTION REQUIRED) 0.5 MICROFAST UNIT DATE: 6/1/17 5, USE A 10' X 30' PRESSURE DOSED PIPE AND STONE LEACHING FIELD \\( OPERATIONS AND MAINTENANCE AGREEMENT PERC. RATE _ / o REQUIRED FOR THE LIFE OF THE SYSTEM < 2 MIN INCH :EFFLUENT TESTING SHALL BE REQUIRED AS CLASS __ I � SOILS P# 15355 1 PER TOWN OF BARNSTABLE AND TITLE 5 MAj - THIS SYSTEM SHALL BE RECORDED ON THE APPROVED DATE BOARD OF HEALTH �/ � :DEED TO THE PROPERTY p„ 4 6L5' p" 4 6 5y I o / TWO BEDROOM DEED RESTRICTION REQUIRED - o. \\I A A \\� 2 \\� SL SL �� 10YR 3/1 10YR 3/1 i 13" 1 A SALT MARSH B B f LS LS s 19" 1OYR 4/6 4.9' 1OYR 4/6 20" 4.8' i BVW 6' A( \\� C PARCEL 2 SIEVE r 6 1.35 ACt \\I UPLAND AND �% MS MS WETLAND \ \� GROUNDWATER ADJ. DATA: \ \\� �� WELL: MIW 29 2.5Y 6/6 2.5Y 6/6 BV i ZONE: C Co �•..� ADJUSTMENT: 1 .75' � •�VECFT T�gNo �90, 78" 0.0' 78" p 0, �� � DECK "� BVW 41 Co ° ^ FENc �i GROUNDWATER ENCOUNTERED AT 54" EL. 2.0 \, 7 0' TITLE EXISTING \,a PROP. VENT WITH CHARCOAL FILTER 0 DWELLING 4 : A .a• AND BUGSCREEN (FINAL PLACEMENT TOF = 8.6' i o BY CONTRACTOR WITH HOMEOWNER P D CONSULTATION) DRIV q 6 r OF L BENCH MARK - HYDRANT ON TAG \ �' �( �� oBAY LAME BOLT MA ELEVATION = 8.25 PORCH J �/ PROP. WORK LIMIT LINE d 0.. 3 OF STAKED SILT FENCE E R V I L L E, z' C �I • o• MA ° / TH1 S6S PREPARED FOR \ TH ' 40' BVW 2 "X VW 1r B" TOLU00"' T'Iffil COrm"ISISTRUCTION 5' REMOVAL OF UNSUITABLE SOIL REQUIRED ` SO ' ° ®R AROUND PERIMETER of LEACHING FACILITY, A V DOWN TO SUITABLE SOIL LAYER. REPLACE \ A WITH CLEAN MED. SAND, TO MEET `, AUTION EXISTING SPECIFICATIONS OF 310 CMR 15.255(3) GUY WIRES 28 0 PROVIDE 40 MIL LINER AT 5' OFF SAS DATE: JUNE 22, 2017 AT LIMIT OF REMOVAL AROUND ENTIRE 'o \a SAS. TOP AT EL. 8.7', BOTTOM AT EL 4.7' `o A�L �� �4* � •\`� \, � Scale: 1"= 20' J ~ 0 10 20 30 40 50 FEET 6 PROVIDE 110' OF 40 MIL LINER AT 5' OFF'SAS IN AREA SHOWN. TOP AT AN of Mq ELEV. 7.5', BOTTOM AT EL. 5.5't � ``�+ �y moo`' DANIEL ���,` N of s �-Y�--..�„ off 508-362-4541 s DANIEL A. sgc4cHOFMgsr' fax 508-362-9880 8 A. OJAG-I1 �" o�' DANIEL A. y . '�cyG OJALA ° . DANIF_LA. downca e.com :4G1�60 ��: s P ,,, N� ., OJALA I No.409f10 w r0 �� CIVIL OJALA a , CIVIL down cape engineefing inc. I oFFss�°�c���s � uU �� No.46502Q .Q No.46502 k �NpSURvy ��F��+sTe G � `�O,STeRt civil engineers ���. land surveyors t ONAL E� f 1 x, . + . 1p'Z z -�7 ----- ( r 939 Main Street ( Rte 6A) . - DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 LICE # 17- 125 SHEET , 1 / 2 17-125 ' r --------------- ------ ---------- --------- Rocd NOTES Burn t ECTI •ON S-0 ENERAL SCO PEI NOTES FOR FAST SYSTEM 1. DATUM IS NAVD 88 G OF WORK : NSP (SEE ALSO ALL NOTES AND DETAILS AND ITEMS ON PLANS): THE BARNSTABLE BOARD OF HEALTH SHALL REQUIRE THE FOLLOWING INSPECTIONS: 1. Airline piping to FAST®may not exceed 100 FT [30m] total 2. MUNICIPAL WATER IS EXISTING length and have a maximum of 4 elbows in the piping system. 1. INSPECTION OF UNSUITABLE MATERIAL (IF ANY). THE CONTRACTOR SHALL PROVIDE THE OWNER WITH ALL MATERIALS AND For distances greater than 100 FT [30m] consult factory. Blower 3. MINIMUM PIPE PITCH TO, BE 1/8" PER FOOT. LABOR NECESSARY TO COMPLETE THE SEPTIC SYSTEM UPGRADE SHOWN 2. VERIFICATION OF SOIL CONDITIONS AND/OR GROUNDWATER ELEVATION (IF NECESSARY) y ON THESE PLANS. CONTRACTOR TO VISIT THE SITE PRIOR TO PLACING BID, 3. VERIFICATION- OF CESSPOOL/LEACH PIT REMOVAL OR ABANDONMENT (IF NECESSARY) must be located above flood levels on a concrete base 26" X AND MAKE SUCH INSPECTIONS AND INQUIRIES AS REQUIRED TO 4. INSPECTION OF CONTAINMENT WALL OR FLOW BARRIER INSTALLATION (IF ANY) 20" X 2" [65 X 50 X 5cm] min. 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS Locus TO BE AASHO H-M ACCURATELY ESTIMATE THE COST OF THE SEPTIC SYSTEM REPAIR. 5. INSPECTION OF THE 3/4 - 1 1/2 INCH STONE PRIOR TO PLACEMENT THE CONTRACTORS SCOPE OF WORK SHALL INCLUDE ALL NECESSARY 6. FINAL INSPECTION OF ALL COMPONENTS PRIOR TO BACKFILLING 2. Vent to desired location and cover opening with a vent grate 5. PIPE JOINTS TO BE MADE WATERTIGHT. <9 PERMITS AND FEES, LIKELY INCLUDING BUT NOT LIMITED TO DISPOSAL 7. FINAL GRADING INSPECTION with at least 7 sq in.[45 sq. cm] open surface area. Secure with WORKS CONSTRUCTION PERMIT, PLUMBING PERMIT, TRENCH PERMIT, 8. INSPECTION OF THE START-UP OF INNOVATIVE/ALTERNATIVE TECHNOLOGY (IF ANY) stainless steel screws. Vent piping must not allow condensate 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH 00i COORDINATION WITH WATER DEPARTMENT, GAS WITH VENDOR REPRESENTATIVE build up or create back pressure. Vent must be above finished 310 CMR 15.000 (TITLE 5.) St.. ELECTRICAL PERMIT, UTILITIES AS REQUIRED TO COMPLETE THE WORK 0 COMPANY, AND OTHER 9. OWNERS ENGINEER TO INSPECT THE DOUBLE WASHED STONE TO ENSURE IT IS FREE OF DUST AND FINES. grade or higher (see sheet 4 of 4). SHOWN ON THE PLANS. DRILLED ORIFICES TO ENSURE BURRS HAVE BEEN REMOVED FROM LATERALS. 9 THE CONTRACTOR SHALL PROVIDE FOR PUMPING OF ALL EXISTING TANKS 10. ENGINEER TO INSPECT THE SHOP 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO AND COMPONENTS, AND SHALL CRUSH AND REMOVE OR FILL WITH 11. PROPER FUNCTIONING OF THE PUMPS, CONTROLS AND ALARMS SHALL BE DEMONSTRATED BY CLEAN WATER 3. All appurtenances to FAST®(e.g. tanks, access ports, BE USED FOR LOT LINE STAKING OR ANY OTHER COMPACTED SAND ALL ABANDONED SEPTIC COMPONENTS, ALL PER TITLE TESTING PRIOR TO BACKFILLING THE SAS FIELD. electrical, etc.) must conform to all applicable country, state, PURPOSE. 5 REQUIREMENTS. 12. CERTIFIED AS-BUILT PLAN WITH INVERT ELEVATIONS AND FIELD LOCATION IS TO BE PREPARED province, and local plumbing and electrical codes. Pump out 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. Nantucket THE CONTRACTOR SHALL COORDINATE THEIR WORK WITH THEIR ELECTRIC FOR THE TOWN BY THE OWNERS ENGINEER. access shall be adequate to thoroughly clean out both zones. 13. INSTALLER TO COORDINATE INSPECTIONS. 24 HR. NOTICE REQUIRED. 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED Sound SUBCONTRACTOR AND UTILITY COMPANIES AS NEEDED. 4. All inspection, viewing and pump out ports must be secured to THE CONTRACTOR SHALL PROVIDE THE LICENSED ELECTRICIANS AND WORK WITHOUT INSPECTION BY BOARD OF HEALTH AND prevent accidental or unauthorized access. TO CONNECT THE PUMP CHAMBER EFFLUENT PUMPS, PANELS AND ANY PERMISSION OBTAINED FROM BOARD OF HEALTH. TIMERS, AND SHALL RIG ALL FLOATS TO PLAN AND PROVIDE A 5. Tank, piping, conduit, etc. are provided by others. Blower LOCUS MAP CLEARWATER TEST OF PUMPS PER PLAN NOTES. SAFETY OF STRUCTURES 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING control system by Bio-Microbics, Inc. See Installation Manual. AND PUBLIC AND ANY TRAFFIC CONTROL REQUIRED ON THE PROJECT IS DIGSAFE (1-888-344-7233)' AND VERIFYING THELOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES SCALE 1 =2000'± THE RESPONSIBILITY OF THE CONTRACTOR. THE CONTRACTOR SHALL 6. If less than the specified minimums are considered necessary, PROVIDE ALL NEW FIRST QUALITY PRODUCTS AND .CLEAN DOUBLE WASHED STONE FOR THE PROJECT, ANY WRITTEN CONTRACT BETWEEN THEPRIOR TO COMMENCEMENT OF WORK. OWNER consult factory for guidance. ASSESSORS MAP 187 PARCEL 2 AND CONTRACTOR WILL GOVERN OVER LANGUAGE IN THIS SCOPE WHERE 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE NOT CONTRARY TO THE DESIGN INTENT, CODES, AND THE PERMITTING 7. All piping and ancillary equipment installed after FAST must REMOVED BENEATH AND 5' AROUND THE PROPOSED not impede LEACHING FACILITY. LOCUS IS WITHIN FEMA FLOOD ZONE AE (EL 12) AUTHORITIES JURISDICTION. or re-st.rict- free flow of effluent. ------ . .....- .......... -AS -SHOWN-ON -COMMUNITY PANEL #25001C0563J 8. The tank(s) shall be designed to prevent air passage between 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND DATED 7/16/2014 .the settling zone/tank and the treatment zone and preventing REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. an air lock. Examples include a baffle wall sealed to the lid or 13. INSTALLER TO VERIFY THE ELECTRICAL SYSTEM IS treatment zone inlet line with a pipe cap. Consult factory for SUITABLE FOR PUMP CONNECTION. ELECTRICAL PERMIT guidance. REQUIRED. 9. Installations using a FASTIDsystem lid are capable of 14. WETLAND FLAGGED BY BLH ENVIRONMENTAL withstanding AASHTO H-10 equivalent loads. Any installation in CONSULANTS CLEANOUT DETAIL: which a FAST lid is buried deeper than 3 feet, or where FEMALE ADAPTOR & THREADED PLUG SLEEVE TO ALLOW MOVEMENT additional loading conditions may occur, a professional engineer should be consulted. FAST®with feet option should POURED CONCRETE DONUT be considered. Refer to Installation Manual for more details. REFER TO INSTALLATION INSTRUCTIONS 1.5 CU.FT.± AND SPECIFICATIONS FOR THE 10. Specialized treatment levels may require specific features to 0.5 MICROFAST UNIT be incorporated into the tank design. Consult factory for guidance. OPERATIONS AND MAINTENANCE AGREEMENT 2.COSCH40 PVC REQUIRED FOR THE LIFE OF THE SYSTEM 2"PVC TO PUMP PIT SCH40 PVC 90' ELECTICAL CONDUIT SWEEP 2.0"OSCH40 LATERAL INV. LEVEL 0 t 26, EFFLUENT TESTING SHALL BE REQUIRED AS 1 4" ORIFICE IN LATERAL 2"SCH 40 PVC MANIFOLD PER TOWN OF BARNSTABLE AND TITLE 5 60" O.C. WITH SHIELDS (TYP.) SEE PLAN FOR LOCATIONS ORIFICE SHIELD OS200 DRILL LAST ORIFICE ON TOP ORENCO SYSTEMS INC THIS SYSTEM SHALL BE RECORDED ON THE BOTTOM STONE EL. 6.75 PH. 1-800-348-9843 DEED TO THE PROPERTY SIDE ELEVATION VIEW 2.0"0 SCH-40 PVC LATERAL OR EQUAL. TWO BEDROOM DEED RESTRICTION REQUIRED PIPING DETAIL NOT TO SCALE 1/4"0 HOLE AT 5' O.C. 20 SNAP-ON 2" TO ALTERNATE BETWEEN TOP SHIELD PUMP PIT & BOTTOM OF PIPE. �A_ 7 F- LLJ 15 DRAINAGE SLOTS 2"X2" TEE E-L Ld /,---OPE-RATING POINT EXACT DIAMETER HOLES LO U_ - - - 13' TOR SHOULD BE SHOP DRILLED WITH 2"0 SCH40 PVC MANIFOLD E)_ A DRILL PRESS TO ENSURE' Z FEMALE ADAPTOR & THREADED PLUG UNIFORMITY. REMOVE BURRS SCH 40 PVC < 10 Inspection/ PRIOR TO PLACING PIPE. (TYP. BOTH ENDS) 114*11 Pump out Ports' ORIFICE SHIELD DETAIL PITCH _j .005 FT/FT MIN. see notes 3" [8]0 MIN vent pipe NOT To SCALE 0 3-5 see note 2 5 U) 6"0 [15] Inspection Joints must be 5.00' 0 _j Port/Vent see water tight bi 25 50 75 100 -5 Cn CAPACITY - GPM notes 2 COMPACT BACKFILL a_ Li -4" [10 10 FAST@ �7_ L) PUMP CURVE FOR MYERS SRM4 4/10 HP PUMP LATERALS 5' CENTER TO CENTER __j < effluent pipe 0:1 1 U-) 0 Li see note 7 -16 21510 MIN MIRAFI 140N FABRIC OVER STONE LEACHING FIELD LU 0 Blower Piping EL. 7.42' > see note I 0 Eo�_ 000 00000000 000;0 INV. EL. 7.25' 00000�00'0'0.uovoomo �0 0 0 -0.0..,00;00 00 io 000 '0.'0�0� 0 0 00 '00,0,� 01 'i 0-.'.0. 0 0 0 00,0000000000 0000, 00 151/811 ±1/811 __-0.000 0 0 0 000-.00000-, 0 0 6' i.iooll '0'0 D00 0 00.0i0M U) 0 0 4" 0�0,0012 ogogoo, 10000 �0 "0'600,0. '00 0 38.4�±o 10 '0-00 �0 .00. ;0;060; 0 .000 1 00 15io R ONATED 000,000 0,00U0000 0 00000000,000 0 �000R�_.,�_o _0 -0000 0,0290 '00, 096 00 �0_ 0,000000o ,Oe 0 2 00 0 0 - .3 0("00 6" 00 00 o') 8" 1? 000 006 �0�0 000 1. EL. 6.75' 1, 9 6,0 -'o �O DETAIL SHEET r JC 7 2.0"OSCH40 PV 8" TOTAL OF .75" - 1.5" STONE �ORIFICE SHIELD OS200 WITH 1/4" ORIFICES DOUBLE WASHED ONLY ORENCO SYSTEMS INC TO ACCOMPANY 15 1/4" MIN DRILLED AT 5' O.C. ENGINEER TO INSPECT PH. 1-800-348-9843 PLAN VIEW OR EQUAL SEE DETAIL [39 MIN ] ALTERNATING UP AND DOWN CLEAN COMPACTED COARSE SAND FILL UNDERNEATH LEACHING FIELD PIPING DETAIL TITLE 5 SITE PLAN DRILL DISTAL END ON TOP, 41 1/4" MIN NOT TO SCALE [104.6 MINI OF 24" MIN LEACHING FIELD SECTI ON- % Influent [61 MIN ] NOT TO SCALE waste See Note 8 MANHOLE COVER H-20 LEBARON OR EQUAL. LLE MA MORTAR ALL COMPONENTS (TYP.) connection between zones 6 3/8" MIN 1 [16.1 ] MIN 24" I.D. PRECAST CONC. RISER IF REQ. PREPARED FOR see note 6 1 4'0 PRECAST DONUT 1" OVER FIELD 1___1'4" THICK 4000 PSI CONC. W/WWF Treatment Zone 18"0 OBSERVATION HOLE IN CTR. Settling Zone 350 Gallon MIN 1300 L MIN] 450 Gallon MIN 1700 L MIN] LEACHING FIELD BOM I OL01-TI Cul" NNS1143TRUCTION FAVA 12" PERF. HD PE PUMP OUT WELL TO SAND AT BOTTOM FIELD DATE: JUNE 22, 2017 54" 1 [137.2 - INSPECTION PORT DETAIL Scale: 1 20' 25" 31 114" MIN 163.51 [79.4 MIN ] NOT TO SCALE 0 10 20 30 40 50 FEET OF 0 -4541 DANIti- OF A4ASS, DANIELA, fax 508-362-9880 A� 0 LA 2 1/2" MIN 4, JA DANIEL OJALA downcape.com Opening for FAST@ [6.4 MIN I A. CIVIL 67 1/2" MIN 11LA OJA NO, No.46502 module to sit on tank border for sealing iE� aa ce WO pe e,,erinj ffic. [171 .5 MIN and securing the -.,No 40980 0 L civil engineers lid and liner to tank IS T land surveyors S-U, cFs& 9,39 Mail-? Street ( Rte 6A) YARMOLJTHPORT MA 02575 DATE DANIEL A. OJALA, P.E., P.L.S. BICE # 17- 125 17-125 L SLEEVE PO URED 2-0"OSC H40 Z\Xwl MANIFOLD:OL D4� 1 4 ORIFICE I DRILL LAST REN TEM BOTTOM STONE 0 C 0 S'�348%,'PH ' 800 0 R EQUAL. 3E SLOTS MF 0 0 0 0 SHEET 2 / 2 SITE PLAN GENERAL NOTES SITE SCALE: 1 20' 1 ADDRESS: #373 BAY LANE, CENTERVILLE CONTOUR INTERVAL-1 ' 2. ASSESSOR'S NUMBER: MAP 187 PARCEL 002 3. DEVELOPER'S LOT: LOT #2 B.M. = 6.79 NGVD 4. TOPOGRAPHIC INFORMATION WAS COMPILED FROM AN ON THE GROUND INSTRUMENT SURVEY. ON C.B. 1 FND. 5. TOWN WATER IS PROVIDED TO THE SITE & SURROUNDING PROPERTIES. 6. REFERENCE PLAN- L.C. PLAN 35308A SHEETS 1&2 REFERENCE PLAN: "SITE PLAN PETER FAVAT 373 BAY LANE CENTERVILLE, MASS." SCALE 1"=20', DATED: MAR. 4, 2009 BY SULLIVAN ENGINEERING, OSTERVILLE, MASS. ee O 7. UNDERGROUND UTILITIES LOCATED IN ACCORDANCE WITH DIGSAFE. el 8. WETLANDS SHOWN PER SULLIVAN ENGINEERING PLAN AND CONFIRMED BY GEHRS IN THE FIELD. e 9. THIS PLAN SHALL BE USED FOR THE SEPTIC INSTALLATION ONLY. el 10. THE SITE DOES NOT LIE WITHIN A GROUNDWATER PROTECTION ZONE. lien 11. THE SITE LIES WITHIN FLOOD ZONE A10 (EL. 11.0) PER FIRM PANEL 0016D. 01.013 Design Calculations Number of Bedrooms: 2 EXISTING x 110 gpd/BR = 220 gpd. Opprov. Garbage Disposal- Not allowed with this design LOCUS loco"On edge of rnorsh Septic Tank Capacity Required: 220 gpd x 200% = 440 gals. (Utilize 1,500/500-gal. tank/pump chamber) NO SCALE Application Rate for <2 min./inch = 0.74 gal/sq. ft. Leaching Capacity Required: 330 gpd/0.74 gal per sq. ft. = 446 sq. ft. (min. per Title V). Proposed Leaching Structure: 100 linear feet of ADS ARC 36 LP Chambers H-10 rated Leaching Area Provided = (General. Use Approval for 4.80 SF/LF per. tinit) 20 Units x 5.0 LF x 4.73 SF/LF 472 SF Total Leaching Area Provided =473 SF. > 446 SF Leaching Capacity Provided 472 SF X 0.74 gal/sq.ft.=349 gpd. > 330 gpd. req'd. CONSTRUCTION NOTES 1 Contractor is responsible for Digsafe notification and protection of all underground utilities and pipes. 2. The septic tank and distribution box shall be set approx. location level on 6" of 3/4"-11/2" stone. existing pier .3. Backfill should be clean sand or gravel with no stones over 3" in size. 4. This system is subject to inspection during installation 5. The contractor shall install this system in accordance OuE w 'ode. with Title V of the Massachusetts Environmental C k(o and local Board of Health Rules and Regulations. AeK 6. If, during installation the contractor encounters any to N soil conditions or site conditions that are different 0) from those shown on the soil log or in our design the installer shall halt installation and immediately notify Glen E. Harrington, R.S. LOT 2 AREA= 58,806± sq. ft. 7. No vehicle or heavy machinery shall drive over the All septic system unless noted as H-20 septic components. 4-20-DIAM.ACCESS MANHOLES(typ.) 8. Install Zabel A1800 effluent tee filter or equal on septic tank outlet tee. lie, 9. All piping shall be SCH 40 PVC. 10. Pump and backfill existing cesspool. Remove if within 5' of proposed SAS. 6.92' 11. The Contractor shall notify the Board of Health and the Designer All Co 4r) All at least 24 hours in advance to inspect and certify the system. Ae 0 All 12. Provide one Wiggin Precast H-10 1,500/500 gal. Septic Tank um chamber or equal. __11- IRLET F� OU7UT Tank/P.C. to be sealed to assure water-tightness, All 0) 0 All o o Nv 0'r • • THE ACCESS COVERS FOR THE SEPTIC TANK, PRESSURE DISTRIBUTION CALCS & SPECS 7.55' STEEL REINFORCED PRECAST CONCRETE DISTRIBUTION BOX AND LEACHING COMPONENT (PER OTIS GUIDANCE DOCUMENT) 0 CA PLAN VIEW SHALL BE WITHIN 6" OF FINISHED GRADE. 1. LATERAL PIPE LENGTHS: 2 0 40' AND 1 0 20' 20'REMOVABLE COVERS(t 7.71 CID ol\ IL 1 2. LATERAL PIPE DIAMETER: .1.5" e� 3. PROVIDE 3/8 INCH DIAMETER HOLE AT TOP END OF LATERAL TO VENT AIR (SEE DETAIL) F.;. 7.85' -Al-1 0 min. rance 4. 16 PERFORATIONS PER LATERAL; PERFORATION� DIAMETER= 5/16" " I --FI2*min Inlet to outlet Ka min A4 V INLET- i OUTLET 5. PERFORATIONS IN LATERALS TO BE 3' APART, 2 PER CHAMBER. o .1 1] Liquid le%* T Ilr INVERT U 6. PERFORATION DISCHARGE RATE = '1.82 GPM. 6. 9.14 4�-O"mIn. - X, I " '. IV-a*Min. Uquld depth 7. LATERAL DISCHARGE RATE = 16 PERFORATIONS X 1.82 GPM/PERF. 29 GPM. �� \ .18' . . I UquId deptl i 8. TOTAL DISCHARGE RATE = 40 PERFS X 1.82 GPM 73 GPM. Mom-141#14010 _2 3. M . 0W= :0 9. LATERAL SPACING= 34" A4 10. MANIFOLD LENGTH & DIAMETER (FROM TABLE 2) 5'-4" (MAX LENGTH= 6' FOR 3' LATERAL SPACING WITH 2" DIAMETER MANIFO D) 8.6\0' LP FR oSgo derA_ 11. SLOPE MANIFOLD BACK TOWARDS FORCE MAIN TO DRAIN INTO PUMP CHAMBER TO PREVENT FREEZING. X 7.14' CROSS-SECTION END-SECTION d 12. DOSE VOLUME= 330 GPD/4 DOSES PER DAY FOR CLASS I SOIL = 82.5 GALS. 6.66' 0. TYPICAL 150OZ500 GALLON H-10 SEPTIC TANKZP,C, 6.61 0 O.S.11, NOT TO SCALE NOTE: EACH 40' LATERAL SHALL HAVBE 16 PERFORATIONS, TWO PER CHAMBER. THE 20' LONG LATERAL SHALL HAVE 8 PERFORATIONS. THE PERFORATIONS SHALL BE SPACED 3' APART.. FACING UPWARD AT 11 & 1 O'CLOCK POSITIONS, STAGGARED DOWN THE LATERAL. 6.59 0 0 G 5 lie, THE LATERALS SHALL BE SLOPED BACK TO THE MANIFOLD TO DRAIN. underground elec., A-- "'SL 0) NOTE: EACH LATERAL SHALL HAVE A SWEEP WITH CLEANOUT AT THE DISTAL END LOCATED IN A LANDSCAPE HAND HOLE OR IRRIGATION BOX AT GRADE. & tel. & OH cable 6.57 0 7., 9' AT 0 im T.H. #1 BOARD OF HEALTH VARIANCE REQUESTED: 360-1: A VARIANCE IS REQUESTED TO ALLOW THE PROPOSED SEPTIC TANK AND PUMP CHAMBER TO BE 25 FEET FROM THE BVW IN LIEU OF THE REQUIRED 100 FEET. 6.49 .41' .0 THE PROPOSED SEPTIC TANK & SAS CANNOT BE PLACED 100 FEET FROM THE BVW. <_3 • LOCALUPGRADEAPPROVAL ry, 'nY OR ' or M? SECUR A di ch LIFT OUT CHAIN ore 310 CIVIR 15.405(1)(b) - A VARIANCE IS REQUESTED TO ALLOW THE SAS TO BE FINISHED GRADE A, 11 FEET FROM THE EXISTING CRAWL SPACE IN LIEU OF THE REQUIRED 20 FEET. eht Z- '-:; I =:Iiff ff- N.Iff A RUBBER LINER HAS BEEN PROVIDED TO MITIGATE THE VARIANCE. p SOIL EVALUATION LOCAL UPGRADE APPROVAL Dote of SOIL EVALUATION: AUGUST 17, 2009 6.03 A INLET INVERT OUTLET INI&RT ELE.14-8.1w Evaluation Performed By. Glen E. Harrington, R.S. 3/8- WUP HOES ARM WrOK VXVF 310 CIVIR 15.405(1)(h) - A VARIANCE IS REQUESTED TO ALLOW THE SAS TO BE Excavator: GENE FRIEH, E.P. FRIER CONSTRUCTION (FREEZE PROTECTION) 4 FEET FROM THE GROUNDWATER IN LIEU OF THE REQUIRED 5 FEET. Percolation Rate:< 2 mpi per sieve analysis 'PRESSURE DISTRIBUTION HAS BEEN ADDED TO MITIGATE THE VARIANCE. Witness: David W. Stanton. R.S., BOH Agent 21 1SWRO CHECK 6.31' R=erm 100% OF THE REQUIRED MINIMUM SAS HAS BEEN PROVIDED. HIGq WATER kARM aZ4-18.811' ,,Test Hole LOCAL UPGRADE APPROVAL: No. 1 PUMP ON ELM-10,72' DEPTH SOILS IELEV. SIEVE RESULTS 310 CIVIR 15.405(1)(1): A VARIANCE IS REQUESTED TO ALLOW A SIEVE ANALYSIS 0 7.99' Sample obtained from C2 Layer Soil Evaluation Certification IN LIEU OF THE REQUIRED PERK TEST. NOT ENOUGH C1 LAYER WAS A 99.6X sand ENCOUNTERED TO PERFORM THE PERK TEST ABOVE GROUNDWATER. oamy sand 0.4X sift A PUMP OFF 12- IOYR4/2 0% clayI certify that on October, 1995, 1 have passed the !!3oil evaluator Be 0088m.triol. Use <2 rnpi for design purpose& examination approved by the DEP and that the analysis was performed by LEGEND LOCAL UPGRADE APPROVAL: oarny sonc 5.32, Ar 32 IONAS HIGH GW DETERMINATION me consistent with the required training, expertise and experience described 310 CMR 15.405(1)(k): A VARIANCE IS REQUESTED TO ALLOW ONLY ONE TEST 4" dia. monitoring well placed In test hole in 310 CIVIR 15.017. NIVERSAL,END CAP • _f1JX?R PUMP CHAMBER MAM-1�I�5' Approximate location M.Qr top of well elevation-8.83' • gas line HOLE PERFORMED IN LIEU OF THE REQUIRED TWO. THE SIZE OF THE SITE, --ft--144' sotton of wall elevation-2.83' 34.5* UTILITIES AND SITE FEATURES DID NOT ALLOW A SECOND HOLE TO BE PERFORMED. 2AL HI=groundwater measured at 3.66' elevation on September 18, 2009 EN SECTION ARC 3LAR13� Approxi location 2 after high tide. GLEN E. HARRINGTON, R.S. W Teatflin Water e CaC NOT TO SCALE se sand I IOW I lOYR6/1 r-1.01'. PUMP DETAIL e--1 8P Proposed contcur PROPOSED SEPTIC SYSTEM REPAIR Not to Scale -18- Existing contour PREPARED FOR STEVENS CONSTRUCTION __S &. SPECIFICATION '-N T' Finished grade over .5TiWn--_2X slope ow0Y _PUMP NO E_ -------- --- new.1, 0 AT *NOTE. ALL-PIPES ARE TO BE 4* SCHEDULE 40 P,V.0. �00010 �a'i&hannber ----3_RDLr-H--10 septic an purn *NOTE,, INSTALL Zabel A1800 FILTER OR EQUAL ON SEPTIC TANK OUTLET. 1. PROVIDE 1 MEYERS SRM4 4/10 H.P. SUBMERSIBLE 373 BAY LANE MANHOI.E AT GRADE PUMP CAPABLE OF PASSING A MINIMUM DIST, BOX WITH 2' D!A, ft T 7-F sting ces 20, foln, from kose to IV00 fo*gIt� ------------- Provide 4" dia. observation port E'Istlng Grade 9.6':h to within 6" of grade SOLID SIZE OF 2" DIAMETER OR EQUAL. be pump mol )S900k removed) (CENTERVILLE) BAR N STAB LE 1-10' min, from PUMP 72" max 'F 'YER O.P. Observation Pori. Existing Houm_- house to septic tank 2. US.. ME _1 S CE1 I SW SIMPLEX ELECTRIC CHAMBER CONTROL PANEL INDOOR MOUNTED First n. I?; tank cvver tm Elev.=8.3'± OWNER: AMY & PETER FAVAT 2;xl FAL�COIVER . . . . . Ins of finish ode - - - - - . . . . . W/VISIBLE ALARM OR EQUAL CP Lamp Post GRADE . . . . . . . . . . . . . . 24'1 99.0 1.5" DIA. LATERAL,.1 1 PUMP SHALL BE INSTALLED IN STRICT COMPLIANCE NA9 1: =7.93'Invert Ele F bs PREPARED BY:WITH MANUFACTURER'S SPECIFICATIONS, k 18" dia. Blue SDruce 0 I Glen E. Harrington, R.S. DIAM, FORrE 3 3/8 E 4, ALARM SHALL CONSIST OF AUDIBLE SIGNAL & RED *WARNING LIGHT TO BE INSTALLED IN BUILDING CD PROP09ED MAIN 17' 1111111111, 1111111111 11411111-1 Bottom of Leach Guy Wire 1500 0 L, 2' DIA. MANIFOLD - E PV 2 ft. AND Po BY SEPARATE CIRCUIT FROM 9 Leda Rose Lane 11. SEP T 40' Facility Elev.=7.66' CIRCUITS TO PUMP. Marstons Mills, MA 02648 'TRICAL PERMIT SHALL BE OBTAII,4ED PRIOR dqW 6" dia. Dogwood Tree Q) 5. AN ELEC I Ill Al 4.0' 1'0 INSTALLING ALARM AND PUMP POWER. Tel: 508-428-3862 r or ua 10" dia. Japanese Maple - A Ioi.- 6-1, min r . - tBottom of Liner F. THE FORCE MAIN SHALL BE 2' DIA. SCH 40 PVC Fax: 508-428-3862 81,P1 LEACHING FIELD Hi Gw in man, S,rONE PVMP WITH T TRUST BLOCKS INSTAILLED, A�3, NECESSARY. n, Well elev.=3.66' f _RR9,_EtLJE E Eley.=6.3 Landscape hand. hole/irr.box SCALE: 1"=20' DRAWN BY: GEH DATE: SEP. 27, 2011 Nat to Scale 61 or, STONE- Monitoring Well DATUM: NGVD FILE: FAVAT SHEET 1 OF 1 N ALARM AND CONTROL PANEL SYSTEM PROFILE BUOYANCY CALCS: RoGd LEGENDTO BE INSTALLED INSIDE (NOT TO SCALE) PROVIDE INSPECTION PORT TO GRADE H-10 1000 GAL. PC WEIGHS 8,240 LBS rop REMOTE BUILDING. ALARM TO BE ON 4" SCH40 PERFORATED PVC DOWN TO 2.55' x 8.5 x 4.83 X 62.4 6,533 LBS UP (OK) 99- EXISTING CONTOUR SEPARATE CIRCUIT FROM PUMP ALL SYSTEM COMPONENTS SHALL BE BLOWER SAND AT BOTTOM LEACHING FIELD, ALL WIRING TO CODE. MARKED WITH MAGNETIC TAPE OR LOCATION PROVIDE 4" THREADED COVER AND PER COMPARABLE MEANS FOR FUTURE LOCATION. X 99- EXIST. SPOT ELEV. LEBARON LA910 CAST IRON ACCESS H-10 1500 GAL. ST WEIGHS 11 ,112 LBS OWNER ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2' CAST IRON COVERS TO GRADE OR CONCRETE PORT H-20 CONSTRUCTION. 2.25' x 10.2 x 5.3 x 62.4 = 7,590 LBS UP (OK) -[99]- PROPOSED CONTOUR 1.5" VENT PIPING DRILL LAST HOLE IN EACH [98.4] PROPOSED SPOT EL. TOP FOUND. EL. 8.6' FEMALE ADAPTOR THREADED PLUG LATERAL ON TOP TO VENT Locus AIR WHILE LATERAL FILLS 1.5"0 THREADED END CONNECTION 8.b MINIMUM .75' OF COVER OVER PRECAST SCH 40 PVC TH1 F r 2% SLOPE REQUIRED OVER SYSTEM NOTES Zoaa 8.2' TEST HOLE _q� 9 1/4" SHIELD -) ACCESS PORTS zz TREATED WATER OUTLET ORIFICES 1. DATUM IS NAVID 88 T%_ SLOPE OF GROUND INV. IN 5.70' 1000 GAL. PUMP CHAMBER 2" PRESSURE LINE INV. 7.25' 1.5" INVERTS LEVEL AT 7.25' 0i0 0 00000 000 2. MUNICIPAL WATER IS EXISTING �S' 1.5"0 THREADED END CONNECTION OSt E FILLS CO SC H 40 PVC ;7;42 1.5 INVERTS L 000 0 0 C)§ 00 0 V4EBE�1000 GAL. 7 -10 SLOPE TO DRAIN BACK 000 0 UTILITY POLE 2HO GAL., 000 0c, cg�o 00, ci4_9 00- S ALARM ON 2 ERa"+ 2' PRESSURE LINE E�IEE 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. 3"min FLOAT SWITCH ::::D 6.05' RESERVE '-0.25" WEEP HOLE FIRE HYDRANT WASTE INLET (MIN. 5.8' SETTINGS: PUMP ON 3" CHECK VALVE 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS 4" WORKING RANGE BOTTOM LEACHING LEVEL AT EL. 6.75' NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWINGJ 3" ABOVE OUTLET) T 4" MYERS SRM 4 2" CENTRAL FED MANIFOLD TO BE AASHO H-12 Nantucket 50" SUBMERSIBLE 4/10 HP PITCH TO DRAIN BACK TO CONNECT ENDS PUMP OFF 5. PIPE JOINTS TO BE MADE WATERTIGHT. 1 18" SYSTEM (OR EQUAL) PUMP CHAMBER- NO LOW SPOTS.\ 3.0'* Sound *THE INSTALLER SHALL VERIFY THE LOCATIONS 6" DIAM. HOLE --' 00�0101 001 001 0000010goGUOgogoU .0 000UOUOUOUOU0(�OUGUOUgLL 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH I I I n0000000000000000000000000000000000,00000000? 3/4" TO 1 1/2" DOUBLE WASHED STONE OF ALL UTILITIES AND ALL BUILDING SEWER oo'o'G_o_n?n_1Eq a o o o nov?n?�?�'n?o?o'oo 310 CMR 15.000 (TITLE 5.) OUTLETS AND ELEVATIONS PRIOR TO oo��.ogooloologogo.looUoU000�oolooloI oogologololol6LL 0000000 o o o 000000000000000 oo 00000000 SIDE ELEVATION VIEW 'o'o'o'o o n 0000000 o r_� �?o ? INSTALLING ANY PORTION OF SEPTIC SYSTEM n?n?o?0000 WATERPROOFED AND 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO LOCUS MAP 6" CRUSHED STONE OR MECHANICAL WATERTIGHT BE USED FOR LOT LINE STAKING OR ANY OTHER __L PURPOSE. SCALE 1"=2000'± MIN. COMPACTION. (15.221 [2]) USE ADJUSTED GROUNDWATER @ EL. 3.75 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. ASSESSORS MAP 187 PARCEL 2 (2__% SLOPE) (1-7. SLOPE) 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED 0.5 MICROFAST WITHIN WITHOUT INSPECTION BY BOARD OF HEALTH AND LOCUS IS WITHIN FEMA FLOOD ZONE AE (EL 12) FOUNDATION 13, H-10 FAST CHAMBER 10' PUMP CHAMBER 5p LEACHING PERMISSION OBTAINED FROM BOARD OF HEALTH. AS SHOWN ON COMMUNITY PANEL #25001CO563J (MIN. 1500 GAL. SIZE) FACILITY 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING DATED 7/16/2014 DIGSAFE (1-888-344-7233) AND VERIFYING THE SYSTEM DESIGN: LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF WORK. GARBAGE DISPOSER IS NOT ALLOWED 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE REMOVED BENEATH AND 5' AROUND THE PROPOSED EXISTING 2 BEDROOM DWELLING LEACHING, FACILITY. 5' 5' VARIANCES REQUESTED: DESIGN FLOW: 2 BEDROOMS @ 110 GPD 220 GPD REM. REM. 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND 10.0, USE A 220 GPD DESIGN FLOW UNDER MAX. FEASIBLE COMPLIANCE 15.405: REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. (1a): REDUCTION IN SETBACK, SEPTIC TANK TO LOT LINE (10' TO 8') 9 EL 8.2' (1a): REDUCTION IN SETBACK, SAS TO LOT LINE (10' TO 6.2') 13. INSTALLER TO VERIFY THE ELECTRICAL SYSTEM IS SEPTIC TANK: 220 GPD (2) = 440SUITABLE FOR PUMP CONNECTION. ELECTRICAL PERMIT lb : REDUCTION IN SETBACK, SAS TO FOUNDATION (20' TO 10.3') REQUIRED. SAS EXIST. rr,PAr%r,- (1h): REDUCTION IN SEPARATION TO G-W, 5' TO 3'** j USE A 0.5 MICRO FAST TANK (H-10) & -5.3- (ADDITIONAL FOOT TAKEN UNDER REMEDIAL PERMIT FOR FAST 14. WETLAND FLAGGED BY BLH ENVIRONMENTAL LINER A 1000 H-10 GAL. PUMP CHAMBER -A SYSTEM. PRESSURE DOSING PROPOSED) (TYP.) CONSULANTS LEACHING: 1 38.4 TEST HOLE LOGS PROFILE A-A 13.5 23.5 30 UNDER TOWN OF BARNSTABLE HEALTH REGULATIONS: 220 GPD (.74) = 297 SF REQUIRED i ly 10) (VIll): REDUCTION IN SETBACK, SAS TO BVW (100' TO 50.8') ENGINEER: DANIEL E. GONSALVES, SE #13587 & SEPTIC TANK TO BVW (100' TO 59.2') REFER TO INSTALLATION INSTRUCTIONS 10' X 30' = 300 SF OK AND SPECIFICATIONS FOR THE DON DESMARAIS, RS WITNESS: 300 SF X .74 = 222 GPD OK (TWO BEDROOM DEED RESTRICTION REQUIRED) 0.5 MICROFAST UNIT DATE: 6/1/17 USE A 10' X 30' PRESSURE DOSED PIPE AND STONE LEACHING FIELD OPERATIONS AND MAINTENANCE AGREEMENT < 2 MIN/INCH o REQUIRED FOR THE LIFE OF THE SYSTEM PERC. RATE p# 15355 EFFLUENT TESTING SHALL BE REQUIRED AS CLASS SOILS PER TOWN OF BARNSTABLE AND TITLE 5 MA THIS SYSTEM SHALL BE RECORDED ON THE 6L5 . ELEV. APPROVED DATE BOARD OF HEALTH DEED TO THE PROPERTY I E:��l 0p) 1::P t� . 0 6.5' TWO BEDROOM DEED RESTRICTION REQUIRED - - A, A A SL SL A,( 10YR 3/1 1 oyp. 3p 13" 12" SALT MARSH B B LS LS 10YR 4/6 1 OYR 4/6 19t, 4.9' 20" 4.8 1 BVW �' 1 �� 6' C C PARCEL 2 1.35 AC± A( A SIEVE 6 UPLAND AND MIS IVIS WETLAND GROUNDWATER ADJ. DATA: WELL: MIW 29 2.5Y 6/6 2.5Y 6/6 E3V 03 ZONE: C ADJUSTMENT: 1.75' 78 0.0' 78" 0.0' DECK GROUNDWATER ENCOUNTERED, AT 54" -EL. 2.0 �' G v EXISTING vo PROP. VENT WITH CHARCOAL FILTER DWELLING 4 A\( TITLE 5 SITE PLAN ...01 /,-AND BUGSCREEN (FINAL PLACEMENT TOF 8.6' 41 0 BY CONTRACTOR WITH HOMEOWNER P D OF CONSULTATION) DRIV VW 3 - A A( 0 A#37 LAiNR BENCH MARK - HYDRANT ON TAG PORCH PROP. WORK LIMIT LINE BOLT #371. ELEVATION 8.25 .2 0.0 "I L L E M A 3 OF STAKED SILT FENCE 7 0 TH1 PREPARED FOR o TH 6 VW 1 BVW 2 4�%LO� TTI CONSTRUCTION 5' REMOVAL OF UNSUITABLE SOIL REQUIRED B 0 R T%U AROUND PERIMETER OF LEACHING FACILITY, C0 A DOWN TO SUITABLE SOIL LAYER. REPLACE WITH CLEAN MED. SAND, TO MEET AUTION EXISTING FAVAT SPECIFICATIONS OF 310 CMR 15.255(3) 1 GUY WIRES 28 PROVIDE 40 MIL LINER AT 5' OFF SAS 05 0 , . AT LIMIT OF REMOVAL AROUND ENTIRE p DATE: J U N E 22, 2017 SAS. TOP AT EL. 8.7', BOTTOM AT EL 4.7' C) &4 \04' Scale: 1 20' 0 10 20 30 40 50 FEET 6 PROVIDE 110' OF 40 MIL LINER AT 5' 7 OFF SAS IN AREA SHOWN. TOP AT ESN OF SAS ELEV. 7.5', BOTTOM AT EL. 5.5'± C) DANI E (I p O A. F MIS off 508-362-4541 gCti OJALA DANIELA. fax 508-362-9880 No,401.100 W oOJALA downcope.com p 0 CIVIL o 1 N 46502 z. • down cape e ," ineefinInc. �Uti Of TS civil engineers 10 'k- land surveyors 939 Main Street ( Rte 6A) DICE # 17- 125 DATE DANIEL A. OJALA, P.E., P.L.S. YARIWOUTHPORT MA 02675 SHEET 1 / 2 17-125