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0014 JOHNSON LANE - Health
14 Johnson Lane Centerville A= 193 - 077 OcYcLfb l/ll e UPC 12534 No.2-153LOR HASTINGS.YN I ---- ---------- - -- BOARD OF HEALTH TOWN OF BARNSTABLE Zipplication-*rVell Congtructionpermit Application is hereby made for a p rmit to Construct (Alter ( ), or Repair ( )an individual Well at: Location — Address Assessors Map and Parcel G caner dress Installer — Driller A ress Type of Building Dwelling------------------------------------------------------------- Other - Type of Building------_____—_---____-------- No. of Persons-------------------------_ Type of Well—CrfSe2 - Purpose of Well-------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operationWicance has been issued by the Board of Health. Signe 7 -------------- date Application Approved By _______—_________ da Application Disapproved for the following reasons:---------------__—__—--------------_--------_---_--------__ -- - ----------------------------------------------------------------------------- — ----- date Permit No. --.5 �9 l�/ �5C�1� ___--------------- Issued----Sd f--- -- --� ------------------------------- date I BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS �5-TO C R That the ndividual Well Constructed (Altered ( ), or Repaired ( ) by- V------�F�---------------------------------------------------------------------------------------------------------------------------- —- ,y Installer ----------------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Prote tion � Regulation as described in the application for Well Construction Permit No. ��� � THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- --- - - — - - - - --- - -- Inspector-------------------------------------------------------------------------- j F 99,,l2�002 �� Ndb�-- --- ------- Fee--------------------- BOARD OF HEALTH TOWN OF BARNSTABLE ApplicationArVell CongtructionPermit pplication is hereby made for a ermit to Cons ruct�Alter ( ), or Repair ( )an individual Well at: - Location — Address Assessors Map and Parcel o_C__----5f� C�e_O y/s �G_- _�_���S- --- GJ �2�zcr��l- -- /��� Qwner � � ress 7` ,J.c / d _ e -------------l��------------ -------------- Installer — Driller _ dress Type of Building Dwelling------ ------------------------------------------------- Other - Type of Building--------------------------------- No. of Persons--------------------------------------------- Type of WellJt',SPd -- --------- - Capacity-----/�`6 �'I - ----------------------------------- Purpose of Well Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees notrto place the well in operation untili a C % iance has been issued by the Board of Health. Signed - --------------------- -------- - ---- -date ----��� W Application Approved By-- --- --- -- -— /1- _ / da e — - Application Disapproved for the following reasons:------________—___—___________--_______-_______-____ �______°°;_—__________ ------------------------------------------- ----- - ------------------------------------------------------ ------------------------- Permit -- - - ,��No Wo7r '`- -— -- date Issued --- � s ------------ - --- -------------- date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate Of (Compliance THIS,S-TO ER I.Y, That the Individual Well Constructed (Altered ( ), or Repaired ( ) �. / -------------------- --------- ------- ------------------- ----------------- ----------------------- ----------- —- Installer C at / U-- SU _Gn/ has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well/rotect-i-o7n Regulation as described in the application for Well Construction Permit No s -- Dated--(9116 - ` THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------------------- - ----------------------------- - -- Inspector-------------------------------------------------------------------------- -------------------------------- ..., -------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Vell Cootruct ion Permit No 112� --r®(::,e f' Fee- �`" ' ���� Permission is hereby granted� -------------------------------------------------------------------------------- to Construct (fit l er ( ), or Repair ( ) an Individual Well at: No. -- 1 ,a�4 ��,50�+ G/9� ------- -------------------------------------------------------------------------------------------------=---------------------------------------- Street - as shown ^onthe application for a Well Construction Permit No. -----------------------------— - Dated----------------------------------------------------------------------------------- ------------- Board of Health DATE- - / ------------------- TOWN OF BARNSTABLE LOCATION 14 "r►4- ,6,n�crv.h,SEWAGE#I Qo fo VILLAGE ASSESSOR'S MAP&PARCEL GI 3 7 INSTALLERS NAME&PHONE NO. b-ns SEPTIC TANK CAPACITY 3 S LEACHING FACILITY:(type) (size) IS"x 40 17.75+n_` NO.OF BEDROOMS L� OWNER ro sk; PERMIT DATE: 19 /O J6s COMPLIANCE DATE: X72 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility _ Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) t Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) //�/ Feet FURNISHED BY �tn n L�►�Y t �� 1 llit ►��ORc _ C ,+ a . ►2 i A � W wo- O f5oCP rAdr ate,. - 4 0 o0 0 P,ITM GomPi-ist,( Se4-fw-TmwA (rJ 41•o 3)•O 6 U 33.0 Pa.-F t f'o�� Po.- 3 wh,ac �►w►a S3. U 32.0 u�^P GNIlv►BE �8. ohT 7•� .O Poar f 77•0 Sq o Port 2 .76.0 56 'Q. SOV�K60J L�N`�' SEWAGE INSPECTIONS I (tG/��. �,�N 36 Johnson T,A nQ DATE 1 2 t �n VILLAGE Centerville, ,lass, 02632, ASSESSOR'S MAP & LOT 1 93-042 -INSPECTOR Joaeoh P.MaCpmber Jr. SEPTIC TANK CAPACITY 1 000 gallons 1 -Rnx LEACHING FACILITY: (rypeMi ni mum 20 ' )(2n ' (size) NO. OF BEDROOMS 4 BUILDER OR OWNER Mi c-hPl i nP rranrla 1 1 OWNER MAILING ADDRESS 111 Kings Street Littleton,Mass. 01 460 �,AKf= __ - -� �� \�� 1 � �� � p ��-� � � � ��� � �� _ \ � �� ��ae�� J to. LJ6 C�� � � Fee U THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 1 PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZippYication for �Digpogal 6potemc (Corvaruction Permit Application for a Permit to Construct( ) Repair( Upgrade N Abandon( ) �S]Complete System ❑Individual Components Location Address or Lot No. <<i cfaL+r�S�n �-Rn Owner's Name,Address,and Tel.No. Rod 5f'pc..Z nsk i Ge,r,Fc,�rt II c� M1A :�� 17+'J►,�'� o��i 3j- ycyM�v.a� Assessor's Map/Parcel '9 2-7 —367-33� Installer's Name,Address,and Tel.No. (� .� � h)2.t 6R�7 �f\s�'rr�', Designer's Name,Address and Tel.No, � U,o. '530. lve 's S. YA m.7,r.� , M1L1 34,:� Ro J,_ i Qts} ��fiYm so-b ,soI -71 -%,i1 CN Type of Building: Dwelling No.of Bedrooms Lot Size � sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 4/40 O gpd Design flow provided 444 gpd Plan Date 2Z{ D L Number of sheets 2 Revision Date 4 �— Title Size of Septic Tank '1 -;P O ua Type of S.A.S. Description of Soil om Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. S' ned Date Application Approved b Date Application Disapproved by: Date for the following reasons Permit No.— �j�� `7 Date Issued b --------- -----___--.--, _ - -- - --- -- No. �-a� 5c��/ � � i , ` {~f Fee l o THE COMMONWEALTH OF MA SACHUSETTS Entered in computer: PUBLIC ALTH DIVISION - TOWN�O.F BARNSTABLE, MASSACHUSETTS Yes 3pprication for Miopooal �pgtetu Cottgtruction Permit k Application for a Permit to Construct O Repair(, ,Upgrade(x) Abandon O ® Complete System ❑Individual Components Location Address or Lot No. /L/SDhn s:>n Lc,n e- Owner's Name,Address,and Tel.No. 15 r DcZe nSI< Y�Yr oA, ' Assessor'sMap/Parcel ' -7--7- -j�-� -33��� Insttaaller's Name,Address,and Tel.No. �, yL (,r}1 �j,y�-r J Designer's Name,Address and Tel.No. f 13 loci", j- YNr» a.YL Mto a41-7 �o��� ��t , UPS) '111V Y,3"1L '5-23,— -�7-7 5- Type of Building: Dwelling No.of Bedrooms L/ / Lot Size CI{C►� sq.ft. Garbage Grinder ( ) Other Type of Building <s , 6 No'of..Persons Showers( ) Cafeteria( ) Other Fixtures ,ri! t t_`-. Design Flow(min,.required) �{�1 p gpd. :Design flow provided 4 Z" "gpd Plan Date 2 /1 L "a Number of slieets 1 f D ' a � .2 Revision Date r Title Size of Septic Tank 7 p C—A LZ Type of S.A.S. < g. Description of Soil }' <a I + Nature of Repairs or Alterations(Answer when applicable) e 1 t Date last inspected: f Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in \ yQ accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date ��c �CCj J7-1/o Application Approved b�_ Date ��p P, Application Disapproved by: Date for the following reasons Permit No. a�'j06, — , L/ � Date Issued b , ————————————— � O THE COMMONWEALTH OF MASSACHUSETTS. BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (--< Upgraded Abandoned( )by Z4f--,-)Y c(ce)" at )1, ��}� S� r ��,,�-c i has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. �Q'� 6 dated Installer n�,J C 'Z��-h,•, �,_ . Designer S c, #bedrooms Ll Approved design flow gpd The issuance f this permit s'all qot be construed as a guarantee that the system w'll fl mction as designed Date y / �} ,�� '�; �. lJ Inspector /TU l!-` r: n, /� •. ) � T —------------------ No. r -"5 y /J Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS truction permit Permission is hereby granted to Construct ( ) Repair ( k) Upgrade Abandon ( ) System located at �- N and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date o this p rm; . Date /.a, J, Approved b .as' . ' a Town of Barnstable Regulatory Services Thomas F. Geiler,Director � BARNSTABLE; " 9�A b Public Health Division tic nw+° Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: 11/2 8/0 7 Sewage Permit# 2 0 0 6—5 4 7 Assessor's Map\Parcel 19 3/0 7 7 Designer: BSC Group, Inc. Installer: Enright Construction Address: 349 Main St. , Unit D Address: 349 Main St W. Yarmouth, MA 02673 W. Yarmouth, MA 02673 On 12/2 8/0 6 Enright Cons t:: c :�.cwas issued a permit to install a (date) (installer) septic system at 14 Johnson Ln. Centerville based on a design drawn by (address) BSC Grou ' r: Inc. dated 2/1/06 , rev. 11/21/06 (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State &Local Regulations. Plan revision or certified as-built by designer to follow. OF AlqSsq 0 o� MARK D. yGN DIN (Insta ignature) CIVILCn No.45937 //I�z FSSiosAL�G � (Designer's Signature) (Affix Designers Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Heahh/Septic/Designer Certification Form 3-26-04.doc Bk 21057 Pt-P3` 6 — Recordingrequested b' 33�•��: When recorded mail to:. ')�'-01^20��6 a ��2 =��6c' lU pf Boyd&Boyd,P.C. �PJ1185 Falmouth Road, Suite 101 0� Centerville, MA 02632 (508)775-7800 ex, rA U � n DEED RESTRICTION U 'p- WHEREAS,The Young Real Estate Trust,dated August 23, 1996 of 1185 Falmouth Road, o Suite 101,Centerville Massachusetts is the owner of 14 Johnson Lane located at Centerville, Massachusetts and being"Lot 8" and"The Way" shown on a plan entitled"Revised Plan of Lots at Wequaquet Lake,Centerville,Mass. Belonging to John H. Johnson Scale I In= .� 50 Ft July 20, 1970 Nelson Bearse-Richard Law- Surveyors Centerville,"which plan is Cd o duly filed with Barnstable County Registry of Deeds in Plan Book 243, Page 37. o WHEREAS,The Young Real Estate Trust,dated August 23, 1996 as the owner of said lot has agreed with the Town of Barnstable Board of Health to a restriction as to the number of w bedrooms which can be included in any home built on said lot as a pre-condition to obtaining 1 rx a disposal works construction permit in compliance with 310 CMR 15.000 State QEnvironmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; Q � d W 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 CMR 15.200, Z 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, NOW, THEREFORE, The Young Real Estate Trust, dated August 23, 1996 does hereby place the 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. 14 Johnson Lane,Centerville,Massachusetts may have constructed upon the lot a house Bk 21057 Pg 347 #33558 containing no more than four(4)bedrooms. The Young Real Estate Trust,dated August 23, 1996 agrees that this shall be permanent deed restriction affecting 14 Johnson Lane, Centerville,Massachusetts,and being shown on the plan recorded in Plan Book 20608,Page 341. For title of 14 Johnson Lane, Centerville, Massachusetts see the following deed: Book 20608, Page 341. Executed as a sealed instrument this 23`d day of May,2006. ✓y Nancy P wers, Co-Trustee Boyd&Boyd, C., Co-Trustee by F. Keats Boy ,, III,Treasurer commonb3ealm of Aamebagetto County of Barnstable On this 23'day of May,2006,before me,the undersigned notary public,personally appeared Nancy Powers, Co-Trustee and F. Keats Boyd, III, proved to me through satisfactory evidence of identification (drivers license/state identification), to be the persons whose names are signed on the preceding or attached document,and acknowledged to me that they signed it voluntarily for its stated purpose. Notary Public My commission expires: i BONNIE J.SKANE W*Commis�ExPiresAuW.2010 Notary Public Commonwealth of Massachuseps BARNSTABLE REGISTRY OF DEEDS Jul, 17 06 11 : 58a BoBd ak Boyd PG 508 775 5666 - p. 1 LAW OFFICES OF Boyd & Boyd, P.C. ONE SENTRY PLAZA 1185 FALMOUTH ROAD(RT)i 28),SUITE 101 C6NT ERVILLE.MASSACRUSETTS 02639-IM-1 F.KEATS BOYD.JR, Tel. (508)775-7800 F.KEA'1'S BOYD.III Fax. (508)775-5666 This is page one of a page transmission. Date Sent: . 7 p 6 Time Sept: _ AMIPM Please deliver this transmission to Urgent: ,Answer required by Please call. at (508) 775-7800 to acknowledge receipt of this fax. Please call at (508) 775-7800 to discuss the contents of this fax. Information only; no answer required. Additional YnfvrmaLioll: .)'% �n_l. eARns, a,:z U�66g /r t.Faze 1% 70 &P'y'7-E Wbki\ Aj LE to A 5U6SrAA7jA(- �%LRuw wf �,,�a+i 'Tu ►2 �pv P As�P � -('AAn.1K y0v TO FAX A RETURN DOCUMENT.DIA.I_j508)775-5666 NOTE. The information contained in this facsimile message is ATTORNEY PRIVILEGED AND CONFIDEN )AL INFORMATION, intended only for the use of the individual or entity named above. If the reader of t11is message is not the intended recipient,you are hereby notified that any dissemination,distribution or copy of this communication is strictly prohibited. If you have received this transmission in crror,please immediately notify this office by a telephone call, and return the original message to us at the above address via U.S. Postal Services. Thank you for your cooperadou. TO ENSURE COMPLIANCE WITH REQUIREMENTS IMPOSED BY THE IRS,WE RE-REBY INFORM YOU THAT ANY U.S. FEDERAL TAX ADVICE CONTAINED IN THIS COMMUNICATION (INCLUDING ANY CONTINUATION PAGES OR ATTACHMENTS)IS NOT INTENDED OR WRITTEN TO BE USED,AND CANNOT 13h USED,FOR THE PU"Ose OF(i)AVOIDING PUNALTIL's UNDER THE INTERNAL REVENUE CODE OR(iI) PROMOTING, MARKETING, OR RECOMMENDING To ANOTHER PARTY ANY TRANSACTION OR TAX- RELATED MATTER(S). OCT 23,2004 11:27 508 775 5666 page 1 Juj 17 06 11 : 58a Boyd * Bold PC 508 775 5666 p. 2 Recording requested by: �'� �1��7 ��a 0--lo ,,oba���3 When recorded mail to: Boyd&Boyd,P.C. 1185 Falmouth Road, Suite 101 Centerville,MA 02632 (508)775-7800 DAD RESTRICTION .a L WHEREAS,'ncc Young Real Estate Trust,dated August 23, 1996 of 1185 Falmouth Road, �~ Suite 101,Centerville Massachusetts is the owner of 14 Johnson Lane located at Centerville, U Massachusetts and being"Lot 8" and"The Way"shown on a plan entitled"Revised Plan of Lots at 2eR1970 Ncisan RearsevilRiehard Mass. wo Surve yorsto hCneHeTohle, c Plan is 50 Ft July 0, duly filed with Barnstable County Registry of Deeds in flan Book 243, Page 37. 0 ° = The Young Real Estate Trust,dated August 23, 1996 as the owner of said lot VVl•IER,I..AS 8 Lamm has agreed with the Town of Barnstable Board ofHealth to a restriction as to the number of o bedrooms which can be included in any home built on said lot as apre-condition to obtaining a disposal works construction permit in compliance with 310 CIv1R 15.000 State 2nvironznental Code, Title V, Micunjum Rcquirements for the Subsurface Disposal of Sanitary Sewage; A � w Cn � WHEREAS, the Town of Barnstable Board of health, as a pre-condition to granting a ciispusal works construction permit for a septic system in compliance with 310 CMR 15.200, 1:4State 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 C'7 a single fancily home on this property,is requiring that the agreement for the restriotion on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable Cotmty Registry of Deeds by recording this document, NOW, TkLEREF,ORE, The Young Real Estate Trust, dated August 23, 1996 does hereby place the 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 tittle; 1. 14 Johnson Lane,Centerville,Massachusetts may have constructed upon the lot a house OCT 23,2004 11:28 508 775 5666 page 2 Jul 1'7 uu 11 : 58a Boyd * Boyd PC 508 775 5666 P. 3 Bk 21057 Pg 347 #33558 coatainimg no more than four(4)bedrooms. The Young Meal Estate Trust,dated August 23, 199E agrees that this shall be permanent deed restriction affecting 14 Johnson Lane, Centerville,1\4assachusetts,and being shown,on the plan recorded in Plan Book 20608,Page 341.. For title of 14 Johnson Lane, Centerville, Massachusetts see the Following deed: Book 20609,Page 341. Executed as a Sealed instrument this 23`d day of May,2006. ancy P wers, Co N -Trustee Boyd&Boyd, C.,Co-Trustee by F. K.eats Boy ,111,Treasurer �plrt�t��ln�►e���lj [�� �►�t're�j�e�t� County of Barnstable On this 231d day of May,2006,before me,the undersigned notary public,personally appeared Nancy Powers, Co-Trustee and F. Feats Boyd, U1, proved to mr. througb satisfactory evidence of identification (drivers Umnse/state identification), to be the persons whose names are signed on the preceding or attached document,and acknowledged to the that they signed it voluntarily for its stated purpose. Notary Public my commission expires: BONNIE J.WNE Notary Nbk Commonwealth of Ma9secetueelb My CommWoo EVhs Aug V.20 BARNSTABLE REGISTRY OF DEM OCT 23,2004 11:28 508 775 5666 page 3 Town of Barnstable NAMBoard of Health ibg+7 Ay' 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Sumner Kaufman,MSPH Paul Canniff,D.M.D. May 6, 2006 Mr. Mark Dibb, P.E. BSC Group 657 Main Street, Unit 6A West Yarmouth, MA RE: Variances Granted/ New I/A System/ 14 Johnson Lane, Centerville A= 193 077 Dear Mr. Dibb, You are granted conditional variances, on behalf of your client, Young Real Estate Trust, to construct an onsite sewage disposal system at 14 Johnson Lane, Centerville. The variances granted are as follows: 310 CMR 15.212: To allow the leaching facility to be located three (3)feet above the groundwater in lieu of 5.0 feet minimum separation distance required. 310 CMR 15.104: To conduct a sieve analysis in lieu of a required percolation test. These variances are granted with the following conditions: (1) No more than four (4) 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 four (4) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. HealySweeney (3) Additional soil evaluation(s) and percolation test(s)/sieve analyses shall be performed immediately adjacent to the proposed SAS and reserve area locations, prior to installation of the new system. (4) The wastewater effluent shall be tested quarterly for pH, BOD5, TSS and TN during the first year of operation and annually thereafter (5) The System shall not exceed 19 milligrams per liter total nitrogen (TN) concentration measured as the total TKN (total Kjeldhal Nitrogen), NO3-N (Nitrate nitrogen) and NO2-N (Nitrite nitrogen). (6) Throughout its life, the System shall be under an operation and maintenance (O&M) agreement. The System owner shall be responsible for maintaining a contract with the Company or the Company's approved operation and maintenance contractor. Prior to obtaining a disposal works construction permit, the applicant shall submit an operation and maintenance contract to the Board of Health. (7) The septic system shall be installed in substantial conformance with the revised plans dated April 3, 2006 (8) 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 revised plans dated April 3, 2006. These variances are granted because the physical constraints at the site severely restrict the location of the soil absorption system due to the close proximity of wetlands adjoining the property. S in . I HealySweeney DATE: t FEE: 1ARN8TABI8, s 7 .. REC. BY ,-� r� s6;q. Town of Barnstable. SCEiED. DATE: d r :o Board of Health 200 Main Street,Hyannis MA 02601 Susan G. Office: 508-862-4644 Rask,RS FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM LOCATION Property Address: 14 Johnson Lane Centerville, MA Assessor's Map and Parcel Number: 1931077 Size of Lot: 19 ,927 s.f. Wetlands Within 300 FL Yes _X Business Name: No. Subdivision Name: Keats Boyd, III APPLICANT'S NAME: Co-Trustee 'Phone 508-775-7800 Did the owner of the property authorize you to represent him or her? Yes X No PROPERTY OWNER'S NAIL CONTACT PERSON Name: Young Real Estate Trust Name: .Mark Dibb BSC Group, Inc. " Address: 14 Johnson Lane Address: 657 .Main Street, Unit 6 Centerville, MA 02632 W. Yarmouth, MA 02673 Phone:. 508-775-7800 Phone: 508-718-8919 x 3 VARIANCE FROM REGULATION(List Res) REASON FOR VARIANCE(May attach if more space needed) 15 . 104 Percolation Testing High Groundwater " 15 , 212 Groundwater Separation Reduce Height of SASS NATURE OF WORK House Addition 0 ????? House Renovation 0. Repair of Failed Septic System X. t� n Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. _✓ Four(4)copies of the completed variance request form _,jL— Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) _✓ Signed letter stating that the property 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 submitted(for grease trap variance requests only) C:\Documents and Settings\decollik\Local Settings\Temporary Internet Files\OLK3\VARIREQ.DOC B� t`A ; Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance renewals [same owner/leasee only],outside dining variance renewals[same owner/leasee 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 Susan G.Rask,R.S.,Chairman MAIL-IN REQUESTS NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Wayne A.Miller,M.D. Please mail the completed variance application form to the address below. Also include four copies of engineering plans, house plans, authorization letter, etc (see check-list below). In addition, please include the required fee amount (see fees at bottom of this page). Make $85.00 check payable to: Town of Barnstable. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis,MA 02601 Checklist Four(4)copies of the completed variance request form _ Four(4)copies of engineered plan submitted(e.g.septic system plans) _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) _ Signed letter stating that the property 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 submitted(for grease trap variance requests only) _ $85.00 variance request application fee (no fee for lifeguard modification renewals, grease trap variance renewals [same owner/leasee only],outside dining variance renewals[same owner/leasee 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 FOR FAXED REQUESTS Our fax number is(508) 790-6304. Please fax a completed application form. Also, you must mail the required $85.00 fee. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. In addition, please mail four copies of engineered plans, house plans, authorization letter, etc. (see check-list below): Checklist _ Four(4)copies of engineered plan submitted(e.g.septic system plans) _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property 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 submitted(for grease trap variance requests only) _ $85.00 variance request application fee (no fee for lifeguard modification renewals, grease trap variance renewals, [same owner/leasee only],outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems [only if no expansion to the building proposed]) BSCGROUP 657 Main Street February 2, 2006 Unit .6 Route 28 West Yarmouth, MA o2673' . Town of Barnstable—Board of Health Thomas McKean Tel: 508-778-89i9 200 Main Street Faz:508-778-8966 Hyannis, MA 02601 } RE: 14 Johnson Lane, Centerville, MA. Dear Mr. McKean: I hereby authorize BSC Group,,Inca to present, on my behalf, the.request for a variance for the above referenced parcel. Please give BSC Group, Inc. a call if you have any.questions. . Sincerely,. 'Keats Boyd,II1, Co-Trustee" Young Real Estate Trust Engineers Environmental Scientists GIS Consultants Landscape - Architects Planners Surveyors , 1 � 1 y 6 RF.CE VED -JAN p Z006 BSC GROUP INC. NORW ELL.MA GeoLabs;tnc. Friday, January 06, 2006 GeoLabs, Inc. 45 Johnson Lane Andy O'Rourke Braintree MA 02184 BSC Group Tele: 781 848 7844 384 Washington St Fax: 781 848 7811 Norwell, MA 02061 TEL: (781)659-7981 )FAX: (617)345-8027 Project: 4-8914.00 Location: 14 Johnson Lane, Centreville, MA Order No.: 0512337 .Dear Andy O'Rourke: GeoLabs, Inc. received 1 sample(s) on 12/23/2005 for the analyses presented in the following report. There were no problems with the analyses and all data for associated QC met EPA or laboratory specifications except where noted in the Case Narrative. If you have any questions regarding these tests results, please feel free to call. Sincerely, Jim Chen Laboratory Director h • Geol-abs, Inc. Environmental Laboratories CLIENT NAME: BSC GROUP PROJECT ID: 4-8914.00 SAMPLE TYPE: SAND REPORT DATE: 01/06/06 COLLECTION DATE: 12/19/05 ANALYZED BY: GEOTESTING EXPRES: REC'D BY LAB: 12/23/05 ANALYSIS DATE: 01/04/06 COLLECTED BY: CLIENT DIGESTION DATE: N/A SIEVE ANALYSIS SAMPLE NUMBER: 0512337-001 SAMPLE LOCATION: SAMPLE-1 SIEVE SIZE 1" 3/4" 1/2" 3/8" #4 #10 #20 RESULTS 100 86 84 81 71 60 43 (%Passing by Wt.) SIEVE SIZE #40 #60 #100 #200 RESULTS 40 29 19 10 (%Passing by Wt.) Sieve Analysis 100 wo 80 a a 60 a 40 Cj 20 0 1" 3/4" 1/2" 3/8" #4 #10 #20 #40 #60 #100 #200 Sieve Size Method Reference: ASTM 422 r CHAIN OF CUSTODY GeoLabs CHAIN NUMBER: p S( a 3 7 GeoLabs, Inc. �{ h ��;� � FI _ Page I of_i_ �H+ :`, f � � � �, i �sty Environmental Laboratories r :� E 4 SPECIAL INSTRUCTIONS 45 Johnson Lanett Braintree, MA 02184 Office: 781-848-7844 Fax: 781-848-7811 Note: JOBS WITH INCOMPLETELY FILLED OUT CHAINS WILL NOT BE RUN. CHAIN WILL BE RETURNED TO CLIENT FOR COMPLETION TYPE OF CLIENT: BUS_LAB HOMEOWNER INOTF7: HOMEOWNERS, LAW FIRMS MUST PAY WHEN DROPPING OFF SAMPLES Client: X P_tt',elc o UiVE r�mat t,�3ntr�. Project Number: X g`7 i q:vr> CHANGES REQUESTED? Y N Address: X 3u 4 WASH i tv&xid NO P.O. BOXES Project Location: X [4 _ G rW 50"i L+kN E BY DATE NGt�-Wou ant} t Z�W 1 FF_2V I L,tr-_ MA Phone: X I ��6 44iQ0 Fax: Purchase Order#: Contact: X Collected By: X &;-6 c;4TP,5_ Received on ice? E-mail: ANALYSES REQUESTED COLLECTION CONTAINER ti s W A D Q A L SAMPLE A I M B SAMPLE Y U T O R R GEOLABS H A ID T M L Y LOCATION P A R M A E SAMPLE > W B ' E E E N I P B S NUMBER IL p D T x H SRwIa�-i IZ i c7 cN^� I la33 7- Do Verbal results given to by (date/initial MATRIX CODES: CONTAINER CODES: PRESERVATIVE CODES: Relinquished By: Date/Time R ed Date/Time: GW=Ground Water A=Amber B = Bag 1 = HCI 5 = NaOH 3 0) WW=Wastewater G = Glass P = Plastic 2 = HNO3 6 = McOH PRINT: 0!2 Z 23- . _ DW=Drinking Water S = Summa Canister 3 = H2SO4 7 = ICE!: Relinquished By: R ved By: SL=Sludge. O = Other V=VOA 4= Na2S203 S=Soil A=Air Terms: Payment due within 30 days unless other arrangements are made. Relinquished By: Received By GeoLabs: O=Oil OT=Other Past due balances subject to interest and collection costs. ROOM LAYOUT 23.0 23.0' WALKOUT - - - - - - - - - 2 4.2CD 0 BED#1 Q cn FAMILY ROOM °° LIVING ROOM 26.1 a Ia Q ,� BED#2 im KITCHEN GARAGE N Y BED#4 50.3' Q tn 0 [ BATH BED#3co — — — a 23.0' N a w LOWER LEVEL UPPER LEVEL MID LEVEL 3 v a w v a� ro _ 3 v 'o 0 v c� 0 v n a Town of Barnstable Op 1HE Tp� Board of Health �sMx S. 200 Main Street - Hyannis MA 026011639. ArED MA't A Agreement to Extend Time Limit for Acting Upon a Variance Request In the Matter of a variance request form received on Ft6 L4; 20o G the Petitioner(s), /11/4-Q K OZ1313 �- regarding the property at I q Tpo j4 e o ti La m the petitioner(s)and the Board of Health agree that the Board of Health has until s (insert date)to act upon the Petitioners' completed application for a variance. In executing this Agreement, the Petitioner(s) hereto specifically waive any claim for a constructive grant of relief based upon time limits applicable prior to the execution of this Agreement. Petitioner(s): Board of Heal Signature: t �G);� Signature: Petitioner(s)or Petitioner's Representative 7 Chai an Print: 04 "t/< 4k15 6 a SC Print: Wayne iller, M.D. Date: 2 12 g a Date: Address of Petitioner(s)or Petitioner's Representative v�s7 �'�lGi„ 5�: I��i�- � Town of Barnstable [A/ Yarw�o�� vvt� 62�73 Board of Health Public Health Division 200 Main Street Hyannis, MA 02601 Phone: (508) 862-4644 Fax: (508) 790-6304 file q:extend.doc SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS ON DELIVERY ■ Complete items 1,2,and 3'.Also complete A. RegeiVy(Please Print Clearly) B. D�f livery item 4 if Restricted Delivery is desired. � ■ Print your name and address on the reverse so that we can return the card to you. C. Signature ■ Attach this card to the back of the mailpiece, X " ❑Agent or on the front if space permits. ❑Addressee 1. article Addressed to: D. Is delivery add ess different from item 1? ❑Yes If YES,enter delivery address below: ❑ No 193041 JANSSON, BRIAN&VALERIE J b BRIDLE PATH l SHREWSBURY MA 01545 3. Service Type Certified Mail ❑ Express Mail �__- T _� ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number(Copy from service label) 1 7 O O 40750 0002 2 5 6 7 4 3 9 3 o- E PS Form 3811 July'1999 ry Domestic Return Receipt 102595 00•M-0952 UNITED STATES POSTAL SERVICE First-Class Mail � Postage&Fees Paid USPS Permit No.G-1 C • Sender: Please print your name, address, and ZIP+4 in this box • THE BSC GkoUp 657 MAIN STRE 'r — UNIT 6 W. YARMOUTH, ° i,'a 0,267 ' E L1 '�gly.(k> li � '. ' h���St4lFI}�t'I�i�}�}'!til3f��il�l�l.�1l1}ft��i!'Iltl��fitf�ifffi!f ! i .i SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Delivery item 4 if Restricted Delivery is desired. `Z U ■ Print your name and address on the reverse C. Signatur so that we can return the card to you. ■ Attach this card to the back of the mailpiece, X6WA Agent or on the front if space permits. ❑Addressee D. Is delivery address differe from ite ? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No 193078 YOUNG,EST OF RUSSELL A JOAN L YOUNG 92 YACHT CLUB RD 3. Service Type { CENTERMLLE MA 02632 Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. " 4. Restricted Delivery?(Extra Fee) ❑Yes 2 A ice Number Cody from servi e { g750 .�D02 2:567.;-,4423 P 102595.00-M-0952 ' _G' ring, .. - UNITED STATES'POSTAL SERVICE � M� SFAS axw �Fe"aid Lu n y _ _ Permit No. G-10t" • Sender: Please print your2name, address, and Z`'+° 111141is box' ftwoff' THE BSC GROUP 657 MAIN STREET - UNIT 6 W. YARM01J-H. AA 02673 l(-�glt-I.ou r - ' , A i COMPLETE •N COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3.Also complete A. eceive by(Please Print Clearly) B. at of Delivery item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. C. Signature ■ Attach this card to the back of the mailpiece, X ❑Agent or on the front if space permits. ❑Addressee D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No 193077 YOUNG,CHARLES W JR TR YOUNG REAL ESTATE TRUST 14 JOHNSON LANE 3. Service Type CENTERVILLE MA 02632 '�B Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number(Copy from service labe 2 5 6 7 4 416 t y•i ,S t 1 1 Si i t !t i t f F-Y i Y if1 SSY 4 SekL S:Y 9 t _-� PS Form 38111 July 1999 Domestic Return Receipt 102595.00-M-0952 ��.. 31 UNITED STATES POSTAL SERVICE First-Class Mail P"�� s Postage&Fees Paid ^,n USPS Permit No.G-10 • Sender: Please print your name, address,-arid ZIP+4 in this box • ~ II I I , 6 7 CIE BSC CROUP 5 MAIN STREET UNIT 6 W. YARMOUTH, MA 02673 r i 4 ` ` 1( { i jt y { ( " V 2� I'll}tillllllll11till ItItlt�ti11i111tlilt sit till I IIIII114fi III i SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date qf Deli ery item 4 if Restricted Delivery is desired. —��Q' ■ Print your name and address on the reverse so that we can return the card to you. C. n u e ■ Attach this card to the back of the mailpiece, 'n,�An ❑Agent n the front if ace permits. X 7 UVUv�C- t6 44� ❑Addressee or o p D. Is delivery dress different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No 193035 ST.EWART,SHEL DON F&SALIJANE PO BOX 2110 CENTERVILLE MA 02632 3. Service Type Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. _ 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number(Copy from service label) Y 17004 07t50;,0002 12567 4409� i PS Form 3811,July 1999 ;;:y Domestic Return Receipt 102595-00-M-0952 'ji i+ i .i 111 � �sltt 11 it Ili UNITED STATES POSTAL SERVICE ONO ea o • Sender: Please print your name, address, and ZIP+4"I�boox • �""°" THE BSC GROUP 657 MAIN STREET — UNIT 6 W. YARMOUTH, MA 02673 III„„11s,i„l.lf,t„lift,l„11 1 1' / / ► n 1 ' INCORPONArEO FIELD INSPECTION & SERVICE REPORT FAST® wastewater treatment systems INSTALLATION AUTHORIZED SERVICE PROVIDER Installation Address Name Owner Name Street Mail Address Mail Address city State Zip City State Zip Phone Fax Phone Fax e-mail e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation T Date of last pumpout MAINTENANCE PERFORMED EQUIPMENT YES NO AND COMMENTS Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating if resent Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment Unit(s) Unusual Odor Pum out Required: Primary Settling Zone Aerobic Treatment Zone EFFLUENT(options) LIMIT RESULT Estimated Daily Flow H Standard Units 6-9 S.U. Color Clear Temperature Odor Slightly Musty odor not septic) OWNER SIGNATURE TECHNICIAN SIGNATURE SERVICE DATE TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address 14 Johnson Ln Centerville,Ma 02632 Owner:Young Real Estate Trust /J Owner's Address: 14'Johnson Ln Date of Inspection: 10/18%05 - f Name of Inspector:(please print) Michael A.Burnie Company Name: David J Burnie&Sons Septic Services Mailing Address: 307A Commerce Park N South Chatham,Ma 02659 Telephone Number: 508-432-7420 CERTIFICATION STATEMENT I 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 CUR 15.000).The system: _Passes _Conditionally Passes _Needs Further Evaluation by the Local Approving Authority X Fails /y Inspector's Signature: r r, Date: 10/18/05 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. Notes and Comments Leaching galley is full S: 71 ""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. �r OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 14 Johnson Ln Owner:Young Real Estate Trust Date of Inspection:10/18/05 Inspection Summary:Check A,B,C,D or E I 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 exists.Any failure criteria not evaluated are indicated below.Comments: sample 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. Answer yes,no or not determined(Y,N,ND)in the 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 exfdtration 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. ND explain: 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 _Obstruction is removed _Distribution box is leveled or replaced ND explain: 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 Obstruction is removed ND explain: OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 14 Johnson Ln Owner: Young Real Estate Trust Date of Inspection: 10/18/05 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 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 aseptic tank and SAS and the SAS is within a Zone I ofa 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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: OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 14 Johnson Ln Owner: Young Real Estate Trust Date of Inspection: 10/18/05 D.System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool X Liquid depth in cesspool is less than 6"below invert or available volume is less than 112 day flow X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(S S. Number of times pumped_ X Any portion of the SAS,cesspool or privy is below high ground water elevation- - X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone I of a public well. X Any portion of a cesspool or privy is within 50 feet of a private water supply well. X 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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.] Yes (Yes/No)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. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) 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. OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 14 Johnson Ln Owner: Young Real Estate Trust Date of Inspection: 10/18/05 Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No X _ Pumping information was provided by the owner,occupant,or Board of Health X Were any of the system components pumped out in the previous two weeks? X — Has the system received normal flows in the previous two week period? X Has large volume of water been introduced to the system recently or as part of this inspection? N/A _ Were as built plans of the system obtained and examined?(If not available note as N/A) X _ Was the facility or dwelling inspected for signs of sewage back up? X _ Was the site inspected for signs of break out? X _ Were all system components,including the SAS,located on site? X _ 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? X _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: Yes No X Existing information.For example,a plan at the Board of Health. X _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(3)(b)J OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PARTC SYSTEM INFORMATION Property Address: 14 Johnson Ln Owner: Young Real Estate Trust Date of Inspection: 10/18/05 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Unknown Number of bedrooms(actual):4 Per owner DESIGN flow based on 310 CMR 15.203(for example:110 gpd x#of bedrooms): Unknown Number of current residents:Unknown Does residence have a garbage grinder(yes or no):Yes Is laundry on a separate sewage system(yes or no):No [if yes separate inspection required] Laundry system inspected(yes or no):N/A Seasonal use(yes or no):No Water meter readings,if available(last 2 years usage(gpd)):2003-79, 2004-63 Sump pump(yes or no):Yes Last date of occupancy:Unknown COMMERCIAL/INDUSTRIAL Type of establishment- Design flow(based on 310 CMR 15.203): wd Basis of design flow(seats/persons/sgft,etc.) Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information:September 2003 per Board of Health Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: gallons-How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM X 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 ITom system owner) Tight tank_Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information Estimated 15 vrs Were sewage odors detected when arriving at the site(yes or no):No OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 14 Johnson Ln Owner: Young Real Estate Trust Date of Inspection: 10/18/05 BUILDING SEWER(locate on site plan) Depth below grade: 14" Materials of construction:_cast iron_40 PVC other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): 6A_ SEPTIC TANK: X (locate on site plan) Depth below grade: 9" Material of construction: X concrete_metal_fiberglass polyethylene_other(explain) If tank is metal list age:_is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: 1000 gallons Sludge depth: 4" Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: 0" Distance from top of scum to top of outlet tee or battle: Distance from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined:Estimated Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid.levels as related to outlet invert.evidence of leakage,etc.): Recommend Pumping every 3 years GREASE TRAP:_(locate on site plan) Depth below grade: 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: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert.evidence of leakage,etc.): OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 14 Johnson Ln Owner: Young Real Estate Trust Date of Inspection: 10/18/05 TIGHT or HOLDING TANK:_(tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction:`concrete_metal_fiberglass_polyethylene_other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no):_ Alarm level:_Alarm in working order(yes or no):_ Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX:k(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: 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.): No distribution boa,used sewer camera to view PUMP CHAMBER_(locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 14 Johnson Ln Owner: Young Real Estate Trust Date of Inspection: 10/18/05 SOIL ABSORPTION SYSTEM(SAS): Yes (locate on site plan,excavation not required) If SAS not located explain why: Type _Leaching pits,number._ _Leaching chambers,number._ X Leaching galleries,number. 1 d _Leaching trenches,number,length:_ _Leaching fields,number,dimensions: _Overflow cesspool,number._ _Innovative/altemative system Type/name of technology:_ Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.): Leaching galley is full. CESSPOOLS:_(cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: 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 or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY:_(locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): T FOR VOLUNTARY OFFICIAL INSPECTION FORM D��AL SYSTEM INSPECTION FOgM�S SUBSURFACE SEWAGE PART C - SYSTEM INFORMAITON O prorwty Address:_ ,y je/4 6cI✓ Ownes:— Date of Inspeetl mt' ark EXAM Slope /IV11104 Surface watx�f/� Check cellar shallow wells�/� s Estbnftd depthdk to ground waterf t Plean indicate(check)all methods undto deermine&e high ground water elevation 4(A-Obtained from system design plans on record-If checked,date of design plan reviewed: O site(abutting property/obs"vadon hole within 150 feet of SAS) Checked With local Board of Heap-emiaim ChwJmd with local excavators,installers-(attach docnmematiaa) S hog -fD ' /9 M , dvC a OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 14 Johnson Ln Owner: Young Real Estate Trust Date of Inspection: 10/18/05 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch 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. i �jAfR Ji F RoWT � a c D- 30 qs' ` ,' - C _ is al, » d Eor C7!'c)Jr0 ca�4N Silty LN COVERED PORCH l9'd eXISTIN6 rL� �X: Ili BAT GREAT ROOM KITCHEN *' 1n MECH. DINING Roots FAMILY ROOM ROOM ® ,e COVERED �'•, PORCH !I A C I-►-� STEP FIRST FLOOR PLAN �An BB'O° ROD-COLLM 6ROCZENSKI PROPOSED RENOVATIONS TO EXISTING mom DRAWN BY PA o _�a J� DeBjgne 14 JOHNSON LANE FOUR BEDROOM HOME. (APROX.4500 SF.) i1-21-06 M e cv- w%ic' q� CENTERVILLE MA. S � -TYP.RAILMG ROOF DECK 0 LAU RY M/BEDROOM GUEST O BEDROOM I ® WI i I M/BATH B RDA aooP - 6�QRCOM SECOND FLOOR PLAN �R001'r ROD-COLLEEN 6ROCZENSKI I .PROPOSED RENOVATIONS TO EXISTING DATE RWISION DRAWN BY PAGE eDALE ✓B D�8/gn8 14 JOHNGON LANE FOUR BEDROOM HOME. (APROX.4500 SF) II-21-06 M a —or— W:Po• CENTEE=ILLE MA. I Page 2 of 4 DISMISSED Ed Rosario, Willow Package Store, 696 Yarmouth Road, Hyannis III. Massage License Applicant: APPROVED John Andrew Schmitz — Proposes to practice massage therapy at Journey Studio and Spa, 259 North Street, Hyannis. IV. Disposal Works Installer's Permit Applications: APPROVED Peter J. Brown, 293 Old Main Street, Marshfield Hills, MA. APPROVED Mike Ricciardi, 33 James Otis Road, Centerville, MA. V. Continued Items from Previous Meeting(s): CONTINUED Mark Dibb, BSC Group, representing Marcia Elliott— 20 Rue Michele, Barnstable, 51,692 square feet parcel, requesting variance regarding amount of pervious material above groundwater, new construction, five bedrooms proposed. -Site Visit Scheduled GRANTED Mark Dibb, BSC Group, representing Keats Boyd, III, Trustee, Young Real WITH Estate Trust— 14 Johnson Lane, Centerville, 19,927 square feet parcel, CONDITIONS replacement of failed system, requesting two variances regarding percolation test for high groundwater and SAS separation to groundwater. (a)Test hole and percolation test shall-be performed adjacent to propose SAS location befor_e_installation:of septic system,(b) No more than four(4) bedroo_ms are authorize9by this property. (c)The applicant shall record a properly worded deed restriction, signedthe property owner, at the Registry of Deeds restricting the number of bedrooms at thiproperty to four(4), before the applicant obtains a disposal works construction permit. a) The wastewater effluent shalfbe tested quarterly during the first year of operation and annually thereafter for pH, BOD5,TSS, and TN. Any sample collected within 60 days or more than 90 days of a previous sample shall not be considered a required quarterly sample (e) The System shall not exceed 19 milligrams per liter(mg/L)total nitrogen (TN) concentration in the effluent measured as the total TKN (total Kjeldhal Nitrogen), NO3-N (Nitrate nitrogen)and NO2-N (Nitrite nitrogen) (f)Throughout its life,the System shall be, under an operation and maintenance-(O&M)agreement. The System owner shall be responsible for maintaining a dontract with the Company or the Company's approved operation and maintenance contractor. Prior to obtaining a disposal works construction permit,the applicant shall submit an operation and maintenance contract to the Board of Health. DENIED Stephen Wilson, Baxter Nye Engineering, representing D. Weinstein & D. Hernandez— 1665 Main Street, Cotuit, 1.2 acre parcel, existing house, requesting variance to allow a swimming pool wall to be located 14.6 feet from SAS, in lieu of 20 feet. 12-DE--06 12:00 FROM-JRENGPROD +15088807232 T-170 P-01/03 F-675 �Qd'.L`E'C'LKl�I` ✓/SP�.t/� c��iSlN,Cpd%t �j2G. 44 Commercial Street Raynham, MA 02767 Tel: (508) 880-0233 Fax: (508)880-7232 December 12, 2006 Mr. Rod Sroczenski 225 Route 28 West Yarmouth,MA 02673 Subject: FAST Treatment System 14 Johnson Lane, Centerville, Massachusetts Dear Mr. Sroczenski: Enclosed is the Inspection& Testing Agreement for the FAST Treatment System to be located at 14 Johnson Lane, Centerville,Massachusetts. The annual maintenance cost of this agreement is 5440.00/per year. The cost for the first years testing is$980.00. Both will need to be uaid in advance to Wastewater Treatment Services Inc. and returned with the signed Ins ection &Testin Agreement to our Raynham office Prior to the order bein processed. Wastewater Treatment Services, Inc. will deliver and setup your FAST system for an additional charge of$600.00. Thank you for your order and we look forward to working with you. If you should require any additional information please do not hesitate to call or write. S' cerely, 12 Donna L. Callahan Please make check payable to: Wastewater Treatment Services,inc. Amount Due: $1,420.00 Optional Delivery&Setup$600.00(additional) 12-OCR 06 ,12:00 FROM-JRENGPROD +15088807232 T-170 P.02/03 F-675 T i 44 Commercial Street Please complete all items marked Aaynham, MA including three signatures, Mail signed Original contract to: 02767 Wait X!alr,r Treatment Services,Inc. 44 tnmmereial Street Tel: (508) 880-0233 Ravnham.MA 02767 Fax: (508)880-7232 INSPECTION AND EFFLUENT TESTING AGREEMENT Agreement entered into by and between Wastewater Treatment 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 least 4 times per year that this Agreement remains in effect, with the first inspections beginning . These inspections will include: I)- 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 parts. WTS shall notify the local Board of IIeaIth 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 pans used in repairs or maintenance. Any additional labor time will be billed to the OWNER at current labor rates of$78.00 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. 12,LC-06 ,11:00 FROM-JREMPROD +15088807232 T-170 P.03/03 F-675 Current WTS practice in to send OWNER approximately 10 days before expiration of the term of the current contract(1)either a new contract or an offer to extend the current contract's term,and(2)an invoice for one year of service. It is OWNER's responsibility to timely return the payment and either the new contract or the accepted extension,completed and signed. WTS must receive the payment and document before expiration of the then current contract year to assure continuous contract coverage. Failure to return such documents on time or to otherwise comply with this contract,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, or until the contract term expires,whichever is sooner. MANUFACTURER MODEL NO. SERIAL NO. LOCATION ANN(JAL RATE Bio-Microbics MicroFAST Chatham,MA $440.00 EQUIPMENT OWNER Wastewater Treatment Services,Inc. *Signed by OWNER:— SS�`� C }- Rod Sroczenski Signed: *Address: 14 Johnson Lane 44 Commercial Street Raynham,MA 02767 Tele: (508) 880-0233 *City: State: Zip: Fax: (508) 880-7232- Centerville MA 02632 Telephone 508-367-3325 Effective Date of Agreement Daytime Telephone: OWNER understands that(1)ANNUAL RATE payment is for one year only conunencing 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. I HAVE READ AND UNDERSTAND THE FOREGOING. �h *Signed by OWNER: fL 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)pII,BOD5,TSS,Nitrate,Nitrite, TKN O Other: . Cost for testing: $245.00/Visit Operator assigned: William Everett Telephone: (508)400-3868 *Engineer: .BSC Group *Approval for Effluent Testing �� �����V"`�► � Homeowner's Signature KI M-No INVERT ELEVATIONS: VARIANCES REQ. REVISIONS FINISH GRADE NO. DATE DESCRIPTION PROFILE: NOT TO SCALE: EL 40.1-39.9 BASEMENT SLAB ELEVATION 35.1 03 06 ADD "FAST 0.5" COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION 1. 4/ / A� /041z ////S:� 3:1 4" INVERT AT BUILDING 37.6 A ** 310 CMR 15.000 THE STATE ENVIRONMENTAL CODE, TITLE 5 /�� 1.5" PVC 4" INVERT AT SEPTIC TANK (IN) 37.00 B 2) 15.104: PERCOLATION TESTING MANHOLE COVERS AS REQUIRED /� 4" INVERT AT SEPTIC TANK (OUT) 36.75 C of LEAST TWO PERCOLATION TESTS SHALL BE PERFORMED AT THE (BRING TO WITHIN 6" OF FINISH GRADE) \\�� I=F LEACHING FIELD 7=:77 4" INVERT AT PUMP CHA. (IN) 36.65 DDISPOSAL AREA, ONE IN THE PRIMARY AREA IN WHICH THE SOIL 4" PVC SCH 40 /�/� /` 2 INVERT AT PUMP CHA. (OUT) 36.40 E ABSORPTION SYSTEM IS TO BE LOCATED AND ONE IN THE PROPOSED BOT ELEV = H RESERVE AREA." GENERAL NOTES: INVERTS AT LEACHING FACILITY: REQUIRED: PERCOLATION TEST 3' SEPARATION*** 1 1/2" INVERT AT BEGINNING PROVIDED: SIEVE ANALYSIS (POLICY #: BRP/DWM/PeP-P00-4) 1. THIS PLAN IS FOR DESIGN AND 2" PVC FORCE MAIN OF LEACHING FIELD 38.40 F DISPOSALCFACILITY ONLY. TION OF THE EWAGE 4" PVC ' 2. ALL CONSTRUCTION METHODS AND BREAKOUT ELEVATION 38.9 TITLE V: SECTI OW 4 SEPERATION TO GROUNDWATER FORCE MAIN TO ADJUSTED D E PRTITLE SH AND ALL C LOCAL BOARD NFORM TO ASS. sCH 40 14" vM: . 1 1 2" INVERT AT END IN LIEU OF 5'. A 1' VA TEE BE PLACED BENEATH GROUNDWATER = J / OF HEALTH REGULATIONS. "r 1= A I=C I=D i=E IMPERVIOUS BARRIER ***PER REMEDIAL USE PERMIT ISSUED TO OF LEACHING FIELD 38.40 G 3. ALL PIPES-` LOCATED UNDER PAVEMENT BIO-MICROBICS, INC., TRANSMITTAL #W01903 ELEVATION AT BOTTOM OR TRAVELED WAY SHALL BE SCHEDULE 1= B40 OR EQUAL. OF LEACHING FIELD =7.9 CONSERVATION NOTES. - 4. THERE ARE NO KNOWN PRIVATE WELLS 4 ADJUSTED HIGH LOCATED WITHIN 150 FT. OF THE NEW 1500 GALLON SEPTIC NEW 1,000 GALLON 34.9 J PROPOSED LEACHING FACILITY NOR GROUNDWATER ANY KNOWN WELLS PROPOSED WITHIN PRECAST CONCRETE PRECAST CONCRETE DATUM . BARNSTABLE CONSERVATION AGENT Mr. ROB GATEWOOD HAS REVIEWED 150' OF ANY KNOWN LEACHING FACILITY. SEPTIC TANK PUMP CHAMBER VERTICAL DATUM: NGVD ** 5. WITHIN LIMIT OF EXCAVATION REMOVE OUTLET PIPE COVERED BY STAIRS. INSTALLER TO THE PLAN. NO CONSERVATION FILING REQUIRED. ALL TOPSOIL, SUBSOIL AND OTHER BENCH MARK SET: ON SITE CATCH BASIN ELEV.=37.60 CONFIRM INVERT PRIOR TO INSTALLATION. IMPERVIOUS MATERIAL. 6. REPLACE WITH CLEAN WASHED SAND <WF-Cl WF-C3 OR OTHER CLEAN GRANULAR SOILS T PIT DATA: P-� � � 87 wETLAN°, DESIGN CRITERIA: CONFORMING IS THE FOLLOWING SOIL TES \ SIEVE: ANALYSIS: (MAX)BY WT. SHALL QDESIGN FLOW: PASS No. 50 SIEVE wF-C2 TOWN OF BARNSTABLE NEW REGULATIONS <10 % OF No. 4 SIEVE SHALL TEST PIT #1 TEST PIT -#1_ 4 BEDROOMS AT 110 G.P.B./D 440 G.P.D. PASS No. 100 GRD. EL. 39.2 DATE: GRD. EL. 39.2 DATE: REQUIRE SOIL EVALUATOR TO INSPECT <5 % OF No. 4 SIEVE SHALL BOTTOM OF EXCAVATION PRIOR TO ANY PASS No. 200 34.9 12/13/05 EST. HIGH GW. 34.9 12/13/05 EST. HIGH GW. INSTALLATION AND ALSO PRIOR TO FINAL RE UIRED SEPTIC TANK: UNIFORMITY COEFFICIENT FFlGENT ® No. 4 TEST BY: TEST BY: FILL THE BSC GROUP, INC. FILL THE BSC GROUP, INC. Q / �. BACKFILLING. - 7. EXISTING UTILITIES WHERE SHOWN WITNESSED BY: WITNESSED BY: 440 X 200% - 880 GAL. IN THE DRAWINGS ARE APPROXIMATE. DON DESMARAIS DON DESMARAIS _Z / SEPTIC TANK PROVIDED: 1500 GAL. THE CONTRACTOR SHALL BE RESPON- PERC. RATE: PERC. RATE: \ SIBLECOORDINATING FOR PROPERLY LOCATING AND COORDINATING THE PROPOSED CON-- 38" <-MIN./INCH A 34 -MIN./INCH x sTRUCTIav ACTIVITY NTH DIG-SAFE - �. [SIZE OF LEACHING FACILITY REQUIRED: AND THE APPLICABLE UTILITY LOAMY SAN SOIL EVALUATOR KIAMY SAN SOIL EVALUATOR p,N�/ ~o r « COMPANY AND MAINTAINING THE " / " C. FIELD 50 �lE " x �. DESIGN PERC. RATE: MIN./ INCH EXISTING UTIUTY SYSTEM IN SERVICE. 10YR 3/4 C. FIELD 10YR 3 3 EL = 35.7 42 EL = 35.9 38 BUFFER ASSESSORS MAP 193 DIG-SAFE SHALL BE NOTIFIED PER SOIL CLASS: SOIL CLASS: - LONG TERM APPL. RATE 0,74 G.P.D/S.F. THE STATE OF MASSACHUSETTS 1 1 � PARCEL 35 _ 02 SHOOTFLYING HILL ROAD 440 GPI) 0,74 GPD/SF = 596 S.F. ATATEL. CHAPTER 82, 33. TSECTION 409 y3 r AT TEL: 1-888-344-7233. THE C C =4 / ENGINEER DOES NOT GUARANTEE I COARSE SAND L.T.A.R. COARSE SAND L.T.A.R. 2.5Y 6 3 / 2.5Y 3 / / v THEIR ACCURACY OR THAT ALL / 0.74 G.P.D. SQ.FT. / -0.74 G.P.D. SQ.FT. " UTILITIES AND SUBSURFACE STRUCTURES �v/ FAST" VENT AND BLOWER TO BE ��NOFM,�s�c�� SIZE OF LEACHING FACILITY PROVIDED: ARE SHOWN. LOCATIONS AND EL=34.7 - 54" / / / INSTALLED PER FAST SPEC.,. , EL=34.9 - 51" _ �� / �� EXACT LOCATION TBD BY OWNER (�� �pA, `� ELEVATIONS OF UNDERGROUND UTILITIES 0 � / g� H �' USE LEACHING FIELD CONTRACTOR SHATAKEN FROM LL vERIFYSSIZEE // ju No.� BOTTOM = 15' x 40' = 600 S.F " " O ♦` ♦/ 4/ - LOCATION AND INVERTS OF U11UTIES 120 12O ♦ IRON PIPE Q o °' 600 S.F X 0,74 GPD/SF - 444 GPD AND STRUCTURES AS REQUIRED PRIOR EL = 29.2 EL = 29.2 ♦ FOUND �� Q2 TO THE START OF CONSTRUCTION. *ft. PN i.00 ' p S S v'O y d. 8. THIS SYSTEM IS NOT DESIGNED FOR HIGH GROUNDWATER COMPUTATION �...,_� 100' BUFFER�0 W�'� o ��s,��' ` � ;`o 3I ` THE USE OF A GARBAGE GRINDER. __ � A GARBAGE GRINDER IS NOT INDICATES p /A A' ESTIMATED BASED ON TP 1 )LOCU r ~'v ° � PROP. H-20 � RECOMMENDED DUE TO RECOGNIZED # ASSESSORS MAP ' 193` 1500 GAL. F ADVERSE IMPACTS TO THE LEACHING PARCEL 78 "FAST" TANK 8104'S0„WF-A1 I S FACILITY. SEASONAL HIGH o - S GROUND WATER DEPTH TO WATER 4.3 \ ` #614 SHOOTFLYING HILL ROAD X 38.9 1 REBAR 63'_t E , ELEVATION OF WATER IN LAKE 33.9 ' ` 4,p FOUN \ : ! �A 9. EXITING INVERTS ARE TO BE CHECKED BY _ INDICATES OBSERVED ELEVATION OF WATER IN TEST HOLE 34.9 ; O �. .� O O i INDICATES �' � �Q S�. f- \ � � � THE CONTRACTOR PRIOR TO CONSTRUCTION �- ® A LOCUS 10. THE ENGINEER IS TO BE NOTIFIED OF UNSUITABLE NO CAPE COD COMMISSION ADJUSTMENT REQUIRED PROPOSED 5 GROUND WATER MATERIAL PER B.O.H. AGENT JANUARY 31, 2006 �� 5 y'9 / 1 7' WEQUAQUET ( ) LIMITS OF EXCAVATION g� sF` =�'/� '.� 1 REQUIRED.ANY ED ♦ CHANGES THAT MAY BE SEE NOTES 5 & 6 �'� F Poi �9� X 38.5 WF-A2 I If " LAKE Fs ! ;SPIKE N J 10,REMOVE ALL X 39.3. ��` = ♦ ♦ ♦ I SPLIT LEVEL 35.1 I I 'P,9C' -I EXISTING COMPONENTS ,��6' : _ :� ♦ ♦ 34.4' LOWER LEVEL X 34 I = FROM SITE AND 13.5 ♦ ♦ ♦ ♦ A/C I ELEV 35.1 EXIST. . I I ABANDON IN ♦ •(� CONC. X:33.9 9�F Z FOUND/ ♦ / �� I WF-A4' ACCORDANCE WITH o .01 h 4" P C I PAD WF-A3 I W TITLE 5. i o ♦� ♦ / - EXISTING I ' i I rn GRDUP ,r 4 BEDROOM (�j IN$J�L_ _ - DWELLING I EXIST. _� I I v Ld p 657 Main Street, (RT. 28) Unit 6 / FIRST FLOOR E i z \ o' INSPECTION I = = W. Yarmouth Massachusetts 90 NTROL � � 38.9 c� PORTS AT ALL 1 •�BOX ELEV 39.6 I DECK I WF-A5 < 02673 2 LINE ENDS PROP4 H-20 I Q 28 508 778 8919 iO 0 33.7 1000 I GALLON J I 1 v _ '1 �� / �, ♦ �ti, � \ PUMP CHAMBER 1 r � ♦ 2 • ----% I I 1_; PROJECT TITLE: TP-1 �8.8 X G / 38.4 / � I 1 - 11•�\ W �� /38. I EXISTING 1 � _ �- / tiq 104.0 /1 GARAGE I WF-A6 , LOCUS INFORMATION DESIGN FOR / �� \ G'�c• �`. v / 'N ( SLAB 38.4 LOT 18 ROOM LAYOUT O / �,�\�, \ F,qs�' TP-2 / L 19,927f) S.F. - CURRENT OWNER: YOUNG REAL ESTATE TRUST® � SEWAGE DISPOSAL _38- --, X ,3,� � CHARLES W. YOUNG TRUSTEE \ T / I tl \ .` j TITLE REFERENCE: 10675/139 & 20608/341 SYSTEM REPAIR / , �� �� S �/ 11 21. ' 1 WF-A7- ,`O / \ \\ i \ - I 00, \ _ ` PLAN REFERENCE: 243/37 \ 03 129� ASSESSORS MAP: 1 #14 BENCHMARK 1 \ 93 23.0 23.0 - j / �O ~` }� / CATCH BA�IIy _ \ PARCEL: 77 - - - - RIM 37.60 0 JOH N SON LANE WALKOUT - - - - --, ' / w� �� �� �� \ , N-44LO � ouT A8 PIPE ZONING DISTRICT: RD M _ o ' O / \ SETBACKS: FRONT 30 Q 24.2 �� �� �\ \1r� �� \ WAY INV 33.6 SIDE 15, CENTERVILLE M :. BED#1 26.1 i \�( J,y 2,756t S.F. -SPIKE REAR 15 " FAMILY ROOM 00 LIVING ROOM �. �� �NA�E MASSACHUSETTS \ .O / OR SEMEN 1 18 Op FOUND MINIMUM LOT SIZE: 87,120 S.F. UP IRON PIPE CO �FPIK �405'00 FOUND FORMER PUMP STATION EXISTING LOT AREA: 19,927±S.F. r' Q �: "� � �, N NOW USED AS SHED. PREPARED FOR: BED#2 m KITCHEN GARAGE cv WF w B ti / 33.00: - OVERLAY DISTRICT AP Jc� NO 4N 89 29 00 E YOUNG REAL ESTATE TRUST ASSESSORS MAP 193 WF-B2 \` / ems, C/O KEATS BOYD, , PARCEL 76 I \ �` ` S ASSESSORS MAP 193 NITROGEN SENSITIVE 111 ATTORNEY WF 65 e s- ZONE: NOT A ZONE ii BOYD & BOYD, PC M BED#4 50.3 #19 JOHNSON LANE�� oo� 1�3,9 PARCEL 41 ONE CENTURY PLAZA N #26 JOHNSON LANE FEMA FLOOD ty � „ " 1185 FALMOUTH ROAD, SUITE 101 BED 3 - - - - - -I I WETLAND \, a� \ ZONE DISTRICT: B , DATED 8/19/85 CENTERVILLE, MA 02632 to BATH # i � � PANEL #250001 0015 C \ 508 775-7800 100 - - - - - - - - - WF-B 1 �```--- F?���OFSS� 23.0 I WF 6 °y� o�� ARxo. cyG DATE: FEB 1, 2006 - t RIBB v CIVIL N COMP. DESIGN: K. HEALY PLAN VIEW No.45937 CHECK: M. DIBB �U +3,t3T[�/ '4 9 LOWER LEVEL UPPER LEVEL MID LEVEL �s,t � SCALE: 1" = 20 FEET DRAWN: K. HEALY FIELD: D. GAZZOLO / J. McCARTIN FILE NO. 8914-SEP.DWG 0 10 20 40 FT, DWG NO. 5690-01 00 JOB NO. 4-8914.00 SHEET 1 OF 3 n. REVISIONS NO. DATE DESCRIPTION SEPTIC TANK DETAIL: 1 ,500 GALLON H-20 WATERPROOF AT FACTORY NOT TO SCALE 1. 4/03/06 ADD "FAST 0.5" SEE PAGE 3 FOR "FAST UNIT" SPECIFICATIONS PRESSURE DOSE SPECIFICATIONS PUMP DOSING CALCULATIONS PERFORATION SIZE: 1/4" DIAMETER PERFORATION SPACING 4' O.C. 1. DETERMINE VOLUME OF EFFLUENT TO BE LATERAL DIAMETER 1.5" 40' LONG PUMPED TO WASTEFLOW DRIPLINES MANIFOLD DIAMETER 2" 8' LONG DAILY FLOW = 440 GALLONS 5. NOTES: 1. SEPTIC TANK SHALL BE STEEL INLET AND OUTLET TEES TO BE CAST IRON, PERFORATIONS ON ADJACENT LATERALS SCHED. 40 PVC OR CAST-IN-PLACE CONCRETE. TO BE STAGGERED. NUMBER OF DOSES PER DAY 8 TEES TO BE CENTERED UNDER MANHOLE COVER. TOTAL PERFORATIONS 30 NUMBER OF GALLONS = 440/8 = 55 GALLONS REINFORCED CONCRETE. 2. SEPTIC TANK TO WITHSTAND H-20 LOADING DRAIN BACK VOLUME 3. ALL PIPE CONNECTIONS AND CONCRETE 2" FORCE MAIN & 2" MANIFOLD = 7 GALLONS CONSTRUCTION SHALL BE WATERTIGHT. PUMPING VOLUME = DOSING VOLUME + DRAIN BACK VOLUME 4. FILL ALL UNUSED KNOCKOUTS WITH 2-24" DIA CONCRETE MANHOLES 62 GALS. = 7 GALS. + 55 GALS. MORTAR. W/ METAL HANDLES BROUGHT 2. DISCHARGE RATE TO 6" OF FINISH GRADE ORIFICE SHIELD OS150CW ORENCO SYSTEMS INC. 39 GPM ® 13 FT OF HEAD TEE TO BE UNDER 12" MIN. PHONE 1-800-348-9843 M.H. OPENING COVER 6» OR EQUAL 3. PUMP s rf-6" USE MYERS SRM 4 PUMP OR APPROVED EQUIVALENT. 11'-0" RAISE M.H W/. SEWER BRICK :d :- 10'-0" & MORTAR INV 37.00 NORMAL WATER LEVEL 12 3" PRECAST SEPTIC TANK INL10"ET 14" NLET TEE 5-0" rl 5'-0" 4'-9" a 4'-1" MIN. ain� 6'-0" - - - z =' LIQUID DEPTH OUTLET� : 6'-2» :r (rAS DRAINAGE SLOTS GW. 34.9 iV 0 a BOTTOM ON LEVEL STABLE BASE 6" PLAN VIEW 6" MIN. 3/4" TO A���`- -Z 1 1/2" STONE CROSS-SECTION VIEW 1.5"DIA. SCH-40 PVC LATERALS BUOYANCY CALCULATION: BUOYANCE FORCE = 3.4 X 62.4 Ib/cf X 6.17' X 11.0' = 14,399 LBS WEIGHT OF TANK = 21,230 LBS LEACHING FIELD DETAIL: NOT TO SCALE WEIGHT OF SOIL = (1' X 6.17' X 11.0') X 85 Ib/cf = 5,769 LBS 1/4" HOLE AT 4' O.C. 21,230 LBS + 5,769 LBS = 26,999 LBS > 14,399 LBS - OK ALTERNATE BETWEEN TOP SNAP-ON AND BOTTOM OF PIPE SHIELD NOTE: EXACT DIAMETER HOLES VERSA-LOK RETAINING WALL TO BE INSTALLED SHOULD BE SHOP DRILLED WI IN ACCORDANCE WITH STANDARD VERSA-LOK A DRILL PRESS TO ENSURE UNREINFORCED INSTALLATION REQUIREMENTS. UNIFORMITY. REMOVE BURRS PRIOR TO PLACING PIPE. VERSA-LOK OR APPROVED EQUAL ALLOWED. INSPECTION SCHEDULE HEIGHT OF WALL AND NUMBER OF BLOCKS WILL VARY - SEE PLAN FOR FINISH GRADE ELEVATIONS. ADHERE CAP UNIT TO TOP UNIT WITH VERSA-LOK CONCRETE ADHESIVE. 1. ENGINEER SHALL INSPECT WHEN THE REQUIRED EXCAVATION IS COMPLETE. 36" MAX. - 9" MIN. COVER 2. ENGINEER SHALL INSPECT WHEN CLEAN FILL WITH A PERCOLATION RATE ORIFICE S H I E L D DETAIL TOP OF WALL EL = 40.5 OF LESS THAN TWO (2) MINUTES PER INCH HAS BEEN PROPERLY DEPOSITED. /2X MIN. FINISH GRADE NOT TO SCALE / 4" LOAM & SEED 3. ENGINEER SHALL INSPECT WHEN THE COMPONENTS OF THE SEPTIC SYSTEM VERSA-LOW MODULAR y°"MiN. OF t/8":TQ CONCRETE WALL _- - - -- _-- - - _ •_OR 3:1 SLOPE AS I - >'OF ©F MI~lrIt3RANE- .�:_ _- �- .t 2"�'WA51dED'S.TONE•.._ AND THE PUMP MECHANISMS HAVE BEEN INSTALLED, PRIOR TO BACKFILL. � SHOWN ON PLAN DOUBLE '►o 4 - v';droe'Q�de;d,.oe WASHED STONE (NO FINES ,`e e+ o " 4'-0" 4'-0" ELEV 39.5 NI) FlU jSEE AO1 S.5'=8i 12 MIN ► 3-6 EXIST GRADE 36" MAX 2" MIN. OF /8" TO 1/4" UNSUIT B MA RIA 70 RE D COVER DOUBLE WASHED STONEI V/z TOP STONE ELEV. 39.9 6 COMPACT XXI GRAVEL BASE UNSUITABLE MATERIAL TO BE REMOVED NXN 00 oO oQb .�y-y s t A-_`__i'i f.' '-_ti_w .._oc ?:.. .:!-._ �s i_f.-.�_•'Ta.i4•ti_v f�... - r-�>' 00o OOp dDoo Op o0 .'•3.i Y ~s',NATURAL SAND •= ,�-y^ - _ :•��+. RDLT 40ML POLYETHYLENE �_=_-a �:f:';:-'._ r. �'< - •_ _:..-- -+-.•t-':t=;r: .�, -s,-..Z'� .`_a` :-•-.> o MEMBRANE IMPERVIOUS op pop p p pp BREAKOUT BARRIER (TYP) `:`_:"'"_ ;L:�%� _ ''' - i .-_ _. - _• "'z p 1.5" PVC SCH 40 pp oo '' CROSS-SECTION ' ,J - ` ' `.x o LATERALS. (TYP) BOTTOM OF MEMBRANE AT 1000 GALLON H - 20 PUMP CHAMBER: " " " 2' BELOW EXISTING GRADE. 657 Maul Street, (RT. 28) Unit 6 6 OF 3/4 TO 1 1/2 ORIFICE SHIELDS AS ELEVATION 37.5t W. Yarmouth Massachusetts DOUBLE WASHED STONE MANUFACTURED BY ORENCO SYSTEMS INC. 02673 BUOYANCE FORCE = (3.0') X 62.4 Ib/cf X 5.25' X 9.0' = 8,845 LBS OR APPROVED EQUAL WEIGHT OF TANK = 14,500 LBS 1/4" PERFORATIONS ALTERNATED 508 778 8919 WEIGHT OF SOIL = (1 X 5.3 X 9 ) X 85 Ib,/cf = 4,016 LBS EVERY 4 POSITION. �TYP) 7 ocLocK PROJECT TITLE: 14,500 LBS + 4,016 LBS = 18,516 LBS > 8,845LBS - OK CONTROL SECTION B - B DESIGN FOR NOT TO SCALE ELECTRICAL SEWAGE DISPOSAL 9 - 7" DIA. CONTROL VALVE BOX AS SYSTEM REPAIR -,..-I51- 8'-2" t��(5 DOSING CALCULATIONS: MANUFACTURED BY AMETEK PLYMOUTH PRODUCTS DIVISION. PAT. #3858765 PVC DESIGN FLOW TO CHAMBER = 440 GPD OR APPROVED EQUALL. CAP NUT #14 N PUMP POWER REQ'D EMERGENCY STORAGE = 440 GAL- 02 GAL ORIFICE SHIELDS AS TO BE BROUGHT FINISHED GRADE 0 & FLOAT 4'-5" 5'-3" EMERGENCY STORAGE PROV D = g PER DAY MANUFACTURED BY ORENCO SYSTEMS INC. JOH N SON LANE CONTROL NUMBER OF DOSING CYCLES = 3 INCHES FINISHED GRADE 2% MIN. OR APPROVED EQUAL CABLES 3"x4'-5"x8-2"x7.48 GAL/CF = 67 GAL/DOSE DEPTH PER CYCLE R co ' a DESIGN TDH = 13 FEET VI � INLET DESIGN GPM = 39 GPM E TEE 2' --I 4'-0" 4'-0" A ACH U SETTS 4 3" WALLS 2" MIN. OF 1/8" TO 1/4" " ALTERNATE PERFORATIONS " EE SYSTEM LAYOUT# - CLEANOUT 24" DIA MIN. C.I. MANHOLE COVER DOUBLE WASHED STONE .00 4-0 4-0 FIN. GR. EL. = 38.9 BROUGHT TO FINISH GRADE TOP STONE ELEV. 39.9 2-1" 45' BEND r � PREPARED FOR: �� �� �� �� � �� ��� ;•"'y��^ ±� -- ' -T; YOUNG REAL ESTATE TRUST TOP EL. = 37.90 APPROX. 24" COVER NOTES: , , 1/4" ECSE3CURE 1. PUMP CHAMBER TO WITHSTAND ��- VENT C/O KEATS BOYD, III, ATTORNEY FROM SEPTI CHAIN 2" PVC H-20 LOADING 1.5"PVC SCH 40 LATERALS HOLE BOYD & BOYD, PC INV.= 36.65 TANKTO WALL DISCHARGE SET LEVEL AT ELEV. 39•01 1/4" PERE (TYP) o0 op oo ONE CENTURY PLAZA PIPE INV 36.40 STOR. ¢ 2" GALV. UNION/WEEP HOLE 2' WATERPROOF AT FACTORY o io G.W. 34.9 EMER. a 6" OF 3 4" TO 1 1 2" 6" OF 3/4" TO 1 1/2" �jt\OF,y4ss 1185 FALMOUTH ROAD, SUITE 101 N ►-_ - OR APPROVED EQUAL. 90' ELBOW / / DOUBLE WASHED STONE 90 CENTERVILLE, MA 02632 M ALARM ELEV.= 34.05 - 0 0 CHECK VALVE 2" PVC SCH 40 DOUBLE WASHED STONE ti - 6" Llj m o o 2" SCH 80 3. ALL PIPE CONNECTIONS AND CONCRETE FORCE MAIN TO BE PLACED ADJACENT �° MARK B 508 775-7800 L a, PUMP ON EL. = 33.55 CONSTRUCTION SHALL BE WATERTIGHT. 2" SCH 40 PVC MANIFOLD PIPE TO 1/8" VENT HOLE 0 CIVIL = 0 w PVC THREADED PITCH 0.005 BACK TO FORCE MAIN. AND BENEATH VALVE BOX d - ~ �o PIPE 1/4" PERFORATION TO BE PLACED No.45337 DATE: FEB 1, 2006 W PUMP OFF EL. = 33.30 3" a v 0° 0 4. RAISE MANHOLE TO FINISH GRADE WITH AT THE 5 & 7 O'CLOCK POSITION AT THE " Aso ���Ic7�P�°<�Q COMP. DESIGN: K. HEALY � w 3 MERCURY FLOAT 1 4 PERFORATION TO BE PLACED fiF C� a = 11"a in SEWER BRICK AND MORTAR. FULL OUTER MID POINT OF EACH LATERAL LINE / ,� LEVEL CONTROLS MORTAR PARGE TO PROVIDE WATER a BOT. EL = 31.90 - - - s. - _ NEAR THE CROWN OF THE PIPE `'S��tAt CHECK: M. DIBB o v o 0 o v o 0 0 o v o v MYERS SRM 4 TIGHT SEAL. IN THE 45' BEND ul �$°"��° � d 5$6 d'g o ��b��'i� �� SEWAGE PUMP/ " " 5. POWER CABLES TO BE PLACED IN SECTION /q - A AT THE END OF EACH LATERAL AWN: K. HEALY 6 MIN. 3/4 TO 1 1/2 STONE CONDUIT IN ACCORDANCE WITH LOCAL yI;IV4 FIELD: D. GAZZOLO / J. McCARTIN 31 GPM ® 11' TDH BUILDING AND WIRE CODES. NOT TO SCALE FILE No. 8914-5EP.DWG 0 NOT TO SCALE DWG N0. 5690-01 SHEET 2 OF 3 �_ JOB NO. 4-8914.00 _a a ........ .... ._... _ _ _ REVISIONS NO. DATE DESCRIPTION 1 4/03/06 ADD "FAST 0.5" 016 , (040.6cm) FAST®AIR LIF (040.6cm) NON-CORR❑SIVE CLAMP EVERY 2 FT , GASKET GASKET Specifications For MicroFAST 0 , 5 59' (150cm) NON-C❑RROSIVE CLAMP EVERY 2 FT Wastewater Treatment System RISER RISER 1. GENERAL AIRLIFT 2' AIR 5. REMOTE MOUNTED BLOWER 9, WARRANTY 15 •5' The contractor shall furnish and SPLASH PLATE 2' AIR SUPPLY The blower May be mounted remote The Manufacturer of the MicroFAST 0.5 C38•i .3cm) LINE install (1) MicroFAST 0,5 treatment AIRLINE SUPPLY system as manufactured b with no more than 100 ft (30.5 M) of treatment system shall warrant for 31' MIN EE3LINE Y y piping and no more than four elbows, three ears from the date of (79cm) Bio-Microbics, Inc. The treatment Y from the MicroFAST unit on a shipment or two ears form the date 450 GALLON 26' 15t.5' GASKET GASKET System Shall be complete with all contractor supplied concrete base. P y 350 GALLON (1704 L) MIN (66cm) <38.1t1.3cm) needed equipment as shown on the pP of start-up, whichever occurs first, (1325 L) drawings and specified herein, The blower must not set In standing that the equipment they provide will MIN. water and Its elevation must be higher be free from defects in material and than the normal flood level, A workmanship, NON-CORROSIVE The principal items of equipment shall P� CLAMP EVERY 2 FT include FAST System insert, insert lid two-piece, rectangular housing shall be provided with tamper-proof screws. In the event a mechanical component FAST® (or leg extensions if that option is P AIR SUPPLY AIR LIFT chosen), blower assembly, blower The discharge air line from the blower fails to perform as specified or is to the MicroFAST shall be provided proven defective In service during the FAST® ❑PTI❑NS controls and alarms. The MicroFAST 0.5 and installed b the contractor, P g AIR LIFT unit shalt be -situated within a 450 Y warranty period, the manufacturer (SEE NOTE 5) gallon minimum compartment In a two shall repair or replace such defective compartment tank BLOWER as shown on the6. ELECTRICAL parts. (Cost of labor on NON-CORROSIVE SEE DRAWING re The electrical source should be within air/re lacement Is not covered MICROFAST()�0.5 L NOTE plans, or in a 800 gallon one p P CLAMP EVERY 2 FT. 150 f eet of the blower, Consult local under this warranty.) The replacement (SEE AIR SUPPLY ❑PTIONS) 3' (7.62 cm) VENT , compartment tank. Tank(s) must Y• P code for Longer wiring distances. All 1. SECURE ORIGINAL 7 X 7 FOOT TO LEG EXTENSI❑N conform to local state, and all other 9 g or repair of those items normally TOP OF TANK FLUSH WITH SEE DRAWING BY PLACING TWO (2) SCREWS IN EACH SIDE OF THE ' wiring must conform to code, The Input consumed in service such as air filter, MICR❑FAST® 0.5 L applicable codes. The contractor shalt required for the blower is BOTTOM OF CONCRETE LID LEG EXTENSI❑N. EIGHT (8) SCREWS PER FOOT ARE provide coordination between the FAST Power re q etc,, shall be considered as part of WITHIN 1 1/2• INCLUDED AND SHOULD BE USED ON EACH OF THE 115/230 Volts, Single Phase, 60/50 routine maintenance and upkeep, GASKET system and tank supplier with regard Hertz, 3.8/1,9 Full Load Amps, minimum P FOUR (4) CORNER LEG EXTENSIONS, to fabrication of the tank, installation IF of the FAST unit and delivery to the wire size is 16 A•W,G. (Locked Rotor It is not intended that the 2. ANCHOR THE LEG EXTENSI❑NS (4 CORNER LEGS job site. Amps are 18.6/9.3), ALL conduit and manufacturer assume responsibility for - - - - - ONLY) TO THE BASE OF THE TANK, PLACE DOLTS wiring between the electrical control contingent liabilities or consequential AT ❑PP❑SITE CORNERS OF THE LEG EXTENSION 2. ❑PERATING CONDITIONS panel (optional), the power supply, and damages of any nature resulting from BASE. The MicroFAST 0.5 treatment system the blower shalt be furnished and defects in design, material or installed by the contractor, workmanship, or Bela s in deliver 3. wastewatershati. be pprodu produced by typicale of treating l 7, ALARMS 'otherwise �T❑ ELONGATE FOOT PAST THE PROVIDED 12' CUT replacement, or otherwise• THE 3.9' LEG EXTENSION IN THE CENTER INTO TWO activities (bath, laundry, kitchen, etc,) The alarm system shalt consist of a SEPARATE PIECES. THEN CUT A SCH 40 PVC PIPE ranging from (1) one to (8) eight visual and audible alarm to indicate 10. FLOW AND DOSING TO THE DESIRED LENGTH AND SLIP THE PIPE OVER persons and not to exceed 500 US loss of power to the blower and/or Wastewater treatment systems work THE TOP AND BOTTOM CUT SECTIONS OF THE LEG Gallons per day (1893 LPD). high water level, A manual silence y EXTENSIONS, switch is included. best when influent flow is delivered as 3. MEDIA consistently as possible. FAST systems 4' DIAM have been successfully designed, tested 77 ,u TD 12�„ 4, ATTACH PIPES WITH STAINLESS STEEL SCREWS, The FAST media shalt be manufactured 8• INSTALLATION AND OPERATING and certified recieving gravity. of rigid PVC polyethylene or INSTRUCTI❑NS 450 GAL - demand-based influent flow. However i9 c M) 5. THE AIR SUPPLY LINE INTO THE FAST® UNIT MUST polypropylene and it shall be All work must be done in accordance (1705.5 L> - F when influent flow is controlled (either EFFLUENT BE SECURED SO AS TO PREVENT DAMAGE FROM supported by the polyethylene insert, with local codes and regulations. �3' PIPE PIPE VIBRATION. The media shall be fixed in position and Installation of the MlicroFAST 0.5 shall by pump or other means) to the FAST �� system to help with highly variable flow 42,5 contain no moving or wearing parts and be done in accordance with the conditions, then multiple feeding events 6. SEE ALL NOTES ON MCF 0,5 L DRAWING. P 9 -7 Q shall not corrode. The media shall be written instructions provided by the should be used to help assure even SETTLING TREATMENT (10 / , 7 c(mil) designed and installed to ensure that manufacturer. No more than four foot flow, optimum performance, and reliability. ZONE ZONE sloughed solids Immediately descend of fill may be placed over the FAST? IN THE INTEREST OF TECHNOLOGICAL PROGRESS, ALL PRODUCTS ARE through the media to the bottom of lid. Operation manuals shall SUBJECT TO DESIGN AND/OR MATERIAL CHANGE WITHOUT NOTICE. the septic tank. be f urnished which will L AT2 if Include a description of Date 1- - IN THE INTEREST OF TECHNOLOGICAL PROGRESS, ALL PRODUCTS ARE SUBJECT BIO- MicroFAST 0 5 F 4, BLOWER installation, operation, and TO DESIGN AND/OR MATERIAL CHANGE WITHOUT NOTICE. MICR BIC$ system maintenance The MicroFAST 0.5 unit shall come pprocedures. There shall Date 01-03-05 1-800-753-FAST(3278) Sh0r� equipped with a regenerative type be a separate manual for B10- • ® .,�,..r w- blower capable of delivering 11-25 CFM. the installer, service MICROBICS MicrOFAST®0.5 S ""°�'"'•'" °'""°�""°""""�'°`"°' •,�,� wn by BMI The blower assembly shall include an provider, and owner, IN R P R A T E D ' m°""~o'«o" inlet filter with metal filter element. tailored to each. 1-800-753-FAST 3278 .am&=�s . "2" "..iFno'D IA,e'iaMDa+m "n by B M I ANCHOR BOLTS NDS 6' GRATE F SEE NOTE 2. BOLT LEG EXTENSION (6-034 ROUNDGRATE) TO ORIGINAL FOOT. W/7.1 SQ IN OPEN SURFACE SEE NOTE L 0.5000 (5cm) AREA OR EQUIVALENT 0.3125 SEE 2.3125 2.2500 ORIGINAL NOTE 4. ORIGINAL (23.5cm) (22.9cm) ��� FOOT FOOT O� 7. 5 4' SCHEDULE 40 O (18.4cn) PVC PIPE J9CUT ' 1 3. 75 SECTID� � �, SECURED WITH 8• (30. cm) (9.8cn) STAINLESS (20.3cM) C• e STEEL SCREWS TYP ANCHOR BOLTS 4.2500 2.2500 + e SEE NOTE 2. (4 2500 (22.900 PLAN VIEW 657 Main Street, (RT. 28) Unit 6 W. Yarmouth Massachusetts 6' DIA PROVIDED 12' ❑BSERVATION LEG EXTENSI❑N LEG EXTENSION 02673 508 778 8919 PORT SEE NOTE 3. MODIFIED LEG EXTENSION - WITH 4' PVC PIPE L-61 (15.2cm) PROJECT TITLE: NOTES 0.3125 VENTS 1. SECURE ORIGINAL 7' X 7' FOOT TO LEG EXTENSI❑N DESIGN FOR (3• cm W/FAST LID BY PLACING TWO (2) SCREWS IN EACH SIDE OF THE TYP 5.6875 (57.8cm) LEG EXTENSION, EIGHT (8) SCREWS PER FOOT ARE INCLUDED AND SHOULD BE USED ON EACH OF THE SEWAGE DISPOSAL BLOWER HOUSING BASE FOUR (4) CORNER LEG EXTENSIONS. DIMENSIONS (SECTION A-A) 2. ANCHOR THE LEG EXTENSIONS (4 CORNER LEGS SYSTEM REPAIR ONLY) TO THE BASE OF THE TANK, PLACE BOLTS AT OPPOSITE CORNERS OF THE LEG EXTENSI❑N BASE, #14 BLOWER W/ HOOD 3, TO ELONGATE FOOT PAST THE PROVIDED 12', CUT (BY BIO-MICROBICS) THE 3,9' LEG EXTENSI❑N IN THE CENTER INTO TWO JOH N SON LANE N SEPARATE PIECES. THEN CUT A SCH 40 PVC PIPE N TO THE DESIRED LENGTH AND SLIP THE PIPE OVER M THE TOP AND BOTTOM CUT SECTIONS OF THE LEG CENTERVILLE EXTENSIONS. 14• MASSACHUSETTS (35,6cm) 4, ATTACH PIPES WITH STAINLESS STEEL SCREWS. m k 5. VENT TO BE LOCATED ABOVE FINISH GRADE OR o HIGHER TO AVOID INFILTRATION. CAP WITH 6' VENT A A GRATE W/AT LEAST 7.1 SQ. IN. OF OPEN SURFACE m AREA. SECURE WITH STAINLESS STEEL SCREWS (SEE PREPARED FOR: CONCRETE MCF 0.5 L DWG). YOUNG REAL ESTATE TRUST BASE RUN VENT TO DESIREDRL❑CATION AND, COVER C/0 K EA &YBOYD, PC ATTORNEY Q (12.7cm)5 ❑PENING WITH 3 VENT GRATE W/AT LEAST 7.1 SQ. ONE CENTURY PLAZA _ IN. OPEN SURFACE AREA. SECURE WITH STAINLESS N (10. cm) - - - - - - STEEL SCREWS. VENT MUST NOT ALLOW EXCESS 1185 FALMOUTH ROAD, SUITE 101 0 _ - - - M❑ISTURE BUILDUP OR BACK PRESSURE. CENTERVILLE, MA 02632 --I I (-I I III-III-I I - _N IN THE INTEREST OF TECHNOLOGICAL PROGRESS, ALL PRODUCTS ARE 508 775-7800 M __� �_� -� -� ( �- -_� BLOWER❑WER SUBJECT TO DESIGN AND/OR MATERIAL CHANGE WITHOUT NOTICE. �� ZNS'Sq� 0 _III- H❑USING - - c COMP. DESIGN20o6 -� I I-i �- o MARK D. �G DATE: FEB 1, a ELECTRICAL CONDUIT BIOS ® o Cit/ �� K. HEALY DIMENSIONS MI ROBICS 3 (TO BLOWER MicroFAST® 0 5 X " CHECK: M. DIBB a • CONTROL SYSTEM) 1 N R RATED � � � NO.d5937 � c' MIN. AIR PIPING 1-800-753-FAST(3278) 49 W L_ ....,..,..,r,.. Box, v�Fry u�GTE"~�e DRAWN: K. HEALY �oeiw ,,M a.,N. o ww`waPr"w MY cas�w Nom iwwm�� wn by B M I o„e,,,�,,,,� FIELD: D. GAZZOLO / J. McCARTIN y f/p6 FILE NO. 8914-SEP.DWG O DWG NO. 5690-01 co .Q JOB NO. 4-8914.00 SHEET 3 OF 3 a ,