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HomeMy WebLinkAbout0112 LONG BEACH ROAD - Health 112 Long Beach Road Centel v_itle lr v � f , I , Commonwealth of Ma achusetts K Title ' ' •e5 _ Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments t 112 Long Beach Road Property Address Philip Pessa Owner information is Owner's Name required for every Centerville MA 02632 1/10/2014 page. City/Town Zi State p Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information on the computer, use only the tab 1. Inspector: key to move your I n cursor-do not James Ford use the return key. Name of Inspector !a6 Company Name 1 P.O. Box 49 Company Address Osterville MA City/Town 02655 508-862-9400 State Zip Code S12482 Telephone Number License Number 4 B. Certification certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection .was performed based on.my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). Thelsystem: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further valuation by the Local Approving Authority 1/21/14 Insp or, Signature Date The stem inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, If applicable, and the approving authority. ****This report only describesi 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. Vl l5ins•3/13 Title 5 Official Inspection For :Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Of icial Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �M 112 Long Beach Road Property Address Philip Pessa Owner information is Owner's Name required for every Centerville MA 02632 page. Cityrrown 1/10/2014 State Zip Code Date of inspection B. Certification (cont.) Inspection Summary: Check!A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Y 1 Comments: I t : ti B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The:system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no°or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal an' over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substanti I infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. i *A metal septic tank will pass;inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): : J .j n. a t5ins•3/13 i Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 r 1 Commonwealth of Massachusetts Title 5 Official inspection Form Subsurface Sewage Disposal System Form - Not for VoluntaryAssessments ssessments `M 112 Long Beach Road Property Address Philip Pessa Owner Owners Name information is �. required for every Centerville MA 02632 1/10/2014 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if Pumps/alarms are repaired. B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s):are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): i . y . ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are.replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): a ' 4 ' I 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 15ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 , Commonwealth of Massachusetts N Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 112 Long Beach Road Property Address Philip Pessa Owner Owners Name information is required for every Centerville MA 02632 1/10/2014 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface Water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: l: 1- D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" ®r"No"to each of the following for all inspections: t Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to;an overloaded or clogged SAS or cesspool ❑ ® Static ligbid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than W day flow 15ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts W Title 5 Officici Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ^M 112 Long Beach Road Property Address Philip Pessa Owner information is Owners Name required for every Centerville MA 02632 1/10/2014 page. City/Town W " State Zip Code Date of Inspection B. Certification (cont. Yes No #' ' ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstr!Iboted pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tribut�r�to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. El IE Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system:passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] r ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. i E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpdto 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area-_IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 3,10 CMR 15.304.The:system owner should contact the appropriate regional office of the Departmgnt. t5ins•3/13 7itfe 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 i i, ' i i Commonwealth of Mas'a'chusetts W Title 5 Officials Inspection . Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments i M 112 Long Beach Road Property Address Philip Pessa Owner information is Owners Name required for every Centerville MA 02632 1/10/2014 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the followin g: kl. i Yes No I. f' ® ❑ Pumping information was provided by the owner, occupant, or Board of Health f' ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has thbl ,.'ystem received normal flows in the previous two week period? ❑ ® Have Large volumes of water been introduced to the system recently or as part of this inspection? ® Were as built plans of the system obtained and examined?(If they were not available,note as N/A) ❑ ® Was the facility or dwelling inspected for signs of sewage back u 9 p. ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspectled for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was tlje facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size land location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existingihformation. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information: Residential Flow Conditions: f 4-per as 4 Number of bedrooms (desig;n):. Number of bedrooms actual f built card (actual): DESIGN flow based on 310)';CMR 15.203(for example: 110 gpd x#of bedrooms): 440 l r: i t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 ;� 1 Commonwealth of Mas$achusetts Title 5 Official` inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments `M a,••`'�a 112 Long Beach Road Property Address p Philip Pessa i! Owner Owner's Name information is required for every Centerville MA 02632 1/10/2014 page. Cityrrown State Zi Code P Date of Inspection D. System Information Description: x . , Number of current residents:; 0 Does residence have a garbage grinder? El Yes ® No Is laundry on a separate sewage system?(Include laundry system inspection information in this report.) ; ° El Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage (gpd)): Detail: ' unavailable 4 1 Sump pump? ❑ Yes ® No Last date of occupancy: unknown I Date Commercial/Industrial Flow;Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: i� !Sins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary { Assessments °µ 112 Long Beach Roadi M Property Address Philip Pessa Owner Owners Name information is required for every Centerville MA 02632 1/10/2014 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use:;^ Date Other(describe below): is Y; { General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank; distribution box, soil absorption system ❑ Single cesspool l; ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no)(if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): i Tank is a fast system t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 y� Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;M 112 Long Beach Road Property Address Philip Pessa Owner Owners Name information is required for every Centerville MA 02632 1/10/2014 page. City/Town State Zip Code Date of Inspection D. System Informatilog (Cont.) Approximate age of all components, date installed (if known)and source of information: installed -6/24/1996 per info Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate onjsite plan): { Depth below grade: t feet Material of construction: ❑ cast iron ® 404,PVC ❑ other(explain): f Distance from private water supply well or suction line: feet Comments (on condition of)oints, venting,Evidence of leakage, etc.): li � Septic Tank(locate on site,pIan): Depth below grade: , to grade feet Material of construction: x ® concrete Elm:0.toal ❑fiberglass ❑ polyethylene i; ❑ other(explain) it l= { If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) El Yes ❑ No Dimensions: 1500 gals. Sludge depth: '; :; 2" t5ins•3/13 j Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 t . i Commonwealth of Massachusetts W Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments `M 112 Lonq Beach Road 1 Property Address Philip Pessa Owner Owners Name information is required for every Centerville MA 02632 1/10/2014 page. City/Town j, State ZipCode Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance from top of scum to.#op of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): The tank is a fast tank. There were no signs of leakage. Fast tanks should be pumped more frequently than conventional tanks.The covers were to grade. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: •t ❑ concrete ❑ metal fiberglass ❑ polyethylene i ❑ other(explain): N/a Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3/13 i Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 j •. 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 112 Long Beach Road Property Address PhilipPessa Owner Owner's Name information is required for every Centerville MA 02632 1/10/2014 page. City/Town State Zi Code " P Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal fiberglass 9 ❑ polyethylene ❑ other(explain): N/a Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: �� Date Comments (condition of alarm and float switches, etc.): (i i t r � *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No !Sins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for VoluntaryAssessments sessments �M a 112 Long Beach Road Property Address Philip Pessa Owner information is Owner's Name required for every Centerville MA 02632 page. Cityrrown i 1/10/2014 State Zip Code Date of inspection- D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level abovet'outlet invert even 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.): The D-box was normal. The Steel cover was to grade 9 l Pump Chamber(locate on'Vsite plan): Pumps in working order: El Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): N/a ll . * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located, explain why: t. . 4 1 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 i 1 ' Commonwealth of Massachusetts Title 5 Officia-1, Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 112 Long Beach Road Property Address Philip Pessa Owner Owner's Name information is required for every Centerville MA 02632 1/10/2014 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chan'bers number: infiltrators ❑ leaching galleries number: ;f a ❑ leaching trenches number, length: 1 ❑ leaching fields number, dimensions: ❑ overflow cesspool number: I ❑ innovative/alternative system Type/name of technology: Comments (note condition bf soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): 7 .1 There was no signs of failure. Used a camera to inspect. The system is up in a mound in the front yard. f, i n : tip: is 4. Cesspools (cesspool must,be pumped as part of inspection)(locate on site plan): Number and configuration N/a Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer V Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•3/13 & Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 i i Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 112 Long Beach Road Property Address y Philip Pessa ' Owner Owners Name information is required for every Centerville MA 02632 1/10/2014 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): I r 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.): N/a ` I . o . t. i. t V i f� 15ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 ' 4 .. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments t •'�e 112 Long Beach Road Property Address Philip Pessa Owner I Owners Name information is required for every Centerville 1 MA 02632 age. City/Town 4 1/10/2014 State Zi Code P Date of Inspection D. System Information. (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately r ' E: f ,+ 4 I'r0 A o � -r Y , i A S6 13 ki 1 1 ' t. Y ` t! ' } t5ins•.3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 ti Commonwealth of Massachusetts u Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1 . '°M ,•' 112 Long Beach Road I Property Address Philip Pessa Owner Owner's Name information is required for every Centerville MA 02632 1/10/2014 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ® Surface water ❑ Check cellar I r ❑ Shallow wells + Estimated depth to high ground water. 6' feet Please indicate all methods:!used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: pate ® Observed site(abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: Using to o and water contours maps ❑ Checked with local excavators, installers-(attach documentation) 1 ' ❑ Accessed USG$database explain: E. You must describe how you established the high ground water elevation: The house is on the centerville river which is tidal l r e Before filing this Inspectioh Report, please see Report Completeness Checklist on next page. r: l5ins r 3/13 ✓ Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 p ii Commonwealth of Massachusetts v Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments a 112 Long Beach Road y' I Property Address r' Philip Pessa Owner Owner's Name information is required for every Centerville ` MA 02632 page. City/Town I' State 1/10/2014 Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A,2B, C, D, or E checked ® Inspection Summary d(System Failure Criteria Applicable to All Systems)completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file i. :r t G ; i n a+ t i R ; z ' e ii 1 , t5ins•3/13 1 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 4 44 Commercial Street Raynham, MA 02767 s Tel: (508) 880-0233 Fax: (508) 880-7232 February 26, 2013 Ms. Laura Hurvitz 75 Prior Farm Road Duxbury, MA 02332 RE: MicroFAST System - SF1036 112 Long Beach Road, Centerville, Massachusetts Dear Ms. Hurvitz: We have re-instated your Inspection & Testing Agreement for the FAST Treatment system.located at 112 Long Beach Road, Centerville, Massachusetts as of today's date. Thank you. Sincerely, Donna M. Fabiano w Z W.,.N C) Cc: Department of Environmental Protection, Boston CO D Barnstable Board of Health. 200 Main Street Hyannis, MA 02601 rye f. 44 Commercial Street Raynham, MA ff 02767 Tel: (508) 880-02.33 Fax: (508) 880-7232 February 12, 2013 Ms. Laura Hurvitz 75 Prior Farm Road Duxbury, MA 02332 Re: Serial Number: SF1036 Location: 112 Long Beach Road, Centerville MA Dear Ms. Hurvitz: We understand you do not wish to continue your maintenance contract with our company. Please be advised the Massachusetts Department of Environmental Protection requires a maintenance contract be in place for the life of the alternative septic system. Also, we are required to inform both the state and local agency of your decision. Ifxyou have any questions or need additional information please call our office at (608) 880-0233. - r 2 �Tncerely, 101 Donna M. t�abiano Copy to: Massachusetts DEP Barnstable Board of Health 200 Main Street Hyannis, MA 02601 ,a'�71 O � J ABLE NOTES: LOCUS INFORMATION 1.THE ELEVATIONS DEPICTED ON THIS PLR AREA BASED ON NAvo ea onTUM _ } y�.p CVRRFNT OWNER DAVID,A.a PATRICIA WALLACE L.THELOTCOVERAGE—LATU ONSDONOTINLLI10Et THE CLAM SHELL PARKING AREAS OF I.BTaf 1.F,11 TITLE 1—FEN.: 000x LeOaA.PAGE lee ].1NE ENDRE lOT IS WRHIN THE ISP RNERFRONT. PLAx REFFAENCE INN¢ 1.THE ENTIRE LOT IS IN FLOOD ZONE—ELa1S. APSE SOPS NAP: 2. 1 CERTRY TO THE BESTOF PMCEL . PROFESSH]NAL gIOwLEDOE,WFOR-- BElIEF DNT THELOTCORNERS, ZOMINOOLTIPoCT: pYDINONS AND SETRMLIS TO THE SEISAc1's. RiON]G3P Sfm1LNpE Al DETER— BT REM a =>P ITHIS FLAN REDCOR.S.T. 9NONTI ON MRINUN LOT S1eE: eS`F. ON -.-TALL OTAREA(DPRD): ],AaT.1.. F"VLSI NRRODENs¢H— - NE' NOT.. M M A LONEFE GOD ONEo sTNLT: AE(ELEvnta) —RLATe151WCT: LT WATERESTUARY PROTECTNIN .F.(FOR LOTS BETWEEN..Dee AND]ASR S.F) . 'PI RISTIND WLLGNo cOVEMOE: a,1oRf SP.(HOUSE OECRBa6tOOP) rl `_.�v Itll)IT{d�{�4kJ�j!,Fl#k �79'�°il FR POSED eULLANOCWFMOE .F.(N e1L111NCREASE OF af) { 7 �1`<1 Sits zq7 s � iEa I " uAn RAGE . .F.(FOR LOTS eETwEEN e.RpR ro r,.Po a P.] S A y"1 sH i �L4ltk�a.�4 .� f +I RN cRAw A FIELD wre MUM xoef s { E y P's¢ tr +s°+ {1 �'jrL#III�" dptl enNOlOrcP.Ev.OE ASm Sl.(HOu9¢aFA wAL Pnc WALL. A PROPOSED tOTCWERAGE Lase.S F.OH3%/IINLRFA 1 {GE 11 ea OHA1 uNO9uRVEYOR al. I I t tiN �>N � ATw tl'+Y ilJ�uallkyr III Ik I i, _ .. I I 1 F f PwwosEv rinN�f { car PLAN OF LAND RIVER aYa j 11 ^ d "�t119� xx e ( i7tJ��}a' �� 4 ,rTk�il as u,1 CENTERVILLE p rl�atH°. , Id{ t 1 wti(iMS,gqlrfie�f �e� o�ry r t m 3 s I+II,Sh TO ACCOMPANY A a l f M1 J#it`17m�Ik i r4 F�I��t� N6,6 1 e V 1'k e 7rr I if ZONE AEax FL000 �a o) y I E 34�'''A •�(�ryI�tF�, `,H5 NOTICE OF INTENT rP'�r�,`d0 II4ft !u$.11m;u 1 IG 7 ¢; „DwwMl'.• € n,v1t ., ITt 112 LONG BEACH ROAD �tl"'srlkp m l�� III� e I '� t ySUrI l��r "�I v,11,L tulr 1 t 4 s CENTERVILLE MASSACHUSETTS (BARNSTABLE COUNEYI Y igi• 19,t'Sh G,.1k4.�1 h tf]ft :kxalppllf Pi.l 4 $I Yt J .! 1 i a I :. 1 Ik 1 �.Lt'..�li- 3Y°I J f�i�i 1{ YL,� it i i ON, J"InFli EXISTING&PROPOSED }}71(�"rrlrn—r*=zNfe i z' 3—T((I �d{ rgq.,J t ` I�,�.e CONDITIONS Iit�T DECEMBER 1,2014 S �al 'tiilRll.�411 Ir Ir I I r ' i t# IJ4,1, il" Iri rf rR If11�1.}v#Il 1 I:sACl _ O.ro1i S 1�'�>i'tf�tlilsrlpr ry u -'4 Iwr-R f N�dLp1 O, IOIse No DE LLM.w 4'i {�I A wl V 1 I 71(i: i 1 `k r111. I 11111E ADD wAUOVAV OVER SEPTIC uYOup 4i I ANMwxer AL ua.. H ;. 'I T� eaa I....;I:{9� 1 3 � moxae.pRE*NNNP wMa I ;I 1 joHN FALACCI 1 @ai y) Y1I If fI{ 4t A It � jtTt(.._qx HOME IMPROVEMENT SPECAISTS OF CAPE GOD,INC. P.O.BOX 1224,HYANNIS.MA 02601 E■BSCGRotrn J 349 Route 28 UDR D Der W.Yarmouth,MA 02673 1t 508 778 8919 ��. p w�A .w D,dP•. 1cuE: � � m F¢E—SExCD" NO:enaal MreIP I OF aoe.No:Aeea.T.00 i j 44 Commercial Street Raynham, MA 02767 Tel: (508) 880-0233 Fax: (508) 880-7232 February 17, 2009 Ms. Laura Hurvitz 75 Prior Farm Road Duxbury, MA 02332 Re: Serial Number: SF1036 Location: 112 Long Beach Road, Centerville, MA Dear Ms. Hurvitz: We understand you do not wish to continue your maintenance contract with our company. Please be advised the Massachusetts Department of Environmental Protection requires a maintenance contract be in place for the life of the alternative septic system. Also, we are required,to inform both the state and local agency of your decision. If you have any questions or need additional information please call our office at (508) 880-0233. .N Sincerely, . LLB CO Donna L. Callahan o . N Copy to: Massachusetts DEP s � Barnstable_ Board of Health' 200.Main Street 3 Hyannis, MA`02601 SECTIONSENDER:_�POMPLETE THIS • ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature Item 4 if Restricted Delivery Is desired. Agent ■ Print your name and address on the reverse X XA"ddressee so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: D. Is ery address different m' 1? ❑Yes I ES enter delivery add b ow: ❑No 7 Jr i�sk%vL tc�- I^� �Q 3. SServ' Type f I b-Certified Mail ❑Ex rasa Mail (),L� O Registered ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(F.tr Fee) ❑Yes P ' :r 2. Article Number; °'7006 f 2150 Og0;2 10`41 i9051 r (Transfer from service/abell i r+ PS Form 3811,February 2004 Domestic Return Receipt t' 102595-02-M-1540 17` UNITED STATES POSTAL SERVICE gym. Fir b'y 'i ing'mpil f �ba � 91 Paw ,,. P'Y �a�l�A y (�{('4.�1.,.i4� itl wm� wuuw 1` • Sender: Please print your name, address, d°nd ZIP'�6s'sox I I Town of Barnstable Iiealth Division 200 Main Street jHyannis,MA 02601 I � j a'' j �ti�tt►�i��t�«itr►tt111111111rt>11uta1fi11-1111 lilt lilt!J Health Master Detail Page 1 of 1 � s1 y" -�, � f _. IRta ' fie: Eath*C• ,'4r�n - as� � ,,,,',: ¢u9s�s %�z.._a � � :._vf€gf:,d I: As: r\.J i'/i'6:v[`.,r.7 n non Health Master Det- 1l :.e,:;u"3.. :€:� Center wo111'11'p Selection Items Parcel � Septic Perc � - 4pe� Fuel Tank -7— Parcel: 206-004 Location: 11 LONG BEACH ROAD, CENTERVIL.LE Owner: PESSA, PHILIP A TRS & Business name: Business phone: Rental property: Deed restricted: Number of bedrooms fOl Contaminant released: % Fuel storage tank permit: Save Parcel ChangeFs� „Re#ur�nhtp Lookup Parcel Info Parcel ID: 206-004 Developer lot: Location: 112 LONG BEACH ROAD Primary frontage: 100 Secondary road: Secondary frontage: Village:CEN-1 ERVILLE Fire district:C-O-MM Sewer acct: Road index:0912 Asbuilt Septic Scan: 206004 1 Interactive map 10, Town zone of contribution:AP (Acluifer Protection Overlay District:) State zone of contribution:OUT Owner Info Owner: PESSA, PHILIP A _f RS & Co-Owner: HURVI 1 Z, LAURA P Streeti:C/O HURVITZ, LAURA PESSA Street2:75 PRIOR FARM RC City:DUXBURY State:MA Zip: 02332 C< Deed date:6/22/2005 Deed reference: 19962,/130 Land Info Acres: 0.17 Use: Single Farn MDL-01 Zoning: RD Neighborhood: V Topography: Level Road: Paved Utilities:Public Water,Gas,Septic Location:Excel View,Waterfn Construction Info B:,€ilrin- N+ ?" u;P ik`er—i L/E',Arealf3 drC cros BFth Y;'ml; 1 11940 2555 3 Bedroom 2 Full + 1H Buildings value:$295,800.00 Extra features: $0.00 Land value: $662,600.00 http://issq l/intrariet/healthMaster/HealthMasterDetail.aspx?ID=206004 6/10/2008 Cape Cod Vacation Rentals—Kinlin Grover GMAC - Property Page Page 1 of 5 N IN GAAAC I Home as Property List>> Property Ovmefs>a �Gape Cod r> - Links Homes for Sale '> .OVER OEM Vacation Rentals Property Search » Office Localions>> Ahout>> Contact>> eNews» Pro, erties Property Details TPESS 112 Long Beach Road (C-2), Barnstable-Centerville CENTERVILLE: Stunning river waterfront property with dock P access for one boat and deeded beach rights across the street using designated path. This beautifully decorated and well- maintain d home has a deck overlooking the river and is approximately 100 yards to Craigville Beach. The first floor d )iiPlllA ilEc; offers an open kitchen. dining area. large living room. den. Il` half bath. and a master bedroom with private bath. The second floor has two ample bedrooms. loft area and two full baths. Tranquil waterviews from almost every room. Beds: 2K. 1Q. 1T. 1 Sleep/Sofa. Maximum Occupancy: 8. Available: Friday to Friday. May 14th to July 2nd and August 20th to September 17th 2005. GUESTS BEDS BEDROOMS BATHS RATES 2 King Bed(s) 1 Queen Bed 3 3.5 s) From 8 2 Single/Twin Bed(s) $6,000/Wee 1 Sleeper Sofa(s) send inquiry >] Calendar June, 2008 Zj Reserve Online Now June 2008 July 2008 Reserving online is fast, easy, and secure. S M T W T F S ( S M T W T F S ( The calendar on the left shows the days 25 26 27 28 29 30 31 129 30 1 1 2 3 4 5 ( that this property is currently available as 1 2 3 4 5 6 7 6 7 8 9 10 11 12 I blue on white, and days that are not available as gray. To make a 8 9 10 11 12 13 14 113 14 15 16 17 18 19 I reservation for this property now, select 15 16 17 18 19 20 21 120 21122 23 24 25 261 an available arrival date for the first 22 23 24 25 26 27 28 1127 28 29 30 31 1 2 I night of your stay by clicking on the I29 30 1 2 3 4 5 6 8 9 calendar on the left. h--___� 4 5 7 l PLEASE NOTE:All properties are available Saturday to Saturday with a 7 night minimum unless otherwised noted. First Night Last Night http://www.vacationcapecod.com/viewproperty.aspx?PropertyID=5091 6/10/2008 Cape Cod Vacation Rentals— Kinlin Grover GMAC - Property Page Page 2 of 5 0 0 Town Barnstable-Centerville Pictures w f t 1 i P ! (click picture to enlarge) (click picture to enlarge) PT " , 44 y' (click picture to enlarge) (click picture to enlarge) v.�14 (click picture to enlarge) (click picture to enlarge) http://www.vacationcapecod.com/viewproperty.aspx?PropertyID=5091 6/10/2008 i Cape Cod Vacation Rentals—Kinlin Grover GMAC - Property Page Page 3 of 5 - .. .yam _� #I I� ,�• (- � r •� (click picture to enlarge) (click picture to enlarge) WL AW fir 44, (click picture to enlarge) (click picture to enlarge) -f ` i 1i r (click picture to enlarge) (click picture to enlarge) http://www.vacationcapecod.com/viewproperty.aspx?PropertyID=5091 6/10/2008 I Cape Cod Vacation Rentals— Kinlin Grover GMAC - Property Page Page 4 of 5 _ (click picture to enlarge) (click picture to enlarge) r (click picture to enlarge) Amenities Business Entertainment Outdoor Convenience • LD Phone Block • VCR • Outdoor Furniture • Sheets&Towels • Wireless Internet Hook • Stereo • Grill(Gas) • Linens Provided Up • Cable Channels • Outdoor Shower(Warm) • Clothes Washer Living • 4 color tv's • Porch • Dryer • Heat Kitchen • Private Assoc.Beach • Vacuum • Central air • Dish Washer • Hammock • Cleaning Supplies • ceiling fans • Microwave • Two Decks • Iron(Clothing) • Iron Board • standard stairs • Electric Coffee Pot • Central Vacuum • 1 twin rollaway • Toaster • Bike Path • Blender • Close to Beach COPYRIGHT 2004 GMAC HOME SERVICES .; LEGAL :: PRIVACY ASSOCIATES ONLY EQUAL HOUSING OPPORTUNITY' Information Policy Site Usage Agreement © 1999-2007 Escapia, Inc. Kinlin Grover GMAC Vacation Rentals is powered by Escapia Vacation Rental Software ClearStay Vacation Rentals + ib Barnstable Vacation Rentals I Centerville Vacation Rentals I Cotuit Vacation Rentals I Cummaquid Vacation Rentals Hyannis http://www.vacationcapecod.com/viewproperty.aspx?PropertyID=5091 6/10/2008 Town of Barnstable of Regulatory Services $ €'' 1�T fig` o M AN Thomas F. Geiler, Director H Public Health Division + sARNSTABLE. 9 MASS. �, Thomas McKean Director 16;9. 21B:)0 200 Main Street Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 June 10, 2008 Philp Pessa 75 Prior Farm Road Duxbury, MA 02332 As of October 1, 2006 a new rental registration ordinance was put into affect requiring all property owners of.rental units to register their rental units with the Town of Barnstable Health Division. According to our records, you own the rental property at 112 Long Beach Road, Cenertville. Enclosed is an application. Please use a separate application for each rental unit you own. Should you need more applications, they are available online at ,-ww.town.baznstable.ma.w. Go to the Health Division page by looking in the Department Menu. There is a link to the Rental Registration information on the Health Division page. You may print out as many as you need, and return them to the Health Division with the appropriate 2008 fees included. Failure to comply with this ordinance will result in the issuance of a non-criminal ticket citation in the amount of$100. Each day of non-compliance is considered a separate offense. Should you have any questions, please feel free to call 508-862-4644. Thank you in advance for your cooperation. Timothy B. O'Connell Health Inspector Health Division Direct#508-862-4646 f IMC0RP0RATE0 8271 Melrose Orive -Lenexa. KS 66214 - Phone: 913-492-0707 - Fax: 913-492-0808 e-mail: onsite®biomicrobics.com - www-momicrobics.com - 800-753-FAST(3278) MELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTAE.EATTON. AUM-ORIZIr1�rSEXVrCEPR OVIDER, Installation Address. I Name J&? Sales & Service, Inc. Owner Name Saliv nessa Street 44 U0rT=erC3.ajtreet Maii Address onz. 6ea e h Road Mail Address Oenterbille, `'A 02632 City State Zip cityR.a7nham slate'' zD027 6 7 508-775-2.021 508-823-9560 Phone Fax e-mail Phone ax e-mail Model No. Serial No. Date of Installation Date of last putnpout Electrical Panels) Visual Alarm Neratin -� Audio Alarm Operating (if present) Blower(s) Air Inlet Filter Clean r Blower Hood Vents Clear ✓ E.-ccessive Noise .._ Excessive Vibration .� Treatment unit(s) _ Unusuai Odor .` Pam out Required: Primary Serdin Gone a.. Aerobic Treatment Zone , yam=- Estimated Daily Flow - H Standard Units) Color Clear Temperature Odor Slightly musty odor not septic) OWNER SIGNATURE TECHI UCIAN SIGNA-TURF. SERVICE DATE J&R SALES & SERVICE, INC. June 8, 1999 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST®Treatment System Serial Number: SF1036 Attached please find the Field Inspection& Service Reports and Testing Results (as required) for services performed on 6/7/99 at the home of Sally Pessa located at 112 Long Beach Road. Please call if you have any questions or require additional information. Sincerely, Candy Gayares attachments cc: Sally Pessa 44 Commercial St. Baynham,MA 02767 Tole.508 823.9566 Fax 500-880-7232 44 Commercial Street Raynham, MA 02767 03 , �PEA"i�r' " � �' Tel: (508) 880-0233 Fax: (508) 880-7232 September 1, 2004 61 Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST® Treatment System Serial Number: SF1036 Attached please find the Field Inspection& Service Report and test results (as required) for services performed on 08/19/2004 at the property of Laura Hurvitz located at 112 Long Beach Road - Centerville, MA. Please call if you have any questions or require additional information. Sincerely, Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: Laura Hurvitz Massachusetts DEP f Environmental Chemistry M Environmental Services Site Assessment Site Sampling Quality Assurance Services A n �'UC Data Auditing lily. L.�l�.i�l jl. G ,p . R P O R 1. ....j O :N . Wastewater Treatment Services,Inc. CERTIFICATE. OF ANALYSIS 44 Commercial Street REPORTED: 08/27/2004 Raynham, MA 02767 ORDER#: G0462772 COLLECTED BY: M.Dillen SAMPLE DATE: 8/19/2004 TIME: 14:15 DATE RECEIVED: 8/20/2004 LOCATION: 112 Long Beach Rd., Centerville, MA SAMPLE ID: Hurvitz Grab(SF1036) DESCRIPTION: WATER RESULTS OF ANALYSIS Test Pal'QriletePS LAB-ID#: 0462772-01 BOD SM 5210B 08/20/2004 mg/L 4 14.0 pH SM 4500 H+B 08/20/2004 S.U. 0-14 7.4 Solids, Suspended SM 2540 D 08/24/2004 mg/L 4 <4.0 NA=Not Applicable ND=Not Detected Approved By: <' = Less Than *' = Detection Limit a Manag&V / Date Page 1 of 1 Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and DisposaVSFsstemsglsTABLE �YSa - 2880 A. Installation SP -3 Pm 2: 33 Important: Laura Hurvitz When filling out Owner forms on the Computer,use 112 Long Beach Road 1fIS10�t only the tab key Facility Street Address to move your Centerville 02632 + cursor-do not use the return city Zip key. Mailing address of owner, if different: ' I 75 Prior Farm Road Street Address/PO Box: Duxbury MA 02332 '°trO1 City State Zip (ext. Telephone Number B. Authorized Service Provider Wastewater Treatment Services, Inc. O&M Firm 44 Commercial Street Street Address Raynham MA 02767 city State Zip (508)—880-0223 ext. Telephone Number Michael Dillen 11173 Certified Operator Name Certification Number C. Facility/System Information SF1036 Bio-Microbics, Inc. Single HomeFAST.9 DEP ID Manufacturer's Name&ID Model Name&Number 10/29/1996 Installation Date Start of Operation Approval Type:_General _Provisional _Piloting X Remedial Seasonal Residence—used less than 6 mo./year:X Yes_No D. Operating Information 08/19/2004 Inspection Date Previous Inspection Date 'Sludge Depth(to be checked yearly) _ Pumping Recommended Yes X No Color: Clear Odor: None Effluent Description DEPMicroFASTnew.doc-8/31/04 Page 1 of 2 �- Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 2880 E. Sampling Informatio n Samples Taken:_Influent X Effluent Parameters sampled: X pH X BOD X TSS_TN_Other(list below) Other 1 Other 2 Other 3 Description of any maintenance performed since previous inspection &during this inspection: Cleaned Filter,,,Splash Recycle, Notes and Comments: F. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Michael Dillen 08/19/2004 Operator Signature Date System owner must submit this report,technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use-by January Piloting & Provisional Use- General Use—by September 315t of each year for the within 30 days of inspection 30th of each year for the previous calendar year date previous 12 months Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston. MA 02108 DEPMicroFASTnew.doc•8/31/04 Page 2 of 2 I N C 0 R P 0 A A T E 0 8450 Cole Parkway m Shawnee, KS 66227 m Phone 913-422-0707 m Fax: 912-422-0808 2880 e-mail: onsite _biomicrobics.com m www.biomicrobics.com m 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 112 Long Beach Road Installation Address Centerville,MA 02632 Name Wastewater Treatment Services,Inc. Owner Name Laura Hurvitz Street Mail Address: Mail Address 44 Commercial Street 75 Prior Farm Road Raynham, MA 02767 Duxbury,MA 02332 City State Zip 508-880-0233 508-880-7232 Phone Fax e-mail Phone Fax e-mail INSTAI IJATIOMINFORMATION..,. Model No. Serial No. Date of Installation Date of last pump out Single HomeFAST.9 SF1036 10/29/1996 EQUIPMENT NO '.`' 'MAINTENANCE`AERFORMED AND COMMENTS. Electrical Panel(s) Visual Alarm Operating X Audio Alarm Operating X if resent Blower(s) Air Inlet Filter Clean X Blower Hood Vents Clear X Excessive Noise X Excessive Vibration X Treatment unit(s) Unusual Odor Pum out Required: X Primary Settling Zone Aerobic Treatment Zone EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 4 Bedrooms H Standard Units Color Clear Temperature Odor None Comments: TECHNICIAN SERVICE DATE Michael Dillen 08/19/2004 44 Commercial Street Raynham, MA 02767 Tel: (508) 880-0233' Fax: (508) 880-7232' July 20, 2004 Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Attention: Health.Agent Reference: Single Home FAST® Treatment System Serial Number: SF1036 Attached please find the Field Inspection& Service Report(as required)for services performed on 07/12/2004 at the property of Laura Hurvitz located at 11-2Long Beach iRoad�' Centerville,'MA: Please call if you have any questions or require additional information. Sincerely, Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: Laura Hurvitz Massachusetts DEP Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 1750 A. Installation Important: Laura Hurvitz When filling out Owner forms on the computer,use 112 Long Beach Road only the tab key Facility Street Address to move your Centerville cursor-do not City 02632 use the return Zip key. Mailing address of owner, if different: 'Q 75 Prior Farm Road Street Address/PO Box: Dvxbury MA 02332 city State Zip (ext. Telephone Number B. Authorized Service Provider Wastewater Treatment Services, Inc. O&M Firm 44 Commercial Street Street Address Raynham MA 02767 City State Zip (508)—880-0223 ext. Telephone Number Michael Dillen 11173 Certified Operator Name Certification Number C. Facility/System Information SF1036 Bio-Microbics, Inc. Single HomeFAST.9 DEP ID Manufacturer's Name&ID Model Name&Number 10/29/1 996 Installation Date Start of Operation Approval Type:_General —Provisional _Piloting X Remedial Seasonal Residence—used less than 6 mo./year:X Yes_No D. Operating Information 07/12/2004 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended _Yes X No Color: N/A Odor: None Effluent Description D EP Micro FASTnew.doc-7/20104 Page 1 of 2 Massachusetts Department of Environmental Protection Ll Bureau of Resource Protection - Title 5 . DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 1750 E. Sampling Information Samples Taken:_Influent _Effluent Parameters sampled:_pH_BOD_TSS_TN_Other(list below) Other 1 Other 2 Other 3 Description of any maintenance performed since previous inspection & during this inspection: Cleaned Filter,,,Splash Recycle, Notes and Comments: F. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Michael Dillen 07/12/2004 Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January Piloting & Provisional Use- General Use—by September 31 st of each year for the within 30 days of inspection 30th of each year for the previous calendar year date previous 12 months Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston. MA 02108 DEPMicroFASTnew.doc-7/20/04 Page 2 of 2 r 5 MWIIT -, "l[a INCORPORAT E 0 8450 Cole Parkway m Shawnee, KS 66227 Phone 913-422-0707 w Fax:912-422-0808 1750 e-mail: onsiteCcDbiomicrobics.com www.biomicrobics.com 0 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FASTO System INSTALLATION AUTHORIZED SERVICE PROVIDER 112 Long Beach Road Installation Address Centerville,MA 02632 Name Wastewater Treatment Services,Inc. Owner Name Laura Hurvitz Street Mail Address: Mail Address 44 Commercial Street 75 Prior Farm Road Raynham, MA 02767 Duxbury,MA 02332 City State Zip 508-880-0233 508-880-7232 Phone Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pump out Single HomeFAST.9 SF1036 10/29/1996 EQUIPMENT YES. NO MAINTENANCE PERFORMED AND COMMENTS, Electrical Panel(s) Visual Alarm Operating X Audio Alarm Operating X if resent Blower(s) Air Inlet Filter Clean X Blower Hood Vents Clear X Excessive Noise X Excessive Vibration X Treatment unit's Unusual Odor Pum out Required: X Primary Settling Zone Aerobic Treatment Zone EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 4 Bedrooms H Standard Units Color N/A Temperature Odor None Comments: TECHNICIAN SERVICE DATE Michael Dillen 07/12/2004 44 Commercial Street Raynham, MA 02767 Tel: (508) 880-0233 Fax: (508) 880-7232 October 7, 2003 Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST® Treatment System Serial Number: SF1036 Attached please find the Field Inspection& Service Report and test results(as required) for services performed on 09/18/2003 at the property of Laura Hurvitz located at 112 Long Beach Road - Centerville, MA. Please call if you have any questions or require additional information. Sincerely, Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: Laura Hurvitz Massachusetts DEP Environmental Chemistry Acal',* Environmental Services SQite A�essment Anal, �}1BCe Site Samplinguali Assurance Services y Data AuditinCO R P T I O N CERTIFICATE OF ANALYSIS Wastewater Treatment Services,Inc. 4 REPORTED: 09/26/2003 4 Commercial Street Raynham, MA 02767 ORDER#: G0352015 COLLECTED BY: M.Dillen SAMPLE DATE: 9/18/2003 TIME: 14:30 DATE RECEIVED: 9/19/2003 LOCATION: 112 Long Beach Rd.,Centerville,MA SAMPLE ID: Hurvitz Grab SF1036 DESCRIPTION: WATER RESULTS OF ANALYSIS 011111 Test Parameters ','LAB-ID#: 0352015-01 BOD SM 5210B 09/19/2003 mg/L 4 21.9 pH SM 4500 H+B 09/19/2003 S.U. 0-14 4.9 Solids,Suspended SM 2540 D 09/23/2003 mg/L 4 29.0 NA=Not Applicable ND=Not Detected Approved By: '<' = Less Than La Manager Date Detection Limit Page t of 1 Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION U0 ONE WINTER STREET, BOSTON, MA 02108 617.292-5500 DEP Approved Inspection and O&NI Form for Title 5 UA Treatment and Disposal Systems Installation ?authorized Service Provider Installation Address: O&M Firm: 112 Long Beach Road: Centerville �U�s, uatr�.r�i�z��r�nG J1ue�, 9 Owner Name: Mail Address: Laura H u r v i t z 44 Ca mnerdal street,Raynham,MA 02767 Mail Address: Tot(508)880.0233 Fax:(508)880 7232 75 Prior Farm Road Telephone No.: Duxbury, MA 02332 Certified Operator Name: j-2 1�C lL. Telephone No.: DEP No.: Mfr.No.: Cem No.: / 1 3 ' SF1036 Model No.: Installation Date: �'Vt.iGro FAST Start of Operation: i Approval Type: (Circle) Seasonal idence-used less than 6 mo.iye-i :(Circle) i General Provisional Piloting Remedia Yes No Operating Information i Previous Inspection Date: Inspectiio Date Sludge Depth:(to be chatted yearly) Ptunping Recommended(circle) 7� Yes No Effluent Description:. Attach copy of certified lab results. _ i Check all dwt art required Samples:Influent Effluent Parameters: � TNOther Other Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection and During this Inspection: Notes and Comments: I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached manufacturer's operation and maintenance checklist,and the information reported is true, accurate,and complete as of the time of the inspection. I am a M huse ertifted operator in accordance with 257 CNIR 2.0 . Operator Signature Date System owner must submit Remedial Use-by January 3l"of Department of Environmental this report, manufacturer's each year for the previous calendar Protection O&M checklist,and any year Attn: Title 5 Program required sampling results Piloting& Provisional Use- within One Winter Street, 6'" Floor to the local Board of Health 30 days of inspection date General Use-by September 30d of Boston, NIA 0..108 and DEP as follows for each inspection performed: each year for the previous I. months 511101 INCORPORATED 8450 Cole Parkway■ Shawnee, KS 66227■Phone 913-422-0707■ Fax: 912-422-0808 e-mail: onsite(Mbiomicrobics.com ■www.biomicrobics.com■ 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System 112 Long Beach Road Installation Address Centerville,MA 02632 4���isecrrin��tG c�uviu�� ,9. Owner Name Taura Hury Mail Address .�.. --4a commeraal streei,Reyniiem,AAA oiis7 75 Prior Farm Road Tel:(soe)eeaor� Fa)c(soe)eea7232 city Duxbury, MA 02322 State i 508-880-7232 Phone Fax e-mail Phone Fax � e-mail Model No. Serial No Date of Installation Date of last Dumpout SF1036 10/29/96 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 LEWT RESULT Estimated Daily Flow 4 Bedrooms H(Standard Units) 6-9 S.U. Color Clear Temperature Odor S Ightly\ musty odor not tie f- TECHMC S1GNA SERVICE DATE 44 Commercial Street Raynham, MA 02767 Tel: (508) 880-0233 RECEIVED Fax: (508) 880-7232 July 11, 2003 JUL 1 6 2003 TOWN OF BARNSTABLE HEALTH DEPT. Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST° Treatment System Serial Number: SF1036 Attached please find the Field Inspection& Service Report(as required)for services performed on 07/10/2003 at the property of Sally Pessa located at 112 Long Beach Road - Centerville, MA. Please call if you have any questions or require additional information. Sincerely, Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: Sally Pessa Massachusetts DEP .p C0i�ft,(Q�i± ,"EAL Vi-i per) s\ef,AS:Sr�C-i 'U3E i l,6 VL* t C' .. � � ' -I, :{ � 1�DEPARTMENT OF ENVIRONMENTAL PROTECTION 11VONE WINTER STREE T, BOSTUN, NIA 02108 617.293.5500 DIP Approved Inspection and O&M Form for Title 3 UA Treatment and Disposal Systems Installation :authorized Service Provider Installation Address: O&Nl Firm: 112 Long Beach Road: Centerville q�'asG�cuat�•�eaUrerrat eferucce.�, Owner Name: NtA _ ._.-- --. --- - ---_ Mail Address: 44 Commercial Street,Raynham,MA 02767 ;Mail Address: Sally Pessa Tel:(508)880-0233 Fax:(506)660-7232 112 Long Beach Road Telephone No.: Centerville,MA 02632 Certified Operator Name: Te.t eohore No.: 5087752021 DEP No.: t4lfr. No:: SF1036 Cert.No.: 117� �/ v Model No.: Installation Dace: h/I.IGro FIST Start of Operation: I Approval Type: (Circle) Seasonal idence—used less than 6 mo./year: (Circle) General Provisional Piloting Remedia Yes No Operating Information Previous Inspection Date: Inspectiory Datq. / Sludge Depth:(to be hccked yearly) ping Recommended(Circle) ' /� J e No Effluent Description: _ Attach copy of certified lab resul - __ .. _•. ... Check all that,are required Samples:Influent Effluent Parameters >'.pH "BOD TSS TN Other Other Other Description of Overall System Condition: Description of airy Maintenance Performed since Previous Inspection and During this Inspection: Notes and Comments: I certify: I have inspected the sewage treatment and disposal system at the address above,have completed this report and the attached manufacturer's operation and maintenance checklist,and the information reported is true, accurate, and complete as of the time of.the inspection. I am a assachusetts certified operator in accordance with 257 CNI[R 2.00. Operator Signattrre Date System owner must submit Remedial Use—by January 3 1"of Department of Environmental this report, manufacturer's each year for the previous calendar Protection O&M checklist,and any year Attn: Title S Prouram required sampling results Piloting& Provisional Use - within One Winter Street, 61h Floor to the local Board of Health 30 days of inspection piece Boston, LNIA 02108 and DEP as follows for General Use—by September 30 of each inspection performed: each year for the previous 12 months 511101 +i 1 INCORPORATED 8450 Cole Parkway ■ Shawnee, KS 66227 ■Phone 913-422-0707 r Fax: 912-422-0808 e-mail: onsite(ftiomicrobics.com ■vwwv.biomicrobics.com . 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System rY t n.- - tsrrrer Kn t y,.r.� -%Sc* ,mow+�-,u�' m u�vs ._.._.: ...._.. ..,..... .. uci. wy an,�...amw aJ:rsn.®,:.�Yaaa.,„ve.ma' a.: a^c" 1,r r� �..�.,x' INSTALLATION AUTHORIZED SERVICE PROVIDER 112 Long Beach Road Installation Address Centerville,MA 02632 Owner Name Sally Pessa Mail Address 112 Long Beach Road 44 Commer;tal street,Raynham.MA 02767 - Centerville MA 02632 Tel:(W8)880.02a3 Fax:Isoal seoa23z city State Zip 5087752021 508-880-7232 Phone Fax e-mail Phone Fax e-mail Model No. Serial No. Date of Installation Date of last pumpout _. SF1036 10/29/96 :E UIP.MENT _ , YES;' a 4 - Electrical Panels 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 oat Required: Primary Settling Zone Aerobic Treatment Zone EFFLUENT(optional) LE WIT RESULT Estimated Daily Flow 4 Bedrooms H(Standard Units) 6-9 S.U. Color Clear Temperature Odor Slightly musty odor not septic) k _ �/� r i ,,4.51 TECHMCIAN SIGNATURE SERVICE DATE - .. I of rare Town of Barnstable. Regulatory Services. BARNSTABLE.,.*. M^ Thomas F. Geiler,Director. �p .619 'FD" A Public Health Division Thomas McKean,Director. 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 TO: Ms. Sally Pessa Date: Jan. 17,2003 112 Long Beach Road Centerville,MA 02632 Dear Ms. Pessa, Please ensure that you immediately provide access to the Single Fast Treatment system at your property. Access is needed so that the wastewater effluent can be tested and the system can be inspected and maintained as required. Sincerely yours, Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health Town of Barnstable CC: Wastewater Treatment Services,Inc. Susan Rask, Chairman Board of Health DEP, 20 Riverside Drive Lakeville Q:\HEALTMWPFILES\I&A\accessport.doc 44 Commercial Street Raynham, MA 02767 Tel: (508) 880-0233 .,Fax:.(508) 880-7232 ]DE�PT- BarnstableJanuary 10,:2003` J AN 1TOVYHE�LTH Board of Health PO Box 534 Hyannis, MA 02601 Attention-: Health,:Agent. Reference: Single Home FAST® Treatment System Serial Number: SF1036 Attached please find the Field Inspection& Service Report. We attempted service on 12/26/2002 at the property of Sally Pessa located at 112 Long Beach Road-Centerville, MA; however, the system was turned off for the winter. Please call if you have any questions or require additional information. Sincerely, Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: Sally Pessa f 4 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617.393.5500 DEP Approved Inspection and O&NI Form for Title 5 VA Treatment and Disposal Systems Installation Authorized Service Provider Installation Address: O&NI Firm: 112 Long Beach Road: Centerville qy� „a�,, 5isearinrno�llUuicea, ,�itG Owner Name: MA Mail Address: ^� 44 Commercial Street,Raynham,MA 02767 Mail Address: Sally Pessa Tel:(508)ee0-0233 Fax:(50e)e80-7232 112 Long Beach Road Telephone No.: Centerville,MA 02632 Certified Operator Name: Telephone No.: 5087752021 , DEP No.: Mfr.No.: Cert.No.: �p'`/. SF1036 `l& I Model No.: Installation Date: Micro Ff�ST Start of Operation: Approval Type: (Circle) Seasonal idence—used less than 6 moJyear: (Circle) General Provisional Piloting Remedia Yes No Operating Information Previous Inspection Date: T nspection D te: Sludge Depth:(to be checked yearly) Pumping Recommended(Circle) Yes No Effluent Description: Attach copy of certified lab results. Check all that are required Samples:Influent Effluent Parameters: pH . BOD TSS TN Other Other Other Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection and During this Inspection: Notes and Conun.ents: I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached manufacturer's operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CNIR 2.00. Operator Signature Date System owner must submit Remedial Use—by January 3 1"of Department of Environmental this report, manufacturer's each year for the previous calendar Protection O&M checklist, and any year Attn: Title 5 Prooram required sampling results Piloting& Provisional Use - within One Winter Street, 6'h Floor to the local Board of Health 30 days of inspection date General Use—by September 30`"of Boston, NIA 02..108 and DEP as follows for each year for the previous 12 months each inspection performed: 511101 LU RM, N C 0 A P 0 R A T f 0 8450 Cole Parkway v Shawnee, KS 66227 m Phone 913-422-0707■ Fax: 912-422-0808 e-mail: onsite(Mbiomicrobics.com a www.biomicrobics.com a 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System -W TA LL ORI ON SER\tICE PR ERA' INN 112 Long Beach Road Installation Address Centerville,MA 02632 %Pa A 91-w&n&z e,ja v e j 7a v Owner Name Sally Pessa Mail Address 112 Long Beach Road 44 Commer6fal Street,Raynham.MA 02767 Centerville, MA 02632 Tel:(W8)880-OM Fax(508)Wo-7232 city State Zip 5087752021 508-880-7232 Phone Fax e-mail Phone Fax e-mail R $W" N Model No. Serial No. Date of Installation Date of last pumpout SF1036 10/29/96 Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating if present) Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment unit(s) Unusual Odor Pumpout Required: Primary Settling Zone Aerobic Treatment Zone EFFLUENT(optional) LEMH RESULT Estimated Daily Flow 4 Bedrooms pH(Standard Units) 6-9 S.U. QT7 L�'_ Color Clear J_X Temperature -U Odor Slightly musty odor not septic) TFCHNICIAN SIGNATURE SERVICE DATE i 44 Commercial Street Raynham, MA 02767 Tel: (508) 880-0233 Fax: (508) 880-7232 November 21, 2002 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: , .Health Agent Reference: Single Home FAST® Treatment System Serial Number: SF1036 Attached please find the Field Inspection& Service Report (as required) for services performed on 09/19/2002 at the property of Sally Pessa located at 112 Long Beach Road - Centerville, MA. The unit was serviced but not tested as there was no access to test. Please call if you have any questions or require additional information. Sincerely, Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: Sally Pessa ► v. COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292.5500 DEP Approved Inspection and O&NI Form for Title 5 VA Treatment and Disposal Systems Installation Authorized Service Provider Installation Address: O&M Firm: 112 Long Beach Road: Centerville 4�ase�euiater Cif�utiuice�. ,�it� Owner Name: Mail Address: —� Sall Pessa 44 Commercial Street,Reynhem,Mtn 02767 Mail Address: y Tel:(508)880-UM Fax:(SM)880.7232 112 Long Beach Road Centerville,MA 02632 Tel hone No.: Certified Telephone No.: 5087752021 Operator Name: DEP No.: Mfr.No.: Cert.No.: /�� SF1036 3 Model No.: Installation Date:'1/I,IGro FI4ST Start of Operation: Approval Type: Circle I yp (. Seasonal idence—used less than 6 mo./year: (Circle) General Provisional Piloting Remedia Yes No Operating Information Previous Inspection Date: Inspectio Date* Sludge Depth:(to be checked yearly) Pumping Recommended(Circle) Q� Yes No I Effluent Description: Attach copy of certified lab results- Check all that are required_ Samples: Influent Effluent Parameters: pH BOD TSS TN Other Other Other Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection and During this Inspection: Notes and Comments: [ certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached manufacturer's operation and maintenance checklist, and the information reported is true,accurate, and complete as of the time of the inspection. I am a Ma chus s certified operator in accordance with 257 CNIR 2.00: Operator Signature Date System owner must submit Remedial Use—by January 3 l"of Department of Environmental 2�R this report, manufacturer's each year for the previous calendar Protection O&M checklist, and any year Attn: Title 5 Program required sampling results Piloting& Provisional Use - within One Winter Street, 61h Floor to the local Board of Health 34 days of inspection date General Use—by September 30'"of Boston, NIA 02108 and DEP as follows for each inspection performed: each year for the previous I: months 511101 � Q INCORPORATED 8450 Cole Parkway. Shawnee, KS 66227■Phone 913-422-0707■ Fax: 912-422-0808 e-mail: onsite(M-biomicrobics.com■www.biomicrobics.com ■ 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION . AUTHORIZED SERVICE PROVIDt�%%J `;`} � . ,. ?,a•i,{{i� f c 'Y I �" �sk s tt�:. �, N'�`.�°'Sr'�5vi G��v> > y 1 c^a v p��rvy� ��}� ri 112 Long Beach Road Installation Address Centerville,MA 02632 Owner Name Sally Pessa i street Ra 44 Commecial --- Mail Address 112 Long Beach Road �r yriham,tiAA o2�si Centerville, MA 02632 Tel:(50e)eeb-°rM Fax(we)aaar= city State Zip 5087752021 508-880-7232 Phone Fax e-mail Phone Fax e-mail �r INST�4LI;ATIOI�I II�FO2MATIONMCI r � ru � <a: • •es 432 f '^ Model No Serial No. Date of Installation Date of last pumpout SF 1036 10/29/96 ,S. r`=aNO ,� M........_ Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating if resent Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear Z--- Excessive Noise Excessive Vibration Treatment unit(s) Unusual Odor Pum out Required: Primary Settling Zone Aerobic Treatment Zone EFFLUENT(optional) LEWT RESULT Estimated Daily Flow 4 Bedrooms H(Standard Units) 6-9 S.U. Color Clear Temperature Odor Slightly musty odor (not se tic) TECHNICIAN SIGNATUR SERVICE QATE 44 Commercial Street Raynham, MA 02767 Tel: (508) 880-0233 Fax: (508) 880-7232 June 12, 2002 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST® Treatment System g Y Serial Number: SF1036 Attached please find the Field Inspection& Service Report (as required) for services performed on 6/4/Z002 at the home of Sally Pessa located at 112 Long Beach Road - Centerville, MA. The covers are not to grade. Please call if you have any questions or require additional information. Si cerely, EVIED net M. Whitman JUN 21 200Z Enclosures 7OWH OF )NST BLE Copy to: Sally Pessa COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617.392.5500 DEP Approved Inspection and O&NI Form for Title 5 VA Treatment and Disposal Systems Installation Authorized Service Provider Installation Address: O&M Firm: 112 Long Beach Road: Centerville Owner Name: Mail Address: 44 Commeralel Street,Raynham,MA 02767 Mail address: Sally Pessa Tel:(508)BW-M 3 Fax:(5W)880.7232 j 112 Long Beach Road Telephone No.: Centerville,MA 02632 Certified Operator Name: C,�J Telephone No.: 5087752021 , DEP No.: Mfr.No.: Cert.No.: SF1036 f// -7 Model No.: Installation Date: Stan of Operation: '' ucro FAST Approval Type: (Circle) Seasonal idence—used less than 6 mo./year: (Circle) General Provisional Piloting Remedia Yes No Operating Information Previous Inspection Date: Inspection Date: Sludge Depth:(to be checked ping Recommended(Circle) (� y I I No Effluent Description: Attach copy of certified lab results. Check all that are required Samples:Influent Effluent Parameters: pH BOD TSS TN Other Other Other Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection and Diming this Inspection: Notes and Com.*nerts: I certify: I have inspected the sewage treatment and disposal system at the address above,have completed this report and the attached manufacturer's operation and maintenance checklist,and the information reported is true, accurate, and complete as of the time of the insuctionn.. I am a,,Massachusetts certified operator in accordance with 257 CNIR 2.00. C Operator Signature Date System owner must submit Remedial Use-by January 3 I"of Department of Environmental this report, manufacturer's each year for the previous calendar Protection O&M checklist, and any year Attn: Title 5 Program required sampling results Piloting& Provisional Use - within One Winter Street, 61" Floor to the local Board of Health 34 days of inspection dale Boston, CIA 02108 and DEP as follows for General Use-by September 30 of each year for the previous I_2 months { each inspection performed: 511101 1 INC ORPORATED 8450 Cole Parkway■ Shawnee, KS 66227■Phone 913-422-0707■ Fax: 912-422-0808 e-mail: onsite(Mbiomicrobics.com ■www.biomicrobics.com■ 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System . it\STALL�11�� � : �'����•� '� ' _-- A�*p��'�t�.rt l_ - •y, �'?���y.-P�X�S,.�Fk�•�r Wi�"h t ,� r � � ' �' ' �k �g'r ��, �Avlti} •DT�L7Tt#Trl YLC�".� t 112 Long Beach Road Installation Address Centerville,MA 02632 �as�'e�uater -g1-w&nw4 fuvhcr�, .1ri Owner Name Sally Pessa Mail Address 112 Long Beach Road comnrerdal street Ftayntiern,9A b isi.. Centerville, MA 02632 Tel'(50e)ttso•om Fax(508)880-7232 city State Zip 5087752021 508-880-7232 Phone Fax e-mail Phone Fax e-mail Model No. Serial No. Date of Installation Date of last pumpout SF1036 10/29/96 Electrical Panel(s) Visual Alarm OperatingI/ Audio Alarm Operating if resent Blower(s) Air Inlet Filter Clean Ll Blower Hood Vents Clear Excessive"Noise Excessive Vibration {/ Treatment unit(s) Unusual Odor Pum out Re uiired: Primary Settling Zone Aerobic Treatment Zone EFFLUENT(optional) LEMIIT RESULT Estimated Daily Flow 4 Bedrooms H(Standard Units) 6-9 S.U. Color Clear Temperature Odor Slightly musty odor (not s tic) TECHNIC!AN SIG SE VICE DATE 44 Commercial Street Raynham, MA 02767 Tel: (508) 880-0233 Fax: (508) 880-7232 March 25, 2002 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST® Treatment System Serial Number: SF1036 Attached please find the Field Inspection& Service Report (as required) for services performed on 3/5/2002 at the home of Sally Pessa located at 112 Long Beach Road - Centerville, MA. Please call if you have any questions or require additional information. erely, RECE VEP anet M. Whitman . Enclosures APR U 1 200� TOWN OF BARNSTABLE HEALTH DEPT. Copy to: Sally Pessa n; COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617.393.5500 DEP Approved Inspection and O&NI Form for Title 5 UA Treatment and Disposal Systems Installation authorized Service Provider Installation Address: O&NI Firm: 112 Long Beach Road: Centerville Owner Name: fvbk Mail Address: 44 Commercial Street,Raynham,MA 02767 ivtail Address: Sally Pessa Tel.(soe)ee0.o233 Fax:(508)880-7= 112 Long Beach Road Telephone No.: Centerville,MA 02632 Certified Operator Name: Telephone No.: 5087752021 DEP No.: Mfr.No.: SF1036 Cert.No.: Model No.: Installation Date: h/I,ICrC FAST Start of Operation: T--' 10129.496 Approval Type: (Circle) Seasonal Residence—used less than 6 mo./year: (Circle) General Provisional Piloting Remedia Yes No Operating Information Previous Inspection Date: Inspection Date: Sludge Depth:(to be checked v P yearly) Pumping Recommended(Circle) Yes No Effluent Description: Attach copy of certified tab results. Check all that are required ASamples: Influent Effluent Parameters: pH BOD TSS TN Other Other Other Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection and During this Inspection: a� G� Ck-Zj A/►'1PS A/'T j P i L✓ 2 I Notes and Comments: I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached manufacturer's operation and maintenance checklist, and the information reported is true, accurate,and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CNIR 2.00. 3 � � a Opefator Signature Date System owner must submit Remedial Use—by January 31"of Department of Environmental this report, manufacturer's each year for the previous calendar Protection O&M checklist, and any year Attn: Title 5 Program required sampling results Piloting& Provisional Use- within One Winter Street, 6'" Floor to the local Board of Health 30 days of inspection date General Use—by September 30'"of Boston, NIA 02108 and DEP as follows for each inspection performed: each year for the previous I_ months 511101 J - � I Q INCORPORATED 8450 Cole Parkway a Shawnee, KS 66227■Phone 913-422-0707 a Fax: 912-422-0808 e-mail: onsite _biomicrobics.com a www.biomicrobics.com a 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bib-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 112 Long Beach Road Installation Address Centerville, MA 02632 Owner Name Sally Pessa ��teu�ater� Mail Address 112 Long Beach Road �� ine�cGcJUr�ice�,"few i Centerville, MA 02632 44 commercial Street,Ra t►arn,MA 02767 50 State Zip Tel:(soa)ee0-02M Fax(sos)NO-7= 087752021 Phone Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pumpout SF 1036 10/29/96 EQUIPMENT YES NO MAINTENANCE PERFORMED AND COIv11bIENTS Electrical Panel(s) Visual Alarm Operating ,a Audio Alarm Operating N Jj0 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(optional) LEMT RESULT Estimated Daily Flow 4 Bedrooms H Standard Units) 6-9 S.U. Color Clear Temperature Odor Slightly musty odor (not septic) T C 1C1AN NATU SERVICE DATE �as.��utat,� ��eatir�er�cfe���ces% �iu� 44 Commercial Street Raynham, MA 02767 Tel: (508) 880-0233 Fax: (508) 880-7232 January 7, 2002 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST° Treatment System Serial Number: SF1036 Attached please fmd the Field Inspection& Service Report (as required) for services performed on 12/18/01 at the home of Sally Pessa located at 112 Long Beach Road- Centerville, MA. Please call if you have any questions or require additional information. Sin ely, J et M. Whitman Enclosures Copy to: Sally Pessa r` COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617.292.5500 DEP Approved Inspection and O&NI Form for Title 5 UA Treatment and Disposal Systems Installation :authorized Service Provider Installation Address: O&M Firm: 112 Long Beach Road: Centerville ��asGrcuatrr°,�/'l;�ZC/lZPllti cJUYIiCI,�, 9�cc. Owner Name: fvbk (✓fail Address: 44 Commercial Street,Raynham,MA 02787 Mail Address: Sally Pessa Tel:(508)e80-02M Fax.Isoel 880.7232 112 Long Beach Road I Centerville,MA 02632 Telephone No.: Telephone No.: 5087752021 Certified Operator Nam DEP No.: Mfr.No.: SF1036 Cart.No.: /al 6-1 _ 42 Model No.: Installation Date: (.�, ftkiGro F13ST Stan of Operation: Approval Type: (Circle) Seasonal idence—used less than 6 mo./year: (Circle) General Provisional Piloting Remedia Yes No Operating Information Previous Inspection Date: Inspection D te: Sludge Depth:(to be checked yearly) Pumping commended(Circle) Yes o Effluent Description: Attach copy of certified lab results. Check all that are required Samples:Influent Effluent Parameters: pH BOD TSS TN Other Other Other Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection and During this Inspection: i i Notes and Commehas. I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached manufacturer's operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature 1 ate System owner must submit Remedial Use—by January 31"of Department of Environmental this report, manufacturer's each year for the previous calendar Protection O&M checklist,and any year Attn: Title 5 Program required sampling results Piloting& Provisional Use- within One Winter Street, 6`h Floor to the local Board of Health 30 days of inspection date ,� Boston, NIA02108 and DEP as follows for General Use—by September 30 of each inspection performed: each year for the previous 12 months 5/li0l 1 INCORPORATED 8450 Cole Parkway■ Shawnee, KS 66227■Phone 913-422- 7 0 07■ Fax: 912-422-0808 e-mail: onsite cCi-biomicrobics.com ■www.biomicrobics.com ■ 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED,SERVICE PROVIDER 112 Long Beach Road Installation Address Centerville,MA 02632 Owner Name Sally Pessa Mail Address 112 Long Beach Road 44 Commerdal street,Rapp m,MA 02767 Centerville, MA 02632 Tet•(508)880-OM Fax(Se)880.7232 city State Zip 5087752021 508-880-7232 Phone Fax e-mail Phone Fax e-mail .. , ?r�"�i:I1VSTA1r.L-ATIOKINFORMATIOI�'4 �c�,��.{'�°:�T, � .. r >.._�•�N 5 -��.,�wr�.'. a Model No. Serial No. Date of Installation Date of last pumpout SF1036 10/29/96 E UIPIHENT ' r : arm � � MAT M-DUNC k , 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 l� Treatment uni "s' Unusual Odor l Pum out Required: Primary Settling Zone Aerobic Treatment Zone EFFLUENT(optional) LEWr RESULT Estimated Daily Flow 4 Bedrooms H Standard Units 6-9 S.U. Color Clear Temperature Odor Slightly musty odor not tic) CHMC IG TURE SERWVICE DATE �Y�crs.G`e�utzter- Gruzfirre� cfeisv�cee•,, �iw•. 44 Commercial Street Raynham, MA - 02767 Novemtier'20, 2001 Tel , , .,.:.a, '< _ , ,� , . , _ i _ (5 8)` 0 880-0233 Fax: (508) 880-7232 Division of Water Pollution Control Department of Environmental Protection One Winter Street—6`h Floor Boston, MA 02108 Attention: Ms. Natalie Brown Subject: Request for Testing Reduction FAST Treatment System Reference: Serial Number SF1036 112 Long Beach Road- Centerville, MA Dear Ms. Brown: Attached please find the results for two additional quarters of testing as requested per, Mr. Larigtey's letter'of denial dated September 21, 2000. The testing was performed at - the property of Sally Pessa, 112 Long Beach Road, Centerville, MA. As the operator of this system we are requesting the testing requirements be reduced or eliminated for this unit. Please forward a copy of your decision to our office. Thank you. 'merely, r anet M. Whitman cc: Barnstable Board of Health Homeowner Mailing Address: Sally Pessa 112 Long Beach Road Centerville, MA r RECEIVED &R SALES & SERVICE, INC. August 10, 2001 AUG 16 2001 TOWN OF BARNSTABLE HEALTH DEPT. Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST° Treatment System Serial Number: SF1036 Attached please find the Field Inspection& Service Report (as required) for services performed on 6/26/01 at the home of Sally Pessa located at 112 Long Beach Road- Centerville, MA. Please call if you have any questions or require additional information. S' erely, x v J et M. Whitman Enclosures Copy to: Sally Pessa 44 Commercial St. Raynham,MA 02767 Tole.508.823 9566 Fax 508-880 7232 4 r 00INCORPORATE0 t 8450.Cale Parkway a Shawnee, KS 66=7 .Phone 913-422-0707 . Fax: 912-422-0808 e-mail: onsit2Qbiomicmbics.com a www.biomicrobics.com a 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 112 Long Beach Road Installation Address Centerville, MA 02632 Name J&R Sales&Service. Inc. Owner Name Sally Pessa Street Mail Address 112 Long Beach Road Mail Address 44 Commercial Street Centerville, MA 02632 Raynham, MA 02767 City State Zip CAX State Zi 5087752021 508-823-9655 508-880-7232 Phone Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pumpout SF 1036 10/29/96 EQUIPMENT YES NO MA04TENANCE PERFORMED AND COIVIIKENTS 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(optional) LBUT RESULT Estimated Daily Flow d Bedrooms H(Standard Units) 6-9 S.U. Color Clear —Temperature Odor Slightly musty odor (not septic) JTECHNICI�4 SIGNATURE SERVICEDATE COMMONWEALTH OF MASSACHUSETTS EXECUT1yL OFFICE OF NVIRC>NNiENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 JANE SWIFT Governor BOB DURAND Secretary LAUREN A.LISS Commissioner RECEIVE® December 10, 2001 DEC 1 4 '69I Sally Pessa 112 Long Beach Road To''v=a, �► �_ Centerville, MA 02632 Re: Alternative On-site Sewage Treatment Monitoring and Reporting Requirement DEP Facility ID: 105028 112 Long Beach Road, Centerville, MA Dear Ms. Pessa: The Department has received a letter from Wastewater Treatment Services,Inc.,dated 11/20/2001,requesting reduction or elimination of monitoring and reporting of pH,BOD and TSS on a quarterly basis on the effluent from the alternative on-site sewage disposal system at the above referenced facility. The Department,having reviewed the monitoring data for this technology,in general,and your system,approves the request to reduce effluent monitoring of the system,from four times to one time per:�ear?The change in momtoring requirements in no way-changes the requirement that;throughout `its-use;the system shall be under-an operation and maintenance agreement with a person or firm qualified to provide services consistent with the system's specifications. The operator must maintain the system at least every three months and anytime there is an.alarm event. Additionally, as required by the Approval for the system,any time the operator changes,you shall notify the Department and the local approving authority, in writing,within seven days of such change. Please note that the Department is now requiring the use of a DEP approved inspection form and technology checklist. You must submit,by January 31"of each year, a copy of the"DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems"and the "FAST O&M Checklist"to the Department and local Board of Health for each O&M inspection performed during the previous 12 months. The certified operator under contract to operate and maintain the system must complete these forms. Enclosed are copies of these forms. The annual sampling results must accompany the forms. This information is,available in alternate format by calling our ADA Coordinator at(617)574-6872. DEP on the World Wide Web: http:/Avww.state.ma.us/dep 10 Printed on Recycled Paper Re: Monitoring and Reporting Requirement Page 2 DEP Facility No.: 105028 If the concentration of either BOD or TSS in the annual effluent sample from your system exceeds 30 mg/L:, within 45 days of the annual sample you must both have your system sampled again and submit the results to the Department. Provided that the second sample meets the 30mg/L limit for BOD and TSS, you may resume annual monitoring of your system. However, if the second sample does not meet the 30mg/L limit for both BOD and TSS, you must resume quarterly monitoring of your system. Following four consecutive quarters of monitoring demonstrating the system meets 30 mg/L for both BOD and TSS,the Department would favorably consider another written request to reduce monitoring. This reduction in monitoring requirements is conditioned upon your compliance with the Approval and the requirements in this letter. Please be aware this change in monitoring does not apply to any local requirements. You should discuss any changes'from the local monitoring requirements, if any apply to your system, with your local Board of Health officials. You should check with the local Board of Health rior to reducing effluent monitoring-and reporting to ensure that the reduction would be consistent with any local requirements. Should you have any questions regarding this matter,please do not hesitate to contact Dana Hill, of my staff, at(617) 292-5867. Sincerely, Lealdon Langley, Director Watershed Permitting Program Enclosures: 2 cc: Wastewater Treatment Services,Inc., 44 Commercial.Street, Raynham, MA 02767 DEP/SERO,,B. Dudley Barnstable Public Health Division, P.O. Box 534,.Hyannis, MA 02601 current.sample red ... f RECEIVE® APR 6 2001 TOWN�r BARNSTABLE HEALTH DEPT. J&R SALES & SERVICE, INC. April 3, 2001 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST°Treatment System Serial Number: SF1036 Attached please find the Field Inspection& Service Report and test results(as required) for services performed on 3/20/01 at the home of Sally Pessa located at 112 Long Beach Road - Centerville, MA. Please call if you have any questions or require additional information. 7S' rely, s net M. Whitman Enclosures Copy to: Sally Pessa €f.. 44 Commercial%. 8aynham,MA 02767 Tole.508 823.9566 Fax 508.880 7232 Environmental Chemistry Environmental Services Site Assessment al Site Sampling Analvfic B Quality Assurance Services CC Data Auditing C. C) R 1' 0 R A 'l' I C) 1\ CERTIFICATE OF ANALYSIS J&R Sales & Service REPORTED: 3/28/2001 44 Commercial Street Raynham, MA 02767 ORDER #: G0122322 COLLECTED BY: J. Peterson SAMPLE DATE: 3/20/2001 TIME: 10:45 DATE RECEIVED: 3/20/2001 LOCATION: Centeville, MA (SF 1036) SAMPLE ID: Pessa Grab DESCRIPTION: WATER �j RESULTS OF ANALYSIS 1��3'(}75"FY��„7� Q.'ham r✓,7s '.d'yp„ip 4,*A 'ii �'u'' � �:. `'�� "' ��Y�♦, � t��. ,�'k�t' k"t k N 4+:y1�AJ �k,e^ �' :Test Parameters LAB-ID#: t1122322-01 ;BOD SM 5210B 3/21/2001 mg/L 4 T 13.3 ,pH SM 4500 14+13 _i 3/20/2001 _S.U. 0-14 _ 8.0 — 'Solids, Suspended SM 2540 D 3/27/2001 mg/L 2 9 NA=Not Applicable ND=Not Detected Approved By: <' = Less Than Lat> anager / Date *' = Detection Limit Puge: 1 Arnalylical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 _ OZINCORPO R A T E 0 8450.Cole Parkway ■ Shawnee, KS 66227 a Phone 913-422-0707■ Fax: 912-422-0808 e-mail: onsite .biomicrobics.com ■www.biomicrobics.com a 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 112 Long Beach Road Installation Address Centerville, MA 02632 Name AR Sales&Service, Inc. Owner Name Sally Pessa Street Mail Address 112 Long Beach Road Mail Address 44 Commercial Street Centerville, MA 02632 Raynham, MA 02767 City State Zip Ci State Zip 5087752021 508-823-9655 508-880-7232 Phone Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pumpout SF 1036 10/29/96 EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating if resent) Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear l/ Excessive Noise , Excessi ie %ivr�.ti�rl Treatment unit(s) Unusual Odor Pum out Required: Primary Settling Zone Aerobic Treatment Zone EFFLUENT(optional) LI IIT RESULT Estimated Daily Flow 4 Bedrooms H(Standard Units) 6-9 S.U. Color Clear Temperature Odor Slightly musty odor (not septic) ECHNICI N IGNATURE SERVICED TE COMMONWEALTH OF MASSACHUSETTS Z F EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS M a DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 � yve ARGEO PAUL CELLUCCI BOB DURAND Governor Secretary JANE SWIFT LAUREN A. LISS Lieutenant Governor Commissioner November 9, 2000 Sally Pessa 17 Garden Parkway Norwood,MA 02062 RE: Alternative On-Site Sewage Treatment Monitoring and Reporting Requirement 112 Long Beach Road,Barnstable DEP Facility No: 105028 Dear Ms.Pessa: The Department has received a letter from J&R Sales and Service,Ine:requesting reduction or elimination of quarterly monitoring and reporting of pH,BOD,and TSS on the effluent from the alterriative .on-site sewage disposal system at the above referenced facility. The Department,having reviewed the monitoring data for your system, denies the request to reduce effluent monitoring of the system.The Department's technology approval letters specify that the effluent. from the FAST systems installed for Remedial Use must be monitored quarterly.There is no current sampling data for your system.Before the Department will review a request to reduce the monitoring and reporting requirements for your system,the Department requires that the system be sampled for two consecutive quarters. Moreover,the Department requires that the effluent concentration of both BOD and TSS for the four latest quarters average no greater than 30 mg/L in order for us to reduce sampling requirements. Should you have any questions regarding this matter,please contact Natalie Brown,of my staff,at (617)292-5658. Sincerely, ` • Lealdon`Langley,'Di cto' Watershed Permitting Program cc: J&R Sales and Service,Inc.,44 Commercial Street,Raynham,MA 02767 Barnstable BOH DEP/SERO,B. Dudley This information is available in alternate format by calling our ADA Coordinator at(617)574-6872. DEP on the World Wide Web: http://www.magnetstate.ma.us/dep Cam. Printed on Recycled Paper y Ir - IM SALES ,A SERVICE, INC. September 15, 2000 - Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST° Treatment System Serial Number: SF1036 Attached please find the Field Inspection& Service Report and test results (as required) for services performed on 09/06/2000 at the home of Sally Pessa located at 112 Long Beach Road - Centerville, MA. Please call if you have any questions or require additional information. Sincerely, Janet M. Whitman Enclosures Cc: Sally Pessa 44 Commercial St. Aaynham,MA 02767 Tale.508 823-9566 Fax 508-880 7232 s` MJII I] fij I NCO RPORATED 8450.Cole Parkway ■ Shawnee, KS 66227.Phone 913-422-0707 . Fax: 912-422-0808 e-mail: onsite biomicrobics.com ■www.biomicrobics.com a 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 112 Long Beach Road Installation Address Centerville, MA 02632 Name J&R Sales& Service. Inc. Owner Name Sally Pessa Street Mail Address 112 Long Beach Road Mail Address 44 Commercial Street Centerville, MA 02632 Raynham, MA 02767 City State Zip City State Zip 5087752021 508-823-9655 508-880-7232 Phone Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date.of Installation Date of last pumpout SF1036 10/29/96 EQUIPMENT YES NO MAINTENANCE PERFORMED 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(optional) LI NUT RESULT Estimated Daily Flow 4 Bedrooms H(Standard Units) 6-9 S.U. Color Clear Temperature Odor Slightly musty odor (not septic) TECHNICIAN IGNATURE SERVICE DATE ` t ) / l 6 &&R SALES J. , SERYICE, INC. August.3, 2000 Division of Water Pollution Control Department of Environmental Protection One Winter Street—6`h Floor Boston, MA 02108 Attention: Mr. Steve Corr Subject:. Request for Testing Reduction FAST Treatment System Reference: Serial Number SF1036 112 Long Beach Road - Centerville, MA Dear Mr. Corr: f Attached please find the results for the first year of testing (four samples) performed at . the property of Sally Pessa, 112 Long Beach Road, Centerville, MA. As the operator of this system we are requesting the testing requirements be reduced or eliminated for this unit. Please forward a copy of your decision to our office. Thank you. S' cere y, Janet M. Whitman cc: Barnstable Board of Health Homeowner Mailing Address: Sally Pessa 112 Long Beach Road Centerville, MA aun MA U"[rG7 1 ,J6:,,.,..��560 !N 6,40!..:.. } a J&R SALES & SERVICE, INC. June 14, 2000 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST° Treatment System Serial Number: SF1036 Attached please fmd the Field Inspection& Service Reports and Testing Results (as required) for services performed on 6/2/00 at the home of Sally Pessa located at 112 Long Beach Road - Centerville, MA. Please call if you have any questions or require additional information. Sincerely, illian Ferreira Enclosures cc: Sally Pessa 44 Commercial St. 8aynham,MA 02767 Tele.508.823 9566 fax 508-880 7232 0 L` 1 { I N C O R P O R A T E D i 8450.Cole Parkway ■ Shawnee, KS 66227 a Phone 913-422-0707 ■ Fax: 912-422-0808 e-mail: onsitela-biomicrobics.com ■www.biomicrobics.com ■ 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 112 Long Beach Road Installation Address Centerville,MA 02632 Name J&R Sales& Service.Inc. Owner Name Sally Pessa Street Mail Address 112 Long Beach Road Mail Address 44 Commercial Street Centerville, MA 02632 Raynham, MA 02767 Citv State Zip Ci State Zip 5087752021 508-823-9655 508-880-7232 Phone Fax e-mail, Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pumpout SF 1036 10/29/96 EQUIPMENT YES NO MAINTENANCE PERFORMED 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(optional) LDUT RESULT Estimated Dailv Flow 4 Bedrooms H Standard Units 6-9 S.U. Color Clear Temperature Odor Slightly musty odor not tic TECHMCIAN SIG TURF "SERVICE DATE r J&R SALES & SERVICE, INC. March 15, 2000 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 q R Attention: Health Agent 1 T 9 TOIyNO� `QOO �. Reference: Single Home FAST® Treatment System �Si '' ,1,O�IT Serial Number: SF1036 r � ` Attached please find the Field Inspection& Service Reports and Testing Results (as required) for services performed 03/13/2000 at the home of Sally Pessa located at 112 Long Beach Road - Centerville,MA. Please call if you have any questions or require additional information. Sincerely, � � Candy Gayares attachments cc: Sally Pessa 44 Commercial Sr. 8aynham,MA 02767 Tale.508 823 9566 Fax 508 B80 7232 I A I pliki INCORPORATED T - 8271 Melrose.Drive-Lenexa, KS 662f4 - Phone: 913-492-070-7 • Fax: 913-492-0808 -_ e-mail: onsite®biomicrobics.cam • www.biamiCrobics.com • 800-753-FAST(3278) FIELD INSPECTION-&-SERVICE REPORT _ - For Bio-Microbacs Single .Home FAST& System - - INSTAE.irATION A=OR]=SER�TCE PROVIDER Installation Address. Name J&R Sales & Service, Inc. Owner Name Saliv Tlessa Street 44 ComercialStreet Mail Address IiZ Long Bea-ch Road Mail-Address _ Centerville -. "t.A . 02632- Ci State Zi Ci Raynhara State M,.AZ!p 027 7 . 508-775-2021 508-823-956� Phone Fax a-mail Phone ax e-mail = Model No. Serial No. Date of Install Pumpation � Dace of tact out - Sr1036 10/29/46 Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating (if present) - Blower(s) Air Iniet Filter Clean - Blower Hood Vents Clear - Excessive Noise Excessive Vibration Treatment Unusual Odor _- Pum out Required. _ - Primary Serdkg Zone Aerobic Treatment Zone RflTr FT`o tfon v— _ - Estimated Daily Flow H Standard Units) 6-9 S.U._ Color Clear - Temperature Odor -Slightly - --- 'musty odor not septic) OWNER SIGNATURE :- TEC CIAN SIGNATURE: - SE&VICE DATE i J&R SALES & SERVICE, INC. December 28, 1999 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST°Treatment System Serial Number: SF1036 Attached please find the Field Inspection& Service Reports and Testing Results(as required) for services performed 12/22/99 at the home of Sally Pessa located at 112 Long Beach Road. Please call if you have any questions or require additional information. Sincerely, Barbara J. Ro rs attachments cc: Sally Pessa 44 Commercial Sr. Raynham,MA 02767 Tele.508 823.9566 Fax 508.880-7232 I - 1 I N C 0 R P 0 R A T E 0 8271 Melrose Drive •Lenexa;KS 662t4 • Phone: 913-492-0707 • Fax: 913-492-0808 e-mail: onsite®biomicrobics.com • www.biamicrobics.com • 800-753-FAST(3278) FIELD. INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION A.=0,R=-SERWCE PROVIDER. Installation address" Name: J&R Sales & Service, Inc.. Owner Name Sa117 "e s s a Street 44 Corrmerclva=treet Mail Address 112 Long Beach Road Mail Address Centerville "t-A 02632 city State Zip- CitvRa7nham State?'TAZ v 027 7 508-775-2021 508-823-956� Phone Fax e-mail Phone ax e-mail -INSTAIZ ATIONW.ORMATTIO _. Model No. Serial No. Date of Installation Date of last pumpout frI036, l�/2Q/Qr TTIPMIII Sx. `': 0 "� 112AIl��II�FBLTPEREAND C©1GIIvlE1�Ts'"•: Electrical Panels Visual Alarm Operating P/ 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 oat Required: Primary Settling Zone Aerobic Treatment Zone Em—uFL r:o tional _ IltZLT' I�ESIII�T` - Estimated Daily Flow H Standard Units) 6-9 S.U. Color Clear Temperature Odor Slightly musty odor t C �� ( F It SLR not septic) OWNER SIGNATURE CHNICIAN SI QNA SERVICE DATE I.A J&R SALES & SERVICE, INC. September 15, 1999 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST°Treatment System Serial Number: SF1036 Attached please find the Field Inspection& Service Reports and Testing Results(as required) for services performed on 9/7/99 at the home of Sally Pessa located atT112�, Long Beach Road. Please call if you have any questions or require additional information. Sincerely, j Candy yares attachments cc: Sally Pessa 44 Commercial St. Raynham,MA 02767 Tale.508 823.9566 fax 508.8801232 NN C 0 R P O fl A T E O 8271 Melrose Drive -Lenexa, KS 66214 - Phone: 913-492-0707 - Fax: 913-492-0808 e-mail: onsite®biamicrobics.com - www.biomicrabics.com - 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System 3 INSTP LIrt�TION A=ORIZEDr SER'ICE PROVIDER, Installation Address. Name J&R Sales & Service, Inc. Owner Name Sal1v "essa street 44 COTmner=_a=treet Mail Address IiZ Long Beach !Zoad Mail Address Centerbille, `!A 02632 City State Zip cjtyRagnham State"'[[?.Zip 027 6 7 508-775-2021 508-823-956P Phone Fax e-mail Phone ax e-mail Il�FSTAIT:ATO1�F'INFORNFATInU .;., _. Model No. Serial No. Date of Installation Date of last purnpout Sr1036l�/2a/QF d 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 Sen&g Zone Aerobic Treatment Zone - Estimated Daily Flow H Standard Units) 6-9 S.U. Color Clear Temperature Odor Slightly musty odor not septic) OWNERSIGNATURE .CHNICIAN SI SERVICED TE i J&R SALES & SERVICE, INC. September 2, 1999 Division of Water Pollution Control Department of Environmental Protection One Winter Street—6t'Floor Boston, MA 02108 Attention: Mr. Steve Corr Subject: Request for Testing Reduction FAST Treatment System Reference: Sally Pessa Serial Number: SF1036 Dear Mr. Corr: Attached please find the testing results for the first year of testing, four(4) samples, performed at the property of Sally Pessa located at 112 Long Beach Road Centerville, MA. As the operator of this system we are requested the testing requirements be reduced or eliminated for this unit. Please forward a copy of your decision to our office. Thank you. Sincerely, awes R. Dunlap cc: Sally Pessa Barnstable Board of Health 44 Commercial St. Raynham,MA 02767 Tale.508-823,9566 Fax 508.880 7232 ANALYTICAL BALANCE CORP. 422 WEST GROVE STREET Environmental Chemistry MIDDLEBORO, MA 02346 Environmental Services Site Assessment 508-946.2225 Site Sampling Quality Assurance Services Fax 508-946-3335 Data Auditing 1 April 1998 J&R Engineered Services 44 Commercial St Raynham,MA 02767 i COLLECTED BY: B. Everett SAMPLE DATE: 3/23/98 TIME: 1030 hrs. DATE RECEIVED: 3/23/98 i LOCATION: Pessa- Centerville (SF 1036) SAMPLE ID: 98-03-02269 RESULTS OF ANALYSIS .. .Parameter ::«<::...... ::..::::::>: .. ......... . .:..::.; Anaycaf Date Units ;. ,., ;. :.....;,;Method pH Std.Meth.,4500-H`B 3/25/98 ----- N/A 7.9 Total Suspended Solids Std.Meth.,2540 D 3/26/98 mg/L 2.0 5.0 Biochemical Oxygen Std.Meth.,5210B 3/25/98 mg/L 2.0 22.4 Demand NA=Not Applicable Std.Methods, 18'edition, 1992 I . I i oratory Manger/Date i i Pbody.f nv93 I I ANALYTICAL BALANCE CORP. 422 WEST GROVE STREET Environmental Chemistry MIDDLEBORO, MA 02346 Environmental Services Site Assessment 508-946-2225 Site Sampling Quality Assurance Services Fax 508-946-3335 Data Auditing 13 January 1998 J&R Engineered Services 44 Commercial St Raynham, MA 02767 COLLECTED BY: B. Everett SAMPLE DATE: 1/5/98 TIME: 1000 hrs. DATE RECEIVED: 1/5/98 LOCATION: Pessa- Centerville (SF1036) SAMPLE ID: 98-01-00054 RESULTS OF ANALYSIS Parameter Analytical Date Units ] it Result Method* Aural . ed Liin�t pH Std.Meth.,4500-H-B 1/6/98 ----- N/A 7.22 Total Suspended Solids Std.Meth.,2540 D 1/7/98 mg/L 2.0 3.4 Biochemical Oxygen Std.Meth.,5210B 1/7/98 mg/L 2.0 9.8 Demand NA=Not Applicable *Std.Methods, 18'edition, 1992 Lkkoratory MaMager/Date Pbonly.frtn/95 1 :02 ENVIROTECH LABS 508 383 6446 P. 01 ENVIROTECH LABORATORIES, INC. MA CERT.NO.: M-MA 063 "0 Rts. 130 Sandwich. MA 02563 508(88E-6460) 1-600-338-"60 FAX(SO$)8N4446 Saptember 24, 1998 J& R Sates and Service 44 Commercial Street Raynham, MA 02767 Location: Centerville Collection Date: 9/18/98 at 11:00 pm grab Sampled By. William Evemn Lab ID#: 989481A-8 Results of Analysis: Lab IDS 989481A 9894818 Parameters Units Johnson Pessat Method MDL Date Analyzed Total Suspended Solids mg/L 5.5 5.5 2540 D 1.7 9/21/98 800 5-day mg/L 6.0 5.7 52109 3.0 9/1 W98 PH mg/L 7.31 7.33 4500 H+ NA 9118/98 <=less than >=greater than f; By; ona 4 J.Saa ' i Laboratory 0 rec r ANALYTICAL BALANCE CORP. 422 WEST GROVE STREET Environmental Chemistry MIDDLEBORO, MA 02346 Environmental Services Site Assessment 508-946.2225 Site Sampling Quality Assurance Services Fox SOS-946.3335 Data Auditing 17 July 1998 J&R Engineered Services 44 Commercial Street Raynham, MA 02767 COLLECTED BY: B. Everett SAMPLE DATE: 7/07/98 TIME: 1130 DATE RECEIVED: 7/07/98 LOCATION: Pessa- SF 1036 SAMPLE ID: 98-07-05710 Centerville, MA ..... .... RESULTS OF ANALYSIS : ::::.:::::::.::.:: :..:.....:.........:...............::.:.gnat...cat..:::::::::;::>::«::.>::::_.;;:::;..:1ate..::.::._.:::.........Ug ...::.::;:.Det.>:;.:::: <:;. e ...:..:..........:.........:.:::..:.::.::.::::.:.:::.::::::.:::.::::::::::::3' :::::::.:::::::::::::::::::::.:::::... .::::::....... ....... ::,:.:::::. :::::.:::::..: : ..... ::..:.R Lm�st pH Std.Meth.,4500-1-rB* 7/08/98 SU N/A 7.7 Total Suspended Solids Std.Meth.,2540 D* 7/13/98 mg/L 2.0 20.8 Biochemical Oxygen Std.Meth.,5210B* 7/13/98 mg/L 2.0 26.5 Demand *Std.Methods, 18'edition, 1992. Labb tory Man got Date ANALYTICAL BALANCE CORP. 422 WEST GROVE STREET ..:nvironmental Chemistry MIDDLEBORO. MA 02346 Environmental Services Site Assessment 508-946-2225 Site Sampling Quality Assurance Services Fax 508-946.3335 Data Auditing 2 July 1997 J&R Engineered Services 534 New State Highway Raynhatn,MA 02767 i i COLLECTED BY: B. Everett SAMPLE DATE: 06/23/97 TIME: 1200 hrs. DATE RECEIVED: 06/24/97 LOCATION: Pessa- Centerville (SF 1036) SAMPLE ID: 97-06-4947 RESULTS OF ANALYSIS j PARA14fETER ANAL 'ICALi IJATE' UNIETS F)ET R.E. MB'1�OD' ANi�I,YZED Total Suspended Solids Std. Meth.,2540 D 06/30/97 mg/L 2.0 7.6 Biochemical Oxygen Std.Meth.,2510 B 06/25/97 mg/L 2.0 47.3 Demand Total Kjeldahl Nitrogen Hach Digesdahl 07/02/97 mg/L 1.0 68 Nitrogen-Nitrate Std.Meth.,4500-NO3-D 06/25/97 mg/L 1.00 1.34 Nitrogen-Ammonia Std. Meth.,4500-NH,-C 06/30/97 mg/L 5.0 54.8 'Standard Methods, 18'edition 1992 �t La tory ManagFrIl Date i i I i i PbonlyhrW95 - -- ANALYTICAL BALANCE CORP. 422 WEST GROVE STREET ;nvironmental Chemistry MIDDLEBORO. MA 02346 Environmental Services Site Assessment 508-946-2225 Site Sampling Quality Assurance Services Fax 508-946.=S Data Auditing 20 August 1997 J&R Engineered Services 534 New State Highway Raynham, MA 02767 COLLECTED BY: B. Everett SANTLE DATE: 08/11/97 TIME: 1500 hrs. DATE RECEIVED: 08/11/97 LOCATION: Pesso - Centerville (SF 1036) SAMPLE M: 97-08-6635 RESULTS OF ANALYSIS :......... .... AN.4L.Y�ED. ....::.;..; ..: ; Lam" _> Total Suspended Solids Std.Meth.,2540 D 08/18/97 mg/L 2.0 6.0 Biochemical Oxygen Std.Meth.,5210B 08/13/97 mg/L 2.0 9.0 Demand Total Kjeldahl Nitrogen Hach Digesdahl/ 08/13/97 mg/L 1.0 . 13 Nesslerizaation Nitrogen-Nitrate Std.Meth.,4500-NO,-D 08/12/97 mg/L 0.50 15.2 Nitrogen-Ammonia f Std. Meth.,4500-NH,-C 08/14/97 mg/L 0.10 14.3 'Standard Methods, 1St°edition, 1992 L oratory Mang r/Date Pbonly.fMV95 ANALYTICAL BALANCE CORP. 422 WEST GROVE STREET Environmental Chemistry MIDDLEBORO, MA 02346 Environmental Services Site Assessment 508-946-2225 Site Sampling Quality Assurance Services Fax 508-946-3335 Data Auditing J&R Engineered Services 16 July 1997 534 New State Highway Raynham, MA 02767 COLLECTED BY: B. Everett SAMPLE DATE: 07/01/97 TIME: 1200 hrs. DATE RECEIVED: 07/01/97 LOCATION: Peaes - Centerville (SF 1036) SAMPLE ID: 97-07-5243 RESULTS OF ANALYSIS .... ! ;..::::...:PA X Ir . RED.... TI�On Total Suspended Solids Std. Meth.,2540 D 07/08/97 mg/L. 2.0 36.0 Biochemical Oxygen Std.Meth.,2510 B 07/02/97 mg/L 2.0 41.8 Demand Total Kjeidahl Nitrogen Hach Digesdahl 07/15/97 mg/L 1.0 79 Nitrogen-Nitrate Std.Meth.,4500-N0,-D 07/02/97 mg/L 1.00 4.70 Nitrogen-Ammonia Std.Meth.,4500-NH,-C 1 07/02/97 1 mg/L 5.00 75.0 'Standard Methods, 18tb edition 1992 I LikoJawry Mani /Date i PbaWyAW9s ANALYTICAL BALANCE CORP. 422 WEST GROVE STREET Environmental Chemistry MIDDLEBORO. MA 02346 Environmental Services Site Assessment 508-946-2225 Site Sampling Quality Assurance Services Fax 508-946-3335 Data Auditing J&R Engineered Services 18 July 1997 534 New State Highway Raynham, MA 02767 COLLECTED BY: B. Everett SAMPLE DATE: 07/07/97 TIME: 1200 hrs. DATE RECEIVED: 07/08/97 LOCATION: Pessa- Centerville (SF 1036) SAMPLE ID: 97-07-5414 RESULTS OF ANALYSIS PARAMETER ANALYTICAL. .:::::: HATE i}MTS DET RESULT .. 1t�tETHOD ANALFZED:. _ LIMiT Total Suspended Solids Std.Meth.,2540 D 07/14/97 mg/L 2.0 25.2 Biochemical Oxygen Std.Meth.,2510 B 07/09/97 mg/L 2.0 34.3 Demand Total Kjeldahl Nitrogen Hach Digesdahl/ 07/17/97 mg/L 1.0 94 Nesslerization Nitrogen-Nitrate Std.Meth.,4500-NOS-D 07/10/97 mg/L 0.50 1.10 Nitrogen-Ammonia Std.Meth.,4500-NH3-C 07/11/97 mg/L 0.50 88.0 'Standard Methods, 18'b edition 1992 oratory Mana e-/Date Pbonly.fnn/95 ANALYTICAL BALANCE CORP. 422 WEST GROVE STREET ,ar ., Environmental Chemistry MIDDLEBORO, MA 02346 Environmental Services Site Assessment 508-946-2225 Site Sampling x' Quality Assurance Services Fax 508-946-3335 Data Auditing 27 December1996 J&R Engineered Services 534 New State Highway Rapham, MA 02767 COLLECTED BY: B. Everett SAMPLE DATE: 12/13/96 TIME: 0900 hrs. DATE RECEIVED: 12/13/96 LOCATION: Pessa- Centerville SAMPLE ID: 96-12-9532 RESULTS OF ANALYSIS C TS > T . : I .; 3E RESEJLT pH EPA 150.1 12/13/96 --- NA 7.2 Total Suspended Solids EPA 160.2 12/20/96 mg/L 2.0 9.2 Biochemical Oxygen Std.Meth.- 12/13/96 mg/L 2.0 8.8 Demand 5210B- 181'ed. NA=Not Applicable Laboratory rvianager/Date Pbooly fm/97 J&R SALES & SERVICE, INC. April 2, 1999 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST®Treatment System Serial Number: SF1036 Attached please find the Field Inspection& Service Reports and Testing Results(as required) for services performed on 3/25/99 at the home of Sally Pessa located at 112 Long Beach Road. Please call if you have any questions or require additional information. Sincerely, Candy Gayares attachments cc: Sally Pessa 44 Commercial St. Raynham,MA 02767 Tole.508 823-9566 Fax 508.880 7232 1NC0RP0RATE'0 8271-Melrose Orive -Lenexa, KS-66214 Phone: 913-492-0707 - Fax:913-492--0808`-- _ - _ e-mail: onsite(MbiamicroWcs.com - www.,biamicrobics.com - 800=753-FAST(3278) 9 FIELD INSPECTION & SERVICE REPORT = - Fbr_Bio-MicroNcs-Single Home FAST® Systexn - _. . _ INSTAE.tATION: uTxox D sMW_,M PRa�M, - _ Installation Address - - Name J&7. Sales- & Service, Inc. Owner Name Sate v nessa- Street 44 Cc- ErC1a Street Mail AddressLong Beach Road Mail Address - Centerbille, -. .4.. 0263.2 _ city State' - -Zi - -CityRa7nham state'"`Azit)027 7 _ 508-775-2021 508-823-956 Phone Fax a-mail Phone ax e-mail FN9TLLTIOIINEORM:4tiIO2 �- - ,T. Model No. Serial No. Date of Installation i Date of last pumpout - S�' 10/29/96 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 v Treatment unit(s) - _ Unusual Odor _ y Pum out Required: Primary Settling Zone -- .Aerobic Treatment Zone - w Estimated Daily Flow = = - H Standard Units) -6-9 S.U. - --- Color Clear Temperature -Odor - - Slightly musty o_dQr - -- - not s tic)_ =_ _ OWNER SIGNATURE - ': `- = TECHNICIAN SICrNATLJRE : SERVICE DATE I COMMONWEALTH OF MASSACHUSETTS Z W EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS d DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA.02108 617-292-5500 'M svev ARGEO PAUL CELLUCCI TRUDY COXE Governor Secretary DAVID B.STRUHS Commissioner January 5, 1999 Sally Pessa 17 Garden Parkway Norwood, MA 02062 Re: 112 Long Beach Road,BARNSTABLE,Massachusetts 02630 DEP Transmittal Number: 105028 Dear Ms. Pessa: As you are the.owner of an'alternative on-site sewage treatment and disposal system regulated under Title 5 of the State Environmental Code, 310 CMR 15.000, I am writing to remind you of your annual reporting obligations. According to the Department of Environmental Protection's records, you were issued an approval for a system on August 16, 1995. One requirement of the approval is that, as the owner, you shall submit to the Department an annual report containing all monitoring, pumping, servicing and inspection data for each calendar year. In addition, the Department is requesting that you include a copy of your contract for operation and maintenance of the system. The report for the calendar year 1998 is due at the Department by January 31, 1999. The Department's approval letter requires, among other things, that you monitor the following: pH, BOD, and TSS on a quarterly basis. For more specific_details on your monitoring requirements, please refer to your DEP approval letter. Please notify the Department by completing and returning the enclosed form within 10 days of the receipt of this letter, if any of the above information is incorrect or has changed or if you have: • Transferred ownership of the facility containing the system- supply correct information, including the name and address of the new owner, • Removed the system either because of connection to the sewer or replacement with another system, or if the system has yet to be installed. Your required annual report and a copy of your current operation and maintenance contract must be sent,to arrive by January 31, 1999, to: r Department of Environmental Protection Title 5 Program Watershed Permitting Program One Winter Street, 6th floor Boston,MA 02108 This information is available in alternate format by calling our ADA Coordinator at(617)574-6872. DEP on the World Wide Web: http://www.magnet.state.ma.us/dep 0 Printed on Recycled Paper ti Re:Transmittal Number: 105028 If you have any questions concerning your reporting requirements or need additional copies of your approval letter, feel free to call Janine Boothroyd, of my staff, at(617)292-5658. Sincerely, Lealdon Langley,Acting Director Watershed Permitting Program Enclosure cc: BARNSTABLE Board of Health DEP, SERO Steven H. Corr,P.E. formlep64.doc i COMMONWEALTH OF MASSACHUSETTS Z W EXECUTIVE,OFFICE OF ENVIRONMENTAL AFFAIRS I d DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 ARGEO PAUL CELLUCCI Governor TRUDY COXE Secretary DAVID B.STRUHS Commissioner Transmittal No: 105028 The Owner of 112 Long Beach Road, BARNSTABLE, Massachusetts received an approval letter dated August 16, 1995, for installation of a FAST system. 1) System listed above was installed Yes/No if"Yes",please give date system was installed if"No",please give anticipated date (month/year)of installation; if you do not expect the system to be installed,please describe reason: 2) System has been taken out of operation(abandoned) Yes/No if"Yes",please give date system was abandoned also; if"Yes", give reason(e.g., sewer connection ): 3) Ownership of the facility containing the system has been transferred Yes/No if"Yes",please give the name and address of the new owner: 4) If the system is installed,please give the name, address and telephone number of the operation and maintenance company contracted to operate and maintain the system and attach a copy of the current operation and maintenance contract. PLEASE COMPLETE THIS FORMAND RETURN TO THE ADDRESS ON THE COVER LETTER. This information is available in alternate format by calling our ADA Coordinator at(617)574-6872. DEP on the World Wide Web: http://www.magnet.state.ma.us/dep �"a Printed on Recycled Paper & R SALES & SERVICE, INC. December 17, 1998 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST®Treatment System Serial Number: SF 1036 Attached please find the Field Inspection& Service Reports and Testing Results (as required) for services performed on 12/7/98 at the home of Sally Pessa located at 112 Long Beach Road. Please call if you have any questions or require additional information. Sincerely, 6r, Candy Gayares� attachments cc: Sally Pessa 44 Commercial St. 8aynham,MA 02767 Tel:508-823.9566 Fax:508-880-7232 I tI C 0 R RMO 8271 Melrose Orive •Lenexa, KS 66214 • Phone: 913-492-0707 - Fax: 913-492-0808 e-mail: onsite®biomicrobics.com • www.oiomicrobics.com • 800=753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALEATION A=ORIZEII,SERSIICE PROVIDER Installation Address. Name J& . Sales cSc Service , Inc. Owner Name d nessa ( street 44 Uo=nercialtreet - Mail Address iiZ Long Beach Road Mail Address Centerville `.�A 02632 City State Zip CitvRaynhata State"",AZiD 027 E 7 508-775-2021 508-8.23-956 Phone Fax a-mail Phone ax e-mail ` Il`F3T?tLLFTIOI�INFORtvIATOl :- -�, Model No. Serial No. Date of Installation 7F Date of last pumpour SV1036In/29/g6 .... .. ...... Electrical Panel(s) Visual Alarm Operatmg Audio Alarm Operating (if Dresent) Slower(s) Air Inlet Filter Clean Blower Hood Vents Clear ✓ Excessive Noise Excessive Vibration Treatment unit(s) Unusual Odor Pumoout Required: Primary SertUng Zone Aerobic Treatment Zone KNIF FLFT'.i5 tional Estimated Daily Flow It H Standard Units) 6-9 S.U. Color Clear Temperature Odor Slightly musty odor (not septic) -wit OWNERSIGNATURE' - TECHNICIAN SIGNATURE' SERVICE DATE I i j & R SALES & SERVICE, INC. October 7, 1998, 1998 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Re: Single Home FAST Treatment Serial Number: SF1036 Attention: Health Agent Attached please find the Field Inspection& Service Report and Testing Results(as required) for services performed on 9/18/98 at the home of Sally Pessa located at 112 Long Beach Road. Please call if you have any questions or require additional information. Sincerely, �� Candy ayare attachments 4 44 Commercial Si. Aaynham,MA 02767 Tel:508.823.9566 Fax:508-880-7232 HJ11 INCORPORATED 8271 Melrose Orive -Lenexa, KS 66214 - Phone: 913-492-0707 - Fax: 913-49210808 e-mail: onsite®biomicrobics.com - www.biomicrobics.com - 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System _. INSTAE.LATION A'=" 01M.LED SERj1ICE PROVIDER. Installation Address. Name J&P. Sales & Service, Inc. Owner Name Sallv Pessa Street 44 CoTmnercl—artreet Mail Address iiZ Long Beach RoadMail Address Centerbille, "A 02632 city State Zip CieRapnham State m,-AZi 027 7 508-775-2021 508-823-9.56 Phone Fax e-mail Phone ax e-mail . ,.. ,;.=Il�TSTAt1�A;TI0I�°INE0RM'A�T�3N. - - Model No. Serial No. Date of Installation i Date of last pumpout SF 7 3 6 in/2q/96 Electrical Panel(s) Visual Alarm Operating ✓ Audio Alarm Operating v (if resent) Blower(s) Air Inlet Filter Clean v Blower Hood Vents Clear ,. Excessive Noise Excessive Vibration ✓ Treatment unit(s) Urusual Odor Putn out Required: Primary Settling Zone r -Aerobic Treatment Zone v 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 SEP-24-98 THU 11 :02 ENvIROTECH LABS 508 888 6446 P_- _ ENVIROTECH LABORATORIES,INC. MA CERT.NO.: M-MA 063 440 Rte.130 Sandwich. MA 02563 508(888-6"0) 1-800-339-9460 FAX(508)888-6446 September 24,1998 J& R Sales and Service 44 Commercial Street Raynham, MA 02767 Location: Centerville Collection Date: 9/18/98 at 11:00 pm grab Sampled By. William Everett Lab ID#: 989481A-B i Results of Analysis: Lab ID# 989481A 9894818 Parameters Units Johnson Pessa Method MDL Date Analyzed Total Sus nded Solids mg/L 5.5 5.5 2540 D 1.7 9121198 ,SOD 5-4a mg/L 8.0 5.7 52108 3.0 9/18/95 PH mg/L 7.31 7.33 4500 Ht NA 9118/98 <=less than >=greater than By: Ronak J.saa ' I - Laboratory D rect r o, - J&R SALES & SERVICE, INC. July 22, 1998 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Re: Single Home FAST Treatment Serial Number: SF1036 Attention: Health Agent Attached please find the Field Inspection& Service Report and Testing Results(as required) for services performed on 7/7/98 at the home of Sally Pessa located at 112 Long Beach Road. Please call if you have any questions or require additional information. Sincerely, Candy Gayares attachments 44 Commercial St. Raynham.MA 02767 Tele.508 823 9566 Fax 508 BB0 7232 C � C2 I N C 0 R P 0 R A T E 0 8271 Melrose Drive -Lenexa, KS 66214 - Phone: 913-492-0707 - Fax: 913-492-0808 e-mail: onsite®biomicrobics.com - www.biomicrobics.com - 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microb cs Single Home FAST& System __. INSTALIrATION AUTHORIZEDrSERYICE PROVIDER: Installation Address- Name J&P Sales Fx Service , Inc. Owner Name Sallv Pessa Street 44 ComnercIalStreet MaH Address LIZ Long Beach. Road Mail Address Centerbille, "A 02632 city State Zip Ci '�-aynham State"- ?Zi 027 7 508-775-2021 508-823-956 Phone Fax e-mail Phone ax e-mail WST—A TIOI INEORMAZLOI� p - Model No. Serial No. Date of Installation Date of last pumpout Sr 10/29/06 Electrical Panel(s) Visual Alarm Operatingt/ Audio Alarm Operating (if resent) Blower(s) Air Inlet Filter Clean I-- Blower Hood Vents Clear !/ Excessive Noise Excessive Vibration �— Treatment unit(s) Unusual Odor Pum out Required:Prima-Setting Zone v Aerobic Treatment Zone TE �FENT'o tfo Estimated Daily Flow H Standard Units) 6-9 9.U. Color. Clear Temperature Odor Slightly musty odor not septic) OWNER-SIGNATURE TECHNICIAN SIGNATURE' :.: .: SERVICE DATE .._ r i ANALYTICAL BALANCE CORP. 422 WEST GROVE STREET Environmental Chemistry MIDDLEBORO, MA 02346 Environmental Services Site Assessment 508-946.2225 Site Sampling Quality Assurance Services Fax 508-946-3335 Data Auditing 17 July 1998 J&R Engineered Services 44 Commercial Street Raynham, MA 02767 COLLECTED BY: B. Everett SAMPLE DATE: 7/07/98 TIME:- 1130 DATE RECEIVED: 7/07/98 LOCATION: Pessa- SF 1036 SAMPLE ID: 98-07-05710 Centerville, MA RESULTS OF ANALYSIS ,:, .. >. Parameter Analytical Tate Untts I3et Result Method. Anal zed Ltnt.. pH Std.Meth.,4500-H+B* 7/08/98 SU N/A 7.7 Total Suspended Solids Std.Meth.,2540 D* 7/13/98 mg/L 2.0 20.8 Biochemical Oxygen Std.Meth.,5210B* 7/13/98 mg/L 2.0 26.5 Demand *Std..Methods, 18'edition, 1992. Lab atory Manlg6l/Date ^ ,I S JAR SALES & SERVICE, INC. January 16, 1998 Town of Barnstable Board of Health PO Box 534 Hyannis, MA Re: Single Home FAST Serial#SF1036 Attn.: Health Agent Attached please find the Test Results and the Field Inspection& Service Report for services performed on 1/5/98 at the home of Sally Pessa located at 112 Long Beach Road. Sincerely, Candy Gayares attachments (2) 44 Commercial St. Aaynham,MA 02767 Tole.508.823.9566 Fax 508.BB0'7232 ANALYTICAL BALANCE CORP. 422 WEST GROVE STREET Envirom�jental Chemistry MIDDLEBORO, MA 02346 Environmental Services Site As 1-1,sment 508-946-2225 Site Sampling Quality Assurance Services Fax 508-946.3335 Data Auditing 13 January 1998 J&R Engineered Services 44 Commercial St Raynham, MA 02767 COLLECTED BY: B. Everett SAMPLE DATE: 1/5/98 TIME: 1000 hrs. DATE RECEIVED: 1/5/98 LOCATION: Pessa- Centerville (SF1036) SAMPLE ID: 98-01-00054 RESULTS OF ANALYSIS Parameter Analyt>cat Date Units Del Result 1Vlethod* Anal zed Linrt pH Std.Meth.,4500=H+B 1/6/98 ----- N/A 7.22 Total Suspended Solids Std.Meth.,2540 D 1/7/98 mg/L 2.0 8.4 Biochemical Oxygen Std.Meth., 5210B 1/7/98 mg/L 2.0 9.8 Demand NA=Not Applicable *Std.Methods, 18'edition, 1992 oratory MaMager/ ate Pbonly.fvn/95 I INCORPORATED 8271 Melrose Drive -Lenexa, KS 66214 - Phone: 913-492-0707 - Fax: 913-492-0808 e-mail: onsite®biomicrobics.com - www.biomicrobics.com - 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System iNSTALLA:TION AUTHORIZED SERVICE PRO.VIDER> Installation Address. Name J&P Sales & Service , Inc. Owner Name Sal1v Pessa Street 44 commercl—artreet Mail Address L.LZ Long beach RoadMail Address Centerbille, 'r-A 02632 City State Zip Ciry -aYnham State',` zio027 7 508-775-2021 508-823-956� Phone Fax e-mail Phone ax e-mail IlNSTALIATrONINFORMATIdM Model No. Serial No. Date of Installation i Date of last pumpout SF Q6 Electrical Panels Visual Alarm Operating Audio Alarm Operating (if present) v Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear v Excessive Noise Excessive Vibration �. Treatment unit(s) Unumwal Odor ,o Pum out Required: Primary Sealing Zone Aerobic Treatment Zone poll ItESUL Estimated Daily Flow 11 H Standard Units) 6-9 S.U. Color Clear Temperature Odor Slightly ✓ musty odor (not septic) OWNER SIGNATURE= - TECHNICIAN SIGNATURE ::: SERVICE DATE — FICZ i J&R SALES & SERVICE, INC. September 8, 1997 Town of Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Re: Single Home FAST®Serial# --SF1036 Attn: Health Agent Attached please find the testing results and Field Inspection& Service Report for services performed on 8/11/97 at the home of Sally Pessa located at Date Homeowners Name 112 Long Beach Road Address Si erely, Candy Gayares 534 New State Highway Haynham,MA 02767 Tole.508.823 9566 Fax:508-880-7232 i I ANALYTICAL BALANCE CORP. 422 WEST GROVE STREET Environmental Chemistry MIDDLEBORO. MA '02346 Environmental Services Site Assessment 508-946-2225 Site Sampling Quality Assurance Services Fax 508-946-3335 Data Auditing 20 August 1997 J&R Engineered Services 534 New State Highway Raynham, MA 02767 COLLECTED BY: B. Everett SAMPLE DATE: 08/11/97 TIME: 1500 hrs. DATE RECEIVED: 08/11/97 LOCATION: Pesso - Centerville (SF 1036) SAMPLE ID: 97-08-6635 RESULTS OF ANALYSIS PARAME ER AltFALYTICAI. ; >:: D�1Z`E UNITS DET . RBSULT .. .. ,:::::;:::::::.. 1t�1TriOD; ANAL: ZED Z,Ih :: Total Suspended Solids Std.Meth.,2540 D 08/18/97 mg/L 2.0 6.0 Biochemical Oxygen Std.Meth.,5210B 08/13/97 mg/L 2.0 9.0 Demand Total Kjeldahl Nitrogen Hach Digesdahl/ 08/18/97 mg/L 1.0 . 18 Nesslerization Nitrogen-Nitrate Std.Meth.,4500-NO3-D 08/12/97 mg/L 0.50 15.2 Nitrogen-Ammonia 1 Std.Meth.,4500-NH3-C 08/14/97 mg/L 0.10 1 14.3 'Standard Methods, 18'h edition, 1992 Lu oratory Manag r/Date Pbonly.fn✓95 I F. 7, M 7 r. ,U.I n. MMMMMINME INCORPORATED 8271 Melrose Drive•Lenexa, KS 66214• Phone: 913-492-0707•Fax: 913-492-0808 e-mail: onsite@biomicrobics.com •www.biomicrobics.com FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTAL LATIN . AUTIORiZEI)SERVICE:PROVII)ER Installation Address Name Owner Name Street Mail Address ✓/b? .p Mail Address Ci ` ' Staten )Fi Ci State zip sob' 7 -7 Phone Fax e-mail Phone Fax e-mail INSTAlrT.4TION'TNFORM Trb I , Model No. Serial No. Date of Installation Date of last pumpout E UIPMENT °, YES W`.NQ MAINFEIANCE I'ERFQRMED AND COIVIMEIVTS Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating (if resent) Blower(s) Air Inlet Filter Clean c Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment units Unusual Odor Pum out Required EE >1UENT og ttonaY LIMIT RE$.tiLT. Estimated Daily Flow H Standard Units) 6-9 S.U. Color Clear v I Temperature I Odor Slightly ✓ musty odor (not septic) ER:SIGNATURE TECHNICIAN I. .SIGNATURE,': SERVICE DATE *> I J&R SALES & SERVICE, INC. July 17 , 1997 Town of Barnstable Board of Health P.O. Box 534 Hyannis , MA 02601 Re: Single Home FAST*Serial # SF 1036 Attn:Health Agent Attached please find the test result and work order for the services performed on 6/2 3/9 7 at the home of Sally P e s s a located at Dace Homeowners Neme 112 Long Beach Rd. /Centerville Address Sincerely, Candy Gayares 534 New State Highway Haynham,MA 02767 Tele.50B.B23 9566 Fax:508-880-7232 ANALYTICAL BALANCE CORP. 422 WEST GROVE STREET Environmen* I Chemistry MIDDLEBORO, MA 02346 Environmental Services Site A----A.nt 508-946-2225 Site Sampling Quality Assurance Services Fax 508-946-3335 Data Auditing 2 July 1997 J&R Engineered Services 534 New State Highway Raynharn, MA 02767 COLLECTED BY: B. Everett SAMPLE DATE: 06/23/97 TIME: 1200 hrs. DATE RECEIVED: 06/24/97 LOCATION: Pessa- Centerville (SF 1036) SAMPLE ID: 97-06-4947 RESULTS OF ANALYSIS PARAMETER ANALYTICAL DATE UNITS DE T RESULT Ml✓THOD' ANALYZED LIIVIIT ` Total Suspended Solids Std. Meth.,2540 D 06/30/97 mg/L 2.0 7.6 Biochemical Oxygen Std.Meth.,2510 B 06/25/97 mg/L 2.0 47.3 Demand Total Kjeldahl Nitrogen Hach Digesdahl 07/02/97 mg/L 1.0 68 Nitrogen-Nitrate Std. Meth.,4500-NO3-D 06/25/97 mg/L 1.00 1.34 Nitrogen-Ammonia Std.Meth.,.4500-NH3-C 06/30/97 mg/L 5.0 54.8 'Standard Methods, 18'edition 1992 LaVhAtory Manag Date i I j t Pbonly.frtn/95 i i =Pn I NC3RRATE0 8271 Melrose Drive-Lenexa, KS 66214- Phone: 913-492-0707-Fax: 913-492-0808 e-mail: onsite®biomicrobics.com -www.biomicrobics.com FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST'® System INSTALLATION <: _ _AIITFiORIZED SERVICE PROVIDED Installation Address Name J&R Sales and S e rvi c e Owner Name 4 w Street Mail Address Mail Address 534 New State Highway Ciry State ZiDo"VAR a City Ravnham StatcMzio 0276 S-&e �7>!�'a0 a/ 1508/823-9566 508/880-7232 Phone Fax e-mail Phone Fax a-man INSTALLATIOY-INFORMP:TI01*- - Model No. Serial No. I Date of Installation I Date of last P=Dout 'EQUIPMENT -- ,,.: --_�trES._. Iv .. IJQ� 1�>4INTENANCE:PERFORMED'sANDCOMIVtELiTS Electrical Panel(s) Visual Alarm Ooeratin2 caa Audio Alarm operating (if present) v Blower(s) Air Inlet Filter Clean 7 T- Blower Hood Vents Clear Excessive Noise Excessive Vibration I Treatment unit(s) i Unusual Odor v Pumr)out Required �/ I =EFFIrUENT ootionaL)'.. ....: .::r, ZIIGITL� �;:RESULT:' =) Estimated Daily Flow pH(Standard Units) 6-9 .U. Color Clear Temperature Odor Slightly musty odor (not septic) OWNER.SIGNATURE:: _ TECH ICIAN�SIGNATURE:�. _:SERVICE DATE .`' BORTOLOTTI CONSTRUCTION INC. DRAINAGE LAND DEVELOPMENT SEPTIC SYSTEMS November 16, 1995 Richard Pessa 17 Garden Parkway Norwood, MA 02062 RE. Monitoring and Maintenance of Septic System Bortolotti Construction, Inc., will monitor and maintain the Septic System at 112 Long Beach Road, Centerville. The System will be pumped annually and the System will be monitored by taking sewage samples quarterly in accordance with DEP regulations. The results will be forwarded to the owner. This agreement will be valid for two years from the date of the installation of the Septic System for the sum of $830.00. Si cerely, AL-e-- Michael J. Leone Vice President Bortolotti Construction, Inc. 765 WAKEBY ROAD • MARSTONS MILLS,MASSACHUSETTS 02648 • (508)428-8926 I �ECOVE0 Commonwealth of Massachusetts c• �` �i_�sn. Executive Office of Environmental Affairs Ma Department of • Environmental Protect t, William rF.n WeldGove cd /{ - Trudy Coxs 8raartlery,t�;oen c .David S. Struh• •, August,:16, 1995, »A, comminlomf Sally Pessa r 17 Garden Parkway Norwood, MA 02062 re: Proposed Alternative Septic System Application for BRP WP64c at: < 112 Long Beach`Road, Barnstable, MA Transmittal Number: 105028 Dear Mrs. Pessa: The Division of Water Pollution Control has reviewed your June 15, 1996,application to install an alternative on-site sewage treatment and disposal boo dstem owonsist s of Iingt f a 1 00 gallon septic tank with a FAST system, a distribution as leaching bed, at the above referenced location. Accompanying Design Repailans were r" dated Marchp21e1995 and by The BSC Group and entitled Sewage Disposal System g revised April 29, 1995. The system as proposed will serve an existinghe bedroom existing cesspool. The proposed system does not merequirements of 310 CMR 15.249 (2) Design Criteria for Soil Absorption System and 15.255 Construction in Fill. The Department hereby approves the request for an alternative septic system subject to the following conditions: 1. Prior to construction, the Barnstable Board of Health must approve itsu a and a written confirmation of their commitment to inspect the system and iew the data reports shall be submitted to this office. 2. Prior to use, a written consent of the owner to allow officials of the Barnstable Board of Health and employees of the Division, access to inspect the system as needed shall be submitted to this office.. 3. A Septage Hauler licensed by the Barnstable Board of Health in accordance with G.L.c. 111 s. 31A and 310 CMR 15.502 must inspect the septic tank Y annually and pump It, as necessary. It is the owner's responsibility to report in writing to the Barnstable Board of Health every time the septic tank is serviced and/or pumped to ensure compliance with this condition. 4• Prior to use, an operation & maintenance o e manual and contingc or the follow n y plan shall be submitted to this office, which provide s One winter Street • Boston,Massachusetts 02108 • FAX(617)556.1049 4 Telephone(617)292-5500 ���� I'nnl.vl un R,vyrlyd I'aIM•r w 's Page; 2 Gy , RE; Transmittal Number 105028 x a, throughout its life the system shall be_.under a maintenance sx ' agreement. No maintenance agreement shall be for less than two years. b. provides the name of the Massachusetts Class 2 certified operator or operators that will operate the System in accordance a '� with Massachusetts regulations 257 CMR 2.00. ' C. Effluent samples shall be tested quarterly for pH, BOD,, and } k r . : total suspended solids. All reports shall be submitted to this € office by January 31 of each year. The Department, at the f+, request of the owner will reduce or eliminate the testing after kbt -` three years of successful operation of the system. 5. Prior to use, as built plans as required by 310 CMR 15.255(2)(e) shall be submitted to this office. 6. Approval of the proposed system is conditioned upon the recording in the appropriate registry of deeds of a notice that discloses the existence of a variance for the sewage disposal system and the involvement of the Department of Environmental Protection in the approval of the sewage `s disposal system. 7. Should the alternative unit fail or show signs of imminent failure, as determined by the Division oi• the Barnstable Board of Health, the owner shall 3 immediately remove the alternative system or take any other action as deemed appropriate by the Division or the local approving authority. Should you have any questions regarding this matter, please .contact' Christos Dimisioris of my staff at (617) 292-5912. u. Sincerely, . can S. Spencer, ng Director . ,. Division of Water ollution Control t< _ 4` yb 105028.001y Barnstable Board of Healthy ` cc: r DEP, DWPC, SERO The BSC Group, 293 Washington St., Norwell, MA 020610; l . y ' No. JK l��s G Fee THE COMMONWEALTH OF MASSACHUSETTS - t-.HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 4 3pplicattou for Mgpogai *pgtem Cori.5tructton Permit Application is hereby made for a Permit to Construct( )or Repair( an On-site Sewage Disposal System at: Location Address or Lot No. O er's Name,Address and Tel.No.w Installer's Name,Address,and Tel.No. Desi ner's Name,;ddress and Tel.No. Type of Building: Dwelling No.of Bedrooms Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow qIf fJ gallons per day. Calculated daily flow g66e gallons. Plan Date 'Mike-dL, 21 Number of sheets 1 Revision Date Titled I'��,S�r� ill `7 Description of Soil Y / 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 Certifi- cate of Compliance has been issueAo" � �Signe Date l Application Approved by Al Application Disapproved for the following reasons Permit No. / 4�2 J " Date Issued THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed ) r rep,N�}*red/replaced( )on _ by ��o�f' for c..-5 V4eX'0-,- a Il d Ui�P P ('�� Zvi� has been constructed in accordance with the provisions oY Title 5 and the for Disposal System Construction Permit No. 9s���� dated lR�— 'k 7-' � Use of this system is conditioned on compliance with the provisions set forth below: 0 ,(t�• �YX.��{j e I -� ' •. ., �/�J.h•�4 �.'•� �.•-�` /may ii�, . r .. •irnt, -- D�Y,.,� � j ..Q ..,]'`• ./.`.�.,..-,. a. c y �+, i� -Fee' THE-COMMONWEALTH OF MASSACHUSETTS — PUBt� HEALTH DIV SION - TOWN OF BARNSTABLE, MASSA USEZTS1 rtcatfon fort Di.5pb l *p�tem Conotruction Ptrtnttr, a Application is hereby-made for a Permit to Construct( )or Repair( an On-site Sewage Disposal System at: s � ' Location Address or Lo[.No1% ;y Ow er's ame,A dress and Tel.No. ` b .. -t Sf Installer's Name,Address,and el.No. Desi ner s Namel ddress and Tel.No. 2L f'1Gr;wz1( wry„ Typ'et of Building: ' Dwelling w' No. of Bedrooms" Garbage Grinder Othei Type of Building No,of Persons Showers( ) Cafeteria( ) Other Fixtures I Design Flow 4f U Fgallons per day. Calculated daily flow 41!VO gallons. '.µ Plan Date 4-` 2-1 Number of sheets 1 Revision Date k Title s a vt i 6,5.cw 1), `: E.� wa '. Description`of Soil Nature of Repairs or Alterations(Answer when applicable) &SAA 1/ n?*/ Fps�-�� 5 / Date last inspected: --' Agreement: Tale undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accor1la�nce with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue b th• of lth. Signed - Date Application Approved by _ Application Disapproved for the following reasons Permit No. 9 s lr�-2-r- Date Issued THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Certificate of Compliance - THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed )Qr rep ired/replaced( )on by b O� c4nS4 for �t ?/ repaired/replaced lid uo-C AR44 c_� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit-,No. .9S-1JC-P5 dated S Use of this system is conditioned on compliance with the provisions set forth below: 167 /? , a, E . 0 No. /�' �X Fee� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE.. MASSACHUSETTS Di5po!gar *pgtem Construction Permit Permission is hereby granted to to construct(k)repair( )an On-site Sewage System located at `�2 �' /rl Ile and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. All construction must be completed within two years of the date below. Lyaw-w-A-1 Date: _ �3 TL/., Approved by A/4, r TOWN OFF BARNSTABLE LOCA'170N Z G®hg AW SEWAGE # VILLAGE ASSESSOR'S MAP & LOT,?,d ^,0G$ INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACU.ITY: (type) _2 `�OC�S� I��� size) NO.OF BEDROOMS— BUILDER OR OWNER PERMIT DATE: z 3-Q� COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of-leaching facility) Feet Furnished by ��'��� �� 4 6y Z� Zh �g 17 ,6 �r � ® El 1G - 17 D sky AW 4 r f" � — r BORTOLO TTI CONSTRUCTION INC. is �r •�! .k SEPTIC SYSTEMS LAND DEVELOPMENTsw' DRAINAGE x �.F November 16, 1995 4 k.ti�J Richard Pessa 17 Garden Parkway Norwood,MA 02062 tic System RE: Monitoring and Maintenance of Sep ng ion Inc., will monitor and maintain the Septic System System t I lwil�b Bortolotti Construct , Beach Road, Centerville. The System quarterly pumped annually with DEP regulations. monitored by taking sewage samples qu y for The res ults will be for warded to the owner. This agreem�ht will o $830 OO. o years from the date of the installation of the Septic System for Si cerely, Michael J. Leone Vice President Bortolotti Construction, Inc.,, A t 765 WAKEBY ROAD • MARSTONS MILLS,MASSACHUSETTS 02648 • (508)428-8926 293 Washington Street Norwell MA 02061 August 12, 1996 617 659 7981 FAX 617 345-8027 Mrs. Sally Pessa 112 Long Beach Road Centerville Ma 02362 Re: Pessa Property, Long Beach Road, Centerville Dear Sally, This letter is to document issues relevant to the construction of a concrete retaining wall required for septic system repair at the above referenced locus (site) and the request of the DPW Director to remove (or lower the wall) in order to conform with a building line adopted by Town meeting in 1939. It is important to note that the retaining wall in question is not subject to the taking because it is not a principal structure subject to the building lines "which are commonly established in the "Village of Centerville" and that the wall is, in fact, an ordinary repair as is expressly allowed in the taking document. BACKGROUND AND PERMITS BSC assisted the owner of this site with engineering and permitting services for the renovation of the existing dwelling, from a four unit condominium to a single family-home, Engineers and repair of the septic system. This activity included applications, hearings, approvals, and Environmental site visits as follows: Scientists GIS Consultants Planning Board review and Special Permit Approval October 4 095, with a statutory 21 day appeal period expiring October 25, 1995. Landscape (Note: the site plan clearly depicts the septic system and retaining walls as Architects required by the Barnstable Zoning Bylaw"Section 4-7.5 Contents of Site Planners Plan") Surveyors Mrs. Sally Pessa August 12, 1996 Page 2 Board of Health approval (May 19, 1995) with waivers under local regulations for No reserve Area Limit of sand fill around the system Use of a breakout barrier Setbacks to the river DEP septic system approval (August 16, 1995) of waivers for: Reduction in the set back to less than 10 feet from a lot line. Use of a alternative system(FAST System) Conservation Commission Order of Conditions SE 3-2886 dated June 13, 1995 Chapter 91 License modification(March 28, 1995) Building permit was issued on or about December, 1995. The permitting process required six months to hear and secure all relevant permits. Construction of the house and septic system repair took place from December 1995 to July 1996 with landscaping remaining to be completed.. Upon a request for an occupancy permit and after construction was substantially complete, in July 1996, the DPW August 12, 1996 Director indicated that there was a violation of a building restriction line along the front of the property, thus prohibiting the issuance of a full occupancy permit. After securing all required permits, exhausting all appeal periods and upon completion of construction, to have this issue surface has created a significant hardship for the owner who has strived to comply with a multitude of laws,regulations and policies to meet the requirements of the regulations that apply to this site. SEPTIC SYSTEM REQUIREMENTS The Barnstable Board of Health and Commonwealth of Massachusetts Title 5 regulations, based on the presumption that their regulations are the minimum requirements to protect public health, require that the septic system be located as far as possible from the river line (50 feet minimum), 10 feet from the pre-existing building, and 5 feet above the high ground water elevation so that the septic system will not create a health issue by exposing sewage effluent to the public. I Mrs. Sally Pessa August 12, 1996 Page 3 A retaining wall was approved, via a variance procedure with DEP under the old Title 5, allowing the system to be constructed in conformance with the river setbacks and height above ground water in accordance with the separations required by Title 5 and the Barnstable Board of Health. Further, although not required by the then(pre-Title 5 revision) regulations and at significant expense to the owner, the Board of Health also required that a Fixed Activated Sludge Treatment (FAST) system be installed to further protect the ecosystem from sewage contamination. It is noted that the FAST system does not in any way impact the size, shape or location of the retaining wall around the soil absorption,system because it is entirely contained within the septic, tank. The retaining wall is critical to the recharge of the sewage effluent from the septic system into the ground. This wall (in the absence of a large soil mound which site conditions would not permit) protects the public from sewage traveling through the soils onto the adjacent street. Any lowering of the wall will increase the potential for public exposure to sewage effluent. It is noted that the leaching system is only 5 feet behind the wall. Any removal of the wall and sloping of the soil surface will create a soil thickness as little as one or two feet between the leaching facility and the sloping ground. Any such reduction is clearly in violation with the approved permits and applicable regulations and would be considered a potential threat to the public health. CONSERVATION COMMISSION REQUIREMENTS The Conservation Commission's Local Wetland Bylaw and the State Wetland Protection Act requires that the septic system comply with Title 5 (as noted above). The septic system's horizontal setback from the river(50 feet minimum) and the system's vertical separation(5 feet) from the adjusted Water table is critical to minimize pollution to the estuary. These requirements fixed the location of the septic system as permitted and as constructed. Any alteration of the system's location violates critical setbacks needed to protect,wetlands and public health. Mrs: Sally Pessa August 12, 1996 ' Page 4 CHAPTER 91 WATERWAYS REQUIREMENTS Under the requirements of the Chapter 91 license, the building footprint is mandated by the permit. This required that the rear wings of the building be pulled forward away from the river but did not include modification of the front line of the building footprint because any alteration of the building within the filled tidelands requires additional approvals under the Chapter 91 process. EVIDENCE RELEVANT TO EXISTENCE OF BUILDING LINE The building line was established in 1939 by Town meeting vote and recorded in the Barnstable Registry of Deeds as plan number 59-127 of 1939 and as listed in page 304 of book 550 at the Barnstable Registry of Deeds. It is noted that such a document would not be detected in a standard title research due to it's age and that standard title searches are typically limited to a 50 year time frame. • This plan is not specifically referenced in the Pessa's deed or plan of record (1989 condominium master plan.) • The set back is not visible on the Town assessors maps. • The building line is not shown on the adjacent plans of land(post taking date) including: A) Land Court Plan 16724 B.(1976) does not show this restriction line. It is of particular importance to note that Land Court requirements are extensive. B) Robert Kinlin Plan dated 4/16/87 being plan book 435 page 14 does not show this line. C) DeShon Plan dated 3/25/57 being plan book 134 page 149 does not show this line. Mrs. Sally Pessa August IZ, 1996 Page 5 PURPOSE OF THE TOWN MEETING VOTE The setback restriction was established for the sole purpose "which building lines are commonly established in the "Village of Centerville". It is noted that this taking was not for street use purposes and was not directed for any issues related to the use or maintenance of the roadway. The taking further noted that No structures be erected between the building line and the street line except existing buildings... excepting ordinary repairs and fences walls and gates not more than 2 '/_�feet high. Barnstable's original bylaws were implemented in March 1940 , one year after the creation of the building line plan. Barnstable established its first zoning bylaw in 1969 and although the current zoning act was not enabled until 1975 and the town zoning recodified in 1987, this taking was clearly intended to act as a predecessor to current zoning controls and as such must be viewed as such. The Barnstable Zoning Bylaw, since at least 1969, defines a setback as "the distance between the street line and the front building line of a principal building or principal structure projected to the side lines of the lot." The Barnstable Zoning Bylaw defines a structure as any production or piece of work, artificially built up or composed of parts and joined together in some definite manner not including poles, fences and such minor incidental improvements. RELEVANCE OF THE SETBACK PURPOSE 1) The Board of Health has routinely approved repairs of septic systems which have included retaining walls within front, rear or side yard setbacks. As such they are not considered to be"principal structures "(or alternatively consider them"incidental structures"l, For example, reference is made to the following project: Craigville Beach Road across from Lovell's Beach Mrs. Sally Pessa August 12, 1996 Page 6 2) The Building Inspector issued a building permit for the site based on the site plans that clearly showed the retaining wall at less than the required setback by zoning. This indicates that the wall is not a principal structure and was considered an incidental improvement or an ordinary repair to the existing septic system. 3) The Planning Board issued a special permit and site plan approval on the property based on the site plans that clearly showed the retaining wall,(as required by the zoning regulations) at less than the required setback by zoning. This indicates that the wall is not a principal structure and could by inference be considered a minor incidental improvement or an ordinary repair to the existing septic system. 4) Retaining walls are permitted as a design alternative under the new Title 5 without State variance , thus indicating that they are normal construction. y' 5) The horizontal and vertical location of the septic system complies with the minimum provisions of the septic system regulations,they cannot be considered anything other than a normal repair. CONCLUSION The DPW's finding that a retaining wall for a septic system repair violates the purpose of the building line taking is counter to all evidence described above. Otherwise, 1) The building inspector would have considered the wall to be a principal structure violating the set back line, (20 feet in zone R-1) "which building lines are commonly established in the Village of Centerville". 2) The Board of Health would have p9inted out the requirement for a , building permit for the retaining wall, and not have dealt with it as a normal repair or incidental improvement. 3) The Planning Board would not have approved the site plans under the Special Permit process if the retaining wall was considered a principal structure subject to the required front yard setback. I Mrs. Sally Pessa August 12, 1996 Page 7 4) Anyone, in the numerous public hearings (who were all notified by certified mail three separate times) could have commented that the retaining wall was a principal structure that violated the required front yard setbacks for"which building lines are commonly established in the Village of Centerville". 5) No representative of the Town during the Town's building permit process, including reviews by: Assessors Board of Health Engineering Dept. Conservation Commission Planning Office and Building Dept. considered this to be a principal structure that violated the required front yard setbacks for"which building lines are commonly established in the"Village of Centerville", 6) There were no appeals to the decisions during the appeal periods, which was enacted for the_purpose of resolving such issues. SUMMARY Removing or lowering the retaining wall will violate Board of Health requirements and jeopardize public health, by exposing the public to sewage effluent. The strict interpretation of the taking prohibits walls over 2 t/2 feet high within the building line, is not appropriate because the demand is counter to the purpose of the taking as so stated in the town meeting order which does not control any activity that is not a principal structure, but rather an incidental improvement and normal repair. From an engineering, land survey and environmental perspective,the septic system design should stand as it was constructed, meeting the permit >requirements and the purpose of the 1939 taking. Otherwise, the permits would be violated and the owner will realize a severe hardship . Sincerely, The BSC Group -Norwell Ina David J. Crispin PE PLS Associate r GAsite\pesswall CC: Bruce Gilmore G� TOWN OF BARNSTABLE 61THEj- �wP� , ♦ � OFFICE OF Bssa9TSBr, i BOARD OF HEALTH MANS p� i639, 367 MAIN STREET HYANNIS, MASS.02601 May 19, 1995 David J. Crispin, P.E. BSC Group 293 Washington Street Norwell, MA 02061 RE: Pessa, 112 Long Beach Road BSC File 4-5280.00 Variance Requested prior to March 31, 1995 (Effective Date of New Title 5) Dear Mr. Crispin: You are granted variances, on behalf of your client Sally Pessa, to install a replacement onsite sewage disposal system at 112 Long Beach Road, Centerville. The variances granted are as follows: Part VIII Section 10.00: To reduce the separation distance between the leaching facility and the edge of wetlands to 50 feet in lieu of the required 100 feet. To reduce the separation distance between the leaching facility to the property line to eight (8) feet in lieu of the required ten feet. 15.02 17) Construction in Fill: To reduce the amount of impervious material removal surrounding the leaching facility to five(5) feet(in compliance with the March 31, 1995 Title 5 Regulations). 310 CMR 15.14 ffij& I Illustration B) To install a concrete retaining wall in lieu of providing sufficient surface slope to prevent breakout. The variances are granted with the following conditions: (1) You shall obtain written approval from the Department of Environmental Protection(DEP). (2) After receiving written approval from DEP, you shall submit a monitoring plan and a Maintenance Agreement to the Board of Health. You shall obtain approval of the monitoring plan and Maintenance Agreement from the Board of Health prior to obtaining a disposal works construction permit from the Board. (3) The septic system shall be installed in strict accordance with the submitted revised plans dated May 2, 1995. (4) The designing engineer shall supervise the installation of the septic system and shall certify in writing to the Board that the system was installed in strict accordance with the submitted revised plans dated May 2, 1995. The variances are granted because the existing cesspools are in all probability sitting in the groundwater table. The proposed alternative type system is designed to treat the wastewater effluent to reduce nitrogen and other contaminants. Thus, the proposed system may alleviate a source of contamination to the river. Sincerely yours, Susan G. R R. . S Chairman Board of Health Town of Barnstable SGR/bcs bsc J&R SALES & SERVICE, INC. Attention: Board of Health Agent For your records, attached please find a copy of a letter,to the Massachusetts DEP, requesting the testing of the FAST Systems be reduced according to the new regulations set by the State. Please call if you have any questions or require additional information. Sincerely, ez Candy Gayares 44 Commercial St. Raynham,MA 02767 Tole.508.823-9566 fax 508.880.7232 I LAURA HURVITZ 75 PRIOR FARM ROAD DUXBURY, MASSACHUSETTS 02332 MR. STEVE CORR DEPARTMENT OF ENVIRONMENTAL PROTECTION I WINTER STREET BOSTON, MA DEAR MR. CORR, I'M WRITING THIS LETTER TO INFORM YOU OF A CHANGE IN STATUS OF OUR PROPERTY AT 112 LONG BEACH ROAD, CENTERVILLE, MA. MY MOTHER, SALLY E. PESSA, PASSED AWAY OF CANCER...MY BROTHER AND I HAVE INHERITED MOM'S HOUSE BUT WILL ONLY BE USING IT DURING THE SUMMER MONTHS. WE HAVE CLOSED THE HOUSE FOR THE WINTER (SHUT OFF WATER, ETC.). I CONTACTED BILL EVERTT AT WASTEWATER TREATMENT SERVICES IN RAYNHAM AND HE SUGGESTS I WRITE YOU A LETTER OF INTENT AS TO THE CHANGE OF USE OF THE PROPERTY. PLEASE LET ME KNOW IF YOU NEED ANY FURTHER INFORMATION OR IF I NEED TO COMPLETE ANY PAPERWORK. SINCERELY, LAURA PESSA HURvITz 781-9346693 CC: BILL EVERTT VTHOMAS WASTEWATER TREATMENT, INC. A. MCKEAN TOWN OF BARNSTABLE REGULATORY SERVICES - - 1.ALL EXTERIOR WALLS SHALL BE ZX6 @ 16"O.C.UNLESS ' TOWN �/'�{F P ,g OTHERWISE NOTED. v' f tl °'' R N S TA)B L E 2.ALL INTERIOR WALLS SHALL BE 2X4(off 16-O.C.UNLESS _ - OTHERWISE NOTED. RAISE HEAD HG Z(??f • E4♦' F E t l 3.CONTRACTOR SHALL VERIFY FULL GLA55 WALL WITH DOOR '`#1- 2 J P,I - 4 2 ALL WINDOW ROUGH OPENINGS TO*6'-8• PRIOR TO ORDERING WINDOWS. 1 i x 48' OH / f 47"x 16°AWN. ALL DIME 1fY DIMENSIONS PRIOR TO REVISED CONSTRUCTION.CONTRACTOR 2-29°z 55' PH 2-2q'x 58' DH o® / ASSUMES RESPONSIBILITY FOR RAISE HEAD HGT BATH I RAISE HEAD HGT --""�-" .'---.'Rs�, a, ANY MISSING OR INCORRECT TO 2068 TO fb'-e' EXISTING { +k°h 4 T± W.I.C.. D��- THE ATTENTION ODIMENSIONS NOT F THE TO TANKLESS EXISTING DESIGNER. 2668 HOT WATER BATH - HEATER - GENERAL NOTES PROVIDE NICHE IN EXISTING - 5HOWER .ATTIC EXISTING PROVIDE EXISTING LOFT EXISTING RAIN SHOWER PROVIDE 1/2 I HEAD WALL w/GLASS I BEDROOM BEDROOM, ABOVE NO. REVISION DATE _ coPmlGNr 2q"x 57" PH 29°x 37" PH NO SIDE HEREBY E—RESSLY RESERVES ITS COMMON LAW COPYRIGHT,THESES PLANS ARE NOTTO BE REPRODUCED CHIWGED OR COPIED IN ANY FORM OR MANNER WHATSOEVER WITHDUTRRST 2-2q'x 55" PH 2-29"x 58' DH OBTAINING-1—RESS—ITTEN RAISE HEAD HGT I RAISE HEAD HGT DEBGBN AONANDTESNSENTOPNDRTHSIDE TO tb'-B° TO ±V-81 BUILDER: - - - � 29'x 44° PH RAISE HEAD HGT TO 36'-B" SECOND FLOOR PLAN DESIGNER: NORTHSIDE A 21'x 56" DH 59"z 56"FIXED2q'X 56' Du DESIGN . � 5...� EXISTING , ) DECK V ASSOCIATES 29°x 56° PH 29°x 56' DH _ ' DLS'DNCTIVE RESIDENML&COMMERGAL DESIGN 56'x 64' FIXED GOG8 5GD 141 MAIN STREET'YARMOI.IHPORT•MA.2675 5Fx 64" PH w/2-32' FLANKERS V 31'z 64" DH " / 31'x 64' DH 3065 VERIFY 5IZE w/EXISTING 508136 No SDSI362-9803 31°z 64° PH q�1 `/ FULL VIEW' JACK 5TUD5 ORTHSIDEDESIGN.COM ' 'I —_ noKhsldelN wrtrcart.net (2)'26°x 64' DLI 72°x 64° FIXED (2)26'x'14' DH 1� b" TRANSOM T 24'z 64° PH V j.I j PIT ppl„IN _ EXISTINGTHICK ENGINEER: EXISTING CONCRETE x ALL TAYLOR DESIGN III TO EXISTING 2-1668 EX STING JACK � BEDROOM CONCRETE WALL ON I BEAM BELOW DINING STUDS FOR CONTINUOUS 20°x10° 16'TRANSOM 4'x4°z25° III STUD HEADER 24'X 64' DH V TUBE STEEL w/ TO REMAIN CONCRETE FOOTING P.O.BOX 1313 ' 2x6 STUD EACH SIDE e - FORESTDALE,MA.02604 IKNEW L B VL BEAM AOVESTAMEXISTING I ---- - 2q°x 56° PH 28' TRANSOM ./ FAMILY ROOM ______ = I - V55'x 64' FIXED V I O ------ I I I 6x4 EXISTING L—— —J P.T. POST v TUBE.57 III I I LAV TUBE STEEL / II T 24 TRANSOM 2x6 STUD EACH SIDE - IIE REFRAME WALL I. EXISTING EXISTING e-p PROJECT: 1. 16' TRANSOMw/2z6 5TUD5 - � � _ RENOVATED V z4'x 64" PH ;i 3 I LIVING W.I.C. BATH PROPOSED 2q°x 64" PH 2q'x 64° PH III --J i j I WALLACE I� PROPOSED ENTRY RESIDENCE r--- III v ze6e L --- MAKEUP FOUNDATION' RENOVATED VANITY 9-LIGHT EXISTING 112 LONG BEACH RD. I EXISTING KITCHEN I FOY CENTERVILLE,MA. 99 PORCH 3D66 2668 PKT 29"x 411' DH 29°x'48jDH ) __ r LA DOOG-LIGR V TITLE. 37'x 64' DH 37°z 64° DH 37"z 64' PH 37'x G4' DI FLOOR PLANS V i PROP ED V t/ �/ q EN RY . v BAR EL CLG. I v CENTER PROPOSED - - ( - SCALE:1/8'=V-0• ENTRY w/DOOR N 0 1 2 d 8 10• SO.COL. TYP. 7 °' NOTE: ALL WINDOWS TO BE REPLACED WALL KEY PROJECT tI: SHEET g, p' 6 PROVIDED BY CONTRACTOR. 1412' A. ROUGH WINDOW SIZES SHOWN ON PLAN O EXISTING WALLS A CONTRACTOR TO VERIFY ALL WINDOW FRAME OPENINGS PRIOR TO ORDERING WINDOWS. C_____] WALLS TO BE REMOVED VERIFY ALL HINDOH SIZES S., w/EXISTING OPENING WIDTHS FIRST FLOOR PLAN ® PROPOSED WALLS DATE: OF 5/23/14 G 1.ALL EXTERIOR WALLS SHALL BE 2X6 @ 16"O.C.UNLESS w OTHERWISE NOTED. 2.ALL INTERIOR WALLS SHALL OPTIONAL BE 2X4 @ 16-O.C.UNLESS FALSE CHIMNEY OTHERWISE NOTED. 3.CONTRACTOR SHALL VERIFY _ ALL WINDOW ROUGH OPENINGS - PRIOR TO ORDERING WINDOWS. 4.CONTRACTOR SHALL VERIFY it ALL DIMENSIONS PRIOR TO III III III[ HI Hill IN. CONSTRUCTION.CONTRACTOR ASSUMES RESPONSIBILITY FOR ANY MISSING OR INCORRECT DIMENSIONS NOT BROUGHT TO 4°x4°z25" THE ATTENTION OF THE TUBE STEEL w/ DESIGNER. 2x6 STUD EACH SIDE GENERAL NOTES I I ml 01111 IM III II II II® ® ®I1 II II I II II I II II II II - ' II II I I NO. REVISION DATE If j I hilill I I ` NO SIDERTRSIOE HEREBY EXPRESSLY RESERVES ITS COM.ON IAW COPYRIGtR.T1E5E5 PLMIS ARE NOT TO BE REPRODUCED CHANGED OR COPIED IN ANY FORM OR MANNER WHATSOEVER WRHOUTRRST OBTAINING TIE E%PRESS WRITTEN PERMISSION AND CONSENT OF NORTISIDE DESIGN ASSOCIATES. BUILDER: LEFT ELEVATION DESIGNER: ® NORTHSIDE DESIGN DESIGN ASSOCIATES OISONCOVE RESIDENTIAL&COMMERCIAL DESIGN OPTIONAL 141 MAIN STREET'YARMOUMMRT-MA 0267S FALSE CHIMNEY - (sDe)362-2— (5De)362-9802 NOflTHSIDEDESIGN.COM o.eMmn#�o PROPOSED PROPOSED TO RMER ROOFS 12 DORMER ROOFS BE RE-BUILT 12 6� TO BE RE-BUILT B� B� ENGINEER: TAYLOR DESIGN P.O.BOX 1313 FORESTDALE,MA.02604 3 W ® STAMP: OO 0 mi 3 O 9 D 'ate 12 PROPOSED ENTRY ROOF ® PROJECT: it 1116 It I ® ® ® ® ® ® PROPOSED WALLACE RESIDENCE 112 LONG BEACH RD. CENTERVILLE,MA. it .100 nTLE: �. ELEVATIONS I SCALE 1B"=V-0' 0 1 2 4 - PROJECT#: SHEET -. 1412 A.2 FRONT ELEVATION DATE: OF 5/23/14 5 1.ALL EXTERIOR WALLS SHALL BE 2X6 @ 16-O.C.UNLESS OTHERWISE NOTED. 2.ALL INTERIOR WALLS SHALL OPTIONAL BE 2X4 @ 16'O.C.UNLESS FALSE CHIMNET OTHERWISE NOTED. _ - 3.CONTRACTOR SHALL VERIFY ALL WINDOW ROUGH OPENINGS PRIOR TO ORDERING WINDOWS. 4.CONTRACTOR SHALL VERIFY _ ALL DIMENSIONS PRIOR TO I It III I III CONSTRUCTION.CONTRACTOR ASSUMES RESPONSIBILITY FOR y � ANY MISSING OR INCORRECT DIMENSIONS NOT OF THE TO Effil THE ATTENTION OF THE DESIGNER. GENERAL NOTES If lilt )IT lilt Ili lilt I lilt III lilt III HIT III II IT I I ITT Ill it All, Hilli - NO. REVISION DATE t 11 1 1 1 t I I I I I I I I I IIIII I I I I I I I I I I I I I I I I I I I I I I I I 1 11 1 1 1 11 I'll I ..—'.-.ERE . OR '.-.EREBY EXPRESSLY RESFAVES ITS COMMON I—CO—TIT.TNESES it PLANS ARE NOT TO BE RE PRODUCED CHANGED-COPIED IN ANY FORM OR MANNER—ER—OUT FIRST OBTAINING TIE EXPRESS WRITTEN PERMISSION AND CONSENT OF NORTISIDE - DESIGNASSOOATES. BUILDER: RIGHT ELEVATION - DESIGNER: NORTHSIDE DESIGN ASSOCIATES _ OPTIONAL DISTINCTIVE RESIDENTIAL&COMMERCIAL DESIGN FALSE CHIMNEY 141 MAIN STREET'YARMOITTIPORT-MA RVE IS0B1362-2210 1—)0 62-0802 NORTHSIDEDBIGN.COM northsldel@com PROPOSED PROPOSED 12 DORMER ROOFS 12 DORMER ROOFS B� TO BE RE-BUIL B� To BE RE-BUILT ENGINEER: TAYLOR DESIGN - P.O.BOX 1313 ® ® ® ® re FORESTDALE,MA.02604 3 gB' STAMP: 8 Z o� w� « o� I IT IT it I d= IIIIIIHIIIIIII IT llfl !ls !!Il Ili Ill I Ill 11 _ _ _ D x PROJECT: ® ® ® ® ® ® PROPOSED WALLACE RESIDENCE 112 LONG BEACH RD. CENTERVILLE,MA .00 11 IT] - - - - - i� TITLE:. TTT ELEVATIONS .. - SCALE:1/6'=1'-C' 6 1 2 4 8 PROJECT#: SHEET' 14-12 A.3 REAR ELEVATION DATE: OF 5123/14 1.ALL EXTERIOR WALLS SHALL BE 2X6 @ 16"O.C.UNLESS - - 2x11 NAILER - - OTHERWISE NOTED. S.I LAY ON NEW RIDGE VENT R AFTERS ON `OOF - 2.ALL INTERIOR WALLS SHALL \ ROLL VENT BE 2X4 @ 16"O.C.UNLESS OTHERWISE NOTED. xl0 RIDGE EXIST. ROOF FRAMIN , RAFTS 3.CONTRACTOR SHALL VERIFY I6 O.C. / RIDGE BOARD 2x5 CLG. JOISTS i//'i'///'/'i//' (STRUCTURAL SIZ ALL WINDOW ROUGH OPENINGS 16"O.C. MAY VARY) 2_ e REMOVE EXISTING EXISTING ROOF //EXISTING ROOF"/�/ PRIOR TO ORDERING WINDOWS. HEADER LAID ON GABLE 4.CONTRACTOR SHALL VERIFY DORMER FRAMING / t CUT BACK SHED PIT BIT, // ' // 'PIT aIT ALL DIMENSIONS PRIOR TO IXISTI G RAF / FRAMING TO NEW / CONSTRUCTION.CONTRACTOR �j,I `EADER AS NEEDED / / - ISsr FELT PAPER ASSUMES RESPONSIBILITY FOR EXIsnNc / '/�///'/�///'/ /'/ / �'�' ' 5/8'COX PLYWOOD ANY MISSING OR INCORRECT LOFT 2z10 RIDGE /'EXISTING ROOF/'/ / / RAFTER VENT DIMENSIONS NOT BROUGHT TO 2x5 RAFTERS '// / /'� '� �' / - WHERE INSUL. THE ATTENTION OF THE 1 16' O.C. ' ' ,'� / / / / / / / DESIGNER. I� I I '.EXISTING ROOF'/ / '/'//// '/'/'// R-30 IN5UL EXIST. FLOOR FRAMING "�'�_�`_� 2-2xIO P.T. //i' /EXISTING ROOF//� 2x10 RAFTERS HE BEYOND /� XISTING ROOF/. GENERAL NOTES ®® BARREL CLG. I P.T. POST •12 12I /a12 •12 I I '/EXISTING/ROOF / / PITC PIT PIT /PITC PITC EXISTING EXIST. EXIST I 1 LAV CLOSEFO 4" CONCRETE B:I2. T1-FJCAL RIDGE VENT DETAIL_PITC PITCH PS SCALE 1-112" II-O° IXIST. 1. FRAMINGROOF PLAN EXISTING SCALE:W=Vv - NO. REVISION DATE CRAWL SPACENOP DENOR 4EREBY ESEITS S10'THICK'% -V-O' PLANS AREONOTTOC ERE RODUCEDESCONCRETE WALL ON CHANGED OiCOPIEDINANTFOUAOR CONTINUOUS 20°xI0" - MANNER NMgT50EVERWITHORFlRST CONCRETE FOOi1NG K WS51ONANCNSEWOF NORTISIDE - DESIGN ASSOCIATES. 5.1 ASECTION Bu1LDER DESIGNER: NORTHSIDE CUT BACK SHED — — DESIGN - - FRAMING TO NEW ' HEADER AS NEEDED _ CUT BACK SHED HEADER RAFTER @ I6" o.c. ASSOCIATES FRAMING TO NEW DDTNCRVERESIDEN L&COMMEROALDESIGN 2xa NAILER 2 HEADER AS NEEDED 2z10 RIDGE 2xe RAFTERS LAY ON NEW 2 2xa I LaL Mary STREET`YARMOUIFiPORT`Mq 02675 16,O.C. RAFTERS ON HEADER EXISTING FRAMING (508)361-MO Is.)3S2-s&Dx - 5.1 — — — — — — — D TRI1COF 2.8 RAFTER5 I6" O.C. 2xI0 RIDGE 2.6 RAFTERS TO REMAIN NORTHsmEDESIGN.COM - 16°O.C. H2.5 @ EA. RAFTER T ENGINEER: TOP PLATE TAYLOR DESIGN P.O.BOX 1313 zxa NAILER — r——— ———— 1 I - LAY ON NEW I F j - FORESTDALE,MA.02604 _ RAFTERS ON 6. I EXIST. ROOF STAMP: III ---------------------- i Z�,. I'I III < I\ T II i W — -------- I AFTER TO PLATE CONNECTION N II j 2>SB .III IIyy Z I W III I N SCALE: N.T.S. II e 0 1l L 1 F'Q I L 1�}I 2-2x 1 xVap i I IIIIIIIII i I aII 11 I�FxLQ7 N���i IIII II �iI I I IIIIIIII III wL-N�n PROJECT, EXISTING FRAMING PR zxa RAFT 16" O.C. 2x WALLACETO TO REMAN -2z MAIN Of, al RESIDENCE '12 LONG LLCH RD- 2' �w IF-- CENTERVIE,MA w� , LERJI LAY ON SIMPSON TITLE: RAFTERS — EXIsRD = 2.8NAILER A6A66 ROOF FRAMING LAY ON NEW I SECTION / 2x10 RIDGE I I I I I I I RAFTERS ON I EXIST. ROOF 2-2xB / 2x10 RIDGE. .— — 2xe RAFTERS ,. F ..,.::,.'' 2z8 RAFTERS HEADER I 2x10 RIDGE ;,. REMOVE EXISTING 2z0 RA ERSI II I I REMOVE EXISTING SCALE:1lB'=1'-0' DORMER LAID ON GABLE NG 16'O.C. \ HEADER LAID ON GABLE t Cl BACK 2-2x10 P.T. t CLFTER FRAMING 0 1 2 4 6 FRAMING TO NEW - HEADER t CUT BACK SHED HEADER AS NEEDED FRAMING TO NEW PROJECT#: SHEET HEADER AS NEEDED POST BASE 2-2x10 P.T. .—.— —.—. bx6 HEADER 6x6 2x10 RIDGE P-T. POST SCALE: N.T.S. 1412. . P.T. POST S•1 • � 2 q S.I - DATE: OF S.1 5/23/14 l D ' 10 TOP OF WALL CJ m 9 m O d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o 0 0 0 0 o 0 0 0 0 0 0 0 0 0 o MVr O o 0 0 0 0 o O o 0 0 0 0 0 0 0 0 0 0 �• o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 91V o a o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 V °00°0°0°0°0°0°0 azs o000000aoo00 832 °oo°o°o°o°o o°o°o°o°o On 0 0 rag 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 a7 w 1� °°o°°o°o°o°o°o°o°0°00°° °o°o°°o°° o°o°o°o°°o°o°°o °o i-y Z •.e• apopppapap°pppapapa o°p°p° °o°o°o°oao°o 7 •� •e 00000000000°0000000 0000 000000000000000000 is 2.2, T d a °a°0 CU /a // { ppppppapp°°°ppopop0op00000000p0000000p0000000000000°op0000000p00000000000popopo000000poo C d 4 a WRLTRATORS CD d r m DOST. BIT. CONC. S e DO . GROUND m 4.7 • o e F •'a < d d 3 Ln co 40( /c Ile py Cf') i- a s 4 wC1w MAR ° 99� SOIL TEST PIT DATA: INDICATES _� INDICATES SEPTIC TANK DETAIL: 1 , 500 GALLON ISTRIBUTION BOX DETAIL: REVISIONS PERC. OBSERVED LEACHING TRENCH DETAIL: N0. DATE DESCR�P N TEST GROUND WATER NOT TO SCALE NOT TO SCALE c5 NOT TO SCALE 5,5 UTLETS N0. OF OUTLETS _ FINISHED GRADE TEST PIT � # 1 TEST PIT ---_ TEST PIT _--_ _-._ TEST PIT NOTES: 1. SEPTIC TANK SHALL BE STEEL 4. INLET AND OUTLET TEES TO BE CAST IRON, REINFORCED CONCRETE. SCHED• 40 PVC OR CAST-IN-PLACE CONCRETE. RE VABLE 2" WALLS NOTES: GRID. EL. 4.6 GRID. EL. --_. __- GRID. EL. -_ - GIRD. EL. - _ 2. SEPTIC TANK TO WITHSTAND H-20 LOADING TEES TO BE CENTERED UNDER MANHOLE COVER. CC 1 �/ 1 17 1 DIST. BOX TO WITHSTAND H-20 LOADING 9 - _ - a, Gw. EL. , GW. EL. -__ _ , GW. EL. GW.- EL. _ 3. ALL PIPE CONNECTIONS AND CONCRETE 5. RECOMMENDED MANUFACTURER-ROTONDO OR :v +• ': a w,.'•' + /1 O O O 2" - : . .•. �i �- PLUG EINDS CONSTRUCTION SHALL BE WATERTIGHT. APPROVED (EQUAL. T T 2. PROVIDE INLET TEE OR BAFFLE WHERE SLOPE _ LOAM & SUBSOIL l T I OF PIPE EXCEEDS 0.08 FT./FT OR IN 4" PVC PERFORATED S= 0.005 -� n� n 2' EFFECTIVE - -- - -- - 1 1 1 1 � � "d / a� nae nay HIGH WATER AT PUMPED SYSTEM. / � � i EL 1.9' -- - map LEVE 'a�,fa°� o °MANHOLE COVER s T 15" _ BROUGHT TO FINISH GRADE + T ° ° u �° � 1 BOTTOM �° // DEPTH 2 MEDIUM 2 2 2 f 6" ,� ;, 8" 3 BOXTTOWBEFLADOLEVEL. OUT OF DIST. \ \ � � �.. e o -- -- 28' - --- 3' SAND 3' 3' 3' ii //i/. /i� +• a 12" MIN. 6^ ° 4. RECOMMENDED MANUFACTURER-ROTONDO 4' V WATER OBSERVED 4' 4, 4, 11'-0" COVER �c�b �'a9, �a� �a�b�a GENERAL NOTES: _ _ •��°Q4uo4�°��^-�°��%�°Q� � 2" OR APPROVED EQUAL. PROFILE �� BOTTOM ON LEVEL�'/// 10'-0" 5. ALL PIPE CONECTION S AND CONCRETE NORMAL WATER V 12" STABLE BASE 6" MIN. 3/4" TO 1. THIS PLAN IS FOR DESIGN AND 5' -1 5 5 5 18" 1 1/2 STONE CONSTRUCTION SHALIL BE WATERTIGHT. CONSTRUCTION OF THE SEWAGE T 3" 20 PLAN VIEW / LOAM & SEED DISPOSAL FACILITY ONLY. 6' 6' 6' 6' T 2% MIN. FINISH GRADE 2. ALL CONSTRUCTION METHODS AND INLET TEE 5'-1" �+ 30 1/2"- �� MATERIALS SHALL CONFORM TO MASS. - 7 7 7 - PRECAST - 5,_0" g'-'" 4, �� IN i OF HEALTH REGULATIONSE 5 AND . BOARD 8' 8' 8' 8' - - LIQUID' DEPTH -- TEE 3,5" INLETS 2'-6" / .r TANK 6'-0" 4'-9" 4'-0' MIN. OUTLET T `1..•. � MIN \ ,.`v`/ ��, `� - �\� (� 2" MIN. OF 1/8" TO 3. ALL PIPES LOCATED UNDER PAVEMENT 9' PRECAST DIST 15 1/2" 2 -0 ���° �� 1/2 WASHED STONE OR TRAVELED SHALL BE SCHEDULE 9 9 9 B O X 40 OR EQUAL. _ 2'-0" 4'-0" 3/4" TO 1-1/2" DOUBLE 4. THERE ARE NO KNOWN WELLS ' " oO``` ``` L L `` �� °`° /` PROOFING (TYP) CLEAR LOCATED WITHIN NO FT. L THE lO 10 10 lO WATER -� WASHED STONE B.O.P. O 10 � � eta BOTTOM ON LEVEL STABLE BASE od`�a 6" 1 PROPOSED LEACHING FACILITY NOR 11 11 11 11 PLAN VIEW i ///�\�/// 7 1/2" --� _CR_OSS-SEC_TI.O_N ANY WELLS PROPOSED WITHIN 100 FT. 6" MIN. 3/4" TO CROSS-SECTION VIEW GAS O OF ANY KNOWN LEACHING FACILITY. 12' 12' 12• 12' 1 1/2" STONE CROSS-SECTION NO WEEPHOLES DATE: DATE: DATE: DATE: 5. THIS SYSTEM IS NOT VARIANCES REQUESTED INVERT ELEVATIONS. DESIGNED FOR THE USE OF 2-21-95_ A GARBAGE GRINDER. TEST BY: TEST BY: TEST BY: TEST BY: LOCAL BOARD OF HEALTH REGULATIONS: 6. WITHIN LIMIT OF EXCAVATION REMOVE THE BSC GROUP, INC. _ 4" INVERT AT BUILDING 10.00 ALL TOPSOIL, SUBSOIL AND OTHER WITNESSED BY: WITNESSED BY: WITNESSED BY: WITNESSED BY: 1. FROM PART VIII: SECTION 10.00; SECTION 1.1 GENERAL 4" INVERT AT SEPTIC TANK (IN) 9.75 IMPERVIOUS MATERIAL. E. BARRY REQUIREMENTS 1.14. ^� NO SYSTEM ALLOWED WITHIN 250' PERC. RATE: PERC. RATE: PERC. RATE: PERC. RATE: FROM A WATERCOURSE WITH ITS BOTTOM LESS THAIN 14' 4" INVERT AT SEPTIC TANK (OUT) 9.50_ 7. REPLACE WITH CLEAN WASHED SAND 2 MIN./INC'I MIN./INCH MIN./INCH MIN./INCH ABOVE THE GROUNDWATER AND AN APPLICATION RATE 4" INVERT AT DIST. BOX (IN) 9.32 OR OTHER CLEAN GRANULAR PERMIT #8405 OF 0.75 GAL/SF/DAY. 4" INVERT AT DIST. BOX (OUT) 9.15 MATERIAL HAVING A PERCOLATION RATE OF LESS THAN 2 MINUTES 2. FROM MAY 4, 1973 REGULATION - NO SEPTIC TANK OR PER INCH BEFORE AND AFTER PLACEMENT. DATUM : OR DISPOSAL SYSTEM SHALL BE WITHIN 100 FT. OF ANY INVERTS AT LEACHING FACILITY: WATERCOURSE UNLESS OTHERWISE SPECIFIED BY THE S. EXISTING UTILITIES WHERE SHOWN 4" INVERT AT BEGINNING IN THE DRAWINGS ARE APPROXIMATE. VERTICAL DA N.G.V.D. BOARD OF HEALTH. THE CONTRACTOR SHALL BE RESPON- }-� I OF LEACHING TRENCH 9.15 SIBLE FOR PROPERLY LOCATING AND BENCH MARK USED: CONCRETE BOUND FOUND ON SOUTHWEST CORNER 310 CMR 15.000 THE STATE ENVIRONMENTAL CODE, TITLE 5: -.88 N � COORDINATING THE PROPOSED CON- OF LOT ® ELEV. 4.74. 1. FROM SECTION 15.14: LEACHING TRENCHES - IT IS REQUESTED 4" INVERT AT END STRUCTION ACTIVITY WITH DIG-SAFE FLOOD � OF LEACHING TRENCH 9,00 AND THE APPLICABLE UTILITY THAT A REINFORCED CONCRETE WALL BE ALLOWED TO MEET THE COMPANY AND MAINTAINING THE BREAKOUT REQUIREMENTS AS SHOWN IN THE FIGURE. ELEVATION AT BOTTOM EXISTING UTILITY SYSTEM IN SERVICE. DIG-SAFE SHALL BE NOTIFIED PER 2. FROM SECTION 15.02(17) CONSTRUCTION IN FILL - TOPSOIL, PEAT OF LEACHING TRENCH 7.0 THE STATE OF MASSACHUSETTS AND OTHER IMPERVIOUS MATERIAL SHALL BE REMOVED FROM STATUTE CHAPTER 82, SECTION 409 `r OBSERVED GROUNDWATER AT TEL. 1-800-322-4844. THE �, v r I LE: NOT TO SCALE: ALL AREAS BENEATH THE LEACHING FACILITY AND FOR A ELEVATION 1 .9 ENGINEER DOES NOT GUARANTEE DISTANCE OF 25 FEET IN ALL DIRECTIONS, ETC. RIVEP\ THEIR ACCURACY OR THAT ALL ,, o E ARIEITIES SHOWN AND LOCAT LOCATIONS AND SURFACE STRUCTURES Af FIRST PIPE LENGTH EN TER LL TO BE SET LEVEL CENTER' ELEVATIONS OF UNDERGROUND UTILITIES EL.= 14.00 FOR MIN. 2' TAKEN FROM RECORD PI-ANS. THE LOCATION AND INVERTS OF UTILITIES \ 4" PVC PIPE � ON ACTOR SHALL VERIFY SIZE, FINISHED FLOOR DOCK - AND STRUCTURES AS REQUIRED PRIOR MANHOLES & COVERS AS REQUIRED EL.= 12.5 ( BRING TO FINISH GRADE ) 2"-1/8"-3/8" DOUBLE WASHED STONE - TO THE START OF CONSTRUCTION. CRAWL :` 2" MIN. EL.= 10.6 DOCK x i-- P F A' S !�! I • 4" PVC SCH 40 3 4" TO 1-1 2" DOUBLE WASHED STONE ,...� 4' PVC SCH 40 -_ {� ,� •. _ �� X rt-•'Y yf I DESIGN FLOW: 10 D0 1= 9. 0 - ---- -- I -0.4 - 3.5 1= 9.00 _ 4_ BEDROOMS AT 110 G.P.B./D 440 G.P.D. 6" - - ASSESS' R MAP 206 wI Z i 1 s.o' o DOCK 3.24 X- �, Z. - -- ------ - 1= 9.7 1= 9.32 1= .15 _ •� BOTTOM EL.- 7.0 __- 5"OUTLET _ 1,500 GALLON DIST. BOX I x PA DEL 4 3.6 ��� ---- - - - - The BSC Group PRECAST CONCRETE HIGH WATER EL. 1.9 I 22;0''.' AREA 7,624 S.F. ---.-- //;/ -- SEPTIC TANKMl � � 3.8 Lolli /b mi �� ;N �; �� x REQUIRED SEPTIC TANK: 0 o j 4.O j M. m \ 440 GAL. x 150% = 660 _ GAL. �. Z = 1,50o GAL. 293 WASHINGTON STREET / 39s' / L o SEPTIC TANK PROVIDED: NORWELL, MA 02061 477/7 / /// " SIZE OF LEACHING FACILITY REQUIRED: r j 15. 4•0 DESIGN PERC. RATE:-__ 2 _ MIN./ (INCH (617) 659-7981 l000 / PROPOSED F.F.= 14.00 / s _ �/ �/ I _ / SIDEWALL 2.5 GAL/S.F. x 4 10 GAL•/FT• / 12x5 N/F �QTT�v1 GALZS,F, x 2 2 GAL,/FT• . 4 BEDROOM DWELL.?'1G Q DOMNICK & JUDITH FINISH GRADE - 10 %.L. �- VC`? o TO BE REMODELtu /0 3 I GAUTRAU 660 GAL. 1. 12_ GAL. 55 FEET PROJECT TITLE: 12 x 0 #7 ® 24" ���� // // / l0'� 4.4 SIZE OF LEACHING FACILITY PROVIDED: STAGGER W/ #4018" - #; �/ 5 :: I - -- --- , SEWAGE DISPOSAL OTHER #7 x O 1,5b0 GALLON _TRENCHES-2 WIDE x PEEP AT 2$ SONG - / GAS 11x0 - ' 12x5 4.8 SEPTIC TANK = 56 FEET SYSTEM DESIGN METER \ 4'-6" Jm - - - - - - -- - - -- - -- -- t0 N Z I '' - - -� 112 LONG BEACH RD. 2„ CL. 2' CL. - - - O - N/F - EXISTING TIMOTHY B. oO` CENTERVILLE, MA r GROUND ATKESON ET. AL. I L - - - J X 10x6 5' #7 ® 24' � � / I I GRAVEL - -_- . .-- - - V 2x0. I DRIVE - _ - _ _ - - I ASSESSORS MAP 206 1 3 G i' \ I I 12" CONCRETE RETAINING WALL LOCUS PLAN : NOT T�- SCALE PAR 3" x 6" CONT. KEY 2'-3" 1 TOP OF WALL=9.00 ��- 4.6 I 1 Gv (TYP.) 9 }wv I w 9 d®. #6 ® 10" x I < ::. 1 f h 4.7 ••• I X .. ............. `.. .............. ... -- . GAS -- -- -- - - ---- 18 .8 ......................:... ..... ...:. • __ _ - __ - _ - - " BIT. BERM 3 CL. #4®18" 1 -9 - S 89'5' 15" E =� _T 100.00' - - 'Jim ] - �jj, p � 4- C.B. FND R JCATE r X' N� R `� �, - ---- - R. SPIKE FND �ri' --� • ELEV 4.74 Xj`9�} W / , - -- --- -- ----- - r - , _ - .; PRE D N.G.V.D. �- �� w,ti-,. Lqrcus L , , BEACH ROAD Q =, ? _ .Z._ :t -, RICHARD & �' --- 5'-7 O w A� Crai itc - 17 GARDEN PAR 3 ^' I.JBLIC 1931 LAYOUTS W Q ` _ o NORWOOD, MA 02062 r 1 ,r. �:� �,. DATE: MARC ... H 21 , 1995 RETAINING WALL - - - - - - -- - - - - - - - _ , . -� 1�k NOT TO SCALE -' - Pubhl Beach�i� `I \ y�''" e COMP./DESIGN: R. B. CHAPMAN J, Landing i CHECK: R. B. CHAPMAN/ N.H. 20 DRAWN: K.H. / D.L. / N. H. NOTE: WEEP HOLES ARE NOT TO BE PROVIDED PL/rN �1I: z �� FIELD: R.J./J.D. / N. H. �Rock�'*" /7 FILE NO 45280SEP.DWG CE-N TER VILLE " -HARE-O DWG NO 4043-01 SHEET 0 20 FEET 9 y , JOB NO. 4-5280.00 1 OF 1 4043-01 C