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0344 MAIN STREET (CENT.) - Health (2)
344 MAIN STREET, CENTERVILLE A= 208 044.001 UPC 12543 No,53LOR HASTINGS, rim IME Town of Barnstable Barnstable Regulatory Services Department MAMMicas j s STABLE. 9n 63q. ,,� Public Health Division 'dp�sa ° 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard Scali Director FAX: 508-790-6304 Thomas A.McKean,CHO July 2016 The Barnstable Health Division update re: Pirana -Sludgehammer Bio-Kinetic WWT System The Sludgehammer used to retrofit septic systems does not require the same sampling protocol as other IA technology. No sampling for Nitrogen, TKN, Total N or Nitrate is required. However, field monitoring of pH, Dissolved Oxygen and turbidity are appropriate measures of system function. Property owners with a Sludgehammer need to have a contract for the life of the system for Operation and Maintenance. For the first two years quarterly inspections are required. Also, an inspection is required anytime there is an alarm event. Alarm events and system failures must be reported to BOH within five days of event. After two years owners, or their representative, can request a reduction in number of yearly inspections, with a minimum of two O+M inspections per year. (Note: A report from the inspector should include the level of ponding in the D-box or leaching field. If the depth of ponding indicates at least 50% of dose storage available, then inspections can be reduced.) I Commonwealth of Massachusetts Executive Office of Energy &Environmental Affairs Department of Environmental Protection One Winter Street Boston, MA 02108.617-292-5500 Charles D. Baker Matthew A.Beaton Governor Secretary Karyn E.Polito Martin Suuberg Lieutenant Governor Commissioner APPROVAL FOR REMEDIAL USE Pursuant to Title, 310 CMR 15.000 Name and Address of Applicant: SludgeHammer Group Ltd. 336 S. Division Road . Petoskey, MI 49770 Trade name of technology: SludgeHammer ABG, model S-46 and 5-86 (hereinafter called the . "System"). Schematic drawing of a typical System and Technology inspection checklist are a part of this Approval. Transmittal Number: X265058 Date of Issuance: April 2, 2015 Authority for Issuance Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000, the Department of Environmental Protection hereby issues this Approval for Remedial Use to: SludgeHammer Group Ltd , 336 S. Division Rd., Petoskey, MI 49770 (hereinafter "the Company"), approving the System described herein for Remedial Use in the Commonwealth of Massachusetts. Sale and use of the System are conditioned on compliance by the Company and the System owner with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Approval constitutes a violation of 310 CMR 15.000. April 2, 2015 David Ferris, Director Date Wastewater Management Program Bureau of Water Resources This information is available in alternate format.Call Michelle Waters-Ekanem,Diversity Director,at 617-292-5751.TTY#MassRelay Service 1-800-439-2370 MassDEP Website:www.mass.gov/dep Printed on Recycled Paper Approval for Remedial Use Page 2 of 10 SludgeHammer ABG-April/2015 I. Purpose 1. The purpose of this approval is to allow use of the System in Massachusetts, on a Remedial Use basis to repair systems failing to protect public health and safety and the environment where failure has occurred as described in 310 CMR 15.303 (1) (a) (1) and (2) due to clogging of the soil absorption system (SAS). 2. The System may only be installed on facilities that meet the criteria of 310 CMR 15.284(2). 3. This Approval for Remedial Use authorizes the use of the System where the local approving authority finds that the System is for upgrade of a failed, failing or nonconforming system and the design flow for the facility is less than 2,000 gallons per day (GPD). II. Design Standards 1. The System consists of an aeration device,40 watt unit operated on a continuous basis, and a System bacterial source installed in an existing septic tank or a new septic tank designed in accordance with 310 CMR 15.223 through 15.228. The bacterial source consists of plastic media coated with the bacteria. The System converts the septic tank into a facultative bioreactor to treat residential strength wastewater from facilities with a design flow of less than 2,000 GPD. The treated effluent is discharged to the existing soil absorption system. 2. A microbial culture is established in the septic tank and maintained using the aeration device and the bacterial source. The aerator mixes the contents of the septic tank with the bacteria and aerates the liquid. The System's biomass reduces both the biochemical oxygen demand(BOD5) and the total suspended solids (TSS) concentration in the effluent from the septic tank. The effluent from the septic tank contains dissolved oxygen and System bacteria that discharge to the SAS and act to reduce the thickness of the biomat improving the soil absorption capacity. 3. Prior to installation of the System,the site and existing system shall be evaluated in accordance with 310 CMR 15.100 through 15.107. The existing on-site system including the septic tank, distribution box and SAS shall be inspected in accordance with 310 CMR 15.302. The evaluation shall include identification of existing components,their compliance with 310 CMR 15.000, cause of failure, and the location for the upgrade of the system if required in the future. 4. A System shall not be proposed for installation where: A. The high groundwater elevation determined in accordance with 310 CMR 15.103 . would be less than two feet in soils with recorded percolation rate more than two minutes per inch or less than three feet in soils with a recorded percolation rate of two minutes per inch or less below the bottom of the SAS. Approval for Remedial Use Page 3 of 10 SludgeHammer ABG-April/2015 B. A facility for which the site investigation indicates that the existing onsite system was designed and installed for a design flow smaller than required by 310 CMR 15.203. The minimum area for the existing SAS shall not be less than 50 percent of the area required in accordance with 310 CMR 15.242. C. The existing septic tank(s)has not been tested and shown to be watertight. D. The existing system includes a leaching pit or cesspool. E. A site investigation indicates that the existing soil absorption system must be removed and replaced prior to installation of the System. . 5. For seasonal use,the System shall be reactivated by the addition of a fresh culture of bacteria at each start up and ensure System is operating properly. 6. System installation shall not include modifications,excavations, or any other changes to the existing SAS,with the exception of the work required in section III (7). III. General Conditions 1. All provisions of 310 CMR 15.000 are applicable to the use of this System,the System owner and the Company, except those that specifically have been varied by the terms of this Approval. 2. Any required sample analysis shall be conducted by an independent U.S. EPA or DEP approved testing laboratory, or a DEP approved independent university laboratory. It shall be a violation of this Approval to falsify any data collected pursuant to an approved testing plan, to omit any required data or to fail to submit any report required by such plan. 3. The facility served by the System and the System itself shall be open to inspection and sampling by the Department and the local approving authority at all reasonable times. 4. In accordance with applicable law, the Department and the local approving authority may require the owner of the System to cease operation of the system and/or to take any other action as it deems necessary to protect public health, safety, welfare and the environment. 5. The Department has not determined that the performance of the System will provide a level of protection to public health and safety and the environment that is at least equivalent to that of a sewer system. No System shall be installed, upgraded or expanded, if it is feasible to connect the facility to a,sanitary sewer, unless as allowed by 310 CMR 15.004. When a sanitary sewer connection becomes feasible, the facility served by the System shall be connected to the sewer, within 60 days of such feasibility, and the System shall be abandoned in compliance with 310 CMR 15.354, unless a later time is allowed, in writing, by the approving authority. Approval for Remedial Use Page 4 of 10 SludgeHammer ABG-April/2015 6. Design, installation and operation shall be in strict conformance with the Company's DEP approved plans and specifications, 310 CMR 15.000 and this Approval. 7. A minimum of one (1) inspection port shall be provided within the SAS down to the lower stone/soil interface to enable monitoring for ponding. Existing inspection ports may be acceptable for use if found to be at appropriate depth and in good condition. IV. Conditions Applicable to the System Owner 1. The System is approved for use with sanitary sewage only. Any wastes that are non- sanitary sewage generated or used at the facility served by the System shall not be introduced into the System and shall be lawfully disposed. 2.. Operation and Maintenance Agreement: A. Throughout its life, the System owner shall operate and maintain the System in accordance with the Company and designer's operation and maintenance requirements and this Approval. To ensure proper operation and maintenance (O&M), the System owner shall enter into an O&M agreement. No O&M agreement shall be for less than one year. B. No System shall be used until an O&M agreement is submitted to the approving authority which: i. Provides for the contracting with the Company or its approved management company, trained by the Company as provided in Section V (7), to operate the System consistent with the System's specifications and the operation and maintenance requirements specified by the designer and any specified by the Department; ii. Contains procedures for notification to the Department and the local board of health within five days of a System failure or alarm event and for corrective measures to be taken immediately; iii. Provides the name of an O&M provider, which must be an approved Title 5 System Inspector trained by the Company that will operate and monitor the System. The O&M provider must inspect and maintain installed Systems at single family homes at least quarterly and anytime there is an alarm event; and iv. For all other Systems the O&M provider must inspect and maintain the System at least every month and anytime there is an alarm event. 3. The System owner shall at all times have the System properly operated and Y Y p p Y P maintained in accordance with this Approval, the designer's operation and pp g p maintenance requirements and the Company's approved operating procedures. The System owner shall notify the Department and the local approving authority in writing within seven days of any cancellation, expiration or other change in the terms and/or conditions of their O&M agreement. Approval for Remedial Use Page 5 of 10 SludgeHammer ABG-April/2015 4. Prior to transferring any or all interest in the property served by the System, or any portion of the property, including any possessory interest, the System owner shall provide written notice of all conditions contained in this Approval to the transferee(s). Any and all instruments of transfer and any leases or rental agreements shall include as an exhibit attached thereto and made a part thereof a copy of this Approval for the System. The System owner shall send a copy of such written notification(s)to the local approving authority within 10 days of such notice being given. 5. Monitoring Requirements: A. For system's approved and installed prior to August 4, 2009 and has an observation port or monitoring well within the SAS,then it shall monitor according to Section IV(5) (B) this Approval. For system's approved and installed prior to August 4, 2009 and does not have an observation port or monitoring well within the SAS, but has the monitoring device in the D-box, then shall continue monitoring as the following: i. The System's monitoring device shall be maintained such that it provides data collection to include tracking the elevation of the ponding within the D-box. The data shall continue to be stored and reported with the high, low and average ponding levels on quarterly for single family homes and monthly for all other system installations; ii. If the ponding in the D-box has-been eliminated, monitoring may be reduced from monthly to quarterly; quarterly to every six months. Further reduction in monitoring is not allowed; iii. If the System exhibit excessive ponding levels (ponding levels within the D-box equal to or greater than the ponding prior to installation of the System)then monitoring shall be continue monthly, if at that time the ponding in the D-box has been eliminated, monitoring may be reduced from monthly to quarterly; quarterly to every six months; and iv. If the System is still excessive ponding (ponding within the D-box) for 6 consecutive months, that System shall be removed in accordance with Section V (8). B. Systems approved and installed after August 4, 2009 shall monitor quarterly for single family homes and monthly for all other system installations. The system shall monitor the depth of the ponding below the leaching field after three months of System operation to indicates the dose storage (dose storage is the void space from the discharge pipes invert to the bottom of stone/naturally occurring soil interface.). i. If the depth of the ponding indicates at least 50% of dose storage available then monitoring may be reduced from monthly to quarterly; quarterly to every six months. Further reduction in monitoring is not allowed; Approval for Remedial Use Page 6 of 10 SludgeHammer ABG-April/2015 ii. If the depth of the ponding indicates less than 50%of dose storage then repeat the monitoring 30 days later. If the second reading is at least 50% of dose storage then the previous observation port measurement reduced frequency may be continued. However if the second reading is not at least 50% of dose storage then the system must be monitor monthly, evaluated and a report provided to the local approving authority. The report shall include water use data as well as depth of ponding; and iii. If the System continues to indicate excessive ponding for 6 consecutive months as defined above, the System is in failure and shall be removed in accordance with Section V (8). Example for monitoring the depth of ponding: For a leaching field has 12 inches depth from the discharge pipes invert to the bottom of stone/naturally occurring soil interface. If monitoring shows ponding level is more than 6 inches then 50% of dose storage is not met. If monitoring shows the ponding level is less than 6 inches then 50% of dose storage is met. 6. By February 151" of each year for the previous year, the System owner shall submit to the local approving authority all data collected in accordance with item 5, above, and an O&M technology checklist, completed by the System O&M provider for each inspection performed during the previous calendar year. A copy of the technology inspection checklist is attached to this Approval. 7. Prior to the issuance of a Certificate of Compliance for the System, the System owner shall record and/or register in the appropriate Registry of Deeds and/or Land Registration Office, a Notice disclosing the existence of the alternative,system subject to this Approval on the property. If the property subject to the Notice is unregistered land, the Notice shall be marginally referenced on the owner's deed to g g Y the property. Within 30 days of recording and/or registering the Notice, the System owner shall submit the following to the local approving authority: (i) a certified Registry copy of the Notice bearing the book and page/instrument number and/or document number; and (ii) if the property is unregistered land, a Registry copy of the owner's deed to the property, bearing the marginal reference. V. Conditions Applicable to the Company 1. The Company shall provide in print and electronic format to the owner/operator/designer/installer, Board of Health, and the MassDEP upon request, copies of the following procedures and protocols: A. minimum site evaluation criteria and installation requirements, B. technology inspection checklist including a standard protocol for evaluating ponding within the SAS (with acceptable performance of System defined as maintaining ponding elevation within the SAS consistently at or below the naturally occurring soils elevation(stone bottom elevation), C. homeowner/System owner guidance information on substances that should not be disposed to the septic system, Approval for Remedial Use Page 7 of 10 SludgeHammer ABG-April/2015 D. System operating manual with recommended schedule for maintenance and replacement of components essential to consistent successful performance, and E. protocol for completing inspections and monitoring of the System and any procedures that will be implemented should the System fail. 2. The O&M provider shall submit within 30 days of the date of site inspections, inspection reports to the owner, Company and local approving authority or Board of Health. 3. The Company shall maintain the following additional information for the Systems installed in Massachusetts and make it available to the Department within 30 days of a request by the Department: A. The total number of units of the System sold for use in Massachusetts during the previous year; the address of each installed System, the owner's name and address, the type of use (e.g. residential, commercial, institutional) and the design flow; B. Date when system was installed and started up; C. Tabulation of the sampling parameters and results with backup inspection and laboratory sheets; D. Tabulation of systems that are in failure as described in 310 CMR 15.303 (1)(a)(1) or (2) due to excessive ponding of effluent in the SAS, reasons for non-compliance and any corrective action taken including but not limited to design, installation and/or operation or maintenance changes required to reach compliance; E. Completed technology inspection checklists shall be maintained by the Company or Company's representative on file for possible Department auditing; F. A general summary of the results for the year, any recommended changes to the design, installation and/or operation and maintenance procedures and a schedule for implementing those changes; and G. Warranty issues both resolved and unresolved or an explanation of any warranty claims that have been received and their resolution. 4. The Company or its designee shall review the plans and site evaluation conducted for the System prior to the sale of any unit to ensure that the proposed installation of the System is at a site consistent with this Approval and the System's capabilities. The Company shall certify in writing that the System plan and existing site conditions conform to the requirements of this Approval and any requirements of the Company and shall submit a copy of that certification to the local approving authority and the System owner. Approval for Remedial Use Page 8 of 10 SludgeHammer ABG-April/2015 5. Prior to the issuance of a Certificate of Compliance for the System, the Company or its designee shall submit to the local approving authority and the System owner a signed certification that the System has been installed in accordance with the Company's requirements, the approved plan and this Approval. This certification in no way changes the requirements of 310 CMR 15.021(3). 6. The Company or the Company's approved operation and maintenance contractor shall maintain a contract with the System owner that: A. Provides for operating and maintaining the System with an O&M provider that has been trained by the Company to operate the System consistent with the System's specifications and any additional operation and maintenance requirements specified by the designer or by the Department; B. Contains procedures for notification to the System owner, the Department and the local approving authority within five days of knowledge of a System failure and for corrective measures to be taken immediately; C. Contains procedures for inspecting the plastic media bacterial source at each quarterly visit and if necessary replacing the media. At a minimum, the microbial inoculants shall be replaced annually; and D. Contains a plan to determine if required, after the first three months of operation why the effluent groundwater elevation/ponding within the SAS is as high or higher than the water surface elevation when the System was installed. 7. The Company shall institute and maintain a program of O&M provider training and continuing education. The Company shall maintain and annually update, and make the list of qualified O&M providers available by February 15th of each year. The company shall update the list of qualified O&M providers and make the list known to users of the technology. 8. The Company shall provide to each System owner a written warranty transferable to a new owner that includes the following: A. Refund of the cost of equipment and installation should the System continue in failure as described in 310 CMR 15.303(1)(a)(1) and (2) after 120 days of operation that is conducted in accordance with the Company's specifications and oversight; or B. Refund of the cost of equipment'and installation should the System fail as described in section IV(5) within two years of installation provided that the System owner has'entered into and maintained an operation and maintenance contract with the Company and has operated the System in accordance with the Company's specifications. 9. The Company shall conduct a performance evaluation starting after the first 100 systems have been installed and operating for at least one year. A report shall be Approval for Remedial Use Page 9 of 10 SludgeHammer ABG-April/2015 submitted to the Department no more than 180 days beyond the one year period - evaluating whether at least 90 percent of the units installed for at least one year have demonstrated a reduction in depth and that the reduction in depth of the effluent elevation for the SAS systems has occurred within 120 days of start up or that ponding elevations are not excessive. Should the System not demonstrate the capability to reduce or eliminate ponding in 90 percent of the failed systems, the report shall detail the changes that must be made in site evaluation, design, installation and/or operation or maintenance to meet the goal and shall include a schedule containing a deadline for implementing those changes. No more than 100 systems shall be installed until the performance report has been completed and the results indicate that over 90 percent of the Systems are no longer in failure. 10. The Company shall include copies of this Approval and the procedures and protocol described in Section V (1) with each System that is sold. In any contract executed by the Company for distribution or re-sale of the System, the Company shall require the distributor or re-seller to provide each purchaser of the System with copies of this Approval and the procedures and protocol described in Section V (1). 11. The Company shall notify the Director of the Wastewater Management Program at least 3,0 days in advance of the proposed transfer of ownership of the technology for which this Approval issued. Said notification shall include the name and address of the proposed new owner and a written agreement between the existing and proposed new owner containing a specific date for transfer of ownership, responsibility, coverage and liability between them. All provisions of this Approval applicable to the Company shall be applicable to successors and assigns of the Company, unless the Department determines otherwise. 12. The Company shall furnish the Department any information that the Department requests regarding the System within 30 days of the receipt of that request. 13. Systems approved and installed after the date of this Approval, thirty (30) days prior to submitting an application for a Disposal System Construction Permit (DSCP), the Company or its representative shall provide to the Local Board of Health a certification, signed by the owner of record for the property to be served by the unit, stating that the property owner: A. has been provided a copy of the Remedial Use Approval and all attachments and agrees to comply with all terms and conditions; B. has been informed of all the owner's costs associated with the operation including power consumption, maintenance, sampling, recordkeeping, reporting, and equipment replacement; C. understands the requirement for a contract with a company approved O&M provider for life of System and has been provided a current list of all approved O&M providers; D. agrees to fulfill his responsibilities to provide a Deed Notice as required by 310 CMR 15.287(10) and the Approval; and Approval for Remedial Use Page 10 of 10 SludgeHammer ABG-April/2015 E. agrees to fulfill his responsibilities to provide written notification of the Approval conditions to any new owner, as required by 310 CMR 15.287(5). VI. Reporting 1. Any notices and documents to be submitted to the Department required by this Approval shall be submitted to: Director Wastewater Management Program Department of Environmental Protection One Winter Street - 5th floor Boston, Massachusetts 02108 VII. Rights of the Department 1. The Department may suspend, modify or revoke this Approval for cause, including, but not limited to, non-compliance with the terms of this Approval, inadequate system performance demonstrated by the annual report required in Section VI (2) or other relevant information, non-payment of the annual compliance assurance fee, for obtaining the Approval by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for discontinuance of the Approval, or as necessary for the protection of public health, safety, welfare or the environment, and as authorized by applicable law. The Department reserves its rights to take any enforcement action authorized by law with respect to this Approval and/or the System against the owner, or O&M provider of the System and/or the Company. CDH 4 6AFMABLE Coway D°PA.9TMEN7 of Heusi Am EN PoNA4a It 1 fi; PROMOTE — PROTECT — SUPPORT •0 YEARS Or r • • i • le Iq May 6, 2016 Thomas McKean Barnstable Health Division 200 Main Street Hyannis, MA 02601 RE: I/A septic system operation and maintenance contract letters to owners Dear Thomas McKean, I have enclosed 1 (one) copy of a certified.letter sent to the owners of innovative/alternative septic systems;in the Town;of Barnstable. This letter.is in regards to the cancellation of the O&N contract for,this.system., i If you have anyquestions I can be reached on my desk,phone at (508) 375-6901 or by fax at (508) 362-2603. 1 can also be reached via email at emilymichele.olmsted@barnstablecounty.org. Thank you for your time. Sincerely, Emil ichele Olmsted Enclosure(s): 1 BARNSTABLE COUNTY COMPLEX �T3J95 MAIN STREET/ PO BOX 427 BA44-VjkgfA#�57 USETTS 02630 Phone:(508)375.6613 1 FAX:(508)3&Z2� Do.(508)362-5885 Web:barn stsbtecountyhealth,org I Twitter: BCHDCapeCod t May 6th, 2016 Nancy Moore 340 Main Street Centerville, MA 02632-2946 RE:, Operation and Maintenance Contract for the Innovative/Alternative Septic System Installed at 344 Main Street in the town of Barnstable. Dear Nancy Moore, Our records indicate that the operation and maintenance contract with Muddy Waters Environmental for your innovative/alternative wastewater treatment system may have expired or was canceled as of June 1 st, 2010. To date we have not received evidence that you have entered into a new operation and maintenance contract. I am writing to remind you that the Massachusetts Department of Environmental Protection (MA DEP)and the Town of Barnstable require you to keep an operation and maintenance (O&M) contract in effect at all times for your system. Information about these requirements may be found at https:Hseptic.barnstablecountyhealth.org. My department oversees I/A septic system management and compliance efforts for the Board of Health in your town. We are authorized by the Barnstable Board of Health to contact you to inform you of the above requirement and to request your compliance.Accordingly, please forward a copy of a signed contract via mail,fax or e-mail within fifteen (15) days of receipt of this letter. For your convenience, I am enclosing a list of wastewater operators we are aware of that do business in Barnstable County. The firms listed operate multiple types of I/A technologies and are not associated with any particular technology or vendor. Please be advised that if you do not respond within fifteen (15) days of your receipt.of this letter by forwarding a copy of a signed contract, I may refer you to the Barnstable Board of Health for further enforcement action.You may be required to appear before the Barnstable Board of Health to show cause as to why you have not maintained the required contract. can be reached at 508-375-6901; my Fax number is (508)362-2603. 1 can also be reached via email at emilymichele.olmsted@barnstablecounty.org. Thank you for your prompt attention to this matter. Sincerely, Emily Michele Olmsted CC: Barnstable Board of Health Enclosures (2): Certified Wastewater Treatment System Operators List, Inspection and Testing Requirements Certified Letter Number: 7015 1660 0000 4867 44809 BARNSTABLE COUNTY DEPARTMENT OF '� F Y' U.S.POSTAGE>>PITNEYBOW.ES HEALTH AND THE ENVIRONMENT SUPERIOR COURT HOUSE P.O. BOX 427 ZIP 026.30 $ 000.465 BARNSTABLE, MASSACHUSETTS 02630 02 4Yv •. 0000339305 MAY. 06. 2016. i Thomas McKean Barnstable Health Division 200 Main Street Hyannis, MA 02601 1 . _ J 'j.l tr t'F.Fr ? ,. _. ���, 4 ;T ...:� �.^4 1 tali FD- a ili 1 � li��� � i3ii� •�i i 1 t '�! F r•i ,F. i --- _-�--:.R __.r.- "'may.. �M/v'n�r�I"��•�.� 1 i r _>-. r �, i YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate. usiness Certificates are available at the Town Clerk's Office, 1"FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) 'r II3�a�i�''l!i�.l��LL�uii:'4I:��PI'•rn sr,��rp I i DATE: 04 I l5 Fill in please: APPLICANT'S YOUR NAME/S: � r BUSINESS YOUR HOME ADDRESS: fit/ pv��:.��� , 4 41F+IY',,•-A�r„Ik�l � ilk.ikxPS'IC.�; CP.�/1 4-e r vj jlr 'VCnA TELEPHONE # Home Telephone Number ,S0Y- i.5 -L L_,4 j _ 4'N41+G,t)MIL99$yI�fLYJ�}�Fj� $!Iu�;�Ifiil n (�a1 M�iF NAME OF CORPORATION: SS op,!5//V 61 t- y It - y z'{o NAME OF NEW BUSINESS =PC TYPE OF BUSINESS A fj c � IS THIS A HOME OCCUPATION? . � YES NO , _% ` ADDRESS OF BUSINESS 34 v CJt C' , - (J"' MAP/PARCEL NUMBER ')-o 9- o`i`f- 10F (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you-may need. You MUST GO TO 2 ain St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your siness in this town. 1. BUILDING COMM 10 ER'S OFFICE This individu ha Mfo d 2f �y'Vrmit re uirements that pertain to this type of business. pp � Aut orized S'gna e* COMMENTS;J�J 2. BOARD OF HEALTH This individual he an informedd f th p mit requirements that pertain to this type of business. uthorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. r Authorized Signature* COMMENTS: • .�,r Town of Barnstable OF1HE T °`Yo Regulatory Services BARNSTABLE Thomas F. Geiler, Director � , MASS. i639. Public Health Division �A �0 'fO1A0�a Thomas McKean, Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: 1/30/08 Designer: Shay Environmental Services, Inc. Installer: Holler & Son Construction . Address: 185 Ashumet Road, Mashpee Address: PO BOX 914 MA 02649 Hyannis, MA On 12/19/07 HOLLER& SON CONSTRUCTION was issued a permit to install a (date) (installer) septic system at 344 Main Street, Cent., MA_based on a design drawn by (address) _ Shay Environmental Services, Inc. dated DEC. 5, 2007 . (designer) XX I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-bu ,jJLJby designer to follow. ssq . CARPv'Ei� c� (Installer Signat E. `m U Si��y C" No. 1181 � �FGf STE��O esigner's Signature) (Affix Des> Here) >.� PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q: Health/Septic/Designer Certification Form vx� FEE COMMONWEALTH Of MASSACHUSETTS Board of Health, MA. APPLICATION FOP, ➢ ISPOSAL S YSTLM CONSTRUCTION PERMIT Application for a Permit to Construct( ) RepairxUpgrade( ) Abandon( - ❑Complete SystemiIndividual Components Location 344 MA1*J i s Owner's Name OCC�6(1 5-0- VOA Map/Parcel# 8 a-400 —00 1 Address 3 A4 at .P� Lot# --*- i Telephone# Installer's Name AAO1`e�- Designer's Name ` Address ®� -70Z A e jjjo Ljg1LL:b I ' � tA Telephone# ` � b�� Telephone# `�� _ U �(¢4-9 Type of Building Y 5-id er yy 1c3L\ Lot Size 1 1 sq.ft. Dwelling-No.of Bedrooms F-oQe- Garbage grinder (A/Q Other-Type of Building I NIA No.of persons��Showers (Cafeteria (jK Other Fixtures LOL 10 A nk �C� �`( ^S y n Design Flow(min. required) gpd Calculated design flow Design flow provided gpd Plan: Date Dec 5 Number of sheets I Revision Date _ Title V -Dv Pma\ S)SI-eM Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator CM,,Qn,3bWate of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS a i 7 l o The undersigned agrees to install a above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agr s to not to place ystem' operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date ► t Inspections N. I r FEE WHUS NWEA11H Of MASS I Board of Health, fi �S�c�b MA. APPLICATION FOP DISPOSAL SYSTEM CONSTRUCTIONOPERMIT w,f( Application fora Permit-io Construct( RepairX.UpgradeO Abandon(.) ❑Complete SystemA ndividual Components Location 44 Mfl lyJ �P�t Owner's Name Map/Parcel# 2-08 "00 —Ce� ( Address 3!qq Lot# ( Telephone# _ Installer's Name �Gtc �( Designer's Name Address _Fp�-Mp 70 Z M�7b X)S M 1 Q,�> Address �(p 5 h t)iY1Q_k !_& � t► sHQ HA Telephone# 7-0 , 6�j) Telephone# f_Yi_'4 U co t" uA-9 Type of Building " 5 kd er)- \Cad Lot Size 23 I' 1 sq.ft. Dwelling-No.of Bedrooms roQe- > Garbage grinder 014 Other-Type of Building // NI K1 No.~of persons 6, Showers (I-KCafeteria (L)-' Other Fixtures l.C`t 1(1 k� (�p i Cl 1X"t 11&CtiL Design Flow (min.required) gpd Calculated design flow U Design flow provided f gpd Plan: Date ��C Jr— . oZ(��' Number of sheets Revision Date Title Description'of Soils) � 1. T Soil Evaluatofform No. Name of Soil Evahtator ,n Date of Evaluation Co 116 1 U•} DESCRIPTION OF REPAIRS OR ALTERATIONS owe. U cam' �- GIZ-) -4 i - 7+ 17he undersigned agrees to install, a above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees tanot to place e' temj*n operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date (z 1 1 z- 1 27 9- /,97 Inspections ,ram-t� ., .. . . . No. �'^`OrD 7 5 6 FEE v O COMMONWLAIT14 Of MASSACHUSETTS Board of Health, �1'�-1J ST LC MA. CERTIFICATE Of COMPLIANCE Description of Work: ❑Individual Component(s) ❑Complete System The undersignyka-M ereby certify thAT"_07IL— atthe Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded (A),Abandoned ( ) by: � 31+4 M A-1 1) ST G�FiYTEILVI L-L-C_- has been installed in accordance with the provi ions�°f 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. ��?""56 ( dated i�la/ ? . Approved Design Flow y�v (gpd) Installer - /� / - // 1 • � A,l ` Designer: � /C.,,Ml SM YV Inspector: tl 11A4414;Jq9��Da The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No. 5 / FEE /�V Board of Health, T�*VL•IJST t>L , MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT a Permission is hereby granted to; Construct( ) Repair(1' ) Upgrade( ) Abandon( ) an individual sewage disposal system at 3q-4 Mpr1 o ' S 1 6.FQi i l-LA� as described in the application for Disposal System Construction Permit No.c'�)007"56 , dated /a 7. Provided: Construction shall be completed/ within three years of the date of'this\ et"i. All l cal conditions must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date /9)1 5-6 9 Board of Hell TOWN OF BARNSTABLE LOCATION 344 M A,*1 5Tzm-y SEWAGE# Zo VILLAGE Gn-1,Ilt ASSESSOR'S MAP&PARCEL 20$�044 -aol INSTALLERS NAME&PHONE NO. �C3 t71eS 'C1p��� SEPTIC TANK CAPACITY L �. I Ooa cad k LEACHING FACILITY:(type) 32©o cic 4 (size) 32 X la--IS NO.OF BEDROOMS CC �►JS'fRLZGO IN �X�bT. ��'►�k i OWNER CG�Oc� c��Q�� �loW �cysT�LLT� @ (BQADE, PERMIT DATE: I o� I I_� lT O COMPLIANCE DATE: i Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) A Feet Edge of Wetland and L c ing Facility(If any wetlands exist within 300 feet of 1 ching facility) /V Feet FURNISHED BY 711,1 Pr - 0QT a36 3 B>e� zap -1li #ian ++oc 1?GeT `5�' 59.14 OuTle-�," of TR ax ►7•3ox 31 40.E O F'e.ON r TOWN OF BARNSTABLE LOCATION 344 M A tit 5Tzm-T SEWAGE# Zo / VILLAGE f )?-NI I1{ ASSESSOR'S MAP`&PARCEL 208�bl{g —b01 INSTALLERS NAME&PHONE NO. C7leS T1���� SEPTIC TANK CAPACITY LEACHING FACILITY:(type) 32 Go icic 4 zoa 7%LTQaTbru(size) 32 X la,-is NO.OF BEDROOMS �- 51 � I/P S�STLwt IN5-T14 t � IN Ex13T. -11P, OWNER c' p Se e.\ '6)D%..sUa, PERMIT DATE: 'P ��_ COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) N A Feet Edge of Wetland and L c ing Facility(If any wetlands exist ,I within 300 feet of 1 Ching facility) /V Feet FURNISHED BY I Q�. a ' V Tea ig a� TOUT a3S 3 I pg 31 3 � o S 1 u gNc�crr�++cc ?CeT S 59 14 Lecc�c ;� alp 40.s �o OF To P)c i7.13oX O F'e.onl r Y, pI ET Town of Barns-table ° o Barnstable Board of Health� AlFAmericaCiiY > BARNS.-TABLE. ` 9 MASS. ON 200 Main Street,Hyannis MA 02601 1 mr 039. ArEp MA't A' � 2,007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Cann iff,D.M.D. Junichi Sawayanagi December 12, 2007 Carmen Shay 185 Ashumet Road Mashpee, MA 02649 0 RE: X4 Main Street(Rear Building), Centerville A = 208 - 044 -Gel- Dear Mr. Shay: You are granted a variance on behalf of_yourclient, Gordon Seigel, to construct and utilize an innovative/alternative (I/A) nitrogen reduction system at 344 Main Street (Rear Building) in Centerville, MA. The variance granted is as follows: 310 CMR 15.211: The leaching facility will be located 3.4 feet above the ground water table, in lieu,of the minimum five (5) feet separation distance required. The variance is granted with the following conditions: (1) No more than four (4) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to four (4) bedrooms maximum. A copy of.the recorded deed restriction shall be submitted to the.Health Agent prior to obtaining a disposal works construction permit. (3) The designing engineer shall revise the plan to show the location of the required monitoring device. (4) The designing engineer shall ensure that the system is designed in accordance to the DEP design standards, along with monitoring and testing as identified by the DEP recommendations. Q:\WPFILES\Shay Seigel IA 344 Main St Cent2007.docQ:\WPFILES\Shay Seigel IA 344 Main St Cent2007.doc Page I .A i a^ r'4 (5) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the revised plans. (6) The wastewater effluent shall be tested quarterly for the first two years of operation for nitrates, TKN, pH, CBOD, TSS, TN, and alkalinity. (7) After the two year period of testing quarterly has ended, the applicant may request permission from the Board of Health to reduce the testing frequency. (8) The applicant shall submit a copy of the signed two-year Operation and Maintenance Agreement (O&M) between the contractor and the homeowner to the Board of Health. The engineer or O& M contractor shall conduct inspections to the I/A system a minimum of twice yearly. This permission is granted because the proposed plan appears to meet all of the provisions of the State Environmental Code, Title 5 and all of the Town of Barnstable Board of Health Regulations. ' Sinc ely yours , 1 Wayn Miller, M.D. Chairman Q:\WPFILES\Shay Seigel IA 344 Main St Cent2007.docQ:\WPFILES\Shay Seigel IA 344 Main St Cent2007.doc Page 2 o: Equipment Owner Mudd aters"Environta] Inc. Signed by Owner f vS e Sign 9HiR1 rRoad P.O.Box 1527 Marstons Mills, Ma 02648 Tel:508_-888-6021 C-` Fax: 508-420-9006 Q rl t f 3 )LEffective date of agreement !� l S �(Y� - a3`7 -S7 CI Owner understands that(1)Annual Rate payment is for one year only of the two-year agreement and is non-refundable;and(2)Current DEP Regulations require owner to maintain service agreement for the life of the Pirana®system. I have read and understand the foregoing Signed by Owner l��� �Fr z, E �At✓D � o,�ta� �c�fs Town of Barnstable �Of'ME rOte,. Barnstable ..y Board of Health A�-nme�icacity * nAeL 5rasa ' ` x 200 Main Street Hyannis MA 02601 y 31A$9. a Y ' m iBg9. `gym . ArFb MA1 A 2007 Office: 508-86=-4644 Wayne Miller,M.D. FAX: 508-"/90-6304 Paul Canniff,D.M.D. Junichi Sawayanagi F December 12, 2007 Carmen Shay 185 Ashumet Road Mashpee, MA 02649 RE: 344 Main Street (Rear Building), Centerville A = 208 — 044 -001 Dear Mr. Shay: You are granted a variance on behalf of your client, Gordon Seigel, to construct and utilize an innovative/alternative (I/A) nitrogen reduction system at 344 Main Street (Rear Building) in Centerville, MA. The variance granted is as follows: 310 CMR 15.211: The leaching facility will be located 3.4 feet above the ground water table, in lieu,of the minimum five (5) feet separation distance required. The variance is granted with the following conditions: (1) No more than four (4) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to four (4) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) The designing engineer shall revise the plan to show the location of the required monitoring device. (4) The designing engineer shall ensure that the system is designed in accordance to the DEP design standards, along with monitoring and testing as identified by the DEP recommendations. Q:\WPFILES\Shay Seigel IA 344 Main St Cent2007.docQ:\WPFILES\Shay Seigel IA 344 Main St Cent2007.doc Page I � (5) The desia.ning engineer shall supervise the construction of the onsite " sewagre�disposal 'system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the revised plans. (6) The wastewater effluent shall be tested quarterly for the first two years of operation for nitrates, TKN, pH, CBOD, TSS, TN, and alkalinity. (7) After the two year period of testing quarterly has ended, the applicant may request permission from the Board of Health to reduce the testing frequency. (8) The applicant shall submit a copy of the signed two-year Operation and Maintenance Agreement (O&M) between the. contractor and the homeowner to the Board of Health. The engineer or O& M contractor shall conduct inspections to the I/A system a minimum of twice yearly. This permission is granted because the proposed plan appears to meet all of the provisions of the State Environmental Code, Title 5 and all of the Town of Barnstable Board of Health Regulations. Sinc ely yours s' Wayn Miller, M.D. Chairman L ' Q:\WPFILES\Shay Seigel IA 344 Main St Cent2007.docQ:\WPFILES\Shay Seigel IA 344 Main St Cent2007.doc Page 2 , TOWN OF BARNSTABLE LOCATION 3 A4 SEWAGE#2 6p 2"-3,r1 f L'LAGE ?r t2 v /40 ASSESSOR'S MAP&PARCEL O O S�'�/•ao O INSTALLERS NAME&PHONE NO.A;L414 ro v j ,r -.1 0 F 5 7 S l3 d�- SEPTIC TANK CAPACITY I. LEACHING FACILITY: (type) �v�cs,-y 1.✓�,�r�2ATo_�?(�ize) } 61;- )3 NO.OF BEDROOMS OWNER dC�o ,✓ ;'� / PERMIT DATE: 111612 COMPLIANCE DATE: Separation Distance Between the: / ry Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility t� i S 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 1Lo A/r !3 r� 10 , 3) D 3 ) Ii f • 7 .� " F THE Tp DATE: /D 2 3 07 N FEE: • BARNSfABLE, r , v *9. REC. BY $prF° 'yA Town of Barnstable SCHED. DATE: Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Wayne A.Miller,M.D. FAX: 508-790-6304 Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION Property Address: A 44 M pl i rA C JTP CsT CEN TERM l lL Assessor's Map and Parcel Number: ZE8 -44 'Qp 1 Size of Lot: 23 ,qqq 5 Wetlands Within 300 Ft. Yes Business Name: No X Subdivision Name: &Otvhnrl->Zf�'0.\ MVIC4 SHAf APPLICANT'S NAME: 5NA-i Phone 6(08-S y9---g L¢V Did the owner of the property authorize you to represent him or her? Yes No PROPERTY DOWNER'S NAME - CONTACT PERSON Name: 1� fY1 J2�C.4� Name: �IPsQ�►E �HflY s ' Address: M A!*1n 1 Address: Phone: Phone: d� VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed)� r 1�1 Q1a Td\:�n Tel', QVI l Sets -kz o &6 do j,,i-4 4�,-'0 G M n%,xiA eA 1 t WN A T NATURE OF WORK: House Addition ❑❑❑❑❑❑ House Renovation ❑ Repair of Failed Septic Sy`tem A Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. ✓ Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) _ Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (forTitle V and/or local sewage regulation variances only) —+ Full menu submitted(for grease trap variance requests only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/leasee only], outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems [only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Paul J.Canniff,D.M.D. REASON FOR DISAPPROVAL C:\Documents and Settings\decollik\Local Settings\Temporary Internet Files\OLK1\VARIREQ.DOC SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION 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 ❑Addressee so that we can return the card to you. B. Receiv y(Printed Name) C. D to of eliv ■ Attach this card to the back of the mailpiece, or on the front if space permits. SI 2 'e t- 1 1. Article Addressed to: D. Is delivery address different from item 11 s If YES,enter delivery address below: ❑ No � Prop ID:208044001 SIEGEL,GORDON J TRS ` THE 340 MAIN ST NOMINEE TRUST C P O BOX 749 � 3. Service Type _CENTERVILLE,MA 02632 _ ._ -� ❑Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. _ 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number f t I F J! ;-• . • • , ,j • r. r t (rransfer from service labeq ,. 7 b 0 4 2 8 9 0 0 0 0 3 3�017 8 6 4 0 PS Form 381 1,'February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE �s ram. as. 4 I ft M4': al ct f Sender: Please print your name, address, and ZIP+4 in this box • i I I I 11 i447ih1 Id till!14111 i"till ilii iidi Will i :ii! :i! iif! � I SENDER: DELIVERY ■ Complete items 1,.2,and 3.Also complete Ai ignat item 4 if Restricted Delivery is desired: l ❑Agent ■ Print your name and address on the reverse I ❑Addressee so that we can return the card to you. 6, eceiv y(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space ras D. Is delivery address different from Rem 1? ❑Yes 1. Article Addressed to^<z) _ If YES,enter delivery address below: ❑No 1 -PD:208118 i CHAPRUT,RIFAT&MARTHA i 3. S ice Type 339 MAIN ST DtCertified Mail ❑Express Mail � CEN'I'ERVILLE,_MA 02632 ❑ ❑ _ __,,,_ - ----- --� Registered Return Receipt for Merchandise' ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2, Article Number - -� (fransfe tttt tt700.,4 ,2890 i 0001 i301 P 102595-02-M-1540 UNITEb STAT& St -FW • Sender: Please print your name, address, and ZIP+4 in this box • Servloas, Inc. P.O. Box 627 -fouth,MA 02536 h Envirenmentw avP.O.wi vbw Inm W7 Ent FakoW MA 025M SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Sig re , item 4 if Restricted Delivery is desired. X7 ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Re ived by Printed Name) C. D to o Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 1? Y 1. Article Addressed to: If YES,enter delivery address below: No Prop ID:208045 FAHRENHOLZ,JOHN R&BARBAR> 328 MAIN ST 13. Service Type CENTERVILLE,MA 02632 #&Certified Mail ❑Express Mail A0 �� ❑Registered ❑Return Receipt for Merchandise ❑Insured Mall ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number I t'I'"i j7004' 2890 0003 13017 '8435 lt ►rr . . 1. .. (Transfer from service labeQ ary 2004 PS Form 3811 Febru Domestic Return Receipt 102595-02-M-1540 UNITED'STAT& S L 1;9k pair'!" ' j • Sender: Please print your name, address, and ZIP+4 in this box • I ' I � I Shay M-wicanwa rdw aa9!no P.O.�.x d Est &9>wuth,AAA 02 I 1llt!!!lIIIE'�i�fiii�llil!ll�ilffiFi3!l1l��il:illtillll3iJ!llt� setL9ck-Q SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Sign re el item 4 if Restricted Delivery is desired. Q� `� ❑Agent X ■ Print your name and address on the reverse ❑Add ssee so that we can return the card to you. B. Recgived by(Pri ed Name) C. Dat4of D ivery ■ Attach this card to the back of the mailplece, 1/, or on the front if space permits. D. Is delivery address different from item 1? ❑ es 1. Article Addressed to: If YES,enter delivery address below: ❑No r I Prop ID:208116 CHILDS,RICHARD W&MARY P 1 3. Service Type 329A MAIN ST LETtertified Mail ❑Express Mail CENTERVILLE,MA 02632 El Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service labeo �I IJfIi!70041H9010003 30171 844t:" PS Form 381-1,February 2004 Domestic Return Receipt 102595-02-M-1540 �ppir� Y�,paa+eRGty� �.. D^`" PCIMk4•. i UNITED STATELE """ F "°`°� . C15 NOV 21M'17' FIAT • Sender: Please print your name, address, and ZIP+4 in this box • I I Shay Envlrenmental I servAces,Inc. I P.O.lox 627 East Falmouth,MA 02 I I I No. ' 65f, Fee— _ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: .PUBLIC HEALTH'DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIppYication for Mi.5po.5a1 �&P.5tem Construction Vermit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components > ocation Address or of No. i / Owner's Name,Ad ress,and Tel.No. f Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Addressnd Tel.No.- S d7-77s�ie3� a 7b3 G C ' �s Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building F No.of Persons Showers( ) Cafeteria( ) Other Fixtures �J Design Flow(min.required) gpd Design flow provided ��� �1 t0 gpd Plan Date Number of sheets Revision Date Title r Size of.Septic Tank Z x l S r e�jG d Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applic le Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place,the system in operation until a Certificate of Compliance has been issued b th' ar o ealth-. Si gile _.._ Date Application Approve Date' Application Disapproved by: Date for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) . Re paired ('') Upgraded ( ) Abandoned.( )by /'9 PZ at s !Z /�9C i,r , r,.,i ,r�,v'1 ���. has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.-:� :^ dated . Installer Designer r /' #bedrooms Approved design flow-_ 90 gpd The issuance fjthis peFm'rt shall not be construed as a guarantee that the system wkll f hction)as desi , ed. Date Inspector No. <'-� �� ( f ---------------------- Fee_ THE COMMONWEALTH OF MASSACHUSETTS PIJBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS 1igpont i§Wem Con5truction vermct— Permission is hereby granted to Construct ( ) Repair (.,%) Upgrade ( ) Abandon ( ) System located at c �!' s;, and as described in the above Application for Disposal System Construction Pennit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Constructio must baJ'com leted within three years of the dpte of this p�'r0,: ! _2 Date ! /t- Approved by TOWN OF BARNSTABLE LOCATION 3 SEWAGE# 607•- � VILLAGE C�.►� Tf�v� l�� ASSESSOR'S MAP&PARCEL v�" a`rei-ud l INSTALLERS NAME&PHONE NO.P Ac i4 e—o,v3 r O F - 7 !3 d Z SEPTIC TANK CAPACITY I LEACHING FACILITY: e , (tyP )���y.�s,-5��,,sf=.�t�2ArQ�(�ize) NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: ff_ / Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Private Water Supply Well and Leaching Facility(If any wells exist Feet on site or within 200 feet ,of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) FURNISHED BY Feet I� -- 1 l 3 pc— F01 101c a Ie II � t,F /7' g 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION I t6 k C2N Irvi // G�, ' k ir1;4 : ontent of Local Unerade Avnroval (1) In granting local upgrade approvals pursuant to 310 CMR 15.404(2)where full compliance t. +1il; _ as defined in 310 l consider Co propose system and shaMR 15.404(l)is not ll to the least degree necessa01 ry the requirementsrity q �� impact of the p Y ry ' the p P of 310 CMR 15.100 through 15.293 so as to allow for both the best feasible upgrade within the 0 ; '{4"y borders of the lot,and have the least effect on public health,safety,welfare and the environment. upgrade a zoval,the local Approving Authority is allowed to diverge from the Under a local PP goal of full compliance only to the extent necessary to achieve a feasible upgrade and may allow of k 1 divergence only from those provisions,and to the extent,as specified in=010 CMR Authority�should ;te r 15.405(l). In determining whether full compliance is feasible,the Approving conditions hasize appropriately consider not only physical possibility as dictated by the conditions of the site,but . '' also the economithority shou c feasibility of the upgradeent of the anitAaryrsewage.oving uAbsent conditionld swhich protection of water resources and treatmentthe options set forth ment would result in a different outcome based on best professional h 3�0 CMR 15.405(1)(a)being $ below should be considered in the order in which they appeare , , a the first option to be considered and rejected or adopted and 310 CMR 15.405(l)(k)being the last option to be considered and rejected or adopted: t> (a) Reduction of system location setbacks otherwise established in 310 CMR 15.211 for s ro erty lines provided that the system is within the property lines,a survey of the property property p required if a component is to be placed within line five feet of the property line,and no D7 ' I s� ne is req P such reduction shall result in the soil absorption system being located less than ten feet from k a soil absorption system on an abutting property; P g pool, r (b) Reductions of system location setbacks from cellar wall,crawls ace,swimming or slab foundations;an increase in the maximum allowable depth of required by 310 CMR 15.221(7),from 36"to 72"below finish grade,provided that adequate venting and adequate access are provided and H-20 loading is provided for all system t components;a decrease in the liquid depth of the septic tank required by 310 CMR 15.223(2) from four feet to three feet. (c) Up to a 25%reduction in the required subsurface disposal area design requirements; tiT within Zone (d) Where upgrade is required pursuant to 310 CMR 15.303(l)because it is relocation of I of public well or within 100 feet of private well,relocation of the well. Any a a public well shall be performed pursuant to 310 CMR 22.00(water supply source approval); y (e) Reduction of system location setbacks from bordering vegetated wetlands; (f) Reduction of system location setbacks from surface waters,salt marshes,inland and coastal banks,certified vernal pools in accordance with 310 CMR 15.211(1)(2),leaching catch basins,dry wells,or surface or subsurface drains other than those which discharge to surface water supplies or tributaries thereto; su )f su Reduction of system location setbacks from water supply lines,private water supply t tributaries to surface water supplies,surface water wells(but not within 50 feet of the well), i supplies,but not within 100 feet of the surface water supply or tributary thereto or open, surface or subsurface drains which discharge to surface water supplies or tributaries thereto. i (h) the local Approving Authority may reduce the required four foot separation(in soils the required five foot with a recorded percolation rate of more l oann ate of two mo minutes in tes oor less per inch)between separation(in soils with a recorded p the bottom of the soil absorption system and the high groundwater elevation only if all of the following conditions are met: 1. An approved Soil Evaluator who is a member or agent of the local Approving I Authority determines the high groundwater elevation. ot separation(in so 2. A minimum three foils with a recorded percolation rate of more than two minutes per inch)or a minimum four foot separation(in soils with a recorded percolation rate of two minutes or less per inch) between the bottom of the soil high groundwater elevation is maintained. absorption system and the -conforming system serving an existing building with 3. The system is a failed or non a design flow of less than 2,000 gpd. 4. No increase in design now is allowed. 5. No reduction in required soil absorption system size or setbacks from public or private wells,bordering vegetated wetlands,surface waters,salt marshes,coastal banks, certified vernal pools,water supply lines,surface water supplies or tributaries to surface water supplies,or drains which discharge to surface water supplies or their tributaries, is allowed. 310 CMR-563 ; 4/21/06 l I Mrl. Y FGROUND-WATER SU Alt 0 LEVELS AUGUST, 1990 PROVISIONAL WELL START NET CHANGE DEPARTURE WATER LEVEL OF IN MONTH IN ONE FROM BELOW LAND- RECORD YEAR AUGUST SURFACE, MEDIAN DATUM (FEET) (FEET) (FEET) (FEET) DAY MASSACHUSETTS HAVERHILL 23 1960 - 0.78 - 0.42 + 0.12 13.33 20 HAWLEY 8 1986 + 0.52 + 0.28 ---- 4.20 > 23 LAKEVILLE 14 1964 + 0.74 + 3.05 + 2.44 14.73 25 LEXINGTON 104 1965 - 0.13 +_,- 0.05 + 0.32 3.00 23 MIDDLEBOROUGH 82 1965 + 2.87 + 0.67 + 5.69 8.41 > 25 MONTAGUE 5 1942 + 0.88 + 0.68 + 2.60 1.67 21 MONTGOMERY 19 1986 + . 0.44 + 0.15 ----- 1.85 21 Figure 9.--Sample excerpt from"Current Water Resources Conditions in Central New England". Step 3. Determine Current Depth-to-Water the 3-character alpha-numeric prefix from the Level for Index Well index well identifiers,but tables 1-9 in this report cross reference the,town names with the 3-char- acter prefixes of the index well identifiers. For example,Barnstable 230 is also A1W 230 in table Determine the depth-to-water for the index 1- well identified in Step 2A using the Summary of Ground-Water Levels Table from the USGS monthly report "Current Water Resources Con- ditions in Central New England" (fig. 8) or the Cape Cod Commission bimonthly newsletter " Step 4. Determine Water-Level Adjustment The Commission Reporter." Select the level for the end-of-month closest in time to the date of the' i water-level measurement at the test site. Record that water level and the date at the Step 3 level on the computation form (fig. 9). For example, Refer to the water-level-adjustment table, the index well recorded in Step 2A was Mashpee "Potential Water-Level Rise,in feet,for Use With 29 (MIW-29), and the monthly report for August Index Well...", (tables 1-9 in the back of this re- 1990 shows that the depth to water for Mashpee port) for the appropriate index well (recorded in 29 was 8.97 feet below land surface(9.0 feet when Step 2A). Record the water-level-adjustment rounded to the nearest tenth of a foot). value on the computation form(fig. 10). 'Ib deter- mine the correct water-level adjustment, locate " It Water Resources Conditions in the current water level for the index well in the Central New England"is available from the U.S. left-hand column of the water-level adjustment Geological Survey,28 Lord Road,Suite 280,Marl- table(fig. 11).Then read from left to right on the �I borough, MA 01752. "The Commission Re- same horizontal row to the column of adjustment porter" is available from the Cape Cod values for the zone recorded in Step 2B. Figure Commission, 3225 Main Street, Barnstable, MA 11 shows the water-level adjustment for the ex 02630. Note that the USGS monthly report omits ample test site is 3.3 feet. 1i 1I �j 5 / _ 1993-11-24 9.661 1 2006-08-241 1 7.32 � 1993-12-20 F---] 8.571 1 2006-09-28 8.06 1994-01-28 F---] 8.06]0 20 8.65 0 1994-02-28 8.06 2006-11-30 8.50 1994-03-23 7.02 2006-12-28 8.73 1994-04-20 6.70 2007-02-01 8.30 1994-OS-20 7.02 200.7-02-28 8.58 1994-06-22 7.57 2007-03-28 7.81 1994-07-22 8.24 2007-04-25 6.99 1994-08-25 8.80� 2007-OS-29 6.99 2007-06-211 1 7.42 2007-07-26 E� 8.16 Questions about sites/data? Feedback on this web site Explanation of terms Ground water for USA:Water Levels http://waterdata.usgs.gov/nwis/gwlevels? Retrieved on 2007-08-24 13:11:52 EDT Department of the Interior,U.S.Geological Survey Privacy Statement Disclaimer Accessibility 11 FOI News Automated Retrievals 1.39 1.38 nadwwOl Supplement Table 5., Potential water-level rise, in feet,for use-with index well Mashpee MIW-29 J WATER ZONE A ZONE B ZONE C ZONE D) LEVEL 5.7 0.0 0.0 0.0 0.0 5.8 0_1 0.1 0.1 0.2 5.9 0.1 0.2 0.3 0.3 6.0 0.2 0.3 0.4 0.5 - 6.1 0.3 0.4 0.5 0.7 6.2 0.3 0.5 0.7 0.8 6.3 0.4 0.6 0.8 1.0 6.4 0.5 0.7 0.9 1.2 6.5 0.5 0.8 1 .1 1.3 6.6 -0.6 0.9 1 .2 1 :5 6•7 0.7 1 .0 1 .3 .1.7 . 6.8 0.7 1 .1 .1 .5 1.8 6.9 0.8 1 .2 1 .6 2.0 7.0 0.9 1 .3 1 .7 2.2 7•1 0.9 1 .4 1 .9 2.3 7.2 1 .0 1 .5 .2.0 2.5 7.3 1 .1 .1 .6 2.1 2.7 7.4 1.1 1 .7 2.3 2.8 .7.5 1 .2 1 .8 2.4 3.0 7.6 1 .3 1 .9 2.5 3.2 7.7 1 .3 2.0 2.7 3.3 7.8 1 .4 2.1 2.8 3.5 7.9 1 .5 2.2 2.9 33 8.0 1 .5 2.3 3.1 3.8 8.1 1.6 2.4 3.2 4.0 8.2 1 .7 2.5 3.3 4.2 8.3 1.7 2.6 3.5 4.3 8.4 1 .8 2.7 3.6 4.5 8.5 1 .9 2.8 3.7 4.7 8.6 1 .9 . 2.9 3.9 4.8 8.7 2.0 3.0 4.0 5.0 8.8 2.1 3.1 4.1 5.2 8.9 2.1 3.2 4.3 5.3 9.0 2.2 3.3 4.4 5.5 Page 1 . < Permit Number: _.Date: u. Completed by: HIGH GROUND-WATER LEVEL COMPUTATION Site Location: t l �0ty' ce1krilll12 _ Lot No. Owner: Address: Contractor: Address: Notes: Su►`��F Ft'.�g f{a0 d�n.e�C (dU STEP 1 Measure depth to water table to nearest 1/10 ft. ............................................................................... .Date / d Op c� mo th/ ay/year STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: OA Appropriate index well.................................................... l�8 Water-level range zone ..................................................... .STEP 3 Using monthly report "Current Water Resources Conditions" determine current depth too� y� water level for index well ......................... month/year STEP .4 Using Table of Water-level Adjustments for index well (STEP 2A), current depth to water level for index well (STEP 3), and water-level zone (STEP 2B) determine water-level adjustment .......................................................................................... 21 STEP 5 Estimate depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to water level at site (STEP 1) S-A5 Q-R 9 �� PERCOLATION TEST P# 1 1788 Date of,Percolation Test: 6/18/07 Test Performed By. CARMEN E. SHAY, R.S., C.S.E. Results Witnessed By. DONNA MOIRANDI (BARNSTABLE BOH) EXCAVATOR: Shay Environmental Services, Inc. Percolation Rate: <2 MPI 0 72" - per Sieve Analysis Test Hole Test Hole No. 1 No. 2 DEPTH SOILS ELEV. DEPTH SOILS ELEV. 0 98.00 0 98.00 FILL FILL 0"— 48" 94.00 0'— 48' 94.010 Sandy Loam Sandy Loam 10 YR 3/2 10 YR 3/2 48'— 54-1 A. 93.5 1 48'— 54" A, 93.50 Sandy Loam Sandy Loam 10 YR 5/e 10 YR 5/9 5e— 72" 8 92.00 5e— 72" Be92.00 Medium Medium Sand Sand 2.5 Y 7/4 2.5 Y 7/4 72'— 132 q 87.00 72'— 132 C, 87.00 Perc #1 Depth to Perc: 72" — Seive Analysis Perc Rate= <2 MPI Groundwatert Observed 0120"f >o over SAS - 9500 ..ti ���• 3' Maximum Covet I+,•,�'I."••,,`.,,r.•, 4' PVC(CAPPED)NSPEC PORT TO BE TOP OF UNIT ELEVATION — 95.25 INSTALLED AND TO BE WITHIN 5'OF GRADE �'�,:it 1• INV. ELEVATION — 9&00 8 Bottom of S4 Elev.- 94.25 I BOTTOM ELEVATION — 94.25 di 0$ 4 ROWS OF A UNITS AT 4'/UNR♦2 END CAPS-3200' E H-10 UwrS V W MIN ABOVE BOTTOM OF Bottom of Test Hole 2 Elev.- 07.00 TEST PIT OR GROUND WATER GROUNDWATER ENCOUNTERED O 12W or ELEV 88.00 J ESHWT ELEV. B8.00 ADJ. MSHOW EL.: SLOO -- 1 FROM :down cape engineering anc FAX NO. :15083629880 Jul. 17 2007 05:34PM P1 down cape engineering, inc. SIEVE SOILS ANALYSIS 07-181 PASSING#4.xls DATE OF REPORT: 7/17/07 .JOB : GRAIN SIZE ANALYSIS-SIEVE TEST FOR CARMEN SHEY, RS SITE: ##344 MAIN STREET, CENTERVILLE, MA (condo) LOCATION: TEST HOLE 1 SAMPLE DEPTH: 8' SIEVE ANALYSIS Weight Sample(Grams): 436.1 SIZE ; RETAINED WT. RET. % RETAINED; % PASSED __;�wt on ind.sieve) sum) 1" 0.0 0.0% 100.0% . . 13/4's ------ -- " ._-------- 01 00 0.0%: 1000% 6 0.0 ------------o-;--"--------------- 3/8" 0.0 0.0 0.0%�-----'-��------100.0% -------------------- -------- 0.0 --•--------0.0%�----------------------- -------�- ----------- 0.0 100.0% �#10 : -40.7 40.7 ----------9.3%;---------- -----90.7% "----------- ------------------- ------------"-"-----------------" -0.7 #20 31.3/o: 68.7/o #40--------�-------------129.7 266.4 61.1%' 38.9% #50 74.3 340.7 78.1%; �^ � 21.9% ----- - ------------69.1 409.8 94.0% ----------- "". _6.0% #100 96.0/o. 4.0/o #200 14.4 433.2 99.3%' 6.7% PAN:- _--_-�--------------------2.9 436.1 2-4---------------- -0.00/ SAMPLE: 436.1 ------- -;---_-•------------- ° NOTE; TEST ON PASSING#4 ONLY, 34% RETAINED ON #4 <45% O.K. RESULTS: SOIL CLASSIFIED AS AASHTO A-3 (GRANULAR,SAND) (UNCOMPACTED)(A-1 PERCENTAGE OF MATERIAL PASSING#4 SIEVE MEETS ; #4 100% (TEST ONLY MATERIAL PASSING#4) #50 10%-100% #100 0%-20% ���H of Masi #200 0%-5% n`� DANIF-Lx cyG� REQUIREMENT FOR "FILL"IN TITLE 5. JALA <6% PASSING#200 SIEVE 4 CIVIL y N0.46502 Q 0 RESULTS: PERMEABLE MATERIAL-CLASS I<5 MINAN. MATERIAL P°�F ST �`�� �•. NONCOMPACTED SOIL DESCRIPTION: COARSE GRAVELLY SAND,CLEAN 7[I7/6 7 ,. << ./ _--- .� � �, ���� R '•l �� r \ � � . �� �,, �� I ,�� � , �\ �,, \ '` .� `, 4 `�. -—Jr—? Town of]Barnstable P# Department of Regulatory Services �„H,� ; Public Health Division 1 1 Date v .ASS 200 Main Street,Hyannis MA 02601 fflz� Date Scheduled /�� Time Fee Pd. Soil Suitability ASSessrnenntfor ,fin-wage Mvp0sal Witnessed By:. Performed By: LOCATION & GENERAL INFORMATION ' Name i G\ Location Address ` M A i ht `aTR 6E T Owners �,j p�G�O•`� ' t`' �r E2JtLL£� (\4A Address b O y 4-DO{ I Engineer's Name S r- A�:'\AP r.111 S 2�K Assessor's Map/Patcel ,_ � -,, REPAIR _ Tel # 3S. -cl�n�i `"}. ._ NEW CONS'PRU�I',I'ION - . A, Surface Stones Land Use ' ' r�c•`�1r� Slopes �rr ` A ft Drinking Water Distances from: Open Water Body ft Possible Wee Area , 1 Drainage Way �ft Property Line other ft SKETCH:(street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) VT t Depth to Bedrock Parent material(geologic) Weeping from Pit;FACC Depth to Groundwater. Standing Water in Hole: 1 t Estimated Seasonal:I-Iigh Groundwater `�t DtTF"I[NATION FOR SEASONAL HIGH WATER TABLE . n In' Method Used: id. Depth to salt mottles; fr• Depth observed standing inobs.hole: {n, Groundwater Adjustinent side of obs.hole: p�,factor, Add �roundwflter l evaf Depth toiweeping from , index Well# Reading Date: Index Well levels PERCOLATION TEST Datt: 'n� -- o Observation Time at 9" —' Hole# =-�— Time at 6" - Depth of Pere Time(9"-6") Start Pre-soak Time.@ t A�.1 ss End Pre-soak - Rate MinJlnch Site Failed;___ Additional Testing Needed(YIN)Site Suitability Assessment: Site Passed -- Back---------- ' Original: Public He$lth Division Observation Hole Data To Be Completed on ***If ercola�ion test is to he conducted within 100) of wetland,you must first notify the • p prior to beginning, Barnstable C40servation Division at least one(I)week p DEEP OBSERVATION HOLE LOG Hole# ' Depth from Soil Horizon Soil Texture .Soil Color Soil' ! Other Surface(in.) (USDA) (Munsell) Mottling (Strucure,Stones,Boulders. i Consistency.% ravel . q - K� 5 o�e3 - �'► DEEP OBSERVATION HOLE LOG. Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) A i;;a Sri }a PEEP OBSERVATION HOLE LOG Hole# Depth from- Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. Gravel t j ;DEEP OBSERVATION HOL_E LOG ; Hole`#. Depth from Soil Horizon Soil Texture : Soil Color Soil ,•r Other Surface(in.) (USDA) (Munsell) ) ` .` Mottling -'($tructure,Stones,Boulders. Consi ten ra 1 r ) 1 ' s Flood Insuranje Rate Map: r flood bo undary -_ Yes Fi, Above SAO yea dary within 500 year boundaryNo YesYes Within too year flood boundary No rDe th of Natuin Occurrin Pervious Material _ . Does at least fo r feet of naturally occurring pervious material exist in all areas observed throughout the �1[="laiea proposed for the soil absorption system? �eS 1 occ urring pervious material? `f natural $P �'.� x• what is the depth o y If not, p , rCertification fdate I have passed the soil evaluator examination apprOved by the I certify that on. (date) Deptlrtrnent of Wnvi+ffient�' al rotection and that the above analysis was performed by Me consistent with Pthe required traini x e.a xperience described in 310 CMR 15.017.' Signature Date Q:W PTICIPBRCFORM.DOC R 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION ty,� Fi f�xt 15. O5: Q . " ntents of Local U ade A roval t tiro15.404(2) (1} In granting local upgrade approvals pursuant to 310 CMR wtlhiority shall consider as defined in 310 CMR 15.404(1)is not feasible,the localApproving the impact of the proposed system and shall vary to the least degree necessary the requirements of 310 CMR 15.100 through 15.293 so as to allow for both the best feasible upgrade within the Ofl. borders of the lot,and have the least effect on public health,safety,welfare and the environment. •, :k >• Under a local upgrade approval,the local Approving Authority is allowed to diverge from e goal of full compliance only to the extent necessary to achieve a feasible upgrade and may allow '8 ; � divergence only from those provisions,and to the extent,as specified in ro0mMA Authority should 1" 15.405(1). In determining whether full compliance is feasible, a Approving { appropriately consider not only physical possibility as dictated by the conditions of the site,but "' '� also the economic feasibility of the upgrade costs. The Approving Authority should emphasize u r f, I protection of water resources and treatment of the sanitary sewage. Absent conditions which judgment,the options set forth would result in a different outcome based on best profes e W with 310 CMR 15 405(1)(a)being below should be considered in the order in which they appear e . r the first option to be considered and rejected or adopted and 310 CMR 15.405(1)(k)being the last option to be considered and rejected or adopted: (a) Reduction of system location setbacks otherwise established in 310 CMR 15.211 for a'>y property lines provided that the system is within the property lines,a survey of the property line is required if a component is to be placed within five feet of the property line,and no such reduction shall result in the soil absorption system being located less than ten feet from a soil absorption system on an abutting property; pool, (b) Reductions of system location setbacks from cellar wall,crawl space,swimming p or allowable depth of system components r slab foundations; an increase in the maxmu required by 310 CMR 15.221(7),from 36"to 72"below finish grade,pr ovided that adequate venting and adequate access are provided and H-20 loading is provided for all system components;a decrease in the liquid depth of the septic tank required by 310 CMR 15.223(2) from four feet to three feet. (c) Up to a 25%reduction in the required subsurface disposal area design requirements; (d) Where upgrade is required pursuant to 310 CMR 15.303(1)because it is within Zone 1 I of public well or within 100 feet of private well,relocation of the well. Any relocation of a a public well shall be performed pursuant to from borrderi 10 CMR ng vegetated 0(water supply letlands;approval); (e) Reduction of system location setbacks (f) Reduction of system location setbacks from surface waters,salt marshes, inland and coastal banks,certified vernal 21,leaching pools in accordance drains other than M those which[discharge to catch basins,dry wells,or surface or subsurface9 surface water supplies or tributaries thereto; water supply ater supply lines, (g) Reduction of system location setbacks utom aries o surface water supplies,e r surface water wells(but not within 50 feet of the well),tnb supplies,but not within 100 feet of the surface water supply or tributary thereto or open, surface or subsurface drains which dischargern reduce the required fourfoot separation(nies or tributaries esoils i (h) the local Approving Authority Y with a recorded percolation rate of more than two minutes per inch)or the required five foot separation(in soils with a recorded percolation rate of two minutes or less per inch)between the bottom of the soil absorption system and the high groundwater elevation only if all of the following conditions are met: r 1. An approved Soil Evaluator who is a member or agent of the local Approving Authority determines the high groundwater elevation. 2. A minimum three foot separation(in soils with a recorded percolation rate of more than two minutes per inch)or a minimum four foot separation(in soils with a recorded percolation rate of two minutes or less per inch) between the bottom of the soil i absorption system and the high groundwater elevation is maintained. 3. The system is a failed or non-conforming system serving an existing building with a design flow of less than 2,000 gpd. i 4. No increase in design flow is allowed. 5. No reduction in required soil absorption system size or setbacks from public or private wells,bordering vegetated wetlands,surface waters,salt marshes,coastal banks, certified vernal pools,water supply lines,surface water supplies or tributaries to surface o surface water supplies or their tributaries, water supplies,or drains which discharge t is allowed. 310 CMR-563 4/21106 r� I SUMMARY OF GROUND-WATER LEVELS AUGUST, 1990 PROVISIONAL WELL START NET CHANGE DEPARTURE WATER LEVEL OF IN MONTH IN ONE FROM BELOW LAND- RECORD YEAR AUGUST SURFACE MEDIAN DATUM (FEET) (FEET) (FEET) (FEET) DAY MASSACHUSETTS HAVERHILL 23 1960 - 0.78 - 0.42 + 0.12 13.33 20 HAWLEY 8 1986 + 0.52 + 0.28 ----- 4.20 > 23 LAKEVILLE 14 1964 + 0.74 + 3.05 + 2.44 14.73 25 . LEXINGTON 104 1965 - 0.13 + 0.05 + 0.32 3'.00 23 II? :<:�:9: >: ::fz» > ::::: : i':':'?:>:?:: -><: : i:: `:' >::;>.s:?:': iii>:>:»::: <: :; t AS................::::.::.:::..:::.•::::::..::..........1.�37.6......................Q.t.x"3..::.::. ::::::::II...3.6.........::::::..:a.t: 1.....,.......:.$....9.7: .,::.:,:.;2. MIDDLEBOROUGH 82 1965 + 2.87 + 0.67 + 5.69 8.41 > 25 MONTAGUE 5 1942 + 0.88 + 0.68 + 2.60 1.67 21 MONTGOMERY 19 1986 + . 0.44 + 0.15 ----- 1.85 21 I Figure 9.--Sample excerpt from"Current Water Resources Conditions in Central New England". Step 3. Determine Current Depth-to-Water the 3-character alpha-numeric prefix from the Level for Index Well index well identifiers,but tables 1-9 in this report cross reference the,town names with the 3-char- acter prefixes of the index well identifiers. For example,Barnstable 230 is also A1W-230 in table Determine the depth-to-water for the index 1. well identified in Step 2A using the Summary of Ground-Water Levels Table from the USGS monthly report "Current Water Resources Con- ditions in Central New England" (fig. 8) or the Cape Cod Commission bimonthly newsletter " Step 4. Determine Water-Level Adjustment i The Commission Reporter." Select the level for the end-of-month closest in time to the date of the water-level measurement at the test site. Record that water level and the date at the Step 3 level i on the computation form (fig. 9). For example, Refer to the water-level-adjustment table, the index well recorded in Step 2A was Mashpee "Potential Water-Level Rise,in feet,for Use With 29(MIW-29), and the monthly report for August Index Well...", (tables 1-9 in the back of this re- 1990 shows that the depth to water for Mashpee port) for the appropriate index well (recorded in 29 was 8.97 feet below land surface(9.0 feet when ' Step 2A). Record the water-level-adjustment rounded to the nearest tenth of a foot). value on the computation form(fig. 10). To deter- mine the correct water-level adjustment, locate. "Current Water Resources Conditions in the current water level for the index well in the Central New England"is available from the U.S. left-hand column of the water-level adjustment Geological Survey,28 Lord Road,Suite 280,Marl- table(fig. 11).Then read from left to right.on the borough, MA 01752. "The Commission Re- same horizontal row to the column of adjustment porter" is available from the Cape Cod values for the zone recorded in Step 2B. Figure Commission, 3225 Main Street, Barnstable, MA 11 shows the water-level adjustment for the ex- 02630. Note that the USGS monthly report omits ample test site is 3.3 feet. 11 3 3' Water National Water Information System: Data Category Geographic Area Web Interface Ground Water �- United States " Resources F G News: Available Now in NWISWeb Ground-water levels for the Nation Search Results -- 1 sites found Search Criteria Agency code=usgs site no list= 413525070291904 Minimum number of levels = 1 Save file of selected sites to local disk for future upload USGS 413525070291904 MA-MIW 29:MASHPEE, MA Barnstable County, Massachusetts Latitude 41°35'25", Longitude 70°29'19" NAD27 Land-surface elevation 15.78 feet above sea level Output formats NGVD29 The depth of the well is 40 feet below land surface. Table of data The depth of the hole is 449 feet below land surface. Tab-separated data This well is completed in the Sand and gravel aquifers Graph of data (glaciated regions) (N100GLCIAL) national aquifer. This well is completed in the STRATIFIED Reselect period DEPOSITS, UNDIFFERENTIATED (I12SRFD) local aquifer. Water Water level, level, Date Time feet 2i Date Time feet 21 below Status below Status land land surface J, surface 1976-02-04 7.291 1 199 1 9.24 1976-02-OS 7.29 1 199 1 9.55 1976-02-24 7.321 1 1994-11-22 9.77 1976-03-23 7.38 1 1994-12-21 9.71 1976-04-27 1 7.841 1 1995-01-24 9.10 197 1 8.261 1 1995-02-22 9.07 197 1 8.671 1 1995-03-22 8.96 197 1 9.091 1 1995-04-20 9.02 1976 1 9.37 1995-OS-22 9.05 1976-09-28 9.77 1995-06-22 1 8.85 1976-10-271 1 9.83 1 199 1 9.17 1976-11-30 0 9.99 1 1995-08-23 9.48 1977-04-06 7.81 1 1995-09-22 9.81 1977-07-07 6.64 1 1995-10-20 9.90 ~ 1978-08-291 1 7.37 1 I 1995-11-201 1 8.95 �J 1978-10-25 8.37 1996-01-22 8.58 1979-02-23 7.56 1996-02-21 8.17 1979-04-241 1 7.341 1 1996-03-20 7.54 1979-06-26 7.40 1 1996-04-221 1 7.19 1979-08-24 8.63 1 1996-OS-23 7.25 1979-10-24 9.41 1 1996-06-25 7.79 1979-12-27 9.54 1 1996-07-22 8.33 1980-02-22 9.41 1 1996-08-21 8.76 1980-04-24 8.49 1 1996-09-24 7.42 1980-06-23 8.88 1996-10-24 6.57 1980-08-25 9.64 1996-11-21 6.60 1980-10-24 10.03 1996-12-20 6.67 1980-12-20 9.69 1 1997-01-22 7.15 1981 1 9.551 1997-02-20 7.26 1981-04-23 8.26 1997-03-20 7.45 1981-06-23 8.14 1 1997-04-22 6.43 1981-08-24 1 9.01 1997-OS-21 6.78 1981-10-23 9.61 1997-06-201 1 7.33 1981-12-28 9.241 1997-07-21 8.06 1982-02-19 8.031 1997-08-20 8.48 1982-04-22 8.08 1997-09-24 8.93 1982-07-06 8.12 1 1997-10-28 9.24 1982-08-26 1 8.89 1997-11-21 8.93 1982-10-28 9.171 1997-12-22 9.05 1982-12-21 8.99 1998-01-19 8.44 0 1983-02-21 8.31 1998-02-26 6.90 1983-04-25 5.71 1998-03-24 6.29 1983-06-24 6.99 1998-04-28 6.26 1983-08-24 8.48 1998-OS-26 6.61 1983-10-28 9.21 1998-06-24 6.65 r 1985-02-21 9.54 1998-07-27 7.35 1985-04-25 9.341 1 1998-08-20 7.84 1985-06-25 9.231 1 1998-09-25 8.47 198 1 9.501 1 1998-10-21 8.75 1985-10-21 8.63 1998-11-23 9.15 1985-12-30 9.08 1998-12-21 9.43 1986-02-25 8.63 1999-01-25 9.19 1986-04-28 8.41 1 1999-02-23 9.02 1986-06-25 8.96 1999-03-23 8.07 1986-07-24 9.15 1999-04-26 8.02 1986-08-21 8.84 1999-OS-24 8.31 1986-09-221 1 9.10 1999-06-21 8.74 1986-10-23 9.25 1999-07-22 9.33 1986-11-24 8.69 1999-08-20 9.47 1986-12-23 7.86 1 1999-09-20 9.69 1987-03-23 6.96 1 1999-10-22 9.34 1987-04-22 5.621 1 1999-11-22 9.48 1987-05-27 5.96 1 1999-12-201 1 9.29 1987-06-22 6.67 1 200 1 9.22 1987-07-20 7.48 1 200 1 9.17 1987-08-27 8.56 2000-03-27 8.58 1987-09-23 8.36 2000-04-24 8.01 1987-10-23 9.06 1 2000-04-25 7.12 1987-11-25 9.011 2000-OS-22 7.62 1987-12-22 8.76 2000-06-26 8.00 1988-01-21 8.77 2000-07-24 8.58 1988-02-23 7.86 2000-08-25 8.69 1988-03-25 7.88 2000-09-25 9.12 1988-04-26 8.16 2000-10-24 9.44 1988-OS-26 8.45 2000-11-28 9.60 1988-06-20 8.74 2000-12-21 9.55 1988-07-25 8.21 2001-01-26 9.53 1988-08-26 9.59 1 200 1 9.24 1988-09-211 9.86 2001-03-23 8.47 1988-10-25 9.91 2001-04-25 7.12 1988-11-21 9.68 2001-OS-25 7.33 1988-12-21 8.87 2001-06-19 7.61 1989-01-20 9.18 2001-07-27 8.28 1989-02-23 9.431 2001-08-23 8.56 1989-03-20 9.41 200 1 9.24 1989-04-26 8.131 1 2001-10-25 9.54 1989-OS-25 7.86 2001-11-27 9.84 1989-06-20 7.88 2001-12-21 9.92 1989-07-20 8.06 1 2002-01-28 9.60 1989-08-24 8.61 2002-02-26 9.66 1989-09-25 9.061 2002-03-22 9.55 1989-10-24 9.00 2002-04-24 8.90 1989-11-27 8.72 2002-OS-24 8.61 1989-12-26 8.94 1 2002-06-21 8.67 1990-01-29 8.691 1 200 1 9.29 1990-02-22 8.08 1 200 1 9.80 1990-03-27 8.20 2002-09-20 9.91 1990-04-241 1 7.90 2002-10-24 9.85 + 1990-05-25 7.73 Q 2002-11-26 9.17 1990-06-22 7.94 2002-12-27 8.24 1990-07-26 8.46 2003-02-27 7.44 1990-08-24 8.97 2003-03-27 7.07 1990-09-24 9.39 2003-04-251 1 6.19 1990-10-25 9.66 1 2003-OS-21 6.70 1990-11-27 9.80 2003-06-26 6.88 1990-12-20 9.61 2003-07-25 7.56 1991-01-23 9.33 2003-08-26 8.06 1991-02-21 9.22 2003-09-24 8.59 1991-03-26 8.40 1 2003-10-24 8.99 Q 1991-04-24 7.94 1 2003-11-251 1 9.11 1991-OS-24 8.11 2003-12-23 7.82 1991-06-21 8.56 2004-01-26 8.07 1991-07-24 9.06 1 2004-02-26 8.31 1991-09-04 9.561 1 2004-03-24 8.35 1991-09-26 8.931 1 2004-04-22 7.84 1991-10-25 9.55 0 2004-OS-21 7.98 1991-11-26 9.19 2004-06-25 8.31 1991-12-23 9.04 2004-07-26 8.83 1992-01-22 8.99 2004-08-26 9.19 1992-02-21 8.82 2004-09-27 9.40 1992-03-24 8.86 2004-10-20 9.04 1992-04-241 1 8.77 2004-11-23 9.21 1992-05-221 1 7.94 2004-12-30 8.60 1992-06-241 1 8.531 1 2005-02-28 7.52 1992-07-22 8.84 2005-03-22 7.08 1992-08-26 8.38 2005-04-26 6.42 1992-09-24 8.81 2005-OS-27 6.38 1992-10-21 9.011 1 2005-06-22 6.86 1992-11-24 8.98 2005-07-25 7.50 1992-12-21 7.62 2005-08-25 8.38 1993-01-21 7.47 1 2005-09-281 1 8.91 1993-02-24 7.41 2005-10-27 8.21 1993-03-25 7.01 2005-11-28 8.09 1993-04-26 6.681 1 2005-12-22 7.95 1993-OS-25 6.901 2006-01-20 7.60 1993-06-24 7.53 2006-03-30 7.78 1993-07-22 8.20 2006-04-26 8.18 1993-08-25 8.99 1 2006-OS-26 7.53 1993-09-22 9.35 1 2006-06-27 6.02 1993-10-20 1 9.611 1 2006-07-20 6.42 Q 1993-11-241 1 9.661 1 2006-08-24 7.32 r 1993-12-201 1 8.57 1 200 1 8.06 F 1994-01-281 1 8.06 1 2006-10-301 1 8.65 1994-02-28 8.06 200 1 8.50 1994-03-23 7.02 1 200 1 8.73 1994-04-20 6.70 1 2007-02-011 1 8.30 1994-OS-20 7.02 2007-02-28 8.58 1994-06-22 7.57 2007-03-28 7.81 1994-07-22 8.24 1 2007-04-25 6.99 19947-08 225 8.80� 2007-05-29 6.99 2007-06-211 1 7.42 2007-07-26 [� 8.16 Questions about sites/data? Feedback on this web site Explanation of terms Ground water for USA: Water Levels http://waterdata.usgs.gov/nwis/gwlevels? Retrieved on 2007-08-24 13:11:52 EDT Department of the Interior,U.S.Geological Survey Privacy Statement Disclaimer Accessibility FOIA News Automated Retrievals 1.39 1.38 nadwwOl L ` I E... Supplement Table 5.. Potential water-level rise, in feet, for y use with index well Mashpee MIW-29 WATER ZONE A ZONE B ZONE C ZONE D " LEVEL ' 5.7 0.0 0.0 0.0 0.0 5.8 0..1 0.1 0.1 0.2 5.9 0.1 0.2 0.3 0.3 _ 6.0 0.2 0.3 0.4 0.5 6.1 0.3 0.4 0.5 0.7 6.2 0.3 0.5 0.7 0.8 6.3 0.4 0.6 0.8 1 .0 6.4 0.5 .0.7 0.9 1 .2 6.5 0.5 0.8 1 .1 1.3 6.6 -0.6 0.9 1 .2 1 :5 6.7 0.7 1 0 1 .3 .1.7 6.8 0.7 1 .1 .1 .5 1 .8 6.9 0.8 1.2 1 .6 2.0 7.0 0.9 1 .3 1 .7 2.2 7.1 0.9 1 .4 1 .9 2.3 7.2 1 .0 1 .5 .2.0 2.5 7.3 1 .1 .1 .6 2.1 2.7. 7.4 1 .1 1 .7 2.3 2.8 7.5 1 .2 1 .8 2.4 3.0 7.6 1 .3 1 .9 _ 2.5 3.2 7.7 1 .3 2.0 2.7 3.3 7.8 1 .4 2.1 2.8 3.5 7.9 1 .5 2.2 2.9 3.7 8.0 1 .5 2.3 3.1 3.8 8.1 1 .6 2.4 3.2 4.0 8.2 1 .7 2.5 3.3 4.2 8.3 1.7 2.6 3.5 4.3 8.4 1 .8 2.7 3.6 4.5 8•5 1 .9 2.8 3.7 4.7 8.6 1 .9 2.9 3.9 4.8 8.7 2.0 3.0 4.0 5.0 8.8 2.1 3.1 4.1 5.2 8.9 2.1 3.2 4.3 5.3 9.0 2.2 3.3 4.4 5.5 Page 1 Permit Number: /-,Date: a. Completed by: HIGH GROUND-WATER LEVEL COMPUTATION Site Location: l u ���' S�- Ge lkn,, !l� . Lot No. Owner: Address: Contractor: Address: Notes: su►�� Fl..�$ �{ao ob-reNec�C� iaa STEP 1 Measure depth to water table G p to nearest 1/10 ft. .............................................................................. .Date mo th/ ay/year STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: OAppropriate index well.................................................... IgSW�'1 OB Water-level range zone ..................................................... .STEP 3, Using monthly report"Current Water Resources Conditions" determine-current depth to water level for index well ...........:............... —7 y2 d month/year STEP 4 Using Table of Water-level Adjustments for index well (STEP 2A),current depth to water level for index well (STEP 3), and water-level zone (STEP 28) determine water-level adjustment .......................................................................................... STEP 5 Estimate depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to water n level at site (STEP 1) .............................................................................................................. QfIA�' 6� �� sh s F� f)o� ca 41�� can J FOR MAIL-IN REQUESTS Please mail the completed application form to the address below. Also,please include the required fee amount(see fees at bottom of this page). Make check payable to: Town- of Barnstable. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis,MA 02601 To get a rental registration application form,click here. To be able to access this form, your computer must have Acrobat Reader. Most computers have Acrobat Reader, and it will usually activate itself automatically. If your computer does not have Acrobat Reader, you can download a copy of it by going to the Adobe website. FEES ar PA 002 5° � .�.37-- 57`� / Stanton, David From: Margo Pisacano [margo@margosells.com] Sent: Thursday, October 18, 2007 9:14 PM To: Stanton, David Cc: andrea driscoll;jeanne plante; LYN GRIMLEY Subject: RE: 340/344 Main Street, Centerville WOW!!! Thank you for letting me know-will pass along to owners- I am sure they will want to remedy immediately!! Margo diatwo oPhaa Lo www.MargoSells.com Seaport Village Realty OFFICE:508-775-4440.......CELL:508-776-5508 OFF FAX: 508-778-9778...EFAX 1-240-269-4567 www.CapeCodYearRoundRentals.com www.CapeCodWaterfrontRentals.com www.MargoSells.com/commercial/ From: Stanton, David [ma ilto:David.Stanton @town.barnstable.ma.us] Sent: Thursday, October 18, 2007 3:31 PM To: margo@margosells.com Subject: 340/344 Main Street, Centerville Good afternoon Margo, My name is David W. Stanton, RS, Health Inspector for the Town of Barnstable. I recently noticed your"for sale sign"at 340/344 Main Street Centerville, property owner Gordon J. Siegel, TRS. I wanted to make you aware of the status of the recent septic system installation at this location. The septic designer, Carmen Shay, submitted inaccurate septic design plans to the Health Division. The septic system was installed by Arch construction. It has come to the attention of the Board of Health that the plans designed by Carmen Shay were inaccurate and provided false data. Carmen Shay was immediately notified of his inaccurate data which does not meet Title V and told that he must have the septic system re-installed to meet Title V, or he must get a variance from the Board of Health. To my knowledge, Carmen Shay has not yet made his intentions made to the Board of Health. Legal action may be taken against this property and the septic designer shortly if the violation is not corrected. Sincerely, David W. Stanton, RS Health Inspector Town of Barnstable 200 Main Street Hyannis, MA 02601 Direct phone: (508)862-4647 Health Dept. phone: (508) 862-4644 Health Dept. fax (508)790-6304 10/19/2007 Muddy Waters Environmental Inc 9 Hi River Road P.O.Box 1527. Marstons Mills,Ma 508-888-6021 Operations and Maintenance Agreement Agreement entered into by and between Muddy Waters Environmental,Inc. (herein called MWE)and the Pirana®Sludgehammer System Owner(herein called Owner)for the inspection by MWE of certain equipment of Owner which is described below. Upon acceptance of this agreement at MWE's office,MWE will render the following services only: 1. Equipment will be inspected quarterly for the first year,then assequired by the Department of Environmental Protection. With the I`inspection beginning L"Lly 1 DS these inspections will include: a. The overall condition of the Pirana Sludgehammer system. b. Visual inspection of bacterial culture. c. Visual examination of the effluent for color,turbidity and effluent solids. d. Effluent Ph to determine if the waste water is between 6 and 9 standard units. e. Dissolved Oxygen,2 mg/1 or more,to ensure that the system is operating f. Turbidity is less than or equal to 40 NTUs y p g 2. If the effluent does not pass all the field tests,then the operator will be required to collect a sample for laboratory analysis, in accordance with BRP/DWM/PeP-P06-1,dated 1 January 2006. Cost for such.testing by a certified laboratory is additional and shall be billed to the Owner at the laboratory's standard rate. 3. MWE shall notify the local Board of Health and the Department of Environmental Protection in writing within 5 days of a system failure or alarm event including.corrective measures that have— been taken. 4. Owner will be billed standard MWE charges for any parts used for repairs and maintenance. 5. Any additional labor time, including emergency services,will be billed to the owner at standard labor rates of$75.00 per hour. A minimum of 4 hours labor will be charged for any services provided between quarterly required inspections. 6: Owner agrees that in no event shall Pirana®company or MWE be responsible for special or consequential damages including but not limited to,loss of use,loss of time, injury to persons or property,or any other consequential damages,or incidental or economic loss due to equipment failure. 7. Owner agrees that MWE may enter owners property and have reasonable access to all areas deemed by MWE to be necessary or appropriate for MWE to perform it's duties hereunder. 8. This is a two year contract which will be billed annually. All payments are non refundable. Owner's failure to pay invoices promptly or to otherwise comply with this contract may result in suspension of service,cancellation of contract and/or nullification of warrantees,at the election of MWE. This agreement is not assignable without the consent of MWE and will remain in force until cancelled by either party through written notice. If this contract becomes null and void, MWE will notify local Board of Health and Department of Environmental Protection that the system is no longer in compliance and therefore may require a septic system upgrade to meet standard Title 5 requirements. Manufacturer Model Number Serial Number Location Annual Rate e Conunonwealth of Massachusetts Executive Office of Enviroranental Affairs IF Dept. of Environmental Protection ,John Grad One winter Street,Boston,Ma. 02108 D.E.P. Title V Septic Inspector P.O. Box2119 Teaticket MA 02536 (NO 4,- WILLIAM F.WELD Governor ARGEO PAUL CELLUCCI Lt.Govemor IVE0SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FO1►PART A CERTIFICATION 3 199LProperty Address: 344 MAIN ST.CENTERVILLE MAP 208 PAR 44 LOT 1 Address of Owner: ADate of Inspection: 10/5/98 (If different)Name of Inspector: JOHN GRACIDENNIS WAITEKUNAS;BOX 353 I am a DEP approved system inspector pursuant to Section 15.340 of Title%(310 CMR 15.000) 0 a�� Company Name,Address and Telephone Number: CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: x Passes This Inspection Is based on criteria defined In Title V code 310 CMR 16.303.My findings are of how the system is _ Conditio Passes performing atthe time ofthe inspection.My Inspection does Needs er Evaluation By the Local Approving Authority not Imply any warranty or guarantee of the longevity ofthe Septic system and any of Its components useful life. Fails Inspector's Signature: Date: 1o16198 i The System Inspector shall ubmit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspections. 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 Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority. INSPECTION SUMMARY: Check A, B, C,or D: A] SYSTEM PASSES: x I have not found any information which indicates that the system violates any of the failure criteria defined as in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair,passes inspection. Indicate yes, no, or not determined(Y, N,or ND). Describe basis of determination in all instances. If "not determined",explain why not. The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of C01hpliance(attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection,or the septic tank,whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent.The system will pass inspection If the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised WNW) One Winter Street • Boston,Massachusetts 02108 • FAX(617)556-1049 • Telephone(617)292-5500 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 344 MAIN ST.CENTERVILLE MAP 208 PAR44 LOT 1 Owner: DENNIS WAITEKUNAS;BOX 350 SANDWICH MA.02563 Date of Inspection:1015199 _ Sewage backup or.hreakout.or. hiah.static water level observed.in.the distribution box is due to a broken. or obstructed pipe(s)or due to broken,settled or uneven distribution box.The system will pass inspection if (with approval of the Board of Health). Describe observations: broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced —The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed 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 the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ The system has a septic tank and soil absorption system and is within 100 feet to a surface of water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within a Zone 1 of a public watersupply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presense of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method usedto determine distance (approximation not valid) 3)Other D] SYSTEM FAILS: You must indicate either"Yes"or"No"as to each of the following: _ I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No Backup of sewage in facility or system component due to an 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 cesspool. SAS is in hydraulic failure. (revised 04127)97) L SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 344 MAIN ST.CENTERVILLE MAP 208 PAR44 LOT 1 Owner: DENNIS WAITEKUNAS;BOX 350 SANDWICH MA.02563 Date of Inspection:1015198 D]SYSTEM FAILS(continued) Yes No Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6"below invert or available volume is less than 112 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).. Numbers of times pumped Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone 1 of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria,volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: You must indicate either"Yes"or"No"as to each of the following: The following criteria apply to large systems in addition to the criteria: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: 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) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 0427)97) L SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECLIST Property Address: 344 MAIN ST.CENTERVILLE MAP 208 PAR44 LOT 7 Owner: DENNIS WAITEKUNAS;BOX 350 SANDWICH MA.02563 Date of Inspection:1015199 Check if the following have been done:YOU must indicate either"Yes"or"No"as to each of the following: _c_ — Pumping information was requested of the owner,occupant,and Board of Health. x None of the system components have been pumped for at least two weeks and the and the system has been receiving normal — flow rates during that period. Large volumes of water have not been Introduced into the system recently or as part of this inspection. x — As built plans have been obtained and examined. Note if they are not available with N/A. x The facility or dwelling was inspected for signs of sewage back-up. x — The system does not receive non-sanitary or industrial waste flow. _c_ — The site was inspected for signs of breakout. x All system components, excluding the Soil Absorption System, have been located on the site. x The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction,dimensions, depth of liquid,depth of sludge,depth of scum. x The size and location of the Soil Absorption System on the site has been determined based on — — The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Sub-Surface Disposal Systens. x Existing information. Ex. Plan at B.O.H. x Determined in the field(if any failure criteria related to Part C is at issue, approximation of distance is — — unacceptable)[15.302(3)(b)] (revised 04127197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 344 MAIN ST.CENTERVILLE MAP 208 PAR44 LOT 1 Owner: DENNIS WAITEKUNAS;BOX 350 SANDWICH MA.02563 Date of Inspection:1015198 FLOW CONDITIONS RESIDENTIAL: Design flow: "09•P•d./bedroom for S.A.S. Number of bedrooms: 4 Number of current residents: 4 Garbage grinder(yes or no): No Laundry connected to system(yes or no): Yes Seasonal use(yes or no): No Water meter readings, if available:(last two(2)year usage(gpd): n!a Sump Pump(yes or no): No Last date of occupancy: We COMMERCIAL/INDUSTRIAL: Type of establishment: nia Design flow.0 gallons/day Grease trap present: (yes or no) No Industrial Waste Holding Tank present:(yes or no) No Non-sanitary waste discharged to the Title 5 system:(yes or no) No__ Water meter readings, if available: nra Last date of occupancy: nra OTHER:(Describe) rda Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: 7rdl89,4119190,11l01193,SYSTEM WAS LAST PUMPED 9WA8 System pumped as part of inspection:(yes or no)No If yes,volume pumped:0 gallons Reason for pumping: nla TYPE OF SYSTEM x Septic tank/distribution box/soil absorptions system Single cesspool Overflow cesspool Privy Shared system(yes or no) ( if yes, attach previous inspection records, if any) I/A Technology etc.Copy of up to date contract? Other: APPROXIMATE AGE of all components, date installed(if known)and source information: SYSTEM WAS INSTALLED IN 1976 PERMIT T60136 Sewage odors detected when arriving at the site: (yes or no) No (revised 0427)97) l SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 344 MAIN ST.CENTERVILLE MAP 208 PAR44 LOT 1 Owner: DENNIS WAITEKUNAS;BOX 350 SANDWICH MA.02563 Date of Inspection:1015198 SEPTIC TANK: x (locate on site plan) Depth below grade: 12" Material of construction: concreate_metal_FRP_Polyethylene_other(explain) If tank is metal, list age n(a . Is age confirmed by Certificate of Compliance No (Yes/No) Dimensions: L10'5^H5'7^w6'e" Sludge depth:0 Distance from top of sludge to bottom of outlet tee or baffle: 0 Scum thickness:0 Distance from top of scum to top of outlet tee or baffle:S" Distance form bottom of scum to bottom of outlet tee or baffle:0 How dimensions were determined: MEASURED Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage,etc.) SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND.RECOMMEND PUMPING EVERY TWO YEARS. GREASE TRAP: (locate on site plan) Depth below grade: rda Material of construction: _concrete_metal_FRP_Polyethylene_other(explain) Dimensions: rda Scum thickness:n/a Distance from top of scum to top of outlet tee or baffle:rda Distance from bottom of scum to bottom of outlet tee or baffle:rda Date of last pumping,,(- Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) Na BUILDING SEWER: (Locate on srte plan) Depth below grade: L Material of construction:_cast iron_40 PVC_other(explain) Distance from private water supply well or suction IinerowN Diameter: n(a_ gvamments: (conditions of joints,venting,evidence of leakage,etc.) (revised 04117)97) I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 344 MAIN ST.CENTERVILLE MAP 208 PAR 44 LOT I Owner: DENNIS INAITEKUNAS;BOX 350 SANDIMCH MA.02563 Date Of Inspection:1015198 TIGHT OR HOLDING TANK: (locate on site plan) Depth below grade: rda Material of construction:_concrete_metal_FRP_Polyethylene—other(explain) Dimensions: nra Capacity: 1)a gallons Design flow: nla gallons/day Alarm level:_nfa Alarm in working order?_Yes_No Date of previous pumping: Comments: (condition of inlet tee,condition of alarm and float switches,etc.) Na DISTRIBUTION BOX: x (locate on site plan) Depth of liquid level above outlet invert: LIQUID LEVELwnH BOTTOM OFPIPE. Comments: (note if level and distribution is equal, evidence of solids carryover,evidence of leakage into or out of box etc.) DISTRIBUTION BOX IS STRUCTURALLY SOUND. PUMP CHAMBER: (locate on site plan) Pumps in working order:(yes or no)No Alarms in working order(yes or no)_Ye: Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) rda (revised 04127)97) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Addre55: 344 MAIN ST.CENTERVILLE MAP 209 PAR44 LOT 1 Owner: DENNIS WAITEKUNAS;BOX 350 SANDWICH MA.02563 Date of Inspection:1015198 SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, if possible;excavation not required,but may be approximated by non-intrusive methods) If not determined to be present,explain: rVa Type: leaching pits, number: n1a leaching chambers, number:rda leaching galleries, number: nla leaching trenches, number,length: n1a leaching fields, number, dimensions:ONEe•xe0' overflow cesspool,number:nla Alternate system: n1a Name of Technology:_rda Comments: (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.) THE LEACH FIELD APPEARS TO BE FUNCTIONING PROPERLY,SHOWS NO SIGNS OF FAILURE. CESSPOOLS: (locate on site plan) Number and configuration: rda Depth-top of liquid to inlet invert: n1a Depth of solids layer: Na Depth of scum layer: rda Dimensions of cesspool: n1a Materials of construction: rda Indication of groundwater: nla inflow(cesspool must be pumped as part of inspection) n1a Comments: (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.) nfa PRIVY: (locate on site plan) Materials of construction: rva Dimensions: nla Depth of solids: rda Comments: (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.) rife (revised 04127)97) A- SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 344 MAIN ST.CENTERVILLE MAP 208 PAR 44 LOT 1 DENNIS WAITEKUNAS;BOX 350 SANDWICH MA.02563 1015199 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references, landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) v q) ' I (revised OU27197) Page 9 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(contlnued) 344 MAIN ST.CENTERVILLE MAP 208 PAR 44 LOT 1 DENNIS WAITEKUNAS;BOX 350 SANDWICH MA.02563 1015198 Depth of groundwater 10 Please indicate all the methods used to determine High Groundwater Elevation: Obtained from design plans on record. Observation of Site(Abutting property, observation hole, basement sump etc.) Determine it from local conditions Check with local Board of Health Check FEMA Maps Check pumping records Check local excavators, installers X Use USGS Data Describe in your own words how you established the High Groundwater Elevation.(MUST be completed) USGS MAPS AND CHARTS pevlaedOdm197) rage 10 of 10 lb CERTIFIED SEPTIC SYSTEM REPORT NOk,Tf� `' J ti. LOCATION 344 MAIN ST . CENTERVILLE, MA 02632 MAP 208 PARCEL 044001 LOT 1 PREPARED FOR SELLER DR. STEVEN BERGLUND 39 SHEPARD ' S WAY BARNSTABLE , MA 02630 BUYER NONE AT THIS TIME PREPARED BY HILLIARD HILLER, JR. P .O . BOX 250 CENTERVILLE, MA 02632 508-778-1472 • t ItCa MIA Commonwealth of Massachusetts Executive Office of Environmental Affairs Department of Environmental Protection WIIIIam F.Weld Goarnor Trudy Core sacmary,[�oEA Dsvld B. Struhs Comm' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: .3t-& 1�,If!'v 67 C ICII' Cie✓/4GX Address of Owner: 3 y 51V,45t 0aO r- 40-0>- Date of Inspection: _ (If different) Name of Inspector: y/,1GI.-J7 0 f//GGL� J� / Company Name, Address and Telephone Number: /4� er"jC a5?j CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: 4..-IOasses _ Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority _ Fails Inspector's Signature: Date: The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(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 Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authorif)•. INSPECTION SUMMARY: Check A, B, C, or D: A] SYSTEM PASSES: P I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system, upon completion of the replaoement or repair, passes inspection. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If"not determined", explain why not) _ The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 8/15/95) One Winter Street a Boston,Massachusetts 02108 a FAX(617)U6-1049 a Telephone(611)292-SM i, Printed on Recycled Pape a ` SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 3'VV �/�'=� S7. !__.P, :lt t//C�G E •S•� Owner: A<. G Date of Inspection: B] SYSTEM CONDITIONALLY PASSES (continued) _ Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced _ The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed 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 the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM "'ILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ The cvstem has a septic tank and soil absorption system and is within 100 feet to a surface water supply of hibutary to a surface water supply. _ The systen, has a septic tank and soil absorption system and is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. _ The systen, has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. D] SYSTEM FAILS: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Backup of sewage into facility or system component due to an 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. (revised 8/15/95) 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: J!! $i' Owner: OR. STD ,v dfiZG e v�v Date of Inspection: DI SYSTEM FAILS (continued): Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day Flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped O Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. El LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria above: The design flow of system is 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: 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! The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatrrm program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 8/15/95) 3 f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 3'/V Ar fI4 1 dT sa;,�y Owner: '0/t. S Tat rW*A- Is'�"i1 e Date of Inspection: �g/� e 11/y /b_ Check if the following have been done: _/Pumping information was requested of the owner, occupant, and Board of Health. _/None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or a5 part of this inspection. ✓As built plans have been obtained and examined. Note if they are not available with N/A. VIhe facility or dwelling was inspected for signs of sewage back-up. L/The system does not receive non-sanitary or industrial waste flow yThe site was inspected for signs of breakout. _L,,,AII system components, excluding the Soil Absorption System, have been located on the site. _Ohe septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. _L The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. zhe facility ov r,Er (and occupants, if different from owne-` Nvere provided with information on the proper maintenance of Sub- Surface Disposal System. (revised 8/15/95) 4 it A s SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 35/1Y /9�.�/ Owner: 41e ,G'!_' 4</.1 4 Date of Inspection: or FLOW CONDITIONS RESIDENTIAL: Design flow: gallons Number of bedrooms: L/ Number of current residents: IV Garbage grinder(yes or no):_L� Laundry connected to system (yes or no):19t 1 Seasonal use (yes or no): IW _ Water meter readings, if available: I"Y— Fo/1 5��.�,v rfi�f�<7hl.vS /17 3/2� 6 ^'',%-01' ate:' 1C Last date of occupancy: &'/',-74 COMMERCIAL/INDUSTRIAL: Type of establishment: Design flow: gallons/day Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings, if available: Last date of occupancy: . OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and puree of information: Z/3/8r 5��i IeV-< 17�� System pu�pan of inspection: (yes or no)_A.C7 If yes, volume pumped gallons Reason for pumping: TYPE OF SYSTEM ✓ Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) Other (explain) APPROXIMATE AGE of all components, date installed (if known) and source of information: Sewage odors detected when arriving at the site: (yes or no) (revised 8/15/95) $ dot . SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C. SYSTEM INFORMATION (continued) Property Address: "I el ,5r Gt'/iTY�ti/GG,� Owner: AK. S77eljAl djC,& Date of Inspection: SEPTIC TANK:1I (locate on site plan) Depth below grade: b Material of construction: to-concrete _metal _FRP—other(explain) Dimensions: .6'6'X ham" Sludge depth: /a It Distance from top of sludge to bottom of outlet tee or baffle: lya Scum thickness: d Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: — Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) 7AAv y �� r .'�' �s��% �' �� p" -0�• GREASE TRAP:_ (locate on site plan) Depth below grade: Material of construction: _concrete _metal _FRP other(explain) Dimensions: Scurn thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom ro srum t^ bottom o? outlet tee or baffle: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) tzevised 8/15/95) 6 u SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 3 GA-1 o0*,o rat/ Owner: ,tZ< s7-t4, -,1 &S,t%G dvv� Date of Inspection: TIGHT OR HOLDING TANK:_ (locate on site plan) Depth below grade: Material of construction: _concrete_metal FRP--other(explain) Dimensions: Capacity: ¢allons Design flow: ¢allons/day Alarm level: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet invert: O Comments: (note if le,,e! and distribc;icn i; eq c!, evidence of so!id< car ,vover, evidence of leakage into or out of box, etc.) Gc !y PUMP CHAMBER:_ (locate on site plan) - Pumps in working order:(yes or no) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) (revised 8/15/95) 7 is SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: �—T4ez:,I, C A X Owner: QR 'Date of Inspection: SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number:_ leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: / ff'X Svc overflow cesspool, number: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.) 4,V bf Fri v>'''ts CESSPOOLS: _ (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer. Depth of scum layer: Dimensions of cesspool: Materials of construction: indication of groundwater. inflow (cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY:_ (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) (revised 8/15/95) B r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 3YZ/ A"A&I 6.I Gif.vTtitvim ,w Owner: 40�• 5%;�v��/ Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' � I j %�, l DEPTH TO GROUNDWATER Depth to groundwater: 3.4' 'teet method of determination or approximation: /t 51?l '•?{/ r y '^` !� �IpJ v:' l'it'�,Z�-j':"y giT� �G!/d /,V G�.vt�itiirGt E I '�-',�� •^;- -�� �i/?5 S 6,- 2 STEy.��i 13s+i"t:,� p717 �s15 7,171E .Of..�r id TH.E 0102�/222 WX7-,`/' 7G ThE G.df,'.OE Ar (revised 8/15/95) LEGEND a y N _ S 49'18 56 W stockade fence x 9 gON - --163:51--- --------------- 0 I -- 98 -- EXISTING CONTOUR o ,� I 93,96 \ 0 x 100.98 EXISTING SPOT GRADEo EXISTING CONTOUR / BRICK - Benchmark Noy 95,4412 W EXISTING WATER SERVICE --'-----�------- - � FLAGGED SPIKE SET/ G EXISTING GAS SERVICE f 'f N L --95--_ ------------- Ate' LAMP EL.=94.83 (Assumed/datum) -�,//,�/- OVERHEAD WIRES `e r _U1 ------- O ;ce toe m U+ bN, \ / V TEST PIT Poe. cgti LOCUS �� DECK `�\ 6)O STONE BENCHMARK �,� 94,883 LOCUS MAP m i \ �✓ ��i �. PI E tT AREA RKING q' NOT TO SCALE , ------- �� \� r .EXISTING �' I ; C r ; GENERAL NOTES: ' BUILDING(#344) ` I \\ �LO0 1) i 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL T.O.F.=100.74t' x 989,1• API�f 08-044-001 CND I BOARD OF HEALTH AND THE DESIGN ENGINEER. 95.16 \ 23,999 S.R t � 2• ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS 97�2 �� �\ ' OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE N - `� z ��ag6 LOCAL RULES AND REGULATIONS. C�bT + 9 9.3 Wq \ LK \ �\\ 20T/W�y �`'ryQ�' 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR / f ,Q TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE o'' �O' 98,23� 'S-`� EASEMENT-Z_ ti, eR� DESIGN ENGINEER. -/§').70 1-0Q'\ WALK + \�� \�� 95.81 i Q0 yet 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING M 99.73 � 96,0�/ STONE \ 95 74 I FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 0 99� 1 9$-93 DRIVEWAY \ Z ENGINEER BEFORE CONSTRUCTION CONTINUES. • 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. ® O.H: RE-CONNECT / ico. y�P SUP 0 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF ' 100.06 990 �\ \ 0 9 769�. W THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF + to o HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 99,69 ❑ � �� 0.. ' 0 rn 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. `� OF tijys i 99,3 r----- 9�' �� ✓ 96 - 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS yG I I vEXISTING I �� 95 41 \ \� AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE o PETER T. I i I �y DIRECTED BY THE APPROVING AUTHORITIES. McENTEE I BUILDING(#340) I ( , . o N 0 I x 100,011 I � � O. `R� EXISITNG WATER SVC. 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY CIVIL 4-1 BEDROOM CONDOMINIUMS v' I� 99,77 I I `� � TO HOUSE NO. 350 THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING No. 35109 U! .0 I I T.0.F.=100.941/ t� 1-3 U% I I �� C 96. 9 96,99 CONSTRUCTION. 99.g�1 14.2 CHARCOAL 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS 2 r, , ' VENT IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND 99.7 i \98.0 \ 1 i 1 '\ REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). + ORCH �P-1 \ 4-1�1 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE EXISTING S.A.S. BDG. 344 99,82 ` +\ 99.75 I� � ��® 1 O' INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. TAKEN FROM RECORD AS-BUILT ��� TOiJ,oO LA\ M 99.85 x 1 �\ i is "I 1 � \ 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND DATED 8113/07 �` O r (A -t t- IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. x 99,6 e5 I I TP-2 1 1 /Iml 1 V PROPOSED SLEEVED EXISTING SEPTIC TANK ' I 9� �- I WATER SERVICE OWNERS OF RECORD i-O i I' 91 20804410A - WELLS, TOWNSEND P (1500 GALLON-TO REMAIN) i ' L L L0° PLAN REVISION-9/12/11 TOP OF TANK, EL.=99.19 , 100.03 I g i 20804410B - NAMES, KATIE ELIZABETH I i I \98 1. ADD UTILITY EASEMENT-BK 8051/PG 335 20804410C - MEDLIN, KAREN M INV.(OUT)=9786t I I I r-r I 0 lzd ' I I I O 2. SHOW WATER SVC. TO HOUSE #350 WITH 2O804410D - BRANDT, AUDREY EXISTING S.A.S. (BDG.#340)�� 1 1 9 4 RELOCATION AROUND PROPOSED S.A.S. 20804410E - RUBINO, THOMAS A TAKEN FROM RECORD AS-BUlL1" 1, 7 ----------------� b9,27 vi 20804410E - SOLIWODA, PAMELA H DATED 11/1/08, TO BE PUMPED / v I rn� PROPOSED 2080441OG - STRANGER, MARTHA E FILLED W/SAND & ABANDONED 100,40 /LAM ��� IKE WATER SVC. .31 99.6 85.29 I!- 44.26 8 . 98.39 PROPOSED SEPTIC SYSTEM UPGRADE PLAN + 1oo.1B N 49'39'50" paved sidewalk uP ' N 50*50'00" 340 MAIN STREET, CENTERVILLE, MA 100.22 _ ---- n Prepared for: Centerville Gardens Condominiums, 340 Main Street, Centerville, MA 02632 99.58 edge of pavement/berm 9B,65 97.93 100,11 0 Engineering by: SCALE DRAWN JOB. NO. ° Benchmark No. 2 100,52 Engineering W MAIN S TREE T TOP of CONC. BOUND g orks, Inc. 1"=20' P.T.M. 194-11 EL.=98.39(Assumed datum) 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET No. (508) 477-5313 7/27/11 P.T.M. 1 Of 2 a - - i FINISH GRADE SHALL NOT BE G EL.94.8 FOR A DISTANCE OF 15' AROUND THE PROPOSED D-BOX PERIMETER OF THE S.A.S. SEPTIC TANK CHARCOAL INSTALL RISERS & COVERS OVER INLET & PROPOSED S.A.S. OUTLET AND SET TO 6" OF FINISH GRADE INSTALL RISER & WATERTIGHT FRAME INSTALL INSPECTION' PORT OVER END UNIT VENT T.O.F. & COVER (H-20) SET TO GRADE F.G: 96.33 (MIN.) CONNECT EXISTING F.G. EL.=99.8f F.G. EL: 98.0E � ALL LINES TO 97,83 (MAX.) TO VENT MAINTAIN 2% GRADE (MIN.) OVER S.A.S. BIAXIAL GEOGRID-BX TYPE INSPECTION L = 46' L = 11'(MAX.) EXTEND 1 FT. BEYOND S.A.S. PORT ® S=1% (MIN.) ® S=1% (MIN.) 4"SCH40 PVC 4"SCH40 PVC 12" 6" o /EXISTING R�9' U-ii° I ,4„ s" 10.75" ro BUILDING(#340) s. EXISITNG 48" LIQUID INVERT 4-1 BEDROOM CONDOMINIUMS LEVEL ADD INV.=94.67 PROPOSED INV.=94.50 5 ROWS OF 51 UNITS AT 5.0'/ NIT = 25.0' T O.F.=100.9411 2, 1 ----' cas BAFFLE INV.=97.86t D-BOX INV.=94.40 I--14.2� EXISITNG (H-20) SOIL ABSORPTION SYSTEM (PROFILE) 20.0 - EXISTING SEPTIC TANK BIAXIAL GEOGRID / BX TYPE PORCH PRODUCED BY TENSAR CORP. , � 1 ATLANTA GEORGIA ; (n 01 N NOTES: RESTORED DRIVEWAY SURFACE 01 ?2a OGh01 38 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE COMPACTED, CLEAN GRAVEL BACKFILL rrir1 BACKFILL WITH CLEAN 1"t DOUBLE INVERTS, PRIOR TO INSTALLATION. 18" MINIMUM COVER 7F=WASHED STONE TO TOP OF CHAMBERS i 2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE OVER UNITS , OP ON A MECHANICALLY COMPACTED SIX INCH CRUSHED BREAKOUT= 4. STONE BASE, AS SPECIFIED IN 310 CMR 15.212 (2). TOP ELEV.=9 4.4 _ }• INV. ELEV.=94.40 3) INSTALL INLET & OUTLET TEES AS REQUIRED. 12' po 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE BOTTOM ELEV.=93.50 AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. 2.83' PLACE APPROVED 4' MIN. SEPARATION FILTER FABRIC TO HIGH GROUNDWATER EFFECTIVE WIDTH=14.2' OVER STONE /� 98.56 EXISTING SUITABLE SAS LAYOUT SPIKE2 HIGH GROUNDWATER, EL=89.43 4 UNITS MUST BE STAMPED H-20 MATERIAL 36HC UNITS SEPTIC SYSTEM PROFILE SEPARA IONSBETWEENUSE 5 OF 5- DEACHcROW & NO STOINE TH NO 63.25' TYPICAL SECTION 1s" SOIL LOG 34.5'� DESIGN CRITERIA DATE: JULY 27, 2011 (REF P#13,364) BUILDING #340 SOIL EVALUATOR: PETER McENTEE (SE#1542) TOP VIEW NUMBER OF BEDROOMS: 4 BEDROOMS (4-1 bedroom condos) WITNESS: DONALD DESMARAIS-HEALTH AGENT 60" SOIL TEXTURAL CLASS: CLASS I Elev. TP- 1 Depth Elev. TP-2 Depth END CAP END CAP DESIGN PERCOLATION RATE: 4 MIN/IN 98.43 O/A O" 98.60 O/A 0" FRONT VIEW SIDE VIEW END CAP SANDY LOAM SANDY LOAM REAR/TOP VIEW DAILY FLOW: 440 G.P.D. 97.43 1OYR 4/2 12„ 97.60 10YR 4/2 8„ NOTE: UNIT DESIGN FLOW: 440 G.P.D. B B TO CHANGE WITHOUT RNOTIICE.ATION 4PRODUCND ITADETAILBILITY SMBYECT SIDE VIEW GARBAGE GRINDER: NO SANDY LOAM SANDY LOAM DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. 10YR 5/8 10YR 5/8 4640 TRUEMAN BLVD LEACHING AREA REQUIRED: (440) = 594.6 S.F. 95.43 36" 95.93 28" HILLIARD, OHIO 43026 Arc 36HC DETAIL 74 C PERC G ADVANCED DRAINAGE SYSTEMS,INC.NEW. UNITS MUST BE STAMPED H-20 EXISTING SEPTIC TANK: 1500 GALLON CAPACITY 36"/48' PROPOSED SEPTIC SYSTEM UPGRADE PLAN PROPOSED D-BOX:: 1 INLET, 5 OUTLET (MINIMUM), RATED H-20 2.5Y 6/4D 2.5YS6/4D USE 5 ROWS OF 5-ADS Arc 36HC UNITS WITH NO 5-10%GRAVEL 5-10%GRAVEL 340 MAIN STREET, C ENTERVI LLE, MA SEPARATION BETWEEN EACH ROW & NO STONE 89.43 MO5YRLINGS 108" 89.43 MOYRL5/8� 110 Prepared for: Centerville Gardens Condominiums, 340 Main Street, Centerville, MA 02632 7.BOTTOM AREA: GENERAL USE APPROVAL FOR 4.80 SF LF OF UNIT 89.10 STG. G.W. z 112" 89.10 STG. G.W. _ 114" Engineering by: SCALE DRAWN JOB. NO. ( ) NTS P.T.M. 194-11 (Arc36HC Units) 25 UNITS x 5.0 LF x 4.80 SF/LF = 600.0 SF 88.43 120" 88.60 4 120" Engineering Works, Inc. PERC RATE 4 MIN/IN. ("C" HORIZON) 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74(600.0 S.F.) = 444.0 G.P.D. ESTIMATED HIGH GROUNDWATER, EL.=89.43 (MOTTLING) (508) 477-5313 7/27/11 P.T.M. 2 of 2 �I *NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. ct>tDtt r' y x " 2-18' DIAM. ACCESS MANHOLES 10' min. from B• �� � ���,� '`--, .,. r' Jt Existing Foundation house to septic tank D-BOX cover must be ESTABLISHED VEGETATIVE COVER TOP OF FOUNDATION ELEV. 100.00 ASSUMED Septic tank covers must be within a in. of finished grade �' '�' 'at's :t.n j''�:rs: �'''•'''`"+� \ y - •ithin 6 in. of finished grade r Grade over Septic Tank-90.00 �Creds over D-Box - 90.00ds over SAS- 9800 yy yyr�yIN, - - A\ y., •�,. 1.: a' . ••,4.•.�•�. . .,..,r,•• ,! . a. ;.• ..,• . .., .7.. BACKFiLL WITH CLEAN SAND S- •5- `• :v !•.. ,�• ,. • _:+. •!. ; j ,v (NATIVE OR PERC SAND) r -_ T9#6�fdt710 2 6 HOLE H-20 v•'• r `i 1 +' {S , '+':''• i r'''�i :�:. " ^V, +.`.+ r+ INLET { S� IST. BOX 3' Maxknum Cover . r. .,' , '•r.• n, .�}.a '' ;ti:.,!'•.r:' ::J. ♦' �+t T EXIST. 0.0T 4'PVC(CAPPED)INSPEC PORT TD BE ':�.. •I' t• w..T.., a • . i' ;t:. n. i�' '•, W T C 8 0' TOP OF UNIT ELEVATION - 96.00 •,t,; ,.' .�,� `�,. +I :.T•,7; -. EYTST.PTPE u'! 1.000 GAL. g., INSTALLED AND TO BE WITHIN 6' OF GRADE •�,• •.�. .y�•� ,�' ..V�•'y'+'' .i" {' ��••. +•s ;e•�, J•w,�•n• .l •ti. --. �_ J• 10 n p 0.01"Derfoo '+ ,•'y1I ,:` Vr~ .M. :.ci,. t. •,,,�1i `1� t ,. 1,• , ) ' ,i• 'r: I THE FOR THE SEPTIC TANK, - � TT12s, '• ! �s'W�11• S' r. ; . t 1 ,; t E ACCESS COVERS FROM EXIST. FOUNDATION ar Uj SEPTIC TANK ,p ,, `•,. .,.M'• - `• DISTRIBUTION BOX AN 11 u) 1S' - ',•:,, ! ':, .; "�; T- f- r„-h�� SET DEEPER THAN 6 INCHES O'A) a)r .1• .i.' •''V:' v I+. y'1• rl;f +hs,� ;-'•• r rt ..,,' '� �..• ,,, INV.ELEVATION 95 00 :r»•+•r•�' A• ';, D LEACHING COMPONENT r CONCRETE FULL FOUNDATlO BELOW FINISHED _ u H-10 ',:' ;v�•A.�,t ..,•;i•��" •" GRADE SMALL BE RAISED TO WITHIN 6' OF _ W h. i° ?: STEEL REINFORCED PRECAST CONCRETE FINISHED GRADE. ` 4 8 Bottom of SASS Elov.r 94.25 I BOTTOM ELEVATION- 94.25 :•^' ~ INSTALL TUF-TITE GAS BAFFLES OR EQUALS BL--�� FZ f"ar• �7'¢J SYSTEM PROFILE 6 in.of 3/4"-1 1/2' y ° AN VIEW compacted stone y > 0 4 ROWS OF 6 UNITS AT 4'/UNIT+ 2 END CAPS 32.00' Not to Scale - e d v 3-24' REMOVABLE COVERS •®sooT to-Vae�t 0v10 0,20ogN oleo.andArVide A In%. !<< W H-10 UNITS 4" 4" j ' y TEST MIN R GROUND ND WA of s t GENERAL NOTES 6 in.of 3/4'-1-1/2' Bottom of Test Hole 2 Elsv.- 87.00 TEST PIT OR GROUND WATER EXISTING SUITABLE MATERIAL > EFF. 1YIDTS f2.B3' •. • .,. .. •.- 4• .,•.:, compacted stone GROUNDWATER ENCOUNTERED O 120' or ELEV 88.00 3 min. dearonce 13• eiLET NOTE: ALL COMPONENTS MUST HAVE RISERS TO NATHIN 6" BELOW GRADE ESHWT - ELEv. 88.00 INLET 6'mrn.,Lmin. tilt to outlet s.mti :< 1. Contractor is responsible for Digsofe notification, Verification of Utilities Ir ADJ. MSHGW E4: 90.20 I. 10•mM. L ud .wi-1•• OUTLET and protection of all underground utilities and pipes. a' -7• - +'a' -7' 2. The septic tank a l distri Lltion box shall be set SOIL ABSORPTION SYSTEM (SECTION) r. level on 6 of 3�4 -1 1p2 stone. INFILTATROR QUICK 4 (H-10 LOADING)/ GEORGE O'BRIEN - s. �• uclu min. 3. Backfill should"be clean sand or gravel with no stones over 3 in size. (OR EQUIVALENT) •� :a 4. This system is subject to inspection during installation by Carmen E. Shay - Environmental Services, Inc. NOTE: OVERALL HEIGHT OF INFILTRATOR IS 14" +• "'`' f =�� ° + 5. The contractor shall install this system in accordance e'-o• 4' -10' with Title V of the Massachusetts state code, the approved plan CROSS SECTION END-SECTION and Local Regulations. 6. if, during installation the contractor encounters any TYPICAL 1000 GALLON SEPTIC TANK soil conditions or site conditions that are different from those shown on the soil log or in our design NOT TO SCALE installation must halt & immediate notification be made to Carmen E. Shay - Environmental Services, Inc. P E R C 0 LAT I 0 N TEST 7. No vehicle or heavy machinery shall drive over the P# 1 17 8 8 septic system unless noted as H-20 septic components. Date of Percolation Test: 6/18/07 8. Install Tuf-rite gas baffles or equals on all outlet tee ends. Test Performed By. CARMEN E. SHAY, R.S., C.S.E. 9. All Distribution Lines shall be 4" diameter Sch. 40 NSF PVC pipes. Results Witnessed By. DONNA MOIRANDI (BARNSTABLE BOH) 10. All solid piping, tees & fittings shall be 4" diameter EXCAVATOR: Shay Environmental Services, Inc. Schedule 40 NSF PVC pipes with water tight joints. Percolation Rate: <2 MPI 0 72" - per Sieve Analysis 11. MUNICIPAL WATER IS AVAILABLE TO THE SITE and Surrounding Test Hole Test Hole Properties. No. 1 No. 2 DEPTH SOILS ELEV. DEPTH SOILS ELEV. 0 98.00 0 98.00 NOTE: THE PROPERTY LINES ARE APPROXIMATE AND FILL FILL COMPILED FROM THE PLAN BYBAXTER & NYE OF OSTERVILLE, MA ENTITLED " CERTIFIED PLOT PLAN OF 340 & 344 MAIN STREET, 0'- 48" 94.00 0•- Q. 94.00 CENTE,Ei. ILLE, MA" DATED NOV. 12, 1977, PLAN BOOK 321, PAGE 52 AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN Sandy Loom Sandy Loam IT SHOULD BE USED FOR NO PURPOSE OTHER THAN THE SEPTIC SYSTEM INSTALLATION. 10 YR 3/2 10 YR 3/2 t 48"- 54' As 93.5 48'- 54" As 93.50 Sandy Loam Sandy Loam ^.\ NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE 10 YR 5/6 10 YR 5/6 FROM..THE EXISTING SAS TO BE DISPOSED 54"- 72' Be92.00 54"- 72" B 92.00 OF AS PER BOARD OF HEALTH SPECIFICATIONS. Medium Medium f \ Sand Sand EXISTING SAS TO BE PUMPED DRY & \\ 1 2.5 Y 7/4 z5 Y 7/4 FILLED IN PLACE 72*- 132 C, 87.00 72'- 132 c, 87.00 ASSESSd)�S MAP - 208, PARCEL 044-001 GRAVEL, i Perc 1 ZONING - RESIDENTIAL 91• `� DRIVEWAY I cp Depth#to Perc: 72" - Solve Analysis Perc Rate= <2 MPI ` ► ��, I Groundwater Observed 0120" Groundwater Adjustment a 2.2 Feet or Elev. 90.20 NO WETLANDS ARE PRESENT WITHIN 200' OF THE PROPERTY MIW29 - ZONE D FOR May of 2007 LOT #1 READING FOR MIW29 - 7.0 21,999 Square Feet ALL OUTLET PIPES FROM THE DISTRIBUTION BOX SHALL BE 12" CONCRETE COVER SET LEVEL FOR AT LEAST 2 FT. LEGEND 6 - 5" OUTLET . , �..., KNOCKOUTS ' DENOTES PROPOSED Municipal `�� `>a , 4,15.5" INLET ' Water Line `. \\ �� ,� ' OUTLET � t2" 8X0 s- B" SPOT GRADE " '•7''�"s't' ' ' 2 DENOTES EXISTING f / EXISTING . GRAVEL , 15'5 175 S104.46 SPOT GRADE i 4 BEDROOM DRIVEWAY PLAN-SECTION CROSS SECTION HOUSE PL PROPERTY LINE I � �`� �.� ,'� W, �l ``\ �� `\ ,'' #344 EXIST. EXISTING 6 HOLE DISTRIBUTION BOX - H2O { -- PROPOSED CONTOUR \\ / SeptticgTonk" Number of 4 HOUSE BEDROOM \\�`� WIWW \\\�`� ,.01 NOT TO SCALE 97- - - - - -97 EXISTING CONTOUR #340 �`.�t Design Calculation -------___ s --------- �`. \�`._,�� Bedrooms: 4 Equivalent to 440 Gai.fDay DEEP TEST HOLE & __- �` i I \ 9 I v �G`j` ��\• ,,oU$ Garbage Grinder: No PERCOLATION TEST LOCATION \ QO Leaching Capacity Proposed: 440 Gal./Day Minimum (Min. Per Title V) EXIST. �' Gal./Day =860 USE EXIST. 1,000 GAL TANK D-fox \ SAS �i Septic Tank - 2 x 440 FENCE FOR #34 SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch Bottom Area: 0.74 gal/sq. ft. x 604.16 sq. ft. - 447.08 gallons -� PRIVATE DRINKING WATER WELL t W /\, Sidewall Area: NOT USED \ '\ �• ,� _ Providing: = 447.08 gallons EXIST. 5 R EVI7S I O N S �j ,� Use: 4 ROWS OF 8-OUICK4 STANDARD CHAMBER UNITS WITH NO Septic Tank 1�g• �' � P�1 STONE FOR AN SAS HAVING THE DIMENSIONS: 12.7' x 32.0' i \ > v Y .Z1 NO. DATE: DEFINITION GRAVEL'-, t, \ \ �` ,�'� Y O� Bottom Area: (General Use Approval for 4.72 SF/LF of INFITRATOR DRIVEWAY `� �� \ ,� �'� �' G`t`& 8 UNITS + 2 END CAPS per ROW = 32.0 FT #1 8/27/07 ADDED GW Adiustment ARK \� \ ' '' +��\ 4 ROWS x 32.0 x 4.72 SF/LF = 604.16 Requested 1 ' Variance PROJECT BENCH M , ' O DESIGN FLOW PROVIDED: 0.74(604.16 S.F.) = 447.08 GPD TOP OF FOUNDATION ��,\ s .6 \ 0�0 - ELEV. = 100.00 (Assumed) N, I \ PREPARED FOR : PROPOSED Note: Remove soil down to el. 92.00 & replace with 'Y SUBSURFACE SEWAGE DISPOSAL SYSTEM clean coarse sand w/perc. rate less than or OF or equal to 2 min./in, before & after placement GORDON S E I GAL (5 FOOT STRIPOUT ALL AROLIND AS SHOWN) \ #344 MAIN STREET W 344 MAIN STREET CENTERVILLE, MA CENTERVI LLE, MA PREPARED BY: "o M4 ,c C.Z7:1 .�'N �'. OSHA Y �° R 0 20 40 50 E ENVIRONMENTAL SERVICES, INC. N . 1 Y P.O. BOX 627 SCALE: 1"=20' �_GfSTS?-.0 EAST FALMOUTH, MA 02536 � VARIANCE REQUESTED: gNlTARtP TEL/FAX : 508-539-7966 1. REQUEST A VARIANCE TO REDUCE GROUNDWATER ADJUSTMENT BY 1'. SCALE: 1 =20 DRAWN BY: CES DATE: JULY 29, 2007 VARIANCE WILL ALLOW FOR 1' REDUCTION FROM 5' to 4' FROM Bottom of SAS to ADJUSTED GROUNDWATER. PROJECT#SD-1047 ILENAME: SD1047PP.DWG SHEET 1 OF 1 2-18" DIAM. ACCESS MANHOLES 1 _ min. from Existing Foundation �house' to septic tank •NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C.10 +� { `'^'�• `1r i , = SeDa over e tank oovere mutt be 0-BOX c mutt be ESTABLISHED VEGETATIVE COVER TOP OF FOUNDATION ELEV. 100.00 ASSUMED of finished grade Within 6 in.of finished grade �� ''r � �. _ fir' �',.� .._$L�-_ �. Grads over Septic Tank-9600 Grade overD-Sox - 9600 over SAS- OLOO ..J: :P 'A wS•.r,•5: � � •• t• BLOWER UNIT y t fT ,y a••'+•,• .f .'} ., p, A' �'•..It\,+'. .1.t.n•i`' '\,'+'i..,.:•. ..� ^�'. y. . •+.. BACKFILL MATH CLEAN SAND •. .•. lNLLtroo4 Atto0 'W FLIP ILL i,�,•\,` ,•,,'e" ' �;�•.••}•' 'a•'••1, ~ ",'+T.• •'••+' `v NATIVE OR PERO SAND S 6 HOLE H-20 ;, :1 .n r. �'� + !:.`a` \, \.. isti is +• i....,•r. ( ) INLET 0.02 atoMvI W/o"soft .v •;i;.j\, ,'+.� n'. :a.+�• 1':' / �.i.i rt:r•. .r .w•\fir t;r r IIII. OUT T S. ST. BOX 3' Maximum Cavr ,r r�� r..•y."•�•'' .t'.'• :. 10' EXIST. 0 4' PVC(CAPPED)INSPEC PORT TO BE .. �'` n"t' !:• 1 �', .., h•� ,f'; ,;7:• .•,f.�i .: .1;1:. .t: .•i t•''t' !. C $ TOP OF UNIT ELEVATION - 96.00 EY7 1P IIY A 5..1:. r. ••I '4 \ ♦ ...• \"' Y .•� - O.OI' INSTALLED AND TO BE WITHIN 6' OF GRADE � •d,; r �.. '.� yF'ti..••:•' .V' .K;. '.•,y r.;�.:r• 7y;. •� .�w•;. � ,t'+.,,\. to ai n p per fact "� •��� .,• ...'.. '•,.5,.:n THE ACCESS COVERS FOR THE SEPTIC TANK, FROM EXIST. FOUNDATION Oi SEPTIC TANK ,(j t, ;r t • �� + .�• DISTRIBUTION BOX AND LEACHING COMPONENT (. 1S' t ,'y't.y' t.,.`'.,r�:\.;v.:w• \..a.r.'N Y�:: .' r y. •.�!!'�'r .9 iv. 1 ao 1S INV.ELEVATION - 95.00 u; "Y:. ►; U" ,�rr�+�s.i t r t ,r > , r Ci to :'�� .i:•a•'v' +�;^ ^ -+u,:+�.r-• !^:** T ,-• SET DEEPER THAN 6 INCHES BELOW fl,NlSftED i" I CONCRETE FULL FOUNDATKI j b H-10 0" r 'T ` i ''+ GRADE SHALL BE RAISED TO WITHIN B OF o II • FINISHED GRADE f $ Bottom of• EN•v.- 6425 ~' + �• s'^; STEEL REINFORCED PRECAST CONCRETE INSTALL TUF-TITE GAS BAFFLES OR EQUALS III- - - 6 In of 3 4•-1 1 2 Ti N II _I BOTTOM ELEVATION - 94.2s .• PLAN VIEW SYSTEM PROFILE compacted *ton; 0 4 ROWS OF 6 UMTS AT 4'/UNIT+ 2 END CAPS- 32.00' '' Not t0 Scale - 1 3-24" REMOVABLE COVERS t�2oor hC.Lo Got'6t0004MRMted."n+fbr �l�.1I f e� N-10 UNITS ` EXISTING SINGLE COMPARTMENT SEPTIC TANK 0 4.05'MIN ABOVE BOTTOM OF 4" 64,94 WiTH SLUDGEHAMMER RETROFIT rc Bottom of Test Holt 2 Dow- 87.00 TEST PIT OR GROUND WATER , EXISTING SUITABLE MATERIAL ` • :•. .•• -•+ 4• ;''''''• ' "�:. GENERAL NOTES 6 In.of 3/4'-1-i/2' > GROUNDWATER ENCOUNTERED O 120" or ELEV B8.00 EFF. WIDTH 12.83 3'_min. clearance (REFER TO DETAIL I compacted stone e ' 13' ttitT B mNn. 2 min. Inlet to,outlet .< 1. Contractor is responsible for Di safe notification, Verification of Utilities ESHWT- ELEV. B8.00 INLET �j� t'ml\. -1U,� � 9 N.�ii1'Tivi- n OUTLET and protection o all underground utilities and pipes. ADJ MSHcw EL: - 9020 a '�m"'' "� T 2. The septic tank a distri ��}ion box shall be set 8' -7' S'-7' p • w u NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6* BELOW GRADE SOIL ABS❑RPTION SYSTEM (SECTION) level on 6 of 3�4 -1 1 2 stone. f: �# r •• 4'-0' min. 3. Backfill should be clean sand or grovel with no INFILTATROR QUICK 4 (H-10 LOADING)/ GEORGE O'BRIEN °"t''"' Liquid depth stones over 3" in size. (OR EQUIVALENT) '�• 4. This system is subject to inspection during installation L J ..... �� by Carmen E. Shay - Environmental Services, Inc. NOTE: OVERALL HEIGHT OF INFILTRATOR IS 14" " ''�•`''�• ''4• `` '}" " " " 5. The Contractor shall install this system in accordance B-o• 4' -10" with Title V of the Massachusetts state code, the approved plan CROSS SECTION END-SECTION and Local Regulations. 6. If, during insta►lotion the contractor encounters any TYPICAL 1000 ;GALLON SEPTIC TANK soil conditions or site conditions that ore different from those shown on the soil log or in our design NOT TO SCALE installation must halt & immediate notification be made to Carmen E. Shay - Environmental Services, Inc. P E R C 0 LAT I 0 N TEST # 7. No vehicle or heavy machinery shall drive over the P 1 1788 septic system unless noted as H-20 septic components. Provide Risers 8. Install Tuf-rite gas baffles or equals on all outlet tee ends. Date of Percolation Test: 6/18/07 9. All Distribution Lines shall be 4" diameter Sch. 40 NSF PVC pipes. t0 bring Septic tank COVerS Test Performed By. CARMEN E. SHAY, R.S., C.S.E. Pp t0 finished rode Results Witnessed By. DONNA MOIRANDI (BARNSTABLE BOH) 10. All solid piping, tees & fittings shall be 4" diameter g EXCAVATOR: Shay Environmental Services, Inc. Schedule 40 NSF PVC pipes with water tight joints. Percolation Rate: <2 MPI 0 72" - per Sieve Analysis 11. MUNICIPAL WATER IS AVAILABLE TO THE SITE and Surrounding BLOWER UNIT 110 Volt Electric Test Hole --� Test Hole Properties. No. 1 No. 2 Line By Customer To Blower Unit DEPTH SOILS ELEV. DEPTH SOILS ELEV. 1/2 IN SCH 40 PVC PROVIDE EFFLUENT TEE FILTER 0 98.00 0 98.00 NOTE: ZABEL MODEL A1800 THE PROPERTY LINES ARE APPROXIMATE AND FILL FILL COMPILED FROM THE PLAN BYBAXTER & NYE OF OSTERVILLE, MA • " N. OR EQUIVALENT W/Gas Baffle « ENTITLED CERTIFIED PLOT PLAN OF 340 & 344 MAIN STREET, Bacteria Stick extends CENTERVILLE, MA" DATED NOV. 12. 1977, PLAN BOOK 321, PAGE 52 0'- 48" 94.00 D"- 48' 94. top of effluent fdP`=eas emoval _--AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN ` Sandy Loam Sandy Loam IT SHOULD BE USED FOR NO PURPOSE OTHER THAN THE SEPTIC SYSTEM INSTALLATION. 10 YR 3/2 10 YR 3/2 t 48"- 54" At 93.5 48'- 54" At 93.50 Sandy Loam Sandy Loam NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE Gas Safe FROM THE EXISTING SAS TO BE DISPOSED 54"- 72' 8 92.00 54"- 72" B 92.DO OF AS PER BOARD OF HEALTH SPECIFICATIONS. MSand MSand EXISTING SAS TO BE PUMPED DRY & EXISTING SINGLE COMPARTMENT SEPTIC TANK 72'_ 132 2'SC,'/4 87.00 72"- 132 Esc,'/4 87.00. FILLED IN PLACE WITH SLUDGEHAMMER RETROFIT -_,;ASSESSORS MAP - 208, PARCEL 044-001 GRAVEL i Perc #1 ZONING - RESIDENTIAL 19�• `�\\ DRIVEWAY �10 J INSTALATION NOTES: Depth to Perc: 72" - Seive Analysis CrJ Perc Rate= <2 WPI ��� Verification of Utilities Groundwater Obs rved 0120" 1. Contractor is res onsible for Digsafe notification, ` 1 p Groundwater Aujrairoent = 2.2 Feet or Elev. 90.20 NO WETLANDS ARE PRESE'T WITHIN 200' OF 7HE PROPE� T-Y and protection of all underground utilities and pipes. MIW29 - ZONE u FOR May of 2007 I Lt�T #1 2. Contact Muddy Waters Environmental at 508-888-6021 for Unit Order/Delivery. 1 READING FOR MIW29 - 7.0 Allow 7 days Notice. 29,899 Square Feet +/- _ I 3. Unit to be placed under inlet precast lid, offset away from Inlet T �- - -�'� � ALL OUTLET PIPES FROM THE by 2 inches minimum. DISTRIBUTION BOX SHALL BE 12" CONCRETE COVER 4. Unit rests on bottom of tank with no support necessary. SET LEVEL FOR AT LEAST 2 FT. LEGEND 6 - 5" OUTLET ti0..tt•.'' .d.•+„ 5. Route 1/2 Inch PVC air supply line through riser, align with center of unit. KNOCKOUTS 2" 6. Maximum distance between blower and unit is 100 Feet. " '+; _ Municipal �`�� ��>< 15.5 OUTLET ` 12" INLET 8X0 DENOTES PROPOSED / i 7. No Vent Required. SPOT GRADE Water Line �� �� ' 8. Covers over inlet and outlet of septic tank to be brought to grade with a riser - ' DENOTES EXISTING r / p�c.G� �` � to facilitate service to bacteria and effluent fiter. .r r ,,.t,.�•\ 2 X 104.46 1`� 15.5" SPOT GRADE EXISTING `�\ GRAVEL 9. Covers to be secured with bolts or screws to prevent unauthorized entry per Title V 1.75 ` DRIVEWAY PLAN-SECTION CROSS SECTION I 4 BEDROOM `� 10. Contact Muddy Waters Environmental for Installation and Start-Up PL PROPERTY LINE #344HOUSE EXIST. EXISTING \�`.\ \��\ \��� 11. Blower Unit requires dedicated 110 Volt, 15 AMP, GFCI outlet 6 HOLE DISTRIBUTION B 0 X - H 2 0 - }-- PROPOSED CONTOUR 1000 gal. 4 BEDROOM `� t \\ Septic Tank HOUSE \ ; \ \ �� at desired blower location. NOT TO SCALE 97- - -- - -97 EXISTING CONTOUR #540 \`.mot Design Calculations _ ---_____ �r �`�, /' � DEEP TEST HOLE & -------_-_____` �� \ �\ Number of Bedrooms: 4 Equivalent to 440 Gal./Day PERCOLATION TEST LOCATION Garbage Grinder: No Leaching Capacity Proposed: 440 Gol./Day Minimum (Min. Per Title V) D-f3ox EXIST. �' Septic Tank - 2 x 440 Gal./Day -880 USE EXIST. 1.000 GAL TANK FENCE SAS FOR #34 SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch `. `. t \ / \ ♦ Bottom Area: 0.74 gal/sq. ft. x 604.16 sq. ft. - 447.08 gallons PRIVATE DRINKING WATER WELL I -�- - /\ _ \ ••� O ,�,% � Sldewall Area: NOT USED providing:. - 447.08 gallons - --_` ' \ -REVISIONS EXIST. Use: 4 ROWS OF 8-QUICK4 STANDARD CHAMBER UNITS WITH NO O0j \\ 1000`��, I \ \ \ Septic gTank 1�9• ,� r p STONE FOR AN SAS HAVING THE DIMENSIONS: 12.7' x 32.0' NO. DATE: DEFINITION ,I'' OF Bottom Area: (General Use Approval for 4.72 SF/LF of INFITRATORGRAVEL ` DRIVEWAY \�`� , \ �/ G ,�' G�6, 8 UNITS + 2 END CAPS per ROW = 32.0 FT \ �\ 4 ROWS x 32.0 x 4.72 SF/LF 604.16 PROJECT BENCH MARK �` \ 1/ ;'' '� = 447.08 GPD `. `. \ \ O DESIGN FLOW PROVIDED: 0.74(604.16 S:F.) TOP OF FOUNDATION s .Ns \ oFo ELEV. = 100.00 (Assumed) •( L�` ' 3 \ PREPARED FOR , PROPOSED \> ' SUBSURFACE SEWAGE DISPOSAL SYSTEM Nate: Remove soil down to el. 92.00 & replace with clean coarse sand w/perc. rate less than or �`, ,- WITH SLUDGEHAMMER RETROFIT 00 or equal to 2 min./in. before & after placement o, ` , GORDON S E I GAL OF (5 FOOT STRIPOUT ALL AROUND AS SHOWN) I i� 344 MAIN._ STREET #344 MAIN STREET CENTERVILLE, MA 0 20 40 50 .''' CENTERVILLE, MA PREPARED BY: �of Cl..ARVEY E. SHA Y SCALE: 1"=20' �''�' E. EIVVIRONAMArTAL SERVICES, INC. 01 P.O. BOX 627 „�����Q EAST FALMOUTH, MA 02536 �rAR\\��` APPROVED VARIANCE REQUEST: TEL/FAX 508-539-7966 1. REQUEST A VARIANCE TO REDUCE GROUNDWATER ADJUSTMENT BY 2'. SCALE: 1 "=20' DRAWN BY: CES DATE: +7S5-• 51 2007 TO ALLOW FOR 2' REDUCTION FROM 5' to 3' FROM Bottom of SAS to PROJECT SD-1047 ILENAME: SD1047PP.DWG SHEET 1 OF 1 ADJUSTED GROUNDWATER WAS APPROVED ON NOVEMBER 13, 2007.