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0011 NYES POINT WAY - Health
1 I Nyes Point ��aY �) Centerville A= 233-069 i f. v s I QDBCDHE "'m N 30 4" PROMOTE-PROTECT-SUPPORT •0 YEARS OF SERVICE • February 27th, 2020 James Royce 11 Nyes Point Way Centerville, MA 02632-1707 RE: Operation and Maintenance Contract for the Innovative/Alternative Septic System Installed at 11 Nyes Point Way in the town of Barnstable. Dear James Royce, Our records indicate that the operation and maintenance contract with All Cape Environmental Inc for your innovative/alternative wastewater treatment system may have expired or was canceled as of February 1 st, 2019. 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.barnstablecountyheaIth,org. You can access the list of wastewater operators of whom we are aware do business in Barnstable County. This septic database also provides further explanation about your I/A septic system, as well as any sample and inspection history for the performance of your system, as entered by previous service providers. My department oversees I/A septic system management and compliance efforts for the Board of Health in your town. We are authorized by your 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 have enclosed 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, you may be referred to the Barnstable Board of Health for further enforcement action. I can be reached at 508-375-3645; my fax number is (508)362-2603. 1 can also be reached via email at tacy.long@barnstablecounty.org. Thank you for your prompt attention to this matter. Sincerely, Tracy Long CC: Barnstable Board of Health Enclosures (2): Certified Wastewater Treatment System Operators List, Inspection and Testing Requirements BARNSTABLE COUNTY COMPLEX 3195 MAIN STREET/PO BOX 427 BARNSTABLE,MASSACHUSETTS 02630 Phone:(508)375-6613 1 Fax:(508)362-2603 1 TDD:(508)362-5885 Web:barnstablecountyhealth.org I,Twitter:@BCHDCapeCod No. 2 Fee � BOARD OF HEALTH TOWN OF BARNSTABLE Zipplicatiou -for Yell Cougtructiou Permit Application is hereby made for a permit to Construct( ), Alter( ), or Repair( an individual well at: Ae --V? Q77�� MA P 2 3 3 ocation-Address F0 10-f Assessors Map and Parcel tom_ 4, C e.. by yA Owner O 1 W Address TJ S'CJ y) Installer-4riller �a Address -� c� _b Type of Building Dwelling Other-Type of Building No. of Persons Type of Well �I" ��_ `per c�` Capacity I o C-0NA Purpose of Well Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regula.' n-The undersigned further agrees not to place the well in operation until a Certificate of Compl' nce' be issued y the Board of Health. SignedAA e' Z62-C AA Dat� Application Approved By 5- C, Date Application Disapproved for the following reasons: ee��++� C Date Permit No. 2-01 V t Issued l Date ---------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed-Altered( ), or Repaired( ) by A L.l- C p�p r W�-a, �. X,) O�P, Installer s j at J �/e has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector h 1 A. ,\ z R III 6a C) OtO i No. �/V Fee ✓ I C BOARD OF HEALTH TOWN OF BARNSTABLE 2pprication _for Yell Cougtruction Permit Application is hereby made for a permit to Construct( ), Alter( ), or Repair( ^a?n individual well at: kl yc S It�b�� F,r� S r 7u.. -- Mq P .�3 6 itocation-Address PC]ri1 Assessors Map and Parcel I Owner y O I tv Address Ta -5^ICJ }} « Installer—Driller / (44� Address Type of Building �s ` Dwelling I Other-Type of Building No. of Persons 3 Type of Well 'F'1" �?\(e Capacity IQ C.00A Purpose of Well �ca��, , ,1► 1 i Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Certificate of Compliance.has beenfissued1by the Board of Health. Signed ! Z52-4 J I Date r Application Approved By 5.-- Date Application Disapproved for the following reasons: x — r Date Permit No. 1/" �y ®t Issued Date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed(,.,)-, Altered( ), or Repaired( by A L L.- 0. P 0 I AI Installer O ✓- at l M( S Ce()fe�v.l ( has been installed in accordance with the provisions of'the Town of Barnstable Board-of Health Private Well Protection Regulation as described in the application for Well Construction PermiiNo. Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE-CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. J. Date Inspector --ze-_---------------- -----------_te_-_-_-.._-__--_.._e_----------------------e_--------_--------- x BOARD OF HEALTH, TOWN OF BARNSTABLE 4�0 Vern Con5truction Permit No. V" Fee Permission is hereby granted to A H C U 10.(( I Installer to Construct Ur' Alter( ), or Repair( an individual well at: . as shown on the application for a Well Construction Permit No. Dated Date C2 _ f �� Approved By FEB-22-2012 08:12 From:BORTOLOTTI CONST 5084289399 To:15087906304 P.1/1 b2/1i1:ZU12 lb:4b 5084775:31-J I:NGJ.lftki INU WGWb PAUL 01 Town of Barnstable Regnittory Senicell Tbomas F.Geller,Director PubHe Health D"ion 'ti` 'Tlhom�Min,Director 200 ruin street, Opus*A4A ltWI Olflao: 5OM2-4644 Fmc: 50&79&004 Dote: -t swap Permw Aaa mor's Map/Parcid bmlalkr�&DmikacrCerMcatioo Form �b9r� t0n+Awe T.t". i 4-%Y'1��A '.r.8 Wa.r 4r� SAC. Y�wbsuer: t;6,�-a I"H- , Addta: I z. W, Cea :s :r 1 e4 Addrm: ,'.6 . -7 0 �i oars "V%-s M: 1 IS 04 -- ezc Y'W pit I a li y/a'yr t $o r-)c to 4 �""5V f v novas iesual it permit to iastall a (date) stellar septic system at b N PQ 6At• based on a design drawn by ( I1 I)o dated i "I 14 L) Z-4)14 designer "7)'F 1 k'o I ceWfy that the septic system refew+enced above was installed subsmtialty cocotding to the design, which may include minor approved chetlges such as hwul Irokcation of the distribution box and/or septic tank. Stnpout (if required) was inspected and the soils ware found satisfactory, I certify that the septic s�y`stem referenced above was inoWlod with m�'or changes (i.e. greater then 10'lateral PClocation of the SAS or an vetdW reloastion of any oamponent of tom septic systenn)but in accordance with State&Loaal Regulations. Plan revision cc cerCified as-built by designer to fallow. Stripout (if required) and the soils wera�" sft►ctary. M or PMR T. n�a er s --Signature- AftENTEE CIVIL Iio.ebt00 i MW' r- CAM x IPLIASE RETURN TO BARNSTABLIUNMIC. o TELANK IM-ABI q lmffiw Berm WwjpK=ctdiaem fmmilac p+F��Tgryti Town of Barnstable Barnstable ``RNSTAB`9. � ' Board of Health I I 11.1 ,0r �fi,► 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Paul J.Canniff,D.M.D. FAX: 508-790-6304 Donald A.Guadagnoli,M.D. John Norman October 18, 2018 Mr. Winston Steadman All Cape Environmental Services, Inc. P.O. Box 235 Yarmouthport, MA 02675-02355 RE: Reduction in Sampling of Wastewater Effluent from the Innovative/Alternative System at 11 Nye's Point Way, Centerville;MA Dear Mr. Steadman, During the public meeting of the Board of Health held on September 25, 2018, the Board voted to approve reduced sampling and testing of the innovative/alternative system located at 11 Nye's Point Way, Centerville. Effluent sampling and testing may be reduced to twice per year during the summer season months. This reduction in monitoring is approved because the dwelling is currently utilized seasonally. However, in the event this dwelling becomes occupied year-round, sampling and testing shall be increased to quarterly during the first two years of year-round occupancy. Sincerely, Paul J. Canni D. D. Chairman TOWN OF BARNSTABLE BOARD OF HEALTH Q:WP/SteadmanReductionMonitoring 11NyesPoint 2018.docx I e�o_ All Cape Environmental Services Inc. P.O. Box 235 Yarmouth Port Ma. 02675-0235 www.wsteadman ii@comcast.net Thomas McKean Health Director Town of Barnstable Health Division 200 Main Street Hyannis, MA 02601 Re; 11 Nyes Point Way, Centerville—Change from Year-Round to Seasonal use Dear Mr. McKean: I just contracted with the owner for service on the above-mentioned property. In researching the requirements for this property, it was discovered that the property was not listed in the County Data base.Your office�found the original approval letter and emailed a copy to me and Emily at the County so that the system could be entered into the Data Base and properly tracked. Upon further investigation I discovered that I had done the original start up for Sigmund Environmental the Singulair distributor that supplied the system (I no longer do contract work for Siegmund Environmental Inc.).The Start up was done February of 2012 and was done for a different owner my obligation was to install the components and do the start up only,Siegmund Environmental has their own service person and held the original contract for service. Most likely the system was installed as part of the sale of the home and slipped between the cracks once it was sold. During this time, it was the Carmody Data base F and the I/A program was quite new to everyone. No matter how it happened the present owner was not aware that there needed to be a contract in place and Siegmund failed to get the system entered the Data base. Through a series of events (Alarm)and a suggestion from BCI the present owners contacted me and Contracted with my company to do the required service. The first service has been done with a couple of components replaced,the system is now entered into the County data base and is now in compliance.The system is listed as year-round but is used seasonally by the current owner. I would like to request that Site visits and Sampling be reduced from Quarterly to Twice per Season to reflect its current use. If you need or would like more information-please do not hesitate to call me at(508)776-6219 Sincerely Winston A.Steadman II VP Sales&Service I Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 i DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:when Steve Litchfield filling out forms Owner on the computer, use only the tab 11 Nyes Point Way key to move your Facility Street Address cursor-do not Barnstable 02630 use the return key. City Zip Mailing address of owner, if different: 116 Cleveland Street, Street Address/PO Box: rt Norfolk, MA 02056 City State Zip ( ) - ext. Telephone Number B. Authorized Service Provider Siegmund Environmental Inc. 0&M Firm 49 Pavilion Avenue Street Address Providence RI 02905 City State Zip (401)785-0130 ext. Telephone Number Winston A. Steadman II 13182 Certified Operator Name Certification Number C. Facility/System Information 960-500 DEP ID Manufacturer ID Model Number January 2012 2/13/2012 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 2/13/2012 N/A Inspection Date Previous Inspection Date N/A Pumping Recommended ❑ Yes ® No Sludge Depth(to be checked yearly) t5aiom.doc•rev. 11-07-05 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 Ll 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ❑ clear ❑turbid ❑ Other(specify): Odor: ❑ musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ❑ no ❑ some pH 6 to 9 SU DO 2 or greatermg/L Turbidity NTU y 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑TN ❑ Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: All required manufactures maintenance/inspections preformed Notes and Comments: This is a start up inspection; System has been installed per engineered plan and manufacturers recommendations t5aiom.doc•rev.11-07-05 Page 2 of 3 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. '4.. Ylvo'd n.an; '77 1/13/2012 Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31 th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 51h Floor Boston, MA 02108 t5aiom.doc•rev.11-07-05 Page 3 of 3 r No. � j /Fee ®� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS application for deposal *pstem Construction 3permit Application for a Permit to Construct( ) Repair( ) Upgrade(N/ Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 1(rl c& I Owner's Name,Address,�d Tel.No.°-[MC $�� Assessor'sMap/Parcelc2 � (�, eeh ���� a NyeyV\*kR& � �eraiire., M�,U�3., Installer's Name,Address,and Tel No. �' Designer's Name,Address,and Tel.No.dog- 970 / en Inc rd t r G ys.� v�r a�SFvrs gills va�� oa � Type of Building: DwellingNo.of Bedrooms Lot Size� o� sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures -- Design Flow(min.re uired) ��U gpd Design flow provided IRS gpd Plan Datenn/11�/o - ,.Number of sheets T Revision Date f U Title ProbosgA ,o �e i4�esv_ t 11 Alap-s e i1� Size of Septic Tank!&f14 j6.r l'( C-le-L I Type of S.A.S.Q(1„A Z (L n4wls�/aXQ?Q Y Description of Soil. I Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental•Cb—de-'3and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health,,. "w f i 1/ tg ,��' Date Application Approved by % Date f Application Disapproved by Date for the following reasons Permit No. C>/ Date Issued r _ No.` 3 Fee �© THE COMMONWEALTH OF MA,$SAC 'USETTS Entered in computer: Yes PUBLIC HEAJH.CCC(tVISION -TOWN OF BARNSTAB"LE, MASSACHUSETTS : application for 30ispoSal Opstem Construction 3permit Application for a Permit to Construct( ) Repair( f Upgrade(O Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. r I Nlp.s -Pp�-F- Owner's Name;` ddress,and Tel.No.-f)y Map/Parcel c�,� � f Assessor's Ma p 3 �a S Installer's Name,Address,and Tel.No. `11 V '95,;14 Designer's Name,Address,and Tel.No. g dt- $3/3 B010 ` er�rSEcx�ivY�,�t�c Cndinee<< 45,X ysk4 &I jVa r5 Fans d/s el r C G t . lt.i n r+l° D�?,,t/ Type of Building: Dwelling No.of Bedrooms ?, Lot Size E, F sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures I Design Flow(min.required) 3 :J gpd Design flow provided 3`j' gpd Plan Date.. h 1//0 Number of sheets 7 ` Revision Date � �l I U Title�Cc� �f� � �r 14 � Gx�',c 19 P A'I I �lri� Wy Cp r,4 C�,,'!i� Size of Septic TanlcSi J TCQa P144��Kfe yl Type of S.A.S.icU(4ee (Y v,;2l n4 //9 X,40 k '1) Description of Soil, ' 1 j Nature of Repairs or Alterations(Answer when applicable) Date last inspected: f Agreement: li The undersigned agrees to ensure the construction and maintenance of the afore described on-site-sewage disposal system in accordance with the provisions of Title 5 of the Environmental-Command not to place the system in operation until a Certificate of a, Compliance has been issued by this Board of Health. Sign r Date Application Approved by Date.-'/ISl y �� r Application Disapproved by Date for the following reasons Permit No. .G Date Issued J ----------------------------------------------------- -------- ------------------ --------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TOO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( �' Abandoned( )by[ ,r 616- 1 A�,CcA�� !/ at Lie$ c, t1{" wit/ wh�Ui�7� has been constructed in accordance ` with the provisions of Title 5 and the for Disposal System Construction Permit No,,00//—�/ 3dated Installer r 1 T.li� L D e�S�-1 uG r'n✓� Designer Cn �o 1-`En<w rks #bedrooms Approved design flow JJ gpd The issuance of this permit shall not b construed as a guarantee that the syst wt i as designed. Date /� �� Inspect --------------------------------------------------------------------------------------------------------------------------------------- V No. , �I '" L Fee 1') G THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS - Misposal 6pstem Construction Permit - Permission is hereby granted to Construct( ) Repair( ) Upgrade(/ [bandon( ) System located at (/1Riot o t and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with t Title 5 and the following local provisions or special conditions. Provided:Construction must bT completed within three years of the date of this permit. _ Date Approved by l i TOWN OF BARNSTABLE LOCATION 3( �+Igo f a-t tX_( &)A—J SEWAGE# f(' • �-$� VILLAGE Zt,'1L_.E ASSESSOR'S MAP&PARCEL S•�'�— 2' INSTALLER'S NAME&PHONE NO._:Ky1zz-;p L-el I i 71:11 SEPTIC TANK CAPACITY t$i g,ht_ ql,�o H g_ fonn-6'e_ Fl C . e �v LEACHING FACILITY:(type) (size) 44,v_ P 1- K- ,�oS NO.OF BEDROOMS �� U OWNER11, �L-L °moo PERMIT DATE: /ol •` -f I 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) O ,, r Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY O 00 f _ Gk 25885 P a 41 .0-60691 12-01-2011 a C 1 Z 561P DEED REa9jjj1QT10N WHEREAS, Litchfield Investments, LLC, a Massachusetts Limited Liability Company with a principal place of business at 116 Cleveland Street, Norfolk, MA 02056,is the owner of 11 Nyes Point Way, Centerville, MA, and being shown as Lot 8 on a plan entitled "Subdivision Plan of Land in Centerville, Barnstable, Massachusetts for E.P.C. Trust, Scalel _-50', May 1970, Barnstable Surrey Consultants, Inc., 608 Main Street,West Yarmouth, Mass."which said plan is duly recorded with the Barnstable County Registry of Deeds in Plan Book 238, Page 59. WHEREAS, Litchfield Investments, LLC,as owner of said Lot has agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on said Lot as a pre-condition of obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage. �o WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting a Disposal Works Construction Permit for a septic system in compliance with 310 CMR 15.000, State Environmental Code, Title V, Minimum Requirements for the Subsurface '�:4 Disposal of Sanitary Sewage is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on said Lot be put on record with the Barnstable County Registry of Deeds by recording this document. �.r NOW THEREFORE, Litchfield Investments, LLC, does hereby place the following restriction on its above referenced land in accordance with its agreement with the Town of Barnstable, Board of Health,which restriction shall run with the land and be binding upon all successors in title: 1. 11 Nyes Point Way may have constructed upon it a house containing no more than three (3) bedrooms. Litchfield Investments, LLC agrees that this shall be a permanent deed restriction affecting the dwelling located at 11 Nyes Point Way, Centerville, MA and being Lot 8 in Plan Book 238, Page 59. Page 1 1 I - I v , Bk 25885 P4 42 #60691 For title,of see deed recorded in the Barnstable County registry of Deeds Book 18135,Page 86. day of 2011. Executed as a sealed instrument this ea`� Own is signa res COMIMOWEALTH OF MASSACHUSETTS ss Date 2011 personally appeared the above named t h known to me to be the person/s who executed the fo owing instrument and ...,...._,. acknowledged the same to be their free act and deed,befor me. t rgs,:;•\ Ngpary My commission expires: �'Jate),�C• .�1;. Page 2 BARNS T ABLE COUNTY REGISTRY OF DEEDS A TRUE COPY,A I 1 EST „OH-M F.M-EADE,REGISTER 2 SARNSTABLE REGlSTAY OF DEEDS r� Bk 2!7,$85 PS39 0b04690 12-01--2011 a Notice of Alternative Sewage Disposal System M.G.L.c.21A,§ 13 and 310 CMR 15.0287(10) ` N ggce to be ecorded and/or�for Lion in the chain of title of the Property served by an Alternative ageoDisposal S`rjstem(Alternative Syste� NAME(S)OF OWNER OF PROPERTY SERVED BY ALTERNATIVE SYSTEM: LITCHFIELD INVESTMENTS,LLC, 116 CLEVELAND ST,NORFOL&M.A. ADDRESS OF PROPERTY SERVED BY ALTERNATIVE SYSTEM: 11 NYES POINT WAY, CENTERVILLE,MA TITLE REFERENCE FOR PROPERTY SERVED BY ALTERNATIVE SYSTEM(check and complete each that appliesi: -x-Deed recorded with the Barnstable County Registry of Deeds in Book 25M,Page 220 Certificate of Tide No. issued by the Land Registration Office of the Registry District Source of title other than by deed [If Alternative System Owner(s)is other than Property Owner(s),complete the following:] Alternative System Owner Name. Alternative System Owner Address: WHEREAS,Section 15.280 of Title 5 of the State Environmental Code("Approval of Alternative Systems"),provides for the Massachusetts Department of Environmental Protection(the "Department")to approve or certify,as appropriate,all proposals to construct,upgrade or replace on-site sewage disposal systems using alternative systems; WHEREAS,owners and/or operators of approved or certified alternative systems are subject to general conditions,as specified in Section 15.287 of Title 5 of the State Environmental Code,310 CMR 15.287,and may be subject to special conditions,as specified in the Department's approvals or certifications;such general and special conditions potentially including,without limitation,requirements relating to the use of trained operators,periodic inspections,maintenance,sampling,reporting and/or recordkeeping; WHEREAS,Section 15.287(10)of Title 5 of the State Environmental Code,310 CMR 15.287(10),requires that`Wor to obtaining a Certificate of Compliance for installation of a new or upgraded system,the system owner shall record in the chain of title for the property served by the alternative system in the Registry of Deeds and/or Land Registration Office,as applicable, a Notice, disclosing both the existence of the alternative on-site system and the Department's approval of the system. The system owner shall also provide evidence of such recording to the local Approving Authority(J"and WHEREAS,the Property is served by an alternative sewage disposal system NOW,THEREFORE,Notice of an alternative sewage disposal system is hereby given for the above-referenced Property,as follows: 1. Existence. An alternative system has been installed as a new or upgraded alternative sewage disposal system,on or adjacent to the Property,and serves the Property. The trade name and model number(s)of the alternative system are as follows: Trade name of technology:Singulair Bio-kinetic Treatment System Manufacturer Name: NORWECO,Inc. Model mmiber(s): Singulair 960 NR 500 GPD Treatment Capacity Page 1 of 2 f Bk 25885 Pg 40 #60690 2. Approval/Certification-Sin ug_I_a-ir. On August 28, 2006,the Department,pursuant to its authority under the section of Title 5 as specified below,approved or certified the technology used in the above- referenced alternative system,under MassDEP Transmittal Number W075652. [Check one of the following,as applicable:] _Approved for remedial use under 310 CUR 15.284 —Approved for_piloting under 310 CMR 15.285 _X Provisionally approved under 310 CMR 15.286 Certified for general use under 310 CUR 15.288 A copy of the Department's Approval/Certification is available from the Department in person or on- line at the Department's website: htti)://www.rnass.gov/dei) . �- WITNESS the execution hereof under s this t 1 I d y of 20 1 L .made by the above-named Alternative System Owner(s). �- erfl 1, v�, 7 [AlVxnative system Owwr(s)l Print Name(s): COMMONWEALTH OF MASSACHUSETTS ,, . Af On this�day of �ec -k 20 t1 before me,the undersigned no tic, appeared STEPHEN C proved to me thpse h satisfactory eviderrc� I eitifi rich to be the persons name is!s%mi onjthe attached document,and acknowledged to me that they sign v ntarily, r ( c' signature ands otary)j. •J.1.AVX --------------------------------------------------------------------------------------------------- ---�Q t ZA lg .1 F:f!`:TABLE COUNTY REGISTRY OF DEEDS Page 2 of 2 I A.TRUE COPY,ATTEST i ,'OHM F.F;-_ODE,REGISTER BARNSTABLE REGISTRY OF DEEDS ,. 1 Town of Barnstable Barnstable Board of Health t sn KAs&Bt� 200 Main Street,Hyannis MA 02601 'OY�p 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,:D.M.D. Junichi Sawayanagi September 10, 2010 Peter T.-McEntee, P.E. Engineering Works, Inc. 12 West Crossfield Road Forestda e, MA 02644 RE: 11 Nyes Point Way, Centerville - Onsite Sewage Disposal System with Singulair Treatment Unit A= 233-069 Dear Mr. McEntee: You are granted.multiple variances on behalf of your client,. Mary Schoebel, to construct and.utilize.an innovative/alternative (I/A) nitrogen reduction system at 11 Nyes-Point.;Way;.:Centerville,:Massachusetts._ The.followmg::vari.ancesw;ere:granted: 31.0`CMR 15 405(e).--Contents of local upgrade approval. (1) A 32' variance, S.A.S. to Bordering Vegetated Wetland, for an 18' setback. Chapter 360,.Article 1 — Setback.Requirements (2) An 82' variance, S,A.S. to Wetland, for an 18' setback. (3) A 29' variance, Septic Tank to Wetland, for a 71' setback. (4) A 37' variance, Pump Chamber to Wetland, for a 63' setback. (5) A 49' variance, S.A.S. to abutting Well, for a 101' setback. (6) A 5' variance, S.A.S. to locus Well, for a 145' setback. (7) A .43' variance, Septic Tank to abutting Well, for a 57' setback. (8) A 37' variance, Pump Chamber to abutting Well, for a 63' setback. (9) A 7' variance, Septic Tank to locus Well, for a 93' setback. These :va.riances.were grante6with he following conditions: (1): No. more than three (3) 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. Q:\WPFILES\IA Approval 11 Nyes Point Cent 2010.doc (2) The appaicant'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 three (3) 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 system shall be installed in strict accordance with the revised engineered:plans dated July 8, 2010. (4) The designing engineer shall supervise the construction of the onsite A5 {0 sewage disposal system and shall certify in writing to the Board of ealth (e�H that the system was installed in substantial compliance with the submitted revised plans dated July 8, 2010. V1 (5;) The wastewater effluent shall.be tested quarterly for the first-two yea.rsdof operation for pH, CBOD, TSS, TN, and alkalinity. (6) After. two years (after 8,tests are conducted), the applicant may request a reduction in testing to the Board of Health. 7 The applicant licant shall submit a co of the:signed ned two-year Operation;and -9 O PP PY g Y P 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 upgrade plan appears to meet: the maximum feasible compliance standards contained in the State Environmental Code. Sinc ly'yours, Wayne; .1i ler, M.D. Chair n Q:\WPFILES\IA Approval I I Nyes Point Cent 2010.doc i 1 SIEGMUND ENVIROMVIEN AL SERVICES, INC. i 49 Pavilion Ave,Providence RI 02905:Phone:40178S 0130 Fax:401785 3110 MASSACHUSETTS SINGULAIR SERVICE &TESTING CONTRACT This contract,entered into and between Siegmund Environmental Services,Inc.,(SES)and Stephen Litchf eld(Facility Owner).shall be binding upon both parties in accordance with the terns and conditions terns set forth below. Term of Contract: December 2011—December 2013 Location of Singudair: 11 Nyes Point Way,Centerville MA SES Job Number: MA 490 The Service and Maintenance contract shall consist of service, sampling and/or inspection visits at specified intervals by trained technicians to: 1) Inspect the depth of solids .in the first chamber and notify the homeowner if pumping is recommended. 2) Check amperage draw of the motor is wrhirr proper operating limits. 3) Inspect,remove and clean aerator and Bio-Kinetic filter twice per year. 4) LOCAL BOH REQUIRED QUARTERTLY EFFLUENT MONITORING for. pH,NH3,NO2,NO3,T13N,Total Nitrogen,BOD&TSS 5) Complete inspection form and submit to local/state authorities. 6) Maintain a complete record of all maintenance and testing activity. In addition to the regularly scheduled service visits, SES will respond to non-scheduled events within a 48 hour period from time of notification. SES will apply a charge for labor,transportation, and shipping. For replacement or repair of the aerator motor, SES will charge all applicable fees in accordance with the Singulair aerator fifty-year exchange program. Non-scheduled service visits resulting from product use in a manner inconsistent with the directions contained in the Owner's Manual, negligence, tampering or unauthorized modifications of equipment,termination of electricity to the motor,discharge of harmful chemicals,malfunctions not attributable to the Singulair system or other improper use will result in a service charge of $75 payable at the time of service. Should payment be contested or not made,SES is required to notify the local BOH and Barnstable County Department of Health and Environment that the system in not in compliance with the testing requirements. This contract is transferable in event of the sale of the home. SES: Date: / 6 ze/ Hotnemm Date: 2 / 2ol This TESTING & MAINTENANCE contract is $1,500.00 per year (Including all transportation,lab fees and Barnstable County database charges). Please matte sure to send back a copy of the contract with your YEAR CONTRACT}payment or Credit Card information.Copies of this agreement will be transmitted to the appropriate regulatory agencies as proof of compliance Payment is made to Siegmund Environmental Semiaes,Inc l Engineering Works, Inc. 12 West Crossfield Road, Forestdale, MA 02644 Tel/Fax(508)477-5313 July 28, 2010 Town of Barnstable Board of Health 200 Main Street 5712 Hyannis, MA 02601 Re. 11 Nyes Point Way, Centerville, MA (Assessors Map 233, Parcel 069) I/A Septic System — Monitoring Plan Dear members of the Board.- At the July 13, 2010 meeting the Board requested a Monitoring Plan be submitted as part of the plan submission. The Provisional Approval letter describes, specifically, the required monitoring of the I/A system under "Conditions Applicable to the System Owner". Effluent sampling requirements are described in paragraphs 7 and 8. My recommendation is that the Approval letter requirements, without any additional elaboration by this engineer, be fully complied to by the system owner. cerely, Peter T. McEntee P.E. Town of Barnstable p IME Tp�� yam= Board of Health 1STAB • 1 200 Main Street - Hyannis MA 02601 1639. TED MAt A Agreement to Extend Time Limit for Acting Upon a Variance Request In the Matter of a variance request form received on the Petitioner(s), regarding the property at t tI4 44 4 i2a � the petitioner(s)and the Board of Health agree that a Board of Health has until(insert date)to act upon the Petitioners' completed application for a variance. In executing this Agreement,the Petitioner(s) hereto specifically waive any claim for a constructive grant of relief based upon time limits applicable prior to the execution of this Agreement. Petitioner(s): Board of Health: Signature: L —- Signature: Petihoer(sn or Petitioner's Representative Chairman Print: R�✓ oc nV-Q P Print: Wayne Miller, M.D. Date: I I Date: Address of Petitioner(s)or Petitioner's Representative Town of Barnstable Board of Health Public Health Division 200 Main Street Hyannis, MA 02601 Phone: (508) 862-4644 Fax: (508) 790-6304 file q:extend.doc BOH Meeting—June 8, 2010 RE: 11 Nyes Point Way, Centerville Map/Parcel 233 — 069 Staff Comments (mbm) 1) Title V requires pump curves but the 7-page checklist doesn't. Staff printed a copy of pump cl.irves k attachment Engineer should verify the attachment is correct one. 2) All corrections were done in thO revised plan. 1 I I I I i Town of Barnstable �pFINE NP Board of Health BMWSTABLE, 200 Main Street - Hyannis MA 02601 Y MASS. g 039. Agreement to Extend Time Limit for Acting Upon a Variance Request In the Matter of a variance request form received on e- --c) I O the Petitioner(s), regarding the property at the petitioner(s)and the Board of Health agree that the Board of Health has until o2C�J/� (insert date)to act upon the Petitioners' completed application for a variance. In executing this Agreement, the Petitioner(s) hereto specifically waive any claim for a constructive grant of relief based upon time limits applicable prior to the execution of this Agreement. Petitioner(s): Board of Health: Signature: Y Signature: eti'oner(s)or Petitioner's Representative Chairman Print: Print: Wayne Miller, M.D. Date: Date: Address of Petitioner(s)or Petitioner's Representative Town of Barnstable Board of Health Public Health Division 200 Main Street Hyannis, MA 02601 Phone: (508) 862-4644 Fax: (508) 790-6304 file q:extend.doc n Town of.Barnstalble t °F SFIE T � q. Barnstable ° Board of Health ' BARNSTABLE, 9� MASS. $ 200 Main Street,Hyannis MA 02601 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi September 10, 2010 Peter T. McEntee, P.E. Engineering Works, Inc. 12 West Crossfield Road Forestdale, MA 02644 RE: 11 Nyes Point Way, Centerville - Onsite Sewage Disposal System with Singulair Treatment Unit A= 233-069 Dear Mr. McEntee: You are granted multiple variances on behalf of your client, Mary Schoebel, to construct and utilize an innovative/alternative (I/A) nitrogen reduction system at 11 Nyes Point Way, Centerville, Massachusetts. The following variances were granted: 310 CMR 15.405(e) — Contents of local upgrade approval (1) A 32' variance, S.A.S. to Bordering Vegetated Wetland, for an 18' setback. Chapter 360, Article 1 — Setback Requirements (2) An 82' variance, S.A.S. to Wetland, for an 18' setback. (3) A 29' variance, Septic Tank to Wetland, for a 71' setback. (4) A 37' variance, Pump Chamber to Wetland, for a 63' setback. (5) A 49' variance, S.A.S. to abutting Well, for a 101'. setback. (6) A 5' variance, S.A.S. to locus Well, for a 145'.setback. (7) A 43' variance, Septic Tank to abutting Well, for a 57' setback. (8) A 37' variance, Pump Chamber to abutting Well, for a 63' setback. (9) A 7 variance, Septic Tank to locus Well, for a 93' setback. These variances were granted with the following conditions: (1) No more than three (3) bedrooms maximum are authorized at this Dens stud y rooms offices finished property. � Y Wished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. Q`.\WPFILES\IA Approval 1 l Nyes Point Cent 2010.doc "41 I, (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 three (3) 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 system shall be installed in strict accordance with the revised engineered plans dated July 8, 2010. (4) 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 submitted revised plans dated July 8, 2010. (5) The wastewater effluent shall be tested quarterly for the first two years of operation for pH, CBOD, TSS, TN, and alkalinity. (6) After two years (after 8 tests are conducted), the applicant may request a reduction in testing to the Board of Health. (7) 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 upgrade plan appears to meet the maximum feasible compliance standards contained in the State Environmental Code. Sinc ly yours, Wayne tiller, M.D. Chair n Q:\WPFILES\IA Approval l 1 Nyes Point Cent 2010.doc l DATE: FEE: n BARNS. E ��' REC. BY 039. Town of Barnstable SCHED. DATE: ry , Board of Health Pc1 6 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Wayne A.Miller,M.D. FAX: 508-790-6304 Junichi Sawayanagi Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION Property Address: Assessor's Map and Parcel Number: Size of Lot: Wetlands Within 300 Ft. Yes Business Name: No Subdivision Name: APPLICANT'S NAME- �eker ce Q� Phone �� $- 77 3 Did the owner of the property authorize you to represent him or her? Yes x No PROPERTY OWNER'S NAME CONTACT PERSON S� j9 6e 1 N l e"cr Mc,fir. P�J� ; �A ��:••g w�<L.� Name: Mary �c Name: Address:_jQ2 /JyCs A),�tt( /41, c4e1Ft-✓Ae /YA Address: '2 , cAqt res1 � �P Phone: - `21 2=4 4 0 7 Phone: 554- $-'4 77-5 3 13 &a- 7 3 7-`f 7(,9 VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) '31 o C-to t2 15- a.S C^e l-oc--,l (Ze - e -*-. 3Go Ari=Q\x i ',+e Cu nS'CS :.��> t`Sri}boc. 1V rer+acv�+j� NATURE OF WORK: House Addition ❑ House Renovation ❑ Repair of Failed Septic System( 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) _ Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian _ 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 C-7 _ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date,at applicant's expense (four Title V and/or local sewage regulation variances only) >- :, tip, Full menu submitted(for grease trap variance requests only) _ Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance fenewals[same owner/lessee'enly], outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal°systems[only if nojexpansioo the building proposed]) ? _ Variance request submitted at least 15 days prior to meeting date w VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Junichi Saw yanagi t iJ F REASON FOR DISAPPROVAL Paul J.CarIff,D.M.D.(;D �0 V r77 C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\BAJ9P9B7\VARIREQ.DOC Engineering Works, Inc. 12 West Crossfield Road, Forestdale, MA 02644 Tel/Fax(508)477-5313 May 26, 2010 Town of Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Re: 11 Nyes Point Way, Centerville, MA (Assessors Map 233, Parcel 069) Construction Title 5 Septic System Dear members of the Board: Please be advised that an application for variances from the Massachusetts Department of Environmental Protection, Title 5, and Local Regulations have been submitted to the Barnstable Health Department for approval. The following variances are being requested: • 310 CMR 15.405(e)—CONTENTS OF LOCAL UPGRADE APPROVAL 1. A 32' variance, S.A.S. to bordering vegetated wetland, for an 18' setback. LOCAL REGULATION, Chapter 360, Article 1 — Setback Requirements 1. An 82' variance, S.A.S. to wetland, for an 18' setback. 2. A 47' variance, septic tank to wetland, for a 53' setback. 3. A 49'variance. S.A.S. to abutting well, for a 101' setback. 4. A 5' variance, S.A.S. to Locus well, for a 145' setback. 5. A 32' variance, septic tank to abutting well, for a 68' setback. Variance requests are being made due to site constraints. Sincerely, Peter T. McEntee P.E. Town of Barnstable Geographic Information System May 26,2010 233057 4123 233070 #30 233013 233009 #44 233014 *44 233007 064 233015 N #. -a = a 233066 233011 #100 r #74 m ':�233019..... goo � :.:�'233069 ::: .::-"p #11' 233016 O T#58 -4 a F. 233006jo 35 233 020 233017 r #27 23 3018 #60 23 3004 :' '#59 #14 -233022001 Iwo 233005 AW 't 233022002 m #146 Z ILI ow 233023 233002006 #10 0 71 Feet _ #175 AL DISCLAIMERS:This map Is for planning purposes only. It is not adequate for legal Map:233 Parcel:069 Board of Health Selected Parcel boundary determination or regulatory Interpretation. Enlargements beyond a scale of Abutter List Type-Direct abutters(no set distance)and the properties located 1"=100'may not meet established map accuracy standards. The parcel lines on this map _... are only graphic representations of Assessor's tax parcels.They are not true property across the street. Abutters boundaries and do not represent accurate relationships to physical features on the mapy��;,.. such as building locations. Bufferr,.,:': I Board of Health Abutter List for Map & Parcel(s): '233069' Direct abutters(no set distance)and the properties located across the street. Total Count: 6 close Map&Parcel Ownerl Owner2 Addressl Address 2 Mailing Country Deed CityStateZip 233003 ANTHONY,ROBERT 104 OLD STAGE RD CENTERVILLE, USA 18398/236 W&MARY ANN MA 02632 233019 ROSENGREN, P O BOX 6 CENTERVILLE, 15255/333 FREDERICK V MA 02632 233022001 NABLO,SAMUEL V&NABLO REALTY 16 QUAIL RUN ACTON,MA USA 10995/001 RUTHJTRS TRUST 01720 HUGHES,N 10 NYES POINT CENTERVILLE, 233067 RICHARD WAY MA 02632 USA 3473/108 233068 BARNSTABLE, 367 MAIN ST HYANNIS,MA 21558/128 TOWN OF(MUN) 02601 233069 SCHOEBEL,MARY C 102 NYES NECK CENTERVILLE, USA 18135/086 LANE MA 02632 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters.If a certified list of abutters is required,contact the Assessing Division to have this list certified.The owner and address data on this list is from the Town of Barnstable Assessors database as of 5/26/2010. http://66.203.95.236/arcinis/appgeoapp/AbutterReport.aspx?rype=BOH 5/26/2010 Engineering Works, Inc. A-L�,c AQf-,, 6e-3 • 12 West Crossfield Road, Forestdale, MA 02W TeUFax(508)477-5313 May 26, 2010 Re: 11 Nyes Point Way, Centerville, MA (Assessors Map 233, Parcel 069) Construction Title 5 Septic System Dear Sir/Mam: Please be advised that an application for variances from the Massachusetts Department of Environmental Protection, Title 5, and Local Regulations have been submitted to the Barnstable Health Department for approval. The following variances are being requested: • 310 CMR 15.405(e)—CONTENTS OF LOCAL UPGRADE APPROVAL 1. A 32' variance, S.A.S. to bordering vegetated wetland, for an 18' setback. • LOCAL REGULATION, Chapter 360, Article 1 —Setback Requirements 1. An 82' variance, S.A.S. to wetland, for an 18' setback. 2. A 47' variance, septic tank to wetland, for a 53' setback. 3. A 49'variance. S.A.S. to abutting well, for a 101' setback. 4. A 5' variance, S.A.S. to Locus well, for a 145' setback. 5. A 32' variance, septic tank to abutting well, for a 68' setback. The application and plans are available for review at the Barnstable Health Department, 200 Main Street, Hyannis, MA, Monday through Friday (excluding holidays) from 8:30 a.m. to 4:30 p.m. A public hearing will be held, to discuss the proposed work, on Tuesday, June 8, 2010, at 3:00 p.m. The hearing will be held at the following location: Town Hall Hearing Room Second Floor 367 Main Street Hyannis, MA rely, Peter T. McEntee P.E. 38,35 2 h TOWN L I : 233-06B PARCEL ID: 233-068 -•'^- 1• gay 0 S \-... 30 - aSTRIPOUT TO ,y Pines SUITABLE SAND-\ O' Pr�V } l <w s� m (SEE NOTE 11) \\37.17 )nve -' a` \ a pee a 37\87 \ 35.68 y wpeinty,y POLYLINER 5' OFF S.A.S. /\ \ Rpf\ Wequaquet TOP OF LINER, EL=40.7 es N,ry Lake BOTTOM OF LINER, EL.=36.7 N � g / \ 1 - OF Ats OCUS ABANDON &SREMOVE I, / A9. /LAB �1 0 ��p�\ �4cy� PETER T. AS REOUIRED. 38.98 �� r"' < m McENTEE CIVIL LEGEND w PROPOSED SEPTIC TANK/ / / / 'T6e _TP-1 1 36.26 No. 35109 PUMP CHAMBER T �_I o,. - o -L\/101 m AfCiS1F � Q - 20-- EXISTING CONTOUR \k \ r ( �) 33� _ 20.12 EXISTING SPOT GRADE \� O.3 T- _ r�� •�/ONAt E x 22 PROPOSED CONTOUR 'YEL 44 1 1ti\� 9.85 *i y / - 22.8 PROPOSED SPOT GRADE \ " 1 \_ d ^I EXISTING WELL \ / f ) in" 4 6 .- l 1 *--I p GENERAL NOTES: N/F HUGHES, N RICHARD v rVV 4,$ l I 1V ALL CHANGES LT THIS THE MUST BE APPROVED 8Y THE LOCAL 8:11.N. OVERHEAD WIRES lO NYES POINT WAY Q J / °d•' `�� \ � 1 y I 1 p / 5'59 (n 1.BOARD OF HEALTH AND THE DESIGN ENGINEER. PARCEL ID: 233-067 �' Q0 I I BP/VI02 x 1R.63 WE FLAG O / 68• ` / I �j_ 1 / ALL WORK AND MATERIALS THALL CONFORM V. THE ANY AP UCABL WET/V-103 `L Po ve / �I I -. Q 2.OF THE STATE ENVIRONMENTAL CODE,TITLE V.AND ANY APPLICABLE WETLAND SYMBOL / Drl V.E' 1, 1 / 2 t j LOCAL RULES AND REGUTATONS EXCEPT AS REQUESTED BELOW: TEST PIT \- 40.2 40 9 I a 1�I l W 310 CMR 15.405(e)-CONTENTS OF LOCAL UPGRADE APPROVAL 41 BENCHMARK / e\ (�O /PK S T1 1 1 �) f N N 1)A 32'varionce,SA.S,to D d,,mg-gatoted weUond,for on �1 C 4 Q Q 18'setbock. EXIS77NG SEPTIC TANK / G(° e \ ;I LOCAL REcutATION Chapter 360.MI.W 1 -Setlwak ReRalrements TO BE PUMPED, RUPTURED, FILLED 40,9 OO/ - 2))An e2'� <,sA.S.m w<Il.nd,mr a 16'setbeek. WITH SAND AND ABANDONED. T Fe �/ a Trl 3)A 49'v e.Seplk, t g-11,,for o 53•setback. N x4 6 4 A 49'varionce.S.A.S.to aDVllln well,lore 101'setback. 5))A 5'variance.$.A.S.to Locus well,for 0 145•setback. /r I'X 6)A 32•variance,septic tank to abutting well,for o 68'setbock. a / G_ / t '7 4 3 �` I / 4.9 3.THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACNFILLEO PRIOR Benchmorlc 3@l v tl O. O INSPECTION AND APPROVA B THE BOARD OF HEALTH AND THE / / P - 'S (j,11 DESIGN ENGINEER. Rt. outside Cor. Bott. Step / / 4.ANY CONDITION$ENCOUNTERED DURING CONSTRUCTION DIFFERING £C.=47.67(NGVD) I 41.20 0 J / FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN O7 ENGINEER BEFORE CONSTRUCTION CONTINUES. 2.7 0 ^T 3 4.81v/ 1O r 41 `� EXtSj SftNEjR /X 35B 4�B3/\ Xllk 5.ALL ELEVATION BASED ON AN N.SPON 6.THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF / /1 ���NV.-:7�.08 °�..34.46 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS OURING CONSTRUCTION. / x ,48 ,EXISTIN T.WATER SUPPLY PROVIDED BY PRIVATE WELL. X 41�13 -1 D r---VWetlo tad. B.THERE ARE NO PRNATE WELLS WITHIN Ia0 OF THE PROPOSED S.A.S. / 40.82 . HOUSE(tfffl) �- l� Wetland 1 O 9.ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS _D �.��a X-,�/_.H. 9 1' n D AGREED UPON BY OWNER PNO CONTRACTOR OR AS OTHERWISE 44.51UP � :.P_- 0 (N.G.VO.) rOO Z m l W DIRECTED B THE APPROVING AUTHORITIES. Ab /" 40.21 C Above CXjA ,]Q 10.IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE / 8 (No Fdn) N THE LOCATION OF ALL UNDERGROUND UTILITIES,PRIOR TO BEGINNING _ off( H 74 I�.T ;oO aj¢.� CONSTRUCTION. I1.WHERE REQUIRED,CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS / -_1 O i-� x IN THE AREA BENEATH AND for 5'ON ALL SIDES OF THE SAS AND lot 8 s _ Deckt r / '•�-7 A F replace WITH CLEAN SAND AS SPECIFIED IN 310 CMR 155(3). e9 �6+ 44.84 0150ttACF �'BP_/_V107 3627 'Above F� //X 33.80 e> 12.AREAS INSPECTED BYNG DESIGNPOUT OF ENGINEERUNSUITABLE PRIORTTO BACKFFILL. SHALL BE LOCUS/WE•LL / / q o O• 1° Map, 233 / \s.il_- x 34.79 PorPel /69 / \.\ `�k, 36.24103.75' e°Ge "T PLAN REVISIONS: 2) 6/l/10LABELTREVIIUT SE N POLY LINERt1 SHEET 1. S 8628'40 W ''BP/V106 R°11 4.51 PROPOSED SEPTIC SYSTEM UPGRADE PLAN Z� ti o t a a 1i� /V1 4 • 41,22P /\ N F NADLO REALTY TRUST '`s'24 SP / 11 NYES POINT WAY, CENTERVILLE, MA IP/UP 1 FT 36.20 NABLO, SAMUAEL V&RUTH J rRs�• 34.73 �3 J3 BP/V108 C, 130 NYES NECK ROAD \ /' Y Prepared for: Mary Schoebel, 102 Nyes Neck Lane, Centerville, MA 02632 �\ d' PARCEL ID: 233-022-001 \. 'x / O \ /' Engineering by: SCALE DRAWN JOB. NO. WETLAND DELINEATION FLOOD ZONE DESIGNATIONS FROM AIL, ' % 1"=20' P.T.M. 138-10 VACCARO Environmental Consulting COMMUNITY PANEL N0.250001 0005 C �(35,07 Engineering Works,Inc. O P.O. Bo: 955 ,L. 12 West Crossfield Rood, Forestdole, MA 02644 DATE CHECKED SHEET NO. Sandwich, MA 02563 Revised August 19,1985 X BP/V105 (508) 888-5855 Site lies within Zone C 35.20 (508) 477-5313 5/11/10 P.T.M. 1 of 3 Town of BarnSfibie Department ot:Regulatory:Services j ._ ;,Pub�lc �eaIth Division...:., Date 200,Mam Street,Hyannis MA°02601 f 2 Date Scheduled �'fy� a Time Fee Pd Soil SuitabIt Assessment for Sewage sp©►sal Witnessed By._ ! �5 LOCATION GENE, INFORII�ATIQN. Location-Address, CL /ll'�� Y-b�.��--lilt-�._ • Owner's'Name •/'4 �i.�t,Cre;�� C-..V,l-P,—.fAU rvt4 Address e-T /t�LQ {-: CeV1�--tom<( 4 '11. �- p 32.. Assessor's Map/Pareei: �i?j 3 _000R Engineer's Name NEWCONSTRUCTION REPAIR tom.. Telephone# .;�U g-7 3.7 �77(P:-_67 Land Use. IDS dot 4yt^-- Slopes.M�'r y Surface Stones �— Distances from: Open Water Body 3 /� U� Pe y � ft Possible Wet Area ft Drinking ft Drainage Way �= ft Property Line ld �"'/-� Other ft SI +TCH:{Streername;dimensions of lot,:exact locations of test holes&.perc tests,locate wetlands inn:proxirtuty to'ttoles) r l VN n � Parent material(geologic) ej Depth to Bedrock Depth to Groundwater. Standing Water in Hole: Weeping from Pit Fka Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL SIGH WATER TABLE Method Used:. Depth Observed standing in obs.hole: In. Depth to soll_mottles In Depth to weeping from side of obs.hole: hi, -Groundwater AdJudttnent Index Well# Reading Date: Index Well level' Acj;thetor Ad{:``drtlufldwhter'1:evrl L.- PERCOL,ATION TEST Date "ree,,..._. Observation j Hole# Time at 9" t.�U _-.. Depth of-Perc„h 20 . Time at 6"Z`^^� Start Pre-soak Time® d Time(9"a6")J.i 3�O � t End Pre-soak Rate Min..inch L' Site Suitability Assessment: Site Passed Site Failed: Additional testing Needed(Y/N) Original; Public Health Division Observation Hole Data To Be Completed-on Back --- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1) week prior to beginning. Q:tSEPTICVERCFORM.DOC DEEP.OBSERVAmTON H L1;LOG Hole Depth`from Soil Horizon Soil Textures So11=Color, Soil Other Siufice(in) (USDA) (Munsell) Mottling' (Stricture;Stones,Boulders: 12. 3Z. L5.. to �23;l • DEED'OBSERVATION Depth`from, Soil Horizon Soil Texture Soil.Color Soil ' Other Surface(rn.). (USDA) (Munsell) Mottling (Structure,Stones;,Bouiders.: z d...�2 t6 `�(2-1IL ' &77 71 DEEP`OWERVATION H LE LOG Hole# Deptti;froni Soil Horizon Soil Texture Soil Color Soil Other Surface{in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, ---�,-.-._ '•;� � �U ,,,yam, � �•,::: DEEP OBSERVATION HOLE LOG Hole# Depth:from.: Soil Horizon. Soil Texture Soil:Calor Boll Other. Surface(in:) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Con t Fiood Insurance Rate Mau; Above S00 year flood l%oundary No:'_ Yes' ,.; Within 500•year boundary „ .. No Within 100 year flood boundary No�: Yes" .1. '' 4 D. oaf Natuxa '0..ccur>dne Pecvfous:Material Does`at leahti four f t of naturally occurring perviou aterial'exist in all aret;s observed throughoutahe, , area proposed forthe soil absorption system? _- If.ngt,what is the depth of naturally occurring pervious material? Cenci eatio I certify that'on a (date)I:have passed the soil evitluator examination approved b it Department of Environmental Protection and that the above analysts was performed by me eon"s.'istent with •T the equtredaraining;experEise and'experience described in 161CMR 15:017. Date Signature Q�:@pTlCtl'131tCFORM:DOC ` COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENERGY & ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 DEVAL L.PATRICK IAN A.BOWLES Governor Secretary TIMOTHY P.MURRAY LAURIE BURT Lieutenant Governor Commissioner MODIFIED CERTIFICATION FOR GENERAL USE Pursuant to Title 5, 310 CMR 15.000 Name and Address of Applicant: CULTEC, Inc. P.O. BOX 280 878 Federal Road Brookfield, CT 06804 Trade name of technologyand model: CULTEC Chamber models: Field Drain Contactors o s C4; Contactor EZ-24, 100, and 125; and Recharger 180, 280, and 330XL(hereinafter the "System"). Schematic drawings of each model are attached and made a part of this Certification. Transmittal Number: W037676 Date of Issuance: December 17, 2003,revised April 18, 2006, revised July 24,2006,July 19,2007,November 2, 2007,August 29, 2008,Modified February 22, 2010 Authority for Issuance Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000,the Department of Environmental Protection hereby issues this Certification to: CULTEC, Inc.,P.O. Box 280, 878 Federal Road,Brookfield, CT 06804 (hereinafter "the Company"), for General Use of the System described herein. Sale and use of the System are conditioned on and subject to 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 Certification constitutes a violation of 310 CMR 1.5.000. , �- February 22,2010 Glenn Haas, Acting Assistant Commissioner Date Bureau of Resource Protection. This information is available in alternate format.Call Donald NL Gomes,ADA Coordinator at 617-556-1057.TDD Service-1-800-298-2207. MassDEP on the World Wide Web: http://www.mass.gov/dep Printed on Recycled Paper } r CULTEC Modified Certification for General Use Page 2 of 7 I. Purpose 1. The purpose of this Certification is to allow use of the System in Massachusetts, on a General Use basis. 2. With the necessary permits and approvals required by 310 CMR 15.000, this Certification authorizes the use of the System in Massachusetts. 3. The System may be installed on all facilities where a system in compliance with 310 CMR 15.000 exists on site or could be built and for which a site evaluation in compliance with 310 CMR 15.000 has been approved by the local approving authority, or by DEP if DEP approval is required by 310 CMR 15.000. II. Design Standards 1. The models listed in Table 1 are covered under this Certification. Table 1. Chamber Dimensions Dimensions Invert Models W x L x H Height Inches Inches Field Drain Contactor C4 48 x 96* x 8.5 3 Contactor EZ-24 16 x 96* x 12.5 6 Contactor 100 36 x 89* x 12.5 6 Contactor 125 30 x 75* x 18 12 Rechar er 180 36 x 76*x 20.5 14 Rechar er 280 47 x 84* x26.5 20.5 Rechar er 330XL 52 84* x 30.5 24 *Denotes Cultec chamber installed length 2. The System is an open-bottom leaching unit molded from high density, high molecular weight polyethylene (HDPE) with a 3.5 to 4.5 ounce non-woven geosynthetic filter fabric cover (CULTEC No. 410TM). It can be installed without aggregate or distribution pipe as an absorption trench in accordance with the requirements in 310 CMR 15.251 or as a bed or field in accordance with the requirements in 310 CMR 15.252. 3. The use of aggregate as specified in 310 CMR 15.247 is not necessary with the System when installed as a trench, bed or field. When designed with aggregate in accordance with 310 CMR 15.253, the System shall be designed in accordance with Section 11 item 10. s All models also include a Heavy Duty (HD)model for H2O loading. µ CULTEC Modified Certification for General Use Page 3 of 7 4. The minimum separation between any two trenches shall be as specified in 310 CMR 15.251. 5. The requirement that the Chamber installed in trench configuration as specified in 310 CMR 15.253(6) be provided with inlets at intervals not to exceed 20 feet is not applicable to the System. In accordance with 310 CMR 15.240 (13) a minimum of one inspection inlet shall be installed per system. The inlet shall be capped with a screw type cap and accessible to within three inches of finish grade. 6. For new construction, the applicant can size the System in a trench configuration without aggregate, using the effective leaching areas presented in Table 2. No System shall be designed and constructed with a soil absorption system area of less than 400 square feet of effective area. Table 2.Effective Leaching Area for Trench Configuration for New Construction And Remedial Sites' Effective Effective Model Leaching2 Leaching Area Area SF/LF SF/LF Field Drain Contactor C4 NA 3.5 Contactor EZ-24 3.9 NA Contactor 100 6.7 NA Contactor 125 7.5 NA Rechar er 180 8.9 NA Rechar er 280 NA 6.4 Rechar er 330XL NA 7 1. Effective April 21,2006,310 CMR 15.251(1)(b)maximum trench width is 3 feet. 2. Effective leaching area is equal to 1.67 (bottom width+(2x invert height))for Systems 3 feet or less in width. 3. Effective leaching area is equal to 1.00 (3 +(2x invert height)) for Systems with a width greater then 3 feet. 4. The maximum trench width allowed to calculate effective leaching area is 3 feet. 7. Systems installed on remedial sites shall be allowed to utilize the effective leaching areas presented in Table 2 above or additional reductions in soil absorption leaching area approved by the approving authority in accordance with 310 CMR 15.284. In no instance shall the reduction in the soil absorption system required in 310 CMR 15.242 exceed the maximum reduction allowed for alternative systems approved in accordance with 3 1.0 CMR 15.284. I CULTEC Modified Certification for General Use Page 4 of 7 8. In accordance with 310 CMR 15.240 (6) absorption trenches should be used whenever possible. When the System is installed for new construction without aggregate in a bed or field configuration, as defined in 310 CMR 15.252, the System shall be designed using the effective leaching area for the bottom width presented in Table 3 No system shall be designed and constructed with a leaching area of less than 400 square feet of effective area. Table 3:. Effective Leaching Area for Bed or Field Configuration Effective Model Leaching' Area SF/LF Field Drain Contactor C4 6.7 Contactor EZ-24 2.2 Contactor 100 5.0 Contactor 125 4.2 Rechar er 180 5.0 Recharger 280 6.5 Recharger 330 7.2 1. Effective Leaching area is equal to 1.67 times bottom width only. 9. The System, when installed in a bed or field configuration without aggregate on remedial sites, shall utilize the effective leaching areas presented in Table 3 above or additional reductions in soil absorption system area approved by the approving authority in accordance with 310 CMR 15.284. In no instance shall the reduction in the soil absorption system area required in 310 CMR 15.242 exceed the maximum reduction allowed for alternative systems approved in accordance with 310 CMR 15.284. 10. The System, when installed as specified in 310 CMR 15.253: Pits, Galleries, or Chambers, shall have an aggregate base and/or be surrounded by aggregate and shall be sized as specified in 310 CMR 15.253 (1) (a) and (b), effective leaching area is equal to 1.0 times a conventional aggregate system. Effective depth can be increased up to two feet with the corresponding addition of up to 21 inches of base aggregate for the Field Drain Contactors, up to 18 inches with the Contactor 100, up to 12 inches for the Contactor 1.25,up to 8 inches with the Recharger 180, and up to 3.5 inches with the Recharger 280. No additional aggregate base is required for the Recharger 330. Bottom width can be increased by two to eight SF/LF with the corresponding addition of one to four feet of aggregate per side. CULTEC Modified Certification for General Use Page 5 of 7 11. When the System is installed as specified in 310 CMR 15.255: Construction in Fill, the finished 15 foot horizontal separation distance, item (2), shall be measured from the top of the chamber. III. General Conditions 1. The provisions of 310 CMR 15.000 are applicable to the use of the System, except those that specifically have been varied by the terms of this Certification. 2. 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. 3. In accordance with applicable law, the Department and the local approving authority may require the owner of the System to cease use of the System and/or to take any other action as it deems necessary to protect public health, safety, welfare or the environment. 4. The Department has not determined that the performance of the System will provide a level of protection to the environment that is at least equivalent to that of a sewer. Accordingly, no new System shall be constructed, and no System shall be upgraded or expanded, if it is feasible to connect the facility to a sanitary sewer, unless allowed pursuant to 310 CMR 15.004. 5. Design, installation and use of the System shall be in strict conformance with the Company's DEP approved plans and specifications and 310 CMR 1.5.000, subject to this Certification. IV. Conditions Applicable to the System Owner 1. The System is approved for the treatment and disposal of 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 on-site sewage disposal system and shall be lawfully disposed of. 2. For new construction, the owner initially shall size a soil absorption system in accordance with 310 CMR 15.242 to demonstrate that a conventional Title 5 soil adsorption system using aggregate, including a reserve area, can be installed on the site. The owner may than size the soil absorption system for the System. The total area required for the aggregate system, which may include the area designated for the System, and a reserve area shall be preserved and the owner shall ensure that no permanent structures or other structures are constructed on that area and that the area is not disturbed in any manner that will render it unusable for future installation of a conventional Title 5 soil absorption system. 3. The owner of the System shall at all times properly operate and maintain the on- site sewage disposal system. CULTEC Modified Certification for General Use Page 6 of 7 4. The owner shall furnish the Department any information that the Department requests regarding the operation and performance of the System, within 21 days of the date of receipt of that request. 5. No owner shall authorize or allow the installation of the System other than by a person trained by the Company to install the System. V. Conditions Applicable to the Company 1. By January 31 st of each year, the Company shall submit to the Department a report, signed by a corporate officer, general partner, or Company owner that contains information on the System for the previous calendar year. The report shall state known failures, malfunctions, and corrective actions taken for the System as well as the date and address of each event. 2. The Company shall notify the Department's Director of Watershed Permitting at least 30 days in advance of any proposed transfer of ownership of the technology for which this Certification is 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 Certification applicable to the Company shall be applicable to successors and assigns of the Company, unless the Department determines otherwise. 3. The Company shall furnish the Department any information that the Department requests regarding the System, within 21 days of the date of receipt of that request. 4. Prior to any sale of the System, the Company shall provide the purchaser with a copy of this Certification. In any contract for distribution or sale of the System, the Company shall require the distributor or seller to provide the purchaser of the System,prior to any sale of the System,with a copy of this Certification. 5. The Company shall prepare and provide the Department with an installation manual specifically detailing procedures for installation of its System. The Company shall institute and maintain a training program in the proper installation of its System in accordance with the manual and provide a training course at least annually for prospective installers. The Company shall certify that installers have passed the Company's training qualifications, maintain a list of certified installers, submit a copy to the Department, and update the list annually. Updated lists shall be forwarded to the Department. 6. The Company shall not sell the System to installers unless they are trained to install these Systems by the Company. VI. Conditions Applicable to Installers of the System CULTEC ' Modified Certification for General Use Page 7 of 7 1. Each Installer shall install the System in accordance with Company training on the installation of the System and the conditions of this Certification. 2. No Installer shall install the System unless the Installer has been trained by the Company on installation of the System. VII. Reporting 1. All submittals of notices and documents to the Department required by this Certification shall be submitted to: Director Wastewater Management Program Department of Environmental Protection One Winter Street - 5th floor Boston,Massachusetts 02108 VIII. Rights of the Department 1. The Department may suspend, modify or revoke this Certification for cause, including, but not limited to, non-compliance with the terms of this Certification, non-payment of an annual compliance assurance fee, for obtaining the Certification 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 Certification, 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 Certification, the System, the owner, or operator of the System and the Company. COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 MITT ROMNEY Governor STEPHEN R.PRITCHARD Secretary KERRY HEALEY ROBERT W.GOLLEDGE,Jr. Lieutenant Governor Commissioner PROVISIONAL USE APPROVAL Pursuant to Title 5, 310 CMR 15.000 Name and Address of Applicant: Siegmund Environmental Services,Inc. 49 Pavillion Avenue Providence,RI 02905 Trade name of technology: Singulair 960 NR,Models 500, 750, 1000, 1250 and 1500, alternative treatment system(hereinafter the "System"). Schematic drawings illustrating the System and a technology checklist are attached and are part of this Approval. Transmittal Number: W075652 Date of Issuance: August 28, 2006 Expiration date: August 28, 2011 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 to: Siegmund Environmental Services, Inc.,49 Pavillion Avenue,Providence,RI 02905 (hereinafter "the Company"), for Provisional Use in the Commonwealth of Massachusetts for the System described herein. Sale and use of the System are conditioned on and subject to compliance by the Company and the owner(s) of each installed system(hereinafter,the"owner(s)" or the "System owner(s)")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. August 28, 2006 Glenn Haas,Director Date Division of Watershed Management Department of Environmental Protection This information is available in alternate format Call Donald M.Gomes,ADA Coordinator at 617-556-1057.TDD service-1-500-298-2207. MassDEP on the World Wide Web: http:/Avww.mass.gov/dep Printed on Recycled Paper Singulair 960 NR,Provisional Use Approval Page 2 of 10 I. Purpose 1. The purpose of this Approval is to allow installation and operation of up to 50 Systems in Massachusetts, on a Provisional Use basis, in order to further evaluate the capabilities and performance of the System. The specific goals of the further evaluation are to determine: i. If the System is capable of consistently reducing the total nitrogen (TN= TKN+NO2+NO3)concentration in the effluent discharged to the soil absorption system(SAS) so that the Department may allow an increase in the loading rate per acre on a General Use basis in areas subject to nitrogen loading limitations, ii. If the System is capable of meeting or exceeding effluent limitations for a Recirculating Sand Filter(RSF) set forth at 310 CMR 15.202 (4),and iii. If at least 90 percent of the installed Systems perform at a level at least equivalent to that of an RSF as set forth in 310 CMR 15.202 (4). 2. With the necessary local permits and local approvals required by 310 CMR 15.000,this Provisional Use Approval authorizes the use and installation of the System in Massachusetts for Systems with a design flow of less than 2,000 GPD, and requires testing so that the Department can determine whether the System consistently can or cannot function to effectively reduce total nitrogen in the effluent. 3. The System may only be installed on facilities that meet the criteria of 310 CMR 15.286(4) and are approved by the local approving authority. II. Design Standards 1. The System utilizes extended aeration to treat sanitary wastewater.The treatment process takes place in a three-compartment precast concrete(processing)tank. The first compartment is a pretreatment chamber for settling solids that provides some anaerobic decomposition during approximately 12-hour residence time. The second chamber is for aeration, an aerator motor with an aspirator shaft draws air into the water to provide 30 minutes per hour of aeration. The third chamber provides settling and clarification for the aerated wastewater. Activated sludge from that chamber is recirculated to the aeration tank by the Bio-Static sludge return located within the chamber.Approximately 10 to 15 percent of the design flow is returned to the aeration tank. A Bio-Kinetic Filter is located within the settling zone in the clarification chamber. The Filter provides non-mechanical flow equalization using inflow ports located for design flow, sustained flow and peak flow, filtration and final settling to the effluent. The treated wastewater from the Filter discharges to a recirculation chamber. The pump in the chamber recirculates a portion of the effluent to the pretreatment tank,the remainder of the effluent discharges either to a final pump chamber for pressure distribution or to a distribution box for gravity discharge to a soil absorption system (SAS). 2. The System includes a weather-tight enclosed control panel with aerator controls, manual reset circuit breaker, on-off automatic selector switch,adjustable timer mechanism and an audible/visual warning system to report malfunctions. The Singulair 960 NR,Provisional Use Approval Page 3 of 10 panel also contains the recirculation pump controls including high water level override and high water alarm. The alarm and control circuits shall each be connected to an independent power source run from the main power source of the facility. 3. Systems designed for facilities in excess of 1000 GPD, shall require the installation of a pretreatment tank sized in accordance with the Company's requirements and constructed in accordance with 310 CMR 15.223 through 15.226. 4. The System shall be installed between the building sewer and the soil absorption system(SAS)of a standard Title 5 system in a manner which neither intrudes on, replaces a component of, or adversely affects the operation of a Title 5 system constructed in accordance with 310 CMR 15.000, subject to the provisions of this Approval. 5. All manhole covers and access ports shall be installed at finish grade to allow for maintenance of the System. 6. The control panel including alarms shall be mounted in a location accessible to the operator of the System. 7. New Construction less than 2000 GPD: In accordance with 310 CMR 15.217(2), an increase in calculated allowable nitrogen loading per acre is allowed with the use of the System in areas subject to nitrogen loading limitations, 310 CMR 15.214. When used in such areas: i. For residential facilities,the design flow shall not exceed 660 gallons per day per acre (GPDA), and the total nitrogen(TN) concentration in the effluent shall not exceed 19 milligrams per liter(mg/L), ii. For non-residential facilities,the design flow shall not exceed 550 GPDA, and the total nitrogen concentration in the effluent shall not exceed 25 mg/L. III. General Conditions l. All provisions of 310 CMR 15.000 are applicable to the use and operation of this System,the System Owner and the Company,except those that specifically have been varied by the terms of this Approval. 2. This Approval shall be binding on the System Owner and on its agents, contractors, successors, and assigns, and the Company and its officers, employees, agents, contractors, successors,and assigns. Violation of the terms and conditions of this Approval by any of the foregoing persons or entities, respectively, shall constitute violation of this Approval by the System owner or the Company unless the Department determines otherwise. 3. Any required operation and maintenance,monitoring and testing shall be performed by the Company or its approved operators in accordance with a Department approved plan. Any required sample analysis shall be conducted by an independent U.S. EPA or Department approved testing laboratory, or a Department approved independent university laboratory,unless otherwise approved by the Department in writing. It shall be a violation of this Approval to Singulair 960 NR,Provisional Use Approval Page 4 of 10 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. 4. 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. 5. In accordance with applicable law,the Department and the local approving authority may require the System owner(s)to cease operation of the system and/or to take any other action deemed necessary to protect public health, safety,welfare and the environment. 6. The Department has not determined that the performance of the System will provide a level of protection to public health, safety, welfare and the environment that is at least equivalent to that of a sanitary sewer system. Accordingly, no System shall be upgraded or expanded, if it is feasible to connect the facility to a sanitary sewer, unless as allowed by 310 CMR 15.004. 7. Design, installation and operation shall be in strict conformance with the Company's approved plans and specifications, 310 CMR 15.000 and this Approval. 8. The System is approved in connection only with the discharge of sanitary wastewater.Any non-sanitary wastewater generated or used at the facility served by the System shall not be introduced into the System and shall be lawfully disposed of. 9. All effluent samples shall be taken at a flowing discharge point, i.e.-distribution box,pipe entering a pump chamber or other location from the treatment unit approved by the Department in writing. Any required influent sample shall be taken at a location that will provide a representative sample of the influent. Influent sample locations shall be determined by the System designer and the Company and shall be selected so that the influent characteristics are not changed by the System recycle. 10. Effluent discharge concentrations shall meet or exceed secondary treatment standards of 30 mg/L carbonaceous biochemical oxygen demand(CBOD5) and 30 mg/L total suspended solids(TSS). 11. For Systems installed at residential facilities with design flows less than 2,000 GPD, TN concentration in the System effluent shall not exceed 19 mg/L. For Systems installed at all non-residential facilities with design flows less than 2000 GPD, TN concentration in the System effluent shall not exceed 25 mg/L. IV. Conditions Applicable to the System Owner 1. Prior to installation of the System,the proposed owner shall obtain a Disposal System Construction Permit in accordance with 310 CMR 15.020 from the local approving authority. The application to the local approving authority shall include a certification signed by the Company or its designee that the System has been designed in accordance with the Company's requirements, 310 CMR 15.000 and this Approval. The Certification shall be consistent with the model attached hereto as Exhibit A. This Company certification in no way changes the Singulair 960 NR,Provisional Use Approval Page 5 of 10 requirements of 310 CMR 15.220 (1)and(2). Department approval of the System design is not required unless the Department determines on a case-by-case basis pursuant to its authority at 310 CMR 15.003(2)(e)that the proposed System requires its review. 2. The System owner shall at all time have the System properly operated and maintained in accordance with this Approval, the designer's operation and maintenance requirements and the Company's Department approved procedures and sampling protocols. 3. Operation and Maintenance agreement: i. Throughout its life,the System shall be under an operation and maintenance (O&M)agreement. The System owner shall be responsible for maintaining a contract with the Company or the Company's approved operation and maintenance contractor throughout the Provisional Use Approval period unless and until the System is Certified for General Use by the Department. Subsequent to Certification for General Use of the system, O&M agreements shall be for at least one year and may be with any Massachusetts certified operator of the appropriate grade that has received training by the Company on the operation of the System. ii. No System shall be used until an O&M agreement is submitted to the local approving authority which: a. Provides for the contracting with the Company or a Company approved operation and maintenance contractor 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,the local approving authority, or the Department; b. Contains procedures for notification to 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 a plan to determine the cause of effluent total nitrogen limit violations that occur any time after the first three months of operation, if such violations occur on two consecutive sampling events; d. Provides the name of an operator,which must be a Massachusetts certified operator if one is required by 257 CMR 2.00,that will operate and monitor the System(hereinafter the "System operator"). The System operator must inspect and operate and maintain the System at least every three months and anytime there is an alarm. 4. Anytime the System operator is changed,within seven days of such change,the System owner shall notify the local approving authority and Company in writing and submit a copy of the new agreement to operate and monitor the System to the local approving authority and the Company. The new operator must have received Company approved training on the System. I Singulair 960 NR,Provisional Use Approval Page 6 of 10 5. The System owner.shall furnish the Department or the local approving authority any information,which either entity may request regarding the System,within 21 days of the date of receipt of that request. 6. Prior to transferring any or all interest in the facility served by the System, or any portion of the facility, 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. 7. For year round residential facilities and non-residential systems with design flows less than 2,000 GPD, effluent from the System shall be monitored at least once per calendar quarter. Any sample collected within 60 days or more than 90 days of a previous sample shall not be considered a required quarterly sample. The following parameters shall be monitored: pH, CBOD5, TSS, alkalinity and TN. Each time the System is monitored,the water meter, if a water meter is installed, shall be read and the water use recorded. All monitoring data shall be submitted to the Department within 45 days of the sampling date. After two years of monitoring for residential use and at the request of the owner,the Department may reduce the monitoring requirements 8. For seasonal residential facilities where the residence is occupied fewer than six months per year, effluent from the System shall be monitored twice per season; initially 45 days after occupancy,and if the residence is occupied during an additional calendar quarter, once during that following quarter prior to System shut down. The following parameters shall be monitored: pH, CBOD5, TSS, TN and alkalinity. Each time the System is monitored,the water meter, if a water meter is installed, shall be read and the water use recorded. All monitoring data shall be submitted to the Department within 45 days of the sampling date. After four seasons of monitoring and at the request of the owner,the Department may reduce the monitoring requirements 9. 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 septic 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 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. 10. Prior to the issuance of a Certificate of Compliance for the System,the Company 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 and this Approval. This certification in no way changes the requirements of 310 1.5.021(3). The System owner shall not make any changes to the System including landscaping that changes access to the System without the approval of the Company and the local approving authority. Singulair 960 NR,Provisional Use Approval Page 7 of 10 V. Conditions Applicable to the Company 1. By March lst of each year,the Company shall submit an annual report to the Department signed by a corporate officer, general partner or Company owner that contains all sampling and inspection information collected on the System for the previous calendar year and presents a report on the System's capability to meet the Approval's effluent requirements. The report shall include the following information: i. Details on 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, school, institutional) and the design flow and model; ii. Date when system was installed and started up; iii. Tabulation of the sampling parameters and results with backup inspection and laboratory sheets available on request; iv. Statistical analysis of the sampling results including but not limited to average and median values with the percentage of systems that are meeting the effluent limits compared to the systems that are out of compliance; V. Tabulation of systems that are out of compliance,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; vi. The inspection results recorded on a Department approved inspection form and a technology checklist, copies of which are attached to this Approval. The forms must be completed by the System operator and submitted to the Department with the annual report. vii. 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 viii. The three year report on the operation of the System shall be prepared as required by item 8 below. 2. The Company shall notify the Director of the Watershed Permitting Program at least 30 days in advance of the proposed transfer of ownership of the technology for which this Approval is 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. 3. The Company shall make available to owners,operators,designers and installers of the System, in printed and electronic format: minimum installation requirements; an operating manual, including information on substances that should not be discharged to the System; a protocol for collecting samples; a Singulair 960 NR,Provisional Use Approval Page 8 of 10 maintenance checklist; and a recommended schedule for maintenance of the System. 4. The Company shall institute and maintain a program of operator training and continuing education. The Company shall maintain and annually update, and make the list of qualified operators available by March Is'of each year. The Company shall also make the list known to the local approving authorities,the Department and users of the technology. 5. The Company or its designee shall conduct a review of the System prior to the sale of any unit to ensure that the proposed use of the System is consistent with the unit's capabilities and shall certify in writing, as described in paragraph IV.1. above,that the intended use conforms to this Approval and any requirements of the Company and submit a copy of that certification to the local approving authority and the System owner. 6. Prior to the issuance of a Certificate of Compliance for the System,the Company or its designee shall conduct an inspection of the facility prior to system startup and certify in writing to the local approving authority and the System owner that the unit has been installed in accordance with the Company's requirements and this Approval. The Certification shall be consistent with the model attached hereto as Exhibit B. This certification in no way changes the requirements of 310 CMR 15.021(3). 7. The Company or the Company's approved operation and maintenance contractor shall maintain a contract with the System owner throughout the Provisional Use Approval period until the System is Certified for General Use by the Department that: a. provides for operating and maintaining the System with an operator 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 a plan to determine the cause of effluent limit violations for total nitrogen excluding the first three months of operation,if such violations occur on two consecutive sampling events; and d. provides the name of an operator,which must be a Massachusetts certified operator if one is required by 257 CMR 2.00, that will operate and monitor the System(hereinafter the "System operator"). The System operator must inspect and operate and maintain the System at least every three months and anytime there is an alarm event for facilities with a design flow less than 2,000 GPD and. 8. The Company shall conduct a performance evaluation in accordance with 310 CMR 15.286(6) starting after at least 50 systems have been installed under this Singulair 960 NR,Provisional Use Approval d Page 9 of 10 approval or for prior versions of this approval and operating for at least three years. In those cases where the Company also installed and collected operating results from Pilot Use Systems or other Systems located in areas not defined as DEP nitrogen sensitive area,the results from those Systems can be used in the 50 System total,provided that the Company can document that the models installed are the same models this Approval applies to, and that inspection and sampling was conducted in accordance with this Approval, and that the results were collected over a three year period. A report shall be submitted to the Department no more than 180 days beyond the three year period evaluating whether at least 90 percent of the units installed for at least three years are meeting the effluent limits as presented in Section III items 10 and 11 and describing any changes in the design, installation and/or operation or maintenance that have been or will be taken to meet the 90 percent target. If the System does not meet the 90 percent requirement,the report shall detail the changes that must be made in design, installation and/or operation or maintenance to meet the goal and include a schedule containing a deadline for implementing those changes. 9. The Company shall not install or allow installation of more than 50 systems unless otherwise approved by the Department in writing. 10. The Company shall furnish the Department any information that the Department requests regarding the System within 21 days of the date of receipt of that request. 11. The Company shall include copies of this Approval 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. 12. If the Company wishes to continue this Approval beyond its expiration date,the Company shall apply for and obtain a renewal of this Approval. The Company shall submit a renewal application at least 180 days before the expiration date of this Approval,unless the Department grants in writing permission for a later date. This Approval shall continue in force until the Department has acted on the renewal application. 13. The Department may require the Company to perform evaluations of system performance, conduct tests, and take corrective action when,based upon a preponderance of the available data and information, it is necessary to take such actions to ensure technology performance complies with this Approval. VI. Reporting 1. All notices and documents required to be submitted to the Department by this Approval shall be submitted to: Director Watershed Permitting Program Department of Environmental Protection One Winter Street- 6th floor Boston, Massachusetts 02108 Singulair 960 NR,Provisional Use Approval Page 10 of 10 2. All inspection forms and sampling results collected by Operation and Maintenance contractors shall be submitted to the Department,the Board of Health and the Company. VII. Rights of the Department 1. The Department may suspend, modify or revoke this Provisional Use Approval for cause, including, but not limited to,non-compliance with the terms of this Approval, 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 System owner, System operator, and/or the Company. VIII. Expiration date I. Notwithstanding the expiration date of this Approval, any System sold and installed prior to the expiration date of this Approval or any continuation of this Approval,that is approved, installed and maintained in compliance with this Approval (as it may be modified) and 310 CMR 15.000, may remain in use unless the Department,the local approving authority, or a court requires the System to be modified or removed, or requires discharges to the System to cease. S ingulair_Prov_Appvl_Final.doc COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION cc TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: n Owner's Name: Owner's Address• Date of Inspection: LSZ.3�3�s Name of Inspector:(p s pri t) f erC. bJrks Company Name. Mailing Address• Telephone Number: — -� 02&0` CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to tion 15.340 of Title 5(310 CMR 15.000). The system: Passes Conditionally Passes Needs Furth Evaluation by the Local Approving Authority ' � Fails Inspector's Signature: � Date: /D-/7-6 The system inspector shall submit a co y of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 1 I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address:/ L ,6 /f) Owner: ►! r Date of Inspecti Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: )NI have not found any information which indicates that any of the failure criteria described in 310 CMR O'3 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"I tional Pass"section need to be replaced or repaired.The system,upon completion of the replacement or air,as approved by the Board of Health,will pass. Answer yes,no or not dete ed(Y,N,ND)in the or the following statements.If"not determined" 1 explain. pease The septic tank is metal and o 20 years o d*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration exfil tion or tank failure is imminent.System will existing tank is replaced with a complying s tank as approved by the Board of Health. Pass mspection if the *A metal septic tank will pass inspection if it's cturally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years Id is a able. ND explain: Observation of sewage bac or break out or high static w r level in the distribution box due to broken or obstructed pipe(s)or due to a brok settled or uneven distribution bo System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed 1 ND explain: Title i Tnen—tinn 171%rm Oil ci,)nnn 2 1 r { !r Page 3 of 11 OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: e5 `n Owner: Date of Inspection V Z C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(a Public Water Supplier,if any)determines that the system is functio g in a manner that protects a public health,safety and environment: _ The system has a tic tank and soil sorption system(SAS)and the SAS surface water supply or tri to a s ace water supply. is 100 feet of a — The system has a septic tank SAS and the SAS is within a Zone 1 of a public water supply. _ The system has a septic tank d SAS the SAS is within 50 feet of a private water supply well. The system has a septic t and SAS and the is less than 100 feet but 50 feet or more from a private water supply well**. ethod used to determine ce "This system passes if the ell water analysis,performed at a D certified laboratory,for coliform bacteria and volatile org c compounds indicates that the well is free 1n poll the presence of ammoni nitrogen and nitrate nitrogen is equal to or less th n from that facility and an 5 pollution provided that no other failure criteria are trig red.A copy of the analysis must be attached to this form. 3. Other: T41A 4 TncnArtinn Fnrm 4i1«innn 3 Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR\\1 VOLUNTARY ASSESSMENTS SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: ' /V Owner: Date of Inspecti • D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No , NO Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool AQ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or a clogged SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6"below invert or available volume is less than%2 day flow (Q Required pumping more than 4 times in the last year 2[QT due to clo ed or obstructed i e s .Number of times pumped gg P P ( ) 1 ti" Any portion of the SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _ Any portion of a cesspool or privy is within a Zone 1 of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. — y portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] (Yes/No)The system fails.I have determined that one or more of the above fa ilure allure criteria d m 310 C exist as MR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large systX h stem m st serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yeso eac of the following: (The following criteria apply ste in addition to the criteria above) yes no _ the system is withinf a ace drinking water supply the system is withinf a tributary a surface drinking water supply _ the system is locateden sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public wy well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. Tiffin ; Tnonnrf;nn Anrm A/1 4/Inn A 4 Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: Owner: Q Date of Inspecti Check if the following have been done:You must indicate"yes"or"no as to each of the folio win Yes No _ Pumping information was provided by the owner,occupant,or Board of Health _ 0 Were any of the system components pumped out in the previous two weeks? _ Has the system received normal flows in the previous two week period? _ 111 Have large volumes of water been introduced to the system recently or as part of this inspection? '— Were as built plans of the system obtained and examined?(If they were not available note as N/A) I _ Was the facility or dwelling inspected for signs of sewage back up? Was the site inspected for signs of break out? Were all system components,excluding the SAS,located on site? �S _ Were the septic tank manholes uncovered,opened,and the interior of the tank ins f the baffles or tees,material of construction,dimensions,d th of li Pected for the condition ep q ui d,depth of sludge and depth of scum? _ Was the facility owner(and occupants if different from owner)provided with information on the proper tenance of subsurface sewage disposal systems? P The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Ye no _ Existing information.For example,a plan at the Board of Health. _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of unacceptable)[310 CMR 15.302(3)(b)] distance TWA Q Tncnnr*inn T:nrm l,/i ci,)nnn 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C f� SYSTEM INFORMATION Property Address: 1 1445 V .5 Voi'n-� MOwner: a Date of Inspectio r 20S RESIDENTIAL FLOW CONDITIONS Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms):3-10 Number of current residents: -7- Does residence have a garbage grinder(yes or no)./VO Is laundry on a separate sewage system(y s or no)� [if yes separate inspection required] Laundry system inspected(ye or no):/Uji- Seasonal use:(yes or no):AJ U Water meter readings,if available(last 2 years usage(gpd)): /� f K1. Sump pump(yes or no)�� Last date of occupancy: Od`Gnj COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): Qpd Basis of design flow(seats/persons/sgi3,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no):_ Water meter readings,if available: Last date of occupancy/use: OTHER(describe): Pumping Records GENERAL ORMAON Source of information: �J m i^w 9 Was system pumped as part of the inspection(yes or no):_ If yes,volume pumped: allons--How was q ty pumped determined? Reason for mg: TvZti,c.� e TYP OF SYSTEM Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool —Privy Shared system(yes or no)(if yes,attach previous inspection records,if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank —Attach a copy of the DEP approval —Other(describe): Approximate age of all components,date installed(if known)and source of information: I ?'4 V � -4-C-.r Were sewage odors detected when arriving at the site(yes or no): IqD Ti11a i Tncnar*inn 17nrm Oil annnn 6 'Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property4Address,.Address: 'V j �� n e -e Owner: IaR Date of i O ZU-5 BUILDING SEWER(locate on site plan) Depth below grade: qio 0 Materials of construction:_ ast iron _40 PVC_other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK:_(locate on site plan) Depth below grade:I Material of construction: Zoncrtte—metal_fiberglass_polyethylene --Other(explain) If tank is metal list age:— Is age confirmed by a Certificate of Compliance(yes or no):—(attach a copy of certificate) l Dimensions: Sludge depth: `I Distance from top oftsludge to bottom of outlet tee or baffle: `t Z,) Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bolt f outl t t or baffle: How were dimensions determined: �'a Comments(on pumping recommendatio ,inlet and outlet tee or baffle conditi) structural irate as related to outlet invert,evidence of leakage,etc.): n' grih',liquid levels �Qr.J ,, , GREASE TRAP:_(locate on site plan) Depth below grade:— Material of construction: concrete—metal fiberglass__polyethylene—other (explain): — — Dimensions Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): T41a i TncnA tinn Fnrm ail;i,)nnn 7 Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address• Owner: Date of Inspec 'o TIGHT or HOLDING TANK: (tank must be umped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete m al—fiberglass y y ----Polyethylene lene other(explain): Dimensions: Capacity: a Design Flow: allo Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: if present must be opened)(locate on site plan) i Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): PUMP CHAMBER: (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): Title 5 Tnanartinn T:nrm 411 cilnnn 8 Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C /J ' SYSTEM INFORMATION(continued) Property Address: I /U Owner: a Date of Inspection SOIL ABSORPTION SYSTEM(SAS): )• (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number:_ leaching chambers,number: leaching galleries,number: aching trenches,number,length: leaching fields,number,dimensions: J f � overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding, etc.): P g,damp soil,—condition vegetation, CESSPOOLS: (cesspool ust be pumped as p of inspection)(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or n Comments(note condition of soil,signs o ydraulic failure,lev 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.): ------------- T41a i Tnannnr;nn T.nrm ail ci�nnn 9 Page 10 of 11 OFFICP L INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: d ' V e,5 ,0 cmjd42 Ile— Owner: "a . Date of Inspection i SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet.Locate where public water supply eaters the building. d 01r,, I 17 I • 7—/ � 2 , a2► bX .} , Q 1n i ° ` • = Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: an Owner: NO rLI Date of Inspecti n: 2(Xj5 SITE EXAM Slope Surface water - - Check cellar Shallow wells Estimated depth to ground water12�feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: ked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: l 14 It k _vv 4:) � V Titin G Tnenn�tinn Fnrm l�i��i7)nnn 11 No.4y` Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: s PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ZIppYication for Digozal *Vztem Cow5truction permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No./ / eJ(2�%j/F i Owner's Name,Address and Tel.No. Assessor's Map/P el / � V �-3� o b Installer's Address,and Tel.No. 7� I Designer's Name,Address and Tel.No. Type of Building: Dwelling No. of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated d ' y flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil .• Nature of Repairs or Alterations(Answer when applicable) —e k 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 f Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue y is oard of He J Sig d Date o Application Approved by Date Application Disapproved for the following reasons Permit No. C114cio S — IN By Date Issued No.CI)CP 5 �+tr .� Fee v ` Entered in computer: • ,� r THE COMMONWEALTH OF MASSACHUSETTS Yes ' PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS ZIpprication for Migonl *p5tem Construction Permit _ Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) D Complete System ❑Individual Components Location Address or Lot No. 1 if S / Owner's Name,Address and Tel.No. Assessor's Map/P�r e / �~ G-0 () Installer's e,Address,and Tel.No. `���j Designer's Name,Address and Tel.No. Type of-Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow t. gallons per day. Calculated ddily flow r- gallons. 'I Plan Date umber of sheets Revision Date Title it' Size of Septic Tank Type of S.A.S. ' Description of Sod: ' Nature of Repairs or Alterations(Answer when applicable) ' Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system �. in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi , '-/ cate of Compliance has bee 'ssue y his d Hea''tl. Sig ed Date r " Application Approved by Date Application Disapproved for the following reasons Pci ermit No. &� ... Date Issued THE COMMONWEALTH OF MASSACHUSETTS , JV�C BARNSTABLE, MASSACHUSETTS Certificate of Compliance = THIS IS TO CERTIFY, that 1e On sit Sew e Disposal System Constructed( )Repaired )Upgraded( ) Abandoned( )by at d . has been constructed in accordance with the provisions of-Title'I5 d the for isposal System Construction Permit No dated tr Installer cn bii_tom Designer. -The issuance of this permit shalldnot bd construed as a guarantee that thle system -ill f ct of n as designed. Date f F / Inspector `y` J� ' k r /✓� � ---•--------------------Fee—� No. Q•�`� �' �=THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Migonl *pgtem Construction Permit Permission is hereby granted to Construct( )Repair(e) rade( )A non( ) System located at f Yv �S �`�� P2 ecn Ila and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditio Provided: Constructionl must rb9com leted within three years of the ate of this p it Date:__� / -a ` Approve y` TOWN OF BARNSTABLE LOCATION Z®-S iZS— SEWAGE # ,76rV5 � VILLAGE �x��-� vv`� S/SSSO�R'S MAP & LOT 92 3-0 67 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY y ST t70 0 LEACHING FACILrrY: (type)r--*K? NO.OF BEDROOMS h-4 BUILDER OR OWNER J �. PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by f � p f c TOWN OF BARNSTABLE 6 LOCATION 1 ' IIyLS P4t;+1 way SEWAGE # VILLAGE OL&C.r.nl�l. ASSESSOR'S MAP & LOTaI3 O&c1 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 641.LEACHING FACIL=: (type) FAIL i� ) NO. OF BEDROOMS 3 i PON BUILDER OR OWNER Z-CMW(� J?y4n PERMTTDATE: 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) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by A 7 � Q 30 la y Ob 6 a 3a t� O A Town of Barnstable KOS ' 6 Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. July 14, 2005 Mr. Carmen Shay, R.S. Box 627 East Falmouth, MA 02536 RE: 11 Nyes Point Way, Centerville A= 233-069 Dear Mr. Shay, Your request for variances on behalf of your client, Mary Shubel, to construct a replacement septic system at 11 Nyes Point Way Centerville, is not granted. On March 8, 2005 you submitted a variance request application package. The variances you requested were as follows: Section 360-1,Town of Barnstable Code:_ The soil absorption system would be located 72 feet away from a wetland, in lieu of the 100 feet minimum separation distance required. Section 397-2.Town of Barnstable Code: The soil absorption system would be located 60 feet away from a neighbor's private well, in lieu of the 150 feet minimum separation distance required. Section 397-2.Town of Barnstable_Code: The soil absorption system would be located 97.5 feet away from an onsite private well, in lieu of the 150 feet minimum separation distance required. 310 CMR 15.211: The soil absorption system would be located eight(8) feet away from a foundation wall , in lieu of the ten (10)feet minimum separation distance required. 310 CMR 15.104: No percolation tests performed as required. The applicant requested permission to utilize sieve analysis results. However, you failed to appear before the Board of Health at their meeting scheduled on June 14, 2005. You again failed to appear at the public meeting scheduled on July 12, 2005. In addition, the Board did not receive any receipts indicating whether or not the abutters were properly notified of the hearings. Shay2005 t+ Therefore, you request for variances is denied. If you wish to request variances again in the future, you will be required to submit a variance application package including four copies of the floor plans, four copies of the septic system plans, and four copies of the completed variance application form. The variance application form shall be properly completed with accurate Regulation code numbers. Abutters shall be properly notified by certified mail of the date and time of the hearing, along with the reason for the hearing and variances needed. Since ,ly, W ne filler, D. Ch irm r Cc: Mary Shubel 5hay2005 08/06/2015 21 :43 FAX 2 001/001 CARMEN E. SHAY (508)-539-7966 ENVIRONMENTAL SERVICES,INC. P.O.Box 627,East Falmouth,MA 02536 May 10,2005 Town of Barnstable Board of Health 200 Main Street Hyannis, MA 02601 RE: REQUEST FOR CONTINUANCE OF HEARING: Residential Property,Mary Shubel 11 Nyes Point Road, Centerville, MA Dear Sir or Madam: Please continue tonight's hearing for the above referenced property to the next available hearing date. At this time we have not yet resolved issues relating to wetland delineation at the property. If you have any questions,please do not hesitate to call the undersigned at(508)-539-7966. Sincerely, CARMSNE.SHAY ENVIRON NTAL SERVICES,INC Carmen E. Shay, R.S., C.S.E. President S 'TOWN OF-BARNSTAO t., pF DATE: S' ,s ` 2 aMAR -8 AM 11: 13 FEE: S * d� YARN.3TABL<r. .� p.:t6;y ��Qi' -•.- REC. BY SCe Town of Bafti f e SCHED. DATE: Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM LOCATION Property Address: fj 1\IyQrj �C1eCl-} ,JCIA n•�Rcu� `\\Ie Assessor's Map and Parcel Number: Q," ' OLoq Size of Lot:_ I Pj 19 Wetlands Within 300 Ft. Yes Business Name: No Subdivision Name: APPLICANT'S NAME: KAQY Phone Did the owner of the property authorize you to represent him or her? Yes >;;�, No PROPERTY OWNER'S NAME CONTACT PERSON Name: M Name: \A2t - � � rJlz� cSU�S• Address: Address: �_O . li�>©x (ez-k- lp_. ; c:C-A y-,01.�I t- s Las3e Phone: r Phone: S 3Ci _-+,) U(4 VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) - Q© � (x�Tc I�ci)hth� Stir col ` 31cp aA: '-a ce�uc�iix� c� well t�s accc� NATURE OF WORK House Addition 0 ????? House Renovation 0 Repair of Failed Septic System k 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 (for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) C:\Documents and Settings\decollik\Local Settings\Temporary Internet Fi1es\0LK3\VARIREQ.D0C 1 I CARMEN E. SHAY (508)-539-7966 ENVIRONMENTAL SERVICES,INC. P.O.Box 627,East Falmouth,MA 02536 March 1,2005 Town of Barnstable Board of Health 200 Main Street Hyannis,MA 02601 RE: REQUEST FOR VARIANCE HEARING FOR TITLE V SYSTEM: Residential Property 11 Nyes Point Way, Centerville,MA Dear Sir or Madam: In accordance with MGL 310 CMR 15.00 CARMEN E. SHAY- ENVIRONMENTAL SERVICES; INc.(CES) request a local variance for the proposed Title V septic system for the residential property located at 11 Nyes Point Way, MA. The following details the type of variance requested, technical justification of the variance and evidence that the granting of the variance will not pose a risk the environment as defined in 310 CMR 15.410 (1) (b). The following details the type of variance requested, technical justification of the variance and evidence that the granting of the variance will not pose a risk the environment as defined in 310 CMR 15.410 (1) (b). Tyne of Variance: 1. Variance to use a Micro-Fast System to reduce Nitrogen relative to proximity to wetlands and private wells. 2. A variance is requested to install a SAS 72 feet from the BVW associated with the Marstons Mills River. 3. Variance to install an SAS 60 feet from and Abutters Well 4. Variance to install an SAS 97.5 Feet from the onsite well 5. Variance to install and SAS 8 feet from the house foundation with a 40 Mil Rubber Liner. If you have any questions, please do not hesitate to call the undersigned at (508)-539-7966. Sincerely, CARMENE.SHAY ENVIRONMENTAL SERVICES, Carmen E. Shay,R.S., C.S.E. President 1 CARMEN E. SHAY (508)-548-0796 Environmental Services, Inc. P.O.Box 627,East Falmouth,MA 02536 Authorization Agreement DATE: February 8, 2005 Adress: 11 Nyes Point Road, Centerville,MA Authorized By: Mary Shubel—Property Owner I Authorize Carmen E. Shay Environmental Services, Inc. to represent me before the Town of Barnstable Board of Health for the Variance request relative to repair of the Title V Septic System at property known as 11 Nyes Point Road, Centerville, MA. Agreed and Accepted By: Name Date: May 31 04 08: 54a M19RY 5083623688 p. 3 rJAN-15-2004 THU 10:50 PM FAX NO, P. 12 ._. ... . .. ........... ...... j FLOORPLAN _File o• D3110014 �� Bohr er:Ma S el Case No' — Pro r. Add s:1 N s Point Wa at :MA In:02632 Cit:Con rville Lender:Ca Cod Bank&Trust Ca. r-- i Firs 1 Floor i I .4.. i. 3 Season 1 h Deck porc i tehen Bath L Dining Room Bedroom i Hall i = ;> Liting Room , Bedroom Bedroom 1 , NOT TO SCALE i. i i I r t i i i { I i 1. 1 1 1 1, 1292 Route 29,Suite 4,SouthYarmouth,MA 02064 500-394-0101 Fax 5DB.760�8149 i I 1 1 - - -_ P. 3 A-15=2004 THU 10:50 PM FAX N0, P. 12 FLOORPLAN Borrower:MaryS Wal File No•i D3110014 EfUedv Add 5'.11 Nees;Pint We se o.: �'R Q Nl O d�-`• Cit:Centerville S t :MA Zia:02632 Ago Lender.Cape.god.Bank&Trust rgo. FVsI Floor '3 Season !�• ._... . , JPoroh Deck I 1 I tchen FE DlningRoom Bedroom i i Hall i • UvIng Rnom Y Bedroom Bedroom; i i i i NOTTOSCAL5 4• i i i , i i 1292 Route 28,Suite 4,Sai Yarmouth,MA 02664 508-194,01o1 Fax 6D8-760 6t49 i i I i I 0 ...._ . 70 k re r OL DUO �xA �/O;T7-2) A 414�CEI Oil . � � r i, w.w�.�.. S� �• i-' �. 4 �; +�� � �: ram.'�'� �,�Y �� :, y'' �,� _ gyp;. � �. p. - ..�t ♦.� � �:�k "'Y Y �., �I, �, t � 1 w; t i ,: � !v� I .� l- • '4•i� � - - • `� . . .,,.�,._.: Y..,,,,, ,.:, .,a :� . 1:.rr - � .."� s.+ `mot-�.. ,+�G�:�,. . . ,, _ .. , r - �+ j.,r. i '?ram. x '0 CERTIFICATE OF ANALYSIS Page: 1 M Barnstable County Health Laboratory '�S�CH�3Sb.i Renort Prepared For: Report Dated: 12/3/2003 Order Number: G0323426 Mary C.Schobel P O Box 198 Centerville, MA 02632 Laboratory ID#: 0323426-01 Description: Water-Drinking Water Sample#: 23426 Sampling Location: 11 Nyes Point,Centerville Collected 11/4/2003 Collected by: MCS 233-069 Received 11/4/2003 Routine ITEM RESULT UNITS MCL Method# Tested LAB: IC Lab Nitrates 0.5 mg/L to EPA 300.0 11/6/2003 LAB: Metals Copper 0.1 mg/L 1.3 SM 3111B 12/1/2003 Iron <0.1 mg/L 0.3 SM 311113 12/1/2003 Sodium 1.0 mg/L 20 SM 3111B 12/l/2003 LAB: Microbiology Total Coliform Absent P/A Absent 307 11/4/2003 LAB: Physical Chemistry Conductance 338 umohs/cm EPA 120.1 11/4/2003 pH 6.8 pH-units EPA 150.1 11/4/2003 Note: Water sample meets the recommended limits for drinking water of all above tested parameters. I Approved By: / (Lab Director) -t Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION RECEIVED OCT 2 8 2003 TITLE 5 TOWHEOALTBH DEPT. OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 11 Nyes Point Way 1VIAP Centerville, MA 02632 Owner's Name: Leonard Byan PARCEL (0 Owner's Address: LOT Date of Inspection: October 8, 2003 Name of Inspector: (Please Print) Janies M. Ford N F F Company Name: James M. Ford Mailing Address: P.O. Box 49 Osterville,MA 02655-0049 Telephone Number: (508) 862-9400 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes Conditionally Passes ✓ Need urther Evaluation by the Local Approving Authority Fails Inspector's Signature: z Date: October 14, 2003 The system inspector shall submi a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing th is inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Fore; 6/15/2000 page I r Page 2 of I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 11 Nyes Point Way Centerville, MA Owner: Leonard Byan Date of Inspection: October 8, 2003 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CM 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined", please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 f ` Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 11 Nves Point Way Centerville, MA Owner: Leonard Byan Date of Inspection: October 8, 2003 C. Further Evaluation is Required by the Board of Health: ✓ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system.passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: The liquid level was above the outlet pipe in the tank 1 could not snake through the pine to locate the SAS A large tree was approximately 2'from the tank. Roots could have grown through/broken the outlet pipe Recommend digging UP the outlet pipe and local ing the S.A.S. 3 f Page 4 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 11 Nves Point Way Centerville, MA Owner: Leonard Bvan Date of Inspection: October 8, 2003 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than '/z day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped— ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] No (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 11 Nves Point Way Centerville, MA Owner: Leonard Byan Date of Inspection: October 8, 2003 Check if the following have been done: You must indicate`yes"or"no"as to each of the following: Yes No ✓ Pumping information was provided by the owner,occupant,or Board of Health ✓ Were any of the system components pumped out in the previous two weeks ? ✓ _ Has the system received normal flows in the previous two week period? ✓ Have large volumes of water been introduced to the system recently or as part of this inspection ? ✓ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ✓ Was the facility or dwelling inspected for signs of sewage back up? ✓ Was the site inspected for signs of break out? ✓ Were all system components,excluding the SAS, located on site? ✓ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum ? ✓ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes No ✓ Existing information. For example,a plan at the Board of Health. ✓ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)]. 5 Page 6 of I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: I Nves Point Way Centerville, MA Owner: Leonard Byan Date of Inspection: October 8, 2003 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): n1a Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): n/a Number of current residents: 0 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): No [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings, if available(last 2 years usage(gpd)): Private well Sump Pump(yes or no): No Last date of occupancy: End of September 2003-per owner COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): Qpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system (yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: January 2003-per owner Was system pumped as part of the inspection(yes or no): No If yes, volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ✓ Septic tank, distribution box, soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes,attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components, date installed(if known)and source of information: t Early 1970s-per owner Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 11 Nves Point Way Centerville, MA Owner: Leonard Byan Date of Inspection: October 8, 2003 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _40 PVC other(explain): Distance from private water supply well or suction line: Comments(on condition of joints, venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 16" Material of construction: ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1000 gal. Sludge depth: I,, Distance from top of sludge to bottom of outlet tee or baffle: 31" Scum thickness: I" Distance from top of scum to top of outlet tee or baffle: 8" Distance from bottom of scum to bottom of outlet tee or baffle: 10" How were dimensions determined: Measuring stick Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): The liquid level was above the outlet pipe Cement tees were present There did not appear to be any signs ofleakage Unable to snake through the outlet pipe in tank to locate the leach field GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 7 Page 8 of I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 11 Nves Point Way Centerville, MA Owner: Leonard Byan Date of Inspection: October 8, 2003 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: n/a (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover,any evidence of leakage into or out of box, etc.): PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 f N Page 9 of 1 I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: I Nves Point Way Centerville, MA Owner: Leonard Byan Date of Inspection: October 8, 2003 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: leaching chambers,number: leaching galleries,number: leaching trenches,number, length: leaching fields,number,dimensions: overflow cesspool,number: Innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding,damp soil,condition of vegetation,etc.): Unable to locate the soil absorption system. CESSPOOLS: -- (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth -top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: None (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.): 9 i Page 10 of 11 . OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 11 Nves Point Way Centerville, MA Owner: Leonard Byan Date of Inspection: October 8, 2003 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sew a disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all we kvithin 100 feet. Locate where public water supply enters the building. 8 7 I A C3 30 la y 0-T- 6 4 a 3a O wc,11 Page 1 1 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 11 Nyes Point Way Centerville, MA Owner: Leonard Byan Date of Inspection: October 8, 2003 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 10 +/- feet Please indicate (check) all methods used to determine the high ground water elevation: Obtained from system design plans on record- If checked, date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain: topographic and water contour maps Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Using the Barnstable topographic map and the Cape Cod Commission water contours maps the maps were showing approximately 10'+/approximately 10'+/-to-around water at this sitewater at this site. This report has been prepared and the system inspected and conditionally passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the system, the inspection and/or this report. i ! 1 � 1' r N ll ti LEGEND — — — N TOWN OF BARNSTABLE ® �,,nberry Ln — 20 —— EXISTING CONTOUR PARCEL ID: 233-068 x 20.12 EXISTING SPOT GRADE 30 �' 22 PROPOSED CONTOUR Shaatf�y'o9 a 2z.$ PROPOSED SPOT GRADE DIRT DRIVE TO 37,17 m ♦ EXISTING WELL ✓V BE REMOVED -53(G_,- E_ C�f e •� x 3568 s Ave. GL -.4 OVERHEAD WIRES 37\87 e� - — -- �l' f a�a Po x 18.63 Y / \ Lakeview 5 you WETLAND FLAG m NI) Drive. Q o WET, -103 0 �e WETLAND SYMBOL TEST PIT / �l point B BENCHMARK Wequaquet / / �' �� STRIPOUT TO `D N es Ne°µ Lake EXISTING S.A.S!�approx.) / 38.9 ��/ ,, SUITABLE SAND D a OCUS ABANDON & RFCMOVE / / e\ G�O� ��• (SEE NOTE 11) < /� AS REQUIRED/ / TP-1 �1 36,26 CD LOCUS MAP ( PROPOSED PUMP / 0 � _ 101 POLYLI ER 5' OFF S.A.S. NOT TO SCALE I CHAMBER \ �'�� 1-_7 56 TOP OF QNER, EL.=40.7 44 3 Lrn T- - L"�— BOTTOM OF LINER, EL.=36.7 -W E N/F HUGHES, N RICHARD L � ,11 � 40,06 \ — 9 85 P 10 NYES POINT WAY Paved_ PARCEL ID: 233-067 DTI ve I L I 1 0 / 5.59 63, I o► I / 00co BP/V102 PROPOSED SINGULAIR �I I (2 TREATMENT UNIT A ��' 40,2 ���PK S 4 29 I a I ^1 I I� AL � o EXISTING SEPTIC TANK 5� ti e' O 40.4 c.► -�� TO BE PUMPED, RUPTURED, FILLED / �04 Fe O 1)3' tv ry WITH SAND AND ABANDONED. / 0 0`� 4 6 '0 o I'x m 0� I 4,9 Benchmark set 1,02 4 ,3� •� 6,11 Rt. outside Con Bott. Step EL.=41.67 (NGVD) / A- `41.20 O 34,81 ,70 3 y� x ��NI!=j OF M4ss V, 81 / 42,48 g"5� ,EXISTING'// ��, ° 4.46 �� �Ve Vegetated ��� 9 x 41,13 a 9 P 4 0,82 HOUSE(#11) TOF=41.91' o �o Wetland —7 0 PETER T. 44,51 1 /1v H— (N.G.V.D.) Sunroom > v �Ilc McENTEE 40,21 C Above Cx , ,,off 70 CIVIL ' J4 8 / of (No Fdn cn /` No. 35109 �. X.r38.7 4 4r �z" �° 34� \ �,� �ECIST �o ILot / - ;� _ Deck iF FSS NG� 44;84 2j1,8i9 . S.F. / Abo� o F� L❑ /WF,LL 10.50t/AC. / -BPPJV107 36,27 , x 33.80 x 3479 x l Map/ 2313 /�.3 5.1 - Q U / x 36,2-4 60, Marcel ,69 / en� �0 o // O/� / `•�'�. V 203.75�., l%t 4.51 BP/ `� �` 35.2 4 S 86 28 40 W Sp � /V 1 4 SEE SHEET 3 FOR GENERAL NOTES AND VARIANCE REQUESTS. IP/UP 1 FT •36.20 N/F NABLO REALTY TRUST • 34,73 �3�,73 BP/V108 W NABLO, SAMUAEL V & RUTH J TRS �. �• AL PROPOSED SEPTIC SYSTEM UPGRADE PLAN 6' 130 NYES NECK ROAD PARCEL ID: 233-022-001 �. CENTERVILLE MA .� ••., •••�.�•� 1 1 NYES POINT WAY, , 35,20 X• BP05,07 AL for: Mary Schoebel, 102 Nyes Neck Lane, Centerville, MA 02632 WETLAND DELINEATION PLAN REVISIONS: 6/1/10 1 REVISE NOTE 5, 7 & 11. Engineering by: SCALE DRAWN JOB. NO. VACCARO Environmental Consulting FLOOD ZONE DESIGNATIONS FROM 2� LABEL STRIPOUT & POLY LINER - SHEET' 1. "=20' P.T.M. 138-1.0 COMMUNITY PANEL NO.250001 0005 C Engineering Works, Inc.17ZC P.O. Box 955 PLAN REVISIONS: 6/24/10 1 ADD PRETREATMENT UNIT & PUMP CHAMBER 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. Sandwich, MA 02563 Revised August 19, 1985 2� ADJUST PROPERTY LINES (508) 888-5855 Site lies within Zone C PLAN REVISIONS: 7/8/10 1 AOD NOTE TO REMOVE DIRT DRIVE (508) 477-5313 5/11/10 P.T.M. 1 Of 4 fq r NOTE: TO PREVENT BREAKOUT, A 40 MIL POLY LINER SHALL BE PLACED 5' OUTSIDE THE S.A.S.• AS SHOWN ON THE PLAN AND SET LINER BETWEEN PROPOSED SINGULAIR TANK PROPOSED PUMP CHAMBER PROPOSED D—BOX EL.=40.7(TOP) AND EL.=36.7(BOTTOM) INSTALL RISERS & COVERS OVER EACH MANHOLE PROVIDE RISERS WITH FRAMES & COVERS OVER INSTALL WATERTIGHT RISER, FRAME AND SET AT, OR ABOVE, FINISH GRADE PER EACH ACCESS MANHOLE AND SET TO FINISH GRADE. & COVER SET TO FINISH GRADE. PROPOSED S.A.S. MANUFACTURERS RECOMMENDATIONS MANHOLES BROUGHT TO GRADE SHALL BE SECURED INSTALL INSPECTION PORT OVER END UNIT T.O.F.-41.91 t TO PREVENT UNAUTHORIZED ACCESS. EXISTING F.G. EL: 41.5t F.G. EL: 41.5(MIN.) F � F.G. EL: 40.5t F.G. EL: 40.5t f 36" MAX. COVER MAINTAIN 2% GRADE (MIN.) OVER S.A.S. fNC _ ) INSPECTION PORT L =25' ® S=1% (MIN.) RE-CIRCULATION PIPE 'LjNR�s 4BENDS 4"LSCH640 PVC 4"SCH40 PVC L-2' 6 ® S= 1% (MIN.) ® S=1% (MIN.~- 10., '+ PROPOSED 4"SCH40 PVC 3" TO INVERT 3 ROWS OF 3—CULTEC C-4 UNITS x 8'/UNIT=24' INV.=38.25 INV.=40.28 INV.=40.1 1 SINGULAIR BIO—KINETIC (USE C-4 HD UNITS — H-20 RATED) TREATMENT SYSTEM INV.=37.83 2 FLOATS PROPOSED D—BOX MODEL 960 NR 6 OUTLETS (MIN.) INV.=40.05 SOIL ABSORPTION SYSTEM (PROFILE) (SEE DETAIL—SHEET 4) INV.=37.92 HIGH G.W. INSTALL ONE LENGTH OF 4"INSTALL ESTABLISH VEGETATIVE COVER SCH 40 PERFORATED PVC CULTEC NO. 410 FILTER FABRIC BOTT. EL.=33.25 EL.=34.8 1000 GALLON MONOLITHIC PIPE AT EACH INLET TO EXTEND THROUGH STARTER UNIT BACKFILL WITH CLEAN SAND RE—CIRCULATION PUMP CHAMBER (H-10 RATED) WITH CAPPED END. HOLES SHALL BE FACED DOWNWARD. (NATIVE OR PERC SAND) TIE IN TO EXIST. PUMP (by singulair) (See Pump Detail, Sheet 3) 12" SEWER OUTLET : ; ; ' ::: ~ " BREAKOUT=TOP OF UNIT (min.) �` ''`""• ' ' ' INV.=39.08 TOP OF CHAMBER ELEV.=40.60 INV.ELEV.=40.05 NOTES: BOTTOM ELEV.=39.80 — III®IIIII�IIIII�II EXISTING 1) SINGULAIR UNIT, PUMP CHAMBER & D—BOX SHALL BE SET LEVEL 5' MIN. ABOVE BOTTOM OF 48" (TYPICAL) SUIT BLE AND TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX INCH T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH=12.0' CRUSHED STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). USE 3 ROWS OF 3—CULTEC C-4 FIELD DRAIN UNITS 2) INSTALL INLET & OUTLET TEES AS REQUIRED. ESTABLISHED HIGH G.W., EL=34.80 WITH NO SEPARATION BETWEEN EACH ROW & NO STONE 3) MAX. COVER OVER SEPTIC TANK, D—BOX & S.A.S. SHALL BE 36". SEPTIC SYSTEM PROFILE 4) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INVERTS PRIOR SOIL ABSORPTION SYSTEM (SECTION) TO CONSTRUCTION. N.T.S. N.rs SOIL LOG DESIGN CRITERIA NUMBER OF BEDROOMS: 3 BEDROOMS DATE: APRIL 22, 2010 (REF.# 12,898) SOIL TEXTURAL CLASS: CLASS I SOIL EVALUATOR: PETER MCENTEE PE, CSE DESIGN PERCOLATION RATE: 2 MIN/IN Sunroom Deck WITNESS: DAVID STANTON IRS, CSE DAILY FLOW: 330 G.P.D. Above DESIGN FLOW: 330 G.P.D. (No Fdn) Above GARBAGE GRINDER: NO L- Elev. TP— 1 Depth EIeV. TP—2 Depth 38.2 A 0" 38.0 A O LEACHING AREA REQUIRED: (330) = 445.9 S.F. EXIST/N SANDY LOAM SANDY LOAM .74 HOUSE(#11) 37 2 IOYR 4/2 12" 37.0 l OYR 4/2 12 PROPOSED SEPTIC TANK: SINGULAIR 960 NR 500 GPD TREATMENT UNIT TOF=41.91 PROPOSED PUMP CHAMBER: 1000 GALLON CAPACITY nD^ (N.G.V.D.) B LOAMY SAND B LOAMY SAND USE 3 ROWS OF 3 CULTEC C-4 UNITS WITH NO STONE ` 10YR 5/8 24" 1 1OYR 5/8 FOR AN S.A.S. HAVING THE DIMENSIONS: 12.0' x 24.0'. �'"' N 35.5 C1 32" 35.0 36" BOTTOM AREA: (GENERAL USE APPROVAL FOR 6.7 SF/LF) g44.2' 36 C1 3 UNITS x 8.0'/UNIT = 24.0 FT 3 ROWS x 24.0' x 6.7 SF/LF = 482.4 SF ♦ DESIGN FLOW PROVIDED: 0.74(482.4 S.F.) = 357.0 G.P.D. ♦ %� tK PROPOSED SEPTIC SYSTEM UPGRADE 'b- �gti 33.2 STG. GW _ 60" 33.2 STG. GW — 58" 11 NYES POINT WAY, CENTERVILLE, MA c� ' ♦ LOAMY SAND LOAMY SAND � Prepared for: Mary Schoebel, 102 Nyes Neck Lane, Centerville, MA 02632 10YR 5/3 9 10YR 5/3 Q- ♦ 6 Engineering by: SCALE DRAWN JOB. NO. 31.7 78" 31.5 78" NTS P.T.M. 138-10 y Engineering Works, Inc. PERC RATE = 2 MIN./INCH "C2" HORIZON TP-1 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. SEPTIC LAYOUT ESTABLISHED HIGH GROUNDWATER, EL. 34.8 (LAKE WEQUAQUET) _ 13 5/11/10 P.T.M. 1 508 477 53 2 of 4 21" 6-4POLYSEAL. 2„ 2" 1 NEMA 4 JUNCTION BOX CORROSION RESISTANT & LIQUID-TIGHT CABLE CONNECTORS SUPPORTED PROVIDE WATERTIGHT CONCRETE RISER WITH BY 1-1/4" PVC CONDUIT. JOINTS TO BE MADE SECURED FRAME & COVER TO GRADE WATERTIGHT. USE SJE RHOMBUS-JB PLUGGER N OR EQUAL. 6d INSTALL 1' PVC CONDUIT TO HOUSE FOR WIRING HOISTING CABLE 709 STAINLESS STEEL WITH WATERTIGHT JOINTS. WIRE HIGH WATER ALARM . 1/8" DIAMETER. / 1,760 LB. STRENGTH. FLOAT TO SJE RHOMBUS TANK ALERT XT ALARM PANAL Top View Section ON CIRCUIT SEPARATE FROM CIRCUIT TO THE PUMP. c�1 /� INV.(IN)=37.83 2" GATE VALVE (FIELD ADJUST FOR 20 GPM RATE) D_B[�OX 2"SCH. 40 DISCHARGE TO D-BOX ALARM ON EL: 35.58 2" 90' ELBOW W/ 1/4" WEEP HOLE GENERAL NOTES: PUMP ON EL: 34.92 FOR SELF-DRAINING FORCE MAIN ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL 2" SWING CHECK VALVE 1. BOARD OF HEALTH AND THE DESIGN ENGINEER. PUMP OFF EL: 34.25 24 16» ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS BOTTOM OF 1 8� 2" SCH. 40 PVC DISCHARGE PIPE 2. OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE PUMP CHAMBER LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW: ELEV.= 33.25 - ADDITIONAL 3/16" VENT HOLE (MIN.) ABOVE PUMP FLANGE 310 CMR 15.405(e)- CONTENTS OF LOCAL UPGRADE APPROVAL PROVIDE 2 FLOATS: 4" ABS PL(TO PREVENT PREMATURE PUMP BURNOUT) FLOAT NOA: PUMP ON/OFF-ABS FLOAT PROVIDED WITH PUMP 1) 1 32' variance, S.A.S. to bordering vegetated wetland, for an -EF 04W PUMP .4 H.P. 115 V 8' setback. FLOAT NO.2: ALARM ACTIVATION FLOAT-PROVIDED WITH ALARM PANAL ABS DISCHARGE LOCAL REGULATION Chapter 360. Article 1 - Setback Requirements (ON SEPARATE CIRCUIT FROM PUMP SPECIFIED) NTH2) An 82' variance, S.A.S. to Wetland, for a 18' setback. PUMP CHAMBER, PUMP & ACCESSORIES AVAILABLE AS A UNIT 3) A 29' variance, Septic Tank to Wetland, for a 71' setback. ACME PRECAST M INC.,ACCEFALMSSORIES UTH. V (50LE AS A UNIT 4) A 37' variance, Pump Chamber to Wetland, for a 63' setback. NOTE: APPROVED ALTERNATE MAY BE SUBSTITUTED. 5) A 49' variance, S.A.S. to abutting well, for a 101' setback. 6) A 5' variance, S.A.S. to Locus well, for a 145' setback. 7) A 43' variance, septic tank to abutting well, for a 57' setback. PUMP DETAIL 8) A 37' variance, pump chamber to abutting well, for a 63' setback. 9) A 7' variance, septic tank to Locus well, for a 93' setback. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR N.T.S. TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. BUOYANCY CALCULATIONS 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING CULTEC CONTACTOR FIELD DRAIN C-4(HD) SINGULAR TREATMENT UNIT ENGINEER NEER BEFOREM THOSEWCONSTRUUCTIONHEREONALL CO NTINUESORTED TO THE DESIGN BOTTOM OF UNIT EL.= 33.25 5. ALL ELEVATIONS BASED ON AN N.G.V.D. MODEL FD C-4 R STARTER 4" DIA. INSPECTION PORT HIGH GROUNDWATER EL.=34.8 (ESTABLISHED) 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF SMALL RIB LARGE RIB ' ' ° . BUOYANCY FORCE PER FOOT OF DEPTH: THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF ° ° ° ' ° ° ° 9.3 x 6.0' x 1' x 62.4 lbs./cu.ft. = 3481.9 lbs. HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. ^ R ^ R MAX. DISPLACEMENT= 34.8 - 33.25 = 1.55' 7. WATER SUPPLY PROVIDED BY PRIVATE WELL. MAX. UPLIFT PRESSURE = 1.55' x 3481.9 Ibs/ft = 5396.9 lbs. ° WEIGHT OF UNIT EMPTY = 14,500t lbs. 8. THERE ARE NO PRIVATE WELLS WITHIN 100' OF THE PROPOSED S.A.S. MODEL FD C-4 E MIDDLE/END ° ° ° ° 14,500 lbs >5397 lbs O.K. 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS SMALL RIB LARGE RIB 48 ° ° ° AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES. 000 GALLON PUMP CHAMBER BOTTOM OF UNIT EL.= 33.25 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE HIGH GROUNDWATER EL.=34.8 (ESTABLISHED) THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 12" BUOYANCY FORCE PER FOOT OF DEPTH: 1 1. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS 3 x x 1' x 62.4 Ibs./= 34ft. - 33 .9 lbs. IN THE AREA BENEATH AND for 5' ON ALL SIDES OF THE S.A.S. AND MAX. DISPLACEMENT = 3 1. - 33.25 5 1.55' replace WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). 8 5' MAX. UPLIFT PRESSURE = 1.55' x 2545.9 Ibs/ft = 3946.1 lbs. 4" DIA. WEIGHT OF UNIT EMPTY = 9000t lbs. 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE 3" 8.0 9000 lbs >3946 lbs O.K. INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. 13. A PERPETUAL OPERATION & MAINTENANCE AGREEMENT WILL BE �5„ 8� DOSING & STORAGE REQUIREMENTS REQUIRED WITH THIS DESIGN. ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° LARGE RI DESIGN FLOW: 330 GPD PROPOSED SEPTIC SYSTEM UPGRADE SMALL RIB DOSING REQUIRED: 4 CYCLES/DAY (SAND) 330 - 4 = 82.5 GALLEONS/CYCLE DISTANCE REQUIRED BETWEEN PUMP 1 1 NYES POINT WAY, CENTERVI LLE, MA ON AND PUMP OFF FLOATS: Prepared for: Mar Schoebel, 102 N es Neck Lane, Centerville, MA 02632 CULTEC CONTACTOR FIELD DRAIN C-4 CHAMBER STORAGE = 1.692 CF/FT P y y ALL CONTACTOR FIELD DRAIN C-4HD HEAVY DUTY UNITS ARE MARKED W/TH A COLOR STRIPE FORMED INTO THE PART ALONG THE LENGTH OF THE CHAMBER. 82.5 GAL/CYCLE = 125 GAL/FT = 0.66 FT/CYCLE 3) 775-4416 TM STORAGE REQUIRED ABOVE WORKING LEVEL: 330 GALLONS Engineering by: SCALE DRAWN JOB. NO. CULTEC, Inc. PH: (20 P.O.Box 280 PH: (80 ) 4-CULTEC CULTEC Contactor®and Recharger® STORAGE PROVIDED: Engineering Works, Inc. NTS P.T.M. 138-10 878 Federal Road FX: (203) 775-1462 Plastic Septic and Stormwater Chambers INV.(IN) EL: 37.83 _PUMP ON EL: 34.92 = 2.91' 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET N0. Brookfield,CT06804USA www.cuitec.com CULTEC STORAGE PROVIDED - 2.91' X 250 GAL/FT = 725.5 GALLONS (508) 477-5313 5/1 1/10 P.T.M. 3 of. 4 NORWECO FRESH AIR VENT ASSEMBLY AERATOR MOUNTING CASTING OPTIONAL BIO-SANITIZER® CHLORINATION SYSTEM ' UNDERGROUND POWER SUPPLY ENTRANCE OPTIONAL BIO-NEUTRALIZER® DECHLORINATION SYSTEM 810-KINETIC® SYSTEM MOUNTING (SEE AERATOR MOUNTING AND INSTALLATION SINGULAIRe AERATOR DURABLE CONCRETE OR PLASTIC RISER & COVER CASTING AND COVER DETAIL DRAWING) (SEE NOTE 1) BIO-KINETIC® SYSTEM LOCKING LUGS GROUT OR SYNTHETIC SEAL 1/2" id CONDUIT WITH PVC GENERAL NOTES DISCHARGE TUBING FROM PUMP GROUT OR SYNTHETIC SEAL 12"-24./ DIAMETER EFFLUENT LINE t2"-24" 4" 1. SINGULAIR®AERATOR, AS TESTED GROUT OR SYNTHETIC SEAL CONC. OR PLASTIC COVER DEPTH OF FILL 1' - 2" AND ACCEPTED BY NSF. II POWER FROM CONTROL BOX 2. FALL THROUGH SINGULAIR(R) PLANT FROM `oI 0,_3„ a 15" DIA. SCH 40 PVC INLET INVERT TO OUTLET INVERT IS (SEE NOTE 4) FOUR INCHES. INLET INVERT IS TWELVE INCHES BELOW TANK TOP. MOISTURE TIGHT PLUG 3. ON DEEPER INSTALLATIONS, PRECAST 2 1/2" �I` DISCHARGE TUBING RISERS MUST BE USED TO EXTEND i o AERATOR MOUNTING CASTING AND CASTING PICK-UP BIO—KINETIC® SYSTEM MOUNTING CASTING � a0 TO GRADE. INSPECTION COVER ON 0'-2" RE-CIRCULATION PUMP GROOVE, TYPICAL PRETREATMENT CHAMBER MUST BE (SEE NOTE 4) p•-2" (Provide�by,,siin�gulaiCr) DEVELOPED TO WITHIN TWELVE INCHES SINGULA ® �o 60. 4. TANK RRENFORCED PER ACI STD. 318-83. °o. SYSTEM DISCHARGE 5. REMOVABLE COVERS ON RISERS WEIGH IN EXCESS OF SEVENTY FIVE POUNDS PRETREATMENT CHAMBER ;.� BIO-KINETIC® SYSTEM 1 -p EACH TO PREVENT UNAUTHORIZED 5'_6" ACCESS. 0 SUBMERGED TRANSFER PORT EXTENDED AERATION CAST-IN-PLACE AERATION FINAL CLARIFICATION CHAMBER OUTLET END VIEW 6. TOTAL SYSTEM CAPACITY: 1300 GAL. CHAMBER CHAMBER TRANSFER PORT BIO-STATIC a SLUDGE RETURN SECTION A—A ADDITIONAL NOTES 1. ALL RISERS SHALL TERMINATE ABOVE GRADE AND BE ACCESSIBLE TO FACILITATE SERVICE. 2. CONTROL PANEL SHALL BE MOUNTED ON THE OUTSIDE OF A BUILDING IN THE VICINITY OF THE SINGULAIR REMOVABLE INSPECTION COVER FOR ACCESS BY THE OPERATOR DURING SERVICE. WITH CAST—IN—PLACE HANDLE ELECTRIC POWER FROM CONTROL PANEL FOR AERATOR MOTOR 3. INSTALLATION SHALL BE INSPECTED AND A CERTIFIED START—UP PERFORMED BY AN OPERATOR AUTHORIZED ALTERNATE INLET LOCATION BY THE MANUFACTURER. ELECTRIC POWER FROM CONTROL PANEL FOR RE—CIRCULATION PUMP 4. DETAIL SHOWS RE—CIRCULATION PUMP IN SEPARATE HOUSING. RE—CIRCULATION PUMP MAY RESIDE IN 1000 GALLON GROUT OR SYNTHETIC SEAL AERATOR MOUNTING CASTING AND COVER PUMP CHAMBER AS SHOWN ON SEPTIC PROFILE. CONTRACTOR SHALL CONSULT WITH SINGULAIR AS TO PREFERENCE. WITH FRESH AIR VENT ASSEMBLY I I I I I I GROUT OR SYNTHETIC SEAL SINGULAIR® BIO—KINETIC® 4 DIAMETER EFFLUENT LINE WASTEWATER TREATMENT SYSTEM N I I I " A MODEL 960 NR �O 500 GPD TREATMENT CAPACITY H 4 DIAMETER INLET LINE NORWECO BIO-KINETIC® SYSTEM Siegmund Environmental Services Inc. I I I I 49 Pavilion Avenue, Providence, RI 02905 BIO-KINETIC® SYSTEM MOUNTING Tel: 401 785 0130 Fax: 401 785 3110 PRETREATMENT CHAMBER — — J L — — — —I L — — CASTING AND COVER . 1/2" ID CONDUIT WITH PVC ALTERNATE INLET LOCATION DISCHARGE TUBING FROM PUMP PROPOSED SEPTIC SYSTEM UPGRADE 2'-8" 3'-7" 2'-3" FINAL CLARIFICATION CHAMBER 9'-3" 11 NYES POINT WAY, CENTERVILLE, MA EXTENDED AERATION CHAMBER Prepared for: Mary Schoebel, 102 Nyes Neck Lane, Centerville, MA 02632 Engineering by: SCALE DRAWN JOB. NO. 1" CONDUIT WITH PVC PLAN VIEW Engineering Works, Inc. NTS P.T.M. 138-10 DISCHARGE TUBING FROM PUMP 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET N0. (508) 477-5313 5/11/10 P.T.M. 4 of 4 LEGENC. N TOWN OF BARNSTABLE ® Cranberry �^ 20 EXISTING CONTOUR PARCEL ID: 233-068 3O �a x 20,12 EXISTING SPOT GRADE h �� z 22 PROPOSED CONTOUR S �SO7, Shaott�`I`r`9 a m 22.8 PROPOSED SPOT GRADE DIRT DRIVE TO 37,17 ♦ EXISTING WELL N N BE REMOVED S300' x 35 68 C e D ^es Ave. 6L 4.W4 OVERHEAD WIRES 37;87 �� �y Lakeview yaJ yoc� P` x 1a63 WETLAND FLAG m N e1 o'Q'f"� Drive o WET/V-103 d d m Q e WETLAND SYMBOL TEST PIT �� �l o oint BENCHMARK �rL l�2 r c<D oyP woy We ua uet v' STRIPOUT TO µ L R /` 38.9 d' SUITABLE SAND Nes�ec a Lake EXIS77NG S.A.S.(approx.) ng 1 (SEE NOTE 11) � OCUS ABANDON & REMOVE \ <' AS REQUIRED: pe 36.26 G� rP-1 � LOCUS MAP PROPOSED PUMP 101 POLYLI ER 5' OFF S.A.S. NOT TO SCALE CHAMBER %� i F-_1 0 56. TOP OF INER, EL.=40.7 O„• 3 r— A BOTTOM OF LINER, EL.=36.7 E L i vi N/F HUGHES, N RICHARD 44 9,85 a �� P I�I 10 NYES POINT WAY d tKV /' O',40,06 -( Paved PARCEL ID: 233-067 63. Drive 5.59 I Of o �, � BP V 102 I PROPOSED SINGULAIR sue' 4 29 irI I :2 U) TREATMENT UNIT .\� ' 40,2 '' I"K S T a 1 I I �1l4 O EXISTING SEPTIC TANK 5� 0`Z� e e' p 40.4 �1 TO BE PUMPED, RUPTURED, FILLED 4 F D �� 63 N WITH SAND AND ABANDONED. ' O� X 4 6 0 _\ o 0 � 1,02 ` 4 4,9,3 °c Benchmark set Q 5Q� ' > 6.11 Rt. outside Cor. Bott. Step EL.=41.67 (NGVD) 41.20 O 70 ;42,07 '"` 34,81 7z. 0, MMao -AIL- --EXIST SEWER X 35B ��� / 4 46 S !NV.=39.08 42,48 g"5 EXISTING �D tD � �l/egetated Q��� OF Mgss9� V x 41.13 40.82 HOUSE(#11) ,w o / Wet/an d� _ PETER n TOF=41.91' "Sunroom Z M ENTEE 44.51 — .H:yr 9-= ---�.H: Q E N.G.V.D. o r� CIVIL U 10 ll 40.21 C ) (No Above N �x ,70 v o. 35109 n �£G/SS Lot 8' ' :��� Decki FS ENG 44,84 21,819f•S.F. 'X' .. Above.: o �v ' L❑ /WEL 0.50t AC. P/V107 36.27 33.80 x x 34.79 (� \9 Parcel�j Map 233 �•�.11 36.2-4 I e ` �011 203,75' 4.51 �Q) � �. BP/V S 8628'40" W fit /V1 4 O SP �/ SEE SHEET 3 FOR GENERAL NOTES AND VARIANCE REQUESTS. '�3 5.2 4 ..--- - / IP/UP 1 FT 36.20 N/F NABLO REALTY TRUST •� 34.73 j3�.73 PROPOSED SEPTIC SYSTEM UPGRADE PLAN B P/V 108 NABLO, SAMUAEL V & RUTH J TRS •/• o' 130 NYES NECK ROAD �• x / PARCEL ID: 233-022-001 �. /• 11 NYES POINT WAY, CENTERVILLE, MA -035.07 Prepared for: Mary Schoebel, 102 Nyes Neck Lane, Centerville, MA 02632 35.20 X '' BP/V105 AL Engineering by: SCALE DRAWN JOB. NO. PLAN REVISIONS: 6/1/10 1 REVISE NOTE 5, 7 & 11. "= WETLAND DELINEATION FLOOD ZONE DESIGNATIONS FROM 23 LABEL STRIPOUT & POLY LINER - SHEET 1. Engineering Works, Inc. 1 20' P.T.M. 138-10 VACCARO Environmental Consulting 05 C REVISIONS: 6 24 10 1 ADD PRETREATMENT UNIT & PUMP CHAMBER August 19 N0.250001 00 PLAN REV S / / 02644 DATE P.O. Box 955 .COMMUNITY P 12 West Crossfield Road, Forestdale, MA CHECKED SHEET N0. Sandwich, MA 02563 Revised August 19, 1985 2 ADJUST PROPERTY LINES 5/11/10 P.T.M. 1 Of 4 (508) 888-5855 Site lies within Zone C PLAN REVISIONS: 7/8/10 .1) ADD NOTE TO REMOVE DIRT DRIVE (508) 477-5313 i TYPICAL 1500 GALLON SEPTIC TANK Design�4lculptions ALL OUTLET PIPES FROMMALL THE ona*ai DISTRIBUTION BOX SHALL BE '" M`,'�°,5•:.. SET LEVEL FOR AT LEAST 2 FT. 12" -'• CONCRETE CODER Number of Bedrooms: 3 Equivalent to 330 Gal./Day (330 Gal./Day Min, per Title V) NOT TO SCALE Garbage Grinder: No 6 - s' OUTLET ;';...� ,..,, z ly Leaching Capacity Proposed: 330 Gal./Day Minimum (Min. Per Title V) _ �� I KNOCKOUTS , 28' MIN 94 MIN--.- /---SEPTIC TAW Septic Tank - 2 x 330 Gal./Day - 660 USE NEW 1,500 GAL. Septic Tank. ,5.5• OUTLET •`' �i `4 12• INLET ``*.• ' ALTERNATE ORIENTATION -54'(137cm) -•-2 5/8' MIN(6.7cm) 71cn SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch - � / •, � e' �. � 6x� Bottom Area: 0.74 gal/sq. ft. x 300sq. ft. - 222.00 gallons I ``- 11 �'R ftf+l Way I I i . . ..,r., fC fr -T I Sidewall Area: 0.74 gal./sq. ft. x 148 sq. ft. = 109.50 gallons -,as'- a" - SCH. 40 T ' I Providing: = 331.50 gallons I.7s ' - I- +i 350 0 GA N �T450 GA \ T t 23,4cm IN Use: (2) PRECAST 500-C UNITS, HAVING A 2' EFFECTIVE DEPTH, Y 1 1704L MIN INLETS II 1 �N� I TO BE USED WITH 3.5' OF WASHED STONE ON THE SIDES AND PLAN-SECTION CROSS SECTION • I '<63.5cn> I �� I 4' OF WASHED STONE ON THE ENDS. y}' 1 22ce• MIN.) cow I ( 137cn4• 59' MIN. 3 HOLE H- 10 DISTRIBUTION BOX T N! u '. 7� 31' MIN I I ®r ) ISOcn NOT TO SCALE m WAd3«rs»y 0.04i NJ�JrGG 79cn ;. ; A I ( -Lie I SENERAL U0 ES II � 1. Controctc- is responsible for Dlgsafe Hari' al o i NCRE and protection of c'' urderground ut ties Ana )ipes. TLET (CAN BE LDCATED--� I OPPOSITE SIDE) 2, The septic tank anC dish b41on box s3hal' be 8 't level on 6" of 3/4"-1 1/2 stone. 3. Backfill sroulc ,)e c:ean sand or grey tl w; h n( stones over 3" in size. 4. This system is sub�ect to inspection r-urine ;ns illation ' CLEANOUTS. by Carmen, E. Shay - E-v'ror entc Sery )es, nc. TWL FOR USE REMOVAL. � 5. The contractor sha' instal! this systeri in acrcrdance CONCRETE SEPTIC TANK with Title V Of the MosscChuse`*,s s;cte c( de, fie approved plan SEE NOTE 3. see note 2 and Local Regu.ations. I ABOVE t/4-3/8' DIA. 6. If, during inst`Tiotion the COntrcctor "nco, ,tern any NORMAL Note: Remove soil down to el. 92.00 & replace with tnc c.e diffe en* ACCESS TO INSPECT PLIMP OUT LEVELS 152� • MUST � PROVIDED. ate 2 For options-• INIPVC PJ,PING. clean coarse sand w/pees. rate I@SS than Or from those St-OWn O'1 the 30� g 0' m CJr design 9H�OL2ESH0DRcI�LLED p ? soil cond*,*ions or site COncitia.n.S IN 6' PIPE. or equal to 2 min./in. before & after placement / installation must hc,t & irrmec:, to n Ai=;c( tior be ATTACH INSECT SCREE �IgI (5 FOOT STRIPOUT ALL AROUND AS SHOWN) made to Carmen E. Shay - En ironrner;o Services, Inc. LOT #7 7. No vehicle or neavy machinery Ihal; dr've o er the UNDEVELOPED septiq system unless notes es '1-20 slot c components. BLOWER W/ HOO CTRICAL CONDUIT 8. Install Tuf-Tite as baffie - + _g s or a 1ua s o< � it _:u�lat tee ends. 3' (7.6cn) MIN. AIR PENT Pp (BY BID-MICR DBICS> (TO BLOWER 9. All Distribution Lines she . be 4' d'cr)eie- '�i 40 NSF PVC pipes. SEE NOTE 1 CONTROL SYSTEM, 6' (15,2cn) OBSERVATI@I POR� _ SEE NOTE 2. SEE NOTE 4> 10. All solid piping, tees & f'-tings s'-.c t : 4" diameter NOTE: 40 MIL RUBBER LINER TO EXTEN Schedule 40 NSF PVC p -es wi h water t;gh joints. Adjacent to Front and SIDE OF HOUSE 11. Municipal Waver is Avai'oo'e. FOUNDATION TO ELEVATION 92.00 I 12. All Abutters within 100 feet of the pr(perty are NOTconected to a municipal water supply. IA -S L('CATE) AS SHOWN. 72 23Scn_ ATER OUTLET �' (5cm) MIN. AIR PIPING \ r _ WASTE D&ET 1Btci- LEC I I MOUNTING HARDWARE. 15'(38cn) / - -r ] ^ I JOINT MUST BE WATERTIGHT. LOT 6 UNDEVELOPED �Xp DEMO: :S , F tiPC'SED # CJ SDO- SPADE _ _ 4 I -3• c7scn> - i / x 104.4' DEMO =X STIr G 4 ,/ ,(` \ ;PO- SI_ACE : ' 47S' (120cn) 1 BLOWER MUST BE WITHIN 100 FEET (30.3n) MUST CONFORM TO ALL COUNTRY, STATE, 4 OF FAST UNIT, FOR DISTANCES GREATER PROVINCE, AND LOCAL CODES. ! / 19.00J / pL THAN 100FEET (30,5n)-- CONSULT FACTORY. �` / -RCOE R ti L 'iE - BLOWER BASE MUST BE LOCATED ABOVE 4 BLOWER CONTROL SYSTEM BY 210-MICROBICS I '� 6' <15.2cn> DIA HOLE C NORMAL FLOOD LEVELS, 5• COPYRIGHT (C) 1999, IIIO-NICROBICS INC. ® �I'�Q�(1S _� ( 17N� �UE� � 2. RUN VENT TO DESIRED LOCATION AND 6. MUST INCREASE TANK SIZE BY 207 IF MIN OF / • COVER OPENING WITH INSECT SCREEN, 10 INCHES IS USED BETWEEN THE UNIT AND Q / / 1 d' NOTE, ODORS MAY BE PRESENT--SEE MANUAL BASE OF TAW. CONSULT THE FACTORY / � JP � / / / / 97 -`-97 ,XI�'I'dC CO '�TOI :R / (. i• ' FOR APPROVAL. ..- / , • OR , 7. THE PRIMARY COMPARTMENT MAY BE A PRIVATE WELL LQ ► SEPERATE TAW. CAP PIPES WITH 6' CLEANOUT. / /,' / / 8. FOUR LEG EXTENSIONS MAY BE USED TO STAND G/ ® NEE ) TEST 'OLE & G' DRILL 8-12 HOLES UNIT IN TANK REMOVING NEED FOR LID. / �jl / / / \\ / \ IN 6N PIPE THE SST UNDER THE PVC CAP SEE ATTACHED DRAWING AND REFER TO ' i�// �+O �S / -' / / O�R 'C L� 'IO1' TE ;T LOCATION 24'(61cn) 4 \ ® 3 All APPURTENANCES TO MICRO FA�l INSTALLATION MANUAL FOR MORE DETAILS. �� \MICRO FAST INSERT (e.g. SEPTIC TAW, PUMP OUTS, ETCJ / / 0 / / '�I�ATE DRII;{{IN.� WATER WELL min. ID'<25.4cn) (gY BID-NICROBICS> (C See Note 6 see note 7 -- LOT #5 T 0. LE #1 , �, -- VIEW A-A - - � ST ri`vc7te VYeth T- vver iav \ Y gam - __ j \ \ - -/ / LOT #8 / .y �; E_._ 1_ _ ��-�� _ From Proposed SAS v121,819 - - / \ ' �21,819 S. F. Date of Percolo an est: .JLY T, 2 04 ; Test =erforrred 3j. ( ARM =N E. SHIA R.S., C.S.E. rn �, Resuls Witressf ; By JA('D S'1ANTON (E�.ARNSTABLE B.O.H.) / Double Staked Perco ation Ratf 2 I :'n./t ch ySSSUMED BLOWER W/ HOOD Hay Bails �\ I SEE NOTE 1 Base Dimensions / �'' �.% l I S `� m Test. Hoi. (BY BIO-MICROBICS) / \ ",. >',y / Section A-A Nc 1 ELECTRICAL CONDUIT 10 1/2 - - cT0 BLOWER o oT PROJECT BENCH MARK / EXISTING / / �O v' iv I _ 4,Q 94 CONTROL SYSTEM, I6 1/2' f-7.5'(19cro TOP OF FOUNDATION 150a GALLON ,. SEE NOTE 4) 6 112 22 /8 (5.7cn) FJYST SYSTEM READY 3 BEDROOM F7717 3/4 (30,5cr,) ELEV. = 100.00 (Assumed) 0 SEPTIC TANK SCREEN / / `I' `L 1 Lo mod' (45cr,) / HOUSE PORC \ Concrete Base o o / // / #f / / ` 3,z _tAo / // / / - f L. :nd / �, �- -- DEC 24' I / \ \ / / // I/ �• 60. 2"' _ 92.E (6Ic�) ,' S:nd ------------------- i I PR'iVATt WELL _ - - `!' I // / ` --�i / z.s 7 4 �2'(5,lcrn) MIN, AIR PIPING 7r-12o' <' Be c B ( o wee Dimensions '� , ' I \ I � o I i I ACCESS TO INSPECT PUMP OUTS \ \� I \ \ L W MUST BE PROViDE00 GRADE. Q + Iy/ \ PercI 1-house 'NOTE: ALL PIPES ARE TO BE 4" SCHECULE 40 P.V.C. I i \ 203.75 Perc Rat!!- S. ..VE NAL' SIS ;0 FOLLOW 10' min, from to septic tank Groundwc ter f:at 0. servftd 'Top over SAS - 102.00 \1 �� ADJUSTEi H2( Ele = No Adjustment Required Finish Grade 99. Flnlah Grade 0-Boa 99.00 To of Foundation Elev. 100,00 N ' \ \� \� \R' 1-3 \190 O I S 0.02 I CID a) + + I 6 HOE CONCRETE FULL S- DIST. BOX 3' Maalmu Over Top of SAS-EIev 99.00 FOUNDATION 0.010 O 4 NEW SEVER PIPE- "" ` ,0Ln FROM FOUNDATION ° �I �► g t 25' �120 foot f-2' Effective Depth q O 0 [7 (500 GAL OCfO G w h o' CAPACITY) p ' ,n -- TY ; n I SYSTEM PROFILE s i A I--3.5 ! Not to Score 6" OF 3/4'-11/2' STONE B e o -l2 I a' 51 ; Private Well is Over 150' I h u n Effective Width a From Proposed SAS I nMICROFAST 0.5 READY � � 1-"1N-10 1500 GAL TANK i ; r 5' STRIPOUT ALL-AROUND o< TO ELEV.-91,00LOT I L - N 6in.ot3/4-_, 1/2 OF PROPOSED SLEPTIC: SYSTEM ' compacted stone i Bottom of Test Hole 1 Elev.- 88.00_ FOUNDATION I- -"AT I O N SECTION A -A PREP4REL FOR (�Jl PROFILE VIEW OF LEACHING SYSTEM i MS . M A R �' S G f-�OB E L ' I AT ��"• b , f INSPECTION ( y,,a- ,,j• . # 1 1 NYES POINT WAY INSPECTION cover mhet Hx \within 6 in. Of finished grade 0 20 40 50 - CENTERVILLE, M4 1 �--- VARIANCES REQUESTED: - F - - I I I F3`� ss ; P EPARED BY: = o 0 0 0 0 2 Units E 8.5' - 17' 19' { 4' n 1. REQUEST AVARIANCE TO INSTALL A FAST SYSTEM TO REDUCE A GN �R /���j n T Fe S ZA V I FOUNDATION fO' •SEPTIC TANK 25'----• D-Box ... 2p' - LEACHING FACILITY SCALE: 1 "=20' NITROGEN RELATIVE TO WELL SETBACKS. ! RN TAT 1 N j11`j j HA EfPectl'2!Length 2. REQUEST AVARIANCE To INSTALL AN SAS 72' FROM A WETLANc. NVIRONMENTAL SERVICES, INC. 3. REQUEST VARIANCE TO USE A SEIVE ANALYSIS a, IN LIEU OF A PERC TEST. ISTER� 34 THATCHERS LANE SOIL ABSORPTION SYSTEM (SAS) O , 500 - C H-20 LEACHING UNITS / WIJGINS PRECAST SCHEDULE OF COMPONENT DISTANCES 4. REQUEST AVARIANCE TO INSTALL AN SAS 60 FEET FROM AN S�NITAR�P� EAST FALMOUTH, MA 02536 Not to Scale ABUTTERS WELL AND 97.5 FEET FROM THE ONSITE WELL. Y _ TEL/FAX : 50$-548-0796 4. REQUEST AVARIANCE TO INSTALL AN SAS 8 FEET FROM THE SCALE: 1 "=20' DRAWN BY: CES DATE: FEBRUARY 4, 2005i HOUSE FOUNDATION WITH A RUBBER LINER. PROJECT#SD690 FILENAME: SD69OPP.DWG SHEET 1 OF 1