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0602 SHOOTFLYING HILL RD - Health (2)
302 Shootflying Hill Ind r- Centerville P A = 193 .035 0 mar ford, NO. 1521/3 ORA ����MIMI 10% No. 42 Fee-A0 THE COMMONWEALTH OF MASSACHUSETTS Entered in bom&ter. PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftplifation for Misposal *pstrm Construction hermit Application for a Permit to Construct( ) Repair(� Upgrade( ) Abandon( ) ❑Complete System ®Individual Components Location Address or Lot NoZ Q,2 5hoo P 125 f4 d Owner's Name,Address,and Tel.No. ,506-3&12- !d03 3 Assessor's Map/Parcel ` 3 3J �h{e�v►`t C `5h,-Idzh,+ r4_ Installer's Name,Address,and Tel.No.6_0S-177/ 9 3,?� Designer's N e,Address,and Tel.No. .Sc3 &r koiGw�_ Cc-*1%t-rcx4ien c(s'-rraLs ►^y ReC .(c�I,YQJlI�/ae�-r ir�e/irxj �2i�<Sr� 0?4(0gB p Type of Building. 7 4- Dwelling No.of Bedrooms Lot Size 30,14 a9 — sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) t3,30 gpd Design flow provided 330 rr �I� Title T �� gpd Plan Date �v 6 r a0("3 Number of sheets 9 Revision Date P� r R ,��SIPlain J_ &oa Se- . .'�t �p �n _ �, Size of Septic TankCYt ' UUO cAj Type of S.A.S.1" ks Description of Soil Nature of Repairs or Alterations(Answer when applicable) EnJifn J- 1 r rnnrwat it ` 1 C 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 Cod n o place the system in operation until a Certificate of Compliance has been issued by this Board of Health. / Signed Date 1 o/3t / Application Approved by Date Application Disapproved b Date for the following reasons Permit No. Date Issued ..--.�� ,-„". �•:..,.^1 >y�i .y, K ............�, ,M,q,-ry• - y,�.,,,pyc•,..=•••-�.-- '1n�k,�+{w�pp:yf•-.w-..........-..�-+r.._ .... - ...-+t a.r.- .-. .u. +F ...r' .-�...-c_ 09 No. ,t l THE COMMONWEALTH OF MASSACHUSETTS 'Entered in computer: PUBLIC HEALTH DIVISION=TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplication for Nsosra, pteA Construction permit Application for a Permit to Construct( ) Repair(W Upgrade( ) Abandon( ) ` Complete System Individual Components Location Address or Lot No.6 Og 1)00rt 'ncz f 4 j i Owner's Name,Address,and Tel.No.5 p$ 9- Ua 3 k � l I r. C) Assessor's Map/Parcel 1 3S v{, , 1 A Installer's Name,Address,and Tel.No,,S JFf-'?'7/- 3�� Designer's Naine,Address,and Tel.No. Sod- 36 915 W Biel G• ire EyYra %3g/ 14�i1 S�- Ada S R11,l�`IIs . {;l�l oaCpYB lhr , r� . M& 6:2e -7 Type of Building: , { Dwelling No.of Bedrooms Lot Size .3o,el DO �- -'sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons - Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 330 gpd Plan Date SU��, I I , �o I � Number of sheets 1 Revision Date Title II i '� 4 1 ;J J Size of Septic TankC'X i I01XI) Type of S.A.S.PreS(„ Description of Soil "Sox- 0-4aA ,-A, Irace r f !i �• Nature of Repairs or Alterations(Answer when applicable)�,fr;ci� y) c �f..n .nL �t,»� �'��,� �1, r,n<'�rr + kbon (1JtiC>ti}}?Gt -Q r rftd/� SY`J C A i«_'nf S 71.." V.AU - - ---_ Date last inspected: - Agreement: ._- i The undersigned agrees'to ensure the construction and maintenance of the afore described on-site sewage disposal system in 1.11 accordance with the provisions of Title 5 of the Environmentall.anil n"to place the system in operation until a Certificate of r Compliance has been issued by this Board of Health. „ Signed / � - Date l of 3( = " Application Approved by / Date // / {Z Application Disapproved;y_1 J' Date for the following reasons tj Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired({�) Upgraded( ) Abandoned,( )by I:,Yir I'6 10't I C. C&r)si (Uctiar1 7LIr— at 661 Shy, �I u i�� N bra ��� rr)r(!44� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No;?013—`iZh dated I �{!Zsr 13 Installer of to(66L �t{�n5�rt.��irwi . .n� Designer ,)1jx0,n (4,��alv #bedrooms _ Approved design flow 3 S'U gpd The issuance of this permit hall not/be construed as a guarantee that the systerwillTfunctiorn es'igned. Date' /170 2 � -j Inspectors -_--_---_No.• O)3 "'T 21_5� ---�-.�,.�_-:-_:-;:..,. �-<-�_-...�.--,>._•.._.._.__...--_•--- -•-----•---- ----------Fee -w� "-•--_--- ... __._ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal .4pstem Construction Permit Permission is hereby granted to Construct( //) Repair(k ) Upgrade( ) Abandon( ) System located at �,Oa '...)�c^"4- J,,;✓�c 1 , 11 ]�l• ( -,n 4 r 1{ I �� -J J and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided::Construction must be completed within three years of the date of this per t. Date ��/ /Zo,(3 Approved bye'"` DEC-31-2013 08:08 From:BORTOLOTTI CDNST 5084289399 To:15087906304 P.1/1 FRAM :down cape engineering imc FAX I0. :150MMM Dec. 31 2013 07:53AM P1 Town of-sar ist-3 bl� �� T>Dueiffiaa��`. i;eaGr~x°, �Aua-ra�tn� 11C.01al Division 19c3[4;'aaxa,Dilrecluir • _ 2(}4b A�'�oa1��'aaa�l',i�g�vr�er�, ,41Zdi4� 5o8-790 63(w Qi}3cn: SOs 8ti�-4C4� CAAAti:� a R' A.D4 8j��a 9'I�fl'lldiG�1�3� �'IDA r .1 ]),Ste: SmEago1��-tinan # 1 •` 'c �u+sensaix~a .i�fmgxtl'� eee� f�W >)re��miQr➢': �104J� � �.in��,tlllet�' �tyr•�!G�, • �.�l4ibeeea; I GLr� Addresa: 1, ��"- � f► on Lie it:.16 v�rr�s A peIlMit to w,f.11 u scp C:s^vstem t 66 bafiet3 On Pi de9ipl �1xclavra'ay � f acl is 1 ce fa.Cy t12at tlu ©Pptara iyekeua,rof'cs�nuiA above vvw 1104 �119 uC:tally accgrciiClg 'Cra L dt.Sig%which Way itwiu.�t�' tSDI���'appxiswtd, r•;7ang 3 Of te 3i ghributti x box and/or sepia twk, t,rirtit 1'lir'+7 *e ;ae: da F;yxtem rotitmmed aburl,, wv ia:itded WILL 1R_f°r uluiz 4;rR (ix, --— gr:r.;R,mf that 10' 1atm,I relacatioa of the 4Aq ox aay vartir,Rl.ee?r;r atiuu of anY uurrspon,ezit of tlu pep q�,aystar,b)bar in a.cc-md eunc vAth Ratu L-naul P revel msuns. lblar revilon.07 ORN rp JALA (fUtc .MT's ` Ipaulurc) �� clVlL No 3t1792 SS�ONdI �� ��• i t TP 14,��x�bq i r�r's 5#1M.11 Tl'ero) it T �.. I ,�' �1bc DEC-31-2013 10:43 From:BORTOLOTTI CONST 5084289399 To:15087906304 P.1/1 TOWN'OF]BARNS'TABL r__ ^a �l r ri' I-F-� EWAGF,# LOCATION '- Vf�.LAGE —t.-'+ ASSESSOR'S MAP&PARCEL, c INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY L�XA all LEACHING FACILITY,(typo) �t�� (sine) c • ' :cat �:.� NO.OF BEDROOMS O'WA'ER — PERMIT DATE: COMPLIANCE DATE: Separation Distance Satween the: Nlaximum Adjusted Caroundwatar Tablo to the SOttnm of I.aaching Facility Private Water Supply Wait and Leacbiha Facility'(If arty walla exist on 'Fact site or within 200 feat Of leaching facility) Edge of Wotiand and Leaching Facility(if any wetlands exlstwithin "~ • r P'eat 300 foot Of loathing facility) ' FUMSHED BY G��y` Sir 09 . v � ZoS•c A.brV' 0. LC i I _t f - C Off 141. 411 cu ,- ) 0, iVIVO, t 3 A k d � a Al TAY i 1 {� s ti i cla 3 e t L s vT it y t C l i . II - I �I .Er-I �^ en. .OWOI- 5*)��,A �ID 63 ID _: . DEED RESTRICTION WHEREAS, SA ( r.Uorl Sa,1r a.rU J'`�2uJCt r� of 6 O V �(owr na e) ^ yv y G n V� MA ddress) is the owner of 2C- /� located (address) at MA (hereinafter referred to as v 191CO o-10- /—o s as ►Ne�ka� of La>� and bei g shown on a plan entitled C ens-✓✓� �2 MA, Property of et al, duly recorded in Barnstable County Registry of Deeds in f4aff Book /� , Page 2Q Or on Land Court Plan Number WHEREAS, Sh dor) ffe sc,�d IQne wq,,-_as the owner of said lot has (owner's name) 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 to obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CMR 15.200, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this property, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document, deedr NOW, THEREFORE,S/1 16-1-Jail lan2 S-t�wa�tdoes hereby place the (owner's name) following restriction on his above-referenced land in accordance with his agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: 1. 6 0 Z S 66N/yirI G �V( RO may have constructed (addmyssf � rj upon the lot a i,Quse containing no more than ��e (3) bedrooms. `S'h e(4n,l-�-- (I> &- eT agrees that this shall be permanent deed (ow er's name) restriction affecting located on MA, and being shown on the plan recorded in Plan Booker , Paged . Or on Land Court Plan For title of seethe following deed: Book 2,�'?J 7 , Page 203 . Or Land Court Certificate of Title Number Executed as a sealed ins !� ) 3 day of Zll ,,t)qp y7r it Owne ' signature Owner's s nature Owner's signature COMMONWEALTH OF MASSACHUSETTS ss Then personally appeared the above lamed !aam known me to be the perWon who executed the foregoing instrument and",.... acknowledged � 9? the same to be free act and deed, before me, t' AI Notarko Public My commission ANI i en ZETT RARNSTABLE REGISTRY OF DEEDS. FROM' :down cape engineering inc FAX N8: :15083629880 Aug. 06 2013 12: 11PM P1 ' IEIi-c 2 760Z3 F':o79 459�31' Notice of.Alter.native.Sewage Dhsposal System M,01, c. 21A, § 13 and 310 C.MR 15,0287(10) [Ibis Notice to be recorded and/or bled for reem�stration in the chain of title of the Property served by an Alternative Scwage Disposal Systems("Alternative System ).) PA-11> UM OF OWNERM s PROPERTY S R ED BY ALTERI�T.A.TTYE SYSTEM: ADDREs3 OF PRO ERTY SERVED Y ALTERNATIVE SYS'IrFM[: TiTi,E REFERENCE FOR PRO ARTY SERVED)BY ALTER)siATTVE SYSTEM [check and complete each,that appiiesl: c�Deed recorded with the R.� tstry of Deeds in Book 113ba0 Page 18 Certificate of Title No. issued by the Land Registratiun C1i'5ec of the Registry District Source of title other than by deed [11 Alternative System(wnerfs)is other than Property C, ner(s), complete the following:l Alternative Syst=Owner Name: alo (X..k 0✓e _ .Alternative System Owvner Address: ��Gc; '1�. GQ ,. Je- _.... W=REA.>S, Section 15.280 of Title 5 of the State Environmental Code("Approval of Alternative Systems"), pro Vide,-, for the Massachusetts DfGpa rzant of Environmental Protection (tbe "Department's to approve or certify, as appropriate, all proposals to construct,upgrade or replace on-site sewage disposal systems using alternative systems; WI-TEkEAS, 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'En-virormental Cocze, 31.0 CMR 15.287, and may be subject to special conditions, as specified in the L)eparttnant's approvals or cc�rtlfications; such general and special conditions potentially inclading,Without limit-atio.n, requiremcnts relating to the use of trai-ned operators,periodic inspections,maintenance, samphiig,r.e'porting and/or record)�eeping; WHEREAS, Section 15,287(10) of Title 5 of tho State Environmental Code, 310 CM-R. .1.5,287(10), requires that"p:rior to obtaining a Certificate of Compliance for installation of a new or upgraded system m,the syste owner. sha.Il record.in.the chain of title for the property served by the e,ltern.at'i.ve system in the Registy of Deeds and/or Lind Registration Office, as applicable, a Notice disclos:in,g bo'.h Lre existence of the alternative on-site systeru and the Departmen.t's approval of the system. The system owner shall,also prcvide evidence of sash recording to the local.Approving Authority[;]" and ' TMEREAS, the Property is served by an alternative sewage disposal system. NOW)THEREFORE, Notice of an ai.terrative sewage= disposal system is hereby giv= for the above-referenced Property, as follows: 1, L,xistence. An alternative system has been installed as a new or upgraded alternative sewage disposal system,, ou or adjacent to the Property, and serves the.P.roperty. The-trade name and model number(s) of the alternative system are as follows, Trade name of technology:14�esb e✓1 Manufacturer Name- aLes N Knwl r-p._ 716C_I Mode!number(s): �— 'p yr 1 of 7 FR09l''.:down cape engineering inc FAX NO. : 15083629980 Rug. 06 2013 12: 11PM P2 I ApproyaUCer iFication. On_ M4eck• l i, Lo I.3 [date], the Department, puxamnt to its authority under the seotio:n.of Title 5 as specified below, approved or certified th, technologyused in the above- _ refex•eoced alternative system, wider M=DEP Transmittal Number '1.7-3' 4 (Transmittal Number . of approval or eertfflcat ou]. [Cheek one of the following,as applicable:] Approved for remedial.use under 31.0 CM. -R. 15.284 Approved far piloting under 31.0 CNTR :1.5,28.5 Provisio.rtalJ.y approved under 310 CMR 15.286 —_ Certified for general.use under 310 CMR 15.2S8 A copy of the Department's Approval/CcrliEca[ion is ava ldble .from the Department in person or on- line at the Departm_.� t's websitc: hftp://wwty_mass..g4v/dff j . W.T.TNESS the execution horc;of under seal ' 's `t day of, ,20 `_, zraac]c by _... --- the above-named Alternative System Owne.. j -- [Alternative SystcmlOwner(s)] l-� V I_ Print Name(s):S 11rr-4� 9VPL `O�`... �. c�Gt 1 l Q���T Wr' 7 CONMEONWEp.LTH OF 1vASSACHUSETTS ;°'�' � 3i;. Ol}dl ss aF ,.... '`. O. . On this coy of �c�u„-�— , 20L�before me, the undersigned notary public,�ersat�d� a eared.. pP •F- VnAtoiame of document signer),proved to we tbrUo.gh sati5i�t evidc rtcc of idcntificati n, 'which wore Hk U'ce so ,to be the: erson whose signed on the preced%n.g ar attached dacuntcnt, and acknowledged t e e) (she sxgr�eclt�j,7�`'°co o ' voluntarily for:its stated purpose. ; x (ot ial signature ,and`se notary) --------------------------------------------------------------.,.,... ,.,.---------------------------------------.,,....----.------------- lCotnpleite the following Prppert3�Owner(s)Consent if Alternative System Owners)is other than the Property CONSENTED TO: [Property Qwner(s)] -- -- Print Narno(s): w.- Date: COMMON VTAL'TH OF MASS ACF-TUSETTS SS On this day of 20 before me, the undersigned notary public,personally appeared (n.11ne of document Signer),proved to me tbz'ougb satisfactory evidence;of id-cntification, which were _ to be the person,whose name is signed on the preceding or attached document, and acknowledged to me that(he) (she)signed it voluntarily for its stated purpose. (offtcial signauue and seal of notary) Upon recording, retuzn to: [1�arzic s,ad address o 1�rnpcxty C yner(,9)] BARNSTAB E REGISTRY GE DEEDS •Faux:2 nt'� I TOWN OF BARNSTABLE LOCATION 1• L�i t,�ALL-PiN SEWAGE# 4VILLAGEC7.1 r"e�Z4J t�tC ASSESSOR'S MAP&PARCEL " INSTALLER'S NAME&PHONE NO,3c17C—,e Y 9 1 Lp0I( SEPTIC TANK CAPACITY LEACHING FACILITY:(type) T PP eL k (size) �/ NO.OF BEDROOMS 3 > G- OWNER Vk�o�y �J1 - "e'PT1L PERMIT DATE: 11 - I- 1-1 COMPLIANCE DATE: 7//-J Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) N Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) ��� Feet FURNISHED BY �ord✓ LoPi �PJy "yNt 19 0. Y a .ZcfcL F,6,�� ati O ioao J 3'l a2 6 l b f r-- 7 Barnstable Town of Barnstable t�r� � Board of Health j er"��j '14ASS. 200 Main Street, Hyannis MA 02601 Fc MAC Alm 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi September 12, 2013 Mr. Daniel Ojala, P.E., P.L.S. Down Cape Engineering 939 Main Street, Route 6A Yarmouth Port, MA 02675 RE 602 S'hootflyirig HIII Road, Centerville A = 193 035 Dear Mr. Ojala, You are granted a conditional variance on behalf of your client, Sheldon Stewart, to construct an onsite sewage disposal system incorporating innovative/alternative technology at 602 Shootflying Hill Road, Centerville. The variances granted are as follows: Section 360-1 of the Town of Barnstable Code: To install a pump chamber 41 feet away from a wetland, in lieu of the minimum 100 feet separation distance required. Section 360-1 of the Town of Barnstable Code: To install a soil absorption system 50 feet away from a wetland, in lieu of the minimum 100 feet separation distance required. 310 CMR 15.405 (1): To install a soil absorption system eight (8) feet away from a property line, in lieu of the minimum ten (10) feet separation distance required. 310 CMR 15.405 (1): To install a soil.absorption system three feet above the maximum high groundwater table elevation, in lieu of the minimum five (5) feet minimum vertical separation required. 310 CMR 15.405 (1) (a): To install the pump chamber inlet tee at elevation 35.71, which is 0.1' less than 12 inches above the maximum high groundwater table elevation. Q:\WPFILES\Oj alaStewart602ShootflyingHi l lRoadV ari anceDecisi on2013.doc These variances are granted with the following conditions: (1) No more than three (3) bedrooms are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to three 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 applicant, designing engineer, installer, and homeowner shall strictly adhere to all of the applicable conditions listed within the Massachusetts Department of Environmental Protection (MA DEP) fifteen page document entitled "Standard Conditions for Alternative Soil Absorption Systems with General Use Certification and/or Approved for Remedial Use" dated revised August 27, 2013 as well as thje separate four page MA DEP document entitled "Remedial Use Approval" dated Revised March 19, 2013. (4) A Disclosure Notice in the Deed to this property shall be recorded for this remedial use system, as required per the Approval Letter and per 310 CMR 15.287(10), at the County Registry of Deeds prior to the issuance of a disposal works construction,permit. (5) The septic system shall be installed in strict accordance with the revised engineered plans dated August 29, 2013. (6) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the revised engineered plans dated August 29, 2013. These variances are granted because the proposed plan appears to meet the maximum feasible design standards contained within the State Environmental Code, Title 5 and local Health Regulations. The designing engineer designed the septic system to be located in an area to attempt to maximize setbacks to wetlands. Since r ly yours, V Wa. ne iller, M.D. QAWPFILES\Oja]aStewart602ShootflyingHitIRoadVarianceDecision2013.doc PS OFtHB tp� DATE: 4 6 f' FEE: , * BARMASS.LE, 9 MASS. Opp 1639. �� REC. BY rfDMAI� Town of Barnstable r SCHED. DATE: '� ad 1� 13 Board of Health 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: 3 3 S Size of Lot: 30 7.1"t- a F Wetlands Within 300 Ft. Yes Business Name: No Subdivision Name: APPLICANT'S NAME: 0-&T.CC+N-�!. / -5 . ST.i^c'w&jT Phone LRZ© Did the owner of the property authorize you to represent him or her? Yes �< No PROPERTY OWNER'S NAE' rt.j Q CONTACTPERSON � (� Name: 4 W.L..►-7a+-� `;M1-&AW Name: I�o Q Address: (00 Z 41�v� AV. - Address: Phone: Phone: VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) 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 t Four(4)copies of engineered plan submitted(e.g.septic system plans) '• D Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian ► 'y Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) ` r, Signed letter stating that the property owner authorized you to represent him/her for this request `:ca 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) ."` �(f Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lesseeronly]j`- outside dining variance renewals same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to they r� [ Yl, P a P Y [ Y P building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Junichi Sawayanagi REASON FOR DISAPPROVAL Paul J.Canniff,D.M.D. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\BAJ9P9B7\VARIREQ.DOC _ Commonwealth of Massachusetts Executive Office of Energy&Environmental Affairs Department of Environmental Protection One Winter Street Boston, MA 02108.617-292-5500 DEVALI_PA7';10< RICHARD.K.SULDVAN JR. . Governor Secretary 11NA 3THY P.MURRAY KENNETH L.KIMMELL. Lieutenant Governor Commissioner i REMEDIAL USE APPROVAL Pursuant to Title 5,310 CMR 15.00 j Name and Address of Applicant: Presby Environmental, Inc. I 143 Airport Road j Whitefield,.'NH 03598 Trade name of technology and models:Presby Enviro-Septic®Wastewater Treatment ' System (hereinafter called the"System").. The "Massachusetts Enviro-Septicg.Wastewater Treatment System Quick Reference Guide"including schematic drawings of typical Systems, an inspection checklist,and a System Installation Form are part of this Approval. Transmittal.Number: X233395 .. Date of.Issuance:. Revised March.19, 2013. Authority for Issuance Pursuant to Title 5 of the State Envirom-rental Code; 310 CMR 15.000,the Department of Environmental, Protection hereby issues this Approval for Remedial Use to: Presby Environmental, Inc.,143 Airport Road,Whitefield,NH 03598 (hereinafter"the Company".), certifying the System described herein for Remedial Use in the.Commonwealth of Massachusetts. The sale,design,installation, and use of the System are conditioned on compliance by the Company,the Designer,the Installer and.the System Owner with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Approval constitutes a,violation of 310 CMR 15.000. March 19,20.13 David Ferris,Director Date Wastewater Management Program Bureau of-Resource Protection This information is available in alternate format Call Michelle Waters-Ekanem,Diversity Director,at 617-2925751.TDD#1-866S39-7622 or 1-617-574-6868 r MassDEP Websife:www.mass.gov/dep Printed on Recycled Paper ti Revised Remedial Use Approval—Special Conditions Page 2 of 4; Presby Enviro-Septic Wastewater Treatment System Issuance Date:March 19,2013 Technology Description The System is an alternative subsurface Soil Absorption System(SAS)that replaces a conventional SAS designed in accordance with-310 CMR 15.000. The System consists of an 11 5/8-inch diameter corrugated,high-density plastic pipe with a 9.5-inch interior diameter and a standard length per unit of 10 feet. The pipe is perforated with eight holes equally distributed around its inner circumference at each corrugation. Each hole has a plastic skimmer extending inwards. The exterior of the pipe has ridges on the peak of each corrugation and is wrapped with two layers of fabric material. The inner layer is a thick layer of coarse,randomly oriented polypropylene fibers. The outer fabric layer is a non-woven geo-textile polypropylene. The System includes required connectors designed to connect pipe units together. The System also includes six inches of sand, specified as concrete sand meeting ASTM C-33 (also called `System sand'), surrounding the pipe on all sides. Conditions of Approval The term"System"refers to the Alternative Soil Absorption System in combination with the other components of an on-site treatment and disposal system that maybe required to serve a facility in accordance with 310 CMR 15.000. The term"Approval"refers to the technology-specific Special.Conditions,-the.Standard Conditions for General and Remedial Use Approval of Alternative Soil Absorption Systems(the `Standard Conditions');the General Conditions of 310 CMR 15.287, and any Attachments. For,Alternative Soil Absorption Systems that have been issued Remedial Use Approval for the installation of Systems to serve facilities where the site meets the requirements for new construction,the Department authorizes reductions in the effective leaching area(310 CMR 15.242), subject to the applicable portions of the Standard Conditions, and subject to the below Special Conditions applicable to this Technology. Special Conditions 1. The System is an approved Patented Sand.Filter System for use as an Alternative Soil Absorption System. In addition to the Special Conditions-contained in this Approval,the System shall comply with all Standard Conditions for Alternative Soil Absorption Systems, except where stated otherwise.in.these Special Conditions. 2. This Approval applies to the installation of a System for the upgrade or replacement of an existing failed or nonconforming system,provided that the facility.meets the siting requirements for upgrades, as provided in II(7) and H(9) of the Standard Conditions. For the upgrade or replacement of an.existing failed or nonconforming system, all installed Systems shall also comply with the Deed Notice requirement of paragraph IV(1) and the transferee notification requirements of paragraph IV(2)of the Standard Conditions. The proposeduse, of the System shall also comply with any other Standard Conditions which pertain wholly.or in part to upgrades of existing systems. Revised Remedial Use Approval—Special Conditions Page 3 of 4 Presby Enviro-Septic Wastewater Treatment System Issuance Date:March 19,2013 3. SAS Design- For the upgrade or replacement of an existing failed or nonconforming system, Systems sited in soils with a percolation rate of 60 minutes or less per inch,the size of the SAS shall be sized with 40 percent less effective leaching area than.required when using the i loading rates for gravity systems of 310 CMR 15.242(1)(a). For soils with a recorded percolation rate of between 60 and 90 minutes per inch,the size of the SAS shall be sized with 40 percent less effective leaching area than required when using the loading rate of 0.15 gpd/square foot as specified by 310 CMR 1.5.245(4). No reduction greater than 40%.in the required effective leaching area is allowed, including any reductions under a LUA or a variance. '. The required effective leaching area of the SAS shall be reduced in accordance with the above requirements, except a minimum of 400 square.feet of effective.leaching area shall.be provided if any proposed reduction in the leaching area would result in less than 400 square { feet of effective leaching area. Where 400 square feet of effective leaching is not feasible, i the greatest effective leaching area shall be installed provided.that no more than a 40 percent reduction is taken. 4. Alternative.Design Standards -Provided that the Designer demonstrates that the impact of the proposed Alternative System has been considered and the design requirements of 3 TO (. CMR 15.000 have been varied to the least degree necessary so as to allow for both the best feasible upgrade within the borders of the lot and the least effect on public health, safety, welfare and the environment,the local approving authority may allow any combination of the I following alternative design standards without the need for granting a variance under 310 CMR 15.400 or obtaining Department approval: a If a reduction in the depth to groundwater required by.310 CMR. 15.212 is necessa ry,the �. depth to groundwater maybe reduced by up to 2 feet, resulting iii a minimum separation !. distance of two feet in soils with a recorded percolation rate of more than two minutes per inch and three feet in soils with a recorded percolation rate of two.minutes or less per inch measured from.the bottom of the soil.absorption system to the high groundwater elevation,only if; i. An approved Soil Evaluator who is a member or agent of the local Approving y Authority determines the high groundwater elevation; ii. No reduction is granted under LUA for setbacks from public or private wells, bordering vegetated wetlands; surface waters,salt marshes; coastal banks, certified vernal pools, water supply lines, surface.water supplies or tributaries to surface water supplies,-or drains which discharge to surface water supplies or their tributaries, is allowed; and iii. In accordance with 310 CMR 15.212(2), for systems with a design flow of 2,000 gpd or greater,the separation to high groundwater as required by 310 CMR 15.212(1) shall be calculated after adding the effect of groundwater mounding to the high groundwater elevation as determined pursuant to 310 CMR 15.103(3). b) If a reduction in the depth of the naturally occurring pervious material layer is necessary, . a proposed reduction of up to 2 feet may be allowed in the four feet of naturally occurring pervious material layer required by 310 CMR 15.240(1)provided that it has been 4 Revised Remedial Use Approval—Special Conditions Page 4 of 4 Presby Enviro-Septic Wastewater Treatment System Issuance Date:March 19,2013 demonstrated that no greater depth in naturally occurring pervious material can be met anywhere on the site. 5. In no case, shall the reductions in the effective leaching area,depth to groundwater, and depth of naturally occurringpervious material allowed under this Approval be made less stringent. Any reductions in the effective leaching area; depth to groundwater, and depth of naturally occurring pervious material allowed under this Approval shall not be comi biped with any reduction that may allowed under the procedures of Local Upgrade Approval or the variance procedures of 310 CMR 15.401-413. The local Approving Authority may vary other design requirements under the LUA provisions of 310 CMR 15.405 or under the variance procedures of 310 CMR 1-5.411. 6. The System shall only be installed in bed or field configuration, as described in 310 CMR 15.252. The System shall not be installed in trench configuration and no sidewall area shall be considered in the total effective leaching area provided. The effective leaching area shall be the bottom area only (length times width)of the sand bed. 7. Systems shall be installed with differential venting for aeration and inspection access at end of each run of pipe,section or serial bed and whenever the System is installed under impervious surfaces. 8. Serial distribution laterals shall be limited to no more than 500 gpd with each lateral a maximum of 100 feet, and must be laid level. Multi-level systems shall not.be allowed. 9. System component material specifications for the pipe,plastic components,fabric and sand shall comply with the specifications identified in the initial I/A technology approval. Prior approval from the Department for any change from these specifications shall be requested in writing. 10. Any changes to the approved plans must receive Local Approving Authority (LAA) approval prior to any changes: Before a Certificate of Compliance can.be issued by the LAA the System Designer must include any changes to the approved plan into the as- built plans. Commonweal-trot Massachusetts Executive Office of Energy&Environmental Affairs Department of Environmental Protection One VVInt Street Boston, MA 02108.617 9 -. 50© OEVA>_L PATRICK RICHARD iC SULLIVAN JR. Garernnr Secretary TIMOTHY P.MURRAY KENh!ETH L KIMMELL Lieutenant Governer Corrni�iare^ Standard Conditions for Alternative Soil Absorption Systems ' with General Use Certification and/or Approved for Remedial Use Revised: March 19,2013 i These Standard Conditions apply to both Title 5 Innovative/Alternative approved. Chambers and approved Patented Sand Filter Systems. Currently there are 4 approved I Alternative Chamber technologies,including, • Contactor;Field.Drain Contactor,and Recharger Chambers,by Cultec, Inc.. Y Biodiffuser Chambers,by Infiltrator Systems, Inc. o ARC Chambers,by Infiltrator Systems, Inc.. • Infiltrator Chambers,by Infiltrator Systems, Inc. and 3 approved Patented Sand Filter System alternative technologies, • Eljen GSF Geotextile Sand Filter-System,by E1jen Corp. • Enviro-Septic Leaching System,by Presby Environmental, Inc. a GEO-flow Pipe Leaching System, by ADS, Inc. An Alternative Soil Absorption System(SAS)may be appropriate for new Construction, increases in flow,or for the upgrade of an existing failing, failed,or nonconforming system where it may be less costly than a conventional system and/or where reducing the disturbance of the site is desired. Alternative Chambers,which have been approved by the Department,may be substituted for conventional SAS's allowed under Title 5.. Compared to conventional chambers, approved Alternative Chambers provide options.from some of the Title 5 requirements, such as offering plastic instead of concrete chambers and eliminating the need for stone aggregate around the chamber while allowing higher loading rates and reduced effective leaching area. As another option,approved Alternative Chambers may be installed with aggregate meeting the requirements of Title 5. However,Alternative Chambers used with aggregate are not allowed higher loading rates and the loading rates remain the same as required by Title 5 for conventional chambers with aggregate. Patented Sand Filter Systems,which have been approved by the Department,refer to alternative leaching systems that have demonstrated higher removal of organics and suspended matter prior to the percolation of wastewater into underlying unsaturated pervious soils when compared to This information is available in alternate format.Call Michelle Waters-Ekanem,Diversity Director,at 617-292-5751.TDD#1-866539,7622 or 1-617-574-6868 MassDEP Website:www.mass.gov/dep Printed on Recycled Paper j Standard Conditions for Alternative Soil Absorption Systems Page 2 of 15 General Use and Remedial Use Approvals Revised Date:March 19,2013 conventional leaching systems.Higher loading rates are allowed than would be permissible with a conventional design and additional relief from other design standards is permissible for upgrades. A System approved under these Standard Conditions consists of a septic tank conforming to the requirements of Title 5 followed by the Alternative SAS which may provide for a reduced effective leaching area. The use of an approved Alternative SAS, subject to these Standard Conditions, requires, among other things: • A Disclosure Notice in the Deed to the property for systems installed under Remedial Use Approval(310 CMR 15.287(10)) (A Deed Notice template is available from the Department); -- • Certifications by the Designer and the Installer(310 CMR 15.021(3)); • Notification within 24 hours by the System Owner to the Local Approving Authority (LAA)of any System failure; • When pumping is required to discharge to the SAS, 24-hour emergency wastewater storage capacity above the elevation of the high level alarm; • System Owner Acknowledgement of Responsibilities,in accordance with these standard conditions and the Technology Approval's Special Conditions. This Approval does not address the use of the following alternative SAS's,which are covered under separate Approvals: a) Drip Dispersal Systems b) Bottomless Sand Filters Definitions and References The term"System"refers to the approved technology in combination with the other. components of an on-site.treatment and disposal system that may be required to serve a facility in accordance with 310 CMR 15.000. The term"Approval"or"Certification"refers to these Standard Conditions;the Special Conditions contained in the Technology Approval,the General Conditions of 31-0 CMR 15.287, and any Attachments. The phrase"new construction"always refers to construction of a new facility or any increase in actual or design flow to any existing system above the approved capacity. The phrase"upgrade of a system"or the term"upgrade"refers to any repair, modification, or replacement of a whole system or a component of an existing failing,failed or nonconforming system where there is no increase in the actual or design flow to the system. The Conditions contained herein MUST be read in conjunction with any Special Conditions that are technology-specific. i Standard Conditions for Alternative Soil Absorption Systems Page 3 of 15 General Use and Remedial Use Approvals Revised.Date:March 19,2013 I. Purpose 1. These Standard Conditions shall apply to all technologies identified in a General Use. Certification or a Remedial Use Approval as either an"Alternative Chamber"or a "Patented Sand Filter System". In addition to the Special Conditions contained in the technology-specific Approval(s),the System shall comply with all these "Standard Conditions for Alternative Soil Absorption Systems", except where stated otherwise in the Special Conditions. 2. The sale, design,installation, and use of the System shall be subject to these requirements . for all systems that submit a complete Disposal System Construction Permit(DSCP). application after the effective date of these Standard Conditions. Existing systems and systems for which a complete DSCP application was submitted prior to the effective.date of these requirements shall.not be subject to the design and installation requirements, j however,the System Owner,the Service Contractor, and the Company shall be subject to all other requirements contained herein. 3. With the other applicable permits or approvals that may be required by Title 5,the Approval authorizes the installation and use of.the System in Massachusetts. All the provisions of Title 5, including the General Conditions for Alternative Systems (310 CMR 15.287), apply to the sale, design, installation, and use of the System, except those provisions that'specifically have been varied by this Approval. i 4. Provided that the Local Approving Authority (LAA) approves'the System in { conformance with the Department's Approval for the System,Department review and approval of the site-specific System design and installation is not required unless the Department determines on a case-by-case basis,pursuant to its'authority at 310 CMR 15.003(2)(e),.that the proposed System requires Department review and approval. II. Design and Installation Requirements 1. Where any contradiction may exist in design standards.between the Company guidance and'the requirements of Title 5 or this Approval,the design shall meet the standards of Title 5 and this Approval unless the Company guidance is more stringent. 2. In accordance with 310 CMR 15.240(6),absorption trenches should be used.whenever possible. Accordingly, approved Alternative Chambers and Patented Sand Filter Systems shall be used in trench configuration whenever possible,unless a different configuration is allowed by the Approval(s) Special Conditions. 3. The Alternative System shall include a properly sized and constructed septic tank, designed in accordance with 310 CMR 15.223-15.229, connected to the building sewer and followed in series by the approved Alternative Soil Absorption System. 4. The Alternative System shall be installed in a manner which does not intrude on,replace, or adversely affect the operation of any other component of the subsurface sewage disposal system. Standard Conditions for Alternative Soil Absorption Systems Page of 15 General Use and Remedial Use Approvals Revised Date:March 19,2013 5. The Designer shall be a Massachusetts Registered Professional Engineer or a Massachusetts Registered Sanitarian, including when designing systems for repair,provided that such Sanitarian shall not design a system with a.discharge greater than 2,000 gallons per day. 6. For new construction or increases in flow;the System shall be subject to the following: a) The System may only be installed in soils with a percolation rate of up to 60 minutes per inch(MPI); b) A site evaluation, in compliance with 310 CMR 15.100 through 15.107,must be approved by the Approving Authority and the site must meet the siting requirements for new construction; c7 The record drawings, approved by the LAA,must clearly indicate an area for a full-sized conventional primary SAS and a full-sized conventional reserve area that are for the sole purpose of on-site sewage.disposal; d) Where the System has reduced the effective leaching area, as allowed by the Standard Conditions,the installation shall not disturb the site in any manner that would preclude the future installation of the conventional full-sized primary SAS without encroaching on the reserve area; and e) Except for the.installed SAS,the System Owner shall not construct any permanent buildings or structures or disturb the site in any manner that would encroach on the area approved for a frill-sized conventional primary SAS or the area approved for a full-sized conventional reserve SAS. 7. For the Ugrrade of a system,the installation of the proposed System shall be subject to the following:_ a) The System may only be installed in soils with a percolation rate of up to 90 minutes per inch(MPI); b) The LAA must determine there is no increase in the actual or proposed design flow, and also that a conventional system with a reserve area;designed in accordance with the standards for new construction cannot feasibly be built on-site; c) The proposed System must include the approval by the LAA for the upgrade or replacement of all other existing components, as necessary,to comply with the standards of Maximum Feasible Compliance (MFC)of 310 CMR 15.404. d) The record drawings, approved by the LAA,must clearly,ixdicate an area _ e best feasible replacem .n system that could be installed in the event that the proposed Alternative Soil Absorption System fails or it is.detenmined that itis not capable of providing equivalent environmental protection; e) When evaluating the best feasible replacement system that could installed in the event that the proposed Alternative Soil Absorption System fails or it.is determined that.it is not capable of providing equivalent environmental protection,the Designer shall consider these options:in the following order: i. a conventional system designed in accordance with the standards of 310 CMR 15.100 through 15.255 that can be built feasibly,with the exception of providing a reserve area(15.248); Standard Conditions - I S for Alternative Soil Absorption Systems Page 5 of 15 General Use and Remedial Use Approvals Revised Date:March 19,.2013 ii. a conventional system that can only be built feasibly under a Local Upgrade Approval(LUA); iii. where a conventional system cannot be built feasibly under a LUA,_ a Bottomless Sand Filter, in conjunction with a Secondary Treatment Unit; iv. where a System can only be built feasibly with variances, a System that has been. demonstrated to vary the design requirements of 310 CMR 15.000 to the least degree necessary and have the least effect on public health, safety,welfare and the environment(the System may be an Alternative System with variances); or 1 v. a tight tank; f) The installation of the proposed System shall not disturb the site in any manner that would preclude the future installation of the best feasible replacement system that could be installed to replace the proposed System. Components of the proposed System may be sited in an area for the future installation of the best feasible I replacement system,provided that.it does not render the area unusable for a potential future replacement system; and 1 g) Except for the installed SAS,the System Owner shall not construct any permanent I buildings or structures in the area for the best feasible replacement system that could be installed to replace the proposed System and the System Owner shall not disturb the site in any other manner that would preclude the future installation of the best ifeasible replacement.system. 8. Alternative Design Standard to 310 CMR 15.242(1)(a)Effluent Loading Rates For new construction or increases in flow, the required effective leaching areamay be . reduced up to 40 percent when using the loading rates for gravity systems of 310 CMR i 15,242(1)(a),provided that: a) no variance is granted fora reduction in depth to groundwater; b) no variance.is granted fora reduced depth of pervious material; and i c) a minimum of 400 square feet of effective leaching area shall be installed if any proposed reduction in the leaching area would result in less.than 400 square feet of effective 1eeaching area; (Facilities with small flows that would not require 400 sq.ft. of effective leaching area,when designed in accordance with Title 5, may be built with less than 400 sq. ft.provided that no reduction in effective leaching area is taken). , 9. Alternative Design Standard to 310 CMR 15.242(1)(a) and 15 245(4) Effluent Loading Rates For the upgrade of a system: the System shall be subject to the following: a) For soils with a percolation rate of 60 minutes or less per inch,the size of the SAS may 'be sized with 40 percent less effective leaching area than required when using the loading rates for gravity systems of 310 CMR 15.242(1)(a); b) For soils with a percolation rate of between 60 and 90 minutes per inch,the size of the SAS may be sized with 40 percent less effective leaching area than required when using the loading rate of 0.15 gpd/square foot as specified by 3.10 CMR 15.245(4); f Standard Conditions for Alternative Soil Absorption Systems Page 6 of 15 General Use and Remedial Use Approvals Revised Date: March 19,2013 c) Unless allowed under the Special Conditions for the Technology, no additional reduction in the effective leaching area is allowed under an LUA or a variance that would result in a reduction greater than 40%of that which would be required under 310 CMR 15.242(1)(a) and 15.245(4),respectively. Any other deviations to design standards, except the effective leaching area,may be granted under LUA or a variance; and d) A minimum of 400 square feet of effective leaching area shall be provided if any proposed reduction in the leaching-area would result in less than 400 square feet of effective leaching area. Where 400 square feet of effective leaching is not feasible,the greatest effective leaching area shall be installed provided that no more than a 40 percent reduction is taken. 10. Patented Sand Filter Systems a) The use of aggregate as specified in 310 CMR 15.247 is not allowed with approved Patented Sand Filter Systems. b) Unless determined necessary by the Designer or Company,the System shall not be used with pressure distribution for any design flow. When installed for a facility with a design flow of 2000 gpd or greater, approved Patented Sand Filter Systems are exempt frorii.the requirement for pressure distribution under 310 CMR 15.231. c) Patented Sand Filter Systems shall not be installed in a Nitrogen Sensitive Area (NSA)to serve facilities with actual or design flows of 2,000 GPD or greater since those facilities require installation of a Recirculating Sand Filter(RSF) or equivalent technology. Patented Sand Filters (PSF)may be installed as a disposal-only alternative technology when used in addition to an approved Secondary Treatment Unit(reduction of BOD/TSS). When a PSF is used in this type of septic system design,2ply the reductions permitted in the Secondary Treatment Unit's (STU) alternative technology approval, such as a reduction in SAS size, depth of naturally occurring pervious material or depth to groundwater, are allowed. 11. Alternative Chambers a) The use of aggregate.as specified in 310 CMR 1-5.247 is not required with approved Alternative Chambers. The-installation of approved Alternative Chambers with aggregate is allowed f 3 0 C 15.247. provided that it complies with the aggregate requirements o 1 MR However,when approved Alternative Chambers are installed with aggregate the reduction in effective leaching area provided by Standard Conditions III(8) and(9) is not allowed. Only when upgrading a system,approved Alternative Chambers installed with aggregate may be allowed a reduction in effective leaching area(up to 25%)under the limitations and procedures of a Local Upgrade Approval(310 CMR 15.40.1-405). b) Ina NSA, as defined in 310 CMR 15.215,Alternative Systems serving facilities with actual or design flows of 2,000 GPD or greater must include treatment with a RSF or equivalent technology,as required by 310 CMR 15.202(1). Under.this Approval, Alternative Chambers shall not be installed in an NSA to serve facilities with actual Standard Conditions for Alternative Soil Absorption Systems Page 7 of 15 General Use and Remedial Use Approvals Revised Date:March 19,2013 or design flows of 2,000 GPD or greater unless installed in conjunction with a RSF or equivalent technology. c). For new construction or upgrades, approved Alternative Chambers may be installed with or without aggregate for the disposal of effluent from an approved Secondary Treatment Unit. For new construction or upgrades, a reduction in the effective leaching area may be taken in accordance with the conditions and limitations imposed by the approval of the Secondary Treatment Unit employed. For upgrades only, a reduction in the depth to groundwater and/or a reduction in the pervious material may . be taken in accordance with the conditions and limitations imposed by the Remedial Use Approval of the Secondary Treatment Unit employed. In no case, shall the reductions allowed under the Secondary Treatment Unit approval be made less stringent. In no case, shall the reductions allowed under the Secondary Treatment Unit approval be combined with any reduction provided by this Approval or combined with any reduction that may be allowed under the procedures of Local Upgrade Approval or the variance procedures of 310 CMR 15.401-415. d) For the upgrade of a system, approved Alternative Chambers installed without secondary treatment are entitled to reductions in depth to groundwater or depth of naturally occurring pervious material only to the limits that maybe allowed by the LAA under the procedures of Local Upgrade Approval or the variance procedures of 310 CMR 15.401-415. e) Effluent pressure distribution shall be provided for actual or design flows of 2,000 gpd or greater and shall be designed in accordance with Department guidance. The effluent loading rates provided in 310 CMR 15.242(1)(b) for pressure distribution may be utilized,,but no reduction in the effective leaching area as may be provided under this Approval may be taken when using the loading rates for pressure distribution, as stated in the regulation. 12.All System,control units,valve boxes;distribution piping, conveyance lines and other System appurtenances shall be designed and installed to prevent freezing. 13.When-pumping is required to discharge to thez.SAS,the-System shall be equipped with sensors and high-level alarms to protect against high water due to pump failure,pump control failure, loss of power, system freeze ups, backups, etc. Emergency storage shall be provided when pumping to discharge is employed, including but not limited to, pressure distribution. Emergency storage capacity for wastewater above the high level alarm shall be provided equal to the daily design flow of the System including an' additional allowance for the volume of all drainage which may flow back into the System when pumping has ceased. 14. For systems requiring pumping,the System control panel including alarms and controls shall be mounted in a location always accessible to the operator (Service Contractor). System malfunction and high water alarms shall be readily visible and audible for the facility occupants.and the Service Contractor and shall be connected to circuits separate from the circuits serving the operating equipment and pumps. Standard Conditions for Alternative Soil Absorption Systems Page 8 of 15 General Use and Remedial Use Approvals Revised Date: March 19,2013 15. The System shall not include any relief valve or outlet for the discharge of wastewater to prevent flooding.of the system, back up or break out. 16. Any System structures with exterior piping connections located within 12 inches of or lower than the Estimated Seasonal High Groundwater elevation shall have the connections made watertight with neoprene seals or equivalent. 17.Incompliance with 310 CMR 15.240(13), a minimum of one (1) inspection port shall be provided within the SAS consisting of a perforated four inch pipe placed vertically down to the elevation of the SAS interface with the underlying unsaturated pervious soils to enable monitoring for ponding. The pipe shall be capped with a screw type cap and accessible to within three inches of finish grade. (A locking cap at-grade is preferred) Facilities.with multiple SAS's shall have an inspection port in each. 18.Upon submission of an application for a Disposal System Construction Permit(DSCP), the Designer shall provide to the Local Approving Authority: a) proof that the Designer has satisfactorily completed any required training by the f Company for the design and installation of the Technology; b) certification of the.design by the Company for any residential system with a design of 2,000 gpd or more or for any proposed non-residential system or if required by the Special Conditions for an approved Technology; c). certification by the Designer that the design conforms to the Approval, any Company Design Guidance, and 310 CMR 15.000; and d) a certification, signed by the Owner of record for the property to be served by the Technology, stating that the property Owner: i. has been provided a copy of the Title 5 UA technology Approval,the Owner's Manual, and the Operation and Maintenance Manual, and the Owner agrees to comply with all terms and conditions; ii. for Sy sterns installed under a Remedial Use Approval,the owner agrees to fulfill his responsibilities to provide a Deed Notice as required,by 310 CMR 15.287(10) and the Approval; iii. for Systems installed under a Remedial Use Approval,the owner agrees to fulfill his responsibilities to provide written notification of the Approval to any new Owner, as required by 310 CMR 15.287(5); iv. if the design does not provide for the use of garbage grinders,the restriction is understood and accepted; and v. whether or not covered by a warranty,.the System Owner understands the. requirement to repair,replace,modify or take any other action as required by the Department or the LAA, if the Department or the LAA determines the System to be failing to protect public health and safety and the environment, as defined in 310 CMR 15.303.. 19. The System Owner and the Designer shall not submit to the LAA a DSCP application for the use of a Technology under this Approval if the Approval has been revised,reissued, suspended, or revoked by the Department prior to the date of application. The Approval Standard Conditions for Alternative Soil Absorption Systems Page 9 of 15 General Use and Remedial Use Approvals Revised Date:March 19,2013 continues in effect until the Department revises,reissues, suspends, or revokes the Approval. 20. The System Owner.shall not authorize or allow the installation of the System other than by a locally approved Installer and, if required by the Company, a person certified or trained by the Company to install the System. 21. Prior to the commencement of construction,the System Installer must certify in writing to the Designer, the LAA, and the System Owner that(s)he.is a locally approved System Installer and,if required by the Company,is certified by or has received appropriate training by the Company. 22. The Installer shall maintain on=site, at all times during construction, a copy of.the approved roved plans,the Owner's manual the O&M manual and a co of the Approval. I pP p � � � copy Pp 23. Prior to the issuance of a Certificate of Compliance by the.LAA,the System Installer and Designer must provide, in addition to the certifications required by Title 5, certifications i in writing to the LAA that the System has been constructed in compliance with the terms of the Approval. I' 24. The Department has not determined that the performance.of the System will provide a i level of protection to public health and safety and the environment that is at least equivalent to that of a sanitary sewer system. a) If it is feasible to connect a new or existing facility to the sewer, the Designer shall not propose an Alternative System to serve the facility and the facility Owner shall not install or use an Alternative System; and b) When a sanitary sewer connection becomes feasible after an Alternative System has been installed,the System Owner shall connect the facility served by the System to the sewer within 60 days of such feasibility and the System shall be abandoned in compliance with current Code requirements,unless a later time is allowed in writing by the Department or the LAA. III. Operation and Maintenance 1. For Systems with design flows of 2,000 gpd,or greater where the effective leaching area installed is less than 75%of that required by Title 5 (310 CMR 15.223-228); measurement of the depth of ponding within the SAS above the interface with the underlying unsaturated pervious soils shall be performed once per year by means of the inspeciion.port(s) and any other available access to the distribution system. Inspector must be an Approved System Inspector. 2. Whenever an SAS inspection port measurement indicates-the ponding level within the SAS is above the invert of the distribution system, an additional measurement shall be made 30 days later.. If the subsequent reading indicates the elevation of ponding within the SAS is above the invert of the distribution system,the System Owner shall be responsible for the.submittal to the LAA within 60 days of the follow-up inspection, a Standard Conditions for Alternative Soil Absorption Systems Page 10 of 15 General Use and Remedial Use Approvals Revised Date:March 19,2013 written evaluation of the System with recommendations for changes in the design, operation,and/or maintenance. The written evaluation with recommendations shall be prepared by a Designer and the submission shall include all monitoring data and inspection reports for the previous 3 years. Recommendations shall be implemented, as approved by the LAA, in accordance with an approved schedule,provided that all corrective measures are implemented consistent with the limitations described in Paragraph V. 3. For Systems less than 2,000 gpd or facilities where the effective leaching area installed meets the requirements of Title 5,the System shall not be required to be inspected at any greater frequency than would be required if the facility was served by a conventional system,unless the LAA, Company, or Designer requires more frequent inspection. 4. If at any time a septic system with an Alternative SAS is inspected by a System . Inspector,the following shall be recorded, at a minimum: a) date,time, air temperature, and weather conditions; b) observations for objectionable odors; c) observations for signs of breakout of sanitary sewage in the vicinity of the Alternative System; d) depth of ponding within the SAS; e) identification of any apparent violations of the Approval;. f) since the last inspection, whether the system had been pumped with date(s) and volume(s).pumped; g) sludge depth and scum layer thickness,if measured; h) when responding to alarm events,the cause.of the alarm and any steps taken to address the alarm and to prevent or reduce the likelihood of future similar alarm events; i) field testing results when performed as part of the site visit; j) samples taken for laboratory analysis and results of previous samples, if any k) any cleaning and lubrication performed; 1) any adjustments of control settings, as recommended or deemed necessary; m) any testing of pumps, switches, alarms, as recommended or deemed necessary; n) identification of any equipment failure'or components not functioning as designed; o) parts replacements and reason for replacement,whether routine or for repair; and p) further corrective actions recommended,if any. 5. The System Owner shall maintain copies of any service records or inspection reports and all reports and notifications to the LAA for a minimum of three years. . 6... Unless directed by the LAA to take other action;the System Owner shall immediately cease discharges or have wastewater hauled off-site, if at any time during the operation of Standard Conditions.for Alternative Soil Absorption Systems Page I l of 15. General Use and Remedial Use Approvals Revised Date:March 19,2013 the Alternative System the system is in failure as described in 310 CMR 15.303(1)(a), items 1 or 2 (sewage backing up into facilities or breaking out to the surface). IV.Additional System Owner Requirements 1. For System upgrades installed under Remedial Use Approval, prior to commencement of construction of the System and after recording and/or registering the Deed Notice required by 310 CMR 15.287(10),the System Owner shall provide to the LAA a copy of a) a certified Registry copy of the Deed Notice bearing the book and page/or document number; and b) if the property is unregistered land, a copy of the System Owner's deed to the property as recorded at the Registry,bearing a marginal reference on the System. i Owner's deed to the property. The Notice to be recorded shall be in the form of the Notice provided by the Department. 3 . 2. For System upgrades installed,under.Remedial Use Approval,prior to signing any agreement to transfer any or all interest in the property served by the System, or any portion of theproperty, includin an possessory interest the System Owner shall P g Y P Y � Y provide written notice, as required by 310 CMR 15.287(5), of all conditions contained in j the Approval to the transferee(s). Any and all instruments of transfer and any leases or rental agreements shall include as an exhibit attached thereto and made apart of thereof a copy of the Approval for the System. The System Owner shall send a copy of such written notification(s)to the LAA within 10 days of giving such notice to the transferee(s). 3. The System Owner shall not install,modify,:upgrade, or replace the System except in i accordance with a valid DSCP issued by the LAA which covers the proposed work. 4. Upon determining that the System is failing to protect public health and safety and the environment, as defined in 310 CMR 15.303,the System Owner shall be responsible for the notification of the LAA.within 24 hours of such determination: 1 5. In the case of a System that has been determined to.be failing to protect public health and safety and the environment, an equipment failure, alarm.event, components not functioning as designed, components not functioning in accordance with manufacturers' specifications, or violations of the Approval,the System Owner shall provide written notification:within five days, describing corrective measures to the local board of health and the Company and may only propose or take corrective measures provided.that: a) all emergency repairs, including pumping, shall be in accordance with the limitations and permitting requirements of 310 CMR 15.353; b) the design of any repairs or upgrades are consistent with the System Approval; c) the design of any repairs or upgrades requiring a DSCP shall be performed by a Designer who is a Massachusetts Registered Professional Engineer or a Massachusetts Registered Sanitarian,provided that such Sanitarian shall not design a system with a discharge greater than 2,000 gallons per day. Standard Conditions for Alternative Soil Absorption Systems Page 12 of 15 General Use and Remedial Use Approvals Revised Date:March 19,2013 d) the installation of any repairs or upgrades requiring a DSCP shall be done by an Installer with a currently valid Disposal System Installers Permit and,if training is required, the Installer shall be certified by the Company as qualified to install the System. 6. To determine whether cause exists for modifying,revoking, or suspending the Approval or to determine whether the conditions of the Approval have been.met,the System Owner shall furnish the Department any information that the.Department requests regarding the System,within 21 days of the date of receipt of that request. 7. The Approval shall be binding on the System Owner and on its agents, contractors, successors, and assigns, including but not limited to the Designer, Installer,.and Service Contractor. Violation of the terms and conditions of the Approval by any of the foregoing persons or entities,respectively, shall constitute violation of the Approval by the System Owner unless the Department determines otherwise. V. Company Requirements 1. The Approval shall only apply to the model unit(s)with the same model designation(s) specified in the System Approval and meet the same specifications, operating requirements, and plans, as provided by the Company or its authorized agent at the time of the application. Any proposed modifications of the unit(s), installation requirements, or operating requirements shall be subject to the review of the Department for inclusion under a modification of the Approval. The Designer shall be "responsible for the selection of the appropriate model unit(s) as applicable.The Company shall be responsible for verification of the appropriate model unit(s) as part of any review of proposed installations that may be required by Paragraph V.3 of these Standard,Conditions or the Special Conditions in the Approval. 2. Prior to submission of an application for a DSCP,the Company or its authorized agent shall provide to the Designer and the System Owner:.. a) All design and installation specifications and requirements; b) An owner's manual and, if alarms are provided, including response procedures; ` c) A copy.of the Company's warranty; and d) If training or certification is required by the Company, lists of qualified Designers, Installers, and Service Contractors. 3. Prior to the submission of an.application for a DSCP,for all nonresidential Systems and any System with a design flow of 2,000 gpd or greater,the Company shall submit to the Designer and the System Owner, a certification by the Company or its authorized agent that the design conforms to the Approval and all Company requirements and that the proposed use of the.System is consistent with the Technology's capabilities. The authorized agent of the Company responsible for the design review shall have received technical training in the Company's products. Standard Conditions for Alternative Soil Absorption Systems Page 13 of 15 General Use and Remedial Use Approvals Revised Date:March 19,2013. 4. If the Company requires trained or certified Designers,Installers, or Service Contractors, the Company or its authorized agent shall make available programs of training and continuing education, as necessary. The Company or its authorized agent shall maintain, annually update,and make available by February 15`h of each year, lists of trained or certified Designers,Installers, and Service Contractors. If training or certification is required, the Company shall not sell the Technology to an Installer unless the Installer is trained or certified to install the System by the Company. Similarly, if training is required,the Company shall ensure distributors and resellers of the Technology shall.not sell the Technology to an Installer unless the Installer is trained or certified to install the System by the Company. 5. As part of any training programs for Designers,Installers, or Service Contractors, the Company or its authorized agent shall provide each trainee with a copy of this Approval with the design, installation, O&M, and owner's manuals that were submitted as part of the.Approval. 6. The Company shall provide, in printed or'electronic format,the System design, installation; O&M, and Owner's manuals, and any updates associated with this System Approval,to the System Owners,Designers,Installers, Service Contractors, vendors, resellers, and distributors of the System. Prior to publication or distribution in Massachusetts,the Company shall submit to the Department for review a copy of any proposed changes to the manual(s)with reasons for each change, at least 30 days prior to. issuance. The Company shall request Department approval for any substantive changes which may require a modification of the Approval. 7: Prior to its sale of any System that may be used in Massachusetts,the Company shall provide the purchaser with a copy of this Approval with the System design, installation, 0&M, and Owner's manuals. In any contract for distribution or sale of the System,the Company shall require the distributor or seller to provide the purchaser of a System for use in Massachusetts with copies of these documents,prior to any sale of the System. 8. To determine whether,cause exists for modifying,revoking,or.suspending the Approval or to determine whether the conditions of the Approval have been met,the Company shall furnish the Department any information that the Department requests regarding the Technology within 21 days of the date of receipt of that request. 9. Within 60 days of issuance by the Department of these Conditions and any other revisions to the Approval,the Company shall provide written notification of changes to the Approval to all distributors and resellers of the System. 10. The Company shall provide written notification to the Department's.Director of the Wastewater Management Program at least 30 days in advance of the proposed transfer of ownership of the technology for which this Approval is issued. Said notification shall include the name and address of the proposed owner containing a specific date of transfer of ownership,responsibility, coverage and liability between them. All provisions of this Approval applicable to the Company shall be applicable to successors and assigns of the Company,unless the Department determines otherwise, Standard Conditions for Alternative Soil Absorption Systems Page 14 of.15 General Use and Remedial Use Approvals. Revised Date:March 19,2013 11.The Company shall maintain copies of: a) the Approval; b) the installation manual specifically detailing procedures for installation of its System; c) an owner's manual and,if alarms are required, including alarm response procedures; d) a copy of the Company's warranty; and e) if training or certification is required,lists of qualified Designers and Installers. 12.By_April 15th of each year,the Company shall submit a report to the Department, signed by a corporate officer, general partner or Company owner that identifies the specific alternative technology approval for which the annual report is being filed and contains, for the previous calendar year,the following information with the date and address of each event: a) all known violations of the Approval, including Systems not designed,installed,or serviced by qualified contractors; b) any System failures or malfunctions; and c) corrective actions taken, including but not limited to: design changes;installation changes; operation/maintenance changes; monitoring changes; and/or changes in roles and responsibilities for the manufacturer,vendors, designers, installers, operators, and owners. In the absence of any system failures, system malfunctions, or violations,the Company shall submit a letter certifying,to the best of their knowledge, all installed Systems are in compliance. 13.The Company shall maintain the following additional information for the Systems installed in Massachusetts and make it available to the Department within 30 days of a request by the Department: a) the address of each facility where the System was installed,the Owner's name and mailing address(if different),the type of use (e.g. residential, commercial, institutional, etc.),the design flow,the model installekand b) the installation date, start-up date,current operational status. 14. The Approval shall be binding on the Company and its officers, employees, agents, contractors, successors,and assigns, including but not limited to dealers, distributors, and resellers.Violation of the terms and conditions of the Approval by any of the foregoing persons or entities,respectively, shall constitute violation of the Approval by the Company unless the Department determines otherwise. Standard Conditions for Alternative Soil Absorption Systems Page 15 of:15 General Use and Remedial Use Approvals Revised Date:March 19,2013 VI.General Requirements 1. Any System for which a complete Disposal System Construction Permit("DSCP") Application is submitted while the Approval is in.effect,may be permitted, installed, and used in accordance with the Approval, unless and until: a) the Department issues modifications or amendments to the Approval which specifically affect the installation or use of a System installed under the Approval for the System; or b) the Department,the local approval authority, or a court requires the System to be modified or removed or requires discharges to the System to cease. 2. All notices and documents required to be submitted to the Department by the Approval f shall be submitted to: Director Wastewater Management Program Department of Environmental Protection One Winter.Street- 5th floor Boston,Massachusetts 02108 I The Department may suspend,modify or revoke the Approval for cause,including,but not limited to,non-compliance with the terms of the Approval, for obtaining the Approval by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for discontinuance of the Approval, or as necessary for the protection of public health, safety,welfare or the environment, and as authorized by applicable law. The Department reserves its rights to take any enforcement action authorized by law with respect to the Approval and/or the System against the Company, a System Owner, a Designer, an Installer,and/or Service Contractor. i r� cu CD 01) 01) CU rD OD LO 0 = Fu c — c OV Ql to 0Ito Q 9 I O `. i • , LL- m m cu J J h �,v M s m OD OD Ol cu lD M 00 m 0 ik OD C Lo m z O V F- F— F— J F— OD LL m m M S m RIfI M M i h s, h Page 1 of 2 Stanton, David I From: McKean, Thomas Sent: Tuesday, September 10, 2013 7:46 AM To: Stanton, David Subject: Fw: Fw: question From: Dudley, Brian (DEP) <brian.dudley@state.ma.us> To: Wayne Miller <wamdoc@verizon.net> Cc: McKean,Thomas Sent: Tue Sep 10 07:23:58 2013 Subject: RE: Fw: question HI Wayne, According to the remedial use approval, they can have the 40% reduction (400 sf minimum) and the 2 foot reduction to GW. For a 3 BR dwelling,the 400 sf should provide more than required area if the 40% reduction alone was considered. Please let me know if you have any other questions. Thanks, Brian From: Wayne Miller [mailto:wamdoc@verizon.net] Sent: Monday, September 09, 2013 6:55 PM To: Dudley, Brian (DEP) Cc: thomas.mckean@town.barnstable.ma.us Subject: Fwd: Fw: question r Hi Brian I see by the attached emails that it appears that the approval for the Presby system allows for BOTH a 2'reduction to groundwater AND a reduction in the size of the SAS--just want to make sure I read it correctly because this is different than how we interpreted the approval letter and it will then probably apply uniformly to all of our repairs that utilize this or similar systems. Please let me know if I'm reading your intent correctly before our meeting tomorrow(Tuesday)at 3P. Thanks Wayne Miller ----------Original Message---------- From: "McKean, Thomas" Date: Sep 9, 2013 3:27:01 PM Subject: Fw: question To: <wamdoc@verizon.net> From: Daniel A. Ojala PE, PLS <downcape@downcape.com> To: McKean, Thomas Cc: 'Dudley, Brian (DEP)' <brian.dudley@state.ma.us>; 'Sarah Ojala' <sojala@downcape.com> Sent: Mon Sep 09 15:18:33 2013 Subject: FW: question Hi, Tom: 9/10/2013 Page 2 of 2 Per our conversation this morning, we were able to squeeze in a 400 s.f. SAS, (special size allowable with Presby system), so should be all set per Brian's email below. Please call with any questions. Daniel A. Ojala PE, PLS down cape engineering, inc. 939 Main St. Yarmouthport, MA 1-508-362-4541 x108 1-508-362-9880 fax downcape(a�downcape.com From: Dudley, Brian (DEP) [mai Ito:brian.dudley@ state.ma.us] Sent: Friday, June 14, 2013 3:03 PM To: Sarah Ojala Subject: RE: question Hi. Sarah,. If I read the remedial. use approval correctly, 1 believe that you can. Let me know if you need anything else. Brian From: Sarah Ojala [mailto:soiala@downcape.com] Sent: Thursday, June 13, 2013 10:16 AM To: Dudley, Brian (DEP) Subject: question Hi Brian, Thinking of doing a Presby system to replace a failed system, no increase in flow. This is in Centerville. High groundwater area, and I project that the SAS will be about 55' to an isolated wetland. Planning a 3 br application, 400 sf. I expect <2 min/inch for a perc rate....under Remedial, can I be 3' to g-w? Thanks, Sarah No virus found in this message. Checked by AVG - www.avg.com Version: 2013.0.3392 /Virus Database: 3222/6652 - Release Date: 09/10/13 9/10/2013 1 or�Ec� v= ? :o �L76 Notice of Alternative Sewage Disposal System M.G.L. c. 21A, § 13 and 310 CMR 15.0287(10) This Notice to be recorded and/or filed for registration in the chain of title of the Property served by an Alternative Sewage Disposal System("Alternative System").] PAW-6))OF OWNER.OF PROPERTY S RVED BY ALTERNATIVE SYSTEM: � ADDRES OF PROPERTY SERVED BY ALTERN TIVE SYSTEM: , 2 0 1 A 1 l o — Cep ✓� (e TITLE REFERENCE FOR PROPERTY SERVED BY ALTERNATIVE SYSTEM [check and complete each.that applies]: Q 1 II CL Deed recorded with the IJ /1ol�Ah Registry of Deeds in Book Page �g _Certificate of Title 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: S&(ne 20 CLb 0 ve Alternative System Owner Address: 8✓e 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 C' - �� 15.287(10),requires that"prior to obtaining a Certificate of Compliance for installation of-��a''� ew or upgraded system, the system owner shall record in the chain of title for the property served2by the a - alternative system in the Registry of Deeds and/or Land Registration Office, as applicable, a otice r disclosing both the existence of the alternative on-site system and the Department's approval of the -i system. The system owner shall also provide evidence of such recording to the local Approv g Authority [;]"and UJ 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; y1 vi✓` s ( ,j/lft#J�e T t V-e e •� Manufacturer Name: p'es by �✓f�l�o C� Model number(s): Page 1 of 2 2. Approval/Certification. On MVck 1%� Zo 2 [date], the Department, pursuant to its authority under the section of Title 5 as specified below, approved or certified the technoI used in the above- referenced alternative system, under MassDEP Transmittal Number [Transmittal Number of approval or certification]. [Check one of the following,as applicable:] Approved for remedial use under 310 CMR 15.284 Approved for piloting under 310 CMR 15.285 Provisionally approved under 310 CMR 15.286 Certified for general use under 310 CMR 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: h!tp://www.mass.gov/dgp . WITNESS the execution hereof under seal this day of , 20 ,made by the above-named Altemative System Owner(s). [Alternative System Owner(s)] Print Name(s): COMMONWEALTH OF MASSACHUSETTS ss On this day of , 20_, before me, the undersigned notary public,personally appeared (name of document signer), proved to me through satisfactory evidence of identification,which were , to be the person whose name is signed on the preceding or attached document, and acknowledged to me that(he) (she) signed it voluntarily for its stated purpose. (official signature and seal of notary) ------------------------------------------------------------------------------------------------------------------------------------ [Complete the following Property Owner(s) Consent if Alternative System Owner(s)is other than the Property Owner(s):] CONSENTED TO: [Property Owner(s)] Print Name(s): Date: COMMONWEALTH OF MASSACHUSETTS ss On this day of , 20_,before me, the undersigned notary public,personally appeared (name of document signer),proved to me through satisfactory evidence of identification, which were , to be the person whose name is signed on the preceding or attached document, and acknowledged to me that(he) (she) signed it voluntarily for its stated purpose. (official signature and seal of notary) Upon recording,return to: [Name and address of Property Owner(s)] Page 2 of 2 s Presb _ _ nc , jut x _ nin Ml e-r 1 ica e 7 Q- certi IL..Ri Iy This fies that- ,.Daniel-,--O ala 7 y y,, } Has completed the Presb Environmental,-Inc. .. i m nro-Se. tic�®�. Cer� tlfcatlon. - nurse p � V held=in Hyannis 'MA . P . _ �rnay be required. Otherz state or: n3unicl al hcenses December 12, 2006 Date of training David W Presby President and CEO ' Certificate No: 4112MAES Presby Environmental, Inc. P�pFTHETp�y Town. of Barnstable Barnstable Board of Health mgmedcacfty BAFUNS'rABLE, + 9 MASS. 200 Main Street, Hyannis MA 02601 i m! �A .639. rFD MAC A. 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Junichi Sawayanagi Paul Canniff,D.M.D. 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 6600 � the petitioner(s) and the Board of Health agree that the Za, r 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: •`=� r^�� Signature: Peti ' s or Petitioner's Repres&itative Chairman Print: '� N �� 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 Q:\AGENDAS BOH\BOH Agreement to Extend Time Limit to Act on Variance.doc QUICK REFERENCE GUIDE for: STANDARD CONDITIONS FOR ALTERNATIVE SOIL ABSORPTION SYSTEMS WITH GENERAL USE CERIFICATION AND/OR APPROVED FOR REMEDIAL USE 1 Revised: June 6,2013 Applicable to the following Alt. SAS Disposal-Only, • Contactor,Field Drain Contactor and Recharger Chambers,by Cultec Inc. r • Biodiffuser&ARC Chambers,by Infiltrator Systems,Inc. I19 • Infiltrator Chambers,by Infiltrator Systems,Inc. 1 _ • Eljen MantisM5,by Eljen Corp ! EIllj S '' Alt. SAS Treatment with Disposal-Patented Sand Filters, • Eljen GSF Geotextile Sand Filter System,by Eljen Corp. • Enviro-Septic Leaching System,by Presby Environmental Inc. 1 p() • GEO-flow Pipe Leaching System,by ADS,Inc. BEFORE ISSUANCE OF DISPOSAL WORKS CONSTRUCTION PERMIT A)a ❑ Disclosure Notice in the Deed to the property for systems installed under Remedial Use approval(pg.2) (NOTE: Deed recording not required if a conventional designcal ulation is used) ❑ Reserve Area Show 6 ❑ Pr of that the installer and designer have completed training(for Cultec and GEOflow) (pg. 8) If non-residential or if residential an grea i ica ion of design by the Company (page 8, S.B) ❑ Certification signed by the Owner of property, stating that the property Owner: has been provided a 0 copy of Title 5 I/A technology approval,the Owner's Manual,and the O&M Manual and the owner agrees to co ply with all terms and conditions etc. (see page 8, Section. 18,(d), i—v) Y400 s.f. minimum(using conventional design)if new construction or increase in flow . 5 ( g g ) (pg. ) ------------------------------------------------------------------------------------------------------------------------------- BEFORE ISSUANCE OF CERTIFICATE OF COMPLIANCE ❑ Certification by the system Installer and Designer who shall provide, in addition to the certifications required by Title 5,certifications in writing that the system was constructed in compliance with the terms of the Approval(pg. 9,#23) NOTE: This is a quick reference guide. See multiple page"approval letter"document from MA DEP for complete listing of conditions for the particular system's approval proposed to be installed. I `V L� R.l) Section A Introduction Purpose The purpose of this manual is to provide guidance in the design and installation of the Presby Environmental, Inc., Enviro-Septic wastewater treatment system products. Presby All systems using Presby Environmental, Inc., Enviro-Septic®wastewater Environmental, treatment system products must be designed and installed in compliance with Inc.,standards the procedures and specifications described in this manual. State standards Title 5, 310 CMR 15.000, the State Environmental Code for Massachusetts covers issues not addressed in this manual. Title 5 requirements take precedence unless specifically changed by the General Use or Remedial Use approvals issued for the Enviro-Septic® system. Certification MassDEP and Presby Environmental, Inc., require all designers and installers required to be certified. Certification is obtained by attending the "Enviro-Septic® Designer and Installer Certification Course"presented by Presby Environmental, Inc., or its sanctioned representatives. Until designers and installers are certified, designs and installations must be approved/inspected by Presby Environmental, Inc., or its sanctioned representatives. Special Note: Presby Environmental, Inc., recommends that all individuals r _ involved in the approval or permitting process also attend these sessions. "System Installers of Env iro-Septic systems shall provide Presby Environmental, Inc., Installation and the local approving authority with a copy of a completed "System Form" required Installation Form"for each new or remedial system installed. Reference: See "Appendix A—System Installation Form." Technical Presby Environmental, Inc.,provides technical support to all individuals using support our products. For questions about the information contained in this manual, please review our website at www.presbyenvironmental.com or contact us at 1-800-473-5298. 6 f McKean, Thomas From: Stanton, David Sent: Tuesday, September 10, 2013 1:23 PM. To: McKean, Thomas Subject: 602 Shootflying hill Tom, I spoke with Dan Ojala. They are going to do a deed restriction, which solves the bedroom count. As for the pump cycles, he will check with Presby to see if the setup he has now is fine (roughly 3-4 cycles a day) They recommend 6 doses a day, but it is a recommendation. To change it is simple, they just adjust the float slightly for the pump off. That doesn't really need to be addressed by the Board, Dan will adjust the float depth (if Presby thinks it's important before the install.) So everything looks good on the plans and if they go with the deed restriction, that should be all. Thanks, Dave David W. Stanton, IRS Health Inspector Town of Barnstable 200 Main Street Hyannis, MA 02601 Direct phone: (508) 862-4647 Health Dept. phone: (508) 862-4644 Health Dept. fax (508) 790-6304 1 Section Pump System Requirements Introduction Pump systems typically supply effluent to Enviro-Septic pipe using a pressured line and a distribution box as a velocity reducer when site conditions do not permit a gravity system. Pumps and chambers shall be designed in accordance with 310 CMR 15.231. Differential All pump systems must use differential venting. venting Reference: See Section J, "Venting Requirements," p. 34. Velocity control It is important to control the rate at which effluent enters Enviro-Septic®pipe. Excessive effluent velocity can disrupt suspended solids that have settled out in the Enviro-Septic®pipes. Velocity Never pump effluent directly into Enviro-Septic pipes. Pressurized lines reduction must discharge into a velocity reducing distribution box with a baffle, a 90- degree elbow, or a tee fitting. If the design already incorporates a distribution box to divide effluent flow, an additional distribution box may not be necessary. I� , Pipe length per Each gallon of effluent pumped per cycle requires a minimum of 1.0 of pumped gallon Enviro-Septic®pipe. Basic System A maximum of 40 GPM is permitted for each basic serial bed. GPM Limit GPM per flow A flow equalizer used in a pump system is limited to a maximum of 20 gallons equalizer limit per minute. Section or line Each line of a pumped D-Box system or each section of a pumped combination GPM limit system is limited to a maximum of 20 GPM. Each basic serial bed without a flow equalizer can have a maximum flow of 40 GPM. Pump cycling Pump cycling is recommended to be six or more cycles per day. a 35 Title 5 and Aggregate Systems Exceptions Continued New Minimum vertical separation distances to EHGW construction In soils with percolation rates of 2 min/in or less the minimum vertical provisions separation distance to the EHGW is 5' measured from the required 6" of (continued) system sand at the bottom of the Enviro-Septic pipe. In soils with percolation rates greater than 2-60 min/in the minimum vertical separation distance to the EHGW is 4' measured from the required 6" of system sand at the bottom of the Enviro-Septic pipe. Minimum naturally occurring_pervious soil depth In soils with percolation rates to 60 min/in, the minimum depth of naturally occurring pervious material under a bed is 4', measured from the required 6" of system sand at the bottom of the Enviro-Septic pipe. Remedial use Minimum vertical separation distances to EHGW provisions For remedial systems in soils with percolation rates of 2 min/in or less,the minimum vertical separation distance to the EHGW, measured from the bottom of the 6" of system sand below the Enviro-Septic pipe, may be reduced to 3' if allowed by the local:approving authority. In soils with percolation rates greater than 2 to 90 min/in, the minimum vertical separation distance to the EHGW, measured from the bottom of the 6" of system sand below the Enviro-Septic®pipe, may be reduced to 2' if allowed by the local approving authority. Minimum naturals occurring pervious soil depth In soils with percolation rates to 90 min/in the depth of naturally occurring pervious material under a bed, measured from the bottom of the 6" of system sand below the Enviro-Septic pipe, may be reduced to no less than 2' if allowed by the local approving authority. 17 QUICK REFERENCE GUIDE for: STANDARD CONDITIONS FOR ALTERNATIVE SOIL ABSORPTION SYSTEMS WITH GENERAL USE CERIFICATION AND/OR APPROVED FOR REMEDIAL USE Revised: June 6,2013 Applicable to the following Alt. SAS Disposal-Only, • Contactor,Field Drain Contactor and Recharger Chambers,by Cultec Inc. • Biodiffuser&ARC Chambers,by Infiltrator Systems,Inc. • Infiltrator Chambers,by Infiltrator Systems,Inc. f 0 • Eljen MantisM5,by Eljen Corp Sl�u,l y i j 17 1I1l jAIt. SAS Treatment with Disposal-Patented Sand Filters, J • Eljen GSF Geotextile Sand Filter System,by Eljen Corp. 3 • Enviro-Septic Leaching System,by Presby Environmental Inc. • GEO-flow Pipe Leaching System,by ADS,Inc. / d h BEFORE ISSUANCE OF DISPOSAL WORKS CONSTRUCTION PERMIT V Disclosure Notice in the Deed to the property for systems installed under Remedial Use approval(pg. 2) (NOTE: Deed recording not required if a conventional design calculation is used) H' Reserve Area Shown on Plan(pg.4) Artofr,t �f 'ov � ����t�q�that the installer an designer ave comp eted training(for Culte and GEOflow) (pg. 8) E� If non-residential or if residential and greater than 2,000 d, Certification of design b the Company g gP g Y P Y (page 8, S. B) �ECert=ification signed by the Owner of property,stating that the property Owner: has been provided a i S 5V s copy of Title 5 I/A technology approval,the Owner's Manual,and the O&M Manual and the owner agrees S(,� to comply with all terms and conditions etc. (see page 8, Section. 18,(d), i—v) 400 s.f.minimum(using conventional design)if new construction or increase in flow (pg. 5) --------------------------------------------------------------------------------------------------------------=---------------- BEFORE ISSUANCE OF CERTIFICATE OF COMPLIANCE ❑ Certification by the system Installer and Designer who shall provide, in addition to the certifications required by Title 5,certifications in writing that the system was constructed in compliance with the terms of the Approval(pg. 9,#23) NOTE: This is a quick reference guide. See multiple page"approval letter"document from MA DEP for complete listing of conditions for the particular system's approval proposed to be installed. Q:\Application Forms\Checklist for STANDARD CONDITIONS FOR ALTERNATIVE SOIL ABSORPTION SYSTEMS WITH GENERAL USE CERIFICATION AND.doc tel.(508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down cope engineering, iac structural design August 5, 2013 civil engineers & land surveyors Daniel A.Ojala,P.E.,P.L.S. Arne H.Ojala P.E.,P.L.S. Barnstable Board of Health Timothy H.Covell,P.L.S. land court 200 Main Street Andrew R.Garulay,R.L.A. surveys Hyannis, MA 02601 site Planning Re: 602 Shootflying Hill Road(Centerville) Dear Board Members: sewage system designs The enclosed represents a variance filing for the upgrading of a failed older septic Title 5 septic system,utilizing the Presby Enviro-Septic Wastewater Treatment inspections System, under their Remedial Permit Approval. No increase in habitable space or bedrooms is proposed; the system is in failure,requiring frequent pumping since June. The system is designed based on the existing 3 bedrooms. The following variances Permits - are requested under Maximum Feasible Compliance 15.405 and Town of Barnstable Regulations: landscape architecture Variance from 310 CMR 15.405 (la) leaching facility to lot lines (10' to 8'); (b): reduction in setback to garage slab (10' to 7'); reduction in separation to high groundwater(5' to 4', plus an additional foot under the Remedial Permit); 0): reduction in 12" separation bet. inlet and outlet tees and high groundwater. Under Town of Barnstable Art I: Section 360-1: Leaching facility to be less than 100' to wetland for SAS (50' variance requested), and pump chamber to wetland(100' to 41'). Due to severe site restrictions to include the presence of wetlands and small amount of useable land for the new leaching facility, setback variances are requested in order to maintain the greatest distance possible to the wetlands. A"Request for Determination"was filed with the Barnstable Conservation Commissiop, with an, -� expected approval forthcoming on August 6tn �? Because of the proximity to both wetlands and high groundwater,the£P,resby Enviro- Septic Wastewater Treatment System is proposed under a Remedial 'ermit(undiat,the'h Remedial Use Approval issued March 19, 2013), to allow the system to�be 3' fro,rr� ' high groundwater. A retaining wall is required around the facility due to site constraints. A 20%reduction in the normally required minimum 400 s f effective , leaching area is proposed, again due to space limitations. A notice will be placed on the deed to the property, serving as notification of the presence of this Alternative septic system. Under the latest revised Remedial Use Approval, no Operations and Maintenance Agreement or annual inspections are required. This site is constrained both vertically and horizontally. By utilizing the Innovative/Alternative technology, the proposed system will be a vast improvement over what exists,providing advanced treatment of septic effluent in this environmentally sensitive area. We feel that by granting these variances,the same degree of environmental protection can be attained without the need for strict adherence to the Title 5 and Town of Barnstable Regulations. Very truly yours, Daniel A.. Ojala, PE, PLT Down Cape Engineering, Inc. tel.(508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down cope engiaeeriag, 1ftC structural design August 7, 2013 civil engineers &land surveyors Daniel A.Ojala,P.E.,P.L.S. Arne H.Ojala P.E.,P.L.S. Timothy H.Covell,P.L.S. land court Andrew R.Garulay,R.L.A. surveys Barnstable Board of Health 200 Main Street Hyannis, MA 02601 site planning Re: 602 Shootflying Hill Road, Centerville sewage system Upgrade of failed system, hearing 8/20 designs Dear Board Members: inspections Please be advised that the Conservation Commission approved the Request for .Determination last night in regard to the above-referenced site. permits Due to the overlapping BoH filing deadline/Conservation hearing date,the filing could not include the approval ("Negative Determination"). Due to the need for constant landscape pumping, we felt that it was in everyone's best interest to continue with the filing architecture procedure to make the August 20th meeting. Very truly yours, Daniel A. Ojala, PE, PLS Down Cape Engineering, Inc. cc: Bortolotti Constructor/Sheldon Stewart r' a AbutterReport Page 1 of 1 Board of Health Abutter List for Map & Parcel(s): '193035' Direct abutters(no set distance) and the properties located across the street. Total Count: 7 A Close Map&Parcel Ownerl Owner2 Addressl Address 2 Mailing Country Deed CityStateZip 193019 WINER,JOYCE S 86 ANNE MARIE HOLLISTON,MA 22568/76 DRIVE 01746-1202 193020 JOHNSON,YOLANDA 10 HILLSIDE DR CENTERVILLE, 12811/011 D MA 02632 193021 OBRIEN,JOHN F& PO BOX 68 HYANNIS PORT, 17062/211 MARGARET MA 02647 WEST, LUCY W& 582 SHOOTFLYING CENTERVILLE, 193034 WHELTON,THOMAS HILL ROAD MA 02632 26497/25 W STEWART, STEWART REALTY 602 SHOOTFLYING CENTERVILLE, 193035 SHELDON F& TRUST HILL RD MA 02632 25937/203 SALIJANE TRS 193077 SCROCZENSKI, ROD 14 JOHNSON LANE CENTERVILLE, 22987/249 T&COLLEEN M MA 02632 YOUNG, RUSSELL A 1715 SW PORT SAINT 193078 ESTATE OF C/O JOAN L YOUNG MOCKINGBIRD DR LUCIE, FL 34986 1532/110 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters.If a certified list of abutters is required,contact the Assessing Division to have this list certified.The owner and address data on this list is from the Town of Barnstable Assessor's database as of 8/6/2013. http://66.203.95.236/arcims/appgeoapp/`AbiitterReport.aspx?type=BOH 8/6/2013 i tel.(508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down cope engineering, Me structural design civil engineers &land surveyors Daniel A.Ojala,P.E.,P.L.S. Arne H.Ojala P.E.,P.L.S. Timothy H.Covell,P.L.S. land court Andrew R.Garulay,R.L.A. surveys August 5, 2013 site planning Dear Abutter: sewage system A public hearing has been scheduled for the Barnstable Board of Health to take action designs on a request for variances from Town of Barnstable Regulations for the subsurface disposal of sewage utilizing a Presby Enviro-Septic Wastewater Treatment System in tandem with conventional Title 5 system components. The system is being installed inspections under a"Remedial Permit"—no additional bedrooms are planned; this is a repair of a failed older Title 5 septic system. permits Variance from 310 CMR 15.405 (1a) leaching facility to lot lines (10' to 8'); (b): reduction in setback to garage slab (10' to 7'); reduction in separation to high landscape groundwater (5' to 4',plus an additional foot under the Remedial Permit); 0): architecture reduction in 12" separation bet. inlet and outlet tees and high groundwater. Under Town of Barnstable Art I: Section 360-1: Leaching facility to be less than 100' to wetland for SAS (50' variance requested), and pump chamber to wetland(100' to 41'). No work is proposed, nor is there a real estate transaction involved; the;ytem is ins' failure (requires regular pumping) and requires upgrading as soon as possi,t le. Said hearing will be held in the Hearin;Room South Street Hyannis August20, A 2013 at 3:00 pm. Plans and the application describing the proposed activity are on,;.: JF" ``Jj file at the Board of Health office, 200 Main Street, Hyannis. It is recommended tot,,,, check with the Health Department to confirm date and time if you are interested in d,A,,. attending. 113 Sincerely, Sarah B. Ojala Down Cape Engineering, Inc. cc: Abutters file Barnstable Board of Health barnboh Town of Barnstable Geographic Information System August 6,2013 193237 193254 193039 193054 193236 #84 #11 193049 #62 #134 193017 19#3024 see #521 193055 #139 193261002 #1461 1931126 t#0 , 52630 193025 #541) 193261001 47 193023 547° #0 556 193057' td# 193028 #'149 193027 #522 193051 9567 #48 G H/L.1- aD 193030 d 193252�*p 193056 193018 i:ft'193021 .`.:.:' $140 l ylN # 1#536 1 25 0 4 #41 #160 #155 #577 •; 193262 `Q 193031 0552 193249 193032 #20 #668 19 033 p�( 3 - - #580 P. 4I#10• ::-:•.193034`---: ::::::':.• 193248 N 582 #34 193246 #15 ;r-193035 193247 r':#602} i:. •' #15 193245 193009 :'.':7:;<? :;:i#614 ".•::•:::. 193244 9613 #37 Spy:::;.. rf 193077 193217 193219 it 81 #78 193215 19324.2 4637 193041 #41 193076 #26 193220 #9 0 60 F et #76 .93042 #36 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:193 Parcel:035 Board of Health boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel 1"=100'may not meet established map accuracy standards. The parcel lines on this map Abutter List Type-Direct abutters(no set distance)and the properties located are only graphic representations of Assessors lax parcels. They are not true property across the street. Abutters 'E boundaries and do not represent accurate relationships to physical features on the map .=''/ such as building locations. Buffer � '. �i/ol� TRANSMITTAL DATE: 8/6/13 Down Cape Engineering 939 Main Street Yarmouth Port, MA Barnstable Board of Health Re: 13-124 Bortolotti/Stewart 602 Shootflying Hill Centerville Method of Deliver - Delivered Enclosed - Variance Request Form Title 5 Site Plan dated 7/11/13 Supplemental Plan dated 8/6/13 Sieve Analysis (2) Board Members Letter Abutters List Abutters Letter Abutters Map Perc Sheet i Checklist Floor Plan Permission to Represent Letter Notice of Alternative System i�� awe Presbey System Detail Package Cc : File t down cape engineering, inc. SIEVE SOILS ANALYSIS 602 SHOOTFLYING HILL RD. TH#1 DATE OF REPORT:7/8/13 JOB : GRAIN SIZE ANALYSIS-SIEVE TEST SITE: 602 SHOOTFLYING HILL RD. CENTERVILLE, MA LOCATION: DCE TEST HOLE #1 SIEVE ANALYSIS Weight Sample(Grams): 141.5 SIZE WEIGHT RETAINED % RETAINED % PASSED (sum ) -------------:.................................................... :---------------------:..................................... 1" 0.0 0.0%€ 100.0% -------------......................................................>--------------------- ------------------ 3/4" 0.0 0.0% 100.0% ............................. 1/2" 0.0€ 0.0%E 100.0% --------------......................................................>--------------------- ------------------ 3/8" 0.0 0.0% 100.0% --------------:.....................................I..................----------------------------------- ---- #4 0.0€ 0.0%€ 100.0% --------------......................................................>---------------------,..................................... #10 0.6 0.4% 99.6% -------------:.......................................................---------------------...................................... #20 7.5 5.3%€ 94.7% -------------......................................................>---------------------..................................... #40 30.8: 21.8%`. 78.2% --------------:......................................................:--------------------_..................................... #50 54.4 38.4% 61.6% -------------i......................................................r---------------------i..................................... #80-------- ........................................�.0.`...:...-------------74.3% ° 2 --------------......................................................>---------------------�----------- -- - #200 137.4€ 97.1%€ 2.9% 1 --------------:......................................................:---------------100.----0%--=------------0-0% PAN: 40-- -- SAMPLE: 141.5€ NOTE:TEST ON PASSING#4 ONLY, 0.0% RETAINED ON #4 <45%O.K. RESULTS: SOIL CLASSIFIED AS AASHTO A-3 (FINE SAND) (UNCOMPACTED) PERCENTAGE OF MATERIAL PASSING #4 SIEVE : #4 100% (TEST ONLY MATERIAL PASSING #4) OK #5010%-100% OK #100 0%-20% CLOSE #200 0%-5% OK SAMPLE CLOSE TO MEETING TITLE 5 FILL SPECIFICATION >97%SAND A RESULTS: PERMEABLE MATERIAL-CLASS 1 <2 MINJIN. MATERIAL j�kOFhfq NONCOMPACTED ��� DANIsLA. yes SOIL DESCRIPTION: FINE SAND o OJALA CIVIL N No.40502 s . NG� / � 1� down cape engineering, inc. SIEVE SOILS ANALYSIS 602 SHOOTFLYING HILL RD TH#2 DATE OF REPORT:7/8/13 JOB : GRAIN SIZE ANALYSIS-SIEVE TEST SITE: 602 SHOOTFLYING HILL RD. CENTERVILLE, MA LOCATION: DCE TEST HOLE #2 SIEVE ANALYSIS Weight Sample(Grams): 134.8 SIZE :WEIGHT RETAINED % RETAINED % PASSED (sum ) --------------:......................................................----------------------...................................... 1" 0.0: 0.0%: 100.0% --------------i...............................................0.......t--------------------- �'------------------ 3/4" .0€ 0.0%€ 100.0% -------------:......................................................:---------------------------------------- 1/2" 0.0: 0.0%: 100.0% -------------i......................................................}---------------------�------------------ 3/8" 0.0i 0.0%� 100.0% --------------.......................................................:---------------------------------------- #4 0.0: 0.0%: 100.0% --------------i......................................................>---------------------,..................................... #10 0.2i 0.1%E 99.9% #20 2.4: 1.8%: 98.2% -------------......................................................>---------------------,..................................... #40 9.6€ 7.1%€ 92.9% --------------:......................................................:---------------------:..................................... #50 19.6: 14.5% 85.5% -------------i......................................................}---------------------..................................... #80 82.1€ 60.9%€ 39.1%o -------------......................................................:---------------------......................... #100 97.5 72.3%E 7 °o --------------i......................................................t---------------------�'---------- - #200 126.5€ 93.8%E 6 ° --------------:......................................................:---------------------=--------------0 PAN: ------------------ ----------------- 100.0%0 ----------- =.% SAMPLE: € 134.8s NOTE:TEST ON PASSING#4 ONLY, 0.0% RETAINED ON #4 <45% O.K. RESULTS: SOIL CLASSIFIED AS AASHTO A-3 (FINE SAND) (UNCOMPACTED) PERCENTAGE OF MATERIAL PASSING#4 SIEVE : #4 100% (TEST ONLY MATERIAL PASSING#4) OK #5010%-100% OK #100 0%-20% CLOSE #200 0%-5% CLOSE SAMPLE CLOSE TO MEETING TITLE 5 FILL SPECIFICATION >94%SAND ' OF A,�gSS�c RESULTS: PERMEABLE MATERIAL-CLASS 1 <2 MINJIN. MATERIAL '7�°` DANIELA. NONCOMPACTED 0 OJAL CIVIL SOIL DESCRIPTION: FINE SAND `o No.46502 JUL-30-2013 09:08 From:BORTOLOTTI CONST 50842893139 To:15083629880 P.1/3 7-26-201.3 Sheldon Stewart 602 Shoot Flying Hill :Road Centerville, N A 02632 508-367-8023 .1., Sheldon Stewart give Down Cape .Engineering permission to represent me at the Board of Health hearing. Thank you,7She don Stewart i i c -eo,_VJ1�LeW4,4-- TVimown ®f Barnstable P# Department of Regulatory Services n u Public Health.Division Date 200 Main Street,Hyannis MA 02601 Date Scheduled. Tf ne Fee Pd. 14, l 00. %) ; Suitability .Assessment for S e has al g Performed-By: ' Witnessed By: LOCATION&GENERAL,INOMIATI®Location Address / U y l o i - l� Owner's Name �+ ! wad J _ Address Assessor's Map/Parcel: /?, \ Engineer's Name � 0 V,)V/ A9D NEW CONSTRUCTION REPAIR �J•76a Telephone# C`S U�• '��Cl!%/ Land Use: I WA OO Slopes(96) Surface Stones N nICC Distances from: Open Water Body7a,0O l (' It Possible Wet Area Drinking Water Well ft Draiiraga Way ft Property Line _ 0 _ft Other ft SIMTCII:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands•!n proximity to holes) �o �T /V 0f -) ` .fib � �Y�' � `` .�,•� 0 M Parent material(geologic) UU r W/)91_ 6-3 Depth to 13ecJroelt Depth to Groundwater. Standing Water in Hole: Weeping from Pit Elbe Estimated Seasonal High Groundwater . A-_ A/L DETE6ENATION]FOR SEASONAL Hl' WATER TABLE Method'Used J :DepthGH Observed standing in obs.hole: In, Deptlt to sell lnpttles: Dcpt6 to weeping from side of obs,halt: Index Well# III, Groundwater Adjustment R. Reading Date:,_ . Index Well loyal .m Ad,#+tc ter r•_,__- �, _----� - - � Observation PERCOLATION T +'ST Date- Thnm__ Hole# r Timn at 9° Depth of Pert _ Time at G" Start Pre-soak Time Time(V-0) End Pro-soak Rate Min./Inch Site Suitability Assessment: Site Passed Sitq Fallcd: Additional Testing Necdcd(YIN) Ur Original: Public health Division Observation Hole Data To Be Completed on Back-- - ***If percolation test is to be conductedwithlu 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1) week prior to beginning. Q:1S EPTIC\PER CFO RM.D O C ]DEEP.OBSERVt1TION HOLE LOG Hole Depth from Soil Horizon Soil Texture .Sdil Color Soil- Other Surface(in.) (USDA) (Munsell) Mottling (Structure, Stones;Boulders, o i ten- .96 travel) 5 L. /vY22� h�oraz 1`5 �-v 13 le)Y2%3 R—l G 5i46v O Sd..'o DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil 01her (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsis en, %Gravel) ]DEEP OBSERVATION HOLE LOG Hole fit. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. o i t011m Gravel) 3 CO r ` (DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color 5011 Other Surface(in_) (USDA) (Munsell) Mottling (Structure,Stones;Boulders, Co si ten Flood Insurance Rate Map: Above 500 year flood boundary No Yes I ' Within.500 yrar boundary No_ Yes Within 100 year flood boundary No_ Yes ]Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious mtiterial exisrin all'areas observed throughout the area proposed for the soil absorption system` '`fie-i If not,what is the depth of haturally occurring pervious matarial`? _ Certification c/ I certify that on t/ (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the requited training,expertise an experience described in�10 CMR 15.017. Signature Datb f.3 Q:\SH?T1a!'ElZCl10RM,D0 C COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PRO RECEIVED SEP 5 2002 TOWN OF BARNSTABLE HEALTH DEPT. TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY'ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION�,� Property Address: Owner's Name: Owner's Address: 0 02 1 Date of Inspection �C�CJ a 1 _. Name of Inspector: (please print) �- ��( MAP O� Company Name. PARCEL Mailing Address: Telephone Number: / CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of 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: V Passes Conditionally Passes eds F rther Evaluation by the Local Approving Authority F ils Inspector's Signature: Date: Sla,- v i The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Notes and Comments ****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 I t Page 2 of I 1 ti 6 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: VIP Owner Date of Inspection: -Cni. crD- Inspection Summary: Check A,B;C;D or E I ALWAYS complete.all of Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below'. Comments: B:--Svstem 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,Aill 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: 1 2 Page 3 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE.SEWAGE DISPO SAL.SYSTEM INSPECTION FORM PART A CERTIFICATION(continued), Property Address: A 1 4 " Q Owner: Date of Inspection: ��„� 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 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 I 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: 3 Y Pace 4 of 11 OFFICIAL INSPECTION FORM—.NOT FOR VPLUNTARY ASSESSMENTS SUBSURFACE`SEWAGE DISPOSAL.SYSTIEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: o? Owner: ffi44 Date of Inspection: 4�,-/(>—Oc c- D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes Nc� 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 _ V 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 day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number l of times pumped _ I/. 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 I of a:public well. _ Any portion of a cesspool or privy is within 50 feet of a:private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [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.] A"U (Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the.system must serve a facility with a design now 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 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Y Q Property Address: Owner: _-,4-9,eCC�, L( ( Date of Inspection:� �Q,� ��, r C>UCD Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes �0 _ 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 ? JZHave 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.? V _ 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)J 5 Page 6 of l 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: Owner: Date of Inspection: �Oa FLOW CONDITIONS RESIDENTIAL✓A Number of bedrooms:(design):'a Number of bedrooms(actual): _ DESIGN flow based on 310 CMR 15.203 o 11:0 example:for d x#of bedrooms): ( P bP Number of current residents: 02 Does residence.1ave a garbage grinder(yes or no),� Is laundry on a separate sewage system (yes or no .[if yes separate inspection required] Laundry system inspected(yes or no): . Seasonal use: (yes or no): 000 Water meter readings, if available(last 2 years usage(gpd)): 000 y50, 3 �pd✓ Sump pump(yes or notAo Last date of occupancy:P Y 7- COMMERCIAL/INDUSTRIA.L.t_(r�k Type of establishment:. . Design flow(based on 310 CMR 15,203): . C, 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: �,(� Was system pumped as part of the inspection{yes or 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 copyof the DEP approval Zotlier(describe): pproximate age of all components,date in tailed(if know nd source of information Were sewage odors detected when arriving at the site(yes or no): 6 Page 7 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM.INFORMATION(continued) Property Address: Q �.e.P� P'V0'& �' Owner: Date of Inspection: bQ a BUILDING SEWER(locate on site plan)- 4c 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: i/ (locate on site plan) Depth below grade:__ L Material of construction:Lzconcrete_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: ,S ',�^ iro ' k' Sludge depth: Distance from top of sludge to bottom of outlet tee.or baffle: 35 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: How were dimensions determined:6 Comments(on pumping recoinmen ttons, i let and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): ka&a&21�1 I a o-I/ 0" Z e� 9J t 61// GREASE TRASP./ ecate 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 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C . SYSTEM INFORMATION(continued) Property Address: s Owner: Date of Inspection: O a TIGHT or HOLDING TANK (tank must be pumped at time of inspection)(locate on.site plan) Depth below grade: Material of construction: concrete metal. fiberglass__polyethylene other(explain): Dimensions: Capacity: gallons Design-Flow: . gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BON (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 CHAMBEP (Iocate 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 Page9of11 OFFICIAL,INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM.INFORMATION(continued) Property Address: 0 t� Owner: Date of Inspection: C)Q SOIL ABSORPTION SYSTEM (SAS): locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number:_ 1 aching chambers, number: achinn 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. : 4A _ n A^ CESSPOOL4t.: cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth'—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer:_ Dimensions of cesspool: Materials of construction.: Indication of.groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation,etc_): PRIVY�(locate on site plan) Materials.of construction: Dimensions: Depth of solids: . Comments(note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 9. Page 10 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 Inspection: o�� aGCJaL SKETCH OF SEWAGE DISPOSAL.SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet.Locate where public water supply enters the building. l l O �1 10 Page I I of I I r OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: A Owner: / Date of Inspection:�i CaG�a SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water feet Please indicate(check).all methods used to determine the high -round 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: Checked with.local.excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: 5' � �r 11 Perm t Number: Date: Completed by:. GKO•UND-Vk -EB LEVEL COMPUTATION Site Location: Lot Mo•. ..w•ner �9`/ �C r� Address_. ���/(/ L/// ! 1%OEM ; Address: �. - Contrac�or:- Addr__s• �fS ;_�Il/5��,(� i Notes:. � � /L✓Cp/r 7`�!P •r�/���5 � � • ST ,-'-. 1 . Measure depth water table. tonearest.1./10'1 ........................._.............._ .........--._.....-........ .Dates monifi/davjyear I S.T EP 2 Using.Water-Level.Ran e Zone and Ih.de.x Weib:Ma.p-locate si.te.ar>d determine: O.Arpro.priate.index w.etL......_.._. _........ him° ! I Water Vevel :inn=zo*e _.........:..........._.._... U - I Using-monthly.rapar. ,.,Curren•i — • Water R.esources:Conditrons" determine currentdeptn-to j.: water. I•evel for'indaz weF ........ l ................... . mflnthfyear STEP. `L Using: ;2bie.od-Wcte.r;jemel Ad)1152r'i19 n.t5 for index well (STEP 2.5),.•current depth- to water'•level for..index well (S T EP,3•):, F and.Yvater-level zone (STEP 2B) i determine water level adjustmertt ..............._...._....._.......:........-.......-....... .... i STEP: d sti•mate-deptn to:hich water by subtractipc the vvater-: level adjustment-(STEP 47) from measured-.depth to.water �. • le.vel at sits.(ST•EP'1).............. ............._•.........-..:..............................._................................... � . • . I:ICj'e`i v• ±�5:"•wS,"�i�'�ii,,iJ{v'vvili°i7il Lail l ir: � 2u , i utid s I i I 1010 THE COMMONWEALTH OF MASSACHUSETTS BOARD Qf HEALTH OF....................... . Applira#ion for Uhip al 10ork.5 Tonstrnrtiun Frrmit Application is hereby made for a Permit to Construct ( ) or Repair N an Individual Sewage Disposal System at: .... ... ... ............................................ - .•. ---- - - tdr o �Owner res. . ...... :. ............ 7 . ... Installer Address Type of Building Size Lot_ A0.........Sq. feet Dwelling—No. of Bedrooms.. ....... . . ...................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building a Other—Type g ___.. No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ----------------------------------------•------.....-•.-•--....---------------..._...._.. W Design Flow.................._...•_....._.gallons per person per day. Total daily flow---- `-G.............................gallon WSeptic Tank—Liquid capacity ..gallons Length....A5 - Width___...6...`..__ Diameter________________ Depth..�ren _. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-• Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (Z4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a j O Description of Soil...........4 1..•---!�� --� ---------•- /----�- �,Q---------1/-t�' r -._��. x U ----•---•---•--•----•--•-•-----------•--------•-•••----•--•-••---------••.....................•-•••-••----•---••-•••------•---•••--•••----•...•-•----•••--•--------------•..........---•--•-----••--••- W x� ----------------------------------------------------------------------------------•-•----------------------------------- - ------- -- ------------ --- U Nature of pairs or Alterations— nswer w applicable --.�%� •-- / Q'-_. . �----�......-- ----�------ --------•----------•----•--•------------------------------• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITI.E 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ed y th b d jGhealth. -- /,e Signed at Application Approved By--••-•--••--•-•--i�..... -----------------------•-••-. ....._.._ `, Date Application Disapproved for the following reasons:---•----------------------------------------- ---------------------- ------------------------------------------ ...............•-•••-•-•-••--••••••----•-••--------------•--•-------------------....------------------.....--•-----------•-----------....----. ---------------------------------------------------------- Date Permit No..................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH '.. .................OF..... .� --------------.......------------............ . ppliration for Dispao l arks C�nn��rnrtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair (\,<I an Individual Sewage Disposal System at ....:'.. ............................................ ..--•-----------------... .. catson•kidd's f----•--- --� -•--�--.......--r, ..............................::: .. ........................ . . _ �.................................. Owner /j Installer Address _ U Type of Building < Size Lot�J,r dam_=:._._Sq, feet a Dwelling—No, of Bedrooms................--I..........................Expansion Attic ( ) Garbage Grinder ( ) a Other—Type of Building _.._. .......... No. of persons-_________________________ Showers ( ) — Cafeteria ( ) d Other fixtures ..._.. WDesign Flow...............55..__...................gallons per person per day. Total daily flow...... ............................gallons. WSeptic Tank—Liquid capacity,/�'��..gallons Length_._!�':5� .. Width._..e_._-___- Diameter________________ Depth..��__•-•5--. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by..........................................-••--•-•--•-••----•--•--•-••••• Date........................................ 4 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water....•._--__-___-_.__--_- 9 ................... •--•-•••---••---•-•---•••••••-•---------•••.....--•----•.......----•-•--•...................•--------------••-•••••......---------- Description of Soil.......... ._I....... __:�:5 — � � • � W x -•-•---------•-----------------------------•------------•-••--------•••-•-•-•-------•-----•--•-•-------•---- ----_----•-------- - -.................................................... V Nature of Repairsor Alterations—Answer w applicable_.-___(2 ��. ::__.__.may __-r'�� ._..::�'! ...../ / '___.. - -...... ..... Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in c; operation until a Certificate of Compliance has been issued/by the board of health. Signed �' = '/T f =-( � ... /`y D _ f Date Application Approved By................. _ ti. l -------- '� Date Application Disapproved for the following reasons--------------------------•-•--------------•------•-----•-------------------------------••-•.................... ......................................---................................................................................................................................................................ Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH ............. '{..............OF.....•:�( A1f.�d ......................................... Trrfifiratr of Tautplinnrr THIS IS TO—CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (�°) y----------------•---------- = ... ----- .. ..._..._. __._.._.......... •-......-----..... ...................................................... Italler •----••-••----------•--------------------------------••••-----•-----. has been installed in accordance with the provisi ns of T'T� 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No______________________________qSUED __ dated_...__. .... .................................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE C® AS A ANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE... .......................................... 'Inspector.--- ... --------- THE COMMONWEALTH OF MASSACHUSETTS BOARD ¢F HEALTH (j I v ......,�i�'ff-��A.............,OF.....Z--�Yol�frY-G1�e?l::€'�✓�................................... r No. ........ ... FEE.. ..,,J........... Rojiviial Vorkii Tnnntrurtion ranfit Permission is hereby granted.............k � = 1-�'- %J• < `1. %=..._...t - :......•...................................•--. to Construct ( ) or Repair Repairy0<)) an Inydi-vidual Sewage Disposal System ( r7 at No. r ... t? �- ...... ---------•-----------•-------------------- Street as shown on the application for Disposal Works Construction Permit NoK�_-�f"-�K�•�--- Dated.......................................... ................................ Board of Health FORM 1255 HOBBS & WARREN, INC., PUBLISHERS TOWN OF BARNSTABLE LOCATION — iyic ��SEWAGE # � VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAbIE & PHONE NO.,,—,,? C�pA157 77/`—9c�S ..SEPTIC TANK CAPACITY LEACHING FACILITY:(type) iQ (size) NO. Oil BEDROOMS PRIVATE WELL O PUBLIC WAT BUILDER OR OWNER DATE PERMIT ISSUED:_ DATE COLIPLIANCE ISSUED: VARIANCE GRANTED: Yes_ ` No r i l r ,i TOWN OF BARNSTABLE LOCATION SEWAGE # / VILLAGE G'F_rIWAVI LAC E ASSESSOR'S MAP 6: LOT INSTALLER'S NAME Si PRONE NO C-'0AJ5T_271 9c�� -SEPTIC TANK CAPACITY LEACHING FACILITY:(type) size) NO. 0I7 BEDROOMS PRIVATE WELL O PUBLIC WA E BUILDER OR OWNER cx �G�Ia� _vCIG�- DATE PERMIT ISSUED: DATE COMPLIANCE tSSUED VARIANCE GRANTED: Yes_ No R r .. I � � s�9{{.r�' Jt _ �� .� -�a ��. _. _ :��: 1 4 - �t,0G- c �F��w�t7 a al A Iv (� E w ' O7 111 Lo to .35 (rF x.Co"B�-� 1 •• 3I LxiOe C 1Go1 O.G _ .'i ail II .i r 1 - Ln In J '_a a' r _ - 'I I" 2xsla IG'O.G. I j Ov In .. 90 ta xzr1o�C'I� N (wle.rl in� Y t N 4 R —4— II&L L > ! p • � 1 to � I 1 .... m6 - - -- i 0 - - n _ pl O a ofrzz� 31+ o T 1 r4-4- N cv1121gL L�LL1 y�d 6cLrx9 a+�ioa I csr-n��sr�..rolrn9/ C��Zx4 .. Zxv�/ Jo10Z9 ROOF FRAMING PLAN =tee 1/4r=V-0 _ SECOND FLR. 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I/+P-11-011 I1 I 3 •=5a b i if3sm � •F wa = U � n / / O Z / p u L2 O v'a RC,9NINSLE9 0 � ,2 9/E•cox PL OZ. J ZJ(105.Ib'OZ. Ixx RAKE ON •D�SECROYOI ON ,a u. Q Ix FAPr*ELr ry IX cAP/sI+ELP ry - ,u,sw Fs c0 z Lm LEAD.COATED COPPM LEAD.COATED COPPER 0 sib,S PLYwv 3x105�16'OZ.. 4 � 3s Z o p g IX FA&"AA°Y"ON uc�AxI`Rww ON w y f- r v W Ix 9oFPrr w r Ix soPPrr Iw r �D F,ROM 6 N $ N CONT.VENT(PERF.VINYL) CONE.��--;axP.VINYL" •1 a F\ •E009 C tom t8009 CAROM / job ro.:-0215 IX s CAFRIESE ON Ut BLOLK'b PERFORATED IX FRIEZE ON IX BLOCK-S Ix sOPFITT rl/ -IO.Z%.OZ 1•C A VINYL 1 X SIN6 PETED VENT I b8O09 c4to m ON ocdk I.JcrGo IX FRIEZE ON IX BLOCK'b dreN1l J�A•L. Tcv. j' TEv. r GORNIGE CORNICE 4 BUILT-OUT RAKE/RETURN I CORNICE AT REAR DORMERS 1 i - sCALE. I-I/7• • 1'-O' SCALE. 1--1/]' • 1 O' ��SG ALE• A-4 O •,pyligtrt 2000 �4a w I 1 I 1 I 43.44 I 5.90 2.91 ty, x 0.51 �4 43.70 ,p - �` 43.71 .22 40.94 F-4Q 40.30 I�<S x 39.08 I 40.00 43.69// IV- 0. � 41 9.70 . .08 EXIST FAILED FLO 0 P / 3 c 'LF\ 39. DIFFUSOR SAS �0 #1F G c yL 5 .44 39.26 5F CAUTION: UG ELEC. IN AREA OF #2 %9Q�c� O PROPOSED WORK 5' REMOVAL OF UNSUITABLE SOIL REQUIRED d �� .P 3 0 F AROUND PERIMETER OF LEACHING FACILITY, P DOWN TO SUITABLE SOIL LAYER. REPLACE c� o " 3 6 WITH CLEAN MED. SAND, TO MEET !yQ0 1 16" SPECIFICATIONS OF 310 CMR 15.255(3) � AK 16" OAK �f 39.22 39.0 7 #3 36.9 8.88 °� � 0 34 HVAC SYSTEM (MUST BE 389 c RE-LOCATED) 3 TH1 % $ 12 cP 38.87 8 38` �A\ TH2 F 62 30.72 38.83 .27 �. #4 6.4 !y EXIST. \ 38. 5 3 2 ST** �F,1 34.28 0 38.76 8.57 cFQ 4.29 38. 6 38.7 38.80 3 64 \\ 38.76 #5 36.99 !y _ BENCH MARK - SLAB AT 38. 33.66 GARAGE GARAGE DOOR. ELEV. = 38.9' 38. 9 \�Y J � 3 .6 \ 6 �\ 0 8. ' 8.68 \ N \ 64 SHELL PARKING 85 4 77 `O 38.7 �Q 38.77 �i 38.59 8.09 41. 7 p 38.25 41.46 34.02 -x 8 63 C ' ` EXIST. DWELL. 196� I38.42 TOP OF FNDN. S 38 ELEV. 39.2' 37.91 \ DECK HED 37.6 8.59 ,�q1 8.30 7 34.06 37.66/ 1.44 1 38 41.46 WEQ UAQ UET LAKE 41.42 I 34.12 I TOTAL LOT AREA PER 9.92 ASSESSORS: 30,927t SF 39.74 34.02 SUPPLEMENTAL DRAWING, SHOWING BEST FEASIBLE AREA FOR REPLACEMENT WITH A FA s CONVENTIONAL SEPTIC SYSTEM (ASSUMING REDUCTIONS ALLOWED UNDER MFC 15.405) � 5 ru41 1EL F FOR 602 SHOOTFLYING HILL ROAD, CENTERVILLE (in' accordance with Remedial Permit 33.85 �Q/ a. . �� �` ..� r.l G JA A, Approval condition 7b) Ir <I I� t�VJ f'}V�t'V .46502 k ix G Scale:1 20' 63'f k".ll ;...0 20 30 40 50 FEET DATE DANIEL A. OJALA, P. P.L.S. l 1 13-124 ----- . _ SYSTEM PROFILE ALL SYSTEM COMPONENTS SHALL BE MARKED WITH MAGNETIC TAPE OR (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. Route 6 LEGEND NOTE: REVERSE P/C TANK SUCH THAT PROVIDE 4" PERFORATED INSPECTION PORT BETWEEN UNITS) TO TO BOTTOM OF vice Rd, P/C OUTLET ACCEPTS EFFLUENT FROM SEPTIC TANK SYSTEM SAND AND THREADED CAP WITHIN 3 OF FINAL GRADE. WRAP PIPE: Service PROVIDE MIN. 20" DIAM. WATERTIGHT & 2" PRESSURE LINE OUTLET IS 3" HIGHER WITH PERMEABLE GEOTEXTILE FABRIC TO ELIMINATE SAND INFILTRATION. 99- EXISTING CONTOUR ACCESS COVERS TO WITHIN 6" OF FIN. GRADE X 99 EXIST. SPOT ELEV. \ WATERTIGHT ACCESS COVER TO GRADE (SEE VENT NOTE ON PLAN) 3$•7' SUPPORT 99 PROPOSED CONTOUR MINIMUM .75' F COVER OVER PRECAST ACCESS COVER (WATERTIGHT) TO 2% SLOPE REQUIRED OVER YSTEM 40.1' NOTES' Locu PRECAST H-10 PRECAST H-10 MINIMUM .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE 99 PROPOSED SPOT EL. RISERS (TYP.) RISERS (TYP.) " 1. DATUM IS WEQ. LAKE DATUM SYSTEM 2'0 2'm GEOTEXTILE FABRIC 4 TOPSOIL (SEE VENT NOTE ON PLAN) TH1 `" PROP. TEE DO NOT RUN PIPE LEVEL 2. MUNICIPAL WATER IS EXISTING TEST HOLE /-FOR FIRST 2' (27 MIN. PER PRESBY) / 39.8 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. 10' 10" PROPOSED 1000 GAL H-1 35.96' /` . 0:5, We l[Q uet 2% SLOPE OF GROUND EXISTING , TEE PUMP CHAMBER _ Q TEE SEPTIC TANK** 5.$ t* 35.71 WATERPROOF/WATERTIGHT ENVIRO-SEPTIC PIPE 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS ° ' 0.58' 37 8' TO BE AASHO :H-J_ Qo LQ�Le UTILITY POLE o000 SEE DETAIL BELOW 39.13' 38.96 ' .5• o 38.9 (LAID LEVEL) 5.:PIPE JOINTS TO BE MADE WATERTIGHT. o e�°° FIRE HYDRANT NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING O O O O O O O O O O O C �o z �0k Ot 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH 0 0 0 0 0 0 0 0 0 0 0 0 /' � � O°O°o°00000°o°o°o°o°o°oc 310 CMR.15.000 TITLE 5. r% � � r% � 6" CRUSHED STONE OR MECHANICAL ( ) ADD TUF-TITE EF-4 6" CRUSHED STONE OR MECHANICAL COMPACTION. (15.221 [2]) *THE INSTALLER SHALL VERIFY THE EFFLUENT FILTER COMPACTION. (15.221 [2]) 3'*** 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO OF ALL UTILITIES AND ALL (OR EQUAL) BE USED FOR LOT LINE STAKING OR ANY OTHER LOCATIONSW/MOLDED IN GAS ( 2 SLOPE) PURPOSE. BUILDING SEWER OUTLETS AND MIN. ELEVATIONS PRIOR TO INSTALLING ANY DEFLECTOR 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. LOCUS MAP PORTION OF SEPTIC SYSTEM 9. COMPONENTS. NOT TO BE BACKFILLED OR CONCEALED NOT TO SCALE ( 1 % SLOPE) ( 1 % SLOPE) **INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE AT •- USE HIGH WATER LAKE WITHOUT INSPECTION BY BOARD OF HEALTH AND 10ST GALLONS AND ITS SUITABILITY FOR IC USE. REPLACE EXIST. ELEV. OF 34.8' PERMISSION (OBTAINED FROM BOARD OF HEALTH. ASSESSORS MAP 193 PARCEL 35 LEACHING 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING WITH 1500 GALLON SEPTIC TANK APPROPRIATE TO SITE FOUNDATION SEPTIC TANK g' PUMP CHAMBER 30' D' BOX 3' FACILITY DIGSAFE-(1-888-344-7233) AND VERIFYING THE VARIANCES REQUESTED UNDER MAX. FEASIBLE COMPL. CONDITIONS IF NOT SUITABLE \ LOCATION OF''ALL UNDERGROUND & OVERHEAD UTILITIES 15.405 (1): PRIOR TO COMMENCEMENT OF WORK. (a) REDUCTION IN SETBACK, SAS TO LOT LINE (10' TO 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE 8% (b): REDUCTION IN SETBACK, SAS TO GAR SLAB SAS DETAIL REMOVED 5',BENEATH AND AROUND THE PROPOSED (10' TO 7'); REDUCTION IN SEPARATION TO GROUND- '•. , LEACHING FACILITY. �� _ � O THE SYSTEM SHALL BE INSTALLED IN STRICT WATER (1'): (j): REDUCTION IN 12 SEPARATION BET. ACCORDANCE WITH THE REMEDIAL USE APPROVAL 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND INLET TEE AND HIGH G-W (0.1' REQUESTED) I� ISSUED MARCH 19, 2013 BY DEP ., REMOVED ORi PUMPED AND FILLED WITH CLEAN SAND. /43.44 I 13. INSTALLER.:MUST HAVE COMPLETED THE ENVIRO-SEPTIC UNDER TOWN OF BARNSTABLE REGULATIONS, 360-1: CERTIFICATION'TRAINING COURSE OFFERED BY PRESBY \� ENVIRONMENTAL, INC. AND FOLLOW ALL THEIR INSTALLATION REDUCTION IN SETBACK TO WETLAND FOR PC (100' TO EL 39.8' 10" METHODS AND' REQUIREMENTS. 40 MIL POLY VINYL AND MASTIC � 41') AND SAS TO WETLAND (100' TO 50') ON INSIDE OF RETAINING WALL •�' 14.`SYSTEM SAND SHALL BE ASTM C-33 (CONCRETE SAND). ,(> 5.90 ' (6) #3 BARS CONT. FOR � ® / 3 ,15. WETLAND.FLAGGED BY DCE, INC., CONFIRMED BY HAMLYN HORIZONTAL REINFORCEMENT \ Q / TH .�� Q CONSULTING (TYP) O \'� y 16. 'EFFLUENT FILTER TO BE INSTALLED AND MAINTAINED 2" CLEAR �, 42.91 .. x 0.51 �• TEST HOLE LOGS 3.8' EL. 38.6' q� AS PER MANUFACTURER'S SPECIFICATIONS #4 BARS 12" O.C. FOR V �' � ��y SYSTEM DESIGN: VERTICAL REINFORCEMENT `v /43.70 ,oq� \ �•••\ .O ENGINEER: ARNE H. OJALA, PE, SE O ' 3.71 �� o \. TH 2 GARBAGE DISPOSER IS NOT ALLOWED �:. i'2",-1;; ,,:• VF OAF DONNA MIOR rA I WITNESS: ANDI, IRS 2" CLEAR V / �`ti \ � R yF ''\ - 22 40.94 qp O ,' DESIGN FLOW: 3 BEDROOMS @ 110 GPD - 330 GPD DATE: JULY 1 , 2013 •36.0' BASE ELEV. `� / 40.30 \ Tiffs b ..` `28` ' '' •� 4}3. 6� �� '• �40 \•� x39.08 Q' USE A 330 GPD DESIGN FLOW PERC. RATE _ < 2 MIN/INCH r� n0 ,♦ 40��9J 40.00 __ , \. EXIST. / 3 BEDROOM DEED RESTRICTON REQUIRED NATURAL SOIL `( �43.69 \ ST** SEPTIC TANK: 330 GPD (2) = 660 CLASS I SOILS P# 14066 �7 ♦ 40.�!� 9.7 08 EXIST FAILED FLO O Q �/ ♦♦♦ �?•\ 39 \ DIFFUSOR SAS RE-USE EXISTING SEPTIC TANK** CONC. RETAINING WALL 0 #1 3 rqs� C� �.� ELEV. ELEV. NOT TO SCALE \C 9 5� 19L� 39.26 7 CAUTION: UG ELEC, IN AREA OF USE (1) 1000 GAL. H-10 PUMP CHAMBER `V' 38.7' 38.7' y 2 .44 s♦ 'A,F PROPOSED WORK 5' REMOVAL OF UNSUITABLE SOIL REQUIRED # 1�1 �O� �.Q/ 3 0 k 16" AROUND PERIMETER OF LEACHING FACILITY, LEACHING: CA DOWN TO SUITABLE SOIL LAYER. REPLACE cF Oo♦ \ �N 6 PROP. 1000 GAL. PC WITH CLEAN MED. SAND, TO MEET FULL FULL ♦ F SPECIFICATIONS of 310 CMR 15.255(3) PROVIDE SERIAL DISTRIBUTION SYSTEM, TO CONSIST OF A „ SINGLE BED WITH A SERIES OF ENVIRO-SEPTIC LINES 36 36 to 39.22 �. SAS DETAIL 9.0 7 1" = 10' CONNEC fEU: Afi THE ENDS WITH RAISED_,CONNr" i , USING_ #3 36.9 �♦ 8.88 . y� \ t� A/B A/B OFFSET ADt PTORS AND PVC PIPE. (SEE DETAIL) 20 \� 3 ,`39 \�� `\ PROP. CONC. WALL SURROUNDING SAS; TOP OF SL SL ♦�, 38.9 \ s• WALL AT ELEV. 39.8' (SEE DETAIL) DESIGN:\ 10YR 2/1 10YR 2/1 �o �� 3 M 0 1. LINEAR FIEET: PERC RATE BET. 1 AND 9 MIN. 40" 40" ♦ �i 12 PROP. LOW VENT INSTALLED THROUGH OFFSET BEDROOMS: 3 09 38.87 �'R ADAPTOR AT THE END OF THE SERIAL SYSTEM 2. SLOPE: 0 - 10% B B w 15 OPERATI G POINT •O LAJ 3. PIPE SPACING: SIEVE L` 13 TDH : TH2 O --PROVIDE VENTS WITH CHARCOAL FILTER PERC RATE: 1-10 MS ' MS Z 72 38.83 h AND BUGSCREEN (FINAL PLACEMENT WITH 0 - 101% SLOPES 10YR 4/3 10YR 4/3 o #4 6.4 2 EXIST. O F HOMEOWNER CONSULTATION) 34.28 48" obs. water 34.7 48 obs. water 34.7 w 10 A 38\5 ti� D BOX HIGH VENT SHALL BE 10' MIN. 4.29 THEREFORE USE 1.5' SPACING " ' = R O : .3 64 - 8.57 F`p HIGHER THAN SAS LOW VENT4. LINE LENGTH/FIT 50 34.5 50" 34.5' S�� a 38. 6 38.7 38.80 \ �9e, FOR 150 LF: 30' LENGTH WITH 6 LINES, 1.5' CENTER TO p 5 38.76 p BENCH MARK - SLAB AT CENTER SPACING F 5 # 36.99 38 38.66 GARAGE GARAGE DOOR. ELEV. = 38.9' 5. PERC RATE: 1-5/3 BR/CLASS I SOILS = 400 SF BED MIN. C 38. 9 O USE 150 LF MIN. (213.6 LF PROVIDED) S SIEVE C 6 a ♦ '3 6 8 O USE (6) 34,.6' SECTIONS OF PRESBY ENVIRONMENTAL ENVIRO-SEPTIC GLEYED S 25 50 75 100 O CAPACITY - GPM �� 8 68 \p �\ WASTEWATER TREATMENT SYSTEM SET 1.5' CENTER TO CENTER 98" 30.5' 98" GLEYED 3 64 SHELL PARKING 4 77 IN A BASIC SERIAL FASHION AS SHOWN WITH 1' SAND ON SIDES 30.5' PUMP CURVE FOR MYERS SRM4 4/10 HP PUMP �� ` c � AND 2' OF 'SAND AT ENDS TO CREATE A SAND BED OF 401 SF 38.77 SYSTEM SAND SHALL BE ASTM C-33 (CONCRETE SAND). C 8.59 8.09 4 7 O 38.25 \ x3� 63 41.46 34.02 NOTE: NO STONE IS TO BE USED IN ANY PORTION OF THE LEACHING FACILITY. TITLE PROP. WATERTIGHT COVER TO GRADE �7 G' ' I ` EXIST. DWELL. , ***SYSTEM TO BE INSTALLED UNDER REMEDIAL PERMIT 9 TOP OF FNDN. S ALARM AND CONTROL PANEL 6s, 38 38.42 ELEV. 39.2' TO BE INSTALLED INSIDE PROVIDE QUICK DISCONNECT FOR PUMP 37.91 (ADDITIONAL 1' SEPARATION TO G-W TAKEN OF BUILDING. ALARM TO BE ON DECK DUE TO SITE RESTRICTIONS - PRESENCE OF SEPARATE CIRCUIT FROM PUMP HED 37.6 59 WETLANDS AND HIGH GROUNDWATER 602 SHOOTFLYING HILL ROAD �q 30 7 34.06 38.7' 37.66/ 1.38 „\ \„�\ 14z- 41.46 WEQUAQUET LAKE CENTERVILLE 41.42 OTAL LOT REA PER 2" PRESSURE LINE SF� TSSESSORS:A30 927t SF INV. IN 35.71' 1000 GAL. H-10 S/500 T - PREPARED FOR SLOPE TO DRAIN BACK TO PC �* 34.12 FLOAT SWITCH ALARM ON RESERVE + 0.25" WEEP HOLES 35.96' BORTOLOTTI CONSTRUCTION/ SETTINGS: PUMP ON 9'9` MA 2.6" WORKING RANGE 8" CHECK VALVE 39.74 APPROVED DATE BOARD OF HEALTH ' STEWART MYERS SRM 4 2.6" SUBMERSIBLE 4/10 HP PUMP 34.02 PUMP OFF 8" SYSTEM (OR EQUAL) BOOTS &/OR PIPE JOINTS ARE TO BE SEALED WITH DULY 11 , 2013 HYDRAULIC CEMENT, OR INSTALLED WITH WATER-TIGHT SLEEVES. REV. 8/14/13 (HEALTH DEPT. COMMENTS) PUMP CHAMBER BOTH SEPTIC TANK AND PC SHALL BE PROVEN WATER-TIGHT 33.85 REV. 8/29/13 (LARGER SAS, DETAILS) REV. 9/17/13 (FLOAT SETTING, NOTE PER BOH APPROVAL) (NOT TO SCALE) WATERPROOF/WATERTIGHT 63'f Scale: 1"= 20' *40 x 10 "FEASIBLE REPLACEMENT SYSTEM" OF 4" PERF PIPE AND DOUBLE WASHED STONE AS PER "DESIGN AND INSTALLATION REQUIREMENTS" 7.d. J ` 1-) 0 10 20 30 40 50 FEET BUOYANCY CALCS: - 0 PC WGT: 8240 LBS SHOREY EX. «� ASH oFtAq ��t5"F Mqs � ,��a��r;��.�n�./ r �S»ow'�n� ��: 1000 GAL. H 1 ( ) ya - a ` �sC" �c � qss 4; G Ssq�, + WGT OF SOIL = 90 LBS/CU FT. x 8.5 x 4.83 x .75 = 2771 LBS DOWN a NI�c off 508-362-4541 �- DANIELA 'DAhI!cLA a% C7F,PdICL coo DANIEL �NF I fax 508-362-9880 FOR TOTAL OF 11,011 LBS DOWN �a OJALA OJALA `a '� A. A, 1 a 3.3 x 8.5 x 4.83 x 62.4 = 8454 LBS UP (OK) CIVIL. " � CIVIL OJALA DJALA v I J?I y , downcape.co No.46502 502 / Vo 4J ,'0 �� Iva°s09t'0 J "- r �, � Fa down cape enfiaeering Inc. SS�-oe . civil engineers 7/1 IM . surveyors DATE DANIEL A. OJALA, P.E., P.L.S. 939 Main Street ( Rte 6A) 13- 124 YARMOUTHPORT MA 02675