Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0940 WEST MAIN STREET - Health (2)
940 West Main Street (front system) Centerville A = 249 — 055 S M E A D No.2453LOR UPC 12534 smeed.com • Made In USA n1 ti O 1 Itl6111S®N1IEPI000CTIlE jF1 �SR PROMM ' WM�L= 020�9 OD No. / ` 2 V� Fee �- THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Y_g� PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS es ftpliLation for -Mispo$ar *pstem Construction j3Prutit rw Application for a Permit to Construct( ) Repair(/Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components 4' Location Address or Lot No. CHO W moln a+. Owner's Name,Address,and Tel.No. l yg-pis- Doq Z1UX t9Q'\te, M4 ebwkin9 P64ge C01NAo IA- ,Soc-&-Ai M ssessor s ap/Parcel -bra itq(,{0 W m `h S . C tVX fA $ r 41 l (p Installer's Name,Address,and Tel.No. `( �� Designer's Name,Address,and Tel.No. "A 313 0(ote3 �0 x ,U(� Type of Building: A' Dwelling No.of Bedrooms '" Lot Size sq.ft. Garbage Grinder( ) Other Type of Building �`or, No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision D to Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Repay i �. 1 LJ {Ls Q 1 1 `�P a�1rn Q vv� ��Q��-• Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Boar lth. eu Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued • No. �UI — .��C/ Fee '0D THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Y�/"� PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS +� -4 CZ 4plicatlon for Disposal 6pstem Construction Permit Application for a Permit to Construct'(- )Repair V1 Upgrade( ) Abandon O ❑Complete System ❑Individual Components Xi Location Address or Lot No. 0 W m n 5� ; Owner's Name,Address,and Tel.No. _ Zi ���' 1�15 �4�q Cu,AtIQ t , Y�tv� a4Cck,%A� Yi 4� e V(),NAo W-,Sc)C�` c,_4i tv) •_ s essor aOarce LA 1 i o vi4,4 e Installer's Name,Address,and Tel.No. ;cj— Designer's Name,Address,and Tel.No. 313 oc�c� Type oUBuilding: Dwelling No.of Bedrooms �`� '✓( Lot Size sq.ft. Garbage Grinder( ) Other Type of Building 0(\OA h C No.of Persons Showers( ) Cafeteria( ) ' Other Fixtures Design Flow'`(min.required) / Zr gpd Design flow provided gpd Plan Date Number of sheets Revision D to Title Size of Septic Tank Type of S.A.S. Description of Soil t Nature of Repairs or Alterations(Answer when applicable) Aa a r1 i 3 3 ,� - - t Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore descr ilfed on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and+of to place the syste_m�opera, ti wnt l,a Certificate of Compliance has been issued by this Board lt4�1 f S.� > Date \' 1 1Application Approved by , N r k r X Date \- Application Disapproved by �f ;,; , is ` f Date 1 for the following reasons Permit No. Date Issued ---------------- --------'-------------------------------------------------------------------------- ---------------------------------- } THE COMMONWEALTH OF MASSACHUSETTS C d`� b�/ ` �'e BARNSTABLE,MASSACHUSETTS 4' r Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired V Upgraded( ) Abandoned( -)by 1 at(14 n to j1& A hjC g� has been constructed in accordance � l with the provisions of Title 5 and the for Disposal System Construction Permit No. /'�_. 2 gated �i Installer T�,,, Designer #bedrooms in I /Y Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will rc o as design�d. ,F Date /o 1 Inspector No. �C70 Fee 1 -- THE COMMONWEALTH OF MASSACHUSETTS . PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Disposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair([j� Upgrade( ) Abandon( ) System located at!�-N,�) ! , �Vin �,� S�1 (�,„Aa �l'A G q 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 ears of the date of thiss ermit. --� / P Y P Date�' / Apo Commonwealth of Massachusetts 4 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 940 West Main Street (Centerville) Front System (#1) Units_1-4 Sterling Ridge Job_#C18089.00 Property Address Housing Assistance Corporation 460 West Main Street Hyannis, Ma. 02601 Owner Owner's Name information is Barnstable MA. 02601 February 25, 2014 required for every ry page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. General Information filling out forms on the computer, use only the tab 1. Inspector: key to move your cursor-do not John Schnaible use the return Name of Inspector key. Coastal Engineering Company ,Q Company Name 260 Cranberry Highway Company Address Orleans Ma. 02653 City/Town State Zip Code 508-255-6511 S 1 260 b Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Eva ation by�t Local Approving Authority Inspector's Signat �' Date ( t The system inspec shall submit a copy of-this inspection report to L Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ""This report only 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. t5ins•3/13 Title 5 Official InspectiWor.m:Subsurlace Sewage Disposal System-Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 940 West Main Street (Centerville) Front System (#1) Units 1-4 Sterling Ridge Job#C18089.00 Property Address Housing Assistance Corporation 460 West Main Street Hyannis, Ma. 02601 Owner Owner's Name information is Barnstable MA. 02601 February 25, 2014 required for every Y page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: 4 unit building with 2 bedrooms each. No repairs or pumping recommended. B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired.The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined"(Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal 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. ❑ Y ❑ N ❑ ND (Explain below): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 940 West Main Street (Centerville) Front System (#1) Units.1-4 Sterling Ridge Job# C18089.00 Property Address Housing Assistance Corporation 460 West Main Street Hyannis, Ma. 02601 Owner Owner's Name information is Barnstable MA. 02601 February 25, 2014 required for every y page. City(Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 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 t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 940 West Main Street_ (Centerville) Front System (#1) Units 1-4 Sterling Ridge Job#C18089.00 Property Address Housing Assistance Corporation 460 West Main Street Hyannis Ma. 02601 Owner Owner's Name information is required for every Barnstable MA. 02601 February 25, 2014 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: " This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to.an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 940 West Main Street (Centerville) Front System (#1) Units 1-4 Sterling Ridge Job#C18089.00 Property Address Housing Assistance Corporation 460 West Main Street Hyannis, Ma. 02601 Owner Owner's Name information is Barnstable MA. 02601 February 25, 2014 required for every ry page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA)or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments w 940 West Main Street (Centerville) Front System #1) Units 1-4 Sterling Ridge`Job# C18089.00 Property Address Housing Assistance Corporation 460 West Main Street Hyannis, Ma. 02601 Owner Owner's Name information is Barnstable MA. 02601 February 25, 2014 required for every y page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ 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(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 8 Number of bedrooms (actual): 8 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 880 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 940 West Main Street (Centerville) Front System (#1) Units 1-4 Sterling Ridge Job# C18089.00 Property Address Housing Assistance Corporation 460 West Main Street Hyannis, Ma. 02601 Owner Owner's Name information is y Barnstable MA. 02601 February 25 2014 required for every > page. Cityrrown State Zip Code Date of Inspection D. System Information Description: 4 units with 2 bedrooms each Number of current residents: 8+/- Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: 2012-690.4 gaalons per day 2013-482.2 gallons per day Sump pump? ❑ Yes ® No Last date of occupancy: occupiedDate Commercial/Industrial Flow Conditions: Type of Establishment: — Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): — Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 i Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 940 West Main Street (Centerville) Front System (#1) Units 1-4 Sterling Ridge Job#C18089.00 Property Address Housing Assistance Corporation 460 West Main Street Hyannis, Ma. 02601 Owner Owner's Name information is Barnstable MA. 02601 February 25, 2014 required for every Y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Pumped Nov. 2013 according to HAC Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ® Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): I t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 940 West Main Street (Centerville) Front System (#1) Units 1-4 Sterling Ridge Job# C18089.00 Property Address Housing Assistance Corporation 460 West Main Street Hyannis, Ma. 02601 Owner Owner's Name information is Barnstable MA. 02601 February 25, 2014 required for every y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: Installed 04/27/07 according Board of Health records Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 4 feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: n/a feet Comments (on condition of joints, venting, evidence of leakage, etc.): No evidence of leakage Septic Tank (locate on site plan): Depth below grade: 3 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 13'x Tx4' liquid depth Sludge depth: 12 inches t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 940 West Main Street (Centerville) Front System (#1) Units 1-4 Sterling Ridge Job# C18089.00 Property Address Housing Assistance Corporation 460 West Main Street Hyannis, Ma. 02601 Owner Owner's Name information is Barnstable MA. 02601 February 25, 2014 required for every Y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 20 inches Scum thickness 0 inches Distance from top of scum to top of outlet tee or baffle 6 inches Distance from bottom of scum to bottom of outlet tee or baffle 16 inches How were dimensions determined? measured — Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Precast concrete tank and 4 inch pvc sanitary tees were found to be in good condition. Access covers were within 6 inches of grade. Grease Trap (locate on site plan): Depth below grade: feet 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: Date t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 940 West Main Street (Centervillf�) Front System (#1) Units 1-4 Sterling Ridge Job#C18089.00 Property Address Housing Assistance Corporation 460 West Main Street Hyannis, Ma. 02601 Owner Owner's Name information is Barnstable MA. 02601 February 25, 2014 required for every y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other (explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): 'Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 940 West Main Street (Centerville) _ Front System (#1) Units 1-4 Sterling Ridge Job#C18089.00 Property Address Housing Assistance Corporation 460 West Main Street Hyannis, Ma. 02601 Owner Owner's Name information is Barnstable MA. 02601 February 25, 2014 required for every y page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened)(locate on site plan): Depth of liquid level above outlet invert 0 inches 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.): Box was found to be in good condition with equal distribution to the outlet pipes. Cover at grade. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No` Alarms in working order: ❑ Yes ❑ No' Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 940 West Main Street (Centerville) Front System (#1) Units 1-4 Sterling Ridge Job#C18089.00 Property Address Housing Assistance Corporation 460 West Main Street Hyannis, Ma. 02601 Owner Owner's Name information is Barnstable MA. 02601 February 25, 2014 required for every Y page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 2-33.5'x 12.8' ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system f Bioclere Type/name of technology: - Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): No sign of hydraulic failure or ponding. Liquid depth is 2 inches. No repairs recommended. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Y Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 940 West Main Street (Centerville) Front System (#1) Units 1-4 Sterling Ridge Job#C18089.00 Property Address Housing Assistance Corporation 460 West Main Street Hyannis, Ma. 02601 Owner Owner's Name information is Barnstable MA. 02601 February 25, 2014 required for every y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 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.): t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 940 West Main Street (Centerville) Front System (#1) Units 1-4 Sterling Ridge Job# C18089.00 Property Address Housing Assistance Corporation 460 West Main Street Hyannis, Ma. 02601 Owner Owner's Name information is Barnstable MA. 02601 February 25, 2014 required for every Y page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately I I UN iT4 I up ifi I U \T v I � I c 93b stop u (! _J t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 940 West Main Street (Centerville) Front System (#1) Units 1-4 Sterling Ridge Job# C18089.00 Property Address Housing Assistance Corporation 460 West Main Street Hyannis, Ma. 02601 Owner Owner's Name information is Barnstable MA. 02601 February 25, 2014 required for every Y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: 25 +/- feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 06/20/06 Date ❑ 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: Based on design plan soil testing and groundwater contour maps Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 940 West Main Street (Centerville) Front System (#1) Units 1-4 Sterlin Ride Job#C18089 00 Property Address Housing Assistance Corporation 460 West Main Street Hyannis Ma. 02601 Owner Owner's Name information is Barnstable MA. 02601 February 25, 2014 required for every y page. CityfTown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file 1 � 3 r P ._ X i .� l A i",,D cr� t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 1h COASTAL... AUTHORIZATION FOR JENGINEEPJNG TECHNICAL COMPANY, INC. SERVICES 260 Cranberry Kighway,Orleans,MA 02653 508.255.6511 a fax 508.255.6700 a coa5tatenginearingcompany.com To: Housing Development Department Date: 02/18/14 Project No. P140218.10 Housing Assistance Corporation Attn: Kate Ferreira Project: Bioclere Wastewater Treatment Systems 460 West Main Street Operation 8 Maintenance Hyannis, MA 02601-3698 T: 508-778-7535 x2 F: 508-771-5673 Location: 940 West Main St., Centerville, MA E. kierreira haconca ecod.or Assessor's Map 249, Parcel 055 COASTAL ENGINEERING will perform the following Fixed Fee: See Attachment 2 services relating to the referenced project. Contract Duration: Ongoing SCOPE OF SERVICES: Coastal Engineering Co., Inc..(CEC)will perform the services outlined in Attachment i regarding the Operation and Maintenance of the Bioclere Wastewater Treatment System at 940 West Main Street, Centerville, MA- I i TJ P/vsw D:(PROPOSALSt1 HO1D42014 WousingAssisfanceCorp-A 7S-2014-02-18.doc SUBJECT TO STANDARD CONDITIONS FOR AUTHORIZED FOR COASTAL ENGINEERING: ENGAGEMENT We are proceeding with service(s)noted as per your By: Tod i ' direction. Immediate notification in writing is required Todd J. Palmatier, Program Coordinator if you wish to alter this authorization. ® Please execute this agreement authorizing us to Date: February 18, 2014 proceed at the above fixed fee. No services will be performed until you return this agreement with AUTHORIZED FOR CLIENT: authorization in writing. RA This document will become our original agreement- B Title: ., g2 Acceptance of this agreement by signature authorizes COASTAL ENGINEERING to proceed as described. This Dale: )1� proposal expires In 90 days if not signed by both parties. PLEASE SIGN AND RETURN ONE COPY Housing Assistonre Corporation February 18, 2014 ATTACHMENT 1 OPERATION AND MAINTENANCE SCOPE OF SERVICES The following is a summary of the scope of services to be provided by Coastal Engineering Co_, Inc., Technical Services Division (TSD),for the benefit of the Bloclere Treatment Systems owner: The two treatment systems shall be operated by a Certified Wastewater Plant Operator in accordance with the requirements of 257CMR2.00 and the Board of Certification of Operators of Wastewater Treatment Plants.The treatment systems shall also be operated in accordance with the conditions imposed by the Massachusetts Department of Environmental Protection, for the permitted use and with the local Board of Health. EQUIPMENT MAINTENANCE A. Within design capacity and capability of the equipment,maintain the Biocleres for the benefit of Client- B. Document all maintenance for the Biocleres_ Maintenance reports will be provided on an annual basis or by request. C. Document all repairs to the equipment. D. Perform other services that are incidental to the services specified here Including facilitating emergency repairs in the most expeditious and cost effective manner at an additional cost as requested by Client. E. Pump maintenance to be performed in accordance with manufacturer's specifications by subcontractor and invoiced by them directly to the client. F. Check septic tank solids content annually.Septic covers must be at grade to allow access for inspection and sampling. I i BIOCLERE MAINTENANCE 1. Slandard-maintenance as follows: i 1. Check general condition/appearance g of unit. 2. Check vent flow, odor. 3. Check general condition of fan box including Internal and external wiring,lock,latch, gaskets, etc_ 4. Check quiet fan operation. 5. Check condition of cover locks,latches,gaskets. i6. Check and characterize biomass. 7. Check recycle pump operation, liming and effluent claril. 8. Check dosing pumps operation,timing,effluent clarity and spray pattern. 9. Check general condition of dosing assembly. Clean nozzles if required. 10. Check general condition of control box Including locks,gaskets, etc. 11. Check control box switches,alarms, timers,etc. 12. Complete and maintain service report file. 2. Maintenance frequency as follows:quarterly Operation and Maintenance visits to perform standard Bicidere maintenance for each of the two separate systems. 3. Sampling:collect effluent grab samples quarterly from each system and have analyzed at a state certified laboratory for:pH, C-BOD5,TSS,TKN,NO2, NO3,and alkalinity. 4. Reporting:Prepare quarterly summary reports and file with the Department of Environmental Protection, Barnstable County Department of Health and Environment and the Barnstable Board of Health. NOTES: 1. Coastal Engineering will perform no procedures requiring confined space entry. 2_ Services under this contract specifically do not include or cover any responsibility for system malfunction attributed to process design,equipment specified and/or installations as provided by others. 3. Client must provide access to all Bloclere System components at time of quarterly O&M visit 4. This service contract assumes permanent occupancy of the dwelling or facility.The Owner shall notify TSD if occupancy becomes seasonal. 5. TSD will notify the appropriate authority of electrical or mechanical failure resulting In the failure of the treatment system,or of events which may adversely affect the performance of the treatment system. 6_ In the event that the system alarm is activated resulting In system failure,the Owner shall notify TSD who shall notify the DEP and Board of Health within 24 hours.Corrective action shall be taken Immediately. r Housing Assismnre Corporation February 18, 20I4 ATTACHMENT 2 COST OF SERVICES 1. The yearly fixed fee costs for the services outlined in Attachment 1 shall be as follows: Operation and Maintenance Sampling: laboratory fees included Reporting Total early Billed @ quarterly 2. Barnstable County Database Management Fee* $50.00 3. Services performed in addition to those noted, including responding to alarms,will be invoiced at per hour. 4. The cost for replacement equipment, supplies and process control chemicals will be invoiced at our cost plus surcharge in accordance with our Standard Conditions for Engagement(copy attached). j5. Additional sampling and testing, 4 required,will be invoiced at time and expense, in accordance with our standard rates. In the event that state or local regulatory bodies change sampling requirements and/or Operation and Maintenance requirements, the cost estimate will be revised to reflect these changes. it Barnstable County assesses an annual database management fee of$50.00 for each wastewater treatment management system in Barnstable County. Each July the County sends an assessment notice to Coastal Engineering Company, Inc.,for the systems operated by Coastal. Coastal Engineering pays the fee for the system owner and includes a$50.00 charge for this fee on your next invoice as a reimbursable expense. i COASTAL STANDARD CONDITIONS FOR ENGAGEMENT ENGINEERING TECHNICAL SERVICE CONTRACT COMPANY, INC. FIXED FEE PROPOSAL January 1, 2012 COMPENSATION FOR ENGINEERING SERVICES: Coastal Engineering CO., remain the sole and exclusive property of CEC as Instruments of service Inc tCEC) bases its compensation lot engineering services for this and CLIENT shall have no right to such documents. The CLIENT may, at project on the lee given lot the project. CLIENTS are advised that his/her expense, obtain record prints of drawings, which the CLIENT will Additional Services requested beyond the Scope covered by the Fee use sole and exclusive property of CEC as instruments of service and proposal of change orders attached thereto will be based upon the CLIENT shall have no right to such documents. The CLIENT may, at time input according to our current hourly fee rate schedule. Fee his/her expense, obtain feco►d prints of drawings, which the CLIENT will proposals for professional services are prepared to the best of our use solely in connection wilh the project to which this Agreement applies ability based on facts available at the time of submission. and not lot the purpose of making subsequent extensions or enlargements TRANSPORTATION:Tlme and travel expenses incurred,when travel Is in thereto. the interest of the project, will be Charged for in accordance with USE OF DOCUMENTS:Services performed and documents prepared by CEC CEC's fee schedule. under this agreement shall be lot the benefit of CLIENT only and may not SUBCOMRACT SERVICES: CEC may engage subcontractors and/or be retied upon by any third panyiies) unless specifically agreed to In other processionals to perform required services such as soil borings, advance by CEC and CLIENT. drilling, construction, etc Thal subcontractor's charge plus a service USE OF STAKES:CLIENT, CLIENTs contractor, or any third party may not charge will be added to CEC's fee, use stakes or other markers set at the site by CEC before obtaining REIMBURSABLE EXPENSES'Expenses will be billed at GEC's cost plus a verification from CEC that the stakes or other markers were set lot the service charge. F-vamples of expenses ordinarily charged to CLIENT intended purpose and are In place to the accuracy appropriate for the are replacement equipment, plumbing and hardwares Intended use. P � IP P 9 applies, and j chemical supplements for process control. ELECTRow FILES: Electronic files are transmitted for informational PAYMENI: invoices will be tendered monthly or as work progresses. Purposes only and at the request of the CLIENT or CLIENTS agent.CEC's Invoices are due and payable upon receipt. Amounts over 30 days official product is limited to Ils signed and sealed hard copy of plans, past due are subject to a service charge of 1.5% pet month (18% specifications, and/or studies. The CLIENT agrees to hold CEC harmless annually). The CLIENT agrees to pay reasonable altorney's fees and lot any damages from inappropriate of illegal uses by third parties from any any collection fees incurred in'lhe collection of any amount owed electronic transfer of information by CEC requested by the CLIENT of 11 hereunder and not paid when due. CLIENTS agent. I. CHANGE OF SCOPE' if, during the performance of services under this CONSTRUCTION SERVICES: On request, CEC can provide personnel to Agreement, a change in the Scope of Services is requested on the observe construction in order to ascertain that the construction.in general, basis of an oral or written order by the CLIENT or CLIENTS Agent,or is being performed in accofdanca with GEC's plans and/or specifications, is required in CEC's sole discretion by circumstances to address CEC shall under no circumstances be a guarantor of any contractor's contingencies, of CLIENT requests revisions of the plans. CEC will means and methods of work and shall bear no responsibility with respect to i perform such additional services in accordance with its fee schedule. the performance of such construction.The CLIENT and CLIENTS agent will CEC reserves the right, al its discretion,to issue a Change Order to continue to be responsible for the accuracy and adequacy of all this Agreement. However, a Change Order is not required prio► to construction performed. rendering such services and the CLIENT agrees to pay for such INDEMNIFlcAnoN AND LimrIATION OF LIAWLITY:CEC agrees to indemnify and additional services. hold CLIENT harmless against damages and liability resulting from the SUSPENSION OF SERVICES: 11 the CLIENT lafls to make payment of negligent acts, errors, or omissions of CEC. The CLIENT agrees to limit invoices when due,CEC may suspend performance of services under CEC's Ilablilly,resulting from errors and/or omissions In engineering design this Agreement. In the event of a suspension of services, CEC shall Information furnished to the CLIENT, to those portions of the design have no fiability to the CUENT tot delay or damage caused by such prepared by CEC and In an amount not to exceed GEC's fee. The CLIENT suspension of services or for any consequential damages. agrees to require a like limitation from any contractor engaged la perform work lot which CEC has provided reports,plans,and/or specJrkations.The TERMINATION PROVISION:This Agreement may be terminated by either CLIENT shall further Indemnity and hold CEC harmless from any liability party upon five (5) days written notice in the event of breach of resulting from the ads, errors, or omissions of the CUENT of CUENTs performance of terms and conditions of this Agreement by the other agents,contractors,of assigns.Such Indemnification shall include the coil party through no fault of the terminating party. CEC shall be of defense including without limitation attorney's fees, arising in any way compensated lot services performed up to the time of termination, with Claims connected with any such ffabilily excepting only such Ifablfty as may arise out of CEC's sole negligence In performance of services. INSURANCE:CEC is coveted by Workless Compensation Insurance and CLIENT agrees that any and all damages arising from negligent ad,error. Public and Professional Liability Insurance. CEC vnll fumish or omission shall be made against CEC d'NecUy and shall not be made certification upon request. personally against any of Is directors,officers,agents, or employees. RIGHT OF ENTRY:Unless otherwise agreed,the CLIENT furnishes fight. CoNSEOUENnAL DAMAGES: Notwithstanding any other provision hereof, of-entry on the land lot CEC to make measurements, soil tests, or CEC shall not be liable to the CLIENT lot any incidental, Indirect, or other required explorations. CEC will take reasonable precautions to consequential damages arising out of or connected in any way to the minimize damage to the land from the use of equipment,but CEC has services rendered hereunder,Including,but not frmied lo,loss of use,loss not Included in is fee the cost of restoration from damage that may of profit,loss of business,loss of income,of loss of reputation. result hom its operations. 11 CEC is requited to restore the land to Its former conditions,the cost of doing so will be added to Its fee. STANDARD OF CARE: CEC's professional services will be performed In accordance with the generally accepted engineering practices, skill, and OWNERSHIP of DOCUMENTS: All documents, Including original care used by similar members of the engineering profession practicing drawings,estimates,specifications,field notes,and data,are and shall under similar circumstances al the same lime and in the same locality. CEC makes no wananlies, express of otherwise,in connection with CEC's services hereunder. COASTAL ENGINEERING CO., INC. 260 CRANBERRY HIGHWAY ORLEANS, MA 02653 . TEL. 508 255-6511 FAX. 508 255-6700 BIOCLERE FIELD REPORT Date: of 0l5 71 Project No.: I .o Time: f COF Installation: Sampled: Client: ervice: Commissioned: Address: (,(� T �� �f Jl / Other: Scheduled O&M: Ins ector: / zff Bioclere Model Number(s) 1 Odor around site. Y/ N Source of odor? BLO C/E.,E Check all that apply: rvrl Medium: Septic: Musty: 2 Field Testing: darity,color,solids,odor,tests 3 a Measure sludge in primary tanks and grease traps as required: b Sludge depth in primary tank: Scum depth: /-,314 Sludge depth: d-, c Does grease trap need pumping? N — UNIT 1 UNIT 2 BIOCLERE VENTS a Is air passing through the vent? / N Y / N If in doubt put a small plastic bag around vent and allow to fill. b Is the fan operating and in good condition? Y N Y / N GENERAL a Any external damage to the bnit s ? If Yes, provide details on back. Y 18 Y / N b Are cover, fan box and control panel secure) locked? / N Y / N c Any filter flies in the unit? Y/ N few/many YIN few/many Location of flies: d Locks/ lat hes/ handles. OK? Qq N Y / N e Lid gasket OK? N Y / N Does the fan box contain standing water? "Y Y I N If Yes, then remove water and clean drain holes if necessary. BIOMASS CHARACTERIZATION -.a C.olor_of,biomass? 1)white 2)white/gray 3)gray 4)gray%brown 5)brown 6)red/brown ))black 5 8 other b Thickness of biomass 6-12 inches below media surface. 1 light 2 medium 3 heav C) Q NOZZLE SPRAY PATTERN al-Does spray cover the entire surface area of media? Y / N Y / N If not, clean each nozzle with a bottle brush Does the spray now cover the entire surface area? Y / N Y / N If not then: 1 remove nozzles.and soak in a bleach solution �cr 2 manually engage both dDsing Dumps for two minutes 3 replace nozzles Does the spray now cover the entire surface area? Y / N Y / N If not, consult A uaPoint, Inc. PUMPS AND CONTROL PANEL L a Record dosing and recycle pump timer settings from control panel. Dosing Pump 1: min on: 3 min off: min on: min off: Dosing Pump 2: min on: —min off: min on: min off: Recycle Pump: min on:1' hrs off: min on: hrs off: In Bioclere control panel set dosing and recycle timers to a test cycle: a Amperage of dosing um 1: amps amps b Amperage of dosing um 2: amps amps c Am era a of recycle pump: 3 amps amps Are dosing pumps alternating? nI F N tjA- Y I N Are the timers operating ro erl ? I tY / N Y / N Visually inspect relays for wear and record problems below. Ifs are components are needed contact A uaPoint, Inc. If an ammeter is not available set the timers to a test cycle as above and at the Bioclere check the pumps' operation as follows: Dosing pumps: check that um s are operating, alternating and the Pump 1 OK? Y / N Pump 1 OK? Y / N designated rest cycle is occurring. Pump 2 OK? Y / N Pump 2 OK? Y / N OK? Y / N OK? Y / N *If pumps or control components are not operating properly, record below And consult A uaPoint, Inc. RESET TIMERS TO ABOVE SETTINGS: Note any changes here: min on: min off: min on: min off: *Do not change timers without consulting A uaPoint, Inc. min on: min off: min on: min off: PLUMBING a Are the unions in the Bioclere leaking? Y / Y / N If yes, then tighten with pipe wrench FINAL CHECK a Main power "on" and set toggle for all pumps to "normal" position. Y N Y / N b Alarm toggle set to the "ON" position. Y I N Y / N c Lock control panel, Bioclere cover and fan box. d If possible, record the water meter reading: REPORT SUMMARY: ©n - scs - Flo l I x r ep l - r as Pu rn G r f-V, SIGNATURE: / D:IFORMS CurrentlTechServices-Wastewater ioclere Field Report.doc own of Barnstable Barnstable Regulatory Services Department `U` KY � L1RNSfABLE. ` I E S& Public Health Division Zoos 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Richard Scali,Interim Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL #7012 1010 0000 2851 1937 February 18,.2014 Housing Assistance Corp 460 West Main Street Gejte�, MA 02640 y RE: Operation and Maintenance Contract for the Innovative Septic System installed at 940 West Main Street in the Town of Barnstable. According to our records, the operation and maintenance contract your innovative/alternative wastewater treatment system at 940 West Main Street Centerville, may have expired or was cancelled. To date they have not received evidence that you have entered into a new Operation and Maintenance contract. There is also no record of any quarterly testing of the wastewater effluent from your system. Therefore we are writing to instruct you that the Massachusetts Department of Environment Protection (MA DEP) and the Town of Barnstable require that you test the effluent four (4) times each year for five (5) years. You are also required to keep an Operation and Maintenance (O&M) contract in effect at all times for your system. Information about these requirements may be found at http'//www barnstablecountyhealth.org/ia-systems/ia-owners-Guide. The Barnstable County Department of Health and Environment oversees I/A septic system management and compliance efforts for the Board of Health in your Town (Osterville). The Public Health Division is hereby contacting you to inform you of the above requirement and to order you to comply. Q:\SEPTIC\O&M ltr\940 West Main St Cent Feb 2014.doc J �� I Accordingly please forward a copy of d signed contract via mail, fax or e- mail within thirty (30) days of receipt of this letter. Please be advised that if you do not respond within thirty (30) days of your receipt of this letter by forwarding a copy of an assigned contract, you will be scheduled to appear before the Board of Health at a show cause hearing on November 12, 2013 to provide information relative to the required contract. PER ORDER OF THE BOARD OF HEALTH 'Kean, R. . -O Agent of the Board of Health Q:\SEPTIC\0&M Itr\940 West Main St Cent Feb 2014.doe own of Barnstable Barnstable Regulatory Services Department 1 i B'M�`Er Public Health Division 39. i69 �FO 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard Scali,Interim Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL #7012 1010 0000 2851 1937 February 18, 2014 Housing Assistance Corp 460 West Main Street Centerville, MA 02640 RE: Operation and Maintenance Contract for the Innovative Septic System installed at 940 West Main Street in the Town of Barnstable. According to ou(�ecords tkf the operation and maintenance contract your innovative/alternative wastewater treatment system at 940 West Main Street Centerville, may have expired or was cancelled. To date they have not received evidence that you have entered into a new Operation and Maintenance contract. There is also no record of any quarterly testing of the wastewater effluent from your system. Therefore we are writing to instruct you that the Massachusetts Department of Environment Protection (MA DEP) and the Town of Barnstable require that you test the effluent four (4) times each year . You are also required to keep an Operation and Maintenance (O&M) contract in effect at all times for your system. Information about these requirements may be found at http://www.barnstablecountyhealth.org/ia-systems/ia-owners-guide. The Barnstable County Department of Health and Environment oversees I/A • septic system management and compliance efforts for the Board of Health in your Town (Osterville). The Public Health Division is hereby contacting you to inform you of the above requirement and to order you to comply. Q:\SEPTIC\0&M Itr\940 West Main St Cent Feb 2014.doc Accordingly please forward a copy of a signed contract via mail, fax or e- mail within thirty (30) days of receipt of this letter. Please be advised that if you do not respond within thirty (30) days of your receipt of this letter by forwarding a copy of an assigned contract, you will be scheduled to appear before the Board of Health at a show cause hearing on November 12, 2013 to provide information relative to the required contract. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S. CHO Agent of the Board of Health Q:\SEPTIC\O&M Itr\940 West Main St Cent Feb 2014.doc Parcel Detail http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=l8031 H v �.......+aSt.�,.,,.�.a � r0, .�y4 MASS ff y a; s ,�i�¢'�—��0.. �.Y .«.,..,...,.m... G�L/!✓�a',+�`,� �J'.1� � L±�� ��a�u��Lbtk Logged In As: Parcel Detail Tuesday, February 18 2014 Parcel Lookup Parcel Info Par ID 249-055-008 __ _,__�._._____ ____ _.__) Condo Unit["NIT 2_ Condo;__....__.._ _.____..___ _______.___ Complex;STERLING RIDGE Building}BLDG A __. _ _ __._.� Pri Location F640 WEST MAIN STREET Frontage Sec;—___ _.� __ Sec Road` Frontage ._....,.___._.._. Village iCENTERVILLE Fire C-O-MM _._..__. District Town sewer exists at this Road address No � Index 1813 4 Interactive Map ! = s 7 Owner Info Owner;HOUSING ASSISTANCE CORP o Owner Streetl;460 WEST MAIN STREET Street2 City;HYANNIS i State jMAI Zip 102601 country iri� Land Info Acres F0 ______ _ Use j&h . Condo MDL-05 Zoning FRD-1 Nghbd Topography, _.._ ) Road[_.__.__..___ Utilities ____ ._.__._. Location Construction Info Building 1 of 1 1 Beat F1988 _-- __�S Roof F___._ Ext Wall Living- ________.� Roof __...__.____.______ AC,None 1 Area Cover' Type' _ _. _. __� Style Condominium nt Plastered Bed 12 Bedrooms Wall Rooms Model Res Condo Int Carpet Bath 2 F + 1 H f Floor Rooms' Heat __ Total;--__.______ Grade TM _ � Type IElec BaseboardJ Rooms i4 Rooms Heat Found- http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=18031 2/18/2014 own of Barnstable Barn Regulatory Services Department O ten" MRNST"M KU& Public Health Division D 6,59.A 2007 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL #7012 1010 0000 2851 1937 /f) February 10, 2014 C arles M & Jeanne M White 1 Barnboard Lane st Yarmouth, MA 02673-2525 RE: Operation and Maintenance Contract for the Innovative Septic S instarlle�dA1anJt, 940 West Main Street in the T o 1 ,•1 PO#astewatLer athe operation and mainten a contract for your innovative/alternative treatment syste ' ay have expired or was cancelled To date they have not received evidence that�you have entered into a new Operation and Maintenance contract,, v �X �t- � cSO no V Q-"d Q'N� Therefore we are writing to instruct you that the Massachusetts Department of Environment Protection (MA DEP) and the Town of Barnstable require you to PC,&A eV eep an Operation and Maintenance (O&M) contract in effect at all times for you ISAS- Y / system. Information about these requirements may be found at http://www.barnstablecountvheaIth.orq/ia-systems/ia-owners-guide. QS9, up � w The Barnstable County Department of Health and Environment oversees I/A septic system management and compliance efforts for the Board of Health in your Town (Osterville). The Public Health Division is hereby contacting you to inform you of the above requirement and to order you to comply. Accordingly please forward a copy of a signed contract via mail, fax or e-mail within thirty (30) days of receipt of this letter. Q:\SEPTIC\0&M Itr\940 West Main St Cent Feb 2014.doc Please be advised that if you do not respond within thirty (30) days of your receipt of this letter by forwarding a copy of an assigned contract, you will be scheduled to appear before the Board of Health at a show cause hearing on November 12, 2013 to provide information relative to the required contract. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S. CHO Agent of the Board of Health Q:\SEPTIC\O&M Itr\940 West Main St Cent Feb 2014.doc Parcel Detail http://issg12/intranet/propdata/ParcelDetail.aspx?ID=18030 HE Y ! i PALLttiS7AliLE.� c i 3,'i Logged In As: Pa I'Ce I Detail Monday, February 010 Parcel Lookup Parcel Info Parcel�249-055-OOA _.�._ _ ��) Condo Unit{UNIT 1...___..__.__ ' Condo(STERLING RIDGE Building,BLDG A ______ Complex _ ' Location i940 WEST MAIN STREET ri I Frontage' Sec I Sec j�_ Road' Frontage' �__�� Fire Village FCENTERVILLE District IC-O-MM !No this Road i1813 Town sewer exists at _ address, _ �, Index Asbuilt Septic Scan: i24905500A_1 Interactive 24905500A_2 Mapil, ,'4 a 2490550OA 3 Owner Info . .. ...- _.._._ _ _.....__. _ ....... Co- Owner 1WHITE, CHARLES M&JEANNE M Owner Streetl BARNBOARD LANE ff Street2 City HEST YARMOUTH I State State[ A LAJ Zip j02673-252 Country Land Info Acres y0 J Use(Condominiu MDL-05 1 Zoning;RD-1 � Nghbd j0001 J Topography Road Utilities i Location Construction Info Building 1 of 1 a -- Roo Built r - --- I S f -- __ _.__ WExt all Living T900- --__� Roof r_______... __ AC None Area' Cover Type' ___ _ff —_ _ Style(Condominium I Wall Plastered Rooms.2 Bedrooms Model jRes Condo Int Carpet�� � Bath Floor' Rooms 1--- __. Heat r ._._. ______!! Total Grade , Type;Elec Baseboard I Rooms f5 Rooms http://issgl2/intranet/propdata/ParcelDetai1.aspx?ID=18030 2/10/2014 Z BENNETT ENVIRONMENTAL ASSOCIATES, INC. LICENSED SITE PROFESSIONALS,ENVIRONMENTAL SCIENTISTS,GEOLOGISTS,ENGINEERS 1573 Main Street,P.O.Box 1743 (508)896-1706 Brewster,MA 02631 fax(508)896-5109 LETTER OF TRANSMITTAL TO: DATE: JOB NUMBER: Mr.Andy Jones,Case Officer 2/7/2014 BEA13-10607 MA DEP(SERO) Bureau of Waste Site Cleanup,Emergency Response Section 20 Riverside Drive REGARDING: Lakeville,MA 02347 NOTICE OF ANTICIPATED DELAY IN FILING RTN 4-24825 SHIPPING METHOD: Regular Mail ❑ Pick Up ❑ Priority Mail ❑ Hand Deliver ❑ Express Mail ❑ Other ❑ Certified Mail Green Card/RR ❑X COPIES DATE DESCRIPTION 1 2/6/14 Notice of Anticipated Delay in Filing Immediate Response Action Completion Statement/RAO:Mackenzie Estate,RTN 4-24825 356 South Street-Hyannis,MA 9^� C Far review and comment: ❑ For approval: ❑ As requested: ❑ For your use: ❑ REIIZARKrS cc:cc. Kristine O'Su jy4ri-Executrix of Estate t Gregory Steen ''Vertex Engineering(consultant to insurer) JeWey Parent-Liberty Mutual Insurance t ; . Thomas McKe arnstable Board of Health ThV as Lynch- arnstable Town Manager John Cosmo,Fire Prevention-Hyannis Fire Department FROM: DCB,JTW If enclosures are not as noted,kindly notify us at once T 40ENNETTENVIRONMENTALAsSOCIATES9 INC. LICENSED SITE PROFESSIONALS 6 ENVIRONMENTAL SCIENTISTS 0 GEOLOGISTS & ENGINEERS 1573 Main Street- P.O. Box 1743, Brewster, MA 02631 508-896-1706 0 Fax 508-896-5109 www.bennett-ea.com BEA13-10607 February 6, 2014 Mr. Andy Jones, Case Officer MA DEPARTMENT OF ENVIRONMENTAL PROTECTION (MA DEP) Southeast Regional Office (SERO) Bureau of Waste Site Cleanup (BWSC), Emergency Response Section 20 Riverside Drive Lakeville, MA 02347 VIA EMAIL andyjoneskstate.ma.us RE: NOTICE OF ANTICIPATED DELAY IN FILING Immediate Response Action Completion Statement/RAO: Mackenzie Estate RTN 4-24825 356 South Street—Hyannis, MA Dear Mr. Jones, Please be advised BENNETT ENVIRONMENTAL ASSOCIATES, INC. (BEA) is expecting a delay in the statutory filing of next IRA submittal as based on consideration of critical groundwater and soil data that will either support a Completion Statement or as necessary- to conduct additional remediation and assessment activities to. be outlined; m a Status report This delay is further complicated by claim review for approval.of the.contractor an most recently snowfall. Due to the weather conditions this past week, the;contractor was unable to complete the excavation activities that have been started. BEA is also expecting the receipt of critical soil and groundwater data next week and will be prepared to make the appropriate filing by February 28, 2014. The delay in filing does not, and will not, compromise the review and evaluation of all potential exposures under LSP oversight. The filing delay has not, and will not, defer. remedial .performance by the PRP to perform the cleanup of the documented fuel oil release. The delay:in filing will accommodate the proper licensed removal, transport and disposal;:of remedial waste and the review and .evaluation of critical data without redundant reporting and unnecessary costs. Copies of an updated site plan, borehole logs, monitoring well sample logs and inspection reports are enclosed as documenting work progress. If you have any questions or need additional information in the interim,please contact our office at your earliest convenience. Sincerely yours, BE NVIRONMENTAL ASSOCIATES, INPetManagger ((( f �y/ Eiy • Dav' Bennett,LSP - i S e ident 1 EMERGENCY SPILL RESPONSE WASTE SITE CLEANUP SITE ASSESSMENT & PERMITTING SEPTIC DESIGN&INSPECTION WATER SUPPLY DEVELOPMENT,OPERATION&MAINTENANCE 0 WASTEWATER TREATMENT,OPERATION&MAINTENANCE FEBRUARY 6,2014 MACKENZIE ESTATE/BEA13-10607 PAGE 2 OF 2 NOTICE OF ANTICIPATED DELAY,MAC-RTN 4-24825 Encl. -Site Plan entitled"Immediate Response Action", prepared by BENNETT ENVIRONMENTAL ASSOCIATES, INC., Dated February 4,.2014. -Borehole Logs (GP-2, GP-3, GP-4) -Monitoring Well Sample Log.(1/31/14) -Inspector's Daily Record of Work Progress [#1 (1/17/14)through#4 (1/31/14)] Cc: Kristine O'Sullivan—Executrix of Estate Gregory Steen—Vertex Engineering (consultant to insurer) Jeffrey Parent—Liberty Mutual Insurance Thomas McKean -Barnstable Board of Health Thomas Lynch—Barnstable Town Manager John Cosmo, Fire Prevention—Hyannis Fire Department i BENNETT ENVIRONDIEENTAL Project Name: Mackenzie Estate Sheet 1 of 3 ASSOCIATES,INC. Project Location: 356 South Street,Hyannis Boring No. GP-2/MW-2 1573 Main St.,P.O.Box 1743 Project Number: BEA13-10607 Location N of house Brewster,MA.02631 Surface Elev. 30'+/- Groundwater Readings Casing Sampler Core Start Date 1/30/2014 Date Reading Type Finish Date 1/30/2014 1 Size I.D. Driller NE Geotech 2 Hammer Wt. Inspector JTW 3 Hammer Fall Sample Sampling Inches TOV Well Interpreted Depthtype-No. Depth(ft) Pen Rec Blow Count 6" Reading Soil Description Secs Geology ST 0-5 60 30 N A NA Vegetation/topsoil/subsoil Sand:brown,m-f,poorly sorted with brick 5-ft ST 5-10 6 4 A Graven sand:tan to buff,med to coarse 0 8 N NA y with gravelly members 10-ft ST 10 15 60 55 N A NA Silty gravelly sand:brown to gray,c-f to 13' then tan m-f with trace gravel 15-ft ST 15-20 60 50 N A NA Sand:as above,wet at 19' 20-ft .. .. .......................... 25-ft 30-ft 35-ft 40-ft 45-ft Sand Cohesive Soils P<4 lar Soils Sample ype SWL: 19' Gravel <2 =very soft ery loose SS-split spoon NOTES: Silt 24 =soft 5-10 =loose ST-shelby tube Set 10'of 2"schedule 40#20 slot screen at 25'bgs. Top/Sub Soil 4-8 =medium stiff 11-30 =medium AF-auger flights Backfill with clean sand to 13'bgs.Set 2'bentonite plug. Clay 8-15=stiff 30-50 =dense RC-rock core Backfill with natural material to grade. Peat 15-30=very stiff >50 =very dense MA-microliners Fill >30 =hard HA-hand auger i t BENNETT ENVIRONMENTAL Project Name: Mackenzie Estate Sheet 2 of 3 ASSOCIATES,INC. Project Location: 356 South Street,Hyannis Boring No. GP-3/MW-1R 1573 Main St.,P.O.Box 1743 Project Number: BEA13-10607 Location W of house Brewster,MA.02631 Surface Elev. 30'+/- Groundwater adin s Casing Sampler Core Start Date 1/30/2014 Date Reading Type Finish Date 1/30/2014 1 Size I.D. Driller NE Geotech 2 Hammer Wt. Inspector JTW 3 Hammer Fall Sample Sampling Inches TOV Well Interpreted De th e-No. Depth(ft) Pen Rec Blow Count 6" Reading Soil Description Secs Geolo y ST 0-5 60 24 N A NA Vegetation/topsoil/subsoil 5-ft ST 5-10 60 48 N A NA Gravelly silty sand:brown to buff,c-f,poorly sorted 10-11 ST 10-15 60 56 N A NA Sand:as above to—12',then tan,m-c,mod sorted,clean with gravelly members 15-ft ST 15-20 60 56 N A NA Silty sand:brown to gray,c-f with layers of silt to 17',then clean med sand to 20'.Wet at • 20-ft s€ ''«< a9.4 ..E...E:[:[:E..[:[ 25-ft ' 30-ft 35-ft 40-11 45-ft Sand Cohesive Soils Granular Soils Sample Type SWL• 20' Gravel <2 =very soft <4 =very loose SS-split spoon NOTES: • Silt 2-4 =soft 5-10 =loose ST-shelby tube Set 10'of 2"schedule 40#20 slot screen at 25'bgs. Top/Sub Soil 4-8 =medium stiff 11-30 =medium AF-auger flights Backfill with clean sand to 13'bgs.Set 2'bentonite plug. Clay 8-15=stiff 30-50 =dense RC-rock core Backfill with natural material to grade. Peat 15-30=very stiff >50 =very dense MA-microliners Fill >30 =hard HA-hand auger • BENNETT ENVIRONMENTAL Project Name: Mackenzie Estate Sheet 3 of 3 ASSOCIATES,INC. Project Location: 356 South Street,Hyannis Boring No. GP-4/MW-3 1573 Main St.,P.O.Box 1743 Project Number: BEA13-10607 Location SE of house Brewster,MA.02631 Surface Elev. 30'+/- Groundwater Readings Casing Sampler Core Start Date 1/30/2014 Date Reading Type Finish Date 1/30/2014 1 Size I.D. Driller NE Geotech 2 Hammer Wt. Inspector JTW 3 Hammer Fall Sample Sampling Inches TOV Well Interpreted De thtype-No. Depth(ft) Pen Rec Blow Count 6" Reading Soil Description Secs Geology ST 0-5 60 36 N A NA Topsoil/subsoil Sand:gravelly and silty to—3',then gray, fine,silty.Dense to 8'then back to gravelly, m-c with gravel and some cobbles 5-ft ST 5-10 60 36 N A NA 10-ft ST 10-15 60 48 N A NA Gravelly sand:Tan to buff m-c sand with gravelly members 15-ft ST 15-20 60 50 1 N A NA Gravelly sand:as above • 20-ft ST 20-25 60 48 N A NA Sand:tan to gray m-f sand,clean,wet at 21' 25-ft 30-ft 35-ft 40-ft 45-ft Sand Cohesive Soils Granular Soils Sample Type SWL: 21' Gravel <2 =very soft <4 =very loose SS-split spoon NOTES: Silt 2-4 =soft 5-10 =loose ST-shelby tube Set 10'of 2"schedule 40#20 slot screen at 25'bgs. Top/Sub Soil 4-8 =medium stiff 11-30 =medium AF-auger flights Backfill with clean sand to 13'.Set 2'bentonite plug. Clay 8-15=stiff 30-50 =dense RC-rock core Backfill with natural material to grade. Peat 15-30=very stiff >50 =very dense MA-microliners. Fill >30 =hard HA-hand auger 1573 Main Street,P.O.Box 1743 BENNETT ENVIRONMENTAL ASSOCIATES, INC. (508)896-1706 Brewster,MA 02631 LICENSED SITE PROFESSIONALS,ENVIRONMENTAL SCIENTISTS,GEOLOGISTS,SANITARIANS fax(508)896-5109 MONITORING WELL SAMPLING LOG Job Name:Mackenzie Estate Date(s): 1/31/14 Time: PM Tide: NA Location: 356 South Street,Hyannis Job Number: BEA13-10607 Sampler: YrW,GJB Measuring Point: Ground Surface or T.O.C. T.O.C. Elev.of Total Depth to Standing Water static Volume HNU Dissolved Well reference Depth Water Water Table Volume Purged PI-101 pH Oxygen Conductivity Temperature Comments: Number point of Well (feet) Height Elevation (gallons) (gallons) (F) (feet) (feet) (feet) (feet) (pPm) (mom) MW-1R 28.13 24.0 19.77 4.23 8.36 0.68 7.0 NA 6.08 10.60 259 54.32 No odor,no sheen MW-2 27.32 23.9 18.84 5.06 8.48 0.81 8.5 NA 5.97 10.11 224 53.01 No odor,no sheen MW-3 28.61 23.9 20.34 3.56 8.27 0.57 6.0 NA 5.71 10.88 156 53.86 No odor,no sheen Notes: Develop and sample newly installed monitoring wells for EPH w/PAHs NA=Not applicable BENNETT ENVIRONMENTAL ASSOCIATES, INC. LICENSED SITE PROFESSIONALS,ENVIRONMENTAL SCIENTISTS,GEOLOGISTS,ENGINEERS 1573 Main Street,P.O. Box 1743 (508) 896-1706 Brewster, MA 02631 fax(508) 896-5109 INSPECTORS DAILY RECORD OF WORK PROGRESS Date: 1/17/2014 REPORT NUMBER: 0 Job Name: Mackenzie Estate Job Number: BEA13-10607 Feature: Immediate Response Action Contractor: BEA,Dowling Corp Type of Work: On site meeting with contractor Weather Conditions: Partly sunny,mild Temperature: 40 degrees F Contractor's Work Force(Indicate classification,including subcontractor personnel) Bennett Environmental Associates: JTW(PM) Equipment in use or idled(Identify which) . Truck Materials orequipment delivered,quantity or pay items placed None Non-conforming materials or work,field problems,inspections of previously reported deficiencies None Summary of construction activities 10:00 am BEA personnel arrive on site and met by Mike Rose(Dowling Corp)and Paula Heiligman(local contact)to review site conditions and scope of work.Show Mike the area of proposed soil removal,noting the natural gas line that runs through the area.Indicate I O,xl0'x10' area proposed but should be prepared to dig to 15'bgs just in case.Enter basement so Mike can see foundation wall and get an idea of shoring required.I indicate that Dennis Geisser(Atlas Systems of NE)has already looked at the project for one of the previous contractors and should have shoring recommendations already.Mike indicates he will talk to Dennis and that he will call me before the end of the day regarding a proposal. 10:40 am Mike departs site.Talk with Paula about abutter access and proposed timeline of construction activities. 11:00 am Depart site. • BENNETT ENVIRONMENTAL ASSOCIATES, INC. LICENSED SITE PROFESSIONALS,ENVIRONMENTAL SCIENTISTS,GEOLOGISTS,ENGINEERS 1573 Main Street,P.O.Box 1743 (508) 896-1706 Brewster,MA 02631 fax(508) 896-5109 INSPECTORS DAILY RECORD OF WORK PROGRESS Date: 1/28/2014 REPORT NUMBER: 0 Job Name: Mackenzie Estate Job Number: BEA13-10607 Feature: Immediate Response Action Contractor: BEA Type of Work: Site inspection Weather Conditions: Partly sunny,cold Temperature: 20 degrees F Contractor's Work Force(Indicate classification,including subcontractor personnel) Bennett Environmental Associates: JTW(PM) Equipment in use or idled(Identify which) • Truck Materials orequipment deliveredquantity or pay items placed None Non-conforming materials or work,field problems,inspections of previously reported deficiencies None Summary of construction activities 2:10 pm BEA personnel arrive on site to inspect work progress in regards to shoring of structure on western side of dwelling.Soil has been removed adjacent to foundation wall to footing approximately T bgs.Clean overburden in area of proposed excavation has been removed down to plastic sheeting left in tank grave.Gas line running through proposed excavation has been exposed in preparation for Atlas Systems of NE to install shoring.Excavation has been secured with snow fencing on three sides.Photo document work progress. 2:30 pm Depart site. • • BENNETT ENVIRONMENTAL ASSOCIATES, INC. LICENSED SITE PROFESSIONALS,ENVIRONMENTAL SCIENTISTS,GEOLOGISTS,ENGINEERS 1573 Main Street,P.O.Box 1743 (508) 896-1706 Brewster,MA 02631 fax(508) 896-5109 INSPECTORS DAILY RECORD OF WORK PROGRESS Date: 1/30/14 REPORT NUMBER: 0 Job Name: Mackenzie Estate Job Number: BEA13-10607 Feature: IRA Contractor: BEA,Dowling Corp,Atlas Systems NE Type of Work: Shoring installation,MW installation Weather Conditions: Clear,cold,calm Temperature: 20 degrees F Contractor's Work Force(Indicate classification,including subcontractor personnel) Bennett Environmental Associates: JTW(PM);Dowling Corp:John(laborer);Atlas Systems NE:Dennis(foreman),laborer Equipment in use or idled(Identify which) • Truck,PID Materials orequipment delivered,quantity or pay items placed None Non-conforming materials or work field problems,inspections of previously reported deficiencies None Summary of construction activities 9:00 am BEA personnel arrive on site and met by Dowling Corp personnel already on site waiting to assist Atlas personnel.Explain that Geoprobe borings will be happening today.Ask Dowling personnel to move truck over for geoprobe access. 9:20 am Atlas personnel arrive on site and begin unloading equipment and materials to shore foundation of dwelling. 9:40 am NE Geotech personnel arrive at site and prepare to advance geoprobe borings.Set up on GP-2 location and begin boring. 10:30 am Begin setting well.Mobilize to GP-3 location at 11:00 am.Perform hand boring to 3'to ensure we are clear of gas line.Begin GP-3. 11:20 am Paula stops by site to check work progress. 11:45 am Set MW-1R at 25'bgs.Mobilize to GP-4 and begin boring.Dennis indicates that foundation is flexing and piling is only down 3.5'below foundation.Dennis calls Mike Rose at Dowling to advise.Dennis indicates he will move over 10'and attempt to set a different piling to depth to see if it is a random occurrence or if material needs to be removed by a vactor truck. 12:40 pm Dennis indicates same thing is happening at the same depth on the second pier.Material is medium-dense with cobbles.Dowling personnel dig down in area of first pier to 52".Atlas personnel reinstall pipe in first hole and attempt to go down again.This time the pipe does go down. • 1:15 pm NE Geotech personnel pack up equipment and depart site.The pier is I l'below grade allowing Dowling to dig to 9'bgs.Dennis calls Mike to advise.Atlas personnel begin securing brackets.Dowling personnel begins digging out a second hole to attempt another go with pier. 1:45 pm Depart site. BENNETT ENVIRONMENTAL ASSOCIATES, INC. LICENSED SITE PROFESSIONALS,ENVIRONMENTAL SCIENTISTS,GEOLOGISTS,ENGINEERS 1573 Main Street,P.O.Box 1743 (508) 896-1706 Brewster, MA 02631 fax(508) 896-5109 INSPECTORS DAILY RECORD OF WORK PROGRESS Date: 1/31/14 REPORT NUMBER: Job Name: Mackenzie Estate Job Number: BEA13-10607 Feature: IRA Contractor: BEA Type of Work: GW monitoring,site monitoring Weather Conditions: Cloudy,mild Temperature: 40 degrees F Contractor's Work Force(Indicate classification,including subcontractor personnel) Bennett Environmental Associates: JTW(PM),GJB(ET) Equipment in use or idled(Identify which) • Peristaltic pump,whale pump,YSI,truck Materials orequipment delivered,quantity or pay items placed Sample three wells for EPH w/PAHs Non-conforming materials or work,field problems,inspections of previously reported deficiencies None Summary of construction activities 9:30 am BEA personnel arrive on site to perform GW monitoring of 3 newly installed wells.Mike Rose(Dowling Corp)is already on site ahead of scheduled meeting with DCB to discuss shoring building foundation.Gauge wells for depth to water for purge requirements. 10:00 am DCB arrives on site.Tim(Hayden)arrives shortly thereafter.JTW and GJB prepare to run level-loop. 10:40 am DCB and others depart site. 10:50 am Complete level-loop and two-tape in well locations. 11:10 am Set up on MW-2 and begin purging with peristaltic pump.Begin slug testing at MW-3 location. 12:05 pm Complete slug test at MW-3. 12:15 pm Sample MW-2.Mobilize to MW-3 and begin purging. 12:55 pm Sample MW-3.Mobilize to MW-lR and begin purging. 1:35 pm Sample MW-1R.Decon/pack up equipment. • 1:50 pm Depart site. AWlynn, Judith From: McKean, Thomas Sent: Wednesday, February 05, 2014 4:06 PM To: Flynn, Judith Cc: Crocker, Sharon Subject: ORDER LETTER 7 S Please write an order letter to the owner of:940 West Main Street, Centerville -(Charles,-White?) to obtain an Operation and Maintenance Contract and to have the innovative/alternative system tested quarterly during the next two years. There are no testing records for this location in the Carmody database. The Board of Health approved the installation of the new innovative/alternative system at this location many years ago, with specific conditions requiring testing and maintenance. :f 1 1 �� �p ,_,,p. � ��. r • own of Barnstable Barnstable Regulatory Services Department 'AR Public Health Division 'a39• a`�� 2007 fON 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Richard Scali,Interim Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL #7012 1010 0000 2851 1937 J� February 11, 2014 1 .el axles M & Jeanne M White U `J 1 Barnboard Lane • West Yarmouth, MA 02673-2525 RE: Operation and Maintenance Contract for the Innovative Septic System installed at 940 West Main Street in the Town of Barnstable. The Barnstable County Department of Health and Environment has informed us that according to our records the operation and maintenance contract for your innovative/alternative wastewater treatment system may have'expired or was cancelled. To date they have not received evidence that you have entered into a new Operation and Maintenance contract. There is also no record of any quarterly testing of the wastewater effluent from your system. Therefore we are writing to instruct you that the Massachusetts Department of Environment Protection (MA DEP) and the Town of Barnstable require you to test the effluent four (4) times each year for five (5) years. You are required to keep an Operation and Maintenance (O&M) contract in effect at all times for your system. Information about these requirements may be found at http://www.barnstablecountyhealth.org/ia-systems/ia-owners-guide. The Barnstable County Department of Health and Environment oversees I/A septic system management and compliance efforts for the Board of Health in your Town (Osterville). The Public Health Division is hereby contacting you to inform you of the above requirement and to order you to comply. Q:\SEPTIC\0&M Itr\940 West Main St Cent Feb 2014.doc i Accordingly please forward a copy of a signed contract via mail, fax or e- mail within thirty (30) days of receipt of this letter. Please be advised that if you do not respond within thirty (30) days of your receipt of this letter by forwarding a copy of an assigned contract, you will be scheduled to appear before the Board of Health at a show cause hearing on November 12, 2013 to provide information relative to the required contract. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S. CHO Agent of the Board of Health Q:\SEPTIC\O&M Itr\940 West Main St Cent Feb 2014.doe Fax Server 8/7/2014 1:01:08 PM PAGE 1/004 Fax Server 4 9FAX � Z To: W '1 n15 Company: Fax 5087906304 Phone: From: Barnstable Probate Court Probat Fax 508-362-3759 r"�I Phone: 508-375-6735 E-mail: barnprobpffax@jud.state.ma.us �� / NOTES: i Date and time of transmission:Thursday, August 07, 2014 1:00:56 PM Number of pages including this cover sheet:04 r^0 MM0NTW—'EA Ttr$ 0--1P M ASS CHUSETTS THE TRIAL COURT PROBATE AND FAMILY COURT DEPARTMENT : BARNSTABLE DIVISI0N � & Post Office Box 346 Barnstable,Massachusetts 02630-0346 Tel 508-375-6737 Fax 508-362-3759 Julie B. Bennett Probation Officers: Chief Probation Officer Sharon M.Enright Christopher M.Hercun Zackaria G.Rezendes Probation Department a Fax Transmission F'ax#e 508-362-3759 9 Date: �� rim ' r � T� ,- w, To: Fax#: �'�tJy ILS1J From VL� ) Pages: including cover sheet Subject: Xcq!,,� Comments: \, r+ -C� aaeaaS XVA DOO/Z SGb'd Wd SO: TO: T DTOZ/L/8 aae.aaS X1e,3 t � COMMONWEALTH OF MASSACHUSETTS THE TRIAL COURT PROBATE AND FAMILY COURT DEPARTMENT Barnstable Division Docket No. BA09DOI64DR LINDA BAIRD, Plaintiff V. ADAM BAIRD, Defendant ORDER_APPOINTING INVESTIGATOR (Amendedf) At a hearing before the Court on July 22, 2014, it appears that the best interests of the minor child of the parties, Elizabeth Baird (dob: 02/07/03), requires the appointment of an Investigator.' Therefore, the Court hereby appoints The Probation Department of the Barnstable Probate&Family Court (508-375 6735)to serve in the capacity of Investigator to investigate and report back to the Court in the best interests of the minor child. Specifically, the Court requests the Investigator to address the following: 1. What is the Investigator's assessment as to the parenting abilities of each party? " 2. Which party appears to be the more appropriate custodial parent? 3. What is the appropriate level and manner of visitation for the non-custodial parent? 4. Do either of the parties have any substance abuse and/or psychiatric or psychological problems and, if so, what is the extent of the impact of those problems on the minor child? 5. What school the child should attend? The Investigator is to report back to the Court,if possible,on or before September 22, 2014. The Investigator shall have authority to do any and all of the following as he/she deems necessary and appropriate to prepare a report for the Court: a. to contact any or all people having relevant knowledge of the parties or any member 'This investigation is pursuant to M.G.L.Ch.276§83, and per the holding set forth in Hayden v. Hayden, (Mass.App.Ct.1983)443 N.E.2d 903, 15 Mass.App.Ct.915. aanaaS XVA D00/£ SDdd Wd eO: TO: T DTOZ/L/8 .aanaaS X12A of the family, including the Department of Children and Families; b. to consult with any professional with specialized knowledge, including the guidance counselor for Elizabeth's school; c.to require psychological and/or medical evaluations of any kind of the parties,all family members and/or care givers. The parties are to contact the Investigator forthwith and arrange to provide him/her with whatever information is necessary for the Investigator to carry out his/her functions. If either party delays in contacting the Investigator,that party shall be assessed costs for such delay.The Investigator shall notify the Court promptly if he/she is not contacted in a timely manner. If requested, the parties are to provide the Investigator with any releases necessary for the I nvestigator to obtain medical or psychological records of the parties.The parties should arrange for themselves and the child to go to the Investigator's office at a time convenient for the Investigator and to provide the Investigator with whatever records are required. Furthermore, if the Investigator desires, the parties are to make arrangements for the Investigator to see the conditions under which the child lives, and the conditions existing in the home of the non- custodial parent. If the Investigator determines that the child is at risk as a result of the present custodial and/or visitation arrangements, he/she may file an immediate motion with the Court and an interim report. When the Investigator report is concluded he/she shall notify the parties and the report shall be filed with the Court. The Investigator is authorized to distribute a copy of the report directly to counsel of record, but no copies of the report shall be made by either party, except with express Court permission.After the report is reviewed either party may seek further review of the matter by appropriate motion. If the Investigator determines that this is a case which is appropriate for mediation,he/she may make such recommendation to the parties or to the Court.The Investigator may, in his/her final report, recommend counseling of any or all of the parties. The case is scheduled for a Further Pre-Trial Conference on October 1, 2014 at 8.30 a.m. July 23, 2014 De ' e Mea her Fi Justice 7 cc:L.Baird;A.Baird;Prob.Dept. Ak E MPY . -41 REGISTER aanaaS XVA D00/t 3 Vd Wd 80: TO : T DTOZ/L/8 .aan.aaS X1e3 U:S: Poltal Ser�ticeTM CERTIFIED Kh,AILTM RECEIPT - (Domestic Mail Only;No Insurance Coverage Provided) For delivery information visit our website at www.usps.com®>, OFFICIAL USE — v Sent To or PO Box ' WE e• ' PS Form 3806,June 2002 !_' '�`,,, ee Reverse for,lnstructions`- Certified Mail Provides: t ' ■ A mailing receipt (esieney)zooz eunr'ooss UllOd Sd ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mails or Priority Mails. ■ Certified Mail-is-notavailable for any class of international mail. r> . " 9,"' ■ NO INSUR9VCe�;COVERAGE IS PROVIDED with Certified Mail. For vaI abI&,please confs"iii& insured or Registered Mail. ■ Forahsadditional fee,a,#jefurn Receipt may be requested to provide proof of delivery.T obtain Return',Receipt service,please complete and attach a Return Receipt Form 3&1i])Wthe article and add applicable postage to cover the fpe.En o e mailpidW,"Retum Receipt Requested".To receive a fee waiver for a duplicate return receipt,aUSPS■postmark on your Certified Mail receipt is required. �7 ■ FoNan additional, e,�delivery may be restricted to the addressee or addressee'stauthorize&a ent.Advise the clerk or mark the mailpiece with the endorsement,,�Restricted-Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. Town of Barnstable Regulatory Services Barnstable OF THE rpm Thomas F. Geiler,Director A04Unericacity Public Health Division * BARNSTABLE, MASS. � Thomas McKean,Director 200� i639. a`� 200 Main Street FD hAp`l Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 November 16, 2009 Paula M. Bruillard c/o Norman F. &Natalie R. Barrett 74 Saddler Lane West Barnstable, MA. 02668 RE: Assessors (map-parcel) 099-030 As of October 1, 2006 a new rental registration ordinance was put into affect requiring all property owners of rental units to register their rental units with the Town of Barnstable Health Division. According to our records, you own the rental property at 9�40W_est_Main Street, Apt 9 CCr e-nterville, AM 0263:2 Enclosed is an application. Please use a separate application for each rental unit you own. Should you need more applications, they are available online at www.town.bamstable.ma.us. Go to the Health Division page by looking in the Department Menu. There is a link to the Rental Registration information on the Health Division page. You may print out as many as you need, and return them to the Health Division with the appropriate 2009 fees included. Please contact me to schedule inspection of the property as soon as possible. If there are tenants presently occupying the property please provide the contact information being sure to include a daytime phone number for all tenants. For your use an occupant's permission form has been included to allow for inspections to be performed in the tenant's absence. Failure to comply with this ordinance will result in the issuance of a non-criminal ticket citation in the amount of$100. Each day of non-compliance is considered a separate offense. Should you have any questions, please feel free to call 508-862-4072. Thank you in advance for your cooperation. Teresa Wright Division Assistant Health Division Direct#508-862-4072 Health Master betail Page 1 of 1 Health Mster, i Logged In As: TOWN\wrightt Health Master Detail Monday, Novem Application Center Parcel Lookup Parcel Septic Perc Well Fuel Tank Parcel: 151-048 Location: 74 SADDLER LANE, MARSTONS MILLS Owner: BRUILLARD, PAULA M Business name:! _ Business phone: Rental property: F Deed restricted: F-11 Number of bedrooms 0i Contaminant released: f Fuel storage tank permit: F Save Parcel Changes I Return to Lookup Parcel Info Parcel ID: 151-048 Developer lot: LOT 49 Location:74 SADDLER LANE Primary frontage: Secondary road: Secondary frontage: Village: MARSTONS MILLS Fire district:C-O-MM Sewer acct: Road index:2092 Asbuilt Septic Scan: 1510481 Interactive map: — L77-17iLj AP (Aquifer Protection Overlay Town zone of contribution: State zone of contribution:OUT . District) Owner Info Owner: BRUILLARD, PAULA M Co-Owner:%BARRETT, NORMAN F III $ NATALIE R Streetl:74 SADDLER LANE Street2: City:W BARNSTABLE State: MA Zip: 02668 Country: U� Deed date:04/14/2006 Deed reference:20915/306 Land Info Acres: 1.96 Use: Single Fam MDL-01 Zoning: RF Neighborhood: 0107 Topography:Above Street Road: Paved Utilities:Septic,Gas,Public Water Location: Rear Location Construction Info Building NoYear Built Effective Area Bedrooms Bathrooms 1 1986 2991 3 Bedrooms 2 Full + 1H Buildings value:x313,300.00 Extra features: x2,800.00 Land value: 9227,400.00 � — I http://Issgl2/intranet/healthMaster/HealthMasterDetail.aspx.ID-151048 11/2/2009 d STANDARD REStDEN L TtAL EASE (Fixed Term) the"LANDLORD°,Whose address-and 1 -3110 w, Barnstable MA 02668Xtth� �E�,NT' 1 . ParuesNor-man F. Barrett III telephone number are 74 Saddler Ln. el P. Desa940 w. Main St. r Apt. 91 , agreesto rent to Eli whose current home address and telephone number are P ara h 2,below. centerville, MA 02632 ( 508) 345-373the premises described in p 9 : t > 3 2. Description Of Premises. The premises (the"Premises") are described as Cis street address and rtmenfno. araC�� fi ni chord baGement a Pa ] 3 bedroom, 2 bath, ranch wirh attach�s�� but exclude and include dishwasher, ref ricrera or,range j►nsertreferencesto 1 nr-aced at 158 Hi Ohl and nri vPi (`antarvi 1 1 e_ MA 02 �2 yard,attidbasement storage; re washer,dryer,dishwasher etc.,as apOvprfatel 3. Lease Term. The lease shall begin on June 15 , 2009 and shall end on ti, p . Delivery of keys to the LANDLORD or acceptance thereof shall not constitute agreementlof the LANDLORD to terminate. 4. Rent. The total rent for the Premises for the Lease Term is nineteen Thousand and Two Hundred and no/100 dollars ($ 19 , 2 0 0 .0 0 ), payable in monthly installments of Si xtaan Riindred anr9 no/1 op dollars ($ 1 600 _00 ) which are due in advance on theme f teenth day of each calendar month. Rent shall be paid to Norman TF, 'Barrett IT! If a payment for a particular month is made more than thirty (30)-a a-ys after due date, a late fee of$-2 59 0 shall be due. A security deposit of$1, r,n n�n n was received and a copy of receipt is attached. 5. Time. TIME IS OF THE ESSENCE as to each provision of the Lease. 6. Utilities / Heating Fuel. The LANDLORD shall pay all charges for water and shall reasonably supply hot water and heat (except to the extent that fuel for heat is separately metered to the Premises) during heating season, as required by applicable law or code. The TENANT agrees to act reasonably to avoid wasting of water, heating fuel or other utilities for which LANDLORD has agreed to pay. Payment for the utilities listed shall be made by: Fuel For Heat Landlord ❑ Tenant [check applicable box] Fuel For Hot Water Landlord ❑ Tenant [check applicable box] Electricity Landlord ❑ Tenant [X-1 [check applicable box] Gas Landlord ❑ Tenant F [check applicable box] (Note:fuel,electricity,gas and other utilities may be billed to TENANT only where separately metered) Tenant wil also pay for cable TV and telephone if ap licable. 7. Delivery Of Premises. n the date the Lease begins the LANDLORD shall defiver full possession of the Premises to the TENANT, free of all occupants and of all personal property, except property included in the Lease. If despite reasonable efforts the LANDLORD is unable to deliver full possession of the Premises on the date the Lease begins, the LANDLORD shall not be liable to TENANT for any loss or damage nor shall this Lease be void or voidable, but the rent for the Lease Term shall be proportionally reduced and the TENANT shall not be liable for any rent until possession is delivered. Either party may terminate this Lease by written notice if possession is not delivered within thirty (30) days after the beginning date of the Lease Term. Upon delivery of such notice all payments made by the TENANT pursuant to this Lease shall be immediately returned and all obligations of the TENANT M �+ �+ �{�+ Farm No.401 ASSLUi11V1.7M 0 1999,2002 MASSACHUSEFrSASSOCIATION OF REALTORSe Statewide Standard Real Esiate Form. Page 1 of 5 u Form generated by:True Forms'from REVFAL*SYSTEMS,Inc,600-499-9612 .o 0 r MAIL. RECEIPT Ln (Domestic Mail . Provided) Er o For delivery information visit.I LEr i 0 Postage $ � �,�N/& Off Certified Fee ,/ y O O Return Receipt Fee ark N (Endorsement Required) �� C Restricted Delivery Fee 'S7 �4 —0 (Endorsement Required) Total Postage&Fees $ spy, ul � SentTpwfi / al --PO Box No. `l .1? .......................... ----------------------- Sta,�o�IP+4 PS Form 3800,June 2002 Certified Mail Provides: � o ■ A mailing receipt zooz eunr,00sc wjod Sd ■ A unique identifier for your mailpiece ® A record of delivery kept by the Postal Service for two years Important Reminders: ® Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. ■ Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. m For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. ■For an additional fee,delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ® If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. Town of Barnstable TME' 1.0 Regulatory Services Thomas F. Geiler,Director • ELAR rear.E. MAM Public Health Division Thomas McKean,Director --' -- 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer& Designer Certification Form Date: Sewage Permit# Assessor's Map\Parcel BSS Designer: ` )G,4 7 }ten installer: Address: Cq(o (�/��i ftg &J Address: 350 Main Street W. Yarmouth, MA U2673 On G frt f� ( 4rf/C 0 was issued a permit to install a (dat ) (installer) septic system at ' (Z [mot/./1 1G[.rn V ( based on a design drawn by - (address) POD P tZ PA dated 6L,--)U d (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. jk\OF M.,gss9. C ROBERT M. o FITZGERALb N (Installers Signature) CIVIL 4 No.3979�0 FGISTS ASS/ONAL ENG (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q: Health/Septic/Designer Certification Form 146-0doc L .�. No. U — t v 1`� �/ v Fee 16 0 TiLEC MONWEAL H OF MASSACH SETTS Enured in computer:UBLIC HEALTH DI E, MASSACHUSETTS Yes 01ppItcatton for 33iopomY bpgtem Conztructton Vermtt Application for a Permit to Construct( ) Repair(X) Upgrade( ) Abandon( ) ❑ Complete System ®Individual Components Location Address or Lot No. cf,�/� �/�,�j//t/f/�/ Owner's Name,Address,and Tel.No. C,�t/7Z'lLI�iGL� �vJli't/G! .�rj iS r/l�✓� G'!//QN Assessor's Map/Parcel ee 2+'4 " C,SS 50Fb Installer's Name,AdAAJ9TJ9 C0 Designer's Name,Address and Tel.No. 350 Main Street W. Yarmouth, MA 02673 Type of Building: Dwelling No.of Bedrooms I Lot Size 91 (3 Ct sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) I ci 90 gpd Design flow provided l cl 8 O gpd Plan Date (o t ZO 1 OCp Number of sheets Z. Revision Date Title SC"7.IA4a Vl�:?fd-,At� oyfi' IEM -V7uLsr a Size of Septic Tank _e)(Iyf(' ;Z ie>a0 I ZS06 Type of S.A.S. Description of Soil MEOww1 ip T—Iria 46&ra 7 Nature of Repairs or Alterations(Answer when applicable) :!&cPt,&L a t&tLc"o Lel . -""Jcq !72tt��"j ]at D Gl-Q✓Cg—, r S nl i T T_ l�f✓Lt/�A��ti] Date last inspected: 112 b 4 \W_►/� C4a A-f PQ..c JAIL- UQT14Z- Agreement: /klleb 8�3 I j CEO The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of H alth. Signed Date �L Application Approved by AV, Date � 02 d Application Disapproved by: Date for the following reasons Permit No. apt:? — ' Date Issued .7 2VC r.. ..�,... . x =411 NO. JN�_�t�l-7 1. ?' 1 G rf Fee (o G E COMMONWEA,, LTH OF MASSACH SETTS - E°tared in computer: PUBLIC HEALTH,DI_VIS 'N=TOWN�'O'F'B7ARNST* _E, MASSACHUSETTS Yes 2p.prication for � gpogaY 6p°gtem, Cor� truction ertnif Application for a Permit to Construct O Repair N Upgrade O Abandon O ❑Complete System 0 Individual Components Location Address or Lot No. 9�o ��j%/�/�//J Owner's Name,Address,and Tel.No, t C`eiv7L-�/Z e/i�L� ���5/��i .gS5�5T�i✓Ce �'!//1/,� Assessor's Map/Parcel 2'4 �. d�7�' S0� 5 4 oU Installer's Name,Address,and Tel_.No. a Designer's Name,Address and Tel.No. d�RT 111 ZCt e 2.X1..�D t l� , r 50 -7'7(.6 Type of Building: q Dwelling No.of Bedrooms Lot Size 11 3,Cj sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) t C1 80 gpd Design flow provided 1960 gpd Plan Date (o` Z O` OCo Number of sheets Z Revision Date 4 Title SLJQ!„C_7 V147PoI.t ::�YhTZM -i7tlar_11 Size of Septic Tank J�,. jll 2T 2 vcifU , Z-�Oy Type of S.A.S. , I_Cy l F_C�7� Description of Soil MFAIV-4 i-0 -r—,,Ja hA'Jt'7 Nature of Repairs or Alterations(Answer when applicable) :!�C-p&(- V i L.V O -•t,,,5;ALt.l,AJ(j !!7 �T;M`7 fi'J�t'C t-v �I i.) �i t U GL C✓ M i T!_� Date last inspected: /D 04 \JAa_i Nc-C PXoJ4c.. �+- - Agreement: 'DATED The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place'the--system in operation until a Certificate of Compliance has been issued by this Board of H\a1th. Signed !� Date }Application Approved by �/ �V, f Date �2 v Application Disapproved by: '" ' Date' for the following reasons J Permit No. ud—J - J Date issued Z a THE COMMONWEALTH OF MASSACHUSETTSyr BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (X�) Upgraded ( ) Abandoned( )by 7 44 /J( G F at C 70 ! / i y l fPr^v has been constructed in accordance + with the provisions of Title 5 and the for Disposal System Construction Permit No. .2 UU-7 - U dated 31 4-7 Installer Designer #bedrooms Approved design flow C9SO gpd The issuance ofthis ermit shall n 9 t be 'nstrued as a guarantee that the system will fun-ot' ed. r a-s' d si � . Date G �Al - Inspector r _----------- /1 -- --�_�----- No. -���n � - I !o - .. Fee /00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS ligoml *pgtem Congtruction hermit Permission is hereby granted to Construct ( ) Repair Upgrade ( ) Abandon ( ) System located at /� ��r, j ��14 and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction)must be completed within three years of the date of this permit. Date —3 1-2G Id-7 Approved by Town of Barnstable tr�rrsr�e�. � Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-740-6304 Paul J.Canniff,D.M.D. August 31, 2006 Mr. Robert M. Fitzgerald, P.E. 166 Mayflower Terrace South Yarmouth, MA 02664 RE 940 West 4g Mein Sret, ententrPfe,,lUgk A, 2 056 Dear Mr. Fitzgerald, You are granted a conditional variance on behalf of your client, Housing Assistance Corporation, to construct a replacement sewage disposal system at 940 West Main Street, Centerville, Massachusetts. [The variance-granted-is-as'follows: 310. CMR 15.221(7): The soil absorption,system will be located 5.5 feet below finished grade, in lieu of the maximum three (3)feet allowed. This variance is granted with the following conditions: (1) The innovative alternative (I/A) system shall be installed in substantial compliance with the revised engineered plans dated June 20, 2006. (2) The professional engineer shall supervise the construction of the I/A 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 June 20, 2006. (3) The wastewater affluent shall be tested quarterly for pH, BOD5, TSS, TN, and alkalinity for a period of two years. After a period of two years, the applicant shall return to the Board for a determination on the schedule of additional testing. This variance is granted because the existing septic system failed and the replacement system,_ which..includes innovative alternative-technology, meets the maximum feasible compii rice standards contained within the State Environmental Code, Title 5. Sin. r ly,yo.ur ; ye e , C air n Q:WP/Fitzgerald HousingAsstCorp2006 %��' 1 PHONE NO, friar. 26 2007 11:34RM P2 �3/26/2J0' 3:57 5a9-775743a HOUSING AaS CORP, P:4GE 02 Robert M.Fitzgerald,P.R. 166 Mayflower Terrace South Yarmouth,Nth 02664 Phouir.W 776 756 Fina.MW 760 3"s March 26,2007 P`aith"d' 0040och kIoutdag�e��Co> t�i� 460 Wcst Main Skeet Hymmus.MA,02601 RE: tpaaerl_ ,_[f,�4)p lfp ilateas]P6rn 940 Neat Main Street,Centervft MA. Dear faith. The follov4ft outlines the rmposed quarrfttly operations,maiantemnce and aionfWfing of the proposed Bioulere I/A tmbneat units at 940 West Main St WL Ce ntemille,IAA. Scope of Services The treat mnt system shall be opcmed by a C.ertiflei Wastewmar Plant Opermw in accordem with the mquircm=U of 257 CMR 2..00 and the Board of CertificsUon of Operators of Wastewater Tre&rtaat Plants and the conditions imposed Masmacbuselts Department of llnviromental Protection's Cerrti tio for Ocutzal Use. Opastion and Maintenxmce A. Standard maintenw a as follows- 1. Check ommal as ndition/appeauw4c of unit. 2. Check veto flow,odor. 3. Cheep;general condition of fan box ineluding int mal and external wiring, lock, latch,gsk ,etc• 4. Check quiet fan,operation. s. Cheek cortdiftion of cover lochs,latches„gmkds. 6. Cbcck and cbaracte6ze biomass. 7. Check recycle plump operation,titer*ad ueal clari%y. s. Check"ag pumps opmdon,tuning and effluent cWhy and spmY pattern: 9. Claaok geatfl eottdition Of do g 030mbly.C19CM n022leS if roquired. o. Check gencral condition of control box luolltittitig looks,gaskets,etc. 1 t. Check control box s*itc�alarms,t i me m e,:c. B. System will be maintained quarterly(4 times per;year)minimum. AlPHONE NO, Mar. 26 2007 11:35AM P3 03/2$!2a07 _�:�? 5.337 57434 riOUE;ING CORP. PAGE 01 SYs M Menitwing and Roorting Complete and file the results of all operation,rttaintc=;an e,acrd Monitoft activities to the Barnstable Couwy Depart m at of Health and Swirwx=tV S=h rcytordng shall be perfomed in the moat=spccif'od by Barnstable County Departtnimt of Health and Eviromem widiin 30 days after e h mairActjanw or monitoring ervo t, Furth",when a system gperator perfbrrafss a system iz>spsec ion and finds twat a.sewage: treatmat technology has trolfuucttionin coMpontnts which,have compromised the sYMU's aMItY to treat sev age as desigoed,the operator ill reporc on the system°s status and any planted cor=tive actiow to the Board of Hadth and,Barnstable County Departmew of I-Ieahh and Environment witWn 49 hours of imVec6on. Effluent Stapling Effluent sampling shall be uakde�en quuterly in accordance with the Town of Barnstable Board of Health approval lexter dat&i,Augast 31,2006 for the Nlowing p9remeters: • PH BODS TS3 i T11 * Alkaliu2ity Proposed Fee Quarterly opwattion and mince of tha Paz,as demmribed above shall it� perfomad At a he of$250M per quarter pies laboratary foes. AdMonal serwioes fi luding responding to alarms,troubleshooting and,or repairs or parts rcplacesnwrts will be performed cn an hourly time and expettse basis. Very Truly Yours, Authmized by Client Robert M.Fitzgerald,P,E, B ._ Dated i TOWN rW OF BARNSTA13LE vU0A CO LOCATION Wb 0Ifti l� ��T. SEWAGE # VMLAGE Lz�- _;:; SSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO.. iA4—!�O 1�,_Co SEPTIC TANK CAPACITY LEACHING FACILITY: (type) L'_O A( 'PM(49d� (size) NO.OF BEDROOMS ��y N Tk ., 9 BUILDER OR OWNER ,ai1���1 PERMIT DATE: 3`� O COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 1�, ,PlA e7 Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist '/ within 300 feet of leaching facility) s� Z 14 Feet Furnished by � �w EshM ,` TOWN OF BARNSTABLE -rowrt Cap/LOCATION 1?4 0/ w ST/'"�� �7 SEWAGE # VI r GE ASSESSOR'S MAP & LOT IN ALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY X4S71A--)5 7-0n e7li( S LEACHING FACILITY: (type) 704 (size)�l NO. OF BEDROOMS 1 <S # / ? BUILDER OR OWNER ��is !7`6GZ1i 5 �� PERMITDATE: :, 6 �O 7 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 1:e'r P144 Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) �� Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by l dire= �_ Lo OD c 4-0 - - • HYAN MA y 4 MA AREA OF PROPOSED EXCAVATION 10'x I O x 1 O' LOCUS t/ HB-4 r KEY MAP MW \\H1-I/IA r LEGEND HB HAND BORING i V s 13-2 (�'B HAND BORING(NOT ADVANCED) LOCUS r t! 35G SOUTH STREET Y`• /! 0 MW MONITORING WELL LMw-IR ,'W)T SOLUTE 111 1'1 TRANSPORT 1 PATHWAY t 1 l 359 REAR / fill, FORMER 275-GAL ' FUEL OIL U5T •� 111 t i !r1! AREA OF IMPACT _ LOCATION PID DEX51L EPH CO-C 18[M 15TD= I OCO) HE-1:4-G' 35.1 (4-9) HB-1:G-8' 4G.7 4920 DETAIL HB-1:8-9' 57.1 FORMER 275-GAL - SCALE I"=5' HB-1 A:0-2' 5.3 FUEL OIL U5T - HB-1 A:2- HB-IA:4-0 11.0 1.O (REMOVED WITHOUT INCIDENT) HB-I A:6-8' I 1.5 4,040 , HE-IA:8-10' G.2 HB-IA: f0-11' I.G HB-1 A: 1 5-1 7' ND ND MW 2 HB-2:0-2' ND H13-2:2-4' NO 35G FRONT '!r HB-2:4-G' NO 18-2:G-8' 0.7 SEE DETAIL '!1 / " - H13-2:8-1 O' 3.4 - i, ( - NO-2: 1 0-1 2' 3.2 104 '/ GP-I/ 1 HB-4:G-8' ND MW-I 0 / HB-4:8-I O' ND �(G-14') HB-4: 10-12' ND ND MW-3 HE-4: 1 2-1 4' ND MW- R \` r RTN# 4-24825 Project: Proj SOLUTE �rG ESTATE OF MURIEL MACKENZIE TRANSPORT PATHWAY f- -,/ c/o CHRISTINE O'SULLIVAN,EXECUTRIX 53 MAIN STREET S-1-GOFFSTOWN,NH 03045 Title: f; IMMEDIATE RESPONSE ACTION REFERENCE 356 SOUTH STREET-HYANNIS,MA 02601 _° �,.✓ � -BARN5TABLE ASSESSOR'S MAP 308 PARCEL 099 BENNETT ENVIRONMENTAL ASSOCIATES, INC. SITE I p LAN � „ .. 'A� „rf` BE LICENSED SITE PROFESSIONALS,ENVIRONMENTAL SCIENTISTS, �J GEOLOGISTS,ENGINEERS 0 20 40 GO f NOTE: THIS SITE PLAN WAS NOT PREPARED FROM ANY 1573 MAIN STREET,P.O.BOX 1743,BREWSTER,MA 02361 �O e;r""„ INSTRUMENT SURVEY AND UNDER NO CIRCUMSTANCES SHOULD PHONE:(50S)896-1706 FAX:(508)896-5109 SCALE I"=20' Ar". THE DISTANCES, BEARING.AND/OR OTHER FEATURES SHOWN BE DATE SCALE BY CHECK JOB NUMBER USED TO ESTABLISH PROPERTY LINES. �„ 02/04/14 As Noted SRF DCB BEA13-10607