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HomeMy WebLinkAbout0420 GREAT MARSH ROAD - Health (2) 1 Woodval � ane Centerville A= 190-079 f ES M L A 0' li- No..2-153LOR UPC 12534 smead.com • Made In USA 11*w w � u�Hn�r�coueew� CERNNED SOURCWG Vis'i d'L3�7L3°,LQAB No. �� ,... Fee V v THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplicatlon for Bisposal *pstrm Coast uttiott Permit LC ACatiNU6 "D 30x Application for a Permit to Construct( ) Repair(K) Upgrade( ) Abandon( ) ❑Complete System ®Individual Components Location Address or Lot No. rr) \J000-q k LE LA is 1` Owner's Name,Address,and Tel.No. Cc-NTEgZ41LL-C 1 Assessor'sMap/Parcel t yOj 1119 �1M 0111", -TOOL-t 71 \k/6-apv,aL_� LArU& Installer's Name,Address,and el.No. Designer's Name,Address,and Tel.No. 'TOY60 ms�.rM�-r �,✓�-fr ram. �.�ij4,,4^A soh fm8' 1'%%l r�z&`1k � ,? SuL�\vA� lSut��Jwa +aG,�ni L Type of Building: 5 EG 0.v�N S Cam=Lt-;�TIE Z- Z �i�,���z tZo a s it i L L-e Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) Is so gpd Design flow provided gpd Plan Date—Dec it 2wy Number of sheets A,OF 1 Revision Date �Ir, Title i. e 'kW7 1�C�d'A t 2 !� �i \Iu��A�Y A t-i 1 LAi.i� -' ri.Pr,SGi. le'1�t Size of Septic Tank 1Qbb- &A_,L_c" Type of S.A.S. CLi L-TC- ct_.}AQ Cr Description of Soil 0�" �u^yvk joyp 31,7_ g'-IS�' '� LtayE2 lly( _kL Sagai,Y Jv\ Nature of Repairs or Alterations(Answer when applicable) ?&0 Fffi 0 x C t_l LT C L C/�C_lY iy C+1i=��" f, r, �,� ...St5PZC%P\M ' A+vI �c-Tvrt- F(LA " L�� ST1 vY\euL-Pc� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of t a e described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Co o to place the system in operation until a Certificate of Compliance has been issued by this Board of S ✓ 4.. Date Application Approved by W✓ Date 2 ( d GI Application Disapproved by Date for the following reasons Permit No. )O Date Issued ( U --------------------------- ------ ---- -- y, _ _ - - -- --- —- - - —,- No. d 00/ - 1 Fee f allTHE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Nsp08al 6pstrm Construction Permit Permission is hereby granted to Construct( ) Repair(X,) Upgrade( ) Abandon( ) System located at `71 'V'/o0 0 ya L.C. L-�ti e. G6 C.C., 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, Ist be TO mpleted within three years of the date of this permit. Date I a ( -7 Approved by I }. .�.,.,....�- .. 'y��,..t.,..c+�,.t{ile,t�',y4ra'M'Y•:ct+".�..++."++::v+Rn-^•'+v�"*r^ —+�+..r,.-.-^^ ,.,.+...-.._ ., .. ..,. �..yyt.+...>..n,. ,... ,.....yam.-.r.,, " m 1 No. ��� / .i � °emu Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: aa; PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 9ppfitation for .33isposal .0pstem Construction Permit Application for a Permit to Construct( ) Repair(K) Upgrade( ) Abandon( ) ❑Complete System K Individual Components Location Address or Lot No. 7) \d o o0,.!A l,E Uk iy C Owner's Name,Address,and Tel.No. Ste,-77 \9d j CC-N TE iZvi LL.E.. Assessor'sMap/Parcel 1y0 lZ �) \1nn p.�u�, —�ooL�� 71 Woo,�>vaaL-` LaujC� Installer's Name,Address and Te l.el.No.1�s�. `,, h �`f �� Designer's Name,Address,and Tel.No. I 5�7�L(I�aSuM r G C Sv�1 (ma 9221 -no ( 111'r, 0 40Y,9 EZE,L SULL\vi3rA l5Ull.\J4ta Type ofBuilding: SCC C EZ-k LC-i 1T1_ 7 L+-C Dwelling No.of Bedrooms \J�"~S' Lot Size 1(0, S3Co sq.ft. Garbage Grinder(')4 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) S SU G 1 7 gpd Design flow provided gpd Plan Date-Dec 11 ,zw,=) -� Number of sheets OF 1 Revision Date 0 to Q Title S TE ?L ra 71 VJooD,/Ak-LL Size of Septic Tank 10CU &ALL_0,,A Type of S.A.S. Cu L'T'G c. l(60 Description of Soil "-v� )UY�,' 3/Z 91r - )8 S L IaY G 1l>Y�� Sf�o Spa M JY 1- n lv` Nature of Repairs or Alterations(Answer when applicable) P(� 1�o X v Cu LAC ,U C. Ca\EC�,.T' Iry S0-1G 1PVI.)<_ A-IjZ) E'�L ur--e hUt✓►? J 1 A,\Jy- uut,k Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of�t'h'e-afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Cod eand ofn to place the system in operation until a Certificate of Compliance has been issued by this Board of al 1 nn Date / Application Approved by Date /.2/1 7 a 9 Application Disapproved by Date for the following reasons Permit No. �a d C1 ' / Date Issued / ( 71 U G? ' • 1 ( y -.—___.-...--_.- •_-- ________________ __---__-_ -.... THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( )by at 7) \IQ/O00 V A L C- LA 1,E- CE N-kZZ,/1 L_LC has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. a fJV Y/Y dated l h-12b a) Installer Designer #bedrooms Approved design now S w gpd The issuance of this permit shall not be construed as a guarantee that the system will-functinJn as desiigfne(d. Date 3 !I 1 t{o Inspector �J. t� TOWN OF BARNSTABLE /(// LOCATION ?I (.r SEWAGE#o�W� ' ` �� VILLAGE ly�.' ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY A)D(� V LEACHING FACILITY:(type) IV(�U X (size) _�Y 'PC7 Y /q NO.OF BEDROOMS f l OWNER PERMIT DATE: /-Z 'I7' d 7 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY A COO OILY IN . -b 3��6' `r `4 Anne and William Toole 71 Woodvale Lane Centerville, Ma. 02632 Board of Health Town of Barnstable Hyannis, Mas.02601 To Whom It May Concern: This letter is verifying that we have had a five-bedroom house at 71 Woodvale Lane, Centerville, Massachusetts for the past twenty-two years. This verification is necessary for us to move forward with sceptic work under the direction of Sullivan Engineering. Most respectfully, C�J�ll1U- N s -� L Od>Q Prepared For: William & Anne Toole 71 Woodvale Lane Barnstable MA 02632 Co►'s i T Leo Town of Barnstable oFtHE ro,,, Regulatory Services Thomas F. Geiler,Director BMWSTASM ` Public Health Division "°iOrFo�,r a Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 2c�c9 n� - Date: IV o e ,tl,'rmo Sewage Permit# AIA Assessor's Map/Parcel. cC Installer& Designer Certification Form Designer: vv LL_,.J R,v, Ect ,\OC. l,,.L Installer• v16-[� C rO S C4,f� /4- Address: 7 FAcy--m Qek Address: 05, f 1T7favY• 6AIALZAW . On 7I 9 G ya_L PJ 0 was issued a permit to install a (date) (installer) septic system at t7 ) \U W V.X Lt l AA T_�- C-66 i-E74kil ct5based on a design drawn by (address) C__E 1 dated _�Z_:c. k 'Zoo- (designer) I certify that the septic system referenced above was installed substantially accordingto the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. 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. Stripout (if required. :was inspected and the soils , were found satisfactory. k K7ER SUUIVA (Installer's Signature) N0. 29733 ti . .ST A At (Designer's Signature) (Affix tamp 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:\office forms\designercertification form.doc TOWN OF BARNSTABLE LOCATION -7 Alm VA l,&/P- SEWAGE # VILLAGE_1�C.NTF_f?Vf IIP ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. ROV / r-Ad(-)_l4j I SEPTIC TANK CAPACITY LEACHING FACILITYAtype) I DD® (size) NO. OF BEDROOMS ` PRIVATE WELL OR PUBLIC WATER -629 BUILDER OR OWNER b wi I 1 h�� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No MAN& - µ + I tool Town of Barnstable P# 27 7� Deparlment of Regulatorj_Services B i Public Health Division Date KM .ajp a 200 Main Street;Hyannis MA 02601. Date Scheduled 6 Fee Pd. d(' 60 1 Soil Suitability Assessment for Sewage Disposal Performed Bys.SSa 111"VcL/7 Z"'h I 'I'1 r tr r-,' .Zh.r,Witnessed By: LOCATION&GENERAL IlVFORIVIAION Location Address / owner's Name 9tL'1n /�1�oe'7r-v/c '�� �j(��ye, µt — Address 7/ U)DOc- Vctl� Assessor's Map/Parcel: �o 79 l Engineer's/ u��• v��_ � _Tx�- NEWCONSTRUCTION REPAIR Telephone# Land Use Slo % pas( ) Z—� GD i Surface Stones Distances from: Open Water Body 2-7 57 r ft Possible Wet Area Z7 fi ft' Drinking Water Well $Q� — ft F 1 Nn ft Drainage Way ` , _ft Property Line l O ft Other / SKETCH:(Street name,dimensions of lot,exact locations of test holes dt perc tests,locate wetlands in proximity to holes) ` (�s•�s) WaepVwALi LANs Parent material(geologic). er Depth to Bedrock Depth to Groundwater: Standing Water in Hole: � Weeping from Pit Face /y Estimated Seasonal High Groundwater 7 �-'33 DETERMINATION FOR SEASONAL HIGHWATER`TABLE Method Used: VA,— Depth A6ti r� Depth Observed standing in obs.hole: in. Depth to soil mottles. m. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level_ PERCOLATION TEST nste 12 T Observation Z Hole# Time at 9" D of Pen _ Time at 6" i Start Pre-soak Time 2S l 1 ,_ Time(9 6") 'tr i End Pre-soak , Rate Min./Inch Site Suitability Assessment Site Passed. Jr Site Failed: Additional Testing Needed(Y/N Original: Public Health Division Observation Hole Data To Be Completed on Back -------- ***If percolation test is to be It within 100'of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPnC\PERCFORIvLDOC DEEP OBSERVATION]HOLE LOG•: Hole Depth from Soil Horizon Soil Teitture Soil Color Soil Other Surface(in.) (USDA)_ (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) i3? Sou^' Lo ;DEEP OBSERVATION•'HOL'E LOG I -'able# Depth from Soil Horizon Soil Texture Sod Color Soil Other Surface(in.) (USDA) (Mua4e11)' Mottling (Structure,Stones,Boulders. Consistency.%Gravel) �a_ L�v l7 51oh`1fy�S �O DEEP bBSERVATION HOLE LO( Hole'# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) j Mottling (Structure,Stones,.Boulders. u Grave Consistency,/o Gr avel) 1 l DEEP OBSERV�AA1`ION DOLE LOG Hole# Depth from Soil Horizon Si il Texture Soil Color Soil Other Surface(in.) (USDA) (Mumsell) ;Mottling (Structure,Stones,Boulders. Consistency_%Gravel) I r Flood Insurance Rate:Mao: Above 500 year flood boundary No_ Yes t Within 500 year boundary No f Yes _ Within 100 year flood boundary No Yes Death of Naturally Occurrine Pervious Mateilal Does at least four feet of naturally occurring peri�rio�u�s material exist in all areas observed throughout the area proposed for the soil absorption system? Ifnot,'what is the depth of naturally occurring p6rvious material? Certification I certify that'on (date)I have pissed the soil evaluator examination approved by the Department of Environmental PIrotection and th the above analysis was performed by me consistent with the required tra' ' g,expertise lsnd,experience dFscribed in 310 CNIR 15.017. Signature v ; Date Q:\SEPTIC\PERCFORM DOC COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENERGY & ENVIRONMENTAL AFFAIRS t DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 DEVAL L.PATRICK IAN A.BOWLES Governor Secretary TIMOTHY P.MURRAY LAURIE BURT Lieutenant Governor Commissioner MODIFIED CERTIFICATION FOR GENERAL USE Pursuant to Title 5, 310 CMR 15.000 Name and Address of Applicant: CULTEC,Inc. P.O.Box 280. 878 Federal Road Brookfield,CT 06804 Trade name of technology and model: CULTEC Chamber models:Field Drain Contactors C4; Contactor EZ-24, 100,and 125;and Recharger 180,280,and 330XL(hereinafter the "System"). Schematic drawings of each model are attached and made a part of this Certification. Transmittal Number: W037676 Date of Issuance: December 17,2003,revised April 18,2006,revised July 24,2006,July 19,2007,November 2, 2007,August 29,2008. Authority for Issuance Pursuant to Title 5 of the State Environmental Code,310 CMR 15.000,the Department of Environmental Protection hereby issues this Certification to: CULTEC,Inc.,P.O.Box 280, 878 Federal Road,Brookfield,CT 06804(hereinafter"the Company"),for General Use of the System described herein. Sale and use of the System are conditioned on and subject to compliance by the Company and the System owner with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Certification constitutes a violation of 310 CMR 15.000. August 29,2008 Glenn Haas,Acting Assistant Commissioner Date Bureau of Resource Protection. This information is available in alternate format.Call Donald NL Gomes,ADA Coordinator at 617-556-1057.TDD Service-1-SM298.2207. MassDEP on the World Wide Web: hltp:/Avww.mass.gov/dep 0 Printed on Recycled Paper CULTEC Modified Certification for General Use Page 2 of 7 u I. Purpose 1. The purpose of this Certification is to allow use of the System in Massachusetts, on a General Use basis. 2. With the necessary permits and approvals required by 310 CMR 15.000, this Certification authorizes the use of the System in Massachusetts. 3. The System may be installed on all facilities where a system in compliance with 310 CMR 15.000 exists on site or could be built and for which a site evaluation in compliance with 310 CMR 15.000 has been approved by the local approving authority, or by DEP if DEP approval is required by 310 CMR 15.000. II. Design Standards L The models listed in Table 1 are covered under this Certification. Table 1. Chamber Dimensions Dimensions Invert Model` W x L x H Height Inches Inches Field Drain Contactor C4 48 x 96 x 8.5 3 Contactor EZ-24 16 x 96 x 12.5 6 Contactor 100 36 x 90 x 12.5 6 .Contactor 125 30 x 75 x 18 12 Rechar er 180 36 x 76 x 20.5 14 Rechar er 280 47 x 84 x26.5 . 20.5 Rechar er 330XL 52 x 102 x 30.5 24 2. The System is an open-bottom leaching unit molded from high density, high molecular weight polyethylene (HDPE) with a 3.5 to 4.5 ounce non-woven geosynthetic filter fabric cover(CULTEC No. 410TM). It can be installed without aggregate or distribution pipe as an absorption trench in accordance with the requirements in 310 CMR 15.251 or as a bed or field in accordance with the requirements in 310 CMR 15.252. 3. The use of aggregate as specified in 310 CMR 15.247 is not necessary with the System when installed as a trench, bed or field. When designed with aggregate in accordance with 310 CMR 15.253, the System shall be designed in accordance with Section II item 10. All models also include a Heavy Duty(HD)model for H2O loading. CULTEC Modified Certification for General Use Page 3 of 7 v 4. The minimum separation between any two trenches shall be as specified in 31 G CMR 15.251. 5. The requirement that the Chamber installed in trench configuration as specified in 310 CMR 15.253(6) be provided with inlets at intervals not to exceed 20 feet is not applicable to the System. In accordance with 310 CMR 15.240 (13) a minimum of one inspection inlet shall be installed per system. The inlet shall be capped with a screw type cap and accessible to within three inches of finish grade. 6. For new construction, the applicant can size the System in.a trench configuration without aggregate, using the effective leaching areas presented in Table 2. No System shall be designed and constructed with a soil absorption system area of less than 400 square feet of effective area. Table 2.Effective LeachingArea for Trench Configuration for New Construction And Remedial Sitesl Effective Effective Model Leaching2 Leaching, Area . Area SF/LF SF/LF Field Drain Contactor C4 NA 3.5 Contactor EZ-24 3.9 NA Contactor 100 6.7 NA Contactor 125 7.5 NA Rechar er 180 8.9 NA Rechar er 280 NA 6.4 Rechar er 330XL NA 1. Effective April 21,2006,310 CMR 15.251(1)(b)maximum trench width is 3 feet. 2. Effective leaching area is equal to 1.67(bottom width+(2x invert height))for Systems 3 feet or less in width. 3. Effective leaching area is equal to 1.00 (3.+(2x invert height)) for Systems with a width greater then 3 feet. 4. The maximum trench width allowed to calculate effective leaching area is 3 feet. 7. Systems installed on remedial sites shall be allowed to utilize the effective leaching areas presented in Table 2 above or additional reductions in soil absorption leaching area approved by the approving authority in accordance with 310 CMR 15.284. In no instance shall the reduction in the soil absorption system required in 310 CMR 15.242 exceed the maximum reduction allowed for alternative systems approved in accordance with 310 CMR 15.284. C� CULTEC Modified Certification for General Use Page 4 of 7 1 8. In accordance with 310 CMR 15.240 (6) absorption trenches should be used whenever possible. When the System is installed for new construction without aggregate in a bed or field configuration, as defined in 310 CMR 1.5.252, the System shall be designed using the effective leaching area for the bottom width presented in Table 3 No system shall be designed and constructed with a leaching area of less than 400 square feet of effective area. Table 3:. Effective Leaching Area for Bed or Field Configuration Effective Model Leachingl Area SF/LF Field Drain Contactor C4 6.7 Contactor EZ-24 2.2 Contactor 100 5.0 Contactor 125 4.2 Recharger 180 5.0 Recharger 280 6.5 Recharger 330 7.2 1. Effective Leaching area is equal to 1.67 times bottom width only. 9. The System, when installed in a bed or field configuration without aggregate on remedial sites, shall utilize the effective leaching areas presented in Table 3 above or additional reductions in soil absorption system area approved by the approving authority in accordance with 310 CMR 15.284. In no instance shall the reduction in the soil absorption system area required in 310 CMR 15.242 exceed,the maximum reduction allowed for alternative systems approved in accordance with 310 CMR 15.284. 10. The System, when installed as specified in 310 CMR 15.253: Pits, Galleries, or Chambers, shall have an aggregate base and/or be surrounded by aggregate and shall be sized as specified in 310 CMR 15.253 (1) (a) and (b), effective leaching area is equal to 1.0 times a conventional aggregate system. Effective depth can be increased up to two feet with the corresponding addition of up to 21 inches of base aggregate for the Field Drain Contactors, up to 18 inches with the Contactor 100,up to 12 inches for the Contactor 125, up to 8 inches with the Recharger 180, and up to 3.5 inches with the Recharger 280. No additional aggregate base is required for the Recharger 330. Bottom width can be increased by two to eight SF/LF with the corresponding addition of one to four feet of aggregate per side. CULTEC Modified Certification for General Use Page 5 of 7 _y 11. When the System is installed as specified in 310 CMR 15.255: Construction in Fill, the finished 15 foot horizontal separation distance, item (2), shall be measured from the top of the chamber. III. General Conditions 1. The provisions of 310 CMR 15.000 are applicable to the use of the System, except those that specifically have been varied by the terms of this Certification. 2. The facility served by the System, and the System itself, shall be open to inspection and sampling by the Department and the local approving authority at all reasonable times. 3. In accordance with applicable law, the Department and the local approving authority may require the owner of the System to cease use of the System and/or to take any other action as it deems necessary to protect public health, safety, welfare or the environment. 4. The Department has not determined that the performance of the System will provide a level of protection to the environment that is at least equivalent to that of a sewer.Accordingly,no new System shall be constructed, and no System shall be upgraded or expanded, if it is feasible to connect the facility to a sanitary sewer,unless allowed pursuant to 310 CMR 15.004. 5. Design, installation and use of the System shall be in strict conformance with the Company's DEP approved plans and specifications and 310 CMR 15.000, subject to this Certification. IV. Conditions Applicable to the System Owner 1. The System is approved for the treatment and disposal of sanitary sewage only. Any wastes that are non-sanitary sewage generated or used at the facility served by the System shall not be introduced into the on-site sewage disposal system and shall be lawfully disposed of. 2. For new construction, the owner initially shall size a soil absorption system in accordance with 310 CMR 15.242 to demonstrate that a conventional Title 5 soil adsorption system using aggregate, including a reserve area, can be installed on the site. The owner may than size the soil absorption system for the System. The total area required for the aggregate system, which may include the area designated for the System, and a reserve area shall be preserved and the owner shall ensure that no permanent structures or other structures are constructed on that area and that the area is not disturbed in any manner that will render it unusable for future installation of a conventional Title 5 soil absorption system. 3. The owner of the System shall at all times properly operate and maintain the on- site sewage disposal system. �'I CULTEC Modified Certification for General Use Page 6 of 7 t 4. The owner shall furnish the Department any information that the Department requests regarding the operation and performance of the System, within 21 days of the date of receipt of that request. 5. No owner shall authorize or allow the installation of the System other than by a person trained by the Company to install the System. V. Conditions Applicable to the Company 1. By January 31st of each year, the Company shall submit to the Department a report, signed by a corporate officer, general partner, or Company owner that contains information on the System for the previous calendar year. The report shall state known failures, malfunctions, and corrective actions taken for the System as well as the date and address of each event. 2. The Company shall notify the Department's Director of Watershed Permitting at least 30 days in advance of any proposed transfer of ownership of the technology for which this Certification is issued. Said notification shall include the name and address of the proposed new owner and a written agreement between the existing and proposed new owner containing a specific date for transfer of ownership, responsibility, coverage and liability between them. All provisions of this Certification applicable to the Company shall be applicable to successors and assigns of the Company,unless the Department determines otherwise. 3. The Company shall furnish the Department any information that the Department requests regarding the System, within 21 days of the date of receipt of that request. 4. Prior to any sale of the System, the Company shall provide the purchaser with a copy of this Certification. In any contract for distribution or sale of the System, the Company shall require the distributor or seller to provide the purchaser of the System, prior to any sale of the System,with a copy of this Certification. 5. The Company shall prepare and provide the Department with an installation manual specifically detailing procedures for installation of its System. The Company shall institute and maintain.a training program in the proper installation of its System in accordance with the manual and provide a training course at least annually for prospective installers. The Company shall certify that installers have passed the Company's training qualifications, maintain a list of certified installers, submit a copy to the Department;and update the list annually. Updated lists shall be forwarded to the Department. 6. The Company shall not sell the System to installers unless they are trained to install these Systems by the Company. VI. Conditions Applicable to Installers of the System CULTEC Modified Certification for General Use Page 7 of 7 1. Each Installer shall install the System in accordance with Company training on the installation of the System and the conditions of this Certification. 2. No Installer shall install the System unless the Installer has been trained by the Company on installation of the System. VII. Reporting . 1. All submittals of notices and documents to the Department required by this Certification shall be submitted to: Director Wastewater Management Program Department of Environmental Protection One Winter Street-5th floor Boston,Massachusetts 02108 VIM Rights of the Department 1. The Department may suspend, modify or revoke this Certification for cause, including, but not limited to, non-compliance with the terms of this Certification, non-payment of an annual compliance assurance fee, for obtaining the Certification by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for discontinuance of the Certification, or as necessary for the protection of public health, safety, welfare or the environment, and as authorized by applicable law. The Department reserves its rights to take any enforcement action authorized by law with respect to this Certification, the System, the owner, or operator of the System and the Company. r. ASSESSORS REF.: Map 190 f. Parcel 179WoOo%dvale . . g (40' Wide - Private Way) Lane OVERLAY DISTRICT.- AP.- Aquifer Protection District F Ede )f Pavement DESIGN DATA Estuarine Watershed Existing Single Family Sp \ srr -5 Bedroom @ 110 GPD FLOOD ZONE. N 79 5A 45 E 652,26 No Garbage Grinder Zone C l \ H 7.26, Total Daily Flow-550GPD• Zommunit Panel No. +' J s - Ana \ ��►+ i Use Existing 1000 Gal Septic Tank 250001 0015 C ` TBM El- t N �52� Fad Datum Is rox MSL h 2 \ \ # August 19, 1985 5$`' \ \ \ \\ s o�//m�tG AREA SF LOCATION MAP I { R I I 743 SF i 8.9 SF/0.74 r(Reohaiger 180 Effective Leaching) 1 = 2000't AyV 1 =83.5 FT Required ZONE. Geo\v ` I �S ) Il \\\ \\ ` ( I 88.6 FT Provided RC (RPOD) Proms - ` { I LEACHING CHAMBER DESIGN _ \ ( Area (min. 87,120 SF 1 I i Frontage (min) 20'- Width 100 Tv$ =T3.�2' \ ( { I All Pipes to be Schedule 40. Use Setbacks: , R'S2.50 \ \ \ { f I { I 14 Cultec Recbarger 180's-3 X 88.6' Front 20' Driveway \ I I { Side 10' s \ ( � Rear 10' v i Q n � W wok !� jCL SEPTIC NOTES oW rid St De , I 1' N 1.Location of Utilities Shown on Ibis Plan Are Approx.At Least 72 Hours ^ 27.s•is y `� `` --5 1 ' i I�, I N Prior to Any Rwavation For This Project the Contractor Shell Make16.2' m 16.2' Sheds. , �Ul oa p Z the Required Notification to Dig Safe(1-888-344-7233). CD 2.The Contractor is Required toure sec Appropriate Permits From Town PERC TEST: 12 773 # 71 » ` , pp Agencies For Consaucdan Defined by This Plan. , O �� g `�to I 1-2s ty / 45.01 1) rn = 3.Wherever Sewer Lines Mug Cross Water Supply Lines Both Lines Shall PERF ED ORM BY:PETER SULLIVAN,P.E.- SULLIVAN ENGINEERING Le end" ry l cb Be Constructed of Class 150 Pressure Pipe and Shall be Water Tested to MA SOIL EVALUATORNO.2376 I w/f Dwelling �8 / N Assure Watertightness. In General,Water Lines Shall be Constructed in WITNESSED BY:DONALD DESMARIAS,RS.-TOWN OF BARN-STABLE B.M. F.F. EL. 53.6 Coordination With Cotuit water and Shan be in Accordance DECEMBER.11,2009 l $ y`L ,�� Q With 249 CMR 1.00-7.00&310 CMR 15.00. 4.A Minimum of 9"of Cover is Required for All Components. > Deciduous Tree I t l / hvctum Buried "ect ThreeFedMomTEST HOLE-1 Lat f i ._-ys,'f<of S�'°g_F (tgp'"-. % 5 to Vehicula Traffic to 20 Loading.It is the Engineer's EL.52.6 16,536f SF Wood / oun DDecic Septic�n f Recommendation that H 2O Always be Used LOAM 10YR3/2 Ex Deck Sea Note rl w 11) 6.Install Watertight Risers and Cover to Within 6"of Finished Grade 8" 51.9 Coniferous Tree o / Existing Pit To Be �Proposed D-Box. B LAYER 10YR 5/6 10' p ,' ` andoned Or Removed 7.Septic System to be Installed in Accordance With 310 CMR 15.00& ,k l;' 30' 248 CMR 1.00-7.00 Latest Revision and the Town of Barnstable YELLOWISH BROWN ® Water Gate (round) Typ: 1H-2 r- ox Board ofHealWRegulations. 18" SANDY LOAM 51.1 © Gas Gate (round) c'- • , -Box 8.All Piping to be Sc6.40 PVC. ..,_._ •__ ,_•w.:M C LAYER YELOYRLOW O - t38.62° � .. �_.,._ .. BROWNISH YBLLOW Catch Basin X o 120 �.,rcvr tjiiwl c quo ® h proposed S.A.S. '� � •� ' 9.1J•'fSiIY�JLYOlY12".•Vwa•u..a..+_..iiaauau:.a�u+x..uS.vuS..a..,.<.,._..�__ " t� iron Pipe Fad s' inspection Inlet 180.00' c y t'r sump of6". NO GROUNDWATER ENCOUNTERM � CB�OH 10.If Not Already,Inlet and Outlet Toes Shall Be Provided for Existing Tarok. -� Guy S 78 48 5O W Net Tees Shan Extend a Minimum of 10"Below the Flow Line.Outlet a Utility Pole a' ` N/F Pees shall Extend 14"Below the Flow Lime,a tan 1?gaiped with s Gas Game, TEST HOLE-2 11.Instal!Metal Frame&Cover To Grade Over Septic Tank Inlet EL.52.6 ONW- Overhead Wires Town Of Barnstable 25- - LOAM1oYR3/2 Elevation Contour 126031195 Provide One Inspection Inlet 6" 52.1 33X9 Spot Shot Elevation in Final Chamber To Within B LAYER IOYR 5/6 3" Of Finished Grade YELLOWISH BROWN Consisting Of 4*0 Perforated (Native Looy Be Used) 19" SANDYLOAM 51.0 PVC Pipe With Screw Cap C LAYER IOYR 618 Extending Through The Chamber Into The Solt Below BROWNISH YELLOW SANDYGRAVEL 30" PERC TEST 50.1 see Note 6 t Inspection Inlet ................. ................. F.G. EL 52.70 �) ee Cross Section 25 GALLONS IN 7 MIN Native 120 PERC RATE<2 MIN/IN TAR=0.74 42.6 G. EL 52.70 ........' •• Backfiti NO GROUNDWATER ENCOUNTERED Flow Equlliaers As Required EL Existing ystem Suitable 1000 Gallon 50 Tim L-L 50.29 Bockfili Septic Tank. EL Pro. 08 (Native May Be Used) (See Notes 10 & 11) D-box Pro sed C I ec EL Recha er 180 N o To Be Installed On Ch( Filter a e ompocie use 8 Fabric Beddin4, Ts," " sic v'M 4 i3< Inspection Port. �:�F ! ??� .` � ! :'�: !�'�: '�. ,�':','•s�', d,�r ,� �,:x & Baffeis to w ff •e� a„ �� as Per Title 5 ?3i :` tef% f?wiTtzat .as�rtr �'"Groundwater Existing E :M-P, ;..;;..;..;..;....;...... .......;.........;..;.....;..;...;..; Estimated High Groundwater 24" a l DEVELOPED PROFILE OF SYSTEM T.O.B. Groundwater Mops NOT TO SCALE CROSS SECTION OF CULTEC RECHARGER 180 NOT TO SCALE 1177-E: it Pl r� PREPARED BY- PREPARED FOR: NOTES 1.) The property line information shown was Proposed Sep from available record information. tic fir Sullivan Engineering, Inc. Ca,,Sury William & Anne Toole 2.) The topographic information was obtained from rn tPO Box 659 7 Parker Road an on the ground survey performed on 19/NOV109. (b Osterville, MA 02655 Osterville MA 02655 71 Wood val e Lane 71 Woodvale Lane (508)428-3344 (508)428-31 i5 fax (508)420-3994 (50t3)420-3995 fax 3.) The datum used is approximate Mean Sea Level Centerville, iVA 02632 based on the Town's G/S data. BAINSTABI.Ee (Centerville) MASS. 4.) The intent of this plan is for permitting o Draft: JOD Field: 20 0 10 20 40 80 a septic upgrade only. DATE: SCALE: , Review: Ps Comp/Draft: 5.) This plan is only valid with an original December 11, 2009 1 =20 Proj. # 29023 Project , C749 stamp and signiture.