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HomeMy WebLinkAbout0199 EAST BAY ROAD UNIT BLDG 1 UNIT 1 - Health (3) 199 East Bay Road h Osterville,� N - — -- The Cove at East Bay Condominium f s o t Commonwealth of Massachusetts /' /O�'� �' D�fF Title 5 Official Inspection Form t' Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust 199 ZJ65 'eft632d. v— Property Address j c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Osterville Ma. 02655 08/28/2020 t 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. Inspector Information NO�� filling out forms on the computer, use only the tab John G. Schnaible, R.S. key to move your Name of Inspector. cursor-do not Coastal Engineering Company Inc. use the return Company Name key. 260 Cranberry Highway rlb Company Address Orleans MA. 02653 City/Town State Zip Code 508-255-6511 SI 260 Telephone Number . License Number B. Certification I certify that:I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditional a 3. Needs Furth r Ev atio by e L al Approving Authority 4. ❑ 'Is Inspector's Signat Date The system inspe r shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP) in 30 days of completing this inspection. If the system 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: 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. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 18 <N Commonwealth of Massachusetts Title 5 official Inspection Form I� Subsurface Sewage Disposal System Form - Not for Voluntary Assessments i~ The Cove at East Bay Condominium Trust Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Osterville Ma. 02655 08/28/2020 page. City/Town State Zip Code Date of Inspection C. Ins ection' Summar p Y Inspection Summary: Complete 1 2 .3> or 5 and all of 4 and 6. p Y p 1) System Passes: f ® I have not found any information which indicates that any of the failure criteria described in 3101CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: Condominium Complex 2) 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): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 c � Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust - V Property Address c/o First Property Management, Attn: Mr. Andrew Witter - Owner Owner's Name information is required for every Osterville Ma. 02655 08/28/2020 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) - - - 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. y ❑ 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 pipes) 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): 3) 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. a. 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: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 18 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust L� Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is Osterville Ma. 02655 08/28/2020 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water El Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. 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. c. Other: 4) System Failure Criteria Applicable to All Systems: M 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts Title 5 official Inspection Form l Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Osterville Ma. 02655 08/28/2020 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No El ® 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 ''Y2 day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply 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 2000 gpd- 10,000 gpd. ❑ ® 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. 5) 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 GA. 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 l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 18 Commonwealth of Massachusetts x1 Title 5 Official Inspection Form I. Subsurface Sewage Disposal System Form - Not for Voluntary Assessments - u- The Cove at East Bay Condominium Trust Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Osterville Ma. 02655 ° 08/28/2020 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes"to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed.The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate "yes" or"no"for each of the following for all inspections: 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)] t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form w Subsurface Sewage Disposal System Form -Not for Voluntary Assessments l !� The Cove at East Bay Condominium Trust Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is .required for every Osteryille Ma. 02655 08/28/2020 page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 48 Number of bedrooms (actual): 48 per plan DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 5280 Description: Condominium complex served by town water. Most units are seasonal. Number of current residents: 60 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system?(Include laundry system inspection El Yes ❑ No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonaluse? ® Yes ❑ No Water meter readings, if available(last 2 years usage (gpd)): Individual meters Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Occupied Date t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 Commonwealth of Massachusetts ,�� Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Osterville Ma. . 02655 08/28/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. 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 Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe'below): 3. Pumping Records: Source of information: Pumped January 2020 Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 Commonwealth of Massachusetts �1 Title 5 official Inspection Fora - I', Subsurface Sewage Disposal System Form - Not for Voluntary Assessments V � The Cove at East Bay Condominium Trust Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Osterville Ma. 02655 08/28/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. 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): Approximate age of all components, date installed (if known)and source of information: 20 years old based on site plans Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. 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.): Sewer manholes are in good condition and there is no evidence of leakage t5insp.doc•rev.7/26/2018 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments The Cove at East Bay Condominium Trust Property Address c/o First Property Management, Attn: Mr.Andrew Witter Owner Owner's Name information is required for every Osterville Ma. 02655 08/28/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. 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 1-17'x10'x5' 2-17'x10'x4' Dimensions: 3-17'x10'x5' Sludge depth: 1- 10" 2-7" 3-11" Distance from top of sludge to bottom of outlet tee or baffle 1-32" 2-29" 3-31" Scum thickness 1,2,3- 0" Distance from top of scum to top of outlet tee or baffle 1,2,3- 0" Distance from bottom of scum to bottom of outlet tee or baffle 1,2,3 -20" 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.): All tanks and sanitary tees appear to be in good condition. No repairs or pumping recommended. Inlet tees for Tank 1 and 2 inlets were inspected via light and mirror from the outlet cover due to dense roots. t5insp.doc•rev.7/26/2018 Tille 5 Official Inspection.Form:Subsurface Sewage Disposal System•Page 10 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Forge 13 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust V Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Osterville Ma. 02655 08/28/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. 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 Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. 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 l5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust V Property Address c/o First Property Management,Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Cisterville Ma. 02655 08/28/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) 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 9. Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert n/a 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.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 18 Commonwealth of Massachusetts �v Title 5 Official Inspection Form I;I, Subsurface Sewage Disposal System Form - Not for Voluntary Assessments � The Cove at East Bay Condominium Trust Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Osterville Ma. 02655 08/28/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. 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.): Pump Chamber and access hatches are in good condition. Both pumps are operational. Liquid levels are as expected. Control room is in garage storage room. * If pumps or alarms are not in working order, system is a conditional,pass. 11. Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located, explain why: Y Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ® leaching trenches number, length: 20-60 feet ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology- l5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 Commonwealth of Massachusetts ifn Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is psteryille Ma. 02655 08/28/2020 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS)(cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Sewage effluent is dispersed via pressure distribution. Cleanouts open and checked. No evidence of hydraulic failure or ponding. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration n/a 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 Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 � III 4 Commonwealth of Massachusetts aro Title 5 Official Inspection Form (A } Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Osteryille Ma. 02655 08/28/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy(locate on site plan): Materials of construction: n/a Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 r— Commonwealth of Massachusetts Title 5 Official Inspection Form r Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust Property Address c/o First Property Management, Attn:'Mr.Andrew Witter Owner Owner's Name information is Osterville Ma. 02655 08/28/2020 required for every page. City/Town State Zip Code Date of Inspection D. System'Information (coat.) 14. 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 . .. � ♦S.. _ 9 ` :.. 1. AVE i3 S i 1 M/ ' UN1T 1:Q � n UNIT 9 1MV §.YS 'r E ° h. ieN/.fL00020!$f t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 r— 6 ° Commonwealth of Massachusetts 1= Title 5 official Inspection Form �i�, Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Y Y %i The Cove at East Bay Condominium Trust V Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Osterville Ma. 02655 08/28/2020 page. City/Town State Zip Code Date of Inspection D. System .Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ❑ Check cellar ❑ Shallow wells - Estimated depth to high ground water: 11.1 from trench bottom feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record 1f checked, date of design plan reviewed: Date 1999 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 site observation and site/septic plan by Down Cape Engineering Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 18 Commonwealth of Massachusetts 1n Title 5 official Inspection Fora I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name - information is required for every Osterville Ma. 02655 08/28/2020 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4-checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist)completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included �L 16.Z, t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18 AUTHORIZATION Fob. .•--' Z60 Cranberry fiighway brieans,MA 026S3cCHlLCat C0.A$1AL 508, 55 6511 P SC8.255 67.OF: Lin 1:neer o., Orleahs i Sa�d4vEch,l Maritucket ER1/ICE; _... coastalengineenrgo[raany�om To: The C Oten Project No "ADOI:UQ: t%o F1rst,Property Management Project: Bioclere:Treatmerit System Attn.Andrew Witter 0 eration F Maintenance; I046 Main Street;Su�fea� ' Dsterville;.MA 026.S:. ViA EMAIL.fpm.andyju�co.mcastnet- T 508-42D-OZ99 Location: The Cove.at East Bay . -.. 199 East Bay Raatl: £oastal Engineering Company,Inc jCEC)-will perform the Dste Assessor's MA foliowi g pT.,essional.services_ relafi gllb the referencetl Assessor's Map;14D;.parcei 157_.. protect; , Fixed Fee See Attaphment2 Contract Duration On.goirig SCOPE'taf RVICES. [oastaL:Engmeering Co.,Inc (.CEC)will perform fh:e services outlined in Attachment 1 regard.ing.the Operation and" Maintenance of the Wastewater Treatment System at th:. above=noted location: CASJmr�)M: . SO 1ECT TO T.ERMS ANo tONO(T.tUNS DN_REVERSE SJbt. AU.f ORf-zw FOR COASTAL ENGINEEF2:ING ® WO are prnceading with se�vice(s) no as per you By;. d'irecbon Immediate notification in writing is R . required If you wish to alter,this authorization.. -A . Chad A Simmons,W.WTRO Pfease execute'ttii,s agreement. , PrQje..ct_Manager: November 20,2019. AUPiORIZED 8Y E', 1 This document will beco..m`e cur orlg'inal agreement: t / I{ �Z Acceptance bf'fhl agreement bysignature authorises; Signature Oat COASTAL ENGINEERING to proceed as destnbed This ro osai expires in 90 day s ifnot-sl hed b both artier. ` r c P 3 P p Y b. Y p. I <';. Panted Name and Title PLEAS E`S1GN AND RETURN ONE.[OPY 0:1DALtiY✓StiY8A10aliControrts�20i9-7b2D ATS.6 r I coASTA STANDARD CDI [31TiO;NS FAR ENGAGEMENT TECFIN[CAL SERVICE CONTRACT eerie t .. FIXED FEE PROPOSAL January 1 Z019 COMPENSATION FOR SERVICE CONTRACT:Cbastal Engineering Co.,tnr,(CEC) and:exclus:re,prpper'y.of CEC as;instruments of`ser ice:The CLIENT.may a, uses ds tornaensatian for sertice's on this`:p oled c i the fee given for tfie his/her expense;obtain re ortl pnots"of drawings in cp.nsideraben'bf w?,'lch project CUENTs are adiisetl thataddchanaiSert¢es.,�equested,tieyond tfie the CLiENT'will use :hem:solely in''conn?etier with the'abme desui5ed 5co,e cove ed by the fee p opas'I change:ciders attached thereto wlit be Project and at. for the ipurpase of making;subsr Guent exrensions pr. :based upon the rime input according to our:uurren,hourly fee rate schedule: enlargements (Hereto Aii ptin ograpluc docurrientotion Shall remain itie Fee_proposals for services are prepared to the best.of our �bdity.6ased pn property of CEC'and may be used In mark�hng materials(elOironic and print) facts avadabfe.af the tiriie of submissions un'es3 dtheE Ise Spec!led by CLIENT,The CLIENT i ereby corsairs to CE['s rise of the CLIENTS narie and generai project description In tna,ket'rng TRANSPORTATION Time,and travel'ex'pensesrrscurreff when travet is+n tlfe materials(e'ectr,a and"..... j-unless.at fidavise:specif€tol -CLIENT. Interest 0 th( prolee:*wtlI he''tharged for in accordance with our fee c .schedule.. USE OF:DOCUMENTS Service's pe^farmed and dnccmens:prepared by L�L. -,an disr ahrs agreement shaif be far the.benefit of CLIENT only and may;notCe SU9CDNTRACT`SERVICES CEC may engage sub antractors and/or otter relied upon by a iy third party(iesj a less apetifttally.agreed to in ad_varice by pJo:essionais ,to perform required, se vices'.such as`sod borings drilling; CECantl CCtENT. construction,;eu.That subcnniractor s charge plus;a Semite ttiarge will.'be 'tided to our Fee, USE OF STAKES:WENT;;CLIENT's contractor,of,any iHirtl'party:ray not;use stakes or other rrarke s set at the site by CEC before obtaining ve firGtr n REIMBURSABLE EXPENSES Reiribtirsa3ld ezpeas�es Kflf be bill d at our,cost from CEC that hb stakes or other markers wer:e.set forfhe intentled purpose plcs.a Service;;barge, Ezampias of rdim5ursabt xpza5e5 ardirsarify charge a id are in piece to the accuracy aparop sateforzhe.ih',eniietl use, are:.replacement eguipmeni pi AM Mg and W.; Su- I- arad chemical Sup for prbcdss'ccntrot.; ELECTRONIC FILES Electron€c fires are-trans rriitteo for informa:ionaf purposes nniY and at th--:request of the CLIENT or CLIENT's.agent CECs official:product PAYMENT tnuiice5 wifi fine renddred monthiy.ar as•work.progresses invoices is hmIted to Its signed antlsseated hard ropy t3f plans spe"lli tans,andzcr are,duo and.,.payable upon refoipt Amounts o1er 30 days pa?t•due are studies.The CLIENT agrees to hold:CEG harmless for any damages from subje4l to a.service c arge of i 5°Ic per mom h i185o ahnuai.yj.The CLIENT tnappropnate or IRega(;uses by 6fiers Fr"om any :diet%omit :trans?er of agceEs td pay;tdasnnab a attorndy:s fees and any Copt Cuan fees;incurred in inforir atlan that was requested by the CLIENT d"r'-CLIENT`S agent:. the:aollzction:of any,a.muunt owed:Hereunder and nat.pgid when tlae.. iNDEMNIFICATION AND LIMITATION OF,LIABtL1TY:CEC agrees to rridetnriify and CHANGE OF SCDPE If;. during the performance,¢f services :Under this: polo `CLIENT harmless against dartiag and liability rdsul+ing ;firorn. rite Agreement,there€s a change rn the,Scope of services:.requested.omthe basis: rn ne6,iQent acts,.errors at omissions of<CEC.7he:CUEtd7 agrees tasllmit-CEC�s nfian all or wet en order by the.CltENT,or:as rdqu.ired by arcurnstances tb. _: habili y,resulting from errors and/or Dints"lions in serices furnishes to ttie address can+ingenries pr'ta revise:<plans up3P'he request of the:[LIENT,CEC CLIENT directly.'by CEC;to;'an a"meant not'aa-exceed 'our fee.The CLIENT will'perfnrrr tf ese services m ar:cortlance wi.h ourfieeachedute LEC resetG,es agrees to req iirE a hke,tiriita+tart frbm any,Contrac+or"engaged to Reriarrn the;:nght ar;.our discretion to:ssue a Change Order.ta thin Agreement, work-Yo which ire iave,posided reports;tplaris,.and/or speCtfitafitins.-The Nowerer a[hinge O der rs not requi ed prier.to renderngsueh-Services and CLIENT shall fnrfher inderttnify and hold CECharmlesst from an:y liability the..'CUENT ags des to pay such a ditionola ryfcps. - resulting from the*acts;errors or omissions of ttie CLIENT or CLIENT'S`agerfts; 5USPENSION,t]F SERYICE5 if thetGLIENT fails to rnake..paymenL:.of in Dices; coritracto s,prassigns 5ycH indemni cation shall IncluCe`#lie cost,of defense arisin in an way with claims:connected with an such liability wn n due CEC`may suspend perfprmarice of:services under this Ag dement,: g. Y y Y excepting in the went of a st spension o'services CEC shall Kaye no I. ltt} to the; only such llabikty;;as may::arise out bf CE[s sole negligence Wparfor`frianceDf CLIEjsT far delay ar damage cat led by such'suspensign,of servi_es: sdrv'cces:CLIENT agrees that army and atj damages arising'Pram negligent act error nr ornisslon shall Ire::made against CEC Eire try and shall not be.Made, TERMINATION PROVISION;This Agreement may be terming ed by either party persona against any ofits_directprs,offtce.s,agents.;bCemplgydes; upon live (5j days w it zn oohce[rt if a etient of faiiare of perfprmerice of I and candluans of this Agreement by the a her party through no fault of ...CON5.EQUENTIAL iJAMAGES::Nptwltt standing any'other provision t?eregf CPC' the ferminabngparry EEC sha,i be:dn npensatied#or sdrvlces'perfgrmed up 9. Shall nat Ge h3ble to the CLIENT fqr ariy;incidenfal (ndire..ct or consa uential the time of ternnnationr damages ariling,_out of.or connected:in arty.,:way:to the services':rendeied hereunder including,but not limited to lass of use Igss-af prait;Goss of. INSURANCE CEC is2d4e"red by Worker's Cpmpensation.insurance and Pubiti business,loss ofiricome,.or toss of reputation, arid'.ProFessiarai Liabiilty insurance:We will fu�nlsh�ertificauon aeon rogues:.: NO WARRANttES CEC makes rm warranties, express:or otherwise.In RIGHT OF fNRY Unte'ss athe ttifse agreed,the CLIENT furnishes right-nf=. tronnection with":CECs services except for those which.:may be speaffcsity entry ri the land for-CEC'to make:measurements sail tests at other required: stotetl In the Ope at€on-and Maintenance Scope of Services,. dxploratiarrs.[EC witl.;take ieasonable:ptecau"Iidns to:miiiimize damage.d h2 lar,d from the;use of eouipment,but.we,have not lnduded in'dur-fee the:cdst of restoration from damage that .may result;from bur.operandis. If.we are; regoired•to restore the land to ltsjgr.Mer Conditions,the:cost aft.dnfng so wiiF be added to opt fee.. OWNERSHIP OF DOCUMENTS All documents. inclujng original drawings, est motes saetirwations,Meld notes,and data;are and'sft2l1 remain the s©ie; the Cflve at to Soy Eondom1170rrt Trust NovemfJe 20,.20I4 ATTACHMENT 1 OPERATION AND MAINTENA NCE SCOPE OF SEfRVIC'E5 The.following is a summary of.the scope of services.ta he.provided.by Coastal Engineering;Co.,Inc.(CEC): The treatment,syst m shall be operated.py a Certified Wastewater Plant Dperator in atcordante with the requirements ofi 257 CMR 2:t10 and`the eoard:.of Certificauon of'pperatos of WNastewater Treatrrierit plants;;"The treztment sysA,em s}tall also be operated rn accordance with fbe:conditions established by the Massachusetts Department of Environmental Protection.(DEP)under.310 CMR 15.000 Titre 5 of the Massachusetts Envirorimerita.l'Code for fhe permitted use and with: thp`tocal 9 and of.Health. EQAIRMENT:MAINTENANCE. 1._ :Within design capacity and capability of the:equiom.ent,maintairkhe system for the benefit of Client. 2. Certify and document ail;maintenance for the system,:Maintenance reports will be provided on an..annual basis or by requestzf the Client: 3. Certify and document aU,repairs to;the equipment 4; P.e farrn.dther servac`es that are incidental to'the serVices specified he including facilitating emergenty repairs in the-most Expeditious and costeffective manner at.an additional cost as requested by:Client: 5: Pump maintenance to be.:perfourned in accordance wi#h manufacturers specific;;atio.ns.bysub:contractor and:invo ced by them.direcklyta the client, SYSTEM j4N.TEWA U: 1. Standard.maintenance::as follows; a: Check general:conditionlappea.rance of unit. b; Deck vent flow,odor: c: Check.general:;condfon cf.fan.box.including internal..and>rternal`wiring rock,latch;gaskets,:etc. d. Check'quiet fan operation. e. Check condition+'of cover locks,,a ches,.,gaskets, f,: Check and ct aracterl.ze`bidma;ss g Check recycle pump'operation,airnmg,Pod effluent !army; h: Check dosing pumps:;operaton,.3imingeffluent clarity;and spray.pattern: is Chec,'k generafl:condikion of dosing assembly Clean nozzles d required,. j: Check general condrt�on of control box including rocks;gaskets,etc: k. Check controFlo switches,alarms tirriers,etc. I: Complete and maintain service report file, 2. :Maintenance frequency as..fiollo4vs;.:_Quarterly Operation and`M siniena.nce visits.to perform..standard maintenance:. 3. :sampling::Conduct"quarterly testing of effluer t for'pH; BOD5;.TSS,NO2;NO3 and TKN,. 4 Reporting:Prepare,Summary report:and file with the 0epartmt nt of Environmental Protect on,the:8arnstable Cotirity Department of Health'..and Environment, and.the Iacal Board of Healfh.. - NOTES: 1 Coastal Engineering wits peifiorm hop rocedufes requiring confined space entry:.. 2 `S.ervices under:this`Contract specifically do.ri include or"coverany responsibility for system maifuhction att`nbutedaa.. process design,equipment;specifi.ed.and/or instaliatfons.as provided by others: 3. ;Ghent must provide accessto all ysteni components:at time of ahe 06M.vtsif . 4. This service contract assumes year found otcupancy of the d..weiling or facility.the Owner-shall notify CEC.`lf occupancy becomes seasonal. 5, [EC will notify the appropriate authority of any,evenYofv ectricaI or mechanical:failure witfiin the treatment system or of anyevent which mayadverselyaffect the performance o(ahe,treatmenf, system.. 6, In the e:6ent that the system alarm is activate8 and the system€ails,the`OWNER shall notify CEC.who shall notify the. REP and.:Board of Health within 24.1hours.Corrective.action shatl.be taken immediately, r DATE FILED BOH 260 Cranberry Highway r Orleans, MA 02653 508,211,6111 P 111,211,1700 F COASTSL Orleans I Sandwich I Nantucket engineering ca. coastalengineeringcompany.com BIOCLERE FIELD REPORT Date; Time: Zob Installation: Sampled; Client: Project No,: (v Service: Commissloned: Address: E JI q, Other: Scheduled 06M• Seasonal Property Y/ex Inspector: VVS Certification # I l Bioclere Model Numbers) 1)Odor around site? Y / Source of odor? Check all that apply: Septic Musty Mild: Medium: 2) Field Testing: EFFLUENT: pH bA. -- Temp , Color Odor Turbidity Solids jAn A k, INF pH 3) a) Measure sludge in primary tanks and grease traps as required: 4 b)Sludge depth in primary tank; DM d 14 Scum depth: p°( Sludge depth: c) Does grease trap need pumping? + #11 ►� ga j Y / UNIT 1 UNIT 2 SIOCLERE VENTS a) Is air passing through the vent? N Y / 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 / cc GENERAL a) Any external damage to the unit(s)? If Yes, provide details on back. Y / Y / b) Are cover,fan box and control panel securely locked? W/ N Y / c)Any filter flies in the unit? N fewj many Y/ N fewi many Location of files: V d) Locks/latches/ handles. 0K7 / N Y / e) Lid gasket OK? / N Y / f) Does the fan box contain standing water? Y / Y / If Yes, then remove water and clean drain holes if necessary. BIOMASS CHARACTERIZATION a) Color of biomass? 1)white 2)white/gray 3)gray 4)gray/brown S)brown 6)red/brown 7)black 8)other b)Thickness of biomass 6-12 inches below media surface. 1) light 2) medium 3) heavy NOZZLE SPRAY PATTERN a) 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? V! N Y / N If not then: 1) remove nozzles and soak in a bleach solution 2)manually engage both dosing pumps for two minutes 3) replace nozzles Does the spray now cover the entire surface area? Y / N #/ N If not, consult AquaPoint, Inc. Commonwealth of Massachusetts r-7_ ooA- Title 5 Official Inspection Form 5 Subsurface Sewage Disposal System Form - Not for'Voluntary Assessments ' E _� D� �j t 1 The Cove at East Bay Condominium Trust / -1 (,�s� t/�+ CEC File No. 16293.00 Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Osterville MA. 02655 07/12/2017 page. City/Town State Zip Code Date of Inspection `�y tax t 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 &* a q 3f-, on the computer, use only the tab 1. Inspector: key to move your cursor-do not 'John G. Schnaible, R.S. use the return Name of Inspector key. Coastal Engineering Company, Inc. r� Company Name 260 Cranberry Highway Company Address re„ Orleans MA. 02653 City/Town State Zip Code 508-255-6511 S1 260 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 Fu her Ev the cal Approving Authority Inspector's Signa a Date The system insp to shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)w' in 30 days of completing this inspection. If the system 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal stem•Page 1 of 17 t Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments a H ', The Cove at East Bay Condominium Trust CEC File No. 16293.00 Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Osterville MA. 02655 07/12/2017 page. City/Town 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: ® I 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: Condominium Complex 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.doc-rev.6/16 Y Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form e I, Subsurface Sewage Disposal System Form - Not for Voluntary Assessments `^u The Cove at East Bay Condominium Trust CEC File No. 16293.00 Property Address - c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is Osterville MA. 02655 07/12/2017 required for every page. CityTrown 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 ❑l 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 r Commonwealth of Massachusetts Title 5 official Inspection Form e Subsurface Sewage Disposal System Form - Not for Voluntary Assessments E /^ =w The Cove at East Bay Condominium Trust CEC File No. 16293.06 Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is Osterville MA. 02655 07/12/2017 required for every page. CitylTown 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 0 ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool 0 ® 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 1Y2 day flow t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form r= Subsurface Sewage Disposal System Form - Not for Voluntary Assessments E ,r N The Cove at East Bay Condominium Trust CEC File No. 16293.00 Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is required for every 0steryille MA. 02655 07/12/2017 page. City/Town 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. El ® 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 1 4 Commonwealth of Massachusetts Title 5 Official Inspection Form �= 11 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments E k u w The Cove at East Bay Condominium Trust T CEC File No. 16293.00 Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is Osterville MA. 02655 07/12/2017 required for every 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): 48 Number of bedrooms (actual): 48 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 5280 t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form r- r Subsurface Sewage Disposal System Form - Not for Voluntary Assessments e =N The Cove at East Bay Condominium Trust CEC File No. 16293.00 Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Osterville MA. 02655 07/12/2017 page. City/Town State Zip Code Date of Inspection D. System Information ' Description: Condomium complex served by Town water. Most units are seasonal. Number of current residents: 40 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection El Yes ® No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonaluse? ® Yes ❑ No Water meter readings, if available(last 2 years usage (gpd)): Detail: Units are individually metered. 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form e a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments :k The Cove at East Bay Condominium Trust CEC File No. 16293.00 Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Osterville MA. 02655 07/12/2017 page. Cityfrown 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: Tank 2 pumped 2 weeks ago.. Information from Coastal Engineering Company Records. 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): t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts w Title 5 official Inspection Form I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments The Cove at East Bay Condominium Trust CEC File No. 16293.00 Property Address c/o First Property Management,• Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Osterville MA. " 02655 07/12/2017 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 17 years ago based on site/septic plan. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 4feet 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.): Sewer manholes in good condition and no evidence of leakage. Septic Tank(locate on site plan): Depth below grade: 2 to 3 feet below grade/covers to grade 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: 1-1Tx10,x5' 2-17'x10'x4' 3-17 x10 x5 Sludge depth: 1-14" 2-3" 3-12" t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts n Title 5 Official Inspection Fora e 'i Subsurface Sewage Disposal System Form - Not for Voluntary Assessments -N The Cove at East Bay Condominium Trust CEC File No. 16293.00 Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is Cisterville MA. 02655 07/12/2017 required for every 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 1-28" 2-25" 3-30" Scum thickness 1, 2, 3, -0" Distance from top of scum to top of outlet tee or baffle 1, 2, 3, - 10" Distance from bottom of scum to bottom of outlet tee or baffle 11 2, 3, -20" 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.): All tanks and sanitary tees appear to be in good condition. No repairs or pumping recommended. 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts �n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust CEC File No. 16293.00 Property Address ` c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is Osterville MA. 02655 07/12/2017 required for every 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: 1 - Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): 6 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.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Fora r Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust CEC File No. 16293.00 Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is. required for every Osterville MA. 02655 07/12/2017 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) a Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert n/a 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.): Pressure Distribution type of system Pump Chamber(locate on site plan): Pumps in working order: ® Yes ❑ No" Alarms in working order: ® Yes ❑ No" r Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Pumps and floats are operational. Alarm is visual only. Control is inside a storage room and in good z condition. * 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.doc•rev.6116 a ` Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form r Subsurface Sewage Disposal System Form - Not for Voluntary Assessments u The Cove at East Bay Condominium Trust CEC File No. 16293.00 Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is . Osterville MA. 02655 07/12/2017 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ® leaching trenches number, length: 20-60 feet ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ® innovative/alternative system Type/name of technology. Bioclere Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): System is pressure dosed. Clean-outs opened and checked. No evidence of hydraulic failure or ponding. 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts gar _ z Title 5 Official Inspection Form += I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^; The Cove at East Bay Condominium Trust CEC File No. 16293.00 Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Osterville MA. 02655 07/12/2017 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) P 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts ' a Title 5 Official Inspection Formti Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust CEC File No. 16293.00 Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Osterville MA. 02655 .07/12/2017 page. City/Town 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 Ho CL INV; 1 { 16.07 i ' S UNIT 3 INV.17.3E UNIT 4 . • ` Z, �'� A w y'y2i9 14.11 ' S ainr�npE �.1 UNIT 5. .m�;•; � 9� /�" FENCE 1 �SEPARA�fE tic W��•M1118 JBTHRu'+''� / �SJ� UNIT 6 UNIT 1 . .'+�l'/ /• / \ptira ry��. 1s.\�3' �•-r j :.0 � � sE _ ����' 605�Ns0� �1 3 �:�`� ! - VENT TNRU ROOF, - NIT �(tR ` q UNIT 10 NIT,9 @ / ti0 \ ' ❑ 4f 0p� > P1 I I UNIT 8 a �. iTEuZONE c Via. 7ENCNES \ \\ �G GE. i ; l L� APPRO%•E%IST R0� rELU ROODZONEI t5ins.doc•rev.6/16 Title 5 official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts w Title 5 official Inspection Form ` Subsurface Sewage Disposal System Form - Not for Voluntary Assessments E =u The Cove at East Bay Condominium Trust CEC File No. 16293.00 Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is Osterville MA. 02655 07/12/2017 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.). Site Exam: ® Check Slope Surface wate'r ❑ Check cellar ❑ Shallow wells Estimated depth to high ground 11:1 from bottom of trenches d 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: Date 99 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 site observation and site/septic plan by Down Cape Engineering Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust CEC File No. 16293.00 Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Osterville MA. 02655 07/12/2017 page. City/Town 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 Z System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins.doc•rev.6/16 1 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 R E C E- 1 RIZATION FOR 260 Cranberry High a -4ilo "" wh Orleans,MA 02 5 508.255.6511 P 508,255.67031 JUL 1.: 2016 C H N I CAL s -COASTAL Orleans 1 Sandwich 1 Nantuc e engineering co.- coastalengineeringcompany.c Coa I:a1Engineeringco.,Inc. ERVICES To: The Cove at East.Bay Condominium Trust Date: 07/01/2016 Project No. WBA001.00 c/o First Property Management Project: Bioclere Treatment System Operation 6 Attn: Andrew Witter Maintenance 1046 Main Street, Suite 11 Osterville, MA 02655 T: 508-420-0299 Location: The Cove at East Bay 199 East Bay Road Coastal Engineering Company; Inc. (CEC)will perform the Osterville, MA following professional services relating to the referenced Fixed Fee: See Attachment 2 project. � _.... .... ... _ Contract Duration: Ongoing SCOPE OF SERVICES: Coastal Engineering Co., Inc..(CEC) will perform the services outlined in Attachment 1 regarding the Operation and Maintenance of the Wastewater Treatment System at the above-noted location. CAS/dlb SUBJECT TO TERMS'AND CONDITIONS ON REVERSE SIDE AUTHORIZED FOR COASTAL ENGINEERING: Z We are proceeding with service(s) noted as per your By: direction. Immediate notification in writing is C required if you wish to alter this authorization. Chad A. Simmons, WWTPO ® Please execute this agreement. HA I/V ( 1a rORIZED BY CLIENT: Z This document will become our original agreement. A I k Acceptance of this agreement by signature authorizes i at , Date COASTAL ENGINEERING to proceed as described..This proposal expires in 90 days if not signed by both parties. Printed Name and Title PLEASE SIGN AND RETURN ONE COPY 0.\DOC\W\WBA\001\Contracts\2016-07-01.dDc The Cove at East Bay July 2, 2016 ATTACHMENT 1 OPERATION AND MAINTENANCE SCOPE OF SERVICES y The following is a summary of the scope of services to be provided by Coastal Engineering Co.,Inc.(CEC): The treatment system shall be operated by a Certified Wastewater Plant Operator in accordance with the requirements of 257 CMR 2.00 and the Board of Certification of Operators of Wastewater Treatment Plants. The treatment system shall also be operated in accordance with the conditions established by the Massachusetts Department of Environmental Protection (DEP) under 310 CMR 15.000 Title 5 of the Massachusetts Environmental Code for the permitted use and with the local Board of Health. EQUIPMENT MAINTENANCE 1. Within design capacity and capability of the equipment, maintain the system for the benefit of Client. 2. Certify and document all maintenance for the system. Maintenance reports will be provided on an annual basis or by request of the Client. 3. Certify and document all repairs to the equipment. 4. 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. 5. Pump maintenance to be performed in accordance with manufacturer's specifications by subcontractor and invoiced by them directly to the client. SYSTEM MAINTENANCE 1. Standard maintenance as follows: ' a. Check general condition/appearance of unit. . b. Check vent flow, odor. c. Check general condition of fan box including internal and external wiring, lock, latch, gaskets, etc. d. Check quiet fan operation. e. Check condition of cover locks, latches, gaskets. f. Check and characterize biomass. g. Check recycle pump operation,timing, and effluent clarity. h. Check dosing pumps operation, timing, effluent clarity, and spray pattern. i. Check general condition of dosing assembly. Clean nozzles if required. j. Check general condition of control box including locks, gaskets, etc. k. Check control box switches, alarms,timers, etc. I. Complete and maintain service report file. 2. Maintenance frequency as follows: Quarterly Operation and Maintenance visits to perform standard maintenance. 3. Sampling: Conduct annual field testing of effluent for pH,turbidity, and dissolved oxygen. 4. Reporting: Prepare summary report and file with the Department of Environmental Protection, the Barnstable County Department of Health and Environment, and the local 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 system components at time of the 06M visit. 4. This service contract assumes year round occupancy of the dwelling or facility:The Owner shall notify CEC if occupancy becomes seasonal. S. CEC will notify the appropriate authority of any event of electrical or mechanical failure within the treatment system, or of any event which may adversely affect the performance of the treatment system. 6. In the event that the system alarm is activated and the system fails,the OWNER shall notify CEC who shall notify the DEP and Board of Health within 24 hours.Corrective action shall be taken immediately. d tt3 ,OASTAL ENGINEERING CO., INC. .60 CRANBERRY HIGHWAY )RLEANS, MA 02653 'EL. 508 255-6511 FAX. 508 255-6700 BIOCLERE FIELD REPORT Project No.: DQ - )ate: !f Time: o): P Installation: Sampled: "lient: % 457- 02 tVE. Service: _ alm{szieRed;— Wdress: CQS��.�ftJ j jq Other. Scheduled OW: r 'Il • ns ector. 3ioclere Model Number(s) i Odor around site? Y / )Source of odor? Check all that apply: Mild: Medium: - 7-o ��� Q d - .o U Septic: Musty: ? Field Testing: clarity,color,solids,odor,tests dr o-4) ,yo spl�r�s i1/C� o1�d2 ' C 3 a easure stud a'in-primarytans and grease t a s as required: /2i Gti S(D e b Sludge depth in rima tank: 4,!�'. S 0. /-o''5cc7Pv7 /ol Scum depth: -d S:Iudge depth: c) Does pease trap need pumping? UNIT i UNIT 2 310CLERE VENTS 1 a is air passing through the vent? (Y)/ 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? N Y / N GENERAL a Any external darns a to the units ? If Yes, provide details on back. Y1/ P Y I N b Are cover, fan box and control.panel secure) locked? N Y I N c) Any filter flies in the unit? Y w/many Y / N few)many Location of flies: d Locks/ latches/ handles. OK? QVI N Y / N e Lid gasket OK? I N Y / N . Does the fan box contain standing water? Y./ N Y ! N If Yes, then remove water and clean drain holes if necessary. BIOMASS CHARACTERIZATION a Color of biomass? 1)white 2)white/gr2y 3)gray 4)gray/brown 5)brown 6)red/brown 7)black B other , b Thickness of biomass 6-12 inches below media surface. . c7 1 light 2 medium 3 heavy NOZZLE SPRAY PATTERN a 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 I N If not then: 1 remove nozzles and soak in a bleach solution 21 manually en a e both.dosing um s 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 a Record dosing and recycle pump timer settings from control panel. ' Dosing Pump 1: min on: min off. min on: min off: DOSEn Pump2: min on: min offa min on: min off: cycle Pump: min on: 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: 1 %a-/ amps amps b Amperage of dosingum 2: amps amps c Arn era e of recycle pump- amps am s Are dosin um s alternatin ? p YIN Are the timers operating ro erl ? Y / N Y 1 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 1 N desi noted rest cycle is Occurring. Pump 2 OK? Y / N Pump 2 OK? Y 1 N OK? Y I 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 oft: min_on: min ofi:_ *Do not change timers without consulting A uaPoint, Inc. min on: min off: min on: min off: PLUMBING i a Are the unions in the Bioclere leaking? Y I Y / N If yes, then tighten with i e wrench' FINAL CHECK a Main ower "on°and set toggle for all um s to "normal,, position. I N Y I N b Alarm toggle set to the "ON"position, Y 1 N Y / N c Lock control,Panel, Bioclere cover and fan box. d If possible, record the water meter reading: REPORT SUMMARY: f- / 12�CG1ti cal G _ (002k SIGNATURE: D:IFORM,4 CurrenATec enices-Wastewater ioclere Field Report.doc Serial No:07091719:13 -r AJV?_�L Y";.T ! CAL y ANALYTICAL REPORT F r ! Lab Number: L1722414 Client: Coastal Engineering Company 260 Cranberry Highway Route 6A Orleans, MA 02653 ATTN: Chad Simmons Phone: (508)255-6511 Project Name: CANAL BLUFFS Project Number: WBO-008.00 Report Date: 07/09/17 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals:MA(M-MA086),NH NELAP.(2064),NJ NELAP(MA935),CT(PH-0574),IL(200077),ME(MA00086),MD(348),NY (11148),NC(25700/666),PA(68-03671),RI(LA000065),TX(T104704476),VT(VT-0935),VA(460195),USDA(Permit#P330-14-00197). Eight Walkup Drive, Westborough, MA 01581-1019 508-898-9220 (Fax) 508-898-9193 800-624-9220-www.alphalab.com Page 1 of 16 r Serial No:07091719:13 Project Name: CANAL BLUFFS Lab Number: L1722414 Project Number: WBO-008.00 Report Date: 07/09/17 SAMPLE RESULTS Lab ID: L1722414-01 Date Collected: 06/30/17 08:00 Client ID: EFFLUENT Date Received: 06/30/17 Sample Location: 6 OTIS PARK DRIVE,BOURNE MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifiers Units RL MDL Factor Prepared Analyzed Method Analyst GeneralX'M� Phosphorus,Total 7.65-• mg/I. 0.250 25 07/05/17 12:30 07/06/17 11:51 121,4500P-E SD - 3HA Page 5 of 16 " Serial No:07091719:13 Project Name: CANAL BLUFFS Lab Number: L1722414 a Project Number: WBO-008.00 Report Date: 07/09/17 SAMPLE RESULTS Lab ID: L1722414-62 Date Collected: 06/30/17 08:00 Client ID: EFFLUENT Date Received: 06/30/17 Sample Location: 6 OTIS PARK DRIVE,BOURNE,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst Phosphorus,Orthophosphate 6.57 mg/I 0.050 10 07/01/17 02:05 121,4500P-E KA r i • d � •HA Page 6 of 16 Serial_No:07091719:13 CHAIN OF CUSTODYWAGE I r ,,�r F OF 'Dajf; a'nab .� rPr�1A,� �. . ' 5, ? A • • •• • ®. p- • - t • • . ❑ FAX ® EMAIL ® Same as Client Info PO#: Westborough,MA Mansrleld,.MA ❑ ADEx ❑ Add'I.Deliverables - TEL':508 898-9220 TEL:50"22-9300 . Project Name: ANAL BLUFFS FAX:508 898 CANAL State/Fed Program - • x - Crfterfa • Project Location:6 Otis Park Drive,Bourne,MA Client:Coastal En ineedn .Co:,Inc. Project#,WBO-0.08.00 Address'260 Cranbe Highway Project Manner Todd Palmatier. Orleans,MA 02653 ALPHA Quote#:2011601revl Phone;508 255-65111"91 -1ANALYSIS SAMPLE HANDLING ' FaX::508 255-6700 ®Standard ❑:RUSK(ONLY IF PRE=APPRgVfiD) Filtration Q Dona Email:tpalmatIer@ceccapecod.cpm p Not deeded ❑These samples have been Preyl Due.Date: Time ® Lab to do • a Preservation Pc Other Project Specific Requirements/Comments/Detection Limits: ❑ Lab to do (Please specify below; i 0 O Q 3 V1 0 C L8 D Sample ID Collection Sample Sampler's 0 Date Time. Matrix Initials O camp s�a1Bo Effluent ��(t? E SKM 0 ❑ Effluent ,c, it E SKM ❑ 0 D n ❑ ❑ ❑ � Y ❑ 0 ❑ 11 -COF ❑ ❑ ❑ ❑ ❑ ❑ . F . ❑. ❑ El El El ' ❑ ❑ V Container Type P P _ F Preservative D n PleasA°print dearly leglwy.;; 3 and completely Samples Lan rwl bii Iog�ed ln;arxf • Relinquished By. Date/Time Received By: Datelrme ,�lumaioimdhmeclorkwlnnoi;.� 3� vian,t7Nil any arTiblOWbet are 4e / O�i7 M�alvar alas 14 , 1 I,sG"5%��daF`e rtiihb�jeG io�-r - FORM NO r7✓.LJ Page 16 of 16 f DATE FILED BOH 260 Cranberry Highway Orleans,MA 02653 508,255,6511 P 508.255.6700 F COASTAL ' Orleans 9 Sandv�ich INantucket angineering co. coastalengineeringcompany,corn BIOCLERE FIELD REPORT Date; Time: Installation; Sampled: Client: `T {� Project No,: Service: Commissioned: Address: ¢6'r A �,� �L e1 �. Other; Scheduled DSM; }� Seasonal Property Y/ Inspector; Certification# Bioclere Model Numbers J 1) Odor around site? Yf N ) Source of odor? Check all that apply: Septic Musty Mild: Medium: 2) Field Testing: EFFLUENT: pH , D.O. Temp Co I orl�-% I Odor Turbidity �(� Solids INF pH 3) a) Measure sludge in primary tanks and grease traps as required: b) Sludge depth in primary tank; Scum depth; Sludge depth: c) Does grease trap need pumping? Y / N UNIT 1 I L 4112 2 SIOCLERE VENTS I If a) Is air passing through the vent? / N N If in doubt put a small plastic bag around vent and allow to fill, b)Is the fan operating and in good condition? N Y / N GENERAL --- a)Any external damage to the unit(s)? If Yes, provide details on back. 1 N Y / N b)Are cover, fan box and control panel securely locked? N I YJF N c)Any filter flies in the unit? Y/ N few/ many ( Y / N w/many Location of flies: d)Locks/latches/ handles. OK7 / N Y N e) Lid gasket OK? I UT Y IJN f) Does the fan box contain standing water? Y NI Y IN If Yes, then remove water and clean drain holes if necessary. BIOMASS CHARACTERIZATION a)Color of biomass? 1)white z)white/gray 3)gray 4)gray/brown 5)brown 6)red/brown 7)black q 8)other b)Thickness of biomass 6-12 inches below media surface. 1) light 2) medium 3) heavy NOZZLE SPRAY PATTERN a)Does spray cover the entire surface area of media? Y /(a N If not, clean each nozzle with a bottle brush OSA Does the spray now cover the entire surface area? Y' / N / N If not then: 1) remove nozzles and soak in a bleach solution 2)manually engage both dosing pumps for two minutes 3) replace nozzles Does the spray now cover the entire surface area? Y / N Y / N if not, consult AquaPoint, Inc. JOB # 0 PUMPS AND CONTROL PANEL a)Record dosing and recycle pump timer settings from control panel. Daring Pump 1; min on: in off' rein on: Tin off; Dosing Pump 2: min omtrAmin off min on: Alln off: Recycle Pump; min on: hrs off:, min qjF hrs off: in Bioclere control panel set dosing and recycle timers to a test cycle: a)Amperage of dosing pump 1: amps - amps b)Amperage of dosing pump 2: amps amps c)Amperage of recycle pump: amps amps Are dosing pumps alternating? N Y / Are the timers operating properly? Y N Y / Visually inspect relays for wear and record problems below. * if spare components are needed contact AquaPoint, 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; l Dosing pumps: check that pump(s) are operating, alternating and the Pump 1 OK? Y / N Pump 1 NLY / 14 designated rest cycle is occurring. Pump 2 OK? Y / N I Pump 2 OK? Y / N OK? Y / N OK? Y *If pumps or control components are not operating properly,record below And consult'AquaPoint, Inc. RESET TIMERS TO ABOVE SETTINGS:Note any changes here: min on: min off: I min on: jFnin off: *Do not change timers without consulting AquaPoint, Inc. min on: min off: min o min off: PLUMBING a) Are the unions In the Bioclere leaking?_ __ Y N.. _ Y j N If yes,then tighten with pipe wrench FIRAL CHECK a) Main pourer"on" and set toggle for all pumps to "normal" position, N Y N b) Alarm toggle set to the "ON" position. YZ N Y N c) Lock control panel, Bioclere cover and fan box. d) If possible, record the water meter reading: REPORT SUMMARY: MW6 0, R FEqA�!-i,. �eelAVS \X,*,eqSf,# 91AM � ��.�,� Signature: �Y D:IFORMS Cur chServkes-V'� terlBloclere i"eld Report.dot t COASTAL t engineering co. t July 12,2017 Project No. C16293.00 s First Property Management Attn: Mr.Andrew Wittier 832 Main St., Suite F Osterville,MA 02655 Re: Sewage Disposal System Inspection The Cove at East Bay Condo Trust East Bay Road,Osterville Dear Mr. Wittier: Enclosed please find the Sewage Disposal System Inspection Form for the property referenced above. This system passes. An evaluation of the sewage disposal system is noted on the form along with the location of the components. Note that this inspection report is valid for three years after the date of inspection. This inspection is not a guarantee of system function for future usage,but is an evaluation of the state of the system based upon specific criteria set forth in Sanitary Code Sections 310 CMR 15.302 and 15.303. Should you have any questions regarding this inspection or if we may be of further assistance, please do not hesitate to contact me at your earliest convenience. Very truly yours, COASTAL ENGINEERING CO., INC. C John G. Schnaible,R.S. JGS/dlb Enclosure D:IDOCIC1620011629M575 Letter 07-11-2017.docx Orleans ( Sandwich Nantucket = -- _v rcmm / ¢aKo ra amnr uss , _. Li MIA MD.�T _ THE COVE AT EA9T 9AY . Oslervill9,Massachusetts UNIT a ® 1 UHLU uLZ 120 __. -__. . __-- -___.__------------- FIRST FLOOR PLAN pr,�:W_ SECOND FLOOR PUN R3I BOOR 9B5 el. SECdN ROW>mi LL LIT, ExClU3+8v CDnwOR MffA'pmi��R al. - - MIrWLLY CO4aW♦PEt tlere]rar.�LL _ UMN04faMlE _ _\. �fERrtY iH+i 119 Rwu 9r0.�'8 .WYILS IQLLLl \ 1Nr]BEeq CUTAEYEO NO lIE . aa.Ett�iflv MJfpaG UJIs N0 . THT rt RILY NO,�LIXMTELv OaC'1511E UV Wf.IOGMki _ O lUllL3 ENRUJCENK TEiE COutlR if FA i0 N1G1 rt IL 9 �CFBa vB ai TRaT TNS . CO`601W6 To TO 11E NIAEB 8 uo�v.Twsa TN:' a rccsrers cr oEax E BASEMENT FLOOR PUN nun Rx uE y a46EMEM RApi Y6a LL - - i rr • r� Pvr•7 /�. f I AN a �(' 4 ar►d' S ho Jld���` � � y� r ' � �tke S►�au� S �. g, rJ- MG C�tPwa S s6u r p{tJfl a � a I a I 1 y`fl First Propert M A N A G E M E N T 1046 Main Street Suite 11 Telephone 508.420.0299 Osterville, Ma. 02655 Facsimile 508.420.0789 www.fpmcapecod.com D v JAH20c5 BY:-------------------- January 15, 2015 Town of Barnstable Building Department 200 Main Street Hyannis, MA 02601 To Whom It May Concern: We hereby authorize Rogers & Marney, Inc. to perform work at Unit#3 of The Cove at East Bay Condominiums, 199 East Bay Road, Osterville, MA 02655. This work was reviewer-byfimBoard and was approved. ° Sincerely, drew Witter,A 4AMS, MCA President, First Property Management Managing Agent a AJW/aons l A-r W1 I rT7 1� I:a.l r7l s- REMOD. DRY STORAGE ; 14'-2" T-1" T-1" r j , ANDERSEN ANDERSEN ANDERS N A21 A21 A21 —LINE OF WALLS I _ EXIST. CLOS. I ROOF CUT-IN I BELOW BEDROOM (SHED DORMER) I � I EXIST.ROOF I I r I i I I I i A Al � � Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System 'Form - Not for Voluntary Assessments 611 96N od0c) I`f 0 15_� The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Osterville MA 02655 10/10/2013 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 B cursor-do not John G. Schnaible, R.S. use the return key. Name of Inspector Coastal Engineering Company, Inc. Company Name 260 Cranberry Highway Company Address Orleans MA 02653 City/Town State Zip Code 508-255-6511 SI 260 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 []\\Ne`eds Further Evalluat(on,by I :Na I Approving Authority / '1 Inspector's Sigri t`w­r-e`` , �- {� Date V The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP) within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****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. (Sins•3/13 Title 5 Official Inspection orm. ubsurface Sewage Disposal System•Page 1 of 17 } r Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Ostetyille MA 02655 10/10/2013 page. City/Town 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: 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 ' Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Osterville MA 02655 10/10/2013 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 ❑i 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 !Sins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 T , Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Osterville MA 02655 10/10/2013 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 '12 day flow t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Osterville MA 02655 10/10/2013 page. City/Town 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 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management Attn: Mr. Andrew Witter Owner Owner's Name information is Osteryille MA 02655 10/10/2013 required for every page. CityTTown 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): 48 Number of bedrooms (actual): 48 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 5280 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 ' ` 1 ' Commonwealth of Massachusetts W Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Osterville MA 02655 10/10/2013 page. City/Town State Zip Code Date of Inspection D. System Information Description: Condominium complex served by Town water. Most units are seasonal. Number of current residents: 14 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 Units are individually metered Sump pump? ❑ Yes ® No Last date of occupancy: occupiedDate Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 316 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 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Osterville MA 02655 10/10/2013 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 in the fall. Information from Coastal Engineering Company records. 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): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts u Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is Osteryille MA 02655 10/10/2013 required for every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: Installed 14 years ago based on site/septic plan. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 4feet 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.):, Sewer manholes-in good condition and no evidence of leakage Septic Tank (locate on site plan): Depth below grade: 2 to 3 feet below grade/covers to grade 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: 1-17'x10'x5', 2-17'x10'x4', 3-17'x10'x5' Sludge depth: - 1-12", 2-11", 3-12" t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System°Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management Attn: Mr. Andrew Witter Owner Owner's Name information is Osterville MA 02655 10/10/2013 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cost.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 1-30", 2-17", 3-30" —0" Scum thickness 1, 2, 3 Distance from top of scum to top of outlet tee or baffle 1, 2, 3— 10" Distance from bottom of scum to bottom of outlet tee or baffle 1, 2, 3—20" 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.): All tanks and sanitary tees appear to be in good condition. No repairs or pumping recommended. 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 W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments CLAM , The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Osterville MA 02655 10/10/2013 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Osterville MA 02655 10/10/2013 page. City/Town 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 n/a Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Pump Chamber(locate on site plan): Pumps in working order: ® Yes ❑ No* Alarms in working order: ® Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Pumps and floats are operational. Alarm is visual only. Control panel is inside a storage room and in good condition. * 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 Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Osterville MA 02655 10/10/2013 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ® leaching trenches number, length: 20-60 feet ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ® innovative/alternative system Type/name of technology: Bioclere Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): System is pressure dosed. Clean-outs (3) opened and checked. No evidence of hydraulic failure or ponding. 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 W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Cisterville MA 02655 10/10/2013 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Osterville MA 02655 10/10/2013 page. City/Town 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 �4s 'QY X`2 < 13 GPa1 J c pep �J \J1 AT;R 01 lb I(J�Q bG\,, c � t5ins-3/13 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management Attn: Mr. Andrew Witter Owner Owner's Name information is Osterville MA 02655 10/10/2013 required for every page. CityTrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ❑ Check cellar ❑ Shallow wells 11.Estimated depth to high ground water: feeetet from bottom of trenches 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: 2/16/99 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 site observation and site/septic plan by Down Cape Engineering. 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 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management, Attn: Mr. Andrew Witter Owner Owner's Name information is required for every Osterville MA 02655 10/10/2013 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked Z 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 l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 COASTAL ENGINEERING AUTHORIZATION COMPANY;INC. FOR 260 Cranberry Highway,Orleans,PEA 02653 TECHNICAL SERVICES 508.255.6511 ® Fax 5D8.255.6700 a coa,talengineeringcompany.com To: The Cove at East Bay Condominium Trust c/o First Property Management Date: 10/10/13 Project No.:WBA001.00 _ Andrew Witter,President Project: Bioclere Trealment System 832 Main Street, Suite F Operation &Maintenance Oslerville. MA 02655 Location: The Cove at East Bay T: 508-420-0299 F:508-420-0789 199 East.Bay Road E. f m.and ,comcast,net Osterville,MA COASTAL ENGINEERING will perform the following Fixed Fee:: See Attachment 2 services relating to the above-referenced project. Contract Duration: Ongoing_ -- -........_........ _. SCOPE OF SERVICES: Coastal Engineering Co., Inc_(CEC)will perform the services outlined in Attachment 1 regarding the Operation and Maintenance of the Bioclere Wastewater Treatment System at The Cove at East Bay, 199 East Bay Road, Osterville,MA, TJP/vsw D:00C1W l,7DA10011ContractslTh?Cove ATS 2013-10-1e.doc SUBJECT TO TERMS AND CONDITIONS ON AUTHORIZED FOR COASTAL ENGINEERING: REVERSE SIRE �1 We are proceeding with service(s)noted. Immediate By: 1 10M notification in writing is required if you wish to alter this authorization. Todd J. Palmatier, Program Coordinator F7Please execute this agreement authorizing us to Date: 9etober,10, 2013 proceed at the above fixed fee. AUTH,0/R14EP FOR LIE This document will become our original agreement. By: i Tide: Acceptance of this agreement by signature authorizes COASTAL ENGINEERING to proceed as Date: described. This proposal expires in 90 days if not signed by both parties. PLEASE SIGN AND RETURN ONE COPY C t COASTAL ENGINEERING CO., INC. 260 CRANBERRY HIGHWAY ORLEANS, IAA 02658 TEL. 508 255-6511 FAX. 508 255-6700 BIOCLERE FIELD REPORT_ Project No.: lice Date: (( / Time: Installation: Sampled: _Client: ! 4f- eot/E_ Service: Address: QST� t P 01her: scneduiedosM: Inspector k Bioclere Model Numbers 1 Odor around site? Y / Source of odor? Check all that apply: Mild: Medium: "rF l-f = ��� = (} Septic_ Musty: 2 Field Testing: clarity,color,solids,odor,tests =� L e( o,J , No so/,,As /VCR od©2 C 3 a Measure stud e in primarytan s and rease tra s as required: f2i Gr j(D c- b) Sludge depth in primary tank: S /-,)'1Scv� J Scum depth: / -� '� Sludge depth:�ff `( } c Does rease trap need pumping? UNIT 1 UNIT 2 BIOCLERE VENTS a) Is air passing through the vent? 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 units ? If Yes, provide details on back. Y� N Y / N b Are cover, fan box and control panel secure) locked? N Y / N c Any filter flies in the unit? Y/ NDew/'many Y / N few/ many Location of flies: d Locks/latches/handles. OK? / N Y / N e Lid gasket OK? / N Y / N Does the fan box contain standing water? Y./ N Y / N If Yes, then remove water and clean drain holes if necessary. BIOMASS CHARACTERIZATION a Color of biomass? 1)white 2)white/gray 3)gray 4)gray/brown 5)brown 6)red/brown 7)black 8 other z b Thickness of biomass 6-12 inches below media surface. c7 _1)light 2 medium 3 heavy NOZZLE SPRAY PATTERN a 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 2 manually engage both do sin pumps for two minutes 3 re lace nozzles Does the spray now cover the entire surface area? Y N Y ! N If not, consult A uaPoint, Inc. Y PUMPS AND CONTROL. PANEL a Record dosing and recycle pump timer settings from control panel. -Dosing Pump 1: min on: min off: DosingPump2: min on: min on: min off: min offa, min on: min off: Recycle Pump: min onQ hrs off: min on: hrs off: In Bioclere control panel set dosinq and recycle timers to a test cycle: a Am era e of dosing um 1: b Amperage of dosing um 2: - amps amps c Am era e of recycle pump: amps amps Are dosing pumps alternating? 3 / N amps amps Are the timers operating Y / N properly?? Y / 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. Win min off: min on: min off: PLUMBING a Are the unions in the Bioclere leaking? Y .r Y / N If es, then tighten with pipe wrench FINAL CHECK a Main power "on" and set toggle for all pumps to "normal" position. Q/ N Y / N b Alarm toggle set to the "ON" position. Y / N Y / N c Lock control.panel, Bioclere cover and fan box. d If possible, record the water meter reading: REPORT SUMMARY: k��— t:�� Cd?�/�C.11 E 5 oc e kz v7 �C t SIGNATURE: O D:IFORMS Currenm ec ervices-Wastewater ioclere Field Report.doc f\ ''Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments <'l^M The Cove at East Bay Condominium Trust ��� CEC File No. C16293.00 Property Address c/o First Property Management, Attn.: Mr. Andrew Wittier, 832 Main Street, Suite F Owner Owner's Name information is required for Osterville MA 02655 10/13/2010 every page. City/Town State 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: A. General .Information When filling out forms on the I computer,use 1. Inspector: only the tab key to move your John G. Schnaible, R.S. cursor-do not Name of Inspector use the return key. Coastal Engineering Company, Inc. Company Name 260 Cranberry Highway Company Address Orleans MA 02653 'few City/Town ___._ State :::_ Zip Code _ - 508-255-6511 SI 260 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 ,E] eed Fu her tluai he L cal Approving Authority Inspector's re Date The syste i Spector shall submit a copy of this inspection report to the Approving Authority (Board of Health or P)within 30 days of completing this inspection. If the system is a shared system or has a design ow 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•09108 Title 5 Official Inspection Form:Subsurface SewageNstem•Pa e 1 of Commonwealth of Massachusetts F Title Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management, Attn.: Mr. Andrew Wittier, 832 Main Street, Suite F Owner Owner's Name information is required for Osterville MA 02655 10/13/2010 every page. Cityffown State Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"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 FIND (Explain below): t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust CEC File No C16293 00 Property Address c/o First Property Management, Attn.: Mr. Andrew Wittier, 832 Main Street, Suite F Owner Owner's Name information is required for Osterville MA 02655 10/13/2010 every page. Cityf town State Date of Inspection B. Certification (cont.) 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•09/08 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 The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management, Attn.: Mr. Andrew Wittier, 832 Main Street, Suite F Owner Owner's Name information is required for Osterville MA 02655, 10/13/2010 , every page. City/Town State 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 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 '/z day flow t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts A Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management, Attn.: Mr. Andrew Wittier, 832 Main Street Suite F Owner Owner's Name information is required for Osterville MA 02655 10/13/2010 every page. City/Town State 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•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management, Attn.: Mr. Andrew Wittier, 832 Main Street, Suite F Owner Owner's Name information is required for Osteryille MA 02655 10/13/2010 every page. City/Town State 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? ® ElWere 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): 48 Number of bedrooms (actual): 48 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 5,280 GPD t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management, Attn.: Mr. Andrew Wittier, 832 Main Street Suite F Owner Owner's Name information is Osterville MA 02655 required for 10/13/2010 every page. °City/Town State Date of Inspection D. System Information Description: Condominium style of ownership with a common Sewage Disposal System Number of current residents: 20± Does residence have a garbage grinder? ❑ Yes ® No Is laundry.on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ❑ No Seasonal use? ® Yes ❑ No Each unit individually Water meter readings, if available (last 2 years usage (gpd)): metered. Detail: 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•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management, Attn.: Mr. Andrew Wittier, 832 Main Street, Suite F Owner Owner's Name information is required for Osterville MA 02655 10/13/2010 every page. City/Town State Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Pumped last Fall. 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): t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System.Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M The Cove at East.Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management, Attn.: Mr. Andrew Wittier, 832 Main Street, Suite F Owner Owner's Name information is required for Osterville MA 02655 10/13/2010 every page. City/Town State Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: Installed eleven (11) years ago based on Site Plan. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Yes 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.): Sewer manholes in good condition and no evidence of leakage. Septic Tank(locate on site plan): Yes Depth below grade: 2-3' access covers to grade 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: 1-17'x10'x5' 2-17'x10'x4' 3-17'x10'x5' Sludge depth: 6' 6" 4" t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form _ o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management, Attn.: Mr. Andrew Wittier, 832 Main Street, Suite F Owner Owner's Name information is required for Cisterville MA 02655 10/13/2010 every page. City/Town State Date of Inspection D. System Information (cont.) Septic Tank(cont.) 1 2 3 Distance from top of sludge to bottom of outlet tee or baffle 36" 22" 36" Scum thickness 0 0 0 Distance from top of scum to top of outlet tee or baffle 101, 101, 101, Distance from bottom of scum to bottom of outlet tee or baffle 20" 20" 20" 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.): All tanks and sanitary tees appear to be in good condition. No repairs recommended. Grease Trap (locate on site plan): N/A 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-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 o Commonwealth of Massachusetts u Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management, Attn.: Mr. Andrew Wittier, 832 Main Street, Suite F Owner Owner's Name information is required for Osterville MA 02655 10/13/2010 every page. City/Town State 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): N/A 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•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management, Attn.: Mr. Andrew Wittier, 832 Main Street, Suite F Owner Owner's Name information is required for Osterville MA 02655 10/13/2010 every page. City/Town State Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): N/A Depth of liquid level above outlet invert Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Pump Chamber(locate on site plan): Pumps in working order: ® Yes ❑ No Alarms in working order: ® Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Pumps and floats are operational. Alarm is visual only. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: l5ins.09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System.Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management, Attn.: Mr. Andrew Wittier, 832 Main Street, Suite F Owner Owner's Name information is required for Osterville MA 02655 10/13/2010 every page. Cityrrown State Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ® leaching trenches number, length: 20—60' long ❑ leaching fields number, dimensions: ❑ overflow cesspool number: - ® innovative/alternative system Type/name of technology. Bioclere Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): System is pressure dosed, clean out open and checked. No evidence of failure or pondin . Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): N/A 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•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management, Attn.: Mr. Andrew Wittier, 832 Main Street, Suite F Owner Owner's Name information is Osterville MA 02655 - 10/13/2010 required for � every page. City/Town State 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): N/A. Materials of.construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form j Subsurface Sewage Disposal System Form -Not for Voluntary Assessments .w The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management, Attn.: Mr. Andrew Wittier, 832 Main Street, Suite F Owner Owner's Name information is required for Osterville MA 02655 10/13/2010 every page. CityFrown State 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 c_ f z c \ b t5ins•09/08 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 The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management, Attn.: Mr. Andrew Wittier, 832 Main Street, Suite F Owner Owner's Name information is required for Osterville MA 02655 10/13/2010 every page. City/Town State Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ❑ Check cellar ❑ Shallow wells Estimated depth.to high ground water: 11.1' from bottom of trenches 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: 02/16/99 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 site observation and from Site Plan by Down Cape Engineering. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachuset ts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments -' ^M The Cove at East Bay Condominium Trust CEC File No. C16293.00 Property Address c/o First Property Management, Attn.: Mr. Andrew Wittier, 832 Main Street, Suite F Owner Owner's Name information is required for Osterville MA 02655 10/13�2010 every page. City/Town State 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 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 OASTAL FJuL 2 3 20 0 9 AUTHORIZATION NGINEERING _�_� � OIV�PANY INC �Ts;�F `'���'�� C. FOR 260 Cranberry Hwy.,Orleans,MA 02653 TECHNICAL SERVICES 508-255-6511 Fax:508-25576700 wwwxecTimb cod com z € r 3 t' 1 TO: The.Cove..at.East Bay. Condo st - c/o First-Property•Management __. . .._ ... .. ..... .. .... .. _ DATE: 7/16/09 - .--PROJECTNO;:WBA001.00- " Andrew Witter, President PROJECT: Bioclere Treatment System 832 Main Street, Suite F Operation& Maintenance Osterville,MA 02655 LOCATION: The Cove at East Bay Telephone: 508-420-0299 Fax: 508-420-0789 199 East Bay Road Osterville,MA COASTAL ENGINEERING will perform the following FIXED FEE: See Attachment 2 services relating to the above-referenced project. CONTRACT DURATION: 2 years SCOPE OF SERVICES: Coastal Engineering Co., Inc. (CEC)will perform the services outlined in Attachment regarding-the Operation and Maintenance of the Bioclere Wastewater Treatment System at The Cove at East Bay, 199 East Bay Road, Osterville;MA: TJP/VSw D:lDOC1WIWBA10011Contractgln7 Cove-APS 071609.doc' SUBJECT TO TERMS AND CONDITIONS ON AUTHORIZED FOR COASTAL ENGINEERING: REVERSE SIDE ® We are proceeding with service(s)noted. Immediate B TO �'��✓ �+� Y notification in writing is required if you wish to alter this authorization. Todd J. Palmatier, Program Coordinator ® Please execute this agreement authorizing us to Date: July 16, 2009 proceed at the above fixed fee. I AUT OIRIZE R L ® This document will become our original agreement. By: Title: Acceptance of this agreement by signature authorizes COASTAL ENGINEERING to proceed Date: as described. This proposal expires in 90 days if not signed by both parties. PLEASE SIGN AND RETURN ONE COPY COASTAL ENGINEERING CO., INC. 260 CRANBERRY HIGHWAY ORLEANS, MA 02653 TEL. 508 255-6511 FAX. 508 255-6700 BIOCLERE FIELD REPORT Date: `=i _`< L C�i �% Project No.: C installation: Tested: Client: Gj-vim Service: Commissioned: Address: Other. Scheduled &M: I � Inspector: 5 ti '"� -( Bioclere Model Number (s)( �-[ 1 Odor around site? Y ..-N Source of odor? E1,h'�a «_ -�'�, � , C Check all that apply: , Mild: Medium: I CAS No C:2.�` tl��� l�r��'4` ���er� � Strong: Musty: Septic: 2 Take influent/effluent samples as required. 3 a Measure sludge in pdrnary tanks and grease traps as required: b Sludge depth in primary tank: Scum depth:d-!,,`' Sludge depth: c Does greasetra need pumping? Y 1 'N-�- UNIT 1 UNIT 2 BIOCLERE VENTS a Is air passing through the vent? (Y I) 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? YI/ N Y / N GENERAL a An external damage to the units ? If Yes, provide details on back. Y /.'N) Y / N b Are cover, fan box and control panel secure) locked? /r,/--N Y / N c Any filter flies in the unit? _ lj/ M,1—f—/many Y N few/many- Location of flies: d Locks/ latches/ handles. OK? �Y4 N Y / N e Lid gasket OK? �-Y,t N Y / N Does the fan box contain standing water? Y /(N ) Y / N If Yes, then remove water and clean drain holes if necessary. BIOMASS CHARACTERIZATION a Color of biomass? 1)white 2)white/gray 3)gray 4)gray/brown 5)brown 6)red/brown 7)black : 8 other —' b Thickness of biomass 6-12 inches below media surface., 1 light 2 medium 3 heavy ✓11 NOZZLE SPRAY PATTERN a Does spray cover the entire.surface area of media? k`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 2 manually engage both d6sing pumps for two minutes 3 replace nozzles Does the spray now cover the entire surface area? :,-Y / N Y / N If not, consult AWT Environmental Inc. p1nere ND CONTROL PANEL d dosin and recycle um timer settings from control panel. Dosing PUrri 1: min on:,,,,,-..' min off: 1, min on: min off- Dosing Mum 2: min on:i ;;min off: -min on: min off. Recycle Pump: min on: Shrs off: 1 min on: hrs off: control anel set dosin and rec cle timers to a tra a of dosin um 1: amps amps sb Am eraa fdosinm2:o amps amps c Am ra a of recycle pump: .'j— amps Are dosin um s altematin ? amps LX'/ N Y / N Are the timers o • satin •ro rl ? �Y/ N Y / N Visually ins ct relays for wear and record roblems below. * Ifs are components are needed contact AWT If an ammeter is not available,set the timers to a test cycle as above and at the Bioclere check the um s's operation as follows: Dosing pumps: check that um s are operating, alternatin 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 d consult AWT Environmental Inc. _ RESET TIMERS TO ABOVE SETTINGS: Note anv changes here: min on: min off: min on: min off: *Do not`chan a timers without consulting AWT Environmental, Inc.- min on: `min off: min on: min off: PLUMBING a Are the unions in the Bioclere leaking? Y /(,N Y / N If. es then ti hten with i e wrench FINAL CHECK a Main poter"on' and sat toggle for all pum s to"normal° position, (__Y)/ N Y / N b Alarm toggle set to the "ON" position. Y,% N Y / N c Lock control anel Bioclere cover and fan box. d If possible record the water meter reading: REPORT SUMMARY: _ rn0 F1G-rr Cz C< n SIGNATURE: D..TORMSCxrrentlTec ervices-Wastew6terADioclererieldReport.dot i Bk 18047 P:922 01,41905 12-18--2003 02: 11p- " FIFTEENTH AMENDMENT TO MASTER DEED Reference is made to the Master Deed of the Cove at East Bay Condominium dated August 16, 1999 and recorded on August 17, 1999 with the Barnstable County Registry of Deeds in Book 12480, Page 326 as, amended by the First Amendment dated August 31, 1999 -recorded in Book 12513, Page 66; a Second Amendment dated September 10, 1999 recorded in Book 12531, Page 143; a Third Amendment recorded September 24, 1999 in Book 12561, Page 85; a Fourth Amendment recorded December 21, 1999 in Book 12737, Page 72; a Fifth Amendment recorded August 30, 2000 in Book 13212, Page 206; and a Sixth Amendment recorded' February 9, 2000 in Book 13551, Page 193; a Seventh Amendment recorded March 2, 2001 in Book 13608, Page 107; an Eighth Amendment recorded July 31, 2001 in Book 14092, Page v) 266; a Ninth Amendment recorded August 14, 2001 in Book 14138, Page Q 140; a Tenth Amendment recorded September 17, 2001 in Book 14254, Page 271; an Eleventh Amendment recorded October 26, 2001 in Book 9 14370, Page 5; a .Twelfth Amendment dated ,July 26, 2002 recorded in Book 15407, Page 287; and a Thirteenth Amendment dated September 30, 2002 and recorded in Book 15671, Page 109; a Fourteenth Amendment dated OCTOBER 11, 2002 recorded OCTOBER 11, 2002 recorded in Book 15730, Page 165 (the "Master Deed") . Pursuant to the rights reserved by the Declarant in Paragraph 11 of the Master Deed the undersigned being the Declarant hereby amends the Master Dded as follows: Paragraphs 1. 1 3 .' and 8. are hereby deleted and there are C3- substituted therefor the following: Q 1. Description of Land. Until this Master Deed is amended pursuant to Paragraph 11 below, land which presently constitutes the condominium comprises the land located at 199 East Bay Road, Barnstable (Osterville) I Barnstable County, Massachusetts described in Exhibit "A" attached hereto together with Building 1 and Building 2 located on the land described in said Exhibit "A", which said Building 1 contains dwelling Units 1, 2, 3, 4, 5, 6, and 7 and said Building 2 contains dwelling Units 8, 9, 10, 11, 12, 13, 14, 15 and 16. Also included on said land is Accessory Building No. 1 containing 10 garage units and Accessory Building No. 2 containing garage units 12 and 13 and the Turret/office unit. 3. Description of Buildings. There are Building 1 and Building. 2 containing dwelling Units 1 through and including 16 with dwelling Unit No. ' s. 1, 6, 7, 8, 14 and 15 each containing an attached two-car garage and dwelling Unit No. ' s 2, 3 , 5 and 9 through and including 13 each containing an attached one-car garage. Dwelling Units No. 4 and 16 have no attached garage. Building 1 contains Units 1 through and including r Bk 18047 Pg 23 #141905 Unit No. 7 and Building contains Unit No. ' s 8 through and including Unit No. 16 . They are constructed principally with poured concrete .foundations, basement walls and floor slabs (basement and garage) , wood-frame construction, Cape Cod white cedar shingle siding, brick chimneys, architectural grade, three tab asphalt roof shingles, and pine trim covered with Alcoa aluminum baked enamel trim. Each dwelling contains two (2) stories (not including the cellar) and will have common entrance doors at the common cellar walls with adjoining dwelling units to allow passage throughout the building containing the dwelling units. There are also Accessory Building 1 containing ten garage units and Accessory Building 2 which contains three (3) garage units and one (1) five-story Turret/office unit (the "Turret/office unit") . 8. Floor Plans and Site Plans. Recorded with the Master Deed were the floor plans for Unit No. 16, Building No. 2 in Plan Book 550, Page 91 and the Site Plan showing Phase I recorded in Plan Book 550, Page 90 . Recorded with the first amendment to the Master Deed were the floor plans for Unit No. 6, Building No. 1 in Plan Book 551, Page 59 and the Site Plan showing Phase 2A recorded in Plan Book 551, Page 58. Recorded with the Second Amendment were the Floor Plans for Unit 15, Building 2 in Plan Book 551, Page 83 and the Site Plan showing Phase 4A recorded in Plan Book 551, Page 82 . Recorded with the Third Amendment were the Floor Plans for Unit 7, Building 2 in Plan Book 552, Page 22 and the Site Plan showing Phase 2B recorded in Plan Book 552, Page 21. Recorded with the Fourth Amendment were the Floor Plans for Unit 8, Building 2 in Plan Book 554,1 Page 9 and the Site Plan showing Phase 4B recorded in Plan Book 554, Page 8. Recorded with the Fifth Amendment were the Floor Plans for Unit 1, Building 1 in Plan Book 559, Page 22 and the Site Plan showing Phase 2C in Plan Book 559, Page 21. recorded with the Sixth Amendment were the Floor Plans for Unit 14, Building 2 in Plan Book 562, Page 91 and the Site Plan showing Phase 2C in Plan Book 562, Page 90 . Recorded with the Seventh Amendment were the Floor Plans for Unit 10 Building 2 in Plan Book 563, Page 60 and the Site Plan showing Phase 4D in Plan Book 563, Page 59. Recorded with the Eighth Amendment were the Floor Plans for Unit 12 Building 2 in Plan Book 566, Page 7 a he Plan showing Phase 4E in Plan Book 566, Page 69. Recorded with the Ninth Amendment re the Floor Plans -for Unit 3 Building 1 in Plan ook 567, Page 10 and the Site Plan showing Fuse 2D in��n Book 5 Page , corded with the Tenth Amendment were the Floor Plans for Unit 2 Building 1 in Plan Book 567, Page 78 and the Site Plan showing Phase 2E in Plan Book 567, Page 77; recorded with the Eleventh Amendment were the Floor Plans for Unit 9 Building 2 in Plan Book 569, Page 12 and the Site Plan showing Phase 4F in Plan Book 569, Page 11; recorded with the Twelfth Amendment were the Floor Plans for Unit 13 Building 2 in P1an.Book 575, Page 36 and Bk 18047 Pg 24 #141905 the Site Plan showing' Phase 12 in Plan Book 575, Page 35; recorded with the Thirteenth Amendment were the floor plans for Unit 5 Building 1 in Plan Book 576, Page 63 and the Site Plan showing Phase 13 in Plan Book 576, Page 62; recorded with the Fourteenth Amendment were the floor plans for Unit 11 Building 2 in Plan Book 577, Page 14 and the Siite Plan showing Phase 14 in Plan Book 577, Page 13; and recorded herewith are the following: (a) . A Floor Plan of Unit No. 4 entitled "The Cove at East Bay Oste ille, Massachusetts, Unit 411 dated October 15, 1999; and (b) . A Site Plan entitled "Site Plan for Unit #4-Building ,l - Phase 15 Site Plan for Garage # 71 A at The Cove at East Bay Condominiums Prepared for James H. Crocker, Jr. Trustee, East Bay/Osterville Trust Attached hereto are a revised Exhibit "A" and "B" to the Master Deed. Executed. as a sealed instrument this « day of December, 2003 . EAST BAY/OSTERVILLE LLC, J e H."'Cr cker, J . , Manager COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. December 2003 Then personally appeared the above-named JAMES H. CROCKER, JR. , MANAGER, and acknowledged the foregoing to be the free act and deed of EAST BAY/OSTERVILLE LLC, before me, r4VI-lEr Notary ublic My commission expires:4/18/2008 f:/data/clients/Crocker/eastbay/scully/fifteenth.adt 3 Bk 18047 Pg 25 #141905 EXHIBIT "A" to MASTER DEED OF THE COVE AT EAST BAY The` land, together with' the improvements thereon shown as "Phase 1" on the site plan filed with the Master Deed in Plan Book 550, Page 90, the land, together with the improvements thereon, shown as "Phase 2A" on the plan filed with the First Amendment to the Master Deed in Plan Book 551, Page 58, the land, together with the improvements thereon, shown as "Phase 4A11 on the site plan filed in Plan Book 551, Page 82, the land together with the improvements thereon shown as "Phase 2B" on the site plan filed in Plan Book 552, Page 21, the land together with the improvements thereon shown as "Phase 4B" on the Site Plan filed in Plan Book 554, Page 8, the land together with the improvements thereon shown as "Phase 2C" on the Site Plan filed in Plan Book 559, Page 21, the land together with the improvements thereon shown as "Phase 4C" on the 'Site Plan filed in Plan Book 562, . Page 90, the land together with the improvements thereon shown as "Phase 4D" on the site plan filed in Plan Book 563 , Page 59, the land together with the improvements thereon shown as "Phase 4E" on the site plan filed in Plan Book 567, Page 77, and the land together with the improvements thereon shown as "Phase 4F" on the site plan filed in Plan Book 569, Page 11; the land together with the improvements thereon shown as "Phase 12" on the site plan filed in Plan Book 575, Page 35; the land together with the improvements thereon shown as "Phase 13" on the site plan filed in Plan Book 576, Page 62; the land together with the improvements thereon shown as "Phase 14" on the site plan filed with this amendment in Plan Book 577, Page 13 ; and the land together with the improvements thereon shown as "Phase 15" on the site plan filed with this amendment in Plan Book �g Page 5� . f:\data\clients\cracker\eastbay\dodge\ex.a Bk 18047 Pg 26 #141905 - 3 EXHIBIT Immediate Common Area Approxiate Number to which Unit Percentage Unit No. Location Area of Rooms has Access Interest 1 Bldg. 1 Basement 9 Basement - . 07 1781 sq. ft . shared, hallway First Floor First Floor - 2210 sq. ft . Brick Patios Second Floor 1783 sq. ft . 2 Bldg. l Basement 8 Basement - . 07 1888 sq. ft . shared hallway First Floor First Floor - 2382 sq. ft. Brick Patios Second Floor 1195 sq. ft , 3 Bldg. 1 Basement 8 Basement - . 06 2194 sq. ft. shared hallway First Floor First Floor 2395 sq. ft . Brick Patios Second Floor 1201 sq. ft .' 4 Bldg: 1 Basement 8 Basement- . 07 1901 sq. ft . shared hallway First Floor First Floor- 2330 sq. ft. Brick Patios , Second Floor 1i60 sq. ft . I Bk 18047 Pg 27 #141905 Immediate Common Area Approximate Number to which Unit Percentage Unit No. Location Area of Rooms has Access Interest 5 Bldg. 1 Basement 8 Basement . 07 1901 sq. ft . shared hallway First Floor First Floor - 2331 sq. ft . Brick Patios Second Floor 1161 sq.. ft . Basement 8 Basement - 6 Bldg. 1 1980 sq. ft . T shared hallway . 05 First Floor First Floor - 2789 sq. ft. Terrace Second Floor 1490 sq. ft . 7 Bldg. l Basement 8 Basement - . 06 2290 sq. ft . shared hallway First Floor First Floor - 2846 sq. ft . Terrace Second Floor 1631 sq. ft . 8 Bldg. 2 Basement 8 Basement - . 05 2085 sq. ft . shared hallway First Floor First Floor - 2660 sq. ft . Terrace Second Floor 1169 sq. ft . 9 Bldg. 2 Basement 8 Basement - . 06 1887 sq. ft . shared hallway First Floor First Floor - 2340 sq. ft . Terrace Second Floor 1200 sq. ft . Bk 18047 Pg 28 #141905 Immediate Common Area Approximate Number to which Unit Percentage Unit No. Location Area of Rooms has Access Interest 10 Bldg. 2 Basement 8 Basement - . 06 2183 sq. ft . shared hallway First Floor First Floor 2353 sq. ft . Terrace Second Floor 1529 sq. ft. 11 . Bldg. 2 Basement 8 Basement - . 07 2331 sq. ft . shared hallway First Floor First Floor - 2331 sq. ft . Terrace Second Floor 1102 sq. ft . 12 Bldg. 2 Basement 8 Basement - . 06 1886 sq. ft . shared hallway First Floor First Floor - 2331 sq. ft . Terrace Second Floor 1145 sq. ft . 13 Bldg. 2 Basement 8 Basement - . 07 1305 sq. ft . shared hallway First Floor First• Floor - 2443 sq. ft . Terrace Second Floor 1372 sq. ft. 14 Bldg. 2 Basement 8 Basement - .06 1299 sq. ft . shared hallway First Floor First Floor 2694 sq. ft . Terrace Second Floor 1263 sq. ft . Bk 18047 Pg 29 #141905 Immediate Common Area Approximate . Number to which Unit Percentage Unit No. Location Area of Rooms has Access Interest 15 Bldg. 2 Basement B Basement - . 05 1845 sq. ft shared hallway First Floor First Floor - 2110 sq. ft. Terrace Second Floor 1600 sq ft . 16 Bldg. 2 Basement 8 Basement - .07 1854 sq. ft . shared hallway First Floor First Floor - 2110 sq. ft . Terraces Second Floor 1600 sq. ft . f:\data\clients\crocker\eastbay\dodge\ex.b BARNSTABLE REGISTRY OF DEEDS WN OF BARNSTABLE LOCATION Cad, SEWAGE # VILLAGE � a` ASSESSOR'S MAP& LOT 140 — INSTALLER'S NAME&PHONE NO. (Z—J J 11�/110t5 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) ��_X�. (si e rlA� NO. OF BEDROOMS �.5 �`-' BUILDER OR OWNER PERMITDATE: 7 COMPLIANCE DATE: Separation Distance etween e: 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 fn on re- Ilk- No.. 70---- F>��.. .... THE COMMONWEALTH OF MASSACHUSETTS �V, ue BOARD F �EAH.......OF...... . .... . . . pphrattun -fur Uiiipuutt1 Marko Touutrurttuu Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individ al ewage Disposal Sys at: � .. ... .:: -- . -- ----- -• ----- ---- -----. • •. . ` Lo ati �ed,ess or Lot No. �✓ i/ ---- ----------••-•-•-----------•------------------- wn r Address a --- r ......-- � Installer Address Q Type of Building Size Lot-._________________________Sq. feet U Dwelling. No. of Bedro s._--_-_-_-_ Expansion Attic ( ) Garbage Grinder ( ) H __________________ aOther , Type of Buildi of persons.........:.................. Showers ( ) — Cafeteria ( ) a' Other fixtures ------------------------------------------------------ W Design Flow; ............................ .. lions per person per day. Total daily flow----.----_.-_-____--___-_---------._.--..._.gallons. 9 Sc�5tic 'Yank Liquid capacit ions Length---------------- Width---------------- Diameter__.------------- Depth._.._.__...... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area---------------- sq. ft. Seepage Pit No --- Diameter____________________ Depth below inlet........_........... Total leacl ' b area.. -sq. ft. z Other Distribution box (%� Dosing tank Percolation Test Results Performed by........'�------. D --- - Test Pit No. 1................minutes per inch Depth of Test Pit'.__---_--_____-_---. kptto ground water...-----_--.--.---.-___- L14 Test Pit No. 2................minutes per in*De Test Pit..____--___---_- __ Depth to ground water.-.--- -_-_-___- __- ---•-- -•- -••-•-•-------Description of Soil--------- ---------- u� --...---- ---- -------------- --- U oZ: --- Z ------------------------------------ --- ------------------------- ------------------------ . . .._ ... _V Nature of Repairs or Alterations—Answer when applicable.............. .: ------ .. -- __-- -a ... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article NI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been i e y e board of health.) /� j Signed-- . . �. _ Date Application Approved By------------ ---------------------- — --------- c VDa Application Disapproved for the following reasons:............:..........:..... ....................................` �_.._., `. ° Date // / PermitNo......................................................... Issued... f4- ........................... Date ------------ (' b THE COMMONWEALTH OF MASSACHUSETTS ` BOARD F HEA TH OF.-... ...... r Applitatilot -for Di_qpnitt1 Works Tontitrurtion Prrmit Application is hereby madejor a Permit to Construct (' ) or Repair ( ) an Indivi ual •ewage Disposal yqn at: L ati dress v or Lot No. W` 4 .f/ ...-------------- :........... ............ ......•.... -- Address W Ins 11 Address Q pe of Building Size Lot............................Sq. feet U Dwe11' No. of Bedro s__.- "��` Expansion Attic ( ) Garbage Grinder ( ) -- -- •-- aOther Type of Build- :_ __ of persons_.......................... Showers ( ) — Cafeteria ( ) Q Other fixtures - --- '--- WDesign Flowe ...................:...... allons per person per day. Total daily flow--_.-_ -._._______-__-. .._ ..gallons. _04 S2ptic Tank Liquid capacit G�" llons Length___.. ..._:... Width __ Diameter._._... _-__ Depth ._._.__._.. . x t o Disposal Trench—No_ __________ _____ Width----------------------Total Length----------------------Total leaching area..-- ---sq. ft. ;Seepage Pit No ..... Diameter----------------------Depth below inlet.................... Total lead ' area..---..___--sq. tt. Z Other Distribution bqx A Dosing tank10 ~" Percolation Test Results Performed by-------- ____________ ___ C .. At/1 t ._ .__..._.--------------------------- Test a v.. -- Pit 1�16. 1---------------minutes per mch Depth of Test Pit_.__.....___.______. epth to ground water___..____-__-.-._-.-.._. r3� Test Pit No: 2................minutes per inch De of Test Pit------- ..._.___ _. Depth to ground water----- --------- _ ...------. -- -- .. O - Description of Soil = + •. • - x � --- .............. e ' - f-- ------ - ------- --- - 2 U P' r saver when applicable.------- .. Nature of Repairs or Alterations—Answer i == == OV --------------------------------•------------------------------------ Agreement: _ The undersigned agrees to install the aforedescribed Individual Sewage;Disposal System in accordance with the provisions of Article \I of the State Sanitary Code= The undersigned further agrees not to place the system in operation until a Certificate of Compliance has Lb�eaepiehe board-o£healh Signed-- --=-- ......... - ---._ XDate Application,Approved By...... � ------------------------------ - { Application Disapproved.f or--Vie following reasons,:..- ------ ___� ........:................. _ :. ___�__--_ ' --------------------------••----•-•••. - ---------=---------------------- --------------------------=--:--------------------------=---- -------------------------------- Date Permit No..................................' --------- :.. Issued.._ . '- /--Y': ....................' Date - THE COMMONWEALTH OF MASSACHUSETTS ^' BOARD,' F• HEALTH w ........ OF ......... .... ... ................................... QWfiftratr of Tomphaurr THI IS TO C TIFY, t e r. idjuar'`Sewage Disposal System constructed ('` ) or Repaired ( ) yb I � ..' ..-. - ..... ter_ nstaller �r at... - _ _ :.. ------ p has been installed in accordance ith the rovisions Article XI of The State Sanitary Code as described in theme application for Disposal Works Construction Termit_No.__"-_-__.....�....95:`---------- dated.1 THE ISSUANCE OF I C 4 IC ''`THIS ERT F ATE SHALL IdOL,6E COtd UE® G RAWTEE THAT THE SYSTEM WILL FUNCTION ATISFACTORY. , DATE-..... �v --- •-----•=--- Inspector ----•-•----•- 1 0 THE COMMONWEALTH OF MASSACH.U"SETTS BOA:.RD OF HEALTH. ... . .''.... OF. .. �R No. FEE ClIpmitrurtion,"Vrrtttit Prmissio- is hereby granted.............................................................................................................................................. at Noy ( ) an ivi >al Sewage Disposal System ^� r to Cons ct r R air jda ... . .. -- Street as-shown on the applicatio or Disposal.-Works Constructio e it No... .... ......... ated------ 1 ... _ 7 tom B f t41" (, - oar DATE 1255 HOB. J'& WARREN. INC.. PUBLISHERS --4F a 41 r [ f THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Apphration for Uiivu,ial Works Tomitrurtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: East Bay RoadOs to rvi lle _ .. ... ............. •-•-•.....•-•---•-•--•---•--•----••••-•-------••-••--•-••-------•-----.......................•---- Location-Address or Lot No. East Ba . v Lodpe w J.P.Ma e o mb e r J r,Owner Address 14 ....•-• •....••---.......-- ....... ... .................. ....... � Installer Address d Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria. ( ) POther fixtures !..................... w Design Flow...........................t...._........__gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No.........1........... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ 1-4 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fs, Test Pit No. 2................minutes per inch Depth of.Test Pit---:................ Depth to ground water........................ -----------------------------------------------------------------------------•••••......••...---•--......................................................... 0 Description of Soil..................Sand & Gravel x - ---- -- --------------------- ------ ------ ----------------- ----- Nature of Repairs or Alterations—Answer when a li able___--ReplaCemen£ of piping rOrn the v Grease traps to the septic tank 0 the distrik�u£iori---bmx-------------------------"'-' " -•----------------------------------------------------------------------------------------•-•-._.......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compli ce has b n issued by the boar of h th. Signed .. �.!/... .... _............... .2�2E 2------------ .0 Date Application Approved By -------------- . ..... . q �.- l....................................................................... Date Application Disapproved for the following reasons: ........... ...... .. ....................................... ...... ................ .................. ............. . Date Permit No. .............. .—........................ Issued Date i L.20 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Aug iratilan for Biipoiitt1 Workii Tnni#rnriiun ramit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: -.East Bay_ _Road_.Ostervi.11e - _ --••- ••-••---•---•••----•---------•----••-----•--•-----••-••-•--•-----------------------------------•-- Location-Address or Lot No. EastBa.v Lid e.... .......................................... ...................................••-•---....-- res...............----------.........--•--...... w J.P.Ma e omb e r J r.Owner Address ........................................ ............................................. ..........-----....-----•----...............-•----..........--•-•••--------•-•-••-----............ Installer Address UType of Building Size Lot............................Sq. feet I—•. Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) � e of Building P., Other—T yp g ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ------------------------ w Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (mot Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 --------------------------------------------------•------------....-----•......-•-----•-•-----.....•.........................................................O Description of Soil...................Sand &...Grave 1 x ... ............. w U Nature of Repairs or Alterations—Answer when ap livable.__.._Rep la c e me n t Of pip 1 fig f f;& the ----------------------- Grease traps to the septic tank to the distri�u� on bt�x.- -•---------------•--------......------------------------......--------------------------------........--••-.•---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed .---- - J rw'laa'-4 ------ -.2�26 Date 4 2 Application Approved B6. -�- Date Application Disapproved for the following reasons: -----------............................. Date PermitNo. ..............�.7 ---��.a .......... .......... Issued -- -- -----------------------------. --....--------.------. Date THE COMMONWEALTH OF MASSACHUSETTS m BOARD OF HEALTH TOWN OF BARNSTABLE Certtftrate of C ant lianre TIIC�S. TO C- R IFS' That the Individual Sewage Disposal System constructed ( ) or RepairedllsXX ) by-----J.P. acom�le jr. - ----------- -- -- -------------- - ----- ----------- ----------------------------------------------------------------------------------- ---------- ---------------- - ---------------------------- Installer at ...Eas-t.--Bay--Road ......... ............ ( East Bay.-...LOd-ge---- Os to rvi lle --------------------- --------------- --- ------------------ has been installed in accordance with the provisions of TITLE 5 of The St to Environmental Code as described in .. the application for Disposal Works Construction Permit No. .....--. .............I.......--.. dated ..........................._------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.. J.. If � Inspector .............. ----------------------------------------=----------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ��_�� TOWN OF BARNSTABLE $ 3� 00 No....... ..... ....... FEE._...........�......... Dispaisal Vorhg Tnnitr ion amit Permission is hereby granted....J.P.Mac omb e r Jr. ----••--------------------------•-------•----•-----............--------------••------•-•-••--------.........••---•--•.... to Construct ( ) or Repair (X an Individual Se =age Disposal System at No. East...Bav load •- sterville East Bay Lodge ---------------- Street as shown on the application for Disposal Works Construction Permit No._44_2-. Dated.......................................... ............... .......................................................... DATE................... _. Board of Health `�'=- --�-- -- FORM 36508 HOBBS Q WARREN,INC..PUBLISHERS