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Home My WebLink About0024 FALLING LEAF LANE - Health 24 Falling Leaf Lane OSTERVILLE Osterville �� A = 144 003001 M I'I e it 'I I I I Massachusetts Department of Environmental Protection LIBureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Ellen, Enviro-Septic, RUCK) A. Installation €q, Important:When Kathryn & Leslie McCormick filling out forms Owner on the computer, use only the tab #24 Falling Leaf Lane key to move your Facility Street Address + cursor-do not Osterville 02655 use the return City Zip p r� Mailing address of owner, if different: Street Address/PO Box: relwn City State Zip (315) 214-9008 ext. Telephone Number B. Authorized Service Provider Holmes and Mcgrath, Inc. 0&M Firm 205 Worcester Court, Unit A4 Street Address Falmouth MA 02540 City State Zip (508) 548-3564 ext. Telephone Number Luis Coelho 14887 Grade 4M Operator Name Technology Company/Date of Training C. Facility/System Information Gen. Use Cert. #97894 Innovative Ruck Systems Residential RUCK DEP ID Manufacturer ID Model Number 12/27/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 12/11/20 11/11/19 Inspection Date Previous Inspection Date Blackwater Tank=8" Graywater Tank76" pumping Recommended ❑ Yes ® No Sludge Depth(to be checked yearly) t5iaomr.doc- 6-16-06 Page 1 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) E. Field Testing — not required for standard inspection of Eljen, Enviro-Septic or RUCK Field Inspection: Color: ® gray ❑ brown ❑ clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 6 to g SU DO 2 or greater Turbidity NTU y 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information — not required for standard inspection of Eljen or Eviro-Septic Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑ TN ❑ Other(list below) Other 1 Other Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: Septic tank was pumped out on December 17, 2018 Notes and Comments: All components inspected and working properly. The structural integrity of both tanks were good and did not notice any evidence of leakage in or out of the tank. Vents in place and working. Scum layer was also about 3" thick inside septic tank. The septic tank showed some signs of failure to the ruck system. t5iaomr.doc• 6-16-06 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 ` DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Ellen, Enviro-Septic, RUCK) H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted any required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I have attended a trai � g course for this System with the Technology Company and am listed by the Company trained inspector. January 12, 2021 orSignature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 315t of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston, MA 02108 t5iaomr.doc- 6-16-06 Page 3 of 3 :7 Holmes and Mcgrath, ine LETTER OF TRANSMITTAL civil engineers and land surveyors . 205 Worcester Court, Unit A4 DATE 11/20/19 JOBNo. 217142 falmouth, ma. 02540 ATTENT10N NJ 508-548-3564 • 800-874-7373 • FAX 508-548-9672 ND email:Icoei'ho@holmesandmcgrath.com Re. Kathryn& Leslie McCormick #24 Falling Leaf Lane To: DEP Osterville, MA 02655 Attn:Title 5 Program _ 1 Winter Street,611'Floor Boston, MA 02108 WE ARE SENDING YOU El Attached ❑ Under separate cover via the following items: COPIES DATE NO. DESCRIPTION 1 11/11/2019 DEP Approved Inspection and O&M Form f REMARKS: COPY TO: a. Barnstable Board Of..Health _ .. v.. . .. Kathryn McCormick _ __ SIGNED: Luis Coelho Massachusetts Department of Environmental Protection LiBureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Ellen, Enviro-Septic, RUCK) A. Installation Important:When Kathryn & Leslie McCormick filling out forms Owner on the computer, use only the tab #24 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville 02655 use the return CityZi key. p Mailing address of owner, if different: Street Address/PO Box: mrwn City. State Zip (315) 214 -9008 ext. Telephone Number B. Authorized Service Provider Holmes and Mcgrath, Inc. O&M Firm 205 Worcester Court, Unit A4 Street Address Falmouth MA 02540 City State Zip (508) 548 -3564 ext. Telephone Number Luis Coelho 14887 Grade 4M Operator Name Technology Company/Date of Training C. Facility/System Information Gen. Use Cert. #97894 Innovative Ruck Systems Residential RUCK DEP ID Manufacturer ID Model Number 12/27/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 11/11/19 12/13/19 Inspection Date Previous Inspection Date Blackwater Tank=5" Graywater Tank=6" Pumping Recommended ❑ Yes ® No Sludge Depth(to be checked yearly) t5iaomr.doc•'6716-06 Page 1 of 3 s Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 L\ DEP Approved Inspection and OW Form for Title 5 I/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) E. Field Testing — not required for standard inspection of Eljen, Enviro-Septic or RUCK Field Inspection: Color: ® gray ❑ brown ❑ clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 6 to 9 SU DO 2 or greater TurbidityNTU 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information— not required forstandard inspection of Eljen or Eviro-Septic Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑ TN ❑ Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Septic tank was pumped out on December 17, 2018 Notes and Comments: All components inspected and working properly. The structural integrity of both tanks were good and did not notice any evidence of leakage in or out of the tank. Vents in place and working. Scum layer was also about 2" thick inside septic tank. The septic tank showed no signs of failure this year during my inspeciton. t5iaomr.doc- 6-16-06 Page 2 of 3 II . Massachusetts Department of Environmental Protection ABureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted any required Field Testing.and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I have attended a tr ining course for this System with the Technology Company and am listed by the ;Company a train�iipector. November 20, 2019 or ignatu Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: . Remedial Use— by January 31s'of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31 th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston, MA 02108 t5iaomr.doc• 6-16-06 Page 3 of 3 d (DZ Innovative Ruck Systems, inc. LETTER OF TRANSMITTAL civil engineers and land surveyors 205 Worcester Court, Unit A4 DATE 12/11/17 JOSNO. 217142 falmouth, ma. 02540 508-548-3564 - 800-874-7373 - FAX 508-548-9672 ATTENTION email:Icoelho@holmesandmcgrath.com RE: Kathryn &Leslie McCormick #24 Falling Leaf Lane To: DEP Osterville, MA 02655 Attn:Title 5 Program 1 Winter Street,6th Floor Boston, MA 02108 WE ARE SENDING YOU ®Attached ❑ Under separate cover via the following items: COPIES DATE NO. DESCRIPTION 1 11/29/2017 DEP Approved Inspection and O&M Form REMARKS: COPY TO: Barnstable Board Of Health Kathryn McCormick SIGNED: Luis Coelho Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) I.ab A. Installation Important:When y Kathr n & Leslie McCormick filling out forms Owner on the computer, use only the tab #24 Failing Leaf Lane key to move your Facility Street Address NO cursor-do not Osterville use the return 02655 key. City ZIP Mailing address of owner, if different: rab Street Address/PO Box: etwn City State Zip (315)214 -9008 ext. Telephone Number B. Authorized Service Provider Innovative Ruck Systems, Inc. 6&M Firm 205 Worcester Court, Unit A4 Street Address Falmouth MA 02540 Clv State ZAP (508)548-3564 ext. Telephone Number Luis Coelho 14887 Grade 4M Operator Name Technology Company/Date of Training C. Facility/System Information Gen. Use Cert. #97894 Innovative Ruck Systems Residential RUCK DEP ID Manufacturer ID Model Number 12/27/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 11/29/17 12/14/16 Inspection Date Previous Inspection Date Slackwater Tank=7" Graywater Tank=7" Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5iaomr.doc• 6-16-06 Page 1 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Ellen, Enviro-Septic, RUCK) E. Field Testing — not required for standard inspection of Eljen, Enviro-Septic or RUCK Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy El moldy ❑ offensive El turbid Effluent Solids: ® no ❑ some pH 6.9 SU DO .48 m�/ NTU 6 to 9 2 or great Turbidity 40 or less Should a Remedial or General U s s fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information — not required for standard inspection of Eljen or Eviro-Septic Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑TN ❑ Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: . None Notes and Comments: All components inspected and working properly. The structural integrity of both tanks were good and did not notice any evidence of leakage in or out of the tank. Vents in place and working. Scum layer was also about 1/2"thick inside septic tank. t5iaoinr.doc• 6-16-06 Page 2 of 3 Massachusetts Department of Environmental Protection Ll Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Ellen, Enviro-Septic, RUCK) H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted any required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I have attended a trainin course for this System with the Technology Company and am listed by the Company as rained in tor. -~---t December 11, 2017 O�atar&g ature %' Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use— by January 315t of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31 th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston, MA 02108 t5iaomr.doc• 6-16-06 Page 3 of 3 P.6 r� Innovative Ruck Systems, inc. LETTER OF TRANSMITTAL civil engineers and land surveyors 205 Worcester Court, Unit A4 DATE 1/4/17 �0 NO- 214046 falmouth, ma. 02540 ATTENTION 508-548-3564 - 800-874-7373 - FAX 508-548-9672 email:Icoelho@holmesandmcgrath.com RE: Kathryn&Leslie McCormick #24 Falling Leaf Lane To: DEP Osterville, MA 02655 Attn:Title 5 Program 1 Winter Street,6ch Floor Boston, MA 02108 WE ARE SENDING YOU ®Attached ❑ Under separate cover via the following items: COPIES DATE NO. DESCRIPTION 2 12/14/2016 DEP Approved Inspection and O&M Form REMARKS: COPY TO: Barnstable Board Of Health Kathryn McCormick SIGNED: Luis Coelho i Massachusetts Department of Environmental Protection ' i Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Ellen, Enviro-Septic, RUCK)A. Installation Important:When Kathryn & Leslie McCormick filling out forms Owner on the computer, use only the tab #24 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osten/ille 02655 use the return key. city Zip VQ Mailing address of owner, if different: -- Street Address/PO Box: City State Zip (315) 214 -9008 ext. Telephone Number B. Authorized Service Provider Innovative Ruck Systems, Inc. O&M Firm 205 Worcester Court, Unit A4 Street Address Falmouth MA 02540 City State Zip (508) 548-3564 ext. Telephone Number Luis Coelho 14887 Grade 4M Operator Name Technology Company/Date of Training C. Facility/System Information Gen. Use Cert. #97894 Innovative Ruck Systems Residential RUCK DEP ID Manufacturer ID Model Number 12/27/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 12/14/16 12/10/15 Inspection Date Previous Inspection Date Blackwater Tank=10" Graywater Tank=8" Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5iaomr.doc• 6-16-06 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) E. Field Testing — not required for standard inspection of EIjen, Enviro-Septic or RUCK Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ so 6.4 SU 1.20 mg/L NTU 6 to 9 2 or reater pH DO g �. Turbidity 40 or Tess Should a Remedial or General Use—sys t`e f it the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information — not required for standard inspection of Eljen or Eviro-Septic Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑ TN ❑ Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: None Notes and Comments: All components inspected and working properly. The structural integrity of both tanks were good and did not notice any evidence of leakage in or out of the tank. Vents in place and working. Scum layer was also about 2.5"thick inside septic tank. t5iaomr.doc• 6-16-06 Page 2 of 3 Massachusetts Department of Environmental Protection 7 L Bureau of Resource Protection - Title 5 l DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Ellen, Enviro-Septic, RUCK) H. Certification certify: I have inspected the sewage treatment and disposal system at the address above, have -- - ------- --- conducted any required-Field-Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I have attended a tr ' ing course for this System with the Technology Company and am listed by the Company a trained i �ector. GG� January 4, 2017 for ignature Date System owner must submit this report,technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use-by January 31 st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use-by March 31 th of each year for the previous 12 months General Use-by September 301h of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston, MA 02108 t5iaomr.doc• 6-16-06 Page 3 of 3 Innovative Ruck Systems, inc. LETTER OF TRANSMITTAL civil engineers and land surveyors 205 Worcester Court, Unit A4 DATE .0/5/16 JOBNO. 214046 falmouth, ma. 02540 ATTENTION 508-548-3564 • 800-874-7373 • FAX 508-548-9672 email:lcoelho@holmesandmcgrath.com HE: Kathryn&Leslie McCormick #24 Falling Leaf Lane To: DEP Osterville, MA 02655 Attn:Title 5 Program :,. 1 Winter Street, 6th Floor r Boston, MA 02108 WE ARE SENDING YOU ®Attached ❑ Under separate cover via the following items: COPIES DATE NO. DESCRIPTION 2 12/10/2015 DEP Approved Inspection and O&M Form REMARKS: COPY TO: Barnstable Board Of Health Kathryn McCormick SIGNED: Luis Coelho Massachusetts Department of Environmental Protection / Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) A. Installation Important:When Kathryn & Leslie McCormick filling out forms Owner on the computer, use only the tab #24 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville 02655 use the return key. City Zip Mailing address of owner, if different: tab Street Address/PO Box: mrtan City State Zip (315) 214- 9008 ext. Telephone Number B. Authorized Service Provider Innovative Ruck Systems, Inc. O&M Firm 205 Worcester Court, Unit A4 Street Address Falmouth MA 02540 City State Zip (508) 548 - 3564 ext. Telephone Number Luis Coelho 14887 Grade 4M Operator Name Technology Company/Date of Training C. Facility/System Information Gen. Use Cert. #97894 Innovative Ruck Systems Residential RUCK DEP ID Manufacturer ID Model Number 12/27/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 12/10/15 11/11/14 Inspection Date Previous Inspection Date Blackwater Tank=9" Graywater Tank=7" Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5iaomr.doc• 6-16-06 Page 1 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Ellen, Enviro-Septic, RUCK) E. Field Testing — not required for standard inspection of EIjen, Enviro-Septic or RUCK Field Inspection: Color: ❑ gray ❑ brown ® clear ❑turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 6.2 SU DO 1- 6.mg/L Turbidity NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information — not required for standard inspection of Eljen or Eviro-Septic Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑TN ❑ Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed.since previous inspection &during this inspection: None Notes and Comments: All components inspected and working properly. The structural integrity of both tanks were good and did not notice any evidence of leakage in or out of the tank. Vents in place and working. Scum layer was also about 2"thick inside septic tank. t5iaomr.doc• 6-16-06 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted any required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I have attended a trai 'ng course for this System with the Technology Company and am listed by the Company a trained in ctor. January 5, 2016 O.' or Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31 st of each year for the previous calendar year Piloting Use- within 45 days of inspection date Provisional Use—by March 31 th of each year for the previous 12 months General Use—by September 301h of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston, MA 02108 t5iaomr.doc• 6-16-06 Page 3 of 3 innovative Ruck Systems,, inc. LETTER OF TRANSMITTAL civil engineers and land surveyors 205 Worcester Court, Unit A4 DATE 11/13/14 JOB NO. 214046 falmouth, ma. 02540 ATTENTION 508-548-3564 • 800-874-7373 • FAX 508-548-9672 email:Icoelho@holmesandmcgrath.com RE: Kathryn&Leslie McCormick #24 Falling Leaf Lane To: DEP Osterville, MA 02655 Attn:Title 5 Program 1 Winter Street,6th Floor Boston, MA 02108 t WE ARE SENDING YOU ®Attached ❑ Under separate cover via the following items: COPIES DATE NO. DESCRIPTION 2 11/11/14 DEP Approved Inspection and O&M Form y+ REMARKS: COPY TO: tBarnstable Board-Of Health Ka$ ryn McCormick SIGNED: Luis Coelho LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and OW Form for Title 5 I/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) A. Installation Important:When Kathryn & Leslie McCormick filling out forms Owner on the computer, use only the tab #24 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville 02655 use the return key. City Zip Mailing address of owner, if different: Street Address/PO Box: remm City State Zip (315)214-9008 ext. Telephone Number B. Authorized Service Provider Innovative Ruck Systems, Inc. O&M Firm 205 Worcester Court, Unit A4 Street Address Falmouth MA 02540 City State Zip (508) 548-3564 ext. Telephone Number Luis Coelho 14887 Grade 4M Operator Name Technology Company/Date of Training C. Facility/System Information Gen. Use Cert. #97894 Innovative Ruck Systems Residential RUCK DEP ID Manufacturer ID Model Number 12/27/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 11/11/14 12/12/13 Inspection Date Previous Inspection Date Blackwater Tank=6" Graywater Tank=8" Pumping Recommended ❑ Yes ® No Sludge Depth(to be checked yearly) t5iaomr.doc• 6-16-06 Page 1 of 3 C� LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted any required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I have attehdedatrajningcourse for this System with the Technology Company and am listed by the Compan a trained ' spec r. 11/13/14 A�re'ra Signat Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31St of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31 th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston, MA 02108 t5iaomr.doc• 6-16-06 Page 3 of 3 V Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 LF�j DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) E. Field Testing — not required for standard inspection of Eljen, Enviro-Septic or RUCK Field Inspection: Color: ❑ gray ❑ brown ® clear ❑turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 5.9 SU DO :1.44 mg/L . ! Turbidity NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information — not required for standard inspection of Eljen or Eviro-Septic Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑TN ❑ Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: None Notes and Comments: All components inspected and working properly. The structural integrity of both tanks were good and did not notice any evidence of leakage in or out of the tank. Vents in place and working. Scum layer was also only 1"thick inside septic tank again this year. t5iaomr.doc- 6-16-06 Page 2 of 3 Innovative RudcSystems,. inc. LETTER OF TRANSMITTAL civil engineers and land surveyors 205 Worcester Court, Unit A4 DATE 12/24/13 JDeNO. 210134 falmouth, ma. 02540 ATTENTION 508-548-3564 • 800-874-7373 • FAX 508-548-9672 email:mcgrath@holmesandmcgrath.com RE: Kathryn&Leslie McCormick #24 Falling Leaf Lane To: DEP Osterville, MA 02655 Attn:Title 5 Program 1 Winter Street,6th Floor Boston, MA 02108 WE ARE SENDING YOU ®Attached ❑ Under separate cover via the following items: COPIES DATE NO. DESCRIPTION 2 12/12/13 DEP Approved Inspection and O&M Form REMARKS: -- ;: COPY TO: ;Barnstable Board Of Health Kathryn McCormick SIGNED: Luis Coelho w -- I Massachusetts Department of Environmental Protection s Bureau of Resource Protection -Title 5 DEP Approved Inspection and OW Form for Title 5 I/A Treatment and Disposal Systems (Eljen, Enviro-septic, RUCK) A. Installation Important:When Kathryn & Leslie McCormick filling out forms Owner on the computer, use only the tab #24 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville 02655 use the return key. City Zip 11 Mailing address of owner, if different: Street Address/PO Box: maun City State Zip (315)214-9008 ext. Telephone Number B. Authorized Service Provider Innovative Ruck Systems, Inc. O&M Firm 205 Worcester Court, Unit A4 Street Address Falmouth MA 02540 City State Zip (508) 548-3564 ext. Telephone Number Luis Coelho 14887 Grade 4M Operator Name Technology Company/Date of Training C. Facility/System Information Gen. Use Cert.#97894:: : Innovative Ruck Systems., Residential.RUCK DEP ID Manufacturer ID Model Number 12/27/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence-used less than 6 mo:/year: ❑ Yes ® No D. Operating Information 12/12/13 10/25/12 Inspection Date Previous Inspection Date Blackwater Tank=4" Graywater Ta6k=5" pumping Recommended El Yes ® No Sludge Depth(to be checked yearly) 15iaomr.doc• 6-16-06 Page 1 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) E. Field Testing — not required for standard inspection of Eljen,Enyiro-Septic or RUCK Field Inspection: Color: ❑ gray ❑ .brown ®clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 5.6 SU DO 1.72 mg/L Turbidity NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information — not required for standard inspection of Eljen or Eviro-Septic Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑TN ❑ Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: None Notes and Comments: All components inspected and working properly.The structural integrity of both tanks were good and did not notice any evidence of leakage in or out of the tank. Vents in place and working. Scum layer was also only"I thick inside septic tank. t5iaomr.doc- 6-16-06 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A ..Lll� Treatment and Disposal � Systems Eljen, Enviro-Septic, RUCK) Y H. Certification certify: I have inspected the sewage treatment and disposal system at the address above, have conducted any required Field Testing and/or sample collection.in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and. the information reported is true, accurate, and complete as of the time of the inspection. I have attended a trai 'ng course fo this System with the Technology Company and am listed by the Company trained in ector 12/24/13 O atop ignature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 315t of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 61h Floor Boston, MA 02108 t5iaomr.doc• 6-16-06 Page 3 of 3 r holmes and rnograth, inc LETTER OF TRANSMITTAL civil"engineers and land surveyors 205 Worcester.Court,-Unit A4 DATE 10/29/12 JOB NO 21018� falmouth, ma. 02540 ATTEtnON 508-548-3564 t 800 87�4-7373 • FAX 508-548-9672 email:mcgrath@holmesandmcgrath.com Kathryn&Leslie McCormick . #24 Falling Leaf Lane To: DEP Osterville;MA C2655 Attn:Title 5 Program 1 Winter Sfreet,e Floor . Boston, MA 02108 WE ARE SENDINGYOU ®Attached ❑ Under separate cover via the following items: COPIES DATE NO.. DESCRIPTION 1 10/25/12 IDEPApprovedIns` tio and08, Form REMARKS.. COPY TO: CBarnstable Board Of Health Kathryn McCormick SIGNED: Luis Coelho M" assachusetts Department of Environmental ;Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection an-,,- O&M Form for Tit 5 I/A Treatment and Disposal Systems .(Eijen, Envilro Septic,,RUCK) A. Installation Important: Kathryn.& Leslie McCormick When filling out Owner forms on the computer,use #24 Failing Leaf Lane only the tab key Facility Street Address to move:your Osterville 02655 cursor,'do not use the return City Zip key. Maili lg:address of owner,.if different: Street Addres"s`/PO'Boz:' " '`'`"` '' • - - • g rencn City State Zip (315)214:=9008:ext. Telephone Number ` B. Authorized Service Provider Innovative Ruck Systems; lnc. O&M Firm 362 Gifford,Street . StreetAddress Falmouth MA 02540. City" State Zip (508).:548,-.3564 ext. Te'I60honverr,46mber Luis,Coelho 14887.Grade 4M. . Operator Name Technology Company/Date of Training C. Fat'i lKy"Mi, s't,M Infotma'tion` Gen: Use Cert.#97894 Innovative Ruck'Systerrls Residential RUCK DEP—D _ Manufacturer ID . _.Model:_Number 12/27199 ; Installation Date Start of Operation Approval Type: ® General ElProvisional ElPiloting Ej Remedial Seasonal Residence—.used. less than 6 mo./year: ❑ Yes �. No D. Operatin:g Information 10/25/12 . 10/28/11 Irispection Date Previous Inspection Date. Blackwater Tank=7" Graywater Tank=10" Pumping Recommended ❑ Yes No Sludge Depth(to be checked'yearly) t5iaomr.doc.e 6-16-06 Page 1 of 3 I LIMassachusetts Department of Environmental Protection- Bureau of Resource Protection.-Title5 DEP Approved Ins.pectlon and For O&M m for Title 5 /A Treatment and Disposal Systems f tIjen, Enviro Septic, RUCK) E.'`Field Testing not required for standard inspection of Eljen, Enviro-Septic or RUCK Field Inspection: Color: ❑ gray ❑ -brown 0 clear ❑turbid ❑ Other(specify): Qdor: E musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent_Solids:_- :E no ❑..some-,,.-. ... � � ... RH 6 to s SU DO �•' 2 or grey erg/L Turbidity 40 or less .Should a Remedial,or General Useaystem fail.tl a Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD wd TSS.` M F SBmpling InfOt'matlOn not required for standard'inspe'fl of Eli or E' Septic �. Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design filow of'20go gpd and,greater,and General Use nitrogen reducing systems: Gd Parameters sampled: ❑ pR❑ E�OD ❑"CBOD ❑ TSS ❑TN ❑ Other(list below) Other 1 Other 2 O.ther 3 G. Inspection a fid,Maintenance Description of any maintenance performed since previous inspection &during this inspection:_ None Notes and Comments: All components inspected and working properly. The structural integrity of both tanks were good and did not notice any evidence of leakage in or out of the tank. Vents in place and working. Scum layer Was also only 1"thick inside septic.tank. s t5iaomr.doc 6-16-06 Rage,2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 71 DEP Approved Inspection,and O&M...oem for Title 5 I/A 7. Treatment ;and=Disposal Systems (E- n, EnViro septic, RUCK H. Gertification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted any requ,ired.Field Testing and%or sample collection in accordance with Standard Methods, have completed this report and the attached technology:.operation arid maintenance checklist, and the,information reported is true, accurate, and complete as of the time of the inspection. 1 have attended a tr , ing course , rthis System with the Te"chnology Company and`am listed by the Compa s a trained i ° pector. 10/29/12 ,,,�taf Sighatd Da'f&:, � System owner must submit this report, technology O&M checklist, and any required sampling'results to the local board of health and DEP as follows for each inspection performed: .Remedial Use—.by-January 31st of each year for the previous calendar year Piloting Use_-with,in.45 days of inspection date _+ x. Provisional ,jr,. by March` 31'h of each year:,or the previous 12 months General Use—by September 30'h of each year for the`previous 12 months Sedd to: Department of Environmental Protection Attention Title 5 Pro ram One Winter Street,6`�Floor Boston,-MA 02108 ' e . t t5iaomr.doc• 6-16-06 Page 3 of 3 i holmes and mcgrath, inc. LETTER OF TRANSMITTAL civil engineers and land surveyors 362 gifford street DATE 12/10/10 JOBNO. 210134 falmouth, ma. 02540 ATTENTION 508-548-3564 9 800-874-7373 • FAX 508-548-9672 email:mcgrath@holmesandmcgrath.com RE. Kathryn&Leslie McCormick #24 Falling Leaf Lane To: DEP Osterville, MA 02655 Attn:Title 5 Program 1 Winter Street,6 Floor Boston, MA 02108 WE ARE SENDING YOU ®Attached ❑ Under separate cover via the following items: COPIES DATE NO. DESCRIPTION 1 7/7/10 DEP Approved Inspection and O&M Form REMARKS: Y'+5 drr a COPY TO: ._ . . QBarnstabie Board Of Health f: E SIGNED: Luis Coelho . Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) A. Installation Important: Kathryn & Leslie McCormick When filling out Owner forms on the computer,use #24 Falling Leaf Lane only the tab key Facility Street Address to move your Osterville 02655 cursor-do not use the return City Zip key. Mailing address of owner, if different: reb Street Address/PO Box: City State Zip (315)214-9008 ext. Telephone Number B. Authorized Service Provider Innovative Ruck Systems, Inc. O&M Firm 362 Gifford Street Street Address Falmouth MA 02540 City State Zip (508) 548-3564 ext. Telephone Number Luis Coelho 14887 Grade 4M Operator Name Technology Company/Date of Training C. Facility/System Information Gen. Use Cert. #97894 Innovative Ruck Systems Residential RUCK DEP ID Manufacturer ID Model Number 12/27/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 7/7/10 10/27/09 Inspection Date Previous Inspection Date Blackwater Tank=6" Graywater Tank=12" Pumping Recommended ❑ Yes ® No Sludge Depth(to be checked yearly) t5iaomr.doc• 6-16-06 Page 1 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection -Titde 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) E. Field Testing — not required for standard inspection of Eljen, Enviro-Septic or RUCK Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 6 to 9 Su DO 2 or greater. mg/L Turbidity 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information — not required for standard inspection of Eljen or Eviro-Septic Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑ TN ❑ Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: None Notes and Comments: All components inspected and working properly. The structural integrity of both tanks were good and did not notice any evidence of leakage in or out of the tank. Vents in place and working. t5iaomr.doc- 6-16-06 Page 2 of 3 •' Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Ellen, Enviro-Septic, RUCK) H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted any required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the informati n reported is true, accurate, and complete as of the time of the inspection. I have attended aining co se this System with the Technology Company and am listed by the Com as a trai r. 12/10/10 perator Signatu Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6t Floor Boston, MA 02108 t5iaomr.doc• 6-16-06 Page 3 of 3 TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS , SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 24 Falling Leaf Lane Osterville,MA 02655 Owner's Name: Mr. Ralph King Owner's Address: Same Date of Inspection: July 7,2010 I Name of Inspector: (please print) Luis Coelho Company Name: Holmes&McGrath Inc. Mailing Address: 362 Gifford Street Falmouth,MA Telephone Number: 508-548-3564 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority ails Inspector's Signature: Date: z /v The system inspector sha 1 submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. C.� I j 1 r OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 24 Falling Leaf Lane Osterville,MA 02655 Owner: Mr.Ralph King Date of Inspection: July 7,2010 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: _X_ 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. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined"please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain 2 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 24 Falling Leaf Lane Osterville,MA 02655 Owner: Mr. Ralph King Date of Inspection: July 7,2010 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. _ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well".Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: 3 r OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 24 Falling Leaf Lane Osterville,MA 02655 Owner: Mr. Ralph King Date of Inspection: July 7,2010 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No _X_ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool —X— Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool _X_ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _X_ Liquid depth in cesspool is less than 6"below invert or available volume is less than''/z day flow —X— Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped _X_ Any portion of the SAS,cesspool or privy is below high ground water elevation. —X— Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone 1 of a public well. _X_ Any portion of a cesspool or privy is within 50 feet of a private water supply well. —X—Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] No (Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large 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. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered"yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. 4 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 24 Falling Leaf Lane Osterville,MA 02655 Owner: Mr.Ralph King Date of Inspection: July 7,2010 Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No _X_ _ Pumping information was provided by the owner, occupant,or Board of Health _X_ Were any of the system components pumped out in the previous two weeks? _X_ _ Has the system received normal flows in the previous two week period? X_ Have large volumes of water been introduced to the system recently or as part of this inspection'? _X_ _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) _X_ _ Was the facility or dwelling inspected for signs of sewage back up? _X_ _ Was the site inspected for signs of break out? _X _ Were all system components,excluding the SAS, located on site? _X_ _ 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? _X_ _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no _X_ _ Existing information.For example,a plan at the Board of Health. _X_ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)] 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 24 Falling Leaf Lane Osterville,MA 02655 Owner: Mr. Ralph King Date of Inspection: July 7,2010 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design):_3_ Number of bedrooms(actual):_3_ DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms):_330_ Number of current residents: 2 Does residence have a garbage grinder(yes or no): NO Is laundry on a separate sewage system(yes or no): NO [if yes separate inspection required] Laundry system inspected(yes or no):_ Seasonal use: (yes or no): no Water meter readings, if available(last 2 years usage(gpd)): 410 (Irrigation) Sump pump(yes or no): No_ Last date of occupancy: Current COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no):_ Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Homeowner Was system pumped as part of the inspection(yes or no):_NO If yes,volume pumped:_gallons--How was quantity NO 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) X Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank _Attach a copy of the DEP approval _Other(describe): Approximate age of all components,date installed(if known)and source of information: 12 years Infromation from As-Built Were sewage odors detected when arriving at the site(yes or no):- NO-6 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 24 Falling Leaf Lane Osterville,MA 02655 Owner: Mr.Ralph King Date of Inspection: July 7,2010 BUILDING SEWER(locate on site plan) Depth below grade: 16" Materials of construction:_cast iron X 40 PVC_other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): Plumbing in good condition no evidence of leakage and all vents appear to be working SEPTIC TANK:_X_(locate on site plan) Depth below grade:_2"_ Material of construction:_X_concrete_metal_fiberglass_polyethylene If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: 9' long x 5.2' wide x 6' high H-20 Sludge depth: 6" Distance from top of sludge to bottom of outlet tee or baffle: 28" Scum thickness:_5" Distance from top of scum to top of outlet tee or baffle: 3" Distance from bottom of scum to bottom of outlet tee or baffle: 12" How were dimensions determined: Physical measurement with sludge iudge Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): • structural integrity of the tank is in good condition and the liquid is at working level.Risers were present. • There is no signs of leakage in or out of the septic tank. I did recommend pumping due to scum being 2"to top of inlet tee. • Client is pumping septic tank after inspection due to high scum level. GREASE TRAP:_N/A_(locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments i(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 7 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 24 Falling Leaf Lane Osterville,MA 02655 Owner: Mr. Ralph King Date of Inspection: July 7,2010 TIGHT or HOLDING TANK:_N/A_(tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass_polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: X (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: 0" Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): Box was level and no high water stains above outlet tee. PUMP CHAMBER:_N/A_(locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 24 Falling Leaf Lane Osterville,MA 02655 Owner: Mr.Ralph King Date of Inspection: July 7,2010 SOIL ABSORPTION SYSTEM(SAS):—X_(locate on site plan,excavation not required) If SAS not located explain why: Located on site elan Type leaching pits,number:_ leaching chambers,number: leaching galleries,number: _X_leaching trenches,number, length: 2@ 30' long by 4' Wide leaching fields,number, dimensions: overflow cesspool,number: _X— innovative/alternative system Type/name of technology: Ruck System Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.): No signs of failure. Soil and vegetation around soil absorption system look normal CESSPOOLS:_N/A_(cesspool must be pumped as part of mspection)(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY:_N/A_(locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): 9 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 24 Falling Leaf Lane Osterville,MA 02655 Owner: Mr. Ralph King Date of Inspection: July 7,2010 i SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. I FALLING LEAF LANE 1 D-BOX In FRONT GARAGE /24 FAWNC LEAF LANE EXISTING ROUSE BACK A 1,000 CALLON SEPTIC TANK BLACKWATER 0 B SEPTIC TANK SEPTIC TANK 1.000 GALLON BLACKWATER GRAYWATER D-BOX SEPTIC TANK A C CRAYWATER B m 26'-B' ® 17'-0* ® 34'-6- ® 13'-10' r OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 24 Falling Leaf Lane Osterville,MA 02655 Owner: Mr. Ralph King Date of Inspection: July 7,2010 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 13+ Please indicate(check)all methods used to determine the high ground water elevation: _X_Obtained from system design plans on record-If checked,date of design plan reviewed: July 31, 1998 _X_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: Proposed Sewage Disposal. Designed by:Holmes and McGrath Inc Local Topographic Test Pits 11 Innovative RUCK Systems, Inc A Denitrifying Septic System 362 gifford street falmouth, ma 02540 508-548-3564. 800-874-7373- fax 508-548-9672 email: tsantos@holmesandmcgrath.com Emily King 24 Falling Leaf Lane Osterville, MA 02655 Re: #24 falling Leal Lane, Osterville,MA Dear Ms. King: The Department of Environmental Protection requires that every innovative alternative sewage disposal system be maintained and under a service contract. The RUCK® system serving your house is an innovative alternative sewage disposal system. Below you will find the required service contract. Please review this, sign it and return it to us. We will perform the required inspections and monitoring and bill you for the service. RUCK® System Three Year Maintenance Agreement Innovative RUCK® Systems Inc. agrees to perform, on an annual basis, the following services to the. RUCK(D system located at the address above. RUCK® systems are served by a series of septic tanks. The RUCK system also has a RUCK filter and a soil absorption system. The fee for the operation and maintenance and issuance of the DEP report will be $150.00 per inspection, plus expenses. The services are described below: A) Inspect Septic Tanks for Required Pumping under the Following Criteria: 1 . Inspect the condition of the tanks. 2.. Measure the distance between bottom of scum/grease layer and bottom of the outlet baffle. 3. Measure the distance between top of scum layer and top of outlet tee. 4 . Measure the thickness of the scum/grease layer. 5. Measure the sludge layer and distance from sludge to outlet tee. 6. Inspect the condition of the inlet and outlet tees. 7. Report any evidence of leakage into or out of the tank. 8. Report any evidence of any backup of effluent. B) Inspect the Vents for Evidence of Blockage: 9. Inspect vent tee and insure insect screen is in place and that no bird or insect nest is blocking the vent. C) Monitoring: 10. Your system was approved under the General Use Certificate. The DEP and Barnstable Board of Health require monitoring of the system. The applicable procedures set forth in the most recent "General Use Certificate Approval - Pursuant to Title 5, 310 CMR 15.000" (See "Conditions Applicable to the System Owner" attached) shall be strictly adhered to. The laboratory tests will be billed to you as an expense. After 12 months of monitoring, if the System is approved as acceptable by the DEP and Board of Health, in accordance with 310 CMR 15.285, General Certificate Approval, and at the written request of the System owner, the DEP and local Board of Health may reduce the monitoring requirements. D) System Failure: 11. Within twenty-four (24) hours of a system failure or alarm event, this office will notify the Massachusetts D.E.P. and the local Board of Health by both telephone and letter of this fact along with whatever corrective measures are to be taken immediately. Also as part of this service & maintenance agreement please find a detailed contingency plan (attached) to be implemented immediately upon first learning of a system failure. A failure is defined by a final effluent TN concentration exceeding 19 mg/L. In addition, Innovative RUCK Systems, Inc. , hereby agrees to comply with all criteria outlined in the "Conditions Applicable to the System Owner" section outlined in the most recent version of Massachusetts D.E.P. 's General Use Certificate Approval Pursuant to Title 5, 310 CMR 15.000, Section IV (See Attached) . TERMS: Statements will be rendered at the completion of the work, or monthly, and are due upon presentation. A FINANCE CHARGE of 1- 1/2% per month (18% per year) on all sums under five hundred ($500.00) dollars, and 1 1/2% per month (18% per. year) on all sums over five hundred ($500.00) dollars will be added to the then unpaid balance after thirty (30) days from the date of the billing. Innovative RUCK Systems, Inc. reserves the right to terminate work in progress in the event payment is not received in accordance with the payment provisions. j COLLECTIONS: The Client agrees to g pay all costs of collection, including reasonable attorney's fees. This Agreement is null and void unless executed by the Client and returned to Innovative RUCK Systems, Inc. within thirty (30) days. COORDINATING INSTRUCTIONS: The inspector will need to uncover the septic tank covers, inspection ports and pump chamber hatches. Obviously, there will be holes dug in lawns or landscaped areas. We will endeavor to protect lawns and landscaping but the covers have to be exposed. Please call our office and discuss the particulars with L s Coelho Timothy Santos. j Issued By: Date: October 19, 2009 Accepted By: Date: i 12 ,Ac3 y— Telephone :,,�eaF fnZd �S��G TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 24 Falling Leaf Lane Osterville,MA 02655 (� Owner's Name: Mr. Ralph King vl Owner's Address: Same Date of Inspection: July 7,2010 Name of Inspector: (please print) Luis Coelho Company Name: Holmes&McGrath Inc. Mailing Address: 362 Gifford Street Falmouth, MA Telephone Number: 508-548-3564 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: X Passes Conditionally Passes .E� Needs Further Evaluation by the Local Approving Authority4 ails Inspector's Signature: e Date: 71elxo a„ s The system inspector sha I submit a copy,of this inspection report to the Approving Authority(Board of Health or D.EP)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,theinspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent torthe system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. ,E 1 i � OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 24 Falling Leaf Lane Osterville,MA 02655 Owner: Mr.Ralph King Date of Inspection: July 7,2010 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: _ R X_ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CM 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system, upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined"please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain 2 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 24 Falling Leaf Lane Osterville,MA 02655 Owner: Mr. Ralph King Date of Inspection: July 7,2010 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: 3 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 24 Falling Leaf Lane Osterville,MA 02655 Owner: Mr. Ralph King Date of Inspection: July 7,2010 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 — —X— Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool — —X_ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _X_ Liquid depth in cesspool is less than 6"below invert or available volume is less than''/z day flow —X_ 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. _X_ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _ _X_ Any portion of a cesspool or privy is within a Zone 1 of a public well. _ _X_ Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] No (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large 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. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no the system is within 400 feet of a surface drinking water supply _ the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered"yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. 4 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 24 Falling Leaf Lane Osterville,MA 02655 Owner: Mr. Ralph King Date of Inspection: July 7,2010 Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No _X_ _ Pumping information was provided by the owner, occupant, or Board of Health _ _X_ Were any of the system components pumped out in the previous two weeks? _X_ _ Has the system received normal flows in the previous two week period? X_ Have large volumes of water been introduced to the system recently or as part of this inspection? _X_ _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) _X_ _ Was the facility or dwelling inspected for signs of sewage back up? _X_ _ Was the site inspected for signs of break out? X_ _ Were all system components,excluding the SAS, located on site? _X_ _ 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? _X_ _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no _X_ _ Existing information.For example,a plan at the Board of Health. _ _X_ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)] 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 24 Falling Leaf Lane Osterville, MA 02655 Owner: Mr. Ralph King Date of Inspection: July 7,2010 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design):_3_ Number of bedrooms(actual):_3_ DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms):_330_ Number of current residents: 2 Does residence have a garbage grinder(yes or no): NO Is laundry on a separate sewage system(yes or no): NO [if yes separate inspection required] Laundry system inspected(yes or no): Seasonal use: (yes or no): no Water meter readings, if available(last 2 years usage(gpd)): 410 (Irrigation) Sump pump(yes or no):_No_ Last date of occupancy: Current COMMERCIALANDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no):_ Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Homeowner Was system pumped as part of the inspection(yes or no):_NO If yes, volume pumped:_gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM _Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool Privy Shared system(yes or no)(if yes,attach previous inspection records,if any) X Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank _Attach a copy of the DEP approval _Other(describe): Approximate age of all components,date installed(if known)and source of information: 12 years Infromation from As-Built Were sewage odors detected when arriving at the site(yes or no):- NO-6 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 24 Falling Leaf Lane Osterville,MA 02655 Owner: Mr.Ralph King Date of Inspection: July 7,2010 BUILDING SEWER(locate on site plan) Depth below grade: 16" Materials of construction:_cast iron X 40 PVC_other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): Plumbing in good condition no evidence of leakage and all vents appear to be working SEPTIC TANK:_X_(locate on site plan) Depth below grade:_2"_ Material of construction: X_concrete_metal_fiberglass_polyethylene If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: 9' long x 5.2'wide x 6' high H-20 Sludge depth: 6" Distance from top of sludge to bottom of outlet tee or baffle: 28" Scum thickness:_5" Distance from top of scum to top of outlet tee or baffle: 3" Distance from bottom of scum to bottom of outlet tee or baffle: 12" How were dimensions determined: Physical measurement with sludge judge Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): • structural integrity of the tank is in good condition and the liquid is at working level.Risers were present. • There is no signs of leakage in or out of the septic tank. I did recommend pumping due to scum being2_'to top of inlet tee. • Client is pumping septic tank after inspection due to high scum level. GREASE TRAP:_N/A_(Iocate on site plan) Depth below grade:_ Material of construction:_concrete_metal_fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 7 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 24 Falling Leaf Lane Osterville,MA 02655 Owner: Mr. Ralph King Date of Inspection: July 7,2010 TIGHT or HOLDING TANK:_N/A_(tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass_polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: X (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: 0" Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box, etc.): Box was level and no high water stains above outlet tee. PUMP CHAMBER:_N/A_(locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS l SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 24 Falling Leaf Lane ✓ Osterville.MA 02655 Owner: Mr. Ralph King Date of Inspection: July 7,2010 SOIL ABSORPTION SYSTEM(SAS):_X_(locate on site plan,excavation not required) If SAS not located explain why: Located on site elan Type leaching pits,number:leaching chambers,number: leaching leaching galleries,number: _X_leaching trenches,number, length: 2 @ 30' long by 4' Wide leaching fields,number, dimensions: overflow cesspool,number: _X_innovative/alternative system Type/name of technology: Ruck System Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.): No signs of failure. Soil and vegetation around soil absorption system look normal CESSPOOLS:—N/A (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Continents (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY:_N/A_(locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): 9 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 24 Falling Leaf Lane Osterville, MA 02655 Owner: Mr. Ralph King Date of Inspection: July 7,2010 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet.Locate where public water supply enters the building. FALLING LEAF LANE O-BOX FRONT GARAGE /24 FAWNC LEAF LANE EKISTING HOUSE BACK AA I.ODO GALLON SEPTIC TANK BLACKWATER O B SEPTIC TANK SEPTIC TANK 1.000 GALLON BLACKWATER GRAYWATER D-BOX SEPTIC TANK A B GRAYWATER C ® 26'-B' ® 17'-0' ® J4'-6' ® IJ'-10, I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 24 Falling Leaf Lane Osterville,MA 02655 Owner: Mr. Ralph King Date of Inspection: July 7,2010 i SITE EXAM j Slope Surface water Check cellar Shallow wells i Estimated depth to ground water 13+ Please indicate(check)all methods used to determine the high ground water elevation: _X_Obtained from system design plans on record-If checked,date of design plan reviewed: July 31, 1998 _X_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: Proposed Sewage Disposal. Designed by: Holmes and McGrath Inc Local Topographic Test Pits 11 Innovative RUCK Systems, Inc A Denitrifying Septic System 362 gifford street falmouth, ma 02540 508-548-3564. 800-874-7373•fax 508-548-9672 email: tsantos@holmesandmcgrath.com Emily King 24 Falling Leaf Lane Osterville, MA 02655 Re: #24 fallinP Leal Lane, Osterville,MA Dear Ms. King: The Department of Environmental Protection requires that every innovative alternative sewage disposal system be maintained and under a service contract. The RUCK® system serving your house is an innovative alternative sewage disposal system. Below you will find the required service contract. Please review this, sign it and return it to us. We will perform the required inspections and monitoring and bill you for the service. RUCK® System Three Year Maintenance Agreement Innovative RUCK® Systems Inc. agrees to perform, on an annual basis, the following services to the. RUCK® system located at the address above. RUCK® systems are served by a series of septic tanks. The RUCK system also has a RUCK filter and a soil absorption system. The fee for the operation and maintenance and issuance of the DEP report will be $150.00 per inspection, plus expenses. The services are described below: A) Inspect Septic Tanks for Required Pumping under the Following Criteria: 1. Inspect the condition of the tanks. 2. Measure the distance between bottom of scum/grease layer and bottom of the outlet baffle. 3. Measure the distance between top of scum layer and top of outlet tee. 4. Measure the thickness of the scum/grease layer. 5. Measure the sludge layer and distance from sludge to outlet tee. 6. Inspect the condition of the inlet and outlet tees. 7. Report any evidence of leakage into or out of the tank. 8. Report any evidence of any backup of effluent. B) Inspect the Vents for Evidence of Blockage: 9. Inspect vent tee and insure insect screen is in place and that no bird or insect nest is blocking the vent. C) Monitoring: 10. Your system was approved under the General Use Certificate. The DEP and Barnstable Board of Health require monitoring of the system. The applicable procedures set forth in the most recent "General Use Certificate Approval - Pursuant to Title 5, 310 CMR 15.000" (See "Conditions Applicable to the System Owner" attached) shall be strictly adhered to. The laboratory tests will be billed to you as an expense. After 12 months of monitoring, if the System is approved as acceptable by the DEP and Board of Health, in accordance with 310 CMR 15.285, General Certificate Approval, and at the written request of the System owner, the DEP and local Board of Health may reduce the monitoring requirements. D) System Failure: 11. Within twenty-four (24) hours of a system failure or alarm event, this office will notify the Massachusetts D.E.P. and the local Board of Health by both telephone and letter of this fact along with whatever corrective measures are to be taken immediately. Also as part of this service & maintenance agreement please find a detailed contingency plan (attached) to be implemented immediately upon first learning of a system failure. A failure is defined by a final effluent TN concentration exceeding 19 mg/L. In addition, Innovative RUCK Systems, Inc. , hereby agrees to comply with all criteria outlined in the "Conditions Applicable to the System Owner" section outlined in the most recent version of Massachusetts D.E.P.'s General Use Certificate Approval Pursuant to Title 5, 310 CMR 15.000, Section IV (See Attached) . TERMS: Statements will be rendered at the completion of the work, or monthly, and are due upon presentation. A FINANCE CHARGE of 1- 1/2% per month (18% per year) on all sums under five hundred ($500.00) dollars, and 1 1/2% per month (18% per year) on all sums over five hundred ($500.00) dollars will be added to the then unpaid balance after thirty (30) days from the date of the billing. Innovative RUCK Systems, Inc. reserves the right to terminate work in progress in the event payment is not received in accordance with the payment provisions. COLLECTIONS: The Client agrees to pay all costs of collection, including reasonable attorney's fees. This Agreement is null and void unless executed by the Client and returned to Innovative RUCK Systems, Inc. within thirty (30) days. COORDINATING INSTRUCTIONS: The inspector will need to uncover the septic tank covers, inspection ports and pump chamber hatches. Obviously, there will be holes dug in lawns or landscaped areas. We will endeavor to protect lawns and landscaping but the covers have to be exposed. Please call our office and discuss the particulars with L s Coelho Timothy Santos. Issued By: Date: October 19, 2009 Accepted By: Date: Telephone holmes and mcgrath, inc. r 11244C Q OF `�OaC��C040LaL� civil engineers and land surveyors � 0 � e e 362 gifford street Falmouth, ma 02540 email: mcgrath@holmesandmcgrath.com DATE JOB NO. phone (508) 548-3564 1 800 874-7373 0 /6 fax (5500'8')) 548-9672 "TTENTION TO o ; 11 a�C r 2/oa WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION 1 0 -#2 6-l/;' THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints El For review and comment ❑ ❑ FORBIDS DUE ❑ . PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO �r //O Mee,'�r1Pc/ SIGNED If enclosures are not as noted,kindly: tify us at once. i holmes and mcgrath, inc. ( o civil engineers and land surveyors `1L 194 U ` �QQ��4Q� 362 ifford street falmo to h, ma 02540 7 email: mcgrath@holmesandmggrath.com ATE 3 Q JOB NO. phone (508) 548-3564 1 800 874-7373 ATTENTION fax ( 08) 54 -9¢7� , TO th�i �'� ( l RE La�� MA- 021a5S WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications • Copy of letter ❑ Change order ❑ COPIES D TE NO. DESCRIPTION 1 0I U 14(a r ejA1 os THESE ARE TRANSMITTED as checked below: ❑- For approval ❑, Approved as submitted ❑ Resubmit copies for approval For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY T MI. SIGNED: If enclosures are not as noted.kindly notify us at once. 7. yt�i}� t d� a'i./`j�+'�4��5 � _•;._ �� J•� ��Lr�,LJV�IJIJIJ�� LLB-��L7 362 a star 'itueet " i:;1: 1:.".;,,t°' $>'"•L�eg L'+45i 'Si:. sS'n i3 to''9,_ r3�3; DATE ATTENTION ' wy '508) 1544,9671 TO -� RE: l ` WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Kints ❑ Plans ❑ Samples ❑1 Specifications 01 Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval For your use ❑ Approved as noted O Submit copies for distribution GL As requested ❑ Returned for corrections ❑ Return - corrected prints ❑ ,For review and comment ❑ FOR BIDS DUE _ ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS— COPY TO SIGNED: ------ lf enclosures are not as noted, kindly notify us at once. .J ti Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important: When filling out Mr. Ralph King forms on the Owner computer, use only the tab key 24 Falling Leaf Lane to move your Facility Street Address cursor-do not use the return Osterville MA 02655 key. City State Zip Mailing address of owner, if different: Same Street Address/PO Box: enrn - city State Zip Telephone Number B. Authorized Service Provider Innovative Ruck Systems O&M Firm 362 Gifford Street Street Address Falmouth Ma. 02540 City State Zip (508) 548-3564 ext. Telephone Number Luis Coelho 14887 Certified Operator Name Certification Number . C. Facility/System Information General Use Cent. #: 97894 Innovative RUCK Systems Residential RUCK DEP ID Manufacturer ID Model Number 12/27/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal.Residence—used less than 6 mo./year: ❑Yes ®No D. Operating Information 10/27/09 10/16/06 Inspection Date Previous Inspection Date Blackwater tank=4" Graywater tank= 10" Pumping Recommended ❑ Yes ® No Sludge Depth(to be checked yearly) King Insp.-Report—Oct 09..doc•10/30/09 Page 1 of 2 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems normal Effluent Description E. Sampling Information Samples Taken: ❑ Influent❑ Effluent Parameters sampled: ❑ pH ❑ BOD ❑ TSS ❑ TN ❑ Other(list below) Other 1 Other 2 Other 3 Description of any maintenance performed since previous inspection & during this inspection: The blackwater tank was pumped last year. Notes and Comments: All components inspected and working properly. F. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached technology operation and maintenance checklist, and the information eported is t ue, accurate, and complete as of the time of the inspection. I am a Massa setts certi d erator in accordance with 257 CMR 2.00. 10/30/09 ra or Signa a Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January Piloting & Provisional Use General Use—by September 31st of each year for the within 30 days of inspection 30th of each year for the previous calendar year date previous 12 months Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston. MA 02108 King Insp. Report-Oct 09.doc•10/30/09 Page 2 of 2 o TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 24 Falling Leaf Lane Osterville,MA 02655 Owner's Name: Mr.Ralph King Owner's Address: Same Date of Inspection: October 16,2006 Name of Inspector:.(please print) Luis Coelho ' Company Name: Holmes&McGrath Inc. ; Mailing Address: 362 Gifford StreetCo Falmouth,MA Telephone Number: 508-548-3564 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information' eported low grue, accurate and complete as of the time of the inspection.The inspection was performed based on my training a d experience i�i the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspect r pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: X Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: `''C Date: The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 24 Falling Leaf Lane Osterville,MA 02655 Owner: Mr. Ralph King Date of Inspection: October 16,2006 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: X 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. Answer yes,no or not determined(Y,N,ND) in the for the following statements. If"not determined"please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain 2 I - OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 24 Falling Leaf Lane Osterville,MA 02655 Owner: Mr.Ralph King Date of Inspection: October 16,2006 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering.vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply,well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than.5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: 3 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 24 Falling Leaf Lane Osterville, MA 02655 Owner: Mr. Ralph King Date of Inspection: October 16,2006 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No _X_ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool —X_ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool _X_ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _X_ Liquid depth in cesspooHs less than 6"below invert or available volume is less than %2 day flow _X_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped _X_ Any portion of the SAS,cesspool or privy is below high ground water elevation. —X_ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone 1 of a public well. _X_ Any portion of a cesspool or privy is within 50 feet of a private water supply well. _X_Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] No (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large 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. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no _ the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered"yes"in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. 4 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 24 Falling Leaf Lane Osterville,MA 02655 Owner: Mr. Ralph King Date of Inspection: October 16,2006 Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No _X_ Pumping information was provided by the owner,occupant, or Board of Health _X_ Were any of the system components pumped out in the previous two weeks? _X_ _ Has the system received normal flows in the previous two week period? _ _X_ Have large volumes of water been introduced to the system recently or as part of this inspection? _X_ _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) _X_ _ Was the facility or dwelling inspected for signs of sewage back up ? _X_ _ Was the site inspected for signs of break out? _X_ _ Were all system components,excluding the SAS, located on site'? _X_ _ 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 _X_ _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems ? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no _X_ _ Existing information.For example, a plan at the Board of Health. _ _X_ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 24 Falling_Leaf Lane Osterville,MA 02655 Owner: Mr. Ralph King Date of Inspection: October 16,2006 FLOW CONDITIONS RESIDENTIAL. Number of bedrooms(design):_3_ Number of bedrooms(actual):_3_ DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms):_330 Number of current residents: 2 Does residence have a garbage grinder(yes or no):_NO Is laundry on a separate sewage system(yes or no): NO_ [if yes separate inspection required] Laundry system inspected(yes or no):— Seasonal use:(yes or no): no Water meter readings, if available(last 2 years usage(gpd)):_423 (Irrigation) Sump pump(yes or no):_No Last date of occupancy: Current COMMERCIALANDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no):— Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no):_ Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Was system pumped as part of the inspection(yes or no):_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) _X Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank _Attach a copy of the DEP approval Other(describe): Approximate age of all components, date installed if known and u rr � r ( ) source of information: 8 years Infromation from As-Built Were sewage odors detected when arriving at the site(yes or no):_NO_ 6 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 ,DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important: When filling out Mr. Ralph King forms on the Owner computer, use only the tab key 24 Falling Leaf Lane to move your Facility Street Address cursor-do not use the return Osterville MA 02655 key. City State Zip Mailing address of owner, if different: reb Street Address/PO Box: ramm City State Zip Telephone Number B. Authorized Service Provider Innovative Ruck Systems 0&M Firm 362 Gifford Street Street Address Falmouth Ma. 02540 City State Zip (508) 548- 3564 ext. Telephone Number Luis Coelho Certified Operator Name Certification Number C. Facility/System Information ti t General Use Cert. #: 97894 Innovative RUCK Systems ResidentigEtUCK DEP ID Manufacturer ID Model Numb -gyp , 12/27/99 - -' Installation Date Start of Operation .. rn Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑Yes ®No D. Operating.Information 10/16/06 09/21/05 Inspection Date Previous Inspection Date Septic = 4 inches ; Gray= 1 inches Pumping Recommended Yes ® No Sludge Depth(to be checked yearly) sf King Insp. Report'06.doc.10/25/06 Page 1 of Massachusetts Department of Environmental Protection Ll Bureau of Resource Protection - Title 5 DEP Approved Inspection and ®&M Form for Title 5 I/A Treatment and Disposal Systems normal Effluent Description E. Sampling Information Samples Taken: ❑ Influent ❑ Effluent Parameters sampled: ❑ pH ❑ BOD ❑TSS ❑ TN ❑ Other(list below) Other 1 Other 2 Other 3 Description of any maintenance performed since previous inspection &during this inspection: None. Notes and Comments: All components inspected and working properly. F. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am'a Massa c setts certi operator in accordance with 257 CM 2.00. 10/25/06 erator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January Piloting & Provisional Use- General Use-by September 31st of each year for the within 30 days of inspection 30'h of each year for the previous calendar year date previous 12 months Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston. MA 02108 King Insp. Report'06.doc. 10/25/06 Page 2 of 2 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 UIV JANE SWIFT BOB DUR.AND Governor Secretary LAUREN A LISS Commissioner December 31,2002 Ralph King 24 Falling Leaf lane Osterville,MA 02655 Re: 24 Falling Leaf lane,Barnstable,MA DEP Facility ID:RUCK08 Operation&Maintenance Requirements Dear Mr.King: As you are the owner of an alternative on-site sewage treatment and disposal system regulated under Title 5 of the State Environmental Code, 310 CMR 15.000,I am writing to remind you of your operation and maintenance obligations.According to the Department of Environmental Protection's records,a RUCK system has been installed at the above referenced location. The Department's approval for this system requires that, throughout the system's life, the system owner must maintain an agreement with a person or firm competent in providing services consistent with.the system's specifications, the operation and maintenance required by the designer and any specified by the Department. In addition; every time the operator or operators are changed, the owner must notify the Department and the local Board of Health,in writing,within seven days of such change. The Department has received information indicating that you are no longer under contract with an operation and maintenance firm in violation of your system approval. Please notify the Department, in writing, within fourteen days of receipt of this letter,of the name of the new operator for your system and submit a copy of your current contract.Failure to comply with this request may result in enforcement action by the Department Please submit the information to: Department of Environmental Protection Title 5 Program Watershed Permitting Program. One Winter Street,6th floor Boston,MA 02108 If you have any questions concerning your operation and maintenance requirements, please feel free to contact John L.Ciccotelli at the DEP/Boston Office at(617)292-5657. S' ely,. aron M.Pelosi,Director Watershed Permitting Program cc: Barnstable Board of Health DEP/SERO,B.Dudley This information is available in alternate format by calling our ADA Coordinator at(617)574-6872. DEP on the World Wide Web: http://www.state.ma.us/dep Z,� Printed on Recycled Paper i TOWN OF BARNSTABLE RECEIVED • BARNSTABLE. • MASS. OFFICE OF TOWN ATTORNEY rEo ��e 367 MAIN STREET JUN 2 b 2061 HYANNIS, MASSACHUSETTS 02601-3907 . TOWN OF BARNSTABU. t HEALTH DEPT. ! ROBERT D.SMITH, Town Attorney TEL.(508)862 4620 RUTH J.WEIL, 1st Assistant Town Attorney June 21, 2002 FAX#(508)862-4724 T.DAVID HOUGHTON,Assistant Town Attorney CLAIRE R.GRIFFEN, Legal Assistant Charles E. Dow, Esq. Attorney at Law F Sears Crescent Building 100 City Hall Plaza Boston, MA 02108 Re: O.R.E. Associates, Inc. -113 Falling Leaf Lane, Osterville Subdiv. #518, Lot 15 —Application to Board of Health Our File Ref: #2002-0168 Dear Mr. Dow: I am writing this as a follow-up to our conversation of yesterday, June 20t', 2002. After our conversation, I reread the Board of Health's unappealed October 7, 1997 decision regarding the Falling Leaf Lane subdivision. It continues to be my opinion that it is clearly stated that no permit shall issue for so-called"Lot 15." You acknowledge in your letter to me dated June 20, 2002 that you failed to appeal the decision with knowledge of its terms vis a vis, Lot 15.. You have requested that I provide you "proof" that O.R.E. Associates, Inc. made representations concerning Lot "15". In light of the terms of the unappealed decision, I do not believe that at this juncture, such "proof' is required, although I was present at all the hearings held in 1996 and 1997 and there is no doubt in my mind that such representations were made. You suggested in the course of our conversation that it might be desirable to ' discuss this matter in a face-to-face meeting. Please contact me should you desire to schedule such a meeting. Thank you for your consideration of this matter. Sincerely Yours, . p RJW:cg s (UthJ. eil, 1st Assi tant Town Attorney of B rns able cc: 4amstable Board of Health Y [2002-01681dowltd), LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important: Ralph King When filling out Owner forms on the computer,use 24 Falling Leaf Lane. only the tab key Facility Street Address to move your Osterville 02655 cursor-do not use the return City Zip key. Mailing address of owner, if different: Street Address/PO Box: City State Zip ( ) - ext. ' Telephone Number r . , B. Authorized Service Provider Inovative Ruck Systems O&M Firm 200 Main Street Street Address Falmouth Ma. 02540 City State Zip (508) 548 -3564 ext. Telephone Number ` Michael B Moreau Jr. 10291 Certified Operator Name Certification Number C. Facility/System Information DEP ID Manufacturer ID Model Number 11/19/98 Installation Date Start of Operation Approval Type: ®General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: E]Yes ®No D. Operating Information 03/04/02 u 12/04/01 Inspection Date Previous Inspection Date 5 Pumping Recommended ❑Yes ® No Sludge Depth(to be checked yearly) normal Effluent Description KING •11/20/02 Page 1 of 2 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Sampling Information Samples Taken: ❑ Influent ® Effluent Parameters sampled: ® pH ® BOD ®TSS ®TN ❑ Other(list below) Other 1 Other 2 Other 3 Description of any maintenance performed since previous inspection &during this inspection: Notes and Comments: see results previously submitted F. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massa husetts ertifled Weratin accordance with 257 CMR 2.00 Operator Signa ure Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January Piloting & Provisional Use- General Use—by September 31 st of each year for the within 30 days of inspection 30th of each year for the previous calendar year date previous 12 months Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston. MA 02108 KING •11/20/02 Page 2 of 2 GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: BW Matrix: Aqueous Project: 24/FL Sampled: 03-04-02 Client: Holmes&McGrath Received: 03-04-02 Lab ID: 48896-02 Container: 250 mL Plastic Preservation: Cool yt (� NJrits Reporting Analyzet t .,QCBatch Method:Anal a esult��„ • - ,Limit "�t �~ r Nitrate(as Nitrogen) BRL mg/L 0.02 03-05-02 NI-1360-W EPA 353.2 Nitrite(as Nitrogen) 0.05 mg/L 0.02 03-05-02 NI-1360-W EPA 353.2 Lab ID: 48896-04 Container: 250 mL Plastic Preservation: H2SO4/Cool Analyte` AResult Uriits 'Reporting""RrAnalyied QC"Batch` Method Limit, Ammonia(as Nitrogen) 74 mg/L 1 03-07-02 AM-0900-W EPA 350.1 Nitrogen,Total Kjeldahl (TKN) 73 mg/L 3 03-08-02 TKN-0816-W EPA 351.2 Method References: Methods for Chemical Analysis of Water and Wastes, US EPA,EPA-600/4-790-020, Revised(1983),and Methods for the Determination of Inorganic Substances in Environmental Samples, US EPA, EPA/600/R-93/100,(1993),and Standard Methods for the Examination of Water and Wastewater, APHA,Eighteenth Edition(1992). Report Notations: BRL Indicates result, if any, is below reporting limit for analyte. Reporting limit is the lowest value that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample dilution and sample size. Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 .2 y 'Fq 1A i�,-OL LkRf [..D Nam, 7yyod3 ® al innovative ruck systems, inc. 200 main street falmouth, ma 02540 - 1-800-874-7373 TO: _ DEPARTMENT OF ENVIRONMENTAL PROTECTION DATE Jan 09, 2002 ATTENTION: MARCIA SHERMAN REVISED 1 WINTER STREET BOSTON MA 02108 DEAR MS. SHERMAN PLEASE FIND ENCLOSED COPIES OF LAB TEST RESULTS FOR THE RUCK SYSTEM AT THE REFERENCED LOCATION. BELOW YOU WILL FIND AN ANALYSIS OF THE RESULTS AND A STATEMENT IF THE SYSTEM CONFORMS TO THE DISCHARGE LIMIT OF THE APPROVED CERTIFICATE. RESULTS OF RUCK SAMPLING TYPE GENERAL CERTIFICATE LpCAT.EDIN NITROGENSEN"SITIVE ARE YES CLIENT Ralph King DATE 1�j/04/01 LOCATION Lot 1Falling Leaf Lane TOWN Barnstable, Ma OUTPUT D-BOX pH 6 7 ' BOD 22 mg/I TSS 26 f mg/I AMMONIA 5 mg/I TKN 7.8 mg/I NO3 4.4_.w mg/I TN 12 2 .`,,mg/I DOES SYSTEM CONFORM TO DISCHARGE REQUIREMENTS FOR TN 1„�,,,,, "YES„ LEGEND BRL BELOW REPORTING RESULTS TEST RESULTS ARE ATTACHED SIGNED f MICHAEL MOREAU Innovative ruck systems, Inc. CC: RALPH KING. �BARNSTABLE BOARD OF HEALTH J% JEFF GOULD-DEP LAKEVILLE GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: GW Matrix:. Aqueous Project: 24 F/L Sampled: 12-04-01 Client: Holmes&McGrath, Inc. Received: 12-04-01 Lab ID: 46564-03 Container: I Plastic Preservation: Cool y 6 Result Units Report�ng ,rrfNethod ) Analytme AnalyzedQGBa ,. .._:.,,. tch Biochemical Oxygen Demand 22 mg/L 9 12-05-01 BOD-1027-W EPA 405.1 Solids,Total Suspended 26 mg/L 10 12-06-01 TSS-0625-W EPA 160.2 Lab ID: 46564-01 Container: 250 mt. Plastic Preservation: Cool n � RepQrtln ' r'- ea ►nalytes� 'Rsult U nits Analyzed QC Batch; Methods; Nitrate(as Nitrogen) 4.4 mg/L 0.1 12-04-01 NI-1281-W EPA 353.2 pH 6.7 pH N/A 12-04-01 PH-1147-W EPA 150.1 Lab ID: 46564-02 Container: 250 mL Plastic Preservation: H2SO4/Cool a Repo ... s� 1 s NAna) l' a ?4 RCSLFIts�u IRI S a s z, Analyz4M w`Q BdtG m et O(I .see- s N..r..' ,y „ d�9Fs .Y ,sb..,.�. 'fiL1I11Itn.. n Ammonia(as Nitrogen) 5.0 mg/L 0.2 12-06-01 AM-0838-W EPA 350.1 Nitrogen,Total Kjeldahl (TKN) 7.8 mg/L 0.5 12-06-01 TKN-0763-W EPA 351.2 Method References: Methods for Chemical Analysis of Water and Wastes, US EPA,EPA-600/4-790-020, Revised(1983),and Methods for the Determination of Inorganic Substances in Environmental Samples, US EPA, EPA/600/R-93/100,(1993),and Standard Methods for the Examination of Water and Wastewater, APHA,Eighteenth Edition(1992). Report Notations: BRL Indicates result, if any, is below reporting limit for analyte. Reporting limit is the lowest value that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample dilution and sample size. Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 4� Inc. ��.�_ � Innovative RUCK Systems, A Passive Denitrifying Septic System 200 Main Street, Room 201 j4N 3 Falmouth,MA 02540 1 (.800)6S9-RUCK(7825) in MA TowHEALTH 1 (S08) 548.3564 FAX (S08)S48.9672 1 January 24 , 2002 Ralph J. King George E. Lloyd, Jr. 24 Falling Leaf Lane 52 Falling Leaf Lane Osterville, MA 02655 Osterville, MA 02655 Myrna singer. David J. Noreen .72 Falling eaf. Lane 82 Palling Leaf Lane North Grafton, MA 01536 Osterville, MA 02655 Arthur J. Balian Suvitya Nopakun 91 Falling Leaf Lane 81 Falling Leaf Lane Lexington, MA 02173 Osterville, MA 02655 Vincent G. Legendre George Paton P.O. Box 1059 39 Falling Leaf Lane Osterville, MA 02655 Osterville, MA 02655 DB.P. Berestecky Walter Melnyk 31 Falling Leaf Lane 23 Falling Leaf Lane Osterville, MA 02655 Barnstable, MA 02655 Ernest P. Mondou 15 Falling Leaf Lane Osterville, MA 02655 Dear Homeowner: We have retested the final effluent from your residential RUCK® system at Falling Leaf Lane i ille, Barnstable, Massachusetts . The final effluent fa:e! !a�r o meet the discharge limit in the General Certificate. e proposing the following solutions : 1 . Meet with the Board of Health and Department of Environmental Protection (DEP) to discuss solutions . 2 . Meet with the residents . 3 . Conduct an analysis %J printed on recycled paper i, - 2 - 4 . Revise the systems with the following: A) Replumb existing plumbing so only laundry wastewater goes to the greywater tank. B) Furnish and install� a carbon source to add to the greywater tank. J C) Furnish and install electrical service from the house to the carbon source. 5 . Furnish free carbon for a gseriod of three years . (This carbon cost is about $100 . 00 per year. ) 6 . Visit the altered systems quarterly at no cost for three years . 7 . Prepare a nitrogen loading assessment to demonstrate that the remediation to the systems conform to the requirements of the Board of Health. This method was identified in the original Board, of Health permit. DAfter we have an agreement with the residents, the Board of Health and DEP, we will schedule to retrafi.}t the systems over the next several• monthg-: Please feel free to contact us to discuss this individually or as a group. If you have any questions, please call or write .me. Sincerely, INNOVATIVE RUCK YST S / Michael B. McGrath, P.E. , P.L.S. President MBM/gd CC: Stephen Corr, DEP, WPC, Boston Barnstable Board of Health COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS_ a DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 ARGEO PAUL CELLUCCI BOB DURAND Governor Secretary JANE SWIFT LAUREN A. LISS Lieutenant Governor Commissioner September 6,2000 Ralph King 24 Falling Leaf Lane Barnstable. MA 02630 - RE: Alternative On-Site Sewage Treatment Monitoring-and-Reporting Requirement "Fill Leaf}Lane;Barnstable' DEP Faclli No%RUCK08 " Dear Mr.King: The Department has received a letter from Innovative RUCK Systems, Inc., dated May 2, 2000 requesting reduction or elimination of monitoring and reporting of pH,BOD,TSS,and TN on a quarterly basis on the effluent from the alternative on-site sewage treatment and disposal system at the above referenced facility.' The Department's-Renewal of Certification for General Use for the technology, in section IV (6)(1), states "After one year of monitoring and at the written request of the owner the Department may reduce the monitoring requirements." The Department, having reviewed the monitoring data for this technology, in general, and for your system, approves your request to reduce effluent monitoring of the system, from four times to one time per year. This revised annual effluent sampling requires testing TN only.The change in monitoring requirements in no way 9hanges the requirement that,throughout its use, the system shall be under an operation and maintenance agreement with a rson or firm qualified to provide services consistent with the system's specifications. This reduction in monitoring requirements is conditioned upon your continued compliance with the Approval. As another condition of allowing you to reduce effluent monitoring,however, by January 31 of / . each year,you must submit to Department an annual report for the calendar year that includes: 1) a description of the operation of the system;2) system inspection and emergency service information; 3) any other pertinent information that describes the condition of the system; and 4)results of the annual effluent monitoring for TN. The report wall be prepared by the operator contracted to inspect and maintain the system. Additionally, as required by the Approval for the system, any time the operator changes,you shall notify the Department and the local approving authority,in writing,within seven days of such change. Please be aware this change in monitoring does not apply to any local requirements. You should discuss any changes from the local monitoring requirements,if any apply to your system,with your local Board of Health officials. Should you have any questions regarding this matter,please contact Steven H.Corr,of my staff,at(617)292-5920. Sincerely; ealdon Langley,Director Watershed`Permitting Program _ cc: Michael B. McGrath,Innovative RUCK Systems,Inc.,200 Main Street, Room 201, Falmouth, MA 02540 Barnstable BOH DEP/SERO,Brian Dudley This information is available in alternate format by calling our ADA Coordinator at(617)574-6872. DEP on the World Wide Web: http://www.magnet.state.ma.us/dep Z"«1 Printed on Recycled Paper 71 ti 0nn®vatove RUCK Systems, Inc. r A Passive Denitrifying Septic System 200 Main Street, Room 201 Falmouth,AAA 02540 1 (800) 659-RUCK (7825) In MA 1 (508)548.3564 November 10, 2000 FAX (508) 548.9672 Department of Environmental Protection Attention: Steve Corr, P.E. 1 Winter Street Boston, MA Dear Mr. Corr: RE Request for Action to Determine Lethal Materials Apparently Found in On-site RUCK Septic Systems and Report of Attempt to resolve Noncomplying RUCK Systems -------------------------------------------------------------- As I have promised the Department, we have investigated several failures of Residential RUCK systems to meet the required discharge levels of Total Nitrogen concentration as measured in the distribution box. In discussing the increasing number of failures with a soap manufacturer, we were told that the Total Nitrogen in laundry soap was increasing due to more D additives being added to soap to promote better cleaning. We had planned to test the concept of installing a recycle line by adding a recycle pump in the gray water tank. The recycle pump would periodically pump gray water effluent into the black water tank. Such an add-on to the system would lower the Total Nitrogen concentrations by about half. -� We interviewed three owners of houses with nonconforming systems . It became apparent that a particular brand of laundry soap was being used and it has a label on the box stating that it kills 99. 90 of the bacteria in the laundry. During the planning for the steps to lower the Total Nitrogen in the existing RUCK systems with too high concentrations of Total Nitrogen, we had focused on adding a recycle pump in the gray water tank. The recycle pump would periodically pump gray water effluent into the black water tank. In order to verify that this recycling would work, I approached the owners of Lot 25 on Falling Leaf Lane in Barnstable and asked if we could perform an experiment where our technician would pump, with a portable submersible pump, one third the contents of the gray water tank into the black water tank daily for three days . This would mimic the operation of a recycle pump. Prior to the initial pumping, a sample of r.� printed on recycled paper T 1 I DEP Steve Corr. P.E. - 2 - November o ember 10, 2000 the effluent was to be taken from the black water septic tank, the gray water septic tank and the distribution box. After the three days of pumping, then we would test the gray water septic tank and distribution box. Simultaneously the homeowners were furnished free laundry soap with little or no nitrogen content. We had predicted that the recycled effluent would have almost all nitrate denitrified and that the filter would nitrify the recycled organic nitrogen and ammonia compounds . The new laundry soap has significant concentrations of available carbon so denitrification would be enhanced. Total nitrogen in the final effluent after recycling should drop a minimum of about 50% and perhaps reach 70% . Initially, we gathered a grab sample from the system black water, gray water septic tank and the distribution box on October 30, 2000. The samples were delivered to Groundwater Analytical . The test results of the samples (copies enclosed) are listed below: All constituents in milligrams per liter BLACK WATER GRAY WATER D-BOX BOD 54 27 35 DTSS 100 30 83 NO3 BRL 7 15 NH3, NH4 85 15 19 TKN 170 22 31 The results indicate that the Total Nitrogen in the wastewater stream is as follows : All constituents in milligrams per liter BLACK WATER GRAY WATER D-BOX TN 170 29 46 The Total Nitrogen in the system influent is approximately 99 milligrams per liter. This number is approximate since denitrification occurs in the gray water septic tank. There is sufficient BOD for denitrification to occur in the gray water tank. The nitrate concentration should be lower. Since denitrification did not occur and we have the four conditions for denitrification to occur; an anaerobic environment, bacteria, time, temperature and a carbon source, one of the required conditions is missing. Since we have an anaerobic environment in the gray water tank, time, temperature and sufficient BOD (carbon) , then the bacteria must be missing. DEP, Steve Corr. P.E. - 3 - November 10, 2000 The TKN concentrations are higher than typically found in gray water prior to 1998 . If the nitrate was denitrified, the total nitrogen concentration in the gray water tank would have been 22 milligrams per liter and the total nitrogen concentration in the distribution box would have been 31 milligrams per liter. Our technician then did pump, with a portable submersible pump, one third the contents of the gray water tank into the black water tank daily for three days from October 30, 2000 until November 2, 2000 . A grab sample was then taken from the effluent in the black water septic tank, gray water septic tank and the distribution box. The samples were delivered to Groundwater Analytical. The results of the samples (copies enclosed) are listed below: All constituents in milligrams per liter GRAY WATER D-BOX BOD 51 13 TSS 66 21 NO3 BRL 0 . 49 NH3, NH4 27 32 DTKN 59 66 Additionally the technician grabbed a sample from the gray water tank and had it tested for Heterotrophic plate count. The results were >60, 000 colonies per milliliter. The predicted effect of the pumping should have been a decrease in Total Nitrogen concentrations . The RUCK filter should have nitrified the increased flow by 90% to 95% . The input of Total Nitrogen from gray water influent into the gray water septic tanks should have been minimal if the homeowner used the provided laundry soap. The TKN concentration should have decreased and the nitrate concentration should have dropped. The increase of TKN from 22 to 59 milligrams per liter as a result of the pumping indicates a failure to nitrify. The result of pumping the gray water through the RUCK filter is the apparent loss of nitrification which implies the destruction of the nitrifiers, the bacteria that exist in the RUCK filter. Since we did not expect the bactericide to be present, we did not test the black water septic tank after pumping. Since the filter is capable of 90% to 95% nitrification even under shock loads, the failure of nitrifiers is dramatic. The increase of Total Nitrogen in the distribution box from 46 to 66 milligrams per liter is unexpected. The increase of Total Nitrogen in the j 1 n DEP, Steve Corr. P.E. - 4 - November 10, 2000 gray water septic tank from 22 to 59 milligrams per liter indicates that a significantly toxic agent is in the system and that it has caused a failure of the system. Since the new furnished laundry soap has caused significant increases in population of HPC counts on the Lunenburg RUCK CFT systems, the toxic compound continues to exist in the system in sufficient concentrations to inhibit bacterial growth. The concentration of the toxic compound has survived the recycling and is still lethal to bacteria. The concentration of the toxic compound is still lethal after exposure to both an aerobic and anaerobic environment. Such bacteria are necessary for the continued operation of RUCK systems. Such bacteria are necessary for the continued operation of any on site septic systems . My conclusions are as follows: 1 . A toxic substance apparently exists in this system that apparently has killed off the bacteria in the gray water tank limiting denitrication. It appears that the laundry soap used by the homeowners may be the cause of the mortality to bacteria. D2 . A toxic substance apparently exists in this system and continues to exist in lethal concentrations after recycling the effluent to a black water septic tank and an aerobic sand filter. 3 . The existence of toxic compound holds threat to the continued operation of RUCK systems . 4 . Since the operation of the RUCK systems mimics the environment below a soil absorption system in that the four foot deep RUCK filter is equivalent to the standard vertical offset to ground water from the bottom of the soil absorption system in a traditional septic system, whatever toxic compound that exists in this tested system could easily reach the ground water from effluent from a traditional septic system. 5. In other RUCK installations, users are free to use bleach, an obvious toxic compound, and that no adverse effects of the use of bleach in a RUCK system have been found. 6. Whatever toxic compound exists threatens the continued successful operation and use of on-site systems . DEP, Steve Corr. P.E. - 5 - November 10, 2000 7 . Since RUCK systems are only installed in environmentally sensitive areas such as areas with ground water supplying drinking waters the toxic compound and is most likely reaching the ground water and that its effect on the environment is unknown. I ask the Department of Environmental Protection, the County of Barnstable and the Town to retest this system and other such systems using this brand of soap and to investigate to see if this particular laundry soap is the cause of the problems to this and other septic systems or what material is causing the problem. I ask that whatever material is causing the problem be determined to be hazardous to the environment and it' s use should be banned in on site septic systems. If you have any questions, please call or write me. Sincerely, INNOVATIVE RUCK S , D Michael B. McGrath, P.E. , P.L.S . President MBM/gd Enclosure John McShane George Heufelder Dale Saad, Ph.D. Rein Laak, Ph.D. Innovative RUCK Systems, Inc. A Passive Denitrifying Septic System 200 Main Street, Rm. 201 Falmouth, MA 02540 DATE JOB NO. (800) 659-RUCK (7825) In MA (508) 548-3564 FAX (508) 548-9672 ATTENTION // /�TO RE: j 7t vie aft WE ARE SENDING YOU �C Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION Z-e)v IG_Ul THESE ARE TRANSMITTED as checked below: )7 For approval ❑ Approved as submitted ❑ Resubmit copies for approval For your use ❑ Approved as noted ❑ Submit copies for distribution Q As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TOe-��`�' r�►�afi,c` �ndtNsruli�e (3 e/,(�. SIGNED: If enclosures are not as noted,kindly notify us at once. May 2, 2000 Mr. Steve Corr DEP-Water Pollution Control One Winter Street Boston MA 02108 Dear Mr. Steve Corr: Re Lo�-/Falling Leaf Lane Our Job No. 98317 ---------------------------- At Lot 1 Falling Leaf Lane, there has been four successful tests of the passive residential RUCK® system in a D Zone 2 . According to my understanding, the Department . of Environmental Protection (DEP) can now waive further testing on this lot . Please write a letter waiving further testing. If you have any questions, please call or write me. Sincerely, INNOVATIVE RUCK S TENIS Michael B. McGra P.E. , P. L. S . President MBM/tms cc: McShane Construction Co. Barnstable Board of Health COMMONWEALTH OF MASSACHUSETTS .EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL. PROTECTION �< ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 c, ARGEO PAUL CELLUCCI BOB DURAND Governor Secretary JANE SWIFT LAUREN A. LISS Lieutenant Governor Commissioner ` May 2, 2000 Mr. Michael McGrath Innovative-RUCK Systems, Inc. 200 Main St.,Room 201 Falmouth, MA 02540 Re: Alternative On-site Sewage Treatment Monitoring and Reporting Requirement DEP Facility ID: RUCK12 2 a L�f Lane;�Bamstable,MA Dear Mr. McGrath: The Department has received a letter from Innovative RUCK Systems,Inc., dated April 18, 2000,requesting reduction or elimination of monitoring and reporting of pH,BOD and TSS on a quarterly basis on the effluent from the alternative on-site sewage disposal system at the above referenced facility. The Department's Certification for General Use for.the technology, in section IV(6)(i), states that"After one year of monitoring and at the written request of the owner,the Department may reduce the monitoring requirements." The Department,having reviewed the monitoring data for this technology, in geuerai, and your system, approves the request to-reduce effluent monitoring of the system, from four times to +one time per year. The change in monitoring requirements in no way changes the requirement that, throughout its use,the system shall be under an operation and maintenance agreement with a person or firm qualified to provide services consistent with the system's specifications. As a condition of allowing you to reduce effluent monitoring,however,by January 31 of each year, you must submit to the Department an annual report for the calendar year that includes: 1) a description of the operation of the system; 2) system.inspection.and emergency service information; 3) any other pertinent information that describes the condition of the system; and 4)results of the annual effluent monitoring. The report shall be prepared by the operator contracted to inspect and maintain the- system. Additionally, as required by the Approval for the system, any time the operator changes, you shall notify the Department and the local approving authority, in writing,within seven days of such change. - This information is available in alternate format by calling our ADA Coordinator at(617)574-6872. DEP on the World Wide Web: http://www.state.ma.us/dep �«1 Printed on Recycled Paper Re: Monitoring and Reporting Requirement Page 2 DEP Facility No.: SHF68 -- Please be aware this change in monitoring does not apply to any local requirements. You should discuss any changes from the local monitoring requirements, if any apply to your system, with your local Board of Health officials. Should you have any questions regarding this matter,please do riot hesitate to contact Steven H. Corr, of my staff, at (617) 292-5920. Sincerely, Lealdon Langley, Director ` Watershed Permitting Program cc: McShane Constructi n Co. Barnstable BOH f� DEP-SERO,Brian Dudley . o- innovative ruck systems, inc. 200 main street falmouth, ma 02540 A 1-800-874-7373 '� I'�[�pitt-j TO: DEPARTMENT OF ENVIRONMENTAL PROTECTION DATE Februai 10,200o s N4A P R 2 7 2d ATTENTION: STEVE CORR P.E. REVISED 6 TC�wHOEgA hsraeLE 1 WINTER STREET HECHDEPT. BOSTON MA 02108 DEAR MR. CORR PLEASE FIND ENCLOSED COPIES OF LAB TEST RESULTS FOR THE RUCK SYSTEM AT THE REFERENC LOCATION. BELOW YOU WILL FIND AN ANALYSIS OF THE RESULTS AND A STATEMENT IF THE SYSTEM CONFORMS TO THE DISCHARGE LIMIT OF THE APPROVED CERTIFICATE. RESULTS OF RUCK SAMPLING TYPE GENERAL CERTIFICATE LOCATED IN,NITROGEN SENSITIVE AREAS CLIENT McShane'Construction ` DATE 01/26/00 LOCATION LO of 1Falfing L"eaf Lane`, TOWN Zarnstable-Ma _ ^T INPU OUTPUT APPROX. REMOVAL BLACKWATER GREYWATER D-BOX RESULTS pH BOD 71 m /I 48 ` ; m /I 35 m /I g 9 9 TSS 34 mg/I ;r -BRL mg/I 90 mg/I NM FECAL COLIF 120000 / 100 ml 15000 / 100 ml 14400 / 100 ml 79% AMMONIA 14 mg/I 13 mg/I 13 mg/I TKN 19 mg/I 17 mg/I 18 mg/I NO3 0.07 . mg/I 0.3: mg/I tl"- mg/I TN 19.07 mg/I .17.3 mg/I 19.1 mg/I -5% DOES SYSTEM CONFORM TO DISCHARGE REQUIREMENTS FOR TN NO LEGEND NT SAMPLE GATHERED TOO SMALL SAMPLE NOT GATHERED NM NOT MEANINGFUL BRL BELOW REPORTING RESULTS NR NOT REQUIRED REMOVAL RATE IS AN APPROXIMATE VALUE SINCE THE WASTEWATER FLOWS ARE SPLIT BLACKWATER IS ASSUMED TO BE 50% OF THE FLOW. TEST RESULTS ARE ATTACHED SIGNED MICHAEL B. MCGRATH, P.E. ' innovative ruck systems, inc. CC: CLIENT BOARD OF HEALTH R. LAAK BARNSTABLE COUNTY HEALTH DEPT innovative ruck systems, inc. 200 main street falmouth, ma 02540 1-800-874-7373 TO: DEPARTMENT OF ENVIRONMENTAL PROTECTION DATE February ATTENTION: STEVE CORR P.E. REVISED 1 WINTER STREET BOSTON MA 02108 DEAR MR. CORR PLEASE FIND ENCLOSED COPIES OF LAB TEST RESULTS FOR THE RUCK SYSTEM AT THE REFERENC. LOCATION. BELOW YOU WILL FIND AN ANALYSIS OF THE RESULTS AND A STATEMENT IF THE SYSTEM CONFORMS TO THE DISCHARGE LIMIT OF THE APPROVED CERTIFICATE. RESULTS OF RUCK SAMPLING TYPE GENERAL CERTIFICATE LOCATED IN NITROGEN SENSITIVEARE DES ._ CLIENT McShane Construction DATE = 01/26%00 LOCATION otl,Falling Ceaftne n TOWN Barnstable,Ma F s a µµ INPUT OUTPUT APPROX. REMOVAL BLACKWATER GREYWATER D-BOX RESULTS pH Jga t 66 66 BOD 71 mg/I 48 mg/I 35 g,mg/I 41 TSS 34 mg/I mg/I 90 mg/I NM FECAL COLIF "120000 ;/ 100 ml ;15000` / 100 ml 14400 / 100 ml AMMONIA 14 mg/I 13 mg/I 13' mg/I w TKN 19 `mg/I 17 ;mg/I 18 mg/I NO3 0 0 mg/I ' " 0 3 y mg/I " 1 1µ` i mg/I ' m m /I 191 /I NM TN 19.07 •mg/I ,17 3 g g" DOES SYSTEM CONFORM TO DISCHARGE REQUIREMENTS FOR TN YES LEGEND NT SAMPLE GATHERED TOO SMALL SAMPLE NOT GATHERED NM NOT MEANINGFUL BRL BELOW REPORTING RESULTS NR NOT REQUIRED REMOVAL RATE IS AN APPROXIMATE VALUE SINCE THE WASTEWATER FLOWS ARE SPLIT BLACKWATER IS ASSUMED TO BE 50% OF THE FLOW. TEST'RESULTS ARE ATTACHED SIGNED MICHAEL B. MCGRATH, P.E. innovative ruck systems, inc. CC: CLIENT BOARD OF HEALTH J R. LAAK BARNSTABLE COUNTY HEALTH DEPT innovative ruck systems, inc. . 200 main street falmouth, ma 02540 1-800-874-7373 DEPARTMENT OF ENVIRONMENTAL PROTECTION DATE November 10, 1999 ATTENTION: STEVE CORR P.E. REVISED 1 WINTER STREET BOSTON MA 02108 2 Z DEAR MR.CORR PLEASE FIND ENCLOSED COPIES OF LAB TEST RESULTS FOR THE RUCK SYSTEM AT THE REFERENCE LOCATION. BELOW YOU WILL FIND AN ANALYSIS OF THE RESULTS AND A STATEMENT IF THE SYSTEM CONFORMS TO THE DISCHARGE LIMIT OF THE APPROVED CERTIFICATE. RESULTS OF RUCK SAMPLING TYPE GENERAL CERTIFICATE LOGATEDIN NITROGEN SENSITIVE ARE/YES CLIENT McShane Construction DATE 10/26/99' LOCATION Lot I'FaHrrg Leaf LNane r TOWN Barnstable;Ma INPUT OUTPUT APPROX. REMOVAL BLACKWATER GREYWATER D-BOX RESULTS pH65 BOD 210 mg/I 180 mg/I 130 mg/I 33% TSS 41 mg/I 13 mg/I 26 mg/I 4% FECAL COLIF 177000 ' /100 ml 1800 /100 ml 300 /100 ml 100% AMMONIA 64 'mg/I 7 6 mg T.9 mg/I i KN 87 mg/I 14 mg/I 13 mg/I NO3 BRL mg/I 0 42 mg/I BRL: mg/I TN 87 mg/I 14 42 mg/I 13 mg/I 74 to n ° ............................................ DOES SYSTEM CONFORM TO DISCHARGE REQUIREMENTS FOR TN YES LEGEND NT SAMPLE GATHERED TOO SMALL SAMPLE NOT GATHERED NM NOT MEANINGFUL BRL BELOW REPORTING RESULTS NR NOT REQUIRED REMOVAL RATE IS AN APPROXIMATE VALUE SINCE THE WASTEWATER FLOWS ARE SPLIT BLACKWATER IS ASSUMED TO BE 50%OF THE FLOW. TEST RESULTS ARE ATTACHED SIGNED MICHAEL B. MCGRATH, P.E. innovative ruck systems, inc. CC: CLIENT BOARD OF HEALTH ' Z. LAAK BARNSTABLE COUNTY HEALTH DEPT innovative ruck systems, Inc. 200 main street falmouth, ma 02540 1-800-874-7373 r0: DEPARTMENT OF ENVIRONMENTAL PROTECTION DATE September 7, 1999 ATTENTION: STEVE CORR P.E. REVISED 1 WINTER STREET BOSTON MA 02108 DEAR MR. CORR: /5 PLEASE FIND ENCLOSED COPIES OF LAB TEST RESULTS FOR THE RUCK SYSTEM AT THE REFERENCE LOCATION. BELOW YOU WILL FIND AN ANALYSIS OF THE RESULTS AND A STATEMENT IF THE SYSTEM CONFORMS TO THE DISCHARGE LIMIT OF THE APPROVED CERTIFICATE. RESULTS OF RUCK SAMPLING TYPE GENERAL CERTIFICATE LOCATED NITR NOGEN SENSITIVE ARE/YES CLIENT McShane C011Stf UCfilOC1 DATE Q;7/27/99; LOCATION Lot 1 Falling Leaf'Lane TOWN Barnstable,Ma INPUT OUTPUT APPROX. REMOVAL BLACKWATER GREYWATER D-BOX RESULTS pH 65 64 63 BOD 380 mg/I 140 mg/I 110 mg/I 58% TSS 510 mg/I 19 mg/I 90°Io mg/I 27 FECAL COLIFORM`` /100 ml /100 ml /100 ml 4MMONIA 62 mg/I 6 2 mg/I 6 4 mg/I fKN 84 mg/I 14 mg/I 13 mg/I NO3 BRL mg/1 BRL mg/1 BRL'; mg/I TN 84 mg/I 14 rng/I 13 ;! rn 73 c ............................................. DOES SYSTEM CONFORM TO DISCHARGE REQUIREMENTS FOR TN YES LEGEND NT SAMPLE GATHERED TOO SMALL SAMPLE NOT GATHERED NM NOT MEANINGFUL BRL BELOW REPORTING RESULTS NR NOT REQUIRED REMOVAL RATE IS AN APPROXIMATE VALUE SINCE THE WASTEWATER FLOWS ARE SPLIT BLACKWATER IS ASSUMED TO BE 50% OF THE FLOW. TEST RESULTS ARE ATTACHED SIGNED MICHAEL B. MCGRATH, P.E. innovative ruck systems, inc. CC: CLIENT BOARD OF HEALTH -)EP LAKEVILLE ATTN JEFF GOULD R. LAAK . BARNSTABLE COUNTY HEALTH DEPT innovative ruck systems, inc. 200 main street falmouth, ma 02540 1-800-874-7373 so: DEPARTMENT OF ENVIRONMENTAL PROTECTION DATE May 13, 1>999 ATTENTION: STEVE CORR P.E. REVISED 1 WINTER STREET �Q BOSTON MA 02108 DEAR MR. CORR: PLEASE FIND ENCLOSED COPIES OF LAB TEST RESULTS FOR THE RUCK SYSTEM AT THE REFERENCED LOCATION. BELOW YOU WILL FIND AN ANALYSIS OF THE RESULTS AND A STATEMENT IF THE SYSTEM CONFORMS TO THE DISCHARGE LIMIT OF THE APPROVED CERTIFICATE. RESULTS OF RUCK SAMPLING TYPE GENERAL CERTIFICATE LOCATED<IN NITROGEN SENSITIVE ARE/YES CLIENT McShane Construction DATE 04/28/99 LOCATION Lot Falling Leaf Lane} TOWN Barnstable,Ma INPUT OUTPUT APPROX. REMOVAL BLACKWATER GREYWATER D-BOX RESULTS pH 75 69 69 BOD 200 mg/I 230 mg/I 210 ma 2°l0 TSS 26 mg/I BRL mg/I 15 mg/I NM FECAL COLI'FQRM /100 ml /100 ml /100 ml NR AMMONIA 37 mg/I .34 mg/I 3 mg/I ` rKN 52 mg 6 9 mg/I 7 8 mg/I NO3 BRL mg/I 0 02 mg/I BRL:; j mg/I TN 52 mg/I 6 92 mg/I 7:8 mg/I 74°la ... . . ......................... DOES SYSTEM CONFORM TO DISCHARGE REQUIREMENTS FOR TN YES LEGEND NT SAMPLE GATHERED TOO SMALL SAMPLE NOT GATHERED NM NOT MEANINGFUL BRL BELOW REPORTING RESULTS NR NOT REQUIRED REMOVAL RATE IS AN APPROXIMATE VALUE SINCE THE WASTEWATER FLOWS ARE SPLIT BLACKWATER IS ASSUMED TO BE 50% OF THE FLOW. TEST RESULTS ARE ATTACHED SIGNED MICHAEL B. MCGRATH, P.E. innovative ruck systems, inc. CC: CLIENT 40ARD OF HEALTH )EP LAKEVILLE ATTN JEFF GOULD R. LAAK BARNSTABLE COUNTY HEALTH DEPT unimovatowe [RUCK s ystems9 unca d A Passive Denitrifying Septic System 200 Main Street, Room 201 Falmouth,MA 02540 1 (.800)659-RUCK(7825) In MA 1 (508) 548.3564 FAX (508) S48.9672 December 9, 1998 Barnstable Board of Health Main Street Hyannis, MA 02601 Gentlemen Py MR&t Fa�lingeafanOstervi lle ------------------------------------- Our office witnessed the construction of the RUCK system at the referenced lot. The construction of the RUCK filter and appurtenances was satisfactorily constructed in accordance with the plan. If you have any questions, please call or write. Sincerely, INNOVATIVE RUCK>SYSTEMS, INC. Timothy Santos Engineer cc: John McShane yr printed on recycled paper 12/V/98 15:14 V508 428 9399 BORTOLOTTI CONST Q001 TOWN OF BAMSTABLE LOCAn, N % Ay 7 SEWAGE 0 i - ' VII ASSESSORS MAP&LOT' i,.I:AGE . . U4STAU"US NAME&PHONE NO. SEPTIC TANK CAPACrtY_O . - LEAC MG FACQ.TTY:(type) NO.OF BEDROOMS ER Ott O ..B� PERNUrDATE: COMPLIANCE.DATE: Separation Distance Between the: - Maxhnum Adjusted GroundwaterTable to the Bottom of Leaching Facility Feet. Private Water Supply.Well and Lashing Facility (If arty wells exist oa site or within 200 feet of leaching:Wfity) ' Edge of Wetland and Leaching Facility(If.any wetlands exist within 300 feet of leaching facility) Fit furnished by j i • i i i At 44 t � 63: irk UAL. C37, 36r Oy g=� 'I _ A IT4. - c�- DS 4G� JV ; Dv. �'} E A. J� '•, - L No. ~� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIppYication for Mfgponl *pstem Conztruction Permit Application for a Permit to Construct( Aepair( )Upgrade( )Abandon( ) E/&mplete System ❑Individual Components Location Address or Lot No. (j" — ` Owner's Name,Address and Tel.No. rl [Assessor's Map/Parcel ^ t. —,— iRf i,y 'A e- 1�jc - I' f-1U s 51ZX ul� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. pj A73o U,g pla,, I vh m, / Type of Building: Dwellingof Bedrooms Lot Size- ` `Zsq. ft. Garbage Grinder(�Sk Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow �� gallons per day. Calculated daily flow 3 gallons. Plan Date Nu er of sheets Revision Date / Title Size of Septic Tank S:EY2 to&_Li-'Q Type of S.A.S. f — C i / S Description of Soil 3 lI G�'I'dl S�/C �i `'1 3 �{r�11 A Nature of Repairs or Alterations(Answer when applicable) Date last inspected: DESIGNING ENGINEER MUST SUPERVISE INSTALLATION AND CERTIFY IN WRITING Agreement: THE SYSTEM WAS INSTALLED IN STRICT The undersigned agrees to ensure the construction and maintenance,AA ►199314 AMe sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by is�BoeaP.4r_-_-_--_, --- Signed Date ��9X Application Approved by Date Application Disapproved for the following reasons IZ Permit No. e- Date Issued `�"' a No. t J Fee $ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC,HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS Zipp-Ytcation for Oigpogar *pgtem Cow6truction Permit Application for a Permit to Construct( Aepair( )Upgrade( )Abandon( ) ` [Xmplete System O Individual Components Location Address or.Lot No. �j 'T_ ` Owner's Name,Address and Tel.No. c/ -~ t--P-L1..1 l--,t_, L�p NL. "sCGC/ (4lam Assessor's Map/Parcel ( � t �Q /� rag g� e k tic r' Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. A-? ,�& o ig ; Type of Building: Dwelling L/iQ�o.of Bedrooms Lot Size l5,:3 5 Zsq. ft. Garbage Grinder Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow JC" gallons per day. Calculated daily flow 3 U gallons. Plan Date Number of sheets Revision Date -7 5�S s Title ) Size of Septic Tank /�� }'LC.-V!J ' Type of S.A.S. ire P { Description of Soil G �J 3 r . tf r Nature of Repairs or Alterations(Answer when applicable) r Date last inspected: Agreement: s• "a ;The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Cerfifi- Cate of Compliance has been issued by is B lea . -.- ''"'z" Signed r Date r Application Approved by. - 401 Date i Application Disapproved for the-following reasons n - r t t r, Permit No. Date Issued " }---------- —— — -------- --- ---- 1 --— —— — y THE COMMONWEALTH OF MASSACHUSETTS % BARNSTAB_LE;MASSACHUSETTS Certif i rate-Of toinplMn,ice THIS IS TO CERT ,'.that the,On°site�Sew�g� l System Constructed( )'Repaired(� )Upgraded( ) Abandoned( L- at = — /1 1 LL has been constructed in accordance, with the provisions of Title 5'and the for Disposal System Construction Permit No. ° - �'dated Installer -Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector CS- l1 3t-,)��tc`1ov� rlNf� -eae /I�/J Sa�v D</lra+ t/11/11_e -�No. `.------------------------ t _ Fee 40 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Wgpogaf *p tem Congtruction Permit Permission is hereby granted to Construct( + )Repair( )Upgrade( )Abandon( ) System located at . w and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. Date: !f" Y 7- Approved by 1 1 ' r DEED RESTRICTION AND COVENANT The undersigned, ORE Associates, Inc. , a Massachusetts corporation, hereby covenants that lots 1, 31 5, 7, 9, 11, 13 , 15, 17, 19, 21, 23 and 25, all as shown on a plan of land entitled: "Plan of Land in Barnstable (Osterville) Mass for Francis W. Casey, Tr. " dated February 11, 1984, revised April 23, 1984 and made by Baxter & Nye, Inc. and recorded in Barnstable County Registry of Deeds Plan Book 388, Page 22, shall be subject to the restrictions contained in a certain Board of Health Decision of the Town of Barnstable affecting said lots dated October 7, 1997, a copy of which is attached hereto and incorporated herein. Executed this .lam day of 'n P_mb , 1997. ORE Associates, Inc. President and Treasurer COMMONWEALTH OF MASSACHUSETTS ,. BARNSTABLE, SS. T December 30 , 1997 Then personally appeared the above-named Marian D. Barrett President and Treasurer, as aforesaid and acknowledged the foregoing instrument to be its free act and deed of ORE As ciates, Inc. , before me Notary Public My coz:mission expires: 5;28/2007 Town of Barnstable Board of Health Hyannis MA 02601 367 Main Street,Hy , Susan O.Rask,R.S. off1icc: 508.190-i,265 Brian R.Grady,R.S. FAX: 508-190- 104 Ralph A.Murphy,M.D. i ��,,.of the Board of Health Regarding Lots 1 Through 14 and Lots 16 Through 25 pecisan Falling Leaf Lane, Osterville, Shown on Subdivision Plan dated February 11, 1984, revise April 23 1984 and identified as Parcels`3.001 Through 3.014 on Assessor's Map 144, and Parcels 3.016 Through 3.026 on Assessor's Map 144. PROCEDURAL HISTORY On November 18, 1996, the Board of Health agent, Thomas McKean, R.S., C.H.O., received twenty-four (24) disposal system permit applications along with two checks totaling $2,400.00 from Peter Sullivan, P.E., of Baxter and Nye Incorporated, who was representing O.R. E. Associates Incorporated and Osterville Highlands Trust pertaining to proposed construction along Falling Leaf Lane, Osterville. The lots are located off of Acorn Drive, Osterville Massachusetts, and are identified as parcels 3.001 through parcels 3.014 on AssesSOP, Map 144, and parcels 3.016 through 3.025 on Assessor's Map 144. The disposal system nstrE�ction a plications indicated that parcels 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, and 24 (all . co p the even numbered lots) were owned by Osterville Highlands Trust. The remaining application ESE indicated that parcels 1, 3, 5, 7, 9, 11, 13, 17, 19, 21, 23, and 25 (all the odd numbered lots) were owned by O.R.E. Associates. - - On or about November 21', 1996, Mr. McKean disapproved all twenty-four disposal constn fiction permit applications due to the fact that the plans lacked maximum feasible compliance with the State Environmental Code, Title 5. He also returned the checks totaling $2,400.00 to Peter Sullivan, P.E., of Baxter and Nye, Incorporated, and invited him to attend a Board of Health hearing scheduled on Tuesday December 17, 1996 in order to provide Mr. Sullivan the opportunity show why he, and the owners of the parcels, believed it would be feasible to construct septic systems on these 24 lots which would meet the provisions of Title 5, the St�ite Environmental Code. i During the first hearing which was held on December 17, 1996, the applicant requested a continuance. Then the Board members voted to continue this matter to the February 4, 1997 public meeting. On February 4, 1997, the applicant again requested a continuance; then the Board members voted to continue this matter to the March 4, 1997 public meeting. Continuation hearinrts were also held on the.following dates during 1997: June 17th, July 1 st, and August 19th. Many documents were submitted into the record by both the applicant(s) and the Board of Health. The Board members rendered a decision on September 3, 1997 during a special public hearing. ; FINDINGS OF THE BOARD OF HEALTH , ;after discussion and based upon the evidence submitted, the Board of Health made the following findings: l All 25 lots in the subdivision fall within a DEP approved Zone 11 of a public water supply: the Centerville-Osterville-Marstons Mills Water district wells CO# 10, CO AR#3,4, and CO MC#2 The Zone 11 for these wells was approved by DEP May 3, 1994. Further, these wells are showing nitrate levels in the range of 1-3 mg/L; these levels clearly exceed background nitrates levels (generally <0.5 mg/L) and are indicative that nitrogen from human sources is reaching these wells. Septic systems are known to be the largest source of nitrogen to groundwater on Cape Cod. _ 2. All lots in the subdivision are within a DEP-defined nitrogen sensitive area as defined in 310 CMR 15.215(1). 3. Further, the majority of lots in the subdivision (lots 1-10 and 16-25) fall within the town of Barnstable defined WP zone, the five year time of travel contribution zone to a public water supply. 4. Septic system effluent is a known source of nitrate and other possible contaminants to th public water supply. 5, increasing density of housing is associated with increased levels of nitrate and other contaminants in groundwater. G. In recognition of 4 and 5 above, DEP has determined per 310 CMR 15.214(I), that no system serving new construction in a nitrogen sensitive area designated in 310 CMR 15.215 sr L_ 00, - be'designed to receive or shall receive more than 440 gallons of design flow per day per acre except as set forth at 310 CMR 15.216 (aggregate flows) or 15.217 (enhanced nitrogen removal). 7. All lots in the subdivision are less than an acre in size. Further, all lots, except lots 23 and 21, are less than one-half acre (20,000 sf). Under the nitrogen loading requirements of 310 CMR 15.214, the half-acre lots would be entitled to a 220 design flow, the lots less than one-half acre would be entitled to a 110 gpd design flow. 8. Under the Title 5 transition rules, 310 CMR 15.005, the owner of a lot on which` construction of a septic system in full compliance with 310 CMR 15.000 is not feasible is entitled to construct a system with a cumulative design flow of up to 330 gpd provided that the system is constructed in compliance with 310 CMR 15,000 to the maximum extent feasible as determined by the local approving authority pursuant to 310 CMR 15.404 and'15.405. 9. 310 CMR 15.404 (maximum feasible compliance) states that a non-conforming system may b a brought into compliance through the installation of an alternative system (i.e. a nitrogen removal system with associated design flow credit may be used to bring a system into compliance with tr-e requirements of 310 CMR 15.214). 10. The Board is in receipt of a letter from DEP to William Nye (one of the applicants)dated February 4, 1997 stating that "the department interprets compliance with the requirements of 310 CMR 15.005 (3)(a) through (c) to require, pursuant to 310 CMR 15.005(c), a considered asses!,,ment by the proponent of approved nitrogen removal technologies when site limitations prevent attainment of the 440 gallon per acre design flow standard set for new construction under V 310 CMR 15.215(1)...0 { 4' a 11. The applicant is entitled to pursue an aggregate determination of nitrogen loading per 310 CMR 15.216 and DEP guidelines. It is this board's belief that the cumulative acreage in the subdiv;sion, minus the acreage devoted to roads, when considered in the aggregate is sufficient to allow the construction of 2-bedroom homes (220 gpd design flow) on twenty of the lots and this will be in general compliance with the nitrogen loading requirements of 310 CMR 15.214. 12. The applicant has acknowledged that lot 15 will be used for drainage and is not to be considered buildable. - 13. At the hearings held on August 19, 1997 and September 3, 1997, the applicants proposed to the Board that dwellings located on 20 of the lots, which specific lots they identified, would be limited to 2 bedrooms unless the system(s) are modified to include enhanced nutrient removal as approved by the Board of Health in which case a dwelling served by a modified system may be permitted to have not more than .1 bedrooms. The remaining four lots would be limited to not more than 3-bedrooms and said system(s) must be modified to include enhanced nutrient removal as approved by the Board of Health. 14. Based upon the evidence presented, the Board finds that the applicants can achieve maximum feasible compliance with 310 CMR 15.000 through either 1) the construction of 2- bedroom homes on twenty of the lots with the remaining four lots provided with nitrogen removal- technology; the twenty lots must have appropriate restrictions placed upon their deeds to indicate that only 2 bedrooms are allowed, or 2) the installation of nitrogen removal technology on any lot will entitle the owner to a design flow of 330 gpd. 5 e applicant may choose in the future to present to this board an aggregate nitrogen loading which complies with 310 CMR 15.216; this plan, if approved by the board, will negate the restrictions in 14 above. ACTION TAKEN BY BOARD OF HEALTH Based upon the Board's unanimous approval of the proposed findings, the Board of Health voted to take the following action regarding the pending twenty-four applications for disposal system construction permits submitted by the applicants, Osterville Highland Trust, John Alger, Trustee and ORE Associates, Inc.: A) Disposal System Construction Permits shall issue to ORE Associates, Inc. for lots 5, 7„ 9, 11, 13, 17, 19, 211 25 and to Osterville Highland Trust, John Alger, Trustee for lots 2, 4, 6 8, 100 14, 16, 18, 20, 24, as designed, said issuance subject to compliance with the following conditions: 1. All dwellings shall be limited to 2 bedrooms unless the system(s) is modified to include enhanced nutrient removal as approved by the Board of Health in which case a dwelling served by a modified system may be permitted to have not more than 3- bedrooms. 2. Each plan shall be modified by the applicants to include a notation containing the fut•- text of !,he language recited in paragraph (A)(1) above. 3. Deed restrictions, approved as to form by the Town Attorney, limiting the use of the dwellin.1a to two bedrooms on each of the above-referenced lots shall be recorded at the Barnstable Registry of Deeds. A copy of the recorded deed restriction for the particular lot for =.-_. - -4 u J which a Disposal System Construction Permit is sought shall be provided to the Barnstable Boarc of.Health prior to the issuance of a Disposal System Construction Permit. (B) Disposal System Construction Permits shall issue to ORE Associates, Inc. for lots I and 23 ant i to Osterville Highland Trust, John Alger, Trustee for lots 12 and 22, as designed, subject to compliance with the following conditions: 1. All dwellings shall be limited to not more than 2.bedrooms and said system(s) must be modified to include enhanced nutrient removal as approved by the Board of Health. 2. Each plan shall be modified by the applicants to include a notation containing the full text of the language recited in paragraph (13)(1) above. (C) No permit shall issue for lot 15 which has been designated, pursuant to the initial subdivision approval by the Planning Board, as a lot reserved for drainage. (D) The issuance of the permits, as restricted, shall not prejudice or otherwise limit the right of both applicants, jointly or severally, to fle with the Board of Health and the DEP a plan pursuant to the provisions of 310 CMR 15.216(2), nor shall the mere filing of such a plan obligate the Boarc of Health to approve same. VOTE. r IN FAVOR OF DECISION : RASK, GRADY, MURPHY OPPOSED: NONE - : Dated: October 7, 1997 LA hot_ usan Ras hair �s'`• .. QAR�S�A6 pF flEEos Barnstable Board of Health ..... •. AEG1S1CdPY A�EST doHN F.ME AID AEG a - -�` BARNSTABLE REGISTRY OF DEEDS 1 I • j - r jleHome- W�j 1 ite Wastewater Jreatmelnt System � n J• ' ilJ',` y�'� �� _ F� •� a .F aµ eta r�J' y... • 1 / ? d FYI � ..� � lf+ J ix}W'.•fv'� •�':Y ~Z P,{tS''+ml T°.. _ 1 - �1 �� N 1•:�hyt..t�:Yh . ' • y f d _ 1 Y:y h p. � 'd1-• z �� c� � � '1 * j �•... .. ... - .. s:. -. 'ti ,hiS Y`r-R dry i 1 y The wastewater froin a single family home flows into the landscape friendhf Single Home FAST° r 41 s system which has been approved under Title 5 by the Massachusetts Department of Envrromnental �a >1 � L�4 {�' ` Protection for remedial and prm:isiasal use. •� , t.. no filters to clean or replace and contains only Y The Problem > 3 one moving part-theairblower.Nomaintenance Traditional residential septic systems and even is required by the homeowner. enhanced on residential treatment,systems, In addition to its aesthetic features and i'tswaste 3 t a¢a d r frequently fail to meet the stricter effluent ` requirements dictated by current environmental treatment abilities,Single Home FAST`achieves and health laws and regulations. Affected denitrification (the reduction of nitrate based T+ i 11utants which adversely affect the water quality homeowners must upgrade theirexistingsanitary Po s stems. +� ,p • • + of groundwater)in a single tank.The treatment .•; '` ; y insert's high surface-to-volume ratio and two settling zones maintain constantbacterialgrowth during both low and peak usage: Constant r_ w T h e F AST° S O I U t I O Il bacterial growth ensures a continuous level of ` '+ � + ` The proven Single Home FAST® (Fixed " treated`effluent. i f�' Activated Sludge Treatment) system meets or., exceeds Massachusetts' Title 5.regulations + * Founded in 1946, Smith & Loveless, Inc. is a f ¢ governing treatment and effluent requirements. worldwide leader in the design and manufacture •iY•r , :t This low profile, landscape-friendly system of wastewater treatment equipment. Its FAST® y�'SMith se{�.��np8 � t InC� features a main treatment insert which installs technology has been used in. municipal, 4 Yob ArlF fYf*c� 4tF %A'=r �iCDk•hw y.' T f s4 {k� Ls underground inside a concrete or fiberglass tank, industrial, marine, and:-commercial:Wologj ' .s ffi 9' i' f Nr similar in size and shape to a standard septic treatment systems.A product of this technology, { �1 + �, tank.Constructed of mostly corrosion-resistant the Single Home FAST®system was designed t �a'r# materials, the Single Home FAST' system has especially for residential usej';,�_ I - -, Home . FASTO s E astewater Treatment System a � f ,y � � .pay T]{ � e.'� • r - 10 z 6 :he afic St'.o�. . e s vYif e - K treatti nEi s s ei toita Canadian Great Lakes th tringent marine stsndar ,:;, -— -—- -—-— 5 �s• � 'S` y pro 9 th`e �VOrld The low file o a Single Home O 1 #• �. :s l"irst a+sterils,k �' �'". FAsr treats x Croast 0uard a cadon� 3. � Wows of up to 10 persons or a five bedroom �..SiuiglHom home. Larger 3 als�beejappr and multiple units are also „ fi as�sach a fo � � FS�tat Oft VlZrs , a available. s k bothj� lretiierdinn I 4 . ,z f # �• Contact.your ' ��provisional iise:: representative ra3tt"Yiyls ' for details. u �. x jSmith&Love0so cea tie ds�the [ dust y,}, x I tr" r yr .ntrY� r. bringiiig,y thi " � v n• lectid4lo h4 ' '&eta ter tine". M Standard Features : l. Influent from House Sewer Line 4. FAST®Media - houses the 1.Solids Collection tone - holds } "friendly bacteria" in an the solids which have settled. connects directly from the y house sewer line pipe,an( environment ideal for rapid Occasional solids removal is bacterial'growth. The high= required handle the equivalent of 10 surface area-to-volume ratio. 4 persons or a five bedroom home , ensures a continuous level of $. System Tank.- houses the e tes ,j; I • treated effluent system.Available in concrete or , 2. Primary Settling Zone - , fiberglass configurations ;,i encourages rapid settling of t ;S. Draft Tube -disperses the Syr large solids entering the unit " , ' ® liquid evenly over the upper 9. Odorless liquid Effluent - and away'from the Fast media surface of the media,providing discharges into the leach'field , continuous circulation of the xor,disposal well after being Treatment Insert packed wastewater' ! r C disinfected ' t3. ., - , with bacteria-laden media, the r. r d'r liquid circulating through the 6,..TOtolly Enclosed Blower 10.Vent - ventilates treatment r I' insert is essentially clear and supplies,air which provides section, similar to the earthy a ! 1 free of suspended solids,unlike oxygen for the bacteria to grow smell of a well-maintained, I those in conventlonal`aotivatecf' and multiply ' compost pile sludge systems . i { ` �_ i t;.,Tall fail F �t r x w Sr _ - *� � $ �s �b �a arc Dhpi •g 5 Solutions for`aWorld of Water Problems s ,t91 t3=88ri�+2 � 0 May 5,1995 Smith&Loveless,Inc. FAM Iuy 3 gEOQLr-wt ' gal Ly FtDw 3 x I to = 33 v N ID�`� j uo \TANS `;�✓� �� I ';-..: �'><P � � �p �,' uS� �-V40 GAL- zxd,�c.a t�,4�c}ttlG 5�(STt Msvo>s , Ar'f u r-xtiDt.I A21=A 261p D• U '5 : 44 F Zo F A¢F� �ESI6� dPPUGATDN � 51tEwAcl AtzEA t;nTro"' � AgrA s PE2Zoi.Js.71O4 r�, 'sr, p� WILLIAM` N. E } ' 9 No. 19334 �. 4 � � 013TEy�� V *D SUR'1� 51 T9- 5Z�o 45 vKf ,�u '►u ! 47.3 z LrAa 14 -Ttze►.rGti 1 'L,�� 1 1So�C 4G p - - r-7A5r WIL70W V Q61v v Vk 3 . �G %A r. rr--TW L of LEA414104 TZur- _ ' , p Pic- sct+a)40140 . G 4" ?t"RF• { P► PE i iA I I� :Twc r— CE�T1i�� PLOT PLA$11 3 clzox or �� 1�G4T1o�1 d5,1 L12�/I I+L-C. M i /� • L p G153 A4a \- d-5 ScaL�� _ 4G Io • 3o i P c sC—SIGN PLA,I.1 I LZ11 P`f r14AT '1-�I E p�' p ' F}��FoN CLW1 R`15 lA/1Tu '1"F4E SI DEL1 h11= Alm �- C.. K-�•a�� c -rgAck. QuI2F..nnENT DF T14r TorUN of tt(,+, lalzl,�i 14h1��t� i s t.3dLTJ w l T"4 I N A : Ny BAXT � E `Ih1G 5P6U 4L Ftsbv NAZASL.b ZONE. � _ ' �I.�ND Su1ZVEYGILS • 6dIGl►•16EJu ,�'�"� orFS 5 MOM . $V I L..A W.'5 P5M Tb reTABUSq c' STEPHEN C ALLY 1 WILsoN No.3021ti The septic system for the dwelling shall include enhanced nutrient removal as `, ,J^cr�«- T LF approved by the Board of Health. The dwelling shall not have not more than 3 bedrooms. 01/fs- REVISED: —' z DESIGNING ENGINEER MUST SUPERVISE e Vint .INSTALLATION AND CERTIFY IN WRITING C• THE SYSTEM WAS INSTALLED IN STRICT ACCORDANCE TO PLAN. ------------- FA , IU1 f 3 g1�R ' rt�" � I-�T I I� 5 F \ PA4 t_�j FLOW = 3 x t io = 33v N W T°b 0 3 5' 5mG TANL `3 '�7�0 s GC.D :. xc.P avoo CAL. SZ LMA1-4( 1G ,4r,Fu cA-TioN AZC-A 2SO DI. 4 3 ao �» -!,o.�d, sF= 44� 1' \ 3.ot , 10 ,lpp(.tGAT►oN A¢EA \ S v 51tt---wAt1- A2FA= Z40 V,oTTOM AVEAMlv��l�1 PE2-e.oLxrw� ol Q p WILLIAM ' C. N Y E Q No. 19334 FQ1aT£'11 - Y� �� MD SURV $:`7 7rr T9' St gai •o .� s� . 5 �►u 41,3 s .. -nzEti-1 G J �u 13K 01 M ' p V {{ M L CAI L ot= LE�IG�IIu� TQxt��k S,- l � F6 A P•LL P�Pc tU ""2, ye->'Z vE Y�o�t �t,� Pic- 5e-t+a)44) N° CC�y7-1r71 yam,.+ T11J r[�-CT l +-A� A, P► PE z �� t Iy zTwG CL{- 1 l l I +� � -�3 3 .s�rIOI or- u;a 1nc,�.Tto�t Os i EKvI L.�-c, l�l rAAT T14 E PAP �k'i'SE 51 N P11�l,1 a�� ` zz c -igaGV— zWU 1zSMENT OF 'f�16 T�bVN of /�{AP �,t t(,+ PA S 3-1 02►.fi lAtc�►�ti i s 1��L w IT'4 1 N A : Hys I Kle- 5P6v 4L FlsbD HAZAY� ZpN E._�� L;A�1D SU�IE'lG� • ��i ti16EZS 05TEevlilrk . MASS• SeTsM $v.iL�rtS �,5POxL> Nar B1= QPi'Uca.NT G � c t A vSED w TEPHEN Sf1LL'r`N V0LS'Jt ! I v rr No.302,E i The septic system for the dwelling shall include enhanced nutrient removal as ,\�� ,�,�,cF,i C1ST approved by the Board of Health. The dwelling shall not have not more than 3 bedrooms. /Al/fr 'REVISED: DES IGNING ENGINEER MUST SUPERVISE INSTALLATION AND C THE SYSTEM WAS INSTALLED IN WRITING C. ACCORDANCE TO 34 PLAN•ALLED IN STRICT 1 -f �491f(f P' cFIKE Town of Barnstable naRrrsrnetE, 9� 16 9. ,. Board of Health AlFD MA'S A 367 Main Street,Hyannis MA 02601 Office: 508-190-6265 Susan G.Rask,R.S. FAX: 508-790 6304 Brian R.Grady,R.S. Ralph A.Murphy,,M.D. t Decision of the Board of Health Regarding Lots 1 Through 14 and Lots 16 Through 25 Falling Leaf Lane, Osterville, Shown on Subdivision Plan dated February 11, 1984, revised April 23, 1984 and Identified as Parcels 3.001 Through 3.014 on Assessor's Map 144, and Parcels 1016 Through 3.025 on Assessor's Map 144. PROCEDURAL HISTORY On November 18, 1996, the-board of Health agent,'Thomas McKean, R.S., C.H.O.,. received twenty-four (24) disposal systd(n,permit applicationsalong with two checks totaling $2,400.00 from Peter Sullivan, P.E., of Baxter and, Nye Incorporated, who was representing O.R.E. Associates Incorporated and'Osterville Highlands,Trust pertaining to proposed construction along Falling Leaf Lane, Osterville. The lots are located off of Acorn Drive, Osterville Massachusetts, and are identified as parcels 3.001 through parcels 3.014 on Assessors Map 144, and parcels 3.016 through 3.025 on Assessor's Map 144. The disposal system construction applications indicated that parcels 2, 4;6, 8, ,10, 12, 14, 16, 18, 20, 22, and 24 (all the even numbered lots) were ownedby Osterville Highlands Trust. The remaining applications w , indicated that parcels 1, 3, 5, 7,,9, 11, 13, 17, 19, 21, 23, and 25 (all the odd numbered lots) were owned by O.R.E. Associates. On or about November-21, 1996, Mr. McKean disapprovedal[twenty=four disposal construction permit applications due to the fact that the plans lacked maximum feasible compliance with the State Environmental Code,_Title 5. He also returned the checks totaling $2,400.00 to Peter Sullivan, P.E., of Baxter and Nye, Incorporated, and invited him to attend a Board of Health hearing scheduled on Tuesday December-17,, 1996 in order to provide Mr. Sullivan the opportunity show why he, and the owners of the parcels, believed it would be feasible to construct septic systems on these 24 lots which would meet the provisions of Title 5, the State Environmental Code. y` During the first hearing which was held on December 17,T 1996, the applicant requested a continuance. Then the Board members voted to continue this matter to the February 4, 1997 public meeting. On February 4, 1997, the applicant again requested a,continuance; tKen.the. Board members voted to continue this matter to the March 4, 1997 public meeting. Continuation hearings were also held on the following dates during,1997.: June 17th, July.1st, and August 19th. Many documents were submitted into the record by both the applicant(s) and the Board of Health. The Board members rendered a decision.on.September 3, 1997 during a special public paring. k 2 FINDINGS OF THE BOARD OF HEALTH After discussion and based upon the evidence submitted, the Board of Health made the following findings: I. All 25 lots in the subdivision fall within a DER approved Zone II of a public water supply: the Centerville-Osterville-Marstons Mills Water district wells CO# 10, CO AR#3,4, and CO MC#2. The Zone II for these wells was approved by DEP May 3, 1994. Further, these wells are showing nitrate levels in the range of 1-3 mg/L; these levels clearly exceed background nitrate levels (generally <0.5 mg/L) and are indicative that nitrogen from human sources is reaching these wells. Septic systems are known to be the largest source of nitrogen to groundwater on Cape Cod. 2. All lots in the subdivision.are within a DEP-defined nitrogen sensitive area as defined in 310 CMR 15.215(1). 3. Further, the majority of lots in the subdivision (lots 1-10 and 16-25) fall within the town of y. F Barnstable defined WP zone, the five year.time of travel contribution zone to a public water supply. 4. Septic system effluent is a known source of nitrate and other possible contaminants to the public water supply. 5. Increasing density of housing is associated with increased levels of nitrate and other contaminants in,groundwater. ' 6. In recognition of 4 and 5 above, DEP has determined per 310 CMR 15.214(I), that no system serving new construction in a nitrogen sensitive area designated in 310 CMR 15.215 shall . 3 f be designed to receive or shall receive more than 440 gallons of design flow per day per acre except as set forth at 310 CMR 15.216 (aggregate flows) or 15.217 (enhanced nitrogen removal). 7. All lots in the subdivision are less than an acre in size.' Further, all lots, except lots 23 and 21, are less than one-half acre (20,000 sf). Under the nitrogen loading requirements of 310 CMR F 15.214, the half-acre lots would be.entitled to a 220 design flow, the lots less than one-half acre would be entitled to a 110 gpd design flow. 8. Under the Title 5 transition rules,-310 CMR 15.005, the owner of a lot on which construction of a septic system in full compliance with 31-0 CMR 15.000 is not feasible.is entitled to construct a system with.a cumulative design flow of up to 330 gpd provided that the system is constructed in compliance.with 310 CMR'15.000 to the maximum extent feasible as determined by the local approving authority pursuant to 310 CMR 15.404 and 15.405. 9. 310 CMR 15.404 (maximum feasible compliance) states that anon-conforming system may be brought into compliance through the installation of an alternative system (i.e: a nitrogen removal system with associated design flow credit may be used to bring a system into compliance with the requirements of 310 CMR 15.214). = E 10. The Board is in receipt of a letter from DEP to William Nye (one of the applicants)dated February 4, 1997 stating that "the department interprets compliance with.the requirements of 310 CMR 15.005 (3)(a) through (c) to require, pursuant to 310.CMR 15.005(c), a considered assessment by the proponent of approved_ nitrogen removal technologies when site limitations prevent attainment of the'440 gallon per-acre design flow standard set for, new construction under •310 CMR 15.215(1).. 4 15. The applicant may choose in the future to present to this board an aggregate nitrogen loading which complies with 310 CMR 15.216; this plan, if approved by the board, will negate the restrictions in 14 above. ' ACTION TAKEN BY BOARD OF HEALTH Based upon the Board's'unanimous approval of'the proposed findings, the Board of Health voted to,take the following action regarding the pending twenty-four applications for.disposal system construction permits submitted by the applicants, Osterville Highland Trust, John Alger,-Trustee and ORE Associates, Inc.: ; A) Disposal System Construction Permits shall issue to ORE Associates, Inc. for lots 3, 5, 7, 91 11,.13, 17, 19, 21, 25 and to Osterville Highland-Trust, John Alger, Trustee for lots 2, 4, 6, 8, 10, 14, 16, 18, 20, 24, as designed, said issuance subject to compliance with the following` conditions: ,l 1. All dwellings shalll be limited,to 2 bedrooms unless the systems) is modified to include enhanced nutrient removal as approvedby the Board of Health in which case a dwelling served by a modified system may be permitted4o have hot more than 3 bedrooms. 2. Each plan shall-be modified by the applicants to include a notation containing the full text of the language recited in,paragraph (A)(1) above: 3. Deed restrictions; approved as to form by the Town Attorney, limiting the use of the ellings to two bedrooms on each of the above-referenced lots shall be recorded at the, stable Registry of Deeds. A copy of the recorded deed restriction for the particular Jot for which a Disposal System Construction Permit is sought shall be provided to the Barnstable Board of Health prior to the issuance of a,Disposal System Construction Permit. (B) Disposal System Construction Permits shall issue to ORE Associates, Inc. for lots I and 23 and to Osterville Highland Trust, John Alger, Trustee for lots 12 and 22, as designed,,subject to compliance with the following conditions: 1. All dwellings shall be limited to not more than 3 bedrooms and said system(s) must be modified to include enhanced nutrient removal as approved by the Board of Health. 2. Each plan shall be modified by the applicants to include a notation containing thefull text of the language recited in paragraph (13)(1) above.- (C) No permit shall issue for°lot 15 which has been'designated, pursuant to the initial subdivision approval by the Planning Board, as a lot reserved for drainage. (D) The issuance of the permits, as restricted, shall not prejudice or otherwise limit the right of both applicants, jointly or severally, to file with the Board of Health and'the DEP a plan pursuant to the provisions of 310 CMR 15.216(2), nor shall the mere filing of such a plan obligate the Board of Health to approve same. VOTE: y IN FAVOR OF DECISION BASK, GRADY, MURPHY OPPOSED: NONE Dated: October 7, 1997 u Susan Rask, Chair Barnstable Board of Health 4"' PVC ROOF VENT RUCK F/L TER 2" LAYER OF 1/8" 125.00' 14'LO cX _ NOTE: DESIGN FLOW = 330 GALLON S�DAY TO 1/2" STONE 4" PERFORATED PVC PIPE 4 TWO LEACHING TRENCHES.• o 30'LONG, 4' WIDE 1000 GALLON w ORE 3/4" TO 1 1/2" fV 12 f AND 2'DEEP (SEE DETAIL) SEPI7CATANK f �` SURFACE PENT LOCA 770N WASHED STONE 10'MIN. A� � ¢' 1> ¢ TO BE DETERMINED IN THE FIELD 2 0' o i r . I �. I� ( 10 MIN. TEE VENT 1" I 4" VEN T ' ICI PROPOSED HOUSE COVER TO GRADE TO HOUSE j I 6t' � krNr I^�I o TOP OF FOUNDATION = 52.00 COVER TO GRADE aw 4.0' 00, - TEE VENT I 12 pN��' �� I I SLOPE .�\,�\.\,�\ LEACHING TRENCH CROSS SECTION "� sx o.02 .� �\r,• SLOPE \/ /i., NOT TO SCALE 10 IN. �+ 10'MIN. 1000 GALLON a 6 MAXIMUM COVER RUCK SAND DISIRISU17ON BOX —�� ` 15 1N '�� t� 1000 GALLON r BLACKWATER WITHOUT VENTING j0 M 10 N , u-) SEPTIC TANK o FILTER Dist. box 2' BLACKWA TER ai rn r� ua 15 (SIN \ `��,�� SEP77C TANK - level o. 10' \ EXISTING �0 n .., s= o� = o'o� TEST HOLE /NFORMAT/ON BY \ FOUNDATION j H-10 FI► 1000 GALLON BAXTER & NYE, INC. GRAYWATER r7 PERCOLAT/ON RATE < 5 M/N//NCH \ w (0 to SEPTIC TANK N (0 z ' �' > .� , �,� M NO GROUND WA TER ENCOUNTERED \ 21 z Z z �r d .. :. d �t BOTTOM ELEV. = 41.43 LOG \ ' M►" PROFILE �I II H-20 II II II II SOIL LOG 20 0 6" CRUSHED COMPACTED STONE ' Not to Scale of Cr_ Li ; 4 5 DEPTH SOILS ELEV. mz z z z z z z 0 50.0 /_ 4tBOTTOM OF TEST HOLE = 37.0 14 6" CRUSHED COMPACTED STONE DETERMINED BY 01HERS LOAMY QRo SAND 3.0' 47.0 � 0 PLAN REFERENCE: :.. •: ALL ACCESS MANHOLE COVERS FOR MEDIUM CERTIFIED L4T PLAN BY 2-20" Diameter Access Holes SAND J '+.. SEPTIC TANK, DISTRIBUTION BOX, "- BAXTER & NYE, INC. �' AND LEACHING STRUCTURE SET MORE �' 2-20 Diameter Access Holes '. o SCALE: 1" 40' /^ \ /" THAN 6" BELOW FINISHED GRADE, / L 0 T 1 PLAN DATE, 10/30/96 PROPOSED HOUSE INLET 1 OUTLET SHALL BE RAISED TO WITHIN 6 of 13 37.0 REVISED: 6/24/98 TOP OF FOUNDATION = 52.00 COVER TO GRADE FINISHED GRADE. INLET OUTLET �,,�, LOT 1 FALL!N� LEAF LANE r,,r..r,,r�.r..r, r., . r.•r,,r� r� �. r. r, r. OSTERVILLE, MA. APPLICANT: McSHANE CONSTRUCTION Co. s- 0.256 ,—< <- , ,. •— ---'. : ~; I FRAME & COVER 1000 GALLON STEEL REINFORCED PRECAST CONCRETE OVER "T's" WHERE REQUIRED. STEEL REINFORCED PRECAST CONCRETE OVERE"T'SC WHERE REQUIRED. GREYWATER PLAN VIEW �p It SEPTIC TANK N PLAN VIEW PRECAST CONCRETE PRECAST CONCRETE 6" REMOVABLE COVERS 6" TANK RISER WHERE TANK RISER WHERE REQUIRED , REMOVABLE COVERS 3 II II H—20 "'... II 3 - � REQUIRED N VIEW OF RUCK SYSTEM LAYOUT r- r- .... . :. . ._ .� : .:� • • 6" 4" , �.. .. . ,mil l w ��-3" min clearance required - 1J" INSET "T"�'. :.•.. . '...:.• .. • :. , ' 1 0' z _z INLET $ 3" min clearance required—"- 13" INLET Z Z_ �.�2" min. inlet to outlet 6 min. OUTLET +' INLET2" min. inlet to outlet 6" min. OUTLET to" min. 14" min. a 6" CRUSHED COMPACTED STONE o r �o" min. 14" min. } W ro AE TUF-TITE :E I E E "a ic> o GAS BAFFLE a 9 `) R TUF-TITE o v o �' GAS BAFFLE I .� d• � a � I c a, c 14' y - m = "PERMALON PLY 210 8'-0" — 5'-3" 8'-0" CONTAINMENT LINER OR APPROVED EQUAL CROSS—SECTION END—SECTIONEND—SECTION CROSS—SECTION PERF. 2" PVC PIPE (VENTS) Design Criteria TYPICAL 1000 GALLON SEPTIC TANK CH-20 LOADINGS TYPICAL 1000 GALLON SEPTIC TANK (H-10 LOADINGS _____________________________________________ - NOT TO SCALE i r________ , r______ NOT TO SCALE II II Number of bedrooms: 3 Equivalent to 330 gal.'s/day I II Garbage disposal unit: NO U PERF. 4" PVC PIPE (DISTRIBUTION) i i g p — Leachin area capacity required: 330 al.'s da ALL OUTLET PIPES FROM THE INSTALL TUFTITE SPEED LEVELERS NOV ( I 4" PVC PIPE i i ~ I I g P Y q g / Y ON ALL OUTLET PIPES I °- i i Side area proposed: 272 sq. ft. DISTRIBUTION BOX SHALL BE 16.5" "- I I SET LEVEL FOR AT LEAST 2 FT. CONCRETE COVER /` HEAL7HDEPT. PERF. 4" PVC PIPE COLLECTION ; ; Bottom area proposed: 240 sq. ft. (COLLECTION)-� --'-'-------------------------------------------- ------- ---- Total area proposed:osed• 512 s ft. 5 5 OUTLET 11' II II - - P P q , --rr-------------------------------------------- ------- - - - - --- Proposed leaching capacity: 379 gal. s/day `.\ KNOCKOUTS PITCH Water supply: Town I I A Precast concrete units: H-10 & H-20 loading design ; --- ; 15.5" .-�� I -�� INLET 19•5" NOTICE A I ► r OUTLET I I n PERF. 4" PVC PIPE (DISTRIBUTION) I I �� ; J Unless and until such time as the original (red) stamp of the 9 11.25" responsible Professional Engineer appears on this plan I I I I (A) no person or persons, including any municipal or other '� public officials, may rely upon the information contained herein; and L_________________________________________________J L__-___ 2�" (8) this plan remains the property of Innovative RUCK Systems, Inc. ------ --------------------------- ------ PERF. 2" PVC PIPE (VENTS) t.75 INSECT SCREEN THE SIDES OF THE FILTER MAY BE SLOPED. THE REQUIRED AREA OF THE PLAN SECTION CROSS- SECTION FILTER SHALL BE THE MIDDLE LAYER OF THE INDRAINS. THE CONTAINMENT LINER SHALL BE CAPABLE OF WITHSTANDING A PH OF 3.0 6 HOLE DISTRIBUTION BOX THE RUCK DESIGN IS SUBJECT TO A PATENT °° HEIGHT TO BE 3' ABOVE AND REMAINS THE EXCLUSIVE PROPERTY PlsA�l . FINISH GRADE OF INNOVATIVE RUCK SYSTEMS, INC. 4' DIA. PVC PIPE NOT TO SCALE COPYING OR INFRINGEMENT OF 4" DIA. VENT PIPE TO BE VENTED BACK (PENT) THIS DESIGN 1 S PROHIBITED. To THE FACILITY AND UP THROUGH ROOF TO SAME ELEVATION AS PLUMBING VENT SLOPE FILTER CLOTH- TYPAR 3401 18" OVERLAP BETWEEN LINER AS MANUFACTURED BY LINQ GEOTEXTILE 18" OVERLAP BETWEEN LINER AND FILTER CLOTH DIVISION OR APPROVED EQUAL AND FILTER CLOTH 4" VENT TO FACILITY GENERAL NOTES o 0 0 0 o p p o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 p p o 6' STONE o 0 0 0 0 0 0 0 0 0 1) NO change t0 this System shall be mach unless DATE DESCRIPTION Drown hecked 7" INDRAINS I I 7" INDRAINS I I 4" PVC VENT PIPE approved in writing by Innovative RUCK Systems, Inc. ::. r- :', ;i SCREEN _ .. . SAND ,...:.,... r �.:�_ 2) Subject to inspection during construction by the PERMALON PLY 210 I � '.5• SAI11 CONTAINMENT LINER W 2" STONE= 3, Board of Heal and nnovative RUCK Sys ems, Inc. PLOT PLAN _ " s I I „ MIN. 3 Heavyconstruction equipment shall not travel Q OR APPROVED EQUAL I I::... 7 INDRAIN .. •:•.. :.. . . I I Z 7 INDRAINS " ' 4 - 4 FINISHED A OF PROPOSED RUCK SYSTEM ': F : .I_.: x.: : '.:.'.., "•.. : NISHED GRADE _ .. ...,,.. _.. ,..:.. . .. .•w :. :: r.. I. , to 5 SAND _ ,. .: . .. ... . . ' : . . :. .......:. . .. �, � . ��N� ,.:: : •�'•. : ,. .. r ,.,• , over disposal system during or after construction. 0 2" STONE_ PREPARED FOR 7 INDRAINS I I v 7" INDRAINS I I 4) Disposal system to be constructed in accordance M Co. ;.•:. ,t r with Title 5 of the State EnvironmentaP Code. CS N ' ; .,, ,.. . ....:: .e. FALLING LEAF LANE NPIA ••l ' '' �. - 5} A copy of these plans must be kept on the site - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o o 6 o 0 o o o o 0 0 0 0 o a 6' STONE ALLI N ..0 PITCH during the time of construction. IN F' PT 9 I H��t C •?i: �,' T C I TCH�;� OSTERVILLE MA n ARN TABLE A co of these tans mu st be furnished to � S 6 , 4" V VENT PIPE ) PY p PCVE 4" PVC PIPE contractor constructing the disposal system. 4" LAYER OF COMPACTED (DRAIN) VENT PIPE DETAIL 7) Before backfilling, the contractor shall notify SCALE: AS SHOWN DATE: JULY 31 , 1998 FINE SAND 4" LAYER OF COMPACTED Innovative RUCK Systems Inc., or the Board of Health 4" DIA. PERFORATED PVC PIPE COTE: DUE TO VARYING METHODS FINE SAND n cr��— " NOT TO SCALE � 4F INSTALLING THE LINER, THE CONTRACTOR SECTION a PROVIDE 1-1/4 PITCH FROM Agent to inspect the system as constructed. Innovative RUCK Systems, Inc. , SHALL FURNISH SHOP DRAWINGS DESCRIBING EDGE TO CENTER. §£ 200 main street SECTION A—A THE INSTALLATION FOR REVIEW AND APPROVAL folmouth, ma. 02540 RUCK AN R DRAWN: TMS CHECKED-,A"z - �y UC SAND FILTER NOT TO SCALE 98317.DWG LIC. NO.: 0201188317 DWG. NO.: 70-1-30 SHE 1 OF 1 4" PVC ROOF VENT RUCK F/L TER 2" LAYER OF 1/8" 125.00' 14'ONGX - NOTE: DESIGN FLOW = 330 GALLON S/DAY TO 1/2" STONE 4" PERFORATED PVC PIPE O TWO LEACH/NO TRENCHES.• o 30'L ONO, 4' W/DE 1000 GALLON G, 1 fV 12 AND 2'DEEP (Si_.-DETAI/LJ GREYWATER1 Ii SURFACEFIE DENT LOCA110N WASHED STONE SEPTIC TANK TO BE DETERM/NED /N THE D 3/4" TO 1 1/2" 10 MIN. �� •+ 4' 11 f I / TEE VENT 1 I I I�I PROPOSED HOUSE TO HOUSE I 66vr (�I o TOP OF FOUNDATION = 52.00 COVER TO GRADE COVER TO GRADE I 4 0, TEE VENT fh•-- i 12 �� • I 8= 0.02 SLOPE ,, /, LEACHING TRENCH CROSS SECTION 1a, 10 a 11 f - 0.01 SLOPEr\�,,/ NOT TO SCALE 10, MIN' �+ 1000 GALLON ® 6' MAXIMUM COVER D1STR/BU770N e0)( ---� �. 15 '\ BLACKWATER RUCK SAND WITHOUT VENTING 14, At1N 10 1000 GALLON 0 SEPTIC TANK o �'s BLACKWATER 0i 0) (0 FILTER Dist. box 2' 15 `)�, � SEPAC TANK `r oo ao z s= 0.01 level 10 MIN \\ EXISTING tip II d :" = 0.01 \ FOUNDATION u H—10 u u TEST HOLE /NFORMA TION BY 1000 GALLON BAXTER & NYE INC. \ �I Of d GRAYWATER 0) M (0 tD �, PERCOLATION RATE < 5 MIN/INCH Z w cc> SEPTIC TANK N 0 �► \ — > ¢ �,; �; M NO GROUNDWA TER ENCOUNTERED z z z d ¢ �r �r BOTTOM ELEV. = 41.43 ' MIN. Q P R 0F1 LE II II .,H—.20 II II II II II SOIL LOG 20 0 ¢ 6 CRUSHED COMPACTED STONE Not to Scale ; 4.5 DEPTH SOILS ELEV. 10 Iptt� ARSE z z z z z z Z 0 50.0 BOTTOM OF TEST HOLE = 37.0 �5Q05�� 6" CRUSHED COMPACTED STONE DETERMINED BY OTHERS LOAMY 0 �\ PR j r SAND 3.0' 47.0 9'-0" 8'-6" PLAN REFERENCE: 7 \yALL ACCESS MANHOLE COVERS FOR M DIUM CERTIFIED PLOT PLAN BY 2-20" Diameter Access Holes SEPTIC TANK, DISTRIBUTION BOX, SAND '� � M ♦'2-20"'Diameter Access Holes x S BAXTER & NYE, INC. , AND LEACHING STRUCTURE SET MORE SCALE: 1" = 40' /"` / to THAN 6 BELOW FINISHED GRADE, L 0 T 1 PLAN DATE: 10/30/96 PROPOSED HOUSE INLET OUTLET SHALL BE RAISED TO WITHIN 6 OF INLET / / OUTLET 13 37.0 REVISED: 6/24/98 TOP OF FOUNDATION = 52.00 COVER TO GRADE r / / FINISHED GRADE. T-1 r I LOT 1 FALLING LEAF LANE �\ OSTERVILLE, MA. > APPLICANT: McSHANE CONSTRUCTION Co. s- 0.256 --.. '' —'-'• � •-^— -^�- y: .777 FRAME & COVER ` 10Q0 GALLON STEEL REINFORCED PRECAST CONCRETE OVER "T'S" WHERE REQUIRED. STEEL REINFORCED PRECAST CaVCRETE FRAME & COVER OVER "T'S" WHERE REQUIRED. It EGREYWATERPIC TANK 0) PLAN VIEW CLAN VIEW 1.0¢ �} PRECAST CONCRETE PRECAST CONCRETE d •'•• d 6" REMOVABLE COVERS 6" TANK RISER WHERE REMOVABLE COVERS 3" TANK RISER WHERE II u H—20 n REQUIRED 3 �— -\ REQUIRED PLAN VIEW OF RUCK SYSTEM LAYOUT ` • " 6 L'I w 3" min. clearance required �? a > �� INLET "T"�.. r.- -.. » > 1 3 3" min. clearance required 1 �a 0' z Z Z INLET --,.�2" min. inlet to outlet 6" min. OUTLET INLET — 2" min. inlet to outlet 6" min. 13 INLET "T" '. 10" min. �� ` OUTLET �w- 6" CRUSHED COMPACTED STONE x t 14 min. 10" min. 14" min. } o o ,` c v ^ 10 n c a n CID '_ TUF—TITS E '` m I o c GAS BAFFLE o GAS BAFFLE ' 0 ,v_ 30 :,. I 2' � J � J i 14° 3" , "PERMALON PLY 210 8'-0" 5'-3" —•I ,..' ) p . y j" o. .. 4—t " m - 8'-0 _ CONTAINMENT LINER EQUAL ' . CROSS-SECTION END-SECTION �! CROSS-SECTION END-SECTION PERF. 2" PVC PIPE (VENTS) Design Criteria TYPICAL 1000 GALLON SEPTIC TANK (H-20 LOADING TYPICAL GALLON SEPTIC TANK (H-10 LOADING) ( EN S) ----- NOT TO 'SCALE _____________________________________________ NOT TO SCALE -i �--------- -it------ II it II it I ' II Number of bedrooms: 3 Equivalent to 330 gal.'s/day Garbage disposal unit: NO INSI PERF. 4" PVC PIPE (DISTRIBUTION) i i Leachin area — ca capacity re aired: 330 al.'s da ALL OUTLET PIPES FROM THE ON TALL OUTLETALL PIPES LEVELERS II II g P Y q g Y 4" PVC PIPE a Side area proposed: 272 sq. ft. DISTRIBUTION BOX SHALL BE 16.5no SET LEVEL FOR AT LEAST 2 FT. CONCRETE COVER 7 PERF. 4" PVC PIPE (COLLECTION)-� ---- Bottom area proposed: 240 sq. ft. Total area proposed: 512 sq. ft. 5 - 5" OUTLET 11' --rr------------------------------------------- -------D ---- - - „ „ Proposed Leaching capacity: 379 gal.'s/day ,�'� `.\ KNOCKOUTS PITCH i i Water supply: Town II II Precast concrete units: H-10 & H-20 loading design I ; 15.5" -� INLET 19•5" NOTICE A i i ~ A OUTLET � � � ° PERF. 4" PVC PIPE (DISTRIBUTION) I I �� i „ Unless and until such time as the original (red) stamp of the I �� /r 9 11.25" responsible Professional Engineer appears on this plan • , II _�_ �_ ___ I I (A) no person or persons, including any municipal or other i public officials, may rely upon the information contained herein; and J L--_--_ J L—____— 20" (B) this plan remains the property of Innovative RUCK Systems, Inc. ------------ -------------------------------------------- 1.75" -------------------------------------------------------------------------- PERF. 2" PVC PIPE (VENTS) CROSS- SECTION. THE SIDES OF THE FILTER MAY BE SLOPED. THE REQUIRED AREA OF THE PLAN SECTION CROSS- SECTION INSECT SCREEN FILTER SHALL BE THE MIDDLE LAYER OF THE INDRAINS. m THE CONTAINMENT LINER SHALL BE CAPABLE OF WITHSTANDING A PH OF 3.0 H DISTRIBUTION TI ON 60X THE RUCK DESIGN IS SUBJECT TO A PATENT / RED� � FINISH TGRAQE 3 ABOVE 6 HOLE D AND REMAINS THE EXCLUSIVE PROPERTY 1 OF INNOVATIVE RUCK SYSTEMS, INC. NOV , . 4 DIA. PVC PIPE NOT TO SCALE COPYING OR INFRINGEMENT OF TOWN OFBARNSTAB x 4" DIA. VENT PIPE TO BE VENTED BACK (VENT) HEALTH DEPT. > , TO THE FACILITY AND UP THROUGH ROOF TO THIS DESIGN 1 S PROHIBITED. SAME ELEVATION AS PLUMBING VENT r�LQP� z" FILTER CLOTH- TYPAR 3401 18" OVERLAP BETWEEN LINER AS MANUFACTURED BY LINQ GEOTEXTILE 18" OVERLAP BETWEEN LINER „ AND FILTER CLOTH DIVISION OR APPROVED EQUAL AND FILTER CLOTH 4 VENT TO FACILITY GENERAL NOTES �= 0 0 0 0 0 p p 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 p p 0 6' STONE_ o Q o 0 o a o 0 0 0 1) No change to this system shall be made unless DATE DESCRIPTION Drawn hecked i 7" INDRAINS I i 7" INDRAINS 4 PVC VENT PIPE by I SCREEN—�'�� constructions bs th e L. ...,.. .. ._: .,: , ::.5 SAND ;.:..r... ..:. . _....,I. ..� 2) Subject to inspproved in ection duripgvy PERMA N :.. :.: i. ...,: .::. ,.....-., ,.. ...I NQ• " ; , LO PLY 210 : .: .....;; : . CONTAINMENT LINER > 2" STONE- » 3, Board of Health and Innovative RUCK Systems, Inc. PLOT PLAN OR APPROVED EQUAL INDRAINSI z 7 INDRAINS I I - MIN 3) Heavy construction equipment shall not travel 4 4 SYSTEM .. , :.' . , ., :.••. .. ; ,: .: ::' -• ',-:, - FINISHED GRADE OF PROPOSED RUCK :.:.: ',. 5 SAND construction. PREPARED FOR a:. 'I v1,. , -, .,;.::'.,:>• �-',. 5.:•, :�,+�t�t�.. :. ': f .......... .. ..k, over disposal system during or after I r .:.' .. ...:..' P Y I I 2 STONE- ) system to be constructed in accordance O 4 Disposal 7 INDRAINS I I � 7 INDRAINS Mc Co. ::.':,.. ::,:, ..:•..•:. ...'....... ...::.. . .:....: ,'..,: : . .: ,: ,::.....'.:::.r _:._;. :.,.:. .. ;.._..'.,, .,.. ... . . ".,� >. � .. : : :- ...:' .._ ;, ; •, . ,, ;.. .:..: with Title 5 of the State Environmental Code •�':.:,.::..:- : ... : ... .. ..... . .. . ... _.. ... . ...�. :.,,... , , ..., . .,, , :.:, .. :: : •:. : , :: ... -•..::.::., ... . ..:: '. .:..:: . . .....,..:.. • —... ) n the site FOR LOT 1, FALLING LEAF LANE 5 A copy of these plans must be kept o o 0 0 0 0 0 0 0 o O o o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6' STONE PITCH during the time of construction. IN <.•. PIT -PITC H•• .t.p )•f•i: T Z•A• I OSTERVILLE MA to the ARNSTA6LE 6 A co of these ions must be furnished s, 4" VC VENT P ) PY P P VE PIPE contractor constructing the disposal system. 4" LAYER OF COMPACTED 4" PVC PIPE VENT PIPE DETAIL 7) Before backfilling, the contractor shall notify SCALE: AS SHOWN DATE: JULY 31 , 1998 ¢ C P 4" LAYER Innovative RUCKS stems Inc., or the Board of Health FINE SAND NOTE: DUE TO VARYING METHODS FINE SAND COMPACTED ._pp PROVIDE 1-1/4" PITCH FROM NOT TO SCALE Agent to inspect t the system as constructed. 4" DIA. PERFORATED PVC PIPE SECTION B G7 g P Y Innovative RUCK Systems, Inc. OF INSTALLING THE LINER, THE CONTRACTOR EDGE TO CENTER. " �ry SHALL FURNISH SHOP DRAWINGS DESCRIBING 200 main Street , SECTION A—A THE INSTALLATION FOR REVIEW AND APPROVAL fCIIf1'lOtJth, f1'1CI. 02540 RUCK SAND FILTER DRAWN: TMS CHECKED: NOT TO SCALE 98317.DWG LIC. NO.: 0201188317 DWG. NO.: 70-1-30 SHEET 1 OF 1