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HomeMy WebLinkAbout0052 FALLING LEAF LANE - Health EA = ling Le=Lane ille 4 - 0 1 } { 0 Holmes and Mcgrath, inc. LETTER OF TRANSMITTAL civil engineers and land surveyors . 205 Worcester Court Unit A4 DATE 1/24/2022 JOB No. 218338 falmouth, ma. 02540 ATrEN110N 508-548-3564 • 800-874-7373 • FAX 508-548-9672 email:Icoelho@holmesandmcgrath.com RE: Mr.George E. Lloyd, Jr. #52 Falling Leaf Lane To: DEP Osterville, MA 02655 Attn:Title 5 Program 1 Winter Street,6t'Floor Boston, MA 02108 WE ARE SENDING YOU ®Attached ❑ Under separate cover via the following items: COPIES DATE NO. DESCRIPTION 1 11/18/2021 DEP Approved Inspection and O&M form. REMARKS: COPY TO: Barnstable Board of Health George E. Lloyd,Jr. I SIGNED: Luis Coelho 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) A. Installation Important:when Mr. George E. Lloyd, Jr. filling out forms Owner on the computer, use only the tab #52 Falling Leaf Lane 5 key to move your Facility Street Address cursor-do not Osterville use the return 02655 key. city Zip Mailing address of owner, if different: same Street Address/PO Box: ieeen , City State Zip (508)420-4930 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 1/11/2003 1/11/2003 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence=used less than 6 mo./year: ❑ Yes No D. Operating Information 11/18/21 11/17/20 Inspection Date Previous Inspection Date Blackwater Tank=5" Graywater Tank=6" Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® iNo t5iaomr.doc• 6-16-06 Page 1 of 3 i 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 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 H 6.7 SU DO mg/L NTU p 6 to 9 2 or greater TUrbldlty 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: ❑ Influ 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: The septic tank.was pumped out last year December 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. Septic tank consist of 1" of scum layer this year. I ' t5iaomr.doc- 6-16-06 Page 2 of 3 f Massachusetts Department of Environmental Protection Bu reau 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 training course for this System with the Technology Company and am listed by the' Company as a trained inspector. January 24, 2022 Operator 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 31st of each year for the previous calendar year Piloting Use-within 45 days of inspection date I 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 1 t5iaomr.doc• 6-16-06 Page 3 of 3 f�. v Holmes and Mcgrath, inc LETTER OF TRANSMITTAL civil engineers and land surveyors 205 Worcester Court Unit A4 DATE 11/13/19 JOB No. 218338 falmouth, ma. 02540 ATTENTION 508-548-3564 • 800-874-7373 • FAX 508-548-9672 email:Icoelho@holmesandmcgrath.com RE: Mr. George E. Lloyd, Jr. #52 Falling Leaf Lane To: DEP Osterville, MA 02655 Attn:Title 5 Program 1 Winter Street, 6t'Floor Boston, MA 02108 WE ARE SENDING YOU ®Attached ❑ Under separate cover via the following items: COPIES DATE NO. DESCRIPTION 1 11/6/2019 DEP Approved Inspection and O&M form. REMARKS: COP--Y.T.O:. . . ..._ Barnstable Board of Health_ George.E, Lloyd,.jr,._._. 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 Mr. George E. Lloyd, Jr. filling out forms Owner on the computer, use only the tab #52 Falling Leaf Lane _ key to move your Facility Street Address cursor-do not Osterville 02655 use the return City Zip key. Mailing address of owner, if different: rab same Street Address/PO Box: City State Zip (508)420 -4930 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 1/11/2003 1/11/2003 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 11/6/19 __ 12/6/18 Inspection Date Previous Inspection Date Blackwater Tank=3" Graywater Tank=5" __ Pumping Recommended ❑ Yes ® No Sludge Depth(to be checked yearly) t5iaomr.doc• 6-16-06 Page 1 of 3 L 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 ❑ some pH 6 to 9 SU DO 2 or greateg/L 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 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: 9pd 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: The septic tank was pumped out last year December 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. Septic tank consist of 1/2" of scum layer this year. t5iaomr.doc• 6-16-06 Page 2 of 3 t Massachusetts Department of Environmental Protection LlBureau 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 a trained ins,pe6or. _ November 13, 2019 �1 er r S nature Date System owner must submit this report'Aechnology 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 s'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 Inspection report stored on Q drive : Q:\IA Systems\I-A Inspection Reports 4 t BENNETT ENVIRONMENTAL ASSOCIATES, LLCo (A Natural Systems Utilities Company) LICENSED SITE PROFESSIONALS,ENVIRONMENTAL SCIENTISTS,GEOLOGISTS,ENGINEERS 1573 Main Street,P.O.Box 1743 508-896-1706 Brewster,MA 02631 Fax 508-896-5109 LETTER OF TRANSMITTAL TO: DATE: JOB NUMBER: . Massachusetts Department of Environmental 9123/19 K11135DA.S.IA.700 Protection Attention:Title 5 Program 1 Winter Street-6th Floor Boston, MA 02108 REGARDING: Reeves Residence 61 Falling Leaf Lane SHIPPING METHOD: Osterville, MA Regular Mail ❑ Pick Up Priority ❑ j I Mail ❑ Hand Deliver ❑ Express Mail ❑ Other ❑ Certified Mail 0 Green Card/RR ❑ COPIES DATE DESCRIPTION 1 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (November 2018, May 2019) 1 OMNI Environmental Systems, Inc. RSF Operation and Maintenance Checklist(November 2018, May 2019) 1 11/20/18 Alpha Analytical laboratory report 1 5/16/19 Alpha Analytical laboratory report For review and comment: ❑ For approval: ❑ As requested: ❑ For your use: 0 REMARKS: , Please find enclosed the DEP Inspection and O&M Form, OMNI RSF Operation and Maintenance Checklist, and laboratory analytical report for operation and maintenance conducted for the above referenced property during the reporting period. If you have any questions or require additional information, please contact us at your earliest convenience. Thank you. cc: Barnstable Board of Health [via email] Virginia Reeves M FROM: Samantha Farrenkopf, Operations and Compliance Coordinator If enclosures are not as noted,kindly notify us at once P1r y / Aolmes and Mcgmth, inc. LETTER OF TRANSMITTAL civil engineers and land surveyors 205 Worcester Court Unit A4 DATE 12/27/18 JOSNO. 218338 falmouth, ma. 02540 ATTENTION s��9-3� �5'.�•;00 Vie' siaa^� FAX 508-S48=9672 email:Icoelho@holmesandmcgrath.com R=; Mi.George E. Lloyd,Jr:� #52 Falling Leaf Lane To: DEP Osterville, MA 02655 Attn:Title 5 Program 1 Winter Street,6'h Floor Boston, MA 02108 WE ARE SENDING YOU ®Attached ❑ Under separate cover via the following items: COPIES DATE NO. DESCRIPTION 1 12/6/2018 DEP Approved Inspection and O&M form. REMARKS: COPY TO: Barnstable Board of Health George E. Lloyd,Jr. 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 Mr. George E. Lloyd; Jr.: filling out forms Owner on the computer, use only the tab #52 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: same Street Address/PO Box: City State Zip . (508) 420 - 4930 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 1/11/2003 1/11/2003 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No - D. Operating Information - 12/6/18 11/9/17 Inspection Date Previous Inspection Date Blackwater Tank=15" Graywater Tank=4" Sludge Depth(to be checked yearly) Pumping Recommended ® Yes ❑ No t5iaomr.doc• 6-16-06 Page 1 of 3 Massachusetts Department of Environmental Protection L'L7 ] 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 Elien, Enviro-Septic or RUCK Field Inspection: Color: Z gray ❑ brown ❑ clear ❑ turbid ❑ Other(specify): Odor: Z musty ❑ earthy ❑ moldy ❑ offensive _ ❑ turbid Effluent Solids: ® no ❑ some NTU pH 6 to 9 SU DO 2 or grea erg/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: 9pd 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. Septic tank consist of 2" of scum layer this year. I t5iaomr.doc• 6-16-06 Page 2 of 3 Massachusetts Department of Environmental Protection 97 Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form #or Title 5 I/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) W: 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 tra' � g course for this System with the Technology Company and am listed by the Compan trained inspe r. Lr�co December 27; 2018 O for 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 yearfor 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 Innovative Ruck Systems, inc. LETTER OF TRANSMITTAL civil engineers and land surveyors 205 Worcester Court Unit A4 � DATE 12/4/17 JOB NO. 209170 M falmouth, ma. 02540 508-548-3564 • 800-874-7373 9 FAX 508-548-9672 ATTENTION k� email:Icoelho@holmesandmcgrath.com Re. Mr. George E. Lloyd,Jr. l ,+ #52 Falling Leaf Lane To: DEP Osterville, MA 02655 71 Attn:Title 5 Program 1 Winter Street, 61'Floor Boston, MA 02108 WE ARE SENDING YOU ®Attached ❑ Under separate cover via the following items: COPIES DATE NO. DESCRIPTION 1 11/9/2017 DEP Approved Inspection and 0&M form. t REMARKS: a COPY TO: Barnstable Board of Health George E. Lloyd,Jr. SIGNED: Luis Coelho 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) A. Installation Important:When Mr. George E. Lloyd, Jr. filling out forms Owner on the computer, use only the tab #52 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osteryille use the return 02655 key. City Zip Mailing address of owner, if different: same Street Address/PO Box: City State Zip (508)420-4930 ext. Telephone Number S. 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 DER ID Manufacturer ID Model Number 1/11/2003 1/11/2003 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 11/9/17 11/2/16 Inspection Date Previous Inspection Date Blackwater Tank=14" Graywater Tank=4" Pumping Recommended Sludge Depth(to be checked yearly) p 9 ❑ 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 OW 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 tog SU DO 2 or greatermg/L TurbidityNTU qo or Ies 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. Tanks do not have to be pumped out this year and septic tank consist of no scum layer again this year. M 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 tr ing course for this System with the Technology Company and am listed by the C 0 m p a 9,yag a trained ins tor. ---� December 4, 2017 O e or gignature 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 31th of each year for the previous 12 months General Use—by September 3011 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 4 V Innovative Ruck Systems, inc. LETTER OF TRANSMITTAL civil engineers and land surveyors 205 Worcester Court Unit A4 DATE 1/21/16 JOBNO. 209170 falmouth, ma. 02540 ATTENTION 508-548-3564 - 800-874-7373 - FAX 508-548-9672 email:Icoelho@holmesandmcgrath.com RE: Mr. George E. Lloyd,Jr. #52 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 11/2120 66 DEP Approved Inspection and O&M form. REMARKS: COPY TO: Barnstable Board of Health George E. Lloyd,Jr. SIGNED: Luis Coelho s 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 Mr. George E. Lloyd, Jr. filling out forms Owner on the computer, use only the tab #52 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: rab same Street Address/PO Box: reran City State Zip (508)420 -4930 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 1/11/2003 1/11/2003 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 11/2/16 12/23/15 Inspection Date Previous Inspection Date Blackwater Tank=15" Graywater Tank=4" Pumping Recommended Sludge Depth(to be checked yearly) P g ❑ Yes ® No t5iaomr.doc- 6-16-06 Page 1 of 3 1 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 ❑ moldy El offensive ❑ turbid Effluent Solids: ® no ❑ .some pH 6.4 SU DO i.27 m /L NTU 6 to 9 r greater)the Turbidity 40 or less Should a Remedial or General Use sys ail 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.Tanks do not have to be pumped out this year and septic tank consist of no scum. I 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 train'ng course for this System with the Technology Company and am listed by the Company a trained insip or. November 21, 2016 0 r r 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 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 (t Innovative Ruck Systems, inc. LETTER OF TRANSMITTAL civil engineers and land surveyors 205 Worcester Court Unit A4 DATE 1/11/16 ,IOSNO. 209170 falmouth, ma. 02540 ATTENTION 508-548-3564 - 800-874-7373 - FAX 508-548-9672 email:Icoelho@holmesandmcgrath.com RE: Mr. George E. Lloyd,Jr. #52 Falling Leaf Lane To: DEP Osterville, MA 02655 Attn:Title 5 Program 1 Winter Street, 6'h Floor Boston, MA 02108 WE ARE SENDING YOU ®Attached ❑ Under separate cover via the following items: COPIES DATE NO. DESCRIPTION 2 22/23/2015 DEP Approved Inspection and O&M form. REMARKS: COPY TO: Barnstable Board of Health George E. Lloyd,Jr. SIGNED: Luis Coelho r Massachusetts Department of Environmental Protection LF�j 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 Mr. George E. Lloyd Jr. filling out forms Owner on the computer, use only the tab #52 Fallinq 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: same Street Address/PO Box: re�en City State Zip (508) 420-4930 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 1/11/2003 1/11/2003 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 12/23/15 11/11/14 Inspection Date Previous Inspection Date Blackwater Tank=13" Graywater Tank=4" 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: Ll Color: ® gray ❑ brown ❑ clear ❑turbid ❑ Other(specify): Odor: ® musty El earthy ❑ moldy El offensive ❑ turbid Effluent Solids: ® no ❑ some 6.4 SU 41: 5�mg/1L NTU pH 6 to 9 DO 2 or greater 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 EIjen 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.Tanks do not have to be pumped out this year and septic tank consist of 1"of scum t5iaomr.doc• 6-16-06 Page 2 of 3 ,J Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 Ll 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 training course for this System with the Technology Company and am listed by the Company a trained ins tor. January 11, 2016 Op ator 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 TRANSMIT AL civil engineers and land surveyors 205 Worcester Court Unit A4 DATE 11/14/14 JOBNo. 209170 falmouth, ma. 02540 ATTENTION 508-548-3564 a 800-874-7373 a FAX 508-548-9672 email:Icoelho@holmesandmcgrath.com RE: Mr.George E. Lloyd,Jr. #52 Falling Leaf Lane S 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 11/11/14 DEP Approved Inspection and O&M form. REMARKS: COPY TO: Barnstable Board of Health George E. Lloyd,Jr. SIGNED: Luis Coelho 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 (Eijen, Enviro-Septic, RUq_ ) A. Installation Important:When Mr. George E. Lloyd, Jr. `-N filling out forms Owner Q. on the computer, use only the tab #52 Falling Leaf Lane key to move your Facility Street Address r-b cursor-do not use the return Osterville 02655 key. City Zip Mailing address of owner, if different: same Street Address/PO Box: ienan City State Zip (508)420-4930 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 1/11/2003 1/11/2003 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 10/16/13 Inspection Date Previous Inspection Date Blackwater Tank=11" Graywater Tank=3" Pumping Recommended ❑ Yes ® No Sludge Depth(to be checked yearly) t5iaomr.doc- 6-16-06 Page 1 of 3 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and OW Form for Title 5 I/A Ll Treatment and Disposal Systems (Eijen, Enviro-Septic, RUCK) E. Field Testltlg not required for standard inspection of Eljen,'Enviro-Septic or RUCK Field Inspection: Color: ❑ gray ❑ brown ® clear ❑turbid ❑ Other(specify): r Odor: ® musty T] earthy ❑ moldy ❑ offensive ❑ turbid f Effluent Solids: no ❑ some Q�--pH s to 9 U DO for greater Turbidity 40 or IesNTU 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 EIjen 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. Tanks do not have to be pumped out this year and septic tank consist of 1/2"of scum. t5iaomr.doc• 6-16-06 Page 2 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 (Eien, 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 Compan a trained i: ctor 11/14/2014 ato ignatur 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 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 holmes and megrath, inc. LETTER OF TRANSMITTAL civil engineers and land surveyors 205 Worcester Court Unit A4 DATE 10/25/13 JOBNo. 209170 falmouth,ma. 02640 ATTENTION 508-548.3564 9 800-874-7373 9 FAX 508-548-9672 Mr.George E. Lloyd,Jr. email:mcgrath@holmesandmcgrath.com #52 Falling Leaf Lane To: DEP Osterville,MA 02655 Attn:Title 5 Program 1 Winter Street,6'h Floor Boston,MA 02108 WE ARE SENDING YCOJ Attached n Under separate cover via the following items: COPIES DATE NO. DESCRIPTION 2 10/16/13 DEP Approved Inspection and O&M form. t R REMARKS: CV R c 1 - zz M Li. Cl-a r, C3 r ' � 5- J ) N COPY TQ:. Bamstable Board of Health ''George E.Lloyd,Jr. - r - p SIGNED: Luis Coelho I i LiMassachusetts 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 Mr. George E. Lloyd, Jr. filling out forms Owner on the computer,use only the tab #52 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville 02655 use the return City. Zip key. �11 Mailing address of owner, if different: same Street Address/PO Box: „ city State Zip (508)420-4930 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 Zp (508)548-3564 ext. Telephone Number Luis Coelho 14887 Grade 4M Operator Name Technology Company/Date of Training C. Facility/System Information Gen. Use Cart.#97894 Innovative Ruck Systems Residential RUCK DEP ID Manufacturer ID Model Number 1/11/2003 1/11/2003 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 10/16/13 10/16/12 Inspection Date Previous Inspection Date Blackwater Tank=12" Graywater Tank=2" Pumping Recommended ❑ Yes ® No Sludge Depth(to be checked yearly) t5iaomr.doc• 6-16-06 Page 1 of 3 I_ Y� 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 EIjen,EnviroSeptic or RUCK Field Inspection: Color. ❑ gray ❑ brown ® clear ❑turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some Fi 5.7 SU DO 12.4 mg/L NTU p 6 to 9 2 or greater 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.Tanks do not have to be pumped out this year. t5iaomr.doc• 6-16-06 Page 2 of 3 ,4 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) 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 trapping course for this System with the Technology Company and am listed by the Company trained i oect 10/25/13 0 for 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 311h 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 holmes and mcgrath, inc. LETTER OF TRANSMITTAL civil engineers and land surveyors 362 gifford street DATE 10/22/12 T Joe No. 209170 falmouth, ma. 02540 ATTENTION 508-548-3564 • 800-874-7373 • FAX 508-548-9672 email:mcgrath@holmesandmcgrath.com Mr, George E. Lloyd,Jr. r #52 Falling Leaf Lane To: DEP Osterville, MA 02655 Attn:Title 5 Program _ 1 Winter Street,e Floor Boston, MA 02108 WE ARE SENDINGYOU ®Attached ❑ Under separate cover via the following items: COPIES DATE NO. DESCRIPTION 1 10/16/12 DEP Approved Inspection and O&M form. REMARKS: 7. � COPYTO:_ LBamstable Board of.Health George E. Lloyd,Jr: SIGNED: Luis Coelho t J LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 51 I/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) A. Installation Important: Mr. George E. Lloyd, Jr. When filling out Owner forms on the computer,use #52 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: " I same Street Address/PO Box: �nO1 City State Zip (508)420-4930 ext. Telephone Number i 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 1711%2003 "- - - - - - - '1/1172003 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 10/16/12 10/28/11 Inspection Date Previous Inspection Date Blackwater Tank=14" Graywater Tank=5" Pumping Recommended ❑ Yes ® No Sludge Depth(to be checked yearly) t5iaomr.doc• 6-16-06 Page 1 of 3 i LLIMassachusetts 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 (Eijen, 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: N no ❑ some pH s to s SU DO 2 or greater Turbidity 40 or IesNTU 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. i F. Sam lin Information - not required for standard p g 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. Ins•pection an'd 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. Tank does not need to be pumped out at this time. t5iaomr.doc- 6-16-06 Page 2 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and .O&M Form for Title 5 IIA 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 training course for this System with the Technology Company and am listed by the Company as a trained inspector. 10/22/12 Operator Signature Date System owner must submit this report, technology OW 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 User 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 OneOne Winter Street, 6t Floor Boston, MA 02108 t5iaomr.doc• 6-16-06 Page 3 of 3 . Z F� holmes and mcgrath, inc. LETTER OF TRANSMITTAL civil engineers and land surveyors 362 gifford street DATE 11/8/10 Joe No. 209170 falmouth, ma. 02540 ATMMN 508-548-3564 • 800-874-7373 • FAX 508-548-9672 Mr. George E. Lloyd, Jr. email:mcgrath@holmesandmcgrath.com RE' g y #52 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 10/21/2010 DEP Approved Inspection and O&M form. REMARKS: I COPY_0; f Bamstable_Board_of-Health ` George E:•Lloyd, Jr. _ ...__ . _. 'SIGNED:- Luis Coelho 0 - 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) A. Installation Important: Mr. George E. Lloyd, Jr. When filling out Owner forms on the computer,use #52 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: VQ same Street Address/PO Box: City State Zip � � (508)420-4930 ext. Telephone Number ' ' 0 110 B. Authorized Service Provider Innovative Ruck Systems, Inc. O&M Firm CJ Fa 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 1/11/2003 1/11/2003 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 10/21/10 10/27/09 Inspection Date Previous Inspection Date Blackwater Tank=12" Graywater Tank=4" 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 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 s to 9 SU DO 2 or greatermg/L NTU 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 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: 1 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 ining co e f r this System with the Technology Company and am listed by the Compa s a trai d in ector. 11/8/10 er or 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 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 Prohgram One Winter Street, 6t Floor Boston, MA 02108 I t5iaomr.doc• 6-16-06 Page 3 of 3 nolmes ana mcgrath, inc. civil engineers and land surveyors 362 gifford street falmouth, ma 02540 email: mcgrath@holmesandmcgrath.com DATE =,26?&�� O. phone (508) 548-3564 1 800 874.7373 o v fax (508) 548-9672 ATTENTION TO RE: 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, o 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 ❑ For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO �/` ✓�l L� l �f —�TC' � SIGNED: ;.6e �Q If enclosures are not as noted,kindly ify us at once. 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. George E. Lloyd, Jr. forms on the Owner computer, use only the tab key 52 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: Bran City State Zip (508)420-4930 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 Cert.#: 97894 Innovative RUCK Systems Residential RUCK DEP ID Manufacturer ID Model Number 1/11/2003 1/11/2003 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 10/19/06 Inspection Date Previous Inspection Date Blackwater Tank= 12"; Graywater Tank=6" Pumping Recommended El Yes ® No Sludge Depth(to be checked yearly) p g Lloyd Insp. Oct'09.doc•10/28/09 Page 1 of 2 LL 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 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: 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 ported is true, accurate, and complete as of the time of the inspection. I am a Massac efts certif rator in accordance with 251 CMR 2.00. 10/28/09 r or ignatur 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 Lloyd Insp. Oct'09.doc• 10 kSl Page 2 of 2 1�— 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. Paul J. Freehauf forms on the Owner computer, use only the tab key 42 Falling Leaf Lane s 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: ranan - City State' Zip (508) 428-6682 Telephone Number B. Authorized Service Provider Innovative Ruck Systems O&M Firm 362 Gifford Street Street Address ` Falmouth Na. 02540 City State 'i Zip (508) 548-3564 ext. ° Telephone Number Luis Coelho 14887 Certified Operator Name Certification.Number C. Facility/System Information - }_ General Use Cert.#: 97894 Innovative RUCK Systems Residential RUCK . DEP ID Manufacturer ID Model Number 9/28/98 11/28/98 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 6/29/07 ti Inspection Date Previous.Inspection Date Blackwater Tank.= 14"; Graywater Tank= 8" Pumping Recommended ❑ Yes ® No Sludge Depth(to be checked yearly) Freehauf Insp.Oct09.do6-10/28/09 - Page 1 of 2 T . 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 normal . Effluent Description r E. Sampling Information Samples Taken: Influent❑ Effluent Parameters sampled:'❑ pH ❑ BOD E:1 TSS Ej 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: 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 informatio ported is tr ,e, accurate, and complete as of the time of the inspection. I am a Massac setts certifi o rator in accordance with 257 CMR 2.00. ; 10/28/09 erat r Signa-tureZ Date r 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 315t 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, 6tr. Floor Boston. MA 02108 Freehauf lnsp.Oct09.doc• 10/28/09 Page 2 of 2 �+ h®lmes and mcgrath, inc. civil engineers and land surveyors 362 gifford street L� falmouth, ma 02540 email: mcgrath@holmesandmcgrath.com DATE JOB NO. phone (508.) 548-3564 1 800 874-7373 �� "� fax (508) 548-9672 ATTENTION TO Fe P RE: — r ^,.// CA WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via > the following items: ❑ Shop drawings ❑ Prints. ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order % -1 COPIES DATE NO. DESCRIPTION re,/ F/ K Z Lin e 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 r1Q 4 COPY TO tr n "4 /70M&(5) '67er SIGNED: Massachusetts Department of Environmental Protection a Bureau of Resource Protection - Title 5 Permitting DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems I/A System inspection results must be submitted on this DEP form. A. Facility Important: Suvitya Nopakun When filling out Owner forms on the computer, use #81 Falling Leaf Lane only the tab key Facility Street Address to move your Osterville 02655 cursor-do not use the return City/Town Zip key. Mailing address of owner, if different: VS Af Street Address/PO Box City/Town State Zip (781) 259- 9019 ext. Telephone Number B. Authorized Service Provider Holmes & McGrath, Inc. 0&M Firm 362 Gifford Street Street Address Falmouth MA 02540 City/Town State Zip (508) 548- 3564 ext. Telephone Number Luis Coelho Certified Operator Name Certification Number C. Facility/System Information General Use Cert. #: 97894 Innovative RUCK Systems Residential RUCK DEP ID Manufacturer's Name&ID Model Name&Number 12/9/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence.-used less.than.6.,m.o./year:.®Yes.❑No D. Operating Information 10/19/06 09/23/05 Inspection Date Previous Inspection Date Blackwater tank = 9 in.; Graywater tank =4 in. Pumping Recommended Sludge Depth(to be checked yearly) P 9 ❑ Yes ® No Normal Effluent Description t5iaom1.doc^10/25/06 Page 1 of 2 Massachusetts Department of Environmental Protection Jr. Bureau of Resource Protection - Title 5 Permitting 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: 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 Massachusetts certified operator in accordance with 257 CMR 2.00. 10/25/06 00'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 Piloting Use—within Provisional Use—by General Use—by January 31st of each' 30'days of inspection March 31st of each September 30"h of`"= year for the previous date year for the previous each year for the calendar year calendar year previous 12 months Address for DEP co Department of Environmental Protection copy: Attention: Title 5 Permitting Program One Winter Street, 6'h Floor Boston, MA 02108 t5iaom1.doc^ 10/25/06 Page 2 of 2 RE y� T ? Town of Barnstable Barnstable RARNWABL€, AFAmedca 9$A HASS, Board of Health_ 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 FAX: 508-790-6304 Wayne Miller,M.D. Paul Canniff,D.M.D. Junichi Sawayanagi Mr. George E. Lloyd, Jr. September 5, 2007 52 Falling Leaf Lane Osterville, MA 02655 RE:. Sampling of Wastewater Effluent from-your Innovative/Alternative(RUCK) Systerri Dear Mr. Lloyd, According to the reports received by the Board of Health, all of the RUCK wastewater effluent sample results taken from your wastewater effluent during April 2001 through May 2004 exceeded the maximum discharge limit for total nitrogen. The Board did not receive any test results for any samples taken after May 2004. The subject RUCK system is located at 52 Falling Leaf Lane, Osterville. During the public meeting of the Board of Health held on August 21, 2007, the Board voted to require each homeowner to submit a minimum of four samples taken at least three months apart. In particular, the total nitrogen shall not exceed 19 mg/1 total nitrogen. Thus, the Board will allow you to reduce the testing to once yearly for nitrogen once four sample results are received which meet the discharge limits. Please make arrangements to have four more samples taken from your RUCK wastewater effluent,once before the end of this year, then three additional samples taken once every three months afterward. Please be advised that you will not be granted permission to reduce the frequency of sampling/monitoring from your RUCK system until these requirements are met. The Board of Health will hold a hearing in one (1) year to review the results from the new testing. If the system continues.to fail, other options will need to be explored. Sin ly, ayn Miller,M.D., Chairman Q:\WPFILES\Lloyd52FallingLeafBOHDecisionMonitoring.doc f July 10, 2007 Mr. Thomas McKean Barnstable Board of Health Town Offices, 200 Main St. Hyannis,MA 02601 Dear Tom: This letter confirms my intention to appear before the Barnstable Board of Health at the Tuesday, Augustx21,:2-007 meeting at 3:00 PM. At that time I will be looking to clarify the testing requirements for my enhanced Ruck septic system, and to look at a possible reduction in the current testing requirements, particularly as outlined in Susan Trask's letter of January 10, 2007. Sincerely George E. Ll yd Jr. 52 Falling Leaftane •Osterville,MA 0265.5� 508-420-4930 �i � Q3 r cry rn C „Barnstable, Massachusetts RUCK Systems - Falling Leaf Lane Report created 4/20/07 53 Complete Sampling Reports* WDa ffwa 'Um a5MO& �Ulzl aixilo BAFa1091 RUC Arthur J. Balian 91 Failing Leaf Lane Mar-02 0.1 1.7 7.2 3.0 9.0 BAFal091 RUC Arthur J. Balian 91 Tailing Leaf Lane A r-01 0.0 14.0 7.8 14.0 250.0 40.0 6.9 BAFa1082RUC Janice Davis 82 Falling Leaf Lane Mar-02 2.0 0.1 9.9 4.5 12.0 BAFa1082RUC Janice Davis 82 Fallin Leaf Lane Jul-01 24.01 5.7 4.2 29.7 11.0 120.0 6.5 BAFa1082RUC Janice Davis 82 Failing Leaf Lane A r-01 3.9 7.3 2.0 11.2 41.0 46.0 6.8 BAFa1082RUC Janice Davis 82 Falling Leaf Lane Oct-00 8.3 10.0 4.5 18.3 20.0 52.0 6.5 BAFa1082RUC Janice Davis 82 Falling Leaf Lane Ma -00 7.9 12.0 6.4 19.9 19.0 160.0. 7.9 BAFa1082RUC Janice Davis 82 Falling"Leaf Lane Jan-00 0.0 32.0 23.0 32.0 80.0 76.0' 7.2 3000.0 BAFa1082RUC Janice Davis 82 Failing:Leaf Lane Oct-99 14.0 19.0 6.0 33.0 22.0 120.0 6.8 4000.0 BAFa1081 RUC Suv' a No akun 81 Falling:Leaf Lane Mar-02 6.6 0.0 11.0 11.0 .17.6 BAFa1081 RUC Suv' a No akun� "81 Fallin .'Leaf Lane y, Dec'-01 9.5 .;27.0 21.0 36.5 '34.0' 330:0; "`6.9 BAFa1081 RUC Suvitya No akun 81 Fallin =Leaf Lane A r-01 0.7 ` ' 0.5 0.2 "` 1.2 2.0 50.0' 7.5 BAFa1081 RUC SUVitya No akun 8.1 Fallinq Leaf Lane Nov=00 0.7 . : 0:0 0.0 0.0 01 , 2.0 16.0., 7.0 BAFa1072RUC Myrna Singer 72 Fallinlg Leaf Lane A r-01 4.3 31.01 27.0 35.3 1.2.0 ' 13.0 7.0 BAFa1072RUC Myrna Singer 72 Failing Leaf Lane Nov-00 0.4 23.0 14.0 23.4! 23.01 6.7 BAFal071 RUC Vincent Le endre 71 Fallin Leaf Lane Jun42 0.0 0..1 18.0 13.0 ,;18.1 BAFa1071 RUC Vincent Le endre 71 Fallin 'Leaf Lane Jan-00 1:9 17.0 6.3 18.9 39.0' 43.01 7.2 900.0 BAFal071 RUC Vincent Le endre 71 Failing<Leaf Lane Jul,99 0.0 18.0 10.0 18.0 30.0 35.0 6.6 BAFal071 RUC Vincent Le endre.. . .71 Falling-:Leaf Lane A rs99 0.5 ; 10.0 5.9 - 10.5 , 50.0' 84..0 6.9 BAFa1052RUC Geor a Lloyd Jr. 52 Fallin''Leaf Lane Ma -04 0.7 11.0 19.0 14.0 - 30.7 29.0 68.0 7.3. BAFa1052RUC Geor a Lloyd Jr. 52 Fallin ;Leaf Lane Dec=02 10.0 3.3,.-; 24.0 15.0 . -3.7.3 7.0 BAFa1052RUC Geor a Lloyd Jr.. : " 52 Fallin Leaf Lane. Nova 02 . 14.7 0,5 26 0 . 16:0: . .31:2, ; ;;:. :°r 6.6 . BAFa1052RUC George Lloyd Jr. '52 Failing Leaf Lane Oct-02 3:9 9.2 28 0 17.0 41.1 BAFa1052RUC George Lloyd Jr. 52 Fallin .Leaf Lane Au -02 6.2 0.3 45.0 29.0' 51.5. BAFa1052RLIC George Llo'd Jr:` 52 Falling"Leaf Lane =" Jun=02 23:0 5.4 r-r 34.0 "�"19:0 w" 62.4 , �{ ,: , BAFa1052RUC Geor a Lloyd Jr. 52 Falling Leaf Lane Jun-02 17.0 2.5 .21.0 ' .. 8.4 BAFa1052RUC George Llo d Jr. ,> 52 ,Fallin Leaf Lane . A r-02 0.0 0.1. 4&.0 19.0 46.1 r 7.11 BAFa1052RUC " George., Llo d Jr:^' . 52 F' allin ,Leaf Lane "`' Mar=02 " .''� 0 0 " 0.1 27:0 ': "'21.0; 7.1 BAFa1052RUC. George Lloyd Jr. 52'Falling-leaf Lane A L21 9.5 23.01 16.0' 32.5 32.0' 91.0' 6.7 BAFa1042RUC I Freehauf 42 Fallinq Leaf Lane Nov-00 4.4 12.01 4.21 16.41 39.0 19.01 6.0 BAFa1042RUC I Freehauf 42 Filling Leaf Lane Jan-00 0.4 24.01 7.71 24.41 61.0 44.ol 6.51 3006- BAFa1042RUC Freehauf 42 Failing Leaf Lane A r-99 0.0 16.0 10.0 16.0 68.0 45.0 ' 6.4 BAFa1039RUC Paton 39 Failing Leaf Lane A r-02 0.0 0.0 15.0 8.5 1'5.1 7.7 BAFa1039RUC Paton 39 Falling Leaf Lane A r-01 0.0 17.0 13.0 17.0 36.0 32.0 6.8 BAFa1039RUC Paton 39 Falling Leaf Lane Nov-00 0.6 9.0 4.3 9.6 22.0 37.0 6.3 BAFa1031 RUC Berestecky 31 Falling Leaf Lane Au -02 0.0 0.0 17.0 9.1 17.0 BAFa1031 RUC Berestecky 31 Falling Leaf Lane Dec-01 0.0 24.0 9.1 24.0 70.0 190.0 7.1 BAFal031 RUC Berestecky 31•Falling Leaf Lane A r-01 0.0 12.0 5.3 1.2.0 56'0 71.0 7.0 BAFa1031 RUC Beresteck 31 Falli;q Leaf Lane Nov-00 1.6 13.0 5.4 14.6 47.0 95.0 6.8 BAFal031 RUC Berestecky 31 Falling Leaf Lane Jan-99 0.3 24.0 18.01 24.3 43.0 67.0 7.0 BAFa1024RUC Ralph King 24 Falling Leaf Lane Mar-02 0.0 0.1 73.0 74.0 73.1 BAFa1024RUC Ralph King 24 Failing Leaf Lane Dec-01 4.4 7.8 5k 12.2 22.0 26.0 6.7 BAFa1023RUC Robert Gracilieri 23,Failing Leaf Lane Jun-02 0.0 0.1 18.0 18.1 BAFa1023RUC Robert Gracilieri 23 Failing Leaf Lane Dec-01 1.1 27.0 18.0 28.1 29.0 54.0 7.2 BAFa1023RUC Robert Gracilieri 23 Failing Leaf Lane Jul-99 2.4 19.0 11.0 21.4 41.0 88.0 6.7 11000.5 BAFal023RUC Robert Gracilieri ;23 Falling Leaf Lane A r-99 0:2 6.6 3.3 6.8 130.0 : 37.0 ':7.1 BAFa1015RUC Ernest P. Mondou 15 Falling Leaf Lane Ma -04 0.0 0.0 19.0 12.0 19.1 74.0 7.3 BAFal015RUC Ernest P. Mondou 15 Falling Leaf Lane Au -02 0.0 0.0 28.0 18.0 28.1 BAFal015RUC Ernest P. Mondou 15 Failing Leaf Lane Dec-01 4.0 11.0 1.6 15.0 140.0 5.9 BAFa1015RUC Ernest P. Mondou 15 Failing Leaf Lane A r-01 3.9 7.3 2.0 11.2 41 o 46.0 6.8 BAFa11,02RUG, Ra mond` Schnieder , 102 Fallin Leaf Lane Nov=00 0:1 9:5 4 6 "._ 9.6 32:0 t1`:0 6:8 BAFa11,02RUC` Ra rnond Schnieder 102 Fallin Leaf Lane" Jul-99' 26:0 - 7.3 " 11.0 33.31 20.0 85,0 .6.5 " 800.0 BAFat102RUC Raymond Schnieder 102 Fallin Leaf Lane A r-99 0..1 1 11.0 10 1 t.11 28.01 99,01 7.7 *Complete sampling report defined as a report in which Nitrate and TKN are both•reported for TN calculation to be possible Crocker, Sharon e:20d7 From: McKean, Thomas Sent: Thursday, June 21, 2007 11:13 AM To: Crocker, Sharon Subject: George Paton, 39 Falling Leaf Lane RE: George Paton, 39 Falling Leaf Lane This item is continued for the August 21 st agenda. 1 V� Innovative RUCK Systems, Inc, Falling Leaf Lane Analysis of Test and Retesting December 2001 and March 2002 March 19, 2002 J TKN Concentrations �1 December EFFLUENT MARCH EFFLUENT mg/I Owner House No TKN Ammonia TKN Difference Filter efficiency Fling 24 8 5 12 Lloyd 52 ''° "r`; 51'' 40a"� T 271 47.06% 82.50% Singer 72 'i r ' 28': 21 ``` 23 17.86% 76.77% Balian 91 :; 53; 16 7 86.79% 97.27% Nopakun 81 a ` 4.`27 21 9.9 63.33% 95.36% ^' 17 10 T ,'15 11.76% 95.32% Legendre 71 Paton 39 12 4.7 3.8 68.33% Berestecky 31 i , p 24 9.1 15 37.50% 86.46% Melnyk 23 r; (h " 271 18 "! 3' E 2.01 25.93% 83.85% Mondou 15 .M 14 9.2 ,, ^16 86.15% 26.1 14.87 43.030/c 53 27 8 3.8 aL Page 1 of 8 Town of Barnstable ; Board of Health ' M BARNS-rABLF- 200 Main Street, Hyannis MA 02601 �n 1 y MASS. ( 1 1639, AlFD��p Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul J.Canniff,D.M.D. Junichi Sawayanagi BOARD OF HEALTH MEETING MINUTES Tuesday, June 12, 2007 at 3:00 PM Town Hall, Hearing Room 367 Main Street, Hyannis, MA Announcement: BOH meeting July has been moved to July 17, 2007. Also, at the July meeting there will be a new BOH regulation proposed outlining Time Deadlines next month. I. Hearing: A. George Paton, owner, 39 Falling Leaf Lane, Osterville — Owner is requesting consideration to eliminate monitoring of innovation septic system. Mr. Paton said after the purchase of house they had to sign a contract at three year periods to monitor the system. Recently, he received a letter from Innovative Rucks Systems in March and from Susan Rask at the county. The original decision letter said the Board of Health may review and adjust the monitoring plan which is what he is requiring. His system has always been in compliance. The new proposed monitoring with additional testing would increase from $150/year to $600/year. The Board explained there are four acceptable tests required before the Board will review changing the monitoring. To date, there are only three tests. Mr. Paton will investigate whether there is a fourth test and if so, will come before the Board again for consideration of reduced testing. Susan Rask, Barnstable County, spoke of the procedure as the County monitors the I/A systems for the town. Mr. McGrath is the head of the Rucks system and had gone before the Mass DEP asking whether they have to continue doing testing. The state told Mr. McGrath, the complex no longer had to do the testing after 2003. However, no one ever came before the Board of Health proposing the tests be eliminated. Ms. Rask's chart shows Mr. Paton's particular system has been doing well in the testings. Ms. Rask's recommendation would be to test once a year for nitrate leve which may only cost $100. The maintenance contract is required by the State. Mr. Paton's system is built for a three bedroom, but he only utilizes two bedrooms (the third is an office). Upon a motion duly made by Dr. Canniff, seconded by Mr. Sawayanagi, the Board voted to continue until August 21, 2007. '(Unanimously voted in favor.) (That will allow time to see if a fourth test was done, and if not, it will allow a fourth test to be done on its normal quarterly interval to avoid additional costs.) Innovative RUCK Systems, Inc, Falling Leaf Lane Analysis of Test and Retesting December 2001 and March 2002 March 19, 2002 Total Nitrogen Conc;:entrations if to of gray= December MARCH 3 ppm INFLUENT EFFLUENT Owner Hous&No TN TN TN REMOVAL King 24 12.2 73 18.6 57.26% Lloyd 52 " 51 37; too much TKN 140#.'.'µ ' �' '27 65.71°� too much TKN Singer 72 28' too much TKN 110 8; ^� $' 23 63.64% too much TKN Balian 91 r `53' 120 9 90.00% Nopakun 84 36:5 too much TKN 170 12 89.41% Legendre 71 24.5� carbon 120 µ. ": 43 33.33°� carbon Paton 39 12 120 3.9 98.50% 4;Berestecky 31 ���; � n,;° 2 ; nitrification 150 ` , 302 63.73% carbon Melnyk 23 I? ; ,; 28:1 nitrification 160 ,39.4 54.50% too much TKN Mondou 15 .=ate '' � ,26 carbon 140 _ r 29.2 62.57% either Average 29.6 130.3 23.5 67.9% 20% High 53 170 ' 43 98.5% low 12 73 3.9 33.3% Y holm and mcgeh, inc. civil engineers and land surveyors 362 gifford street falmouth,ma.02540 508-548-3564.800-874-7373 9 fax 508-548-9672 August 8, 2007 email:mcgratheholmesandmcgrath.com Town of Barnstable Board of Health 200 Main Street Hyannis MA 02601 Re: Residential RUCK Systems Falling Leaf Lane Osterville, MA ----------------------------- } i Barnstable Board of Health Members: ^_ We enclose a chart showing 13 Residential RUCK systems on 00 Falling Leaf Lane in Osterville. These systems were ea y ` > installations and the owners were under the impressionhat the fig U; annual tests were suspended_. The chart shows the results of eight tests. Four systems shown comply with the discha ge limit ot.of 19:mg%l 'of TN in the' disttibution box, four systems o nn The Ichart shows a 'removal _rate based 'on'the 'aVerage ''TN:' concentration of gray"water of 10mg/l ` The gray water is 'mixed in the effluent and it cannot be measured. To evaluate whether these systems are functioning satisfactorily, the chart compares the expected impact by DEP represented as Kg of Total Nitrogen per year and that expected TN .load is 8. 66 Kg per year. The chart shows the actual impact calculated by multiplying the average off season daily water meter reading by the measured concentration of TN gives actual TN loading by between 0.41 Kg/year to 5,.23 Kg/year with six of the , tested systems below 2.03 Kg/year. The life style of the residents and the low flow plumbing fixtures have reduced water consumption resulting in less water being discharged. ' The on site systems have reduced the TN loading significantly. Both system at 47l and #72 ` lack` sufficient ' carbon. ` The TN concentration' would` be 'reduced by fiaif''if more "ca`rbon``was avail`abie iri' the gray` water tank: Barnstable Board of Health 2 August 8, 2007 Systems have removed significant nitrogen. from the environment and the annual testing. should be suspended. If you have any questions, please call or write me. Sincerely, HOLMES AND McGRATH, INC. 'I r v% Michael B. McGrath, P.E. , P.L.S. President MBM/jb Cc: Falling Leaf Lane Homeowners i l FALLING LEAF LANE Barnstable,MA Assume gray Residental Ruck Systems water is 10 mg/I Blackwater Tank Graywater Tank r Address Owner TKN(mg/1) NO2(moll) NO3(ma/1) NH3(ma/1) TN m ll TKN(mall► NO2(mall) NO3(ma/1) NH3(ma/1) TN(mg/1) %REMOVAL #15 Falling Leaf Lane Mondou 149.2 BRL BRL 127.4 149.2 19.2 1.46 0.78 12.3 21.44 73.07% #23 Failing Leaf Lane Gracilieri 81.2 BRL BRL 78.1 81.2 14.6 0.19 0.29 11.5 15.08 66.93% #24 Failing Leaf Lane King #31 Falling Leaf Lane Berestecky #39 Falling Leaf Lane Paton #42 Falling Leaf Lane Freehauf 126 BRL BRL 87.4 126 11.9 0.21 2.81 6.9 14.92 78.06% #52 Falling Leaf Lane Lloyd #71 Falling Leaf Lane Legendre 144.8 BRL BRL 121.8 144.8 15.3 5.98 15.9 10.2 37.18 51.96% #72 Falling Leaf Lane Singer 106.4 BRL BRL 85.1 106.4 19.3 1.59 22.3 14.6 43.19 25.79% #81 Falling Leaf Lane Nopakun 32.8 BRL BRL 22.1 32.8 2.0 0.68 4.08 0.6 6.76 68.41% #82 Falling Leaf Lane Davis 90.7 BRL BRL 75.9 90.7 7.28 BRL BRL 2.0 7.28 85.54% #91 Falling Leaf Lane Balian 149 BRL BRL 140 149 20.2 0.19 0.32 14.3 20.71 73.95% #102 Falling Leaf Lane Schneider "Based On Flows Offseason WATER METER READINGS(GALLONS) 2007 Jan.- ACTUAL TN DEP EXPECTED TN actual TN DEP expected ( load(kg per load(kg per 2006 GPD June) GPD LOAD(Ibs/gal) LOAD(Ibs/gal) year year) #15 Falling Leaf Lane Mondou 74,000 203 25,000 68 0.012 0.052 2.03 8.66 #23 Falling Leaf Lane Gracilieri 207,000 567 10,000 27 0.003 0.052 0.57 8.66 #24 Falling Leaf Lane King 164,000 449 46,000 126 0.052 #31 Falling Leaf Lane Berestecky 88,000 241 32,000 88 0.052 #39 Falling Leaf Lane Paton 109,000 299 37,000 101 0.052 #42 Falling Leaf Lane Freehauf 156,000 427 32,000 88 0.011 0.052 1.81 8.66 #52 Falling Leaf Lane Lloyd 76,000 208 23,000 63 0.052 #71 Falling Leaf Lane Legendre 104,000 285 23,000 63 0.020 0.052 3.24 8.66 #72 Falling Leaf Lane Singer 116,000 318 32,000 88 0.032 0.052 5.23 8.66 #81 Falling Leaf Lane Nopakun 135,000 370 55,000 151 0.008 0.052 1.41 8.66 #82 Falling Leaf Lane Davis 106,000 290 15,000 41 0.002 0.052 0.41 8.66 #91 Falling Leaf Lane Balian 102,000 279 24,000 66 0.011 0.052 1.88 8.66 #102 Falling Leaf Lane Schneider 68,000 186 14,000 38 0.052 1 June 14, 2004 Mr. George E. Lloyd, Jr. #52 Falling Leaf Lane Osterville, MA 02655 Dear Mr. Lloyd, Re: Lot 3 , Falling Leaf Lane Our Job No. 201377 -------------------------- Enclosed please find a copy of the most recent chemical analysis report showing the Total Nitrogen concentration of your RUCK system' s treated effluent . This report indicates that the Total Nitrogen parameter is out of compliance. The unexpectedly high nitrogen specie was Nitrite-N. This unusually elevated value may be- due, at least in part, to the application of lawn fertilizer shortly before the sample was retrieved. Every effort will be made to schedule the next sampling event later this season around lawn fertilization. If you have any questions, please call or write me. Sincerely, INNO ATIIVE RUCK -SYSTEMS Paul C. LaCroix, Grade 7 W.W.T. P. Operator B. S . , Environmental Management Enclosure cc: :_Barnstable Board of -Health Steve Corr, PE i. ' . ^ � Groundwater Analytical, inc, P.[). Box 120O 228 Main Street, Buzzards Day/MA82S32 Innovative RUCK Systems, Inc. A Passive Denitrifying Septic System #362 Gifford Street Falmouth MA 02540 1 (.800) 659•RUCK (7825) In MA 1 (508)546.3564 FAX (508).548.9672 Oct. 3, 2003 Thomas A. McKean RS., CHO. Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Dear Mr. McKean: Re: Ruck System Installation #15 &#52 Falling Leaf Lane Barnstable, MA ..'Nease find enclosed two as-built plans of the replacement Ruck filters for the two above reference sites. This was done in accordance to our previous commitment to the owners and the Town of Barnstable. The previously installed Ruck filters were found to be installed improperly-in that the bottom of the filter was below the invert of the gray water tank. This lead to the flooding of the bottom of-the previous Ruck filters. The flooding interfered with proper venting of the two filters. We will perform tests the first week of December at both locations. Ifyou have any other question please do not hesitate to call me.. S inv vrCaJ, HOLMES AND McG , INC. I Michael B. Mcgrath,P.E., P.L.S.,. . President:> ., . . t. :F•.:}' J 1v.}µf 1.`i i �^.A:k" .! 5 1 Jr. t 7 P I-j� zo 7 t•�' a1 enclosureg:`"`r `d.ri t\';4� t r ~ y ) of cc: Steve Corr(1) ?mom printed on recycled paper 1 100.00' SURFACE DENT LOCAT/ON � 1 r_.......<_..._ .___.._.... i a I.6, 901.1/ f' EX/SANG RUCAir RL TER EArfl-M ONE t 0 _ RZICA- C 12' WDE X 15'LONG T11Z TER � Ell Z-1-,TIN6 Z�oof a PT , 7A " EX/SANG 9 HOLE D—BOXSEPrc rAAIvA B l O LOT 3 15,000 S.F. A - C = 22.0' B - C = 26.5' A - D = 24.3' B - D = 32.3' A = 36.3' B - E = 37.0' 100.00' " AS BUILT OF MODIFIED RUCK SYSTEM J I THE 4�0 No.4:�Oi8 CIVIL O a — A — C = 32.3' B — C = 31 .4' 12514' A — D = 33.3' B — D = 38.8' N 0 A — E = 46.0' ° B — E = 40.8 LOT 25 15,000 S.F. r v r I--S4 f'IIc 11l u 9 CIAi As HALE DG BOX r'Xl.Sllfv'C� � " 9 - ' GA ON .... NT LO -----�-------------- b F�►-�R SDRf A ��� 62 EX�SnN E X �5. LONG 12� NOD OF A?�'SS v- V O �S� TIMOTHY M. u \ o S!iNT N 78 f Fs`/ N A ENS\ AS BUILT OF MODIFIED RUCK SYSTEM 1 " = 20' 77. r f NO. THE COMMONWEALTH OF MASSACHUSETTS FEE /� �wB�OARD OF HEALTH V /V OF r'9��US� gLLs APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( ) Repair ( Upgrade ( ) Abandon ( ) - []Complete System Xindividual Components I—(lT O's04 SP#/VIZ ze'ey WeAdeg Loc� /I e,'s Name Map/Parcel# Address 7 7 Lot el i t� �� ar 4)Vt X�q yA�o�, rL l p e rtoV Otte SY56,nr. �Qlnstaller's Name q �Q 4� Desier's Nam / `/ � Va 02s310 ri Y llnac_ {4�C,/A Address Address szs-5yg-9s/& Svc- sY 3M y Telephone# Telephone# Type of Building: �Xls� Wet Lot Size % Sq.feet Dwelling—No.of Bedrooms Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required) gpd Calculated design flow gpd Design flow provided gpd Plan: Date Z 30 /3 Number of sheets Revision Date Title Pn, d ,2�sr-nn Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS �i The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date Inspections FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 ------------------------------------ - ------ --- -------- --------------- --- - No. THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System;Constructed( ),Repaired( ),Upgraded( ),Abandoned( ) by: at has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. dated Approved Design Flow (gpd) Installer Designer: Inspector Date The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 ------------------ -------------------------------------------- ----------- No. THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) an individual sewage disposal system at as described in the application for Disposal System Construction Permit No. dated Provided: Construction shall be completed within three years of the date of this permit.All local conditions must be met. Date Board of Health FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H HOBBSB WARREN TM PUBLISHERS- BOSTON M PR .�f.�i i `k ,,yy ` � ,.,r}*�.:A'.+jty� fa r��� ��,'.z Y�t,^r-�'�y-�.A•'.w =., 't 5' - ' .. No. 1 THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF H E'ALTH i APPLICATION kFOR DISPOSAL SYSTEM CONSTRUCTION PERMIT '1 r Application for a Permit to Construct ( ) Repair ( Upgrade)( ) Abandon ( ) - ❑Complete System Individual Components LOT 2 S.-,eISFlr ivl o►✓!-o— r a Ldcatio Ow er's Name Map/Parcel# Address 7 ,� / Lott, Tel o e T rt6v.-1,V f E XlgV1&4' .T/e G OtICt� �wkui Jni. u Installer's Name < (A�J��/A} !•(/. /%QX ���%p 11 lrl/f("t. / `1 /'e.���� %(B l f.l-e Y' �i/Yi/1 /�/L.Q.� I(I/h'1[.'fti I•,� Address Address l Telephone# /` Telephone# Type of Building: Axle-1/nr1 ,<1,u<.( Lot Size /� y1nYQ) Sq.feet l` Dwelling—No.of Bedrooms (I Garbage Grinder ( ) Others Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required) gpd Calculated design flow gpd Design flow provided gpd Plan: Date 4!) 1.0 13 Number of sheets / Revision Date Titlei,=/,1�-or� ` Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator Date/of Evaluation - DESCRIPTION OF REPAIRS OR ALTERATIONS 1 ' The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date Inspections FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 'I No. THE COMMONWEALTH OF MASSACHUSETTS FEE ` BOARD OF HEALTH CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) ❑Complete System z The undersigned hereby certify that the Sewage Disposal System;Constructed( ),Repaired( ),Upgraded( ),Abandoned( ) by: at ' has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. dated Approved Design Flow (gpd) Installer. Designer: Inspector Date The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. FOR.M;3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 I m No.. THE COMMONWEALTH QF MASSACHUSETTS FEE. BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) an individual sewage disposal'system at as described in the application for Dispos' 1 System Construction Permit No. dated Provided: Construction shall be completed within three years of the date of this permit.All local conditions must be met. Date Board of Health FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W HOBBSB WARREN PUBLISHERS PUBLISHERS- BOSTON ti THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH EiwN OF j1iR0'/1S4A 1f APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( ) Repair (xj Upgrade ( ) Abandon ( ) ❑Complete System'N�Individual Components lC� ,0- SZ >Li,A.1, 4enO e 1-101/61 Location /ner's Name S2- IN r rLgN-Q._ Malcel# Address p Lot# / n'/ Telephone# DD4� �o C40A� 010 1Ae. i1r(pVa ilk 9(0L Installer's Name3 , tiA , Des' 'sf4 I �e W-A Quo !IG ►yg, , MA Address Address SDy-S -is/to Svc-syt� - Telephone# Telephone# Type of Building: G415¢_n4 14ag Lot Size /�:00v Sq.feet Dwelling—No.of Bedrooms 4 3 Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.requir d) gpd Calculated design flow gpd Design flow provided gpd Plan: Date Number of sheets Revision Date Title ReopASed h,rt Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date Inspections FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 - - --------------- -------- --------- -- --------------- ------- --- - ------ - ---- No. THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System;Constructed( ),Repaired( ),Upgraded( ),Abandoned( ) by: at has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. dated Approved Design Flow (gpd) Installer Designer: Inspector Date The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 ------------------ -------------- ------------------------------------- - No. THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) an individual sewage disposal system at as described in the application for Disposal System Construction Permit No. dated Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be met. Date Board of Health FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W Homs&WARREN TM PUBLISHERS- BOSTON -&"I'#�>'�t�`��"e'` ^•Ks!ly��+��'i>��'ti�! �.>���!� - 7 t THE COMMONWEALTH OF MASSACHUSETTS FEE BOA"RD OF H EALTH O.Fr✓� APPLICATION FORrDISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct O'Repai ( Upgrade ( ) Abandon (' ) - ❑Complete System 1110 Individual Components r b I ocauon , pw/ner's Name / IMap/Parcel# .� Address !I / Telephone# t /C21L111tin.7, 111e. 11M i/�1�t�1�� installer's Name Des'�ner's Na e f 1G tlDi /�l� l�S'3(�t h ...� /� �w' �L+ /�� Address Address S(yq - /Ca1 r yr 3 Ste y Telephone# UTelephone It k `` -,Type of Building: CAI 5 1wd r Lot Size /5,UOv Sq.feetzl j Dwelling—No.of Bedrooms Garbage Grinder ( ) Other,-,Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures i Design Flow(min.required) gpd Calculated design flow.gpd Design flow provided gpd r ; Plan: Date Number of sheets Revision Date Title Description of Soil(s) r Soil Evaluator Form No. ..Name of Soil Evaluator,. Date of Evaluation I I DESCRIPTION OF REPAIRS OR ALTERATIONS t . The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of A ' TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. ,< -Signed Date r ',•, € ; j Inspections " ' ' FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 No. THE COMMONWEALTH, OF MASSACHUSETTS FEE BOARD 'OF HEALTH CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) ❑Complete System w The undersigned hereby certify that the Sewage Disposal System;Constructed( ),Repaired( ),Upgraded( ),Abandoned( ) by: at has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No..—. dated Approved Design Flow (gpd)' Installer Designer: Inspector Date The'.issuance of this certificate shall not be construed as a guarantee that the system will function as designed. s FORM 3'— CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 I r -: No. THE COMMONWEALTH, OF MASSACHUSETTS FEE BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Perrriission'is\hereby granted to Construct ( ` ') Repair ( ) Upgrade ( ) Abandon ( ) an individual sewage disposal system at `• as described r in the application for Disposal System Construction Permit No. dated Provided: Construction shall be completed within three years of the date of this permit.All local conditions must be met. Date ' Board of Health f FORM 2 - DSCP DEP'APPROVED FORM 5/96 } FORM 1255 (REV 5/96) H&W %,;HOBBS&WARREN rM PUBLISHERS- BOSTON 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) t_ A. Installation Important:When Mr. George E. Lloyd, Jr. filling out forms Owner ' on the computer, use only the tab #52 Falling Leaf Lane key to move your Facility Street Address =r cursor-do not Osterville 02655 use the return key. City n Zip r� Mailing address of owner, if different: same Street Address/PO Box: City State Zip (508)420-4930 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 1/11/2003 _ 1/11/2003 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D..Operating Information 11/17/20 11/6/19 Inspection Date Previous Inspection Date Blackwater Tank=6" Graywater Tank=6" _ Pumping Recommended ❑ Yes ® No Sludge Depth(to be checked yearly) 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 ❑ some 7.0 U g/L NTU pH 6 to 9 DO 2 or greater 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: The septic tank was pumped out last year December 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. Septic tank consist of 1" of scum layer this year. t5iaomr.doc- 6-16-06 Page 2 of 3 a IN 11 am 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 m g course for this System with the Technology Company and am listed by the Companyt trained in ector. January 6, 2021 ator Signatur 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 311h 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 Holmes and Mcgrath, inc LETTER OF TRANSMITTAL civil engineers and land surveyors 205 Worcester Court Unit A4 DATE 1/6/2021 JOBNo. 218338 falmouth,Ana. 02540 ATTENnoN 508-548-3564 9 800-874-7373 • FAX 508-548-9672 email:Icoelho@holmesandmcgrath.com RE: Mr. George E. Lloyd, Jr. #52 Falling Leaf Lane To: DEP Osterville, MA 02655 Attn:Title 5 Program 1 Winter Street, 6t'Floor Boston, MA 02108 WE ARE SENDING YOU ®Attached ❑ Under separate cover via the following items: COPIES DATE NO. DESCRIPTION 1 11/17/2020 DEP Approved Inspection and O&M form. REMARKS: COPY TO: Barnstable Board of Health George E. Lloyd, Jr. SIGNED: Luis Coelho -. Innovative RUCK Systems, Inc. A Passive Denitrifying Septic System #362 Gifford Street Falmouth MA 02540 1 (.800)659•RUCK (7825) In MA 1 (508)548.3564 FAX (508) 548.9672 January 29, 2003 George E. Lloyd, Jr. #52 Falling Leaf Lane 318eisWada Ao NMOi Osterville MA 02655 Dear Mr. Lloyd: Cooz o R Ndr Re : Falling Leaf Lane, Lot 3 Q3AI303N Our Job No. #201377 ---------------- -- On December 27, 2002 we measured the Total Nitrogen in the effluent leaving the RUCK filter and we measured Total Nitrogen in the gray water influent . The Total Nitrogen of the effluent leaving the RUCK filter is 122 parts per million of which 88 mg/1 is nitrate and 34 mg/1 is organic nitrogen. The Total Nitrogen concentration in the gray water is 3 mg/l . The final total nitrogen expected in the RUCK filter effluent should be below 30 mg/1 in order to meet the discharge limit contained in the General Certificate for Residential RUCK Systems . This concentration would be denitrified so that the Total Nitrogen concentration in the final effluent would be below 19 mg/l . The Total Nitrogen concentration in the RUCK filter effluent serving your house is then at least 3 . 5 times the expected concentration. The RUCK filter is designed conservatively to treat twice the expected level of nitrogen concentration, but it cannot treat the mass of nitrogen in the wastewater dosing your RUCK filter. The RUCK system is removing 69% of the total nitrogen in the wastewater. This is good performance for a passive system. ��� pronted on recycles! paper George E. Lloyd, Jr. - 2 - January 30, 2003 The solutions available are as follows : 1 . Reduce any nitrogen in the black water flow. Any household chemical in the kitchen sink and toilets containing ammonia should be changed to a chemical not containing ammonia. 2 . Build a second RUCK filter and divert half the black water to the second filter. If option number 2 is used, there may not be sufficient carbon to denitrify. Carbon would be added by pumping or by increased carbon use in the gray water side. This system is removing 67% of the Total Nitrogen on a mass basis and it is performing as well as can be expected. If you have any questions, please call or write me. Sincerely, Innovative RUCK Syste nc.. Michael B . Mc rath, P.E. , P.L. S . President MBM/sg Enclosure cc : Steve. Corr Barnstable Board of Health� `�. leC' i Lloyd 52 Fallinq Leaf Lane Sample Results Black Water Final Effluent NH3 NO2 NO3 TKN TN* NH3 NO2 NO3 TKN TN Removal TN* 3/4/2002 120 0.09 0.02 140 140.11 21 0.06 0.02 27 27.08 80.67% 4/8/2002 140.11 19 0.05 0.02 46 46.07 67.12% 6/21/2002 140.11 8.4 2.5 17 21 40.5 71.09% 6/27/2002 140.11 19 5.4 23 34 62.4 55.46% 8/9/2002 140.11 29 0.25 6.2 45 51.45. 63.28% 10/30/2002 140.11 17 9.2 3.9 28 41.1 70.67% 11/8/2002 140.11 16 0.48 4.7 26 31.18 77.75% *The removal of Total Nitrogen for all months is based on the origanal influent numbers done on 3/4/02 Ruck Effluent Grey Water Final Effluent NH3 NO2 NO3 TKN TN* NH3 NO2 NO3 TKN TN NH3 NO2 NO3 TKN TN Removal TN* 12/8272002 41 0.02 88 34 122.02 0.6 0.02 0.02 3.1 3.14 15 3.3 10 24 37.3 69.43% *The removal of Total Nitrogen is based on the Ruck Influent GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: DW Matrix: Aqueous Project: 52 F/L Sampled: 03-04-02 Client: Holmes&McGrath Received: 03-04-02 Lab ID: 48895-02 Container: 250 mL Plastic Preservation: Cool "" �' `r a t r , �'' ,. AnaL e t r dK 2-� Result 4�+�`'�i.,-: � "� � Nitrate(as Nitrogen) BRL mg/L 0.02 03-05-02 NI-1360-W EPA 353.2 Nitrite(as Nitrogen) 0.09 i mg/L 0.02 103-05-02 NI-1360-W EPA 353.2 Lab ID 48895 04 Container 250 mL Plastic Preservation H2SO4/Cool Ammonia(as Nitrogen) 120 mg/L 1 103-07-02 AM-0900-W EPA 350.1 Nitrogen,Total Kjeldahl (TKN) 140 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 GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: GW Matrix: Aqueous Project: 52 F/L Sampled: 03-04-02 Client: Holmes&McGrath Received: 03-04-02 Lab ID 48895-01 Container: 250 mL Plastic Preservation: Cool x� zrZ JGT 4 tAi a` zs z r Re IOrtln µ alyte, s R ultrs tjmtslimit Ng; �Arialy a QG Butch Nitrate(as Nitrogen) BRL mg/L 0.02 03-05-02 NI-1360-W EPA 353.2 Nitrite(as Nitrogen) 0.06 mg/L 0.02 03-05-02 NI-1360-W EPA 353.2 Lab ID 48895-03 Container 250 mL Plastic Preservation H2SO4/Cool +T,s 'kz„ '' �rtln -3A 4 .t g* > �a r r { Analyte _ResSul Units Y Q Meth, ° nal zed C Bafch Ammonia(as Nitrogen) 21 mg/L 0.2 03-06-02 AM-0899-W EPA 350.1 Nitrogen,Total Kjeldahl (TKN) 27 mg/L 0.5 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 SROUNDWA ® i ANALYTICAL Inorganic Chemistry Field ID: 52 FL Ruck Effluent Matrix: Aqueous Project: Falling Leaf Lane Sampled: 04-08-02 Client: Holmes&McGrath Received: 04-08-02 Lab ID 49849-04 Container 250 mL Plastic Preservation Cool X �Rep ortm ptu�� Analj�Ye s Result t Y r Meth 3 Nitrate(as Nitrogen) BRL mg/L 0.02 04-09-02 NI-1398-W EPA 353.2 Nitrite(as Nitrogen) 0.05 mg/L 0.02 04-09-02 1 NI-1398-W EPA 353.2 pH 7.1 pH N/A 04-08-02 PH-1227-W EPA 150.1 Lab ID 49849-11 Container 250 mL Plastic Preservation H2SO4/Cool - r, i tfrh AnaFyte s R'esult "kt , Untts eporUOg ` s ^.k z y x�. r L Analyzed �QC Batch McIt Ammonia(as Nitrogen) 19 mg/L 0.2 04-09-02 AM-0923-W EPA 350.1 Nitrogen,Total Kjeldahl (TKN) 46 mg/L 0.5 04-12-02 TKN-0837-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 GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: Effluent-52FL Matrix: Aqueous Project: Falling Leaf Lane Received: 06-21-02 Client: Holmes&McGrath Lab ID: 52003-01 Sampled: 06-21-02 00:00 Container: 1 L Plastic Preservation: Cool a ea $ ' t< �Report(ng z '� ,ire '` erg s a �.. � Analyte, ���„.,'I^1�cj,�,ry Nitrate(as Nitrogen) 17 mg/L 0.1 06-25-02 18:45 NI-1473-W SM 4500-NO3 F Nitrite(as Nitrogen) 2.5 mg/L 0.1 06-25-02 18:45 NI-1473-W SM 4500-NO3 F Lab ID: 52003-02 Sampled: 06-21-02 00:00 Container: 250 mL Plastic Preservation: H2SO4/Cool � '{�Q'CsBat'chM6 �Methotl�' Ammonia(as Nitrogen) 8.4 mg/L 0.2 06-25-02 AM-..0970-W SM 4500-NH3 BH Nitrogen,Total Kjeldahl (TKN) 21 mg/L 0.5 07-01-02 TKN-0890-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. J Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: 52 FL Matrix: Aqueous Project: Falling Leaf Lane Received: 06-27-02 Client: Holmes&McGrath Lab ID: 52100-01 Sampled: 06-27-02 00:00 Container: 250 mL Plastic Preservation: Cool A�"* � ° Nitrate(as Nitrogen) 23 mg/L 0.2 07-03-02 00:00 NI-1482-W SM 4500-NO3 F Nitrite(as Nitrogen) 5.4 mg/L 0.1 06-28-02 22:44 NI-1478-W SM 4500-NO3 F Lab ID: 52100-02 Sampled: 06-27-02 00:00 Container: 250 mL Plastic Preservation: H2SO4/Cool m°` *"�RCsult ° �It1�S ReftOrf111g �+ � ..r�, `�� ' �� �'�F��mEf � I�Zet� p,��QC�fClt � 14�tet�1 �° Ammonia(as Nitrogen) 19 mg/L 0.2 06-28-02 AM-0973-W SM 4500-NH3 BH Nitrogen,Total.Kjeldahl (TKN) 34 mg/L 0.5 07-01-02 TKN-0889-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. 4. Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: Llyod Matrix: Aqueous Project: Falling Leaf/90749 Received: 08-09-02 Client: Holmes&McGrath Lab ID 53383-03 Sampled: 08-09-02 00:00 Container: 250 mL Plastic Preservation: Cool n RepOY'tIb y��, �Analyte �r � i ` Results Umts�, � Analyzed QC"BaEch� Methcid` .,.�._., «$....R. .>.�., e,t� _h<_,.,x .. G,`..:_Lt s.. M.r. ....'ir^a.y 3p.,. :,, ".. •,>.X'.R '. _,� '3 __. „ ,_ti Nitrate(as Nitrogen) 6.2 mg/L 0.1 08-09-02 19:19 NI-1521-W SM 4500-NO3 F Nitrite(as Nitrogen) 0.25 mg/L 0.02 08-09-02 19:02 NI-1521-W SM 4500-NO3 F Lab ID 53383 06 Sampled 08 09 02 00 00Container 250 mL Plastic Preservation H2SO4/Cool iw#+, r�1 ',,., ,.✓e' }. %*, et5z .,,F x Y vS L d ` a a C` r R ortin a. ^trs x �� Analyte� Result ° llmts � ' g lnal ie l •QCtiBaieh Method�0 r a s. Ammonia(as Nitrogen) 29 mg/L 0.2 08-13-02 AM-1006-W 5M 4500-NH3 BG Nitrogen,Total Kjeldahl (TKN) 45 mg/L 0.5 08-13-02 TKN-0919-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 GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: Llyod Matrix: Aqueous Project: Falling Leaf Lane Received: 10-30-02 Client: Holmes&McGrath Lab ID: 55733-02 Sampled: 10-30-02 00:00 Container: 250 ml- Plastic Preservation: Cool n I' {fix t 'Analyte- ° '. Results ` Units Reportg "An alyzed QC Batch 3 i � �Limit,,, .x:, rtMethod Nitrate(as Nitrogen) 3.9 mg/L 1 0.1 10-30-02 22 01 1 NI 1598-W SM 4500-NC3 F Nitrite(as Nitrogen) 9.2 mg/L 0.1 10-30-02 22:01 NI-1598-W SM 4500-NO3 F; Lab ID: 55733-04 Sampled: 10-30-02 00:00 Container: 250 mL Plastic Preservation: H2SO4/Cool f;l> 4rialyte, f Result; t Units 'ReportingAnalyiel QC Batch i CAM 1058-W � sM Method Ammonia(as Nitrogen) 17 i mg/L 0.2 411-01-02 4500-NH3 BG i Nitrogen,Total Kjeldahl (TKN) I 28 mg/L i 0.5 I 11-01-02 I TKN-0975-W I 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 GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: Llyod Matrix: Aqueous Project: Falling Leaf Lane(FLL) Received: 11-08-02 Client: Holmes&McGrath Lab ID: 56026-02 Sampled: 11-07-02 00:00 Container: 250 mL Plastic Preservation: Cool j, l °�� Analyte ` � Result Umts�, � `3g �rAnalyzed ;� QC Ba#ch Method Nitrate(as Nitrogen) 4.7 mg/L 0.1 11-08-02 21:06 NI-1606-W SM 4500-NO3 F Nitrite(as Nitrogen) 0.48 mg/L 0.02 11-08-02 20:49 NI-1606-W SM 4500-NO3 F' pH 6.6 pH NA 11-08-02 20:55 PH-1364-W EPA 9040E Lab ID: 56026-04 Sampled: 11-07-02 00:00 Container: 250 mL Plastic Preservation: H2SO4/Cool 'v i Yz' + �' "i'ti Reporting°gt finalYt e, Frd Resuk Umts ,w fi r Analyzed QC Batch Method Ammonia(as Nitrogen) 16 I mg/L 0.2 I 11-11-02 AM-1063-W SM 4500-NH3 BG Nitrogen,Total Kjeldahl (TKN) 26 mg/L 0.5 11-11-02 TKN-0980-W I 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 GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: Ruck L Matrix: Aqueous Project: Falling Leaf Lane/200464 Received: 12-27-02 Client: Holmes&McGrath Lab ID: 57237-01 Sampled: 12-27-02 00:00 Container: 250 mL Plastic Preservation: Cool Reporfmg ,Et- r f Analyte '� Result .° llmt Analyzed " C Batch Method ' . Nitrate(as Nitrogen) 88 mg/L 2 12-27-02 20:34 I NI-1650-W SM 4500 NO3 F pH 5.1 pH NA 12-27-02 17:50 PH-1391-W SM 4500-H+6 ~Oxygen, Dissolved 11 mg/L 1 12-27-02 17:45 DO-0268-W I SM 4500-0 G Lab ID: 57237-05 Sampled: 12-27-02 00:00 Container: 250 mL Plastic Preservation: H2SO4/Cool A $ Anal e ` � v rRm Reporting i sV � i yt esult � UnitsAnalyzed�r QC BatchMethod��� Ammonia(as Nitrogen) 41 mg/L 1 01 02-03 AM-1090 W SM 4500-NH3 BG" ' Nitrogen,Total Kjeldahl (TKN) 34 mg/L l 0.5 01-06-03 TKN-1019-W EPA 351.2_J 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 GROUNDWATER ANALYTICAL ICAL Inorganic Chemistry g mistry Field ID: Grey L Matrix: Aqueous Project: Falling Leaf Lane/200464 Received: 12-27-02 Client: Holmes&McGrath Lab ID: 57237-07 Sampled: 12-27-02 00:00 Container: 250 mL Plastic Preservation: H2SO4/Cool Analyte € r Result Units P g y a �r� t c +.. r# ,i S, t.,,�. �s: L�riltAnalyZed� QC�Batch Method v Ammonia s Nitrogen) 0.6 mg/L 0.2 01-02-03 AM-1090-W I SM 4500-NH3 BG' Nitrogen, Total Kjeldahl (TKN) 3.1 mg/L 0.5 01-07-03 TKN-1020-W 11 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, yt cal, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: Effluent L Matrix: Aqueous Project: Falling Leaf Lane/200464 Received: 12-27-02 Client: Holmes&McGrath Lab ID: 57237-03 Sampled: 12-27-02 00:00 Container: 250 mL Plastic Preservation: Cool i, '.. ` „ �,- a t r r. ar ;, a x Ir s .111A re y.T . - ✓ x n 7 ;�„ Result "a 't"Jntt$ Re ortm f . Anal e q g �g ,� ��� `� Analyzed �.� QC Batch � Method `�; Nitrate(as Nitrogen) 10 mg/L 0.1 12-27-02 20:36 NI-1650-W SM 4500-NO3 F Nitrite(as Nitrogen) 3.3 mg/L 0.1 12-27-02 20:36 NI-1650 W SM 4500-NO3 F pH 7.0 pH NA 12-27-02 17:50 PH-1391-W SM 4500-H+B Oxygen, Dissolved 1 mg/L 1 12-27-02 17:45 DO-0268-W SM 4500-0 G Lab ID 57237-09 Sampled 12 27-02 00 00 Container 250 mL Plastic Preservation H2SO4/Cool €3•< �'��''"��'-+r r>»-k +� `�,�,�R.a$�,�.ntv���p ,x h�� ^cam ������� � ',�Re OYtln `..`' .i-se°"�� �r'�.°izs� ,r.- , 'ar..�`. ',��. {.�r, �t. •Y ".�:��z. _.. _ ����x�.�w� .`'�'� fr- '` =`�^�. Lrmrt, '�;�' � y. r Q �,� , Method Ammonia(as Nitrogen) 15 mg/L 0.2 01-02-03 AM-1090-W W 4500-NH3 BG Nitrogen,Total Kjeldahl (TKN) 24 mg/L 0.5 01-07-03 TKN-1020-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 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 JANE SWIFT BOB DURAND Governor Secretary LAUREN A.LISS Commissioner December 31,2002 George Lloyd 31 Reading Hill Avenue Melrose,MA 02176 Re: 52 Falling Leaf Lane,Barnstable,MA DEP Facility ID:RUCK51 Operation&Maintenance Requirements Dear Mr.Lloyd: 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. Sin ely, , _,;w S 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:/Avww.state.ma.us/dep Zia Printed on Recycled Paper Onno native RUCK Systems, Inc. A Passive Denitrifying Septic System 200 Main Street, Room 201 Falmouth,MA 02540 1 (800)659-RUCK (7825) In MA 1 (SOS)548.3564 September 6, 2002 FAX (508) 548.9672 RECEIVE® George E . Lloyd, Jr. SEP 1 6 2002 #52 Falling Leaf Lane TOWN OFBARNSTABLE Osterville MA 02655 HEALTH DEPT. Dear Mr. Lloyd: Re Lot 3 Falling Leaf Lane Our Job No. 201377 -------------------------- Please find enclosed a copy of the latest test results showing the Total Nitrogen in the final effluent is ,too_high. I propose to engage George Botelho, Inc . of Falmouth to uncover the RUCK filter and examine the filter. After the examination and repair, we will loam and seed the grass . DPlease call my office and George and I will meet with you to discuss the repairs . If you have any questions, please call or write me. Sincerely, INNOVATIVE CK Michael B. McGrath, P.E. , P.L.S. President MBM/gd Enclosure CC : George Botelho, Inc . Barnstable Board of Health Steve Corr, PE C v printed on recycled paper GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: Llyod Matrix: Aqueous Project: Falling Leaf/90749 Received: 08-09-02 Client: Holmes&McGrath Lab ID: 53383-03 Sampled: 08-09-02 00:00 Container: 250 mL Plastic Preservation: Cool �` iAnalyte : �" ., r Reporting £ w a Units tAnalyzed ;*";QC Batch xMethod Result ` Lr �t a 7 w Nitrate(as Nitrogen) 6.2 mg/L 0.1 08-09-02 19:19 NI-1521-W SM 4500-NO3 F Nitrite(as Nitrogen) 0.25 mg/L 0.02 08-09-02 19:02 NI-1521-W SM 4500-NO3 F Lab ID 53383 06 Sampled 08 09 02 00 00 Container 250 mL Plastic Preservation H2SO4/Cool g,~� jy Analyte#= Result .;Units Anal zed QC Batch Metli ; ° ,,`•. Ammonia(as Nitrogen) 29 mg/L 0.2 08-13-02 AM-1006-W SM 4500-NH3 BG Nitrogen,Total Kjeldahl (TKN) 45 mg/L 0.5 08-13-02 TKN-0919-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. RECEIVED SEP 16 2002 .-r, BARNSTABLE iALTH DEPT. Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 III - Innovative RUCK Systems, Inc. ETO\N A Passive Denitrifying Septic System200 Main Street, Room 201 Falmouth,MA 025401 (.800) 659-RUCK(7825) In MA HF- Er 1 (S08) 548.3S64 FAX (508) 548.9672 January 24, 2002 Ralph J. King George E. Lloyd, Jr. 24 Falling Leaf Lane 152 Falling Leaf Lane. Osterville, MA 02655 Osterville, MA 02655 Myrna Singer David J. Noreen 72 Falling Leaf. Lane 82 Palling Leaf Lane North Grafton, MA 01536 Osterville, MA'. 02655 Arthur J. Dalian 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 026.55 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 RUCK® ' Barnstable, Massachusetts . The final effluent falls o meet the discharge limit in the General Certificate . . e are 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 printed on recycled paper 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. C) Furnish and install electrical service from the house to the carbon source. 5 . Furnish free Carbon for a period 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 retraf1t the systems over the kpext several 'mon" 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 003a�� innovative ruck systems, inc. 200 main street Falmouth, ma 02540 1-800-874-7373 TO: DEPARTMENT OF ENVIRONMENTAL PROTECTION DATE s 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 LOCATED IN NITROGN SENSITIVE AREA: YES CLIENT GeorgeLlyoyd DATE _ 1 04/01 LOCATION Lot 3 Falling Leaf Lane TOWN =Barnstable, Ma OUTPUT D-BOX pH 7.4 BOD 34 mg/I TSS 39 mg/I AMMONIA 40 mg/I TKN 51 mg/I NO3 0.37 mg/I TN 51.37 mg/l DOES SYSTEM CONFORM TO DISCHARGE REQUIREMENTS FOR TN El NO ry_ LEGEND BRL BELOW REPORTING RESULTS TEST RESULTS ARE ATTACHED SIGNED MICHAEL MOREAU innovative ruck systems, inc. CC: GEORGE E. LLOYD Jr. BARNSTABLE BOARD OF HEALTH JEFF GOULD-DEP LAKEVILLE . GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: G/W Matrix: Aqueous Project: 52R1 Sampled: 12-04-01 � (]iom: Holmes&McGrath, Inc. Received: 12-04-01 Lab|[} 46566-03 Container 1LPlastic Preservation: Coo Lab ID: *6566-01 Container: %50nmLPlastic Preservation: Cool b6 Container: LPla^dc Preservation: H2SO4/Cool ffW Method References: Methods for Chemical Analysis or Water and Wastes, Us EPA, s Revised(ly03),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, xpnA' Eighteenth Edition(lyy2). Report Notations: uxL Indicates result, ir any, is below reporting limit for xnu|yte. Reporting limit i,the lowest value that can be reliably quantified under routine laboratory operatingmndmons. Reporting limits are adjusted for sample dilution and sample size. Groundwater Analytical, Inc., P.O. Box 1200 228 Main Sheet, Buzzards Bay, MA 02532 ` } ^ ' � Groundwater Analytical, |nc, P.(]. Box 12O0, 228 Main Street, Buzzards Bay, MA02S32 November 21, 2000 Ms . Marcia Sherman DEP-Water Pollution Control One Winter Street Boston MA 02108 Dear Ms . Sherman: _ Re RUCK® System I SrZ- Lot--3 -Falling-Leaf -Lane;' Barnstable, MA ----------------- Please be advised that the Residential RUCK system at Dthe above referenced lot has failed, in a recent quarterly test, to meet the required Discharge Limit for Total Nitrogen described in the General Certificate in that the total nitrogen concentration in the final effluent exceeded 19 milligrams per liter (mg/1) . The total nitrogen concentration in the final effluent was 22 . 0 mg/l . The enclosed chart shows the constituents measured in the distribution box. We will be interviewing the resident and retesting the system in approximately one week and follow up with the results of the retest . i If you have any questions, please call or write me. Sincerely, INNOVATIVE RUCK SYSTEMS, Inc. ' 7z� Timothy M. Santos Engineer cc: McShane Construction Co. Barnstable Board of Health D innovative ruck systems, inc. 200 main street falmouth, ma 02540 1-800-874-7373 TO: DEPARTMENT OF ENVIRONMENTAL PROTECTION DATE N®�/ 2h, 2000 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 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 L®'CAT>EDIN N[TROG�ENSENSITIkUE AREYES CLIENT M;CShaCle COIIStCUCtIO�n- DATE 11/21/DO LOCATION3ail,�ngLaf Laney TOWN OUTPUT D-BOX pH 66 BOD ;�85 ��,mg/I TSS 79 n mg/I AMMONIA 8 4 mg/I TKN NO3 mg/I TN 220 mg/I DOES SYSTEM CONFORM TO DISCHARGE REQUIREMENTS FOR TN ANO LEGEND BRL BELOW REPORTING RESULTS TEST RESULTS ARE ATTACHED SIGNED TIMOTHY M. SANTOS innovative ruck systems, inc. CC: McSHANE CONSTRUCTION CO. BARNSTABLE BOARD OF HEALTH R. LAAK GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: Lot 3 D-Box Matrix: Aqueous Project: McShane/99170 Sampled: 10-31-00 Client: Holmes&McGrath Received: 10-31-00 Lab ID: 37080-09 Container: 1L Plastic Preservation: Cool s 4 Analyte esult Units g R Analyzed Qe�atch Method v Biochemical Oxygen Demand 85 mg/L 74 11-01-00 BOD-0813-W EPA 405.1 Solids,Total Suspended 79 mg/L 10 11-02-00 TSS-0479-W EPA 160.2 Lab ID: 37080-03 Container: 250 mL Plastic Preservation: Cool ie e= 'nalyte� a Resulf Anal zed C Bafch s Method � ' .?.+;k�.. Nitrate(as Nitrogen) BRL mg/L 0.02 11-01-00 NI-0951-W EPA 353.2 pH 6.6 pH 2.0 10-31-00 PH-0916-W EPA 150.1 Lab ID: 37080-06 Container: 250 mL Plastic Preservation: H2SO4/Cool x «g° 9` RepOrting gk �t4 n� � � .Result��.: � s nalyzet QBat h� �Metho� Ammonia(as Nitrogen) 8.4 mg/L 0..2 11-01-00 AM-0586-W EPA 350.1 Nitrogen,Total Kjeldahl (TKN) 22 mg/L 0.5 11-09-00 TKN-0561-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. TN N 22.0 i Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 innovative ruck systems, inc. 200 main street falmouth, ma 02540 �TO: 1-800-874-7373 DEPARTMENT OF ENVIRONMENTAL PROTECTION DATE NOV 2120®0 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 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 IaNNITROG"EN SENSITIVEAREY4ES� "AR n CLIENT McShane C®11StrUCtlOn DATE 11/21/OQ„ LOCATION TOWN 128 t 3 Fall ngLeafLane a ' x s able�Mar E � T OUTPUT D-BOX pH s sg � . BOD 85 m9/I ff •,; TSS 79. = mg/I AMMONIA 8 4 "". _mg/I TKN mg/I NO3 = BRL `mg/I TN 220 '' „mg/I DOES SYSTEM CONFORM TO DISCHARGE REQUIREMENTS FOR TN N,O ' LEGEND BRL BELOW REPORTING RESULTS TEST RESULTS ARE ATTACHED SIGNED TIMOTHY M. SANTOS innovative ruck systems, inc. CC: McSHANE CONSTRUCTION CO. BARNSTABLE BOARD OF HEALTH R. LAAK L II�J.rL;.C `► 72 Town of Barnstable IARNSTABMMAW « 1 A Board of Health 367 Main Street,Hyannis MA 02601 Office: 508-790-6265 Susan G.Rask,R.S. FAX: 508-790-6304 Brian R.Grady,R.S. Ralph A.Murphy,M.D. 4 . Decision of the Board of Health Regarding Lots"I 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 3.016 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 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 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, 8, 10, 12, 14, 16, 18, 20, 22, and 24 (all the even numbered lots) were owned by Osterville Highlands, Trust. Tlie.remaining applications 1 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 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. 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 ;1 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 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. 2 v 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 DEP 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). ti 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 the public water supply. 5. . Increasing density of housing is associated with increased levels~of nitrate and other ntaminants in groundwater. In recognition of 4 and 5 above, DEP has determined per 310 CMR 15.214(I), that no serving new construction in a,nitrogen sensitive area designated in 3.10 CMR 15.215 shall . t 3 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, thelots 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 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). i 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 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 subdivision, 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 3 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. 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, 9, 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: II 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 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 lot for 6 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 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 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: ; IN FAVOR OF DECISION : RASK, GRADY, MURPHY OPPOSED: NONE Dated: October 7, 1997 Susan Rask, Chair • Barnstable Board of Health 7 I .. TOWN OF ARNSTABLE D */M�� LOCATION SEWAGE i� VILLAGE_ ASSESSOR'S MAP & LOT Jq q- 3 —3 i INSTALLER'S NAME&PHONE NO. h1cS�va�� Cc��� 47R=gS6Cy� � �;SEPTIC TANK CAPACITY cC•vi .. r 1 LEACHING FACILITY: (type) (size) Ckp — NO.OF BEDROOMS BUILDER OR OWNER . / > � PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands.exist within 300 feet of leaching facility) Feet - Furnished by ,O)s I��1 { -z Z q ICS No. THE COMM EALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Application for Mi5po5al *pgtem Con5truction Permit pplication for a Permit to Construct )Repair( )Upgrade( )Abandon( ) Xcomplete System L1 Individual Components Location Address or Lot No. `r 3 Owner's Name,Address and Tel.No. ! `' t' �L t Iv L - �D �jdPr�-C - ►s y c�� ( f.�G Assessor's Map/ c 1 1 `, Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: r Dwelling No.of Bedrooms Lot Size 10)06sq.ft. Garbage Grinder(JP Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures i Design Flow c�S gallons per day. Calculated daily flow 3 gallons. ••.Plan'Date LG e3l)•-2 6�Number of heets ( Revision Date Title 0i=t t1 � ' 1iL - S jZ V I I L e 9 4LC) Size of Septic Tank 0 G.l3Z.L- Type of S.A.S. -41�7- Lt�� C r Description of Soil n Nature of Repairs or Alterations(Answer when applicable) Date last inspected: DESIGNING ENGINEER MAST SUPS RVISE INSTALLATION AND CERTIFY IN WRITING Agreement: THE SYSTEM WAS INSTALLED IN STRICT The undersigned agrees to ensure the construction and maintenance 4 re%sTriDbP�on=site sewage disposal system in accordance with the provisions of Title 5 of the nvi e 1 Co n of to place the system in operation until a Certifi- cate of Compliance has been issued by this Bo ea h Signed Date �. Application Approved b Date Application Disapproved for the following reasons Permit No. �" Date Issued �M� vs—'`r-.x.:tar � � � .. ..,�.'n^.:y�, _ - ±4 _ _ ... ,. ;; ... ..• c-. .. _ _. w ... .x ' ;—Pee No. Entered in computer: /,- THE COMM, EALTH OF MASSACHUSETTSYes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS � Zlpprication for Mtgooar *pgtem �tCon!truction Verna U Applica Lion for a Permit to Construct V\1.1)Repair.( ,)Upgrade( )Abandon( ) Complete System ❑Individual Components Locattiion�tA^ddress or/Lot No. r 3 ! 6 Owner's Name,Address and Tel.No. y, Assl�o�r's Map/P`— i N'� C��✓ �C..L� �(U G — C/U. ��''6�'-1 C►�—"� �y y � � IVG. Installer's Name,Address,and Tel.No. fe Designer's Name,Address and Tel.No. N• \ I Type of Building: Dwelling No.of Bedrooms t Lot Size ,O06sq.ft. Garbage Grinder(Np Other Type of Building t No.of Persons Showers( )-'Cafeteria( ) Other Fixturesr' xi,' Design Flow s gallons per day. Calculated daily flow gallons. Plan Date /G !,36—qf_ Number ol- leets Revision Date Title �t_f QL Tl=!C= Le f//C../�.�- 6 5RZAUl LL , ,04,�' " Size of Se tic Tank `-�D c_At_L-c>o Type of S.A.S. X Z Description'of Soil i Nature of Repairs or Alterations(Answer when applicable) _ Date last inspected i { .fi _,. Agreement: The undersigned agrees to ensure tli onstruction and maintenance of the afore described on-site sewage disposal'system Yam: in accordance with the provisions of Title 5 of the nvir en I Co n of to place the system in operation until a Certifi- cate of Compliance has been issued by this Bo ea Q Y;, Signed Date (� ! Application Approved b Date Application Disapprovedfor the following reasons Permit No. Date Issued ;:. * ------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compitance THIS IS TO CE TI ha the n-bite�Se a�Di osa(.� to lbrisrued I)Rg aired(, dS U graded( ) Abandoned( )by � � at Y has lbeen�constructed-in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. �°' �e� dated "° eel, V. Installer Designer O [ / The issuance of thi e shal of be construed as a guarantee that th s}i to will function as d, signed D"ate Inspector i2/), ,, �< d t d ---------------------------------------- No. r �' Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE: MASSACHUSETTS Mi5potal *pgtem Conztruction Verutit Permission is hereby granted to Construct )Repair( )Upgrade( )Abandon( ) System located at 4> 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. �` «�" •,. 4 Provided:Construction must be completed within three years of the date of this permit. Date: Approved by �� D�S►� DATA _ - �r \oc, •G?G _ -- FAmIL Wz o GA¢►3A4-s S5-J ooU �P l V�►-y PLOW = 3 x ►Ir7 = 33 U 5� ` uS� ISDO GAL. l.b:AG�}IF.1G 5`(ST��K �ES►G�l RIFF ►GAllcW A2EA 2tiaL� �• C-M 10.E d. /sF = 44� 15► -7[� 3 ao $ dPP UG�TION AM 51t�1NA t.L A2�►= Z �?��`U�; 1,40 t;oT-roM A217--4 716-00� AM4s . —� p�oc�Tw�l � Grit C. 5 Mlv/I Nua _ � s,rk►nt� � � �i. `1C' gWILLIAMC. N Y E a t-- L--L t.�Cs l. A.F L ,P No: 19334zT O D SUR V� --r •�P? 44.0 IHl t 171� 1� LI�3 Z � rat a �•3--� A 3 � N -raI L. of l r=W-AIuI- TOEX14 F•6• qL-- PI PG' 1 E : 14� �;�17CEZT1 pIGD R-OT F -12 3 � • va Nzo u�-ssrnoN or- �a 1�Gh,Tlc�1 : O5 1 i=.tZ�!1 tr�-� p � = �Y T'E�AT 't N E PAP (��51-kWN PLA�1 R h1G� ZZ -� ` << a�� Pt; � N CCMFL-15 1,t InA 'I4E SI DELj Wr= Al m c,�g,4GK. ZWu12EMa,rr DF 'felt= T004 OF MAF � 4 Pevr l 3 3 IN A �3 02►.ri t�tX�a►�v 1 s. I.34 LZ -ra w►T-►� 'EAX cT� it NyE ►I�1G FUDOP ZONE. LA�1D SUQVEYCZS • W&I W6EZ� 1 s D" �� 05TEtzV►>�..� MASS• oFFSeTS oM BVIc.Dt 4POLNl� NOT' L r�l ES. :urea 7t7 6y-Tp,Bcast.� PRO'�E•QT`7t ------. .---....------ �, ..=; :,� r r�1. . J s iJ , .} The dwelling shall be limited to 2 bedrooms unless the septic system is modified to in 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 ;�� �,Ac✓ bedrooms. REVISED:.- �-7, Sg 4 r I FAm u.-( 2 13®vc 1.-vT 3 1.� o 65,A¢13ALQ �� ( l b5-) o0o l7A4 L-y Fww = 3 x I to = 33 v Sw sq'Tte- TANS .�j►U x?ram s C.C,D uS� I ,00 GAL t.�AGt}IcJG 5`(STLc�K �S�>J Anpu r-AjictJ AZEA '�• _ 3 36 GpD �•o.l b /sF : 44� �� � Est �e�' � Appu �ol-1 A¢ - 240 5� 4e4 oTToN1 AZIRA -tom ■ s ISOD� `AOIC Pe=oLAT1�1 ATE L S MIv�INu4 _ s / lti. LI��'xC.v C)To g WILLIAMC. '' �. No: 19334 - Q/sTf�p "D SURD 01> Tf;- SGN� 464 L t TZ-1P= 4 ,0 INS _ v�sr. l� ►"� 5 -nzE►.,��t 3.S f �� 43,1 "K 4�3 E 3-� 43,E 1 V H tr--7-AI L of Lr=W-AIQZ- TZUC4 �. a V F - Eta p�oFl�- qL-A.. p�Pc -rU r3 E Z: d`4 1N G Sc�t'b4v D0000, 71-OT f LAL CE� 1ll ' 3 � -1Z C9OV5-LION u o Viz® p G16� t , �.t-1�-FAG ScaL�� � ,�� � v.� to : 3r, •q` 1 GF.�T71=`f T AA-r Tf1 E QP_GPh1G�- t•}i`-37FoN �tPl-ys tivITN '�46 SIDE�.11�1� Alm — c. �� a£�� P` z2- c,�-igaGlL 2W U IZEMGNT DF T14 rz 'TO WIN OF M,p 4 PAZCZ-1— 3 ` 3 _ la2►.7r`��1�c�►.tt7 11 L3dl _lK.4T� w l TI-t N A $�x�Q- � NyE I h!G 'SAL F�ls�nD HAZ1�1z� ZANQE.P LIkgv SUQ VC24 • QW&IrJ6Eru oFF5e1"5 MOM $V I LD1 4POLXX, NOT Q('PU GA.4I LI�IEs. _ _ USED Tb 66-rABC..15►-1__PRDpsaT`/ ST' ,yrtv\vy,,'�r The dwelling shall be limited to 2 bedrooms unless the septic system 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. REVISED:, � f /-7. 5g 'qR 1590�XTOWN OF ARNSTABLE 6-P ,P LOCATION 2N th SEWAGE # VILLAGE ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. NC-SVAhe- SEPTIC TANK CAPACITY r LEACHING FACILITY: (type) (size)NO.OF BEDROOMS ` BUILDER OR O 1� PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by A . . ?z:57 04/10/2000 15:02 508-548-9672 HOLMES & MCGRATH INC PAGE 01 rtn Dv� RUCK Systems, Inci A Passive Denitr in S "0 MOID StMt,Moores 201 FalMouth,MA O2NO (508)gas-3sSa FAX 45OS)34&" g 41 April '1 %1; 2000 n Main St:]te`et RYaxlni`s, BA .'02,601 " • _ 'dlla,ng Leaf Lane, Oster Ville ------ --------------------------- €j x' 6Efice Wit'heassed the Constructio'z7 of: the RU K falter � t-h refpre:.nce d log:.. The construction cif the RTICK filter 1(4 ap,P.urtenanc.es, was satisfactorily coilstaruc;ted .in 419 ato6rd4bre' w.ith the plant. k:1 1: : rdu harp:. an questions, please Gall or write. Sincerely, INNOVATIVE RUCK SYSTEMS, -INC. r;:r Timothy M. Santos ~_`�.,. Project Engineer a .K" c:,7Q'hn Me Shane taj printed on reoyeled Sap®r: 3. ':w4 onnowatuwe RUCK a yste=5 DIMCo 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) 548.9672 Fi 14—o April 10, 2000 Barnstable Board of Health Main Street Hyannis, MA 02601 Gentlemen RE Lot 3 Falling Leaf Lane, Osterville ------------------------------------ Our office witnessed the construction of the RUCK filter 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 M. Santos Project Engineer cc :John McShane 'ems printed'on recycled paper 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: ^ AA e WE ARE SENDING YOU Attached ❑ Under separate cover via the following items: > i ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION a THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval C For your use ❑ Approved as noted ❑ Submit copies for distribution As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO s SIGNED: if enclosures are not as noted,kindly notify us at once. 4" PVC ROOF VENT NOTE: DESIGN FLOW =- 330 GALLON S/DAY 125.14' �. 40 VENT VENT • �t TO HOUSE /—Co VER TO GRADE COVER TO GRADE LOT 2rJ EXISTING HOUSE COVER TO GRADE 15,000 S.F. ox SLOPEE \ SLOPE 10001 GALLON � RUCK'9SAND � �,. BLACKWATER FILTER SEPTIC TANK v TO EMSTING' � H-10 n u 1000 EEXIGASTIN ON LEACHING FIELD,II ��� II pOSED ~ o <b GRAYWATER g pp0 { &&45 SEPTIC TANK IL WA t� — H� W �b PROFILE II9 H_20 co �... $" CRUSHED COMPACTED STONE �Zv Not to Scale WB � - = m� a - £ u R � HEIGHT TO BE 3' ABOVE i lowcAuav BLACCN'AMR w RUCK RL TFR M777C TANK yr », aroEx 4FINISH GRADE " PERFORATED PVC �� cave 9 HX DISTRIBUTION LINE (TYP.) ExrsnNc �� Iwo cAUAN .�ncyr� � e � d' --'� `� ,� 4" DI A. VENT T PIPE " a RF� P I D E E TO BE VENTED BACK 18 OVERLAP BETWEEN LINER 4 DIA. PVC PIPE TO THE FACILITY. RUCK FILTER VENT PIPE AND FILTER CLOTH (VENT) D. Box TO DE SEPARATED FROM INTERIOR PLUMBING VENT PIPE. INDRAINS SHALL BE FILLED WITH SAND SLOPE UP b FILTER CLOTH TYPAR 3401 •�'R ' 11�•6�' cK Fl� su ACE rFNrcoCAnav AS MANUFACTURED BY LINQ GEOTEXTILE ?v , oNc 18" OVERLAP BETWEEN LINER p 10posox 15 • r ro ar PerrRmlvED IN vft FIELD DIVISION OR APPROVED EQUAL AND FILTER CLOTH 12' �oE "PLAN REFERENCE: INSTALL TUFTITE SPEED LEVELERS CERTIFIED PLOT PLAN BY BARTER & NYE, INC. ALL OUTLET PIPES FROM THE ON ALL OUTLET PIPES SCALE: 1" = 40' DISTRIBUTION BOX SHALL BE 21" PLAN DATE: 10/30/96 SET LEVEL FOR AT LEAST 2 FT. CONCRETE COVER 7 INDRAINS t 4' FA LEAF LANE E LOT 25 LNG L A RVI L .. ',. .�5 SAND OSTE L E • P ERMA N PLY 1 RVI HIGHLANDS TRUST 9 5 OUTLET LO L 2 0 APPLICANT. OSTE LLE KNOCKOUTS CONTAINMENT LINER z :. 7 INDRAINS - 4" PERFORATED PVC OR APPROVED EQUAL i SAND VIEW OF RUCK SYSTEM LAYOUT VENT LINE TYP+NLET 28 , O � 30 1 a 4' >� i � OUTLET 2 <. > r y. ,. , ,r.• .. s4' l ,.... , .. , ♦ ., , 5 SAND r 30" 4" j t v• . •r �. PICHT '<' •:,'� •Y C N PLAN. SECTION CROSS—SECTION " 4�+ 4 PERF. PVC PIPE LAYER OF COMPACTED PROVIDE 1-1/4 PITCH FROM FINE SAND (DRAIN) EDGE TO EDGE. g HOLE DISTRIBUTION BOX 4 WATERTIGHT & WATERPROOF BOOT a TO BE INSTALLED BY MANUFACTURER NOT TO SCALE SECTION A— A. "PERMALON PLY 210 PLAN NOT VAUD UNLESS RED STAMPS NOT TO SCALE APPEAR BELOW CONTAINMENT LINER ., OR APPROVED EQUAL 4" PVC VENT PIPE .r I-, J SCREEN . ) a,e 9w and until such time as the original �� � t�,�::}scamp of the responsible Professional 4 PERF. � I ( PVC PIPE I I (VENTS) I I SOLID 4" PVC PIPE 3 I r� 'ineer appears on this TO ROOF VENT MIN. ! A)r;o person or persons,including any ' unici pal or other public officials,may rely `Z I I I L_ I I I ( FINISHED GRADE 1. oII II II po �1 to information contained herein;and 4" PERFORATED PVC b) dais plan remains the property of U ti'rinovative RUCK Systeans,Inc. A o I I a o I I I I I A (� 4 SURFACE VENT II m II II I DISTRIBUTION LINE (TYP•) m l i I I I I I I PITCH II II II II q'" � r� • • • • • ��� • • • • we_rww�• < .. Y y�.,.L` } 4 ,. �.." x I �q�S� 4 1.a iA11INI9 I ( I I 4" PVC VENT PIPE a SINE P R 0 PERE OF V1 T t; 170 ICY S EMS,ENIC. w•I 1 VENT PIPE TO FACILITY _ 1I (COo LINE I Low VENT PIPE DETAIL. IL I I ( ( I I ( I • . —aa IlII IlI III III 6" STONE — t - - NOT TO SCALE PITCH = I1 ,� BOTTOM v II ' • 4" WATERTIGHT & WATERPROOF BOOT 7" INDRAINS - - 4" PERFORATED PVC °- o TO BE INSTALLED BY MANUFACTURER , • . GENERAL NOTES II ` T . . ._....�, . VEN Drawn heckedw m 5 ' , SAND 1) No change to this system shall be made unless DATE DESCRIPTION 1 2" STONE::.4- 4 PERF. LPVC • PIPE. U (VE CAP ENDS 7" INDRAINS approved in writing by Innovative RUCK Systems, Inc. R E V I S 1 0 N S ' '• 3' - lost 2) Subject to Inspection during construction by the ( ) ";►Y . Board of Health and Innovative RUCKS Systems, Inc. r 5 SAND; PLOT PLAN • ' •• ' ' ~ •' 3) Heavy construction equipment shall not travel SOLID 4" PVC PIPE •,,..,.. " • ., .. ..: ., •.: ' , .•.:. .. TO SURFACE VENT 2 STONE— .. 4• . .,. over disposal system during or after construction. OF PROPOSED RUCK®SYSTEM MODIFICATIONS „ P ys 9 PREPARED FOR 6 SAND " ..<. . 4) Disposal system to be constructed in accordance with WON 15 — y th Title 5 of the State Environmental Code. ERNEST MONDOU 5) A copy of these plans must be kept on the site FOR LOT 25, FALLING LEAF LANE 6" STONE during the time of construction. IN NOTE: DUE TO VARYING METHODS 6) furnished to the OSTERVI�LE N L MA . . . ....... . PITCH.;, ....... ..��..' . . �••. .�••:� .,.. A copy f these Ian m b BAR STAB E , OF INSTALLING THE LINER, THE CONTRACTOR ,,.,.... ,. PITCH �. contractor t constructing u the disposal system. PLAN SHALL FURNISH SHOP DRAWINGS DESCRIBING 7) Before backfilling, the contractor shall notify fi w THE INSTALLATION FOR REVIEW AND APPROVAL d PROVIDE 1-1/4" PITCH FROM " Innovative, RUCK Systems Inc., or the Board of Health SCALE. AS SHOWN DATE.APRIL 30, 2003 4 LAYER OF COMPACTED Agent to inspect the system as constructed. RUCK SAND FILTER EDGE TO CENTER FINE SAND g P Innovative RUCK Systems, Inc. x� ��g r 8 If the cover over the Grey Water Septic 4' + NOT TO SCALE ) y P 362 gifford street . .,..,, . ;.. . NOTE: THE SIDES OF THE FILTER MAY BE SLOPED. THE REQUIRED AREA OF THE Tank is more than 4 then the Gray Water Septic Tank falmouth ma. 02540 FILTER SHALL BE THE MIDDLE LAYER OF THE INDRAINS. SECTION B-- B. must be H-20. ' `; 9 THE CONTAINMENT LINER SHALL BE CAPABLE OF WITHSTANDING A PH OF 3.0 DRAWN: TMS, LMC CHECKED: NOT TO SCALE M McSHANE 99221 99221• R2.D G UC. NO.: 0201189221 DWG. NO.: 72-3-87A SHEET 1 OF 1 ! ...A 1.. _ " PVC ': I ROOF VENT , , �:� : SURFACE ANT L©CATION TO BEDETE D ♦. . IN THE F/ELD ,� NOTE. DEIGN FLOW. - 330 GALLONS/DAY � • ✓ 1 t esI n C�ter a o o D a ./ --- - r T •y Number- of bedrooms. 3 Equivalent to 330 al. s da _ 10 TEE VENT Q g / Y Garbage disposal unit: NO RESERhE AREA MIN. I 9 P W »,$ 4 VENT. Leaching area - capacity required: 330 gal. s/day — COVER TO GRADE _ 0 D. BOX PROPOSED HOUSE TO HOUSE t Side area ,proposed: 157 sq. ft. F.F. - 51.0 COVER TO GRADE RUCK F/LTER Bottom area ro osed: 324 s . ft. m FINISH GRADE OVER THE P P q 11' iYIDE X ! Total area proposed: 481 sq. ft. AS =50r /��%/%/% %�i� i� i\/ Proposed leaching capacity: 356gal.'s/day 14'LONG O S O 50 4 High Cooacity✓nR/trato�s with 2' ��E --- \.�\. P 9 of stone on ends, 4' of stone on s= 0.02 `\`\�� \i\/�,/r, �, /i� Water supply: Town • � A N sides, 2' in between & 1'be%w. o.ot SLOPE � /,\ . 1D00 GALL Precast ,concrete units: H-10 & H-20 loading design 1000 GALL ON #� BLACKWATER Gl'EYWATER N I o S PT/C TANK 1000 CAL RUCK®SAND P TANK �� BLACKWATER 4 INFILTRATORS WITH 2' OF STONE SE TIC U SEPTIC TANK co r� FILTER Dist. box 2' ON ENDS & IN BETWEEN 4' ON q i 00 _... 0o s= 0.01 level SIDES & 1 BELOW. Q (y �} Ire = 0.01 II C1 - . . H 10 II it 1000 GALLON �, 00 GRAYWATER ,,, ,o 00 00 TEST HOLE /NFORMA T10N BY • o SEPTIC TANK o0 r- in +o . = 41 BOTTOM ELEV. .50 2a.o PROPOSED Hl�SE z BAXTER & NYE, /NC. Z Z _Z �t dM d _ _ _ :''': PERCOLATION RA TE' 5 M/NNCH : F.F. 51.0 ,� 6.5 NO OROUNDWA TER ENCOUNTERED w c " r � u n H-20 II n n n li PRO LE ~ BOTTOM OF TEST PIT Q 6 CRUSHED COMPACTED STONE 1- F- �- ►- ►- � cr ELEV.- 35.0 w w SOIL LOG Not to Scale > 4B Q z z z z z z z o DEPTH SOILS ELEV. — q m . 0 47♦0 6 CRUSHED COMPACTED STONE LOA MY , SAND 4 0 LOT 3 ;O 5 15,000 S.F. S ALL ACCESS MANHOLE COVERS FOR »` SEPTIC TANK, DISTRIBUTION BOX,. AND LEACHING STRUCTURE SE MORE ow -�-- _ THAN 6 BELOW FINISHED GRA13t, _ MEDIUM - P SHALL BE RAISED TO WITHIN 661 O ( 2-20 Diameter Access Holes e� ---._ � PLAN REFERENCE. , PRO PROPOSED HOUSE _ i 3 COVER TO GRADE o SAND , . F.F. 51.0 FINISHED GRADE. � � I CERTIFIED PLOT PLAN BAXTER & NYE INC. �. TP „ , INLET \ OUTLET --- .; SCALE: 1 = 40 s= 0.10 4" PERFORATED PVC 12.0' 35.0 o PLAN DINE. 10/30/96 INSPECTION HOLE �sr o LOT 3 FALLING LEAF LANEVV f y OSTERVILLE, MA. 1000 GALLON 1 GREYWATER CO 00 SEPTIC TANK I,- 0 . 16" FRAME"& COVER 100.00' j ...: �i " STEEL REINFORCED PRECAST CONCRETE OVER T s WHERE' REQUIRED. 1 \ —�• 11 II H--20 PLAN MEUV F- PRECAST CONCRETE FALL/1VG LEAF LANE W REMOVABLE COVERS 3" TAW�I R WHERE > wj > 34" 6'-3" I 3" ,/� REQUI'R.ED Z z Z F ,... 50 WIDE) I- 6 CRUSHED COMPACTED STONE 3" min. clearance required —� „ INLET a g„ 4 ~ 13 INIET2" .min. inlet to outlet 6 mm. OUTLET PLAN VIEW OF RUCK SYS `EM LAYOUT w TYPICAL HIGH CAPACITY INFILTRATOR (H-20 LOADINGS � 10" min. 14 min. � I r » ' NOT TO SCALE i E INSTALL TUFTITE SPEED LEVELERS E - 20 GREYWATER PROFILE ON ALL OUTLET PIPES v F ; Ao v ' � - � GAS BAFFLE � 16.,5" ° -t CONCRETE COVER � J ,.. J N. - 5 5 OUTLET - KNOCKOUTS _ 14 PERMALON PLY 210 " d m 2-20 Diameter Access Holes CONTAINMENT LINER INLET 19.5" "' r OR APPROVED EQUAL r r , I 011D.5 . . 'OUTLET ^ O Y . 4>, PVC VENT PIPE 9» 4" PVC SURFACE VENT PIPE 11.25" INLET ourLEr T I P CAL. 1 0 ' A N S P1 C i N K H�'""''�0 LOADING) SCREEN PERF. 2 PVC PIPE VENTS r------------------ ---- ------------- ------------- 1.75• NOT TO SCALE 1 �-------------------------------------------------- 1 n 3' CROSS—SECTION , MIN. I1 FINISHED GRADE • .' FRAME & COVER STE • EL REINFORCED PRECAST CONCRETE OVER "Ts" WHERE REQUIRtb., 1 1 S " , I I ALL OUTLET PIPES FROM THE lI PERF. PVC PIPE (DISTRIBUTION) i PLAN VIEW 1 1 DISTRIBUTION BOX SHALL BE 4" PVC PIPE 1 I I 1 SET LEVEL FOR AT LEAST 2 FT. PRECAST CONCRETE TANK RISER WHERE PLAN NOT VALID UNLESS RED STAMPS PERT. 4" PVC PIPE (COLLECTION) I I 6" REMOVABLE COVERS 6" REQUIRED APPEAR BELOW ' L _ --1I ------ ---- ---- -------- -------------- -- --_ u ___ _ PITCH � 6,. 1 �- ---- -- - - - - --rl- II II j — 15.5" _3" min. clearance required INLET •T";'. THIS RUCK DESIGN IS SUBJECT' t I I I 4" PVC VENT PIPE ` INLET 8 j 1 ,311 TO A PATENT REMAINS 4 ,�2" min. inlet to outlet 6 1n' OUTLET i THE EXCLUSIVE PROPERTY OF PITCH v I 1 - 10" m. 14" min. A _ „ � II INNOVATIVE RUCK SYSTEMS PERF. 4" PVC PIPE (DISTRIBUTION)--,,,, I VENT PIPE DETAIL 20" E INC. TUF-TITE , COPYING OR INFRINGE1�riENT OF o GAS BAFFLE <> j 1 " 1 I .I 1 NOT TO SCALE PLAN T] N 1 o r THIS DESIGN IS PROHIBITED --- PERF. ,2" PVC PIPE VENTS - s" NOTICE 6 HOLE DISTRIBUTION BOX 8-0 . 5-3" Unless and until such time 4„ PVC ROOF VENT PIPE eastheoriginal N SECTION (red)Scam of the INSECT SCREEN �R 0 SS-SECTION — Engineer a on Professaonal NOT TO SCALE appears p �._ (A)no person or persons,including any HEIGHT To BE 3' ABOVE TYPICAL 1000 GALLON SEPTIC TANK CH-20 LOADING municipal or other public officials,may rely PLAN FINISH GRADE upon the information contained herein;and NOT TO SCALE (B)this plan remains the roe of Innovative RUCKS stems Inc.4» DIA. PVC PIPE p property rtY 4" DIA. 'VENT PIPE. TO BE VENTED BACK (VENT) THE SIDES OF THE FILTER MAY BE SLOPED. THE REQUIRED AREA OF THE y r TO THE FACILITY AND UP`THROUGH ROOF TO FILTER SHALL BE THE MIDDLE LAYER OF THE INDRAINS. SAME ELEVATION AS PLUMBING VENT SCOPE THE CONTAINMENT LINER SHALL BE CAPABLE OF WITHSTANDING A PH OF 3.0 FILTER CLOTH- TYPAR 3401 AS MANUFACTURED BY LINO GEOTEXTILE 18 OVERLAP BETWEEN LINER 18 OVERLAP BETWEEN LINER GENERAL NOTES AND FILTER CLOTH . DIVISION OR APPROVED EQUAL AND FILTER CLOTH 4 VENT TO FACILITY - 0 0 0 0 0 0 0 o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o s' STONE 0 0 0 0 - o 0 0 0 0 0 1 ) NO 'Change t0 this system Shall be made unless DATE DESCRIPTIONJDrawnlChecked » ' t 1 7 INDRAINS 1 I approved in writing by Innovative RUCK Systems, Inc. R E V I S I O N S t t 7' INDRAINS - - ,. . 1 - 2 Subject to inspection Bunn construction b he » 1. 1 _... ) P g Y .., ,,. .. _. �. ;. . . ,• :. : 5 AND. ,. `• • : : ) - ;, . .. . ,, -. •• .. . .•, .. ,,,. . . ,_ - 5 SAND S 1. 1. PERMALoN PLY 210 ;:. }. , w " - Board of Health and Innovative RUCKS stems Inc. > 2 STONE_ Bad Y PLOT PLAN CONTAINMENT LINER " - 1 I z 7 INDRAINS I 1 Heavy construction equipment shall not travel I 1 7 INDRAINS - _ 3) H . a Y u OR APPROVED :EQUAL 4 4OF PROPOSED RUCK SYSTEM i r cn SAND I over disposal system Burin or after construction. 5 SAND 5 P Y 9 ..1 , .. r) l ( : . _ PREPARED FOR 0 2" sTONE� 4) Disposal system to. be constructed in accordance 1 I 7" INDRAINS I I v 7" INDRAINS McSHANE CONSTRUCTION Co. . .' . ., .. with Title 5 of the State Environmental Code. 5 AN(� . 1 _ FOR LOT 3, FALLING LEAF LANE . . : _ . . p n the site , , 5) A copy . of these plans must be kept o h 0 -0 0 O O - 0 0 O o 0 0 .O O o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6' STONE I N during the time of construction. .. .. ., . .'..r •' ..1 ... . .. <. . . . . ... .. ._., ..:. _ ..... --�� :.s:.:.:.�PITCH>:'��•:` .,,,.... : . •... .. <. ,.. :.. ..... ..,.., . ....._.. ...... < > ..., .. .. .. PITCH' . „ . . , OST VILL -PITCH - • ` � 6) A copy of these plans must be furnished to the ER E MA contractor constructing the disposal system. „ 4 PVC PIPE 7) Before backfilling, the contractor shall notify SCALE: AS SHOWN DATE: AUG. 11 1999 ? ' , cam (DRAIN) » r th Board of Health tig�o 4 LAYER OF COMPACTED ) Innovative RUCK S stems Inc., o e I���--�B. 4 LAYER OF COMPACTED Y I FINE SAND NOTE: DUE TO VARYING METHODS FINE SAND SECTION `B—B PROVIDE 1-1 4" PITCH FROM Agent to Inspect the system as constructed. Innovative RUCKS stems InC. S 4 DIA. PERFORATED PVC PIPE ' OF INSTALLING THE LINER, THE CONTRACTOR , EDGE TO CENTER. �, i�c�.. SHALL FURNISH SHOP DRAWINGS DESCRIBING ` . 8) If the cover over the Grey Water Septic 200 main Street , hen e Gray Water Septic Tank " � .. SECTION A A THE INSTALLATION FOR REVIEW AND APPROVAL Tank IS more than 4 t the y p faimouth� ma. 02540 , - ® must be H-20. RUCK SAND FILTER DRAWN: TMS,NS CHECKE it NOT TO SCALE 99315.DWG LTC. NO.. 0201189315 DWG.. NO.: 73-1 -4 SHEET 1 OF 1