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Home My WebLink About0071 FALLING LEAF LANE - Health 71 Falling Leaf LaneERVdLI:E, Osterville IL_.- -- A = 144 003019 1 v Holmes and Mcgrath, inc. LETTER OF TRANSMITTAL civil engineers and land surveyors 205 Worcester Court Unit A4 DATE 1/6/22 JOBNo. 217093 falmouth, ma. 02540 AT ENMN 508-548-3564 • 800-874-7373 • FAX 508-548-9672 email:Icoelho@holmesandmcgrath.com RE: Ms. Jane B. Legendre #71 Falling Leaf Lane To: DEP Osterville, MA 02655 Attn: Title 5 Program 1 Winter Street, 6"'Floor Boston, MA 02108 WE ARE SENDING YCU ®Attached ❑ Under separate cover via the following items: COPIES DATE NO. DESCRIPTION 1 11/4/2021 DEP Approved Inspection and O&M form. REMARKS: COPY TO: Barnstable Board of Health Jane B. Legendre 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 Ms. Jane B. Legendre filling out forms Owner on the computer, use only the tab #71 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville 02655 use the return City Zip key. OkA Mailing address of owner, if different: Street Address/PO Box: ream City State Zip (508)420 - 1705 ext. Telephone Number B. Authorized Service Provider Holmes and Mcgrath, Inc. O&M Firm 205 Worcester Court, Unit A4 Street Address Falmouth MA 02540 City State Zip (508) 548 -3564 ext. Telephone Number Luis Coelho 14887 Grade 4M Operator Name Technology Company/Date of Training C. Facility/System Information Gen. Use Cert. #97894 Innovative Ruck Systems Residential RUCK DEP ID Manufacturer ID Model Number 12/9/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information . 11/4/21 11/17/20 Inspection Date Previous Inspection Date Blackwater Tank=8" Graywater Tank=7" 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 pH 6 0 9 U DO 2 or gre te mg/L Turbidity q0 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.- Septic Tank was pumped out on 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. The septic tank consisted of 2"of scum and vents are in place and working. f t5iaomr.doc• 6-16-06 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Ellen, Enviro-Septic, RUCK) H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted any required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I have attended a traini course for this System with the Technology Company and am listed by the Company a trained inspe r. January 6, 2022 Op 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 31s'of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31 th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6'h Floor Boston, MA 02108 t5iaomr.doc• 6-16-06 Page 3 of 3 c� Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A PA Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) A. InstallationINS rN Important:When Ms. Jane B. Legendre r. filling out forms Owner on the computer, !" ° use only the tab #71 Falling Leaf Lane key to move your Facility Street Address cursor-do not 4't use the return Osterville 02655 key. City Zip Mailing address of owner, if different: tab r Street Address/PO Box: City State Zip (508)420 - 1705 ext. Telephone Number B. Authorized Service Provider Holmes and Mcgrath, Inc. 0&M Firm 205 Worcester Court, Unit A4 Street Address Falmouth MA 02540 City State Zip {508) 548 - 3564 ext. _ Telephone Number Luis Coelho 14887 Grade 4M Operator Name Technology Company/Date of Training C. Facility/System Information Gen. Use Cert. #97894 Innovative Ruck Systems Residential RUCK DEP ID Manufacturer ID Model Number 12/9/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 11/17/20 10/18/19 Inspection Date Previous Inspection Date Blackwater Tank=9" Graywater Tank=8" pumping Recommended Yes ® No Sludge Depth(to be checked yearly) i t5iaomr.doc- 6-16-06 Page 1 of 3 f lam Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Ellen, Enviro-Septic, RUCK) 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 NTU 6 o 9 U 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: Septic Tank was pumped out on 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. The septic tank consisted of 3" of scum and vents are in place and working. t5iaomr.doc• 6-16-06 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (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 tra*ning course for this System with the Technology Company and am listed by the Company a trained inspector. January 7, 2021 to 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 Provisional Use—by March 31th 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, 61h 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 11/5/18 JOB No. 217093 falmouth, ma. 02540 ATTENT1oN 508-548-3564 • 800-874-7373 • FAX 508-548-9672 email:Icoelho@holmesandmcgrath.com Re: Ms. Jane B. Legendre #71 Falling Leaf Lane To: DEP Osterville, MA 02655 Attn:Title 5 Program C 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 10/18/2019 DEP A roved Inspection and O&M form. REMARKS: COPY TO: Barnstable Board of Health Jane B. Legendre 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 Ms. Jane B. Legendre filling out forms Owner on the computer, use only the tab #71 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville 02655 use the return City Zip key. t� Mailing address of owner, if different: Street Address/PO Box: reNm City State Zip (508)420 - 1705 ext. Telephone Number B. Authorized Service Provider Holmes and Mcgrath, Inc. 0&M Firm 205 Worcester Court, Unit A4 Street Address Falmouth MA 02540 City State Zip (508) 548 -3564 ext. Telephone Number Luis Coelho 14887 Grade 4M Operator Name Technology Company/Date of Training C. Facility/System Information Gen. Use Cert. #97894 Innovative Ruck Systems Residential RUCK DEP ID Manufacturer ID Model Number 12/9/99 _ Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 10/18/19 11/29/18 _ Inspection Date Previous Inspection Date Blackwater Tank=10" Graywater Tank=8" 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 pH 6.2 SU DO mg/L - Turbidity NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information not required for standard inspection of Eljen or Eviro-Septic Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑ TN ❑ Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Septic Tank was pumped out on 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. The septic tank consisted of 2"of scum and vents are in place and working. t5iaomr.doc• 6-16-06 Page 2 of 3 LAMassachusetts 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 traini fg course for this System with the Technology Company and am listed by the Company as -rained inspe r. November 5, 2019 or ignat re 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 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 Ilk Holmes and Mograth, inc LETTER OF TRANS MITT L civil engineers and land surveyors 205 Worcester Court Unit A4 DATE 12/17/18 JOB No. 217093 falmouth, ma. 02540 ATTENTION 508-548-3564 • 800-874-7373 • FAX 508-548-9672 email:Icoelho@holmesandmcgrath.com RE: Ms. Jane B. Legendre #71 Falling Leaf Lane To: DEP Osterville, MA 02655 Attn: Title 5 Program 1 Winter Street,6th Floor Boston, MA 02108 WE ARE SENDING YOU ®Attached ❑ Under separate cover via the following items: COPIES DATE NO. DESCRIPTION 1 11/29/2018 DEP Approved Inspection and O&M form. REMARKS: COPY TO: Barnstable Board of Health Jane B. Legendre SIGNED: Luis Coelho a� 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 Ms. Jane B. Legendre filling out forms Owner on the computer, use only the tab #71 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville 02655 use the return key. City Zip Mailing address of owner, if different: Street Address/PO Box: City State Zip (508)420 - 1705 ext. Telephone Number B. Authorized Service Provider Holmes and Mcgrath, Inc. 0&M Firm 205 Worcester Court, Unit A4 Street Address Falmouth MA 02540 City State Zip (508) 548 -3564 ext. Telephone Number Luis Coelho 14887 Grade 4M Operator Name Technology Company/Date of Training C. Facility/System Information Gen. Use Cert. #97894 Innovative Ruck Systems Residential RUCK DEP ID Manufacturer ID Model Number 12/9/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 11/29/18 11/9/17 Inspection Date Previous Inspection Date Blackwater Tank=11" Graywater Tank=9" Pumping Recommended ® Yes ❑ No Sludge Depth(to be checked yearly) p g t5iaomr.doc• 6-16-06 Page 1 of 3 A -`' 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) E. Field Testing — not required for standard inspection of Eljen, Enviro-Septic or RUCK Field Inspection: Color: ® gray ❑ brown ❑ clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 6 to 9 SU DO 2 or greatermg/L Turbidity NTU ao 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. The septic tank consisted of 3" of scum and could have the septic tank pumped out. 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: 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 *ning course for this System with the Technology Company and am listed by the Company a trained inspector. December 17, 2018 0016tor 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 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 r Innovative Ruck Systems, inc. LETTER OF TRANSMITTAL civil engineers and land surveyors t, 205 Worcester Court Unit A4 DATE 12/4/17 JOBNO. 217093 falmouth, ma. 02540 508-548-3564 - 800-874-7373 - FAX 508-548-9672 ATTENTION email:Icoelho@holmesandmcgrath.com RE: Ms.Jane B. Legendre #71 Falling Leaf Lane ' To: DEP Osterville, MA 02655 '. r,W i Attn:Title 5 Program 1 Winter Street, 6th Floor Boston, MA 02108 WE ARE SENDING YOU ®Attached ❑ Under separate cover via the following items: COPIES DATE NO. DESCRIPTION 1 11/9/2017 DEP Approved Inspection and O&M form. REMARKS: COPY TO: Barnstable Board of Health Jane B. Legendre 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 Ms. Jane B. Legendre filling out forms Owner on the computer, use only the tab #71 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville use the return 02655 key. City Zip Mailing address of owner, if different: feb Street Address/PO Box: reran City State Zip (508)420 - 1705 ext. Telephone Number B. Authorized Service Provider Innovative Ruck Systems Inc. O&M Firm 205 Worcester Court, Unit A4 Street Address Falmouth MA 02540 City State Zip (508) 548-3564 ext. Telephone Number Luis Coelho 14887 Grade 4M Operator Name Technology Company/Date of Training C. Facility/System Information Gen. Use Cert. #97894 Innovative Ruck Systems Residential RUCK DEP ID Manufacturer ID Model Number 12/9/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 11/9/17 10/26/16 Inspection Date Previous Inspection Date Blackwater Tank=9" Graywater Tank=10" Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5iaomr.doc• 6-16-06 Page 1 of 3 ,1 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) E. Field Testing — not required for standard inspection of Eljen, Enviro-Septic or RUCK Field Inspection: Color: ® gray ❑ brown ❑ clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy El moldy ❑ offensive El turbid li Effluent Solids: ® no ❑ some 6.7 SU 2.1 mg/L NTU p'H 6 to s DO Turbidit 2 or greater y 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information — not required for standard inspection of Eljen or Eviro-Septic Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑TN ❑ Other(list below) Other 1 Other 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. The septic tank consisted of 2" of scum Vents in place and working. Lt5iaomndoc• 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 tra ing course for this System with the Technology Company and am listed by the Company a trained inspe r. December 4, 2017 or ignature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31 stt 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 Innovative Ruck Systems, inc. LETTER OF TRANSMITTAL civil engineers and land surveyors 205 Worcester Court Unit A4 DATE 11/21/16 JOBNO. 214040 falmouth, ma. 02540 ATTENTION 508-548-3564 - 800-874-7373 - FAX 508-548-9672 email:lcoelho@holmesandmcgrath.com RE: Ms.Jane B. Legendre #71 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 10/26/2016 DEP Approved Inspection and O&M form. REMARKS: COPY TO: Barnstable Board of Health Jane B. Legendre SIGNED: Luis Coelho Massachusetts Department of Environmental Protection -7 Bureau of Resource Protection - Title 5 L \ DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) A. Installation Important:When Ms. Jane B. Legendre filling out forms Owner on the computer, use only the tab #71 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville use the return 02655 key. City Zip Mailing address of owner, if different: IL 0 Street Address/PO Box: reran City State Zip (508)420 - 1705 ext. Telephone Number B. Authorized Service Provider Innovative Ruck Systems, Inc. 0&M Firm 205 Worcester Court, Unit A4 Street Address Falmouth MA 02540 City State Zip (508)548 -3564 ext. Telephone Number Luis Coelho 14887 Grade 4M Operator Name Technology Company/Date of Training C. Facility/System Information Gen. Use Cert. #97894 Innovative Ruck Systems Residential RUCK DEP ID Manufacturer ID Model Number 12/9/99 fnstallation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 10/26/16 12/10/15 Inspection Date Previous Inspection Date Blackwater Tank=7" Graywater Tank=8" Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5iaomr.doc• 6-16-06 Page 1 of 3 f 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 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 DOS 2.7 m NTU 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. The septic tank consisted of 0" of scum. 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: 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 ing course for his System with the Technology Company and am listed by the Company a tra—Lapad in ctor. November 21, 2016 0 or Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 315t of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31 to 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, 61t' Floor Boston, MA 02108 a t5iaomr.doc• 6-16-06 Page 3 of 3 innovative Ruck stems inc. LETTER ETTER OF TRANSMITTAL civil engineers and land surveyors 205 Worcester Court Unit A4 DATE , 1/8/16 JOBNO. 214040 falmouth, ma. 02540 ATTENTION 508-548-3564 • 800-874-7373 • FAX 508-548-9672 email:Icoelho@hoJmesandmcgrath.com RE: Ms.Jane B. Legendre #71 Falling Leaf Lane To: DEP Osterville, MA 02655 Attn:Title 5 Program 1 Winter Street,6th Floor Boston, MA 02108 WE ARE SENDING YOU ®Attached ❑ Under separate cover via the following items: COPIES DATE NO. DESCRIPTION 2 12/10/2015 DEP Approved Inspection and O&M form. REMARKS: COPY TO: Barnstable Board of Health Jane B. Legendre SIGNED: Luis Coelho ELIMassachusetts 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 Ms. Jane B. Legendre filling out forms Owner on the computer, use only the tab #71 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville 02655 use the return key. City Zip fdb Mailing address of owner, if different: Street Address/PO Box: City State Zip (508)420- 1705 ext. Telephone Number B. Authorized Service Provider Innovative Ruck Systems, Inc. O&M Firm 205 Worcester Court, Unit A4 Street Address Falmouth MA 02540 City State Zip (508)548-3564 ext. Telephone Number Luis Coelho 14887 Grade 4M Operator Name Technology Company/Date of Training C. Facility/System Information Gen. Use Cert. #97894 Innovative Ruck Systems Residential RUCK DEP ID Manufacturer ID Model Number 12/9/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 12/10/15 11/11/14 Inspection Date Previous Inspection Date Blackwater Tank=8" Graywater Tank=10" Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5iaomr.doc• 6-16-06 Page 1 of 3 Massachusetts Department of Environmental Protection r Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) E. Field Testing — not required for standard inspection of Eljen, Enviro-Septic or RUCK Field Inspection: Color: ® gray ❑ brown ❑ clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 6.1 SU DO 3.6 mg/L Turbidity NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information — not required for standard inspection of Eljen or Eviro-Septic Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑TN ❑ Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: None Notes and Comments: All components inspected and working properly. The structural integrity of both tanks were good and did not notice any evidence of leakage in or out of the tank. Vents in place and working. t5iaomr.doc• 6-16-06 Page 2 of 3 ri r LIMassachusetts Department o..f Environmental:Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and OW Form for Title 5 I/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK' 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 traine s ector. January 8, 2016 OpA-gfortoignature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and.DER as follows for each inspection performed:. -Remedial Use— by January 31st of each:year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—:by March 31th of each year for the previous 12 months General Use by September 30th of.each year for the;previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6tn Floor Boston, MA 02108 t5iaomr.doc• 6-16-06 Page 3 of 3 Innovative Ruck Systems, inc. LETTER OF TRANSMITTAL civil engineers and land surveyors 205 Worcester Court Unit A4 DATE 11/24/14 JOB NO. 214040 falmouth, ma. 02540 ATTENTION 508-548-3564 9 800-874-7373 • FAX 508-548-9672 email:Icoelho@holmesandmcgrath.com RE' Ms.Jane B. Legendre #71 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 2 11/11/2014 DEP Approved Inspection and O&M form. REMARKS: COPY TO: _ rBamstable Board'of Health's �Jane-B Legendre SIGNED: Luis Coelho 1 11 1) J� 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 ,u Important:When Ms. Jane B. Legendre filling out forms Owner on the computer, use only the tab #11 Falling Leaf Lane z' key to move your Facility Street Address cursor-do not use the return Osterville 02655 key. city Zip Mailing address of owner, if different: rib Street Address/PO Box: City State Zip (508)420- 1705 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 (568) 548- 3564 ext. Telephone Number Luis Coelho 14887 Grade 4M Operator Name Technology Company/Date of Training G. Facility/System Information Gen. Use Cert. #97894 Innovative Ruck Systems Residential RUCK DEP ID Manufacturer ID Model Number 12/9/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 11/11/14 10/16/13 Inspection Date Previous Inspection Date Blackwater Tank=7" G rapyater Tank=12" Pumping Recommended Sludge Depth(to be checked yearly) p g ❑ Yes ® No t5iaomr.doc• 6-16-06 Page 1 of 3 i Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 r DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems(Eiien, Enviro-Septic, RUCK) r E. Field TeStln9 — not required for standard inspection of Eljen, Enviro-Septic or RUCK Field Inspection: Ll Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: E musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 4.9 SU DO 6.4_ mr� Turbidity NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing,.effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information — not required for standard inspection of 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 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 Com a trained ins Wt 11/24/2014 erato 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 -' i f - 'ir u holmes and mcgr°at h, inc. LETTER OF TRANSMITTAL civil engineers and land surveyors 205 Worcester Court Unit A4 DATE 10/25/13 jNo• 210010 falmouth,ma. 02540 ATrENTION 508-548-3564 • 800.874-7373 • FAX 508-548-9672 Re Ms.Jane B.Legendre email:mcgrath@holmesandmcgrath.com #71 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 10/16/13 DEP Approved Inspection and O&M form. REMARKS: c� r-%mstabre-Board-of Healthy e. Jdne B L�egendre _ .. SIGNED: Luis Coelho CD C=) � T-A 0 w ._...._....._..._.__....._........ . 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 Ms. Jane B. Legendre filling out forms Owner on the computer,use only the tab #71 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville 02655 use the return City Zip key. J�-11 Mailing address of owner, if different: V� Street Address/PO Box: rears City State Zip (508)420-1705 ext. Telephone Number B. Authorized Service Provider Innovative Ruck Systems, 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 men. Use Cart.4#97894 Innovative Ruck Systems Residential RUCK DEP ID Manufacturer ID Model Number 1219/99 Installation Date �f�J 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=4" Graywater Tank=10" Pumping Recommended ❑ Yes ® No Sludge Depth(to be checked yearly) t5iaomr.doc- 6-16-06 Page 1 of 3 r _..... -............- - LlMassachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and OW Form for Title 5 I/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) E. Field Testing — not required for standard inspection of Eljen, Enviro-Septic or RUCK Field Inspection: Color: ❑ gray ❑ brown ® clear ❑turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: no ❑ some 3.8 SU 15.1 mg/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 Ellen 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 El Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection w curing 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.Client did have septic tank pumped out on November 6,2012. t5laomr.doc• 6-16-06 Page 2 of 3 1 I LlMassachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above,have conducted any required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true,accurate, and complete as of the time of the inspection. I have attended a "ning course for this System with the Technology Company and am listed by the Compa s a traine zo 10/25/13 era 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 31st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31t"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 t5laomr.doc• 6-16-06 Page 3 of 3 t 4 holmes and mcgrath, inc. LETTER OF TRANSMITTAL civil engineers and land surveyors 362 gifford street DATE 10/22/112 T JOB No. 210010 falmouth, ma. 02540 ATTENTION 508-548-3564 • 800-874-7373 - FAX 508-548-9672 email:mcgrath@holmesandmcgrath.com Ms.Jane B. Legendre #71 Falling Leaf Lane", �I To: DEP Osterville, MA 02655 Attn:Title 5 Program 1 Winter Street,e Floor Boston, MA 02108 WE ARE SENDING YOU ®Attached ❑ Under separate cover via the following items: COPIES DATE NO. DESCRIPTION 1 10/16/12 DEP Approve,d Ins ection and O&M form. REMARKS: W-7; a. c r7 .3 COFYTO'� J (Barnstable Board of Health Jane B. Legerid(e__ 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 (€ijen, Enviro-Septic, RUCK) A. Installation Important: Ms. Jane B. Legendre When filling out Owner forms on the computer, use #71 Falling Leaf Lane only the tab key Facility Street Address to move your Osterville 02655 cursor-;do not City Zip use the return key. Mailing address of owner, if different: Street Address/PO Box: anm City State Zip (508)420- 17,05 ext. Telephone Number B.'Auttiorized Service Provider .Innovative Ruck Systems, Inc. O&M Firm 362 Gifford Street Street.Add,res5 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. Fa-Ci.lity/System Information Gen. Use Cert. #97894 Innovative Ruck..Systems Residential RUCK DEP ID Manufacturer ID Model Number _ 12/9/99 Installation Date Start of Operation Approval Type: .N General El Provisional ❑ Piloting 0 Remedial Seasonal Residence-used less than 6 mo./year: ❑ Yes ® No D.',Operating Information' 10/16/12 . 10/21/11.. Inspection Date Previous Inspection Date , Blackwater Tank=13" Graywater Tank=12" 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 Eljen, Enviro-Septic or RUCK Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH - to 9 SU DO 2 or greateg/L 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 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: gpa Parameters sampled: ❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑ TN❑ Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: None Notes and Comments: All components inspected and working properly. The structural integrity of both tanks were good and did not notice any evidence of leakage in or out of the tank. Vents in place and working. Scum level was at 4.5 inches inside septic tank and should have tanked pumped out. t5iaomr.doc• 6-16-06 Page 2 of 3 i f LIMassachusetts 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 (Eijen, 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 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 301h of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Pro hgram One Winter Street, 6t Floor Boston, MA 02108 t5iaomr.doc• 6-16-06 Page 3 of 3 L f V holmes and mcgrath, inc. LETTER OF TRANSMITTAL civil engineers and land surveyors 362 gifford street DATE 10/29/10 JOB No. 210010 falmouth, ma. 02540 ArrENMN 508-548-3564 • 800-874-7373 • FAX 508-548-9672 RE: Ms.Jane B. Legendre email:mcgrath@holmesandmcgrath.com #71 Falling Leaf Lane , To: DEP Osterville, MA 02655 Attn:Title 5 Program 1 Winter Street, e Floor Boston, MA 02108 WE ARE SENDING YOU ®Attached ❑ Under separate cover via the following items: COPIES DATE NO. DESCRIPTION 1 10/7/2.010 DEP Approved Inspection and O&M form. REMARKS: i 'COPY TO: _... _. _. '-FBarnstatile Board-of Health�t._ - �- �" Jane Bi Legendre -- _ _ F 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: Ms. Jane B. Legendre When filling out Owner forms on the computer,use #71 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: teb Street Address/PO Box: City State Zip (508)420 - 1705 ext. Telephone Number B. Authorized Service Provider Innovative Ruck Systems, Inc. _ 25 r O&M Firm 362 Gifford Street o Y, Street Address , Falmouth MA 02540 City State Zip c� (508) 548-3564 ext. Telephone Number W Luis Coelho 14887 Grade 4M M Operator Name Technology Company/Date of Training C. Facility/System Information Gen. Use Cert. #97894 Innovative Ruck Systems Residential RUCK DEP ID Manufacturer ID Model Number 12/9/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 10/7/10 10/14/09 Inspection Date Previous Inspection Date Blackwater Tank=12" 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 OW Form for Title 51/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) E. Field Testing — not required for standard inspection of Eljen, Enviro-Septic or RUCK Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 6 to 9 SU DO 2 or greatermg/L Turbidity NTU 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 f •' 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 cours or System with the Technology Company and am listed by the Compan a tr !V!eD 10/29/10 ,/,t*e'raKr 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 Pro ram One Winter Street, 6t Floor Boston, MA 02108 t5iaomr.doc- 6-16-06 Page 3 of 3 LlMassachusetts Department of Environmental Protection 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: Jane B. Legendre When filling out Owner forms on the computer, use #71_Falling Leaf.Lane� only the tab key Facility Street Address to move your Osterville 02655 . cursor-do not Cit frown use the return y Zip key. Mailing address of owner, if different: Street Address/PO Box Cityrrown State Zip (508) 420- 1705 ext. Telephone Number B. Authorized Service Provider Holmes & McGrath, Inc. O&M Firm 362 Gifford Street Street Address Falmouth MA 02540 City/Town 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's Name&ID Model Name&Number 1.2/9/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑Yes ®No D. Operating Information 10/14/08 6/28/07 Inspection Date Previous Inspection Date Blackwater tank =6 in.; Graywater tank = 3 in. Pumping Recommended Yes ® No Sludge Depth(to be checked yearly) Normal Effluent Description t5iaom1.doc-10/21/08 Page 1 of 2 Massachusetts Department of Environmental Protection 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. Vents in place and working. 4 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 Massachusett certified operator in accordance with 257 CMR 2.00. ,t iY 10/21/08 rafor 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: k Remedial Use—by Piloting Use—within Provisional Use—by General Use—by January 31s`of each 30 days of inspection March 31st of each September 30th 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'. Floor Boston, MA 02108 4 t5iaom1.doc•10/21/08 Page 2 of 2 Massachusetts Department of Environmental Protection �'- 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: Jane B. Legendre When filling out Owner forms on the computer, use #71 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: VQ Street Address/PO Box City/Town State Zip (508)420- 1705 ext. Telephone Number CD B. Authorized Service Provider Holmes & McGrath, Inc. ,2t O&M Firm 362 Gifford Street Street Address -" Falmouth MA 02540 r� City/Town State Zip �= � m i (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 mo./year: ❑Yes ®No D. Operating Information 6/28/07 10/18/06 Inspection Date Previous Inspection Date Blackwater tank= 6 in.; Graywater tank= 3 in. Pumping Recommended ❑ Yes ® No Sludge Depth(to be checked yearly) Normal Effluent Description t5iaoml.doc•8/8/07 Page 1 of 2 I Massachusetts Department of Environmental Protection 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) NO2, NO3, NH3, TKN 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. 7/2/07 Op rator signal 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 — Piloting — — —Use by otmg Use within Provisional Use by General Use by January 31st of each 30 days of inspection March 31st of each September 30'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, 6th Floor Boston, MA 02108 t5iaoml.doc•8/8/07 Page 2 of 2 5,. 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 Vincent Legendre forms on the 0 ner computer,use only the tab key 1 Falling Leaf Lane to move your PFacility Street Address cursor-do not use the return Osterville MA ) 02655 key. City State Zip Mailing address of owner, if different: P.O. Box 1059 Street Address/PO Box: Osterville MA 02655 City State Zip (508)420-1705 Telephone Number B. Authorized Service Provider Innovative Ruck Systems 0&M Firm 362 Gifford Street Street Address Falmouth Ma. 02540 City State Zip (508) 548-3564 ext. Telephone Number Paul C. LaCroix 3340 Certified Operator Name Certification Number C. Facility/System Information DEP ID Manufacturer ID Model Number 10/14/98 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑Yes ®No D. Operating Information 6/21/04 5/2/03 Inspection Date Previous Inspection Date Septic=6"; Gray=6" Pumping Recommended ❑ Yes ® No Sludge Depth(to be checked yearly) Legendre Insp. '04.5/9/04 Page 1 of 2 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: None. Notes and Comments: All components inspected and working properly. F. Certification 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 MassaohuseM c ified operator in accordance with 257 CMR 2.00. Operator Signature fDate 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 Legendre Insp. '04.5/9104 Page 2 of 2 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A iL Treatment and Disposal Systems A. Installation Important: When filling out Vincent Legendre forms on the Owner computer,use only the tab key 71 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: P.O. Box 1059 Street Address/PO Box: Osterville MA 02655 City State Zip (508)420-1705 Telephone Number B. Authorized Service Provider Innovative Ruck Systems 0&M Firm 362 Gifford Street Street Address Falmouth Ma. 02540 City State Zip (508)548-3564 ext. Telephone Number Paul C. LaCroix 3340 Certified Operator Name Certification Number C. Facility/System Information General Use Cert. #: 97894 Innovative RUCK Systems Residential RUCK DEP ID Manufacturer ID Model Number 10/14/98 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑Yes ®No D. Operating Information 6/21/04 5/2/03 Inspection Date Previous Inspection Date Septic = 6"; Gray= 6" Pumping Recommended ❑ Yes Z No Sludge Depth (to be checked yearly) p g Legendre Insp. Report'04.7/30/04 Page 1 of 1 WLL,il 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: None. Notes and Comments: All components inspected and working properly. F. Certification 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 Masfshusetts ce fied erator in accordance with 257 CMR 2.00. 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 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, 6t" Floor Boston. MA 02108 Legendre Insp.-Report'04.7/30/04 Page 2 of 2 Innovative Ruck Systems Inc . 362 Gifford Street Falmouth, MA 02540 February 6, 2003 Vincent Legendre 71 Falling Leaf lane Osterville,Ma 02655 Dear Homeowner: Re: 71 Fallin,-Leaf'Lane The Department of Environmental Protection has notified us that they are conducting a campaign to find innovative alternative sewage disposal systems installed in Massachusetts that are not under contract with an Operation and Maintenance firm. The RUCK® system serving your home is an innovative alternative sewage disposal system. The Department requires that every innovative alternative sewage disposal system be maintained and under a service contract and are requesting that we provide them with a complete list of those system that have been installed in Massachusetts with emphasis on those not currently under contract. Below you will find the required service contract. Please review this, si,gn it and return it to us . We will perform the required inspection and bill you for the . service. RUCK® System Three Year Maintenance Agreement Holmes and McGrath, Inc. agrees to perform, on a quarterly basis, the following services to the RUCK® septic system located at the address above. RUCK® systems are served by two septic tanks, a blackwater septic tank and a greywater septic tank. The RUCK® system also has a RUCK filter and. a soil absorption system. The fee for the inspection will be $75. 00 per hour plus travel time over 30 minutes from the Falmouth office. The travel rate is $50 . 00 per hour. If more than one home is located in the same area, the travel expenses will be divided up accordingly. The servi;yes are described below: t I z n MnZ �° This. Agreement is null and void unless executed by the Clie nt ai4 � returned to Innovative RUCK Systems, Inc. within thirty (30)) {mom days . �cr, No M 0 COORDINATING INSTRUCTIONS: The inspector will need to uncover t em w septic tank covers and the cover to the distribution bo . Obviously, there will be holes dug in lawns or landscaped areas . We will endeavor to protect lawns and "landscaping but the. covers. have to be exposed. Please call our office and discuss the particulars with Mike Moreau or Tim, Santos .- Accepted Date March 12 , 2003 1 Telephone: 508-420-1705 . Please give us 48 hours notice at the above telephone number. I would prefer that the inspection be performed in .the month of To: Mr. Michael B. McGrath Holmes and McGrath Dear Mr . McGrath: I have read your maintenance agreement and wish to try your quarterly tests for a one year period to 'determine if this Ruck System is finally -working. We would also like to know if- any progress has been made in getting these faulty systems approved by the towns Board of Health. i Sincerelyel Vincent LeGendre Pb Box 1059 71 Falling Leaf Lane Osterville, MA 02655 s u Innovative RUCK Systems, Inc. D- ONN A Passive Denitrifying Septic System200 Main Street, Room 201 Falmouth,MA 02540 1 (.800)6S9-RUCK(7825) In MA 1 (S08) 548.3564 FAX (S08) S48.9672 January 24 , 2002 Ralph J. King George E. Lloyd, Jr. 24 Falling Leaf Lane 52 Falling Leaf Lane Osterville, MA 02655 Osterville, MA 02655 Myrna Singer David J. Noreen 72 Falling Leaf Lane 82 Palling L:eaf ' Lane North Grafton, MA 01536 Osterville, MA 02655 Arthur J. Balian Suvitya Nopakun 91 Falling Leaf Lane 81 Falling Leaf Lane Lexington, MA 02173 Osterville, MA 02655 Vincent G. Legendre f George Paton P.O. Box 1059 JVZ/003 1 / 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 ille, 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 re,tro,fit the systems over the kpext several` montY s : 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 f Michael B. McGrath, P.E. , P.L.S. President MBM/gd cc: Stephen Corr, DEP, WPC, Boston Barnstable Board of Health innovative ruck systems, inc. Iy7 6 U 3 0 I y 200 main street falmouth,ma 02540 1-800-874-7373 TO: DEPARTMENT OF ENVIRONMENTAL PROTECTION DATE Jan.09 2002 ATTENTION:MARCIA SHERMAN REVISED 1 WINTER STREET BOSTON MA 02108 DEAR MS.SHERMAN PLEASE FIND ENCLOSED COPIES OF LAB TEST RESULTS FOR THE RUCK SYSTEM AT THE REFERENCED LOCATION. BELOW YOU WILL FIND AN ANALYSIS OF THE RESULTS AND A STATEMENT IF THE SYSTEM CONFORMS TO THE DISCHARGE LIMIT OF THE APPROVED CERTIFICATE. RESULTS OF RUCK SAMPLING TYPE GENERAL CERTIFICATE fLOCAED�IN°NITROGEN,SENS�:TIVEARE YES CLIENT `Vincent Legendre DATE 1310101 LOCATION 1 Lot 19 Falling Leaf Lane TOWN $Barnstable,Ma OUTPUT D-BOX pH 6.9 BOD 22 mg/I TSS 39 mg/I AMMONIA 10 mg/I TKN 17 mg/I NO3 7.5 mg/I TN 24.5 mg/I DOES SYSTEM CONFORM TO DISCHARGE REQUIREMENTS FOR TN NO ` LEGEND BRL BELOW REPORTING RESULTS TEST RESULTS ARE ATTACHED SIGNED MICHAEL MOREAU innovative ruck systems, inc. CC: VINCENT LEGE_NDRE- �-- (BARNSTABLE BOARD OF HEALTH, JEFF GOUL'D'DEP LAKEVILLE I | } Groundwater Analytical, |nc, P.{). Box 1200 228 Main Street, Buzzards Bay, k4AO2S32 innovative ruck systems, inc. 200 main street falmouth, ma 02540 1-800-874-7373 TO: DEPARTMENT OF ENVIRONMENTAL PROTECTION DATE February 1d, 2000 d ATTENTION: STEVE CORR P.E. REVISED 1 WINTER STREET BOSTON MA 02108 DEAR MR. CORR PLEASE FIND ENCLOSED COPIES OF LAB TEST RESULTS FOR THE RUCK SYSTEM AT THE REFERENC LOCATION. BELOW YOU WILL FIND AN ANALYSIS OF THE RESULTS AND A STATEMENT IF THE SYSTEM CONFORMS TO THE DISCHARGE LIMIT OF THE APPROVED CERTIFICATE. RESULTS OF RUCK SAMPLING TYPE GENERAL CERTIFICATE LOCATED IN NITROGEN SENSITIVE.AREYES CLIENT McShane Construction DATE 0.1/26/00 LOCATION Lpt 19rFaIIingLeaf Lane TOWN 'Barnstable Ma, INPUT OUTPUT APPROX. REMOVAL BLACKWATER - GREYWATER D-BOX RESULTS pH 7:2 7:1` 7:2 BOD 130 mg/I 34 mg/I ,.39 mg/I 52% TSS 30 mg/I 14 mg/I 43 mg/I NM FECAL COLIF 1400 / 100 ml 1100 J 100 ml 900 / 100 ml 28% AMMONIA 51 mg/I 71 mg/I 6.3 mg/I TKN 63 mg/I 12 mg/I :17 mg/I NO3 0:06. mg/I 2.4 mg/I 1.9 mg/I TN 63.06 mg/I 14:4 mg/I 18:9 mg/I 51% DOES SYSTEM CONFORM TO DISCHARGE REQUIREMENTS FOR TN YES LEGEND NT SAMPLE GATHERED TOO SMALL SAMPLE NOT GATHERED NM NOT MEANINGFUL BRL BELOW REPORTING RESULTS NR NOT REQUIRED REMOVAL RATE IS AN APPROXIMATE VALUE SINCE THE WASTEWATER FLOWS ARE SPLIT BLACKWATER IS ASSUMED TO BE 50% OF THE FLOW. TEST RESULTS ARE ATTACHED SIGNED MICHAEL B. MCGRATH, P.E. innovative ruck systems, inc. CC: CLIENT BOARD OF HEALTH R. LAAK BARNSTABLE COUNTY HEALTH DEPT 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 Vincent Legendre 71 Falling Leaf lane Barnstable,MA 02630 Re: 71 Falling Leaf lane,Barnstable,MA DEP Facility ID:RUCK I Operation&Maintenance Requirements Dear Mr.Legendre: 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 aim 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 mi providing services consistent with the system's specifications, the operation and maintenance required by the designer and any specified by the Department. In addition, every time the operator or operators are changed, the owner must notify the Department and the local Board of Health,in writing,within seven days of such change. The Department has received information.indicating that you are no longer under contract with an operation and maintenance firm in violation of your system approval. Please notify the Department, in writing, within fourteen days of receipt of this letter,of the name of the new operator for your system and submit a copy of your current contract.Failure to comply with this request may result in enforcement action by the Department Please,submit the information to: Department of Environmental Protection Title 5 Program Watershed Permitting Program One Winter Street,6th floor Boston,MA 02108 , . If you have any questions concerning your operation.and maintenance requirements, please feel free to contact John L.Ciccotelli at the DEP/Boston Office at(617)292-5657. S' rely, haron M.Pe osi,Director Watershed Permitting Program cc: Barnstable Board of Health DEP/SERO B.Dudley u This information is available in alternate format by calling our ADA Coordinator at(617)574-6872. DEP on the World Wide Web: hftp://www.state.ma.us/dep �,� Printed on Recycled Paper 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 A. Installation Important: Vincent Legendre When filling out Owner forms on the computer,use 71 Falling Leaf Lane. only the tab key Facility Street Address to move your Osterville 02655 cursor-do not use the return City ZAP key. Mailing address of owner, if different: Street Address/PO Box: City State Zip ( ) - ext. Telephone Number B. Authorized Service Provider Inovative Ruck Systems 0&M Firm 200 Main Street Street Address Falmouth Ma. 02540 City State Zip (508) 548 -3564 ext. Telephone Number Michael B Moreau Jr. 10291 ' Certified Operator Name Certification Number C. Facility/System Information DEP ID Manufacturer ID Model Number 1,0/14/98 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial . Seasonal Residence—used less than 6 mo./year: ❑Yes ONO D. Operating Information g 06/27/02 12/07/01 Inspection Date Previous Inspection Date 6 Pumping Recommended Y Sludge Depth(to be checked yearly) P� 9 ❑ es ® No normal Effluent Description LEGENDRE-11/20/02 Page 1 of 2 f 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 - 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: F. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this repo and the attac d technology operation and maintenance checklist, and the information repo is true, ac te, and complete as of the time of the in pection. I am a Massa. 70 � tt rtif o r i accordance with 257 CR 2 Ope ator Signa ure Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January Piloting & Provisional Use- General Use—by September 31 st of each year for the within 30 days of inspection 30`h of each year for the previous calendar year date previous 12 months Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston. MA 02108 LEGENDRE 11/20/02 Page 2 of 2 GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: 71 FL Matrix: Aqueous Project: Falling Leaf Lane Received: 06-27-02 Client: Holmes&McGrath Lab ID: 52104-01 Sampled: 06-27-02 00:00 Container: 250 mL Plastic Preservation: Cool ':.' yr m z �t` 3 y Re Ort rlrs'€ nt � r .Analyte R .� ` Result �MUmtsg ?An� lzQCBtcl ;. et�b Llml F Nitrate(as Nitrogen) BRL mg/L 0.02 06-28-02 16:43 NI-1478-W SM 4500-NO3 F Nitrite(as Nitrogen) 0.07 mg/L 0.02 06-28-02 16:43 NI-1478-W SM 4500-NC3 F Lab ID: 52104-02 Sampled: 06-27-02 00:00 Container: 250 mL Plastic Preservation: H2SO4/Cool yt € s [# rReporting *t � 1 f gY a .Analyte � x {tReSult Umts r <�a Analyzed QC Batch Mtethod�' i '. Ammonia(as Nitrogen) 13 mg/L 0.2 06-28-02 AM-0973-W SM 4500-NH3 BH Nitrogen,Total Kjeldahl (TKN) 18 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. ' 4 Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 Innovative RUCK Systems, Inc. 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 April -25, 2000 Mr. Steve Corr DEP-Water Pollution Control One Winter Street Boston MA 02108 Dear Mr. Steve Corr: Re fLo>t19T;- Fall- ng.�Le_af Lane, Our Job No. 98316 ---------------------------- At Lot 19 Falling Leaf Lane, there has been four successful tests of the passive residential RUCK° system in a Zone 2 . According to my understanding, the Department of Environmental Protection (DEP) can now waive further testing on this lot . Please write a letter waiving further testing. If you have any questions, please call or write me . Sincerely, INNOVATIVE RUC SYST CIS C Michael B. McGrath, P. E. , P. L. S . President MBM/gd cc : McShane Construction Co. C_B nstable6Board _of' Health_. 'er 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 — (5008)) 548-3564 FAX (508) 548-9672 ATTENTION TO 576c ®Re_ RE: � N 4r AvAtm vt L I �- w,Af '54. Brno , 04A 02108 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 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 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO to C.1" C" ?V4�b4 S-0. p. SIGNED: _( _ If enclosures are not as noted, kindly notify us at once. 200 main street . falmouth, ma 02540 1-800-874-7373 r0: DEPARTMENT OF ENVIRONMENTAL PROTECTION DATE May 13, 1999 ATTENTION: STEVE CORR P.E. REVISED 1 WINTER STREET BOSTON MA 02108 ;0/3 DEAR MR. CORR PLEASE FIND ENCLOSED COPIES OF LAB TEST RESULTS FOR THE RUCK SYSTEM AT THE REFERENCE LOCATION. BELOW YOU WILL FIND AN ANALYSIS OF THE RESULTS AND A STATEMENT IF THE SYSTEM CONFORMS TO THE DISCHARGE LIMIT OF THE APPROVED CERTIFICATE. RESULTS OF RUCK SAMPLING TYPE GENERAL CERTIFICATE LOCATED IN NITROGEN SENSITIVE AREj YES CLIENT McShane Construction DATE 04/28/99 LOCATION IL•ot�t9'F_alling L-eaf-Lan_e� TOWN Barnstable, Ma INPUT OUTPUT APPROX. REMOVAL BLACKWATER GREYWATER D-BOX RESULTS pH 7.1 7.6 6.9 BOD 330 mg/I 47 mg/I 50 mg/I 73% TSS 22 mg/I 12 mg/I 84 mg/I NM FECAL COLIFORM /100 ml /100 ml / 100 ml NR 1MMONIA 95 mg/I 5.5 mg/I 5.9 mg/I rKN 120 mg/I 9.9 mg/I 10 mg/I NO3 BRL mg/I 0.05 mg/I 0.51 mg/I TN 120 mg/I 9.95 mg/I 10.51 mg/I 84% DOES SYSTEM CONFORM TO DISCHARGE REQUIREMENTS FOR TN YES LEGEND NT SAMPLE GATHERED TOO SMALL SAMPLE NOT GATHERED NM NOT MEANINGFUL BRL BELOW REPORTING RESULTS NR NOT REQUIRED REMOVAL RATE IS AN APPROXIMATE VALUE SINCE THE WASTEWATER FLOWS ARE SPLIT BLACKWATER IS ASSUMED TO BE 50% OF THE FLOW. TEST RESULTS ARE ATTACHED SIGNED MICHAEL B. MCGRATH, P.E. innovative ruck systems, inc. CC: CLIENT 130ARD OF HEALTH .)EP LAKEVILLE ATTN JEFF GOULD R. LAAK, BARNSTABLE COUNTY HEALTH DEPT innovative ruCK systems, . 200 main street falmouth, ma 02540 1-800-874-7373 O: DEPARTMENT OF ENVIRONMENTAL PROTECTION DATE September 6, 1999 ATTENTION: STEVE CORR P.E. REVISED 1 WINTER STREET BOSTON MA 02108 DEAR MR. CORR PLEASE FIND ENCLOSED COPIES OF LAB TEST RESULTS FOR THE RUCK SYSTEM AT THE REFERENCE LOCATION. BELOW YOU WILL FIND AN ANALYSIS OF THE RESULTS AND A STATEMENT IF THE SYSTEM CONFORMS TO THE DISCHARGE LIMIT OF THE APPROVED CERTIFICATE. RESULTS OF RUCK SAMPLING TYPE GENERAL CERTIFICATE LOCATED IN NITROGEN SENSITIVE AREjYES CLIENT McShane Construction DATE 07/27/99 LOCATION Lot-19=Fallirag_Liaf Laney TOWN Barnstable, Ma INPUT OUTPUT APPROX. REMOVAL BLACKWATER GREYWATER D-BOX RESULTS pH 6.0 6.6 6.6 BOD 800 mg/I 42 mg/I 30 mg/I 93%• TSS 190 mg/I 22 mg/I 35 mg/I 67% FECAL COLIFORM /100 ml /100 ml / 100 ml 4MMONIA 110 mg/l 7.3 mg/I 10 mg/I FKN 150 mg/I 14 mg/I 18 mg/I NO3 BRL mg/I BRL mg/I 0.03 mg/I TN 150 mg/I 14 mg/I 18.03 mg/I 78% DOES SYSTEM CONFORM TO DISCHARGE REQUIREMENTS FOR TN YES LEGEND NT SAMPLE GATHERED TOO SMALL SAMPLE NOT GATHERED NM NOT MEANINGFUL BRL BELOW REPORTING RESULTS NR NOT REQUIRED REMOVAL RATE IS AN APPROXIMATE VALUE SINCE THE WASTEWATER FLOWS ARE SPLIT BLACKWATER IS ASSUMED TO BE 50% OF THE FLOW. TEST RESULTS ARE ATTACHED SIGNED MICHAEL B. MCGRATH, P.E. innovative ruck systems, inc. CC: CLIENT BOARD OF HEALTH )EP LAKEVILLE ATTN JEFF GOULD R. LAAK BARNSTABLE COUNTY HEALTH DEPT innovative ruc sys, inc. 200 main street falmouth, ma 02540 1-800-874-7373 0: DEPARTMENT OF ENVIRONMENTAL PROTECTION DATE November 10, 1999 ATTENTION: STEVE CORR P.E. REVISED 1 WINTER STREET BOSTON MA 02108 �2l' DEAR MR. CORR PLEASE FIND ENCLOSED COPIES OF LAB TEST RESULTS FOR THE RUCK SYSTEM AT THE REFERENCE LOCATION. BELOW YOU WILL FIND AN ANALYSIS OF THE RESULTS AND A STATEMENT IF THE SYSTEM CONFORMS TO THE DISCHARGE LIMIT OF THE APPROVED CERTIFICATE. RESULTS OF RUCK SAMPLING TYPE GENERAL CERTIFICATE LOCATED IN NITROGEN SENSITIVE AREj YES CLIENT McShane Construction DATE 10/26/99 LOCATION of -9-F_alling_L'da#=Lane TOWN Barnstable, Ma INPUT OUTPUT APPROX. REMOVAL BLACKWATER GREYWATER D-BOX RESULTS pH 6.7 7.1 7 BOD 930 mg/I 98 mg/I 61 mg/I 88% TSS 450 mg/I 24 mg/I 130 mg/I 45% FECAL COLIF 250000 / 100 ml 1700 / 100 ml 2700 / 100 ml 98% AMMONIA 94 mg/I 4.4 mg/I 4.7 mg/I rKN 140 mg/I 10 mg/I 11 mg/I NO3 BRL mg/I BRL mg/I BRL mg/I TN 140 mg/I 10 mg/l 11 mg/I 85% DOES SYSTEM CONFORM TO DISCHARGE REQUIREMENTS FOR TN YES LEGEND NT SAMPLE GATHERED TOO SMALL SAMPLE NOT GATHERED NM NOT MEANINGFUL BRL BELOW REPORTING RESULTS NR NOT REQUIRED REMOVAL RATE IS AN APPROXIMATE VALUE SINCE THE WASTEWATER FLOWS ARE SPLIT BLACKWATER IS ASSUMED TO BE 50% OF THE FLOW. TEST RESULTS ARE ATTACHED SIGNED MICHAEL B. MCGRATH, P.E. innovative ruck systems, inc. CC: CLIENT BOARD OF HEALTH 2. LAAK BARNSTABLE COUNTY HEALTH DEPT innovative ruck systems, inc. 200 main street falmouth, ma 02540 1-800-874-7373 TO: DEPARTMENT OF ENVIRONMENTAL PROTECTION DATE February.10, 2000 ATTENTION: STEVE CORR P.E. REVISED 1 WINTER STREET BOSTON MA 02108 DEAR MR. CORR PLEASE FIND ENCLOSED COPIES OF LAB TEST RESULTS FOR THE RUCK SYSTEM AT THE REFERENC LOCATION. BELOW YOU WILL FIND AN ANALYSIS OF THE RESULTS AND A STATEMENT IF THE SYSTEM CONFORMS TO THE DISCHARGE LIMIT OF THE APPROVED CERTIFICATE. RESULTS OF RUCK SAMPLING TYPE GENERAL CERTIFICATE LOCATED IN NITROGEN SENSITIVE AREYES CLIENT McShane Construction DATE 01/26/00 LOCATION Qot, 91 Falling Leaf=Lane TOWN Barnstable, Ma INPUT OUTPUT APPROX. REMOVAL BLACKWATER GREYWATER D-BOX RESULTS pH 7.2 7.1 7.2 BOD 130 mg/I 34 mg/I 39 mg/I 52% TSS 30 mg/l 14 mg/I 43 mg/I NM FECAL COLIF 1400 / 100 ml 1100 / 100 ml 900 / 100 ml 28% AMMONIA 51 mg/I 7.1 mg/l 6.3 mg/I TKN 63 mg/I 12 mg/I 17 mg/l NO3 0.06 mg/I 2.4 mg/I 1.9 mg/I TN 63.06 mg/I 14.4 mg/I 18.9 mg/I 51% DOES SYSTEM CONFORM TO DISCHARGE REQUIREMENTS FOR TN YES LEGEND NT SAMPLE GATHERED TOO SMALL SAMPLE NOT GATHERED NM NOT MEANINGFUL BRL BELOW REPORTING RESULTS NR NOT REQUIRED REMOVAL RATE IS AN APPROXIMATE VALUE SINCE THE WASTEWATER FLOWS ARE SPLIT BLACKWATER IS ASSUMED TO BE 50% OF THE FLOW. TEST RESULTS ARE ATTACHED SIGNED MICHAEL B. MCGRATH, P.E. innovative ruck systems, inc. CC: CLIENT BOARD OF HEALTH R. LAAK BARNSTABLE COUNTY HEALTH DEPT COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS d DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 01M SJev ARGEO PAUL o ELLUCCI BOB DURAND Governor Secretary JANE SWIFT LAUREN A. LISS Lieutenant Governor Commissioner June 19,2000 Mr. Michael McGrath Innovative RUCK Systems, Inc. 200 Main St., Room 201 Falmouth, MA 02540 Re: Alternative On-site Sewage Treatment Monitoring and Reporting Requirement DEP Facility ID: RUCK11 E'df-19Y F 1 g Leap f L e,Barnstable,MA Dear Mr. McGrath: The Department has received a letter from Innovative RUCK Systems,Inc., dated April 25, 2000,requesting reduction or elimination of monitoring and reporting of pH,BOD and TSS on a quarterly basis on the effluent from the alternative on-site sewage disposal system at the above referenced facility. The Department's Renewal of Certification for General Use for the technology, in section IV(6)(i), states that"After one year of monitoring and at the written request of the owner, the Department may reduce the monitoring requirements." The Department,having reviewed the monitoring data for this technology, in general, and your system, approves the request to reduce effluent monitoring of the system, from four times to one time per year. This revised annual effluent sampling requires testing for Total Nitrogen(TN) only. The change in monitoring requirements in no way changes the requirement that,throughout its use, the system shall be under an operation and maintenance agreement with a person or firm qualified'to provide services consistent with the system's specifications. As a condition of allowing you to reduce effluent monitoring,however,by January 31 of each year,you must submit to the Department an annual report for the calendar year that includes: 1) a description of the operation of the system; 2) system inspection and emergency service information;3) any other pertinent information that describes the condition of the system; and 4)results of the annual effluent monitoring for total nitrogen. The report shall be prepared by the operator contracted to inspect and maintain the system. Additionally, as required by the Approval for the system, any time the operator changes, you shall notify the Department and the local approving authority, in writing, This information is available in alternate format by calling our ADA.Coordinator at(07)574-6872. DEP on the World Wide Web: http://www.state.ma.us/dep 10 Printed on Recycled Paper i s. Re:Monitoring and.Reporting Requirement Page 2 DEP Facility No.: RUCK 11 . within seven days of such change. Please note that full effluent monitoring requirements maybe reinstated if annual reports indicate a non-functioning or inadequately functioning treatment system or if any of the remaining approval conditions-for this facility are not complied with. Please be aware this change in monitoring does not apply to any local requirements. You should discuss any changes from the local monitoring requirements, if any apply to your system, with your.local Board of Health officials. Should you have any questions regarding this matter or wish to discuss this further,please contact Steven H. Corr, P.E. of my staff, at (617) 292-5920. Sincerely, Lealdon Langley Director Watershed Permitting Program Cc: cShane Construction Co.,PO Box 429,Osterville,MA 02655 ABarnstable BOH DEP-SERO-B.Dudley 98316genuseruck-bamstable.doc 0 A) Inspect Septic Tanks for Required Pumping under the Following Criteria: 1 . Inspect the condition of the tanks . 2 . Measure the distance between bottom of scum/grease layer and bottom of the outlet baffle. 3. Measure the distance between top of scum layer and top of outlet tee. 4 . Measure the thickness of the scum/grease layer. 5. Measure the sludge layer and distance from sludge to outlet tee . 6. Inspect the condition of the inlet and outlet tees . 7 . Report any evidence of leakage into or out of the tank. 8 . Report any evidence of any backup of effluent. B) Inspect the Vents for Evidence of Clogging and/or Blockage: 9. Annually inspect vent tee and insure insect screen is in place and that no bird or insect nest is blocking the vent. C) Monitoring: (if applicable) 10. Certain systems lie in environmentally sensitive areas and monitoring of the system may be required. If monitoring is required, the fee will be increased by whatever time is required to gather the sample. The laboratory tests will be billed as an expense. We will only test the systems requiring testing. D) Tommy Box: (if, applicable) 11 . Quarterly inspect Tommy Box and fill with carbon if needed. Make adjustments based on testing results . TERMS: Statements will be rendered at the completion of the work, or monthly, and are due upon presentation. A FINANCE CHARGE of 1- 1/2% per month (18% per year) on all sums under five hundred ($500 . 00) dollars, and 1% per month (12% per year) on all sums over five hundred ($500. 00) dollars will be added to the then unpaid balance after thirty (30) days from the date of the billing., Holmes and McGrath, Inc. reserves the right to terminate work in progress in the event payment is not received in accordance with the payment provisions. COLLECTIONS: The Client agrees to pay all costs of collection, including reasonable attorney' s fees . This Agreement is null and void unless executed by the Client and returned to Innovative RUCK Systems, Inc. within thirty (30) days . COORDINATING INSTRUCTIONS: The inspector will need to uncover the septic tank covers and the cover to the distribution box. Obviously, there will be holes dug in lawns or landscaped areas . We will endeavor to protect lawns and landscaping but the covers have to be exposed. Please call our office and discuss the particulars with Mike Moreau or Tim Santos . Accepted Date Telephone: Please give us 48 hours notice at the above telephone number. I would prefer that the inspection be performed in the month of I I GROUNDWATER ANALYTICAL i ' Inorganic Chemistry / Field ID: 71 FIL Matrix: Aqueous Project: Falling Leaf Lane Received: 06-27-02 Client: Holmes&McGrath Lab ID: 52104-01 Sampled: 06-27-02.00:00 Container: 250 mL Plastic Preservation: Cool � �4na esisrl �nr eP m, � r �e# I _ NEm itrate(as Nitrogen) BRL mg/L 0.02 06-28-02 16:43 NI-1478 W SM 4500-NO3 F Nitrite(as Nitrogen) 0.07 mg/L 0.02 06-28-02 16:43 N1-1478-W SM 4500-NO3 F Lab ID: 52104-02 Sampled: 06-27-02 00:00 Container: 250 mL Plastic Preservation: H2SO4/Cool x � Ammonia(as Nitrogen) 13 mg/L 0.2 06-28-02 AM-0973-W sM 4500-NH3 BH Nitrogen,Total Kjeldahl (TKN) 18 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. r Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 innovative ruck systems, inc. 200 main street falmouth, ma 02540 1-800-874-7373 TO: DEPARTMENT OF ENVIRONMENTAL PROTECTION DATE May 13, 1999 ATTENTION: STEVE CORR P.E. REVISED 1 WINTER STREET BOSTON MA 02108 DEAR MR. CORR PLEASE FIND ENCLOSED COPIES OF LAB TEST RESULTS FOR THE RUCK SYSTEM AT THE REFERENC LOCATION. BELOW YOU WILL FIND AN ANALYSIS OF THE RESULTS AND A STATEMENT IF THE SYSTEM CONFORMS TO THE DISCHARGE LIMIT OF THE APPROVED CERTIFICATE. RESULTS OF RUCK SAMPLING TYPE GENERAL CERTIFICATE LOCATED IN NITROGEN SENSITIVE AREYES a* CLIENT McShane Construction DATE 04/28/99 LOCATION Lot 19_Falli_ng Leaf1ane TOWN Barnstable, Ma INPUT OUTPUT APPROX. REMOVAL BLACKWATER GREYWATER D-BOX RESULTS pH 7.1 7.6 6.9 BOD 330 mg/I 47 mg/I 50 mg/I 73% TSS 22 mg/I 12 mg/I 84 mg/I NM FECAL COLIFORM / 100 ml / 100 ml / 100 ml NR AMMONIA 95 mg/I 5.5 mg/I 5.9 mg/I TKN 120 mg/I 9.9 mg/I 10 mg/I NO3 BRL mg/I 0.05 mg/I 0.51 mg/I TN 120 mg/I 9.95 mg/I 10.51 mg/I 84% DOES SYSTEM CONFORM TO DISCHARGE REQUIREMENTS FOR TN YES LEGEND NT SAMPLE GATHERED TOO SMALL SAMPLE NOT GATHERED NM NOT MEANINGFUL BRL BELOW REPORTING RESULTS NR NOT REQUIRED REMOVAL RATE IS AN APPROXIMATE VALUE SINCE THE WASTEWATER FLOWS ARE SPLIT BLACKWATER IS ASSUMED TO BE 50% OF THE FLOW. TEST RESULTS ARE ATTACHED SIGNED MICHAEL B. MCGRATH, P.E. innovative ruck systems, inc. CC: CLIENT BOARD OF HEALTH DEP LAKEVILLE ATTN JEFF GOULD R. LAAK BARNSTABLE COUNTY HEALTH DEPT CF IME tp� Town of Barnstable BMWWABM • 9�A MA 0 9. ,� Board of Health . rED NIA' A 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., Decision of the Board of Health Regarding Lots 1 Through :14 and Lots 1.6 Through 25 Failing 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. . a 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, 6, 8, 10, 12, 14, 16, 18, 20, 22, and 24 (all the even numbered lots) were owned by Osterville Highlands Trust. The 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. During the first hearing which was held on December 17, 1996, the-applicant requested a continuance. Then the Board members voted to continue this matter to the February 4, 1997 public meeting. On February 4, 1997, the applicant again requested a continuance; then the Board members voted to continue this matter to the March 4, 1997 public meeting. Continuation hearings were also held on the following dates during 1997: June 17th, July 1st, and August 1,9th. 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 )aring. 2 FINDINGS OF THE BOARD OF HEALTH After discussion and based upon the evidence submitted; the Board of.Health made the following findings: I. All 25 lots in the subdivision fall within a 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). 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 acid 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(1), that no, serving new construction in a nitrogen sensitive area designated in 310 CMR 15.215 shall. be designed to receive or shall receive more than 440 gallons of design flow per day per acre except as set forth at 310 CMR 15.216 (aggregate flows) or 15.217 (enhanced nitrogen removal). 7. All lots in the subdivision are less than an acre in size. Further,,all lots, except lots 23 and 21, are less than one-half acre (20,000 sf). Under the nitrogen loading requirements of 310 CMR 15.214, the half-acre lots would be entitled to a 220 design flow, the lots less than one-half acre would be entitled to a 110 gpd design flow. 8. Under the Title 5 transition rules, 310 CMR 15.005, the owner.of a lot on which construction of a septic system in full compliance with 310:CMR 15.000 is not feasible.is entitled to construct a system with a cumulative design flow of up to 330 gpd provided that the system is constructed in compliance with 310 CMR 15.0100 to the maximum extent feasible as determined by the local approving authority pursuant to 310 CMR' 15.404 and 15.405. E 9. 310 CMR 15.404 (maximum feasible compliance) states that a non-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). 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 gpdxdesign 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 nofto be considered buildable. F ' 13. At the hearings held on August 19,-1997,.,and September 3, 1 997, 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 3bedrooms., 'The remaining fourlots•would be limited'to,not more than 3 bedrooms and said system(s) mustbe'modifed to include enhanced nutrient removal as approved by the Board of Health. 1V 14. tBased 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:lotIs 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 'i fr -will,entitle the ownergto a design flow of 330'gpd. 4 r"Yt 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: 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. r 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 w 1 6 F 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 K Susan Rask, Chair Barnstable Board of Health THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) Im A DATA No. T✓ , j Fee z�- THE C MONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISI -TOWN OF BARNSTABLE, MASSACHUSETTS 01pplitatton for Migpo.5al *pgtem Construction Permit Application for a Permit to Construct Repair( )Upgrade( )Abandon( ) [Complete System ❑Individual Components Ca—ion/A1d/dre-ss or Lot No. � � � is N/mvAdd �e7`fdy Tel.No.�O�'— � lr�-� /`V1,L 1 AC Assessor'sMap/Pazce 1 - � - c Installer's Name, � �d Tel.N y nechddWrp Wt)eT�el.No. tJ�r�q �'� % 102 At v /lam Type of Building: Dwelling L-1Qo.of Bedrooms Lot Size «,9_13 sq. ft. Garbage Grinder( j Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 6 gallons. Plan Date U` Numb r of sheets Revision Date Title c3 f — 7 Size of Septic Tank Type of S.A.S. 2 Y-W )(� LL D Description of Soil G`2 r - ��C�fC_ "_� "�� IL,) 4 c� Nature of Repairs or Alterations(Answer when applicable) DESIGNING ENGINEER MUST SLIP Date last inspected: INSTALLATION AND CERTIFY IN Agreement: Tf- SYSTEM WAS INST U FD IN The undersigned agrees to ensure the construction and maintenance oAWa6FZ TRANtm-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code�tloplsystem in operation until a Certifi- cate of Compliance has been issued by this B d o lthSigned Date Application Approved by Date ''f — Application Disapproved for the following reasons Permit No. Date Issued ` r Fee No. rF THE C MONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISI. - TOWN OF BARNSTABLES MASSACHUSETTS pp'lication for Migpogal *pgtem- Construction ern�it Application for a Permit to Construct)Repair( )Upgrade( )Abandon( ) Xcomplete System ❑Individual Components r Location Address or Lot No. Owner's NamceAddre s and Tel.No. 45 �A� Assessor's Map/Parcel � A [J�-E Install41s Name,Address,apd Tel.No. Design s Name, ddr s an Tel.No. 1104 T�,pe of Building: Dwelling o.of Bedrooms Lot Size �y�V3 sq.ft. Garbage Grinder S t Other. Type of Building No.of Persons Showers( ) Cafeteria( ) �.Otlier Fixtures n+Flow J�`S gallons per day. Calculated daily flow ✓ 3 6 gallons. Pesili Plan Date.. /6_ " U Numb of sheets Revision Date� - I_�- -� Title,-C-P G U I t r' l 'Size of Septic Tank ,� � G:�' 1� ) Type of S.A.S� c;L Description of Soil ..='`• D i 1 Nature of Repairs or Alterations(Answer when applicable) j Date last inspected: = Agreement: ; The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal'ystem in accordance with the provisions of Title 5 of the Environmental Code and not to pla he system in operation until a Certifi- cate of Compliance has been issued by this Bo d o lth. . , Signed Date ' Application Approved by --Date Application Disapproved for-the following reasons. '!4« Permit No. Date Issued ————'————— ————— ————— S ^ 1 .1 THE COIIQVU °ALT>iQ�F4MASSACHUSETTS C y BARNSTABLE, MASSACHUSETTS Sib �^°3 _ t--w�►`S' Certificate of Compliance IS TO CE��jTTIFY,that the Qn-site Sewage Disposal System Constructed( )Repaired-( )Upg aded( ) Abandoned( )b (,��! at - has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date 10-3- _ Inspector Fee r/G4'' THE COMMONWEALTH OF MASSACHUSETTS i PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS 3 �A� 1 Migpogar 6pgtem Cougtruction Perron Permission is hereby anted to Construct( )Repair( )U grade( )Abandon( )' System located at 6 .G 6 L and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date: Approved by 0 r t,11.16L1= FAMIL:: '2- Oa b'-P 1.� O GA¢1=3A`C �1�1D E1� t r VW L-`( FLotci = '.S x I I o = ��V ` I� — �5► ` r sync TANL -33 v x Too use I Soo GAL L�AGI}l i.IG 5`�`' TES n C, TY-•J 4T t.I -A-mot.1 AZEA �D• - IS PMZa P�Sm �5 3 80 CM 10.E d. /sF - 44� t�`' - 1 Appue-&-noN AM vESlbtil L ' v toTToAA A¢F-•A "TOTAL. AjeEA s p�ot.�TwIJ �� L S tit'v�INc�1 44 \ 15,�13 SF t wi C. Ai �H• 1 - — — 0 N Y E "• ,p No. 19334 Q FQtBTEP ��'� SllR�� MAX �R Fr.� 1��r02L Iter t4aLE- 4 Pp Wl to 172Q=�i Li �-3•0' ►uv _4 co S i .�.. u,c d t� e $3•L Smirk n r r� T U `Q moral L of (_EAGAryL T�.� pA' Lj S ~i' YB-�= sr �1lEl.OP�D p>?OFI ¢` y�UCG S��40 14, - 410 -51 4"RXF PIPS C � 1 l l�� OT r LHN _\110 \AjAa =Ko -.sscrroN or- 1(-:KVI L-Ua P G L Z 61-I�?.p� sca.� � "� 4� v� o • 3 o>=en FY •TAT T 4 E PAP l �sI towN a p� z2- I azsow CCMFL-* IA/ITN 'T'F�E SIDEL1t.1 Al.tn --�1j- �• r c,�-rg,4GIL ZWV,ZEMEI.1'T DF TWG T004 OF MAT- � Qr� FA�t- 0>?►.Y`i jQf j(�,►Ib t 5 I.�dLGtcAT� W f T'I I tJ /� HyE II•1G Sp6r�A Flsi7D HA71�s� ZONE' 1 L�� LA,11D 5l)sZVEYt • �dJb I f.16EY� �� C oSTEwlll MASS. Fsers M �vIL.D11 5 4POLXP No-r B>r Qf'PucaNT: GCE As c VSeD 7TD 6y�$LrsN Pr1oTy L►�1ES. r.F c Ct! STEPHEN i U L4'iLS�PI --'i No.3G� S I -C` ��C,vl�. The dwelling shall be limited to 2 bedrooms unless the septic system is modified to. X1, >��;is rF��`t. include enhanced nutrient removal as approved by the Board of Health in which case a r dwelling served by a modified system may be permitted to have not more than 3 bedrooms. of REVISED:- C. . 51►.1l�E FILM ILA{'Z .o to vyv tni-P hZ o GA¢P3ALQ � 1 ' ' X-zoo use tsoo (AL.. �� t I�AGI}lr� 5`(�TLK �S �5 l5 Ar-rueATION A E-A D• P1Zc)P�Sm 3 80 GPI °' vc APpLje,&nON AM ��516N V _ h = 51� aci A>�►= Z C2)C�v�" 240 w \ V) oTTOM AZ" = G C> d• S \ -TaTAL. AMA s or WILLIAM C. N Y E "" _ — � 1 to v p No. 19334 O i 4 suRV� Gizz 5 rw pK( �Mc 1►►t d.,q.b .. d3,o 44 E � oC�oM lZbj 43•i '� I-xw n lv I V �Q moral t_ OF LEAGI4►u4- TrzWk p� n F•b• �� ... y 3 S ~z= %,-ii ,00-5 . P20F1� 4.•` c BUG S�}ED 40 PLOT 1 A"J 1l0GATIOw : d51 LZ V I L..�-C. M P G 2 rpm 'PATE Io • 30 •q` l(. PL4.W I G � T1 `{ Tt-IAT T11 E QP�,P ��N ccwtiPl-y5 wtTµ '�'F4E SIDEI_ll�ll` A14D ��- � c. tZ aae� ?` ZZ- ,�-rgA�lc, 2F�Qu►�F..�nENT DF T�1� TorvN OF MAF Qr4 FAZC=t A2.Ur'�S4f 1��4►�t7 15 1.3�LG�A't bu l tJ A BAxTEz_ 4 NyE IWr_ Sp�c.�4� ,Ft\s�v HAZAZr� ZD►�IE• �� LP•I�D SIJtNE'�'G�S • �GIi.t6�f W�� C 05,rC-zv1L MASS. OFFS "5 MOM BVIC.D1tJl►S SNOtX� NOT B>+ APPLJCAHT: G�� HS$?Gl -i70,Bc.ISy PfZOpEQT`J L1�lES. n VSED TE ALLYN y C1 I WiLSON -i I q` NGi300 6 The dwelling shall be limited to 2 bedrooms unless the septic system is modified to_ ��«rsT��° �e include enhanced nutrient removal as approved by the Board of Health in which case a ' dwelling served by a modified system may be permitted to have not more than 3 bedrooms. 1 tM of 1 REVISED:.. 1"' ��'^ . �rS�" •t+'of, os` w1"WiC. M ram; 34 Si�L c= T 'D°Eyl� �aTA 'S1 USE FA M tt.� 3 t3IDt?c iV.O �•A�3A(�C. (•¢J�.bE�dL: I� ,1l^ s Pj-c,"�� . Leytvc S�si-uw� Skali (3c V,aa�Y .Fww t,-S LJ.w�.: A FA.S - 11n,.t •5MMC. TANI'.�33�' x�-'O/_� 'YYia„.,�C G�v�e� ' .Q� S fA HA .� �Lo V-c I C SS USA 15oo_GAL. �� 13ecQroom Uvr1♦� S k tlteQ -Ih t�� u - , . Sc��c l�r►k. Qr'I'�-IGAT1oN A zA 2W�D. 2) Me Ff{I�rchC. Shall 8e. Th., ,tpPUGa.•noN A¢6A ��516N IMFEWALL AAA = 240 5� -� AM4 . qeo. PE¢CoI.ATID�I f?d1'E G 5 M'��uJu•1 Lq bar wv ' iW 45 es. 5 DKf iMr iNr _ i . 41.8 s . � I .�l Tz�P� rN . '44 a I �� 4h q9, c5o� . e; I U Mrai L. of LEA69104- Tzurk jt7 7: ,� ate P2oFtt.� • y�UG sc �46 z /a-: sr�+s4`�ptPt ,ka�htrd+� CE�TIPIG"D ROT PLAQ A s6-icr u or '1r �4 LoaTtoN , .� L- r1 Wv k� �Q. io . d51 '�V I lr C - P G L r Z aa�: �1-1�-p(�. : scar � '.I 4�` 4/�'qs' r-`f . rOAT THE PAP l 't'S�Sµv�vN f�LA►J Q NG I} vN ccwSPt-y5 w ITµ 1-ge St�EUNE A►.zD -T v— zWvjz-NIENT OF TWG T0VJW OF l4(All. A. 0e1.ri S4hc�.�IV l 5 ►.3d1-!Xl>T�J W I Tl�I W. A 'SP�J 4t~ Flsa7D Ha7�>u� ZDN E.. BA D.-A Hys I tua LMv SUmy=4 • GW4145M oFFSeT'S MOM . DVIL.D11Jls$ 4POLX1;' NOT' BE ` A�UG4N'T': .�J3'I o�56i�•�c C'o�S�i-vcfiar/ v5M Tb G6TA15Ust4 P120?=Ty LIMES; �.. STEP HEN ALLY N The dwelling shall be limited to 2 bedrooms unless the septic system is modified to WILSON No.M216 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 ��'�. 114 O s bedrooms. 4 `I REVISED:. .L a Qsi � � Vcnt w/FAE,T Unit 141 i t v n /iGG•IC C Lx 6 1� 46 19 - STEPHEN {{ ALLYN /0 0.0 r WILSON Zo` 4�7/r -5tW4j-r- FAMIU'f 3 t3®acrwt )-.10 GAtzb3A1,G G�ttJDC$. I, ►1n�s �rol�o�e60 �c��toe ��$rwti ShaII (3�' DAIL.Y ..Ft.ow 3 K Ito = 's�V. GoA IrVC►z40 Lj 1` , A' FA.SaT U•,it -,r5Z C- 'TA14 t`33� �c?o� = GGD 1n't ��f-c-C,fla, 1 D,,� 5 n,i 14A Lo u-t I C.SS I;:GL1G 1 Ss '(5 1.1 h,}) 1 ns4-& AT'PUGA-SOW AMA ZW'V- ) MfiK Mr-1"3 Of ��IVt►1y .711411 ®'tom { h ,tppuLATDto N o, d DFSFI6 1�1 C (336 7PicVercmcvr�-s AM . SbTrOAA 'TOTAL AMA P=OLATLOW ME Vent •r`Av �Q� - 1'�� A-Io r I,h��' B•f - , 1W. 4s T�5 - p�� r �4416 I ;K 44,E 99� �9� e TA►� V ` MrAII.. OF I:EdG111►JG TS2t>rtI p� 7iaz�l i .•/4•I��a sTe•+c � �. d/A'l•.1=p'•� T POT {� /�l ' IJ. CEO 1 1RGL T'LVT r Lf-�N 1No 1►.>A tQ clzo�,s- or- a LoeA.T Ia4 05T K V I LL v� 4/��s' I 4a zT1 F`f. THAT 'tN E Fed 'Iu�SI�uN P11�IJ' Cz NC.� wll-IA -� -,IDE.UW AL>n. �...�yf— c.. t�- a£�� FC. ZZ- �}�oN �SPt-`1S -� c,�-IBAGIG zWv 12EMENT OF 'T}16 To K/N of J4(AP- �'(�-� Pal•- 3" �� . OQLn �4�D 15 1.3dLOdATED WIT-4I N, A SpG.a Al.. FLCCV HA LAITY ZONE. .:NyE t I�iG LAI.1D 511¢vEYt�S • Cdhl N�f Y ; I�qB G + -- oSTeevlt:l� MASS. OFFSeTs MOM . $.V I1X1 W05 �;90 XP NOT atr APPLJ T: t�cjhaac Co�7Slrucfiar! u5eD To S6TA15usta Prsopt�¢Ty STEP HEN ALLYN The dwelling shall be limited'to 2 bedrooms unless the septic system is modified to WIL'SOM 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 �17 9,r bedrooms. • , V s 4 9 Fl Rr�tAran RE I E�: � bAX M 4ft asap 5/•1��T Z a f Z a 3 Aek � r w/FptE.•r Unit *Ns o r i t 146 _ n � m � �cc C ao 19 ' STEPHEN s. bAz xfi — 1 ALLYN /a O.O WtLSCW Innovative RUCK Systems, Inc. A Passive Denitrifying Septic Syst®m 200 Mein Street,Room 201 Falmouth,MA 02540 t (800)659-RUCK(782S)In MR 9 (508)648.3564 FAX(809) 548•9672 October 19, 1998 Barnstable Board of Realth Main Street Hyannis, NIA 02601 Gentlemen RE Lot 19 Falling Leaf Lane, Osterville ------------------------------------ Our office witnessed the construction of the RUCK system at the referenced lot. The construction of 'the RUCK filter and appurtenances was satisfactorily constructed in accordance with the plan. If you knave any questions, please call or write. Sincerely, INNOVATIVE UCK TEMS,/ Michael B. Mc ath, .e , President cc:John McShane ; 4a printed an recycled paper TO 35hd DNI HiVd93W W S3W-10H ZL96-8t?5-809 CZ:LI 866T/61/0I A Ruck System Maintenance Agreement Innovative RUCK Systems, Inc. is a licensed septic system inspector in the Commonwealth of Massachusetts and agree to perform the following services to the septic system located at the address below. RUCK systems are served by two septic tanks, a greywater septic tank and a blackwater septic tank. System shall be inspected at least every two years A). Inspect Septic Tanks for Required Pumping under the Following Criteria. 1. Inspect the condition of the tanks. 2. Measure the distance between bottom of scum/grease layer and bottom of the outlet baffle. 3. Measure the distance between top of scum layer and top of outlet tee. 4. Measure the thickness of the scum/grease layer. 5. Measure the sludge layer and distance from sludge to outlet tee. 6. Inspect the condition of the inlet and outlet tees. 7. Report any evidence of leakage into or out of the tank. 8. Report any evidence of any backup of effluent. * Pumping required if: 1.) Sludge is within 12" of outlet tee or baffle. 2.) Bottom of the scum layer is within 2" of the bottom of the outlet tee. 3.) Top of the scum layer is within 2" of top of the outlet tee. B.) Inspect the Vents for Evidence of Clogging and/or Blockage. Annually inspect vent tee and insure insect screen is in place and that no bird or insect nest is blocking the vent. Owner and Address of System to be Inspected: Vincient& Jane LeGenere Lot 19 Falling Leaf Lane Barnstable, MA 02601 Telephone 00 Signature of Owner: ate _Y? Name and Address f Inspector: Innovative RUCK Systems, Inc. 200 Main Street Room 201 Falmouth, MA 02540 Telephone 508 -548-3564 Signature of Inspector: Date 3l License No. Issue Date Annual fee for the services described above: $50.00 4" PVC ROOF VENT 2" LAYER OF 1/8- NOTE: DESIGN FLOW — 330 GALLON S/DAY TO 1/2" STONE 4" PERFORATED PVC PIPE FALLING LEAF LANE I ._ 1 ao.00' , SURFACE VENT LOCATION O WASHED 1 1/2" TO BE DETERMINED /N THE FIELD = • = 3/4 2 O' _ 11' FINISH GRADE 47.00 TEE VENT WASHED STONE RESERI,F AREA 10' MIN. 4" VENT - - -_TP- - -- - - v PROPOSED HOUSE TO HOUSE 01STR/BUT/ON BOX -- - - - g ;n Ilk TOP OF FOUNDATION = 48.5 FINISH GRADE OVER THE COVER TO GRADE COVER TO GRADE �--4.0' TEE VENT RUCK FILTER LEACHING TRENCH CROSS SECTION SAS = 46.50 11 W/DE X � LEACHING TRENCH.• r, 6, 14'LONG �3 60 LONG, 4 WDE SLOPE ---- 1000 GALLON AND 2'DEEP (SEE DETAIL) s= 0.02 (BY BAXTER & NYE, INC.) 1000 GALLON BLACKWATER 3 = o•o� SLOPE 6' MAXIMUM COVER GRErwATER h = 1 SEP77C TANK N REFERENCE: 1000 GALLON RUCK SAND \ \\ �\��\r\ NOT TO SCALE �p PLAN o BLACKWATER WITHOUT VENTING SEPTIC TANK ��. OS CERTIFIED PLOT PLAN BY u, o v, FILTER 2' BAXTER & NYE, INC. �; � o SEPTIC TANK � � Dist. box d- 0 0 � � s= s= 0.01 level = 0.01 SOIL ABSORBTION SYSTEM DESIGNED BY BAXTER & NYE, INC. SCALE: 1 = 40 II ¢ ";` d- PLAN DATE: 6/9/98 a II H-10 n u 1000 GALLON TEST HOLE INFORMATION BY LOT 19 FALLING LEAF LANE w W 1— �- 1— 0 GRAYWATER d C,, �,, BAXTER & NYE, /NC. OSTERVILLE, MA. z > > to SEPTIC TANK N N ';' PERGOLA T/ON RATE < 5 M/N//NCH APPLICANT: McSHANE CONSTRUCTION Co. - z z z_ z_ BOTTOM ELEV. = 38.10 NO GROUNDWATER ENCOUNTERED w a' II II II II II II II -- PROFILE `H-20 EXISTING 1 'f SOIL LOG / a 6" CRUSHED COMPACTED STONE i- r I- I- H 1- FOUNDATION 3 Q DEPTH SOILS ELEV. 3 Not to Scale > cn LO J UJ Z Z Z Z Z Z Z ¢, � m BOTTOM OF TEST HOLE = 37.0 0 48.0 00 6" CRUSHED COMPACTED STONE DETERMINED BY OTHERS THE CONTRACTOR SHALL EXCAVATE 4' BELOW THE LOAMY FINISH GRADE = 47.00 BOTTOM OF THE LEACHING FACILITY TO ENSURE SAND THAT THE SOIL IS MEDIUM SAND WITH A PERCOLATION 2.0' 46.0 PROPOSED HOUSE COVER TO GRADE 9'-0" RATE OF 5 MIN./INCH OR LESS. TOP OF FOUNDATION 8_6" ALL ACCESS MANHOLE COVERS 0 "� '' �' :. ;: • ; • :� MEDIUM 2-20"'Diameter Access Holes x SEPTIC TANK, DISTRIBUTION BOX, ` 2-20"•Diameter Access Holes ' SAND s= 0.32 AND LEACHING STRUCTURE SET MORE THAN 6" BELOW FINISHED GRADE, 1000 GALLON INLET 1 OUTLET SHALL BE RAISED TO WITHIN 6 OF \ GREYWATER �/ \ FINISHED GRADE. INLET 1 OUTLET 11 37.0 0) SEPTIC TANK u7 - II II H—20 II , 7..� ., 2—, ' ...' " FRAME & COVER •: FRAME & COVER STEEL REINFORCED PRECAST CONCRETE OVER "T'S" WHERE REQUIRED. STEEL REINFORCED PRECAST CONCRETE OVER "T'S" WHERE REQUIRED. z z z PLAN VIEW LOT 19 - - - PLAN VIEW UJ „ PRECAST CONCRETE PRECAST CONCRETE I— 6 CRUSHED COMPACTED STONE REMOVABLE COVERS 6" TANK RISER WHERE TANK 3 6' �— REQUIRED SO REMOVABLE COVERS 3- REQUIRED ER WHERE 100.00' w 6" 4" .. � -_— 3" min. clearance required — •..: �...:. . :.. .:'.. '�,•;.� .:', ;..;.:�..,` ,, .::.:. INLET " 1 3 INLET "T" f— 3" min. clearance required'— INLET 3" INLET PLAN VIEW OF RUCK SYSTEM LAYOUT min. inlet to outlet 6" min. OUTLET INLET ��2" min. inlet to outlet 6" min. OUTLET �' » _ GREAYWATER PROFILE ,o" min. 14" min. 1 — 2 0 R 10" min. o a ' c a t 14 min. r Not to Scale .E �' TUF—TITE =E ^ E E '0 0 o GAS BAFFLE o iO TUF—TITE 3 i v o © v GAS BAFFLE I •� 14' ,.. . .•. "PERMALON PLY 210 $_0" 8'-0"• 4'-1 m CONTAINMENT LINER - OR APPROVED EQUAL CROSS—SECTION END SECTION CROSS—SECTION END—SECTION PERF. 2" PVC PIPE (VENTS) Desi n Criteria TYPICAL 1000 GALLON SEPTIC TANK , (H-20 LOADING) TYPICAL 1000 GALLON SEPTIC TANK (H-10 LOADING) __________________________________________________ NOT TO SCALE =_---- NOT TO SCALE Number of bedrooms: 3 Equivalent to 330 gal.'s/day II ' ' Garbage disposal unit: NO g P ALL OUTLET PIPES FROM THE INSTALL TUFTITE SPED LEVELERS PERF. 4" PVC PIPE (DISTRIBUTION) Leaching area - capacity required: 330 gal.'s/day ON ALL OUTLET PIPES I l DISTRIBUTION BOX SHALL BE 4" PVC PIPE ; ; Side area proposed: 240 sq. ft. 16.5" �- 17 � � Bottom area proposed: 240 sq. ft. SET LEVEL FOR AT LEAST 2 FT. CONCRETE COVER I PERF. 4 PVC PIPE (COLLECTION)` �-___________________________________________ _______' ' ___- _ _ Total area proposed: 480 sq. ft. 5 - 5" OUTLET ------------------------------------------- -------� ---- - - Proposed leaching capacity: 355 gal.'s/day / .�. KNOCKOUTS Water supply: Town = PITCH _ Precast concrete units: H-10 & H-20 loading design i ; 15.5" INLET 19 5" NOTICE A I I i i A / OUTLET i i i a " Unless and until such time as the original (red) stamp of the PERF. 4 PVC PIPE (DISTRIBUTION)-,,,, �� r g 11.25" responsible Professional Engineer appears on this plan (A) no person or persons, including any municipal or other • i i — , ' ' ' ' —"— public officials, may rely upon the information contained herein; and i 20°� (B) this plan remains the property of Innovative RUCK Systems, Inc. J L------- ---J L------ 1.75" -- L— ----------------------------------------------------------------------- PERF. 2" PVC PIPE (VENTS) PLAN SECTION CROSS— SECTION INSECT SCREEN THE SIDES OF THE FILTER MAY BE SLOPED. THE REQUIRED AREA OF THE FILTER SHALL BE THE MIDDLE LAYER OF THE INDRAINS. THE CONTAINMENT LINER SHALL BE CAPABLE OF WITHSTANDING A PH OF 3.0 6 HOLE DISTRIBUTION BOX THE RUCK� DESIGN IS SUBJECT TO A PATENT m HEIGHT TO BE 3' ABOVE PLAN FINISH GRADE AND REMAINS THE EXCLUSIVE PROPERTY OF INNOVATIVE RUCK SYSTEMS, INC. 4" DIA. PVC PIPE NOT TO SCALE COPYING OR INFRINGEMENT OF 4" DIA. VENT PIPE TO BE VENTED BACK (VENT) THIS DESIGN IS PROHIBITED. TO THE FACILITY AND UP THROUGH ROOF TO SAME ELEVATION AS PLUMBING VENT FILTER CLOTH- TYPAR 3401 18" OVERLAP BETWEEN LINER AS MANUFACTURED BY LINQ GEOTEXTILE 18" OVERLAP BETWEEN LINER AND FILTER CLOTH DIVISION OR APPROVED EQUAL AND FILTER CLOTH 4" VENT TO FACILITY - 0 0 0 0 o p P 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 P P o 6' STONE— o 0 0 0 0 0 0 0 0 0 4" PVC VENT PIPE DATE DESCRIPTION Drawn hecked - GENERAL NOTES I I 7" INDRAINS i I 7" INDRAINS i I SCREEN —� R E V I S 1 0 N S „ f- `. :5 ND. I., .i. . 5 SAD 1 No change to this system shall be made unless Mrm PERMALON PLY 210 .,,. .• ,. . . .. .:. . . ... •. .,.. ..... ... w - 2" STONE— g PLOT PLAN > �. approved in writing b nnovaiive RUCKS stems, Inc. CONTAINMENT LINER „ 4 4 MIN• PP • g Y y ® SYSTEM i 1 7 INDRAINS 1 1 z 7 INDRAINS I I OF PROPOSED RUCK OR APPROVED EQUAL »;. -: : FINISHED GRADE 2 Subject to inspection duringconstruction b the : ., .r:: cn SANU S. SAND.. .., . t t.:.:- PREPARED FOR - :•...........: 0 2" STONE- 4 d Innovative RUCK Systems, Inc. Board of Health an INDRAINS I I 7" INDRAINS i i 3) Heavy construction equipment shall not travel McSHANE CONSTRUCTION Co. ;... . .. ... .... SAND 1 .:.. - : . ..:. t,, i... ::. .:.... :.....::•....:... .,. , : . over disposal system during or after construction. FOR LOT 19, FALLING LEAF LANE 6' STONE •- Disposal system be constructed in accordance IN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o 4 Di sal tem to y.. PITCH e nvironmental Code i Title 5 of the State E I t with Ite R T R I L OS E V L E ARN TAMA B S B LE T API CH ' I ns must be kept on the site 5 A co of these a PY P p 4" PVC PIPE 4" PVC VENT PIPE during the time of construction. SCALE: AS SHOWN DATE: JULY 31 , 1998 ' 4" LAYER OF COMPACTED (DRAIN) 6) A copy of these plans must be furnished to the 4 LAYER OF COMPACTED contractor constructingthe disposal system. Rig FINE SAND NOTE: DUE TO VARYING METHODS FINE SAND SECTION B-B PROVIDE 1-1/4 PITCH FROM P y Innovative RUCKS Systems, Inc. d 4" DIA. PERFORATED PVC PIPE OF INSTALLING THE LINER, THE CONTRACTOR VENT PIPE DETAIL 7 Before backfillin the contractor shall notifyt EDGE TO CENTER. ) g� SHALL FURNISH SHOP DRAWINGS DESCRIBING NOT TO SCALE Innovative RUCK Systems Inc., or the Board of Health 200 main street SECTION ,A= THE INSTALLATION FOR REVIEW AND APPROVAL O Agent to inspect the system as constructed. falmouth, ma. 02540 RUCK R SAND FILTER DRAWN: TMS CHECKED: NOT TO SCALE 98316.D WG LIC. NO.: 0201188316 DWG. NO.: 70-1—29 SHEET 1 OF 1