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Home My WebLink About0072 FALLING LEAF LANE - Health 72 Falling Leaf Lane , Osterville . - A Ruck A = 144 003005 o o r Holmes and Mcgrath, inc LETTER OF TRANSMITTAL civil engineers and land surveyors 205 Worcester Court Unit A4 DATE 1/5/22 JoBNo. 217112 falmouth, ma. 02540 ATTENTION 508-548-3564 • 800-874-7373 • FAX 508-548-9672 email:Icoelho@holmesandmcgrath.com Imo: Ms. Myrna Singer #72 Falling Leaf Lane To: DEP Osterville, MA 02655 Attn:Title 5 Program 1 Winter Street, 6t'Floor Boston, MA 02108 WE ARE SENDING YOU ®Attached ❑ Under separate cover via the following items: COPIES DATE NO. DESCRIPTION 1 11/4/2021 DEP Approved Inspection and O&M form. REMARKS: COPY TO: Barnstable Board of Health Myrna Singer SIGNED: Luis Coelho Massachusetts Department of Environmental Protection 1 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. Myrna Singer filling out forms Owner on the computer, use only the tab #72 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville 02655 use the return City Zip key. VQ Mailing address of owner, if different: V� Street Address/PO Box: ieaen City State Zip (508) 879 -7320 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 12/2/99 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=7" Graywater Tank=6" Sludge Depth(to be checked yearly) Pumping Recommended Yes No t5iaomr.doc• 6-16-06 Page 1 of 3 L Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) E. Field Testing — not required for standard inspection of 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 6.5 6 to 9 U 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: Septic tank pumped out on December 12, 2018 Notes and Comments: II 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. Septic tank consisted of 4"of scum which was mostly in the inlet end of the tank. Checked soils around the tanks and filters and no signs of any wet soil. t5iaomr.doc• 6-15-06 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 aftendedatrai'n!'Pgcourse for this System with the Technology Company and am listed by the Company as rained ins tor. January 5,"2022 O ra ignature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use— by January 31 st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31 th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 61h Floor Boston, MA 02108 t5iaomr.doc• 6-16-06 Page 3 of 3 r 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) 'T RFw A. Installation Important:When Ms. Myrna Singer filling out forms Owner on the computer, use only the tab #72 Falling Leaf Lane gym, key to move your Facility Street Address 1" cursor-do not Osterville 02655 use the return City Zip Y Mailing address of owner, if different: rab Street Address/PO Box: renm City State Zip (508) 879-7320 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 12/2/99 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 10/21/19 Inspection Date Previous Inspection Date Blackwater Tank=5" 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 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 6.7 6 to 9 U DO 2 or greater Turbidity NTU qo 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 pumped out on December 12, 2018 Notes and Comments: II 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. Septic tank consisted of 5" of scum which was mostly in the inlet end of the tank. Checked soils around the tanks and filters and no signs of any wet soil. t5iaomr.doc• 6-16-06 Page 2 of 3 r BM Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted any required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I have attended a train!' course for this System with the Technology Company and am listed by the Company as rained inspe r. January 7, 2021 Op rat i n 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 31st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 311h of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston, MA 02108 t5iaomr.doc• 6-16-06 Page 3 of 3 Holmes and Mcgrath, inc LETTER OF TRANSMITTAL civil engineers and land surveyors 205 Worcester Court Unit A4 DATE 11/5/19 JOBNo. 217112 Itj falmouth, ma. 02540 ATTENTION 508-548-3564 • 800-874-7373 9 FAX 508-548-9672 email: lcoelho@holmesandmcgrath.com RE. Ms. Myrna Singer t #72 Falling Leaf Lane v r, To: DEP Osterville, MA 02655 _ Attn: Title 5 Program { 1 Winter Street, 6t'Floor Boston, MA 02108 / WE ARE SENDING YOU ®Attached ❑ Under separate cover via the following items: COPIES DATE NO. DESCRIPTION 1 10/21/2019 DEP Approved Inspection and O&M form. REMARKS: COPY TO: Barnstable Board of Health Myrna Singer SIGNED: Luis Coelho Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 r DEP Approved Inspection and O&M Form for Title 51/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) A. Installation Important:When Ms. Myrna Singer filling out forms Owner on the computer, use only the tab #72 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville 02655 use the return City Zip Y Mailing address of owner, if different: rah ' Street Address/PO Box: ieRm City State Zip (508) 879 -7320 ext. Telephone Number B. Authorized Service Provider Holmes and Mcgrath, Inc. 08M 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 12/2/99 Installation Date Start of Operation Approval Type: E General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence— used less than 6 mo./year: ❑ Yes ® No D. Operating Information 10/21/19 11/29/18 Inspection Date Previous Inspection Date Blackwater Tank=6" Graywater Tank=7" Pumping Recommended ❑ Yes ® No Sludge Depth(to be checked yearly) t5iaomr.doc- 6-16-06 Page 1 of 3 I Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) E. Field Testing — not required for standard inspection'of Eljen, Enviro-Septic or RUCK IL Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 6.4o 9 U DO 2 or gre te mg/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: 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 pumped out on December 12, 2018 Notes and Comments: II 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. Septic tank consisted of 3" of scum which was mostly in the inlet end of the tank. Checked soils around the tanks and filters and no signs of any wet soil. t5iaomr.doc• 6-16-06 Page 2 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and ®&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 tr � ing course for this System with the Technology Company and am listed by the compaDj,atla trained i pector. November 5, 2019 rator Signatur Date System owner must submit this report,.technology 0&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use— by January 31 st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31 th of each year for the previous 12 months General Use—by September 301h of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston, MA 02108 I t5iaomr.doc• 6-16-06 Page 3 of 3 :f Holmes and Mcgrath, inc LETTER OF TRANSMITTAL civil engineers and land surveyors 205 Worcester Court Unit A4 DATE 12/17/18 JOBNo. 217112 falmouth, ma. 02540 ATTENTION 508-548-3564 • 800-874-7373 • FAX 508-548-9672 email:Icoelho@holmesandmcgrath.com RE: MS. Myrna Singer #72 Falling Leaf Lane To: DEP Osterville, MA 02655 Attn:Title 5 Program 1 Winter Street,61h 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 0&M form. REMARKS: COPY TO: Barnstable Board of Health Myrna Singer SIGNED: Luis Coelho r�. 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. Myrna Singer filling out forms Owner on the computer, use only the tab #72 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville 02655 use the return City Zip key. Mailing address of owner, if different: �I Street Address/PO Box: rends City State Zip (508) 879 -7320 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 12/2/99 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=9" Graywater Tank=5" Pumping Recommended ® Yes ❑ No Sludge Depth(to be checked yearly) t5iaomr.doc• 6-16-06 Page 1 of 3 r s Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) 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 NTU 6 to 9 SU DO 2 or greater Turbidity 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information — not required for standard inspection of Eljen or Eviro-Septic Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑ TN ❑ Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed sinc ection & during this inspection: Septic tank pumped out ecember 12, 2018 after my in ection. 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. Septic tank consisted of 5" of scum which was mostly in the inlet end of the tank. Checked soils around the tanks and filters and no sigris of any wet soil. 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 training course for this System with the Technology Company and am listed by the Company a trained inspector. December 17, 2018 Cep 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 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, 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 mm 205 Worcester Court Unit A4 DATE 12/4/17 JOBNO. 217112 falmouth, ma. 02540 - ATTENTION 508-548-3564 • 800-874-7373 • FAX 508-548-9672 r.9' email:Icoelho@holmesandmcgrath.com RE: Ms. Myrna Singer f #72 Falling Leaf Lane x` To: DEP Osterville, MA 02655 Attn:Title 5 Program ya:7 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 0&M form. REMARKS: COPY TO: Barnstable Board of Health Myrna Singer SIGNED: Luis Coelho ;r 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. Myrna Singer filling out forms Owner on the computer, use only the tab #72 Falling Leaf Lane key to move your Facility Street Address cursor-do not OSteryllle use the return 02655 key. City Zip QMailing address of owner, if different: Street Address/PO Box: �etwn City State Zip (508) 879-7320 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 12/2/99 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=6" Graywater Tank=5" 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 S Treatment and Disposal Systems (Ellen, Enviro-Se tic 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 El turbid Effluent Solids: ® no ❑ some 0-6 H 6.1 SU 1.12 m /L NTU p DO 6 to 9 e 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: Septic tank pumped out on October 13 2015 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. Septic tank consisted of 4'%9f scum which was mostly in the inlet end of the tank. Checked soils around the tanks and filters an- no signs of any wet soil. I t5iaomr.doc• 6-16-06 Page 2 of 3 r 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 y have inspected the sewage treatment and disposal system at the address above, have conducted any required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I have attended a train'n nurse for this System with the Technology Company and am listed by the Company a - rained inspector. December 4, 2017 rator 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 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, 61h Floor Boston, MA 02108 t5iaomr.doc• 6-16-06 Page 3 of 3 Innovatire Ruck Systems, inc. LETTER OF TRANSMITTAL civil engineers and land surveyors 205 Worcester Court Unit A4 DATE 11/21/16 JOBNO. 214057 falmouth, ma. 02540 ATTENTION 508-548-3564 • 800-874-7373 • FAX 508-548-9672 email:Icoelho@holmesandmcgrath.com RE: Ms. Myrna Singer #72 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 Myrna Singer SIGNED: Luis Coelho LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M_Form for Title 5 I/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) A. Installation Important:When Ms. Myrna Singer filling out forms Owner on the computer, use only the tab #72 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: �I Street Address/PO Box: � serum I City State Zip I (508)879-7320 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 12/2/99 Installation Date Start of Operation; Approval Type: General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence-:used less than.6 mo./year: ❑ Yes ® No D. Operating Information 10/26/16 12/10/15 Inspection Date Previous Inspection Date Blackwater Tank=5" Graywater Tank=6" Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5iaomr.doc• 6-16-06 Page 1 of 3 LlMassachusetts Department of Environmental.Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A. Treatment and Disposal Systems (Ellen, Enviro-Septic, RUCK) E. Field Testing — not required.for standard inspection of Eljen, Enviro-Septic or RUCK Field Inspection: Color: ❑ gray ❑ brown ® :clear ❑ turbid ❑ Other(specify): Odor: [E musty ❑ earthy ❑ :moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some PH 6 to 9 SU DO /L Turbidit NTU. 2 or greater gy qo 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 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Septic tank pumped out on October.13, 2015 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. Septic tank consisted of 4"of scum. Checked soils around the.tanks and filters.and.no signs of any wet soil. 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 LI Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) H. Certification certify: I have inspected the sewage treatment and disposal system at the address above, have conducted any required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I have attended a trai ing course r this System with the Technology Company and am listed:by the Company a trained insf ctor. November21, 2016 0 ,P03for 51gnat6re 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 I t5iaomr.doc• 6-16-06 Page 3 of 3 C onsi 54rm-!`Uy V/, L � Semis v�.v.�. v Innovative Ruck Systems, inc. LETTER OF TRANSMITTAL civil engineers and land surveyors 205 Worcester Court Unit A4 DATE 1/5/16 JOBNO. 214057 falmouth, ma. 02540 ATTENTION 508-548-3564 • 800-874-7373 9 FAX 508-548-9672 email:Icoelho@holmesandmcgrath.com RE. Ms. Myrna Singer #72 Falling Leaf Lane ••u To: DEP Osterville, MA 02655 ; Attn:Title 5 Program F^� 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 Myrna Singer SIGNED: Luis Coelho LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Ellen, Enviro-Septic, RUCK) A. Installation Important:When Ms. Myrna Singer filling out forms Owner on the computer, use only the tab #72 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville 02655 use the return City Zip key. Mailing address of owner, if different: tab Street Address/PO Box: mnen City State Zip (508) 879- 7320 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 12/2/99 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 Backwater Tank=2" Graywater Tank=4" Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5iaomr.doc• 6-16-06 Page 1 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) E. Field Testing — not required for standard inspection of Elien, Enviro-Septic or RUCK Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some 5.7 SU 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 Elien 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 pumped out on October 13, 2015 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. Checked soils around the tanks and filters and no signs of any wet soil. 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 (Ellen, Enviro-Septic, RUCK) H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted any required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I have attended a training course for this System with the Technology Company and am listed by the Compan a trained ins ctor. January 5, 2016 Op' for signature Date System owner must submit this report,technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31 st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 311h of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 61h Floor Boston, MA 02108 t5iaomr.doc• 6-16-06 Page 3 of 3 I� r y3 Innovative Ruck Systems, inc. LETV k�OF TRANSMITTAL civil engineers and land surveyors ' 205 Worcester Court Unit A4 l DATE 11/19/14 JOB NO. 214057 falmouth, ma. 02540 ATTENTION 508-548-3564 • 800-874-7373 • FAX 508-548-9672 email:Icoelho@holmesandmcgrath.com RE: Ms.Myrna Singer #72 Falling Leaf Lane To: DEP Osterville, MA 02655 Attn:Title 5 Program 1 Winter Street,6th Floor Boston, MA 02108 WE ARE SENDINGYOJ Attached ❑ Under separate cover via the following items: COPIES DATE NO. DESCRIPTION 2 11/11/14 DEP Approved Inspection and O&M form. REMARKS: COPY TO: Barnstable Board of Health Myrna Singer SIGNED: Luis Coelho I I i 1�Massachusetts Department of Environmental Protection -� Bureau of Resource.Protection - Title 5i DEP Approved Inspection and OW Form for Title 5 I/ Ll 'Treatment and. Disposal Systems (Eljen, Enviro-Septic, RUCK) A. Installation Important:When Ms.Myrna Singer filling out forms Owner on the computer, use only the tab #72 Falling Leaf Lane key to move your Facility Street Address cursor-do not use the return Osterville 02655 t key. City Zip Mailing address of owner, if different: tab Street Address/PO Box: r�tran city State Zip (508)879-7320 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 12/2/99 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=10" Graywater Tank=5" Pumping Recommended El Yes ® No Sludge Depth(to be checked yearly) p g 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, Env iro-Septic or RUCK Field Inspection: Color: ❑ gray ❑ brown M clear ❑ turbid ❑ Other(specify): Odor: M musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ 7rg .-.-- pH 6.0 SU DO 6 m /L Turbidity NTU 6 to 9 reate 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 pumped out on September 2012 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. Checked soils around the tanks and filters and no signs of any wet soil. t5iaomr.doc- 6-16-06 Page 2 of 3 Massachusetts.Department of Environmental Protection ° Bureau of Resource Protection.- Title 5 DEP Approved Inspection and OW Form for Title 5 I/A Treatment and Disposal Systems (Ejen, 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 his System with the.Technology Company and am listed by the Company a rained insg ` tor. 11/19/2014 O erator nature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 315t of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston, MA 02108 t5iaomr.doc• 6-16-06 Page 3 of 3 holmes and mcgrath, Inc. LETTER OF TRANSMITTAL civil engineers and and surveyors 205 Worcester Court Unit A4 DATE 10/31/13. �osNo. 208200 falmouth, ma. 02540 Arrerrr,oN 508-548-3564 • 800-874-7373 • FAX 508-548-9672 email:mcgrath@holme§andmcgrath.com Ms. Myrna Singer #72 Falling Leaf Lane To: DEP Osterville, MA 02655 Attn:Title 5 Program 1 Winter Street,6th Floor Boston, MA 02108 WE ARE SENDING YOU E Attached ❑ Under separate cover via the following items: COPIES DATE NO. DESCRIPTION 2 10/16/13 DEP Approved Inspection and O&M form. REMARKS: COPY TO: rBarable Board of Health_ -'-Myrna-Singer' SIGNED: Luis Coelho Massachusetts Department of Environmental Protection Bureau of Resource Protection Title 5 DEP Approved Inspec#ion an`d O&M Form for Title 5 I/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) A. Installation ' Important:When __. P Ms. Myrna Singer filling out forms Owner on the computer, use only the tab #72 Falling Leaf Lane key to move.your . Facility Street-Address cursor-do not use the return Osterville 02655 'City Zi P key: t� Mailing address.of owner, If different: Street Address/PO Box: City State Zip (508)879-.7320.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 .. . . . . . 122 99 _ .. _ _. . .. ... .. Installation Date Start of Operation, Approval Type: General ❑ Provisional E '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.. BlackwaterTank=12" Graywater Tank=6" Sludge Depth(to be checked yearly) Pumping Recommended :. Yes ® No t5iaomr.doc• 6-16-66 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 El some' 5..1 SU 1.72 mg/L NTU PH DO Turbidity 6 to 9. 2 or greater 40 or less Should a Remedial or General Use sy . i the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information — not required for standard inspection of Eljen or Eviro-Septic Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: 9pd Parameters sampled: ❑ pH ❑.BOD ❑ CBOD ❑ TSS❑TN ❑Other(list below) Other 1 Other 2 Other 3 i G. Inspection and Maintenance 'Description of any maintenance performed since previous inspection &during this inspection: - Septic tank pumped out on September 2012 Notes and Comments:. is LI 4 AlI:components.i6spected 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. t5iaomr.doc- 6-16-06 Page 2 of 3 :: M Massachusetts Department o"f Environmental Protection Bureau of Resource Protection -Title 5 vDEP Approed In .pection and O&M Form for Title 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. Cha4e attended a tr-ning course for his System with,the Technology Company and am listed by the Compan s a trained ins c or. 10/31/13 p to.r igna e :Date System ownermust submitahis report, technology O&M checklist, and any required sampling -esults to the local board of health and DEP as follows for each inspection performed: Remedial Use-by January 315t of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use-by;March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months . Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston, MA 02108 t5iaomr.doc• 6-16-06 Page 3 of 3 p holmes and mcgeath, inc. LETTER OF TRANSMITTAL civil engineers and land surveyors 362 gifford street DATE 10/22/12 JOB No. 208200 falmouth, ma. 02540 AMNnoN 508-548-3564 • 800-874-7373 • FAX 508-548-9672 email:mcgrath@holmesandmcgrath.com RE: Ms. Myrna Singer #72 Falling Leaf Lane To: DEP Osterville; MA 02655 Attn:Title 5 Program 1 Winter Street,e Floor Boston, MA 02108 WE ARE SENDING3 YOU ®Attached ❑ Under separate cover via the following items: COPIES DATE NO. DESCRIPTION 1 10/16/12 DEP Approved Inspection and O&M form. REMARKS: - COPY TO:. {Barnstable Board of Health j Myrna Singer SIGNED: Luis Coelho 7 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Ll A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) A. Installation Important: Ms. Myrna Singer When filling out Owner forms on the computer,use #72.Falling Leaf Lane only the tab key Facility Street Address to move your Osterville 02655 cursor-do not use the`return City Zip key. Mailing address of owner, if different: Street Address/PO Boz: City State Zip (508) 879-7320 ext. Telephone Number B. Autloriied Service Provider Innovative Ruck Systems Inc. O&M Firm 362,Gifford Street Street Address Falmouth MA 02540 City State Zip (508) 548-35.64 ext. Telephone Number Luis Coelho 14887 Grade 4M ,Operator Name Technology Company/Date of Training C. Facii_ity/System Information Gen. Use Cert.#97894 Innovative Ruck Systems Residential.RUCK DEP'tD Manufacturer ID Model Number Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ® Yes ❑ No' D. Operating Information 10/16/12 10/21/11 lnspection Date Previous Inspection Date Blackwater Tank=2" Graywater Tank=6" Pumping Recommended ❑ Yes ® No Sludge Depth(to be checked yearly) t5iaomr.doc• 6-16-06 Page 1 of 3 l t L1Massachusetts 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 + pH 6 to 9 SU DO 2 or greater Turbidity 40 or lessrU 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: Just had septic tank pumped out on September 2012 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. t5iaomr.doc 6-16-06 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and. QW Form for Title. 5 I/A Treatment and Disposal Systems (Eijen, Enviro-Septic, RUCK) H. Certification certify: I have inspected the sewage treatment and disposal system at the address above, have conducted any required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of.the inspection. I have attended a 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 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 '0 holmes and mcgrath, inc. LETTER OF TRANSMITTAL civil engineers and land surveyors 362 gifford street DATE 10/21/10 JOB No. 208200 falmouth, ma. 02540 ATTENnON 508-548-3564 - 800-874-7373 - FAX 508-548-9672 email:mcgrath@holmesandmcgrath.com Ms. Myrna Singer #72 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 10/7/2010 DEP Approved Inspection and O&M form. REMARKS: 1' Barnstable,Board of Health ;a Myrna Singer_-_.__4_ SIGNED: Luis Coelho _, LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Ellen, Enviro-Septic, RUCK) A. Installation Important: Ms. Myrna Singer When filling out Owner forms on the computer, use #72 Falling Leaf Lane only the tab key Facility Street Address to move your Osterville 02655 cursor-do not use the return City Zip key. Mailing address of owner, if different: reb Street Address/PO Box: City State Zip (508) 879-7320 ext. Telephone Number B. Authorized Service Provider Innovative Ruck Systems, Inc. O&M Firm 362 Gifford Street Street Address Falmouth MA 02540 City State Zip cn (508) 548-3564 ext. Telephone Number Luis Coelho 14887 Grade 4M 710 Operator Name Technology Company/Date of raining ,� F r— C. Facility/System Information Gen. Use Cert. #97894 Innovative Ruck Systems Residential RUCK DEP ID Manufacturer ID Model Number 12/2/99 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 9/23/09 Inspection Date Previous Inspection Date Blackwater Tank=10" Graywater Tank=6" Pumping Recommended ❑ Yes ® 'No Sludge Depth(to be checked yearly) t5iaomr.doc• 6-16-06 Page 1 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (Eljen, Enviro-Septic, RUCK) E. Field Testing — not required for standard inspection of Eljen, Enviro-Septic or RUCK Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 6 to s SU DO 2 or greater Turbidity q0 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. 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 t ning cours f r this System with the Technology Company and am listed by the Compan s a traine i 10/21/10 r igna 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 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 30'h of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6` Floor Boston, MA 02108 t5iaomr.doc• 6-16-06 Page 3 of 3 6f 2 °p WE T� Town of Barnstable ,n�rrsrnsLe, ► . 9�A 1 ,• Board of Health 367 Main Street,Hyannis MA 02601 Office: 508-790-6265 Susan G.Rask,R.S. FAX: 508-790-6304 Brian R.Grady,R.S. Ralph A.Murphy,M.D. Decision of the Board of Health Regarding Lots 1 Through 14 and Lots 16 Through 25 Falling Leaf Lane, Osterville, Shown on Subdivision Plan dated February 11, 1984, revised April 23, 1984 and Identified as Parcels 3.001 Through 3.014 on Assessor's Map 144, and Parcels 3.016 Through 3.025 on Assessor's Map 144. PROCEDURAL HISTORY On November 18, 1996, the Board of Health agent, Thomas McKean,-R.S.,,C.H.O., received twenty-four (24) disposal system permit applications along with two checks totaling $2,400.00 from Peter Sullivan, P.E., of Baxter and Nye Incorporated, who was representing O.R.E. Associates Incorporated and Osterville Highlands Trust pertaining to proposed construction along Falling Leaf Lane, Osterville. The lots are located off of Acorn Drive, Osterville Massachusetts, and are identified as parcels 3.001 through parcels 3.014 on Assessors Map 144, and parcels 3.016 through 3.025 on Assessor's Map 144. The disposal system construction applications indicated that parcels 2, 4, 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, 1996f 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-1 st,,and August 19th. Many documents were submitted into the record by both the applicant(s) and the Board of Health. The Board members rendered a decision on September 3, 1997 during-a special public paring. ' 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 11 of a public water supply: the Centerville-Osterville-Marstons Mills Water district wells CO# 10, CO AR#3,4, and CO MC#2. The Zone 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 and other possible contaminants to the public water supply. 5. Increasing density of housing is associated with increased levels of nitrate and'other ntaminants in groundwater. In recognition of 4 and 5 above, DEP has determined per 310 CMR 15.214(I), that no serving new construction in a ritrogen sensitive area designated in 310 CMR 15.215 shall . a 3 y 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 6220 design flow, the lots less than one-half acre would be entitled to a 110 gpd design flow. 8. Under the Title 5 transition rules, 310 CMR 15.005, the owner of a lot on which construction of a septic system in full compliance with 310 CMR 15.000 is not feasible_is entitled to construct a system with a cumulative design flow of up to 330 gpd provided that the system is constructed in compliance with 310 CMR 15.000 to the maximum extent feasible as determined by the local approving authority pursuant to 310 CMR 15.404 and 15.405. 9. 310 CMR 15.404 (maximum feasible compliance) states that a non-conforming system may 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 y to allow the construction of 2-bedroom homes (220 gpd design flow) on twenty of the lots and this will be in general compliance with the nitrogen loading requirements of 31.0 CMR 16.214. 12. The applicant has acknowledged that lot 15 will be used for drainage and is not to be considered buildable. 13. At the hearings held on August 19, 1997 and September 3, 1997, the applicants Proposed to the Board that dwellings located on 20 of the lots, which specific lots they identified, would•be limited to 2 bedrooms unless the systems) are modified to include enhanced nutrient removal as approved by the Board of Health in which case.a dwelling served by a modified system may be permitted to have not more than 3 bedrooms. The"remaining four lots would be limited to not more than 3 bedrooms and said system(s) must be modified to include.enhanced nutrient removal as approved by the Board of Health. 14. Based upon the evidence presented, the Board-finds that the applicants can achieve maximum feasible compliance.with 310 CMR 15.000 through either 1) the construction of 2- bedroom homes on twenty of the lots with the remaining four lots provided with nitrogen removal. technology; the twenty lots must have appropriate restrictions placed upon their deeds to indicate that only 2 bedrooms are allowed, or 2) the installation of nitrogen removal technology on any lot will entitle the owner to a design flow of 330 gpd. 15. The applicant may choose in the future to present to this board an aggregate nitrogen loading which complies with 310 CMR 15.216; this plan, if approved by the board, will negate the restrictions in 14 above. ACTION TAKEN BY BOARD OF HEALTH Based upon the Board's unanimous approval of the proposed findings, the Board of Health-voted to take the following action regarding the pending twenty-four applications for.disposal system construction permits submitted by the applicants, Osterville Highland Trust, John Alger, Trustee and ORE Associates, Inc.: A) Disposal System Construction Permits shall issue to ORE Associates, Inc. for lots 3, 5, 7, 9, 11, 13, 17, 19, 21, 25 and to Osterville Highland Trust, John Alger, Trustee for lots 2, 4, 6, l 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. 2. Each plan shall be modified by the applicants to include a notation containing the full text of the language recited in paragraph (A)(1) above. 3. Deed restrictions, approved as to form by the Town Attorney, limiting the use.of the ellings to two bedrooms on each of the above-referenced lots shall be'recorded at the stable Registry of Deeds. A copy of the recorded deed restriction,for the particular lot for - 6 which a Disposal System Construction Permit is sought shall be provided to the Barnstable Board of Health prior to the issuance of a Disposal System Construction Permit. (B) Disposal System Construction Permits shall issue to ORE Associates, Inc. for lots I and 23 and to Osterville Highland Trust, John Alger, Trustee for lots 12 and 22, as designed, subject to compliance with the following conditions: 1. All dwellings shall,be limited to not more than 3 bedrooms and said system(s) must be r modified to include enhanced nutrient+removal as approved by the Board of Health. 2. Each plan shall be modified by the applicants to'include a notation containing the full text of the language recited in paragraph (13)(1) above. (C) No permit shall issue for lot 15 which has been designated, pursuant to the initial subdivision approval by the Planning Board, as a lot reserved for drainage. (D) The issuance of the permits, as restricted, shall not prejudice or otherwise limit the right of both applicants, jointly or severally, to file with the Board of Health and the DEP a plan pursuant to the provisions of 310 CMR 15.216(2), nor shall the mere filing of such a plan obligate the Board of Health to approve same: VOTE: IN FAVOR OF DECISION: RASK, GRADY, MURPHY OPPOSED: NONE Dated: October 7,' 1997 Susan Rask, Chair, Barnstable Board of.Health 7 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important: When filling out Ms. Myrna Singer forms on the Owner computer, use only the tab key A-7ZF611ing 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: VQ Street Address/PO Box: enm City State Zip (508) 879-1320 Telephone Number B. Authorized Service Provider Innovative Ruck Systems O&M Firm 362 Gifford Street Street Address Falmouth Ma 02540 City State Zip (508) 548-3564 ext. -3564 ext. Telephone Number Luis Coelho 14887 Certified Operator Name Certification Number C. Facility/System Information General Use Cert. #: 97894 Innovative RUCK Systems _Residential RUCK DEP ID Manufacturer ID Model Number 12/2/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ®Yes ❑No D. Operating Information 10/17/08 6/29/07 Inspection Date Previous Inspection Date Septic=6 inches; Gray=6 inches Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No Singer Insp. Report Oct08.doc•10/22/08 Page 1 of 2 ems' LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems normal Effluent Description E. Sampling Information Samples Taken: ❑ Influent ❑ Effluent Parameters sampled: ❑ pH ❑ BOD ❑ TSS ❑ TN ❑ Other(list below) Other 1 Other 2 Other 3 Description of any maintenance performed since previous inspection & during this inspection: None. Notes and Comments: All components inspected and working properly. Vents were in place and working F. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached technology operation and maintenance checklist, and the informatio reported is true, accurate, and complete as of the time of the inspection. I am a Massa usetts certifi rator in accordance with 257 CMR 2.00. 10/21/08 rat r Signatur Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 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 Singer Insp. Report Oct08.doc•10/21/08 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 Treatment and Disposal Systems A. Installation Important: When filling out Ms. Myrna Singer forms on the Owner computer,use only the tab key 72 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: Street Address/PO Box: iemm City State Zip (508) 879-1320 Telephone Number B. Authorized Service Provider Innovative Ruck Systems O&M Firm ' 362 Gifford Street ' w Street Address N Falmouth Ma. 02540 _ __+ City State Zip rrt (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 ID Model Number 12/2/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ®Yes ❑No D. Operating Information 6/29/07 10/16/06 Inspection Date Previous Inspection Date Septic=8 inches; Gray= 5 inches Pumping Recommended Sludge Depth(to be checked yearly) p g ❑ Yes ® No Singer Insp. Report June '07.doc-8/8/07 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) NO2, NO3, NH3, TKN Other 1 Other 2 Other 3 Description of any maintenance performed since previous inspection & during this inspection: None. Notes and Comments: All components inspected and working properly. F. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached technology operation and maintenance checklist, and the informaj'dh reported i tru , accurate, and complete as of the time of the inspection. I am a Mass usetts c ' led rator in accordance with 257 CMR 2.00. 7/2/07 er for Signatur Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January Piloting & Provisional Use- General Use—by September 31st of each year for the within 30 days of inspection 30th of each year for the previous calendar year date previous 12 months Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston. MA 02108 Singer Insp. Report June '07.doc•8/8/07 Page 2 of 2 h®lmes and mcgrath, inc. civil engineers and land surveyors 362 gifford street falmouth, ma 02540 email: mcgrath@holmesandmcgrath.corri DATE JOB NO. phone (508) 548-3564 1 800 874-7373 ?' fax (508) 548-9672 ATTENTION TO D I,-,- c'l �l�t✓i' WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans- ❑ Samples ❑ Specifications #.❑ Copy of letter ❑ Change order f, 1; - �� COPIES DATE NO. DESCRIPTION 5 1 / Z--;z 11 en 67 THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS �•`. i as tom:`; Go COPY TO_ r.r k7—s t,-)o er SIGNED: Ask 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: reb Street Address/PO Box City/Town 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 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 10/18/06 09/23/05 Inspection Date Previous Inspection Date Blackwater tank = 12 in.; Graywater tank = 6 in. Pumping Recommended ® Yes ❑ No Sludge Depth(to be checked yearly) Normal ` Effluent Description I t5iaom1.doc^ 10/25/06 Page 1 of 2 I-Ll- 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 P 9 Samples Taken: ❑ Influent ❑ Effluent Parameters sampled: ❑ pH ❑ BOD ❑ TSS ❑ TN ❑ Other list below Other 1 Other 2 Other 3 Description of any maintenance performed since previous inspection & during this inspection: Notes and Comments: All components inspected and working properly. F. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. ,Z/ � "'.1�_z" 10/23/06 p rator Signaturd Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by Piloting Use—within Provisional Use—by General Use—by January Vt of each 30 days of inspection March 31st of each September 30'h of year for the previous date year for the previous each year for the calendar year calendar year previous 12 months Address for DEP co Department of Environmental Protection copy: Attention: Title 5 Permitting Program One Winter Street, 6'h Floor Boston, MA 02108 t5iaom1.doc• 10/23/06 Page 2 of 2 LlMassachusetts Department of Environmental Protection �4,,,,� Bureau of Resource Protection - Title 5 `�L�/ab i DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important: When filling out Ms. Myrna Singer forms on the Owner computer, use only the tab key 72 Falling Leaf Lane to move your Facility Street Address cursor do not return use the return Osterville MA 02655 key. City State Zip Mailing address of owner, if different: Street Address/PO Box: n:ncn City State Zip (508) 839-6622 Telephone Number B. Authorized Service Provider Innovative Ruck Systems O&M Firm 362 Gifford Street Street Address Falmouth Ma. 02540 City State Zip (508) 548 - 3564 ext. Telephone Number Luis Coelho Certified Operator Name Certification Number C. Facility/System Information ` C . General Use Cert. #: 97894 Innovative RUCK Systems Resident) I RUCK DEP ID Manufacturer ID Model Nina.ter 12/2/99 Installation Date Start of Operation ..p s_ Ci. Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial w Seasonal Residence.—used less than 6 mo./year: ®Yes ❑No cWtz D. Operating Information 10/16/06 09/22/05 Inspection Date Previous Inspection Date Septic = 5 inches; Gray =4 inches Pumping Recommended ❑ Yes ® No Sludge Depth(to be checked yearly) linger Insp. Report'06.doc^ 10/25/06 Page 1 of " r 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 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 Massachus certified - at in accordance with 257 CMR 2.00. .> 10/23/06 - Opera Kr 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 s`of each year for the within 30 days of inspection 301h of each year for the previous calendar year date previous 12 months Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6ch Floor Boston. MA 02108 Singer Insp. Repori'06.doc• 10/23/06. Page 2 of 2 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important: When filling out Ms. Myrna Singer forms on the Owner computer,use only the tab key 72 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: rab 34 Edward Drive Street Address/PO Box: fel�" North Grafton MA 01536 City State Zip (508)839-6622 Telephone Number B. Authorized Service Provider Innovative Ruck Systems O&M Firm 362 Gifford Street Street Address Falmouth Ma. 02540 City State Zip (508) 548-3564 ext. Telephone Number Paul C. LaCroix 3340 Certified Operator Name Certification Number C. Faci-lity/System Information DEP ID Manufacturer ID Model Number 12/2/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ®Yes ❑No D. Operating Information 6/21/04 5/2/03 Inspection Date Previous Inspection Date Septic = 5'; Gray= 5" Pumping Recommended ❑ Yes ® No Sludge Depth(to be checked yearly) Singer Insp. '04•5/9/04 Page 1 of 2 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems normal Effluent Description E. Sampling Information Samples Taken: ❑ Influent ❑ Effluent ' Parameters sampled: ❑ pH ❑ BOD ❑ TSS ❑ TN ❑ Other(list below) Other 1 Other 2 Other 3 Description of any maintenance performed since previous inspection &during this inspection: None. Notes and Comments: All components inspected and working properly. F. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a. Mas chusetts gertified operator 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, 6th Floor „ Boston. MA 02108 Singer Insp. '04.5/9/04 Page 2 of 2 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important: When filling out Ms. Myrna Singer forms on the Owner computer,use only the tab key 72 Falling Leaf Lane to move your Facility Street Address cursor-do not Osterville MA 02655 use the return key. City State Zip Mailing address of owner, if different: Street Address/PO Box: mnun City State Zip (508)839-6622 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 12/2/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑Yes ®No D. Operating Information 6/21/04. 5/2/03 Inspection Date Previous Inspection Date Septic = 5'; Gray= 5" Pumping Recommended Sludge Depth(to be checked yearly) p 9 ❑ Yes ® No Singer Insp. Report'04.7/30/04 Page 1 of 1 41 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems normal Effluent Description E. Sampling Information Samples Taken: ❑ Influent❑ Effluent Parameters sampled: ❑ pH ❑ BOD ❑ TSS ❑ TN ❑ Other(list below) Other 1 Other 2 Other 3 Description of any maintenance performed since previous inspection & during this inspection: None. Notes and Comments: All components inspected and working properly. F. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a =ss husetts certif d operator in accordance with 257 CMR 2.00. /7 a 9 o 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 S`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, 61h Floor Boston. MA 02108 Singer Insp. Report '04.7/30/04 Page 2 of 2 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 JANE SWIFT Governor BOB DURAND Secretary f LAUREN A LISS Commissioner December 31,2002 Myrna Singer 72 Falling Leaf Lane Barnstable,MA 02630 Re: 72 Falling Leaf Lane,Barnstable,MA DEP;Facility ID:RUCK52 Operation&Maintenance Requirements , Dear Ms. Singer: As you are the owner of an alternative on-site sewage treatment and disposal system regulated under Title 5 of the State Environmental Code, 310 CMR 15.000,I am writing to remind you of your operation and maintenance obligations.According to the Department of Environmental Protection's records;a RUCK system has been installed at the above referenced location. The Department's approval for this system requires that, throughout the system's life,the system owner must maintain an agreement with a person or firm competent in providing services consistent with the system's specifications, the operation and maintenance required by the designer and any specified by'the Department. In addition, every time the operator or operators are changed,the owner must notify the Department and the local Board of Health,in writing,within seven days of such change. The Department has received information indicating that you are no longer under contract with an operation and maintenance firm in violation of your system approval. Please notify the Department, in writing, within fourteen days of receipt of this letter,of the name of the new operator for your system and submit a copy of your current contract.Failure to comply with this request may result in enforcement action by the Department Please submit the information to: Department of Environmental Protection Title 5 Program Watershed Permitting Program One Winter Street,6th floor Boston,MA 02108 If you have any questions concerning your operation and maintenance requirements, please feel free to contact John L.Ciccotelli at the DEPBoston Office at(617)292-5657. Sin r y, Sharon M.P/osi, ector Watershed Permitting Program cc: Barnstable Board of Health DEP/SERO,B.Dudley This information is available in alternate format by calling our ADA Coordinator at(617)5744872. DEP on the World Wide Web: http://www.state.ma.us/dep Z� Printed on Recycled Paper 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 Ll)� A. Installation Important: Myrna Singer When filling out Owner forms on the computer,use 72 Falling Leaf Lane. only the tab key Facility Street Address to move your Osterville 02655 cursor-do not use the return City Zip key. Mailing address of owner, if different: Street Address/PO Box: City State Zip ( ) - ext. Telephone Number B. Authorized Service Provider Inovative Ruck Systems O&M Firm 200 Main Street Street Address Falmouth Ma. 02540 City State Zip (508)548-3564 ext. Telephone Number Michael B Moreau Jr. 10291 Certified Operator Name Certification Number C. Facility/System Information DEP ID Manufacturer ID Model Number 12/2/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ®Yes ❑No D. Operating Information 06/21/02 12/07/01 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended ❑Yes ® No normal Effluent Description SINGER• 11/20/02 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 E. Sampling Information Samples Taken: 0 Influent® Effluent Parameters sampled: ® pH ® BOD ®TSS ® TN ❑ Other(list below) Other 1 Other 2 Other 3 Description of any maintenance performed since previous inspection & during this inspection: Notes and Comments: see results previously submitted/see letter regarding seasonal see attached 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, acute, and complete as of the time of the inspection. I am a Massa setls ,;?...rf ied o r m accordance with 257 CM 2.0 ,77" f L 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 301h 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 SINGER• 11/20/02 Page 2 of 2 GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: Effluent-72 FL Matrix: Aqueous Project: Falling Leaf Lane Received: 06-21-02 Client: Holmes&McGrath 4= Lab ID: 52000-01 Sampled: 06-21-02 00:00 Container: 1 L Plastic Preservation: Cool Yr Andy e y JReSUIi+� R��1rtlgv a � # yt Um s . A�ii lyzel 11 QC t�ch N ethot' # 'k` F '' i Nitrate(as Nitrogen) BRL mg/L 0.02 06-25-02 18:11 NI-1473-W SM 4500-NO3 F Nitrite(as Nitrogen) 0.04 mg/L 0.02 06-25-02 18:11 NI-1473-W SM 4500-NO3.F Lab ID: 52000-02 Sampled: 06-21-02 00:00 Container: 250 mL Plastic Preservation: H2SO4/Cool �1mt Ai�a�yzed ,�QC�'Bat�h s�ethod Ammonia(as Nitrogen) 1.3 _ mg/L 0.2 N 06-25-02 AM-0970-W SM4500-NH3 BH Nitrogen,Total Kjeldahl (TKN) 21 mg/L 0.5 07-01-02 TKN-0890-W EPA 351.2 Method References: Methods for Chemical Analysis of Water and Wastes,.US EPA,EPA-600/4-790-020,Revised(1983),and Methods for the Determination of Inorganic Substances in.Environmental.Samples, US EPA, EPA/600/R-93/100,(1993),and Standard Methods for the Examination of Water and Wastewater, APHA,.Eighteenth Edition(1992). Report Notations: BRL Indicates result,.if any, is below reporting limit for analyte. Reporting limit is the lowest value that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample dilution.and sample size. Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 Innovative RUCK Systems, Inc. r ` '� �'� A Passive Denitrifying Septic System 200� 200 Main Street, Room 201 JAN 3 Falmouth,MA 02540 1 (.800)659-RUCK(7825) In MA TowHEALTH DE" 1 (508) 548.3564 FAX (508) 548.9672 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- Falling Leaf Lane North Grafton, MA 01536 Osterville, MA 02655 Arthur J. Balian Suvitya Nopakun 91 Falling Leaf Lane 81 Falling Leaf Lane Lexington, MA 02173 Osterville, MA 02655 Vincent G. Legendre George Paton P.O. Box 1059 39 Falling Leaf Lane Osterville, MA 02655 Osterville, MA 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 an recycled paper Ott _ 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 tetrof t the systems over the k�ext several'"mgntth 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 7�2 ��I(�r f L ,.P, i `lgoo3oos- innovative ruck systems, inc. 200 main street falmouth, ma 02540 1-800-874-7373 TO: DEPARTMENT OF ENVIRONMENTAL PROTECTION DATE Ma14;2001 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 'LOAcATED IN NITROGEN SENSITIVE AREA YES` a Q �z CLIENT McShan_E C�OnStrUCtlOn DATE 04/23%01s{ LOCATION Lyot 5 Fa IingLeafane 7 TOWN BarnstableMa �� _ OUTPUT D-BOX pH BOD E A 12O .. .k mg/I TSS 13 mg/I AMMONIA 27 �Y mg/I TKN 31 mg/I NO3 „w 4 3 mg/I TIN 35 3 y mg/I DOES SYSTEM CONFORM TO DISCHARGE REQUIREMENTS FOR TN n ENO£ LEGEND BRL BELOW REPORTING RESULTS TEST RESULTS ARE ATTACHED SIGNED TIMOTHY M. SANTOS innovative ruck systems, inc. CC: MYRNA SINGER BARNSTABLE BOARD OF HEALTH JEFF GOULD-DEP LAKEVILLE / Groundwater Analytical, |nc, P.C). Box l20O 228 Main Street, Buzzards Bay, MA02S32 innovative ruck systems, inc. 200 main street Falmouth,ma 02540 1-800-874-7373 TO: DEPARTMENT OF ENVIRONMENTAL PROTECTION DATE Jan 9,2002 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 LOC4TE6_IN NITROGEN SENSITIVE*ARE CLIENT Bob Singer DATE 14/ofci1, LOCATION ;Lot5 Falling Leaf Lane TOWN Barnstable,Ma OUTPUT D-BOX pH 7.2 BOD 19 mg/I TSS 80 mg/I AMMONIA 21 (mg/I TKN 28 mg/I NO3 BRL mg/I TN 28 ;mg/I DOES SYSTEM CONFORM TO DISCHARGE REQUIREMENTS FOR TN i NO LEGEND BRL BELOW REPORTING RESULTS TEST RESULTS ARE ATTACHED Q SIGNED z MICHAEL MOREAU innovative ruck systems, inc. CC: :MYRNA-SINGER ARNSTABLE BOARD OF HEALTH JEFF-GOUL"D=DEP-L"AKEVILLE---— � BROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: G/W Matrix: Aqueous Client: Holmes&McGrath Received: 12-07-01 Lab ID: 46706-03 Container: 1 L Plastic Preservation: Cool ometl Lab ID: 46706-01 Container: 250 mL Plastic Preservation: Cool Ain lyt Lab I D: 46706-02 Container: 250 mL Plastic Preservation: H2SO4 Cool Method References: Methods for Chemical Analysis of Water and Wastes, US EPA,EPA--600/4-790-020, Revised(1983),and Methods for the Determination of Inorganic Substances in Environmental Samples, US EPA, EPA/600/R-93/100,(1993),and Standard Methods for the Examination of Water and Wastewater, APHA,Eighteenth Edition(1992). Report Notations: BRL Indicates result, if any, is below reporting limit for analyte. Reporting limit is the lowest value that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample dilution and sample size. � ' Groundwater Analytical, |nc, P.C). Box l200 228 Main Street, Buzzards Bay, k4A02532 - . s TOWN OF BARNSTABLE . LOCATION L,,4 .;i� ira SEWAGE # VILLAGE n'-Iru e _ ASSESSOR'S MAP & L0��''� '�tP INSTALLER'S NAME&PHONE NO. 14aw SEPTIC TANK CAPACITY boo LEACHING FACILITY: (type) a (size)NO. OF BEDROOMS BUILDER OR OWNER Y)0cS Ifte . Coi PERMITDATE: �� 1,0,e COMPLIANCE DATE. J ;Z Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching'facility) Feet Furnished by r:r2 4-- i � 8 i3Zy S,� 43 :3 .93 zr So f ® •� (- Liz ' 4-7 �� 15 No. ` 4 t t t Fee//4 THE COMMONWEAL OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Application for Migpogal *pgtem Congtrurtion Permit Applic n for a Permit to nstruct( ep )Upgrade( )Abandon( ) p ete System ❑Individual Components / ocation Address or Lot7No. 1' f j — �% [ �6 Owner's Name,Address and Tel.No. �"j cj(jC1 C Assessor's Map/Parcel 3 (> — Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. h-15oy vV Type of Building: 3 A�}' Dwelling t-No.of Bedrooms _ Lot Size_�.ft. Garbage Grinder Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow ' S gallons per day. Calculated daily flow V gallons. Plan Date 1/ 3,09 q/Number of sheets Revision Date Title Size of Septic Tank �fType of S.A.S. l� r Z / Description of Soil Nature of Repairs or Alterations(Answer when applicable) �t` n t FSIGNING ENGINEER MUST SUPERVISE �� Date last inspected: INSTALLATION AND CERTIFY IN VVKI I SYSTEM WAS INSTALLED IN STRICT Agreement: ACCORDANCE TO FLAN. The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of th nvi me al Co and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Bo a th Signed Date Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued _iF �' Entered-in computer: 1� THE COMMONWEAL OF MASSACHUSETTS Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 0[p plication for Migoal *pgtem Construction permit Ap lic n for a Permit to C nstntct( Rep ' (_ )Upgrade( )Abandon( ) p ete System.'O Individual Components Location Address or Lot No. — j=41-1-Wti6 Owner's Name,Address and Tel.No: Q 5(jU 57 L—_YCvIL4-E l NC - C/a 13AI.rL�. 'r Assessor's Map/Parcel US Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. W , Type of Building: _ Dwelling L�No.of Bedrooms Lot Size ft. Garbage Grinder( Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 4 5 gallons per day. Calculatedidail'y flow ? V gallons. Plan* �3 Date �/J 0—`3/Number of sheets t / . Revision Date Title (, Size of Septic Tank ' I �15 t�Typ of S.A.S.l a U '` f �- ( De§cription of Soil 6 - c�" `' it S`U/v Nature of Repairs or Alterations(Answer when applicable) Vt✓lam' -"�J� /� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of th nvLA�,Co and not to place the system in operation until a Certifi- ;u "g -W cate of Compliance has been issued by this Bo ��1pl9 S Signed Date f Application Approved by Date Application Disapproved for the following reasons Permit No. " Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compt I= A THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by at — t, I — - 4l a een constructed m ccordgce with the provisions of Title 5 and the for Disposal System Construction Permit No. "�5 dated �' s Installer Designer The issuance of this permit shall not be construed as a guarantee that the s ste ill f ct' as des one Date � Inspector1 ' ' �� _ _ — _ No.� ---------------------------Fee / + • err THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Miopozal 6pgtem Construction Permit Permission is hereby granted to Construct( )Repair( )Upgrade(. )Abandon( ) System located at Lf�r ,�f L rUG L LZ= �✓/ K U!C �t� 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 /f n .�ia=air■■i � �' � � �, , ■■■■■iWorermi �•1 - - — Imum IAJ i Ca : Ih � rl I1 ■t�a Iuunun-•.auu.ruw unnunuu!., n:�:v' � e� TOWN OF BARNSTABLE LOCATION L.J ral Ie?.(' lisk a_ SEWAGE # VILLAGE ASSESSOR'S MAP & L�03' 0¢'3 INSTALLER'S NAME&PHONE NO. McA,%Iao. Cv.n- L{7-1`Z50 C, SEPTIC TANK CAPACITY (Itook LEACHING FACILITY: (type) NO. OF BEDROOMS BUILDER OR OWNER V(1 cS " Coi.A PERMTTDATE: 9 COMPLIANCE DATE: J ' Separation Distance Between the: i . Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet- Furnished by e A/C "Al 9�-2� .5h > �� _s �c,LAA. �� 04/21/2000 12:21 508-548-9672 HOLMES 9 MCGRATH INC PAGE 01 { RUCK Systems, Inc. v 'in Dlangtl! n+g'$�pRtG? xS �rfi f, Fal®oudti MA 0=40' .j (8Q0)61N+IttICC(TM In FAX j"A)9486?Z ' Apt i1 2.1., 2000. " $.ams.ta7�3 e. �oaad: .o€> Health : <<)r ,Attu, 1:�a�n. �T-at r.i� roll A4ii:: S :rtt t.? Re .Lot 5 ., ,F .: '4illing Leaf. Lane, 0s'zerVrille tJ`rr :f£.s� tne" the .constru�tibh. of the I UCFC f ltex rerx el ;:' t_ The con.s.tructioii of the RUCK filtef. `:� •'.a�d.::a ��ri�n.�� w�is. s�t�sfacto.ril -con6�ructed ire : . -: coxd n Wit ': plan. gz4 '.questions, please ' &All or write me::. . _ Sincerely,: NNQVAT IVE RUCK' SYS ' Michael B. McGtath, P.E., -P'- r President _ } tip' .. •i.-y $iKpdid.ed'-ea'weralaA 6r. ..'* Onnowative 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 21, 2000 Barnstable Board of Health Attn: Glenn Harrington Main Street Hyannis, MA 02601 Dear Mr. Harrington: Re Lot 5 Falling Leaf Lane, Osterville ----------------------------- Our office witnessed the construction of the RUCK filter at the referenced lot. The construction of the RUCK filter and appurtenances was satisfactorily constructed in accordance with the plan. If you have any questions, please call or write me. Sincerely, INNOVATIVE RUCK SYST Michael B. McGrath, P.E. , P.L.S. President MBM/gd RECEIVED 5 2000 TOWN OF BARNSTABLE HEALTH DEPT. y� printed on recycled paper w =� jq4 003 Dog November 21, 2000 Ms . Marcia Sherman DEP-Water Pollution Control One Winter Street Boston MA 02108 Dear Ms . Sherman: Re RUCK® System 7 �- Lot S* Falling Leaf Lane, Barnstable, MA ----------------- Please be advised that the Residential RUCK system at Dthe above referenced lot has failed, in a recent quarterly test, to meet the required Discharge Limit for Total Nitrogen described in the General Certificate in that the total nitrogen concentration in the final effluent exceeded 19 milligrams per liter (mg/1) . The total nitrogen concentration in the final effluent was 23 . 4 mg/l . The enclosed chart shows the constituents measured in the distribution box. We will be interviewing the resident and retesting the system in approximately one week and follow up with the results of the retest . If you have any questions, please call or write me. Sincerely, INNOVATIVE RUCK SYSTEMS, Inc. Timothy M. Santos Engineer cc: McShane Construction Co. Barnstable Board of Health D innovative ruck systems, inc. 200 main street falmouth, ma 02540 TO: 1-800-874-7373 � DEPARTMENT OF ENVIRONMENTAL PROTECTION DATE 'NOV21, 20.0;0 ATTENTION: MARCIA SHERMAN REVISED 1 WINTER STREET BOSTON MA 02108 DEAR MS. SHERMAN PLEASE FIND ENCLOSED COPIES OF LAB TEST RESULTS FOR THE RUCK SYSTEM AT THE REFERENC LOCATION. BELOW YOU WILL FIND AN ANALYSIS OF THE RESULTS AND A STATEMENT IF THE SYSTEM CONFORMS TO THE DISCHARGE LIMIT OF THE APPROVED CERTIFICATE. RESULTS OF RUCK SAMPLING TYPE GENERAL CERTIFICATE LOCATED IN NITROGEN SENSITIVEAREYES CLIENT I�/IcSh{ane Cdonstructlon DATE 11/2%21/OOy LOCATION to t 5 Fall n Leafane� � ` TOWN rnstable, Ma OUTPUT D-BOX pHBOD 6 7 TSS 23'..:: , mg/I AMMONJA TKN 2 N0303 °mg/I TN 35 mg/I DOES SYSTEM CONFORM TO DISCHARGE REQUIREMENTS FOR TN fa NO LEGEND BRL BELOW REPORTING RESULTS TEST RESULTS ARE ATTACHED SIGNED TIMOTHY M. SANTOS innovative ruck systems, inc. CC: McSHANE CONSTRUCTION CO. BARNSTABLE BOARD OF HEALTH R. LAAK innovative ruck systems, inc. 200 main street falmouth, ma 02540 1-800-874-7373 TO: DEPARTMENT OF ENVIRONMENTAL PROTECTION DATE INP 21 20®0 ATTENTION: MARCIA SHERMAN REVISED 1 WINTER STREET BOSTON MA 02108 DEAR MS. SHERMAN PLEASE FIND ENCLOSED COPIES OF LAB TEST RESULTS FOR THE RUCK SYSTEM AT THE REFERENC LOCATION. BELOW YOU WILL FIND AN ANALYSIS OF THE RESULTS AND A STATEMENT IF THE SYSTEM CONFORMS TO THE DISCHARGE LIMIT OF THE APPROVED CERTIFICATE. RESULTS OF RUCK SAMPLING TYPE GENERAL CERTIFICATE L,O-GATED IN,INITROGEN SENSITIVE AREYE& CLIENT M.cShaneConstructlonfi DATE11/21/00 LOCATIONLotSFaI raeafLane � TOWNBarnsta`ble;Ma _. ., ... OUTPUT D-BOX pH BOD mg/I TSS 23 :'.mg/I AMMONIA f;;M14= mg/I TKN 23, u mg/I NO3 M0 35' :" ` mg/I TN 23 35 ;mg/I DOES SYSTEM CONFORM TO DISCHARGE REQUIREMENTS FOR TN LEGEND BRL BELOW REPORTING RESULTS TEST RESULTS ARE ATTACHED SIGNED TIMOTHY M. SANTOS innovative ruck systems, inc. CC: McSHANE CONSTRUCTION CO. BARNSTABLE BOARD OF HEALTH R. LAAK GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: tro—t51)-Box Matrix: Aqueous Project: McShane/99170 Sampled: 11-03-00 Client: Holmes&McGrath Received: 11-03-00 Lab I D: 37150-07 Container: U Plastic Preservation: Cool u Kep 5 % o hit' iialyzed Biochemical Oxygen Demand BRIL mg/L 8 11-03-00 BOD-0815-W EPA 405.1 Solids,Total Suspended 23 mg/L 10 11-09-00 TSS-0481-W EPA 160.2 Lab I D: 37150-01 Container: 250 mL Plastic Preservation: Cool T it lic fv A Nitrate(as Nitrogen) 0.35 mg/L 0.02 11-03-00 NI-0953-W EPA 353.2 pH 6.7 pH 2.0 11-03-00 PH-0919-W EPA 150.1 Lab I D: 37150-04 Container: 250 mL Plastic Preservation: H2SO4 Cool "VA"O AV 6 e ,9a11yt6,* porting, z A 'I wAnaiy Pq` Ammonia(as Nitrogen) 14 mg/L 0.2 11-06-00 AM-0589-W EPA 350.1 Nitrogen,Total Kjeldahl (TKN) 23 mg/L 0.5 11-13-00 TKN-0562-W EPA 351.2 Method References: Methods for Chemical Analysis of Water and Wastes, US EPA,EPA-600/4-790-020, Revised(1 983),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. TW 2-3 Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 Ad _ r - OLLJ 1 11 DIR FIFIF] Relocfeted Steps to Grade Leltice Installed Under Entire Deck pedmetsr �_ `"^•� - Rear Elevati - Oveview Not to Scale 4 � J O14— N J Z w O MFI s r N A .� •,� � ._.._.�..... �t�._._.. as � � - Reloctated Steps to Grade L 3 m M P Iittic�t¢��ted.0 Entire i�a�t:tt"'Perimet"er � . Rear Be Va' Itionw49 Property of George Davis Builders,Inc.; Do Not Reproduce ( I t i � I -f . EXSC�p¢�o^�pq,�4 Y..4pyE p ��y pfry/� (,� �y�/ a t�a.g,� - TING HOV�l4 VY�i�i 6F&.0 NS,1 a7iP`�0�L1�5'd'f17S,, E�I Co, •... ;w• - . f, EXISTING DECK - TO REMAIN PROPOSED SCREEND PORCH ON EXISTING DECK i ! f q F Remove One Full Section of j Railing, Re-locate stairs to this location. - 42"Platform St ep to Grade — — — — 15'-0" La N N ° t ° P1 AN VIEW IC '14 T 20 pd� L 'o M o� c o� O cb Property of George Davis Builders,Inc.; Oo Not Reproduce Or op Ridge-fob, VeOiffatbn Match Pitch a • (� ��.� r2 x 1Q.Rafters"18"O.C. � e H2-5 Clip MATCH ROOF NOTES: E Existing Top Plate Structure! Ridge — Per Report - - e 2 x 10 Rafters @ 16" o.c. SPECIAL NOTE A - 2 x 6 Collar Ties@ 16" o,c. The double LVL will clear span the wall A , ,,; s as Prim f E ed Pine i Edge�Center CD.X Plywood /l� MATCH eliminating the need for`additional footings �� Trim El- eliminating 15 lb. Felt �' mid span under the existing deck. The beam Asphalt S ingles - to match Trim.-As,Necersa : will bear to the existing house foundation, and Ridge & Soffit Venting V _ new.10" concrete piers set on "big-feet" R-30 Insulation Permanent Applied.Stop spread footings, per plan. Bead Board Underside - Painted f �< Aluminum Frame. f f �1�� _ r. •- ;• NOTE-1t8"Clearance to Accnmodate SPECIAL NOTE B— T . screen Removal ti , Porch Post Detail: Maintain POSITIVE MECHANICAL 4 x 4 Pressure Treated Posts connection from footing to rafters, . Built-up Header Per Report including embedded concrete Posts & Headers to be Wrapped wf Pine Top of Wall Detail anchors, framing straps, H2-5 Clips, etc, as necessary to prevent uplift Existing Deck Surface & Structure to Remain o Upper porch posts will bear on . INTERIOR double band joists, which will FOOTING NOTES' Pine Trimi stops bear oh,footing posts Install wf•Screwsw 1� 4x 4 PT-Post 10" Concrete Piers set on 24" Spread Footings NOTE-the interior trim isia 3-piece removable: �f �o of 4 x 6 P.T. Posts Secured to the top of the piers stop system,removed as a unit �- s d Perimeter to be sealed w/ lattice covered '/4" galvanized mesh. \\ � a 5 U S' o 0 1 x B Pine Post Face / CM 0 � I"Aluminum Frame v EXTERIOR , , N Post Detail d L 01 N N � o Co 11`444 1 r,-0ea c V N W y �+ Property of 6eorge.Davis Builders,Inc.; Do Not Reproduce I' w I i a Right Elevation 1/4" P = L t fD u- W O U N V) a yi �I4S, C "O O c M N Left Elev ation I C N s �n. i L: C + o -011 11,4 b Property of George Davis Builders,Inc.; Do Not Reproduce 4" PVC ROOF VENT �oo.00' NOTE: DESIGN FLOW = 330 GALLON S/DAY ' Design Criteria LOT 5 15,000 S.F. - - - - - - - RESERVE AREA I TEE VENT Number of bedrooms: 3 Equivalent to 330 gal. s/day SURFACE VENT LOCA170N 30.0' 4" VENT Garbage disposal unit: NO TO 8E DETERMINED TO HOUSE , COVER To GRADE Leaching area capacity required: 330 gal.'s/day /N THE FIELD _ --r------n PROPOSED HOUSE Side area proposed: 157 s ft. \ o --- - -- - F.F. = 50.0 COVER TO GRADE Bottom area proposed: 324 sq. ft. Q- fff FINISH GRADE OVER THE Total area proposed: 481 sq. ft. 7SLOPE , , , , /� /�/\ SAS =48 Proposed leaching capacity: 356 gal.'s/day RUCK F/LIER � 1s x 4 High Copoci`y Infiltrators with 2' SLOPE It' WIDE X ` D. BOX of stone on ends, 4' of stone on 0.02 - 001 i\/�/i,. /�/i� Water supply: Town PP Y� �./ Precast concrete units: H-10 & H-20 loading design 14'LONG � ..: sides, 2' in between & 1' be/ow. 1000 GALLON RUCK SAND 0 5' 5' 0 N BLACKWATER 4 INFILTRATORS WITH 2' OF STONE N o SEPTIC TANK Ln o FILTER Dist. box Z' ON ENDS & IN BETWEEN, 4' ON 1000 GALLON `0 1000 GALLON �� uj s- 0.01 level SIDES & 1' BELOW. BLACKWA 7FR 1 GREYWA IFR II O.Ot SEPTIC TANK _ SEPTIC TANK `� 11 H-1 ll II 1000 GALLON N o `'t > w SEPTIC TANK N N �- TEST HOL E /NFORMA T/ON L9Y z > �' 7N N CV CV N N rn BOTTOM ELEV. = 40.04 BAXTER & NYE, INC �O z z Z 1.5' PER�OL A TIDN RA TE 5 M/N//NCH 0 0 PROFILE I I I I H-:2 0 I I u u n 5.o' NO GROUNDWA TER ENCOUNTERED 6' CRUSHED COMPACTED STONE � F- , LOWEST TEST BOTTOM OF TEST PIT Y w w w w of w HOLE ON LOT 6 ELEV.= 38.5 SOIL LOG Not to Scale > > > > PROPOSED HOUSE 102' J z z z z z z Z FF.�So.o / 0° ELEV_= 38.5 _ DEPTH SOILS ELEV. 6 CRUSHED COMPACTED S70NE O 49 0 l 2.0' SAND 47.0 ALL ACCESS MANHOLE COVERS FOR >0.2' SEPTIC TANK, DISTRIBU70N BOX, AND LEACHING STRUCTURE SET MORE PROPOSED HOUSE THAN 6" BELOW FINISHEt) GRADE, MEDIUM COVER TO GRADE SHALL BE RAISED TO WITHIN 6" OF o 2-20" Diameter Access Holes ' PLAN REFEFENCE. F.F. = 50.0 SAND CERTIFIED PLOT PLANTP FINISHED GRADE. ; INLET OUTLET o�� 3 BAXTER & NYE, INC. ® a SCALE: 1" = 40' s= 0.218 4" PERFORATED PVC INSPECTION HOLE �' 10.5' 38.5 � PLAN DATE: 10/30/96 a LOT 5, FALLING LEAF LANE loon GALLON If I OSTERVILLE, MA. GREYWATER o u� SEPTIC TANK o �^ �- co `t 16" - It FRAME & COVER 100.00 1t„ STEEL REINFORCED PRECAST CONCRETE OVER "T'S" WHERE REQUIRED. II „ I H-20 II PLAN VIEW Ir- P PRECAST CONCRETE FAL L MIG LEAF LANE W TANK RISER WHERE > Z > I 34" I s._3" I 3„ - REMOVABLE COVERS 3" REQUIRED 6" CRUSHED COMPACTED STONE 4„ : • Q � 3" min. clearance required —�- " INLET "T" INLET 2" min. inlet to outlet 6" min. OUTLET 13 PLAN VIEW OF RUCK SYSTEM LAYOUT TYPICAL HIGH CAPACITY INFILTRATOR (H-20 LOADING) 10" min. 14" min. r = r cL O' G R E YWA TE R PROFILE. INSTALL TUFTITE SPEED LEVELERS NOT TO SCALE I =E � v v1 ON ALL OUTLET PIPES o GABS BAFFLE 0 16.5" CONCRETE COVER 5 -. 5" OUTLET • 3. 14 • . "PERMALON PLY 210 8 0 4'-10 KNOCKOUTS �� . m �- CONTAINMENT LINER - ' OR APPROVED EQUAL ! r \ I 1 �2-20" Diameter Access Holes — — OUTLET INLET 19.5" �? CROSS—SECTION END SECTION 4 PVC VENT PIPE 9" N• 4" PVC SURFACE VENT PIPE _� t1.25" INLET OUTLET TYPICAL 1000 GALLON SEPTIC TANK (H-10 LOADING SCREEN PERF. 2" PVC-PIPE-EVENTS------------------------ ------------=------------------------- 1.75• '; NOT TO SCALE 31 11 I � — I MIN. CROSS SECTION I---- --- - r-: ,--� FINISHED GRADE FRAME & COVER 1 I 1 STEEL REINFORCED PRECAST CONCRETE OVER "rs" WHERE REQUIRED. r v PERF. 4" PVC PIPE (DISTRIBUTION) i i IALL OUTLET PIPES FROM THE 4„ PVC PIPE I I i 1 !DETRIBVEL FORUTION OATSLEASTHALL B2 FT. PLAN VIEW 1 _ I PRECAST CONCRETE PLAN NOT VALID UNLESS RED STAMPS PERF.-4" PVC PIPE (COLLECTION)-� ---u- f REMOVABLE COVERS 6" TANK RISER WHERE i 6" REQUIRED APPEAR BELOW �----------- --------------------------------- --- - - PITCH 11 11 - -- ------------------------------------ II --- - - , t 15.5" 3" min. clearance required - » I I I i —,— q 13 INLET "r. .' 'PHIS RUCK DESIGN IS SUBJECT 4 PVC 'VENT PIPE 1 r PITCH i \ INLET2" min. inlet to outlet 6 n. OUTLET TO A PATENT AND REMAINS A I I �_ I I A ( 10" min. „ THE EXCLUSIVE PROPERTY OF t ° PERF. 4" PVC PIPE (DISTRIBUTION) 1 VENT PIPE DETAIL o c a 14 min. c a o ' 11 1 ; 20" INNOVATIVE RUCK"SYSTEMS INC. NOT TO SCALE 10 TUF-TITE _ COPYING OR INFRINGEMENT OF • I , •I t FLAN SECTION GAS BAFFLE _ THIS DESIGN IS PROHIBITED o a 11 - / --------------------------------------------------JI LJ ----------------,-,----------------------------------J PERF. 2 PVC PIPE (VENTS) • . " AIOTTC'E 4" PVC ROOF VENT. PIPE 6 HOLE DISTRIBUTION BOX 6 8'_0" 5' 3" Unless and 1ut"il such time as the orI INSECT SCREEN (red)stamp of the responsible Professional NOT To SCALE CROSS—SECTION END—SECTION Engineer appears on this plan TYPICAL 1000 GALLON SEPTIC TANK (H-20 LOADING (A)ni person or persons, offici mg any O BE 3' AB0VE � municipal or other public officials,may rely PLAN FINISH GRADE upon the information contained herein;and 4" DIA. PVC PIPE NOT TO SCALE (B)this plan remains the property of 4" DIA. VENT PIPE TO BE VENTED BACK (VENT) THE SIDES OF THE FILTER MAY BE SLOPED. THE REQUIRED AREA OF THE Innovative RUCK Systems,Inc. TO THE FACILITY AND UP THROUGH ROOF TO FILTER SHALL BE THE MIDDLE LAYER OF THE INDRAINS. SAME ELEVATION AS PLUMBING VENT SLOPE THE CONTAINMENT LINER SHALL BE CAPABLE OF WITHSTANDING A PH OF 3.0 FILTER CLOTH- TYPAR 3401 " AS MANUFACTURED BY LINO GEOTEXTILE 18 OVERLAP BETWEEN LINER 18" OVERLAP BETWEEN LINER AND FILTER CLOTH DIVISION OR APPROVED EQUAL AND FILTER CLOTH 4' VENT TO FACILITY GENERAL- NOTES 4 _ o o a o 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 6' STONE o 0 0 0 o b o 0 0 0 1) No change to this system shall be made unless DATE DESCRIPTIONjDrawnlChecked I , " I , - I a roved in writin b Innovative RUCK S stems, Inc. 7 INDRAINS 7 INDRAINS PP 9 Y Y ,:... ., I a 2 Sub 'ect to inspection duringconstruction b the "PERMALON PLY 210 �, � . � " . 5 SAND , , , w 5 SAND r. . a and of Health Innovative t CONTAINMENT LINER > 2" STONE-:: Bo J eal p and nova iRUCK Systems, Inc. PLOT PLAN 7 INDRAINS , I z 7" INDRAINS I i 4, 4„ Heavy construction equipment shall not travel OR APPROVED EQUAL _ 3) YOF PRO RUCK SYSTEM ti :r f �; iSTEM 5 SAND" � 5° SAND •: > , r over disposal system during or after construction. POSED RU 1 I 7" INDRAINS , i PREPARED FOR � 2" STONE- 7" INDRAINS i Disposal system to be constructed in accordance 1 . 1 4 with Title 5 of the State Environmental Code. McSHANE CONSTRUCTION Co. 5 SAND a E ` Q 5 SAND ,. 5 A copy of these plans must be kept on e site FOR LOT 5, FALLING LEAF LANE 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 0 0 o 6' STONE IN ::. PITCH.--4r.,..,....... `PITCH :. I I OSTERVILLE BARNSTABLE, MA .:.... . . . . •PITCH ' �• �' --- � ' • � �' 6) A copy of these plans must be furnished to the contractor constructing the disposal system. 4" PVC PIPE 7) Before backfilling, the contractor shall notify SCALE: AS SHOWN DATE: AUG. 11 , 1999 ��'� �� pit ,.� . . 4" LAYER OF COMPACTED (DRAIN) Innovative RUCK Systems Inc., or the Board of Health `` ` 'c FINE SAND 4 LAYER OF.COMPACTED Y NOTE: DUE TO VARYING METHODS FINE SAND M!CP111ELB. 4' DIA. PERFORATED PVC PIPE ,SECTION B•—B PROVIDE 1-1/4" PITCH FROM Agent to inspect the system as constructed. Innovative RUCKS stems, IncaOuRTH , OF INSTALLING THE LINER, THE CONTRACTOR EDGE TO CENTER. v -' SHALL FURNISH SHOP DRAWINGS DESCRIBING 8) If the cover over the Grey Water Septic 200 main Street ch/IL SECTION A—A THE INSTALLATION FOR REVIEW AND APPROVAL �40.sS� Tank Is more than 4 then the Gray Water Septic Tank t Y P falmouth, ma. 02540 ® must be H-20. RUCK SAND FILTER DRAWN: TMS,NS CHECKED: NOT TO SCALE 99314.DWG LIC. NO.: 0201189314 DWG. NO.: 73-1 -3 SHEET 1 of 1