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HomeMy WebLinkAbout0123 FALLING LEAF LANE - Health 123 Talling-teaf Lane', Osterville Fast A = 144 003014 • `� 1p - a I N C 0`R:P 0 R'A T E D 8450 Cole Parkway ■ Shawnee, KS.66227:■ Phone: 913-422-0707 ■ Fax: 913-422-0808 e-mail: onsite@biomicrobics.com • www.biomicrob cs.com ■ 800-753-FAST(3278) January 23, 2004 RECEIVED FEB 1 3 2004 TOWN OF BA_RNSTABLE HEALTH DEPT. Barnstable.Board of Health` P.O. Box 534 Hyannis, MA 02601-534 Re: Jeffrey Gagnon Residence Dear Board of Health Official: Enclosed are the field test results and inspection forms dated 3/21/03, 6/3/03 & 10/8/03 for: Jeffrey Gagnon 123 Failing Leaf Barnstable, MA If you have any questions or concerns please do not hesitate to contact me. Regards, Allison Blodi9, REHS Regulatory Affairs Coordinator Bio-Microbics, Inc. (913)422-0707 cc: Massachusetts file for 123 Falling Leaf Lane, Barnstable, MA COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 MITT ROMNEY ELLEN ROY HERZFELDER Governor Secretary KERRY HEALEY ROBERT.W.GOLLEDGE,Jr. Lieutenant Governor Commissioner October 3, 2003 Jeffrey W. Gagnon 123 Falling Leaf Lane Barnstable, MA 02655 Re: Alternative On-site Sewage Treatment IV Sampling Reduction Request DEP Facility ID: mfp03 / ACT Q 6 2003 123 Falling Leaf Lane,Barnstable TOWNf r tht fu3TrlE3LE HF tLTH DEPT. Dear Mr. Gagnon: The Department has received a request from you dated August 4, 2003 requesting a change in the status of the above referenced alternative on-site sewage disposal:system(system) from year, round operation to seasonal. The Department, having reviewed the monitoring data for the system's treatment technology, in general, and your system,approves your request. The Department's approval is with the understanding that this facility serves a seasonal residence which is occupied less than six months per year. Effluent sampling of your system is required one time per year. The sampling shall be conducted within two weeks of system shutdown. Note that no further reduction in monitoring or sampling can be allowed. Please be aware that the Department's approval for this treatment technology requires that the owner of the system,throughout the system's use, shall be under an operation and maintenance agreement with a person or firm qualified to provide services consistent with the system's specifications. The operator must continue to maintain/inspect the.system . The operator must maintain the system at least twice over the seasonal occupancy period and,anytime there is an alarm event. However, should the residence be occupied for six months or more in any year,,then the Department must be notified in writing and quarterly O&M inspection and sampling requirements would apply for that year.. Additionally, as required by the Approval for the system, any time the operator changes, you shall notify the Department and the local approving authority, in writing,within seven days of such change. This information is available in alternate format.Call Aprel McCabe,ADA Coordinator at 1-617-556-1171.TDD Service-1-800-298-2207. DEP on the World Wide Web: http://www.mass.gov/dep Za Printed on Recycled Paper r - � R Sample Reduction Request dated June 9, 2003 Page 2 DEP Facility ID: MFP03 123 Falling Leaf Lane Osterville If the concentration of BOD, TSS or TN in the annual effluent sample from your system exceeds the 30 mg/L or„19 mg/L limits, then within 45 days of the annual sample you must both have your system sampled again and submit the results to the Department. Provided that the second sample meetsAhe 30 mg/L and 19 mg/L limits for BOD, TSS and.TN, you may resume annual monitoring of your system. However,if the second sample does not meet the 30 mg/L or 19 mg/L limit for BOD, TSS or TN, you must begin twice yearly monitoring of your system, once within 45 days of startup and once within two weeks of system shutdown. Following two consecutive samples demonstrating the system meets the 30 mg/L and 19 mg/L limits for BOD, TSS and TN, the Department would favorably consider another written request to reduce monitoring. The Department is now requiring the use of a DEP approved inspection form and technology checklist. A copy of the "DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems" and the FAST O&M checklist must be submitted to the Department and local Board of Health for each O&M inspection performed. The certified operator under contract to operate and maintain the system must complete these forms:,Enclosed are copies of these forms. These forms and the sampling results must be submitted to the Department within 45 days of the inspection. This reduction in monitoring requirements.is conditioned upon your compliance with the Approval and the requirements in this letter. Please be aware this change in monitoring does not apply to any local requirements. You should discuss any changes from the local monitoring requirements, if any apply to your system, with your local.Board of Health officials. You should check with the local Board of Health prior to reducing effluent monitoring and reporting to ensure that the reduction would be consistent with any local requirements. If you have 'any"questions please feel free to contact Dana Hill,of my staff, at (617) 292- 5867. Sincerely, Steven H. Corr, P.E., Environmental Engineer V Watershed Permitting Program Enclosures: 2 (addressee only), . cc: Wastewater Treatment Services, Inc.,44 Commerical Street, Raynham,MA 02767 Barnstable BOH DEP- SE Regional Office,B. Dudley r INCORPORATE O 8450 Cole Parkway. Shawnee, KS 66227■Phone 913-422-0707■ Fax: 912-422-0808 e-mail: onsite(&-biomicrobics.com■www.biomicrobics.com■800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER= r4 1 Lot 14-Falling Leaf Lane , Installation Address Name Owner Name Jeff Gagnon Street gl-w r rC 41 h 7e ' YW Mail Address Lot 14-Falling Leaf Lane Mail Address City Osterville,MA,02655 44 co�ne�aal street Raynnem,MA 02767 Tel:(508)880.0233 Fax(508)880.7232 city 508-880-7232 Phone Fax e-mail Phone Fax e-mail l`f.:,INSTALIATION INFORMATIQN �¢ 0, Model No. Serial No. Date of Installation Date of last ptmipotrt 2423 05/18/00 :g, YES.-K Electrical Panels - Visual Alarm Operating Audio Alarm Operating if resent Blower(s) ' Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment un! s Unusual Odor Pumpout Required: Prim Settling Zone Aerobic Treatment Zone EFFLUENT(optional) LE WIT RESULT Estimated Daily Flow 1716 Bedrooms H Standard Units k Color Temperature Odor _ `�R h • 'r CHNIC t NATURET SERVICE DATE Al z a �s•: s ., I r-- COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02I08 617-292-5500 DEP Approved Inspection and O&NI Form for Title S UA Treatment and Disposal Systems --:: Installation.address: Installation U Authorized Service Provider 123 Falling Leaf Lane: O&M Finn: Osterville MA �Ua�trcuater 5i+eatinuiG Jtruice� .9it�. Owner Name: Mail Address: i Jeff Gagnon 44 commercial street,Raynham,MA 02767 Mail Address: 11 Ledge Hill Road Tel'(sob)660 0233 Fax (506)ai30 7232 ' Southborough,MA 01772-1116 Telephone No.: i 5084288500 Certified Operator Name: __ Telephone No.: •�� i i DEP No.: Mfr.No.: Cert.No.: q6 (11 ! v tiJ 2423 6 �p I Model No.: Installation Date: girt o f Operation: S/18/00 Approval T General rovision I Piloting Remedial �Yejs ' val Residence—used less than 6 mo./year: (Circle) Operating Information P Previous Inspection Date: Inspection D te: e P Sludge Depth:(to be checked yearly) Pumping,Recommended(Circle) Yes o Effluent Description: Attach copy of certified lab results. Check all that are required / e&at_) , X—A2 Samples:Muent Effluent y Parameters: &H SS I1 Other C►tlier `-� `-� Other Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection and During this Inspection: Notes and Comments: VY- I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached manufacturer's operation and maintenance checklist,and the information reported is true, accurate, and complete as of the time of thp inspection. I am a Massachusetts certified operator in accordance with 257 CNIR 2.00. : 4 Operator Signature at System owner must submit Remedial Use—by January 3I"of Department of Environmental this report, manufacturer's each year for the previous calendar Protection O&M checklist,and any year Attn: Title 5 Program J required sampling results Piloting& Provisional Use- within E A= to the-{ecal Board of Health LO days of inspection date One Winter Street, 6'h Floor M General Use—by September 30'"of Boston, NIA 02108 and DEP as follows for each year for the previous l'_months each inspection performed: -x GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: 123 Falling Leaf,Osterville Matrix: Aqueous Project: Gagnon/2423 Received: 10-08-0316:00 Client: Wastewater Treatment Services Lab ID: 65666-01 Sampled: 10-08-03 09:00 Container: 1 L Plastic Preservation: Cool `� ... •Anal a Result CJnits RLr Df volume Yt Analyzed: . QC Batch,':r..Method`w' Inst`Anatvu Biochemical Oxygen Demand I 8 mg/L Y6 3 100 mL 10-08-03 18:01 BOD-1447-W SM 5210 B 3 DDW Solids,Total Suspended I BRL mg/L 10 1 100 mL 10.10-03 08:45 TSS-0882-W SM 2540 D 4 MW pH i 6.8 pH NA 1 50 mL 10-08-03 21:55 PH-1552-W SM 4500-H+B 2 DDW Lab ID: 65666-02 Sampled: 10-08-03 09:00 Conain- 250 mL Plastic Preservation: H2SO4/Cool 1� Analyte`j. - -t .Y:'Result 3; Units Rla i3F xofume "sAna�l eds;QCBatch ,tMeffio Inst Amara xxxm. vnr- ..#et.. e. •.:r'...:v. ...:...a...Yv Ammonia(as Nitrogen) 0.9 mg/L 0.2 1 50mL 10-14-0319:19 AM-1233-w SM4500-NH3BG 1 Dow Nitrogen,Total Kjeldahl(TKN) 1.5 mg/L 0.5 1 20mL 10-15-0316.32 TKNA201 w FEPA351.2 r Avs Lab ID: 65666-03 Sampled: 10-08-03 09:00 container: 250 mL Plastic Preservation: Cool .rAnayten S'�F`�6�.4 L ..y a ,� �Y'R� % �t T§P 'k yprs Yi' SL 1h.1.f j�`- .3j 3.. 5Resuutits3 . ,.nits . ,: p _ 1 a1Yf� _ atcht Instz Nitrate(as Nitrogen) 16 mg/L U.1 5 1 mL 10-08.0322:51 NI-1905-w SM4500-NO3F1 LJD Nitrite(as Nitrogen) 0.23 mg/L 0.02 1 5 mL 10-08-03 22:14 NIA905-W SM 4500-NO3 F t LJD Method Reference. 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,Twentieth Edition(1998),and Test Methods for Evaluating Solid Waste,US EPA,SW-846,Third Edition,Update III(1996). Report Notations: BRL Indicates concentration,if any,is below reporting limit for analyte. Reporting limit is the lowest concentration that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample size and dilution. RL Reporting Limit. DF Dilution Factor. 1 Instrument ID: Lachat 8000 Autoanalyzer 2 Instrument ID: Accumet AR50 3 Instrument ID: YSI 5100 4 Instrument ID: Mettler AT 200 Balance Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 r., Mn , R. �M� INC0R ATEn 8450 Cole Parkway■ Shawnee, KS 66227■Phone 913-422-0707■ Fax: 912-422-0808 e-mail: onsit biomicrobics.com ■www.biomicrobics.com ■ 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE- rr PROVIDER Lot 14-Falling Leaf Lane Installation Address Name Owner Name Jeff Gagnon Street Mail Address Lot 14-Falling Leaf Lane Mail Address City Osterville,MA,02655 44 comment street R&vnhaM.MA 02767 Tel:(508)880-OM Fax(508)880.7= city 508-880-7232 Phone Fax a-mail Phone Fax e-mail INSTALLATION INFO Model No. Serial No. Date of Installation Date of last pumpout 2423 05/18/00 EQUIPMENT r � -; )1NTNt1NCEPERFORMEpAI�ID;COr�MF Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating if resent Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment uni s Unusual Odor Pumpout Required: Prim Settling Zone Aerobic Treatment Zone EFFLUENT(optional) LE WIT RESULT Estimated Daily Flow 1716 Bedrooms H Standard Units - Color Tem erature Odor JECHNICLW12NATURE r SERVICE DATE �✓ COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02 t08 6 t7.292-5500 DEP Approved Inspection and O&NI Form for Title 5 UA Treatment and Disposal Systems Installation Authorized Service Provider Installation Address: � 123 Falling Leaf Lane: U&iVl Finn: Osterville AAA �Uasteu�atr�9ieQtinut��Uvice� .9iu.. Owner Name: Mail Address: Jeff Gagnon 44 Commercial street.Raynham,MA 02767 Mail Address: 11 Ledge Hill Road Tee:tsoel Fax lsoal a6a72s2 i Southborough,MA 01772-1116 Tele hone No.: Tele hone No.: 5084288500 Certified Operator Name: �— DEP No.: Mfr. No.: Cert.No.: I 2423 (0 � I Model No.: Installation Date: gp�t p 5/18�00 Operation: Approval TSca� I onal Residence—used less than 6 moJyear: (Circle) General rovision 1 Piloting Remedial Yes No Operating Information tp Previous Inspection Date: Inspection D te• Sludge Depth: to be checked ' P ( yearly) Pumping commended(Circie> i Effluent Description: Yes o Attach copy of certified lab results. Check all that are required / Samples:Influent Effluent y /`1(J Parameters: g� Other C V Other Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection and During this Inspection: Notes and Comments: _ I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached manufacturer's operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of th inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature System owner must submit Remedial Use—by January;l"of at year for the previous calendar Department of Environmental this report, manufacturer's each a Protection O&M checklist, and any year Attn: Title 5 Program required sampling results Piloting& Provisional Use- within LQ days of inspection date One Winter Street, 6'" Floor to the-fecal Board of Health and DEP as follows for General Use—by September 30,"of Boston, ,*v[A 02108 each inspection performed: each year for the previous 12 months 5i 1,01 GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: 123 Falling Leaf,Osterville Matrix: Aqueous Project: Gagnon/2423 Received: 10-08-0316:00 Client: Wastewater Treatment Services Lab ID: 65666-01 Sampled: 10-08-03 09:00 c—i— t L Plastic Preservation: Cool Analyte J Result Units" .RL.,. .DF .volume Analyzed QC Batch Method Inst Aa*v Biochemical Oxygen Demand 8 mg/L I 6 3 100 mL 10-08-03 18:01 BOD-1447-W SM 5210 B I 3 'Dow Solids,Total Suspended I BRL mg/L 10 1 100 mL 10-IM3 08:45 TSS0882-W j SM 2540 D 4 MW pH 6.8 pH NA 1 50 mL 10-08-03 21:55 PH-1552-W SM 4500-H+B 2 Dow Lab ID: 65666-02 Sampled: 10-08-03 09:00 c—i— 250 mL Plastic Preservation: H2504/Cool Analyte Result Units RL: DE Y ed ofume `Anal C Batch Method htst Anal"' Q.. XZ.,_ Ammonia(as Nitrogen) 0.9 mg/L 0.2 1 50 mL 10-14-03 19:19 AM-1233-W SM 4500-NH3 BG 1 Dow Nitrogen,Total Kjeldah)(TKN) 1.5 mg/L 0.5 1 20ML 10.154316:32 TKN-1201-W EPA351.2 1 AVB Lab ID: 65666-03 Sampled: 10-08-03 09:00 Cwai— 250 mL Plastic Preservation: Cool a s c nafyte, r ;Y uKResutt Units RI' oluine tChY Asa - .,.... F Nitrate(as Nitrogen) 16 mg/L 0.1 5 1 mL 1008-03 22:51 NI-1905-W SM 4500 NO3 F 1 LJD Nitrite(a5 Nitrogen) 0.23 mg/L 0.02 1 5 mL 10-08-03 22:14 NI 1905-W SM 4500 NO3 F 1 Uo Method Reference: 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,Twentieth Edition(1998),and Test Methods for Evaluating Solid Waste,US EPA,SW-846,Third Edition,Update III(1996). Report Notations: BRL Indicates concentration,if any,is below reporting limit for analyte. Reporting limit is the lowest concentration that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample size and dilution. RL Reporting Limit. DF Dilution Factor. 1 Instrument ID: Lachat 8000 Autoanalyzer 2 Instrument ID: Accumet AR50 3 Instrument ID: YSI 5100 4 Instrument ID: Mettler AT.200 Balance Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 Jan 23 04 11 : 57a 508 880-7232 p. 3 RE, x c MOR P n 'R A T 0 8450 Cole Parkw W.Shawrft,KS 66W.Phone 913-422-0707. Fax: 912-42-2-0808 e-mail: onsiteCE)biomicrobics corn.www.bio nicrobics.com.800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST@ System INSTALLATION AUIHORiZHD SERVICE PROVIDER Lot 14-Falling Leaf Lane Installation Address Name Owner Name Jeff Gagnon Street Mail Address Lot 14-FaIIing Leaf Lane Mail Address. City Osterville,MA,02655 44 CmrmemW SaeeL Reynham•MA 027P city Tet(508)880.OM Fac(508)880.7232 Phone Fax a-mail 508-880-7232 Phone Fax e-mail INSTALILATION IXFORMATIW` Model No. Serial `.':�='%: No. Date of Installation Date of last pumpout 2423 05/18/00 ,,... :,:YES I:2!11�JTIIIANt�PXRFDRMED _.. . Electrical Panels i Visual Alarm Audio Alarm Operating if resent B1owe s Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment s Unusual Odor Pum at aired: Prim Settlin 2onc Aerobic Treatment Zone EFFLUENT(optional) LIMIT RESULT Estimated Dail Flow 1716 Bedrooms H Standard Units - Color Temperature 1 Odor TECIHNIEff 1 NATURE SERVICE DATE Jan 23 04 11 : 57a 508. 880-7232 p. 4 COMMONWEALTH OF MASSACHUSETTS. EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION U0 ONE WINTER STREET, BOSTON. MA 02108 617-292-5500 DEP Approved Inspection and O&NI Form for Title 5 IIA Treatment and Disposal Systems Installation :authorized Service Provider. Installation.Address: I23 Falling Leaf Lane: 0&1v1 Firm: i OsterviIle ) Owner Name: Mail Address: Jeff Gagnon 44 CommerdW street.Raynham.MA 02767 I y(ail Address: 11 Ledge Hill Road Tat(sae)880-= Fax(sos)aao-ns2 Southborough,MA 01772-1116 Tele hone No.: _ Tele hone No.: 5084288500 Certified Operator Nanc. DEP No.: Mfr_No.: Cum No.: 2423 Model No.: Installation Daze. 3Start o�Operation: I Approval T oval Residence-used less than 6 moJyear: (Circle) j General rovision I Piloting Remedial Yes No J Operating Information rDe"scrniption ction Date: Inspection te: Sludge Depth:(to be checked;,cult') Pumping ecommeaded(Crete) J Yes o iption: Attach copy of certified lab results. SamplCheck !!that�requved /Satapla:Intlucnt Effiu�e+nt VParameters: H� �S 6 Other / Other Overall System Condition: Description of any Maintenance Performed since Previous Inspection and During this Inspection: Notes and Comments: I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached manufacturer's operation and maintenance checklist,and the information reported is ne, accurate,and complete as of the time of ch inspection. I am a Massachusetts certified operator in accordance with 257 CNIR 2.00. Operator Signature I at System owner must submit Remedial Use-by January 3111 of Department of Environmental this report, maaufacturer's each year for the previous calendar Protection O&M checklist,and any year Attn: Title 5 Program required sampling results Piloting& Provisional Use-within to the4Qcal Board of Health 3O days o('inspection date One Winter Street, 6,h Floor and DEP as follows for General Use-by September 30"$or Boston, :VIA 02108 each inspection performed: each year for the previous l'_ months 51101 Oct 27 03 12: 41p 508 880-7232 p. 3 DVIb T ANALYTICAL Inorganic Chemistry " .Field ID: 123 Falling'Leaf,Osterville Project: Gagnon/2423 Matrix: Aqueous . Client: Wastewater Treatment Services Received: 10-08.03 16:00 Lab ID: 65666.01 Sampled: 10-08-03 09:00 co mi 1 L Plastic Preservation: Cool Me Biochemical /fltilyzted s'r'QC Batch lltod (ntit Oxygen D'mand•Y. 8 mg 6 3 100 mL taotw]1t1:01 90D-1447-W sm 5210 a 3 oDW Solids To tal Suspended BRL. mg/L 10 1 100 mL 10-10,43 oa4s TSs41ee2-w 5M 2540 0 4 MW pH - - 6.6 pH NA -1 S0 mL IO1x403 2155 PH-1552-W SM 4S0o-H+8 ] Dow Lab ID: 65666,02 Sampled: 10418413 09:00 canine:250 mL Plastic Preservation-. H2SO41Cool . :Ammonia(as Nitrogen) - _ 0.4 mi 0.2 t s0 tor. 10-1403 19-19 AM-1233-W• SM 430004M 0G 1 DDw - Nitrogen,Total Kjeldahl(TKM 1.5 fri O.S 1 20mt. tats.o3 iii T104-1201-W EPA3S1.2 t Ave Lab ID: 6566&03 Sampled: 1041"3 09.00 cam m 250 mL Plastic Preservation: Cool Nitrate(as Nitrogen) - - 16 - mi 0.1. s 1 mi 10-MO3 22-s1 .NL1905-W SM 4500-No3 F 1 LJD . Nitrite(as Nitrogen) 0.23 mi 0.02 1 s mL tO4"3 22:14 NI.1905-W SM 4500-NO3 F t uD Method Reference Methods for Chemist Analysis of Water and Wastes,US EPA,EPA-6W4-790-020(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,Twentieth Edition(1998),and Test Methods for Evaluating Sorel Waste,US EPA,SW-846,Third Edition.Update III 11996). Report Notations BRL 'Indicates tbthcetflratioq if any,is below repotting limit for anatyte: Reporting limit is the lowest concentration that can be . reiubly quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample size and dilution. RL Reporting Limit ' DF Dilution Factor. 1 Instrument ID-. Lac hat 8000 Autoarralyz� /� 2 Insuuni to-Aecwnet AR50 (� +� 3 Instrument ID. VSI5100 ' o \✓ 4 Instrument ID, Mettler AT 200 Balance :.Popy Groundwater Analytical, Inc.;P.O. Box 1200, 228 Main Street, Buzzards Bay,MA 02532 I � . COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS . DEPARTMENT OF ENVIRONMENTAL PROTECTION W ONE WINTER STREET, BOSTON, 08 617.292-5500 MITT ROMNEY SEP 2 9 2003 ELLEN ROY HERZFELDER Governor Secretary KERRY HEALEY TOWN OF$AR - ROBERT W.GOLLEDGE,Jr. Lieutenant Governor HEALTH!. I Commissioner September 25, 2003 Jeffrey W. Gagnon 123 Falling Leaf Lane Barnstable, MA 02655 Re: Alternative On-site Sewage Treatment Sampling Reduction Request DEP Facility ID: mfp03 123 Falling Leaf Lane,Barnstable Dear Mr. and Ms. Gagnon: The Department has received a request from Wastewater Treatment Services,Inc. dated June 9, 2003 providing information on the performance of the above referenced alternative on-site sewage disposal system(system) and requesting a reduction or elimination of effluent monitoring and reporting on a quarterly basis on this system. The Department,having reviewed the monitoring data for this technology, in general, and your system, approves the request to reduce effluent monitoring of the system, from four times to one time per year. The change in monitoring requirements in no way changes the requirement that, throughout its use, the system shall be under an operation and maintenance agreement with a person or firm qualified to provide services consistent with the system's specifications. The operator must maintain the system at least every three months and anytime there is an alarm event. Additionally, as required by the Approval for the system, any time the operator changes, you shall notify the Department and the local approving authority, in writing,within seven days of such change. The Department is now requiring the use of a DEP approved inspection form and technology checklist. A copy of the "DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems" and the FAST O&M checklist must be submitted to the Department and local Board of Health for each O&M inspection performed. The certified operator under contract to operate and maintain the system must complete these forms. Enclosed are copies of these forms. These forms and,the sampling results must be submitted to the Department within 45 days of the inspection. This information is available in alternate format.Call Aprel McCabe,ADA Coordinator at 1-617-556-1171.TDD Service-1-800-298-2207. DEP on the World Wide Web: http://www.mass.gov/dep 10 Printed on Recycled Paper ,, 04 Sample Reduction Request dated June 9,2003 Page 2 DEP Facility ID: MFP03 123 Falling Leaf Lane Osterville Please note that the Department is now requiring the use of a DEP approved inspection form and technology checklist. You must submit,by September 30t'of each year, a copy of the "DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems" and the FAST O&M checklist to the Department and local Board of Health for each O&M inspection performed during the previous calendar year. The certified operator under contract to operate and maintain the system must complete these forms. Enclosed are copies of these forms. This reduction in inspection requirements is conditioned upon your compliance with the Approval and the requirements in this letter. Please be aware this change in the inspection requirement does not apply to any local requirements. You should discuss any changes from the local monitoring requirements, if any apply to your system, with your local Board of Health officials. Should you have any questions regarding this matter, please do not hesitate to contact Dana Hill, of my staff, at (617).292-5867. Sincerely, Steven H. Corr, P.E., Environmental Engineer.V Watershed Permitting Program Enclosures: 2 (addressee only) cc: Wastewater Treatment Services, Inc., 44 Commercial Street, Raynham, MA 02767 DEP-SERO, B. Dudley Barnstable BOH r- r� COMMONWEALTH OF MASSACHUSETTS W EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 s MITT ROMNEY Governor ELLEN ROY HERZFELDER Secretary KERRY HEALEY ROBERT W.GOLLEDGE,Jr. Lieutenant Governor Commissioner July 31, 2003 Jeffrey W. Gagnon 123 Falling Leaf Lane Barnstable, MA 02655 Re: Alternative On-site Sewage Treatment RECEIVED Sampling Reduction Request DEP_Facility ID: mfp03_ AUG 0 4 2003 J23 Falling Leaf Lane,Barnstable TOWN OF BARNSTABLE HEALTH DEPT. Dear Mr. and Ms. Gagnon: The Department has received a request from Wastewater Treatment Services, Inc. dated June 9, 2003 pr"oviding information on the performance of the above referenced alternative on-site sewage disposal system(system) and requesting a reduction or elimination of effluent monitoring and reporting on a quarterly basis on this system. The Department, having reviewed the monitoring data for this technology, in general, and your system, approves the request to reduce effluent monitoring of the system, from four times to one time per year. The change in monitoring requirements in no way changes the requirement that, throughout its use, the system shall be under an operation and maintenance agreement with a person or firm qualified to provide services consistent with the system's specifications. The Y operator must maintain the system at least every three months and anytime there is an alarm F event. Additionally, as required by the Approval for the system, any time the operator changes,you shall notify the Department and the local approving authority, in writing, within seven days of such e., change. The Department is now requiring the use of a DEP approved inspection form and technology checklist. A copy of the "DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal.Systems" and the FAST O&M checklist must be submitted to the Department and local Board of Health for each O&M inspection performed. The certified operator under contract to operate and maintain the system must complete these forms. Enclosed are copies of these forms. These forms and the sampling results must be submitted to the Department within 45 days of the inspection. This information is available in alternate format.Call Aprel NlcCabe,ADA Coordinator at 1-617-556-1171.TDD Service-1-800-298-2207. DEP on the World Wide Web: hUp://www.mass.gov/dep Z�� Printed on Recycled Paper j Sample Reduction Request dated June 9, 2003 Page 2 DEP Facility ID: MFP03 123 Falling Leaf Lane Osterville f If the concentration of BOD, TSS or TN in the annual effluent sample from your system exceeds the 30 mg/L or 19 mg/L limits, then within 45 days of the annual sample you must both have your system sampled again and submit the results to the Department. Provided that the second sample meets the 30mg/L and 19 mg/L limits for BOD, TSS and TN, you may resume annual monitoring of your system. However, if the second sample does not meet the 30mg/L or 19 mg/L limit for BOD, TSS or TN, you must resume sampling your system four times per year. Following four consecutive samples demonstrating the system meets the 30 mg/L and 19 mg/L limits for BOD, TSS and TN, the Department would favorably consider another written request to reduce monitoring. This reduction in monitoring requirements is conditioned upon your compliance with the Approval and the requirements in this letter. Please be aware this change in monitoring does not apply to any local requirements. You should discuss any changes from the local monitoring requirements, if any apply to your system, with your local Board of Health officials. You should check with the local Board of Health prior to reducing effluent monitoring and reporting to ensure that the reduction would be consistent with any local requirements. 5867. If you have any questions please feel free to contact Dana Hill, of my staff, at(617) 292- Sincerely, Steven H. Corr, P.E., Environmental Engineer V Watershed Permitting Program Enclosures: 2 (addressee only) cc: Wastewater Treatment Services, Inc.,44 Commerical Street, Raynham, MA 02767 Barnstable BOH DEP- SE Regional Office, B. Dudley i I 4 f ....., L low 4113 iRC0RP0RATE0 8450 Cole Parkway■Shawnee, KS 66227■Phone 913-422-0707 ■ Fax: 912-422-0808 e-mail: onsite Mbiomicrobics.com ■www.biomicrobics.com ■ 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Dome FAST® System INSTALI:ATION :_ :. ,-, `AUTHORIZED SERVICE PROVIDER°'" ' 123 Falling Leaf Lane Installation Address Osterville MA 02655 Name Wastewater Treatment Services,Inc Owner Name" Jeffrey Gagnon Street Mail Address: 123 Falling Leaf Lane Mail Address 44 Commercial Street_ Osterville,MA 02655 Raynham, MA 02767 City State Zip : 508-880-0233. 508-880-7232 Phone 5084288500 Fax e-mail Phone Fax e-mail r:1NSTALLA'TION INFORMATION; Model No. Serial No. . Date of Installation .Date of last pumpout MicroFAST 2423 5/18/00 :t • T .- i', t :��� YFSst RQItfED 1ll,CO3 !*SY ; Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating if resent - Blower s Air Inlet Filter Clean Blower Hood Vents Clear t/ Excessive Noise i/ Excessive Vibration Treatment unit(s) Unusual Odor Pum out Required: Primary Settling Zone t/ Aerobic Treatment Zone EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 3 Bedrooms H(Standard Units) /'1' i I ,-t 1 Color Temperature J 3.6 Odor T:LCI,TNICIAN SIGNATURE SrF.\'1Ct. n1:TL COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ; ONE WINTER STREET, BOSTON, MA 02108 617.292.5500 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems Installation Authorized Service Provider Installation Address: 123 Falling Leaf Lane 0&M Firm: Osterville, MA Wastewater Treatment Services,Inc. . Owner Name: Jet Mail Address: 44 Commercial Street Mail Address: 123 Falling Leaf Lane Raynham,MA'.02767 Osterville,MA 02655 Telenhone No.: RRO-0231 Teieahone No.: 5084288500 Certified Operator Name: DEP No.: 1yTh No.: 2423 Cen.No.: Model No.: [Installation Date: Start of.Operation: MicroFAST 05/18/2000 Approval Type:(E' le) Seasonal 'deuce—used less than 6 moJyear. (Circle) General rovisional Piloting Remedial I Yes o Operating Information Previous Inspection Date: Inspection Dace: Sludge Depth:(to be checked yearly) Pumping ommended(Cucle) - Yes Effluent Description: Attach copy of certified lab results. " Cheat all that are required Samples:Influent Effluent Parameters: p � j Other l er ether Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection and During this Inspection: No,es and Commen d 1� 1 . I certify: I have inspected the sewage treatment and disposal system at the address above,have completed this report and the attached manufacturer's 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. Operator Signature ,Date System owner must submit _. Remedial.Use—by January 31'of; Department_ of Environmental this report, manufacturer's each year for the previoLls calendar Protection _ O&VL checklist, and any year Attn: Title 5 Frcgram required sampling results Piloting 3 Provisional Use within One 'Ali nter Street, 6`h Floor ;0 days of inspection mate Boston )L-k 02108 to the local Board of Health y p Kad DEP as follows for General Use—by September:0 of ' ' :.rrcc:it,n Iier{urn:;c:f` Cf`. - - - - GROUNOWATER ANALYTICAL Inorganic Chemistry Field ID: . 123 Falling Leaf Matrix: Aqueous. Project: Gagnon/2423 Received: 06-04-03 Client: Wastewater Treatment Services Lab ID: 61665-01 Sampled: 06-03-03 14:30 Container: 250 mL Plastic Preservation: Cool Reporting Analyte Result Units limit Analyzed QC Batch Method Nitrate(as Nitrogen) 13 mg/L. 0.1 I 06-04-03 21:40 ! fN1-1786-W SM 4500-NO3 F Nitrite(as Nitrogen) i 0.12 mg/L 0.02 06-04-03 18:36 NI-1786-W SM 4500-NO3 F Lab ID: 61665-02 Sampled: 06-03-03 14:30 Container. 250 mL Plastic Preservation: H2SO4/Cool Reporting A. Analyte Result Units Analyzed d :QC Batch L Method ai , Limit. A :3. Ammonia(as Nitrogen) 0.6 mg/L 0.2 06-05-03 AM-1 165-W SM45o0-NH3 BG Nitrogen,Total Kjeldahl (TKN) 1.4 mg/L 0.5 06-10-03 TKN-1111-W EPA 351.2 Lab ID: 61.665-03 Sampled: 06-03-03 14:30 Container. 1 L Plastic Preservation: Cool Reportmg o t r Analyte a Result,v 'Units Analyzed , QC Batch Method :.. Gmit v 5 3 Biochemical Oxygen Demand 3 mg/L 2 06-04-03 17:04 BOD-1360-W i SM 5210 B Solids,Total Suspended BRL ,I mg/L I 10 06-05-03 TSS-0832-W SM 2540 D pH 6.8 pH. NA 06-04-03.22:47 PH-147�-W SM 4500-H+6 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 Inorg anic Chemistry Field ID: 123 Falling Leaf Osterville Matrix: Aqueous Project: Gagnon/2423 Received: 03-21-03 Ciient: Wastewater Treatment Services Lab ID: 59277-01 Sampled: 03-21-03 13:30 Container: 250 mL Plastic Preservation: Cool rting Analyte Result " Units RepoLimit Analyzed QC Batch Method { Nitrate(as Nitrogen) 1.9 mg/L 0.02 03-21-03 20:38 NI-1719-W SM 4500-NO3 F Nitrite(as Nitrogen) _ BRL ' mg/L 0.02 I 03-21-03 20:38 NI-t 719 W SM 4500-NO3 F Lab ID- 59277-02 Sampled: 03-21-03 13:30 Container. 250 mL Plastic Preservation: H2SO4/Cool Analyte: Result Units ,.R ° Analyzed QC,Batch Method rung milt i Ammonia(as Nitrogen) 0.6 mg/L 0.2 03 25-03 AM-1129 W E 5►,n asoo NH3 6C j Nitrogen,Total Kjeldahl(TKN) 1.51mg/L 0.5 03-24-03 TKN-1063-W ; EPA 351.2 Lab ID: 59277-03 Sampled: 03-21-03 13:30 Container. 1 L Plastic Preservation: Cool A Analyte Result { Units Rep°�Dg Analyzed QC Batch` Method Limrt.�, , w� Biochemical Oxygen Demand 4 mg/L 2 03-21-03 17:29 BOD-1312-W SM 5210 B i Solids,Total Suspended : BRL mg/L 10 03-24-03 TSS-0803-W ( SM 2540 D pH 7.3 pH NA 03-21-03 19:05 1 PH71433-W SM 4500-1+B 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.. Repo limits are adjusted for sample dilution and sample P g m le size.1 P i p . . I Groundwater Analytical, Inc.,.P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 atMMINCORPORATED 8450 Cole Parkway■Shawnee, KS 66227■Phone 913-422-0707. Fax: 912-422-0808 e-mail: _onsiteD-biomicrobics.com■www.biomicrobics.com■ 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST®System INSTALLATION AUTHORIZED SERVICE PROVIDER ... �eF, •;WG.���, y hjt1 li. Y,:. �t L`Y. t r ..'. ,r„�yyG�`_ yy {� �L�, r�� '. . F3�.4~ .', .yr..,Ypf'+AS��!r'r t�L rS.r:M1•a''e�.. "`n r iG! ,t.r•'vS�n/+ ?••:a.!:7�.G.1"2rw,�576,,.'�' +y�1F�C'+ A',�f4 �it-yyy�;.' 1� Lot 14-Falling Leaf Lane Installation Address Name Owner Name Jeff Gagnon Street Y�agftoate�` �wice�, .� W. Mail Address Lot 14-Falling Leaf Lane Mail Address City Osten ille,MA,02655 44 Commercial Suet Raynham,AAA '02767 Tel:(508)880.0233 fax(soe)a80-7232 city 508 880-7232 Phone Fax e-mail phone Fax e-mail #II�ISTALti/4TIQN;INFORMA ON ,�pp Model No. Serial No.. Date of Installation Date of last pumpout 23 �4 24 5/18/00 MANTCES ,� kP .. h Electrical Panel(s) Visual Alarm _ Audio Alarm Operating if resent Blowe s Air Inlet Filter Clean Blower Hood Vents Clear L� Excessive Noise Excessive Vibration Treatment s Unusual Odor V. Pum ut Required: Prim Settling Zone Aerobic Treatment Zone v EFFLUENT o lion LIIVIIT RESULT Estimated Dail Flow 1716 Bedrooms H Standard Units Color Tem erature Odor CFMC SIGNATURE SERVICE ATE I V' COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL.PROTECTION ONE WINTER STREET, BOSTON. MA 02108 617.292-SSoo DEP Approved Inspection and O&M Form for Title 5 UA Treatment and Disposal Systems Installation Installation Address: authorized Service Provider O&tvl Firm: 123 Failin g Leaf. oaf Lane: Osterville MA �Uaatewate�,�nartinr�rG Jurruea,, 9n� Owner Name: Mail Address:. Jeff Gagnon 44 Commercial Street.Raynham,MA 02767 Mail address: Tel•(508)880.0233 Fax:(5W)880.7= I I Ledge Hill Road Southborough,MA 01772-1116 Tele hone No.: Tel hone No.: 50,84288500 Certified Operator dame. DEP No.: Mfr.No.: Cat.No.: 2423 �l(L� Model No.: Installation Date: 1 -g/�a80 O eration: I Approval Type: (Circle) Seasonal Residence-used less than 6 mo./year: (Circle) General Provisional Piloting Remedial Yes No . Operating Information Previous Inspection Date: Inspection D e: Sludge Depth: to be.checked P ( yearly) Pumping ecommended(Circle) i Yes o Effluent Description: Attach copy of certified lab results. _ Cheek all that are required. Samples:Influent Effluent f ParametersTN - Other `OITer Other Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection and During this Inspection: Not s and Comments: d I certify: I have inspected the sewage treatment and disposal system at the address above. have completed this report and the ._ attached manufacturer's 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. J Operator Signature ate System owner must.submit Remedial Use-by January;1 of. Department of Environmental:. this report, manufacturer's each year for the.previous calendar protection O&M checklist an ear d an y Y y A tn: Title 5 Program required Piloting& Provisional ► - 0 sampling g nal Use within res ults suits h p g One Winter Street, 6 Floor to the-local Board.of Health : days of inspection date Boston, MA 02108 and DEP as follows for General User by September 30 of each inspection performed: each year for the previous 12 months 5/1/01 1 INCORPORATED 8450 Cole Parkway■ Shawnee, KS 66227■Phone 913-422-0707. Fax: 912-422-0808 e-mail: onsiteobiomicrobics.com■www.biomicrobics.com■ 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System �`E '�• tar T'S I�i t�• i M•+• 11 h K eu { t n�ISTALI P aA x:��i'"���r„"sr?•..cS".A`"'-�,9 4.� s"ef?M1'� rr"�'�4�i���a5 ����•'��s`",e ,m�r`��`'�.'4 �'�i�+1".� Lot 14-Falling Leaf Lane Installation Address Name Owner Name JeffGagnon Street Mail Address Lot 14-Falling Leaf Lane Mail Address City Osterville,MA,02655 44 commen:tai street,Raynham,MA 02767 Tel.(508)'880.0233 Fax(W8)8a7232 city 508=880-7232 . Phone Fax e-mail Phone Fax e-mail cT`y Model No. Serial No. Date of Installation Date of last pumpout 2423 05/18/00 IJIPMR�TT *.:firWRAW - Electrical Panels Visual Alarm Operating Audio Alarm Operating if resent Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise (/ Excessive Vibration !,- Treatment s Unusual Odor Pam pout Required: Primary Settling Zone t/ Aerobic Treatment Zone l/ EFFLUENT(optional) LEMT RESULT Estimated Daily Flow 171tiiedrooms 1 R H Standard Units Color CIS Temperature v Odor C ICLAN SIGNATURE SERVICE DATE COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292.5500 DEP Approved Inspection and O&NI Form for Title 5 UA Trealtment and Disposal Systems Installation Authorized Service Provider Installation Address: 123 Falling Leaf Lane: O&M Firm: Osterville MA 4�a�tewate�J����!murG�11truiet�, 9rt� Owner Name: Mat Address: Jeff Gagnon i 44 Commert9al street,Raynham,MA 02767 . Mail Address: Tel:(SM)88o-o233 Fax:(5o8)880,7232 1 I Ledge Hill Road I Southborough,MA 01772-1116 Telephone No.: Telephone No.: 5084288500 Certified Operator Name: .._ DEP No.: Mfr.No.: 2423 Cert.No.: Model No.: Installation Date: kfrt/dOperation: Approval Type: (Circle) Seasonal Residence—used less than 6 mo./year: (Circle) General Provisional Piloting Remedial Yes No Operating Information Previous Inspection Date: Inspection Date: Sludge Depth:(to be checked yearly) Pumping ecommended(Circle) Yes Effluent Description: Attach copy of certified lab results. Check all that are required / Samples: Influent Effluent V Parameters: Other Other Other Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection and During this Inspection: Notes and Comments: I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached manufacturer's operation and maintenance checklist,and the information reported is true, accurate, and complete as of the time of the inspection. 1 am a Massachusetts certified operator in accordance with 257 CMR 2.00. kll __ // /11tA Lo,,00 ) // - 6-9 Operator Signature m ate System owner must submit Remedial Use—by January 3 1"of Department of Environmental this report, manufacturer's each year for the previous calendar Protection O&VI checklist, and any year Attn: Title 5 Program required sampling results Piloting& Provisional Use - within One Winter Street, 61h Floor to the-local Board of Health LO days of inspection date ,� Boston, VIA 02108 and DEP as follows for General Use—by September 30 of each inspection performed: each year for the previous 12 months ' 5/1,01 +�i4 GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: 123 Falling Leaf Matrix: Aqueous Project: Gagnon/2423 Received: 11-15-02 Client: Wastewater Treatment Services Lab ID: 56230-01 Sampled: 11-15-02 09:30 Container: 250 mL Plastic Preservation: Cool Reporting` �• Analyte Result Units Analyzed QC Batch Method; �= Llmrt = �' ,�, j Nitrate(as Nitrogen) 5.7 I mg/L w.. 0.1 11-15-02 19:51 I NI-1614-W I SM 4500-NO3 F Nitrite(as Nitrogen) BRL mg/L 0.02 11-15-02 19:35 NI-1614-W SM 4500-NO3 F Lab ID: 56230-02 Sampled: 11-15-02 09:30 Container: 250 ,mL Plastic Preservation: H2SO4/Cool �Kf arr :`3inJnit QC BatchTNehodAii Ammonia(as Nitrogen) mg/L 0.2 11-19-02 AM-1068-W SM4500-NH3 BG Nitrogen,Total Kjeldahl (TKN) mg/L 0.5 11-20 02 TKN-0987-W EPA 351.2 Lab ID: 56230-03 Sampled: 11-,15-02 09:30 Container: 1 L Plastic $Preservation: Cool '�.'v,Y s>YnY k agt kd' F - l� t s z 23f �a a Reporting> t� � ;�s Analyte � Result Umts Analyzed QC Batch Method '' M. _. sl"a`.,..:..#',�.,„..*,xx,. ,.a.." 5*"!ixia,r�sT._,:� �',r..:. a�'_'�'€"gt1=..A•: ; Biochemical Oxygen Demand 4 Hmg/L 2 11-15-02 19:36 BOD-1232-W SM 5210 B I Solids,Total Suspended BRL mg/L 10 11-19-02 TSS-0760-W SM 2540 D pH 7.4 pH NA 11-15-02 2036 PH-1367-W SM 4500-H+B 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. Bcc 1200, 228 Main Street, Buzzards Bay, MA 02532 1 I II 1 INCORPORATE 0 8450 Cole Parkway■Shawnee, KS 66227.Phone 913-422-0707 a Fax: 912-422-0808 e-mail: onsiteftiornicrobics.com.www.biomicrobics.coin■800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System t ` � e AUTHORIZEII SERVICE PROVIDER } F 'f '?LWl4-Falling Leaf Lane I Installation Address ` as�e curtter°;Ti�eatirieriG�llu�vicP�, 'fie Owner Name V-*Jiff Mail Address L"ot 14,.?Falling Leaf Lane h. .44:Commerciarstreet'Raynham,'MA'02767- City Osterville,MA,02655 TeL•(508)880-0233`-'Rk(568)880-7232 1--t W J-=, 1A4 dl' 7-57 508-880-7232 Phone Fax e-mail do T Phone k y Fax e-mail �' 'k'��t,;k��.��,•��.'.inY�K3+.'W��lcglifSi" �.�� O1�ilgll��� �S#`f; `^r a�.4`�,��� ��.t':*��"im'w• �?y Model No. Serial No. Date of Installation Date of last pumpout 2423 05/18/00 Electrical Panel s Visual Alarm Operatin Audio Alarm Operating if resent Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear , Excessive Noise (/ Excessive Vibration Treatment um(s) Unusual Odor (/ Pumpout Required: k Settlin Zone bic Treatment Zone NT #Dail Flow 1716 Bedrooms ard Unitsure SER CED TE kr+ INCORPORATED 8450 Cole Parkway •Shawnee, KS 66227 • Phone: 913-422-0707 • Fax: 913-422-0808 e-mail: onsite@biomicrobics.com • www.biomicrobics.com • 800-753-FAST(3278) April 11, 2002 Barnstable Board of Health P.O. Box 534 Hyannis, MA 02601 Re: Jeff Gagnon residence Dear Board of Health Official: Enclosed are the field test results and inspection forms dated&3P1 for: Jeff Gagnon l`23Falling Leaf Lane Osterville, MA We apologize for the delay in getting these to you. We have had a recent shift in responsibility for this task from our distributor,J&R Engineered Products to our office in Kansas. If you have any questions or concerns please do not hesitate to contact me. Regards, i Allison Blodig, REHS Regulatory Affairs Coordinator Bio-Microbics, Inc. (91.3)422-0707 cc: Massachusetts file for 1-Z Falling Leaf Lane, Osterville 1 tCOMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS 6 DEPARTMENT OF ENVIRONMENTAL PROTECTION r ONE WINTER STREET, BOSTON, MA 0'2108 617.292-5500 DEP Approved Inspection and O&NI Form for Title 5 UA Treatment and Disposal Systems Installation Authorized Service Provider Installation Address: 123 ' O&M Firm:Falling Leaf Lane: --- Osterville j fk 9 `'n%s 1-n,rv4c Ino." _` zlti g-s�Jer�cc��, 9� Owner Name: Lvlai1 A4dm r ---, ,.� Jeff;Ga 11 j 44 Commercial Street,RaynhamrMA 02767 gn I Tel (508)8B"233 F Fax:(508)880-7232 Mail address: 11 Ledge Hill Road E Southborough,MA 01772-1116 Talen;�-N'o,; CS IBI R2'-9 6 Telephone No.: 5084288500 Certified Operator Namen� DEP No.: Mfr.No.: 2423 Cert.No.: Model No.: Installation Date: --J5/1gl/%0 Operation: Approval Type: (Circle) Seasonal Residence-used less than 6 mo./year: (Circle) General Provisional Piloting Remedial 7yes No Operating Information Previous Inspection Date: Inspection ate: Sludge Depth: (to be checked ye;;iyq Pumping Recommended(Circle) i Yes o Effluent Description: Attach copy of certified lab results. Check all that are required. �� ,p p Samples: Influent Effluent Nk-a-t,� ��,{-V) CJ-d1 Parameters: pH BOD TSS TN Other Other Other Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection and During this Inspection: Notes and Comments: I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached manufacturer's operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature t Dai System owner must submit Remedial Use-by January 31"of Department of Environmental this report, manufacturer's each year for the previous calendar, Protection O&M checklist,and any year Attn: Title 5 Program required sampling results Piloting& Provisional Use- within One Winter Street, 61h Floor to the4ocal Board of Health 30 days of inspection date Boston, NIA 02108 and DEP as follows for General Use-by September 30 of each inspection performed: each year for the prev,ious l'_ months 5/1r01 f j&R SALES & SERVICE, INC. September.14, 2001 �FcF SFP r Barnstable Board of Health Ott, 2s?0 PO Box 534 q<r q�, 07 Hyannis, MA 02601 tioF TTge< F Attention: Health Agent Reference: Single Home FAST° Treatment System Serial Number: 2423 Attached please find the Field Inspection& Service Report and test results (as required) for services performed on 8/10/01 at the home of Jeff Gagnon located at 23 F 1 f Lane - Osterville, MA. Please call if you have any questions or require additional information. cerely, " anet M. Whitman Enclosures Copy to: Jeff Gagnon 44 Commercial St. 8ayeham,MA 02111 . Tele.508.823.9566 Fax 508.880 7232 L COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 0.3108 617.292.5500 DEP Approved Inspection and O&NI Form for Title 5 I/A Treatment and Disposal Systems Installation Authorized Service Provider Installation Address: 123 Falling Leaf Lane: 0&NI Firm: Osterville J & R Sales & Service, Inc. MA Owner Name: Mail Address: 44 Commercial Street Jeff Gagnon Raynham, Ma 02767 Mail Address: 11 Ledge Hill Road Teleert hone per N 8 3-9566 Southborough,MA 01772-1116 C 5084288500 Certified Oper e: I T<le hone No.: C,L`iL % � i' -F1 DEP No.: Mfr.No.: 2423 Cert.No.: Model No.: Installation Date: �St/��Operation: Approval T ) Seasonal idence-used less than 6 mo./year: (Circle) General Provisions ! Piloting Remedial Yes No*) Operating Information Previous Inspection Date: Inspection D e: Sludge Depth:(to be checked yearly) Pumping I ommended(Ctrcte) i j• � Yes ,�'No Effluent Description: Attach copy of certified lab results. Check all that are required l Samples: Influent Effluent Parameters: CaQDfI SS" Other Other Other Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection and During this Inspection: LAD k3' 1 Notes and Comments: I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached manufacturer's 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 CNIIR 2.00. Operator Signature Date System owner must submit Remedial Use-by January 31"of Department of Environmental this report, manufacturer's each year for the previous calendar Protection O&M checklist,and any year Attn: Title S Program required sampling results Piloting& Provisional Use - within One Winter Street, 6'" Floor to the4ecal Board of Health 30 days of inspection date Boston, CIA 02108 and DEP as follows for General Use-by September 30 of each year for the previous 12 months each inspection performed: 51i3OI Environmental Chemistry Site Assessment Environmental Services Quality Assurance Services Site SamplingAnalytical Balance Data Auditing C: O R P O R .. A T I O 1\' CERTIFICATE OF ANALYSIS J&R Sales & Service REPORTED: 8/30/2001 44 Commercial Street Raynham, MA 02767 ORDER#: G0127099 COLLECTED DY: J. Peterson SAMPLE DATE: 8/10/2001 TIME: 14:45 DATE RECEIVED: 8/10/2001 LOCATION: Osterville 2423 SAMPLE ID: Gagnon grab DESCRIPTION: WATER RESULTS OF ANALYSIS ,y Test Parameters LAB-ID/i: 0127099-01 BOD SM 5210B 8/10/2001 mg/L 4 4.4 Kjeldahl,Nitrogen EPA 351.2 8/28/2001 mg/L 0.5 3.90 Nitrate,Nitrogen 4110B SM 4110 B 8/10/2001 mg/L 0.1 12.5 Nitrite,Nitrogen 4110B SM 4110 B 8/10/2001 mg/L 0.25 <0.25 pH SM 4500 H+B 8/10/2001 S.U. 0-14 7.4 (Solids,Suspended SM 2540 D_ 8/17/2001 mg/L, 2 4.8 NA=Not Applicable — ND=Not Detected <' = Less Than Approved By: *' = Detection Limit Lab Manager / Date Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page. 1 r` 1t RUMIMCORPORATED 8450 Cole Parkway. Shawnee, KS 66227■Phone 913-422-0707 a Fax: 912-422-0808 . e-mail: onsite(Mbiomicrobics.com.www.biomicrobics.com a 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER Lot-14-Falling Leaf Lane Installation Address Name J&R Sales&Service,Inc. Owner Name Jeff Gagnon Street Mail Addr -Falling Leaf Lane Mail Address 44 Commercial Street City Osterville,MA,026 5 Raynham, MA 02767 1' city State Zip 508-823-9655 508-880-7232 Phone Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION.. : Model No. Serial No. Date of Installation Date of last pumpout 2423 05/18/00 E UIPMENT YES NO MAINTENANCE PERFORMED AND COMiuIENTS Electrical Panel(s) Visual Alarm Operdting Audio Alarm Operating if resent Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise V� Excessive Vibration Treatment unit(s) Unusual Odor Pumpout Required: Prim Settling• Zone Aerobic Treatment Zone (� EFFLUENT(optional) LEWF RESULT Estimated Daily Flow 1716'Bedrooms H Standard Units) Color v' Temperature Odor CHNIC SIGNATURE SERVICE DATE RECEIVED JUN 2 0 2001 TOWN OF BARNSTABLE J&R SALES & SERVICE, INC. HEALTH DEPT. June 12, 2001 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST° Treatment System L Serial Number: 2423l�f, l� Attached please find the Field Inspection& Service Report and test results (as required) for services performed on 5/25/01 at the home of Jeff Gagnon located at 12 ailing Leaf'7 Lane - Osterville, MA. Please call if you have any questions or require additional information. cerely, net M. Whitman Enclosures Copy to: Jeff Gagnon I 44 Commercial 5t. Raynham,MA 02767 Tole.508 823.9566' r Fax 508.880-7232 Environmental Chemistry Environmental Services Site Assessment cal Balance Site Sampling Quality Assurance Services AnLlyjt Data Auditing C O R P O R A •I' 1 0 N CERTIFICATE OF ANALYSIS J&R Sales& Service REPORTED: 6/4/2001 44 Commercial Street Raynham, MA 02767 ORDER#:' G0124300 COLLECTED BY: J. Peterson SAMPLE DATE: 5/25/2001 TIME: 12:30 DATE RECEIVED: 5/25/2001 LOCATION: Osterville - 2423 SAMPLE ID: Gagnon grab DESCRIPTION: WATER { RESULTS OF ANALYSIS Test Parameters LAB-ID#: 0124300-01 Ammonia,Nitrogen 350.1 EPA 350.1 6/l/2001 mg/L 0.1 4.62 BOD SM 5210B 5/25/2001 mg/L 4 11.3 Kjeldahl,Nitrogen EPA 351.2 5/29/2001 mg/L 0.5 7.1 j Nitrate,Nitrogen 4110B SM 4110 B 5/25/2001 mg/L i 0.50 1.32 Nitrite,Nitrogen 411013 SM 4110 B 5/25/2001 mg/L { 0.25 16.2 jpH _ SM 4500 H+B 5/25/2001 S.U. 0-14 8.5 Solids, Suspended SM 2540 D 5/30/2001 mg/L 2 5.5 NA=Not Applicable ND=Not Detected Approved By: 6 �l <' Less Than'*' = Detection Limit LV Manager F V Date Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page: 1 I N C 0 R P 0 R A r E 0 8450 Cole Parkway ■ Shawnee, KS 66227■Phone 913-422-0707. Fax: 912-422-0808 e-mail: onsite,.,biomicrobics.com ■www.biomicrobics.com . 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 'Lot 14-Falling Leaf Lane Installation Address Name J&R°Sales&Service,Inc. Owner Name Jeff Gagnon Street . Mail Address Lot 14-Falling Leaf Lane Mail Address 44 Commercial Street City Osterville,MA,02655 Raynham, MA 02767 city State Zip 508-823-9655 508-880-7232 Phone Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pumpout 2423 05/18/00 EQUIPMENT :YES NO MAINTENANCE PERFORMED AND CONMEWS.= Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating if resent Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear V Excessive Noise Excessive Vibration V Treatment unit(s) Unusual Odor Pumpout Re aired: Primary Settling Zone Aerobic Treatment Zone EFFLUENT(optional) LEMT RESULT Estimated Daily Flow 1716 Bedrooms H Standard Units) Color Temperature Odor , T CHNICIAN GN TURE E VICE IRIATE 1 J&R SALES & SERVICE, INC. March 13,2001 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST°Treatment System Serial Number: 2423 Attached please fmd the Field Inspection& Service Report and test results (as required) for services performed on 2/26/01 at the home of Jeff Gagnon located at 123 Falling Leaf Lane - Osterville, Massachusetts. pH is low and we will try to get the owner to add bi- carb to raise the pH which will help lower TKN&Nitrate. Please call if you have any questions or require additional information. Sincerely, William H. Everett Service Manager • 4 Enclosures Copy to: Jeff Gagnon 44 Commercial St. Flaynham,MA 02767 Tele.508-823-9566 Fax 508.880 7232 Environmental Chemistry Environmental Services Site Assessment Site Sampling Quality Assurance Services Anakfical Balance Data Auditing O_ R P. O R A T 1 O 1\' CERTIFICATE OF ANALYSIS J&R Sales& Service REPORTED: 3/5/2001 44 Commercial Street Raynham, MA 02767 ORDER #: GO121713 COLLECTED BY: J. Peterson SAMPLE DATE: 2/26/2001 TIME: 13:30 DATE RECEIVED: 2/26/2001 LOCATION: Osterville 2423 Gagnon SAMPLE ID: Grab DESCRIPTION: WATER RESULTS OF ANALYSIS Test Parameters LAB-[D#: 0121713-01 i Ammonia,Nitrogen 350.1 EPA 350.1 2/28/2001 mg/L 0.5 0.63 BOD SM 5210B 2/28/2001 mg/L 4 i 5.7 Kjeldahl,Nitrogen EPA 351.2 2/28/2001 mg/L 0.5 2.2 Nitrate,Nitrogen 4110B SM 4110 B 2/27/2001 mg/L 0.5 21.2 p(Nitrite,Nitrogen 4110B SM 4110 B 12/27/2001 I mg/L I 0.25 <0.25 —� H SM 4500 H+B 12/26/2001 I S.U. 0-14 Solids,Suspended SM 2540 D _ 3/1/2001 I mg/L I 2 4.8 NA=Not Applicable —L -- ND=Not Detected Approved By:_ = Less Than •' = Detection Limit LV Manager 6V Date Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page. 1 .y J&R SALES & SERVICE, INC. December 6, 2000 cs Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST°Treatment System Serial Number: 2423 Attached please.fmd the Field Inspection& Service Report and test results(as required) for services performed on 11/7/00 at the home of Jeff Gagnon located at 123 Falling Leaf Lane - Osterville, MA. Please call if you have any questions or require additional information. in rely net M. Whitman Enclosures Cc:,Jeff Gagnon 44 Commercial St. Aaynham,MA 02767 Tale.50B-823 9566 Fax 508.880 7232 i Environmental Chemistry Environmental Services Site Assessment AnLlyt Data Auditing 1CGL�1 BGl1C�1�ilCl. Site Sampling Quality Assurance Services C n R P O R A T I O N, CERTIFICATE OF ANALYSIS J&R Sales& Service REPORTED: l 1/17/2000 44 Commercial Street Raynham, MA 02767 ORDER#: G0018701 COLLECTED BY: J. Peterson SAMPLE DATE: 11/7/2000 TIME: 12:15 DATE RECEIVED: 11/7/2000 LOCATION: Osterville -2423 SAMPLE ID: Gagnon Effluent(Grab) DESCRIPTION: WATER RESULTS OF ANALYSIS Test Parameters LAB-ID#: 0018701-01 Ammonia,Nitrogen 350.1 EPA 350.1 11i15/2 0--m _ 0.5 I -1.77 113013 SM 5210B 11/8/2000 j mg/L 4 16.1 IKjeldahl,Nitrogen EPA 351.2 11/16/2000 mg/L 0.5 5.0 !Nitrate,Nitrogen 4110B SM 4110 B j 11/9/2000 mg/L 0.50 5.95 pH SM 4500 H+B 1 t/8/MOO S:U. 1 0-14 7.23 jSolids,Suspended SM 2540 D ! 11/9/2000 mg/L 2 10.4 i NA=Not Applicable ND=Not Detected A roved B _ <' = Less Than PP y� hl� * _ _ Man / Date Detection Limit d Page:Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 ' - r '• 1 ' Q 1 lip C 0 R P 0 R A r E 0 8450 Cole Parkway■Shawnee, KS 13=7■Phone 913-422-0707. Fax: 912-422-0808 e-mail: onsdeAbiornicrobics.corn .www.biomicmbice.com■800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER Lot 14-Failing Leaf Lane Installation Address Name J&R Sales&Service,Inc. Owner Name Jeff Gagnon Street Mail Address Lot 14-Falling Leaf Lane Mail Address 44 Commercial Street City Osterville,MA,02655 Raynham, MA 02767 city State Zip 508-823-9655 508-880-7232 Phone Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation j Date of last pumpout 2423 OS/18/00 E UIPMENT YES - NO MAINTENANCE PERFORMED:AND COMNfI NTS= Electrical Panel(s) Visual Alarm mi y/ Audio Alarm Operating G7 if resent Blower(s) Air Inlet Filter Clean l/ Blower Hood Vents Clear Excessive Noise Excessive Vibration V Unusual Odor Pumpout Required: Primary Settling Zone Aerobic Treatment Zone EFFLUENT(optional) LEWr RESULT Estimated Daily Flow 1716 Bedrooms H(Standard Units Color Temperature Odor CHMC IGNATURE SER C DATE 1 I q�13 �D Mc Kean — M A oa�ol i 2000 4411 rA,5 ,a 0-7 Lew, � I __ �'l wAto, J-ef-Frey C-aonon; 1 i �,ed e- 9 i td Rd 50"f bend M A 0 l 77:Z � � i Apr.-,Zs . 0 10 : 04A 04/26/2000 10: 41 15064263750 ^"" COjgMOlf WEALTH OF MAWACHUSETTS EXECUTME OFFICE OT EWVIRO AL AFFAMS DEPARTMENT OF ENVIRONMENTAL PROTECTION 011E WINTER 9TREET. BOSTOA. KA 01109 627-292-5500 soa bu A= ARQN0 PAUL C=VCoCI e.er�ea7� po..:acT . 1.avMI A.z,>as JA>M sm" Co=ltiw7oa�t usuasaat OowTnw April 24, 2000 John McShane ! APR 2 8 2000 McShane Construction !} O erville?MA 02655 - r..--— --- ---- --�--J- Re: Application for-BRP WP 61b �PROVAL OF ALTERNATIVE SYSTEMS FOR PROVISIONAL USE fAND_RELATED INSTALLATIONS . L( 0 14 Falling Leaf Lane;Oste`sville,Mt1 TraasmiRal Ntnnber: 123602 Dear Mr. McShane: . .. ThL e Department has recctved your ppTication to iiisteJl a 1"(�ero FAST on-site sewagct twat rant s can-aythc above rrfeienced locaii n. The application includes plans pxepaled by Ba�ctR Nyo &Holmgca, 1nc•, tided"Site Plan'`�d "Bice& Septic Plan" dated September 2, 1999, and stamped by Richard A. Baxter, PLS, and Stephen A. Wilson, P.E. A copy of the approval issued by the Barnstable Board of Health Was also forwarded to this office. T`he Department S ees-that-the above referenced'location vVill be a'snicable testing facility, for-yesr Totz d�vPeration of`the systetri:to evaluate nitrogen reduc2ionundGr the Provisional Use Approval-for-the-Micro FAST sy`ste�issued by the Department on September 16, 1998. The Department does not have available any information to indicate that the system can meet WTm8en reduction limits when operated on a seasonal basis. As part of the Provisional Use Approval of this altemad sy3t, s for ,"gen reduction, the Depw=mt requires that the following conditions be complied with by the applicant and all subsequent owners: l. The owner shall comply with all requirements of the September 16, 1998 Department's Provisional Use Approval for the Micro FAST treatment system as modified for this system by this approval. A copy of the Approval is enclosed. Installation and operation of the system shall be in strict conformance with the Provisional Use Approval and 310 CMR 15,000. 2. The owner shall maintain the 'system in accordance with section IV of the Provisional Use Approval. 1"Yh t.(or�.•Mo.V•••N+M.in#It•r-•ti ft_1 L'7 sitl.e o..ADA Cw.Ot..tr at 1617)576.6l11. Der On tM Wane POWs W6D: N�Jfr.w�^W7�6tbM•w...ua/6�0. Vrlettitt on ii•eyd�!Papr� Apr=28-00 10 : 04A -_' P _ 03 8e/28/2000 10:41 15084283750 �`'�'r'`'' "" Mr.McShar►e April 24, 2000 Page 2 3. At least 30 days prior to system startup, the owner shall submit to the DepaMcnt a copy of an operation and maintenance agreement- The initial operation and maintenance agreement and subsequent operation and maintenance agreements shall be for no less than one year. The operation and maintenance agreement shall'be with any person or firrn qualified to provide services consistent with the system's specifications, the operation and maintenance requirements specified by the designer and those specified by the Department in this approval letter. e-AtIon The and tl c maintenance agTe hall TIT shall contain the Warne of the system Operator ors, if a certified operator is be an appropriate Massachusetts certified operator.or operas required by 257 CMR 2.00. Any time the operator is changed, the owner shall notify the Depatment and the Barnstable Board of Health in writing within seven days of such change. " 4. " nor t5 the Barnstable Board of Health's issuance of a Certificate of Compliance, the, owner shall submit to the Department and the Board 'of Health a copy of a sampling greement, including a sampling schedule, with Bio-MicTobics ("the Company") t ,sample and test the effluent, in accordance with section V of the Provisional—Use lAp`pmval"Scction V-regture3 Mang other t}iings, that the Company conduct mowtorinS of all Provisional Use systems that are installed in Massachusetts- The following sataplin8 and testing schedule is required for the Provisional Use approval, if this facility is occupied year round Parameter Fre:fo3 qua3 years pFi 3 years Biochemical oxygen demand(BOD) quarterly 3 years. Total suspended solids(TSS) 3 yearsTotal nitrogen(TN)Water meter reading shall be recorded eachtime t is sampled- Afterthreeyears of monitoring and at the written reqe owner,the DepauMmcnt may reduce these monitoring requirements. hedule is required aired for.seasonal occupancy, use The following sampling and testing sc q of the residence for six months or less during any year' Parameter Frequency twice per season for 4 years PH Biochermcal oxygen demand(BOD) twice per season for 4 yeas Total suspended solids.(TSS) twice per season for 4 years Total nitrogen(TN) twice per season for 4 years Water meter reading shall be recorded each time the system is sampled. The system shall be monitored initially 45 days after occupancy and a second time two I _ Apr-'28-00 10 : 04A _P _ 04 8d/2B/2000 10:d1 150842 3750 D6 All.ICJ ,fn T GLKVIJLJ•r NLJ Mr.Mr-Sham April 24, 2000 - Page 3 weeks prior to system shutdown. After four years of monitoring and at the written Morin amen ts. request of the owner,the Depamneat may reduce these moiu g regw 5. The owner shall.record in the appropriate registry of deeds a notice that discloses the existence of this Provisional Use approved alternative systcrri and the involvement of,the Department in the approval of the system and a deed resaiction, granted to the Barnstable Board of Health, limiting the }rouse to three bedrooms. Prior to the Barnstable Board of Health's issuance of a Certificate of Compliance for the system, the owner shall both record the notice and deed restriction in the registry and submit to the Department and the Board of Health the book and page awnber of the recordings. Should you have sty questions regardingthis matter, please feel fzee to contact Steven H. . Corr at(617)292-5920. Sincerely, Lealdon Langley,Director Watershed Permitting Prngr am Enclosure: Provisional Use Approval for a Micro FAST Cc: Banwtable Board of Healtlx /DEP.SERO-B.Dudley v Stephen&WiIso4 P.E., Baxter,Nye 6�Ho}mgtM Inc.,812 Mai Svzet Osnrt�rlle,MA 0265i Robert J.Rebori,Bio-Microbics incorporated, 8450 Cole Parka►sy,Shavmet,KS 66227 McSharu S H FAST provisional-A-24 Elm—complete all items marked ' mail signed original contract to: J&R Sales&Service. Inc. 44 Commercial Street Ravriham,MA 02767 J&R SALES & SERVICE, INC. a INSPECTION AND TESTING AGREEMENT This Inspection Agreement is entered into by J&R Sales & Service, Inc. (herein call J&R) and the FAST'o System OWNER (herein called OWNER), for the purpose of setting forth terms and conditions governing J&R's obligations to inspect OWNER'S equipment listed below. Upon acceptance of this agreement, J&R will render the following services only: EY,iipment will be inspected at least 4 times per year that this Agreement remains in effect, with the first inspection beginning These inspection will include: 1) Testing of the sludge depth.in the septic tank. 2) Inspection, power testing and cleardreplace intake filter of the air blower. 3) Inspection of the alarm system 4) Inspect over-all condition of FAST System �) Notify OWNER of any problems encountered. 6) Service other than routine maintenance will be billed at an hourly rate plus travel and material. J&R shall notifv the local board of health and the Department of Environmental Protection in writing within?4 hours of a system failure or alarm,event including corrective measures that have been taken. It is understood that by this Agreement J&R is not obligated to.supply any parts. Any additional labor time, wu1 be billed to the OWNER at standard labor rates of$ 64.00 oer hour. Emergency service between regular inspections will be providea at standard rates for labor during normal business hours, after 5:00 PM and on Saturdays time and one-half: and double time on Sundays and holidays, minimum four (4) hours plus standard charges for parts plus mileage and travel charges. This agreement does not include expenses to repair damage caused by,abuse, accident, theft, acts of a third person, forces of nature, or altering the equipment. J&R shall not be responsible for failure to render the service for causes beyond its control, including strikes and labor disputes. '4 Commeinal Si.. navnnam.NA 02767 iele.508'8Z3 9566 F3- :08 880 7232 OWNER understands and agrees that J&R is not responsible for special or consequential damages, including loss of time, injury to person or property unit or equipment failure. This agreement is not assignable without the consent of J&R and will remain in force until canceled by either pM through written notice. This is a one-year service contract to be billed annually in compliance with State regulations. Failure to comply will result in cancellation and nullification of any warranties. MANC7FpCTUR£R MODEL NO. SERIAL NO. LOCATION ANNUAL RATE Bio-Microbics Home FAST® ata Osterville, MA S350.00 EQUIPMENT OWNER J&, Sala& Service, Inc. *Signed b A� -Signedby - Jeff Gagnon 44 Comm c1 I Street �L *Address:- Raynham, 02767 Loo 1-4 Falling Leaf 31 C a,ie Tel: (508)823-9566 Fax: (508) 880-7232 Osterville, MAC�*-C ..it ---- State. Zip: O *Telephone: 7 b I� Effect Date of Agreement t Effluent Testing ar ered to uar`t`erl - deliv a E$hent sample taken q y� y qualffied�testing lab for evaluation and-with results being sent'to State and local Agencies as well'as the owner . Owner is responsible for providing acceptable access to e$uent to enable a grab sample to be taken for ' laboratory testing performed: PERMIT *(PLEASE CHECK ONE) ( . ) GENERAL ( ) REMEDIAL ( X) PROVISIONAL *SPECIAL CONDITIOIN'S PER LOCAL BOARD OF HEALTH ('Y)or,(N) If YES, please attached copy of permit ( } BODs.TSS, pH (X)BODs,TSS,pH,Nitrate/Nitrogen, Ammonia, TKN ( ) Other: 141000� Cost for testing 538�-vvlvisrt Operator assigned: William Everett. *Engineer: McShane Construction Company Telephone: (508) 243-9566 *Approval for Effluent Testing ` COP, Homeowner's Signature ' `°v t" v-,A4 'mde�e 1'wL s/sjoo "I�tA lzt igY.11� ' a� . AR SALES & SERVICE, INC. August 18, 2000 2 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST° Treatment System Serial Number: 2423 Attached please fmd the Field Inspection& Service Report and test results(as required) for services performed on 7/31/00 at the home of Jeff Gagnon located at Lot 14 -Falling Leaf Lane - Osterville, MA. Please call if you have any questions or require additional information. Pincer anet M. Whitman Enclosures Cc: Jeff Gagnon 44 Commercial St. Roynham,MA 02767 Tole.508 823.9566 Fax 500 880 7232 Environmental Chemistry Environmental Services Site Assessment AnLlyjt �� ���1Ce _ Site Sampling � Quality Assurance Services Data Auditing G Q R P O R A T 1 0 N' CERTIFICATE OF ANALYSIS J&R Sales & Service REPORTED: 8/9/2000 44 Commercial Street Raynham, MA 02767 ORDER#: G0015201 COLLECTED BY: J. Peterson SAMPLE DATE: 7/31/2000 TIME: 13:30 DATE RECEIVED: 7/31/2000 LOCATION: Osterville,MA(2423) SAMPLE ID: Gagnon DESCRIPTION: WATER RESULTS OF ANALYSIS v .... _ ,��. _gym., _. F ....� _.. ...... ....,.._ .. ... . ...... ... .......... m, - Test Parameters LAB-ID#: 0015201-01 Ammonia,Nitrogen 350.1 EPA 350.1 8/2/2000 mg/L 0.5 1.86 BOD SM 5210B 8/2/2000 mg/L 4 19.1 Kjeldahl,Nitrogen EPA 351.2 8/3/2000 mg/L 0.5 5.8 Nitrate,Nitrogen 411013 SM 4110 B 8/l/2000 mg/L 2.5 21.2 pH SM 4500 H+B 7/31/2000 S.U. 0-14 7.2 i Solids,Suspended ISM 2540 D 8/3/2000` mg/L 2 12.8 I NA=Not Applicable ND=Not Detected Approved By: p D o '<' = Less Than Lab Mana / Date '*' = Detection Limit g Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page: 1 14=1rICORPORATE0 8450 Cole Parkway■Shawnee, KS 8=7:Phone 913-422-0707. Fax: 912-422-0808 e-mail: onsit _„biomicrobics.com■www.biomicrobics.com . 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER. Lot 14-Falling Leaf Lane Installation Address Name AR Sales&Service,Inc. II Owner Name Jeff Gagnon Street Mail Address Lot 14-Falling Leaf Lane Mail Address 44 Commercial Street City Osterville,MA,02655 Raynham, MA 02767 City State Zip 508-823-9655 508-880-7232 Phone Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION' Model No. Serial No. Date of Installation Date of last pumpout 2423 05/18/00 E UIPMENT YES NO MAINTENANCE PERFORMED AND CONevmwS Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating 1/ (if resent) Blower(s) Air Iniet Filter Clean Blower Hood Vents Clear I Excessive Noise Excessive Vibration Treatment unit(s) Unusual Odor C/ PumpoufRequired- Primary Settling Zone Aerobic Treatment Zone EFFLUENT(optional) LIlVIIT RESULT r Estimated Daily Flow 1716 Bedrooms H(Standard Units) Color v Temperature Odor 41., t/ CHNICI SI NATURE SERVICE DATE J - J&R SALES & SERVICE, INC. May 19, 2000 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Joseph Godzik Reference: Home FAST Treatment Serial Number: 2423 Attached please find a copy of the Product Registration Report for the FAST Treatment System for work performed on 5/18/00 at the home of Jeff Gagnon located at Lot 14 - Falling Leaf Lane, Osterville, MA. Also, attached is a copy of the fully executed Inspection&Effluent Testing Agreement. If you have any questions or require additional information please do not hesitate to call. Sincerely, M'60'�� Lillian Ferreira Attachments 44 Commercial St. Aaynham,MA 02767 Tale.508-823.9566 Fax 508-880 7231 r � 15 all i f I N C O R P 0 R A T E 0 8450 Cole Parkway a Shawnee, KS 66227 a.Phone 913-422-0707, Fax:912-422-0808 e-mail: onsite(abiomicrobics.com a www.biomicrobics.com ■800-753-FAST(3278) PRODUCT REGISTRATION REPORT Product Registration Report must be completed and returned to Bio-Microbics, Inc. in order to effect warranty. Date of Start-Up Date Shipped to End User Seria12423 OWNER NAME Jeff Gagnon ADDRESS Lot 14-FailingLeaf Lane CITYISTATE2IP Osterville, MA PHONEIFAX BIO-MICROBICS DISTRIBUTOR NAME J&R Sales and Service, Inc. ADDRESS 44 Commercial Street CITYISTATEIZIP R Wham, MA 02767 PHONEIFAX 508-823-9566 FAX: 508-880-7232 INSTALLER NAME McShane Construction ADDRESS P 0 Box 429 CITYISTATEIZIP Osterville, MA 02655 PHONEIFAX CONSULTING ENGINEER if applicable) NAME Baxter& Nye ADDRESS ? CITYISTATEOP ? PHONEIFAX ? Good Bad NA Good Bad NA ELECTRICAL PANEL(S) TREATMENT UNIT(S) Visual Alarm Operating Air vent clear Audio Alarm Operating Tr Q 0 Septic tank level BLOWER(S) Septic tank meets min. size - Wired for correct voltage Q Septic tank filled to (� operating level Inlettoutlet piped correctly �' Air Lift Operation Filter element installed Recirculation tube in place Blower hood secure Fasteners tight Blower works correctly (�' Q WATER-TIGHT JOINTS Blower located within 100' of Treatment unit to septic tank treatment unit Air line clear ( Q Entrance tube to insert cover Air inlet screen clear Q Insert to insert cover Blower hood vents clear ( Discharge line connection i Factory Authorized Personnel: Title: - Firm: J&R Sales and Service. Inc. Date: 5" —/0' ­0 a Customer ID# : 1716 Serial Number: 2423 Date: 3/ i8- / oc Customer Name: Jeff Gagnon Address: Lot 14 Falling Leaf Lane Osterville, MA Phone: Alt. Phone: Start Date: Permit Provosional Service Schedule: FIV AN Testing Requirements: BOD, TSS, PH,Nitrate/Nitrogen, Ammonia, TKN Number of Test Performed . (Prior to this visit) Direction: Action Taken by Service Man: Quantity PO# Part # Description Unit Price Cost Sold Date Reg. O.T. Cost Sell Total Serviced Hours Hours Material Expenses Meals Additional Miles Labor Tolls Misc. Total Labor Lodgings Invoicing Totals & Material Labor 19 Total Expense's Material Expenses Freight Sales Tax Total Amount Invoiced May- 19-00 11 :O6A J&R Engineered 15088807232 P .01 J&R SALES & SERVICE, INC. May 19, 2000 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Joseph Godzik Relerence: Ilome FAST 'treatment Serial Number: 2423 Attached please find a copy of the Product Registration Report for the FAST Treatment System for work performed on 5/18/00 at the home of Jeff Gagnon located at Lot 14 - Failing i,eaf Lane, Ostcrville, MA. Also, attached is a copy of the fully executed Inspection & Fff]uent Testing Agreement. If you have any questions or require additional information please do not hesitate to call. Sincerely, Lillian Ferreira Attachments 44 Cammeidel Sr Aeyenem.MA 01161 No.WHIM Fey WA 8801212 May- 19-00 11 :06A J&R Engineered 1S088807232 P-02 o I � 1 I M C O H P 0 A A T E 0 a460 Cole Parkway■Shawnee,KS 86227■ Phone 913•422-0707 a Fwc 912-4224= *-mail: i m a MMM bWMicxobics.com •800-753-FAS7(3278) PRODUCT REGISTRATION REPORT Product Registration Report must be completed and returned to Elio-MicrobiM Inc. in order to effect warranty. Date of Start-Up Date Shipped to End User Serial 4 OWNER NAME Jeff Gaqnon ADDRESS Lot 14-FallingLeaf Lane CITYISTATEIZIP Osterville. MA PHONEIFAX 510-MICROSICS DISTRIBUTOR NAME J&R Sales and Service, Inc. ADORES$ 44 Commercial Street CITYISTATE/ZIP Raynham. MA 02767 PHONEIFAX 508-823-9666 FAX 508-880-7232 INSTALLER NAME McShane Construction ADDRESS P 0 Box 429 CITYISTATMIP Osterville. MA 02655 PHONEIFAX CONSULTING ENGINEER If apelicable NAME Baxter& Nye ) ADDRESS ? CITYISTATEMP ? PHONEIFAX ? Good Bad NA Good Bad NA ELECTRICAL PANEL(S) TREATMENT UNIT(S) Visual Alarm Operating ZY 0 ❑ Air vent clear 91, Q Audio Alarm Operating ar 0 Q Septic tank level Q' ❑ SLOWER(S) Septic tank meets min. size [Y ❑ Wired for correct voltage Septic tank fllled to Q operating level Inletloutlet piped correctly Lr 0 Air Lift Operation 0 Filter element installed g' 0 Recirculation tube in place (� ❑ Blower hood secure a 0 Fasteners tight [� ❑ Blower works correctly 1:7 Q WATER-TIGHT JOINTS Blower located within 100' of Treatment unit to septic tank �' Q treatment unit Air line clear [ Q Entrance tube to insert cover a a Q Air inlet screen clear Insert to insert cover a Q Blower hood vents clear (� Q Discharge line connection or Q Factory Authorized Personnel: Title: Firm: J&R Sales and Service. Inc. Date: —/P — a May-19-00 11 :06A J&R Engineered 15088807232 P.03 y.. Customer ID# : 1716 Serial Number: 2423 Date: Customer Name: Jeff Qwwn Address: Lot 14 Falling Leaf Lanc OstervWe, MA Phone: Alt. Phone: Start Date: Permit Provosional Service Schedule: FMAN Testing Requirements: BOD, TSS, PH,Nitrate/Nitrogen, Ammonia, TKN Number of Test Performed . (Prior to this visit.) Direction: Action Taken by Service Man: Quantity PO# Part # Description Unit Price Cost Sold Date Reg. O.T. Cost Sell Total Serviced Hours Hours Material Expenses Meals Additional Miles /oQ Labor Tolls Misc. Total Labor Lodgings Invoicing Totals& Material Labor —Total Expenses Material Expenses Freight Sales Tax Total Amount Invoiced COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS d DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 ARGEO PAUL CELLUCCI � > .- Governor t pBOi DURAND !lfr�pr ecretary JANE SWIFT z� rLA ((URE/N/ A.LISS Lieutenant Governor ;rr 6 &mmissioner April 24;2000 John McShane McShane Construction PO Box 429 Osterville,MA 02655 Re: Application for BRP WP 61b APPROVAL OF ALTERNATIVE SYSTEMS FOR PROVISIONAL USE AND RELATED INSTALLATIONS Lot 14,-Falling Leaf Lane, Osterville,MA Transmittal Number: 123602 Dear Mr. McShane: The Department has received your application to install a Micro FAST on-site sewage treatment system at the above referenced location. The application includes plans prepared by Baxter,Nye &Holmgren, Inc., titled "Site Plan" and "Site & Septic Plan" dated September 2, 1999, and stamped by Richard A. Baxter, PLS, and Stephen A. Wilson, P.E. A copy of the approval issued by the Barnstable Board of Health was also forwarded to this office. The Department agrees that the above referenced location will be a suitable testing facility, for year round operation of the system, to evaluate nitrogen reduction under the Provisional Use Approval for the Micro FAST system, issued by the Department on September 16, 1998. The Department does not have available any information to indicate that the system carp meet nitrogen reduction limits when operated on a seasonal basis. As part of the Provisional Use Approval of this alternative system for nitrogen reduction,the Department requires that the following conditions.be complied with by the applicant and all subsequent owners: 1. The owner shall comply with all requirements of the September 16, 1998 Department's Provisional Use Approval for the Micro FAST treatment system'as modified for this "sysiem'by this approval. 'A cokpy of the Approval is enclosed. Installation and operation . a of the system shall be in strict conformance with the Provisional Use Approval and 310 CMR 1'5.000. 2. The owner shall maintain the system in accordance with section IV of the Provisional Use Approval. r This information is available in alternate format by calling our ADA Coordinator at(617)574-6872. DEP on the World Wide Web: http://www.magnet.state.ma.us/dep Z� Printed on Recycled Paper Mr.McShane April 24, 2000 Page 2 3. At least 30 days prior to system startup, the owner shall submit to the Department a copy of an operation and maintenance agreement.The initial operation and maintenance agreement and subsequent operation and maintenance agreements shall be for no less than one year. The operation and maintenance agreement shall be with any person or firm qualified to provide services consistent with the system's specifications, the operation and maintenance requirements specified by the designer and those specified, by the Department in this approval letter. The operation and maintenance agreement shall contain the name of the system operator who will operate the system, which shall be an appropriate Massachusetts certified operator, or operators, if a certified operator is required by 257 CMR 2.00. Any time the operator*is changed, the owner shall notify the Department and the Barnstable Board of Health in writing within seven days of such change. 4. 'Prior to the Barnstable Board of Health's issuance of a Certificate of Compliance, the owner shall submit to the Department and the Board of Health a copy of a sampling agreement, including a sampling schedule, with Bio-Microbics ("the Company") to sample and test the effluent, in accordance with section V of the Provisional Use Approval. Section V requires, among other things, that the Company conduct monitoring of all Provisional Use systems that are installed in Massachusetts. The following sampling and testing schedule is required for the Provisional Use approval, if this facility is occupied year round: Parameter Frequency pH quarterly for 3 years Biochemical oxygen demand(BOD) quarterly for 3 years Total suspended solids(TSS) quarterly for 3 years Total nitrogen(TN) quarterly for 3 years Water meter reading shall be recorded each time the system is sampled. After three years of monitoring and at the written request of the owner,the Department may reduce these monitoring requirements. The following sampling and testing schedule is required for seasonal occupancy,use of the residence for six months or less during any year: Parameter Frequency pH twice per season for 4 years Biochemical oxygen demand(BOD) twice per season for 4 years Total suspended solids(TSS) twice per season for 4 years Total nitrogen(TN) twice per season for 4 years Water meter reading shall be recorded each time the system is sampled. The system shall be monitored initially 45 days after occupancy and a second time two Mr.McShane April 24, 2000 Page 3 weeks prior to system shutdown. After four years of monitoring and at the written request of the owner,the Department may reduce these monitoring requirements. 5. The owner shall record in the appropriate registry of deeds a notice that discloses the existence of this Provisional Use approved alternative system and the involvement of the Department in the approval of the system and a deed restriction, granted to the Barnstable Board of Health, limiting the house to three bedrooms. Prior to the Barnstable Board of Health's issuance of a Certificate of Compliance for the system., the owner shall both record the notice and deed restriction in the registry and submit to the Department and the Board of Health the book and page number of the recordings. Should you have any questions regarding this matter, please feel free to contact Steven H. Corr at(617) 292-5920. Sincerely, Lealdon Langley, Director /1 Watershed Permitting Program Enclosure: Provisional Use A•proval for a Micro FAST Cc: Barnstable Board of Health DEP,SERO-B.Dudley Stephen A.Wilson,P.E., Baxter,Nye&Hohngren,Inc.,812 Main Street,Osterville,MA 02655 Robert J.Rebori,Bio-Microbics Incorporated, 8450 Cole Parkway, Shawnee,KS 66227 McShane S H FAST provisional-4-24 No. r Fee/G�' HE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIpprication for Misspool *p5tem Cow5truction Permit Application for a Permit to Construct('14)Repair( )Upgrade( )Abandon( ) 1!5Complete System El Individual Components Location Address or Lot No. 4 R/ju Owner'ss Name,Ad�dr/�ss and Tel.No. 4'§�( ap l � Lj S%W i O IV Installer's Name,Address,and Tel.No. D signer's Name,Address and Tel.No. A � Type of Building: Dwelling ti No.of Bedrooms Lot Size %5�sq.ft. Garbage Grinder(/ Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow _15Y gallons per day. Calculated daily flow 3 0 gallons. Plan Date 6 8 Number of sheets Revision Date /-7— Title And W _ �d�, — 1)�°>�'ir�i'�T /di,4 1 '�—�' Size of Septic Tank >SO® 6 Type of S.A.S. /a 'X V®` Description of Soil ' o? 0�0 SCc b SO i � a7' 4� '/0 ' _, (//ed 1,U Otg Nature of Repairs or Alterations(Answer when applicable) Date last inspected: DESIGNING ENGiNEE�LWST SUPERVISE Agreement: INSTALLATION AND CERTIFY 1N W�7 III T€ 6= �T INSTALLED The undersigned agrees to ensure the construction and maintenance of�tla a -site sewage disposal system t�c,t,U Q in accordance with the provisions of Titl the onmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued y oard of ealt Signed Date Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued �'" TOWN OF BARNSTABLE LOCATION LCI q(��Z�_ SEWAGE # 3 —Z Z VILLAGE C<S ry\L2 , ASSESSOR'S MAP & LOT/4 INSTALLER'S NAME&PHONE NO. 1'� he Ca�.�,C 4TT-7— 0a) SEPTIC TANK CAPACITY LEACHING FACILITY: (type) t i (size) ]•Z Y y0 NO. OF BEDROOMS BUILDER OR OWNER MC PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by R ,hs ��� 2/t�3h =4ALZ t _ 6' No '• Fee��°6oy!r 's ! \'HE'COMMONWEALTH/ ---Entered m computer: t ¢ OF MASSACHUSETTS Yes �e. PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ZIpprication for Miqu ar *pgtem Congtruction Permit Application for a Permit to Construct(N)e)Repair( )Upgrade(_ )Abandon( ) r�&mplete System ❑Individual Components Location Address orr Lot No. �� -/C� / Owner's Name,Adfdr ss and Tel.No. / Q A es's�i4stl p4. arcel /y�1-3 -,U40. k�aea�t Sad Os il�� Installer's Name,Address,and Tel.No. De igner's Name,Address and Tel.No. 14s &4,.e Type of Building: Dwelling r No.of Bedrooms t Lot Size /Sa a 9 sq.ft. Garbage Grinder Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow _Ss gallons per day. Calculated daily flow 33 0 gallons. Plan Date /D — 3 0 -9G Number of sheets / Revision Date ' Title l �dc, Size of Septic Tank /soo Gd.. Type of S.A.S. /;Z 'X (/0' Description of Soil �� ' o� a`.UdMit S�S4% a?' 116 ' /0 ' ._,i4L d;u.,M V'd c.r n1 141� ►' 2 -7.S' �--. Nature of Repairs or Alterations(Answer when applicable Date last inspected: w Agreement: { , The undersigned agrees to ensure the constructiot and maintenance of the afore described on-site sewage disposal system ,(Yaa {in accordance with the provisions of ttl the E �onmental Code and not io place the system in operation until wCertifi- cate of Compliance has been issue by oard ofalt x- ti Signed Date _ Application Approved by l� ate ' r Application Disapproved for the following reasons . Permit No., Date Issued --- -------------------------='`— -- W _ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CE >FY that he On-site Sewage D' 1 Systett Co z<tructed( �(j Repaired( )Upgraded( ) Ab_andoned( )by C ,r at ' ' has,been constructed in accord nce with the provisions of Title 5 an the for Disposal System 1�Construction Permit No. � dated Installer Designer n The issuance of this pput 1hall o be construed as a guarantee that the syst`m will,function as designeij. Date Inspector . -- t � -------------- — — 000 /No. Fee + " f' THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Migpogar *pgtem Congtruction Permit Permission is hereby granted to Construct(,�,4 Repair( )Upgrade( )Abandon( ) System located at g4 /!v e/l _,(cam`� rem s ii We and as described in the above Application for Disposal System Construction Permit. 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MCST 1 I— — - uOCKE J T I I el A POCKBT 9r •ROvIOm t 7 x w JMTa• O.t. I OG To m N c P! — I ONTRY ELAO• D !t 1D Jp5T6•IL' OZ. I �j � I JIx - 88 (`J - - - — _ a m i e I — _— — — — — � � I r Dart..raroArloK gAaL uu'�wve I &onR,h�Cowc.rOpTaK. - I _ row- PP - r m ?A-COre.A/Ral Elr- - DOOR CROP om 7 cows 20'-O' 2'- 21_O. IS'-9 1/2- T01U' FP - 1' O' L4'-e va• CF m P \ m FOUNDATION PLAN \ SCALE. 1/4' • I'-O• OD r SNE�T' l o� 2 DI SSaN OATA si,W11e Farnt lL4 3 Bedroom '�oP-16e ci%.scptic 5�5�rm SkOl No Ga.rbasc Gr 1rie(cr. W-rh A FAST U--t Oily Flows , . X ll.0 9�df„,. .' 330 YY1uK ,�a c.tvvrc9 b Sw%i�h 4 Love Icsa -'rr'c�31a:TanSii a 33p �c ZOO"f� _ 60 TIN.s G Q The 14rV%I ` USE I See) G A LLON TAWIc L IC WI#JG ST TSM DESK N. t D,.E Applica+tosl Ar-ea Re y�r+eJl RccorcQa��ae 'wi P.•, © rns+�blc; 330 riPD = a�79 GPO/SF = 446 5 . . aear'o. o Hccalfh FCecw ?� b • A .:J.. --�ac+F_ car �"<� i C..S. <FS,?6!C C{� .'�r::r'� ��6�C,. Appiscaho,+ Area 'Drsilrl 1 Lccc► FielcO lh,la.tic.H.vvi , }{�, lcoc.'? Vt5-.E,9 Da i�.r, Rrcat l z'x Ate' 41bo 5r- ToiriI Airca 48(!).5f=. Perrce1&-ho f R•►}c S'V"61 (Nt3, tic 4 4:.. 1'UL C(5b :. r Tyr How-= "k," j- .a E1 = 21.p FG 2/. 6 Sub 21 � ��c.H {�/GC /� t"ST ZA,7 I Sob Z I.6 r -- sox 2e5 GAL: 99 y t TAWjIC `� Cvusc lvne ` � Uh ca i - DwL-Lc,PVD ptta F1 LW . I io17.7; Dcc. P6,198(0 c n 3 T�i,Z� The. PraPosc.t pwtli,..� 54sew«+ SITE " Jc EPT'rC . PLAN. Hcr+con Cal,"Pl.dS Lit" .The 5►d4l+ne A►vA Set— LOCATION .s L-o-r 14 `F4e-"AJ6 Iooclt I�etvlrcmCA'h3. of 1"hC. T oeUY, o f SCA1-5- Iz zo' DATE Ba,rrls blt P.r*c� IttJaT"Loceatec4 4l,tisir% A PLA R PERSNL T'L�i Special . PI*.ask HaZ" Zo+te �� ASSIerSSORS MAP 144 PARCEL: 3-I4 I PLTCAWT: MC`5>Zc<in- Covet; XTFR � K1YE INC. Arocsaean>a! �C,tna1 Sorer ar•. Th N+iC. 5uFt0eYoia5 ' 'CIVas.. lrQG1�JLW P—S fJ S1 PCRV Ii.LE l MAS:5AC.HU69 f 5 r` 0�se'I'£ f" . build,rvas 'S1•,,e AJ iias't be use.f . �'oo No Y46 z8. The dwelling shall be limited to 2 bedrooms unless the septic system is modified to AtA OF include enhanced nutrient.removal as approved by the.Board of Health in which case a �o`' TEPH�E,N 'cti dwelling served by a modified system may be permii ed to have not more than 3 No.11 216 GIST bedrooms. REVISED:.. 9 Z �l y \/01VA Eao s6 'so " � C O � n. y o 00, Tl LUI S �1 N v- f t 51445'7- l of .Z DESIGN DATA Sl�lc F.lrrli l� 3: 13cdr+oorr� -, i, "Th.rs Wro �?.Sc�tic .5�s�em Shy 11 F3c Y t`lo Ga.rbasc Grir+dcr Co✓\SJTuc4C.Q W fii, A .FAST Uh, :L9u`rl"y 330 win c+Uvxc9 61 a Lovrlcs5 :5cp tc 'Tan ft '- 33o x"20070. = 6d Ihs+L IIcc�J .Xti ?he S �tiG `T•-kn" . USt' 1'500 GA LL 1C L�kGHI1JG: SYSTetr1 APPIlca tart Arca,`Re4yire 'PccoecQanc� wdt., A..EP ., ©�rvts blc t3 oar-�Q o� H cc�l•I-h k 3o Gvc o��9 aP�/ 446. . sF c�. . ' A ,J Arr�dat,a, Area. Dcs"In Lccc► Ficl�O �h6ia ll�t�.vvi: o� Abu: lcu64 C,4c9 C90 11}oi+1 Rr<a� 1Zx Afl� = 4bv SI= rofi.i Anca - 4eo sr- .• Pc reol a.fion R•!e A 5 VAI"JIMIC1 Glass T 5�'�Is j q ���, C�UC.,Sct•, �,7 , (abscri G,W .cM Lor '13 p e • E1 14,6 a 4/17198 {.crve - _ T•t'._•T. H o L e EI = 2i, C FG /^ b , r " El 13 b Y/`• ' a i L Q 7Z?1 26. DISC720,-7ISae .�elfC [�LI� M — Zoi 3 81X /9(o : 6c3 c Se�rlc v a n 5` 1 MT- v, uh l Io t D*VL-Lb Pap 'PRO FI LIB (�- 10177 Dcc. lio,198Co n { 2 Ccr+t� T4�a�! The Pr`oQasc.R V we 11�w� S►•sewr SETS :� SEPTIC PLAN 1lcrco+� Ce>..p1�S W� 'd�+c Stdcllnc AKd Sct- LOCATIO.. "l_o i- 14 FAu�NG LE-ltl= L�4NE' Ib�clt I�cc�.++lrew►en+5 Of` 7hr- DATE 5�2 �9 And X-bAorL&C_o•—_CC W14-kIA A P1,AN R£Fl�R1;NGS: _Pt� 389),?�' zZ S�sei�a) R1Da.R Haa,a+'�' Zen-t- A5S1i:55oR5 (1'1RP 144 PARG>wL : 3. If• r(; PLTGAMT; sv,ov�6h�id"icava XTFR NKE "IFdG. .4anJ SorVe ar ,y 1,b SuRUI:YoIes Clues. 1r�'celas�wRS N WrCRVILUr MASSAGHUSFETTS l7 _ O Sr#§ • ram 1Jui'1d�rls�S 3keOW Met be vsle.9 T6b N61 : c/rf6 LB �C ta��o1151► F^✓raPer -:.�IrYG3. The dwelling shall be limited to 2 bedrooms unless the septic system is modif ed-to : �(N OF/I�q include enhanced nutrient removal.as approved by the Board.of Health in which.case ao'' rEPHEry cti A F_^ dwelling served by a modified system maybe permrited to have not more.than 3 ►vo.s�ol�ys bedrooms.. REVISED.. 9 2 "�!7 FsslONAL �\� / ALUA/G 494 \� /racLd' 3 4Z' /S 229 51— 2 � f'roF: i.sx--)n. i ram. .. I prop.. \ 14kou " it �e 1560 64 Am_. S-Phc s� �rsfc. \o/\� �: r AST Sys>�.� V o!r I go. LoL u rcd v 0 /5 229 "Sly gr C ai-.,ctj 5 SM NG.on--i"C t:r, �A�tlEA .. SITE FLAQ n1 �4 - eevn- / l vo saa O.Z. N - Z© C3p6x TER Nye, INC. �0 Os ky-,Ii I k I'►'14 5 5 A 96023 ay _ngineerea ► h O ) Z` � I Q 1 M C 0 R P 0 A A T E 0 6450 Cole Parkway■ Shawnee, KS 66227• Phone 913-422-0707■ Fax 912-422-080ti e-mail: onsit§Qbiomicrobios.com n www.liiomtcrobicS.com,a 800-753-FAST(3278) PRODUCT REGISTRATION REPORT Product Registration Report must be completed and returned to Sio-Microbics, Inc. in order to effect warranty. Date of Start-Up Date Shipped to End User SerlaI2423 OWNER NAME Jeff Gagnon ADDRESS Lot 14-FailingLeaf Lane CITY/STATE/ZIP Osterville. MA PHONEIFAX BIO-IIAICROBICS DISTRIBUTOR NAME J&R Sales and Service, Inc. ADDRESS 44 Commercial Street CITY/STATE/ZIP Raynham. MA 02787 PHONE/FAX 508-823-9566 FAX: 508-880-7232 INSTALLER NAME McShane Construction ADDRESS P 0 Box 429 CITY/STATE/ZIP Osterville, MA 02655 PHONEIFAX CONSULTING ENGINEER if applicable) NAME Baxter& e AOORESS ? CITYISTATElZIP ? PHONEIFAX ? Good Bad NA < Good Bad NA ELECTRICAL PANEL(S) TREATMENT UNIT(S) Visual Alarm Operating (� 0 ❑ Air vent clear (►�' ❑ Audio Alarm Operating ❑ ❑ Septic tank level (� BLOWER(S) Septic tank meets-min.size Wired for correct voltage ❑ Septic tank filled to ❑ operating level inlet/outlet piped correctly ❑ Air Uft Operation �- 0 Filter element installed Mr ❑ Recirculation tune in place (� ❑ Blower hood secure ❑ Fasteners tight [�- ❑ Blower works correctly (�' ❑ WATER-TIGHT JOINTS Blower located within 100' of . ❑ ❑ Treatment unit to septic tank t3` ❑ treatment unit Air line clear Entrance tube to insert cover a[�' ❑ ❑ Air inlet screen clear Insert to insert cover (3 ❑ Blower hood vents clear [!� ❑ Discharge line connection ❑ Factory Authorized Personnel; Title: Firm: J&R Sales and Service. Inc. Date: — o May- 19-00 11 : 09A J&FZ Engineered 15088807232 P . 02 Customer ID# : 1716 Serial Number: 2423 Date: Customer Name: leff Gagnon Address: Lot 14 Falling Leaf Lane Osterville. MA Phone: Alt. Phone: Start Date: Permit Provosional Service Schedule: FMAN, Testing Requirements: BOD, TSS, PH.Nitratc/Nitrogen, Ammonia, TKN Number of Test Performed (Prior to this visit.) Direction: " Action Taken by Service Man: Quantity PO# Part # Description Unit Price Cost Sold Date Reg. O.T. Cost Sell Total Serviced Hours Hours ,Material Expenses Meals Additional Miles /o� Labor Tolls iI lsc. Total Labor Lodgings F , Invoicing Totals & Material Labor- � T otai Empenses Material Expenses Freight a Sales Tax Total Amount Invoiced . J BAXTER, NYE & HOWGREN, INC. �{ Registered Professional Engineers and Land Surveyors 812 Main Street,Osterville,MA 02655 (508)428-9131 FAX:(508)428-3750 May 10,2000 Board of Health Town Hall 367 Main Street Hyannis,MA. 02601 Re:Lot 14 123 Falling Leaf Lane Members of the Board; This letter is to inform you that the above noted septic system was installed in substantial compliance with the plan dated September 2,1999. If you have any questions or comments please call me. Very tr1m yours, t he�A. ilson,P.E. ee.McShane Coia"etion- 98023-14 �t IM AY 1 0 20001 '70-04 OF B,4RNSTABLE FZALTH DEPT. + Y.� Land Surveys Subdivisions Septic Design Wetland Filings Site Design OWNER understands and agrees that J&R is not responsible for special or consequential damages, including loss of time,.injury to person or property unit or equipment failure. This agreement is not assignable without the consent of J&R and will remain in force until canceled by either party through written notice. This is a one-year service contract to be billed annually in compliance with State regulations. Failure to comply will result in cancellation and nullification of any warranties. MANUFACTURER MODEL NO. SERIAL NO. LOCATION ANNUAL RATE Bio-Microbics Home FAST ' Osterville, MA $350.00 EQUIPMENT OWNER J&R Sales & Service, Inc. *Signed by: �1�'1 ,�,� +� _ Signed by: Jeff Gagnon 44 Commercial Street *Address: Raynham, MA 02767 Lot 14, Falling Leaf 4u►,e Tel: (508) 823-9566 Fax: (508) 880-7232 Osterville, MA *City: State: Zip: O?Iv55 Telephone: - 7 Effect Date of Agreement Effluent Testing Effluent sample taken quarterly- �iee�ea , delivered to a qualified testing lab for evaluation and with results being sent to State and local Agencies as well as the owner. Owner is responsible for providing acceptable access to effluent to enable a grab sample to be taken for laboratory testing performed: PERMIT : *(PLEASE CHECK ONE) ( ) GENERAL ( ) REMEDIAL ( X ) PROVISIONAL *SPECIAL CONDITIONS PER LOCAL BOARD OF HEALTH (Y) or(N) If YES,please attached copy of permit ( ) BOD5,TSS, pH (X ) BOD5, TSS, pH, Nitrate/Nitrogen, Ammonia, TKN ( ) Other: Cost for testing $294.99/visit Operator assigned: William Everett *Engineer: McShane Construction Company Telephone: (508) 243-9566 *Approval for Effluent Testing _�T✓/ n�"v� : J �� _ Homeowner's Signature i Please.complete all items marked mail signed original contract to: AR Sales& Service, Inc. 44 Commercial Street Raynham, MA 02767 Irk J&R SALES & SERVICE, INC. INSPECTION AND TESTING AGREEMENT This Inspection Agreement is entered into by J&R Sales & Service, Inc. (herein call MR) and the FAST* System OWNER (herein called OWNER), for the purpose of setting forth terms and conditions governing J&R's obligations to inspect OWNER's equipment listed below. Upon acceptance of this agreement, J&R will render the following services only: Equipment will be inspected at least 4 times per year that this Agreement remains in effect, with the first inspection beginning . These inspection will include: 1) Testing of the sludge depth in the septic tank. 2) Inspection, power testing and clean/replace intake filter ofthe air blower. 3) Inspection of the alarm system. 4) Inspect over-all condition of FAST System. 5) Notify OWNER of any problems encountered. 6) Service other than.routine maintenance will be billed at an hourly rate plus travel and material. J&R shall notify the local board of health and the Department of Environmental Protection in writing within 24 hours of a system failure or alarm event including corrective measures that have been taken. It is understood that by this Agreement J&R is not obligated to supply any parts. Any additional labor time will be billed to the OWNER at standard labor rates of$ 6464^00 per hour. Emergency service between regular inspections will be provided at standard rates for labor during normal business hours, after 5:00 PM and on Saturdays time and one-half, and double time on Sundays and holidays, minimum four (4) hours plus standard charges for parts plus mileage and travel charges. This agreement does not include expenses to repair damage caused by abuse, accident, theft, acts of a third person, forces of nature, or altering the equipment. J&R shall not be responsible for failure to render the service for causes beyond its control, including strikes and labor disputes. 44 Commercial St. Flaynham,MA 02767 Tole.508 823 9566 Fax 508 880 7232 72y °F 1NE Tp, Town of.Barnstable k r • - IARNSTAK E, A 9Q '""� ibg9' Board of Health -U 1� 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. '1 m Decision of the Board of Health Regarding Lots 1 Through 14'and Lots 16 Through 25 Falling Leaf Lane,Osterville, Shown on Subdivision'Plan Pdated 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'jlots 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 7 J construction applications indicated that parcels 2,'4, 6, 8, 10; 12, 14, 1a6, 18, 20, '22; and 24 (all E the even numbered lots) were owned by Osterville HighlandsYTrust. The remaining applications , . indicated that parcels 1, 3, 5, 7, 9, 11, 13, 17, 19, 21, 23, and 25 (all the odd numbered lots) were owned by O.R.E. Associates. On or about November 21, 1996, Mr. McKean disapproved all twenty-four disposal construction permit applications due to the fact that the plans lacked maximum feasible compliance with the State Environmental Code, Title 5. He also returned the checks totaling $2,400.00 to Peter Sullivan, P.E., of Baxter and Nye, Incorporated, and invited him to attend a Board of Health hearing scheduled on Tuesday December 17, 1996 in order to provide Mr. Sullivan the opportunity show why he, and the owners of the parcels, believed it would be feasible to construct septic systems on these 24 lots which would meet the provisions of Title 5, the State Environmental Code. During the first hearing which was held on December 17, 1996, the applicant requested a continuance. Then the Board members voted to continue this matter to the February 4, 1997 public meeting. On February 4, 1997, the applicant again requested a continuance; then the Board members voted to continue this matter to the March 4, 1997 public meeting. Continuation" hearings were also held on the following dates during 1997: June 17th, Julylst, 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 II of a public water supply: the Centerville-Osterville-Marstons Mills Water district wells CO# 10, CO AR#3,4, and CO MC#2. The Zone II for these wells was approved by DEP May 3, 1994. Further, these wells are showing nitrate levels in the range of 1-3 mg/L; these levels clearly exceed background nitrate levels (generally <0.5 mg/L) and are indicative that nitrogen from human sources is reaching these wells. Septic systems are known to be the largest source of nitrogen to groundwater on Cape Cod. 2. All lots in the subdivision are within a DEP-defined nitrogen-sensitive area as defined in 310 CMR 15.215(1). 3. Further, the majority of lots in the subdivision (lots 1-10 and 16-25) fall within the town of Barnstable defined WP zone, the five year time of travel contribution zone to a public water ` supply. 4. Septic system effluent is a known source of nitrate and other possible contaminants to the public water supply. 5. Increasing density of housing is associated with increased levels of nitrate and other ntaminants in groundwater. In recognition of 4 and'5 above, DEP has determined per 310 CMR 15.214(I), that no serving new construction in a nitrogen sensitive area designated in 310 CMR 15.215 shall 3 be designed to receive or shall receive more than 440 gallons of design flow per day per acre except as set forth at 310 CMR 15.216 (aggregate flows) or 15.217 (enhanced nitrogen removal). 7. All lots in the subdivision are less than an acre in size. Further, all lots, except lots 23 and 21, are less than one-half acre (20,000 sf). Under the nitrogen loading requirements of 310 CMR 15.214, the half-acre lots would be entitled to a 220 design flow, 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 1.5.005 (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 is CMR 15.216 and DEP guidelines. It is this board's belief that the-cumulative acreage in the subdivision, minus the acreage devoted to roads, when considered in the aggregate is sufficient to allow the construction of 2-bedroom homes (220 gpd design flow) on twenty of the lots and this will be in general compliance with the nitrogen loading requirements of 310 CMR 15.214. 12. The applicant has acknowledged that lot 15 will'be used for drainage and is not to be considered buildable. . 13. At the hearings held on August 19, 1997 and September 3, 1997, the applicants proposed to the 'Board that dwellings located on 20 of the lots, which specific lots they identified, would be limited to 2 bedrooms unless the system(s) are modified to include enhanced nutrient removal as approved by the Board of Health in which case.a dwelling served by a modified system maybe 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 a' approved by the board, will negate the restrictions in 14 above. t 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 ` r q and ORE Associates, Inc.: A) Disposal System Construction Permits shall issue to ORE Associates, Inc. for lots 3, 5, 7, 9, 11,.13, 17, 19, 21, 25 and to Osterville Highland Trust, John Alger, Trustee for lots 2, 4,'6, 8, 10, 14, 16, 18, 26, 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 berecorded at the stable Registry of Deeds. A copy of the recorded deed restriction for the particular lot for 6 . r which a Disposal System Construction Permit is sought shall be provided,to the Barnstable Board of Health prior to the issuance of a Disposal System Construction Permit. (B) Disposal System Construction Permits shall issue to ORE Associates, Inc. for lots I and 23 and to Osterville Highland Trust, John Alger, Trustee for lots 12.and 22, as designed; subject to compliance with the following conditions: 1. All dwellings shall be limited to not more than 3 bedrooms and said system(s) must be modified to include enhanced nutrient removal as approved by the Board of Health'. 2. Each plan shall be modified by the applicants to include a notation containing the full text of the language recited in paragraph (B)(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. F OPPOSED: NONE Dated: October 7, -1997 Susan. Rask, Chair Barnstable Board of Health 4 • 7 TOWN OF BARNSTABLE - °C® LOCATION rUr NA le 110 SEWAGE # VILLAGE � �v��.r2 , ASSESSOR'S MAP & LOT 'l0�_0e INSTALLER'S NAME&PHONE NO. IC h2 C��.�.C`ITV 500A SEPTIC TANK CAPACITY �� LEACHING FACILITY: (type) �r. (size) 17 -Y q® NO. OF BEDROOMS BUILDER OR OWNER m �l PERMUDATE: COMPLIANCE DATE: v 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 - Ve N� ar e A � t s 1 ln1 r3 N it %32. TOWN OF BARNST ABLE LOCATION �e. S I.s . SEWAGE # f8'19 VILLAGE 0SWU1 lQ ASSESSORS MAP& LO INSTALLER'S NAME&PHONE NO. MQ 56v.e, Cay.s*. SEPTIC TANK CAPACITY I s6 LEACHING FACILITY: (type) (size) 2n x2.q NO.OF BEDROOM 7S - BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by .. OP P N P eA O r� ) xs- - N � � n v cp 1 S 1 U, �.�► N N — a ►� a 1t i� la. Q o N oa_ ,