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HomeMy WebLinkAbout0132 FALLING LEAF LANE - Health 132 Falling Leaf Lane . w Isterville ..A = 144 003011 0 0 0 u I of BAA, BARNSTABLE COUNTY fi DEPARTMENT OF HEALTH AND ENVIRONMENT BARNSTABLE SUPERIOR COURT HOUSE c, Phone(508)375-6613 sgCHtTsti 3195 MAIN STREET P.O. X 427 FAX(508)362-2603 BARNSTAB , ASSACHtJSE 02630 TDD(508)362-5885 May 22,2009 t Joseph Minarik .ill32 Falling Leaf Lane OSTERVILLE,MA 02655-13W RE: Operation and Maintenance Contract for the Innovative/Alternative Septic System Installed at 132 Falling Leaf Lane in the town of Barnstable. Dear Joseph Minarik, ` On May 6, 2009, I attempted to reach you by telephone regarding your FAST Innovative/Alternative (I/A) septic system.I was unable to reach you because you have no listed phone number. We have been informed by Wastewater Treatment Services, your last service provider of record,that your operation and maintenance contract with them for your FAST system expired or was cancelled on or about February 17,2009. 1 am writing to remind you that the Massachusetts Department of Environmental Protection (MA DEP) and the Town of Barnstable require you to keep an operation and maintenance(O&M)contract in effect at all times for your system. These requirements may be found on the MA DEP website at: http://www.mass.gov/dep/water/wastewater/septicsy.htrri#ia My department oversees I/A septic system management and compliance efforts for the Board of Health in your town. We are authorized by your Board of Health to contact you to inform you of the above requirement and to request your compliance. Accordingly, please forward a copy of a signed contract via mail, fax or e-mail within fifteen (15)days of receipt of this letter. For your convenience, I am enclosing a list of wastewater operators we are aware of that do business in Barnstable County. The firms listed operate multiple types of I/A technologies and are not associated with any particular technology or vendor. Additionally, I have included an "Inspection and Testing Requirements" form for your system. You will need this information when contacting an operator to form a new contract: Please be advised that if you do not respond within fifteen (15) days of your receipt of this.letter by forwarding a copy of a signed contract, I will refer you to the Barnstable Board of Health for further enforcement action. You may be required to appear before the Barnstable Board of Health to show cause as to why you have not maintained the required contract. I can be reached at (508) 375-6888; my Fax number is (508) 375-6880. I can also be reached via email at bbaumgaertel@bamstablecounty.org. Thank you for your prompt attention to this matter. Sincerely, Brian Baumgaertel Information Specialist Enclosures: Inspection and Testing Requirements Form,Certified Wastewater Operators List CC: Barnstable Board of Health I CERTIFIED MAIL NUMBER: 7006-0810-0005-4431-1008 Inspection and Testing RequirementsBA x Barnstable County Department of Health and Environment P.O.Box 427 Barnstable,MA 02630 'fS,��H Phone:(508)375-6888 Fax: (508)375-6880 Joseph Minarik 132 Falling Leaf Lane OSTERVILLE MA 02655 Massachusetts DEP Approval Level: Provisional Inspection Requirements Your system is required to be inspected Quarterly Additional system components that must be inspected: ❑Ultraviolet Disinfection Unit- Because of the presence of this unit in your system,you may be required to have your system effluent tested for Fecal Coliform bacteria. See"Testing Requirements"below. . ❑ Pump Chambers- Testing Requirements Your system is required to be tested as follows: ❑Annual Field Test Includes testing for pH,Dissolved Oxygen(DO)and turbidity.Additionally,the effluent must be visually inspected for color,turbidity and effluent solids.Failure of any of these tests will require that a laboratory test be completed for pH, BOD5,and TSS.Failure of any laboratory test requires a follow-up inspection and field test within 60 days. V❑ Effluent Lab Testing-Annually The effluent is to be tested for: ❑ TKN ❑ Alkalinity ❑ pH. (Range:6-9) Nitrate Ammonia (Limit: 19mg/L) ❑ Temperature 0 Nitrite ❑d BOD5/CBOD (Limit:30mg/L) ❑ Water Usage Total Nitrogen (Limit: 19mg/L) 0 TSS (Limit:30mg/L,)- ❑ Conductance ❑ Fecal Coliform ❑ Influent Lab Testing- The influent is to be tested for: ❑ TKN ❑ Alkalinity ❑pH ❑ Nitrate - ❑ Ammonia ❑ Temperature ❑ Nitrite ❑ BOD5/CBOD ❑ TSS ❑ Total Nitrogen ❑ Fecal Coliform ❑ Water Usage Please make sure that any contract you sign contains provisions for each of the above requirements.Failure to follow these requirements can result in a Board of Health hearing.Questions can be directed to the Barnstable County Department of Health and Environment or your local Health Department. _ j r 44 Commercial Street Raynham, MA 02767 1 Tel: (508)880-0233 Fax: (508) 880-7232 June"19, 2009 Ms Lynda Minarik 132'Falling Leaf Lane Osterville, MA 02655 RE; •MicroFAST System - MCF05 537e s 1�32 Falling Leaf Lane,,Osterville, Massachusetts Dear Mr. Minarik' ; We have're-instated your Inspection& Testing Agreement for the FAST Treatment system"located at 132`Falliha Leaf,Lan& Osterville, Massachusetts as of today's date. FThank you. Sincerely,. e , Donna L:.Callahan w Cc: Department of Environmental Protection,Boston o Barnstable Board o&Health 200 Main Street Hyannis,',MA 02601 - Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 132 Falling Leaf Lane Property Address ' Joseph Minarik Owner Owner's Name information is required for Cisteryille MA 02655 8/6/09 -- --- ------- every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: A. General Information When filling out - forms on the computer, use 1. Inspector: ' only the tab key to move your Fred Swain _ cursor-do not Name of Inspector use the return key. _Wind River Environmental Company Name 1958R Broadway Company Address Raynham MA 02767 City/Town — State _--- --- Zip Code ---- 508-822-2003 651 _ . Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority :4�s 8/6/09InSignature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP) within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. l5ins•09/08 Title 5 Official Inspection Form:Subsurface Se a Disposal System•Page 1 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form ✓ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 132 Falling Leaf Lane Property Address Joseph Minarik Owner Owner's Name information is required for Osterville MA 02655 8/6/09 - every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: I Fast system working well at this time. All documents are attached. " e B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND) for the following statements. If"not_ determined," please explain. The septic tank is metal and over 20 years old* or the septic tank,(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. Y ❑ N ❑ ND (Explain below): &ns•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 132 Falling Leaf Lane Property Address Joseph Minarik. _ Owner Owner's Name information is required for Osterville MA 02655 8/6/09 ------ - - every page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or-due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are.replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed' ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ 'The system required pumping more than 4 times a year due to broken or obstructedpipe(s). The Y q P P 9 Y system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system,is failing to protect public health, safety or the environment. 1`. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection For Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 132 Falling Leaf Lane Property Address Joseph Minarik Owner Owner's Name information isrequ Osterville _ _ MA 02655 8/6109 everypage. Cit /Town State Zip Code Date of Inspection every page. Y B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has'a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance; ** This system passes if the well water analysis,,performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. L ' 3. Other: 4 D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool El ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool El ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow t5ins•09/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 132 Falling Leaf Lane Property Address Joseph Minarik Owner Owner's Name information is Osterville MA 02655 8/6/09 required for _—__ —.- — — --- every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No E] ® Required pumping more than 4 times in the last year NOT due to clogged or. obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. El ® Any portion of cesspool or privy is'within 100 feet of a surface water supply or tributary to a surface water supply. ❑ 0 Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 1 o0 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a " design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply 0 El Area system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. l5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 132 Falling Leaf Lane Property Address Joseph Minarik _ Owner Owner's Name information is Osterville MA 02655 8/6/09 recuired for every page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ® Have large volumes of water been introduced to the system recently or as part of El this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at.the Board of Health. r Determined in the field (if any of the failure criteria related to Part C is at issue El ® approximation of distance is unacceptable) [310 CM 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 - Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for.example: 110 gpd x#of bedrooms): 330 gpd t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 132 Falling Leaf Lane Property Address Joseph Minarik Owner Owner's Name information is required for osterville MA 02655 8/6/09 ---- every page. City/Town State Zip Code Date of Inspection D. System Information - J Description: 2 Number of current residents: Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage (gpd)): 250 gpd 9 ( Y 9 Detail: Readings from water department, 18300 divided by 730 = 250 gpd. Has underground sprinkler system. — - - - - — Sump pump? ❑ Yes ® No Last date of occupancy* Current _ Date i Commercial/Industrial Flow Conditions: Type of Establishment: — Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.). -- Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: — --- 15ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 i I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments - 132 Falling Leaf Lane Property Address Joseph Minarik i - Owner Owner's Name information is Osterville MA .02655 8/6/09 required for — every page. City/Town State Zip Code Date of Inspection D. System Information (font.) Last date of occupancy/use:, - —- Date- ., Other(describe'below): General Information l Pumping Records: Source of information:" Wind River records. Was system pumped as part of the inspection? ❑ Yes. ® No If yes, volume pumped: --- gallons How was quantity pumped determined? -- I Reason for pumping: _ -- - Type of System: ® Septic tank, distribution box, soil absorption system A Single cesspool " Fj Overflow cesspool 0 Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) . Innovative/Alternative technology:.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of they/A system by system operator undercontract Tight tank. Attach a copy of the DEP approval. ® Other(describe): Fast System --- t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 , i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 132 Falling Leaf Lane Property Address Joseph Minarik Owner Owner's Name information is required for Osterville MA 02655 8/6/09 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: Installed November 1998 per as built plan. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 1. 9 fee t t Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): - --- -- Distance from private water supply well or suction lineal eeA ---- - - Comments (on condition of joints, venting, `evidence of leakage, etc.): Good clean joints with no leaks. Septic Tank (locate on site plan): 101, Depth below grade: feet Material of construction: y ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) Tank in good condition. _ If tank is metal, list age: .years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No 5x5x10 Dimensions: 0 Sludge depth: t5ins•09108 u Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 132 Falling Leaf Lane Property Address Joseph Minarik Owner Owner's Name information is required for Cisterville MA 02655 8/6/09 — —_— every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) .Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 0 1 Inch Scum thickness J Distance from top of scum to top of outlet tee or baffle Large Filter Distance from bottom of scum to bottom of outlet tee or baffle Cannot measure _ Fast System How were dimensions determined? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank at proper working level, inlet T good, outlet has filter in good condition. Recommend servicing system when sludge is over 12 inches. Grease Trap (locate on site plan). Depth below grade: feet Material of construction: x ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•09/08 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 e s Commonwealth of.Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 132 Falling Leaf Lane _ Property Address - Joseph Minarik _ Owner Owner's Name information is Osterville MA 02655 '8/6/09 required for — -- - - - every page. City/Town State Zip.Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate-on site plan): Depth below grade: - - - Material of construction: - ❑'con6rete ❑ metal ❑ fiberglass ❑.polyethylene '❑ other(explain): Dimensions: -- -- Capacity: gallons Design Flow: gallons per day _— Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date — - -- Comments (condition of alarm and float switches, etc..): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 132 Falling Leaf Lane -- Property Address Joseph Minarik Owner Owner's Name information is required for Osterville MA 02655 8/6/09 - - - every page. CitylTown State Zip Code Date of Inspection .D. System Information (cont.) Distribution Box (if present must be opened).(locate on site plan): 0 Depth of liquid level above outlet invert -- Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Liquid was clean in D-Box. There are line levelers in D-Box to even out flow to field. Pump Chamber(locate on site plan):_ Pumps in working order: ❑ Yes ❑ No Alarms in working order: - ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located, explain why: t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form - R� Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 132 Falling Leaf Lane Property Address Joseph Minarik Owner Owner's Name information is required for Osterville MA_ 02655 8/6/09 _ every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: leaching chambers number. ❑ leaching galleries number: El leaching trenches number,length: ® leaching fields number, dimensions: 5 @ 20 x 24 ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Fast System /Wastewater Technology Service Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): System appears to be in good working condition. Attached copies of O& M forms, last reading on 6/30/09. — - — - J Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth -top of liquid to inlet invert Depth of solids layer -- Depth of scum layer I Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 132 Falling Leaf Lane - Property Address Joseph Minarik -- Owner Owner's Name information is Osterville MA 02655 8/6/09 required for — every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil,.signs of hydraulic failure, level of ponding, condition of vegetation, etc.). Privy (locate on site plan): Materials of construction: - Dimensions Depth of solids — w Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments ° 132 Falling Leaf Lane - Property Address JosephMinarik — Owner Owner's Name in'ormation is required for Osterville MA 02655 8/6/09 _ - every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately I i I t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage bisposal system•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 132 Falling Leaf Lane_ _ _ _ — Property Address Joseph Minarik -- Owner Owner's Name iiformation is Osterville MA 02655 8/6/09 required for _ -- every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells 13 Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation:: ❑ Obtained from system design plans on record . If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: - Disposal permit dated; 1/18/99 for Fast System. ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Application for permit of Fast System showed no ground water at 13'. Before filing t p Report, p his Inspection Re ort lease see Report Completeness Checklist on next page. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page.16 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form Not for Voluntary Assessments , ,M 132 Falling Leaf Lane Property Address Joseph Minarik Owner Owner's Name i-tformation is Osterville MA 02655 8/6/09 required for — — every page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed 0 ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t 1 t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 f + QQ . 44 Commercial Street Raynham,MA 02767 Tel: (508)880-0233 Fax: (508)880-7232 July 31, 2009 Lynda Minarik 132 Falling Leaf Lane Osterville, MA 02655 Serial Number MCFOS 537 Reference: FAST"" Wastewater Treatment S stem - : . Dear Ms. Minarik: Attached pleas e find the Inspection & Service Report for service 1 performed 06/30/2009 at your property loc on ated at 132 Falling Leaf Lane - Ostery , Please call if you have any questions or require additional information. Sincerely, ����o �ea�ir.���ia.�cev • Wastewater Treatment Services, Inc. Service Department Enclosures 7 Massachusetts Department of Environmental Protection Bureau of Resource Protection- Title 5 P�A roved Inspection and O&M Form for Title 5 IlA , DE pp Treatment and Disposal Systems 12734 A. Installation important: Lynda Minarik — When filling out Owner forms on the 132 Falling _ computer use — , only the tab key Facility Street Address 02655 ----to move your Osterville — Zip cursor-do not City use the return key. Mailing address of owner,if different: VA Q 132 Falling Leaf Lane __ --- Street Address/PO Box: 02655 —-- Oste_-------- MA- ---- --- — -- State Zip City - 508-420-4206 ext. --=-- Telephone Number B. Authorized Service Provider Wastewater Treatment Services, Inc. O&M Firm 44 Commercial Street Street Address 02767 _. Raynham Mae zip ,-- city 508-880-0223 ext. Telephone Number 9166 - Joan Peterson - Certification Number Certified Operator Name C. Facility/System Information . Bio-Microbics, Inc. MicroFAST .5 MCF05 5.37 Model Number DEP ID Manufacturer ID ---_ 139/03/1999 -- Start of Operation Installation Date Approval Type:- 0 General ®Provisional 0 Piloting Q.Remedial Seasonal Residence—used less thari 6 mo./year: 0 Yes ®No D. Operating Information 06/30/2009 Previous Inspection Date Inspection Date Pumping Recommended 0 Yes ®No Slud a Level Page 1 of 3 DEPMicroFASTnew.doc•7r31/09 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems r. 12734 4 E. Field Testing Field Inspection 0 gray . Q brown ® Color: clear Q turbid r 0 other(specify): mold offensive �]turbid Odor:� 0 musty ®earthy 0Y s Effluent Solids: Q no 0 some pH SU, DO mg/L. Turbidity NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken Q Influent 0 Effluent Commercial systems or systems with a design flow of.2000 gpd and greater, and General Use nitrogen reducing systems:" 330 gpd Parameters sampled: O pH Q BOLA 0 CBOD []TSS Q TN 0 Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance . Description of any maintenance performed since previous inspection and during this inspection Cleaned filter,, ,,Checked Splash Recycle, Notes and Comments: Page 2 of 3 DEPMicroFASTnew.doc•7/31/09 Massachusetts Department of Environmental Protection LLIBureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 IIA Treatment and Disposal Systems 12734 H. Certification I certify: I have inspected the sewage treatment sample collect on iosal nstem at the accord accordance with Standard Methods, ress above, have conducted the required Field Testing a P have completed,this report and the attached technology operation and maintenance checklist,and the information reported is true, accurate, and complete as of the time of the inspection. I am a Ma ssachusetts certified operator in accordance with 257 CMR 2.00. Joan Peterson 06/30/2009Date Operator Signature. System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31 s'of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31s'of each year for the previous 12 months General Use—by September 30'h of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 61h Floor Boston, MA 02108 Page 3 of 3 DEPMicroFASTnew.doc•7131/09 CUM , MOR N L P O R p 1 E C 8450 Cole Parkway n Shawnee, KS 66227 o Phone 913 3--422ic0s07 Fax:com � 800-753 2-0808278) 12734 bjoe-mail: onsite(a�biomicrobics.com n www.. FIELD INSPECTION & SERVICE REPORT For Bio-Microbics�Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER E:::: 132 Falling Leaf Lane Wastewater Treatment Services, Inc. Installation Address: Osterville,MA 02655 Name: Owner Name: L da Minarik Mail Address: 44 Commercial Street Mail Address: Raynham, MA 02767 132 Falling Leaf Lane State Zip Osterville, MA 02655 City 508-880-0233 508-880-7232 Phone Fax a-mail Phone: 508 420-4206 Fax e-maINSTALLATION INFORMATION Date of Installation Date of last pump out Model No. Serial No. 5!1/2006 12:00:00 AM MCF05 537 09/03/1999 MicroFAST .5 NO MAINTENANCE PERFORMED AND COMMENTS E UIPMENT YES Electrical Panel s Visual Alarm operatine X Audio Alarm Operating X if resent) Blower s Air Inlet Filter Clean X Blower Hood Vents Clear X:. X Excessive Noise Excessive Vibration . X Treatment unit s Unusual Odor X Pum out Re uired: Primary Settlin Zone „ Aerobic Treatment Zone EFFLUENT o tional LIMIT RESULT 330 Estimated Dail Flow d. H (Standard Units Clear Color Tern erature F - Earth Odor Comments: TECHNICIAN SERVICE DATE Joan Peterson 06/30/2009 ,�. _ � ci� �� /.� � � �� � �. . �� � e� , �� � ✓, V�/ "" V' � � l a . � �� . , o R r . , i �, ° ,� ' , - 6 •� _. f e -- ' � � �. I ` �..� � t32 Town of sARrts�rAaLE ` LOCATION l�� It I�,,,o -a IN_ SEWAGE 58-19 VII.I.AGB OS P ASSESSOR'S MAP k I INSTALLER'S NAME dt PHONE NO.M&Namal r._ SEPTIC TANK CAPACn Y I Sa O LEACHING FACUXrY: (type) *IC1 S I (size) 7n YTS/ NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Wdl and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) o Furnished by f t�ae4 a} IteusQ, (31a...c.� 1 A W Z`32 Ay yz` Ay _(p%t $�= ss . t s zo ecti r r n,l r_ �1�Q6'teCUQCP/` �/`eC1f/72e/l� c.Je/o ,, ono. 44 Commercial Street Raynham, MA 02767 Tel: (508) 880-0233 Fax: (508) 880-7232 February 17, 2009 i Ms. Linda Minarik 132 Falling Leaf Lane Ostervile, MA 02655 { 4 Re: Serial Number: MCF05 537 ' Location: � 132 Falling Leaf Lane, Osterville, MA Dear Ms. Minarik: We understand you do not wish'to continue your maintenance contract with our company. Please be advised the Massachusetts Department of Environmental Protection requires a maintenance contract be in place for the life of the alternative septic system. Also, we are required to inform both the state and local agency of your decision. If you have any questions or need'additional information please call our office at (508) 880-0233.;1 Sincerely, Donna Z. Callahan E Copy to: Massachusetts DEP Barnstable Board of Health! CO 200 Main Street ` . .. M'.Hyannis, MA 02601 �. . Barnstable County Dept. of.Health& Env. r >31'95 Main`S'treet' Barnstable, MA_02630 ao INE0RP0RATE0 84H Cole Parkway ■ Shawnee, KS 66227 Phone: 913-422-0707 ■ Fax:`913-422- 808 RE e-mail: onsite@biomicrobics.com ■ www.bi.orhicrobics.com ■ .800-753-FAST(32 8) ED FEB 1 3 2004 January 23, 2004 TOWN OF BA RNSTABLE HEALTH DEPT. Barnstable Board of Health P.O. Box 534 Hyannis,_.MA 02601-534 Re: Joseph Minarik Residence Dear Board of Health Official: Enclosed are the field test results and inspection forms dated 3/28/03, 6/3/03 & 8/25/03 for: Joseph Minarik 132 Falling Leaf Lane Barnstable, MA If you have any questions or concerns please do not hesitate to contact me. Regards; Allison Blodig, REHS Regulatory Affairs Coordinator Bio-Microbics, Inc. (913)422-0707 cc: Massachusetts file for 132 Falling Leaf Lane, Barnstable, MA t VEC0VF_0 DEC r I N C 0 R P 0 R A T E 0 8450 Cole Parkway Shawnee, KS 66227 m Phone 913-422-0707 m Fax: 912-422-0808 2820 e-mail: onsite(ftiomicrobics.com m www.biomicrobics.com m 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 132 Falling Leaf Lane Installation Address OstervilleMA 02655 Name Wastewater Treatment Services,Inc. Owner Name Joseph Minarik Street Mail Address: Mail Address 44 Commercial Street 132 Falling Leaf Lane Raynham, MA 02767 Ostervile,MA 02655 City State Zip 508-880-0233 508-880-7232 Phone 508 349 7302 Fax e-mail Phone Fax e-mail ` ."..:INSTALLATION INFORMATION'. Model No. Serial No. Date of Installation Date of last pumpout MicroFAST.5 MCF05 537 09/03/1999 EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS ". Electrical Panel(s) Visual Alarm Operating X Audio Alarm Operating X if resent Blower(s) Air Inlet Filter Clean X Blower Hood Vents Clear X Excessive Noise X Excessive Vibration X Treatment unit(s) Unusual Odor Pum out Required: X Primary Settling Zone Aerobic Treatment Zone EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 3 Bedrooms H Standard Units Color N/A Temperature Odor None Comments: TECHNICIAN SERVICE DATE Joan Peterson 12/02/2003 i Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation 2820 Important: Joseph Minarik When filling out Owner fcrms on the computer,use 132 Falling Leaf Lane only the tab key Facility Street Address . to move your Osterville cursor-do not 02655 use the return city Zip key. Mailing address of owner, if different: 132 Failing Leaf Lane Street Address/PO Box. Ostervile MA 02655 City State Zip (508 349 7302 ext. Telephone Number B. Authorized Service Provider Wastewater Treatment Services, Inc. O&M Firm 44 Commercial Street Street Address Raynham MA 02767 City State Zip (508)—880-0223 ext. ' Telephone Number Joan Peterson 9166 Certified Operator Name Certification Number C. Facility/System Information MCF05 537 Bio-Microbics,Inc. MicroFAST .5 DEP ID Manufacturer's Name&ID Model Name&Number 09/03/1999 Installation Date Start of Operation Approval Type:_General X Provisional _Piloting _Remedial Seasonal Residence—used less than 6 mo./year:_Yes X No D. Operating Information 12/02/2003 Inspection Date Previous Inspection Date n Sludge Depth(to be checked yearly) Pumping Recommended —Yes X No Color: N/A Odor: None Effluent Description DEPMicroFASTnew.doc•12/10/03 Page 1 of 2 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 51/A Treatment and Disposal Systems E. Sampling Information 2820 Samples Taken:— Influent _Effluent Parameters sampled:_pH_BOD_TSS_TN—Other(list below) Other 1 Other 2 Other 3 Description of any maintenance performed since previous inspection &during this inspection: Cleaned Filter,,,Splash Recycle, Notes and Comments: t , F. Certification t I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Joan Peterson 12/02/2003 Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use-by January Piloting & Provisional Use- General Use—by September 31s'of each year for the within 30 days of inspection 30th of each year for the previous calendar year date previous 12 months Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston. MA 02108 DEPMicroFASTnew.doc•12/10/03 Page 2 of 2 ��a�.Cuvale� �ieatirz�zt c.fei��ce�% �iui. 44 Commercial Street Raynham, MA 02767 Tel: (508) 880-0233 October 9;•2003. Fail: (508) 880-7232 Division of Water Pollution Control . Department of Environmental Protection , One Winter Street—6a'Floor Boston, MA 02108 Attention: Mr. Steve Corr Subject: Request for Testing Reduction W FAST Treatment System Reference: Serial Number MCF05 537 132 Falling Leaf Lane- Osterville, MA Dear Mr. Corr: Attached please find the results for testing performed at the property of Joseph Minarik, 132 Falling.Leaf Lane, Osterville, MA. The homeowner has spoken with Dana Hill who agreed he should request a reduction. As the operator of this system we are requesting that the testing requirements be reduced or eliminated for this unit. Please forward a copy of your decision to our office. Thank you. Sincerely, P ei/fl-i7alm6ve4rete-tze Service Manager t cc: Barnstable Board of Health ; Homeowner Mailing Address: k Joseph Minarik 132 Falling Leaf Lane Ostervile, MA i " in- tNCORPDRATED 8450 Cole Parkway■ Shawnee, KS 66227■Phone 913-422-0707■ Fax: 912-422-0808 e-mail: onsite(ftiomicrobics.com .www.biomicrobics.com ■ 800-753-FAST(3278) FIELD INSPECTION. & SERVICE REPORT For Bio-Microbics Single Home FAST& System INSTALLATION AUTHORIZED SER� IB p�t0 ti; 1 ?: ... yrRrl�nri kck}d) k 132 Falling Leaf Lane Installation-Address Osterville,MA 02655 - Owner Name lo �seph Minarik Mail Address Y� 132 Fallin g Leaf ��eunate� 8 Lane 9 necrG,zrnG cfariicr�, ,5i�c Ostervile, MA 02655 city State Zip 44 Commental street,Raynham,MA 02767 5083497302 Tet:(5oa)seo.o= Fax(sos)esoar� Phone Fax e-mail Phone Fax e-mail ..%. t: "; x�E�.sr,rk4t� °k?.3.': h'9i.117►71AT ., ,, UAr'.. t.,.=H Model No. Serial No. Date of Installation Date of last pumpout MCF05 537 9/3/99 Electrical Panel (s)d Visual Alarm Operating Audio Alarm Operating if resent Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment mni s Unusual Odor Pum ut Required: Prim Settlin Zone V Aerobic Treatment Zone v Isar RESULT Estimated Dail Flow 3 Bedrooms H Standard Units 6-9 S.U. p Color Clear �/ Temperature Odor . Slightly . . musty odor not tic 59REMP IPNAMia,,: `.,:..-$ CB`DA i}4l'.:tr COMMONWEALTH OF MASSACHUSETT S CA EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION U0 ONE WINTER STREET, BOSTON. MA 02108 617-292-SS00 DEP Approved Inspection and O&M Form for Title 5 UA Treatment and Disposal Systems - Installation . Authorized Service Provider Installation Address: 132 Falling Leaf Lane: O&M Firm: Osterville MA Owner Name: Mail Add 4f"(&zw�Og aln ov ore .9ico Joseph Minarik Mail address: 132 Falling Leaf Lane 44 corrvnerciel Tel:(508 880.0233 az.street,%rhun,MA 02767 F Ostervile,MA 02655. Telc hon (sos)880-72W 5083497302 Certified 0 erator Name: Telephone No.: p DEP No.: Mfr.No.: MCF05 537 Cem No.: Model No.: Installation Dater / (�CY mStart of Operation: ICro FAST 9/3/99 Approval T cle) Seasonal�—Noj"�) ence—used less than 6 moJyear: (Circle) General Provisional Piloting Remedial Yes Operating Information Previous Inspection Date. Tspecti ate: Sludge Depth:(w be checked g P yearly) Pumping Recommended(Circle) I Yes No Effluent Description: Attach copy of certified lab results. Check all dw are required Samples:Influent Effluent P�. `, Parameters: O TSS Other Other Description of Overall System Condition:. Description of any Maintenance Performed since Previous Inspection and During this Inspection: lad . 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 CMR 2.00. perator Signature Date System owner must submit Remedial Use-by January 31 u of 'Department of Environmental this report,manufacturer's each year for the previous calendar Protection O&Mchecklist,and any' year Attn: Title 5 Program required sampling results Piloting& Provisional Use-within One Winter Street, 6"' Floor to the local Board of Health .z2 days of inspection date Boston, LVIA 02108 and DEP as follows for General Use-by September 30 of each inspection performed: each year for the previous 1_2 months 511101 rr GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: 132 Falling Leaf Osterville Matrix: Aqueous Project: Minarik/MCF05-537 Received: 08-25-03.15:00 Client: Wastewater Treatment Services Lab ID: 64270-01 Sampled: 08-25-03 13:30 Container. 1 L Plastic Preservation: Cool Analyte Result Units i RL: DF. volume Analyzed QC Batch Method Insth Biochemical Oxygen Demand 6 mg/L 4 3 100nnL 08-25-0322:59 BOD-1417-W SM52108 3 LD Solids,Total Suspended BRL mg/L 10. 1 100 mL 08-28-03 09:20 TSS-0868-W i SM 2540 D 4 MW pH 7.3 pH NA 1 50 mL 08-25-03 23:13 PH-1528-W SM 4500-H+B 2 DDW Lab ID: 64270-02 Sampled: 08-25-03 13:30 container: 250 mL Plastic Preservation: H2SO4/Cool An e. Yt , ,.,:Result Units , RL DF volume Analyzed QC,Batch ':;Method; Inst,ivy!ra Ammonia(as Nitrogen) 2.9 mg/L 0.2 1 50 mL 09-05-03 10:38 AM-1209-W SM 4500-NH3 BG 1 AVB Nitrogen,Total Kjeldahl(TKN) 2.9 mg/L 0.5 1 20mt. 09-05-0314:54 TKN-1167-W EPA351.2 1 AVB Lab ID: 64270-03 Sampled: 08-25-03 13:30 container: 250 mL Plastic Preservation: Cool r -9,�:? -"And�y'tet ;{� x`� 'H.vr: `{�,,p;ResUlt .�,Llntts $t, ;" DF foltrm .+>'ttalyZed =QC:Batch Method't2 Inst_':._ ha - Nitrate(as Nitrogen) 6.8 mg/L 0.1 5 1 mL 08.26-03 16:27 NI-1862-W SM 4500-1403 F 1 DW Nitrite(as Nitrogen) 0.22 mg/L 0.02 1 5 mL 08-26-03 16:01 NI-1862-W SM 4500-NO3 F 1 DW Method Reference: Methods for Chemical Analysis of Water and Wastes,US EPA,EPA-600/4-79D-020(Revised 1983),and Methods for the Determination of Inorganic Substances in Environmental Samples,US EPA,EPA/600/R-93/100(1993),and Standard Methods for the Examination of Water and Wastewater,APHA,Twentieth Edition 11998),and Test Methods for Evaluating Solid Waste,US EPA,SW-846,Third Edition,Update III 0996). Report Notations: . BRL Indicates concentration,if any,is below reporting limit for analyte. Reporting limit is the lowest concentration that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample size and dilution. RL Reporting limit. DF Dilution Factor. 1 Instrument st ument ID: Lachat 8000 A y utoanal z r e I - , 2 Instrument ID: A ccumet AR50 3 Instrument to: Y51 5100 4 Instrument ID: Mettler AT 200 Balance I Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay,MA 02532 OXMINCORFORATE y 8450 Cole Parkway.Shawnee, KS 66227■Phone 913-422-0707■ Fax: 912-422-0808 e-mail: onsiteb-biomicrobics.com .www.biomicrobics.com a 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single.Home FAST® System ' :..:': •••LY::i::•ii•:. ;.i'.�`> s ,�fY�i�>?F,a�^•. .uf , ii'k- C,:�'�4 e s . A.�•'_ fi +� � s, '�'•�+�[n�. zf',f, t M;��'�lt�'�=•'ai?e'�(e.,�'•.<tii'at�`'i.. - .r - .. t n �r s V, >r., i a+�-a•rr, kw�i l>Ln.'36 >11`,t,1!1.•.t'R> !. :`°: ,. ' INSTALLA'ITON � �kx>~•e{ MAMA,T "'��AUTHd;ftlZE�SERrVT VIDER' � •• �; ? 1_- i-F�'C fy. '_i 4 C.� J••. {�,Mt'� !`J sx1r�$idy�, i °. �,�� �T>�f 132 Falling Leaf Lane Installation Address Osterville,MA 02655 - - Owner Name Joseph Minarik Mail Address 132 Falling Leaf Lane �Q� `9is�crtmeirGcf�rxce�, STir� Ostervile, MA 02655 :.._.... ...: 44 CommercW Street,Raynham,MA 02767 CI State Zi Tel:008)880.0233 Fa�c(508)880 7232 5083497302 _ . Phone Fax e-mail Phone Fax e-mail .Y,. ...�.c-rs'..'..+.-�•'.�_� is+ r: Model No. Serial No. Date of Installation Date of last pumpout -A MCF05 537 9/3/99 Electrical Panel(s) Visual Alarm atin Audio Alarm Operating I/ (if resent Blower(s) Air Inlet Filter Clean ty Blower Hood Vents Clear t/ Excessive Noise Excessive Vibration v Treatment unit(s) Unusual Odor t/ Pum out Re tired: Prima SettlingZone t/ Aerobic Treatment Zone EF LUENT(optional) LEYHT RESULT Estimated Dail Flow 3 Bedrooms H(Standard Units) 6-9 S.U. n.1 trr ;� ._ �,�._ ,I Color Clear T v Tem erafure 1�s. / :� [ ) ) Odor Slightly must•odor (not septic) T .CFINICIAN SIGNATURE SERVICE DATE I � - COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS t DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 021�08 617-292-5500 DEP Approved Inspection and O&rvl Form for Title 5 UA Treatment and.Disposal Systems Installation Authorized Service Provider Installation Address: 132 Falling Leaf Lane: O&M Firm: r Osterville MA Owner Name: Mail Add �asteura�, Joseph Minarik Nlail Address: 132 FallingLeaf Lane . 44 0on1R1ef�street,% ham m nen 02767 Tel:(509)880.0 3 -7232 Fax Ostervile,MA 02655 T'ele hon (soe)eeo-�2s2 5083497302 Certified Operator Name: 1 ,, Telephone No.: DEP No.: Mfr.No.: MCF05 537, Celt No.: Model No.: Installation Date: —/Start (C'm FAST of Operation: 9/3/99 . Approval T le) Seasonal Residence—used less than 6 mo./year: (Circle) General Provisional Piloting Remedial Yes CNo Operating Information Previous Inspection Date:_ Inspection Da Sludge Depth:(to be checked yearly) Pumping Recommended(Circle) Yes Effluent Description: Attach copy of certified lab results: Check all that are required DA,n,,A� Samples:Influent Effluent W Parameters:. B Other Other. Other Description of Overall.System Condition: Description of any Maintenance Performed since Previous Inspection and During this Inspection: Not s and Comments: ;l , . �� �,� _ U 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. bOperator.Signature ate .: System owner must submit Remedial Use—by January 31"of. Department of Environmental this report, manufacturer's each year for the previous crlendar Protection 0&.VI checklist,and any year Attn: Title 5 Program required sampling results Piloting& Provisional Use �� thin One.Win ter Street, 6.1h Floor to "lie local Board of Health days or' e ' General Use t by Srrtember :Q°'of Boston, MA U�[.G`; and DEP as follows for each year for the previous I- n;cr.;hc: each inspection performed: 111UI . r + GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: 132 Falling Leaf { Matrix: Aqueous Project:. Minarik/MCF05-537 Received: 06-04-03 Client: Wastewater Treatment Services i Lab ID: 61666-01 Sampled: 06-03-03 16:00 Container: 250 ml Plastic Preservation: Cool Reporting !! Analyte Result Umts Limit: Analyzed QC Batch Method Nitrate(as Nitrogen) I 2.8 j mg/L 0.02 06-04-03 18:37 NI-1786-W SM 4500-NO3 F Nitrite(as Nitrogen) 0.27 mg/L ! 0.02 06-04-03 18:37 NI-1786-W !SM 4500-NO3 F I Lab ID: 61666-02 Sampled: 06-03-03 16:00 Container 250 ml.Plastic Preservation: H2SO4/Cool >r , Analyte Result ti`", Units Rom° S Analyzed ; QC Batch Methods ,•;,,.,.. _: ••.c:•. •..k.•., .... ,x ...r.>..�..A,a .« r. ... , tk� ..-f{t. e�.w•, t Ammonia(as Nitrogen) 0.8 mg/L 0.2 06-05-03 AM-1165-W SM4500-NH3 BG Nitrogen,Total Kjeldahl (TKN) 8.5 tng/L '0.5 06-10-03 TKNA 111-W EPA 351.2 Lab ID: 61666-03 Sampled: 06-03-03 16:00 Container. 1 L Plastic Preservation: Cool y t a Ana 4 Y`, rR ' .c_ Ul t Meth Biochemical Oxygen Demand 8 mg/L 3` 06-04-03 18:26 BOD-1360-W SM 5210 B Solids,Total Suspended 21 mg/L 10 06-05-03: : TSS-0832-W SM 2540 D pH 7.0 pH NA 06-04-03 22:53 PH-1475-W I 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 InorganicSubstances 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.. + I - j . s ' �ri(� N C:0 R P 0 R. A T E D 8450 Cole Parkway.Shawnee, KS 66227■Phone 913-422-0707■ Fax: 912-422-0808 e-mail: onsiteAbiomicrobics.com www.biomicrobics.com■ 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FASTO System Y. ve INSTALLATION at s A. AUTHORIZED SERVICE PROVIDER ` 132 Falling Leaf Lane Installation Address Osterville,MA' 02655 Owner Name J h Minarik Mail Address 132 Falling Leaf Lane ��se�ecua .9?A-ra�zt�rG'c�rnrrue� ,STirc Ostervile, "MA 02655 44 . city State Zipcommercial street,Raynnam,MA 02767 Tel:ON)s00-OM Fax(5W)080.7M 5083497302 Phone Fax e-mail Phone Fax e-mail Model No. Serial No. Date of Installation Date of last pumpout MCF05'537 9/3/99 :.E UIPMENT '-• _ %4nt ;� ?i-{)r �, s. b1ED, h S ei(, Electrical Panel(s) Visual Alarm tin ✓ Audio Alarm Operating if resent Blowe s Air Inlet Filter Clean Blower Hood Vents Clear (/ - Excessive Noise Excessive Vibration Treatment unit(s) Unusual Odor L/ Pum out Required: Prim Settlin Zone Aerobic Treatment Zone li EFFLUENT o tion LEWT RESULT. Estimated Dail Flow 3 Bedrooms H Standard Units 6-9 S.U. Color Clear d Temperature D _ Odor Sligh ly musty odor not s tic) ECHMC SIGNATURE SERVICE DATE . l COMMONWEALTH OF MASSACHTJSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS 6 DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON. MA 02108 617.297-5500 DEP Approved Inspection and O&NI Form for Title S UA Treatment and Disposal Systems Installation Authorized Service Provider Installation Address: 132 Falling Leaf Lane: l; : 0&M Firm: Osterville MA Owner Name: Mail Add was -,�itr�r -- Joseph Minarik Mail Address: 132 Falling Leaf Lane, 44 C "w*rc at street.%ynham,mA 02767 Ostervile,MA 02655 Tele hon . To:(soe)eeo 0233 Fax(soe)680.72W Telephone No.: 509349.7302 Certified Operator Name: DEP No.: Mfr.No.: MCFOS 537 Cert No.: �1 Model No.: Installation Date: m icr-0 FAST Start of Operation: 9/3/99 Approval T , ' lie) Seasonal Residence—used less than 6 mo./year: (Circle) General Provisional Piloting Remedial Yes No Operating Information Previous Inspection Date: Inspection ate: Sludge Depth( checked yearly) Pumping commended(Circle) Yes No Effluent Description: Attach copy of certified lab results. Check all that are required D Samples:Influent Effluent Parameter s; 0 ss Other Other Wer Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection and During this Inspection Notes and ents: 0 - I -5442 Lcertify: 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 he inspection. I am a Massachusetts certified operator in accordance with 257 Clv[R 2.00. Operator.Signature ate 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, 6'h Floor to the local Board of Health 30 days of inspection date Boston, CIA 02108 and DEP as follows for General Use—by September 30,h of each year for the previous 12 months each. inspection performed: 5/1i01 Ci GRO UNDWATER .1l1/ATER ANALYTICAL Inorganic Chemistry Field ID: 132 Falling Leaf Osterville_ Matrix: Aqueous Project: Minarik/MCF05-537 Received: 03-28-03 Client: Wastewater Treatment Services Lab ID: 59501-01 Sampled: 03-28-03 13:00 Container: 250 mL Plastic Preservation: Cool f z Analyte. Result Umts Analyzed QC Batch Method Reporting . . •.. _. Limit Nitrate(as Nitrogen) 0.9 j mg/L ! 0.1 03-28-03 17:31 NI-1728-W 'SM 4500-NO3 F Nitrite(as Nitrogen) 2,9 ; mg/L ! 0.1 03-28-03 17:31 NI-1728-W SM 4500-NO3 F Lab ID: 59501-02 Sampled: 03-28-03 13:00 Container. 250 mL Plastic Preservation: H2SO4/Cool t it s p 2 7 3 �r qs e„ ass c, a i Anal e a sx. Y Reporting ra yt k Result Umts Anal eds ,r� QC Batch Method Ammonia(as Nitrogen) 2.3 mg/L 0.2 04-02-03 AM-1134-W SM 4500-NH3 BC Nitrogen,Total Kjeldahl (TKN) 3.5 mg/L 0.5 04-10-03 TKN-1076-W EPA 351.2 Lab ID: 59501-03 Sampled: 03-28-03 13:00 Container. 1 L Plastic Preservation:Cool it 1. 1 +n� RQ �JmtS UIt?k r� yJ o g �,s,, �,3 /+ . S' t d AndIyZE' C BdtCh a tvlethodta�ry ..,.� . r Biochemical Oxygen Demand 20 mg/L 10 03-29-03 13:06 BOD-1319-W SM 5210 B Solids,Total Suspended BRL mg/L 10 04-01-03 TSS-0807-W SM 2540 D pH 7.2 pH NA 03-28-03 17:15 PH-1437-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. Box 1200, 218.Main Street, Buzzards Bay, MA 02532 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS UVDEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 MITT ROMNEY - ELLEN ROY HERZFELDER Governor Secretary KERRY HEALEY EDWARD P.KUNCE Lieutenant Governor Acting Commissioner February 26, 2003 Joseph Minarik 132 Falling Leaf Lane Osterville, MA 02655 Re: Alternative On-site Sewage Treatment Monitoring and,Reporting Requirement DEP FacilitydD:•MCF537 132 Falling Leaf Lane, Osterville, MA 02655 Dear Mr. Minarik: F. The Department has received a letter from you, dated 12/31/2002, requesting reduction or elim'irfation of monitoring and reporting of pH, BOD, TSS and TN on a quarterly basis on the effluent from the alternative on-site sewage disposal system at the above referenced facility. The Department, having reviewed the monitoring data for this technology, in general, and your system,denies your request for such a reduction for the following reasons: (1) Your system has been in compliance with the effluent limits for TN of 19 mg/L for only one year. (2) With the exception of one sample, prior to September 2001 your system did not meet effluent limits. The Department will review the results after four more quarterly samples and will at that time accept a written request to reduce sampling if the unit continues to operate as it has since September 2001. Please note that the Department is now requiring the use of a DEP approved inspection formand technology checklist. A copy of the "DEP Approved Inspection and.0&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. The certified operator under contract to operate and maintain the system must complete these forms. Enclosed are copies of these forms. 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 Zia Printed on Recycled Paper I Re: Monitoring and Reporting Requirement Page 2 DEP Facility No.:MCF537 Should you have any questions regarding this matter, please do not hesitate to contact Dana Hill, of my staff, at (617) 292-5867. Sincerely, bAIan D. Slater,.P.E.; Acting Director Watershed Permitting Program Enclosures: 2 cc: DEP/SERO, B. Dudley Barnstable Board of Health, P.O. Box 534, Hyannis, MA 02601 Wastewater Treatment Services, 44 Commercial Street, Raynham, MA 02767 } F 4 t � I Q 1 IN CORPORATED 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 •nT(+T �fq +4* Wtl��i t �°�y � e4� �, 3 +n } .r�� A } Kyr ayS rys ., f - ' -'.. .s. :: .. tee„d: �ti,'4 1 > ".. �'�-12�`�ih `� �` to i.C� 1� : `%. } •'i�'} 132 Falling Leaf Lane Installation Address Osterville,MA 02655 Owner Name JoseDh Minarik _.. Mail Address 132 Falling Leaf Lane waste ivater,�„ Ostervile, MA 02655 �' City State Zip 44 commerdal street,Raynham,MA 02767 5083497302 _ .-"- --.rel:.(soa)eeo a2aa _...Fax.(508)88042a2 Phone Fax e-mail Phone Fax e-mail p✓3 Model No. Serial No. Date of Installation Date of last pumpout MCF05 537 9/3/99 E I71PY1�Eld!' "- MW - - Electrical Panel sF `` Visual Alarm Operating Audio Alarm Operating if resent Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear lr Excessive Noise t/ Excessive Vibration V Treatment unit s Unusual Odor Pum out Reaaired: Primary Settlin Zone G/ Aerobic Treatment Zone EFFLUENT(optional) MW -RESULT. Estimated Dail Flow 3 Bedrooms H Standard Units 6-9 S.U. Color Clear Temperature boo Odor Slightly vF musty odor not tic) R. I CHMCIAN SIGNATURE SER V CE DATE i, COMMONWEALTH OF MASSACHUSE TTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 021o8 617.292-5500 DEP Approved Inspection and O&NI Form for Title 5 I/A Treatment and Dis posal Systems Installation Installation Address: Authorized Service Provider 132 Falling Leaf Lane: 06LNI Firm: Osterville i li MA Owner Name: Nlail Add ,� I Joseph Minarik ^� Ire Ntail Address: 132 Falling Leaf Lane 44 commerdal Str Ostervile,MA 02655 Tel:(508)880-o233e� Fax: aynham,MA 02767 Ttle hon Fax (gog)NO-7 5083497302 E 232 Tele hone No.: Certified Operaror Name: DEP No.: Mtr.No.: � � MCF05 537 Ceti No.: �! Model No.: Installation Date: m icr'O FA ST Start of Operation: Approval T le) 9/3/99 General Provisional Piloting Remedial l Seasonal Residence -used less than 6 mo./year: (Circle) Yes -- No Operating Information i Previous Inspection Date: Sludge Inspectio Date: / udgg e Depth:(to tx checked yearly) Pumping commended(Circle) Effluent De scription:Lion: Yes o P Attach copy certified of certifi tab results I . Check all that are required / Samples:Influent Effluent Parameters: n go Other Description of Overall System Condition: i er Other Description of any Maintenance Performed since Previous Inspection and During this Inspection: � C��ep� 3�Co3 09(f Zx/ Notes and Comme ts: �> ,U 0 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 CNIR 2.00. Operator Signature System owner must submit Remedial Use—by January 3 l"of Department partment of Environmental this report, manufacturer's each year for the.previous calendar Protection O&M checklist,and any year } required sampling results Piloting& Provisional Use within Attn: Title 5 Program to the local Board of Health LO days of inspection date One Winter Street, 6'" Floor and DEP as follows for General Use-by September 30'"of Boston, MA 02108 each inspection performed: each year for the previous 12 months 5/1,-01 GROUNDWATER ANALYTICAL Inorganic Chemistry F. Field ID: 132 Falling Leaf Matrix: Aqueous Project: Minarik/MCF05-537 € Received: 11-15-02 Client: Wastewater Treatment Services 4 Lab ID: 56227-01 Sampled: 11-15-02 10:45 Container: 250 mL Plastic Preservation: Cool y Analyte t ash Result Umts Reporting 3 ~' Limit. Analyzed: QC Batch Method kj -. Nitrate(as Nitrogen) 6.9 mg/L 1 0.1 11-`15-02 20:00 NI-1614-W SM 4500-NO3 F Nitrite(as Nitrogen) 0.17 mg/L 0.02 11-15-02 19:41 NI-1614-W SM 4500-NO3 F Lab ID 56227-02 Sampled: 11-15-02 10:45 Container: 250 mL Plastic Preservation: H2SO4/Cool X +`.ti4; b� Analyte n T� X�esultV :UnitsAnalyzed NQC Batch � 'Method t KA 5 .i dG Ammonia(as Nitrogen) 0.6 mg/L 0.2 11-19-02 AM-1068-W SM 4500-NH3 BG Nitrogen,Total Kjeldahl (TKN) 6.9 mg/L 0.5 11-20-02 TKN-0987-W EPA 351.2 Lab ID 56{227-03 Sampled 11 15 02 10 45 Container 1 L Plastic Preservation Cool !"�..�r:.d�§��} `A';nf alLy+.t�e}d:"'- •x��r�f��,,�..1 .£� Utn t"t�s ,'Met hh 6dl�,i Biochemical Oxygen Demand 34 mg/L I 20 11-15-02 19:36 BOD-1232-W SM 5210 B i Solids,Total Suspended 32 mg/L 20 11-19-02 TSS-0760-W SM 2540 D pH 7.2 pH NA 11-15-02 20:36 PH-1367-W SM 4500 H+H+B-1i Method References: Methods for Chemical Analysis of Water and Wastes, US EPA,EPA-600/4-790-020,Revised 0983),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. 6 ` a Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 r M 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) August 1, 2002 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Re: Joseph Minarik residence Dear Board of Health Official: Enclosed are the field test results and inspection forms dated 6/28/02 for: Joseph Minarik 132 Falling Leaf Lane Osterville, MA If you have any questions or concerns please do not hesitate to contact me. Regards, Allison Blodig, REHS Regulatory Affairs Coordinator Bio-Microbics, Inc. (913)422-0707 cc: Massachusetts file for 132 Falling Leaf Lane, Osterville, MA y, �. ... MM 1 I N C 0 R P ONATEO 8450 Cole Parkway■ Shawnee, KS 66227■Phone 913-422-0707■ Fax: 912-422-0808 e-mail: onsite .biomicrobics.com ■www.biorricrobics.com ■ 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 132 Falling Leaf Lane Installation Address Osterville,MA 02655 , u Owner Name Joseph Minarik Mail Address 132 Falling Leaf Lane �e�!au��G JriYcce�, 9n,� Ostervile, MA 02655 : ;,; - ,_- Ci State Zi , -�t '4 Commercial Street,Raynham,iw►02767 TeL(508)880-O=,__Fax:(5W)880.7232 5083497302 ,Y Phone Fax e-mail Phone n Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation llate of last pumpout MCF05 537 9/3/99 EQUIPMENT YES: NO `:MAIN.TENANCE PERFORM®.ATID CONIIvtETV1 S Electrical Panel(s) Visual Alarm Operating v , Audio Alarm Operating l/ if resent Blower(s) Air Inlet Filter Clean l/ Blower Hood Vents Clear Excessive Noise (, Excessive Vibration (/ Treatment unit(s) Unusual Odor t/ Pum oat Required: Primary Settling Zone ✓ Aerobic Treatment Zone EFFLUENT(optional) LEVIIT RESULT Estimated Daily Flow 3 Bedrooms H Standard Units) 6-9 S.U. Color Clear Temperature Odor Slightly 1/ musty odor not tic) TEC NICIAN S NATURE 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 Treatment and Disposal Systems tallation Authorized Service Provider rInstallationAddfress: 132 Falling Leaf Lane: O&NI Firm:Osterville MA er Name: NlaiJoseph MinarikAddress: 132 Falling Leaf Lane 44 commercial Street,Raynham,MA 02767 a TO(508)880.0233 Fax:(s08)880.7232 Ostervile, MA 02655 Tele Tele hone No.: 5083497302 Certified Operator Name: DEP No.: Mfr.No.: MCFOS 537 Cert.No.: Model No.: i! to l0 . Start of Operation: m ICt—O FA ST Installation Date: n:9/3/99 Approval T cle) 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 Recommended(Circle) i Yes Effluent Description: o Attach copy of certified lab results. Check all that are required Samples:Influent Effluent JParameters: T6) Other er Other Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection and During this Inspection: uulxod L2 ; . 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 C�INIR 2.00. —'2 Operator Stgrfature. ate System owner must submit Remedial Use—by Janua ry 3 t o f this report, manufacturelf"3 each year for the previous calendar Department of Environmental Protection O&M checklist,and any year Attn: Title 5 Program required sampling results Piloting& Provisional Use - within days of inspection date 34 One Winter Street, 6'" Floor to the local Board of Health Boston, �I.� 0?108 and DEP as follows for General Use—by September 30,"of each inspection performed• each year for the previous I' months 5i1/01 GRCIUNDWATER ANALYTICAL Inorganic Chemistry Field ID: Osterville Matrix: Aqueous Project: Minarik/MCF05-537 Received: 06-28-02 Client: Wastewater Treatment Services + Lab ID 52257-01 Sampled 06-28-02 12 15 Container 1 L Plastic Preservation Cool M �tt ;4::Anal zed QC Btch odMet11 Biochemical Oxygen Demand 4 mg/L -29-02 13:00 BOD-1147-W SM 5210 B Solids,Total Suspended BRL mg/L07-01-02 TSS 0710 W SM 2540 D pH 7.3 pH NA 06-28-02 23:05 PH-1278-W SM 4500-H+B Lab ID: 52257-02 Sampled: 06-28-02 12:15 Container: 250 mL Plastic Preservation: Cool i +N tt•' 't`N' v D M1 ARM f .7W t Anatj re 'Result "UUnits,` A C Bat Method s r.,.•!i,.., r .z. •t �r. n_ `�s,•'�x `�� .».di.��i� tllj�:. F�'e ._�� �^.t.. na'.,.,:a",}sx`3'w<#sn'��£' Fs�..-�� �,"i.�'� :�' Nitrate(as Nitrogen) 6.7 mg/L 0.1 06-29-02 22:49 NI-1480-W. SM 4500-NO3 F Nitrite(as Nitrogen) 0.32 mg/L 0.02 06-29-02 22:22 NI-1480-W SM 4500-NO3 F Lab ID 52257-03 Sampled: 06-28-02 12 15 Container: 250 ml.Plastic Preservation: H2SO4/Cool REMNOW } "'ts uRrtlri� ul� '4 - �, � . � =?F-+. a,a...':;�`..a°3��,a� ab„3'�2`' �'a�Llrlllti Ammonia(as Nitrogen) 1.4 mg/L 0.2 07-11-02 AM-0982-W SM 4500-NH3 BH Nitrogen,Total Kjeldahl (TKN) 3.3 mg/L 0.5 07-11-02 TKN-0899-W EPA 351.2 Method References: Methods for Chemical Analysis of Water and Wastes, US EPA,EPA-600/4-790-020,Revised(1983),and - Methods for the Determination of Inorganic Substances in Environmental Samples, US EPA, . 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. i • h J Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 I NCORPORATED 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 26, 2002 Barnstable Board of Health P.O. Box 534 Hyannis, MA 02601 Re: Joseph Minarik residence Dear Board of Health Official: Enclosed are the field test results and inspection forms dated 3/28/02 for: Joseph Minarik 132 Falling 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, OB441M e-f- Allison Blodig, HS RE Regulatory Affairs Coordinator Bio-Microbics, Inc. (913)422-0707 cc: Massachusetts file for 132 Falling Leaf Lane, Osterville, MA GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: Osterville Matrix: Aqueous Project: Minarik/MCF05-537 t Sampled: 03-28-02 Client: Wastewater Treatment Services } Received: 03-28 02 Lab ID: 49586-01 Container: 1 L Plastic Preservation: Cool -77 Reporting , s ti Analyte r ResuR � Units p Analyzed Y 'Q B h � Limit, atc , Method Biochemical Oxygen Demand 12 mg/L 10 03-29-02 BOD-1093-W EPA 405.1 l pH 7.2 pH N/A 03-28-02 PH-1220-W EPA 150.1 Solids,Total Suspended 18 mg/L 10 04-02-02 I TSS-0678-W EPA 160.2 Method References: Methods for Chemical Analysis of Water and Wastes, US EPA,EPA-600/4-790-020, Revised(1983),and Methods for the Determination of Inorganic Substances in Environmental Samples, US EPA, EPA/600/R-93/100,(1993),and Standard Methods for the Examination of Water and Wastewater, APHA,Eighteenth Edition(1992). Report Notations: BRL Indicates result, if any,is below reporting limit for analyte. Reporting limit is the lowest value that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample dilution and sample size. s ' II Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: Osterville Matrix: Aqueous Project: Minarik/MCF 05-537 Sampled: 03-28-02 Client: Wastewater Treatment Services Received: 03-28-02 f Lab ID: 49525-01 Container: -250 mill.Plastic Preservation: Cool IAnalyte� r` 2$ h ,Result t ' � ,Units Rrt="8 •Analyzed QCy Batch Method Nitrate(as Nitrogen) 6.7 mg/L 0.1 03-28-02 NI-1387-W , EPA 353.2 Nitrite(as Nitrogen) 1.3 ;mg/L 0.02 03-28-02 NI-1387-W EPA 353.2 Lab ID 49525-02 Container 250 mL Plastic Preservation. HZSO4/Cool w 4 Y 3' 3 �� f Xc pg y�:y y �`1 Re(JOrting >"rrt Resut . Um-tsa . q 'A�Inxa'lyzedry fi b tya b ;Method2 n11trr , ;..:. Ammonia(as Nitrogen) 0.7 mg/L 0.2 03-29-02 AM-0916-W EPA 350.1 Nitrogen,Total Kjeldahl (TKN) 6.7 mg/L 0.5 j 04-01-02 TKN-0830-W EPA 351.2 Method References: Methods for Chemical Analysis of Water and Wastes, US EPA,EPA-600/4-790-020,Revised(1983),and Methods for the Determination of Inorganic Substances in Environmental Samples, US EPA, EPA/600/R-93/100,(1993),and Standard Methods for the Examination of Water and Wastewater, APHA,Eighteenth Edition(1992). Report Notations: BRL Indicates result,if any, is below reporting limit for analyze. 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. i I _ r i Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 .5 � I Q I N C O R P O R A r E 0 8450 Cole Parkway. Shawnee, KS 66227.Phone 913-422-0707. Fax: 912-422-0808 e-mail: onsiteftiornicrobics.gom .www.biomicrobics.com n 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 132 Falling Leaf Lane Installation Address Osterville, MA 02655 Name J&R Sales&Service, Inc. Owner Name Joseph Minarik Street Mail Address 132 Falling Leaf Lane Mail Address 44 Commercial Street Ostervile, MA 02655 Raynham, MA.02767 City State Zip city State Zip 5083497302 508-823-9655 508-880-7232 Phone Fax e-mail I Phone Fax e-mail INSTALLATION INFORMATION . Model No. Serial No. Date of Installation Date of last pumpout MCF05 537 9/3/99 E UIPMENT YES NO MAINTENANCE PERFORMED AND COMNIENI S Electrical Panel s Visual Alarm Operating Audio Alarm Operating if resent Blowe s Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration !/ Treatment unit(s) Unusual Odor Pum oat Required: Prima settling• Zone l✓ Aerobic Treatment Zone EFFLUENT(optional) LEVIIT RESULT Estimated Da Units Daily Flow 3 Bedrooms H Standard 6-9 S.U. Color Clear Tem erature Odor Slightly musty od not se tic) 2CHNICJAN.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 Treatment and Disposal Systems Installation Authorized Service Provider Installation Address: 132 Falling Leaf Lane: 0&NI Firm: Osterville M. J & R Sales & Service, Inc. Owner Name: Mail Address: Joseph Minarik 44 Corrunercial Street Vlail Address: 132 Falling Leaf Lane Rayr h Ma 02767 Ostervile,MA 02655 TelC hone No.: 23 566 Tele hone N o.: 5083497302 - Certified Operator Name: DEP No.: Mfr. No.: MCFOS 537 Cert.No.: Model No.: Installation Date: Start of Operation: rA lcr-o FAST Approval 9/3/99 A pp al T le) TYes a aRestdence- used m ./Year. (Circle)General Provisional Piloting No Operating Information Previous Inspection Date: Inspection at P Sludge Depth:(to be checked yearly) Pumping,Recommended(Circle) Yes Effluent Description: I ! Attach copy of certified lab results. Check all that are required nl Samples: Influent Effluent V oAa�—) �'ll� 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 repotted is true, accurate, and complete as of the time lofespection. I am a Massachusetts certified operator in accordance with 257 CaNIR 2.00. Operator ignature ace System owner must submit Remedial Use-by January;I"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 Pilot' g required sampling results Piloting& Provisional use - within One Winter Street, 61h Floor to the local Board of Health 30 days of inspection date and DEP as follows for General Use-by September ;0'"of Boston, �(A 02108 each inspection performed: each year for the previous 12 months 5/1i01 � I + INCORPORATED 8450 Cole Parkway •Shawnee, KS 66227• Phone: 913-422-0707 • Fax: 913-422-0808 e-mail: onsite@biomicrobies.com • www.biomicrobics.com • 800-753-FAST(3278) April 11, 2002 Barnstable Board of Health P.O. Box 534 Barnstable, MA 02601 Re: Joseph Minarik residence Dear Board of Health Official: Enclosed are the field test results and inspection forms dated 12/19/01 for: Jose'h;Minar k .. p L,3Z--. alling 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, Allison Blodig, REHS Regulatory Affairs Coordinat Bio-Microbics, Inc. (913)422-0707 cc: Massachusetts file for 1321yalling Leaf Lane, Osterville d" t OR=, 0RP0RATE0 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 PROVIDER 132 Falling Leaf Lane Installation Address Osterville,MA 02655 Name J&R Sales&Service,Inc. Owner Name h Mina*;N$ Street Mail Address 132 Falling Leaf Lane Mail Address 44 Commercial Street Ostervile, MA 02655 Raynham, MA 02767 City State Zip Ci State Zi 5083497302 508-880-7232 Phone Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pumpout ~ MCF05 537 9/3/99 EQUIPMENT YES NO MAINTENANCE PERFORMED AND C0119IVT; '; Electrical Panel s Visual Alarm Operating Audio Alarm Operating if resent Blower(s) Air Inlet Filter Clean l/ Blower Hood Vents Clear Excessive Noise { Excessive Vibration Treatment unit(s) Unusual Odor L/ Pum oat Required: Primary Settling Zone (/ Aerobic Treatment Zone EFFLUENT bona LUMUT RESULT Estimated Daily Flow 3 Bedrooms H Standard Units) 6-9 S.U. Color Clear Temperature Odor Slightly musty odor not septic) TECHNICIAN SANA,TURE I SERVICE DATE i I 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 VA Treatment and Disposal Systems Installation Authorized Service Provider Installation Address: .132 Falling Leaf Lane: O&M Firm: Osterville MA J & R Sales & Service, Inc. Owner Name: Nlail Address: " iii9i 44 Cormiercial Street Joseph'Minank~j i�tail Address: 132 Falling Leaf Lane Raynham, Ma 02767 Ostervile, MA 02655 Tele hone No.: 23 9566 5083497302 Certified Operator Name: ?� Telephone No.: ®J DEP No.: Mfr.No.: MCF05 537 Cert.No.: J Model No.: Installation Date: l m icro FAST Start of peration: 9/3/99 Approval T cle) Seasonal Residence-used less than 6 mo./year: (Circle) General Provisional Piloting Remedial Yes No Operating Information Previous Inspection Date: Inspection Da e: Sludge Depth:(to be checked / P yearly) Pumping commended(Circle) I Yes o Effluent Description: Attach copy of certified lab results. Check all that are required Samples:Influent Effluent V Parameters: OpH IKD Other pt er �ther Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection and During this Inspection: i 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 ' spection. I am a Massachusetts certified operator in accordance with 257 CNIR 2.00. Operator Signature ate System owner must submit Remedial Use-by January 3 I"of Department of Environmental this report, manufacturees each year for the previous calendar Protection O&VI checklist,and any year Attn: Title 5 Program required sampling results Piloting& Provisional Use- within ,h 30 day of inspection date One Winter Street, 6 Floor s to the local Board of health and DEP as follows for General Use-by September 30,Al of Boston, NIA 02108 each year for the previous I months each inspection performed: 5/li01 01/08/02 TIJE 17:13 PAT s XrO 1 MM ; ANALYTICAL Inorganic Chemistry Field ID: [132 Falling-Lea Matrix: Aqueous Project: Mass-DEP Sampled: 12-19.01 Client: BioaMicrobics,Inc. Received: 12.19-01 Lab ID: 47095-04 Container. I Plastic Preservation: Cool ,rr---- �, Ili. Biochemical Oxygen Demand 9 mg/L 8 12-19-01 BOD-1035-W EPA 405.1 pH 7.9 1 pH N/A 12-19-01 1 PH-1157-W EPA ISO.1 Solids,Total Suspended 19 mg/L 10 12-20-01 LEE U633-W EPA 160.2 Method References Methods for Chemical Analysis of Water and Wastes,US EPA,EPA-6=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, APK,,Eighteenth Edition(1992). Report Notations: BRL Indicates result,if any,is below reporting limit for analyze. 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. t 2 k p Groundwater Analytical, Inc.,P.O.Box 1200,228 Main Street,Bu2:aards Bay,MA 02532 I 0'!,/08/02 TUB 17:12 FAX MAY vo10 ' s GR(OIt t1 OVATQ? ANALYTICAL Inorganic Chemistry Field ID: 132 falling Leaf Matrix: Aqueous Project: Maas DO Sampled: 12-19-01 Client. Ble-Mitaobics,Inc. Received: 12-19-01 Lab ID: 4709444 Container. 250 mL Plastic Ploervation: Cool Nitrate(as Nitrogen) 1.5 mgfl. 0.02 12-21-01 N1-1300-W EPA 353.2_ Nitrite(as Nitrogen) 0.34 mg/L 0.02 12-21-01 NI-1300-W EPA 353.2 Lab ID: _47094.09 Container. 250 mL Plastic Preservation: 1-11SO,/Cool Ammonia(as Nitrogen) I mg/L 0.2 12 21-01 MA43849-W EPA 350.1 i `Nitrogen,Total Kieldah)(TKN) _- 13 nWL 0.5 12-26-01 TKN-0774-W EPA 351.2— Method Referenceu Methods for Olemital Analysis of Water and Wastes,US EPA,EPA6=4-790A20,Revised(1983),and AWhods for Cite Dete InInatlon of loorgalrc Substances In Envlr&wnental Samples,US EPA, EPAMOOM-Moo,(1993),and Standafd Methods for the Examination o'Water and Wastewater, APHA,Eighteenth Edition(1992). Repot Natatkww BRL Indicates result,It any,Is below reponing lImIt toranaly1w Reporting limn rs the lowest value that can be milably quandited under routine laboratory operating conditions. Reportins limits ale ad)usted far sample dilution and sample size. Groundwater Analytical, Inc.,P.O.Box 1200,228 Main Street,Buzzards Bay,MA 02532 s. Jeff Gagnon GROLINDWAM Ulf ANALYTICAL Inorganic Chemistry Field ID- ,132 Falling Leaf (2423) Matrix: Aqueous f Project: Wass DEP Sampled: 10-02-01 Cl lent: Blo-Microbics,Inc. Received: 10-03.01 Lab ID: 44965-01 Container: 250 L Plastic Preservation: Cool _ _ o ainer m astt - .Attail tt= a Rylt �n°►�ir)� L.... ... _... s; Nitrate(as Nitrogen) 3.1 mg/L 0.02 t0-03-01 NI-01228-W EPA 353.2 Nitrite(as Nitrogen) 0.52 rrt_ —g/L 002 10-03-0t NI-01 228-W EPA 353.2 Lab ID: 44965-07 Container: 250 mL Plastic Preservation: H2SO4/Co01 - _ --R - At>alyte - 7�C' Nitrogen,Total Kjeldahl (TKN) 13 mg(L 0.5 L 10-04-01 TKN-0725-W EPA 351.2 Method References: Methods for Chemical Analysis of Water and Wastes,US EPA,EPA-600/4-790.020,Revised(1983),and Methods for the Determination of Inorganic Substances in Environmental Samples,US EPA, EPA/600/R-93/1o0,(1993),and Standard Methods for the Examination of Water and Wastewater, APHA,Eighteenth Edition 0"2). Report Notations: 5RL 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. xt Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 ? J&R SALES & SERVICE, INC. October 29, 2001 OCOT f3 0 2001 .t-NSTABLE Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Health Agent ent g Reference: Single Home FAST° Treatment System Serial Number: MCF05 537 Attached please find the Field Inspection& Service Report (as required) for services performed on 9/12/01 at the home of Joseph Minarik located at 132 Falling Leaf Lane - Osterville, MA. Please call if you have any questions or require additional information. rely, anet M. Whitman Enclosures Copy to: Joseph Minarik 44 Commercial St. Baynham,MA 02767 Tole.508 823 9566 Fax 508•BBO.7232 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET., SOSTON, MA 02108 '617'292.5500 DEP Approved Inspection and O&NI Form for Title 5 UA Treatment and Disposal Systems Installation - Authorized Service Provider Installation address: 132 Falling,Leaf Lane: O&M Firm: Ostervi l le T' MA J & R Sales & Service, Inc. Owner Name: Mail Address: Joseph Minarik 44 Commercial Street :Mail address: ' 132 Falling Leaf Lane Raynham, Ma 02767 Ostervile, MA 02655 Telephone No.: 23— 566' 5083497302 Certified Operator Name: �> Telephone No.: DEP No.: Mfr. No.: MCF05 537 Cert.No.: Model No.: a Installation Date: m ICro FA ST Start of Operation: 9/3/99 Approval T cle) Seasonal Residence-used less than 6 mo./year: (Circle) General Provisional Piloting Remedial Yes No Operating Information..; Previous Inspection Date: Inspection ate: Sludge Depth:(to be checked yearly) Pumping ommended(Circle) ! Yes o f Effluent Description: Attach copy of certified lab results. Check all that are required Samples:Influent Effluent Parameters: pH BOD TSSI. 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 am a Massachusetts certified operator in accordance with 257 CNIR 2.00. Operator Signature Date System owner must subinit Remedial UseL by January`3 l"of Department of-Environmental this report, manufacturer's ' each year for the previous calendar' protection O&M checklist,and any year- .A"n: Title 5 Program required sampling results Piloting & Provisional Use - within One Winter Street, 6'" Floor to the local Board of Health 3o days of inspection date Boston, MA 02108 and DEP as follows for Ceneral Use-by September�0'"of each year for the previous 12 months each inspection performed: � - f — 0%M1Mr0, RP0RATE0. 8450 Cole Parkway ■ Shawnee, KS 66227 a Phone 913422-0707`s Fax: 912422-0808 e-mail: onsiteAbiomicrobics.com ■www.biomicrobics.com ■ 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 132 Falling Leaf Lane Installation Address Osterville, MA 02655 Name., J&R Sales&Service, Inc. Owner Name Joseph Minarik Street Mail Address 132 Falling Leaf Lane Mail Address 44 Commercial Street Ostervile, MA 02655 p~ Raynham, MA 02767 city State Zip Ci State Zip 5083497302 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 MCF05 537 9/3/99 EQUIPMENT ,YES , hIAWTENANCEPERFORAD:AND COMMENTS - Electrical Panel s Visual Alarm Operating Audio Alarm Operating if resent Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear _ L/ Excessive Noise V Excessive Vibration (J .,t a t(s Treatment�1. Unusual Odor Pum oat Required: Primary Settling Zone - Aerobic Treatment Zone EFFLUENT(optional) LEWr- RESULT Estimated Daily Flow 3 Bedrooms H Standard Units) 6-9 S.U. Color Clear Temperature Odor Slightly musty odor, not tic) 7ECHNlCWA-SJGNARJRE SERVtCE QATE l� 132 Falling Leaf Lane. Osterville, Massachusetts. 02655 508-420-4206 1 ...............................•................................. March 9, 2002 Dear Tom Mc Kean, I understand there is a meeting on the Ruck systems for Falling Leaf Lane on March 19, 2002. The board is also going to be looking at the other systems on the street and how they are doing. I have the Fast system, which has been passing. For the last two tests, the company I do business with is requiring that I now mail you copies of the test results which up until now they have been mailing them to you. So enclosed is a copy for September's results and a copy of Deember's results. Sincerely, Joseph Minarik ' 1 GR011/VDV11G4TER ANALYTICAL Inorganic Chemistry Field ID: 132 Palling Leaf Matrix. Atlueous Project: Mass DEP Sampled. 09412-01 Client: BIo.Microbics,Inc. Received: 09-12-07 Lab ID: 44321-03 Container: 230 ml.Plastic Preservation: Cool N Itrate(as Nitrogen) --- — ... — . 93 mg/L • _ 0.7 09 13-01 NI-01205-W EPA 353.2 >I� Nitrite(as Nitrogen) 0.70 rnglL 0.02 09-13-01 NI-01205-W EPA 353.2 'Lab ID:' A4321-06 ?Container Y250 mA Plastic Preservation: H'so,/Cool rod Nitrogen,TotalKjeldahl(TKN) 4.1 mg/l 0.5 09-14-01 TkN-L711-vV - EPA 351.2 I R1etl+ad Sere+ences: .._Method;for C7_1C3t Asatysts of WatC and W •tc'US EPA,EPA 63MR-T°C-0 ,Revi ttuo3;,and -- Methods for die 17etenninatton of Inorjjantc Substanw in Emrirarvnenial Samptes.US rPA, EPAfS0CM-93/100,(t 993),and Standard Methods for the Exarnination of Water and Wastewater, AP"A.fthleenlh Edition(1992). -Report.Notationsm- 8RL .lndicat.ntsua,if any,is below reporting Ifmit foranalyte. Reporting timlt is the lowest value that can be retiaWyquantified under routine laboratory operating rondillonL Reporting limits are adjusted for sample dilution and sample size. �sr _ i <w .......... M m- 1 ,.F Groundwater Analytical,Inc.,P.O.Box 1200,228 Main Street,3uzzards Bay,NtA 02532 f 01/08%02 ` Ttj)'s 17:12 PAR ""fA010 = ANALYTICAL Inorganic Chemistry Meld lD 112 FalUn><Leaf Matrix: Aqueous P Sampled: 12-19-01 Project: Man DEP Client: Big-Microbics,Inc. Received: 12-19-01 Lab ID:`- 47Gil+ 4 Container. 250 mL Plastic Preservation' Cool !NM ;. Nitrate(as Nltrogcn) 1.8 mptL 0.0rl Nl 1900 W EPA 353.2Nitrite(,is Nitrogen) 0.34 mg/l - 0.0 NI 1300 W EPA 353 2 I.Plsdic Preservation: KSO4/C0o1 _Lab ID: 47094-09 Container. 250 m rr�l"Oa12211 Av-0iWg W EPA 350.1 i AmmoAia(asNltra --- - -' - - ,` °S3 . ._.__, rniy'L -0.5 ' i22tr01 I Ti(t.l-C774-UV e-A 351.2 Nitrogen,Total Kieldah)(T N) ' Method ReferenIcm Methadi for Olerniol Anaysls of Water and Wastes,US EPA,EPA.UW4-790A20,Revised(190),and Methods for the Deterri taation of InMarilc SubsnnCls In Envimatmental Samples,US EPA, EPAl6001ft-931100,(11993),aiid Standard Mdho&for the Examination o°Water and Wastewater, APFtN,Eiowwtttn Edittor tt992) Report Nofationr BRL 'Indicates msuk,ft any Is below repOrtJng rimlt torarfalyte. R,eport'n8 Iim[t rs fAe 1o%vest value that can be rellably quantified under routine labormory operating condhloru. "Reporting limb are adjusted for sample dilution and sample size. ------------- _-�_�� ^^"".fir' ,•-^l••._.:1 _ I r M &R SALES & SERVICE, INC. April 1.6;:2001 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST° Treatment System Serial Number: MCF05 537 Attached please find the Field Inspection&Service Report and test results (as required) for services performed on 3/28/01 at the home of Joseph Minarik located at 1231alling Leaf I;aie Osterville, MA. Please call if you have any questions or require additional information. S' cerely, J et M. Whitman Enclosures Copy to: Joseph Minarik _ . . . 44.Commercial St. ' 8aynham,MA 02767 Tile.508.823.9566 Fax 508.880 7232 Environmental Chemistry Environmental Services Site Assessment al Site Sampling AnAit C Balance Quality Assurance Services Data Auditing C: O R Y O R A l' [ O CERTIFICATE OF ANALYSIS J&R Sales& Service REPORTED: 4/6/2001 44 Commercial Street Raynham, MA 02767 ORDER#: GO 122570 COLLECTED BY: J. Peterson SAMPLE DATE: 3/28/2001 TIME: 8:15 DATE RECEIVED: 3/28/2001 LOCATION: Osterville, MA(MCF05-537) G. SAMPLE ID: . . Minarik Grab DESCRIPTION: WATER RESULTS OF ANALYSIS Test Parameters LAB-ID#: 0122570-01 IBOD SM 5210B 3/29/2001 mg/L 4 19.1 Kjeldahl,Nitrogen EPA 351.2 4/6/2001 mg/L 0.5 8.59 jNir.rate,Nitrogen 4110B SM 4110 B 3/29/2001 mg/L 0.5 30.2 Nitrite,Nitrogen 4110B SM 4110 B 3/29/2001 mg/L 0.25 <0.25 pH SM 4500 H+B 3/29/2001 S.U. _ 0-14 7.5 _ Solids,Suspended SM 2540 D 4/2/2001 mg/L 2 17.2 NA=Not Applicable ND=Not Detected Approved By:_ <' = Less Than Lab anager /U Date *' = Detection Limit i l I Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 page' � � Q INGO RPORATEO 8450 Cole Parkway■ Shawnee, KS 66227 ■Phone 913-422-0707 ■ Fax: 912-422-0808 e-mail: onsiteftiornicrobics.com ■www.biomicrobics.com ■ 800-753-FAST(3278) . FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 132 Falling Leaf Lane Installation Address Osterville, MA 02655 Name J&R Sales&Service, Inc. Owner Name Joseph Minarik Street Mail Address 132 Falling Leaf Lane Mail Address 44 Commercial Street Ostervile, MA 02655 Raynham, MA 02767 city State Zip city State Zip 5083497302 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 MCF05 537 9/3/99 EQUIPMENT YES; I!IO MANTENANCE PERFORMID AND:COMMENTS.M Electrical Panel s Visual Alarm Operating t/ Audio Alarm Operating l J if resent Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise l/ Excessive Vibration. C/ _ Treatment unit(s) Unusual Odor Pumpout Required: Primary Settling Zone l/ Aerobic Treatment Zone (/- EFFLUENT(optional) LUMT RFSULT Estimated Daily Flow 3 Bedrooms ' H Standard Units) 6-9 S.U. Color Clear Temperature Odor Slightly musty odor not tic) TT;CHMC!6nIGj4ATURE SERVICE DATE ;7' 71 A-P J&R SALES & SERVICE, INC. January 5, 2001. Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST° Treatment System Serial Number: MCF05 537 Attached please find the Field Inspection& Service Report and test results(as required) for services performed on 12/20/00 at the home of Joseph Minarik located at 132'F�a"'g Leaf Lane - Osterville, MA. Please call if you have any questions or require additional information. Pane cerel t M. Whitman Enclosures Copy to: Joseph Minarik 44 Commercial St.- Raynham,MA.02767 Tele.508-823.9566 Fax 508.880.7232 f 4 Environmental Chemistry Site Assessment Environmental Services Quality Assurance Services Anal ica Balmt6 Site Sampling Data Auditing C P O R ... A 'C I: O N* CERTIFICATE OF ANALYSIS J&R Sales& Service REPORTED: 1/2/2001 44 Commercial Street Raynham, MA 02767 ORDER#c G0020043 COLLECTED BY: J. Peterson SAMPLE DATE: 12/20/2000 TIME: 9:15 DATE RECEIVED: 12/20/2000 LOCATION: Osterville, MA(MCF05-537) SAMPLE ID: Minarik Grab DESCRIPTION: WATER RESULTS OF ANALYSIS Test Parameters LAB-ID#: moou-o1 Ammonia,Nitrogen 350.1 EPA 350.1 12/27/2000 !BOD mg/L 0.2 19.2 _ SM 5210B 12/21/2000 'K•eidahl Nitrogen i mg/L �'0 J g EPA 351.2 12/29/2000 mg/L i 1.0 22.6 I 'Nitrate,Nitrogen 4110B SM 4110 B 12/20/2000 mg/L 2.50 IpH 15.8 SM 4500 H+B 112/20/2000 S.U. 0-14 7.5 (Solids Suspended SM 2540 D 12/26/2000 ---a �--- mg/L 12 4.4 NA=Not Applicable ND=Not Detected *' ' <' = Less Than Approved By: MngekDetection Limit L Y i 1, Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page: 1 3 N C 0 R P 0 R A r E 0fiy' 8450'Cole Parkway . Shawnee, KS 66227■Phone 913-422-0707'a Fax: 912-422-0808 e-mail: onsite(Mbiomicrobics.com .www.biomicrobics.com ■ 800-753-FAST(3278) FIELD INSPECTION & SERVICE.REPORT For Bio-Microbics Single Home'FASTS System r INSTALLATION AUTHORIZED SERVICE PROVIDER CA: 132 Falling Leaf Lane Installation Address Osterville, MA 02655 Name J&R Sales&Service, Inc. Owner Name Joseph Minarik Street Mail Address 132 Falling Leaf Lane Mail Address 44 Commercial Street Ostervile, MA.02655 Raynham, MA 02767 City State Zip Ci State Zip 5083497302 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 MCF05 537 9/3/99 . w EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMIIvIENTS Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating if resent) Blower (s)r Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vitiation Treatment unit(s) Unusual Odor Pum out Required: Primary Settling Zone Aerobic Treatment Zone 1/ EFFLUENT(optional) LEWr RESULT Estimated Daily Flow 3 Bedrooms H Standard Units) 6-9 S.U. Color Clear 'Temperature Odor Slightly musty odor (not tic) CHNICIAN.§MA SERVIC,E DA f J&R SALES & SERVICE, INC. August 18, 2000 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST° Treatment System Serial Number: MCF05 537 Attached please find the Field Inspection& Service Report and test results(as required) for services performed on 7/31/00 at the home of Joseph Minarik located at2'Falling Leaf*L-an- Osterville, MA. Please call if you have any questions or require additional information. erely, anet M. Whitman Enclosures Cc: Joseph Minarik I 44 Commercial St. 8aynham,MA 02767 Tele.50B 823.9566 Fax 598.080 7232 Environmental Chemistry Environmental Services Site Assessment � �� Site Sampling An �� � Balmce Quality Assurance Services Data Auditing C O R Y O R A T I 0 NT. CERTIFICATE OF ANALYSIS J&R Sales& Service REPORTED: 8/9/2000 44 Commercial Street , Raynham, MA 02767 ORDER#: G0015202 COLLECTED BY: J. Peterson SAMPLE DATE: 7/31/2000 TIME: 12:30 ` DATE RECEIVED: 7/31/2000 LOCATION: Osterville, MA MCF05-537 E � ) SAMPLE ID: Minarik DESCRIPTION: WATER RESULTS OF ANALYSIS '3 Test Parameters LAB-1D#: 0015202-01 4 Ammonia,Nitrogen 350.1 EPA 350.1 8/2/2000 mg/L 0.5_ 1.0 I BOD SM 5210B 8/2/2000 mg/L 4 32.0 Kjeldahl,Nitrogen EPA 351.2 8/3/2000 mg/L 0.5 8.5 Nitrz.te,Nitrogen 4110B SM 4110 B 8/I/2000 mg/L I 2.5 1.5 i 000 0pH SM 4500 H+B S.U. 14 7.0 Solids, Suspended SM 2540 D 8/3/2000 mg/L 2 72 NA=Not Applicable ND Not Detected Approved By: Less Than / Detection Limit La Mana r Date_ .,. J. - Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225' Page' 1 ljjji4�j I URMINCORPORATEO 8450 Cole Parkway■ Shawnee, KS 66227■Phone 913-422-0707 . Fax: 912-422-0808 e-mail: onsiteAbiomicrobics.corn ■www.biomicrobics.com ■ 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System 1NSTAi.LATION - AUTHORIZED SERVICE PROVIDER 132 Failing Leaf Lane Installation Address Osterville, MA 02655 Name J&R Sales&Service, Inc. Owner Name Joseph Minarik Street Mail Address 132 Falling Leaf Lane Mail Address 44 Commercial Street Ostervile, MA 02655 Raynham, MA 02767 Ci.ty State Zip cityState Zip 5083497302 508-823-9655 508-880-7232 Phone Fax e-mail Phone Fax a-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation I Date of last pumpout MCF05 537 9/3/99 EQUIPMENT YES NO MAINTENANCE PERFORMED AND CON04ENTS Electrical Panel(s) Visual Alarm Operating v Audio Alarm Operating (if resent) Blower(s) Air Inlet Filter Clean 1/ Blower Hood Vents Clear >✓ Excessive Noise Excessive Vibration Treatment unit(s) Unusual Odor V Pum out Required: Primary Settling Zone V Aerobic Treatment Zone EFFLUENT(optional) LIIWr RESULT Estimated Daily Flow 3 Bedrooms H Standard Units) 6-9 S.U. Color Clear Tem erature Odor Slightly musty odor not septic) I Tr; CHNICIA SIGNATURE SERVICE DATE , A 3 J&R SALES & SERVICE, INC. May 9, 2000 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST°Treatment System Serial Number: MCF05 537 Attached please find the Field Inspection& Service Reports and Testing Results(as required) for services performed on 4/20/00 at the home of Joseph Minarik located at L3.2 '.Falling LeafjE'e- Osterville, MA. Please call if you have any questions or require additional information. Sincerely, Candy Gayares attachments cc: Joseph Minarik i F , 44 Commercial 5t. Aaynham,MA 02767 Tole.508-823.9566 Fax 508.BB0 7232 i 1NC0RP0RATE0 8271 Melrose Drive •Lenexa. KS 66214 - Phone: 913-492-0707 Fax: 913-492-0808 e-mail: onsite®biomicrobics.com - www.biomicrobics.com - 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FASTS System INSTALLATfOM AUTEOR=SEX MCE PROVIDER N�F I Name J&.R Sales. and Service Installation Address Osterville, MA 02655® Owner Name Joseph MinarikStreet Mail Address PO Box 463 Mail Address 44 ommercial St. So. Wellfleet, MA 02663 Raynham+ MA 02767 City State Zip City State Zip 508-349-7302 — 8 880-7232 Phone Fax e-mail Phone Fax e-mail :'INSTALLATION INF.ORMATI01 Model No. Serial No. Date of Instailation Date of last putnpout MCFO.5 537 9/3/99 ti:E`IIIPNIENT b. DES . 'fr Na>' _: 1VZe�II3TEI'iT( PERFORiSiiED?tND:COIGIIv1F,yZ Electrical Panel(s) Visual Alarm Operating i Audio Alarm Operating (if oresent) Blower(s) Air Iniet Filter Clean Blower Hood Vents Clear I I Excessive Noise I Excessive Vibration Treatment unit(s) ( i Unusual Odor Pum out Required: Primary Seniing Zone Aerobic Treatment Zone B 1aUEN'£'(o bona L L'3'QT RBS-F LT, I Estimated Daily Flow , pH(Standard Units) 6-9 S.U. Color Clear Temperature Odor Slightly musty odor (not septic) i I _ /TECHMC,'.A.N SIGNI A17 R SERVICE DATE Environmental Chemistry Environmental Services Site Assessment Site Sampling Quality Assurance Services Analvfica Balance Data Auditing C O R ' P O R A T I O N CERTIFICATE OF ANALYSIS J&R Sales& Service REPORTED:, 4/28/2000 44 Commercial Street Raynham, MA 02767 t ORDER#: G0011653 COLLECTED BY: D.Koshiol SAMPLE DATE: 4/20/2000 TIME: 12:30 DATE RECEIVED: 4/20/2000 LOCATION: MCF05.537 Osterville SAMPLE ID: Minarik DESCRIPTION: WATER RESULTS OF ANALYSIS Test Parameters LAB-ID#: 0011653-01 Ammonia,Nitrogen 4500-C SM 4500-NH3C 4/25/2000 mg/L 0.10 3.75 BOD SM 5210B 4/21/2000 mg/L 4 45.9 Kjeldahl,Nitrogen EPA 351.2 4/26/2000 mg/L 0.5 21.6 Nitrate,Nitrogen 4500-NO3D SM 4500-NO3D 4/21/2000 mg/L 1.0 1.74 pH SM 4500 H+B 4/21/2000 S.U. 0-14 7.4 Solids, Suspended SM 2540 D 4/27/2000 mg/L 10 104 NA=Not Applicable ND=Not Detected Approved By: f rOA <' = Less Than L anager / Date '*' = Detection Limit i I f Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page: 1 J&R SALES & SERVICE, INC. February 16, 2000 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST° Treatment System Serial Number: MCF05 537 Attached please find the Field Inspection& Service Reports and Testing Results (as required) for services performed 1/31/00 at the home of Joseph Minarik located at 132'� IFalling Leaf:Lan_e.,� Please call if you have any questions or require additional information. Sincerely, Cand Ga ares Y Y attachments cc: Joseph Minarik 44 Commercial St. Baynham,MA 02767 Tele.50B•823.9566 Fax 508-880 7232 Environmental Chemistry Environmental Services .Site Assessment �� Babnce Site Sampling Analvfic Quality Assurance Services {� Data Auditing C-OR P O R A T I O N CERTIFICATE OF ANALYSIS J&R Sales& Service ' REPORTED: 2/11/2000 44 Commercial Street Raynham, MA 02767 ORDER#: G0009321 COLLECTED BY: D. Koshiol ' SAMPLE DATE: 1/31/2000 TIME: 15:35 j DATE RECEIVED: 2/1/2000 LOCATION: Osterville, MA(MCF 05-537) SAMPLE ID: Minarik Effluent DESCRIPTION: WATER RESULTS OF ANALYSIS Test Parameters LAB-ID#: 0009321-02 Ammonia,Nitrogen 4500-C SM 4500-NH3C 2/2/2000 mg/L 2.5 28.4 BOD SM 5210B 2/2/2000 mg/L I 4 _-- ------ --- 28.8 Kjeldahl,Nitrogen EPA 351.2 2/IOi2000 mg/L 2.0 31.0 Nitrate,Nitrogen 4500-NO3D SM 4500-N031) 2/4/2000 mg/L 0.5 2.35 pH SM 4500 H+13 2/3/2000 S.U. 0.1 7.2 Solids, Suspended SM 2540 D 2/7/2000 mg/L 5 47.0 NA=Not Applicable ND=Not Detected Approved By: /� <' = Less Than Lab MaYager f1 w Date Detection Limit • H r r. a fp _ �. p _. Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page 2' Environmental Chemistry Environmental Services Site Assessment AnLlyt jc � Balmce. Site Sampling Quality Assurance Services Data Auditing C n RR P O R A T I O N CERTIFICATE OF ANALYSIS J&R Sales& Service y REPORTED: 2/11/2000 " 44 Commercial Street Raynham, MA 02767 ORDER#: G0009321 COLLECTED BY: D. Koshiol SAMPLE DATE: 1/31/2000 TIME: 15:35 DATE RECEIVED: 2/l/2000 LOCATION: Osterville,MA(MCF 05-537) k SAMPLE ID: Minarik Influent DESCRIPTION: WATER RESULTS OF ANALYSIS Test Parameters LAB-ID#: 0009321-01 Ammonia,Nitrogen 4500-C SM 4500-NH3C 2/2/2000 mg/L 2.5 50.8 BOD SM 5210B 2/2/2000 mg/L 4 498 K}.eldahl,Nitrogen EPA 351.2 2/10/2000 mg/L 2.5 82.4 Nitrate,Nitrogen 4500-NO3D SM 4500-NO3D 2/4/2000 mg/L 0.5 1.34 pH SM 4500 H+B 2/3/2000 S.U. 0.1 6.7 Solids,Suspended SM 2540 D 2/7/2000 mg/L 20 77.6 i M • f r • t r t Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 page: 1 �n 1 1 1 INCOAP0RATE0 8271 Melrose Drive •Lenexa. KS 66214 - Phone: 913-492-0707 - Fax: 913-492-0808 e-mail: onsite®biomicrobics.com • www.biomicrobics.com - 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-111f7crobics Single Home FAST® System INSTALLATION.' AUTHOR=-SEXV10EE PROVIDEK Lot 1i failing Lea± Lane Installation Address Osterville, MA 02655 I Name J&R Sales and Service Owner Name Joseph Minarik I Street MailAddress PO Box 463 Mail Address 44 Commercial St. nham, MA '02767 So. Wellfleet, MA 02663 ` Ra y City State Zip - City . State Zip 508-349-7302 — 08 880-7232 Phone Fax e-mail Phone Fax e-mail :I S'I"ALLATION INFORMATION. Model No. Serial No. Date of Installation ( Date of last numpout MCFO.5 537 9/3/99 �h' I.P. tea; MAuv vc > oRn r m col, 4-r :: ; Electrical Panel(s) Visual Alarm Opemrins Audio Alarm Operating (if present) ` Blower(s) Air Iniet Filter Clean Blower Hood Vents Clear Excessive Noise ' Excessive Vibration Treatment unit(s) Unusual Odor Pum out Required: Primary Settling Zone Aerobic Treatment Zone EEM;U.FI'Fr fo p tionar Estimated Daily Flow I / pH(Standard Units) 6-9 S.U. Color Clear Temperature ` Odor Slightly musty odor (not septic) I I — TEC14MCIAN SIGNATURE SER59CE D&TE / 0 p F rr i �t J&R SALES & SERVICE, INC. January 14, 2000 . Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST°Treatment System Serial Number: MCF05 537 Attached please find the Field Inspection& Service Reports and Testing Results(as required) for services performed 12/22/99 at the home of Joseph Minarik located at (2 Falling Leaf Lane:, Please call if you have any questions or require additional information. SinCe ` Barbara J. Rogers attachments cc: Joseph Minarik 44 Commercial St. 8aynham,MA 02767 Tole.508 823 9566 fax 508.880.7232 f 1 t � i J_ 1 N C 0 R P 0 R A T E 0 ,8271 Melrose Drive -Lenexa. KS 66214 - Phone: 913-492-0707 - Fax: 913-492-0808 e-mail: onsite®biomicrobics.cam • www.biomicrobics.com - 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUT1i0RIZED'SERC[ICEPROVIDER [Lot a ng_ ea ane Installation Address Osterville, MA 02655 I Name J&R Sales and Service Owner Name Josepn PlinarikStreet Mail Address PO Bog 463 Mail Address ommercial S t. i So. Wellfleet; MA 02663 Raynham, MA 02767 Citv State Zip City State Zip 508-349-7302 - 8 880-7232 Phone Fax e-mail Phone Fax e-mail "INSTALLATION INFORIvlATI010 Model No. Serial No. Date of Installation Date of last Dt=z)out MCFO.5 537 19/3/99 E-uigl l ,= ,�. Y""`Na: �- l nv NCCl�P>�€FOR1s��xrri�:eolr��T Electrical Panels) Visual Alarm Operating Audio Alarm Operating (if present) I - Blower(s) I Air Inlet Filter Clean Blower Hood Vents Clear I I Excessive Noise ' I Excessive Vibration 1 Treatment unit(s) ( I Unusual Odor Pum out Required: Primary Settling Zone .Aerobic Treatment Zone EEFLIIENI' o tio=' �L 1 ._ I S�FLT~ 1 Estimated Dail Flow- 40 pH(Standard Units) 6-9 S.U. Color Clear Temperature Odor Slightly musty odor (not septic) 1 _ TECHMCIA.N SI NA-t:URE ICE DATE Environmental Chemistry Environmental Services � Site Assessment �� Site Sampling Analvfic Ba1mceQuality Assurance ServicesData Auditing C O R P O R A T I O N CERTIFICATE OF ANALYSIS' J&R Sales& Service REPORTED: 1/10/2000 44 Commercial Street Raynham, MA 02767 ORDER#: G9908430 COLLECTED BY: D.Koshiol - `SAMPLE DATE: 12/22/1999 TIME: 13:30 DATE RECEIVED: 12/23/1999 LOCATION: MCF05-537-Osterville F SAMPLE ID: Minarik Influent DESCRIPTION: WATER RESULTS OF ANALYSIS Test Parameters LAB-IDN: 9908430-01 Ammonia,Nitrogen 4500-C SM 4500-NH3C 12/28/1999 mg/L 5.0 68.4 BOD SM 5210B 12/23/1999 mg/L 4 744 Kjeldahl,Nitrogen EPA 350.1 1/7/2000 mg/L 5 116 Nitrate,Nitrogen 4500-NO3D SM 4500-NO3D 12/23/1999 . 'mg/L I 1.0 1.36 pH SM 4500 H+B 12/28/1999 S.U. 2-14 6.5 Solids, Suspended SM 2540 D 12/29/1999 mg/L 10 1020 r Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page: 1 I 'Environmental Chemistry Environmental Services 'r Site Assessment 1 Site Sampling Quality Assurance Services Analvfic Balmce , Data Auditing C: 0 R Y O R A T I O N CERTIFICATE OF ANALYSIS J&R Sales& Service , r REPORTED: 1/10/2000 44 Commercial Street } Raynham, MA 02767 ORDER#: G9908430 COLLECTED BY: D. Koshiol SAMPLE DATE: 12/22/1999 TIME: 13:30 DATE RECEIVED: 12/23/1999 LOCATION: MCF05-537- Osterville SAMPLE ID: Minarik Effluent w DESCRIPTION: WATER RESULTS OF ANALYSIS Test Parameters LAB-IDN: 9908430 02 Ammonia,Nitrogen 4500-C SM 4500-NH3C 12/28/1999 mg/L j 5.0 28.5 BOD SM 5210B 12/23/1999 In 4 23.7 Kjeldahl,Nitrogen EPA 350.1 1/7/2000 mg/L 2.0 42.3 Nitrate,Nitrogen 4500-N031) SM 4500-N031) 12/23/1999 mg/L 1.0 1.13 pH SM 4500 H+B 12/28/1999 S.U. 2-14 7.6 Solids, Suspended SM 2540 D w 12/29/1999 mg/L, 2 27.4 NA=Not Applicable ND=Not Detected Approved By: '<' = Less Than Lab Director Date '*' = Detection Limit c a j 1 Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 page' 2 J&R SALES & SERVICE, INC. December 7, 1999 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST°Treatment System Serial Number: MCF05 537 Attached please find the Field Inspection& Service Reports and Testing Results(as required) for services performed 11/19/99 at the home of Joseph Minarik located at Lot 11 Falling Leaf Lane. Please call if you have any questions or require additional information. Sincere4jv"� y, Barbara J. Rogers attachments cc: Joseph Minarik 44 Commercial St. Flaynham,MA 02767 Tele.508-823.9566 Fax 508.880-7232 f I N C 0 R P 0 R A T E 0 8271 Melrose Orive -Lenexa. KS 66214 - Phone: 913-492-0707 - Fax: 913-492-0808 e-mail: onsite®biomicrobics.cam - www.biomicrobics.com - 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTAL)rATION` AUTHOR=SERVICE PIr0VIDER Lot 1i Failing Lea± Eane Installation Address Osterville, MA 02655 I Name J&R Sales and Service Owner Name Joseph MinarikStreet Mail Address PO Box 463 Mail Address 44 Commercial St. i So. Wellfleet, MA 02663 Raynham, MA 02767 City State ZiD Citv State ZiD 508-349-7302 — 08 880-7232 Phone Fax e-mail Phone Fax e-mail 7 STALLATION INF'.OFMA.TION Model No. Serial No. Date of Installation Dace of last parnpout MCFO.5 537 1 9/3/99 � EQUIP ,. AYES' �, a> ran Tc> >=> oRi A :eolv>zv>��US& Electrical Panel(s) Visual Alarm ODeratina ems" Audio Alarm Operating (if present) Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment unit(s). Unusual Odor r Pum out Required: Primary Sealing Zone s� ' Aerobic Treatment Zone IFFLUEL E.(optionai) x'LEY3 P :;; .;=:RESIIi.T Estimated Daily Flow I 3 pH(Standard Units) 6-9 S.U. Color Clear v TemDerature Odor Slightly musty odor (not septic) _ TECW LAN SIGNATURE SERVICE DATE Enyironmental Chemistry Environmental Services Site Assessment 1'(����� � �� Site Sampling Ana Quality.Assurance Services l� 11 i� Data Auditing C 0 R P O R A '1' I 0 NT CERTIFICATE OF ANALYSIS J&R Sales& Service REPORTED: 12/3/99 44 Commercial Street Raynham, MA 02767 ORDER#: G9907369 f COLLECTED BY: B.Everett SAMPLE DATE: 11/19/99 TIME: 11:00 i DATE RECEIVED: 11/19/99 LOCATION: Osterville, MA(MCF0.5-537) SAMPLE ID: Minarik Effluent DESCRIPTION: WATER RESULTS OF ANALYSIS Test Parameters LAB-ID#: 9907369-02 Ammonia,Nitrogen 4500-C SM 4500-NH3C 11/29/99 mg/L 2.0 50.2 BOD SM 5210B 11/19/99 mg/L 4.0 21.3 Kjedahl,Nitrogen EPA 350.1 12/1/99 mg/L 2.0 58.8 Nitrate,Nitrogen 4500-N031) SM 4500-N031) 11/19/99 mg/L 1.00 <1.00 pH ISM 4500 H+B 11/24/99 S.U. 2-14 8.1 Solids, Suspended ISM 2540 D 1 12/2/99 mg/L 3 19 NA=Not Applicable Approved By: / ND=Not Detected ab Managei4v / Date C = Less Than Detection Limit Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page' 2 Environmental Chemistry Environmental Services Site Assessment AnabtcalloBalance Site Sampligg Quality Assurance ServicesData Auditing C: R P O R T I O N CERTIFICATE OF ANALYSIS J&R Sales& Service REPORTED: 12/3/99 44 Commercial Street ' Raynham, MA 02767 ORDER#: G9907369 COLLECTED BY: B. Everett SAMPLE DATE: 11/19/99 TIME: 11:00 DATE RECEIVED: 11/19/99 LOCATION: Osterville,MA(MCF0.5-537) SAMPLE ID: Minarik Influent DESCRIPTION: WATER RESULTS OF ANALYSIS Test Parameters LAB-ID#: 9907369-01 Ammonia,Nitrogen 4500-C SM 4500-NH3C 11/29/99 mg/L 2.0 21.5 BOD SM 5210B 11/19/99 mg/L 4.0 786 Kjeldahl,Nitrogen EPA 350.1 12/1/99 mg/L 10.0 54.0 Nitrate,Nitrogen 4500-NO3D SM 4500-N031) 11/19/99 mg/L 1.00 <1.00 pH SM 4500 H+B 11/24/99 S.U. 2-14 6.2 Solids, Suspended SM 2540 D 12/2/99 mg/L 20 25600 f I Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page: 1 i BAX 1,,lER & NYE, INC. Professional Land Surveyors and Civil Engineers 812 Main Street•Osterville, MA 02655 Tel. (508) 428-9131 Fax. (508)428-3750 WILLIAM C. NYE, R.P.L.S., President STEPHEN A.WILSON, P.E.,Vice President- Engineering RICHARD A. BAXTER, R.P.L.S.,Vice President JOHN R. ELLIS, R.P.L.S. October 22, 1999 Board of Health Town Hall 367 Main Street Hyannis, Ma. 02601 Re:(Lot 1.1.;F�alinggLeaf-Lanes Septic System Installation Members of the Board: l I have reviewed the as-built installers card and inspected the site for the above noted construction. The system has been installed in substantial compliance with the approved plans. If you have any questions or comments please call me. Very truly yours, Baxter Nye Inc. ephe . Wilson, P.E. V.P. Engineering cc: J. McShane 998023 t I MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS TOWN OF BARN TABLE LOCATION" SEWAGE # VILLAGE ;SIP ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. Cr3v.51 SEPTIC TANK CAPACITY Sa a LEACHING FACILITY: (type) (size) 2r) x?.Y NO. OF BEDROOMS BUILDER OR OWNER h1cS�� .o Cr;r.ti�. 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 Qae4 � ?�ous� _ 6ln,rer �Z+3 Z. Z Zo KZ41 I N C O R P O R A T E D 8271 Melrose Drive -Lenexa, KS 66214 - Phone: 913-492-0707 • Fax: 913-492-0808 e-mail: onsiteObiomicrobics.com - www.biomicrobics.com • 800-753-FAST(3278) PRODUCT REGISTRATION REPORT Product Registration Report,must be completed and retumed to Bio-Microbics, Inc. in order to effect warranty. Date of Installation Q" Date Shipped to End User 8/25/99 Serial No. MCF 0.5 537 OWNER ! NAME Joseph Minarik ADDRESS Lot 11 Falling Leaf Lane i CITY/STATEIZIP Osterville, MA 02655 PHONEIFAX 508-349-7302 I BIO-MICROBICS DISTRIBUTOR NAME TXR qnjag ADDRESS CITYISTATEIZIP Ra nham MA 02767 PHONE/FAX 508 823-9566 FAX 508 880-7232 INSTALLER' NAME McShane Construction ADDRESS PO Box 429 CITY/STATE'ZiP Osterville MA 02655 1 PHONE/FAX 508-428-8500 CONSULTING ENGINEER:: ifa licable NAME Baxter & Nye ADDRESS <. i CI! TY,'STATElZ1P 1 PHONEi—FAX I Good Bad NA Good oad NA ELECTRICAL PANEL(S) TREATMENT UNIT(S) Visual Alarm Operating Air vent clear [ L'I Audio Alarm Operating l3 Lo ' Septic tank level - BLOVNJER(S) Septic tank meets min. size , [� Wired for correct voltage al/ o Septic tank filled to operating.level Inlet/outlet piped correctly Air Lift Operation Filter element installed Recirculation tube in placa [� Blower hood secure (� Fasteners tight Blower works correctly WATERTIGHT JOINTS Blower located within 100' of Q Q, Treatment unit to septic tank G treatment unit .Air line clear � [� Entrance tube to„insert cover Air inlet screen clear insert to insert cover ( �, Blower hood vents clear [ Discharge line connection" Factory Au!horized Perscnne!: �_ Title: Service Manager •m.Fir J&R Sales and Service nc Date: n OWNER understands and agrees that J&Reis 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 EOUIPM126bWNER J&R Sales.& 'ca Inc. *Signed ,: Signed by: 4 Joe Minarllc 44 Commerci Street *Address: Raynham,MA 02767 _. Lot 11 Falling Leaf Lane Tel: (508) 823-9566 Fax: (508)880-7232 Osterville, MA 02655 *City: State: Zip. ; 508-349-7302 *Telephone: Effect Date of Agreement • 3— ' Influent& Effluent Testing Influent& Effluent sample taken(1)one time per month for the first 6 months and"quarterly thereafter; 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 O REMEDIAL (X) PROVISIONAL *SPECIAL CONDITIONS PER LOCAL BOARD OF HEALTH (Y) or(N)If YES,please attached copy of permit ( )BOD5,TSS,pH (X)BODS,TSS,pH;Nitrate/Nitrogen,Ammonia,TKN ( )Other: Cost for testing $270.00/visit Operator assigned: William Everett *Engineer: Steve Wilson Telephone: 508 8 - 66� Baxter&Nye *Approval for Effluent T' 0 er' Signature P.leas0complete all items marked" mail signed original contract to: AR Sales&Service.Inc. 44 Commercial Street Ravnham.MA 02767 J&R SALES & SERVICE, INC. INSPECTION AND TESTING AGREEMENT This Inspection Agreement -p gr mem is entered into by J&R Sales& Service,Inc. (herein call J&R)and the FAST® System OWNER(herein called OWNER), for the purpose of setting forth terms and conditions_governing J&R's obligations to inspect OWNER's equipment listed below.` ; Upon acceptance of this agreement,J&R will render the following services only: Equipment will be inspected at least 4 times per year that this Agreement remains in effect,with the first inspection beginning These inspection will include: 1) Testing of the sludge depth in the septic tank. r, 2) Inspection,power testing and clean/replace intake filter of the air blower: 3) Inspection of the alarm system. 4) Inspect over-all condition of FAST System. u 5) Notify OWNER of any problems encountered.. ` 6) Service other than routine maintenance will be billed at an hourly rate plus travel and material. J&R shall notify the local board of health and the Department of Environmental Protection in writing within 24 hours of a system failure or alarm event including corrective measures that have been taken. It is understood that by this Agreement J&R is not obligated to supply any parts. Any additional labor time will be billed to the OWNER at standard labor rates of$ 64.00 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, mmunum four 4 hours plus standard charges for arts plus mileage and travel charges. This O P � P P g g 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. Raynham,MA 02761 Tele.508 823 9566 Fax 508-880 7232 -> i °p INE Town of Barnstable '.., BARNSTABLE, # 9 ' ,• Board of Health lED MAY A 367 Main Street,Hyannis MA 02601 Office: 508-790-6265 Susan G.Rask,RS. FAX: 508-790 6304 Brian R.Grady,R.S. Ralph A.Murphy,M.D. Decision of the Board ofHealth Regarding Lots 1 Through,14 and Lots 16 Through 25 ,. . Falling Leaf Lane, Osterville,Shown on Subdivision Plan dated February 11, 1984, revised April 23, 1984 and Identified as Parcels 3.001 Through 3.014 on Assessor's Map 144, and Parcels 3.016 Through 3.025 on Assessor's Map 144. PROCEDURAL HISTORY On November 18,1996, the Board of Health agent, Thomas,McKean, R.S., C.H.O., received twenty-four (24) disposal system.permit applications along with two checks totaling $2,400.00 from Peter Sullivan, P.E., of Baxter and Nye Incorporated, who was representing O.R.E. Associates Incorporated and Osterville Highlands Trust pertaining to proposed construction along Falling Leaf Lane, Osterville.. The lots are located off of Acorn Drive, Osterville Massachusetts, and are identified as parcels 3.001 through parcels 3.014 on Assessors Map 144, and parcels 3.016.through 3.025 on Assessor's Map 144. The disposal system construction applications indicated that parcels 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, and 24 (all the even numbered lots) were owned by Osterville Highlands Trust. The remaining applications - t 1 f 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 showwhy.'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. t 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, 1.997, the applicant again requested a continuance; then the Board members voted to continue this matter to the March 4, 1997 public meeting. Continuation . hearings were also held on the following dates during 1997: June 17th, July 1st, and August 19th. Many documents were submitted into the record by both the'applicant(s) and the Board of Health. The Board members rendered a decision on September 3, 1997 during a special public paring. 2 I M• 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(l), that no serving new construction in a nitrogen sensitive area designated in 310 CMR 15.215 shall i be designed to receive or shall receive more than 440 gallons of design flow per day per acre A except as set forth at 310 CMR 15.216 (aggregate flows) or 15.217 (enhanced nitrogen removal). Y 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 15.0,00 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 t with the requirements of 310 CMR .15.214). t 10. The Board is in receipt of a letter from DEP to William Nye (one of the applicants)dated February 4, 1997 stating that"the department Interprets compliance with the requirements of 310 CMR 15.005 (3)(a) through (c) to require, pursuant to 310 CMR 15.005(c), a considered assessment by the proponent of approved nitrogen removal technologies when site limitations i prevent attainment of the 440 gallon per acre design flow standard set for new construction under 310 CMR 15.215(1)..." 4 f ' 11. The applicant is entitled to pursue an aggregate determination of nitrogen loading per 310 CMR 15.216 and DEP guidelines. It is this board's belief that the cumulative acreage in the subdivision, minus the acreage devoted to roads, when considered in the aggregate.is sufficient to allow the construction of 2-bedroom homes (220 gpd`design flow) on twenty of the lots and this will be in general compliance with the nitrogen loading requirements of 310 CMR 15.214. 12. The applicant has acknowledged that lot 15 will be used for drainage and is not to be considered buildable. 13. At the hearings held on August 19, 1.997 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 !-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 ,t 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 h will entitle the owner to a design flow of 33.0 gpd. a 15. The applicant may choose in the future to present to this board an aggregate nitrogen loading which complies with 310 CMR 15.216; this plan, if approved by the board, will negate the restrictions in 14 above. : ACTION TAKEN BY BOARD OF HEALTH Based upon the Board's unanimous approval of the proposed findings, the Board of Health voted to take the following action regarding the pending twenty-four applications for.disposal system construction permits submitted by the applicants, Osterville Highland Trust,,John Alger, Trustee and ORE Associates, Inc.: A) Disposal System Construction Permits shall issue to ORE Associates, Inc. for lots 3, 5, 7, 9, 11, 13, 17, 19, 21, 25 and to Osterville'Highland Trust, John Alger, Trustee for lots 2, 4, 6, 8, 10, 14, 16, 18, 20, 24, as designed, said issuance subject to compliance with the following conditions: Y 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 permitted to have not more than 3 bedrooms. 2. Each plan shall be modified by the applicants to include a notation containing the full text of the language recited in paragraph (A)(1) above. 3. Deed, restrictions, approved as to form by the Town Attorney, limiting the use of the ellings to two bedrooms on each of the above-referenced lots shall'be recorded at the stable Registry of Deeds. A copy of the recorded deed'restriction for the particular lot for I 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 OPPOSED: NONE Dated: October 7, 1997 Susan Rask, Chair Barnstable Board of Health which a Disposal System Construction Permit its 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 Associa k tes, Inc. for lots 1 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 i 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 BASK, GRADY, MURPHY OPPOSED: NONE k Dated: October 7, .1997 Susan Rask, Chair Barnstable Board of Health z w 65 NO. v Fee THE COMMONW LTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for Oigpogar 6pgtem Construction permit .Application for a Permit to Construct( ' epair( )Upgrade( )Abandon( ) [Wmplete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. L�=7 LA-, a� 72Ur � �� [Ifs, pye- lNe- Assessor's Map/Parcel t1 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling 1.—N—o of Bedro s Lot Size I j0a� sq.ft. Garbage Grinder("6 Other Type of Buildin No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 4 5- gallons per day. Calculated daily flow 3 l'. gallons. Plan Date !>v C� Numb jr of sheets t`t Revision Date Title `��^ Z- 5 — [�� Size of Septic Tank t I Type of S.A.S 0 tY Description of Soil �_ I IR �&- -S 9z- VOR lq�luxl ' l 19 Nature of Repairs or Alt ations(Answer whe ppIicable) /r/ S 7 ��A SySkW &410 �,, Date last inspected: DESIGNING ENGINEM MUST SUPERVISE INSTALLATION AND CERTIFY IN WRITING Agreement: THE SYSTEM WAS INSTALLED IN STRICT The undersigned agrees to ensure the constructionWal amCAancDe o"f"t�Ee ator�e escribed on-site sewage disposal system in accordance with the provisions of Title 5 of the Envi nd not to place the system in operation until a Certifi- cate of Compliance has been issued by this o o Signed �r Date �/� R y Application Approved b Date Application Disapproved for the following reasons Permit No. ''' Date Issued .41 No: e ..,. -p Fee /Fo7�/ 1 .�i► THE COMMONW LTH OF MASSACHUSETTS Entered in computer: �•� Yes E - PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zlppricatton for Miopogal *pgtem Cougtruction Permit Application for a Permit to Construct( epair( )Upgrade( )Abandon( ) C eZmplete System ❑Individual Components Location Address or Lot No. 7-7 Owner's Name,Address and Tel.No. O(Zc� PYe r N C_ `°�-•w;rr,,,;,,W, Assessor's Map/Parcel � �5, — ,j Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling of Bedroo s Lot Size 15 jOW sq. ft. Garbage Grinder(�Jb l Other Type of Buildin No. of Persons Showers( ) Cafeteria_( ) Other Fixtures Design Flow 5 gallons per day. Calculated daily flow 3 3 l gallons. Plan Date (>- Numb r of sheets Revision Date Title C�0^ 1 �� G l id L_ f Z3--1 ()/lam t ' AL Size of Septic Tank I %�/_ 'J�t Type of S.A.S. 8r q Y :2A' Description of Soil D' �' �'P S 6&214. S /`'► �U NCI Nature of Repairs or Alte Mons(Answer when pplicable) X4S 7 ;VA -S/S ( sM) M Pate last inspected: Agreement: The undersigned agrees to ensure the construction and maint ance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Envir 1 o ernd not to place the system in operation until a Certifi- cate of Compliance has`been issued by this o al Signed Date Application Approved b Date Application Disapproved for the following reasons Permit No. °"'' Date Issued r ----------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS ' (Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( ) Repaired( ' )Upgraded( ) .Abandoned(, )by at 5 — has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer f The issuanc f is e s tot be construed as a guarantee that th will ti i as d Date Inspector ----f---- ----- - No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Migpogar Opotem Construction Permit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) System located at /os,r! l� r��,� `- tea r->5 T�J/ Lk-C and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. ,�A Date: p Approved by / // �> DESxam DATA 7ZZ7-f-/oLCr Fa O-A Bedreov►� �0J74 Octc, fib, l 98(0 /(�o Gr3.rba�a Grl�dcr Laa.� s EL Z4 Daily Flow = _'-'__.-AII F41b ,,N s 3.30 �ubsoi I - 54,MA4'Tank a 33o -x Z00 0 r Q62CL- G,Q. USF. $500 GAL.LO TAWK L�kC.HIIJG SYsT�M DE3IGN ,^ - .Obscvv4+ivy;: i,�oll` r►1�Fw� gppllcatton Artia Rc�,v�rtdJ. on i.c�T 10 5H,JI 330 GPD.: 0 74 GPO r 4G . SF A Atca#%ab, Arc& D-estIn 13e *D.n hmat., Zoo), 24'. 490 51'' To Arnca 490 5F •PcrcA&+vm R.fic sE S w"Ilnck Glos. T Sol Is --2u PC� --�. �. ouc•r•'cai� � � nctcl.c� ' /y ��z Wzs�.<..nl :� rh� In GGcorJA,ic-¢ wig` Z 5 "_._ Z Za, d N6rE : rAsT SYST>r. .Tn BC . IN-51AL s1� M0&)ITaRI►JG. IFj hcLou0AtQrG' WITH 136H € STYCTS RkT+:aS, Cr+r £r:As FG -Z9,0 i' a&,0 tw X�,z/ DIST gi r L21,5 u.n MX ISpd J' W/r�sr VY1axmu.• ' obS G,�.o Ef.'I:G,'S. `� I Ccr +& TKa4 The Prapmsc.t Dwell%'w. Skew" SITE SEPTrC PLAN H<t�cen Co►.+p1�S We" T1+e S%Aclpna Arct 'Set- LOCATION.' l-aTll 1 Fft)IInj (•,C(4 1.4mr- bock Rcertme"e'Its Of 7he. Town o f- SCALE— DATE : 5/17/11 Bnrnsftble And Xz & ' Loea+Ucf 'Ws*k;^ A PLAN REFERItNGE' Prb P, Z-L Spcclal FIeeJ! Hagar--V Zohc . ASSL55ORS MAP:. 14+ PARGEL: 3_It APPLTC'ANT:. TAc56," Cans?ruct'ior) BARTER f NYE . INC. FI%fcs rar+s/: .(+nI Surur�er LAN 50"eYoR.S • CI��L FnlcelllCERS CSTCRVII MASSAGHU66TTS 05'sc+s -From buildrng5 skevlel net be used 1� -Tolo-No 9i8a23 �C e s f�b 11 s k rp r oiler l In e3. y'- , The dwelling shall be limited to 2 bedrooms unless the septic system is modified to. " NO.'02.1 6 J l include enhanced nutrient removal as approved by,the Board of Health.in which case a °�s STEP F AI EN dwelling served by a modified system may be permitted to have not more than 3 ,� •��Jfy .. F bedrooms. REVISED:.. JOH J 06 fC.iSTf� r S Carou.� o.� N 5 sl` ml R �3odt f;11 usf lcc.n Su+w� fly2o'x2 Lce.Cti rt.id . y N / r i / I 1>cSGr Va' S� IV i s I -- / I S Oe G�I lcn S hr I ..a'RS=iut^..�a`� .v.°'RM�..t.!�.t�"u•*e,�k:�..4 I o 1 %v� o fAlt (25 r ! F =� f d - - a, N z i7,c�.�su+►� . i S \ . T; fALLING LrAF. LANE 5 Zo' M 13AXTE12 f WW E , INC NQ 4` "023 05/14/1999 12:59 5082402396 S.0 HAYES ARCH PAGE 02 7 I fU II T II a II ------- 1.2 II II II II II Z II A II it � II I1 ]0 I I II II O " II � II rn II r II m II II II II o "II Z II I I II • I w II II II II II II II II 11 II II D❑ II D❑ II � I II ❑ I . U-- v--s ler E]OMIMW.Stevlen C. l Architect Note: �I l 16 tiq MAW cowt.l.atlG�t sm u brm%dnMnr on olbn ter p1�U�f�olye�und y�epoM► Duos bmUls otN(M)aalsu tA.�my am- GIs u hdle.e.d Hssl ohm sill e.eye In of •Asa 05/14/1999 12:59 5082402396 S C HAVES ARCH PAGE 03 n -- i , 0 II i II I ' I � I � I � , I , I , I , I t11 , I NO I , 50 I II , I , I I � II I � II II I � I � ra --- -- r II _ ----- , I I � , I I � � I I � , I , I I � I � I' I , 11_LJ_l3 J_LJ I -TL, ----- I I i L f 14, 9 Stun #C. Hn�es, Arohits N at otes 10 a Suumen OryeI. m Illa"No Iotleal 4arlelR an nfbn wd fw ��r aAwHn�p p� Ywrw. Mr�Mlrrw am(60) NO-1a11 Loam WAY nut Maw m dduau0. noN� w rw�liien*le�Iw.ao... 05/14/1999 121:59 5082402396 S C HAVES ARCH PAGE 05 J I I rJ a m . I—��--- rJ mt— m II —� 11T------ II I Z 11 II I II � II II II II II 11 II II II II II II H II II II II II II II II . II . I . I 1 ®Strewn C./ Hayes, Architect Note:' !'► L myQata C&AA.RC an OMU larmat aoOnM ia /epalah*C/ lwa � le � �l"W. Us-nwhmnuaWcow 940-1411 Ah"► 05/14/1999 12:59 5082402396 S C HAYES ARCH PAGE 04 n II II I � , I I I I I II II II � II it II • II Q r I I I I m II II I I II II I I I I II II II II II Z II a II II I I i- II II II II II II II II II II II II II �� II II II II II , II 11 II II II o"I" 1912MUDW.sty�a CCMI .P.O.M Architect emu�lon ut 4=•»� o••r omwkvmua mm (M) sw-1•u a..up My.w�r.. IWAM&.r. PIMA rbw wol a o�oa(.r"��`.oN•.•ee.n m W VENTED RIDGE CAP ASPHALT SHINGLES CL sto om CONT ! APPROVED PREFABRICATED ROOF I SI IL LO.0 AT BUILD CATHEDRAL ERS OPTION RAFTERS TRUSSES OR 2XIO RAFTERS W/2X6 CEIL'G JOISTS • IL' O.C. W/ HANGERS/COLLAR TIES AS REQUIRED • BWLDERS OPTION 12 i INSULATION VENT SPACERS • SLOPED d I WHITE CEDAR SHINGLES OR CLNGS AS REG'D ATTIC INFILTRATION SIDING REP. VENTED ( ELEVS. FOR LOCATION DRIP EDGE CONT. (TYP.) V PLAT IX9 FASCIA — � 5f U SOFFIT R-30 BATT 1/2' GWB OR SKIM COAT w FRIEZE INSUL. CEILINGS ITYP.) BLUEBOARO • BUILDER'S [TY P.)R-13OPTION = INSU BATT 2X4 EXT. STUOS ITYP) a V ITYP] EXT. WALLS GREAT ROOM In R-19 BATT INSUL. FLOORS (TYP) CONT. BLOCKING OR BRIDGING • MID-SPAN ITYP] S/a PLYWOQ*SUBPLOOR r sae p aftwr MR,PLAM W/ 3/4' F H FLOOR OR UNDERL4 ENT - REF. FINISN,SCHEOULE FIRST FLOOR ANCHOR BOLTS • L'-O' O.C. HANDRAIL-►%' - 2X10.IL' O.C. ,--j FLOOR JOISTS[TYP. r_; PROVIDE SPLASH 4-2X10 GIRT ITYP.] ... ; 3 BLOCKS • ALL (FLUSH GIRT AT STAIR)O DWNSPOUT 8 OR .- i ' O Lo PIPE N U DER RO __.G uND _ m 3 I/�' LAtLY COL. m TO DRYWELLfTYP) REF. FXON FOR LOC. c•i m A' CONCRETE 3 I/?' CONC. SLAB--II ,-_; ,•�—STAIR � coFNON WALL IREINF. • BLDRS STRINGERS © 2 IS REINF ROOS OPTION) BSMT +� TOP 1 BOTTOM - I? OF WALL 1 2 96 2'-L-X2'-L'X12- LALLY COI. FOrNP OTi Gg S IN PAD ITYP] i • BLDRS OPTION a TYPICAL BUILDING SECTION 0 THRU GREAT ROOM W/FLUSH FLOOR I CATHEDRAL CEILING -. SCALE 1/4'-1'-0' ul 05/14/1999 12:59 5082402396 S C HAVES ARCH PAGE 07 Mr-+>,r ,r-n v+• r-)ur r-r c-C s-r v r-1. O O � Ir.D 1 Q C ° AN-1 1 ® r r m + c\\ IT-far* -f u FIN 3; FT 1ton j°F • / [1 O m r-t V+• Y _ � Y 4 M � r � y 5 K-1 8/0, 1 i D y _ . _ '_ --- ------ � iEl , Y < C r-ram- 9 1,21 �•-�sir i ----------------- it Q OI I $ 4 � 4 < n is-a yr �r-o it o• ,r-a yr Steven C. Ha Architect Note: ID Day Maw 000n•raDO al�� Swab txm.e an oRon as 1�vnu ol�.oe 05/14/1999 12:59 5082402396 S C HAYES ARCH PAGE 08 ,1'-O• • 32'-4' 6'-,• ,'-,• i — —13=s 3Ti• — — --- — — — — Is=,• — � — — —I Ar w - i I Q 1 i w 5 I I o �y J ba ,F y Tj X , _ — _ — x Im w°s .� O Q L'-O' 1 14'-O' 1 i 1 1 1 1 r J r 1,'-O' 2•- J I 30 /1r J ... /I ►.1 m a - I III I s I I °12'-! 1/2• I y �� 2 I x x : I X I 20'-V , 1/2 16-0• 5 I t-41 o 1 0 0 ks I 2 < ♦! y i .r •+ D aF I ` g � -4 Q I o I o J I m s Y I A a i n 'I yr mill S 22'-0' 12-0• 1�-e 1/�• T Steu ven C. Hares• Architect Note: 10 day SL Conet•Y.0.D het Odu11 tellM/dZWI of* eflae Mood fer pf.Undm elael9 eftigW. V"gHbwU. OMI(SM)a40-1411 Drowbw ar>>wt owb�o ladlestad nti1 PbMo opl a la o20.olota m w N<NARIK- LOT l 1 5/10/99 WINDOW SCHEDULE WINDOW IFRAMY, S COMMENTS .. RO.SCLE MAT. FIN. MAT. FIN. QTY A CSMT CW26 4'-9"X 6'-0 3/9" 1 TEMPERED GLASS MULL UNIT B CTCW2 HALF ROUND 4'-9"X T-7 1/8" I ABOVE"A"UNIT C DH 2446-BS 2'-6 1/8"X 4'-9 1/4" 10 D DH 2O32-BS 2'-2 1/8"X 3'-5 1/4" 1 _.. .. E DH 2446-2-BS 4'-I1 13/16"X 4'-9 1/4" 2 F DH 2046-BS 2'-2 1/8"X 4'-9 1/4" 3 G CSMT C135-BS 2'-0 5/8"X 3'-5 3/8" 2 H I a J BSMT2917 2'-8 5/8"X 1'-7 1/4" + 4 `n K VELUX FSF606 44 3/4"X 47" 2 FOG;D W/VENT FLAP w L CSMT CW 13 2'-4 718"X 3'-0 1/2" I FDD(?) M 'CfCWI HALF ROUND 2'-4 7/8"X 1'-5" i 1 ABOVE"L"UNIT LD ca 0 CA 00 CD u� m - ci m m m m MINARIK - LOT 11 _ 5/10/99 w .DOOR SCIiEDME NO. LOCATION DOOR _ FRAME SILL LBL JUDWREMARKS SIZE MAT. FIN. MAT. FIN. i i FOYER ENTRY "X 6'-8" INS.STL () 12"SIDELIGHTS,SCREEN&STORM FOY ER YER CLOSET 2'-6" 3 FOYER CLOSET 1'-6" 4 BASEMENT 2'-$" 5 BATH#2 6 LINEN CLOSET I'-8" 7 BEDROOM#2 2'-6" _ - 8 BEDRM#2 CLOSET 5'-0"X 6'-8" �— 131-FOLD — 9 GREAT ROOM 6'-0"X 6'-8" �? JSLIDING GLASS PS6L a 10 BREAKFAST 6-0"X 6-81, i 'SLIDING GLASS PS6R — w k12DINING ROOM 3'-0"X 6'-8" :POCKET DINING ROOM _ 3'-0"X 6•-8" POCKET PANTRY 2)2'-0"X 6-8" DOUBLE DOOR - --- 14 BROOM CLOSET 15 LAUNDRY_ 6'-0"X 6'-$" Bl-FOLD 16 MASTER BEDROOM .2'-6" LI - -- 17 NEN CLOSET - t8 MBR CLOSET cJ214" POCKET 19 MASTER BATH — 2'�" 20 HALL CLOSET -- 21 GARAGEMS ENTRYi�FIRE CODE - 22 GARAGE ENTRY 21 '-8"X 6'-8" INS.STL '6 PANEL _.. 3.GARAGE " OVERHEAD CA 24 GARAGE— 9'4"X 7'-0" i OVERHEAD m 25 POWDER ROOM_ 2'-0„ ! _ .. CA CD 261OFFICE/STUDY 27 OFFICE CLOSET 4'-0"X 6'-8" _ — - BI-FOLD ' m u, c,i • m m m m Oc`�21-99 03: 15P P_O1 � - . - Please complete all items marked mail signed original contract to: J&RSalm&Service.Inc_ 44 Commer+cialStreet lta"harn_MA k767 J&R SALES &SERVICE, INC. INSPECTION AND TESTIIVG 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 cleanimplace intake filter of the air blower. 3) Inspection of the alarm system. 4) Inspect over-all condition of FAS 4 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 S 64.00 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 gravel 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. MR shall not be responsible for failure to render the service for causes beyond its control,including strikes and labor disputes. 44 fOrnmglflal$I. nawmam.MA 02761 Tnb.508 A239566 fan a-BOO 7237 Oct-21-99 03: 15P P _02 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 A/I' Z�5,�'g7 Osterville, MA $350.00 EO EPZ WNEIit ,( $ � jam, *Signed ,[ .� Signed by: /r Joe Minardc C44 Commervi Street *Address: Raynham, MA 02767 Lot I l Failing Leaf Lane Tel: (508) 823-9566 Fax: (508)880-7232 Osterville, MA 02655 *City: State: Zip: 508-349-7302 *Telephone: Effect bate of Agreement influent A EBlaentTesting Influent&Effluent sample taken(1)one time per month for the first 6 months and quarterly thereafter, 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 O REMEDIAL (X) PROVISIONAL *SPECIAL CONDITIONS PER LOCAL BOARD OF HEALTH (Y)or(I)1f YF.s,please attached copy of permit ( )BODs,TSS,pH (X)ROD,,TSS,pH,Nitrate/Nitrogen,Ammonia, TKN ( )Other Cost for testing $ 70.00/visit Operator Assigned: William Everett *Engineer: Steve Wilson Telephone: 50 8 - 66 Baxter&Nye *Approval for Effluent Testin r o write Signature ,