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0139 FALLING LEAF LANE - Health
139 Falling Leaf Lane Osterville Fast A'= 144 003013 1 r i 0 v 0 n c " a 44 Commercial Street Raynham, MA 02767 Tel:.(508) 880-0233 Fax: (508) 880-7232 December 8, 2017 Mr. Donald MacMillan 139 Falling Leaf Lane Osterville, MA 02655 RE: MicroFAST System --MCF05 552 _ <l1'39 Falling Leaf Lane, Oster'ville, Massachusetts Dear Mr. MacMillan: We have re-instated your Inspection & Testing Agreement for the FAST Treatment system located at 139 Falling Leaf Lane, Osterville, Massachusetts as of today's date. Thank you. Sincerely, Wa4t-mcXey TreatmzvXServfcek Wastewater Treatment Services Cc: Department of Environmental Protection, Boston i Barn_ stable Board of_Heal 200 Main Street f Hyannis, MA 02601 CDH BARI5TAME Couvt r DEPARih1ENT OF HEALTH Q ENVI NV IT r a � PROMOTE - PROTECT - SUPPORT h•� 96'YEAR8 OF • h� w� • • i • rf November 27, 2017 Thomas McKean Barnstable Health Division 200 Main Street Hyannis, MA 02601 ` RE: I/A septic system operation and maintenance contract letters to owners Dear Thomas McKean, I have enclosed 1 (one) letter to the owners of innovative/alternative septic systems in the Town of Barnstable.This.letter is.,the-init.ia correspondence:i_n regards,to the cancellation of the O&M contract for.this system' ., My normal protocol-is t(�send.one standard letter to owners; if the owner is not compliant in 15 business days; I'then send a certified letter. In the event that an owner has not come into compliance after receipt of the certified letter and within the time period specified in the letter, I will send referral paperwork to your office with copies of all correspondence I have made with the owner: Unless your office prefers otherwise;I do not need any action from you until I send referral paperwork for owners who are still non-compliant after,my efforts. If you wish to see the status of this property or any others in your town, please log on to the septic database at,https://septic.barnstablecountvhealth.org/. If you have any questions I can be reached on my desk phone at.(508) 375-6901 or by fax at (508) 362-2603. 1 can also be reached via email at emilymichele.olmsted@barnstablecounty.org. Thank you for your time. Sincerely,. ' Emily i hele Olmsted Enclosure(s): 1 BARNSTABLE COUNTY COMPLEX 3195 MAIN STREET/ PO BOX 427 BARNSTABLE, MASSACHUSETTS 02630 Phone:(508)375-6613 1 FAX:.(508)362-2603 1 TOO:(508)362-5885 Web:barnstabtecountyhealth.org 1 Twitter:eBCHOCapeCod BCDHE ' * BAWVETA&E COJI OEDAAnev QF HEALTH ANO EPIVIMMI NT PROMOTE-PROTECT-SUPPORT •0 2016 November 27th, 2017 Donald and Audrey MacMillan 139 Falling Leaf Lane Osterville, MA 02655 RE: Operation and Maintenance Contract for the Innovative/Alternative Septic System Installed at 139 Falling Leaf Lane in the town of Barnstable. Dear Donald and Audrey MacMillan, Our records indicate that the operation and maintenance contract with Wastewater Treatment Services for your innovative/alternative wastewater treatment system may have expired or was canceled as of November 1 st, 2017. To date we have not received evidence that you have entered into a new operation and maintenance contract. I 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. Information about these requirements may be found at https://septic.barnstablecountyhealth.org. You can access the list of wastewater operators of whom we are aware do business in Barnstable County.This septic database also provides further explanation about your I/A septic system, as well as any sample and inspection history for the performance of your system, . as entered by previous service providers. 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 have enclosed 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. 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, you may be referred to the Barnstable Board of Health for further enforcement action. I can be reached at 508-375-6901; my fax number is (508)362-2603. 1 can also be reached via email at emilymichele.omsted@barnstablecounty.org.Thank you for your prompt attention to this matter. Sincerely, Emily Michele Olmsted CC: Barnstable Board of Health Enclosures (2): Certified Wastewater Treatment System Operators List, Inspection and Testing Requirements BARNSTABLE COUNTY COMPLEX 3195 MAIN STREET/PO BOX 427 BARNSTABLE,MASSACHUSETTS 02630 Phone (508)375-6613 1 Fax (508)362-2603 1 TDD:(508)362-5885 Web:barnstablecountyhealth.org I Twitter:@BCHDCapeCod Q=1 N C 0 R=PO R A T E 0 8450 Cole Parkway a Shawnee, KS 66227 v Phone 913-422-0707 cr Fax: 912-422-0808 1692 e-mail: onsite6a0omicrobics.com m www.biomicrobics.com II 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FASTO System INSTALLATION AUTHORIZED SERVICE PROVIDER 139 Falling Leaf Lane Installation Address OstervilleMA 02655 Name Wastewater Treatment Services,Inc. Owner Name Donald MacMillan Street Mail Address: Mail Address 44 Commercial Street 139 Falling Leaf Lane Raynham, MA 02767 Osterville,MA 02655 City State Zip 508-880-0233 508-880-7232 Phone 508-428-4947 Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pump out MicroFAST.5 MCF05 552 11/19/1999 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:q Joan Peterson l U 19/2003 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 1692 A. Installation Impertant: Donald MacMillan When filling out Owner forms on the computer,use 139 Falling Leaf Lane only the tab key Facility Street Address to mcve your Osterville 02655 cursor-do not use the return City Zip key. Mailing address of owner, if different: 139 Failing Leaf Lane Street Address/PO Box: Osterville MA 02655 �t° City State Zip (508-428-4947 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 552 Bio-Microbics, Inc. MicroFAST .5 DEP ID Manufacturer's Name&ID Model Name&Number 11/19/1999 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 11/19/2003 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended _Yes X No Color: N/A Odor: None Effluent Description DEPMic,,oFASTnew.doc- 1/14/04 Page 1 of 2 Massachusetts Department of Environmental Protection L7�1 Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 1692 E. Sampling Information Samples Taken: Influent Effluent Parameters sampled:_pH_BOD_TSS_TN_Other (list below) Other 1 Other 2 Other 3 Description of any maintenance performed since previous inspection & during this inspection: Cleaned Filter,,,, Notes and Comments: F. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached technology operation and maintenance checklist, and the 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 11/19/2003 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 31"of each year for the within 30 days of inspection 30`h of each year for the previous calendar year date previous 12 months Department of Environmental Protection Attention: Title 5 Program One Winter Street, 61h Floor Boston. MA 02108 DEPMicroFASTnew.doc• 1/14/04 Page 2 of 2 i N C 6`R.P.0.R A T E D 8450 Cole Parkway ■ Shawnee, KS 66227 ■ Phone: 913422-0707 ■ Fax: 913-422 e-mail: onsite@biomicro.bics.com www:biomictobics.com ■ 800-753-FAST(321 RECEw�p January 28, 2004 FEB 1 31004 TOWN.OF BARNSTABLE HEALTH RNsT II Barnstable Board of Health PO Box 534 Hyannis, MA 02601-0534 : Re: Donald MacMillan Residence Dear Board of Health Official: Enclosed are the field test results and inspection forms dated 3/28/03, 6/3/03 for: Donald MacMillan 139 Falling Leaf Lane Osterville, MA If you have anyquestions 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 139 Falling Leaf Lane, Osterville, MA 44 Commercial Street c MA 02767 Julyf22, 2003xy _ '. c t A (5 880-0233 a �z ;'r x -Tel` 08) 'Fax: (508) 880-7232 Division of Water Pollution Control Department of Environmental Protection One Winter Street—6t`Floor Boston, MA 02108 Attention: Mr. Steve Corr RECEIVED Subject: Request,for Testing Reduction JUL 2 4 2003 FAST Treatment System TOWN OF BARNSTABLE Reference: Serial Number MCF05 552 HEALTH DEPT. 139 Falling Leaf Lane Osterville, MA Dear Mr. Corr: Attached.please find the results for testing performed at the property of Donald_<, MacMillan, 139 Falling Leaf Lane, Osterville,MA. As the operator of this system we are requesting that the testing requirements be'r`educed or eliminated for this unit. Please forward a copy of your decision to our office. Thank you. cerely, anet M. Whitman cc: Barnstable Board of Health Homeowner Mailing Address: Donald MacMillan 139 Falling Leaf Lane Osterville, MA R LNUMINCORPORATED 8450 Cole Parkway. Shawnee, KS 66227.Phone 913-422-0707■ Fax: 912-422-0808 e-mail: .onsite(Mbiomicrobics.com■www.biomicrobics.com ■ 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST@ System INSTALLATION ,� ,�, ;�IUTHORTZED1�.SEe(RVICE PitO r 4� it..,.,y7, -t:,,C,.F. ...i.: .,.1..�:�� :�l'.skr<.• rtt .�w,:hF1h ,?,�n...ua+'f•5'.4r„w_'Ce %r�'Qh+•`'"t 3 139 Falling Leaf Lane . Installation Address Osterville,MA 02655 Name J&R Sales&Service,Inc. Owner Name Donald MacMillan Street Mail Address: Mail Address 44 Commercial Street C/o McShane Const P.O.Box 429 Raynham, MA 02767 Osterville,MA .02655 City State Zip 508-823-9655 5081-880-7232 Phone 617-698-5780 _ Fax e-mail Phone Fax e-mail r a =x�"xfINST11<I,LA�'IO>!Yy1A OIra ' '''' v ' � �s` Model No. Serial No. Date of Installation Date of last pumpout TM }y���y�■� M( CF05 552 �(yy�y// 11/11199//999 Y'. .`�J •'�a ^�i �4 .C.�T. ,-v(. 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 t/ Treatment unit(s) Unusual Odor Pam out Required: Primary Settling Zone Aerobic Treatment Zone EFITUENT(optional) LEVHT RESULT Estimated Daily Flow 3 Bedrooms H Standard Units) (� 1 ,`i�(_ ,�� Color ` Temperature - fz, ✓� �-�;/.S i ir�✓� Odor a TECHNICIAN SIGNATURE SERVICE DATE GROU/VDWATER ANALYTICAL Inorganic Chemistry Field ID: . 139 Falling Leaf Matrix: Aqueous Project:. MacMillan/MCF05-557: Received: 06-04-03 Client: Wastewater Treatment Services Lab ID: 61664-01 Sampled: 06-03-03 15:45 Container: 250 mL Plastic Preservation: Cool Anal e. Reporting yt Result Units. mit Analyzed QC Batch Method Nitrate(as Nitrogen) 3.0 j mg/L 0.02 . 1 06-04-03 18:35 NI-1786-W ; SM 4500-NO3 F Nitrite(as Nitrogen) 0.33 mg/L 0.02 06-04-03 18:35 NI-1786-W i SM 4500-NO3 F Lab ID: 61664-02 Sampled: 06-03-03 15:45 Container: 250 mt.Plastic Preservation: H2SO4/Cool "t Analyte= ' Results Units ;Reporting Analyzed C Batch hod Ammonia(as Nitrogen) 0.5 mg/L 0.2 06-05-03 AM-1165-W I SM 4500-NH3 B.G Nitrogen,Total Kjeldahl(TKN). 6.0 mg1L 0.5 06-10-03 TKN-1111-W EPA 351.2 Lab ID: 61664-03 Sampled: 06-03-03 15:45 Container: 1 L Plastic Preservation: Cool pOrtleg - r Biochemical Oxygen Demand .26 mg/L 10 I 06-04-03 17:01 BOD-1366-W SM 5210 B Solids,Total Suspended 34 mg1L 10 06-05-03, TSS-0832-W SM 2540 1) pH 7.4 pH NA 06-04-03 22:42 PH-147�-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 ana)yte. 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: f COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT.OF ENVIRONMENTAL PROTECTION ONE WINTER STREET-BOSTON, MA 02108. 617-292.5500 DEP Approved Inspection and O&M Form for Title 5 UA Treatment and Disposal Systems Installation Authorized Service Provider Installation Address: O&NI Firm: 139 Falling Leaf Lane: Osterville_ J & R .Sales & Service, Inc. Owner Name: Mail Address: 44 Catnmercial Street' Donald MacMillan IvIai1 Address: Raynham, Ma 02767 do McShane Const P.O.Box 42 Osterville,MA 02655 T'le hone No.:" 50 82 -9566 Telephone No.: 6176985780 Certified Operator Name: V DEP No.: Mfr.No:: Cart.No. //__ MCFOS 552 7j c.��O Model No.: Installation Date: Start of Operation: Micro FlA•5I Approval.T le) Seasonal ' ence used less th11/19199 an 6 mo/year: (Circle) General Provisional Piloting Remedial Yes No Operating Information Previous Inspection Date: . Inspectio atte�'•: Sludge Depth:(to be checked yearly) Pumping ecommended(Circle) I Yes o Effluent Description: Attach copy of certified lab results. Check all that are required Samples:Influent Effluent_ Parameters: (LH 1� TSS, Other_ Other (—J Other Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection - and During this Inspection: l� , R �J e l / a Notes and Comments: �,'�' �7; �` j :</l� J. ✓ / ^ [ ` 1 U i I .. // 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. b for Operator Signature ate System owner must submit Remedial Use-bv January 31'of.. a Department of Environmental this report, manufacturer's each:year for the previous calendar Protection 0&,N1; checklist, and any year .. Attn: Title 5 Proryram required sampling results- Piloting& Provisional Use within One Winter Street, ti`" Floor �0 days of inspection Jate to the local Board of Health ,� . Boston, NLA 02108 and QEF' :is follows Cor. General (-'se --b Scpietrber _0 vt R`o each near for the prey ious 1' months each inspection.perforated: _. AMR � I � INCORPORATED 8450 Cole Parkway.Shawnee, KS 66227.Phone 913-422-0707. Fax: 912-422-0808 e-mail: onsite0biomicrobics.com .www.biomicrobics.com ■800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics..Single Home FAST© System INSTALLATION AUTHORIZED SERVICE PROVIDER 139 Falling Leaf Lane Installation Address Osterville MA Name Wastewater Treatment Services,Inc. Owner Name Donald MacMillan Street Ma il Addr ess:e ss: Mail Address 44 Commercial Street . ]39 Falling Leaf Lane -Raynham, MA 02767 Osterville,MA 02655 City State Zip 508-880-0233 508-880-7232 Phone 508-428-4947 Fax a-mail Phone Fax e-mail INSTALLATION INFORMATION .. Model No. Serial No. Date of Installation Date of last pumpout MicroFAST MCF05 552 11/19/99 EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS Electrical Panel(s) Visual Alarm operatin Audio Alarm Operating if present Blowe "s Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise V Excessive Vibration l/ Treatment unit(s) Unusual Odor v Pum out Required- Primary Settlin-Zone Aerobic Treatment Zone EFFLUENT(optional) LIMIT RESULT Estimated Dail Flow 3 Bedrooms H(Standard Units) Color Temperature C Odor TE HNICIA IG ATURE. SER ICE DATE 1 GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: 139 Failing Leaf Ost&ville: Matrix: Aqueous Project: MacMillan/MCF05-552 Received: 03-28-03 Client: Wastewater Treatment Services Lab ID: 59500-01 Sampled: 03-28-03 12:30 Container: 250 mL Plastic Preservation: Cool v epo Result _ Units Ong Analyzed QC Batch Method j Lrrn Nitrate(as Nitrogen) 0.56 mg/l l 0.02 03-28-03 17:26 NI-1728-W ; SM 4500-NO3 F Nitrite(as Nitrogen) 0.27 mAl 0.02 03-28-03 17:26 NI-1728-W ;SM 4500-NO3 F Lab ID 59500-02 Sampled: 03-28-03 12:30 Container. 250 mL Plastic Preservation: H2SO4/Cool . � `'F z� '�" �r-..�v '}'E.�c,.s 'a.}k[ -'.r�'1 i ��. .Reporting♦ �a� ctr �'l,; �' �<. :- r, 4 n� Anal e � h 3 7 Resul** Umts M v �2 Y� .flalyZCd„� �.QC Batch k .Method .. .�:,. u,.._.-,.+•.a ..h.l.'. <{ .,xa,., w......,r A, .'.;� Llnllt-..;.,c '�;ti.,rt'„ .�f ., .-:�r.:�V' ,s j'�c Ammonia(as Nitrogen) 15 mg/L 0.2. 04-02-03 AM-1134-W I SM 4500-NH3 BG Nitrogen,Total Kjeldahl (TKN)� 18 mg/L 0.5 04-09-03 TKN-1075-W EPA 35t.2 Lab ID 59500-03 Sampled 03 28-03 123�+0 Container 1 L Plastic Preservation Cool fix $y"f. s.a� 11 stl ayY t'13a;tic Pa Jl t''- -'-Reporxinga �'` }��Y Anle � 4 g� '`Y x Result+x inrts ti Analyzed QC Batch"I Meth"od' j Biochemical Oxygen Demand 25 mg/L 10 03-29-03 12:57 BOD-1319-W^ SM 5210 B I Solids,Total Suspended 13 mg/L{ 10 04-01-03 TSS-0807-W I SM 2 D pH 7.4 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-93/160,(1993),and Standard.Methods'for the Examination of Water and Wastewater, APHA,Eighteenth Edition(1992). Report Notations: BRL Indicates result,if any,is below.reporting limit for analyte. Reporting limit is the lowest value that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample dilution and sample size. Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street; Buzzards Bay, MA 02532 . - COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT'OF,ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 DEP Approved Inspection and O&YI Form for Title 5 I/A Treatment and Disposal Systems Installation Authorized Service Provider Installation Address: 139 Falling Leaf Lane 08c;Ivt Firm.. Osterville, MA Wastewater Treatment Services, Inc. Owner Name: Donald MacMillan ��tail Address: 44 ommercia tree 139 Falling Leaf Lane Raynham, MA 02767 Mail Address: Osterville,MA 02655 (508)880-0233 Teleohone No.: Telephone No:: 508-428-4947 Certified Operator Name: DEP No.: ivifr..No.• Cart.NZ O.: Model No.: In Date: Start of Operation: MicroFAST I 11/19/1999 Approval T le) Seasonal ence—used less than 6 molyear: (Circle) General Provisional Piloting Remedial Yes No I Op tin-Information Previous Inspection Date: tion ate: Sludge Depth:(to be checked yearly) Pum ins j!pec P , commended(circie) I Yes, o Effluent Description: Attach copy of certified lab results. Check all that are required I / l Samples:Influent Effluent V t✓��-t�l.J Parameters: H J _Other . er Other Description of Overall System Condition; Description of any Maintenance Performed since Previous Inspection and During this Inspection: Notes an Cowmen - � , 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 CIVIR 2.00.. , Operator Signature System owner must submit Remedial Use-by January3 1"of Dad " Department of Environmental this report, manufacturer's each year for the previous calendar protection 0&311 checklist,and any Year Attn: Title 5 Program required sampling results Piloting 8t Provisional.Use-within One Winter Street, 6''' Floor to the local Board of Health days of inspection dace and DEP as follows for General Use-by September.')&of ` Boston, iY1A 02108 each inspection performed: each year for the previous 12 months: f - I I N C 0 R P.0 R A;T E.D 8450 Cole Parkway ■ Shawnee,XS 66227 Phone: 9.1.3-422.0707 ■ Fax: 913-422-0808' - e-mail: onsite@biomicrobics.com ■ www.biomicrobics.com 800-753-FAST(3278) February 6,2004 RECEIV7 FEB 13. Z004 Barnstable Board of Health' 7owN of Gr• y��= HEALTH DEPT. PO Box 534 Barnstable, MA 02601-0534 Re: Provisional field reports Dear Board of Health Official: Enclosed are the field test results and inspection forms dated 1 l/19/03 for: Donald MacMillan 139 Falling Leaf Osterville This unit was reduced to annual testing its last test was in June of 2003. 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 139 Falling Leaf, Osterville i COMMONWEALTH OF MASSACHUSETTS. EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617.292-5500 MITT ROiVINEY Governor ELLEN RAY HERZFELDER Secretary KERRY HEALEY Lieutenant Governor ROBERT W.GOLLEDGE,Jr. Commissioner August 7,2003 Donald MacMillan. 139 Falling Leaf Lane Osterville,MA 02655 Re: Alternative On-site Sewage Treatment Sampling Reduction Request DEP Facility ID:MCF552 139 Falling Leaf Lane,Barnstable . Dear Mr. MacMillan: The Department has received a request from Wastewater Treatment Services,Inc. dated July 22,2003 providing information on the performance of the above referenced alternative on-site sewage disposal system(system)and requesting a reduction or elimination of effluent monitoring and reporting on a quarterly basis on this system. The Department,having reviewed the monitoring data for this technology,in general,and your system, approves the request to reduce effluent monitorinjof the system,from four times to one time per year. The change in monitoring requirements in no way changes the requirement that,throughout its use,the system shall be under an operation and maintenance agreement with a person or firm qualified to provide services consistent with the system's specifications. The operator must maintain the system.at least every three months and anytime there is an alarm event. Additionally,as required by the Approval for the system,any time the operator changes,you shall notify the Department and the local approving authority,in writing,within seven days of such change, Please note that the Department is now requiring the use of a DEP approved inspection form and technology checklist. You must submit,by March I"of each year, a copy of the"DEP Approved Inspection and O&M Form for Title 5 UA Treatment and Disposal Systems"and the "FAST O&M Checklist"to the Department and local Board of Health for each 0&M inspection performed during the previous 12 months. The certified operator under contract to operate and maintain the'systern must complete these forms. Enclosed are copies of these forms. The annual sampling results must accompany the forms. This information is available in alternate format.Call Aprel,FicCabe,ADA Coordinator at 1.617-556.1171.TDD Service-I-800-298.1207. DEP on the World Wide Web: http./Ammmass.govidep C� Printed on Recycled Paper DEP Facility ID: MCF552 page 2 139 Falling Leaf Lane Barnstable ` r If the concentration of BOD,TSS or TN in the annual effluent sample from your system exceeds the 30 mg/L or 19 mg/L limits,then within 45 days of the annual sample you must both have your system sampled again and submit the results to the Department. Provided that the second sample meets the 30mg/L and 19 mg/L limits for BOD,TSS and TN,you may resume annual monitoring of your system. However,if the second sample does not meet the 30mg/L or 19 mg/L limit for BOD, TSS or TN, you must resume sampling your system four times per year. Following four consecutive samples demonstrating the system meets the 30 mg/L and 19 mg/L limits for BOD, TSS and TN,the Department would favorably consider another written request to reduce monitoring. This reduction in monitoring requirements is conditioned upon your compliance with the Approval and the requirements in this letter. Please be aware this change in monitoring does not apply to any local requirements. You should discuss any changes from the local monitoring requirements, if any apply to your system,with your local Board of Health officials. You should check with the local Board of Health prior to reducing effluent monitoring and reporting to ensure that the reduction would be consistent with,any local requirements. i If you have any questions please feel free to contact Dana Hill,of my staff, at(617) 292- 5867. Sincerely, Steven H. Corr,P.E.,Environmental Engineer V Watershed Permitting Program Enclosures:2(addressee only) cc: Wastewater Treatment Services,Inc.,44 Commerical Street,Raynham,MA 02767 Barnstable BOH DEP-SERO,B.Dudley f ' I ° I N C 0 R P 0 R A T E 0 8450 Cole Parkway -Shawnee, KS 66227 - Phone: 913-422-0701 • 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: Donald MacMillan residence Dear Board of Health Official: Enclosed are the field test results and inspection forms dated 4/3/02 for: Donald MacMillan 139 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, Allison Blodig, REHS Regulatory Affairs Coordinator Bio-Microbics, Inc. (913)422-0707 cc: Massachusetts file for 139 Falling Leaf Lane, Osterville, MA 4 TER A NA FY W70A L Inorganic Chemistry Field ID: OsterviUe Matrix: Aqueous Project: A'tacMillaWMCFOS•5S2 Sampled: 04-03.02 Client: Wastewater Treatment Services Received: 04-03-02 Lab ID: 49740-01 Container. I Ptatatic Preservation: Cool _..--- _ ..... ....:.: - -- - - :: 1 Biochemical Oxygen Demand 27 mg/L 20 04-04-02 BOD-1096-W EPA 405.1 pH 6.7 pH N/A 04-03-02 PH-1224-W EPA 150.1 —.-. Solids,Total Suspended 28 mg/L 10 04 05-02 TSS-0679 W EPA 160.2 j— _ Method Refetrences: Methods for Chemical Analysis of Water and Wastes,US EPA,EPA-600/4-790-020,Revised(1983),and Metho&for the Determination of Inorganic Substances in Environmental Samples,US EPA, F.PA/600/R-93/100,(1993),and Standard Methods for the Examination of Water and Wastewater, APHA,Eighteenth Edition(1"2,. Reps Notations BRL Indicams result,if any,is below reporting limit for analyte. Reporting limit is the lowest value that can be wilably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample dilution and sample size. F� l 13 Groundwater Analytical, Inc., P.O. Box 1200, 2-28 Main Street, Buzzards Bay,MA 02532 GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: Osterville Matrix: Aqueous Project: MacMillan/MCF05-552 Sampled: 04-03-02 Client: Wastewater Treatment Services Received: 04-03-02 Lab ID: 49654-02 Container: 250 mL Plastic Preservation: Cool Analyte ,L; ;Result Untts Reporting Analyzed ;"QC Batch Methood ? Limit , �.� w° -k 'y Nitrate(as Nitrogen) 11 mg/L 0.1 04-03-02 NI-1393-W EPA 353.2 Nitrite(as Nitrogen) 0.27 mg/L 0.02 04-03-02 ! NI-1393-W EPA 353.2 Lab ID 49654-01 Container 250 mL Plastic Preservation H2SO4/Cool -rr+' `nt ^:.. ��,.M 1. a�R,. I�In �, x r. rxAnalyte�� � ResultkUmts ° Sg Analyzed QCkBatch Method .c..:,.r„`i21r. ,.' ."a arrb%l:: ":'r..`}�*.--r '»5,``�zn'r'.'ti .2'�'� `i.'af *w`RLlmlt �i .32` 4,a.. *3." ,+£ ..` .�" ,.`id43,"t, Ammonia(as Nitrogen) 0.5 mg/L 0.2 04-04-02 AM-0920-W EPA 350.1 Nitrogen,Total Kjeldahl (TKN) 9.0 mg/L 0.5 04-05-02 TKN-0832-W EPA 351.2 Method References: Methods for Chemical Analysis of Water and Wastes, US EPA,EPA-600/4-790-020,Revised(1983),and Methods for the Determination of Inorganic Substances in Environmental Samples, US EPA, EPA/600/R-93/100,(1993),and Standard Methods for the Examination of Water and Wastewater, APHA,Eighteenth Edition(1992). Report Notations: BRL Indicates result, if any,is below reporting limit for analyte. Reporting limit is the lowest value that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample dilution and sample size. Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 i I NCORPORATED 8450 Cole Parkway •Shawnee, KS 66227 • Phone: 913-422-0701 • Fax: 913-422-0808 e-mail: onsite@biomicrobics.com - www.biomicrobics.com - 800-753-FAST(3278) April 11, 2002 Barnstable Board of Health P.O. Box 534 Hyannis, MA 02601 Re: Donald MacMillan residence Dear Board of Health Official: Enclosed are the field test results and inspection forms dated 10/3/01 for: Doniald'Ma I Millaw k3' allingLeaf 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 Coordinator Bio-Microbics, Inc. (913)422-0707 cc: Massachusetts file for ` T9 wFalling Leaf Lane, Osterville Donald MacMillan JP GROUN13WATER ANALYTICAL Inorganic Chemistry Field ID: 139 falling Leaf (MCF05.5 552) Matrix: Aqueous Project: Mass DEP Sampled: 10-02-01 Client: Sio-Microbics, Inc. Received: 10-03-01 Lab ID:— 44965-02 Container: 250 mL Plastic Preservation: Cool -- —— - - talfRtS: -- 7Eesit� - ....... .... _ �4Jtt)ta, fl~e Az Method Nitrate(as Nitrogen) 10 mg/L 0.1 10-03-01 NI-01228-W EPA 353.2 itritc(as Nitrogen)-- — 0.22 mg/L 0.02 10-03-01 NI-01228-W EPA 353.2 Lab ID: 44965-08 Container. 250 mL Plastic Preservation: H2SO4/Cool r -- _ C Bat4tl� Method I Nitrogen,Total Kjeldahl(TKN) 8.0 mg/L i 0.5 10-04-01 TKN-0725-W - EPA 351.2� Method References: Methods for Chemical Analysis of Water and Wastes,US EPA,EPA-60014-790-020,Revised(1983),and Methods for the Determination of Inorganic Substances in Environmental Samples,US EPA, EPA/600/R-93/100,0993),and Standard Methods for the Examination of Water and Wastewater, APHA,Eighteenth Edition(1992). Report Notations: EIRL 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.Q. Box 1200, 228 Main Street, Burzard5 Bay, MA 02532 i i Y• ., •.r 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 S Disposal stems P Y Installation Installation Address: Authorized Service Provider Falling Leaf Lane: O&tit Firm- Ostervi l le i �Ua-9iratizeiG�1ea Owner Name: ------ Mail A; DonaldlMacMill-,3 44 Commercial Street,Raynham,MA 02767 .ylail address: do McSl rfane Const P.O.Box 42 Tel:(508)880-0233 Fax:(508)880-7232 � Osterville,MA 02655 Tele h�.._ . _. ___ Tete hone No.: 6176985780 Certified Operator Nam I ____j DEP No.: Mfr. No.: Cert.No.: MCF05 552 h`Iodel No.: Installation Date, Micro F'14ST Start of Operation: Approval T cle) Seaso _ / I nal ence used less than 6 mo./year: (Circle) General rovisional Piloting Remedial Yes No Operating Information Previous Inspection Date: Inspection ate: 1 ' Sludge Depth:(to be checked yearly) Pumping ommended(Circle) Effluent Description: Yes jl I Attach copy of certified lab results. Check all that are required Samples: Influent Effluent Parameters: _pH BOD TSS TN Other Other Other Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection and During this Inspection: Notes and Comments: I certify: I have inspected the sewage treatment and disposal system at the address above,have completed this report and the attached manufacturer's operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I gn a Massachusetts certified operator in accordance with 257 CNiR 2.00. perator Signature bate 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&VI checklist,and any year V `` required sampling results Piloting& Provisional Use - within Attn: Title 5 Program to the local Board of Health 'Q days o inspection date One Winter Street, 6'" f Floor and DEP as follows for General Use-by September 30'"of Boston, NfA 02108 each inspection performed: each year for the previous 12 months 5/1;01 i r� - I N C 0 R P 0 R A T- E 0 8450 Cole Parkway a Shawnee, KS 66227■Phone 913-422-0707 a Fax: 912-422-0808 e-mail: onsit biomicrobics.com a www.biomicrobics.com■ 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 01 Falling`^Leaf Lane Installation Address Osterville,MA 02655 Na Owner Name WDonald-MacMillarn Str i Mail Address: ME 44 Commercial Street,Raynharri,MA 02767 Y C/o McShane Const P.O.Box 429 Tel:lsosl eeab233 Fax:(508)NO-7232 1^ . ,r_ Osterville,MA 02655 Cif, ..__..._. -; .. Mate Zip 508-880-7232 Phone 617-698-5780 Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION - Model No. Serial No. Date of Installation I Date of last pumpout MCF05 552 11/19/99 EQUIPMENT . YES ...NO*, MAR TENANCE:PERFORMED AND COM(t WM Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating if resent Blower(s) Air Inlet Filter Clean ll Blower Hood Vents Clear Excessive Noise l/ Excessive Vibration !/ Treatment units Unusual Odor Pumpout Required: Primary Settling Zone Aerobic Treatment Zone EFFLUENT LIlVIIT RESULT Estimated Daily Flow 3 Bedrooms H Standard Units) Color Temperature Odor E CIAN NATURE SERVICE PATE 1 COMMONWEALTH OF MASSACHUSETTS EXECUTIti`E OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617.292-5500 JANE SWIFT BOB.DURAND Governor. "°Secretary LAUREN A.LISS Commissioner December 21, 2001 William H. Everett Wastewater Treatment Services, Inc. 44 CommPrc ial.Street Raynham, MA 02767 �� TOIL /�/ Re: Alternative On-site Sewage Treatment ti g Sampling.Reduction Request y��oTyo MCF05 55.2' ;.19 139 Falling-Leaf Lane <F Osterville, MA DEP Facility ID: MCF552 77, Dear Mr:Everett: z The.Department.has received your letter dated.October 26,2001,requesting the reduction.or: elimination of monitoring and reporting on a quarterly basis on the effluent from the alternative on-site; sewage disposal system(system) at the above referenced facility. The Department,having reviewed the monitoring data for this technology, in general,,and this system, denies your request to,reduce effluent monitoring of the.system at this time. The Department's: technology approval letter,Renewal,of Provisional Use Approval Single.Home FAST issued April.5, 2000,specifies that the effluent from this FAST system,installed for provisional use,.must.meet 19 . mglL for Total Nitrogen.(TN).. The effluent sampling data submitted for.this FAST system has not demonstrated that the technology can consistently meet those limits. The effluent sampling data for.the past two years of effluent monitoring, ending with the last submitted sampling results of October 2, 2001,is incomplete or above the required.TN limit.for the most part. Sampling results from-August 29,-2000 and November 29,2000 were incomplete;no TKN results. The only samples that have met the 19 mWL or.less limit are the most`recent monitoring data for the three samples from May 25,2001 through October 2,_2001. Before the Department will review another request to reduce the monitoring and reporting requirements.for--this system,the Department requires that the system be sampled for at least three additional consecutive quarters which include the Winter season. Following those three additional consecutive quarters of monitoring the Department would consider another written request to reduce monitoring: This information is available in alternate format by calling our ADA Coordinator at(617)574-6872. DEP on the World.Wide Web: http://www.state.ma.us/dep ' Z� Printed on Recycled Paper i DEP Facility.[D: .MCF552 139 Fallinb Leaf Lane Osterville, MA Please note that the Department is now requiring the use of a DEP approved inspection form and techholoav checklist. A copy of these forms, the"DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems" and the"FAST O&M Checklist", must be submitted to the Department and local Board of Health for each O&M inspection performed. The certifled operator under contract to operate and maintain the system must complete these forms. Enclosed are copies of these forms. If you have any questions please feel free to contact Dana Hill, of my staff, at (617) 292- . 5867. y Sincerely, .l Lealdon Langley, Directo Watershed Permitting Program Enclosures(Donald MacMillan.only) cc: Donald MacMillan, 139 Falling Leaf Lane, Osterville,MA 02655 SERO,Brian Dudley Barnstable BOH .. i i I - v/�Q6U1QC�/` /Zt cJU'U�CP6'�, G/LG , 44 Commercial Street Raynham, MA P 02767 October 26,.2001,, , xi ,.,g, r } r+ j Tel:(508)880-0233 ' A iFax: (508) 880-7232 Division of Water Pollution Control , Department of Environmental Protection i One Winter Street 6`h Floor Boston, MA 02108 r Attention: Ms. Natalie Brown Subject: Request for Testing Reduction FAST Treatment System . Reference: Serial Number MCF05 552 139 Falling Leaf Lane - Osterville, MA Dear Ms. Brown: Attached please find the results for testing (eight samples)performed at the property of. Donald MacMillan, 139 Falling Leaf Lane, Osterville, MA. This system had a slow`start;>r I but the last four tests appear to be in order. 5 a As the operator of this system we are requesting the testing requirements be reduced or i eliminated for this unit. i Please forward a copy of your decision to our office. , i Thank you. Sincerely, .. William H. Everett h Service Manager cc: Barnstable Board of Health Homeowner Mailing Address: Donald MacMillan R. CF'1/ i� _ 139 Falling Leaf Lane a " OCT-3 0 2001' Osterville, MA TOWN UF`BARNSTABLE L HEALTH DEPT. I t i �E CEIVED SEP 2:5 2001 TO OF J&R,SALES-& H y RN TAB�F September,20, 2001 Donald MacMillan 139 Falling Leaf Lane Osterville, MA 02655 RE: MicroFAST System- MCF05 552 139 Falling Leaf Lane, Osterville, Massachusetts Dear Mr. MacMillan: We have re-instated your Inspection&Effluent Testing Agreement for the FAST' Treatment system located at 139 Falling Leaf Lane, Osterville, Massachusetts as of-. f today's date, September 20, 2001. Thank you. S' cerely, 7 � anet M. Whitman i _ i Cc: Department of Environmental Protection, Boston Barnstable Board of Health PO Box 534 Hyannis, MA 02601 44'Commareiaf St. Raynham.MA 02767 Tale.508 823-956G Fax 508.880 7231 EIVE EC EP 2 5 2001 TOWN OF BARNSTABLE DEP September 14, 2001 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST° Treatment System Serial Number: MCF05 552 Attached please find the Field Inspection& Service Report and test results (as required) for services performed on 8/1,0/01 at the home of Donald MacMillan located at 139 Falling Leaf Lane - Osterville,,MA. Please call-if you have any questions or require.,additional information. rely, anet M. Whitmap Enclosures Copy to: Donald MacMillan 44 Commercial St. 8apham,MA 02767 Tole.508 823.9566 fax 508.880-7232 I s COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617.292.5500 DEP Approved Inspection and O&M Form for Title S UA Treatment and Disposal Systems Installation Authorized Service Provider Installatiun Address: O&M Firm: 139 Falling Leaf Lane: Osterville J & R Sales & Service, Inc. . Owner Name: NdA Mail Address: Donald MacMillan 44 Catmercial Street Mail address: c/o McShane Const P.O. Box 42 Raynham, Ma 02767 Osterville, MA 02655 Telephone No.: 50 823-9566 Telephone No.: 6176985780 Certified Operator N. DEP No.: Mfr. No.: MCFOS 552 Cert.No.: Model No.: Installation Date: Start of Operation: Micro FlgST I 11/19/99 Approval T cle) Seasonal ence—used less than 6 mo./year: (Circle) General rovisional Piloting Remedial Yes No Operating Information Previous Inspection Date: Inspection ate: Sludge Depth:(to be checked yearly) Pumping commended(Circle) t � Yes L10) ' Effluent Description: Attach copy of certified lab results. Check all that are required CC „ t A Samples: Influent Effluent Parameters: ") �� �D Other Other Other Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection (i and During this Inspection: Notes and Comments: [ 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 submit Remedial Use—by lanuary 3IS`of Department of Environmental this report, manufacturer's each year for the previous calendar Protection O&H checklist, 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 '�days of inspection date ,� Boston, 'VIA02I08 and DEP as follows for General Use—by September 30 of each inspection performed: each year for the previous 12 months 5/1,01 Environmental Chemistzly Environmental Services Site Assessment iC4 Site Sampling Quality Assurance Services AnAitVab Balance Data Auditing C 0 R P I Q N CERTIFICATE OF ANALYSIS J&R Sales& Service REPORTED: 8/30/2001 44 Commercial Street Raynham, MA 02767 ORDER #: GO 127098 COLLECTED BY: J. Peterson SAMPLE DATE: 8/10/2001 TIME: 14:15 DATE RECEIVED: 8/10/2001 LOCATION: Osterville MCF05-552 SAMPLE ID: MacMillan grab DESCRIPTION: WATER RESULTS OF ANALYSIS 3: (Test Parameters LAB-ID#: 0127098-01 11301) SM 5210B 8/10/2001 mg/L 4 25.4 IICjeldahl,Nitrogen EPA 351.2 8/28/2001 mg/L 0.5 4.20 I Nitrate,Nitrogen 4110B SM 4110 B 8/10/2001 mg/L I 0.1 7.15 Nitrite,Nitrogen 4110B SM 4110 B 8/10/2001 mg/L 0.25 <0.25 jpH SM 4500 H+B 8/10/2001 S.U. 0-14 7.0 Solids,Suspended ISM 2540 D 8/17/2001 mg/L 2 33.0 NA=Not Applicable ND=Not Detected <' = Less Than Approved By: le Detection Limit Lab nager r Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page' � AT 1*1 oIN C OR PO RATE 0 8450 Cole Parkway■ Shawnee, KS 66227 ■Phone 913-422-0707. Fax: 912-422-0808 e-mail: onsite biomicrobics.com ■www.biomicrobics.com ■ 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 139 Falling Leaf Lane Installation Address Osterville, MA 02655 Name J&R Sales&Service, Inc. Owner Name Donald MacMillan Street Mail Address- Mail Address 44 Commercial Street . C/o McShane Const P.O. Box 429 Raynham, MA 02767 Osterville, MA 02655 City State Zip 508-823-9655 508-880-7232 Phone 617-698-5780 Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pumpout MCF05 552 11/19/99 EQUIPMENT YES NO MAINTENANCE PERFORMED AND COWENTS Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating if resent) Blower(s) Air Inlet Filter Clean t/ Blower Hood Vents Clear 1i Excessive Noise l/ Excessive Vibration L' Treatment anit s Unusual Odor 1/ Pum out Required: Primary Settling Zone Aerobic Treatment Zone (r EFFLUENT(optional) LEMT RESULT Estimated Daily Flow 3 Bedrooms H Standard Units) Color Temperature Odor TECHNICIA IG ATURE SERVICE DATE COMMONWEALTH OF MASSACHUSETTS NOW ExECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 RECEIVED JANE SWIFT Governor S E P 12 ZOO 1q BOB DURAND Secretary TOWN OF BARNSTABLE LAUREN A.LISS HEALTH DEPT. Commissioner September 7,2001 Donald MacMillan 139 Falling Leaf Lane Osterville,MA 02655 Re: 57 IiTF_ Lane;-FL - DEP Facility ID: Operation&Maintenance Requirements Dear Mr. MacMillan: As you are the owner of an alternative on-site sewage treatment and disposal system regulated under Title 5 of the State Environmental Code, 310 CMR 15.000, I am writing to remind you of your operation and maintenance obligations. According to the Department of Environmental Protection's records, a iSn`-&e:i Hom_e FAS system has been installed at the above referenced location. The Department's approval for this system requires that,throughout the system's life, the system owner must maintain an agreement with a person or firm competent in providing services consistent with the system's specifications,the operation and maintenance required by the designer and any specified by the Department. In addition, every time.the operator or operators are changed, the owner shall notify the Department and the local Board of Health,in writing,within seven days of such change. The Department has received information indicating that you are no longer under contract with an operation and maintenance firm. Please notify the Department, in writing, within fourteen days of receipt of this letter,of the name of the new operator for your system and submit a copy of your current contract. Please submit the information to: Department of Environmental Protection Title 5 Program Watershed Permitting Program One Winter Street,6th floor Boston,MA 02108 If you have any questions concerning your operation and maintenance requirements, please feel free to contact Natalie Brown,of my staff,at(617)292-5658. Since ly, Lealdon Langley,Direc or Watershed Permitting Program cc: Osterville Board of Health DEP/SERO,B.Dudley This information is available in alternate format by calling our ADA Coordinator at(617)574-6872. DEP on the World Wide Web: http://www.state.ma.us/dep 10 Printed on Recycled Paper .. s._ .. '✓" r .�; x ,�rw!'r +. ts���l, r -i F. „e !rJ 1;�".� ...i T ;}� .. k.i i�1- s. ,.{ .. e J&R SALES & SERVICE, INC. August 22, 2001 Mr. Donald MacMillan c/o McShane Const P.O. Box 429 Osterville, MA 02655 RE: Serial Number: MCF05 552 1;39 Falling-Leaf.Lane,®sterville, Massachusetts Dear Mr. MacMillan: After several calls and letters you have chosen not to pay for services under your contract with us. Fof ihat reason we are canceling our contract with you. We are notifying the DEP of our actions and remind you of your agreement with the DEP,to always have a service contract in affect. By the terms of that agreement, you are also required within 7 days of this cancellation to have signed a service agreement with a licensed Waste Water Treatment plant operator and notify the DEP of his/her license number. Sincerely, Barbara Rogers Copy to: Natalie Brown- Massachusetts DEP Barnstable Board of Health PO Box 534 Hyannis, MA 02601 44 Commercial St. 8aynham,MA 02767 Tole.508 823 9566 Fax 508.880.7232 r I N C O R P O R A T E D 8450 Cole Parkway■ Shawnee, KS 66227■Phone 913-422-0707■ Fax: 912-422-0808 e-mail: onsite0biomicrobics com ■www.biomicLobics.com ■ 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION k x AUTHORIZED SERVICE PROVIDl� 139 Falling Leaf Lane Installation Address Osterville,MA 02655 Name J&R Sales&Service,Inc, Owner Name Donald MacMillan Street Mail Address: Mail Address 44 Commercial Street C/o McShane Const P.O.Box 429 Raynham, MA 02767 Osterville,MA 02655 City State Zip Phone 617-698 5780 Fax email 508-823-9655 508-880-7232Phone Fax e-mail Model No. Serial No. Date of Installation Date of last pumpout MCF05 552 1 19/99 Electrical Panel(s) Visual Alarm tin Audio Alarm Operating if resent Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise l/ Excessive Vibration V Treatment uni s Unusual Odor Pumpout Required: Prim Settling Zone t/ Aerobic Treatment Zone (� ' tfona LIM11' `:.: RESIJLI*': Estimated Dail Flow 3 Bedrooms H Standard Units Color Temperature v Odor . r i j .1- r 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 rn ,,ation Address: tO&!lvvl : 139 Falling Leaf Lane: Osterville J & R Sales & Service, Inc. MA Name: Mail Address: Donald MacMillan44 Commercial Streetdress: c/o McShane Const P.O.Box 42 Raynharn, Ma 02767 Osterville,MA 02655 Tele hone No.: 50 82 —9566 6176985780 Certified Operator Names Telephone No.: DEP No.: Mfr.No.: q Cert.No.: `/ MCFOS 552 lU Model No.: Installation Date: Start of Operation: Micro F145T1919 Approval T ' cle) 11111,11,11::�9 TS=easonaa1je!Ce— ed less than 6 mo./year: (Circle) General rovisional Piloting Remedial Operating Information Previous Inspection Date: Inspection I ate: Sludge Depth: to be checked P ( yearly) Pumping ecommended(Circle) I Yes o Effluent Description: Attach copy of certified lab results. Check all that are required Samples: Influent Effluent Parameters: Bt2T�) TrS . Other Other Other Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection and During this Inspection: of 3, 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 C1VIR 2.00. Operator Signature Date System owner must submit Remedial Use—by January 3 1"of Department of Environmental this report, manufacturer's each year for the previous calendar Protection O&M checklist,and any year Attn: Title 5 Program required sampling results . Piloting& Provisional Use• within iQ days of inspection date One Winter Street, 6'" Floor to the local Board of Health General Use-by Se Boston, NIA 02108 and DEP as follows for ptember 30 of each Inspection performed: each year for the previous 12 months S/1i01 GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: 139 Falling Leaf Matrix: Aqueous Project: MacMillan/MCF05-552 Received: 11-15-02 Client: Wastewater Treatment Services Lab ID: 56229-01 Sampled: 11-15-02 10:15 Container: 250 mL Plastic }Preservation: Cool Anal e'. Reporting Analyzed _QC Batch Method Yt 'Result Units Limit , Nitrate(as Nitrogen) I 9.6 mg/L 0.1 1 11-15-02 19:55 NI-1614-W I SM<4500-NO3 F Nitrite(as Nitrogen)g 0.55 I rn�10.02 11-15-02 19:37 NI-1614-W SM 4500-NO3 F 4 Lab ID 56229 02 Sampled:yys11 15 02 10:15 Container: 250 mL Plastic Preservation: H2SO4/Cool ,4ndlyZeflY x QC BdtC<h Method p Ammonia(as Nitrogen) 1.4 I mg/L 0.2 11-19-02 AM 1068-W sM 4500-NH3 BG Nitrogen,Total Kjeldahl (TKN) 7.3 mg/L 0.5 11-20-02 TKN-0987-W EPA 351.2 Lab ID 56229 03ge Sampled 11 15 02 10 15 Container 1 L Plastic Preservation Cool fy,,ga `'3yY'w `.✓'*sacr 1°px�'^ .z�:' - D wsr.<z s s "Aitalyte a y, } r'a`" 2'ysfReportrng'� i r �4 .1 _uW: xw5d �r*, ReSUIt x < tlJnitS �y AnalyZed8�y4 QCBatch MethOd� ;.`yg;_.�t`�wY:;a"z',#+,r.ts'"e}H?r?`_ 't.�+ ;''.," ^?:i, Biochemical Oxygen Demand 46 i mg/L 20 11-15-02 19:36 BOD-1232-W SM 5210 B Solids,Total Suspended 70 mg/L ; 10 11-19-02 TSS-0760-W SM 3540 D I PH 6.5 pH I NA 11-15-02 20:36 PH-1367-W SM 4500-H+B Method References: Methods for Chemical Analysis of Water and Wastes,US EPA,EPA-600/4-790-020,Revised(1983),and Methods for the Determination of Inorganic Substances in Environmental Samples,US EPA, EPA/600/R-93/100,(1993),and Standard Methods for the Examination of Water and Wastewater; APHA,Eighteenth Edition(1992). Report Notations: BRL Indicates result, if any, is below reporting limit for analyte. Reporting limit is the lowest value that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample dilution and sample size. i Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 J&R SALES & SERVICE, INC. July 5, 2001 RECEIVED Barnstable Board of Health JUL 10 PO Box 534 2001 Hyannis, MA 02601 TOWN OF BARNSTABLE HEALTH.DEPT. Attention: Health Agent Reference: Single Home FAST° Treatment System Serial Number: MCF05 552 Attached please find the Field Inspection& Service Report (as required)for services performed on 6/12/01 at the home of Donald MacMillan located at 139 Falling Leaf Lane - Osterville, MA. Please call if you have any questions or require additional information. Sincerely, Janet M. Whitman Enclosures Copy to: Donald MacMillan F s 44 Commercial St. Rayn6m,MA.02767. . . Tele.508 823.9566 Fax 50B•8BO 7232 I N C O R P O R A T E 0 8450 Cole Parkway■ Shawnee, KS 66227:Phone 913-422-0707■ Rik: 912-422-0808 e-mail: onsite(Mbiomicrobics.com■www.biomicrobics.com ■ 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION Al Pi'HORIZED SERVICE PROVIDER, 139 Falling Leaf Lane =o Installation Address Osterville,MA .02655 Name J&R Sales&Service, Inc.. Owner Name Donald MacMillan Street Mail Address: Mail Address 44 Commercial Street C/o McShane Const P.O. Box 429 Raynham, MA 02767 Osterville,MA 02655 City State Zip 508-823-9655 508-880-7232 Phone 617-698-5780 Fax e-mail Phone Fax e-mail Model No. Serial No. Date[of Installation Date of last pumpout MCF05 552 11/19/99 E UST Electrical Panel s "Visual Alarm tin Audio Alarm Operating if resent Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear. Excessive Noise l/ Excessive Vibration y Treatment unit(s) Unusual Odor !✓ - Pumpout Required: Primary Settling Zone Aerobic Treatment Zone EFFLUENT LEWr RESULT Estimated Daily Flow 3 Bedrooms H Standard Units Color Temperature Odor TFCFMCLJN SI ATURE SERYICE DATE - f`F J&R,SALES & SERVICE, INC. March 0, 2001 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST° Treatment System Serial Number: MCF05 552 Attached please find the Field Inspection& Service Report and test results (as required) for services performed on 2/26/01 at the home of Donald MacMillan located at 139 Falling Leaf Lane - Osterville, Massachusetts..pH is low and we will try to get the owner to add bi-carb to raise the pH which will help lower TKN&Nitrate. Please call if you'have any questions or require additional information. Sincerely, .W —►, ►� William H. Everett Service Manager Enclosures Copy to: Donald MacMillan 44 Commercial Sr. Baynham,MA 02767 Tele.508.823.9566 Fax 50B BB0 7232 Environmental Chemistry Environmental Services Site Assessment Site Sampling Quality Assurance Services AnaVic al, BGIlC�I l�e Data Auditing C O R P O R A 'l' i O N CERTIFICATE OF ANALYSIS J&R Sales & Service REPORTED: 3/5/2001 44 Commercial Street Raynham, MA 02767 ORDER #: GO121712 COLLECTED BY: J. Peterson SAMPLE DATE: 2/26/2001 TIME: 13:45 DATE RECEIVED: 2/26/2001 LOCATION: Osterville MCF 05552 MacMillian SAMPLE ID: Grab DESCRIPTION: WATER RESULTS OF ANALYSIS !Test Parameters LAB-ID#: 0121712-01 Ammonia,Nitrogen 350.1 EPA 350.1 2/28/2001 mg/L 0 5 2,70 BOD SM 5210B 2/28/2001 mg/L 4 36.0 I Kjeldahl,Nitrogen EPA 351.2 2/28/2001 mg/L 2.5 10.0 (Nitrate,Nitrogen 41 IOB SM 4110 B 2/27/2001 mg/L 0.5 15.4 INitrite,Nitrogen 411OB SM 4110 B 2/27/2001 mg/L 0.25 <0.25 IpH _ SM 4500 H+B 2/26/2001 S.U.. 0-14 6.7 {Solids,Suspended SM 2540 D 3/1/2001 mg/L 2 55.0 NA=Not Applicable ND=Not Detected A roved By: ,� �O <' = Less Than PP *' = Detection Limit Lab ana r / Date Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page' 1 Q , atMINCORPORATED 8450•Cole Parkway a Shawnee, KS 66227■Phone 913-422-0707 . Fax: 912-422-0808 e-mail: onsite(Mbiomicrobics.com .www.biomicrobics.com ■ 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 139 Falling Leaf Lane Installation Address Osterville, MA 02655 Name J&R Sales&Service,Inc. Owner Name Donald MacMillan Street Mail Address c/o McShane Const P.O. Box 429 Mail.Address 44 Commercial Street Osterville, MA 02655 Raynham, MA 02767 City State Zip City State Zip 6176985780 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 552 11/19/99 EQUIPMENT YES NO MANTENANCE PERFORMED AND COMMENTS Electrical Panels ° Visual Alarm Operating Audio Alarm Operating AA if resent) Blower(s) Air Inlet Filter Clean l/ Blower Hood Vents Clear 1/ Excessive Noise (� Excessive Vibration (� Treatment mnit s' Unusual Odor V Pum out Required: Primary Settling Zone Aerobic Treatment Zone EFFLUENT(optional) LD41T RESULT Estimated Daily Flow 3 Bedrooms H Standard Units) 6-9 S.U. Color Clear V Temperature Odor Slightly musty odor (not tic) TFCHNICI NATURE SERVICE QATE J&R SALES & SERVICE,-INC. December 14, 2000 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST° Treatment System Serial Number: MCF05 552 Attached:please find;the Field Inspection& Service Report and test results(as required) for services performed on 11/29/00 at the home of Donald MacMillan locat d at1=39 "° 11ingLUe , ane r`Os Please call if you have any questions or require additional information. S' erely, net M. Whitman Enclosures ,Cc Donald:MacMillan. . , 44 Commercial St. Raynham,MA 02767 Tale.508 823-9566 Fax 508.880 7232 1 ' i I N C 0 R P 0 R A r E 0 8450•Cole Parkway ■ Shawnee, KS 66227 ■Phone 913-422-0707■ Fax 912-422-0808 e-mail: 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 I139 Fallitig Leaf L ane Installation Address Osterville, MA 02655 Name -J&R Sales&Service,Inc. Owner Name Donald MacMillan Street Mail Address c/o McShane Const P.O. Box 429 Mail Address 44 Commercial Street Osterville, MA 02655 Raynham, MA 02767 City State Zip City State Zip 6176985780 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 552 11/19/99 EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS Electrical Panel(s) Visual Alarm Operating ° Audio Alarm Operating (if resent) Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive.Vibration t i Treatment unit(s) Unusual Odor Pum out 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 septic " 4LICHNICI, SIGNATURE SERVICEDATE Environmental Chemistry Environmental Services Site Assessment AnAWca BalanceSite Sampling Quality Assurance Services Data Auditing C� 0 R A 't' 1 O N CERTIFICATE OF ANALYSIS J&R Sales & Service REPORTED: 12/7/2000 - 44 Commercial Street Raynham, MA 02767 ORDER#: G0019357 COLLECTED BY: J. Peterson SAMPLE DATE:. 11/29/2000 TIME: 14:30 DATE RECEIVED: 11/29i2000 LOCATION: Osterville, MA(MCF05-552) SAMPLE ID: MacMillian Grab DESCRIPTION: WATER RESULTS OF ANALYSIS WGUMM Test Parameters LAB-ID#: 0019357-01 Ammonia,Nitrogen 350.1 EPA 350.1 12/6/2000 mg/L 0.5 I 1.78 BOD SM 5210B 12/1/2000 mg/L 4 16.8 Nitrate,Nitrogen 4110B SM 4110 B 11/30/2000 mg/L 0:50 17.4 pH SM 4500 H+13 11/30/2000 S.U. 0-14 6.6 Solids, Suspended ISM 2540 D 12/1/2000 mg/L 2 35.0 NA=Not Applicable ND=Not Detected Approved By: <' Less Than L anager U/ Date *' = Detection Limit Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 !'age: 1 J&R SALES & SERVICE, INC. September 15, 2000 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Health Agent Reference: Single Home FAST°Treatment System ' Serial Number: MCFOS 552 Attached please find the Field Inspection& Service Report and test results (as required) for services performed on 08/28/2000 at the home of Donald MacMillan located at 139 Falling Leaf Lane - Osterville, MA. Please call if you have any questions or require additional information. Sincerely, Janet M. Whitman Enclosures Cc: Donald MacMillan ' 44 Commercial St. Aaynham,MA 02767 Tele.508 823-9566 Fax 508.880 7232 ! N C 0 R P 0 R A T E 0 8450 Cole Parkway. Shawnee, KS 66227 .Phone 913-422-0707 . Fax: 912-422-0808 e-mail: onsite biomicrobics.com nwww.biomicrobics.com ■ 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 139 Falling Leaf Lane Installation Address Osterville; MA 02655 Name J&R Sales&Service,Inc. Owner Name Donald MacMillan Street Mail Address c/o McShane Const P.O. Box 429 Mail Address 44 Commercial Street Osterville, MA 02655 Raynham, MA 02767 city State Zip city State Zip 6176985780 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 552 11/19/99 EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating L.. (if resent) Blower(s) Air Inlet Filter Clean �. Blower Hood Vents Clear , Excessive Nome Excessive Vibration Treatment unit(s) Unusual Odor �= Pum out Required: Primary Settling Zone ' Aerobic Treatment Zone EFFLUENT o tional LUMT RESULT Estimated Daily Flow 3 Bedrooms H(Standard Units) 6-9 S.U. Color Clear Temperature Odor Slightly musty odor (not septic) TECIiIN1CIAN SljGNATURE SERVI E DATE i.r77 i Environmental Chemistry Environmental Services Site Assessment AnLlyt ical �c�Ce Site Sampling QualityA ssurance Services Data Auditing C 0 R P O R A T 1 O N CERTIFICATE OF ANALYSIS J&R Sales& Service REPORTED: 9/6/2000 44 Commercial Street Raynham, MA 02767 ORDER#: G0016343 COLLECTED BY: J.Peterson SAMPLE DATE: 8/28/2000 TIME: 15:45 DATE RECEIVED: 8/28/2000 LOCATION: Osterville-MCF05-5#� SAMPLE ID: MacMillan DESCRIPTION: WATER RESULTS OF ANALYSIS Test Parameters LAB-ID#: 0016343-01 Ammonia,Nitrogen 4500-C EPA 350.1 8/29/2000 mg/L 0.50 0.67 BOD SM 5210B 8/30/2000 mg/L 4 29.2 Nitrate,Nitrogen 4110B SM 4110 B 8/29/2000 mg/L 0.50 5.72 pH SM 4500 H+B 8/29/2000 S.U. 0-14 6.4 Solids, Suspended ISM 2540 D 8/30/2000 mg/L 2 30.0. NA=Not Applicable ND=Not Detected App Less Than roved By: .�.. '<' = Detection Limit L� Manager Uv Date '*' = 9 Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page: 1 i J&R SALES & SERVICE, INC. April 26, 2000 Barnstable Board of Health PO Box 534 Hyannis, MA 02.601 Attention: Health Agent Reference: Single Home FAST® Treatment System Serial Number: MCF05 552 Y I S,R Attached please find the Field Inspection& Service Reports and eTesting,Res lts(as required) for services performed on 4/20/00 at the home of Donald MacMillan located at 139 Falling Leaf Lane - Osterville, MA. r l Please call if you have any questions or require additional information. Sincerely, �-Candy GayareV44p-;�9 attachments cc: Donald MacMillan 44 Commercial Sr. Aaynham,MA 02767 Tole.508.823.9566 Fax 508-880-7232 f Environmental Chemistry Environmental Services Site Assessment AnAt jicA]a1',(*ffBa1ance Site Sampling Quality Assurance Services Data Auditing C. O R P T I 0 1\' CERTIFICATE OF ANALYSIS J&R Sales& Service REPORTED: 4/11/2000 44 Commercial Street Raynham, MA 02767 ORDER#: G0011134 COLLECTED BY: D. Koshiol SAMPLE DATE: �4/4/ 000 TIME: 9:45 DATE RECEIVED: 4/4/2.0 0 LOCATION: MCF 05 552 Osterville SAMPLE ID: MacMillan DESCRIPTION: WATER RESULTS OF ANALYSIS 8 Test Parameters LAB-ID#: 0011134-01 Ammonia,Nitrogen 4500-C SM 4500-NH3C 4/5/2000 mg/L 2.5 40.1 BOD SM 5210B 4/5/2000 mg/L 4 22.7 Kjeldahl,Nitrogen EPA 351.2 4/6/2000 mg/L 2 43.3 Nitrate,Nitrogen 4500-NO3D SM 4500-N031) 4/5/2000 mg/L 0.5 1.19 pH SM 4500 H+B 4/4/2000 S.U. 0-14 7.7 Solids, Suspended ISM 2540 D 4/6/2000 mg/L 2 37 NA=Not Applicable ND=Not Detected Approved By: 'c = Less Than Detection Limit La Manager Date Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page: 1 a. I N C 0 R P 0 R A T E 0 8450 Cale Parkway■ Shawnee, KS 66227.Phone 913-422-0707■ Fax: 912-422-0808 e-mail: onsite0biomicrobics-corn ■www.biomicmbics.com■800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System ,sq*_ tF' INSTALLATION AUTHORIZED SEWVIC1:.1'RQVIDEI� 139 Falling Leaf Lane Installation Address Osterville,MA 02655 Name J&R Sales&Service,Inc. Owner Name Donald MacMillan Street Mail Address c/o McShane Const P.O.Box 429 Mail Address 44 Commercial Street Osterville, MA 02655 Raynham, MA 02767 city State Zip Ci State Zip 6176985780 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 552 11/19/99 EQUIPMENT S. NO MAIIVTENANCE PERFORMED>AND'CObIl1�NTS _s Electrical Panel s Visual Alarm Operating Audio Alarm Operating if resent) Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration- Treatment unit(s) Unusual Odor -Pumpout Required: Primary Settling Zone Aerobic Treatment Zone EFFLUENT o bona LIlVIIT RESULT - Estimated Daily Flow 3 Bedrooms H(Standard Units) 6-9 S.U. Color Clear -Temperature Odor Slightly musty odor not tic TECHMCIAN SIGNATURE SERVICE DATE i -.7k 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 552 Attached please fmd the Field Inspection& Service Reports and Testing Results (as required) for services performed on 4/4/00 at the home of Donald MacMillan located at 139 Falling Leaf Lane - Osterville, MA. Please call if you have any questions or require additional information. Sincerely, Lillian Ferreira attachments cc: Donald MacMillan 44 Commercial St. 8aynham,MA 02767 Tele.508 823 9566 Fax 508 880 7232 Environmental Chemistry Environmental Services Site Assessment Balance Site Sampling Quality Assurance Services Lj Data Auditing G 0 R P O R A T I O N CERTIFICATE OF ANALYSIS J&R Sales& Service REPORTED: 4/11/2000 44 Commercial Street Raynham, MA 02767 ORDER#: G0011134 COLLECTED BY: D.Koshiol SAMPLE DATE: 4/4/2000 TIME: 9:45 DATE RECEIVED: 4/4/2�000 LOCATION: MCF 05 552 Osterville SAMPLE ID: MacMillan DESCRIPTION: WATER RESULTS OF ANALYSIS Test Parameters LAB-ID#: 0011134-01 Ammonia,Nitrogen 4500-C SM 4500-NH3C 4/5/2000 mg/L 2.5 40.1 BOD SM 5210B 4/5/2000 mg/L 4 22.7 Kjeldahl,Nitrogen EPA 351.2 4/6/2000 mg/L 2 43.3 Nitrate,Nitrogen 4500-NO3D SM 4500-N031) 4/5/2000 mg/L 0.5 1.19 pH SM 4500 H+B 4/4/2000 S.U. 0-14 7.7 Solids,Suspended ISM 2540 D 4/6/2000 mg/L 2 37 NA=Not Applicable ND=Not Detected Less Than Approved By: 'c = Detection Limit L&Manager Date Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page: 1 4 J&R SALES & SERVICE, INC. March 15, 2000 Barnstable Board of Health` . r PO Box 534 Hyannis, MA. 02601 > *4 44 Attention: Health Agent rya^ y Reference: Single Home FAST® Treatment System , Serial Number: MCF05 552 Attached please find the Field Inspection& Service Reports and Testing Results(as required) for services performed 02/28/2000 at the home of Donald MacMillan located at 139 Falling Leaf Lane - Osterville,MA. Please call if you have any questions or require additional information. Sincerely, Candy dyares attachments cc: Donald MacMillan 44 Commercial St. Raynham,MA 02767 Tele.508 823 9566 Fax 508.880 7232 r f INC0RPaRATI.E,0 8271 Melrose Orive Lenexa; KS.66214 • Phone: 913-492-0707+• Fax: 913-492-0808 e-mail: onsite®biomicrobics.com • www.biamicrobics.com 800-753-FAST(3278) FIELD INSPECTION, & SERVICE REPORT For Bio-Aficrobics.Single Home FAST® System i 1NSTALTIOIB .' . AUT3301r1ZE17 SERLCE. Lot a ing Leif Lane Installation Address Osterville, MA J&R Sales and Service I Name Owner Name Donald MacMillan Street Mail Address same Mail Address 44 Commercial. S t. Raynham, MA 02767 City State Zip City State Zio 617 698-5780 , w — 08 880-7232 { Phor-e Fax e-mail Phone Fax e-mail INSTAAELA.nON INFORM -'MON Mode!No. { Serial No. Date of Installation Date of last pumpout MCFO 55299p - Z.-�'rrQ. :1���rre���oRa�n� c051092 Ts: Electrical Psnel(s) Visual Alarm Operatins Audio Alarm Operating ( r (if present) l Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear f Excessive Noise Excessive Vibration { I Treatment unit(s) Unusual Odor Pum out Required: A _ Primary Settling Zone Aerobic.Treatment Zone � EL[EL�F'F o tionai z:�E��': ICE _ I' Estimated Daily Flow H Standard Units) 6-9 S.U. Color Clear Temoerature Odor I Slightly I musty odor (not semis) ` _ CHNICIAN S NAB: qr--RVTCE DATE { r y Environmental Chemistry Environmental Services Site Assessment Site Sampling Quality Assurance Services An&a'ca11$&1mce Data Auditing C O R P O R T I O N' CERTIFICATE OF ANALYSIS J&R Sales& Service .. REPORTED: 3/7/2000 44 Commercial Street Raynham, MA 02767 ' • ORDER#: G0010064 COLLECTED BY: D.Koshiol SAMPLE DATE: 2/28/2000 TIME: 10:00 DATE RECEIVED: 2/28/2000 LOCATION: MCF 05-552 Osterville SAMPLE ID:. MacMillan - DESCRIPTION: WATER RESULTS OF ANALYSIS pi I Test Parameters LAB-iD#: 0010064-01 Ammonia,Nitrogen 4500-C SM 4500-NH3C 3/1/2000 mg/L 2.5 42.4 BOD SM 5210B 3/1/2000 mg/L 4-- 18.9 Nitrate,Nitrogen 4500-NO3D SM 4500-NO3D 3/3/2000 mg/L Iff 1.24 pH SM 4500 H+B 2/29/2000 S.U. 2-14 7.8 j Solids, Suspended SM 2540 D 3/3/2000 mg/L 5 " - 25.5 NA=Not Applicable ND=Not Detected Approved By: '<' = Less Than — ''' = Detection Limit L Manager / ate re t 3 . w Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page' 1 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 552 Attached please find the Field Inspection&Service Reports and Testing Results-(as required) for services performed 1/31/00 at the home of Donald MacMillan locate-diat Mot "`13F'Fallin Leafaane� Please call if you have any questions or require additional information. Sincerely, U661 Candy Gayares attachments -cc: Donald MacMillan 44 Commercial St. 8aynham,MA 02767 Tele.508 823-9566 Fax 508.8804232 Environmental Chemistry Environmental Services Site Assessment Site Sampling Quality Assurance Services An "c Ba1mce Data Auditing C 0 R ' P O R A T 1 O it' CERTIFICATE OF ANALYSIS J&R Sales& Service REPORTED: 2/9/2000 ` 44 Commercial Street Raynham, MA 02767 ORDER#: G0009322 COLLECTED BY: D.Koshiol SAMPLE DATE: 1/31/2000 TIME: 16:10 DATE RECEIVED: 2/1/2000 LOCATION: Osterville,MA(MCF05-552) SAMPLE.ID: MacMillan Effluent DESCRIPTION: WATER RESULTS OF ANALYSIS mismil. 11 M, Test Parameters LAB-IDa: 0009322-02 Ammonia,Nitrogen 4500-C SM 4500-NH3C 2/2/2000. mg/L 2.5 30.0 BOD . SM 5210B 2/2/2000 mg/L ! " " 4 ' --- 30.4 Nitrate,Nitrogen 4500-N031) SM 4500-NO3D 2/4/2000 mg/L 0.5 2.21 pH SM 4500 H+B 2/3/2000 S.U. 0.1 7.4 Solids, Suspended SM 2540 D 2/7/2000 mg/L 5 26.5 NA=Not Applicable ND=Not Detected Approved, Byt- el o d '<' = Less Than Lab NfLaj,, . Date *' = Detection Limit Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Aage' 2 • . i Environmental Chemistry Environmental Services i Site Assessment Angyjt ��� Ba1mce Y Site Sampling Quality Assurance Services Data Auditing G O R JJJ P O R A 1' I O It, CERTIFICATE OF ANALYSIS J&R Sales& Service REPORTED: . =2/9/2000 44 Commercial Street Raynham, MA 02767 ORDER#: G0009322 COLLECTED BY: D. Koshiol SAMPLE DATE: 1/31/2000 TIME: 16:10 DATE RECEIVED: 2/l/2000 LOCATION: Osterville,MA(MCF05-552) SAMPLE ID: MacMillan Influent DESCRIPTION: WATER RESULTS OF ANALYSIS Test Parameters LAB-ID#: 0009322-01 Ammonia,Nitrogen 4500-C SM 4500-NH3C 2/2/2000 mg/L 2.5 40.7 BOD SM 5210B 2/2/2000 mg/L 4 389 Nitrate,Nitrogen 4500-NO3D SM 4500-NO3D 2/4/2000 mg/L 0.5 1.83 pH SM 4500 H+B 2/3/2000 S.U. 0.1 6.7 -------- --- -------....- Solids,Suspended ISM 2540 D 1 2/7/2000 mg/L 10 254 J Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page: 1 IHCORPORA7E � , t 8271 Melrose Drive -Lenexa, KS 66214 • Phone: 913-492-0707 Fax: 913-492-0808 e-mail: onsite®biomicrobics.com • www.biamicrobics.com - 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST& System INSTA4ZTOPT AUTHORIZEI7SERVICE-PRO.uIDER. Lot i3F Fallizig Leaf-Lane Installation Address Osterville, MA I Name J&R Sales and Service Owner Name Donald MacMillan Streer Mail Address same Mail Address 44 Commercial St. Raynham, MA 02767 City State Zip City State Zit) 617 698-5780 — 08 880-7232 Phone Fax e-mail Phone Fax e-mail `INSTALLATION:INEQRMATION Model No. Serial No. Date of Installation Date of last pumpout MCFO 5552 11-19-99 E IIIE1" � _ '.'''`.� =.•.�5^�"'°� 1:�::°-'tea;.'- ` ;�=MA�1•Z�1' T�PERFORn1EDaA�iF7�-�O1 �iT Electrical Panels) Visual Alarm Ooeraring I Audio Alarm Operating (if oresent) Blower(s) Air lniet filter Clean - Blower Hood Vents Clear Excessive Noise ' Excessive Vibration Treatment unit(s) I ' Unusual Odor Pum out Required: Primary Sealing Zone Aerobic.Treatrnent Zone `HFFLWffr (optionaw '= EY13 RESQLT t ... Estimated Daily Flow H Standard Units) 6-9 S.U. 1 t Color Clear Temuerature Odor Slightly musty odor „ I (not seatic) NTEChiNICIAN SI A-: SER. CE DAZE &R SALES & SERVICE, INC. December 1, 1999 Barnstable Board of Health PO Box 534 Hyannis, MA 02601 Attention: Health Agent t Reference: Single Home FAST Treatment, Serial Number: MCF05 552 Attached please find a copy of the Product Registration Report for the FAST Treatment System for work performed on 11/19/99 at the home of Donald MacMillan located at Lot 13F Falling Leaf Lane. Also, attached is a copy of the fully executed Inspection& Effluent Testing Agreement. If you have any questions or require additional information please do not hesitate to call. Sincerely, Barbara J. Rogers Attachments 44 Commercial St. Raynham;MK 02767 Tele.508 823.9566 Fax 508.880 7232 INCORPORATED 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) PRODUCT REGISTRATION REPORT Product Registration Report must be completed and returned to Bio-Microbics, Inc. in order to effect warranty. Date of Installation �/`/ `1 " Date Shipped to End User 10-4-99 Serial No. MCFO.5 552 OWNER NAME ADDRESS CITY/STATEIZIP 0steryukke, MA PHONEIFAX 617 698-5780 1310-MICROBICS DISTRIBUTOR NAME ADDRESS I �. CITYISTATEIZIP Ra ham MA 02767 PHONE/FAX 508 823-9566 FAX 508 880-7232 l NAME ADDRESS Post Offirp Box 499 CITYISTATE01P PHONE/FAX 508 428-8500 CON.SULTINGG ENGINEER:.ifa licable : . TAME Baxter & Nye — Steve Wilson iADDRESS — I CITY;STATE/ZIP II PPHONEiFAX I Good Bad NA Good Sad NA ELECTRICAL PANEL(S) TREATMENT UNIT(S) Visual Alarm Operating Air vent clear Audio Alarm Operating Septic tank level BLOVVER(S) Septic tank meets min. size �1 Wired for correct voltage [1 Septic tank filled to 2- 0 operating level Inletloutlet piped correctly Air Lift Operation Filter element installed Recirculation tube in place Blower hood secure . Fasteners tight Q Blower works correctly ( WATER-TIGHT JOINTS Blower located within 100' of Treatment unit to septic tank treatment unit Air line clear Entrance tube to insert cover Air inlet screen clear' Insert to insert cover [� Blower hood vents clear �tK Discharge line connection Factory Authorized Personnel:U�ver-ett Title: Service Manager Firm: J&R Sales and Service, nc. Date: --�1` r From : DON hpCM1LLFN PHONE No. : 617 696 8716 Sep_22 1999 11:44AM F01 09/1t./1999 88:iS 15009962801 MC.�I4B. G'L'I4STRLr•:Tj0N PIWiL 91 From DON MW-M11 LAN PHCt+t Nn. 617 d%o (1i1t. �dt•.l: 1'�a!i 0:7(,Wl r,@1 rlt+ ca111r10ta ap ks=taniud a , 44 #MW MA Was Sama.,14. i�Frf�l4�i 4LIR TESL r�Si�$N3- Thaw Inst Ik+lr Apownsmr to m"md inm by Ji It'V111b♦aetrMt,Inc-(h9mim 1r811 JAR)end UK FAR14 .*"46111 OVMMM(11"R Called OWM ►f„K)-fW'Ihm pwrppk of"iOng fit tcrmx and uonditinn*d(.rerning JQR'a ob1'Vailatr to irspapt Owhiaws.y1dp11"m lisesd brinw, Uwe ac"Plaw"of eb 4amment,An will 4116 followins aalvicaa only: dDrom will'be,ie>q►atad 14 lull•-4-funes per r that thta Agrr t7merl rmairw in eftet,with the t11v1 ingw4inn besinning— Tlteaa inrpealrn will inoLtde: 1) Taeling of the ahsdse tkq>b L1 tJre egnk tu,k. 2) lnapootiaes,powCr g and olaan/rapleca lea 4kar Of1he air_ blown. 3) ltlmmian of tba alarm ayataaL 4) Iltapted trvaeali ooadidiat of ll:A61'o System. S) Natty OWMan of ately IpMbhttna onootltlbrad. 6) Scrvico od1Cr 1h4h wu1111e rite W401mr0e will he billed at pit ir1>t►fly ails.PIUS 1111vel and Inaterlal. JAR shall nMify 11he bead board of bWth ued tho Dq+etetment of Fmvirol,nirritel?nntaction in%witing witbin 24 hounl of s aywkin.!situps eR alb VW4 including ooltb *c meMytlr&q 111e1 have ht,%%taken. If ill underatwd that by Ws Agreemdll AN it no oblig"W to supply ally pasta. A,ly t!dditimr.st labor tuna will be biilt>d to tkr OWN=at MaD& l k6W tt1ftp vta.AM per hour. emo%*ncy Scm'la betw%m resider inspeotiam will be provided al wtr►udard rates far lobtu dining nannal bne}n16-aa howl",atlas"0-PM artd On 3aturdepe time and ane-hald'and 1lauble time an Siundhy►i mad holiday':, mialmu1U fvur(a)ha11tC Pius etawtdarQ AM"for rafts plus tulle%C find trnvol chNg". This 1egr,ee neat doss nut include expeneoe'tr.rv*r ,Caused by abtlao,"Dident,1hrn,blela of it third pore(,forms of ntttt,re, or 111061Jg tiro aduipmem. U11$bell Cot be roeponAblC thr failurr to muder the xravlr;e for cacaos beyond its 0"trol.itu>kw*abikea and low dbpvwc / s1 rC! . 1r1CS�rA�lt �Or�l�• rS QrRf�!»j.j4 fV'C 7K Itll �cl� 7�s�.%�f wJ TcY— M taersltlY Z;l. wvwd &`7 'fl-� 16�..4✓s+Lible. 4rnK/ w, I 1&400 ba Rem 0411 !i taia1D7111 From DCP1 Mf-CMIL.LAN PHCNE No. 617 6% 3716 Sep.22 19% 11:45AM P01 OWNiCR undeesusnda and agrees that J&R is not responsible fbr special or consequential damages,including loss of time,injury to person or property unit or eguipneet failure. This agreemmA is not aasigrrable without tha couseot ofd&R and will remain in force until canceled by either party through wr ttm notice. This is a one-year servioa contract to be billed annually;u uxwT ianee with Slate regulations. Failure to comply will result in cancellation and tlallificadon of arty wattantiea. MAMFACMU M2=Na W-- 1WA 10 A,NNU�1 L RAM Bic-Mi�obies Home FA37'® (Artefville, MA $350.00 .'Signed by:- �` ea _ S 117 i Don MacMillan 44 Cora Sued *Address, t 1 I �lyl A A;(n,U a G1 i t51a Raynh 02767 Lot 13 Falling Leaf Lame Tal: ( 923-9S66 Fax: (S08)880-7232 t>pter"ville, MA 02655 'City: I4un State: &A A zlp:U2.1 („ b 617-698-5780 •Telephone: (n 11 bQ .. '1 gL� Effect Date of Agreement Influent&EfIltterut sample taken Orly fir., 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 fbr providing acceptable access to effluent to enable ra grab sample to be taken for Wnmtory testing peurforn d: '(PLEASE..CHF•CK ONE) j ) GENERAL ( ) REMEDIAL (X) PROVISIONAL 'SPFC3AI.COMITI ONS PER LOCAL BOARD Ol:HEA1..T11 (Y)or(N)li Yw,~a=ohed copy o!permit (X)RODs,7'3S,pH,Nitmte/Nitrogen,Amt»onia.I XN ( )Other: test for teeft32?a:0orviad Opentter areigned.wltt> m E"RVK •EogW"r. Steve Wilson Telepbon: (SOM 823-9566 Baxter&Nye 'Approval for Eftem Tottiv&Q Hacteawnor's Signature Ir &R SALES-& SERVICE INC. December 1, 1999 Donald MacMillan c/o McShane Const'P.O.Box 429 .Osterville, MA 02655 Dear Mr. MacMillan: We at J&R Sales and Service, Inc. would like to thank you for ordering the Single Home FAST Wastewater Treatment System. Enclosed for your records is a copy of the fully executed Inspection&Effluent Testing Agreement as well as a copy of the Product Registration Report. Should you have any questions or require additional information please do not hesitate to call. Sincerely, 9 James R. Dunlap President Enclosures m r-f-is%"eV 44 Commercial St. Baynham,MA 02767 Tele.508 823-9566 Fax 508 880 7232 From DON MRCMILLAN PHONE No. 617 696 8716 - Sep.22 1999 11:44AM P©1 . 09/15/1999 06:14 15e68662901 MCc7j-"4L CC14STRLr:TICIN Foist al Frvni LION MWJIII LAN ;'�Cfit No. 617 42Xf (17IF,. e rlwn osn>!bh W k"m esaskad a 1 n►ait.ws.d�•ieln.l tw,rsoi p• J+ 46 d(itRki.lair. ('.l/t•" uR s4LES tf Slavic[.,14. �4ZIRT�TimSt�s:B>�lwttt�tr Thin halls Ik"I Apm na"t la emend into by JLR ljdaa♦service,lac.(rmmip rill JAR)aid 0%;FAAre Siynurn AWNpx(h«ein eallod OWN1:1t),fM•Ihv yurpeao of,untng Tt*,tcrnix and uonditInvix governing JOA'a obrigAtiutti to utsprpl OW14swe w4wptnem liatad below. tW8 IICCePUM Offt f&M01net1t,1kR will [.tie folbwina 3m-vim ttniy: 444MMt win be,in"CA iI IOp�iiolor fir. r ihst this Agchrnant YeRtairw in e(IkI,IYA the,fllitl ihspsotim Liaising-; TAere olapxUna will inoLsde: 1) Ta,tin�of the rhMge ttepth!n t!n septic tank. Z) lnspadol,power usi tg etsd.ohtan/npirce itoral►e Qltot of dm air biowa. 3) lnrtaootiun of the alum system, 4) hayed DVW411 eoadifM of FAg"SystM. S) Notify OWJr6R orasy prO Imm onoostnterad. 6) Scrvlco other okm tnuthts rrteirtrenauoo will hit biped at tin hntIrly rntr 111i's f"wel and►nmerial. JAR shall nMiry Me local board erboulth said tho Dopaltmcnt nFVJ►viru►,mmtel Pnitec1io►1 in writing within 24 hours of a■yx*lu.failure er ahnte ovenl including ootr Nve mebrt►rhv that havr•Wm taken. it is undm*twd that by fhls Agmerrmatt J&IR io no obligated to vupply ally pas. Any tddif;un.cl Idwir tuna will be billed to the O`f NU atM=dW hiw tsar of$.K. ,O putt hour. 6eavrgency acrviots betwten ragttitn fntipeotimia will be p YWA t►t>,yeudardralcr for lnbta during nertn►►i bualnxwa Musft,saw 5m.PM acid eo gawrd"time and.ntahall:and ihluble tone vn-Sun6y► and ht+lidsyu, minlsr►uut fuw(r)1+ours plus aarteaM ohivges four parts plus milp{ac And[.taro►charges. This iignemer►t chat WI include expenims to reyauir dstmp Caused by sbmo,ttooi6ml.Own,SWIP of w third person,fonws of nature. or 411m iug tho equipmom. JRtA nl all oat be respon'*IHltu!br f tilurr.to rvider rhr xwvh;r.for vauao:;beyond fie oaltwl.Mist Ift W ikffa and ltttbos dWpVj" �. 111cS�►q�t' �o►Rl/i. /'S r'���j:jY .rrJ � -�l.` M+.a Yt$011 rw News bt 1r rwt 1nt f'n DeN MACMIU PIN PMCNE No. 617 696 9716 Sep.22 1999 11:a5P I P91 ,�/ OWNER underatsads and agrees that J&R is not ruspoosible fbr special dr consequential damages,including km of time,injury to person or propcM unit or equipment failure. 'Mis agr+eeawA is not awilpable without the c000cot of J&R and will remain m fome until canceled by eithet Ply through wrWw notice. This is it one-year movies contraot to be billed annually in mwTliance with State regulations. Failure W comply will result in cancellation and nallifieation of any warranties. MANCIirAC'7VRl3R MWFJL NZIAL W LJ=10N ALNN_&$d�$ 8iu-Mivrohics Home FA3e mt .� SSA OsteMllc, MA $350.00 t t�llgt _G.•Sngnt:d by: 4� 4(4 Signed by: Don MacMillan 44 Comrnerc' Sttvet ' 'Address: 1 11C����` ,ui(�pn A�A(�2a i'�SIA Raynhane,MA 02767 Lan 13 Falling Leaf Law Tal: (508)923-9566 Fax: (308)880.7232 oawviitv, MA 02655 *city: 'I�un State: kA A ZIp:U2.iB(,0 617-6"-5780 b *Telephone:_ (p11-0 6-51TO Effect Date ofAgreernett // I Infltremt&Effluent sample taken �,*aaafter, delivered to a qualified testing leb for evaluation and with results being seat to State and locel.Agencmi tis well as the owner. Owner is roaponsible for providing vomptable access to effluent to enable a grab sample to be takm fa laborskvy testing performed: . •(PLEASE..CHECK ONE) j ) GENERAL O REMEDIAL (X) PROVISIONAL •SPIPUAL CONTAT10NS PER LOCAL BOARD OF HEALT11 (Y)or(N)If YO.rAme mmobed copy of penult ( )BOM.TSS,PN (X)AODs,T3S,,pH,Nitrate/Nitrogen,Amt»onia,'IXN ( )Other: Cat fbr t egbg 3270.001-Alk , Operator weeds wiWam L*wau •lgngiseer: stave Wilson Telepbooe: QW1823-9566 Baxter&Nye 'Approval for Effluent TcdittgQ Hornetawner'a Slignattrre 1 3 I 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.com • www.biamicrobics.com • 800-753-FAST(3278) PRODUCT REGISTRATION REPORT Product Registration Report must be completed and returned to Bio-Microbics, Inc. in order to effect warranty. c- Date of Installation 1 "/ 7 Date Shipped to End User 10-4-99 Serial No. MCFO.5 552 OWNER NAME ADDRESS CITY/STATEIZIP Oqtprvllkke. MA_ I PHONE/FAX 617698-5780 i BIO-MICROBICS DISTRIBUTOR NAME ADDRESS 44 Cormnprclal StrPet CITYISTATE/ZIP Raynham, MA 02767 PHONE/FAX 508 823-9566 FAX 508/ 880-7232 I INSTALLER - NAME Mrqhqnp Cnngt ADDRESS ' CITYISTATE!7_IP I PHONE/FAX 508 428-8500 CONSULTING ENGIN.EER...ifa licable >- l NAME Baxter & Nye — Steve 'Wilson ( ADDRESS ( i C ITY,STATEIZl P PHONE/FAX — Good Bad NA Good Sad NA ELECTRICAL PANEL(S) TREATMENT UNIT(S) Visual Alarm Operating Air vent clear Audio Alarm Operating Septic tank level BLOWER(S) Septic tank meets min. size [t. Wired for correct voltage 0 Septic tank filled to operating level Inlet/outlet piped correctly Air Lift Operation Filter element installed Recirculation tube in place ( (� Blower hood secure Fasteners tight [� Blower works correctly WATER-TIGHT JOINTS Blower located within 100' of Treatment unit to septic tank treatment unit Air line clear ( Entrance tube to insert cover [ Q n Air,inlet screen clear Insert to insert cover ( [� Blower hood vents clear ( Discharge line connection Q Factory Authorized Personnel: Wi 3 3 i Pin Title: Service Manager Firm: J&R Sales and Service, nc. Date: ��_ -12 3 1'79_7 0/3 No. � Fee THE COM O WEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION OWN OF BARNSTABLE, MASSACHUSETTS Application for 0i5po5ar *p5tem Con0truction Permit Application for a Permit to Construct(Repair( )Upgrade( )Abandon( ) XComplete System El Individual Components Location Address or Lot No. r l3 l �'L L 1/�t� Owner's Name,Address and Tel.No.OR-c— Assessor's Map/PM 4 _ t-?!p� / �A � ``, OS • ,,Lb_ Installer's Name,Address,and Tel.No. ✓ Designer's Name.Address and Tel.No. V Type of Building: Dwelling Hof Bedrooms Lot Size L -sq..ft. Garbage Grinder(� Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow _gallons per day. Calculated daily flow gallons. Plan Date 0 Number cA sheets Revision Dat Title 4 or Size of Septic Tank Type ofrS.A.S. (^ Description of Soil Nature of Repairs or Iterations(Answer when plicable) 7— Date last inspected: DESIGNING ENGINEER MUST SUPERVISE INSTALLATION AND CERTIFY IN WRITING Agreement: THE SYSTEM WAS INSTALLED IN STRICT The undersigned agrees to ensure the construction and maintenanc4eOo' NQfV?P(fe;rLQIP& 3site sewage disposal system in accordance with the provisions of Title 5 of the Environm tal e a not to place the system in operation until a Certifi- cate of Compliance has been issued by this Bo a Signed Date Lq tI Application Approved by Date ,"— -P Application Disapproved for the following reasons Permit No. V h�_ Date Issued cr"' --------------------------------------- THE COMMONWEALTH OF MASSACHUS&TS'GNING ENGiNM M.o,1ST SUPERVISE INSTALLATION AND CERTIFY IN WRITING BARNSTABLE, MASSACHUSETTSIE SYSTEM WAS INSTALLED IN STRICT ACCORDM,To I'LAK Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by at ` l has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. _dated Installer Designer The issuance of this pe shal!r of c strued as a guarantee that the sys m i unct" n s igne Date Inspector V. Fee ��a6 THE COM O WEALTH OF MASSACHUSETTS Entered in computer: Yes s PUBLIC HEALTH DIVISION OWN OF BARNSTABLE,.,MASSACHUSETTS ZIpplication for i!5 oar p5tem Congtr ction Permit Application for a Permit to Construct( *Repair( )Upgrade( )Abandon( ) /Complete System ❑Individual Components Location Address or Lot No. 4a r /3 / /�2.�-1Aj Owner's Name,Address and Tel.No. O Assessor's Map/Pazc U - / F ? ^nfi N 5 tnstaller's Name,Address,and Tel.No. Designer's Name"ddress and Tel.No. Type of Building: Dwelling L-N-o of Bedrooms1,��, ,.'Size' sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow _ �5� gallons per day. Calculated daily flow gallons. Plan Date } U 4INumber sheets I Revision Dat _Title -co- rL4 -' 4 Size of Septic Tank f Type of S.A.S. ix X. r r �• ! Desrcr- `iption of Soil -� '1 � ' � 4 -/0 /�/��L W _ aj # Nature of Repairs or Alterations(Answer when plic��a.b^^le) 2 6(//S co &q,4,J c-- S J'J'S Date last inspected: - Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system 1. in accordance with the.,provisions of Title 5 of the Environm tal a not to place the system in operation until a Certifi- cate of Compliance has been issued by this Bo al - Signed Date rep 9 Application Approved by Date '- Application Disapproved for the following reasons--- Z Permit No. Date Issued low I --------------------- THE i COMMONWEALTH OF MASSACHUSETTS 1 BARNSTABLE, MASSACHUSETTS t. r' Certificate of Compliance THIS IS TO'CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned(,. )by at l. '+ / has been constructed in accordance i with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer The issuance of this permit shall of strued as a guarantee that the sys Pul nction s gne� Date Inspector r ;l Al cat. 1 CL_ . ,r' d J C— 0 "c , --------------------------------------- No. Fee / ' THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS MigpdgaY *pgtem Congtruction Permit Permission is hereby granted to Construct( )Re air( )Upgrade( )Abandon System located at 3 2 . r and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date: Approved by D SSG N DATA � P- 6/.76 ; I2.16,86 Sinnlc Fawttl- .3 Sedroor►+ Ga.rbaic Grinder r/ ?4?16 S wh..-Tank Zoo'J''0' s USa 1500 - ALLON.`;TAQW_ X mou„rivr, Cp,w -4r.roi L�hcHiuG SY`3TEM DESZ�iN frcW�" obs;,we 11 jYlet/c f/r!y App'It ea+Lon Area •.Re y tr+e 14,6 1 APPItCa++et+ Arc& 'Des-tan p o$i o+n: Fire 3 O' x:.i s ! asp P . 14,6 Totul Arc^ obs Gaj, —)3,5 •Perc.lsl+ar� Rae � 5 r�+w/twtM �-fYsr ho1� Glass T S.�Is ) I _ _ ,_I /�-Ilh Wsshcd alwu I CcccorcPancc. w141 . Sc cticn i 1S,2�5 (5) STF{'IiEN fVoT r F(.57"5�shm ' /y1lahifZ✓,ny i7 .aGcoct�antC /6 7.2t�: 9 Cup �Y - �cc%.vy Fic%/ 20 1 Z'O, DIST � 2110' r MX Iq,6. 1, ........... - - -- 15 DD Gal 'v Fr'rS1 i 14,6- - Obi G.w frcw `ohs well. .�-. .L7,tyLct:.v PEp PRe Ft t.E 2 Ccr to 'TVa4 The Propose.! V we-lyltwcl 56ewn STTE SEPTYC PLAN I cmarn C'ow.pl-ds LJ The, Stdaltne_Aoul. Set LOCATION ..L07-. ).Z� F,a.IIIVk -a lariC . bscFt Retvjnrnents Of T1te T'oun SCALE: I ?_0 RATE : sllylrq Barns+able Ar%A S-b ►wr Locv+04 W►fk! % A PLAN REFERENCE. ".P13 ✓eEB Spent:1 Flea Way," Zcho gssESsoRs MAP : f 4/4 PARCEL: w l A PPLTCANT,:, %c r m�s(hnr�e': �yts rR. Zt� BAXTER i Ny INC. Rvfcsa nal 'fan./ Swtx�er � LAND 5v�ie`r'oaS • Ctvtt_ Et�1ueE>�S 0,&-MRtjj1I s MAS3AGHU6F-_rTS 05fsc.+s from. buildtngs sho%jtJ qet be use.! '10023 to eb+0b1 SIn r✓roper4 incs. Shcif � Z The dwelling shall be limited to 2 bedrooms unless the septic system is modif ed.to. include enhanced nutrient removal as_approved by the Board of Health in,which case a dwelling.serve' d.by.a modified system may be permitted to'have not more than 3 bedrooms, . i4 99 REVISED:, FA&.J ING ST HEN (' Res, vt N v5 .S 1 t �J a ti Lo 3 \ y Law N O { Q�5fill i ��''_—2 z -v ✓ —IZU7 i.y9..o SGAL.E : ) r1 ZA M N 'BAKt�aR � Nw�� IAIG. � S Z,/L 984Z3 Dgs:mm DATA S1r�lc Faw►►1� 3� Rcdroor>•, N 6/7G � Garha�c Gr►ndcr �� E�?<� IJc>ily,Flow X Ila 9Pd Scp-ti<-Tanic = `Q x.zC.0 — o - USa 15oo GALLON TA►,11c � YTlh�tin`vri .w,w -kJavo " L�hCHIIJG .SYSTEM DESIGN ��rh�, :obs. wa I I ,- yY1ca/cbr`� Are bcaftn o Arca .Rcvlct-Q APpl�cafic�.' Arc& 'Dcsi,vl .4 5 o 5 �F 14,6 Toil l Arca q--O a obs Percalsfion Raic 4- 5 w+r►/1Ack ' l►tisr bwlc) GIs. T . S..Is /y-I IGl Wvrshcd a�vrw acc.orcfa ncc W d-in . - J Scct�cn� 15;ZSS (5) t , Sit{ i1FN \ /$ /Vo7h, Ft3,5 System to:be �rls}.? ,. ° ALL. ;r,, /�1laniFLr/7 a u�cor�cntc �3pals'SKk +rTa;P "i3y'4,s l�� Cop Ends x /r4ch ny AWI/ Z0,/. 0 pR o S Uf, 2 6 0 r � 15 b0 Gale Ft4Sl 14,10 — Ohs G.W f'r,. ores well. Dw>`Lo F%rP PRel F1 LE. I Ccr +j Thal `The SITE ; JEPTXC PLAN H<ncen Co►"pljs LJ The 5►.tal►n4 Arwt. Sct- , LOCATION I LOT 13.1 Falliv1`l ave bade (�co.vwnrincA+S Of Tlte.Toun f SCALE 1'-1 LO DATE : S111;1199 Barnstable And . Zz war.Locotace W►thin A PLAN REFLRINGE' Pp 3es J S�►cc►:1 PI Na2.&/-If Zogc . A55ESSORS.fY)AP � 14/ PARGEL: 3-13 APPLTCANT= Y11�5har�� t`,c�tS�rurttor. 1and Srxlxhev- Ikilc B14XTER NYE• INC. ' LAND 5viNeYot2S C1v►t_ E►.xotUCERS . 4s-reriviu� _Mass�cH�aETTs Offsets from► builcl►neaS 3he%Jt.0 hot be use-4 Sob No: tC C.b fiD to 11 s 1,. r✓►-oPcrl�j l 1n c3. Sh cc} Z The dwelling shall be lirruted to" bedrooms unless'the.septic system is modified to.:. , include enhanced nutrient removal as approved by'the Board of Health in which case a dwelling served by a rr:odified system may be permitted to.have not more than 3 bedrooms. REVISED::. - �Fi�si Sysk•►�,� ' i ��/9 � �� •\ J�YE lD'�..s'�� ; � S r`�t dot :�` - 1;G� STEP EN f :: ti .� �a (7bxrvahon WLll . \ � I13 a L o 13 S�I14 SF o\ , b O 6 O 5 ovc+cl,q OO SGAL.� c 14: Z4 M p � DAKtEtR � I►lw�s � :IA�G. � S/icL� .2�Z 98oz3 I I �"'� �► �w ZIA 00 - - — - - — — ou — -- --- -- LO CA ., CA :919 .. T 05/27/1999 13:48 5082402396 S C HAYES ARCH PAGE 05 II II II l II 9 II m " r . II rn . I D II II II ,. II O II S II II II fl II II I1 II II O II 11 O II - II (L I I I^ I I I TI II O - I � I II II II II II II JI 4-7 —r--— aSteven C. Enas, Arcbiteot Notes It My Bu wwe u •P.a ett Baru rmm.t ar.Map u..rts� ew..w.>•wwootr.tr oeeet lea)ea—uu ,p m&-SS y Mt aar.. uiefww rttil Prn rfu w p e la.o�r..tw.d 05/27/1999 13:48 5062402396 S C HAYES ARCH PAGE 06 y-e yr II II I I II II 1--- ------ I� LJ-LJ-LIJ-LJ II I I I I O 11 1 I II II II II I1 II II II I I rT' II II I-l-- ii II II I I I I ,•..v�• 1 I I I n0.1N RATe II II II I ' II II II II II I1 II II II II 11 11 I ! „ II II II 11 II II u -- • SUwn C. Hades, MohiWt xata u by Wa Coun•P.0. Ah eteW ftnw dmv "an"corm oo�pru�tnanr oeon wrf�o. �ueur, I.r..nrw aam(aes)ewe-tau Dmvbw —3p s�.al.oo WOOD a Irod vrs .W a In.oua oue.a r m � w $ c� 3 8� R' CL lo- + i i. O _PlWRT K - m I :} m 1 iIOD CA I t LO s ' - - - - -- - - - -- -- - - --- -- - - - - -- -=�—� V co REAR ELEVATION 9CALHo 1/4r - 1' c" r+ m m m r` N 05/27/1999 13:46 5082402396 S C HA`(ES ARCH PAGE 08 >K d u-O yr m r-10' w 0 O X I r i �. r-1 yr i IIn np Q V ---------- O — v A I f k Y 1 7 -----�- - r-ram eE _ Ix FC �% \\ m ♦ 1 s V l-1 t r m -------- r-r T� V-o• L J In -� i y '•r � aO II r T� � 3 I I I \ \ S IL Xf / a r-o• � la-r / 1 IL- :1 7 :1 r-f sir riv A-V - 7�1 sir W-0 v4• fl1 572-1�qq ETSteven C. Hayes, Architect. Note: 10 Af it.4 a..rl•}A M 19"/or�et 4fn.7e0 ne dun and hr rwhWAM eAeo S.wlw� a•leeee>tlretts 0l001(M) b6-1411 Dmvlww MY net w�M a ladl=W& r4r1 PhM VM 6. p�s.f(d>o wstlr.lse a M'-/Vr w b I I I a c� �i � a•-r r r-r r-r -4 VV d veleiPr 2XIO JOIST • IV o.c. I -F a Lof — � I — - - - - - - - - - - - - - - - - - — — zoo * - 2xO JolsTs • i�• D.C. I I y WALL•r BASEMENT ••" ay xr'T v �raecso TV I 4-r r s •yr "a.r a-s sir a-s sie r•e yr W-r r-o r-a r-41 yr r-r !� co t I w m 11TNR w7 _J CRT I U) r-r I ( IT-4 vT 2)W JOIST O.C. --, — — — — — — — r----, i — — — — — — — —I Ar----i 2xlo .01 TS • Ir O.C. Alla•-r rr-a yr Y-r I - - - T T LD Paco b I —asTs • Ic• ot. m I UNEXCAVATED ' 4 W warwom= II iww s o Ta �`o "�TO oww) — — — — — — I � —' r COrG trONNDA YaLL L I i _ _ — M't OOMC.�007raet� �' I I ; � — — — — — — — —) I v Npra, .wvvbe .� TOW- PP - 1'-0' �nevaRtTi°s.w•�r� ? i I qs m I I I TOW- FR - I'-O' I I ` c IP". ..ao IP CV !+•oo.c.APWM--i . Ur 30-Woom era r...rwra.caws r ter �r-o- ••-.�• ��-d s•-o- [•'9 M/1 1 T1 TT7 T-N T7 r� • 1 a+r i a ra m r. MseMILLAI� Sf27/99 WINDOW. SCHEDULE WINDOW FRAME COMMENTS R-O.SUZ MAT. FIN. MAT. FIN. JQTY VMT CW26 V-9"X 6'-0 3/8" 1 TEMPERED MULLED UMT DH 2446 BS 2'-6 1/8"X 4-9 114" 8DH 2446-2 BS 4'-11 13116.X 4'-9 114" 2DH 2042 BS T-2 1/8"X 4'-S 1'4" 2 E CSMT C135 BS 7-0 5/8"X Y-5 3/9" 2 F CSMT CW 13 74 719"X T-0 1/2" 1 OVER GARAGE_ G O M 1 T T E D H VELUX FS606 44 3/4"X 47" 3 FDQ~D PLUS 1 OPT'L IN FOYER = 4 Q� 3 BSMT 2817 T-8 5/9"X 1'-7 1/4" a K 14 LT GARAGE TRANSOM 9'-2"X 1'-2" 2 w L TR 242a2 4'-11 13/16"X X-2 114" 1 OVER"C"1N MBR M DH 1932 BS V-10 118"X T-5 1/4" 1 N CTCW2 HALF ROUND 4'-9"X 7-7 1/8" 1 ABOVE"A"UNIT O CTN20 HALF ROUND 2'-2 1/8"X 1'-3 3/4" 2 ABOVE"D"UNCTS P CTCW 1 HALF ROUND T 4 7/8"X 1'-5" 1 ABOVE"F"UNTP i I - ]JEE I L- NOTE: USE BUILDERS SELECT WIIMEVER POSSIBLE. VERIFY WrM VENDOR FOR SELECTED SIZES. m m m v c4 OD m L OD r m ` a) O' T r N m Steven C.� Hayes. Architect Note- to on 6ksto coma w ft"� n..a.�.rr�� D fvr, gm=Aw. Ma(600 w-1w ���.e.er..I�dfa.e.i n..l Ws.i61 e.proms 1 `.o.,..6e.. 5/27/" MacMILLAN a- DOOR SCHEDULE NO. LOCATION DOOR FRAME SILL LBI1 HDW REMARKS SIZE MAT- IFIN. MAT. FTN. 1 FOYER ENTRY 3'-0"X G-8" INS.STEEL W/(2) 12"SIDELIGHTS,SCREEN&STORM 2 FOYER COAT CLOSET 2'-6" 3 BASEMENT 2'-8" 40 M I T T E D 5 POWDER ROOM 204" POCKET 6 BEDROOM#2 T-6" 7 BEDRM#2 CLOSET 4'-0"X 6'-8" Bl-FOLD 8 BATH#2 2'4" a 9 BATH 02 2'-4" w 10 BATH#2 LINEN T 4" I I BEDROOM#3 2'-60 12 BEDRM#3 CLOSET Y-W X 6-9" BI-FOLD 0SLIDING GLASS PS6L U, 13 GREAT ROOM 6-0"X 6-8" 14 BREAKFAST 6'-0"X 6'-8" SLIDING GLASS PS6L 15 PANTRY 24-2" 16 BROOM CLOSET T-0" 17 LAUNDRY 6-0"X 6'-8" BI-FOLD 19 MASTER BEDROOM 2'-6" 2'-4" POCKET OR BIFOLD 19 MBR CLOSET 20 MBR CLOSET 21-4" POCKET OR BI-FOLD 21 MASTER BATH 22 LWEN 2'-6" m FIRE CODE `A min OSET 2'6" m - c USE ENTRY 2'-8" INSUL. 2'-8" TNSUL. 9 LITE 9'-0"X 7'-0" OVERHEAD 9'-0"X 7'-0"v ROOM 3'-0"X 6'-8" ROOM 3'-0"X 6-8" KET m m m m -)�/1Mf/v�( did] Steven C. Hates, Architect Note: ;'/ - • - ®I6 Up swu Oman P.O� !QI fir!t�mN 4� fgP ar Y1u sw fsr e1emyrn Mre1�p�tyart dwlo,Mmmb wtL�1 (60p tb-1s11 OnMy eW col aa�a lr0""1.�d. pYm r01 0� �AO�A 1s alw �Us"a cli w RIDGE CAP ASPHALT SHINGLES W/ 1/2- COX PLYWOOD CONT. SHEATWNG ON ISo FELT OVER R M ITYP] 2X10 RAFTERS • IL' O.C. APPROVED PREFABRICATED ROOF TRUSSER OR SIMULATED CATHEDRAL 2XI0 RAFTERS � 2XIO RAFTERS W/2X8 CEIL'G JOISTS • IL' O.C. AT BUILDERS OPTION • li' O.C. W/ HANGERS/COLLAR TIES L AS REQUIRED • BUILDERS OPTION 12 INSULATION VENT WHITE CEDAR SHINGLES OR SPACERS • SLOPED 8 I CLAPBOARD SIOtNG OVER WINO CLNGS AS REQ'O ATTIC INFILTRATION BARRIER - REF. VENTED I ELEVS. FOR LOCATION DRIP EDGE CONT. (TYP.) PLAT 2ix U IX8 FASCIA FFIT R-30 DATT 1/?' GWD OR SKIN COAT FRIEZE EZE INSUL. CEILINGS (TYP,I BLUEBOPTIO ARD • BUILDER'S �. w ITYP.) } R-13 BATT 2XI EXT. STUDS (TTP)— = INSUL. EXT. WALLS GREAT(TYP) ROOM I O U s <n R-30 BATT ' oI z INSUL. FLOORS [TYPI CONT. BLOCKING OR 5/8 PLTWOQ(>'SUBPLOOR BRIOGING • MID-SPAN ITYP) Fw"Nol /4' IF H FLOOR OR Or�Ar RK PLOO� ERL/,r<77rn1ENtT - REP. FINISH,6CHEOULE FIRST FLOOR 1/2' OIAM.ANCHOR , - BOLTS • HANDRAIL♦:' ' L'-O' O.C. 16 - 2XIO616' O.C. "'' tl u FLOOR JOISTSITYP.] PROVIDE SPLASH 4-2X10 GIRT (TYP.) BLOCKS • ALL (FLUSH GIRT AT STAIR) DOWNSPOUTS OR - ,_1 N'-O' 1° V PIPE UNDERGROUN)O io � 3-I/2' LALLY COI. � (p TO ORYWELLITYP) REF. FNDN FOR LOC. m 3-2X12a m 8' CONCRETE 3 1/2' CONC. SLAB STAIR •s FNDN WALL (REINF. • BLDRS — STRINGERS 8511T 0. ao 2 ■S REINF RODS OPTION? _�J TOP 1 BOTTOM {� � 2'-L'X?'-L'X12' LALLY COL. OF WALL t 2 sbREINP PAD fTYP] U8 FOOTINGS RODS IN Cs co BLDRS OPTION TYPICAL. BUILDING SECTION T HRU GREAT ROOM W/FLUSH FLOOR rn E CATHEDRAE CEILING SCALE 3/1L'•I'-0' r N to a 05/27/1999 13:48 5082402396 S C HAYES ARCH PAGE 02 J MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2. 01 Release 2 Checked by Date CITY: 5596 STATE: Massachusetts HDD: 5596 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 5-27-1999 DATE OF PLANS: 5/27/99 TITLE: MacMillan Residence PROJECT INFORMATION: Lot 13 Schooner Village Osterville, MA COMPANY INFORMATION: McShane Construction P.O. Box 429 Osterville, MA 02655 NOTES: Stonybrook COMPLIANCE: PASSES Required UA - 518 Your Home = 493 Area or Cavity Cont. Glazing/Door. Perimeter R-Value R-Value U-Value ---------------------------------------------------------------------------- - CEILINGS 1550 30 . 0 0 .0 CEILINGS 723 30 . 0 0 . 0 WALLS: Wood Frame, 1611 O.C. 2080 13 . 0 0 .0 1 GLAZING: Windows or Doors 100 0 .290 GLAZING: Windows or Doors 2 0 .300 GLAZING: Windows or Doors 42 0 .460 GLAZING: Windows or Doors 190 0 .470 GLAZING: Skylights 44 0 .300 DOORS 35 0 .480 DOORS 18 0 . 190 FLOORS: Over Unconditioned Space 2145 30 .0 0 . 0 FLOORS: Over Outside Air 16 30 .0 0 . 0 HVAC EQUIPMENT: Boiler, 83 . 0 AFUE --------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found 05/27/1999 13:48 5082402396 S C HAYES ARCH PAGE 03 in the code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 760CMR 1310 and J4 .4 . Builder/Designer Date t ' Y Z1. y /-�7 L°wC. 7t3S7 $rhrSlc Fawl�l� 3 Bcdr+oc� _ G&rbaac Grindcr l orM r Deily Flow y X IIt7 Spd/y��rw� .'.3-' - S�bs<<( Septle. -Ta.k Q x zCoTo s - USE LSoc) GALLON TR►Jlt If muv,n�r•+ Cviw "f�kc� yV L �i4CH1Ut; SYSTEM DESIGN fvwh Dias uactl AppItca c;i Area piecQ 830 riPD —. ar74 GPo)f,,r '446 .. . Sf ARPlgca+w, Area -p,CS13 l �F —I46 rcfia) AKa q50 5 r abs G,U. Perc..loi,a, R�,#'c 4- .Ymjasock (test_hots) .: Gloss 2 Sei`Is 2.' Pcas�-one - OF 7 I 9/ -1I „ wesh�d `v�v✓w � Cr.cc-vr'cQancc w�i-� ! 9,;•, If, ...- iS . �/orr:' FAST Sys/r�.� to be 1r15#d11eW c' STEPHEN \` q� ' i iT !�1un fvrin� i4 .uGco�c�orrz NAB- z. DIST z4, ZI0 Mx a Iq 6 5 s. r. Fr15 r r; L. 14.6 �_ ab5 G.W fr&� . ati: well, t. DeV><Lc PEA Plan FI LE' I Cer++$ Thai# The Propose! �wc11�� Shaowri SITE > ` 5EPTIG . PLAN H<wcen' Co►..pl S, Wr1 The S.dclrn6 .AKd Set- LOCATION �.LoT 13� Fa.l! n� bade fielvlf•eN'Ierl1"5 Of 'i1►e. Toun.. e f- SCALE I 2O " DATE : S i9 y_ Bnrw�s+able 'Avid S� rar Locs+ncQ 4l r thih A PLAN .REFI:RE NGE PCB 3E38 ��, Specral Flea Ha2." Zone ASSL-5501%s MAP 144 PAR GEL: :"t3 APPLTCAWT: IrIG'a61av1�.. t:cMtSc►,~ ,ztinv4. BAXTER i NYE, INC- LAND x Rro as ns/. .C•nd Swuc .r SuaveYorrs •• GIv11. Enl�lue<asZS C 1-MR V IL.LE) MASg.A.c_ U ETT$ Offsc-fs from buiId�nSS skevl-1 het be uSC•� �.oh No to cs,+a.61�s1+ �rePer"� Ines: Sh«t: / Z The dwelling shall be limited to 2 bedrooms unless the septic system is modified to., - include enhanced}-nutrient removal as approved by the Board of Health in which case a dwelling served by a rr odified-system maybe permitted to have'not more than 3 bedrooms. :y i4 99Z/ REVISED:, �F�sP,syskn� 8 . FAL.L.ING 'r 74 <. ` L bbscrwnon W,-LI O � � 1 h � e �o Noss 2Ri \ Is,s14 s� o O � y N - iN v y �M 1 . �51 CUR DEG No n BAKIOR 4 NYE, 14C. 0 Syccb Z�L 98023 Y 'y 196`Yt C. 74 57 DESIGN DATA P- cl�G ; l2•/6 BG 5e•�le Fawu l•� .3. Bedroe�n� - — Ga,rbaac GrIAckv- loan Daily- Flow � .�x11a 91a'i/ydr�« '� s�bsr;! _ Zr 5ap�1e.-Tanis = .�L�LQ x Zoo•)o s (o"�— Use 1500 GALLON TA►Jk dE YYlaxirivvh , G,W 'Ukcll m«%bri LliACHINCL 515TEM 1>E5TGN ` fi's'" obs, tricfl . �5A 0 APP lI UfCo11. Arcs .Rc�y 1rti eQ 330 GP0 -- `0,74 GPID/5F .:ix_ : 4/+6 `SF APpltahavc Arca Vtsil►1 Qo idrvrn Amat 3 6' x 15 r = 4 5 O 5Is. 14.6.' Ta f,.l A rya q 50 5 P' obs G,L), —13,5 P<tc.alof+on R-.fc 4 S.rowilach ° C ltisr baa�) G1.►ss T 5.:'is dd �. �Ctswnc 12'- t —/0.0 �•-� � .� \� \\\ - ���.r��-�`-mot i n i _-- - — �— 3/q-I Icy" .wawskcd v+rNu Q.cC order nc.c w 1. sq �/oTt. 1��5T 5yslrm to be rnslt l/ca" STEPHEN \ I ALL irr' //ylooi/�rin.y. i� aGcorarrreT NS��1:.56, 231a 'Q'. Cop E�sIls7 -'� 0, pST z 21.0 �caching F/c/� ZO'�. MX } b; 19.6. r. v 5, 'S.,T w/ FrisT r•, 14.6 abs G.w f'r6w oras well, . rDeVt."La PAD Pile F1 LW I Ccrnij Thy Tht Pr.pesc•!:' Dws11��� Skew" SYTE. >r SI-PTrc. PLAN Hcncen Co►..p1�S W� T1+c S�.tcl�n<: A►�t( Set- LOCATION .1-or 13� I�a.11in �.ca. (^ah� IZ&CW (•ZetvjrcrneMs 0 f The-. Toun o f- SCALE I .1 ZO r DATE Barwla+ablG A✓%A r� Nor Loe:o+QaQ tll►fk%#% A- PLAN REFERENCE� PO 388� ��; ��• Spural FICA Haaa�P Zohc ASSLrSSORS MA I44 PARGEI.: 3" 13 A PPLTCANT: MC1511.4 IV. Can/ S�irue er ,': Z lGc BAXTER 4 WYE, INC.. LA►4D 5uaveYoRS • G1v�1.. E►,1�I eaRS. OSrcR V IL.I.E .MAS5AGHI�6ETT5 05'Scts f(o�+-, b��ld�ngs:shod.! het be tb cs+0b11sh r✓r-ePer4�j Shcct Z #,4 The dwelling shall be limited to 2 bedrooms unless the septic system is modified to: include enhanced nutrient removal as approved by the Board of Health in which case a . w dwelling served by a modified system may be permitted to have not more than 3 bedrooms. REVISED: �19 x e Jt`�ir -- — �. 'ant+'" s,?�'.,---^.-a, u�,;`• Ar<�. s`t a'J bbsuwhen W,-6tl Pr o �� y` Zr f Cp r" Lar 1 h t� �o CZr��sto- SGA ,.E 4I = � : ZO t h BA IM jNye` /aG. Z L 986Z3 ;;. C TOWN OF BARNSTABLE OP fA/J//W LOCATION I , i ' v� SEWAGE # �l Z VILLAGE 0-Sko'X U ewe— ASSESSOR'S MAP&LOT —C��3 INSTALLER'S NAME&PHONE NO. TV\-15V*W QClrA `-I28-956U SEPTIC TANK CAPACITY 1 J 6® LEACHING FACILITY: (type) (size) F . ,,,,NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE: 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 I r1o�S j4' Viz= ` 3 33 44 `13 vo