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0010 FLOWING POND CIRCLE - Health
10 Flowing Pond Circle Osteiville - A =,146 066 t TOWN OF BARNSTABLE � LOCATION \-0 e� ;,�, a r%s SEWAGE# q?QS 0 ®C-f OVILLAGE � �✓' '�e�',r \ ASSESSOR f � lM_ S MAP&PARCEL INSTALLER'S NAME&PHONE NO. c �° `�°'JQnr. Sow SEPTIC TANK CAPACITY LEACHING FACILITY:(type) , -T%r$ r--s .,isize) S NO.OF BEDROOMS OWNER _i<._ .� M4uzK-�iNA Lgah0q,__ Z�� PERMIT DATE: ,3�' I/ l COMPLIANCE DATE: `3 T' 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) i0n Feet FURNISHED BY . 10 op ve -3 C 5- No. O"�%I I-'' Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftpfication for Misposal 6pstem Construction permit Application for a Permit to Construct( ) Repair(✓<Upgrade( ) Abandon( ) ❑Complete System [Individual Components Location Address or Lot No. I Q) A7- Ok V� Ctrs Owner's Name,Address,and T No. `�'•"`� "a ��04,;,.� Po e:�, sow' Assessor's Map/Parcel (yc 5v g�kVt 4 � '� ��� � ga4!,5575- Installer's Name,Address,and Tel.No.5Reoc9 tC -Designer's Name,Address,and Tel.No.�36 V'es 4 V\ liplo. S30-14 37( Sth`�V- Sw14' 49 >_r5- k4c! Type of Building: i Dwelling No.of Bedrooms 1 Lot Size ( 5, 4((10 sq.ft. Garbage Grinder( ) Other Type of Building �G 5 . No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) `ti o gpd Design flow provided a 3 gpd Plan Date 3 t 0?C)o Number of sheets OC Revision Date Title Size of Septic Tank ti S"z= —pbk a cy,.5, Type of S.A.S. —X-,�'�a.�y Description of Soil S c ALLi - / �, q, ` Nature of cRepairs or Alterations(Answer when applicable)__Ng %Q.,zQ -yap-, -t�. 1L►Gvr�.Tv�. �.h`+C+:+a� c'�� �k'' t � w S �rC'.�iCz✓.T•r� 1�.A � � - Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date 3 7 1 Application Approved by Date j d 1: Application Disapproved by Date for the following reasons Permit No. dam! bzq Date Issued _ �l -------------------------------- -,.a—�.^•..,,,.,,,y�. ��.,. .-. s ._�" -..:�.+.�...-w.a-...—:.r oftiti,:+`,wfa.,e,.; ,R,/ .,�.�. �. _ No. l �oj1. .� e Fe �V I/ b L THE COMMONWEALT11,6F MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplitation for Disposal 6pBtem Construction Permit Application for a Permit to Construct( ) Repair(4 Upgrade( ) Abandon( •) ❑Complete System [✓Individual Components Location Address or Lot No. �� w J C:'.r., Owner's Name,Address,and Tel.No. `�` �o a:�-, so-e--�>S'n--7 7 ,3 o Assessor's Map/Parcel Installer's Name,Address,and Tel.No.` ecc9 c( Designer's Name,Address,and Tel.No.v-<-s UCS,5 70.0. �)q. 3 7( - IrrIv- 14c '+-�'�--LXc�i•�-�I.�, vn.'� C��.��ti 3 '�-�G`:-.,.g,�-r-�c,J�, v"�.L1 C3 f�,5'yE::J- ��J�' JCfa-�5-j Type of Building: DwellingNo.of Bedrooms , `� Lot Size t � LP�CD sq.ft. Garbage Grinder( ) Other Type of Building N,, �=S , No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) `1<Z)/ gpd Design flow provided a 3 G gpd Plan Date 3 C�C� Number of sheets O� Revision Date I 3 C)C r Title f `- Size of Septic Tank S �. �� ,�;u.�� Type of S.A.S. Description of SoilALL 1 `r ✓ J � / / J 1 Nature of Repairs or Alterations.(Answer when applicable) =� �t>��t D �;yo K sp S_u4t 6_ - 1 1 , h Date last inspected: i Agreement: ' The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed �- -- _.X Date 3 ? l C J 3 Application Approved by � Date z � 7 Application Disapproved by Date for the following reasons Permit No. 0 �' bL Date Issued - (l THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(V) Upgraded( ) Abandoned( )by `��OL�.� `��7', y ✓�e ., t at �j oca?,� o�•<>C �; 1�, has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 20 b qo dated Installer C Designer #bedrooms Approved design flow1 J gpd The issuance of this pe it shall not be construed as a guarantee that the system wil fun�tion as desned. Date j f 1 b 4 •` Inspector (Z5 - -- - - - . - - -------- ----- -- --- - _- ------ --- --- ----- - 1 _ _ No. ac) Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair(✓) Upgrade( ) Abandon( ) System located at 'U and as described in the above Application for Disposal System Construction Permit. The applicant recognized 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 3` Approved by W`�"� a Town ,of Barnstable ' Barnstable P� O Board of Health AFAmedcacity IIARNSTABLE. v &MASS. 200 Main Street, Hyannis MA 02601 1639• 11.1 rf0 MAI A, 2007 Office: 508-8624644 Wayne Miller,M.D. FAX: 508-790-6304 Junichi Sawayanagi Paul Canniff,D.M.D. September 10, 2010 Ms. Linda J. Pinto CSN Engineering PO Box 2030 Teaticket, MA 02536 , RE: 10 Flowing Pond Road, Osterville A = 146 - 066 Dear Ms. Pinto: You are granted permission'on behalf of your client, Justin and Martina Larhette, to construct and utilize an innovative/alternative (I/A) nitrogen reduction system at 10 Flowing Pond Road, Osterville, Massachusetts. This permission is granted with the following conditions: (1) No more than two (2) bedrooms maximum are authorized at. this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) If the reserve area is utilized, the existing leaching basin and water service shall.be relocated at that time. , The water service shall be relocated to be a minimum of 10 feet from the soil absorption system and the leach basin shall be relocated to be a minimum of 25 feet from the soil absorption system per Title V. (3) The applicant shall record a properly worded deed restriction, signed by the, owner of the property, at the Barnstable County Registry of Deeds changing the restriction on the property from a one (1) bedroom to two (2) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. 1 Q:\WPFILES\10 Flowing Pond Ost Pinto Aug mtg 2010.doc r (4) The designing engineer shall supervise the construction. of the onsite sewage disposal system, and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the revised septic plans dated 07/23/10. (6) The wastewater effluent shall be tested quarterly for the first two years of operation for nitrates, TKN, pH, CBOD, TSS, TN, and alkalinity. (7) After the two year period of testing quarterly.has_ended, the applicant may request permission from the Board .to request a reduction in testing frequency. . (8) The applicant_ shall submit a copy of the signed two-year Operation and Maintenance Agreement (O&M) between the contractor and the homeowner to the Board of Health. The engineer or O& M contractor shall conduct'inspections to the I/A system`a minimum of twice yearly. This permission is granted because.the proposed plan appears to meet all of the provisions of the State ,Environmental Code, Title .5 and_all of the Town of Barnstable Board of Health Regulations., V Sincere y yours, Wayne ler, M.D. Chairman Q:\WPFILES\10 Flowing Pond Ost Pinto Aug mtg 2010.doc Aug 16 10,.11:04a CSN Engineedrg t 1-508-54S-5478 p.2 DILT39 z 6;20 I d t�— unuxrirstttc. IKJt1A1. R8C. BY Town of Barnstable . ; Ste». DATE:�OW ;2-�l Board of Health /o 200 Main Strcet,Tly=38•MA 02601 (Mtwo: NI1X4Q-4644 Wayne A.Millcr.KID.' FAX: SUS-790,6304 Juntclli SuWayanngi Paul 1.Cuunill',U.M.t), VAR1'4NCE 1tLQV1KS`)�FORM t 0CATTQN. PrupertyAddress: .!� t�Wtnh .�•{a�[� ��w�.Yt S ' Assessor's Map and Pa=1 Number" � u ..�`.�U Parr c Sizc of Lot: �5 I `i 40 S,r Wetlands Within 3flO Ft Yes � Busimm;Numv: N��u��_ ._ , Subdivilsicm Name: APP[,1f ANT'SNAMN:t ,,Ly ln } '�a.r} tnq.. l-�!r_ t Phone Did the owner of the limperty authorize you to represent him or her'? Yes No YttOl'r 't'Y-QWN�;R'S NAA7F f(INTACT I']sRSUN. Name:,t�J�rn t-:1.4�! naJ ._, Name: LA(%A. naar�ss:�c lg��t��}...�t'u�4�� •R.�� �tt��Cr.r,,Lk Addrecs: 2.U. Phone Phone: VARIANCE FROM.itFQkIi,AT1OS1 ku-m Rag.) REASON 1t()R VARIANCE' (May attach if more spacc needed) NATURV Ala WORK: ilolmt:Addition O House Renovation'i ltepttir of failed Septic System IV( , Clre (to be complefed by office staj-per on ri:Wiving wriunce request uppliculivn} Pimce,vubmit copies in d xgmrate cvmpleled sca, ' Four(d)copies of 111C CPrraillelt-ll vArionec,rc4iient form Pnur(4)enpice or rnginctrrcd plan subrn:twd(c.&svplic system plums) l'omplt ud sevut i 7)j4,igx 0mcltlin eonfirminp review ofunginccmd 9wv(ic sy-tacm plan by iubmittinb cngittccrur rcgislcrcd sunlGriau Four fluor plans submitted(c,L.hr,vt c Plans nr msrnnrent kitchen plans) Signed Icnrr stating that llte prcgtclty oamcr audionrral you to nrrrscrtt MWher tnr this retlucet Appliwot umjt-Blend.that the A tmitterc tmtst hc.ncrtlficd by crwtificd trail at least tcn buys prior to mcuting'dow ut upplicant's oxpense (for Title V and/or Ina sowagc rcgulahon vnrianecs Linty) Pull mc6u submitted(tarrx�:E ou mtp vwi mcic rcquceta only) Varihnce roquem applic2tim Uo collcow(at)rcc for lifeguard mudirlealioll renewals,grease trep-aritint .tanewals v-m Ac-wx anlylr in,te;eh:dining vnriancc Tcncwuh,(ramp owrtorllotwoc onlyl,and veri:mcctc to repuir rviled sew:yl,e dixl)uxetl oysictus[unly if cko expsysiun is dx - rfuilding ptoposedl) VArinncc r>gt+csl.uhmtttcd at Ich.4t t>dye prior to meeting data ' VARIANCt APPROV U) _ Wayoc Millcr,Chul man NUT APi'ROVI-A) �� JUIIMl1i SbwttVanil;i - KLASON 2'OK UJSAPPrmVA1_. I'a,tl.1.t,'.nn+liff,D.M.O.. Ct\Uoeru\decu'llik\JtppD>ta\Lr7cal\M.i rr,y�Et\winrin�•N:\Tvmtiorr,ry zraernet t+t 1r.e\canta:nt.Outlook\BA,79P9 S7\VAR1RFQ.DOC - r Own .................................................................... ............................................................. ................................................ ............................. ............... ......... ............................. .................. BioDiffuser TM Standard & High Cap a(ity"Chamber Specifications Id 767 Chamber Height ... ................... All three BioDiffuser sizes can withstand H-1 0 loads when Charnber installed with properly graded Might" Chamber and compacted soils. A mini- Height mum of 12" of cover is required find for H-10 loads. The 14" High Capacity BioDiffuser is 3.4 designed for H-20 loads. A minimum of 18" of cover is 41 ' required for H-20 loads. '' nocci k, 16iVet , sa(:End:,Clap, Available Sizes 1 ill 14" High 16" High Chamber. Standard Capacity Capacity H-10 H-20 IDS Prod 110OBD .140013D 160013D. Len.qth P 7 6 11 7611 7611 Width 34" 34" 34" Invert 6.5" 911 11.3 Units Palle 51 38 Units TL, 1071 798 ' 945 ADS PSA BioDiffuser Chambers can be ordered in pallet -quantities, Contact your ADS Customer Service for 'ordering details - 1-800-821-6710 MassDEP Innovative Alternative Technology Schematics Page 1 of 5 Return to MassDEP Innovative Alternative Technologies General Use Approvals " SeptiTech Treatment System schematics.Click on images below for larger versions. C7itl p ........... s a csuc Paa rc� ara:us. "`.: : 70 9 10 kzy3}b:eayv 5fh :'•- " -......_ t PaM!€tacx sad 7 t iata.an P.ma-. 00 `^\ 9 1 SYaY`'sws A9a6mUY ... 5. t �.a;aacx.x>im€itr AW.anMv.. '.�•.—�' S : �; }: 3 tCCQ.>:ea•.rNALKl.te'¢st#�twa MSYS : s T TA£ -t`FiNK L.4'PquT • tiA're: �daz/ox: _our ram:: http://www.mass.gov/dep/water/wastewater/septilg.htm 5/3/2010 MassDEP Innovative Alternative Technology Schematics Page 2 of 5 UNISIONS Ul _... ._ ! 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Vr3.(✓ fin/_ �,...'" `" ��V 61 p I[ 2 FLAN V1E1U. _ S: < R--�"`�" _ a rWa dr„a was ww•, e:.sar max - ^h mw za as= XT # ITP �� #{ PEP,I man ul as tom;, S 3 '� '3 y '"r,✓r�� �✓" �{F *, kc. ! ii`�f SCC47Cr\VIk54 7o" toe 'r ENE ' .. Lam• N r. .. ��r . , .. .. http://www.mdss.gov/dep/water/wastewater/septilg.htm 5/3/2010 MassDEP Innovative Alternative Technology Schematics Page 5 of 5 µ� 1 k.+xSS SS 4 d1 t{ r S'Mvl 3 a r r<c,.x,�� s;'a � Y7Gn1 373SG`FL1�C,$> i "," a t`:.' <�" P.: z• }`U1iPaLSSGtiil31„1- ., 20 3 )jF Atif:7PM1S.r1T[CYINNGNP jriat�a,PX.zism.r _ 7 I ' { «e SC�1..1'x1S NG�dP �.�CY�3Tt"H§;f�`Y�.4& :Si'�LfiXj Pt;tiip WCK PiJ'Mej C' 7.3 jT. ".p€,LIA l �' Ai5t0.£ tilt SRMR�Ptx.CR Pi.t7P. "i { 1 Cana �a°csasabai*a`�a ¥ � - �" °a"baaaabaaa°aa ;^'.�7j3 a. .mW 7""ii�x'°6°b�ba0aaaoas�ob ,t+.. £I. fi is ° ba �a ax � �a ° � aaan z'? t � �°aa6abbaa°a°aao� - j�c°°°aba°S°dYaaob<� €. 'Z:;al� ;� .• a a°aabaaaa�a°aaaac j" aaaaa°a�a aaa�abs ' r ��.w..acv..z,�a>. ? O .? a S➢ a a a C t� 9.aatl°bra°aa3aa0£� j � j-•. 4.. x 7i a ° k & 4 sv a �•^a O a a & ° a £ ;, ..,�..—...:;.�,.. F t a aoobaaaoa� as ar a dms a ` ° cao�agoy°�c 5 a°aaQi�abtxf - r yaaoy�sa° s, r-*' � iiw•° a a a a a 3fr�� a.,b.aaa«s..e.� �� > �� '� Y� g............. : r F M re 4lfYY"'8M2'M: k.reb.-'tFffi�bY JR&'ta; Y 3: http://www.'Mass.gov/dep/water/wastewater/septilg.htm 5/3/2010 .j Q THE t DATE: FEE 3 1 kEC. BY 'down. -of l�arnstable SCHED DATE: - Board Of Health 200 Nlairi Street, Hyannis MA 02601 , Office: 508-862-4644 . ;Wayne A.Miller,M.D. FAX: 508-790-6304 s JunichiSawayanagi- Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION ,r Property Address: (Ar [� Assessor's M and Parcel Number.- i o� `* - Map ytAA 146- - C Size.of Lot s 4 0 S�•�. Wetlands Within 300 Ft_ -Yes V . -Business Name: No .. Subdivision Name:- APPLICANT'S NAME: -- n -p itltr� .Phone .`7��= �-1. r� 4 J 4 Did the owner.of the property.-authorize you to represent him.oi her? ,._Yes V No _ PROPERTY OWNER'S NAME � CONTACT PERSON Name: �:;.5�1� �- :!� ar�► ,ar�� Z. Name l Ida �� ►�0 L Addres -Address: . tJa• Te Phone: - Phone: OSS VARIANCE FROM REGULATION(t.ist Reg) REASON FOR VARIANCE(May attach if more space needed) ' r4 5 S'TLw� 'T.B tNG( Se- `tad NATURE OF-WORK:.House Addition ❑ House Renovation 0 Repair f Fai]ed Se tic;:$}�stem p Checklist (to be completed by ofj'ice staff-person receiving variance request application). . Please submit copies in 4 separate completed sets: c) Four 4 copies of the completed variance request form r Four(4)copies of engineered plan submitted(e.g.septic system plans) Completed seven-(7)page checklist confirming review of engineered septic system plan.by"submitting engineer or registered sanitarian 3 _ Four(4)copies of labeled dimensional floor plans submitted.(e.g.house plans or restaurant kitchen plans) i- Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands..that the abutters must-be notified by certified mail at least ten days prior,to meeting date at applicant s•expr / (for Ttle V and/or.local selvage regulation variances only) Full menu submitted for � - • ( grease trap:variance requests only} - v Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only],. outside dining variance renewals[same ownerlteasee only],and variances to repair"failed se�yage disposal systems[only"iCno expansion to the building proposedj) _ Variance request submitted at-least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Junicbi Sawayanagi REASON FOR DISAPPROVAL Paul J.Canni ff D.M.D. C_\cache\Temporary Internet Fires\oiKAE\VARIREQ.DOC „ r 70 6UHz OD 46 40 30 251 y . . i tg v 2 W l 140 ISO 180 zo Cap,cfty (US gal/mm) t APPLICANT: ADDRESS: t o Fho 1 '.14, Crat_ 05 IL DESIGN FLOW: gPd REVIEWED BY: DATE: NIX OK NO: Legal boundaries denoted [310 CMR 15.220(4)(a)] Street, Lot,tax parcel number and lot number noted on plan [310. CMR 15.220(4)(u)] Locus Provided [310 CMR 15.2204 t Plan proper scale?(1"=40'for plot plans, 1"=20'or fewer for / pEasements nts) [310 CMR 15.220(4)] V shown [310 CMR 15.220(4)(b)) cated totally on lot served [310 CMR 15.405(1)(a)for- i not a variance'is re wired [310 CMR 15.412(4 ]•f impervious surfaces (driveways,parking areas etc.)` '15.220(4)(d) p Location all buildings existing and proposed 310 CMR 15.220(4)(c)] Location and dimensions of system components and reserve areas / [310 CMR 15.220(4)(e)] J System Calculations [310 CMR 15.220(4)(f)} daily flow septic tank capacity (required and*ovided)' soil absorption system (required andprovided) whether system designed for garbage grinder North arrow [310 CMR 15.220(4)( )] ' Existing and proposed contours [310 CMR 15.220(4)( )] Location and log of deep observation holes (existing grade el. on each test) [310 CMR 15.220(4)(h)] V Names of soil evaluator and BOH representative [310 CMR 15.220(4)(h) and(i)] Location and date of percolation tests (performed at proper j elevation?) [310 CMR 15.220(4)(i)] . J r15220(4)(n)] ation test results match'loadin rate?-[310 CMR 15.242] cation statement b Soil Evaluator 310 CMR 15.220(4) ')) ed and Adjusted groundwater(method for adjustment r indicated) [310 CMR 15.103(3) and 310.CMR Location of every water supply,public and private, [310 CMR 15.220(4)(k)] V Address_ C.� ow►n5 �o'lol G�ri� DSrvl�4 ; Sheet ] of 1 V 1 t. within 400 feet of the proposed system location in the case of surface water supplies and ravel packed public water su 1 within 250 feet of the proposed system location in the case within 150 feet of the proposed system location in the case of private water supply wells Location of all surface waters and wetlands located up to 100 ft. beyond setbacks listed in 310 CMR 15.211 and any catch basins located within 50 ft. [310 CMR 15.220(4)(1)] Water lines and other subsurface utilities located [310 CMR / 15.220 4 (m) (if water line cross see 310 CMR 15.211(1) 1]) J Profile of system showing invert elevations of all system / components and the bottom of the SAS 310 CMR15.220(4)(o)] Stamp of designer 310 CMR 15.220 1 and 310 CMR 15.220(2)] Stamp of Registered Land Surveyor(required if construction activities within 5 ft. of lot line) [310 CMR 15.220(3)] v Test Holes adequate(two in each of the primary and reserve unless trenches as permitted in 310 CMR 15.102(2)or as / approved for an upgrade under LUA at 310 CMR 15.405(1)(k)] Test hole adequate to demonstrate four feet of suitable material? 310 CMR 15.103(4)] Test Holes adequate to confirm adequate groundwater separation? [310 CMR 15.103(3)] V Benchmark within 50-75'of system [310 CMR 15.220(4)( )] Materials specifications noted? [various sections of 310 CMR 15.000] L System components not> 36" deep(unless Local Upgrade Approval or LUA requested) [310 CMR 15.405(1(b) Address Sheet 2 of 7 .ti Size OK? -[310 CMR 15.223(1)] Inlet tee located ten inches below flow line 310 CMR 15.227(6)] Outlet tee 14"or 14"+ 5"per foot for increase ft depth [310 CMR 1. .227 6)) Outlet tee with gas baffle or approved filter [310 CMR 15.227(4)] r Note regarding installation on stable compacted base [310 CMR 15.228(1)] ; Separation between inlet and Outlet tees (no less than liquid.. / de th) 310 CMR 15.22 7(2) Inlet/Outlet elevations at least 12" above high groundwater (except as described 310 CMR 15.227(5)) cr permitted for v J u ades.under LUA [310 CMR 15.405(1)(k)] Minimum cover 9" (Tanks buried more than 9" must have risers on all openings and on the d-bok) [310 CMR 15.2228(1)and 310 " CMR 15.232(3)(f)] ,, } e, Three access covers (inlet and outlet must be 20" or greater) 1middle access at least 8" (by 7i07) [310 CMR 15.228(2)] Access to within 6 " of grade - one port for systems<1000gpd, / two fors stems>1000 gpd 310 CMR 15.228(2)] . _ V A.11 at-grade covers secured to unauthorized access? [310 CMR 15.228(2)] > ]Oft from building foundation [310 CMR 15.21 l(1)] Buoyancy calculation Required/Done 310 CMR 15.221(8)] H-20 Where appropriate? [310 CMR 15.226(3)] Setbacks from resources [310 CMR 15.211] Required when other than single-family dwelling or flow>1000 d [310 CMR 15.223(1)�)) J A First compartment 200%daily flow; Second compartment 100% / daily flow 310 CMR 15.224(2) and.(3)) V r. "U"pipe through or over baffle,outlet of each compartment with as baffle or approved filter 310 CMR 15.224(4)] Address Sheet 3 of 7 . BMW Located at least ten feet from any water line? [310 CMR 15.222(2)) Disposal piping at least 18"below water line (when water and sewer cross,see 310 CMR 15.211(1)[1)) rand nouts required/provided ? [310 CMR 15.222(8)] st blocks specified in force mains?310 CMR 15.221(6)(c)] of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable CMR 15.222(6)] r pitch on all runs?(.005 within gravity-distributed trenches eds) r310 CMR 15.251(9)and 310 CMR 15.252(2)(c)] Siphonproblem/ leachfield below pump chamber) Endca s or vent manifoldspecified? V. Size and orientation of discharge holes specified?(n than 3/8"not larger than 5/8") [310 CMR 15.251(8)1 CMR 15.252(2)(h)] Materials specified (310 CMR 15.251(5)specifies / types allowed) V .s . Stable compacted base [310 CMR 15.221(2)and 310 CMR 15.232(2)(a)] Splash plate or baffle tee required on inlet/provided?(when pressure sewer to d-box or steep pitch'of gravity sewer) [310 CMR 15.323(3)(a)] Riser if.deeper than 9" [310 CMR 15.232(3)(f)] Inside minimum dimension 12" [310 CMR 15.232(2)(b)) Minimum .sumn 6" [310 CMR15.232(3)(e)] Watertight cover if<2000gpd); waterproof manhole if>2000gpd [310 CMR 15.232(3)(d)] Capacity(emergency storage above working=design flow)? [310 CMR 231(2)] J Proper setbacks [310 CMR 15.211 (same as se tic tanks)] Watertight 20-in minium access manhole at least 20,MUST BE / TO GRADE [310 CMR 15.231(5)] y Service components accessible (not too deep with piping, ' disconrtects accessible) Alarm floats - alarm on circuit separate from pumps specified? Exceeds two units must have two pumps operating in lead-lag triode. [310 CMR 15.231(6) and (8)] Stable Compacted Base [310 CMR 15.221(2)] Buoyancy calculations needed ?Provided? [310 CMR 15.221(8)] Address Sheet 4 of 7 go i. S L ations correct? f naturally occurring material demonstrated?[310 CMR 1) r R rl Required separation togroundwater? 310 CMR 15.212)J Aggregate specified as double washed [310 CMR 15.247(2)] System Venting required/provided?(system under driveway or >36" deep) [310 CMR 15.241] 4. Inspection ports specified and within 3"final.grade? [310 CMR I5.24013)] Breakout requirements met?(No violation of breakout elevation within 15 ft of SAS unless barrier) [310 CMR 15.211(1)[4] and Guidance Document] 4 ' REM Chambers and Gal. in trench configuration supplied with inlet every 20 ft. [310 CMR 15.253(6)] Each structure with one inspection manhole(if>2000 gpd must be to grade)L310 CMR 15.253(2)J i Aggregate I'minimum-4'maximum. [310'CMR 15.253(1)(b)] 2' sidewall credit maximum [310 CMR 15.253(l)(a)] In bed configuration, inlet every 40 s .ft. [310 CMR 15.253(6)] Width 2'minimum 3'maximum [310 CMR 15.251(1)(b)] 100 feet-maximum length 1310 CMR 15.251(1) a Minimum separation 2x effective depth or width whichever eater(3x if reserve between trenches) [310 CMR 251 1)(d)] ✓ F Situated along contours [310 CMR 15.251(2)] Breako ance Document mom minimum 2 distribution lines [310 CMR 15.252(2)(a)J Maximum separation between lines 6' 310 CM R15.252(2)(d)] Maximum separation between lines and outside of bed 4'[310 / CMR 15.252(2)(e)] Aggregate depth below discharge pipes 6"minimum, 12" maximum. [310 CMR 15.252(2)(g)] Separation between beds 10'minimum. [310 CMR 15.252(2)(f)] Bottom area used in calculations only 310 CMR 15.252(2)(i)] Address Sheet 5 of 7 . a r ssure Dosed System ? Provided pump and piping culations as required [310 CMR 15-.220(4)(r)] Pressure dosing required on all systems>2000gpd or alternative systems under remedial approval [310 CMR 15.254(2) and I/A / Remedial Use Approvals] If used in gravelless system -make sure jet is directed as not to scour soil interface [Guidance Document] Inspections once per year(systems<2000 gpd) or quarterly / (>2000 d)good to note on plan 310 CMR 15.254(2)(d)] �! Construction in fill Did the plan specify that the fill shall meet / the specification of 310 CMR 15.255(3)? Impervious barrier and/or retaining wall ? Guidance Document] Impervious barrier installation must be supervised by designer[310 CMR 15.255(2)(b)] Retaining wall must be designed by Registered Professional Engineer[310 CMR 15.255(2)(a)] Side slope not exceed 3:1 ? 310 CMR 15.255(2)] Breakout requirements met? [310 CMR 15.252(2)and Guidance Document] Y At least 5 ft. from impervious barrier to edge of SAS (10 ft. recommended) [310 CMR 15.255 (2)(e)] Check DEP Approval letters for credits and design conditions If used with pressure dosing do not allow pressure discharge to scour soil interface Was DEP Approval Letter provided and/or have you / reviewed the letter for conditions? Is the technology being properly,applied and does it meet all ,/ DEP Approval Conditions? ` V Is there a note on the plan regarding the requirement for / e etual maintenance agreement? V Any alarms involved on separate circuits Did the applicant submit an operation and maintenance manual? Has applicant submitted a copy of a maintenance Are the variances listed on the plan ? [310 CMR 15.220 (4)( )] RLS Stamp necessary on plan if a component is within five feet of property line [310 CMR 15.412(4)] New construction or increased flow proposed [Refer to 310 CMR 15.414] t% Address Sheet 6 of 7 M Is the system in a Designated Nitrogen Sensitive Area(Zone II for: a public supply well)? [310 CMR 15.214, 310 CMR 15.215 and 310 CMR 15.216 - also refer to Policy regarding upgrades of such a V existing systems] Is the system proposed on the same lot as served by private well ? / [310 CMR 15.214(2)] V Are the nitrogen loads proposed in compliance? [310 CMR 15.216(1)] Pumping to septic tank? [ 310 CMR 15.229 Shared System 310 CMR 15.290 Address Sheet 7 of 7 Solving wastewater Problems wiUg Technology - . Service Check Sheet (Rev 10/06) Site/Address: x Date: Time: Rep: 1. Remove lids&covers on tanks. Visually inspect media&spray pattern. (Initial) 2. Exercise entire system in maintenance mode/toggle switches.. (Initial) a. Recirculation pump(s) (Record amp/current draw) ' b. Pump-back pump(s) (Record amp/current draw) c. Discharge pump(s) .4 (Record amp/current draw) d. Denite Mix pump(s) (Record amp/current draw) 3. Perform maintenance/cleaning tasks required for proper operation of unit. (Initial) a. Spray headers b. Media c. General Appearance 4. Take required effluent samples,Dissolved Oxygen,PH,and Turbidity.` (Initial) 5. Record following values from controller read-out(Discharge Pump) (Initial) Days Runtime: Hours Runtime: Seconds Runtime: 6. Record controller program version: (Initial) 7. Record controller firmware version: - (Initial) 8. List parts and supplies used: (Initial) 9. Return system to"run mode (Initial) 10. Re-install covers and lids on processor. (Initial) 11. Check air intake for obstruction and proper draw(Record CFM). U (Initial) General Notes and Remarks: Technician Signature 70 Commercial,Street Suite#3,Lewiston,Maine 04240 Business:207-333-6940 Fax:207-333-6944 E-mail:into(IusentiTech.com Internet:www.SeptiTech.com- T l0 =. jfU-V� ® t COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENERGY & ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292.5500 DEVAL L.PATRICK IAN A.BOWLES Governor Secretary TIMOTHY P.MURRAY LAURIE BURT Lieutenant Governor Commissioner MODIFIED APPROVAL FOR GENERAL USE urs� uan t� Po Title 5, 310 CMR 15.000 Name and Address of Applicant: Advanced Drainage Systems, Inc,. 4640 Truemani Boulevard Hilliard, OH 43026 A - Trade name of technology and model: BioDiffuser; 14 inch and=16 inch High Capacity, 11 inch Standard and Bio 2 and Bio 3 Bio.Diffusers, ARC 36, ARC 36HC, and ARC 50 (hereinafter the "System"). Schematic drawings of each model are attached. µ V Transmittal Number: .W000052 Date of Issuance: October 3, 2003, Revised December 17, 2003, Revised June 14, 2006 Revised July 19, 2007, Modified February 14, 2008, Modified,July 23, 2008, Modified June 30, 2009,Modified February 18, 2010 Authority for Issuance Pursuant to Title 5 of the State-Environmental Code, 310 CMR 15.000, the Department of Environmental Protection hereby issues this Certification to:-Advanced Drainage Systems, Inc., 4640 Trueman Boulevard, Hilliard, OH 43026 (hereinafter "the Company"), for.General Use of the System described herein. Sale and use of the System are conditioned on and subject to compliance - by,the Company and the System owner with the terms and conditions set forth below. Any, noncompliance with the terms or conditions of this Certification-constitutes a violation of 310 CMR ,15.000. r February 18, 2010 Glenn Haas, Acting Assistant Commissioner Date Department of Environmental Protection This information is available in alternate format.Call Donald M.Gomes,ADA Coordinator at 617-556-1057.TDD#1-866-539-7622 or 1-617-514-6868. MassDEP on the World Wide Web: http://www.mass.gov/dep i i�a Printed on Recycled Paper BioDiffuser-Advanced Drainage Systems Modified Approval for General Use:., Page 2 of 7 - I. Purpose 1. The purpose of this Certification is to allow use"of the System"in Massachusetts, on a General Use basis. 2. With the -necessary permits and approvals required by 310 CMR 15.000, this Certification authorizes the use of the System in Massachusetts. 3. The System may be installed on all facilities where a system in compliance with 310 CMR 15.000 exists on site or could-.be,built and for which a site evaluation in compliance with 310- CMR 15.000 has been approved by the local ,approving authority, or by.DEP if DEP approval is required by 310 CMR 15.000. . II. Design Standards t • 1. The models listed in Table 1 are covered under this Certification. -Table 1. Chamber Dimensions Dimensions Invert Model W x L x H Height Inches Inches 11" Standard BioDiffuser 34 x 76 x 11 6.5 ARC'36 34.5 x 60 x 13 7.13 14"High Capacity BioDiffuser 34 x 76 x 14 9 16"High Capacity BioDiffuser 34 x 75 x 16 11.3 • ARC 36HC 34.5 x 60 x 16 10.75 ARC 50 51.5 x 42.75 x.30 22.25 Bio 2 BioDiffuser ' 15,x 87.x 12 6.87 Bio 3 BioDiffuser` 22 x 87 x 12 6.87 1. Only Systems installed with.this invert height shall be allowed to use the effective l Leaching area associated with this model Table 2 2. The System is an open-bottom leaching unit. molded from high density, high molecular weight polyethylene (HDPE) Type III, Class A or B, Category 1 or 3 or ..Polypropylene Group 03, Class-3,,Grade 0. It can be installed,without aggregate or distribution,pipe as an absorption trench in accordance with the requirements in 310 CMR 15.251 or as a bed or field in,accordance with the requirements in.310 CMR 115.252. 3. The use not aggregate as specified in 310 CMR'15.247 is not necessary with the System when installed as a trench, bed or field. When designed with aggregate in accordance with 310 CMR 15.253, the System shall be designed in accordance with Section II item 10. w BioDiffuser-Advanced Drainage Systems Modified Approval for General Use Page 3 of 7 4. The minimum separation.between any two trenches shallfbe as specified in 310 CMR 15.251. ; 5. The requirement that the Chamber installed.in trench configuration as.specified in 310 CMR 15.253(6) be.provided with inlets at intervals not to exceed 20 feet is not applicable to the System. In accordance with 310 CMR 15.240 (13)'a minimum of one inspection inlet shall be'installed per system. The inlet shall be capped with a screw type cap and accessible to within three inches of finish grade. 6. The total effective leaching area ;for any Chamber Model shall be calculated by multiplying the. Effective Leaching Area per square foot of chamber.times the total length of chamber from.Side Port,Coupler tocSide Port Coupler including Side Port " Coupler. ; 7. For new,construction, the applicant can, size the System in a` trench configuration without, aggregate, using the effective leaching areas presented-in ;Table 2. No System shall be"designed.and constructed with a_soil absorption.system'area of less than 400 square feet of effective area. Table 2. Effective Leaching Area for New Construction -And Remedial Sites ' Effective Effective .Model Leaching? Leaching Area Area "SF/LF SF/LF 11" Standard BioDiffuser " 6.5 NA ARC 36 q 6.8 NA 14",High Capacity BioDiffuser 7.2 NA .16"High Capacity BioDiffuser 7.9 NA ARC,36HC _ 7.8 NA ARC 50 ` -NA • ' 6.71 Bio 2,BioDiffuser 4.0 NA Bio 3 BioDiffuser 5.6 NA 2. Effective=leaching area is equal to 1.67 (bottom width+(2x invert height)) 3. Effective leaching area is equal to 1.0(bottom width+(2x invert height)) 4. The maximum trench width allowed for calculation of effective,leaching area is 3 feet. 8. Systems installed 11 on remedial sites shall be allowed to utilize the effective leaching areas presented in Table 2. above or additional reductions in soil absorption leaching area approved by the approving authority in accordance with 310 CMR 15.284. In no instance shall the reduction in the soil absorption system required in 310 CMR 15.242 BioDiffuser-Advanced Drainage Systems Modified Approval for General Use Page 4 of 7 exceed the maximum' reduction allowed for alternative systems approved in accordance with 310 CMR 15.284. 9. In accordance with -310 CMR 15.240 (6) ,absorption trenches should be used whenever possible. When, the System is installed for new construction without aggregate in a bed or field configuration, as defined in 310 CMR. 15.252, the System shall be designed using the effective leaching area for the bottom width-presented in Taber 1e�3,. No system shall-be designe_.d_and.constructed-,with-a-leaching ar ae ofle s —han 400,square feet of effect _e area---* Table 3 Effective Leaching Area for Bed or Field Configuration t. Effective Model Leacliings Area SF/LF 11" Standard Biodiffuser 4.7 ARC 36 4.8 14"High Capacity BioDiffuser 4.7 16"High Capacity BioDiffuser 4.7 ARC 36HC 4.8 ARC 50 - 7.2 - Bio 2 BioDiffuser 2.1 ` Bio 3 BioDiffuser 3.1 5. Effective Leaching area is equal to 1.67 times bottom width only., - 10. The System, when installed in a bed or field configuration without aggregate on remedial sites, shall utilize the effective leaching areas presented in Table 3 above or additional reductions ins soil absorption system`area approved by the approving authority in accordance with 310 CMR 15.284. �no—instancesshall'the reduction in the-so il=absorptionsystem area required m 310 CMR 15.242.exceedahe maximum- - ----- --- ��. �._._._._ reduction allowed—for-alternative systems approved=m-accordance with 3T0 GMR— ',M- 47 11. The System, when; installed as specified in 310 CMR 15.253: Pits, Galleries, or Chambers, shall have an.aggregate.base and/or be surrounded by aggregate and shall be sized as specified in 310 CMR 15.253 (1) (a) and (b), effective leaching area is equal to 1.0 times a conventional aggregate system. Effective_depth can be increased to two feet with the corresponding addition of up to 1,7.5 inches'of base aggregate for the 11 inch Standard BioDiffuser to up to 12.7 inches for the 16 inch High Capacity BioDiffuser. Bottom width can be increased by. two to eight_ SF/LF with the corresponding addition of one to four feet of aggregate per side. BioDiffuser-Advanced Drainage Systems: n - Modified Approval for General Use Page 5 of 7 12. When the System is installed as specified in 310 CMR"15.255: Construction in Fill, the finished 15 foot horizontal separation distance, item (2), shall be measured from the from the top of the chamber. III. General Conditions n 1. The provisions of 310 CMR 15.000 are applicable to the use of the System, except those that specifically have been varied by the terms of this Certification. 2. The facility served by the System,and the System itself, shall be open to inspection and sampling by the Department and the local approving authority at all reasonable . times. 3. In accordance with applicable law,the Department and the local approving authority may require the System owner to cease use,of the System and/or,to take any other action as it deems ,necessary to protect public health, safety, welfare' or the environment: 4. The Department has not determined that the performance of the System will provide a level of protection to the environment that is at least equivalent to that of a sewer. Accordingly, no new System shall be constructed, and no System shall be upgraded or expanded, if it is feasible` to connect the.facility to a, sanitary sewer, unless allowed pursuant to 310 CMR 15.004. 5. Design, installation and use of the System shall be in strict conformance with the Company's DEP approved plans,and specifications and 310 CMR 15.000, subject to this Certification. IV. Conditions Applicable.to the System Owner 4 1. The System is approved for.the treatment and disposal of sanitary sewage only. Any wastes,that are non-sanitary sewage generated or used at.the facility served by the System shall not be introduced into the on-site sewage,disposal system and shall be lawfully disposed'of. 2. For,new construction, the owner initially shall size 'a soil absorption system in accordance with 310 CMR 15.242 to demonstrate that a conventional Title 5 soil adsorptiowi system using aggregate, including a reserve area, can be installed on the site. The owner may•than size the'soil absorption system,for the System. The total area required for..the aggregate system, which may include the area designated for the System, anda reserve area shall be preserved and the owner shall ensure that no permanent structures or other structures are constructed on that area and that the' area is not disturbed in any mariner that will render it unusable for future installation of a conventional Title 5 soil'absorption system. - 3 The System owner shall at all times properly operate and maintain the on-site sewage disposal system. BioDiffuser-Advanced Drainage Systems Modified Approval for General Use Page 6 of 7 4. The System owner shall furnish the Department any information that the Department requests regarding the operation and performance of the System, within 21 days of the date of receipt of that request. 5. No System owner'shall authorize or allow the installation of the System other than by a person trained by the Company to install the System. ' V. Conditions Applicable to the Company 1. By January 31 st of each year, the Company shall submit to the Department a report, signed by a corporate officer, general partner; or Company owner that contains information on the System for the previous calendar year. The report shall state known•failures,,malfunctions, and corrective actions taken for the System as well as the date and address of each event. 2. The Company shall notify the Department's Director of Watershed Permitting at least 30 days in advance of any proposed transfer of ownership of the technology for which this Certification is issued. Said notification shall include the name and address of the-proposed new owner and a written_,agreement between the existing and proposed new owner containing a specific date for Transfer of ownership, responsibility, coverage and. liability between them. All provisions of this Certification applicable .to the Company shall be applicable to successors and assigns of the Company, unless the Department determines otherwise. 3. The Company;-shall, furnish the-Department any information that the Department requests,regarding the System, within 21 .days of the date of receipt of that request. " 4. Prior to any sale of the System, the Company shall provide the purchaser with a copy of this Certification. In any contract for distribution or sale of the System, the Company shall require the distributor or seller to provide- the purchaser of the System,prior to any sale of the System, with a copy of this'Certification. 5. The Company shall prepare and provide the Department an installation manual, specifically detailing procedures for installation of its System. The Company shall 'institute;and maintain a training program in the proper installation of its System in accordance.,with the manual and. provide a training course at,least annually for prospective installers. The Company shall-certify.that-installers have passed the Company's' training qualifications, maintain a list-of'certified installers, submit a copy` to the Department, and update the list annually. Updated ,lists shall be forwarded to the Department. 6. The Company shall.noi sell the System to installers unless they are trained to install these.Systems.by the Company. ' T VI. Conditions Applicable to Installers of the System BioDiffuser-Advanced Drainage Systems t Modified Approval for General Use Page 7 of 7 1. Each Installer shall install the-System in accordance with Company training on the installation of the System and the conditions of this Certification. 2. No Installer shall install the System unless the Installer has been trained by the Company on installation of the System. VII. Reporting ;a ! 1. All submittals of notices and documents to the Department required by this Certification•shall be submitted to: Director Wastewater Management Program':# y ,. Department of Environmental Protection T One Winter Street- 5th floor Boston,Massachusetts 02108 VIII. Rights of the Department. a 1. The Department may suspend, modify or revoke this Certification for cause, including, but not limited to, non-compliance with the terms of this Certification, non-payment of an annual compliance assurance fee, for obtaining the Certification by misrepresentation or failure_ to disclose fully all,relevant facts or any change in or discovery of conditions that would ,constitute,grounds`for discontinuance of the Certification, or as necessary for the protection of public health, safety, welfare or the environment, and as authorized by applicable law. The Department reserves its rights to take any enforcement action, authorized by law with respect to this Certification;the System, the owner,or operator of the System and the Company. F T y W... . } w _ _. _. Zero P011666n Waste Water Systems Site/Address: - Date: Time: Rep: 1. Remove lids&covers on processor. Visually inspectmedia&.spray pattern. (Initial) 2. Exercise entire system in maintenance mode. (Initial) a. Recirculation pump(s) b. Pumpback pump(s) c. Discharge pump(s) 3. Perform maintenance/cleaning tasks required for proper operation of unit.' (Initial) a. Spray headers f_ b. Media ._ .. c. Screen i. 4. Take effluent sample from sample tube (Initial) 5. Record following values from controller read-out(Discharge Pump) (Initial) Days Runtime: Hours Runtime: Seconds Runtime: 6. Record controller program version: (Initial) 7. Record controller firmware version: (Initial) 8. List parts and supplies used: (Initial) 9. Return system to"run"mode (Initial) 10. Re-install covers and lids on processor. (Initial) 11. Check air intake muffler for obstruction and proper draw .(Initial) General Notes and Remarks: ~" / r C hup://w .mass.gov/dWwata/wagmata/septitch.dM z�y COMMONWEALTH OF MASSACHUSETTS. f EXECUTIVE-OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 MITT ROMNEY ROBERT W.GOLLEDGE,Jr. Governor Secretary KERRY HEALEY ARLEEN O'DONNELL Lieutenant Governor Commissioner SIONA USE APPROVAL VPR Pursuant to Title 5 310 CMR1-5000 - Name and Address of Applicant: SeptiTech, Inc_... 70 Commercial Street, Suite#3 Lewiston, ME,04240 Trade name of technology: SeptiTech models 400N, 550N, 750N, 1200N, 1500N,and 3000N and SeptiTech Engineered systems (hereinafter the"System"). Schematic drawings illustrating the models and an Inspection Checklist are attached and are part of this Certification. Transmittal Number: W076207 Date of Issuance: November 23, 2006 8 Expiration date: -November 23, 2011 Authority for Issuance Y, t . i Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000, tlie Department of Environmental Protection hereby issues this Approval to:•SeptiTech, Inc.,,70 Commercial Street, Suite#3, Lewiston, ME 04240 (hereinafter"the Company"), for Provisional Use in the Commonwealth of Massachusetts for the System described herein. Sale and use of the System are conditioned on and subject to.compliance by the Company and the.owner(s) of each installed system (hereinafter, the "owner(s)" or the."System owner(s)")with the terms,and conditions set forth below. Any noncompliance with the terms or,conditions of this Approval constitutes a violation of 310 CMR 15.000. .� �. November 23, 2006 Glenn Haas, Acting Assistant Commissioner Date- Bureau Of Resource Protection. „ Department of Environmental Protection This information is available in alternate format.Call Donald M.Gomes,ADA Coordinator at 617-556-1057.TDD Service-1-800-298-2207. MassDEP on the World Wide Web: http://www.mass.g6v/dep i� Printed on Recycled Paper Provisional Use Approval SeptiTech Inc. Page 2 of 11 I. Purpose t - 1. The purpose of this Approval is to allow installation.and operation of up to 50 Systems in Massachusetts, on a Provisional,Use basis, iri order to further evaluate the capabilities and performance of the System. The specific goals of the further evaluation are to determine: . i. if the System is capable of consistently reducing the total nitrogen (TN= TKN+NO2+NO3) concentration in the effluent discharged to the soil, absorption system (SAS) so that the Department may allow an increase in the loading rate per acre on a General Use basis in areas subject to nitrogen loading limitations,` ii. if the System is capable of meeting or exceeding effluent limitations for a Recirculating Sand Filter(RSF) set forth at 310 CMR 15.202 (4), and iii. if~at least 90 percent of the installed Systems perform at a level at least- equivalent to that of an RSF as set forth in 310'CMR 15.202 (4). 2. With the necessary local permits and local approvals required by,310 CMR 15.000, this Provisional'Use Approval authorizes the use and installation of the System in Massachusetts for Systems with a design flow of less than 10,000 gpd, and requires testing so that the Department can determine whether the System consistently can or cannot function to effectively reduce total nitrogen in the effluent. 3. The System may.onlybe installed on facilities that meet the criteria of 310 CMR 15.286(4) and are approved by the local approving.authority. II. Design Standards ' 1. The System is an aerobic treatment system that uses an enhanced recirculatingF biological trickling filter in a treatment process to reduce biochemical oxygen demand(BOD5) and total suspended solids (TSS) from wastewater by biological .. degradation and to reduce total nitrogen to levels indicated under 310 CMR 15.217 as defined below.CThe wastewater flows into the first of two tanks'consisting of a two compartment primary anoxic tank where primary settling and partial denitrification occZThe second processor tank contains the trickling filter media and pumps for recirculation within the trickling filter,recirculation back to the anoxic tank and for discharge to the distribution box of the soil absorption system (SAS)or to,a'pressure distribution system. In addition to BOD reduction, further nitrification occurs in the mixed-liquor as it passes through the trickling filter`with the ammonium in the wastewater converting to nitrate.The System uses a hydrophobic media, composed of either polystyrene beads or polystyrene beads with honeycomb shaped°solid media,in a two-stage process that allows biological growth within the media pore spaces. SeptiTech Models M40ON through M750N come - prefabricated in HDPE or concrete tanks and have hydrophobic bead media in mesh bags. SeptiTech Models M120ON through M3000N are configured similar to M40ON series tanks however these units include a larger processor tank and use a combination of the larger commercial solid media and hydrophobic bead media in L Provisional Use Approval SeptiTech Inc. Page 3 of 11 mesh bags. A programmable logic controller(PLC)controls the treatment process. The PLC continuously monitors incoming flows and adjusts the treatment process (recirculation,recycle, sludge return and discharge cycles). i Wastewater from the primary anoxic tank,eriters the treatment tank and collects in a reservoir at the base of the tank where it mixes with treated wastewater, ii A recirculation pump controlled by the PLC pumps the wastewater to the treatment area at the top of the tank where air is drawn into the wastewater, iii The aerated wastewater is sprayed over the hydrophobic media which is suspended above the reservoir,wastewater trickles through the media and returns to the reservoir, iv Wastewater is circulated over the media 70 or more times per day, v Effluent is returned on a scheduled basis to the anoxic tank for denitrification vi Solids in the reservoir are periodically returned to the anoxic tank 2. System shall be installed between the building sewer and the soil absorption system(SAS) of a Title 5 constructed in accordance with 310 CMR 15.000, subject to the provisions of this Approval. 3. All access ports and manhole covers shall be installed and maintained at grade to allow for maintenance of the System. If existing tankage units are to be used with the System, these units shall also be required to have covers and ports at finish grade to allow for proper maintenance and sampling of the System. 4. The control panel including alarms shall be mounted in a location accessible to the operator of the System. 5. For Systems with a design flow of 2000 gpd or greater an influent sampling location that is not impacted by recycled wastewater shall be a part of the design. 6. New Construction: When the System is used in areas subject to the nitrogen loading imihmil tatioris of 310 CMR 15.214, an increase in calculated allowable nitrogen loading per acre is allowed for facilities as provided in 310 CMR 15.217(2). When used in such areas: i- for residential facilities,.the.design,flow-shall_not-exceed 660 gallons per day C_per-acre_.(gpda),Iand the System shall not exceed 19 milligrams per liter(mg/L) total nitrogen(TN) concentration in the effluent measured as the total of TKN (Total Kjeldhal Nitrogen),NO3-N(Nitrate nitrogen) and NO2-N(Nitrite nitrogen), ii. for non-residential facilities, and all facilities from 2000 gpd to less than_, 10,000 gpd the design flow shall not exceed 550 gpda, and the System shall not exceed 25 mg/L TN concentration in the effluent. - 7. The above maximum design flows are based on the maximum nitrogen loading rate credit that technologies with a Certification for General Use have received Provisional Use Approval SeptiTech Inc. Page 4 of 11 ' from the Department. This allows for replacement of a failed provisional system with an approved technology. .. k, III. General Conditions '� s 1. All provisions of 310 CMR 15.000 are applicable tothe'use and operation of this System, the System Owner and the Company, except those that specifically have been varied by the terms of this Approval 2. This Approval shall be binding:on the System Owner.and on its agents, ti contractors, successors, and assigns, and the Company and its officers, employees, agents, contractors, successors, and assigns. Violation of the terms and conditions of this Approval by any of the foregoing persons or entities, respectively, shall constitute violation of this Approval by the System owner or the Company unless the Department,determines otherwise. 3. Any required operation and maintenance,monitoring and'testing shall be performed by the Company or its approved operators in accordance with a Department approved plan. Any required sample analysis shall be conducted by an independent U.S. EPA or Department approved testing laboratory, or a Department approved independent university laboratory, unless otherwise approved by the Department in writing.y It shall be a violation of this Approval to. falsify any data collected pursuant to an approved testing plan, to omit any required data or to fail to submit any report required by such plan. 4. The facility served by the System and the System itself shall be open to inspection and sampling by the Department and the local approving authority at all K reasonable times. • 5. In accordance with applicable law, the Department and the local approving authority may require the System owner(s) to cease operation of:the system and/or to take any other action deemed necessary to protect public health, safety, welfare and the environment. 6. The Department has not determined that the performance of the System will provide a level of protection to public health, safety, welfare and the environment that is at least equivalent to that of a sanitary sewer system. Accordingly, no System shall be upgraded or expanded, if it is feasible to connect the facility to a sanitary sewer,'unless as allowed by 310 CMR 15.004. 7. Design,installation and operation shall be in strict conformance with the Company's approved plans and specifications, 310 CMR 15.000 and this Approval. r 8. The System is approved in connection only with the discharge of sanitary wastewater. Any non-sanitary wastewater generated or used at the facility served by the System.shall not be introduced into the System and shall'be lawfully disposed of. ' 'i 9. All effluent samples shall be taken at a flowing discharge point, i.e.- distribution box,pipe entering a pump chamber or other location from the treatment unit approved by the Department in writing. Any required influent samples shall be taken at a location that will provide a representative sample of the influent, Provisional Use Approval a SeptiTech Inc. Page 5 of 11 Influent sample.locations shall be determined by the System designer, in consultation with the Company, and shall be selected so that the influent characteristics are not significantly changed by the System recycle. 10. Effluent discharge concentrations shall meet or exceed secondary treatment standards of 30 mg/L carbonaceous biochemical oxygen demand(CBOD5) and 30 mg/L total suspended:solids (TSS). 11. For Systems installed at residential facilities with design flows'less than 2,000 gpd, TN concentration in the System effluent shall not exceed 19 mg/L. For Systems installed at all non-residential facilities and residential facilities with design flows 2,000 gpd or greater,TN concentration in_ the System effluent shall ' not exceed 25 mg/L. IV. Conditions Applicable to the.System Owner 1. Prior to installation of the System, the proposed owner-shall obtain a Disposal System Construction Permit in accordance with 310 CMR 15.020 from the local approving authority. The application to the local approving authority shall include a certification signed by the Company or its designee that the System has been designed in accordance with the Company's requirements, 310 CMR 15.000 and this Approval. The Certification shall be consistent with the model attached hereto as Exhibit A. This Company certification in no way changes the requirements of 310 CMR 15.220 (1) and (2). Department approval of the System design is not required<unless the Department determines on a case-by-case basis pursuant to its authority at 310 CMR 15.003(2)(e) that the proposed System requires its review. 2. The System owner shall at all time have.the System properly operated and maintained in accordance with this Approval, the designer's operation.and maintenance requirements and the Company's Department approved procedures and sampling protocols. 3. Operation and Maintenance agreement: = i. Throughout its life the System shall be under an operation and maintenance (O&M)'agreement: The System owner shall be responsible for maintaining a contract with the Company or the Company's approved operation and maintenance contractor throughout the Provisional Use Approval period unless and uritil•the System is Certified for General Use by the Department. Subsequent to General Use Certification of the system, O&M agreements`shall be for at least one year and may be with any Massachusetts certified operator of the appropriate grade that has received training by the Company on the operation of the System: ii. No System shall be us4until an O&M agreement is submitted to the local approving authority which: r 'a. provides for the contracting with the Company or a Company , approved operation and maintenance contractor that has been trained by the Company to operate the System consistent with the System's specifications and any additional operation and maintenance Provisional Use Approval SeptiTech Inc. Page 6 of 11 requirements specified by the designer, the localsapproving authority, or the Department; b. contains procedures for notification to the Department and the local approving authority within five days of knowledge of a System failure and for corrective measures-to be taken immediately;,- e c contains a plan to determine the cause of effluent total nitrogen limit violations that occur any time after the first three months of operation, if such violations occur on two consecutive sampling events; d. provides the name of an operator,which must be-a Massachusetts certified operator if one is required by 257 CMR 2.00, that will operate and monitor the System(hereinafter the"System operator):The System operator roust inspect and operate and maintain the System. (1)'for residential installations with a design flow less than 2,000 gpd, conduct inspections at least every three months and anytime there is an alarm event, and, ' " for all non-residential facilities with a design flow 2,000 gpd or greater, unless otherwise approved in writing'by the Department, conduct biweekly inspections for the first three months of operation then at leastmonthly. 4. Anytime the System operator is changed, within seven days of such change, the System owner shall notify the local approving authority and Company in writing and submit a copy of the new agreement to operate and monitor the System to the local approving authority and the Company. The new operator must have received Company approved training on the System. 5. The System owner shall furnish'the Department or the local'approving authority any information, which either entity may request regarding the System,within 21 days of the date of receipt of that request. 6. Prior to transferring any or all interest iri the facility served by the System, or any portion of the facility' including any possessory interest, the System owner shall provide written notice'of all conditions contained in this Approval to the transferee(s).,Any and all instruments of transfer and any leases or rental agreements shall include as an exhibit attached thereto and made a part thereof a copy of this Approval for.the System. 7.- For year roundr residential.facilities with design flows less than'2,000 gpd, effluent from the System shall be monitored at least once per calendar quarter. Any sample`collected within 60 days or more than 90 days of a previous sample shall not be considered'a required quarterly sample. For all non-residential facilities and residential facilities with design flows of 2,000 gpd or greater,both influent and effluent'shall be sampled and analyzed biweekly for the first three months,. unless otherwise approved by the Department, and monthly thereafter: Following the three months of startup only effluent sampling will be required. Should the System not meet effluent limits for two consecutive sampling periods the System . shall be sampled for both influent and effluent until the effluent limits are met. Provisional Use Approval SeptiTech Inc. Page 7 of 11 The following parameters shall be monitored: pH, influent BOD5, effluent CBOD5, TSS, alkalinity and TN. Each time the System is monitored, the water meter, if a water meter is installed, shall be read and the water use recorded. For residential Systems less than 2,000 gpd after two years of monitoring and at the request of the System owner the Department may reduce System monitoring requirements: 8. For seasonal residential facilities where the residence is occupied fewer than six .months per year, effluent from the System shall be monitored twice per season; initially 45 days after occupancy and if the residence is occupied during an additional calendar quarter, once during that following quarter prior to System shut down. The following parameters shall be monitored: pH, CBOD5, TSS, TN and alkalinity. Each time the System is monitored, the water meter, if a water meter is installed, shall be read and the water use recorded. After four years of , monitoring, and at the request of the.System owner, the Department may reduce .System monitoring requirements. ` 9. Prior to the issuance of a Certificate of Compliance for the System, the System owner shall record and/or register in the appropriate Registry of Deeds and/or Land Registration Office,`a Notice disclosing the existence of the alternative septic system subject to this Approval on the property. If the property subject to the Notice is unregistered land, the Notice shall be marginally referenced on the owner's deed to the property. Within 30 days of recording and/or registering the Notice, the System owner shall submit the following to the local approving authority: (i) a certified Registry copy of the Notice bearing the book and page/instrument number and/or document number; and(ii) if the property is unregistered land, a Registry copy of the owner's deed to the property,bearing the marginal reference. 10. Prior to the issuance of a'Certificate of Compliance for the System, the Company shall submit to the local approving authority and the System owner a signed certification that the System has been installed in accordance with the Company's requirements and this Approval. This certification in no way changes the requirements of 310 15.021(3). The System owner shall not make any changes to the System including landscaping that changes access to the System without the approval of the Company and the local approving authority. 11. For all Systems 2000 gpd or greater, the System owner shall conduct and document an education program'at the facility within 60 days of startup based on the information provided by the Company in Section V item 3 regarding information on substances that should not be discharged to the System. V. Conditions Applicable to the Company I. By March Is`of each year, the Company shall submit an annual report to the Department signed by a corporate officer, general partner or Company owner that "£ contains all sampling and inspection information collected on the System for the previous calendar year and present a report on the System's capability to meet the f s• - Pro-visional Use Approval SeptiTech Inc. Page 8 of 11 _ Approval's effluent requirements. The report shall include the following information: - - i." Details on total number of units of the System sold for'use in Massachusetts during the previous year; the address of each installed System, the owner's name and address', the type of use (e.g.'residential, commercial, school, r institutional) and the design flow and model; ii. Date when system was installed and started up; iii. Tabulation of the'sairipling parameters and results with backup inspection and laboratory sheets available upon request; iv. Statistical analysis of the sampling results including but not limited to average and mean values with the percentage of systems that are meeting the _ effluent limits compared to the systems that are out of compliance; v. Tabulation of systems that are out of compliance, reasons for non- compliance and any corrective action taken including but not limited to design, installation and/or operation or maintenance changes required to reach compliance; vi. The inspection results recorded on a Department approved inspection form and a technology checklist, copies of which are attached to this Approval. The forms must be completed by the System operator and submitted to the Department with the annual report; vii. A general summary of the results for the year, any recommended changes to the design, installation and/or operation and maintenance procedures and a schedule for implementing those changes; and viii. The three year report on the operation of the System shall be prepared as ` required by item 8 below. 2. The Company shall notify the Director of the Watershed Permitting Program at least.30 days in advance of the proposed transfer of ownership of the technology for which this Approval is issued. Said notification shall include the name and address of the proposed new owner and a written agreement between the existing and proposed new owner containing a specific date for transfer of ownership,, responsibility, coverage and liability between them. All provisions of this Approval applicable to the Company shall be applicable to successors and assigns of the Company, unless the Department determines otherwise. 3. The Company shall niake available to owners, operators, designers and installers of the System, in printed and electronic format: minimum installation requirements; an operating manual,including information on substances that should not be discharged to the System; a protocol for collecting samples;.a{ maintenance checklist;and a recommended schedule for maintenance of the System.• 4. The Company shall institute and maintain a program of operator'training and, continuing education. The Company shall maintain and annually update, and make the list of qualified operators available by March lst of each year. The Provisional Use Approval SeptiTech Inc. Page 9 of 11 Company shall also make the list known to the local approving authorities, the Department and users of the technology. 5. The Company or its designee shall conduct a review of the System prior to the sale of any unit to ensure that the proposed use of the System is consistent with the unit's capabilities. This review shall certify in writing, as described in Section IV item 1. above, that the intended use conforms to this Approval and any Company requirements and submit a copy of that certification to the local approving authority and the System owner. 6. Prior to the issuance of a Certificate of Compliance for the System, the Company or its designee shall conduct an inspection of the facility prior to system startup and certify in writing to the local approving authority and the System owner that the unit has been installed in accordance with the Company's requirements and this Approval.The Certification shall be consistent with the model attached hereto as Exhibit B. This certification in no way changes'the requirements of 310 CMR 15.021(3). 7. The Company or the Company's approved operation and maintenance contractor shall maintain a contract with the System owner throughout the Provisional Use Approval period until-the System is Certified for General Use by the Department that: a. provides for operating and maintaining the System with an operator that has been trained by the Company to operate the System consistent with the System's specifications and any additional operation and • maintenance requirements specified by the designer or by the Department; ._ b. contains procedures for notification to the System owner, the Department and the local approving authority within five days of knowledge of a System failure and for corrective measures to be taken immediately; c. contains a plan to determine the cause of effluent limit violations for total nitrogen excluding the first three months�of operation, if such < violations,occur on two consecutive sampling,events; and d. provides the name of an operator, which must be a Massachusetts certified operator if one is required by 257 CMR 2.00, that will operate and monitor the System (hereinafter the "System operator"). The System operator must inspect, operate, and maintain the System as F. specified in Section IV item 3: 8. The Company shall conduct a performance evaluation in accordance with 310 CMR 15.286(7) starting after at-least 50 systems have been installed and ' operating for at least three years. In those cases where the Company also installed and collected operating results from Pilot Use Systems.or other Systems located in areas not defined as-DEP nitrogen sensitive areas, the results from those Systems can be used in the 50 System total, provided that the Company can document that the models installed are the same models this Approval applies to, Provisional Use Approval - SeptiTech Inc. Page 10 of 11 and that inspection and sampling was conducted in accordance with this Approval, and that the results were collected over a three year period. A report shall be submitted to the Department no more than 180 days beyond the three year period evaluating whether at least 90 percent of the units installed for at least three years are meeting the effluent limits as presented in Section III items 10 and 11 and describing any changes in the design, installation and/or operation or maintenance that have been or will be taken to meet the 90 percent target. If the System does not meet the 90 percent requirement, the report shall detail the changes that must be made in design, installation and/or operation or maintenance to meet the goal and include a schedule containing a deadline for implementing those changes. 9. The,Company sshall notinstatl or allow installation,o-f-more-than 5.0-systems unless-otherwise ap-proved by the Department_in writing: 10. The Company shall furnish the Department any information that the Department requests regarding the System within 21 days of the date of receipt of that request. 11. The Company shall include copies of this Approval with each System that is sold. In any contract executed by the Company for distribution or re-sale of the System, the Company shall require the distributor or re-seller to provide each purchaser of the System with copies of this Approval 12. If the Company wishes to continue this Approval beyond its expiration date, the Company shall apply for and obtain a renewal of this Approval. The Company shall submit a renewal application at least 180 days before the expiration date of this Approval, unless written permission for a later date has been granted in writing by the Department. This Approval shall continue in force until the Department has acted.on the renewal.application. 13. The Department may require the Company to perform evaluations of system performance, conduct tests, and take corrective action when, based upon a preponderance of the available data and information, it is necessary to take such actions to,ensure technology performance complies,with this Approval. VI. Reporting 1. All notices.and documents required to be submitted tothe Department by this Approval shall be submitted to:, Director ry Watershed Permitting Program Department of Environmental Protection One Winter Street - 6th floor Boston, Massachusetts 02108 , 2. All inspection forms and sampling'results collected by Operation and Maintenance contractors shall be submitted to both the Department and the Company. I Pirovisional Use Approval ; SeptiTech Inc. Page 11 of 11 , y VII. Rights of the Department *' 1. The.Department may suspend,modify or revoke this Provisional Use Approval for cause, including,but not limited to, non-compliance with the terms of this Approval, non-payment of the annual compliance assurance fee, for obtaining the Approval by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for' discontinuance of the Approval, or as necessary for the protection of public health, safety,'welfare or the environment, and'as authorized by applicable law. The Department reserves its rights to take any enforcement action authorized by law with respect to this Approval-and/or the System against the System owner, System operator, and/or the Company. VIII. Expiration date ; 1. Notwithstanding the expiration date of this Approval, any System sold and installed prior to the expiration date of this Approval or any continuation of this Approval, that is approved,installed and maintained in compliance with this Approval (as it may be modified) and 310 CMR 15.000, may remain in use unless the Department; the local approving authority, or a court requires the System to be ' modified or removed, or requires discharges to the System to cease.,: SeptiTech Denite_ProvAppvl_Final.doc ru c ru ,0 0' , .I 6 = Postage $ $0.44 0655 Er Certified Fee $2.80 08 ` � Postmark O.- Return Receipt Fee Here. O (Endorsement Required) $2.30 Restricted Delivery Fee 0 (Endorsement Required) $0.00 M M. $5.54 08/09/2010 M.`:"Total Postage&Fees rl Sent To ff / ,..,. �.....;,- ••--. 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For valuables,please consider Insured;_or Registered Mail. e For an additional fee,a Return Receipt may be requested to provide of, delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt'Requested".To receive a fee waiver for a duplicate return receipt,a USPSJ;po%mark on your Certified Mail receipt is required. -+ o For an additionl,,fee,-;,dellvery,�may,t be restricted to the addressee.or addressee's authorized'a ent.Advise`the clerk or mark the mailpiece with the endorsement"Restricted- eiivery" a If a postmark on the Certified Mail receipt is desired,please present the artk cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT-Save this receipt and present it when making an Inquiry. 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X so that we can return the card to you. B. Received by(Printed Name) C. Date of D ery Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 1? es rticle Addressed to: If YE , nter delivery address below: No S _ 3. Se 4e Type it,A ®`-5 LJ�'Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes j 2. Article Number : : I t� sf ftt� 7009i 1680 90,00, 94'88= 281�7 =. I (transfer frbm.servlce/aben, A t 1 i i l PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540,1 UNITED STATES PQ. EF2 ♦y §a y .. :FYY:S .d����G--N'31'ia:� •-^.C�!!'� �A .fO • Sender: Please print your name, address, and ZIP+4 in this box • 1 CSN 1,� P.O.Box 2030 'I Teaticket,MA 02536 j Engineering I ' .. Iiftttt.t"�t:�tliititltttJlttitltl{.�9ttltllti�ttt'.t�itilettDi�it' I COMPLETE . ON DELIVERY ■ Complete items 1,2,and 3.Also complete u item 4 if Restricted Delivery is desired. ent ■ Print your name and address on the reverse E/X ❑Addressee... so that we can return the.card to you.. B. Received by( Name) C. Date of Delivery Attach this card to the back of the mailpiece, or on the front if space permits. T D. s de' a re ' ent frohP'. m1 �fesO' 1. Article Addressed to: a�� P enter delivery add s below,•: ❑ o C t- fi1 VV r�ilS F ,, , Liver (�� c �fkrv) eAJ InSb+A-CrQ IceT I JM Certified Mail ❑Express Mail A My} 6 i o i ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Numb ri ## , ; ; t (Transfer from'servic 9 lat 1) C ! i i 7 0 0.7 '2 6 8 0i 0,0 0v! {6 3y01 6 9 g 6 I PS Form 3811;February2004 i1 Domestic Return Receipt 102595-02-M-1540 y1T.4a� UNITED STATES POSTAL SERVICE usthsS RAHtt� I • Sender: Please print your name, addres ; f Is o I I I I I ! CSNI 10 P.O.Box 2030 �� �► Engineering TeaHcket,MA 02536 NJ 9 COMPLETE • . . . . ■ Complete items 1,2,and 3.Also complete Signature item 4 if Restricted Delivery is desired. X � O Agent, a Print your name and address on the reverse 16=Addrpssee. so that we can return the Card to you.■ Attach this card to the back of the mailiece Received by Tinted Name) C. Date'of Delivery , or on the front if space permits. p -"S "` 6TP,'� D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No JeXcj /� ll 1 �i�lent Gvjensi ecn I I 3. Se ice Type I Certified Mail ❑Express Mail I ❑Registered ❑Return Receipt for Merchandise I ❑Insured Mail ❑C.O.D. I 4. Restricted Delivery?(Extra Fee) ❑Yes 12. Article Number 1 r i t F 7 i ?6{ t (transfer from service label)I F !'f; 7s0 0 7 2 68 0' 0 01 6 3 01 8 9 Ij PS Form 38111 February 20041 1 I i 1 bomestic Return Receipt 102595-02-M-1540 UNITED-STATES POSTAL SERVICE }�"11,A,Ca.•rPK r8.' �.p 3� 1!vis. tee'..T' • Sender: Please print your name, address, and f h)Tis boxes I I CSN .,�,� P.O.Box 2030 Eagineeriag Teaticket,MA 02536 I i i . I I SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY� ■ Complete items 1,2,and 3.Also complete A. S' ature item 4 if Restricted Delivery is desired. X � ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C to of D'i ery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from Rem 1?. Yes �Ltrn (�-e1 1. Article Addressed to: If YES,enter delivery address below: ❑No l�� � 7/5a 6D�c qs Q �6L Os���ll� MPr o2eSs I 3. Service Type Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service laeeq I {i 11 i7 0 7 2 6 8 0 j GQ 0 1j 63 01 t k6 8 8 3 { PS Form 3811,:February 2004 i i I s{ Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE '�+„ ryti, rest=Gle Mail :... }�'.+.•,.,'n,.pp� . '^t*.^-7-�,,3r'3'.:4:[, - ..j,,,-: +F. 'y�'. a"""�r Kd 2 �Faid 3 f�. ®rl i'u' iar��'! �t;.J,,,,er srtu? "•A�rle Z Sender: Please print your name, addr6iS, a421 4°r is bo i" 1 CSN ����� P.O.Box 2030 Engineering Teaticket,MA 02536 I 0 6 � T - / �tME fps_ V DATE: s� PER: Ravi 2 1�1�J 6V) BARrMAEUL MABB. 163q.h REC. SY Town of Barnstable SCHED. DATE: (2 DI Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Wayne A.Miller,M.D. FAX: 508-790-6304 Junichi Sawayanagi Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION nn Property Address: 1 U oL X A 5 �or of U rCAC- Assessor's Map and Parcel Number: V lah 14�0 PAr&,t 0* t4 Size of Lot: _1!�4--440 S.C. Wetlands Within 300 Ft. Yes >/ Business Name: No Subdivision Name: i APPLICANT'S NAME: A IY tr,�o Phone sty - al°I -3 250 Did the owner of the property authorize you to represent him or her? Yes V" No PROPERTY ``OWNER'S � LNAME t CONTACT PERSON Name: JJj" in t- 1arkick, arkeAe- Name: + a .I. Pons N Address: lb C'�Wwtg 9,4 Grrt,- Address: Pb 611)-�- �030.Te��c �- M4 02:5 3L Phone: Phone: )A`i-3)-So VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if eeded) 10 C"R- IS.Z I I - t n t Sill Cmde to }� l d ex i�c+ ce r.. 4A IV t I� V NATURE OF WORK: House Addition 11 House Renovation Repair of Failed Septic System ca Checklist (to be completed by office staff-person-person receiving variance request application) Please submit copies in 4 separate completed sets. -- Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) t a! _ seven Completed 7 p ( )page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request _ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only], outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Junichi Sawayanagi REASON FOR DISAPPROVAL Paul J.Canniff,D.M.D. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\BAJ9P9B7\VARIREQ.DOC Health Master Detail Page 1.of 1 Logged in As: TOWN\miorandd Health Master Detail Wednesday,June z 2010 Application Center :Parcel Lookup Selection Items Parcel Septic Perc Well Fuel Tank Parcel: 146-066 Location: 10 FLOWING POND CIRCLE, OSTERVILLE Owner: LARHETTE, JUSTIN N &MARTINA .... . _. -..p _ Business name Business hone:. Rental property: r Deed restricted: Number of bedrooms Contaminant released: ( fuel storage tank permit: �. Safe Parcel Changes ............ Return;to Lookup„ 1 Parcel Info Parcel ID: 146-066 Developer lot:LOT 32 Location: 10 FLOWING POND CIRCLE . Primary frontage:72- . Secondary road: ; Secondary frontage: Village:OSTERVILLE Fire district:C-O,MM Sewer acct: Road index:0552 Asbuilt Septic Scan: 146066_1 0, Interactive map f[,200`2 Town zone of contribution:GP (Groundwater Protection Overlay District) .State zone of contribution:IN. Owner Info Owner: LARHETTE, JUSTIN N & MARTINA'- Co-Owner: ' Streetl:10 FLOWING POND CIRCLE Street2:j t City:OSTERVILLE State:MA Zip: 02655 Country: Deed date:6/28/2002 r _ Deed reference:C165789 Land Info Acres: 0.36 Use: Single Fam MDL-01, Zoning:RC Neighborhood: 0105 Topography: Road: Utilities: Location: Construction Info Building No ear Bull Living AreaBedroums Bathrooms 1 2002 840 1 Bedroom 1 Full Buildings value:$113,900.00 Extra features: $11,800.00 Land value: $105,700.00 c . w � r 4 http://issgl2/Intranet/HealthMaster/HealthMasterDetail.aspx?ID=146066 6/2/2010 IV 'IL-14p I.JIY crglneenng P.-I-I ; . r - a _ 9 - 10 Flowing Pond Circle, Osterville. Floor Plan First Floor G _. s L I r wf�J L M Basement SIN !G s - p . a " Aug 16 10 11:06a CSN Engineering p.5 TRANS.NU_ Ti' fT w v c v orvN- r. .� e._ A ITLICANT: V 5� ADDRESS: IC e „t� ,{�,� rkr,c m. DESIGN FLOW. ��$r kpcf 1t;EvrF..,WED BY. DATE; _.... _ , NfA, OK ` _: NO GENERAL -, Le al boundaries denoted 310 CMR 15.220(4�)Wj V11 Street, Lot, tax Parcel number and lot number noted on plan [310 CMR 15.220(4)(u) Locus Provided 310 CMR 15.2204(t Plan proper scale? (1"=40' Ibr plot plans. 1"-20' or fewer for; com ncn(s) 310 CMR 15:220(4) Easements shown 310 CMR 15.220(4)(b)] System.located totally on lot served [310 CMR 15.405(1)(a) for u adcs -i not, a variance is ri'. uired 310 CMR 15,412(4 � Locatiun of impervious surfacers(driveways, parking areas etc.) :� - t 310 CMR 15.220(4)(d)1 Location all buildings existing and pn,posud 310 CMR 15.220(4)(c) Location and dimensions of system components and reserve allcil`. 310 CMR 15.220(4)(c) S 'stem Calculations 310 CMR 15.220(4)(f) daily flow se 6c. I:mk c;i acit re wired and providcci soil absorpLion s sWill (rc uired and provided) whether astern deli ncd for garba re L-rinder North arrow 311) CMR 15.220(4)( ti Fxisting and ro.7oxed contotifti 310 CMR. 15.220(4)(g2] Location and log of deer ob.iervatson holes(existing grade el:on . each test) 310 CMR 15.220(4)(ti) NaLums cif soil evaluator and DOT1 representative [310'CMIt u 15.220(4)(h)and i) F Local.1011 and date of percolation test,-- (pertormcd at proper_ elevation?) 310 CMR 15:220(4)(i) Percolation test results match loading rate? 31 U CMK 1.5.242 Certilicat.ion,statement h Soil l;valuatur 310 CMR 15.220(4)('. J. Obse vcd and Adjusted froundw2ter,(method for adjustment y givt;n `ir mdiwxted)[310 CMR.t5.103(3)and 3 W CMR 15:220(4?(n Address b. Doll, 3. �x4 f)�t �e��' Shil., ur7 . Aug 16 10 11:06a CSN Engineering 1-508-548-5478 p.6 N/A OK NO. ' r Location of every water supply, public and private, [310 CMR / 15,220(4)(k)] d within 400 feet of the: proposed system locatiou in the case of surface water supplies and gravel 2acked public water sueply within 250 feet of the proposed system location in the case within 150 feet of the proposed system locaLi on in the ease of private water supply well!a Location of al] surtitce walars and wetlands located up to 100 ft. beyond setbacks lasted in 310 CMR 15.211 and any catch basins located within 50 f. 310 CM..R 15.220(4)(1)] Water lines and other subsurface: utilities located (310 CMR / 15.22(1(4 m (if water I ine cross see 3 l0 CMR. 15.211(1) 1 ) �/ Profile of system showing invert elevations of all system / cum uumnts and the bottom of the SAS 310 CIAR15.220(4)(a)] d Siarn t.il'desi net 310 CMR 15.220 1 asid 310 CMR 15.220(2) - Stamp of Registered Land Surveyor(required ifconstruction Activities within 5 ft. of lot line) (310 CMR 15.220(3)] Test Hates adequate(two in each of*the primary and reserve unless trenches as permitted in 310 CMR 15.102(2)or as approved for an upgradc under LUA at 310 CMR 15.405(l)(k) Test hole adequate to demonstrate tour feet ofsuituble material? 310C. MR l5.1034 Test Holcs adequate to conlimi adequate groundwater separation'? 310 CMR 15.103(3)] Benchmark within 50-75' of system 310 CMR 15.221)(4)( Materiah specifications noted? [various sections of 310 C'MR 15.000 System components not>36" deep(unless Local Upgrade A )roved or LUA requested) 310 CMR 15.405 1(b Address �►ram ��� Care Os�t��,l �._._. Sheet 2 of 7 �. 1= I Aug 16 10 11:06a CSN Ergineenng - 1-505 54$547$ p.7 NfA. QK 101O: F SEPTIC TANK Sizc UK? 310 CMR 1.5.223 1 lntct tee located ten inches below lluw Zinc 31U (;M.R 15.227(G) Outlet tee 14" or 14"+5"per loot for increase ft depth [310 CMR 15.227(*tr Outlet tee with as baft)c or a roveii Idler 310 CMR 15.227L4)] " Note regarding installation on stable compacted base [31U CMR 15.229 [" Separation betwoen in.lot and outlet tees(no"Iess than.liquid de th) 310 CMR_15.227(21 ` Inlet/Outlet clevations at least 12" above high groundwater (except as described 310 CMk`l 5,227(5)) or permitt©d'ior 1, erodes under 1.UA 310,CMR 1 5.405 1 k Minimum cover 9" (Tanks buried more than 9" mu"t have risers f on all openings and on the d-box) [310 CMR 15.222_R(1)and 310 CMR 15,232(3)(f)] - Three access covers(inlet and outlet roust be 20" or'grcater) i midd 2 4 Acccss to within 6 " of grade -one port for systems<I UU0gpd, two Ibr systems-1000 a2d 310 CMR .15.228(2) , All at-grade:covers secured to unauthorized acccsti? [310 CMR 15.229(2)14 10 ft G.or,i IIuilitin „foundation 310 CMR 15.2 1 l 1le nfi =:r Buoyancy calculation Ite uircdJUonc 310 CMR.1.5.221(13 7 � . ._. .. 1-1-20 WherL appropriate? 310 CMR 15.226)Q)] Setbacks from resources 310 CMR 15.211 Multi-Compartment Tanks Ko(luirtxi when oiber than sing)e-family.dwe11ingar flow->1000 r d 310 CMR 15.223(1)(b) First compartment 200%daily flow; Sucond uvrI)pmrUncrrt. 100% daily flow 310 CMR t 5.224(2) and 3 } - "U" pipe through or over baffle,outlet of cach cotnpartment.with gas baffle 6rapp roved Filter 310 CMR 15.224(4) ' r • - Address-, ifto,,.1,u .�o.�,ll C', Sheet 3.or7 Aug 16 10 11:07a CSN Ergineedng 1-508-548-5478 p.8 N/A OK N0 BUILDING SIE:WKK AND OTIIIl.ER PIPING . Located at test ten l"eet from anY water lute? [310 CMR r_ 15.222(2) Disposal piping at lct+.qt 1 R"below.wate;R line(wlien water and sewer cross,see 310 CMR 15.211 1 1 Cleanouts rc uiredl rovided? 310 CMR 15.222(8)) - } Thrust blocks s ceified in force mains? 310 CMR 15.2210)(c)], ' Slope of sewer line not.less than 0.01 (1/8"I11) O.02 preferable 310 CMR 15.222(6)] t/ Proper pitch on all runs`.' (.005 within gravity-distributcd trenches d ,b and beds 310 CMR 15.251(9)and 310 CN4R 15.252(2)(c}"` Si lionproblem/(Icachfield below pump chambc>r) Endea s or vent manifold s ecified? Size;arid orientation of discharge holes specified? (not smaller than 3/8" not larger than 5/8") [314 CMR_15.251(8)ttnd`3:10 { „ CMR 15.252(2)(h)] Materials specified (310 CMR 1.5.251(5)specifies %iaruxes pipe t .es allowed DISTRIBUTION BOX „ s Shtbie costtpacted base 1310 CMR 15.221(2) and 310 CMR Splash plate or baffle tLe retjuireil tin InId/provided` (When Pressure sewer to d-box or,steep pitch of gravity sewer)E310 y CMR 15.323(3)(a ` Kiser ifdeeper than 9" 3 10 C'MR 15,232(j)(019 Inside minimum dimension 12" 3 I .: Mtnrmtun Sum 6" 3 10 CMR15.232(3)(c)] ' Watertight cover if<20UOgpd)o waterproof manhole it%2000gpd 3CMR 15.232 3 d ._ 1 ( l t PUMP CHAMBERS- H C'upacily(emeigency tiloeage abuvc workingAei;ign llow)? [3'1t) / 'N CMR 231(2 Pin cr setbacks [310 CMK 15.211 (sa► c as sc tic tanks)] Watertight 20-in mini um 20" M 1 J ST K N " VL TO CRAD 310 CMR 15.231(5)] Service components accessible(not too deep with piping, � w disco tin ect% ),ccessihle Alarm 11oa.ts-alnrm on circuit separate from ruin s s eci(ied?. Exceeds two 7units,must have two pumps operating in lead,lag, a. mode. L 10 C,MKA5.23.1((i"1 and ('K Stable Coo acteLl Base 310 CMR 15.221(2)] { jBuqyancy calculations needed? Provided? 310 CMR 15.221 8 ,a Addfcss w.3iC4� _£��if �e�1. Shc'ct 4 or 7, } ', "{ " � '' Aug 16 10 11:07a CSN Engineering 1-50548 547 p.9 _ a N/A VfKiO.F SOIL ABSORPTION SYSTEMS SAS GENERAL Calculations correct? 4 feet of naturally occurring material demonstrated`' [31 O-CMR 15.240(1 Required sc araLion to roundwater7 .310 CMR 15.217., t, Aggregate specified as double washed 310 CMR 15.247(2 System venting requiredlprovidcd? (system under driveway or >36" dcc )1310 CN1R 15.24I Inspection ports specified and within 3"final grade? [3 1()r CNIR' 15.240(13)1 Breakout requirements inct? (No violation of bratkOUt Clevatioll ` ° =r within 15 ft of SAS unless barrier) [310 C;MR 15.211(1)[4] apol Guidance Document ' GALLERIES.PJTS CHAMBERS 3,10 CMR'15.253 Chambers and Gal. in trench coptigunitinn supplied with inlet " cvcry 20 ft. f 310 CMR 15.253(6)] Cach structure with one inspection manhole (i.r>2000•gpd must be to ►rude) 310 CMR 15.253(2)1 " Aggregate I'minimum-4' maximu 31 U:CMR 15.253(t)(b)] ° 2' sidcwall credit maxirmun 310 CMR'15.253(1)(a In bed confi uration, inlet eve 40 s _ f-, 310 CMR 15.253(6 TUNCHES 310 CMR 15.251 Width T minimum 3'maximum 1310 CMR 15.251(1)(b) ' 100 feet- maximum length 310 CMR k 5.251(1)(a) Minimum separation 2x effective depth or-%,vidth whichever r .; Treater(3x ifreservc between trenches 3 10 CMRZ 2S I I" d a Situated along contours L310 CMR 15.251(2 Breakout OK? 310 CMR 15.21l(1)[4 and Guidance Docurncnt BCD SAS Maximum size of bed or field 5000 d minimum 2 distribution lines, 310 CMR 15.252(2)(a Maximum%c a ation._between lines'G' 310"CM R15-252 2 d x MaeirtuiTn se1 aration'between'lines Arid outride of bed 4' [310 CMR 15.252(2)(c Aggregate depth below discharge pikes 6"minimum, 12 maximum. Q10 CMR 15.252(2)( Separation between beds 10'minimum. 310 CMR 15.252(2)(i) Bottom area used in calculations onl ,'[310 CMR 15.252 2 (i -Fe i a ° w , a r F Address 0�.�quu �.►, �o��i C.ir_°��T�Q �l�!� Sheet 5 of 7 Aug 16 10 11:07a CSN Engineering 1-508-54B-5478 p.10 NIA.. - UK Nn DID THE PLAN INVOLVE f Pressure Dosed,Syvrem ? Provided pump and pipi g calculations as required 310 CMR 15.220(4)(r)] .:, Pressure dosing required on all systems>2000gpd or alternative systems under rernedial approval [310 CMR 15.254(2)and UA Remedial U5u Approvals if used in graveness systern -inake sure.jet is directed as not to scour soil interface Guidance Document Inspections once per year(systems< 2000 gpd) or quarterly y, >2000 d) pod to note(in plun 310 CMR 15.254(2)(4A.. Com;(ruction..in fill - Did the plan specify that the fill Rha)l meet the specification o1'310 CMR 15.25 5 3 ? Impervious barrier anrtlor retaining wall ? C'ruidance Document] Impervious barrier installation must be supervised by designer 310 CMR 15.255(2)(bl Retaining wall must be designed by Registered Prolessional ' Engineer 310 CM 15.255(2)(4} t ,:1 Side slo a not exceed 3:1 '% [311)CM It 15.255(2) Breakout requirt;rrneitl,s mct:7 [310 CMR 15.252(2)and a_ Guidance Document At least 5 11. Irorn irnhcrviouti harrier to edge of SAS (10 ft. recommended) 1310 CMIL 15.255 f 2)(c) Cravelless System EA A rota!LeYenJ - Check DEP Approval letters for credit%and design conditions If used with pressure dosing do not ullew pre5surt discharge to scour soil interface ALrernative Se tic S stem I/A A rvval Latter► r Was DLP Approval Letter provided and/or have you reviewW the letter for conditions? Is the technology being properly applied and does it meet all DE P Approval Conditions? Is there a note on the plan regarding the requirement for cr ut.ual maintenance a reerrtent? Any alarms involved on separate circuits 01d the applicant submit an operation and maintenance Hasapplicantsubmitted a coy ofa maintenance Variances Are tlae variances listed on the plan'? t314 CMR 15.220 " f RLS Stamp necessary on plain if a component is within iivc feet of to rer line 310 CMR 15.412(4 New construction or increased flow proposed- (Refer to 31 t) CMR 15.414 Address jo Shcet6.of7 f. Aug 16 10 11:03a CSN Engineenrg 1-503-5185478, p.11 NIA Nikq en Sensitive Areas = 1s the system in a Designated Nitrotcn Scna,tive Area(Zone 11 10 a public supply well)? [310 CMR 15.214,310 CMR 15.215 and 310 CMR 15.216- also refer to Policy regarding' upgtades ol'suoh existing systems s Is the system proposed on the same lot as smed.by private well? 31 O CMR .15.214(2) w. Are: the:nitrogen Loads proposed in cornpliance? [3 I O'CMR / 15.216(t �J n s =x FT-1 Pum in tea septic tank ? 310.CMR 152291 , - Shared System, 310 CM.R 15.290 F n s " r , 'A(lclzx.9s �a �' blr!� 0 �G1 r J1 ' pt'F'r Shot 7 r � r 11011, Town of Barnstable IME Toys P Board of Health ,ASTAB 200 Main Street - Hyannis MA 02601 9 MASS. i639• ♦� Alfp�,ts Agreement to Extend Time Limit for Acting Upon a Variance Request In the Matter of a variance request form received on vv' the Petitioner(s), �^ r� regarding ardin the property at Cd�+ d r`: UI the petitioner(s) and the Board of Health agree that the Board of He th has until 1 3 a 0)(} (insert date)to act upon the Petitioners' completed application for a variance. In executing this Agreement, the Petitioner(s) hereto specifically waive any claim for a constructive grant of relief based upon time limits applicable prior to the execution of this Agreement. Petitioner(s): Board of Health: Signature: n, PL., t Signature: etitioner(s)or P titioner's Representative Chairman Print: Print: Wayne Miller, M.D. Date: Date: Address of Petitioner(s)or Petitioner's Representative Town of Barnstable Board of Health Public Health Division ` 200 Main Street Hyannis, MA 02601 Phone: (508) 862-4644 Fax: (508) 790-6304 file q:extend.doc 1011,11 ul Barnstable I' ll Department of Health,Safety,and Environmental Services Public Health Division Date 367 Main Street,Hyannis MA 02601 1 .Arwersar� � . tRrwee. Date Scheduled O -Z Time 3 PM Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed By: L.*yte JCE �f1.QY BSS Pow) Witnessed By: 4t-�� }�tlKlt�ING T0� LOCATION A GENERAL INFORMATION Location Address (0 ((-oT 3 2,) Owner's Name MNtL_T6el E MAC 4ZU� FL Cw 1 tJG. Po J 0 C. tR_C. L� Address s I a I t" O s Teri. I L i—E' A'S Te 2 1 N Y . Assessor's Map/Parcel: / ,4 �` Engineer's Name d i S A� I G IJ NEW CONSTRUCTION REPAIR Telephone N .�p S4 C) 880 Land Use ✓4C PT1\) T Slopes(%) '"'Z Surface Stones D Distances from: Open Water Body Z ft Possible Wet Area' 6 tt Drinking Water Well it Drainage Way �' ft Property Line 2- 0 It Other <! SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands In proximity to holes) 26 I'q'tBSS _ t •un I �� 1 i ( DESIGN LOT 33 �3� •�• LAW SURVEM EXISTING SPOT GRAMGOAL 0411IMBERING `fin 9 PROPERTY LINE LAND PLAIMq �• X '\ •� ?C - Can CONCRETE BOUND -0l.a ♦ S fps��` —OHW—EXISTING OVERHEAD WIRES ®ab.bw.w M. .EXISTING UTILITY POLE 'nrwn�r em,o \�a'• ���`'in.\ or .n.n7 " - TEST PIT mnw■m M�mwm e, .am •a„ �\ ''Xo•, �� `♦ / ` �� an 7Y---EXISTING CONTOUR �X ` tX 31 `�• `\ ej47'\\ `� �acGv m -- PROPOSED CONTOUR F PROPOSED SHRUB •ao .a�a / \ �\v` It /an \ am DU _ y / •` .ao a■. \\ 30 (�(n IS crzMoz CL .•\.a■ /, �� ,",►r. *psi' M / / O I V)LOT 32 ;�+- • , �� m / Q a m . 15.440 S.F i `l �� e Z o 9.200 WETLAND i i /' a•f/' an IL�`•`H v NOTES: gB D n■. ---- -- Yna I / ►' \ 1.HOUSE Na 10 FLOWING POND CIRCLE g OJ-0 2 ASSESSORS YAP 146 PARCEL 66 fe N 36'43 48'W `'•a / �•' an S ] ZONING DISTRICT. RC Be�: 13&84' 19 3( O am 4.FLOOD ZONE: C 6.W 6.SPOT GRADE ELEVATIONS ARE BASED ON AUGUST 3.2001 GRAPHIC SCALE LOT 31 Ta eroc AN ASSIGNED EXEVATION•BENC MAM a,•„ _ CENTER OF CATCH BASIN,EL 28.9 E IP.ARG,T,B r ■ • ■ 6.LOT IS LOCATED IN A ZONE I NITROGEN- mn,d an SENSITIVE AREA t RESTRICTED TO 1 BEDROOM - +_ -- -- - W/OUT DE-PITRlI MG/ADVANCE)TREATUE4T. �,� (A Rf) a 7.PLANT TALL WOODY INDIGENOUS SHRUB ImS 1108 ` FOR SCREENING. Parent material(geologic) n`x*w I i-', Depth to,Bedrock Depth to Groundwater: Standing Water in Hole:gL• 2 Z • Weeping from Pit Face Estimated Seasonal High Groundwater . CL: Z 4,O /ASS r ,SE•- PLMJ 19tweWµA") DETERMIN-`A BL TION FOR SE WATER TAE Method Used MOT"TL /V/ N.*A. 0 6 S ew) v d Depth Observed standing in obs.hole: ` in. Depth to soil mottles: / In. Depth to weeping from side ofobs.hole: „ in. Groundwater Adjustment Index Well N__ _ •Reading Date:_ Index Well level,_.__ Adj.factor Adj.Groundwater Level - 1f - PERCOLATION TEST Date:,82?Tltn� tool Observation Hole N 3 Time at 9" Depth of Perc Z 8" 4 G Time at 6" Start Pre-soak Time Q 1QM Time(9"-6") End Pre-soak 2-4 (AArl-t.t�J s i nl 9 M)A15. RateMin./Inch G Z M o PCILC• f>trIVEV Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back—� Copy: Applicant DITI, OBSERVATION 11OLE LOG oil 1101e# er Depth from Soil horizon Soil Texture Soil Color Surface(in.) (USDA) ( Molding (Structure,iStones,Ilouldercs. �onsl�l�^��:�rtrr•ven 1 • , j w 1 _ DtEP OBSERVATIUN HULE Lo0 Other Ueplh from •Soil Ilorizon �' Soil Tex) Soil Color Mottling (Structure,Stones,nouldercs. Surface(in.) (USDA) ( ) . Dririjl OBSERVATION IIOLE LOG I1ole # : Other Depth from Soil Ilprizon Soil Texture soil Color Soil Surfnce(in.) (USDA) ( Molding (Structure,Stones,Douldera. ' D�lg FIL- L I 18-Z i Qw s 40AY ZI- +I G� 5461 C- �-- s�0 67" + CUuci- 4 IZo H GW ?o DEEP OBSERVATION IIOLC LOG llnlc# other Depth from Soil I lorizon Soil Texture Soil Color Soil Surfnce(in.) (USDA) (Munsell) Mottling (Slntclure,Stones,tloulderes. b-J OTC s*WAr Q' �o�Y Z 13 l� Z conas� z Alma ' '� z —IZo L q'1 -r.'cReLvc;�. t Flood Insurance Rate Matt: i► ve yuti jtiar uuoa bocn3sly _f•�_ v�� _._ VDllhin 500 ye,'I, No_ Yes Within 100 year flood boundary No_ Yes > ps(t of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervio s material exist in ill areas observed throughout the area proposed for the soil absorption system? C35 e vious material? Fri r If not,wf f i�the de th of gaturaily occu ,ngp _. Gertiticat!on, .. ;cq�• i ," , , t �, ., . .. . 1 certify that on �D (date) 1 have passed the soil evaluator examination approved by the at the above analysis was performed b me consistent with Departme nt of Environmental Protection and that y p Y the required training,expertise and experience described in 310 CMR 15.017. 0 D E S I G N April 3, 2002 LAND SURVEYING CIVIL ENGINEERING Barnstable Health Department LANDSCAPE ARCHITECTURE 367 Main Street BSS Design,Incorporated Hyannis, MA 02601 164 Katharine Lee Bates Road Falmouth,Massachusetts 02540 508.540.8805 Fax 508.548.8313 RE: SSDS Inspection #10 (Lot 32)Flowing Pond, Osterville,MA To whom it may concern: On April 3, 2002, BSS Design inspected the subsurface sewage disposal system at the above referenced location. The system was found to have been installed substantially according to plan. The only noticeable change was the material used for risers on the septic tank. Black corrugated plastic pipe (CPP)was used instead of"concrete"risers. The covers to go on the risers were standard H-10 concrete as per plan. There was no distribution box riser was in place at the time of inspection,but the installer was reminded to install this within twelve inches of finished grade as stated on page two of BSS Design's proposed plan. He acknowledged this and stated that he would install a distribution box riser as per plan. If you have any questions please call me at 508-540-8805. Sincerely, BSS DESIGN, Inc Lawrence Perry, R.S., C.S.E. ...a3:; I >sls.. `� -.,�._ rt_.tr i�iFr 7`e. a. ^t, .4 _ !.. k. � I ,.. } ,tr.t- �� I r. zr• TO OF B TABLE = LOCATION0 F1 wn SEWAGE # 2 RV �VP:LAGE ASSESSOR'S & LOT . INSTALLER'S NAME&PHONE,l`IO. °� S TAON AISAM- 15 LEACHING FACIL=: (type) h'. (size)2a),r— Ya�x NO.OF BEDROOMS ' H BUILDPR OR OWNER M +cy) Harnes PERMITDATE! ' Oa _COMPLIANCE DATE: L� .,a Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 ,iK 7. 6. �9y s 7'fn k y. 3q 6 D ' I -T, n No. r r Fee "V THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: I//✓ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for Migpoeal *pztem Construction Vertu Application for a Permit to Construct(pair( )Upgrade( )Abandon( ) Co/complete System ❑Individual Components Location Address or Lot Nolt/O rt( w/fiG PQ/t/Q Ck. Owner's Name,Address and Tel.No. LOT' 32- MRp 14� P9rz.c.�C.. �� M��2 , c� /q-. fwA-e v�� / Assessor's Map/Parcel 32-i Z 4-4 ST AJ- 7va Al k" Inst er's Nam Add a s,and Tel.No. �/^^ Designer's Name,Address and Tel.No. J o ��'���ac l sfrNa' `r°i`' 4 SS 0-- ►(An) //J C- b t301�lU�9 aCe AAAR&q , 6-09 -43—gfl /64- KAT# Le-C1(2A-rK3 15�0400I14 Type of Building: R� �^^j-r t A` 4✓� I N!, Dwelling No.of Bedrooms Lot Size 40 sq.ft. Garbage Grinder(Alb) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow / gallonsJdA Plan Date D/ Number of sheets 7, Revision Date S_ Title PC OT' P L A,J P",?a 9 PQ Nu usC- -t- 5 C/O run SEA/ A/S RV S 4� S Y1', Size of Septic Tank / 8 C<Pt L LayJ S Type of S.A.S. !�72W P A•ra.-.D I MF1L1 aPT02S 3 Description of Soil ®—f8/l S;WOY LOCI F/LiA7 /,9— 2�1 " C o*m y SAW O S. Z I"41 "f#JrSAN0 C I 4-/— f Z o" ML-0. IAw® r— Z . L9/*" SAWro V LOA-' WE, /,+— 2Z" 1_aA1Yf.VVD e Q- . 4�t /130S3 Nature of Repairs or Alterations(Answer when applicable) /V6AJ CO-d S?12uC T7 0/J D-.:1G• ING ENGINEER M!1 [i►���-�,�..�YN1r.+. . _ �T SU U 11U AND CERTIFY IN WRY TI'E ;YSTEM U i I� G Date last inspected: HE SY ACCORDANCE TOP INS QED 1N BTR'GT Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not t pgLace the system in operation until a Certifi- cate of Compliance has beenA this d f al Signedl. Dat 3,j-.. Application Approved by Date Application Disapproved for the following reasop ty v Permit No. ".)C 1 3 Date Issued III c� No. .: '\ \ ' ;J " Fee 100 a _.w. ..`� ` THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes :. PUBLIC HEALTH DIVISION -"TOWN OF BARNSTABLE., MASSACHUSETTS ZIpplicatton for M.igpooiI 6pgtem Congtructton Permit Application for a Permit to Construct(VRepair(y )Upgrade( )Abandon( ) 5rcomplete System El Individual Components t Location Address or Lot Nof-/O Ft VAT//A)(A PoIV® CQ, Owner's Name,Address and Tel.No. d! L,pT- <ra ?a2 1 E /q-. MA-C 4'vE'�/ Assessor' 3? M s Map/Parcel MAP 14( P*zL eL 6(" 't,T 3a-i z 44 s7-- p-s70a 14 N Y ►.! Installer's Nam Addre s,and Tel.No. O r Designer's Name,Address and Tel.No. 1• evj��C�ctca. Gnsfi 4SS D�s1G�J i � b• P,pK(�Z U 50�-fl33-4ti9 /64 �� Lam' 3{ ��1tMoc/TN)v Type of Building. /ZL7 r n�"T �+} - OWE%t.'1 N(.� Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(Alb) Other Type of Building No. of Persons s Showers( ) Cafeteria( ) Other Fixtures : Design Flow gallons per day. Calculated daily flow Z ' 3 gallons/d4X } Plan Date Number of sheets Z Revision Date $- O Title /SLOT PC AJ PA f e-0 /-hyySE` t SvQ f v17,�/tC� S�*>^/o•G C !�/S�Sa( S 'r�. Size of Septic Tank IS 0 G A t_ LoP/ S Type of S.A.S. STx1-,�l 0 rr{t I NrFll7R AtO/Z$ 3 Description of Soil .0 -18" S;WOY L 0A-net ' F/LI s� _ 6 /8' Z t-OAM y SAW O t�y 1-4 0 "rX*SA4ND/�C I of — ! 2 O" r/"1tro. rAwD C Z' !/— �� SVD y� LOA, 4 Of 14— 2 a " GOAM lS fowyD - ....y Z 1'4_ d" /bc-rn_l Cc; s s'A-Arp. C.T1 PAW 605--3 Nature of Repairs or Alterations(Answer when applicable) /10,J C6457 LUC T t O rJ Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not ace the system in operation until a Certifi- cate of Compliance has been i this d f al Signed Dat C } .t.,-Application Approved by Date Application Disapproved for the following reaso s - Permit No. �D 1 3 Date Issued ` - --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed(✓)Repaired ( )Upgraded.( ) Abandoned( )by at has been constructe in accordance with the provisions of Title and the for Disposal System Construction Permit No.�C:i7�- W 3dated 5 Installer Designer The issuance f t •s permit shall not be construed as a guarantee that the cyst wil'1•f ction asM .'dDate Inspector4"' No. , �\� --------------------Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS Migpogaf 6 gtem Congtruction Permit Permission is hereby granted to Construct( Repair( )Upgrade( )Abandon( ) System located at K_41 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:Constructio m st be ommple ed within three years of the date of this pe Date: !/ Approved by \ Town of Barnstable Regulatory Services ° Thomas F. Geiler,Director, ' snaxsrnsie, Public.Health Division MAM Fos`` Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 - 4 . x Fax: 508-790-6304 Date: tG.2q4l Sewage Permit#;; W- VAY Assessor's Map/Parcelp Installer&Designer Certification Form Designer: Installer: ;tom rc Address: iZ..z--r y-v Dgi Address' On waiissued a permit to install a (d te) (installer) septic system at 10 l o La t 9-1 ci Q,rcIc bS'v l lt based on a'design drawn by (address) dated <vs�- ^ (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the` distribution box and/or septic tank.' Stripout (if required)"was inspected and the soils were found satisfactory. I certify that the septic system referenced,above' was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of,any component of the septic system),but in accordance with State& Local Regulations.'Plan revision or " certified as-built by designer to follow. Stripout(if require ected and the soils were found satisfactory. ,tN Of LINDA J. Installer's S�afore - � PII ( gn ) ,, In S SST �41 (Designer's ignature) (Affix De p Here) PLEASE RETURN TO BARNSTABLE,PUBLIC•'HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- " . BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. . gAoffice formsWesignercertification form.doc- t A - TO OM TABLE : LOCATION Ili SEWAGE # VILLAGE LY16 r V i I W ASS SSOR'SrAP & LOTPIC-0- I INSTALLER'S NAME&GGPHONE;10. SAI9 T gA'1sACITY' tod l LEACHING FACILITY: (type) (size) / ic Yam NO.OF BEDROOMS BUILDER OR OWNER (Y)l HCIMeS PERMITDATE: �" Q� COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 Z 1-7 o 3: 15- Z y zy y ' y S- Zb, q l S®b o ►► y. 31 6 s" 6- z9 6 e Doc s S53,209 12-07-2001 l l s 42 BARNSTABLE LAND COURT REWSTRY DEED RESTRICTION Property: 10 Flowing Pond Circle.Osterville MA WHEREAS,JOHN M.FALACCI,Trustee of MOUNTAIN ASH REALTY TRUST u/d/t dated November 28,2000 and recorded at Barnstable County Registry of Deeds in Book 13396, Page 277 and as Document No. n6,of 27 Chuckles Way,Marstons Mills,MA 02648, is the owner of 10 Flowing Pond Circle,Osterville,MA(hereinafter referred to as Lot 32)and being shown on Barnstable County Registry of Deeds Land Court Plan No. 37432-C. ' WHEREAS,JOHN M. FALACCI,Trustee of MOUNTAIN ASH REALTY TRUST,as the owner of said lot,has agreed with the Town of Barnstable Board of Health to a restriction as to .. the number of bedrooms which can be included in any home built on said lot as a pre-condition to obtaining a variance from the 310 CMR 15.214 State Environmental Code,Title V,Minimum Requirements for the Subsurface Disposal of Sanitary Sewage,and to obtaining a building permit for this lot; WHEREAS,the Town of Barnstable Board of Health,as a pre-condition to granting the variance from 310 CMR 15.214, State Environmental Code,Title V,Minimum Requirements for the Subsurface Disposal of Sanitary Sewage,and authorizing the issuance of a building permit for the construction of a single family home on this lot is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document, NOW,THEREFORE,JOHN M.FALACCI,Trustee of MOUNTAIN ASH REALTY TRUST,does hereby place the following restriction on the above referenced land in accordance with their agreement with the Town of Barnstable Board of Health,.whieh restriction shall run with the land and be binding upon all successors in title: . !e TOTFlowint Pond-Cl Ostervillg Massachusetts,may have constructed_upon.the=lot,LLa house containing�=r�eongp)ibedroom.� a JOHN M.FALACCI,Trustee of MOUNTAIN ASH REALTY TRUST, agrees that this shall be a permanent deed restriction affecting 10 Flowing Pond Circle Osterville.-M ssachusetts, duly recorded in Barnstable County Registry of Deeds as Lot 32 on Land Court Plan 37432-C. For title of JOHN M.FALACCI,Trustee of MOUNTAIN ASH REALTY TRUST, see Barnstable Land Court Certificate of Title No. 3 I further certify as follows: l) 1 am the only trustee; 2) The Declaration of Trust has not been altered,modified,amended or terminated since its recording,except as may already appear of record at said Registry of Deeds; - v, � w a 3) No beneficiary is a minor,incompetent,a corporation selling all,,or substantially all of its I assets,or a personal representative of an estate subject to tax liens; e 4) The beneficiaries of the Trust have authorized and directed the Trustees to execute this ` instrument. €` Executed as a sealed instrument this day of December,.2001. MOUNTAIN ASH RE LTY TRUST. y JoKn M.Falacci,Trustee COMMONWEALTH OF MASSACHUSETTS Barnstable, ss December 7,2001 Then personally appeared before me the above-named JOHN M. FALACCI,Trustee of MOUNTAIN ASH REALTY TRUST,and acknowledged the foregoing instrument to be the Trust's free act and deed aforesaid,before me. of ublic- o-huQL Esq. . c 's expires: 11/6/03 Q j; gMarsonlflowing.deed.restr s BAWTAM F RFMSTRV Or nPFnS IM! n r,. No. 0 Fee 137 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01pprication for Migpogar *pgtem Congtruction Permit Application for a Permit to Construct( )Repair(grade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. sec,' C',2� Owner's Name,Address and Tel.No. Assessor's Map/Parcel �v '„`�i\� �, j t e— S i Installer's Name,Address, Tel.No. (( Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 33 D gallons per day. Calculated daily flow -3 'Ae gallons. Plan Date Number of sheets Revision Date Title zit 5' Size of Septic Tank !ZKN ST vU Type of S.A.S. 1 G Description of Soil Nature of Repairs or Alterations(Answer when applicable) _Q�JA ff Orp--VO e.�r tT ` c.`tCJ w a, `1gE t- 9 '1 e Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has d by this Signed Date Application Approved by Date — Application Disapproved for the llowin reasons Permit No. Date Issued TOWN OF BARNSTABLE IrOCATION G Sca��S Cir��� SEWAGE # VI LLAGE ASSESSOR'S MAP &.LOT INSTALLER'S NAME&PHONE N0._ A, C��bn�S, �o [_I SEPTIC TANK CAPACITY I C700��� z LEACHING-FACILITY: (type) LI- H 4 -.C size) I :NO.OF BEDROOMS BUILDER OR OWNER PBRMTTDATECOMPLIANCE DATE: -Zt le stance Between the: } ::.Maximum Adjusted Groundwater Table and 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 . s Edge of Wetland and Leaching Facility(If any wetlands exist :.within 300 feet of leaching facility)' Feet Furnished by r `be 4... i 1r' �e �5-C IPA{ J ' .\\'In . 0 J0 � a No. �/Q_ �_ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes t PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for Zigozar *pMem Construction Permit Application for a Permit to Construct( )Repair(grade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. sec,h5 rc_� Owner's Name,Address and Tel.No. Assessor's Map/Parcel CJYµ,b"ta�\ �er�� 1`70 73wrt 1` Insta 's Name,A��d Tel.No. Designer's Name,Address and Tel.No. �I Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 3�-3 O gallons per day. Calculated daily flow' G 1 gallons. Plan .Date Number of sheets " Revision Date Title <Xf,S Size of Septic Tank `LX S-11" CTM k� otw Type of S.A.S. a Cc GAT . Description of Soil - GQ S AfA Nature of Repairs or Alterations(Answer when applicable) —_J7l.,_S7_6 d Z ezcf spy f L. /Y+I Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental C de and not to place the system in operation until,a Certifi- cate of Compliance ha$jrx&4&sueA_bv this o Signed Date Application Approved by Date Application Disapproved for the llowing reasons Permit No. 2- 3 Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CTXZIFY,t t the - wage Disposal System Constructed( ) Repaired ( )Upgraded(Pe)** _QmAbandoned( )by o �e � at 1�1�4 Se�_As ClCcr�f—,._ vk-Ot--S, S has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer The issuance oflthis per t shal of be construed as a guarantee that the system wit uncti n,ai designed. Date _ C1 Inspector ' �s ---f--------- ---------------NO. — Fee 2 i THEICOI AON ALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS �Wmigogal *pgtem �o !Aruction hermit Permission is hereby granted to Construct( )Repair( P1 Upgrade( )Abando ( ) System located at i 5 Cori t l t and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date: �_T=� Approved by � i I019191is r ' • To Be Used For_the Repslr,Of Failed ' NOTICE: This Form Is Septic Systems 0 1y _J , • OF SKETCH AND APPLICAT CE ION FORA 4 RTIFICATION CO WORKS NSTRUCTION PERMIT (WITHOUT ' DISPOSAL WO { ENGINEERED PLANS) certify that the application for disposal fY works hereby .. 1 in the construction permit signed by me dated _.concern g meets all of the petty located at following criteria: leaching facility t There are no wetlands located withM 100 feet of the proposed j ll ; wells within 150 feet of the proposed septic system (/•. Thera are no private There Is no increase in now endlor change in use proposed There are no variances rapested or needed. If the proposed leachi li facility will be located within 250 feet of any wetlands,the bottom of the ( y Ieaehin feeilitlf will aat be located less than fourteen(14)feet above the maximum adjusted proposed g ' groundwater table elevation- please eomplete the following: C 3 in b the Engineering Division d•l.s•map) A)Top of Ground Elevathm(soW g } ter Table Elevation(according to Flealth Division well map) B)Observed&Oundwe 1 DATE: SIG ED G i LICENSED TENl INSTALLER IN THE TOWN OF BARNSTABLE NUMBER SEPTIC SY3 rd+st'et�. d +•Airs Irtt+.ttan..e Ina.n.r pe.aa«a eatllA.e plat pin+. 4 htt.e�.s v fhb plan should be:nMnhtedl. ' Milan..sari i , O v i ,� J Y - i,J i 1� �: . 11 Al. 24'riT61p Pt tNCitEJj_ .. •f.• - Srdi ..�_ — iLj FZiCt�:�CE\71.�7T6FL_C�i-=::o-•_----•-- .YE:Q -a>=rar�c-E+ticr=-- .. .. _.-- 5_ L7(6[7-4—... lie -resew •e� ar_.' —— -- - - -- --- f ._. - ' _ evl in � tr5@UStOm a es igns -- -- -- .. . ..vI Rights , copyright®200 + ntu I it ---i-- - I -''T-,_—• _` -.Yd .. .'2i 6-.P'T9[���56gLFq, -- , Served Lai I LEM 14 — : � — r. • 3 �FL..E 1` . ��/�'f L :'. 2 - Prolilninary plans and layouts by DC.D-are for[he use of their customers only.Any other use is strictly Prohi Dice - t Box:ovee 2a.4 ... _RT 6.144T � CCU.A ttES - -- 9 HHH_ s 2lo_C - I 1 irssatnev;»q: 'ry HeET&CrK c n i w I ^ I i ti if .11 -- ., ' -'DHZ-35T5::-ti1A0�:GLL-WITLTITd.LS.GAT-Alt.¢.6•a .-:-. - ". - .. .—____ -. _ .. __ __ _ ___ -- ____ .._ _ _.._ _.._.. ... , ' 3C001= Eft1I7.A1lr.C�— .. , _ r ' _ - -- - _ _25:C' ' , 1 CA I41 A y 1040 -"t 2 a z:a of II r±n+u cows sus 3 y >1 .SCALE. bA 40 1CITGHEM I I N� a 508.428.61910 0 1 3 ex 0 x10 IRK FfO.FOR 3Tre_ 9+ f u evlin S - ram" o i 'yI PCOwo atiFow4xco�• .o ( !UstOnl N ••� 2:0 10:6 _.... .3•.6. . ... -- a�'4"._.. .._ _ 98 d:0• 001 o esigns b1 -- _- - - - —- -- Reserveds® co 2 .. -, � 2 O _'::.. .7. O:.. m:o _ i's':O'.... '::m:O ... •7'C: .4.'O"-' '' All i 1 � i •� f, n �� 16 o it TH ®. IixrorntlSOH_t KItEYm FTG. G' EOUNDAi:(O.T.l_.PC41a :-- A2Pj E t Q - - - Preliminary plans and Iay0uts by EtC.D.are for the use of their customers only.Any other use is strictly prohibite 26 I ,` +�6 I G 4 9.69 , BVW 12 25. 1 pga '+ti ; ,� F° <�jy Z'' ,I BSS 2 . Rq/ Na �A DESIGN �- i1r \ , ,� \ qci!-4 �M� It LEGEND: \ F1yT �0 s LAND SURVEYING x 33.5 EXISTING SPOT GRADE CIVIL ENGINEERING 25.07 X \ALIZ- \ x 26.64 0 ,,�o ; \ \ L 0 T 3 3 a SEE * FOR SITE ` \ 25.90 6ti \ A� C APPROXIMATION PROPERTY LINE LAND PLANNING BVW 11 �\ +� �� \\ �C I ROUTE 28 CB■ CONCRETE BOUND ,I," 25.95 \ \\\ o 2�•42 \ \ r LOCUS MAP OHw EXISTING OVERHEAD WIRES Bss Design, Incorporated ;'9//I�,b �S 10. \\ 1 SCAM APPROXIMATE Z 164 Katharine Lee Bates Rd x 25.06 ' • \ EXISTING UTILITY POLE Falmouth Massachusetts 02540 \ \~ FgSFM �. \\ 4 i 508.540.8805 FAX 508.548.8313 26.14 ,It x r ,\ F � x 27.95 \ d di, s_c Z6.71 X 28\\2a.19 t 29.27 TEST PIT x 25.05 \ \ N -29- - - EXISTING CONTOUR .Y (n x25.18 '� Y ', \\ 6 \\ � - _ \ 2 29- PROPOSED CONTOUR z (n o F- `!' \ �8 ,\ \ BM. CATCH BASIN Z BORDERING \ \ C \ ELEV. 28.9' �I v .3 W w all, all. VEGETATED BVW 10 tih� ; x;26.60 ` I `<\ z 0 PROPOSED SHRUB p a tL (/) WETLAND 25.45 + F \ O L O �-- o 2 O � _ _ all. all• 25.13 `, \� 0 I EXISTING\\ �`' 1n LLI 25.01 x 3 �. h \ \ \\ I LE29 ACHING i �\ c 29.20 N _ U 28.95 Q x 25.15 DELINEATED BY SABATIA, INCx z5.10 �2 w W X 25.26 Z 7/31/01 � 5�, / � X '6.47 a 26.5 k 26.5 \\ \ c. .9 -19 - Q Fw- U x 2 34 BI/ T , fy� \ piQO \. _ N Z 03 Q air. N o k / I \ \ e.s DES/GNIN 0 �" z 2s. �-4Y \ �8 / INSTAL G ENGIIV a O O ail. 0 � BVW 9 25.5683 o V W 9 LATI EE Q Q ___) LtJ all, �o 26.5 i' ns ��gTHE SYST GN AND R MJST N cn all. ,10p / cti� \ 29.2 1- 200 PS/ Yt"r eD �5 481✓'�y5 1Fy N Wn �5m. ( a LIJ m Tp 1 PRpo TAP BY TOWN O PLgN '�-EO INS �GQ c� N O Q L m B BO p Sq Owe-BED E,,QQ I / T� o � Q - Z � HO(/S � C2M X 27.27 1p / EXISTING 6" WATER MAIN - APPROX. LOCATION W oW W CL w = (� ,li, x 25.5 /+ x 26.62 ; 3 > C VSV190 BVW 8 / ?s°� �;x 24.7 X 6 g0/ w Q ' (/J 0 26.°4x, , - LOT 32 _ - ,/ s �e� ^ / 3 Q ' ' N Q `` m CL) r sr `° a Q a Z w 15IE� ,440 S.F i �� ELEV'�OOR 0 \ my STANDARD /Nm RA TORS WITH 2' OF DOUBLE- N 'Q Q z �j i ^� JOKER 55 / � -0 4 %• 29.s7 WASHED STONE ALL-AROUND & 1.5' BETWEEN. i � i J � �J 73.5 I'FC j 2e'75 BOTTOM AREA: 6.83' x 18.0' = 123 SF k o En o �^1 a J_ o -2, ', 0`,` 28. � 2 1.1.. O 0 27- - 20>S SF WETLAND ?OB :o STRIPOUT TOP & SUB-SO/LS 5 ALL-AROUND o m u- Z N (�1 Ln 9 % n� �, 1 NOTES: °' W °° DCn w � I� w Cu ` , �f/� v m W a f- F- o z7.sa x - - - - - -`--'- fff °p�•�q� \ z 1. HOUSE No. 10 FLOWING POND CIRCLE W o 5 Q a O X 28.19 SEE '� LEGEND i & NOTE 7 0 k I w 30.1 2. ASSESSORS MAP 146 PARCEL 66 0: a: 28- - ' N 36'43'49" W X z ' 30.1 30.32 30 3. ZONING DISTRICT:. RC scale = 20' U' 135.64' 0 `. 29 30 O 30.34 4. FLOOD ZONE: C dote -j 5. SPOT GRADE ELEVATIONS ARE BASED ON AUGUST 3, 2001 LOT 31 r<�` TEL BOX � AN ASSIGNED ELEVATION, BENCHMARK; drawn m GRAPHIC SCALE �`' CENTER OF CATCH BASIN EL 28.9 o �8 ELEV. 30.5 TOP F s EJP, ARG, TJB 20, 0 10 20 40 so OF T / �N AS 6. LOT IS LOCATED IN A ZONE II NITROGEN- WAL U DESIGN BYOTHERS L �' ss SENSITIVE AREA & RESTRICTED TO 1 BEDROOM checked 31- - W/OUT DE-NITRIFYING/ADVANCED TREATMENT. job number ( IN FEET ) 32.2 7. PLANT TALL WOODY INDIGENOUS SHRUBS 1108 n 1 inch = 20 ft v �°.. ' " FOR SCREENING. title SITE PLAN 0 ` J 1 OF 3 3164. �}�� drawing number P7-15 BSS D E S 1 Q N AT LEAST ONE TANK COVER To SOIL STRIP-OUT REQUIRED FF EL 35.5 BE WITHIN 6" OF FINISHED GRADE , h ` SEE SITE PLAN LAND SURVEYING ! CIVIL ENGINEERING 32.3 32.2 - 31.8 MIN. 31.7 1 minimum 2% slope FINISHED GRADE LANDSCAPE ARCHITECTURE 31.0-31.5 CONCRETE RISERS AS REQUIRED INSTALL "OPEN" END ti CLEAN BACKFILL ti 31,2 TO BRING COVERS WITHIN 12" PLATES AT FRONT ENDS w " _ BSS Design, Incorporated OF FINISH GRADE (FEED PIPE ENDS AT - INSTALL CLOSED END 164 Katharine Lee Bates Rd 29.60 OPEN END PLATE) I PLATES AT BACK ENDS 1�4w pachusetts 02540 er foot 3" L 1�8w per ft, FIRST 2' SHALL 2"(1/8"-1/2")peastone 508.540.880Falmouth 5 FAX 508.548 8313 u LIQUID LEVEL 6" BE SET LEVEL 30.0 FOUNDATION OLZI 3/4" - 1 1/2" (n BY OTHERS 10' 14" 29.87 1 8,46F.'ft.•:min WASHED STONE 30.32 30.12 3 4' (� 29.82 J w H G.B. 29.0 Q � LOWER 29.66 LEVEL EL 27.0 _4' I 6.25' I 4' U f'- in 0 V) Lj = 10 10-6 5 8- vai U -2 PIPES STANDARD CAPACITY INFILTRATOR i o = U Q LENGTH VARIES v �_ D:B3 -BOX 6' MAX USE (2) 3.0'x6.25'z1.0' - H2O ;n 0 w U (� SEPTIC TANK MOLDED POLYETHYLENE UNITS o i 3 HOTO - H10 "�,4 . w N Q INS To i Ra WITH 2' OF DOUBLE-WASHED STONE tNpF ,i 1,500 GALLON AASHTO - H10 TE 7. ALL-AROUND & 1.5' OF STONE BETWEEN. (n (n = .EFFFEY D R � "� __- rI ADJ. HIGH GW EL 24.0 < Q 0 SUBSURFACE SEWAGE DISPOSAL SYSTEM " SOIL MOTTLES 0 0 w c- m NOT TO SCALE , 3 W z Q OBS. GW EL 22.5 0 0 OBSERVATION HOLE & W ; � M PERCOLATION TEST DATA DESIGN CRITERIA , I W o Q e NUMBER OF BEDROOMS: 1 brm design PERCOLATION RATE _ <2.0 min/inch V Z W ^m GENERAL NOTES TAKEN BY: Lawrence Perry. C.S.E. for BSS Design o DESIGN FLOW: 110 gal/day Y g 3 Q U O TOTAL DAILY FLOW: 110 gal/day WITNESSED BY: Glenn Harrington for Barnstable Health Dept. W U_ z �W o DATE: August 29, 2001 Z 0= Q J �, 1. All system components shall be installed in accordance 3 N 0 > with the State Environmental Code Title V. Minimum CALCULATIONS ,� m v z 04 Requirements for the Subsurface Disposal of Sanitary ' \ ~ N � W Q Sewage, and any local rules which may be applicable 2• The Barnstable Board of Health & BSS Design must be notified SEPTIC TANK: SINGLE COMPARTMENT S01L LOG P ,0053 0 O Q 9 a_ o when the system is installed, and prior to backfilling NOT TO SCALE w M Z W 0 0 u for inspection. DESIGN FOR USE WITHOUT GARBAGE GRINDER Ix Q d J 0 3• The stone around the leaching pit shall consist of washed 110 gal/day x 200% = 220 gal/day TEST HOLE #3 TEST HOLE #4. scale a stone ranging from 3/4 to 1-1/2 inches in size and be free 1,500 gal TANK MIN. REQUIRED cn of iron, fines, and dust in place. The stone shall be covered 1,500 gal H10 SEPTIC TANK PROVIDED ' 288 0 27.4 0 NOT TO SCALE with at least a 2 inch layer of washed stone ranging from r - FILL SANDY LOAM 0 SANDY LOAM LL_ 1/8 to 1/2 inch in size, and free of iron, fines, and dust. 4 273 E 18w 282 E 14w date In place. 1 8 LOAMY SAND 8 LOAMY SAND AUGUST 3, 2001 27.1 21 w 25 6 22' cv 4, The grade above and adjacent to the leaching facility shall slope LEACHING CAPACITY: (STATE REGULATIONS drawn n, c MED./COARSE at least 296 to prevent accumulation of surface water. SIDEWALL = 2 6.83' + 2 18.0' C1 FINE SAND 0 5. Gravity sewer pipe shall be 4" diameter sched. 40 PVC or equal ( ( ) ( )) x 0.58 x (0.74 gal/ SAND LMP at 1/4" per foot (2%) minimum slope. = 21.3 gal/day 25.4 41- 24.0 41" checked C2 MED. SAND MOTTLING !,7 6. Contractor shall notify Engineer if soils are encountered other BOTTOM AREA = 6.83' x 18.0' x (0.74 gal/sf/day) 23.2 67' 22•5 59' than those shown in the soil logs. = 91.0 gal/day NOTHING a 7, Equalizers shall be installed on the ends of the outlet pipes TOTAL LEACHING CAPACITY = 112.3 23.0 7W GND• WAS job number a 'inside the distribution box. p p gal/do GND. WATER 1 108 U, title z SSDS DETAILS 3 18.8 12W 17.4 120" 2 OF 3 odrawing number P7-15 24"diameter concrete cover raised 05T E RV I LLE TOP OF FOUNDATION 24"diameter concrete covers to within 6"of frnrsh grade(or as 4"PVC VENT EL=35.5 raised to within 6"of finish grade noted) CAP BY"5WEETAIR THREE(3) 500 GALLON LEACH CHAMBERS MA (or as noted) 24"diameter cast Iron covers at grade WITH 2'OF STONE ALL AROUND 36"MIN 29.5' Existing EL=33.0+ EL=3/,D(mrnJ-33.2(max) EL=32.5(mrn) LOCUS 1. 31.8+ ,E (Z h 5.2' 3/.60 :l M N `t 30.2+ 90° GEOTEXTILEFABR/C t n 100 (IN PLACE OF 1/4"--1/2"PEA5TONE) Proposed Stone Wall 3 PQ 2"Delivery Line � 31.00 N N 314"- l-1/2"5TONE (5ee DetarQ Existm 23 30.l: \21,+ 90� - - o 29.00L 2575 � 26.2_+ crI m _ % rn Flowing Pond 29.00 a0 cp _ N Cir Pro osed� cq � � O Carlisle Dr O Wal e CLA55 150 Pressure THREE(3)5HO9,EYPRECA5T 500 5 p+ Gas Baffle 25.5+ Pie with I CF of N ° L ° Z p GALLON LEACH CHAMBERS WITH ,+ -_ Zabel Fr/ter concrete behind bends 6• _ _ _ _ - 24.5+ for thrust blocking. 4'OFSTONEALL AROUND ° (END VIEW) -4 EY15TllV6 /500 GALLON l Block Retamrng Wall(See Detar) WITH PROPOSED WALL BAFFLE l 000 GALLON / F/��/� fL=24.0 Estimated Hrgh Groundwater(Mottling) 4-PVC Vent Pipe HOPE Liner(See Note#22) Route 26 /L/L� �JR/F/ p C� EL=22.5 Observed Groundwater 1/4"Perforations at /0.,00*2:00 SEPTIC TA lVK SfPT/TEC�I M400 TieE�1 TMEIV T T�NK �i/ /�1/V/LJL l\✓ /"Perforated PVC Pipe with PUMP CHAMBER FLOW FROFI LE PLAN VIEW 51TE LOCUS (to be Supplied by 5eptitech) NOT TO SCALE IOOO Gallon SCALE: I " = 10' NOT TO SCALE 5fPTI TECH M400 TgfA TMENT TANK Vi/lTf-1 PUMP CHA MBEie B• rrr Bath Dining Kitchen Family Unfinished S E PT I T E C N G E N E f�A L NOTES 1 .) Assessor's Map 14G Parcel 66 2'-4" 2.) Certificate #C I G5785 Work space 7 3.) Land Court Plan 37432C 1 .) 5eptiTech processor shall be installed inaccordance with 5eptiTech installation instructions. 4.) Thi5 property 15 in a Zone II of a Public Water Supply Bdrm Finished 2.)Tani shall not be installed at a depth any greater than 24-inches. Tank installations requiring a 5.) Flood Zone: C (Existing Den) L'v'n9 5tora depth greater than 24-inches shall do so with prior approval by SeptiTech only. e g FItIly \\ \�� �/I 1\ / ;f ;, 3.)Tanks) shall be installed with a minimum of 6-inches of compacted crushed pea stone or sand First Floor Basement bedding. Select fill shall be used for backfilling around tanks. 16"Safety Volume 4.) Exterior Piping: Contractor is responsible for supplying and installing all exterior piping per LEGEND P f�0 PO5 E D F LOOK PLAN 359 Gallons 5eptiTech installation drawings. - -,�- Alarm ON a d 6" 5.)Air Intake Piping: Air intake snorkel shall be installed within 100 feet of the processor tank. Air EXISTING SPOT GRADE �t A) �- Pump ON intake piping shall be installed such that a positive pitch is provided back towards the processor tank 24x5 PROPOSED SPOT GRADE NOT TO SCALE m 6" such that an condensation build u is free to drain. m 7 Pump OFF y p - ---2t ---- EXISTING CONTOUR 5Y5TE M D E51 G N CALCULATION 5 G.) Pipe Insulation: Contractor is responsible for insulating all piping exterior to the 5eptil 24- PR01`05ED CONTOUR 2" Sump processor including the discharge line from the processor to the disposal field. w WATER SERVICE LINE 5EWAGEDE5/GN FLOW REQUIRED:2BEDROOM @ 110GP0/BEDROOM=220 O OVERHEAD UTILITY LINES GPD REQU/RED(4005.F. FOR/NCREA5E/N FLOW) LA Ll - .-Ij 7.)Tank Insulation: After tank has been installed, contractor shall insulate the top and sides of the u UNDERGROUND UTILITY LINES rk wrl r-% Cl tj r&j processor tank below frost depth (4-feet minimum) with 2"rigid foam(blue) board insulation and then c GAS SERVICE LINE CON 5T ICU CT I O N NOTES SEWAGE DES/GN FLOW PROV/DED: THREE(3)500 GALLON LEACH CHAMBERS WITH complete backfilling. 2'OF5TONEALL AROUND - I - TOP OF BANK DETAIL 5.) Electrical: All electrical work is the responsibility of the contractor's licensed electrician and is not -.--.--.- LIMIT OF WORK Vt =((29.5x6.63) + 2(29.5 + 6,63)x21= 403.55.E budding where provided by 5eptiTech. System Controller should be installed in a heated where an ambient EDGE OF CLEARING /.)ALL WORK SHALL CONFORM TO TNESTATE ENV/RONMENTAL CODt TITLE 5(3/O CMR = 296.6 GPD PROVIDED temperature range of 60 to 90 degrees F is maintained. If the control panel must be located outside, 15.000):STANDARD REQU/REMEN75 FOR 7HE5/T/N6, CON57RUCRON, /N5PECT/01V, UPGRADE NOT TO SCALE please notify 5eptiTech, Inc. so a heater may be installed within the enclosure. -'-'Tp FENCE AND EXPANSION OF ON-5/TE SEWAGE TREATMENT AND D15P05AL 5Y57,ffM5 AND FOR THE 403 5.F, PROVIDED> 400 5.F REQUIRED 0 TEST HOLE LOCATION TRANSPORT AND DISPOSAL OF 5EPTAGE AND THE LOCAL BOARD OF HEAL TH R56ULATION5. `�T SEPTIC TANK 2.) ANY5EPTIC SYSTEM COMPONENT/N5TALLED IN A LOCATION WHERE THERE l5 POTENTIAL 298 GPD PROVIDED> 220 GPD REQUIRED DB DISTRIBUTION BOX FOR VEHICLES OR HEAVY5QUlPMENT TO PASS OVER lT SHALL BE OE5I6NED TO WITHSTAND SEPTIC TANK CAPACITYREQUIRED: 220 GPDX 200% =440 GPD REQUIRED SAS SOIL ABSORPTION 5Y5TEM AN H-20 LOADING, IF UNDER AN IMPERVIOL15 SURFACE 5Y5TEM SHALL BE VENTED TO THE TT SEPTITECH TREATMENT TANK ATMOSPHERE 5EP77C TANK CAPACITYPROVIDED.• EX/5TING 1500 GALLON 5EPTlC TANK WITH CO.) UTILITY POLE 3.) TO MINIMIZE UNEVEN SETTLING; ALL,SYSTEM COMPONENTS SHALL BE/N57ALLED ON A PROPOSED WALL BAFFLE CATCH BAST N Wish 12 4 Cap .4�+ STABLE MECHANICALLY-COMPACTED BASE ON 5/X INCHE5 OF CRUSHED STONE TREATMENT TANK PROVIDED: l000 GALLON 5EPTITECH M400 TREATMENT TANK Grade' / pf4rJ 37 FI KE HYDRANT 4.)COVERS OVER THE INLET AND OUTLET TEES OF THE 5EP77C TANK, THE Dl5TR/BUTION BOX, WITH PUMP CHAMBER 3/•S f 31.80 / C DRINKING WATER WELL AND THE 50/L AB5ORPT/ON SYSTEM SHALL BE RA/5E0 TO W/TH/N 6"OFF/NAL GRADE A GARBAGE 0/5PO3AL/5 NOT PERMIT=WITH TH/5 DES/GN FLOW 31.5 ■ CONCRETE BO U N D LEACHING F1ELD5, TRENCHES, AND OTHER 501L ABSORPTION 3Y5TEM5 WITHOUT ACCESS MANHOLES SHALL HAVE AT LEAST ONE(l)1N5PECTION PORT CONSISTING OF PERFORATED 4" PVC PIPE PLACED (AERTICALLYTOTHEBOTTOMOFTHE501LAB5ORPTION5Y5TEM WITH A Yc Map 146 Parcel 67 1 BENCHMARK CAP, 71CD WITH MAGNETIC MARKING TAPE ACCESSIBLE TO WITHIN 3"OF FINAL GRADE .- Vacant Land PUMP N OTE� � REQ U I iZE M E N T5 • � -'- -�- _.•_ � Existing Septic Tank to be � Center of Catch Basin 5.)P/PING 5HALL CONSIST OF 4"SCHEDULE 40 PVC OR EQUIVALENT. P/PE SHALL BE LAID ON I -- Utilized(See Note 42/) El (Assumed Datum) A MINIMUM CONTINUOU5 GRADE OF NOT LESS THAN 2%FROM THE BUILDING TO THE SEPTIC 4 -8" N F TANK, AND NOT LESS THAN 1%OTHERW/5E 1.2") PUP SHALL BE A MYERS 514/10 HP SOLID AND PUMPING I 0 FT OF HEAD AT OR EQUIVALENT, GPM.LENT, CAPABLE OF PASSING A Blocks �n`Sh Grade\ S 1 O°54'5 7" E 10 Wide Drejuage Easeazeat 6.)Dl5TR15UT10N LINE5 FOR 7HE50/L A05ORPRON5Y57EM31-IALL BE4"DIAMETER SCHEDULE 5.)ALARM SHALL BE A RED WARNING LIGHT WITH AUDIBLE ALARM LOCATED WITHIN THE 1 G7.82' , \ 40 PVC(OR 5QUlVALENT)LAID AT 0.005 FT/f7. UNLESS OTHERWISE NOTED. LINE5 SHALL BE BUILDING AS SHOWN ON THE PLAN. \ 10' Aide D i - CAPPED AT END OR A NOTED. 9.)THE CORDS FOR THE FLOATS SHALL BE ONE CONTINUOUS PIECE FROM THE PUMP reiaeBe EQgeazeat 7.)LINE5 FROM THED15TR/BUTION BOX TO BELEVEL FOR THEFIR.ST TWO(2)FEET BEFORE CHAMBER TO THE DISCONNECT PULL BOX. THE CORDS SHALL BE ENCASED IN 2-I/2"TO 3" � , .�PITCH/NG TO THE SOIL ABSORPTION SYSTEM. DISTRIBUTION BOX SHALL BE WATE CONDUIT. Parcel I S R TESTED TO - hed -"I __ I Ex;stm A55UREEVEND/5TR/BUTION, 10,)ALARM AND PUMP TO B 8' Peastone E WIRED TO DIFFERENT CIRCUITS. Area= 15,440 S.F. Gravel 6.)GROUT TO BE USED ATALL POINTS WHERE PIPES ENTER OR LEAVEALL CONCRETE I I.)ALL PUMP, WIRING, ALARM, AND FLOAT INSTALLATIONS SHALL CONFORM TO Base �' I I Drive MASSACHUSETTS STATE PLUMBING AND MA55ACHU5ETT5 STATE ELECTRICAL CODES AS WELL 28.2 Z 5TRUCTURE5/N ORDER TO PRO VIDE A WA TERTlGHT5EAL. AS TO MANUFACTURER'S SPECIFICATIONS. I I S I `� ` JJJfff Existing h W I �q a` T . Paved Drive 5.)HEAVYEQUIPMENT SHALL NOT B TO E ALLOWED OPERATE OVER THE LIMITS OF THE SEWAGE v) \ I ' I I N %'7 1.0.0' D15P05AL FIELD DURING THE COURSE OF CONSTRUCTION OF THE SYSTEM. 12 Reserve Area --- o / (See Note#24) /0.)IN ACCORDANCE 1310 CMR 15,221, ALL 5Y57'5M COMPONENT5 51YALL BE MARKED PUMP DOSING CALCULATION 5 : I 100.0' I I I ,v RETAINING I NG WALL I Map 14G Parcel 71 0 WITH MAGNETIC MARKING TAPE 3 I �, / c' / 11 11 Q C= 1 I.) THEREARENO KNOWN WELL5 W1THIN 150'OF THEPROP05ED 501L A35ORPT101V5YSTEM. I. DETERMINE VOLUME OF EFFLUENT TO BE PUMPED TO LEACHING FIELD NOT TO SCALE 100.2' I I 4 \ _ J Town Water -� � N C l2.)FROM THE DATE OF THE INSTALLATION OF THE 50/L ABSORPTION SYSTEM UNTIL RECEIPT DAILY FLOW = 330 GALLONS 1 _ Cp c,3 - OF THE CERTIFICATE OF COMPLIANCE THE PERIMETER 5HALL Of 57AKED AND FLAGGED TO NUMBER OF DOSES PER DAY= 8 DOSESCID PREVENT USEOF THEAREA THATMAYCAU5EDAMAGE TO THE5Y5TEM. NUMBER OF GALLONS = 330/8 = 41 GALLONS S 13.) THE DE516NER WILL NOT BE RE5PON5I3LE FOR 7HE5Y57EM A5 DE5/6NED UNLESS DRAIN BACK VOLUME oSGd dat%o\1 CON5TRUCTED A5 SHOWN ON PLAN. ANYCHANGE5 5HALL REAPPROVED IN WRITING BY THE Map 123 I P�Op°��35 5% 1� -3 ; 10•I \n DES/GNER. 2 FORCE MAIN = 3.4 GALLONS Parcel 57 ' I ti� 20, 10' n ►-� D PUMPING VOLUME = DOSING VOLUME + DRAIN BACK VOLUME 1 , in N ca /4.) THE BOARD OF HEALTH REQUIRES INSPECTION OFALL CONSTRUCTION BYAN AGENT OF 44.4 GALLONS = 41 GALLONS + 3.4 GALLONS O WAS - 1 Existing Leach I l :;, rn ! THE BOARD OF HEAL TH AND THE DE5/GNER, THE DES/GNER 5HALL CERTIFY IN WRITING THAT Basin 12,5' THE 5EWA6E D15P05AL SYSTEM INSTALLED/N ACCORDANCE WITH THE TERM5 OF THE 2. LATERAL DISCHARGE RATE:' t-- Proposed Retamrng J PERMIT AND THE APPROVED PLANS. 4B HOURS ADVANCE NOTICE 15 REQUESTED. 7 PERFORATIONS x 1.17 GPM/PERF. @ 2.5' HEAD = 8.19 GPM Re%sated I min# 1 Wall(5ee Detail l I G 7,82' Water 5erwce ' i \ > �17 15.)CONTRACTOR 5HALL BE RE5PON5/BLE FOR DETERMINING THE LOCATION OFALL / > I I \ o p WireM way i UNDERGROUND AND OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OFANY WORK. THIS -rm - ti �' I w / / I a Survey Work by. INCLUDE5, BUT 15 NOT LIMITED TO, REQUESTS TO 0165AFE, ANY PRIVATE LIRLITYCOMPANIE5, I o N I I f TEC,T HOLE - -� o Proposed 5oll O L LOG 5 o I I Proposed SAS(See Pan View)Note#l9) A & M Land Services AND THE LOCAL WATER DEPARTMENT. ��� _ _ t.��` / / P 16.)CONTRACTOR 5HALL VERIFY THAT ALL WA5TELIME5 ARE CONNECTED BY WATER TESTING 1' / 618 Route 28, Suite 3 I i / P 5. I Existing 5A5 to be Removed West Yarmouth MA 02673 W/TH/N THEDWELL/NG PR/OR TO/N57ALLAT/ON OFANY5EPT/C COMPONENTS, Test Hole#3 (EL=28.8_) / �//�1 w I- / I 3 (See Note#20) Pb- (508) 737-1777 Email.- anmland®comcast.net 17.)CONTRACTOR SHALL VERIFYEXI5T/N6 1NVERTELEVAT/ON5 PR10R TO/ (5TALL4T/ON OFANY Depth Layer Soil Class Soil Color Comments I 1 W� j SEPTIC 5Y5TEM COMPONENTS. 0"-18" FILL Sandy Loam \ 0.0' i //� 1O'min Map 122 Parcel 71 /8.)1N5TRUMENT 5URVEYCONDUCTED FOR PROPOSED WORK ONLY. 5/7E PLAN SHALL NOT BE 18"-21" A Loamy Sand I // ,� Ag Town Water REVISED 07/23/10: Revised SAS; Added Reserve Area, Reserve Area Detail, USED FOR STAKING, OR ANY OTHER PURP 6"05E5. 21"-41" B Fine Sand Perc @ 28-4 \ / r o 3 41"-120" Cl Medium Sand Motthng � @ 67" + Gravel I / N 36 50 Buffer 100' Buffer and Wall Detail; Removed Variance Requests 10.) SOIL REMOVAL• ALL TOP50/L (A LAYEg)AND 5U850/L('B LAYER)SHALL BE REMOVED GW 70 I I / \ 11 11 Zone FORA D/5TANCEOFFIVE(5)FEET LATERALLYFROM THE 501L AB50RPTION5YSTEMDOWN TO I �j - J Zone REVISED 06/07/10: Added Existing Leach Pit in Drainage Easement; Relocated \ N �H OF i44 Treatment Tank and Removed Variance Re uest; Added Reserve Area Variance THE CLEAN 5ANO LAYER(EL=25.6+). AREA TO BE BACKFILLED WITH CLEAN SAND AND \ _ 4SS q COMPACTED TO MINIMIZE5ETTLING. Test Hole#4 (EL=27.4±) I Bdrm �1 ro Q ��? LINDA J. c q .� 7 Re uest. G 20.)EX/5TING 5EPT/C COMPONENTS TO BE REMOVED. ANYCONTAM/NATED 501L SHALL BE Depth Layer Soil Class Soil Color Comments Ex�yr`n0� l I r" REVISED 05/17/10: Revised Desi n Calculations, SAS,Treatment Tank; QWe�I„1�drm5 ; S� � � SITE PLAN � PINTO � Utdizm Existin Septic Tank; Added Variance Re nests. REMOVED FORA 015TANCEOF FIVE(5)FEET LATERALLYFROM THE 501L A850RPTlON5Y5TEM °yea 2 ati\On p,,.f.� \ , r CIVIL g g p q AND REPLACED WITH CLEAN SAND, AREA TO BE COMPACTED TO MINIMIZE 5ETTLING. 14"14" O/E Sandy Loam Pro? o\3rd I- _ ?r 14"-22" e Loamy Sand •(op°�F3y,5% - w 8 SCALE: 1 " = 20' ? �No. 46504o t Prepared for: 2/.)FJC/ST/NG SEPTIC TANK TO BE UT/L1ZE0. PVC TEES SHALL BE/N5TALLED ON THE 1NLET -1 20" C I Medium-Coarse Sand Motthng @ 4 I" + Gravel j/ GxF 161 S T AND OUTLETEND5 A5 REQUIRED,• A WALL BAFFLE5HALL BEIN57ALLED IN THE TANK FOR THE GW 59" / SS/ONAL ANC' Justin and Martina Larhette REQU/RED DEN/TRIFICAT/ON COMPONENT5;AND A GA5 BAFFLE AND ZABEL FILTER 5HALL BE / tv, 10 Flowing Pond Circle, Osterville, MA /N57ALLED IN THE OUTLET TEE 22.)IA15 TALL A40mrl HOPE LINER FROM EL=3I.6TOEL=27&A55HOWNON PLAN(5EE �,/ , 1 0 1� J Proposed Sewage D15p O531 5y5tem PLAN VIEW). DATE OF TESTING: 08/29/0 I 10 Flowing Pond Circle, 05terville, MA 501L EVALUATOR: LAWRENCE PERRY 23.)PUMP5,ALARMS, AND OTHER EQUIPMENT REQUIRING PERIODIC OR ROUTINE IN5PECTON BOARD OF HEALTH AGENT: GLENN HARRI NGTON, BARNSTABLE HEALTH DEPARTMENT I Pelocdted Leach 5a5In AND MAINTENANCE5HALL BE OPERATED, lN5PECTED, AND MAINTAINED YEARLYINACCORDANCE PERCOLATION RATE: LE55 THAN 2 MIN/INCH IN "C"LAYERS - Pre area by: WITH THE MANUFACTURERS AND 7HEDE3IGNER5 SPEC/FICA710N5 AND DEPARTMENT GUIDANCE GROUNDWATER ENCOUNTERED @ 70"± IN TP-3 AND 59"± IN TP-4 within Easement WITH y TAE S STEM OWNER SHALL SUBMIT THE RESUL 3 OF SUCH lN5PECOONS TO THE LOCAL 35 A' RESERVE E iZV E AREA DETAIL , APPROVING AUTHORITYANNUALLYBYJANUARY3/ OF EACH YEAR FOR THE PREVIOUS ige 6 CSN C LEND R YEAR. 100' Buffer �+ 24.)IF THERE5ERVEAREA I5 UTILIZED, THEEX15TIN6 LEACHING BA5/NA/VO WATER 5ERV/CE IN5PECTION NOTE: Zone SCALE: 1 " = 20 Engineering SHALL BE RELOCATED AT THAT TIME THE WATER SERVICE 5HALL BE RELOCATED TO BE A g g MINIMUM OF 10'FROM 7HE5A5 AND THE LEACH BA5/N 5HALL BE RELOCATED TO BEA PRIOR TO FINAL INSPECTION BY THE ENGINEER,5Y5TEM MINIMUM OF25'FROM 7HE5A5 PER TITLE5(5EER55ERVEAREA DETAIL)• NEEDS TO BE COMPLETE INCLUDING BUILDUP FOR COVERS. O 2O 4O 6� P.O.Box 2030 Phone:(508)274-7347 Teaticket,M,4 02536 Fax:(508)548-5478 SCALE I "=20' CAC5N\RR-Flowing Pond\5DS-RR-Flowing Pond.dwg Date: 04/16/10 Scale: As Shown By: -JP I Chcr_k7MTAT Project No. C51\10080 OLJ4 2�A 05TEKVI LLE, TOP OF FOUNDATION 24"diameter concrete covers MA EL=35.5 raised to within 6"of frnoh grade 4"PVC VENT (or as noted) inspection Ports and caps with magnetic Cj� 5WEETAIR' E CAP BY 24"diameter cast marking tape to within 3"of grade iron coversgrade Existing EL-32.0(m1n) EL=3 I.0(min)-32.0+ EL=30.B(min)-32,O c Bath DiningLOCUS x Bd m Kitchen Fin shed Room Work Space 1 1/2" Manifold i/�/,/ a: to be below 30,0± 6 lateral invert cn Finished 3/ 2+ as shown.90" Bdrm Living Storage m cNo er�tij 30.2+ a 29.60 3 2''Delivery Lire First Floor Basement 29,/O ILI �, Flowing Pond N Cir \29.25 29.00 + FLOOD PLAN O Carlisle DrO : 5 5./- _ 1 . CLASS 150 Pressure e.5'+ c� Gas Baffled 25.0+ Pope with I CF of m p concrete behind bends Zabel Fi/ter for thrust blocking. r NOT TO SCALE - EL=24.0 Estimated High Groundwater(Mottling) G ` EIGHT(8)ADS B/OD/FFUSER(l I0050) CU } - 24' I =22.5 Observed Groundwater l 500 GALLON L I�• LEACH CHAMBERS IN BED -' Route 28 • 2-COMPARTMENT 1000 GALLON 3' CONFIGURATION WITH TWO(2) ROWS OF FOUR(4) CHAMBERS s�PTi T�Ch TR�� TMfIV T TA AN rj?; SEPTIC -A AN LEACH C/IAMBER5n with PUMP CLAMBER ELO\A/ FKOff .1 LE (fl-20 Dated) SITE LOCUS (to be Supplied by 5eptitech) NOT TO SCALE NOT TO SCALE l 000 Gal/on 1 .) Assessors Map 146 Parcel 66 TRfATMfNT TA AN W1Tl 5EPTITECH GENERAL NOTES 3.) Land i ourt Pl 165789 3.) Land Court Plan 34732C PUMP CLAMBER 4.) This property 15 in a Zone II of a Public Water Supply SYSTEM CK055-5ECTION 5.) Flood Zone: C 1 .) SeptiTech processor shall be installed in accordance with 5eptiTech installation instructions, CR055-5ECTION OF DELIVERY LINE/ MANIFOLD CONNECTION 2 NOT TO SCALE I"PVC DISTRIBUTION 2.)Tank(s)shall not be installed at a depth any greater than 24-inche5. Tank installations requiring a LATERALS (TYPICAL) depth greater than 24-inche5 shall do so with prior approval by 5eptiTech only. r5 - 4" PVC PERFORATED VENT PIPE (TYPICAL) 3.)Tank(s) shall be installed with a minimum of 6-inches of compacted crushed pea stone or sand I bedding. Select fill shall be used for backfdhng around tanks. 1 112" MANIFOLD, CAPPED END / \ 1 4.) Exterior Piping: Contractor is responsible for supplying and installing all exterior piping per /I i SeptiTech installation drawings. 16"Safety Volume 5.) Air Intake Piping: Air intake snorkel shall be installed within 100 feet of the processor tank. Air LEGEND 2" DELIVERY LINE iv 359 Gallons intake piping shall be installed such that a positive pitch is Provided back towards the processor tank -,f- Alarm ON such that any condensation build up is free to drain. EXISTING SPOT GRADE N 61 Pump ON x24.5 PROPOSED SPOT GRADE m �I` p G.) Pipe Insulation: Contractor is responsible for insulating all piping exterior to the 5eptiTech cr> 6" Pump Off processor including the discharge line from the processor to the disposal field. '?4 EXISTING CONTOUR 7.)Tank Insulation: After tank has been installed, contractor shall insulate the top and sides of the 24- PROPOSED CONTOUR processor tank below frost depth (4-feet minimum) with 2"rigid foam(blue) board insulation and then w W SERVICE LINE 12" Sump complete backfil6ng, O OVERHEAD UTILITY LINES u UNDERGROUND UTILITY LINES CON 5T f�U CT I O N NOTES. 8.) Electrical: All electrical work is the responsibility of the contractor's licensed electrician and is not G GAS SERVICE LINE PUMP NOTES REQ U I RE M E N T5 • provided by 5eptiTech. System Controller should be installed in a heated building where an ambient TOP OF BANK temperature range of 60 to 90 degrees P is maintained. If the control panel must be located outside, /.)ALL WORK 5HALL CONFORM TO THE STATE ENV/RONMENTAL CODE TITLE5(310 please notify 5eptiTech, Inc. so a heater may be installed within the enclosure. - LIMIT OF WORK CMR 15.000):STANDARD REQUIREMENTS FOR THE5ITING, CONSTRUCTION, INSPECT/ON, 1.) PUMP SHALL BE A T5URUM1 50PN 2.25 1/3 HP OR EQUIVALENT, CAPABLE OF PASSING A DETAI L EDGE OF CLEARING UPGRADE AND EXPANSION OF ON-5/TE5EWAGE TREATMENTAND D15P05AL SYSTEMS 2"SOLID AND PUMPING 1 1 .0 FT OF HEAD AT 2 1.0 GPM, TP FENCE AND FOR THE TiRAN5PORTAAID 915P05AL OF5EPTA65 AND THE LOCAL BOARD OF 5.) ALARM SHALL BE A RED WARNING LIGHT WITH AUDIBLE ALARM LOCATED WITHIN THE NOT TO SCALE HEALTH R5GULATION5. BUILDING A5 SHOWN ON THE PLAN. 55T TEST HOLE LOCATION T SEPTIC TANK 2.) ANY5EP TIC 5Y5TEM COMPONENT INSTALLED/NA LOCATION WHERE THERE 15 9.)THE CORD5 FOR THE FLOATS SHALL BE ONE CONTINUOUS PIECE FROM THE PUMP DB DISTRIBUTION BOX POTENTIAL FOR VEHICLES OR HEAVYEQUIPMENT TO PA55 OVER lTSHALL REDESIGNED CHAMBER TO THE DISCONNECT PULL BOX. THE CORDS SHALL BE ENCASED IN 2-112"TO 3" SAS SOIL ABSORPTION SYSTEM TO WITHSTAND AN H-20 LOADING. IF UNDER AN IMPERVIOUS 5URFACE 5Y5TEM SHALL CONDUIT. Reserve RESERVED FOR FUTURE USE BE VENTED TO THEATMO5PHERE 10.) ALARM AND PUMP TO BE WIRED TO DIFFERENT CIRCUITS. COL) UTILITY POLE 3.) TO MINIMIZE UNEVEN SETTLING, ALL SYSTEM COMPONENTS SHALL BE INSTALLED ON 1 1 .) ALL PUMP, WIRING, ALARM, AND FLOAT INSTALLATIONS SHALL CONFORM TO (ED CATCH 5A5IN A3TA3LEM5CHAN1CALLY- COMPACTEDBA5EON51.YINCH550FCRU51-1505TONE MA55ACHU5ETT5 STATE PLUMBING AND MA55ACHU5ETT5 STATE ELECTRICALCODE5 A5 WELL AS TO MANUFACTURER'S SPECIFICATION:':. � FIRE HYDRANT 4.)COVERS OVER THE INLET AND OUTLET TEES OF THE SEPTIC TANK, THE DISTRIBUTION DRINKING WATER WELL BOX, AND THE SOIL ABSORPTION SYSTEM SHALL BE RAISED TO WITHIN 6"OF FINAL ■ CONCRETE BO U N D GRADE LEACHING FIfLD5, TRENCHES, AND OTHER 501L ABSORPTION SYSTEMS WITHOUT ACCESS MANHOLE5 SHALL HAVE AT LEA,5T ONE 0)11V,5PECT101V PORT CON515TlNG OF PERFORATED 4"PVC PIPE PLACED VERTICALLY TO THE BOTTOM OF THE SOIL PUMP DOSING CALCULATION 5 ABSORPTION SYSTE WITH A M CAP, TIED WITH MAGNETIC MARKING TAPE ACCE5510LE TO WITHIN 3"OF FINAL GRADE // C 5.)PIPIN63HALL CON515TOF4"5CHEDULE40PVCOREDUIVALENT PIPE5HALL BE 1 . DETERMINE VOLUME OF EFFLUENT TO BE PUMPED TO LEACHING FIELD: C LAID ON A MINIMUM CONTINUOUS GRADE OF NOT LE55 THAN 2957 FROM THE BUILDING TO THE SEPTIC TANK, AND NOT LESS THAN I%OTHERWISE DAILY FLOW= 330 GALLONS NUMBER OF D05ff5 PER DAY = 8 D05E5 6.)DISTRIBUTIONL/NE5 FOR THE 50ILAB5ORPT/ON5Y5TEM51l BE4"DIAMETER NUMBER OF GALLONS = 330/8 = 41 GALLONS �_ Map 14G Parcel67 ` BENCHMARK SCHEDULE 40 PVC(OR EQUIVALENT)LAID AT 0.005 FT/!-7 UNLE55 OTHERWISE NOTED. Vacant Land LINES SHALL BE CAPPED AT END OR AS NOTED. DRAIN BACK VOLUME , Center of Catch Basin Existing Septic Tank EL=28.9 (Assumed Datum) 7)L1NE5 FROM THE 015TRIBUTION BOX TO BE LEVEL FOR THE FIR57'TWO(2)FEET 2" FORCE MAIN 4 1 112" MANIFOLD = 5.6 GALLONS to be Abandoned BEFOREPITCHING TO THE501L ABSORPTlON5Y5TEM. D15TRIBUTIONBOX5HALL BE PUMPING VOLUME = DOSING VOLUME + DRAIN BACK VOLUME 5 10'545�„ E 10, hide Drainage Ea3ement , (See Note#20) WATER TESTED TO ASSURE EVEN DISTRIBUTION, 46.6 GALLONS = 41 GALLONS + 5.6 GALLONS ,5j GROUT TO BEU5EDAFALL POINTS WHEREPlPE5 ENTER OR LEAVEALL CONCRETE 2. DISCHARGE RATE: 67.82' 7 STRUCTURES IN ORDER TO PROVIDE WATERTIGHTSEAL. 10 PERFORATIONS x 1 .17 GPM/PERF. @ 2,5' HEAD = 1 1.7 GPM 1O� ode DreinQ�e9ement 9.)HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO OPERATE OVER THE UM1T5 OF THE P a r c e 16 6 - � ---I -_�, .�_ \ Existing '� SEWAGE DISPOSAL FIELD DURING THE COURSE OF CONSTRUCTION OF THE SYSTEM. Area= 15,440 S.F. I Gra el Driv l 0.)IN ACCORDANCE WITH 3/0 CMR l5.22/, ALL SYSTEM COMPONENTS 5HALL BE Y T E M DESIGN CALCULATIONS MARKED WITH MAGNETIC MARKING TAPE 5 5 I l.) THERE ARE NO KNOWN WELLS WITHIN l 00'OF THE PROPOSED 501L ABSORPTION I W� xist,ln9 SEWAGE DESIGN FLOW REQUIRED:2 BEDROOM Qa l l O GPD/BEDROOM SYSTEM. =220 GPD REQUIRED(50%REDUCT/ON= l lO CI-0) I \ I I I \ �� rive. I S Map 1 46 Parcel 71 /2.)FROM THE OA TE OF THE/NSTALLA RON OF THE 501L A35ORPT/ON 5Y57EM UNTIL SEWAGE DE5/6N FW LO PROVIDED: EIGHT(6)AD5 //OOBD UN/75/N BED 6? \ `�9+ Town Water _ I RECEIPT OF THE CERTIFICATE OF COMPLIANCE THE PERIMETER SHALL BE S TAKED AND CONFIGURATION IN TWO(2)ROW5 OF FOUR(4)UNI r5 EACH. I /, \ I I I .9' FLAGGED TO PREVENT U5E OF THE AREA THAT MAYCAU5E DAMAGE TO THE SYSTEM, i I `b 7P-4 in r- Vt=f(l l 0/0.74)/(4.7 FT?/FT)/6.25 LFJ =5.l AD5 UN/T5 I D II nnO l 3,J THE DE5/6NER WILL NOT-Of RESP N IBLE FOR THE SYSTEM A5 DE5/6NE0 UNLE55 REQUIRED 0 PROVIDED) 1 03.6' O S CONSTRUCTED A5 SHOWN ON PLAN, ANY CHANGES SHALL BE APPROVED IN WRITING BY \ I l 73.9 GPD PROVIDED> //0 GPO REQUIRED SN OF MASS THE DESIGNER. I �drm C/o- � � - G �` q /4.) THE BOARD OF HEALTH REOU/RES INSPECTION OF ALL CONSTRUCTION BY AN SEPTIC TANK CAPACITY REQUIRED: 220 GPD X 200% =440 GPD REQUIRED - LINDA J. s m 5EPT1C TANK CAPACITYPROVIDED: 1500 GALLON TWO-COMPARTMENT5EPTIC TANK I - �X5 Opel 2 drm5 ��� 10'S \ PINTO '' AGENT OF THE BOARD OF HEALTH AND THE DESIGNER. THE DESIGNER SHALL CERTIFY/N Dyed at\o0 t 1 0'm 0 n WRITING THAT THE SEWAGE D/SP05AL SYSTEM WAS/NSTALLED IN ACCORDANCE WITH TREATMENT TANK PROVIDED: 1000 GALLON 5EPTlTECH TREATMENT TANK EIGHT(0)ADS BIODIFFUSER 0 l OOBD)LEACH ' Pcop Fo d 1 1 n CIVIL THE TERMS OF THE PERMIT AND THE APPROVED PLANS. 46 HOUR5 ADVANCE NOTICE 15 Ma 123 fop °� 5% ? , � N0.46504 CHAMBERS /N BED CONE/GURAT/ON W/TH Parcel 57 I3 I ���35 �� I \, O REQUESTED. A GARBAGE DISPOSAL 15 NOT PERMITTED WITH THIS DESIGN FLOW TWO (2) ROW5 OF FOUR (4) CHAMBERS I 5T o ��F GISTEfL /5J CONTRACTOR 5HALL BE RESPONSIBLE FOR DETERMINING THE LOCATION OFALL l 2I .g _ S71111.A UNDERGROUND AND OVERHEAD U7'107ZE5 PRIOR TO COMMENCEMENT OF ANY WORK. 2 5' I 0 f V TH15 INCLUDES, BUT/5 NOT LIMITED TO, REQUESTS TO 01G5AFE ANY PRIVATE UTILITY / I 6 1 GJy o min,� Vent COMPANlE5, AND THE LOCAL WATER DEPARTMENT. T E 5 T H O L�= LOGSLU 6.2 5' 6.2 5' W I , /6J CONTRACTOR SHALL VERIFY THAT ALL WASTELINES ARE CONNECTED BY WATER Survey Work by. TESTING WITHIN THE DWELLING PRIOR TO INSTALLATION OF ANY5EPFIC COMPONENTS. Test Hole#3 (7=28.8t) s I ° A & M Land Services 17.)CONTRACTOR SHALL VERIFY EXISTING INVERT ELEVATIONS PRIOR TO INSTALLATION -X`'- `-' '-> - u / ' Proposed 5A5(See Plan View) 61 B Main Street OFANYSEPT/C SYSTEM COMPONENT5. Depth Layer Soil Class 5cil Color Comments L� ry � (oGt Existing 5A5 to be Removed South Yarmouth, MA 02664 /B.)/N5TRUMENT50RVEYCONDUCTED FOR PROP05ED WORK ONLY. 517EPLAN SHALL 0"-18" FILL Sandy Loam Vent \35 I (see Note#/9) Pb. (508) 737-1777 Email: ann2land6eomcast.net NOT BE U5E0 FOR STAKING, OR ANY OTHER PURPOSES, 18"-2 1" A Loamy Sand 3 L,F l 1/2"Manifold 2 1"-4 1" B Fine Sand Perc @ 28-4G" 114"Perforations at 12:00( ) I typ• Prepared for: /9.)EXIST/NG SEPTIC COMPONENTS TO BE REMOVED, ANYCONTAMINATED SOIL SHALL 4 1"-1 20" C I Medium Sand Mottling @ 67" + Gravel Map 122 Parcel 71 BE REMOVED FOR A DISTANCE OF FIVE(5)FEET LATERALLY FROM THE SOIL GW C2 70" Inspection Port Pipe Note#4) Town Water AB5ORPRON5Y5TEM AND REPLACEDWITHCLEAN5AND, AREA TO BE COMPACTED TO "Perforated PVC Pipe(typ.) 3AoU"`II Justin and Martina Larhette MINIMIZE 5ETTLING. 36°A I00' Buffer 1 0 Flowing Pond Circle, Osterville, MA Test Hole #4 (EL=27.4+) N 50' Buffer Zone 20.)EXISTING 55PTIC TANK TO BE PUMPED DRY, FILLED WITH CLEAN SAND AND ABANDONED IN PLACE AREA TO BE COMPACTED TO MINIMIZE5ETTL/NG. Depth Layer Soil Class 5cil Color Comments PLAN VI Zone Proposed Sewage Disposal System SCALE: I 0' 10 Flowing Pond Circle, Ostervllle, MA 2/.)PUMP5,ALARM5, AND OTHER EQUIPMENT REQUIRING PERIOD T IC OR ROUINE 0"-14" O/E Sandy Loam " = 1 INSPECTION AND MAINTENANCE SHALL BE OPERATED, INSPECTED, AND MAINTAINED 1 4"-22" B Loamy Sand 51 T E PLAN YEARLYINACCOROANCEW/TH THE MANUFACTURERS AND THE D551GNER5 22"-1 20" C I Medium-Coarse Sand Mottling @ 41" + Gravel Prepared by: SPECIFICATIONS AND DEPARTMENT GU/DANCE THE 5Y5TEM OWNER SHALL 5UBM/T THE GW 59" RESULTS OFSUCH INSPECTIONS TO THE LOCAL APPROVING AUTHORITYANNUALLYBY SCALE: 1 " = 20' JANLIARY 31 OF EACH YEAR FOR THE PREVIOUS CALENDAR YEAR. CSN DATE OF TESTING: 08/29/01 I<<�� ,engineering INSPECTION NOTE: SOIL EVALUATOR: LAWRENCE PERRY BOARD OF HEALTH AGENT: GLENN HARRINGTON, BARN5TA51LE HEALTH DEPARTMENT PRIOR TO FINAL INSPECTION BY THE ENGINEER, 5Y5TEM PERCOLATION RATE: LE55 THAN 2 MIN/INCH IN "C" LAYERS 20 4 �O P.O.Box 2030 Phone:(508)274-7347 NEEDS TO BE COMPLETE INCLUDING BUILDUP FOR COVERS. GROUNDWATER ENCOUNTERED @ 70"± IN TP-I AND 59"± IN TP-2 SCALE I"=20' Teaticket,MA 02536 Fax:(508)548-5478 C:\CSN\RR-Flowing Pond\5D5-RR-Flowing Pond.dwg Date: 0411 G/10 1 Scale: As Shown I By: UP Check: MTA I Project No. CSN0080