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HomeMy WebLinkAbout0004 GENTIAN CIRCLE - Health 4 GENTIAN CIRC� T OSTERVILLE Jf A = 121 0811 u ° v 0 b ° l i n a s 4 J a 1 a J� 1 rw ^ 11/12/14 K.M. Notes 4 Gentian Circle, Osterville Map/Parcel-121-081 .59 acres 3 bedrooms In zone of contribution-property split Permit says "IN ZONE" -Ln -2 , 9115114 we received letter form Bennett Environmental Assoc. (see attached p.1) O+M on hold 919114 We sent letter requiring O+M be reinstated w/effluent testing • Cannot find any records of effluent testing??? 1012014 Joe Dipilato sent e-mail to Tom and then to Karen requesting reduction and list of contractors We recommended that he come before the board to discuss reduction KM -6 months needs to be consecutive? Would still require effluent testing.-Please see DEP requirements attached p.2) Staff suggest removing bedroom to be in compliance? c ti f i, y1 BENNETT ENVIRONMENTAL ASSOCIATES, INC. LICENSED SITE PROFESSIONALS,ENVIRONMENTAL SCIENTISTS,GEOLOGISTS,ENGINEERS 1573 Main Street,P.O.Box 1743 (508)896-1706 Brewster,MA 02631 fax(508)896-5109 LETTER OF TRANSMITTAL TO: DATE: JOB NUMBER: Massachusetts Department of Environmental Protection 9/15/14 BEA10-10210 Attention:Title 5 Program 1 Winter Street-6th Floor Boston,MA 02108 REGARDING: Dipilato Residence. 4 Gentian Circle SHIPPING METHOD: Osterville,MA Regular Mail ❑ Pick Up ❑ e Priority Mail ❑ Hand Deliver ❑ Express Mail ❑ Other ❑ Certified Mail Green Card/RR ❑ COPIES DATE DESCRIPTION For review and comment: ❑ For approval: ❑ As requested: ❑ For your use: ❑x REMARKS: Please note that while a maintenance agreement is in effect for the alternative septic system located at the above referenced dwelling,the owner of the system declined to have BEA perform routine operation and maintenance on the established schedule and requested that any worTc be held until such time as fie authorized it to proceed. cc:Barnstable Board of Health Mr.Joe Dipilato,Owner David C.Bennett,President[Internal] FROM: David C.Bennett,WWTO 46243/Samantha Farrenkopf,WWTO#13265/Joseph Smith,WWTO#12529 If enclosures are not as noted,kindly notify us at once 5 of 7 Certification-for eral Use- Generic Recirculating Sand Filter Tsecondary or nitrogen reducing) No System shall be used until an 0&M agreement is submitted to the local approving - P authority which: a Provides the name of an operator competent in providing services consistent with the System's specifications, which must be a Massachusetts certified operator if one is required by 257 CMR 2.00,that will operate and monitor the System r the "System o erator"). The System owner shall notify the (hereinafter p (her Y Department and local approving authority, in writing.,within seven days of a change in the operator of the System. b. Contains procedures for notification to the Department and the local approving authority within five days of knowledge of a System failure, malfunction or alarm ` event and for.corrective measures to be taken immediately; B. Systems designed in accordance with Sectio to n a Department 5 shall meet the signated nitrogen sensitive or.limited area as define in 310 CMR 15.214 and 15 following requirements: i. Effluent shall meet the requirements in 310 CMR 1.5.202(4)..30 mg/L Carbonaceous Biochemical Oxygen.Demand (CBOD5); 30 mg/L Total Suspended Solids(TSS),and 25 mg/L Total.Nitrogen (TN). Effluent pH shall be maintained between 6.0 and 9.0. ii. The operator must inspect, and maintain.the System according to the following, and anytime.there is an alarm event. a. For Systems in use yearearroround: 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. The following parameters shall be monitored: pH, effluent CBODS,'TSS,_ alkalinity.and TN (TKN+NO3-N+NO2-N). Each time the System is monitored, the water meter,-if a water meter is installed, shall-be read and the water use recorded. All monitoring data shall be submitted to.the Department and the local approving authority per Section IV, item 8 below..After two years of monitoring and.atthe written request of the System owner,the local approving authority may reduce the inspection and monitoring requirements for residential systems to two inspections per year with.field testing for pH, DO and turbidity and laboratory testing for TN. b. For_Systems,in,u e seaso lly;where the facility is occupi'edfewer than six y months per.year; e uent from the System shall be monitored twice per season; cy and prior to shutdown, and.if the facility is initially 45 days after occupan dar quarter;.once during that following quarter occupied during an additional:calen ` shut down..The following parameters shall be monitored:pH, prior to System CBODS 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. All monitoring.data. shall be submitted to the Department and the local approving authority per Section IV; item 8 below.After two seasons of monito d`at rin an 1 the written request of the System owner, I e oca a rovin .a o ay reduce ems ec ion an monitorin re uirements for residential s stems to nnual inspections th field testing for pH, DO and turbidity and laboratory tes in l�P�pp1_2 p\\ Town ®1 Barnstable Barnstable�h!� ttlITl R BARNS ABLE,I'�II - 1Joard of Health. ESICa C" ty -9 MASS. /�/! .. _ _ 9 �"Fa MAC p` 200 Main Street, Hyannis MA 02601 2007 OFFICE: 508-862-4644 Wayne Miller,M.D. FAX: 508 790-6304 Paul canniff,D.M.D. Junichi Sawayanagi Joseph DiPilato 4 Gentian Circle Osterville MA 02655 ACKNOWLEDGEMENT OF RECEIPT: October 1.0, 2014 We have received your submission to. the Board of xealth 12e: 4 Gentian Circle, Osteryille requesting a reduction in operating and maintenance for I/A septic system. Tfiankyou. Your item is scheduled to be heard at the Board of Health Meeting on the: Date of: Tuesday, November 18,.2014 Meeting Location: Town.Hall, 367 Main St; Hyannis Hearing Room, Second Floor Time: 3:00—6:00 P.M. Approximately three days-p`rior to meeting,an agenda will be sent out to you— once it is available. It will also be available online at the town.website: www.town.barnstable.ma.us- Go to ...."Boards &Committees > Board of Health . - or Go to Official Agendas Any questions, please call Sharon.Crocker at 508-862-4739.. Thank.you Q:\AGENDAS BOH\let Receipt of BOH Submission RECD 4'Gentian Cir Ost Nov 2014.doc 6 f ... _..._. Ili Malkus, Karen From: Joseph DiPilato Udipilato@me.com] Sent: Friday, October 10,.2014 10:12 AM Se Se Malkus, Karen Subject: Re: Advanced Septic System _ Hi Karen, y We 1 and information. Although.Osterville is our only residence, you for your reply please schedule a Thank y stem about 6 months due to extensive traveling'. are only using the system hearing for once a year maintenance. Thanks, Joe. . . --------------- — -- ----- - Crocker, Sharon a© From: Joseph DiPilato Udipilato@me.com] Sent: Wednesday, November 19, 2014 10:13 AM . To: Crocker, Sharon Subject: Re: Advanced Septic System r � Hi Sharon, Please withdraw my request for a hearing as it appears I don't qualify for annual inspections.`Sorry if I inconvenienced you or the board in any way. Thank you, Joe DiPilato Sent from my iPad > On Nov 19, 2014, at 9:32 AM, Crocker, Sharon > <sharon.crocker@town.barnstable.ma'.us> wrote: > Hi Joe, > This is Sharon Crocker, Administrative Assistant. > Since you had officially requested to be on the Board agenda > originally, . . .it is necessary to officially "withdraw your request at > this time" . > Thank you. > > Sharon a > > -----Original Message----- > From: Malkus, Karen > Sent: Wednesday, November 19, 2014 9:25 AM > To: 'Joseph DiPilato' > Cc: Crocker, Sharon > Subject: RE: Advanced Septic System > Hi Joe, > Thanks for letting me know. ' > The Board of Health continued your hearing to next month, since you > had left. I spoke to our administrative assistant, she said she can > easily take you off next months schedule- if you send her a e-mail > requesting to be removed from the agenda. She said' it is helpful .to > include your address (4 Gentian) in the e-mail. I CC'd her to this > e-mail, so you can easily reply to her. Or here is her e-mail address: > sharon.crocker@town.barnstable.ma.us > > If you have further questions, or if I can help in anyway please let > me know. > Best wishes, > Karen > -----Original Message----- > From: Joseph DiPilato [mailto:jdipilato@me.com] > Sent: Tuesday, November 18, 2014 4:20 PM 1 n > To: Malkus, Karen > Subject: Re: Advanced Septic System > Hi Karen, > I attended the hearing but based on one of the cases before me it > became apparent to me that I would not qualify for the reduction as my > 6 months away is not contiguous. So, I just left before I was called > and I have contacted vendors on your list and will decide on one and > have my IA system maintained. > Let me know if .there is anything else I need to do. > Thanks, > Joe. . . > Sent from my iPad > >> On Oct 10, 2014, at 11: 00 AM, Malkus, Karen >> <Karen.Malkus@town.barnstable.ma.us> wrote: >> Hi Joe, >> You have been put on the agenda for the November 18, 2014 Board of >> Health meeting to request a reduction of Operation and Maintenance. >> for >> your system. ( If you can't be there you can send a representative. ) >> You will be receiving a formal letter with more details of the meeting >> in the mail . Best Wishes, >> Karen >> Karen Malkus >> Town of Barnstable Health Division >> Coastal Health Resource Coordinator >> karen.malkus@town.barnstable.ma.us >> phone: (508) 862-4641 >> cell: (508) 857-6558 >> -----Original Message----- >> From: Joseph DiPilato (mailto:jdipilato@me.com] >> Sent: Friday, October 10, 2014 10:12 AM >> To: Malkus, Karen >> Subject: Re: Advanced Septic System >> Hi Karen, >> Thank you for your reply and information. Although Osterville is our >> only residence, we are only using the system about 6 months due to >> extensive traveling. Please schedule a hearing for once a year maintenance. >> Thanks, >> Joe. . . » >> Sent from my iPad >>> On Oct 8, 2014, at 11: 10 AM, Malkus, Karen >>> <Karen.Malkus@town.barnstable.ma.us> wrote: 2 y Malkus, Karen From: Joseph DiPilato Udipilato@me.com] Sent: Friday, October 10, 2014 10:12 AM To: Malkus, Karen Subject: Re: Advanced Septic System Hi Karen, Thank you for your reply and information. Although Osterville is our only residence, we are only using the system about 6 months due to extensive traveling. Please schedule a hearing for once a year maintenance. Thanks, Joe. . . Sent from my iPad > On Oct 8, 2014, at 11:10 AM, Malkus, Karen > <Karen.Malkus@town.barnstable.ma.us> wrote: > Hi Joe, > If you would like to reduce your Operation and Maintenance and > effluent testing of your Omni system to once a year, it is possible. if > the system is used less than six months, and you get" approval from the > Board of Health. To request a hearing for the approval we just need > an e-mail, or letter requesting your desire to reduce monitoring. > I have enclosed the County's list of IA contractors > Certified Wastewater Treatment Operators > (The following is not construed as an endorsement of any particular > innovative/alternative wastewater treatment system operator. ) > A&K Engineering 401-944-6947 Cranston RI > ACCU Sepcheck 508-385-5891 South Dennis'MA > All Cape Environmental Inc 508-776-6219 Yarmouth Port MA > Atlantic Solutions 401-293-0176 Portsmouth RI > Bennett Environmental Associates, Inc. 508-896-1706 Brewster MA > Cape Septic Inspections 508-280-3356 Mashpee MA > Clearwater Industries 978-356-0779 Ipswitch MA > Clearwater Recovery 781-878-3849 Rockland MA > Clivus New England, Inc. 978-794-9400 North Andover MA > Coastal Engineering, Co. Inc. 508-255-6511 Orleans MA > Coler and Colantonio 781-820-5386 Norwell MA > Don Labrecque Mashpee MA > Effluential Technologies, Inc.. Portsmouth RI > Envirotech Laboratories 508-888-6460 Sandwich MA > F.R. Mahony & Associates, Inc. 508-765-0051 Southbridge MA > Flaherty Environmental Services 508-362-1657 Yarmouth Port MA > FSL Associates 617-232-0001 Boston MA > Herb Stockford 508-255-7000 North Eastham MA > Holmes and McGrath, Inc. .508-548-3564 Falmouth MA > J.C. Ellis Design Co, Inc. 508-385-2228 North Eastham MA > J.M. O'Reilly and Associates, Inc. 508-896-6601 Brewster MA > Feel free to contact me by phone at 508-857-6558 > Or e-mails are also fine. > Best Wishes, > Karen > Karen Malkus > Town of Barnstable Health Division > Coastal Health Resource Coordinator karen.malkus@town.barnstable.ma.us e > phCne: (508) 862-4641 > cell: (508) 857-6558 > 4 > -----Original Message----- • From: Joseph DiPilato [mailto:jdipilato@me.com] > Sent: Tuesday, October 07, 2014 10:59 AM > To: Malkus, Karen > Subject: Advanced Septic System > Hi Karen, > > I talked with Thomas McKean today regarding.the maintenance of my > septic system. Thomas suggested that I email you regarding some > questions that I have. I am looking for someone other than Bennett to > maintain my system so if you could send me some contact information > that would be helpful. > Also, just my wife and I live at the residence and we only stay there > 6 months a year so Thomas told me that we would then qualify for an > annual vs semiannual plan. > Thank you for your help. > I > Joe. . . > Sent from my iPad y y , 2 �° .. �, ►..s ���� r� ���� � ��. � ;�, ��� f pF B New I/A System Permit Summary Sheet o 'r Site Information —409 �'SSACHUS� � Town: &AWSTAbL1, Town Permit# Assessor Map/Parcel: 1 2- 1 — d S Unique Town ID # Site Address: Owner Name: 42 i y Alternate Name: Home Phone: Mailing Address: Work Phone: Title 5 Information Building Type/Use: Design Flow: (gpd) Seasonal Use? Yes ❑ No ❑ Unknown ❑ Bedrooms: 3 Title V N.S.A.? Yes91 No ❑ Unknown ❑ Lot Size: , S Non-standard components: Please list all components e.g. 1/A treatment unit, pump chamber,pre-and post equalization tanks, pressure distribution SAS, effluent filter, UV unit, etc., and maintenance schedule for each component e.g. quarterly, 2x/yr, annual, etc. I/A Treatment Unit Make and Model# DEP Permit Type: General Board Approval Date: COC Date: ❑ Provisional O & M Contract Entity: P_x1_nne-+ d r-, ( atd ? ❑ Remedial Contract Start Date: Contract Duration:' ❑ Pilot Unit Installation Date: t ( O I Unit Startup Date: 01 20 204Z DEP Permit ID#: Influent/Effluent Monitoring Requirements and Water Quality Limits Please indicate water quality parameters that must be monitored and any town mandated water quality limits;if no limits are shown, we will assume parameters and effluent limits specified in the system's DEP approval will apply. Effluent pH ❑ BOD5 ❑ CBOD ❑ TSS ❑ TN ❑ Nitrate ❑ Nitrite ❑ Organic N ❑ Ammonia ❑ TKN ❑ Fecal Coliform ❑ Total P ❑, Organic P ❑ TDS ❑ Oil/Grease ❑ Conductance ❑ Alkalinity ❑ Water Usage ❑ Temp. ❑ Monitoring Schedule: Other Applicable Limits: Influent pH ❑ BOD5 ❑ CBOD ❑ TSS ❑ TN ❑ Nitrate ❑ Nitrite ❑ Organic N ❑ Ammonia ❑ TKN ❑ Fecal Coliform ❑ Total P ❑ Organic P ❑ TDS ❑ Oil/Grease ❑ Conductance ❑ Alkalinity ❑ Water Usage ❑ Temp. ❑ Monitoring Schedule: Other Applicable Limits: BCDHE Tracking# Please return this sheet to: FAX: 508-362-2603 Email: bciatech@cape.com f Malkus, Karen From: Joseph DiPilato Odipilato@me.com] Sent: Friday, October 10, 2014 10:12 AM To: Malkus, Karen Subject: Re: Advanced Septic System Hi Karen, Thank you for your reply and information. Although Osterville is our only residence, we are only using the system about 6 months due to extensive traveling. Please schedule a hearing for once a year maintenance. Thanks, Joe. . . Sent from my iPad > On Oct 8, 2014,' at 11:10 AM, Malkus, Karen > <Karen.Malkus@town.barnstable.ma.us> wrote: > Hi Joe, > If you would like to reduce your Operation and Maintenance and > effluent testing of your Omni system to once a year, it is possible if > the system is used less than six months, and you get approval from the > Board of Health. To request a hearing for the approval we just need > an e-mail, or letter requesting your desire to reduce monitoring. > I have enclosed the County' s list of IA contractors > Certified wastewater Treatment Operators > (The following is not construed as an endorsement of any particular > innovative/alternative wastewater treatment system operator. ) > A&K Engineering 401-944-6947 Cranston RI > ACCU Sepcheck 508-385-5891 South Dennis MA > All Cape Environmental Inc 508-776-6219 Yarmouth Port MA > Atlantic Solutions 401-293-0176 Portsmouth RI > Bennett Environmental Associates, Inc. 508-896-1706 Brewster MA > Cape Septic Inspections 508-280-3356 Mashpee MA > Clearwater Industries 978-356-0779 Ipswitch MA > Clearwater Recovery 781-878-3849 Rockland MA > Clivus New England, Inc. 978-794-9400 North Andover MA > Coastal Engineering, Co. Inc. 508-255-6511 Orleans MA > Coler and Colantonio 781-820-5386 Norwell MA > Don Labrecque Mashpee MA > Effluential Technologies, Inc. Portsmouth RI > Envirotech Laboratories 508-888-6460 Sandwich MA > F.R. Mahony & Associates, Inc. 508-765-0051 Southbridge MA > Flaherty Environmental Services 508-362-1657 Yarmouth Port MA > FSL Associates 617-232-0001 Boston MA > Herb Stockford 508-255-7000 North Eastham MA > Holmes and McGrath, Inc. 508-548-3564 Falmouth MA > J.C. Ellis Design Co, Inc. 508-385-2228 North Eastham MA > J.M. O'Reilly and Associates, Inc. 508-896-6601 Brewster MA > Feel free to contact me by phone at 508-857-6558 > Or e-mails are also fine. > Best Wishes, > Karen > Karen Malkus > Town of Barnstable Health Division > Coastal Health Resource Coordinator karen.malkus@town.barnstable.ma.us 1 I 54 phione: (508) 862-4641 > cell: (508) 857-6558 > > -----Original Message----- • From: Joseph DiPilato [mailto:jdipilato@me.com] > Sent: Tuesday, October 07, 2014 10:59 AM > To: Malkus, Karen > Subject: Advanced Septic System > Hi Karen, > > I talked with Thomas McKean today regarding the maintenance of my > septic system. Thomas suggested that I email you regarding some > questions that I have. I am looking for someone other than Bennett to > maintain my system so if you could send me some contact information > that would be helpful. > Also, just my wife and I live at the residence and we only stay there > 6 months a year so Thomas told me that we would then qualify for an > annual vs semiannual plan. > Thank you for your help. > Joe. . . > Sent from my iPad f 2 • • • s • • • ® Complete items 1,2,and 3.Also complete A. Sign tur item 4 if Restricted Delivery is desired. X gent ■ Print your name and address on the reverse ressee so that we can return the card to you. B. R by(Fri Ta C. Date of Delivery ® Attach this card to the back of the mailpiece,or on the front if space permits. D. Is delivery address different from item 19 ❑Yes 1. Article Addressed to: If YES,enter delivery address below: �CRio I �{ 2,n 4-1 c,r-N Ci c—(- fy) 3. Service Type 0 Z Certified Mail® ❑Priority Mail Express"' ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑Collect on Delivery 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number ,, (Transfer from service tadeg 7 014 1200 0001 03 58 0680 PS Form 3811,July 2013 Domestic Return Receipt i 1 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 I f ' Sender: Please print your name, address, and ZIP+4®in this box• I I a 'K;vv1. T'owrr of Barnstable at. Health IS`i"Vision s 200 Main Street { Hyannis;MA 02601 i I i I I i Cc .. eM. O ca ul ¢ MPostage $ �5. '� {.ertified Fee ; { Return Re 'eipt Fee r j � O P� O (Endorsement , eguired) t Restricted Deb ery Fee Q (Endorsement .squired) C3 +° Usps ni Total Post e&Fees �- S to o t D.. a f = )Cd C._ c --� f a�t------------------------------------- [7 ,,Street,Aq t.No.; M1 :or PO Bo'x No. City Sta - -,-Z--IP+--4-- -----�=`�=�'--`-e=---..---------�`�------------- •_ '�� e Certified Mail Provides ' C A mailing receipt, I••:�� O A unique identifier for yourmailpiece , o A record of delivery kept by the Postal Service for two years Important Reminders: n Certified Mail may ONLY be combined with First-Class Maile or Pr•lority Mails: o Certified Mail is not available for any class of international mail. ' ,. a NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. r o For an additional fee,a Return Receipt may be requested tr brovide proof of delivery'.To obtain Return Receipt service,please complete.`nit attach a Return Receipt(PS Form 3811)to the article and add applicable p stage to cover the fee.Endorse mailpiece"Retum Receipt Requested".To rece:ve a fee waiver for' regwprled to return receipt,a USPS®postmark on your Certi cried Mail receipt is o For an additional fee, delivery may be restricted to trje addressee or addressee's authorized agent.Advise the clerk or mark the n•ailpiece with the endorsement"Restricted Delivery". . n If a postmar{ on the Certified Mail receipt is desired,please present tine arti- cle at the post office for postmarking. If a postmark on the jCertifi€, Mail receipt is not needed,detach and affix label with postage and riail. t'y IMPORTANT:Save this receipt and present it when making aft inquir�u; 'j PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 y Town of Barnstable Barnstable THE °.� Regulatory Services Department AtAnwficaChy • ''' ^M Public Health Division '- t6yg. �� 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard Scali, Director FAX: 508-790-6304 Thomas A..McKean,CHO CERTIFIED MAIL # , C l `1 i Z0o n C)U ( a Z C L���C) September 29, 2014 Joe Dipilato 4 Gentian Circle f Osterville,MA 02655 RE: Operation and Maintenance Contract for the Innovative Septic..System installed at 4 Gentian Circle in the Town of Barnstable. Bennett Environmental Associates Inc. has informed us that the operation and maintenance contract for you'- innovative/alternative wastewater treatment system was cancelled as of 9/14/14. To date, we have not received evidence that you have entered into a new Operation and Maintenance contract, or had your system maintained in 2014. Therefore, we are writing to instruct you that the Massachusetts Department of Environment Protection (MA DEP) and the Town of Barnstable require you to keep an, Operation and Maintenance (O&M)-contract in effect at all times for your system. Information about these requirements may be found at http://www.barnstablecou ntyhealth.org/ia-systems/ia-owners-guide. The Public Health Division is hereby contacting you to inform you of the above requirement and to order you to comply. Accordingly, please forward a copy of, a signed new contract via mail, fax or e-mail within thirty (30) days of receipt of this letter. Please be advised that if you do not respond within thirty (30) days of your receipt of this letter by forwarding a copy of an assigned contract, you will be scheduled to appear before the Board of Health at a show cause hearing on 11/19/14 to provide information relative to the required contract. PER-ORDER OF THE ARD.OF HEALTH . r Thomas McKean, R.S. CHO Agent,of the Board of Health Y. BENNETT ENVIRONMENTAL ASSOCIATES, INC. LICENSED SITE PROFESSIONALS ENVIRONMENTAL SCIENTISTS GEOLOGISTS, S S,ENGINEERS 1573 Main Street,P.O.Box 1743 (508)896-1706 Brewster,MA 02631 fax(508)896-5109 LETTER OF TRANSMITTAL TO: DATE: JOB NUMBER: Massachusetts Department of Environmental Protection [8/27/13 BEA10-10210 Attention:Title 5 Program 1 Winter Street-6th Floor Boston,MA 02108 REGARDING: Dipilato Residence 4 Gentian Circle SHIPPING METHOD: Osterville,MA Regular Mail ❑ Pick Up ❑ Priority Mail ❑ Hand Deliver ❑ Express Mail ❑ Other ❑ Certified Mail X❑ Green Card/RR ❑ COPIES DATE DESCRIPTION 1 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems(April and August 2013) 1 OMNI Environmental Systems,Inc.RSF Operation and Maintenance Inspection Checklist(April and August 2013) For review and comment: ❑ For approval: ❑ As requested: ❑ For your use: 0 REMARKS: Please find enclosed the DEP Inspection and O&M Forms and OMNI Environmental Systems,Inc.RSF Operation and Maintenance Inspection Checklists for operation and maintenance conducted at the above referenced property during the reporting period. If you have any questions or require additional information,please contact us at your earliest convenience. Thank you. cc:Barnstable Board of Health' Mr.Joe Dipilato,Owner David C.Bennett,President[Internal] Matthew Costa-OMNI Environmental Systems,Inc. FROM: David C.Bennett,WWTO#6243/Samantha Farrenkopf,WWTO#13265/Joseph Smith,WWTO#12529 If enclosures are not as noted,kindly notify us at once Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Joe Dipilato filling out forms Owner on the computer, use only the tab 4 Gentian Circle key to move your Facility Street Address cursor-do not Osterville, MA 02655 use the return key. City Zip Mailing address of owner, if different: tab Street Address/PO Box: 2nan City State Zip (617) 571 8470 ext. Telephone Number B. Authorized Service Provider BENNETT ENVIRONMENTAL ASSOCIATES, INC. O&M Firm 1573 Main Street/ PO Box 1743 Street Address Brewster MA 02631 City State Zip (508) 896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF DEP ID Manufacturer ID Model Number 11/16/01 9/20/02 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 4/2/13 8/7/12 Inspection Date Previous Inspection Date 14" Sludge, 2" Scum f Sludge Depth(to be checked yearly) Pumping Recommended ® Yes ❑ No t5aiom.doc•rev. 11-07-05 Page 1 of 3 Massachusetts Department of Environmental Protection LlBureau of Resource Protection - Title 5 DEP Approved Inspection and ®&loll Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ❑ clear ® turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ❑ no ® some pH 7.0 SU DO 2.5 mg/L Turbidity 36.1 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑TN ❑ Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing. Effluent quality passed field testing parameters. Notes and Comments: The homeowner reported that the septic tank will be pumped out and an outlet riser installed on the outlet of the septic tank at time of pumping. Inform the homeowner that cleaning of the filter beds and replacement of filter fabric and mulch are recommended. t5aiom.doc•rev. 11-07-05 Page 2 of 3 r Massachusetts Department of Environmental Protection Bureau of Resource Protection-Title 5 DEP Approved Inspection and ®&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods q 9 p , have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. (Z-"'."'�Q,, &u l' Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6tn Floor Boston, MA 02108 t5aiom.doc•rev. 11-07-05 Page 3 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Joe Dlpilato filling out forms Owner on the computer, use only the tab 4 Gentian Circle key to move your Facility Street Address cursor-do not Osterville, MA 02655 use the return City Zip key. Mailing address of owner, if different: tab Street Address/PO Box: moon City State Zip (617) 571 -8470 ext. Telephone Number B. Authorized Service Provider BENNETT ENVIRONMENTAL ASSOCIATES, INC. O&M Firm 1573 Main Street/ PO Box 1743 Street Address Brewster MA 02631 City State Zip (508) 896- 1706.ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF DEP ID Manufacturer ID Model Number' 11/16/01 9/20/02 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 8/13/13 4/2/13 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5aiom.doc•rev. 11-07-05 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ® turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 7.0 SU DO 2.0 mg/L Turbidity 12.0 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑ TN ❑ Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: The septic tank was pumped and an outlet riser installed since the April 2013 maintenance event. BEA replaced the filter fabric on 4/9/13. Conduct an operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Notes and Comments: The system is operating correctly. Effluent quality passed field testing parameters. t5aiom.doc•rev.11-07-05 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and ®&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. S '� �d- [ — P�7-A2) Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston, MA 02108 t5aiom.doc•rev. 11-07-05 Page 3 of 3 M r -- - EnuirminjentRSystems,Me,. OMN1 RSF Operation and Maintenance Inspection Checklist A. Installation &Service Information G�10��- A\-L\ V-S Facility Street Addr ss Date of Service City Operator/O&M Firm System Startup Date Weather ConditionsG�- �v��� B. Septic Tank Sludge Pumping Required: Yes No❑ Sludge Depth: -t Scum Depth: Z Effluent tee filter: Yes❑ No❑ If yes,inspect❑ &clean at least yearly❑ If the sludge layer is within 12"of the outlet invert,recommend that the homeowner have the septic tank. pumped,note the approximate scum layer thickness as well.Also,inquire If the homeowner has a pumping schedule established with a licensed septage hauler,if not recommend a two to four year pumping sc edule depending on how heavily the system is use . C. Recirculation Tank G1�k 0 Check if sludge accumulating Pumping required: Yes❑ No* Odor problems: Yes❑ No If yes,description � Effluent tee filter: Ye No ❑ If yes,inspec &clean at least yearly If the sludge layer is greater than 4"request that the homeowner pump out the recirculation tank in order to prevent clogging of the filter modules.Note the characteristics of the effluent coming out of the manifold this may indicate that the filter bed may need servicing. �J D. Equalization Tank(if installed) Sludge Pumping Required: Yes❑ No❑ ❑Sludge Depth: ❑Scum Depth: Effluent tee filter: Yes❑ No❑ If yes,inspect❑&clean at least yearly❑ Same inspection criteria as septic tank: E. rump Chamber/Vault(if Installed) ❑Pump Inspections(all units) If problems,describe ❑Float switches Check all switches for operation Make Sure the pump is operational by pulling up the float switch;if the pump is not operational immediate corrective actions need to be taken. - I F. Pumps,Switches,Floats,Alarm System Pump Inspections(all units) If problems,describe r Test pump alternator,or record hours 3452,E Z,( � Hours of operation i Float switches Check all switches for operation �Test alarm If non-functioning,corrective action(s) Make sure pump(s),Float(s)and audible alarm(s)are functional,if not make a note so that corrective actions can be made. G. Filter Modules ("Sand Filters") 37\19� _ Inspect for ponding r Ponding Present:Yes El No Clean bed: Yes❑ No Distribution pipes Flush:Yes❑ No Brush: Yes❑ No� El Any obstruction of airflow to filter modules: Yes❑ No , If Yes,explain below(i.e.snow,dirt) To inspect the condition of the filter modules remove the mulch layer at one corner of the filter module area, then lift the filter fabric so that the media car!be inspected through the end of the contactor. The media should have a thin biomass layer growing on it and should have a brownish shaggy coloration.If the surface of the filter module area appears to be clogged,or the biomass layer is too think it is suggested to completely expose the filter modules,and rake the filter beds thoroughly,then wash the filter beds down with a garden hose(with a pressure nozzle on it).Then Recover the filter beds as they were found. H. Sample Collection Yes❑ NOV If yes: ❑BOD ❑TSS ❑pH [:]TN ❑Other All samples are to be taken from the manifold located in the recirculation tank,and are to be stored in sterile, laboratory supplied containers.In order to prevent any cross-contamination from a previous sample rinse the dip cup into the effluent stream at the manifold three times so that a representative sample can be obtained. Make sure to wear proper safety equipment while pulling samples(i.e.rubber gloves). System Notes: I y�.., OMNI Environme,04WISysteins, Inc. OMNI RSF Operation and Maintenance Inspection Checklist A. Installation & Service Information 4 Gentian Circle 8-13-13 @ 8:50 Facility Street Address Date of Service Osterville, MA Joseph Smith/BEA, Inc. City Operator/O&M Firm Cloudy System Startup Date Weather Conditions B. Septic Tank Sludge Pumping Required: Yes❑'No❑A ❑ Sludge Depth: ❑Scum Depth: Effluent tee filter: Yes❑ No❑© If yes, inspect❑&clean at least yearly❑ If the sludge layer is within 12"of the outlet invert,recommend that the homeowner have the septic tank pumped, note the approximate scum layer thickness as well.Also, inquire if the homeowner has a pumping schedule established with a licensed septage hauler, if not recommend a two to four year pumping schedule depending on how heavily the system is used. C. Recirculation Tank Sludge Depths Taken on 4-2-13 O&M Visit ❑ Check if sludge accumulating Pumping required: Yes❑ No R Odor problems: Yes ❑ No ®❑ If yes,description Effluent tee filter: Yes No ❑ If yes, inspect 0&clean at least yearly❑ If the sludge layer is greater than 4"request that the homeowner pump out the recirculation tank in order to prevent clogging of the filter modules. Note the characteristics of the effluent coming out of the manifold this may indicate that the filter bed may need servicing. D. Equalization Tank(if installed) NA Sludge Pumping Required: Yes❑ No❑ ❑ Sludge Depth: ❑ Scum Depth: Effluent tee filter: Yes❑ No❑ If yes, inspect❑&clean at least yearly❑ Same inspection criteria as septic tank: E. Pump Chamber/Vault(if Installed) NA ❑ Pump Inspections(all units) If problems,describe ❑ Float switches Check all switches for operation Make Sure the pump is operational by pulling up the float switch; if the pump is not operational immediate corrective actions need to be taken. F. Pumps, Switches, Floats, Alarm System Pump Inspections(all units) If problems,describe Test pump alternator, or record hours Tested Pump alternator Hours of operation 0 Float switches Check all switches for operation 0 Test alarm If non-functioning,corrective action(s) Make sure pump(s), Float(s)and audible alarm(s)are functional, if not make a note so that corrective actions can be made. G. Filter Modules ("Sand Filters") 0 Inspect for ponding Ponding Present:Yes❑ No 0 Clean bed: Yes❑ No❑0 0 Distribution pipes Flush:Yes❑ No Brush: Yes❑ No 0 0 Any obstruction of airflow to filter modules: Yes❑ No❑� If Yes, explain below(i.e. snow, dirt) To inspect the condition of the filter modules remove the mulch layer at one.corner of the filter module area, then lift the filter fabric so that the media can be inspected through the end of the contactor. The media should have a thin biomass layer growing on it and should have a brownish shaggy coloration. If the surface of the filter module area appears to be clogged, or the biomass layer is too think it is suggested to completely expose the filter modules,and rake the filter beds thoroughly,then wash the filter beds down with a garden hose(with a pressure nozzle on it).Then Recover the filter beds as they were found. H. Sample Collection Yes❑ No 0 If yes: ❑BOD ❑TSS [:]pH ❑TN ❑Other All samples are to be taken from the manifold located in the recirculation tank,and are to be stored in sterile, laboratory supplied containers. In order to prevent any cross-contamination from a previous sample rinse the dip cup into the effluent stream at the manifold three times so that a representative sample can be obtained. Make sure to wear proper safety equipment while pulling samples(i.e. rubber gloves). System Notes: System is operating correctly, effluent quality passed field testing parameters. ON: 1:00 OFF: 59:00 OVRON:4:00 OVROFF: 56:00 pH: 7.0 DO:2.0 Turb: 12.0 i BENNETT ENVIRONMENTAL ASSOCIATES, INC. LICENSED SITE PROFESSIONALS,ENVIRONMENTAL SCIENTISTS,GEOLOGISTS,ENGINEERS 1573 Main Street,P.O.Box 1743 (508)896-1706 Brewster,MA 02631 fax(508)896-5109 LETTER OF TRANSMITTAL TO: DATE: JOB NUMBER: Massachusetts Department of Environmental Protection 9/13/11 BEA10-10210 Attention:Title 5 Program 1 Winter Street-6th Floor Boston,MA 02108 REGARDING: Dipilato Residence 4'Gentian Circle SHIPPING METHOD: Osterville,MA Regular Mail ❑ Pick Up ❑ Priority Mail ❑ Hand Deliver ❑ Express Mail ❑ Other ❑ Certified Mail Green Card/RR COPIES DATE DESCRIPTION 1 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems(April and August 2011) For review and comment: ❑ .For approval: ❑ As requested: ❑ For your use: � REMARKS: Please find enclosed the DEP Inspection and O&M Forms for operation and maintenance conducted for the above referenced property during the reporting period. If you have any questions or require additional information,please contact us at your earliest convenience. Thank you. cc:Barnstable Board of Health Mr.Joe Dipilato,Owner David C.Bennett,President[Internal] Matthew Costa-OMNI Environmental Systems,Inc. FROM: David C.Bennett,WWTO#6243/Samantha Farrenkopf,WWTO 413265/Joseph Smith,WWTO#12529 If enclosures are not as noted,kindly notify us at once LlMassachusetts Department of Environmental Protection Bureau of Resource Protection- Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When .Joe Dlpllato filling out forms Owner on the computer, use only the tab 4 Gentian Circle key to move your Facility Street Address cursor-do not Osterville, MA 02655 use the return key. City Zip Mailing address of owner, if different: Street Address/PO Box: rem» City State Zip (617)571 -8470 ext. Telephone Number B. Authorized Service Provider BENNETT ENVIRONMENTAL ASSOCIATES, INC. O&M Firm 1573 Main Street/PO Box 1743 Street Address Brewster MA 02631 City State Zip (508)896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF DEP ID Manufacturer ID Model Number 11/16/01 9/20/02 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 4/7/11 8/11/10 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5aiom.doc•rev.11707-05 Page 1 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown M clear ❑ turbid ❑ Other(specify): Odor: M musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 6.50 SU DO 11.84 mglL Turbidity 9.21 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑TN ❑ Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: General O&M visit for system functionality and conducted field testing. Notes and Comments: System Functional and passed field testing. Homeowner had septic tank pumped out last year. t5aiom.doc•rev.11-07-05 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31 st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6t Floor Boston, MA 02108 t5aiom.doc•rev.11-07-05 Page 3 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Joe Dipilato filling out forms Owner on the computer, use only the tab 4 Gentian Circle key to move your Facility Street Address cursor-do not Osterville, MA 02655 use the return City Zip key. �a Mailing address of owner, if different: Street Address/PO Box: ieaon City State Zip (617)571 -8470 ext. Telephone Number B. Authorized Service Provider BENNETT ENVIRONMENTAL ASSOCIATES, INC. O&M Firm 1573 Main Street/ PO Box 1743 Street Address Brewster MA 02631 City State Zip (508)896-1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF DEP ID Manufacturer ID Model Number 11/16/01 9/20/02 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./yyear: ❑ Yes ® No D. Operating Information 8/10/11 4/7/11 Inspection Date Previous Inspection Date Septic tank covers not accessable, subsurface Pumping Recommended ❑ Yes ® No Sludge Depth(to be checked yearly) t5aiom.doc•rev.11-07-05 Page 1 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 8.0 SU DO y 5.14 mg/'i- Turbidity 20.5 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑TN ❑ Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: General 0&M visit for system functionality and conducted field testing. Notes and Comments: System Functional and passed field testing. t5aiom.doc•rev.11-07-05 Page 2 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CM}R 2.00. Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Pro ram One Winter Street, 6t Floor Boston, MA 02108 t5aiom.doc•rev.11-07-05 Page 3 of 3 BENNETTENVIRONMENTALAsSOCIATES, INC. LICENSED SITE PROFESSIONALS Q.ENVIRONMENTAL SCIENTISTS Q GEOLOGISTS 0. ENGINEERS 1573 Main Street-P.O. Box 1743, Brewster, MA 02631 Q 508-896-1706 0 Fax 508-896-5109 0 www.bennett-ea.com 102/0 PROPOSAL January 6,2010 Mr. Joe Dipilato FILE COPY 4 Gentian Circle 4 P Y Osterville,MA 02655 RE: OPERATION AND MAINTENANCE CONTRACT Innovative/Alternative Wastewater Treatment System 4 Gentian Circle, Osterville, MA Dear Mr.Dipilato: BENNETT ENVIRONMENTAL ASSOCIATES, INC. is pleased to provide you with a budget estimate for professional services relative to the operation and maintenance of the innovative/alternative septic system located at the above referenced property. The semi-annual collection and laboratory analysis of samples collected from the effluent of the septic treatment system is a required condition of the approved Innovative Wastewater Treatment System,as set forth by the Massachusetts Department of Environmental Protection(MA DEP)and the Barnstable Board of Health to qualify treatment capacity. As such, work proposed by BEA includes the collection of wastewater samples for field screening and the preparation of the required forms for distribution to the appropriate town and state offices as well as you. Additionally, at the time of such sampling, blowers, filters and associated piping will be inspected to assure working condition and regularly scheduled maintenance performed on a fixed cost basis will be invoiced on a semi-annual basis. Should any repair or treatment system component replacement be required, or additional sampling beyond the semi-annual re u e is p p q � p g Y ,�,, , q:_� , necessary,you will be notified to authorize the additional work and expenses The following budget represents estimated annual costs through one yearn service tp incl e ems. two sampling and inspection events. These annual costs are valid for tw e i subsegti'e$t tote date of the first inspection. ;. Nca x . 1 EMERGENCY SPILL RESPONSE Q WASTE SITE CLEANUP Q SITE ASSESSMENT Q PERMITTING Q SEPTIC.DESIGN&INSPECTION WATER SUPPLY DEVELOPMENT,OPERATION&MAINTENANCE 0 WASTEWATER TREATMENT,OPERATION&MAINTENANCE MAR-29-2010 11:36A FRal:XCEL 8002429494 T0:15088965109 P.1/1 JANUARY 6,2010 DIPR ATO/PROPOSAL PAGE 2 OF 2 4 GENTIAN CIRCLE,OSTF.RW LP,MA SEMI-ANNUAL INSPECTION/MAINTENANCE/SAMPLING Inspect UA system and take field measurements of dissolved oxygen,pH and turbidity. At the time of sampling events the conditions of the system will be inspected and documented with regards to the blower units, sludge level and associated piping. REPORTING/FELING Review inspection and field testing results relative to conditional requirements of the system under the MA DEP and local Board of Health approvals. Prepare DEP transmittal forms on an annual basis. Submit laboratory report and DEP transmittal forms to MA DEP,local Board of Health,and associated vendors/contractors,as appropriate,on an annual basis. TOTAL SEMI-ANNUAL EXPENSE: $420.00* EVENT COST RATE: $210.00 *Note:UA systems located in Barnstable County are required to report inspection and sampling results onthe MA Septic online database for use by the Barnstable County Department of Health and Environment(BCDHE)and the local Boards of Health. At this time,BCDHE has found it necessary to institute annual user fees for filing on this required database. This fee is$50 per year and will be included on your invoice on an annual basis. In addition,the noted fee is based on appropriate accessibility to the system wherein all components should be at grade level. Therefore,if you are in agreement and wish to proceed with the work as outlined,please sign the authorization below to indicating acknowledgement and acceptance of our Terms&Conditions and return one copy ofthis proposal to our office. Should you have any questions or need additional information,please contact me directly at our office. Very truly yours, BENNETT ENVIRONMENTAL ASSOCIATES,INC. Kara Risk,RS Business Manager cc: Samantha laarrenkopf,Wastewater Program Coordinator encl, Terms&Conditions(2009)/Fee Schedule(2008) AUTHORIZATION: ,DATE: 342 Y Z) il 0 AT*TT ENVIRONMENTAL ASSOCIATES, INC. L�CENSED SITE PROFESSIONALS,ENVIRONMENTAL SCIENTISTS,GEOLOGISTS,SANITARIANS 1-573:Pain Street,P. -4ox 1743 (508)896-1706 Brewster,MA 02631 fax(508)896-5109 LETTER OF TRANSMITTAL TO: DATE: JOB NUMBER: Brian Baumgaertel,Program Coordinator 3/30/10 BEA10-10210 Barnstable County Department of Health and Environment 3195 Main Street/P.O.Box 427 Barnstable,MA 02630 REGARDING: Innovative/Alternative Septic System Maintenance Contracts SHIPPING METHOD: Regular Mail X Pick Up ❑ Priority Mail ❑ Hand Deliver ❑ Express Mail ❑ Other ❑ Certified Mail ❑ Green Card/RR ❑ COPIES DATE DESCRIPTION 1 1/6/10 4 Gentian Circle-Osterville,MA For review and comment: ❑ For approval: ❑ As requested: ❑ For your use: REMARKS: Please find enclosed authorized operation and maintenance agreements for the above referenced residences. Thank you. cc:Barnstable Board of Health FROM: Samantha Farrenkopf,Wastewater Program Coordinator If enclosures are not as noted,kindly notify us at once 1-888-450-OMNI (508) 548-0343 r OFFICE � �7 MANUFACTURING P.O. Box 128 ll �l\� Falmouth Technology Park 465 East Falmouth Highway 520 Thomas B. Landers Road East Falmouth, MA 02536 Envirr�nme�atnl.Systxns' t" East Falmouth, MA 02536 August 27, 2003 RECEIVE-n RECEt�. .�... Mr. Thomas A. McKean, Health Agent MAR 19 2004 Barnstable Board of Health TOWN OF BARNS SABLE 200 Main Street HEALTH DEPT. Hyannis, MA 02601 RE: Recirculating Sand Filter Systems Operation and Maintenance Inspections Dear Mr. McKean: Enclosed, please find the copies of the Recirculating Sand Filter Systems Operation and Maintenance Inspection Checklist for the property located at 4 Gentian Circle, Barnstable, MA. If you have any questions or need additional information, please contact me as soon as possible. Sincerely M tt a C. Costa, President OMNI Environmental Systems, Inc. Encl. RSF System Reports D.E.P. Certified Wastewater Operators Recirculating Sand Filters Manufacturing • Testing • Maintenance • Installations LLiMassachusetts Department of Environmental Protection Bureau of Resource Protection-Title 5 RSF System Operation and Maintenance Inspection , Checklist A. Installation & Service Information Facility t Address Date of Se ' city Operator/0 Inspect&note if B. Septic tanks) pumping is required. Inspect&clean effluent Sludge Pumping Required: Yes❑ No Q ❑Sludge Depth: tee filter. Effluent tee filter. Yes❑ No❑ If yes, inspect❑&clean at least yearly❑ Clean as necessary. C. Recirculation tank Inspect for sludge. ❑Check if sludge accumulating Pumping required: Yes❑ No❑ Odor problems: Yes❑ No❑ If yes,description Inspect for sludge. D. Equalization tank (if installed) ❑Check if sludge accumulating Pumping required: Yes❑ No❑ Inspect pumps& . E. Pumps, switches, floats, alarm system electrical switches,test as necessary:Run ❑Pump Inspections(all units) pumps in manual , If problems,describe mode.Record readings El Test pump alternator,or record hours from meters& Hours operation ❑Float switches counters. Check all switches for operation ❑Test alarm If non-functioning,corrective action(s) Note if weeds& F. Recirculation Sand Filter debris are present on bed. Clean/maintain ❑Inspect for ponding Ponding Present:Yes❑ No❑ bed surface to allow proper operation of the Clean bed: Yes❑ No system. ❑ Distribution pipes Flush,Yes,.❑ No❑ Brush: Yes❑ No❑ ❑.Check head loss in pipes Headloss and comments -G. Sample Collection Yes❑ No❑ If yes: ❑BOD EITSS ❑pH EITN ❑Other J J-14C r e ck- 1 Tj 14 'Al Massachusetts Department of Environmental Protection Bureau of Resource Protection-Title 5 RSF System Operation and. LLi Maintenance Inspection Checklist A. Installation & Service Information - ,44O.� �;rc1'e— FacinS,treet ° Add`-ss. Date of Se ' City �^ Operator/O Inspect&note if B. Septic-tank(s) s $ pumping is required. Inspect&clean effluent Sludge Pumping Required: Yes❑ No[ ❑Sludge,Depth: tee filter. AJ Effluent tee filter. Yes No❑ If yes, inspect &clean at least yearly Clean as necessary. C. Recirculation tank Inspect for sludge. ❑Check if siudge'accumulating Pumping required: Yes❑ No Odor problems: Yes❑ No[�_ If yes,description Inspect for sludge. D. Equalization tank (if installed) ❑Check if sludge accumulating Pumping required: Yes❑ No❑ Inspect pumps& E. Pumps, switches,,floats, alarm system ` electrical switches,test as necessary.Run Pump Inspections(all units) If problems,describe pumps in manual Test pump alternator,or record hours mode.Record readings Hours,of operation from meters& Float switches counters. �; , Check all switches for operation Test alarm ' If non-functioning,corrective action(s) . Note if weeds& F. Recirculation Sand Filter debris are present on bed. Clean/maintain P Inspect for ponding Ponding Present:Yes❑' No bed surface to allow Clean bed: Yes[❑ `° proper operation of the ; system. ElDistribution pipes Flush!Yes,;❑ No❑ Brush: Yes❑ No❑ ❑Check head loss,in pipes .. Headloss and comments x -G. Sample Collection Yes❑ No[� If yes: ❑BOD ❑TSS ❑pH ❑TN ❑Other:n U f 'LLi �., Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 RSF System Operation and Maintenance Inspection ,Checklist A. Installation & Service Information Ll i Cif _ Z2 © Z. Facility eet Address }} Date of Service City Operator/O& Inspect&note if B. Septic tanks) pumping is required. Inspect&clean effluent Sludge Pumping Required: Yes❑ No ❑Sludge Depth: tee filter. Effluent tee filter. Yes❑ No❑ If yes, inspect( &clean at least yearly Clean as necessary. C. Recirculation tank Inspect for sludge. ❑Check if sludge accumulating Pumping required: Yes No Odor problems: Yes❑ No If yes,description Inspect for sludge. D. Equalization tank (if installed) ❑Check if sludge accumulating Pumping required: Yes❑ No❑ Inspect pumps& . E. Pumps, switches, floats, alarm system electrical switches,test as necessary:Run Pump Inspections(all units) pumps in manual . If problems,describe Test pump alternator,or record hours mode.Record readings Hours,of operation from meters& Float switches counters. Check all switches for operation Test-alarm If non-functioning,corrective action(s) Note if weeds& F. Recirculation Sand Filter debris are present on •� • bed. Clean/maintain ,Inspect for pond Ponding Present:Yes❑ No�] bed surface to allow \ ; proper operation of the Clean bed: Yes❑ �� system. ❑Distribution pipes Flush:Yes.,.[] No❑ Brush: Yes❑ No❑ ❑.Check head loss in pipes Headloss and comments G. Sample Collection Yes❑ No If yes: ❑BOD ❑TSS ❑pH ❑TN ❑Other • Massachusetts Department of Environmental Protection Bureau of Resource Protection-Title 5 LLil RSF System Operation and Maintenance Inspection Checklist A. Installation & Service Information, Facili Street Address Date of Service. City Operator/O&M i Inspect&note if B. Septic'tank(s) pumping is required. Inspect&clean effluent Sludge Pumping Required: Yes❑ No ❑Sludge Depth: tee filter. Effluent tee filter. Yes( No O If yes, inspect t &clean at least yearly Clean as necessary. C. Recirculation tank Inspect for sludge. ❑Check if sludge accumulating Pumping required: Yes❑ No Odor problems: Yes❑ No If yes,description Inspect for sludge. D. Equalization tank (if installed) ❑Check if sludge accumulating Pumping required: Yes O No❑ Inspect pumps& E. Pumps, switches, floats; alarm system electrical switches,test as necessary.Run Pump Inspections(all units) If problems,describe pumps in manual Test pump alternator, or record hours mode.Record readings Hours.of operation from meters& Float switches counters. Check all switches for operation Test-alarm , If non-functioning,corrective action(s) Note if weeds& F. Recirculation Sand Filter debris are present on ' bed. Clean/maintain (inspect for ponding Ponding Present:Yes❑ No bed surface to allow El Clean bed: Yes❑ No proper operation of the system. ❑ Distribution pipes Flush:Yes,.O No❑ Brush: Yes❑ No❑ ❑.Check head loss in pipes Headloss and comments -G. Sample Collection Yes❑ No If yes: ❑BOD OTSS ❑pH OTN OOther 1-888-450-ONM _ ® (508)548-6424 OFFICE—CAPE COD,MASS. �__:f MANUFACTURING—CAPE COD,MASS. P.O.Box 128 ��/ Falmouth Technology Park- @Acme Precast 465 East Falmouth Highway OMNIaft� 520 Thomans B.Landers Road East Falmouth,MA 02536 "Groundwater Protection Pure And Simple" East Falmouth,MA 02536 e-mail:OES4500MVI@aol.com I I e-mail. OES4500MNI@aol.com Environmental Systenn, Ltd. EFFLUENT TESTING AGREEMENT OMNI 2000 RECIRCILATING SAND FILTER Customer:Margaret Fitzgobbon Location:#4 Gentian Circle 1100 Old Falmouth Road Osterville, MA Marston Mills,MA 02648 Start Date:March 2002 End Date:Marck 2004 You are hereby authorized to render Effluent Testing for the Omni 2000 Recirculating Sand Filter listed at the above address for the contract period of Two Years. This agreement may be extended by the land owner for an additional agreed upon term by providing OMNI Environmental Systems, Ltd. with 30 days written notice of intent to extend. OMNI will provide the land owner with 30 days written notice of its then current pricing schedule should the land owner elect to extend this•agreement. The agreement consists of quarterly testing for the first year. Then semi annual testing for one year for: Total Suspended Solids(EPA 160.2), Total Nitrogen(EPA350.1-351.4), Total Phosphorous(EPA 365.1), Biochemical Oxygen Demand EPA(405.1). All testing shall be performed by Groundwater Analytical, Inc. of Buzzards Bay, MA . Omni Environmental Systems shall provide test results to the the land owner and local approving authority. In consideration of the services contained in this agrrement we agree to pay OMNI Environmental Systems, Ltd. the sum of $350.00 per incident. Payment is due 10 days from Invoice Date. This agreement is not in effect until payment has been received by OMNI Environmental Systems,Ltd. This agreement is not assignable by either party without the prior written consent of the other party and is neither non-cancellable and non-refundable. 1 OMNI Environmental Systems, Ltd. /�'C a el�l �� l IJ — y / Land Owner's Name � G 0% Authorized signature date Land Owner's signature date Recirculating Sand Filters Manufacturing • Testing.• Maintenance • Installations 1-888-450-OMNI '�/`l,�® ;f (508) 548-0343 OFFICE—CAPE COD,MASS. l MANUFACTURING—CAPE COD,MASS. P.O.Box 128 Falmouth Technology Park- ,4cme Precast 465 East Falmouth Highway OMNI 1....„""" 520 Thomas B.Landers Road East Falmouth,MA 02536 v jv East Falmouth,MA 02536 &VI onMewal Systemlnc.. MAINTENANCE AGREEMENT Margret Fitzgibbon December 1, 2001 4 Gentian Circle Property Owner: Start Date: Location: P.O. Box 40 December 1, 2002 ee .5 Address: End Date: Town: Marston Mills, MA 02648 $350.00 per Year 3 City,State Zip Terms: No.Bedrooms 508 737-1262 Phone Phone Terms and Agreement for Standard and Preventative Maintenance OMNI 2000 Recirculating Sand Filter You are hereby authorized to render Standard and Preventative Maintenance for the OMNI 2000 Recirculating Sand Filter listed at the above address for the contract period of Two Years. This agreement may be extended by the land owner for an additional agreed upon term by providing OMNI Environmental Systems, Ltd. with 30 days written notice of intent to extend. OMNI Environmental will provide the land owner with 30 days written notice of its then current pricing schedule should the land owner elect to extend this agreement. The agreement consists of all Standard and Preventative Maintenance listed in the Operators Manual. The OMNI 2000 Recirculating Sand Filter has a 3 year warranty against all defective components including parts and labor. This agreement includes semi-annul site visits and does not include costs occasioned by neglect, misuse. and accident or consumables. This agreement does not include travel costs for the Islands, and any locations not within a 20 mile radius of East Falmouth. In consideration of the services contained in this agrrement we agree to pay OMNI Environmental Systems, Ltd. the sum of$ 700.00 for the above maintenance agreement. Payment is due 10 days from Invoice Date. This agreement is not in effect until payment has been received by OMNI Environmental Systems, Ltd. This agreement is not assignable by either party without the prior written consent of the other party and is neither non-cancellable and non-refundable. / Please Print Name / /0 `t o driz Signature at Land wner's Signatu Date MNI Environmental Systems DEP Certified Wastewater Operator Recirculating Sand Filters Manufacturing . Testing 9 Maintenance . Installations SP l-•x' * r �.rs.i'Z' s ^ems:? k" � � ITVSTALI ER'S NAME&PiONE NO � ,.�5 :SIJ� SG° K -PTIC SE TANI£.OAP LEACHING FACIf.ITY ;(type) s �' h (size)' �_ f>w��' . . OF BEDROOMS BUILDER OR OWNER :. , . PERMIT DATE �� C.OMPLIANCE DATE %G OO1 ��'t a ,��-sc b it riw •a >9+.F? "f r-, '. II T.�rr�...: 'hl Y..:,:° f..,..:: 1 ,- + .'^,M . N; 1, • x '. e ..a>.%t-4: ! Separation Distane"e Between the: Maximum-Adjusted Groundwater Table to`the Boifpm of Leaching FacilI YI, �Feei; Private Water Supply Well and'Leaching,FaciLty:' (If any'wells exist ..... t, .on site'or within 2b feet of leaching faciLty) Edge of Wetland:and Leaching`Facility(I€any wetlands exist ', a witlian 300 fe , of leac fa'' Feet ) : . f N - FUnushe shed: A+ r: .a l it kFul� L r P 6. tf iv i , . .. : I _ t f !v t .'• F5.1�1K,r,3'.n 1���',E'�3`Yr.( •j .`} `f. .s- .V i't ry i� f � ,,» w,>; � '°ram r>; 4 1 t a-5U Z-zz- a o 3-53 3 l TOWN OF BARNSTABLEC: p� LOCATION SEWAGE #,7Q d71^ 'IO VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO.///T169AA&, 5 681 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) --- (size, NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: i COMPLIANCE DATE: 1111,6101 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 feeA of leac fa ' ity) __1 l' Feet Furnished by U oe �— Od11r1� a-5v a-zL t --�Ocj 3 5 3 3-a,1 �� G 31bc�t No. A,� THE COMMONWEALTH OF MASSACHUSETTS FEE 1 BOARD OF HEALTH ' h OF �Q�ST RA LE APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct (Repair ( ) Upgrade ( ) Abandon ( ) N Complete System ❑Individual Components �A C -ka �'�(G� fi" Lac.lion Ownc Na ip/Narrrl# A dress t of# �' I"¢Icyhone h I crs a Designer's Name a Tcicphon A - Telephone# Type of Building: Lot Size39 Sq.feet Dwelling—No.of Bedrooms 3 Garbage-Grinder ( ) Other—Type of Building No.of persons LO Showers ( ), Cafeteria ( ) Other fixtures —_ Design Flow(min.required)gpd Calculated design flow 3,50' gpd Design flow provided ay�2-Sgpd Plan: Date Number of sheets Revision D to Titl 4 Description of Soil(s) d� '"-3Z� Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation b-Lk,rOCJ DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 an rther agrees o lace the system in operation until a Certificate of Compliance has been is ued by a Board of Health. Signed Date �O FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 NO..' f HE COMMON AOFWEALTH 00 MASSACHUSET A TS ¢ FEE ! 1 • —� 1 ,„�..- B-OR D O F . H E LIT - I . ~ E3 P�Q- 5T P t�LF` =u A APPLICATION FOR4?ISPOSAL SYSTEM CONSTRUCTION PERMIT [ Application fora Permit to Construct Repair ( ) Upgradc ( ) Abandon ( ) - VCompletc Systcm ❑Individual Components 1 A � �n © ��"TL ti �hGld . I_nr.Ilan Owns ' Nai 1' Mao o� 0,�>1 Jj�lls .�'JtR.• qi/Parcel N �> Ai�dress rL M R i 1 0l# fi-.t "1 Icphonc - J _ II. cr': le , `f-''I)csigncr's Namc clam Telep ton!8 Telephone k Type of Building: Lot Sized-5.g 23C) Sq.feet Dwelling—No.of Bedrooms Garbage Grinder ( ) s Other—Type of Building °'�- No.of persons Showers ( ), Cafeteria ( ) ` Other4ixtures t __ Design Flow(min.required) 54r::P gpd Calculated.design flow .3�JG`gpd Design flow provided�5gpd Plan: Date Number of sheets Revision Date ` Title - +i ,Q�tt� i r t Description of'Soil(s)-Q"— � 2.0-32 I ' Soil Evaluator Form No. Name of Soil Evaluator _ r .2 Date of'Evaluation. D��1c-t7C7 DESCRIPTION,OF REPAIRS OR ALTERATIONS ' .. �' ��i'�',/{���5 4�f A �; � r� �� 1 -f �M1'Y t. '1 T 1 1 1 1 •� The undersigned agrees to install the above describedlndividual Sewage Disposal System-j ��c2ordance with the provisions of `u ( •TITLE 5 and rther agrees o lace theays in operation until a Certificate of Compliance`has'ISeen is-sued by the Board of Health_J-J 1,111 Date Signed % _ tjp E i .. i' ,I ip s r FORM 1 - APPLIC°ATION�OR DSCP� fr, DEP APPROVED FORM 5/96 / ` d ,• No. - `P •THE•,C0MMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH c CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) ❑Complete System The undersigned hereby certify that,the Sewage Disposal System;Constructed( ),Repaired( ),Upgraded( ),Abandoned( ) by. , ' F at , P a r has been installed in accordance4with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application el ted /Z!oy' Approved Design Flow (gpd) Installer M v ) v A1 1f Owl . ( ' Designer: � � Inspector Date l4cw v The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 ...A t _ _—�-- --_—_,---,__ r' No. �Oro 00 !� HE COMMO WEALTH OF MASSACHUSETTS FEE ZL:rAM%R/6 � U 1 OARD OF HEALTH DISPOSAL,SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct ( pair ( ) Upgrade ( Ab)pdon ( ) an i dividual sewage disposal system at _ _ as described in the application for Disposal System Constructon'Permit No. i dated Provided: Constr ction s all be completed within three years of the date of this rm• IJ I conditions must be met. Date llo9lo Board of Health :.. ,� FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W HOBBSB WARREN TM PUBLISHERS- BOSTON =0 , o / M01VITI)OA 6 o S YS TEM NOT TO SCA L C TOP FNDIV. FINISH GRAD. OVER EL . 0/ TRENCHES FINISH GRADE FINISH GRADE OVER a -DIST. BOX SEPTIC TANR�_�` �-a 4- uwu v r .4 IS, wee la.M L a 4.0 TO ToL,L L ZNS TH &F o.:O,?,71 DUTLII PIP LIZVEL .If FOtI 2 FT. 411N. 0 0 0 ------ LIE WaU 01 6 h ' vV_1�rtx 4"Iw DIIIII11.12#.l,16 M1 a &j .�. �x" ma"K_I�wm_ "I'M rc'Latmu 1�4­9 Mio V. m w Ac W_ A a cr..w r"j mc L K"wa m be"a�— ?.i,%xmx WIk -n M) V. -IA""WIN III 11"m m't 61 1 .4 1 "-M 0�1 At PC P*3"—36M r vA mu • rw—nr LITION P_i�W v4' 4- IW - — _2 L4—1 1- SM T FL :,, AI 5 0 0 &A L L ON DR MEL S EL . j. 1NS•TA L ON L E IEL SA SE AQ4a le I L�\ ­j �sz, tl 7.. JI gyp gam' I C:> I�7 0 p No E XCA /A TE TO EL E OR 014EP TO REND VE A L L IMPEP V.4"GUS -A CHING A J 2 MIN. 'M TEPIA L BENEA TH THEc-' L L 4" DIAR. PL' A CE EXCA YA TED MA TEPIA L )V.Ar TH OF 1,18"Itt-112" ..CLAN, CLAY FREE SAND WASHED 7-:ASTON .1-112" NA SHED L Cp,ISHED STONE L�c 71,=Z", I I I TRENCH WIDTH it "tz� 4- 1 . ALL ELEV.A TIONS ..SHOW ARE BASED ON ASSUMED Nbi-0-9,9 OF TA�t:'tvCHES .1 2. A L L PIPES IN Th,_z' S YS TEM III T 8,'-= CA S T IRON NUMBER OF DF1 111EL L S 2 OP SCHEDULE 40 PIC. —08-5 ):144 TIOV �:JIT 3. THE EDARD OF -IEALTI-I HUST 3L- A10TIFIED WHEII CONSTRUCTION YS COAPLETE PRIOR TO d,�CKFA`L L ING --)Ef-?COL A TION )c?,I L 4. ANY CHANGES IN THIIII PLAN VUST BE APPROVED <2 MIN./IN, )VI TNESSED 3 Y: S Y "A-,'E BOARD OF HEA'L TH AAwD CAPE 47 1 ANDS SUP 1E YING CO.. INC. 00hA/A MOZR;NLA, 5. MATEPIALS AND IVSTALLATION SHAL'- L-J'" IN WI ORD. OF HEAL TH COMPLIANCE WITH THE STATE SAIVITI T14. `TLE AND LOCAL APPLJ"CABLE JA TE.- J� Y -'OLO CODE — TJ _v, 9 PULES AND REGUL A TIONS NU1111111 IEP OF zj )POI 6. NORTH ARROW IS FROM RECI PLANS AND • 0 �w tR GA f-,I 57�� D.1"I'SPOSA NO All IS NOT TO BE USED FOR SOLAR Pbl�POSES _57o; -e-1 y L e�-,=�loIfL 7. FL 000 HA ZA RD ZONE DA_Z­L Y FL W 330 0A L 96 8. ' WATER SUPPLY Trj�`.Iljv VA TEi-i SEP T_rC T,4,NK PE4��l 'D. SAL . _7 SEPTIC TANK Pic/0VIDLED GAL • 6. 000 %k III C) L E,4 GPD. ot, N :V ........... A0 4" 7XV S. F. F. X 1!30 71 j�'M A Pc--A F. t L EACHING "ED .2,122 SPD LEGEA1., e-1 S. X /Zo" PpIlIZO ELEIATION 90 `ENfE 5 INGL E FA AII L_ 08SER Vi TION P.:T JISTP13UTION BOX EN 0 AL S IS TL -4� f"19 6 ­J TRENCH Ib poi ,SPED z o is, _7EPTIC TANK S7 e7 A- <f 71- IZ 2 3 NEE. NO . 4-" T1,4N -IIRA`_ A)CIZA z� 5L F AIA SS. &S TZR 11L L 3A RNS TA L Z DAVID rN ZER f EL E VA TION CHARILLs FINISH PIPE J SANICKI DA TE.* ,4<1.,?1 CAPE ISLANDS ENGINEEPING 2W65 PLOT PLAN I I .— ('/M I� SCALE AS NOTED 800 FALIVOUTH POAD — SUIIII 301 'z SCALE.7 I IS PLAN MASHPEE, MASS. ;15'E P i � I 1 i SEWAGE SYSTEM & OMNI 2 OO RECIRCULATING SAND FILTER PROFILE & DETAILS NOT TO SCALD NOTE: RISERS AND COVERS TO WITHIN 6" OF FINISH GRADE 6" PINE BARK MULCH OMNI 2000 RE-CIRCULATING SAND FILTER TOP OF FOUNDATION ION = 92.0 FILTER FABRIC COVER 2 MODULES REQUIRED (NO SUBSTITUTION) I F.FL. = 93.0 AIR ATION HOODS ' FINISH GRADE = 90.0 iII 1.5" PRESSURIZED LINE I LINE TO "SAS" 01 ' EFFLUENT FILTER 3" PVC RETURN LINE -I / & GAS BAFFLE 87.00 TOP OF 5q' i �1=Trl- SEP Acme Precast Jar Model PL122 RECIRC. RISERS & COVER R.S.F. Z,oT 3® r r TANK = 87.0 TANK= 86.0 TO GRADE ISL, Pe 2q FINISH GRADE 84.0 _ _ _ n � I I I-1 I I-1 I I=11-1 I I-111- ITITtT ,�LI-J I-�I 11= I -` ' ITI I ICI I I� rP, gg 25, 839 S.F. n 87.63 I �•. ; i i.:'. R.S.F. I j , , ,..:, �• MODULE I I- .P� INV. IT7 82.20 ;,, �,,;; ;`!: �:,, ••, ,..�.,,' ,' '• :; .�,,,':•,;; '' ITI CLEAN BACKFILL I'I . AC FLOW � - _ _ � .. • ,r. ,,r;;� I.= I I(_ � O" SPLITTER 3" PEASTONE -III I i-1 83.00 P 14,. \82.751I- BSMT FL. - 84.5 10 O O ❑ 8¢ _ 4,0,. I �GASC�v 80.45 - c� o r� f 1= 3 LIQUID BAFFLE 80.17 F ® © a 9 d LEVEL o� a DISTRIBUTION 80.00 _II © © 0 0 Ilil l 82 2 . HR. R`S. HIGH WATER ALARM BOX;�j' - 0 � � � � 0 II- BENCH MARK ��' // `''��,�, / 1500 GALLON SEPTIC TANK "LOW WATER SHUT OFF" 83.83 , TOP OF C.B. O tip' "OMNI 3' PERFERATED PVC PIPE j- - - - - - - , -T - i- I - - -f i-_ _ � -I I i- j � �O SET LEVEL 1000 GALLON OM N 12000 77 70 r'�- -lll=1TT=1 I ��i I II fI ICI�r-�1-1T1-1T(-�I� 1,= EL. 78.5 Co0 / ` '16 1', �� cf�, EFFLUENT FILTER RECIRCULATION TANK NOTE: TIMER AND EVENT COUNTER BOTTOM . By. "Zoeller" (NO SUBSTITUTION) SHOULD BE MONITORED FROM "BY-PASS ORIFACE" CONTROL PANEL D YWELLS w/d48" of CRUSHED STONE i "CHECK VALVE" l 1 78 Sw4 4 9, O 7GQ.�� / O / 9Z V-r�G NOTE: / EXCAVATE TO DESIGN ELEVATION OR LOWER TO REMOVE ALL iMPERVIO°JS MATERIAL BENEATH THE LEACHING AREA. REPLACE EXCAVATED MATERIAL, � p°1 WITH CLEAN, CLAY FR _ , ,.A_ _ ' -- - _ I CATCH BASIN r�a •�F ?4 T. _ - - - - i Media 2 in. 1 o sieve, mm to 2mm size T _. r ', Sand Filter M d' 4 m' depth < / #200 e _ AVERAGE DAILY FLOW . . . .r. . . . 55 d/ er person/per er bedroom PLOT PLAN ENERAL.r NO S gp p p p \; 1. ALL ELEVATIONS �IIO�.UN ARE BASED ON ASSUMED Wastewater strength-BOD5 . . . . . 230 mg/liter/residential SCALE: V = 20' ALLT Re-Circulation Ratio . . . . . . . . . 4:1 ' gZ 2. PIPES IN THE SYSTEM MUST BE CAST IRON OR CATCH BASIN SCHEDULE 40 PVC. Re-Circulation Tank Size . . . . . . 150% of design flow (Use a 1000 gal. tank) FRAME&GRATE ' 3. HEALTH AGENT/CAPE & ISLANDS ENGINEERING MUST Sand Filter Loading Rate(Residential) . . Loading Rate(gpd/sf)=I 150/BOD5=5 gpd/sf EL. 74.1' T } BE NOTIFI'_D WIT N CONS 'RUCTIG_\ IS COMPLETE Sand Filter Surface Area . . . . . . . SA=Flow gpd/Loading Rate gpd/ft2 J PRIOR TO 13ACKFILLING. 330 gpd/5 gpd/sf= 66 S.F. REQ. (72 S.F. PROVIDED) 76 8O 4. ANY CHAIt?GES IN THIS PLAN MUST BE APPROVED BY 7 THE BOARD OF HEALTH AND CAPE & ISLANDS Re-Circulation pump Size . . . . . . . [330 + (4x330)] x 103% = 1,700 gpd ENGINEERING. 70.8 gals./60 min. cycle 5. MATERIALS AND INSTALLATION SHALL BE IN COMPLIANCE WITH THE STATE SANITARY CODE Use Myers Model #ME40 or equal (65 gals. Co) 12 TH) (TITLE V) AND LOCAL APPLICABLE RULES AND Sand Filter Setbacks . . . . . . . . . . Same as Title V septic tank REGULATIONS. 6. NORTH ARROW IS FROM RECORD PLANS AND IS NOT TO BE USED FOR SOLAR PURPOSES. C� 7. WATER SUPPLY: TOWN WATER 8. FLOOD HAZARD LONE: C (NON-HAZARD) OBSERVATION PIT FLOOD PANEL 250001 0016iD, REVISED: Jul. 2, 1992 P#9741 9. THIS PROJECT DOES NOT INVOLVE ANY PHYSICAL PERCOLATION RATE: <2 MIN./IN. GROUND DISTURBANCE OR VEGETATION REMOVAL WITNESSED BY: D. Moiranda DESIGN DATA WITHIN 100' OF WETLANDS, INLAND OR COASTAL Barnstable BOARD OF HEALTH / 1 , DATE: May 16, 2000 CD CP, BANKS OR FLOOD HAZARD ZONES. F BEDROOMS /I ~ �� c f o 10. OMNI 2000 PRODUCTS AVAILABLE THROUGH TEST HOLES 1 &2 SAME NUMBER O B D OOMS 3 4A GUS OC �' IN� '(fj'�' ny L e �I w'• `� Doi ,(1 Hoe, OMNI ENVIRONMENTAL SYSTEMS, AT 1 (888) 450-OMNI. 0„ -A- LOAM GARBAGE DISPOSAL _ NO IOYR 2/2 -1 0 11. OMNI 2000 CONTROL PANEL TO BE LOCATED INSIDE 2" -B_ DAILY FLOW -330 GAL. So � _� �v°J�.._ =o �j ti DWELLING IN A VISIBLE & AUDIBLE LOCATION. SEPTIC TANK REQUIRED _1,500 GAL. '�i; �� 5 SANDY LOAM 4i4 SEPTIC TANK PROVIDED _1,500 GAL. p 3211 LEACHING REQUIRED 330 GPD Cam hp L'�,H � �'a Q• W '`�"° ' ' � / ! _ _ S.F. i edCh p, J `oc o O �� / - I S1L.'�.•�b ALL A.�t-.'_'-,A=-i52, 152 S.F. x 0.74 G/S.I 112 GPD f 1500 GALL N ` FINE SAND SEPTIC TAN 0 BOTTOM AREA= 329 S.F. I j/` 10YR 7/4 329 S.F. X 0.74 G/S.F. = 243 GPD - I LEACHING PROVIDED = 355 GPD / OMNI 2000 LEGEND 120" NO GROUNDWATER 0 RE-CIRCULATING 90 PROPOSED CONTOUR • � SAND- FILTER 2 - soo GALLON (2 MODULES REQ'D) SINGLE FAMILY RESIDENCE DRYWELLS W/4' 90 EXISTING CONTOUR p_@�\� SEWAGE ( .. a•�•�1 A �RO�OSLL � 5�®SA� SYSTEM CRUSHED STONE ti n s OBSERVATION PIT „ I . PREPARED FOR ON'. MODULE O O ` MARGARET FITZGIBB®NS PIPED BACK TO ❑ DISTRIBUTION BOX H �, r SE:TIC TANK 0. HOUSE #4 (LOT 30) GENTIAN CIRCLE 0 o SEPTIC TANK U U BARl�TSTABI.E MASS. ONE MODULE W W "•, ;, ;� �`"v-1 i�<w'' .�•; ® a ( ? PIPED BACK TO � LEACHING TRENCH OMNI 2000 RE-CIRCULATION W ^ PLAN NO.: 081401 SCALE: AS NOTED � i. RE-CIRCULATION TANK RESERVE RESERVE AREA �"���� �OF ;`' y FILENAME.: Fitzgibbons Septic - Gentian Cir. DATE: AUG. 14, 2001 i TANK ,z \ FOLDER NO.: 340 BA DRAWN BY E.L.Y. 84.00 PIPE INVERT ELEVATION o W j G Q I Cape & Isla ids Engineering SEWAGE & OMNI "'000 SYSTEM DETAIL 1 o t 800 Falmouth Road, Suite 301C SCALE, 1" = 10' 121 81 30 4 O ' k1 y' Mashnee MA 02649 (50S) •�/r-7272 Y I _ �, MAP SEC PCL LOT z