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HomeMy WebLinkAbout0022 GREAT BAY ROAD - Health 22 GREAT BAY ROAD Osterville A = 093 — 017 - l 0 Town of Barnstable Board of Health EAMSMIU& MASS. 200 Main Street, Hyannis MA 02601 &639. Office: 508-862-4644 John Norman,Chairrman FAX: 508-790-6304 Donald A.Guadagnoli,M.D. F.P.(Thomas)Lee,P.E. Daniel Luczkow,M.D.Alt. March 1, 2022 Mr. John O'Dea Sullivan Engineering 711 Main Street Osterville, MA 02655 RE.:''-'22 Great.Boy Road,. Osterville Dear Mr. O'Dea, On January 4, 2022, you submitted multiple variance requests concerning a proposed onsite sewage disposal system with a secondary treatment unit with advanced nitrogen reduction technology at 22 Great Bay Road, Osterville. The Board of Health held a public meeting on January 25, 2022 at 3:00 p.m. to hear and review these requests. I. During the public meeting, the following variance was not granted from the State Environmental Code, Title V: 310 CMR 15.211:: To install a soil absorption system three (3) feet above the maximum adjusted groundwater table, in lieu of the five (5) feet minimum separation distance required. However the following multiple variances were granted from local and State regulations: Section 360-1 of the Town of Barnstable Code:: To install a Nitroe advanced nitrogen reduction system component 55 feet away from wetlands, in lieu of the 100 feet minimum separation distance required. Section 360-1 of the Town of Barnstable Code:: To install a soil absorption system 68 feet away from wetlands, in lieu of the 100 feet minimum separation distance required. Section 360-1 of the Town of Barnstable Code: To install a pump chamber 65 feet away from wetlands, in lieu of the 100 feet minimum separation distance required. Section 360-1 of the Town of Barnstable Code: To install a distribution box 80 feet away from wetlands, in lieu of the 100 feet minimum separation distance required. Q:\WPFILES\Odea Variances 22 Great Bay Road Osterville 2022.docx f+ 310 CMR 15.211:: To install a soil absorption system four (4) feet above the maximum adjusted groundwater table, in lieu of the five (5) feet minimum separation distance required. These variances were granted with the following condition: • The engineering plan shall be revised to show a one (1) foot reduction above the maximum adjusted groundwater table. The bottom elevation of the soil absorption system shall be changed from 4.5 to 5.5 to achieve a one (1) foot reduction to the groundwater. These variances were granted because the physical constraints at the site severely restrict the location of the septic system components due to wetlands in the area. II. You are granted permission on behalf of your client, Thomas.Hynes Trustee, to construct and utilize a NitROE secondary treatment unit with advanced nitrogen reduction technology at 22 Great Bay Road, Osterville, Massachusetts.. The following requirements are provided within the multi-page MA Department of Environmental Protection (DEP) Provisional Use Approval Renewal letter dated May 12, 2020: (1) Thirty (30) days prior to submitting an application for a DSCP, the Company or its representative shall provide to the Approving Authority a certification, signed by the owner of record for the property to be served by the unit, stating that the property owner: a) has been provided a copy of the Provisional Use Approval and all attachments and agrees to comply with all terms and conditions; b) has been informed of all the owner's costs associated with the operation including power consumption, maintenance, sampling, recordkeeping, reporting, and equipment replacement; KleanTu NitROE 2K Provisional Approval, May 2020 Page 11 of 15 Technology: NitROE® 2KS & 2KM WWTS c) understands the requirement for a contract with a company approved operator and has been provided a current list of all approved operators; d) agrees to fulfill his responsibilities to provide a Deed Notice as required by 310 CMR 15.287(10) and the Approval; and e) agrees to fulfill his responsibilities to provide written notification of the Approval conditions to any new owner, as required by 310 CMR 15.287(5). (2) Prior to the issuance of a Certificate of Compliance by the Approving Authority: a) In accordance with 310 CMR 15.021(3), the System Installer and Designer must certify in writing that the System has been constructed in compliance with 310 CMR 15.000, the approved design plans, and all local requirements, including any local approving authority site-specific requirements' (3) Prior to issuance of the Certificate of Compliance and after recording and/or registering the Deed Notice required by 310 CMR15.287(10), 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/or document number; and (ii) if the property is unregistered land, a Registry copy of the System Owner's deed to the Q:\WPFILES\Odea Variances 22 Great Bay Road Osterville 2022.docx Y property, bearing a marginal reference on the System Owner's deed to the property. The Notice to be recorded shall be in the form of the Notice provided by the Department. (4) Prior to the use of the System, the System Owner shall enter into an O&M Agreement with a qualified contractor and submit the Agreement to the Approving Authority and the Company. The Agreement shall be at least for one year. (5) The wastewater effluent shall be sampled and analyzed/tested quarterly if this facility is utilized year-round. Sampling shall include pH, BOD5, TSS and Total Nitrogen, unless otherwise stated. Flow shall be recorded at each inspection. [Note: a)Year-round facilities shall be inspected and effluent sampled quarterly; b) Seasonal properties shall be inspected and effluent sampled a minimum of twice per year,with at least one annual sample taken 30 to 60 days after seasonal occupancy and a second sample taken no less than 2 months after the first sample; and c) After 12 rounds of monitoring, sampling may be reduced to TN only quarterly. Reduced sampling shall also include Field Testing of System wastewater when determined necessary by the operator, see DEP Field Testing Protocol at http:/twww.mass.gov/eea/docs/dep/water/laws/i-thru-z/testsamp.pdf] (6) A copy of the wastewater analyses, wastewater flow data, field testing results, and System Operator O&M reports and inspection checklists shall be maintained by the Company. It is recommended the System Owner also maintain copies of these items. All of the other conditions listed in the MA Department of Environmental Protection (DEP) Provisional Use Approval Renewal letter dated May 12, 2020 shall be adhered to. Sincerel , t ohn Norman Chairman Q:\WPFILES\Odes Variances 22 Great Bay Road Osterville 2022.docx � t _ DATE: 1/ �Z $95.00 FEE*: • t S • Town of Barnstable Mass.. REC.BY Board of Health 3CF>ED.DATE 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 John T.Norman FAX: 508-790-6304 r '= Donald A.Guadagnoli,M.D. Paul J.Canniff,D.M.D. F.P.(Thomas)Lee,Alternate VARIANCE REQUEST FORM LOCATION O().-,, r Property Address 21 ��� tJ� �(�ck Assessor's Map and Parcel Number: D. �/ Size of Lot Wetlands Within 300 Ft. Business Name: - Subdivision Name: APPLICANT'S NAME: 1° Phone Did the owner of the,property authorize you to rep esent him or het9 Yes :No PROPERTY OWNER'S NAME CONTACT PERSON �* Name: I Y I��I.GI,S �l��ll..� ��V �� Name: JohnD6l'l,1 • (A lv 111 6q I YI 11 �` /1 1 ' sit l ►�7 Address: 5 J(.� lilV'��L Address: Phone: Phone: EMAIL: rto 0, CENl1 VARIANCE FROM REGULATION oncl.Reg.code a) REASON FOR ARIANCE(May attach sepange sheet if more space needed) �u C-rn(L vs,2i2 -D-ah,,N�D (17A akr NATURE OF WORK: House Addition U House Renovation U Repair of Failed Septic System LJ Checklist (to be completed by office staff-person receiving variance request application) Please submit first four on list as S collated packets _ A. Five(5)copies of the completed variance request form _ B. Five(5)copies of MA DEP approval letters for Innovative/Altemative septic system(when proposing an UAsystem or secondary treatment unit(S.T.U.). C. Five(5)hard copies of engineered plan submitted(e.g.septic system plans)and one(1)electronic version submitted to email: health( town.bamstable.ma.us *(Pool Plan—5 hard copies) D.Five(5)copies of labeled dimensional floor plans submitted(e.g..house plans or.restaurant kitchen plans)and one(1)electronic version. A completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or R.S. Signed letter stating that the property or business owner authorized you to represent him/her for this request _ Applicant must notify abutters 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—Five(5)copies of full menu submitted(for grease trap variance requests only). Fee Submitted*$95.00 for the following variances: 1)New construction, 2),Septic repairs with increase in flows, and 3)New owner/new lessee applying for food, pool or body art variances. Exemptions from Variance Fee: 1) Septic repair withou an increase in flow and variances granted at the counter,2)Monitoring Plans,and 3)Temporary Food(not a"variance"). .Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED John T.Norman NOT APPROVED, i Donald A.Guadagnoli,M.D. REASON FOR DISAPPROVAL Paul J.Canniff,D.M.D. Q"p\Application Forms\VARIREQ Rev Jan 1-2020:docx .' MALL-IN REQUESTS Please mail the variance fee amount of $95.00 (if applicable), along with the documents listed below; to the following address: Checks payable to: Town of Barnstable. Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 026.01 For septic system variance requests,each of five packets must include: 1) Variance Request Form, 2) Letter for the Board with further information on the reason for the septic variance request (Optional); 3) MA DEP Approval letters for proposed Innovative Alternative (I/A) septic system or a proposed secondary treatment unit (S.T.U.) 4). Engineering plans, 5) Floor plans. In additional to the five .septic packets above, include one copy of the seven (7) page checklist, the authorization letter, copy of abutters notice, and fee, if applicable (see checklist below). Please send one electronic submission using a PDF or .jpg of the engineering plan and floor plans to email: health(&-town.barnstable.ma.us. (Total email must be less than 10 megabytes.) k For grease trap variance requests, each of five packets must also include a full menu. (see checklist below). Checklist Please submit first four on list as 5 collated packets. A. Five(5)copies of the completed variance request form B. Five(5)copies of MA DEP approval letters for Innovative Alternative septic system(when proposing an I/A or secondary treatment unit(S.T.U.). C. Five(5)hard copies of engineered plan submitted(e.g.septic system plans)and one(1)electronic version submitted to email: health@barnstable.i-na.us barnstable.ma.us a Five(5)copies of labeled dimensional floor plans submitted(e.g.house plans or.restaurant kitchen plans)and one(1)electronic version submitted to email: health@town.barnstable.ma.us A completed seven (7) page checklist, confirming all required items are on the engineered septic system plan submitted by engineer or registered sanitarian. Signed letter statino that the property or business owner authorized you to represent him/her for this request Applicant must notify the abutters 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=Five(5)copies of full menu submitted(for grease trap variance requests only) Fee Submitted *$95.00 for the following variances: 1)New construction,2)Septic repairs with increase in flows,3) New owner/new lessee applying for food, pool or body art variances. Exemptions from Variance Fee: 1) Septic repair without an increase in flow and variances granted at the counter. 2) Monitoring Plans, and 3) Temporary Food(this is not a variance). Variance request submitted at least 15 days prior to meeting date. For further assistance on any item above, call (508) 862-4644 Email: health(&-town.barnstable.ma.us Back to Main Public Health Division Page ° Engineering &. Sullivan Consultin In c. g, (508)428-3344.P.O. Box 659 •711 Main Street,Osterville,MA 02655 seci@sullivanengin.conn • www.sullivanengin.com January 3, 2022 Board of Healdh Town of Barnstable 200 Main Street '. - ' Hyannis, MA 02601 RE: Thomas N. Hynes, Trustee 22 Great Bay Road, Osterville Dear Board, Please find attached a variance request forin, engineered plan, floor plans, 7-page checklist, signed letter from the property owner and a copy of die abutter letter. The project site consists of approximately .57 acres of land in Osterville on Little Island. The property is developed wide a single-family dwelling dating back to 1953. The existing septic system failed over dhis past summer and requires an upgrade. The owners are desirous of incorporating a NAROE advanced innovative/alternative system,which requires Board review. j In addition, variances are being sought from 310 CMR 15.212 (Depdi to Groundwater - 5' Required/3' Provided), and Town of Barnstable Chapter 360-1 Setbacks to Water Bodies (100' Required - 55-80' Provided). _ The property is very low lying, wide no portion suitable to provide 5' of groundwater separation, and much of die property located within a 100' setback to the wedand edge. Providing additional separation to groundwater would put die S.A.S. above die floor elevation of die dwelling, and would much more significantly impact die yard and surrounding properties. Aldiough there is a small area in die soudh west corner of die property outside of die 100' setback- it would not be possible to locate a raised system in dus area given die building and property line setbacks, and be able to maintain access to ` die garage. We believe that that Depdi to Groundwater Variance may be granted in accordance widh 310 CMR 15.415 (No less than 2'), and that widh die inclusion of the NAROE advanced innovative/alternative die system will serve to protect die public health, safety,welfare and die environment to die maximum extent feasible. I trust this meets your present needs. Very truly yours, John O'Dea, P.E. ' Sullivan Engineering&Consulting, Inc. BED CL BA BED v BED Ll VI N DINING KI TCHEN GARAGE i J c Commonwealth of Massachusetts Executive Office of Energy &Environmental Affairs Department of Environmental Protection One Winter Street Boston, MA 0210E•617-292-5500 Charles D.Baker Kathleen A.Theoharides Governor Secretary Karyn E.Polito Martin Suuberg Lieutenant Governor Commissioner t PROVISIONAL USE APPROVAL RENEWAL Pursuant to Title 5,310 CMR 15.000 Name and Address of Applicant: KleanTu LLC. 300 Old Pond Road, Ste#206 Bridgeville,PA 15017 • Trade name of technology and models: NitROE® Waste-Water Treatment System (NitROE® WWTS) with unit sizing for design flows up to 2000 gpd (NitROE® 2KS WWTS and NitROE® 2KM WWTS) (hereinafter the `System' or the `Technology'). Owner and Operator manuals, installation manual, schematic drawings illustrating the System models and the technology inspection checklist are part of this Certification. DEP Transmittal No.: X285590 Date of Issuance: May 12,2020, Expiration date: May 12,2025 Authority for Issuance Pursuant to Title 5 of the State Environmental Code,310 CMR 15.000,the Department of Environmental Protection (hereinafter "the Department") hereby issues this Provisional Approval to: KleanTu LLC, located at 300 Old Pond Rd., Ste 206 in Bridgeville, PA (hereinafter "the Company"), NitROE® 2KS WWTS and NitROE® 2KM WWTS (hereinafter "the Technology" or "System") for use in the Commonwealth of Massachusetts subject to the conditions herein. Sale and use of the Technology is subject to compliance by the Company, the Designer, the System Installer, the Operator, and the System Owner with the terms and conditions herein. Any noncompliance with the terms or conditions of this Certification constitutes a violation of 310 CMR 15.000. Mav 12,2020 Marybeth Chubb, Section Chief Date Wastewater Management Program Bureau of Resource Protection This information is available in alternate format.Contact Michelle Waters-Ekanem,Director of Diversity/Civil Rights at 617-292-5751. TTY#MassRelay Service 1-800-439-2370 MassDEP Website:www.mass.gov/dep Printed on Recycled Paper, r KleanTu NitROE 2K Provisional Approval,May 2020 Page 2 of 15 Technology:NitROEO 2KS&2KM WWTS I.PURPOSE Subject to the conditions of this Approval and any other local requirements, the purpose of this Approval is to allow installation and operation of at least 50 on-site sewage disposal systems utilizing the technology in Massachusetts in order to conduct a performance evaluation of the capabilities of the Technology during the first 3 years of operation of each system, in accordance with Title 5 — 310 CMR 15.286(7),Provisional Approval of Alternative System. The specific goal of the Performance Evaluation is to determine if the Technology is capable of consistently meeting the concentration limits for total nitrogen (TN) of less than 11 milligrams per liter (mg/L) for installations with design flaws less than 2,000 GPD in the effluent discharged to the soil absorption system. In areas subject to nitrogen loading limitations,increases in the discharge rate per acre may be allowed when the nitrogen concentration discharged to the soil is reduced. The Company is responsible for oversight and sampling of the systems during the Performance Evaluation. The System Owner has responsibility for continued oversight and sampling of the system if the property served was allowed to increase the discharge rate per acre above 440 gallons per day per acre (gpda) in an area subject to Nitrogen Loading Limitations. The System Owner will be required to repair, . replace,modify or take any other action as required by the Department or the local approving authority, if the Department or the local approving authority determines that the System is not capable of meeting the required reduction in nitrogen in the effluent. With the other applicable permits or approvals that may be required by Title 5, this Approval authorizes the installation and use of the Alternative System in Massachusetts.'All the provisions of Title 5, including the General Conditions for all Alternative Systems (310 CMR 15.287), apply to the sale, design, installation, and use of the System, except those provisions that specifically have been varied by this Approval. II.GENERAL DESCRIPTION OF THE TECHNOLOGY The NitROE ®2KS or 2KM WWTS (the `System') is installed in series between a Title-5 system septic tank and a soil absorption system constructed in accordance with 310 CMR 15.100 - 15.279, subject to the provisions of this Approval to accommodate design flows of less than 2,000 GPD. The System is comprised' of two-unit processes which are sequentially performed in two different chambers. The first chamber is aerated, via an external air pump and airline header/hose arrangement,to achieve both organic carbon reduction along with the biological conversion of ammonia-N to nitrate-N. From the Aeration Chamber, the wastewater then gravity flows into a Denitrification Chamber where, in the presence of natural organics from wood chips, bacteria mediate the conversion of nitrate-N to inert N gas that exits to the atmosphere via the Title 5 system vent piping. Depending on design flow and availability of local tank structures, the sequential Aeration and Denitrification process steps can be erformed in the same single tank, which is NitRO WTS or each process could be performed in its own separate tan with the overall NitROES WWTS comprised of multiple tank combinations, which is NitROE®2KM WWTS. The use of the Technology under this Approval requires: �~ • Disclosure Notice in the Deed to the property; • Certifications by the Company,the Designer, and the Installer; 0 System Owner Acknowledgement of Responsibilities; K1eanTu NitROE 2K Provisional Approval,May 2026 Page 3 of 15 Technology:NitROE®2KS&2KM WWTS , • A certified operator under contract for periodic inspection and maintenance; • Periodic sampling; • Recordkeeping and reporting; and • An external power supply III.CONDITIONS OF APPROVAL A. Basis for Conditions 1. The term "System" refers to the Technology in combination with any other,components of an on-site treatment and disposal system that may be required to serve a Facility in accordance with 310 CMR 15.000. 2. The term"Approval"includes the Special Conditions, Standard Conditions, General Conditions of 310 CMR 15.287,and the approved Attachments. 3. Items required by this Approval include: . a) Performance Evaluation Plan (PEP) with sampling and analysis requirements and approved by the Department. The PEP must be submitted to the Department for review and approval within 60 days of issuance of this Approval and meet the requirements of the Department's Guidance for the Preparation of Performance Evaluation Plans <2,000 GPD; b) Minimum System installation requirements; c) Company schematic drawings and specifications; d) Owner's Manual, including information on substances that should not be discharged to the System; e) Operation and Maintenance manual, including but not limited to, operator qualification requirements, inspection requirements, sampling and analysis requirements, recordkeeping requirements,and/or reporting requirements; and f) MassDEP Operation and Maintenance (O&M) checklist and'I/A technology inspection checklist. B. Special Conditions 1. Department review and approval of the System design and installation 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 Department review and approval. 2. System installations must meet the specific siting conditions for Provisional Use provided in 310 CMR 15.286(4)and the facility must meet the siting requirements of this Approval. 3. Any System for, which a complete Disposal System Construction Permit Application is submitted while this Approval is in effect,maybe permitted, installed, and used in accordance with this Approval:unless the Department,the local approval authority, or a court requires the System to be modified or removed or requires discharges to the System to cease. 4. The System Owner shall provide access to the site for purposes of sampling the System in accordance with the Company's technology Performance Evaluation Plan approved by the K1eanTu NitROE 2K Provisional Approval,May 2020 Page 4 of 15 Technology:NitROE®2KS&2KM WWTS, Department, in addition to providing access for performing inspections, maintenance, repairs, and responding to alarm events. 5. The System Owner shall ensure that no permanent buildings or structures, other than the System, are constructed in the area for the installation of all the components of a fully conforming Title 5 system with a reserve area. The area for a fully conforming Title 5 system with a reserve area shall not otherwise be disturbed by the System Owner in any manner that will render it unusable for future installation of a fully conforming Title 5 system. 6. The Department has not determined that the performance of the System will provide a level of protection to public health and safety and the environment that is at least equivalent to that of a sanitary sewer system. If it is feasible to connect a new or existing facility to the sewer, the Designer shall not propose an Alternative System to serve the facility and the facility Owner shall not install or use an Alternative System. When a sanitary sewer connection becomes feasible after an Alternative System has been installed,the System Owner shall connect the facility served by the System to the sewer within 60 days of such feasibility and the System shall be abandoned in compliance with 310 CMR 15.354, unless a later time is allowed in writing by the Department or the Local Approving Authority. \ 7. The control panel including alarms shall be,mounted in a location accessible to the System Operator. 8. For any System that does not flow by gravity to the SAS, the System shall be equipped with sensors and high-level alarms to protect against high water due to pump failure, pump control failure, loss of power, or system freeze up. The control panel including alarms and controls shall be mounted in a location always accessible to the operator (or service contractor). Emergency storage capacity for wastewater above the high level alarm shall be provided equal to the daily design flow of the System and the storage capacity shall include an additional allowance for the volume of all drainage which may flow back into the System when pumping has ceased. Instead of providing emergency 24-hour storage,an independent standby power source may be provided for operation during an interruption in power. With any interruption of the power supply the source must be.capable of automatically activating in addition to manual start up capability. The standby power must be sufficient to handle peak flows for at least 24 hours and sufficient to meet all power needs of the System including, but not limited to, pumping, ventilation, and controls. Standby power installations must be inspected and exercised at least annually and all automatic and manual start up controls must be tested. Standby power installations must comply with all applicable state and local code requirements. Provided that a standby power installation complies with these requirements, no variance is required to the provisions of 310 CMR 15.231(2). 9. System unit malfunction and high water alarms shall be connected to circuits separate from the circuits to the operating equipment and pumps. 10. All System control units,valve boxes,conveyance lines and other System appurtenances shall be designed and installed to prevent freezing per the Company's recommendations. KleanTu NitROE 2K Provisional Approval,May 2020 Page 5 of 15 Technology:NitROE®2KS&2KM WWTS 11. Any System structures with exterior piping connections located within 12 inches or below the Estimated Seasonal High Groundwater elevation shall have the connections made watertight with neoprene seals or equivalent. 12. In compliance with 310,CMR' 15.240(13), a minimum of one (1) inspection port shall be provided within the SAS consisting of a perforated four inch pipe placed vertically down into the stone to the naturally occurring soil or sand fill below the stone. The pipe shall be capped with a screw type cap and accessible to within three inches of finish grade. Operation and Maintenance 13. Inspection, operation and maintenance (O & M), sampling, and field testing of the System required by this Approval shall be performed by a System Operator with the following qualifications: a) is an approved System Inspector in accordance with 310 CMR 15.340; b) has been trained by the Company and whose name appears on the Company's current list of qualified operators; and . c) has been certified at a minimum of Grade Level IV (four) 'by the Board of Registration of Operators of Wastewater Treatment Facilities, in accordance with Massachusetts regulations 257 CMR 2.00. The name of the Operator shall .be included in the O&M agreement required by paragraph B(14). 14. Prior to the use of the System, the System Owner shall enter into an O&M Agreement with a qualified contractor and submit the Agreement to the Approving Authority and the Company. The Agreement shall be at least for one year and include the following provisions: a) The name of the qualified Operator that appears on the Company's current list of Service Contractors; b) The System Operator must have the qualifications specified in paragraph B (13); c) The System Operator must inspect the System in accordance with the Approval and anytime there is an equipment failure, System failure,or other alarm event; _ d) In the case of a System failure, an equipment failure, alarm event, components not functioning as designed or in accordance with the Company specifications, or violations of the Approval, procedures and responsibilities of the Operator and System Owner shall be clearly defined. for corrective measures to be taken immediately. The System Operator shall agree to provide written notification within five days describing corrective measures taken to the System Owner,the Company, and the local board of health; e) The System Operator shall determine the cause of total nitrogen effluent limit violations if they occur and take corrective actions in accordance with the approved O & M Manual; and f) Procedures and responsibilities for recording quarterly or monthly wastewater flows must be defined, see paragraph B(32)"Flow Metering". 15. At all times, the System Owner shall maintain an O&M Agreement that meets the requirements of paragraph B(20). 16. The System Owner and the System Operator shall properly operate,and maintain the system in accordance with this Approval, the Designer's operation and maintenance requirements, and the requirements of the local approving authority. K1eanTu NitROE 2K Provisional Approval,May 2020 Page 6 of 15 Technology:NitROEO 2KS&2KM WWTS 17. Upon determining that the System has failed, as defined in 310 CMR 15.303, the System Operator shall notify the System Owner immediately. 18. Upon determining that the System has failed, as defined in 310 CMR 15.303, the System Owner and the System Operator shall be responsible for the notification of the local approving authority within 24 hours of such determination. 19. In the case of a System failure, an equipment failure, alarm event, components not functioning as designed or in accordance with the Company specifications, or any violations of the Approval, the System Owner and the System Operator shall be responsible for the written notification of the local approving authority and the Company within five days describing corrective measures taken. 20. Within 60 days of any site visit, the System Operator shall submit an O&M report and inspection checklist to the System Owner and the Company. The O&M report and inspection checklist shall include,at a minimum: a) for a System failing,any corrective actions taken; b) wastewater analyses,wastewater flow data, and field testing results; c) any violations of the Approval; d) any determinations that the System or its components are not functioning as designed'or in accordance with the Company specifications; and e) any other corrective actions taken or recommended. 21. By September 30th of each year, the System Owner and the Service.Contractor shall be responsible for submitting to the local approving authority all monitoring results with all O&M reports and inspection checklists completed by the System Operator during the previous 12 months. 22. By September 30th of each year, the Service Contractor shall be responsible for submitting to the Company copies of all O&M reports including alarm event responses, all monitoring results, violations of the Approval, inspection checklists completed by the Service Contractor, notifications of system failures,and reports of equipment replacements with reasons during the previous 12 months. 23. A copy of the wastewater analyses, wastewater flow data, field testing results, and System Operator O&M reports and inspection checklists shall be maintained by the Company.It is recommended the System Owner also maintain copies of these items. 24. The System Owner shall notify the Approving Authority in writing within seven days of any cancellation,expiration or other change in the terms and/or conditions of the O&M Agreement required by Paragraph B(14). 25. The System Owner and the Service Contractor shall maintain copies of the Service Contractor's O&M reports, inspection checklists, and all reports and notifications to the LAA for a minimum of five years. 26. The System may only be installed to serve facilities where a fully conforming Title 5 system with a reserve area exists on-site or could be built on-site in compliance with the design , standards for new construction of 310 CMR 15.000, and for which a site evaluation in K1eanTu NitROE 2K Provisional Approval,'May 2020 Page 7 of 15 Technology:NitROE®2KS&2KM WWTS compliance with 310 CMR 15.000 has been approved by the Approving Authority. A fully conforming Title 5 system may include other approved alternative technologies in accordance with the conditions imposed on the alternative technologies. 27. Subject to the provisions of this Approval, the Technology shall be installed in a manner which neither intrudes on, replaces a component of, or adversely affects the operation of all other components of the System designed and constructed in accordance with the standards for new construction of 310 CMR 15.200- 15.279. Effluent Limit and Monitoring,Requirements, 28. For the new construction, unless the facility meets a TN effluent limit of 11 mg/1 or less, the system shall not be designed to receive more than 440 gallons of design flow per day per acre (gpda) in an area that is subject to the Nitrogen Loading Limitations of 310 CMR 15.214. If the facility does not meet with the Nitrogen Loading Limitations pursuant to the aggregation provisions of 310 CMR 15.216, the System Owner shall repair, replace, modify or take any other action as required by the Department or the local approving authority to meet the total nitrogen concentration limits in the effluent. Violation of the TN concentration in the System effluent shall not require notifications as . required in paragraphs B(18)and(19). , 29. Prior to Department approval of the Company's Performance Evaluation Plan, the Company shall be responsible for the following monitoring requirements for all System installations that are subject to a total nitrogen concentration limit in accordance with paragraph B (28). Sampling shall include pH, BOD5, TSS and Total Nitrogen, unless otherwise stated. Flow , shall be recorded at each inspection, see"Flow Metering" section below. s a) Year-round facilities shall be inspected and effluent sampled quarterly; b) Seasonal properties shall be inspected and effluent sampled a minimum of twice per year, with at least one annual sample taken 30 to 60 days after seasonal occupancy and a second sample taken no less than 2 months after the first sample; and c) After 12 rounds of monitoring, sampling may be reduced to TN only quarterly. Reduced sampling shall also include Field Testing of System wastewater when determined necessary by the operator, see'DEP Field Testing Protocol at http://www.mass.gov/eea/docs/dep/water/laws/i-thru-z/testsamp.pdf. Properties occupied at least 6 months per year are considered year-round properties. Properties occupied less than 6 months per year are considered seasonal properties. 30. 'During the Performance Evaluation period, the Company shall follow the monitoring ' requirements specified in the Performance Evaluation Plan for installed Systems. 31. . After the three (3) year Performance Evaluation period by the Company and approval by the Department, and until this Approval is modified, terminated, or superseded by a General Use Certification; the System Owner shall comply with the following monitoring requirements if the System is subject to a total nitrogen concentration limit in accordance with paragraph B? (28). F K1eanTu NitROE 2K Provisional Approval,May 2020 Page 8 of 15 Technology:NitROEO 2KS&2KM WWTS a) Year-round properties shall be inspected and sampled for at least the TN parameter a minimum of twice/year, at least 5 months apart and with at least one sample taken between December 1 and March I of each year. Field testing shall be completed as determined necessary by the System operator,see DEP Field Testing Protocol at h ttp://www.mass.zovleealdocs/deplwater/lawsli-thru-zltestsamp.pdf. Water meter readings shall be recorded at each inspection, see"Flow Metering"below. b) Seasonal properties shall be sampled for at least the TN parameter a minimum of twice/year. At least one annual sample must be taken 30 to 60 days after each seasonal occupancy. A second sample must be taken no less than 2 months after the first sample. Field testing of the System shall be completed as determined necessary by the operator. Water meter readings shall be recorded at each inspection, see"Flow Metering"below. 32. Flow Metering - At a minimum, for all systems installed prior to this Approval, water meter flow data shall be recorded each time the system is inspected and sampled by the System Operator. For systems installed after the effective date of this Approval, wastewater flow data shall be recorded each time the system is inspected and sampled by the System Operator and may be based on: a) actual metering data of wastewater flow to the system; or b) water meter data for the total facility with metered non-wastewater flows, if available, subtracted from the total facility water usage. 33. Field Testing: Turbidity,pH and Apparent Color- Turbidity, pH, DO and apparent color shall be measured and/or recorded in the field when when determined necessary by the operator. See applicable sections of the Department's Field Testing Protocol at ht(p:llwww.mass..Qovleealdocsideplwater/lawsli-thru-zltestsamp.pdf. 34. At a minimum,the System Operator shall inspect the System: a) two times per year; b) in accordance with the approved O&M manual,the Designer's operation and maintenance requirements,and the requirements of the local approving authority; and " c) any time there is an alarm event,equipment failure,or system failure 35. The System Operator shall collect samples and obtain analysis results from an approved lab, perform field testing required by the Approval and submit results within 60 days of the site , visit to the System Owner. .' 36. If the Company successfully demonstrates the effectiveness of the System to reduce nitrogen loadings during the Performance Evaluation period, a minimum of three years, the System Owner shall operate the System.subject to the requirements of the General Use Certification,if issued, for this technology. C. Special Conditions�Specific to the Company 1. The Approval shall only apply to model units with the same model designations specified in this approval and meet the 'same specifications, operating requirements, and plans, as provided by the manufacturer at the time of the application. Any proposed modifications of- the units shall be subject to the review of the Department for coverage under the Approval. K1eanTu NitROE 2K Provisional Approval,May 2020 Page 9 of 15 Technology:NitROE®2KS&2KM WWTS 2. Prior to submission of an application for a DSCP,the Company shall provide to the Designer and the System Owner: a) All design and installation specifications and requirements; b) An operation and maintenance manual,including: i) an inspection checklist; ii) recommended inspection and maintenance schedule; iii)monitoring(i.e. water use and power consumption)and sampling procedures, if any; iv)alarm response procedures,if any, and troubleshooting procedures; c) An owner's manual,including proper system use and alarm response procedures,if any; d) Estimates of the Owner's costs associated with System operation including, when applicable: power consumption, maintenance, sampling, recordkeeping, reporting, and equipment replacement; e) A copy of the Company's warranty; and f) Lists of Designers,Installers,and Service Contractors. a 3. The Company shall implement the Performance Evaluation Plan, as submitted and approved by the Department, and shall be responsible for all data collection and submissions to the Department until a final determination on the Performance Evaluation has been made by the Department. 4. Until a final determination has been made by the Department on a completed Performance Evaluation, the Company shall submit to the Department an annual report by February 15th of each year that includes the following: a) a table of all sample data collected for all systems installed to date and all information required by the Department as part of the approved Performance Evaluation Plan; b) status of preparation of a Performance Evaluation Plan if not yet provided to MassDEP, or any recommended changes to the approved Performance Evaluation Plan; c) a list of pending applications for system installations which have been submitted to local_ approving authorities; • d) identification of any System after start-up in violation of the Approval or not in compliance with any performance criteria at the time of the annual report, the reasons for the noncompliance and the status of any corrective actions that are needed; and e) any recommendations and requests for changes to the system monitoring and reporting plan or the performance criteria of the Approval. The report shall be signed by a corporate officer,general partner or the Company owner. (Service Contractor records submitted to the Company should not be included with the annual report to the Department,but shall be made available to the Department within 30 days of a request by�the Department.) t 5. The Company shall- institute and maintain a program of Installer training and continuing education that is at least offered annually. The Company shall maintain and annually update, and make available the'list of qualified Installers by February 15th of each year. The Company shall certify that the Installers on the list have taken the training and passed the Company's training qualifications. KleanTu NitROE 2K Provisional Approval,May 2020 Page 10 of 15 Technology:NitROE®2KS&2KM WWTS 6. The Company shall institute and maintain a program of Designer training and continuing education, as approved by the Department. The Company shall maintain and annually update, and make available the list of qualified Designers by February 15th of each year. The Company shall certify that the Designers on the list have taken the training and passed the Company's training qualifications. 7. The Company shall institute and maintain a program of Operator training and continuing education, as approved by the Department. The Company shall maintain and annually update, and make available the list of qualified Operators by February 15th of each year. The Company shall certify that the Operators on the list have taken the training and passed the Company's training qualifications. 8. The Company shall not sell the Technology to an Installer unless the Installer is trained to install the System by the Company. 9. Prior to its sale of any System that may be used in Massachusetts,the Company shall provide the purchaser with a copy of the Approval with the System design, installation, O&M, and Owner's manuals. In any contract for distribution or sale of the System, the Company shall require the distributor or seller to provide the purchaser of a System for use in Massachusetts with copies of these documents,prior to any sale of the System. , 10. Within 60 days of issuance by the Department of a revised Approval, the Company shall provide written notification of changes to the Approval to all Service Contractors servicing existing installations of the Technology and all distributors and resellers of the Technology. 11. The Company shall provide written notification to the Department's Director of the Wastewater Management Program at least 30 days in advance of the proposed transfer of ownership of the Technology for which the Approval is issued. Said notification shall include the name and address of the proposed owner containing a specific date of transfer of ownership,responsibility,coverage and liability between them. 12. The Approval shall be binding on the'Company and its officers, employees, agents, contractors, successors, and assigns, including but not limited to dealers, distributors, and resellers. Violation of the terms and`conditions of the Approval by any of the foregoing. persons or entities, respectively, shall constitute violation of the Approval by the Company unless the Department determines otherwise. IV. CERTIFICATION AND NOTIFICATION REQUIREMENTS 1. Thirty (30) days prior to submitting an application for a DSCP, the Company or its representative shall provide to the Approving Authority a certification, signed by the owner of record for the property to be served by the unit, stating that the property owner: a) has been provided a copy of the Provisional Use Approval and all attachments and agrees to comply with all terms and conditions; b) has been informed of all the owner's costs associated with the operation including power consumption, maintenance, sampling, recordkeeping, reporting, and equipment replacement; KleanTu NitROE 2K Provisional Approval,May 2020 Page 11 of 15 Technology:NitROE®2KS&2KM WWTS c) understands the requirement for a contract,with a company approved operator and has been provided a current list of all approved operators; d) agrees to fulfill his responsibilities to provide a Deed Notice as required by 310 CMR 15.287(10)and the Approval;and e) agrees to fulfill his responsibilities to provide written notification of the Approval conditions to any new owner,as required by 310 CMR 15.287(5). 2. Upon submission of an application for a DSCP to the Approving Authority, the Company shall submit to the Approving Authority,with a copy to the Designer and the System Owner, a certification by the Company or its authorized agent that the design conforms to this Approval and that the proposed use of the System is consistent with the unit's capabilities and all Company requirements. The review shall include evaluation of the need for installation of water meter(s) at each facility. An authorized agent of the Company responsible for the design review shall have received technical training in the Company's products. 3. The System Designer shall be a. Massachusetts Registered Professional Engineer, or a Massachusetts Registered Sanitarian provided that such Sanitarian shall not design a system with a discharge greater than 2,000 gallons per day. 4. Thirty (30) days prior to delivery of the treatment unit to the site for installation, the Company shall provide to the Approving Authority a copy of a signed contract for a minimum period of one year with a. Company approved Operator and the initial Owner/Occupant of the property. 5. Prior to the commencement of construction,the System Installer must certify in writing to the Designer and the System Owner that (s)he has taken the Company's training, passed the Company's training qualifications,and is listed on the Company's list of Installers. 6. Prior to the issuance of a Certificate of Compliance by the Approving Authority: a) In accordance with 310 CMR 15.021(3), the System Installer and Designer must certify in writing that the System has been constructed in compliance with 310 CMR 15.000,the approved design plans, and all local requirements, including any local approving . authority site-specific requirements; b) In accordance with 310 CMR 15.021(3), the Designer must certify in writing that any changes to the design plans have been reflected on as-built plans which have been submitted to the Approving Authority by the Designer; c) As a condition of this Approval, the System Installer and Designer must certify to the Approving Authority in writing that the System has been constructed in compliance with the terms of this Approval; d) An authorized agent of the Company must certify to the Approving Authority in writing that the installation was done by a qualified Installer approved by the Company and the installation conforms to this Approval. The authorized agent of the Company responsible for the inspection of the installation shall have received technical training'in the Company's products; and e) Prior to signing any agreement to transfer any or all interest in'the property served by the - system, or any portion of the property, including any possessory interest, the System Owner shall provide written notice, as required by 310 CMR 15.287(5) of all conditions contained in the Approval to the transferee(s). Any and all instruments of transfer and any leases or rental agreements shall be included as an exhibit attached thereto and made KleanTu NitROE 2K Provisional Approval,May 2020 Page 12 of 15 Technology:NitROE®2KS&2KM WWTS z a part thereof of a copy of the Approval for the System. The System Owner shall send a copy of such written notification(s) to the Local Approving Authority within 10 days of such notice to the transferee(s). V. STANDARD CONDITIONS F 1. The provisions of 310 CMR 15.000 are applicable•to the design, installation, use and operation of a System utilizing an approved or certified alternative technology, except those provisions that specifically have been varied by the conditions of this Approval. 2. The design, installation, and use of the System must conform to the terms and conditions of the Approval and the Department approved attachments. 3: 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. Standard Conditions Applicable to the System Owner. ` 4. This Approval shall be binding on the System Owner and on its 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 unless the Department determines otherwise. 5. The System Owner shall obtain all necessary permits and approvals required by 310 CMR 15.000 prior to the installation and use of the System in Massachusetts. 6. The System is approved for the treatment arid disposal of sanitary sewage only. The System Owner shall not introduce any wastes that are not sanitary sewage into the System. The System Owner shall dispose of wastes generated or used at the facility that are not sanitary , sewage by other lawful means. 7. Prior to issuance of the Certificate of Compliance and after recording and/or registering the Deed Notice required by 310 CMR15.287(10), 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/or document number; and(ii)if the property is unregistered land,a Registry copy of the System Owner's deed to the property, bearing a marginal reference on the System Owner's deed to the property. The Notice to be recorded shall be in the form of the Notice provided by the Department. ' 8. The System Owner shall at all times have the installed System properly operated and maintained in accordance with the most recent O&M provisions of this Approval for the alternative technology and in accordance with any additional requirements of the Approving Authority. The most recent O&M provisions of this Approval for the alternative technology are available from the Department. 9. The System Owner shall furnish the Department any information that the Department requests regarding the System,within 21 days of the date of receipt of that request. Standard Conditions Applicable to the Designer t K1eanTu NitROE 2K Provisional Approval,May 2020 Page 13 of 15 Technology:NitROE®2KS&2KM WWTS 10. The Designer shall be a Massachusetts Registered Professional Engineer or a Massachusetts Registered Sanitarian, including when designing systems for repair, provided that such Sanitarian shall not design a system to discharge more than 2,000 gallons per day. 11. Prior to the application for a DSCP,the Designer shall provide the System Owner with a copy of this Approval. Standard Conditions Applicable to the Company 12. This Approval shall be binding on 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 Company unless the Department determines otherwise. 13. The Company shall include copies of the 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 all vendors, distributors, and resellers to provide each purchaser of the System with copies of the Approval. 14. The Company shall make available, in printed and electronic format, the approved Attachments and any approved updates associated with the Approval, to the System Owners, Operators, Designers,Installers,vendors,resellers,and distributors of the System. 15. The Company shall submit to the Department for approval any proposed updates or changes to the Attachments to the Approval. ' 16. The Company shall notify all System Owners, resellers, and distributors of changes to the Approval within 60 days of issuance by the Department. 17. The Company shall notify the Department's Director of the Wastewater Management Program at least 30 days in advance of the proposed transfer of ownership of the Technology for which the Approval is issued. Said notification shall include the name and address of the proposed owner containing a specific date of transfer of ownership, responsibility, coverage and liability between them. All provisions.of the Approval applicable to the Company shall be applicable to successors and assigns of the Company, unless the Department determines otherwise. 18. The Company shall furnish the Department any information that the Department requests regarding the Technology within 21 days of the date of receipt of that request. 19. If the Company wishes to continue the Approval after its expiration date, the Company shall apply for.and obtain a renewal of the Approval. The Company shall submit a renewal application at least 180 days before the expiration date of the. Approval, unless written permission fora later date has been granted in writing by the Department. Upon receipt of a timely and complete renewal application,- the Approval shall continue in force until the Department has acted on the renewal application. Reporting , 01 K1eanTu NitROE 2K Provisional Approval,May 2020 Page 14 of 15 Technology:NitROEO 2KS&2KM WWTS' 20. All notices and documents required to be submitted to the Department by the Approvalshall be submitted to: Director Wastewater Management Program Department of Environmental Protection One Winter Street-5th floor Boston,Massachusetts 02.108 Rights of the Department r 21. The Department may suspend, modify or revoke the Approval for cause, including, but not limited to, noncompliance with the terms of the Approval, non-payment of any 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 the Approval and/or a System utilizing the Technology against the Company,the Designer, the System Owner,the Installer,and/or the Operator of the System. VI. GENERAL CONDITIONS Title 5 Regulations 310 CMR 15.287: "General Conditions for Use of Alternative Systems Pursuant to 310 CMR 15.284 through 15.286" "The following conditions shall apply to all uses of alternative systems pursuant to 310 CMR 15.284 through 15.286: 1. All plans and specifications shall be designed in accordance with 310 CMR 15.220. 2. Any required operation and maintenance, monitoring and testing plans shall be submitted to the Department and approved prior to initiation of the use. Monitoring and sampling shall be performed in accordance with a Department approved plan. Sample analysis shall be conducted by an independent U.S. EPA or Commonwealth of Massachusetts approved testing laboratory, or an approved independent university laboratory, unless otherwise provided in the Department's written approval. It shall be a violation of-310 CMR 15.000 to omit from a report or falsify any data collected pursuant to an approved testing plan. _ ' 3. The facility served by the alternative system and the system itself shall be open to inspection and sampling by the Department and the Local Approving Authority at all reasonable times. 4. The Department and/or the Local Approving Authority may require the owner or operator of the system to cease operation of the system and/or to take any other action necessary to protect public health, safety,welfare and the environment. 5. The owner or operator shall provide written notice to any new owner or operator that the system is an alternative system, Such notice shall include notice of the general conditions and J any special conditions applicable to the system and its owner. KleanTu NitROE 2K Provisional Approval,May 2020 Page 15 of 15 Technology:NitROE®2KS&2KM WWTS 6. The owner or operator, or the proponent of the alternative system, shall obtain and provide the Department with a determination from the board of certification of operators of wastewater treatment facilities established pursuant to M.G.L. c. 21, § 34A as to whether a certified operator is required for operation of the alternative system. The Department shall waive this requirement if it has on file a determination for the alternative system, and shall notify the owner,operator,or proponent of the determination. 7. It is a violation of 310 CMR 15.000 to install, construct, or operate an alternative system except in full compliance with the written approval and 310 CMR 15.287. 8. The Department may require the issuance of a groundwater discharge permit pursuant to 314 CMR 5.00(groundwater discharge program)for any alternative system. 9. The system owner shall maintain an operation and maintenance contract with a Massachusetts certified operator where one is required by 257 CMR 2.00,or otherwise with a person qualified to operate and maintain the system in accordance with the Department's written approval. 10. Prior to obtaining a Certificate of Compliance for installation of a new or upgraded system, the system owner hall record in the chain of title for the proDerty served by the alternative sy�rP +he Registry of Dee s or Land Registration Officeias apphca e, a tce disclosing both the existence of the alternative on-site system and the Department's approval of the system. The system owner shall also provide evidence of such recording to the Local Approving Authority. Oeeemb"23,M Town of 81e no M*Street "Y"s,MA 0701 RE U Great ftY mpwer"t Ocar tics snd GcnUerr�c»: P4casc accept itds kttr�r ass tluttraritatMn to t►arye a resrrtt4ve fiwm�fr>&inetrtna& *we4tt%tm mvmmt us,*fm-FawAtf Trust,at tt►o pmpvW 22 Great 9aY,OsteervWe.MA.on matters befom ft Town of UnM*W rotated to OMAOM WWftiE•modifying,uWaMl M rewb&14t and or insaN %new Septk system for ft above narmwd property. Tt►2tdc.You, ihomu Tnrstee II _ e Board of Health Title V Septic Variance Abutter Map for Subject Parcel 093017 Town of Barnstabl Direct abutters GIS Unit no set distance)and the properties located across the street. gs@town.barnsteble.ma.ns kt Legend r �t, ❑ Subject Parcel Abutters ❑ El Parcels Town Boundary Railroad Tracks 093024001 Buildings 0 Approx.Buildi Buildings "---"' r t rt t� ° , z P Parking Lots U Paved a . Unpaved 1 t` ,� 3',�c.f y,, { at f r + #e ?"'`•"y5` Y4. fl� I'Y- .Roads - 093014 0930.5 s az'* r �r '� �� F 4 ice, s13 Paved Road 093075 ° 093016 , �- t +; t *�� A t * "s `� t a .S r f`f :+ .rt':5"t ! 3'i:{ ' 4 c y, ,. ❑Unpaved Road 093074 � ;'t 4. f� r 093021002 , r.: Bridge _ ♦ y; ,, , _} i G Paved Median �:; r. .. $ �'„4•y t"i} Stir{�ki.t �'it.��re.. ',a+ xrY't' f•4t 4 { K { Water Bodies r 093071 � 4, �. 093007 093021003 Li 093008 n z�r' 093006 0930A17 r j a This ones is for illustration � �? �r xr. purposes only.It is not adequate al determintio or oregulatory nteripretationaThit map dogrepresentss not an on the round survey.It may be generalized,may not reflect current conditions,and may s� . 093004� '� 093005: 4, 093019 y �, - z .� contain cartographic errors or 1 W. - r• .,� a rr : ' `" omissions. f' 1rry ;'R+. s%Q aK'a� '.a ✓trf'�' n W 093_J.8 } AA.�Z'sL iiF St r y - r a �aa+yr a Parcel lines shown„ n this map a only graphic representations of 093021093003003 Assessor's tax parcels.They are t not true property boundaries ant t � •. ��+` � do not represent accurate. e'� �'•« +'v ';': relationships to physical objects on the map such as building locations. 093067 093058003 � �r� `+•�'�, 093058004 O a 093046. u r;y 093058002 r ti`; O 88 175 �y *.� " a inch=approx. 175 ft Arvin1 Fr«° 1 Printed on:I./4/2022 Board of Health Title V Septic Variance Abutter List for Subject Parcel 093017 Direct abutters(no set distance)and the properties located across the street. Parcel ID Owner i Owner 2 Address Line 1 Address Line 2 City State Zip 093oo6 OLIVE,PATRICIA P ET AL 19 GREAT BAY ROAD OSTERVILLE MA 02655 093007 HOAGLUND,DANIEL&ANNISE 52 SYLVAN LANE WESTON MA 02493 093016 DACEY,BRIAN T TR CADDY CAMP HOMEOWNERS C/O REYNOLDS,JAMES 46 LITTLE ISLAND DR OSTERVILLE MA 02655 TRUST TR 093017 HYNES,THOMAS N TR THOMAS N&JOANNE HYNES• 335 SUGARBERRY HOUSTON TX 77024 r TRUST AGRT CIRCLE 093018 HYNES,JOANNE S .%324BRIDGE STREET LLC 1205 MARINA VILLAGE - VERO BEACH FL 32967. m, CIRCLE#402 093019 NICHOLSON ROBERT A&SABRINA 22 HAWTHORNE ROAD WELLESLEY MA 02 81 93 9 4 H . . 093021003 BEKER,HARVEY&JAYNE 202 COMMONWEALTH" BOSTON MA 02116 AVENUE Page 1 of i Total Number of Abutters:7 Report Generated On: 1/4/2022 8:23 AM This list by itself does NOT constitute a"Certified List of Abutters"and is provided only as an aid to the determination of.abutters. If a Certified.Abutter List is required,you must contact the Assessing Division to have this list certified. 0 Engineering & sulliVan I Consulting, Inc. (508)428-3344• P.O. Box 659 711 Main Street,Osterville, MA 02655 seci@sullivanengin:com • WWW.sullivanengin.com **** ABUTTER NOTIFICATION LETTER**** RE: Board of Health Public Hearing As a direct abutter of a proposed project, please be advised that the Variance Request hearing that has been filed with the Town of Barnstable Board of Health was continued to allow for an additional Variance as highlighted below. The specific information is as follows: Applicants: Thomas N. Hynes, Trustee Project Location: 22 Great Bay Road, Osterville Map 093 Parcel 017 Proposed Project: Proposed septic upgrade for a failed system. The applicant is asking for variances to 310 CMR 15.212—Depth to Groundwater and TOB Chapter 360-1 Setback requirements. Proposed incorporating a NitROE advanced innovative/alternative system. Applicant's Agent: Sullivan Engineering& Consulting, Inc. 7 Parker Road, P O Box 659 . ' Osterville, MA 02655 phone: 508-428-3344 . Public Hearing: Date: January 25, 2022 Time: 3:00 PM Place: Barnstable Town Hall 367 Main Street Hyannis, MA 02601 Public Hearing Room Plans and the application describing the proposed activity are on file at the Board of Health office, 200 Main Street, Hyannis and at Sullivan Engineering& Consulting, Inc.'s office. Please call if you have any questions regarding this notification. Please call the Board of Health on the day of the Public Hearing to confirm the location and time for the hearing. TRANS. NO.: CITY/TOWN: APPLICANT: ADDRESS: 2Z 0).,TA' DESIGN FLOW:. 33-0 gpd - REVIEWED BY: DATE: N/A OK NO GENERAL 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 components) [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 upgrades]- if not, a variance is required [310 CMR 15.412(4)] Location of impervious surfaces (driveways,,parking areas etc.) [310 CMR 15.220(4)(d)] - 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)] ci System Calculations [310 CMR 15.220(4)(f)] i daily flow septic tank capacity (required and provided) soil absorption system(required andprovided) whether system designed for garbage grinder 6k North arrow [310 CMR 15.220(4)( )] Existing and ro osed 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)] Names of soil evaluator and BOH representative [310 CMR 15.220(4)(h) and (i)] Location and date of percolation tests (performed at proper r elevation?) [310 CMR 15.220(4)(i) _ Percolation test results match loading rate? [310 CMR 15.242] Certification statement by Soil Evaluator [310 CMR 15.220(4)0)] Observed and Adjusted groundwater(method for adjustment given or indicated) [310 CMR 15.103(3) and 310 CMR 15.220(4)(n)] Address &7 V� Sheet l of 7 N/A OK NO Location of every water supply, public and private, [310 CMR 15.220(4)(k)] ✓ within 400 feet of the proposed system location in the case of surface water supplies and gravel packed public water supply 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]) Profile of system showing invert elevations of all system components and the bottom of the SAS [310 CMR 15.220(4)(o)] Stamp of designer 310 CMR 15.220(1) and 310 CMR 15.220(2)] .i Stamp of Registered Land Surveyor(required if construction activities within 5 ft. of lot line) [310 CMR 15.220(3 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)] Benchmark within 50-75' of system [310 CMR 15.220(4)( )] -� Materials specifications noted? [various sections of 310 CMR 15.000] System components not> 36" deep (unless Local Upgrade A roval or LUA requested) [310 CMR 15.405(1(b)] Address Sheet 2 of 7 I r . y N/A OK NO BUILDING SEWER AND OTHER PIPING 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]) ✓' Cleanouts required/provided? [310 CMR 15.222(8)] Thrust blocks specified in force mains? 310 CMR 15.221(6)(c) Slope of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable [310 CMR 15.222(6)] /. Proper pitch on all runs? (.005 within gravity-distributed trenches and beds) [310 CMR 15.251(9) and 310 CMR 15.252(2)(c)] Siphonproblem/(leachfield below pump chamber) Endca s or vent manifoldspecified? ✓' Size and orientation of discharge holes specified? (not smaller than 3/8" not larger than 5/8") [310 CMR 15.251(8) and 310 CMR 15.252(2)(h)] Materials specified (310 CMR 15.251(5) specifies various pipe types allowed) DISTRIBUTION BOX Stable compacted base [310 CMR 15.221(2) and 310 CMR 15.232(2)(a) f_ 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 sum 6" [310 CMR I 5.232(3)(e)] Watertight cover if<2000gpd); waterproof manhole if>2000gpd [310 CMR 15.232(3)(d)] i PUMP CHAMBERS t Capacity(emergency storage above working=design flow)? [310 CMR 231(2)] ✓' Proper setbacks [310 CMR 15.211 (same as septic tanks)] Watertight 20-in minium access manhole at least 20" MUST BE TO GRADE [310 CMR 15.231(5)] Service components accessible (not too deep with piping, disconnects accessible) Alarm floats - alarm on circuit separate from pumps specified? Exceeds two units must have two pumps operating in lead-lag mode. [310 CMR 15.231(6) and(8)] Stable Com pacted Base [310 CMR 15.221(2)] / ,Buoyancycalculations needed ? Provided? [310 CMR 15.221(8)] / Address (Z-IV Sheet 4 of 7 N/A OK NO SEPTIC TANK Size OK? 310 CMR 15.223(l)] a✓ 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 15.227(6)] Outlet tee with gas baffle or approved filter [310 CMR 15.227(4)] Note regarding installation on stable compacted base [310 CMR 15.228(1 Separation between inlet and outlet tees (no less than liquid depth) [310 CMR 15.227(2) Inlet/Outlet elevations at least 12" above high groundwater (except as described 310 CMR 15.227(5)) or permitted for upgrades 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-box) [310 CMR 15.2228(l) and 310 CMR 15.232(3)(f)] Three access covers (inlet and outlet must be 20" or greater) - middle access at least 8" (by 7/07) [310 CMR 15.228(2)] Access to within 6 " of grade - one port for systems<1000gpd, two for systems>1000 gpd [310 CMR 15.228(2)] All at-grade covers secured to unauthorized access? [310 CMR 15.228(2 > 10 ft from building foundation [310 CMR 15.211(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] Multi-Compartment Tanks Required when other than single-family dwelling or flow>1000 d 310 CMR 15.223(1)(b) First compartment 200% daily flow; Second compartment 100% daily flow 310 CMR 15.224(2) and (3 "U" pipe through or over baffle, outlet of each compartment with gas baffle or approved filter [310 CMR 15.224(4)] Address CA Sheet 3 of 7 I� N/A OK NO SOIL ABSORPTION SYSTEMS (SAS) GENERAL Calculations correct? 4 feet of naturally occurring material demonstrated? [310 CMR - 15.240(1)] Required separation to groundwater? [310 CMR 15.212)] s' Aggregatespecified as double washed [310 CMR 15.247(2)] ✓ System Venting required/provided? (system under driveway or >36" deep) [310 CMR 15.241 ✓_ Inspection ports specified and within 3"final grade? [310 CMR 15.240(13)] Breakout requirements met? (No violation of breakout elevation within 15 ft of SAS unless barrier) [310 CMR 15.211(1)[4] and ' Guidance Document] GALLERIES,PITS,CHAMBERS 310 CMR 15.253 Chambers and Gal. in trench configuration supplied with inlet every 20 ft. [310 CMR 15.253(6)] r Each structure with one inspection manhole (if>2000 gpd must be tograde) 310 CMR 15.253(2)] ` Aggregate 1' minimum-4'maximum. [310 CMR 15.253(1)(b)] 2' sidewall credit maximum [310 CMR 15.253(1)(a)] i In bed configuration, inlet every 40 sq. ft. [310 CMR 15.253(6)] TRENCHES 310 CMR 15.251 Width T minimum 3' maximum [310 CMR 15.251(1)(b) / 100 feet -maximum length 310 CMR 15.251 1 a Minimum separation 2x effective depth or width whichever greater(3x if reserve between trenches) [310 CMR 251(1)(d)] Situated along contours [310 CMR 15.251(2)] Breakout OK? [310 CMR 15.211(1)[4] and Guidance Document] BED SAS (Maximum size of bed or field 5000 gpd) minimum 2 distribution lines [310 CMR 15.252(2)(a)] 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)] r . Address* ZI CIC-1,\ �6 Sheet 5 of 7 N/A OK NO DID THE PLAN INVOLVE Pressure Dosed System ? Provided pump and piping calculations 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 dgood 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] i 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] At least 5 ft. from impervious barrier to edge of SAS (10 ft. / recommended) [310 CMR 15.255 (2)(e)] ✓ Gravelless System[I/A Approval Letters] Check DEP Approval letters for credits and design conditions If used with pressure dosing do not allow pressure discharge to scour soil interface Alternative Septic System[IIA Approval Letters] 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? Is there a note on the plan regarding the requirement for perpetual maintenance agreement? Any alarms involved on separate circuits Did the applicant submit an operation and maintenance manual? Has applicant submitted a copy of a maintenance Variances Are the variances listed on the plan ? [310 CMR 15.220 (4)( )] v 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 Address �Z � �j�_(R��� t Sheet 6 of 7 N/A OK NO Nitrogen Sensitive Areas 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 existing systems] Is the system proposed on the same lot as served by private well ? [310 CMR 15.214(2)] Are the nitrogen loads proposed in compliance? [310 CMR / 15.216(l)] Miscellaneous Pumping to septic tank? [ 310 CMR 15.229] Shared System [310 CMR 15.290] 4 Address Sheet 7 of 7 S .C5z DATE: 1 2/7/01 ---- PROPERTY ADDRESS:?? Great Bay Road—_-_- Osterville,Mass . ------------------------ G%� 026-5 ------------------------ On the above date, V Inspected the septic system at the above address. This system consists of the following: 1 =1000"gallon septic tank. 2-1 -lea6hfield 28 ' X8 ' X6 Based on my inspection, `I certify' the following conditions.: 3 . This is a title five. septic system.-.(._.78 Code,) 4 . The septic system is in proper working order at the present time. 1` J 5 . The tank has been maintained every 2-years . 6 . Stones within the leaching trench- are dry and operating . - properly. SIGNATURE:1'� J. Name:_J_L_ Macomber Jr- -__--- Company: Joseph_P_ Macomber & Son Inc . [RECEIVED Address:_ Box-66 ------------- 2001 Centerville , Ma . 02632-0066 ------------ --- --- EPT. Phone: 5 0 8-7 7 5-3 3 3 8 THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY FJ�OSEPH R MACOMBER & SON, INC.anks-Cesspools-Leachflelds Pumped & Installed Town Sawer Connections P.O. Box 66 Centerville, MA 02632-0066 775.3338 775-6412 �—\ COMMONWEALTH•OF MASSACHUSETTS EXECUTIVE OFFICE OF'ENVIRONMENTAL AFFAIRS DEPARTMENT OF,ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM"NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A. CERTIFICATION Property Address: 22 Great Bay Road Osteryille,Mass_ Owner's Name: C1 i fford Snit-Pr Mrs. Owner's Address: Date of Inspection: 12 7 01 , Name of Inspector: (please print) J.P. Macomber Jr. r, Company Name:Joseph P. Macomber &, Son Inc ` Mailing Address: P-O= Box 66 rfznt-Prx7i_1 1 a t4a 02632 Telephone Number: 508-775-3338 ' CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported .' below is true, accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system Inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: f � Passes Y Conditionally Passes y a a Needs Further Evaluation by the Local Approving Authoriry Fails A ' Inspectors Signature: r � ! � r! Date: The system inspector shall s mit a copy.of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of Io,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office"of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Notes and Comments r - ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the:systetn will perform in the future under the same or different . )conditions.of use.---- - Title 5 Inspection Form 6/15/2000 page I Page 2 of 1 1 _ r OFFICIAL INSPECTION FORM=NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 22 Great Bay Road Ostervi e,Mass. Owner: Clifford Sutter Mrs. Date of Inspection: 12/7 01 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: ---� t I have not found any in format ionlwhich indicates that any of the failure criteria described in 310 CMR 15.303`6r R 1 exist. Any failure criteria not evaluated are indicated below. Comments: The sentic system is in proper working order at ` the present time B. System Conditionally Passes: V6 One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair,as approved by the Board of Health,will pass: Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined"please explain. , ,,V6 The septic tank is metal and over 20 years old*,or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent.System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health.. 'A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or ' obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain:. The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): b broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 22 Great Bay Road Osterville,Mass ' Owner: Clifford SutterMrs. Date of Inspection: 12/7/01 C. Further Evaluation is Required by the Board of Health: Ald Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR-15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: A16 Cesspool or privy is within 50 feet of a surface water /LV Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the ". system is functioning in a manner that protects the public health,safety and environment: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ' The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. 40 The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. /ILL) The system has a septic tank and SAS and the SAS is less�than 100 fret but 5 feet or more frorh a private water supply well**. Method used to determine distance **This system passes if the well water analysis, performed at a'DEP certified laboratory, for coliform ` bacteria and volatile organic compounds indicates that the well is free from pollution,from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form: 3. Other: 3 Page 4 of 1 1 " OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address:22, Great Bay Road Osterville,Mass. Owner. Clifford Sutter Date of Inspection: 1 2/7/01 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No/ _ X/ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or /clogged SAS or cesspool ►_/ Static liquid level in the distribution box bove outlet.invert due to an overloaded or clogged SAS or ZV)Required cesspool -j� , -recN l j0 ! 1;xp-iquid depth ineesspeel is less than 6"below invert oravailable volume is less than h day flow pumping more than 4 times in the,last year NOT due to clogged or obstructed pipe(s).Number 2 of times pumped I . Any portion of the SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface ater supply. r�,rty portion of a cesspool or privy is within a Zone 1 of a public well. �/ y portion of a cesspool or privy is within 50 feet of a private water supply-well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, perfumed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] (Yes/No)The system fails. I have determined.that one or more of the above failure criteria exist as described in 310 CMR 15.303.therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes 1/the " system is within 400 feet of a surface drinking water supply _ Ye system is within 200 feet of a tributary.to a surface drinking water supply e system is located in,a nitrogen sensitive area(Interim Wellhead Protection Area IWPA)or a mapped Zone 11 of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,.or answered "yes" in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address' 22 Great Bay Road Osterville,Mass. F Owner:Clifford Sutter Date of Inspection: 1 2 7/01 ' Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No Pumping information was provided,by the owner, occupant, or Board of Health Were any of the system components pumped out in the previous two weeks _ Has the system received normal flows in the previous two week period? , Have large volumes of water been introduced to the system recently or as part of this inspection ? �✓ Were as built plans of the system obtained and examined?(If they were not available note as N/A) Was the facility or dwelling inspected for signs of sewage back up Was the site inspected for signs of break out Were all system components',a€cIuding the SAS, located on site? Were the septic tank manholes uncovered,opened, and the interior of the tank inspected for the condition Kth/baffles or tees, material of construction,dimensions,depth of liquid,depth of sludge and depth of scum ? � Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems ?,; The size and location of the Soil Absorption System (SAS)on the site has been determined based on: Yes no 1/ Existing information.•For example, a plan at the Board of Health. _�_ Determined in the field(if any of the Rfailure criteria related to Part C is at issue approximation of distance is unacceptable) (310 CMR 15.302(3)(b)J 5 Page 6 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 22. Great Bay Road Ostervi e, ass. Owner: Clifford Sutter Date of Inspection: 12 7 01 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): yJ DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): Number of current residents: , Does residence have a garbage grinder(yes or no): &5 Is laundry on a separate sewage system.(yes or no): eM [if yes separate inspection required] Laundry system inspected(yes or no): Seasonal use: (yes or no): Water meter readings, if available(last 2 years usage(gpd)): �9p7ic i�. 7Jc�-�� Sump pump(yes or no):AV o ,� ��ts7)� Last date of occupancy: COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.):_ J Grease trap present(yes or no): Industrial waste holding tank present(yes or no):� Non-sanitary waste discharged to the Title 5 system(yes or no):Ald Water meter readings, if available: a Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records �� Source of information:A$l/)/11___/�iG�Gj,1jy 91 70�- Was system pumped as part f the inspection(yes or no): _ If yes, volume pumped: C� gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM eptic tank,distuhutiea-Iiex,soil absorption system Single cesspool Overflow cesspool /f Privy ,- Shared system(yes or no)(if yes,attach previous inspection records, if any) f nnovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) I�L))Tight tank 0 Attach a copy of the DEP approval , ,i1 d Other(describe): lli / Appr i ate aee of all components, date installed (if known)and source of information: ' Were sewage odors detected when arriving at the site(yes or no):/f? _ 6 Page 7 of I 1 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C ' SYSTEM INFORMATION (continu`ed) Property Address: 22 -Great Bay' Road os ervi e,Mass. Owner: Clifford Sutter Date of Inspection: 1 2 7 O 1 BUILDING SEWER (locate on site plan)' o Depth below grade: / y; Materials of construction: cast 'iron s/40 PVC416 other(explain): Nlf- Distance from private water supply well or suction line:/d� - Comments(on condition.ofjoints, venting, evidence of leakage,etc.)- Joints appear tight.No evidence of leakage.System is vented through the house vents. • =" SEPTIC TANK: Y(locate on site plan) 1600 PA' Depth below grade: Material of construction: concrete V4 metal4kfiberglas )_6jolyethylene &bother(explain) ,04 If tank is metal list age: � Is age confirmed by a Certificate of Compliance(yes or no)"�Jl-(attach a'copy of. certificate) Dimensions: Sludge depth: Distance from top�qpludge to bottom of outlet tee or baffle Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bonom f outlet tee r baffle: ��.!✓ How were dimensions determined: . 5i'J/�1. 1 1y Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet inven, evidence of.leakage, etc.): Pump the septic tank every 2— years Inlet .& outlet tees are in place.The tank is strttrtural lj/ Gniinrl and chnwa- nr i-VjrlanrA - of leakage. GREASE TRAPA,4LJ�locate on site-plan) • ° Depth below grade: Material of construction: concrete&eta�fiberglassJlijolyethylene�4other (explain): Ax Dimensions: AW Scum thickness: - Distance from top of scum to top'of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: - Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structwai integrity, liquid levels , as related to outlet inven, evidence of leakage, etc.): Grease trap is not present. - 7 t Page 8 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:22 Great Bay Road Ost-Prvi 11P�MaSG, Owner: rl i ffnrd—SL1ttE'r Date of Inspection:. 19 j 7.1 01 TIGHT or HOLDING TAN K&1ZV(tank must be pumped at time of inspection)(locate on site plan) Depth below grade: VR Material of construction: Ai Rconcrete.VA metal.a fiberglass tM olyethylene lld other(explain): Dimensions: Capacity: AIM gallons Design Flow: ly,19 gallons/day Alarm present(yes or no): Alarm level: A2 Alarm in working order(yes or no): Date of last pumping: la Comments(condition of alarm and float switches,etc.): Tight or holding ta5 s are not present. DISTRIBUTION BOx:,.. (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box, etc.): Di stri htii-i nn hnx his two- laterals—No evidence of solids d carry ovPr_Nn PyidpricP of leakage into nr 4lit- of the boy PUMP CHAMBE (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber, condition of pumps and appurtenances,etc.): Pump chamber is not present. ' 8 Page 9 of l l OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) ' Property Address: 22 Great Bay Road Osterville,Mass_. owner: Clifford Sutter Mrs. Date of Inspection: 12/7/01 SOIL ABSORPTION SYSTEM (SAS): (locate on site plan,excavation not required) 1 —Leaching are ..4'5'.1_ 1 If SAS not located explain why: See page 10 z - Type V6- leaching pits,number: pJd leaching chambers,number: 0 1"t leaching galleries,number: 75- leaching trenches,number;length:—A Alb leaching fields,number,dimensions: /vu overflow cesspool,number: ,UV innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): No signs o4 sand o or 29n ing.Soi s .are r stones within the SAS are dry. CESSPOOLS (cesspool must be pumped as part of inspection)(locate on site plan) r�� Number and configuration: Depth—top of liquid to inlet invert Depth of solids layer: 4h) 3 Depth of scum layer: Dimensions of cesspool: l Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation, etc.)- Cesspools are not preq�an-F , PRIVYa '�(locate on site plan) _ Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,.etc.): Privy. t ` g Page 10 of I 1 OFFICIAL INSPECTION FORM— NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 22 Great Bay Road s ervi e, ass. Owoer:Mrs.. Clifford u er Date of Inspection: 7 1 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 rect. Locate where public water supply enters the building. • 2 2 �rca� ��� � , o s4�.r;f,`� , Or W�ct:>z r U� F . 10 4 • •,, Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C - SYSTEM INFORMATION(continued) Property Address:22 Great Bay Road Osterville,Mass. Owner. Mrs. Clifford Sutter y Date of Inspection: 1 2 7 01 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 7 ' feet - Please indicate(check)all methods used to determine the.high ground water elevation: - XXX_Obtained from system design plans on record-If checked,date of design plan reviewed: XX_�L Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: XXX—Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: Y' You must describe how you established the high ground water elevation: Used Gahrety & Miller Model 12116/94 Observation well Data 11sGS ,Tune -1992 Installed system. Tup of un Leaching a Groundwater;/,/ Feet Below Bottom High Groundwater Adjustment 1.8 ft per Friinpter Method Therefore, the vertical separation distance between the bottom of the leaching pit and the adjusted groundwater table is feet: • 11 4 t ,y nrnrw -nrr�.rrrn. mr nts+fis•'nn+�rrrrrmi.�+rtnr�+.*n•rrm ftor+,�u rrs-srrrrm� TOWN OF Barnstable BOARD OF HEALTH SUI)SURFACR 9EHAGR DISPOSAL SYSTEM INSPECTION FORM PART D •. CERTIFICATION ^•rr��••.-:: -r..,a.^.r.+•+�.rr.+n•rr.•nnrwwr�s•rt'rn-ri�'r-rn.-•vrne�anrwr-r++n+�r�'+wmanw-�7 errmn ..-.rrr•r•�. -..� -TYPE OR PRINT CLEARLY- k PROPERTY INSPECTED STREET ADDRESS 22 Great Bay Road Osterville,Mass. ' ASSESSORS MAP , BLOCK AND PARCEL # OWNER' s NAME Mrs- Clifford Sutter ------------ PART D - CERTIFICATION , NAME OF INSPECTOR Joseph P. Macomber Jr. COMPANY NAME Joseph P•. Macomber & S.an Inc COMPANY ADDRESS P.O. Box 66 Centerville Ma 02632 Strevt Town or City State tip COMPANY TELEPHONE (508 ) 775 - 3338 FAX (508 ) 790 -1578 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage dispbsa7 system at this address and that the information reported is true , accurate , and omplete as of the tirfie of �,l; spection . The inspection was performed and any recommendations regarding-"Upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Check one : �v Systeui PASSED ' The inspection which I have conducted has not found any information which indicates that the system fails' to adequately protect public health or the environment as defined in 310 CMR 15 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form , System FAILED* The inspection which I have con Vctedd - has found that the system fails to Protect the public health and the environment in- accordance with Title 5 , 310 CMR 15 , 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form , Inspector Signature Date ne copy of this tification must be provided to the OWNER, the BUYER ( where applicable ) and the 130ARD OF HEALI'll. If the inspection FAILED, the owner or"ho^ r eator shall u* ti FI p pgrade ' the system 'within one year of the date of the inspection, unless allowed or required otherwise as provided in 3.10 CMR 16 , 306 . partd .doc L f /P C) R3-©/ 7 EAXTER & NYE, INC. Registered Land Surveyors and Civil Engineers 7 Parker Road/Osterville,Massachusetts 02655/Tel. (617)428-9131 WILLIAM C.NYE,R.L.S.-President RICHARD A.BAXTER,R.L.S.-Vice President PETER SULLIVAN,P.E.-Vice President-Engineering July 24, 1985 Board of Health Town of Barnstable 397 Main Street . Hyannis, MA 02601 RE: Variance to Title V dated July' 3, 1985 Mr. Clifford S. Sutter 22 Great Bay Road, Osterville Dear Board In accordance with the terms set forth in the * variance, I have provided supervision during the installation of. the septic system at 22 Great Bay Road. The system has been installed in accordance with the diesign as shown on Plan #85126 dated June 20, 1985. Very truly yours, Peter Sullivan, P.E. Baxter & Nye, Inc. III PS/fmj MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS r I July 3, 1985 Mr. Clifford S. Sutter 22 Great Flay Road Gaterville, MA. 02655 Dear Mr. Sutter: You are granted a variance from Regulation 15.15 (3), of 310 CMR 15.00, Title 5, of the State Environmental Code, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, to upgrade your onsite sewage disposal system at 22 Great Bay Road, Osterville, with the following conditions: (1) The system must be installed in strict accordance with plan submitted by Peter Sullivan, P. E., No. 85126 dated June 20, 1985. (2) The designing engineer must be on site and supervise construction of the septic systeru and certify in writing to the Board of Health that his design has been strictly adhered to prior to the issuance of a Certificate of Compliance. This variance is granted because the depth to ground water precludes the design of any other system. This design will afford the greatest amount of protection to the environment under the existing circumstances. This variance expires August 1, 1986. Ver,y ruly yours, bert h#ids hairman BOARD OF HEALTH TOWN OF BARNSTABLE JMK/mm cc: Mr. Peter Sullivan, P.E. No. I/ DATE y0f7NET0 TOWN OF BARNSTABLE FEES w OFFICE OF ST BaaMAGL BOARD OF HEALTH 1639. oYA�k� 367 MAIN STREET HYANNIS, MASS. 02601 VARIANCE REQUEST FORM A11 variance requests must be submitted five (5) days prior to the scheduled Board of Health meeting. NAME OF APPLICANT C.L i P 1P 0 F_ Isu _rT-E-c-. TEL. NO. 7�O ADDRESS OF APPLICANT 2Z ��� NAME OF OWNER OF PROPERTY M G SUBDIVISION NAME -:_^--' DATE APPROVED 1e�,9 LOCATION .OF REQUESTS�--e� �d��� _.... ... VARIANCE FROM REGULATION (List regulation) I tT_LZ \cl VARIANCE_..REQUESTED (Specific request 4SrI_0e'I;x4zD. vu' REASON FOR VARIANCE :(May attach letter if more space needed). )Ctvi1 5 V4A.S 1p441 Lz:�. �ecte-A;�p-I,KD G, e'w tin -rz>w fT�-t- Ll N1 CfS nT-- '1 !-E Sn KI&L 15 ffE: e- �6-T A,.\ m PLANS - Two copies of plan must be submitted clearly outlining variance requested. VARIANCE APPROVED NOT APPROVED REASON FOR DISAPPROVAL Robert L. Childs, Chairman Ann Jane Eshbaugh Grover C.M.. Farrish, M. D.\ BOARD OF HEALTH TOWN OF RARNRTART.F CENTERVILLE-41STERVILLE-MARST©RS MILLS FIRE DISTRICT 1 875 ROUTE 38 CENTERVILLE, MA 02632 (508) 7 0-238ONAX8(508) 790-2385 OILIHAZARDBUS MATERIAL RELEASE FORM F.A.#--0622 LOCATION: ADDRESS OF RELEASE: z-f;�Pt �,� TinAfl - 0ste v�llg,YMA 02655 DATE OF RELEASE: .9125.197 PRODUCT RELEASED: J2-®f-ua3. of 3 ESTIMATED QUANTITY gallons CORRECTIVE ACTION TAKEN BY RESPONSIBLE PARTY: Proper Nit i f i rati onQ NOTIFICATIONS: FIRE DEPARTMENT: YES(X) NO( ) MATE: 9125,L97 IME: inwbxr,- NATIONAL RESPONSE CENTER YES( ) NO(X) DATE:---TIME- DEPT.OF ENVIRONMENTAL PROTECTION YES(X) NO( ) DATE.-j.A.#*.,TIIME: OIL SPILL COORDINATOR: YES( ) NO(K D ATE• T IME TOWN BOARD OF HEALTH: YES(X) NO( ) DATE: o�s -c TIME: 111 s TOYN HARBORMA-STER: YES( ) NO( DATE: TIME: OTHER AGENCIES .Zs COMMENTS: Becalmed call from Rill Ear3e of gred 0 Earle 041 romn-anu _(50A)SAR-0681 raporking - ide n location -found rank as described anr%XicPMgkXj bar] nla,,-d �-a r tank I to premank furbNer contamination of the nrn,inrl Thia is a 7O.4 year l level _ r states rhA tank has not been filled since 3ast dnation " notified for an evaluation. New tank to be installed today by Fred 0. Earle Company. REPORTEDBY• m2run x-axaa7Nu RPt1 DATE: 9125197 I IdHITE COPY-FIRE DEPARTMENT YELLUV. COPY-D.E.P. PINK COPY-BOARD OF HEALTH C-0-1M FORM #,,g - aF� r ORTH HODS PN 1 U.S.POSTAGE>>PITNEYBOWES Town of Barnstable Public Health Division ' BARNnABLe. ` 200 Main Street zip "•EOM►� Hyannis,MA02601 ��1 k k ., 02 4VV601 $ �07.33° f _- + 0000373143 NOV. OS 202.1_. 7015 1730 0001 4987 8432 -- - —- _- "' U.S.POSTAGE>>PITNEY BOWES q � i ' f tea® ZIP 02601 $ 000.0�° 02 4W 00003.73143 NOV. 08. 2021 jy UNABLE TO FOR-WARD1F: Q� REVIE" � I C75 : 1 v �E.:.. 7 7 0 L-4t .iy 7 .,t 1B S3 e 9 a,.u 3 e z 1z s.�,- •.� .�._, � i r?- - ; 5J- i�l iillii�7��?}�li�If'�tillii lei l�s► i {�� � z �. 4 yr. s S i E�D�R: COM.PLETE THIS SECT1,0,N • • • 1 ' r A Signature ` ® ComFflete items 1;2,and 3. ❑Agent j le Print your name and address on the reverse X ❑addressee P so that we can return the card to you. ® Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery I or on the front If space permits. -- - u - — dress different from item 1? 13 Yes delivery address below: ❑No I r± I j HYNES,THOMAS N TR 335 SUGARBERRY CIRCLE r HOUSTON, TX 77024 ' s:-service-iype-' ❑Priority Mail Express® f II I�III�I I9II ICI I III I I II II I II II III II I I'I III ❑Adult Signature 2.91rature istered M:iI R ❑ dult Signature Restricted Delivery istered Ma!i Restricted (rCertified Mail® ery - 9590 9402 7037 1225 8088 78 ❑Certified Mail Restricted Delivery ConfinnationT^" I ❑Collect on Delivery ❑Signature Confirmation ` Crfirla,Numher?2nsfer f[t7m SeLV%Qe label) ❑Collect on Delivery Restricted Delivery Restricted Delivery j .7015 1730 0001 4987 8432 lill Restricted Delivery PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt i J Town of Barnstable Inspectional Services Department � BARNS'CABLE. Public Health Division 200 Main Street, Hyannis MA 02601 RFD M/Ct A Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4987 8432 November 4, 2021 HYNES, THOMAS N TR __-335'SUGARBERRY"CIRCLE_ HOUSTON, TX 77024 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 22 Great Bay Road, Osterville, MA was inspected on 10/18/2021 by Shawn Mcelroy, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following- 0 Static liquid level in the distribution box is above the outlet invert due to an overloaded or clogged SAS or cesspool. You are ordered to repair or replace the septic system within one (1) year from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. You may be eligible for a waiver from.replacing an onsite sewage disposal system if your property will be connected to public sewer in the near future. For information regarding public sewer availability at your property, please go to https://www.townofbamstabfe.us/Departments/Assessing/Property Values/Property- Look-Up.asp or telephone the DPW Administration Office at(508) 790-6400. Any written request fora waiver or extension must be filed in writing to the Board of Health, 200 Main Street, Hyannis MA, 02601 PER ORDER OF THE BOARD OF HEALTH T oma ean, R.S.), I H Agen of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\22 Great Bay Road Osterville.doc TOWN OF BAMSTABLE LOCATION�� ��' � Y SEWAGE # VILLAGE ASSESSOR'S MAP & LOT 017 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO. OF BEDROOMS_ BUILDER OR OWNER AV, PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and aching Facility (If any wetlands exist within 300 fe f le cility) Feet Furnished b c � C�i(•ca-� �a..� �� , 0��1-tin��. WgtE2 v� Iq � � � Lc _.'__7_.1. .f-.'_-(._4_..__i.l_ ,__ _i—LL-��- ---+--�f—jL..___ ___"J-_ _.J_ _ __ __ __L'��._ �.:i.._'� _� -�_ _.�- I r'�'s ♦4 „� r t .- i._i {� { _ _ 1 �I {, I - -�?-� —�-r - - i.. I r - I - r. -I I j - ' ! I� 1*1 - 1 - j i f ti 11 7 -' - - i 1 I •,>I - i I I . p t I i ` j t - -t - - , I -_ r _- ... .. ., I ,_ I I y I 1- }� I-61 I r { 1 I. 1 I .. _ _;_. � ' � � ! I . , rt.. t I t I - - _._ -;. . -. -' , ,. .. , . _ _- __ __ -V I , _...1..:: , r 1 , I I i (-- 1-. . - . 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I / I I f 1- i v , L�L-. lid,�4 �f�\.c/ 2 Zc, �P,[� ��0.��G+sT�¢�`® ��� I ; j `"��,,T �I/ J I ( ' f i_�:. �aI I 1_.... I`�L-S/ �� /�- _ ' ' ass/pNAt E\��,�� dC' t I i/i� -j . f r �� I I �j 1- 1 -- - r -1 11 1 !�/... Z.-_tip/mil .�1 .._.-, , v:-�- �� I 4-� �-I - I I - � � r 1. 2 . I - i ( r `, r - - - - - - I .,.,.... e I I -. • -i_ i.._ .,...,..i__t . ! t -....,.... -'I -I LL.T,.w i - -. . : I I I -� I �' � I I � � I 1 I I L_I i i .r -} _t 1 r 1 '..I 1 ( I lo 1 I I _:., I .. -: - 1 - 1_{ ' .r.. _j_ j ,_ I I I i I. 1_. „{- I I I �. ._I. _.I-_ I. I - - - .�-� - - x ,4 1 f � 4- I ' I I .,.-. L_I I-I I t i f, 1 _ i� _ v . ., j- i- I I - - - - :.. __ . -. - - - - - l 1 - I I - 1 I t 11 I I r. { i `{ j 1 : l --1 --- _ r ' { F 1 -_ . { }} . Tf , I . , - - I. ; f1 �� r f i..7 T 1 - I ' �'i I . , , 1 ,' t- ; i I � ' .i 1 I i_. I i i ' _L Ili II_I I - - - I` � . I .: . I 1 . i , 1 ­! I I ; : . �- { - - - - - 7 i I I I f � � _ r '.1 ( , I ., ...° i I. L_I_. ..;_i I. ' 1 I ' r.I. 1_ ,...t.-.._ 1 i 1 t I-I - I ' - 411iii ._!I!I:1i!,.1�_1'jt.__ - E- a , _1 �.. i --. . . ____ . ­ I I - - - - - ' _ - -- ­_��A_ I I (Ir! I. ,,..' g ,-, ,.� ( I :L_( .i .� - ';_.L., I _ ._(..h._{ 1 {..,I ,.. .i i 1,{-t -i_.. ' -i I --�._�.-1 �_!_._ !� ,.z., i ,, ,., • I 1.1 .. ­ . I'- _ ..,... DIRECTIONS: . ZONE From Hyannis - Follow Main Street to the West M .� End Rotary;__. Take third exit onto Scudder Ave. RF-1 Turn right onto Smith 'Street at the stop sign. Area (min.) 43,560SFr Continue on to Craigville Beach Road and left Frontage (min) 20' onto South Main Street. Continue over the Width (min) 125' `• � .. " e to Osterville, and deft onto West Bay Setbacks: g s ho° bridge and left, ;onto Bridge Street then right Front 30' onto Great Boy Road #22 is on the right. 3 � Side 15 S63. Rear 15' 0o 57" 30'E 2' 44. �� 3T N/F OVERLAY DISTRICT: '� «• .F, o� Brian T. Docey Tr. Caddy Camp Homeowners Trust AP - Aquifer Protection District " Saltwater Estuary Protection Districts �� w S6 3• 57 jo,,EFLOOD ZONE: 0 00' �. a 0. Zone AE Elev. 12 Community Panel No. LOCATION MAP: #250001 C0544 J July 16, 2014 Scale: 1" = 2000'f to I I ASSESSORS REF.: Map 093, Parcel 017 � I �1I1, vl I - REFERENCES: Lot D 1 - 1 '� r� Deed Bk. 26990 Pg. 6 / 25,000±SF O ! II to 9•Plan Bk. 96 P 37 F2 % (Per PB 96 PG 371) �`1 \\11, Plan Bk. 86 Pg. 115 j - (Road Layout) wall L PERC TEST.21-271 PERFORMED BY:JOHNODEA,PE SULLIVANLNGINEERING - CONSULTING,INC. DESIGN DATA o i �\ N Ili SOLL EVALUATOR NO.2911 l \ WITNESSED BY:DAVID STANTON,R.S.-TOWN OF BARNSTABLE Single Family 5___ awn �5` �r ���\�.\`�o�,� SITE PASSED -3 Bedroom @ 110 GPD v No Garbage Grinder TEST HOLE- 1 EL.s.3 TEST HOLE-2 EL.4s Total Daily Flow=330 GPD Use Existing 1000 Gal Septic Tank \awn ; 1�� / FILL FILL Patio \ 26 3.1 8 4.1 LEACHING AREA O/A LAYER lOYR 5/2 O/A LAYER IOYR 5/2 �\\10\ GRAYISHBROWN GRAYISHBROWN 330 GPD/0.74(LTAR)=446 SF Required 28 B LAYER 10YR 314 2.9 3 0 B LAYER I1 oYR 3/4 Sidewall=2(12'+325 x 0.96'=84 SF DARK YELLOWISH BROWN DARK YELLOWISHBROWN Bottom Area=(12'x 325=384 SF LOAMY SAND 1.6 30" LOAMY SAND 2.3 CTAYER 2.5Y6/4 CLAYER ZSY614 Total Provided=468 SF(342 GPD) 10 \ f I LIGHT YELLOWISHBROWN LIGHT YELLOWISHBROWN \ r AM.SAND MED.SAND LEACHING CI-CAMBER DESIGN Sill 7.5' � t r �. 2 r 33" 2.0 / r PERC RATE<2 MIN/IN(LIAR=0.74) All Pipes to be Schedule 40. Use 150.6, Qo w r#22 1 Sty. j I ( r i 46" 1s 39" 1.5 3 Concrete Flow Diffusors in a 12'x 32' w/f Dwelling Lawn r Double Washed Stone Field as Shown. r � r n) \ 10 Q( 0.8rl� 35.1 ti c� VARIANCES r r 1 ? 310 CAR 15.212-Depth to Groundwater 5'Required } r r 3'Provided �. r r� �•� Locate Junction Box , Sill 5.6' \ N r =o Outside of Tank �; Q X/S Town ofBamstable ,. Q r SEPTjC LNG Pump Power & Float Control Chaptet360-1 Setback Requirements C 5 12'� e r� TgNI� Cables Installed In Accordance 100'Requimd Garae p` Q With Federal, State & Local Paved g j l Q rr ROPOSE�� i Bldg. & Elec. Codes Ss'Provlded to NitROE 11 Drive l r N/ (J r r � �Of ,o Alarm To Be On Separate 68'Provided to SAS' r r rr Service From Pumps 65'Provided to Pump Chamber $ 1 2"0 Goly. Pie ti \ Slab 4.9' Lawn �N � � OpOSED For Float Support 80 Provided to D-Box _--OHE o 1 '' ci,�gy1eE 4 4„ To - x HE BOUYANCY CALCULATIONS Q /? 1,000 Gal H-20 Pump Chamber Dead Wight=17,250 LBS ^ ' OX Uplift=3.75'x9'x525'x62.4LBS/CF=11,056LBS 4„0 Sch. 40 PVC 24"0 Opening Above v S' S From Septic Tank For Manhole i < ` IPCUr Compartment Frame & Cover 2000 Gal NitROE Tank -� Dead Weight=20,125 LBS SS7•571• b Uplift=3.08'x12.83'x6.83'x62.4LBS/CF=16,841LBS EX,SnNG PUMP CHAMBER PLAN VIEW DETAIL ✓ooaneN/F qgq_4 S TO BOX s. RE 000ve OR NOT TO SCALE Al SEPTIC NOTES 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hours Benchmark - Top of Conduit Thru Chamber For Prior to Any Excavation For Thus Project the Contractor Shall Make Concrete Bnd. D. 6.16 Power & Float Cables 24"0 Manhole the Required Notification to Dig Safe 0-888-344-7233)and contact (NA VD '88.) Finished Frame & Cover 9" Min: Sullivan Engineering&Consulting Inc.(508-428-3344). Grade cover 2. The Contractor is Required to Secure Appropriate Permits From Town Agencies For Construction Defined by This Plan. 3. Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shall Be Constructed of Class 150 Pressure Pipe and Shall be Water Tested to 4"0 Sch. 40 PVC Goly. Chair, Drill 118"0 Hole Assure Watertightness. In General, Water Lines Shall be Constructed in From Septic Tank For Drain To Ain Coordination With COMM Water,and Shall be in Accordance TOTAL TANK LENGTH=12r Emergency Storage Min. 2' Cover With 248 CAM 1.00- 7.00&310 CAR 15.00. OUTSIDE WALL To OUTSIDE WALL GENERAL NOTES: Volume 336 Gal. 4.A Minimum of 9 of Cover is Required for All Components. TANK WALL AT TOP c� 3' 1. ALL MEASUREMENTS FROM OUTSIDE EDGE OF (3.TYP) TANK TOP. 5.All Structures Buried Three Feet or More or Subject 2 CONFIRM ALL HOLE LocanoNs PRIOR To i INSTALLATION. Alarm On El. 1.20 r, to Vehicular Traffic to be H-20 Loading.It is the Engineer's ' 1 3. AND T SEPTIC TANK TOP TO HAVE AND COVERS ,, Pump Recommendation that H-20 Always be Used. AND THREE'HOLES WITH RISERS AND COVERS W 3 $ FO61 R MAINTENANCE AND SAMPLING. Pump on El. 0.80 0 6.Install Watertight Misers and Covers to Within 6"of Finished Grade w 0 0 Mpg-- 4. FOR THE 24'HOLES,PROVIDE 24•DIA.ADS PIPE 80 Gallon Cycle 3� 2"0 Sch. 40 PVC ^� (CORRUGATED)WITH PaYLOK(OR Q Threaded Pipe Over Septic Tank Inlet and Outlet,D-BOX,and One Leaching Chamber. IINFLUENTc m` T"" O4 EQUIVALENT)COVER(OR EQUIVALENT Pumps Off El. 0.50 g " '- EFFLUErtr CONCRETE RISER AND AN COVER)TO s•BELOW Check Valve All covers are to be maximum 18"for concrete or 24"Cast Iron. GROUND SURFACE AND SECURED TO TANK TOP. .{ -� �■► TO NNROE 5. INSTALL ) IT PIPE N BELOW GROUND I 7.Septic System t0 be Installed In Accordance With 310 CMIt 15.00& Z SURFACE)WITH FERNCO RUBBER CAP.INSTALL 3 TREATMENT sYYSTEM WRH AB•ROUND R UNBOXAND COVER TO BE - 248 CAS 1.00 7.00 Latest Revision and the Town ofBarnstable S lm yFLUSH wrtH THE GROUND SURFACE Board of Heal th Regulations. ' -_- -� Secure Pipe at Top & 8.All Piping to be Sch.40 PVC. Bottom of Chamber -L 4/10 H.P. Myers Pump Stable Com acted 9.D-Box Shall Have a Minimum Inside Dimension of 12",and a Minimum Base TOP VIEW TANK WALL or Approved Equal* Sump Of 6". NOT To SCALE AT TOP 10. The Separation Distance Between the Septic Tank Inlets and 122 (3"TYP) *Prior to Ordering 4Pumps the Contractor SEE NOTES 3 AND 4 116" SEE NOTES Must Confirm the Compatibility of the Outlets Shall be No Less than the Liquid Depth.Inlet Tees Shall Extend _ _ _ _ _ _ sEE NOTe a(TrP) _ _ _ ___ _ _ _ _GROUND LEva Existing Electrical Service a Minimum of 10"Below the Flow Line. Outlet Tees Shall Extend 14" Below the Flow Line,and Shall be Equipped With a Gas Baffle. H - PUMP CHAMBER SECTION DETAIL TO NNROE WASTE-WATER INFFLUENT 48'8TATK:WATER - TREATMENT SYSTEM NOT TO SCALE EFFLUENT ■ N ~ Finish Grade Filter ELEV.=0' ' .• ' N Fabric 4"TANK BOTTOM(TYP mr=r mr mr 1mr mr mr Er mr Compacted Fill AND/OR 3"TANK WALL AT BOTTOM(TYP) CRUSHED AGGREGATE OR APPROVED cp Q 1/8" - 1/2" 114" 120" MATERIAL(DEPTH TBD-r MINT ON I 8 0' 0 rm r=!11 Pea Stone LEVEL,COMPACTED AND STABLE BASE 8 SIDE VIEW KleanTUOLLC we s NOT TO SIE I 3/4' 1 1/2" � 4' Double WashedSCALEa I Stone PLAN AND CROSS-SECTION MAY 25,zor 12' (FOR ENGINEERING DESIGN) SEPTIC TANK �, .Y »Vo.�n SIP• - NitRO&2KM SEPTIC TANK 4 a m a SEPTIC TANK-ASSTI5M-H10 ff ® CROSS SECTION OF FLOW DIFFUSOR NOT TO SCALE Zharcoal Filtered Ven t Final Location to be Determined at time of installation or in accordance with Landscape Plan FF Main House 7.50' F.G. EL. 5.5 m ( yP•) See Note. 6 t F71 CFG. EL. 14'f F.G. EL. 7.75' F.G. EL. 6.75' EL 12.50 Installer To Confirm Prior E . 3.60 Existing EL 5.83 To Any Work 1000 Gallon E 0 PROPOSED H-20 Septic Tank EL. J.35 NITRIDE D-BoxF To EL. 6.00 EL. 2.75 EL. 2.50 P (See Note 5) 2000 Gallon 1000 Gallon innn Mono Tank Pump Chamber a ® CM cm ® Bot. EL 4.50 H-20 Splash EL. 5.46 H-20 - Guard Flow Diffusor Effluent Tee Remove & Replace Zabel Filter or EL. -2.25' All Unsuitable Soils Within 5 of The Outer. Perimeter of The System approved Equivalent NitROE & Pump Chamber To Be Installed On Groundwater © EL. 1.5 See Note 10 To Be Waterproofed/Sealed ale Compacted ase - P Bedding,"T"s, w/ Two ed Coats Inspection Port, All Fill Shall Meet of Approved Sealant 'tHof & Baffels 310 CMR 15.255 (3) � c DEVELOPED PROFILE OF SYSTEM as Per Title 5 N 168 NOT TO SCALE FGISTERF�C<� ,0^1, T/TLE. PREPARED BY. PREPARED FOR: NOTES: Site Plan r r 1) The structures shown were located on the ground by P/ oposed Septic , ]pgI ade • Engineering Q conventional survey methods on or bewtween 12/10/2021. At Thomas N. Hynes Tr. 2) The property line information shown hereon was y �� • compiled from available record information. -- Consulting, Inc Thomas N. & Joanne Hynes�� Great �Ja / 10a� 3) The datum used is NAVD 1988, a fixed mean sea level Y (508)428-3344•P.O. Box 659 .711 Main Street, Osterville, MA 02655 Trust Agreement datum obtained by RTK GPS performed by Sullivan Inc. Consulting Barnstable (Osterville) Mass. secs@sullivanengin.com•www.suilivanengin.com Engineering � 4) Topographic information was collected using both Ti Draft: CTR Field: WHKICTRIJOD 20 0 10 20 40 80 conventional survey method and RTK GPS on 1211012021. V DATE: SCALE. Review: CTR/JOD Comp-/Review: ASL/CTR/JOD NMI December 23, 2021 1 = 20 Project: Hynes Project#• 4100039