Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0029 HATHAWAY ROAD - Health
29 llatk3m av Road A == 114—036 Ostery ille ie r is r i i I it I r,' Doc: 1,424,242 03-31-2021 12 : 14 Page 2 of Sr EXECUTED this the 3�day of gk*— 021. P ri c E.Jonsson A.I Cj� if C:J COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss: Sr On this day of l'1�A�Q��, 2021, before me,'the undersigned notary public, personally appeared Patrik E. Jonsson and Jennifer C. Jonsson aforesaid and proved to me through satisfactory evidence of identification, being (check whichever applies): ❑ other state or federal governmental document bearing a photograph image; ❑ Oath or affirmation of a credible witness known to me who knows the above signatory, or My own personal knowledge of the identity,of the signatory, to be the person whose name is listed above, and acknowledges to me that they signed the foregoing instrument voluntarily for.its stated purpose. l %' ` a J. p �i Not Public A,.;+��°e A¢1G � M Con (.AFFI3� ZAP o� w r Pua���o�` JOHN F. MADE, ASSISTANT RECORDER BARNSTABLE REGISTRY LAND COURT DISTRIC D PfPTJPT C. DP/ADfPI1 PT PPRDIVT/.TiV Doc: 1,424 ,242 03-31-2021 12 : 14 BOARD OF HEALTH RESTRICTION Patrik E. Jonsson and Jennifer C. Jonsson of Osterville (jointly '`Owner") owns property located at 29 Hathaway Road,Osterville,Massachusetts being Lot 59 on Land Court Plan No.2664-72 ("Property"). tn t oWHEREAS, the Owner has agreed with the Barnstable Board of Health to a restriction as d to the number of bedrooms which can be included in any dwelling built on the Property a ai pre-condition to obtaining a disposal works construction permit in compliance with 310 Wj p CMR 15.00 State Environmental Code, Title 5, Minimum Requirements for the w a Subsurface Disposal of Sanitary Sewage; and 3 WHEREAS, the Town of Barnstable Board of Health, as apre-condition to granting a xsaid disposal works construction permit is requiring that the agreement for the restriction a ^' on the number of bedrooms in any dwelling located on the Property be duly recorded in H 00 the Barnstable Land Court Division. Q NOW THEREFORE, the Owner does hereby place the following restriction on the e Property in accordance with the Town of Barnstable Board of Health, which restriction L a shall run with the land and be binding upon all successors in title: No dwelling located on the Property at 29 Hathaway Road, Osterville. Massachusetts being Lot 59 on Land Court Plan No. 2664-72 shall not contain greater than four(4) bedrooms. For title, see Certificate for Title No.223347. TOWN OF BARNSTABLE NLOCATION O OLI h°L wCA S 6E#Zh P ''VILLAGE A SESSOR'S MAP.&PARCEL INTrKLZER'S NAME&PHONE NO-�,'Cl� SEPTIC TANK CAPACITY 000 LEACHING FACILITY.(type) /)C C xb m�r5_ (size) ^ 6 NO.OF BEDROOMS j OWNER ae1 dAD PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on` site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY \•t• .t.\.t.+.t.\`ti.t. .4• ,.t.\. ..t. .♦. �.t.\.\•�.\'\•t.t.4•\. • r r r / l - ! ;�! r : r : r•f f f1J l ! r I r r / r F ? r � f r f J ? f f f f f ! ! :4! J ? f f / f f / ! f I f r ? f f f r \ \ \ \ \ \ t \ t t t k 4�4 \ \ \ \ \ \ t t t 4 '•. 4 \ t t \�t. \ k \ t ti \ t 4•y. t t t \ 4 \ �' \ \ \ \ 4 ♦ \ 4 \ \ 4 \ 4 4�•4 f f f f r r / r f f • / r ! r i 5 29 41 80 65 70 TOWN OF B�ARQNSTABLE LOCATION �I _�J`��C SEWAGE # f t' 3 VrULAGE ASSESSOR'S MAP & LOT //9/3 C. INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 1600 /LI LEACHING FACILITY: (type) -5'004J sue— (size) NO.OF BEDROOMS 52 BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any.wetlands exist within 300 feet of g facility) Feet Furnished by 9�\ 7 Fo LOJ d3 14 - 4 - 7d ,5 Y No. � / Fee THE-COMMONWEALTH OF MASSACHUSETTS Entered mcomputer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2ppYication for Disposal *pstem Construction permit Application for a Permit to Construct( ) Repair(1k Upgrade( ) Abandon( ) Womplete System ❑Individual Components Location Address or Lot No. Q �`' `' Qft� Owner's Name,Addressi and Te.No. ? v f o 6 each D s'CGrv-i1� �% 3 " u>" �-( Assessor's Map/Parcel / a ,1+' I l c)T o Installer's NarrAe,Address,Ad Tel.No. Designer's Name,Address,and Tel.No. hif}7��IZ I►o�£1iN(Q s°Qo z 601 Type of Building: Dwelling No.of Bedrooms Lot Size ,3��+ sq.ft. Garbage Grinder( ) Other Type of Building `f �per,' �/ a011¢4IWof Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) y y gpd Design flow provided L gpd Plan Date f I Number of sheets Revision Date Z 2/ Title &OVoS e S I�<_ QNe 1 Ye[M Udte )rfL&lit ) ii Size of Septic Tank l 'fit)t7 A-L Type of S.A.S. a f¢A Lt.� L E'¢�I n G�a�-be r s Description of Soils t p(ice 4t 4 '3 —L w� 5 a�(_� f'l I►� Ss'�,.01� d C2 � ' Nature of Repairs or Alterations(Answer when applicable) Date last inspected: f Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board t Q Date I Application Approved by Date Application Disapproved by Date for the following reasons j Permit No. Date Issued Fee- No. I y I t _ --- 'TH 'COMMONWEALTH OF MASSACHUSETTSL Ente=ea 1 Yes - PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASS_kCHUSETTS t � �pYication for Disposal *pstrm Construction Permit Application for a Permit to Construct( ) Repair(x) Upgrade(') Abandon( ) Complete System ❑Lpdividual Components Location Address or Lot No. Z 1 of;�� Owner's Name,Address,and Tel.No. io rv, wf� 00 , %5d1414er F}II1R>) . Assessor's Map/Parcel p 02(o Installer's Name,Address,Ad Tel.No. Designer's Name,Address,and Tel.No. tYyf 4.) 4 s0C Z Type of Building: g �I y � - q g ( ) { Dwelling No.of Bedrooms Lot Size , s .ft. Garbage Grinder -+y Other Type of Building 1101 It FA ' Q�s � of Persons Showers( ) Cafeteria( ) e 1 Other Fixtures Design Flow(min.required) 1-10 gpd Design flow provided L/ gpd Plan Date 1 ( n Number of sheets Revision Date Tl I y Title o e 5 t G 91 e&e t Size of Septic Tank I 1S'0 0 TYPe of S.A.S. `5`06 4A-t m— L..oyc(n rk4 LLe t tPr( Description of Soil 0 4 '/ 04 5 8R4 1) 62 ✓ J0f r4D ;1 Nature of Repairs or Alterations(Answer when applicable) f Date last inspected: Agreement: ar' The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate'of I Compliance has been issued by this Board o , lth,.., Date Application Approved by / ? // �/ , Date Application Disapproved by Date for the following reasons 's V Permit No. Date Issued -----------=-----------_---- ---- - - -- - - = ' f THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY that the On-site Sewage Disposal system Constructed Repaired Upgraded g P Y ( !/) P ( ) ( ) Abandoned( )by at t- A u)& p � -�'T;=y �11 has'Wen constructed' acc r e with the provisions of Title 5 and the for Disposal System Construction Permit No.��d Installer Designer #bedrooms 4-- Approved design ow 440 Y j gpd The issuance of this pe it all not be ons ed.as a guarantee that the system wil cti. esiigned. / t�q, ,12 Date - Inspector J/)/ / /1 3 ( y r /ry v I - - ---- -- - - - _ - - - _ ------ ., No. r9THE Fee COMMONWEALTH OF MASSACHUSETTS - PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal *pstem Construction Permit \� Permission is hereby granted to Construct Repair( ) Upgrade( ) Abandon( )~ System located at �j G f_( u1—r-, ( a �} ( }�—SCz.3�c� i11 (� t-� 7 and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. L . Provided:Constru /in must a co pleted within three years of the date of this permit. Date Approved by / �e r JUL-15-2014 13:47 FROM: T0:5084200001 f P.1/1 a` Town of Barnstable Regulatory Services Richard V. ScAli,Interim Director Public Health Division Thomas Me]Kearr, Director 200 Main Street,Hyannis,MA 0260.1. Oflricc: 508-862.4644 Fax: 508-790-6304 Installer& Deyi ner Certitfication Form Date: 11 -201-Y Sewage Permit# 2 or o� � - _Assessor's MaOarcel Designer: ,1J £ �XT�Q Installer: o A C Address: p P A sT 4 E x A �T1eh/ ' Address: A."A--T r I AAr AJ >� S � DZ�63 On (date) `was issued apermit to install a installer) scptic system at Z 1 C (ad ess) based on a design drawn by [ dated (des finer) T certify th t the septic system referenced above was ' the dtsi�m, which may include minor approved shun es such dist.ibuao box an septic cFuu�k. Strip Installed substantially accurding to g as lateral relocation of the wtrt found satisfactory, Pout (if rcyuircd) was inspected and the soils t certify th t the septic system referenced above was installed greater that 10' lateral relocation of the SAS or any vertiea.l relocation of an of the scpti system) but in accordance with State y Local with major. changes ent certified as built by desn revision or igner to follciw, y component were found satisfactory. Strip.out(if required) was inspected and the soils — I certify th t the system referenced above was o I1A proval letters(if a constructed liance with the terms applicable) SM OF M4 a nst STEPHEN n D. ^ MA ti CIVIL o No.46i3g5 Q P�� esigner's ignature) �'s DrsTca�����i, RETU (Affix De e p ere F TO B``112NI'llSTABLE PUBLIC Ni AIi.TH .D. Here) OF COMMCOAN E WML NOT 1d:E rsSiJED BU1GT CARD A UNT1Y, BOTH TTHONFORMTIFrCATF TT�AN E RECEIVED 13Y THE gAR1VSTAALF p ' DAS - K YOU. Ul3LIC'rMA-241 DIVISION. Q:�SCP60 Dcsigner Certi cation Form Rev 8-14.13.doe _ s f�GEP CvP,6s oF' 13o' DEE�� Dor-: 1 r 243 s 180 04-03-2014 2: 10 REST2/G�/o�4 jA3 le- 5: BARNSTABLE LAND COURT REGISTRY DEED RESTRICTION ON USES knpwvc OF `29 HATHAWAY ROAD,OSTERVILLE,MA WHEREAS, Laura B.Bilodeau,as she is Trustee of the LBB Trust u/d/t dated January 31, 1992 and recorded as document 661,863 of 83 Bunker Hill Road, Osterville 02655 is the owner(hereinafter"owner") of 29 Hathaway Road, Osterville (Barnstable) Barnstable County,Massachusetts,02655,further described as: Lot 59,Land Court Plan 2664-72,with a street address of 29 Hathaway.Road, Osterville,MA(hereinafter"property'l; and WHEREAS,the Town of Barnstable Board of Health,as a pre-condition to granting a subsurface sanitary sewage disposal works construction permit for a septic system in compliance with 310 CMR 15.200,State Environmental Code,Title V,Minimum Requirements for the Subsurface Disposal of Sanitary Sewage,and authorizing the issuance of a building permit for the construction of a single family home on owner's property is requiring that the grant of a restriction limitingthe number of bedrooms on the property to four(4) be put on record with the Barnstable County Registry of Deeds by recording this restriction; and r . WHEREAS the owner has agreed with the Town of Barnstable Board of Health to grant this restriction limiting the number of bedrooms which can be included in any structures built on the property to four(4) as a pre condition to obtaining a disposal works construction permit for the property in compliance with 310 CMR 15.000 State Environmental Code,Title V,Minimum Requirements for the Subsurface Disposal of Sanitary Sewage. NOW,THEREFORE,the owner hereby covenants and agrees that: 1) With respect to owner's property,no more than four(4) bedrooms on the property are authorized,and that the definition of"bedroom'is governed by 310 CMR 15.002. 2) Owner agrees that this restriction shall be a permanent deed restriction affecting the property and shall run with the land and be binding upon all successors in title; provided however,that if it is determined that this restriction is not permanent and limited to a term of thirty (30)years,the Town may unilaterally re-record this restriction to extend the protections provided herein for an additional twenty(20)years; an provided further that such re-recording shall occur prior to the expiration of thirty(30) years from the date of the recording of this document 3) The parties intend,and agree,that the foregoing restrictions be and are imposed for the benefit of the parties and the Board of Health and are enforceable by the parties and the Board of Health. For owner's title to the property,see Certificate of Title 201,832. Address of property: 29 Hathaway Road,Osterville,MA 02655 Executed as a sealed instrument this" d ay of , 2014 LBB rust La6ra B.Bilodeau,Trustee COMMONWEALTH OF MASSACHUSETTS Barnstable,ss 2014 Before me,the undersigned Notary Public,personally appeared-the above- named Laura B.Bilodeau,Trustee and proved to me through satisfactory evidence of identification which was a Massachusetts Drivers License to be the person whose names were signed on the preceding document,and acknowledged to me that she signed it voluntarily for its stated purpose my comm.Exp: MICHAE-i J HAYES i NOTARY PUBLIC " Commonwealth of Wssachuselts 1 t My Commission Expires i, May 20, 2016 TRUSTEE'S CERTIFICATE 1,Laura B. Bilodeau,being the sole Trustee of LBB Trust,under Declaration of Trust dated 1/31/1992,recorded with the Barnstable Registry District of the Land Court as Document No. 661,863, as amended by Document No. 661,864 dated April 11,'1994, hereby certify: THAT the trust is still in existence; f THAT it has not been altered,further amended or revokedr THAT all the beneficiaries of said trust who are natural persons,if any,are of full age; THAT all the beneficiaries of said trust who are natural persons,if any,are competent; and THAT I have been authorized by all of the beneficiaries.of said Trust to execute a"Deed Restriction on Uses of 29 Hathaway Road, Osterville,MA",covering real estate known as 29 Hathaway Road,Osterville,Barnstable County, Massachusetts,being Lot 59 on Land Court Plan 2664-72 described in Certificate of Title No.201832 to which reference may be made for title.' Signed under the pains and pe lties of perjury thisd day of 014. /6� a B. Bilodeau,Trustee of LBB Trust, under Declaration of Trust dated 1/31/1992 I COMMONWEALTH OF MASSACHUSETTS Barnstable,ss. 2014 On ,2 14,before me,the undersigned notary public, ersonally appeared the above named aura B.Bilodeau,Trustee of LBB Trust,u/d/t dated 1/31/1992 proved to me through satisfactory evidence of identification,which was ] other to be the person whose name is signed on the preceding or attached document who swore or affirmed to me that the contents of the document are truthful and accurate to the best of her owledge and belief. My Commission Expires: sl Z)6 ---•- Nota. Pu �c --I"` f VCl lA►c"L J. �.��� BARNSTABLE COUNTY REGISTRY OF DEEDS NOTARY PUBLIC A TRUE COPY,ATTEST BARNSTABLE REGISTRY OF DEEDS. r. r'� Commanweailh of M3ssachusslts c'\,My commission Expires May 20, 2b16 JONN F.MEADE,R601 - Keep Cop±ems of %t�7tl 2ecf Do---- 1 :24,3.r 179. 04-03-2014 2=10. BARNSTABLE LAND COURT REGISTRY a 9 y�7haw a� OsfDEED RESTRICTION ON USES 0 83 8unf -!(/moo OF 83 BUNKER HILL ROAD,OSTERVILLE,MA WHEREAS, Laura B.Bilodeau,as she is Trustee of the LBB Trust u/d/t dated January 31, 1992,and recorded as document 661,863 of 83 Bunker Hill Road, Osterville (Barnstable), Barnstable County,Massachusetts 02655 further described as: Lot 57,shown on Land Court Plan'5725-21,with a street address of 83 Bunker Hill Road,Osterville,MA (hereinafter"property"); and WHEREAS,the Town of Barnstable Board of Health,as a pre-condition to granting a subsurface sanitary sewage disposal works construction permit for a •septic system incompliance with 310 CMR 15.200,State Environmental Code,Title V,Minimum Requirements for the Subsurface Disposal of Sanitary Sewage,and authorizing the issuance of a building permit for the construction of a single family home on owner's property at 29 Hathaway Road,Osterville.Mass.,is requiring that the grant of a restriction limiting the number of bedrooms on the property to eight (8)be put on record with the Barnstable County Registry of Deeds by recording this restriction; and WHEREAS the owner has agreed with the Town of Barnstable Board of Health to grant this restriction limiting the number of bedrooms which can be included in any structures built on the property to eight(8) as a precondition to obtaining a disposal works construction permit for 29 Hathaway Road,in compliance with 310 CMR 15.000 State Environmental Code,Title V,Minimum Requirements for the Subsurface Disposal of Sanitary Sewage. NOW,THEREFORE,owner hereby covenants and agrees that: 1) With respect to owner's property,no more than eight(8) bedr'ooms on- the property are authorized,and that the definition of"bedroom is governed by 310 CMR 15.002. %7 2) That portion of the property being shown as 8,300 SF Septic testrictioii � Area'on the'Exhibit Sketch For Land Use Restriction'attached hereto-and made apart hereof,said portion•measuring approximately 333 feet bjv* 3 =� feet and located along the Westerly boundary of said lot,shall be subject to the further restriction that said area shall not count towards the lot area computation of any future construction on 83 Bunker Hill Road for purposes of bedroom count, r 3) Owner agrees that this restriction shall.be a permanent deed restriction affecting the property and shall run with'the land and be binding upon all successors in title;provided however,that if it is determined that this restriction is not permanent and limited to a term of thirty(30)years,the Town may unilaterally re-record this restriction to extend the protections provided herein for an additional twenty(20)years; an provided further- that such re-recording shall occur prior to the expiration of thirty(30) years from the date of the recording of this document. 4) The parties intend,and agree,that the foregoing restrictions be and are imposed for the benefit of the parties and the Board of Health and are enforceable by the parties and the Board of Health. For owner's title to the property,see Certificate of Title 158,152. Address of property: 83 Bunker Hill Road, Osterville, MA 02655 Executed as a sealed instrument thisWda.y of . , 2014 , L rust / 1 I A OA AAa �V 11 ura B.Bilodeau,Trustee COMMONWEALTH OF MASSACHUSETTS Barnstable,ss , 2014 Before me,the undersigned Notary Pu lic,personally appeared the above- named Laura B.Bilodeau,Trustee and proved to me through satisfactory evidence of identification which was a Massachusetts Drivers License to be the person whose names were signed on the preceding document,and acknowledged to me that she signed it voluntarily for its stated purpose / N.P. my comm.Exp: Y NOTARY -=r Commonweallh F My Commission F::I May 20, J.01% r TRUSTEE'S CERTIFICATE I,Laura B. Bilodeau,being the sole Trustee of LBB Trust,under Declaration of Trust dated 1/31/1992, recorded with the Barnstable Registry District of the Land Court as Document No. 661,863, as amended by Document No. 661,864 dated April 11, 1994, hereby certify: THAT the trust is still in existence; THAT it has not been altered,further amended or revoked; THAT all the beneficiaries of said trust who are natural persons,if any,are of full age; THAT all the beneficiaries of said trust who are na tural persons,if any,are competent; and THAT I have been authorized by all of the beneficiaries of said Trust to execute a"Deed Restriction on Uses of 83 Bunker Hill Road, Osterville,MA"-, covering real estate known as 83 Bunker Hill Road,Osterville,Barnstable County, Massachusetts,being Lot 57 on Land Court Plan 5725-21 described in Certificate of Title No. 158152 to which reference may be made for title. Signed under the pains and penalties of perjury this day of 014. /y ze ;'JN9—AA/(�-- fauia B.Bilodeau,Trustee of LBBTrust, under Declaration of Trust dated 1/31/1992 COMMONWEALTH OF MASSACHUSETTS Barnstable,ss. —' ,2014 On ,2014,before me,the undersigned notary public,personally appeared. the above na ed Laura B.Bilodeau,Trustee of LBB Trust,.u/d t dated 1/31/1992 proved to me through satisfactory evidence of identification,which was )other' to be the person whose n me is signed on the preceding or attached document who swore or affirmed to me that the contents of the document are truthful and accurate to the best of her knowledge and belief. My Commission Expires: - upqg-P;utilic L. ..�_. NOTAt?Y PUELIG BARNSTABLE COUNTY - • Commonwea�Ph u:,.'a•�a:h;r.�.Mayy 20, REGISTRY OF DEEDS BARNSTABLE REGISTRY OF DEEDS My `°` " �x;''`'::' A TRUE COPY,*ATTEST • 7t+i JOHN F.M.�EAO REGISTER ]ERr ARCHITECTS.INC 299 WHITE'S PATH x E•aiwaa NuIA - --~— --II II I D �` I'. i _ SOUTH YARMOUTH. """`•""' •1� — I v ,i—_ '_ _ I. MASSACHUSETTS;0266. tel(SOB)362-8883 - ..,,. (soe)zao-zaoo eee 1�" rr 4 (508)260-5600 >oocSD TI.IC I i # I A An L p L MA14NG ' ��^�e. GaEeT lx- If [/ . - C I .. _} ••�LS, I: - NEW RESIDENCE FOR: . i - PETER I rr c c } o BIL,ODEAU El CL Illy 29 s.Ea Ea HA TE WAY ROAD E O VILLE,MA _ II :ai5t➢"i/RIE nu0a O / - FENS DNE. PROPOSED FIRST FLOOR PLAN i`l I. I._I \\\� •• / `.o..Odc�RS'.eSl.c. +.\i _ _ �• � :�/ x. l c eaaG PPOGFESS SEi FCNI SEi \•J / - �� ` 6A� _—Ell SET o....:,.........e ro \\ /1 PROPOSED SECOND FLOOR FRAMING PLAN .J.✓� \ S •� "//i :MCEi NO A.I i, I. it+IFEP 01 SHFEI e\ _ iN15 SUEEi t el.lp \.• - IiNLE Ss COMPLETE IwF.O P'T e COMPLETE SEi OF wDaKInIC Daewims L BASEMENT NOTES: I�MCJPf d}Y?`.P�'P2e1'',�Sc :I, yi!Lo T ARCRTTECTS,INC r.....,..�.<... .,.. I SI IT I re.ee a,we. .. r . ....-e... .W.w..0•ww...e 299 WHITE'S PATH ..n.,.....-...n..r., .ir.u<.x,...w.... en.n kea"or. Trvcu or�ww CYARMOUTH, .N.,,...�.<..>,,..,,... � 02666 Twrtu onn ar wa,mwa ••<:::•,<^;,o:•• „`"••••";,,<, � t (308)362-8883 .L �.-_ ... _ .. _.. a (30B)760-2800 ....._:. ... .... .. _.._...----- ~':.P T—AE NUOWEA.—TM A—G } • T - .R e ..<,...-,.. .t�� reNDm NEW RESIDENCE.. FOR: ® l o I ' - — 6 n >. ... r f PETER a I � --- +r, BILODEAU 29 C DETAIL osrExvuLa MA 9h, ............. LALLY AP D - — — -- - Ao. ____ ______ l l PROPOSED FOUNDATION PLAN TE. 11111E. 1 .., e, , mrta,.e srtms s.w. ✓.wxoan \� TE rI FD 'i' I.1.--a<, ns o er .w•:5. .. P[Pu i;ET _ _ _ __ '.1. 1 I '\\ •CS'::1e' aii' s\ < vES:SET '111,N0 IET SIT _ e PROPOSED FIRST FLOOR FRAMING PLAN / \ FFriSLRn iinN �T,b..�.fe�:�:G�::r,."}%,P.�4`:�B W'LLEW�.n • \\\. _�I�»__ u.iP:ne-,-. Vry M nTD. .0 a�dxo`.R'Y�w"!�'6c4`YSXK'4R„L'51139Re"Yl efo' \ \ :xEET n0 f C�\ ¢�: A.0\ / �TFNta TO—NUMBER OF/ SHEET' SET: DECK POST DETAIL M SHEET NED - UN 6 NIALID LE COUP>NiED Pv C .COUPLE iC SEi OF ' wORx'iNG ORaxnry GS BLE 2—ExEael ry SCHEDULE — LTR D .PD N uBE Dr ES1. CO LS POx ILB SPACING . KIOa-rP•r;rvc IECC2009 RESIDENTIAL ENERGY EFFICIENT DETAILS ALVO eOu Ir0[-Nall[D11 - -IOD •"ExD - a,fTER(E%`AL`l[mC.Erv0 GLIUATE ZONE 54(USE EITHER PRESCRIPTIVE VALUES C`a REBOHCCx CALCUl.110N) - ARCHITECTS,INC V-LLuINGP _ TABLE 102.1.1 PPESCFIPTIK NStl_ATCN h FENESTRATION REOUIREMENrS w n B'ArLS.1((rN M_1SlCT.NI Ire uym - NM Ll •ia Ja ] 299 ITE'S PATH r [•o[v(re )A Eo)rE POTiF _ SOUTH YARMOUTH, • - MASSACHUSETTS.02664 I3EoCliN O1. zu o�IT TO SITU'Cl Li urLl(rDE(.L[D)lcn) i en i r E:cN"s Dn/e.�x•"xo.xu eHx.rxx.o•"x•^uws !9I(508)362-8663 D RDE•u lIl IF a lrer-E N ) yo - - (508)760-2800 BC•u u'nEE`e1CD1 En 31PD T a .,"ILL' ( ) 60-5800 Bd"N-ep 11 r[P TO T 1EriD rn) Eu .[xs P[xxa. .. .. lax 508 J ,E to 9LL Ca OP FATE POE-I LED) 1�6 1 6 -SHEATHING V.54ESBAL E SPACED LP TO 6 - e IM1 GE/E FIELD rT a5 Mt+�U55E5 SE•GEO OKR y- 0.[ IG DO EO /I:FELO - `BLEE EN R1 SS w%0 GABLE OKaxeuL 6-Ellf.E/5'PELO - - - a:«E oA a,rcE Ta :w/sTaBGn,R.L«Ir oD«E /6-FIELD. - - NEW RESIDENCE .9LE R"1-Pe w/L00e0OT BLOCKS ,EDGE/< FIELD - CEILING sHEATwxc « - OVER CONCRETE OR MASONRY BLOCK FOUNDATION FOR: lu w•u.OAPD ]D GDDLEPS - 2-EDGE/10-FELo Outside Elevation - - - _ Side Elevation Extent of header(two braced wall segments) ---.•--. - Min.100011, 11 P.r,[D uP ARLS.n z.'o i eR ,oD GE/a PELD - I—Extent of header(one braced well segment) --I - tension strap,.. PETER 1/2'AND z+/or F D PA.Ell SD o C/e'reLG - - I Pony center/-i Strap shall be B wall Odom at gILODEAU yr cro6DN w.ueo occ/ o - bottom of rLop+:HEe,H vc. - �hei8ht header, wD00 crNUCrURAL P.xELs / Mir,,W x II- /4"net header I Sheathing c E><sr.x 1 EDGE EDGE/M1 nc D ) { filler if neededSO :GO 29 72'W FLIT. Header shall be Top plate I 16d sinker P z II GAGE Boa xc.N-ILI.1+D 16 c. ST.IF1.aE BM.Trzo Gx[GK INC FOP-GE—- - - 1 fastened to the continuity s HATHAWAY ROAD Max. t 1• �" 1 nails in 2 rows UNLESS OTNE1.SE .«`cTMCIVET"llP.-IS G•cE ID.— r°" E BTc - total�. ,�' king stud with required per I ®3"D.E. OSTERVILLE,MA - n eulE 1 P CKI.F P Lru C ED puuox NALS E' 5 n TEL,l LCe 0 E SE POx ED. •T-1 .EN FPn R ORES,.0 soC•n0N• l-N con % wall 8-1nimunkernail, R602.3.2 UDE°'0 w. •.Ees f 0 F. veCAJA B wx0 20 r. _ height' ' ) Wood S¢UL1U2 Go+EPAL N 11c swcD�Le � a Minimum 1000 Ib header-to- I panel must be .. in jack-stud strap shell be centered continuous from _ - 10 at bottom of header and installed _ _ top of wall to - +Max on backside as shown on ( -- ' bottom of wall, _ '^ •16 0� '/: g e elevation I or wall to Pop of �• he 2 to ,shed width) ed height 2 side 1tl'(tin I splice area 40 oline with - \."-Ii MID.number of continuous sheathng Full-length studs shown �' g uds kin st IE /,. E VELING _ No.of jack studs y R r x _nDa a Ji caa LD oD3nyP rlTEr\ I kinll lstudan h Per table R502.5(1&2) 318"min. DA E sum, K thickness wood • t ( structural panel P[vlz nTrs, . sheathing .DEas N - 1°° uea AIT. 2 Anchor bolts per R403.1.6 required Foundation per code Not to scale - .r[acH END OFAH[.pEa tls 3/.r2J0 *pp T w.I.ER , - u HE.O[R - - - HEADER SPeu(Fr.) uxxUS2E UUBERIEO"IRIM OF ual li(Ill,1 LAr[ael(LB.) '1)Fasten sheathing to header with Bd common nails in 3-in,grid pattem,as shown and 3 in.o.c.in all framing TIEIGMS (studs.and sills)typ. PEAI.ir SET 12 For a panel splice(if needed),panel edges shall occur over and be nailed to common blocking and occur >I elnssEr E1 z z«. within the middle 24 in.of wall height.One row of 3 in.o.c.nailing is required Bleach panel edge. Px.Rrss SET 2-2r. 3 693 33o "Si,Min.length based on 6:1 height-lc-width ratio.For example:16 in,min,for 8 8.height. 9 3 IF O Tn BASE PLATE DETAILS e a-iriz ,r,[�-�r:-�-� 3-2«12 T3P] T—E.I well r,ONUCLnnNs FOR ENDWALL.+SSEUPUCS` x10 HF.ir�1r(IT) OeDOl•NG w R-ES -5 PetiuC.U P_ 10 ALIT-- 16 P 2O Na LIR•T) IJ3 '" (LB.)T PTe 2-TO-j1TID_uO.O IBp r-Ou.O1 '(E�IC11ul£p) AEGIST-LION 1-2x4 IRA!) Y «.(FLAT) 5 I-2v.(lLATI SO 0 2 [.1L1-- 1_2v5(R•T) 3 P0 JP6 reBlF rA.Eu POu- rOREsr k Pe -n l rfi(clot, 0 I + • " r6 IRAn ]28 FOP11 1111E 1.11E ID.M00 GONSTaUN nZr, sl wu0 APEe S. P Cl-LL Go B vn D ZONC," UNlEsS OrHCFwTSE.NOTES 2-2r5(FLAT) ]9A Ur,E(rr.l r BL[P • Ovu[CnOus mP[Hpw.lL eB�EUBUES v6 11L•T) UNGrH�uE PO P - SNEEi NO T 6 LCIli.) UHOL Or3 I'D2G0uu0x N-ILS P[PDCACH SIDE OF SPLICE ^� 12 '6(Berl 5 J60 29i A./ Bf Arslx(.`w - G. 6 P (FLAT)11"BC SU[i nN1EDAFIB 1-11B(Rer)L P TOTAL nILl1. SE; SHEETS .TABLE T._MEu-Au N FGAEsr u P'PEP 4S GIADOx IN SET; .Niv¢.N""couxclL.11 .Nor IEP1117D .'BE TO CwOPOSUPE B"T NO Ox lu Irn AREAS. T Ou. CIAnOu - BLE ren[x Fa euERICATT rq+ APEP BLE99.WALL OPENINGS- E TIN LO.DBfeBING w.LLS a a CO oS50 •RE.S THi5 5rIE[r INVALID NON- •OiNGBCAawc welLS" O CO._ u W vnND PvO E-111-OE"B D ZONE."I UNLESS 4000MPnNIEO P r E 6,TOP R-Il SPUCE ., n COMPLETC SF.i OF. IS K,NI.O NGS vOOF 9uixGLfiS i i Ten PTD I Il' +SPu<Li 4DG8 C [Tan PTp aOLL v / ARCH I, INC e 299 WHITES PATH T - O ILI.—S—P r ^� _ SOUTH YARMOUTH, MASSACHUSETTS,0266,l Lun—. — _ _ lel(508)362-8883 ", wooD • .. .� E — (508)760-2800 tav(508)760-5800 irP,we LL o es •. ur N T IJI T r . i.�oe..TERs - e NEW RESIDENCE . FOR: OTYP. RAKE DETAIL. ® RIDGE VENT DETAIL O TYPICAL EAVE PETER BILODEAU s�L�D.R].B E�FNEa 29 _ oa x < LOGeGrvT Ery E �] DPa rPICAL WALL NOTEe HATHAWAY ROAD I soe.IT OSTERVILLE,MA O R9Dfi5 G:T ' 510Ew / Ec5Ln99 CO n SDUG�9CE ELVE.: i W/i�Cery CeP:BAS VEc HOLSEWRep ._ H:is aiowo'o.c. I x PLr'. - Jan J ST JI xOLWo .neHOGeNY Dec"Wo 3x[ [ OC f _ a)r eacles L. R 30 xBG.S x -- Y vs _ ]LLt5E4LEaLL 11JUL I WB. • '.—r,ORN 1JJ � .B PT.J0�5Ts :1 OC. G r ..• ,. .c v �/ F.N EER s E,F 1 i OLT -'ILL IP�� rcc. p smeu / \ / HRU BOLis P I,1 - L/: '� i sL \\.f D¢ ss.Eo-. CA OC e 1 Sn W/DOWE ALL OPEu uG C FEVSONS: - AnPROO.uG (DCORNER STUD HOLDDOWN COLUMN DETAIL TYPICAL STUD WALL TYPICAL SILL DETAIL DETAIL-4 STUD SOLID CORNER euiT SET P )1;1E55 SIT FF:C:rvO SET To 8 - F-C.FCSS SET DOOM P NIw x •B vfiBca9 ]-O O.C. A e _ OP 101-SelaBui, - GE/]Ox0/m- Y :/ La enu Ti PICeI,WALL rvOTEs xCH04 COnPeC ALL B,CKPRO �0 BIT. SE LeNT P, O CB J ry !BLE o< ) 0,• iep-ILL �EDiape YL9W Exo„u P OJO rW1 FL C0NC ae TE 09T OiuT n BOLTD�n-o OCLV n _y- CONCverE•O ivG I. BILL se ALea - CONC.ELep EaCURED.ve vL;W-�ji!I B Le TE —I l aeB.eB DDxi —— • .I2. xT _ GONG aLeB ` [Cf..TFn iION ETw. o ry oaes D oP:BOTTOn Fx COn O 3•.BBpB�•]<Oxi. o ^l tll dill 111 .,!I, TO 1 WALL a III —�_ eYw.Y v n : s p ]•.B R co II tlll: 'o �.o t:Es=c,•+EFwsE•w¢o IIII �I J III ';[I I 1 [ Cone BLL — —' - " I - HEEr n 1 IIII- III t�Pll II ' t 1(T 1 .I 1 V I. S rl _h h 1111 lli I Ili.d l ail a; 1 I I I I t flu -:. t it I' III f11 till dl-- II t �ilE t r A.6 oT$•WB$o:oe IIII- 'I IIL II - II 1)" t I IF d 41 :1D I I7 li hl IEII it IIII t it Iit nxnen Itli_-16. '• II'. .III IIF:'1 -.,'II 1 tW I - v {G B!L .IIII'3 r'II I . �_ - I� III _ II I I I I jh' -Oi,C N NEEe Or SuEETS L - - T-d_-..ill=ll._E t3 il1 - :_T. u EET NFLITESE veLID a OE 12 �GARAGE APRON DETAIL SILL DETAIL O mTYPICAL SLAB t-FOOTING O COLUMN FOOTING DETAIL c,<°ccn:,> Ee eY ` JFR r ARCHITECTS,INC 299 WITE'S PATH SOUTH VARMOUTH, M ASSACHUSETTS,02664 t°I(508)362-8885 (508)760-2800 lax(508)760-5800 G ATTIC a..,ea,r. ATT c o T . NEW RESIDENCE FOR: a•rrea vcvr - b G -- ��" .� ATTIC\ rer rr°c•i PETER 1 ..;. f I,• STORAGE 1 °, BED 4OOn GAME ROOn -- STORAGE - DTT OTL'A T T ° L71L 1J1:rL'1lJ wRRR � , «.. .. \� E . 29 r i HATHAWAY ROAD OSTERVII,LE,MA n STER BEDROOn M STER - or eaxo°ee�Ee B TM GREAT ROOM °2 u°ee - <o ,vev a usewa.r C R G R GE .o oc n..,r.. — - - L e•ue BASEnENTTw., L BA SENENT •BASEMENT - . • $ vea. cwoa o, p� . �" o`.oua°o creo.pe`L i o ac •. PLO.... .OE Z —` •tort ai e i e _ ATE ` S°.eene AL'. .. eeaenevr aT•e D ' FENS ON[; SECTION B MASTER SUITE __� ECTION �' MA IN HOUSE ECTION s GARAGE PERHIi SEi ROGRESS SET RROGRESS GET ai aa° a>°,sgE'e^osg^aeis,eo€Teaaa,w • e.:d. LE-T LENGTH CLEAR cur v wr .i.xcxw.ue.w ea�e°u,. � FEr.I. n i SRA e a e / .He•rr°xnox or.ue oee°v'ai"�° r _LESS IO SHEET NO Ro eee m - LEG ' a . A.S T a ai<Im« U E4"Mnneanmme TOTAL N NPCR OF SHEETS Sim n Strong—ile - CS OoileE s-, 117 SHEET VALIO UNLESS.11 PAMED BY A r•OMPLE TE$ET OF --I,D1A..O1 ERr I I - ARCHITECTS.INC ' '•- i 299 WHITE'S LATH e•x....00.suiu - SOUTH YARMOUTH, .. .. ' MASSACHUSETTS.02664 tel(508)362 688}, EW ; _ I _ NEW RESIDENCE _ FOR. 1 I BILODEAU .A W:oaa. 29 11 ew.•oe ex _ —-- — HATHAWAY ROAD STER (��REAR ELEVATION i Da E S.ED cua+on curo�• i': FENSIUNi. ' cox.vuous eoee vex, _ '- — ••cu iec+ue•p es•u.i+•oor ew � �: : � - I I: i �i ..j� T .i i..• ....n• a E55ESCi .Tun xun ou+rex - ,I f\ -77 I w.cux.on wxoou xe•ox ` + I - . .I" rEi�sree neH �rvs,.uoo• - ' ;� .. � •° � Ln1E5S On EAvsSC,�O�ED. .riot. SHEET u_ A.4 RIGHT ELEVATION - TOTAL NUVB OE SNCETS x SET FFF THIS T-CEi llvlUO _ES pCC.-F-EU BY a COMPLETE SET OF ' wpaxlNG OPeynH(.5 ERr •,•ox a �x�Les I ARCHITECTS,INC n.x - :..-.,_ ... ......_.—�— ... ... ... .. ...... .._._ � I .. .......: - 299 WHITE'S PATH x,uu ua.ce,rex. SOUTH YARMOUTH. ..w renua. %.x.L,aoo.nwxmes cusio • MASSACHUSETTS.02664 tel(508)362-8883 \ ' NEW RESIDENCE Al FOR: .ax xn.Ldx r; PETER 0 ! o® 0 n CI 0 BILODEAU 9 THAWIDA ROAD CISTERN E,MA -FRONT ELEVATION •�'°°^'v °^•^°^^"� . - � j mre Issuco —7. .. ~ PERu.i iEr /� PRJ,RE:`iEi E._CS , p. >rr'eeouv --- a ', nacoxo rioo•.� ro reexe ....... n,exoo.roaoe xe•o c•nxc .' " � _- — ...._ - ___..._. _. PEf.Sine AON sc- c%xo o,•a%oe x..on � ��� I I 1 1 I i ..wxooWr000. . l I i :� NLC55 nrHCPwiSC NDrE.D. _ - - sNErr Nc. ass. A.3 LEFT ELEVATION c•v•vo e%e..r i_i I. IprE!'P CI' «F.0 iS ;Ei UNLEAS"co P.NIED BY GONrLEiE SE i-o - wDRh'u,r:ORnxsNr.S f f f - ]ERr ARCHITECTS.INC 299 WHITE'S PATH I SOUTH VARNOUTH, M AS ACHIISETTS,02664 rmw AT N vN >,e - .... ��� t.1(508)362-8883 . .,. " .. ..... v (508)260-5800 if II OOLTINO/N♦LMO . >,•''••"' I •` eEDRoon:> NEW RESIDENCE .".......... _ De .. .. FOR: I �,I —b' OCDPOOII I _ I - .� �a..------ .. PETER BILODEAU 29 p HATHAWAY ROAD f ri ! OSTERVILLE,MA PROPOSED SECOND FLOOR PLAN MIP � 77 ! D.iE SSVEO. r FEPlnir SET f siONnOE PPO(PESS SET _C'.1 SET >, /1 PROPOSED ROOF PLAN \/\ •''.�% ,-', PROPOSED ROOF FRAMING PLAN P> \ /\e.f�✓p nnN w��iumi�s@urv"v�Ir"�Q�:ih Sm"[��N �'� • � Sc.IC)/l-�-n +"em ,crto m,rt��rtn w°vI`rc«i,nxna ettwpn n.er f NNLESS OTHEPWSE NOTED ""G°4•i3"m'.C"59511tleh'YN>LY&6CRu".� `" `��pY' [HEEi NO \ A.2 T-1 NUNDEP Or SHEETS N SET, •ff�+� 1.1S SHCCT I 1.0 LESS KD BS <COIPLETE SET Or w1NI OPnvANGs r 1 - P�°p SHE Town of Barnstable * BARN STABLE, MASS.1639•. Board of Health ♦0 AlfDMAla P.O.. Box 534, Hyannis MA 02601 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi April 9, 2014 Mr. Peter Bilodeau 83 Bunker Hill Road Osterville, MA 02655 RE: 29 Hathaway Road, Osterville A= 114-036 Dear Mr. Bilodeau, You are granted a variance from Section 360-45 of the Town of Barnstable Code, in order to construct a new onsite sewage disposal system within the Saltwater Estuary Protection District at 29 Hathaway Road, Osterville, Massachusetts. The reconstructed home will contain four bedrooms. This variance is granted with the following conditions: (1) Both the facility and credit land must be restricted in perpetuity through a nitrogen loading restriction and easement. (2) A properly worded deed restriction, approved by the Town Attorney, shall be recorded at the Barnstable Registry of Deeds restricting a portion of the 133,373 square feet (3.06 acre) off-site non-facility property located at 83 Bunker Hill Road. The portion, 8,300 square feet, shall be used as aggregate for the subject property, thereby limiting this off-site property to a maximum of eight bedrooms, which is the maximum allowable number of bedrooms on 125,073 square feet within this Well Protection(WP) zone. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. _(3) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the subject property at 29 Hathaway Road Osterville to four(4)bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (4) The septic system shall be installed in substantial conformance with revised engineered plans dated February 21, 2014. (5) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system Q:\WPFILES\Bilodeau29HathawayRoad2Ol4.doc I' ` r was installed M' substantial compliance with the revised plans dated.February 21, 2014. This variance is granted because the applicant provided and offered offsite.land from a 3.06.off-site property, which he owns, and which is located within the same Saltwater Estuary District and is also within a more restricted area, a Well Protection Zone. This permission will allow him to construct one additional bedroom on this subject property which is located within the same Saltwater Estuary Protection District. ` Sincehely yours, t Wayne N'Iiller, M.D. Chairman TOtiVN OF BARNSTABLE BOARD OF HEALTH s i Q:IWPFILES\Bilodeau29HathawayRoad2014.doc ,K`5 DATE:. v O ' T.. P , FEE: BLE BARN y iuttnnss g �X'/i/ TFD MP'1 s . To.. of Barnstable SCAED.:DATE:: ` Board of Health 200 Main Street, Hyannis NIA 02.601 Office 508 862-4644�� Wayne A Miller,M.D FAX :508-790-630 l. ) (�s . . Junich:Sawayanagi t •' ��.. Paul L.Canmff DM D :.VARIANCE REQUEST FORM . LOCATION Property Address: 29 Hathaway :Road �. Assessor's Map and Parcel Number " '114 Size of Lot: "3 6.. a Wetlands Within 300 Ft., Yes Business.Name No x :Subdivision Name: APPLICANTS NAME: Phone 5 0 8 3 6 2_0 5 5 0 Peter 'Rilodeau. 'Did the owner of the property authorize:you to represent him.or her? Yes x No PROPERTY OWNER'S NAME{ 'CONTACT PERSON Name: :LBB Trust,Katherine Coleman, TR Nye Peter ,-Bii odeau ; . Address: 83 :Bunker:.Hill Rd,' Osterv' lle Address. 8' Bu n Hill' :Rd, -0sterville Phone:. 508. 42:0-3657 Phone 508 362 05.5D VARIANCE FROM REGULATION(List Reg) REASON FOR VARIANCE(May attach if more space needed) 360-45 ' To .allow 440: gp.d.`design flow, on, the subject lot using:: Nitrogen'Aggreation Credit Land '(updated 2/21/2014) :. } NATURE OF:WORK House Addition House Renovation ® Repair of Failed Spti System Checklist (to be completed by office staff-person receiving variance request application) x - Please submit copies.in 4 separate`completed sets. . k w Four(4)copies of the completed'Variance request form 1 Four(4)copies ofengineered;plan submitted(e.g.septic system plans) Com leted:seven :7 e checklistconfirmin .review of er_ uieered septic stem Ian b submitting'en ineer.or registered sanitarian t — P ( )P� g g P Y P Y g g g --�i _ Four(4)copies ofaabeled dimensionaLfloor.plans submitted:(.e:g:house plans or reslar7ant kitchen plans) *�i 3 Signed.letter stating%that the property:owner authorized you to represent him/her for thfs:request = i Applicant.understands that the:abutters must:be notified by certified mail at;least ten•days"prior to.meeting date'at applidant's expense(for .Title V and/or•local sewage regulation variancesonly)Full menu menu submitted(for.,grease trap variance requests only) Variance request application:fee collected:(no fee for lifeguard modification renewals,grease_trap variance renewals.[same owner/lessee only], outside;dining variance renewals[same.owner/leasee only],:and variances to repair fdded.sewage disposal systems•[only4 no expansion to the. building proposed]). Vanance.request submitted at least 15.days:prior to meeting date - VARIANCE APPROVED :. Wayne;Miller-,Chairman. NOT APPROVED 3unichi Sawayanagi REASON:FOR.DISAPPROVAL Paul J.Canniff,'D.M D. `C::\Users:\decollik\'AppData\Local\Microsof.t\Windows\Temporary : Internet Files\C6ntent:Outlook\BAJ9P.997\.UARIREQ_.DOC': -. TRANSMITTAL - BAXTER NYE ENGINEERING-_& SURVEYING Registered Professional Engineers and.Land..Surveyors 78 North.Street,3`a Floor,Hyannis,MA 02601 Tel.(508)7l-7502 Fax:(508)771;7622 Date: November 26;2013 To: Town of Barnstable.. Total No.Pages: Board of Health BN Job No.: 2013-057 200 Main Street Subject: Peter Bilodeau Hyannis,MA 02601 29 Hathaway Road Osterville,MA cc: File, We are sending you Z Attached ❑Under Separate Cover ❑.Via Fax(No: of pages including Transmittal Sheet). s ❑First.Class Mail/Registered#: ❑ Overnight El Pick up Z Hand Delivery The following documents: Prints/Plans ❑ Specifications ❑Estimates/Proposal ❑ Change Order❑;Shop Drawings ❑.Reports/Calculations ® Other. DATE COPIES NO. PAGES DESCRIPTION . 11/26/13 1 1' BOH letter requesting variance.request be on agenda of next BOH meeting 4 fl. Town of Barnstable—BOH Variance Re nest Form' 11/19/13 1 1 Authorization:Letter from Peter Bilodeau Re:John Lavelle 11/26/13 1 I Abutter Notification letter 1 1 BOH.—Abutter List 1 1 BOH—Abutters Ma 1 7 Barnstable BOH Septic S stem Checklist 4 2 ERT'Architects—Sheets.A.1 &A.2— 11"�x 1:7"Proposed 0.&2 Floor Plans 11/25/13 1 2 Check#6410-Town of.Barnstable-Variance App.Fee-.Original& 1 Copy 11/19/13 4 2 Sheets 3.0&3.1-24"x 36 Proposed Site Redevelopment.Plan &Pro osed Se tic System Details These items are transmitted.as checked below: ® For Your Use, - ❑:'As.Requested' ",❑Returned For Corrections-.. ❑ For Review And Comment ❑.For Approval ❑For.Disiribution Remarks: . John K.Lavelle J KL/spk. Or 1201312013-057WDMINITRANSMIITALS12013-057-Barnstdble BOH Variance-11-26-13.doc Note. -: This transmittal,contains privileged information.Please contact.the,sender immediately if this transmittal is illegible, incomplete or not intended for your use..Thank you.. s. C U P I ES of: /Jo-rw Doc- 1.9,24,E r 180 0 4 03-26 14 �a 1�i BARNSTABLE LAND COURT REGISTRY DEED RESTRICTION ON USES o �3 OF 29 HATHAWAY ROAD, OSTERVILLE, MA WHEREAS,Laura B. Bilodeau,as she is Trustee of the LBB Trust u/d/t dated January 31, 1992 and recorded as document 661,863 of 83 Bunker Hi11 Road, Osterville 02655 is the owner (hereinafter"owner") of 29.Hathaway Road, . Osterville (Barnstable) Barnstable County, Massachusetts, 02655;7further described as: Lot 59, Land Court Plan 2664-72,with a street addre ss of 29 Hathaway Road, Osterville, MA (hereinafter"property"); and WHEREAS,the Town.of Barnstable Board of Health,as a pre-condition to granting a subsurface sanitary sewage disposal works construction per for a septic system in compliance with 310 CMR 15.200,State Environmental Code,Title V,Minimum Requirements for the Subsurface Disposal of Sanitary Sewage,and authorizing the issuance of a building permit for the construction of a single,family home on owner's property is requiring that, grant of a restriction limiting the number of bedrooms on the property to four(4) be put on record with the. Barnstable County Registry of Deeds by recording this restriction; and A WHEREAS the owner has agreed with the Town of Barnstable Board of Health to grant this restriction limiting the number of bedrooms which can be included in any structures built on the property,to four (4) as a pre condition to obtaining a disposal works construction'permit for the property incompliance with 310 CMR 15.000 State Environmental Code,Title V,Minimum Requirements for the Subsurface Disposal of Sanitary Sewage: NOW,THEREFORE,the owner'hereby covenants'and agrees that: 1) With respect to owner's property, no mor`a than four (4) bedrooms on the property are authorized,and that the definition of"bedroom'is governed by 310 CMR 11,002. . 2) Owner agrees that this restriction shall be a permanent deed restriction affecting the property and shall run with the land and be binding upon all successors in title; provided however,that if it is determined that this ' i restricton is not permanent and limited to a term of thirty 30 . rty( )years,the 1 r Town may unilaterally re-record this restriction to extend the protections provided herein for an additional twenty (20) years; an provided further that such re-recording shall occur prior to the expiration of thirty(30) years from the date of the recording of this document.' 3) The parties intend,and agree,that the foregoing restrictions be and are imposed for the benefit of the parties and the Board of Health and are enforceable by,the parties and the Board of Health. For owner's title to the property,see Certificate of Title 201832. Address of property: 29 Hathaway Road, Osterville, MA 02655 Executed as a sealed instrument this day of 2014 LBB jrust n a ra B. Bilodeau,Trustee COMMONWEALTH OF MASSACHUSETTS Barnstable, ss 2014 t Before me,the undersigned Notary Public,personally appeared the above- named Laura B. Bilodeau,Trustee and proved to me through satisfactory evidence' of identification which was a,Massachusetts Drivers License to be the person"whose names were signed on the preceding document,and acknowledged to me that she signed it voluntarily for its stated purpose N.P. my comma Exp: r r NOTARY PUBLIC Commonwealth of Massachusetts � + My Commission_Expires May 20, 2016 TRUSTEE'S CERTIFICATE I, Laura B. Bilodeau,being the sole Trustee of LBB Trust,under Declaration of Trust dated 1/31/1992,recorded with the Barnstable Registry District of the Land Court as Document No. 661,863, as amended by Document No. 661,864 dated April 11,'1994, hereby certify: THAT the trust is still in existence; THAT it has not been altered,further amended or revoked;. - THAT all the beneficiaries of said trust who are natural persons,if any;are of full age; THAT all the beneficiaries of said trust who are natural persons,if any,are competent; and THAT I have been authorized by'all of the beneficiaries of said Trust to executea"Deed Restriction on Uses of 29 Hathaway Road, Osterville, MA",covering j real estate known as 29 Hathaway Road,Osterville, Barnstable County; Massachusetts,being Lot 59 on Land Court Plan 2664-72 described in Certificate of ` Title No. 201832 to which reference may be made for title. s Signed under the pains and pelplties of perjury thisday of 01'4. A&V/ a a B. Bilodeau, Trustee of LBB Trust, under Declaration of Trust dated 1/31/1992 COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. On ,2014,before me,the undersigned notary public, ersonally appeared the above named aura B.Bilodeau,Trustee of LBB Trust,u/d/t dated-1/31/1992 proved to me through satisfactory evidence of identification,which was� ] other to be the person whose nhme is signed on the preceding or attached document who swore or affirmed to me that the contents of thet document are truthful and accurate:to the best of her knowledge and belief. My Commission Expires: � Nota Pu is QY mICHAEL j ,q,_;.'.. BARNSTABLECOUNTY REGISTRY OF DEEDS , BARNSTABLE REGISTRY OF DEEDS ��N�weYfP�'g h�C�is g A TRUE COPY,ATTEST MY Commission Expires MaY 20, 2016 I JOHN R MEADE PIS 111ITr -� ..-. 11�,eep Co;Py s of �-ti but Y `� L , 20 2 as �re, i ARNSTABLE LAND COURT REGISTRY `Q, _ 4w a . Osf 9 �, ��-- - DEED RESTRICTION ON USE - . sf S OF . 83 BUNKER HILL ROAD, OSTERVILLE, MA WHEREAS, Laura B. Bilodeau,as she is Trustee of the.LBB Trust u/d/t dated January 31, 1992,and recorded as document 661,863 of 83 Bunker Hill Road, Osterville (Barnstable), Barnstable County,Massachusetts 02655 further described as: Lot 57,shown on Land Court Plan 5725-21,with`a street address of 83 Bunker Hill Road,Osterville, MA (hereinafter"property"); and i WHEREAS,the Town of Barnstable Board of Health,as a pre-condition to granting a subsurface sanitary sewage disposal works construction permit for a septic system incompliance with 310 CMR 15.200,State Environmental Code,Title V,Minimum Requirements for the Subsurface Disposal of Sanitary Sewage,and authorizing the issuance of a building permit for the construction of a single family. home on owner's property at 29 Hathaway Road Osterville Mass.'is requiring that the grant of a restriction limiting the number of bedrooms on the property.to eight (8)-be put on record with the Barnstable County Registry of Deeds by recording this restriction; and WHEREAS the owner has agreed with the Town of Barnstable Board of Health to grant this restriction limiting the number`of bedrooms which can be included in any structures built on the property to eight (8) as a precondition to obtaining a disposal works construction permit for'29 Hathaway Road, in compliance with 310 CMR 15.000 State Environmental Code,Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage. - NOW,THEREFORE,owner hereby covenants and agrees that: 1) With respect to owner's property,no more than eight (8) b Brooms on- the property are authorized,and that the definition of"bedroom is governed by 310 CMR 15.002. Zoo 2) That portion of the property being shown as`8,300 SF Septic{Restricd Are on the 'Exhibit Sketch For Land Use Restriction'attached hereto°and made a part hereof,said portion measuring approximately 333 feet bky3 feet and located along the Westerly boundary of said lot, shall:be subject to the.further restriction that said area shall not'count towards the lot area computation of any future construction on 83 Bunker Hill Road for r purposes of bedroom count. 3) Owner agrees that this restriction shall be a permanent deed restriction affecting the property and shall run with the land and.be binding upon all successors in title; provided however,that if it is determined that this restriction is not permanent and limited to a term of thirty (30)years,the Town may unilaterally re-record this restriction to extend'the protections provided herein for an additional twenty(20)years; an provided further that such re-recording shall occur prior to the expiration of thirty(30) years from the date of the recording of this document. 4)- The parties intend,and agree,that.the foregoing restrictions be and are imposed for the benefit of the parties and the Board of Health and are enforceable by the parties and the Board of Health. For owner's title to the property,see Certificate of Title158,152. Address of property: 83 Bunker Hill Road, Osterville, MA 02655 t Executed as a sealed instrument this , day of " , 2014 L B rust :. Tv aura B. Bilodeau,Trustee COMMONWEALTH OF MASSACHUSETTS Barnstable,ss ,+2014 Before me,the undersigned Notary Pu rlic, ersonally appeared the above- named Laura B. Bilodeau,Trustee and proved to me through satisfactory evidence ` of identification which was a Massachusetts Drivers License to be the person whose names were signed on the preceding document,and acknowledged to me that she signed it voluntarily for its stated purpose N.P. my comm. Ex - NOTARY !'UER Commonwealth of My Commission Expo 1'1,. i Y May 20, 201 1 TRUSTEE'S CERTIFICATE I,Laura B. Bilodeau,being the sole Trustee of LBB Trust,under Declaration of Trust dated 1/31/1992,recorded with the Barnstable Registry District of the Land Court as Document No. 661,863, as amended by Document No. 661,864 dated April 11, 1994- . hereby certify: THAT the trust is still in existence; THAT it has not been altered,further amended or revoked; THAT all the beneficiaries of said trust who are natural persons,if any,.are of full age; . THAT all'the beneficiaries of said trust who are natural persons,if any, are competent; and THAT I have been authorized by all of the beneficiaries of said Trust to. execute a"Deed Restriction on Uses of 83 Bunker Hill Road, Osterville,.MA", covering real estate known as 83 Bunker Hill Road, Osterville,Barnstable County, Massachusetts,being Lot 57 on Land.Court Plan 5725-21 described in Certificate of Title No. 158152 to which.reference may be made for title. Signed under the pains and penalties of perjury this day of _ 014. a a B. Bilodeau, Trustee of LBBTrust, under Declaration of Trust dated-1/3 1/199 2 COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. 2014 On ,2014,before me,the undersigned notary public,personally appeared. the above ntaed Laura B.Bilodeau,.Trustee of LBB Trust,u/d/t dated 1/31/1992 proved to me through satisfactory evidence of identification,which was ] other to be the person whose,n me is signed on the preceding or attached document who swore or affirmed to me that the contents of the document are truthful and accurate to the best of her knowledge and belief. My Commission Expires: � o� MPubjic" NOTARY PUBLIC Commonwealth BARNSTABLE COUNTY o ' s� r REGISTRY OF DEEDS BARNSTABLE REGISTRY OF DEEDS ` My Commix tc ' Fx : A TRUE COPY;ATTEST May 20, '^1 JOHN F.MEADE REGISTER SIEGMUND ENVIRONMENTAL.SERVICES; INC. 49 Pavilion Ave,Providence RI 02905: Phone: 401 785 013& Fax: 401 785 3110 MASSACHUSETTS SINGULAIR SERVICE & TESTING CONTRACT . Operation & Maintenance Agreement Per Board of Health Requirements This contract,entered into and between Siegmund Environmental Services,.Inc., (SES) and (Homeowner), shall be binding.upon both.parties.in accordance with the terms and. conditions terms set forth below. Term of-Contract: 1) Initial year.contract with quarterly testing/inspections a) Then a 2 year contract with.semi-annual testing/inspections. b) Then the contract shall be renewed annually with one annual. . , inspection for the life of the system.. Location of Singulair: 29 Hathaway Road,Osterville,MA.. SES Job Number: 1WA423 The Service and Maintenance contract °shall consist of service,.sampling and/or inspection, visits at quarterly intervals by trained technicians.to. 1) Inspect-the"depth of solids in the first chamber and notify the:homeowner if pumping is recommended: 2) Check that amperage draw of the motor is within proper.operating-limits: 3) Inspect,remove and clean aeratot'and.Bio-Kinetic filter twice per year. 4) LOCAL BOH REQUIRED -QUARTERLY MONITORING;FOR. BOD, TSS, Nitrate,Nitrite,TKN,Total Nitrogen,Ammonia,Alkalinity, pH,Fecal Coliform: Test Effluent Maximum reporting limits:..- ... BOD 30 mgl TSS 30 mgl TN 19 mg1 6) Provide Flow Metering. Wastewater flow data shall be reported each time fhe,system is inspected. Actual water meter flow data shall be provided. 7) Complete inspection form and submit to local/state authorities. 8) Maintain a complete record of all'maintenance and testing activity. 9). Upon determining the system has failed the:Owner and Operator shall take action and be responsible for notifying the local.Ba_mstable Health Department within 24 'hours,of such..' determination.... a) In the.case of a. failure the Owner and Operation shall be responsible for providing written_notification to he .Barnstable. Health Department :and the"'manufacturing Company within 5 days describing the corrective actions taken: 10) By September. 30th of each year the system Owner and Service Contractor shall be responsible for submitting to the Barnstable Health Dept. all monitoring results with. all. O&M reports and inspection checklist3 completed,by the Operator during the,previous 12 months. In .addition to the regularly scheduled' service visits, 'SES will respond to non-scheduled events within a 48 hour period from time of.notification.. SES will apply a charge for labor,transportation, and shipping. For replacement or repair of the aerator motor;-SES will charge all applicable fees in accordance with the Singulair aerator fifty-year exchange program: Non-scheduled service visits.resulting from product use in a manner inconsistent with.the directions contained in the Owner's Manual,, negligence, tampering or un-authorized :modifications of equipment, termination of electricity to the motor, discharge of harmful chemicals In not attributable to the Singulair system or other improper. use will result in a.service charge of.$175, payable at the time of service. Should.payment be contested or not made,SES is required to notify.the local BOH and Barnstable,- County Department of Health and Environment that the system in not in compliance with the testing requirements. This contract is transferable in event of.the sale of the home. SES: Date: Homeowner: Date: This TESTING contract is $ .00 PER EVENT or.$ 00 per year (Including all transportation and lab fees.:. This 'comprehensive contract is $. per year. . . Please make sure to send back a copy of the contract with your CONTRACT payment or Credit Card information for uarterl billn .. The first 2 ears of system.operation and O �' � ( Y maintenance are included with"the)purchase of the unit. The third year is at the expense of the Owner).. Copies of this agreement will be transmitted to the appropriate regulatory agencies as proof of.compliance Payment is made to Siegmund Environmental Services, Inc. For security; Quarterly Credit Card payments are best initiated.vsa telephone. SINGULAIR 960 DDN WASTEWATER TTREATMENT SYSTEM SERVICE INSPECTION CHECKLIST Address: .Owner: Operator. Date This checklist summarizes the service,procedures to be performed during a routine Singulair 960 DN inspection.Refer to the' Singulair Manual for a detailed explanation of each service procedure and an O&M troubleshooting guide CONTROL CENTER SERVICE NOTES/COMMENTS ❑Check operation of control center. ❑Adjust time clock when required ❑Check operation of recirculation control panel' NR EFFLUENT RECIRCULATION SYSTEM. Check operation of recirculation pump - ❑Inspect recirculation well.&fittings ❑Te st st O eration p ❑Set recirculation rate rate @ min/hr. AERATOR SERVICE ❑Check aerator operation. ❑Check aerator power consumption ❑Check aerator air delivery ❑'Clean stainless steel aspirator shaft ❑Clean aspirator tip ❑Clean fresh air vent in concrete cover . ❑Inspect aeration chamber contents CLARIFICATION CHAMBER SERVICE ❑Remove the Bio-Kinetic system ❑Scrape the clarification chamber - ❑Inspect the Bio-Static sludge return, ❑Inspect outlet coupling. ❑Install a clean Bio-Kinetic.system OFill'Blue Crystal feed tube(if installed) ❑Fill Bio-Neutralizer feed tube(if installed). GENERAL SERVICE ❑Inspect effluent pump chamber ❑Inspect effluent quality ❑Inspect outlet line ❑Inspect ground water relief point(if installed):. ❑Inspect effluent disposal system „ .. Complete owner.service.record ❑Complete health department notification D'Complete distributor service record O Mail.health department notification ✓' Siegmund.Environmental Services,Inc, FLUID THIIVHING. CLEAR SOLUTIONS: www.sie pmund.Uoup:coin r t � i OFTNE 1p� DATE FEE: u MASS. 9Q� 1639• `0� � REC. BY A'E16.391. Town of Barnstable SCHED. DATE: Board of Health 9—� ' 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Wayne A.Miller,M.D. FAX: 508-790-6304 Junichi Sawayanagi Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION Property Address: 29 Hathaway Road Assessor's Map and Parcel Number: 114 Size of Lot: 36 Wetlands Within 300 Ft. Yes Business Name: No x Subdivision Name: APPLICANT'S NAME: Peter Bilodeau Phone 508 362-0550 Did the owner of the property authorize you to represent him or her? Yes x No PROPERTY OWNER'S NAME CONTACT PERSON Name: LBB Trust Name: Peter Bilodeau ' A e_ f'.,n , Address: 83 Bunker Hill Rd, Osterville Address: 83 Bunker Hill Rd, Osterville "� Phone: 508 420-3657 Phone: 508 362-0550 VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) 360-45 To allow 440 gpd design flow on the subject lot using Nitrogen Aggreation Credit Land (updated 2/21/2014) NATURE OF WORK: House Addition ❑ House,Renovation Repair of Failed Septic System 0 Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. _ Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) _ Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request _ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date of applicant's expense (for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only') _ Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only], outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Junichi Sawayanagi REASON FOR DISAPPROVAL Paul J.Canniff,D.M.D. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\BAJ9P9B7\VARIREQ.DOC r THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M A�C(, I DATA Ty 1 �f THE DATE: FEE:, J t BARNSTABLE r y� 1639. ,®g REC. BY �fD MP'l A n {' s�y�n c�h p TOWIl Ol BLIIIIS ;LIRI�i. SCHED. .DATE: { a`� Board of Health { _ 200 Main Street, Hyannis MA 02601 ce: 508-862-4644 Wayne A.Miller,M.D. 508-7.90-6304 �:` Junichi'Sawayanagi Paul J.Ci m iff,D.M.D. VARIANCE.REQUEST FORM ION ddress-. 29 Hathaway Road , Ol ap and Parcel Number: 11.4 Qo� Size of Lot: 36 300 Ft. Yes Business.Name:- No x : Subdivision Name:. Peter Bilodeau . Phone 508 '362-0550 roperty'authorize you to represent.him.or her? ` Yes x No NAME CONTACT PERSON therine'' Coleman,TR Name: Peter Biilodeau d,' osterville Address: 83 Bunker. Hi"11- Rd, Osterville Phone: 508 362.-0550 REASON FOR VARIANCE(May attach if more space needed).,i --q To allow 440 gpd design Ww: on c7 where. 330 qpd max. is aj:'57 awed. use Renovation IR Repair of Failed Se tic System�M variance request application) `! p n 4 separate completed sets.. t.,7 can v'I Ians)' ed septic system plan by submitting engineer or registered'sanitarian ouse plans or restaurant kitchen plans) ent him/her for this request iI at least ten days prior to meeting date at applicant's expense (for Title renewals,grease trap variance renewals[same owner/lessee only], repair failed sewage disposal systems[only if no expansion to the Wayne Miller,Chairman Junichi Sawayanagi. Paul J.Canniff,D.M.D. Internet 'R Hayes & Hayes Attorneys-At-Law,P.C. 23 East Main Street West Yarmouth, Massachusetts 02673 Michael J. Hayes Tele (508) 775-0080 Jane Smyth Sutton Fax (508) 775-0693 Stephen P. Hayes Chantal K. Hayes firm@hayesandhayes.com Harold L.Hayes, Jr. (1952-2007) January 15, 2014 Dr.Wayne Miller MD, Chairman Town of Barnstable Board of Health 200 Main Street Barnstable, MA 02601 d 'J =' v y S Y Re: Application of LBB Trust,- 29 Hathaway Road, Osterville Chairman Miller: This office represents LBB Trust.with regard to the application for a variance on the above parcel. It is my understanding that a variance is required in order to obtain a septic permit for a four bedroom home because of the Saltwater Estuaries protection provision. It is my understanding that your board may grant my client a variance provided he can demonstrate three things, namely: 1) Connection to Town Sewer is unavailable; 2) Enforcement would do manifest injustice; and 3) The alternate proposal would provide the same degree of environmental protection as a design in full conformance with the regulation. It is our position,that the above criteria have been met such that the Board, 'in its discretion, may grant the requested variance. 1) Sewer is not an issue. I 2) Manifest Injustice. The clearly stated purpose as set forth in Article XV Protection of Saltwater Estuaries is to address the long term buildup of nitrate-nitrogen caused by subsurface discharge of sewage effluent. The purpose of the regulations is to protect those water resources by mitigating the amount of nitrate-nitrogen. As such,the I/A system proposed by Bilodeau Builders, Inc. would in fact result in a lower discharge of nitrate-nitrogen into the watershed than the traditional three bedroom system that could be permitted as a matter of right. An accepted legal definition of`Manifest Injustice' is `obviously unfair'. It would be obviously unfair to require LBB Trust to install the traditional three bedroom system as opposed to the far more efficient four bedroom I/A system proposed because the net result would be more detrimental to the Saltwater Estuaries and would result in an adverse impact to the environment as opposed to the more modern I/A system proposed and documented by the applicant. In other words it is obviously unfair to use a regulation designed to protect the environment as a reason to restrict this lot to three bedrooms when in reality the four bedroom I/A system will in fact have a lesser impact on the Estuaries. Furthermore, the typical homeowner in this section of Osterville is a second homeowner, or an older couple with minimal usage during most of the year. Whether the property is ultimately used by a third party purchaser or is resided in by my client, the need for the fourth bedroom is because would be home-buyers in this area typically want to be able to accommodate extended families for holiday weekends in the summer months. This usage tends to add to the tax base of the town and has an overall positive economic impact without adding to the overall cost of running the town. 3) Lastly since the regulation only requires that the alternate proposal provide the same degree of environmental protection, this provision is met since the applicant demonstrated that the IA system in fact would provide a superior degree of environmental protection. f I Respectfully submitt, d, Michael J. Ha MJH/ B AXTER NYE ENGINEERING & SURVEYING .Registered Professional Engineers and Land Surveyors 78 North Street,30 Floor,Hyannis,MA 02601' Tel: (508)771=7502.._Fax: (508)771-7.622 December 23.,2013 Dr. Wayne"Miller, Chairman Barnstable Board of Health. Mr.Thomas McKean,Director Barnstable Health.Department 200 Main St. _. Hyannis,MA 02601 RE:-29 Hathaway Road,Osterville,'MA—`Continued Board.of Health Hearing - Dear Dr.Miller,Board members,and Mr..McKean: . Pursuant to our hearing discussion on December 10, and your request for additional information on the Singulair Denitrification system, attached is a fetter from Siegmund Environmental Sytems,Inc.indicating that.the_system will meet the 19 mg/l.effluent limit;provided that the:system is properly maintained and operated,as indicated.'inthe last paragraph-.of the letter. Also attached-are:monitoring results from'single-family homes for:existing Singulair systems throughout Barnstable County,as well as results'for Fast systems within Barnstable:and.Recirculating.Sand Filters within.the:county;.to use as a conaparison,forAreatment levels. iSingulair monitoring results.from the individual Towns of Barnstable,.'Mashpee.and Yarmouth are also provided for your information.. Four copies of the above mentioned information is enclosed Thank you for your consideration. Very truly yours, Baxter Nye Engineering&&Surveymg ohn.K..Lavelle Senior.Engineer Cc: Peter Bilodeau 0:\2013\2013-057\ADMINULETTERSC2012-0.10 L1 BOH Singulair docz :Land Surveys . Site:Desi* ® Subdivisions o Septic Design Wetland Filings a Planning -::.•. December 16, 202.3 , t•L 3 S " Mr.JohnLavade .Senior Engineer ..;; Baxter ltilye.Engineering&Surveying jM 010 78 North St,,.3'_Floor _ A261 anRltorL sexvlc ,. .M 49 PAVILI.ON AVENUE PROVIDENCE,RI 02905 RE ::Singuk r Nitrogen Remo-,,al., PT401/78510130 . F64UT/78513110 Dear.Mr Lavalle, www:siegmundgroup.con _ The Singulwr Denitnficanon System has demonstrated;the abil v to,`produce an; p. effluent::.uali that overall meets'or exceeds the_19 in /1 -as su orted b the:effluent:-: q }' g PP y testin 'results' as, ublished .b the Barnstable::_Coun ';De ment -of Heap and g, ry � _ P. . P� Environment A:comparison.-of the Singulair data to that other,aerobic.systems such as the FAST show that all.systzms':ubject:.to grab''s ling,vall have-outl*g`effluent values above:arid.helow amp the brut.:`.Specific to the Suigulair infoinia-ion,.the data.for aisran�es wherein the effluent: `- Values-have significant) exceeded the limit:w'ere provided b . service.entities not authonze trained or betted.by SES furthermore,1116 status of the.:.rnaintenance being.performed to these systems is in question, ,t has.been our experience;that if maintained,azid sampled by . properly trained personnel,the"Singulair will routinely rneet:the effluent huts One of the operational;items:that sets the: Sn ` fom'oherI/Atechnoloes s adjustability,:_:Tlie.system can:be adjusted for'' eration time and iecir�~ tion-rate;based on system condition.:and effluent data When SES and/or,iis On-Cape Qperator receive.data that a Singulair has produced an ahnoi rmlly)ugh effluent value,Oust h6m can be made to . compensate either�for a retest thin 3C days-or�s;ar untilthe.riexi scheduled$ample:event In 1f the Sirigulalr is. operating under normal.circumstances;Pracessirig standard domestic wastewater and is properly mainta ned and operated'by an authorized.Nory eco representative,;t}ien the Singulau'W meet the effluent limits If there is any other inf ormation I can"provide,please ef nee lino : Kind Regards, FbIEster S-iegznund Cc:F11e t Barnstable,County.Department of Health and;Enviro=e'nt`'I/A.Totai Nitrogen Removal... Page 1"of 3. Emergency Planning It Test Center Medical Reserve-Corpse" Septic Loan Program Tobacco ControC Bamstable:County Barnstable County Department of Health and-Environment>.Inn ovative/Altemative'Septic Systems>Information Center>Data and.Statistics:>VA Total Nitrogen Removal - - Performance Box-Whisker Diagrams Hot.Topics I/A Total Nitrogen Removal.Performaface'Box-Whisker ' . Meetings and Events . MRC Disaster Mental.Health 1,Diagrams - _. No events.at this.time .: _ Training Survey - .. ..;. Resource Library Additions Below are interactive box-whisker diagrams of total:nitrogen results for various I/A technologies.Use Department Information I/A TN'Removaf Data the town and technology selectors to viewdata for specific towns and technologies::More information Monday-Friday about box-whisker diagrams is available here.' _ 8:00am-4':30pm Department Programs - -- Main Line:(508)'375-6613, 'Data.updatedJuly'2012. - - - - ..,. Home - -MaiNFax;(508)362 2603 Laboratory Line:(508)375-6605 ` Administrative Division .Town: AllTowns. .y Laboratory (508);362-7103' Alternative..Septic.Systems. Technotogy: Singulair " Owner's Guide " 3195 Main Street; ` Information.Center� Builiiing Type: Single>Family t' -- � - P:O.Box 42.7 Data and Statistics ,,! Barnstable,MA 02630 - - ViewLarger'Version - '_System Performance Data l - Map:and Directions .. .. ... _ .I/A Compendium Learnrne 5 + Single Family Total Nitrogen(in;mgll) :Site Search" Alternative Septic..Test Center Sln uiair S stems.In Barnstable County 99 S stems 5 .: Y tY.( Y ) Bathing Beach Water Quality 1126 . Enviro:Health and Safety O_e i Landfill'Monitoring: - it to. Medical Reserve.Corps Public Health Nurse" l Rabies Awareness 30 Regional Emergency Planning Regional Tobacco.Control l 80 " Septic Loan Program i 76 ` { -" Service to.Boards of Health - .Underground Storage Tanks Water.Quality Laboratory " i 50 J News and Resources i News ! 3C Staff Directory. i 25 Mg,1 `0` 19 m 1 'Resource Library T pg 9 Event Calendar SurveysW. o. EmploymentO pportu n i ti es u Lower UPper Health Agents Coalition, Tnology Minimum { Medan Maximum a Quartile r Quartile K_ About Singulair 3 2 63 3 235 3 84 10 62 17 4 1 Meeting:Agendas. - --__ - -_=1 _, ---- - - - __ References and Resources:' ;Singulair 1 48, 1:678 i 4:935 a 12 1' 13 9 Singulair 0 41 2.003;_ -77 6.5 16.435;' 1 -- 91 Singulair j 2 3; 4.9 6.85 16.37 16.76� Singulair. ".2 56 6.651 7.05 8 5y 9.68 .. -`- -- t-- -- ---- ---- - - -- - - -- --- -- --- Singulair 1 5 i 5:2 `7 3 17-a` 21 . - � :Singulair 2' 3.013 .8:675 15.8 5219; Singulair. 4 03, 6.72 8 711 565 i' 1 6 ;Singulair 2 88; ... 4.62:, 8.92 13 405. , 15.7' .. Singulair 3.63 ' 4:508;1 8:055; - ._ 13.958, 15.9 ;Singulair 2 8, 9:3; 9 6 16 4 "18.8, Singulair 7.21 1 .. 8.425 9:65` 11 625 N13.6 Singulair 2 72 5885 1.0.07 13 725 s '15.31 wM _ -- w Singulair 8.4'I_ 10 3 14-155' 18 01 3 � I http //www bam§tablecounty.health org/ia systemsLiiifoi7mettlon=center/data and-statisticsh .1248/2013 Barnstable.County_Department of Health and Environment--I/A Total Nitrogen Removal... "Page 2 of 3 Singular 5.5 6.57 i_ %375 13.49 31 1 ;Singulair. i '10.25'. %325 10 41 1"1 3 '., 12 Singulair 0.071 4:875, 10.525. 14.075 s 1 fi' ;Singulair 0 3 9.95, M_ 10 6, 1.1:841. 18, P 9.9 ;Singulair 8 71; 10.171 10 7 34.58 12 Singulair 3 7 8.85 10 9 17:05 ...._ wM� Singulair 2.2 3 7.421 10.9 12.51 25 1 - - - Singulair 8 5 10.225 10.95`, 11.8 14�. _,. - Singulair. 3 02; 8 15;1 11 3 13 35s. ry _ _ Singulair A65i. 7925;. 11.42 17343fµ -~W51 Singulair 817 9468 1.1.435. 13.903y, -18. -.i Singulair 3.61 8 01,i 11.53 15 515- myN35 ;Singulair 5.03 m 5.5 .11 8 15.6 T.110 I Singulair 8.531 10.215 11 9» 12.45 - ;Singulair w0.52:; 6:22 mM1.1.92 1446;± Singulav 2 75 i . ;L 813281 �. 12• 14 51 '`22 i Singulair 4 9 63251 12 27 1631 57 1 (: i Singulair 0 62 95 12.05 ti 16 71m. 18 Singulair ' 828i, �10.19 � 1121 1255;LL d _ _ Singulair. 0.13� 8 475! 12.3 23.6651 M. 65P. , _ •__ _ Singulair, ww 7.11 10.325 12.65 15 385 19 1 ; iSingulair 8.61 1145s 12.725 13.438 .14 1 Singulair 5.37 6.61 _12 8 14.9 w21 1 .�_i._.._..v...: .. . .. Singulair 82+ 9:1.7{ 12:89 15658 16 Singulair 2 21 10 838 i 12.985 16 813 .21 r _ _ Singulair 9 61 10.8531 12:99 1T 5251 120 1 Singular 12.21' 12.81 13 1 _ --- ----- -------------------------------------------- Singulair 4.35 i. .10.23, 1'3 2 14.05; 17 _ w ,....._....F_ ... !Singulair i :5 4, ;_ :. 8.875 i 13145 . 301.1151N~57 :. �1W Singulair 4 14, 9 993 13.485 15 163�_. 18• Singulair "4 8 9:45 13 5= 18.075. �36 Singulair 8 17 mm 12 0383 1.3.575 wp 16 0131 17 Singulair i 125' 127c5; 1365 n 14875 w ifi 1 Singulair6 5 9 833 13.715 16 788 20.. 1 �1 - ,n I . - !Singulair 2 5.175' 13.8., 18 5251. _ _ ;Singulair 0.83 7:05; 13.95 17 371. 19 Singulair 1µ. 6053 11.3= 14:09 151 17= t` `Singulair.'.: 132! 145 8 _ 1 Singulair 943 g 13 475 14151 u 15.913 3 ;Singulair 11.25,1 12.8'. ..14:35: 14.95 15' y. Singulair 1 25r . 6 363. 14 475 17 T 20 Singulair 725° 1287; 145; 18:894 ~~24. !Singulair w �915, 12.57 147 18.3', _.1911 _ .. Singulair _ 4 3 1:1.325: . ''14.8851 1v 925MT 18 9_ µ Sin ulair 7 21 t3:015 14:93 E 15.9 18' Singulair -10 1 13:12: 1506. 18.35� 20- Singulair 6 640.92, 15 1 16.625 19' w_ Singulair 8.55 12.453 15.19 15.381 Singulair 0.9 7.9131 15.31 17.7 a _M 'Singulair b 64 1 1:7 '15.3, 16 9,m ~y:34 Singulair 11.9 A 13:551 15.35 4 17.35' 19 ;Singulair. 83 12.12; 15.48€ 48.04 601 Singulair ; 14 86; 15.053 15 5 1 ..25 w 19 � 'Singulair 57; 6.693 15155 185251 ' . 2 -Singulair ] M_ 7 55' 10.975 15 7 17 385 � 18 {�:-..gin, ,�"•�- ,.,, -.- . _„„n :. __.:-_• ..e-�; �:,•-- -�.' _ � . .• http /AA w .barn stablecountyhealth.org/ia-systens/information-center,/ statistics/i::: :12/1"8/2013 f . . .. . Barnstable County Department of Health and Environment'.-I""./.A To1.tal Nitrogen Removal Page 3 of . Singulair 1 6 8 8'1 1.5 8� 15 81_ 17 81 .. _:. , . . 3 . :Singulair •? 3.01 5298 15:835 26 825. 79 09' Singulair 12 07 :1'3.6681 15:95 24 25;- 43 91 Singulair '12 4 14.65 16 3, 22.575 . 38 7 ';Singulair 953 127i 1641 178; 213i :Singulair 3 ll 12.1681 164 17.7251. 18 1 Singular 2.6 12.825 16 5 18 205 `34 7; - - - - - Singulav ?. 7 75 i 14.025, 16,65 41.25 73.4 ;Singular ' 8 49 12:595 3 16 7 17:9' 1.9 1 Y �� _ ;Singulav : 1921 9.511 1.71 M 17.SSr mm.18 - -- Singular t 8 5 14 6! 17 2 18 55 'S2 4 _. Singulay. j` �:6 5Z i 7.2 17 3: 31 1'. 60 . _ _ Singular ? 8 5 - 14.65' 17.55 18 8. 20i t � . :Singulair i 1611 ' 16 91 17.6 17751* 17.91 Singulair ,y µ7 5 16 803 M18 1 20 51� 1041 Singular 4.2 12 268 j 1:8 7 19.765 66 1� Singular 4 6 14i 18 9 22.355i:. 53 5 j ! Singular .i 8 6' 1°65' '1,9 2 � 26 I ; 44 2 Singulav 4 651 17.1 20:33 r 40 98 73.3 Singular 7 .9 2 16 4 2.1.27 E 22 1:351 23 w __ � L. -- , . Singulav " 63j 135 � :22:37 34.15;` 5815r :SingularrV,:, W 115 1843, 23:.39 4285 T -8411 Singular ;i 36 36 36 53 5 71 II 1. Singulav 1: 20 24 28.595 : 36.68E �43.218 46 93 f , .. w - � Singular --- 3. 8.36 3 29 : 43 2. 56 255'' 72.24 -. Singulav 26.6 4.7:I 49 2, 57.4. 63 51 Singulav `15 5 39'55 63 6 i 73.8 i 84 - . . _ . - Login,, :Resource.Lihrary: %-.. Downloads Directions-. Contacts � Legal Notices' .- - 1. - _ >.: . ..Y -. .. . ._ - I , o.::::. . ... ., .r.,. :: `http //www barnstablecountyhealth org/ia systems/information-center/data and-statistics/i... 12/1'8'/2013 . ... . .w Barnstable County Department of,Health and Environment'-I%A Total'Nitro gen Removal . Page 1 of 2 Emergency.Planning 11A Test Center Medical Reserve Corps., Septic Loan Program Tobacco Control r Bamstable County Barnstable County Department of Health.and Environment>Innovative/Alternative Septic Systems>.Information Center.>i Data and'Statistics>I/ATotal Nittogen•Removal' Performance Box-Whisker Diagrams VA Total:Nitrogen Removal Pefformance Box-Whisker HoYTopics. 'Meetings andiEvents • MRC Disaster Mental Health.. 'Diagrams No events at this time. Training Survey Resource Library Additions 'Below.are interactive box-whisker diagrams of total nitrogen results forvarious•I/A technologies:Use `Department Information I/A TN Removal Data ". the town and technology.selectors to view data for specific towns and technologies.More information Monday .Friday. about box-whisker diagrams is available here, - 8:00am.-4:30pm. Department Programs `' Mam Line:(508)375 6613 . Data updated,July 2012, _ Home. : Main Fax,(508)362-2603 L Administrative Division. Town:. . Bamstable •' aboratory Line (508)375-6605 Alternative Septic Systems Laboratory:Fax (508)'362-7103 Owner's Guide Technology: ., FAST. - 3195 Main Streef. - - Information,Center Building Type::Single<'F.ariily_� P.:0:Box 427 'Data and.Statistics I mew Larger Version Bain table MA 02630 . System Performance Data;,.,1. l: .,, - Map and Directions I/A Compendium Learn rtie s Singh?Family Toth Nitrogen(mmgll) Site Search Alternative Septic-Test Center i I FAST Systems i0 the town of.Barnstable(18 systems] (; Bathing.Beach;Water Quality Envir¢Health and Safety1 I Search Landfill Monitoring-- i75- Medical Reserve Corps -: 17¢. - - Public'Health Nurse rRabies 5 Rabies Awareness ` - Regional Emergency Planning. I Regional.Tobacco Control Septic Loan Program Service to Boards of Health 5 Underground'Sforage Tanks" 4D Water Qual,ty'Laboratory- 35 News and Resources — 25,mg,1 News 204 —19 mgA Staff Directory 5 T .Resource Library Event Calendar Surveys Employment Opportunities.. Health Agents Coalition. TechnoogyM�mmum�ry Lower Median U pper Maximum $Quaitrle� .- Quartile About FAST 2 67( 3.3 4 42 13 63' 22 08 1 Meeting:Agendas:References-and Resources FAST" ? 4 21 1 4.89 6.49� 7 67s 17.27.1. FAST'. 1 1.12! 3:635, 7:575 -21.9134. -23231 -- - FAST i 6:3 8.115 8:645 10 255 - 39 581' FAST ' 7.61 9 32° 1:0 3 13 95.: 23 71 -- - - FAST, ; 5 28 fl 231 1.0 7 14'(' 17 4 P ' ------------- ? FAST r 6 84:.. '. 10:265 9 i t.03, 12 245 y 12 85 1 FAST 1 4 86 i 8.811 11':185 113881 38 231 FAST- i 88' 5.943 11.395 26 735?` 82 3 - n rFAST `3 4 8;113� 11 8252 16.85353' 27 FAST 4.51} 9.248; 12:031 FV 18:817 jN 44 49 r - n- - �- i FAST 5 721 10321' 13.971 : '19.6 j 38.915 I " FAST y '5.6 i .81 14.08I 18 118 21 37, FAST .' 6 5 i $.165 i 14.321 16.35 i. 26.99 - r 1 � http://www:barnstabiecountyhealth org/ia-systems/information-center/data=and statisUcsh 12/1.8/2013 Barnstable.County Department.of Health and Environment ,I/A`Total Nitrogen Removal Page.l of 2' Emergency Planning" I/A Test Center Medical Reserve,Corps Septic Loan Program Tobacco Control Barnstable.C'ourfty p. Barnstable County Department of"Health and Environment:>innovative/Altemative.Septic Systems>InformatiomCenter>.Data and Statistics>I/A Total Nitrogen Removal... Performance Box-Whisker Diagrams- Hot Topics I/A Total Nitrogen Removal'Performance Box-Whisker Meetings and Events. m . MRC Disaster Mental Health Diagrams No events at this time.: Training Survey. Resource Library Additions Below are interactive box-whisker diagrams of total nitrogen results for:various I/A technologies.Use Department information /A.TN Removal Data. the town and technology.selectors to view data.for spec clowns and;technologies.More information Monday=Friday. 'about box-whisker diagrams.is.available"here. B:OOam-4{30pm_ Department Programs. 'Main Line:(SOBp375 6613 Data updated July 2012 Main Fax:(508)362-2603 .:. Home ' Laboratory'Line:(508)375-6605 Administrative Division Town: AII:Tow ns Laboratory Fax (508)36 Alternative Septic Systems. Owner s Guide : Technology: .:Generic Recirulating Sand Filter ora 3195 Main Street?7 Lab 103 p :Information Center Building Type:`Single-FamilyF - P.O.Box.427 Data and Statistics - - Barnstable MA 02630 V,6.1arger Version System.Perfonnance Data,,l I Map and Directions I/A Compendium' - Learn Title 5 — Single Family Total N(trogen(in mgll) , Site Search' Alternative Septic Test Center RSF Systems In Barnstable"County.(16 sysierres) :.�- _ Bathing Beach Water Quality Enviro:Health.and Safety E0 Searcti'� Landfill Monitoring - Medical Reserve.Corps - ',,34 :Public:Health Nurse ; '.Rabies Awareness i Regional Emergency Planning Regional Tobacco-Control' -.SepticrLoin Program Service to Boards.of:Health 45! Underground Storage Tanks . - � '- Water Quality Laboratory:- ls54 - U News and Resources' 2 : 2 "mg,'j News 2tr 19:mgfl; Staff Directory Resource Library Z. 10 Event Calendar Surveys EmploymentOpportunities Health Agents Coalition Technology sMrmmum Lower Medtanz UpperMaxrmum4 x ,QuartlleF.cu_ �e' About". ,:'. - - M :i R _' 3 2 2 625 5 7 683; .11 81 l -:Meeting"Agenda SF 1 41s _ .. References and Resources RSF' 5 35 7 91.1 - 1.2 2 17 OS.I _ '18.51 1_ jM M - RSF : ; x 6 8.08 J:152 `2125j 2524i _ i _ ;RSF 683 13:71 154 - 27035 385 ;:RSE 263 .: 'i Y3.26, 15.5< . :. 17" 28 RSF 3.82' & 10 525 1 16.8 . 21 158 . 28 08 RSF 12 86' 14:39; 17.07,m 19 98'' 22:2 _. RSF. ! 6.3 d . 16.625.+ 18.27_ 21.5251� °25 5 RSF._ 5 73� 10:175 j ..18.405 20 775 23 1 1 RSF: j 3.6651. 7.778j 21:84: 28.2751" bO 3 RSF 28; 29:5 31 <w 43 55 ..j .,.M:.A ...s.....:r..--.-......Ate....,...-.�......... ......... ...„...—«M..:..::..........J RSF 2T675j -: 33.964. 36.53 45 575 71.31 A. iRS 58 O3i F l. 8.4 3 13.5 39.65 i 47:8 8321 RSF 3i 22. 43( .. 54 721 1 http %/www.barnstablecountyhealth:orgZia-sys"temsluzfoimation-center/data-aud-statistics/i.:: 12/18/20I3 Barnstable County Department of Hea1th'arid.Environment.=1/A Total Nitrogen Removal... Page 1 of 1 J • .. Emergency Planning I/A Test Center Medical Reserve Corps Septic Loan'Program'.' Tobacco Control Barnstable County. Barnstable County Department of Health andEnvironment>Innovative/Altemative.Septic Systems>:Information Center>Data and Statistics>1/A:TotalNitrogen.Removal. Performance Box-Whisker Diagrams Hot Topics I/A Total Nitrogen Removal Performance Box-Whisker: Meetings and Events 'MRC Disaster Mental Health Diagrams No events at this time. Training Survey Resource Library Additions Below are interactive box-whisker diagrams of total nitrogen,results for various l/A.lechnologies.Use Department Information I/A TN Removal Data the town and technology selectors to view data for specific towns and technologies:More information Monday-Friday about box-whisker diagrams is available here. 8'00am-4:30pm Department Programs Main Line:(508)375�613 ' Data updated July 2012 Main Fax:(508)362-2603 Home - Laboratory Line:(508)375-6605 ' ".AdministrativeDivision Town: aruth"- - - "f.-Ymo Laboratory.Fax:(508):362 7103 Alternative Septic Systems -Technology: - Singulair Owner's Guide 3195 Main Street Information Center Building Type: Single Family - P.O.Box.'427 Data and Statistics Vi ew Larger version Barnstable,MA 02630 System Performance Data Map and Directions I/A Compendium Learn Titles I - .Single Family Total Nitrogen(in mgA), ------—i. Site Search . Alternative'Septic,Test Center Singulair S`!S n of Systems in the tow Yarmouth 13 S Stems} Bathing Beach Water Quality jam_ y . Enviro.Health and Safety i ! Searcf.rj7 Landfill Monitoring Medical Reserve Reserve Corps - - 1,00 Public Health Nurse Rabies.Awareness 90 Regional Emergency Planning , Regional Tobacco Control Septic Loan Program 70 Service to Boards of Health Underground Storage Tanks - Water Quality Laboratory SO News and Resources I_ao f News 25 m I : Staff Directory 20� y Resource Library 19 mgl Event Calendar 10 _ Surveys o j.- --- ---- 1- i . Employment Opportunities u � a Lower Upper Health Agents.Coalition jj4hnology Minimum = Median Maximum - Quartilequaittlef ..About '. S« _, ;Singulair 65 8:4 103 14155 1801j. t -� .Agendas --------- Meeting -- _- __ --___ ---- -_ References and Resources I Singulair f 8.7 10:17 10.7 34.58 .120.11 Singulair 8 5 10.225i�10 95 i 11.9 14.3, - _-- --- - - - Singulair i 8'A71. 9.468; 11.435i 11903 16.7 Sin ulair 9 € 8.281 -- ------ i 12 1 i 12.SS l 131 -__ __ _ _ Singulair, A 2 2'I 10.638 i 12.985 i 16:813 y 21..11 ;Singulair l 9.6.E 10.853 - 12.99 17.525 120.059 ,Singulair 1223, 12:8. 131€ 13.3i 16.91 i . Singulair. �125i 6:363i 14.47@ t7 µ 20.3. Singulair 7.2i 13.015 14.93 15.9 1&2j Singulair; µ12.4r€ 14.65 . w16.3 c2:575 M 3�j iSingulair w8.49 12.595 16.7 17.9 19.1i Singulair T 92 9.51 17.1 17.55 18 Login Resource Library Downloads.' Directions Contacts Legal Notices http //w, w.barnstablecouhtyhealth.org/ia-systems/information-center/data-and-statistics/i.: 12/18/2013 I TRANSMITTAL BAXTER NYE ENGINEERING & SURVEYING Registered Professional.Engineers,and Land Surveyors 78 North Street,Yd Floor,Hyannis,MA 0260.1 Tel (508)771-7502.Fax:(508)771=-7622 Date: 12/2'3/2013 : To: Barnstable Board of Health: Total No.Pages: Attn: Tom McKean BN Job No.: 2013-057 200 Main Street Subject: 29 Hathaway Road Hyannis, MA 02601 Bilodeau Builders Nitrogen Removal Information cc: File We are sending you Z Attached` ❑Under Separate Cover ❑Via Fax(No'. of pages including Transmittal Sheet): ❑First Class Mail/Registered#: ; ❑Overnight.,'. Pick up ®'Hand Delivery The following documents: Prints/Plans ❑Specifications ❑,E'sti-t-nates/Proposal ❑ Change Order❑ Shop Drawings ❑Reports/Calculations ® Other - DATE- COPIES NO. PAGES DESCRIPTION 12/23/2013 4 1. Cover Letter to Dr.Miller;BOH Members.&T. McKean 12/16/2013. 4 1 Siegmund Environmental Services Letter RE: Singulair Nitrogen Removal .4 5 Nitrogen Removal Data-Barnstable County De t. of Health&Environment 4 I I/A total Nitrogen Removal Information Document—Barnstable County Dept: of Health&Environment These items are transmitted as checked-below: ® For Your Use El As Requested `:❑Returned For Corrections ❑ For Review And Comment ❑For Approval ❑`For:Distribution Remarks: ---1 John . Lavelle ¢? K Senior Engineer i ; 0:1201312013-0571ADMIMTRANSMITTALSIRevised Transmittal BO;H-TMckean-Nitrogen Rem oval-12-23-13.doc File w, .. Note: This transmittal contains privileged information.Please contact the sender immediately if this transmittal is illegible,. incomplete or not intended.for your use.Thank you.: SINGULAIR 960 DN WASTEWATER TREATMENT SYSTEM SERVICE INSPECTION CHECKLIST Address: Owner: Operator.. Date: This checklist summarizes the service procedures to be performed during a.routine.Singulair 960 DN inspection.Refer to the Singulair Manual for a detailed explanation of each service procedure and an O&M troubleshooting guide. CONTROL CENTER SERVICE NOTES/COMMENTS ❑Check operation of control center ❑Adjust time clock when required ❑Check operation of recirculation control panel NR EFFLUENT RECIRCULATION SYSTEM ❑Check operation of recirculation pump ❑Inspect recirculation well&fittings ❑Test Operation ❑Set recirculation rate rate @ min/hr AERATOR SERVICE ❑Check aerator operation ❑Check aerator power consumption ❑Check aerator air delivery' O Clean stainless steel aspirator shaft ❑Clean aspirator tip ❑Clean fresh air vent in concrete cover ❑Inspect aeration chamber contents CLARIFICATION CHAMBER SERVICE ❑Remove the Bio-Kinetic system ❑Scrape the clarification chamber ❑Inspect the Bio-Static sludge return ❑Inspectoutlet coupling ❑Install a clean Bio-Kinetic system ❑Fill Blue Crystal feed tube(if installed) ❑Fill Bio-Neutralizer feed tube(if installed). GENERAL SERVICE ❑Inspect effluent pump chamber ❑Inspect effluent quality _ ❑Inspect outlet line ❑Inspect ground water relief point(if installed) ❑Inspect effluent disposal system ❑Complete owner service record ❑Complete health department notification ❑Complete distributor service record ❑Mail health department notification. Siegmund Environmental Services,Inc. FLUID THINIGNG. CLEAR SOLUTIONS. www.siegmundgrouT).com L L TRANSMITTAL.S AL: BAXTER.NYE ENGINEERING & SURVEYING Registered Professional Engineers and Land Surveyors 78 North Street,P Floor,Hyannis,NIA 02601 .Tel-(508)771-7502 Fax:(508)771-7622 Date: January 31,2014 To: Barnstable Board.Of Health Total No.Pages: Attu: Sharon-Crocker ' BN Job No.: 2013-057 Subject: Peter Bilodeau CC:. Copy of;Transmittal Only to 29 Hathaway Road rm ery6etff9cJKenzieJ Osterville;MA cc: File We are sending you ®Attached ❑Under Separate Cover ❑Via Fax(No-of pages including.Transmittal Sheet)_ ❑First Class Mail/Registered#; ; ❑ Overnight Pick up ®Hand Delivery The following documents: ®Prints/Plans ❑.Specifications ❑'Tstimates/Proposal. ❑ Change Order❑ Shop Drawings ❑Reports/Calculations ❑ Other DATE. COPIES NO. PAGES` DESCRIPTION 1/30/14 4 2 Sheets C3.0(Proposed Site.Redev.Plan)&C3.1.(Pro . Septic Sys.Details) 4 3 MA Singulair Service&Testing,Contract These items are transmitted as checked below:. For Your Use ❑As Requested ❑Returned For Corrections For Review And.Comment ❑For Approval., ❑ For Distribution i Remarks: Matthew-Eddy, P.E. ME/spk - ua =Y' 20 ,057-3C-BOH-01-3 N 14 ` Fi CO Note: This transmittal contains privileged information..Please contact the sender.immediately if this transmittal is illegible; incomplete or not intended for your use:Thank you. _` SIEGMUND ENVIRONMENTAL SERVICES, INC. 49 Pavon Ave,,Providence RI 02905: Phone: 40.1-785 0.130 Fax: 401 785 3110 MASSACHUSETTS SINGUI.AIR SERVICE &TESTING.CONTRACT Operation & Maintenance Agreement Per'Board of.Health Requirements This contract,entered unto and between Siegmund Environmental Services, Inc., (SES) and (Homeowner); shall be.binding upon both parties in accordance with°.the terms and . conditions terms set forth below. Term of Contract 1). Initial 3 year contract With'quarterly testing%inspections a) Then a 2 year contract with semi-annual testing/inspections. b). Then the contract'shall be renewed annually with one annual inspection for the life of the system. Location of Singulair:" 29 Hathaway Road, Osterville,.MA. SES Job Number. MA423 The Service and Maintenance contract shall consist .of service, sampling and/or inspection visits at quarterly intervals by trained technicians.to. 1) Inspect-the depth of solids in`-the first chamber and notify the homeowner if pumping is recommended: 2)" Check that amperage draw of"the motor is within proper operating limits: 3) Inspect,remove and clean aerator,and Bio-Kinetic filter twice;per year. 4) LOCAL BOH REQUIRED .QU_ARTERLY MONITORING .FOR 'BOD,.TSS, Nitrate,Nitrite,TKN,Total Nitrogen,-Ammonia,Alkalinity,plj Fecal Coliform: Test Effluent Maximurnreporting limits: BOD 30 mgl TSS 30.mg1 TN 19 mgl 6.) Provide Flow Metering. Wastewater flow data shall:be reported each time the:system is inspected. Actual water meter"flow data shall be provided. Complete inspection form and submit to local/state.authorities. -8) Maintain a complete record:of all maintenance and.testing.activity.. 9)_ Upon determining the-system has .failed the:Owner and Operator shall take action and be responsible for-notifyuig the local.Barnstable Health Department within 24 hours o.f such determination., . a) In the case of'a. failure.the Owner and Operation"shall be responsible 'for providing written notification to the .Barnstable' Health Department and the manufacturing Company within 5 days describing the-corrective actions taken. ,10) By September 30ih .of each year" the system Owner' and Service Contractor shall -be responsible for submitting'to the. Barnstable Health.Dept. all monitoring results with all O&M reports and inspection checklists completed by the;Operator during.the previous 12 months. In .addition. to the regularly, scheduled service visits,. SES will .respond to non-scheduled-events within "a 48 hour period from time of notification. SES will.apply a charge for.labor, transportation, and shipping. For replacement or"repair of the aerator motor,.SES will charge all applicable fees in accordance with the Singulair.aerator:fifty-year exchange program. Non-scheduled service visits resulting from product use in.a manner inconsistent with the directions contained` in the Owner's Manual,. negligence, "tampering: or :un-authorized modifications of equipment, termination of electricity to the motor, discharge of-harmful chemicals,malfunctions not attributable to the Singulair system or other improper use.will:result in.a,service charge 'of.$175 payable at the time of service. Should payment be contested or not made; SES is required to notify the local BOH and Barnstable County Department of,Health and Environment that the system in not in compliance with the testing requirements. This contract is transferable in event of the sale of the home: SES: Date:' Homeowner: Date: This TESTING contract is $ .00 PER;EVENT or $ .00 per year .(Including"all "transportation and .lab fees. This comprehensive contract is $. . per year. Please make sure to send back a.copy of the contract withyour"CONTRACT paymenf or'Credit Card information for Quarterly billing,:(The.first 2 years:of system.operation and maintenance are included with th e:purchase:of the:unit. The third year:is at the expense of the Owner).. Copies of this agreement will be transmitted to the:appropriate regulatory agencies as proof of compliance Payment is made to Siegmund Em ronmental:Seteices, Inc: Fot security,"Quarterly Credit Card payments are:best i itiated.via telephone SINGLJLAIR 960 DN WASTEWATER TREATMENT SYSTEM SERVICE INSPECTION CHECKLIST Address:. Owner: Operator. Date: _. . This checklist summarizes,the service procedures to be performed'during a routine Singulair 960 DN inspection.Refer to the. Singulair Manual for a detailed explanation of each service.procedure and an O&M troubleshooting guide. CONTROL CENTER SERVICE NOTES/COM--MENTS``- ❑Check operation of control center. ❑Adjust time clock when required ❑Check operation of recirculation control panel NR EFFLUENT RECIRCULATION SYSTEM ❑Check operation of recirculation pump ❑Inspect recirculation well&fittings ❑Test Operation ❑Set recirculation rate rate @ min%hr AERATOR SERVICE LJ Check aerator.operation ❑Check aerator power consumption ❑Check.aerator air delivery " ❑Clean.stainless steel aspirator shaft ❑Clean aspirator.tip ❑Clean fresh air vent in concrete.cover . ❑Inspect.aeration chamber contents CLARIFICATION CHAMBER SERVICE ❑Remove the Bio-Kinetic system ❑Scrape the clarification chamber ❑Inspect the Bio-Static.sludge return ❑Inspect outlet,coupling:' ❑Install a clean Bio-Kinetic system ❑Fill-Blue Crystal.feed tube(if installed) • ❑Fill Bio-Neutralizer.feed'tube(if installed). GENERAL-SERVICE. ❑Inspect.effluent pump.chamber ❑Inspect effluent quality: ❑Inspect outlet line ❑Inspect ground:waterrelief point(if installed) - O Inspect effluent disposal system. "❑Complete owner service.record . ❑Complete:health department notification UComplete distributor service record U Mail health.department notification Sieginund Environmental Services,Inc. FLUID THMING.:C.LEAR:SOLUTIONS: www.siezmun dgroup:com' ® Commonwealth of Massachusetts Executive Office of"Ehergy &Envir omental Affairs,:, Department of Environmental Protectio One Whiter Street Boston,:MA-02, 03 617-292-5500 OEVAL L'PATRICK AICHARC IC SULLIVAN 7R. Governor ' t: 14�' ,{Secretary TIMOTHY P.MURRAY '� {ENNETH L.KIMMELL. Lieutenant Governor " . - Commissioner PROVISIONAL:USE APPROVAL RENEWAL Pursuant to Title.5,.310.CMR 15.000 Name and Address of Applicant W. Siegmund Environmental Services;Inc. 49 PavillionAve'nue Providence, Rl 02905' Trade.name' of technology.'and:models l Sin uair,960 DN models.600 750 1000.1250-and. 1500 and S:ingulair 960. g _ , : � . ,. DN Green"600'(plastic tank).(hereinafter the-`-System', or.the `Technology''). -Owner and Operator manuals, installation manual,schematic drawings illustrating the"System models and technology inspection checklist are part of this Certification:. Transmittal:Number: X240509 Date o.f-Issuance:. August.l6, 2012 Expiration date:" August 16, 017 Authority for Issuance Pursuant to Title 5 of:the State Environmental Code; 310 CMP, 15.000;the Department of Environmental Protection(hereinafter"the Department") hereby;issues this Provisional'Approval to: Siegmund Environmental-Services,Inc.,49,'Pavil'lion Avenue,Providence RI ',02905 (hereinafter"the.Company"),_approving the Singulair 960 DN(nitrogen reducing) (hereinafter"the Technology" or"System")for use in:the Conimonwealth.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(or 'Service-Contractor'), 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. August J 6;2012, David Ferris, Director' Date Wastewater Management Program Bureau of Resource Protection This information is available.in alternate'format.Call Michelle Waters-Ekanem,DiversityDirector,;at 617-292-5751.:TDD#'1-866-539-7622 or 1•-61.7-574-6868 MassDEP Website:.www:mass.govldep :Printed on.Recycled,Paper, Renewal of Provisional Use Approval 8/16/12 Page 2 of 17 Singulair 960 DN and.960 DN Green 600,less than 2,000 GPD 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 15.28.6 (7),Provisional Approval of Alternative System. The specific goal of the Performance.Evaluation is to determine if the Technology is capable of J consistently meeting the concentration limits for total nitrogen of 19 or 25 milli ams per ' er (mg/L) for installations with.design flows 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 responsibilityfor 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 or.if the.property served has a design flow of2000 GPD or more located in a Nitrogen Sensitive Area. The System Owner will be required-to repair,replace, modify or take any other action asrequired 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.Alte.mative 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. H. General Description of the Technology The System is installed between the building sewer and the SAS. 'Systems designed for facilities in excess of.1,000 GPD require installation.of a pretreatment-septic tank sized in F accordance with,the Company's requirements.and constructed in accordance with 10 CMR 15.223 through 15.226. The System utilizes extended aeration, activated sludge and filtration to treat sanitary wastewater.The treatment process takes place in a three-compartment processing tank made of precast concrete or similarly sized three-compartment plastic tank(Green model). The first compartment.is a pretreatment chamber for settling solids that provides some anaerobic decomposition`during an approximately 12-hour residence time. The second chamber is for aeration, an aerator motor with an aspirator shaft draws air into the water providing 30 minutes per hour of aeration. The third chamber provides settling and clarification of the aerated wastewater. Activated sludge is recirculated to the aeration chamber by the Bio-Static sludge return located within the third chamber.Approximately 10 to 15.percent of the design flow is returned to the aeration tank.A Bio-Kinetic System is located within the settling zone in the clarification chamber. The Bio-Kinetic System (or filter) provides non-mechanical flow equalization using inflow ports (located for design flow, sustained flow and peak flow), filtration and final settling prior to effluent discharge. Renewal of Provisional Use Approval 8/16/1Z Page3'of 17 Singulair 960-DN-and 960'DN Green.600;1ess.thath 2,000 GPD The treated wastewater from the Bio-Kinetic System discharges from.the.Singulair processing` tank to a recirculation chamber.A small pump locatedwwithin the recirculation chamber-(vertical oriented plastic.pipe) re-circulates:approximately 12%to 18%o of the:treated-wastewater to the inlet pipe of the processing tank's first chamber.This process provides the required food source for the - completion of the de-nitrification process.The pump discharges the remainder of the":effluent,either " to a final up mp chamber and pressure distributedaoil absorptior:system (SAS) or to a distribution box for gravity dischar e to a soil abso tion s stem 'SAS .. ` g tY. .,g rP Y (SAS) . The System includes a weather-tight enclosed',3ontrol panel with aerator controls; manual reset circuit breaker, on-off automatic selector switch, adjustable timer mechanism.and an audible%visual warning system.to report malfunctions. The panel'also contains.the recirculation pump controls ` including high water level:override and high Water alarm. The alarm and control circuits are each .connected to an. pen power source run from the mairi.power source of.the facility— .connected Singulair Green Special Considerations The S ingulair.Green model installations with pla tic tank are not designed for traffic loading. No : Green System:shall be.located or installed in,a vehicle:traffic area. Siting of the 960.DN.Green.600 in a location subject to vehicular;loading is specif cally prohibited'by this Approval:Where vehicles can possibly access an installed Sihi ulair Greeri System site, suitable warnings.shall:be installed. The maximum.:burial depth forthe Singulair Green model shall not exceed.16.5 inches. or deeper urials the System Designer sfiall consultwith NORWECO, Inc. and their :`Deeper Burial Requirements,':for the Green.plastic tank model .Buoyancy Calculation Requirement All proposed S.ingulair.installatlons,.including the Green model -shall require buoyancy calculations in locations with high groundwater'elevation Tie-d��wns.and associated:anchors;such as the anti- flotation beams available from NORWECO,Inc; may:be required to prevent.tank floatation:.The buoyancy,calculations.shall;be;mcluded on the Title 5 septic system plan for each System installation:System buoyancycalculations,shall include:consideration of the high-groundwater elevation developed as required by 310 CNM.15.100 through-15:105`:. Design plans prepared in accordance with 310.CNIR 1.5.220 shall include:System.anchoring and backstay details when necessary.. , The use of the Technology'under this Approval requires: • Disclosure Notice.in the Deed to the property.; • Certifications by the Company,the:-Designer,. the Installer;, . • System Owner Acknowledgement of Responsibilities; • . A certified operator under contract for periodic inspection:and maintenance, •. Periodic sampling; • : Recordkeeping and'reporting;.and • An external:powersupply Renewal.of Piovisional Use Approval 8/16/12 Page 4 of 17 Singulair 960 DN and 960 DN.Green 600,less than 2,000 GPD 111. 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 maybe 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, includmg in 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;re uirements• and - f) MassDEP Operation and Maintenance (O&M) and I/A Technology Inspection Checklists. B. Special Conditions i: 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, may be 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 Renewal of Provisional.Use Approval 8/16/12 Page 5:.0f 17 :' Singulair 960 DN and 9.60 DN:Green 600,less than 2,Q00 GPD by the Department, in addition to pro .1 mg 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- 1 1 System,are 1constructedin 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 �7j�f 7j: system 1 �1 b. The Department has not determined that the performance of the System will provide a: p level of p ' rotection to public.health and safe a d.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 X been installed, the System Owner shall,connect the facility-served by the System to,the sewer within 60 days of such feasibility arrd'.the System shall be abandoned in AD, compliance with 310 C1V1R 15.354, unless a dater.tune is.allowed.in writing",by the Department or.the Local.Approving Authority 7. The System control panel including.alarms shall be.mounted in a location accessible to � c .the System Operator. 8. For any.System that does not.flow by gravityto the:SAS,the System shall be equipped with sensors and high-level-alarms fo.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 rov p ding 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 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::msfbe: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 re wired to the revisions q p.,. of 3 10 CMR 15::231(2). 9. System unit malfunction and high water alarm shall be connected to circuits separate from'the circuits to the:operating equipment end pumps. Renewal,ofProvisional Use Approval-8/16/12 Page 6 of 17 Singulair 960 DN and 960 DN Green 600,less than 2,000 GPD 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. 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.3.1.0 CMR 15.240(13), a minimum of one (I) 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 System Operator with the following qualifications: a)' is an approved System Inspector in accordance with 310'CMR 15340;' 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,_m 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 su mit t e Agreement to the Approving Authority and . the Company. The Agree_rnent 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 havethe 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 C(7),Flow Metering. Renewal of Provisional Use Approval 8716%12 Page.7'of 17 .. :Sinplair 960 DN and 960 DN Green 600,Iess.than 2;000 GPD 15. .At-all times; the System Owner shall maintain an O&M Agreement that meets.the requirements of paragraph C(9). 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 ocal approving authority Recordkeeping and Reporting 1 . Upon determining that the System has failed,as defined m:310 CMR 15.303, the System Operator shall notify.the System:Owner.immediately. 1.8. pon determining that the System has.failed;as defined in 310 CMR 1.5.303,,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 S.ystem:Operator shall be. responsible:for the written notification ofthe aocal.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&NI`•report-and inspection checklist shall.include,,at a.minimum: a) wastewater analyses;wastewater flow data, and,field.testing results; b) .for a:System failing;'any corrective-actions taken, c) any violations of the Approval, d) any determinationsthat the System or its components are not functioning.as designed or in,accordance with:the Company specifications;and e); any.other corrective.a6tions taken:or recommended. 2L By September 30t1 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 o 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 l'2 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. . _ Renewal of Provisional Use Approval 8/16/12 Page 8 of 17 Singdlair 960 DN and 960 DN Green 600,..less than 2,000 GPD 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 Confracto'r's'O&M reports, inspection checklists; and all reports and notifications to the Local Approving Authority (`LAA' or Board of Health'):for a minimum of five years. C. Special Conditions for System Siting,and Effluent Monitoring The Technology is approved for use with.a System serving a facility with a maximum design flow of less than 2,000 gallons per day, subject to the following additional conditions: 1. 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 3.10 CMR 1 15.000, and for which a site evaluation:in 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. 2. 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 1.5.200 15.279. Effluent.Lzmitand Monitoring Requirements � OV j IIf the System is installed to serve new construction in an area that is subject to the . Nitrogen Loading Limitations of 310 CMR:15.214 and.the facility does not meet with the Nitrogen Loading Limitations pursuant to the aggregation.provisions of 310 CMR 15.216, the System shall not be designed to receive and shall not receive more than 440 gallons of design flow per day per acre (gpda), except: a) For any facility, an increase in the flow rate per acre is allowed up to a design flow up to.550 gpda provided that the facility.meets a TN effluent limit of 25 mg/l or less, or I,, b) For residential facilities only, an increase in the flow rate per acre is allowed up to a design flow up to 660 gpda provided that the facility meets a TN effluent limit of 19 mg/l or less. The System Owner shall repair, replace,modify or take any other action as-required by the Department or the local approving authority, if the Department or the local X� Qf approving authority determines that the System is:not capable of meeting 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(1.7) and B(18) 4. Prior to Department approval of the Company's Performance Evaluation Plan,the -Company shall be responsible.for the following monitoring requirements for all System Renewal of Provisional Use Approval S/16/.12 Page19 of 17 Singulair 960 DN and-.960 DN Green.600,less.than 21000_GPD - installations that are subject to a total nitrogen concentration_limit in accordance with paragraph C(3). Sampling shall include pH, BOD5, TSS and Total l:Nitrogen, unless otherwise stated. Flow shall be recorded at each inspection, see"Flow Metering'.'.below., a) Year-round facilities shall be�.mspected 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,. c) After 12 rounds of monitoring, sampling may be reduced to TN only quarterly Reduced sampling shall also'_include Field Testing of System wastewater during 4 ` inspections when not.sampling fer laboratory analysis,see DEP Field Testing Protocol at http://www.mass.gov,!dep%water/laws/policies.htm#t5pols: ledPro Properties occuat least 6.months per year are considered ea -rndprpties Properties occupied less:than 6 months per year are considered seasonal properties 5. During the Performance Evaluation period;the Company shall follow the monitoring . requirements,specified in the Performance Evaluation Plan for installed'Systems "6- 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 C(3):: 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 atleast one sample taken.:. - ..between December-l.and March l of.each year: Field;testingsl all.be completed as determined necessary by the System operator.,-see DEP Field Testing Protocol at. http:Nww.mass.gov/dep%water/lawslpolicies.htm#t5pols.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 aminimum of ' 'twice/year.At least one annual sample_must be taken 3`0.to,60 days after each seasonal occupancy:A second:samplemust 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.. `Dater meter readings shall`be recorded at each inspection, see "Flow Metering.be ow 7. Flow Metering—For lte `S stems installed under Provisional A roval,` . wastewater flow-data shall be reported each time the-System is inspected an or'sampled by the Service,Contractor.`At,a:minimum, wastewater,flow shall be based on: a) 'actual-water meter data of flow to„fixtures that discharge to:the wastewater system; - or b) :actual water meter data for.the total facility with_either metered or estimated flows `for non-wastewater flow;subtracted from the total facility water usage.'If estimating. the wastewater flow as a portion�of total metered Water usage,the Service Contractor.- .,-shall,provide-the.method of estimating,:such as pump run times,occupancy rates,, adjusting for seasonal"outdoor water use,etc. Renewal of Provisional Use-Approval 8/16/12 Page 10 of 17 Singulair 960 DN and 96.0 DN Green 600,less than 21000 GPD 8. Field Testing:.Turbidity,pH and Apparent Color Turbidity, pH, DO and apparent color shall be measured and/or recorded in the field when effluent sampling for TN only is required.-See applicable,sections of the Department's Field Testing Protocol at http://www.mass.gov/dep/water/laws/policies.htm#t5pols. 9. At a minimum, the Service Contractor shall inspect, properly operate, and properly maintain the.System: a) any time there is System failure, equipment failure, or an alarm event; b):in accordance with the O&M manual and Designer requirements; c) in accordance with the requirements of the_Local-Approving Authority; d).in accordance with the Approval; and e) for seasonal use,the Service Contractor shall-be on-.site and responsible for the proper start-up.and shut down of the Alternative System. The System Operator shall collect:samples and obtain analysis results from an approved lab, perform Feld testing required by the Approval and submit results within 60 days ofthe site visit to the System Owner. 16. Ifthe 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. D. Special Conditions Specific to the Company I., 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., 2. Prior to submission of an application for a DS'CP the Company shall provide to the Designer,and the:System (Tw-ier: . a) All design and installation specifications and requirements; k , 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 44 Renewal of Provisional Use Approval 8/16/:12 Page 11 of 117 Singulair 960 DN and 960'DN.Green,600,`less than 2,000 GPD f) Lists'.of Designers,Installers; and Service Contractors. 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 fmal 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,Ah6 Company shall:submit to,the Department an annual report byFebruary 15 'of each year that includes the following. a) a table of all sample data'colle&e'd 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 providedao MassDEP, or any recommended changes to the`approved Performance Evaluation Plan;: c) a list of pending applications fbi.system installations which,have been submitted:'to local approving:authorities;and 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.: -report"shallbe signedb acor , y•Theorate ofc pn owner (Service Contractor records submittedlo the; ompany 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.) .5, "The Company shall institute and maintain a program of Installer;tra ning and continuing education-that is of east offered annually. The'Cornpany.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. ` 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,.an&make available the list'.of qualified Designers by February 15 '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 15.'of each year. The Company shall:certify"that the Operators on the list have.taken.the training and :passed.the Company's training qualifications. Renewal of Provisional Use;Approval 8/16/12 Page 12 of 17 Singulair 960 DN and 960 DN Green 600,less than 2,000 GPD . 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 he 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 foregoingpersons or entities;respectively, shall constitute violation.of the Approval by the Company unless.the Department,determines otherwise: IV. , Certification and Notification Requirements L 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 v6th the operation including power consumption, maintenance,sampling, recordkeeping, reporting, and equipment replacement; 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 by310:CMR 15287(5). 2. Upon.submission of an.application.for a DSCP to the Approving.Authority,the Company shall submit to the Local.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 Page 13of 17 Renewal of Provisional Use Approval 8/16/12 :Singulair`960 DN.'and 960 DN Green 600; ess ahan 2;000 GPD r agent of the Company responsible forahe design review shall hay received technical training in the Company's products 3. The System Designer shall be a.Massachusetts Registered Professional Engineer or a .,Massachusetts'Registered.`Sanitarian: U 4: 30 _da s prior to-delivery.of the treatment unit. t Thirty( ) y p ry tinto he site:for-installation,the Company shall provide to.the Approving Authority a copy of a signed contract fora 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 writ' g to the Desi, _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 31.0 CMR 15 02:1(3),the System Installer and Designer must certify in writing that:the.System has bee'n:constructed.in c.ompliance,with 310 CMR 15 OOOahe approved design plans, and all local requirements-, including any local approving authonty site-specific requirements, b) .In accordance with 310 CMR`15 021(3),.tlie Designer must certify m'writirig 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}. Asa-condition of this Approval;theSystem installer and-Designer must certify to:the .::Approving Authority in writing that.the✓System has been constructed in comp lance. with thelterms 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.an.d the installation conforms to this Approval. The authorized agent of ;< the Com an res onsible for the uisoectiori of the installation shall have received` technical training in the Company's,products, and. e) Prior to signing any agreement totransfer any or.:all Interestin,the property'.served•by the system, or any portion"o, .the property,;including any:possessory interest, he System;Owner shall:provide written,notice of all conditions contained in the Approval to•the.transferee(s),as required M by 3.10 CR 15.287(5). Any and"all instruments of transfer and any'leases or rental agreements shall be'included-as an .'exhibit-attached thereto and made.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 on 1.:; The,provisions of 310 CMR 15:000 are applicable to the design.,`'install ation,:use and operation-of a System utilizing an approved'oi certified alternative technologyexcept, those:provisions that specifically have been varied by the conditions of this Approval. .e Renewal of Provisional Use Approval 8/16/12 Page 14 of 17 Singulair 960 DN and 960 DN Green 600,less than 2;000 GPD 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 bythe.System Owner unless the Department determines otherwise. 5.: The System Ow ner caner 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_and 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 frorn'the Department. 9.. The System Owner shall furnish the Department any information that the Department requests regarding the System,within 2:1 days of the date of receipt of that request. Standard Conditions Applicable to the Designer 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. Renewal of Provisional:Use.Approval $/16/12 Page 15.of 17. Singulair 960 DN.and 960 DN Green 600,less than 2,000`.GPD Standard Conditions:Applicable to the Company; 12. This Approval shall be binding on the.Company and its officers, employees, agents1., contractors,,successors,and assigns. .Violation-of the terms and.conditions of this Approval by any of the foregoing persons or entifies, respectively, shall constitute violation of this Approval by'the Company unless the Departmentdetermines'otherwise IJ. .The Company shall include copies of the Approval with each System that is,sold In any contract executed by the Company for distnbution,or:re-sale.:of the System,the Company shall require all vendors, distributors,.andreselle'rs to;provideeach purchaser., of the=System with copies of the Approval 14.. The Company shall make available, m 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 Companyshall submit to-the Department,for-approval,:any proposed updates or chailges_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 3`0 days in advance ofahe proposed transfer,of ownership of the -. , Technology for which the Approval is issued.:°Sa'id 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 ApprovaZ. 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.. - r Approval Continuation'and.Expiration 19. If the.Company wishes.to coritinue 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:be'fore..the'expiration..date,of the Approval,'.unle.ss. written;permission-for..a 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'Depaartment has:acted-on the-renewal application:; Reporting 20.,All notices and documents required to.be submitted'to the Department by the Approval,' shall be submitted to r Renewal of Provisional.Use Approval 8/16/.12. Page 16 of 17 Singulair 960 DN and 9.60 DN Green.600,less than 2,000 GPD Director . Wastewater Management Program Department of Environmental Protection One Winter Street-.5th floor Boston,Massachusetts 02108 r ' Rights of the Department 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.lnstaller, 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 1.5.286: (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 p-ior 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 ,aboratory, unless otherwise provided in the Department's written approval.It shall be a violation of 310 CMR 1-5.000 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 any special conditions applicable to the system and.its owner. (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 I Renewal of Provisional•Use Approval .811:6%12 Page 1:7 of 17: Singulair 960 DN and:960 DN Green 600,less than 2,00.0'rGPD ; 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 fall compliance with the written approval and.310-CNIR 15287; (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 maintaimthe system in accordance.with.the:Department's written-approval:' (10) Priorao obtaining a Certificate.of Co-=npliance for installation of anew or upgraded system, the system.owner shall record in the chain of title for the.property served by the 'Alternative-system in the Registry:of'Deeds.oar Land Registration Office; as applicable, a = Notice disclosing both the existence:of the alternative on-site system and Ali&Department's approval.of the'system.The system ownerahall also provide evidence of such.recording to the Local Approvmg Authority - - - - f SONOULRIK" 010mKINETIC6 WASTEWATER TREATMENT SYSTEM WITH SERVICE PRO® CONTROL CENTER MODELS 960 AND TNT OWNER'S MANUAL l INTRODUCTION FEATURES AND ADVANTAGES• The Singulair system is the finest equipment available Singulairtanks are reinforced precast concrete'manufactured and utilizes the most up-to-date wastewater treatment by the licensed Norweco distributor. Internal walls and baffles technology. It is a sound investment that protects you and' are cast-in-place to insure uniformity and maximum strength. the environment. Please take the time to familiarize Risers and access covers are either heavy duty plastic or 41114 yourself with the contents of this manual. concrete construction. All components within the system that will contact the wastewater are constructed,entirely of: HOW THE SINGULAIR° SYSTEM WORKS molded plastic,stainless.steel or rubber. Developed to serve homes and small businesses beyond The S.ingulair aerator is powered by a 1725 RPM, 115 volt, the reach of city sewers,the Singulair system employs the 60 hertz, single-phase, fractional horsepower motor. It is extended aeration process. Similar to the treatment method the-only electrically powered component in the Singulair used by most municipal. system. The aerator wastewater treatment OPTIONAL AERATOR FRESH AIR VENT ASSEMBLY has been designed EXTENSION RISER facilities, this process OPTIONAL BLUE CRYSTAL Specifically for use in the CHLORINATION SYSTEM involves a natural, SINGULAIR AERATOR Singulair system. It biological breakdown of AERATOR MOUNTING CASTING OPTIONAL BIO-NEUTRALIZER. costs-less to.Operate DECHLORI NATION'SYSTEM. the organic matter In UNDERGROUND POWER and consumes fewer wastewater. SUPPLY CABLE TO SINGULAIR. - _ OPTIONAL BIO-KINETIC CONTROL CENTER SYSTEM EXTENSION kilowatt - hours., of RISER PRETREATMENT electricity than most - - � - � � - Wastewater enters the ACCESS COVER - .e_ ii BIO-KINETIC SYSTEM major.appliances.- pretreatment chamber ® MOUNTING CASTING where anaerobic Singulair aerators are bacterial action e . FLOW LINE U °— supplied with a Service combines with the = •i — Pro.control center with effects of gravity to t MCD technology.. The - _ EFFLUENT LINE precondition the waste INLET LINE I i t ' NEMA rated control before it flaws into the %d y center contains a power aeration chamber. Once elo-KINETIC switch and time clock �. 1, o #. i.+ SYSTEM: in the aeration chamber, CHAMBER CLARIFICATION \ that control aerator CLARIFICATION" aerobic bacteria utilize - CHAMBER Operation. The local the organic matter in - distributor's name, the wastewater to AERATION PROFILE VIEW `P BIo-sTATIcsLuOGE address and telephone biologically convert the CHAMBER SIN GULAIR 500 GPI&750 GPD RETURN . number are displayed on waste into stable the control centercover. substances. Following aeration, flow is transferred to the All system controls and necessary owner information are clarification chamber where the effects of gravity settle out conveniently located at.your fingertips. - biologically active material. The.Bio-Static sludge return located in the clarification chamber, creates hydraulic Non-mechanical flow equalization and final filtration is currents that gently transfer settled particles back to the accomplished within the Singulair tank by the Bio-Kinetic aeration chamber. As clarified liquids pass through system. This revolutionary device is installed in the the Bio-Kinetic system, they are filtered, settled and clarification.ch amber and connected to the system outlet. flow equalized. As a result, complete pretreatment, Optional.chlorination and dechlorination may be included in aeration, clarification and final filtration are assured. The the Bio-Kinetic system if required. All Singulair components Singulair system reliably protects you, your property and work together to assure complete pretreatment, aeration, the environment. clarification and final filtration.. SINGULAIR® SYSTEM PERFORMANCE SINGULAIR°AERATOR Rivaling the performance of the most advanced.wastewater The aerator has been specifically designed for use in the treatment plants in the world,the Singulair system complies Singulair system and includes special alloy and molded with USEPA wastewater treatment guidelines for secondary plastic parts to prolong aerator life. Aerator bearings are treatment systems and meets all requirements of NSF/ANSI pre-lubricated and sealed. Singulair aerators are installed Standard 40. In ecologically sensitive areas, the most in a concrete mounting casting above the aeration chamber. stringent effluent standards are 10 mg/L CBOD and 10 mg/L Fresh air enters the aerator through four intake ports located TSS. Rated Class I after successfully completing the 7 under the aerator handle. The air is drawn down the hollow month Standard 40 test protocol, the Model 960 system aspirator shaft where it is introduced below the liquid surface.. averaged effluent of 6 mg/L CBOD and 10 mg/L TSS. The. Only the molded plastic aspirator and>the lower portion of Model•TNT system averaged effluent of 4 mg/L CBOD, the stainless steel aspirator shaft are submerged. 9 mg/L TSS and 12 mg/L Total Nitrogen.. The aerator is not designed to run under water and will OPERATIONAL REQUIREMENTS automatically shut off if a high water condition occurs. If the liquid,risesl to the level of the foam restrictor, the control. The Singulair system is designed to treat only domestic center will shut off power to the aerator: Next,an automatic wastewater. Domestic wastewater is defined as the waste diagnostic sequence begins,as outlined in the section-titled generated from a typical residence. This includes flows "Service Pro Control Center".. originating from: bathtubs,clothes washers, dishwashers, drinking fountains, water coolers, food grinders, kitchen AERATOR HANDLE FRESH AIR VENT ASSEMBLY sinks,lavatories,mop basins,service sinks, shower stalls, sinks,wash sinks,water closets and whirlpool baths. While MOISTURE RESISTANT VENT ANTI-ROTATION the use of bio-degradable detergents is recommended,the ELECTRICAL CONNECTOR Lucs Singulair system has been designed to handle any VENTED.COVER AERATOR BRACKET reasonable amount of bathroom,kitchen or laundry waste. e Q MOUNTING GROOVE However,.some care should be exercised to insure that non- ' %��%� ��i����i.% (TYP.) biodegradable and/or toxic materials are not disposed of via UNDERGROUND OPTIONAL AERATOR II the domestic wastewater plumbing. Do not use the plumbing POWER CABLE. RISER CASTING ROUTE DIRECTL system for disposal of lint,cooking grease,scouring pads, TO EDGE OF TANK. ,dia ers sanitary napkins, cotton balls,-cotton- swabs, _ 'DO NOT ALLOW CABLE. - - P ry na p on AERATOR MOUNTING - TO CROSS INSPECTION _ ® CASTING cleaning rags,dental floss,strings,cigarette filters, rubber:, COVER ON TANK TOP. or plastic products, paints and thinning agents,,gasoline, motor oil, drain cleaners or other harsh chemicals. These items could plug portions of the plumbing, Interfere with GROUT OR SYNTHETIC SINGULAIR AERATOR biological treatment, accumulate in:the treatment system SEAL MOUNTING g y CASTING AND POWER and adversely affect system performance. Never connect - CABLE ENTRANCE. DESIGN FLOW LINE. FOAM RESTRICTOR roofing down spouts, Tooter drains, sump pump piping, garage and basement floor drains orwater softener backwash AERATION CHAMBER to the domestic wastewater plumbing or the treatment system. Water softener backwash will interfere with, ASPIRATOR SHAFT. ASPIRATOR TIP biological treatment and must be disposed of separately. Each Singulair aerator is a precision engineered ELECTRICAL REQUIREMENTS electro-mechanical device. Do not remove it from its installed, position. Do not attempt any type of repair. Contact your Each Singulair control center must be wired to a dedicated Singulair service provider if service is needed. Unauthorized 115 VAC,single-phase circuit at the main electrical service tampering or repair.will void important provisions of.the limited panel. A 15 amp circuit is recommended(10 amp minimum): warranty and exchangeprogram. A pictorial wiring diagram is provided inside the control center enclosure. All electrical work must be performed in FRESH AIR VENTING SYSTEM accordance with the requirements of the National Electrical Code and all applicable local codes..Electrical connections An aerator.vent assembly is cast into the concrete access should be made only by a qualified electrician following proper cover above each aerator. The vent assembly supplies fresh: procedures and using safe tools. air to the aerator, which is drawn through the aspirator and into the wastewater. Finished landscaping-should be CAUTION: Anytime service is required, first shut off maintained six inches below the top of the vented access the dedicated circuit breaker in the main electrical cover and graded to drain runoff away from the cover. Do not service panel. Next, shut off the power switch in the allow plants, shrubbery,,mulch or landscaping of any type Singulair control center.. Failure to do so:could result to restrict the flow of air to the'vent assembly or obstruct the in personal injury or equipment damage. access cover. TIME CLOCK AUXILIARY INPUT - NOTE:The control center regularlycommunicates with-the (MODEL 960 ONLY) O - O LABEL PAD.- RUjCE PR� Service Pro monitoring,center using your telephone line and POWER roCceNR nuxiuARv, atoll free number:. If the control center is using the line LIGHT LIGHT. when you attempt.to place a call;- ahighpitched'digital v ' y communication signal will be heard..Hang up all telephones ALARM i ;, ,,,,,, AUXILIARY INPUT - sharing the line andwait a few seconds. This will LIGHT ""'°""' LABEL PAD automatically disconnect the control center and make the line available for use. PHONE AUXILIARY 2 - LIGHTFNOOFRWAM6HIO LIGHT _ BIO-STATIC° SLUDGE RETURN _ AERATOR AUXILIARYINPUT - - - LIGHT "' LABEL PAD Each.Bio-Static-sludge return Is installed In the aeration/ MCMCOM clarification chamber wall. Aeration chamber hydraulic RESET AUXILIARY 0 _ currents enter the sludge return($)--and:transfer solids from surroNON LIGHT _ the clarification chamber back to the aeration chamber for additional treatment. T.he Bio-Static sludge return CONTROLCENTER POWERINSERTF SWITCH accomplishes resuspension.and'-return of settled solids without disturbing the contents of the clarification chamber. t SERVICE PROD CONTROL CENTER BIO-KINETIC° SYSTEM Every Singulair aerator is supplied with a prewired LIL.Listed Bio-Kinetic systems provide non-mechanical flow Service Pro control center featuring MCD technology to equalization through all plant processes.- The Bio-Kinetic permit fully automatic aerator operation. The Control center system contains 3 separate filtration.zones,8 independent provides MONITORING,COMPLIANCE and DIAGNOSTIC settling zones,optional chlorination and`dechlorination tablet functions complete with telemetry for communication with feed systems and. serves as its-own chlorine contact the Service Pro remote monitoring center. If an alarm chamber. When used with Blue Crystal disinfecting tablets, condition occurs for any reason within the Singulair system the performance of the Bio-Kinetic system as a chlorination or monitored auxiliary equipment,the red alarm light will device is certified to N.SF/ANSI.Standard 46,Section 11. All flash. If aerator operation has been interrupted;the Service components are manufactured from plastic or rubber..Your Pro control center will attempt to restart the aerator every service provider has the necessary training, tools and five minutes for two hours. If the aerator does not restart equipment for removal and cleaning. If your Bio-Kinetic. after two hours,the audible alarm will sound. If.the Singulair system is;in need of service,contact-your service provider... system is covered by a Service Pro monitoring agreement, During each semi-annual service inspection,your service. the Singulair service provider will be automatically notified provider will remove and clean the Bio-,Kinetic system or and the alarm condition will be displayed on the:remote replace it with a unit from their service stock. monitoring center.website, www.servicepromcd.com: BIO-KINETIC SYSTEM OPTIONAL BLUE CRYSTAL. Each control center for the Model 960 treatment system is MOUNTING CASTING COVER` CHLORINATION SYSTEM supplied With a time Clock adjustable In five minute OPTIONAL BIO-KINETIC OPTIONAL BIO-NEUTRALIZER increments up to continuous run. This clock Is factory preset SYSTEM RISER-CASTING. DECHLORINATION SYSTEM to run 30 minutes per hour and should only be adjusted'by 9 FINISHED an authorized Singulair service provider. Each control center. FINISHED stem is supplied with a non-ad GRACE ������i��� � ���� GRADE, for the Model TNT system PP 1 time clock. MICRONICALLY MOLDED /\ BIO-KINETIC SYSTEM -_ PEAK FLOW FILTER - ' s` MOUNTING CASTING SERVICE PRO®MONITORING CENTER PEAK FLOW.' BUBBLE EQUALIZATION PORT LEVEL When connected to a telephone line,the Control.Center will UI,,II Ih,dl ADJUSTMENT automatically notify the Service Pro monitoring center of SUSTAINED Flow Q LUGS any service required by the Singulair system or accessory, EQUALIZATION PORT _o ,Q PRECAST components. The. Service Pro monitoring center will - . e. CONCRETE TANK automatically record the time and date of any alarm condition DesiGN FLOWLINE and post this information,to your system's history record DESIGN FLOW ° e. EFFLUENT: accessible at www.servicepromcd.com. The monitoring EQUALIZATION PORT LINE centerwill also notify your Singulair service provider that the BIO-STATIC CAST-W-PLACE SLUDGE RE URN. .- OUTLET.COUPLING _ system needs attention and record the time and'date when' UNBAFFLED PERIMETER I MICRONICALLY MOLDED service Is performed. All information regarding your system SETTLING ZONE DESIGN FLOW FILTER is available to you on the secure,password protected.Service. COMPARTMENTED FILTER MEDIA SETTLING ZONE. RETAINER Pro website. Contact your Singulair service provider for your DRAW VALVE FILL VALVE user name and password. NON-MECHANICAL BIO-NEUTRALIZER® DECHLORINATION FLOW EQUALIZATION TABLETS The patented design of the Bio-Kinetic system provides In environmentally sensitive areas,environmental regulations non-mechanical flow equalization for. the Singulair may require the.use of Bio-Neutralizerdechlorination tablets. wastewater treatment plant. Equalization reduces incoming Manufactured as an efficient and dependable means to hydraulic surges(e.g.typical shower of 10.minutes duration, chemically neutralize both free and combined chlorine, bathtub discharge.of 5 minutes duration, clothes washer Bio-Neutralizer dechlorination tablets provide consistent discharge of 2 minutes duration and.dishwasher discharge . reduction or elimination of chlorine. residual without of 2 minutes duration) throughout the system. The flow unnecessarily reducing the level of dissolved oxygen in the equalization provided by the Bio-Kinetic system causes treatment system:effluent. Bio-Neutralizer_dechlorination wastewater to be held upstream of the final outlet during tablets utilize a unique. chemical mixture for chlorine hydraulic surges,which preserves treatment integrity and reduction and environmental protection. As liquid passes enhances system operation. The actual rate of equalization through the final discharge zone of the Bio-Kinetic system, varies and depends upon specific loading patterns and the. the flow contacts the installed Bio-Neutralizer tablets and duration of each flow surge. At the design loading pattern residual chlorine is removed from the system effluent. A used during the NSF/ANSI Standard 40 performance fully charged Bio-Neutralizer feed tube.will last an average evaluation,the Singulair system equalizes all flow an average of six months. During each semi-annual inspection, your of 48%. As a result, hydraulic surges and periods,of high. Singulair service provider will check system operation,the wastewater flow are automatically reduced.to protect.the rate of tablet consumption and install tablets during routine environment and all treatment plant processes on a demand :service inspections. use, as needed, basis.. CAUTION: Bio-Neutralizer tablets or feed tubes should BLUE CRYSTAL® RESIDENTIAL not be mixed with Blue Crystal tablets. Do not handle DISINFECTING TABLETS thetab/etsor feed tubes without first carefully reading the product container label,MSDS information and the If local regulations require,an initial supply of Blue Crystal handling and storage instructions. For additional disinfecting tablets will be placed in the Bio-Kinetic system information about Bio-Neutralizer tablets contact your chlorine feed tube(s) at system start-up. Specifically Singulair service provider. formulated for use in the Singulair system, Blue Crystal : disinfecting tablets provide efficient andreliable disinfection NO OWNER MAINTENANCE when effluent chlorination is desirable. Manufactured from calcium hypochlorite,. Blue Crystal disinfecting tablets The Singulair system is inspected and serviced by a local, provide effective,economical bacteria killing power. Liquid factory-trained service provider, therefore, no owner entering the Bio-Kinetic system contacts the installed Blue maintenance is required during the warranty period.. The Crystal disinfecting tablets, just downstream of the Singulair system does not require pumping as often.as a equalization ports. A fully charged feed tube will last an septic tank. Under normal use only the pretreatment average of six months.. During each semi-annual`inspection, chamber.should be pumped. How often pumping is. your Singulair service provider will check system operation necessary depends on system use. The local Singulair the rate of tablet consumption and install.tablets during service provider will inspect the aeration chamber contents routine service inspections. and plant effluent at six month intervals to determine if the t pretreatment chamber is discharging excessive solids. Every NOTE: USEPA guidelines state"Oh the average,satisfactory three years,the pretreatment chamber should be inspected. disinfection of secondary wastewater effluent can be obtained The pretreatment chamber will normally require pumping at when the chlorine residual is 0.5 ppm after 15 minutes three to five year intervals. Contact your local service provider contact." Retention time must comply with the controlling prior to tank pumping for complete information on removal of regulatory jurisdiction, equipment,access to.individual chambers,coordination of services and proper disposal of tank contents. A tank CAUTION: The improper handling of Blue Crystal tablets pumping service licensed by the local regulatory.agency may cause personal injury or property damage. Keep must be used for removal.and disposal of tank contents. out of the reach of children and do not allow the tablets The tank pumper should consult with local authorities to or feed tube to contact skin,eyes,or clothing. Tablets determine the proper disposal method. may be fatal if swallowed and tablet dust is irritating to . the eyes,nose and throat. Do not handle the tablets or If a period of intermittent use, or an extended period of feed tubes without first carefully reading the product non-use of the Singulair system is anticipated,contact.your container label, MSDS information and the handling Singulair service provider for instructions... Your service andstorage instructions. Mixing of chemicals may cause provider has comprehensive Singulair service instructions a violent reaction leading to fire or explosion. For and has been factory-trained.in troubleshooting procedures. additionalinformation about Blue Crystal tablets contact Contact your service provider if you require service or your Singulair service provider. information regarding tank pumping. SINGULAIR® SERVICE PROGRAM Semi-annual.service inspections, at six month intervals for the first two years of system operation,are provided by your local Norweco distributor and are included in the original purchase price of the Singulair system. Costs for travel and labor are not charged to the.owner. During an inspection, each mechanical aerator, Bio-Kinetic system and other plant components are serviced as outlined in the Singulair Product Manual. After the initial two year service program is completed,the.local service provider will provide continued service at the owner's option. The service program.should be renewed by the owner to insure maximum.system performance. FRESH AIR VENT - SINGULAIR ASSEMBLY(FYP.) - - AERATOR(TYP.) AERATOR MOUNTING _ - OPTIONAL AERATOR CASTING(TYP.) EXTENSION RISER(TYP.) UNDERGROUND POWER SUPPLY CABLE - - BIO-KINETIC SYSTEM TO SINGULAIR CONTROL CENTER(TYP.) - _ MOUNTING CASTING PRETREATMENT I AERATION - - - OPTIONAL BLUE CRYSTAL TRANSFER PORT _ - CHLORINATION SYSTEM PRETREATMENT ACCESS- - OPTIONAL BIO-NEUTRALIZER CASTING(TYP.) DECHLORINATION SYSTEM DESIGN FLOW LINE. INLET EFFLUENT LINE LINE- 1 1 _ `l 1 , t 5 - - BIO-KINETIC - . PRETREATMENT CLARIFICATION CHAMBER. - - - CHAMBER AERATION AERATION - BIO-STATIC - CHAMBER - - - - CHAMBER _ - - SLUDGE RETURN PROFILE VIEW SINGULAIR'1000 GPO,1250 GPD&1500 GPD - - - - Ask your Singulair service provider about a renewable service contract. If you allow service coverage to expire,.you can still obtain the professional assistance of a factory-trained technician. However,these special service calls will be performed on a time and materials basis. Professional service is important to proper system operation and should not be allowed to lapse. Be sure to consider the advantages of a renewable service contract. The Singulair service provider will perform.the following services during each service inspection: l ✓ Check aerator operation ✓ Inspect outlet coupling ✓ Check aerator power consumption ✓ Install a clean Bio-Kinetic system ✓ Check aerator air delivery ✓ Fill Blue Crystal feed tube J Clean stainless steel aspirator shaft - ✓ Fill Bio-Neutralizer feed tube ✓ Clean aspirator tip ✓ Inspect effluent quality J Clean fresh air vent in concrete cover ✓ Inspect outlet line ✓` Inspect aeration chamber contents ✓ Inspect groundwater relief point ✓ Check operation of control center, ✓ Inspect effluent disposal system ✓ Adjust-time clock when required ✓ Complete 3-part service record J Remove the Bio-Kinetic system ✓ Hang owner's record on front door _ ✓ Scrape the clarification chamber ✓ Enter record into www.servicepromcd.com ✓ Inspect the Bio-Static sludge return- ✓ Mail health department notification WARRANTY REGISTRATION SINGU.LAIRO LIMITED WARRANTY A Warranty Registration Card was included with the Model The Singulair aerator enjoys the.distinction of being 206C aerator before it was shipped from the factory. If this the only aerator on the market today backed by a lifetime' card has not been returned to Norweco,complete and mail warranty and exchange program: Each Singulair it immediately. If it is not returned within thirty days of the installation date,the three year limited warranty and lifetime aerator, Service Pro control center, Bio-Kinetic system and any other components manufactured by aerator exchange program will begin on the date of. Norweco;are warranted tobe free from defects inmatenal component shipment from the factory. and workmanship,under normal use and service,for a Remove the aerator model number and serial number record period of three years from the date of purchase.. The card and store it.in a safe location with this Owner's Manual' three year limited warranty is included in the original for future reference. If it is necessary to call your service purchase price of every Singulair system. The provider for service, make note of the information on the comprehensive aerator exchange program offers control center data plate and the aerator serial number before Singulair owners a lifetime of protection. Owners with a calling. Warranty and service records are.cross-indexed by Singulair system may exchange:any aerator of any age owner name,aerator serial number or control center:serial fora replacementunit at.a prorated cost. Ifthe�Singulair number. Supplyingthe aerator serial number and control aerator or Service Pro control centerfails,do not use or dismantle the unit. The local, licensed distributor has center serial number with the service request will give the detailed warranty and exchange information and should service providers ready reference.so that changes in system ownership will not delay service. be contacted for service or replacement instructions. SERVICE PRO° SECURITY LOG IN. For your convenience, record your www.servicepromcd.com access information here: User name:. Password: SUPPLEMENTAL SERVICE RECORD' For your reference,please document service performed on the following chart: DATE DESCRIPTION norwelcol . DISTRIBUTED LOCALLY BY: : Fngtneerieg thF future ar'Npt2h dnd wastewater uzarm4"nr 220 REPUBLIC STREET NORWALK,OHIO,USA 448 57-11 56 TELEPHONE (419)668-4471' FAX (419)663-5440 .. . www.norweco.com Norweco®, Norweco.com®,. Singulair®, Modulaie,.Travalair®, Singulair Green®, Ribbit Rivet®; Lift-Rail®, Microsonic®, Bio-Dynamic®, Bio-Sanitizer'D, Bio-Neutralizer°, Bio-Kinetic®, Bio-Static®, Bio-Gem®, Bio-Max®, Bio-Regeneration®, Bio-Pert®,,Blue Crystal®, ClearCheck®, ChemCheck®, Tri-Max®, Service Pro®, Grease Buster®and "BUSTER logo®are registered trademarks of Norwalk Wastewater Equipment Company;.Inc. . ©MMXII NORWECO,INC. BAXTER NYE ENGINEERING & SURVEYING Registered Professional Engineers and Land Surveyors 78 North Street,31 Floor,Hyannis,.W,02601 . Tel: (508)771-7502 Fax: (508)771-7622 November 26, 2013 Board of Health 200 Main Street -Hyannis, MA 02601 Re: Variance Request 29 Hathaway Road, Osterville MA - Members of the Board: On behalf of our client, Peter Bilodeau we are filing,a variance.request from the Town Of Barnstable Ordinances Article XV,Protection of Saltwater Estuaries, Chapter 360`Onsi"te Sewage Disposal. Systems, Section 360-045; Interim Regulations; Part B.1, to all a sewage design flow of 440 gallons per day on a lot of-31,746 sf, where 40,000 sf is required. The site consists'of one.three-bedroom single-family dwelling on"a 0.73 acre,lot'(31,746 sf) The owner intends to raze the existing dwelling and construct a new four bedroom single-family dwelling with a flow of 440 gpd.. The lot is not adequate to support.the-4-bedroom design in the S.E.P. district, so a Singulair denitrifying system is proposed-which-has provisional use approval with an allowable loading rate of 660 gpd per 40,000 s£ . Please schedule this variance request for your-next Board:of Health meeting. If you have any questions or comments,please contact me at 508-771-7502T, ext. 11. Very truly yours Jo R. Lavelle Senior Engineer Enclosures 2013-057-BOH Var.. Req.-11-2:6-13 - Land.Surveys • Site Design e Subdivisions 9 Septic Design • Wetland Filings • Planning Bilodeau Builders Inc 508-428-2978 p.2 November 19,20113 Board of Health 200 Main Street Hyannis,lvLA. 02601 Re: 29 Hathaway Road,Osterville,MA Members of the Board: I authorize John Lavelle of Baxter Nye Engine.ring&Surveying,Inc. to represent me on all matters relating to the redevelopment of m property at the address listed above. If you have any questions or comments,please contact me at 508 362-0550. . Very truly yours, Peter Bilodeau Homeowner Town ®f Barnstable Epp THE Tp�� Board of Health * &AMSTABLE, 200 Main Street - Hyannis MA 02601 9 MASS. g i639• plfD MA'S a Agreement to Extend Time Limit for Acting Upon a Variance Request In the Matter of a variance request form received on h the Petitioner(s), regarding the property at the petitioner(s) and the Board of Health agree that the Board of alth has until — f (insert date) to act upon the Petitioners' completed application for a variance. In executing this Agreement, the Petitioner(s) hereto specifically waive any claim for a constructive, grant of relief based upon time limits applicable prior.to the execution of this Agreement. Petitioner(s): Board of Health: Signature: �� � Signature: e tioner(s)or Peti oner's Representative Chairman Print: Print: Wayne Miller, M.D. Date: Date: Address of Petitioner(s)or Petitioner's Representative s Town of Barnstable Board of Health Public Health Division 200 Main Street Hyannis, MA 02601 , 11 Phone: (508) 862-4644. Fax: (508) 790-6304 file q:extend.doc BAXTER NYE ENGINEERING & SURVEYING Registered Professional Engineers and Land Surveyors 78 North Street,3`d Floor,Hyannis,MA 02601 Tel: (508)771-7502 Fax:(508)771-7622 January 13,2014 Mr.Thomas McKean,Director Ms.Marybeth McKenzie,R. S. Barnstable Health Department 200 Main St. Hyannis,MA 02601 RE: 29 Hathaway Road,Osterville,MA—Continued Board of Health Hearing Dear Mr.McKean and Ms.McKenzie: We are in receipt of the comments that were identified in your email dated 1/10/2014 concerning the above referenced project. We have reviewed the comments and provide the following responses which are numbered to match your comment numbers: 1. The arrow shown in the detail of the Bio-Static Sludge Return has been revised to show the flow going downward. The discharge from the Singulair to the dbox is by gravity. The pump referred to is the recirculating pump which is part of the Singulair system. 2. An Operation,Maintenance and Monitoring Plan,as well as an Owner's Manual are submitted herewith for approval by the BOH. n r in alerts of s stem failure has been modified to indicate that the O&M plan 3. The note on the plan egard g y contains procedures for alerting the Department and the Board of Health within 24 hours of a system failure. 4. The Special, Standard,and General Conditions of the Provisional Use Permit will be adhered to. The septic system and proposed grading have been designed to provide no more than 36"of cover over the SAS. The proposed grading at the SAS calls for a minor cut of the grade from the existing condition. The 103.6 grade at test pit#2 referred to in the comments is the existing grade prior to the minor regrading work proposed. We have provided additional spot shot elevations to help clarify this. 5. We have increase the scale of the Singulair tank as well as the Inspection Port Detail to provide better clarity. We appreciate your time and comments and trust this addresses your concerns. Please contact me if you have any further comments. Thank you for your consideration. Very truly yours, Baxter Nye Engineering&Surveying Matthew Eddy,P.E. Managing Partner Cc:Peter Bilodeau 0:\2013\2013-057\ADMIN\LETTERS\2012-010 L2 BOH Singulair.docx Land Surveys • Site Design 9 Subdivisions • Septic Design • Wetland Filings • Planning TRANSMITTAL BAXTER NYE ENGINEERING & SURVEYING Registered Professional Engineers and Land Surveyors 78 North Street,3`d Floor,Hyannis,MA 02601 Tel:(508)771:-7502 Fax:(508)771-7622 Date: January 17,2014 To: Barnstable BOH Total No.Pages: Attn: Tom McKean BN Job No.: 2013-057 Subject: 29 Hathaway Road Osterville,MA cc, We are sending you ® Attached ❑Under Separate Cover Via Fax(No.of pages including Transmittal Sheet) ❑First Class Mail/Registered#:, ; ❑ Overnight. ❑Pick up ® Hand Delivery The following documents: ®Prints/Plans ❑ Specifications ❑ Estimates/Proposal ❑ Change Order El Shop Drawings ❑Reports/Calculations ® Other DATE COPIES NO. PAGES DESCRIPTION 01/13/14 1 1 Letter to: T.McKean&Ms. McKenzie 1 6 Norweco—Singulair Bio-Kinetic Document 1 3 MA Singulair Service&Testing Contract 01/10/14 2 1 C3.0—Proposed Site Redev.Plan—24"x 36" These items are transmitted as checked below: ® For Your Use ❑ As Requested ❑Returned For Corrections ❑ For Review And Comment ❑For Approval ❑For Distribution Remarks: John K. Lavelle Professional Engineer J KL/s k 0:1201312013-0571ADMIMTRANSMITTALS12013-057-TM-Bilodeau-09-1744.doc !�1 File a Note: This transmittal contains privileged information.Please contact the sender immediately if this transmittal is illegible, incomplete or not intended for your use. Thank you. Message Page 1 of 2 McKean, Thomas From: McKean, Thomas Sent: Tuesday, January 14, 2014 9:06 AM To: 'Matthew Eddy'; McKenzie, Marybeth Subject: RE: 29 Hathaway Rd. Hello Matthew, According to your voice message, the multiple comments provided to your Office last week, including the errors discovered on your plans, were considered by you to be "minor" in nature. The O & M contract information and Monitoring plan which you submitted yesterday is for only one year, not for 12 quarterly tests as required in the DEP approval letter. Also of concern is the amount of soil over the SAS proposed- if less than three feet as required, how will you prevent it from becoming a depression or swale over the SAS? The spot elevations surrounding the SAS are at higher elevations. We continue to have difficulty reading the smudged print on the plans that you submitted, which is apparently from a photocopy (see comment#5 on the e-mail from Marybeth McKenzie) . Sincerely, T.McKean -----Original Message----- From: Matthew Eddy [mailto:meddy@baxter-nye.com] Sent: Monday, January 13, 2014 7:16 PM To: McKean, Thomas; McKenzie, Marybeth Subject: RE: 29 Hathaway Rd. Hi Tom and Mary Beth, Attached please find a letter which walks through and addresses your comments. I've attached the standard Owner's Manual and a Typical Service contract with inspection checklist. I will bring these to the hearing tomorrow. I'm happy to talk through any of your comments prior to the hearing if you'd like. Thank you for your time and effort. Matt Matthew Eddy, P.E. Managing Partner B A X T E R N Y E E N G I N E E R I N G & S U R V E Y I N G •78 North Street-3rd Floor •Hyannis,MA 02601 Ph: 508-771-7502 x17 • Fax:508-771-7622 •email:medd4 baxter-nye.com •www.baxter-nve.com -----Original Message----- From: McKenzie, Marybeth [mai Ito:Marybeth.McKenzie@town.barnstable.ma.us] Sent: Friday, January 10, 2014 11:58 AM To: John Lavelle 1/14/2014 n Si Carmod�ASu 018 'n Kathleen Logan-,18,Sunset Avenue Centerville MA Seasonal Sample Type Effluent:Nitrate Effluent.Nitrite Effluent:TKN Effluent:Total Nitrogen Effluent:BOD5 Effluent:T55 Effluent:pH. Sample Date Yp 10.1 13.2 25 27 7:8 2.7 0.5 . 11/5/20110:00 grab 17.4 27 32 7;9 4.7 3.1 9 6 . 5/30/2012 0:00 grab 6.8 9:65 17 7.9 2 1 5 15 10/13/2012 0:00 grab 8.3 11.86 11 16 7.7 2,7 . 0.86 32 16 6.6 10/15/2012 0:00 grab 1.9 5.8 8.35 7/8/2013 0:00 grab 0.65 Average 2.57 1.42 $:12 12..09 22.01D 21.60 7.58 Cry J Wood 39 Hawks Wing Road S.Yarmouth r w Carmody YAHa 0395it Year Round-Full house with younger children Provisional Service Date Notes/Comments Data Quality Sample Type Effluent:Nitrate Effluent:Nitrite Efflu.eht:TKN 'Effluent:Total Nitrogen Effluent:BODS Effiuent:TSS / ( ,g ) g 0 10 20/2008 0 00 SAMPLE ERROR not included in avers e Good. rab 0 0.05 120 120.05 100 10 12/16/08-data gathered from comments in .11/24/2008 0:00 inspection report. BB grab 0.22 0 9.9 10.12 5 8 4/10/2009 0:00 Good grab 3.02 0.06 11.7 13.78 14 16 7/18/2009 0:00 Good. grab, 4.6 1.7 11.6 17.9 21 18 10/8/20100:00 Good grab .; 1.9 0.05 8.9 10.85 27 25 Recirculation pump needs replacement. Owner notified.Alkalinity=79,somewhat 4/5/20110:00low. Good grab 19 1.7 7.3 28 30 32 8/23/2011 MO Replaced recirculation pump Good - grab 8.5 3.4 4,5 16.4 12 18 11/3/20110;00 Good grab 4.3 0.7 7.2 12.2 18 12 2/28/2012 0:00 Good grab 2.8 1:7 5.-1 9:6 18 26 6/7/2012 0:00 Good grab 2.1 0.06 .- '8.7 �" 10.86 16 18 10/2/2012 0:00 Good grab 5.7 1.4 10.6 17.7 28 35 1/30/2613 0:001 IGood grab 4 21 3.8 10:4 18.41 HI 32 Avers ei 5.03 .1.32 8.72 15.07 19.45 g (r Carmody Environmental I�Aanagemie Services BARNSTABLE County,Massachusetts —.Winston_Steadman 11-1/13/2014 Main Menu Sarnpling.Report Home Question Color Key.: (sample)=Required Question Log Out How To:All Tutorials , Tracking Number: CHCoC044S1in.:.` Support Phone/Fax Report Tech Problem Name: Sohn Driscoll cnange/RequestForm Site Address::.:: 44 Cockle Dr' Change Password Chatham, MAcontractor load ICarmody Training Mail Address. : •11 Forbes Lane ` 'Andover, MP, Register Event Assigned.Provider: Siegmund`Environmental S,ervices,..lnc. He a Service Event From Property.Profile How To:File Event Management:Level General with Nitrogen Requirements Client List Data Resources Selected Service.Provider ID: UNKNOWN Search for a Pro ert Selected Service Provider Siegmund`Environmental Services,Inc. • Create Notices •- g Report-Filed By: Hollister Sieemund Setup add/Del Disposal site' Components that were sampled or had its tracking:reset: How To Add/Del Site _ Send Payment 1: Sample Component:Aerobic(Singulair.Bio-Kinetic) More Applications 2 Sample Report,(MUent) 'Last Report Dates Lid Depth Inspection: 9/23/2013 Septic Tank: Maintenance: None Filed, Lift Tank I siphon.Chamber: Pump: None-Filed:- Aeration Unit: Date Serviced. %;24 / 2013 Month /-Day . :/'Year Notes/Comm ents/Message BOD: ND,TSS:2:5,:Alkalinity:100" ; or Other Observations: (Viewable by Regulators and Service Providers ONLYQ Laboratory Barnstable County Health Lab. v Sampling Report.. Sampler Name Winston Steadman Data Quality: Good v Sample Typegrab Effluent (Leave item blank:if not tested) -Amm6nia.Amount.(mg/L) 0 Nitrate Amount(mg/L) 2 . I. Nitrite Amount'(mg/L) 0 TKN Amount(mg/L) Total Nitrogen(mg/L) 3:8 Water-Usage Amount'(gpd) -This report only describes the conditions at the time of serv'.ce and under the conditcns of use at that time.This report does not address how the-system will perform in the future under the same or different conditions of.use.Carmody,Compass and Septic Search are independent business entities.andare not associated with business practices.or liabilities assumed by the inspection,inspectors and or their business entities. Department of Environmental Protection REVISED 6/3/09 For 1995.Code GUIDELINES FOR TITLE 5 AGGREGATION OF FLOWS AND NITROGEN LOADING 310 CMR 15.216. . Summary Page ,. Title 5 of the State Environmental Code, 310 CMR 15.000, imposes a nitrogen loading limitation of 440 gallons per day(gpd)per acre design flow for systems serving new construction in nitrogen sensitive areas and for new residential construction where the use of both on-site systems and on-site drinking water supply wells are proposed. Under the provision for"Aggregate Determinations of Flows and Nitrogen Loadings,"310 CMR 15.216,the nitrogen loading limitation may be calculated in the aggregate through a Community Aggregation Plan, or a site-specific, Facility Aggregation Plan. This document provides guidance to the Department,Boards of Health and applicants for ' calculating the nitrogen loading limitation in the aggregate. Aggregation highlights are: • The equivalency of the 440 gpd per acre standard noted in 310 CMR 15.214 must be met.- For design flows of 2000 gpd or greater,the local approving authority or DEP may require a site-specific mass balance analysis for the area of impact. The mass balance analysis must demonstrate that the groundwater quality standard of 10 mg/l total nitrogen and 10 mg/l nitrate- nitrogen will be met at the downgradient credit land property boundary,or at the nearest downgradient sensitive receptor. • Both the facility and the credit land must be restricted in perpetuity through either an appropriate conservation restriction or a nitrogen loading restriction and easement. • For a facility located in a Zone 11,the Board of Health or the Department may require an assessment using the DEP Nitrogen Loading Model for projects that could potentially result in impacts at the public supply well. A Commune Aggregation Plan establishes a local nitrogen loading'managment program over a region-wide area such as a Zone H. Once the plan is approved by DEP, the local approving authority(Board of Health)has sole jurisdiction for approving site-specific facility aggregation plans according to the DEP-approved Community Plan. A FacilityAggregation Plan'addresses nitrogen loading on a facility-specific basis and uses nonfacility credit land.The plan must be approved by the local Board of Health and DER Nitrogen loading deed restrictions,in perpetuity,are required for both the facility land and credit land. Upon approval by the Board of Health,the applicant must submit an application,under DEP Fees and Application category BRP WP 58a,to the appropriate DEP regional office. AGGREGATION OF FLOWS AND NITROGEN LOADING GUIDANCE 310 CMR 15.216 INTRODUCTION Under Title 5, a system serving new construction' is subject to a nitrogen loading limitation of 440 gallons of design flow per day per acre in either Nitrogen Sensitive Areas2 or areas where the water supply use of both on-site subsurface sewage disposal and an on-site drinkin g pp y well is proposed. Section 310 CMR 15.216 of Title 5 offers relief from this nitrogen loading limitation by allowing the use of other land, in addition to the facility land,to achieve a net nitrogen load of 440 gpd per acre in the aggregate.Under Section 15.216,there are two circumstances in which nitrogen loading may be calculated in the aggregate: 1 Where there is a DEP approved Community or Regional Aggregation Plan protecting ( ) Pp tY surface and groundwater supplies from pollutant and nitrogen loading, or (2)Where the project proponent has a DEP approved Facility Aggregation Plan including a conservation restriction or nitrogen loading restriction and easement on both the facility and the nonfacility credit land: 1. APPROVING AUTHORITY The approving authority for a nitrogen aggregation plan is first,the local Board of Health, and secondly,the Department. The two step approval applies to both Community or Regional Aggregation Plans and Facility Aggregation Plans. Approval for a nitrogen aggregation plan should not be confused with the approval for the Title 5 on-site septic system. The approval for design and installation of a Title 5 system remains with the local Board of Health,with a few exceptions,e.g., state and federal facitilies, large systems,etc., where DEP is the approving authority for the system as well. 2. AREAS SUBJECT TO NITROGEN AGGREGATION Areas subject to nitrogen aggregation are the same areas subject to the nitrogen loading limitation of 440 gallons of design flow per day per acre: (1) Nitro_•_gen Sensitive Areas (310 CNM 15.215) 1 Title 5 defines New Construction as:The construction of a new building for which an occupancy permit is required or an increase in the design flow to any system above the existing approved capacity. New construction shall not include replacement or repair of an existing building totally or partially destroyed or demolished if there is no increase. in flow or no increase in flow above the existing approved capacity to any system. 2 Title 5 defines Nitrogen Sensitive Area as: An area of land and/or natural resource area so designated by the Department in accordance with 310 CMR 15.215. 2 r { a)Zone IIs3 b)Interim Wellhead Protection Areas(IWPAs)4,and c)Nitrogen sensitive embayments (DEP has not yet designated any nitrogen sensitive embayments. The Department will address,at a later date,nitrogen aggregation in sensitive embayments.) (2)areas of residential new construction,as defined in Title 5,where both on-site systems and on-site drinking water supply wells are proposed (310 CMR 15.214(2)). These areas are the so-called Rd3Late well areas.' DEP recognizes that in the case of an IWPA when the Zone II is subsequently delineated and approved by DEP, facility and/or credit land may be determined to lie outside of the` nitrogen sensitive area. If that is the case, at that point in time,the facility would no longer be subject to the Title 5 nitrogen loading limitation. However, any deed restrictions on subject lands would remain until released with the approval of the holders of the restriction (see Section 8 below). In order to avoid nitrogen.loading limitations imposed on a site within an IWPA,but not actually within the undefined Zone II, the applicant may choose to delineate the Zone II to demonstrate that the proposed facility lies outside of the Zone II and,therefore, is not subject to the nitrogen limitations in 310 CMR 15.214. Persons seeking DEP Zone II approval must follow the procedures set forth.in the Department's Drinking Water Program,"Guidelines and Policies for Public Water Systems." 3. A COMMUNITY/REGIONAL AGGREGATION PLAN A Community/Regional Plan may include a nitrogen sensitive areas or private well areas, or both. The goal is to have the flexibility of nitrogen aggregation for more than a single facility,while ensuring protection of sensitive receptors, i.e.,public water supply wells,private wells,drinking water reservoirs and tributaries to drinking water reservoirs, from excessive nutrients through local planning and regulatory controls. With the need for local regulatory control as part of the plan,the applicant for a Community/Regional Plan would,typically, be a municipality. The Plan must be reviewed and approved by1)EP. The following conditions must be met: (1)the local approving authority has approved the plan; (2)the Plan contains a nitrate management plan for the area to protect surface and groundwater supplies from nitrogen loading, along with a mechanism for 3 Title 5 defines Zone II as:That area of an aquifer which contributes water to a well under the most severe pumping and recharge conditions that can realistically be anticipated,as defined in Massachusetts drinking water regulations,310 CMR 22.02. 4 Title-5 defines Interim Wellhead Protection Area(IWPA)as:An interim well-head protection area,as defined in Massachusetts drinking water regulations,310 CMR 22.02. Generally,this is a 1/2-mile radius for sources whose approved pumping rate is 100,000[gallons per day]or greater. For smaller sources,the radius in feet is determined by multiplying the approved pumping rate in gallons per minute 3 by 32,and adding 400. r } implementation,such as land use regulations, site.review procedures and a process for enforcement, etc.; (3)for areas that include a Zone H,the Plan also must include'a nitrate loading analysis demonstrating less than 5 milligrams per liter(mg/1) at the public water supply well, assuming full buildout; (4)other conditions as the Department deems necessary such as monitoring and reporting requirements,use and/or loading restrictions, and updating the approved plan. Once the plan is approved by the Board of Health and then DEP,the Board of Health has jurisdiction for approving site-specific facility aggregation according to the approved Community Plan. Applications may be submitted to the Board of Health as prescribed in the Community Plan. 4. A FACILITY AGGREGATION PLAN Where there is no DEP approved Community Plan,the applicant may choose to submit a Facility Aggregation Plan according to this guidance. (Facility Plan requirements under a DEP approved Community Plan would be essentially the same as noted here;but there may be-additional requirements in DEP's approval of a Community.Plan.) Under the Facility Aggregation Plan,the applicant proposes to meet the 440 gpd per acre equivalency standard by establishing nitrogen credit on nonfacility land with the consent of the owner of such land. Where the proposed design flow of the facility is 2000 gpd or greater,the Board of Health or DEP may require a site-specific mass balance analysis to demonstrate that the groundwater qRql1ty standard(10 mg/l nitrate- nitrogen and 10 mg/l total nitrogen)at the credit land property boundary or nearest sensitive receptor will be met (see Section 5). The applicant must demonstrate how it will comply with the nitrogen standard(s) and include proposed restriction documents limiting use of both the facility land and nonfacility credit land. The restrictions must be either a conservation restriction or a nitrogen loading restriction and easement. Such plans must be approved by the Board of Health. Upon Board of Health approval,the plan also must be submitted to DEP for approval,under Fees and Application category BRP WP 58a. Title 5 provides that a Facility Aggregation Plan submitted to the Department for approval will have been deemed approved by the Department if,within 60 days of receipt of such plan,the Department fails in writing,to: 1) request additional information from applicant(extends 60 day review timeline); or, 2) grant written approval,which may include special conditions; or, 3) deny approval. Any application received by DEP that does not include a Facility Aggregation Plan and restriction documents approved, in writing,by the Board of Health,is incomplete and,therefore,will not trigger the 60 day presumptive approval provision. 5. NITROGEN STANDARDS (1) The 440 gpd per acre Equivalency Standard 4 R� *5 q. The 440 gpd per acre equivalency standard allows the nitrogen loading 440 gpd per acre limitation to be calculated in the aggregate over facility land and nonfacility credit land,together. The design flow discharge of 440 gpd per acre is merely prorated across the facility land and nonfacility credit land,resulting in a net rate of 440 gpd or less per acre, although not on every individual acre. In Zone Its and IWPAs,qualified credit land(see Section 6)must be located in the same Nitrogen Sensitive Area as the facility itself so that nitrogen loading to the recharge area of the well will be controlled. Example 1: Four 4-bedroom homes with on-site septic systems are proposed to be built on 1 acres in a Zone H where quarter-acre residential zoning is permitted. 440 gpd Rule: 1 home @ 4 bedrooms (110 gpd/bedroom)must have 1.acre, so 4 homes @ 4 bedrooms each would require 4 acres. Applicant proposes 4 homes on just 1 acre. To meet 440 gpd per acre equivalency, applicant must set aside the land area difference of 3 acres(440 gpd/acre requirement minus the proposed residential acreage)for nitrogen credit land. y . Residential Subdivisions The 440 gpd per acre equivalency standard also applies to residential subdivisions.The 440 gpd per acre limitation must be met over the entire area,minus the roads. The road-areas are excluded from credit since imperviousness of the paved roads prevents recharge to the groundwater. Example 2:A developer has 42 buildable acres in a Zone H. The usual subdivision in this town could support 36 one-acre lots with 4-bedroom homes(6 acres for roads)and meet the 440 gpd rule. However,the developer proposes to aggregate with a cluster subdivision allowed under local zoning as follows: 440 gpd Rule: 1 home @ 4 bedrooms(110 gpd/bedroom)must have 1 acre, so 36 homes @ 4 bedrooms each would require 36 acres. Applicant proposes 36 homes(each on 1/2 acre lots)on a total of 18 acres. To meet 440 gpd per acre equivalency, applicant must set aside the land area difference of 18 acres(36- 18) for nitrogen credit land. Note that the 6 acres for roads does not qualify for nitrogen credit. DEP recommends that a nitrogen aggregation subdivision plan be submitted to the Board of Health during the design phase and prior to Planning Board subdivision approval,'as the lot layout configuration might need further revisions to address nitrogen aggregation. While Title 5 system design septic plans typically are not part of a nitrogen aggregation plan submittal,the restriction documents,in addition to placing restrictions on the credit land,must also limit the facility lots in a 'residential subdivision.to a specified number of bedrooms,which should be noted on the subdivision plans. Private Well Areas 5 Title 5 defines"acre"as a unit of land measure equal to 40,000 square feet,which is considered a building acre in accordance with standard real estate practices. 5 While DEP considers the 440 gpd per acre equivalency standard adequate for protecting a public well from nitrogen discharged at a particular facility, it does not address potential impacts to downgradient sensitive receptors, such as private wells. When siting Title 5 systems and private wells in the same area,the location, depth and construction of private wells and the hydraulic interactions between septic system discharges and private wells should be taken into account. (2) The Groundwater Quality Standard: 10 mg/l total nitrogen,and 10 mg/1 nitrate-nitrogen Since a design flow of 2000 gpd or.greater,but less than 10,000 gpd6,may pose greater risks to public health and the environment,the Board of Health.or DEP may require proponents of projects of this size to also meet the groundwater quality standard of 10 mg/1 total nitrogen and 10 mg/l nitrate-nitrogen. The applicant must demonstrate,through a site-specific mass balance analysis,that the proposed discharge will meet the standard of 10 mg/l total nitrogen and 10 mg/1 nitrate-nitrogen at the facility's downgradient credit land property boundary or nearest sensitive receptor to ensure protection of public health and the environment. Sensitive receptors are public water supply wells, private wells, drinking water reservoirs and tributaries to drinking water reservoirs. (For more detail on mass balance analysis,see Section 7 below.) Where this method of mass balance analysis is required, the nonfacility credit land must be adjacent to and downgradient of the impacted area of discharge.The proponent's site-specific mass balance analysis, considering the nitrogen load from the discharge and fertilizer,must demonstrate that the 10 mg/1 nitrogen standard will be met over the extended area of impact at the property boundary of the nonfacility credit land or the nearest downgradient sensitive receptor. Facility plans approved under this standard must include monitoring requirements to assure compliance with the 10 mg/1 total nitrogen and 10 mg/l nitrate-nitrogen standard. If post- construction monitoring reveals failure to meet the standard,a system upgrade will be required. This requirement to upgrade when the standard is not met also must be a condition of the DEP approval. (3) The DEP Nitrogen Loading Model Standard: 5 mg/l nitrate-nitrogen Where a facility is located in a Zone]I, certain circumstances may warrant the use of the DEP Nitrogen Loading Model to assess potential regional, cumulative, off-site impacts at the public water supply well over the long term. The model is a predictive tool to evaluate nitrogen loading in order to determine if development impacts would pose a threat to water quality based on current zoning. The Board of Health or DEP, at its discretion,may require Zone II modeling analysis where risk indicators such as large volume discharge flow,dense development, or high levels of nitrate-nitrogen in the public supply well are present. Where the nitrate-nitrogen level in the public well is already at 5 mg/l or greater,the Board of Health shall require the applicant to perform the Zone II modeling assessment using the DEP Nitrogen Loading Model. 6 Proposed discharges of 10,000 gpd or greater are not approved under Title 5,but,instead,are permitted under the Groundwater Discharge Permit Program,314 CMR 5.00. 6 r A When used,the DEP Nitrogen Loading Modell must address the Zone II(the individual Zone II in a multi-well Zone H), assuming full buildout conditions. If modeling results demonstrate that the 5 .mg/1 nitrate-nitrogen planning threshold at the well will be exceeded,the well is considered at risk under current land use zoning and the Board of Health or DEP may deny the application.The results of the model must be presented to the local Board of Health and the Planning Board. The applicant must also submit to DEP for approval as part of the application to DEP,the analysis results along with any written comments on the modeled analysis by the Board of Health and the Planning Board (See DEP Nitrogen Loading))-Model Guidance). . 6. CREDIT LAND QUALIFICATIONS " Credit land is land that is set-aside under a.nitrogen loading restriction to compensate for septic system density greater than 440 gpd per acre where required. Credit land may be a whole parcel,a defined portion of a parcel or several parcels. Both facility and nonfacility land are factored into the calculation for the overall land area in meeting the 440 gpd per acre equivalency limitation. The following criteria apply to nitrogen credit nonfacility land: If the facility is in a Nitrogen Sensitive Area,nonfacility credit land must be: • located in the same Nitrogen Sensitive Area as the facility,-and, if the mass balance analysis is required to determine that the groundwater quality standard is met,the credit land must also be located adjacent to and downgradient from the'facility's impacted area of discharge. If the facility is in a private well area, nonfacility credit land must be: • within the subdivision site for a residential subdivision(simplifies credit as adjacent to the individual facility lots in the subdivision); • adjacent to the facility land for a facility where the design flow is less than 2000 gpd; and, • adjacent and downgradient of the impacted area of the discharge for a facility where the design flow is 2000 gpd or greater. (See Figure 1. Nitrogen Standard and Credit Land Determination Flow Chart) Regardless of whether the facility is in a nitrogen sensitive area or private well area,the designated nonfacility credit land: • must be restricted to prohibit man-made sources of nitrogen, including, but not limited to, sewage discharge,nitrogen-based fertilizer or the raising and grazing livestock; • must be restricted to prohibit artificial) rendered imperviousness i.e. y p (� ,paved streets,paved parking lots,buildings, structures, etc.); • not within a Velocity Zone or Regulatory Floodway identified by FEMA, and • not under surface water(land covered with water, including, but not limited to,rivers, ponds, oceans, streams and lakes); t • not already being used as nitrogen credit land.. 7 The DEP Nitrogen Loading Model may be obtained from the Watershed Permitting Program in Boston or downloaded from the DEP web site at www.state.ma us/dep. 7 ' 6 i Generally,land within a Zone I may be used for credit land to meet the 440 gpd per acre equivalency standard,unless the water quality in the public water supply well is 5 mg/1 nitrate- nitrogen or greater. Where the well exceeds 5 mg/1 nitrate-nitrogen,the Zone I may not be used as credit land. Moreover,the condition of such an elevated nitrate level in the well constitutes cause for the Board of Health or DEP to deny a nitrogen aggregation application. A nitrogen loading restriction$on both the nonfacility credit land and the facility land is required. These restriction must run in perpetuity to the benefit of the municipality acting by and through the Board of Health. Generally,in the.case of the 440 gpd equivalency standard,the facility land must be restricted to a specified number of bedrooms or sewage design flow,while the designated area of the nonfacility credit land is required to be restricted from all man-made nitrogen sources as described above. In the case of the groundwater quality standard,restrictions will apply to the impacted area of the discharge on both facility and nonfacility credit land and such limitations must be explicit in the deed restriction document. The applicant must submit to the Board of Health and then DEP,unexecuted restriction documents with its nitrogen aggregation facility plan.Upon DEP approval,the applicant must execute and record the restriction documents within 30 days of DEP plan approval. Copies of the recorded restrictions must be delivered to the Board of Health and DEP. More detailed guidance on nitrogen loading restrictions is provided in Section 8,below. 8 Restriction document templates are attached to this guidance document. Additionally,this guidance and templates are available from the DEP web site at www.state.ma.us/dep. 8 �I Figure 1.Nitrogen Standard and Credit Land Determination Flow Chart `•Nitrogen'Smandard ~ s ... an Cre t Land ' Determination =Nitrogenensitive Area: Residential on-site/ IWPA system and well Residential <2000 gpd 2000 gpd 2000 gpd <2000 gpd Residential Subdivision or eater � or greater Subdivision ^r� � �� 440 gpdper acre•equrvalency�� � at BOH or DEP itotagen discretion en nitrate-nitro — gam. . a luowngra`dient property Uun ,or nearestsensire ptor � - Facility in Facility in Credit land Credit land within IWPA: Zone II: Credit land is adjacent and is adjacent the development Credit land Credit land downgradient to the area of impact site in IWPA in Zone II at BOH or DEP ` Certainsfacf ities sited n one jI: ' discretion }5 mg/1 mtrat plannwg threshold *Except where required: atsthe{PWS well.w th'DEP 1Vlodel E i.e.,the public well is at risk 7. SITE-SPECIFIC MASS BALANCE ANALYSIS 1. Where the proposed discharge from a facility is 2000 gpd or greater,but less than 10,000 gpd,and. may impact sensitive receptors;the Board of Health or DEP may require a site-specific mass balance analysis to ensure adequate protection of public health, safety or the environment. In this event,the applicant must demonstrate that,in addition to meeting the 440 gpd per acre equivalency standard,the groundwater compliance standard of 10 mg/l total nitrogen and 10 mg/l nitrate- nitrogen will be met at the downgradient credit land property boundary or the nearest downgradient sensitive receptor. 9 E- To demonstrate that a proposed facility's discharge meets the 10 mg/1 standards,the applicant must complete a hydrogeologic report with the following components: A) Hydrogeologic Assessment B) Mounding Analysis Q Nitrogen Analysis D) Groundwater Monitoring Program A)Hydrogeologic Assessment The applicant must assess and describe the hydrogeologic conditions present at the proposed system site. A pre-application proposal letter outlining the scope of work should be submitted to the approving authorities,for comment,to confirm study protocols and objectives. A pre-application conference may also be advisable. The hydrogeologic assessment must include: • a soil evaluation in accordance with Title 5 requirements • determination of seasonal high groundwater determination of aquifer parameters sufficient for the calculation of mounding potential • development of a groundwater now map. • determination of groundwater flow direction • determination and identification of all downgradient sensitive receptors within the area of impact of the proposed discharge B)Mounding Analysis The applicant must conduct a mounding analysis for the proposed discharge (3 10 CMR demonstrate that ) separates the appropriate thickness of unsaturated material required by Title the bottom of the soil absorption system(SAS) and the mounded, seasonal high water table. Mounding calculations must be conducted to stabilization at the proposed design flows and be reflected on the water table map. The DEP methodology used to assess mounding potential may be relativelys i simple s analytical determine calculations(e.g.,Hantush or Finnemore). The purpose of the mound analysis Y the extent of mounding perpendicular to the se included direction b groundwater the hydrogeologiclrep data and calculations used as part of the analysis mu Q Nitrogen Analysis The applicant must evaluate by mass balance analysis the amount of effluent and fertilizer dilution that is anticipated at the credit land's downgradient property boundary or sensitive receptors, assuming total mixing of the effluent plume and groundwater recharge due to precipitation. A discharge will be considered to be protective of sensitive receptors when the recharge in the land area within the discharge's Area of Impact(AOI)is sufficient to allow for dilution of total nitrogen and nitrate-nitrogen concentration(NO3)to 10 mg/1 at the credit land's downgradient property. boundary or nearest downgradient sensitive receptor. (See Figure 2). 10 If the available land area downgradient of the discharge will be insufficient to dilute the groundwater nitrogen concentrations below 10 mg/1 at the property boundary or sensitive receptor, the applicant must employ one or more of the following options: decrease the volume of proposed discharge • decrease the nitrogen concentration in the effluent by increasing treatment • relocate and/or reorient the SAS to maximize recharge to the Area of Impact • obtain more land,that is,qualified credit land adjacent and downgradient to the Area of Impact Figure I Conceptual illustration of mass balance analysis Downgradient Pro Property Boundaries e Boundar Facility Land Groundwater flow Fertilizer: f' NO3 31bs/100o sf Lawn 35 mg/1 @ 25% 18"recharge Credit Land Road >2000gpd Must ri �" ea of Impac ' y T meet �,; f _ Lawn �.`, , n •4 10 mg/1 Cyr . Land area for dilution Load: -Wastewater+Fertilizer = .Nitrate Concentration Volume: Wastewater+Recharge To calculate the nitrogen impact,the project proponent must evaluate the downgradient total nitrogen and nitrate dilution as follows: Step 1. Determine the Area of Impact(AOI)downgradient of the discharge by flownet analysis. The AOI will extend from the upgradient edge of the SAS to the { downgradient credit land boundary. The lateral extent of the AOI must be established by the groundwater divides developed beneath the SAS at design flow. • The AOI subject to recharge must be exclusive of impervious surfaces, such as buildings,pavement and rock outcrops. • Where groundwater mounding is not significant,the lateral extent of the AOI will be the lateral extent of the leach bed or disposal area. 11 T Step 2. Determine the nitrogen load for the AOI from the system and lawn fertilizer. Step 3. Determine the volume of water applied to the AOI from the discharge and recharge. Step 4. Calculate the average daily NO3 concentration(mg/1)at the downgradient extent of the AOI assuming total mixing of the wastewater plume and the overlying recharge using the equation: Cn = (Lww +Lfert)/(Vww +Vr) where the concentration of nitrate(Cn) is equal to the sum of the wastewater load(Lww)and the fertilizer load(Lfert), divided by the sum of the wastewater volume(Vww) and the volume of recharge (Vr). Step 5. Compare the calculated NO3 concentration to the 10 mg/1 standard. For DEP purposes,the mass balance approach assumes only the wastewater discharge and fertilizer as the significant nitrogen sources from facility land. The following assumptions apply to the mass balance analysis and are used in the examples in Figures 3 and 4: one gallon of wastewater discharge @ 35 mg/l nitrate contains 132 mg of nitrate on average, 1000 sf of lawn receives 933 mg of nitrate per day in fertilizer 18 in per yr of recharge over one acre of land=5062 liters per day one gallon=.3.78 liters The 35 mg/l nitrate assumes total conversion of nitrogen species in the effluent discharged from the SAS of conventional septic systems. These assumptions will apply in most cases. However,the applicant may use other assumptions, subject to DEP approval,to better address site specific conditions: For instance,in cases where Innovative/Alternative(I/A)technologies providing enhanced nitrogen removal are proposed,.the nitrate concentration in the effluent would change, thereby changing the nitrogen load. (Concentration x Flow = Load) Examples of nitrate-nitrogen concentrations from approved General Use,enhanced nitrogen removal I/A technologies: nitrate @ one gallon of wastewater: General Use. RSF 25 mg/l 95 mg of NO3 General Use RUCK 19 mg/l 72 mg of NO3 With enhanced nitrogen removal technologies,lower nitrate values may substitute for the.assumed 35 mg/l nitrate concentration from a conventional septic systems. 12 Figure 3. The 10 mg/1 standard is met. The proposed project will have: T • 3,000 gpd design flow • 20,000 sf lawn in area of impact • groundwater mound expanding the area of influence • 8 acres of land in area of impact To calculate the loading: • Wastewater: 3,000 gpd x 132 mg 396,000 mg • Lawn fertilizer: 20 x 933 mg/day + 18,660 mg Total 414,660 mg To calculate the volume of wastewater discharge and recharge: • Determine size of area of impact after mounding • Wastewater: 3,000 gpd x 3.78 liters 11,340 liters • Natural surface 8 acres @ 18"/yr (5062 liters/day) +, 40.496 liters Total 51,836 liters Result: Load: 414,660 mg = 8.0 mg/liter Volume: 51,836 liters Having 8 acres in the area of impact downgradient of the discharge and within the credit land, maintains an overall NO3 concentration below 10 mg/1 and allows the project to proceed. Figure 4. The 10 mg/1 standard is not met. The proposed project will have: • 3,000 gpd design flow • 20,000 sf lawn in area of impact 3 • groundwater mound expanding the area of influence • 5.5 acres of land in area of impact To calculate the loading: • Wastewater: 3,000 gpd x 132 mg 396,000 mg • Lawn fertilizer: 20 x 933 mg/day k +,, 18,660 mg Total 414,660 mg To calculate the volume of wastewater discharge and recharge: " • Determine size of area of impact after mounding • Wastewater: 3,000 gallons x 3.78 liters 11,340 liters • ' Natural surface 5.5 acres @ 18"/yr(5062 liters/day) + 27,871 liters ' Total 39,181 liters- Result: Load: 414,660 mg = 10.6 mg/liter. Volume: 39,181 liters Having 5.5 acres in the area of impact downgradient of the discharge is not sufficient to dilute the volume of nitrate effluent to 10 mg/l. The project would not be allowed to proceed unless modified. 13 D) Groundwater Monitoring Program The Board of Health or DEP may require owners of a system that has design flows of 2000 gpd or r ater to monitor groundwater quality at any on-site or credit land sensitive receptors, g e q down gradient property boundaries, or both. The frequency of the monitoring and the parameters tested will be based upon the type of receptor, its sensitivity and its proximity to the discharge. Monitoring wells must be constructed in accordance with the DEP's Standard References for Monitoring Wells. Downgradient sensitive receptors and site specific hydrogeologic conditions will dictate well depth and well screen placement. Wells should be installed at a depth that will intersect the nitrate-nitrogen plume and be screened from the water table to the completion depth. Monitoring will typically be required to be conducted semi-annually or quarterly, depending on the conditions.The monitoring well(s)must be sampled for the following parameters: • groundwater elevation(NGVD datum) e pH • specific conductance • alkalinity • nitrate-nitrogen • nitrite-nitrogen a total nitrogen(nitrite-nitrogen,nitrate-nitrogen and total kjeldahl nitrogen) The applicant must submit the proposed monitoring plan with the facility aggregation plan application package. The water quality results obtained from the monitoring will be submitted to the appropriate DEP regional office at a frequency specified in the approval. Failure to meet the standard will result in a system upgrade requirement. 8. LAND USE RESTRICTIONS ON FACILITY AND NONFACILITY CREDIT LANDS Deeded land use restrictions on the facility and nonfacility credit land which run in perpetuity are a. required component of a facility aggregation plan. A deed restriction granted by a land owner to a governmental entity limits the use of the restricted land in perpetuity pursuant to M.G.L: c. 184,§26. The restriction maybe stated in the form of a restriction,easement,covenant or condition,and may restrict only a few.activities,such as the nitrogen loading restriction,or many activities, such as a conservation restriction. A conservation restriction authorized by M.G.L.,c.184,§31-32 that specifically restricts nitrogen loading,or a nitrogen loading restriction and easement running to both the benefited land and the municipality acting by and through the local Board of Health, authorized by M.G.L.c.184,§26,are the most appropriate restrictions for the establishment of credit land in perpetuity. The applicant also must restrict the facility land to the appropriate number of bedrooms or design flow by a separate deed restriction. The template for these instruments is provided in the attachments as follows: Attachment 1 the model"Grant of Title 5 Nitrogen Loading Restriction and Easement"for restricting the applicant's facility land to the appropriate 14 f number of bedrooms or design flow. Attachment 2 the model"Grant of Title 5 Nitrogen Loading Restriction and Easement," where the applicant seeks nitrogen credit land from a third party owner/nonfacility land. Attachment 3 the model"Grant of Title 5 Nitrogen Loading Restriction and Easement," where the applicant owns both the facility and the credit land. Attachment 4 the EOEA model Conservation Restriction (as modified for nitrogen as described below). All restrictions shall be recorded and/or registered with the appropriate Registry of Deeds or Registry District of the Land Court within 30 days of approval by DEP or the expiration of the 60 day DEP constructive approval period pursuant to 310 CMR 15.216. The applicant's submittal to DEP must include the proposed,unexecuted restriction documents as reviewed and.approved by the Board of Health as part of the application. , A. Nitrogen Loading Restriction and Easement A Title 5 Nitrogen Loading Restriction and Easement limits activities that generate nitrogen. Restrictions on facility land must limit development to the applicable number of bedrooms or applicable design flow. Restrictions on credit land must limit,at a minimum,activities which would render the property ineligible for credit land(see Section 6 above). For example,a credit land restriction must prohibit the use of nitrogen-based fertilizers on credit land. See Attachments 2 through 4 for model credit land restrictions. 1.Holder: With the exception of state or federal facilities,a nitrogen loading restriction and easement on credit land must be granted to the local approving authority and,in cases where the applicant is , seeking nitrogen credit land from a third party,the restriction also must run to the benefit of the facility land. 2. Duration: Because the nitrogen loading restriction and easement runs to the benefit of governmental entities,the restriction will run in perpetuity,unless released by approval of the local approving authority in the event that the septic system(s)are abandoned in accordance with 310 CMR 15.354 or the land is no longer located within a nitrogen sensitive area pursuant to 310 CMR 15.215, e.g.,in the case of a Zone II or IWPA. B. Conservation Restriction t A conservation restriction prohibiting uses and activities that result in nitrogen loading is also an appropriate means of ensuring the continued maintenance of nitrogen loading limitations. A conservation restriction is governed by M.G.L.c.184,§31-33 and may be a restriction,easement, covenant or condition. The source reference for this section on Massachusetts conservation restrictions is The Massachusetts Conservation Restriction Handbook(1992),published by the Division of Conservation Services,Executive Office of Environmental Affairs, 100 Cambridge Street,Boston,MA 022.02, 617-727-9800. A conservation restriction must be approved by the Secretary of Environmental Affairs. It is advisable to have a draft of the restriction reviewed by EOEA prior to formal submission to the local approving authority. 15 1. Statutory Definition: A conservation restriction is a restriction maintaining land or water areas predominantly in their natural,scenic,or open condition;or in agricultural,farming or forest use;or allowing public recreational use.A conservation restriction may also prohibit any or all of the following: (1)construction or placing of buildings,roads,signs,billboards or other advertising, utilities or other structures on or above the ground;(2)dumping or placing of soil or other substance or material as landfill,or dumping or placing of trash,waste or unsightly or offensive materials; (3) removal or destruction of trees,shrubs or other vegetation;(4)excavation,dredging or removal of loam,peat,gravel,soil,rock or other mineral substance in such a manner as to affect the surface;(5) surface use except for agricultural,farming,forest or outdoor recreational purposes or purposes permitting the land or water area to remain predominantly in its natural condition;(6)activities detrimental to drainage,flood control,water conservation,erosion control or soil conservation;or(7) other acts or uses detrimental to such retention of land or water areas. For purposes of nitrogen aggregation,a conservation restriction on nonfacility credit land must include a prohibition on nitrogen loading. For example: . Activities which have a detrimental effect on nitrogen loading on the property,including but not limited to the use of man-made sources of nitrogen such as wastewater discharges,nitrogen based fertilizers,the raising and grazing of livestock,the introduction of artificially rendered impervious surfaces,and the creation or introduction of land under water. A change in the condition of the property which results in the property or a portion thereof being within a Velocity Zone or a Regulatory Floodway will render the Property or a portion thereof ineligible for nitrogen credit pursuant to 310 CMR 15.216. 2. Holder.A conservation restriction must be granted to either a governmental body or a qualified charitable corporation or trust. The Secretary of Environmental Affairs(EOEA)determines if a particular charitable organization or trust is a suitable holder.of a conservation restriction. 3. Municipal and State approving authority: A conservation restriction on either facility land.or credit land,requires approval by both the municipal government and the Secretary of the Environmental Affairs to become effective. If the restriction is to be held by a governmental body, it must be accepted by that governmental body and subsequently approved by the Secretary of Environmental Affairs. Restrictions to be held by charitable corporations or trusts must be;(i) approved by the mayor/city manager and the city council for land located in a city,and for land located in a town,by the board of selectmen or the town meeting;and(ii)subsequently approved by the Secretary of Environmental Affairs. 4. Duration: A conservation restriction approved by the Secretary of Environmental Affairs or held by a governmental body is perpetual,and may be released,in whole or in part,only: (1) after public hearing by the governmental body holding the restriction,or if held by a charitable corporation or trust,after public hearing and approval by the mayor/city manager,the city council of the city,or the selectmen of the town;and (2) upon a two-thirds vote of the city council or town meeting and both branches of the Legislature determiningthat the restriction is to be released for the public good. (This step is considered mandatory by the EOEA for compliance with Article 97 of the Massachusetts Constitution although not specifically addressed in M.G.L.c.184,§32.); 16 (3) in compliance with the Massachusetts Environmental Policy Act,M.G.L.c.30,§§61 -62H (NMPA)and regulations,301 CMR 11.00;and (4) upon a determination by the Secretary of Environmental Affairs that continuance of the restriction no longer serves the public interest. 5. Facility or credit land owned or previously restricted by governmental bodies. When the proposed credit land is subject to Article 97 of the Massachusetts Constitution,(e.g.,conservation land or park land owned by a governmental body),the grant of nitrogen loading and restriction easement by the governmental body will likely be considered a disposition that requires authorization by a two thirds vote of the city council or town meeting and both branches of the legislature. .When facility land or credit land is to be obtained-by amending an existing conservation restriction to include prohibitions on nitrogen loading,the amended conservation restriction must be approved by the Secretary of Environmental Affairs. According to The Massachusetts Conservation Restriction Handbook(1992),it is the policy of the Secretary to approve amendments to conservation restrictions provided that they strengthen the original restriction or have a neutral effect on the original restriction. 9. REQUIREMENTS FOR THE AGGREGATION PLAN REPORT An applicant must include the following in the application to the Board of Health and DEP. Applicants seeking DEP approval must submit for DEP review, a Facility Aggregation Plan pursuant to application BRP WP58a. A Facility Aggregation Plan report must include: • Completed BRP WP 58a application, including fee payment(For DEP submittal only). • Board of Health-letter approving both the aggregation plan and(unexecuted)restriction documents(for DEP submittal only). • A locus map(USGS 1:25,000 scale topographic series sheet) indicating the location of the proposed facility and credit land,the location of all public water supply well(s)with the corresponding nitrogen sensitive area(s),and the location of all public water supplies within a one-half mile radius of the proposed discharge.. • A description of the proposed facility, site characteristics,the proposed subsurface disposal system,the relevant nitrogen sensitive area, sensitive receptors within one-half mile radius of the proposed discharge,loading calculation and aggregation proposal details. If the Board of Health requires an impact assessment at the downgradient credit land property boundary or nearest sensitive receptor,the report also must include a discussion of the raw data,the hydrogeologic assessment, analysis findings, conclusions, and a groundwater monitoring plan. • A site map(appropriately scaled) showing the nitrogen sensitive area with the location/ identification of the public water supply,the facility property boundaries with existing and proposed improvements,credit land, sensitive receptors,and relevant topographic features, such as bedrock outcrops, streams,ponds,etc.). If the Board of Health requires an impact assessment at the downgradient credit land property boundary or nearest sensitive receptor,the site map also must show topographic and groundwater contours for the delineated area of impact, 17 locations for proposed monitoring wells and other relevant features, such as boring and test pit locations. • Calculations to meet the 440 gpd per acre equivalency standard;and,if applicable, site-specific mass balance analysis to meet the 10 mg/1 nitrogen standard at the downgradient credit land property boundary or nearest downgradient sensitive receptor. • Results from the DEP Nitrogen Loading Model analysis and discussion, if applicable. • Planning Board comments, if any. • Copies of current deeds for both facility and credit land and any plans cited in those deeds. • Copies of the(unexecuted)conservation restriction(s) and/or nitrogen loading restriction(s) for both facility and credit land. • A draft of a recordable Plan of Record, if applicable. The DEP application requires two copies of the Facility Aggregation Plan report to be submitted to the appropriate DEP regional office. Upon DEP approval,the applicant must execute and record the restriction documents within 30 days and deliver recorded copies to the Board of Health and DEP. 18 I ATTACHMENT 1 Upon recording,mail to: ' Bureau of Resource Protection,Wastewater Management Department of Environmental Protection [applicable Regional Office address] GRANT OF TITLE 5 NITROGEN LOADING RESTRICTION AND EASEMENT ON FACILITY LAND (restriction of bedrooms or design flow on Grantor's facility land). 310 CMR 15.216 This GRANT OF TITLE 5 Nitrogen Loading Restriction AND EASEMENT on Facility Land made as of this day of______,19___,by ,of County,Massachusetts("Grantor"). WITNESSETH a WHEREAS, Grantor being the owner(s) in fee simple of that [those] certain parcel(s)of[vacant] land located in County,Massachusetts,with the buildings and improvements thereon,pursuant to a deed from to Grantor,dated ,and.recorded with County Registry of Deeds in Book Page [source of title other than by deed] and/or pursuant to Certificate of Title No. issued by the Land Registration Office of the County Registry District, said parcel(s) of land being more particularly bounded and described in Exhibit A,attached-hereto and made a part hereof,and being shown on a plan entitled, dated ,prepared by ,recorded with County Registry of Deeds as Plan No. ,in Plan Book and/or registered as Land Court Plan No. ,on file with the Land Registration Office of County Registry District("Property");and WHEREAS,Grantor desires to restrict the number of bedrooms as defined pursuant to 310 CMR 15.002 and/or the wastewater discharge design flow in any improvements located on the Property through the use of this Nitrogen Loading Restriction and Easement on Facility Land;and WHEREAS, the Facility Land has the benefit of a Nitrogen Loading Restriction and Easement over approximately acres, being more particularly bounded and described in Grant of Title 5 Nitrogen Loading Restriction and Easement on Nitrogen Credit Land,recorded with the County Registry of Deeds at Book Page [or in file with the Land Registration.Office of the County Registry District][or to be - recorded/filed for registration herewith];and WHEREAS, the Nitrogen Loading Facility Aggregation Plan fhas been approved by the Board of Health [insert appropriate town/city] [and, if required, the Massachusetts Department of Environmental Protection ("MassDEP" or"Department")] in accordance with the Department's "Guidelines for Title 5 Aggregation of Plans and Nitrogen Loading;" said approval being based upon the agreement by Grantor to incur certain obligations regarding the number of bedrooms,as defined in 310 CMR 15.002,and/or the wastewater discharge design flow in any improvements located on the Property and maintenance of the Facility Land Restriction and Easement to ensure protection of the nitrogen loading limitation of 440 gpd/acre discharge standard pursuant to 310 CMR 15.214 in nitrogen-sensitive areas or in areas serving new construction where the residential use of both on-site systems and drinking water supply wells are proposed; and to grant to the municipality acting by and through the Board of Health [insert appropriate town/city]a perpetual easement to ensure maintenance of the Property including,but not limited to,removal of any prohibited uses and in connection herewith a perpetual easement to pass and repass over the Property for purposes of inspecting the Property to ensure compliance with and fulfillment of the terms of the Facility Land Restriction/Easement as hereafter set forth; NOW,THEREFORE,pursuant to the provisions of 310 CMR 15.216,Grantor does hereby GRANT to . the Town/City of ,a Massachusetts municipal corporation situated in County,having an address at , Massachusetts, acting by and through its Board of Health("Local Approving Authority") for nominal, non-monetary consideration, with QUITCLAIM COVENANTS, a TITLE 5 NITROGEN LOADING RESTRICTION AND EASEMENT ON FACILITY LAND("Facility Land Restriction/Easement")in,on,upon,through,over and under the Property,the terms and conditions of which are as follows: 1 A— PURPOSE: The purpose of this restriction and easement is to protect and preserve the quality and quantity of ground water area of the public and private wells in the Town/City of Massachusetts in order to ensure resources in the ar p pn ty a safe and healthy public and private water supply for the present and future inhabitants of the area. It shall also be for the specific purpose of limiting the introduction of nitrogen and other pollutants into, and maintaining the natural uptake of pollutants and the recharge of the ground water which takes place on the Property for the said water supply. OBLIGATIONS AND EASEMENT: 1. Prohibitions. Grantor agrees to restrict the number of bedrooms, as 'defined pursuant to 310 CMR 15.002, in any improvements on the Property to [insert number of bedrooms,or,in cases where the design flow for the facility is not determined by the number of bedrooms, insert the applicable wastewater discharge design flow limitation in 310 CMR 15.214]. 2. Easements. In creating this Facility Land Restriction and Easement, Grantor hereby grants to the Local Approving s agents, contractors subcontractors and employees a to perpetual EASEMENT to enter and the right to u Authority,it g p y p rp P c deemed necessary to maintain the Property in a manner which bring equipment onto the Property to do any and all acts ee ry p riy ensures protection of the nitrogen loading limitation of 440 gpd/acre discharge standard pursuant to 310 CUR 15.214 together with a right to pass and repass by foot and by vehicle over the Property for said purposes, and.for purposes of inspecting the Property to ensure compliance with and fulfillment of the terms of this Facility Land Restriction/Easement. 3.Severability.If any court or other tribunal determines that any provision_of this instrument is invalid or unenforceable, provision rovision shall be deemed to have been modified automatically to conform to the requirements for validity and enforceability as determined by such court or tribunal. In the event the provision invalidated is of such a nature that it cannot be so modified,the provision shall be deemed deleted from this instrument as though it had never been included herein. In either case,the remaining provisions of this instrument shall remain in full force and effect. 4. Enforcement. Grantor expressly acknowledges that a violation of the terms of this instrument could result in the following: (i) upon determination by a court.of competent jurisdiction,in the issuance of criminal and civil penalties,and/or equitable remedies, including, but not limited to, injunctive relief, such injunctive relief could include the issuance of an order to modify or remove any improvements constructed upon the Property in violation of the terms of this Facility Land Restriction/Easement;and (ii)in the assessment of penalties and enforcement action by the Local Approving Authority and DEP to enforce the terms of this Facility Land Restriction/Easement, pursuant to Title 5; M.G.L. c.111, §§ 17, 31, 122, 124, 125, 125A, 127A through 1270,and 129;and M.G.L.c.83,§11. 5.Provisions to Run with the Land.This Facility Land Restriction/Easement sets forth the rights, liabilities, agreements and obligations upon and subject to which the Property or any portion thereof, shall be left unimproved or according to which said Property may be improved,held,used,occupied, leased, sold,hypothecated, encumbered,or conveyed. The and an applicable thereto, rights, liabilities, agreements and obligations herein set forth shall run with the Property; as ppy h r under d be binding u on Grantor and all parties claiming b through o portion thereof and shall inure to the benefit of an g p p S Y, g. the Local Approving Authority or Grantor. The rights hereby granted to the Local Approving Authority and its successors and assigns constitute their perpetual right to enforce this Facility Land Restriction/Easement. Grantor hereby covenants for himself/herself/itself and his/her/its executors, administrators,heirs, successors and assigns,to stand seized and hold title to,the Property, as applicable thereto, and any portion thereof, subject to this Facility Land Restriction/Basement, provided,however,that a violation of this Facility Land Restriction/Easement shall not result in a forfeiture or reversion of Grantor's title to the Property,as applicable thereto. 6. Concurrence Presumed. It being agreed that Grantor and all parties claiming by, through or under Grantor shall be deemed to be in accord with the provisions herein set forth and to agree for and among themselves and any party claiming by,through or under them,and their respective agents,contractors,sub-contractors and employees,that the Facility Land Restriction/Easement herein established shall be adhered to and not violated and that their respective interests in the Property and the Facility Land Restriction and Easement,as applicable thereto,shall be subject to the provisions herein set forth. 2 A— 7. Incorporation into Deeds Mortgages, leases and Instruments of Transfer. Grantor hereby agrees to incorporate this Facility Land Restriction/Easement, in full or by reference, into all deeds, easements, mortgages, leases, licenses, , occupancy agreements or any other instrument of transfer by which an interest in and/or a right to use the Property,or any portion thereof,is conveyed. r • 8.Recordation.Grantor shall record and/or register this Facility Land Restriction/Easement with the appropriate Registry of Deeds and/or Land Registration Office within 30 days of the latter of receipt from the Local Approving Authority of the approved Facility Land Restriction/Easement or the expiration of the 60-day DEP constructive approval period pursuant to 310 CMR 15.216. Grantor shall file with the Local Approving Authority and the DEP a certified Registry copy of this Facility Land Restriction/Easement as recorded and/or registered within 30 days of its date of recordation and/or registration. 9.Amendment and Release.This Facility Land Restriction/Easement may.be amended or released only upon approval by the Local Approving Authority. Release of this Facility Land Restriction/Easement shall be granted by the Local Approving Authority in the event the Property is connected to a municipal sewer system and the septic system serving the Property is abandoned in accordance with 310 CMR 15.354 or the Property is no longer located within a nitrogen sensitive area pursuant to 310 CMR 15.215. Any such amendment or release shall be recorded and/or registered with the appropriate Registry of Deeds and/or Land Registration Office and a certified Registry copy of said amendment or release shall be filed with the Local Approving Authority and the DEP within 30 days of its date of recordation and/or registration. 10.Term.This Facility Land Restriction/Easement shall run in perpetuity and is intended to conform to M.G.L.c.184,§26, as amended. , 11.Riehts Reserved.This Facility Land Restriction/Easement is granted to the Local Approving Authority in connection with the approval of a Nitrogen Loading Facility Aggregation Plan pursuant to 310 CMR 15.216 and the Department's "Guidelines for Title 5 Aggregation of Flows and Nitrogen Loading.".It is expressly agreed that acceptance of the Facility Land Restriction/Easement by the Local Approving Authority or constructive approval of the Nitrogen Loading Facility Aggregation Plan by DEP shall not operate to bar,diminish,or in any way affect any legal or equitable right of the Local Approving Authority or DEP to issue any future order with respect to the Property or in any way affect any other claim, action,suit,cause of action,or demand which the Local Approving Authority of DEP may have with respect thereto. Nor shall acceptance of the Facility Land Restriction/Easement serve to impose any obligations,liabilities,or any other duties . upon the Local Approving Authority. 12. Effective Date. This Facility Land Restriction/Easement shall become effective upon its recordation and/or registration with the appropriate Registry of Deeds and/or Land Registration Office. 3 A— t f • WITNESS the execution hereof under seal this day of______,19 Grantor COMMONWEALTH OF MASSACHUSETTS §§ ,19 Then personally appeared the above-named and acknowledged the foregoing instrument to be free act and deed before me. Notary Public: My commission expires: The [insert Local Approving Authority]hereby approves and accepts this Grant of Title 5 Nitrogen Loading Restriction and Easement on Facility Land. Local Approving Authority Date: 4 A— ATTACHMENT 2 Upon recording,mail to: Bureau of Resource Protection,Wastewater Management Department of Environmental Protection [applicable Regional Office address] d GRANT OF TITLE 5 NITROGEN LOADING RESTRICTION AND EASEMENT ON NITROGEN CREDIT LAND (where Grantee seeks nitrogen credit.land from third party Grantor) 310 CMR 15.216 This GRANT OF TITLE 5 Nitrogen Loading Restriction AND EASEMENT on Nitrogen Credit Land made as of this day of , 19__, by , of County, Massachusetts ("Grantor"). - WITNESSETH WHEREAS, Grantor being the owner(s)in fee simple of that [those] certain parcel(s)of[vacant] land located in County,Massachusetts,with the buildings and improvements thereon,pursuant to a deed from to Grantor,dated ,and recorded with County Registry of Deeds in Book Page [source of title other than by deed] and/or pursuant to Certificate of Title No. issued by the Land Registration'Office of the County Registry District, said parcel(s) of land being more particularly,bo nude& and described in Exhibit A,attached hereto and made a part hereof,and being shown on a plan entitled, " dated ,prepared by ,recorded with County Registry of Deeds as Plan No. ,in Plan Book and/or registered as Land Court Plan No. ,on file with the Land Registration Office of County Registry District("Property");and WHEREAS, of County, Massachusetts, ("Grantee of the Benefited Property") being the owner(s) in fee simple of that [those] certain parcel(s) of [vacant] land located in County,Massachusetts,with the buildings and improvements thereon,pursuant to a deed from Ito Grantee of the Benefited Property,,dated ,and recorded with County Registry of Deeds in Book ,Page. [source of title other than deed]and/or pursuant to Certificate of Title No. issued by the Land Registration Office of the . County Registry District, said parcel(s) of land being more particularly bounded and described in Exhibit B, attached hereto and made a part hereof, and being shown on a plan entitled, dated_ ,prepared by ,recorded with County Registry of deeds as Plan No. ,in Plan Book and/or registered as Land Court Plan No. ,on file with the Land Registration Office of County Registry District("Benefited Property");and WHEREAS, the Benefited Property has the benefit of a Nitrogen Loading Restriction and Easement, being more'particularly bounded and described in, a Grant of Title 5 Nitrogen Loading Restriction and Easement on Facility Land,recorded with the County Registry of Deeds at Book ,Page [or on file with.the Land Registration Office of County Registry District] [or to be recorded/filed for registration herewith] ("Facility Land Restriction and Easement");and ` WHEREAS, the Nitrogen Loading Facility Aggregation Plan has been approved by the Board of Health [insert appropriate town/city] [and, if required, the Massachusetts Department of Environmental Protection ("MassDEP" or"Department")] in accordance with the Department's "Guidelines for Title 5 Aggregation of Plans and Nitrogen Loading;" said approval being based•upon the agreement by Grantor to incur certain obligations regarding the number of bedrooms, as defined in 310 CMR 15.002,and/or the wastewater discharge design flow in any improvements located on the Property and maintenance of the Facility Land Restriction and Easement to ensure protection of the nitrogen loading limitation of 440 gpd/acre discharge standard pursuant to 310 CMR 15.214 in nitrogen-sensitive ` areas or in areas serving new construction where the residential use of both on-site systems and drinking water supply wells are proposed;and to grant to the Grantee of the Benefited Property and to the municipality acting by and through the Board of Health[insert appropriate town/city]a perpetual easement to ensure maintenance of the Property as nitrogen credit land including,but not limited to,removal of any prohibited uses and in connection herewith a perpetual easement to pass and repass over the Property for purposes of inspection to ensure compliance with and fulfillment of the terms of this Nitrogen Credit Land Restriction/Easement as hereafter set forth; 5 A— d NOW,THEREFORE,pursuant to the provisions of 310 CMR 15.216,Grantor does hereby GRANT to the Grantee of the Benefited Property and to the Town/City of. , a Massachusetts municipal corporation situated in County, having an address at , Massachusetts, acting by and through its Board of Health ("Local Approving Authority") for nominal, non-monetary consideration,with QUITCLAIM COVENANTS, a TITLE 5 NITROGEN LOADING RESTRICTION AND EASEMENT on NITROGEN CREDIT LAND ("Nitrogen Credit Land Restriction/Easement") consisting of approximately acres in, on,upon,through, over and under the Property,the terms and conditions of which areas follows: PURPOSE: The purpose of this restriction and easement is to protect and preserve the quality and quantity of ground water resources in the area of the public and private wells in the Town/City of ,Massachusetts in order to ensure a safe and healthy public and private water supply for the present and future inhabitants of the area It shall also be for the specific purpose of limiting the introduction of nitrogen and other pollutants into,and maintaining the natural uptake of pollutants and the recharge of the ground water which takes place on the Property for the said water supply and for the specific benefit of the above referenced Benefited Property. OBLIGATIONS AND EASEMENT: 1. Prohibitions. Grantor agrees to maintain the Property as nitrogen credit land by prohibiting activities which have a detrimental effect on nitrogen loading on the Property, including but not limited to wastewater discharges, the use of nitrogen fertilizer,the introduction of artificial impervious surfaces,the raising,breeding or keeping of animals,livestock or poultry for commercial purposes,and the creation or introduction of land under water. A change in the condition of the Property which results in the Property or a portion thereof being within a Velocity Zone or a Regulatory Floodway will render the Property or said portion thereof ineligible for nitrogen credit pursuant to 310 CMR 15.216. 2.Easements.In creating this Nitrogen Credit Land Restriction and Easement,Grantor hereby grants to the Grantee of the . Benefited Property and to the Local Approving Authority,its agents,contractors,subcontractors and employees a perpetual EASEMENT to enter upon and the right to bring equipment onto the Property to do any and all acts deemed necessary to maintain the Property as nitrogen credit land,together with a right to pass and repass by foot and by vehicle over Property for said purposes,and for purposes of inspecting the Property to ensure compliance with and fulfillment of the terms of this Nitrogen Credit Land Restriction/Easement. 3. Severability.If any court or other tribunal determines that any provision of this instrument is invalid or unenforceable, such provision shall be deemed to have been modified automatically to conform to the requirements for validity and enforceability as determined by such court or tribunal. In the event the provision invalidated is of such a nature that it cannot be so modified,the provision shall be deemed deleted from this instrument as though it had never been included . herein. In either case,the remaining provisions.of this instrument shall remain in full force and effect. 4. Enforcement. Grantor expressly acknowledges that a violation of the terms of this instrument could result in the following: (i) upon determination by a court of competent jurisdiction,in the issuance of criminal and civil penalties,and/or equitable remedies, including, but not limited to, injunctive relief, such injunctive relief could include the issuance of an order to modify or remove any improvements constructed upon the Property in violation of the terms of this Nitrogen Credit Land Restriction/Easement;and (ii) in the assessment of penalties and enforcement action by the Local Approving Authority and DEP to enforce the terms of this Nitrogen Credit Land Restriction/Easement,pursuant to Title 5; M.G.L. c.111, §§ 17, 31, 122, 124, 125, 125A, 127A through 1270,and 129;and M.G.L.c.83,§11. 5. Provisions to Run with the Land. This Nitrogen Credit Land Restriction/Easement sets forth the rights, liabilities, agreements and obligations upon and subject to which the Property or any portion thereof, shall be left unimproved or according to which said Property may be improved, held, used, occupied, leased, sold, hypothecated, encumbered, or conveyed. The rights,liabilities,agreements and obligations herein set forth shall run with the Property and the Benefited Property, as applicable thereto, and any portion thereof and shall inure to the benefit of and be binding upon Grantor, Grantee of the Benefited Property,and all parties claiming by,through or under the Local Approving Authority or Grantor. The rights hereby granted to the Grantee of the Benefited Property,the Local Approving Authority, and their respective 6 A- successors and assigns,constitute their perpetual right to enforce this Nitrogen Credit Land Restriction/Easement.Grantor hereby covenants for himself/herself/itself and his/her/its executors,administrators,.heirs,successors and assigns,to stand seized and hold title to the Property,as applicable thereto,and any portion thereof,subject to this Nitrogen Credit Land Restriction/Easement, provided, however, that a violation of this Nitrogen Credit Land Restriction/Easement shall not result in a forfeiture or reversion of Grantor's title to the Property,as applicable thereto. 6. Concurrence Presumed. It being agreed that Grantor and all parties claiming by, through or under Grantor shall be deemed to be in accord with the provisions herein set forth and to agree for and among themselves and any parry claiming by,through or under them,and their respective agents,contractors,sub-contractors and employees,that the Nitrogen Credit Land Restriction/Easement herein established shall be adhered to and not violated and that their respective interests in the Property and the Nitrogen Credit Land Restriction and Easement,as applicable thereto,shall be subject to the provisions herein set forth. , 7. Incorporation into Deeds, Mortgages, leases and Instruments of Transfer. Grantor hereby agrees to incorporate this Nitrogen Credit Land Restriction/Easement,in full or by reference,into all deeds,easements,mortgages,leases,licenses, occupancy agreements or any other instrument of transfer by which an interest in and/or a right to use the Property,or any portion thereof,is conveyed. 8.Recordation. Grantor shall record and/or register this Nitrogen Credit Land Restriction/Easement with the appropriate Registry of Deeds and/or Land Registration Office within 30 days of the latter of: receipt from the Local Approving Authority of the approved Restriction/Easement or the expiration of the 60-day DEP constructive approval period pursuant to 310 CMR 15.216. Grantor shall file with the Local Approving Authority and the DEP a certified Registry copy of this. Nitrogen Credit Land Restriction/Easement as recorded and/or registered within 30 days of its date of recordation and/or registration. 9. Amendment and Release. This Nitrogen Credit Land Restriction/Easement may be amended or released only upon approval by the Local Approving Authority. Release of this Nitrogen Credit Land Restriction/Easement shall be granted by the Local Approving Authority in the event the Benefited Property is connected to a municipal sewer system and the septic system serving the Benefited Property is abandoned in accordance with 310 CMR 15.354 or the Benefited Property is no longer located within a nitrogen sensitive area pursuant to 310 CMR 15.215. Any such amendment or release shall be recorded and/or registered with the appropriate Registry of Deeds and/or Land Registration Office and a certified Registry copy of said amendment or release shall be filed with the Local Approving Authority and the DEP within 30 days of its date of recordation and/or registration. 10.Term. This Nitrogen Credit Land Restriction/Easement shall run in perpetuity and is intended to conform to M.G.L. c.184,§26,as amended. 11.Rights Reserved.This Nitrogen Credit Land Restriction/Easement is granted to the Grantee of the Benefited Property and the Local Approving Authority in connection with the approval of a Nitrogen Loading Facility Aggregation Plan pursuant to 310 CMR 15.216 and the Department's"Guidelines for Title 5 Aggregation of Flows and Nitrogen Loading." It is expressly agreed that acceptance of the Nitrogen Credit Land Restriction/Easement by the Local Approving Authority [or constructive approval of the Nitrogen Loading Facility Aggregation Plan by the Department of Environmental Protection] shall not operate to bar, diminish, or in any way affect any legal or equitable right of the Local Approving Authority or DEP to issue any future order with respect to the Property and the Benefited Property,as applicable thereto,or in any way affect any other claim,action,suit,cause of action,or demand which the Local Approving Authority or DEP may have with respect thereto. Nor shall acceptance of Nitrogen Credit Land Restriction/Easement serve to impose any obligations,liabilities,or any other duties upon the Local Approving Authority. 12.Effective Dater This Nitrogen Credit Land Restriction/Easement shall become effective upon its recordation and/or registration with the appropriate Registry of Deeds and/or Land Registration Office. WITNESS the execution hereof under seal this day of______,19 Grantor ` COMMONWEALTH OF MASSACHUSETTS 7 A— I §§ , 19 Then personally appeared the above-named and acknowledged the foregoing instrument to be free act and deed before me. Notary Public: My commission expires: The [insert Local Approving Authority]hereby approves and accepts this Grant of Title 5 Nitrogen Loading Restriction and Easement on Nitrogen Credit Land. Local Approving Authority Date: 8 A— ATTACHMENT 3 Upon recording,mail to: , s Bureau of Resource Protection,Wastewater Management Department of Environmental Protection [applicable Regional Office address] , GRANT OF TITLE 5 NITROGEN LOADING RESTRICTION AND EASEMENT (Grantor owns and restricts both the facility land and the credit land) 310 CMR 15.216 This GRANT OF TITLE 5 Nitrogen Loading Restriction AND EASEMENT made as of this day of______,19___,by ,of County,Massachusetts("Grantor"). WITNESSETH WHEREAS,Grantor being the owner(s)in fee simple of that[those] certain parcel(s)of[vacant] land located in County,Massachusetts,with the buildings and improvements thereon,pursuant to a deed from to Grantor,dated. ,and recorded with County Registry of Deeds in Book ,Page [source of title other than by deed] and/or pursuant to Certificate of Title No. issued by the Land Registration Office of the County Registry District, said parcel(s) of land being more particularly bounded and described in Exhibit A,attached hereto and made a part hereof, and being shown on a plan entitled, dated ,prepared by ,recorded with County.Registry of Deeds as Plan No. ,in Plan Book and/or registered as Land Court Plan No. ,on file with the Land Registration Office of County Registry District("Facility Land");and WHEREAS,Grantor being the owner(s)in fee simple of that[those] certain parcel(s)of[vacant] land located in County,Massachusetts,with the buildings and improvements thereon,pursuant to a deed from to Grantor,dated ,and recorded with County Registry of Deeds in Book Page [source of title other than by.deed] and/or pursuant to Certificate of Title No. issued by the Land Registration Office of the County Registry District, said parcel(s) of land being more particularly bounded and described in Exhibit A, attached hereto and made a part hereof, and being shown on a plan entitled, " dated ,prepared by ,recorded with County Registry of Deeds as Plan No. ,in Plan Book and/or registered as Land Court Plan No.___,,on file with the Land Registration Office of County Registry District("Credit Land");and ; . s WHEREAS,Grantor desires to restrict the number of bedrooms as defined pursuant to 310 CMR 15.002 and/or the wastewater discharge design flow in any improvements located on the Facility Land through the use of this Nitrogen Loading Restriction and Easement;and WHEREAS,the Facility Land has the benefit,granted hereby,of the Restriction and Easement on the a Credit Land consisting of approximately acres as herein provided;and WHEREAS, the Nitrogen Loading Facility Aggregation Plan has been approved by the Board of Health [insert appropriate town/city] [and, if required, the Massachusetts Department of Environmental Protection ("MassDEP" or"Department")] in accordance with the Department's "Guidelines for Title 5 Aggregation of Plans and Nitrogen Loading;" said approval being based upon the agreement by Grantor to incur certain obligations regarding the number of bedrooms, as defined in 310 CMR 15.002,and/or the wastewater discharge design flow in any improvements located on the Facility Land and maintenance of the Restriction and Easement to ensure protection of the nitrogen loading limitation of 440 gpd/acre discharge standard pursuant to 310 CMR 15.214 in nitrogen-sensitive areas or in areas serving new construction where the residential use of both on-site systems and drinking water supply wells are proposed; and to grant to the municipality acting by and through the Board of Health [insert appropriate town/city]a perpetual easement to ensure maintenance of the Facility Land and the Credit Land including,but not limited to,removal of any prohibited uses and in connection herewith a perpetual easement to pass and repass over the Facility Land and the Credit Land for purposes of inspection of the Facility Land and Credit Land to ensure compliance with and fulfillment of the terms of this Restriction/Easement as hereafter set forth; 9 A- NOW,THEREFORE,pursuant to the provisions of 310 CMR 15.216,Grantor does hereby GRANT to the Town/City of ,a Massachusetts municipal corporation situated in County,having an address at , Massachusetts, acting by and through its Board of Health ("Local Approving Authority") for nominal, non-monetary consideration, with QUITCLAIM COVENANTS, a TITLE 5 NITROGEN LOADING RESTRICTION AND EASEMENT("Restriction/Easement")in,on,upon,through,over and under the Facility Land and the Credit Land, the terms and conditions of which are as follows: PURPOSE: The purpose of this restriction is to protect and preserve the quality and quantity of ground water resources in the area of the public and private wells in the Town/City of , Massachusetts in order to ensure a safe and healthy public and private water supply for the present and future inhabitants of the area. It shall also be for the specific purpose of limiting the introduction of nitrogen and other pollutants into,and maintaining the natural uptake of pollutants and the recharge of the ground water which takes place on the Facility Land and the Credit Land for the said water supply. OBLIGATIONS AND EASEMENT: 1. Prohibitions. Grantor agrees to restrict the number of bedrooms, as defined pursuant to 310 CMR 15.002, in any improvements on the Facility Land to [insert number of bedrooms,or in cases where the design flow for the facility is not determined by the number of bedrooms, insert the applicable wastewater discharge design flow limitation in 310 CMR 15.214]. Grantor further agrees to maintain the Credit Land as nitrogen credit land by prohibiting activities which have a detrimental effect on nitrogen.loading on the Credit Land,including but not limited to wastewater discharges,the use of nitrogen fertilizer, the introduction of artificial impervious surfaces,the raising, breeding or keeping of animals, livestock or poultry for commercial purposes, and the creation or introduction of land under water. A change in the condition of the Credit Land which results in the Credit Land or a portion thereof being within a Velocity Zone or Regulatory Floodway will render the Credit Land or said portion thereof ineligible for nitrogen credit pursuant to 310 CMR 15.216. 2. Easements. In creating this Restriction and Easement, Grantor hereby grants to the Local Approving Authority its agents,contractors,subcontractors and employees a perpetual EASEMENT to enter upon and the right to bring equipment onto the Facility Land and Credit Land to do any and all acts deemed necessary to maintain the Facility Land and Credit Land in a manner which ensures protection of the nitrogen loading limitation of 440 gpd/acre discharge standard pursuant to 310 CMR 15.214 together with a right to pass and repass by foot and by vehicle over the Facility Land and Credit Land for said purposes, and for purposes of inspecting the Facility Land and Credit Land to ensure compliance with and fulfillment of the terms of this Restriction/Easement. 3. Severability.If any court or other tribunal determines that any provision of this instrument is invalid or unenforceable, such provision shall be deemed to have been modified automatically to conform to the requirements for validity and enforceability as determined by such court or tribunal. In the event the provision invalidated is of such a nature that it cannot be so modified,the provision shall be deemed deleted from this instrument as though it had never been included herein. In either case,the remaining provisions of this instrument shall remain in full force and effect. 4. Enforcement. Grantor expressly acknowledges that a violation of the terms of this instrument could result in the following: (i) upon determination by a court of competent jurisdiction,in the issuance of criminal and civil penalties,and/or equitable remedies, including, but not limited to, injunctive relief, such injunctive relief could include the issuance of an order to modify or remove any improvements constructed upon the Facility Land or Credit Land in violation of the terms of this Restriction/Easement;and (ii)in the assessment of penalties and enforcement action by the Local Approving Authority and DEP to enforce the terms of this Restriction/Easement,pursuant to Title 5;M.G.L.c.111,§§ 17,31,122, 124, 125, 125A, 127A through 1270,and 129;and M.G.L.c.83,§11. 5.Provisions to Run with the Land.This Restriction/Easement sets forth the rights,liabilities,agreements and obligations upon and subject to which the Facility Land and Credit Land or any portion thereof,shall be left unimproved or according to which said Facility Land and Credit Land may be improved, held, used, occupied, leased, sold, hypothecated, encumbered, or conveyed. The rights, liabilities, agreements and obligations herein set forth shall run with the Facility. 10 A- r Land and Credit Land,as applicable thereto,and any portion thereof and shall inure to the benefit of and be binding upon Grantor and all parties claiming by,through or under the Local Approving Authority or Grantor. The rights hereby granted to the Local Approving Authority and its successors and assigns constitute their perpetual right to enforce this Restriction/Easement. Grantor hereby covenants for himself/herself/itself and his/her/its executors, administrators, heirs, successors and assigns,to stand seized and hold title to the Facility Land and Credit Land,as applicable thereto,and any portion thereof,subject to this Restriction/Easement,provided,however,that a violation of this Restriction/Easement shall not result in a forfeiture or reversion of Grantor's title to the Facility Land or Credit Land',as applicable thereto. 6. Concurrence Presumed. It being agreed that Grantor and all parties claiming by, through or under Grantor shall be deemed to be in accord with the provisions herein set forth and to agree for and among themselves and any party claiming by, through or under them, and their respective agents, contractors, sub-contractors and employees, that the Restriction/Easement herein established shall be adhered to and not violated and that their respective interests in the Facility Land and the Credit Land and the Restriction/Easement,as applicable thereto, shall be subject to the provisions herein set forth. 7. Incorporation into Deeds, Mortgages, leases and Instruments of Transfer. Grantor hereby agrees to incorporate this Restriction/Easement,in full or by reference,into all deeds,easements,mortgages,leases,licenses,occupancy agreements or any other instrument of transfer by which an interest in and/or a right to use the Facility Land or Credit Land, or any portion thereof,is conveyed. 8. Recordation. Grantor shall record and/or register this Restriction/Easement with the appropriate Registry of Deeds and/or Land Registration Office within 30 days of the latter of: receipt from the Local Approving Authority of the approved Restriction/Easement or the expiration of the 60-day DEP constructive approval period pursuant to 310 CMR 15.216. Grantor shall file with the Local Approving Authority and the DEP a certified Registry copy of this Restriction/Easement as recorded and/or registered within 30 days of its date of recordation and/or registration. 9. Amendment and Release. This Restriction/Easement may be amended or released only upon approval by the Local Approving Authority. Release of this Restriction/Easement shall be granted by the Local Approving Authority in the event the Facility Land is connected to a municipal sewer system and the septic system serving the Facility Land is abandoned in accordance with 310 CMR 15.354 or the Facility Land is no longer located within a nitrogen sensitive area pursuant to 310 CMR 15.215. Any such amendment or release shall be recorded and/or registered with the appropriate Registry of Deeds and/or Land Registration Office and a certified Registry copy of said amendment or release shall be filed with the Local Approving Authority and the DEP within 30 days of its date of recordation and/or registration. 10.Term.This Restriction/Easement shall run in perpetuity and is intended to conform to M.G.L.c.184,§26,as amended. 11. Rights Reserved. This Restriction/Easement is granted to the Local Approving Authority in connection with the approval of a Nitrogen Loading Facility Aggregation Plan pursuant to 310 CMR 15.216 and the Department's"Guidelines for Title 5 Aggregation of Flows and Nitrogen Loading." It is expressly agreed that acceptance of the Restriction/Easement by the Local Approving Authority or constructive approval of the Nitrogen Loading Facility Aggregation Plan by DEP shall not operate to bar,diminish,or in any way affect any legal or equitable right of the Local Approving Authority or DEP to issue any future order with respect to the Facility Land or Credit Land or in any way affect any other claim, action, suit, cause of action, or demand which the Local Approving Authority of DEP may have with . respect thereto. Nor shall acceptance of the Restriction/Easement serve to impose any obligations,liabilities,or any other duties upon the Local Approving Authority. 12. Effective Date. This Restriction/Easement shall become effective upon its recordation and/or registration with the appropriate Registry of Deeds and/or Land Registration Office. WITNESS the execution hereof under seal this . day of ,19 Grantor 11 A— COMMONWEALTH OF MASSACHUSETTS §§ 119 Then personally appeared the above-named and acknowledged the foregoing instrument to be free act and deed before me. Notary Public: My commission expires: The [insert Local Approving Authority]hereby approves and accepts this Grant of Title 5 Nitrogen ' Loading Restriction and Easement. Local Approving Authority Date: 12 A— ATTACHMENT 4 CONSERVATION RESTRICTION TO [GRANTEE] ' Upon recording,mail to: Bureau of Resource Protection,Wastewater Management Department of Environmental Protection a- [applicable Regional Office address] I. Grantor Clause: - We, [JOHN LANDOWNER and MARY LANDOWNER], husband and wife having an address at ("Grantor(s)"), acting pursuant to Sections 31, 32 and 33 of Chapter 184 of the General Laws,grant,with quitclaim covenants,to[GRANTEE,a governmental body or a Massachusetts non-profit corporation],and its successors and permitted assigns ("Grantee") in perpetuity and exclusively for conservation purposes, the following described Conservation Restriction on a parcel of land located in the City/Town of ,Massachusetts, constituting approximately acres,said parcel being described in Exhibit A attached(the'Premises"). H.Purposes: ' The Premises, comprised of approximately acres of land (and/or water) contain unusual, unique or outstanding qualities the protection of which in their predominately natural or open condition will be of benefit to the public. These qualities include: [Insert here a description of such qualities whether cultural(for example, an historic battleground or a colonial millsite); scientific(for example, the importance to water supply protection, a geological feature comprised of sedimentary rock containing the footprints of dinosaurs or habitat for endangered or threatened animal or plant species);aesthetic(for example,a vista of a scenic range of hills or seashore);economic(for example,farming, agriculture,or water resources);and recreational values.] Furthermore, Grantor desires to maintain the Premises as Nitrogen Credit Land pursuant to 310 CMR 15.216 to ensure protection of the nitrogen loading limitation of 440 gpd/acre discharge standard in nitrogen sensitive areas or in areas serving new construction where the residential use of both on-site systems and drinking water supply wells are proposed. III. Prohibited Acts and Uses.Exceptions Thereto,and Permitted Uses: A. Prohibited Acts and Uses. Subject to the exceptions set forth in paragraph B below,the following acts and uses are prohibited on the Premises: 1. Constructing or placing of any building,tennis court, landing strip, mobile home, swimming pool,fences,asphalt or concrete pavement,sign,billboard or other advertising display,antenna, utility pole,tower,conduit,line or other temporary or permanent structure or facility on or above the Premises; 2. Mining,excavating, dredging or removing from the Premises of soil,loam,peat, gravel, sand, rock or other mineral resource or natural deposit; 3. Placing,filling,storing or dumping on the Premises of soil,refuse;trash,vehicle bodies or parts, rubbish, debris,junk,waste or other substance or material whatsoever or the installation of underground storage tanks; 4. Cutting,removing or otherwise destroying trees,grasses or other vegetation; 5. The subdivision of the Premises; 13 A— 6. Activities detrimental to drainage, flood control, water conservation, erosion control or soil conservation; 7. Activities which have a detrimental effect on nitrogen loading on the Premises,including but not limited to the introduction of man-made sources of nitrogen such as wastewater discharges and nitrogen based fertilizers,the raising, breeding or keeping of animals, livestock or poultry for commercial or agricultural purposes, the introduction of artificially rendered impervious surfaces,and the creation of land under water. A change in the condition of the Premises which results in the Premises or a portion thereof being within a Velocity Zone or a Regulatory Floodway will render the Premises or said portion of the Premises ineligible for nitrogen credit pursuant to 310 CMR 15.216. 8. Any other use of the Premises or activity which would materially impair significant conservation interests unless necessary for the protection of the conservation interests that are the subject of this Conservation Restriction. B. Exceptions to Otherwise Prohibited-Acts and Uses [If Any]. The following acts and uses otherwise prohibited in subparagraph A are permitted but only if such acts or uses do not materially impair significant conservation interests. 1. [Use of off-road and similar vehicles,including snowmobiles.] 2. [Excavation and removal from the Premises of soil,gravel or other mineral resource or natural deposit as may be incidental to the maintenance or removal of underground tanks, the installation, maintenance or removal of utilities, and other underground structures or to the maintenance of good drainage, soil conservation practices or to other permissible use of the Premises.] .3. [The maintenance of piles of limbs;brush,leaves and similar biodegradable material provided such piles are not conspicuous or otherwise interfere with the conservation objectives of this Conservation Restriction.] 4. [The placing of fences that do not interfere with the conservation purposes of this restriction.] 5. [Digging or drilling of water wells.] 6. [Selective cutting of trees for fire protection,unpaved trail and road maintenance,tick control,or otherwise'to preserve the present condition of the Premises,including vistas] 7. [Woodland operations carried on in accordance with sound forest management practices (including but not limited to the selective cutting and planting of trees).] 8. [Erection of signs by the Grantor or Grantee identifying the Grantee as holder of the restriction and to educate the public about the conservation values protected and any limitations relating to public access.] C. Permitted Acts and Uses. All acts and uses not prohibited by subparagraphs A and B are permissible. IV. Legal Remedies of the Grantee(s): A. Legal and Injunctive Relief The rights hereby granted shall include the right to enforce this Conservation Restriction by appropriate legal proceedings and to obtain injunctive and other equitable relief against any violations, including, without limitation, relief requiring restoration of the Premises to its condition prior to the time of the 14 A— injury complained of(it being agreed that the Grantee(s)may have no adequate remedy at law),and shall be in addition to,and not in limitation of,any other rights and remedies available to the Grantee(s). B. Reimbursement of Costs of Enforcement The Grantor(s), and thereafter the successors and assigns of the Grantor(s) covenant and agree to reimburse the Grantee(s)for all reasonable costs and expenses(including without limitation counsel fees) incurred in enforcing this Conservation Restriction or in remedying or abating any violation thereof. C. Grantee(s)Disclaimer of Liability By its acceptance of this Conservation Restriction, the Grantee(s) do(es)not undertake any liability or obligation relating to the condition of the Premises. D. Severability Clause If any provision of this Conservation Restriction shall to any extent be held invalid,the remainder shall not be affected. E. Non-Waiver Any election by the Grantee as to the manner and timing of its right to enforce this Conservation Restriction or otherwise exercise its rights hereunder shall not be deemed or construed to be a waiver of such rights. V. Access: The Conservation Restriction hereby conveyed does not grant to the Grantee,to the general public,or to any other person any right to enter upon the Premises except there is granted to the Grantee and its representatives the right to enter upon and the right to bring equipment onto the Premises at reasonable times and in a reasonable manner to do any and all acts deemed necessary to maintain the Property in a manner which ensures protection of the nitrogen loading limitation of 440 gpd/acre discharge standard pursuant to 310 CMR 15.214 together with a right to pass and repass on foot and by vehicle over the Premises for said purposes and for purposes of inspecting the Premises to determine compliance with and fulfillment of the terms of this Conservation Restriction. VI. Extinguishment: A. Grantee's Receipt ofProperty Right The Grantor(s) and the Grantee agree that the donation of this Conservation Restriction gives rise for purposes of this paragraph to a real property right,immediately vested in the Grantee,with a.fair market value that is at least equal to the proportionate value that this Conservation Restriction determined at the time of the gift bears to the value of the unrestricted Premises at that time. B. Value of Grantee's Property Right Such proportionate value of the Grantee's property right shall remain constant. C. Right of Grantee to Recover Proportional Value at Disposition If any occurrence ever gives rise to extinguishment or other release of the Conservation Restriction under applicable law, then the Grantee, on a subsequent sale, exchange or involuntary conversion of the Premises, shall be entitled to a portion of the proceeds equal to such proportionate value, subject, however,to any applicable law which expressly provides for a different disposition of proceeds. D. Grantor/Grantee Cooperation Regarding Public Action 15 A— Whenever all or any part of the Premises or any interest therein is taken by public authority under power of eminent domain or other act of public authority,then the Grantor(s)and the Grantee shall cooperate in recovering the full value of all direct and consequential damages resulting from such action. E. Allocation of Expenses upon Disposition All related expenses incurred by the Grantor(s)and the Grantee shall first be paid out of any recovered proceeds, and the remaining proceeds shall be distributed between the Grantor(s)and Grantee in shares equal to such proportionate value. F. Continuing Trust of Grantee's Share of Proceeds of Conservation Restriction Disposition The Grantee shall use its share of the proceeds in a manner consistent with the conservation purposes of this grant. VII. Assignability: A. Running of the Burden The burdens of this Conservation Restriction shall run with the Premises in perpetuity, and shall be enforceable against the Grantor(s)and the successors and assigns of the Grantor(s)holding any interest in the Premises. B. Execution of Instruments The Grantee is authorized to record or file any notices or instruments appropriate to assuring the perpetual enforceability of this Conservation Restriction; the Grantor(s) on behalf of themselves and their successors and assigns appoint the Grantee their attomey-in-fact to execute,acknowledge and deliver any such instruments on their behalf. Without limiting the foregoing,the Grantor(s)and their successors and assigns agree themselves to execute any such instruments upon request. C. Running ofthe Benefit The benefits of this Conservation Restriction shall be in gross and shall not be assignable by the Grantee, except in the following instances and from time to time: (i) . as a condition of any assignment, the Grantee requires that the purpose of this Conservation Restriction continue to be carried out,and (ii) the assignee,at the time of assignment,qualifies under Section 170(h)of the Internal . Revenue Code of 1986,as amended,and applicable regulations thereunder,and under Section 32 of Chapter 184 of the General Laws as an eligible donee to receive this Conservation Restriction directly. VIII.Subsequent Transfers: The Grantor(s) agree to incorporate by reference the terms of this Conservation Restriction in any deed or other legal instrument by which they divest themselves of any interest in all or a portion of the Premises. IX. Estoppel Certificates: Upon request,by the Grantor(s),the Grantee shall within twenty(20)days execute and deliver to the Grantor(s)any document,including an,estoppel certificate,which certifies the Grantor(s)compliance with any obligation of the Grantor(s)contained in this Conservation Restriction. 16 A— X. Effective Date: This Conservation Restriction shall be effective when the Grantor(s),and the Grantee have executed it, the administrative approvals required by Section 32 of Chapter.184 of the General Laws have been obtained,and it has been recorded,or if registered land,it has been registered. f 17 A— p Xl. Recordation: The Grantor(s)shall record this instrument in timely fashion in the County Registry of Deeds. Executed under seal this_day of .19_ . COMMONWEALTH OF MASSACHUSETTS SS. ,19_ Then personally appeared the above-named [JOHN LANDOWNER and MARY LANDOWNER] and acknowledged the foregoing instrument to be[their]free act and deed,before me. Notary Public My commission expires: 18 A— ACCEPTANCE OF GRANT The above Conservation Restriction is accepted this day of 119 [GRANTEE] By. COMMONWEALTH OF MASSACHUSETTS ,ss. ,19 Then personally appeared the above-named [GRANTEE] and acknowledged the foregoing to be its free act and deed,before me. Notary Public My Commission Expires: . I 19 A— I'. APPROVAL BY[SELECTMEN] We,the undersigned,[being a majority of the][Selectmen]of the[City/Town]of Massachusetts, hereby certify that at a meeting duly held on 19 the[Selectmen]voted to approve the foregoing Conservation Restriction to[GRANTEE]pursuant to M.G.L.c.184,§32. [Selectmen] COMMONWEALTH OF MASSACHUSETTS ,ss. ,19 Then personally appeared the above-named and acknowledged the foregoing to be his or her free act and deed,before me. Notary Public My Commission Expires: 20 A— G APPROVAL BY SECRETARY OF ENVIRONMENTAL AFFAIRS , COMMONWEALTH OF MASSACHUSETTS The undersigned, Secretary of the Executive Office of Environmental Affairs of the Commonwealth of Massachusetts, hereby certifies that the foregoing Conservation Restriction to [GRANTEE] has been approved in the public interest pursuant to M.G.L.c.184,§32. Date: ,19_ Secretary of Environmental Affairs COMMONWEALTH OF MASSACHUSETTS ,ss. ,19� Then personally appeared the above-named and acknowledged the foregoing to be his or her free act and deed,before me. Notary Public My Commission Expires: 4 t 22 A— BAXTER NYE ENGINEERINGAND SURVEYING 78 North Street-3rd Floor,Hyannis,MA-Ph:508-771-7502 Pro'e By: JKL ct Name Bilodeau Location 29 Hathaway Rd, Csterville, MA Checked: MWE BN Project# 2013-057 Date: 2/7/2014 Aggregation of Flows and Nitrogen Loading Calculations Objective: Aggregation standard of 440 GPD/40,000 sf acre " (Per Town of Barnstable.SEP District requirements) Subject Parcel;.,29 Hathaway Road,Osterville,`MA ' Facility Property: 29 Hathaway Road,Osterville,MA Lot Area= 31,746 sf 0.73 ac . Assessor Map 114;Parcel 36 ' Owner: LBB Trust,Laura Bilodeau,TR. . Off-Site Nonfacilit Property: 83 Bunker y p rty: Hill Road,`Osterville,MA Lot Area 133 373 sf, 3.06 ac • Assessor Map 95,Parcel 19 Owner: LBB Trust Laura Bilodeau TR..,; Lot credit area required to meet standard for 4 bedrooms on Facility Property . 40;000 sf 31;746 sf., 8.254"sf Proposed Septic Use Restriction Area on Off-Site Area: :, 8,300 sf New Effective"Off-Site"Nonfacility Lot Area: 125,073 sf 133,373 8 300'.``.; 125,073 sf' New Effective Lot Area for Facili ty. g9 g A re ated Land. 31,74ti +-' R,900 40,046 sf Allowable Nitro en Loadin on Facility Aggregated Land; 440 GPD/,40,000 sf x 40,046 st) 440 5 GPD allowed y g ty g ( din aggregate (Facility Land+Use Restriction on Off-Site Credit Land) (Greater than 440 gpd..;OK) Allowable Bedrooms on."Off-Site"NonfacilitY Lot: 125;073 sf x.330 GPD/43,560 sf /110 GPD/Bedroom 8.6 or 8 Bedrooms (after subtraction of Septic Use,Restriction Area), (Maxirrium) *Ex:permit#538r83 for 83 Bunker Hill Road is for 5 BR flow. 8 allowable bedrooms>5 bedrooms on existing permit 3 additional bedrooms can still be added at 83 Bunker Hill Lot 41 Aggregation of Flows Calculations f, Town of Barnstable Geographic,Information'System' " February 5,'2014 ' :I ......... .. .............. ...... ... :.................................... :. • ....-r .. ....:: ::::::::::::::>::1 ... ...... ............. .. .:......:...:. ... ................. .il....: v� ::a'::: ::::::::::: ...................:::::::::::'......t.. .. ... .. ........... .........:....... ...................... 83 Bunker HIII Rd ..•...... ;#: ::::::::: :::::::::: i ...... _�. '. :::::: ................,. ......... r' L... : ..... .. { a: , :\: ..J......_....... ... .. ..:::::. ::: ::::':. :.~ - �.. :I' '/: 7.. �.::' ................. ...... .... :1:'' ............................... :� v` .. .. :.�.. i'qi. :�i t. 1, i i`: J it t:::: v :... - f ............. .. ::t: !ti :i.^'....� .1:: .c P' :� ,. 1 l• :o .......:.t.................................��.. ........:: ..V.. ..... r. .. ..... ... .................. :.,............. �,.. :._................................ .. ..........i..( ... h ............ :::::.::.::.:.::;:.... ............ .. .a i:iiciii::. ..:S...X....1................................�..... ..... ................ .... ....... ............ ...... ... ..1.3�....:......... .....1:::: ..... ...... ....... .. ..lad,:. ..f.. .... .. 11 ..C: :t:: .,. l' i�i• :3 '•J 'l::( '�, 'f' ••f L l ..... ...... ......... ...:.. .......... ...... ....... :{ .. ..... ................ .......... ...... ...... .......... ......... .......... l .�. :c .r. .................. .................. .................. ................... ................... ............. -- .......: .:................. .... .....i...: .. ............................. —.,�,.... .............. - ................. ..... ....:.....:::::::::....... ..i..... t% . .. �. .. ::: ......::::. _ ::::::::: ... .. :.:... - ... .. :.::. .... .. .......... ................. ... ..- ............:........ v i it of SEP OVeela :: :: L m:l: :i %::::::::.::.:.:................:: .... . . ... :: 29 Hathaway Rd::.:::: ::�: :::';: a - .......- ' .. ............ :................. .. ............ ................. ... ..........:..t..... ............r. � . ...... ....... .. .. ♦r .. ..':...lt .................... 5 3. .. .�t".`. :tea• .. .... .. ... ... ...:...... ::..:.:. .r.::.... ......... .., .. .... .... .... `• .. .... .. ........�..ti t 0 922 Feet boundary ERS:This maon orregulatory planning purposes only. It is not adequate for legal' Map:095 Parbel:019 .. . .. _ _. d Parcel interpretation. Enlargements beyond a scale of Selecte 1"=100'may not meet established map accuracy standards. The parcel lines on this map Owner.:BILODEAU,LAURA B TR Total Assessed Value:$1663100 are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner:LBB TRUST Acreage:3.06 acres; Abutters boundaries.and do not represent accurate'relatiohships to physical features on the map Location:83 BUNKER HILL ROAD �%f W+ 'f such as buildirig locations. ;�;, � '. : Buffer f e'%r� MAP 96 LOT 6 2 39'3E ' 52 59 38 - `I 229 \ 1- 'Tr,MAP 9.61)LOT 6 BILODEALI.,RESIDENCE 1 _,��� MAP 95.`LOT-1g •� 83' Bunker Hill Road ..,EX.:D WAYS :. PER X 39 1 c3`6; Ostervlile MA j `\ I BARNS TABLE GIS 1 �v: MAP 96 .LOT 5, LOF- 7 SHOWN ON I , -LAND COURT PLAN_..5725-211 r V _... � 1 I P - 1 I 3 .5 �! - - EX. 5-BR 1 ._.. ( , to ::: -> �o _ DWELLING PER \ 1 Ga ....-...;=r. l 3 ARMS I ABLE GI _38 O 0 EX. POOL PER', F.-a BARNSTABLE: GIS � . w i \ 8,300 SF SEPTIC 30;.5' r i - RESTRICTION A(2FA / O,. ;� r N EX. 5-BR SEPTIC I\Ol ..;:: `. -\ SYSTEM PER BOH p , �. 33.4 J `. RECORDS N34 Cn -- \ 32: TOTAL LOT AREA N t.7 ) / \ m U,373 SF==_3:p62 AC. RESTRICTION AREA j--S,300 SF MAP: 95. L0�\10 -` EFFECTIVE LOT'AREA: `\ 125,073'SF-= 2.871 A.0 "i, , Lij 81729' .3`4 ` 307. �'. ). � i1AP `95 LOT 20 V . b . I I i BAX7ER NYE ENGVEERING& SURVEYING EXHIBIT..SKETCH FOB Registered Professional'Engineers andLand`Sumyors, N®USE RESTRICTION ' — 78 North Sttme .3rd Floor,Hy=is,.MA 0260.1. 8 Phone-(508)771-7502 Fax-(508)771-7622 . 3 BUNKER.HILL.ROAD : e=mafl'.j4fb@bixter-fiye.com. OSTERVILLE Md1. Scale: 1' 80' Feet: Date: 2-7=14 . BY:JKL �t►0)ECt 4 M013.057 a TRANSMITTAL . BAXTER NYE ENGINEERING & SURVEYING Registered Professional Engineers and Land:Surveyors 78 North Street,3`dFloor,.44-yannis,MA.02601 Tel:(508)771-7502 Fax'(5.08)771-7622 Li Date: Februa 24;2014 To:: Barnstable Board of Health TotalNo.Pages: Attn: Tom McKean BN Job No.: 2013-057 200 Main Street _ Subject:. Bilodeau—29 Hathaway Road Barnstable,MA 02601 cc:. _ File_. We are sending you ®'Attached ❑Under Separate Cover' ❑Via Fax(No. of pages including Transmittal Sheet) First Class Mail/Registered#:: ; ❑Overnight ElPick up E_Hand Delivery - The following documents; ®Prints/Plans ❑.Specifications ❑:Estimates/Proposal ❑ Change Order❑ Shop Drawings ®Reports/Calculations ® Other = DATE. COPIES NO. PAGES : :DESCRIPTION 4 1 Variance Request Form, ' 2/21/14 4 .. .7 Checklist 4 " 3 Deed Restriction/Exhibit Sketch 4 -2.. . Nitrogen Loading Calcs/1NMa 2/21/14 4 1 Sheet C3.0—Pro Proposed SiteRedevelopment Plain 24"x 36" These items are transmitted as checked,below. Z..For Your Use. ' - ❑`As Requested ``❑;Returned For Corrections ❑ For Review And Comment ElFor Approval ❑ For Distribution. Remarks: t iz_ Matthew Eddy.; P-E. �o -. tier ME/spk , M 0:12013120,13-0571ADMIMTR4NSMl-TTAiS12013-TT, -TM-Variance Request Pkg=02-24-14.doc' File Note: ' This transmittal contains.privileged information..Please contact the sender immediately if this transmittal`is illegible; incomplete or not.intended for your-use: Thank you. ABUTTER NOTIFICATION LETTER ' Date: November 26, 2013 Re:-Variance Request As an abutter, please be advised that a Variance Request has been filed with the. Barnstable:Board.of Health. Additional details are below: Applicant: Peter Bilodeau Address: 83 Bunker Hill Road Osterville MA Project Location:: 29 Hathaway Road Osterville, MA Assessor's Map& Parcel: Map'114,.Parcel 36,. Project Description: Raze existing three bedroom,dwelling and replace with new four bedroom dwelling. Applicant's Agent: JohnLavelle Baxter Nye Engineering & Surveying 78 North Street,3`d`Floor Hyannis, MA 02601 Public Hearing: Hearing Room Town Hall 2"d Floor 367 Main Street Hyannis,,Massachusetts 02601 December 10, 2013,3:00 pm ' Project#2013-057 AbutterReport Page 1 of Board of Health Abutter List for Map & Parcel(s)`: '114036' Direct abutters (no set distance) and the properties located across the street. Total Count: 7 ] I Close Mailing Map&Parcel 'Owners Owner2. Addressi. Address 2 Country Deed CityStateZip COYNE ROBERT P ROBERT P`COYNE 3070 GRAND BAY LONGBOAT KEY, 114024 UNIT 635 C177303 TR REVOCABLE TRUST BOULEVARD FL 34228 ` 114025 - VALENTGAS, ELLEN PO BOX 1026 OSTERVILLE MA. C182891 . 02655 114026 BARNSTABLE LAND PO BOX 224 ' COTUIT,.MA. TRUST INC " 02635 C187075 45 HATHAWAY'ROAD BOSTON;.MA 114035 IACOI,JOHN M TR LEWIS BAY WHARF C192857 - REALTY TRUST 02110 COLEMAN %BILODEAU, LAURA 83'BUNKER- OSTERVILLE, MA 114036 LBB TRUST' C177824 • -KATHERINE TR B TR HILL ROAD 02655.' ROUNDHILL`. C/O MILLER, CUMBERLAND, 115015 60 MILL RD C118070 CORPORATION RUSSELL ME 04021 115 016 BANK OF AMERICA. C/O HARDING& 3903 BELLAIRE HOUSTON;TX C174353 S� TR F SCOBIE TRUST CARBONS, INC: BLVD 77025 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 list of abutters is required,contact the Assessing Division to have this listcertified:The owner and address data on this list is from the Town of Barnstable Assessor's database as of 11/12/2013.. bttp://maps.townofbamstable.us/arcims/appgeoapp/A`butterReport aspx?type=BOH 11/12/2.013 TOWN OF BARNSTABLE LOQIATION o29 V,47 ALt SEWAGE #o�0O7"oZy� VII. "AGE Oa lec'v,1t,' ASSESSOR'S MAP & LOT /-yL O3Z INSTALLER'S NAME&PHONE NO �•�ArG-� s%�. - y =Ssa�j SEPTIC TANK CAPACITY 11000.69/• (64",r[s7l,T LEACHING FACILITY: (type) zCHA0&wl Ca) (size) Q 0'X j57f NO.OF BEDROOMS 3 BUILDER ORDMIMRh 2��r t Cdlerytn PERM TDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet' Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by e Pr " 7� 9 s No. y V. I ' Fee THECOMMONWEALTH OF MASSACHUSETTS Entered in computer: ?/7.PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01 pphration for �Digo!gal *pgtem Cow5truction Permit /lApplication for a Permit to Construct O Repair(x) Upgrade O Abandon O ❑ Complete System ©Individual Components Location Address or Lot No.2.9 14 ATN a LvA Y R C Owner's Name,Address,and Tel.No. OS'TeRVIL.LE�M.4S-Y ICAYHt7RINE COLEM/911OTR. Assessor'sMap/Parcel AA NATHAWAy MD 114 P 03 05TB VILLIf AfA053 Installer's Na Address,�wd Tel.No. ,SO$'`7��8 Designer's Name,Address and Tel.No,SO8'Y Z8 3'3&4 y I�t9Ge 1 1 -[`.�e S�j'2, q SULLIVAN EAX.IIveaBR.INfGINC �o�nS _ ®b t�, 7 PAQ146 R (Zp. 05T6RV I L L E�111✓1S S Type of Building: Dwelling No.of Bedrooms 3 Lot Size 0.7 A C og46 Garbage Grinder (n12p Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 33 C> gpd Design flow provided 3 3 gpd Plan Date :YLJWS S_ 'ZOO-7 Number of sheets 1 Revision Date Title S ITE PLA N - S&Pn G S -STEM R.GP I R Size of Septic Tank=15TTI NG- logo GAL Type of S.A.S. 2:A 2.S' Me iv CAAlMJIWR Description of Soil O 3" CRK. Gf Y1sN eiRM GAMY SAND AS IoYR 1/2..®RK 'Y8,0514 BM SANDY LOAM 13W IOYR A& , YAFl.'L$14 IMP L-AAMY SAND 13 10YRsly, Yet.'iSN eftp Mai) SANG &&3a1�.C-rApkIL a 10YR *k. 01.1y6 YeL. M6D.SA140 GZ Z..SY' 4A Nature of Repairs or Alterations(Answer when applicable) fa C3 A N Da" 0—BOX 4 L&A a 1, / RJVA �Ns7�[.t_ NEw D—T3ox �- L.EAd�1►yo .�I2�&`A. S R.S - Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this B d of Health. Signed a ate 1' e 0 Application Approved by e Application Disapproved by: Date for the following reasons Permit No. ��'k_!ATMODate Issued . .•� I�Jo. y_ �„ �:� � 'r' Fee THE�..^'OMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Rpplication foc Migpo5al 4pgtem Construction Permit pplication for a Permit to Construct O Repair pO Upgrade O Abandon O ❑ Complete System KI Individual Components Location Address or of No.L q H AT N A w/q`/ (Z D Owner's Name,Address,and Tel.No. Te-rzv►t_�r SS KA-THC z CoL61>'t14A-1TCZ CO 5 � � i �N ID MIA R "x..q H 1�T .. A y Assessor's Map/Parcel I (y O 3(„ 0 5 T E R V I L LE /99 l-9 5 S Installer's Naha Address,nd Tel.No. ^� O�'`Ypai� Designer's Name,Address and Tel.No.6 09 3 3 V N Ce �'G1�•sT w jJ�-1 SULLIVAPN INC , 1�oroS7. Oy��v.(�c -7PA9-1Z R RD. OSTEMVILLL:� f' 4s5 t Type of Building: Dwelling No.of Bedrooms 3 Lot Size d�)" A C Garbage Grinder (V Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3.V gpd Design flow provided gpd Plan Date 3 U W6 S Z OO-7 Number of sheets I Revision Date Title SITE PLAN - ScPTIC SYs7"CW fZ-G P41R- b Size of Septic Tank E X I5 TI NG- 1000 GAL Type of S.A.S.12-'X Z LE/aC I rli't� Cry ra lv113L=f2_ r. Description of Soil 0-3" DRIc GfY'l5W QRrl l-&A"Y c.axl) AL: wiQ 4,2- 1 DRI< A3;&►:N SANDYt.QAwl (3\A/ la'4Z 32,16a `fC=L'I5H 13RN L-oAMVSA?V) 13 IOYRS/g,YLL'1SN 13Rt� Mt P 5AN1� Gy?>-7 GrA!/EC C I IGY2 S�P�, OLIl�L- y�L. MGA SAND eZ Nature of Repairs or Alterations(Answer when applicable) P 13 A I`I Do ry ID -C3 o Y, d L_E A c A .0 2E A IIV -,TRL-t- lyEw D-13 S.,4.s - Date last inspected: * t' Agreement: 'i.. The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed n /lA Oate ..�`�/���p0 Application Approved byDate Application Disapproved by: v Date 12 for the following reasons Permit No. Date Issued �._ L THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (x ) Upgraded ( ) Abandoned( )by 9'16reclrl e- -Cm—IT, at 2.9 N A-r H A&VA Y 131) 1:2S V P-.✓I I_I- ' has been con tr cted in rdance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated installer-. I&C//u/ Designer S ULL ll/f=)A/ 11VC. #bedrooms 3 Approved design flow _ , �,cGf gpd The issuance of this permit shall not a cgetrueeddJ a guarantee that the system 11 u ction as designed. Date /lI �/" I 1 Inspectors' __.� — t Q — —— ————————————————— —.———— —.—— —---�' .. _ No. Fee � THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS ligonl �§pgtem Construction Permit E'er Permission is hereby granted to Construct ( ) Repair () ) Upgrade ( ) Abandon ( ) System located at Z C1 H!A T H 0 W,4.1 .. fLG� f) eVs LE 21//L-L C /YI,4.S f and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty f to comply with Title 5 and the following local provisions or special conditions. Provided: Con 1ructio must e completed within three years of the date of this Date Approved b / t PP y v i Town of Barnstable Services Thomas F. Geller,Director Public Heal Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office:508-862.4644 Fai:508-790.6304 Installer& Designer Certification.Form Date Si,�E Sewage Permit#,-9Cd2-d 1/OS Assessor's Map\Pareel Designer: Installer:�B ruc c-�cLcG.((� 6 Address: ?HPh 04 O t e� Address: On S�,���6 �C� lcl/c„e�f�s%� 'was issued a permit to install a date installer. septic system at .�9 {� �f�A�R� — Qs�e� ��e based on a design drawn by �v(��vA� �Zn,snccnn�dated ZUjE La001�- (designer) I cry that the se tic�em referenced above was installed substantially P according to the design,which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. . I certify that the septic system referenced above was installed with major changes (i.e.greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State&Local Regulations. Plan re 'sio or certified as-built by designer to follow. PETER (Installer's Signature) SULLWAN h10 �9735 ��`�L (Designer's Signature (Affix Designer's Stamp Here) *' PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION.CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVLSION.THANK YOU- Q:Heahh/Septic/Desipa Certification Foam 3-26-04.doc Commonwealth of Massachusetts IN-- O 340 Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments - ,tl 29 Hathaway Road ' ..A Property Address , Bilodeau ' f4! Owner Owner's Name/ + ' information is Osterville ✓ Ma 02655 6/11/2020 , required for every page. City/Town State Zip Code Date of Inspection u Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. Inspector Information �' ����✓ on the computer, use only the tab Sean M. Jones key to move your Name of Inspector cursor-do not S.M.Jones Title V Septic Inspection use the return Company Name key. 74 Beldan Lane Company Address Centerville Ma 02632 City/Town State Zip Code 774-248-4850 smjonestitie5@gmail.com, SI4522 sean@smjonestitle5.com License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR,15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails 6/11/2020 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc•rev.7/26/2018 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 4 29 Hathaway Road Property Address Bilodeau Owner Owner's Name information is required for every Osterville Ma 02655 6/11/2020 page. Cityfrown State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The property located at 29 hathaway'Rd Osterville is served by a Title V septic system consisting of a 1500 gallon septic tank, distribution box and 4 precast 500 gallon leach chambers. Although the system was found to be in proper working condition at the time of inspection this report does not guarantee future performance under similar or increased usage. 2) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): I t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 29 Hathaway Road Property Address Bilodeau Owner Owner's Name information is required for every Osterville Ma 02655 6/11/2020 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced! ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. 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: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 29 Hathaway Road Property Address Bilodeau Owner Owner's Name information is required for every Osterville Ma 02655 6/11/2020 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public,water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts :. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 4' .•,� 29 Hathaway Road Y u Property Address Bilodeau Owner Owner's Name information is required for every Osterville Ma 02655 6/11/2020 page. CitylTown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/z day flow El ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 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, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ ® 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. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 16,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �- Q� 29 Hathaway Road Property Address Bilodeau Owner Owner's Name information is required for every Osterville Ma 02655 6/11/2020 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for all inspections: 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, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) (310 CMR 15.302(5)] R t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 4 29 Hathaway Road Property Address Bilodeau Owner Owner's Name information is required for every Osterville Ma 02655 6/11/2020 page. Cityrrown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 gpd Description: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes E No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: `*property has irrigation system Sump pump? ❑ Yes ® No Last date of occupancy: current Date t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 29 Hathaway Road Property Address Bilodeau Owner Owner's Name information is required for every Osterville Ma 02655 6/11/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commerciallindustrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 6 V Commonwealth of Massachusetts Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 4, 29 Hathaway Road Property Address Bilodeau Owner Owner's Name information is required for every Osterville Ma 02655 6/11/2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system Single cesspool 9 p ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: system installed 7/15/2014 per town records Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 1.5feet Material of construction: ❑cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Joints in good condition, no leakage, vented through roof. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18 Commonwealth of Massachusetts m Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 29 Hathaway Road Property Address Bilodeau Owner Owner's Name information is required for every Osterville Ma 02655 6/11/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.)' 6. Septic Tank(locate on site plan): Depth below grade: feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 gallons Sludge depth: 5" Distance from top of sludge to bottom of outlet tee or baffle 3 Scum thickness 2't 7„ Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum.to bottom of outlet tee or baffle 10" How were dimensions determined? Opened covers and took measurements Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank does not need to be cleaned now but should be done soon and again every 2 years for proper maintenance. water level was even with outlet, tank was not leaking and was structurally sound. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments u 29 Hathaway Road Property Address Bilodeau Owner Owner's Name information is required for every Osterville Ma 02655 6/11/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form l Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 9 P Y rY J 29 Hathaway Road y Property Address Bilodeau Owner Owner's Name information is required for every Osterville Ma 02655 6/11/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box(if present must be opened) (locate on site plan): OilDepth 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.): Distribution box was video inspected and found level and in good condition with no rot. Water level was even with outlet invert with no signs of past backup. I t5insp.doc-rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 29 Hathaway Road Property Address Bilodeau Owner Owner's Name information is required for every Osterville Ma 02655 6/11/2020 i page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): *If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: 4 ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 Commonwealth of Massachusetts J. Title 5 Official Inspection Form min Subsurface Sewage Disposal System Form - Not for Voluntary Assessments L� V,! 29 Hathaway Road Property Address Bilodeau Owner Owner's Name information is required for every Osterville Ma 02655 6/11/2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): s.a.s. consists of 4 precast leaching chambers in a 40'x10 trench. no signs of past overloading, no lush vegetation i I 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form III Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ���(� 29 Hathaway Road u Property Address Bilodeau Owner Owners Name information is required for every Osterville Ma 02655 6/11/2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 13. Privy (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.): I t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 i Commonwealth of Massachusetts F Title 5 Official Inspection Form �r Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 29 Hathaway Road Property Address Bilodeau Owner Owner's Name information is required for every Osterville Ma 02655 6/11/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: i Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately I /3 1 -3 = 44 t5insp.doc•rev.7/26/2018 Title 5 official Inspection Forth:Subsurface Sewage Disposal System•Page 16 of 18 �� Commonwealth of Massachusetts - Title 5 Official Inspection Form r' Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 29 Hathaway Road Property Address Bilodeau Owner Owner's Name information is required for every Osterville Ma 02655 6/11/2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 12'+ feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Groundwater was established by accessing town of Barnstable groundwater contour maps. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 29 Hathaway Road Property Address Bilodeau Owner Owner's Name information is required for every Osterville Ma 02655 6/11/2020 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed ® D. System Information: For 8: Tight/Holding Tank— Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18 ToWri of Barnstable Pl 1HE rp�� o Department of Regulatory Services ' Public.JFlealth Division :, Date BARNSTABLE. + . MASS. $. cb ,bjq, 200 Maui Sheet Hyannis MA 02601 prED MAC Date Scheduled Time Fee Pd.. Soil Suitabzlc,tylssesSmento� ►fiei,�pa l Perfored Byi eJ f'C�1Y '�:.� t (S yh �' E Witnessed m By LOCATION & GENERAL INFORMATION / 1 ocatlon-Address..2 q'. �G'1°�l�v�G-� 1 Owner s Name Address C v u i�.t . Assessor's Map/Parcel;,. r'l`11;4 3 Co i ngineer s Neme b. NEW CONSTRUCTION _k 'REPAIR Telephone#' (� 7$0 W-7"? ' Land Use h C S o kin rs Slopes(%) •,. Surface Stones • , Distances from Open Watec Body ft Poss.ible Wet Area tt. Drinking Water.Well It DraiiiageWay ft. PropertyLlne ft.: Other 1t SKETCH ,(Street name dimensions of lot+exact locations of testholes&'Perc tests;locate wetlands in prox>iriity to holes) ..: itch�cQ Ske�teh G� Cn © . 1:4' ( Parent material(geologtc).9l�GtcLt i r 7h�c Sh Depth to Bedrock Depth to Groundwater:Standing Water h11 Hole.., Weeping finni Pit Face Estimated Seasonal High.Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE f Method Used, Depth..Observed atanduig in obs hole:, in Depth to soil mottles In. Depth fo weeping from side of obs hole in. . Groundwater AdJustment ft. Index Well# .. Reading Date, Index Well level Adj factor i Adj.Groundwn ter Leve1,_ PERCOLATION:TEST Hate i6 I 13 Time Observation 2— .Tuna nt 9' i dole f/ _-_ �. :a�..� - -? r — Depth of Perc Time at6' Start Pre-soak.Tmie a /l%I D 41 3cj . Time(9"rG ) End Pre-soak Rate Min./Inch Site Suitability Assessment '.Site Passed ' Site failed Addiltonnl`TeshngNeeded.(YM) Original: Public Flealth Division Observation Hole Data To Be Coinpleted on Back ---- **If percolation test is to,be conducted within 1001. of wetland,`you must.first notify.tlie Barnstable Conservation Division at least one(1)week.prior to beginning. Q;HEALTH/W P/PERCFORM c)s7) 3: DEEP OBSERVATION HOLE LOG Hole#. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.). (USDA) (Munsell) Mottling (Structure,Stones,Boulders. nsitcc %Gravel) a 40 y R. .2/2 s l6 q fe DEEP OBSERVATION HOLE LOG Hole# 2 Depth from Soil Horizon Sod Texture` Soil.Color Soil Outer Su�fnce(in.j (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Cons' tenc _"o.Gr vel KJ `er lid 7 R �Q N ,�3 4i11 � •: 6),-4r DEEP'OBSERVATION 116LE LOG Hole:# � Depth frolic So1l Horizon Soil Texture- I Soil.Color Soil Other Surface(iiiJ (USDA) I (ivlu sell)... ding.. {Stn n Mot ictiue,Stones Botild.en. .. .I - onsiste c. % ..ra el. b� 7rc /gyp ��y-A ilol'12 �3 i, r � �.6.YY��t ; l o �'� `°�/ice :�' , • 77l6 4pj(e s. DEEP OBSERVATION-HOLE LOG- Hole# _ Depth from Soil Horizon Soil Texture Soil Color . Soil Other Surface(in.) (USDA) (Munsell)" Mottling (Structure,Stones,Boulders Consistency,°a Ora e u /3a t.o „ny ff. Ir G ring Sa .t l IG'y1Q /le W�LvIOh(G9' to Li'l 7e; Flood Insurarice Rate Map: Above 500 year flood bounditry No_ ' `Yea Within 500 year boundary. Mo. ✓. Yes - Within 100 year flood bowidary No_11*1 Yes . Death of Naturally Occurrine Pervious Mmerial " Does of least four feet of naturally occurring pervious lbateilal exist in all areas observed throughout the area proposed for the soil absorption system? s i .G If not,what is the depth of naturally occurring pervious material? Certification I certify that on: Try 1991 . 5 (date)I have passed the soil evaluator examination approved by the Department ofEnviromnental Protection and that the-above analysis was perforined.by me consistent.with the required training;expertise and experience described in 31.0.CMR 15.017. Date Signature Q:H EALTHI W P/PERCFO ttM 2®13^.dT 7) I i , Town of Barnstable ��•°f °* Department of Regulatory Services i Public IIealtlt Division Date 6ARMar•ABM a - MA65. { - - T�1rf rn�a�� 100 Main Street;Hyannis MA 02601 y 4 r. : 1 3 e t5 Tune Fee.Pa Date Scheduled , Soil Suitability Assessment for Sewage Disposal - Performed By ��111'vcUq Ire-eri 1�; Witnessed By: `LOCATION& GENERAL INFORMATION f Fi Location Address". Owner's Name 6�-��,e- C1'/t°/22Qi1L )7 Address . ' Engineer'sNames�r✓; Assessor's Map/Paroeli l ''7. �3 t Q51t/I °dl!h' � --_bW ri ` NEW CONSTRUCTION REPAIR Telephone M (� I_ U Land Use {�L'S�(X'Y��t S Slopes, t7-S`/t� Surface Stones' ` ' Il Drinking Water Well CZ tl Distances from: Open Water Body SO (I Possible Wet Area_Z�C7 g A)V� a Drainage Way SOo it .Propeity Lite . Z L R Other. , SK>! CH:(Street name;dimensions of lot,exact locatlorns of test holes&pere tests,locate wetlands in proximity to holes) , 14A'T14AWAY itOAtx Parent material"(geologic) o Depth to Bedrock Depth to Groundwater: Standing Water.in Hole: Jyar�;6 Weeping from Pit Face A.1���� _ Estimated Seasonal Nigh Groundwater, DETI'R1VtINATION FOR SEASONAL HIGII•WAT1'R.TABL ' Method Used: In. in De Ur to soli mottles: Depth Observed standing in obs.hole: p - r Depth to weeping Rom side of obs.bola y in. Groundwater Adjustment n• t t- index Well N Reading Date: Index Well level Adj.factor Adj Groundwater l evcl k PERCOLATIONTEST Date 'l�rlc7 Time Observation Hole ai _ Tinle at 9" .— f � r f Time at 6" Depth of Pere • Slarl Pre-soak Tme Q Z� �� Time(9"-G". End Pre-soak ' Rate Mhr./Inch, Site Suitability Assessment: Site Passed ✓ Site Fs.He& Additionai Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back-------- ***If percolation test is to be conducted Within 100' of wetland,you must first notify tUe Barnstable Conservation Division at(cast one(1)week prior to beginning. Q:i IEALTIUWP/PERCFORM DEEP OBSERVATION HOLE LOG hole If 1 Ucp1h hum Soil horizon Soil Texture Soil Color Soil Other •- 9urthce (USDA) (Munsall) Mottling (Structure,Shines,DuyWts. �al>glatenay_ 3-� AC saNS�-) 1 nyr�Hl z 5"'.'jzq (-c)A! iOJK 3he S5 -i38 �N-, tot,P OBSERVATION HOLE LOG Hole It Z•Z Depth from Soil Horizon Soil Texture Soil Color Soli Other Surface(in.) (USDA) (Mansell) Mottling ctu (Strure,Stones,DouWcrs. Consistcncv. W r^t 1 W 33 ` i t7`I� SI rhE� 55•- 1Z0 S�� • 2,S DEEP OBSERVATION HOLE LOG Hole# L Dcpth from Soil Horizon Soil Texture Soil Color Soil Othcr Surfnce(in.) (USDA) (Multsell) Mottliig (Structure,Stones,Boulders. Consistcncv.°/.SL:n.�Cc1)_ DEEP*OBSERVATION HOLE, LOG hole/I De Soil Ilorizon Soil Texture Soil Color Soil Surface(in.) (USDA)ftom So Other a BuidJcrs. p USDA (Munsell) Mottling (Structure,Slon s, ) Consistency CP'lootl Insurance Rate Man:_ Above 500 year flood boundary No Yes Within SOO year boundary No/ Ycs cl Within l00 year flood boundary �Deulh of Naturally Ot currine Pervious Material �Do ss"at least four feet of•naturally occurring pervious tnaterial.exist hi all.oreas observed throughout the area proposed for the soil absorption system? Jf not ;what is Me depth of naturally occurring pervious material? C__,,,.� ) crti[icalio I;certify that on (date)I have passed the soil evaluator examination approved by tlic Dopatttnent of Cnviromncntal Protection and that the above analysis 1vas performed by me consistent with the required train ,expe and experience described in'310 CMR 1.5.017. Signature Datc 5 31 Q:ueALTI-uwrmLtKCr-0KM j i. TOWN OF BARNSTABLE C ATION �`/ L@irA SEWAGE AG1j®��(2, r I J� ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. `SEPTIC TANK CAPACITY bo c LEACHING FACILITY:(type) ltl&LOtt4ize) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: �7/ — / r DATE COMPLIANCE ISSUED: l/ O VARIANCE GRANTED: Yes No—I, ``� � � �� j600 cif d 5� ST��� � J � �� 3 ;� ��l�gfo�-s No..............._....... ` F$s(J......... . APPROVED THE COMMONWEALTH OF MASSACHUSETTS rnst BOAR® OF HEALTH TOWN OF BARNSTABLE Appi it it fur Diripoiui Wi ork,i Tonlitrnr ion Ilermit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System ... t_l. f ...._.. i --------------------- •---Os-1� ,--'_v-`----��' ..----------------•-•------------------ �+ y j/ or L.ot•N.. - ... .�'.�....................... .....�J- /. ...!_................................................................. Owner. / Address P. Installer Address dType of Building Size Lot............................Sq. feet U Dwelling No. of Bedrooms----------------------------- - - -Ex Expansion Attic Garbage Grinder F � g— P ( ) g ( ) p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ................................. . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width---------------- Diameter---------------- Depth................ x Disposal Trench—No. .................... Width-------------------- Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter----.--..-------.--. Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed bY---------- ............................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.-.---_---_---.--_ Depth to ground water......... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �+ --------------------------------------- •... •................... -... •------•----------------- •......... .--------------- -......... .---------- ..... ODescription of Soil........................................................................................................................................................................ U W --•-------•-----------------------------------•--------------...-----.......----------•---....---•------•-••. x 'f..r U Nature of Repairs or Alterations—Answer when applicable_._.. _.__..4.......................:......_..............................._.. ---------- ----- r---- ••----...... �. � ----•-.- ...T--'7 .........-1. ----- Agreement: � The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be n issued b he board of hea th. _ �y Signed .... . .... . ... ... ... �..� ............ � �' Application Approved BY ...... ... s2 4-'�I..... ...............:.................... - - ... ............. Application Disapproved for the following reasons: .................... ...... .................. . ............................................................................ ................................... ........ .. . . ........................ . . .....:. ...... . ............................. ... ............................. . . .. . .... ...........................:... e� �. ce Permit No. ..... J� . ..�.. '. ................ Issued ......- --..ate.......................... . . - - Dace I Ii 6 No......................... , Fics ....... THE COMMONWEALTH OF MASSACHUSETTS / BOARD OF HEALTH TOWN OF BARNSTABLE _ ,Z 1llpfirativit for Di ipwial Worlii Towitrurr16ri Ilermit Application is hereby made for a Permit to Construct ( ) or Repair (" ) an Individual Sewage Disposal System t. --,9.� / w� ---• ....... . ..... .•-•• �--- -- - ------------------- -----CDs•f-� •- - --l- P-- ............................ ! e.h _...._. �e:�tion �ddrr c � or Lot No. U C/ [ar ✓ f ow Tien Address 0 17- S.. f'�/c�i �F----------------- ,� Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.__..____3------------------------------ Expansion Attic ( ) Garbage Grinder ( ) �a — ( ) py Other—Type of Building ......................_._.. No. of persons....__.__..______.________.. Showers ( ) Cafeteria Other fixtures ............................ Design Flow............................................ Mons per --erson per day.Width daily flow_........_.........__.................,_..-••llons. LTI WSeptic Tank—Liquid capacity-____------gallons p Length_-_.P-___--__-- idth___._-.-.y--_-- Diameter.:.............. Depth........... x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.... box ( .. Diameter___Dosing t.. Depth)thbelow inlet.................... Total leaching area..................sq. ft. Other .f I Percolation Test Results Performed by.......................................................................... Date........................................ i Test Pit No. I................minutes per inch Depth of Test Pit-----------_........ Depth to ground water........................ f? Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a' •---••-•--------------------•...._.......•----•••-•-•------•----------•...------•---.......--••••......-••--•--•-------.--•--------••----•.._.......---•-•--- GDescription of Soil........................................................................................................................................................................ W ...-•-------------------------------------------•-•---...----------------------............-----------•------ -r F �} Nature of Repairs or Alterations—Answer when applicable._..... � ......................................... 1 ............ j r---_---- - Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code —The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be-n issued by the board of hea th. Si ned ....��' �� % � ' .................... Dac c�- r— Application Approved By --- ----- ..... Dace Application Disapproved for the following reasons: ....................._........./... ......................_ . ............................................................................................................'.........._..............................................._......... ....... . ...... ........................................ Dace Permit No. .....9_111f_ .- ---------------- Issued " --- .. '.... ..�� ... Dace i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Gertifi ate of (gomplianre THIS IS TO CE TIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired 'k . by ...U,)..La. f�`' F w► s....... n .. scalar - . Olt ..'?>�., ...... ji -{ (�[./...... .......... .R..---------- ----- f- f.! has been installed in accordan with the provisions of TIT.E 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ..J���� ... .;. ...... dated _..JJ�-...y THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......._........Q - o �.�... .....__..........._-------------------_..... Inspector .. .__......._........._........._.. ............ ... �.........._....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ,_3 p00 No......................... FEES_._...__............. Disposal Nab Tomitrutiun "permit Permission is hereby granted__.._ V ....L� f_.S.................____........._... to Construct ),,or epa an Individual e rage D osal -ystem �� - ---------------------------------------- at No .. 1-� ...� E Street as shown on the application for Disposal Z17,rls Construction Permit o� --- Dated...... .....��%.... -- "" Board of Health DATE-----r----------- � -------. / FORM 36508 HOBBS B WARREN,INC.,PUBLISHERS 1 Town of Barnstable �pF THE Tp� yP "� Board of Health * EUMMSTABLE, t 200 Main Street - Hyannis MA 02601 9 MASS. %6gq. �0 r AlfD MA't a Agreement to Extend. Time Limit for Acting Upon a Variance Request In the Matter of a variance request form received on Eek ---)-y I the Petitioner(s), G regarding the property at the petitioner os) and the Board of Health agree that the Board Health has until - a C)l (insert date) to act upon the Petitioners' completed application for a variance. In executing this Agreement, the Petitioner(s) hereto specifically waive any claim for a constructive grant of relief based upon time limits applicable prior to the execution of this Agreement. Petitioner(s): Board of Health: Signature: Signature: PX ti'' ' s) r Pe' on s epresentative Chairman Print: CIO Print: Wayne Miller, M.D. Date: % Date: 10, Address of Pe5doner(s)or Petitioners Representative Town of Barnstable Board of Health Public Health Division 200 Main Street Hyannis, MA 02601 Phone: (508) 862-4644 Fax: (508) 790-6304 file q:extend.doc Y) COMPLETE •N COMPLETE THIS SECTION ON DELIVERY e Complete items 1,2,and 3.Also complete A. Si ature item 4 if Restricted Delivery is desired. 1 ,J ❑Agent ■ Print your name and address on the reverse. X ' G Addressee so that we can return the card to you. B. Re wed Pittte ) C.D to of ell • Attach this card to 4he back of the mailpiece, or on the front if space permits., D. Is delivery address different from item ? Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No Prop ID:22.614000I F GRIFFIN,LIAM&AMY 3, Service Type 29 CALLE VIVIANA 45tCertifled Mail ❑Express Mail SAN CLEMENTE, CA 92673 ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7.011' 0 4 7'0' 0 0 0' 0 6 4 4 4"?6'1 ` (Transfer from service labeo PS Form 3811 ifebruary 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 I I • Sender: Please print your name, address, and ZIP+4 in this box • I I Engineering works, Inc,r 12 West Crossfield Road Forestdale, MA 02644 b r � I I I I I I_ SIEGMUND ENVIRONMENTAL SERVICES, INC.. 49 Pavilion Ave,Providence R1 02905: Phone: 40.1 785 0130 Fag: 401 785 3110 -2 o 1 y MASSACHUSETTS SINGU S LAIR ERVICE &.TESTING CONTRACT Operation & Maintenance Agreement Per Board of Health.Requirements This contract, entered into and between Siegmund Environmental Services;.Inc., (SES) and (Homeowner); shall be binding upon both parties in accordance with the terms and. conditions terms set forth below Term of Contract 1) Initial 3 year contract with quarterly testing/inspections a) Then a 2 year contract with semi-annual testing/inspections. b) Their .the contract shall_ be renewed annually with one annual. inspection for the life of the system. Location of Smgulair: 29 Hathaway Road, Osierville, MA .. .SES Job Number: MA-123 The Service and Maintenance contract shall consist of service, sampling and/or,inspection visits,at quarterly intervals by trained technicians to: 1) Inspect the depth of solids in the first chamber and notify the Homeowner if pumping is recommended.- 2) Check that amperage draw of the motor is'within proper operating limits: 3) Inspect,remove and clean aerator and Bio-Kinetic filter twice per.year. 4) LOCAL BOH REQUIRED QUARTERLY MONITORING .FOR.BOD, TSS, Nitrate,Nitrite,TBN,Total Nitrogen,Ammonia,Alkalinity,pH, Fecal Coliform. Test Effluent Mwdmum.reporting limits: BOD 30 mgl . TSS 30 mg1 TN 19 mgl` 6) Provide Flow Metering. Wastewater flow data shall be reported each time the system is inspected: Actual water meter flow data shall be provided 7) Complete inspection form and submit to local/state.authorities. 8) Maintain a complete record of all maintenance and.testing activity. 9) Upon determining the system has failed the Owner and. Operator shall take action and be responsible for.notifying.the.local,Barnstable Health Department within 24 hours of such determination.... a) In the case of a failure the. Owner and Operation shall be responsible for providing written notification to the Barnstable Health Department and the manufacturing. Company within 5 days describing the corrective actions taken. 10) By September 30th ,of each year. the system Owner and Service Contractor shall be responsible for submitting to the Barnstable Health Dept. all monitoring.results with all O&M reports and inspection checklists completed,by the.Operator during the.previous 12 months.: _ In .addition to the regularly scheduled service visits,. SES"will respond to non-scheduled events. within a 48 hour period from time of notification. SES will apply a charge for labor, transportation;; and shipping.. For replacement or repair of the aerator.motor, SES will charge all-applicable fees in accordance with the Singulair aerator.fifty-year exchange program: Non-scheduled service visits resulting from product,use in a manner inconsistent with the directions contained in the Owner's Manual, .negligence, tampering or un-authorized" modifications of equipment, termination of electricity to the motor, discharge of harmful chemicals,malfunctions not attributable to the Singulair system or other improper use will result in.a service charge of,$175 payable at the time of service. Should payment be contested or not made, SES is required to notify the local.BOH and Barnstable County Department of Health_and Environment that the,system in not in compliance with the testing requirements. This contract is transferable in event of the sale of the home. SES: Date: Homeowner: .. Date: This TESTING contract is $ .00 PER. EVENT or $ 00 per .year (Including all transportation and. lab fees. This comprehensive contract is $. per.year.. Please make sure to send back a copy of the contract with your CONTRACT payment or Credit Card information for Quarterly billing..(The first 2 years of system operation and. maintenance are included with the purchase of the unit. The third year is at the expense of the Owner).. Copies of this agreement will be transmitted to the.appropriate regulatory agencies as proof of compliance Paymentis made to Siegmund L'nVironmentadServices, Inc. For security, Quarterly Credit Card payments are best rnitrated via telephone. i - SDTGULLAJR 960 DN WASTEWATER TREATMENT SYSTEM SERVICE INSPECTION CHECKLIST Address:. Owner: Operator. Date:: This checklist summarizes the service procedures to be performed during a routine Singulair 960 DN inspection.Refer to the' Singulair Manual for a detailed explanation of each service procedure and an O&M troubleshooting guide: CONTROL CENTER SERVICE NOTES/COMMENTS ❑Check operation of control center ❑Adjust time clock.when required ❑Check operation of recirculation control panel NR EFFLUENT RECIRCULATION SYSTEM;. ❑Check operation of recirculation pump ❑Inspect recirculation well&fittings ❑Test Operation ❑Set recirculation rate rate @ minLhr AERATOR SERVICE ❑Check aerator operation ❑Check aerator power consumption ❑Check aerator air delivery ❑Clean stainless steel aspirator shaft ❑Clean aspirator tip ❑Clean fresh air vent in concrete.cover ❑Inspect aeration chamber contents CLARIFICATION CHAMBER SERVICE ❑Remove the Bio-Kinetic system . ❑Scrape the clarification chamber ❑Inspect the Bio-Static sludge return ❑Inspect.outlet coupling.. ❑Install a clean Bio-Kinetic system' ❑Fill Blue Crystal feed tube(if installed) ❑Fill Bio-Neutralizer feed tube(if installed). GENERAL SERVICE. ❑Inspect,effluent pump.chamber ❑Inspect effluent quality ❑Inspect outlet line . ❑Inspect ground water relief point(if installed)- - ❑Inspect effluent disposal system ❑Complete owner service record ❑Complete health department notification ❑Complete.distributor service record ❑Mail.health department notification Siegmund Environmental Services,Inc. FLUID'EINHING.CLEAR SOLUTIONS. www.sieemundgroup:com TRANSMITTAL BAXTER.NYE ENGINEERING & SURVEYING Registered.Professional Engineers and Land Surveyors 78 North Street,3`d Floor;Hyannis,NIA 02601 Tel:(508)771-7502 Fax:.(508).771-7622 . Date: January 31,2014 To: Barnstable Board Of Health Total No.Pages: Attn: Sharon-Crocker BN Job No.: Subject: eter Bilodeau CC: Copy of Transmittal Only to 29 Hathaway Road " M beth McKen2ie e, cc• File We are sending you Attached ❑,Under Separate Cover ❑Via Fax(No. of pages including Transmittal Sheet) ❑First Class Mail/'Registered.#: ; ❑ Overnight ❑.Pick up ®.Hand Delivery The following documents:. ®Prints/Plans ❑ Specifications ❑Estimates/Proposal ❑ Change Order❑ Shop Drawings ❑Reports/Calculations ❑.Other DATE COPIES NO. PAGES DESCRIPTION 1/30/14 4 2 Sheets C3.0'i(Proposed Site Redev.Plan)&C3.1 (Prop-Septic.Sys.Details 4 3 MA Sin ulair Service.&.TestingContract These items are transmitted as checked below: ® For Your Use ❑As Requested ' ❑ Returned For Corrections ❑ For Review And Comment . ❑For Approval ❑ For Distribution Remarks: Matthew Eddy, P.E. ME/spk 2013-057-SC-BOH-01-31-14 File Note: This transmittal contains privileged information.Please contact the sender immediately if this transmittal is illegible, incomplete or not intended for your use.Thank you. i BAXTER NYE ENGINEERING & SURVEYING Registered Professional Engineers and Land Surveyors 78 North Street, 3'Floor,Hyannis,MA 02601 Tel: (508)771-7502 Fax: (508)771-7622 January 27,2014 Dr. Wayne Miller, Chairman Board of Health Mr.Thomas McKean,Director - Barnstable Health.Department 200 Main St. Hyannis,MA 02601 RE: 29 Hathaway Road,Osterville,MA Continued Board of Health Hearing Dear Dr.Miller,Board members, and Mr."McKean: In response to comments from the Board of Health at the hearing on January 14,2014, and to support the variance application that We have filed on behalf of the applicant, attached are Nitrogen loading calculations,based on the methodology of the Cape Cod Commission. These calculations show that the Nitrogen loading on'the site with a 4- bedroom house with the Singulair denitrification system provides 4..95 ppm. The Nitrogen loading calculations fora 3- bedroom house with a conventional Title 5.septic system,which is allowed by right,yields 7.04 ppm. Therefore,the 4- bedroom house with the Singulair system offers a higher degree of environmental protection than the by right 3-bedroom house with the conventional system. This is almost a 30%reduction. These calculations are provide in support of the letter from Attorney Michael Hayes addressing,the manifest injustice .clause.and how it applies to the above-referenced property(a copy of this letter is also attached as previously submitted . . by.Mr.Hayes). ' We appreciate your time and comments and trust this addresses your concerns. Thank you for your consideration. Very truly yours, Baxter Nye Engineering&'Surveying Matthew Eddy,P. i Managing Partner Cc:Peter Bilodeau , 0:\2013\2013-057\ADMIN\LETTERS\2013-057 L3 BOH Variance Support.docx2013-05 7 L3 BOH Variance Support.docx Land Surveys • Site Design • Subdivisions . Septic Design • Wetland Filings • Planning TRANSMITTAL 4 BAXTER NYE ENGINEERING& SURVEYING Registered Professional Engineers and Land Surveyors 78"North Street,3 d Floor,Hyannis,MA02601 Tel:(508)771-7502 Fax: (508)771-7622 Date: January 27,2014 To: ' Tom McKean,Director Total No.Pages: Barnstable Board of Health BN Job No.: 2013-057 Subject: 29 Hathaway Rd. - Barnstable,MA cc: File We are sending you ®Attached ❑Under Separate Cover. ❑Via Fax(No. of pages including Transmittal Sheet) ❑First Class Mail/Registered#: ❑ Overnight ❑Pick-up Z Hand Delivery The following documents: ❑Prints/Plans ❑Specifications ❑Estimates/Proposal ❑ Change.Order❑ Shop Drawings ❑ Reports/Calculations ® Other DATE COPIES NO. PAGES DESCRIPTION 1/27/14 1 1 Letter To Tom McKean,Director 1/14/14 1 2 Nitrogen Loading Calculations -1/15/14 1 2 Letter from Hayes &Hayes These items are transmitted as checked below: For Your Use ❑As Requested ❑Returned For Corrections ❑ For Review And Comment ❑For Approval ❑For Distribution Remarks: Matthew Eddy, P.E. ' Managing Partner ME/spk O:1201312013-0571ADMIMTRANSMITTALS12013-057-TM-BOH-letter-01-27-14.doc 'a File -Note- This.transmittal contains privileged information.Please contact the sender immediately if this transmittal is illegible, incomplete or not intended for your use.Thank you. M Hayes &. Hayes Attorneys-At-Law, P.C: 23 East Main Street West Yarmouth, Massachusetts 02673 Michael J. Hayes Tele (508)775-0080 Jane Smyth Sutton Fax (508) 775-0693 Stephen P..Hayes Chantal K. Hayes firm@hayesandhayes.com Harold L. Hayes, Jr. . (1952-2007) January 15, 2014 Dr.Wayne Miller MD, Chairman Town of Barnstable Board of Health 200 Main Street Barnstable, MA 02601 Re: Application of LBB Trust, ' 29 Hathaway Road, Osterville Chairman Miller: This office represents LBB Trust.with regard to the application for a variance on the above parcel. It ism understanding that a variance is required in order to obtain a septic Y g q P permit for a four bedroom home because of the Saltwater.Estuaries protection provision. It is my understanding that your board may grant my client a variance provided he can demonstrate three things, namely: 1) Connection to Town Sewer is unavailable; 2) Enforcement would do manifest injustice;and 3) The alternate proposal would provide the same degree of environmental protection as a design in full conformance with the regulation.. It is our position,that the above criteria have been met such that the Board, in its discretion, may grant the requested variance. 1) Sewer is not an issue. 2) Manifest Injustice. The clearly stated purpose asset forth in Article XV Protection of Saltwater Estuaries is to address theJong term buildup of nitrate-nitrogen caused by subsurface discharge of sewage effluent. The purpose of the regulations is to protect those water resources by mitigating the amount of nitrate-nitrogen. As such, the I/A system proposed by Bilodeau Builders, Inc.would-in fact result in a lower discharge of nitrate-nitrogen into the watershed than the traditional three bedroom system that could be permitted as a matter of right: An accepted legal definition of`Manifest Injustice' is `obviously unfair'. It would be obviously unfair to require.LBB Trust.to install the traditional three bedroom system as opposed to the far more efficient four bedroom I/A system proposed because the net result would be more detrimental to the Saltwater Estuaries and would result in an adverse impact to the environment as opposed to the more modern I/A system proposed and documented by the`applicant. In other words it.is obviously unfair to use a regulation'designed to protect the environment as a reason to restrict this lot to three bedrooms when in reality the four bedroom I/A system will in fact have a lesser impact on the Estuaries: Furthermore,the typ.ical homeowner in this section of Osterville is a second homeowner, or an older couple with minimal usage during . most of the year. Whether the property is ultimately used by a third party purchaser or is resided in by my client, the need for the fourth bedroom is because would be home-buyers in this area typically want to be able to accommodate extended families for Holiday weekends in the summer months. This usage tends to add to the tax base of the town and has an overall positive economic impact without adding to the overall cost of.running the town. 3) Lastly since the regulation only requires that the alternate proposal provide the same degree of environmental protection,this provision is met since the applicant demonstrated that the IA system in fact would provide a superior degree of environmental.protection. Respectfully submitted, Michael J.Hayes MJH/ BAXTER NYE ENGINEERING & SURVEYING Registered Professional Engineers and Land Surveyors 78 North Street, 31 Floor,Hyannis,MA 02601 _ Tel:.(508)771-7502 Fax: (508)771-7622 January 27,2014 Dr. Wayne Miller, Chairman Board of Health Mr.Thomas McKean,Director - Barnstable Health Department 200 Main St. Hyannis-,MA 02601 RE: 29 Hathaway Road,Osterville,MA Continued Board of Health Hearing Dear Dr.Miller,Board members, and Mr.McKean: In response to comments from the Board of Health at the hearing on January 14,2014, and to support the variance . application that we have filed on behalf of the applicant;attached are Nitrogen loading calculations,.based on the methodology of the Cape Cod Commission. These calculations show that the Nitrogen loading on the site with a 4- bedroom house with the Singulair denitrification system provides 4.95 ppm. The Nitrogen loading calculations fora 3- bedroom house with a conventional Title 5 septic system,which is allowed by right, yields 7.04 ppm.. Therefore,the 4- bedroom house with the Singulair system offers a higher degree of environmental protection than the by right 3-bedroom-. house with the conventional system. This is almost a 30%reduction. These calculations are provide in support of the letter from Attorney Michael Hayes addressing the manifest injustice clause.and how it applies to the above-referenced property(a copy of this letter is also attached as previously submitted by Mr.Hayes).. - We appreciate your time and comments and trust this addresses your concerns. Thank you for your consideration. Very truly yours, Baxter Nye Engineering&Surveying Matthew Eddy,P. Managing Partner Cc: Peter Bilodeau 0:\2013\2013-0517\ADMIIV\LETTERS\2013-057 U BOH Variance Support.docx2013-057 L3 BOH Variance Support.docx Land Surveys • Site Design 9 Subdivisions e Septic Design e Wetland Filings •-.Planning ,t TRANSMITTAL BAXTER NYE ENGINEERING & .SURVEYING Registered Professional Engineers and Land Surveyors 78 North Street,3`d Floor,Hyannis,NIA 02601 : TeL(508)771-7502 Fax:(508)771=7622 Date: January 27,2014 To:. - . Tom McKean,Director Total No.Pages: Barnstable Board of Health BN Job No.: 2013-057 Subject: 29 Hathaway.Rd. Barnstable, MA cc: File. - We are sending you N Attached ❑Under Separate Cover. ❑Via Fax(No. of pages including Transmittal Sheet) First Class Mail L Registered#: ❑ Overnight Pickup Hand Delivery , The following documents:. ❑Prints/Plans ❑ Specifications ❑Estimates/Proposal ❑ Change Order❑ Shop Drawings ❑ Reports/Calculations ® Other DATE COPIES NO. PAGES DESCRIPTION 1/27/14 1 1 Letter To Tom McKean;Director 1/14/14 1 2 Nitrogen Loading Calculations. 1/15/14 '1 2 Letter from Hayes&Hayes These items are transmitted as checked below: ® For Your Use ❑As Requested ❑Returned For Corrections ❑, For Review And Comment ❑For Approval. ❑'For Distribution Remarks: -Matthew Eddy, P.E. Managing Partner 4 w ME/spkZZ NO _9 0:1201312013-057ODMIMTRANSMITTALS12013-057-TM-BOH letter-01-27-14.doc - File t� 7,7 o Note: , This.transmittal contains privileged information.Please contact the sender immediately if.this transmittal is illegible, incomplete�or not intended.for your use.Thank you. y'..Nitro geh,Loading-Calculations I„ - - Job#`2013=057: _ Client:.' Peter`BilodeaLt- _- __,3_.z, Date: g1114/2014 ; Projectr.'57.Hattiaway'Road"- " _ ' Desi'ned 8' M.WE LOADING CALCULATIONS: POST DEVELOPMENT CONDITION=4 Bedrooms Type of usage: ,Residential Lot size: 177� 31',746 sf Impervious.Surfaces: Roof Area: F --I sf Paving Area: -2,550:00 sf Natural Area: (equals Lot Area-Impervious Areas), 25,786 sf Lawn Area: (estimated) [-1�1,000:00 sf Title V'Flow: Type of use Residential,MJ,..,1 Unit,per: t1' Number of units: t Z4 bedrooms GPD i 4, ,110 Flow a __.440;gpd Location: Barnstable Recharge concentration.for. Barnstable r.' . :C8 in/hr (Per Cape Cod Commission WASTEWATER: TB 91-001.Table 1) Flow 440 gpd Actual (not used with commercial!office) 3.785 Ugal r °137;5g;gpd 2.5 people/unit avg occ.x 55 GPDC. 1,665.40.Uday Recharge 3.785 Ugal (per CCC TB 91.001) mg/L Wastewater Concentration.. 520.44 Uday 31,642.6 mg/day Loading 1.9,mg/L Wastewater Concentration 9,888.31 mg/day , IMPERVIOUS SURFACES Roof: - 3,310 Roof area(sf) 40 Recharge off of impervious surfaces-in/yr 0.0065 Conversion to Liters per day(1ft/12 in x 28.32 U•:f x.1.yr/365 days) 856.10 Uday Recharge 0.75 Recharge concentration-Roof runoff,mg/I (Per Cape Cod Commission.TB 91-001 Table 1) 642.1 mg/day Loading Paving: 2,650 Paving area(sf) 40.00 Recharge off of impervious surfaces-.in/yr 0.0065 Conversion to Liters per.day(111/12 in.x 28.32 tJft2 x 1`yr/365 days) 685.40 Uday Recharge 1.50 Recharge concentration-.Road runoff,mg/I (Per Cape Cod Commission TB 91-001"Table 1) i�_ 25.00°% 'Loading Reduction for SWM Treatment Through Vegetated Areas (Cape Cod Commission Policy) 1.125 'Recharge concentration-Road runoff,mg/I(with 25%Credit Reduction) 771.1 mg/day Loading LAWN 7,000 Lawn area(sf) 0.003 Fertilizer concentration(3 Lbs/1000 sf of lawn) (Per Cape Cod Commission TB 91-001 Table 1) 1,243.84 Conversion factor(1 yr/365 days x 454,000 mg'/Ib) 0.25 Percent of flow leached into soil (Per Cape Cod Commission TB 91-001 Table 1) 6,530.1.mg/day Loading. NATURAL 25,786 Natural area(sf) 1.50 Recharge for natural area(tUyr) (Per Cape Cod Commission TB 91-001'Table 1) 0.0776 Conversion factor(28.32 liter/cf x 1 yr/365 days) 3,001.07 Uday Recharge' SUMMARY r �j Title V Total Loading= 39,585.88 mg/day Title V Total Recharge= 6,20T96-Uday �9 Tile V Nitrogen Loading Concentration '6;38 ppm :,,.p �5 ppm(milligram/liter)NO3-N izy Target Concentration per Cape-.Cod Commission TB 91-001 Table 1 J Actual 3':52 PPS m � FINAL CALCULATION )' - 4;95'pp (Title V flow+Actual)!2 Hayes &. Hayes Attorneys-At-Law, P.C. 23 East Main Street' West Yarmouth, Massachusetts 02673 Michael J. Hayes Tele (5.08) 775-0080 Jane Smyth Sutton Fax (508) 775-0693 Stephen P..Hayes Chantal K. Hayes firm@hayesandhayes.com Harold L. Hayes, Jr. . (1952-2007) January 15, 201.4 Dr.Wayne Miller MD, Chairman Town of Barnstable Board of Health 200 Main Street Barnstable, MA 02601 Re: Application of LBB.Trust, 29 Hathaway Road, Osterville Chairman Miller: This office represents.LBB Trust.with regard to the application for a variance on the above parcel. It is my understanding that a variance is required in order to obtain a septic permit for a.four bedroom home because of the Saltwater Estuaries protection provision. It is my understanding that your board may grant my client a variance provided he can demonstrate three things, namely: 1) Connection to Town Sewer is unavailable; 2) Enforcement would do manifest injustice, and 3) The.alternate proposal would provide the same degree of environmental protection as a design in full conformance with the,regulation. It is our position,.that the above.criteria have been met such that the Board; in.its discretion,may.grant the requested.variance'. 1) Sewer is not an issue. - 't 2) Manifest Injustice; The clearly stated purpose as set forth in Article. XV Protection of Saltwater Estuaries is to address the long term buildup of nitrate-nitrogen.caused by subsurface discharge of sewage effluent. The purpose of the regulations is to protect those water resources by mitigating.the amount of nitrate-nitrogen. As such,the I°/A.system proposed by Bilodeau Builders, Inc.- would in fact result in. a lower discharge of nitrate-nitrogen into the watershed than the traditional three bedroom system that could,be permitted as a matter of right: An accepted legal definition of`Manifest Injustice' is `obviously unfair'. It would be obviously unfair to require LBB Trust to.install the traditional three bedroom system as opposed to the far more efficient four bedroom I•/A system proposed because the net result would be more detrimental to the Saltwater Estuaries and would result in an adverse impact to the environment as opposed to the more.modern I/A system proposed and documented by the applicant. In other words it.is obviously unfair. to use a regulation designed to protect the environment as a reason to restrict this lot to three bedrooms when in.reality the four bedroom'I/Asystem will in fact have a lesser impact on the Estuaries: Furthermore,the typical homeowner in this section;of Osterville is a second homeowner, or an older couple with.minimal usage during most of the year. Whether the property is ultimately used by a third party purchaser or is resided in by my client, the need for the fourth- bedroom is because would be home-buyers in this area typically want to be able to accommodate extended families for holiday weekends in the summer months. This usage tends to add to the tax base of the . town and has an.overall positive economic impact without adding to the overall cost of running the town.. 3) Lastly since the regulation only requires that the alternate proposal provide the same degree of environmental protection,this provision is met since theapplicant demonstrated that the IA system in fact would provide a superior degree of environmental protection. _ Res pectfully-su.bmitte.d,_ MJH/ Michael J. Hayes . i TRANSMITTAL BAXTER NYE ENGINEERING & SURVEYING Registered Professional Engineers and Land Surveyors 78 North Street,Yd Floor,Hyannis,MA 02601 Tel: (508)771-7502 Far.(508).771-7622 t - 1000`t Date: January 31,.2014 To: Barnstable-Board"Of Health Total No.Pages: Attn: "Sharon Crocker 9 BNJob No.:: `2013-057. t Subject: Pete.rBilodeaii: CC:. Copy of Transmittal.Only to i 29 Hathaway.Road' Marybeth McKenzie Osterville,MA cc: File f We are.sendg you:®Attached.. Under Separate Cover Via.Fax(No. of pages including Transmittal Sheet) First Class Mail/Registered#; El overnight EI Pick"up. ®.Hand Dehyery The followin documents: •: I SDI PrmtslPlans Specifications ❑ Estimaies/Proposal ❑.;Change Order❑ Shop Drawings I Y� 0 Reports/Calculations; F ;Other" u1rJ01 I DATE; COPIES" NO. PAGES DESCRIPTION 4 °0/14 4 2 Sheets C3.0(Proposed Site Redev:Plan)&C3.1 (Pro Septic Sys..Details) r 4 3 MA Singulair Service &Testing Contract 98 9 b aw o3HL These items are transmitted as checked below: ®. For Your Use ❑ As Requested YI�C q El For Corrections F For Review And Comment ❑ For Approval D For Distribution w 'Yti3�N i Remarks: S3" 14 a31( Matthew Eddy, P.E. j�f3H NA . _ _ I PIOIL01 P0l 01 ME/spic it t101 Q6ii8a 2013-057-SC-BOH-01 31-14 S ,File : NOV ION S Ow ALQ NImS ON M �_x W • - 0 dYll c N ION S M ION S+ Note: �. This transmittal contains privileged information.Please contact the sender immediately if this trnn,mittnl'is iliPaihlF. . . . . - . 1. 14 . . .. _, . . .. , , s f nl m Im r���m m I II�.I.IrI m.mI..,I�.m�I,..�.l,II FI I r m�mm�m mI�I,...m,I.I m Im,m rm'I�m,.I-MmI-m..I.I I I II�:.m m r�1.II I;m1',.1Im�II..m.I Im m.mI.m:-I I I m m.I�I,:-,mII_m��,r�-M.::�r I�.,..�m,.��"�.mM 1�...�i.m�.I,I,I-�,�m..I:.m m mI��.�-m m.m,.�I:.I-�.mI�.I r 1,I'�.I.1m I m.I.I�m.:m I�,�,.Im.-...rm...mrm�I.mI.m�mI�'I.r..�.I��'I mI�m I I,I r.m�.I,-;r,m�,.r:m!.A.�.---I�m�1.:m�,mI II�,'r:.�I...mIrr1A I..�.m.1�m,m:mI:m'.r I I_Lmm I.l�I��mmm��,I.�1:,"...I mm 1:r,.m.-Im.'.I r I��I mr'-�I.Im t..I�,.m�III,.I Mm..Im m.L�*1I:,I..�.mII,I I r�..m.�-,m:.-;I,m,'1�r.m-m�I�I.m.,I..�m II"IIm�'�-I m;m.�I�.:m.I'I.m:r��m.���I-:-_:,.I m�'Imr�I,I._Z�..�'.�--".I r.��I'mImI r.'.m..m-.l-�I.rr.mr I,1,����-.w.Im�,m.*,II.m�.�-:m..r rm�'I�.m Im�..�-P�I.I-m,��l..i.m��,m�m,.m:m l m m.�_I��:m..m I II.m...�,.Im&I.-m m-m I m'l-I�I.-mIm"�_m I..mIm m.�:...m'm;2.��I�mII�I.m.ir.�I._0m-II..r.�m m I�1I m',.Immr.m-�.rr'I-I*m,,,II�I�.I.r m..m��,,.t�-�:,'mm�m I�Ir:I'-.'�..���,II I,.p I m I:,�m.mI-r I.I.�,��m m m-�.m 1�I..I'I.m 1,...�.,1.�r�m.Im I,.I,�I m,m,.m I.;.m.r.mm-%.I:��'m..I-r�mr;�,I m,IL.��I...:�.mIIr.'1r.,.,I...m''r%1 I.m m.�.m.m,,I.r r.,.II:�w'..,.Im.I M:�,m II'1 I�.m'1..I mm:rmm'1'.�.�m�.�-�.m m�m m.�1t�m Im.�mm:mmm,.m 4 t,IrI�m.I�-m,m.�"1-.,r--.I.m II�m�mm m�m,mr ImI�--.,.I MIm I.mI-I.I,r.�;Mm I-.m,m,-II I.r�m,:I,m.,.I m Ir.�m.�I.mm.�-,,,�W mr.�tm'mm�m m.,m��mr I.r,I...:.�lI�m�I..I,,-...m.1':m.r.m.�.I.�.M��:I,mr m,�m m,.'--��:.�..:m,m I.I',m�..�.��.�.:I�I,I I I..m..II,Am I,�r!.-t�,m I,m'.m.m mI�I.-:I�I.:�I.�.I I-..,1'.I,�:I�mM�mII1:i.II m.I.-.",I m....I..,m I�r�m...m�IIIImI.,I�,m rI.,mI.I�.I�I.m�.I.,��-�,,..-I m�r:,.�I II,-�4.�m mI I m-,:m-r-,.,m��,Im��I.m�r�m m:m,.m.mI I-.,I I.I.m I,.��,�:r m-,��m I.I,�_,I.m,1,m�,m.I.-mr,1�m�-:�.m.-m I m.�m�'II�.,m I��m��,m-m!r-mI,.�.r.m,,.m.I m:m..�I�����'..:mm'm�,�:.r.M",,l,,...,,rM*.L-,m.mm���_���,�:Immr:iIqI�-II,,I�I�,:�'m,I.I�",.,4-��mmm-:'._-ImI'm.m.Im Il,.r..,..l.L.-m mI�m�rIr 1mI,m 7-,�I�.I��_,mI Im,i;m-'�m-.�m..mmm,.:m,�.I.m m m,�m II�,1%m-.�r1'-.m r I'L��Im*I.��m.I,.-,-.m�.II.,r�I.mm�.�m,t.�.r,.-,�,,I.:I m,ImI,,.m�:I Im,m.I�,I,,...'IIm,,I.m:..-.�.�'..,I.m�r�.m..,:-m I;m m I�.m m m m m m:�.,��:"I,..,,m I-I".M,II'I m mL',-�m Im�I m.mm.r�_;,�.m-.-&l,�-�Im.,��M."1mII,mI.m I�M,Imm�m:.'',,m.m.m��m I 4 r�A.,�..m�I-I m�'�m.m�.I�m.I 1..rl,-.I�I 1..m-I.,..I"�,�m r�mm I.I.Iw mm�I�I p Mm...m-m,..,I m m,I,:,m m�.�mI r I.�mm,I m,r-m�I�.:I:m..I.m..mL,.r�-1�1.�.1I,m,-,.I'..:I m.m.m m.,r..��m4m�m m-mm I-r�,.�I m.�m-�m-r�m m.�M,m4�Ii m I.,�m,.-.,.�m.'���m.m1Im.,,..mm m 1,.mm:I.m�.-�.r r.�I m'm,mm��,.r.:m m,mm,�-,�r...II�,,��.m.�,�m-II mmm�1 I-:I m�m I.�.'.I..1 m��II m.I.."..I l.,II..I'�,��.I.mI r,m.mr�r',mm�,mr,�,m'm m M..m�I.L I.-mm mrmm...:k I.,.�,-�.r.1 m.mI,4 I�m�.I.mr I,I.,I..m,I m F':,m.::�-..�mI��m m.I II1,-m m m�.-.?.IrmIm.r.I I��.I�1�.r,1r'm-m��..I.I..m.k-,rIm..1m,m.mmi.ImI�,.m,m,m I�A M r�m r.m mI.;*mm Im�',I��m..,m�."I,IZ��.I�.,,L.m�-.��.mr,�:Im�,m:I:b,,m,mI�:I,r-rr.��:1�Ia'm r:I,rm'rI.,r��,-,1 m I,�".�mr.'��m..I IIt�m-�m,.������-m,.I r,_m.,mI..I.m,,m�:.Imm�:.L�..,�m�,.mI mm 1��,mmI..d-,."II�..�,m,m..m,.�m�m rI:M,.,m mm-�..m-�-1.I M�I II I�.L.,mm.'rm,,:.mm r,m,I,m..�IMr�I�-�.r...,i I...:.I mI��r.r"%"�r'�z.�.%',.mm�rm r",.,_��.;m��#m..:"m.r�,-:m�m:11-rI_m.r�m m:I,m��m.m�I I..,I.�m,�"'m1 I1-�m,-I,��r..,.1m-��,:�-.�,,��..�m..Imtm,m,rmII-';r m:I,rI�"rm��I�rL.��I,I.m��I m.m-,_m,.',1..,.I-I-,,...�I m-,..m.*..r:m.�,m��I.m mIm�..�..m,r mI:�!m.,:,r.,r.M:.,Ir I",m�III..,,I:I,m.rI�,.I,�.I...',m'�.mm:m II,mm.�I,.t m�-,,�...m mjiM�mI,.:.A,I.w.���...I,::�I 1,�I�,m I-I I�.-r.I1.....�-.�m"m..Mm�-.'I I.m��I'�I;i.I I,m...�.r�l"?r r.,4.�.,.m,rI:,I:.�I,�r t-:::��m'I,�.r,.m I,m�:M.I-I.�Im'm.m..I.,.'1-m�',,,�M,�,%,��I���..:-,...-.I,...1,r.'m.',.:m�1-:...."r*,.mm.m�....-m m,I.,.mm,II-i�,m��1 m I..&�,-.I,I m,",.-:,I-1:I,m.,IFm m I�..,�,II I,I%�.�...w..m.m..r�m-,mm-.m�Im II,,�-,'r:1 M��_�,�.rI.t.I".,�:m Lm���r m;..I.m.�r�:'I:.'m.��,��,:,:�l�r..�.--'.�,�.mr.rr'mI.i.,-.-:m�mm'�I mI m-mI:,,M-m m�m,i�.�.,-r.m-I I,�,Im I.�,-.II..��m r_.,I.I�.%�,_I��mm��m,':I*,%m-..:m..��I"�.,I L�..,l.,,m�-�Im�1 m I�F I�,,��.,M:.,m.m.,m'm&..��.�,.�m m,*m,.m�-�.r,,.,!,.t��,r�I,'I M�1 m.m I,..k,m,-,�t.,.,:...,,I�'',�,,mI:�;I.m Im mr...-,l..I I II,.��'-m,,�,,rkI.m I-....m r�.'.m'm��m:-..r I rm.I�.,I m.,I m1.I m,,I,,,mI�.m Ir�:m.,�m�,,.1,m.-m_��-I.�:,.,Am4.l�',,--�,��m m�r m:.m,,.�,.m I.�mI...�,�.,r m-::,.m m....�,�,,m1�m.".AI.Ir mr��I.:,�I,I m.,m m m Im�.I mm,�mI�I m.�I,�I�,..1:I�M I.:1".m.I I.m m5..m k;-�mI,m,I...�;,7 1'%�m..I-I.1 r.mI.I,'m,I�m0I.m-'m:r t"Il-::.�I,m,�r,I,r,I mmm,-r m�I I�..�;:�I m��.IM.I�,.�",�r..m mv,;��.,m,.m,,�&,r I,m....I.�II.-)r-,�rr'm.�'l.,m.r-I.4,m.1 I,I�,I�I...-,rI�,,mm r 1-m.m��'.I�,�-�,m�....I.-,,...I�m..I�I':'.,�r,,:,'_,,-m�1,,�,m:.:..m m.rI m,m,.:-I-r.,,.�-�-m,m.'m..I...��_,..m,r.I,,I;I.1Im";I m II,mrm,,Im mr I��.�.;,Ir I,�,r I�:::.':1�I,r r,q."m:m�m-mmm'.-o.I.�.,I.,:,-.I�.r I,-m-_.,.:,��I mm_w,_M m I�,,,M1 I�:.;m m:.�,..m�.;m Im:,, I r.m�m��I,-.,.,-m.I p�...:-m 1-r--,,.1�m,.:m�m,�II-m�.II�.-,m I�m,.�f.�I.mm mm-.I�:,t�I..m,.I,,,�.m.m:,.��-,.,.�.m�,I I mr,.,rI,.I I,,'m..1�m�I I-.,..,I�.I.I�"I�mI.,.mI,,.mm�I F,;.mI:��-I�mI�I I.�.mL I.rI.M I'�I�I�1�.�`,":.mm,m r...m�m m m�:-�,r.mm4m,�m:r�m�.r II,..rm,I,:mI r,-%-Im�m�.-�m�,-k,�I mm-r:.m m�m..Mm rI..��.,�-���1.�1.,.I�..,,,,.m1�m,I�mI'..m��1,��.�.�M I,,-.�'��:I:"".,,,-..�Am.IIm.,.,I.I�l..,:,I m.1 m�..m.r�,�m.r I I.,�m.,Im-r-�.7�I�,�-��...��.mI�.r..,.'�IM�.m�.'.m.�,.m mm..m��:I',I.Im m�r�I,r I-.II4-.'M,mL mI..1J�..-�,''.....,..mr��..�I�.:im-�;I.mI.:�,I....Im,��-.I.I�-..mm,m:I:1��m1..�r I,,m m I-�-m��I�,.:r�%�mImm m.It.m m,m j'�,.-:.�1I,r I m ED*--1,lll-r m_m mmr�rr-I.--'r.��.�m mLu Im,�m'�-I],�.,,.m-I..m,m.j.,:�..I,m&ImI.�I�m.mIm m.:IlI I.-m,',,,.rI...1 I�I;m:r I&;I."Z'm m�,,/I.I,.�m---..:-,"m/1 m I.,.I mm,m: !I:I m:�Im.m.r,.m.,:�I,m Ir m%r_:.',,�:-MI.m.1r�. '-,�',��.,�-m.m,'.��m.I.m m.m,.:�..m m�,mI IM m�.,,m mr..,';.r,,�.*m�m�.,I�m�m�7�,�.'.m.II._LI%.mI.:<�`I,_r,,. Fnm.mmI.mqm I.i.m-I..,r.,11�MI I'I,�.'.,r'.;�II m-I I mIII.�i��I I I mmr-I i .� .:���I.r,I Imm-.,I.�,m.rI-.,.,.m,�r.m�,��m 1�...�m''.Mm,mm�.m:.rm�mI.m..I Im.:�..A.�I.--m I.m"..I I I m�.mImm�-m.4.m r--m m�I mI�.I.,m,m�'m,:Im��mImm III-I,I r.�..,,,��-.II,.m,m I�Im��I I:�,.1r I m d.�,-.m,r 1��.1m.-�,m m�-'�a"o.��r,mm�.:�..0���m�.I,..�..rmm.m..I I-�I,.m.:.I m r.m.m.mI,,.ir M.'.,Im�,.-M..���.m'�-(mm p.I-.Q I-�mim.'m�,.,'mI m,I.,m..m-I�;.'m,�I m..m.�.�I,1m I.-m�m M:,!�'-.j I.,-..��:..m.-1.,�A,mI�'�,1�,m m m1,m m;1ImI m��:.�1 m..�m�m,.I�mr I m M.II-m�1...I.m,.."m.I.�..m.r�II.,I.�..mm�-�A r m m,r:mm,mr I,�;I..�I,",�m-m.�;I...Imm Im.-m-�.�,mm,:m,.I.r:m...mr�,,..mII,.mm..I.RD10A r-�m.�m�m��.,m m m mA Imm.�m��..--,-,�...�."r I�.I-.II�I r.�m�-I��.r.r�.mm,I I Im-I-�--,m.m.�.mm.m,�.I��m m rmL-$.I.r�.��I-:.�I I�I lm m.�II,'I I,r W�.-m�.'r,I I,m....�.m?�m.���-m r:rm�I�1 o.,..mmm..m m I',I,-O_I,.I.m mm-.m-m'II-,��--M��-���.I�_�m-;,.�mm�C�'.�m�m-..��---rm.'rI�I�.I.,m:�-�.;-m,"�,I'..:.--�,.-m-II.-�-m m II-.-I I�.I�m-�m.,�:M.-m,t m�m i m I m..-mI......��I.I I,.m,I,r,mr�:mr m.r�'�m�,Im mmI.I.�.m1.r I.I:t.�.�I�m., rm Im m I.,.,mI 1 m,-m.mI.-��r,�-�,m�,,.m--r.-I:m_mrm1-.�.�r�m�.-m��...m�-.�I.'.��I m II,�,-.TIm 2I r ImI�,-1.��.Imi:�I�:�I�,I r.'l�..m,�1.�.Imr-m--,.r.m�m Mm.m.-Im I,�mm..�I�-I�,�m.'m I��"m�:,�.,.I��,�.m.���rm.�1.'II i;�.-mI'!',mm.I�,:I�rm�m_-�.m.m I.m�.I.M mm�r 1:I m�-�I�-.��..IImI.I,m.���m_.�m-I,�bI-m,.m�.�m,mm m mm r�1�-I�.,�MmI,I':,I�-m.�I m��m Im mI mI��.m�eI M.�.�r mm.r.I�_�m�.I�mr1I.I-II-..I,,m�.II.�.I,m..�I..��mIm�,.m,,II..m..�m m I:rm.II"r..-,--'m.m.,m m-I�:m.m,.II...�.Im-m m-I,I I�.I.,�m�:0 I I.E.�mL,�.-�II..m-�,..m 1I.I I m�-mm�,I m I.-,i I.1mIrm�I I I::t:m m I%,_�p.r-II��ImI:m,m_m rm.m m.-..-m.�,,.��.I.I.mm��I I:�,tI���Im:..m�.Im m T-,�I[�.m,I�m..�I.-_�:;.;..,:I,,�"m1 I"m m vm I mIm 1'm.,�.II.-�7.I-..I-,,,�Mt,�.rI.,.mr�..�.m.m I.IlIm,..I r I m�I I"��II7 II.�I�Ir r..�m*:r.rI�,-�,I r�'I�II��.��4 II�r.-�m..r..r��r 1,.m."m.._�E�:�.I m.,mIr��LI%�m,rr�.I,I,m�,._.mm I.i.�.�.m.,m.�,I�r,"I m mr�,';.�,".,��,:m%Ng�.,N,,I--,I(Ir.,II,�I-..m�IK,mI�-m%'-r I..��m.r=(-0r..,��m I:,I mI 1,,m-.�:�m.m;.rm mIM�.m�.E m.,m.I��1.-r.I Im i-'A mm�,�I�II:Im-r�'m I�r',.:L M.m�''mm-.,,�.:m-..�I:,m.m'��I�[),,'�r..:m�;T- .--. .. 'm�m'I.m.1,,,.mm m'.�,".m..-m�I�m m�I�mM.,�;;�,.II..r*..r.r.m m�I,II....M���.1-m..m...I, - _ - 4��.m m:�m�.�m:...",rI�mmI�.I.rm:,r,.m I m�..�m�-mI�I.r r_t"::'.-m.I�%�rm''..-�.Ir�I��I�,�:I�r-I.m:I-.m>m.�mm-��.mmI.'I1I�'..�,m m II Im.m.�lI�-,,M��.-,r,�;_I�m,!mm�.�mr,�I rI Im�Im i.I.<.,.,m.'.�I1.m.,:.m�.,-m-.m m'r�I�,.,ml.I..'.m,-�,.':0 1,i m�r,_m.,,4�,..�r�:�I-�mm�m�_I I,I r��,I,,,L'-.�%.,�I.�,�zrm-r-.r.,�,, I,.�'r�I 1,��r"",�*m-.I.mm-,'m-.I-I m�""�IIL."-.mI�m II.'�-...1 r�...L1�.m.m�,.m..�I l�.,�r�'�I m.-1�..I.,-��.I.m�m:.,I�-'m m,-��I M,<,:.<'r..�.mI_m aIm..,U�I,I m m I m.-m-..<-m-'���II,,.,.,,.m�m I-..r r r!,I,Irmm_II��I II,�,m.--,.7 I'L m r r,,�.r I mr�:,m...�,m.,m--�,,'l,eI�.m,m.-�r�m,..'Im-�m- �I-"'�.Ir�.�.�Imm m..�-m-:.��--m�.*.�mI m�m�L..�I*�--,-,:I.',��I�.r-..�l-r�I m7�..-�I.-:':.I-.�m,I3::1:.::1.m-.�m.Jr-..L r:.m.,,I-.m.mr]...I.-��m m;.I I.0I m'II.,1..I1I..A1-�t. -�0..II�I.I:rIm,II I�mI,m M m r,,1I_I 1I,r I..I.m I.I1�w'�,�I�1-�.:..Im.l,.r I.�.II,I'i I.r.m.,.-.�mq.1.m.,..m r,,I..m:",m:I'm-I Imr mm�III im.�.,I.mI:mI�mI,-I..,rIm1.�.::..,,.I.�r�m.m.rm I�m rm.rr��mmI�.,"Irr I ..,I:.I,r,,,,mIO r�m��_m.I.mI,-m M,I,m I:�.'I.m Im�m�1m r m�..I,.I.r_M.-I��-,mmm,��..��II��,I,. II,.m�.II�m.r I r.m�rI�r�,�,rmm�rmm.Im,m�m..I,r.r I.I,I.�Im m mm mI'`m 1 I�I,�',1'r�..��1I,I-I,:..1 I.��.mI&m:II1.0Ii m.�,-m.I,r I mm�I�._I%I:'I.I_*m m m.Mm m..m I�m r�.�`Im�I�r�'.Im.I, I.I=L I,m m mm...I�.m.rI�,mII.m m..I.m,"m.m-I�.M�..r�,,."Im",.m-�I'.r 1.r m�,:.M,�m..m I1m'�.�.I I:....�mm.,m m",�,I;,-.'I"I�m I�m 1,,I I:.m�;,",r.^r-,�,r�,.�:Iv�mr"rmI��L'I�I:,�\.�I�_I m r��m:,Im�I�,7 I�r�,,r I,-m Im'I-LI mm m-�,I�m m V I��I�II�m rm�,,�.:��%I."..�,r�rr.r'�Im,m.m.�I:,�m,_.I*�,m.ImIL m&i_�_"_mI I-M,�!,..&�mm.IM��mmE.I.r��ImI�".:I vI��m*.�m�7I m��7 I'V:m I:��,''rm.�.,;.,1,I,!.m,,--,Iv.I�.mI,'. -.. .... ��\m._I-m��,� _m.:,m m.��IIIm.1I�m mI,.m�m r mmm.rI*m�1,�r�,1m m�,"1 I.m,I,.-Im m�,.m�-�.,-m4 Im-�..��mm%�m.,.q-r.m..i m,�r..1�0 1r�!m,-m m%�.�,.I..�m,Im�.II..�,m�m�..*m m,,,..I��..�'.:.,,��m m,,,.'.I;�-I.,...%:�,I�m�m.J..�m.�I I..,X I.r m:.I,rI j.m.".p�:I I...m.:.,m.m!I.m m 1 rm�mmI�m I m:m Qe.m-m r.r*,I-'m�m.r��,m_�,N;I.--'.Im-I,r-.;,I�I,,�"I'r1�%-�m�7..m�.mm�r,,,.m Io Ir-.,I:I Im I-,m..I m m,�I mI Irm.Amm�IIImm,�-mm.�I�m.r��..:�-�,,"mm.�-.m,-m!M Imrm.,,..m.A m I,.m,',�1.�.r,�'q�1�m.�m m m.m I,r.!,m.,.,,..��I�I Im m.Im r m-r.I.....�'m I.m 1 mIm m 1�ImI��m m�,m m�.�r-.-I I��A,-���,:�,m. �I�m p��Ib.mr�� 'm....�I,���,I,�..m m I,':I,.m m�.mm.mr I..,m...-�m mI m,,.mm I,mm�,m�m,i.,.mr.�,,mI'.I.I I�r .. .. .. , -I.,r m.-.�I I,m*..m�I:"m��,m I m'.II:�:�I�rI.mm m-m m.�I,�r.,.I.�I �Ir..:I III..I I��m m.��.�m.rIr L III.Im��,.m..I7,..�-:II.I-.Imm�m.I mm�I_%mr.m-mI7m,.m m m.I'�m I,��I,m-m�.'m m m--'-I1--.',II,;.m.�.I I:,w..I.., ,�'7I-r.�m..'"mI,,�r.'�I..I I...m.m_m:;-I,�..m m:m.�.I-�.��mM:.m:mmm�m m m I-r--I I�r-�,�I I I,.-,�::.A m.I;.�. IrI�mImI��I m,1 1I.�mImrI I..r,I.r r.2mr.r.�I.��II I�..m m�mI,m,r:r.[�I�II r m-r rI.m%II mI,I m-,�r I:�m ImI m�.�,:'mI I:I..I m Ir, ��m Im.m�m-I m���m.mm.I�.1 mm I..m '.�..�m.E��i,b m r-�I-�I:'�.I_,�m r.,, ..m m.�.�II-m.m:H mI I.I NR IIRL,.�m.I mm :�mI r:�.m z.1 I-MIIm,.!m EM m-I.-I mmL,�m��mI�,��.,m N..�mr!�I,�i.I-�mII�N..,-'r.I'mm:I r mV E=.I.M.A-.�I B i.FI`m;I m m:1I%i.ArE-�.1 I.m _ - - ... .. .. ', , . . . i , ..i '. '. r . .. r ' . . .. ,mIr. mrmI .m-m m,mm Ir l�'��m m�.I.m.,' �� m I I"m,I-m mI .IIr Im II I Im Ir m. IIr . ARCHTTEGT i' •a . - - . : ..c I ATH _ . . - 299 WHI1E'S'P ,. , I , . : .<.-: - „ L • e SOUTH YARMOUTH, . , . .. ::. .' MAe SA50 Us362-888364. - ... , , 8) .. (505) 760-2800 1 - „ fax.(508), 760-5800 - . .-, . . ,. .. NWH'AtrMpIIrEC1SEOM . , _ . .. ` . , NEW.RESIDENCE s. .. , FOR. • e , . -. _ el . • rr - , _ Y • I :' -, I a. °' W • z \ �u .a'od. LL' W0 '- 0 7, I ' r - A ' w pT.�gp--�(r••y�ply 1 L 1 LJ� QW. _ o F. .. .. } _ d .: .. _ _P • u a . r t. ♦ ('_. . _ ... ' .. .. - •. os^ 29 . •o ,'.X' _:: I' 1 I. :, .III. ., Q - HATHAWAY ROAD , . ,. u : . _':' I1,rI.I,,I,.,�,:uJIIlL_ .- E,MA .. - . .U C`5 - - ;` . : . ,.!- = , . _. - 0 - .. - ___ ..:.. .. R -: .-_ _ .. .. 1 OSTERVII',L t. , ...,.. -, .-, .-...- y .. ,a4 :. - f - .. NQ -. LL'N IT� Ems-fY`., ...' .r .,.,., ' 4 .. .. .. ,. _ N __ ..�..r 1.1�` EH l.srl E- , .. .M O - Y . .. :. ,.. ,. - -O z' _ � Fart PExMITnNc as aNsmurnoH....,.... 4, .- _ , ::: -._ .. .. :.: , ' :L - - PURPosEs-uXlEss srdW'Ep a scNEo"-.. a .: .. ,, .i.. < ." s _ �NPE k MMKED, -'.. -. `1 ` MIT ft.CON a _ ,. , .. , , s .' ,.. a. . , ., - t .,.. . x ,� .. 30 O'FTH PROUTECR,INC: NTT. MONO n N s ... :I :' I , .,- O G TIE IICATED THERE EI OR R IMERI.NID.. 'l.• _ •. .. '.: --. .. _ PLU15.wpICNIED THEREON Oft ftEPPE4HiED m ,I : - - :••. • .:., '�" TNMMY,ART OwN ET AND REN AIN THE ,. ,-� - ...`.I. , _ - a Enr wftanEc INc no-,HEREOF sH:ul: >. . -. .., e... .. , + µ. ,. .. , -! ..•,a .. .n, s. .. < - , BE UTIJIID'BY T PFi6pl;RRM,OR CORPOR4TON r. .-° - "-. '. '-. „ �: 'd ..1 .'!.. Tqt aIY PURPOSE f%OEPi• 1N SPEG6,C NRIT,EX- • - .-' : . :. k .: :. m\ ''O - PEAMI590N OF.__ FlRM.:E-O ,,,S.ING „ r I +: 1. .... ",,.. .: ,, P . I. : , .. .: F .1 PROJEC :+ft'0207 Y2 i -.: - . .. .. r :.._ ', ,.,.;. "; ...` DATE ISSUED: - .. -... _ REVISIONS. i -. ., .: _ . s .. .. .. ..-. .,,.,. _. P ep I .. a r �. . PROPO ED FiR�T FLOOR FLATd '' -.. :. - .. - - .0 .: ,. :.,:r , .: .. r:, 3.]558UIL➢-' FOpiPRINT YQ'. 4 .. :: ,.. � p .. : - 1 ,,. _. - .. .. . • -;_ :. ... - s-. .:v -.. ... .. ,-.... ,_. , � .._ .., ,. �:. - . ... .:.. '. : - _ .-. PERMITSET .,- _ '•` �PROGRESS,SET . . - .. .t.... .. - 1 '.�., .. .. .. ::: , .. . --. r ' PROGRESS SET r - II- -(, - .(, „• 1 .. ., , O - .. _ .: -. n. . .. -, . . • . . , . : . : ,c . r . • . . .. . _ . .,, .. !. GISTRATION y. .. :- . y -,• .:. .. .. ,: .. .: , ' • -. - , - Y$Y C,, 1 . .. _ . , .. ., e -.. ,V . . - .- �'�, �$ UNLESS OTHERWISE'NOTED: r t - - ^," . - --.. ' , , .. .. ., _ _.. : .. _ - .r .. . -'.. s . P - - .. i �: 3, ' SHEET,NO.. - > : - ., - � - A`.1. . . .. . r - TOTAL NUMBE ET: SHEETS ,. . m .. .. .. - . . • e . . -...- :. .:. . - . . " .. -. +: , .. . ..: .: .' .T. UN ESS ACCOMPAN ED 8Y . M- .: i ! .. >.';_ . :..,. - : . a, Z : A COMPLETESET OF _ - .. . 1 WORKING.DRAWINGS : Ilr mr - .. P.:. , :. . • . - - . _ - . . . . a ,. . . a : ,. ., _ + . .. : .. .. :. - , .. .. - 1. ,.. . : '-. .. .. - .. � - , M1 . .S,< « - i_ o .. s: r a: ,1 , . _ S - .., : _ .. A:RCHiTECT C, . - �,a: . ^i � _ . ..<. . t .. ,• 1 . . iI _ .... - 299'WHITE'S-PATH _.. . t. ,. r: -SOUTH SETTS TH, : .': , MASSACHUSETTS,02664 ,. 4, _ , - tel (508)'362-8883. r N . .. t' - ;:. 1 ,. i fax (508),-760-5800 r ., 1. ." -. :... ,- r ..: - rT]m:EnTenwlTECTscw. . <. r .. .. tw.• i I s .. .. - - . . • r .. .. . .. :. _ _ r-, r - ,. - :,: _. 1 _ - 1. • • < - � NEW REsroErrcE I. , .. - . �. ET .. .. f _ _. . . : .' . .._..I�..i,"...�,�_�.,I%��L-.1,.�.�.-.%1.-'�I1,.�,.::..,I.._-'I�I..r',pI I--:".,.1��-.-�.�,I I..,,�,.�,I-6�_1'�'_I.I..1.."-.1I.:...I�,1.''��.1-...,.1��:4,1.I...-�..�.,..I1,......1...i.�.I.F13.II,�-I...I�.:,�:,..�.�,..-I..11�1..�"�..:�I."I-,,,�.,�....1.:1.....-.�..I.I I..-,1...,..,,..�'�:-.:.I 1.1-,1-..,�I.�.I_II..1,�-.I i.I�,_,.,....-I...�..1�.I.-!.I..�-I�I.I I.,-,",.,..%.,.�.�.,I.I:::II.;..I-I-,I�.,,...,-.':II.��"II,It.--�-...�,..,"..,I.I.,�1�......,�,"'..I�,I 1 I*._I!.'��I�,.-.I�..II..ZI�..1,.1II 1�I....I 1I..�1.:.,,;..,..I-.I 1�,.,I,I.�.�..._:.,�,I�,I��",��.�..._...".I 1...:.�I..�",1..��-,,.I..�I,,..1.�-,�.,.I.I_,.I:..-�,,,:-,.i.I��..-��I.�.III.1.'�-1'.._..�..��.j1,I.,.-�...�.I.�I�...,..1.�,..�I I..�.��:1 I....--�.."I.�.1 1.,.I.��-,I.1.I1,.�I..1.��...��.-,.��..-1,��...,,-I I.-...I��..1:.,..�,.��..,_�.,-�I..�,I,'...:,I,.�..i�._..�I I..�I�.-,I....,.�.,.,.�:..�..',---�1-I,...I_.:I.I I.-1.11.�.;.:7�.I���..': • ,. - __ h .F- FOR ! , _,. 1 e. , d. -. , _ .. • :. C .. . e.l I ':. .: x ... .. 1 :I� A' 1 'f. .1 iJ. � I. 2. - r.:- r �- v L .: ... _ ;, 0 �.:: 0 i. . �. o ; . ,. >, . . _ - , .-. - _ .. . ... _ .,- ..r. - ... , _ «' o = R .. .. _ - . v <u n ��,1 Nv IOT B.Tt 6.>,1 , IVil:6 w61:I�JIi li JL.�III.I C� 4.. m o x V .. - -. r-- .. : .:.,.:....:. .. .. ,. _ .:: '.. t , . ROAD'I�iAWAI' _ _ E,MA OSTERVILL s .-. ... ..:, , ., . M .. .. .. v ,. .�: , . : .. .. _ _ ::... -: : .. - nrEa s uP ON m.eE usrn . -.. � -:. ".y '-. <. ., :: .. ,. .. :' .:.. .. _ , .. .. .;'.: .. ..... .. -- '. � PUN :. . : I, f: v ,. .. K _ _ i0P PEPMIT S OP CONSTNUCTION . .. .. k'- .- . PUPPoSES.UnLE555TaMPEn.n 4wE0 :.-. -.. .,. . :. � C,,. . a w'. An O 114AG:rew]TE_ 4 .. ...., c;'. 1.1 - : : I. I. 5 , -, ..:' '. .: OM' _ 'STUTMv 4N0 9wATUPE k.Muil�ll. .. .. :�. a.,,.. ,.::. .:.,. ,. .. : - u wEeMrt sEr.oP'sawsmucnw scr.� , y. .. - .. - .: ,` .. - . �w o-. ,,. ._ ... .: _ c . w ., .. . . , ., [. .- - _ , f .. ,t -i` :. �2orz EAr iNtCWTECis.,mc•nI['ourANcs:'.Ap, . -s' _ -... .. : ,, �, , .. ..,..... ___ . - y1.: ALL OE THE NEA;NWANCE1.01TS'061wS N0 s - .. �. -- .v;r., • 1 _ ,.: , a _ .� .: :• � r_ PI,Y. WOOMED THFPND rn PEPPESFHTm -.. rv. •s: f .,. .. .. . - ..- .. :, .a S' I O'EBT.Yi MNE.IN.NIO PART THE PPOPERtt f. e .. .. „ :. x- .K ...•,, '. '` .. - _- f1F ERT APCHitECTS.In<.NO PN2T'IHEREOP SHALL . : - , , .r. - , :. -... •: ', BE UAViID.BT ANY.PEAEw,FlPM,OR COHPoMnw .. .:.k y; , t n.,_ .. - : - ANY PUPPOSE EISEPTMTH SPEOFlC MnTTEN - 1. : .1 v... .: _ '- - PEAul59w Oi ME FlPN FAT NtC]PTEC IHC. :. n. ,... - .x : : .. Y , a. , ., c. TS _ y , ja j f. .t .. ..- .-.. .... - - :1p ]. FLOOR PLAN. , _ . ._ :. ,. . .: ,, ., , PROPOSED SECOND , _f1 , . . f .-.. . : <.. - .. .., DATE ISSUED: , , .- : .,. r , .., .. - r p , , - .. r a y.. - ..-... .. _ .: r . .. - .. .... .. -, f: .. .. _ .. .., .. : ... _a r ,. .n t.... ... .-. .. . .: .. .. ;. y .- .:,,... r .: .. I. . :. .. .. : -. ...: .,,. .. - • < .. r.. : : .:.. • `. - ,. - a.... ... r .. .., ., v. ,.... _ �: :, - .. � :.... :.: ,. :: ". ,.-. ..- .._ �. � .. _. :....a. ter: - ...r ..- .. t :.. .- _ -:. , : :. - T V , _._' .. , „ :,. .. :. . .. _ .-. a. -.-.. .. ....,. :.4 - ., .. ,..._'. _,. .. .. ....., ... .._ '.... _ _ •' _ :.: •. , ,. _ PERMIT-SET• 7 - - .-, f _ `. ._ .. :.PROGRESS SET s : ti . .. _ : .a: .. . .:,. .:_., . . .. _ PRICING.SET c.... :. r,. - - +Z. a. o : k ., x.. - -.. ,. L ,._ .: :, .. ..::: > .. .. - - :' ,..- PROGRESS SET .. d y. t. . .•.,: .: .. .. ., F .: a :..4 y: r - ` , ,... .. - .. .. :. : r .. . ,. , x x ."�I1.�,_"�.,,,.-,:�1II"-II',I.�_ �I,Ii Ic.�[.iiI�I� -..��.�.,�.,�I.;�..:,-,.I",.I..0�-*�...::.-,.-...'�.:�I:�-..I�I..:,:'1 I.-:.1�,,-..�...-I-,�)..-.,.��.��,--l.��.�.I.�.I� .w(1 I .,.�.�1I..,�I,.3�:,.1�:..�.�.II1.. . .1..:..�.II'.. .�I..-;-I�.1�I\..,1 l��,/..:��.,�'.I�,.t.:.�._,,;....I.-.�......N�".I:I 1.'.1..,�.,..,m,�.:.I i:...I"�...% .::..".,.-�I�..:...:.I:,,�.:._.�,-I�-I�-.,..,.�-..I:I,1 II...,....I,,,1I,....,�,I I..,.-.�I�..,:i�""���.�1�,x�1.,,i;.:1..1-,�.,.I:,._.'II,...,.,I..�,�..�:,II:I-�pI I.I 1,:.,I I",,-,I:.-I,;.-I.I:1."-..I_...T.��'.,I,�,�..I l.I..,,..-,"I�..Il1-I-��.-�._-�.,..�I:.,."I:.,..�..,',.I..�...!.;�..�..-��.�I-,.%.-�I.�.i.�.i..-.!:1:I.I.L i,,..,.�,..�.:..1 I11.�...�...',...�I.�:.�.,-.-.,.I,..,.:,.1.,.-"II.....,I".�-".I,i1...'i����I..�.I�.�.4.�,'.i.I\..I.:�,.,..-..I I,.%...I;�,�1-1,.;...,..."��...,I..1��,1 Ii�,:"II1.�I.I,.-,I,,I..,.1:,.:I�.�:��,�...�I.-....�����%,--'-,I.,.�.,,J.1.-.%:.,1�.�-"II I.,�.,I...�%,I�,:..I:.I.I.�:,1.�..-,,I.,.,,-...:.I�".I-:,"..11l-._"I....:'-..I,�.:.r.1,:�,\..,."1,�.�:_I-.,�...-.::.��.%�4.�'�.1I,I�.�I 1I�.,�I���.I,I.<.....I.1_,I.:;...,.,I��,i.-...i"�..�......;.:..-;��:.��.\..,.,.I�..II1,.'_-..,"I.,I..,,..I I..�,",,I.I,..�_I I,....��%.I,"I I I�=1m�'..I.A.,t�-.I.1�%,..I1I.1:,."1.���I I�-...I....�-I.I.I 1�.I����I,-.I-I�\...��._I_..1:�-.I.��.:.-I..I.,�.t..:.,�.I�.,-,.I�"I..,-.I.I.%...*I_I:1A.�.._�I.�1.,1.I-.,�.��1-I,-111..::I.�,--1 I 9�I�:I,,...��:�....A..I.",�,�.,I.�;II.:.I:,,1,��-�.1.�.�'.,\-.-I�v�_�-,,�.-',1.J.1 1.,:.��..�z,.I.i,.-.,.��%�:%,:.��-.I�.i1._I .Y - I A. • _!� ?: D II.:�,.��o I'I�I `I1....�I..�,..�..,:;.,.I,.,.1.�',�..�,I...,.I�.,,*.-..:�.�.B1��1I,���..l,-,-�-.;11 I,�,.�.I..,,,I.1.�:,I..-.1--.i..�-..-.�..,1p..I I I�1-��..,I�r.,.....,1�I.��-�.I..��.:.I,��..''II��..1*.I.-�I I--o�D�-...1,.'..�.I.I;I 2I F.-..,�."�.,..-.��...._..�1.:.I..,I;:..-,,:.,".-I�.�I.�I!....:.,......iI. 1 .. . -. .. , , :, :. _ , _ T . .: . :. "t. , to .. ... _ ,. .-. 1. . . - :.' .. .. 1. .'. .. :. •. : - .. , .� • , .. i.. .. - . -. _ ,.' .: : .. . - : . - - \ . UNLESS OTHERWISE'.NOTED. ::.:.. _ 11 .. - , „ .. . , .-. .. ...` Y.. .. ._ : . ... : :` . .v - ,. , i" _ .. _ _ _ - - . . .. TOTAL SHEETS . .. _ .. ..' _ .. - - ... - . ,.....,. ,< : .. ,. .. ..._ .. :... - ,: - .. UN ESS:ACCOMPANIEDO 8Y:'.t .. ".. '.` I A_.CO .-r.. .- - J WORKING DRAWINGS -.- • _ . -. c. .;� ,.,. .._ ,y .: .. ... r . d - .. - is ',irl � - •' � M, NOTES I. Water Supply For This Lot is Municipal Water. ro/1 � � arke�` 3 v,+ate• 2.Location of Utilities Shown on This Plan Are Approx. ?��HNz}ztr," D Pond; �6 ROAD At Least 72 Hours Prior to Any Excavation For ThisR„°r� HA THAWAY Project The Contractor Shall Make The Required q - sec N7/00;4�/5"E Notification to DIG SAFE-1-888-344-7233 $�' ,a•e d� y /2 /6 I� 3.The Contractor is Required to Secure Appropriate •ooa o •oo 4o Ej� C8 Rim - - Permits From Town Agencies For Construction �� a W 18 4 v r20rrE /¢0.50 / Defined by This Plan. LOCUS •'d o �/ z N 64 5B r O T.H.-1 E LEV 19,0 4.Install Risers as Required to Within 6"of Finished LOAM Grade. •; p 1( - - „ -T-o P50 ft 5.All Structures Buried More Than Three(3)Feet or r 3, Subject to Vehicular Traffic istobeH-20Leading. AE. .DRK GRY'tSN BRN LpAtv(Y 6.Se lc System to be Installed in Accordance With 1 �r`•% °•111 ii + Q SAND 1oYR.4/Z Dt Y I� I 310 CMR 15.00 Latest Revision And The Town of > $ _ DRI<.Y E1:15N BRtJ, SANDY Barnstable Board of Health Regulations. %� 'a f BW LOAM. IO Y R 'S�(o: 7..All Piping tobe Sch.40 PVC.. ,1 4 :12 8.Depth of Inlet Tee Below Flow Line: LO Min. s YEL lSH 6RM LOAMY 4,rH,,,'A �; 3 Ci Depth of Outlet Tee Below Flow Line:14��Min. SAND I O YR 5/9 .. with Gas Baffle. LOCUS PLAN 1 N j YEt_ 15H 'BRN MED..SAr1O, l LOT AREA - Ci 30.% GRAVEL ►o YR,5/8 � I, I 1 W p i / .... 1 0 7 AC DESIGN DATA Scale : 1' = 2000 OL.1V£ Y'ELCbW tviED'.'.. ... C SAND Z:S Single Family-3.Bedroom ,, 2-�.�- 1-6•. No Garbdge Grinder Assessors Ma 114 C.Lp,e= 1 NA A'TEIZ1 AL-.. Daily Flow: I10 x 3 =330 gpd P No GROuNDwP.TtaR Septic Tank:330gpdx200%=660gpd Parcel 036 y Use Existing 1000 Gal Ion Septic Tank ELEV,. t9.,0 LEACHING AREA Groundwater Overlay i'. O 330'gpd/0.74= 446s.f.Required District:AP ►� 4 'O ToPsot-1_ Sidewal1:2(I2 +25')2=148 s.f. d Bottom Area:12.x 2.5 =300's.f. 3 gEDR�M 448.s.f Total Provided EX\gT1NG DRY— GRYtISH BRN LOAMY. w/F pwL1NU F AE SAND ►.o,YR H/2_..• LEACHING CHAMBER DESIGN p 3_ 10 DRK Y.EI .► All Pipes to be Schedule 40 PVC.Use 2 SH BRN_SANDy ' -500 Gallon Leaching Chambers in F3W LOAM ►OY R 3 0 O 14 12t x 25' Washed Stone Field as Shown. 0 a t D YEL'ISN DRN LOAMY . N o 1 9AW0 10-YR 5/6 33 Connect to Existing v q YF-L.1St-1 df2N'MGD, SAND' F.G.19.0 Septic Tank �u O GP r,� Z Ct 3O% G1 a/EL I0yR.5�8 F.G.19.0 ri mA%s-rING D-Bc>A LEAGNING / Cl \�OaE-yam G OLIVtm Y'CLLOw. MEp �;_ �.�'n, No.4See ote . O -AREA. F12pth T.Q.B, AS-t3u1LT ,I 215.71 � I CARD• SE.E Pt9RM IT•No, 91i-t'39 / \��\L 12C I1 Existing. - To El.16.71 d 1P�'c�� I ± CLASS 1 MATE 11000Gallon 1 17.08 r P I TO QE ABANDONED• !� RIAL o I w I� Bot.El. 13.71 O g �cr IVO GRpaKIpwATE[Z . I SepticTank Of a hERC-. No. 'P- 1181T.,. L z__�_;� I$ 18 21 t h O. oA.TE,. S/3i/.07 _- 16.01 • 6. u Bedding as Bottom of T.H.E1.7.5 THAN 2.MtN�I N CH: Per Title 5 NoGroundwaler / { 131/ ,:XOMN O'DEA ` S\-ILLIVAN 1=NCr1NEE.RINGr INC- DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM \ / g W1TNrSss P. M10%AND1� T.0,B• Not to Scale O r PROPLi Finish , _ Grade `m,` Fab lifec �.Con,paded-Fill mo_= O \r 121: 10'N'IN. N. I/G-Ile,Poo Stone PETER 01 !S,U�/�LLIIVAN Leaching LYVp.29753 . a Chamber 3/4"-11/2"Double VI�p7�L t 1 a Washed h• S 70012'00"W 52.00' \ t CROSS SECTION OF CHAMBER " PLAN VIEW .:NOT To.SCALE Scale III= 30' SITE PLAN SEPTIC SYSTEM REPAIR f KATHERINE COLEMAN ,TR 29 HATHAWAY ROAD OSTERVILLE ,-MASS. SCALE: AS SHOWN DATE:JUNE 5, 2007 r I SULLIVAN ENGINEERING INC. OS7ERVILLE, MASS. Z -7oa91 BAXTER NYE •�, _ _ �'�rv�'�,�, �� "W � G�A117A"`'� ...� :„ ENGINEERING& M ' F °'� ' , �r ` SURVEYING �0 ,W �L .•' t"r'Ba�y Reg l Land tl nol Engineets and Surveyors 1 `4�0 tPf 1 V 2 p t .` r ' •` N A . / .. .. _ - 1 Y�"." i�s',� ,.� �'S ��•�„A; �lir. rJEe � y f� xm 78 North Street- 3rd Floor DEVELOPED LOT PROTECTION- _ ..,.• n ,�� �f a Hyannis. ,Massachusetts 02607 AND REBUILDING ON NON-CONFORMING'n�T: s� z • .. eLLaYsa - easnYD - - -. .- �,..'', C ya`j - (508) 7 - 'o d r rty Phone 71 7502' (, L . •,l.�!)x',n."ilr/r"rl '*y� - 1' 'SOY T`rr Nanlig °. . . y,�+J Fax'- �508):771-7622 _ a... .,_.ANT(AVERAGE BY Bu1lOINCS 8,153 SF(20z). z.126 SF t4.ezl . -, .. ` .` 5.,RE - _�, .'S" ANO ALL STRUCTURES. - + IOIYE N•Va}64.. WWW.boxter-nye.com ' :FLOOR AREA RATIO: 2-,/9 F(SOT.): CUI sTORT UNOETFRYINED - � • - ': - L 7'y _� PPQ.' - 1 BI11tOINC HEIGHT: ]-1/1 STORIES.DR 30 iT. t STORY STAMP.. STAMP - •pM Plt.: '+Au ,„+� T. � LL P8 V D.} 1�71I7 i f. •� . :. _ - t-'�A,.,17•F'�t"4' ��u>'t'i - 1 ''�,. � ° p 'I" - - » - • , .'. - x _ Y 19 Le,pl� y17 14 L,,• trh`� s-. I p T6 'w ��k. N �C.'-1' f� � �y yp ry I � .. _• _ r 5 •.�ti.,i IT1FA � „�� � 5yrv.a8� r"� - ' Y .. » �7 g3'. - i !I`'�'���, 'v• 5. 1 i r1 s�a°'r�iZ,�a i�� �.: a ��y 4 4rj .. _ • � . _ SIP TETd6P h ":e:�`�'� "r�`i -�'�`C+m'� �� 6v''t �� - .. J _ ,. .. S -. y �.'7 od, SN 5 D`w, ,Y��. •r.7: - .. .. .: ,. tF - ..'y,• � .:r :C O'N.S UL T'ANT - 1 . A . LEGEND ------ LOCUS MAP Scale:1' Z000' -_---- uptP n _ • CONSULTANT - a k, OF PAVEMENT- - o I. ' EL. " ♦'o ELEVATION. - DIAL - P ROAD .. TBM . a TEMPORARY BENCHMARK .- - -4&w. . • . - . p mu0 a UTILITY POLE .- " - _ ., , HATHAWAY TER MAN - _ •. - , - . SEWER MANHOLE MANHOLE :,• : - .. .. ., _� J '. -- TIo2N� / ___- - - - { { ED(E OF PAVEYENT� -- h t :� 3• .,ol7 - - MANHOLE: . >-e ~i?` - - <' -.� _-x_I.®I ���� P-REPARED FOR ® .CATCH BASIN - r p1) a ,. 1. -T-.- 1� 12,8 - - _ DG =WATER GATE SHUT-OFF ona.6. u(N7 SI a' - _ - - . / 'v _ - , E3 =.ELECTRIC BOX - - �. . Pa6T W I. - GENERAL NOTES. Peter Bilodesu 1.)rlle INTENTaF tNs PLAN 6'rD DETAE Exlsnuc vTE'�cDNOInONs - - . ® _.GCS METER. : - ,•- : N: -LOCUS AREA'6.COMPRISED OF, n.. FIANT CENTER I� o.IOJ.B !., SEWER LINE -�. ,, '.'• •: -;.. «. WATER - 2. ASSESSOR'S YAP•114 PARCEL 36 . I s t3'3 Bunker Hill:Road GAS.LINE ° ` o EL><10,93). SPIGOT .I _ - .. ) • Osterville,.MA 012655- • - - _ =WATER'UNE m'I. WOODED.. '.,>y �. I. -(: Ia11+ zo OVERHEAD'WIRES -.. .. ;.o. AREA • .5 �KA711ERINE'COfFYAN..iRISTEE . o• a s `,ti " - WATER _ z,. ... .I v OiMER :IBB X =TREE.LANE' < ..SPIGOT. .y I C'-I -} 8J BUNKER:HILL ROAD_ 'Q - TREES i -..c� �I. -_ - OSTERVILE.YA.02655. - - CERTIFICATE.1201801 • ._ 9 L . - ,. - -. '.. . v: y..• ,, o ,.�•:. ' �l-r_•`.,., - ',y).ELEVATIONS SHOWN HEREON REFERENCED TO THE.NATIONAL GEODETIC-VERTICAL DATUM • APP XIMATE LOCATION _ TP/2yr.. LOCATION -r- ,.f tr* , .. '..4. _'.. ^r .. y. ,. '. :., .' ,:_•. ', I J. 4 OF 9NFOR�Y/110R AN ED B/f£ICI r • `.. *_ '`..:. t�•I';:.. AREA ,. - .` s � - .. _.ZONING DISTRICT:RF-D7'� ' • LffiI M +1036 // s FtAJ4..:PAVED ..I.. ,- .. '.. .'CURRENT:MINIMUM ZONING REOUIREYEMS:.. e ' 'RX 1150 IC CAPS RIVE .. ° .. J/ .. . ,. - Y - n 1'-S z._•i, ! :' ." DIN WAY j} .t , .. ` .. -. d ,' � •_ '^ _ 'L OT AREA'43:560 Sr .. - I. I •I:If : - MIN.LOT FRONTAGE.=20' .. _ , MIN.LOT MOTH=125'. . a - AREA "/ ._ 5J.4' ', k`FRONT':YMD JO" , .-_ ' , - .. •,: ','„ LANDSCAPE: i/✓ yNi C. _ - .. • - .. 'r.. .. .."♦ J,. .. " •• E - +1026. w IOS.2 O 309 e':'14.]Y ELEC./ .../ tP HI - .SIDE 9 REM YARD /15' r - ,. -_ ABC m " NETFA/ MAX.BURRING HEIGHT=JO(OR'.25'S(OMES. - -�.: ':., ❑ ^= STEP WAY ROAD /1/" ..r ..f WHICHEVER IS TESSER ,L F29 HAMA NC 4ii APRON. S.• .:.-} ) EXISTING 9YEW ,. ,. r. x-, ,. .. •.C. - ,. .:- IAVM .METER Y WOW) N. - .... , -• .: '. .., ::- -1 - (I.5 St GARAGE-.$ :;�' +OVERLAY'06TItgT:ROUTER PROTECTION.DS7RET UWEAD FOOiP'T=2,125 S.F. E PROTECTION OVERLAY DISTRICT T BUUOIEAD - ♦ N0.lgE5 DNEUIKG .( •'RESOURCE . t taz3: 4' - .,�+ IYp3 PLAIFORN.-STEPS.E%0.U�D)a9 19 2 - 4 / „ :. '...: ..' ... .-102.4 ' " ii 1/•./,. � a1 ,: .�i'/, 22:8'f ,� -. m✓ i)NFORMATION,,CONSISTING OF PLANS AND BASED - - V e xa../• / . �. 1, ON URREM.AVAIUBtf RECORD - .. .. '•_ - - ;.' ,'. ..' ,�. -.' , �/. c 'THE EXISTING FEATURES SHOWN HEREON WERE OBAINEDCFROM AN ON 117E GROUND •.. , - - - .. -' ,. ": BWIX •,t, . _ ^ -- HELD SURVEY PERFORMED BY'BAXTER NYE:ENGINEERING 4 SURVEYING ON OCTOBER 23,. •: cy•, -'.�Q• ' : �, :WOODED PAMO --_ =.POST S RN I - 201J: - i .,1 AREA W 70 .. ,? r FENCE ," .. m.. . - •. ' '.} _ 'I028 - - LAWN ,� 6.).COYYUml PANEL NUMBER 250W7,OW16 D.WITH AN EFFECTIVE DATE OF JULY 2. 0. LANDSCAPE AREA _ _ - AREA �.. ... . .w .--102 1992.THE FLOOD INSURANCE RATE.MAP DEFINES.THIS AREA AS ZONE C.THE SUBJECT . I �~ I; m . PROPERTY 6 N01 WITHIN A SPECIAL WARD AREA � - .. � - _ • 7.)EhY1RONNEMAL INFORMIIION: �'`3 \. - rI. o r m t : ,, •. . .. ,. .. .- ':Ifl'14+ - ..,. .-.O - SITE IS'NOT'WITHIN AN A.C.E.C.(AREA-OF CRITICAL ENVIRONMENTAL.CONCERN). . O WODOEO/WmSGpE - ..SITE.6 NOT WITHIN AN AREA OF ESTIMATED HAWAT OF RARE WILDLIFE PER LANK:•, ,AREA ., .. 0 . _ ,• 1. AREA .... . FOR USE WITH TTHECW�•.2WElUNDS PROTECTION�AT5REGUU710NS.(310 CUR 10)• a A I „ "'. • : .. I. -. _ ES NOT CONTAIN'A'CERTIFIED VERNAL'POOL PER U"YAP OCTOBER 1- SITE DO .. ':• - r ; .. - 15.0 NON. 2010•ERIIFlED VERNLL.POOLS' - '4. -. e - SIDE YARD C ' •�w-�. ••, *RI 6 NOT MARTIN A RARE S HABITAT R SPECIES UNDER THE MA.1010 *PRIORITY HABITATS OF AME'SPECIES"'FOR SPECIES UNDER THE MASSICHUSETIS `� - .. _ .•. ,. ': - .. ENDANGERED SPECIES ACT.REGULATIONS(321 CLI . 102]+- SITE IS NOT WITHIN A STATE APPROVED ZONE R GROUND WATER RECH&GE. . a t APPROIAYATE. _ PROTECTION AREA •�♦ : .S ,�• a 1 _ , SEP17C'SYSTEN: ' • SITE Is WITHIN A ZONE OF CONTRIBUTION TO SALTWATER ESTUARY(BARNSTABLE _ 3 I P ASSESSOR'S LDCAna - - &aH REG.360 'MAP 114 PARCEL 36. .. i - .. 31.746.S.F. WOODED u ., AREA T- `ACRE' - 0.733 _ I ' ALL PLANO � I111U1Y INFORMADON.SHOWN HERE N:' ` 0 +,aJL ( - - 8) 1 0i.5+ v - L----_-__ __.}_ --. J' » ..THE CONTRACTOR SHALL CONTACT 2 SAFE PRIOR TO THE AND UTILITYNSTRU TION.THE l0 LOCATE - .`!Q ALL LNG UN U7WOUN AT LEAST 72 HOURS PNOR TO DIE START OF S ARE SHOWN'THE LOCATION.AT - - _ DUSTING UNDERGROUND INFRISIRLIC171RC,'UTILITIES.CONDUITS AND UN6 ARE SHOWN N AN APPROXIMATE - a ' .. _ / n g - •' WAY ONLY,MAY NOT BE UYIIED.TO THOSE SHOWN.HEREIN AND WAVE BEEN'RESEARCHED BASED ON'liff , a . - 101 4+ _ AVAILABLE URUtt RECORDS NOTED HEREON THE CONTRACTOR HAVE TO BE FULLY RESPONSIBLE FOR > . --- 1520 GYD... 15200'(RECORD S7Q1200. ANY AND-ALL DAMAGES WHICH MIGHT.BE OCCASIONED B/ME CONTRACTOR'S FAILURE TO tOG11E SAID _-. _ _ r _ INFRASTRUCTURE AND UTIUTIES EXACTLY.IF FIELD CONDITIONS DIFFERS FROM PUN INFORMATION.THE o . . CONTRACTOR SHALL NODDY THE ENGINEER IMMEDIATELY FOR POSSIBLE REDESIGN. ` • J• I .+1026 ----- +lOt.] I- '• SOURCE INFORMATION FROM PLANS HAS BEEN COMBINED WITH OBSERVED EVIDENCE OF'UDUTRS'TO 'S H E.E T'T IT L E DEVELOP A VIEW OF THOSE UNDERGROUND UTILITIES. HOWEVER.LACKING EXCAVATION:THE EXACT LOCATION' OF UNDERGROUND FEATURES CANNOT RE ACCURATELY,COMPLETELY AND RELIABLY DEPICTED.' WHERE ADDITIONAL OR MORE DETAILED INFORIUTION 6 REWIRED,THE CLIENT IS ADVISED THAT-EXCAVATION MAY bdsting Conditlons Plan - BE NECESSARY 4 _ " - - .L' - •SEPTIC SYSTEM WFORWTION COMPILED FROM RECORD INFORMATION PROVIDED'BY.THE BARNSTABLE. . - - BOARD OF HIALTHI AM)SHOULD BE CONSIDERED APPROXIMATE. - " ..:'WATER LINE LOCATION FROM FIELD LOCATION OF Dq-SAFE.MARKING ON-SITE S H.E E.T'N 0' . GAS UNE'10CATION FROM FIELD LOCATION OF DIG-SAFE MARKING ON-SFTE EC - _ - . OVERHEAD WIRES LOCATION FROM FIELD LOCATION SURVEY. .. .. _ - - DATE:11 11 13 a. .. 20 0" 20 40 SCALE IN FEET. D'RAWN/D.ESIGN 8Y:'SYB : CHECKED'BY:SYB .. .. • JOB NO:2o1,T-m7 C'A 0 D.F 1 L E: 2013-... �/p��A' �/ NYE FA PROPOSED FINISHED FLOOR - 105.9 1 1 r IV/'1L� SYSTEM�� 4, * . ,k+ ENGINEERING & a > .. ,� a8 SET AT LEAST 01E MANHOLE FRAl1E ll COVER TO wITFMi s` � FMILSFI GRADE. 1 .,; - • �• • � • - tl•• O ^.'-s r RISERS do COVERS SHALL BE wATERTK2iT • •• . •• } z C4 SURVEYING FINISH GRADE=103.6t SET COVER TO r sam FLASH GRADE ..• .. Ej •', • • • . . h Cf; ' RISER do COWER SHALL BE NIATER'TIGFiT _ •• � * : • • `^�+ �� s r FINISH GRADE 103.2.t ' SET RISER & COVER TO WHIN rb • • 1 R „`�.j(1• i .�a • ."' �,: - - - •••r ° +. t � � ��� �• Re istered Professional En meers OF FINISH GRADE. RISER ac COWER , . y . ; 9 g• SKU BE WATERTKW ndlo •,: . • ,► FLASH caADE=�o3.5t f • � a .. �• =. . .'. ,- • .; •• � ." � and Land Surveyors 10 LF 4* SCH 40 PVC O 2 8X , 63 LF 4" SCH 40 MW41lAM GRADE OVER LEAGUING SSU = 103.1E f : �... INN AT FNDN=100.8t PVC O 1.19% 4':: + •• _ . . `tea" s 78 North Street - 3rd Floor p�y-�t � OF 36 EAST ooueLE 9� (min) cover $ONEr r V ,. Hyannis Massachusetts 02601 10` CI TEES 14` 36 (max; Cover • > . ' 0-4 INV IN=100.52 = FIRST 2 BE LEVEL. s z =�� � 7t GAS IINv our 100.27 r: ' Co ) TOP OF CHAMBER ELEV-10028 :, `' •, Phone - (508) 771-7502 2• ` SCH. 40 PVC ; • o ♦ - . 4 • Fax (508) 771-7622 C M"RCED - roNg sL�rP _: • �+� www.boxter-ny�e.com• •t MIN Ii=99 20 O G t= 0 O O O o r' Q • O O O 0 BOTTOM OF �r y r 1• O ". i •p IN1/ IN=99.52 - INN OUT=99.35 a o o Io 0 0 0 =a , . ;, .: r.•. -rr 4 SCH 40 PVC O 1X '-ELEV BER dC STONE (� o • 1500 GALLON SEPTIC TANK (LONGEST RUN=15 LF) 5' MIN [-M*W- - 1 r ••� •'* *� K x STAMP STAMP A M P TO BE INSTALLED ON A LEVEL STABLE BASE WASHED, STOW ,. . • ` M r H �yjH OF Mq s SN OF Riq ter ; STONE BASE No Gmndvrater observed O Elev. 92.2 • '' S � �* • Irv '• •. .. r `'` 'z 5 � ,� ,,x r ," O�� qCy �.0�. .qCy PFKM V..1•..i/ �X r • r„x tQ vM wM/�1TTHEW, SHAME G� 80L ABBOFf'T10N 8Y8'1'BI(8A8D LEAHCHMI CMAI�CIYPIC�AL H-JA) t r dos a{r +� W. R+ o s 4c. �• �N.r EDDY 1�� ? & CML �' o AL N ~ j WS s• ' O .* • A �p ''" lr n� � * '' i 4s a a° ca liar + No.43183 No. f3 VIBE! WAM _ NAL "�:r•�:.•ri:.7•'s-i,1.%- 7:'n.l,•*+- :!f:-{;�:•:!s '-" i ..:.,-.r,•.�,�•"s•' R....•..; " r 4 (8 H-2061-e , �.ocus 1• = 2W V WL-as' MAX COVER --4 20" DIA --4 20" DIA�-- �_ : : - GENERAL NOTES: 4.83 GEOnXilLE FABRIC 2- PEASTOW OR Q ® ® ® C N S L T A N T :;;,,,;'; `�,'� "`�_�'M;;;'�t 'Y:•*c;Yr ,zt<<`>`:; 3" ® ® ® ® ® ® ® i� 1.) THE TRW OF THIS PLAN iS TO DETAIL E)QS'M SITE CONDi ION& '• ±`• •+4 :•' 7•"'` • :•}: a ® ® ® ® ® ® ® M LOCUS AREA IS COMPRISED OF. i n.�..1" t 1IKtL ..•, O 4h_-,Y,.; t•i•l .r - 1)1' DOUBLE ' • M i0 24 . :;r '., t 1: ' �2 r.� .• r. • O O Q O s'i:�..sw:a & O EFFECTIVE DEPTH ! +f4 • .'.!;.:.!�i�s'i >. i= .>•..<. y'h C. :�!.1.�:+ D SID�� is:. �.y '•Y_ o o f . -® ® 2) ASS�bR'S MAP 114 PARCEL 36 , ,}+.;':> ,• Ev, a•.^:• wtr :�itti:'4.%a � '•:� ' .�'�', r• .'�'{":" •' :.'.. : i.' %..il•.^„• f. ..• •:,;.�t•-t..;� ,�.`;. yt,�. .Y:..-tit_.. .t�r•ity.�.:J.: �::' a �_'l',:!�'._r.;l.:rj liv �•i'1�1••L�. �� `�' r•:•�'£^:]:}T=::ice:, L1.•a}i CONSULTANT , 3 4 83' 3' OWNER. as TRUST 8'-6" LAURA B. BLOOM, 1RUSIEE 34' 83 Bt"(ER HILL ROAD PRECAST CONCRM H--20 LEACHING CHAMEB DETAIL 8.5' SIDE VISA 40' OSTERVLI& MA02655 No SCALE PLAN VlEA CERiiFICATE 1201832 CONCRETE H-20 LEACHING CHAMBER DETAII, _500 GALLON LEACHING CHAFER PLAN VIEW 3.) ELEVATIONS SHOWHEREON REFERENCED TOETIC THE NATIONAL GEOD vERTIcu DATUM a OF 1929 (NGVD 29) AND ESIABUSHID BY LEICA RX 1250 TC CPS RIK UNIT. PREPARED FOR : LEGEND 4.) ZONING INF'URWTiON Peter BlodeaU EL = ELEVATION TBM - TEMPORARY BEICHMARK ZONING DiSIRCr : W-1 83 Sur*er HN Road CURRENT MINIMUM ZONING REQUIREMENTS: - unm POLE 08tervU, MA 02655 �� V•n\�� O 0 = SEINER MANFIOLE MIN. LOT AREA - 43,560 S.F. / = WHOLE MIN. LOT FRONTAGE = 20' = CATCH t�ASIN LEAC.��1G AREA 3 A009 C3ATM PAR E-9 MIN, Lot WDTH - 125' Ra�t�'E M = IRTER GATE,/MR-OFF GARBAGE GRINDER (NOT INCLUDED) _ N/A FRONT YARD = 30' ` --� ® Y ROAD - ELECOIC Box DESIGN FLOW: 4 BEDROOMS x 110 GPD/VEDROOM = 440 GPD FACILITY PARCEL: , 1 PHATHAWAARCEL 36 SIDE k RFaR YARD = 15' 15' 9 DER J GAS METER WIIG BU DING HEIGHT = 30 (OR 2.5 S10RE� 9 NITROGEN LOADING LIMITATION: 440 GPD/40,000 SF IN S.E.P. ZONE 31,746 SF s = sEwER LIME�' / ���• 3 zo t'n i �1-� t � c = GAS LIIE (PER TOWN OF BARNSTABLE ORDINCES ARTICLE XV, PROTECTION OWNER: LBB TRUST WFHIOHIVER LESSER) .�0 �,- /- - w = WATER LINE OF SATLWATER ESTUARIES, SECTION 360-45 B.1.a.) OVERLAY DISTRICT: AQt*ER PROTECTION DISTRICT ocP / aP�� 10 OHM'---- = OVERHEAD MARES RESOURCE PROTECWN OVERUY DISTRICT / - 3, PER NITROGEN AGGREGATION WITH 8,300 SF PORTION OF LAND FROM -FACiL1TY PARCEL: 83 BUNKER HILL ROAD N �' o o- t^ Q = TTREE LINE� MAP 95 PARCEL 19 SALTWATER E57lNRY PRO?ECT10N OVERLAY DISTRICT " 83 BUNKER HILL ROAD, OSTERVILLE MA, THE AGGREGATE NITROGEN LOADING IS 440 GPO OVER 8,300 SF + 31,746 SF = 40,046 SF, OK 133,373 SF (8,500 SF LAND USE ReSTRICTiON) 5.) THE PRROPERiY UNE INFORMATION SHOW IS BASED ON CURRENT AVNREMBLE RE -- ---------03.5 DOSIEM1 �c SPO0ONT ELEVATION IS LBS TRUST AS 40,000 MIN. REQUIRED. NFORMR;110N OONSSTING OF PLANS AND DEEDS. `'�r. a v' o X-+v-> DRAINAGE FLOW OIRECt10N PERC RATE = <5 MIINCH MID --LV G THE WING FEATURES SHOWN HEREON WERE OBTAW FROM AN ON THE GUM ) d,,R -�' 3 �` % �103-- PROPOSED COMM LiAR = 0.74 GPD/SF FIELD SURVEY PERFORMED BY &WER NYE ENGINEERING & SURVEYING ON OCTOBER AP� } 10 x103.5 PROPOSED SPOT ELEVATION MIN. LEACHING AREA OF SAS, REQUIRED: VARIANCE REQUESTED: 2013. ALL PROPERTY LINE AND SITE FEATURES DEPICTED WERE DETERMINED !HOER THE DIRECT SUPERVISION OF SWWE BREN ER YA 17./ ,,,� p26 , v �Otii y \ '� �` 104 h E PROPOSED ELECTRIC 440 GPD/ 0.74 GPD/SF = 595 SF MIN. (CLASS 1) a / `� �� } PROPOSED SYSTEM: TOWN OF BARNSTABLE 6.) cOMMIUIIY PANEL M 250001 00016 D WTIH AN EFTEciIVE DALE OF JIILY ° ° °° 4 N 500 GALLONS H2O PRECAST CONCRETE CHAMBERS 199Z TR FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONE C. THE SUBJECT _ °o ° ° �� Ba/rlstal>ae Orrinoncae A►ticb XV, Protection Of $aHtMOter Estuaries, Chapter 3ti0 OrueTe ° o o° ° \ �03-�_ ;w '` WITH 3 OF STONE ON SIDE, 3 OF STONE AT ENDS ' ems, S� 360-W5, Interim R Part B.1 to aloe a PROPERTY iS NOT WAIN A SPECIAL FLOOD HAZARD AREA s \ 0 0 ° x�'P• `, SIDEWALL AREA: (40' + 10.83') x 2 x 2' DEPTH = 203.3 SF design f 440 gallons per day an a lot of 31746 af, where 40,000 of a 011 BOTTOM AREA (40 x 10.83 ) 433.3 requirod. With ease of 8,300 SF of Off-Site Nitrogen Aggrogation property at 83 Bunker FTiI 7) o° °y TOTAL EFFECTIVE LEACHING AREA 636.E SF\ Rood, Ostervik MA, oggr the agate property 99 be 8,300 SF + 31,746 SF = 40,046 SF, SITE IS NOT WHIN AN AC.E REA C. A OF CRITiGL EiNV1RONMIENTAL CONCERN). • = �y�o- 1Jv�PpZ �I fi o ° ,'`a �`� SYSTEM CAPACITY = 636.6 SF x 0.74 GPD/SF = 471 GPD where 40,000 i3 regleired. • SITE IS WITHIN AN AREA OF ESTIMATED HABITAT OF RARE WILDLIFE PER I 9 sP 9 NH#SP MAP OCIOBER 1,�8°X \ ; `� dlt 2010 IESTMMTiD RWATS OF RARE W1 DLEE• 0 \ GpIJ- K SEPTIC TANK REQUIRED: 440 x 200X = 880 GALLONS FOR USE WITH THE MA WETLANDS PROTECTION ACT REGULATiONS (310 CMR 10).' USE 1500 GALLON TANK, MINIMUM REQUIRED VARIANCE APPROVED: • SITE DOES NOT CONTAIN A CERTIFIED VERNAL POOL PER NHESP MAP OCTOBER 1, M. co o • 2010 CERTIFIED VERNN. POOLS. ° z ` SITE is NOT WNTHAN A PRIORRY HABITAT Lu PER NHESP MAP ocTDeER 1, 2010 C 03, 'PRIOW MWATS OF RARE SPECIE' FOR SPECIES UNDER THE MASSAL'HUSETiS lot __--_--�_.. c k,�4 , / � 1a�5� • SITE WHIN AA STATE APPROVED ZONE N�GROtNND WYATER RE04RtGE of PROTECTION AREA 3 .` c SITE S W INN N A ZONE OF CON1ROUTION TO A SALT07ER EST M (aARNSTABLE c� . \ °�� �'� ,°•.,_ _ �`�\ B.O.H. RIG. 360-45). w � • 8.) 11TIJ'IY INFORWTION SHOWN H O • THE 0OHNi1RAC1iTR SHALL CONTACT DIG SAFE (AT 1-888--010- AND U1IJ1Y a a•• '�V COMPANIES TO LOCATE ALL DMING UTIUTIES, AT LEAST 72 HOURS PRIOR To THE START OF C0NS1RUC110N. THE LOCATION OF EXSiNG INDERGROUPD INFRASTRI.CTURE; UILITIES, iE CONDIM AND LINES ARE-' / 9M , � •�° THOSc sHowN HEREIN AND HAVE BEEN RESEARCHED M IN AN APPROXU47E ItiAY ONLY, MAY NOT BE 11M1TED TO BASED ON THE AYMABLE U►I1iY ` RECORDS NOTED HEREON. THE CONiRWIOR AGREES TO BE FULLY RESPONSIBLE FOR ANY c, o z AND ALL DAMAGES WFICHt MIGHT BE OCCASIONED BY THE CONTRACiOR'S FAILURE lO __ m " " o _ �• LOGS DATE:10100 LOCATE SAID NFNASTRUCItN IE AND U MITEP-14144S EXACTLY. F FIELD CONDITIONS DIFFERS FROM a a a a a \ ___ -_� �`• BARNSTABLE fRAN THE axNiRACTnR SHALL NOTIFY THE ENGINEER I►BtEDHATELY FOR � _ _ � SOIL EVALUATOR: o c_ BOARD OF HEALTH AGENT. \\ \ SIEVE WILSON P.E. souRG'E hFORWTION FRoM PLANS wis BEEN case TRH OBSERVED ENDENCE OF c c rn ' DONNA MIORANDI, R.S. UTILITIES TO DEVELOP A VIEW OF THOSE UNDERGROUND UTILITIES. HOWEVER, LOW W j0 EXGA`1ATION tN , THE EXACT LOCATION OF WGGROUD FEATURES CANNOT BE ACCURATELY, m co o o TEST PIT 1 TEST PIT 2 LEST PIT 3 LEST PIT 4 COMPLETELY AND RELIABLY DEPiCIED. WHORE ADDITIONAL OR MORE DETAI.m e3- - o \ \\ \ DEL 35 G.S.E. = 103.7E G.S.E. 103.6E G.S.E. = 103.2E G.S.E. = 103.2E + REaNRED, ADVISED THAT ExaVATION MAY BE NECEssARr. W \\ \ A P p,R • SEPTIC SYSTEM INFORMATION"COUPLED FROM RECORD NFM97i0N PROVIDED BY THE o Ap; 1fTYR 2/2; LOAMY SAND AP; 10YR 3/2; LOAMY SANG AP; 10YR 3/3; LOAMY SAND AP; IOYR 3/1; LOAMY SAND BARNSTABLE BOAitD OF HEALTH AND SHOULD BE GONSDE1iED APPROPWTE N a 6" 7" 5" VATER LINE LOCATION FROM FIELD LOCATION OF DHG-SAFE MARM ON-SIZE �`�----- - GAS LINE LOCATION FROM FIELD LOGIION OF DIG-SAFE MOM ON-SITE B ; IOYR 5/6, LOAMY SAND B , 1OYR 5/8, LOAMY SAND B , 1OYR 4/6, LOAMY SAND B • 10YR 5/8, LOAMY SAND , OVMM WIRES LOrATION FROM FIELD LOrATION SIIRVEW! Z O� p 12 14" 15" 13' MNO SHEET TITLE \ r1G PN 1. All SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH TITLE V ZA ��• '._,'r� `- 1�02'�,, �SPV�'P� �o� �' C ; IOYR 6/6, FINE SAND Cl; IOYR 3/4, FINE SAND C ; 10YR 7/6,- FINE SAND C ; IOYR 6/6; FINE SAND OF THE STATE SANITARY CODE DATED ,IANUARY` 3, 2014, AS AMENDED THROUGH 1 1 �A PPR E` of�Pg� w'----- WITH COBBLES 1 1 THE DATE of THIS PLAN, ANY LOCAL RULES A REGULATIONS APPLiCIBLE P1'OPOS�'d Site 1 5 4k • MPP �, �o�' 4o so 50" 48" 2. ANY CHNMGE TO THIS PLAN MUST BE APPROVED IV WRITING BY THE RedevelopmentP�a11 \ 's $ o ENGIMM ELEVATION INFORMATION MUST NOT BE CHANGED WRHOUT WRITTEN P ESS �� 36 / �. �' C2; 1 OYR 6/8, MED. SAND C2; 10YR 7/6, MED. SAND C2; 1 OYR 6/6, MED. SAND C2; 1 OYR 7/6, MED. SAND PRIOR APPROVAL BY THE ENGINEER. \ 4 P / o, 1g, STRATIFIED STRATIFIED STRATIFIED MPP 1�\1 Abe ss• Ste/ -' s ;' 0 a 132" 132" 132" 132" 3. WHEN CONSTRUC1101V IS COMPLETED, PRIOR 10 BVACKFLLING, NOTIFY THE SHEET N O BOARD OF HEALTH AGENT AND ENGINEER FOR INSPECTION. NO WATER OBSERVED NO WATER OBSERVED NO WATER OBSERVED NO WATER OBSERVED 4. ALL SANITARY DISPOSAL SYSTEM PFING TO BE 4" SCHED 40 PVC. UNLESS C3nO 6 NOTED HEREIN. P PRG� OTHERWISE PERC O 54" PERC O 54" DATE : 11 19 13 ` MPP I CERTIFY THAT IN APRI. 19K I HAVE PASSED THE SOT. EN AATUR DAMNATION APPROVED BY THE INSULATE ALL PIPES AGAINST FREEZING AS REQUIRED WHEN LESS THAN 3' OF 20 0 20 40 }1a1 DEPARTMENT OF D MRON MIWAL PROEM AM THAT THE ABOVE ANALYSIS WAS PERFORMED BY ME CND' CONSISTENT WRiH THE REQUIRED TRAINING, D(PERTSE AND E)PEi6EINCE DESCRIBED N 310 CUR 15.017. 6. THE SEP11C SYSTEM DERIGNI N11°`''�\\ 1� h,p25 S..NQj INCLUDE GARBAGE GRINDER DISPOSALS. .SCALE IN FEET ` . SIGNATURE DALE . 7. THE PROPOSED UTILITY CONNECTIONS SHOWN HEREON ARE SCHEMADC. FINAL SCALE : -1"= 20' LAYOUT SHALL BE AS DETERMINED BY THE APPROPRIATE UTILITY' COMPANY. DRAWN/DESIGN BY: .I(L CHECKED B Y: SM9 JOB NO: CADD FILE: