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HomeMy WebLinkAbout0727 MAIN STREET (OST.) - Health 727 J Main Street (Ost.) A = 141 01300J o S No. 4210 1/3 8UR ESSEL E 1+D% r a O� G��� l I/� /h I ,Revision of`letter dated Feb 4,.2017 after B011 Ju12017, fi BIKE rqk, Town of Barnstable � ■ARNSTAB[E, � ' 9�A ,�� Board of Health lfa MA'S a 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Paul J.Canniff,D.M.D. FAX: 508-790-6304 Donald A.Guadagnoli,M.D. Junichi Sawayanagi - August 9, 2017 Mr. Edward Pesce, P.E., R.L.S. Pesce Engineering and Associates, Inc. 451 Raymond Road Plymouth, MA 02360 RE: 727 Main Street, Osterville, MA/ Wianno Knoll Condominiums, Buildings E & F, Assessor's Map 141, parcel 013 Dear Mr. Pesce, You are granted a conditional variance, on behalf of your client, Wianno Knoll Condominium Trust, to construct a septic system at 727 Main Street, Osterville, without providing secondary treatment nor an innovative/alternative nitrogen reduction technology within the system. However, the drainage system shall be upgraded with the construction of a "rain garden" as shown on the revised plans. The variances granted are as follows: 310 CMR 15.211: To provide 3.9 feet of soil cover over the top of the soil absorption system, in lieu of the three feet maximum allowed. 310 CMR 1.5.211 To install the soil absorption .system 14.5 feet away from a drainage basin, in lieu of the twenty-five (25) feet minimum setback required. 310 CMR 15.223(1) (b): To install a new 2,000 gallon septic tank in series, in lieu of the requirement to provide a minimum effective liquid capacity of 200% within the existing septic tank. 310 CMR 15.405(C)g: To install a soil absorption system which is sized 25% less than the minimum required SAS design requirements, as allowed 'in the Title V "local upgrade approval" standards. Q:WP/Pesce Wianno Knoll 2017 Revised July 17 2017.docx i I r The variance is granted with the following conditions: (1) The septic system and new drainage system shall be installed in substantial compliance. with the revised engineered plans dated July 17, 2017. (2) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the revised plans. These variances are granted because the physical constraints at the site severely restrict the location and depth of the soil absorption system due to the topography, number of buildings, and utilities existing onsite. The plans were recently revised eliminating a setback variance to the property line. IN February, The Board members determined innovative/alternative nitrogen reduction technology is not required in this case due to the fact that this site is not located within any zones of contribution to public water supply wells, within any saltwater estuary protection zones, within three hundred feet of any water .bodies or tributaries to any watercourses, nor within close proximity to any private wells. This area is serviced by public water. The groundwater direction flow is to the south; it was determined that there are no environmental resources immediately downgradient of this site. In addition, construction costs would be $8,000 more to each condominium owner to install innovative/alternative systems compared to conventional septic systems at this site. These costs do not include maintenance, electricity, and testing which is required for successful operation of a secondary treatment unit. cerely, %' V Paul . anni , Chairman Q:WP/Pesce Wianno Knoll 2017 Revised July 17 2017.docx fi �TNE Tp� DATE FEE• MI . * BARNSTABLE, + MASS y� 69.A i7 . ►`0� REC. BY rFo � Town of Barnstable T' SCHED. DATE: Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Paul J.Canniff,D.M.D. FAX: 508-790-6304 Junichi Sawayanagi Donald A.Guadagnoli,M.D. Alternate:Cecile Sullivan,RN,MSN VARIANCE REQUEST FORM LOCATION Property Address: 727 Main Street, Osterville, MA (Wianno Knoll Condominiums - Bldgs,E & F) Assessor's Map and Parcel Number: Map'141, Parcel 13 . Size of Lot: 83,579 SF Wetlands Within 300 Ft. Yes Business Name: No X Subdivision Name: Wianno Knoll Condominiums APPLICANT'S NAME: Wianno Knoll Condominium Trust Phone Did the owner of the property authorize you to represent him or her? .Yes X No y PROPERTY OWNER'S NAME CONTACT PERSON Name: Wianno Knoll Condo.Trust, C/O First Property Name: Edward L. Pesce, P.E., Pesce Engr. & Assoc. Inc Management Address: 1046 Main St., Suite 11. Osterville, MA 02655 Address: 451 Raymond Rd., Plymouth, MA 02360- Phone: 508-420-0299 Phone: 508-333-7630 VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) ee attached List See Attached List NATURE OF WORK: House Addition ❑ House Renovation ❑ tRepair of Failed Septic System t Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 5 separate completed sets. Five(5)copies of the completed variance request form Five(5)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 Five(5)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) Full menu-Five(5)copies of full memm 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 NOT APPROVED Paul J.Canniff,Chairman REASON FOR DISAPPROVAL Junichi Sawayanagi Donald A.Guadagnoli,M.D. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet°, Files\Content.Outlook\BAJ9P9B7\VARIREQ.DOC Wianno Knoll Condominiums (Buildings E & F) July 7, 2017 SUBJECT: List of Requested Variances to Title 5 & Justification List of Variances In accordance with 310 CMR 15.401 15.405, the following Local Upgrade ApprovalsNariances are requested: 1) A 0.9' variance (from 3' to 3.9') for the max. cover over the proposed SAS Reference 310 CMR 15.221 (7) .2) A 10.5' variance (from 25.0' to 14.5') for the setback from the existing drainage basin to SAS Reference 310 CMR 15.211 (1) -3). A variance from providing the minimum effective-liquid capacity of 200% of design flow (i. e., 1,940 x 200% = 3,880 gal.),in the existing septic tank- in favor of providing 2 tanks in series as follows: The existing septic tank = 2,500 gal and a new 2,000 gal. tank = 4,500 -gal. capacity. Reference.310 CMR 15.223 (1) (b) 4) A variance to allow,a 25% reduction in the required SAS area design requirements, per local upgrade approval, 310 CMR 15.405(c). Justification This above list of variances to Title 5 are requested in order to allow for the repair/upgrade of an existing failed leaching system for Buildings E & F,:and represents the maximum feasible compliance with Title 5. Additionally, this design is in substantial conformance to the design previously approved by the Board of Health, per the approval letter dated February 4, 2017. After the previous approval and subsequent cost estimating by contractors, it was determined that the cost for relocation or alteration of the electrical Fines near the edge of the street to accommodate the new leaching system would be excessive. The proposed revised design seeks to move the leaching system away from this area and closer to the building. In doing so, we have eliminated 1 previous variance (for setback to the front property line), but the leaching system now slightly encroaches on the water line; requiring a variance. The movement of the leaching system closer to Building E, requires that the existing tank be twisted/relocated, and a new 1-3 ft. high wood retaining wall to be installed (SE corner) to accommodate the leaching system footprint. As before, this revised design will provide adequate protection of public health, safety, welfare and the environment, and satisfies the purpose and intent of Title 5. PESCE ENGINEERING AND ASSOCIATES Phone 508-743-9206 451 Raymond Rd., Plymouth, MA 02360 Cell:508-333-7630 Wianno Knoll Condominiums 727 Main Street, Osterville, MA July 7,2017 Board of Health Abutter List for Map & Parce1(s)': '141013CND' Direct abutters (no set distance) and the properties located across the street. Map&Parcel Owners Owner2 Addressl Address 2 Mailing CityStateZip 141004 ROMAN CATHOLIC BISHOP OF FALL RIVER P O BOX 2577 FALL RIVER, MA 02723 141005 ROMAN CATHOLIC BISHOP OF FALL RIVER P O BOX 2577 FALL RIVER, MA 02723 141012 1406 MAIN STREET LLC 699 MAIN STREET OSTERVILLE,MA 02655 14101300A HUNT,CLAIRE 50 BRANDYWINE LN SUFFIELD,CT 06078 14101300E MACHNIK,TODD M&TARA RILEY P O BOX 135 YARMOUTH PORT,MA 02675 14101300C LORING,SHEILA W 727 MAIN ST.,UNIT B-1 OSTERVILLE, MA 02655 14101300D RIZNIK,BARNES&HELEN C TRS RIZNIK NOMINEE TRUST 727 MAIN ST UNIT B-2 OSTERVILLE,MA 02655 14101300E AMICO,ANTHONY A&GERILYNN 21 MONTCLARE AVENUE WAKEFIELD,MA 01880 1410130OF BARLOW,DEBBIE Z 727 MAIN STREET, UNIT B4 OSTERVILLE,MA 02655 1410130OG MIER, FAY A 727 MAIN ST-UNIT C-1 OSTERVILLE,MA 02655 14101300H GRANT, KATHERINE A 727 MAIN STREET, UNIT C-2 OSTERVILLE,MA 02655 141013001 LALOR, DAVID&TRACEY, MARILYN TRS JANETTE LALOR TRUST 41 SEAVIEW TERRACE#A SANTA MONICA,CA 90401-3219 14101300J MCHALE,CAROLYN C&CAROLYN TRS JOHN J MCHALE REV TRUST 97 MORTON STREET NEWTON CENTRE,MA 02459 14101300K WRIGHT,KATHLEEN 726 EAGLE POINT DRIVE VENICE, FL 34285 14101300L DICOSTANZO, EUGENE P&STELLA G TRS DICOSTANZO FAMILY TRUST 727 MAIN STREET#D2 OSTERVILLE,MA 02655 14101300M SULLIVAN,MARILYN E 39 SKYLINE DR WELLESLEY, MA 02181 MAHONEY,CLAUDIA I&BACKLUND,DON A 727 MAIN 1410130ON TRS CLAUDIA I MAHONEY LIVING TRUST PO BOX 883 STREET D-4 OSTERVILLE,MA 02655 141013000 URSINO, RICHARD&JANET 21 SUTTON PLACE EAST LONGMEADOW,MA 01028 14101300P GROVER, PAUL E 24 WEST DRIVE MARION, MA 02738 14101300Q DUNNING,MICHAEL A PO BOX 841 BARNSTABLE,MA 02630 1410130OR CROSBY,ANN W&ROELL,PAUL J %CAHILL, FREDERICK T&JEAN A 727 MAIN ST UNIT E4 OSTERVILLE,MA 02655 14101300E GALLAGHER,ANNE H ET AL TRS WIANNO NOMINEE TRUST PO BOX 297 NORWELL,MA 02061 14101300T FAIELLA,ROBERT A&KELLIANNE 39 EAGLESTONE WAY COTUIT,MA 02635 141013000 ROYCROFT,JOAN M 727 MAIN ST-UNIT F2 OSTERVILLE,MA 02655 14101300V SPENCER,DIANE H. 727 MAIN STREET UNIT F-3 OSTERVILLE,MA 02655 1410130OW VECCHIONE, NANCY JANE PO BOX 344 OSTERVILLE,MA 02655-0344 1410130OX GALLAGHER,ANNE H ET AL TRS WIANNO NOMINEE TRUST PO BOX 297 NORWELL,MA 02061 14101300Y GALLAGHER,ANNE H ET AL TRS WIANNO NOMINEE TRUST PO BOX 297 NORWELL, MA 02061 1410130OZ ADAMS,JOHN R TR 114 CHINE WAY iOSTERVILLE,MA 02655 1410130AA ICANUSO,SAUNIE C&EDWIN M %CANUSO,SAUNIE C 111370 TWELVE OAKS WAY APT 316 NORTH PALM BEACH,FL 33408 1 of 2 Source: Barnstable Assessor's Database f' Wianno Knoll Condominiums 727 Main Street, Osterville, MA July 7, 2017 1410130AB LALIBERTE,NICOLE 727 MAIN STREET APT G3 OSTERVILLE,MA 02655 1410130AC LAVOIE,ANDREA 46 TIMBER LANE AVON,CT 06001 1410130AD GALLAGHER,ANNE H ET AL TRS WIANNO NOMINEE TRUST PO BOX 297 NORWELL,MA 02061 1410130AE GALLAGHER,ANNE H ET AL TRS WIANNO NOMINEE TRUST PO BOX 297 NORWELL,MA 02061 1410130AF GALLAGHER,ANNE H ET AL TRS WIANNO NOMINEE TRUST PO BOX 297 NORWELL, MA 02061 14101400A FAIELLA,ROBERT A TR 749-1 MAIN ST REALTY TRUST 749E MAIN ST OSTERVILLE,MA 02655 14101400E FAIELLA,ROBERT A TR 749-1 MAIN ST REALTY TRUST 749E MAIN ST OSTERVILLE,MA 02655 14101400C RAPP,JENNIFER TR 749 FIDUCIARY TRUST 749 MAIN STUN IT C OSTERVILLE, MA 02655 749 MAIN 14101400D RAPP,JENNIFER TR 749 FIDUCIARY TRUST C/O LAW OFFICES STUART W RAPP STREET OSTERVILLE,MA 02655 14101400E EASTERN SCIENTIFIC,INC 749 MAIN ST-UNIT E OSTERVILLE, MA 02655 1410140OF 749 MAIN STREET OSTERVILLE LLC 140 ICE VALLEY RD-UNIT F OSTERVILLE,MA 02655 1410140OG WEST BAY PROPERTIES INC P O BOX 68 OSTERVILLE,MA 02655 14101400H MSRC REALTY GROUP LLC 749 MAIN STREET,UNIT H OSTERVILLE,MA 02655 141014001 749 MAIN STREET OSTERVILLE LLC 140 ICE VALLEY RD-UNIT I OSTERVILLE,MA 02655 141016 HOSTETTER,PRISCILLA M TR WEST BAY ROAD REALTY TRUST 770A MAIN STREET OSTERVILLE, MA 02655 141036 LEGHORN, NANCY 738 MAIN ST OSTERVILLE,MA 02655 141036001 LEGHORN, NANCY C TR CROSSVIEW REALTY TRUST 738 MAIN ST OSTERVILLE,MA 02655 14103700A MCGONIGLE,MICHAEL P 3 TAFT CIRCLE WINCHESTER,MA 01890 14103700B STUART,JONATHAN&KELLY 90 COMMONWEALTH AVENUE BOSTON,MA 02116 WYRTZEN,CURTIS CHRUSTEN III& 14103700C MARYBETH WYRTZEN FAMILY LIVING TRUST 716 MAIN STREET,UNIT B-9 OSTERVILLE,MA 02655 14103700D PAWLYSITYN,JOYCE A TR JOYCE PAWLYSITYN REV TRUST 716 MAIN STREET,UNIT B-10 OSTERVILLE, MA 02655 14103700E ANDREWS, HOWARD L&BESSIE M %ANDREWS, BESSIE M 716 MAIN ST#13-11 OSTERVILLE, MA 02655 1410370OF RILEY, MERCEDES S ONE HUNTINGTON AVE#303 BOSTON,MA 02116 1410370OG DANAHY, ROBERT F TR 4 LIVERMORE LN-UNIT 16 WESTON,MA 02493 716 MAIN STREET,UNIT 14103700H COTTLE, HENRY&DOLORES&ALLIEGRO &PAWLYSITYN TRUSTEES COTTLE FAMILY NOM TRUST A2 OSTERVILLE, MA 02655 141037001 CAICO,SHARON J 13 HUNTINGDON RD LYNNFIELD, MA 01940 14103700J CASEY,ANN E TR COTACHESET NOMINEE TRUST 5 WHITEHOUSE LANE WESTON,MA 02493 14103700K DIANA,BRENDA S&HALL,MARTIN TRS FRANK J CAREY JR TRUST 716 MAIN STREET, UNIT#A-5 OSTERVILLE,MA 02655 14103700L ALBRECHT, REBECCA J 180 TURN OF RIVER-#6C STAMFORD,CT 06905 ONE HUNDRED SIX A WIANNO AVE 141112 VESTY,CHARLES H&RENEE TRS NOM TRUST 106A WIANNO AVE OSTERVILLE,MA 02655 2 of 2 Source: Barnstable Assessor's Database I PESCE ENGINEERING & ASSOCIATES, INC. f 451 Raymond Road Plymouth, MA 02360 ' Phone 508-743-9206 j ' epesce 0D-co m cast.net July 7, 2017 TO: The Abutters of Wianno Knoll Condominiums, Assessor's Map # 141, Lot# 13 SUBJECT: Notification of a Request for Variances for the Repair of an Existing Septic System at Wianno Knoll Condominiums TO WHOM IT MAY CONCERN, In accordance with State Law; 310 CMR 15.00, Title 5, and the Town of Barnstable Health Regulations, you are hereby notified that a request for variance(s) has been filed with the Barnstable Board of Health by the owners of Lot # 13 as described above, regarding a septic system.repair. Additional details follow: APPLICANTS: Wianno Knoll Condominium Trust ADDRESS: 727 Main Street, Osterville, MA PROJECT LOCATION: Same as above PROJECT DESCRIPTION: Application for an existing failed septic system (serving Buildings E & F) to be repaired. The existing septic system will be repaired to Title 5 standards. APPLICANTS'AGENT: Edward L. Pesce, P.E., Pesce Engineering &Associates, Inc., Plymouth, MA PUBLIC HEARING: Tuesday afternoon, July 25, 2017 @ 3:00 PM at the Barnstable Town Hall, Town Hall Hearing Room, 367 Main Street, Hyannis, MA Plans for this project and application describing the proposed activity are on file with the Board of Health. Sincerely, Edward L. Pesce, P.E. Crocker, Sharon From: Crocker, Sharon Sent: Wednesday,July 26, W17 3:23 PM To: Heath DeptMailbox Subject: Wianno Knolls 727 Main Street, Osterville BORTOLOTTI's WILL BE IN FOR A PERMIT THIS AFTERNOON. Board of Health Results from last night: I. Septic: Ed Pesce, Pesce Engineering, representing Wianno Knolls Condominiums - 727 Main Street, Osterville, Map/Parcel 141-013, request in minor.adjustment in location of approved septic system. ��� �. �-� A?�' ih�, 1 .�viE' ��w►"��� � GRANTED. Upon a motion duly made and seconded, the Board voted to approve the revised plan submitted to Board 7/25/17. (Unanimously, voted in favor.) k 1 I IV-613-6a4 Commonwealth of Massachusetts ;p Title 5 Official Inspection Form r X Subsurface Sewage Disposal System Form- Not for Voluntary Assessments - 727 Main Street(Bldg J) Property Address tom, Wianno Knolls Condominiums : Owner Owners Name A information is required for every Osteryille_ MA 02655 3-29-18 page. City/Town State Zip Code Date of Inspection '-J i 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. General Information ��pltlrllluffr on the computer, OF Mq i, use only the tab SINS •. ITS //., 1. Inspector: ••.q key to move your ,.`�=g .•' cursor-do not JAMES•'yN James D.Sears use the return — : •m= ke y Name of Inspector v; EARS 906-1) y =*: o pant'Na Enterprises zliCompany Name C'�� FRTII 153 Commercial Street ry�',�5 INSPtiC�§\Q Company Address Mashpee MA 02649 UlW I own State Zip Code 608-477-8877 S1623 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system Inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 3-31-18 Aprs 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 should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ""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. t5ins.dcc•rev.6/16 Title S OfFcial inspection Form:Subsurface Sewage Disposal System-Page 1 of 17 6 a5ed xed dH 2:0Z 9 XZ ZO Jdy Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 727 Main Street(Bldg J) Property Address Wianno Knolls Condominiums Owner Owner's Name information is required for every Osterville MA 02655 3-29-18 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) 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 system is a 1500 Gal. Tank D Box and leaching trench. B) 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): t.5ins.doc-rev.61'16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Z a5ed xe:1 dH WOE 91.0E ZO add Commonwealth of Massachusetts Title 5 official Inspection Form _ F Subsurface Sewage Disposal System Form -Not for Voluntary Assessments io in If 727 Main Street(Bldg J) Property Address Wianno Knolls Condominiums Owner Owner's Name information is required for every Osterville MA 02655 3-29-18 page. City/Town State Zip Code Date of Inspection B. Certification (cost.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes(cont.): ❑ 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): C) 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, satiety or the environment. 1. System will pass unless Board of Health determines In accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ 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 15ins.doc-rev.6116 Title 50tYcial Inspection Form:Subsurface Sewage Dlsposal System-Pape 3 of 17 £ a5ed xed dH 2:0Z 8 60Z ZO add li Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 727 Main Street (Bldg J Property Address Wianno Knolls Condominiums Owner Owner's Name required for is every Osteryille required for eve MA 02655 3-29-18 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system Is functioning in m Y a manner that protects the g p 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. 3, Other: D) 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 ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in NORM is less than 6" below invert or available volume is less than '/zdayflow k FAc41NC 15ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 a5ed xed did OZ:OZ 960Z ZO Jdf Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 727 Main Street(Bldg J) Property Address Wianno Knolls Condominiums Owner Owner's Name information is Osterville MA 02655 3-29-18 required for every page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® 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 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 custodymust be attached to this form.] ] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above Failure criteria exist as described in 310 CM 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure, E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. 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 If you have answered"yes" to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 151ns.doc•rev.6116 Title 5 Official Inspedion Form Subsurface Sewage Disposal System-Page 5 of 17 S a5ed xez! dH OZ:OZ 860Z ZO udl Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 727 Main Street(Bldg J) Properly Address Wianno Knolls Condominiums Owner Owner's Name information is required for every Osterville MA 02655 3-29-18 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as NIA) ® ❑ 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)] D. System Information Residential Flow Conditions: Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): t5ins.doc•rev.6116 Title 6 Official Inspection Form:Subsurface Sewage Disposal System•Page 6of 17 9 a5ed xed dH OZ:OZ 91.0E 20 Jd`d Commonwealth of Massachusetts Title 5 Official Inspection Form 11' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 727 Main Street(Bldg J) Property Address Wianno Knolls Condominiums Owner Owner's Name information is required for every Osterville MA 02655 3-29-18 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: 1500 Gal. Tank D Box and leaching trench. Number of current residents: Does residence have a garbage grinder? ❑ Yes ❑ No Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes ❑ No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ❑ No Water meter readings, if available(last 2 years usage(gpd)): Detail: m ? Yes Sump pup ❑ ❑ No Last date of occupancy: Date Commercial/industrial Flow Conditions: Type of Establishment: - Office _ Design flow(based on 310 CMR 15.203): 440 (Per Past Report)Gallons per day(9pd) Basis of design flow(seatslpersons/sq.ft..etc.): 4000 Sq. Ft. Grease trap present? ❑ Yes ® No Industrial waste holding tank present? ❑ Yes ® No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ® No Water meter readings, if available: NA t5ins.ctoc•rev.616 roe 5 Dfficial Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 L a5ed xed dH ZOZ SLOE ZO,JdV I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 727 Main Street(Bldg J) Property Address Wianno Knolls Condominiums Owner Owner's Name information is required for every Osterville MA 02655 3-29-18 page. CitylTown state Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Yearly Pumping Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ 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): t5lns.doc•rev.6116 Tale 5 Official Inspection Form:Subsurface Sewer Disposal System•Page a of 17 9 a5ed xed dH 2:02 91.0E 20 JdV i Commonwealth of Massachusetts Title 5 Official Inspection Form r Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 727 Main Street(Bldg J) Property Address Wianno Knolls Condominiums Owner owner's Name information is Osterville MA 02655 3-29-18 required for every page. CityrTown state Zip Code Date of Inspection D. System Information (cant.) Approximate age of all components, date installed (if known)and source of information: 1981 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade. 3' feet 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.): Pipeing is 4" SCH 40 PVC. Septic Tank(locate on site plan): Depth below grade: 2'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 Precast Sludge depth: 0 t5ins.doc•rev.6/16 Title 5 Official Inspecilol Form:subsirtace sewage Disposal system•Page 9 of 17 6 a5ed xed dH ZZ:OZ 91.0E ZO JdV r Commonwealth of Massachusetts Title 5 Official Inspection Form "a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 727 Main Street(Bldg J) Property Address Wianno Knolls Condominiums Owner Owner's Name information is required for every Osterville MA 02655 3-29-18 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 30" Scum thickness T, Distance from top of scum to top of outlet tee or baffle 8 Distance from bottom of scum to bottom of outlet tee or baffle 17" How were dimensions determined? Plan-Tape Sludge Judge 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 at working level with 2 inlet tee. Outlet tee wffilter. Both covers steel at grade. No sign of leakage or over loading. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain): Dimensions. t 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 t5ins.doc-rev.8/15 Title 5 official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 0 6 a5ed xed dH YOZ 8 62 20 Jd'd Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 727 Main Street(Bldg J) Property Add ress Wianno Knolls Condominiums Owner Owner's Name information Is required for every Clsterville MA 02655 3-29-18 page. City/Town State Zip Code Date of Inspection D. System Information (cost.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete El metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day 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 t5ins.doc-rev.5115 Titre 5 Official Inspection form:Subsurface Sewage Disposal System•Page I I of 0 I,l, abed xed dH WOZ 9 XZ ZO JdV f Commonwealth of Massachusetts Title 5 Official Inspection Form k,ei19 Subsurface Sewage Disposal System Form- Not for Voluntary Assessments , v % 727 Main Street (Bldg J) Property Address Wianno Knolls Condominiums Owner Owner's Name information is required for every Osterville MA 02655 3-29-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 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.): D Box is clean and solid 33" below grade,with steel cover r 9 at grade. 1 line out to field. No sign of � over loading or solid carry over. 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. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins.dDo•rev.6/16 Tille 5011icial Ire paction Form:Subsurface Sewage Disposal System•Page 12 of 17 Z 6 a5ed Xed dH WOZ 81.0E ZO Jd`d Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form • Not for Voluntary Assessments, 727 Main Street(Bldg J) Property Address Wianno Knolls Condominiums Owner Owner's Name information is required for every Cisterville MA 02655 3-29-18 page. CitytTown State Zip Code Date of Inspection D. System information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ® leaching trenches number, length: 1-3'x6'x5O' ❑ Teaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching is 1 trench camera line and probed above and beside. No sign of over loading or solid carry over. No sign of holding water. 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 t5ins.doc-rev.&16 Title 5 Official Inspection form:Subsurface Sewage Disposal System Page 13 of 17 E 6 abed xeJ dH EZ:OZ 81.OZ 20 JdV I Commonwealth of Massachusetts Title 5 Official Inspection Form I' Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 727 Main Street(Bldg J) Property Address Wianno Knolls Condominiums Owner Owner's Name information is required for every Osterville MA 02655 3-29-18 page. cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc,): Privy(locate on site plan). Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ndin condition of vegetation, etc.): Po. g, 15ins.doc•rev.6/1E Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 a5ed xed dH £Z:0Z 860Z ZO ud`d Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 727 Main Street(Bldg J) Property Address Wianno Knolls Condominiums Owner Owner's Name information is required for every Osterville MA 02655 3-29-18 page. city/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: 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 t5ins.doc-rev.WIS Title 5 Official Inspection Form:Subsurfaos Sewage Disposal System•Page 15 of 17 5 a5ed xed dH EME 91.0E ZO JdV • r�i ri 3 7-7 Nm y;mes ��'E`- ''�l„'."` ''�»r' -c y.- r ram. s '' M V7, _- , - • . -,� u��. �_ �'-�,�ice-X�s - - r _ Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 727 Main Street(Bldg J) V Property Address Wianno Knolls Condominiums Owner Owners Name information is required for every Osterville MA 02655 3-29-18 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® check cellar ❑ Shallow wells v Estimated depth to high groundwater: 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: Dace ❑ 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: Per Design Plan. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Pale 16 of 17 L 6 a5ed xed dH 92:02 9 WE 20 Jd`d r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments v 1 � 727 Main Street(Bldg J) Property Address Wianno Knolls Condominiums Owner Owner's Name Information is required for every Osterville MA 02655 3-29-18 page, CitylTown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file 15ins.doe•rev.6416 Tithe 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 g L a5ed xed dH 9Z:O2 9 LOZ ZO Jdt1 Commonwealth of Massachusetts Title 5 Official Inspection Form ` p , _�,3_ao-7- Subsurface Sewage DispAs I System Form-Nc��ford oluntary Assessment,-rhrt.. %q1 - 013 —00 C/ M 727 Main Street Bldg. J, 2, ,4 Property Address Wianno Knolls Condominiums Owner Owners Name information is required for every Osterville MA 02655 4-15-15 page. Cityrrown State Zip Code Date of Inspection 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. -tn t:When A Genera! Information fillinging out out forms A. on the computer, use only the tab 1. Inspector. ��� • .4��''% key to move your cursor-do not �t J.use the return James D. Sears Name of Inspector = �I ;r» key. s Capewide Enterprises,LLC �,•.,of Company Name -f-'! ..VTIF N •G � 153 Commercial Street Company Address Mashpee Ma 02646 Cityf'own State Zip Code 508-477-8877 S1623 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 4-15-15 44 qspectors 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 is a shared system or 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 should.be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****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. t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System• ge 1 of 7 v Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 727 Main Street Bldg. J, 2, 3,4 Property Address Wianno Knolls Condominiums Owner Owner's Name information is required for every Osterville MA 02655 4-15-15 page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) 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 system is a 1500 Gal. Tank D Box and leaching trench. B) 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 exMtration 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): t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 727 Main Street Bldg. J, 2, 3,4 Property Address Wianno Knolls Condominiums Owner Owner's Name information is required for every Osterville MA 02655 4-15-15 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ 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): brokenpipe(s)are re laced Y N❑ p ❑ ❑ ❑ 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): C) 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. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ 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 t5ins•11/10 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M s 727 Main Street Bldg. J, 2, 3,4 Property Address Wianno Knolls Condominiums Owner Owner's Name information is required for every Osterville MA 02655 4-15-15 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 fee_t 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. 3. Other: D) 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 ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in awwpW is less than 6" below invert or available volume is less than Y2 day flow 191 7 t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M , 727 Main Street Bldg. J, 2, 3,4 Property Address Wianno Knolls Condominiums Owner Owner's Name information is required for every Osterville MA 02655 4-15-15 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® 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 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 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. 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 If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments , 727 Main Street Bldg. J,2, 3,4 Property Address Wianno Knolls Condominiums Owner Owner's Name information is required for every Cisterville MA 02655 4-15-15 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, 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)] D. System Information Residential Flow Conditions: Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments w °r 727 Main Street Bldg. J, 2, 3,4 Property Address Wianno Knolls Condominiums Owner Owner's Name information is required for every Osterville MA 02655 4-15-15 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: The system is a 1500 gal. precast tank D Box and leaching trench. Number of current residents: Does residence have a garbage grinder? ❑ Yes ❑ No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ❑ No Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ❑ No Water meter readings, if available(last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes ❑ No Last date of occupancy: Date Commercial/industrial Flow Conditions: Type of Establishment: Office Design flow(based on 310 CMR 15.203): 440 er Past Report) Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): 4000 Sq. Ft. Grease trap present? ❑ Yes ® No Industrial waste holding tank present? ❑ Yes ® No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ® No Water meter readings, if available: NA t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ,a 727 Main Street Bldg. J, 2, 3,4 Property Address Wianno Knolls Condominiums Owner Owner's Name information is required for every Osterville MA 02655 4-15-15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Yearly Pumping Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: Septic tank distribution box soil Y absorption system P ❑ Single cesspool ❑ 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): t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 727 Main Street Bldg. J, 2, 3,4 Property Address Wianno Knolls Condominiums Owner Owner's Name information is required for every Osterville MA 02655 4-15-15 page. Citylrown State Zip Code Date of Inspection D System Information (cont.)- Approximate age of all components, date installed (if known)and source of information: 1981 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 'Depth below grade: 3' feet f 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.): Pipeing is 4" SCH 40 PVC. Septic Tank(locate on site plan): Depth below grade: 2' 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 p Dimensions: 1500 gallons recast 1„ Sludge depth: t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 727 Main Street Bld g. J, 2, 3,4 Property Address Wianno Knolls Condominiums Owner Owner's Name information is required for every Osterville MA 02655 4-15-15 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 29" ' Scum thickness 1' Distance from top of scum to top of outlet tee or baffle 811 Distance from bottom of scum to bottom of outlet tee or baffle 17" How were dimensions determined? Plan Tape 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 at working level with 2 inlet tee.Outlet baffle. Both covers steel at grade. No sign of leakage or over loading 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 I� Date of last pumping: Date t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 727 Main Street Bldg. J, 2, 3,4 Property Address Wianno Knolls Condominiums Owner Owner's Name information is required for every Osterville MA 02655 4-15-15 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 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 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 t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 � Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M , 727 Main Street Bldg. J, 2, 3,4 Property Address Wianno Knolls Condominiums Owner Owner's Name information is required for every Osterville MA 02655 4-15-15 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 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.): , D Box is clean and solid 33" below grade, with steel cover at grade. 1 line out to field. No sign of over loading or solid carry over.t 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.): Soil Absorption System(SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 L Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 727 Main Street Bldg. J, 2, 3,4 Property Address Wianno Knolls Condominiums Owner Owner's Name information is required for every Osterville MA 02655 4-15-15 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ® leaching trenches number, length: 1-3'x6'x50' ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching is 1 trench camera line and probed above and beside. No sign of over loading or solid carry over. 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 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 727 Main Street Bldg. J, 2, 3,4 Property Address Wianno Knolls Condominiums Owner Owner's Name information is required for every Osterville MA 02655 4-15-15 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 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.): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 i Commonwealth of Massachusetts KNEW Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 9 p Y rY 727 Main Street Bldg. J, 2, 3,4 Property Address Wianno Knolls Condominiums Owner Owner's Name information is required for every Osterville MA 02655 4-15-15 page. Cityrrown State Zip Code Date of Inspection D.. System Information (cont.) Sketch Of Sewage Disposal System: 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 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 t _ rl •s •mg kfi-"',,.,`,�Y-Y-- -2 "+SM Ti'.-a=r- ;- ""k-• , L������,,;3� �.��'"' ��� .,�, �. *-w��T'�" �-rr�''�:'4-a..ram .• ---- *moMON ,. '` ...,,"",�'..`. k�c.'��''T` .�., ,-F• �_.*-'`--, �-a-€7�.r -s-=- -=r '%*'-/3"za i*-' *fin, ii -i cs- IM ROOM rpm IS W-F MIN �� 'F-t per". -�` xn '�,�.✓ �'.�."-.�.. r� �� `�zrb �€..x -r3cv-� �..ti aW� .� �' ar.3i '�.--"-'���'•• "3 -�az-� r .s--4 �AYx �x`T -�--�'w. s..�s*� �Y-'�`�r�: MY KWR BY � - � ars�`f per"`= ME UM PEROR FA mom 7 MA �5�J� � `x Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments '< 727 Main Street Bldg. J, 2, 3,4 Property Address Wianno Knolls Condominiums Owner Owner's Name information is required for every Osterville MA 02655 4-15-15 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells --NQ Estimated depth tomigh ground water. 1 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: 1981 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: Per Design Plan. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•11110 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 l Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 727 Main Street Bldg. J, 2, 3,4 Property Address Wianno Knolls Condominiums Owner Owner's Name information is required for every Osterville MA 02655 4-15-15 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist' ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 •Commonilvealth of Massachusetts Title 5 Official Ins�ection Forth .. Subsurface Sewage Disposal System Form-Not for Voluntary Assessments' - y 727 Main St. Units J 2,3,4 Property Address Wianno Knoll Condominiums Owner Owners Name information is Osterville Ma 02655 r ` 4-9-12 required for every page. Cityrrown State i Zip Code Date of Inspection Inspection results must be submitted on this form.FInspection forms may not be altered in any way. Please see completeness checklist at the end of the form. . Important:When filling out forms A. General Information. `\```��pN11ol F►rp������� on the computer, `�N '(1� • Mqs use only the tab a ��y> ••Sq��. 1. inspector: ' :�. • o key to move your O, •yG ' cursor-do not =�• JAMES use the the return James D. Sears ' >. key. Name of Inspector • =U: :.� Cape Wide Enterprises,'LLCI Company Name {i, � ?�TTP,G �!S T 153 Commercial St i���i'',5 ►NSpE\���p�� �I Company Address Mash • •r ' _ pee Ma 02649 Cityrrown State Zip Code 508-477-8877 S 1623 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CHAR 15,000).The system: ® Passes ❑ Conditionally Passes ❑ Fails .❑ Needs further Evaluation by the Local.Approving Authority 4-11-12 ' ectors 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 is a shared system or 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 shoi�d be sent to the system owner t ._.. and copies sent to the buyer, if applicable, and the approving aothat•ity_ ***This report only describes conditions at the time of inspection and under the conditions•of use at that time.This inspection does not addresw--hovi�thesystem-will perform in the future under the same or different conditions of use. �' `'" "j 61'L ` t5ins•11/10 Title 5 Official Insp ection Form:Subsurface Sewage isposal System•Page 1 of 17 • Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 727 Main St. Units J 2,3,4+ .. Property Address Wianno Knoll Condominiums Owner. Owner's Name information is required for every Osterville Ma, 02655 4-9-12 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 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: . . . B) 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 6ver;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): } t5ins-11H 0 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 f I . Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ..�' 727 Main St. Units J 2,3,4 Q f Property Address R Wianno Knoll Condominiums Owner Owner's Name information is required for every Osterville Ma 02655 4-9-12 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ` 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' 3 ❑ 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): f ❑ obstruction is removed` ❑ Y ❑ N ❑ ND(Explain below): C) 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! 1. System will pass unless Board,of Health determines in accordance with 310.CMR 15.303(l)(b)that the system is not functioning in a manner which will protect public health, safety and the,environment: v ❑ 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 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 # NJ Commonwealth of Massachusetts , �9Title 5 Official Inspection Form" .Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ,_ Vw 727 Main St. Units J 2,3,4 Property Address Wianno Knoll Condominiums " Owner Owners Name information is < required for every Osterville Ma 02655 4-9-12 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health,' safety and environment: a ❑ 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 alone 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 asses if the well water analysis, performed at a DEP certified laboratory, for fecal ` ~ Y P Y , P. , ry, 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. 3. Other: .D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No • El ® 'Backup of sewage into facility or system component due+to overloaded or * clogged SAS or cesspool •' ❑ '® Discharge or ponding of effluent to'the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box 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 '/2 day flow t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts - Title 5 Official, Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 't 727 Main St. Units J 2,3,4 Property Address Wianno Knoll Condominiums Owner Owner's Name information is required for every Osterville Ma 02655 4-9-12 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® 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. E] ® 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 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 2000gpd- . k 10,000gpd. The system fails.'I have determined that one or more of the above failure . E] ® criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,00.0 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 D. 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—1WPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed.under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate - regional office of the Department. ; t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 F Commonwealth of Massachusetts , Title 5 Official:Inspection For Subsurface Sewage Disposal System Form Not for Voluntary Assessments' 727 Main St. Units J 2,3,4 - Property Address f A ' Wianno Knoll Condominiums ` Owner Owner's Name 1 information is Osterville . ' Ma 02655 4-9-12 required for every page. Cityfrown r State Zip Code Date of Inspection C. Checklist a , Check if the following have been done: You must indicate"yes"or"no"as to each of the following: Yes No rt Pum in in was p r vi® ❑ ^, p g s pro ded by the owner, occupant, or Board of Health ❑ Z 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 r® • El available note as N/A) ® ❑ Was the facility or dwelling inspected for signs-of sewage back up? ® ❑ Was the site inspected for signs of breakout? ® . ❑ F 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: ® ❑ .n • Existing information. For example, a plan at the Board of Health. El ® 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)] D. System Information Residential'Flow Conditions:. Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on•310 CMR, 15.203(for.example: 110 gpd x#of bedrooms): t5ins•11/10 ` Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Pa ge age 6 of 17, r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments - 727 Main St. Units J 2,3,4 Property Address - Wianno Knoll Condominiums Owner Owner's Name ,. information is required for every Osterville Ma 02655 4-9-12 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: The system is a 1500 gal precast tank D Box and leaching trench ` ,,. A. f Number of current residents: Does residence have'a garbage grinder? ❑ Yes '❑ No Is laundry,on a separate sewage system? [if yes separate inspection required] ❑ Yes ❑ No Laundry system inspected? ❑ Yes ❑ No ,Seasonal use? ❑ Yes ❑ No Water meter readings, if available(last 2 years usage(gpd)): Detail: - Sump pump? ❑ Yes ,❑ ,No Last date of occupancy: Date Commercial/Industrial Flow Conditions:, • Type of Establishment: Office 0 ((Per Past Report) Design flow(based'on 310 CMR 15.203): Gallons per day(9Pd) Basis of design flow(seats/persons/sq.ft., etc.): 4000 sq.ft. Grease trap present? ❑ Yes Z No Industrial waste holding tank present?, ❑ Yes 0 No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ® No Water meter readings, if available: NA t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 r Commonwealth of Massachusetts } Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form-,Not for Voluntary Assessments y 727 Main St. Units J 2A4 Property Address Wianno Knoll Condominiums Owner Owner's Name information is required for every Osterville Ma 02655 - - 4-9-12 page. City/Town State ..'Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: 4-16-2009 ; Date Other(describe below): - a • t General Information Pumping Records: , Source of information: ' Yearly Pumping Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: , gallons i How was quantity pumped determined? Reason for pumping: Type of System: F ® Septic-tank, distribution box, soil absorption system ❑. , Single'cesspool , , ❑ Overflow:cesspool • is_� ❑ -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 El Tight tank. Attach a copy of the DEP approval: ❑ Other(describe): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official inspection Form : Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 727 Main St. Units J 2,3,4 " Property Address Wianno Knoll Condominiums Owner Owner's Name information is Osterville Ma 02655 4-9-12 required for every ' page. Cityrrown State Zip Code Date of Inspection D. System Information'(cont.) Approximate age of all components,'date installed(if known)and source of information: 1981 Y .Were sewage odors detected when arriving at the site? ' ❑ Yes ® No Building Sewer(locate on site plan): 3, Depth below grade feet Material of construction° + - ❑cast iron , ® 40 PVC. r ❑ other(explain): ' • Distance from private water supply well or suction line: feet x Comments(on condition of joints, venting, evidence of leakage, etc.): Piping is 4" Sch 40 PVC } s Septic Tank(locate on site plan)` P - Depth below grade: 2,x ` feet N Material of construction: LL ® concrete ❑ metal ❑ fiberglass ❑,polyethylene ❑other(explain) • r If tank is metal, list age: years 'is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: ' °� 1500 gallon lit 'Sludge depth: t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 I ' f Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 727 Main St. Units J 2A4 Property Address 4 Wianno Knoll Condominiums Owner Owner's Name ' information is ■• required for every OSterville Ma 02655- - 4-9-12 page. City/Town State - Zip Code Date of Inspection D. System Information (cont.) t Septic Tank(cont.) 29° Distance from top of sludge to bottom of outlet tee or baffle w Scum thickness 0 811 Distance from top of'scum to top of outlet tee or Baffle , Distance from bottom of scum to bottom of outlet tee.or baffle 18,1 How were dimensions determined? 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 at working level with 2 inlet tee out let baffle.Both covers steel at grade, No sign of leakage or over loading _ _ .. - rev a - - ,. .,. •.F � i- Grease Trap(locate on`site plan): Depth below grade: feet Material of construction: ❑ concrete E] metal ❑ fiberglass ❑ polyethylene ❑other(explain): _ F , 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 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 c - Commonwealth of Massachusetts , Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 727 Main St. Units J 2,A4 Property Address , Wianno Knoll Condominiums Owner Owner's Name b , information is Osterville Ma 02655 4-9-12 required for every ` page. Cityrrown State Zip Code Date of Inspection D. System Information (cost.y. Comments(on pumping recommendations, inlet and outlet tee,or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding' ' 1 • Tank tank must m s be pumped at time of inspection)*(locate n i 9 ovate o site Ian P P P )( plan): Depth below grade r , - Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons . Design Flow: gallons per day Alarm present: ❑ Yes ❑ No , Alarm level: Alarm in working order: ❑ Yes ❑ No - Date of last pumping: Date r • y Comments(condition of alarm and float switches;etc.): . • S a k *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 ` - r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 727 Main St. Units J 2,3,4 - Property Address Wianno Knoll Condominiums Owner Owner's Name information is required for every Osterville Ma 02655 4-9-12 page. Cityrrown State, Zip Code -Date of Inspection D. System Information (cont.) Distribution Box(if present must be'opened) (locate on site plan): 0 s Depth of liquid level above outlet invert Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D Box is clean and solid, 33".Below grade, with steal cover at grade, Hine out to field no sigh of over loading or solid carry over 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.): Soil Absorption System (SAS) (locate on site plan, excavation not required): if SAS not located, explain why: ' t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 e _ Commonwealth of Massachusetts . Title 5 Official Inspection Form , Subsurface Sewage Disposal System Form-Not forVoluntary Assessments a 727 Main St. Units J 2,3,4 Property Address Wianno Knoll Condominiums Owner Owner's Name information is required for every Osterville . Ma 02655 4-9-12 page. City/Town State Zip Code Date of Inspection ` D. System Information (cunt.) Type: ❑ leaching pits - number: ❑ leaching chambers number: El leaching galleries number: • 1-3'x6'x50' ® leaching trenches number, length: ' ❑ leaching fields. number, dimensions: El overflow cesspool number: ❑ innovative/alternative system. Type/name of technology: Comments(note condition of soil, signs of hydraulic failure,level of ponding, damp soil, condition ofa vegetation, etc.): - Leaching is 1 trench camera line and probed above and beside. No sign of over loading or solid carry. over R T i M 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 t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts " Title 5 Official Inspection Form. Subsurface Sewage Disposal System Form -Not for Voluntary Assessments , 727 Main St. Units J 2,3,4 Property Address Wianno Knoll Condominiums Owner Owner's Name information is required for every Osterville Ma 02655 4=9-12 page. Cityrrown State Zip Code Date of Inspection D. System Information(cont.) , Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 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 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 727 Main St. Units J 2,3,4 Rroperty Address Wianno Knoll Condominiums 'f Owner Owner's Name information is required for every OSterville - '7 Ma 02655 4-9-12 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of thesewage 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 t5ins•11110 • Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 f y - - Map _ Page 1 of 2 Town of Barnstable Geographic Inforniation' System ,` Parcel Viewer Custom Map Abutters Map Size ] ® Zoom Out U n D QIn 4 r7A @ a R � ` Y•� V�Ttv �I k I.K t t � �r�'�'Y• � 1.F� y ���, E A -.3'��5 � .. V S.� _ F..9.k• r 4 _� 'Si '.3 r • x' F �2 _ r y Set Scale 1" mi20 ' ' ) Aerial Photos " I MAP'DISCLAIMER ' .�� P`nnurinht )nnA-9nAA Tmun of Rarnetahla AAA All rinhto racane .p httn-//www.town.harn.-;ta.hl e.m a.u./arci m s/anngeoa.nn/man.&snx?nronerfv TT)=1410110O A k..... 4/9.R/9.009 Commonwealth of Massachusetts lugTitle 5 Official Inspection FormM Subsurface Sewage Disposal System Form Not for Voluntary Assessments 727 Main St. Units J 2A4 Property Address Wianno Knoll Condominiums Owner Owner's Name information is OsterVille Ma 02655 4-9-12 required for every page. CityrFown State Zip Code Date of inspection D. System Information (cont.),' Site Exam: ® Check Slope ® Surface water ® Check cellar!` ❑ Shallow wells 12' + Estimated depth to high ground water:' ,-t 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: . 19 81 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: Per Design Plan - Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•11/10 Title 5 Official Inspection form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form 0 Subsurface Sewage Disposal System Form-,Not for Voluntary-Assessments ' 727 Main St. Units J 2,3,4 ' Property Address Wianno Knoll Condominiums Owner Owner's Name Af information is required for every Osterville Ma 02655 4-9-12 page: City/Town State' 'Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A, B, C, D, or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed y ® System Information—Estimated depth to high groundwater , ®. Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file • - '. s' , '.1. - .4 -. ." it > • t5ins 11/10 Title 5 Official'Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 III •.Y •} r ,. - - . Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 727 Main St. Units:J 2,3,4 Property Address Wianno Knoll Condominiums Owner Owner's Name information is required for Osterville Ma. 02655 4/16/2009 every page. City/Town State Zip Code Date of Inspection 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: A. General Information When filling out forms on the computer, use 1. Inspector: I `G only the tab key to move your Robert Paolini cursor-do not Name of Inspector use the return key. Capewide Enterprises,LLC. Company Name t� P.O>Box 763 Company Address Centerville Ma. 02632 00 Cityrrown State Zip Code (508)428-4028 S14454 Telephone Number License Number B. Certification I certify that I hive personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority CD Zz 4/16/20091 C, Inspector's Signature Date < t The system inspector shall submit a copy of this inspection report to the Appr 7.1g Autho-(ty(B and of Health or DEP) within 30 days of completing this inspection. If the system Is a shared--systerrrorhe, has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit t report to the appropriate regional office of the DEP. The original should be sent o the system Fwner and copies sent to the buyer, if applicable, and the approving authority. ' r*1 ""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. LAI t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 727 Main St. Units:J 2,3,4 Property Address Wianno Knoll Condominiums Owner Owner's Name information is required for Osterville Ma. 02655 4/16/2009 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) 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 septic system is in proper working order at the present time. B System Conditional) Passes: Y Y ❑ 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): t5ins•09/08 Title 5 Official Inspection Form.Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �^M 727 Main St. Units:) 2,3,4 Property Address Wianno Knoll Condominiums Owner Owner's Name information is required for Osterville Ma. 02655 4/16/2009 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ 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): C) 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. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ 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 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 727 Main St. Units:J 2,3,4 Property Address Wianno Knoll Condominiums Owner Owner's Name information is required for Osterville . Ma. 02655 4/16/2009 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a,surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ 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 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. 3. Other: D) 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 ❑ ® 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 1/z day flow t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts L W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments •'' 727 Main St. Units:J 2,3,4 Property Address Wianno Knoll Condominiums Owner Owner's Name information is required for Osterville Ma. 02655 4/16/2009 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® 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 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 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For Iarge.systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. 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 If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 727 Main St. Units:J 2,3,4 Property Address Wianno Knoll Condominiums Owner Owner's Name information is required for Osterville Ma. 02655 4/16/2009 every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, 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)] D. System Information Residential Flow Conditions: Number of bedrooms (design): Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM 727 Main St. Units:J 2,3,4 Property Address Wianno Knoll Condominiums Owner Owner's Name information is required for Osterville Ma. 02655 4/16/2009 every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: The septic system consists of a 1500 gallon septic tank,distribution box and leaching trench Number of current residents: Does residence have a garbage grinder? ❑ Yes ❑ No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ❑ No Laundry system inspected? ❑ Yes ❑ No Seasonaluse? ❑ Yes ❑ No Water meter readings, if available (last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ❑ No Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: Offic 0 Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): 4000 sq.ft. Grease trap present? ❑ Yes ® No Industrial waste holding tank present? ❑ Yes ® No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ® No Water meter readings, if available: NA t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts F Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 727 Main St. Units:J 2,3,4 Property Address Wianno Knoll Condominiums Owner Owner's Name information is required for Osterville Ma. 02655 4/16/2009 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: 4/16/2009 Date Other(describe below): General Information Pumping Records: Source of information: Capewide Enterprises,LLC. Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1500 gallons How was quantity pumped determined? Measured Reason for pumping: Maintenance Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ 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): l5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 L Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments N 727 Main St. Units:J 2,3,4 Property Address Wianno Knoll Condominiums Owner Owner's Name information is required for Osterville Ma. 02655 4/16/2009 every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 1981 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 3' feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: 104 feet Comments (on condition of joints, venting, evidence of leakage, etc.): Joints appear tight.No evidence of Ieakage.System vented through leaching. Septic Tank(locate on site plan): Depth below grade: 2 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 gallon Sludge depth: 0 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 727 Main St. Units:J 2,3,4 Property Address Wianno Knoll Condominiums Owner Owner's Name information is required for Osterville Ma. 02655 4/16/2009 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle NA Scum thickness 0 Distance from top of scum to top of outlet tee or baffle NA Distance from bottom of scum to bottom of outlet tee or baffle NA, How were dimensions determined? Tank pumped at inspection. Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pump septic tank yearly.lnlet and outlet tees are in place.No evidence of Ieakage.Tank appears to be structurally sound. 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 t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts L Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 727 Main St. Units:J 2,3,4 Property Address Wianno Knoll Condominiums Owner Owner's Name information is required for Osterville Ma. 02655 4/16/2009 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 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 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 t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 727 Main St. Units:J 2,3,4 Property Address Wianno Knoll Condominiums Owner Owner's Name information is required for Osterville Ma. 02655 .4/16/2009 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert No 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.): Box is Ievel.Box has one outlet Iateral.No evidence of solids carryover.No evidence of leakage into or out of box. 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.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 727 Main St. .Units:J 2,3,4 Property Address Wianno Knoll Condominiums Owner Owner's Name information is required for Osterville Ma. 02655 4/16/2009 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ® leaching trenches number, length: 1-3'x6'x50' ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Sandy dry soil.No signs of hydraulic failure.No ponding or damp soil. 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 t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 727 Main St. Units:) 2,3,4 Property Address Wianno Knoll Condominiums Owner Owner's Name information is required for Osterville Ma. 02655 4/16/2009 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 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.): t5ins-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Map Page 1 of 2 Town of Barnstable Geographic Information System Parcel Viewer Custom Map Abutters 7 Map Size Zoom outIMIMMAJIGIn LK R,r 9 � as ,,.. .......ti ....rW.X3•dd••- cr� .'� �S ...`f . ` � �Y S '�YY���"�y k` 'Y f� ON n- ' O may/ "Mar a � V -e ca E � a 7 Y 3. 5 q. y�.. Set Scale 1" = 20 I Aerial Photos -r I MAP DISCLAIMER (`nrnirinh4 711f1�._7f111R Torun of Ro 0.1,ln KAA All rinhf.rn-- http://www.town.barnstable.ma.us/arcims/appgeoapp/map.aspx?propertylD=141013 00A&... 4/28/2009 J Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 727 Main St. Units:J 2,3,4 Property Address Wianno Knoll Condominiums Owner Owner's Name information is required for Osterville Ma. 02655 4/16/2009 every page. Cityrrown State Zip Code Date of Inspection D: System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: Bottom of leaching 10' 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: 1981 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: As-Built Card ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: USED:USGS Observation Well Data.USED:Technical Bulletin 92-0001 Plate#2 annual ranges of groundwater elevations. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 L r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 727 Main St. Units:J 2,3,4 Property Address Wianno Knoll Condominiums Owner Owner's Name information is required for Osterville Ma. 02655 4/16/2009 every page. Citylrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information —Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 t'r See Revi'ion,Done`Augu9t 9; 2017 after BOH Ju120F}T Town_of Barnstable + sARNSTksm 1639: ,m� . Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Paul J.Canniff,D.M.D. FAX: 508-790-6304 Donald A.Guadagnoli,M.D. Junichi Sawayanagi ` February 4, 2017 Mr. Edward Pesce, P.E., R.L.S. Pesce Engineering and Associates, Inc. 451 Raymond Road -Plymouth, MA 02360 RE ` 727 Mam Street, Ostervllle, MA/ 1Nlanno Knoll Condomlriums¢` _ Buildings E & F Assessor's Maps141, parce1013 Dear Mr. Pesce, You are granted a conditional variance, on behalf of your client, Wianno Knoll Condominium Trust, to construct a septic system at 727 Main Street, Osterville, without providing secondary treatment nor any innovative/alternative nitrogen reduction technology within the system. However, the drainage system shall be upgraded with the construction of a "rain garden" as shown on the revised plans. The variances granted are as follows: 310 CMR 15.211: To provide 3.9 feet of soil cover,over the top of the soil absorption system, in lieu of the three feet maximum allowed. " 310 CMR 15.211: >install t - soil absorption system eight (8) feet away from t nt property line, in lieu of the ten (10) feet minimum a equired. 310 CMR 15.211: To install the soil absorption' system 14.5 feet.away from a - drainage basin, in lieu of the twenty-five (25) feet minimum setback required. 310 CMR 15.223(1) (b): To install a new 2,000 gallon septic tank in series, in lieu of the requirement to provide a minimum effective liquid capacity of 200% within the existing septic tank. Q:WP/PesceWiannoKno112017.docx II- — - r Y 310 CMR 15.405(C): To install a soil absorption system which is sized 25% less than the minimum required SAS design requirements, as allowed in the Title V "local upgrade approval" standards. The variance is granted with the following conditions: (1) The septic system and new drainage system shall be installed in strict accordance with the revised engineered plans dated November .10, 2016. (2) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was.installed in substantial compliance with the revised plans. These variances are granted because the physical constraints at the site severely restrict the location and depth of the soil absorption system due to the topography, number of buildings, and utilities existing onsite. The Board members determined innovative/alternative nitrogen reduction technology is not required in this case due to the fact that this site is not located within any zones of contribution to public water supply wells, within any saltwater estuary .protection zones, within three. hundred feet of any water bodies or , r tributaries to any watercourses, nor within close proximity to any private wells. This area is serviced by public water. The groundwater direction flow is to the south; it was determined that there are no environmental resources immediately downgradient of this site. In addition, construction costs would be $8,000 more to each condominium owner to install innovative/alternative systems compared to conventional septic systems at this site. These costs do not include maintenance, electricity, and testing which is required for successful operation of a secondary treatment unit. Sincerely, Paul J. Can ff, Chairman Q:WP/PesceWiannoKno112017.docx v uv 1ME T DATE: (� O FEE: 5 MA98. b39. p�� REC.. BY .S c—, Town of Barnstable — SCHED. DATE: Board of Health CA Office: 508- 200 Main Street,Hyannis MA 02601 FAX: 508790 630 90-63044 Wayne'A.Miller,M.D. \� Junichi Sawayanagi Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION Property Address: 727 Main Street, Osterville, MA (Wianno Knoll Condominiums- Bldgs E & F) Assessor's Map and Parcel Number: _Map 141, Parcel 13 Size of Lot: 83,579 SF Wetlands Within 300 Ff.' Yes Business Name: No X Subdivision Name: Wianno Knoll Condominiums APPLICANT'&NAME:Wianno Knoll Condominium Trust Phone Did the ownerlof the property authorize you to represent him or her? . Yes X No PROPERTY OWNER'S NAME CONTACT PERSON Name: Wianno Knoll Condo.Trust, C/O First Property Name: Edward L. Pesce P.E. Pesce Engr. &Assoc Inc Management Address: 1046 Main St., Suite 11. Osterville MA-02655 Address: '451 Raymond Rd. Plymouth, MA 02360 Phone: 508-420-0299 Phone: 508-333-7630 VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) See attached List See Attached List NATURE OF WORK House Addition ❑ House Renovation ❑ Repair of Failed Septic System M 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 at applicant's expense (for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only], outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Amichi 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 D lbhi 2'7 PESCE ENGINEERING & ASSOCIATES, INC. _ 451 Raymond Road ^ PlAymouth, MA 02360 ?��rsJ, Phone 508-743-9206 .7,o epesce .comcast.net January 9, 2017 Mr. Thomas McKean. R.S., C.H.O. Town of Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Subject: Submission of Proposed Septic System Layout Plan, Wianno Knoll Condominiums, Osterville, MA Dear Mr. McKean. As requested at the November 22, 2016 Board of Health hearing , please find attached the 4 copies of the "Master" Proposed Septic System Layout Plan for the future septic system upgrades for the remaining buildings at Wianno Knoll Condominiums, for our discussion with the Board of Health at the upcoming hearing on January 24, 2017. This master layout plan shows the preliminary design layout and sizing for new Title 5 compliant septic systems for Buildings A, B, C, D, G and J units (located in Building F). These designs as shown do not require variances from Title 5. The sizing of each, septic system leaching area is based on the most recent septic system inspection reports performed in April 2015 as follows: • Building A (includes units 131 & 133) = 660 gpd • Building B = 440 gpd Building C = 880 gpd Building D = 880 gpd • Building G = 880 gpd • J Units (approx. 4,000 sf office) = 440 gpd I also ask that our previous request for variances to Title 5 for the proposed septic system repair for Buildings E & F (latest revision dated 10 November 2016) be approved by the Board. Referencing 310 CMR 15.001 of the State Sanitary Code, which sets forth the purpose of Title 5 as follows: "The purpose of Title 5, 310 CMR 15.000, of the State Environmental Code*is to provide for the protection ofpublic health, safety, welfare and the environment by requiring,the proper siting, construction,.upgrade, and maintenance of on-site sewage disposal systems and appropriate means for the transport and disposal of septage. " It is my opinion as a registered professional engineer that the proposed septic system for Buildings E &.F will provide adequate protection of public health, safety, welfare and ;• Mr. Thomas McKean: R.S.:, C.H:O. . Janua ry:9, 2017 P.age2 the environment, and satisfies the purposes of Title 5 It is also.my.professional opinion .:. that de-nitrifying treatment is.not needed.for the.proposed system and.that requiring such treatment, and the expenses associated with.such a.requirement, is not.necessary and would be unreasonable. Thank you for your help with this project, and.as always, please call:if you Have any questions. Sincerely, .Edward L. Pesce, P.E. Attachment cc: First Property Management r PESCE ENGINEERINGAND ASSOCIATES Phone:508-743=9207 451 Raymond Rd., Plymouth, MA 02360. Fax 508-743-0211 �' h, 4 z ` •; :: , i } �' Legend + `:c r a.; F• Parcels ,. _. Town Boundary 33 Railroad Tracks #622 #612 Buildings Painted Lines Parking Lots n � ' #Quo ; ,/ r T.6281 ; w k i ��w Paved ti Unpaved AD � a" Driveways `' Paved k, #6751 Unpaved r4s � �• { #,� ar8°•:x• tF ;,wac-U,4 a a "S:. s '6� ,. '° 4�i, •a'"+ �':-^ � .�,.f k� ®Bridges tRoads Paved ,r } r. 'J Roads 4 as t 11' 4 F n 5 .t ro .e�.- a " :f t ..- t �w #63 Unpaved Roads 47.46 � °' �� ""` L tr: s _.. Streams ' � ..�.. � r , 4� Marsh Water Bodies F -k.-,....._,"„ 'r- ,--• ..'^ t 13.� .7Y�t �,,„u' _ ' '�r �a' *iIf Paths 753 Sidewalks/Walkways � rl `,, .aS '. '7lla' .'^ar"`"`�Z''j. r _ ,Is, e^.t + �.',.` 4.. �� C� Improved e ' 1. rrr.' €,` - _ Unimproved Swimming Pools i�Above Ground Swimming Pools ri #�a5 t F 3 In Ground Swimming Pools p cr Exterior Structures '°� " ° t � � a � •'� ��' � �� rCrl Boardwalks Decks Patios r Docks Piers 3 1 # 3` Stairways 4 s P Tanks •,, -h�a. ° --a ` ,.s.,,(�.. 4 t''`r �`T4° v, £`-ur;.r{�d `is i u ®'Fuel Tanks v. itilj8r7 Water Tanks ✓` 6 ,.: Jetties �, r Sports Lines41 11-a .� Recreation Facilities 1k +,`.s'L'a,' �� C Sports Areas !E �A ,,`A �. I Golf Areas M Wooded Areas ' TT s :; r lk goo a � a► . t 'A3'. - 'ram'✓ PL'w 'si �`' ,�.', F��`"' •-s. >+4 "err ��°.vd'"51? 1p !�'f k ' Z _ pk$nyi�' e`r" <t • C r't �#" �f' :i�F � 'f J,Yh -.. f #99 f� �;{y.. #4 s _ �TI'�°k-O Ma printed on: 1 2 201 This ma is for illustration - P P � 4� 7 p� purposes only.It is not Parcel lines shown on this map are only graphic Town of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA 02601 O 167 333 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 5o8-862-4624 reflect current conditions,and may contain such as building locations. Approx.Scale: i inch= 167 feet 0 cartographic errors or omissions. gis@town.barnstable.ma.us 1/24/2017 Wianno Knoll Condominiums 727 Main St., Osterville, MA (32 total units) Septic System Cost Estimate Analysis Septic System for Buildings E & F with Unit J1 (dentist office) Cost with Conventional Cost with Denitrrifying Septic System Septic System Engineering design and Construction Cost $ 90,000.00 $ 145,000.00 Estimate Cost per unit (32 total) $ 2,812.50 $ 4,531.25 Septic Systems for all 7 Buildings (7 total septic systems) Cost with Conventional Cost with Denitrrifying Septic System Septic System Engineering design and Construction Cost $ 355,000.00 $ 610,000.00 Estimate Cost per unit (32 total) $ 11,093.75 $ 19,062.50 The est. cost for clenitfiying septic system is: 72% More than a conventional systerr Pesce Engineering Associates, Inc.. • r PESCE ENGINEERING & ASSOCIATES, INC. 451 Raymond Road V Plymouth, MA 02360 ' T>2,10� ��✓l�e - 1 Phone 508-743-9206 epesce(ftomcast.net C October 18, 2016 Mr. Thomas McKean. R.S., C.H.O. Town of Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Subject: Submission of Revised Plans Application for Approval of Title 5 Variances, Wianno Knoll Condominiums, Osterville, MA Dear Mr. McKean. Please find attached the revised plans for a proposed septic system repair at Wianno Knoll Condominiums, for review by the Board of Health at the upcoming hearing on October 25, 2016. Per our discussion with the Board of Health at the last hearing, I have deleted the I/A FAST system, but have added a pump chamber to increase the separationftom the ESHGW. I have also deleted a few variances originally requested as a result. This new list of variances is shown on Sheet 1 at Note#21. Thank you for your help with this project, and as always, please call if you have any questions. Sincerely, �V r Edward L. Pesce, P.E. " Attachments cc: First Property Management QQ TNE. DATE: FEE: -� • 1ARNSTABLE, • REC. BY Town of Barnstable SCHED. DATE: Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862-944 Wayne A-Mrller,MD. FAX: 508-790-6304 Junichi Sawayanagi Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION Property Address: 12-1 Main Street, Osferville, MA(Wianno Knoll Condominiums-,Bldgs E & F) Assessor's Map and Parcel Number: Map 141, Parcel 13 Size of Lot: 83,579 SF Wetlands Within 300 Ft Yes Business Name: No X Subdivision Name: Wianno Knoll Condominiums APPLICANT'S NAME:Wianno Knoll Condominium Trust Phone Did the owner'of the property authorize you to represent him or her? Yes X No PROPERTY OWNER'S NAME CONTACT PERSON . Name: Wianno Knoll Condo.Trust, C/O First Property Name: Edward L. Pesce, P.E., Pesce Enqr. &Assoc.. Inc. Management Address: 1046 Main St., Suite 11, Osterville, MA 02655 Address: 451 Raymond Rd., Plymouth, MA 02360 Phone: 508-420-0299 Phone: 508-333-7630 VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) See attached List See Attached List NATURE OF WORK House Addition ❑ House Renovation ❑ Repair of Failed Septic System �l 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 at applicant's expense (for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only], outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Junichi Sawayanagi REASON FOR DISAPPROVAL Paul J.Canniff,D.MD. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\BAJ9P9B7\VARIREQ.DOC , Wianno Knoll Condominiums October 18, 2016 SUBJECT: Revised List of Requested Variances to Title 5 In accordance with 310 CMR 1.5.401 - 15.405, the following Local Upgrade Approvals/Variances.are requested: 1) A 0.9'waiver (from T to 3.9') for the max. cover over the proposed*SAS Reference 310 CMR 15.221 (7) 2) An 8' waiver (from 10.0' to 2.00') for the setback from the front lot line to the SAS- Reference 310 CMR 15.211 (1) 3) A 10.5' waiver (from 25.0'to 14.5') for the setback from the.existing drainage basin to SAS Reference 310 CMR 15.211 (1) 4) A variance from providing the minimum effective liquid capacity of 2006/o of design flow (i. e., 1,940 x 200% = 3,880 gal.) in the existing septic tank— in favor of providing 2 tanks in series as follows: The existing septic tank 2,500 gal and a new 2,000 gal. tank 4,500 gal. capacity. Reference 310 CMR 15.223 (1) (b) 5) A Variance to allow a 25% reduction in the required SAS area design requirements, per local upgrade approval, 310 CMR 15.405(c). PESCE ENGINEERING AND ASSOCIATES Phone 508-743-9207 451 Raymond Rd.,,Plymouth, MA 02360 Cell: 508-333-7630 L �oF1ME,�� Town of Barnstable Board of Health * BARNSTABLE, 200 Main Street - Hyannis MA 02601 rfp NIA A Agreement to Extend Time Limit for Acting Upon a Variance Request In the Matter of a variance request form received on the Petitioner(s), regarding the property at Mow) -1:4-64- the petitioner(s) and the Board of Health agree that the Board of Health has until (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. Signature: Petitioner(s): Chairman Signa r Print: Paul Canniff, D.M.D., Chairman eti ner(s)o etitioner's Representative Print: QQ,%C�9- Date: Date: Address of Petitioner(s)or Petitioner's Representative Town of Barnstable Board of Health Public Health Division 200 Main Street Hyannis, MA 02601 Phone: (508) 862-4644 Fax: (508) 790-6304 Board of Health: Q:\BOH LETTER SAMPLES\FORMS BOH MTG\let to EXTEND-CONTINUE ITEM Nov 2010 mtg.DOC 4; Y Staff meeting comments for BOH hearing on Nov. 22, 2016 Wianno Knoll'condominiums septic repair. This plan was previously reviewed by the BOH'in September without an I/A system. October BOH hearing did not appear due to filing revisions too late. The latest plan with a date of 10/18/2016 with 5 variances: 1. I have no problem with this variance as it will be no more than 6 ft. and complies with LUA 105 CNIR 15.405 (1)(b) 2. variance for setback to property line. It appears to be max. feasible compliance however, there is a concern for water, electric, etc. utilities in coming this close to road. Telephone lines will have to be relocated at a minimum. This job will have to be closely monitored and I highly recommend that Ed Pesce,'be around and available to oversee this project. 3. Requesting a' setback from the catch basin. They were improved slightly with this plan however still shy of the required 25 foot setback. PLEASE SEE ANOTHER REVISED PLAN SHOWING'A RAIN Q: staff meeting comments for BOH hearing on 727 Main St., Ost (Wianno Knoll)Nov. doc f GARDEN (plan dated 11/10/16). This'was discussed with Donna Miorandi, Ed Pesce and Karen Malkus. The rain garden is an improvement .but still not enough. This site is difficult due to space and utility constraints. A large amount of flow on a relatively small lot. 4. This is a variance from the required minimum liquid capacity of 200 % of,the design flow. There will be two separate septic tanks and a pump chamber. DZM had Ed Pesce check on the status of the existing .2500 gallon tank and it appears to be an H-20 (see Ed's memo) 5. This variance_ is to allow a 25%.reduction in the SAS., Once again LUA and maximum feasible compliance.. If the SAS were any bigger there would be more variances. There simply is no more room. Q: staff meeting comments for BOH hearing on 727 Main St., Ost(Wianno Knoll)Nov. doc 0 rawNo ROZOLLS i3o PESCE ENGINEERING & ASSOC/A TES,,INC. 451 Raymond Road Plymouth, MA 02360 Phone 508-743-9206- epesceCaDcomcast.net September 26, 2016 Ms. Donna Miorandi, R.S. Town of Barnstable Health Division 200 Main Street Hyannis, MA 02601 Subject: Wianno Knoll Condominiums, Buildings E & F Septic.System Design Flow Dear Ms. Miorandi, As requested, I have conducted an additional investigation regarding the connection of Unit E-3, for the determination of design flow for the proposed septic system upgrade. Using green food coloring, I flushed toilets in Unit E-3, and confirmed that that this unit is not connected to the septic system for the subject buildings, but instead is connected to the septic system serving Building D in this complex. So in summary, the design flow is based on a:total of`14 bedrooms (7 units with.2 bedrooms each in Units E-1, E-2 & E-4, and F-1 thru F-4), and 2 dentist chairs in Unit J- 1 (basement level of Building E), for ajotal design flow of 1,940 gallons per day. Sincerely, PESCE ENGINEERING &ASSOCIATES, INC. Edward L. Pesce., P.E., LEED ®AP 1 Page 1 of 1 Miorandi, Donna From: Ed Pesce [epesce@comcast.net] Sent: Thursday, November 10, 2016 9:56 AM To: Miorandi, Donna Subject: Wianno Knoll Hi Donna, just got your message.(I was on a conference call). I'm working on the changes today that you and I & Karen discussed. I have a meeting at fhe Cape Cod Mission today, so I'm not sure I will done in time to drop it off today, but I will try. If I can't' today, I will do so Monday morning so you have enough time before your staff meeting on Wednesday. In the meantime, I inspected the existing septic tank to check the thickness of the tank and found it to be 8 inches (see the attached photos). The standard thickness for an H-10 Tank is 4 inches, and for an H-20, it's 8 inches. So in my opinion we have a good H-20 Tank there now. I'll update you ASAP on the delivery of the revised plans. Thanks, ED Edward L. Pesce, P.E., LEEDOAP Pesce Engineering &Associates, Inc. 451 Raymond Road Plymouth, MA 02360 office: 508-743-9206 Fax: 508-743-0211 Cell: 508-333-7630 epesce comcast.net 11/14/2016 f Town of Barnstable,MA Innovative and Alternative Systems Page 1 of 4 Chapter 360: On-Site Sewage Disposal Systems Awticle XIII: Innovative and Alternative Systems 0 [opted 12-18-2001 (Section 15.00 of Part VIII of the 1991 Codification as updated through 6-1-1996)] 360-36 Authority; effective date. Ln In accordance with the provisions of Chapter ill, §31 of the General Laws of the Commonwealth of Massachusetts,310 CMR 15.003(3), and for the protection of the public health, safety and welfare, the Town of Barnstable Board of Health adopted the following regulation after a public meeting of the Board of Health on December 18,200i. § 360-37 Applicability. A. This regulation shall apply to residential and nonresidential development meeting or exceeding the following criteria: (1) Residential development of single-family or multifamily homes, lots and/or residential dwelling units held.or controlled in common ownership with a Title 5 design flow of i,650 gallons per day or more of wastewater;and (2) Nonresidential development with a Title 5 wastewater design flow oft 65o gallons per day or more, and the expansion or change of use of existing nonresidential developments that generate a wastewater design flow above the existing approved design capacity of the system;and (3)'In tthe case of residential condominium developments'withTaTtotalTwastewat_ er design flo____w o�,65o gallons p� day or more,this regulation shall apply in the case of an expansion or change of use upon a determination by -the Board thaa tthe existing system does.not protect the public health,safety and welfare,or, upon a ch`ang of ownership orr utine inspection,if,upon-inspection;the system fails inspection as di fined-in 3io CMR i5.00. B. This regulation shall not apply to lots serviced by the municipal sewer. C. In assessing whether homes, lots and dwelling units are in common ownership on or after the effective date of this regulation, the Board of Health shall consider the.factors set forth in 310 CMR 15.011, in effect on September ii, toot. § 360-38 Innovative/alternative systems and shared system requirements. A. Consistent with the applicability provisions set forth above,the Board of Health may require any new development, and the expansion, alteration or modification or change in use of an existing development, to utilize an'on-site innovative/alternative septic system or a shared innovative/alternative septic system. B. Nitrogen reduction requirement. (I) Consistent with the applicability provisions set forth above,the Board of Health may require the construction, use and maintenance of a Massachusetts Department of Environmental Protection approved innovative/alternative system capable of nitrogen removal for one or more development(s). In making its determination,the Board of Health may consider,but is not limited to,the following criteria: (a) The location of the proposed wastewater disposal system within the watershed to fresh water or marine water resource(s);and (b) The proximity of the proposed wastewater disposal system, to fresh water and marine water resources and to sensitive environmental receptors. (2) In cases where flows render additional nitrogen removal feasible, the Board of Health may require additional nitrogen removal.(i.e. the Board may require use of an innovative/alternative septic.system approved by the http://ecode360.com/6561834?highlight=gallons 9/9/2016 Town of Barnstable,MA Innovative and Alternative Systems Page 2 of 4 Al Massachusetts Department of Environmental Protection at an effluent discharge limit that does not exceed an effluent concentration of io mg/l or less of total nitrogen). (3) The Board of Health may permit the connection of existing development(s) to a shared innovative/alternative system in order to further the goals of this regulation. (4) Shared system requirement. Consistent with the applicability provisions set forth above, the Board of Health may require the construction, use and maintenance of a shared innovative/alternative septic system for development(s) held in common ownership, as determined by the Board. The applicant shall have the burden of proving that lots and/or dwelling units are not held in common ownership. In making its determination,the Board of Health may consider,but is not limited to,the following criteria: (a) The proximity of the proposed development to existing and proposed municipal sewer services;and (b) The potential for utilizing municipal wastewater disposal and the amount of time anticipated before municipal services may be provided;and (c) The capacity of municipal wastewater treatment works, now or in the future, to accept the proposed flows from the proposed wastewater disposal system;and (d) Site design, sensitive environmental resources on and off site, and proximity of lots to the proposed shared system. C. With respect to shared systems,the applicant shall demonstrate to the satisfaction of the Board of Health that the design flow from the proposed development does not exceed the design flow that could have been constructed in compliance with 310 CMR 15.0o,Title 5,without the use of a shared system. § 360-39 Review criteria. A. The Board of Health may allow use of innovative/alternative and shared innovative/alternative systems, subject to conditions,when it determines,in its sole discretion,the following: (1) For innovative/alternative systems: (a) The proposed system satisfies all technical concerns of the Board of Health; (b) The applicant provides an acceptable operation and maintenance plan; (c) The applicant provides a copy of an acceptable contract with an independent monitoring entity; (d) For new construction, as defined by 310 CMR 15.00, Title 5, the minimum vertical separation distance of the bottom of the stone underlying the soil absorption system above the high groundwater elevation shall be [1] four feet in soils with a recorded percolation rate of more than two minutes per inch,or [2]five fee in soils with a recorded percolation rate of two minutes or less per inch.This calculation must consider an adjustment for maximum high groundwater conditions as required by Title 5, as well as groundwater mounding below the leaching facility. (2) For shared systems: (a) The applicant demonstrates to the satisfaction of the Board of Health that the design flow from the proposed development does not exceed the design flow which could have been constructed in compliance with 310 CMR 15.100 without the use of a shared system; (b) The applicant proposes acceptable institutional arrangements; (c) The applicant provides acceptable financial assurance; (d) The applicant provides an acceptable Grant of Title 5 Covenant and Easement. http://ecode360.com/6561834?highlight=gallons 9/9/2016 Town of Barnstable,MA Innovative and Alternative Systems Page 3 of 4 t. B. No approval of a shared system shall be final prior to Massachusetts Department of Environmental Protection review and approval. C. The Grant of Title 5 Covenant and Easement shall be recorded and/or registered with the Barnstable County Registry of Deeds and/or Land Registration Office within 3o days of MADEP final approval. D. The Board of Health may impose any conditions on the use of innovative/alternative and shared systems that it deems necessary to protect the public health, safety and welfare and to carry out the purposes of the Barnstable Local Comprehensive Plan. § 360-40 Enforcement. A. The Board Health, its agent or designee may inspect and sample the innovative/alternative or shared system and/or the facility served by the innovative/alternative or shared system. B. The Board of Health may require the owner or operator of a shared or innovative/alternative system to cease operation of the system and/or to take any other action necessary to protect public health, safety welfare and the environment. §360-41 Definitions. The following definitions shall apply to this regulation: CMR Code of Massachusetts Regulations. INNOVATIVE/ALTERNATIVE SYSTEM Including but not limited to: A. Any system designed to chemically or mechanically aerate, separate or pump the liquid, semisolid or solid constituents in the system;or B. Any system designed specifically to reduce, convert, or remove nitrogenous compounds, phosphorus, or pathogenic organisms(including bacteria and viruses) by biological,chemical,or physical means. MADEP Massachusetts Department of Environmental Protection. SHARED SYSTEM A system sited and designed in accordance with 310 CMR 15.100 through 15.293 which serves, or is proposed to serve, more than one facility or more than one dwelling.A system serving a condominium unit or units is not a shared system. §360-42 Monitoring of innovative/alternative on-site sewage treatment systems of less than io,000 gallons per day. _ [Added 5-10-2005] As allowed under MGL c. 111, §31, the Board of Health of the Town of Barnstable hereby requires that owners and operators of all innovative/alternative sewage treatment technologies and all systems where the soil absorption system is designed for pressure distribution of effluent must report the results of all operation, maintenance, and monitoring activities to the Barnstable County Department of Health and Environment. Such reporting must be performed in the manner specified by Barnstable County Department of Health and Environment and must occur within 3o days after each maintenance or monitoring event. Further, when a system operator performs a system inspection and finds that a sewage treatment technology has malfunctioning components which have compromised the system's ability to treat http://ecode360.com/6561834?highlight=gallons 9/9/2016 Town of Barnstable,MA Innovative and Alternative Systems Page 4 of 4 sewage as designed,the operator shall report on the system's status and any planned corrective actions to the Board of Health and Barnstable County Department of Health and Environment within 48 hours of inspection. http://ecode360.com/6561834?highlight=gallons 9/9/2016 INCOflPOflATEO FIELD INSPECTION & SERVICE REPORT FAST®wastewater treatment systems, INSTALLATION AUTHORIZED SERVICE PROVIDER Installation Address Name Owner Name Street Mail Address Mail Address city State Zip City State Zip Phone Fax Phone Fax e-mail e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last purnpout MAINTENANCE PERFORMED EQUIPMENT YES NO AND COMMENTS Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating if resent Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment Unit(s) Unusual Odor Pum out Required: Primary Settling Zone Aerobic Treatment Zone EFFLUENT(options) LIMIT RESULT Estimated Daily Flow H Standard Units 6-9 S.U. Color Clear Temperature Odor Slightly Musty,odor not septic) OWNER SIGNATURE TECHNICIAN SIGNATURE SERVICE DATE Notice of Alternative Sewage Disposal System M.G.L. c. 21A, § 13 and 310 CMR 15.0287(10) This Notice to be recorded and/or filed for registration in the chain of title of the Property served by an Alternative ewage Disposal System("Alternative System").] NAME(S) OF OWNER OF PROPERTY SERVED BY ALTERNATIVE SYSTEM: ADDRESS OF PROPERTY SERVED BY ALTERNATIVE SYSTEM: TITLE REFERENCE FOR PROPERTY SERVED BY ALTERNATIVE SYSTEM [check and complete each that applies]: Deed recorded with the Registry of Deeds in Book ,Page _Certificate of Title No. issued by the Land Registration Office of the Registry District Source of title other than by deed [If Alternative System Owner(s)is other than Property Owner(s),complete the following:] Alternative System Owner Name: Alternative System Owner Address: WHEREAS, Section 15.280 of Title 5 of the State Environmental Code("Approval of Alternative Systems"), provides for the Massachusetts Department of Environmental Protection(the "Department") to approve or certify, as appropriate, all proposals..to construct, upgrade or replace on-site sewage disposal systems using alternative systems; WHEREAS, owners and/or operators of approved or certified alternative systems are subject to general conditions, as specified in Section 15.287 of Title 5 of the State Environmental'Code, 310 CMR 15.287, and may be subject to special conditions, as specified in the Department's approvals or certifications; such general and special conditions potentially including, without limitation, requirements relating to the use of trained operators, periodic inspections, maintenance, sampling, reporting and/or recordkeeping; WHEREAS, Section 15.287(10) of Title 5 of the State Environmental Code, 310 CMR 15.287(10), requires that"prior to obtaining a Certificate of Compliance for installation of a new 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 and/or Land Registration Office, as applicable, a Notice disclosing both the existence of the alternative on-site system and the Department's approval of the system. The system owner shall also provide evidence of such recording to the local Approving Authority [;f and WHEREAS, the Property is served by an alternative sewage disposal system. NOW, THEREFORE,Notice of an alternative sewage disposal system is hereby given for the above-referenced Property, as follows: 1. Existence. An alternative system has been installed as a new or upgraded alternative sewage disposal system, on or adjacent to the Property, and serves the Property. The trade name and model number(s) of the alternative system are as follows: Trade name of technology: Manufacturer Name: Model number(s): Page I of 2 I 2. Approval/Certification. On [date], the Department, pursuant to its authority under the section of Title 5 as specified below, approved or certified the technology used in the above- referenced alternative system, under MassDEP Transmittal Number [Transmittal Number of approval or certification]. [Check one of the following,as applicable:] Approved for remedial use under 310 CMR 15.284 _Approved for piloting under 310 CMR 15.285 Provisionally approved under 310 CMR 15.286 Certified for general use under 310 CMR 15.288 A copy of the Department's Approval/Certification is available from the Department in person or on- line at the Department's website: http://www.mass. og v/dep . WITNESS the execution hereof under seal this day of , 20 , made by the above-named Alternative System Owner(s). [Alternative System'Owner(s)] Print Name(s): COMMONWEALTH OF MASSACHUSETTS ss On this day of , 20_, before me, the undersigned notary public, personally appeared (name of document signer), proved to me through satisfactory evidence of identification, which were , to be the person whose name is signed on the preceding or attached document, and acknowledged to me that (he) (she) signed it . voluntarily for its stated purpose. (official signature and seal of notary) -------------------------------------------------------------------------------------------------------7---------------------------- [Complete the following Property Owner(s)Consent if Alternative System Owner(s)is other than the Property Owner(s):] CONSENTED TO: [Property Owner(s)] Print Name(s): Date: COMMONWEALTH OF MASSACHUSETTS ss On this day of , 20 before me,the undersigned notary public, personally appeared (name of document signer), proved to me through satisfactory evidence of identification, which were , to be the person whose name is signed on the preceding or attached document, and acknowledged to me that (he) (she) signed it voluntarily for its stated purpose. (official signature and seal of notary) Upon recording, return to: [Name and address of Property Owner(s)] Page 2 of 2 Crocker, Sharon Re: WIANNO KNOLLS 727 MAIN ST, OSTERVILLE From: McKean;Thomas BOH NOV 22, 2016; Sent: Thursday, November 17, 2016 2:07 PM To: Crocker, Sharon Subject: Fw: Recent conversation From: Paul Canniff<canniff.paul@gmail.com> Sent: Thursday, November 17, 2016 12:41 PM To: George Heufelder Cc: Thomas-McKean (Thomas.M cKea n @town.barnsta ble.ma.us) Subject: Re: Recent conversation George. Thank you very, very much. I truly appreciate your guidance. Paul J Canniff DMD. On Thursday,November 17,2016, George Heufelder<geufelderQbarnstablecounty.orP>wrote: Mr. Canniff: Below I summarize the conversation we had this morning and the answers that I gave to questions. The situation related to a hearing that is upcoming regarding a 32 unit condominium (you stated each with 2 bedrooms). You mentioned that the Town of Barnstable had a rule (I presume a Board of Health Regulation) that requires the use of an advanced treatment unit for wastewater in these cases. You stated that a hearing was held on variances(presumably listed on the plan)but that during the hearing the proponent requested an additional variance from your local regulation that requires advanced treatment. You further indicated that the variance was voted,on by the two other board members. As you recall, I asked what the findings were-(what findings are recorded as part of the decision), that allowed the relaxing of your local regulation requiring advanced treatment. You mentioned that there was some discussion of cost and discussion that some folks in the condominium "go to Florida",however no quantification of how much of the approximate 7,000/day flow was seasonal..You did not indicate tome that findings were entered as part of a record. I opined that • Since the variances listed on the plan(which were the total of the initial request and subject of the hearing) did not include the variance from your local regulation nor was the hearing advertised as containing such(nor was this request available prior to the hearing for members of the public to inspect),- 1 A a variance of such precedence would deserve such a hearing with proper posting; • I believe that the board should clearly have a record of findings in such a case where it relaxes a requirement with far reaching implications, and; • The Board packet of information you received for the.upcoming hearing did not include a full set of plans for the approval of the board. . You might consider the following course of action • Advertise the next hearing properly as being a variance hearing that deals with a variance from that regulation (or at least maintain the information on such available for public inspection prior to the hearing). • hold a hearing on that variance • take a vote of the board • record all findinj4s for granting or rejecting the request for approval of the variance As.a board of health member in Falmouth;I understand that hearings often move at a fast pace and items that should receive the attention as referenced above have a tendency to slip by.In any case where you as a board member do not feel that you have had the time to adequately make a sound decision, I would urge you,to use you option to continue a hearing until all facts pertinent to the case at hand can be reviewed. In this case the proponent already had the treatment unit on the plan and petitioned'the board the very.evening of the hearing regarding an allowance to remove it. I submit that this is a substantial ehanj�e that may have warranted a continuance until the board had a chance to consider its implication and precedent. For instance, if the finding were not entered as part of the record what would prevent anyone from asking and expecting to receive this variance from the board in.the future? Would they merely have to say that"some" of the residents are seasonal ? That it-would cost too much? (who would not make that argument?) I would urge you to require quantification of those.elements that'are the substance of the requests.so that vague mentions of these two elements (the only two you mentioned as being advanced by the proponent) at the hearing are not repeated by others with an expectation that"you will grant the variance. By quantifying the reasons (i.e. "50% of the residents are seasonal" or"it will cost every owner $10,000 more on their condo fees and we consider this unreasonable" or..........whatever) you will at least have a cornerstone for comparison to make consistent and non-arbitrary decisions in the future.- In short a record of the basis for your decision (findings) is essential to keep the board from becoming arbitrary and capricious. , 2 I hope that this helps your situation. Please feel free to call me again should you have any questions. George Heufelder, M.S.,R.S. Director The Massachusetts Alternative Septic System Test Center A DIVISION OF \ Barnstable County Department of Health and Environment" 3195 Main Street Barnstable, Massachusetts 02630 HH 2;RS-"r r r3 rr._Y-anj s.mT u mo E M-43-0&w1wa a PR PACTE e PF.GTE T p SUP---OR E ail: gheufelder@bamstablecounty.org - Web: www.bamstablecountyhealth.org Twitter: (2cBCHDCapeCod ' Facebook: http://www-.facebook.com/bchdcapecod 3 Tel: 508-375-6616 Fax: 508-362-2603 Paul J.Canniff,DMD 4 C I_I PESCE ENGINEERING & ASSOCIATES, INC. 451 Raymond Road Plymouth, MA 02360 r Phone 508-743-9206 epesce -comcast.net October 18, 2016 Mr. Thomas McKean. R.S., C.H.O. i Town of Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Subject: Submission of Revised Plans Application for Approval of Title 5 Variances, Wianno Knoll Condominiums, Osterville, MA Dear Mr. McKean. Please find attached the revised plans for a proposed septic system repair at Wianno Knoll Condominiums, for review by the Board of Health at the upcoming hearing on October 25, 2016. Per our discussion with the Board of Health at the last hearing, I have deleted the I/A FAST system, but have added a pump chamber to increase the separation from the ESHGW. I have also deleted a few variances originally requested as a result. This new list of variances is shown on Sheet 1 at Note#21. Thank you for your help with this project, and as always, please call if you have any questions. Sincerely, Edward L. Pesce, P.E. Attachments cc: First Property Management H o7 pf DATE: FEE: ' IARNSfABLE, ' " ONIO�a, REC. BY Town of Barnstable . SCHED. DATE: J Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Wayne A.Miller,M.D. FAX: 508-790-6304 Junichi Sawayanagi Paul J.Canniff,D.M.D. VARIANCE REQUEST'FORM LOCATION Property Address' 727 Main Street, Osterville, MA (Wianno Knoll Condominiums- Bldgs E & F) Assessor's Map and Parcel Number: Map 141, Parcel 13 Size of Lot: 83,579 SF Wetlands Within 300 Ft. Yes Business Name: No X Subdivision Name: Wianno Knoll Condominiums APPLICANT'S NAME:Wianno Knoll Condominium Trust Phone Did the owner'of the property authorize you to represent him or her? Yes X No PROPERTY OWNER'S NAME CONTACT PERSON Name: Wanno Knoll Condo.Trust. C/0 First Property Name: Edward L. Pesce, P.E., Pesce Enqr. &Assoc Inc Management Address: 1046 Main St., Suite 11, Osterville, MA 02655 Address: 451 Raymond Rd., Plymouth, MA 02360 Phone: 508-420-0299 Phone: '508-333-7630 VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) See attached List See Attached List NATURE OF WORK: House Addition ❑ House Renovation ❑ Repair of Failed Septic System flSl 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 at applicant's expense (for Title V and/or local sewage regulation variances only) . Full menu submitted(for grease trap.variance requests only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only], outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the . building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Junichi Sawayanagi REASON FOR DISAPPROVAL Paul J.Canniff,D.M D. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\BAJ9P9B7\VARIREQ.DOC I Wianno Knoll Condominiums October 18, 2016 SUBJECT: Revised List of Requested Variances to Title 5 In accordance with 310 CMR 1.5.401 - 15.405, the following Local Upgrade ApprovalsNariances are requested: 1) A 0.9' waiver (from T to 3.9') for the max. cover over the proposed SAS ' Reference 310 CMR 15.221 (7) 2) An 8' waiver (from 10.0' to 2.00') for the setback from the front lot line to the SAS- Reference 310 CMR 15.211 (1) 3) A 10.5' waiver (from 25.0'.to 14.5') for the setback from the existing drainage basin to SAS Reference 310 CMR 15.211'(1) 4) A variance from providing the minimum effective liquid capacity of 200%'of design flow. (i. e., 1,940 x 200% = 3,880 gal.) in the existing septic tank - in favor of providing 2 tanks in series as follows: The existing septic tank = 2,500 gal and a new 2,000 gal. tank = 4,500 gal. capacity. Reference 310 CMR 15.223 (1) (b) 5) A Variance to allow a 25% reduction in the required SAS area design requirements, per local upgrade approval, 310 CMR 15.405(c). ' I PESCE ENGINEERING AND ASSOCIATES Phone 508-743-9207 451 Raymond Rd., Plymouth, MA 02360 Cell: 508-333-7630 Town of Barnstable. P# 1 W 3 0 dpTME Department of Regulatory Services "s &MN9rABM : Public Health Division , Date / 639.��� 200 Main Street,Hyannis MA 02601 Date Scheduled D Time _ ��AM Fee Pd. � — f Soil Suitabily Assessmenyt for Se age'=D i ssp Nor►s Da 11`�J - W_Performed BY - WitnessedBy:' z a LOCATION& GENERAL INFORMATION Location Address �.rlt y/ � G�� y��*,� Owner°s Name �n Y"lJ"v a. cag Address PAO) �QSYt~Jl Assessor's Ma /P cel: r 1 PY�` 3 Engineer's Name', NEW CONSTRUCTION REPAIR Telephone#. =G kPE3:r.- Land Use .' rt+ .'Slopes(%) �.� ,.a;Surface Stones -' \�"M`�.l`STe N Distances from: Open Water Body -f4 ;Possible Wet Area ' Al ft°, Drinking Water Well ft Drainage Way ft •Property Line: ft `Other ft • E . SKETCH:(Street name;dimensions of lot,exact locations of test holes&perc tests,locate wetlands in prom�y to holed - 6) ( O� CIO) - 0 Parent material(geologic) *Z4 *C to Bedrock ANA f Depth to Groundwater: Standing Water in Holfi"„'fg J Weeping from Pit Fac,A JMSf&�o ' Estimated Seasonal High Groundwater fY• ' s +RIVIINATION SEASON�AAL;ffiGH W�ATER TABLE s `< Method Used: A A�Y�1Q A 3 ; �'�—" • _ Depth Observed standing in o s.hole: in. Depth to soil mo es: in. Depth to weeping from side of obs.hole: in. Gr"oundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level RCOLATION M ; F!7!=1.;'- : •,. Time at 9"tr,• c a '' r�7 ',1. ' I" ' Time at Start Pre-soak Time @ `D • O _+rt'•,w Time(9' 6") ."`. End Pre-soak 16 • s Rate Min./Inch •ri ' rA i Site Suitability Assessment: Site Passed 1 Site Failed: r Additional Testing Needed(Y/N)- r ; Original: Public Health Division , Observation Hole Data To Be Completed on Back- e- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:ISEPTICIPERCFORMDOC ,�4 j .DEEP OBSERVATION HOLE LOG Hole# ,;; Depth from. Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel 17 t ` aro ` An- PVC sh IN &�3- !YL - y - DEEP OBSERVATION HOLE LOG a Hole# '` Depth from Soil Hozon� T Soil Texture Soil Color-• S n oil ` Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. ':Consistenc %Gravel =- DEEP OBSERVATION HOLE LOG ` l, Hole# Depth from Soil Horizon ;Soil Texture Soil Color Soil Other Surface(in.) `(USDA) (Munsell) Mottling `, (Structure,Stones,Boulders. Consistence %Gravel) DEEP OBSERVATION;HOLE LOG _ � Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Graven Flood Insura"nce Rate Man: Above 500 year flood boundary No Yes Within 500 year boundary No_ Yes Within 100 year flood boundary No'X Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? M's " If not,what is the depth of naturally occurring pervious material? Certification I certify that orASUG jqqS(date)I have passed the soil evaluator examination approved by the Department of nvironmental Protection and that the above analysis was performed by me consistent with the required training,expertise and expe iAw e described in 310 CMR 15.017. Signatur „ Date l Q:\SEPTIC\PERCFORIvLDOC Page 1 of 1 Miorandi, Donna From: Ed Pesce[epesce@comcast.net] Sent: Monday, September 26, 2016 10:19 AM To: Miorandi, Donna Cc: 'Dan Meehan';'Andy Witter' Subject: Wianno Knoll- Update Hi Donna, I hope you had a nice weekend. I made some progress on answering your remaining issues last week for this project. What I have on my list as remaining questions/issues are: 1. Submit the completed Perc Test Form 2. Confirm that the design flow is accurate by checking the discharge location of sewage flow for Unit E-3 3. Provide some addition information to estimate the Seasonal High Groundwater elevation I.have completed all the above items, and I will bring in documentation to that effect this afternoon at 3:30 when you have office hours. Here's what I will cover/bring with me: 1. Completed perc test form 2. Letter describing my visits to Buildings E & F and my recent visit to Building D this past Saturday (24 Sep) to confirm, by using green food coloring, that Unit E-3 is connected to the other septic system for Building D (see attached photo). 3. 1 contacted the Barnstable DPW to see if they could provide me some information on groundwater levels they have encountered in the Main Street Osterville area. Amanda Ruggiero, Asst. Town Engineer, told me that they did not have any good info. for my area, but perhaps the water dept.(C-O-MM) or the Cape Cod Commission may. I contacted Scott Michaud of the Water Resources office at the CCC and as luck would have it, they (CCC & USGS) have a Groundwater Monitoring Well behind our site off Wianno Ave (Well ID AIW-307). I have conducted the GW adjustment based on this information, (using the USGS - Cape Cod Method), and computed a GW,adjustment(for the date of the perc test) of 37, which gives us an Estimated Seasonal High GW Elevation (ESHGW) to be = 8.65' The bottom of the system elevation" = 12.9', which gives a separation from the ESHGW of 4.25'. So I will have to ask for another local upgrade approval to allow for the 4.25' separation to ESHGW. I will see you this afternoon to give you revised plans and to go over this, ED Edward L. Pesce, P.E., LEEDOAP Pesce Engineering &Associates, Inc. 451 Raymond Road Plymouth, MA 02360 Office:508-743-9206 Fax: 508-743-0211 Cell: 508-333-7630 epesce .comcast.net 9/26/2016 f J n Commonwealth of Massachusetts Executive Office of Energy &Environmental Affairs Department of Environmental Protection p One Winter Street Boston, MA 02108.617-292-5500 DEVAL L PATRICK RICHARD <.SULLIVAN JR• Governor Secretary TIMOTHY P,MURRAY iGEiVNETH L.iCIMMELL Lieutenant Governor Commissioner- GENERAL USE CERTIFICATION- Pursuant , Pursuant to Title 5, 310 CMR 15.00 Name and Address of Applicant: Bio-Microbics, Inc. 8450 Cole Parkway - Shawnee, KS 66227 Trade name of technology and models: MicroFAST®Treatment System, Models:Mic-r-oFASM 0.5, 0.75, 0.9, 1.5�x4 3.0,�4.5 and 9.0; HighStrengthFAST8 Treatment System Model"s'HighStrength FASTV 1.0, 1.5, 3.0, 4.5 and 9.0 and NitriFASTO Treatment System Models NitriFASM 0.5, 0.75, 1.0, 1.5, 3.0, 4.5 and 9.0(all hereinafter called the "System"). Schematic drawings illustrating each System,a design and installation manual, owner's manual, an operation and maintenance manual, and an inspection checklist are of D this Approval. Transmittal Number: X2M074 Date of Issuance:. Revised February 12,2013 Authority for Issuance Pursuant to Title 5 of the State Environmental Code,310 CMR 15.000,-the Department of Environmental, Protection hereby issues this General Use Certification to Bio-Microbics, Inc. 8450 Cole Parkway, Shawnee,KS 66227 (hereinafter"the Company"), certifying the System described herein for General Use in the Commonwealth of Massachusetts. The sale, design, installation, and use of the System are conditioned on compliance by the Company, the.Designer, the Installer,the Service Contractor, and the System Owner with the terms and conditions set forth below. Any noncompliance-with:the terms or conditions of this Certification constitutes a' violation of 310 CMR 15.000. February 19, 2013 David Ferris,Director Date " Wastewater Management Program, Bureau of Resource Protection II This information is available in alternate format.Call Michelle Waters-Ekanem,Diversity Director,at 617-292-5751.TDD#1-866539-7622 or 1-617-574-6868 MassDEP Website:www.mass.gov/dep Printed an Recycled Paper - Bio-Microbics,Inc.-MicroFAST®,MghStrengthFAST®,NitriFAST® Page 2 of 3 Revised General Use Certification Issue Date:February 19,2013 Technology Description The System is a Secondary Treatment Unit(STU). The System, MicroFAST®0.5, 0.75, 0.9, 1.5, 3.0,4.5 and 9.0, and HighStrengthFAST® 1.0, 1.5, 3.0, 4.5 and 9.0, and,NitriFAST®0.5, 0.75, 0.9, 1.5, 3.0,4.5 and 9.0 units are installed in a tank or tanks having a primary settling zone and an aerobic biological zone. Solids settle in the primary settling zone that is quiescent. In the aerobic zone, the sewage is continually agitated and aerated. Bacteria in the sewage attach to the surface of the submerged plastic media; they reproduce by consuming the organic material in the sewage. Conditions of Approval The term"System"refers to the STU in combination with the other components of an on-site treatment and disposal system that may be required to serve a facility in accordance with 310 CMR 15.000. The term"Approval"refers to the technology-specific Special Conditions, the Standard Conditions for General Use Certification of Secondary Treatment Units,the General Conditions of 310 CMR 15.287, and any Attachments. For Secondary Treatment Units that have been issued General Use Certification for the installation of a System to serve a facility where the site meets the requirements for new construction and the design flow is less than 2,000 gpd, the Department authorizes reductions in the effective leaching area(310 CMR 15.242), subject to the Standard Conditions that apply to all Secondary Treatment Units with General Use Certification and subject to the Special Conditions below applicable to this Technology. Special Conditions 1. The System is Secondary Treatment Unit with General Use Certification. In addition to the Special Conditions contained in this Approval,the System shall comply with all the "Standard Conditions for General Use Certification of Secondary Treatment.Units", except where stated otherwise in these Special Conditions. 2. The System is approved for facilities where the design flow is less than 10,000 gpd and where a conventional system with a reserve area exists or can be guilt on-site in full compliance with the new construction requirements of 310 CMR 15.000 and has been approved by the local approving authority. 3. The MicroFAST® 0.5, 0.75 and 0.9,HighStrengthFAST® 1.0 and NitriFAST® 0.5, 0.75 and 0.9 are installed in the second compartment of a two-compartment tank with a total liquid capacity of at least 1,500 gallons constructed in accordance with 310 CMR 15.226. 4. The MicroFAST®,HighStrengthFAST®and NitriFAST® 1.5 are installed in the second compartment of a two compartment 3,000-gallon tank constructed in accordance with 310 CMR 15.226. w072368 'i Bio-Microbics,Inc.-MicroFAST®,HighStrengthFAST®,NitriFAST® Page 3 of 3 Revised General Use Certification Issue Date:February 19,2013 5. The MicroFAST®,HighStrengthFAST®and NitriFAST®'3.0,4.5, and 9.0 units are installed in a separate tank constructed in accordance with 310 CMR.15.226. The units are located between a standard Title 5 septic tank, designed in accordance with 310 CMR 15'.223 and 15.224, and the soil adsorption system(SAS). 6. Access shall be provided to all tanks in the primary settling and aerobic biological zones.in accordance with 310 CMR 15.228 (2). The primary settling tank shall have at least three manholes with readily removable impermeable covers of durable material provided at grade. Two manholes, over the inlet and outlet of the primary settling tank, shall have'a minimum opening of 20 inches. All access ports and manhole covers shall be installed and maintained at grade to allow for maintenance of the System. w072368 �� i o Commonwealth of Massachusetts Executive Office of Energy &Environmental Affairs Department of Environmental Protection One Winter Street Boston, MA 02108.617-292-5500 Charles D.Baker Matthew A.Beaton Governor Secretary Karyn E.Polito Martin Suuberg Lieutenant Governor Commissioner Standard Conditions for Secondary Treatment Units Certified for General Use Last Revised: March 20, 2015 A Secondary Treatment Unit(STU) is an alternative technology designed to reduce the amount of organic material and solids in sanitary wastewater. An STU may be used as a component of an on-site sewage disposal system to enhance treatment prior to discharge to the soil absorption system (SAS). For residential systems with.design flows less than 2,000 gpd, certain STU's may be used as a component of an on-site sewage disposal to reduce the effective leaching area required for the SAS where soil or site conditions may make conventional soil absorption systems more costly or less desirable to construct. For residential systems with design flows less than 2,000 gpd, an STU which allows for a reduced leach field may require less land area,potentially less fill, and less disturbance of the site. The System consists of an STU preceding a soil absorption system and, when the leaching area is reduced or the design flow is 2,000 gpd or greater,the SAS must be pressure dosed. A conventional septic tank precedes the STU unless exempt by the Special Conditions for a specific Technology. The use of an STU in accordance with this General Use Certification requires, among w other things: • A Disclosure Notice in the Deed to the property (310 CMR 15.287( =0)) (D d r,._-NoticeTt me plate is availableTfrom-the Department); • Certifications by the Designer and the Installer (310 CMR 15.021(3)); •, A Massachusetts certified operator who has received training for the technology and is under contract for periodic inspection and maintenance (310 CMR 15.2870 0)); • Periodic sampling, recordkeeping, and reporting, in accordance with this Approval; • Notification within 24 hours by the System Owner to the local approving authority of any System failure; • When pumping is required to discharge to the SAS, 24-hour emergency wastewater storage capacity above the elevation of the high level alarm; • System Owner Acknowledgement of Responsibilities, in accordance with this Approval. This information is available in alternate format.Call Michelle Waters-Ekanem,Diversity Director,at 617.292-6761.TTY#MassRelay Service 1-800-439-2370 MassDEP Website:www.mass.govldep Printed on Recycled Paper ill Standard Conditions for Secondary Treatment Units Page 2 of 16 Certified for General Use Last Revised: March 20,2015 Definitions and References: The term "System" refers to the approved technology in combination with the other components of an on-site treatment and disposal system that may be required to serve a facility in accordance with 310 CMR 15.000. The term "Approval" or"Certification"refers to these Standard Conditions,the Special Conditions contained in the Technology Approval, the General Conditions of 310 CMR 15.287, and any Attachments. The Conditions contained herein MUST be read in conjunction with any special conditions that are Technology-specific. I. Purpose 1. This Certification is for the installation of a System to serve a facility for which a site evaluation in compliance with 310 CMR 15.000 has been approved by the Approving Authority and the site meets the siting requirements for new construction. n 2. The sale, design, installation, and use of the System shall be subject to these requirements for all systems that submit a complete Disposal System Construction Permit(DSCP) application after the effective date of these Standard Conditions. Existing Systems and Systems for which a complete DSCP application was submitted prior to the effective date of these requirements shall not be subject to the design and installation requirements, however, the System Owner,the Service Contractor, and the Company shall be subject to all other requirements contained herein. 3. This Certification shall not be used for the installation of a System to upgrade or' replace an existing failed or nonconforming system, unless the facility meets the siting requirements for new construction, including a reserve area. All other proposed upgrades utilizing this System shall be in conformance with the Remedial Use Approval issued by the Department for this System. 4. With the other applicable permits or approvals that may be required by Title 5, the Certification for General Use authorizes the installation and use of the System in Massachusetts. All the provisions of Title 5, including the General Conditions for Alternative Systems(3,10 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. 5. Provided that the local approving authority approves the System in conformance with the Department's General Use Certification for the System, Department review and approval of the site-specific System design and installation is not required unless the Department determines on a case-by-case basis, pursuant to its authority at 3'10 CMR 15.003(2)(e),that the proposed System requires Department review and approval. Standard Conditions for Secondary Treatment Units Page 3 of 16 Certified for General Use - Last Revised: March 20, 2015 II. Design and Installation Requirements 1. Effluent BOD5, TSS and pH- The effluent discharge concentrations from the Secondary Treatment Unit to the SAS shall not exceed secondary treatment standards of 30 mg/L BOD5 and 30 mg/L TSS and the effluent pH range shall be 6.0 to 9.0. 2. Except where the Special Conditions for an approved Technology state otherwise, the Alternative System shall include a properly sized and constructed septic tank, designed in accordance with 310 CMR 15.223 — 15.229, connected to the building sewer and followed in series by the Technology and the SAS. 3. Except where the Special Conditions for an approved Technology state otherwise, the . Alternative System shall be installed in a manner which does not intrude on, replace, or adversely affect the operation of any other component of the subsurface sewage disposal system. 4. Residential Systems less than 2000 gpd, Alternative Design Standard to 310 CMR 15.242(1)(a) Effluent Loading Rates—For residential Systems with design flows less than 2000 gpd, the required effective leaching area may be reduced up to 50 percent , when using the loading rates for gravity systems of 310 CMR 15.242(1)(a),provided that: a) no variance is granted for a reduction in depth to groundwater; b) no variance is granted for a reduced depth of pervious material; and c) effluent pressure distribution is provided and designed in accordance with Department guidance.. The Department's Pressure Distribution Guidance dated May 24, 2002 can be viewed on the internet under Title 5/Septic Systems, Guidance at http://mass.gov/dep/water/lawslpolicies.htmgt5guid. (Alternatively, the effluent loading rates provided in 310 CMR 15.242(1)(b) for pressure distribution may be utilized, but no reduction in the effective leaching area may be taken when using these loading rates, as stated in the'regulation.) For residential design flows of 2000 gpd or greater and for all nonresidential systems, no reduction in the effective leaching area is allowed. 5. When the System is allowed a reduction in the required effective leaching in accordance With Paragraph I.4, the installation shall not disturb the site in any manner that would preclude the future installation of the conventional full-sized primary SAS without encroaching on the reserve area. The record drawings, approved by the local approving authority, must clearly indicate the area for a full-sized conventional primary SAS and the full-sized conventional reserve area are for the sole purpose of upgrading the on-site sewage disposal system in the future, if necessary,without any increase in flow. 6. The record drawings, approved by the local approving authority,must clearly indicate the area for a conventional reserve SAS is for the sole purpose of upgrading the on-site sewage disposal system in the future, if necessary, without any increase in flow. Standard Conditions for Secondary Treatment Units . Page 4 of 16 Certified for General Use Last Revised: March 20, 2015 Except for the installed SAS, the System Owner shall not construct any permanent buildings or structures or disturb the site in any.manner that would encroach on h r g y the area approved for a full-sized conventional primary SAS or the area approved for a full-sized conventional reserve SAS. 7. In a nitrogen sensitive area(NSA), as defined in 310 CMR 15.215, Alternative Systems serving facilities with actual or design flows of 2,000 GPD or greater must include treatment with a Recirculating Sand Filter (RSF) or equivalent technology, as required by 310 CMR 15.202(1). Under this General Use Certification, Secondary Treatment Units are not approved as an RSF equivalent technology and shall not be installed in a NSA to serve facilities with actual or design flows of 2,000 GPD or greater. (The Technology may have a separate approval for nitrogen reduction, but must be installed under that approval.) 8. The System may only be installed in soils with a percolation rate of up to 60 minutes per inch (MPI). 9. Except for septic tank covers which are not required to be at grade, the frames and covers of all other access manholes and ports of the System components shall be watertight, made of durable material, and shall be installed and maintained at grade, to allow for necessary inspection, operation, sampling and maintenance access. Manholes brought to final grade shall be secured to prevent unauthorized access. No structures which could interfere with performance, access, inspection,pumping, or repair shall be located directly upon or above the access locations. 10. All System control units, valve boxes, distribution piping,conveyance lines and other System appurtenances shall be designed and installed to prevent freezing. i 11. The System control panel including alarms and controls shall be mounted in a location always accessible to the operator(service contractor). When pumping is required to discharge to the SAS,the System shall be equipped with sensors and high-level alarms to protect against high water due to pump failure, pump control failure, loss of power, system freeze ups, or backups. Emergency storage shall be provided when pumping to discharge is employed, including pressure distribution, such as when the System is allowed a reduction in the required effective leaching area, in accordance with Paragraph 1.4. 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. 12. System unit malfunction and high water alarms shall be readily visible and audible for the facility occupants and the Service Contractor and shall be connected to circuits separate from the circuits serving the operating equipment and pumps. 13. The System shall not include any relief valve or outlet for the discharge of wastewater to prevent flooding of the system, back up or break out. i Standard Conditions for Secondary Treatment Units Page 5 of 16 Certified for General Use Last Revised: March 20, 2015 14. Any System structures with exterior piping connections located within 12 inches of or lower than the Estimated Seasonal High Groundwater elevation shall have the connections made watertight with neoprene seals or equivalent. 15. In compliance with 310 CMR 15.240(13), a minimum of one (1) inspection port shall be provided within the SAS consisting of a perforated four inch pipe placed vertically down to the elevation of the SAS interface with the underlying unsaturated pervious soils to enable monitoring for ponding. The pipe shall be capped with a screw type cap and accessible to.within three inches of finish grade. (A locking cap at-grade is preferred for annual inspection.) 16. Upon submission of an application for a Disposal System Construction Permit (DSCP),the Designer,shall provide to the local Approving Authority: a) proof that the Designer has satisfactorily completed any required training by the Company for the design and installation of the Technology; b) certification of the design by the Company for any residential system with a design of 2,000 gpd or more or for any proposed non-residential system or if required by the Special Conditions for an approved Technology; c) certification by the Designer that the design conforms to the Approval,any Company Design Guidance, and the 310 CMR 15.000; and d) a certification, signed by the Owner of record for the property to be served by the Technology, stating that the property Owner: i) has been provided a copy of the Approval,the Owner's Manual, and the Operation and Maintenance Manual and the Owner agrees to comply with all terms and conditions; ii) has been informed of all the Owner's estimated costs associated with the operation including, when applicable: power consumption, maintenance, sampling;recordkeeping, reporting, and equipment replacement; iii) understands the requirement for a service contract; iv) agrees to fulfill his responsibilities to provide a Deed Notice as required by 310 CMR 15.287(10) and the Approval; v) agrees to fulfill his responsibilities to provide written notification of the Approval to any new Owner,,as required by 310 CMR 15.287(5); vi) if the design does not provide for the use of garbage grinders, the restriction is understood and accepted; and vii) whether or not covered by a warranty, the System Owner understands the requirement to repair, replace, modify or take any other action as required by the Department or the local Approving Authority, if the Department or the local Approving Authority determines the System to be-failing to protect public health and,safety and the environment, as defined in 310 CMR 15.303. 17. The System Owner and the Designer shall not submit to the local Approving Authority a DSCP application for the use of a Technology under this Certification if the Certification has'been revised, reissued, suspended, or revoked by the Department I 1. . Standard Conditions for Secondary Treatment Units Page 6 of 16 Certified for General Use Last Revised: March 20, 2015 prior to the date of application. The Certification continues in effect until the Department revises, reissues, suspends, or revokes the Certification. 18. The System Owner shall not authorize or allow the installation of the System other than by a locally approved Installer and, if required by the Company, a person certified or trained by the Company to install the System. 19. Prior to the commencement of construction, the System Installer must certify in writing to the Designer,the local Approving Authority, and the System Owner that. (s)he is a locally approved System Installer and, if required by the Company, is certified by or has received appropriate training by the Company. 20. The Installer shall maintain on-site, at all times during construction, a copy of the approved plans, the Owner's manual, the O&M manual, and a copy of the Approval. 21. Prior to the issuance of a Certificate of Compliance by the local Approving Authority, the System Installer and Designer must provide, in addition to the certifications required by Title 5, certifications in writing to the local Approving Authority.that the System has been constructed in compliance with the terms of the Approval. 22. The Department has not determined that the performance of the System will provide a level of protection to public health and safety and the environment that is at least equivalent to that of a sanitary sewer system. If it is feasible to connect a new or existing facility to the sewer, the Designer shall not propose an Alternative System to serve the facility and the facility Owner shall not install or use an Alternative System; and When a sanitary sewer connection becomes feasible after an Alternative System has been installed, the System Owner shall connect the facility served by the System to the sewer within 60 days of such feasibility and the System shall be abandoned in compliance with current Code requirements,unless a later time is allowed in writing by the Department or the local Approving Authority. III. Operation and Maintenance I. To ensure proper operation and maintenance (O&M) of the System, the System Owner shall enter into an O&M Agreement with a qualified Service Contractor whose name appears on the Company's current list of Service Contractors and has been certified, at a minimum, at Grade Level II (two) by the Board of Registration of Operators of Wastewater Treatment Facilities, in accordance with Massachusetts regulations 257 CMR 2.00. Prior to commencement of construction of the System, the System Owner shall provide to the local Approving Authority a copy of a signed 0&M Agreement. 2. From start up and thereafter,the System Owner and Service Contractor shall be responsible for the proper operation and maintenance of the System in accordance with this Certification, the Designer's 0&M requirements, the Company's O&M requirements, and the requirements:of the local Approving Authority. The System I Standard Conditions for Secondary Treatment Units Page 7 of 16 Certified for General Use Last Revised: March 20,2015 Owner and Service Contractor shall be responsible for compliance with all , monitoring and inspection requirements. All inspection, operation, maintenance, and monitoring requirements remain in effect until the conditions are modified, terminated, or superseded by a new Approval. 3. The System shall comply with the following monitoring requirements and effluent limits. The required 0&M Agreement with the Service Contractor shall include the following monitoring schedule, at a minimum, subject to modifications that may be required by Paragraphs 1II.7.a) and 7.b): ar 9 Monitoring SampleEffluent ' Parameter- _ I;ocatron Fre, uenc . T eN. . -Limits See pH frequency grab effluent of 6 to 9 specified treatment unit below See frequency effluent of <40 NTU turbidity specified measure treatment unit below See Measure and settleable frequency measure effluent of record ml/1 solids specified treatment unit only below See Record color frequency visual effluent of observation specified observation treatment unit only below See . dissolved frequency effluent of measure > 2 mg/1 oxygen (D.O.) specified treatment unit below Depth of See Inspection port to See Paragraph Ponding Paragraph measure bottom of SAS I1I.10 within SAS I11.10 Thickness of Septic tank or floating Once every other process Pump out, as grease/scum 3 years measure tank where solids necessary layer are retained Depth of Sludge and Septic tank or distance to Once every measure other process Pump out, as effluent 3 years tank where solids necessary tee/filter/outlet are retained Standard Conditions for Secondary Treatment Units Page 8 of 16 Certified for General Use Last Revised: March 20, 2015 4. An individual household shall be monitored at least once every 12 months (exclusive of alarm responses or other maintenance visits). 5. Facilities (residential and nonresidential) with a design flow of less than 2,000 gpd, other than an individual household, shall be monitored a minimum of twice/year with a minimum of 5 months since the last monitoring inspection (exclusive of alarm responses or other maintenance visits) and a maximum of 7 months between monitoring inspections. 6. Facilities (residential and nonresidential) with a design flow of 2,000 gpd or greater shall be monitored quarterly not less than 2 months since the last monitoring inspection (exclusive of alarm responses or other maintenance visits) and not more than 4 months between monitoring inspections. 7. Systems installed under this Approval shall be subject to the following.Performance Requirements: a) Whenever field tests indicate a pH outside the specified range, an.exceedance of the turbidity limit, or D.O. below the desired minimum,the Service Contractor shall make adjustments and/or repairs to the System, as deemed necessary during the inspection, and collect an,effluent sample for laboratory analysis for BOD5 and TSS; b) For an individual household, if laboratory analyses indicate an exceedance of 30 mg/L BOD5 or 30 mg/L TSS, the Service Contractor shall conduct a follow-up inspection and field-testing within 180 days of the original inspection date. Should the follow-up field-test indicate a pH outside the specified range, an exceedance of the turbidity limit, or D.O. below the desired minimum, the Service Contractor shall make adjustments and/or repairs to the System, as deemed necessary during the inspection, and collect another effluent sample for laboratory analysis for BOD5 and TSS; and c) Whenever two consecutive sampling rounds for any Secondary Treatment Unit include at least one exceedance of the limits for BOD5 or TSS, the System Owner shall be responsible for submitting to the local Approving Authority, within 90 days of the second exceedance of the limits for BOD5 or TSS, a written evaluation with recommendations for changes in the design, operation, and/or maintenance of the System. The written evaluation with recommendations shall be prepared by the Service Contractor or a Designer and the submission shall include all monitoring data, inspection reports, and laboratory analyses since the last annual report to the local Approving Authority. Recommendations shall be implemented, as approved by the local Approving Authority, in accordance with an approved schedule,provided that all corrective measures are implemented consistent with the limitations described in Paragraph IV.10. Standard Conditions for Secondary Treatment Units Page 9 of 16 Certified for General Use Last Revised: March 20, 2015 8. Each time an Alternative System is visited by a Service Contractor the following shall be recorded, at a minimum: a) date, time, air temperature, and weather conditions; b) observations for objectionable odors; c) observations for signs of breakout of sanitary sewage in the vicinity of the Alternative System; d) depth of ponding within the SAS, if measured; e) identification of any apparent violations of the Approval; f) since the last inspection,whether the system had been pumped with date(s) and volume(s)pumped; g) sludge depth and scum layer thickness, if measured; h) when responding to alarm events, the cause of the alarm and any steps taken to address the alarm and to prevent or reduce the likelihood of future similar alarm events; i) field testing results when performed'as part of the site visit; j) samples taken for laboratory analysis; if any k) any cleaning and lubrication performed; 1) _any adjustments of control settings, as recommended or deemed necessary; m) any testing of pumps, switches, alarms, as recommended or deemed necessary; n) identification of any equipment failure or components not functioning as designed; o) parts replacements and reason for replacement, whether routine or for repair; and p) further corrective actions recommended, if any. 9. Unless directed by the local Approving Authority to take other action,the System Owner shall immediately cease discharges or have wastewater hauled off-site, if at any time during the operation of the Alternative System the system is in failure as described in 310 CMR 15.303(1)(a)1 or 2, backing up into facilities or breaking out to the surface. 10. Measuring the depth of poriding within the SAS above the interface with the underlying unsaturated pervious soils shall be performed once per year,by means of f the inspection ports and any other available access to the distribution system for: a) Residential systems less than 2000 gpd where the effective leaching area installed is less than that required by Title. 5 (310 CMR 15.223-228); and b) Any system where a septic tank meeting the requirements of Title 5 has not been installed. (Not providing a septic tank meeting the requirements of Title 5 must be allowed by the Special Conditions of the Technology approval.) 11. Whenever an SAS inspection port measurement indicates the ponding level within the SAS is above the invert of the distribution system, an additional measurement shall be made 30 days later. If the subsequent reading indicates the.elevation of ponding Standard Conditions for Secondary Treatment Units Page 10 of 16 Certified for General Use Last Revised: March 20, 2015 within the SAS is above the invert of the distribution system, the System Owner shall be responsible for submitting to the local Approving Authority,within 60 days of the follow up inspection, a written evaluation with recommendations for changes in the design, operation, and/or maintenance of the System. The written evaluation with recommendations shall be prepared by the Service Contractor or a Designer and the submission shall include all monitoring data, inspection reports, and any laboratory analyses for the previous year. Recommendations shall be implemented, as approved by the local Approving Authority, in accordance with an approved schedule,provided that all corrective measures are implemented consistent with the limitations described in Paragraph IV,10. IV. Additional System Owner and Service Contractor Requirements l. Prior to commencement of construction of the System and after recording and/or registering the Deed Notice required by 310 CMR 15.287(10), the System Owner shall provide to the local Approving Authority a copy of: a) a certified Registry copy of the Deed Notice bearing the book and page/or . document number; and b) if the property is unregistered land, a copy of the System Owner's deed to the property as recorded at the Registry, 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. 2. Prior to signing any agreement to transfer any or all interest in the property served by the System, or any portion of the property, including any possessory interest,the System Owner shall provide written notice, as required by 310 CMR 15.287(5), of all conditions contained in the Approval to the transferee(s). Any and all instruments of transfer and any leases or rental agreements shall include as an exhibit attached thereto and made a part of thereof 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 giving such notice to the transferee(s). . 3. The System Owner shall not install, modify, upgrade, or replace the System except in accordance with a valid DSCP issued by the local Approving Authority which covers the proposed work. 4. The System Owner shall provide access to the site for the Service Contractor to perform inspections, maintenance, repairs, and responding to alarm events, as may be required by the Approval. 5. The System Owner and the Service Contractor shall maintain an O&M Agreement at all times. The duration of the O & M Agreement shall be at least one year and shall n include the following provisions: J Standard Conditions for Secondary Treatment Units Page 11 of 16 Certified for General Use Last Revised: March 20, 2015 a) The name of a Service Contractor, who meets the qualifications specified in the Approval, shall be included; b) The Service Contractor's responsibilities for inspection, operation, maintenance, monitoring, recordkeeping and reporting, as required by this Approval shall be included; c) The Service Contractor shall be responsible for obtaining lab analyses and submitting the monitoring results to the System Owner and the local Approving Authority in accordance with the reporting requirements; and d) In the case of a System which is determined to be failing to protect public health and safety and the environment, as defined in 310 CMR 15.303, an equipment failure, alarm event, components not functioning as designed,.or violations of the Approval,procedures and responsibilities of the Service Contractor and System Owner shall be clearly defined,including corrective measures to be taken immediately. The System Owner and the Service Contractor shall maintain on-site, at all times, a copy of the O&M Agreement,the approved design plans, the Owner's Manual, and the O&M Manual. 6. The Service Contractor shall submit-to the System Owner the O&M report and inspection checklist within 60 days of any site visit. J 7. The System Owner and the Service Contractor shall maintain copies of the Service Contractor's O&M reports, inspection checklists, and all reports and notifications to the local Approving Authority for a minimum of three years. 8. Upon determining that the System is in violation of the Approval or the System is failing to protect public health and safety and the environment, as defined in 310 CMR 15.303, the Service Contractor shall notify the System Owner immediately. 9. Upon determining that the System is failing to protect public health and safety and the environment, as defined in 310 CMR 15.303, the System Owner and the Service Contractor shall be responsible for the notification of the local Approving Authority within 24 hours of such determination. 10. In the case of a System that has been determined to be failing to protect public health and safety and the environment, an equipment failure, alarm event, components not. functioning as designed, components not functioning in accordance with manufacturers' specifications, or violations of the Approval,the Service Contractor shall provide written notification within five days, describing corrective measures to 1 the System Owner,the local board of health, and the Company and may only propose or take corrective measures provided that: a) all emergency repairs, including pumping, shalt be in accordance with the limitations and permitting requirements of 310 CMR 15.353; b) the design of any repairs or upgrades are consistent with the System Approval; c) the design of any repairs or upgrades requiring a DSCP shall be performed by a Designer who is a Massachusetts Registered Professional Engineer or a Standard Conditions for Secondary Treatment Units Page 12 of 16 Certified for General Use Last Revised: March 20, 2015 Massachusetts Registered Sanitarian,provided that such Sanitarian shall not design a system with a discharge greater than 2,000 gallons per day. d) the installation of any repairs or upgrades requiring a DSCP shall be done by an Installer with a currently valid Disposal System Installers Permit and, if training.is required, the Installer shall be certified by the Company as qualified to install the System. The System Owner shall also be responsible for ensuring written notification is provided within five days to the local board of health. 11. The System Owner and the Service Contractor shall provide written notification to the local Approving Authority within seven days of any cancellation, expiration or other change in the terms and/or conditions of a required O&M Agreement with a Service Contractor. The Service Contractor shall provide written notification to the Company within seven days of any cancellation, expiration or other change in the terms and/or conditions of a required O&M Agreement. 12. By March 1st of each year,the System Owner and the Service Contractor shall be responsible for submitting to the local Approving Authority all O&M reports and inspection checklists completed by the Service Contractor during the previous calendar year. 13. By March 1st of each year, the Service Contractor shall be responsible for submitting to the Company copies of all O&M reports including alarm event responses, 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 calendar year. 14. The Service Contractor shall notify the System Owner of these Conditions and any other changes to the terms and.conditions of the Approval within 60 days of any changes. 15. Within one year of any changes to the terms and conditions of the Approval,the System Owner shall amend, as necessary, the O&M Agreement required by Paragraph IV.5 to reflect the changes to the terms and conditions of the Approval. 16. To determine whether cause exists for modifying, revoking, or suspending the Approval or to determine whether the conditions of the Approval have been met,the System Owner shall furnish the Department any information that the Department requests regarding the System, within 21 days of the date of receipt of that request. 17. The Approval shall be binding on the System Owner and on its agents, contractors, successors, and assigns, including but not limited to the Designer, Installer, and Service Contractor. Violation of the terms and conditions of the Approval by any of the foregoing persons or entities,respectively, shall constitute violation of the Approval by the System Owner unless the Department determines otherwise. Standard Conditions for Secondary Treatment Units Page 13 of 16 Certified for General Use Last Revised: March 20,2015 V. Company Requirements 1. The Approval shall only apply to model units with the same model designations specified in the System Approval and meet the same specifications, operating requirements, and plans, as provided by the Company or its authorized agent at the time of the application. Any proposed modifications of the units, installation requirements, or operating requirements shall be subject to the review of the Department for inclusion under a modification of the Approval. The Designer shall be responsible for the selection of the appropriate model unit except the Company shall be responsible for verification of the appropriate model unit as part of any review of proposed installations that may be required,by Paragraph V.3 of these Standard Conditions or the Special Conditions in a Technology approval. 2. Prior to submission of an application for a DSCP, the Company or its authorized agent shall provide to the Designer and the System Owner: a) All design and installation specifications and requirements; b) An operation and maintenance manual, including: i) an inspection checklist; ii) recommended inspection and maintenance schedule; iii) monitoring (i.e. water use); iv) alarm response procedures and troubleshooting procedures; c) An owner's manual, including alarm response procedures; d) Estimates of the Owner's costs associated with the operation including, when applicable: power consumption, maintenance, recordkeeping, reporting, and equipment replacement; e) A copy of the Company's warranty; and f) Lists of trained Designers and trained Service Contractors and, if training is required by the Company, trained Installers. ' 3. Prior to the submission of an application for a DSCP, for all nonresidential Systems and Systems with design flows of 2,000 gpd or greater, the Company shall submit to the Designer and the System Owner, a certification bythe Company or its authorized agent that the design conforms to the Approval and all Company requirements and that the proposed use of the System is consistent with the Technology's capabilities. The authorized agent of the Company responsible for the design review shall have received technical training in the Company's products. 4. The Company must maintain programs of training and continuing education for Service Contractors. Training shall be made available at least annually. If the Company requires trained Designers or Installers, the Company or its authorized agent shall institute programs of training and continuing education that is separate from or combined with the training for Service Contractors. The Company or its authorized agent shall maintain, annually update, and make available by February 15cn of each year, lists of trained Service Contractors and, if certification or training is provided by the Company, Designers and Installers. The Company or its authorized Standard Conditions for Secondary Treatment Units Page 14 of 16 Certified for General Use Last Revised: March 20, 2015 agent shall certify that the Service Contractors and, if training is provided, Designers and Installers on the lists have taken the appropriate training and passed the Company's training qualifications. The Company or its authorized agent shall further certify that the Service Contractors on the list have submitted to the Company all the reports required by Paragraphs IV.10, 11, and 13. 5. The Company or its authorized agent shall not re-certify a Service Contractor if the Service Contractor has not complied with the reporting requirements for the previous year. 6. If training is required, the Company shall not sell the Technology to an Installer unless the Installer is trained to install the System by the Company. The Company shall require, by contract, that distributors and resellers of the Technology shall not sell the Technology to an Installer unless the Installer is trained to install the System by the Company. 7. As part of any training programs for Service Contractors, Installers, or Designers,the Company or its authorized agent shall provide each trainee with a copy of this Approval with the design, installation, O&M, and owner's manuals that were submitted as part of the Approval. 8. The Company shall provide, in printed or electronic format, the System design, installation, O&M, and Owner's manuals, and any updates associated with this System Approval, to the System Owners, Designers, Installers, Service Contractors, vendors, resellers, and distributors of the System. Prior to publication or distribution in Massachusetts, the Company shall submit to the Department for review a copy of any proposed changes to the manual(s) with reasons for each change, at least 30 days prior to issuance. The Company shall request Department approval for any substantive changes which may require a modification of the Approval. 9. Prior to its sale of any System that may be used in Massachusetts, the Company shall provide the purchaser with a copy of this 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. To determine whether cause exists for modifying, revoking, or suspending the Approval or to determine whether the conditions of the Approval have been met, 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. 11. Within 60 days of issuance by the Department of these Conditions and any other revisions to the Approval, the Company shall provide written notification of changes to the Approval to all Service Contractors servicing existing installations of the System and all distributors and resellers of the System. Standard Conditions for Secondary Treatment Units Page 15 of 16 Certified for General Use Last Revised: March 20, 2015 12. 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 this Certification is issued. Said notification shall include the name and address of the proposed owner containing a specific date of transfer of ownership, responsibility, coverage and liability between them. All provisions of this Approval applicable to the Company shall be applicable to successors and assigns of the Company,unless the Department determines otherwise. 13. The Company shall maintain copies of: a) the Approval; b) the installation manual specifically detailing procedures for installation of its System; ° c) an owner's manual, including alarm response procedures; d) an operation and maintenance manual, including: i) an inspection checklist; ii) recommended inspection and maintenance schedule; iii) monitoring requirements and recommendations (including water use and power consumption when required) and sampling procedures; iv) alarm response procedures and troubleshooting procedures. e) estimates of the operating costs provided to the Owner, including, when applicable: power consumption, maintenance, recordkeeping, reporting, and equipment replacement; f) a copy of the Company's warranty; and g) lists of trained Service Contractors and, if training or certification is required, Designers and Installers. 14. The Company shall maintain the following additional information for the Systems installed in Massachusetts and make it available to the Department within 30 days of a request by the Department: a) the address of each facility where the System was installed, the Owner's name and mailing address (if different), the type of use (e.g. residential, commercial, institutional, etc.), the design flow, the model installed; b) the installation date, start-up date, current operational status; c) the name of the Service Contractor, noting any cancellations or changes to any Service Contracts; and d) copies'of all Service Contractor records submitted to the Company, including all O&M reports with alarm event responses, all monitoring.results, inspection checklists completed by the Service Contractor, notifications of system failures, and reports of equipment replacements with reasons. Standard Conditions for Secondary Treatment Units Page 16 of 16 Certified for General Use Last Revised: March 20, 2015 15. The Approval shall be binding on the Company and its officers, employees, agents, contractors, successors, and assigns, including but not limited to dealers, distributors, and resellers. Violation of the terms and conditions of the Approval by any of the foregoing persons or entities, respectively, shall constitute violation of the Approval by the Company unless the.Department determines otherwise. VI. General Requirements 1, Any System for which a complete Disposal System Construction Permit("DSCP") Application is submitted while the Approval is in effect, may be permitted, installed, and used in accordance with the Approval, unless and until: a) the Department issues modifications or amendments to the Approval which specifically affect the installation or use of a System installed under the Approval for the System; or b) 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. 2. All notices.and documents required to be submitted to the Department by the Approval shall be submitted to: Director Wastewater Management`Program Department of Environmental Protection One Winter Street- 5th floor Boston, Massachusetts 02108 3. The Department may suspend,modify or revoke the Approval for cause, including, but not limited to, non-compliance with the terms of the Approval, 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 the System against the Company, a System Owner, a Designer, an Installer, and/or Service Contractor. I l c r a JAI a -16 ti r a -............. I DATE: .. ;' => FEE: + RAENMBLE, + MASS. r, 1639 �� REC. BY6 Town of Barnstable 44� SCHED. DATE W Board of Health `D 200 Main Street H annis MA 02601 /� 7 � , Y Office: 508-862-4644 Wayne A.Miller,M.D. FAX:. 508-790-6304 Junichi Sawayanagi Paul J.Canniff,D.M.D. t VARIANCE REQUEST FORM LOCATION Property Address: 727 Main Street, Osterville, MA (Wianno Knoll Condominiums- Bldgs E& F) Assessor's Map and Parcel Number: Map 141, Parcel 13 Size of Lot: 83,579 SF Wetlands Within 3.00 Ft. Yes Business Name: No X Subdivision Name: Wianno Knoll Condominiums APPLICANT'S NAME:Wianno Knoll Condominium Trust Phone Did the owner of the property authorize you to represent him or her? Yes X No PROPERTY OWNER'S NAME CONTACT PERSON Name: _Wianno Knoll Condo.Trust, C/O First Property Name: Edward L. Pesce, P.E., Pesce Enqr. &Assoc., Inca Management Address: 1046 Main St., Suite 11, Ostmille, MA 02655 Address: 451 Raymond Rd., Plymouth, MA 02360 Phone: 508-420-0299 Phone: 508-333-7630 VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) See attached List See Attached List NATURE OF WORK: House Addition ❑ House Renovation ❑ Repair of Failed Septic System f�l 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 at applicant's expense (for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only], outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Junichi Sawayanagi . REASON FOR DISAPPROVAL Paul J.Canniff,D.M.D. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\BAJ9P9B7\VARIREQ.DOC Wianno Knoll Condominiums August 17, 2016 SUBJECT: List of Requested Variances to Title 5 In accordance with 310 CMR 15.401 — 15.405, the following Local Upgrade Approvals are requested: 1) A 3.0' waiver (from 3' to 6') for the max. cover over the proposed SAS Reference 310 CMR' 15.221 (7) 2) A 0.58' waiver (from 3.0' to 3.58') for the max. cover over the proposed D-Box Reference 310 CMR 15.221 (7) 3) A 10.00' waiver (from 10.0' to 0.00') for the setback from the front lot line to the SAS- Reference 310 CMR 15.211 (1) 4) A 5.6' waiver (from 25.0' to 19.4') for the setback from the existingdrainage ge basin to SAS Reference 310 CMR 15.211 (1) 5) A 19.3' waiver (from 25.0' to 57) for the setback from the existing drainage basin to ` SAS Reference 310 CMR 15.211 (1) 6) A variance from providing the minimum effective liquid capacity of 200% of design flow (i. e., 1,940 x 200% = 3,880 gal.) in the existing septic tank— in favor of providing 2 tanks in series as follows: Existing septic tank = 2,500 gal and a new 2,000 gal. tank = 4,500 gal. capacity. Reference 310 CMR 15.223 (1) (b) I PESCE ENGINEERING AND ASSOCIATES Phone 508-743-9207 451 Raymond Rd., Plymouth, MA 02360 Cell:.508-333-7630 Wianno Knoll Condominium Trust 727 Main Street Osterville, MA 02655 August 15, 2016 Town of Barnstable Board of Health 200 Main Street Hyannis, MA 02601 RE: Authorization for Representation for a Title 5 Variance Application Request, Wianno Knoll Condominiums, Osterville, MA E Dear Board Members, This letter is intended to document and confirm that Mr. Edward L. Pesce, P.E., of Pesce Engineering &Associates, Inc., is authorized to act as the consultant for, and represent the Wianno Knoll Condominium Trust in all matters pertaining to the application for approval of variances to Title 5 for the proposed septic system repairs/upgrades on our property. Thank you, John dams President, Wianno Knoll Condominium Board of Trustees I PESCE ENGINEERING & ASSOCIATES, INC. 451 Raymond Road Q Plymouth, MA 02360 Phone 508-743-9206 epesce .comcast.net August 18, 2016 TO: The Abutters of Wianno Knoll Condominiums, Assessor's Map # 141, Lot# 13 SUBJECT: Notification of a Request for Variances for the Repair of an Existing Septic System TO WHOM IT MAY CONCERN, In accordance with State Law; 310.CMR 15.00, Title 5, and the Town of Barnstable Health Regulations, you are hereby notified that a request for variance(s) has been filed with the Barnstable Board of Health by the owners of Lot # 13 as described above, regarding a septic system repair. Additional details follow: APPLICANTS: Wianno Knoll Condominium Trust ADDRESS: 727 Main Street, Osterville, MA PROJECT LOCATION: Same as above PROJECT DESCRIPTION: Application for an existing failed septic system (serving Buildings E & F) to be repaired. The existing septic system will be repaired to Title 5 standards. APPLICANTS' AGENT: Edward L. Pesce, P.E., Pesce Engineering &Associates, Inc., Plymouth, MA PUBLIC HEARING: Tuesday afternoon, September 13, 2016 @ 3:00 PM at the Bamstable Town Hall, Selectmen's Conference Room, 367 Main Street, Hyannis, MA Plans for this project and application describing the proposed activity are on file with the Board of Health. Sincerely, Edward L. Pesce, P.E. L Town of Bamstable Geographic Information System August 16,201 Q 001 117053CND 117180001 11 071 117157 141028 141021 141050. 141052 141068 w— #134 #5 0 141122 #39 #110, #23� #99� 141030 #18' #97 #88 i #67 1 0 141024 141049- 117073' 11707D •'#.98 .0 -® #180 #29 '� #15 #83 (1141053 141118 117057CND 141031 -_3 #76 #920 #91 6 �#88 141044 #1048 048001 #59 11058002CN D #1#19�0A #55 #12 141119 #171 117074� 045 141046 #49 054 11.7058 0 01� 117180002CN D �, 1#76 2 s #53 #51 �1�41047 1#60 #920 #39 117156 141117001 #61 DB 117064004CND #71 #64 ® 141066 117060 W! `#205 #31 117064003CN 117075005CND MM 141033 t " ' 141043 141055 117061 49 21 b #210\ 117154 :".....11036001 4 #56 141117002 #47 #50 #896 /� #57 #62 #726 ,.:.: 141056 �.� 11 70 750 04CN DMft #216' #40� 141065 117062 �` 141038 141057 #25 #886 117076002 117075003 #675 1#20741 042 �1f 34 ® 1#602 �,..# #218 117072CND #33 141058 1411364 #874 07 141040 #24 11 #584 11706� 2 11#23202 #39 141034 #19 #612 #770 141060 #.64 #86 ® �0° 141039001 #62- 117079 141039003 W#11 117077 17075001 #56 1#160259 117105 #846 #824 117081 117176 141036. #863 117075 7159 #812 117084\ #12 / 3,#851 #832 830 117080 #8�4 #778 J� 141035 #738 141037CND #64602 14�11�04002 #14 #818 117085 #752 . #716, #11�. ,117104 178102 10 #805 3 #776 1#7 86 #746 141105001 #857 117173 #633 /117103 117100 1171 #4 #809 117179 `�#839 r #829 #82� 70 8 AIWN Sr ► #9 117099 #10A.#10 B #791 117087 1411 D4003 #1 17091 #.89 141015, '#7 `141011 #25 117108 111092 #753 141014CN #699 awes #38 #22 117095 SS�� / 141009001 141105 117093 #749 141010001CND #9 117112 117114 11711N*170�98 #32 #18 ' 141016 #705 #683 #8 141 61701 117109 #52 #441 # #21 #15' ; 141 727"D.' 141009002 #48 117111 t� 117494 �41017 "#727 141012' #19 117113 117116 #42 117110 #60 048 #32" #23 91 141006003 ° 1171_3 117096 #29 #76 b: #40, 117124 #3 #88 41112 # 11712G #61 117121 r 141003 1125.-:: #10G 141106 141104004 68 #50 #10G #G7 �1#�3 2 #21' ` 141007 141008 55 141004 141005 r `34 #42 5® 117120 #86..:#106.:.. 7(. 1171338 #,78 117117 141006002 117128 #57 117134 9 7� 1#658 °#30. P 141110 141002 0 #83 141107 #86 #86 0' 77 4= � Fy # ti 117132 .(1�' 117194001 14 141006001 #73 #1001001 '4 #102' ��5 #32 ##91 140058001 117194002 # 141111 #41�140204 > 117129 117131 #34 'A #96 #116 #83 117119 140019 140020 .1 32 #37L 141109 A,108 116053 116053001 #99 140021 #138 140143 ® V #84 11 16031 #40 # '" #1954 040 #125 140067 140058002 4#21 #76 140162 #121 #109 #135 #148j +: #99 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal wIANNO KNOLL CONDOMINIUMS boundary determination or regulatory Interpretation. Enlargements beyond a scale of Map:141 Parcel:013006 Selected Parcel 1"=100'may not meat established map accuracy standards. The parcel lines on this map ; iY are only graphic representations of Assessor's tax parcels. They are not we property Board of Health Abutter List Type-Direct abutters(no set distance)and the Wm' '' E Abutters ?' x' boundaries and do not represent accurate relationships to physical features on the map properties located across the street. such as building locations. Buffer , Wianno Knoll Condominiums Abutters List Wianno Knoll Condominiums Board of Health Abutter List for Map & Parcel: 141/013 Direct abutters (no set distance) and the properties located across the street. Map&Parcel Ownerl Owner2 Addressl Address 2 Mailing CityStateZip 141004 ROMAN CATHOLIC BISHOP OF FALL RIVER P 0 BOX 2577 FALL RIVER,MA 02723 141005 ROMAN CATHOLIC BISHOP OF FALL RIVER P 0 BOX 2577 FALL RIVER,MA 02723 141012 1406 MAIN STREET LLC 699 MAIN STREET OSTERVILLE,MA 02655 14101300A HUNT,CLAIRE 50 BRANDYWINE LN SUFFIELD,CT 06078 14101300B MACHNIK,TODD M&TARA RILEY P O BOX 135 YARMOUTH PORT,MA 02675 14101300C CORING,SHEILA W 727 MAIN ST.,UNIT B-1 OSTERVILLE,MA 02655 14101300D RIZNIK,BARNES&HELEN C TRS RIZNIK NOMINEE TRUST 727 MAIN ST UNIT B-2 OSTERVILLE,MA 02655 14101300E AMICO,ANTHONY A&GERILYNN 21 MONTCLARE AVENUE WAKEFIELD,MA 01880 1410130OF BARLOW,DEBBIE Z 727 MAIN STREET,UNIT B4 OSTERVILLE,MA 02655 1410130OG MIER,FAY A 727 MAIN ST-UNIT C-1 OSTERVILLE,MA 02655 14101300H GRANT,KATHERINEA 727 MAIN STREET,UNIT C-2 OSTERVILLE,MA 02655 141013001 LALOR,DAVID&TRACEY,MARILYN TRS JANETTE LALOR TRUST 41 SEAVIEW TERRACE#A SANTA MONICA,CA 90401-3219 14101300J MCHALE,CAROLYN C&CAROLYN TRS JOHN J MCHALE REV TRUST 97 MORTON STREET NEWTON CENTRE,MA 02459 14101300K LINCOLN,ANNAH S TR ANNAH SILSBY LINCOLN L T 9/10/97 727 MAIN STREET,UNIT D-1 OSTERVILLE,MA 02655 14101300L DICOSTANZO,EUGENE P&STELLA G TRS DICOSTANZO FAMILY TRUST 727 MAIN STREET#D2 OSTERVILLE,MA 02655 14101300M SULLIVAN,MARILYN E 39 SKYLINE DR WELLESLEY,MA 02181 MAHONEY,CLAUDIA I&BACKLUND,DON A 1410130ON TRS CLAUDIA I MAHONEY LIVING TRUST PO BOX 883 727 MAIN STREET D-4 OSTERVILLE,MA 02655 141013000 URSINO,RICHARD&JANET 21 SUTTON PLACE EAST LONGMEADOW,MA 01028 14101300P GROVER,PAUL E 24 WEST DRIVE MARION,MA 02738 14101300Q DUNNING,MICHAEL A PO BOX 841 BARNSTABLE,MA 02630 1410130OR CROSBY,ANN W&ROELL,PAUL 1 29 RHODY CIRCLE MARSTONS MILLS,MA 02648 141013005 GALLAGHER,ANNE H ET AL TRS WIANNO NOMINEE TRUST PO BOX 297 NORWELL,MA 02061 14101300T FAIELLA,ROBERT A&KELLIANNE 39 EAGLESTONE WAY COTUIT,MA 02635 141013000 ROYCROFT,JOAN M 727 MAIN ST-UNIT F2 OSTERVILLE,MA 02655 14101300V SPENCER,DIANE H 727 MAIN STREET UNIT F-3 OSTERVILLE,MA 02655_ 1410130OW VECCHIONE,NANCY JANE PO BOX 344 OSTERVILLE,MA 02655-0344 1410130OX GALLAGHER,ANNE H ET AL TRS WIANNO NOMINEE TRUST PO BOX 297 NORWELL,MA 02061 14101300Y GALLAGHER,ANNE H ET AL TRS WIANNO NOMINEE TRUST PO BOX 297 NORWELL,MA 02061 1410130OZ ADAMS,JOHN R TR 114 CHINE WAY OSTERVILLE,MA 02655 1410130AA CANUSO,SAUNIE C&EDWIN M 115 LAKESHORE DRIVE APT 1449 NORTH PALM BEACH,FL 33408 1410130AB LAUBERTE,NICOLE 727 MAIN STREET APT G3 OSTERVILLE,MA 0265S 1410130AC MERTON,CELINA C %LAVOIE,ANDREA 46 TIMBER LANE AVON,CT 06001 1410130AD GALLAGHER,ANNE H ET AL TRS WIANNO NOMINEE TRUST PO BOX 297 NORWELL,MA 02061 1410130AE GALLAGHER,ANNE H ET AL TRS WIANNO NOMINEE TRUST PO BOX 297 NORWELL,MA 02061 1410130AF GALLAGHER,ANNE H ET AL TRS WIANNO NOMINEE TRUST PO BOX 297 NORWELL,MA 02061 14101400A FAIELLA,ROBERT A TR 749-1 MAIN ST REALTY TRUST 749B MAIN ST OSTERVILLE,MA 02655 14101400E FAIELLA,ROBERT A TR 749-1 MAIN ST REALTY TRUST 749B MAIN ST OSTERVILLE,MA 02655 14101400C RAPP,JENNIFER TR 749 FIDUCIARY TRUST 749 MAIN STUNIT C OSTERVILLE,MA 02655 Wianno Knoll Condominiums Abutters List 14101400D RAPP,JENNIFER TR 749 FIDUCIARY TRUST C/O LAW OFFICES STUART W RAPP 749 MAIN STREET OSTERVILLE,MA 02655 14101400E EASTERN SCIENTIFIC,INC 749 MAIN ST-UNITE OSTERVILLE,MA 02655 1410140OF 749 MAIN STREET OSTERVILLE LLC 140 ICE VALLEY RD-UNIT F OSTERVILLE,MA 02655 14101400E WEST BAY PROPERTIES INC P 0 BOX 68 OSTERVILLE,MA 02655 14101400H MSRC REALTY GROUP LLC 749 MAIN STREET,UNIT H OSTERVILLE,MA 02655 141014001 749 MAIN STREET OSTERVILLE LLC 140 ICE VALLEY RD-UNIT I OSTERVILLE,MA 02655 141016 HOSTETTER,PRISCILLA M TR WEST BAY ROAD REALTY TRUST 770A MAIN STREET OSTERVILLE,MA 02655 141036 LEGHORN,NANCY 738 MAIN ST OSTERVILLE,MA 02655 141036001 LEGHORN,NANCY C TR CROSSVIEW REALTY TRUST 738 MAIN ST OSTERVILLE,MA 02655 14103700A MCGONIGLE,MICHAEL P 3 TAFT CIRCLE WINCHESTER,MA 01890 14103700B STUART,JONATHAN&KELLY 90 COMMONWEALTH AVENUE BOSTON,MA 02116 WYRTZEN,CURTIS CHRUSTEN III& 14103700C MARYBETH WYRTZEN FAMILY LIVING TRUST 716 MAIN STREET,UNIT B-9 OSTERVILLE,MA 02655 14103700D PAWLYSITYN,JOYCE A TR JOYCE PAWLYSITYN REV TRUST 716 MAIN STREET,UNIT B-10 OSTERVILLE,MA 02655 14103700E ANDREWS,HOWARD L&BESSIE M 716 MAIN ST#13-11 OSTERVILLE,MA 02655 14103700E RILEY,MERCEDES S ONE HUNTINGTON AVE#303 BOSTON,MA 02116 1410370OG DANAHY,ROBERT F TR 4 LIVERMORE LN-UNIT 16 WESTON,MA 02493 14103700H COTTLE,HENRY&DOLORES&ALLIEGRO &PAWLYSITYN TRUSTEES COTTLE FAMILY NOM TRUST 716 MAIN STREET,UNIT A2 OSTERVILLE,MA 02655 141037001 CAICO,SHARON J 13 HUNTINGDON RD LYNNFIELD,MA 01940 14103700J CASEY,ANN E TR COTACHESET NOMINEE TRUST 5 WHITEHOUSE LANE WESTON,MA 02493 14103700K DIANA,BRENDA S&HALL,MARTIN TRS FRANK J CAREY JR TRUST 716 MAIN STREET,UNIT#A-5 OSTERVILLE,MA 02655 14103700L ALBRECHT,REBECCA J 180 TURN OF RIVER-#6C STAMFORD,CT 06905 ONE HUNDRED SIX A WIANNO AVE NOM 141112 VESTY,CHARLES H&RENEE TRS TRUST 106A WIANNO AVE OSTERVILLE,MA 02655 f DATE 1 FEE: *. IARNbTABLE, • MASS.. REC.. BY Fi S C11 Town of Barnstable SCHED. DATE: � Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Wayne A.Miller,M.D. FAX: 508-790-6304 Junichi Sawayanagi Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION Property Address: 727 Main Street, Osterville, MA (Wianno Knoll Condominiums- Bldgs E& F) Assessor's Map and Parcel Number: Map 141, Parcel 13 Size of Lot: 83,579 SF B I Wetlands Within 300 Ft. Yes Business Name:- No X Subdivision Name: Wianno,Knoll Condominiums t Wianno Knoll Condominium Trust' APPLICANT'S NAME: Phone Did the owner of the property authorize you to represent him or her? Yes, X No PROPERTY OWNER'S NAME CONTACT PERSON Name: Wianno Knoll Condo.Trust, C/O First Property Name: Edward L. Pesce RE: Pescea 'En r. &Assoc. Inc. Manaaement Address: 1046 Main St., Suite 11, Osterville, MA 02655 Address: 451 Ravmond Rd., Plymouth, MA 02360 Phone: 508-420-0299 Phone: 508-333-7630 VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) See attached List See Attached List NATURE OF WORK: House Addition El House Renovation ❑ Repair of Failed Septic System 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 representhim/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests,only) Variance request application fee collected(no fee for lifeguard modification renewals;grease trap variance renewals[same owner/lessee only], outside dining variance renewals[same ownerfleasee 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 Wianno Knoll Condominiums August 17, 2016 SUBJECT: List of Requested Variances to Title 5 In accordance with 310 CMR 15.461 — 15.405, the following.Local Upgrade Approvals,are requested: 1) A 3.0' waiver (from-3' to 6') for the max. cover over the.proposed SAS_ ` Reference 310 CMR 15.221 (7) 2) A 0.58' waiver (from 3.0' to 3.58') for the max. cover over the proposed D-Box Reference 310 CMR 15.221 (7) 3) A 10.00'waiver (from 10.0' to 0.00') for the setback from the front lot line to the SAS- +�-•.� Reference 310 CMR 15.211 (1) 4) A 5.6' waiver (from 25.0' to`19.4')'for the setback from the existing,drainage basin to SAS Reference 310 CMR.15.211 (1) 5) A 19.3' waiver (from 25.0' to 57) for the setback from the existing drainage basin to SAS Reference 310 CMR 15.211 (1) 6) A variance from providing the minimum effective liquid capacity of 200% of design flow (i:'e., 1,940 x 200% 3,880 gal.) in the existing septic tank— in favor of providing 2 tanks in series as follows:. Existing septic tank = 2,500 gal and a new 2,000 gal. tank = 4,500 gal. capacity/-Reference 310 CMR 15:223 (1) (b) PESCE ENGINEERING AND ASSOCIATES Phone 506-743-9207 451 Raymond Rd,,Plymouth, MA 02360 Cell;508-333-7630 Wianno Knoll Condominium Trust 727 Main ,Street Osterville, MA 02655 August 15, 2016 Town of Barnstable Board of Health 200 Main Street Hyannis, MA 02601 RE: Authorization for Representation for a Title 5 Variance Application Request,Wianno Knoll Condominiums, Osterville, MA Dear Board Members, This letter is intended to document and confirm that Mr. Edward L. Pesce, P.E., of Pesce Engineering &Associates, Inc., is authorized to act as the consultant for, and represent the Wianno Knoll Condominium Trust in all matters pertaining to the application fora approval of variances to Title 5 for the proposed se pp p p ticsystem p , repairs/upgrades on our property. Thank you, John dams President, Wianno Knoll Condominium Board of Trustees PESCE ENGINEERING & ASSOCIATES, INC. 451 Raymond Road A Plymouth, MA 02360 Phone 508-743-9206 ' epescea-comcast.net' August 18,-2016 TO: The Abutters of Wianno`Knoll Condominiums, Assessor's Map# 141, Lot # 13 , SUBJECT: Notification of a Request for Variances for the Repair of an Existing Septic System TO WHOM IT MAY CONCERN, In accordance with State Law; 310 CMR 15.00, Title 5, and the Town of Barnstable Health Regulations,you are hereby notified that a request for variance(s) has been filed with the Barnstable Board of Health by the owners. of _Lot # 13 as described_ above; regarding a septic system repair. Additional details follow: APPLICANTS: Wianno Knoll Condominium Trust ADDRESS: 727 Main Street, Osterville, MA PROJECT LOCATION: Same as above PROJECT DESCRIPTION: Application for an existing failed septic system (serving Buildings E & F) to be repaired. The existing septic system will be repaired to Title 5 standards. APPLICANTS'AGENT: Edward L..Pesce, P.E., Pesce Engineering &Associates, Inc., Plymouth, MA PUBLIC HEARING: 'Tuesday afternoon, September 13, 2016 @ 3:00 PM at the Barnstable Town Hall, Selectmen's Conference Room, 367 Main Street, Hyannis, MA Plans for this project and application describing the proposed activity are on file with the Board of Health. Sincerely, Edward L. Pesce, P.E. Town of Barnstable Geographic Information System August 16,2016 117053cND 117180001 1 -A 117157 141028 141021 43#39 `1110 #�� #99� 141030 #134 #5 , 141122 1#970' 1#88? 1#67 117073 117070 98 141024 #18' 11705 CND #180 #29 [ #15 141049 w #920 117156 cr#881 �41048 #0. �1#76 141118#59; 117058002CN D #°.I#u9e0A �#91 141044 #22 �1 048001 #76 #59'� t.,�#12 0171 #55 141119 i�80 01 117074 117180002CND �141032 �045 141046 #49 11#920 39 117 55 #76 141117001 i:::'`'c•'.`.. ;;C•i;, a #53 #51 �If#61 7 Q 1 4 1 0� Ofi 117064004CN D ® # #71 #64 fr a tra #205 141066 11 70 640 03CN 1170760056ND ar 141033 #31 117061 JT#215 #210� ::,:'141036001 :";: 141043 141055 4 �� 117154 #56 141117002 #47 #50 #896 117076004CN D #57 #62 #7�fi:.?:•i;?.` 141056 #216 17 2 :t:�::` #401 141065 106 � .it:.;_; :. 141057 #25 #886 141038 117075002 117075003 #675 141041 � � 1#602 #874 # #218 1�072CND #27 i141042 #34 11706� 2 117#023202 ® #39 #33 141058 141064 141034 141040 #"24 fj 141061 ® #770 #19 141060 #612 #584 .-64 ,:.W#862 : ..•.....:...........•. 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It is not adequate for legal boundary determination or regulatory interpretation. Enlargements beyond a state of Map:141 Parcel:013006 Selected Parcel - 1"=100'may not meet established map accuracy standards. The parcel lines on this map Board of Health Abutter List Type-Direct abutters no set distance and the ;p are only graphic representations of Assessor's tax parcels. They are not true property AbuttersW+E boundaries and do not represent accurate relationships to physical features on the map properties located across the street. - such as building locations. Buffer Wianno Knoll Condominiums Abutters List Wianno Knoll Condominiums - Board of Health Abutter List for Map & Parcel: 141/013 Direct abutters (no set distance) and the properties located across the street Map&Parcel Ownerl ' Owner2 Addressl Address 2 Mailing CityStateZip 141004 ROMAN CATHOLIC BISHOP OF FALL RIVER l P O BOX 2577 FALL RIVER,MA 02723 141005 ROMAN CATHOLIC BISHOP OF FALL RIVER P O BOX 2577 FALL RIVER,MA 02723 141012 1406 MAIN STREET LLC 699 MAIN STREET OSTERVILLE,MA 02655 14101300A HUNT,CLAIRE 50 BRANDYWINE LN SUFFIELD,CT 06078, 14101300B MACHNIK,TODD M&TARA RILEY P O BOX 135 YARMOUTH PORT,MA 02675 14101300C LORING,SHEILA W _ 727 MAIN ST.,UNIT B-1 OSTERVILLE,MA 02655 14101300D RIZNIK,BARNES&HELEN C TRS RIZNIK NOMINEE TRUST 727 MAIN ST UNIT B-2 OSTERVILLE,MA 02655 14101300E AMICO,ANTHONY A&GERILYNN 21 MONTCLARE AVENUE WAKEFIELD,MA 01880 14101300E BARLOW,DEBBIE Z 727 MAIN STREET,UNIT B4 OSTERVILLE,MA 02655 1410130OG MIER,FAY A 727 MAIN ST-UNIT C-1 - OSTERVILLE,MA 02655 14101300H GRANT,KATHERINE A 727 MAIN STREET,UNIT C-2 OSTERVILLE,MA 02655 141013001 LALOR,DAVID&TRACEY,MARILYN TRS JANETTE LALOR TRUST - 41 SEAVIEW TERRACE#A SANTA MONICA,CA 90401-3219 14101300J MCHALE,CAROLYN C&CAROLYN TRS JOHN J MCHALE REV TRUST 97 MORTON STREET NEWTON CENTRE,MA 02459 14101300K LINCOLN,ANNAH S TR ANNAH SILSBY LINCOLN L T 9/10/97 727 MAIN STREET,UNIT D-1 OSTERVILLE,MA 02655 14101300L DICOSTANZO,EUGENE P&STELLA G TRS DICOSTANZO FAMILY TRUST. 727 MAIN STREET#D2 OSTERVILLE,MA 02655 14101300M SULLIVAN,MARILYN E 39 SKYLINE DR WELLESLEY,MA 02181 MAHONEY,CLAUDIA I&BACKLUND,DON A 1410130ON TRS CLAUDIA 1 MAHONEY LIVING TRUST PO BOX 883 727 MAIN STREET D-4 OSTERVILLE,MA 02655 141013000 URSINO,RICHARD&JANET 21 SUTTON PLACE EAST LONGMEADOW,MA 01028 14101300P GROVER,PAUL E 24 WEST DRIVE MARION,MA 02738 14101300Q DUNNING,MICHAEL A _ PO BOX 841 BARNSTABLE,MA 02630 1410130OR CROSBY,ANN W&ROELL,PAUL1 29 RHODY CIRCLE MARSTONS MILLS,MA 02648 14101300S GALLAGHER,ANNE H ET AL TRS WIANNO NOMINEE TRUST PO BOX 297 14101300T FAIELLA,ROBERT A&KELLIANNE 61 39 EAGLESTONE WAY CO NORWELL,TUIT,MA A MA 020 020 141013000 ROYCROFT,JOAN M 2635 727 MAIN ST-UNITT2 OSTERVILLE,MA 02655 14101300V SPENCER,DIANE H 727 MAIN STREET UNIT F-3 OSTERVILLE,MA 02655 1410130OW VECCHIONE,NANCY JANE PO BOX 344 OSTERVILLE,MA 02655-0344, 1410130OX GALLAGHER,ANNE H ET AL TRS WIANNO NOMINEE TRUST PO BOX 297 NORWELL,MA 02061 14101300Y GALLAGHER,ANNE H ET AL TRS WIANNO NOMINEE TRUST PO BOX 297 NORWELL,MA 02061 1410130OZ ADAMS,JOHN R TR 114 CHINE WAY OSTERVILLE,MA 02655 1410130AA CANUSO,SAUNIE C&EDWIN M 115 LAKESHORE DRIVE APT 1449 NORTH PALM BEACH,FL 33408 1410130AB LALIBERTE,NICOLE 727 MAIN STREET APT G3 OSTERVILLE,MA 02655 1410130AC MERTON,CELINA C %LAVOIE,ANDREA 46 TIMBER LANE AVON,CT 06001 1410130AD GALLAGHER,ANNE H ET AL TRS WIANNO NOMINEE TRUST PO BOX 297 NORWELL,MA 02061 1410130AE GALLAGHER,ANNE H ET AL TRS WIANNO NOMINEE TRUST PO BOX 297 NORWELL,MA 02061 1410130AF GALLAGHER,ANNE H ET AL TRS' WIANNO NOMINEE TRUST PO BOX 297 NORWELL,MA 02061 14101400A FAIELLA,ROBERT A TR 749-1 MAIN ST REALTY TRUST 749B MAIN ST OSTERVILLE,MA 02655 14101400E JFAIELLA,ROBERT A TR 749-1 MAIN ST REALTY TRUST 749E MAIN ST OSTERVILLE,MA 02655 14101400C IRAPP,IENNIFER TR 749 FIDUCIARY TRUST 749 MAIN STUNIT C OSTERVILLE,MA 02655 1410140OD IRAPP,JENNIFER TR 749 FIDUCIARY TRUST C/O LAW OFFICES STUART W RAPP 749 MAIN STREET IOSTERVILLE,MA 02655 Wianno Knoll Condominiums Abutters List 14101400E EASTERN SCIENTIFIC,INC 749 MAIN ST-UNIT E OSTERVILLE,MA 02655 1410140OF 749 MAIN STREET OSTERVILLE LLC 140 ICE VALLEY RD-UNIT F OSTERVILLE,MA 02655 1410140OG' WEST BAY PROPERTIES INC P 0 BOX 68 OSTERVILLE,MA 02655 14101400H MSRC REALTY GROUP LLC 749 MAIN STREET,UNIT H OSTERVILLE,MA 02655 141014001 749 MAIN STREET OSTERVILLE LLC 140 ICE VALLEY RD-UNIT 1 OSTERVILLE,MA 02655 141016 HOSTETTER,PRISCILLA M TR WEST BAY ROAD REALTY TRUST 770A MAIN STREET OSTERVILLE,MA 02655 141036 LEGHORN,NANCY 738 MAIN ST OSTERVILLE,MA 02655 141036001 LEGHORN,NANCY C TR CROSSVIEW REALTY TRUST 738 MAIN ST OSTERVILLE,MA 02655 14103700A MCGONIGLE,MICHAEL P 3 TAFT CIRCLE WINCHESTER,MA 01890 14103700B STUART,JONATHAN&KELLY 90 COMMONWEALTH AVENUE BOSTON,MA 02116 WYRTZEN,CURTIS CHRUSTEN III& 14103700C MARYBETH WYRTZEN FAMILY LIVING TRUST 716 MAIN STREET,UNIT B-9 OSTERVILLE,MA 02655 14103700D PAWLYSITYN,JOYCE A TR JOYCE PAWLYSITYN REV TRUST 716 MAIN STREET,UNIT B-10 OSTERVILLE,MA 02655 14103700E ANDREWS,HOWARD L&BESSIE M 716 MAIN ST#B-11 OSTERVILLE,MA 02655 1410370OF RILEY,MERCEDES S ONE HUNTtNGTON AVE#303 BOSTON,MA 02116 14303700E DANAHY,ROBERT F TR 4 LIVERMORE LN-UNIT 16 WESTON,MA 02493 14103700H COTTLE,HENRY&DOLORES&ALLIEGRO &PAWLYSITYN TRUSTEES COTTLE FAMILY NOM TRUST 716 MAIN STREET,UNIT A2 OSTERVILLE,MA 02655 141037001 CAICO,SHARON J 13 HUNTINGDON RD LYNNFIELD,MA 01940 14103700J CASEY,ANN E TR COTACHESET NOMINEE TRUST 5 WHITEHOUSE LANE WESTON,MA 02493 14103700K DIANA,BRENDA S&HALL,MARTIN TRS FRANK J CAREY JR TRUST 716 MAIN STREET,UNIT#A-5 OSTERVILLE,MA 02655 14103700L ALBRECHT,REBECCA J 180 TURN OF RIVER-#6C STAMFORD,CT 06905 ONE HUNDRED SIX A WIANNO AVE NOM - 141112 VESTY,CHARLES H&RENEE TRS TRUST 106A WIANNO AVE OSTERVILLE,MA 02655 i • "4 a i { -1^#�' �� '�-- _� . � �3� 4-.s •ram : f • • • •. • • •• 111• ' • •• 1 ►� '� 't.,41 n w� G �SRe� st ''�� ����:r Y ins,.`r �6i •� t Iy T �'dJ 't,� �'S.: �,.�.. .. jALJ 3. e � � � ����• '`+ram ' - - � -.. - r -` 'w" tee Z _ • `y �... W x ti AL- 16 +cam T .:�. •. r _^" .� _ + r Apr M� - r .r s r •. IT of �•. -. Map Page 1 of 1 Town of Barnstable Geographic Information System New Sear Parcel Viewer Custom Map Abutters �I"1"'"' .■ ZOOm Ou[„",""In m QV a IN 1.; 0 Q � � ® ®ev)PG Map: 141 Parcel: 013-OOT Location: 727 MAIN STREET(OST.) Owner. F 0 onr4raaFle a xanlaYBrrna 'Location Information - Map&Parcel 14101300T Location 727 MAIN STREET(OST.) 141014CNO �'i`•-- �' Acreage 0.00 acres r� 0749 Y - Current Owner Mailing Address FAI ELLA,ROBERT A&KE 39 EAGLESTONE WAY COTUIT,MA 02635 Appraised Value(FY 2016) Extra Features $13,300 Out Buildings $0 Land $0 Buildings $216,100 r, I f laic"• Total Appraised $229,400 I11013 CND _ - � — Y727 j E Assessed value(FY 2016) _ fExtra Features $13,300 Out Buildings $0 �' 141010 I Land 0 Y 3 _ - Buildings $216,100 Total Assessed $229,400 Construction Detail Style Condominium Model Res Condo Grade Average Plus "-- Stories 1 Story Exterior Wall Wood Shingle Roof Structure Gable/Hip Roof Cover Asph/F GIs/Cmp �> 14111I Interior Wall Drywall Y100 Interior Floor Carpet i J � Heat Fuel Electric F -, Heat Type Elec Baseboard �48 Feet _/ AC Type None -. - Number of 2 Bedrooms S�- Bedrooms YYYa� Number of 2 Full-0 Half Set Scale 1 148 Iuly 2009 Coastal Coastal v� I MAP DISCLAIMER Bathrooms Copynght 2005-201D Town of Bamstable,MA All nghts reserved Send questions or comments to GIS http://66.203.95.236/arcims/appgeoapp/map.aspOpropertyID=14101300T 9/9/2016 Page 1 of 1 I _.. 00. s L y. r. - 1 i� �- s•_ 'r' http://townofbamstable.us/propertyimages/00/09/92/36.jpg 9/12/2016 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS Jn DEPARTMENT OF ENVIRONMENTAL PROTECTION \� l A,M Svev . 350 MAIN STREET . & WEST YARMOUTH, MA 508-775-2800 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION MAP 141 PAR 013 PROPERTY ADDRESS: 727 MAIN STREET, OSTERVILLE ADDRESS OF OWNER: DATE OF INSPECTION: JANUARY 18, 2000 WIANNO KNOLL CONDO NAME OF INSPECTOR : JULY 20, 2006 BUILDING F I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 9310 CMR 15.000) COMPANY NAM`E: A&B Canco MAILING ADDRESS: 350 Main Street,West Yarmouth,MA 02673 TELEPHONE NUMBER: (508)775-2800 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection The inspection was prrformed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: X PASSES CONDITIONALLY PASSES NEEDS FURTHER EVALUATION BY THE LOCAL APPROVING AUTHORITY FAILS INSPECTORS SIGNATURE: DATE: JULY 24,2006 The system Inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP) within thirty(30) days of completing this inspection. If the system is a shared system or 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 Department of Environmental Protection.. The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority. NOTES AND COMMENTS: BLDG.F SYSTEM ALSO SERVES BLDG.E SITE OVER ALL PASSES,INSPECTION OF SYSTEM IS BASED ON CONDITION OF SYSTEM AT THE TIME OF THE INSPECTION.THERE IS NO GUARANTEE ON TF E LIFE OF THE SYSTEM. I _ t - I revised 9/2/98 t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM •.� PART C SYSTEM INFORMATION Property Address: 727 MAIN STREET, OSTERVILLE Owner: WIANNO KNOLL CONDO—BUILDING F Date of Inspection: JULY 20, 2006 FLOW CONDITIONS 1 RESIDENTIAL: Design flow: 1760 g.p.d./bedroom for S.A.S. Number of bedrooms(design) 16 Number of bedrooms(actual): 16 Total DESIGN flow N/A Number of current residents: N/A Garbage grinder(yes or no): NO Laundry(separate system) (yes or no): NO If yes,separate inspection required Laundry system inspected(yes or no): YES Seasonal use(yes or no) NO Water meter readings,if available(last two(2)year usage(gpd): N/A Sump Pump(yes or no): NO - Last date of occupancy: PRESENT COM M ERCIAL/INDUSTRIAL: Type of establishment: Design flow: _ Gpd(Based on 16.203) Basis of design flow Grease trap present:(yes or no): Industrial Waste Holding Tank present:(yes or no) Non-sanitary waste discharged to the Title 5 system:(yes or no) r Water meter readings,if available: Last date of occupancy: — OTHER:(Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: NOTE:MAINTENACE PUMP AFTER INSPECTION. System pumped as part of inspection:(yes or no) NO If yes,volume pumped: gallons Reason for pumping TYPE OF SYSTEM X Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privwy X Shared system(yes or no)(if yes,attach previous inspection records,if any)BLDG E,F&OFFICE. I/A Technology etc.Attach copy of.up to date operation and maintenance contract. Tight Tank Copy of DEP Approval Other APPROXIMATE AGE of all components, date installed (if known)and source of information: 1984 Sewage odors detected when arriving at the site:(yes or no) NO i COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS A W Z A4 V + a DEPARTMENT OF ENVIRONMENTAL PROTECTION 350 MAIN STREET WEST YARMOUTH,MA +508-775-2800 �Ov '1 ,8 2003 ! TOV', TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION MAP 141 PAR 013 Property Address: 727 MAIN STREET—BUILDING F OSTERVILLE,MA 02655 Owner's Name: WIANNO KNOLLS CONDOMINIUMS Owner's Address: 727 MAIN STREET OSTERVILLE,MA 02655 Date of Inspection OCTOBER 14,2003 Name of Inspector:(please print) JAMES D.SEARS Company Name:. A&B Canco Mailing Address: 350 Main Street West Yannouth,MA 02673 Telephone Number: 508-775-2800 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the infonnation reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ./ Passes y Conditionally Passes Needs Further Evaluation by the Local Approving Authority , Fails 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 is a shared system or 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 should be sent to the system owner and copies sent tot he buyer;if applicable,and the approving authority. �N-otes_and-Comments___ BUILDING F—_SYYSTEM ALSO SERVES BUILDING E ****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. Title 5 Inspection Form 6/15/2000 1 /j Page 6 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 727 MAIN STREET-BUILDING F OSTERVILLE,MA 02655 Owner: WIANNO KNOLLS CONDOMINIUMS Date of Inspection: OCTOBER 14,2003 FLOW CONDITIONS RESIDENTIAL Number of Bedrooms(design): 16 Number of bedrooms(actual): 16 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms: 1760 Number of current residents: N/A Does residence have a garbage grinder(yes or no): NO Is laundry on a separate sewage system(yes or no): NO [if yes separate inspection required] Laundry system inspected(yes or no): YES Seasonal use(yes or no): NO Water meter readings,if available(last 2 years usage(gpd)): N/A Sump pump(yrs or no) NO Last date of 6ccupancy: PRESENT- COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): Basis of design flow(seats/persons/sqft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no):, Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: ANNUAL PUMPING Was system pumped as part of the inspection(yes or no): NO If yes,volume pumped: gallons—How was quantity pumped detennined? Reason for pumping: TYPE OF SYSTEM ✓ Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool Privy J Shared system(yes or no)(if yes,attach previous inspection records,if any) BUILDING E,F AND OFFICE Innovative/Altemative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank Attach copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: 1984 Were sewage odors detected when arriving at the site(yes or no): NO Title 5 Inspection Form 6/15/2000 6 i ' -=� C OMMONWEALT11 OF MASSACHUSETTS _ EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS -- DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON MA 02108 (617) 292-5500 _Z- r TRUDY COXE 350 MAIN STREET Secretary ARGEO PAUL CELLUCCI WEST YARMOUTH, MA Governor — 508-775-2800 DAVID B. STRUHS Comnussioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A - CERTIFICATION MAP 141 PAR 013 PROPERTY ADDRESS: 727 MAIN STREET, OSTERVILLE ADDRESS OF OWNER: DATE OF INSPECTION: JANUARY 18, 2000 WIA OLL CONDO NAME OF INSPECTOR : JAMES D. SEARS VILDING E I am a DEP approved system inspector pursuant to Section 15. 0 C MR 15.000) COMPANY NAME: A 8 B Canco MAILING ADDRESS: 350 Main Street,West Yarmouth,MA 02673 TELEPHONE NUMBER: (508)775-2800 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: X PASSES CONDITIONALLY PASSES NEEDS FURTHER EVALUATION BY THE LOCAL APPROVING AUTHORITY -FAILS INSPECTORS SIGNATURE: DATE: FEBRUARY.2,2000 The system Inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP) within thirty(30) days of completing this inspection. If the system is a shared system or 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 Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority. NOTES AND COMMENTS: SITE OVER ALL PASSES,INSPECTION OF`SYSTEM IS BASED ON CONDITION OF SYSTEM AT THE TIME OF THE INSPECTION.THERE IS NO GUARANTEE ON THE LIFE OF THE SYSTEM. NOTE: SYSTEM ALSO SERVES PART OF BUILDING F. ,Atg �" yk. <� FF Poy� ,� U Y� y 0� ��� TsIF 00. 0 . revised 912/98 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM r " PART C SYSTEM INFORMATION Property Address: 727 MAIN STREET,OSTERVILLE Owner: WIANNO KNOLL CONDO—BUILDING E Date of Inspection: JANUARY 18,2000 � I FLOW CONDITIONS RESIDENTIAL: Design flow: 880 g.p.d./bedroom for S.A.S. Number of bedrooms(design) 8 Number of bedrooms(actual): 8 Total DESIGN flow N/A Number of current residents: N/A Garbage grinder(yes or no): NO ' Laundry(separate system) (yes or no): NO If yes,separate inspection required Laundry system inspected(yes or no): YES Seasonal use(yes or no) NO Water meter readings,if available(last two(2)year usage(gpd): Sump Pump(yes or no): NO Last date of occupancy: N/A COMMERCIAL/INDUSTRIAL: Type of establishment: Design flow: Gpd(Based on 15.203) Basis of design flow Grease trap present:(yes or no): Industrial Waste Holding Tank present:(yes or no) Non-sanitary waste discharged to the Title 5 system:(yes or no) Water meter readings,if available: Last date of occupancy: OTHER:(Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: YEARLY PUMPING System pumped as part of inspection:(yes or no) NO If yes,volume pumped: gallons Reason for pumping TYPE OF SYSTEM X Septic tank/distribution boxisoil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no)(if yes,attach previous inspection records,if any) I/A Technology etc.Attach copy of up to date operation and maintenance contract. Tight Tank Copy of DEP Approval Other APPROXIMATE AGE of all components, date installed (if known)and source of information: 1984, NEW D-BOX 1998 PERMIT#98-104 Sewage odors detected when arriving at the site:(yes or no) NO revised 9/2/98 6 L - COMMON WEALTI i OF MASSACHUSETTS ExECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONm ENTAL PROTECTION ONE WINTER STREET, BOSTON MA 02108 (617) 292-5500 uG /� TR P COX: 350 MAIN STREET cretar ARGEO PAUL CELLUCCI WEST YARMOUTH, MA �D B.a RUIi Governor 508-775-2800 �n Co nmt ssione SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION F PART A / CERTIFICATION r �� MAP141 PAR 013 000-OOP OOV T PROPERTY ADDRESS: 727 MAIN,STREET, BLDG F, OSTERVILLE ADDRESS OF OWNER: DATE OF INSPECTION: JUNE 1, 1999 WIANNO KNOLL CONDOS NAME OF INSPECTOR : JAMES D.SEARS I am a DEP approved system inspector pursuant to Section.15.340 of Title 5 9310 CMR 15.000) COMPANY NAME:, A&B Canco MAILING ADDRESS: 350 Main Street,West Yarmouth,MA 02673 TELEPHONE NUMBER: (508)775-2800 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: X PASSES CONDITIONALLY PASSES NEEDS FURTHER EVALUATION BY THE LOCAL APPROVING AUTHORITY FAILS / '/ r, p INSPECTORS SIGNATURE: DATE: b ' The system Inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP) within thirty(30) days of completing this inspection. If the system is a shared system or 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 Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority. NOTEStANDrCOMMENTS: (= T_E:-SYSTEM PICKS UP B D E'&J1 SITE OVER ALL PASSES,INSPECTION OF SYSTEM.IS BASED ON CONDITION OF SYSTEM AT THE TIME OF THE INSPECTION.THERE IS NO GUARANTEE ON THE LIFE OF THE SYSTEM. revised 9/2/98 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIVICATION(continued) Property Address: 727 MAIN STREET, BLDG F, OSTERVILLE Owner: WIANNO KNOLL CONDOS Date of Inspection: JUNE 1, 1999 INSPECTION SUMMARY: Check A,B, C, orD: A] SYSTEM PASSES: YES I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: B SYSTEM CONDITIONALLY PASSES: N/A 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. Indicate yes,no,or not determined(Y,N,or ND). Describe basis of determination in all instances. If"not determined",explain why not) _ The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate Of Compliance(attached)indicating that the tank was installed within twenty(20) years prior to the date of the inspection;or the septic tank,whether or not metal,is cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank is failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. The system will pa pass inspection if(with approval of the Board of Health). broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced _ The system required pumping more than four 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 obstruction is removed revised 9/2/98 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 727 MAIN STREET, BLDG F, OSTERVILLE Owner: WIANNO KNOLL CONDOS Date of Inspection: JUNE 1,1999 C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: N/A Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the.public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 15.303 (1)(b)THT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: 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. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF ANY) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE 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 soil absorption system and the SAS is within a Zone 1 of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen and is equal to or less than 5 ppm. Method used to determine distance (approximation not valid). 3) OTHER revised 9/2/98 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 727 MAIN STREET, BLDG F, OSTERVILLE Owner: WIANNO KNOLL CONDOS Date of Inspection: JUNE 1, 1999 D]SYSTEM FAILS: N/A You must indicate either"Yes"or"No" to each of the following: I have determined that one or more of the following failure conditions exist as described in 310 CMR 16.303. The basis for this determination is identified below. The Board of Health should be contacted to Determine what will be necessary to correct the failure. Yes No Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an over- loaded or clogged SAS or cesspool. 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'%day flow 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 Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public 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. If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen. E) LARGE SYSTEM FAILS: N/A You must indicate either"Yes"or"No"as to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a _ significant threat to public health and safety and the environment because one or more of the following conditions exist: 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 mapped Zone II of a public water supply well) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office of the Department for further information. t 5 I revised 9/2/98 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 727 MAIN STREET, BLDG F, OSTERVILLE Owner: WIANNO KNOLL CONDOS Date of Inspection: JUNE 1, 1999 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following: Yes No X Pumping information was provided by the owner,occupant,or Board of Health. X Ncne of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. X As built plans have been obtained and examined. Note if they are not available with N/A. X The facility or dwelling was inspected for signs of sewage back-up. X The system does not receive non-sanitary or industrial waste flow. X The site was inspected for signs of breakout. X All system components,including the Soil Absorption System,have been located on the site. X The septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected for condition of baffles or tees,material of construction,dimensions,depth of liquid depth of sludge,depth of scum. The size and location of the Soil Absorption System on the site Has been determined based on: X Existing information.Ex.Plan at B.O.H. X Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable)[15.302(3)(b)] X The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of Sub-Surface Disposal System. revised 9/2/98 5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 727 MAIN STREET, BLDG F, OSTERVILLE Owner: WIANNO KNOLL CONDOS Date of Inspection: JUNE 1, 1999 FLOW CONDITIONS RESIDENTIAL: Design flow: 880 g.p.d./bedroom for S.A.S. Number of bedrooms(design) 8 Number of bedrooms(actual): 8 . Total DESIGN flow Number of current residents: N/A Garbage grinder(yes or no): NO Laundry(separate system) (yes or no): NO If yes,separate inspection required Laundry system inspected(yes or no): YES Seasonal use(yes or no) NO Water meter readings,if available(last two(2)year usage(gpd): Sump Pump(yes or no): NO Last date of occupancy: N/A COM MERCIAUINDUSTRIAL: Type of establishment: h Design flow: Gpd(Based on 16.203) Basis of design flow Grease trap present:(yes or no): Industrial Waste Holding Tank present:(yes or no) Non-sanitary waste discharged to the Title 5 system:(yes or no) Water meter readings,if available: Last date of occupancy: OTHER:(Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: N/A System pumped as part of inspection:(yes or no) NO If yes,volume pumped: gallons Reason for pumping TYPE OF SYSTEM X Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no)(if yes,attach previous inspection records,if any) . I/A Technology etc.Attach copy of up.to date operation and maintenance contract. Tight Tank Copy of DEP Approval Other TANK ALSO PICKS UP BLDG E&J1 APPROXIMATE AGE of all components, date installed (if known)and source of information: 1984 Sewage odors detected when arriving at the site:(yes or no) NO revised 9/2/98 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 727 MAIN STREET, BLDG F, OSTERVILLE Owner: WIANNO KNOLL CONDOS Date of Inspection: JUNE 1, 1999 BUILDING SEWER: (Locate on site plan) Depth below grade: Material of construction — cast iron — 40 PVC — other(explain) Distance from private water supply well or suction line Diameter Comments:(condition of joints,venting,evidence of leakage,etc.) SEPTIC TANK: (Locate on site plan) f Depth below grade: 46" Material of construction X concrete — metal — Fiberglass — Polyethylene other(explain) If tank is metal,list age Is age confirmed by Certificate of Compliance (Yes/No) Dimensions: 2,500 GALLON PRE CAST Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 67" Scum thickness: 1" Distance from top of scum to top of outlet tee or baffle: 8" Distance from bottom of scum to bottom of outlet tee or baffle: 11" How dimensions were determined PLAN&TAPE Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage,etc.) TWO INLET TEES,OUTLET BAFFLE,TANK AT WORKING LEVEL BOTH COVERS T STEEL AT GRADE GREASE TRAP: N/A (locate on site plan) Depth below grade: 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: Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert;structural integrity,evidence of leakage,etc.) revised 9/2/98 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C \ SYSTEM INFORMATION (continued) Property Address.: 727 MAIN STREET, BLDG F, OSTERVILLE Owner: WIANNO KNOLL CONDOS Date of Inspection: JUNE 1, 1999 TIGHT OR HOLDING TANK: N/A (Tank must be pumped prior to,or 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/day Alarm present Alarm level: Alarm in working order Yes; No Date of previous pumping: Comments: (condition of inlet tee,condition of alarm and float switches,etc.)1 1 DISTRIBUTION BOX: YES (locate on site plan) Depth of liquid level above outlet invert: 0 Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc,) DISTRUBITION BOX IS 2'X2'40"BELOW GRADE ONE LINE IN,FOUR LINES OUT 2'STEEL COVER AT GRADE PUMP CHAMBER: N/A (locate on site plan) Pumps in working order:(Yes or No) Alarms in working order(Yes or No) Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) revised 9/2/98 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 727 MAIN STREET, BLDG F, OSTERVILLE Owner: WIANNO KNOLL CONDOS Date of Inspection: JUNE 1, 1999 SOIL ABSORPTION SYSTEM (SAS):YES (locate on site plan,if possible;excavation not required,but may be approximated by non-intrusive methods) If not located, explain: Type: Leaching pits,number: 4 Leaching chambers,number: Leaching galleries,number:- Leaching trenches,number,length: Leaching fields,number,dimensions: Overflow cesspool,number, Alternative system: Name of Technology: Comments: (note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) FOUR(4)PRE CAST PITS.ALL PITS HAVE 2'STEEL COVERS AT GRADE TWO PITS HAVE 2'WATER,TWO PITS HAVE 1'WATER NOTE:SPEED LEVELER ARE BEING INSTALLED CESSPOOLS: N/A (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(cesspool must be pumped as part of inspection) Comments:: (note condition of soil,signs of hydraulic failure,,level of ponding,condition of vegetation,etc.) PRIVY: N/A (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.) revised 9/2/98 9 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 727 MAIN STREET, BLDG F, OSTERVILLE Owner: WIANNO KNOLL CONDOS - Date of Inspection: JUNE 1, 1999 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100'(locate where public water supply comes into house) SEE ATTACHED PLAN i revised 9/2/98 10 r r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 727 MAIN STREET, BLDG F, OSTERVILLE Owner: WIANNO KNOLL CONDOS Date of Inspection: JUNE 1, 1999 NRCS Report name Soil Type Typical depth to groundwater USGS Date website visited Observation Wells checked Ground water depth: Shallow Moderate Deep SITE EXAM Slope Surface water Check Cellar i Shallow wells Estimated Depth to groundwater OVER 12 FEET Please indicate all the methods used to determine High Groundwater Elevation: X Obtained from Design Plans on record Observation of Site(Abutting property,observation hole,basement sump etc.) Determine it from local conditions Check with local Board of health Check FEMA Maps n Check pumping records ' Check local excavators,installers Use USGS Data Describe in your own words how you established the High Groundwater Elevation. Must be completed) NOTE: TEST HOLE ON PLAN NO WATER AT 12' I revised 9/2/98 11 No. UU Fee : / / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: _V Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for ]Biopoml bpztem Construction Vermit Application for a Permit to Construct( )Repair( 1-11U*'pgrade( )Abandon( ) ❑Complete System 14�dividual Components Location Address or Lot No. - D 13 Owner's Name,Address and Tel.No. bt 1/4 AI A'o Assessor's Map/ arcel 8.4Z)oc IT 7 2-n Installer's Name,Address,and Tel.No. j p 8% ?s —�`z g D B Designer's Name,Address and Tel.No. 5T Al Type of Building: 0 O Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Z_ /7t C'r 8 O k Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. Signed Date Application Approved by Date _p Application Disapproved for the following reasons Permit No. vA0()2—5dX Date Issued �/ �� � I No. UO a s Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: — i Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS 01pprication for niopo0al *potent Conotruction Permit Application for a Permit to Construct( )Repair( klouoopgrade( )Abandon( ) ❑Complete System (�FIn'1°di'vidual Components Location Addreessfs or Lot No. ' D 3 O U Owner's Name,Address Address and Tel.No. Assessor's Map/Parcel 7 P-9 /J141"k .S7 O Installer's Name,Address,and Tel.No. .7Q r- P!3' ,.� P Designer's Name,Address and Tel.No. A 06 C?/ 4v .3.1,40 5 T 401 r �� Type of Building: 0 Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) /`l� D 0)( Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. Signed " Date Application Approved by "L. Date Application Disapproved for the following reasons Permit No. �Od Date Issued ----------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERUFY,that the On-site Sewage Disposal System Constructed( )Repaired( A-TUpgraded( ) Abandoned( )by Ae C —fo "�'. g-,r- at ! ?i4 eA A�.S'� !��,b,4 '�" has been constructed in accordance with the provisions of Title 5 and the f Disposal System Construction Permit No. � � o�� dated //-k 0? j Installer _ _ Designer The issu ce of t� permit shall not be construed as a guarantee that the system will function s esigned. Date 0 Inspector .,.��./. v , 1 No. d U 2 —S'o�PL Fee -Z i THE COMMONWEALTH OF MASSACHUSETTS } PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS 0i5po4al *p5tem Construction Permit Permission is hereby granted to Construct( )Repair(6TUpgrade( )Abandon( . ) System located at �a /�`E/L.� '3 77 0577 63 4 71� i and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this ermit. Date: Approved by ~ �" P Pi. t -� COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS !� DEPARTMENT OF ENVIRONMENTAL PROTECTION iA,M Svev` / • �� G/, J U 350 MAIN STREET VVV WEST YARMOUTH, MA en 508-775-2800 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION MAP 141 PAR 013 PROPERTY ADDRESS: 727 MAIN STREET, OSTERVILLE ADDRESS OF OWNER: DATE OF INSPECTION: JANUARY 18,2000 WIANNO KNOLL CONDO NAME OF INSPECTOR : JULY 20, 2006 BUILDING J I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 9310 CMR 15.000) COMPANY NAME: A&B Canco MAILING ADDRESS: 350 Main Street,West Yarmouth,MA 02673 TELEPHONE NUMBER: (508)775-2800 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: X PASSES CONDITIONALLY PASSES NEEDS FURTHER EVALUATION BY THE LOCAL APPROVING AUTHORITY FAILS INSPECTORS SIGNATURE: DATE: JULY 24,2006 The system Inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP) within thirty(30) days of completing this inspection. If the system is a shared system or 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 Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority. NOTES AND COMMENTS: BLDG. J—2-3-4 SITE OVER ALL PASSES, INSPECTION OF SYSTEM IS BASED ON CONDITION OF SYSTEM AT THE TIME i r OF THE INSPECTION.THERE IS NO GUARANTEE ON THE LIFE OF THE SYSTEM. * revised 9/2/98 ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIVICATION (continued) Property Address: 727 MAIN STREET, OSTERVILLE Owner: WIANNO KNOLL CONDO, BUILDING J Date of Inspection: JULY 20,2006 INSPECTION SUMMARY: Check A, B, C, orD: A] SYSTEM PASSES: X I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: B SYSTEM CONDITIONALLY PASSES: N/A 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. Indicate yes,no,or not determined(Y, N,or ND). Describe basis of determination in all instances. If"not determined",explain why not) The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate Of Compliance(attached)indicating that the tank was installed within twenty(20) years prior to the date of the inspection;or the septic tank,whether or not metal,is cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank is failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. The system will pa pass inspection if(with approval of the Board of Health). broken pipe(s)are replaced obstruction is removed distribution box is replaced The system required pumping more than four 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 obstruction is removed SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 727 MAIN STREET, OSTERVILLE Owner: WIANNO KNOLL CONDO—BUILDING J Date of Inspection: JULY 20, 2006 C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: N/A Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 15.303 (1)(b)THT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: 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. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF ANY) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE 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 soil absorption system and the SAS is within a Zone 1 of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen and is equal to or less than 5 ppm. Method used to determine distance (approximation not valid). 3) OTHER SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 727 MAIN STREET, OSTERVILLE Owner: WIANNO KNOLL CONDO-BUILDING J Date of Inspection: JULY 20,2006 D]SYSTEM FAILS: N/A You must indicate either"Yes"or"No" to each of the following: I have determined that one or more of the following failure conditions exist as described in 310 CMR 16.303. The basis for this determination is identified below. The Board of Health should be contacted to Determine what will be necessary to correct the failure. Yes No X Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. X Discharge or ponding of effluent to the surface of the ground or surface waters due to an over- loaded or clogged SAS or cesspool. X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. X Liquid depth in leaching is less than 6"below invert or available volume is less than%day flow X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s) Number of times pumped X Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. N/A Any portion of a cesspool or privy is within 100 feet of surface water supply or tributary to a surface water supply. N/A Any portion of a cesspool or privy is within a Zone I of a public well. N/A Any portion of a cesspool or privy is within 50 feet of a private water supply well. N/A 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. If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen. E) LARGE SYSTEM FAILS: N/A You must indicate either"Yes"or"No"as to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: 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 mapped Zone II of a public water supply well) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office of the Department for further information. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 727 MAIN STREET, OSTERVILLE Owner: WIANNO KNOLL CONDO—BLDG.J Date of Inspection: JUILY 20, 2006 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following: Yes No X Pumping information was provided by the owner,occupant,or Board of Health. X None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. X As built plans have been obtained and examined. Note if they are not available with N/A. X The facility or dwelling was inspected for signs of sewage back-up. X The system does not receive non-sanitary or industrial waste flow. X The site was inspected for signs of breakout. X All system components,including the Soil Absorption System,have been located on the site. X The septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected for condition of baffles or tees,material of construction,dimensions,depth of liquid depth of sludge,depth of scum. The size and location of the Soil Absorption System on the site Has been determined based on: X Existing information.Ex.Plan at B.O.H. X Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable)[15.302(3)(b)] X The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of Sub-Surface Disposal System. i� SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 727 MAIN STREET, OSTERVILLE Owner: WIANNO KNOLL CONDO—BUILDING J Date of Inspection: JULY 20,2006 FLOW CONDITIONS RESIDENTIAL: Design flow: g.p.d./bedroom for S.A.S. Number of bedrooms(design) Number of bedrooms(actual): , Total DESIGN flow Number of current residents: Garbage grinder(yes or no): Laundry(separate system) (yes or no): If yes,separate inspection required Laundry system inspected(yes or no): Seasonal use(yes or no) Water meter readings,if available;last two(2)year usage(gpd): Sump Pump(yes or no): Last date of occupancy: COMMERCIAUINDUSTRIAL: Type of establishment: OFFICE SPACE Design flow: N/A Gpd(Based on 15.203) Basis of design flow N/A Grease trap present:(yes or no): NO Industrial Waste Holding Tank present:(yes or no) NO Non-sanitary waste discharged to the Title 5 system:(yes or no) NO Water meter readings,if available: N/A Last date of occupancy: PRESENT OTHER:(Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: YEARLY-NOTE:MAINTENACE PUMP AFTER INSPECTION. System pumped as part of inspection:(yes or no) NO If yes,volume pumped: gallons Reason for pumping TYPE OF SYSTEM X Septic tank/distribution Ibox/soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no)(if yes,attach previous inspection records,if any)BLDG E,F&OFFICE. I/A Technology etc.Attach copy of up to date operation and maintenance contract. Tight Tank Copy of DEP Approval Other APPROXIMATE AGE of all components, date installed (if known)and source of information: UNKNOWN Sewage odors detected when arriving at the site:(yes or no) NO SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 727 MAIN STREET, OSTERVILLE Owner: WIANNO KNOLL CONDO—BULDING J Date of Inspection: JULY 20, 2006 BUILDING SEWER: ./ (Locate on site plan) Depth below grade: 16" Material of construction _ cast iron 40 PVC _ other(explain) Distance from private water supply well or suction line Diameter Comments:(condition of joints,venting,evidence of leakage,etc.) SEPTIC TANK: X (Locate on site plan) Depth below grade: 181, Material of construction X concrete _ .metal _ Fiberglass _ Polyethylene _ other(explain) If tank is metal,list age Is age confirmed by Certificate of Compliance (Yes/No) Dimensions: 1,500-GALLON PRE CAST Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 28" Scum thickness: 1" Distance from top of scum to top of outlet tee or baffle: 12" Distance from bottom of scum to bottom of outlet tee or baffle: 17 How dimensions were determined PLAN&TAPE Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage,etc.) TANK AT WORKING LEVEL,INLET BAFFLE- OUTLET BAFFLE,BOTH COVERS STEEL AT GRADE. NO SIGN OF OVER LOADING OR LEAKAGE. GREASE TRAP: N/A (locate on site plan) Depth below grade: 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: Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage,etc.) f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 727 MAIN STREET Owner: WIANNO KNOLL CONDO—BUILDING J Date of Inspection: JULY 20,2006 TIGHT OR HOLDING TANK: N/A (Tank must be pumped prior to,or 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/day Alarm present Alarm level: Alarm in working order Yes; No Date of previous pumping: Comments: (condition of inlet tee,condition of alarm and float switches,etc.) DISTRIBUTION BOX: X (locate on site plan) Depth of liquid level above outlet invert: 0 Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc,) D-BOX IS 16"X 16"-26"BELOW GRADE.ONE LINE IN ONE LINE OUT,STEEL COVER AT GRADE. NO SIGN OF OVER LOADING OR SOLID CARRY OVER. PUMP CHAMBER: N/A (locate on site plan) Pumps in working order:(Yes or No) Alarms in working order(Yes or No) Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) 1 fi � d�rd�i�sTs 4 �, .r► �� �. I`y � � r �../ ti .,. P 1 y I 1 1 .c t Y r I` • 7�1 Mu.,11 ��- -Qs� Commonwealth of Massachusetts Executive Office of Energy &Environmental Affairs LIDepartment of Environmental Protection One Winter Street Boston, MA 02108.617-292-5500 DEVAL L PATRICK RICHARD K.SULLIVAN JR. Governor Secretary TIMOTHY P.MURRAY KENNETH L.KIMMELL Lieutenant Governor Commissioner GENERAL USE CERTIFICATION Pursuant to Title 5, 310 CMR 15.00 Name and Address of Applicant: Bio-Microbics, Inc. 8450 Cole Parkway Shawnee,KS 66227 Trade name of technologyand models YMrcroFASTO Treatment System, Y - - - r Models:Micro— FASM 0.5 0.75 0.9 1.5_3:0 4.5 and 9.0• Hi hStren hFAST®Treatment g � System Models Hi hg Strength FASM 1.0, 1.5, 3.0, 4.5 and 9.0 andNitriFAST®Treatment System Models NitriFAST® 0.5, 0.75, 1.0, 1.5, 3.0, 4.5 and 9.0(all hereinafter called the "System"). Schematic drawings illustrating each System, a design and installation manual, an owner's manual, an operation and maintenance manual, and an inspection checklist are part of this Approval. Transmittal Number: X236074 Date of Issuance: Revised February 12, 2013 < Authority for Issuance Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000,the Department of Environmental,Protection hereby issues this General Use Certification to Bio-Microbics, Inc. 8450 Cole Parkway, Shawnee, KS 66227 (hereinafter"the Company"), certifying the System described herein for General Use in the Commonwealth of Massachusetts. The sale, design, installation, and use of the System are conditioned on compliance by the Company, the Designer, the Installer,the Service Contractor, and the System Owner with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Certification constitutes a violation of 310 CMR 15.000. February 19, 2013 David Ferris, Director Date Wastewater Management Program, Bureau of Resource Protection This information is available in alternate format.Call Michelle Waters-Ekanem,Diversity Director,at 617-292-5751.TDD#1-866-539-7622 or 1-617-574-6868 MassDEP Website:www.mass.gov/dep Printed on Recycled Paper L. 1 r Bio-Microbics,Inc.-MicroFAST®,HighStrengthFAST®,NitriFAST® Page 2 of 3 t Revised General Use Certification Issue Date:February 19,2013 Technology Description The System is a Secondary Treatment Unit(STU). The System, MicroFAST® 0.5, 0.75, 0.9, 1.5, 3.0, 4.5 and 9.0, and HighStrengthFAST® 1.0, 1.5, 3.0, 4.5 and 9.0, and,NitriFAST® 0.5, 0.75, 0.9, 1.5, 3.0, 4.5 and 9.0 units are installed in a tank or tanks having a primary settling zone and an aerobic biological zone. Solids settle in the primary settling zone that is quiescent. In the aerobic zone,the sewage is continually agitated and aerated. Bacteria in the sewage attach to the surface of the submerged plastic media;they reproduce by consuming the organic material in the sewage. Conditions of Approval The term "System"refers to the STU in combination with the other components of an on-site treatment and disposal system that may be required to serve a facility in accordance with 310 CMR 15.000. �1 L1�he_term_"Approval"r-e.fer_s_to the technology�specific.S.pecial Conditions,_the.S.tandard -C-onditions-for General Use Certification of Secondary Treatment Units,the G_ener4 a�drtions of 310 CMR 15.287, and�any Attachments. For Secondary Treatment Units that have been issued General Use Certification for the installation of a System to serve a facility where the site meets the requirements for new construction and the design flow is less than 2,000 gpd,the Department authorizes reductions in the effective leaching area(310 CMR 15.242), subject to the Standard Conditions that apply to all Secondary Treatment Units with General Use Certification and subject to the Special Conditions below applicable to this Technology. Special Conditions 1. The System is Secondary Treatment Unit with General Use Certification. In addition to the Special Conditions contained in this Approval, the System shall comply with all the "Standard Conditions for General Use Certification of Secondary Treatment Units", except where stated otherwise in these Special Conditions. 2. The System is approved for facilities where the design flow is less than 10,000 gpd and where a conventional system with a reserve area exists or can be built on-site in full compliance with the new construction requirements of 310 CMR 15.000 and has been approved by the local approving authority. 3. The MicroFAST® 0.5, 0.75 and 0.9, HighStrengthFAST® 1.0 and Nitr1FAST® 0.5, 0.75 and 0.9 are installed in the second compartment of a two-compartment tank with a total liquid capacity of at least 1,500 gallons constructed in accordance with 310 CMR 15.226. 4. The MicroFAST®, HighStrengthFAST® and NitriFAST® 1.5 are installed in the second compartment of a two compartment 3,000-gallon tank constructed in accordance with 310 CMR 15.226. w072368 I Bio-Microbics,Inc.-MicroFAST®,HighStrengthFAST@,Nit4AST® Page 3 of 3 Revised General Use Certification Issue Date:February 19,2013 5. The MicroFASTCR), HighStrengthFAST® and NitriFAST®3.0, 4.5, and 9.0 units are installed in a separate tank constructed in accordance with 310 CMR 15.226. The units are located between a standard Title 5 septic tank, designed in accordance with 310 CMR 15.223 and 15.224, and the soil adsorption system (SAS). 6. Access shall be provided to all tanks in the primary settling and aerobic biological zones in accordance with 310 CMR 15.228 (2). The primary settling tank shall have at least three manholes with readily removable impermeable covers of durable material provided at grade. Two manholes, over the inlet and outlet of the primary settling tank, shall have a minimum opening of 20 inches. All access ports and manhole covers shall be installed and maintained at grade to allow for maintenance of the System. w072368 Groundwater Monitoring Well-AIW307,Osterville, MA (well located on Scudder Road,off Wianno Ave.) Water Level Date depth bgs Elev. Land Surface 10/28/15_ 26.25 31.2 12/23/15 25.79 1/27/16 25.06 2/26/16 24.07 ; 3/31/16 24.36 Well Depth 4/29/16 23.97 35.60 5/26/16 24.43 6/25/16 25.12 4 7/28/16 - 25.76 8/26/16 26.34 F All measurements in feet URL Eel L . � CAI�{ � r � Permit Number: Date: zys ' Completed by: HIGH GROUND-WATER LEVEL COMPUTATION Site Location �_AMNc� ► S Lot No. Owner: Address: 2 2 Contractor: Address: Notes: - STEP 1 Measure depth to water table . / to nearest 1/10 ft. ...................�0"'...1J". �v�... ..^-`�......... Date O �p ' mo h/da year STEP 2 Using Water-Level Range Zone_and Index Well Map locate site and determine: - AO Appropriate index well............................................... ._. , ® Water-level range zone.............................................. STEP 3 Using monthly report"Current Water Resources Conditions" determine current depth to water level for index well ..................... month year STEP 4 Using Table of Water-level Adjustments for index well (STEP 2A),current depth to water level for index well (STEP 3), and water-level zone(STEP 2B) determine water-level adjustment.............. ................ STEP 5 Estimate depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to water level at site (STEP 1) :........................ 2 5 HGW ° m Figure 11—Reproducible computation form. 15 CAPE COCA . . COMMISSION USGS OBSERVATION WELL DATA October 2015 To be used in conjunction with Cape Cod Commission Technical Bulletin 92-001,the USGS procedure for estimating high groundwater levels on Cape Cod,Massachusetts: The following water level measurements are taken monthly and will be available the last week of each month. The Bulletin text,forms and maps are available'online at: httb://www capecodcommission ora/departments/`technicalservice /waterlaroundwaterlevels Water Level Below Well Land Surface Datum Barnstable 230 23.23 Barnstable 247 . 25.17 Bourne 198 34.53 Brewster 21 9.96 Chatham 138 25.29 !�.Mashpee 29 9.41 Sandwich 252 47.46 Sandwich 253 50.76 Truro 89 12.06 Wellfleet . 17 11.61 * Estimated from AIW231 Wianno Knoll Condo. Legend Well location for AIW-307 727 Main St ° AIW-307 Armstrong-Kelley Park r w Church Citizens Bank r .; M ! Fancy's Market Feature 1 a ea ure F t 2 Feature 3 / . Hair Waves of Osterville ft Island Outfitters Line Measure Osterville r - Osterville (Tower Hill Road & Main Street) y Osterville Historical Society ` • _ ° Osterville Village Library Physical Therapy Center 574 ft. J Mianno Avenue in Osterville, Massachusetts A c s y` " ` , pr qp e Zv fe ipF .r.t • _ f qk tAL • 'i+b r r� asp�,•-f i x ! ve Town of Barnstable Barnstable Regulatory Services Department Q P 039.. Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard Scali Director FAX: 508-790-6304 Thomas A.McKean,CHO 10/31/2016 I reviewed the plans for 727 Main Street Osterville. The current proposed plan, dated 10/18/16, appears to be an improvement of waste water treatment compared with other systems in the condo development. The proposed twelve H-20, 500 gallon leaching chambers provide a larger surface for infiltration compared to the old leaching pits. The deleted FAST system would have reduced nitrogen in the effluent by approximately 50%.However,the FAST system would be energy demanding, which increases the carbon'footprint of the system, it also requires proper maintenance and testing that adds cost, and the FAST may not gain significant _resource protection. The impact to ground water is hard to evaluate without more specific data and a detailed understanding of the local ground water flows and soils. My initial thought to help improve the treatment of the wastewater would be to improve the leaching field by using pressure distribution with shallow drain fields,or a drip irrigation system. However, the current parking lot and lack of open green space limits this idea significantly. A review of the property by an engineer to assess the possibility of a drip irrigation system may reveal other options. Nonetheless, reducing contaminants, including nitrogen,-can still be considered in my opinion. Reduction of impervious surfaces, and further protection of ground water from storm run-off with bio-retention swales, or raingarden(s) instead of the current catch basins would improve the sites overall water quality impact. I also recommend a conversation with George Heufelder to further:discuss possible alternatives. Respectfully, Karen Malkus-Benjamin THE FOLLOWING IS/ARE THE BEST ' IMAGES FROM " POOR- QUALITY ORIGINAL (S) IM7 L DATA 7 i (. Edward P.Nelson D.M.D.,P.C. - Andrew P.Nelson D.M.D. -" .709 Main Street (- Osterville,MA 02655` Telephone(508)4S374 fax(508)428-8840. w w w.t elsondmd.com F Y. P frontdesk@nelsondmd.com al If �1ah Page 1 of 1 r Town of Barnstable Geographic Information System New Sear Parcel Viewer F Custom Abutters I-I,q Sera . Zoom Out","""In QF a r., ry 0 4 J_. � I`- ® 'S�_)PG Map: 141 Parcel: 013-OOT Location: 727 MAIN STREET(OST.) Owner: r fi+rll a I(d 3FREM F I 141005 _ - - -- 0752 1410n 1410.10001 141007 CNU Location Information me ene Map&Parcel 14101300T Y748 Location 727 MAIN STREET(OST.) Acreage 0.00 acres _ Current Owner Mailing Address FAIELLA,ROBERT A&KE 39 EAGLESTONE WAY COTUIT,MA 02636 MAgI S7 _ Appraised Value(FY 2016) Extra Features $13,300 Out Buildings $0 Land $0 ,,4 1 Buildings $216,100 ITotal Appraised $229,400 E (Assessed Value(FY 2016) _ I Extra Features $13,300 141014CHO Out Buildings $0 0740 Land $0 Buildings $216,100 Total Assessed $229,400 Construction Detail 141010 cNO Style Condominium 0721 Model Res Condo Grade Average Plus l705 Stories 1 Story t4f012 Exterior Wall Wood Shingle Roof Structure Gable/Hip Roof Cover Asph/F GIs/Cmp Interior Wall Drywall Interior Floor Carpet Heat Fuel Electric 141010 +- Heat Type Elec Baseboard t5 AC Type None Number of 2 Bedrooms Bedrooms Number of 2 Full-0 Half Set Scale 1"=48 I )Wy 2009 Coastal v MAP DISCLAIMER Bathrooms Copyright 2005-2010 Town of Samstable.MA All rights reserved Send questions or comments to GIS http://66.203.95.236/arcims/appgeoapp/map.aspx?propertylD=14101300T 9/9/2016 PESCE ENGINEERING & ASSOCIATES, INC., 451 Raymond Road , Plymouth, MA 02360 ,Phone 508-743-9206 / •► 3 c epesceacom cast.net iG V August 18, 2016 r tU Mr. Thomas McKean. R.S., C.H.O. n3 Town of Barnstable t Board of Health 200 Main Street Hyannis, MA 02601 1 Subject: Application for Approval of Title 5 Variances, Wianno Knoll Condominiums, Osterville, MA Dear Mr. McKean. Please find attached an application to the Board.of Health for approval of Title 5 variances for a proposed septic system repair at Wianno Knoll Condominiums. Included with this application are: • Completed Application Form (4 copies) • A check for the$95.00 application fee • Engineered septic design plans (4 copies) • Completed 7-page review checklist • Signed letter from the property owners authorizing'me to represent them • Copies of the abutters list, and an abutters notification letter I am requesting that this request be placed on the Board's agenda for September 13, 2016. Thank you for your help with this project, and as always, please call if you have any questions, Sincerely, , Edward L. Pesce, P.E. t Attachments _ cc: First Property Management c , -:• t!5�. '•..}'•1-f •u,1•"• �1t"�- 1. � `,.' '� d �� C� � ' :'�'.��„� l.. '. ' � 11,.E ------------ "1 ,�y�.. , .l" �:t; •��, yr' - y� .['. -1 '.. .. .`.. �� � ` � N fy,i. its• Ty ??� v a .S t `•-� ` O �,� _ ..tt�JW. I ! ` L� 04 Ai 4 �.r y � '� r• �.�� , �� � .may... . .L., .,' ,-' .111E j;: . '�.: +r.• ._ ,'n�,. t. :�►�f�i+ ���• ' ^���� °� `1 41,E �� ...����. '7� • -1' .Y� 1�`J,f�.�:� f-� Z.t �:.� S''�_h � `p�C�',� p�,a,'''�.: �1.. 1 .1� ,,. `�l•` 1.T'�1���✓',C .•y'�S.. �,�. . .r,�.-1�' .1..;� �Ji� .Q�^t i�N ,• /\) , ,-!•.. )� � •'�, .`'�'. ` •,' J�', �•-' `/may" �' y �1,�. � -1' ;��•n i' ,� - i�Y•i ..1:T �.. �r-.r�'Z'.�'1. -•_. ..• r> �Y:JIT%+. ti'.c. 11S.. .t-- � 1• _1 ;, �� ` N No 002 --�/ FEaI; ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH L .........OF...... /. '. .. � �� ..... ApplirFafion for Disposal Works Tontitrurtion ramit Application is hereby made for a Permit to Construct O or Repair ( ) an Individual Sewage Disposal System at• 6,inm .............. .... 1......*.7.....-------------------- -. . ��......". z° ... .: .s Loojcatio--/,A- ress �//_ r I i a -- ....... .. �� .: =..._._... <.... —��/� ..�2...dares.-..-f�/, _ Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms...........................y r!_-------.--Expansion Attic ( ) Garbage Grinder aOther—Type T e�of Bu ildin _.-� _�*� - persons -,,.��veers• �� Cafeteria G4 YP ( ) ( ) d W Design Flow... atr_?f� ess-o a per daffy. Total daily`flow.............. ...........gallonss� C� Septic Tank—LIq Id capacity/gallons Length___--_/Q.--- Width._._.���... Diameter................ Depth.... Disposal Trench—No....../........... Width_j........... Total Length__.�f_ .... Total leaching area-----ffZ.Z1 sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box O Dosin nk- ) ^ _._ _ '—' Percolation Test Results Performed by..___.___f_ __ �o����� � Nate.....__�......�.�._�..___.........• 1.4 Test Pit No ......���...-_...minutes per inch . Depth of Test Pit.....,�.�' ...... Depth to ground water-__ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ x �._ ..... WU ----- ., I: . . l = - k ----------------------j_ } r D Description of Soil...... _. .. h'------------------- --------- - --••--------•----- ------------ --- -----------------------------------------------------------•----.....................................:------------------------------------•------------------- U ature of epairs Alterations—Answer when applicable2�_ . ---_.:�.a% q� signed agrees to install the aforedescribed Individual Sewage Disposal System in accordance with rov' of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in v sod IV a Certificate of Compliance has been issued by the board of health. 4 4 ® Signed �f"' 30--�� g ,�cc�s..... i Approved B __. �• /�iG�"`'"""' /34.4 l PP y-------•--- Date Application Disapproved for the following reasons:-----•---------•----------------------------------------------------------•-------------------------------••.... .................•-•...--••--------•-•--...--•--......------------....---•....•--.......-----------•........-------------•------------------------------•-•----------------•-----.... -----•-----•. Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........: -�.r`...........OF...... ............................................. C9rdifiratr of TontpliFanrr THIS IS TO CERTIFY,. That the Individual Sewage Disposal System constructed ( l�or Repaired ( ) by.................. ' ............................................................................................................................................. Installer at..........? ?- ------ .......... ----------------------•---------------.....-----------------------------------•-•------•------ has been installed in accordance with the provisions of T r 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit N .mil _. 1 ................. dated_._...__."..........__.__________........_..... THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION 'SATISFACTORY. DATE................................................................................ Inspector... -........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH F N ...�..rd.---• .... .. ��Ln....................................... ............ ork� � �rtt.a�ion rrnti# .r Permission>hereby granted........... -------------------------------------------------------------------------------- to Construct or Re air ( ) an Individual ewagj Disposal System Street as shown on the application for Disposal Works Construction Permit No..................... Dated...................._..................... ........ ..__��:.. :.. ,�O. dJ alth ------------------------------------- f e DATE................................................................................ FORM 1255 HOBBS & WARREN.. '.INC., PUBLISHERS It FEs...... `.`'.:.. THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH A) ------------- ,c ppliration for Di£pnaal Vork5 Cfanitrurtion ramit Application is hereby made for a Permit to Construct (,k) or Repair ( ) an Individual Sewage Disposal System at: �le';i07, ..............�Z�.... :f �. ..... = - ... -.._.. _ :........: . Locatio' dress of t N �ry . Il- -•-•- ner I Addres a Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................. ............Expansion Attic ( ) Garbage Grinder VDU pa, Other—Type of Building `�f.__1'jam.. e6L<Persons............................ Showers ( ) — Cafeteria ( ) ..... d r� ------------- Design Flow.... .S�g. .�...�� er da . Total dail w.............. . W f --./ gailorrs-�PY Y- long 1:4 Septic Tank—Liquid capacity,.'.... allons _..... Diameter_--__-_-.-__-- Depth.....- Length....... Width�...�j 5....... xDisposal Trench—No......./........... Width.....,a...___._.. Total Length....,.?./...... Total leaching area..... 1 fsq. ft. Seepage Pit No.-•------------------ Diameter...._............... Depth below inlet.................... Total leaching area..................sq. ft. Z_ Other Distribution box Dosing,t� ) / >� Percolation Test Results . Performed by...r�l..�.. _.r:...�-�.... � ,, Date........r^..-''��.`...�...... a Test Pit No ............ per inch Depth of Test Pit......f,2.. ... Depth to ground water.._��-� (%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil.......:./.l�_ L ?.._._...-�U �G{ J. - ��� 9 =`7 l/� U -- ---•-lam ?. ? �_.. 1= , W •-••--•----------- ----------------- ----------------••------•••-••---•---------•------------•-•--- ...............................------•--:----•-••-••---••------•--•-•--•----•------...---•----•-- V Nature of epairs rj Iterations—Answer when applicable._2� ._':/...=' :.:.:........... f I . l signed agrees to install the aforedescribed Individual Sewage Disposal System in accordance with t rovi of i s E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in v 50 '�� a Certificate of Compliance has been issued by the board of health. 8 O ff. Signed..................... ... ....... ............... 7 ..�....�1......... !� Date ' ••� � `s/----_----- Date A roved B ---�- ---: �-�� ...--�,l-a ----- -_ } PP Y----•------=-- '- --- --..... .. ...--••-----------••..-.......-•-•------- pp c tion Disapproved for the following reasons:................................................................................................................ --------------------•--••-•------•----------------•--•---..•...----------....----.•.....--............................-------•----••••---••-•--•----••---------•---•-•-•---•--------•--•---••••-•...... Date PermitNo......................................................... Issued-----•-•------•---••--•-.._._......._..........._...... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Trrtifiratr of Toutpftana THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( 1Y or Repaired ( ) by..................... •=-._.-==--------------------------------------------------------------------------------------------------------------------•--•---•-••......-•--•- ��� Installer has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.Z.i-Y,�_)•-1/_�/---.-•-_-.----- dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............7. ........... �!/ No...:.c %,�;1/.../.. FEE........3 u........ ����� Permission is hereby granted : ----'=- —r-----=--------- ="= . to Construct ( �or Repair ( ) an Individual SefnTage Disposal System _ at No............. ....... r -------7`2�..�/: Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... B r3 of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC., PUBLISHERS LEACHING SYSTEM COMPARISON l SKETCH PLAN \ WIANNO KNOLL CONDOMINIUMS PREVIOUS LEACHING C ' FOOTPRINT SCALE: 1"=10' \F ' -- c EXISTING BRICK '1Ce STELE WALKWAY(TYR) -- C ` �` l,. NEW LEACHING f FOOTPRINT WOODEN.STEPS / PROPOSED EDGE OF PAVEMENT(TYP) / EXISTING FOUNDATION _ "1 ;;/ EDGE OF EXISTING SLAB AREA '�.� PAVED PARKING AREA BUILDING F /, / UNDERGROUND UTILITIE: WIANNO KNOLL CONDOMINIUMS O . BE RELOCATED AS NEEDI �►O /� PROPOSED 2" PVC PIPE e—c c c c E 'i E E-�ItLE C BUILDING E C WIANNO KNOLL CONDOMINIUM$. �� �, T vs- E 3J PROPOSED 2,500 GAL. c -c _c E/E. H-20 PUMP CHAMBER l TELE 1 E E E PROPOSED 2,000 GAL. 1 H-20 SEPTIC TANK COMPLETEIS SECTION ON DELIVERY SENDER: COMPLETE THIS SECTION -COMPLETE TH • A. Signature ■ Complete items 1,2,and 3.Also complete A. Signature A1s _ ■ Complete items 1,2,and 3. o complete ❑Agent item 4 if Restricted Delivery is desired. ❑Agent item 4 if Restricted Delivery is desired. X ❑Addressee. ■ Print your name and address.on the reverse X �Y��'�' ❑Addresse ■ Print your name and address on the reverse so that we can return the card to you. so that we can return the card to you. B. Received by(Printed Name) C. Date of Deliv y B. Received by(Printed Name) C. Date of Deliver ■ Attach this card to the back of the mailpiece, N Attach this card to the back of the mailpiece, �'� or on the front if space permits. or on the front if space permits. D. Is delivery address different from item 1? ❑Yes D. Is delivery address different from item 1? []Yes 1. Article Addressed to: ❑No 1. Article Addressed to: if YES,enter delive address below ❑No If YES,enter delivery address below: Prop ID:1410130AE ' GALLAGHER,ANNE H ET AL TRS Prop ID:14101300J WL4NNO-NOMINEE TRUST v MCHALE,CAROLYN C&CAROLYN PO BOX 297 3. Service Type ! JOHN J MCHALE REV TRUST 3. Se Ice Type NORWELL,MA 02061 �er ified Mail ❑Express Mail 97 MORTON STREET Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise I NEWTON C ENTR F. M e W)alto ❑Registered ❑Return Receipt for Merchandi! Insured Mail E3 C.O.D. III IIIIIIIIIIIIIIIIIIIIII IIIIII IIIIII INIIIIII 4 0 Insured Mail 0 C.O.D.Restricted Delivery?(Extra Fee) ❑Yes 11111111111111111111111111111111111111 4. R❑estdcted Delivery?(Extra Fee) ❑Yes III III 11 2. Article Number 7007 3020 0002 5534 3065 (Transfer from service label) 7 0 0 7 3020 0002 5534 2 8 7 7 (transfer from setvlce lapel)____, _..._... PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 'PSECTIONON DELIVERY v • • rSECTION , SECTIONSENDER: COHOLETE THIS • ��A, lure ■ Complete items 1,2,and 3.Also complete A. ' n ure/�����.�'' ❑Agen ■ Complete items 1,2,and 3.Also complete ❑Agent item.4 if Restricted Delivery is desired. ❑Addn v item 4 if Restricted Delivery is desired. ❑Addressee__ ■ Print your name and address on the reverse . Date of e ■ Print your name and address on the reverse C.p Delivery so that we can return the card to you. B. Received by(Printed Name) so that we can return the card to you. e. Received by(Print ame) ■ Attach this card to the back of the mailpiece, ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 17 Yes or On the front.if space permits. D. Is delivery address different from item 1? Yes to: If YES,enter delivery address below: ❑No 1. Article Addressed to: If YES,enter delivery address below: ❑No 1. Article Addressed Prop ID:141112 Prop ID:141037000 VESTY,CHARLES H&RENEE TRS WYRTZEN,CURTIS CHRUSTEN Ill& ONE HUNDRED SIX A WIANNO AVE I WYRTZEN EAM'.I..Y LIVING TRUST 106A WIANNO AVE 3. Service Type 716 MAIN STREET,UNIT B-9 3. $e eType OSTERVILLE,MA 02655 PDertified Mail ❑Express Mail OSTERVILLE,MA 02655 Se Mail ❑Express Mail , U Registered ❑ReturnReceipt for Merch; ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. ❑Insured Mail ❑C.O.D. III I II I III II IIIIIIII I II II IIIIII IIIIII IIIIIIIII 4. Restricted Delivery?(Extra Fee) ❑Yes III I III IIIIIIIIIIIIIIIIII IIIIII IIIIII IIIIIIIII q Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number --- 2. Article Number 7007 3020 0D02 5534 3058 (transfer from service label) 7007 3020' 0Oi2 '` 534 30�,U (transfer.from service label) Domestic Return Receipt 102595 - 102595-02-M•1540 PS Form 3811,February 2004 _ PS Form 3811,February 2004 Domestic Return Receipt - -- -----� ---------— ------ • • • '• • • ■ Complete items 1,2,and 3.Also complete A. Si ture ❑Agent complete A. Si 'lure Agent item 4 if Restricted Delivery is desired. X ■ Complete items 1,2,and 3.Also comp ■ Print your name and address on the reverse ❑Addres: Is desired. Addressee so that we can return the card to you. B. Received by(Printed Name) C. D e of liw item 4 if Restricted Delivery X )� ■ Print your name and address on the reverse printed Nam C. Dat of Delivery ( ■ Attach this card to the back of the mailpiece, < so that we can return the card to you. B. Re rued 4y or on the front if space permits. D. Is delivery address different from item 1. ❑ es ■ Attach this card to the back of the mailpiece, If YES,enter delivery address below: ❑No or on the front if space permits. D. Is delivery ad ss different from item 1? ❑No 1. Article Addressed to: 1. Article Addressed to: If YES,enter delivery address below: Prop ID:14103700H , I COTTLE,HENRY&DOLORES& Prop ID:14101400D 1, &PAWLYSITYN TRUSTEES RAPP,JENNIFER TR COTTLE FAMILY NOM TRUST 3. See ice Type 749 FIDUCIARY TRUST _ 716 MAIN STREET UNIT A2 CA Certified Mail ❑Express Mail C/O LAW OFFICES STUART W RAPP 3. Service ne rvo��rr r c n. n�c« ❑Registered ❑Return Receipt for Marchand VPCertified Mail ❑Express Mail 749 MAIN STREET IIIIIIIII IIIIIIIIIIIIIIIIIIIIII IIIIII IIIIIIIII 4. Restricted cted Delivery?(Extra Insured Mail [3 C.O.D. ❑Yes OSTERVILLE,MA 02655 ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. IIIIIIIII IIIIII IIIIII IIIIIIIIIIIIIIIIIII III III 4• Restricted Delivery?(Extra Fes) ❑Yes 2. ARicrervumoer 7007 3020 0002 5534 2761 (Transfer from service label, 2. Article Number 7007 3020 0002 5534 3102 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-- ____-CTransfer_f/0m service label) _. _- ------+ i02 M_540 • • • . ( , • , • 400 • • • ■ Complete items 1,2,an8�.Also complete " RES ❑Agent ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. g item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse ❑Addressee ■ Print your name and address on the reverse X ❑Addre: so that we can return the card to you. Received b Printed e) C. D to o Delivery ■ Attach this card to the back of the mailpiece, y( so that we can turn the card to you. B. Received by(Printed Name) C. oat of Deli or on the front if space permits. a j i ■ Attach this ca the back of the mailpiece, u D. Is delivery address different from item 1? ❑Yes or on the front'i pace permits. r D. Is delivery address different from item 1? Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No 1. Article Addressed to: If YES,enter delivery address below: ❑No r PrOP ID:14101400E Prop ID:141036 WEST BAY PROPERTIES INC P O BOX 68 LEGHORN,NANCY 738 MAIN ST OSTERVILLE 3. Service Type �3. Se Type, MA 02655Certified Mail ❑Express Mail OSTERVILLE,MA 02655 ce 19 Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Registered ❑Return Receipt for Mercharn IIIIIIIII IIIIII III II I II II I II I II III II II III II III ❑ Mail 4. Restricted ❑Delivery?(Extra C.O.D. ❑Yes III I I I I II II I II I II I II I I I II I I(III IIIIII IIIIIIIII 4. R❑Insured l Restricted Delivery?(bra C.O.D. ❑Yes 2. Article Number 7007 3020 0002 5534 3027 2. Article Number 7009 1410 0000 5791 4695 (Transfer from service label) (transfer from service label) PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540; PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M. • • . • • • • A Signature o ■ Complete items 1,2,and 3.Also complete A. Signature. Complete items 1„2,v�1d 3.Also complete �.: ❑Agent item 4 if Restricted Delivery is desired. ❑Agent item 4 if Restricted Delivery is desired. X L/ ■ Print your name and address on the reverse X;. '-:` � ❑Addressee � ■ print your name and address on the reverse _....,-,.:-❑Addres: so that we can return the card to you. B. Reoegetl by(printed Name) C. Date f Deliv ry " so that we can return the card to you. B. Received by(Printed Name) C. Date of Deliw 7 `� ■ Attach this card to the back of the mailpiece, ■ Attach this card to the back of the mailpiece, or on the front.if space permits. Is delivery address different from item 1? Yes or on the front if space permits. D. Is delivery address different from item 1? ❑Yes D. 1. Article Addressed to: If YES,enter delivery address below: ❑No 1. Article Addressed to: If YES,enter delivery address below: ❑No t Prop ID:14101?10F Prop ID:14103700B BARLOW,DEBBIE Z 727 MAIN STREET,UNIT B4 STUART,JONATHAN&KELLY OSTERVILLE,MA 02655 i 90 COMMONWEALTH AVENUE BOSTON,MA 02116 3. S ype III II IIII III II I II I II I I III I I II II IIIIII IIIIIIIII 3. Servticricet Type III II II II II I II I II I II I I I II I I I I II IIIIII IIIIIIIII T `Certed Mail ❑Express Mal Cifed Mail ❑Express Mail c Registered Receip t for Merchant Rurn Re forMeifi ❑Registered ❑ Merchandise ❑ sured Mail ❑C.O.D. 0 insured Mail 0 4. Restricted Delivery?(Extra Fee) ❑Yes 4 s Delivery?(ExtaFe Men nnnn nnna gg44 2891 2. Article Number 7007 3020 0002 5534 2969 COMPLETE1N COMPLETE THIS SECTIONON DELIVERY SENDER: 1 • 7IReceived ■ Complete items 1,2,and 3.Also complete A. Sign I ■ Complete items.1,2;"and 3.Also complete 77- item 4 if Restricted Delive is desired. ❑A ent rY g item 4 if Restricted Delive is desired. ❑A ent ■ Print our name and address on the reverse ry gy `_ Addressee ■ Print your name and address on-the reverse ❑Addrese so that we can return the card to you. ;��u- B. Received by(Pn Name) C. Dat of D ery j so that we can return"the card to you. y(Printed . Dat of D iv( ■ Attach this card to the back of the mailpiece, ■ Attach this card to the back of the mailpiece, 7 0 or on the front if space permits. � ! or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1 ❑ 1. Article Addressed to: D. Is delivery address different from item 1? Y � If YES,enter delivery address below: ❑No If YES,enter delivery address below: ❑No Prop ID:141013000 LORING,SHEILA W Prop ID:141012 727 MAIN ST.,UNIT B-I 1406 MAIN STREET LLC 3. Se Type OSTERVILLE,MA 02655 3. Service Type 699 MAIN STREET Ig Certified Mail ❑Express Mail Certified Mail ❑Express Mail OSTERVILLE,MA 02655 ❑Registered ❑Return Receipt for Merchandise Registered ❑Return Receipt for Merohandi I I I�III I III IIIIIIIiIIIIIIIIILIL« Ill_ _. . .❑Insured ai4..Restned.Deven�O�C.O.D. I III I IIIIIIIIIIIIIIIIILIiI II_IIII IIIIII IIIIIIIII [3 Insured Mail ❑C.O.D. ' es ._.Restricted Delivorv?XF f—c i. ^Yes � 2. Article f (Trani I (Pransfe. 'S Form nckw n neCerpt 102595-02-M-1.540 �; PS Form L y cvvy romestic Hetum Receipt 102595-02-M-1! i f (iEN. �' 1 • • • 1 1 . 1 • rx�- _ • • •■ Complete items 1,2,and 3.Also complete A. Signature ■ Complete items 1,2,and 3:Also complete item 4 if Restricted Delivery is desired. ❑Agent item 4 if Restricted Delivery-is desired. Agent .nn nn 3 ■ Print our name and address on the reverse 4❑Address ■ Print your name and address on the reverse V� ❑Addressee Yso that we can return the card to you. so that we can.return the card to you. . eceve lnt dtfvM e) C.�a ■ Attach this card to the back of the mailpiece, B. eceived by(Printed Name) C. Da of D livery I ■ Attach this card to the back•.of the mailpiece, J VI ame J _ or on the front if space permits. 7 ld or on the front if space permits. D. Is delivery address different from item 1? ❑ es D. Is delivery address different from item 19 ❑Yes 1. Article Addressed to: Q 1. Article Addressed to: If YES,enter delivery address below: ❑No If YES,enter delivery address below: ❑No � ry Prop ID:141016 PaopID:141013000 HOSTETTER,PRISCILLA M TR � URSINO, CHARD&JANET WEST BAY ROAD REALTY TRUST i 21 BUTTON PLACE 770A MAIN STREET EAST LONGMEADOW,MA 01028 S Ice OSTERVILLE,MA 02655 3. s ice Type 3. Type Rl Certified Mail ❑Express Mail lertified Mail ❑Express Mail IIIIIIIII II ❑Registered ❑ReturnReceipt for Merchandise III II III illliillllliillll IIIIII I'II'I IIIIIIIII ❑Registered ❑Return Receipt for Merchandi IIII IIIIII IIIIIIIIIIIIIIIIIIIIII III ❑esInsured Mail trict d ry?Delive ❑C.O.D. 4. R ' ❑Insured Mail ❑C.O.D. (Extra Fee) ❑Yes 4. Restricted Delivery?(Extra Fee) ❑Yes ?. Article Number 7007 3020 0002 5534 2747 2. Article Number 7007 3020 0002 5534 2990 (transfer from service label) (Transfer from service/at 'S Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540. PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1 ER:CoMPLETETHISSECTI •N'�., __COMPLETF THIS SECTIONON DELIVERY I • • rRe"7 A Si ate Complete items 1,2,and 3.Also complete■ Complete items 1,2,and 3.Also complete item 4 if Restricted Delivery is desired. ❑A ent item 4 if Restricted Delivery is desired. YF ❑Agent 9X ■ Print your name and address on the reverse dres: ■ Print your name and address on the reverse7 ❑Addressee so that we can return the card to you.so that we can return the Card to you. e) C. Da of D liv, Re eived ( n d N m) ZaofD vce.ry� ■ Attach this card to the back of the mailpiece, ■ Attach this card to the back of the mailpiece, � i or on the front if space permits. 7 �Q or on the front if space permits. D. Is delivery address different from item 1? ❑Y s 1. Article Addressed to: D. Is delivery add different from item 1? ❑ s 1. Article Addressed to: If YES,enter delivery address below: ❑No If YES,enter livery address below: ❑No _ �-. Prop ID:14101400E Prop ID:1410130OG .� EASTERN SCIENTIFIC,INC MIER,FAY A 749 MAIN ST-UNIT E 727 MAIN ST-UNIT C-1 OSTERVILLE,MA 02655 OSTERVILLE,MA 02655 3. Service Type 3. Service Type Certified Mail ❑Express Mail PIrIII IIIIII IIIIIIIIIIIIIIII IIIIII IIIIII IIIIIIIII Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchand6 b III IIII IIIIIIIIIIIIIIIIII IIIIII IIIIII IIIIII III Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 4. Restricted Delivery?(Extra Fee) ❑Yeq 2. Aransferuom 7007 3020 0002 5534 2792 2. Article Number 7007 3020 0002 5534 3072 (transfer from service label) (Transfer from service lab, PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1: 'S Form 381.1,February 2004 Domestic Return Receipt 102595-02-M-1540 !-j,ENDER: COMPLETE THIS SECTION ■ Complete items 1,2,and 3.Also complete A. Signature EWC(mplete items 1,2,and 3.Also complete A. Signat ��J item.4 if Restricted Delivery is desired. C_. / • �' ❑Agent item 4 if Restricted Delivery Is desired. t ❑Agent ® Print your name and address on the reverse ❑Agent e ■ Print your name and address.on the reverse ❑Addresseeso that we can return the card to ou.so that we Can return the card to you. B. Received Printed Name C. a of elive Y B. Received by(Printed Name) C. Da of liver ■ Attach this card to the back of the mailpiece, ( ) ry ■ Attach this card to the back of the mailpiece, or on the front if space permits. or on the front if space permits. D. Is delivery address different from item 1? Y s D. `s delivery address different from item 1? Ye 1. Article Addressed to: 1. Article Addressed to: If YES,enter delivery-address below: No If YES,enter delivery address below: ❑No ivu-�vtwJ Prop ID:1410130OR Prop ID:1410130OU CROSBY,ANN W&ROELL,PAUL J ROYCROFT,JOAN M %CAHILL,FREDERICK T&JEAN A 727 MAIN ST-UNIT F2 3. Service Type 727 MAIN ST UNIT E4 3. Service Type OSTERVILLE,,MA 02655 Certified Mail ❑Express Mail OSTERVILLE MA 02655 *DCertified Mail ❑Express Mail 111111 MilliIIIIIIIIII Registered ❑ReturnReceipt for Merchandise ❑Insured Mail 0 C.O.D. Registered ❑ReturnReceipt for MechandiseIIIIIIII III ❑Insured 4. Restricted Delivery? ❑ very?(Extra Fee)e) Yes III I III I II II II I II I II I I I II I I I I II IIIIII IIIIIIIII 4. Restricted Delivery?bra Fee) ❑Yes 2. Article Number 2. Article Number 7007 3020 0002 5534 2846 (transfer from service label) 7007 3020 0002 5534 2952 (transfer from service label) 3S Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-154 ' P • •N COMPLETE • ON. DER:­COMPLETE THIS SECTIOW • • • • l 'i ■ Complete items 1,2,and 3.Also complete A Signature ■ Complete items 1,2,and.3.Also complete A. Signature Item 4 if Restricted Delivery is desired. X �Agent item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse Addressee ■ Print your name and address on the reverse X ❑Addresse so that we can return the card to you. B. Re Ived by(Printed Name) C. Da of elivery so that we can return the card to you. B, eceived b (Printed Name) C D elivei ■ Attach this card to the back of the mailpiece, �7 ■ Attach this card to the back of the mailpiece, /� l or on the front if space permits. I l or on the front if space permits. qZ4 D. Is delivery address different from item 1? Ye I D. Is delivery address different from item Ye I. Article Addressed to: 1. Article Addressed to: If YES,enter delivery address below: ❑No I If YES,enter delivery address belo No I Prop ID:14101300V Prop ID:141013001 SPENCER,DIANE H LALOR,DAVID&TRACEY, 727 MAIN STREET UNIT F-3 3. e ice Type JANETTE LALOR TRUST 3. Service Type OSTERVILLE,MA 02655 41 SEAVIEW TERRACE#A p ertified Mail ❑Express Mail Certified Mail ❑ Express Mail III IIIIII IIIIII III III II I I I II I II I II I //'5 Registered ❑Retum Receipt for Merchandise : SA_NTA.MONICA.CA 9f1df11_2)1 q ❑Registered ❑Retum Receipt for Merchandi: ❑ IIIIIIIIIII Insured Mail ❑C.O.D. IIIIIIIIIII IIIIII I'II'I IIIII'III R Delivery?(Extra Fee) ❑Yes ❑Insured l 4. Restricted Delivery?(Extra Fee) ❑Yes 4. Restricted III III'II IIIII ?. Article Number 7007 3020 0002 5534 2976 -" 7009 1410 0000 5791 4718 (Transfer from service label) (Transfer from service label) IS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-15 . . 7you. . . . . . . . . . . .■ Complete items 1,2,and 3.AlsA. Signa ■ Complete items 1,2,and 3.Also complete Signature item 4 if Restricted Delivery is dX ' ❑Agent item.4 if Restricted Delivery is desired. Xp 7 ❑Agent ■ Print your name and address on dressee ' ■ Print your name and address on the reverse G(/l Addressi so that we can return the card t132cceived b Print d N e C. Date of Delivery so that we can return the card to you. Y( 1/� rY y B. ecelved by(Printed Name) C. Date of Delive ■ Attach this card to the back of the mailpiece, n -7-11 t ® Attach this card to the back of the mailpiece, or on the front if space permits. iti rl F or on the front if space permits. D. Is deli Very address different from Rem 1? ❑Yes D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter deliveryaddress below: ❑No 1• Article Addressed to: � If YES,enter delivery address below: ❑No i Prop ID:'l4101300B i - MACHNIK,TODD M&TARA RILEY -P O BOX 135 Prop ID:14101300Z YARMOUTH PORT,MA 02675 ADAMS,JOHN R TR 114 CHINE WAY 3. Sey�ice Type + 3.,Service Type IYI Certified Mail ❑Express Mail ! OSTERVILLE,MA 02655 Certified Mail ❑Express Mail III I IIIII lllililllliiiill IIIIII IIIIII lllllllll ❑Registered ❑Return Receipt fqr Merchandise I Ili 111 ll llllilillllllllll IIIIII l Registered ❑Retum Receipt for Merohandi: [3❑Insured Mail C.O.D. IIIII IIIIIIIII ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 2. Article Number (Transfer from service label) 7009 1410 DD00 5791 4671 7007 3020 0002 5534 2921 (transfer from service label) ?S Form 3811,February 2004 Domestic Retum Receipt 102595-02-M-1540 PS Form 3811,February 2004 Domestic Retum Receipt 102595-02-M-15 r . ti-ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A i nature item 4 if Restricted Delivery is desired. X Agent ■ Complete items 1.,2,and 3.Also complete' 7A_ ture■ Print your name and address.on the reverse Addressee item 4 if Restricted Delivery is desired. ❑Agent so that we can return the card to you. ■ Print your name and address on the reverse ❑Address B. R IvedWbyZ Date of Delivery so that we can return the card to ou.0 Attach this card to the back of the mailpiece, �-- y B. Received by(Printed Name) C. Date o Deliv or on the front if space permits. > o Attach this card to the back of the mailpiece, or on the front if space permits. l 1. Article Addressed to: D. Is delivery add Rem 11 ❑Yes I D. Is delivery address different from Rem 1? ❑ es Pmp lD:141005 If YES,enter delivery add s below: ❑No 1. Article Addressed to: If YES,enter delivery address below: No ROMAN CATHOLIC BISHOP OF ❑ P 0 BOX 2577 FALL-RIVER,MA 02723 I Prop ID:14103700K DIANA,BRENDA S&HALL, 3. Service Type ! FRANK J CAREY JR TRUST 716 MAIN STREET, UNIT#A-5 3. Service Type Registered III Certified ❑Express Mail❑Retum Receipt for Merchandise OSTERVILLE.MA 02F5S kGert�ed Mail ❑Express Mail IIIIII IIIIIIIII IIIII III IIIIIIIIIIIIIIIII III Insured Mail ❑C.O.D. [3 Registered El ReturnReceipt for Merohandi 4. Restricted Delivery? Fee) ❑Yes III II III I II I II I II I II I I I II I I I i II IIIIII IIIIII I II 4.EJ Insured Mail 13 C.O.D. Restricted Delivery?(Extra Fee) ❑Yes �. Article Number (transfer from servicelabeq 7007 3020 0002 5534 3133 } 2. Article Number 7007 3020 0002 5534 2822 ' (Transfer from service label) 'S Form 3811,February 2004 Domestic Retum Receipt 102595.02-M-1540;` PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1', SECTION iEN6ER:'60MPL`E'Ti THIS SECTION:.," COMPLETE THIS ON DELIVERY • w' . o Complete items 1,2,and 3.Also complete A. g at item 4 if Restricted Delivery is desired. [3 Agent ■ Complete items 1,2,and 3.Also complete A. Signature ■ Print your name and address on the reverse X ❑Addressee I item 4 if Restricted Delivery is desired. X ❑Agent so that we can return the card to you. ® Print your name and address on the reverse ❑Address, Y B. Received by(Printed Name) C. t of De ery I so that we can return the card to you. B. Received b P' Name ® Attach this card to the back of the mailpiece, `� ® Attach this card to the back of the mailpiece, y( ) C. Da of live or on the front if space permits. �� D. is delivery address different from item 1? Ye I or on the front if space permits. 1. Article Addressed to: If YES,enter delivery address below: ❑No - I D. Is delivery address different from item 1? ❑ es rY 1. Article Addressed to: If YES,enter delivery address below: ❑No Prop ID:14101400A F AIELI ', .OBERT A TR Prop ID:14101300L 749-1 M UN ST REALTY TRUST ! DICOSTANZO,EUGENE P&STELLA 749B MAIN ST I DICOSTANZO P.,VV LY TRUST OSTERV=LLE,MA 02655 3. IIIIIIIIIII III I II I II I I I II II I I II IIIIII IIIIII I II a ice T III 727 MAIN ISI IT II I II EIITI I#I D 2y 3. Service TypeWCertffed Mail ❑Express Mail OSTERVILLE,MA 02655 . egiifed M ail ❑Express Mail❑Registe red ❑Return Receipt for Merchandise , ❑insuredMail ❑C.O.D. 0 Registered ❑Retum Receip t for Merchandi:III III I 111111111111111111111 ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service/a 7007 3020 0002 5534 2785 2. Article Number 7007 3020 0002 5534 2815 (Transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-15 I i_tN DE14- C'OMiP.ETE THIS SEC;TION COMPLETE THISSECTION ON DELIVERY ■ Complete items 1,2,and 3.:Also complete A signature ! ■ Complete items 1,2,and 3.Also complete A. Signatur item 4 if Restricted Delivery.is desired. ❑Agent i item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X ❑ X Addressee , ■ Print your name and address on the reverse ❑Address( so that we-can return the card to you. B. Received by KPfinted ame) C. Date of Delivery I So that we can return the card to you. B. Received by(Printed Name) C. Da of D live ■ Attach"this card to the back of the mailpiece, ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1- D. Is delivery ad ro 'ern 1? ❑Yes ' or on the front if space permits. `" 1� D. Is delivery address different s I. Article Addressed to: If YES,ant cry ad s ❑.No 1. Article Addressed to: If YES,enter delivery ad ' elow: NZ t ►v Prop ID:14101300Q 1� A `0 Prop ID:14103700J G �,� DUNNING,MICHAEL A w. PO BOX 841 CASEY,ANN E TR `S BARNSTABLE,MA 02630 COTACHESET NOMINEE TRUST 3. Service Type 3. Seca Type 65 WHITEHOUSE LANE 'XCiertlfied Mail ❑Express Mail i Certified Mail ❑Express Mail wFeTn1.1 fvl.e ma°z ❑Insured Mail 10 C.O.D.Registered ❑Return Receipt for Merchandise III IIIIII illlllilllilllll llllll IIIIII IIIIIIIII III Registered ed E3 Retum❑C.O.D. 4. R Receipt for Merchandh II IIIIIIIIIIIIIillllll III III IIIIII IIIIIIIII ❑ Elestricted Delivery?(Extra Fee) ❑Yes I 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number } - (TricleNansfer mbarrom servicelabel 7007 3020 0002 5534 2754 2. Article Number 7007 3020 0002 5534 2808 (Transfer from service label 'S Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 PS Form 3811,February 2004 Domestic Retum Receipt 102595-02-M-1: -- t-)ENDER:�COMPLETE THIS SECTION • - OMPLETE THIS SECTION ON DELI Y ■ Complete items 1,2,and 3.Also complete A. Sign ture ■ Complete items 1,2,and 3.Also complete item 4 if Fie*§tricted Delivery is desired. ❑Agent item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X ❑Addressee ■ Print your name and address on the reverse X ❑Addresse so that we can return the card to you. B. Received by(Printed Name) C. D e of D livery so that we can return the card to you. Re eived by(Printed Name) C. Date of Deliver ■ Attach this card to the back of the mailpiece, ■ Attach this card to the back of the mailpiece, or on the front if space permits. "k C `' Bf 7 a or on the front if space permits. D. Is delivery address different from Rem 1? ❑ s D. Is delivery address different from Rem 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No 1. Article Addressed to: If YES,enter delivery address below: ❑No Prop ID:14101400H Prop ID:14101400I MSRC REALTY GROUP LLC 1 749 MAIN STREET OSTERVILLE LLC 749 MAIN STREET, UNIT H 3. Service Type 140 ICE VALLEY RD-UNIT I 3. Service Type OSTERVILLE,MA 02655 ❑Certified Mail ❑Express Mail OSTERVILLE,MA 02655 /n;ert�ed Mail ❑Express Mail � Re : � III III 11,11,IIIIII ❑Registered Return Receipt for Merohandis IIIIIIIII ❑Insured Mail 13 C.O.D.g p Restricted Delivery?(Extra Fee)istered ❑Return Receipt e) ❑Yes for Merchandise 4 ❑estnncted every?(❑❑ 4. R Extra Fee) ❑Yes 2. Article Number 7007 3020 0002 5534 3089 2. Article Number (Transfer from service label (Transfer from service label) 7007 3020 0002 5534 2938 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 PS Form 3811,February 2004 Domestic Retum Receipt 102595-02-M-15, r' • • DELIVERY COMPLETE THIS SECTION A. Si. lure nd 3.IAlso corn lete A. i. t ■ Complete items 1 2 a p ■ S a ure Co p ❑Agent Complete Items 1,2,and 3.A�So complete 9� item 4 if Restricted Delivery is desired. X item 4 if Restricted Delivery Is desired. ( Agent ■ Print your name and address on the reverse ❑Addressee '. ■ Print your name and address on the reverse X ❑Address so that we can return the card to you. B. Re eived by(Print Narrle) C. Date of Delivery so that we can return the card to you. B. Received by(Printed Name) C.Date f Deli ■ Attach this card to the back of the mailpiece, I -7 ' 1 B /.7 M 0 Attach this card to the back of the mailpiece, or on the front if space permits. or on the front ifs ace permits. D. Is delivery address different from Rem 1? ❑Yes p P 1. Article Addressed to: If YES,enter delivery address below: ❑No 1. Article Addressed to: D. Is delivery address different from Rem 1? Ye If YES,enter delivery address below: ❑No Prop ID:141037001 Prop ID:14101300K 1 CAICO,SHARON J WRIGHT,KATHLEEN } 13 HUNTINGDON RD 726 EAGLE POINT DRIVE LYNNFIELD,MA 01940 VENICE,FL 34285 3. Se a Type 3. Service Type Certified Mail ❑Express Mail 3 Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise III III II IIIIIIIIIIIIIIIII IIIIII IIIIII IIIIIIIII ❑Insured Mail ❑C.O.D. III I IIII I I IIII I II11111111 I I I I II IIIIII IIIIIIIII ❑Registered ❑Return Receipt for Merchandi ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7007 3020 0002 5 5 3 4 2 8 8 4 2. Article.Number (Transfer from service label (rransfer from service label 7007 3020 0002 5534 3034 102595-02-M-1540', PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1. PS Form 3811,February 2004 Domestic Return Receipt • • • • DELIVERY • • • • • . . �ife°R ■"Complete Items 1,2,and 3.Also complete A. Signatu a ■ Complete items 1,2,and 3.Also corn late 9 e item 4 if Restrilif�ed.Delivery is desired.- ❑Agent,.. ` p p A. Si n ■ Print your name.and address on the reverse X --❑Addressee item 4 if Restricted Delivery is desired. X ❑Agent so that we can return the card to you. i., ■ Print your name and address on the reverse ❑Address ate. .,-gd b (P' ame) C. Date of Delivery ■ Attach thiscam to 1hw hnnk of rho m�llnlcrc so that we can return the card to you. B. Reeked by(Printed N e) C. Date of Deliv, ( A ■ Attach this card to the back of the mailpiece, 1 `J r�`• _- Is d ivery ad different from Rem 1? s or on the front if space permits. ^ S,enter delivery address below: No D. Is delivery address different from Rem 1? ❑Yes p 1. Article Addressed to: If YES,enter delivery address below: ❑No Prop ID.14103700E O��� DANAHY,ROBERT F TR 3. Service Type 4 LIVERMORE LN-UNIT 16 3. Service Type XCertified Mail ❑Express Mail WESTON,MA 02493 Certified Mail ❑Express Mail IIIIIIIII IIIIII IIIIII ❑Registered ❑Return Receipt for Merchandise 13 Registered 0 Retum p IIIIIIIIIIIIIIIII(IIII III 4. R❑estdctred edd Delivery?(Extra il 0 C.O.D. ❑Yes , III IIIIII IIIIIIIIIIIIIIII IIIIII IIIIII IIIIIIIII 4. Res Insured tricted tricted Delivery?(Extra C.O.D. Fee) for Merohandi �( ) ❑Yes 2. Article Number __ 7007 3020 0002 5534 2983 ": 2. Article Number ransfer from service label (Transfer from service label) 7007 3020 0 0 0 2 5 5 3 4 2 8 3 9 turn Receipt 102595-024vbt54o PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-U • • I � 1 1 • • • I Complete items 1,2,and 3.Also complete A. Signature A. Si.natu item 4 if Restricted Delivery is desired. ❑Agent ; E Complete items l,2,and 3:Also completa:,, g Print your name and address on the reverse 1 ❑Addressee ! item 4 if Restricted Delivery is.desired."..' r X Agent SO that we can return the card to you. ®Print your name and address on the'reverse' Addressee Attach this card to the back of the mailpiece, eivd by(Printed ame) C. Date f Deliv ry ! so that we can return the card to you. B. Received by(Printed Name) C. D e of elivery or on the front if space permits. 7 7 ' /9 ® Attach this card to the back of the mailpiece, D. Is delivery address different from item 1? ❑Ye or on the front if space permits. Article Addressed to: C. Is delivery address different from ftem 1? ❑ s If YES,enter delivery address below: ❑No 1. Article Addressed to: If YES,enter delivery address below: ❑No Prop ID:14103700D PAWLYSITYN,JOYCE A TR ' -boa ID:1410130OW JOYCE PAWLYSITYN REV TRUST VECCHIONE,NANCY JANE 716 MAIN STREET,UNIT B-10 3. Se ce Type PO BOX 344 OSTERVIL 3. S rvice Type OSTERVILLE,MA 02655 Certifid Mail ❑Express Mail LE�MA 02655-0344 Certified Mail ❑Express Mail ❑ El RegisteredM ❑Return Receipt for Merchandise Registered Retum Receipt for Merchandise ❑Insured Mail IJ C.O.D. IIII I IIIIII IIII II I IIII I IIIII I'IIII IIIII'III 4. Restricted Delivery?((Extra Fee) ❑Yes III II IIIIIIIII IIII IIIIIII IIIIII IIIIII I'lll"II 4. Restricted Delivery?❑(Extra Fe Article Number --- B) ❑Yes(rransferfromservicelabe 7007 3020 0002 5534 3096 2. Article Number 7007 3020 0002 5534 3003 (transfer from service label) - Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 ,Ps Form 3811,February 2004 Domestic Return Receipt 102595-02-M•1540 to Complete items 1,2,and 3 Also complete TRecelved gent item 4 if Restricted Delivery is desired:® Print your name and address on the reverse ❑Addressee so that we can return the card to you. nted Name) C. D of D ivery to Attach this card to the back of the mailpiece, � or on the front if space permits. D. Is delivery address different from item 1 ❑Aes 1. Article Addressed to: If YES,enter delivery address below: ❑No Prop ID:14101300D RIZNIK,BARNES&HELEN C TRS RIZNIK NOMINEE TRUST 727 MAIN ST UNIT B-2 OSTERVILLE,MA 02655 3. Service Type Certified Mail ❑Express Mail III II I I I I I II II I II I II I I I II I I I I II IIIIII IIIIII I II Registered ❑Return Receipt for Merchandise ❑Insured Mall ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7007 3020 0002 5534 3126 (Transfer from service label) PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 4t� Q NOSE l ^� ' OAD Z �� w / O pVAL n, • DO-Nf1 FROUTE H— D So Yq�! 0��\0 ��0L /� wE51Mw c. o �R�� �✓'' �� M ti � ��.�o \ � '� � o _31F, �O� �O O�� m Rd ~ F.� Y O a. 1 (�dj / � � � •t;-P' F R1 Iq} �QN, frELIC1T'r, m��T \� OG!- �oF F� Nq®�I '�HOAKS T� I' \1 �cflQ o��� e Q ?¢ E RY P AN ��2 A J�S� 5 � ��� `a �� ROAD m ROAp L �Y w �O�O 7z c,,�� d �, — < `� 1 / O ` ii BUAgp ", o G\R01 S \ `4 J LM o BACON L ll RO c9 � � . R/ > Q Qv //II _ �� m0 E ORCH D 1 y I/ I _` 1 \ r l (G C� FR L�Q l F ,S—r- f 1 / OAD / 0 7i N / R e to E A' OAD 7�T�1 LI LE 1LLJ a � 70 dld V I , F�M FLO �� 4r 1 �� ps IVE ROAD I�o _ 3 Zv ✓' BEECH 5 f BO K � H IRSE ya D �1 r I C AR Q f V�/ �2� l goo opt r l91 , L1 2LF G, r a �I,��� a O ocy � � 1TAa ,I�.'f7��� AkT P F \—/ l 1 g41r�/ I / � Ir E R Y L ADD' PC ` ! 140 f..I ✓% v S� RO r� �A�j91Y \r\t >P ✓� v ` C alYyF•LG ♦ \� q0 ! 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' -:. _ , ... ti .., .. t _ >< .. ., r.r•,...I ..•. , t,a� r ( T•' >'IR t �r•• ^-r.. ♦ .,.� 1 r t n .J1S ',1 . i•5. ♦ ♦ T t r.1 .<.. i (y ., . � 'h . .r • • ! ••� `'... A :Yn. -!�� w� ♦ .y�y/_�. ai' e:'r t i , IS' � 9�. r >.� Wl �i'`• :It':• IR' .J'1 rE � 1 J'" �•�� i�e x, r• ... .. .r.�—�........Lr:�.�.�_.....,.�.::�{ ..�...._.ar�i. ZSr_�rr.a:_]�.... :.� a_.:�., _...r ...L._._.- A� y y�, •♦, a •'.F .It�'._ ____..,__.___ _..-_ ...yam,._-. ,.rr `�.. i, •I.. .d PLAN NOTES 1. PROPOSED PROJECT IS LOCATED WITHIN: ASSESSOR'S MAP 141 PARCEL 13 lion OWNER OF RECORD: WIANNO KNOLL CONDOMINIUM BOARD OF TRUSTEES ry`. •� .sr 727 MAIN STREET •=' F i ___ EXISTING WATER SERVICE LINE ADDRESS: .• •. ,�� ��^;' L East OSTERVILLE, MA 02655 � .,� -� • Locus . �;• PROPOSED 2,000 GAL. .,I(, ,P���,'•,•: ,,, - TO BE SLEEVED OR RE ROUTED H 20 SEPTIC TANK - Benchmark X _ Utility Pole Nail FEMA FLOOD ZONE j� '• i`;' ` COMMUNITY PANEL# 25001 CO544J •' •' '" 1 Elev. = 20.00' br L . j Approx. M.S.L. non w 20'OFFSET TO EXISTING IN 2. MASTER DEED REFERENCE: DEED BOOK 3485, PAGE 105 �` oc ..'�•"'• MA '• � �' 'e FOUNDATION (TYP) "'° ` I STREET U.P.#39 3. PLAN REFERENCES: 1.) PLAN BOOK 3701, PAGE 287 LOCUS MAP . SCALE 1" =2000' FD PROPOSED 12 500 GAL. H 20 4. EXISTING SEPTIC SYSTEM FOR BUILDINGS A, B, C, D, AND J UNITS ARE BASED ON N GE OF CHAMBERS w/ STONE IN A TRENCH ORIGINAL SEPTIC SYSTEM LAYOUT PLAN FOR WIANNO TERRACE BY R.G. 00 / w / i / EXISTING SEPTIC TANK (TYP) ` I 15 PA CONFIGURATION SOUTHWICK DATED JUNE 11, 1981. a MAP 141 i r- N?6o 17,10 r EN�. o LOT 14 �� / , 10 W 5. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY ~_ FOR SEPTIC SYSTEM UPGRADE. PESCE ENGINEERING WILL NOT ASSUME ANY LIABILITY M '` �O + �-v�w O ..: �. l 61•71' FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. of Y "� �w O N76a / PROPOSED EDGE OF SNSsq�, p �` / �j w O i+� / �' 1 "W PAVEMENT(TYP) 6. EXISTING WATER LINE LOCATIONS FOR BUILDINGS A, B, C, D,AND J UNITS ARE EDwARu yGs m EDGE OF PAVED • . .� N > •• O BASED ON ORIGINAL SEPTIC SYSTEM LAYOUT PLAN FOR WIANNO TERRACE BY R.G. PESCE g PARKING AREA � � ,� 3 � •' _ r 3.s -' • •• e SOUTHWICK DATED JUNE 11, 1981, AND MUST BE VERIFIED IN THE FIELD FOR FINAL CIVIL a ay / 3 .. 3�8r DESIGN. o. 32001 z o N'Oo S 10 � BUILDING G I ` LP t D 3 )NA -----D cs P> / , J UNITS ON SLAB 3 O — — 0C13 (TYP) i + / — -�—e EXISTING WATER SERVICE LINE � < -,�� - -O BE SLEEVED OR RE-ROUTED �/ / / •: - - WARD L. PE-SCE,-P.E. DATE o • PROPOSED 2,000 GAL. / I BUILDING F r ~ � ► —PROPOSED 9-OUTLET r— _ 9.0, N H 20 SEPTIC TANK �! LP O 1 ' ', �, DISTRIBUTION BOX :: •< . O r .. ( 0@P ' . )0 3• 00 XISTING LEACHING -- -��` _ O TCH BASIN (TYP) --PROPOSED 2" PVC PIPE g`L• ��5 Q�� - - r � � s / j \\ MAP 141 OQ N LP `` -\ - / `. LOT 12 CO PROPOSED 2,500 GAL. \___� / `\ P1�'E � \ H 20 PUMP CHAMBER / O O _:. �.�( `� PROPOSED SEPTIC ' O PROPOSED 2,000 GAL. SYSTEM LAYOUT BUILDING A / - - 200. "' BUILDING E -off H 20 SEPTIC TANK PLAN / MAP 141 /./\ �/ .� AT :'rCO LOT 13 , WIANNO KNOLL CONDOMINIUMS 83,579.±S.F. 727 MAIN STREET OSTERVILLE V,2 MASSACHUSETTS 02655 O w Ic (BARNSTABLE COUNTY) / PROPOSED 1,500 GAL. SEPTIC TANK - , OVERALL SITE PLAN 20' OFFSET TO EXISTING r r 1100, `♦-� FOUNDATION (TYP) BUILDING B � / '� \ BUILDING D / r 1 20'OFFSET TO EXISTING REVISIONS: \ i / FOUNDATION (TYP) No. DATE DESC. I c , BUILDING C PROPOSED 2,000 GAL. SEPTIC TANK - --- 1 ;� MAP 141 '�'NSF \ i �ry°� b PREPARED FOR: LOT 4 Wianno Knoll Condominiums Board of Trustees -o O� O LP I / ' \ ENGINEERING BY:.O �� p O N 10.7' LEGEND � - O O O O '�..�' `.'�' I:T,ICI1\15FRI�dC ,.: _ 50xO EXISTING SPOT GRADE O �„ `+ _ — _ L Pe P sce, E, LEED'0 AP _ — — j�� 50 EXISTING CONTOUR xLCtc3I� \ _ 0 " / / 451 RAYMON D RD i 50 PROPOSED CONTOUR PLYMOUTH, MA 02360 EXISTING UNDERGROUND UTILITIES uesc�C�cGrn:_ast.net Fhnr�e:50;3-743-9206 e 1R-7;3 F -; -n2 —EXISTING EXISTING LEACHING CATCH BASIN I ` .� /. DISTRIBUTION —GAS GAS GAS EXISTING GAS LINE TO BE REMOVED AND REPLACED LP , BOX (TYP) EXISTING WATER LINE WITH SOLID CATCH BASIN PIPED TO �Q\ , —v—v—v—v- LEACHING PIT a ` � _E-E E E- PROPOSED ELECTRIC SUPPLY LINE LAND SURVEYING BY: JC ENGINEERING, INC. TEST PIT LOCATION 2854 CRANBERRY HIGHWAY PROPOSED 1,000 GALLON LEACH PIT ` MAP 141 EAST WAREHAM, MA 02538 LOT 112 Q Q Q EXISTING SEPTIC TANK 508-273-0377 L �� — i PROPOSED H-20 SEPTIC TANK DATE: JANUARY 9,2017 FIELD: GRAPHIC SCALE s — — — — — — — PROPOSED 2" SOLID SCHEDULE 40 PVC PIPE CALC./DESIGN: BJW 20 0 10 20 40 80 PROPOSED 4" SOLID SCHEDULE 40 PVC PIPE DRAWN: BJW PROPOSED H-20 DISTRIBUTION BOX SITE PLAN .- � CHECK: ELP ( IN FEET ) SCALE: 1"=20' 1 inch = 20 ft. PROPOSED 500 GAL H-20(LEECHING CHAMBER JOB NO: 3520 SHEET 1 OF 1 GENERAL NOTES - 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL NE. = T k t••• Ic '. CODE AND ANY APPLICABLE LOCAL RULES. i ',d , Benchmark �i, � Utility Pole Nail 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE :sT.4 r•„\''�+ U.P.#39 •;_•. - 1 wv M Elev. = 20.00' DESIGN ENGINEER. •• .5�; •''• _ F ,• i j _ ql - Approx.M.S.L. + .!,, •.' ��^: - i East 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL ( Locus SYSTEM UNLESS OTHERWISE NOTED. '?j�'w �`;'•'' '�':�• •. 3 • • r -� 4. TO PREVENT BREAKOUT,THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN N • • t�,• .�'Q �� :. ELEVATION = 17.50' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A - EXISTING LEACHING PITS •a�d'• 'y '; •*: • � • •� . ,;.,•; ',".� • STONE POST(TYP` _ 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF nW,n y �. .•• TO BE PUMPED + FILLED WITH SAND OR REMOVED THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. i ', t.�r. ;.• •'••�� ,.:�.; •„oo 'n 6 EXISTING BRICK (TYP. OF 4) 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. LOCUS MAP •• WALKWAY (TYP) �� - - 3 \ OF pA 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. SCALE 1" =2000' V EXISTIt\ BOX G ENT N 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK 158 g8, �0_ \� W FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS a N� r 6 7,10 \ �� a NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH AND DESIGN ENGINEER. qc"LNG TRENC J FLOOD LIGHT (TYP) M 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM BENCHMARK ELEVATION OF 20.00' No i EXISTING SEPTIC TANK H _ „ ---PROPOSED 12 500 GAL. H 20 1 ESTABLISHED ON A NAIL SET IN UTILITY POLE#39 AS SHOWN ON PLAN. �P�SN °Fssgo 0 - 19x7' CHAMBERS w/ STONE IN A O EDWARD L. s I TRENCH CONFIGURATION m PESCE FRAME AND COVER TO FINISH N76°M10"W 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION GRADE (TYP OF 5) 61.71' g THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT CIVIL °' _ ' E 22" OAK PROPOSED RAIN a 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES N0. 32001 EXISTING SIGN / "" GARDEN TO THE DESIGN ENGINEER. �cisT ° \ \� _ TE �\ BUSH P) / r"kE 1111111 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. ��QNAL 4" ENT PIPE -�'f 1 EDGEO PA`EM \/ e rf`f Tf�e ` 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING ENT C ' E`�E REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM EXISTING WATER 19x6 i �� o--F.�E _ EXISTING CB FRAME AND GRATE TO APPROPRIATE AUTHORITY. L D ARD . P SCE, P.E. DATE SERVICE LINE � � Ewe TE`E BE REPLACED WITH BEEHIVE FRAME 22� / 'tee rye 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED AND GRATE INLETS (TYP OF 2 3 19x4' E` ) UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, DRIVES, OR 9x4`c-, ESE N� o308T TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. �r m' 10" 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. .� ��• `r•' j 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE 3 14 5' {;�••••. MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. `A •! • REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, 20x2' J L. 19x6' BUILDING J 26 • v = ) 2 FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). CHU C ILL J \ 1 PROPOSED EDGE OF �• �� p ° 4 OG6 ^ 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN 1.0 T / \ \ 2 PAVEMENT(TYP) I ZO SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION �Ss ss WOODEN STEPS 12" PINE \ ` 19x2' " 1 , O OF WORK. N ---PROPOSED 9 OUTLET / � `' � � 16. PROPOSED PROJECT IS LOCATED WITHIN:�y \ O _ `DISTRIBUTION BOX / �k 7117117 / 14" INE EL 6"TWIN PINE ASSESSOR'S MAP 141 PARCEL 13 / / N. � ��_ \ J - / / OWNER OF RECORD: WIANNO KNOLL CONDOMINIUM BOARD OF TRUSTEES JOHN L. CH CHILL, JR., P.L.S. DATE 213 � TP 1 � / 21x0'�•_, EXISTING D-BOX j 727 MAIN STREET TO BE REMOVED � / '' � ADDRESS: x05' ✓ '�1x1' ��, OSTERVILLE, MA 02655 21" P�VE \ , Ill - PROPOSED SEPTIC EXISTING FOUNDATION 20xO' �� � � �� EDGE OF EXISTING FEMA FLOOD ZONE X SLAB AREA '15.3' _ O I / PAVED PARKING AREA COMMUNITY PANEL# 25001 CO544J SYSTEM U P G RA D E 10.2 P 17. MASTER DEED REFERENCE: DEED BOOK 3485, PAGE 105 AT UNDERGROUND UTILITIES TO WIANNO KNOLL CONDOMINIUMS BUILDING F ° O / BE RELOCATED AS NEEDED 18. PLAN REFERENCES: 1.) PLAN BOOK 3701, PAGE 287 WIANNO KNOLL CONDOMINIUMS STONE RETAINING WALL (TYP) �?� �., r �'"'�- BUILDINGS E AND F 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. 727 MAIN STREET h ` I O / BW_ 20.0' 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY OSTERVILLE J iO PROPOSED 2" PVC PIPE FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY MASSACHUSETTS 02655 c c �- FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. qc c c --22 1 (BARNSTABLE COUNTY) o /,(( 8.6, EXISTING TIMBER RETAINING WALL 21. IN ACCORDANCE WITH 310 CMR 15.401 -15.405 THE FOLLOWING LOCAL UPGRADE c _ o ,,\` TO BE REMOVED AND REPLACED APPROVALSI VARIANCES ARE REQUESTED: -24 a 1.) A 0.9'VARIANCE (3.0'--3.9') FOR THE MAX. COVER OVER THE PROPOSED SAS. REFERENCE ��. PROPOSED TIMBER 1.) CMR 15.221(7). VISUAL AND AUDIBLE ALARM; EXACT -26= s RETAINING WALL.. 310 2.) A 10.5'VARIANCE (25.0'- 14.5') FOR THE SETBACK FROM THE DRAINAGE BASIN TO OVERALL SITE PLAN LOCATION 70 BE DETERMINED 141 _ PROPOSED EDGE OF PAVEMENT PROPOSED LEACHING SYSTEM.REFERENCE 310 CMR 15.211(1). BRICK STEP /^ "\c28 �/ (MOVED 4'AS SHOWN) 3.) A VARIANCE FROM PROVIDING A MINIMUM EFFECTIVE LIQUID CAPACITY OF 200%OF THE / DESIGN FLOW(i.e. 1,940 gpd x 2= 3,880 gpd) INSIDE THE EXISTING SEPTIC TANK. LIQUID EXISTING 2,500 GAL. SEPTIC TANK _._30- --_ C ��� / 17" STUMP TO BE REMOVED CAPACITY PROV'D= 129%, BUT WITH A NEW 2,000 GAL TANK ADDED IN SERIES. REFERENCE TO BE RELOCATED AS SHOWN � TW= 25.0' 310 CMR 15.223(1)(b). REVISIONS: AND UTILIZED IN THIS DESIGN T �, BW= 22.0' 4.)A VARIANCE TO ALLOW A 25% REDUCTION IN THE REQUIRED SAS AREA DESIGN No. DATE DESC. TW= 25.0' E 3� \ PROPOSED 2,500 GAL. REQUIREMENTS, PER LOCAL UPGRADE APPROVAL. REFERENCE 310 CMR 15.405(c). 6 17 JUL 17 Leaching System Revisions / BW= 22 0' c--c-c-'' H 20 PUMP CHAMBER 5 9 JUN 17 Relocated Leaching Tanks TELE ---TELE 22. OWNER/APPLICANT/CONTRACTOR SHALL BE RESPONSIBLE TO OBTAIN ANY AND ALL 4 10 NOV 16 BOH Comment revisions E--E'-"-E £ / % PROPOSED 2,000 GAL. REQUIRED PERMITS AND APPROVALS FOR THIS PROJECT. 3 18 OCT 16 Leaching System Revisions BUILDING E / LIGHT POLE T/O BE H 20 SEPTIC TANK 43 00' WIANNO KNOLL CONDOMINIUMS MAP 141 RELOCATED/AS SHOWN o / LOT 13 83,579.±S.F. PREPARED FOR:/ i 3•0' O ' / / Wianno Knoll Condominiums / 1.0, / // Board of Trustees '62� � 0 3.0' 1283' o / /l ENGINEERING BY: 4.0, l / t 4.0' / / 4u N , LEGEND S E ETdGI7"qEERII4�� // ^^ rn 50x0 EXISTING SPOT GRADE & ASSOCIATES, II,IC. l CO,N Edward L Pesce, P_E, LEEDO AP-RISER WITH CAST IRON FRAME / / 2 - - - 50 - - - EXISTING CONTOUR � � 3" AND COVER TO FINISHED / / 451 RAYMOND RD GRADE (TYP. OF 5) / / r� PROPOSED CONTOUR P L Y MO U T H, MA 02360 Lli EXISTING UNDERGROUND UTILITIES `Yrficast.netPhone:508-741-92Or', / NOTES: / -cas--- EXISTING GAS LINE 1.0, 48 50, / 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF EACH SEPTIC -W-W-W-W_ SYSTEM COMPONENT. EXISTING WATER LINE M 2' ~' 2.0• // / 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE PROPOSED -E-E-E-E- PROPOSED ELECTRIC SUPPLY LINE LAND SURVEYING BY: �2 0' 3 / LEACHING SYSTEM TO ENSURE CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS JC ENGINEERING, INC. O / / PLAN. REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF SOILS ARE NOT '0• CONSISTENT WITH TEST PIT DATA. TEST PIT LOCATION 2854 CRANBERRY HIGHWAY 1.33, o / / EAST WAREHAM, MA 02538 C15d BUILDING D / / 3.) THERE ARE OTHER EXISTING CONDOMINIUM BUILDINGS LOCATED ON LOCUS PROPERTY THAT ARE NOT SHOWN ON THIS PLAN. Q EXISTING 2,500 GALLON SEPTIC TANK 508-273-0377 NOTE: / // 4.) CONTRACTOR SHALL RESTORE THE DISTURBED PAVED PARKING AREA BY 0 (� 0 PROPOSED H-20 SEPTIC TANK DATE: AUGUST 1,2016 PROVIDING A COMPACTED 6"LIFT OF a"- 1 " PROCESSED GRAVEL BASE, WITH A 2" 1.) TOTAL PERIMETER LENGTH=272.12' HOT-MIX ASPHALT BINDER COURSE,AND 1"FINISH COURSE. FIELD: 2.)TOTAL BOTTOM AREA= 1,423.70 S.F. PROPOSED 2" SOLID SCHEDULE 40 PVC PIPE 5.) CONTRACTOR SHALL REPAINT PARKING LINES IN DISTURBED PAVED PARKING AREA. CALC./DESIGN: CJM SITE PLAN PROPOSED 4" SOLID SCHEDULE 40 PVC PIPE 6.) CONTRACTOR SHALL RELOCATE UTILITY LINES AS NEED TO PLACE NEW SEPTIC TANK, DRAWN: CJM SCALE: 1"= 10' PUMP CHAMBER, RELOCATED LIGHT POLE. ❑ PROPOSED H-20 DISTRIBUTION BOX CHECK: ELP LEACHING SYSTEM DIMENSIONS PROPOSED 500 GAL H-20 LEECHING CHAMBER JOB NO: 3520 SCALE: 1"= 10' SHEET 1 OF 2 --� P-0 I, INSTALL RISER w/CAST IRON FRAME&COVER OVER COVERS FOR BOTH TANKS INSTALL RISER W/CAST IRON FRAME FOR 36" INISH GRADE OVER D-BOX= 2 Q.1'+ PROVIDE CONCRETE RISER WITH FINISH GRADE OVER CHAMBERS= 21 '.9 - 18.9' PROP.VENT WITH CHARCOAL FILTER TO ABOVE GRADE ± AS SHOWN. ADJUST TO REQUIRED GRADE w/MIN. 2 OR MAX.4 BRICK COURSES DIAMETER MANHOLE ACCESS, NEENAH FOUNDRY INSTALL RISER W/CAST IRON FRAME&WATER CAST IRON FRAME & COVER TO F.G. o r OR EQUIVALENT DIMENSION WITH REINFORCED CONCRETE COLLARS. COVERS MODEL#R-1578-A OR EQUAL, OR EQUIVALENT SLOPE @ 2/o MIN. OVER SYSTEM 3/4"TO 1-1/2" DOUBLE WASHED FINISH GRADE FND. EL.= TOP OF FOUNDATION = 23.1r 22.4 ± SHALL BE SECURED TO PREVENT UNAUTHORIZED ACCESS. ALUMINUM (H-20)HATCHWAY TIGHT COVER. ADJUST TO REQUIRED FINISH FOR ALL CHAMBERS w/INLET PIPES STONE TO CROWN OF PIPE \\\ GRADE. COVERS SHALL BE SECURED TO F.G. OVER EXIST.TANK EL.= 21 .0'± F.G. OVER PROP. TANK EL.= 21.3'± F.G.OVER PROP.TANK EL.= 21,9'± PREVENT UNAUTHORIZED ACCESS. 4" SCHEDULE 40 PVC 2"OF 1/8"TO 1/2"DOUBLE WASHED 5"DIA. OUTLET(S) MIN SLOPE 1% STONE OR GEOTEXTILE FILTER FABRIC ff' EXISTING 4" 36' TOP OF SAS= 18.00' SEWER PIPE 2"PVC TEE 36 MAX 17.00 �-� - 3„ � „ 9 MIN ' BREAKOUT EL= 17.50' SEE NOTE 21 ON SHEET 1�OF 2 6" 3" PROP 4" r 3"DROP MAX g�� LPL „ 3' „ PROP.2 18,8 (TOP OF D BOX) 2"DROP MIN SLOPE @ 1%min. 6" DROP MA ._ SCH.40 PVC 6„ SCH.40 PVC -17.1't 1� 2"DROP M N DROP X g„ SLOPE @ 1 min. 34 �-16'8± 10" 10" _ (TYP.) CONTRACTOR ERTIGHT o Q o 0 0 „ L - 61 t �JOINTS o�o SHALL VERIFY SIZE 90 ± 16.7 16.4 2"PVC IN FROM ' 34' r ' C , PUMP CHAMBER 4" PVC OUT TO 0 O F 0 0 AND CONDITION OF 90 ± 16.5 16.1 5 O LEACHING FACILITY oCD O o EXISTING TANK / 0 0 � � � � � � � O � � 20"ZABEL FILTER 48„ 39' o0 0 0 CONTRACTOR SHALL VERIFY MODEL#A100-12X20-VC 17.60 MIN. 17,40' 2 0 = = = = = o o 0 = = = 0 0� CONDITION OF EXISTING TEES GAS BAFFLE O o CDCD AND REPLACE AS NECESSARY 6"CRUSHED STONE GAS BAFFLE 6"CRUSHED STONE oo o00 600 o0 OVER MECHANICALLY OVER MECHANICALLY 6"CRUSHED STONE COMPACTED BASE COMPACTED BASE OVER MECHANICALLY o0 EXISTING PROPOSED PROPOSED COMPACTED BASE SEE 2,500 GALLON SEPTIC TANK 2,000 GALLON SEPTIC TANK H-20 2 500 GALLON PUMP CHAMBER - OUTLET DISTRIBUTION BOX TO B I 3 °� 8.5' (TYP) PLAN 3.0' 3.0' 4 83' 3 0' ( ) , H 2O 9 E INSTALLED ON A a r w _ r o r e r s VARIES SEE PLAN (TYP.) Length=12-2 Width=6-8 Height--&-2" Length-12-2 Width=6-8 Height=7-2 LEVEL STABLE BASE. FIRST TWO FEET OF OUTLET PIPES BE LAID LEVEL. SEASONAL HIGH GROUNDWATER ELEV.= *8.65' 15.00 10.83' 6t z"g CROSS SECTION VIEW GROUNDWATERELEV.= 4.95' (GWEL. IN WELL AIW307) 6.35'± TO AN & Y WORK& H2O WITH BAFFLE EXISTING 2,500 GALLON SEPTIC TANK TYPICAL�00 GALLON CHAMBERS CHAMBER PROFILE (BASED ONUSGS WELL MEASURED ON10-28-15) ELEVATION PRIOR TO AN CHAMBER END VIEW "CONTRACTOR TO VERIFY PROPOSED 2,000 GALLON SEPTIC TA DISTRIBUTION BOX DETAIL TANK (H-20) AND 2,500 GALLON PUMP CHAMBER (H-20) H-20 CHAMBER DETAILS NOTIFY ENGINEER IF DIFFERENT NOT TO SCALE NOT TO SCALE NOT TO SCALE PUMP CALCULATIONS PUMP CHAMBER DETAIL DESIGN DATA DESIGN DATA TEST PIT DATA TEST PIT DATA NOT TO SCALE PERC NO. 14830 1 PERC NO. 14830 NO. OF BEDROOMS 14 TOTAL INSPECTOR: David W. Stanton, R.S. INSPECTOR: David W. Stanton, R.S. INSTALL 1-1/4"PVC TO HOUSE. JOINTS TO BE DESIGN FLOW 110 GAUDAY/BEDROOM SEPTIC TANK DESIGN DOSING & STORAGE REQUIREMENTS MADE WATERTIGHT. WIRE PUMP AND FLOATS EVALUATOR: Edward Pesce, P.E. EVALUATOR: Edward Pesce, P.E. TO SIMPLEX CONTROL PANEL No. 1-CC2 NO. OF DENTAL CHAIRS 2 FIRST TANK IN SERIES C.S.E.APPROVAL DATE: April 1995 C.S.E.APPROVAL DATE: April 1995 DESIGN FLOW 200 DESIGN FLOW x 200% = 1,940 GPD x 2=3,880 GPD DESIGN FLOW: 1940 GPD NEMA-1 MFG. HOOVER INSTRUMENTS. of NEMA 4 JUNCTION BOX CORROSION RESISTANT& GAUDAY/CHAIR USE EXISTING 2,500 GALLON SEPTIC TANK - DATE: Octobert 31,2015 DATE: October 31,2015 �P��Hss90 DOSING REQUIRED: 5 CYCLE/DAY LIQUID-TIGHT CABLE CONNECTORS SUPPORTED TOTAL DESIGN FLOW 1,940 GAUDAY See General Note#21 on sheet 1 of 2 for variance request TEST PIT#: 1 TEST PIT#: 2 EDWARD L. 1940 GPD/5 = 388 GAUCYCLE CONNECTORS SUPPORTED BY 1-1/4"PVC CONDUIT, PESCE JOINTS TO BE MADE WATERTIGHT (NO GARBAGE GRINDER) ELEV TOP= 21.05' ELEV TOP= 21.05' CIVIL 2500 GALLON CHAMBER= (L x W x Liquid level) SECOND TANK IN SERIES 2500 GALLON CHAMBER= (11.5'x 6.0'x 5.0')x (7.48 GAUCF) DESIGN FLOW X 200 % = 3,880 GAUDAY DESIGN FLOW x 100% = 1,940 GPD x 1 = 1,940 GPD ELEV WATER= < 10.05' ELEV WATER= < 10.05' NO. 32001 2500 GALLON CHAMBER=2,580.E GAL CAPACITY USE PROPOSED 2,000 GALLON SEPTIC TANK is 2,580.6/5 CYCLES =516.1 GAUFT SLIDE RAIL(TYP.) USE EXISTING 2,500 GALLON SEPTIC TANK,AND PERC RATE_ <2 min./inch PERC RATE _ &%' L � DISTANCE REQUIRED BETWEEN PUMP USE PROPOSED 2,000 GALLON SEPTIC TANK ON AND PUMP OFF FLOATS: HOISTING CABLE 7 x 19 STAINLESS STEEL TOTAL = 4,500 GAL DEPTH OF PERC= 33' DEPTH OF PERC= N/A 1/8" DIA. / 1,760 LB.STRENGTH -11 TEXTURAL CLASS: TEXTURAL CLASS: W R L. SC , P. ATE 388 GAUCYCLE - 516.1 GAUFT = 0.75 FT/CYCLE (USE 0.80'TO PROVIDE FOR BACKFLOW) 2"BALL VALVE w/UNIONS SCH. 80 PVC LEACHING SYSTEM DESIGN - - GEORGE FISHER CO. MODEL NO. 560 _ STORAGE REQUIRED ABOVE WORKING LEVEL: 1940 GAL. 17" 6. INSTALL 12 - 500 GAL. H-20 CHAMBERS w/STONE STORAGE PROVIDED ABOVE WORKING LEVEL: ----_-_-_ 2"DROP MIN. 2"SCH. 40 TO D-BOX SEASONAL HIGH G.W. DATA 0" 21.05' 0" 21.05' - - - - REQUESTING A REDUCTION OF 25% PER LOCAL UPGRADE Asphalt Asphalt 13" 3"DROP MAX. (3.78'x 516.1 GPF) = 1950.9 GAL 2"SCH. 40 TEE w/CLEAN-OUT CAP 4" 20.72' 4" 20.72' 7'-2" co ALARM ON APPROVAL 310 CMR 15.405(C): Dense Grade Dense Grade STORAGE PROVIDED ABOVE WORKING LEVEL: 1950.9GAL. 69' �,; 1/4"WEEP HOLE IN DISCHARGE PIPE - 1,940 GPD * 75% = 1,455 GPD REQUIRED DESIGN CAPACITY „ Gravel PROPOSED SEPTIC 5-9 LIQUID UMP ON BASED ON THE CAPE COD COMMISSION METHOD - 9 20.30' 8" 20.30' LEVEL OR b _ INDEX WELL: MIW 29 Loamy Sand Loamy Sand+ SYSTEM P PUMP NOTES: I OR = of P 2" BALL CHECK VALVE SCH. 80 PVC 100 WATER-LEVEL RANGE ZONE: B B B S UPGRADE P.S.I. FLOWMATIC MODEL No. 208S SIDEWALL CAPACITY 10Y 5/4 Fill WATER DEPTH READING: 9.41' 10Y 5/6 1. VISUAL AND AUDIBLE ALARM TO BE MOUNTED CHAMBER WALL WATER DEPTH READING DATE: 10-30-15 [SUM OF ALL SIDE LENGTHS] (2'HIGH) (0.74 GPD/S.F) = GAUDAY 20" 19.38' 48" 16.97' AT ON EXTERIOR OF BUILDING AS SHOWN ON PLAN. (2) WIDE ANGLE CONTROL FLOATS N 1/4"WEEP HOLE IN DISCHARGE PIPE WATER-LEVEL ADJUSTMENT: 3.70' [(3)(10.83')+61.33'+33.73'+g.g2'+43.0'+21.55'+22,g +48.5'] (z) (0.74GPD/S.F.)= 402.74[;pp Perc@ 33" 18.3' WIANNO KNOLL CONDOMINIUMS (BARNES 073618) o BOTTOM CAPACITY C-1 Medium Sand C-1 Medium Sand BUILDINGS E AND F 1: PUMP ON/OFF 120 ACTIVATION 2"SCH. 40 PVC DISCHARGE PIPE 2.SY 7/3 2.SY 7/3 2. ALARM AND PUMP TO BE WIRED ON SEPARATE USING OBSERVED DEPTH TO GW AT WELL AIW 307 [(LENGTH x WIDTH)+(L x w)+(L x W)](0.74 GPD/S.F.) = GAUDAY 45" 17.3` 727 MAIN STREET 2: ALARM ACTIVATION (2) BARNES SE411AU PUMPS, 66 GPM @ [(43.0'x 10 83')+(33.73'x 12 83')+(48 5'x 10.83')] (0.74 GPD/S F.) = 1053.53GPD 80" 14.38' 63" 15.80' CIRCUITS. = 26.25 ON 10-28-15, THE EL. OF GW=4.95 OSTERVILLE TOTALS: C-2 + Gravel 15.5'TDH, .4 H.P., 115 V, 1750 RPM, 5.44"IMP. Medium Sand MASSACHUSETTS 02655 2500 GALLON PUMP CHAMBER (H-20) DIA., 2" DISCHARGE PASSING 1-1/2"SOLIDS (EL. OF LAND SURFACE AT WELL = 31.2') OR EQUAL-PUMPS SHALL ALTERNATE TOTAL LEACHING AREA PROVIDED: 1,967.93 SQ.FT. 2.5Y 7/6 (BARNSTABLE COUNTY 90" 13.55' ) ADJUSTED G.W. DEPTH: 4.95' + 3.70' = 8.65' TOTAL LEACHING CAPACITY PROVIDED: 1,456.27 GALJDAY Medium- Fine Sand _ TOTAL LEACHING CAPACITY REQUIRED : 1,455.0 GAL./DAY 2.5Y 6/2 C-3 Medium- Fine Sand 2.5Y 7/2 DETAIL SHEET 1V14A s144" 9.05' 144" 9.05' , Mottling, Weeping or Standing Observed No Mottling, Weeping or Standing Observed ' _ No M -�- REVISIONS: __ RE _ ET No. DATE DESC. 6 17 JUL 17 Leaching System Revisions 5 9 JUN 17 36" Dia. Pump Ch.Manhole 4 16'NOV 16 BOH Comment revisions 18x9' 3 18 OCT 16 Leaching System Revisions PREPARED FOR: PROPOSED RAIN GARDEN PLANTINGS: WlannO Knoll C011dOC111111Ut11S PROPOSED EDGE OF PAVEMENT -SWITCH GRASS`f/ram\ j� S� / 1� D Board Of TrUSt@@S W/CAPE COD BERM £/ram GARDENED RAIN /0"yy O� OO a..` 02.250 -PALE PURPLE CONEFLOWER O O� OO O -INDIAN GRASS 19x3' W -BLUEFLAG IRIS NEENAH FOUNDRY CAST IRON FRAME ENGINEERING BY: f, -JOE PYE WEED & COVER CATALOG NUMBER R-2561-A EXISTING CB FRAME AND GRATE TO a O D ( BE REPLACED WITH BEEHIVE FRAME D CO O -OTHER PLANTS AS APPROVED BY DESIGN ENGINEER OR APPROVED EQUAL) RAIN GARDEN PLANTINGS (TYP) O\£,r� RATE INLETS (TYP OF 2) { a - _ } A A f�rjC � �J �` � V (�V � ��E��IL'1i V 'c EX. PAVEMENT CJ �I +TI✓S, IrdC. PROPOSED 3'± GAP IN CAPE COD w �`�W W W W W W W W \ O O O I _ E0%Vd r+d L Pesce, P.E, 1_EED AP O O �Ti SLOP „Q1. '-r 451 RAYMOND RD BERM W/ RIP RAP CHANNEL W W W y� � y � � .�� � W O O (TYP. OF2} W W W W ��� � �� `y \ - ..�1 =6:t ../ j SOpE'.. =1 4"LAYER OF LOAM PLYMOUTH, MA 02360 W / W W �O- I I II pE 5 @core ir_-�5t r�t. F .51 7 4' 92_ 0.625 R - ,. 1P7 ` 22.00019x3' " O 19.375 ------------- BEEHIVE GRATE � 1.500 _ FLANGE EL.=18.9'± 19x2'(TYP. OF 2) �! 7.000 LAND SURVEYING BY: �� ,� 1.250 / j JC ENGINEERING, INC. EDGE OF PAVED / / - ---- 2854 CRANBERRY HIGHWAY PARKING AREA / A� ,� 0 625 � -��- 20250 -___yI s.000 EAST WAREHAM, MA 02538 � EXISTING LEACHING CATCH BASIN (TYP OF 2) 508-273-0377 28.2.50 SECTION A - A 149 SQANCH - PASS AREA DATE: AUGUST 1, 2016 n BEEHIVE INLET GRATE DETAIL RAIN GARDEN CROSS-SECTION FIELD: (NEENAH FOUNDRY CAST IRON FRAME & COVER) NOT TO SCALE CALC./DESIGN: CJM RAIN GARDEN DETAIL (CATALOG NUMBER R-2561-A OR APPROVED EQUAL) DRAWN: CJM SCALE: 1"=5' NOT TO SCALE CHECK: ELP JOB NO: 3520 SHEET 2 OF 2