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HomeMy WebLinkAbout0080 JOBY'S LANE - Health 80 JOBY'S LANE, OSTEIaVYLLE A=120-094 I 4 i .i TOWN OF BARNSTABLE q LOCATION ��� '�©`off S ��G�^-1 i SEWAGE# VILLAGE ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. �6.`�'1 SEPTIC TANK CAPACITY ( r raSni- LEACHING FACILITY: (type) j00 6&Q (size) ) NO.OF BEDROOMS OWNER PERMIT DATE: ( 7 COMPLIANCE DATE: 17 I Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY in va- r. 13 ' Z97 P 3y t6' No. ZGl?P 3 Fee 1 5o THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftplitatiott for ]Disposal 6pstem Construction 3permit Application for a Permit to Construct(1-�Re pair( ) Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. So To6y'$ Lc4 f/ orOwner's Name,Address,and Tel.No. Assessor's Map/Parcel q ZG RCi 4 4 } c�/ rur Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: t go Dwelling No.of Bedrooms z Lot Size sq.ft. Garbage Grinder( ) Other Type of Building 41p of No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) Zz 10 gpd Design flow provided-3 31, T gpd Plan Date [b 70 /7 Number of sheets i Revision Date lIZ29 l? Title s P[9tz Pr ,cd, � ".f eA,,k Size of Septic Tank Type of S.A.S. Z" �W G'►� C rf Description of Soil �^ Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Boar 60f ¢� c, gnede` lvl(J Date Application Approved by • Date Application Disapproved by Date for the following reasons Permit No.�br7-3 8 Date Issued a x * _ ✓''.S 7t✓'t,..nrW x� Y 1 ek. a.�a. _. A No. z6o— 3 .. .a3 } Fee /THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes I Zi-pplication for.,Vsposal *pstem Construction 3permit Application for a Permit to Construct(L)Repair( ) Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address orLot No. 8 G �dGy (ch e, cr k Owner's Name,Address,and Tel.No. Assessor's Map/Parcel ZO 4 y Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. (A)l Aw-i(e kfi, ey_,CPf C IT"k :r d.r"'01 Type of Building ,tj ,C S Uri -c�Z !73 yy Dwelling No.of Bedrooms D -� J tLot Size , i Q � sq.ft. Garbage Grinder( ) s Other Type of Building ry e f. No.of Persons Showers( ) Cafeteria( ) Other Fixtures ryr / �- d Design Flow(min.required) C' gpd Design flow provided > gp a Plan Date l(5 j�11? Number of sheets ; Revision Date / ��i` l Title' S. P4ti !flrlrOfe.1 Zh. e0 041�4' Size of Septic Tank l S vG Type of S.A.S. 2.' S 641 C,4^41'C 11 ° Description of Soil �-•� ' t Nature of R�epairs gr Alterations(Answer when,.,. licable) y zti a Date last inspected: Agreement: r The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not-to-place the system in operation until a Certificate of x �} Compliance has been issued.by,this Bo d�of H `alth.� �'"� ' fit t Date '`��' Application Approved by DateQ d' Application Disapproved by Date for the following reasons Permit No.eeo/ l-3 p S Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed(y')""' Repaired( ) Upgraded( ) Abandoned( )by at "0 -i 04 S_ 6.�p . has been constructed in accordance } with the pr v sions of Title 5'"and-the.-fo_r Disposal System Construction Permit No. 3 dated 1 + t3� Installer Designer SC/ #bedrooms Approved design flow - 22 G gpd The issuance of this permit/shall no be cco—nstrued as a guarantee that the system wile f0ctiion a� signed'.•,�-�""'"""""""��, Date / < I� �!J Inspector _ " _ - -- No. Z617_ 3 9 5'_ FeeTHE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposaf *pstem Construction J)efmit Permission is hereby granted to C�i ( 'I-R pair( ) Upgrade( ) Abandon( ) System located at o 4 h-e- and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. �. Provided:Construction must be completed within three years of the date of this perm t. �' Date 0 Approved by .--W,-- John O'Dea From: McKean,Thomas <Thomas.McKean@town.barnstable.ma.us> Sent: Monday, October 02, 2017 5:12 PM To: John O'Dea Subject: RE:80&92 Jobys Lane Hi John, We will need a written monitoring plan to approve .Would you like to submit the standard DEP approved plan (twice yearly). I' m sure the Board will have no objections. From: John O'Dea [mailto:john@sullivanengin.com] Sent: Monday, October 02, 2017 3:02 PM To: McKean,Thomas Subject: RE: 80 &92 Jobys Lane Great. It doesn't look like they specified the maintenance/monitoring,so we will just submit whatever todays requirements are. Perc tests were performed by Peter McEntee witnessed by Donna in 1999. 1 was assuming I would need to do additional peres, but now I see they poured water in 2 holes at each site. He only logged 2 holes in the perc form per site, but on the plan he shows a test hole and a perc hole symbol at each location. Maybe that's just how he logs his peres? Regardless, if the Board approved it, I guess it's good to go. John O'Dea, P.E. Sullivan Engineering&Consulting, Inc P.O. Box 659 Osterville, MA 02655 508-428-3344 508-428-9617 (fax) From: McKean,Thomas [mailto:Thomas.McKean@town.barnstable.ma.us] Sent: Monday, October 02,2017 12:48 PM To:John O'Dea<john@sullivanengin.com> Subject: Re: 80&92 Jobys Lane Yes. In my opinion,they are not variances. It was brought before the Board for approval of the monitoring plan.Are you satisfied with the required monitoring plan from the Board from 2009? It was likely quarterly for two years back then. 1 Otherwise, Construction with the additional bedroom (with the nitrogen reduction technology) is allowed according to Title V. From:John O'Dea Sent: Monday, October 2, 2017 9:52 AM To:Thomas.McKean @town.barnstable.ma.us Cc: 'Brian Dacey' Subject: 80 &92 Jobys Lane Thomas, We have been asked to design septic systems for 80&92 Jobys Lane for Brian Dacey. The sites are located within the Estuarine,WP,and Zone II overlays. Our research has found that variances were granted by the Board for both sites in 2000 to allow 3 bedrooms with a FAST IA system. I have not found that these variances or IA approvals expire?? So,can we just apply for permits with revised plans meeting all of today's FAST requirements(which we are just completing for our project together at 218 Bumps River Road)? John O'Dea, P.E. Sullivan Engineering&Consulting, Inc P.O. Box 659 Osterville, MA 02655 508-428-3344 508-428-9617 (fax) 2 Town of Barnstable Ft"Ea Regulatory Services # Richard V. Scali, Interim Director * snxxsTnsLE. MASS. ,�g Public Health Division 'OrE1639. Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: 7/16/2018 Sewage Permit# 7 O I --3 f S Assessor's Map\Parcel 120/094 Designer• Sullivan Engineering&Consulting, Inc. Installer• Joyce Landscaping Address: fi 7 Parker Road Address: 68 Flint Street ' :''.. Osterville MA 02655 Marstons Mills ''a y 11/29/2017 Joyce Landscaping On was issued a permit to install a (date) (installer) septic system at 80 Joby's Lane based on a design drawn by ' (address) Sullivan Engineering&Consulting, Inc. dated 17 1113o�1 &J. 7112— i� (designer) f I certify that the septic system referenced above was installed substantially according to. the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. , I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in compliance with the terms of the I\A approval letters (if applicable) OFJIDHN C. MgsS nstaller's Signature) U :_a o CIVIL ; No.48168 �'p 'GISTER�� (Designer'sl.`ig (Affix IjsAs� p Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc DEED RESTRICTION Brian Dacey, President of Emerald Development Corporation, owner of 80 Joby's Lane, Barnstable (Osterville), by deed (Book 30947/Page 31) recorded at the Barnstable Registry of Deeds, as required by 310 CMR 15.287 (10) hereby provide notice that the existing dwelling is to be served by a MicroFAST 0.5 alternative on-site septic system, and is subject to the conditions contained within the Certification for General Use issued by the Department of Environmental Protection to Bio-Microbics, Inc. dated March 20, 2015, and approval by the Town of Barnstable Board of Health dated December 4, 2017, and further agree that until such time as technology changes and/or the Barnstable Board of Health changes its regulations or otherwise grants permission, structures built on the premises of 80 Joby's Lane, Osterville, shall have no more than a total of two (2) bedrooms. Ir ian Da fevelopment President Emerald Corporation COMMONWEALTH OF MASSACHUSETTS Barnstable County On this 17th day of July, 2018, before me,the undersigned notary public, personally appeared Brian Dacey, known to me to be the person whose names are signed on this document and acknowledged to me that they signed it voluntarily for its stated purpose. Notary Public My commission expires: l ,� LEAH OD —� Notary Massach My Commiss ARNSTP►REE REGISTRY Of DEEDS May 10, R Meade, Re aster John F. , i Commonwealth of Massachusetts Executive Office of Energy &Environmental Affairs Department virProtection One Winter Street Boston, MA 02108 617-292-5500 Charles D. Baker i Matthew A.Beaton Governor Secretary Karyn E. Polito Martin Suuberg Lieutenant Governor Commissioner I CERTIFICATION FOR GENERAL USE Pursuant to Title 5, 310 CMR 15.000 Name and Address of Applicant: Bio-Microbics,Inc. 8450 Cole Parkway Shawnee, KS 66227 i Trade name of technology and models: FAST Treatment Systems with Nitrogen Reduction including models MicroFASM 0.5, 0.75, 0.9, 1.5, 3.0, 4.5, 9.0, HighStrengthFAST® 1.0, 1.5, 3.0, 4.5, 9.0 and NitriFASM 0.5, 0.75, 1.0, 1.5, 3.0, 4.5, 9.0 (all hereinafter the 'System") for facilities with design flows less than 2,000 gallons per day(GPD). Schematic drawings illustrating the models and an Inspection Checklist are part of this Certification. Transmittal Number: X232831 Date of Issuance: December 29,2010,revised March 20, 2015 I Authority for Issuance: Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000,the Department of Environmental Protection(hereinafter"the Department")hereby issues this General Use Approval to: Bio-Microbics, Inc., 8450 Cole Parkway, Shawnee, KS 66227 (hereinafter "the Company"), approving the above referenced FAST technology(hereinafter"the Technology"or"System") for use in the Commonwealth of Massachusetts subject to the conditions herein. Sale and use of the Technology are subject to compliance by the Company, the Designer, the System Installer,the Operator, and the System Owner with the terms and conditions herein. Any noncompliance with the terms or.conditions of this Certification constitutes a violation of 310 CMR 15.000. March 20, 2015 David Ferris, Director I Date Wastewater Management Program I Bureau of Water Resources I. Purpose This information is available in alternate format.Call Michelle Waters-Ekanem,Diversity Director,at 617-292-5751.TTY#MassRelay Service 1-800439.2370 MassDEP Website:www.mass.gov/dep Printed on Recycled Paper f Certification for General Use Page 2 of 10 Bio-Microbics FAST<2,000 GPD Nitrogen Reducing I 1. Subject to the conditions of this Approval and any other local requirements,the purpose of this Approval is to allow the use of the System in Massachusetts on a General Use basis. With the necessary permits and approvals required by 310 CMR 15.000, this Certification authorizes the installation and use of the System in Massachusetts. 2. The System may be installed for residential facilities with design flow less than 2,000 GPD where a system in compliance with 310 CMR 15.000 exists on-site or could be built and for which a site evaluation in compliance with 310 CMR 15.000 has been approved by the local approving authority; or by the Department if Department approval is required by 310 CMR 15.000. This Approval allows for the use of the System as an equivalent alternative technology in accordance with 310 CMR 15.202 on facilities for nitrogen reduction in a Department designated nitrogen sensitive or limited area as defined in 310 CMR 15.214 and 15.215. i Non-residential facilities are not allowed under this approval.Non-residential facilities include properties with businesses and/or commercial establishments. 3. The technology shall meet or exceed the following effluent discharge requirements: • Effluent Total Nitrogen(TN) concentration of 19 mg/L (for 660 gallons per day per acre -gpda- loading) or 25mg/L(for 550 gpda loading). i • Effluent pH range shall be 6.0 to 9.0. • The System is approved for use at facilities with a maximum design flow less than 2,000 GPD. 4. The System Owner or the designated System Operator(or `Operator')has responsibility for oversight and sampling of the System if the property served was allowed to increase the discharge rate per acre above 440 gpda in an area subject to Nitrogen Loading Limitations. The System Owner will be required to repair, replace,modify or take any other action as required by the Department or the local approving authority, if the Department or the local approving authority determines that the System is not capable of meeting the required. reduction in nitrogen in the effluent. The Company is responsible for the,approved technology as described below. I II. General Description of the Technology and Design Standards i 1. The tank containing the FAST®insert is installed between the building sewer and the soil absorption system(SAS). The SAS shall be designed and constructed in accordance with 310 CMR 15.100 - 15.279 and subject to the provisions of this Certification. 2. Technology Description{The FAST® system is an aerobic wastewater treatment system that utilizes a completely submerged fixed film process to treat organics and nitrify, and a passive recycle system for denitrification. Each model contains submerged media specific to the application. Microorganisms grow on the media and remove soluble contaminants from the wastewater,utilizing them as a source of energy for growth and production of new microorganisms. The FAST®system insert consists of a liner around the media and an airlift to provide aeration and mixing within the confines of the liner. The area outside the liner in the septic tank remains anoxic for denitrification and a passive recirculation system i i Certification for General Use i Page 3 of 10 Bio-Microbics FAST<2,000 GPD Nitrogen Reducing t moves the aerated wastewater to the outside of the liner to obtain denitrification. The aeration and circulation inside the liner are provided by a blower that pumps air into a draft tube that extends down the center of the media. Treated effluent passes out of the aerobic zone of the treatment plant through a pipe connected directly to a baffled quiescent area in the liner. Final effluent is discharged to a soil absorption system. Specific model considerations are as follo s: • The MicroFAST® 05, 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. I • The MicroFAST®, HighStrengthFAST® and NitriFAST® 1.5 are installed in the second compartment of a two compartment 3000-gallon tank constructed in accordance with 310 CMR 15.226. • The MicroFAST®, HighStrengthFAST® and NitriFAST® 3.0 is installed in a separate tank constructed in accordance with 310 CMR 15.226 and 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). In this larger system, an additional recycle pump may be needed to send nitrified effluent back to the septic tank for added denitrification. Consult the Company for proper layout. • The NitriFAST®models can also be used for additional nitrification in series after the MicroFAST®models or HighStrengthFAST®models. In this configuration the tanks used for the NitnFAST® shall be constructed in accordance with 310 CMR 15.226 and meet the minimum dimensions and volumes required by the Company. I • Flow equalization may also be employed prior to the FAST® system depending on the type of facility. Consult Company for proper layout. 3. All access ports and manhole covers shall be readily removable, of durable material and installed and maintained at grade to allow for maintenance of the System.No structures shall be located directly upon or above the access locations which could interfere with performance, access,inspection,pumping, or repair. Sufficient access for infrequent maintenance of the System treatment media and all other treatment works shall be evaluated, and addressed in the System design if necessary,by the designer. System control panel(s) including alarms shall bej mounted in a location accessible to the operator of the System. 4. Wastewater Loading and Effluent Concentration Design Standards For new residential construction in an area subject to the Nitrogen Loading Limitations of 310 CMR 15.214, and the facility does not meet with the Nitrogen Loading Limitations pursuant to the aggregation provisions of 310 CMR 15.216, an increase in calculated nitrogen loading per acre is allowed for facilities with design flow less than 2000 gpd with limitations as follows: The design flow shall not exceed 660 gallons per day per acre(gpda) and the total nitrogen(TN)concentration in the effluent shall not exceed 19 milligrams per liter (mg/L); or i i Certification for General Use Page 4 of 10 Bio-Microbics FAST<2,000 GPD Nitrogen Reducing • The design flow shall not exceed 550 gallons per day per acre(gpda) and the total nitrogen(TN)concentration in the effluent shall not exceed 25 milligrams per liter (mg/L)• • TN is measured as the total of TKN (Total Kjeldhal Nitrogen),NO3-N (Nitrate nitrogen) and NO2-N(Nitrite nitrogen). III. General Conditions 1. The provisions of 310 CMR 15.000 is applicable to the use and operation of this System,the System owner and the Company, except those that specifically have been varied by the terms of this Certification. 2. Any required operation and maintenance,monitoring and testing shall be performed in accordance with a Department approved plan. Any required sample analysis shall be conducted by an independent U.S. EPA or DEP approved testing laboratory, or a DEP approved independent university laboratory,unless otherwise provided in the Department's written approval. It shall be a violation of this Certification to falsify any data collected pursuant to an approved testing plan, to omit any required data or to fail to submit any report required by such plan. 3. The facility served by the System and the System itself, shall be open to inspection and sampling by the Department and the local approving authority at all reasonable times. 4. In accordance with applicable law, the Department and the local approving authority may require the System owner to cease operation of the system and/or to take any other action as it deems necessary to protect public health, safety,welfare or the environment. 5. 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. Accordingly,no System shall be upgraded or expanded, if it is feasible to connect the facility to a sanitary sewer,unless as allowed by 310 CMR 15.004. 6. Design, installation, and use of the System shall be in strict conformance with the Company's DEP approved plans and specifications and 310 CMR 15.000, subject to this Certification. IV. Conditions Applicable to the System Owner 1. The System owner shall at all times have the System properly operated and maintained by a Company approved Operator in accordance with this Certification,the designer's operation and maintenance requirements and the Company's approved procedures. 2. The System is certified only in connection with the discharge of sanitary wastewater from facilities with a design flow of less than 2000 gpd. Any non-sanitary wastewater generated and/or used at the facility served by the System shall not be introduced into the System and shall be lawfully disposed of. Certification for General Use Page 5 of 10 Bio-M[icrobics FAST<2,000 GPD Nitrogen Reducing 3. The System Owner shall provide access to the site for the System Operator to perform inspections, maintenance, repairs, responding to alarm events, field testing, and sampling as may be required by the Approval. Operation and Monitoring Requirements 4. System effluent total nitrogen (TN) concentrations shall not exceed 19 or 25 mg/L and effluent pH shall not be less than 6.0 or more than 9.0. Field test observations of dissolved oxygen(DO) shall equal or exceed 2 mg/L and for Turbidity shall be equal or less than 40 NTU. 5. All samples shall be taken at a flowing discharge point, i.e. distribution box,pipe entering a pump chamber or other Department approved location from the treatment unit. 6. Inspection, operation and maintenance(O&M), sampling, and field.testing of the System required by the Approval shall be performed by a Company approved Operator who has been certified at a minimum of Grade Level 4 (four)by the Board of - Registration of Operators of Wastewater Treatment Facilities, in accordance with Massachusetts regulations 257 CMR 2.00, and is an approved Title 5 System Inspector in accordance with 310 CMR 15.340. 7. Prior to commencement of construction of the System, the System Owner shall provide to the local approving authority a copy of a signed O&M Agreement that meets the requirements of paragraph IV(8). 8. The System Owner shall maintain, at all times, an O&M Agreement with a qualified System Operator approved by the Company. The Agreement shall be at least for one year and include the following provisions: a) The name of a System Operator who is an approved System Inspector in accordance with 310 CMR 15.340 and who meets any additional qualification requirements specified in the Approval; b) The System Operator must inspect the Alternative System as required by paragraph IV (9) and (12); c) The System Operator shall be responsible for submitting the monitoring results to the System Owner in accordance with paragraph IV(13) and to the local approving authority in accordance with paragraph IV(14); and d) In the case of a System failure, an equipment failure, alarm event, components not functioning as designed, or violations of the Approval, procedures and responsibilities of the System Operator and System Owner shall be clearly defined for corrective measures to be taken immediately. The System Operator shall agree to provide written notification.within five days,,describing corrective measures taken, to the System Owner and the local board of health. 9. The System Owner shall comply with the following monitoring requirements if the System is subject to a TN concentration limit in accordance with paragraph II (4): Certification for General Use Page 6 of 10 Rio-M[icrobics FAST<2,000 GPD Nitrogen Reducing a) Year-round installations shall be inspected and have effluent sampled for at least the TN parameter quarterly for the first year, then a minimum of twice/year thereafter, at least 5 months apart and with at least one sample taken between December 1 and March 1 of each year. Field testing shall be completed per paragraph IV (11)below, and as determined necessary by the System Operator. See DEP Field Testing Protocol at http://www.mass.gov/dep/water/laws/policies. htm#t5pols. Wastewater flow shall be recorded at each inspection, see `Flow Metering' paragraph IV(10). b) Seasonal installations shall be inspected and have effluent sampled for at least the TN parameter a minimum of twice/year. At least one sample must be taken 30 to 60 days after each seasonal occupancy begins. A second sample must be taken no less than 2 months after the first sample. Field testing shall be completed per paragraph IV(11)below, and as determined necessary by the System Operator. Wastewater flow shall be recorded at each inspection, see `Flow Metering' paragraph IV(10). c) Systems in operation prior to issuance of this Approval, which have received approval of sampling reduction from the Department may continue with that System monitoring frequency. Properties occupied at least 6 months per year are considered year-round properties. Properties occupied less than 6 months per year are considered seasonal properties. TN is measured as the total of TKN (Total Kjeldhal Nitrogen),NO3-N (Nitrate nitrogen) and NO2-N(Nitrite nitrogen). 10. Flow Metering: Reporting of residential System water use is not required,however it is recommended the Operator record water meter readings if available at all inspections, or otherwise estimate System flow,to assist in addressing possible operational problems or issues. Flow measurement when recorded shall be based on: a) actual metering data of wastewater flow to the System or actual water meter data of flow to fixtures that discharge to the wastewater system; or b) actual water meter data for the total facility with either actual meter data or estimated flows for non-wastewater usage subtracted from the total facility water usage. If estimating the wastewater portion of metered water usage, the System Operator shall provide a best estimate of wastewater discharged to the System with the method of estimating, such as pump run times, occupancy rates, adjustment due to seasonal outdoor watering use, etc.; or c) for Systems installed under a prior Approval that did not include a wastewater flow data reporting requirement, if no flow meters are available, the System Operator shall provide a best estimate of wastewater discharged to the System with the method of estimating, such pump run times, occupancy rate, etc. 11. Field Testing:. Temperature,turbidity,pH and DO shall be measured and recorded in the field whenever the effluent is sampled for TN. See applicable sections of the Department's Field Testing Protocol at http://www.mass.gov/dep/water/laws/ policies.htm#t5pols. Certification for General Use Page 7 of 10 Dio-Microbics FAST<2,000 GPD Nitrogen Reducing 12. At a minimum, the System Operator shall inspect the System: a) quarterly for the first year then two times per year thereafter; b) in accordance with the approved O&M manual,the Designer's operation and maintenance requirements, and the requirements of the local approving authority; and c) any time there is an alarm event, equipment failure, or system failure. Recordkeeping and Reporting 13. Within 60 days of any site visit, the System Operator shall submit an O&M report and inspection checklist to the System Owner and the Company. It is recommended the System Owner and Company maintain copies of these items for possible Department audit. The O&M report shall include, at a minimum: a) for a System failing, any corrective actions taken; b) wastewater analyses, wastewater flow data, field testing results and inspection checklists; c) any violations of the Approval; d)- any determinations that the System or its components are not functioning as designed or in accordance with the Company specifications; and e) any other corrective actions taken or recommended. 14. By February 15th of each year the System Owner or the System Operator if designated by the owner, shall submit to the local approving authority all monitoring results with all O&M reports and inspection checklists completed by the System Operator during the previous 12 months. 15. Upon determining that the System has failed, as defined in 310 CMR 15.303, the System Operator shall notify the System Owner immediately. 16. Upon determining that the System has failed, as defined in 310 CMR 15.303, the System Owner and the System Operator shall be responsible for the notification of the local approving authority within 24 hours of such determination. 17. The System Owner shall notify the Approving Authority and the Company in writing within seven days of any cancellation, expiration or any other change in the terms and/or conditions of the O&M Agreement required by Paragraph IV(8). 18. Violations of the TN concentration in the System effluent shall not constitute a failure of the System for the purposes of 24-hour notification or 5-day written reporting as required in Paragraphs IV(16) and(8). 19. The System owner shall provide a copy of this Approval,prior to the signing of a purchase and sale agreement for the facility served by the System or any portion thereof, to the proposed new owner. Certification for General Use Page 8 of 10 Bio-Microbics FAST<2,000 GFD Nitrogen Reducing 20. 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. 21. Prior to issuance of a Certificate of Compliance of the System, and after recording and/or registering the Notice required by 310 CMR15.287(10), the System Owner shall provide to the Local Approving Authority a copy of. (i) a certified Registry copy of the Notice bearing the book and page/or document number; and(ii)if the property is unregistered land, a Registry copy of the System Owner's deed to the property, bearing a marginal reference on the.System Owner's deed to the property. The Notice to be recorded shall be in the form of the Notice provided by the Department. 22. 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 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). V. Conditions Applicable to the Company 1. ,The Company shall notify the 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 new owner and a written agreement between the existing and proposed new owner containing a specific date for transfer of ownership, responsibility, coverage and liability between them. All provisions of this Certification applicable to the Company shall be applicable to successors and assigns of the Company,unless the Department determines otherwise. 2. The Company shall develop maintain and update as necessary the following: minimum installation requirements; an operating manual, including information on substances that should not be discharged to the System; a maintenance checklist; and a recommended schedule for maintenance of the System consistent with the Department's requirements essential to consistent successful performance of the installed Systems. 3. The Company shall institute and maintain a program of operator training and continuing education. The Company shall maintain and annually update, and make available the list of qualified operators by February 15th and make the list known to local approving authorities, the Department and to users of the technology. 4. The Company shall furnish the Department any information that the Department requests regarding the System, within 21 days of the date of receipt of that request. 5. The Company shall include copies of this Certification and the procedures described in Section V (3)with each System that is sold. In any contract executed by the Company for distribution or re-sale of the System, the Company shall require the distributor or re-seller to provide each purchaser of the System with copies of this Certification and the procedures described in Section V (3). Certification for General Use Page 9 of 10 Bio-Microbics FAST<2,000 GPD Nitrogen Reducing 6. A copy of the wastewater analyses, wastewater flow data, field testing results, and System Operator O&M reports and inspection checklists from each installed System shall be maintained by the Company or its designee for possible Department audit. 7. If the Company wishes to continue this Certification after its expiration date, the Company shall apply for and obtain a renewal of this Certification. The Company shall submit a renewal application at least 180 days before the expiration date of this Certification, unless written permission for a later date has been granted in writing by the Department. This Certification shall continue in force until the Department has acted on the renewal application. V1. Conditions Applicable to the Systems Designer 1. Upon submission of an application for a DSCP, the Designer shall provide to the local approving authority: a) a certification, signed by the owner of record for the property to be served by the System, stating that the property owner: i) has been provided a copy of the Approval, the Owner's Manual, and the Operation and Maintenance Manual, if applicable, and the Owner agrees to comply with all terms and conditions; ii) has been informed of all the owner's 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; vii) if the design is for an upgrade of failed or nonconforming system, the System Owner has been provided a copy of the evaluation of the existing system; viii) 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 that the Alternative System is not capable of meeting the performance standards; and b) a certification, signed by the Designer that the design conforms to the Approval with Conditions and 310 CMR 15.000. V11. Reporting 1. All notices and documents required to be submitted to the Department by this Certification shall be submitted to: Certification for General Use Page 10 of 10 Bio-Microbics FAST<2,000 GPI)Nitrogen Reducing Director Wastewater Management Program Department of Environmental Protection, One Winter Street - 5th floor Boston,Massachusetts 02108 VIII. Rights of the (Department 1. The Department may suspend,modify or revoke this Certification for cause, including,but not limited to, non-compliance with the terms of this Certification, non-payment of the annual compliance assurance fee, for obtaining the Certification by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for discontinuance of the Certification, or as necessary for the protection of public health, safety, welfare or the environment, and as authorized by applicable law. The Department reserves its rights to take,any enforcement action authorized by law with respect to this Certification and/or the System against the owner or operator of the System and/or the Company. Transmittal:X232831(formerly W101238) Bayside guildiohg, lhC;. -"Quqaty To Live:�By October 30,2017 John O'Dea,P.E. Sullivan Engineering&Consulting,Inc. PO Box 659 Ostcrville,,.MA 02655 Re: 80 Joby's Lane,Osterville Dear John, -Th,is..letter certifies that I have been,provided a;copyofthe FAST.System approval,the owner's manual; and operation and maintenance manual,and.T agree to.comply with'all terms and conditions,and have been informed'ofall the costs including power;maintenance,.sampling,rec rdkeeping,reporting,-:and equipmei t'replacement.understand the r quiremerit`for a.service contra et,,wil "provide a deed.notice,'will provide notification.of approval to any new owner;there wilhnot be a garbage grinder;.and'-understand the requirerr entlo repair,replace, modifyor take any other action.as required by'the Department or the,local, approving-authority if it is determined that the system us not'capable of meeting dieperformance standards. Sincerely; Bri n T. cey, President Bayside Building;lnc. PO Box.95 Centerville; MA 02632 �l`�Crl/?? 'lZfiJayJ��CP" /T,l✓ 44 Cornmorclal.Street Haynham, MA. 02767 Tel, (508) 880 6233 Fax: (508) 880.71232, Novenibei 11) 2017 Mtn.,Brian Dacey 80 Joby's,:I,One Barnstable, MA 0206 Subject:: BioMicrobics t{AS`l' Trcatment4System 80 Joby's Lane, Barnstable. MA. Dean Mr: Dacey:; Enclosed is the Inspection &Testing.Agreement.for the FAsr Treatinent Systein`to:be located,at the aboye referenced address. Tile annual maintenance cost of this agreement k,$77.0,Wp'er year. The cost f6r.the:First years festi g is$864.00. This W.JILAOd to be raid bi ldvatace W Wast6vaWi, TI-Catnient Services,Inc; anti returned with the Signed Inspectionl & 'I'cstiijf! :Agreeinelit_to our I.2aynham office pHor.to the ordej- being nl'acessed Thank you for your order and W Iook forward to working with you. If yow.shouU cqui`e any additional information lease�do'not hesitate to.call.or write, Sincerely, Michael Moreau 4�ez Mw ninkc cltecic,izay�ble to;, Wastewater Treatment Services,Inc Ambont Due:: $1,00:00 I ., 44 Commercial Street 'Raynhami MA 02167 Tel::(508)':8,80-0233 Pax, (506) 880 7232 INS C'JCION AND;TESTING AGREEMENT Agreement entercd,.i ito,by and'botween Wastewater Treatment Services,Tnc.(laereiii called WTS)and the FASP System OWNER(Herein called OWNER.)for'the Inspection by WTS of certaiwequipment of .OWN,R which is described;below; Upon.acceptance of"this agreenmit:at WTS's office,WTS will render the Hlowing seivicesonly: Equliilei}t will be''tiispeeted a#least 4 tii�les peryear for;the first,year(fhen;reduces to 2 times).with the fist; inspections beginning. These,inspections will include;. 11 Testu'ig of the.-slu(Oge depth h the septic tank.. 2) tnspectioil; power testing and clean/replace intake filter ofthe au. blower. 3} Inspecfion.ofthe..atarmsysteni: 4). Inspect overall condition..of FA:ST®Systerii• S) Notify OWNER of any probtems encountered. G) Service other than routine inaurtenance'will be billed at an hourly,rate,plus travel and pans: WTS shall notify the local BoaiA of.Healtb'and Department of Cnvi onmental Protection hi-writingmithirn 24 hours of a system failtire.or alarm event including c6rivctive mcasures that have been taken. OWNER will be billet) standard WTS charges for any parts used i t repairs or maititeaance. Any additioital labor titne will be,billed to the OWNER at curkent Iaborrateso-UWAO per hour. Emergency service bettiveeii,t`egulat`.;uispections will be,provided at at ttidatd Iabor rates,duriiig,norinal business hours;at'tin�e mid one-halfaftet 5;00 PM.and on,Saturdays; an Gacdouble=ti►iie oil SuiidayuM.d holidays. --�mergencyaervice charges"will.iiic{ude a-;�iiuimuni fo.irr(4).liotits oflabor, p'l'us standard 'WTS charges fot•parts„ Pius mileage,and travel charges. The antrual rate includes routine maintetnance, but does not include repairs: required for damages caused by abuse,acciilent,,theft,acts ofthird persans,'foi•ces of nature,of alterations;made to the egbiptne tt. WTS shall not bc:resp�onsible for failure to render the agreed services if caused`by strikes;labor: disputes,non cooperation by+0 WNEZt,:orotlyer'factors beyond.t(ie,coihol of WTS;: 'OW NRR understands and agrees that WTS is not.responstble:;foi special, incidental or consequential dmnages ncludiig:but riot limited to:Joss oftin�e,.ijtny'to person or proheity,oi'egtupment fai'ltne. OWNER agrees that WTS;-may obtet OWNER's property arl,d.ha e.acceptable access s to all areas deemed by `V TSI to be necessajy of appt,ol riate forWTS:to.peifotm-its duties heieutidei 'Ourren_tWTS practice is to send OWNER approximately° 0 days before expiration of the term ofthe current. contract an invoice for one'yeai of.so:vice. It is OWNERN responsibility to timely return the payiient. WTS must receive the payment before eNpit ation Hof the current:contract year torasstu-e.contiinttous contract coverage; 'l�ailtlreto rettian paytrtent�tiay.result i!t st�spet�sio�t of s@'twice,cnnce]lation of'tlye cottiact attdlor nilllifcation of` warrenttes;at the election of.WTS. OWNER may not assign this contmet'wit Ito tit the prior written cop$04 of WTS. It will leirt i0 ia7 force until la rty`caiicets, y.w'i tteri l c ticc-to.the other at tiie,.addiess.give therein: MANUFACTURER Mt3�)) �L 1�(O, SRl tl�t;I�IC3. I,t7CATIflN" ANNUAL RATE„,.,: PEWIT uu,... Bio-tvlicrobics Microl�AST" Barnstable MA $770,00 Gelie!'a]�Deit te. l tc[udes(4) F"Id l ests EQUIPM NT OWNER %stewatel.'r'eatDuen S.mices,Ifie 4-000 *Signed by OWNER Brian Dacey Srgtted "Address; SO Joby's Lane- 44 Cot tne,cial°Street Raygh#t ,MA 02767 Tete: ($08)'$8.{7-0233. y;, State: Zip Pax: (SQ8) 880-7232" Barnstable MA, 02630 'Telephone Effective Date of Ag oern-ent` -!pail a<]dress: .,. � , : _ • _ _ OWNER undorstalids'that"(]) ANNUAL RATE payment is for`lie year only cmg ou,tit#effective date set fo`r th above and !s port-refundable;and(2)Cartc�tt PEP ltegulatiotis.!•eguire OWNEIL to ttialntain a service nreetnent"for the life of the FAS '�Systeni, and,(3-)ANNUAL RATE is subject to cltartgq! sec]Ott current WTS` rates, I HAVE READ AM)U RS'I'AND'i71�E FORE G. *Signed b (3Vt'NER: Y , rield Testing' Q tsite.testing built be performed quarterly fo! the.prst'year altd.2?ti►ttes'per`yeai tlterenftel, Restt'Its twill be used to deinoltstrate that the systems ate,Ope�ating at a secandai' treatment.stalidard of 30 mg/L..of•BQD5 au TSS. The follonving will,be, et Tined; !;). Visual exatninatiolt.aftlte effluent for;=rotor,turbidity and effluent=solids. '2) .Effluent pH to deferipine if the waste water is-.between 6.aiid"91 standard t rots., 3) bissolved Qxyget,:2nig/L o!�tiiare, to eltsure tliat,tlte system is opelatilag< 4) Turbidity; less tbp or.et]ttnTtoA;01NTU. If'the effEuent does`nc�t meet effluent quality standards,a grab satpple tivt.!(.be.collectel to! laboratoryitalysis> Results sent to state and local Agencies asmell :ts'fheb'S'VOR OWNER is!°esponsible fol;pro°vidiiig acceptable' .access to,efflue't.for field testing and/ofto enable a grab sample to'be taken for laborotory testing.performed: If such.laborato•y ssmple is rectttired,O V4TNER �vili;t"e:responsible far charges incElrretl II++`ItQTJIItED,'[`HE' COST FOR THIS ADDITIONAL`TES" ING ttV1 L"I,I3E 5200 00/y>CSX'I' �fflucttt Testiti State leq it elneszts are four(4):grab 4=11le`s>17e►"year for t10 first year attd 2 t aates.per year tlxeae�tfter for Nitrate; Nst the,acid TKI I at a cost of$2t 5,00/test; +Approva for Testing: t ,l owlio s-Stgi attire Operaiop assigned Michael Mai east: Telephone: ,(,508)880-0233 New I/A System Permit Summary Sheet Site Information Town: B7NP_i) 5TTAe>Lf Town Permit# a , Assessor Map/Parcel: 120,-- cl y Unique Town ID# Site Address: '6 J v��i"i S L-oz r)-e-, Owner Name: Cs� S L�� c� �P�-lJ<o�6� � (3��c�✓i Dac:� Altername Name: Home Phone: Mailing Address: Work Phone: Title 5 Information Building Type/Use: 2�0_Si w�kC,(— Si nq. j7__-rkm%'�,_ Design Flow: ZZ-4D Seasonal: Yes ❑ No ❑ dUnknown ❑ Bedrooms: 2— Title V N.S.A.: Yes 2 No ❑ Unknown ❑ Lot Size: 314 Non-standard components: z(L+r,rzrro­ Please list all components e.g. 1/A treatment unit, pump chamber, pre-and post equalization tanks, pressure distribution SAS,..effluent filter, UV unit, etc., and maintenance schedule for each component e.g. quarterly, 2x/yr, annual, etc. i `5D CU c_ t-G.y��L. w F^ I/A Treatment Unit Make and Model: ! >n\`3 t Inspection Frequency: wit"`' ;� " 'Joe- DEP Permit Type:.lGeneral Approval Date: i z-/y�t t3oH- COC Date: I-q i K El Provisional Contract Entity: ❑ Remedial Contract Start Date: Contract Duration: ❑ Pilot Installation Date: Unit Startup Date: DEP Permit ID# Influent/Effluent Monitoring Requirements and Water Quality Limits Please indicate water quality parameters that must be monitored and any town mandated water quality limits;if no limits are shown, we will assume parameters and effluent limits specified in.the system's DEP approval will apply. Effluent pH ❑ BOD5 ❑ CBOD ❑ TSS ❑ TN,< Nitrate ❑ Nitrite ❑ Organic N ❑ Ammonia❑ TKN'❑ Fecal Coliform ❑ Total P ❑ Organic P ❑ TDS ❑ Oil/Grease ❑ Conductance ❑ Alkalinity ❑ Water Usage ❑ Temp. ❑ Monitoring Schedule: `-j .�j t s��eaX Other Applicable Limits: Influent 2_� �{ pH ❑ BOD5 ❑ CBOD ❑ TSS ❑ TN ❑ Nitrate ❑ Nitrite ❑ -Organic N ❑ Ammonia ❑ TKN ❑ Fecal Coliform ❑ Total P ❑ Organic P ❑ TDS ❑ .,Oil/Grease ❑ _Conductance❑ Alkalinity ❑ Water Usage ❑ Temp. ❑. Monitoring Schedule: Other Applicable Limits: Tracking# Entered: Entered By: FAX: 508-362-2603 McKean, Thomas From: McKean,Thomas Sent: Tuesday, November 21, 2017 9:09 AM To: John O'Dea (John@sullivanengin.com) Subject: 80 Joby's Lane and 92`Joby's Lane Please rescind the approvals(s)for the disposal works construction permits/building permit approval(s)for 80 and 92 Joby's Lane due to the fact that only two bedrooms will be allowed with I/A systems at each parcel, not three bedrooms. The written Board of Health approvals, allowing for three bedrooms, were issued during the Title V transition years (March 15, 2000) but are no longer applicable. The written approvals expired in three years.This information was confirmed by Brian Dudley this morning. 1 Town of Barnstable Barnstable SHE - °� Board of Health019. ' ►,M erg' 200 Main Street, Hyannis MA 02601 I I jEo a�� 2007 Office: 508-862-4644 Paul J.Canniff,D.M.D. FAX: 508-790-6304 Junichi Sawayanagi Donald A.Guadagnoli,M.D. December 4, 2017 Mr. John O'Dea Sullivan Engineering, Inc. P.O. Box 659 Osterville, MA 02655 RE: 80 Joby's Lane, Osterville,.15,098 Square Feet Lot, Secondary Treatment Unit A= 120-094 Dear Mr. O'Dea, You are granted permission on behalf of your client, Kenneth Efron, to install an onsite sewage disposal system with secondary treatment, at 80 Joby's Lane Osterville, with the following conditions: 1) No more than two (2) bedrooms are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. 2) All of the conditions contained within the revised ten-page 'Certification for General Use' document issued by the Massachusetts Department of Environmental Protection for the FAST treatment system, dated March 20, 2015, shall be strictly adhered to. 3) The system owner shall strictly adhere to Section IV, on pages 4 through 8 of the revised approval letter issued by the Department of Environmental Protection for the FAST treatment system entitled 'Certification for General Use' dated March 20, 2015. 4) The company shall strictly adhere to Section V on pages 8 and 9 of the revised approval letter issued by the Department of Environmental Protection (DEP) for the FAST treatment system entitled 'Certification for General Use' dated March 20, 2015. 5) The system designer shall strictly adhere to Section VI on page 9 of the revised approval letter issued by the Department of Environmental Protection (DEP) for the FAST treatment system entitled 'Certification for General Use' dated March 20, 2015. 6) The effluent shall be sampled for TN quarterly during the first year, then a minimum of twice per year thereafter, at least five months apart with at least one sample taken between December 1 st and March 1 st each year. 7) 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 approved engineered plans. Q:\WPFILES\ODeaEfron80JobysLane2017.doc 8) The septic system components shall be installed in strict accordance with the engineered plans dated revised July 2, 2014. 9) Both the two bedroom deed restriction and the required Deed Notice (as required per page 9 of the DEP 'Certification for General Use' letter) shall be recorded at the County Registry of Deeds. Copies of these recorded documents shall be submitted to the Health Division Office prior to issuance of the certificate of compliance for the disposal works construction permit. This permission is granted because the proposed plan appears to meet the minimum standards contained within the State Environmental Code, Title V and local Health Regulations. Si rely your , aul . Ca i , Chairman BOARD OF HEALTH TOWN OF BARNSTABLE Q:\WPFILES\ODeaEfron8OJobysLane2Ol7.doe 1\16V' -29 It IKE Tp a' DATE: FEE: * BARNSTABLE, 9 MASS. �A 1639. REC.BY: Town of Barnstable 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 Addfess:p�0 �o j`� S Lace, , I VA-& Assessor's Map and Parcel Number: 1 2.O N Size of Lot: ® bq kye-s Wetlands Within 300 Ft. Yes Business Name: No Subdivision Name: APPLICANT'S NAME: XtQLn—D&nt-y Phone -01 Did the owner of the property.authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON Name: �(�� N G -k Name: J-611►V Address:c O MA556bft NV'e- ,Lk, Address: ��R� f---�.Z&• 16 f it,Ll'� S;Vymb L wA- G 2 CU-7 _ 733 Z�Phone: Phone: (!�)A 4 EMAIL: �o�nrf�� 1� I�I1s �VVI VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANC,C(Ma attach if more space nee3ed) NATURE OF WORK: House Addition House Renovation LJ Repair of Failed Septic System Checklist (to be completed by office staff-person receiving variance request application) t Please submit copies in S separate,collated packets. Five(5)copies of the completed variance request form Five(5)copies of engineered plan submitted(e.g.septic system plans) Five(5)copies of MA DEP approval letter for I/A septic systems only. Five(5)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) A completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian V Signed letter stating that the property or business 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 menu submitted(for grease trap variance requests only). $95.00 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/lessee 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 Paul J.Canniff,Chairman NOT APPROVED Junichi Sawayanagi REASON FOR DISAPPROVAL Donald A.Guadagnoli,M.D. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet . Files\Content.Outlook\BMQD49H2\VARIREQ Rev APR2017.DOC Commonwealth of Massachusetts Executive Office of Energy &Environmental Affairs uepartment of Environmental Protection One Winter Street Boston, MA 02108 ti 617-292-5500 Charles D. Baker Matthew A.Beaton Governor Secretary Karyn E. Polito Martin Suuberg Lieutenant Governor Commissioner CERTIFICATION FOR GENERAL USE Pursuant to Title 5, 310 CMR 15.000 Name and Address of Applicant: Bio-Microbics,Inc. 8450 Cole Parkway Shawnee, KS 66227 Trade name of technology and models: FAST Treatment Systems with Nitrogen Reduction including models MicroFASM 0.5, 0.75, 0.9, 1.5, 3.0, 4.5, 9.0, HighStrengthFASTO 1.0, 1.5, 3.0, 4.5, 9.0 and NitriFASM 0.5, 0.75, 1.0, 1.5, 3.0, 4.5, 9.0 (all hereinafter the"System") for facilities with design flows less than 2,000 gallons per day(GPD). Schematic drawings illustrating the models and an Inspection Checklist are part of this Certification. Transmittal Number: X232831 Date of Issuance: December 29, 2010,revised March 20, 2015 Authority for Issuance: Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000,the Department.of Environmental Protection(hereinafter"the Department")hereby issues this General Use Approval to: Bio-Microbics, Inc., 8450 Cole Parkway, Shawnee,KS 66227 (hereinafter"the Company"), approving the above referenced FAST technology(hereinafter"the Technology"or"System") for use in the Commonwealth of Massachusetts subject to the conditions herein. Sale and use of the Technology are subject to compliance by the Company,the Designer, the System Installer,the Operator, and the System Owner with the terms and conditions herein. Any noncompliance with the terms or conditions of this Certification constitutes a violation of 310 CMR 15.000. March 20, 2015 David Ferris,Director Date Wastewater Management Program Bureau of Water Resources I. Purpose This information is available in alternate format.Call Michelle Waters-Ekanem,Diversity Director,at 617-292-5751.TTY#MassRelay Service 1-800439-2370 MassDEP Website:www.mass.gov/dep j Printed on Recycled Paper Certification for General-Use_._.-_ -... .___ _.. _ _ _ _.. _ _ _Page 2 of 10 --- ___ Bio-Microbics FAST<2,000 GPD Nitrogen Reducing 1. Subject to the conditions of this Approval and any other local requirements,the purpose of this Approval is to allow the use of the System in Massachusetts on a General Use basis. With the necessary permits and approvals required by 310 CMR 15.000,this Certification authorizes the installation and use of the System in Massachusetts. 2. The System may be installed for residential facilities with design flow less than 2,000 GPD where a system in compliance with 310 CMR 15.000 exists on-site or could be built and for which a site evaluation in compliance with 310 CMR 15.000 has been approved by the local approving authority; or by the Department if Department approval is required by 310 CMR 15.000. This Approval allows for the use of the System as an equivalent alternative technology in accordance with 310 CMR 15.202 on facilities for nitrogen reduction,in a Department designated nitrogen sensitive or limited area as defined in 310 CMR 15.214 and 15.215. Non-residential facilities are not allowed under this approval.Non-residential facilities include properties with businesses and/or commercial establishments. 3. The technology shall meet or exceed the following effluent discharge requirements: • Effluent Total Nitrogen(TN)concentration of 19 mg/L (for 660 gallons per day per acre -gpda-loading) or 25 mg/L(for 550 gpda loading). • Effluent pH range shall be 6.0 to 9.0. • The System is approved for use at facilities with a maximum design flow less than 2,000 GPD. 4. The System Owner or the designated System Operator(or`Operator')has responsibility for oversight and sampling of the System if the property served was allowed to increase the discharge rate per acre above 440 gpda in an area subject to Nitrogen Loading Limitations. The System Owner will be required to repair, replace,modify or take any other action as required by the Department or the local approving authority,if the Department or the local approving authority determines that the System is not capable of meeting the required reduction in nitrogen in the effluent. The Company is responsible for the approved technology as described below. H. General Description of the Technology and Design Standards 1. The tank containing the FAST®insert is installed between the building sewer and the soil absorption system(SAS). The SAS shall be designed and constructed in accordance with 310 CMR 15.100 - 15.279 and subject to the provisions of this Certification. 2. Technology Description-The FAST® system is an aerobic wastewater treatment system that utilizes a completely submerged fixed film process to treat organics and nitrify, and a passive recycle system for denitrification. Each model contains submerged media specific to the application. Microorganisms grow on the media and remove soluble contaminants from the wastewater, utilizing them as a source of energy for growth and production of new microorganisms. The FAST@ system insert consists of a liner around the media and an airlift to provide aeration and mixing within the confines of the liner. The area outside the liner in the septic tank remains anoxic for denitrification and a passive recirculation system Certification-for-General Use_ :.-- _. -._-- - -___._ __ ___ ..._------_ _. _ Page-3-of 10 Bio-Microbics FAST<2,000 GPD Nitrogen Reducing moves the aerated wastewater to the outside of the liner to obtain denitrification. The aeration and circulation inside the liner are provided by a blower that pumps air into a draft tube that extends down the center of the media.Treated effluent passes out of the aerobic zone of the treatment plant through a pipe connected directly to a baffled quiescent area in the liner. Final effluent is discharged to a soil absorption system. Specific model considerations are as follows: • The MicroFAST® 0.5, 0.75 and 0.9,Hi ghStrengthFAST® 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. • The MicroFAST®,HighStrengthFAST®and NitriFAST® 1.5 are installed in the second compartment of a two compartment 3000-gallon tank constructed in accordance with 310 CMR 15.226. • The MicroFAST®, HighStrengthFAST® and NitriFAST®3.0 is installed in a separate tank constructed in accordance with 310 CMR 15.226 and 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). In this larger system, an additional recycle pump may be needed to send nitrified effluent back to the septic tank for added denitrification. Consult the Company for proper layout. • The NitriFAST®models can also be used for additional nitrification in series after the MicroFAST®models or HighStrengthFAST®models. In this configuration the tanks used for the NitriFAST® shall be constructed in accordance with 310 CMR 15.226 and meet the minimum dimensions and volumes required by the Company. • Flow equalization may also be employed prior to the FAST® system depending on the type of facility. Consult Company for proper layout. 3. All access ports and manhole covers shall be readily removable, of durable material and installed and maintained at grade to allow for maintenance of the System.No structures shall be located directly upon or above the access locations which could interfere with performance, access,inspection,pumping, or repair. Sufficient access for infrequent maintenance of the System treatment media and all other treatment works shall be evaluated, and addressed in the System design if necessary,by the designer. System control panel(s) including alarms shall be mounted in a location accessible to the operator of the System. 4. Wastewater Loading and Effluent Concentration Design Standards For new residential construction in an area subject to the Nitrogen Loading Limitations of 310 CMR 15.2.14,and the facility does not meet with the Nitrogen Loading Limitations pursuant to the aggregation provisions of 310 CMR 15.216, an increase in calculated nitrogen loading per acre is allowed for facilities with design flow less than 2000 gpd with limitations as follows: • The design flow shall not exceed 660 gallons per day per acre(gpda)and the total nitrogen(TN)concentration in the effluent shall not exceed 19 milligrams per liter (mg/L); or Certification for General Use __ _ ___ _ _Page 4-of 10 Bio-Microbics FAST<2,000 GPD Nitrogen Reducing • The designflow shall not exceed 550 gallons g s per day per acre(gpda) and the total nitrogen(TN)concentration in the effluent shall not exceed 25 milligrams per liter �' (mom)• • TN is measured as the total of TKN(Total Kjeldhal Nitrogen),NO3-N(Nitrate nitrogen) and NO2-N(Nitrite nitrogen). III. General Conditions 1. The provisions of 310 CMR 15.000 is applicable to the use and operation of this System,the System owner and the Company, except those that specifically have been varied by the terms of this Certification. 2. Any required operation and maintenance,monitoring and testing shall be performed in accordance with a Department approved plan. Any required sample analysis shall be conducted by an independent U.S. EPA or DEP approved testing laboratory, or a DEP approved independent university laboratory,unless otherwise provided in the Department's written approval. It shall be a violation of this Certification to falsify any data collected pursuant to an approved testing plan, to omit any required data or to fail to submit any report required by such plan. 3. The facility served by the System and the System itself, shall be open to inspection and sampling by the Department and the local approving authority at all reasonable times. 4. In accordance with applicable law,the Department and the local approving authority may require the System owner to cease operation of the system and/or to take any other action as it deems necessary to protect public health, safety,welfare or the environment. 5. 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 ent to that of a sanitary sewers stem. Accordingly,no S st qem shall be �'Y Y Y upgraded or expanded,if it is feasible to connect the facility p�' p to a sanitary sewer,unless as allowed by 310 CMR 15.004. 6. Design,installation, and use of the System shall be in strict conformance with the Company's DEP approved plans and specifications and 310 CMR 15.000,subject to this Certification. IV. Conditions Applicable to the System Owner 1. The System owner shall at all times have the System properly operated.and maintained by a Company approved Operator in accordance with this Certification,the designer's operation and maintenance requirements and the Company's approved procedures. 2. The System is certified only in connection with the discharge of sanitary wastewater from facilities with a design flow of less than 2000 gpd. Any non-sanitary wastewater generated and/or used at the facility served by the System shall not be introduced into the System and shall be lawfully p disposed of. __.Certification for General Use- __ __ _. _ _ --__ .. page 5-of10- - - - - Bio-Microbics FAST<2,000 GPD Nitrogen Reducing 3. The System Owner shall provide access to the site for the System Operator to perform inspections,maintenance,repairs, responding to alarm events, field testing, and sampling as may be required by the Approval. Operation and Monitoring Requirements 4. System effluent total nitrogen(TN) concentrations shall not exceed 19 or 25 mg/L and effluent pH shall not be less than 6.0 or more than 9.0. Field test observations of dissolved oxygen(DO) shall equal or exceed 2 mg/L and for Turbidity shall be equal or less than 40 NTU. 5. All samples shall be taken at a flowing discharge point, i.e. distribution box,pipe entering a pump chamber or other Department approved location from the treatment unit. 6. Inspection, operation and maintenance(O&M), sampling, and field.testing of the System required by the Approval shall be performed by a Company approved Operator who has been certified at a minimum of Grade Level 4(four)by the Board of Registration of Operators of Wastewater Treatment Facilities,in accordance with Massachusetts regulations 257 CMR 2.00, and is an approved Title 5 System Inspector in accordance with 310 CMR 15.340. 7. Prior to commencement of construction of the System,the System Owner shall provide to the local approving authority a copy of a signed O&M Agreement that meets the requirements of paragraph IV(8). 8. The System Owner shall maintain, at all times,an O&M Agreement with a qualified System Operator approved by the Company. The Agreement shall be at least for one year and include the following provisions: a) The name of a System Operator who is an approved System Inspector in accordance with 310 CMR 15.340 and who meets any additional qualification requirements specified in the Approval; b) The System Operator must inspect the Alternative System as required by paragraph IV (9) and(12); c) The System Operator shall be responsible for submitting the monitoring results to the System Owner in accordance with paragraph IV(13) and to the local approving authority in accordance with paragraph IV(14); and d) In the case of a System failure, an equipment failure,alarm event, components not functioning as designed, or violations of the Approval, procedures and responsibilities of the System Operator and System Owner shall be clearly defined for corrective measures to be taken immediately. The System Operator shall agree to provide written notification within five days,.describing corrective. measures taken,to the System Owner and the local board of health. 9. The System Owner shall comply with the following monitoring requirements if the System is subject to a TN concentration limit in accordance with paragraph II (4): I Certification-for General Use _._ _ .m Page 6 of 10 _.- Bio-Microbics FAST<2,000 GPID Nitrogen Reducing a) Year-round installations shall be inspected and have effluent sampled for at least the TN parameter quarterly for the first year, then a minimum of twice/year thereafter, at least 5 months apart and with at least one sample taken between December 1 and March 1 of each year. Field testing shall be completed per paragraph IV(11)below, and as determined necessary by the System Operator. See DEP Field Testing Protocol at http://www.mass.govldep/water/laws/policies. htm#tSpols. Wastewater flow shall be recorded at each inspection, see `Flow Metering' paragraph IV(10). b) Seasonal installations shall be inspected and have effluent sampled for at least the TN parameter a minimum of twice/year.At least one sample.must be taken 30 to 60 days after each seasonal occupancy begins. A second sample must be taken no less than 2 months after the first sample.Field testing shall be completed per paragraph IV(11)below, and as determined necessary by the System Operator. Wastewater flow shall be recorded at each inspection, see `Flow Metering' paragraph IV(10). c) Systems in operation prior to issuance of this Approval,which have received approval of sampling reduction from the Department may continue with that System monitoring frequency. Properties occupied at least 6 months per year are considered year-round properties. Properties occupied less than 6 months per year are considered seasonal properties. TN is measured as the total of TKN (Total Kjeldhal Nitrogen),NO3-N (Nitrate nitrogen) and NO2-N(Nitrite.nitrogen). 10. Flow Metering: Reporting of residential System water use is not required,however it is recommended the Operator record water meter readings if available at all inspections,or otherwise estimate System flow,to assist in addressing possible operational problems or issues. Flow measurement when recorded shall be based on: a) actual metering data of wastewater flow to the System or actual water meter data of flow to fixtures that discharge to the wastewater system; or b) actual water meter data for the total facility with either actual meter data or estimated flows for non-wastewater usage subtracted from the total facility water usage. If estimating the wastewater portion of metered water usage,the System Operator shall provide a best estimate of wastewater discharged to the System with the method of estimating, such as pump run times, occupancy rates, adjustment due to seasonal outdoor watering use, etc.;or c) for Systems installed under a prior Approval that did not include a wastewater flow data reporting requirement,if no flow meters are available,the System Operator shall provide a best estimate of wastewater discharged to the System with the method of estimating, such pump run times,occupancy rate, etc. 11. Field Testing: Temperature,turbidity,pH and DO shall be measured and recorded in the field whenever the effluent is sampled for TN. See applicable sections of the Department's Field Testing Protocol at http://Www.mass.govldep/water/laws/ policies.htm#tSpols. I Certification for General Use _-.. _.._..-. ____ __ ._ _. -Page Tof 10 Bio-Microbics FAST<2,000 GPD Nitrogen Reducing 12. At a minimum,the System Operator shall inspect the System: a) quarterly for the first year then two times per year thereafter; b) in accordance with the approved O&M manual,the Designer's operation and maintenance requirements, and the requirements of the local approving authority; and c) any time there is an alarm event, equipment failure,or system failure. Recordkeeping and Reporting 13. Within 60 days of any site visit, the System Operator shall submit an O&M report and inspection checklist to the System Owner and the Company. It is recommended the System Owner and Company maintain copies of these items for possible Department audit. The O&M report shall include, at a minimum: a) for a System failing, any corrective actions taken; b) wastewater analyses, wastewater flow data, field testing results and inspection checklists; c) any violations of the Approval; d) any determinations that the System or its components are not functioning as designed or in accordance with the Company specifications; and e) any other corrective actions taken or recommended. 14. By February 15th of each year the System Owner or the System Operator if designated by the owner, shall submit to the local approving authority all monitoring results with all O&M reports and inspection checklists completed by the System Operator during the previous 12 months. 15. Upon determining that the System has failed, as defined in 310 CMR 15.303,the System Operator shall notify the System Owner immediately. 16. Upon determining that the System has failed, as defined in 310 CMR 15.303,the System Owner and the System Operator shall be responsible for the notification of the local approving authority within 24 hours of such determination. 17. The System Owner shall notify the Approving Authority and the Company in writing within seven days of any cancellation, expiration or any other change in the terms and/or conditions of the O&M Agreement required by Paragraph IV(8). 18. Violations of the TN concentration in the System effluent shall not constitute a failure of the System for the purposes of 24-hour notification or 5-day written reporting as required in Paragraphs IV(16) and(8). 19. The System owner shall provide a copy of this Approval,prior to the signing of a purchase and sale agreement for the facility served by the System or any portion thereof,to the proposed new owner. I Certification-for General Use Bio-Microbics FAST<2,000 GFD Nitrogen Reducing 20. 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. 21. Prior to issuance of a Certificate of Compliance of the System, and after recording and/or registering the Notice required by 310 CMR15.287(10),the System Owner shall provide to the Local Approving Authority a copy of. (i) a certified Registry copy of the Notice bearing the book and page/or document number; and(ii)if the property is unregistered land, a Registry copy of the System Owner's deed to the property, bearing a marginal reference on the.System Owner's deed to the property. The Notice to be recorded shall be in the form of the Notice provided by the Department. 22. 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 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). V. Conditions Applicable to the Company 1. The Company shall notify the 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 new owner and a written agreement between the existing and proposed new owner containing a specific date for transfer of ownership, responsibility, coverage and liability between them. All provisions of this Certification applicable to the Company shall be applicable to successors and assigns of the Company,unless the Department determines otherwise. 2. The Company shall develop maintain and update as necessary the following: minimum installation requirements; an operating manual, including information-on substances that should not be discharged to the System; a maintenance checklist; and a recommended schedule for maintenance of the System consistent with the Department's requirements essential to consistent successful performance of the installed Systems. 3. The Company shall institute and maintain a program of operator training and continuing education. The Company shall maintain and annually update, and make available the list of qualified operators by February 15th and make the list known to local approving authorities,the Department and to users of the technology. 4. The Company shall furnish the Department any information that the Department requests regarding the System,within 21 days of the date of receipt of that request. 5. The Company shall include copies of this Certification and the procedures described in Section V (3)with each System that is sold. In any contract executed by the Company for distribution or re-sale of the System, the Company shall require the distributor or re-seller to provide each purchaser of the System with copies of this Certification and the procedures described in Section V(3). Certification for General Use ___ _-._-- ._....._ . ___ .. _.Page 9 of 10 Bio-Microbics FAST<2,000 GPD Nitrogen Reducing 6. A copy of the wastewater analyses,wastewater flow data, field testing results, and System Operator O&M reports and inspection checklists from each installed System shall be maintained by the Company or its designee for possible Department audit. 7. If the Company wishe s to continue this Certification after i p y e is expiration date,the Company shall apply for and obtain a renewal of this Certification. The Company shall submit a renewal application at least 180 days before the expiration date of this Certification,unless written permission for a later date has been granted in writing by the Department. This Certification shall continue in force until the Department has acted on the renewal application. VI. Conditions Applicable to the System Designer 1. Upon submission of an application for a DSCP,the Designer shall provide to the local approving authority: a) a certification, signed by the owner of record for the property to be served by the System, stating that the property owner: i) has been provided a copy of the Approval,the Owner's Manual, and the Operation and Maintenance Manual,if applicable, and the Owner agrees to comply with all terms and conditions; ii) has been informed of all the owner's 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; vii) if the design is for an upgrade of failed or nonconforming system,the System Owner has been provided a copy of the evaluation of the existing system; viii) 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 that the Alternative System is not capable of meeting the performance standards; and b) a certification, signed by the Designer that the design conforms to the Approval with Conditions and 310 CMR 15.000. VH. Reporting 1. All notices and documents required to be submitted to the Department by this Certification shall be submitted to: f - i Certification for General--Use ______ _ ____ _._ -_. - _. ---_. Page 10-of 10- -- - Bio-Microbics FAST<2,000 GPD Nitrogen Reducing Director Wastewater Management Program Department of Environmental Protection, One Winter Street- 5th floor Boston,Massachusetts 02108 VIII. Rights of the Department 1. The Department may suspend,modify or revoke this Certification for cause, including,but not limited to, non-compliance with the terms of this Certification, non-payment of the annual compliance assurance fee, for obtaining the Certification by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for discontinuance of the Certification,or as necessary for the protection of public health, safety,welfare or the environment, and as authorized by applicable law.The Department reserves its rights to take,any enforcement action authorized by law with respect.to this Certification and/or the System against the owner or operator of the System and/or the Company. Transmittal:X232831(formerly W101238) I Bay sid �uN ding , Inca Y Qctober 30`.20':1`7` John O'Dea,P,E Sullivan Engineering&CoarisuIting,In PQ'Iiox 659' Qstervalle,MA 02655 Re 92 Jaby' ane s P ,OstervHle Dear John, This lette certifies that I.have b:een provided a copy of ft:#AAST System approval,the oviiner's m...anuat . and operation and maintenance manual;and X agree to complywith all terms an&conditions;and have '*kinformed.of all the'costs ujelud ng power,;maintenance;saanpliii&rec'ordkeeping,reporting;:and eyuipmeat.rep.aeement understand the;requireinentfor a service contract,will provide a deed notice,will provide notification of approval to any new owner,there will'.not be agarliage grander,andsunderstand the requirement to repair,replace,modify oP take;:any othof achon;as.required by;the Departmoht or tl e.local: approving authority.if it.is deternnined that the system us not:capable of meeting the:.performance ;standards. Sineer�ely, . '' I 'ran T cey,president Bays a E..Ulldmg„Inc. PQ.Box':95 Centerville,MA Q20 o Conditions Applicabie to the System Designer >, • 1: Upon submission�of an-application for a DSCP,the Designer shall provide to the local approving authority: a) a certification, signed by the owner of record for the property to be served by the System, stating that the property owner: . i) has been provided a copy of the Approval,the Owner's Manual, and the I Operation and Maintenance Manual,if applicable, and the Owner agrees to comply with all terms and conditions; ii) has been informed of all the owner's 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; vii) if the design is for an upgrade of failed or nonconforming system,the System Owner has been provided a copy of the evaluation of the existing system; viii) whether or not covered by a warranty,the System Owner understands the i 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 that the Alternative System is not capable of meeting the performance standards; and j b) a certification, signed by the Designer that the design conforms to the Approval with Conditions and 310 CMR 15.000. tUM 1^11 P N I r P� I f� TOWN OFfB AF{NSTA6LE -L/P" VI�r�Vli�er - _ pFFIGE OF 4.�����+ Nov ao/7 TH£To, EALTH F Rp OF H B�A367 MAIN STREET NYANNIS. MASS.02601, rods me - >p� to59-�.0 ,7 2600 March 15, JameS Miller, P.E. . Miller Engineering Go- 21 Brook Street 02771 _ Seekonk, i_ y's Lane oster0le RE: 80 Job , � - • �� , q our client Richard Effron, Dear Mr. Miller behalf 41. of y 15.214, °n uare.,feet of land within Z at 80 Joby's i31 10,000 Sq e disposal system You are granted,a var! to one b dro�orn or every . i sewage flows. m restricting ranted permission to construct an orisite psewa9 I districts. You are g conditions w,-Lane, Osterville, with the following . _.. - a P A. -e LL `tic system°shall be installed in s r► 2 bedrooms are proposed, the sep (1) If two O lans dated 2/10/2000 _ accordance withthe revised p Y- shall be constructed in strict accordance <_i .` _ _ 1 ro osed,the dwelling 2 bedrooms on the second floor, If two (2)5bedrooms are,p p ions showing tw°- � ) in lofts (2) (undated) hours p with the submitted ( rooms, finished attics, sleep t ,su, to the Massachuset s I with nobedrooms on-the'firstflo�or. Dens, study g � ,: 1 and similar-type bedrooms .accor n9 ' Department of Environmental Protection. '' EA 4 e- stem shall be installed .W s .. gee 3 bedrooms are proposed, the septic system and FAST sy.* t If three ( ) (3) in-strict accordance with3the revised plans dated on 12/22/99 . n a. w uµ t accordance K are roposed, the dwelling shall be cons ructed In ysarximum. I If three (3) bedrooms p 1 g bedrooms m i (4)x house laps (undated) showln three E3) with the submitted_ _ p r. ry a io erl -wordedsdeed restriction at the BarnstablekCourty .heiappllcant shall II record p p, Y orize deed .,. �_. n 1 Registry of limiting°the`ydwelling4thednumberofbedrof the recorded deed estrctio g owner. A copy f restriction shall be signed by the property 5 _ shall be submittedto theBoard"ofHealth riot to obtainin adls �osal wor s .. construction permit. ranted because the applications meets the"policy of the_Board Of"Health in This variance is g _ regards to approving the numberof be proposedon lots of this size. The Board has 9 approve three (3) bedrooms on lots of�less-than 18,000 square feet If°alternativetype systen PP are proposed. This lot is 15,099 square feet in size „ E - .<.z ma ter:. "€ •. e.„, ' i `` n a 'n Sincerely yours,, f e. Susan G: RQ R.S. Z: p � :M TRANS. NO.: CITY/TOWN: ADDRESS: .00 NI45' C k F 0')Mva DESIGN-FLOW: 35.q gpd REVIEWED BY: DATE: N/A . OK NO - Legal boundaries denoted [310 CUR 15.220(4)(a Street,Lot,tax.parcel number and lot number noted on plan[310 CMR 15.220(4) u Locus Provided[310 CMR 15.2204(t)] Plan proper scale? (1"=40' for plot plans, 1 20'or fewer-for components)•[310 CMR 15.220(4)] Easements shown [310 CMR 15.220(4)(b)] System located totally on lot served[310 CMR 15.405(1)(a) for upgrades]- if not, a variance is re uired 310 CMR 15.412(4)] ...-L-ocation.of impervious_surfaces(driveways,parking areas_-etc)... ...: _ ..._---. .._. [310 CMR 15.220(4)(d)] Location all buildings existing and proposed 310 CMR 15.220(4)(c)] Location and dimensions of system components and reserve areas. [310 CMR 15.220(4)(e)] System Calculations [310 CMR 15.220(4 daily flow septic tank capacity(r uired andprovided) soil absorption system(re uired andprovided) whether system designed for garbage grinder North arrow[310 CMR 15.220(4) g Existing and ro osed contours [310 CMR 15.220(4)(g)] Location and log of deep observation holes (existing grade el. on each test) [310 CUR 15.220(4)(h)] . Names of soil evaluator and BOH representative [310 CMR 15.220 4 and(i)] Location and date of percolation tests(performed at proper elevation?) [310 CMR 15.220(4)(i)] Percolation test results match loading.rate? 310 CMR 15.242 Certification statement by Soil Evaluator 310 CUR 15.220(4)6)1 Observed and Adjusted groundwater.(method for adjustment given or indicated)[310 CUR 15.103(3) and 310 CMR . ..15.220(4)(n).] Address Sheet 1 of 7 N/A OK NO. Location of every-water supply,public and private, [310 CMR within 400 feet of the proposed system location in case of surface water supplies and gravel packed public.water supply within 250 feet of the proposed system location in the case / within 150 feet of the proposed system location in the case of priate water supTly wells Location of all surface waters and wetlands located up to 100 ft. beyond setbacks listed in 310 CMR 15.211 and any catch basins located within 50 ft. 310 CMR 15.220(4)(1)3 Water lines and other subsurface utilities located[310 CMR 15.220(4)(m (if water line cross see 310 CMR 15.211(l)[13) Profile of system showing invert elevations of all system components and the bottom of the SAS [310 CMR15.220(4)(o Stamp of designer [310 CMR 15.220 1 and 310 CMR 15.220(2)3 Stamp of Registered Land Surveyor(required if construction activities within 5 ft.of lot line) 310 CMR 15.220(3)3f Test Holes adequate(two in each of the primary,and reserve unless trenches as permitted in 310 CMR 15.102(2) or as approved.. for.an upgrade under-LUA at 310--CMR 15.405:1_ _ ] Test hole adequate to demonstrate.four feet of suitable material? 310 CMR 15.103(4)] Test Holes adequate to confum adequate..groundwater separation? 310 CMR 15.103 3 Benchmark within 50-75'of system 3.10 CMR 15.220(4)WI Materials specifications'noted? [various sections of 310 CMR 15.000) System components.not>36" deep(unless Local Upgrade A roval or LUA re uested) [310 CMR 15.405(1 ) ./ Address 86 3doxi S Sheet 2 of 7 L N/A OIL NO 4 ya , Size OK? .310 CMR 1'5.223 1 ] Inlet tee located-ten inches below flow line 310 CMR 15.227(6)] Outlet tee 14" or 14" + 5"per foot for increase ft depth[310 CMR 15.227(6)] . Outlet tee with gas baffle or approved filter[310'CMR 15.227(4)] Note regarding installation on stable compacted base[310 CMR, 15.228(.1)] Separation between inlet and outlet tees(no less than liquid. depth) [310 CMR 15.227(2)] Inlet/Outlet elevations at least 12" above high groundwater . (except as.described 310 CMR 15.227(5)).or permitted for upgrades under LUA 310 CMR 15.405 1 (k)] Minimum cover 9" (Tanks buried more than 9 must have risers on all openings and on the d-box) [310 CMR 15.2228(1) and 310 / CMR 15.232(3) fl] Three access covers(inlet and outlet must be 20" or'greater) middle access at least 8" y 7/07 [310 CMR 15.228(2)] Access to within 6 "of grade. -one port for systems<l 000gpd, - - two for-systems>1000- d 310 CMl 16.228 2 All at-grade covers secured to unauthorized access?' .[310 CMR 15.228(2)] ✓ > 10 ft.from building foundation[310 CMR 15.211 1 Buoyancy calculation Required/Don e[310 CMR 15221(8)] H-20 Where a ro riate? 310 CMR 1.5.226(3)] ✓ . Setbacks from resources 310 CMR 15.21 1 s - x �. 50-� *�.w• - .: �.. . do •. e� � � .r-�». ,.^ . •. k - . e � Required when other than single-family dwelling or flow>1000 J . d 310 CMR 15.223(1)(b ] First compartment 200%daily flow; Second compartment 100% daily flow.[310 CMR 15.224(2) and(3)] , "U"pipe through or over baffie,,outlet of each compartment with gas baffle or approved filter[310 CIA 15:224(4)] f Address '�a�,rS L-119— Sheet 3 of 7 0 N/A ®K NO UUM Located at least ten feet from any water line? [310 CMR 15.222(2)] Disposal piping at least 18"below water line(when water and sewer cross, see 310 CMR 15.211(l)[1]) Cleanouts required/provided ? [310 CMR 15.222 8 ! . Thrust blocks specified in force mains?310 CMR 15.221 6 c ] ✓ Slope of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable 310 CMR 15.222 6 Proper pitch on all runs?(.005 within gravity-distributed trenches and beds) [310 CMR 15.251(9)and 310 CMR 15.252(2)(6)] . Siphon roblem/ eachfield below pump chamber) Endca s or vent manifoldspecified? Size and orientation of discharge holes specified? (not smaller than.3/8"not larger than 5/811) [310 CMR.15.251(8) and 310 f CMR 15.252(2)(h Materials specified (310 CMR 15.251(5) specifies various pipe types allowed Stable compacted base[310 CMR 15.221(2)and 310 CMR 15.232(2) a ' Splash plate or baffle tee required on inlet/provided?.(when pressure sewer to d box or steep pitch of gravity.sewer) [310 CMR 15.323 3 a ] f Riser if deeper than 9" [310 CMR 15.232 3 - Inside minimum dimension 12" 310 CMR 15:232 2 Minimum sum 6" 310.CMR15.232 3 e . Watertight cover if<2000gpd);waterproof manhole if>2000gpd [310 CMR 15.232(3)(d)] �a gat x" Capacity(emergency storage above working—design flow)? [310 CMR 231(2)] f Proper setbacks 310-CMR 15.211 (same as septic tanks)] Watertight 20-in minium access manhole at least 20"MUST BE TO GRADE 310 CMR 15.231(5)] Service components accessible(not too deep with piping, disconnects accessible Alarm floats -alarm on circuit separate from pumps specifiedT Exceeds two units must have two pumps operating in lead-lag .. mode. [310 CMR 15.231(6) and 8 Stable Com acted.Base 310 CUR 15.221(2)] Buoyancy calculations needed? Provided? [310 CMR 15.221(8)] Address 6 ��e�,rs �++,.�_ Sheet 4 of 7 N/A OK NO t AIMM Calculations correct? leef ofnaTurauy occurring matdial ciemonstrated?.[310C R = 15.240(1) Required separation togroundwater? [310 CMR 15.212 Aggregate specified as double washed[310 CMR 15.247(2)] i System Venting required/provided? (system under driveway or >36"deep) 310 CMR 15.241 - Inspection ports specified and within 3"final grade? [3 10 CMR 15.240 13 i Breakout requirements met?(No violation of breakout elevation within 15 ft of SAS unless barrier) [310 CMR 15.211(1)[4] and ol Guidance Document]_ r Chambers and Gal. in trench configuration supplied with inlet every 20 ft. 310 CMR 15.253 Each structure with one inspection manhole(if>2000 gpd must be to grade).[310 CMR 15.253(2)] a Aggregate 1'minimum-4'maximum. 310 CMR-15.253(1)(b)] '` •!" 2'_si eimaxi um 3.10 CMR.15.253 1 a_ . ..v In bed confi ation,inlet every 40 s -ft. [310 CMR-15.253 6 ✓ y _ , w . NO TIMM � � 41 � Width 2'minimum 3'maximum 310 CMR 15.251 1 100'feet-maximum len 310 CMR 15.251 1 (a Minimm separation 2x effective,depth or width whichever greater 3x if reserve between trenches 310 CMR 251 1 (d)] Situated along contours L310 CMR.15.251 2 -.,. Breakout OIL? 310 CMR 15.211(1) 4j land,Guidance;Document] � wMTMK' mew. rMd m 10 minimum 2 distribution lines 310 CMR,15.252 2 a •`'µ Maximum separation between lines 6' 310 CM R15.252 2 d ] Maximum separation between:lines and outside of bed 4' [310,-- CMR 15.252 2 e Aggregate depth below discharge pipes 6"_nummum,.12" maximum. 310 CMR 15.252(2)(g Separation between beds 10'minimum. 310 CMR 15.252 2 Bottom area used in calculations onl 310 CMR 15.252(2) i ] Address �� SL)75 Sheet 5 of 7 N/A OK NO 04 Pressure Dosed System ?;Provided pump and piping calculations as r uired[310 CMR 15.220 4 r ].' Pressure dosing-required on all systems>2000gpd.or alternative systems.under remedial approval [310 CNM 15.254(2) and I/A. Remedial Use Approvals) If used in gravelless system-make sure jet is directed as not to scour soil interface Guidance Document Inspections once per year(systems<2000 gpd).or quarterly- >2000 d good to note on plan 310 CMR 15.254 2 d ] Construction in fill -Did the plan specify that the fill shall meet the specification of 310 CMR 15.255 3 ?. Impervious barrier and/or retaining wall? Guidance Document Impervious barrier installation must.be supervised by designer[310 CMR 15.255 2 Retaining wall must be designed by Registered Professional Engineer 310 CMR 15.255 2 (a Side slo a not.exceed 3:1 ? 310 CMR 15.255(2)] Breakout requirements met?[310 CMR 15:252(2)and Guidance Document - - ------ ---. At least 5 ft. from impervious barrier to edge of SAS (10 ft. recommended 310 CMR 15.255 (2'(e Check DEP A royal letters for credits and desi conditions If used with pressure dosing do not allow pressure cZ hargeLL. l to scour soil interface Was.DEP Approval.Letter provided and/or have-You. reviewed the letter for conditions? Is the technology being properly applied and does it meet all DEP royal Conditions? Is there a note on the plan regarding the requirement for perpetual maintenance agreement? Any alarms involved on separate circuits , Did the applicant submit an operation and maintenance manual? d. Has applicant submitted a copy. of a:maintenance'. sm-';- i Are the variances listed on the.plan? [310 CMR 15.220 4 ] RLS Stamp necessary on plan if a component is within five feet of pLoperty line[310 CMR 15.412(4)] New construction or,increased flow proposed- [Refer to 310 CMR 15.414 Address 86 Sheet 6 of 7 N/A, ®K NO Is the system in a Designated Nitrogen Sensitive Area(Zone H for it lic suPFlYwetl)`-[319 C-MR 15 0 15.2175- 310 CMR 15.216 - also refer to Policy regarding upgrades of such .n _ existing systems] Is the system proposed on the same lot as served by private well ? 310 CMR 15.214(2)] Are the nitrogen loads proposed in compliance? [310 CMR 15.216 .1 v Pumping to septic tank? 310 CMR 15.229 Shared.System 310 CMR 15.290 Address `6s Sheet 7 of 7 1 March 15, 2000 James Miller, P.E. Miller Engineering Co. 21 Brook Street Seekonk, MA 02771 RE: 80 Joby's Lane, Osterville Dear Mr. Miller: You are granted a variance from 310 CMR 15.214, on behalf of your client Richard Effron, restricting sewage flows to one bedroom for every 10,000 square feet of land within Zone II districts. You are granted permission to construct an onsite sewage disposal system at 80 Joby's Lane, Osterville, with the following conditions: (1) If two (2) bedrooms are proposed,'the septic system shall be installed in strict accordance with the revised plans dated 2/10/2000. (2) If two (2) bedrooms are proposed the dwelling shall be constructed in strict accordance with the submitted (undated) hours plans showing two (2) bedrooms on the second floor, with no bedrooms on the first floor. Dens, study rooms, finished attics, sleeping lofts and similar-type rooms are considered "bedrooms" according to the Massachusetts Department of Environmental Protection. (3) If three (3) bedrooms are proposed, the septic system and FAST system shall be installed in strict accordance with the revised plans dated on 12/22/99. (4) If three (3) bedrooms are proposed, the dwelling shall be constructed in strict accordance with the submitted house plans (undated) showing three (3) bedrooms maximum. (5) The applicant shall record a properly-worded deed restriction at the Barnstable County Registry of Deeds limiting the dwelling the number of bedrooms authorized. The deed restriction shall be signed by the property owner. A copy of the recorded deed restriction shall be submitted to the Board of Health prior to obtaining,a disposal works construction permit. This variance is granted because the application meets the policy of the Board of Health in regards to approving the number of bedrooms proposed on lots of this size. The Board has approved three (3) bedrooms on lots of less than 18,000 square feet if alternative-type systems are proposed. This lot is 15,099 square feet in size. Sincerely yours, Susan G. Rask, R.S. Chairperson Board of Health Town of Barnstable SGR/bcs E 86jobys TOWN OF BARNSTABLE OFFICE OF OF HEALTH of t"e'o,. BOAR o, STREET m 367 MAINSEET02601 D�sresa I-IYANNIS.MASS. rAe� 'O�nrAY March 15, 2000 James Miller, P.E• Miller Engineering Co. 21 Brook street Seekonk, MA2771 RE. 80 Joby's Lane, Osterville our client Richard Effron, Dear Mr. Miller: on behalf of y Within Zone 11 variance from 310 CMR 15.214,10,00.0 square feet of land W Stem,at 80 Joby's ranted a e disposal sy You are granted flows to one bedroom for every restricting ranted permission to construct an onsite sewage districts. You are g wing conditions: Lane, ostervilie, with the following osed, the septic system s If two (2) bedroom hall be installed in strict s are pro plans dated 2/1012000• ' (1) accordance with the revised p shall be.constructed in strict accordance � the dwelling two (2) bedrooms on the second floor, � (2) if two (2) bedrooms are proposed hours plans showing in lofts with the submitted (undated) rooms, finished attics, sleeping considered "bedrooms" according to the Massachusetts with no bedrooms on the first floor. Dens, study . and similar-type rooms are con Department of Environmental protection. FAST system shall be installed f three (3) bedrooms are proposed, the septic system and FA Y (3) I plans dated on 12/22199. strict accordance with the revised in str constructed in strict accordance three 3) bedrooms are proposed, the dwelling shall three 3 bedrooms maximum. (4) If plans (undated) showing ) with the submitted house (5) The Registry applicant shall record a properly-worded deed restriction at the Barnsttable deed Deeds limiting the dwelling the number of bedrooms authorize strictlo of D deed re e ist corded R 9 ry owner. A copy of the re restriction shall be signed by the property shall be submitted to the Board of Health 0or to obtaining a disposal works construction permit. This variance Is granted because the application meets the policy of the Board of Health in regards to approving the number of bedrooms proposed on lots of this size. The Board has approved three (3) bedrooms on lots of less than 18,000 square feet If alternative-type syste are proposed. This lot is 15,099 square feet in size. Sincerely yours,' usan G. Ra R.S. Z 302 976 616 US Pos NK Re r Cer itae ail No I urance Coverage Provided. Don t us f_ tA�n io ,, it fee reverse Sent'r10 m FRO,N,SCOTT X AgnuNuA A VE. ^'Y Post Office,State,& Postage $ ,aw Certified Fee L d Special Delivery Fee ' Restricted Delivery Fee Return Receipt Showing to Whom&Date Delivered n Return Receipt Showing to Whom, Q Date,&Addressee's Address 2 s— WTOTAL Postage&Fees Is ,,y M Postmark or Date 0 LL a --- -- _ _ Stick postage stamps to article to cover First-Class postage,certified mail fee and P 9 P P 9 � charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier(no extra charge). , 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the Q) return address of the article,date,detach,and retain the receipt',and mail the article. LO 3. If you want a return receipt,write the certified mail number and your name and address rn on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee,'br to an authorized agent of the C addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. LL 6. Save this receipt and present it if you make an inquiry. 102595-99-M-0079 a TOWN OF BARNSTABLE Of1NETp OFFICE OF i 13MMTABLB, i BOARD OF HEALTH y rags pp 019. 367 MAIN STREET E�pYk` HYANNIS,MASS.02601 March 15, 2000 James Miller, P.E. Miller Engineering Co. 21 Brook Street Seekonk, MA 02771 RE: 80 Joby's Lane, Osterville Dear Mr. Miller: You are granted a variance from 310 CMR 15.214, on behalf of your client Richard Effron, restricting sewage flows to one bedroom for every 10,000 square feet of land within Zone II districts. You are granted permission to construct an onsite sewage disposal system at 80 Joby's Lane, Osterville, with the following conditions: (1) If two (2) bedrooms are proposed, the septic system shall be installed in strict accordance with the revised plans dated 2/10/2000. (2) If two (2) bedrooms are proposed the dwelling shall be constructed in strict accordance with the submitted (undated) hours plans showing two (2) bedrooms on the second floor, with no bedrooms on the first floor. Dens, study rooms, finished attics, sleeping lofts and similar-type rooms are considered "bedrooms" according to the Massachusetts Department of Environmental Protection. (3) If three (3) bedrooms are proposed, the septic system and FAST system shall be installed in strict accordance with the revised plans dated on 12/22199. (4) If three (3) bedrooms are proposed, the dwelling shall be constructed in strict accordance with the submitted house plans (undated) showing three (3) bedrooms maximum. (5) The applicant shall record a properly-worded deed restriction at the Barnstable County Registry of Deeds limiting the dwelling the number of bedrooms authorized. The deed restriction shall be signed by the property owner. A copy of the recorded deed restriction shall be submitted to the Board of Health r!or to obtaining a disposal works construction permit. This variance is granted because the application meets the policy of the Board of Health in regards to approving the number of bedrooms proposed on lots of this size. The Board has approved three(3) bedrooms on lots of less than 18,000 square feet if alternative-type systems are proposed. This lot is 15,099 square feet in size. Sincerely yours, Susan G. Ra� R.S. Chairperson Board of Health Town of Barnstable 80jobys Town of Barnstable P#_�/ tf�' 6 1 Department of Health,Safely,and Environmental Services :r �""M Public Health Division Date SZ, 367 Main Street,1.Iyanniss MA 02601 RAIRNSTABM NAM Date Scheduled io b�/ Time Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed By: / C' �� �E�� . P�. Witnessed By: Dar)"Q 2• LOCATION & GENERAL.INFORMATION r'on'` Air Location Address Qn / C / � I�' Owner's Name ���helrgf' � ' Address/ '3 Q C? 1 Ck^ V I l l ' Assessor's Map/Parcel /AO ^ , / Enginccr's Namc Jp!!J E. N�I)e/ ?L! NEW CONSTRUCTION __%_— REPAIR Telephone N (SOG)761 - 7790 Land Use /mot S��e►a t�g / Slopes(%) (6 l6 Surface Stones NOA f Distances from: Open Water Bo{y N A R Possible Wet.Area A) A R Drinking Water Well > /dd R Drainage Way /v R Property Line I S 3 I R Other 8/ R SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) 11' 15 -Tp. 2 V ► - 89' ,,rr•R.•Xa. „tt'a. p4.r.l�r a. .�:`,ez• #�f=4+f?}",_'#""... Y. t`i: .i.•,.. .y. -:n*.. •r ,. '� 2� - ?oGY ' S LAWC Parent material(geologic) CrA 6 t Ol/A 04'W4j Depth to Bedrock > Depth to Groundwater: Standing Water in Hole:_. N Weeping from Pit face N Estimated Seasonal High Groundwater �► l o T NATYDN 'OR SEASONALGH 'VVATETt TABLE CJt1a :,P,,q :.. . _ Method Used: Depth Observed standing in obi:hole: in. -Depth to soil mottles: _ in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment R. Index Well k_ ._.• Reading Date:L_ _._ Index Well level ._._.__ Adi.factor _ Adi.Groundwater Level :....pEROOLATIO!N TEST. :":.:...nrrte:!? Time ll oo: :: t Observation 'rp-I -rp—Z (� Hole ll 24 qS 4"S Time at 9" ofr I i Depth of Perc 7 Z I, 7 Z n 4�� W��^•^ Time at 6" Pre t�wk f•n'►� Start Pre-soak Time �/• 'ID A Time(9"-6") End Pre-soak 3sA Rate Min./inch 4 2 oc z Site Suitability Assessment: Site Passed ,/ Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back j Copy: Applicant DEEP..OBSER VATI(ON HOLE.LOG . Hole # TP- t ,< Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. e Me'J. Sk-tA 2.5Y ,41l: N•„r Mid• Sated to Yft 414 None Loac-c le6Fr,'V% 3r(, l70 C M.d, $a,.d Z•5 Y %3 Nonc Lao s-r s�� pEEP:OSERVATION HOLE LOG Hole; Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consist ncy.0 0- 17 A I�c�.Sa�� ?•5 Y 4/. None too6f ,�' le l2 3 G ►� tit c�.5,% ,cl' 10 YR q�L /jo h e 60R S;'1 It 3`„ �)C f ZG . .•..5�� 2•S Y No. .r'1 �I3 ' Lou S,� L �rai+t ) ER)�0HSET�VA `CUN UL)�Y;OG dole#: Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. % DEEP OBSIER`VAT ON HOLE LOG Hale:# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. e Flood Insurance Rate Mato: -`-Above 500 year flood boundary No N:Ycs X Within 500 year boundary No Yes Within 100 year flood boundary No_ Yes Depth of Naturally Occurring Pervious Material 1 Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? e S j If not,what is the depth of naturally occurring pervious material? - �I Certification 1 certify that on 1/ 9 s .(date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CM 15.017. Signature l lZc Date Lam TO Yrau301oq_ SEPTIC SYSTEM PROFILE ur / (NOT TO SCALE) .. /96.rp ACMII C&AA TO K rf.MSn aAC[ BFKXI l TO r►•NED a cl d�O "Tw MC AE 77ui '1 mrofI Pw,IL s•,ov LD1 opwftw\MY.d 1.Otl9® w v.LOCUS MAP93 T O SIM 9t 97 o 0 0 o O o 0 r al0®s1CME JK 0. 9Z 97Li 1N,.0. 71/1! )/.0 �9sC1 R76�7wo pest f• OLOMD Yrlq It / PROPOSED 1600 GAL aft ��� SEPTIC TANK DISTRIBUTION BOX LEACHING CHAMBERS o /�f•ea s/ A1010961 9A/ Qv /A•y /J 099 JA' 10 1 W ��1OI.Q o�rm A-00 i o - i NOTES 1.ALL COMPOHIND CHENTSAMBERS.SHALL T BE R0T01B0 00 GALr,EXCEPTACHING NE f.q r \ 141 LEACHING CHAMBERS,THEY SWLLL BE 500 GAL LEACHING I/� �� I IS'r 1• —9Y CWIAABERS BY WIGGW OR EOIY�I. _—�1@IDF rf6� - Q�"•—_tom— 2.ALL PIPE SHALL BE P SCH PVC PIPE MESS OTHERWISE NOTED. i AAfb1 rai +' 3.MATERIALS AND METHODS OF CONSTRMTION SHALL LEACHING CHAMBERS CROSS-SECTION CONFORM TO THE REQUIREMENTS OF TITLE V.MASS. / _RAM➢➢ Q W ENVIRONMENTAL CODE,AND THE REOUDIEMENTS OF ' THE Lax BOARD OF HEALTH DESIGN DATA 1.ALL TERIAL WALL BE REMOVED EDD AS PER 3110SM XCMR IS UNSUITABLE AND )FS OR6A MINIMUM DISTANCE 1.DESIGN FLOW.R-qpa,dt BEDROOM.NO GARBAGE ORINOER ov - OF S LATERALLY FROM ALL SIDES OF THE OUTER PERIMETER .. DESIGN FLOW: 2 X 110 OA1WY I BOIL. •210 GAUDY OF THE PROPOSED SOIL ABSORPTION SYSTEM AND FROM BENEATH THE SOIL ABSORPTION SYSTEM TO AN ELEVATION OF fr.) IO' OR UNTIL NATURALLY OCCURRING PERVIOUS MATERIAL IS +' OBTAINED PER 310 CMR 16.260 AND THE LOCK B.O.H.OFFICER. 2.LEACHING AREA PERCOLATION RATE•r)MIN.I W. SOIL CLASS 1 __,q. Leal /FI AFTER THE EXCAVATION IS COMPLETE THE AREA SHALL BE / X. ZBC BACKF&LED AS PER 310 CMR 16.255(3)AND THE LOCAL B.O H.OFFICE. - DESIGN PERCOlAT10N RATE•S MIN./IN / / f h T�'•//�.'SO�� S ALL UTILITIES SHOWN ARE PLOTTED FROM BEST AVAILABLE PROVIDE:J'-<Z'WIOE Xe WLONG.X Z'DEEP LEACHING CKWSEF INFORMATION AND SMALL BE VERIFIED BY THE CONTRACTOR / •, FOR EXALT ELEVATION A LOCATION PRIOR TO CONSTRUCTION EFFECTIVE IEACHINO AREA• WIDE. LONG, !'DEEP ND OF THE PIIOP0.1E0 SE /A NO DISPOSALDISPOSALSYSTEM, 3.LEACHING AREA PROVIDED: _ / 6.ALL CNGES NA VARATXM FROM THIS PLAN MUST BE 16� 6L APPROVED. IN WRITING,BY BOTH MILLER ENGINEERING / A / 6 SIDEWKL LEACHING CHAMBERS: f/'LNG ■)'HT. ■ l SIDES • Dy 601 � • \ IN1 / AND THE LOCK BOARD OF HEALTH i 7.ALL UNUSED LEACMWG CHAMBER OUTLET PORTS WILL BE END: LEACHING CHAMBERS: A21N0. ■I,HT. ■t &DEB •3L.B $Q 1 COMPLETELY FILLED WITH GROUT. BOTTOM: LFACHINO.CHALBERS: L' LMO.% Pr'WIDE .•1"Z SO F /4 3 Regrall t✓ice,/n�•/�,+r 3./O CMR � 10N //f/Y/r i//,�, the C�nf/irefisvr ids ZOdi TOTAL AREA PROVIDED 3/y SO F7. Ce/_?h/.r 099 SF /.CAPACITY:3/til$0.FT...71'OAusF•Z32 GAMY ek+•/.T, � ern-rY[:lr_ --1e3 SOIL DATA r — PROPOSED SEWAGE BY DONNA Z.HIORANDI OF R 1BARFSTTAA(E BOARD OF n TH DISPOSAL SYSTEM Zoniny Selbac" LOCATION: e0 JOBY'S LANE F,n^i•20'60 ../obys /o• TEST PIT 1 TEST PIT 2 -BARNSTABLE MA Lsne sale R~-/0' APPLICANT: RICHARD EFFRON fr.9 o frr a 30 MASSAPOAG AVENUE jay MEDIUM SAND MEDIUM SAD SHARON MA 9F.9 /f' 97 /!" wu• PREPARED BY MEDIUM SAW MEDIUM SAD yRy� �� �•w• MILLER ENGINEERING fr. x- frt 3c� o+. 2/BROOK STREET LEGEND PLAN BENCH MARK " 1O" SEEKONK MA 02TI1 —EXIST.CONTOUR SCALE:T'•2a TOP OF CONC. z r��3 MEDIUM sAD 2�Y ►1E + '0.� LSa)Ss1.77fo �-PROPOSED CONTOUR BOLXD ON r11E s,CORNER OF 1•/ December 22, 1899 TEST Prr EL°"100.0 NSo�eoy u� 0 PERC HOLE REVISIONS /-3-00 CHIC BY. PERC.RATE• 2 Lon PERC.RATE•Q MPI r�O.DO 9Xr PROPOSED SPOT ELEVATION PERC.DEPTH•77(BA 9) PERC.DEPTH•77(e9Z GW.DEPTH•120'(ef.f G.W.DEPTH•17c•(8Ll M 1 'a DATE: fs sue-'f FEE: f��✓' �D RARMSPABLM MASS. j 9� s63q ,0� REC. BY Town of Barnstable /may S CHED. DATE: Board of Health 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 \` Susan G.Rask,R.S. FAX: 508-790-6304 \ 11F�!u n rl t . an,b.S.P.H. Ralp A.I urphy, D. VARIANCE REQUEST FOR1V1 � ' � pr LOCATION Property Address: go -V /(/ Assessor's Map and Parcel Number: ��� ! T'�— Size of Lot: Wetlands Within 300 Ft. Yes Subdivision Name: OS�cr y/�/e lf�OB d5 No Business Name: APPLICANT t n CONTACT P R N t Name: 2!C hard 6 = Name: 54 r/ Address: 3d Ma ssa ,00-a Address: 3 dOG cG Phone: ��l ) 7��'��.�� Phone: _ 9 FAX: FAX: ,SDI '6l- 7 7 9 J� VARIANCE FROM REGULATION(List Rey.) REASON FOR VARIANCE(flay attach if more space needed) fMre C 3) l eo�r�e,.< h y"Se. a heckli t(to be completed by office staff-person receiving variance request application) t/ Four(4)copies of plan submitted(including septic system plans and/or restaurant floor plans) ✓ 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 variances only) .� Variance request application fee collected(no fee fer lifeguard modification renewals.grease trap variance renewals[same ownerleaue onlyl.outside dining variance renewals[same owner/leas"only],and variances to repair filed sewage disposal systems(only if ao expansion to the building proposed]) ✓ Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G. Rask, R.S.,Chairman NOT APPROVED Sumner Kaufman, M.S.P.H. REASON FOR DISAPPROVAL Ralph A. Murphy, M.D. Q:/WP/VARIREQ Please complete all items marked mail signed original contract to: J&R Sales&Service,Inc. 44 Commercial Street Raynham,MA 02767 J&R SALES & SERVICE,.INC. INSPECTION AND EFFLUENT TESTING AGREEMENT This Inspection Agreement is entered into by MR Sales & Service, Inc. (herein call MR) and the FAST® System OWNER(herein called OWNER), for the purpose of setting forth terms and conditions governing J&R's obligations to inspect OWNER's equipment listed below. Upon acceptance of this agreement, MR will render the following services only: Equipment will be inspected at least 4 times per year that this Agreement remains in effect, with the first inspection beginning . These inspection will include: 1) Testing of the sludge depth in the septic tank. 2) Inspection, power testing and clean/replace intake filter of the air blower. 3) Inspection of the alarm system: ; 4) Inspect over-all condition of FAST® System. 5) Notify OWNER of any problems encountered. 6) Service other than routine maintenance will be billed at an hourly rate plus travel and material. MR shall notify the local board of health and the Department of Environmental Protection in writing within 24 hours of a system failure or alarm event including corrective measures that have been taken. It is understood that by this Agreement MR is not obligated to supply any parts. Any additional labor time will be billed to the OWNER at standard labor rates of$ 64.00 per hour. Emergency service between regular inspections will be provided at standard rates for labor during normal business hours, after 5:00 PM and on Saturdays time and one-half, and double time on Sundays and holidays, s minimum four(4) hours plus standard charges for parts plus mileage and travel charges. This agreement does not include expenses to repair damage caused by abuse, accident, theft, acts of a third person, forces of nature, or altdring the equipment. MR shall not be responsible for failure to render the service for causes beyond its control, including strikes and labor disputes. 44 Commercial St. Raynham,MA 02767 Tele.508 023 9566 Fax 508-880 7232 OWNER understands and agrees that J&R is not responsible for special or consequential damages, including loss of time, injury to person or property unit or equipment failure. This agreement is not assignable without the consent of J&R and will remain in force until canceled by either party through written notice. This is a two-year service contract to be billed annually in compliance with State regulations. Failure to comply will result in cancellation and nullification of any warranties. MANUFACTURER MODEL NO. SERIAL NO. LOCATION ANNUAL RATE Bio-Microbics Home F ST® Centerville, MA $350.00 E UIPMEN ER J&R Sales & Service, Inc. z - *Signe - Signed by: char on 44 Commercial Street *Address: Raynham, MA 02767 80 Joby's Lane Tele:(508) 823-9566 Fax: (508) 880-7232 Centerville MA *City: State: Zip: *Telephone: Effect Date of Agreement Effluent Testing Effluent sample taken 1 time per month for the first six months and quarterly thereafter, delivered to a qualified testing lab for evaluation and with results being sent to State and local Agencies as well as the owner. Owner is responsible for providing acceptable access to effluent to enable a grab sample to be taken for laboratory testing performed: PERMIT : *(PLEASE CHECK ONE) ( X ) GENERAL ( ) REMEDIAL O PROVISIONAL *SPECIAL CONDITIONS PER LOCAL BOARD OF HEALTH (Y)or(N)If YES,please attached copy of permit ( ) BOD5,TSS,pH ( X)pH, BOD, TSS, TKN, Ammonia, and Nitrite Cost for testing $210.00/visit Operator assigned: William Everett Engineer: James Miller Engineering Telephone: (508) 243-9566 C v *Approval for Effluent T r Homeowners i ature ..._ DATE: • _ - TSB: � iARl1ATAT:-r. • •'ate REC. BY Town of Barnstable SCHHD. DAT$: Board of Health 367 Main Street, Hyannis MA 02601 Office: SOR-862.4644 Susan G.Rask.R.S. FAX. 508.790-6304 Sumner Kaufman,M.S.P.H. Ralph A.Murphy,M.D. VARIANCE REQUEST FORM LOCATION Property Address: Assessor's Map and Parcel Number: O Size of Lot: Al 09.9 �f Wetlands Within 300 Ft. Yes Business Name: No / Subdivision Name: APPLICANT'S NAME: /Qie'/f�z4f Phone Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON OO Name: llewe, ��a/ Dit Name: C �ICC✓��_V Address: &Z Address:IV A— h d1 �Gae!dll Phone: 6�/) 7��'r7 vZ S S Phone: ( 7B/) 7 G/ — 7 7�� VARIANCE FROM REGULATION(Lki Reg.) REASON FOR VARIANCE(May auach if more space needed) e x.;7 .f G.0A1dfi.rc 60 it Checklb7(to be completed by office s!q(f-person receiving variance request application) —;;;"—Four(4)copies of engineered plan submitted(e.g. septic system plans) Four(4)copies of floor plan submitted(e.g. house plans or restaurant kitchen plans). Applicant understands that the ahutters 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) Fall menu submitted(for grease trap variance requests only) Variance request application fee collected(r re.r r.,.cr.�v.ra &t,ne n�� .cnam trip variwwt rceeWab Esw'c aw*"Clow ' •u"de dining vetianrs re•tr.�h game wutrtr:lesta oelv�,ud rariao Alt to repail raiw se..au,li,pow.ystans(eniv it to upawion to the puJd■g propoudn !} Variance request submitted at least 15 days prior to meeting dateda,� VARIANCE APPROVED Susan G. Rask,R.S..Chairman _ Sumner Kaufrnan, M.S.P.H.. NOT APPROVED - � REASON FOR DISAPPROVAL Ralph A. Murphy, M.D. .—AL MA R , Q:/NP/VARIREQ (( f 2000 i L11A - rop oFy„�e,/,;•7 SEPTIC SYSTEM PROFILE (NOT TO SCALE) X&OV Acca50/YH FINWILD auk, fssu ed LYiaG ' ' e0 ro'910-1 Vu7/ Po, /°'a/YdeC rYYt' 2'o"-Sm.,,, r"1". ooae�v me 7 OF F hill)MIST i 92.90 0.O` 'I Q•s-0o A[76TFM� n cor - LOCUS MAP �,.� IL�-t' 9.to s °y"r 97 9>, 91'S'7 7>' n.:.N" Olv.B. r A-•90.9 _ m:.Q. 97 /z0' 9P. c'L>whed Jhne 93./y yr rot oaLuwA mf 93,97 Pf.O n G area M o AST - - r — I q0 /Y iiP Fit/ OWMo WTB - b PROPOSED 1600 GAL. luv eJ s SEPTIC TANK WITH DISTRIBUTION BOX LEACHING CHAMBERS T NIT Ar/50aZol93F �// ro I&DOLOU 0T FINIS MISS 41e I 1•- —I v NOTES o II r 1.ALL COMPONENTS SHALL BE ROTONDO PRECAST.EXCEPTTHE LUIIrII�� I I LEACHING CHAMBERS.THEY SHALL BE 600 GAL LEACHING CHAMBERSBY WIGGIN OR EQUAL/y an• J'OV[/dIq' I I. I� i I j` N --9M -L•'m I I?Oasf wA9®Sta[ 2.All PIPE SHALL BE 4'SCH PVC PIPE UNLESS OTHERWISE NOTED. 41 - LD �Q ' iP 3.MATERIALS AND METHODS OF CONSTRUCTION SHALL CONFORM TO THE REQUIREMENTS OF TITLE V.MASS. LEACHING CHAMBERS CROSS'SECTION ENVIRONMENTAL CODE.AND THE REQUIREMENTS OF 7P/ ' THE LOCAL BOARD OF HEALTH. / L t.ALL TOPSOIL.SUBSOIL AND UNSUITABLE MATERIAL SHALL BE DESIGN DATA •''' / / y, 9� REMOEO AS PER 310 CMR 15.255(311 FORA MINIMUM DISTANCE N OF 6'LAERALLY FROM ALL SIDES OF THE OUTER PERIMETER - 1.DESIGN FLOW: PROPOSED 3 BEDROOM.NO GARBAGE GRINDER OF THE 1 a V / p / `� DENEATHT M�E0801AB50RPTIONBySTEM TO AN ELEVAL ABSORPTION SYSTEM AND TION OF 9Z.? DESIGN FLOW:3 F 110 GM/DAYIBDR, •3JOGAUDY 2 / •e `, I0� OR UNTIL NATURALLY OCCURRING PERVIOUS MATERIAL IS _ 1' y / L'wyi I t0 ✓cn� OBTAINED PER 310 CMR 15.250 AND THE LOCAL B.O.H.OFFICER.AFTER THE EXCAVATION IS COMPLETE THE AREA SHALL BE 2.LEACHING AREA PERCOLATION ME•l2 MIN.I IN. SOIL CLASS 1 DACKFILLED AS PER 310 CMR 15.255(3)AND THE LOCAL B.O.H.OFFICE. DESIGN PERCOLATION RATE•S MIN.l IN S.ALL UTILITIES SHOWN ARE PLOTTED FROM BEST AVAILABLE INFORMATION AND SHALL BE VERIFIED BY THE CONTRACTOR PLLOVIDE:t'J.I WIDE X A JLONO X 2' DEEP LEACHING CHAMBERS�Bdr LYvr//V , ROR EXACT ELEVATION AND LOCATION PRIOR TO CONSTRUCTION OF THE PROPOSED SEWAGE DISPOSAL SYSTEM. EFFECTIVE lE/1CMIt10 AREA•/32WICE,tS'LONG,a DEEP A' S.ALL CHANGES AND VARIATIONS FROM THIS PLAN MUST BE 3,LEACHING AREA PROVIDED: APPROVED,IN WRITING•BY BOTH MILLER ENGINEERING / / AND THE LOCAL BOARD OF HEALTH. SIDEWALL: LEACHING CLAMBERS:2J•LNG. ■Z'Hf. ■2 SIDES •/°° So FT It. ; Y IOU t 1� 7.ALL C UNUSED LEACHING CHAMBER OUTLET PORTS WILL BE END LEACHING CHAMBERS:/!t'LNG. ■I'HT. :L SIDES J2 SO.FT.COMPLETELY FILLED WITH GROUT '! BOTTOM: LEACHING CHAMBERS:LJ'LNG.r/3.2 WIDE JJO 50.FT. e,REQUEST A VARIENCE FROM 310 CMR 15 214 TO TOTAL AREA FROVIDED • Yet SOFT. ALLOW THE CONSTRUCTUION OF A 3 BEDROOM 1,ti j016 O F ANIELLAL ALTERNATIVE T ET WITH SYSTEM,8,808 SF WITH THE USE 3.CAPACITY:S'6ZSQ.FT.■,7YGALJSF•3J6 OALIDAY .. SOIL DATA �jot PROPOSED SEWAGE By ECNNA EST PERFORMED NIORANDI OF THE CEMBER 2A ABLE BOARD OF HEALTH. AND WITNESSED DISPOSAL SYSTEM ' LOCATION: 80 JOBY'S LANE Zonis Setback TEST PIT 1 TEST PIT 2 BARNSTABLE MA OTE:, s Lsne `'azO APPLICANT: RICHARD EFFRON 80 ,Joby J.de -/0' 30 MASSAPOAG AVENUE pis.•�O- �s:z ° HAR A MalMairlce Contract for e Fast Unit is required be provide 953L. S ON. MAMEDIUM SAND I S MEDIUM BAND Y to the board health for Inspection,meinterarLcs and cared r92'9 /t- rOA PREPARED BY unit. Sampling analysis vAll be provided to the Board of Health - _ / ,y U MILLER ENGINEERING MEDIUM BAND !7P MEDIUM rArw r,.R 72. 3s" CNA I 21 BROOK STREET LEGEND as required by Ow Board. 979 w.alro: SEEKONK•MA 02771 PLAN BENCH MARK � (We)Ie1-T790 EXIST.CONTOUR _ LE:1••20' TOP OF CONC. - '�, ��// MEDIUM SARD•j�r MEDIUM SAND BOUND ON THE / 'Q �-PROPOSED CONTOUR SOUTHWEST CORNER 9T gi Ito^ December 22, 1999 TEST PiT OF a e0 JODY LN., CORNER OF 080 F�� EL-100.70 RE SIGNS 2-/O-0O CKK BY: Q • PERC.RATE--2 MPI PERC.RATE•12 MPI PERC.DEPTH•72C&9.9� PERC.DEPTH-72(e9 ip-1241— ____-_-� „I,--,�„•mow,., G.W.OEPTM•12T(yi:9)G.W.DEPTH•128' 11,7 (/Y T Z 338 300 6,42 oNK Mq US Postal Recei fo Certifle 1 it No Insur nceAsig�Provided. Do not u e fo att l Ivla 1 ee verse fat TE,RICHARD J& affmPE, Postage $ 3 3 Certified Fee Special Delivery Fee Restricted Delivery Fee a uO Return Receipt Showing to G` Whom&Date Delivered Q Return Receipt Showing to Whom, Q Date,&Addressee's Address 7 0000 TOTAL Postage&Fees $ M Postmark or Date E 0 LL Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier(no extra charge). n 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the m return address of the article,date,detach,and retain the receipt,and mail the article. 3. If you want a return receipt,write the certified mail number and your name and address- rn on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a RETURN RECEIPT REQUESTED adjacent to the number. i Q 4. If you want delivery restricted to the addressee, or to'an authorized agent of the O O addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of this E receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3611. r`o 6. Save this receipt and present it if you make an inquiry. 102595-99-M-0079 d Z 338 3M 6-41,� US Postal Servic Receip Mail . No Insur Do not se forgnternational Fiji a reverse Sent to IALqPSQQ I I OIL UGHI IN DR Postage 3 Certified Fee U Special Delivery Fee LO Restricted Delivery Fee Retum Receipt Showing to Whom&Date Delivered Q Return Receipt Showing to Whom, y� Q Date,&Addressee's Address O TOTAL Postage&Fees $ . M Postmark or Date E `o LL U) ', a Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at,a post office service window or hand it to your rural carrier(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub t&the right of the Q) cc return address of the article,date,detach,and retain the receipt,and mail the article. LO 3. If you want a return receipt,write the certified mail num r arid,your name and address illl on a return receipt card,Form 3811,and attach it to the front.of the article by means of the _ I gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article 'a RETURN RECEIPT REQUESTED adjacent to the number.. Q I 4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of this E receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. �`6 6. Save this receipt and present it if you make an inquiry. 102595-99-M-0079 a if Z 338 .300 64.6, US Postal Service Receipt fo Mail' - No Insurance r Vi ,.; Do not use 5f' � ational 2,reverse Sent �I LL Ao„ de `i Postage- C.Sc w3 - - - Certified Fee / Special Delivery Fee Restricted Delivery Fee �n 0) Return Receipt Showing to _ Whom&Date Delivered - n Return Receipt Showing to Whom, Q Date,&Addressee's Address l 5 0 TOTAL Postage&Fees $ _200 cr) Postmark or Date E u- U) d Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). j1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier(no extra charge). I 2. If you do not want this receipt postmarked,stick the gummed stub to the right'of the 0) return address of the article,date,detach,and retain the receipt,and mail the article.-r LO t3. If you want a return receipt,write the certified mail number and your name and address I on a return receipt card,Form 3811,and attach it to the front of the'article by means of the = gummed ends if space permits. Otherwise,affix to back of article; Indorse front.of article a RETURN,RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of this ;_ receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. �`8 6. Save this receipt and present it if you make an inquiry. 1025e5-99-M-0079_ a Z 338 300 647 US t`bstal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sent to MAZGELIS,CHRIS & 96 JOBY'S L OSTIM Postage Certified Fee Special Delivery Fee Restricted Delivery Fee' L Return Receipt Showing to Whom&Date Delivered n Return Receipt Showing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees th Postmark or Date 0 L a Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the m return address of the article,date,detach,and retain the receipt,and mail the article. N 3. If you want a return receipt,write the;certified mail number and your name and address on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to balk of article. 'Endorse front of article a RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to ad authorized agent of the O O addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of this E receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811.s ti 6. Save this receipt and present it if you make an inquiry. 102595-99-M-0029_ a r* Z 338 300 -645 US Postal S �( Recei all No Insu nc� overage Pro ' Dso�not use for International Mai Se reverse AHI L,H ZUU PILL 46 OL,HAM,R-D u Postage $ j 3 3 Certified Fee Special Delivery Fee Restricted Delivery Fee � Return Receipt Showing to � Whom&Date Delivered Return Receipt Showing to Whom, / Date,&Addressee's Address Q TOTAL Postage&Fees $ . ,y' C* Postmark or Date 0 u_ co a Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service a window or hand it to your rural carrier(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the m return address of the article,date,detach,and retain the receipt,and mail the article. C Ln 3. If you want a return receipt,write the certified mail number and your name'and address o on a return receipt card,Form 3811,and attach il to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a. RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized argent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of this E receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. ti 6. Save this receipt and present it if you make an inquiry. 102595-99-M-0079 d Z 338 300 644 US Postal Se ���"� ONK Receipt f M ie No Insuranc Coverage Provided. _ Do not use f�r Int 0n I it See revets e + TA 'Am STERVILL MA`0?�655 Post Office,State,11 IP Cod Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee LO � ReturnReceipt Showing to �\ Whom&Date Delivered Q Return Receipt Showing to Whom, Q Date,&Addressee's Address �— CDTOTAL Postage&Fees $ g M Postmark or Date 0 u_ rn a Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier(no extra charge). m 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the cc j return address of the article,date,detach,and retain the receipt,and mail the article. �- i LO 3. If you want a return receipt,write the certified mail number and your name and address rn I on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a M RETURN RECEIPT REQUESTED adjacent to the number. Q I ° 4. If you want delivery restricted to the addressee, or to an authorited agent of the OG addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of this E receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. �`8L 6. Save this receipt and present it if you make an inquiry. 102595-99-M-0079 a T Z 338 300 643 usP oNK 0� -� a Re for Cerfifie Mail 4 No insurance Coverage 2 Y de Do of o f Inge ti iiW. ail ;,fee reverse SLEY, ELEANOR S VI L s026 Post Office, ' �e'�Z&`I,Zode Postage $ .3 3 Certified Fee Special Delivery Fee Restricted Delivery Fee \ rn ReturnReceipt Showing to Whom&Date Delivered Q Return Receipt Showing to Whom, Q Date,&Addressee's Address Q TOTAL Postage&Fees $ CO) Postmark or Date 0 LL U o_ i Stick postage stamps to article to cover First-Class postage,certified mail fee,and V charges for any selected optional services(See front). N1. If you want this receipt postmarked,stick the gummed stub.to the right,of the return I address leaving the receipt attached, and present the article at a post"office service a window or hand it to your rural carrier(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the m rt return address of the article,date,detach,and retain the receip$a.nd mail the article. 1 rn 3. If you want a return receipt,write the certified mail numberdnd•your name:and address on a return receipt card,Form 3811,and attach it to the front of the article by means of the _ gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a RETURN RECEIPT REQUESTED adjacent to the number. Q 4. It you want delivery restricted to the addressee, or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of this E receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. ti 6. Save this receipt and present it if you make an inquiry. 102595-99-M-0079 d r Z 338 300 639 'US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for Inter t r See reverse Sent to • EALEY,CH T :)STERVILILE.MA 0265 Post Office,T ate,� I1P_Codi tu" Postage J 1F1111�� $ Certified Fee Special Delivery Fee Restricted Delivery Fee LO Return Receipt Showing to Whom&Date Delivered a Retum Receipt Showing to Whom, Q Date;&Addressee's Address 0 TOTAL Postage&Fees $ OD Pf Postmark or Date 0 L co n. Stick postage stamps to article to cover First-Class postage,certified mail fee,and I charges for any selected optional services(See front). i i 1. If you want this receipt postmarked,stick the gummed stub to the right of the return I I address leaving the receipt attached, and present the article at a post.office service y window or hand it to your rural carrier(no extra charge). 2. If you do not want this receipt postmarked,stick-the gummed stub to the right of the cc return address of the article,date,detach,and retain the receipt,and mail the article. u> 3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article 'a RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or.to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article: M 5. Enter fees for the services requested in the appropriate spaces.on the front of this E receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. to 6. Save this receipt and present it if you make an inquiry. 102595-99-M-9979, (1) Y m SENDER: I also wish to receive the O :2 ■Complete items 1 and/or 2 for additional services. following services for an H ■Complete items 3,4a,and 4b. g a, ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. m > ■Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address 2 ■Wr el t i "Return Receipt Requested"on the mailpiece below the article number. 2•❑ Restricted Delivery N r delivered.■The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. n 0 3.Article Addressed to: _ 4a.Article Number ¢ a GALANTE,RICHARD J& 4b.Service Type o GALANTE,DIANE C ❑ Registered fT-Gertified 0 cc ' 9807 STEPHENSON DR ❑ Express Mail ❑ Insured In NEW PORT RICHEY,FL 34655 ❑ Return Receipt for Merchandise ❑ COD :3 7.D to of Delivery o 7 0 ir 5.Received By: (Print Name) 8.Addressee's Address(Only if requested Y and fee is paid) w s 6.Signature: VdUyssee or, g } I ► ! • i i f� iii f I �' PS Form 38 1,December 1994 102595-98-13-0229 Domestic Return Receipt First-Class Mail UNITED STATES POSTAL SERVICE Irv-4, p =postage'&'Fees`Paid==uses -� -►-----�► -Permit N6 G=10 o Print your name, adds psi, and ZIP Cod�t"'�s box' a � Miller'Engineering Kings Oak Plaza 21 Brook Street N Seekonk,MA 02771 _' v_+" zj-e Z'1 ' ai SENDER: I also wish to receive the ■Complete items 1 and/or 2 for additional services. following Services(for an w mi Complete items 3,4a,and 4b. W ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. ■Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address S2 ` permit. 2.❑ Restricted Delivery d W ■Write"Return Receipt Requested"on the mailpiece below the article number. ry y r ■The Return Receipt will show to whom the article was delivered and the date COf1SUlt postmaster for fee. delivered. P fl 0 3.Article Addressed to: 4a.Article Number cWi 33J�- 3eo GIALOPSOS,PHILIP G& U 4b.Service Type 3 o GIALOPSOS,CONSTANCE �F M:� ❑ Registered W Certified V 5 O'LOUGHLIN DR �� vi TEWKSBURY,MA 01876 �' Jr v ❑ Express Mail ❑ Insured c U f �2 ' a Return Receipt for Merchandise El COD L C, r Lnrtn E, 7.Date of Delivery o a t�1UUUU �. 3 a — o ¢ 5.Received By: (Print Name) r S 8.Addressee's Addre s(Only if requested Y and fee is paid) W t cc 6.Signature: (Addressee or Agent) ~ 0 flXt ' �U 2 PS Form 3811,December 1 A4 102595-98-13-0229 Domestic Return Receipt UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid usPS Permit No.G-10 ®Print your name, address, and ZIP Code in this box O Miller Engineering Kings Oak Plaza 21 Brook Street Scolconk,M— 02771 %) SENDER: I also wish to receive the v ■Complete items 1 and/or 2 for additional services. following services(for an 0 ■Complete items 3,4a,and 4b. ` C) ■Print your name and address on the reverse of this form so that we can return this extra fee): 0 card to you. w ■Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address •2 y permit. ■Write"Return Receipt Requested"on the mailpiece below the article number. 2.❑ Restricted Delivery W at ■The Return Receipt will show to whom the article was delivered and the date r delivered. Consult postmaster for fee. a o 3.Article Addressed to: 4a.Article Number / d [r 3 E BEEN,JOHN F&DOROTHY P t� e Type r, Re lst ecl Certified 0 63 CHESTNUT HILL AVE Q t o N BRIGHTON,MA 02135 m /Cn Exp Mail ❑ Insured w qd; Retu eipt for Merchandise El COD ` _ C L O �cc t7%.D o elivery o 0 o' I m 5. Received By: (Print me) ddressee's Address(Only if requested Y ✓VA ee and fee is paid) t I w 6.Signat (A ssee or nt) F- of �'` F;s'F r7,f8Ii,Dece beryl sa '1Q2595-98-6-0229' D'omestic`Return Receipt UNITED STATES POSTAL SERVICE First-Class Mail o�y M�3 stage&Fees Paid p PM No.L-10 o.Print your amb; addres , and ZIPcWe-h+*T 0 o Y Miller �n9ine erizlg Kit Oak Plazc, p Seek nkck Street pV MA 02771 p � ei SENDER: I also wish to receive the ■Complete items 1 and/or 2 for additional services. fOIIOWIng services(for an 0 ■Complete items 3,4a,and 4b. at ■Print your name and address on the reverse of this form so that we can return this extra feel- card card to you. m > ■pAttach this form to the front of the mailpiece,or on the back if space does not 1.❑ P 'clressee's Address v ■Wei et"Return Receipt Requested"on the mailpiece below the article number. 2•❑ Restricted Delivery Y N■The Return Receipt will show to whom the article was delivered and the date delivered. Consult pastmaster for fee. g 0 3.Arti !e Addressed to: 4a.Article Number Z,V!. E CAHILL,HENRY E 4b.Service Type 7 0 BETTY M CAHILL ❑ Registered E-Sertified N 146 OLDHAM RD ❑ Express Mail ❑ Insured = OSTERVILLE,MA 02655 ❑ Return Receipt for Mercllandise ❑ COD 3 7.Date of Delivery i�f o C 0 ¢ 5.Received By: (Print Name) 8.Addressee's Address(Only if requested Y and fee is paid) w t 6.Signatur Addressee 0 ent) f' 'o X -T PS Form 3811,Dec ber 1994 102595-98-13-0229 Domestic Return Receipt UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.&10 O Print your name, address, and,ZIP Code in this box o Miller Engineering Kincss Oak Plaza 21 Brook Street oecwtork, VITA 02771 ' SENDER: I also wish to receive the :2 ■Complete items 1 and/or 2 for additional services. following services(for an rn ■Complete items 3,4a,and 4b. N ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. v d ■Attach this form to the front of the mailpiece,or on the back if space does not 1.El Addressee's Address permit. 2.❑ Restricted Delivery m � ■Write"Return eve Receipt Requested"on the mailpiece below the article number. ry Cl) 0) ■The Return Receipt will show to whom the article was delivered and the date COnSUIt postmaster for fee. delivered. p t1 6 3.Article Addressed to: 4a.Article Number d z 3 3 2-0e' a 4b.Service Type ' E CRAWFORD,J DAVID ❑ Registered 6-c-ertified rn QS ERVIL E MA 02655 ❑ Express Mail El insured w ❑ Return Receipt for Merchandise ❑ COD u o 7.Date of Delivery o G a 5.Received By: (Print Name) 8.Addressee's Address(Only if requested V F and fee is paid) C L � 6.Sign t re: ( ddressee or gent) P' r °> X `� PS F rm 3811,December 1994 102595-98-13-0229 Domestic Return Receipt UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 ®Print your name, address, and ZIP Code in this box C p� Miller Engineering u Kings Oak Plaza g 21 Brook Street 7 Seeko-:k, F4_q 02771 ai SENDER: I also wish to receive the :2 ■Complete items 1 and/or 2 for additional services. following services(for an H ■Complete items 3,4a,and 4b. w ■Print your name and address on the reverse of this form so that we can return this extra fee): rn card to you. a; d ■Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address ■Wri et"Return Receipt Requested"on the mailpiece below the article number. 2•❑ Restricted Delivery N r ■The Return Receipt will show to whom the article was detivered and the date Consult postmaster for fee. delivered. P G. 0 3.Article Addressed to: 4a.Article Numb 3 fl 4b.Service Type 3 CROSSLEY,ELEANOR S ❑ Registered e®.fiertified 83 HICKORY HILL CIR OSTERVILLE,MA 02655 ❑ Express Mail ❑ Insured u i El Return Receipt for Merchandise ❑ COD o 7.Date of Delivery o 6�Beec�elvtl Bj3" r i�nt1�(am �, �.Ad�ires ee's Address(Only if requested y "� !G °' and fed paid) L h T..._X o ;oo T PS Form 3811,December ss4 102 $ Domestic Return Receipt L UNITED STATES POSTAL SERVICE First-Class Mail r r Postage&Fees Paid USPS Permit No.G-10 ®Print your name, address, and ZIP Code in this box 0 ti Miller Engineering Kings Oak plaza 21 Brook Street Seekonk,MA 02771 jj ss jj i JJ f {{ ii jj jj j{{ ff}} ii jj ]] t , _ �Hil 1111111'1111iiliilll11111111l111111111111i11141111111�1cell Town of Barnstable P# '1 Department of Health,Safety,and Environmental Services Public Health Division Date 367 Main Street,Hyannis MA 02601 + BARNBYABM 11rA89. / rEp A,� Date Scheduled' /�-�L.J Time Fee Pd. I 00 ✓ Soil Suitability Assessment for Sewage Disposal Performed By: / e rer" /• / /0.607 �• e Witnessed By: Don Q 2• ® 1 ra r qnr ." J' QQ n LO+CA'IION& GENERAL INFORMATION Location Address C ` n I Owner's Names y J L411yV ,y O c�� V�'/ Address Q Oil. V + (.. Yee+ I�i s?.I'dry �J' G.01 Assessor's Map/Parcel: /b0 0 ^� Engineer's Name J Mf l J N:/1 e r ?e. NEW CONSTRUCTION _XL_ REPAIR [y Telephone# (S-040 7 61 " 7 7 q 0 Land Use ��S°G[�I►'/!i A Slopes(%) (6 Surface Stones Non e Distances from: Open Water Body N 14 ft Possible Wet Area A) A ft Drinking Water Well > ft Drainage Way ft Property Line �S' 34` ft Other 8/ ° ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) �J -gyp. 2 Tf,I -'oGYIS LArJC-- Parent material(geologic) C/.q L'a Depth to Bedrock > Depth to Groundwater: Standing Water in Hole: s `'N Weeping from Pit Face Estimated Seasonal High Groundwater > /0 bERNA`ft(ll EflR 5Z*;ASOI�IALti VA'I�ETt TAt3trEvt Method Used. Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well#_ .Reading Date:.__.—.- Index Well level______ Adj.factor____ Adj.Groundwater Level PERCOLATtOi�i TEST Date '1 Ttme f! + Observation ( r�— Hole# !"p, ?4 , 4 t1oN S Time at 9" Depth of Perc 7 Z °I 7 Z " 4 ��W°��'^ Time at 6" �r'r t•q�( f•i�� Start Pre-soak Time @ ��+�� '10 A Time(9"-6") End Pre-soak 11'1 SA 1/'3-rA Rate Min./inch Z 5 Z Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back j Copy: Applicant f _ ';DEEP OBSERVATION HOLE LOG Hole Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency,%Gravel O - 12 so t Ned. S,aNd 2.5 Y4/t Nonc Loo34 5.. Ir GC-A;e' YR �/G /None �oos-e I� ��a.• d 120 C mid• Saho1 Z,5 Y %3 Noh k •)f f too �I('ii Cep d e DEEP OBER� TZON HOLE LOtJ Hole# P Z ..... Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency,%Gravel 0- 17 ° A Y 4/z None le 6,,* I2 ".3G '' r3 Md.,Sand 10 Y9416 None Ceojt �;� It G7ic► �i Z.S Y Y DEEP OBSER ATION MOLE LOG Hole.# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency,%Gravel L DEEP OBSERVATION HOLE LC►;G Hole# Depth from Soil Horizon Soil Texture Soil Color Soil ... Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency,%Gravel • t, . r Flood Insurance Rate Mao: Above 500 year flood boundary No_ Yes Within 500 year boundary No_ Yes Within 100 year flood boundary No_ 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? ye If not,what is the depth of naturally occurring pervious material? Certification I certify that on 1/ 9 5' (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. Signature C Date No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS ZIppYication for -Migool *pztem Construction Permit Application for a Permit to Construct XSepair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. go 3 � Owner's Name, ress Tel.No. Assessor's Map/Parcel /ice� � �q/ Installer's Name,Address,and Tel.No. Designer's Name,Aildress and Tel.No. 27/ 5 et . /� Aq o Type of Building: Dwelling No.of Bedrooms 3 Lot Size'_/.-��q.ft. Garbage Grinder( ) Other Type of Building No.of Persons. Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 3O gallons per-day. Calculated daily flow gallons. Plan Date Z— 22 — Number of sheets Revision Dat Title i Z % CJ Size of Septic ank Type of S.A.S. S Description of Soil ��, Nature of Repairs or Alterations(Answer when applicable) 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 Application Disapproved for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by at r -� has been constructed in accordance with the provisions of Title and the for Disposa System Construction Permit No. dated Installer Designer T �;5 A—'4 A�� The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS 'Wis;p0ar *potem Construction Permit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date: Approved by ' r, � No. Fee TFCOMMONWEALTKOF MASSACHUSETTS Entered in computer: t OM Yes PUBLIC HEALTH DIVISION -'TOWNVOF BARNSTABLES MASSACHUSETTS ._ ,. 01ppr1fcation.for 0*0!5a p e o'r�gtruction Permit E" Application for a Permit to Construct Re air � Upgrade Abandon ❑Complete S stem ❑Individual Components PP P ( ) Pg ( ) ( ) P Y P Location Address or Lot No. � Owner's Name,Address?d Tel.No. ,1 ` 7� ) �' 5�� Assessor's Map/Parcel /y 0 _ 3o Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 4-5— l > 761 779d /tf S��o /� 570 7 ,i '� _ Type of Building: �- Dwelling No.of Bedrooms 3 X Lot Size_ //:,/Y� q.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers'(, '),\,Cafeteria( ) Other Fixtures �besign'Flow 3 3O gallons per day. Calculated daily flow 5h' gallons. Plan Date /Z— ZZ_ —9� Number of sheets a Revision Date, Title / c / O Size of Septic Tank /.�®r7 ���L Type of S.A.S. ¢ 5 Description of Soil yy Nature of Repairs or Alterations(Answer when applicable) 4 Date last inspected: t_- Agreement: f ' The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewag disposal lystem 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 Application Disapproved for the following reasons « Permit No. Date Issued ——————————————————————————————————————— ¢ r. THE COMMONWEALTH1,OF MASSACHUSETTS BARNS-TABLE, MASSACHUSETTS 'Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded( ) 3 Abandoned( )by at has been constructed in accordance with the provisions of Title 5 and the for Disposa System Construction Permit No.`' dated Installer Designer 6 —y e_!5 �� Z A_-,L, /`W The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector i x 1 At Fee ; THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS * t� ogar pgten on tr ction-•V e-rmit Permission is hereby granted to Construct( .)Repair( )Upgrade( )Abandon( ) u System located at !. _. j and as described in the above Application for Disposal System Construction Permit.The applicant recognizes hisffiie Rduty to comply with Title 5 and the following�local provisions or special conditions. WProvided:Construction must be completed within three years o5f the date of thispermit. a i, Date: Approved by ,�/ �,, ` tly,, 4T 0,� ',B"!P, .��Sp�'Y� ;"411 DATE: e FEE: ■AYJMAJ" tt6j;MAN& 9� REC. BY gown of Barnstable/ SCRBD. DATE: , Board of Health MAR 6 2000 367 Main Street, Hyannis MA 02601 TOWN OF BARNSTW Office: SOR-862-N4644 HEALTH DEW. Susan G.Rask,R.& FAX: 508-790-6304,'� Sumner Kaufman,M.S.P.H. Ralph A.Murphy,M.D. To q VARIANCE REQUEST FORM LOCATION Property Address: ,Oe) lei V `S x Assessor's Map and Parcel Number: IAA Size of Lot:_ /4 Wetlands Within 300 Ft. Yes Business Name: No_X _ Subdivision Name: APPLICANT'S NAME: RiA�a�'a( �i� Phone -7,91) fig-/—�v�J�✓'r Did the owner of the property authorize you to represent him or her? Yes - No PROPERTY OWNER'S NAME CONTACT PERSON Name:�Ol41G Name: ���lG /l� �,�r� ✓ Address: r. O Address: Y — �a 1 Phone: Phone: ��1 7�0�" 77Ze VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(ltay auach if more space needed) �. 2'.6. Censr�c��or 8�,2io�2 w Checklist(tu be completed by office staff-person recciving variance request application Four(4)copies'of engineered plan submitted(e.g. septic system plans) ✓ Four(4)copies of floor plan submitted(e.g. house plans or restaurant kitchen plans) Applicant understands that the ahutters 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 erease trap variance requests only) Variance request application fee collected c�rn:v .r, a` + s pn�dl) •Oinin�variincs cene>,�M tame owntClasee o�lvt,rmd rviana3 m reyil hi1cJ fe.wce.liaposal awums(only i t ro atat b tAe puildin Variance request submitted at least 15 days prior to meeting date Susan G. Rask,R.S.,Chairman VARIANCE APPROV,GD NOT APPROVED _ Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Ralph A. Murphy, M.D. Q:/NP/VARIREQ = t" `yt 4 ' N 0 In T o w to OD Q � o w In - -........-- ........__....- ._..._.._..._.__..._._.._._._.... _ _..-- ........ ........_.___.._._.._.._..__._...__.___.__..__....__.....___..-._.___.,..___._._._._.__...----_.__.�._.___. _.._.._._.-.---..__.._..._....___.___.___..._._..._..___.._.._._._.._._..._..._..._----...__.._..._............_._....__ ___.- --:---:.-::_ 0........................ .......... ........................... ._.. _......... __......._. ._. ._. _ _ ... _ _ _=..9� _ __ _ __ _--- ------------ .............- ----------........ w h ® ® CW13.0 o � z,1am ` zaaw V■ LL 2aa,° Lo W®�® ® � ♦ UJ 2aam I�� z ---J �I m 0 FRONT ELEVATIONy RIGHT ELEVATION SCALE:1/4'=1'•0" - SCALE:1l4"=1'-0" _.._..___..__..___---___._...—_—_..... _............_.._.-_.......,__.._.._........,._._,..._...._"._-...._......._.._....._.._....-........._._...._........."......._........___-.............._....._........,.,,........._..,.._......_..,......_._...........,._._............_...:........._....._.__........._........_..._...-._...._....._........_._....__........._.........._..____...."..,.....__......_........._........ _ ,1 1 w 7- OW 135R ❑ O I— Y • 2JJ10 2aat0 � ® ® J. 2.1at0.2 2Ja10 _14I0 2J910 � O / 1 Lu V W O m w ® ® ® ---J ---J I— Lj 0 a32 �a3' Pi I2J32 I I I I I I I l l I l 1 l 1 r l _ r ____ __-- ----------,II--- -------E- 'L_J L_J � L_J �L_J SHEET ' REAR ELEVATION DteAwx sY: Kw HERRING RUN MODEL Jos: ni0 SCALE.1/4—,-0 LEFT ELEVATION 2300 SO FT DATE: 8/9/tt SCALE:1/4"=1'-0" d N �+ m 34-0" N ' _ n C T•. p � 1 --------------..—_.._. ----- $ $ w n ----- ---- - --- J _.. . ...__..__.._.....___.__-_- a J 1 - - - - - > pp Q _._.._..- __----__-DECK _.._.__._.........__ 9'-10' LIN LONG _.LAN . Lo II, _. - . -.......___ MMEMO w B TER oBL m DB TH _L� oq nLE rL '. TO GRADEZH N .. W X _..-F m 24 O ....... ... ........_..__.......... ....._... .... ..., SH V 5 LV MM ry W O 12—VPLLTED NG Re301/B'X601/H' > r1 1 SUNROOM /ram/ r•+ m 24410-2 I 12'-0'VAULTED V,^ HDMI I A 1, - 6o va-xbD va• CA75 MASTER CEM.ING \", BEDROOM ' > 00 r m Fa K / Ia/ 6-0 b I L----ram- 8'HDR 64 GYV 135 R L- m 24410 O 2B T/8'x41 3/B' �1 Z • I 30 1/B'x60 7/8' �L�I T I b'-0• I ER i 1 - 1 DIN 5 r LAU DRY IL CtI ©low. lY T E TW 2a32 . _ 1 KITCHEN `� O#K `¢ `L 3D va^Xao ve" oAx I I • Z4 _ I Lf1E FIRE D. �� O�FH 1 1 I D*+• RATw - - - ____l PLANT I SH�LP ,4 m 24at0 i (31 DOOR PANELS UNDER 24 p 30 1/H'xb0 T/B" I I r 1 ® Puu 1 .. I 13'-0'CATHEDRAL CEILING 1 5TAIR5 I 4 GREAT ROOM I b E I OAIC .. - 1 I 4-2 LBEAM ABOVE O m 24410 11'-10' 4'-10' UD5ET Q 2-10 m - - - - 3o vaxbo va• • A 3o llwxbo vH' GARAGE '"� - A S2 I -z S2 v • I v O .1 p 1'O'\ THEDFtAL LEJLIN PED - Y BATH ® lk4 O.H.DOOR YV/TRANSOM lk4 O.H.DOOR YV/ 80M L�(( OARP¢T I� nLE 34 "l OL ' GROOVE T 51LOOG 2i, 1 O '. PORCH lu J c, zz ro' • 4T-0' SHEET 1525 ALE:SO FT FIRST FLOOR PLAN HERRING RUN MODEL JOB: 1,110 BY: KW 2300 SQ FT DRAWN DATE: 8/9/tt IN N 3Y-0• ICI O Lo �l■ n y/1� ------ J IS GIRDER�-! �" I - �.•w } OD 4x6 P.T.POST O�/� tI - - bALV.M0T Ba"FIB GHOR m M 2B"'1316 FOOT'F NG il'P. I Y� r---- ---- ---------------------� I W I I I I 1L� I I li it 7 I I MEMO W1L1 _____ ____ '. TO HALF fr I - - �1 HALF I I p 2fi r! BULKHEAD UM 4 -- euLK HF1D1 iuTEI BASEMENT it MEN" coL=_ SI1B "J I �I ,D MIL VAPOR RETARDER. L��� J REBPR.6 O 3s' -I 'A � '^ � TPL REBPR•4 �I V fI■ YI 12" T.Io PND POINTS .. UNFINISHED I CS,,�:3// I 1 z10"LdJTM0005 FOOTIN6 ` ._r , 5TORAGE `'•'•/ :I Z I 1 -- ----------- ' sir ,zo• 13' I mQ OT I ��./,�--32z10 GIRDER NOTE: I 1 _ _ -I- 3 1/2"DIA.STEEL GOILMN 5/8"ANGHGRir BOLTS Q 13'-0" 12'O" 13'<' 36"x36'X12'GONGRETE PPD • T TW 2a32 V EMBEDDED ' Y I • Q I SPADED 32"O.G. I 1 - 30 1/B"xqp T/B" I , I - I 12"FROM CORNERS .. I ry m BEDROOMin r BM NtASHERS 3 X3 1/4 era .at..._...x4;!. c.'�..,Y•'".,"% I �//f-1 _______-- pl:r � I _ r L— '� ----- .r OFFSET TO 2• 5 1 ' ROP T.O.Y1 TO 42" I I— I 1 � ---- I fWGN SNDYWUS I DROP MNLL 10" I 1 •� 'i' I I AT VQ L --- 16"x10 rr F"----- ,: - B"x 3-10,GONG.VW.L 'a? '�!/"'� I "GONTINU0/5 FOOTN& '�+I I / Imo.,- r----- :I 2a LINEN �: � - • i Q n T �/f// r ___ % � . GARAGE 4`CONCRETE SLAB BATH#5 GARAGE � PRGH TOMIaRD EQJ I � I Y I N t l Y I DROP vyALi to UNFINISHED N N .: _——_ AT DGOR " MECHANICAL . — ————————— J _z r t W BM 4 J LU J" • O J f 6" * SHEET 775 SO FT BASEMENT LAYOUT FOUNDATION PLAN SCALE:1/4"=T-0" - SCALE:IW'=1'-0" JOB: 1'f10 DRANIN BY: KW DATE: 5/9/1-T Town of Barnstable Department of Health,Safety,and Environmental Services Iq Public Health Division Date 367 Main Street,Ilyannis MA 02601 1 GMT • HARNWAeta.Hasa. po /� TECMKt�,� Date Scheduled '-/ Time Fee Pd. Soil Suitability Assessment for Sewage Disposal I / G 17 /• L� Witnessed By; //On n q 2• .Mo r R/lG Performed By; / C'��r' / ' r / � • LOCATION& CENCRAL,INFORMATION ; Location Address Owner's Name ze'�i�or7 .3 D ssa(f / ( Address MQ �- O 115 I f ce_ I i LC7'�=. J L a rerr. A Assessor's Map/Parcel: Engineer's Name JpyCJN� e� l��• NEW CONSTRUCTION � O REPAIR 7� Telephone N (570i 761 " 7790 Land Use JRf 5 *6 d'1 h'q Slopes(%) 8 a Surface Stones Non f Distances from: Open Water Bolj A,'IA tt Possible Wet Area A) A It Drinking Water Well > n Drainage Way A_)1A ft Property Line 1 S 3 tt Other' 8/ R SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) TF I - , F a • - - -Tof3Y ' S LAN Parent material(geologic) C s CI 0 Depth to Bedrock > �0 Depth to Groundwater: Standing Water in Hole:_- N A Weeping from Pit Pace Estimated Seasonal High Groundw ater /0 >� TE) NA'Y'ION�'(�►r2 S�A50NA� C�'UVA`Y'E�t TAPY,� �JVr�r Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well N_ ,_.. Reading Date:.--.,—.- Index Well level Adj.factor Adj.Groundwater Level77 < pEROOLATION TEST Date I�' Z/ -mine ./I•i�d 1 Observation Hole If p-I Z L'T nw rill a"it f Time at 9" W De th of Perc 7 Z I I 7 Z " � ;���n Time at 6" p pre reak f,i"te Start Pre-soak Time Q ����� 10 A Time(9"-6") //:15rA 1/:3SA End Pre-soak Rate Min./inch Z. 4 Z Site Suitability Assessment: Site Passed�_ Site Failed: Additional Testing Needed(Y/N)A— Original: Public Health Division Observation Hole Data To Be Completed on Back Copy: Applicant Its - ... 0. • sc t I ` DEEP:0I3SER'VATYON oL . LOO 1lole # Depth from Soil I lori7on Soil 7`exture Soil Color Soil Surface(in.) Other (USDA) (Munscll) Mottling (Structure,Stones,Bouldcres. 0 - Z " Ned S,k.eA Z.S Y ,4 /9 tied- 51,14 to YR e Looz-c :,, 3G"- lZO C M,d• sated Z•S Y %;. NoAe Lac,sr s:n li6r.c:H PEEP OBSERVATION HOLELOG> Hole# p Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Ilouldcres. % 0- 17 " A H4 Sand z•s Y 4/z /vont look S G.•I�� d I2 ,' 3` ,, r K • ��lnd to Y!L 416 Non, i it t�A v+i Gou s.�b�a•,� DP OEIZVATbN SOLEOG ;< dole Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,[loulderes. ..................... 00N HOLE LOG Hole#: Depth from Soil I lorizon Soil Texture Soil Color Soil Olhcr Surface(in.) (USDA) (Munscll) Mottling--'-" g-- (S!ructurc,_S!cincs,{louideres. Flood Insurance Rate Man• Above 500 year flood boundary No_ Yes Within 500 year boundary No— Yes d ` Within 100 year flood boundary No_ Yes Death of Naturally Occurring Pervious Mat rlal Does at least four feet of naturally occurring pervious material exist in all areas observed„throughout the area proposed for the soil absorption system? SS If not,what is the depth of naturally occurring pervious material? certification - , • I certify that on (date)I have passed the soil evaluator examination ap proved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. Signature Date Z t/ t 4-1 k� J -4-.. HE eA 77 In k NY LAP" 4L 44 Je ap ON _ate.:.- ._i �. ... .•I _ .l .. l 't� - - • ® �! ,r FIRST'TL OO r• ----- ' �r AL r , 1<A 67 C,O a • O j � - .�L \��Y � , A%�. v �-gyp'/..JCJ * .. - yr i0v FrJJNDATION $ SEPTIC SYSTEM, PROFILE NOT V0 SCALE ) fN:>HE U GRAC?r FMHE D GRAD ACCESS COVER TO BE • u'Rth'.K'714T To FMIFSHED GRAVE • u N OF Sol 40 PtrlF Nj 3 ;'RECAST FLOWCHAWL 2-OF i;18 1'0 1;•d" } 5 n` -i, FLOW LIKE -� OF 4"S(�t.40 WC P� ---}•+tea„ /8' W1 319' SLOlz DOOM WASHED STO E t4 1 i - OF 4"SCH � WE OF FINES AND DUS. INV. EL. 110, 14' S °dPF • ..�,.,ag �,_, SA ARV TfF, 0h.010 i r--, -_ 4 I EL eL. L SANITARY T Ef Wi GA-4TRAF _. F IMr. EL.STOW 6" CRUSHED i i- ----_-- M. EL. 9R.99 .I --.-4 1NV EL 93, 14 3!4' T,0 1 1 j 2" DOIJBi E WASHED STONE S, 4 � 0' FREE OF F W_ AND rXjJ-, pp GROUND WATER ' ! A 1500X t DISTRIBUTION BOX E ACHING CHAI ERS 1I8'TO COIF! WASHED 5rW "` s.�ti i SifE OF FINFF5 AND CAST , 24' , NOTES 1 S COMPONENTS SHALL BE ROTONDO PRECAST' EXCEPT THE ALL COMPONENTS PRECAST , /ler ,r LEACHING CHAMBERS, THEY SHALL BE 500 GAL LEACHING - �,�� �-�, -r '" •-"".. "'•�•f '- �� CHAMBERS BY WIGGiN OR EQUAL ii4" TOFRE 1OF2" DO WASHED STOW., 2 C ALL PIPE SHALL BE 4" SCH PV , PIPE UNLESS OTHERWISE NOTED I ; '� �to 3 MATERIALS AND METHOD'S OF CONSTRUCTION SHALL LEACHING °d CONFORM TO THE REQUIREMENTS OF TITLE V , MASS s ENVIRONMEN i AL CODE , AND THE REQUIREMENTS OF THE LOCAL 30ARD OF HEALTH j a ►� � - I,� �� DESS DATA 1 -�-- h '� 4 ALL TOPSOIL. SUBSOIL AND UNSUITABLE MATERIAL SHALL BE _ S O E 1ESIGN FLOW c._ o._,e-d 3 BEDROOM , NO GARBAG• � �.'� REMOVED Ate. , ER 31U CMR i;255 t5t FOR A MINIMUM f�tST�NCE /,' E GRINDER cs� l00 OF 5 LATERAULY FROM ALL SIDES OF THE OUTER PERIMETER �+F T DESIGN FLOW x 1 0 GAL/DAY BDR = 33&GAUDY .,r THE PROPOSED SOdl,ABSORPTION SYSTEM AND Fl�C7M � BENEATH THE SOIL ABSORPTION SYSTEM TO AN ELEVATION OF 92, •- 3R UNTIL NATi.RAL'�Y OCCURRING PER1;O JS MAT FFEAt IS a / '�+ �.r.V.✓r," _'' .s- __� OBTAINED PER 310 CMR i5.251sF AND THE LOCAL B O H OFFICER. 2 LEACHINGt- AREA PERCOLATION RATE =e2 MIN 1 IN COIL Cl-ASS i AFTER THE EXCAVATION IS COMPLETE THE AREA SHALL BE BACKFIi LED AS PER 310 CMR 15 255(3)AND THE LOCAL B L7.H OFFICE DESIGN PERCOLATION RATE = -4- MIN i IN 5 ALL UTILITIES SHOWN ARE PLOTTED FROM BEST AVAILABLE PROVIDE 2 5 8'WIDE X -Y.6 LONG X F DEEP LEACHING CHAMBc � joy INFORMATION AND SHALL. BE VERIFIED BY THE CONTRACTOR FOR EXACT ELEVATION AND f LOCA T ION PRIOR TO CONSTRUCTION EFFECTIVE LEACHING AREA -/Y3 WIDE. 2-r' LONG. ?'DEEP f OF THE PROPOSED SEWAGE DISPOSAL SYSTEM 3 _EAC, ANC AREA PROVIDED 6 ALL CHANGES AND VARIATIONS FROM THIS PLAN MUST BE APPROVED , IN WRITING BY BOTH MILLER ENGINEERING SIDE`1rALL. LEACHING CHAMBERS 2�+ LNG x 2'HT x 2 SIDES = /a0 SQ F7 AND THE LOCAL BOARD OF HEALTH. END LEACHING CHAMBERS /90 LNG. x 2'HT x 2 SIDES SO F ALL UNUSED LEACHING CHAMBER OUTLET PORTS OJlLL BE - � ''' COMPLETELY FILLED WITH GROUT BOTTOM LEACHING CHAMBERS zS _ LNG_ x i_32 WIDE -� 330 SQ F, (6, Ae?.w e.51 .e Ve�rrr�a�-c �i v err ..9, TOTAL AREA PROVIDED = yt3 2 SQ FT 1d ,g r/' , I f ,• t 1a L / Gam/l� / .�ipow/� -h o l'c�r�.5.°�! t "> 4. --- ..---` -- 1 ci'�,r 0/� .a 01 niih /S, ,�99 S!� 4. CAPACITY yE3� SQ. FT x , 7 GAUSF = 356GALiDAv SOIL. T�5`T PER�-�r��r� �� R �o � �� ��� �. �� UfF� A!t;'` 'INiTNEsSED PROPOSED SEWAGE BY ANAL �It�RAN[;. I� ; -91 BARNS-TABt E BOARD OF HEALTH, DISPOSAL SYSTEM OCA.ION Front f = # ; �" 30 JOBY'S LANE La 2�,«` M �o` TEST PIT 1 ! TEST PIT2MA _ 1 - gl� ,.. � PLICANT RICHARD .EF RON 30 MASSAPOAG AVENUE I MEDIUM SAND , MEDIUM SASANDSHARON, MA_ PREPARED MEDIUM SAND ` MEDIUM SAND 4« MILLER ENGINEERING LEGEND-- - , P.LAN - BENCH MARK � 21 BROOK STREE T SEEtONr fa 0277 1 EX 1" 0' . ; 5081 761- 750 OP OF CUNC y _ BOUND ON THE MEDIUM SAND I MEDIUM SAND PROPOSED CCN�y(,)UR ..� CORNER OF #c - �Ioe '�. � � "s ;<�,' y��-� ���`` December 22 1999 TEST, PIT f EL =100.A49 I I REVISIONS /-3 -/j'Q ( CHK BY ?ERG HOLE i I PER" RATE <2 MP? I PER,` RATE <� M Pi PER DEPTH =719 G DEPTH = 72';8�2PROPOSED SPO' ELEVATION IPER G VV. DEPTH =120"i,<9�:q� i G W DEPTH =1��:' (91/ �35 t I - 2� d-.. Locus rap 0/ SEPTIC SYSTEM PROFILE Access IVH ( NOT TO SICALE ) FINISHED GRADE F7, re vel, E1 M __V yj I P/ 2-OF 1/8'TO W- 'OF 4- 40 _,IPF 2'MIN. DOURE WASHED STONE OF 4- MFF OF RW AND("AII�T SCR 40 PW p1pE 6' CRUSHED 1W.EL LOCUS MAP STDNF r= H. 7 INV. EL I J-1 INV EL ' e.97 V7. D. 9 I ' 3/4' TO I 1(r DOURE Wk 5HEID SW 4 C �'d4) FREE OF FINES AND DUST PROPOSED 1500 GAL.SEPTIC TANK WITH DISTRIBUTION BOX LEACHING CHAMBERS MICRO FAST UNIT A/0 12a Zo 9`1 15 a 9 SFi�18*TO DBLE WASHES STONF tj -7, 1ZW OF FTW-q AND DUST L C yl NOTES F J4� >w ALL COMPONENTS SHALL BE ROTONDO PRECAST, EXCEPT THE LEACHING CHAMBERS, THEY SHALL BE 500 GAL LEACHING CHAMBERS BY WIGGIN OR EQUAL 3/4' TO 11/2' DOUBLE WASHED STONE V CA 2 ALL PIPE SHALL BE 4" SCH PVC PIPE UNLESS OTHERWISE NOTED FREE C* FM ANDDUST 3 MATERIALS- AND METHODS OF CONSTRUCTION SHALL CONFORM TO THE REQUIREMENTS OF TITLE V , MASS LEACHING CHAMBERS CROSS - SECTION ,TPAENVIRONMENTAL CODE AND THE REQUIREMENTS OF 'HE LOCAL BOARC 0: HEALTH .14 4 ALL TOPSOIL SUBSOIL AND uNSUITABLE MA7ERIAL SHALL BE 1� 96 REMOVED AS PER 310 "MR 15 255(5)FOR A M!NIMUM DISTANCE DESIGN QATA OF 5' LATERALLY FROM ALL SIDES OF THE OUTER PERIMETER 1DESI(-,N rt.OW PROPOSED BEDROOM NO GARBAGE GRINDER x OF fHE PROPOSED SOIL ABSORPTION SYSTEM AND FROM BENEATH THE SOIL ABSORPTION SYSTEM TO AN ELEVATION OF DESIGN FLOW 3 x 110 GAUDAY/BDR = 330GAUDY OR UNTIL NATURALLY OCCURRING PERVIOUS MATERIAL IS OBTAINED PER 310 CMR 15.250 AND THE LOCAL B.O.H OFFICER AFTER THE EXCAVATION IS COMPLETE THE AREA SHALL BE 2 LEACHING AREA PERCOLATION RATE 2 MIN. /IN SOIL CLASS 1 101 BACKFILLED AS PER 310 CMR 15.255(3)AND THE LOCAL 8.0 H. OFFICE. DESIGN PERCOLATION RATE = 5 MIN. IN '10 5 ALLI()TILITIES SHOWN ARE PLOTTED FROM BEST AVAILABLE N 3 Rd11: Z>Ave 'N,'ORMATION AND SHAL, 917 VERIFIED BY THE CONTRACTOR PROVIDE WIDE X 3,5 LONG X 2' DEEP LEACHING CHAMBERS 7`F 5";0 1 FOR EXACT ELEVATION AND LOCATION PRIOR TO CONSTRUCTION N 7 z7dtONOF THE PROPOSED SEWAGE DISPOSAL SYSTEM EFFECTIVE LEACHING AREA =/32WIDE, 2-1-1 LONG. 2 DEEP ALL CHANGES AND VARIATIONS FROM THIS PLAN MUST BE 3 LEACHING AREA PROVIDED / �I l 'l /7 ,1 6 APPROVED , IN WRITING , By BOTH "LEER ENGINEERING AND THE LOCAL BOARD OF HEALTH SIDEWALL: LEACHING CHAMBERS: ,_-_1-*LNG Y,2- 'HT x SIDES = /00 SQ. FT. ALL UNUSED LEACHING CHAMBER OUTLET PORTS WILL BE END: LEACHING CHAMBERS'/-AF'LNG X ,?'HT. x 2 SIDES = 5-2 SQ. FT. COMPLETELY FILLED WITH GROUT BOTTOM LEACHING CHAMBERS: 2;�­ LNG. x AF 2 WIDE -1,30 SQ, FT. 8. REQUEST A VARIENCE FROM 3.10CMR 45.214 TO ALLOW THE CONSTRUCTUION OF A 3 'BEDROOM TOTAL AREA PROVIDED SOFT. /04 DWELLING ON A LOT WITH 16,906 SF WITH THE USE OF AN ALTERNATIVE '-YSTEM. 4 CAPACITY. SO. FT x /`y USF =35-9 GAUDAY SOIL DATA SOIL TEST PERFORMED DECEMBER 20 1999 BY PETER T. MC ENTEE AND WITNESSED PROPOSED SEWAGE BY DONNA Z. MIORANDI OF THE BARNSTABLE BOARD OF HEALTH, DISPOSAL SYSTEM LOCATION . 80 JOBYS LANE TEST PIT 1 TEST PIT 2 BARNSTABLE OTE: APPLICANT . RICHARD EFFRON 95,9 30 MASSAPOAG AVENUE Y°yrT ?��o A Maintaince Contract for the Fast Unit is required be provide -7 SHARON, MA ` �,� y yj MEDI UM SAND 2,3­?I� MEDIUM SAND to the board of health for inspection, maintenance and care of 0,Y9 9,19- Ur-%I I"'_'� PREPARED BY t 41N unit. Sampling analysis will be provided to the Board of Health MEDIUM -SAND at > MEDIUM SAND MILLER ENGINEERING as required by the Board, 9?9+ LEGEND — 1 21 BROOK STREET PLAN BENCH MARK SEEKONK, MA 02771 EXIST. CONTOUR SCALE 1" = 20-- (508) 761-7790 TOP OF CONC -IUM SAND MEDIUM SAND BOUND ON THE MED PROPOSED CONTOUR SOUTHWEST CORNER OF # 80 JODY LN , December 22, 1999 TEST PIT CORNER OF 00 PERC HOLE EL. = 100 78 REVISIONS 17-/0 -00 CHK. BY� PERC RATE 7� <1 MPI PERC RATE = <2 MPI ' 1004 7�PROPOSED SPOT ELEVATION PERC. DEPTH=7 6"';, PERC DEPTH = 72'(9912;� 'G,W. DEPTH =12Y(,�?,-�1) G.W DEPTH =1126"� 1 1 -x% 7) 99- 124ZI cj T w 's. ASSESSORS REF.• , Map 120, Parcel 094 X r r r OVERLAY DISTRICT.• WP - Well Protection District State Zone If RPOD s �6 FLOOD ZONE: <:. •. Zones X Community Panel No. LOCATION MAP #250001 CO544J (1"=2000t') 5' STRIP OUT July 16, 2014 2'S1"E BACKPILL MMEE RIAL cs/DH �� 9 0 310 CMR 15.255 (3) a MIN MIN NOTES . ZONE: 6 Opening for FAST T--Bio`wer piping to FAST®may not.exceed:100 FT[305m]total �. Fnd �__ N .A 3 module to sit on tank lendth and use 4 elbows maximum.For distances:greater than RC (RPOD) 100TT[30.5m]-consult factory.Blower must be located above Area (min.) 87,120 SF ?A PROPOSED A Galion flood/standing water levels on a concrete base. Fronts a (min) 20' S.A.S. Settling Width min) 100' Zone 2. Veneto be located above finish grade or:fiigherao avoid setbacs: E infiltiration.Cap with vent grate Huth"of least V2 sg in.of open Fron t 20' 25' P DOPBOX D o ,Ar2 wt M MIN surface area.Secure with stainless steel screws(see sheet 3 of Side l0' 3 FAST Details. See Note 4---" s` B Galion Fnd 100% ~~ �_ or [ Rear 10' RESERVE PROPOSED - Run vent to desired location and coveropening.with vent SEPTIC NOTES TANK - grate with at least.V2 sq in.of open surface area.:Secure with 1.Location of Utilities Shown on This Plan Are SEPTIC stainless steel screws.Vent piping must not allow excess Approx At Least 72 Hours 1 moisture build up or back pressure. Prior to Any Excavation For This Project the Contractor Shall Make 7 .......... - 0' , PROPOSED All tank the Required Notifications to Dig Safe(1-888-344-7233)and contact Alf HOUSING Lot Z5 BLOWER penetrations 3. All appurtenances fio FAST®(e.g.tank pump,outs;.etc.)must Sullivan Engineering&Cortisutting Inc.(508-428-3344). ^, (TY , ecldcal condult from blower must be water confform to all country,state,province,and local plumbing 2.The Contractor is Required to Secure Appropriate Permits From Town PROPOSED control system to blower/blower to�ecrron/Pump fight and electrical codes.The blower control system is provided by housing.See note 1,3;&6. Ports Bio-Microbics,Inc. Agencies For Construction Defined by This Plan. 15,098�� v 3"¢ VENT see note 3,5,&6 6"p [i5i / inspeion 3.Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shall 'RiTtA nt see 4. Either the influent pipe flee shall be fitted with a pipe cap or the Be Constructed of Class 150 Pressure Pi and Shall be Water Tested to note 2,5,a 6 baffle separating the two zones shall be extended to the to of TH-2 D � Cp " Assure Watertightness. In General,Water Lines Shall be Constructed in t 0' 05 ��- the tank:if choosing to use the pipa ca�;drill a 1/4 [O.btrm]p v10 &v2 MIN rent vent.hole in the cap and the baffle sho I be at least 3"[8]higher Coordination with COMM Water,and Shall be in Accordance MIN. _-` pipe see Note 2&6 than the water level as shown on the drawing. With 248 CMR 1.00-7.00&310 CMR 15.00. (TYP') L u7 Joints must be 5. All inspection viewing and pump out ports most be secured to 4.A Minimum of 9"of Cover is Required for All Components. i yo PRO. t- water tight 5.All Structures Buried Three Feet or More or Subject CLEAN. o prevent accidental or unauthorized access � - " to VehicularTraffic to be H-20 Loading.It is the Engineer's OUT 6. Tank,anchors,piping,conduit,blower housing pad and vents Recommendation that H-20 Always be Used. 2"MIN O 1 3/16143.6i MAX See note 8 are provided by others. [5cm MIN]0 6.Install Watertight Risers and Covers to Within 6"offinished Grade Bower 7. All piping_and ancllary equipment installed after FAST@ must Over Septic Tank Inlet,D Box,and One LeachingChamber. 34. Pipin not impede or restrict free flow of effluent. _ g PROPOSER See Note 1 _ ti, 61/2I16.3] All covers are to be maximum 18"for concrete or 24"Cast Iron. DWELLiN Sf /� 8. No more than 4 FT[1.2 m]of fill may be placed over unit lid. 7.septic system to be Installed in Accordance with 310 CMR 15.00& s(eirur, , 1 Refer to installation manual for more details. 248 CMR 1.0.0-7.00 Latest Revision and the Town of Barnstable ~ EL- ` seerare� Co3�® i/s±t/8[38.4±0. �! C-,4 i -TF F. EL. 3 t - 9. See sheet 3 of 4 for required dimensions. Board of Health Regulations. 8.All Piping to be Sch.40 PVC. / `RJ waste t 9.D-Box Shall Have a Minimum Inside Dimension of 12",and a Minimum See Note 15[381 MIN Sump of 6". 37.25± 19.5=- 4&6 _. Zoneng 3/16[104.61 MIN 2315/16[60.8]M N el CIO PROPOSED See note 3 j � Treatment 915/16[251 MM [(11 DRIVEWAY, Zone FASTtreated effluent see note 7 �� -`- •��~ Finish Grade one 3' Max. 40 FAST DETAIL 3' Min - : R=30 1 ' i ® �_r icrec Cam• pocted:Fi►l Filter ' 82 30 ; 3- 45 NOT TO SCALE Fabric L=18: 8�C8/DH -_- �8 80*46�55 E --= CB/DH Fnd S And 112 j Fnd Pea Stone C Elec ge, 314" - 1 112" P° / LEACHING Double washed CHAMBER Stone ITBM EI=35.8' Lane too of CB DN Fnd r 12' CROSS SECTION OF CHAIER NOT TO SCALE ALLOWABLE FLOW Lot Area=15,098 SF 660 GPD(w/NITROGEN CRED11)x 15,098 SF/40,000 SF=249 GPD Provide 330 GPD(WI NITROGEN CREDIT)Approved Per 310 CM 31.0 Clean Out R 15.214 Variance F.G. See Note 6 t(�) F.G. EL. 31 80 JOBYS LANE EL. PERC TEST: 9651 DESIGN DATA Flow Equilizers Single Family EL. 29.5 f As Required PERFORMED BY:PETER MCENTEE,P.E. ti -3 Bedroom Qa 110 GPD Installer To 1 SOII.EVALUATORN0.1542 Confirm Prior El._Z2 QQ11500 GLDEAILJ) � WITNESSED BY:DONNA MIORANDI,R.S.-TOWN OF BARNSTABLE No Garbage Grinder To Any Work eptic EL. 28J5 t Top EL. 29.00 DECEMBER 21,I999 Total Daily Flow=330 GPD ( FAST _ Zs.33 Use a 1500 Gal Septic Tank `` ENGINEER TO SITE PASSED •,,.:, VERIFY SOIL LEACHING AREA $ ChomLeach n To Be Installed On f Chamber CONDITIONS c `tea a ompac a ase 6. 0 TEST HOLE-OL 1 EL.30 TEST HOLE 2 EL 330 GPD.30 (MIN DESIGN/0.74(LTAR) 446 SF Required Bedding,"T"s, A LAYER2.5.Y.4/2.._ A'LAYER2.5Y.4/2.. Sidewall a 2(12'+25)2'=148 SF Inspection Port, 3f ecst hL..........Rerriaa ::8c 12e acc;: .. . ....... .. .................... ..... .... _ _ & Baffels 7F:yil3is Sti71:'it!itlSn.: ':aC:; ; 'n 'OLIVE OLIVE BROWN Bottom Area (12 x 25 -300 SF ............ as Per Tale 5 12" MED:SAND.. 29.0 12" MED:SAND...... 29.0 Total Provided=448 SF • 3f�e•4)rtter i'errn*eter or The STsTsin:: ........ .LAYER... ...... ....... .. B.LiiYER.I0YR.4......... ... .:........:::::::::•...:.....::.::::.....::::..:::::......::.:.........:::... . 19. DARK YELLOWISH.BROYJN I7ARK.YELLO�VI3H.BROWN LEACHING CHAMBER DESIGN No Groundwater •.•• DEVELOf'L`D PROFILE OF SYSTEM EL. zsf Hole 2 .•MED:S)M,.'. MED:.SAi�ID. 36" .. '... ... 27.0 36" .. •. �. 27.0 2 5 Or Cia1t Leaching Chambers ina Groundwater C LAYER 2.5Y 7/3 C LAYER 2.5Y 7/3 PALE YELLOW PALE YELLOW 12'x 25'Double Washed Stone Field as Shown. NOT TO SCALE Per T.O.B. Standard MED.SAND MED.SAND 72" PERC TEST 24.0 72" PERC TEST 24.0 25 GALLONS GONE 25 GALLONS GONE PERC RATE<2 MINAN(LTAR=0.74) PERC RATE<2 MIN/IN(LTAR=0.74) t N�... F�A,4S9c 120"1 120.0 126"1 19.5 NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED o i 0 V f ,.tA.t .s REVISION: Update Building & Septic Locotion 11/08 17 �. q_ . PREPARED FOR: PREPARED. BY. TITLE: 1.) This plan is for permitting purposes only. Brian T. Dace , Trustee �• Pr. r 2.) the property Line information shown hereon was y eerY v compiled from available record information. ` lliva.ft • y. LL At 3.) The topography shown is from Town of Barnstable (508)4M3344 • PO Box 659 • 7 Parker Road,Osfervple;MA 02655 G1S. The datum used is approximate NAVD 88. seelOsulltvanengin.eom • wwi Ksullivanengin.corn S L �^ 80 Draft: JOD (O8terVlil6) snslz . w20 0 10 20 40 Field: °`' �* � -�� � ' Review: JOD � Comp.: DA TE. SCALE. Projec t: 98101 Pro jec f # OetobLm 30, 2017 rr- �r , y., ASSESSORS REF.: ...� >.. Map 120, Parcel 094 r OVERLAY DISTRICT: k � � WP - Well Protection District a State Zone RPOD p' FLOOD ZONE: ' Zones X Community Panel No. LOCATION MAP #250001CO544J (1"=2000f 5' STRIP OUT July 16, 2014 E BA SHALL MEETMATERIAL g`0Z 310 CMR 15.255 (3) NOTES Lt MIN MIN Openin for FAST T -BTower piping to FAST®may not exceed 100 FT[30.5m] total ZONE: CB/DH �. N6 q,S module to sit on tank length and use 4 elbows maximum.For distances greater than RC (RPOD) �. Fnd _ �� - 100 FT[30.5m]-consult factory.Blower must be located above Area (min.) 87,120 SF �-- A Gallon flood/standing water levels on a concrete base. Frontage (min) 20' PROPOSED S.A.S. Settling �- Width (min) 100' Zone a 2. Vent to be located above finish grade or higher to avoid g Setbacks: E infiltration.Ca with vent grate with at least V2 sq in.of open O, Z 25 PROPOSED °- w2 WI MIN MIN surface area.Secure with stainless steel screws(see sheet 3 of Fron t 20' \ 25...... N D-BOX F=° 3 FAST Deta]Is.) Side 10' i � ... ... .. _....._- Rear 10 ce/DH 100� See Note 4--" B Gallon or Fnd RESERVE _ _ _ Run vent to desired location and cover opening with vent SEPTIC NOTES ' PROPOSED grate with at least V2 sq in.of open surface area.Secure with i.Lbcatiop of Utilities Shown on This Plan Are Approx.At Least 72 Hours MIN: SEPTIC TANK stainless steel screws.Vent piping must not allow excess V (TYP.) moisture build up Or back pressure. Prior to Any Excavation For This Project the Contractor Shall Make PROPOSED All tank the Required Notifications to Dig Safe(1-888-344-7233)and contact HOUSING penetrations 3. All appurtenances to FAST® e. tank ump outs,etc. must ` f p 19 pump ) , Sullivan Engineering&Consulting Inc.(508 428-3344). BLOWER • lectricafconduittrom blower must be water conform t0 all country,state,province,an local plumbing 2.The Contractor is Required to Secure Appropriate Permits From Town control system?o blower blower „ Ins coon/Pump tight and electrical codes.The blower control system is provided by q Lot 25 rr pe -'r No _ PROPOSED housing.See note 1,3,&6. out Ports B[O-M[crobics,Inc. Agencies For Construction Defined by This Plan. t z VENT see note 3,5,&6 6"0 1151 15,098±8'f :� 3"� Inspection 3.'Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shall Port/Vent see 4. Either the influent pipe tee shall be fitted with a pipe cap or the Be Constructed of Class 150 Pressure Pipe and Shall be Water Tested to 30 note 2,5,&6 baffle separating the two zones shall be extended,to the top of s Assure Watertightness. In General,Water Lines Shall be Constructed in rt�> rH-2 - � � the tank.If choosing to use the pi a car;drill a 1/4"ffO.bcm] �y PROPOSED 10' O VI &v2 MIN vent vent hole in the cap and the baffle shall be at least 3"[8] higher Coordination With COMM Water,and Shall be in Accordance PORCH MIN pipe see Note 2&6 than the water level as shown on the drawing. With 248 CMR 1.00-7.00&310 CMR 15.00. ,!J (TYP•)„ Joints must be 4.AMinimum of 9"of Cover is Required for All Components. Lo 5. All inspection,viewing and pump out ports must be secured to water fight PRO• g prevent accidental or unauthorized access 5.All structures Buried Three Feet or More or Subject CLEAN to Vehicular Traffic to be I3-20 Loading.It is the Engineer's 6. Tank,anchors,piping,conduit,blower housing pad and vents i OU T Recommendation that H-20 Always be Used. .. 2"MIN 0 1 3/16[43.6]MAX See note 8 are provided by others. [5cm MIN Q) 6.Install Watertight Risers and Covers to Within 6"of Finished Grade "". 7. All piping and ancillary equipment installed after FAST®must Over Septic Tank Inlet, Z PROPOSED Blower ep D-Box,and One Leaching Chamber. DWELLINGry 34. Pipingg not impede or restrict free flow of effluent. „ 38- - See Note 1 61/2[16.31 All covers are to be maximum 18 for concrete or 24 Cast Iron. T.O.F. EL. 9 8. No more than 4 FT 1.2 m of fill may be laced over unit lid. 7.Septic System to be Installed in Accordance With 310 CMR 15.00& F.F. EL. I ] Y placed eP Y -� 9[ei MIN + f Refer to installation manual for more details, 248 CMR 1.00 7.00 Latest Revision and the Town of Bamstable see note 4 Q00© 0 0 1 1/8_1/8(38.4±0. Board of Health Regulations. �,i ,,,,• 9. See sheet 3 of 4 for required dimensions. � 8.All Piping to be Sch.40 PVC. i Influent 9.D-Box Shall Have a Minimum Inside Dimension of 12",and a Minimum ' 3 M See Note 15[38]MIN Sump of 6". ��B 37.25t 19. 4&6 % ® Settling 1 3/16[104.6]MIN / 40 Zone 2315/16[60.8]M N µ �Co ' ® See note 3 PROPOSED Treatment "[10 Q1 DRIVEWAY 915/16[25]MIN FAST treated = Zone effluent see note 7 _(r / Finish Grade one �=L( I✓=- --- �"-•-� €- I € 3' Max. = „ SIC["�� ��� � ( �111 4 40 FAST DETAIL 9" Min :coin noted Fit!, , ® _ exec"" NOT TO SCALE p... abec R=30 .31 ' 82.30' _ . '55 'E 3 45 L=18. 8 i __.., SDo46 118 CB DH / CB/DH Fnd _ 2' /8» 1ne. - �---- ea one j Fnd P - 1 w_. ._.. _.__.._ .__ - Stone CT Elec ge. LEACHING Double washed P j � Stone 1 1/2„ CHAMBER TBM EI=35.8' Line // I 4 - 10� to of CB DH Fnd by `� -�_ r 12' t CROSS SECTION OF CHAMBER NOT TO SCALE ALLOWABLE FLOW Lot Area=15,098 SF Pro 660 GPD(W/NITROGEN CREDIT)x 15,098 SF/40,000 SF=249 GPD Clean d Out F.G. See Note 6 (typ.) 330 GPD(W/NITROGEN CREDIT)Approved Per 310 CMR 15.214 Variance F.G. EL. 31 EL. 31.0 80 JOBYS LANER DESIGN DATA .. . Flaw Equilizers PERC TEST: 9651 Single Family EL. 29.5 r As Required PERFORMED BY:PETER MCENTEE,P.E. Installer To SOIL EVALUATOR NO.1542 -2 Bedroom @ 110 GPD EL. 29,00 Confirm Prior 1500 GLDEAILj) WITNESSED BY:DONNA MIORANDI,R.S.-TOWN OF BARNSTABLE No Garbage Grinder To Any Work eptic EL 28.75Top EL. 29.00 Total Dail Flow=220 GPD EL. 28.33 *EN TO* DECEMBER 21 1999 0 ( FASTk Use a I500 Gal Septic Tank r, I *ENGINEER SITE PASSED 28.00 VERIFY SOIL T A�� Leaching CONDITIONS LEACHING AREA To'Be Installed On Chomber „ able Compacted Base o . EL. 26.00 TEST HOLE - 1 EL.30 TEST HOLE - 2 EL.30 330 GPD(MIN DESIGN)/0.74(LTAR)=446 SF Required Bedding,"T"s, Sidewall=2(12'+25')2'=148 SF Inspection Port, If Ericourttered l7emove & Replace:. A LAYER 2.5Y 4/2.. A LAYER 2.5Y.4/2 & Boffels A11:unSu,tdtile Sols;W�th,n 5' of . ..OLIVE BROWN. .... .OLIVE BROWN Bottom Area=(12'x 25')=300 SF Total Provided=44 as Per le 8 SF Tit 5 The Quter PErameter of The S: tem 12" MED.SAND 29.0 12" MED.'SAND.. 29.0 .B LAYER.IOYR 4/6. B LAYER i0YRA/6 DARK i�ELiovvISI3 BROWN DARx YELLOWisx BRowN LEACHING CHAMBER DESIGN EL: 1s.5 36 27.0 36 .... ... 27.0 p DEVELOPED PROFILE OF SYSTEM Per Groundwater 2 �, MED::SAND....... ,� MED::SAND::. All Pipes to be Schedule 40. Use C LAYER 2.5Y 7/3 C LAYER 2.5Y 7/3 2-500 Gal.Leaching Chambers in a Groundwater PALE YELLOW PALE YELLOW 12'x 25'Double Washed Stone Field as Shown. NOT TO SCALE Per T O.B. Standard MED.SAND MED.SAND L1 H or 4 72" PERC TEST 24.0 72" PERC TEST 24.0 T S9�y 25 GALLONS GONE 25 GALLONS GONE PERC RATE<2 MINAN(LTAR=0.74) PERC RATE<2 MIN/IN(LTAR=0.74) 01i't4 0 u, Cl NO. 2 o GIST 4a`120" 20.0 126" 19.5 � �f NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED ssroNa l Swap Reserve for Primary Leach Field 7112118 Reduce Septic To 2 Bedrooms 11 28 117 REVISION: Update Building & Septic Locotion 11108117 NOTES: PREPARED FOR: PREPARED BY. TI TLE. S11 Wft Plain p < yyp�li. Q P, ..,' 1.) This plan is for permitting purposes only. prlar� T. • llVl1 VL 0 Men S . . Dacey, Trustee 2.) The property line information shown hereon was ng compiled from available record information. ,• pvan C�n�t���n�, Inc. �t 3.) The topography shown is from Town of Barnstable 1 1� GIS. The datum used is approximate NAVD 88. (508)428.3344 P.O.Box 659 • 7 Parker I�ad,Osterville,MA 02655 ' { . ,�" �+seclOsullivanengin.com • wwwsullivanengin.com a7 Lane Draft: JOD Field: '1 (OSterVIlle5. W 20 0 10 20 40 80 w ` _ . Review. JOD Comp.: DATE: SCALE. �� cn Project: 98101 Project # October 30, 2017 1 =20