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0116 SOUTH BAY ROAD - Health
116. South Bay Road Osterville A= 044 1 A4assachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O& M Form for Title 5 I/A Treatment and Disposal Systems A. Installation _ B.Authorized Service Provider 116 South Bay Road Osterville 02655 Shen B.Nelson,LLC d/b/a Clearwater Rem—� Facility Street Address O&M Firm . Owner: 175 Spring Street Rockland,MA 02370� Paul Fireman Street Address 3801 PGA Blvd Palm Beach Garde FL 33410- 781-878-3849 Telephone Number Ed 12177 _ Telephone: Certified Operator Name Certification Number C. Facility/System Information _ BioClere 7/l/2004 10_/17/2004 DEP ID Manufacturer ID _ Model Number Installation Date Start of Operation Approval Type: General ❑x Provisional Piloting ❑Remedial Seasonal Res-used less than 6 mo./yr F]Yes X No D. Operating Information 10/3/2013 _ _ ❑Yes ❑No Inspection Date Previous Inspection Date Sludge Depth(to be checked'yearly) Pumping Recommended E. Field Testing _ •-- -- ---- — ----- ---- Field-Inspection:• -•�� = t Color ]_7 gray brown x dear"._'L_ 'turbid ' iother Odor: 1 musty L_J earthy F moldy ❑offensive V other: Odorless Effluent Solids: '':no PH rr some 6.9 SU DO L m9JL __ N Turbidity 8.2NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing;effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Parameters sampled: Commercial systems or G.Inspection and Maintenance flow i d with systems w a design ow Samples: Eff-Ammonia,Nitrogen 350.1 Technician reports a visit to collect a lab Eff-BOD of 2000 gpd and greater, sample. Influent and General User nitrogen Eff-Kjeldahl,Nitrogen reducing systems: Effluent Eff-Nitrate,Nitrogen 4110B 770.00 Eff-Solids,Suspended " gpd H.-Cerification ._ _i ,I certify:-I:have inspected the sewage treatment.and disposal system at the address above,have completed this report and the attached manufacturer's operation andlmaintenarice checklist;and the information reported is true,accurate,and complete as of the time of the ry. t inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. - — — 10/3/2013 _ Operator Signature Date Environmental Chemistry Environmental Services Site Assessment J Site Sampling Quality Assusa Services Anal i -P G�l �� Data Auditing C O i t' 0 R � T 1 0 n CERTIFICATE OF ANALYSIS Stephen B.Nelson,LLC d/b/a Clearwater Recovery 175 Spring Street REPORTED: 10/15/2013 Rockland,Massachusetts 02370 ORDER#: G1361762 COLLECTED BY: Ed SAMPLE DATE: 10/3/2013 TIME: 09:00 DATE RECEIVED: 10/4/2013 LOCATION: 116 South Bay Road, Osterville MA SAMPLE ID: BARN 16SBayRd Effluent Composite DESCRIPTION: WATER RESULTS OF ANALYSIS Parameter 'Analytt al y. c Datek b net j ,,Result ", �y { R ,Fs x,,�€ 4 �' a ; „ 4>vF�y b vt " 4""';`f r y; i6', r3h,? „w aaxk .ra 7.a -,l .� � �'�'✓k,': Test-Parameters, - __ . _LAB-D#: 0570035-01. . Ammonia,Nitrogen 350.1 EPA 350.1 10/8/2013 mg/L 0.10 0.37 BOD SM 5210B 10/4/2013 mg/L 4.00 4 Kjeldahl,Nitrogen EPA 351.2 10/14/2013 mg/L 0.50 1.11 Nitrate,Nitrogen 411013 SM 4110 B 10/4/2013 mg/L 0.50 7.87 Solids, Suspended SM 2540 D 10/9/2012 mg/L 4.00 4 NA=Not Applicable ND=Not Detected e-'Opy <'=Less Than Approved 13y:. !1 011 512 0 1 3 *'=Detection Limit b atana�ur original on file Analytical Balance Corp.,422 West Grove Street,Middleboro,MA 02346 Ph:508-946-2225 i i Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O& M Form for Title 5 I/A L Treatment and Disposal Systems A. Installation B.Authorized Service Provider 116 South Bay Road Osterville 02655 _ _Stephen B.Nelson,LLC d/b/a Clearwater Recovery Facility Street Address 0&M Firm Owner: 175 Spring Street Rockland,MA 02370 — Paul Fireman Street Address 3801 PGA Blvd 781-878-3849 Palm Beach Garde FL 33410- Telephone Number Ed _ 12177 Telephone: Certified Operator-Name Certification Number C..Facility/Svstem Information B ioClere 7/l/2004 10/17/2004 DEP ID Manufacturer ID Model Number Installation Date Start of Operation Approval Type: General _x Provisional _Piloting ❑Remedial Seasonal Res-used less than 6 mo./yr ❑Yes u No D.Operating Information 10/9/2012 D Yes ❑No Inspection Date —� Previous Inspection Date _ Sludge Depth(to be checked yearly) Pumping Recommended E. Field Testing Field Inspection: Color:_.gray _�brown ,;�clear, turbtd� other Odor: 111 musty []earthy._.__moldy___.offensive. ._other: .Odorless Effluent Solids: X❑no El some PH 7.2 SU DO 3.9 mg/L. _ Turbidity 8�4NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing,effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Parameters sampled: Commercial systems or G. Inspection and Maintenance flow fl i de with a design Samples: Eff-Ammonia,Nitrogen 350.1 systemsTechnician reports visit was for routine Eff-BOD of 2000 gpd and greater, system inspection and effluent lab sample Influent and General User nitrogen _ collection. Technician did not have access to Eff=Kjeldahl„Nitrogen reducing systems: the control panel,but did observe dosing Effluent Eff-Nitrate,Nitrogen 411 OB 770.00 'System System is operating normally at this Eff-Solids,Suspended gpd time.- ' < ._. is H.'Cerifkation �I certify`I have inspected the sewage treatment and disposal system at the address above,have completed this report and the attached -- - manufacturer's operation and mainteriatice checklist,and the,information reported is true,accurate,and complete as of the time of the 'inspection:-I am a Massachusetts certified operator in accordance with 257 CMR 2.00. M�.•— -_. 10/9/2012 Operator Signature Date A UAPOINT 241 DUCHAINE BLVD. NEW BEDFORD, MA 02745 TEL. 508 998-7577 / FAX 508 998-7177 BIOCLERE FIELD REPORT Date: 10/9/2012 Installation: Tested: Client: BARNI16SBayRd Service: Commissioned_ Address: 116 South Bay Road Other: Scheduled Inspector: Ed Bioclere Model Number(s) 1)Odor around site? No Check all that apply: Odorless 2)Take influent/effluent samples as required Please fax analytical results to Aquapomt for review. 3)a)Measure sludge in primary tanks and grease traps as required: . b)Sludge depth in primary tank: scum depth slud a"th c)Does grease trap need pumping Y/N 4)BIOCLERE VENTS UNIT I UNIT 2 UNIT 3 a) Is air passing through the vent? Yes Y/N Y/N If in doubt put a small plastic bag around vent and allow to b)Is the fan operating and in good condition? Yes Y/N Y/N 5)GENERAL a)Any external damage to the unit(s)?If yes,then provide details No Y/N_ Y/N b)Are cover,fan box and control panel securely locked? Yes _Y/N _ Y/N_ c)Any filter flies in the unit? None Y/N few_ /many Y/N few/many Location of flies _ d)Locks/Latches/Handles,OK? Yes Y/N Y/N e)Lid Gasket,OK? Yes Y/N Y/N f)Does the fan box contain standing water? No Y/_N Y/N If yes,then remove water and clean drain holes if necessa 6)BIOMASS CHARACTERIZATION a)Color of biomass? Red/Brown 1)white 2)white/grey 3)grey 4)grey/brown 5)brown 6)red/brown 7)black 8)other b)Thickness of biomass 6-12 inches below media surface Light ])light 2)medium 3)heavy _ 7)NOZZLE SPRAY PATTERN _ a)Does spray,cover the entire surface.area of the media? — Yes i Y/N Y/N If not then clean each nozzle with.a bottle brush , ------- -- Does the spray now cover the entire surface area? Y/N, Y/N Y/N If not then: — — -- -------- 1 remove nozzles and soak them in a bleach solution 2)manually engage both dosing pumps for 2 minutes 3)replace the nozzles Does the spray now cover the entire surface area? Y/N Y/N Y/N If not then consult AQUAPOINT Environmental Chemistry , Environmental Services Site Assessment Anal * a�' $al ce Site Sampling Quality Assurance Services c: O I; P 0 R ` Y A T I () n Data Auditing CERTIFICATE OF ANALYSIS Stephen B.Nelson,LLC d/b/a Clearwater Recovery 175 Spring Street REPORTED: 10/16/2012 Rockland, Massachusetts 02370 ORDER#: G 1251714 COLLECTED BY: Ed SAMPLE DATE: 10/9/2012 TIME: 11:00 DATE RECEIVED: 10/9/2012 LOCATION: 116 South Bay Road, Osterville MA SAMPLE ID: BARN 116SBayRd Effluent Composite DESCRIPTION: WATER RESULTS OF ANALYSIS Parameter , Analytical f� Date Units �` Det w ' Result' G a da a :e _"Test'Par"ameters"- -LAB-ID#: 057003-)-OI Ammonia,Nitrogen 350.1 EPA 350.1 10/10/2012 mg/L 0.10 11 BOD I SM 5210B 16/10/2012 mg/L 4.00 17 Kjeldahl,Nitrogen EPA 351.2 10/12/2012 mg/L 1.25 11.2 Nitrate,Nitrogen 4110B SM 4110 B 10/9/2012 mg/L 0.50 34.2 Solids, Suspended SM 2540 D 10/10/2012 mg/L 4.00 9 NA=Not Applicable ND=Not Detected e-C"py A roved ey: „� <'=Less Than pp _.10/16/2012 *'=Detection Limit original on file Analytical Balance Corp.,422 West Grove Street,Middleboro,MA 02346 Ph:508-946-2225 Massachusetts Department of Environmental Protection -Bureau of Resource Protection - Title 5 DEP Approved Inspection and O& M Form for Title 5 I/A s Treatment and Disposal Systems A. Installation T� r B. Authorized Service Provider 116 South Bay Road_ Osterville 02655 Stephen B.Nelson,LLC d/b/a Clearwater Recovery Facility StreetAddress O&M Firm _ Owner: 175 Sprin S treet Rockland,MA 02370 Paul Fireman Street Address 3801 PGA Blvd Palm Beach Garde FL 33410- 78]-878-3849 Telephone Number Ed 12177 _._.....-_ .._._.................. ...... _. _.....__ Telephone: Certified Operator Name Certification Number C. Facility/System Information ---- --------------------- ------- ------------ --- — B ioClere 7/1/2004 10/17/2004 DEP ID Manufacturer ID Model Number Installation Date Start of Operation Approval Type: ��General Provisional Piloting ❑.Remedial Seasonal Res-used less than 6 mo./yr Yes X i No D. Operating Information 3/12/2012 _ _ _ _ _ mm- L Yes []No Inspection Date —� — Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended E. Field Testing ,�.---- ----—t —�---i--- Field Inspection: Color::gray 11 brown clear ❑turbid other: _ Odor: musty 1-1 earthy moldy ❑offensive lx J other: Odorless Effluent Solids: n no some PH 7 SU DO 3 m�"�-- -- Turbidity .3.9NTU to a 6 to 9 2 or greater 40 or less __j tr} Should a RemMdial or.General Use system fail the Field Testing,effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Samp4g Info1 mation Parameters sampled: Commercial systems or G. Inspection and Maintenance `"Sampls,:`-- ff-Ammonia,Nitrogen 350.1 systems with a design flow Technician reports visit was for routine _ of 2000 gpd and greater, system inspection and effluent field testing. Influent' Eff-BOD and General User nitrogen I�. � System is operating normally at this time. Eff Kjeldahi,Nitrogen reducing systems: 4 . F. 4 Technician did not have access to control Effluent' r, Eff-Nitrate,Nitrogen 4110B g 770.00 Panel,but did observe dosing cycle. re,Xef-Solids,Suspended gp d 1... N H.Cer`ificafion I certify:I;have inspected the sewage treatment and disposal system at the address above,have completed this report and the attached manufacturer's operation and maintenance checklist,and the information reported is true,accurate,and complete as of the time of the -' :inspection.' I am a Massachusetts certified operator in accordance with 257 CMR 2.00. _ - 3/12/2012 "� Operator Signature "�"'` Date AQUAPOINT 241 DUCHAINE BLVD. NEW BEDFORD MA 02745 TEL. 508 998-7577 / FAX 508 998-7177 BIOCLERE FIELD REPORT Date: 3/12/2012 _ _ Installation: _ Nested:_ Client: BARN 16SBayRd _ T^ —Service: (Commissioned: Address: 116 South Bay Road Other: Scheduled Maint. Inspector: Ed _{ Bioclere Model Number(s) _ 1)Odor around site? No Source of odor? Check all that apply_ Odorless [2)Take influent/effluent samples as required — — Please fax analytical results to Aquapoint for review. 3)a) Measure sludge in primary tanks and grease traps as required: b)Sludge depth in primary tank: scum depth: sludge depth: c)Does grease trap need pumping Y/N j 4)BIOCLERE VENTS _ UNIT 1 _ UNIT 2 a)Is air passing through the vent? _ Yes j Y/N If in doubt put a small plastic bag around vent and allow to fill b)Is the fan operating and in good condition? — Yes —} Y/N 5)GENERAL_ __ I -a)Any external damage to the unit(s)?If yes,then provide details _ No Y/N j b)Are cover, fan box and control panel securely locked? _ _ Yes _ Y/N_ c Any filter flies in the unit? None Y/N few/many Location of flies d)Locks/Latches/Handles,OK? _ Yes Y/N e)Lid Gasket,OK? Yes Y/N f)Does the fan box contain standing water? _ _ No j Y/N If yes,then remove water and clean drain holes if necessary. j 6)BIOMASS CHARACTERIZATION a)Color of biomass? _ Brown I)white 2)white/grey 3)gr6y 4)grey/brown 5)brown 6)red/brown 7)black 8)other b Thickness of biomass 6-12 inches below media surface _ Light I ]) light 2)medium 3)heavy 17)NOZZLE SPRAY PATTERN _ a),Does spray cover the entire surface area of the media? — — No—— _ Y/N_ If not then clean each nozzle with a bottle brush j - Does the spray now cover the entire surface area? j Y/N a _ Y/N If not then: ])remove nozzles and soak them in a.bleach solution 2 manually engage both dosing pumps for 2 minutes g P P — --� ---- ----- 3)replace the nozzles ; _— Does the spray now cover the entire surface area? _ _ _Y/N _ — -_-Y/N _- If not then consult AQUAPOINT — — � —_--- 8)PUMPS AND CONTROL PANEL — a)Record dosing and recycle pump timer settings from control panel Dosing pump 1 and 2: min on/min off min on/min off Recycle pump: min on/hr off min on/hr off In Bioclere control panel set dosing and recycle timers to a test cycle: Measure amperage of dosing pump 1: amps --- _ t_b)Measure amperage of dosing pump 2 — — _ _ amps c)Measure amperage of recycle pump: _ amps amps _ Are the dosing pumps alternating? Yes Y/N Are the timers operating properly? Yes Y/N Visually inspect relays for wear and record problems below: * If spare components are needed contact Aquapoint If an ammeter is not available, set the times to a test cycle as above and _ physically at the Bioclere,check the pumps operation as follows: i Dosing pumps: check that pump(s)are operating, alternating and the designated rest cycle is occuring. _ __ pump 1: Yes_ pump 2: OK?Y/N (Recycle pump(s): check that the pump(s)are operating and the designated_ _ rest cycle is occuring. _ Yes_ r OK?Y/N _ * If pumps or control components are not operating properly record below and consult AWT Environmental,Inc. RESET TIMERS TO ABOVE SETTINGS: Note any changes here: 4min on/min off _min on/min off designated rest cycle is occuring. _ — g Y ---� -- — 9)PLUMBING y a)Are the unions in the Bioclere leaking? No Y/N _ If yes then tighten with pipe wrench 10)FINAL CHECK _ a)Main power "on" and toggle for all pumps set to "normal" positi Yes I _ Y/N b)Alarm toggle set to the "on" position Yes I Y/N c) Lock control panel,Bioclere cover and fan box d)If possible, record the water meter reading: _ 11)REPORT SUMMARY I G SIGNATURE: �' Environmental Chemistry Environmental Services Site Assessment An �� �, Site Sampling al cal�w Quality Assurance Services C 0 R t) R a A T 1 0 �. Data Auditing CERT WIt:ATE OF ANALYSIS Stephen B.Nelson, LLC d/b/a Clearwater Recovery 175 Spring Street REPORTED:. 4/4/2012 Rockland, Massachusetts 02370 ORDER#: G1245502 COLLECTED BY: Ed SAMPLE DATE: 3/12/2012 TIME: 08:30 DATE RECEIVED: 3/27/2012 LOCATION: 116 South Bay Road, Osterville MA SAMPLE ID: BARN 16SBayRd Effluent Composite DESCRIPTION: WATER RESULTS OF ANALYSIS Parameter E Analytical ,z date [lints �Det Result M&th6 N J9 a tthr Test Parameters LAB-ID#: 0570035-01 Ammonia,Nitrogen 350.1 EPA 350.1 3/29/2012 mg/L 0.10 1.14 IBOD ISM 5210B 3/28/2012 mg/L 4.00 5.7 Kjeldahl,Nitrogen EPA 351.2 4/3/2012 mg/L 1.25 2.6 Nitrate,Nitrogen 4110B SM 4110 B 3/27/2012 mg/L 0.50 4.7 Solids, Suspended SM 2540 D 3/29/2012 mg/L _ 4.00 NA=Not Applicable -Copy ND=Not Detected Approved Lay '� <'=Less Than - 4/4/2012 *'=Detection Limit b Manage" e" original onfile Analytical Balance Corp.,422 West Grove Street,Middleboro,MA 02346 Ph:508-946-2225 LlMassachusetts Department of Environmental Protection 1 Bureau of Resource Protection - Title 5 DEP Approved Inspection and O& M Form for Title 5 I/A Treatment and Disposal Systems A. Installation B.Authorized Service Provider 116 South Bay Road Osterville 02655 Stephen B.Nelson,LLC d/b/a Clearwater Recovery Facility Street Address O&M Firm Owner: 175 Sp_ringStreet Rockland,MA 02370 Paul Fireman Street Address 3801 PGA Blvd Palm Beach Garde FL 33410- 781-878-3849_ Telephone Number Ed 12177 Telephone: Certified Operator Name Certification Number C. Facility/System Information BioClere 7/1/2004 10/17/2004 DEP ID Manufacturer ID _ Model Number Installation Date Start of Operation Approval Type: 7General D Provisional Piloting ❑Remedial Seasonal Res-used less than 6 mo./yr L Yes Ox No D.Operating Information 3/27/2012 ❑Yes ❑No Inspection Date _ Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended E. Field Testing Field Inspection: Color: El gray u brown [—I clear ❑turbid other: Odor: musty earthy moldy ❑offensive x0 other: Effluent Solids: no some PH _._SU DO -m Turbidity NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing,effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Parameters sampled: Commercial systems or G. Inspection and Maintenance Samples: systems with a design flow Technician reports he collected effluent lab p of 2000 gpd and greater, sample. Effluent is clear and odorless with Influent. and General User nitrogen pH of 7.0,dissolved oxygen of 3.9 and Effluent reducing systems: turbidity of 13.4. 770.00 gpd H. Cerification --- --- --- - — --_ I certify: I have inspected the sewage treatment and disposal system at the address above,have completed this report and the attached manufacturer's operation and maintenance checklist,and the information reported is true,accurate,and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. i 3/27/2012 Operator Signature Date lMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title L5 DEP Approved Inspection and O& M Form for Title 5 I/A Treatment and Disposal Systems A. Installation B.Authorized Service Provider T16 SouttiBay Road Osterville 02655 Stephen B.Nelson,LLC d/b/a Clearwater Recovery Facility Street Address 0&M Firm Owner: 175 Spring Street Rockland,MA 02370 Paul Fireman Street Address _ H6 South Bay Road 781-878-3849 Osterville MA 02655 -- - -- Telephone Number Ed 12177 Telephone: Certified Operator Name_ Certification Number C. Facility/System Information Bio6cre 7/1/2004 10/17/2004 DEP ID Manufacturer ID _ Model Number0� Installation Date Start of Operation Approval Type: [—]General Provisional ❑Piloting ❑Remedial Seasonal Res-used less than 6 mo./yr ❑Yes ❑X No D. Operating Information 3/8/2010 ❑Yes ❑No Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended E. Field Testing Field Inspection:` r Color: [—]gray [—],brown Fx]clear ❑Iturbid ❑other Odor: ❑musty ❑earthy ❑moldy ❑offensive E other: Odorless Effluent Solids: X no some 6.8 SU 3.94 mg/L 18.4NTU ❑ ❑ PH 6. — DO __ Turbidity 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing,effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Parameters sampled: Commercial systems or . G. Inspection and Maintenance Samples: Eff-E-CBOD systems with a design flow Technician reports routine inspection. p of 2000 gpd and greater, Technician was not able to access control Eff-E-TSS and General User nitrogen Influent panel,but did observe dosing cycle.System Eff-E-TKN. reducing systems: is operating normally at this time.We will Effluent Eff-E-NH3 770.00 return for effluent sample. Eff-E-NO3 gpd H. Cerification I certify:I have inspected the sewage treatment and disposal system at the address above,have completed this report and the'attached manufacturer's operation and maintenance checklist,and the information reported is true,accurate,and complete as of the time of the inspection.. -I am a Massachusetts certified operator in accordance with 257 CMR 2.00. 3/8/2010 Operator Signatu . re ._... Date F A UAPOINT 241 DUCHAINE BLVD. NEW BEDFORD MA 02745 TEL. 508 998-7577 / FAX 508 998-7177 BIOCLERE FIELD REPORT Date: 3/8/2010 Installation: Tested: Client: BARN I 16SBayRd Service: Commissioned: Address: 116 South Bay Road Other: Scheduled Maint. Inspector: Ed Bioclere Model Number(s) 1)Odor around site? No Source of odor?' Check all that apply: Odorless 2)Take influent/effluent samples as required Please fax analytical results to Aquapoint for review. 3)a)Measure sludge in primary tanks and grease traps as required b)Sludge depth in primary tank: scum depth: sludge depth: c)Does grease trap need pumping Y/N 4)BIOCLERE VENTS UNIT I UNIT 2 a)Is air passing through the vent? Yes Y/N If in doubt put a small plastic bag around vent and allow to fill b)Is the fan operating and in good condition? Yes Y/N 5)GENERAL a)Any external damage to the unit(s)?If yes,then provide details No Y/N b)Are cover,fan box and control panel securely locked? Yes Y/N c)Any filter flies in the unit? None Y/N few/many Location of flies d)Locks/Latches/Handles,OK? Yes Y/N e)Lid Gasket,OK? Yes Y/N f)Does the fan box contain standing water? No Y/N If yes,then remove water and clean drain holes if necessary. 6)BIOMASS CHARACTERIZATION a)Color of biomass? Brown 1)white 2)white/grey 3)grey 4)grey/brown 5)brown 6)red/brown 7)black 8)other b)Thickness of biomass 6-12 inches below media surface Light 1)light 2)medium 3)heavy 7)NOZZLE SPRAY PATTERN a)Does spray cover the entire surface area of the media?, Yes Y/N If not then clean each nozzle with a bottle brush Does the spray now cover the entire surface area? Y/N Y/N If not then: 1)remove nozzles and soak them in a bleach solution 2)manually engage both dosing pumps for 2 minutes 3)replace the nozzles Does the spray now cover the entire surface area? Y/N Y/N If not then consult AQUAPOINT 8)PUMPS AND CONTROL PANEL a)Record dosing and recycle pump timer settings from control panel Dosing pump 1 and 2: min on/min off min on/min off Recycle pump: min on/hr off min on/hr off In Bioclere control panel set dosing and recycle timers to a.test cycle: a)Measure amperage of dosing pump 1: _ _ amps b)Measure amperage of dosing pump 2: amps c)Measure amperage of recycle pump: amps amps Are the dosing pumps alternating? Yes Y/N Are the timers operating properly? Yes Y/N Visually inspect relays for wear and record problems below: * If spare components are needed contact Aquapoint If an ammeter is not available,set the times to a test cycle as above and physically at the Bioclere,check the pumps operation as follows: Dosing pumps: check that pump(s)are operating,alternating and the designated rest cycle is occuring. _ pump 1: Yes pump 2: OK?Y/N Recycle pump(s): check that the pump(s)are operating and the designated I rest cycle is occuring. Yes OK?Y/N * If pumps or control components are not operating properly record below _ and consult AWT Environmental, Inc. RESET TIMERS TO ABOVE SETTINGS: Note any changes here: min on/min off min on/min off designated rest cycle is occuring. 9)PLUMBING a)Are the unions in the Bioclere leaking? No Y/N If yes then tighten with pipe wrench 10)FINAL CHECK a)Main power"on" and toggle for all pumps set to "normal' positi Yes Y/N b)Alarm toggle set to the "on position -Yes Y/N c)Lock control panel,Bioclere cover and fan box d)If possible,record the water meter reading: 11)REPORT SUMMARY SIGNATURE: ,r' I Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O& M Form for Title 5 I/A Treatment and Disposal Systems A. Installation B. Authorized Service Provider 116 South Bay Road Osterville 02655 Stephen B.Nelson,LLC d/b/a Clearwater Recovery Facility Street Address O&M Firm Owner: 175 Spring Street Rockland;MA 02370 Paul Fireman Street Address _ 116 South Bay Road Osterville MA 02655- 781-878-3849 - Telephone Number Ed 12177 Telephone: Certified Operator Name Certification Number C. Facility/System Information _ BioClere 7/l/2004 10/17/2004 DEP ID Manufacturer ID Model Number Installation Date Start of Operation Approval Type: ❑General ❑x Provisional ❑Piloting ❑Remedial Seasonal Res-used less than 6 mo./yr ❑Yes ❑x No D. Operating Information 3/11/2010 ❑Yes ❑No Inspection Date Previous Inspection Date' Sludge Depth(to be checked yearly) Pumping Recommended E. Field Testing Field Inspection: Color: ❑gray ❑brown ❑clear ❑turbid other: Odor: ❑musty ❑earthy ❑moldy ❑offensive x❑other: Effluent Solids: ❑no ❑some PH SU DO mg/ Turbidity NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing,effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Parameters sampled: Commercial systems or G.Inspection and Maintenance Samples: Eff-Ammonia,Nitrogen 350.1 systems with a design flow Technician reports that he took effluent lab p of 2000 gpd and greater, Eff-BOD sample as required. Influent and General User nitrogen Eff-Nitrate,Nitrogen 411 OB reducing systems: Effluent Eff-Solids, Suspended 770.00 gpd H. Cerification I certify:I have inspected the sewage treatment and disposal system at the address above,have completed this report and the attached manufacturer's operation and maintenance checklist,and the information reported is true,accurate,and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. 3/11/2010 Operator Signature -� �` Date i Environmental Chemistry Environmental Services Site Assessment Alrf tBalance Site Sampling naicalQuality Assurance Services C n t' tr U R «. a r 1. D Data Auditing CERTIFICATE OF A'NALYSCS Stephen B.Nelson,LLC d/b/a Clearwater Recovery 175 Spring Street REPORTED: 3/17/2010 Rockland,Massachusetts 02370 ORDER#: G1024329 COLLECTED BY: Ed SAMPLE DATE: 3/11/2010 TIME: 14:00 DATE RECEIVED: 3/12/2010 LOCATION: 116 South Bay Road, Osterville MA SAMPLE ID: BARN I 16SBayRd Effluent(Grab) DESCRIPTION: WATER RESULTS OF ANALYSIS Parameter AnalyticalDate LTntts ,Dat Results Y, y... v,e.•:P 5"..^aa '� ,f, �•^.�^S°�, $; ,t : .;„:`, 6 .aa,. „'�'' � ��aa'.,. a. °,Nd 91 cax��� it - Test Parameters LAB-ID#: 0570035-01 Ammonia,Nitrogen 350.1 EPA 350.1 3/15/2010 mg/L 1 0.10 1.8 BOD SM 521013 3/12/2010 mg/L 4.00 28.9 Nitrate,Nitrogen 4110B SM 4110 B 3/12/2010 mg/L 0.50 1.52 Solids, Suspended SM 2540 D 3/16/2010 mg/L 4.00 42 NA=Not Applicable ND=Not Detected ,. <' Less Than Approved 13y 311712010 *'=Detection Limit original on file , Analytical Balance Corp.,422 West Grove Street,Middleboro,MA 02346 Ph:508-946-2225 No. a®10 - 0 -L" Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes RpPlicatiou for Mig;pogal �&pgtem Congtructiou permit Application for a Permit to Construct O Repair( ) Upgrade( ) Abandon ❑ Complete System ❑Individual Components Location Address or Lot No. ,Z(�(p S t�L eC- 20pj Owner's Name,Address,and Tel.No. aS Assessor's Map/Parcel 0, Q Installer's Name,Address,and Tel.No.ea pa,,6,%ke_ 4,C(f4j Cr Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) + Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Pin_ m �1 Date last inspected: Zo to Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved by Date " Application Disapproved by: Date for the following reasons Permit No. ' Date Issued p� c2 7j �� No. �n � D - D :t. e--- �� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ly PUBIC HEALTH DIVISION - TOWN 'OF BARNSTABLE, MASSACHUSETTS Yes y T[pplication for-Digogal *p!Ntem Con,5truction Permit {6 Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon ❑ stem Complete Sy stem y ❑Individual Components Location Address or Lot No. �,e-,r jZo nj Owner's Name,Address,and Tel.No. Assessor's Map/Parcel ` -1 Q 3 57Q�VY`e, Installer's Name,Address,and Tel.No.CIV- .J,&e. , 6�L(fv(1 rr. Designer's Name,Address and Tel.No. 7 ,3 Type of Building: r. Dwelling No.of Bedrooms R Lot Size sq. ft. Garbage Grinder ( ) r t Other - Type of Building }� No.of Persons Showers( ) Cafeteria( ) Other Fixtures 1 ,a Design Flow(min.required) gpd Design flow provided gpd Plan Date Number-'f sheets Revision Date Title L Size of Septic Tank Type of S.A.S. �. Description of Soil .„ Nature of Repairs or Alterations(Answer when applicable) G d:31/'� 5)✓?c`�- C P— e , Date last inspected: Zo 10 — b!j Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental.Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. - x _ Signed Date Application Approved by �Cff Date Application Disapproved by: Date for the following reasons Permit No. ( 0 W q Date Issued t;[ •j �„ U I j J. �rv,,J THE COMMONWEALTH OF MASSACHUSETTS T BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage DisposalSystem Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned V-)by CA e,.k,,�,&o ( (`� at ; c7(�, SL"cJ�kk% npsj r� ; (:A}e(�l� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ? a U `(i V 1' dated Installer Designer #bedrooms kJ / + Approved design flo V1+ gpd The issuance of t is pe it shall not be construed as a guarantee that the system w}1 fun ion as gn de ed. Date o Inspector l No. rl.11 (;" ( �(� --------.—.--Fee ✓ — THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION — BARNSTABLE,—MASSACHUSETTS Mi5po5al 6p5tem Cott!5truction 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 �--� — 10 Approved by P V l - • t y; 89f89f2809 14:49 /ti1811491�i ( t° rput n11 e5 a, a .Stephen B. Nelson, LLC d/b/a Clearwater. Recovery 175 Spring St.,. Rockland MA 02370 (Phone) 781-_878-3849 (Fax) 781-8714918 (E-Mail) claire(a)clearwaterrecoverv:com TO: Barnstableboard of Health DATE: September.9, 2009 FAX: 508-790-6304 FROM: Clearwater Recover y. PHONE: SENDER: Jennifer Wauhob RE: Operations & Maintenance Contract CC: ❑ Urgent ❑For Review ❑Please Comment ❑ Please Reply ❑ Please.Recycle COMMENTS: Please find attached a copy of.the signed operations and maintenance contract forthe property at 116 South Bay.Road, Osterville MA. Please update your records accordingly. Thank youl If you have received this fax in,error, please call 1-781-878-3849. Thank you. Page 1 of 5 �- ICJ 7/C77/LUCID L4. Y7 f01 V.l1YJ1V ' Stephen B. Nelson,.LLC d/b/a Clearwater Recovery 175 Spring Street Rockland, Massachusetts,02370 Tel: 781-878-3849 ,..Fax: 781471.4918 OPERATIONS CONTRACT ' Agreement is made this day, September 03,2009 by and between: Paul Fireman (Owner) 116 South bay Road Osterville, MA 02655 an .. d Stephen 13, Nelson, LLC d/b/a.Clearwater.Recovery (Operator) 175 Spring Street Rockland, Massachusetts 02370- 781-878-3849. Agree as follows: 1. Term: For a period oft Years from this date,the Operator shall opera.te_and;maintain the BioClere on-site . wastewater treatment system located at: 116 South l3ay Road (property) Osterville,MA 02655- 2.Operator's Obligations:Operator shall perform regularly scheduled maintenance and preventive maintenance in accordance with the factory-service manual as follows; Item O/M required A. Primary Compartment General Inspection twice per year, inspect depth of sludge and scum layer annually,recommend pumping,when necessary. 13. Fixed Media System Inspect Media twice per year, C, Dosing and Recycle Pumps Verify operation sequence D. Controls Check for proper operation. Record runtimes(if app_icablc) 1 - L- Effluent Pump(if inst) Inspect twice per year, '.4 ZZE, ' F. Effluent Quality Inspect for clarity,suspended solids and odor. G,r� . —n. Effluent sampling and laboratory testing,as required: CBOD, TSS,TKN, NH3, NO3 Ln Please note effluent limit: 4- tn M Nitrogen limit-25 mgli � BOD limit-30 mg/I TSS limit-30 mg/I If the eftluent does not pass all of the field tests,then a sample must be collected for laboratory analysis. . Operator must conduct a follow-up inspection and field testing within 60 days. Iffollow-up inspection, laboratory analysis,and field testing indicate faliure to meet effluent limits, a full evaluation shall be.conductcd within 30 days and a report will be submitted to the local approving authority. The evaluation report shall include necessary laboratory testing,details of the problem and recommendations :for system repairs, The DEP field testing policy is valid only for single family home with design flows less than 2000 gallons per day in situations where nitrogen reduction is not required, The local approving authority may . approve additional requirements. A notification will be sent in the form of an invoice. f r7y/b'J/ZUU'J 14:47 (di 0(147)l0 Stephen B.nelson,-LLC d/b/a Clearwater Recovery. 175 Spring Street• Rockland, Massachusetts 02370 Tel: 731-878-3849 Fax: `781-871-4918 For I/A systems approved under Reincdial Use,Feld testing is required twice per year. `} Operator shall submit an operational report to Owner and to the Board of Health. Operator shall submit a summary report of system performance to the Massachusetts Department of Environmental Protection, as required bylaw. The report shall include an operation and mai sampling. ntenance summaiy'and analysis Of water quality 3. System Alarm-or System Failure: If a system alarm occurs or if the system fails,Owner shall immediately notify Operator,who shall notify Board of l-icalth within 24 hours, Operator will investigate appropriate corrective actions and discuss with owner before implementing a corrective plan: 4, Fees: Fees are listed as follows; Regular operation and maintenance, as outlined in Section 2(A,B,C,D,E,F), above-$99.00 per activity Effluent sampling and laboratory testing-$220.00 per activity Corrective actions by Operator-$72.00 per hour (plus cost of parts, materials,subcontractors) No work including maintenance shall be conducted without prior notice and authorization by Owner. Corrective maintenance or extraordinary repair work maybe arranged at costs to be determined by mutual written agreement of both parties to this contract; 5. Payment Due upon Receipt of Invoice: Invoices shall be provided to Owner at service intervals by Operator. Owner agrees to pay all invoices upon receipt. Unpaid invoices shall bear interest at the rate of 1.5%per month after thirty(30)days. Owner agrees to pay all cost of collection incurred by Operator for unpaid invoices including but not limited to reasonable attorney's fees and costs of litigation and collection. This obligation shall survive the termination of this Agreement. G, Assignment by Operator: The parties expressly agree that the Operator may not assign its rights and obligations under this.Agreement without written-consent of Owner; 7. Assignment by Owner:At time of sale of the property,all rights and obligations under this Agreement are terminated provided the seller notifies Operator in writing, 8. indemnification:Owner shall indemnify,defend,save and hold harmless Operator; its officers,agents members, directors,agents,employees,and attorneys from any claim, injury,damage,demand or action arising out of Owner's_breach of this Agreement and/or its ownership and/or control of the Property, 9.Entire Agreement:This Agreement embodies the entire agreement and understanding between the parties hereto with respect to the subject matter hereof and supercedes all prior oral or written agreements and understandings relating to the matter heretof. No statement,representation,warranty, covenant or agreement of anykind not expressly set forth in this Agreement shall affect; or be used to interpret,change or restrict,the express terms and provisions of this.Agreement, 10.Amendment: The terms and provisions of this Agreement maybe modified or amended only by written agreement executed by the parties hereto.. 1 T: Waiver: Operator's nor Owners action in not enforcing a breach of any part of this Agreement shall not prevent it from enforcing its rights as to any other breaches of this Agreement that Operator or Owner later discovers, 12 Binding upon Successors:This Agreement shall be binding upon and sha.11 inure to the benefit of the parties hereto and their respective.heirs, representatives,successors and assigns. "13.Choice of Law/Choice of Forum/Consent to Jurisdiction,etc.; If any dispute arises between the parties herein they Agree that the disputes shall be resolved in the Courts and under the jurisdiction of the jlj/by/`Ludy 14: 41j ltilt5l14�1ti (n rraacw u4fuu ' .09I83/ > >�► ovvsco7fy7./ FIRfibidN 2089 r16:05 781271018 Z 001 . PAGE 05/06 Stephen B. Nelson,LLC d/b/a Cie arwotor Recovery 175 Spriug,Stroet Rockland,Massachusetts 02370 Tol: 78I-878.3849 Fax: 781-871`4918 Commonwealth of Massachusetts:- 14. Soverability:Tht parties intend this A,greernent to be enforced as written.. Howevor,A if nrry portion or Provision of thJs Agreement shall to any extent be declared Illegal or unerfb=. able by'a duly.flutharized court I having,�urisdiction,then the remainder of this Agreement,so long as it can be carried the parties,o out av eer�tcrnpinted by or the appilontian of such portion or provisioq in Circumstances other than those as to Willa])It Is so declared illegal or unenforceable,shall i,ot ba afi''eoted thereby,-and each portion and provision of this Agreement shall be valid and enforceable to the Mllest extenT.Gormitted bylaw. 15,Captions;The headin aid oa pans the t Pt various subdivisions ofthis Agreement are fbr the con%on-ionce Of rafkronoe only vid shall 41 no way modify,or afr�cct the meaning or cvoatructiorl of any of the term4 or provisions hereof, 16,EgMl Participation in Propaing rhis,Agreement;The parries expressly agree that thc in the crafting of this Agreement and hereby stipulate and m. ee that en a y part]°iPsted equally not be consirued ) .rnblguity found in the docurnent shalt Qinst ono party mnd in favor of another, 17.Renewal: Tho t*M of this agreement shall Commence on 3ephernbcl 03,2009 and shell torminaso on Upternber 03,2011. This Agreemcnt between the partios,Without further action by the parties,shall extend fbr successive consecutive 2 Years periods. Intrmt to terminate this Agreement upon the expiration of the 2 Years period,may only he made by written notice at iopsC sixty(60)days prior to the expiration date arthis Agreement i S.Survival of Termination;All rights'and oliligations of w+as terminatod s hall survive its ttirrninati the partioe that came into effect before this Agreement otl, I 19,THE PARTIES HERETO EXPRESSLY STATE AND AGREE THEY H REASONABLE PERTOD SUPFiCigAVE HAD A NT TO STUDY,UNDERSTAND AND CONSIDSR THIS AGREEMENT,THAT THEY RAVE HAD AN OPPORTUNiTY TO CONSULT'WITId COUNSEL OF HIS CHOICE,THAT THEY HAVE READ THIS AGREEMENT AND UNIaER3TAND ALL OP ITS TI Pms' THAT TiBY ARE ENTF_RINO INTO AND SIGNTNG THIS AGREEM9NT KNOWINGLY AND VOLUNTARILY AND THAT IN DOING Sp THE.Y AR1;NOT RELYING UPON ANY 9TA TE1tifEN7'S Oi; REPRESENTATIONS BY OPERATOR OR ITS AGENTS. IEXECUTtl)AS OF THE DATE FIRST ABOVE WRITTEN., OPERATOR OWNER Stephen B.Nelson,LLC d/b/a CJeb6iater Recovery y Stephen B.Nelson,member Pa1l'Fh�Tnta Duty Authorized Duly Authorized `09/09/2009 ,14: 49 7818714918 PF16E b5/b5 Stephen B. Nelson; LLC d/b/a Clearwater Recovery. 175 Spring Stt eet '`Rockland, Massachusetts,02370 Tel:.. 781-878-3849 Fax: 781-871-4918 in an effort to serve you better, please update your contact information: " .(please print when .filling out the form) As Of Wednesday, September 09,2009 BILLING rNFORMATION _ WRJTE CI-JANGES HERL Paul Fireman 116,South Bay Road Ostcrville,MA 02655 Hm Ph: WI(Ph.- Cell Ph: Fax: 5084289157 E-mail: Outer Ph\Dcsc:,5616022726\r�cmando: Property Mgr, " INSTALLATION ADDRESS 116 South Bay Road Ostcrville, MA 02655 Please.retuM this form"in the enclosed envelope Thank you, Stephen B. Nelson,LI,C d/b/a Clearwater RecovetyCustomer Service SULLIVAN ENGINEERING INC. 7 PARKER ROADIP O BOX 659 OSTERVILLE, MA 02655 Peter Sullivan P. E.Mass Registration No. 29733 psullpe@aol.com phone 508-428-3344 fax 508-428-3115 November 13,2006 Public Health Division Town of Barnstable 200 Main Street Hyannis,MA 02601 RE: 391 Wianno Avenue, Osterville Conditional Pass/Title 5 Septic Inspection Dear Board of Health, j Please be advised that the condition identified in James Ford's septic inspection, on pages 1 &2 of his report for the above referenced property,has been addressed. The existing leach pit under the driveway has been upgraded to support H-20 loading. I trust this meets your present needs. If you have any questions,please feel free to call. truly you, )eter ullivan PE Sullivan Engineering Inc. Cc: Rogers&Marney James Ford Attachments(Pages 1 &2 of an 11 page Title 5 Inspection Report by James Ford. 10,2006 Me t . , <` INCcis- Cn CO �' Cr Q Members of American Society of Civil Engineers,Boston Society of Civil Engineers I COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF.ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 391 Wianno Avenue Osterville, MA 02655 Owner's Name: Mark Kavanagh Owner's Address: Date of Inspection: August 7, 2006 Dame of Inspector: (Please Print) James M. Ford Company Name: James M. Ford Mailing Address: P.O. Box 49 .11 Osterville,NIA 02655-0049 Telephone Number: (508) 862-9400 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I.am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes ✓ Conditionally Passes Need µrther Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: jugust 10 2006 I The system inspector shall submi copy of this inspection report to the Approving Authority(Board of Health or DEP) within 30 days of completing this inspection. If the system is a shared system or has a design now of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP: The original should be sent to the system owner and copies sent to the buyer. if applicable. and the approving authority. Notes and Comments ***"This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title i In�hection Form 6115 2000 Pape �;1f t � f k Page 2 of 1 1 iJ OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM F PART A CERTIFICATION (continued) Property Address: 391 ff'ianno.4venue Osterville, U.4 Owner: —Mark Kavanagh Date of Inspection: .4uQust 7, 2006 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CM 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: ✓ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not detenmined(Y,N,ND) in the for the following statements. If"not determined",please explain. The septic tank.is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: ✓ Observation of sewage backup or break out or high static kvater level in the distribution box due to broken or obstructed pipe(s) or due to a broken,settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The leach pit was H-10 and under the drivewatii% It needs to be made H-20 loading The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The s,,stem will pass inspection if(m,ith approval of the Board of Health): broken pipe(s) are replaced. obstruction is removed ND explain: 2 17 Fairmeadow Road Wilmington,Ma. 01887 Phone/Fax# 978.658.2585 Cell#508.737.0361 JBSystmsl@aol.com .......................................................................................... Wastewater Operations & Maintenance Title V Inspections March 2, 2005 Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6`4 Floor Boston, Ma. 02108 Enclosed is the O&M report for the Bioclere system at 116 South Bay Road in Osterville for the month of January, 2005.No samples where taken for this O&M visit. The house is seasonal use.No growth on media in Bioclere unit. Will sample according to provisional use permit. The system is running in recycle mode for the winter. All components of this system are operating normally. If you have any questions regarding this site,please call me at the above number. Sincerely, John L. Quinn JB Systems Cc. Town of Barnstable B.O.H. Aquapoint,Inc. i 17 Fairrneadow Road D Wilmington, Ma. 01887 TEL. / FAX. 978.658.2585 BIOCLERE FIELD REPORT Date: 1/20/05 Installation: Tested. Client:- Paul Fireman Service: Commissioned: Address: 116 South BayRoad - Other: '` Scheduled Maint. r Osterville, Ma. Inspector: JLQ - Bioclere Model Number(s) - 1) Odor around site?Y Source of odor? Check all that apply: Mild: Med: Strong: Musty: Septic': 2)Take influent/effluent samples as required: . Please fax analytical resutis to Aquapoint for review: 3) a) Measure sludge in primary tanks.and grease traps as required- 6) Sludge depth in primary tank: cum depth: sludge depth: c) Does grease trap need pumping? Y/N . UNIT 1 UNIT2 4) BIOCLERE_VENTS: a) Is air passing through the vent? Nf YIN. If in doubt put a small plastic bag around vent and allow to fill b) Is the fan operating and in good condition? MN Y I N 5) GENERAL a)Any external damage to the unit(s)? If yes, then provide details on back Y l Y I N b)Are cover, fan box and control panel securely locked? Y - Y I N c Any filter flies in the unit? ( few(many /N few I many Location of flies: d) Locks I Latches I Handles, OK? N Y!N e) Lid Gasket, OK? N Y I N f) Doe5the tan box contain standing water? Y f, Y I N If yes, then remove water and clean drain holes it necessary. 6) BIOMASS CHARACTERIZATION: a) Color of biomass? 1)white 2)white/grey 3)grey 4)grey/brown 5)brown 6)red/brown 7)blac th b)Thickness of biomass 6 - 12 inches below media surface 1) light 2) medium 3) heavy 7) NOZZLE SPRAY PATTERN_: ; a) Does spray cover the entire surface area of media? Y N YIN. If not then clean each nozzle with a bottle brush Does the spray now cover the entire surface area? Y/N Y/N If not then: 1 )remove nozzles and soak them in a bleach solution 8) Pi1MF`S ANC? CONTROL PANEL a) Record dosing and recycle pump timer settings from control panel Dosing.pump 1 and 2: • min on/ Turin off, min on/ min off Recycle pump: Twin on/a. rs off min on/ his off In Bioclere control panel set dosing and recycle timers to a test cycle: a)Measure amperage of dosing pump 1: iq amps . amps b) Measure amperage of dosing pump 2: v amps . amps c) Measure amperage of recycle pump: amps amps Are the dosing pumps alternating?. / N`=` Y / N Are the timers operating properly? / N Y / N Visually inspect relays for wear and record pro:�f�n s h•�!ow.` I -If spare components are needed contact Aquapoint If an ammeter is not available, set the timers to a test cycle as above and physically at the Bioclere, check the pumps operation as follows: " Dosing pumps: check that pumps)are operating, alternating and the pump 1: OK? Y/N pump 1: OK? Y/N designated rest cycle is occurring. pump 2: OK?. Y/N. ump,2: OK? Y/N Recycle pum (s):check that pump(s)are operating and the designated - rest cycle is occurring. OK? Y- / N OK? Y / N.. If pumps or control components are not operating properly record below and consult AWT Environmental;Inc. -- . RESET TIMERS TO ABOVE SETTINGS: Note any changes here:, min on/ min off min on/ mill off *Do not change timers without consulting Aquapoint n�in`rin/. hrs off min on/ I.:. 9) PLUMBING a)Are the unions in the Bioclere leaking? Y /. Y ,/ N If yes then tighten with pipe wrench 10) FINAL CHECK 4 .: a) Main power"on"and toggle for all pumps set to."normal" position Y / N Y ! N b)Alarm toggle set to the"on" position / N. Y / N c) Lock control panel, Bioclere cover and fan box d) If possible, record the water meter reading 11) REPORT SUMMARY:r At L� J. - , . .. M' SIGNATURE: 17 Fairmeadow Road Wilmington,Ma. 01887 Phone/Far# 978.658.2585 Cell#508.737.0361 JBSystmsl@aol.com ................................................................................................ Wastewater Operations & Maintenance Title V Inspections November 15, 2004 Department of Environmental Protection Attention: Title S Program One Winter Street, 6:h Floor Boston, Ma. 02108 Enclosed is the O&M report for the Bioclere system at 116 South Bay-Road in Osterville for the month of October, 2004.No sample on the effluent was taken. House was recently completed and no growth on media. Will start sampling on next scheduled O&M visit. All components of this system are operating normally. If you have any questions regarding this site,please call me at the above number. Sincerely, 0 Quinn _ t= JB Systems i Cc. Town of Barnstable B.O.H. =:0 Aquapoint, Inc. �' I AQUAPOINT 24 6UCHAINE BLVD. NEW BEDFORD, MA 02745 TEL. 508 998-75771 FAX. 508 998-7177 BIOCLERE FIELD REPORT Date: i O li 1 Installation: Tested: Service: Commissioned: Client: Other: Scheduled Maint. Address: c . S Inspector=thatapplv: Bioclere (s) 1)Odor a Source of odor? Check Mild: Med: Strong: Musty: Septic: 2)Take influent/effluent samples as required. Please fax analytical resuds to Aquapoint for review. 3) a)Measure sludge in primary tanks and grease traps as required: b)Sludge depth in rims tank: scum depth: sludge depth: c)Does grease trap need pumping? Y / N UNIT 1 UNIT 2 4) BIOCLERE VENTS a) Is air passing through the vent? / N Y / N If in doubt nut a small lastic bag around vent and allow to fill b)Is the fan operatingand in good condition? N Y / N 5) GENERAL a)Any external damage to the units)? If yes, then provide details on back / Y / N b)Are cover,fan box and control panel securely locked? N Y / N c)Any filter flies in the unit? Y/ few I many Y/N few/many Location of flies: d)Locks/Latches/Handles, OK? / N Y / N e)Lid Gasket, OK? Y N Y / N f)Does the fan box contain standing water? Y / Y / N If yes, then remove water and clean drain holes if necessary. 6) BIOMASS CHARACTERIZATION a)Color of biomass? 1)white 2)white/gre 3)gre 4 re /brown 5)brown 6)red/brown 7)blac 8 e b)Thickness of biomass 6- 12 inches below media surface 1)light 2) medium 3)heavy 7) NOZZLE SPRAY PATTERN a)Does spray cover the entire surface area of media? / N Y / N If not then clean each nozzle with a bottle brush Does the s ra now cover the entire surface area? Y / N Y / N If not then: 1)remove nozzles and soak them in a bleach solution 2)manual) engage both dosing pumps for 2 minutes 3 replace nozzles Does the s ra now cover the entire surface area? Y / N Y / N If not then consult AQUAPOINT 8) PU MPS.AND CONTROL PANEL a)'2�ecord dosing and recycle pump timer settings from control panel Dosing pump 1 and 2: min on/ min off min on/ min off Rec Recycle pump: 65 min on/ , rs off min on/ hrs off in Bioclere control panel set dosing and recycle timers to a test cycle: a)Measure amperage of dosing pump 1: amps amps b)Measure amperage of dosing pump 2: L4. 3amps amps c)Measure amperage of recycle pump: �,.'L.. amps amps Are the dosing pumps alternating? gA / N Y / N Are the timers operating properly? / N Y / N Visually inspect relays for wear and record prMl nzs below. I -If spare components are needed contact Aquapoint If an ammeter is not available,set the timers to a test cycle as above and physically at the Bioclere,check the pumps operation as follows: Dosing pumps:check that pump(s)are operating, alternating and the pump 1:OK? Y/N pump 1: OK? Y/N designated rest cycle is occurring. pump 2:OK? Y/N pump 2:OK? Y/N Recycle um (s):check that pump(s)are operating and the designated rest cycle is occurring. OK? Y / N OK? Y / N 'If pumps or control components are not operating properly record below and consult AWT Environmental, Inc. RESET TIMERS TO ABOVE SETTINGS: Note any changes here: min on/ 3 min off min on/ min olf 'Do not change timers without consulting Aquapoint nlin on/ hrs off min on/ 1-:. 9) PLUMBING a)Are the unions in the Bioclere leaking? Y / N Y / N If yes then tighten with pipe wrench 10) FINAL CHECK a) Main power"on"and toggle for all pumps set to"normal' position Y / N Y / N b)Alarm toggle set to the"on" position Y / N Y / N c) Lock control panel, Bioclere cover and fan box d) If possible, record the water meter reading: 11) REPORT SUMMARY: L- tJ - A. -ILI tJ�c r a � r SIGNATURE: LlMassachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 VA Treatment and Disposal Systems A. Installation (mportant When fitting out Owner fors on the computer,use only the tab key Facility Street�Ad Tess to move your C) cursor-do not City zip the return key. Mailing address of owner, if different StreetAddress/PO Box city State Zip ( 5 u%)y1-% ext. Telephone Number B. Authorized Service Provider Osne riffn Street Addresd� State zip(O l`e)t, `� =LSjbSext Telephone Number CertMd Operator Name Certfication Number C. Facility/System Information DEP ID Manufacturer ID Model Number Installation Date Start of Opera of n Approval Type: ❑ Generak®.Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 moJyear. ❑Yes ❑No D. Operating-Information Inspection Date Previou ns ection Date Sludge Depth(to be checked yearly) Pumping Recommended ❑YesZ No Effluent Description DEP I-A Form.doc•1o/17m Page 1 of Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspectionand O&M Form for Title 51/A LA Treatment and Disposal Systems E. Sampling Information Samples Taken:❑ Influent❑Effluent Parameters sampled:❑ pH ❑ BOD❑TSS❑TN❑Other(list below) Other 1 Other 2 Other 3 Description of any maintenance performed since previous inspection&during this inspection: Notes and Comments: r F. Certification Q I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached technology operation and maintenance checklist,and the information reported is true, accurate,and complete as of the time of the inspection. I am a Massachu s certified o erator in accordance with 257 CMR 2.00. Operator i ture Date System owner must submit this report,technology O&M checklist,and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January Piloting& Provisional Use- General Use—by September 31"of each year for the within 30 days of inspection 30th of each year for the previous calendar year date previous 12 months Department of Environmental Protection Attention: Title 5 Program One Winter Street, a Floor Boston. MA 02108 ni=p LA Fnrm rfnr..rugAlm Page 2 of 2 y,r Town of Barnstable Regulatory Services Thomas F.Geiler,Director • �xsras�. II �� Public Health Division ►9. Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: Z 2 o 1� Designer: C c4 Installer: Address: 81 z- Address: Cis ►Il.,z oZA6 S-5 On�o ® °,' H 4w was issued a permit to install a (date) (installer) septic system at U_ based on a design drawn by (a dress) uY — dated 2 (designer) ; 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. e f:vr-- AJT ® C,k,Aiu <,AIib t4)&K, *-Y4- 1 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. A OF MATTHEW (Installer'4 SigrK ) s �W. yDY m ?' J Oft -o 043183 Q �S&lea� � 9o,�F9RGISTE�cA��`� (D signer S ature) (Affix Designers Stamp H UIVAL l� PLEASE RE RN 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:Health/Septic/Designer Certification Form r , 'U2 J SI t • 9 i i J.K. HOLMGREN-ENGINEERING, INC. - Baxter,Nye & Holmgren Registered Professional Engineers and Land Surveyors 942 W.Chestnut Street,Brockton,MA 02301 Tel:(508)583-2595 Fax:(508)588-7518 812 Main Street,Osterville,MA 02655 Tel:(508)428-9131 Fax:(508)428-3750 Toll Free:(800)439-2595 March 22,2004 Mr.David Stanton,R.S. Health Inspector Barnstable Health Division 200 Main Street, Hyannis,MA 02601 Phone: (508)862-4644 Fax: (508)790-6304 CIVIL SITE PLAN CONSTRUCTION AS-BUILT CERTIFICATION RE: Civil Engineer—Septic Construction As-built Certification i LOCATION: 116 South Bay Rd.,Osterville,MA I,Matthew Eddy,P.E.,being a registered Professional Civil Engineer in the Commonwealth of Massachusetts,with the firm of J.K.HOLMGREN ENGINEERING,INC./BAXTER,NYE,&HOLMGREN,Registered Professional Engineers and Land Surveyors,812 Main Street,Osterville,MA 02655,hereby certify that I have reviewed the completed septic system construction,as of the date of this Certification,at the above location and it has been substantially performed,in general accordance with the plan titled"Proposed On-Site Sewerage Disposal Plan",dated 8/27/02 and revised through 10/02/03 (Approved Plan),as approved by the Barnstable Public Health Division. This certification is for the purpose of checking for general compliance with the design plans and with the information given in the Approved Plan. This inspection certification only verifies general component installation and approximate location. It is not to be considered a field control as-built verification of vertical and horizontal information shown on the Approved Plan nor is it to imply daily inspections of the related work. OF �Q •.}tij Name Matthew Eddy `":` �lAnF1�Vl1 Registration No. -A- t 3 1 2 WRr� • Seal a�J tf43189 Signature Cc: Mr.Bruce Besse File 0:\200212002-075\ADMDWPORTS\2002-075 Septic As buih Affidavit.doc Page 1 Land Surveys • Subdivisions • Septic Design • Wetland Filings • Site Design f Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 Permitting DEP Approved Inspection and O&M Form for Title 51/A Treatment and Disposal Systems I/A System inspection results must be submitted on this DEP form. A. Facility Important. Paul Fireman When filling out Owner forms on the computer,use 116 South Bay Road only the tab key Facility Street Address to move your Osterville 02655 cursor-do not Cityfrown Zip use the return key. Mailing address of owner, if different: v l� Street Address/PO Box Cityfrown State zip (508)428-9154 ext Telephone Number B. Authorized Service Provider J B Systems O&M Firm 17 Fairmeadow Road Street Address Wilmington Ma. 01887 Cityfrown State zip (978)658-2585 exL Telephone Number John L.Quinn 8030 Ceffed Operator Name Certification Number C. Facility/System Information DEP ID Manufacturer's Name&ID Model Name&Number 7/04 10/17/04 Installation Date Start of Operation Approval Type: ❑General® Provisional❑ Piloting❑ Remedial Seasonal Residence—used less than 6 mo./year. ®lies[]No D. Operating Information 1/20/05 10/17/04 Inspection Date Previous Inspection Date NIA Pumping Recommended ❑Yes® No Sludge Depth(to be checked yearly) Clear and no odors Effluent Description t5iaoml.doe-3005 Page 1 of 2 r r Massachusetts Department of Environmental Protection Bureau of Resource Protection -Tift 5 Permitting DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Sampling Information Samples Taken: 0 Influent® Effluent Parameters sampled: ® pH 0 BOD®TSS 0 TN ®Other(list below) CBOD Alkalinity Other 1 Other 2 Other 3 Description of any maintenance performed since previous inspection&during this inspection: Cleaned spray nodes Notes and Comments: No samples taken. House is not occupied in winter. No growth on media. F. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached technology operation and maintenance checklist,and the information reported is true,accurate,and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. operator ' re Date System owner must submit this report,technology O&M checklist,and,any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by Piloting Use—within Provisional Use—by General Use—by January 31st of each 30 days of inspection March 31st of each September 3e of year for the previous date year for the previous each year for the calendar year calendar year previous 12 months Address for DEP copy: Department of Environmental Protection Attention: Title 5 Permitting Program One Winter Street,a Floor Boston, MA 02108 II Maoml.doc-3/2105 Page 2 of 2 �w�Z �l.�. ffip�tem� 17 Fairmeadow Road Wilmington, Ma. 01887 TEL. l FAX. 978.658.2585. BIOCLERE FIELD REPORT Date: 1/20/05 Installation: Tested: Client:- Paul FiremanService: Commissioned: Address: 116 South Bay Road Other: I Scheduled Maint. Osterville, Ma. Inspector: JLQ Bioclere Model Number(s) 1)Odor around site?Y , Source of odor? Check all that apply: Mild: Med: Strong: Musty: Septic: 2)Take influent/effluent samples as required. Please fax analytical resutls to Aquapoint for review. 3)a) Measure sludge in primary tanks and grease traps as required: b) Sludge depth in primary tank: scum depth: sludge depth: c) Does grease trap need pumping? Y I N UNIT 1 UNIT2 4)BIOCLERE VENTS: a) Is air passing through the vent? MN Y I N If in doubt put a small plastic bag around vent and allow to fill b) Is the fan operating and in good condition? MN Y 1 N 5) GENERAL: a)Any external damage to the unit(s)? If yes, then provide details on back Y 1 Y I N b)Are cover, fan box and control panel securely locked? Y Y 1 N c)Any filter flies in the unit? Y^ few I many YIN few I many Location of flies: d) Locks I Latches I Handles, OK? N Y I N e) Lid Gasket, OK? UN Y 1 N f) Does the tan box contain standing water? Y Y I N If yes, then remove water and clean drain holes it necessary. 6) BIOMASS CHARACTERIZATION: a)Color of biomass? 1)white 2)white/grey 3)grey 4)grey/brown 5)brown 6)red/brown 7)b1ac 8 h b)Thickness of biomass 6 -12 inches below media surface 1) light 2) medium 3) heavy 7) NOZZLE SPRAY PATTERN: a) Does spray cover the entire surface area of media? CYYN Y I N If not then clean each nozzle with a bottle brush Does the spray now cover the entire surface area? Y/N Y/N If not then: 1 )remove nozzles and soak them in a bleach solution 4 ) PIt111AEA5 ANL3 CONTROL PANEL a) Record dosing and recycle pump timer settings from control panel Dosing pump 1 and 2: min on/ min off min on/ min off Recycle pump: J.jmin on/a. rs off min on/ hrs off In Bioclere control panel set dosing and recycle timers to a test cycle: a)Measure amperage of dosing pump 1: iQ amps amps b)Measure amperage of dosing pump 2: amps amps c)Measure amperage of recycle pump: amps amps Are the dosing pumps alternating? / N Y / N Are the timers operating properly? / N Y / N Visually inspect relays for wear and record pro:A nns blow. 'If spare components are needed contact Aquapoint If an ammeter is not available, set the timers to a test cycle as above and ph sically at the Bioclere, check the pumps operation as follows: Dosing pumps: check that pump(s)are operating, alternating and the pump 1:OK? Y/N pump 1:OK? Y/N designated rest cycle is occurring. pump 2:OK? Y/N pump 2:OK? Y/N Recycle um s):check that pump(s)are operating and the designated rest cycle is occurring. OK? Y / N OK? Y / N ;If pumps or control components are not operating properly record below and consult AWT Environmental, Inc. RESET TIMERS TO ABOVE SETTINGS: Note any changes here: min on/ min off min on/ min olf *Do not change timers without consulting Aquapoint nnin on/ hrs off min on/ I.:. 9) PLUMBING a)Are the unions in the Bioclere leaking? Y / Y / N If yes then tighten with pipe wrench 10) FINAL CHECK a) Main power"on"and toggle for all pumps set to"normal" position Y / N Y / N b)Alarm toggle set to the"on" position / N Y / N c) Lock control panel,Bioclere cover and fan box d) If possible, record the water meter reading: 11) REPORT SUMMARY: L '- J ;J•` Lx.+ SIGNATURE: i Baxter, Nye & Holmgren, Inc. Registered Professional Engineers and Land Surveyors 812 Main.Street,Osterville,MA 02655 Transmittal (508)428-9131 FAX: .508 428-3750 To: Mr.Thomas A.McKean,RS,CHO Director Barnstable Public Health Division 200 Main Street, Hyannis,MA 02601 Subject: 116 S.Bay Road Revised system Date: October 8,2003 BNH Job No.: 2002-075 We are sending you ®Attached ❑Via Fax(No. of pages including Transmittal Sheet) ❑Under Separate Cover. The following documents: ®Prints ❑ Specifications ❑Estimates ❑Shop Drawings ❑ Samples ❑Reports/Calculations ®Other DATE COPIES NO. PAGES DESCRIPTION 8/27/03 4 ea 2 Existing Conditions Plan(C-1)and Sewerage Disposal Plan (C-5)with Denitrification Modifications 10/8/03 1 ea 1 New Application for Disposal System Construction Permit 7/8/03 1 ea 1 Copy of previous Application for Disposal System Construction Permit submitted on 7/13/03 These items are transmitted as checked below: - ❑ For your use ❑as requested ❑Returned with corrections ❑ For review and estimate ® for approval ❑for distribution Remarks: Tom, Attached please find the plans for a revised system at 116 South Bay Road,Osterville. Please note that the changes on the plan are for the relocation of the Bioclear unit per the client's request. As stated on the July 17,2003 transmittal,which upsized the system to 10 bedrooms,we agreed that another BOH hearing was not needed and the prudent course of action would be to swap the permit number from the original approval to the redesigned system. I respectfully request to use the same course of action for this revision and to assign the existing permit number to this revised plan. The previously assigned Septic Permit is#2002-521 issued in 11/02. Upon your review,please forward to me your approval or comments on the revised system. Thank you for your time and assistance. RED IVED IMa 0 T 10 .2003ew Eddy,P. TOWN OF BARNSTABLE Project Manager HEALTH DEPT. Cc: Mr.Bruce Besse,File l�` 3 Fee----45-------- BOARD OF HEALTH TOWN OF BARNSTABLE Application for Veil Congtructionpermit OQ 30ytA Application is hereby made fo a pe ,,�► Construct (v), Alter ( ), or Repair ( )an individual Well at: 56_ 2� jAcation — Address - - —__--- —_ Assessors Map and Parcel --- wner Address ------------- ----- ---- ---------------------- ---- - - - - -- ------------- Installer — Driller A ress Type of Building Dwelling -- --- - -- - - - - Other - Type of Building----------------- No. of Persons---------------------------- li'%�sQo� Ca acit L� - -- Type of Well ,�------------------ -- P Y-------------- ---- � ----- — Purpose of Well �—�-�- —---------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation uMCeto Vance has been issued by the Board of Health. — %�Si yApplication Approved B date Application Disapproved for the following reasons:------------------ -___—_—_-- date Permit No. --- ---- Issued-- - - ----- -- ----- date 1 BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) by------- ---------- -—--- - --------------------- - -- - ----- ---- Installer at- ---- ----------- -- - -- -------- ----- -- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. -------------------Dated------ -------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-------- ---- — - -- Inspector----- - - -- --- —-------- 4 K Fee---- --------- , .;�.., No:----------------- BOARD OF HEALTH TOWN OF BARNSTABLE w ZIpplicationjorlVell Congtruction Permit oQ 3o4LA _ rfi ate.?4FY�k'?� . Application is hereby made fo a permit Construct (4- ', Alter ( ), or Repair ( )an individual Well at: -- � L anon Address'—_ — -- - -- P Assessors Ma and Parcel -----wner — Address ------------- ----=-------__----- Installer — Driller Address Type of Building Dwelling —- - -- ------------- Other - Type of Building---------------- No. of Persons----//------------- ==---- -- Type of Well =----- Capacity-------- 1D.✓!--— Purpose of Well-----� ----------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation untila Cert''�cte o fiance has been issued by the Board of Health. date �, Fnet" ------- Application Approved By `j --- date Application Disapproved for the following reasons:----=----- --- ----— - ---------- date Permit No. � 7 — Issued--� � ------- - - - date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) by------- --------— ---- - ---- - --- - - -- - ------ ----- __ Installer at— -— ----—--- -- — ------ -- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. ------------Dated---- ----- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE----- — - - Inspector-------- - - - ----------- BOARD OF HEALTH TOWN OF BARNSTABLE Ivell Con$truct ion Permit No. -lz—� -� `� Fee Permission is hereby granted -- -- — -----— to Construct ( ), Alter ( ), or Repair ( ) an Individual Well at: No. -- -- ------ -—— - -- - -- - - Street as shown on the application for a Well Construction Permit No. at°e�� ^ -- (° �- ------------------------------- Board of Health DATE�� Ql; �_---____ ____ P` Town of Barnstable . y 0� t t BARNSTABLE, MJSLSS-i63q. Board of Health�p �0 _ ArEDN1A�A P.O. Box 534, Hyannis MA 02601 r i Office: 508-8624644 'I Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,MSPH L!tJ SEP• 1:1 2002 Wayne Miller,M.D. Y September 9, 2002 Mr. Matthew Eddy, P.E. k Baxter,Nye, and Holmgren 812 Main Street Osterville, MA RE 1':16 South Bay Road; Osterville;. A -093 044 Dear Mr. Eddy, You are granted permission to construct a soil absorption system designed to be Y connected to a new seven bedroom home proposed to be constructed at 116 South Bay; Road, Osterville. The septic system shall be constructed in accordance with the submitted plans dated August 27, 2002. Sin erely your$,;; e filler, M.D. t BOOF HEALTH TOWN OF BARNSTABLE, . Q:HEALTH/WP/Eddy \� r r of i Baxter, Nye & Ilnlmgren, Inc. Registered Professional Engineers and Land Surveyors g 812 Main Street,Osterville,MA 02655 ® �6��S�e��6�� 508)428-9131 FAX: 508)428-3750 To: Mr. Thomas A.McKean,RS CHO Director Barnstable Public Health Division 200 Main Street, Hyannis,MA 02601 Subject: 116 S.Bay Road Revised system Date: 7/17/03 BNH Job No.: 2002-075 We are sending you ®Attached ❑Via Fax(No.of pages including Transmittal Sheet) ❑Under Separate Cover The following documents: ®Prints ❑ Specifications ❑Estimates ❑ Shop Drawings ❑ Samples ❑Reports/Calculations ®Other DATE COPIES NO. PAGES DESCRIPTION 7/8/03 4 ea 2 Existing Conditions Plan(C-1)and Sewerage Disposal Plan (C-5)with Denitrification Modifications 1 ea 1 Application for Disposal System Construction Permit 1 ea 1 Board of Health Approval letter dated September 9,2002— Approval#093-044(Septic Permit#2002-521 issued 11/02) These items are transmitted as checked below: ❑ For your use ❑as requested ❑Returned with corrections ❑ For review and estimate ®for approval ❑for distribution Remarks: Tom, Attached please find the plans for a revised system at 116 South Bay Road,Osterville. As we discussed in our phone conversation on July 8d,2003,the owner would like to increase the system from the approved 7-bedroom (see attached BOH letter)to a 10-bedroom system. The house floor plan is not changing. The upsizing is only to address changes in room use,which a future owner may contemplate. We have upsized the tank and field accordingly. The Biociere unit Maintenance&Operation Agreement with Aquapoint will remain unchanged and will be executed in accordance with documents previously submitted to you under the 7-bedroom approval. Pursuant to our conversation,you agreed that another BOH hearing was not needed and the prudent course of.actiou would be to swap the permit number from the original approval to the redesigned system. Thep pre sly assigned l Septic Permit is#2002-521 issued in 11/02. Upon your review,please forward to me your appr&-al or comments V on the revised system. o Thank you for your time and assistance. ry - t,n m Matth Eddy,P. . Project Manager Cc: Mr.Bruce Besse t r . r—(f /a Of Sip . .New I/A System Permit Summary Sheet*, ! Site Information ACHU Town: 6c� Town Permit# Assessor Map/Parcel: ( 9 f) Unique Town ID# Site Address: (2 �C���h �� U I e Owner Name: ��� Alternate Name: Home Phone: Mailing Address: 2j wc) ( Work Phone: _ Pbd rr--, aeac_h G-.L, ac,- Title 5 Information L ��� c Building Type/Use: Design Flow: (C= G (gPd) Seasonal Use? Yes No Unknown ❑ Bedrooms: j C> Title V N.S.A.? Yes ❑ No ❑ Unknown ❑ Lot Size: Non-standard components: Please list all components e.g. 1/A treatment unit, pump chamber,pre-and post equalization tanks,pressure distribution SAS, effluent filter, UV unit, etc., and maintenance schedule for each component e.g. quarterly, 2x/yr, annual, etc. I/A Treatment Unit Make_and Model# t'e>C(e- DEP Permit Type: ❑ General . s Board Approval Date: COC Date: 3 IProvisional tt�t/6Z O & M Contract Entity: lv� -�---- - csi,&_ ❑ Remedial Contract Start Date:-9/6 fj_ Contract Duration:__ 2� ❑ Pilot Unit Installation Date: c � � Unit Startup Date: ?� by 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 LU .� s 1�.�t c; S . I ee:.� :�h i� n pH ❑ BOD5 ❑ CBOD TSSg�' TN ❑ pF,¢ f Nitrate, Nitrite ❑ ` Organic N ❑ Ammonia— TKN Fecal Coliform ❑ Total P ❑ Organic P ❑ TDS ❑ Oil/Grease ❑ Conductance ❑ Alkalinity ❑ Water Usage ❑ Tem is5 Monitoring Schedule: _. ?�_�; r /fir' Other Applicable Limits: t Influent pH ❑ BOD5 ❑ CBOD ❑ TSS ❑ TN ❑ Nitrate ❑ Nitrite ❑ Organic N ❑ Ammonia ❑ TKN ❑ Fecal Coliform ❑ Total P ❑ Organic P ❑ TDS ❑ Oil/Grease ❑ Conductance ❑ Alkalinity ❑ Water Usage ❑ Temp. ❑ Monitoring Schedule:_ Other Applicable Limits: BCDHE Tracking# Please return this sheet to: FAX: 508-362-2603 Email: bciatech@cape.com d OF BARNSTABLE E � TOWN LGi ATION 1���� Ll � �`W e- SEWAGE # Z01�2 VQ.LAGE ASSESSOR'S MAP & LOT-2-3 —q7 INSTALLER'S NAME&PHONE NO. + SEPTIC TANK CAPACITY �� LEACHING FACII.ITY: (type) 1. e S L/ y(size) 7 �/n 3 NO. OF BEDROOMS BUILDER OR OWNER ' M PERMIT DATE: ���I� �- COMPLIANCE DATE: L 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 (` Ci AVl 4'3 5Z io�C TOWN OF BARNSTABLE LOCATION l� ' ` SEWAGE # ZW2—SZI VILLAGE ASSESSOR'S MAP & LOT-2 3 'qY INSTALLER'S NAME&PHONE NO. -I S { SEPTIC TANK CAPACITY �� �/ 2 LEACHING FACIL=: (type) LI ALE' (size) 7 �n J Z NO.OF BEDROOMS BUILDER OR OWNER ( ' M PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom,of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by - J e h foW + Y j - All r ' � t i No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pprication for Migooar *p5tem Construction Permit rl\ Application for a Permit to Construct()()Repair( )Upgrade( )Abandon( ) WComplete System ❑Individual Components Location Address or Lot No. I ►(, So:++. 00--j rZ�—,R Owner's Name,Address and Tel.No. 1^1 ihr- Isiah c h c/- ux. f F1�Q d�� O..(z r u i l f.� haul F'i�'G m a � ssnc': Assessor's Map/Parcel 5v t+c 9 o 5 I b 01 Fero kx P ta— �l /►'1,�}p r1'� ^ ��2 r_� �-'Q- 10 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.L5 0 fry 4Z g— 13atx{r r n.9It F i�{r+l il+�r�e. , :r",. �J �iZ t1�a ... SFrcot � OSFzru�lle YY'� 021o5S Type of Building: Dwelling No.of Bedrooms Sw,c-" Lot Size 1 32,95Z sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow Ire, gellom-perttry. Calculated daily flow _?70 gallons. Plan Date Ava oat- 2-7_ 2or�2 Number of sheets hwo CC 1 i c-5)Revision Date Title �ro �Or�-S�lz So,,Jicc 4: 47ts basal pIceh ri Size of Septic Tank 2 c90 o Rc�1 lo� o Type of S.A.S. 1=<r tot -4 s'>,r zb' Description of Soil; F ic,�s e y-c4r, +o cx4-6rka.S Isol I_ I r a n ti 9—10,30 7 Nature of Repairs or Alterations(Answer when applicable) I 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 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer 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 Entered in computer: ..,, — Yes PUBLIC HEALTH DIVISION -TOWN OF BAR `STI�BLES MASSACHUSETTS 0[p lication for 049;pozar *pgtem Cone;tructiatf Permit Application for a Permit to•.Construct()()Repair,(^/ )Upgrade( )Abandon( )_ NOComplete System ❑Individual Components Location Address or Lot No. I I G Sop 4 r. Oo-j �v-� Owner's Name Address and Tel.No r" r 1^11FtG TSI�...e 0�tzeVI te- ' UI F�rcmc-� c�- vx, ?FP Asror. Q Assessor'sMap/Parcel , )(.of Froww. 1'tmcc. — /hRD °�� - F�fIRC�c: 4'9- West- Pales+ j5.c,, �L. 33 0 Installer's Name,Address,and Tel.No Designer's Name,Address and Tel.No.(5 0£s�.42$—91 3 K 13�xFer �N�` � 1`�cal►�°�vtr., Sic. 81Z YY1�.«, SlvccE tOS ru�lLs VY'A 0265C \J ' Type of Building: Dwelling No.of Bedrooms Scucr Lot Size 1 32,`152- sq. ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow /io GPo Calculated daily flow 770 gallons. Plan Date va os? i_Goz Number of sheets ^4`wo CC-i c-5)Revision Date Title g-o2c�5r4 On-S th— So ec!=<je Dis gesnl Picen Size of Septic Tank 2noo aG11 o Type of S.A.S. t~c4,a Description of Soil; P I cs,s e rc r= 4o n+inrkQ-Q sot 1 n%Q ( 9- 10,30 7 -a Nature of Repairs or Alterations(Answer when applicable) ' Date last inspected: d Agreement: oll 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, y ,� /Signe/d a Date Application'1A proved., iylli Date !�/� / i Application.�yDi�appr . d"for`Eh ollowing 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 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer The issuance of this permit shall not be construed.as a guarantee thaft"he system will function as designed. Date - i Inspector No. - Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in compute. ' Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Zipphration for 3igpogal *pgtem Congtruction Permit Application for a Permit to Construct(X)Repair( )Upgrade( )Abandon( ) ❑Complete System El Individual Components Location Address or Lot No. //* 5,'9/gy XP Owner's Name,Add�res�and Tel No. �I i �51 r7,a Ind/c f,� 1Aot FIREMAN � � 11 ' ix /FFF&ssoc, Assessor's Map/Parcel 501 M ff5 /&0/ l og d m YGA(:F- M 93 TVC.-6- YY Way- FAI-M Amat 64 331101 Installer's Name,Address,and Tel.No. Designer's ress end Tel44 No Ri7A) --jr 057EA&ZIE,MR Oa&.SS Type of Building: Dwelling No.of Bedrooms /0 Lot Size t3di sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow AQ 6 PP 40 ROOM gallons re.dap-Calculated daily flow gallon,. Plan Date $lob D of Number of sheets Revision Date I* 03 Title Uok. EZ> Ow3- 5/7E ;M1i?k88-6,E /7GS 2S L �L�IV Size of Septic Tank aZ '00 QQj Type of S.A.S. q:PX 3a7o A04C#AA) Description of Soil FLatiE REF, Nature of Repairs or Alterations(Answer when applicable) DESIGNING ENGINEER MUST SUr'E,`,': Date last inspected: INSTALLATION AND CERTIFY IN WRI T I:: Agreement: THE SYSTEM WAS INSTALLED IN STR13T The undersigned agrees sure the constru n mainten of the afore�descAti �ot�spiwage disposal system in accordance with the pr isions of Tit e it n 1 C d and not t ce the system in operation until Ce - cate of Compliance has een issue this Boar o Sig Date (c Application Approved by Date Application Disapproved for the following reasons Permit No. 7 0 0 1 —5- 1 Date Issued . ` No. ' `i ft Fee 0 s THE COMMONWEA TH OF MASSA HU,SiETTS Entered in computer. ru.c 1 ,y1 -Yes PUBLIC. E . ` TH DIVIS 0 -TOWN OF BARNSTA I E,.MASSACHUSETT r., s s E 01pplicatton•for 30t6pogaf &p.5tem on5truction Permit Application'for a Permit to Construct( )O Repair( )'Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 1161 S,10 y XD Owner's Name,Addres�j�and Tel.No. F �SSOC, L 1'17LE �SGFNvD OS'TE loll 1R01- �IQEJ►7AN/,E'1' X Assessor's Map/Parcel ; r SU/T� 90j /6 0/•hog om &ACE Installer's Name,Address,and Tel.No. Desi ner's Name,Add r ss d Tel.No. I Bf�x715P- NyE $ , 1a s �_° Et✓I,cLE aCv�MfI D ;S Type of Building: - � Dwelling No.of Bedrooms'., , /0 Lot Size 13RZ/' "oft sq.ft. Garbage Grinder( ) Other Type of Building ' No. of Persons = Showers( ) Cafeteria( ) Other Fixtures ��d t Design Flow //D G?D�1S'FD 200�d °' gftliet�r Calculated daily flow L gallons A?,. Plan'Date mber of sheets nZ Revision Date 8 d3 Title OAS- -5 1 G / 5 L 1 Size of Septic Tank oZf00 _. =Type of S.A.S. Y-?1 X 3o? i_N/IUD /E<D Description of Soil E rSd/L 6 +fit D ' Irk r` t Nature of Repairs or Alterations(Answer when applicable) Date last inspected: reement: / The undersigned agrees ,ens ure the construc ' d atnten `c of the afore described on-site sewage disposal system ` in accordance with the provisions of Title e •n it n n C and not t ce the system in operation until Certi - cate of Compliance has jeen issue this Board o / Sign - G Date G d Application Approved by _ Y Date Application Disapproved for the following reasons Permit No. � 0 0 2 - S I f ` + Date Issued 1 / ------------ -- — —————— -- -- PG, S'T THE COMMONWEALTKOF MASSACHUSETTS K,dpre re},,rn L Rif���Ps �r ,e +r,�c�Pr�rd BARNSTABLE, MASSACHUSETTS lid 3/1b'/0y Certificate'of Compliance THIS IS TO CE ,that the On-s to Sewage Disposal System Constructed�X) Repaired( )Upgraded Abandoned( )by r . U/� at S IIJ b Ri 1,4 LvJ 1, P, Ile has been construct d in accordance with the provisions of Title 5 and a for Disposal System Construction Permit No.\ u - dated 1 ` Installer Designer - The issuance thisermit shall not be construed as a guarantee that the sy wil unction s designed. Date �� )�'0. Inspector ---------- --------------------------- N, 2w eL ` �5 2 - Fee THE COMMONWEALTH OF MASSACHUSETTS 4 PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Migpogar *pgtem Con.5tructioi� V'M I ENGINEER MUST IN WR1':"_ it TION AND CERTIFY IN WRI T _._._ Permission is hereby granted Construct(--)'RepLr( )Upgrade( )Abandon( );HE SYSTEM WAS INSTALLED IN STK:�T System located at ",CCORDAyCE'TJ PLAN, and as described in the above Application-for Disp%al 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 widiin three years of the date of this;permit. f Date: U ---Approved by Baxter, Nye & Holmgren, Inc. Registered Professional Engineers and Land Surveyors 812 Main Street,Osterville,MA 02655 Transmittal 1 (508)428-9131 FAX: 508)428-3750 To: Mr.Thomas A.McKean,RS,CHO Director Barnstable Public Health Division 200 Main Street, Hyannis,MA 02601 ; .R Subject: 116 S.Bay Road 1 Y Submittal for BOH Meeting Date: 8/27/02 BNH Job No.: 2002-075 - We are sending you ®Attached ❑Via Fax(No.of pages including Transmittal Sheet) ❑Under Separate Cover The following documents: ®Prints ❑ Specifications ❑Estimates ❑ Shop;Drawings ❑ Samples ❑Reports/Calculations ❑ Other. DATE COPIES NO. PAGES DESCRIPTION'.` 8/27/02 4 ea 2 Existing Conditions Plan(CA)and Sewerage Disposal Plan (C-5) 8/27/02 4 ea 2 Architectural Floor Plans 8/27/02 1 1 Application for Disposal System Construction Permit These items are transmitted as checked below: ❑ For your use ❑ as requested ❑Returned with corrections ❑ For review and estimate ® for approval ❑ for distribution Remarks: w Attached please find the necessary plans and application as required to place us on the 9/3/02 BOH Hearing. Please do not hesitate to contact me if you have any questions or need additional information. Thank you for your assistance. .011 Matth w Eddy,P.E. Project Manager Cc: File f Mr.Bruce Besse,Willowbend cr., $-- 5?.p% 17 r1av ' ov? 7 � � + THE Town of Barnstable * snxrvsrna[.E, =: ,.� Board of Health AIFDMA'lA P.O. Box 534, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,RS. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. September 9, 2002 Mr. Matthew Eddy, P.E. Baxter,Nye, and Holmgren 812 Main Street Osterville, MA RE: 1�16�So�uthBayRoad Ostervlle A 093-044K Dear Mr. Eddy, You are granted permission to construct a soil absorption system designed to be connected to a new seven bedroom home proposed to be constructed at 116 South Bay Road, Osterville. The septic system shall be constructed in accordance with the submitted plans dated August 27, 2002. Sin erely your , /& 'yn iller, M.D. Chai BO OF HEALTH TOWN OF BARNSTABLE I Q:HEALTH/WP/Eddy LOCATION SEWAGE PERMIT NO. lK saj,'4A v c s I L L A G E 0 ! ;gLJ �LLV-, INSTA LLER'S NAME i ADDRESS I 0 U I L D E R OR OW ER DATE PER RIT ISSUED DATE COMPLIANCE ISSUED s s ol I-S _ t L`O CAT ION SEWAGE PERMIT NO. souk a 0� 01,3 - d 4 N4IL LAG I INSTA LLER'S NAME A ADDRESS BUILDER 02 OWNER DATE PERMIT ISSUEDaQ /�� DATE . COMPLIANCE ISSUED ,.-� � 3 . . .�. _ _ Jp ��fQ�S;, ;� , O _ G C � ° l Fps..............._O ( No... ..... ............... THE COMMONWEALTH OF MASSACHUSETTS B®AR ®E HEALTH � I e1..............OF...........r.�S. �..b.'.F Appliration for Uhipoii al Murks Totes urtiott Prrutit Application is hereby made for a Permit to Construct ( ) or Repair (Individual Sewage Disposal System at: CC t ......... ..................... d�tion Addres$ - or Lot No. Owner Address ail �.�I�r--• ......... f U..l... ----•----•------------------------- ------- �-- f- v.1...... ---•--......----------..................... Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms ____________________Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons----•_______________________ Showers — Cafeteria p' Other fixtures ............................. •• - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid*capacity./0-0.0.gallons Length................ Width---------------- Diameter................ Depth................ Disposal Trench—No..............'...... Width_--—___--_:_____-_ Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.........�_........ Diameter.....6..._....... Depth below inlet......6........... Total leaching area.Z .....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1...G z-----minutes per inch Depth of Test Pit....f 2..--.._..... Depth to ground water----IVO-_____________ Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ --------•----------------------------------•----•--•-------•----•-----......:_..........................•-•••-•....-•-•-...•••••-......--•....._..••••..•---- 0 Description of --••--------------------------------•--•--......---•---•---------------------------------------------.............................................. x U -•-•••••------••-•-•---•-----•••--•-••---•-•-•-•••---••--•------•-••---•-•--•--•----••••----------•--•-•-•--•------•----•-•--.................................................................... -------- ------------- --------•-----••-•-•--•-•--------------•-----------------------•--•--------•---------•••-- .._.. UNature of Repairs or LAlterations— nswerr whenn applicable--,/l�C� X. ..L % ... _ '/'•• 4 �' 3 -------•-•.....................�---•--------------------•--------•--..................-•---•--•---. Agreement: 7 The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of L_7 y g g p y of the State Sanitary Code— The undersigned furtl era agrees not to lace the system in operation until a Certificate of Compliance has been issue by the and of health. Signed��. ��.... Date ApplicationApproved By.................................................................................................. ........................................ Date Application Disapproved for the following reasons:............................................................................................................... ---------------•----•--------•--------------•-----------------------------------------•----•--------•-•-----------------•------------------------------------------------------------------------------- I' `l Date Permit No...... .......... rryy i� .(-...l.__�P ..................... Issuedl`---)- ........................ Date f No...=`Z:......_....... FRic %...................... THE COMMONWEALTH OF MASSACHUSETTS BOAR : OF LTH ° ........ ...............OF...-....4. l p .t.�.. App iration for Uhip al Vorkti Tatutrurtton Vrrutit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: .......... ................ ----- 'On.;Alddress - or Lot No. Owner dd i f A ress ................. ............. Installer f Address , Type of Building — Size Lot____________________ Sq. feet Dwelling—No. of Bedrooms._`* _!_ ! _E°___________________Expansion Attic ( ) Garbage Grinder01 ( ) Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ------------------- --------------------------------------•••------•-----••----------.....-------------- ------------••------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity!!.:,gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No_ ____________________ Width.................... Total Length...................... Total leaching area______________--____sq. ft. Seepage Pit No_________ ________ Diameter.....r?_.___....... Depth below inlet.__._t._____---__ Total leaching area__::_`T '_.___sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '~ Percolation Test Results Performed by------------------------------------ ------------------------------------- Date........................................ a Test Pit No. I....�.2-_____minutes per inch Depth of Test Pit____/_j__l_._.____ Depth to ground water....N 0___________- �14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -------------------------------------------------------•--------•-•----------•-......------............................................. O Description of Soil...._ °±_ V ...-•--------------•--•----------------•--•----------••-•-•-----•••••----------•----•-•--------------------•-------•--•-----•--•-•---•-•-----......•---•--•---•-•-•-••---•-._...-----------•------•--- --------------------------------------------------------------------------------------------....................... � Nature of Re airs r lte tions— nswe� hen pplicable___ ___" Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Ti p of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ssue b the and of I alth. Signed /,,!4....._--- .....t" ---------•--- ---------- = ------ ---- ........ Date ApplicationApproved By.................................................................................................. -•----•----••••••--•--•-............... Date Application Disapproved for the following reasons______________________•_____-•_--___------___----..._____________________________--._._...___._____.__..._____._ ------------------------------------•--------•-----•---------•---•---=-------------------...••-••---••-••--•---••---•--•---------••---•••-------------------•-------•----•-----•----------•-------•--•- 1'' Permit No.......f.." d ..................... - Date THE COMMONWEALTH OF MASSACHUSETTS - BOARD OF HEALTH _..:...f�� ..�.......-....OF........� ....... . �rr#ifirtt#r �$ (�u�t�rli�tttrr �, THIS I T ERTkFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by -..----•••• . ---------......-----------------------..........-----------------....... ---------------------- Insta at. � ---- f"' s has been installed in accordance with the provisions of TITiE j of The State Sanitary.Code as described in the application for Disposal Works Construction Permit No......................................... dated_--.___--_-_--____________---__________________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........�1.......Z_...._`�- -------------=------•------••--•--------. Inspector----------.....-- THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH (,• Y Sw/r0 F .S S tiili.R%(4 �,1✓. No..-...................... FEE........................ Ubipooal Works ��fts_tr imrtt rr ti Permission is hereby granted........ J.A t . ---•-----L E w�'5-------------------------•......................... to Construct ( , ) or, an dividu Sea Dis sal System at No. = = Street as shown on the application for Disposal Works Constructio , 7t N_o...................... , Dated?......................................... Board ofAcalth DATE............./•/••-Z40 .7.?-..................................... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS TOWN OF BARNSTABLE 3 U DERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS Oa NAME� i!/ ( q 7_ ADDRE �� VILLAGE LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: OR CHEMICAL (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH: 1. 2. 3. 4. DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS -, APPROVED Barnstable Conservation Commission' Signed Date 2 No.------=------------- Fee- BOAR D OF HEALTH TOWN OF BARNSTABLE Applicat ion Sbr V ell Construct ion Permit Application is hereb made for a pe t Construct ( ), Alter (- ), or Repair ( n individual Well at: --1_lt�---5 - - -- - --------------------------------------- -- - - --- - Location — Address Assessors Map and Parcel ------------------ ----------------------------------------------------------------------------------------------- Owner Address --- —--------------- 4 Instker/-4 per 'Address Type of Building Dwelling----------------------------------------------------------- Other - Type of-Building----------------------------- No. of Persons--------�- Type of Well- - a_— ft .. — - Capacity- -----------`5 — ------------------------------- Purpose of Well----.Sx-�Xl -------� ,c�'L `Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate of Coommplia/Ilhas been issued by the Board of Health. --�` "�1�•u-+ - --------- ---------------- date Application Approved By- - 1 -- -- - - _2 c1 �--- -- date Application Disapproved for the following reasons:---------______________=----------- - - ------- ---- - ---------------------------------------------------------------— -- -- -- - -- --- --- -- — - date Permit No.-- `� - —L--------------------- 2 Z 2_ ------ Issued-----------�---------�------------------------------------- date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate ®f (Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired 7 ( ) - - � - Y -- - ---- - ' Installer at - 1 S - -'----- -= - --------------------------------------------------------------------------- has been installed in accordance with the� ovisions of the Town of Barnstable Board of Health Private Well Pr tection Regulation as described in the application for Well Construction Permit No!t1- 2-=1-2------Date( THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE----------------------------------------------------_--------------------------------- Inspector-------------------------------------------------------------------------------- No.'- - —1------- Fee— ``i---------- BOARD OF HEALTH TOWN OF BARNSTABLE Zppritation-*rIerr Con6tructionPermit Application is hereby made for a per,»rx' to Construct ( ), Alter ( ), or Repair (plan individual Well at: 1 ce, 'S o� h 0'a CI ---------------------------------------- --------------------- ------------------------------------------------------------ /� v Location — Add ss Assessors Map and Parcel l _S—J `e-------- —— -- t,�l�Ow�ner ----------—--------------------------Address--- Installer — Driller Address Type of Building Dwelling-------------------------------------------------------------- Other - Type of Building -------------- No. of Persons----------! -u--'-==-------------------------- Type of Well— - - — V ^ ----- — Capacity---- - Purpose of Well---_ t1'tj ��y'-- 1 Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate of Complia has been issued by the Board of Health. Signed— - date ApplicationApproved By___ __ ____---------------------------------------____-- -- __—_ � � date Application Disapproved for the following reasons:-------------------- ------------------------ ----------------------------------------- --- -- - ------------------------------__ -- _ f /9 date Permit No. - -�stJ`? -- — — -- ---- - - Issued-- -111-� date BOARD OF HEALTH TOWN OF BARNSTABLE Certifitate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) bY----------- --— — — ——------------------ — — — — —— -----------------------—------—-------—------------- Installer ------ at �� > - - --------------------------------------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit NoWI99 2---- -------Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. ----------- Inspector------------------------- -- DATE---------------------—----------------------------------------------- - -------------------------------------- i BOARD OF HEALTH TOWN OF BARNSTABLE Ivell Con5tructionPermit �, C No. ----_- i----------------- _ Fee-------------- Permissionis hereby granted----------------�-----------�----- ------ ----- ------------------------------------------------------------------------------ to Construct ( ), Alter ( . ), or Repair( man Individual Well at: —� - ------_------- -----------------------------------------------------------------------t---- Street as shown on the application for a Well Construction Permit ! 1 Z� . Z No. -W - -L -- -- ------- ---- Dated __ =� _-- -- — ------ — ,X 2 /1 Board of Health DATE- - --y'-- — --- --- — ---------------- TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION � jj OWNER AND INSTALLER INFORMATION ADDRESS: � � .l o laAV - 19.57 201JIL-I ,M PARCEL NO. o OWNER NAME: VILLAGE: VILLAGE: INSTALLATION DATE: q *� BY: . fir) . I �AAI CERT NO. ADDRESS: X iJA / TANK INFORMATION LOCATION OF TANK: tVN N CAPACITY TYPE ~ AGE` FUEL%CHEMICAL TESTING CERTIFICATION C ] PASS C ] FAIL DATE LEAK DETECTION Cam] CHECK IF N/A TYPE/BRAND «-• ZONE OF CONTRIBUTION C ] AYES C NO DATE TO BE .REMOVED FIRE DEPT. PERMIT ISSUED C YES C.. ] NO "' DATE 16193 CUNSERV,A i ION CVi CHECK IF N/A DATE r = BOARD OF HEALTH TAG NO ]C. ]C '' ]C . ] DATE'` _ [) b <7 C� MAIL PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD / ,., , � ' N , . �. � ��- ,� X f �� � PERC TEST LOCATION +� .X— x- 6' I LIMIT OF 5' REMOVE/REPLACE DBOX '(H2O) �N i FIELD x I I'• 45.0' x o RESERVE N LEACHING o FIELD �^ x I I . �.5 45.0 n x ` . ® I sIOCLERE UNIT + 'MODEL iv15. x •—z — 17.6 USE EXISTING WATER SERVICE 6 I I CONNECTION -. RELOCATE \ �i •. CUT do MODIFY RELOCATE/REP -"TER- CUT I VALVE PIT. IF REMAINING IN AT NEW 1 1 7 .. i. r' i FOUN6ATION AS OR NEAR DRIVEWAY MUST REQ'D [MIN. 10' ; BE INSTALLED FOR H-20 SEPARATION LOADING o Z FRO4\SEPTIC] ' 1 200 GAL 1 SEPnC TANK O �p O 1g ' i FRAME Dv"NG y i PROPOSE<R W000 ' . FF-\ELEV 20. ' T, i BASEMENT ELEV = 1205 Q1 LEV 19 a�11 f" ` r TERRAC 1 1 _ eA I - • r I p 1 p � r .1 x16.20 '� 16.20x low .15 O pp01 I ru ' ,Ali{r• ��/ I_ r � • THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M A�C(, I DATA tea,-- s. w-, �.. .� a "•— ,•_•_...,.__•...._ - . .., _ ". ' Leck di D It t � t � _ :!�•t ' t �� 14.•/� � \ \ l Cyr_�14—;�i , � + uq4 v1z a�-7 •� .", _ f .� j A2.✓ ry''`��.�- am p s .r !.. •�i";.'y:�,/jx r�-cY,"lrr7;^'`+,3�..�i:''��i?'�t,�l•:%'?f , 1"] ?' ,, Z,6 ft � `'- '{ � <t�:f.rrY r j 134 t rq,z I�✓, iex d �� ~ i "~!•` � CIO }� 4 -4 lit 31 1 1 (`I �,I t �:._ ��/1��"i("•S f..1�J G` �t:��C�+^.� �•J lti c .'. �. c. •r .{ +a" ? ;N-. f' ` ' !� '� t}•�t.j Cif ' t� ;/[:: ���-}'l. .'A r ,� I ,ti �r �; 1 � ... �• " - � , _ l ,, s- • �.�- . - . ,,�,,, ., � 1 t 4 x ' t � �. S .� ,� i � CONSTRUCTION NOTES, DESM SCHEDULE ELEVATION BAXTER, NYE AND HOLMGREN. INC. «� S 85'S9'18") E UP # � SOL LOGS PERFORI�D 8/29/2002 (P•10,S07) • N 83'02'25 �lll�� �J ,�.�.��--a~w-- �---«�w---,�,w--«+ mow--mow---«+ , . TOP OF FINISH FLOOR 20.50 TOP OF FOUNDATION 19.35 ENGINEER BOARD OF HEALTH AGENT °HW w---O' ♦ , 114.06' ��� � 4 TITLE v OFM THE STATEN WITH ALL SYSTE COMPONETS SHALL BE D IN ACCORDANCE SANITARY CODE DATE) FINISHED BASEMENT FLOOR 12.05 John Holmgren, PE Lee McConnell MARCH 31, 1995, AS AMENDED THROUGH TIE ,DATE OF THIS PLAN, TEST PIT 1 - T T T u BAY---,,,,ROAD/ PRIVATE WAY �` & ANY LOCAL RULES & REGULATIONS APPLIrABLE. �� V1 1 1 00i � SEWER INVERT AT FOUNDATION 15.00 G.S.E. = 16.5 , _ ...ti. � --� �"� �"" �'�' ��� ANY CHANGE TO THIS PLAN 'MUST: BE APPROVED IN WRITING SEWER INVERT INTO SEPTIC TANK 14.36 •w w . .� . • •wra •ww •win�no •�•■ �� e■■n• 1 / 7 S BY BAXTER, NYE & HOLMGREN INC. SEWER INVERT OUT OF SEPTIC TANK 14.11 ---�� WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFIWNG, SEWER INVERT INTO BIOCLERE 12.91 __ ------ -------T- _ NOTIFY THE ENGINEER & BOARD Or HEALTH�AGENT SEWER INVERT OUT OF BIOCLERE 12.74 7 A 0' EXISTIN 0. _ <' ♦� 1 6 FOR INSPECTION. SEWER INVERT INTO DISTRIBUTION BOX 12.29 TOP SOIL .♦ IRRI G ATI OO♦ _`\ _______ I SEWER INVERT OUT OF DISTRIBUTION BOX 12.13 2.0' FOUNDATION ELEVATION MUST BE CHECKED WHEN COMPLETED. ♦WELL \� �,- �� `�,\ 117 SEWER INVERT INTO LEACHING FIELD 11.95 B c� WITHOUT RI. H ATIONS MUST NOT BE CHANGED IrV THOU W TTEN �` ♦, _- � THESE ELEV APPROVAL BY BAXTER, NYE & HOLMGREN 71� SEWER INVERT AT END OF LEACHING FIELD 11.72 LOAMY SAND ♦-- ---------------- , BOTTOM OF LEACHING FIELD 11.22 , �j �• �\ 18 - 4.5 10 YR 5/6 ALL SANITARY DISPOSAL SYSTEM PIPING TO E 4 SCHED 40 PVC. NO WATER ENCOUNTERED 5.50 `- +� x- x- x- x X----\ �� C MEDIUM o 32.0' \ EXCAVATE AND REPLACE ALL UNSUITABLE'M� RIAL SURROUNDING, 16 I O? �� I ; THE LEACHING FIELD FOR A DISTANCE OF 5'j PER 310' CMR 15.255. BIOCLEAR SYSTEM CHECKLIST, COARSE SAND VENT "'-- ' I / ---'` � \) � SEPTIC SYSTEM 1S DESIGNED WITHOUT GARBAGE'GRINDER DISPOSAL. 11.0' 10 YR 6 6 tl 32.0' 6' f i ' 1. BIOCLERE UNIT MUST BE INSTALLED ON A CONTRACTOR LEACH04-G ,� I U_ x �� � - '- FIELD '�. ` LOCATION OF UNDERGROUND UTILITIES ARE pPNROXIMATE AND SUPPLIED CONCRETE MOUNTING PAD.. NO TOAELEVATION 5.5RED �� ( SHALL BE VERIFIED IN THE FIELD BY THE CONTRACTOR AND A) CONCRETE MINIMUM sTREN X 6 100 PSI T 28 DAYS APPROPRIATE UTILITY COMPANY PRIOR TO ANY CONSTRUCTION. STEEL REINFORCEMENT: 6 X 6 10 GA. STEEL WIRE MESH o I � B) 4' SQUARE PAD OR ROUND PAD - 4' THICK WITH LIFTING EYES. PERC RATE ` ♦ � I M` 7 / x � x C) PAD TO BE SUPPLIED AND INSTALLED BY CONTRACTOR <2 MIN/IN P MAY PERC TEST / I BIOCLERE GENERAL NOTES L CHI G ' I ` 2. BIOCLERE UNIT MUST BE 18 ABOVE FINISHED GRADE TO LOCATION , � ALLOW FOR AIR INTAKE. E I r x x NOTES: UNLESS OTHERWISE SPECIFIED: 3. RECYCLE LINE IS 1.5" DIAMETER PVC PIPE ORIGINATING LEACHING AREA REQUIREMENTS � 1 THIS INSTALLATION REPRESENTS BIOCLERE MODEL 16 SERIES. OVER THE BIOCLERE INLET. � x ✓� x 2. OTHER MODELS MAY BE SUBSTITUTED. SINGLE FAMILY - 10 BEDROOM DESIGN ! I 4. INLET AND OUTLET ON BIOCLERE UNIT S ARE 4» DIAMETER I x 3. IF VENTING IS ACCOMPUSHED THROUGH BUILDING, VENT IS TO BE BROUGHT TO GRADE AND CAPPED. O 1 R BEDROOM = 1 100 GPD I x PVC PIPE LOCATED 180 DEGREES APART. ANY CHANGES IN 10 BEDROOMS x 10 GAL. PE ! Z �4. SAMPLING MAY BE ;ACCOMPLISHED BY C(XIPUNG A SCHD. �40 PIPE ,TO'THE D-BOX AND CAPPING AT GRADE. DIRECTION BETWEEN TANKS SHOULD BE MADE WITH PIPE GARBAGE GRINDER NOT INCLUDED NIA i 18 OAK i Q D REC ( ) / I 5. IF INSTALLED IN GROUND WATER CONTACT ;SITE ENGINEER' FOR ANCHORING REQUIREMENTS. I COUPLINGS. INSTALLATION.O TOTAL DESIGN FLOW = 1,100.0 GPD 6. CONTRACTOR 1S TO SUPPLY:ALL CONCRc�t.,STRUCTURES.AND PERFORM � � 0 � ER EACH BIOCLERE 2 I5. A 4 VENT MUST BE INSTALLED AFT ' I BOX (H � � � 7. PROVIDE 'A 20 AMP, 115 V/60 HZ SINGLE:PHASE FEED TO THE BIOCLERE UNIT. ELECTRICAL WORK 6' 4 �\ i i I x PERC RATE = <2 MIN. /� INCH (CLASS 1 ) 0 PER CODE AND MANUFACTURES REQUIREMENTS. ' U I 6. BIOCLERE UNIT MUST BE ANCHORED AGAINST FLOTATION IF q I THE UNIT IS INSTALLED IN GROUNDWATER (SEE 16 GENERAL LIAR = 0.74 GPD/S.F. x 4 x 16 SERIES CLARIFIED I � y �/ , Z � FLOW SCHEMATIC AND BIOCLERE MODEL r QDISPLACEMENT CURVE). MIN. LEACHING AREA OF S.A.S. O � / t � `._.f j I J 7. PROVISIONS MUST BE MADE FOR EASY ACCESS TO THE 1,100 GPD/ 0.74 GPD/S.F. = 1,487 S.F. MIN. SEPTIC TANK EFFLUENT COVER AND THE D-BOX TO ALLOW FOR PROPOSED SYSTEM : LEACH FIELD = 47.0' x 32.0' RE UNIT n r f x x . I BIOCLERE PINE ,,-_ SAMPLING. A 4 DIAMETER PVC PIPE MAY BE THREADED TO THE 20.0 MODEL 16/19018 I J D-BOX AND CAPPED AT GRADE FOR EFFLUENT SAMPLING. 1,112 GPD W/LEACHING AREA OF 1,504 S.F. r t r -'--x x -x -x -x t r USE EXISTING r ., t WATER SERVICE TYPICAL SYSTEM PROFILE 32' t ! CONNECTION - --.�--._ --- �' \ ' RELOCATE/REPLA�E-WAIER -r 3 3 NOT TO 80ALE FINISH GRADE COVER 16 CUT & MODS r = - ' . 9- (MIN.) EXCLUDING TOPSOIL / VALVE PIT. IF REMAINING IN J � T2p ! AT NEW_-- x 2 LAYER DOUBLE WASHED • 1 , (F ti I r OR NEAR DRIVEWAY MUST r I O NOTES: STONE 1/8- to 1/2- (MAX) ,�� r , r�L1N6AnoN As ( BE INSTALLED FOR H-2o ; �. TOP of 1. ALL MATERIALS SHALL MEET H-20 LOADING REQUIREMENTS. - 2- 1 ' / Q D (MIN. 10 / O : FINISH FLOOR = 20.50 OVER DISTRIBUTION LINES 6 O N LOADING 2.' SEPTIC SYSTEM DESIGNED WITH OUT GARBAGE GRINDER DISPOSAL , +f O; �0 PVC ,r � ►RATION �/ F- N FINISHED GRADE =19.00 SET 11MIFIOIE FRAME 10 LAYER OF DOUBLE WASHED FIR SEPTIC] & COVER O GRADE STONE 3/4- TO 1 1/2- r'" •H to SHALL BE`WATERTTIGHT' / . , FTANK RISERS.& COVERSBIOCLERE SET WWHOLE FRAME O O � 1 VENTw _ 18 ABOVE GRADE & COVER O GROE �_ _ •FINISHED11 2 SCH 40 TOP EL - 19.62 PER B10CLERE (5) 4 SCH 40 SLOTTED PVC GRADE ' OVER _ 18.5 / (MIN) RISERS & COVERS SFIALL / RECYCLE LINE a: E WATERTIGHT i� (SEE B�.ERE LEACI"�IQ FELD CROSS'SECTION DISTRIBUTION ONES , 0 ' (SEE DETAIL BELOW) GRADE MIN. 17.0 MAX/ MAX 18.0 GENERAL NOTE 3) It 2J5��ANK �O 11 �O r - 81/1N. ell 11 T12- MIN 15.0' / i 420) �9 4- SCH 40 PVC ;..� - 3` MW. 45 LF v` i I • L-34' 5=1.88X _ t4.14 • 1 1 r 15.0 4 SCH. 40 PVC FIRST 2' TO cJ I , 1 i i O !,� _ ��J ( INV=15.00 =c : TNV= N 14.36 - 4- - SCH 40 O S= 1.07G BE LEVEL 7' � �� I i .-•,• = • 4 SCH 40 PVC (120 O 1.0% VENT 10 MN. PROPOSED FINISHED GRADE OVER LEACHING = 15.25 eG_ FINISHED �`: Z INH= OUT 14.11 NV= IN 12.91 INN- OUT 12.74 • W 1 ��y P� BASEMENT •` 3E PER TITLE Y - O S C1.09G PVC _M » • 9' (MIN. -, t �O G �� FLOOR =12.05 - 2 2 LAYER 1 8 TO 1 2 STONE COVER ) cr REINFORCED '` GAS BAFFLE _ '- = INV- IN 12 • O w 1 �, I CONCRETE ;•: PRECAST = - •' 6 SUMP DOUBLE �p l t t - I 6 CRUSHED MOUNTING PAD -f �- �INV- OUT 12.13 WASHED STONEINV-11.72 N ;,..f:,- STONE BASE w (3/4 to 1 i/2� .. N O 1 1 I •- .:-;�''•-�•s a -.•�; •-" •of -•:.^; 12 CRUSHED 11.22 Ric ;• .• . ' I PR bSED `W OD FRAME DWELLING o - 1y�' RECYCLE LINE '• STONE - p �l 1 I (SCHD. 80 INTERIM PIPING) E E ' ,. '' SURROUND ENTIRE BIOCLERE UNIT (BELOW GRADE) L 6' CRUSHED ^ (SEE DETAIL BELOW) WITH CLEAN SAND OR 3/8 PEA STONE STONE BASE EXISTING SOILS TO BE REIii TO THE C HORIZON I. g 4 SCH 40 SLOTTED • INV=11.95 �► z • Z _ �\ 1+ ��� ��` �� t • SEE NOTE 5 IF INSTALLED IN GROUNDWATER DISTR®uTION BOX 1H2O LOADNau 0 v PVC PIPE S-0.50% O t F EL!L-V;= 20.50 , - 1 2,600 GALLON BAFFLED 8EPTIC TAW q�'t0 LOADMtK31 � --- V J BIOCLERE MODEL 16\19 TO BE INSTALLED ON A LEVEL. STARE BASE / BASER MT, EL'EV = 12•0�� O 10 BE INSTAU ED ON A LlvEl STABLE BASE (SEE DETAIL) DB 5 (5 CURETS) ' xl • `` 10 tl , ��, ~ \� `� /' P�\�� ' I ,' '• SEPTIC TANK TO BE INSPECTED'& CLEANED ANNUALLY NO WATER ENCOUNTERED O EL 5.5 __ IFFER �� I r T ( r q ' � � LEACHING F[EL.D q N I l 1 NOTES. t r t _ I 1 T MAY BE RUN UP THE SIDE OF BUILDING.1. VEN DE h B Road , I 116 .�out a 1 Y C l / 1 ■ ♦ 1 1 r I � I I, Osterville MA 1� PVC SCHD 40 FAN RINSING LOCKABLE � \ \` \ J ♦ / RECYCLE LINE FROM - ACCESS COVER PREPARED FOR BIOCLERE UNIT(S) 1-1/2- SCHD 40 PVC 4-2 ■ ' CREATE ]%„ Biofilter Recycle Line RECYCLE LINE Paul Fireman Et Vx. �' SEAL AROUNo Installation at Primary Tank: FILTER 19.0 N ' ELEV - `, RECYCLE LINE NV. INTO TANK = 13.52 � � d TITLE r TERRACE �i I / PENETRATION 3-1 3/8 INTO SEPTIC NOTES FOR CONTRACTOR: 1'-0• . Sewerage Disposal Plan Proposed On Site Se e a e s osa a ( TANK 0 os I O . '�h Qkl/ FINISHED GRADE P P )�11 PI 1. SLOPE PIPE BACK TO SEPTIC TANK vm�p NYEL� T n��T T1�T ox �1s.2o I �' �• WITH NO LOW POINTS. w INV.- t4.14 Bt�n 1�1� ry 11:. OC, r1�1.�MG1�1v INC. /QqN 1s.2 1 �• 2. USE PRESSURE FITTINGS ONLY. 2-7 /2 4 SCHD 40 PVC > > } I r � � ,-� TANK -f- auILET CouPurlc Registered Professional v, 1 I i ,, � ' I � 0 , INLET _ _ - gl '�� � INV. IN=13.52 � 3 1. 9 !. . I -12.91 Engineers and Land Surveyors ruA r Ap `� �' ''�.- - 1 a / �Q- p r�IPE To BE NSTALLED 4• scHD 40 812 Main Street Osterville Massachusetts 02655 , Ut r- 4, 1 r �� ♦:'J j / �� i AGAINST TANK WALL co PVC COUPLING t ;a{ 1 ' % ♦ �� x�' • scHo eo Pvc PIPE SUMP Phone - (508)428-9131 Fax - (508)428-3750 . ;� MA TH .: o W. I f � .' / ,z� ' � � � TO BE,USED ,..__ c � - 20 0 20 40 � / ` / INSIDE TANK L U, r r "" } f f , TYPICAL PRIMARY SEPTIC TANK O r ° 4 3183 t qni r! 15 1 / / O T VENT To BE SUPPLIED SCALE IN FEET / BY THE CONTRACTOR rye'" 1'-9 5 8' SCALE. `20' 4r ,, . \ �� 50, �` t _ /-' F / / L / PVC 90' ELBOW INSTALLED v o J luau/' eJ!i (i ' AT CENTER OF LIQUID DEP MwE 10/2/03 aocbor Relocntron INVERT TO BOTTOM T i •• ••�. _ CONCRETE / ) : • •• BASE PAD 4 MINE 7/8/03 Septic System Increased to 10 Bedrooms aft 10 r i+ ♦♦ !ilIl11/1 \` \ ` - // ,'' i / 2'-9 7 8- CRUSHED STONE 11WE 10 23/02 Se tic S em Inverts ReWW 9 �� _ mi,l,n,l w/irn / DATE: 08127102 111111111 © MINE 9/25/02 CON COM Commts - reduced/relocated footprint o r 8 __.�,.---___` . ��` ,.� -� .-•, �^-�, .� {r,�'' �I'...-'�/ �''� / , ro � SHIPPING WEIGHTS ��� r,` s� .- r /, / - 0 MINE 9/10/02 REV FOR CON COM - Commts by RG y.,,. , �. WEIGHT DRY MATH MEDIA 840 Ibs 7 I___ _________- � ---_ ' a I e \ ` +��1 , i //, / FOR OObiMERCIAL APPLICATIONS, _......�� ' ___. .- -- � HALF LIQUID AN EXTENSION.MAY BE REWIRED NA:IG1#T DRY IMTH NO MEDIA = 840 A» MINE 9/3/oz Aeded oenitriFicaGon system ___- -._-..___-_____ �, .�, -' -' i #10 DEPTH MODEL 6/19 MINE 8127102 90N SUBMISSION Cn5 e>� , ♦ \ oft so an an an / /' ,' �' / Q MINE 8/20/02 CON COM SUBMISSION ne ANNN�G�1 rt - tAtlINMi ft W-IM-4 N0. BY DATE REMARKS DRAWING NUMBER o tNMM NN: PMW 1256-1 IM DES two MAYNG • • • 4 T11E PROPEM Of AMLT.DMRON MENTAL MUM • • • ••• • • • ••• ••• • • • Rat • •• ••• To ttE ut�a txcErT w t 241 DUCHANE BLVD. • ••: •• •• •: • 241 DUCFINNE BLVD. 'P ° °P>'PM P.O. BOX =20 ,,,,� P. H: 2002 D2-075 Civil lot 2002-075UT.dW N - 1111 . . . P.O. BOX 501206111111 loom AK NESUri rJ 12- CRUSHED STONE NEW BEDFORD. MA 02745 1t ND P�oandun o� NEW BEDFORD. MA 02745 t: N (500) MD-78n FAX(508)91NI_7177=0 1 : 40 M A A4 �TM FUNMSNM (508) M-7577 FAX (508)M-7177 ism 0 1.F, 2002-0 75 VD LE END { �� � °• ` • � CB SEAL .•• - CB DH FND 4.+� /t o (P# ,•' CB DH �D CB SEAL FND _ • - �J� 1 , o o . :;v FND P III N &TO2 '7�y CB SEAL C. = DRAINAGE BASIN ILIITYPOLE/GUYWIRE FND � o 6� •1 • � � _Ile � S �:�'1r1�E up-- � ) CB 153.64' � ® = ELECTRIC METER �,� ro ��� ` 3 •a " ° v + " SOUTI, R eURS / (SEE DETAIL #2) 0.22 GM = GAS METER d i Paced y ' • �.� •�;�. �►+ / a+w__ IN_-off oHW 3 o ioo_ _ ,v _ 1. •� 0 ) 1 . ' p� ";«+w--- PROPERTY r ►� x = SPOTOGR DES o Iaa-t% 7 / I, _ - v CB SEAL - „�� � � WjY , �P o �oo.o 11 yo •� �r-i`�/~ � • •� •' FND (HIT) ` EXISTING ','� ����� R• LINES _ ` j �� s W IRRIGATION �'' o CB DH © - / z � . P I TREES _H FND - - - YARD LIGHT l d' I>Q WATER GATE/SHUT OFF ; �• •L '� LSA 76 \ �* LSA = LANDSCAPED AREA � � � • I � CI �• ''' ' p• • o '�_ ; ,_•_.. � ,\ � _ _ >> ��� � _ x x — - CHAIN LINK FENCE t; . �taR. ° •°+ I " .: �___ � DETAIL #2 ° = STOCKADE FENCE Pe o "' ; • u ' ) Pam° +— x ---- 18 �1 N.T.S. - OVERHEAD WIRES � o t .,. ,�:.� + �, M ••': oc � _ _-,- Q / x-_ m OHMt OH W--- — . O r s ..••a 1 I L�a!� � x \� LSA tioc x + = STONE/MASONRY WALL — TREE/SHRUB LINE Pond .' 0 °'. o ' S J PROPOSED i LAWN '0 LSA x // • o R TENNIS COURT . L.SA x 1! • .b• � 4 � 0 I I !! Dt WOOD !r! n MAP SCALE: i° = 2000' �� SHED x , , DISTURBANCE AREA CALCULATIONS Locus .� SURFACE WETLAND TO 50' WETLAND TO 100' ! COASTAL BANK BUFFER COASTAL BANK BUFFER WALK 8' OAK I �� BRICK x `� ��� LAWN 6,392 SO. FT 10,036 SO. FT , i� I I �. � ti IMPERVIOUS SURFACE 6,770 SQ. FT 13,508 SQ. FT OTHERWISE ALTERED 5,227 SQ. FT 7,852 SQ, FT I I TOTAL ALTERED 18 389 SO. FT 31,396 SQ- FT LAWN IaAWN x X\ INDEX J � EXISTING I /r x TENNIS COURT x LSA 18" PINE J I I 1 LSA ) 1 C-1 EXISTING CONDITIONS PLAN 76 (+! 3 PROJECT BENCHMARK : DATUM = NGVD � LAWN /� � � r L_.A � + I �� C-2 PROPOSED SITE PLAN I' + x _x ZONING DISTRICT. RF-1 --__r �J '� ; I �`�� LSA _ x D�apa�� � OVERLAY DISTRICT AP (AQUIFER PROTECTION) _ MINIMUM LOT AREA- 2 ACRES (CURRENT' AREA REQUIREMENT) ' aaoaaaa 3 MINIMUM FRONTAGE: 20'- WIDTH: 125' LSA \ A' ; w C-3 GRADING AND SEDIMENT / EROSION CONTROL PLAN valve Pit � `� / FRONT YARD = 30' SIDE YARD = 15' / LSA 1 i /� o r`! LOCUS PROPERTY IS SHOWN AS: REAR YARD = 15' C-4 LANDSCAPING PLAN 15 rl / ASSESSOR'S MAP 93 - PARCEL 44 y • /I L J n CERTIFICATE OF TITLE: C-5 PROPOSED ON-SITE SEWERAGE DISPOSAL PLAN _ A < ` "�' . 0c1 E �' ,/ PARCEL 44: 117,773 �c S / PLAN REFERENCE: i z "Yi t PARCEL 44: LOT I- L.C. PL. 8730E LA VN - WOOD � // --------L 0 T 3 COMMUNITY PANEL NUMBER 250001 0018 D 1�, � - SHED b L. C. 730 THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ( ASTq( 8 ZONES V17 (EL. 14), A13 (EL.12), B & C COASTAL RESOURCE AREA DELINEATION (PERFORMED 8113102 BY <o HORSLEY Ar WITTEnt wr o LSA / ! ! ! Ng co � _ SEXT4";R ;i- i.. ! I r �>-g N 90 ROUTE 6A z� IF r LSt j ' �m f� \ - O SANDWICH, MA 02563 _�A b �0; 508-833-6600 LSA LOCATION OF UNDERGROUND UTILITIES ARE APPROXIMATE AND LSA 16� $� SHOULD BE VERIFIED IN THE FIELD BY THE APPROPRIATE Q ` LAWN J J� .5' - UTILITY COMPANY PRIOR TO ANY CONSTRUCTION. �x4ST1,016 3 ,�� -'' - THIS PLAN IS BASED ON AVAILABLE RECORD INFORMATION AND EXISTING u�opDS �,� r _ ON PLANS AND AN ON THE GROUND FIELD SURVEY BY THIS FIRM 08 16 f 02. 50' BVW 79 3' �1 PAVENAENT �i �I ,,5 / �/ / / raj BUFFER - - /' i' w PROPERTY OWNERS: / a _--- PAUL & PHYLLIS FIREMAN CB SEAL - - 10 Tow � i , .` �� \ �--- _ ,,,,,,,' � \ � I __ C/0 PFP ASSOCIATES FND D 0.93' 9 - A 17 �- f '' �o , / SUITE 905 8 --o-- --- 1601 FORUM PLACE ,�� ,� = � �� �--- / � W. PALM BEACH FL., 33401 _ - _ �� �, '� -, _ L, 116 South Bay Road PMtA01R — \� u1'uxiwwuuuu 20 �-` �` \ 7?01 OAS7At BANK— ; / ';%Nil -a � N1S�G S � Osterville MA G �\ \\ LA N ._ \ \ TOP_OF-GOASTAL � , \�N / , vw 2."3d �PNo "F � gl �_�_r\��� ---— - ---! - VN�\J�`I� j �N10 ' PREPARED FOR ---EXISTING LAND lCP��PI•AM1tTITJ�� �P� ��P� / l_ �} -- 18 VD _ -_---- __- - s�� Paul Fireman, Et Ux. DETAIL #1 Fi-/�gGED_ -� #1 ATIVE VEGETA L---- 3 TITL_------�3 E N.T.S. CBNDDH EDGE OF SALT MARSH - -- - --- ,- (SEE DETAIL #1) ��� EXISTING - - � � f� EXISTING 16f SALT MARSH --`,�- -��� SALT MARSH Existing Conditions Pllan LOTS 3 do 4 WA rR= _ _ 132952t So. FT. _ BAXTER, NYE & HOLMGREN, INC. 3.05f ACRES - -- - `\ r J TO MHW PER L. C. PLAN - Registered Professional Engineers and Land Surveyors • ._ '----._ ---_�, �`'�- fftm w,iimv- 812 Main Street, Osterville, Massachiusetts 02655 - - ------ •_• o _ ` - - - ` _---------------_ / o _ _ — - - Phone - (508) 428-9131 Fax - (5108) 428-3750Of CD - - - • • ,. _ • (' • _ - _ _ _ • • • • • - • • • • - - • • • - - - - • • • • • • • - • • • • '�� - - • • • - - _ _ - - - SCALE IN FEET �, . - - 29874 _W SCALE:1 =30 fc�sr�aEo ,o SEE NOTE HEREON FOR EXISTING PIER p UKto/2/o3 6aNeorRebcoton PERMIT INFORMATION ♦ WK 7/8/03 Septic system Incroosed to 10 Bedrooms EXISTING ORDERS OF CONDITION AND WATERWAYS LICENSES WWE 10123102 Septic Systern inverts Revised _ DATE: 08/27/02 ed SE 3-0806 (DREDGE) W • Q WE 9/0/02 REV FOR cob COW _cdom ft mts footprint SE 3-1993 (MAINTAIN PIER) �� y T SE 3-2732 (DREDGE) BAY � W. y ►K 9/3/02 ceded Denitrtricoro„ system � e m ti WWE 8127102 BON SUWSSM WATERWAYS LICENSE 5629 (L-SHAPED PIER) wwE 8/20/02 con car SUMS"DEPARTMENT OF THE ARMY: CENED-OD-R-29-09-0123 I►'�:'c,.,rL F^�' NO. BY DATE REMARKS DRAWING NUMBER WATERWAYS LICENSE 2560 (MAINTAIN FLOAT & OUT-HAUL PILES) H:\2002\02-075\civil\pllot\02-075EC.dwq WATERWAYS LICENSE 4514 (MAINTAIN RAMP, FLOAT & PERFORM MAINTENANCE DREDGING) 4, NODES PIER 2002—0 75 d FIR,"ru_,MAN RESIDENCE _ _ OSTERVILLE _ MASSACHUSSETTS LEGEND 'L COVERED ENTRY 7 -0 x 16 -0 2. ENTRY VESTIBULE 7 -0 x 13- 0 3. CENTER GALLERY 7,_6" x 37- 0 r; 4 LIVIN G -ROOM 21 -0 x 30 -0 5A COAT CLOSET 5 -6 x 1 1-6 7 _6_ x 1 7-0 6 EAST':GALLERY 7. DINING ROOM 1 7 -0 x 21-0' 8. KITCHEN HALL - 6 -6 x 20-6„ 9. - 4-0 BACK STAIR 7 6 x i . O -0 DIA 10 BREAKFAST ROM 15 - 4-6 STORAGE 0» X 11. TORA E 5 12. SCREENED PORCH 17 -0 X 26 -6 13. KITCHEN 19 -0 X 16 -0 14 BUTLERS PANTRY 8 -0 X it 0 15. MUDROOM 8'-0" X 26'-0" 16. LAUNDRY 12 6 X 7 6 i \ 17. GARAGE VESTIBULE 7 X 18. EAST POWDER- 7 -0 X 4-0 I 19. GARAGE STAIR 7 -0 X 14 0 = \ 20.GARAGE 37'-6" X 22'-6" \, 21..FRONT.:POWDER 11-6 X 5- 8 ' 22.WEST GALLERY 17-2 X 7-6 / n � 23.STUDY 17-0 X 23-0 ,/ • (-------_-'-:.-=r' ---- ---- -) 'I � !, 24.STAIR HALL 1T-0" X 19-6 i 25.M.B.R. ROTUNDA 9'-0" DIA C � / 26.MASSAGE 14-6 X 8�-0�1 28. 27.M.B.R HALL 6 -6 , X 18-0 28.MASTER BEDROOM 17-0 X 26-0 ' 1-----I---- / 7'-6" X 16'-6" \ 29.MASTER BATH 1 I • � I 30.ExERCISE 12 0 X 14-0 r \ i W 10 6 X 16 6 r I I _ 31. ARDROBE 32.SOUTH PORCH 28 -6 X 13-0 33.CABANA 5'-0" 'X 15'-0" 34.CHANGING ROOM 9'-8" X 4'-6" 10. 35.CABANA BATH 9'-2" X 5'-6" \. , n , " + • 36.POOL STORAGE 9 -8 X 4-6 \, \ El ' O \ ` O ` � / o O O \ en 10 Above / 0/ ° 0 i air-a. \ \ - r / 30. r 1 \ R n ° i 1 c 3. \ TT 25. 6 I .' _ --1--f 1-1 < 1its1 2 I 2 . X \ , \ , 14. -40 ev 2i \ � 1 ' �------------ I , O - O 20. L-------------•--------_-_-� 8/23/02 PROGRESS PRINT 8/22/02 PROGRESS PRINT SHOPE RENO WHARTON \ - ARCHITECTURE INTERIOR ARCHITECTURE 16 WEST PUTNAM AVE GREENWICH CT 06830 \ MAIN HOUSE - OVERALL FIRST FLOOR PLAN 101, i FIRST FLOOR PLAN 1 8 1 0 e E W PROJECT NORTH NORTH OWNERSHIP AND USE OF DOCUMENTS: DRAWINGS AND SPECIFICATIONS AS INSTRUMENTS OF PROFESSIONAL SERVICE ARE AND SHALL REMAIN THE PROPERTY OF THE ARCHITECT. THESE DOCUMENTS ARE NOT TO BE USED IN WHOLE OR IN PART, FOR ANY OTHER PROJECTS OR PURPOSES, OR BY ANY OTHER PARTIES, THAN THOSE PROPERLY AUTHORIZED BY CONTRACT. WITHOUT THE SPECIFIC WRITTEN AUTHORIZATION OF SHOPE RENO WHARTON ASSOCIATES SCALE 1/8"=1'-0" I i D DATE 08.22.02 AUG 2 7 2002 DWG. BY A21 0 By JOB NO. 0117 i r FIIR-EM AN 'R'.E S I D E N C E OSTERVILLE MASSACRUSSETTS LEGEND 37. UPPER MAIN STAIR HALL - 2 17 0 x 9 -0 n 38. UPPER`GALLERY - - PE ALLER 7 6 x 0 48 39. BEDROOM #1 18-0„ x 17-p . 40. CLOSET i -0 x ,7 6 6 , „ „ 41. BATHROOM - -1 HR 1 9 0 x 7, 6 - - 42. BE DROOM M 2 15 O x 19 0 - n 43. CLOSET 2 > , 6 0 x 7 -6 OM 2 2 -44. BATHROOM ' i 0 X 8 -8a 4 - _ 5 UPP ER LAUNDRY ,7 0 x 6 6 46. BAC S - - 6 x=4 0 KTAIR 10 " 47. BEDROOM #3 18-0 -x 17-0f1 48. CLOSET #. 3 5-0„ x 9-0 49. - - BATHROOM 3 6 _0 - x li 0 # , 50. BEDROOM #4 _: _13-0 x 17-6„ 1 _ _ 51 CLOSET} LO ET 4 6 0 x 7 6 , 52. BATHROOM #4 6 -0 x 11 -0 53. UPPER - -FRONT ,PORCH 13 0 4 i x1 0 „ • 54. UPPER ' - - P OCEAN E PORCH 13 0 2 , - t x 8 0 i f 55 . APARTMENT STAIR 7 0n x 13 6 � � I / r _ _ 56 APT. T STORA GE 7 0 x 0- f 9 57. APT. .., LIVING DINING 15 0 jj x 23 0 r t 'S8. APT. KITCHEN - _ , 8 0 x-9 0 f t 9 APT BATHROOM 1 00 8 0„ x 8 0 ♦ ♦ N .- - 1 ,. , 60. APT. BEDROOM - - _ _ _ `� 12 8 x 23 0 I I E i } i f } , 1 / } } / } i L t } t t E:. s } ,, I / I _ I } } / r o . I 1 1 r \ I i 47. 42. 39 o ,. I I / 1 c a k r , I r 1 - r 1 4 .8 - r r � ,y r , l _ I- T / ❑ } JJ/ r Y, 'r 1 Open to Below I r , 1 I 1 1 1 40. I 143. I _ I 1 1 t _. dow , tb 41 t t , 1 1 1 , t , ii 38. I � • f � ,i- t 1 , I 37 1 C r , E • r r , 1 t. -- O I O 1 , , r \ t . } } } r/ i\ 5down ' 6. t , I - t 5 S . - I I � • • I ' 1 _ t O , . I l i i t t 50. I I , ✓ O , OI I r f I ) I I 1 / 57. / s ./, / I r- r r - .• - + 58. I 8/23/02 PROGRESS PRINT 60. - ,r I 8 22 02 PROGRESS PRINT 0 / ` o SHOPE RENO WHARTON ARCHITECTURE INTERIOR ARCHITECTURE r`, rrrr 16 WEST PUTNAM AVE GREENWICH CT 06630 MAIN HOUSE- OVERALL SECOND FLOOR PLAN i SECOND FLOOR PLAN OVERALL N 0 ERA A220 - - i / E OW PROJECT xom� NORTH OYIIN RSHIP AND USE OFDOCUMENTS! DRAWINGS AND SPECIFICATIONS AS INSTRUMENTS OF PROFESSIONAL SERVICE ARE AND SHALL REMAIN THE PROPERTY OF THE ARCHITECT. THESE DOCUMENTS ARE NOT TO BE USED IN NMOLE OR IN PART, FOR ANY OTHER PROJECTS OR PURPOSES, OR BY ANY OTHER PARTIES, THAN THOSE PROPERLY AUTHORIZED BY CONTRACT. WITHOUT THE SPECIFIC WRITTEN AUTHORIZATION OF SHOPE RENO WHARTON ASSOCIATES SCALE 1/8"=1'-011 IJ DATE 08.22.02 s 44. AUG 2 7 2002 0 I DWG. BY A22 JOB NO. 0117