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0646 OST.-W.BARN. RD - Health
r / •Y 1 r v 1 . r E � cv�p ym �01� m.. I,y UPC 12943 Igo. 53LY AOST.CONSJs HASTINGS, MN t r J s Commonwealth of Massachusetts is 3 -ors Title 5 Official Inkspection Form Subsurface Sewage Disposal System form - Not for Voluntary Assessments t 646 Ostervllle West Barnstable Rd r {a Property Address I r� Valiga Owner Owner's Name information is required for Marstons Mills Ma 02648 12-12-18 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: Ins. ector Information When filling out A P S7** (,363e forms on the computer, use Douglas A Brown only the tab key Name of Inspector to move your D.A.Brown Inc cursor-do not Company Name use the return key. P.O. Box 145 Company Address Centerville Ma 02632 City/Town State Zip Code 508-420-4534 S14297 7eA°0 Telephone Number License Number B. Certification I certify that: 1 am a DEP approved system inspector in full compliance with Section 15.340 of Title 5(310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1.. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails 12-12-18 Inspector's Tignature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 ' Commonwealth of Massachusetts F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 646 Osterville West Barnstable Rd Property Address Valiga Owner information is Owner's Name required for Marstons Mills Ma 02648 12-12-18 every page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: At time of inspection this system met all passing requirements. This report can not predict the future performance under the same or increased usage. 2) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 Commonwealth of Massachusetts (P Title 5 Official Inspection Form la a Disposal System F N 9 p y Form - ot for Voluntary= Subsurface Sewage Assessments u 646 Osterville West Barnstable Rd Property Address Valiga Owner information is Owner's Name required for Marstons Mills Ma 02648 12-12-18 every page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes(cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in 9 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 plipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: 15insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments •u� 646 Osterville West Barnstable Rd Property Address Valiga Owner information is Owner's Name required for Marstons Mills Ma 02648 12-12-18 every page. Citylrown State —ZipCode Date of Inspection C. Inspection Summary (Cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the followingfor all inspections:_ pec tons: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts - (P Title 5 Official Inspection Form j" Subsurface Sewage Disposal System Form - Not for Voluntary Assessments `. 646 Osterville West Barnstable Rd Property Address Valiga Owner Owner's Name information is required for Marstons Mills Ma 02648 12-12-18 every page. Cityrrown State Zip Code Date of Inspection �C. Inspection Siummary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No El ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 646 Osterville West Barnstable Rd Property Address Valiga Owner Owner's Name information is required for Marstons Mills Ma 02648 12-12-18 every page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes"or"no"for each of the following for all inspections: Yes No ❑ ® Pumping information was provided by the owner, occupant, or.Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? Z ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ❑ ® Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 cam, Commonwealth of Massachusetts ,ip Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 646 Osterville West Barnstable Rd Property Address Valiga Owner information is Owner's Name required for Marstons Mills Ma 02648 12-12-18 every page. CitylTown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Description: According to design plan system consists of a 2000 amphidrome 1000 pc dbox and 3 500 gallon drywells Number of current residents: Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ❑ No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes ❑ No Last date of occupancy: 2018 Date t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 646 Osterville West Barnstable Rd Property Address Valiga Owner Owner's Name information is required for Marstons Mills Ma 02648 12-12-18 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Fond:Subsurface Sewage Disposal System•Page 8 of 18 Commonwealth of Massachusetts ,ig Title 5 Official Inspection Form �- l Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 646 Osterville West Barnstable Rd Property Address Valiga Owner Owner's Name information is required for Marstons Mills Ma 02648 12-12-18 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ❑ Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ® Other(describe): Amphidrome, pc, and 3 500 gallon chambers with stone. Approximate age of all components, date installed (if known) and source of information: 2004 per as-built Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments M 646 Osterville West Barnstable Rd Property Address Owner Valiga information is Owner's Name required for Marstons Mills Ma 02648 12-12-18 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 2 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 2000 amphidrome Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): System has a o/m contract recommend pumping per contract. t5insp.doc-rev.7/262018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 : Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 646 Osterville Wes_Barnstable Rd Property Address Valiga Owner Owner's Name information is required for Marstons Mills Ma 02648 12-12-18 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts (P Title 5 Official Inspection Form la Subsurface Sewage Disposal System Form -Not for Voluntary Assessments u 646 Osterville West Barnstable Rd Property Address Valiga Owner information is Owners Name required for Marstons Mills Ma 02648 12-12-18 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present:. ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box(if present must be opened) (locate on site plan): Depth of liquid(level above outlet invert oil Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Box was functioning properly at time of inspection. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts F Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments •u% 646 Osterville West Barnstable Rd Property Address Valiga Owner Owner's Name information is required for Marstons Mills Ma 02648 12-12-18 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ® Yes ❑ No* Alarms in working order: ® Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Alarms/pumps were functioning at time of inspection. All electrical components are located in small shed in side yard. * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ® leaching pits number: 3 ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 Commonwealth of Massachusetts (o Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments .L; 646 Osterville West Barnstable Rd Property Address Valiga Owner information is Owner's Name required for Marstons Mills Ma 02648 12-12-18 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): One chamber was opened and was empty with damp soils in bottom. recommend installing a riser cover was 3-4 ft down. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 Commonwealth of Massachusetts p Title 5 Official Inspection Form 1" Subsurface Sewage Disposal System Form -Not for Voluntary Assessments •u 646 Osterville West Barnstable Rd Property Address Valiga Owner Owner's Name information is required for Marstons Mills Ma 02648 12-12-18 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7r26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 18 cam, Commonwealth of Massachusetts p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 646 Osterville West Barnstable Rd Property Address Valiga Owner Owner's Name information is required for Marstons Mills Ma 02648 12-12-18 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 c � Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 646 Osterville West Barnstable Rd Property Address Valiga Owner information is Owner's Name required for Marstons Mills Ma 02648 12-12-18 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: greater than 5 feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 12-2018 Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: design plan Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.712612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form to Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 646 Osterville West Barnstable Rd Property Address Valiga Owner Owner's Name information is Marstons Mills M - - required for a 02648 12 12 18 every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and 6 (Checklist)completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 Assessing As-Built Cards Page 1 of 2 &LcA111,11-1- TOWN OF BARNSTABLE C.Ir lula1vuLOCATIONG AfSEWAGE li D1/"r" VILLAGE—AO- -f ���Qf ASSESSOR'S MAP&LOT 1LIk 'L_f INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACrf y_.4 D,Q° 46/'A"...,y #owo le.- LEACHING wmrry:(type) 3-k- r.W15 (size) /OX 7,9 X 2 ' NO.OF BEDROOMS_3`_ BUILDER OR OWNER K• An' a/7 i PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility � Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet ' Edge of Wedand and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by i S- �y http://www.townofbamstable.us/Assessing/HMdisplay.asp?mappar=123015&seq=1 12/13/2018 DOE 00 COASTAL ENGINEFUUNG MAY 9 i 014 AUTHORIZATION FOR COMPANY, u'��. ' -. TECHNICAL. 260 Cranberry,Highway,Oetearis;(�A a(02653"�- � - �w zA SERVICES 508.255.6511 a Fax:508.255.6700 a coastalengineeringcompany.com To: Kristin Valiga Date: 041611:4 Project No. P'14.04.15.10 646 Osterville-West Barnstable Road Marstens Mills, MA 02648 Project: Amphidrome Wastewater Treatment System Operation &Maintenance Location:. 646 Osterville-West Barnstable Road P: 508-737-5136 E: kvaliga@gmalf.com :Marstons Mills, MA Assessor's Map 12-3, Parcel 015 COASTAL ENGINEERING will perform the following fixed-Fee: See Attachment 2 services relating tathe referenced project. Contract Duration: Ongoing SCOPE OF SERVICES: j. In accordance with,the Department of Environmental Protection (DEP).General Use Approval for an Amphidrome Wastewater Treatment System, Coastal Engineering will-provide the following services (See Attachment 1-for-detailed Scope of Services): Operation.and-.maintenartm of...the:Amphilrorrle Wastewater Treatment Plant. e . Sample effluent of Amphidrome System. a Prepare and submit summary. reports. Deposit.Required: W2.50 TJPlvsw D:I3ROPOSAl.S11HOLDXwastewaterATS120141.1laliga-ATS 2014-04-16.doe SUBJECT TO STANDARD CONDITIONS FOR AUTHORIZED FOR COASTAL ENGINEERING: ENGAGEMENT - QWe are proceeding with service(s) noted as per your By: direction. Immediate notification in writing is required Todd J. Palmatier, Program Coordinator if you wish to alter this authorization. Please execute.this agreement authorizing us to Date: April 16,2014 proceed at the above fixed fee. AUTHORIZED FOR CL IENT: This.document will:become our original agreement. By: Title: er f Acceptance of this agreement by signature authorizes /l COASTAL ENGINEERING to proceed as described.::This ::: Date: LT/6 proposal expires in 90 days if not signed by both parties. PLEASE SIGN AND RETURN ONE DOPY i Kristin Elaliga April 1 G,2014 ATTACHMENT 1 OPERATION AND MAINTENANCE SCOPE OF SERVICES The following is a summary of the scope of services to be provided by Coastal Engineering co., Inc. Technical Services Division (TSD)for the.benefit of the Eastham Lobster Pool Restaurant: The treatment system shall be operated by a Certified Wastewater Plant Operator, grade 4 or above, in accordance with the requirements of 247 CMR 2.00 and the Board of Certification of Operators of Wastewater Treatment Plants.The treatment system shall also be operated in accordance with the conditions established under 310 C.MR 15,000 Tide 5 of the Massachusetts Environmental Code for General Use approval and with the Barnstable Board of.Health. A. Operation and Maintenance 1. Perform routine Amphidrome operational services and plant maintenance quarterly. Routine operational services to include: a. Inspect plant equipment, effluent disposal area and pump station; b. Assess flow conditions entering the facility and make necessary process adjustments; c. Record flow volumes, filter backwash cycles and running time-meters on pumps and blowers; d. Maintain operational log; and e. Inspect and schedule the pumping of sludge holding tanks. Routine plant maintenance to include: a. Normal maintenance of all equipment per manufacturer's instructions, including.such items as changing of oil, replacement of bearings, repacking seals, and parts lubrication. Normal maintenance does not include the costs of spare parts or extensive maintenance that-requires the services of specially trained qualified technicians. b. Cleaning and maintenance of the treatment plant and equipment. c. Electrical maintenance not including that which requires the services of a.licensed electrician. d. Sludge removal is not included under routine maintenance and will remain the responsibility of the facility owner. - 2. Adjust the Amphidrome Wastewater Treatment System based on field testing, lab testing results and occupancy. 3. Add chemicals for process control, as needed. B. Amphidrome Sample Collection and Monitoring: Collect samples in accordance with the facility's Board of Health Approval. sampling of the effluent will be conducted quarterly. The effluent samples will be tested for: pH, C-BOD5,TSS, Total Nitrogen and Alkalinity. C. Amphidrome Reporting: Prepare summary reports and submit to the Department of Environmental Protection, Barnstable Board of Health, Barnstable County Department of Health and Environment and the client. Reports to include a summary of Operation and Maintenance activities and a compilation of sample results presented on acceptable forms_ r Kristin Valiga April 18,20114 ATTACHMENT 2 COASTAL ENGINEERING CO.,-INC. (CEC)-is pleased to present this price proposal for the Operation and Maintenance (O&M)of th.e wastewater treatment facility located at 646.Osterviile-West Barnstable Road in Marstons Mills.The price has been prepared to be all-inclusive for the O&M services outlined in our Scope of Services. In developing our price, we have not included the following items,costs for which are the responsibility of the owner. I. Maintaining and enforcing all warrantees, guarantees, easements, permits,and licenses in place by the owner at the start of the Agreement. 2. All waver,telephone/alarms, electricity, heating, and generator fuel provided to the wastewater treatment plant. 3, All capital improvements to the facility. 4. Maintaining all risk property insurance for the facility,as well as flood insurance. 5. Transportation and disposal of sludge.generated by the treatment processes. 6. Chemscal supply used for process control 7. Repairs of major components(blowers,.process pumps,backwash pumps, chemical teed pumps, etc.). 8.. Instrumentation calibration and.maintenance. 9. Fire monitoring fees and fire equipment maintenance. COST OF SERVICES 1 The yearly fixed fee costs for the services detailed in Attachment I.shall be as follows: Operation and Maintenance.,............................—.................. .................. .............................$500'.00 Sampling—Laboratory costs are included ............................................._..............................$600.00 Reporting:..............................................................:..................................... . ............I--........ $150.Ofl . TOTAL..................................................................... .......................,................$1,250.00 Yearly. Billed @$312.50 Quarterly 2. Barnstable County Database Management Fee' $50.00 3.. Services performed in addition to those noted,including responding to alarms,will be invoiced at$100.00 per hour. 4. The cost for replacement equipment, supplies and.process control chemicals will be invoiced at our cost plus surcharge in accordance with our Standard Conditions for Engagement.(copy attached). 5. .Additional sampling and testing, if required,will be invoiced at time and expense, in accordance with our standard rates. _ Fn the event that state or local regulatory bodies change sampling requirements andlbr Operation and Maintenance requirements,the cost estimate'wili be revised to reflect these changes. Barnstable County assesses an annual_database management fee.of$50:00 for each wastewater. treatment management system-in Barnstable County. Each July the County sends an assessment notice to Coastal Engineering Company, Inc-., for the systems operated by Coastal. Coastal Engineering pays the fee for the system.owner and includes a$50.00 charge for this fee on your next invoice as a reimbursable expense. 260 Cranberry Highway TRANSMITTAL Orleans,MA 02653 508.255.6511 p 508.255.6700 F COASTAL Orleans I Sandwich I Nantucket engineering co. coastalengineeringcompany.com To: Kristin Valiga Date: 07/24/2018 Project No. WBA008.00 646 Oslerville-West Barnstable,Road Via: 01st Class MaII❑Pick up❑Delivery[]Fed Ex Marstons Mills, MA 02648 Subject 646 Osterville - West Barnstable Road Amphidrome Treatment System ,,,0peration 6.Maintenance,� ❑Plans ❑Copy of letter ❑Specifications ®Other We are sending the following items: Copies Date No. Description 1 07/16/2018 WBA008.00 06M Inspection Form i 07,116/2018 WBA008.00 Laboratory Test Results These are transmitted as checked below: ❑for approval ®for your use ❑as requested ❑for review 6 comment ❑ Remarks: Enclosed is the recent 06M inspection form and laboratory test results for the system referenced in the above location. The 06M inspection form shows the system is operating properly. Test results show high levels of Total Nitrogen that exceed the upper discharge limit due to elevated levels of TKN. We will adjust our use of process control chemicals to help improve treatment of the system. We also recommend reviewing the attached handout to consider if any of the listed inhibitive substances are being inadvertently introduced into the system. - =r Please do not hesitate to contact us if you have any questions or comments. Cc: By: Chad A. Simmons CAS/acc D:\DOC1W\WBA\008\Transmlttais\2018-07-24 Trans.doc NOTE:If enclosures are not as noted,please contact us at(508)2ss-6511 —� 260 Cranberry Highway SCANNED Orleans,MA 02653 ) 508.255.6511 P 508.255.6700 F -- I �0�� t T/�L Orleans I SanNich I Nantucket engineering c o. coastzlen ineer(n com a ny,com AMPHIDROME FIELD SERVICE REPORT Date: Project No.: waa Client: Time: U i Address: (, iw: C—W W Inspector: ,e edl qqij 1)Odor around site? Y ALP Source of odor? Field testing conducted during visit. /N .Chemicals.dropped-ofior_added_to__systEm_Y_ If YES,type and amount of chemicals. Type of I/A S stem SIOCLERE FAST RSF THEN y If OTHER type: ro to o s�� .�(Jb 3 1 •b «mac ! REAS FO SITE VLSI /REPORT SUMMARY � a a of wa _S o 1 u.�- {' S w Ev Q� �OJi4 v W .� �S `7 SIGNATURE: DADeportment l r eslFormstNewtAbbrevFie&Service Report.doc Ar .z -x y �.wy a y��i+ vet ""►►4 �r ,, • 1 - ,Eco-;" i c 'b ,+ �4 I;1, #^ pt i `+y" y - r $0H 07/2N12Ala r Serial_No:07241811:06 r7 HA SCANNEj- �. ..��'N,.A}3, TO CAL anrat_rncaL Rr=Porgy IV Lab Number: L1827225 Client: Coastal Engineering Company 260 Cranberry Highway Route 6A Orleans,MA 02653 ATTN: Chad Simmons Phone: (508)255-6511 Project Name: VALIGA Project Number: WBA008.00 ;� + Report Date: 07/24/18 .f 2. `Ak The original project reportidata package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. K Certifications 8 Approvals:MA(M-MA086),NH NELAP(2064),CT(PH-0574),IL(200077),ME(MA00086),MD(348),NJ(MA935),W 01148), NC(257001666),PA(68-03671),RI(LA000065),TX(T1o4704476),VT(VT-0935),VA(460195),USDA(Permit#P330-17-00196). r Eight Walkup Drive,Westborough,MA 01581-1019 508-898-9220 (Fax)508-898-9193 800-624-9220-www.alphalab.com Y page 1 of 1.5 f a Sedal_No:07241811:06 Name: VALIGA Lab Number: L1827225 Number: WBA008,00 Report Date: 07/24/18 SAMPLE RESULTS //" L L1827225-01 Date Collected: 07/16/1810:45 Client ID: EFFLUENT Date Received: 07/17/18 Not Specified Sample Location: 646 OSTERVILLE-WEST BARNSTABLE ROAD,MARSTON Field Prep: MILLS, MA Sample Depth: Matrix: Water Dilution Date Date Analytical � Analyzed Method Analyst Parameter Remit Gualitier Units RL MDL Factor Preps er wrr# ry�lNestb-ON-" �.: S 0711 Bit 8 o9:5 1 121,220B ea mg CaCO3Vl 2.00 NA 1 Alkalinity,,Total -1� '07/19/18 20:00"*"121;2540D CW ND, .�-._,,.--. .m9iia •"6.0 1, 00.09 --4 MR Solids,Total Suspended ,,.��, ':; 1_ _ . 07/18/18 00:09 44,353.2 0. tJitrog�,N 57 mcin 0.050 -07/18/18 00:09 44,353.2 MA Nitrogen,mb to 3.8 _ -— - — _ -- ----- - - _ mgN� -0.300 _ 1 07/18/1804:30 07/18/1822:04 121,4500NH3-H AT Nitrogen,TOW NeldlN 27.4 mgA 2.0 NA 1 07/1811807:55 07/23/1813:40 � 121,5210E __.. TE ND CBOD,5 day r a P Wo-Ifypritil r, �f. , r •ci.r ? Regulato Requ Ire men tsloaP .&eimiits`°_�. Ctiarit Mfofinetlas , :. .. M-M MCP.PRESUMPTIVE CERTAII4TYt'CT�REASONABLE,CONFIDENCE,PR •I i a •I Tum Ar'o nji,Time °"may W 2554M 0 stwidift ■ Rtah 4MY .. - ■ r. Jim • • i 1. . �I • .. • ;• L,NWOUV�V�VVVVV VLOLEJ VUVV�V ����L■�UIJL■IU ■ 1!1LJUUsL■J ■w���uu uu ut'�M' uuuruuur�� r���Muw Who uuur�►uu �r�r 0ru�uuuuuc�1 191 PLEASE ANSWER QUESMON8 ABOVE] ®���uuut�u�uuuuiuuu ■r • PROJECT ..:_ AmphidromeTM Inspection Checklist Wastewater Facility 4TjOti"Oro"IC Location 646 05A-�_,Q ACE-W..2.41msyl4blE �c�/�'7ar5for Day/Date t,jrsr� f/Y:jly Operator/Firm Cca9 sty — �p Facility Type: Amphidrome Plus oi 4 Single Dual Design Parameters: Effluent — Flow kgpd BOD TSS NE3 NO3 Total-N Colifor Fecal m Actual Data: (latest lab result) *field results day avg. Flow kgpd BOD TSS NH3 NO3 Total-N Fecal Coliform No.of Treatment Cycles/24hrs .24 hr Timer Reset 5c--6„n�S. Cycle Beginning/End times Train I-1 2 3 4 Train 2-1 2 3 4 Backwash Cycles-TIC Train 1-1 2 3 4 Train-2-1 2 3 4 Denite BW Frequency/TIC l 2 RETURN CYCLES Train 1-No. of Return cycles Time after high float Train 2-No. of Return cycles Time after high float Equipment Run Time TIC PBI m/d P132 m/d BWB1 m/d BWB2 m/d RP 1 m/d RP2 m/d B WP l m/d B WP2 m/d DFP 1 m/d DFP2 m/d DB W P l m/d DB WP2 m/d INF Pumps 1 m/d 2 m/d 3 m/d 4 m/d EFF Pumps 1 m/d 2 m/d 3 m/d 4 m/d Meth.Pump Amph.#1 m/d Amph42 m/d Denite m/d Alk Pump/loc. #1 m/d- #2 m/d- #3 m/d- COUNTERS No.of Discharges off of High float Amp1BW AmpIFBW Amp2BW Amp2FBW DBW DFBW Equipment OFF-LINE/Reason I. 2. ..... ....._ 3, . _ . ... ... .... ........... 4. Anoxic Tank Sludge DOB/water level / I)EE'o fo ill O'w n erz, S he/0-co rcvu0jlJ leucl C:\WebDevSite\dep\brp.lw\vm\files\it\ampck.doe s J AmphidromeT"" Inspection Checklist Date 11��1,4 Location 646 841.nsfr9'-blc R4 Timeln 10-004 Out "' �ars�� �/�/�S J Participants: /32 r � h Review of Site Visit 3 m -�-, ho l.><�, _ oC- C/EArc- we!1 7Pn, r Hl cr,- 17 l Yt w b�t rJo2lc�n k- P�ib nln /7 ro 1 K J nj.F� 7b djQ duowr7 tn4j eti grass _ co� lb co ri -i�lc - � �o n e� ��fl�•-i�- t��s 42" C/T _. .... ................................ . . ...... ........ ..... ...................__ _ _ ............ _ ._ �.. ... .. . _ ..... ........ --y") C:\WebDevSite\dep\brp\%v%vm\files\it\ampck.doc 2 r" ENVIR0 TECH LARI®RAJTORIES, INC. MA CERT. NO.: M-AM 063 8 Jan Sebastian Drive Sandlvicb,AM 02563 (508)888-6460 1-800 339-6J60 FAX(508)888 6d46 Thursday,JM5,2d,201d Coastal Engineering Co. 260 Cranbert y High tray Orleans lilt! 02653 ProjectNanre:- Italia Comments: Project Number: WBA 008,00 Collection Date. 07117114 Collection 7Ynte: 10:00 Sampled By: SMCCaltill Lab Order Number: WTI 1 42314 Date Received. 07117114 .Sample Type Sample Trme ;Smnple:Daie Cottunettts Et(lueni {1 1000' ` ` 07117l14 Parerrtelc�s Units Test Resu is Repartable Limits DateAnalj,ced Aua/pst _.rAlethad ` C-80D 5 day mg/L BRL 3.0 07118114 MC 52108 Kjeldhal Nitrogen mg/L 5.1 0.6 07/22114 KB SM45W NH3 C Nitrate•N mg/L 8.56 0.05 07/t7114 LL 300.0 Nllrile-N mg/L 0.23 0.020 07/17/14 LL 300.o Total Suspended Solids mg/L 11 1.5 OVUM KS 2540 D Alkalinlly mg/L(CaCO3) 77.6 2.5 07/17114 LL 2320 B _...... .. . ......... .. .......... . .... ...... ....................._..... .............. ................ . ., ......... ..,.......... .........,...,,.,,, .... ........... ._..,...._.... . . . 13RL=beJoiv reparlcWe luniu $see attached Ro tald J. S ar' Laboralor Df ector Page 1 of 'COASTAL, }r1 Vi( -ENGINEERING y= CHAIN OF CUSTODY RECORD I•COMPANY-JNC. Lab Contact: Ronald . Saari 260 c Company: Envirotech Laboratories Inc. sanbcrry Highway,Orleans,MA o2as3 Address: 8 Jan Sebastian Drive Unit 12 508.255.6511 u Fax508:2555.67010 o.coas[alengineeringeompany.com Project Name: _ Sandwich. MIA 02563 Project No.:_ WA 9 008. Q a Telephone: 508-888-6460/800-339-6460 Fax:508-888-6446 Sampled By: (please print) Containers n d fl . i_ Date/Time Sample Identification No. Size GIP C� U 0 E Pre. Analysis equested/Comments Lab Number • } Ir. - -5 Z-) P g Fr"i -1 K-Al '.i�t.j:. Sampled/Relin shed by: Date/Time Receiv d b YnDateMme DatelTime Relinquished by. Date/Time Sl nature % f Si natureSi nature Relinquished by: Date/Time Received by: Relin wishedq Y= DateMme Si nature Si nature - - Method of Shipment Si nature Remarks: — US Exprass Mail Labcl No. ❑Otherp4z 6-j�. rr;D:1DOC{Departrnent Technic ScrviceslFormslGralnoJCustodv-Envirotedi?fl/1-fl-lh.doc The Board granted the indoor dining without requiring screen doors to the restaurant with the following conditions: 1) variance is non-transferable to any other operator at this location, 2) no food storage outside of the kitchen while the doors to outside are open, 3) the air curtain must stay on when doorways are open to outdoors and 4) the variance letter must be posted next to the food permit. (I will go over wording with TM) V. Food — Temporary Food Event: Charlene Colon representing Outdoor Summer Bridal Show on the Hyannis Green, on Sunday; June 29, 2014 to include the following foods: cannolis, samples of wedding cakes, and Polar seltzer beverages (variety of flavors.) Granted with Condition. The Board granted the temporary food event with the condition that the applicant supply the Health Division with the actual position of Montilio's table and how they will set up their handwash station. The vendors will be: Polar Beverages, Cape Cod Cannolis, and Montilio's VI. Body Artist—Apprenticeship. Mark Corliss, Spilt Milk Gallery— apprentice, Marie Ires Todd, has concluded her apprenticeship. Requesting license. Granted. The Board granted Marie Ires Todd a body artist license. VII. Old / New Business: A. Approval of the Minutes —March 11 and May 13, 2014. Approved March 11 minutes. The May 13 minutes will be continued. B. Update: Stable - Kathy Woodbury, 365 Sampsons Mill Road, Cotuit. Issue Permit with Condition. The issues have been resolved with the exception of the payment.of permits. The Board requests payment within 30 days. If not received, this will return to the Board at the August meeting. Once payment made, the Cease and Desist order will be withdrawn. C. Update:: Huettner, 81 Thread Needle Lane, Centerville-failed septic Action to be Taken at August 2014 Meeting. The percolation test was done 6/6/14 however, no permit has been taken as this time. The Board requires the system be replaced by August 2014 meeting or the owner/owner's representative must attend the meeting. D. Update: Valigia, 646 Ost-W.Barnstable Road, Marstons Mills- test result— I/A not available until mid-June. Discussed. Coastal Engineering will be supplying the Health Division with their recent test results. E. Fertilizer— Barnstable County has developed a fertilizer plan. r Page 2 of 2 BOH 06/10//2014 �(� \/II. Food — Temporary Food Event: Audi of Cape Cod's "Premier Event" on Saturday, April 19, 2014, located at 460 Yarmouth Road, Hyannis, from 11 am — 4 pm, with one vendor, Ken Foster - Breakaway Grill, serving hot dogs and hamburgers. Ken Foster was present. Mr. McKean said the staff has no objections. The Board is very familiar and happy with Mr. Foster's Breakaway Grill and procedure as he has been doing temporary food events for years. Upon a motion duly made by Dr. Miller, seconded by Dr. Canniff, the Board voted to grant the temporary food event on April 19, 2014. (Unanimously, voted in favor.) `✓III. I/A System Maintenance (Cont.): A. Jeremiah:and Kristen Vaiiga, owners — 646 Osterville-West Barnstable Road, Marstons Mills, Map/Parcel 123-015, no operation and maintenance contract for the I/A system onsite (April 1, 2013). Kristen Vaiiga was present and explained the maintenance contract became too expensive. It increased from $850/year to $2,000/year. The blowers were found to be shut off at one point causing bad test results. The system is in a locked shed and the owners believe the service man may have forgotten to turn the blowers back on after testing the system. They switched to a contractor in Falmouth for 6-8 months. That contractor could not get the system to work so they returned to their original contractor who determined they needed a new panel for $700. Mrs. Vaiiga said the contractor's high rates became too unreasonable. The County gave her a list of contractors to try. Kristen said that all but one has been unfamiliar with their system. She has been in contact with Todd at Coastal Engineering, Orleans and hopes he is able to offer a reasonable fee. Kristen asked the Health Division to give her a copy of the required tests needed so she can pass it on to him. Dr. Miller said at this time, they will need to require all the original testing to verify the system is doing fine. With more test results, the testing may be able to be reduced to test only the total nitrogen level which should, in turn, reduce the cost. Upon a motion duly made by Dr. .Milier, seconded by Dr. Canniff, the Board voted to continue this for two months to the June 10, 2014 meeting. (Unanimously, voted in favor.). IX. Old / New Business: A. Approval of the Minutes — February 11, 2014 and March 11, 2014. The Minutes will be continued to the May 13, 2014 meeting. Page 4 of 5 BOH 04/08/2014 COASTAL ENGINEERXNIG 1,10 AUTHORIZATION FOR COMPANY, TECHNICAL 260 Cranberry* Highway,Orleari�MX02653 SERVICES 50B.255-6511 a Fax 508.255.6700 a coastalengineeringcompany-com in, RI-1 To: Kristin Valiga LL, -, D gtd, 6114 Project No. P 140415.10 646 Osterville-West Barnstable Road tv, I Marstens Mills, MA 02648 Project: Amphidrome Wastewater Treatment System Operation& Maintenance Location: 646 Osterville-West Barnstable Road P: 508-737-5135 E: kvaliga22mail.com Marstons Mills, MA Assessor's Map 123, Parcel 015 COASTAL ENGINEERING will perform the following Fixed Fee: See Attachment 2 services relating to the referenced project. I I Contract Duration: Ongoing SCOPE OF SERVICES: In accordance with the Department of Environmental Protection (DEP) General Use Approval for an Amphidrome Wastewater Treatment System, Coastal Engineering will provide the following services(See Attachment 1 for detailed Scope of Services): • Operation and maintenance intenance of the Amphidrome Wastewater Treatment Plant. • Sample effluent of Amphidrome System. • Prepare and submit summary reports. Deposit Required: TJP/vsw D:IPROPOSALSIIHOLIIIWastewaterATS12014IValiga-ATS 2014-04-16.doc SUBJECT TO STANDARD CONDITIONS FOR AUTHORIZED FOR COASTAL ENGINEERING: ENGAGEMENT - . * I We are proceeding with service(s) noted as per your By: TOAV d r--" aZEa-,1 direction. Immediate notification in writing is required Todd J. Palmatier, Program Coordinator if you wish to alter this authorization. Please execute this agreement authorizing us to Date: April 16,2014 proceed at the above fixed fee. AUTHORIZED FOR CLIENT: F71 This document will become our original agreement. By: n Title: Anoperty 0AC) Acceptance of this agreement by signature authorizes COASTAL ENGINEERING to proceed as described. This Date: �/6 if proposal expires in 90 days if not signed by both parties. PLEASE SIGN AND RETURN ONE COPY Rris'ri» !-align April 16,2014 ATTACHMENT OPERATION AND MAINTENANCE SCOPE OF SERVICES The following is a summary of the scope of services to be provided oastaf Engineering cam.,Inc. Technical Services Division (TSD) for the benefit of the stham Lobster Pool Re tas urantfi-_. �J The treatment system shall be operated by a Certified Wastewater Plant Operator, grade 4 or above, in accordance with the requirements of 247 CMR 2.00 and the Board of Certification of Operators of Wastewater Treatment Plants.The treatment system shall also be operated in accordance with the conditions established and-3r 310 CMR 15.000 Title 5 of the Massachusetts Environmental Code for General Use approval and with the Barnstable Board of Health. A. Operation and Maintenance 1. Perform routine Amphidrome operational services and plant maintenance Quarterly. Routine operational services to include: a. Inspect plant equipment, effluent disposal area and pump station; b. Assess flow conditions entering the facility and make necessary process adjustments; c. Record flow vo�umes, filter backwash cycles and running time-meters on pumps and blowers; d. Maintain operational log; and e. Inspect and schedule the pumping of sludge holding tanks. Routine plant maintenance to-include: a. Normal maintenance of all equipment per manufacturer's instructions, including such items as changing of oil, replacement of bearings, repacking seals, and parts lubrication. Normal maintenance does not include the costs of spare parts or extensive maintenance that requires the services of specially trained qualified technicians. b. Cleaning and maintenance of the treatment plant and equipment. c. Electrical maintenance not including that which requires the services of a licensed electrician. d. Sludge removal is not included under routine maintenance and will remain the responsibility of the facility owner. 2. Adjust the Amphidrome Wastewater Treatment System based on field testing, lab testing results and occupancy. 3. Add chemicals for process control, as needed. 8• Amphidrome Sample Collection and Monitoring: Collect samples in accordance with the facility's Board of Health Approval. Sampling of the effluent will be conducted quarterly. The effluent samples will be tested for: pH, C-BODS TSS, Total Nitrogen and Alkalinity. C. Amphidrome Reporting: Prepare summary reports and submit to the Department of Environmental Protection, Barnstable Beard of Health, Barnstable County Department of Health and Environment and the client. Reports to include a summary of Operation and Maintenance activities and a compilation of sample results presented on acceptable forms. i Krisrin J."aliga April16,2014 ATTACHMENT 2 COASTAL ENGINEERING CO., INC. (CEC) is pleased to present this price proposal for the Operation and Maintenance (O&M)of the wastewater treatment facility located at 646 Osterville-West Barnstable Road in Marstons Mills. The price has been prepared to be all-inclusive for the O&M services outlined in—o-u-Tr79cope of Services. In developing our price, we have not included the following items, costs for which are the responsibility of the owner. 1. Maintaining and enforcing all warrantees, guarantees, easements, permits, and licenses in place by the owner at the start of the Agreement. 2. All water,telephone/alarms, electricity, heating, and generator fuel provided to the wastewater treatment plant. 3. All capital improvements to the facility. 4. Maintaining all risk property insurance for the facility, as well as flood insurance. 5. Transportation and disposal of sludge generated by the treatment processes. 6. Chemical supply used for process control. 7. Repairs of major components (blowers, process pumps, backwash pumps, chemical feed pumps, etc.). S. Instrumentation calibration and maintenance. 9. Fire monitoring fees and fire equipment maintenance. COST OF SERVICES 1. The yearly fixed fee costs for the services detailed in Attachment 1 shall be as follows: Operationand Maintenance.................................................................................................. Sampling—Laboratory costs are included ........................................................................... 00 Reporting:............................................................................................................................... TOTAL.............................................................................................................. Yearly Billed @ Quarterly 2. Barnstable County Database Management Fee` $50.00 3. Services performed in addition to those noted, including responding to alarms, will be invoiced at per hour. 4. The cost for replacement equipment, supplies and process control chemicals will be invoiced at our cost plus surcharge in accordance with our Standard Conditions for Engagement(copy attached). 5. Additional sampling and testing, if required,will be invoiced at time and expense, in accordance with our sLandard rates. In the event that state or local regulatory bodies change sampling requirements and/or Operation and Maintenance requirements, the cost estimate will be revised to reflect these changes. Barnstable County assesses an annual database management fee of$50.00 for each wastewater treatment management system in Barnstable County. Each July the County sends an assessment notice to Coastal Engineering Company, Inc., for the systems operated by Coastal. Coastal Engineering pays the fee for the system owner and includes a$50,00 charge for this fee on your next invoice as a reimbursable expense. EXCERPT FROM THE BOARD OF HEALTH MEETING MINUTES 4/08/14 I. I/A System Maintenance (Cont.): A. Jeremiah and Kristen Valiga, owners — 646 Osterville-West Barnstable Road, Marstons Mills, Map/Parcel 123-015, no operation and maintenance contract for the I/A system onsite (April 1, 2013). Kristen Valiga was present and explained the maintenance contract became too expensive. It increased from $850/year to $2,000/year. The blowers were found to be shut off at one point causing bad test results. The system is in a locked shed and the owners believe the service man may have forgotten to turn the blowers back on after testing the system. They switched to a contractor in Falmouth for 6-8 months. That contractor could not get the system to work so they returned to their original contractor who determined they needed a new panel for $700. Mrs. Valiga said the contractor's high rates became too unreasonable. The County gave her a list of contractors to try. Kristen said that all but one has been unfamiliar with their system. She has been in contact with Todd at Coastal Engineering, Orleans and hopes he is able to offer a reasonable fee. Kristen asked the Health Division to give her a copy of the required tests needed so she can pass it on to him. Dr. Miller said at this time, they will need to require all the original testing to verify the system is doing fine. With more test results, the testing may be able to be reduced to test only the total nitrogen level which should, in turn, reduce the cost. Upon a motion duly made by Dr. Miller, seconded by Dr. Canniff, the Board voted to continue this for two months to the June 10, 2014 meeting. (Unanimously, voted in favor.) I/A system is Amphidrome. Todd Palmatier at Coastal Engineering, Orleans, 508-255- 651 lx554 or c 508-237-4979, verified he is contracted for the O&M. Board had requested an effluent sample tested to verify it is ok since the blowers had failed. Q:\MINUTES\EXCERPT OF MINUTES\Excerpt BOH Apr 2014 646 Ost-WB RdMM IA.doc 3T Town of Barnstable Barnstable Regulatory Services Department 'A-1 Public Health Division I 1 En Mpt a`�� 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard Scali,Interim Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL # 7012 1010 0000 2851 2446 02/14/2014. Jeremiah and Kristen Valiga 646 Osterville-West Barnstable Rd. Marstons Mills, MA 02648 RE: Operation and Maintenance Contract for the Innovative Septic System installed at 646 Osterville-West Barnstable Road in the Town of Barnstable. The operation and maintenance contract for your Amphidrome innovative/alternative wastewater treatment system may have expired, or was cancelled as of 4/1/2013 to date they have not received evidence that you have entered into a new Operation and Maintenance contract. Therefore we are writing to instruct you that the Massachusetts Department of Environment Protection (MA DEP) and the Town of Barnstable require you to keep an Operation and Maintenance (O&M) contract in effect at all times for your system. Information about these requirements may be found at http://www.barnstablecountyhealth.org/ia-systems/ia-owners-guide. The Public Health Division is hereby contacting you to inform you of the above requirement and to order you to comply. Accordingly please forward a copy of a signed contract via mail, fax or e-mail within thirty (30) days of receipt of this letter. Please be advised that if you do not respond within thirty (30) days of your receipt of this letter by forwarding a copy of an assigned contract, you will be scheduled to appear before the Board of Health at a show cause hearing on March 11, 2014 to provide information relative to the required contract. PER ORDER,OF THE BOARD OF HEALTH AW M Kean R.S. CHO Agent of the Board of Health Town of Barnstable Barnstable Regulatory Services Department ' 4 t r BARNSTABMAM` r Public Health Division �F1639. 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard Scali,Interim Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL # 02/14/2014 Jeremiah and Kristen Valiga 646 Osterville-West Barnstable Rd. Marstons Mills, MA 02648 RE: Operation and Maintenance Contract for the Innovative Septic System installed at 646 Osterville-West Barnstable Road in the Town of Barnstable. The operation and maintenance contract for your Amphidrome innovative/alternative wastewater treatment system may have expired, or was cancelled as of 4/1/2013 to date they have not received evidence that you have entered into a new Operation and Maintenance contract. Therefore we are writing to instruct you that the Massachusetts Department of Environment Protection (MA DEP) and the Town of Barnstable require you to keep an Operation and Maintenance (O&M) contract in effect at all times for your system. Information about these requirements may be found at http://www.barnstablecountyhealth.org/ia-systems/ia-owners-guide. The Public Health Division is hereby contacting you to inform you of the above requirement and to order you to comply. Accordingly please forward a copy of a signed contract via mail, fax or e-mail within thirty (30) days of receipt of this letter. Please be advised that if you do not respond within thirty (30) days of your receipt of this letter by forwarding a copy of an assigned contract, you will be scheduled to appear before the Board of Health at a show cause hearing on March 11, 2014 to provide information relative to the required contract. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S. CHO Agent of the Board of Health CarmodyTM Service History r Page 1 of 8 CarmodyTM Environmental Management Services BARNSTABLE County, Massachusetts — Karen Malkus ~2/12/2014 Main Menu Service History Home Log Out _ __ How To:All Tutorials Print Service History W.2ply Tor Passwords . Support ort Phone/Fax Report Tech Problem Property Information Change/Request Form Change Password Property ID BAOst646Amp(Tracking Number) Contractor Upload Carmody Training Links Map Register Event Name Valiga, Jeremiah and Kristen File a Service Event How To:File Event Site Address 646 Osterville-West Barnstable Road Marstons Mills, MA Data Resources SearchiAdd Propeq Service Activi Service Statistics Create a Report Create an Excel File Total Service Events (To Date) 25 Reconcile Addresses Statistics Report Audit Reports - Setup View Onsite Service History: 1� Q2 �3 All Years r Include Inactive Component Flags Review Questions Shoal I All Reports Send Payment p More Applications Service History -All Date Report Type Entered Gallons Recorded or Comments Daze Pumped By Disposal Serviced Site 12/2/2013 System No service No service event °_- o $g/ 12:00 AM Generated recorded reported within service Add,cominents 12/2/2013 schedule: 12/01/2012 to 12:00 AM 12/0112013. Notes: No service event was recorded by the system for this flag: Maintenance Contract 7/2/2013 System No service No service event y®wi h9sg 1 12:00 AM Generated recorded reported within service Add Comments' 7/2/2013 schedule: 02/21/2013 to 12:00.AM 07/01/2013. Notes: No service event was recorded by the system for this component: Sample Report (Effluent) 7/2/2013 System No service No service event ,- / 12:00 AM Generated recorded reported within service Add Comment' 7/2/2013 schedule: 02/21/2013 to 12:00 AM 07/01/2013. Notes: No service event was http://v,,ww.carmody.biz/pump/Service_History.aspx?permit_id=327893 2/12/2014 CarmodyTM Service History, Page 2 of 8 recorded by the system for this component: Amphidrome 2122/2013 0 F.R. "Inspection" ANOXIC TANK IS Edit 7:46 AM Mahony & BURIED. SPOKE WITH C.--Print 2/21/2013 Associates, HOMEOWNERS Email Report 10:50 AM Inc. REGARDING THE NEED ------ FOR ACCESS NOT Using: The ABLE TO M Web Site SL THIS VISI . 2/27/2013 0 F.R. Sampling upon arrival on site I __- 12:18 PM Mahony & Report found both blowers were 'Print 13 Associates, off for an unknown ail Rei ort 00 AM- Inc. amount of time.System ------ clearly affected by lack Using: The of proper aeration. ran Web Site extended backwash cycles to aid in clearing up system`. both blower left in auto'positio when leaving to-Cite. 1/2/2013 System No service No service event ewtwps 1 12:00 AM Generated recorded reported within service Add Coma tints 1/2/2013 schedule: 09/26/2012 to 12:00 AM 01/01/2013. Notes: No service event was V V recorded by the system for this component: Sample Report (Effluent) 1/2/2013 System No service No service event V®w t�9sg1 12:00 AM Generated recorded reported within service Add`Comments 1/2/2013 schedule: 09/26/2012 to �j 12:00 AM 01/01/2013. Notes: No service event was recorded by the system a\� for this component: Amphidrome X / 1/22/2013 0 F.R. *"Inspection" anoxic tank cover Edit \ J 10:17 AM Mahony & buried. T Print 12/20/2012 Associates, Email R® ort"' / 9:00 AM Inc. Using: The Web Site 1/22/2013 0 F.R. Sampling anoxic tank is buried. :Edit 10:10 AM Mahony & Report Printer 12/20/2012 Associates, Email Report-' 9:00 AM Inc. Using: The Web Site 10/2/2012 System No service No service event@ Fps 1 .j 12:00 AM Generated recorded reported within service Add Comments 10/2/2012 schedule: 06/07/2012 to 12:00 AM 10/01/2012. Notes: No service event was recorded by the system �A- 5V ��� �UV � m http://w,vw.carmody.biz/pump/Service_History.aspx?permit_id=327893 2/12/2014 CarmodyTM Service History : Page 3 of 8 1: i for this component: Sample Report (Effluent) 10/2/2012 System No service No service event V-viiWj4so 1 12:00 AM Generated recorded reported within service Add Co mmnts 10/2/2012 schedule: 06/06/2012 to 12:00 AM 10/01/2012. Notes: No service event was recorded by the system for this component: Amphidrome 10/4/2012 0 F.R. Sampling System is showing ?4 ?.Edit` 9:45 AM Mahony & Report improvement ran manual Print 9/26/2012 Associates, backwash and inspected 'Email Roport 11:00 AM Inc. equipment Using: The Web Site 10/4/2012 0 F.R. "*Inspection" Equipment inspected -"Edit_ - 9:37 AM Mahony & and ran a manual Print ; 9/26/2012 Associates, backwash.Took :Email Re are 11:00 AM Inc. samples in the field and ------ sent sample to the ab: Using: The filters clean, no issues Web Site noted. 6/20/2012 0 F.R. Sampling Backwash pump is ( fcl 7:41 AM Mahony & Report getting loud.visit. Print 6/7/2012 Associates, Email RPor#.". 10:00 AM Inc. Using: The Web Site 6/13/2012 0 F.R. "*Inspection" Backwash pump is "Y Edit 12:02 PM Mahony & getting loud. . Print 6/6/2012 Associates, Email Re ort. 10:00 AM Inc. Using: The Web Site 3/14/2012 0 F.R. "Inspection" Programmable Logic U_ 9� 2:24 PM Mahony & controller was replaced 3/14/2012 Associates, a month ago. NO sample 10:20 AM Inc. was taken at that time ------ due to the system being Using: The down for quite some Web Site time. This visit was to maintain and sample and to see how the system was performing with the repair done to it a month ago. , 3/21/2012 0 F.R. Sampling this system was down Edit 8:05 AM Mahony & Report for quite a while before ° k Print 3/14/2012 Associates, the homeowner Erriaii R,® ore _ 8:20 AM Inc. contacted FRMA for ------ service.On site we Using: The replaced the Web Site programmable logic controller on 2-1-2012. system appears to be recovering and we will conduct follow up visits http://w-ww.carmody.biz/pump/Service_History.aspx?permit_id=327893 2/12/2014 f.r.mahony &associates inc. water supply and pollution control equipment rme tel. 781-982-9300 • fax. 781-982-1056 f info@frmahony.com • www.frmahony.com 273 Weymouth Street•Rockland MA 02370 February 16, 2011 Mr. and Mrs. Jeremiah Valiga 646 Osterville West Barnstable Road' Marston Mills, MA 02648 RE: 2010, 2011 Amphidrome®Maintenance Contracts Dear Mr. and Mrs. Valiga, F. R. Mahony&Associates, Inc. is in the process of renewing our Annual Amphidrome® Maintenance Contracts 2011-2012. Our contracts, as you know,renew yearly on the first of April and remain in effect for one (1) year at which time they are subject to renewal again. It has come to my attention that you did not renew your Amphidrome®maintenance contract with F. R. Mahony&Associates, Inc. last year. Invoice SV7394 F. R. Mahony sent letters and made numerous telephone calls regarding this matter and have not received a response from you to date. F. R. Mahony will not offer a 2011 Amphidrome® maintenance contract at this time. If you have chosen to use another authorized provider please provide FRMA with that information so we may update our records. Under Provisional Approval it is the responsibility of the owner to maintain a maintenance contract on the system at all times and to have quarterly maintenance and sampling performed. Please be advised it is our obligation to report non-compliance to the Local Board of Health and the Massachusetts Department of Environmental Protection. Please contact me at: 508-765-0051 so we may resolve this matter a quickly as possible. Very truly yours, ZE :r n Tammy Piazza SFA Coordinator =b CC: Mr. Thomas McKean, Health Division, Director of Title 5 Program, Department of Environmental Protection 41 Bayberry Hill Road ■ W.Townsend, MA 01474 30 DuPaul Street• Southbridge, MA 01550 tel. 978.597.0703 • fax. 978.597.0704 tel. 508.765.0051 ■fax. 508.765.1244 I i f RttS}ony&assodwes,inn. woter supply and pollution control,equipment r o 273 Weymouth Street.Rockland, MA 02.370 March 11, 2008 Mr. Thomas McKean Barnstable Town Board of Health 200 Main Street Hyannis, MA 02601 Re: Amphidrome®Quarterly sampling results for: 646 Ostervill Barnstable Road, Marston Mills MA 02648 .T --0 (5� Dear Mr. McKean: -� Please find enclosed the laboratory results for the 7th round of quarte y sampling for the Amphidrome®system located at: 646 Osterville/ B table Road Quarter Total Ammoni Nitrate Nitrite TKN Turbidity pH BOD TS5 Nitrogen a Mg/L Mg/L Mg/L M /L M /L 7th 56.15 54.0 0.50 0.25 55.4 4.8 7.3 20.1 6.5 3/11/08 6th 9.22 0.21 7.11 0.53 1.58 2.2 10/12/07 5th 6.12 0.85 3.02 0.25 2.85 6/3/07 4th 8.6 0.511 5.8 ND 2.8 3/30/07 3rd 10 N/A 8.7 ND 1.3 11/28/06 2nd 0.875 6 0.16 4.1 8/28/06 10.26 1st 6.4 1.7 5 1.4 0 6/22/06 March 11,2008 Page 2 The system was tested for pH, TSS, BOD, TKN, ammonia, nitrate and nitrite and turbidity. The sample was taken through the effluent sampling device,with clean samplers at each site and delivered to Analytical Balance Laboratories in lab supplied bottles. If you have any questions regarding these results, please feel free to contact me. Very truly yours, F. R. MAHONY&ASSOCIATES, INC. Qirri� ?2a�{a, Tammy Piazza Service Department Tel: 508-765-0051 Cc: Mr. and Mrs.Jeremiah Valiga 03-24-'08 09:17 FF',OM-ANALYTICAL BALANCE 5089463335 T-416 P02/02 U-481 Environmental Chemistry Environmental Services Site Assessment i� +� .71� rp Site Sampling Quality Assurance Services 4Anal ical �CA.lmce Data Auditing Tammy Piazza CERTIFICATE OF ANALYSIS F.R.Mahony& Associates,Inc. 30 DuPaul St. REPORTED: 03/21/2008 Southbridge, MA 01550 ORDER#: G0803088 COLLECTED BY: J. Weber SAMPLE DATE: 3/11/2008 TIME: 16:45 DATE RECEIVED: 3/12/2008 LOCATION: 646 Ostervill-Wrist Barnstable Rd. SAMPLE ID: Valigi Marston Mills,MA DESCRIPTION: WATER RESULTS OF ANALYSIS Test Parameters LAIMM: 090 1 _ i Ammonia,Nitrogen 350.1 EPA 350.1 1 03/13/2008-7 tng/L _ 0.1 54.0 JBOD SM 5210B 03/13/2008 mg/L 4 20.1 � Kjeldahl,Nitrogen EPA 351.2 03/20/2008 mg/L 0.50 µ 55.4 Nitrate,Nitrogen 411013 SM 4110 B 03/12/2008 mg/L 0.50 tNittite,Nitrogen 411OB SM 4110 B 03/12/2008 mg/L 0.25 <0.25 pll SM 4500 H+B 03/12/2008 S.U. 0-14 7.3 Solids,Suspended SM 25401] 03/18/2008 mg/L 4 6.5 ;Turbidity SM2130B 1 03/13/2008' ' wu 0.25 4.8 NA=Not Applicablc ND=Not Detected Approved i = Less Than M"94r ! Date i Dctcation Limit Page t of 1 Analydcal Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 I OF B-vyJT New I/A System Permit Summary Sheet `A` o ) V SA Site Information Q CHX) Town: �4�2„c,o,t'o•/�- Town Permit# ��d 7 3 d/a�/°y Assessor Map/Parcel: Unique Town ID # Site Address: 6L-) Owner Name: J�A✓a cP �i�-�r�cll, Alternate Name: Home Phone:j0_ f'. /alO -IY05— Mailing Address: 0-$C-P 2 +� cP Work Phone: 04 41r_ e `*R 01455- Title 5 Information Building Type/Use: - ` �� Design Flow: 0 (gpd) Seasonal Use? Yes ❑ No ❑��Unknown ❑ Bedrooms: Title V N.S.A.? Yes ❑ No ❑ Unknown ❑ Lot Size: o?S i,3 ! - 40 Non-standard components: Please list all components e.g. 1/A treatment unit,pump chamber,pre-and post equalization tanks, pressure distribution SAeff/uent filter, UV u it, eta., and mat tenance schedule for each component e.g. quarterly, 2x/yr, annual, tc. �E o I/A Treatment Unit Make and Model# 0, DEP Permit Type: ❑ General Board Approval Date: 0 o�� COC Date: __ El Provisional O & M Contract Entity: ,�\ ❑ Remedial Contract Start Date: Contract Duration\�`� ❑ Pilot Unit Installation Date: Unit Startup Date: DEP Permit ID#: Influent/Effluent Monitoring Requirements and Water Quality Limits Please indicate water quality parameters that must be monitored and any town mandated water quality limits;if no limits are shown, we will assume parameters and effluent limits specified in the system's DEP approval will apply. Effluent pH [✓]� BOD5 ❑ CBOD TSS ET TN [� Nitrate ❑ Nitrite ❑ Organic N ❑ Ammonia ❑ TKN ❑ Fecal Coliform ❑ Total P ❑ Organic P ❑ TDS ❑ Oil/Grease ❑ Conductance ❑ Alkalinity [g�; — Water Usage ❑ Temp. ❑ Monitoring Schedule: Other Applicable Limits: Influent pH ❑ BODS ❑ CBOD ❑ TSS ❑ TN ❑ Nitrate ❑ Nitrite ❑ Organic N ❑ Ammonia ❑ TKN ❑ Fecal Coliform ❑ Total P ❑ Organic TDS ElOil/Grease [IConductance ❑ Alkalinity El Water U 5 Temp. El Monitoring Schedule: t her Applicable Limits: BCDHE Tracking# Please return this sheet to: FAX: 508-362-2603 Email: bciatech@cape.com `a Z�Mj5 C f r. M10hony&associates,,inc. 4� rGi water supply and pollution control equipment 273 Weymouth Street-Rockland, MA 02370 June 12, 2007 Mr. Thomas McKean Barnstable Town Board of Health 200 Main Street Hyannis, MA 02601 Re: Amphidrome® Quarterly sampling results for: 646 Osterville/ Barnstable Road, Marston Mills MA '02648— Cm Dear Mr.McKean: } Zn Please find enclosed the laboratory ,results ; for the-a -n round'of` quarterly sampling.. .for -I•the 'Aniphidroite0 st w located at: 646 Osterville/ Barnstable Road CO rn Quarter Total Ammonia Nitrate Nitrite Nitroge Mg/L Mg/L Mg/L MgL n Mg/L 5th 6. 12 0. 85 3 . 02 0.25 2 . 85 6/3/07 - 4th 8 . 6 0 . 511 5. 8 ND 2 . 8 3/30/07 3rd 10 N/A 8 .7 ND 1 .3 11/28/06 2nd 10.26 0. 875 6 0. 16 4 . 1 8/28/06 1st 6.4 - 1 .7 5 . 1.4 0 6/22/06 The''system"was'-tested- for'-TKN ammonia;', nitrate and A: nitrite. : Thesample` was taken through the effluent sarimpling device, with clean samplers at each site and delivered to Analytical 'Balance Laboratories in lab supplied bottles. i June 12, 2007 Page 2 If you have any questions regarding these results, please feel free to contact me. Very truly yours, F. R. MAHONY & ASSOCIATES, INC. Tammy Piazza Service Department Tel : 508-765-0051 Cc: Mr. and Mrs. Jeremiah Valiga I Environmental Services Environmental Chemistry Site Sampling Site Assessment Analytical BCe' Data Auditing Quality Assurance Services C C} R h p R ... A .1. I O N Tammy Piazza CERTIFICATE OF ANALYSIS F.R. Mahony& Associates,Inc. REPORTED: 06/08/2007 30 DuPaul St. ORDER#: G0794529 Southbridge, MA 01550 SAMPLE DATE: 6/3/2007 COLLECTED BY: J. Weber DATE RECEIVED: 6/4/2007 TIME: 10:30 SAMPLE ID: MA Amphidrome LOCATION: 646 Osterville West-Barnstable Rd. DESCRIPTION: WATER Marston Mills,MA(Grab)RESULTS OF ANALYSIS a PER, LAB-ID".: 0794 29 Oi _ Test 1 arameters 06IO4/2007 �--mg/L � 0.1 IEPA 350.1 2.85 jpmmonia,Nitrogen 350.1 O6/08/2007 _ mg/L I _ 0.50 ____._� (K� le Bahl,Nitrogen EPA 351.2 — — 3_02 SM 4110 B 06/04/2007 mg/L I 0.50 j Nitrate,Nitrogen 411 OB 06/04/2007 mg/L I — 0.25 <0.25 _ I INitrite,Nitrogen 4110B ISM 4110 B -- NA=Not Applicable ND=Not Detected Approved By: �jKi� Lab ager /°V Date '<' = Less Than *' = Detection Limit Page I of I Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 f.r mahony&associates,inc. rmo water supply and pollution control equipment 273 Weymouth Strut-Rockland, MA 02370 May 22, 2008 Mr. Thomas McKean Barnstable Town Board of Health 200 Main Street Hyannis, MA 02601 Re: Amphidrome®Quarterly sampling results for: 646 Osterville/ Barnstable Road, Marston Mills MA 02648 Dear Mr. McKean: Please find enclosed the laboratory results for the 8th round of quarterly sampling for the Amphidrome®system located at: 646 Osterville/ Barnstable Road Quarter Total Ammon Nitrate Nitrite TKN Turbidity pH BOD TSS Nitrogen is Mg/L Mg/L Mg/L M L M /L 8th 49.87 high 0.50 1.07 48.3 6.7 7.4 16.0 5/22/08 7th 56.15 54.0 0.50 0.25 55.4 4.8 7.3 20.1 6.5 3/11/08 -A 6th 9.22 0.21 7.11 0.53 1.58 2.2 p 10/12/07 G 5th 6.12 0.85 3.02 0.25 2.85 r, 6/3/07 % 4th 8.6 0.511 5.8 ND 2.8 3/30/07 -0 u> 3rd 10 N/A 8.7 ND 1.3 11/28/06 2nd 0.875 6 0.16 4.1 Cfi 8/28/06 10.26 1st 6.4 1.7 5 1.4 0 6/22/06 7 a May 22, 2008 Page 2 The system was tested for pH,TSS, BOD,TKN,nitrate and nitrite, Alkalinity and TN. The sample was taken through the effluent sampling device,with clean samplers at each site and delivered to Analytical Balance Laboratories in lab supplied bottles. If you have any questions regarding these results, please feel free to contact me. Very truly yours, F. R. MAHONY &ASSOCIATES, INC. aja Tammy Piazza Service Department Tel: 508-765-0051 Cc: Mr. and Mrs. Jeremiah Valiga • Environmental Services Environmental Chemistry Site Sampling Site Assessment n 00�"* Balance Data Auditing Quality Assurance Services C T 1 0 N Tammy Piazza CERTIFICATE OF ANALYSIS F.R.Mahony&Associates,Inc. REPORTED: 05/30/2008 30 DuPaul St. ORDER#: G0805101 Southbridge, MA 01550 C SAMPLE DATE: 5/22/2008 COLLECTED BY: J.Bulu 13:35 DATE RECEIVED: 5/23/2008 TIME: SAMPLE ID: Amphidrome LOCATION: 646 Osterville Barnstable Road DESCRIPTION: WATER Grab RESULTS OF ANALYSIS � , AK e LAB-ID#: 005101-01 Nest Parameters� �' 283 alini 310.2 EPA 310.2 OS/27/2008 mg/L 4 � 05l23/2008 mg/L 4 7.4 SM 5210B BOD,Carbonaceous 48.3 j EPA 351.2 05/30/2008 mg/L 0.50 !Kjeldahl,Nitrogen 0.50 <0.50 i Nitrate,Nitrogen 4110B SM 4110 B 05/23/2008 m g/L i 107 � I Nitrite,N�=trogen 4110B SM 4110 B 05/23/2008 mg/L 0.25 1 0 49.4 INitrogen,Total Calculation OS/30/2008 mg/L _ IpH ISM 4500 H+B 05/23/2008 S.U. 0-14 --j 6•7 05/28/2008 m L 4 16.0 Solids,Suspended ISM 2540 D i NA=Not Applicable ND=Not Detected Approved By: '<' = Less Than L Tanager ate *' = Detection Limit I i Page I of 1 Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 /�Z_ 3 0 q6 d r Y� frmwoter supp�and pollution control equipment 273 Weymouth Street-Rockland, MA 02370 March 30, 2007 Mr. Thomas McKean Barnstable Town Board of Health t , 200 Main Street ' =r. Hyannis, MA 02601 !E ` UD -, Re: Amphidrome® Quarterly sampling results for: �6�stervrl,le/ZBarnstable-Road, Marston "Mills-MA=_02:64.8- Dear Mr.McKean: Please find enclosed the laboratory results for the 4th round of quarterly sampling for the Amphidrome® system located at: 646 Osterville/ Barnstable Road Quarter Total Ammonia Nitrate Nitrite TKN Nitroge Mg/L Mg/L Mg/L Mg/L n Mg/L 4tn 8 . 6 0.511 5.8 ND 2.8 3/30 07 3rd 10 N/A 8.7 ND 1 .3 11/28/06 2nd 10.26 0. 875 6 0. 16 4 . 1 8/28/06 1st 6.4 1 .7 5 1.4 0 6/22/06, The system was tested for TKN, ammonia, nitrate and nitrite. The sample was taken through the effluent sampling device, with clean samplers at each site and delivered to Alpha Laboratories in lab supplied bottles, f Page 2 If you have any questions regarding these results, please feel free to contact me. Very truly yours, F. R. MAHONY & ASSOCIATES, INC. Tammy Piazza Service Department Tel: 508-765-0051 f� y ALPHA ANALYTICAL LABORATORIES CERTIFICATE OF ANALYSIS MA:M-MA086 NH:200301-A CT:PH-0574 ME:MA086 RI:65 NY:11148 NJ:MA935 Army:USACE Laboratory Sample Number: L0704411-01 Date Collected: 30-MAR-2007 10:00 646 BURNSTABLE-OSTERVILL RD Date Received 30-MAR-2007 Sample Matrix: WATER Date Reported 06-APR-2007 Condition of Sample: Satisfactory Field Prep: None Number S Type of Containers: 5-Plastic PARAMETER RESULT UNITS RDL REF METHOD DATE ID PREP ANAL pH 6.9 SU — 4 150.1 -0330 20:15 DP Nitrogen, Ammonia 0.511 mg/l 0.400 44 350.2 0403 16:55 HG Nitrogen, Nitrite ND mg/l 0.10 4 354.1 0330 22:30 DD Nitrogen, Nitrate 5.8 mg/l 0.10 44 353.2 0330 20:43 DD Nitrogen, Total Kjeldahl 2.8 mg/l 0.30 4 351.3/.1 (M) 0405 15:20 0406 11:55 AT Comments: Complete list of References and Glossary of Terms found in Addendum I 04060714:23 Page 3 of 7 f.rf t chony&assmicteS,Inc. rMa water supp�r and pollution control equipment 273 Weymouth S r RocMand, MA 02370 November 28, 2006 Mr. Thomas McKean Barnstable Town Board of Health 200 Main Street Hyannis, MA 02601 Re: Amphidrome® Quarterly sampling results for: 646 .Ostervil°le/ :Barnstable--Road, .Marston Mills,MA .02648 Dear -Mr..McKe.an: Please find enclosed the laboratory results for the 3rd round of 'quarterly sampling for the 'Amphidrome® system located at: 646 Osterville/ Barnstable Road Quarter Total Ammonia Nitrate Nitrite TKN Nitroge Mg/L Mg/L Mg/L Mg/L �~ Mg/L c� 3rd 10 N/A 8 .7 ND 1 . 3 t + 11/28/06s 8/28/06 10.26 0 . 875 6 0 . 16 4 . 1 v"` x 1st 6.4 1 .7 5 1 .4 0 w 6/22/06 The*, system, was. tested for TKN, ammonia, nitrate and nitrite and chlorides. The sample was taken through the effluent sampling device, with clean samplers at each site and delivered to Alpha Laboratories . in lab supplied bottles. Page 2 If you have any questions regarding these results, please feel free to contact me. Very truly yours, F. R. MAHONY & ASSOCIATES, INC. Tammy Piazza Service Department Tel : 508-765-0051 f/ • ALPHA ANALYTICAL LABORATORIES CERTIFICATE OF ANALYSIS I MA:M-MA086 NH:200301-A CT:PH-0574 ME:MA086 RI:65 NY:11148 NJ:MA935 Army:USACE Laboratory Sample Number: L0617107-01 Date Collected: 28-NOV-2006 00:00 646 OSTERVILLE Date Received 28-NOV-2006 Sample Matrix: 6kTER Date Reported 05-DEC-2006 Condition of Sample: Satisfactory Field Prep: None Number & Type of Containers: 3-Plastic PARAMETER RESULT UNITS RDL REF METHOD DATE ID PREP ANAL Nitrogen, Nitrite ND mg/l 0.10 4 354.1 1128 20:20 DD Nitrogen, Nitrate 8.7 mg/1 0.50 44 353.2 1128 18:31 DD Nitrogen, Total Kjeldahl 1.3 mg/1 0.30 4 351.3/.1 (M) 1204 12:15 1205 12:07 AT Comments: Complete list of References and Glossary of Terms found in Addendum I 12050615:12 Page 3 of 8 Amphidrome system monitoring plan for 646 Osterville West Barnstable Road, Osterville(for year `round use, under provisional permit) To be performed by Effluent to be tested quarterly for: pH, CBOD, TSS, TN, alkalinity (as required under DEP provisional permit approval) a s' f Town of Barnstable Board of Health 200 Main Street,Hyannis MA 02601 I Office: 508-862-4644 Susan G.Rask,RS. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. October 28, 2004 Ms. Sarah Ojala Downcape Engineering, Inc. 939 Main Street Route 6A Yarmouthport, MA 02675 RE Parcel B Osterville West Barnstable Road Marstons MiIIs , A . 123 015 Dear Ms. Ojala, You are granted permission on behalf of your clients, K. King Valiga and J. Valiga, to construct and utilize an innovative/alternative (I/A) nitrogen reduction system at Parcel B Osterville-West Barnstable Road, Marstons Mills, Massachusetts. This permission is granted with the following conditions: (1) No more than three (3) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to three (3) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) The system shall be installed in strict accordance with the engineered plans dated September 24, 2004. (4) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health Oj a�!aValigalASystemApproval _ r that the system was installed in substantial compliance with the submitted plans dated September 24, 2004. (5) The wastewater effluent shall be tested quarterly for the first two years of operation for nitrates, TKN, pH, CBOD, TSS, TN, and alkalinity. (6) The applicant shall submit a copy of the signed two-year Operation and Maintenance Agreement (O&M) between the contractor and the homeowner to the Board of Health. The engineer or O& M contractor shall conduct inspections to the I/A system a minimum of twice yearly. This permission is granted because the proposed plan appears to meet all of the provisions of the State Environmental Code, Title 5 and all of the Town of Barnstable Board of Health Regulations. Sin rely your , ayn Mil r, M.D. Chair an Oj alaVallgalASystemApproval oF.B New I/A System Permit Summary Sheet 7r Site Information jj �- 9ssgCNS Town: Town Permit# Assessor Ma.p/Parcel: /c�j U/5 Unique Town ID,# Site Address: 6� oy O Z: t:d Ya,,2•�� �bCP� ��d , Owner Name: Q&IL�cp -f R. Alternate Name: pp��J Home Phone: �� �ow --9�4� Mailing Address: t1tC{ �� �e� ©MCP Work Phone: jy/ 0o26S Title 5 Information n Building Type/Use: �-�da e-.Q— Design Flow: :30 (gpd) Seasonal Use? Yes ❑ No ❑ Unknown ❑ Bedrooms: -3 Title V N.S.A.? Yes ❑ No ❑ Unknown ❑ Lot Size: 214 12 Non-standard components: Please list all components e.g. 1/A treatment unit, pump chamber, pre-and post equalization tanks,pressure distribution S�,qffluen filter, UVjun., etc and rytaintenance schedule for each component e.g. quarterly, 2x/yr, annual, etc. /sS 7W 1/A Treatment Unit Make and Model# v DEP Permit Type: ❑ General Board Approval Date:ALAEV COC Date: 5P,rovisional + O & M Contract Entity: ❑ Remedial Contract Start Date: Contract Duration: ❑ Pilot Unit Installation Date: Unit Startup Date: DEP Permit ID#: Influent/Effluent Monitoring Requirements and Water Quality Limits Please indicate water quality parameters that must be monitored and any town mandated water quality limits;if no limits are shown, we will assume parameters and effluent limits specified in the system's DEP approval will apply. Effluent pH BOD5 ❑ CBOD TSS TN Nitrate ❑ Nitrite ❑ Organic N ❑ Ammonia ❑ TKN ❑ Fecal Coliform ❑ Total P ❑ Organic P ❑ TDS ❑ Oil/Grease ❑ Conductance ❑ Alkalinity ..[v]�— Water Usage El Temp. El Monitoring Schedule: !�-{.�¢,r Other Applicable Limits: 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 Bk 19150 Ps 320 0-81565 10-20-2004 c'Fi 09 _ 43u QUITCLAIM DEED We, DAVID JEREMIAH VALIGA and KRISTIN KING, now known as KRISTIN VALIGA,both of Osterville, Massachusetts for consideration paid of One($1.00) Dollar grant to DAVID JEREMIAH VALIGA and KRISTIN VALIGA, husband and wife, as tenants by the entirety of 2651 Falmouth Road, Osterville, Massachusetts with quitclaim covenants The land situated in Osterville (Barnstable) in the County of Barnstable and Commonwealth of Massachusetts, and being particularly shown and delineated on a.plan entitled "Plan of Land in Osterville, Barnstable County, Mass., belonging to Manuel Andre, July 8, 1952, Bearse & Kellogg, Civil Engineers, Centerville, Mass." which said plan is filed in the Registry of Deeds for Barnstable County in Plan Book 105, Page 147 and said land is shown thereon as Lot B more particularly described as follows: Beginning at the Northeasterly corner of the premises at a concrete bound located in the Southeasterly sideline of the Osterville-West Barnstable Road at its junction with Lovell's Way, so called, as shown on said plan; Thence running in a Southerly direction by the Westerly sideline of said Lovell's Way a wood road, two hundred twenty-eight feet (228') more or less, to an iron pipe and stones for a corner, adjoining land now or formerly of Marjorie Leonard et al, as shown on said plan; Thence turning and running South 55' 41' 00" West by land of said Leonard et al, two hundred nineteen and 71/100 (219.71) feet to a concrete bound for a corner located on the Southeasterly side line of the Osterville-West Barnstable Road; Thence in a Northeasterly direction by an arc having a radius of eight hundred thirty and 87/100 (830.87) feet, along Osterville-West Barnstable Road for a distance of three hundred thirty-six (3)6.00) feet to the first mentioned bound and point of beginning; said parcel containing an area of.64 acres. Said premises are conveyed with the following DEED RESTRICITION which restriction shall run with the land and be binding upon all successors in title. 646 Osterville-West Barnstable Road, Osterville, Massachusetts may have constructed upon the lot a house containing no more than three (3) bedrooms. David Jeremiah Valiga and Kristin Valiga agree that this shall be a permanent Deed restriction affecting LOT B being shown on the plan recorded in Plan Book 105,Page 147. ETER L.O'KEEFFE,P.C. ATTORNEY AT LAW Subject to and with the benefit of all rights, easements, reservations and restrictions of record 407 NORTH STREET insofar as they are in force and applicable. HYANNIS, MASS. 02601 LEHONE (SOB)775 7339 PROPERTY ADRESS: 646 Osterville-West Barnstable Road, Osterville,Massachusetts Ilk For title see Deed dated February6 2004 and recorded stable County Registry of ded with Barn ty g try Deeds at Book 18210, Page 23. I Witness our hands and seals this day of � � , 2004 David Jere ah ali Kristin Valiga f/k/a Kristin King COMMONWEALTH OF MASSACHUSETTS Barnstable, ss On this d day of BTU t2-'K 2004 before me, the undersigned Notary Public, personally appeared Kristin Valiga, f/k/a Kristin Kigg, proved to me through satisfactory evidence of identification which was /17a l3 �r7 f -`s Jim_ to be the persons whose name is signed on the preceding or attached document and acknowledged to me that she signed it voluntarily for its stated purpose. ,E c, 0iSSi01V l•�i J�'09 2n • o ✓' s'= Sus , Clark,Notary Public ':f �� o`'• My Commission Expires: 8/9/07 Q����N(fir�I F' ��•G COMMONWEALTH OF MASSACHUSETTS Barnstable, ss On this1 (/ 1 U��✓ � day of 2004 before me, the undersigned Notary Public, personally appeared D vid Jer7717-XW . h Valiga,,1�roved to me through satisfactory evidence of identification which was A./fT r l/ to be the person whose name is signed on the preceding or attached document and acknowledged to me that he signed it voluntarily for its stated purpose. an E G 09 r ?o Susan E. Clark,Notary Public ETER L.O'KEEFFE,P.C. _ on • -4 it H• My Commission Expires: 8/9/07 z ATTORNEY AT LAW � �p i 407 NORTH STREET •��h'""" HYANNIS, MASS. 02601 ----O '`• a �'�AC� LEPHONE (508) 775-7339 ''lIl//I11111111111" 100.0 PROPOSED SPOT ELEVATION I� s103 100x0 EXISTING SPOT ELEVATION J., I� 122" 41.7' 126" L 41.6' s1 \ 1 I o- 100 --0 PROPOSED CONTOUR NO GROUNDWATER ENCOUNTERED / H '2 su s t — 100— EXISTING CONTOUR / H / NOTES: 0 / ' 59.1 I ° PROP. AMPHIDROME 1. DATUM IS APPROX. NGVD J I t 515 4 60.4 SYSTEM (SEE DETAILS WATER IS AVAILABLE AND SPECIFICATION 2. MUNICIPAL �49 % BY MANUFACTURER) 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H— 10 / Q 23 5. PIPE JOINTS TO BE MADE WATERTIGHT. 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. + z. 00 8,1�f a. T. -0 ENVIRONMENTAL CODE TITLE V. hp w +63.4 1111 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT N TO BE USED FOR ANY OTHER PURPOSE. w 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. w N 11 11 9. COMPONENTS NOT TO BE BACKFILLEO OR CONCEALED WITHOUT / TO / � �68' t+163.3 INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. PROP. 11 10. OWNER TO CONTRACT WITH F.R. MAHONY & ASSOCIATES, INC. AT y / / / �/ // DWELL. 11 781-982-9300 FOR DESIGN, EQUIPMENT, TECHNICAL GUIDANCE AND TESTING / 1 / / /� �/// TOP FNDN 1 1 OF THE AMPHIDROME SYSTEM. + / 63 75' 1 l 11. OPERATIONS AND MAINTENANCE AGREEMENT REQUIRED FOR THE LIFE OF / // THE SYSTEM �w 1.0 / //�/ 111 12. EFFLUENT TESTING REQUIRED: CBOD, NITRATES, TKN, TSS, TN, pH & +/B (/ 4 ALKALINITY SHEEr 1 OF 2 TI TL E 5SITE PLAN / 64.1 + J �� 10.416 OF PARCEL B OSTERVILLE - WEST I/ 1 ��� \ \ \ �/ BARNSTABLE ROAD s 6 0, // / (� IN THE TOWN OF: \ (MARSTONS MILLS) BARNSTABLE _ PREPARED FOR:. K. KING VALIGA & D. VALIGA +63.4 / +9 430 0 30 60 90 f 1f,� ' SCALE: 1" = 30' DATE: SEPTEMBER 24, 2004 //s. P CEL 8 REV. 10/18/04(TESTING) / + 2 86t uI —4341 REV 11/12/04 (AMPHIOROME DETAILS) 9 oM S08-362 / V6 fay 38 J62-2880 110FP44 hQF 2 ARNEH AMNK CA+ 0.0 N down cape engineering, inc. OJALA CNIL N Nall I + 7 CIVIL ENGINEERS 4 o 307 0 LAND 'SURVEYORS ° SSfO UaV,E. ll[ it /I FAl A P 1. ,P nATF' TOP FNDN. AT EL. 63.75' J T J I L I`1 ['K LI r 1 L L �ACCESS COVER TO WITHIN 6„ OF FIN. GRADE (NOT TO SCALE) PROVIDE INSPECTION PORT WITHIN' ACCESS COVER (WATERTIGHT) TO 6" OF FINISH GRADE �• MINIMUM .75' OF COVER OVER PRECAST �' WITHIN 6" OF FIN. GRADE 2% SLOPE.REQUIRED OVER SYSTEM 1• _ 52.0' I NM ELEM. kp RUN PIPE 2" DOUBLE WASHED PEASJONE FOR FIRST 2EVEL 59.0' F /� 3' MAX. PROPOSED 2000 O� TEE RUN ! 49.0' LOCUS S8.Z5' GALLON SEPTIC TANK 58.0' aB.sT oaao O oE3oo �s 6 SUMP o 4e•17' ED ED E3 O ED 0 0 0 0 = ( 8+R SLOPE) �6�CRUSHED STONE OR MECHANICAL COMPACTION. (15.221 [2]) g 2' C) O C3 O m O � O O o 46.1T.:;. DEPTH OF FLOW 4' ( R SLOPE), 3/4" TO 1 1/2" DOUBLE WASHED STONE LOCATION MAP NTS TEE SIZES: 18 INLET DEPTH = 10" ASSESSORS MAP 123 PARCEL 15 OUTLET DEPTH 1 4" 5' YARD SETBACKS: FOUNDATION— 20' SEPTIC TANK 51' D' BOX 11' LEACHING FRONT = 30'FACILITY SIDE = 15' ALL MANHOLE COVERS MUST BE 41.6' REAR = 15' 4' LINE ACCESSIBLE FOR THE LIFE OF THE FLOOD ZONE: C BACKWASH/RETURN SYSTEM WELL PROTECTION DISTRICT FLOAT SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED AfSENSORS GRADE C-SIGN FLOW: 3 BEDROOMS (110 GPD) = 330 Gpp INV. IN se.25 VELEV, E WEEP TEST HOLE LOGS USE A 330 GPD DESIGN FLOW DISCHARGE 10' LISA LYONS, IRS ' ENGINEER: 2090 GAL. H-10 S/T 57.75' a; 7• DAVID STANTON, RS PROVIDE AMPHIDROME UNIT CONSISTING OF A 2000 _ LVE WITNESS: GALLON ANOXIC TANK, AMPHIDROME REACTOR AND ELEV.53.67 WITH ENCLOSED 5/19/04 1 COO GALLON CLEAR WELL TANK (SEE DETAIL AND RGE PUMP DATE: SPECIFICATIONS AS PROVIDED BY AMPHIDROME ANOXIC TANK 1'� 1,,,,, 3-0 PERC. RATE _ < 2 MIN/INCH (UNDER PROVISIONAL USE PERMIT; NITROGEN REDUCTION PROPOSED) AMPHIDROME MEDIA 51.0, BACKWASH/RETURN I 10728 AERATION PIPE \\ PUMP CLASS SOILS P# LEACHING: UNDERDRAIN 1000 GAL BASE of ELEV. CLEARWELL SIDES: 2(30 + 9.83) 2 (.74) = 117 TANK BOTTOM: 30 x 9.83 (.74) = 218 AMPHIDROME REACTOR 4 ELEV. Q 0" 51.9' 0" 52.1' TOTAL: 452 S.F. 335 GPO AMPHIDROME SYSTEM ALS A`S USE (3) 500 GAL. LEACHING CHAMBERS (ACME OR (NTS) tOYR 3/2 9" 10YR 3 2 EQUAL) WITH 2.5' STONE AT SIDES AND 2.25' AT 10" ENDS B 8 LS LS `` BOARD OF HEALTH 31" 1OYR 4/6 49 3' 32„ 1OYR 4/6 49 4' MA a Cl Cl SAPPROVED DATE sts 520 LS LS Q0 +54.3 \ 10YR 5/6 BENCH MARK — Cm9o VJ yr,y 65" 54" tOYR 5/ 6 C.BASIN EL. = + •3 \ 1.7 C2 C2 B s .a 1+15s.s 52 MS'[ I MS GRAVEL AND MEDIA LAYERS LAYER I I Y2' X 3/4' GRAVEL 4" DEPTH s I Y2' BW AIR LAYER 2 3/4' X Y2" GRAVEL 2' DEPTH 2' vent LAYER 3 Y2' x Y4' GRAVEL 4' DEPTH '— DETAIL OE LAYER 4 Y4' X Ys' GRAVEL 4' DEPTH 4' RETURN/BACKWASH LAYER S Y2' X Y4' GRAVEL 4' DEPTH �40' FLOAT SENSORS LAYER 6 FALTER MEDIA 4' DEPTH 41 24' 2' INFLUENT LINE 1 2° EFFLUENT DISTANCE FROM INSIDE BOTTOM OF TANK TO 3, PIPE INVERTS a INFLUENT LINE 6'-6° EFFLUENT LINE 0'-4' RETURN/ BACKWASH LINE g -3• 9'-7" 9'-4' o .? : .. 9'-4' VENT LINE 9'-4' 4' "YER.'HED1A. BACKWASH AIR LINE 9'-4' w. 6'6" 6'-3• 02' LAY DETAIL B 1J F • + - � SECTION A-A 9' Dwg 2' DIA. REACTOR 2 ft, AMPHIDR❑ME Rev- REACT❑R SECTION B-B DETAIL © sco e b ape, Y F M AH❑NY R l�.a..� 213 ft —th S—L a«a.,a wm,xn,,.a,O23M r E I - r OCT.04-2004 15:39 F•.R MAHONY & ASSOCIATES 701 982 1056 P.03 SINGLE FAMILY AMPHIDROMEO WASTEWATER TREATMENT SYSTEM PROPOSAL 6460sterville West Barnstable Road,Osterville,MA 02665 WASTEWATER TREATMENT EQUIPMENT 1. One(1)reverse flow/backwash pump,located in the clear well. The pump will be 230 volt, 1/3 hp, 1 phase,capable of pumping 20 gpm at 15' TDH. 25' of power cord included. 2. One(1) effluent pump, located in the clear well. The pump will be 230 volt, 1/3 lip, 1 phase capable of pumping 20 gpm at 15' TDH. 25'of power cord included. 3. One(1)process blower. The blower will have the following specifications: 230 volts, 1/4 hp motor capable of 2.2cfrn at 8 psi. The blower package will include check valve,inlet filter, adapter,pressure relief valve,muffler, and pressure gauge. 4. One(1)backwash blower. The blower will have the following specifications: 230 volts,3/4 hp motor,capable of 7 cfm at 8 psi. The blower package will include a check valve,muffler and inlet filter. 5. One(1)Amphidrome©control panel in aNEMA 1 enclosure. The panel includes the followin;: a. Cover interlock main disconnect switch b. HOA switches C. Pilot lights d. A]arm reset button e. CPU f. Motor contractors for all motors g. Motor starters for all motors h. Cabinet.heater and thermostat i, Terminal strips j. Operator interface G. AMPHIDROMEG REACTOR INTERNALS including Stainless Steel Under drain and air header, support gravel and filter media. 7.. Three(3) suspended float switches for the clear well and one(1) four float switch bracket. S. Two(2)pipe mounted float switches for the Amphidrom.e®Reactor. OCT-18-2004 16:09 F.R MAHONY & ASSOCIATES 781 982 1056 P.02 f.r. mahony &associates inc, rMawater supply an p 1 d ollution control equipment 273 Weymouth Street• Rockland,MA 02370 AMPHJDROME®MAINTENANCE CONTRACT David&yristin Valiga Residence 646 Osterville West Barnstable Road,Osterville,MA 02665 The purpose of this agreement is to provide inspection of the system indicated in this agreement,in order to ensure proper operation and diagnosis of current and possible future problems. The particulars of this agreement are as follows: 1. Tbis periodic maintenance agreement commences upon start-up,of the System and continues in effect for a period of(2)years. 2. F.R.Mahony and Associates,Inc.(FRMA)agrees to furnish a service representative to perform four (4)maintenance visits per year over the period of two(2)years from the date indicated in this agreement. 3. Each visit by an FRMA service representative will be for a period of up to two(2)hours,to be arranged between the hours of 8:00 AM and 5:00 PM,Monday through Friday,excluding holidays, 4. A mechanical and instrumental inspection will be performed at each visit on the system covered by this agreement to include the following: Blowers—Process and Backwash Motor(.Amp Draw) Belts Lubrication Oil ut Measurement Pumps Amp Draw Float S stem Amphidrome Unit Media Inspection Piping Air Flow Backwash Controls Confirm Autornatic Function Record Stored Data Check.Indication Lights Fuses Dosing System,Inspection As required by en-nit Sampling As required b permit 5. All operating parameters will be reviewed and appropriate adjustments and calibrations will be performed. 6. The FRMA service representative will provide labor to replace parts necessary to bring the covered system within proper operating parameters(up to the amount specified in the agreement)_ 7. Parts will be supplied either from the owner,or purchased ftom FRMA. tel. 781.982.9300 + fox. 781,982.1056 • infoftniahony.com I@ www.frmahony.com DuPoul Sheet,Soulhbtidge,MA 01550 41Bayberry riill Road,W.Townsend,MA 01474 236 Winthropthrop Center Road,WIn+6rgp,ME 04364 Tel 30.508.765.0051 •fax.508.765.12" tel.978.597,0703 •lax.978,597.0704 tal.207.395.4554*fax.207.395.4561 OCT-t18-2004 16:09 F%R MAHONY & ASSOCIATES 781 982 1056 P.03 8. The FRMA service representative will make recommendations for the replacement of additional parts that cannot be addressed at the time of the scheduled visit,if such conditions are found to exist. 9. Labor charges for service visits beyond the four(4)scheduled visits will be charged at the normal rate of$05.00/man hour and the cost of transportation_ This includes labor provided at the time of the quarterly visits which exceeds the time indicated in this agreement. 1 . FRMA agrees to respond witbin a reasonable period of time to any alarm event and to notify DEP and the Local Board of Health within five(5)days of the event or system failure. 1.1..The cost of sample analysis for TKN,nitrate,nitrite,and ammonia are included in this contract for quarterly sample collection and delivery to a laboratory approved by F.R.Mahony, if additional analysis or sample parameters are required by local authorities those costs will be the responsibility of the homeowner. 12. Periodic pumping of the system and proper disposal of its contents upon the recommendation of the FRMA service representative is the responsibility of the owner. 13.The purchase price of this agreement is$850.00 per year,due annually for two(2)years. The first payment is due 30 days from the date of this agreement acceptance,the second payment is due on the first year anniversary of this contract. 14. Either FRMA or the owner may terminate this agreement for any reason provided it has given the other party 30 days advance written notice of its intent to terminate. In the event that either party terminates thus agreement in accordance with this paragraph,FRMA will refitnd the pro-rated portion of the annual fee for any outstanding maintenance visits. The following parties have agreed to the conditions of this agreement: FRMA Services Owner Signed: Signed: Title: Pro ,s 1?ng j�egr Date: October 18,2004 Date: TOTAL P.03 OCT 04-2004 15:39 F•.R MAHONY & ASSOCIATES 701 982 1056 P.04 9. One(1) check valve. 10. One(1)sample-collecting device. 11. installation assistance and startup assistance. EXCEPTIONS AND CLARIFICATIONS Items not provided(unless specifically listed in this proposal)are: piping,valves, slide rails, chain, access covers,concrete chambers,access manholes,and installation. TERMS AND CONDITIONS TOTALPRICE ....................................................................... $7,500.00. Exclusive of Taxes Note: Taxes are the responsibility of the purchaser except in the State of MA. Of the project is tax exempt a tax exemption certificate must be included with a purchase order. PAYMENT TERMS An invoice for the total price for the equipment proposed by F.R. Mahony &Associates, Inc. will be issued upon receipt of approved shop drawings. Payment of the full amount invoiced is due within 10 days of invoice date and prior to shipment of any equipment. PURCHASER ACKNOWLEDGEMENT Company Name Signed By Date ._ Title ■ Price Firm 30 Days ■ ESTIMATED DELIVERY-TEN (10)1'O TWELVE (12) HAYS AFTER RECEIPT OF PAYMENT ■ Order subject to Acceptance by F. R. Mahony&Associates, Inc. F:� IN r �i Town of Barnstable Barnstable Regulatory Services Department i 1639. BARNErrABM Public Health Division �EO hAC�°i 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard Scali,Interim Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL # 7012 1010 0000 2851 2446 02/14/2014 Jeremiah and Kristen Valiga 646 Osterville-West Barnstable Rd. Marstons Mills, MA 02648 RE: Operation and Maintenance Contract for the Innovative. Septic System installed at 646 Osterville-West Barnstable Road in the Town of Barnstable. j The operation and maintenance contract for your Amphidrome innovative/alternative wastewater rtreatment system may have expired, or was cancelled as of 4/1/2013 to date they have not received evidence that you have entered into a new Operation and Maintenance contract. Therefore we are writing to instruct you that the Massachusetts Department of Environment Protection (MA DEP) and the Town of Barnstable require you to keep an Operation and Maintenance (O&M) contract in effect at all times for your system. Information about these requirements may be found at http://www.barnstablecou ntyhealth.org/ia-systems/ia-owners-guide. The Public Health Division is hereby contacting you to inform you of the above requirement and to order you to comply. Accordingly please forward a copy of a signed contract via mail, fax or e-mail within thirty (30) days of receipt of this letter. Please be advised that if you do not respond within thirty (30) days of your receipt of this letter by forwarding a copy of an assigned contract, you will be scheduled to appear before the Board of Health at a show cause hearing on March 11, 2014 to provide information relative to the required contract. PER ORDER OF THE BOARD OF HEALTH j M Kean, R.S. CHO Agent of the Board of Health i ',Aistory' Page 2 of 8 recorded by the system for this component: Amphidrome 2/22/2013 0 F.R. "*Inspection— ANOXIC TANK IS 7:46 AM Mahony & BURIED.SPOKE WITHPr�n4x 2/21/2013 Associates, HOMEOWNERS `�E11 kAi'or# 10:50 AM Inc. REGARDING THE NEED ------ FOR ACCESS.'NOT Using: The ABLE TO M Web Site SL THIS VISI . 2/27/2013 0 F.R. Sampling upon arrival on site I _ Edit ; 12:18 PM Mahony& Report found both blowers were Prin4 Z 2/21/2013 Associates, off for an unknown rev ai1 Ra"drt 9:30 AM Inc. amount of time. System ------ clearly affected by lack Using: The of proper aeration. ran Web Site extended backwash cycles to aid in clearing up system. both blower left in auto positio when leaving t ite. �( 1/2/2013 System No service No service event t<9sg� L 12:00 AM Generated recorded reported within servicetlsCorinenCs 1/2/2013 schedule: 09/26/2012 to 12:00 AM 01/01/2013. y Notes: No service event was �( recorded by the system for this component: Sample Report (Effluent) \ 116�/ �• 1/2/2013 System No service No service event 1/iew k!s 1 12:00 AM Generated recorded reported within service diInnta. \� f 1/2/2013 schedule: 09/26/2012 to 12:00 AM 01/0112013. Notes: ' No service event was recorded by the system for this component: Amphidrome X 1/22/2013 0 F.R. "*Inspection" anoxic tank cover ��Etlrts �3 10:17 AM Mahony & buried. Print 12/20/2012 Associates, h'=EmaIV art{ 9:00 AM Inc. Using: The Web Site 1/22/2013 0 F.R. Sampling anoxic tank is buried Edrt; C 10:10 AM Mahony & Report Print_ 4 12/20/2012 Associates, EmailtRe arty_. 9:00 AM Inc. Using: The �c Web Site 10/2/2012 System No service No service event maw M'sg/ off, 12:00 AM Generated recorded reported within servicelci Corrunents 10/2/2012 schedule: 06/07/2012 to 12:00 AM 10101/2012. Notes: No service event was recorded by the system httD://www.carmodv.biz/-DumD/Service History.asvx?permit id=327893 2/12/2014 �y TOWN OF�BARNSTABLE op /ala 5 LOCATION/�q�t!:7r-AA1,1Ze /dam W/ Aer7`lly SEWAGE # 61" S•�� VILLAGE A4�-f TOHr f'�iQ ASSESSOR'S MAP & LOT ILL�,el- INSTALLER'S NAME&PHONE NO. 41Y, ©a`- 6 SD f-V d,%-o" SEPTIC TANK CAPACITY -4 DDD �K y •f1.aD�is+�reai a /oo/ I.e. LEACHING FACILITY: (type).3"foa A, (size) lOX 1D X ' NO.OF BEDROOMS 3'I BUILDER OR OWNER K • PERMUDATE: COMPLIANCE DATE: Separation Distance Between the: s _. Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility • . Feet Private Water Supply Well and Leaching Facility (If any wells exist l 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 LA --754i1 o Complete items 1•,2,and 3.Also complete A.�at item 4 if Restricted Delivery is desired. ❑Agent ® Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Rece1 ed by rinted N m 1 C.$ate f elivery io Attach this card to the back of the mailpiece, .eJ`� or on the front if space permits. D. Is delivery address di ere from item 1? ❑YeA 1 Article Addressed to: If YES,enter delivery address below- ❑ No J e—re—Mi 3. Service Type G(Cbrtified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. U `f 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number ------- — (rransfer from service labeo } 17 a 12 1010 0000 2851 2446 PS Form 3811.Februarv-2004 Domestic Return Receipt, 102595-02-M-1540 -- - r UNITED STATE SERVICE First-Cf.ass ma°; I s to Postage&Fees Paid usPS I Permit No.G-10 Sender;.Please print your name, address, and ZIP+4 in this box • i Town of Barnstable;, Health Division O� 200 Main Street M Hyannis, MA 02601 ru 4 w r9 F I I u'I f�U Postage $ C(FEB Certified FeeO Return ReceiptFee � O (Endorsement Required)0 ' Restricted Delivery Fee p (Endorsement Required) rq r3 Total Postage&Fees $ ejS P_ �+ fL Sent To R r —1f 4 ------�2(�-(✓ll o n,L` y_r S U o, ( i Cj ti p Street,Apt No.; I II- orPOBoxNo.L -((o City State.ZIP+4 Certified Mail Provides: ' it v o A mailing receipt a A unique identifier for your mailpiece a A record of delivery kept by the Postal Service for two years Important Reminders: a Certified Mail may ONLY be combined with First-Class Mails or Priority Mails. a Certified Mail is not available for any class of international mail. a NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the �+ fee.;Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee'or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". a If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000.9047 .7 d N f)tl�o �G * `~ No. u� J '~.T�-IE COMMQWE H OF MASS CH SETTS FEE BOARD O2Fn ,HEALTH t --- - -_ O F APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( Repair ( ) Upgrade ( ) Abandon ( ) - C�ompplete System ❑Individual Components lI'TID S - &-4-WS• t VA--L1 A Location Alk' 0 Owner's Name �. T 2C(�Map/Parce Add ess dS Ce s O __Lpt /> Telephone# U �,,.f� �p�✓N e �(�n�fgu Ins L� � ta ter's N e -/ Designer's Na e Address '3 Address SDIZ cis o Telephone# Telephone# Type of Building: t/c S am Lot Size Z 13 Sq.feet Dwelling—No.of Bedrooms 3 Garbage Grinder ( ) Other—Type of Building No.of persons Showers (Z), Cafeteria ( ) Other fixtures Design Flow(min.required) '*5�O gpd Calculated design flow 3 3' gpd Design flow provided 3 3S gpd Plan: Date 41 7-{64-Number of sheets ( Revision Date Title 1 tT1E y Sty pLA- Q - or e-,->uC--�C0 ()Si - t.J.( ,v, 4P UyT- Description of Soil(s) A: LS S Soil Evaluator Form No. Name of Soil Evaluator t-lSA !:,*a JS Date of Evaluation 51 190 DESCRIPTION OF REPAIRS OR ALTERATIONScJ The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and fu er agrees,not to place the system in operation uptil a Certificate of Compliance has been issued by the Board of Health. gned11 �- _ Q� Date 10 - &A/0-L •f QG spect�on � � I J-�P -0 FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 o 16 No. V 1 ;fi-EL_L�GOm V ONWEAr� HOF MASSICH-USETTS I 3 BOARD ' OF HEALTH 0 /011/A It' F APPLICATION"FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application foiwa Pj.;mit tb.Constr Repair Up 'ade Abandon Complete System El Gdividual Components 7 \,6 4el,T W-4—z 1,j 63 l9lnlv� \1A Location Owner's Name 010 d5TL-�� Map/Parcel/# Telephone# \.V-19 4�4 LA+ ���-� VOW lnijersge A Designer's Na Address Address C) CD I w 4 I Telephone#,,'1 Telephone# nw t Type of Building: C-k.- Lot'Size/- 1 a y Sq.feet Dwelling—No.of Bedrooms Garbage Grinder -Other—Type of Building O�c->C--AVZ� No.of persons Showers -Cafeteria Other fixtures gpd Calculated design flow Design Flow(min.required) gpd Design flow provided3 35;gpd. Plan: Date -4494=4k- Number of sheets Revision Date Title C25i 7T: Description of Soil(s) A : L- "t': L L) L 3- Soil Evaluator Form No. Name of Soil Evaluator Lj�i^ Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS I\J 674� H-oJSe-_* The undersigned agrees to install the above described Individual Sew age Disposal System in accordance with the provisions of TITLE 5 and fuA-r agrees not to place te system in operation u til a Certificate of Compliance has been issued by the Board of Health. S gned A:t Date QG Inspection 0 fia 4 FORM I - APPLICATION FOR DSCP --%,,DEP APPROVED.FORM.5/96 INK ---------- U0 THECOMMONWEALTH OF MASSACHUSETTS FEE 92 BOARD OF HEALTH CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) kelornple'lle System The undersigned hereby certify that the Sewage Disposal System;Constructed (Y),Repaired Upgraded Abandoned by: � Old 2,. G CD at 1"(4 w. has been installed in accordance with the provisions of 310 GATR 15.00 (Title 5) and the appr9-yed design plans/as-built plans relating to application No.a U 0 Lt- dated 10- 2 v-0 Approved Design Flow 330 (gpd) T_ Install Designer: C6X4)Z_Z!P��_ Ir, to C, lnspect'o'-r 1 )_r_:D Date Q_The issuance of this certificate shall no onstrued as a guarantee that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE. DEP APPROVED D FORM 5/96 No. ;460 THE COMMONWEALTH OF MASSACHUSETTS FEE t BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTIONPERMIT Permission is hereby granted to Construct Repair Up Abandon,grade an individual sewage ,q� disposal system at d A-It as dekribed in the application for Disposal System Construction Permit No. U&L/- dated 'I d'- 0-0-1-/ Provided: Construction shall'be completed within three years of the date of this it. local condit' ns must be met. Date U0 11)L[ Board of.Health '-X i f r T-5, FORM 2 - DSCP DEP AP0P P E 6 l%! TM FORM 12551 1(REV 5/96) HOBBS&WARREN PUBLISHERS- BOSTON FROM :down cape engineering inc FAX NO. :15093629880 Oct. 27 2005 01:52PM P1 Town of Barnstable Regulatory Services s Thomas F. Geiler,Director UMAS&`$' Public Health Division ►,,,as Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 308-862-4644 Fax: 508-790-6304 Installer & DesiZncr Certification Form Date: _ _ Sewage Permit# l Assessor's Map\Parcel /W �J Designer: lw/) C,\0 f7-1 111 eel Installer: f-A n4. M ' too. Qo Address: �39 /-(, J _ Address: YC�r�►�1 D� . 631, y�. a.,/ l a�0 On ,0/16-// r- _-was issued a permit to install a (date) (installer) septic system at df't` l.)• i6a.,roVk. Al based on a design drawn by (address) �✓'h2 Q l 'OL4 - dated (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. d j I certify that the septic system referenced above was installed with major changes i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State.& Local Regulations. Plan revision or certified as-built by designer to follow. tkOFl4ASSc 9 ARNE H yGs OJAIA (Installer's Signature civil- No, 30792 1 � �0 ",��S1"ER�O��� 1 rS��NAL FNG (Des gner'sSignature) (Affix Designer's Stamp Here) PLEASE RETURN TO BA TABLE PUBLIC LTH DC SI N. CE IFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTTL BOTIA THIS FORM AND AS-BUJ_LT CARD ARE RECEIVED BY THE BARNST BLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Scpdc/Designer Ccrtifleation Form 3-26-04.doe tel.(508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02f 75 down cope eng014eel 741 civil engineers& land surveyors structural design October 19, 2004 Arne H,Ojala P.E., P.L.S. Daniel A.Ojala, P.L.S. • land court Barnstable Board of Health Timothy H.Covell,P.L.S. surveys 200 Main Street Hyannis, MA 02601 site planning Re: #646 Osterville—West Barnstable Road, Osterville sewage system Dear Board Members:_ designs Pursuant to the public meeting held on October 12 for the above-referenced site, we inspections hereby submit a revised monitoring plan for the proposed Amphidrome system: To be performed by F.R. Mahony & Associates, Inc.: permits Effluent to be tested quarterly for: pH, CBOD5;, TSS, TN, nitrates, TKN, alkalinity Very truly yours, Sarah B. Ojala Down Cape Engineering, Inc. Cc: K. King Valiga tel.(508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down cope engineering civil engineers& land surveyors structural design September 28, 2004 Arne H.Ojala P.E.,P.L.S. Daniel A.Ojala,P.L.S. land court Barnstable Board of Health Timothy H.Covell,P.L.S. surveys 200 Main Street Hyannis, MA 02601 site planning Re: #646 Osterville West Barnstable Road, Osterville sewage system Dear Board Members: designs We hereby submit a written residential monitoring plan for an Amphidrome system, to be applied for under a provisional permit, for the above-referenced site. The vacant inspections lot, at 28,186 square feet, lies within a Zone R and as such, a 3 bedroom dwelling is proposed with this nitrogren-reducing technology. permits We appreciate your review of the.enclosed. Thank you. Very truly yours, L% Sarah B. Ojala Down Cape Engineering,TInc cc: Kristin King Valiga s� 3 r t C) l Commonwealth of Massachusetts Official Use Only Permit No. [ �7 Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 9 [Rev. 11/991 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 2 — City or Town of. ��� L To the Inspector of Wires: By this application the undersign gives notice of his or her intention to perfo the electrical work described below. Location(Street&Number) 4AD Owner or Tenant (9 (%!` Telephone No. Owner's Address Is this permit in conjunction with a building ermit. Yes ❑ No (Check Appropriat Box) Purpose of Building �®lU`((16Cp— ' (r Utility Authorization No. Existing ervice o�j Amps ((O lad.o Volts Overhead❑ Undgrd No.of Meters !! New Service Amps / Volts Overhead❑ Undgrd ❑ .No.of Meters Number of Feeders d Ampacity. ( (,p Location an ature of osed Electrical Work:_ t�LS-mL cv 2 Q-rCoiiZdo(C r%t Q\Cv tZtlr PS('DPA-z ( IK DNA TW)A Q- Sea,3AC-P- TKQfr-IK I y -ro -� . o z Completion of thefollomdnpq table may be waived by the Inspector of Wire U v! No.of Recessed Fixtures No. Ceil.-Sus addle Fans No.of Total o C3 :Z p ) Transformers z W No:of Lighting Outlets No.of Ho bs Generators t KV z bove In- o.o m ncy t ng c Q a No.of Lighting Fixtures Swimming Pool r ❑ rnd. ❑ Batt nits G -IL: 5 No.of Receptacle Outlets No.of Oil Burners IRE ALARMS rof ZonesN ILI O «� o.of Detection an "" a a No.of Switches No.of Gas Burners Initiatin Devic cc� � No.of Ranges No.of Air Cond. Tonsl o.of Alerting Devices N a-� p , umber Tons KW No. Self-Contained r E a..y No.of Waste Disposers t { n� To Detec lerting DevLu i s cial n 4x No.of Dishwashers ce/Area Heating KW Local ❑ Co nlectlon Other III '�� � " o No.of Dryers Heating Appliances KW Security Systems. ,,,U3 No.of Devices�oquivalent Q o LU 4 LU o.of Water No.o o.of Data Wiring: Heaters Si ns Ballasts No.of Devices or E uiv nt No.Hydromassa athtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. MsdUNCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 2( BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work: 4 t 0 U (When required by municipal policy.) Work to Start: (9! —o5 Inspections to be requested in accordance with MEC Rule 10,and upon completion. 1 certify,under the�j ains_and penalties of perjury,that the information on this application is true and completes FIRM NAME: tit�U tiA e c-t AJ C LIC.NO.:A(504� Licensee: t - L-.t X( G- Signature LIC.NO.:L.3,oq 314 (If applicable, ter "exemppt in the license umber line.) Bus.Tel.No.- Address: D X 1�D G I,O FN/t T . Pq A . 0- fo/C( Alt.Tel.No.. So 03-TZ33 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE. $ Signature Telephone No. Bk 19150 Ps 320 -Cr_81565 J 10-20-20 04 & 09 2 43u QUITCLAIM DEED We, DAVID JEREMIAH VALIGA and KRISTIN KING, now known as KRISTIN VALIGA,both of Osterville, Massachusetts for consideration paid of One($1.00)Dollar gram to DAVID JEREMIAH VALIGA and KRISTIN VALIGA, husband and wife, as tenants by the entirety of 2651 Falmouth Road, Osterville,Massachusetts with quitclaim covenants The :land situated in Osterville (Barnstable) in the County of Barnstable and Commonwealth of Massachusetts, and being particularly shown and delineated on a.plan entitled "Plan of Land in Osterville, Barnstable County, Mass., belonging to Manuel Andre, July 8, 1952, Bearse & Kellogg, Civil Engineers, Centerville, Mass." which said plan is filed in the Registry of Deeds for Barnstable County in Plan Book 105, Page 147 and said land is shown thereon as Lot B more particularly described as follows: Beginning at the Northeasterly corner of the premises at a concrete bound located in the Southeasterly sideline of the Osterville-West Barnstable Road at its junction with Lovell's Way, so called, as shown on said plan; Thence running in a Southerly direction by the Westerly sideline of said Lovell's Way a wood road, two hundred twenty-eight feet (228') more or less, to an iron pipe and stones for a corner, adjoining land now or formerly of Marjorie Leonard et al, as shown on said plan; Thence turning and running South 55' 41' 00" West by land of said Leonard et al, two hundred nineteen and 71/100 (219.71) feet to a concrete bound for a corner located on the Southeasterly side line of the Osterville-West Barnstable Road; Thence in a Northeasterly direction by an arc having a radius of eight hundred thirty and 87/100 (830.87) feet, along Osterville-West Barnstable Road for a distance of three hundred thirty-six (336.00) feet to the first mentioned bound and point of beginning; said parcel containing an area of.64 acres. Said premises are conveyed with the following DEED RESTRICITION which restriction shall run with the land and be binding upon all successors in title. 646 Osterville-West Barnstable Road, Osterville, Massachusetts may have constructed upon the lot a house containing no more than three (3) bedrooms. David Jeremiah Valiga and Kristin Valiga agree that this shall be a permanent Deed restriction affecting LOT B being shown on the plan recorded in Plan Book 105, Page 147. =TER L.O'KEEFFE,P.C. ATTORNEY AT LAW Subject to and with the benefit of all rights, easements, reservations and restrictions of record 407 NORTH STREET insofar as they are in force and applicable. HYANNIS,MASS.02601 LEPHONE(508)77S-7339 PROPERTY ADRESS: 646 Osterville-West Barnstable Road, Osterville,Massachusetts _ J For title see Deed dated February 6, 2004 and recorded with Barnstable County Registry of Deeds at Book 18210, Page 23. Witness our hands and seals this da of b� 2004 1�- y , David Jere ah NKalij5X Kristin Valiga f/k/a Kristin King COMMONWEALTH OF MASSACHUSETTS Barnstable, ss On this day of (jC,6 2004 before me, the undersigned Notary Public, personally appeared Kristin Valiga, f/k/a Kristin K,Vg, proved to me through satisfactory evidence of identification which was /na Z dri�-s lid to be the persons whose name is signed on the preceding or attached document and acknowledged to me that she signed it voluntarily for its stated purpose. `an E.09 c•���J�O �A15SIOry'f�pd : 1+�G200 s� H Sus , Clark,Notary Public My Commission Expires: 8/9/07 COMMONWEALTH OF MASSACHUSETTS Barnstable, ss On this 1 [ I/1 day of h�� 2004 before me, the undersigned Notary Public, personally appeared DAA3 id JeremiaValiga.,� roved to me through satisfactory evidence of identification which was dk;, s !a-o- - to be the person whose name is signed on the preceding or attached document and acknowledged to me that he signed it voluntarily for its stated purpose. J5' �7 , ::;�iG J �p G 09 D��Ai P ��,; Sus E. Clark,Notary Public crERL.O'icEEFFE,P.C. - �� J My Commission Expires: 8/9/07 ATTORNEY AT LAW •0 • y ��V.i•• 407 NORTH STREET %?/• ,,� �/ ��.i G •�!p!iAi~SS� HYANNIS,MASS.02601 �� • ;`` ',�rY P►i���G' LEPHONE(S08)77S-7339 /''1j/11111111111111"", `` GRAVEL AND MEDIA LAYERS LAYER 1 1 Y2" X 3/4" GRAVEL 4" DEPTH 1 Y2 BW AIR LAYER 2 3/4" X 1/2" GRAVEL 2" DEPTH 2" vent LAYER 3 1/2" x Y4" GRAVEL 4" DEPTH DETAIL OE LAYER 4 74" X Y8" GRAVEL 4" DEPTH 4" RETURN/BACKWASH LAYER S Y2" X 74'; GRAVEL 4" DEPTH 40„ --, --- FLOAT SENSORS LAYER 6 . FILTER MEDIA 4 DEPTH 24" 1 2" INFLUENT LINE l 2" EFFLUENT DISTANCE FROM INSIDE BOTTOM OF TANK TO L 3„ PIPE INVERTS a _ INFLUENT LINE 6'-6" r, EFFLUENT LINE 0'-4" ±� RETURN/ BACKWASH LINE 9'-7„ 9'-4 VENT LINE 9,_4,r 9 -4 8r_3,r 4' FIL ER:ME.MA.. BACKWASH AIR LINE 9'-4" 6,6,r 02' 4• I___ — � DETAIL B B 00000000 000 °° 00 0,0 c:4AY o 9„ + SECTI❑N A—A e�i Z OFFv f t, AMPHIDR❑ME Dwg: 2r DIA. REACTOR 2 L Rev: REACTOR Drawn b :A W -App'd byl SECTI❑N B-B DETAIL © Scale: F M AH❑NY R &associates•Inc Water Supply& Pollution Control Equipment Pg` 273 Weymouth Street. Rockland, Mossachusetb 12370 SPAM WC Lo ° 2668 i 3 1/2- 2668 2668 N BATH BEDROOM 1 ° so 'R 12X17 0 U-) o LINEN BATH 3 1/2" o W C BEDROOM 2 -------------- ---, 12X22 I , CLOSET CLOSET " DN LINEN 2868 CLOSET 3 1/2 2668 2668 2668�� ' 2668 4 —1 1/4 OWNER TO LOCATE AREA 266 ' FOR ATTIC ACCESS DOOR CV ' a � i , i i , M ASTER SUITE PROVIDE ACCESS TO ALL EAVE SPACES L OFT AREA 2668 ' W ' c/) O U --------- ------------- ------------- --------; CENTER WINDOW OVER .� DOOR BELOW CENTER WINDOWS OVER WINDOWS BELOW z J , i ----------- , �--- -------- s e s+r' x it SYSTEM PROFILE TOP FNDN. AT EL. 63:75' ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) PROVIDE INSPECTION"PORT WITHIN " OF FINISH GRADE � ACCESS COVER:(WATERTIGHT) TO 6 � / 61.0' MINIMUM .75' OF COVER OVER PRECASTul WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 52 O' _ �MM ELEM. M. 2" DOUBLE WASHED PEASTONE i � RUN PIPE LEVEL 59.0' �� FOR FIRST 2' a 3' MAX. PROPOSED 2000 �� TEE 49 0' LOCUS 58.25' GALLON SEPTIC TANK 58.0 GAS BAFFLE ui !NICAL 000L o00 0 � 0 0 � � �j[E=:1 o48.67 48.17 EDEDOO O � EDOo6" SUMP( 8+% SLOPE) �6" CRUSHED STONE OR MEC 8o f 0 0 0 a O O oCOMPACTION. (15.221 [2]) oo0 2 0 0 00 46.17' DEPTH of FLOW = 4' 08 % SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE LOCATION MAP NTS TEE SIZES: INLET DEPTH = 10" ASSESSORS MAP 123 PARCEL 15 OUTLET DEPTH = 14" 5' YARD SETBACKS: FRONT = 30' FOUNDATION 20' SEPTIC TANK 51 D' BOX 11' LEACHINFACILITY G SIDE = 15' 41.6' REAR = 15' BACKWASH/RETURN FLOOD ZONE: C WELL PROTECTION DISTRICT SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED ) AERATION PIPE GRADE DESIGN FLOW: 3_ BEDROOMS ( 1 10 GPD) = 330 GPD INV. IN 58.25' D TEST H❑L E L❑G S USE A 330 GPD DESIGN FLOW M'CHARGE TMK SYSTEM DISCHARGE ENGINEER: LISA LYONS, IRS PROVIDE AMPHIDROME UNIT CONSISTING OF A 2000 2000 GAL. H-10 S/T DAVID STANTON, IRS GALLON ANOXIC TANK, AMPHIDROME REACTOR AND .WITNESS: 1000 GALLON CLEAR WELL TANK (SEE DETAIL AND DISCHARGE PUMP DATE: 5/19/04 ` �� SPECIFICATIONS AS PROVIDED BY AMPHIDROME ) ANOXIC TANK PERC. RATE _ < 2 MIIN/INCH (UNDER PROVISIONAL USE PERMIT; NITROGEN REDUCTION PROPOSED) (NOT TO SCALE) BACKWASH/RETURN PUMP CLASS I SOILS P# 10728 AMPHIDROME MEDIA 1000 GAL LEACHING: UNDERDRAIN SUPPORT MEDIA SIDES: 2(30 + 9.83) 2 (.74) = 117 AMPHIDROME REACTOR CLEARWELL 30 x 9.83 (.74) = 218 Eul ELEV. I , BOTTOM: AMPHIDROME SYSTEM 0 51.9 0 52.1 TOTAL: 452 S.F. 335 GPD A/E A/E USE (3) .500 GAL LEACHING CHAMBERS (ACME OR (NTS) S S 3/2 9" 10YR3 2 EQUAL) WITH 2.5' STONE AT SIDES AND 2.25' AT 10" 10YR ENDS B B LS LS BOARD OF HEALTH 31 » 1 OYR 4/6 49.3' 32" 1 OYR 4/6 49.4' MA C1 C1 APPROVED DATE 524 52.0 LS LS J�0 `+\54s 10YR 5/6 1 OYR 5/6 BENCH MARK - CTR OF v s . 65" 54 C.BASIN EL. = 51.9 + .7 Q- C� + 4 C2 C2 - 5 .3 1+155.5 52 I I MS MS LEGEND 0 53. 100.0 PROPOSED SPOT ELEVATION III 100x0 EXISTING SPOT ELEVATION - " 126" 51. 51.03 � I I 122 41.7 41.6' l o- 1 57,6 00 -o PROPOSED CONTOUR / 2 1 I NO GROUNDWATER ENCOUNTERED'+I / H g 100 EXISTING CONTOUR // H / ' / ' 9 NOTES: / + 1.5 59.1 0 PROP. AMPHIDROME 1. DATUM IS APPROX. NGVD / 2� 60.4 SYSTEM (SEE DETAILS AVAILABLE 51.5 AND SPECIFICATION 2. MUNICIPAL WATER IS 5 BY MANUFACTURER) 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. ° 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 623 5. PIPE JOINTS TO BE MADE WATERTIGHT. AR EL 6. CONSTRUCTION DETAILS 70 BE IN ACCORDANCE WITH MASS. + 2 CID 8,1 t O. T• + 63.4 `\I\? ENVIRONMENTAL CODE TITLE V. W Its 7. THIS PLAN-, IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT f 51.3 TO BE USED FOR ANY OTHER PURPOSE. j 0 III 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. / W 1 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT M' / I r �68� +\63.5 INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED / 1 / / / / / I I FROM BOARD OF HEALTH. / �! /10 / / PROP. I I 10. OWNER TO CONTRACT WITH F.R. MAHONY & ASSOCIATES, INC. AT DWELL. I I 781-982-9300 FOR DESIGN, EQUIPMENT, TECHNICAL GUIDANCE AND TESTING y / / OF THE AMPHIDROME SYSTEM. + 1 / / TOP FNDN I I 11. OPERATIONS AND MAINTENANCE AGREEMENT REQUIRED FOR THE LIFE OF 51.0 �// // / /� 63.75' II II THE SYSTEM / /� �� / 12. EFFLUENT TESTING REQUIRED: CBOD, TSS, TN, pH & +/ s•p r I I ALKALINITY 4 / //�; / ,' / +►64.1 TITLE 5 SITE PLAN �1 �� of PARCEL B OSTERVILLE - WEST BARNSTABLE ROAD / + 0. / / <(� \ �.1 IN THE TOWN OF: � 5 .6 (MARSTONS MILLS) BARNSTABLE \+ 4. / PREPARED FOR: K. KING VALIGA & J. VALIGA + 63.4 f 49. r0 30 0 30 60 90 t5 .1F � SCALE: 1" = 30' DATE: SEPTEMBER 24, 2004 I/ P CEL B `n + 4 2 ,186t F I 55? off 508-362-4541 I 00 fm 508 362-9880 / to I ����TH OF 44 ss�cti H OF bfgq 9 + o.o N w down cape engineering, inc. �o ARNE GNP �o�'� ARNEH. cyGN 1 CIIL ENGINEERS p ALA• � OJALA a + CIVILNo.28 P m CIVIL N LAND SUSURVEYORSNo. 30792 � 939 vain st. yarrnouth, rya 02675 A s E� ALA, P. Fs ,o _ N�`� DATE 04-077 TOP ENDN. AT EL. 63.75' SYSTEM PROFILE ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) PROVIDE INSPECTION PORT WITHIN ACCESS COVER (WATERTIGHT) TO 6" OF FINISH GRADE MINIMUM .75' OF COVER OVER PRECAST /�. WITHIN 6" OF FIN. GRADE 2�i SLOPE REQUIRED OVER SYSTEM I_ Q 52.0 MM ELEM. 2" DOUBLE WASHED PEASTONE R PIPE UN� FOR FIRST LEVEL 59.0' Ff 3' MAX. PROPOSED 2000 O� Locus 58.25' GALLON SEPTIC TANK 58.0 I TEE 49.0 ' 48.67' 0 r 9EED «� 6" SUMP 48.17' o M =1 o o ED ( 8+� SLOPE) �6" CRUSHED STONE OR MECHANICAL o COMPACTION. (15.221 (21) $ 2 � 0 0 0 0 46.17 DEPTH OF FLOW = 4' 1$ LOCATION IMAP NTS ( ' SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE TEE SIZES: INLET DEPTH 10" ASSESSORS MAP 123 PARCEL 15 OUTLET DEPTH 1 4 5' YARD SETBACKS: FRONT = 30' FOUNDATION- 20' SEPTIC TANK 51 ' D' BOX 11 LEACHING SIDE = 15' FACILITY REAR = 15' ALL MANHOLE COVERS MUST BE 41 .6' 4" LINE ACCESSIBLE FOR THE LIFE OF THE FLOOD ZONE: C BACKWASH/RETURN SYSTEM WELL PROTECTION DISTRICT SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED FLOAT ) SENSORS GRADE DESIGN FLOW; 3 BEDROOMS ( 1 10 GPD) = 330 Gpp INv. IN 58.25' PROVIDE WEEP TEST HOLE LOGS HOLE USE A 330 GPD DESIGN FLOW "S/ sYSTEM DISCHARGE 12 ENGINEER: LISA LYONS, RS PROVIDE AMPHIDROME UNIT CONSISTING OF A 2000 200o GAL. H- s7.so 57DAVID STANTON, RS CHECK VALVE WITNESS: GALLON ANOXIC TANK, AMPHIDROME REACTOR AND ELEV.53.67' ---SUMP WITH ENCLOSED 51904/ / 1 C00 GALLON CLEAR WELL TANK (SEE DETAIL AND DISCHARGE PUMP DATE: ANOXIC TANK SPECIFICATIONS AS PROVIDED BY AMPHIDROME ) crar TO Sc" < 2 MIIN/INCH ' ELEV. 53.0' PERC. RATE _ (UNDER PROVISIONAL USE PERMIT; NITROGEN REDUCTION PROPOSED) AMPHIDROME MEDIA 51.0' BACKWASH/RETURN - AERATION PIPE ` PUMP CLASS I SOILS p# 10728 LEACHING: UNDERDRAIN BASE OF 1000 GAL SIDES: 2(30 + 9.83) 2 (.74) = 117 REACTOR ELEV. CLTANKELL BOTTOM: 30 x 9.83 (.74) = 218 AMPHIDROME REACTOR 0 Q ELEV. Q _�. 51.9' 0" TOTAL: 452 S.F. 335 GPD AMPHIDROME SYSTEM A/E A/E 52.1 ' USE (3)3) 500 GAL. LEACHING CHAMBERS (ACME OR (NTS) LS LS .. 10YR 3/2 9" 10YR 3 2 EQUAL) WITH 2.5 STONE AT SIDES AND 2.25 AT 10 Er;DS B B K' LS LS BOARD OF HEALTH 31" 1 OYR 4/6 49.3' 32" 1 OYR 4/6 49.4' MA .r C1 C1 APPROVED DATE 524 520 LS LS 54.5 BENCH MARK - CTR OF VJ 5+t8 65" 1OYR 5/6 5410 1OYR 5/6 C.BASIN EL. = 51.9 Q. C2 C2 © 1.3 _ - 5 .3 1+155.5 52 I MS MS LEGEND - v1.0 2.5Y 6/4 2.5Y 6/4 s 100.0 PROPOSED SPOT ELEVATION 100x0 EXISTING SPOT ELEVATION 51. 51.03 �'. 122 " 41 .7' 126" 41 .6' �\ 100 __0 PROPOSED CONTOUR / 1 ) I+'s,,.6 NO GROUNDWATER ENCOUNTERED 0- / H '2 ) 8 100 EXISTING CONTOUR / H / 7.7 NOTES: 59.1 APPROX. NGVD PROP. AMPHIDROME 1. DATUM IS 51.5 / / 1160.4 SYSTEM (SEE DETAILS AND SPECIFICATION 2. MUNICIPAL WATER IS AVAILABLE BY MANUFACTURER) 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. z 'o• 5 � 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 a 5. PIPE JOINTS TO BE MADE WATERTIGHT. AR L � 623 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. / + 2. Co 8,1 t ®. T. �_0 ENVIRONMENTAL ^CODE TITLE V. / or W + 63.4 1` `" 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT N TO BE USED FOR ANY OTHER PURPOSE. 51.3 G? / � 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 1� / �s W 0 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT co / co' / 16�' \+,63.3 INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED P ,N FROM BOARD OF HEALTH. / o,l / I PROP. 1 10. OWNER TO CONTRACT WITH F.R. MAHONY & ASSOCIATES, INC. AT 781-982-9300 FOR DESIGN, EQUIPMENT, TECHNICAL GUIDANCE AND TESTING TOP FNDN '0 OF THE AMPHIDROME SYSTEM. F + 1 / 11. OPERATIONS AND MAINTENANCE AGREEMENT REQUIRED FOR THE LIFE 0 THE SYSTEM 51.0 ��� /��� 12. EFFLUENT TESTING REQUIRED: CBOD, NITRATES, TKN, TSS, TN. pH & ALKALINITY SHEET 1 OF 2 ` ,64.1 TI TL E 5 SITE PLAN OF PARCEL B OSTERVILLE - WEST BARNSTABLE ROAD /5 6;+ 0. // / !� ti1g IN THE TOWN OF: � (MARSTONS MILLS) BARNSTABLE 4. PREPARED FOR: K. KING VALIGA & D. VALIGA / 4,9 co 30 0 30 60 90 �• 5 .kt• 4P1. � to SCALE: 1" = 30' DATE: SEPTEMBER 24, 2004 P CEL B 'n + 2 86t REV 11/112/04 (AMPHIDROME DETAILS) / 5 nH 508-362-4541 / zo '•ix 508 362-9880 H OF 414,T.Itf ul �o�� ARNE H oyGN ARNK / + 0.0 w down cape engrnF?ering, inc, a OJALA H. 1 CIVIL N OJAI.A 1 N No 30792 No. e�4 h + CIVIL Er�GiNEERS �o _P �o LAND `:>UIRVEYORS ssio 4uav,� ll� i 939 vain st. yarmouth, ma 02675 A H. OJA LA, P.L.S. DATE 04-077 SYSTEM PROFIL_E TOP FNDN AT EL: 63.75' ACCESS PROVIDE INSPECTION COVER TO WITHIN 6' OF FIN. GRADE NOT TO SCALE) V N PORT WITHIN .r - ACCESS.,COVER (WATERTIGHT)'TO 6" OF FINISH GRADE �° MINIMUM .75' OF COVER OVER PRECAST- . / WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 52 O' �f;�MM ELEM. 2" DOUBLE WASHED PEASTONE RUN PIPE LEVEL �* 59.0' FOR FIRST 2' 3' MAX. PROPOSED 2000. ��LG I /// 49 0' uocus 58.25' GALLON SEPTIC TANK4,f 58 0 TEE BAFFLE ��� o GAS EEEE 0 EaEE o 48.67 s" SUMP 48.17 E E E E S E ED E R 10 $+ EEEE E EEEE ( SLOPE) �6" CRUSHED STONE OR MECHANICAL go COMPACTION. (15.221 [21) $ 2' E E E EEEE E E1 .24 46.17' DEPTH OF FLOW = 4' ( 18 % SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE LOCATION MAP NTS TEE SIZES: INLET DEPTH = 10" ASSESSORS MAP 123 PARCEL 15 OUTLET DEPTH = 14" 5' YARD SETBACKS: FRONT = 30' FOUNDATION- 20' SEPTIC TANK 51' D' BOX 11' LEACHING SIDE = 15' FACILITY 41.6' REAR = 15' FLOOD ZONE: C BACKWASH/RETURN WELL PROTECTION DISTRICT - SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED ) AERATION PIPE GRADE DESIGN FLOW: 3 BEDROOMS ( 110 GPD) = 330 GPD INV. IN 58.25, TEST H❑L E L❑G S USE A 330 GPD DESIGN FLOW aox�c u►,K . SYSTEM DISCHARGE LISA LYONS, IRS DISCHMME ENGINEER: PROVIDE AMPHIDROME UNIT CONSISTING OF A 2000 2000 GAL. H-10 S/T DAVID STANTON, RS WITNESS: GALLON ANOXIC TANK, AMPHIDROME REACTOR AND DISCHARGE PUMP DATE: 5/19/04 1000 GALLON CLEAR WELL TANK (SEE DETAIL AND �' SPECIFICATIONS AS PROVIDED BY AMPHIDROME ) ANOXIC TANK PERC. RATE _ < 2 MIN/INCH (UNDER PROVISIONAL USE PERMIT; NITROGEN REDUCTION PROPOSED) OW TO� BACKWASH/RETURN PUMP CLASS I SOILS p# 10728 JAMPHIDROME MEDIA 1000 GAL LEACHING: UNDERDRAIN SUPPORT MEDIA CLEARWELL SIDES: 2(30 + 9.83) 2 (.74) = 117 AMPHIDROME REACTOR 30 x 9.83 (.74) = 218 C ELEV. Q BOTTOM: 335 AMPHIDROME SYSTEM 0" A/E `51.9' 0" A/E 52.1' TOTAL: 452 S.F. GPD USE (3) 500 GAL. LEACHING CHAMBERS (ACME OR (NTS) LS LS EQUAL) WITH 2.5' STONE AT SIDES AND 2.25' AT 10" 10YR 3/2 9" 10YR 3 2 B B ENDS LS LS 31 " 1 OYR 4/6 49.3' 32" 1 OYR 4/6 49.4' BOARD OF HEALTH C1 C1 MA APPROVED DATE 524 520 LS LS �+154.5 10YR 5/6 5471 10YR 5/6 BENCH MARK - CTR OF V 54.E 65 C.BASIN EL. = 51.9 + •7 \ + 4 \\ C2 C2 © 1.3 _I_ 5 ,3 V\55.5 s2 r r I MS MS LEGEND l ° + 1.0 53. \ _ _._ _8Y_ Fi/4_. __ 7 5y 6/4 ---- - - y 100.0 PROPOSED SPOT ELEVATIONr l r� 100xO EXISTING SPOT ELEVATION 51 2 51.03 �'• \ 122" 41.7' 126" 41.6' 0- --o PROPOSED CONTOUR 100 \ r NO GROUNDWATER ENCOUNTERED / � \+\ / s7,6 g 100 EXISTING CONTOUR // H / r r NOTES: + 1.5 / r r 59.1 r p PROP. AMPHIDROME 1 DATUM IS APPROX. NGVD / a� / / + 60.4 SYSTEM (SEE DETAILS s1s f AND SPECIFICATION 2. MUNICIPAL WATER IS AVAILABLE BY MANUFACTURER) 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. / m 1o• �� 5 O 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 0 \ 5. PIPE JOINTS TO BE MADE WATERTIGHT. Q 62.3 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. + 2. 00 8,1ARt L Q. T. \ \1° + 63.4 ENVIRONMENTAL CODE TITLE V. W \ 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT i� M r, \ \,_ TO BE USED FOR ANY OTHER PURPOSE. 51.3 L z \ \ 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC,. W N \ 1 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT AWE$ 1+,63.5 INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. / /, 0,/ / / PROP. \ \ 10. OWNER TO CONTRACT WITH F.R. MAHONY & ASSOCIATES, INC. AT 781-982-9300 FOR DESIGN, EQUIPMENT, TECHNICAL GUIDANCE AND TESTING TOP F DN r0 OF THE AMPHIDROME SYSTEM. / 11. OPERATIONS AND MAINTENANCE AGREEMENT REQUIRED FOR THE LIFE OF + 1 // / / / / l /o = 63.75' r r THE SYSTEM 51.0 \\ 12. EFFLUENT TESTING REQUIRED: CBOD, TSS, TN, pH & r ALKALINITY +164.1 TITLE 5 SITE PLAN OF / I \ t b.1 ,� PARCEL B OSTERVILLE - WEST BARNSTABLE ROAD IN THE TOWN OF: /5 .6 / `� �" LS >� , / � � \ (MARSTONS MILLS) BARNSTABLE 4. i PREPARED FOR: K. KING VALIGA & J. VALIGA C / \ + 63.4 / s (0 (030 0 30 60 90 / 4� tp ,tF4�l. (0t5 SCALE: 1" = 30' DATE: SEPTEMBER 24, 2004 // P CEL B U) + 4 2 ,186t F / 55�1 off 508-362-4541 ' fax 308 362-9880 / I ���ZN OF)ggSSgC �Xjj A OF'AgSS rf- / + .01 down cape engineering, inc. �o� ARNE y�N o�'� ARNE H. q�yG 1 N o H. OJALA CIVIL ENG OJALA.INEERS �No.28 P H -a N CIVIL 307920 Z �d h � LAND SURVEYORS 939 vain st. yarmouth, ma 02675 A s �'` ALA, P. Fs ,o �,�� DATE 04-077 7- ---F - Ir