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0081 VICTORIA STREET - Health (3)
�'/ ���� ���.v�� c ,�. C Town of Barnstable MA W Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-8624644 John Norman,Chairrman FAX: 508-790-6304 Donald A.Guadagnoli,M.D. F.P.(Thomas)Lee,P.E. Daniel Luczkow,M.D.Alt March 1, 2022 Mr. Richard Gunderson 81 Victoria Street Cenrterville, MA 02632 RE: Approval to Reduce Sampling and Monitoring Wastewater.Effluent from your Innovative/Alternative System at 81 Victoria.Street, Centerville Dear Mr. Gunderson You are granted permission to reduce the frequency of sampling and monitoring of the wastewater effluent from your onsite sewage disposal system consisting of innovative/alternative technology at 81 Victoria Street Centerville. The current required testing frequency is quarterly (four times per year) as per the Board of Health letter dated January 21, 2005. During the public meeting of the Board of Health held on June 22, 2021, the Board reviewed a report of multiple historic test results during a thirteen year span, from July 25, 2007 through October 13, 2020, provided by the Barnstable County Department of Health and the Environment. .Mu,ltiple test results showed TN levels above 19 mg/liter or 21 mg/liter. The Board expressed concerns about the exceedances and voted to continue your request for testing reduction to a future meeting in six months pending the receipt of additional testing with satisfactory results. After additional tests were received, the Board of Health held a second public meeting on January 25, 2022. The Board reviewed the submitted wastewater effluent sample reports dated November 10, 2021 (with a sample received date of 10/05/21) and July 26 , 2021 (with a date sample received date of 6/24/21). Both samples were analyzed by Envirotech Laboratories, Inc. The pH levels were found to be below 9.0 and the total nitrogen (TN) results were at or below 19 mg/liter which were satisfactory. Q:WP/IA Monitoiring Reduction Approval 81 VictoriaStreet BOH 2O22.docx I f + Upon further review of the Massachusetts Department of Environmental Protection (DEP) requirements for SeptiTech technology, it has been determined that the approval letter entitled Certification for General Use dated September 4, 2018, requires a minimum testing frequency of twice per year at all year-round installations. At seasonal installations, only total nitrogen (TN) is required to be sampled and tested twice per year. Section 9 of the September 4, 2018 D.E.P. approval letter specifically read as follows: o a) Year-round installations shall be inspected and have effluent sampled for a minimum of twice per year, at least 5 months apart and with at least one sample taken between December 1 and March 1 of each year. o b) Seasonal installations shall be inspected and have effluent sampled for at least the TN parameter a minimum of twice per year. At least one sample must be taken 30 to 60 days after each seasonal occupancy begins. A second must be taken no less than 2 months after the first sample. Massachusetts DEP defines year round installations as `properties occupied at least 6 months per year.` Properties occupied less than 6 months per year are considered seasonal properties. If you should have any questions, you may contact D.E.P. at their Southeast Regional Office at (508) 946-2700. Sincerely, hn Norman Chairman Q:WP/IA Monitoiring Reduction.Approval 81 VictoriaStreet BOH 2O22.docx McKean, Thomas From: McKean,Thomas Sent: Monday,June 28, 2021 10:38 AM To: gunder58@aol.com' Cc: Crocker, Sharon Subject: I/A Sampling and Analysis - Testing at 81 Victoria Street Good Morning, The Board of Health members received your request for a reduction of the testing requirements, along with a copy of the I/A system test results submitted from the years 2007 to 2020. The Board met at the televised and posted public meeting held on Tuesday June 22, 2021 at 3:00 p.m. at the Barnstable Town Hall,second floor James H. Crocker Jr. Hearing Room. It was noted quarterly testing did not appear to be conducted and the total nitrogen (TN)exceeded 19 mg/liter during six tests conducted. Therefore,the Board requests that you submit quarterly testing results (conducted once every three months)during this calendar year 2021. You may return to the Board of Health in six months, at their meeting scheduled to be held on December 21, 2021 Board of Health (at 3:00 p.m. at the Barnstable Town Hall, second floor James H. Crocker Jr. Hearing Room)to review this years'testing results and to seek a decision from the Board at that meeting. Sincerely, Thomas A. McKean, RS, CHO Director of Public Health 508-862-4640('elephone) The informatior.contained in this electronic transmission("e-mail"),including any attachment(the"Information"),may be confidential or otherwise exempt from disclosure. It is for the addressee only..The Information may also be deliberative and pre-decisional in nature.As such,it is for internal use only.The Information may not be disclosed without the prior written consent of the Director of Public Health and/or the Town Attorney's Office of the Town of Barnstable.If you have received this e-mail by mistake, please notify the sender and delete it from your system.Please do not copy or forward it.Thank you for your cooperation. 1 I r L f Crocker, Sharon From: Richard Gundersen <gunder58@aol.com> Sent: Saturday, November 27, 2021 1:00 PM To: Crocker, Sharon Subjett: Septic Testing Results Attachments: Septic Results 6 24 & 10 05 21.pdf Hello Sharon, Attach-.d please find the two most recent Septic Testing Results, as requested by the BOH in June,regarding our property at 81 Victoria Street,Centerville, Would you kindly confirm to us that we are scheduled on the agenda for the December 21 BOH meeting to again address our request for a reduction in testing requirements. Thank you very much,and we look forward to hearing from you. Richard and Louise Gundersen 81 Victoria Street Centerville, MA Tel: 781-789-5754 11f 9,o/Ar7 CAUTiON:This email originated from outside of the Town of Barnstable! Do not click links,open attachments or reply,unless you recognize the sender's email address and know the content is safe! 1 MA.C'�`.t T, O :J MA 06.E 8.Jwz Seha.vllan brine Sandwich, AfA UP750 (S08)888-6460 1-8611='339�6460 FAX(508)888-6446 ;�lair1f1J3•,TuCy?6;�Cl?i i Cure Clear Water 7't3 Brag 1311 j Aftsrsrons slsfts,`.5, :6 c Projech'Vame. G Ondej^sop 81 Vaelarir?.St. Centea'i rlie,Alm Ctstrr»cents: Project Number: Stampled By Nike Dillen Lab Order Nurnberr date fleceive& -0612.1'21 .Sa"We Type Santsie nme sn"Vie,Vitas Caixmerstr pp i {' PGA{?Chcrssber t� 19:Q$a rJf+f2rr�1 r , i Paratnelerq Uldo Testflesults Report0kLindts D4k*,A wr#—td ,ArialysE 1ledrad C M 5 day r YL J 4 2.r tie, t t CUA SM 521 q 9 ?C ;atr�l li ira r< ry:tL .1 J. O G ft31� K8 hd50Q-NnJ B-d r i€raie=ha ",91L t:9f7 7.i71 CiP 7v':t so ERA 3,aQ,n 0.370 goo5 SG EPA 303,v awn tratL A C F 5 t KS CakulLtivm �C3 '+�JS'irfi:'f;L'..iflti5tZ 7.Q' 1. ts7,•DT..�7t ._...._ K ,CR 5Fs�2a4i7D� g.aa .79 NA so SM 4500 H-8 ! d i 3 3 I 3 3 l All.sarriplo were arraty ed,wirhitn ahe eit4blished grrWhWet of VSLl'A tapraved me,ltads;•lth all:requiremen.s me.;ioMwi mhettys sr rtated atthR. end of e gkFvn sampid's d ra&"l r4rltx R°e&wi fy tkat thefallauzna results are true aria accurate to the hest ajavr;kmo Ali 4j?e. BRI.�Nrlvw reportable limits °see ara7rbed Rantald J.Saud I ahnratory Direetor Page;of I'. I i 3 3 7 3 .. _ ........._........_ ................ __.......................... �. CHAIN OF CUSTODY FORM ENViRC3TECH LAOS,iFtG, GIIetlt: MA Cort.NO., M-Mq t1fi3 F�" Y" 8 Jan Sebastian Dr.,Unit AdclJ'� Praecs: .�...— . Project # J;irlarta Sandwich,MA 02-563 P,01 BOX 1271 6-a 10 �AAR` rtIyaA�1L1, . fl�iA ( c>a)sss-sacora-i3aa as ds0 a*x-fe mye. 1 aonpre�. 3,- -70e,7 omall.6,�,4 i, 4 ab(1?ffi E@n c arna Sarnple Location s3 CantaPrmr Frm Analysis R.ogtiestad .C15 /C' r 1 t w. +�� `AF t i?�t..vi4�--••� q{„ .; _p , `......, ,.. a. !V _. iiiGtC.'Sr t Rehnquistaad; Dalatrima f I�+�"Nod Relinquished. Datamma Datornme fiocrivad: RalinctuFnhod: Da+taltirttr, Received. Raw 1 a 8.Tdrri,bastian Prii,e S'anrdyvieds,a41A 0256:3 (508)888-644t1 1-800;-3$9-6460 F.4 (508)888-6446 i`edtrrest`at,rYv erttb 10,2021 Cope C:iear Wlaer PCB O-v 72 d ;tarsttirs milt, fjY PrvjecrNamer CarvrriErsun Comments. Project Number 81 Victoria St Sampled 13't': ike Dilloi Lob(I:rcder Vrriirbers -!Y41-2.1.2.3:54 Date Received: 10;`05%2I �,. �irrnpie7"�:�e 5ariirrt�Ydr3ae Strrr:�.ieBride t'vsrdrits ! 1'aruraxters' Units 7rs1 Routh 3fedhhd pH F:H umis _ i 7.95 - rir: sz sD 514 450 H-s IC-E D'da:y r ct. s:tr 2::0 cLM sm210e I <Yyelctta lti p 8n me ( 10 .60 5 t2 +2, V Mc'.aria St SM4500,Norg g.a dds 1aV3 N rat t�s 1-00 r.41 j i 4 f2 5? EPA 500-0 Fiv:E � ti mg L EPA 3Gv0.0 =T <ai.s sp�n�i r Sa ic: m P.0 t.S. 3rzg dz; Ka SM 254D D 11.05lrrdtples we'rE'hiif[13'2t11 s ddrf+r ttie e*.,trdXrt!&rlt�tl,iris,"ii�Ytc?S hf�lrS`t;'`d'.R(aj7J�s"igs'prdMf tttrr,.q s�yf�r rrJ1 regrairerstrnrs rrrYf,arrtess whowiserreNdd:5 ile enii of a gliyra sa,rare#e's urra.tsdicrif t~ufcs' i3'r rv�rli,f y that the faUmvimyn raulty are Irm,artt(ra-rurirde d�+flee.hi 4d nf`rru'r krrawFa„i�g� f,Fd,t.���;t��w.rrpardahte lirrrids F".f(`P(dFdGfitlCrl .dZJrrdrtd J Saari Lahorrrtory.:Director t L CHAIN OF CUSTODY FORM ENVIROTECH LABS, INC. a#tot4 ,:` 8 Jan Sebastian nr.,unit 12 �aPe'ClearlNatef 71 Odd Stage Rd. - Proj.No. P���iiet°l��rtre: @„I Al � � Q Sandwich,MA 02563 Rd�t .- _ ow_ -'°ry 08).8 64601 8a0-3as-6460 f a t b��, MA o2668 w ler Ax(60$)e89-s446mai l � � Gc ✓15`7 /e' !.ola lt?# fkzfe.;.< 'fWOOp' coftop Giab sxlt conteln� Pros Analysis Requested t .__ ....... Ftedlrsap l4hoYt! a 7rtt , Romfved- . Rediquished: l olefri re Rocc&ed: f2040414shed: l rate/TtNxie Peea(ved l Refinqulshed: Datomme Recedved I/A System Sample Report History ; 81 Victoria Street Barnstable Barnstable County Department of Health and Environmentr� j P.O. Box 427, Barnstable, MA 02630 Effluent Sample Results Date TNT Nitrate Nitrite TKN4 CBOD55 TSS6 p H 7 Water Use8 Alkalinity9 07/19l2007 25s7 23 1 0 4 2 2 10/24/2007 1.8 1 0.75 53.3 26 40 7.2� 1 03/13/2008 41 6 39.4 0.25 1.5 51 22 6 13 5 4 2 � -- 9x�,�._.,., 7777777 06/19/2008 41.255 1 7.1 1y 2/30j2008 .s.�...._21.7 18 2 0.3-�,.�.� 3.2a_ 4 4:5. 7 • � -� 05/29/2009 15.96 11.2 0.25 4.51 5.1 7.5 7 09/02/2009 15 16 12 0 37: 279 3 r 3:, 6 6, 12/29/2009 19.33 2.18 0.25 16.9 4.6 4 6.4 0 /3 29%2010 13 94 8 12 0 125 5 82 2_ 06/21/2010 8.07 5.54 0.3 2.23 m4 4 7.2 10/3%2011 9 48 2 49 0 3 6''69__ �_. 11 2' =5 .7 77 7.". 11/29/2012 3.1 3.1 3.9 3.9 7.2 0 25/2016 9.79 9.18 0.61 2 11 _ 09/27l2017 L05/16/2018 24.492 0.390.102 24 8.6 5 7.4 77?7747:��" = �/23/2019 14.27 3.27 11 5 7.21 /13/2020 14.715 2.6 0.115 12 9 7.11 Median 14.9375 ':5 51 _ 0 3' ': 5`82 �---w 774.1 .� 5 - 7 105 77771 Influent Sample Results No Influent Sample Results 0512412021 09:43am Page 1 of 2 Bqf. I/A System Sample Report History i 1 About this Report y_ , Barnstable County Department of Health and Environment �`S�r � f P.O. Box 427, Barnstable, MA 02630 This report represents the entirety of the sampling report record for this property as stored in the Barnstable County I/A database. If reports are missing, it is the responsibility of the system operator to ensure that they are reported promptly. 1 - Total Nitrogen - measured in mg/L. Should be less than 19.00 mg/L. 2 - Nitrate - measured in mg/L. Should be less than 19.00 mg/L. 3 - Nitrite - measured in mg/L. Should be less than 19.00 mg/L. 4 - Total Kjehldahl Nitrogen - measured in mg/L. Should be less than 19.00 mg/L. 5 - Carbonaceous Biochemical Oxygen Demand, 5-Day - measured in mg/L. Should be less than 30.00 mg/L. 6 - Total Suspended Solids - measured in mg/L. Should be less than 30.00 mg/L. 7 - pH - measured in SU. Should be between 9.00 and 9.00 SU. 8 -Water Meter Reading - measured in gpd. 9 -Alkalinity - measured in mg/L as CaCO3. Crocker, Sharon From: Tracy Lo g <tracy.lon barnstablecounty.org> Sent: Monda , May 24 22021 9.47 AM To: Crocker, o Subject: FW: I/A Septic System - 81 Victoria Street Centerville test results Attachments: 81 Victoria Street sample_report_history.pdf Hi Sharon, Attached is the sample history report for the Gundersen's at 81 Victoria Street Please let me know the outcome of the meeting in the event I need to update the tracking database. Regards, Tracy Tracy Long Administ-ative Assistant Massachusetts Alternative Septic System Test Center/IA tracking Department of Health and Environment Barnstable County, Massachusetts Email: tracy.long@barnstablecounty.org Web: www.barnstablecountyhealth.org Tel: 508-375-3645 Fax: 508-362-2603 From: Richard Gundersen <gunder58@aol.com> Sent: Friday, May 21, 20219:51 AM To:Tracy Long<tracy.long@barnstablecounty.org> Subject: I/A Septic System CAUTION:This email originated from outside of the organization.,Do not click links or,open,attachments unless yo.0 recognizeahe i sender and know the content is safe. Good morning Tracy: I spoke with you in April regarding a letter we received from the Barnstable County Department of Health and Environment regarding the compliance regulations for our I/A septic system located at 81 Victoria Street, Barnstable. You subsequently gave me instructions as to reaching out to the Board of Health regarding a possible reduction in the testing requirements,which I have done. I spoke with the BOH yesterday, and they are requesting that we submit the last eight test results for our septic system. Since you are in possesstion of these results,they asked if you could possibly email those results to Sharon Crocker at sharon.crocker@town.barnstable.ma.us, and she will submit these tests for review to the Board of Health and then, hopefully, schedule our request to be heard at the next BOH meeting on June 22. 1 I . Could you please let me know if you are able to respond to this request? Thanks very much, and I look forward to hearing from you. Louise Gundersen 781-789-5754 CAUTION:This email originated from outside of the Town of Barnstable! Do not click links, open attachments or reply, unless you recognize the sender's email address and know the content is safe! . z Cape Clear Water P.O..Box 1271 Marston Mills,ALA,02648 Phone:508-603-8771 Fax:508-681-8915 e-mail-capeclearwater@comcast.net Operation and Maintenance Agreement for Septi-Tech, I/A treatment system located at 81 Victoria st., Centerville, MA Mr1 DEP PERMIT#BARN-Vic081-Sep Services Performed By: Services Performed For: Cape Clear Water Richard Gunderson P.O..Box 1271 81 Victoria st. Marstons Mills,MA 02648 Centerville,MA Phone:508-603-8771 Fax:508-681-8915 a-mail- capeclearwater@comcast.net Maintenance and Testing.Shall be performed by a Licensed Certified Massachusetts Wastewater Treatment Operator Permit Required testing 4 times annually for:CBOD,Tss,Ph,TK'i T,Nitrate.Nitrite This Operation and Maintenance agreement,(hereinafter,called the"o/m"),effective as of September 1,2017 is entered into by and between Contractor and Client,and is subject to the terms and conditions specified below. Period of Performance The Services shall commence on Sept 1 2017 and shall continue through Sept 1 2019. . Cost of Services Contractor shall provide the Services and Deliverable(s)as follows: Quarterly service and effluent testing-$225.00 per visit Hourly Service Rate:$77.00/per hour If both parties agree to the above said terms please sign below to validate contract 0/ -qd J - Statement of iVork for(Client Name]•(Dote) 1 Jun. 6. 2018 4: 19PM . No. 1288 P. 1/1 ENVIROTECH LABORATORIES, INC. MA CERT. NO.:MMA063 8 fan Sebastian Drive Sandwich,MA 02563 (508)888-6460 1-800-339-6460 FAX(508)888-6446 1rl(/ y,May 2S,2018 Cape Clearwater PO Box 1271 Marston MY6, Projecd ame. Gunderson, 81 Victoria St. Centerville Comments: Project Number: Sampled By: M. Dillen Lab Order Number., WW-180870 Date Received: 05116118 ':: ' ';,ti,;.•:'n::; ;�' Pl al►ms Soorle Daie Parameters Units Test Results Reportable Limos Dale Analyzed Analyst Method C-1301)5 day mg/L 8.6 2.0 os/1e/1a MC SM 6210 B Kjeldhal Nitrogen, mg/L 24 0.60 MOMS KB M4500-Norg B Nitrate-N mg/L 0.39 0.01 05/16/18 RL EPA 300.0 Nitrite-N mg/L 0.102 0.006 05/16/10 RL EPA 300.0 Total Suspended Solids mg/L 6.0 1.5 05/21/18 KS SM 2540 D �H grab pH units 7.41 NA 05/16/18 RL SM 4500 H-B ZL=below reportable linjits ?e attached 0: Ronald J.Saar Laboratory Director Page 1 of 1 I� i Crocker, Sharon From: Emily Michele Olmsted <emilymichele.olmsted@barnstablecounty.org> Sent: Tuesday, October 04, 2016 12:55 PM To: Crocker, Sharon; Malkus, Karen Ca/t"i4'01z�4t Subject: 81 Victoria Street 1 Good afternoon Sharon and Karen, Louise Gunderson of 81 Victoria Street i Barnstable just came by our office and provided a copy of her current contract with Wastewater Treatment Services. She is going to ask for a reduction in testing, although since her property is still in a Zone II and was originally approved under Pilot Use, she will still need to get a reduction from the state as well although I am trying to track down the specifics. Wanted to give you a heads up though that she is technically in compliance. Thanks, Emily Michele Emily Michele Olmsted Project Assistant r= fiev - ��,•aF�nrfcr.:rrr =�rc�:k�a�+�r'u�tv.�.r �rr �j�(i ��1�� /S - /n `�hf._ 0 - S( Department of Health and Environment Barnstable County, Massachusetts PO Box 427 Barnstable, MA 02630 Email: emilymichele.olmsted@barnstablecounty.org Web: www.barnstablecountyhealth.org Twitter:.@BCHDCapeCod Facebook: http://www.facebook.com/bchdcapecod Tel: 508-375-6901 Fax: 508-362-2603 1 � � c4,` `.' �.. _ ., ' / ... ,+ ', s ei J,..._,._..---� — ..._ ._ _-� _ - _., `� � �/� �� 1 `mow___,_ '; (-'-��. � � ,-f,., ��, ��,.. 1}. \, �,,J \.�"' ( )BCDHE BAK,swu Coumr DEmRTmEm v HEALTH MO E"Rol"N �a`*�� PROMOTE-PROTECT-SUPPORT '`� ewA he September 1st, 2016 Richard and Louise Gunderson 58 Buttercup Lane Hanover, MA 02339 RE: Operation and Maintenance Contract for the Innovative/Alternative Septic System Installed at 81 Victoria Street in the town of Barnstable. Dear Richard and Louise Gunderson, Our records indicate that the operation and maintenance contract with Wastewater Treatment Services for your innovativeialternative wastewater treatment system may have expired or was canceled as of April 1 st, 2016. To date we have not received evidence that you have entered into a new operation and maintenance contract. I am writing to remind you that the Massachusetts Department of Environmental 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 https:Hseptic.barnstablecountyhealth.org. My department oversees I/A septic system management and compliance efforts for the Board of Health in your town. We are authorized by your Board of Health to contact you to inform you of the above requirement and to request your compliance. Accordingly, please forward a copy of a signed contract via mail, fax or e-mail within fifteen (15)days of receipt of this letter. .For your convenience, I have enclosed a list of wastewater operators we are aware of that do business in Barnstable County. The firms listed operate multiple types of I/A technologies and are not associated with any particular technology or vendor. Please be advised that if you do not respond within fifteen (15)days of your receipt of this letter by forwarding a copy of a signed contract, you may be referred to the Barnstable Board of Health for further enforcement action. I can be reached at 508-375-6901; my Fax number is (508)362-2603. 1 can also be reached via email at emilymichele.omsted@barnstablecounty.org. Thank you for your prompt attention to this matter. Sincerely, Emily Michele Olmsted CC: Barnstable Board of Health Enclosures (2): Certified Wastewater Treatment System Operators List, Inspection and Testing Requirements BARNSTABLE COUNTY COMPLEX 3195 MAIN STREET/PO BOX 427 BARNSTABLE,MASSACHUSETTS 02630 Phone:(508)375-6613 I Fax:(508)362-2603 1 TDD:(508)362-5885 Web:barnstablecountyhealth.org I Twitter:@BCHDCapeCod Town of Barnstable 165;9. , Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,RS. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. January 21, 2005 Mr. Kieran Healy BSC Group 657 Main Street, Unit 6A West Yarmouth, MA RE: 81 Victoria Lane, Centerville A= 148 - 47 Dear Mr. Healy, You are granted permission, on behalf of your client, Leo F. Rockwood, to construct an onsite sewage disposal system with innovative/alternative technology at 81 Victoria Lane, Centerville. This permission is granted as follows: 310 CMR 15.214: To construct an onsite sewage disposal system incorporating innovative/alternative technology in order to discharge 220 gallons per day of wastewater discharge on a 15,000 square feet parcel. n is grante d with the following conditions: This permission g 9 (1) No more than two (2) 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 proposed storage room, as shown on the submitted floor plan (second floor), shall remain unfinished. (3) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to two (2) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. HealyRockwood (4) The septic system with innovative/alternative technology shall be installed in strict accordance with the engineered plans dated December 3, 2004. (5) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the plans dated December 3, 2004. (6) The wastewater shall be monitored on a quart a is for total nitrates, pH, BOD, TSS, TKN, and Nitrates. Note #4 on the engineering plan shal be revised to include total nitrates. (7) The applicant shall obtain permission from Massachusetts DEP to install an innovative/alternative system at this site. This parcel is 15,000 square feet. This permission is granted because the State Environmental Code, Title 5 allows for construction of two bedroom homes on parcels of this size provided the applicant installs an approved inve/alternative nitrogen reduction system. ly your . Miller, M.D. Chairm n HealyRockwood 0(f:a I: DATE: 0 sacuvsr.�srs. PEE. 9 erase. i679. `e� pep I�p� REC. BY Town of Barnstable 3CHED. . DATL Board of Health 367 Main Street,Hyannis MA 02601 Office: 508-8624644 FAX: 508=90-6304 Susan G.Rack.R.S. Sumner Kaufman,M.S.P.H. Ralph A.Murphy,M.D. VARIANCE REQUEST F0101 LOCATION Property Address: 81 Victoria Lane Assessor's Map and Parcel Number: 14 8/4 7 Size of Lot: 15, 000 S.F. Wetlands Within 300 );t. Yes Business Name: No X Subdivision Name: APPLICANT'S NAME: Kieran J. Healy Phone 508-778-8919 Did the owner of the property authorize you to represent him or her? Yes X No. PROPERTY OWNER'S NAME CONTACT PERSON Leo F. Rockwood Name: _ Name: Kieran J.-- Healy- Address: , 41 Hadrada Lane, Centerville Address: 657 Rt. 28 Unit 6 .—1 - t 508-428-6000 Phcri6: Phone: 5 0 8-7 7 8—8 919 ; VARUN.CE FROM REGULATION(List Reg.) REASON FOR VARIAINCE(May attach if more space needed) J 1 • 15. 203 15 , 000 S F Zone TT' Lot ( ' ' _220y GPD requested ( 2 . 15214 (1) ;Zone II Lot Using alternativp treatmont Checklist(to be completed by once staff-person receiving variance request application) Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of floor plan submitted(e.g. house plans or restaurant kitchen plans) ✓ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals(sameowner/kaseeoalyL outside dining variance renewals(same ownerlicuee onlyl,and variances to repair failed sewage disposal systans(twy if no expansion to the building proposedn Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G.Rask,R.S.,Chairman _r NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Ralph A.Murphy,M.D. 0:/wP/vARIREQ �3%� r --____-- MAP 148 M 148 . 09 # 6 1D 9 P # 24 \ � MAP 14 MAP 8 48 -- 0 09°1 # 17 <\ M 14 MAP 418 M M 48 9 50 4412 ? #2 # OP MAP 14 1 P - 4 ' MAP 48 \ # 10 #1 AP 14 14 MAP r4 7 # 4 g 14 'bs 91 148 # _ 0 - 3 MAP. 1-48 0 5 G 4-7 2 \ #81 (jr 148 \ /106 MAP 1,4 t M 148 - # 46 #71 #94 \' MAP 14 04 8 1 # 05 M 148 06 O .API 8 0 MAP 18 04 . M 148 # 5 -- --- r - 8 # r 01 —C 4 /. #3 M 148 / # MAP 14 06� 4 #29 MAP 148 PARCEL N 047 W 1001 BUFFER s E �- SCALE: l"=100' a *NOTE: Planimefia,topography,and **NOTE: The parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The James vegetation were mapped to meet National of property boundaries. They are not true locations,and W.Sewall Company. Topography and vegetation were interpreted from 1989 aerial photographs by GEOD Map Accuracy Standards at a scale of ` do not represent actual relationships to physical objects Corporation. Planimehics,topography,and vegetation were mapped to meet National Map Accuracy Standards on the map. at a scale of 1"=100'. Parcel lines were digitized from FY2004 Town of Barnstable Assessor's tax mops. t Abutters Within 1-00' of Map 148 Parcel 047 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters. The requestor of this list is responsible for ensuring the correct notification of abutters. Owner and address data taken from the Town of Barnstable Assessor's database on 12/1/2004 Mappar Ownerl -- Owner2 Address 1 Address 2 City State Zip Country f I-48045 -IHEYER,WILLIAM J&TERYE L-� 63 VICTORIA STL CENTERVILLE ��7MA�02632 USA 148046 jSIMARANO,VINCENT J -- --__--_- --- --- 186 RESEVOIR I-MARLBORO TM-- A Ol752 USA— ST48047ROCKWOOD LEO F 41HADRADA JCENTERVLLE MA02632U— _-- - - - ------- _ LN ff41,M-- GARLAND,JANE E -- 91 VICTORIA ST �CENTERVILLE MA 02632 USA , 148065 OSULLIVAN,CORNELIUS V& OSULLIVAN,ROSE F 64 VICTO RI A ST CENTERVILLE MA 02632 USA ____j 148066 ---MANSEN,-FLORENCE E— —— %ZANELATTO,CARLOS=CICERA�f WARWICK CENTERVILLE —�MA r02632— USA r4kO�7 CANNON,MARILYN E 94 VICTORIA ST CENTERVILLE MA 102632 USA F148107 —IGUZMA,FRANK E l 53 HADRADA CENTERVILLE L48108--�ROCKWOOD,LEO F&EUNICE F �41 HADRADA JCENTERVILLE MA 02632 USLN _ — 148109 GONSALVES,ALAN L&----IGONSALVES,LAURENE A 72-9�1,kDRAIIA CENTERVILLE �A 02632 USA; Thursday,December 02,2004 -_---------- --- -- — — --------------Page I of JUN-24-2004 03 :37 PM DONNA. SCHULZE. C2ISEASIDE 5084280401 P. 02 Leo Rockwood 41 I' adrada Lane Centerville, MA 02632-2028 June 24, 2004 Re: 81 Victoria Street, Lot 13, Centerville, MA 02632 To Whom It May Concern: I, Leo Rockwood, hereby authorize Paul Schneider of Phoenix Realty Trust to apply for a variance and represent me in this matter. Sincerely, fl � Leo Rockwood p.s. If there are any further questions, please call (508) 428-6000. A ? e w Jb NNW Ste-et Pll f• 4• w y, ►� `` -L a �,/' �` � © p ,e ►'lam"�` °' ` �''• ,c� w 141 u O ti 6 s 'V ® ho�, • G �,� a ..i�•. O -blob b`•• tie ' It9coo 34.c 1S5 I :� .stagy of Ac auf yet rtlo:164 7 i VA 155 as 27 t\�. REV:B AVIS •• Its •� IOINAL ISSUE: 1960 •�"s 4.M 125 149 rn 297 ra Ia „I Tog In 147 rm W/rl- / TffF vt i9-cc o/'-n r S(n•�I / SKr ra , . I Crocker,, Sharon From: Crocker, Sharon Sent: Tuesday, June 15, 2021 11:39 PM To: Crocker, Sharon Subject: FW: BOH Hearing June 22, 2021 - 81 Victoria Street, Barnstable, M/P 149-047 0.34 Acre Lot -----Original Message----- From: Richard Gundersen [mailto:gunder58@aol.com] Sent: Tuesday, May 25, 2021 12:13 PM To: Crocker, Sharon Subject: BOH Hearing Good morning Sharon: Pursuant to our telephone conversation this morning, we are writing to request that the Board of Health include our request for a reduction in alternative septic system testing requirements on their agenda for the next board meeting on June 22.. It is our understanding that the BOH has received the testing sample history for our residence at 81 Victoria Street for review and consideration before the next meeting. Could you kindly confirm to us when we are included on the agenda for the June 22 meeting to ensure we will be there to attend? Thank you for your courtesy. Richard and Louise Gundersen 81 Victoria Street Barnstable Tel: 781-789-5754 CAUTION:This email originated from outside of the Town of Barnstable! Do not click links, open attachments or reply, unless you recognize the sender's email address and know the content is safe! 1 li L I/A System Sample Report History Y p p 81 Victoria Street, Barnstable Barnstable County Department of Health and Environment `�� 4� ' P.O. Box 427, Barnstable, MA 02630 - Effluent Sample Results Date TNT Nitrate Nitrite TKN4 CBOD55 TSS6 pH Water Use8 Alkalinity 07/19/2007 25.7 23.1 0.4 2.2 1 1 7.4 10/24/2007 1.8 1 0.75 53.3 26 40 7.2 03/13/2008 41.6 5.51 22.6 13.5 4.2 9 06/19/2008 41.2 39.4 0.25 1.55 1 1 7.1 12/30/2008 21.7 18.2 0.3 3.2 4 4.5 7 05/29/2009 15.96 11.2 0.25 4.51 5.1 7.5 7 09/02/2009 15.16 12 0.37 2.79 3 3 6:6 12/29/2009 19.33 2.18 0.25 16.9 4.6 4 6.4 03/29/2010 13.94 8.12 0.125 5.82 2 2 6.3 06/21/2010 8.07 5.54 0.3 2.23 4 4 7.2 10/31/2011 9.48 2.49 0.3 6.69 11.2 5 7 11/29/2012 3.1 3.1 3.9 3.9 7.2 02/25/2014 9.98 8:03 0.34 1.61 3.9 3.9 8.9 02/25/2016 9.79 9.18 0.61 2 11 09/27/2017 59 59 23 9 6.9 05/16/2018 24.492 0.39 0.102 24 8.6 5 7.4 11/20/2018 15.198 0.88 0.318 14 4.7 7.5 08/23/2019 14.27 3.27 11 5 7.21 06/09/2020 4.08 0.18 3.9 8. 8 6.82 10/13/2020 14.715 2.6 0.115 12 9 7.11 Median 14.9375 5.51 0.3 5.82 4.1 5 7.105 Influent Sample Results No Influent Sample Results 0 0512412021 09:43am Page 1 of 2 f➢ O" HA I/A System Sample Report History About this Report r Barnstable County Department of Health and Environment \!yssA4 �1 t P.O. Box 427, Barnstable, MA 02630 This report represents the entirety of the sampling report record for this property as stored in the Barnstable County I/A database. If reports are missing, it is the responsibility of the system operator to ensure that they are reported promptly. 1 - Total Nitrogen - measured in mg/L. Should be less than 19.00 mg/L. 2 - Nitrate - measured in mg/L. Should be less than 19.00 mg/L. 3 - Nitrite - measured in mg/L. Should be less than 19.00 mg/L. 4 - Total Kjehldahl Nitrogen - measured in mg/L. Should be less than 19.00 mg/L. 5 - Carbonaceous Biochemical Oxygen Demand, 5-Day - measured in mg/L. Should be less than 30.00 mg/L. 6 - Total Suspended Solids - measured in mg/L. Should be less than 30.00 mg/L. 7 - pH - measured in SU. Should be between 9.00 and 9.00 SU. 8 - Water Meter Reading - measured in gpd. 9 -Alkalinity- measured in mg/L as CaCO3. COMMONWEALTH OF MASSACHUSETTS FE EXECUTIVE OFFICE OF ENVIRONMENTAT PPAW A l- DEPARTMENT OF ENVIRONMENTAL yy°` -�cI 2. l�0 ONE WINTER STREET, BOSTj'-N; MA:02108 617-292ksFfR>tff .0, MITT ROMNEY ELLEN ROY HERZFELDER Governor Secretary U., KERRY HEALEY ROBERT W.GOLLEDGE,Jr. Lieutenant Governor Commissioner April 12, 2005 Mr. Richard Capen p.C1 Box 763 Centerville, MA 02632 Re: Statement of Administrative Completeness Application for BRP WP 64b; Installation of Alternative System for Pilg in Technology: SeptiTech M400-N 81 Victoria Lane, Barnstable DEP Transmittal Number: W060071 Dear Mr. Capen: _ This letter is to confirm the receipt of an application for.the'instal' ion of a SeptiTech -M40.0-N treatment system at the facility_listed.above. .As of the date of this h tter the Department has completed an Administrative Review of the application ari"d 'defermin6d'that the application is administratively complete for permit category BRP.WP64b. Per DEP fee and timeline regulations, the Department is allotted 60 days to complete the technical review, during that time we may issue a statement informing you of any deficiencies and requesting additional information. Our office Will initiate the Technical Review as of the date of this letter. If you have-any questions in-the meantime, or have any additions to the application, feel free to contact Dana Hill, of my staff, at(617) 292-5867. Sincerely, d Steven H. Corr, P.E., Environml -ntal Engineer V Watershed Permitting Program CC: Barnstable Board of Health Kieran J. Healy, The BSC Group,Inc., 657 Route 28,Unit 6A,West Yarmouth,MA 02673 This information is available in alternate format:Call Donald M.Gomes,ADA Coordinator at 617-556-1051.TDD service-1-800-298-2207. DEP on the World Wide Web: http://www.mass.gov/dep ��a Printed on Recycled Paper T t Final Inspection & Start-Up Check List To belompleted by Rosano Davis Spath Engineering and returned to SeptiTech, Inc. Model#: 011 11 E Processor Serial#: SeptiTech Job #: l-) �LlController Serial#: Customer/Owner: Date. Address: ` •= Phone: Y Checklist Item Comments Q Unit filled with water to bottom of support structure pipes (Processor only if above ground system) �erify electrical connections with wiring diagram D -box in tank ❑ Control panel terminal blocks (Insure all connections are tight&wires are numbered) ^ Was system tested? Re- "'culation pumps Discharge pumps Pum -backs r Lift pumps ��� l i (.� •Aw (Exercise entire system in maintenance model; GZ7 ❑ Air inlet painted black, screen installed sure--PLC is in run mode e v Insure copy of electrical wiring diagram is stored in control panel �'Is Zabel filter installed? G:\Distributots\001 SeptiTech Mass(RDS)\RDS Shipping Checklist.doc Z Final Inspection & Start-Up Check List (Cont) To be completed by Rosano Davis Spath Engineering and returned to SeptiTech,Inc. Customer: Job #: / �^`' Date: Y Checklist Item Comments f Are all pump pipes properly connected? /r•_. Is bag placement optimized? 4; - e inner covers sealed properly? (Use#10 x 1"s/s screws 4 each) Are outer lids sealed properly? (Use#10 x 1 %"s/s screws—DO NOT OVER TIGHTEN) 0-"'Is complete installation in accordance with the Contractor Installation Manual? Notes: i f i; i �\7, RDS Rep f GADistributors\001 Sept Tech Mass(RDS)aDS Shipping Checklist.doc J r ROSANO DAVIS SANITARY PUMPING, INC. 9 ROCKY LANE COHASSET, MA 02025 (781)383-8888 Agreement for Operation & Maintenance Services for SeptiTech On-Site Wastewater Treatment System Date: March 24, 2013 Name: Mr. Mark Bowman Address: 81 Victoria S-b^ee+' City,State,Zip: Centerville, MA 02632 For the duration of this contract beginning April 1,2013 and concluding April 1,2014 the Service Provider shall operate and maintain the SeptiTech wastewater treatment system in accordance with conditions imposed by the Massachusetts Department of Environmental Protection and requirements set forth by the local Board of Health. 1.Sample of discharge effluent occur as follows: Copp, �--, a.Total Kjedahl Nitrogen (TKN) Annually Bow D r �� b. Nitrates(NO2) Annually -� OF r c. Nitrites(NO3) Annually A17 O d.Carbonaceous Biological Demand(CBOD)Annually e.Total Suspended Solids(TSS)Annually 41 2. Service Provider agrees to report to the MA DEP and local Board of Health all inspections andPwatere sampling. : 00 aj M 3. In addition to sampling annually, Rosano Davis Sanitary Pumping, Inc.will also perform an inspection of the system components and do-an-on-site field test of water to determine PH,Temperature, Dissolved Oxygen and Turbidity,2 X p�ear . If the sample does not meet the requirements,we must submit a sample to a laboratory for t'efft of Carb�ria%et5ii5 biviukiCai deiiiai�d ai d totdi SiiSueiided solids. Any and all lab costs are the responsibility of the homeowner and are at a cost of$200.00 per time if necessary. 4. Owner agrees to notify Rosano Davis Sanitary Pumping in the event of an alarm, malfunction or system failure. Rosano Davis Sanitary Pumping agrees to respond to this notification within 48 hours and f 'Y to take immediate corrective action to remedy the situation.Any service calls required beyond normal operation and maintenance shall be billed at a rate of$75/hr. per person plus mileage and travel time with a one hour minimum charge for all service calls unless the system is covered by warranty or an extended warrant y. S.Owner agrees that Service Provider shall have access to treatment unit and control panel.Any access ports/covers buried under grass or mulch will automatically void any manufacturer's warranty of the system. h. Fees: Routine Operation & Maintenance: $125.00 per visit Effluent sampling: $220.00 per time. Barnstable County Database User's Fee: $60.00 Annually Full payment due upon signing. "Agreement shall be assignable in the event the real estate is sold.The new owner shall enter into agreement with the Service Provider for the operation & maintenance of the on-site wastewater treatment system.The new owner shall assume all client obligations for the remainder of this contract upon passing of papers on the property. System Owner System Operator � � Date 24 !3 Paul W. Davis,,/Massachusetts Operator#11407 Copy to BOH 1� 0 i of Bd' BARNSTABLE COUNTY �$ DEPARTMENT OF HEALTH AND ENVIRONMENT BARNSTABLE COUNTY COMPLEX * 3195 MAIN STREET/ PO BOX 427 Phone: (508) 375-6613 BARNSTABLE, MASSACHUSETTS 02630 FAX (508) 362-2603 .YSSACHU TDD (508) 362-5885 May 30,2013 Susan J&Bowman, Mark 0 Stamatis 100 Marina Drive,Unit 605 Quincy,MA 02171 RE: Operation and Maintenance Contract for the Innovative/Alternative Septic System Installed at 81 Victoria Street in the town of Centerville(Barnstable). Dear Susan J&Bowman,Mark O Stamatis, Our records indicate that the operation and maintenance contract with Septi Tech for your Septitech wastewater treatment system may have expired or was cancelled as of January 1, 2011. To date we have not received evidence that you have entered into a new operation and maintenance contract. I am writing to remind you that the Massachusetts Department of Environmental 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.bamstablecountyhealth.org/ia-systems/ia-owners-guide. My department oversees I/A septic system management and compliance efforts for the Board of Health in your town. We are authorized by your Board of Health to contact you to inform you of the above requirement and to request your compliance. Accordingly, please forward a copy of a signed contract via mail, fax or e-mail within fifteen (15) days of receipt of this letter. For your convenience, I am enclosing a list of wastewater operators we are aware of that do business in Barnstable County. The firms listed operate multiple types of I/A technologies and are not associated with any particular technology or vendor. Please be advised that if you do not respond within fifteen (15) days of your receipt of this letter by forwarding a copy of a signed contract, I am required to contact the local Board of Health for your area for further enforcement action. You may be required to appear before the Board of Health to show cause as to why you have not maintained the required ,contra01 s -'-' cc 6 1 can be reached at (508) 375-6901; my Fax number is (508) 362-2603. I can also be reached via email at �llwright@barnstabl�,county.org.Thank you for your prompt attention to this ma«er. Sincerely,,,, co ts... C' Lindsey Wright Septic Management Program Assistant o Enclosures: Certified Wastewater Operators List CC.Barnstable Board of Health ROSANO DAVIS SANITARY PUMPING, INC. 9 ROCKY LANE COHASSET, MA 02025 (781)383-8888 Agreement for Operation & Maintenance Services for SeptiTech On-Site Wastewater Treatment System Date: April 11, 2011 Name: Mr. & Mrs. Lou Preziosi Address: 81 Victoria Street City, State, Zip: Centerville,MA 02632-2045 For the duration of this contract beginning April 1, 2011 and concluding April 1,2012 the Service Provider shall operate and maintain the SeptiTech wastewater treatment system in accordance with conditions imposed by the'Massachusetts Department of Environmental Protection and requirements set forth'by the local Boa%rd of Health. 1.Sample of discharge effluent occur as follows: C a.Total Kjedahl Nitrogen(TKN)annually = 1 Y b. Nitrates(NO2)annually = F ^ •r`j .F c. Nitrites(NO3) annually 2..Service Provider agrees to submit to Barnstable County and the DEP an analysis of watersampling;and 4 all inspection reports. 3.Service Provider will perform on a semi-annual basis the following field test: ' a.Visual examination of effluent for color,turbidity and effluent solids. b. Dissolved oxygen,2mg/I or more to ensure proper operation of the system. c.Turbidity, less than or equal to 40 NTU d.Sample PH to determine wastewater is between 6 and 9 standard units. If field-tests show poor or failing results the DEP requires a laboratory analysis of effluent to be performed.The lab will test the following and costs will be the responsibility of the homeowner.Costs ar`'e outlined in section#6.,If al.system fails to meet required test parameters homeowner agrees to authorize and pay for any additional repairs or re-testing costs as'needed. ' 4 COPY FOR BOARD OF HEALTH a. Carbonaceous Biochemical Oxygen Demand (CBOD) b.Total Suspended Solids(TSS) c.Temperature and PH 4.Owner agrees to notify Rosano Davis Sanitary Pumping in the event of an alarm,malfunction or system failure. Rosano Davis Sanitary Pumping agrees to respond to this notification within 48 hours and to take immediate corrective action to remedy the situation.Any service calls required or requested by the homeowner beyond normal operation and maintenance shall be billed at a rate of$75/hr. per person plus mileage and travel time with a one hour minimum charge for all service calls unless the system is covered by warranty or an extended warranty. 5. Owner agrees that Service Provider shall have access to treatment unit and control panel.Any access ports/covers buried under grass or mulch will automatically void any manufacturer's warranty of the system. 6. Fees: Routine Operation&Maintenance: S125.00 per visit Nitrogen effluent.testing as required by Board of Health$220.00 per time Barnstable County Database users Fee:$60.00 per-year Effluent sampling and reporting of CBOD and TSS if needed due to poor quality effluent durine field test visit:$200 per sample Full payment due upon signing. *Agreement shall be assignable in the event the real estate is sold.The new.owner shall enter into agreement with the Service Provider for the operation &maintenance of the on-site wastewater treatment system.The new owner shall assume all client obligations for the remainder of this contract upon passing of papers on the property. r System OwneL PXO ^ Date System Operator: �� Date Paul W. Davit, Massachusetts Operator#11407 Copy to BOH I i rn, Solving Wastewater Problems with Technology Agreement for Operating and Maintenance (O&M) Services For SeptiTech On-Site Wastewater Treatment System Agreement is made on (date) February 18,2009 between: (Client) and (Service Provider) Name Mr. & Mrs. Lou Preziosi SeptiTechTM Massachusetts Address 81 Victoria St. 9 Rocky Lane Cohasset, MA 02025 City, State,Zip Centerville, MA 02632 ul 1. For the duration of this contract beginning(date) March 20,2009 and c'ncluding; (date), March.20,,2010 (1.year);ahe.Service+Provider<sha11operate an he "' SepiiTedi`wastewater treatment system installed at (site) 8-1 Victoria St.,6ntervill % -n: accordance with conditions imposed by the Massachusetts Department of En4l nmenta�' Protection and requirements set forth by the (name of town) Barnstable ward og u=3 Health. cU Ln r rn 2. Sample of discharge effluent occur as follows: a. Carbonaceous Biochemical Oxygen Demand(CBOD5): Quarterly,or as required' b. Total Suspended Solids (TSS): Quarterly,or as required' c. PH: Quarterly, or as required d. Total Kjedahl Nitrogen (TKN): Quarterly,or as required e. Nitrates (NO2): Quarterly, or as required _... _ f Nitrites (NO3): Quarterly, or as required Service Provider may petition the~18"ca1 B6ard'6f Health and the bij m writing;to reduce the;monitoring;and'.report ng requirements after-the first.-full year of operation!providing te§t results meet state & local test requirements. t a��' . .. - .,JS `.,t: t, �� s � Yft ile it.a i 3. Service Provider agrees to submit quarterly to the Board of Health, a report including an operation and maintenance summary and analysis of water quality sampling. COPY FOR BOARD OF HEALTH; ; CA Documents and Settings\OwneAlMy DocumentslMAOperating&Maintenance..nitrates Cohasset.doc i . 4. Service Provider shall perform on a regularly scheduled quarterly service inspection the following maintenance procedures: Quarterly Service Check Sheet Date: Time: Rep: Remove lids&covers on processor. Visually inspect media&spray pattern. (Initial) Exercise entire system in maintenance mode. (Initial) a. Recirculation pump(s) b. Pumpback-pump(s) c. Discharge pump(s) Perform maintenance/cleaning tasks, as necessary, based on visual inspection. (Initial) a. Spray headers b. Media c. Screen Take effluent sample from decant chamber (Initial) Record following values from controller read-out(Discharge Pump) (Initial) Days Runtime: Hours Runtime: Seconds Runtime: Record controller program version: (Initial) Record controller firmware version: (Initial) List parts and supplies used: (Initial) Return system to"run"mode (Initial) Re-install covers and lids on processor. (Tnitial) i Check air intake muffler for obstruction and proper draw.. (Initial) General Notes and Remarks: - k CAD i ocurrients and Settings\owned"yuocumen�s\MAoperanng&Mamtenance..nitrates Cohasset.doc 5. Service Provider agrees to submit by January 31S`of the previous year,to the Massachusetts DEP,the Board of Health and the Owner, a summary report of operation and maintenance and performance of the system. 6. Owner agrees to immediately notify SeptiTech in the event of a system failure,alarm event or malfunction. SeptiTech agrees to respond to this notification within 48 hours and to take immediate corrective action to remedy the situation. 7. Any service calls required or requested by the homeowner beyond normal operation& maintenance shall be billed at the rate of$64/hour plus mileage and travel time with a I hour minimum for any system out of warranty and not covered by an extended warranty plan. 8. Owner agrees Service Provider shall have access to treatment unit and control panel. 9. Fees: Routine Operation and Maintenance as listed in Item#4 of the Agreement: $125 per inspection Effluent Sampling and Reporting: $240 per time Full payment for the contract is due upon signing the agreement. IF PAYMENT IS NOT RECEIVED WITHIN 30 DAYS WE WILL REPORT TO THE LOCAL BOARD OF HEALTH,MA DEP AND WILL DISCONTINUE ALL SERVICES UNTIL ALL PAPERWORK IS IN ORDER AND PAYMENT RECEIVED. 10. Assignment: This Agreement shall be assignable in the event the Real Estate is sold. The new Owner shall s enter into agreement with the Service Provider for the operation and maintenance of the on-site t wastewater treatment system. The new Owner shall assume all client obligations for the remainder of this contract upon passing of papers. "Sy9tem Owner Dat� e 2 System Oper r(Paul W. Davis, Massachusetts Operator#11407) Dat Copy`to oard of Health Dat i r i ' I a ` ocuments and Settings\OwnerNy Documents AOperating&Maintenance..nitrates Cohasset.dgc rx. FA .Solving Wastewater Problems with Technology Agreement for Operating and Maintenance (O&M) Services For SeptiTech On-Site Wastewater Treatment System Agreement is made on (date) March 13, 2008 between: (Client) and (Service Provider) Name: Mr. & Mrs.Lou Preziosi SeptiTechTM Massachusetts Address: 81 Victoria St. 9 Rocky Lane ' Cohasset,MA 02025 C-ity, State,Zip: Centerville,MA 02632 1. 'For the duration of this contract beginning(date) March 20,2008 and concluding"-(date). March 20, 2009 the Service Provider shall operate and maintain the SeptiTech wastewater treatment system installed at(site) 81 Victoria Sk,,Centerville, MA in accordance"with conditions i posed by the Massachusetts Department of Environmental Protection and "j requirement 3 set forth by the (name of town) Barnstable Board of Health. it -2 Sample of disgharge effluent occur as follows: i tea. Carb`enaceous Biochemical Oxygen Demand(CBODS): Quarterly' a b. Total Suspended Solids(TSS): Quarterly' :c. Total Kjedahl Nitrogen(TKN)Quarterly. mod. Nitrates(NO2): Quarterly a'=e. Nitrites(NO3)Quarterly. f. PH'and Temperature, Quarterly Service Provider may petition the Board of Health, in writing,to reduce the monitoring and reporting requirements after the first,year of"operation providing results meet testing parameters. 3. Service Provider agrees to'submit to the.Board of Health, a report including an operation:and maintenance sum;-nary and analysis of water quality sampling. COPY FOR BOARD OF HEALTH ocuments and Settings OwnerlMy ocoments Operanng&Maintenance.lyr.intrates_seasonal.doc 4. Service Provider shall perform on a regularly scheduled service inspection the following maintenance procedures as follows:. Service Check Sheet (sample) Date: Time: Rep: Remove lids&covers on processor. Visually inspect media&spray pattern. (Initial) Exercise entire system in maintenance mode. (Initial) a. Recirculation pump(s) b. Pumpback pump(s) c. Discharge pump(s)` Perform maintenance/cleaning tasks,as necessary,based on visual inspection. (Initial) a. Spray headers b. Media c. Screen Take effluent sample from decant chamber (Initial) Record following values from controller read-out(Discharge Pump) (Initial) Days Runtime: Hours Runtime: Seconds Runtime: Record controller program version: (Initial) Record controller firmware version: (Initial) i .List parts and supplies used: (Initial) l Return system to"run"mode (Initial) Re-install covers and lids on processor. (Initial) Check air intake muffler for obstruction and proper draw. (Initial) General Notes and Remarks: G f C. ocuments and Seftings\Ow—nmWfy—Doc—Ltments\M-AOperating&Maintenance.lyr.mtrates_seasonal. oc t 5. Service Provider agrees to submit by January 31"of the previous year,to the Massachusetts DEP, and the Board of Health, a summary report of operation and maintenance and performance of the system. 6. Owner agrees to immediately notify SeptiTech in the event of a system failure,alarm event or malfunction. SeptiTech agrees to respond to this notification within 48 hours and to take immediate corrective action to remedy the situation. 7. Any service calls required or requested by the homeowner beyond normal operation& maintenance shall be billed at the rate of$64/hour plus mileage and travel time with a 1 hour minimum for any system out of warranty and not covered by an extended warranty plan. 8. Owner agrees that Service Provider shall have access to treatment unit and control.panel. 9. Fees: Routine Operation and Maintenance as listed in Item#4 of the Agreement: $95 per inspection. Effluent Sampling and Reporting: $240 per sample. Payment for this 1-year contract is due in full upon,signing of contract. 10. Assignment: This Agreement shall be assignable in the event the Real Estate is sold. The new Owner shall enter into agreement with the Service Provider for the operation and maintenance of the on-site wastewater treatment system. The new Owner shall assume all client obligations for the remainder of this contract upon passing of papers. 4stemer Date i 0.-,= 3124 Q6 Syste O er pr(Paul W. Davts ,, ssachusetts Operator#11407) Da e Copy to Board of Health D to i CA Documents and Settings\Own y Documents Operating&Mamtenance.lyr.nitmtes_seaso oc Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 81 Victoria street Property Address Susan Stamatis Owner Owner's Name / O? information is Centerville ✓ Ma 02632 3/11/16 required for every page. Cityrrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information on the computer, u J use only the tab 1. Inspector: key to move your cursor-do not Kevin Usilton use the return Name of Inspector key. Wastewater Treatment Services „y Company Name 44 Commercial Street Company Address Raynham Ma 02767 City/Town State Zip Code 508-880-0233 S113528 . Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further EvalKn he Local Approving Authority 3/11/16 Inspector's i ria re Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17 Commonwealth of Massachusetts ,p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 81 Victoria street Property Address Susan Stamatis Owner Owner's Name information is required for every Centerville Ma 02632 3/11/16 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and 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): t51ns•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts H TMe 5 ®ff cW Mspec tion Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 81 Victoria street Property Address Susan Stamatis Owner Owner's Name information is required for every Centerville Ma 02632 3/11/16 page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts x Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 81 Victoria street Property Address Susan Stamatis Owner Owner's Name information is required for every Centerville Ma 02632 3/11/16 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the.SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 1.00 feet but 50 feet or more from a private water supply well". Method used to determine distance: *"This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/day flow l5ins•3/13 Title 5 Official Inspectlon Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Toes 5 OfflcW Mspectaon Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 81 Victoria street Property Address Susan Stamatis Owner Owner's Name information is required for every Centerville Ma 02632 3/11/16 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ' El ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ® the system is within 400 feet of a surface drinking water supply ❑ ® the system is within 200 feet of a tributary to a surface drinking water supply ❑ ® the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat.under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. i t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 I Commonwealth of Massachusetts Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 81 Victoria street Property Address Susan Stamatis Owner Owner's Name information is Centerville Ma 02632 3/11/16 required for every page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? Was the facility owner(and occupants if different from owner) provided with ® ❑ information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS) on the site has been determined based on: � ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 2 Number of bedrooms (actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 220 i 15ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 81 Victoria street Property Address Susan Stamatis Owner Owner's Name information is required for every Centerville Ma 02632 3/11/16 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: n/a Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ® Yes ❑ No Seasonaluse? ® Yes ❑ No Water meter readings, if available(last 2 years usage(gpd)): Detail: the use is under the gallons per day Sump pump? ❑ Yes ® No Last date of occupancy: n/a Date 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 Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments "t 81 Victoria street Property Address Susan Stamatis Owner Owners Name information is required for every Centerville Ma 02632 3/11/16 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: n/a Date Other(describe below): General Information 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: 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): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts TMe 5 Off cmW MspecUon [dorm Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 81 Victoria street Property Address Susan Stamatis Owner Owner's Name information is required for every Centerville Ma 02632 3/11/16 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 6 years Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 3+1 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.): All piping looks good, no signs of leakage and venting is good. Septic Tank(locate on site plan): Depth below grade: COT feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) The septic tank has a access cover to grade for pump out. j If tank is metal, list age: years I Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 gallon - 411 Sludge depth: i t5ins•3/13 Title 5 Official Inspection Form'Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 81 Victoria street Property Address Susan Stamatis Owner Owner's Name information is required for every Centerville Ma 02632 3/11/16 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness 0" 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? sludge judge Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): The structural integrity of the septic tank is good. No signs of leakage or infiltration. The inlet tee is in good condition with the liquid level in the septic tank 0"above the outlet tee. The system has had very little use and does not have enough sludge or scum to require a pump out. The 2nd tank includes a I/A technology(Septitech) system for treatment. The treatment system is under a current operations and maintenance agreement. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts up Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 81 Victoria street Property Address Susan Stamatis Owner Owner's Name information is required for every Centerville Ma 02632 3/11/16 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): `Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts UoTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 81 Victoria street Property Address Susan Stamatis Owner Owner's Name information is Centerville Ma 02632 3/11/16 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): The distribution box is level with no signs of solids carryover. No evidence of leakage around the distribution box. Pump Chamber(locate on site plan): Pumps in working order: ® Yes ❑ No* Alarms in working order: ® Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): The effluent pump and floats are operated through the Septitech panel that is located in the basement. The pump and floats were tested with the alarm in good condition * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 Tltle 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 81 Victoria street Property Address Susan Stamatis Owner Owner's Name information is required for every Centerville Ma 02632 3/11/16 page. City/town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): No signs of hydraulic failure, the vegetation looks normal. No signs of ponding or damp soils. 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 t51ns•3/13 Tille 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts _ W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 81 Victoria street Property Address Susan Stamatis Owner Owner's Name information is required for every Centerville Ma 02632 3/11/16 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t51ns•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Uw � Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 81 Victoria street Property Address Susan Stamatis Owner Owner's Name information is required for every Centerville Ma 02632 3/11/16 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately P Ind �'Q `,,►, I f 14 U t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 81 Victoria street Property Address Susan Stamatis Owner Owner's Name information is Centerville Ma 02632 3/11/16 required for every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 4+' 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: 2009 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: Established around water from the design plan on record with the Board of Health. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 81 Victoria street Property Address Susan Stamatis Owner Owner's Name information is required for every Centerville Ma 02632 3/11/16 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 17 of 17 44 Commercial Street Raynham,MA 02767 Tel: (508)880-0233 Fax: (508)880-7232 April 4, 2016 Ms. Susan Stamatis 100 Marina Drive, Apt. 605 Quincy,MA 02171-1566 Reference: Septitech Wastewater Treatment System- Serial Number: Septi3 Dear Ms. Stamatis: Attached please find the Field Inspection& Service Report and test results(as required) for services performed on 2/25/16 at your property located at 81 Victoria Street, Centerville, MA. Please call if you have any questions or require additional information. Sincerely, Wastewater Treatment Services, Inc. Service Department Enclosures 7,ero Pollution Waste�Vatcr Systems Site/Address: 81 Victoria Street—Centerville.MA Date: 2/25/16 Time: 9:30 Rep: Wastewater Treatment Services, Inc. 1. Remove lids&covers on processor. Visually inspect media&spray pattern. MO (Initial) 2. Exercise entire system in maintenance mode. MO (Initial) a) (X)Recirculation pump(s) b) (X)Pumpback pump(s) c) (X)Discharge pump(s) 3. Perform maintenance/cleaning tasks required for proper operation of unit. MO (Initial) a) (X)Spray headers b) (X)Media c) (X) Screen 4. Take effluent sample from sample tube. MO (Initial) 5. Record following values from controller read-out(Discharge Pump) 1. Days Runtime: 2. Hours Runtime: 3. Seconds Runtime: (Initial) 6. Record controller program version:- (Initial) 7. Record controller firmware version:_ (Initial) 8. List parts and supplies used: (Initial) 9. Return system to"run"mode. MO (Initial) 10. Re-install covers and lids on processor. MO (Initial) 11. Check air intake muffler for obstruction and proper draw. MO (Initial) General Notes and Remarks: Massachusetts Department of Environmental Protection ILIBureau of Resource Protection -Title 5 DEp Approved Inspection and ®&M Form for Title 5 I/A Treatment and Disposal Systems 24120 A. Instaflation Susan Stamatis Owner 81 Victoria Street Facility Street Address Centerville 02632 City Zip Mailing address of owner, if different: 100 Marina Drive,Apt. 605 StreetAddress/PO Box: Quincy MA 02171-1566 City State Zip 617-448-1474 Telephone Number Be Authorized Service provider Wastewater Treatment Services, Inc. O&M Firm 44 Commercial Street Street Address Raynham MA 02767 City State Zip 508-880-0233 Telephone Number Michael Oliveira 15621 Certified Operator Name Certification Number C. FacHity/System Information Septi3 SeptiTech, Inc. Septitech System DEP ID Manufacturer ID Model Number Installation Date Start of Operation Approval Type: [] General [] Provisional [] Piloting [x] Remedial [J General Denite Seasonal Residence—used less than 6 mo./year: []Yes [x] No De Operating Information 2/25/16 Inspection Date Previous Inspection Date Pumping Recommended []Yes [x] No Sludge Depth(to be checked yearly) 1 Massachusetts Department of Environmental Protection LlBureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 24120 E. Field Testing Field Inspection: Color: []gray [] brown []clear []turbid [] Other(specify): Odor: [] musty [] earthy [] moldy []offensive []turbid Effluent Solids: [] no [] some pH SU DO mo/L Turbidity NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: [] Influent [x] Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: 330 gpd Parameters sampled: Influent: [] pH [] BOD []CBOD []TSS []TKN [] Nitrate [] Nitrite [j Phosphorus [] Spec. Cond. []Ammonia []Alkalinity [] Oil Grease []VOC [] Fecal Coliform Effluent: [] pH [] BOD [x] CBOD [x]TSS [x]TKN [x] Nitrate [x] Nitrite [] Phosphorus []Spec. Cond. []Ammonia []Alkalinity [] Oil Grease []VOC [] Fecal Coliform G. Inspection and Maintenance Description of any maintenance performed since previous inspection&during this inspection: Notes and Comments: 2 Massachusetts Department of Environmental Protection Bureau of Resource Protection-Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 24120 H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the incnartinn i nm n Maccarhi iQPtts certified operator in accordance with 257 CMR 2.00. 2/25/16 Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31 st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston, MA 02108 3 Environmental Chemistry Environmental Services Site Assessment Site Sampling Quality Assurance Services Analytical r Balance Data Auditing C: O R Y O R � A T i O N Mike Moreau CERTIFICATE OF ANALYSIS Wastewater Treatment Services,Inc. REPORTED: 04/01/2016 44 Commercial Street Raynham, MA 02767 ORDER#: G 1685751 COLLECTED BY: M. Oliveira SAMPLE DATE: 3/30/2016 TIME: 8:30 DATE RECEIVED: 3/30/2016 LOCATION: 45 Satuit Lane Mashpee,MA SAMPLE ID: Richard Marx Effluent Grab(S/N 23536) DESCRIPTION: WATER RESULTS OF ANALYSIS Parameter Analytical Date Units Det. Result Method Analyzed Limit* Test Parameters LAB-ID#: 1685751-01 Coliform,Fecal ISM 9222 D 03/30/2016 CFU/100 mL 1 10 1 <10 PP Timothy A. " ;Ado EB"�°" NA=Not A licable Begley °•"""�'�' �° E•Iv�IQpigLM Approved By: wmme.wni ia:e°o Less Than Approved Lab Manager / Date *' = Detection Limit I Page 1 of 1 Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph:508-946-2225 �a��e�vatei� ��cz�i�cfP.►YXCe�, �itli. 44 Commercial Street Raynham, MA 02767 Tel:(608 880-0233 Fax: (508) 880-7232 f INSPECTION AND TESTING AGREEMENT h Agreement entered into by and between Wastewater Treatment Services,Inc.(herein called WTS)and the SeptiTech System OWNER(herein called OWNER)for the inspection by WTS of certain equipment of OWNER which is described below. Upon acceptance of this agreement at WTS's office,WTS will render the following services only: Equipment will be inspected at least 2 times per year that this Agreement remains in effect,with the first inspections beginning Yiikl e— . These inspections will include: - 1) Testing of the sludge depth in the septic tank. 2) Inspection,power testing and clean system components. 3) Inspection of the alarm system. 4) Inspect overall condition of SeptiTech System. 5) Notify OWNER of any problems encountered. 6) Service other than routine maintenance will be billed at an hourly rate,plus travel and parts. WTS shall notify the local Board of Health and Department of Environmental Protection in writing within 24 hours of a system failure or alarm event including corrective measures that have been taken. OWNER will be billed standard WTS charges for any parts used in repairs or maintenance. Any additional labor time will be billed to the OWNER at current labor rates of$78.00 per hour. Emergency service between regular inspections will be provided at standard labor rates during normal business hours;at time and one-half after 5:00 PM and on Saturdays;and at double time on Sundays and holidays. Emergency service charges will include a minimum four(4)hours of labor, plus standard WTS charges for parts, plus mileage and travel charges. The annual rate includes routine maintenance,but does not include repairs required for damages caused by abuse,accident,theft,acts of third persons,forces of nature,or alterations made to the equipment. WTS shall not be responsible for failure to render the agreed services if caused by strikes, labor disputes, non-cooperation by OWNER,or other factors beyond the control of WTS. OWNER understands and agrees that WTS is not responsible for special,incidental or consequential damages, including but not limited to loss of time, injury to person or property,or equipment failure. OWNER agrees that WTS may enter OWNER's property and have acceptable access to all areas deemed by WTS to be necessary or appropriate for WTS to perform its duties hereunder. Current WTS practice is to send OWNER approximately 10 days before expiration of the term of the current contract an invoice for one year of service. It is OWNER's responsibility to timely return the payment. WTS _ must receive the payment before expiration of the current contract year to assure continuous contract coverage. Failure to return payment may result in suspension of service,cancellation of the contract and/or nullification of warranties,at the election of WTS. OWNER may not assign this contract without the prior written consent of WTS. It will remain in force until a party cancels by written notice to the other at the address given herein. f ! MANUFACTURER MODEL NO. SERIAL NO. LOCATION ANNUAL RATE PERMIT SeptiTech 3 Centerville,MA $410.00 Remedial (Includes Field Testing) ECIUI M ENT OWNER Wastewater Treatment Services,Inc. - *Signed by OWNER: r- Mark Bowman—Susat4 Stamatis I Signed: I *Address: 81 Victoria Street 44 Commercial Street _ Raynham,MA 02767 Tole: (508)880-0233 *City: State:_Zip: Fax:(508)880-7232 Centerville MA 02632 Telephone 617-448-1474 Effective Date of Agreement E-mail address: SS f any afi'S 164 7 CO,Y C_As4 hit- OWNER understands that(1)ANNUAL RATE payment is for one year only commencing on the effective date set forth above and is non-refundable;and(2)Current DEP Regulations require OWNER to maintain a service agreement for the life of the SeptiTech Sy m. I HAVE READ AND UNDERSTAND THE FOREGOING. *Signed by OWNER: .emu. Field Testing Onsite testing performed twice per year will be.used to demonstrate that the systems are operating at a secondary treatment standard of 30 mg/L of BOD5 and TSS. The following will be performed: _ 1) Visual examination of the effluent for color,turbidity and effluent solids. - 2) Effluent pH to determine if the waste water is between 6 and 9 standard units. 3) Dissolved Oxygen,2mg/L or more,to ensure that the system is operating. 4) Turbidity, less than or equal to 40 NTU. If the effluent does not meet effluent quality standards,a grab sample will be collected for laboratory analysis. Results sent to state and local Agencies as well as the OWNER. OWNER is responsible for providing acceptable access to effluent for field testing and/or to enable a grab sample to be taken for laboratory testing performed. If such laboratory sample is required,OWNER will be responsible for charges incurred. IF REQUIRED,THE COST FOR TIi;IIS ADDITIONAL TESTING WILL BE$190.00/VISIT. Effluent Testing Town Requirements are one(1)grab sample per year for CBOD,TSS,Nitrate,Nitrite,and TKN at a cost of $220.00/test. *Approval for Testing /k,&-, O is Signature Operator assigned: Michael Moreau Telephone: (508)989-2744 � '� GE Y s � B® 12-07084.: S�uu , INC. Cbarlest0eva,ldiA aaz� {bl"7)�42-1313 fbI9IN {617}iAiA615 FAX aiapp@6®stonsucveyin�coAn DEEt:VCPRT.` 2078071 APPLICANT, SUSAN J.STAMA77S . PLAN REF: 30946 _OEAT1pN: 81 VICTORIA;STREET: SGAt E. i Inch=20 feet 7iTY,STATE:; CENTJ=RV!(sLE.hlA PREPA.RED:: 08-27-2012. 3ERTlFIED TO: a LOT is. a " P6toPo5�D bAA .S p: to W �+ �•. GQ toCD V. l Amp,. ® " faaoo "." 1BN Hawke SurvW SoAwvw - � YIGTORIA STET �3epaauoemsln>cnlres sic apoclmuelylocated on c�� G OAG£ ', �oFederalHmorgenryMwaApp�cY ground u shown 111ey e101a caofomlcd m Use setaack 6i the mejot miQmvemems on Ilua.proQcrty fall io ae Rquiremenri:of die loeal-xiwog mdnames m eHufat - �,�,���Q - deriyrated as 7aac:.- .����Y��A�N.�.o®T .. dle IiInCOiCNWMGien�at.a3tCferllpAtNa]r101aU011. �, W�?""� v WCATED:.�N Np,417 pyael No; enfensmem nuieo ender M.QI..1sue-vlt chapter. 4 aP FLOOD HAZARD-AREA 5ecllea:7;�rid thu dareiBrno enemnchmenra of mejer C ,90EffccGra Date: UapmvemeNs either way across pmQertp 1'mas exccpt as 9 Av NOTE Zom C Ls arse;ql mirdttlal9oosl n9(Aw sllet�ny). T7777 shown end'norcd,4eceonl d�aiprlet+anlsaclb358dm analeYa anCBltlGcate .. NO'fE.Th41c'mlabow�daiymlWBlnwr+ncarila mays.Ala wuD ha=md- owdtadandhellakalSWfda(dif t�A IW9® �e ... .. N Uio Alaasa.r as b wdar.Aoplakatbn d pm atmhaen and lard aanayora.250 CAR 6m and i¢a losW a11�eI pAapOst�AKA Im(dn 8 rrk used fac remrdnp. dead daiciptlmc,a�wrr�en• m ba S875 Stepped Ranch Style Home Approximately 1460 SF Living Space OMER STUDY PLARM 24/26/32 x 62 Foundation Dimensions Overall Dimensions on the Lot 6�x 52 3 Bedrooms, 2 Bathrooms Sunroom and Deck to the Rear 2-Car Front Entry Attached Garage on the Right For this plan with a side entry garage see Plan S1181 LIVING DESIGNS Plan S875 _�� �......_...._..-_-._._..........................._ _._-".._.._.._..._..._.........___.._....__------------.................._.._.....___.. 00 a 4 1 i a.o�..e..aunmmma�wnrc 4Z1 _ Deck Sanroom 16'x IT IC x 12' 1 � 1 1 1 Bedroom Breakfast Master 11'x 11' Area Kitchen Bedroom 12'x IT 6 B'x 13'6 13'6 x`15' 7 . Living --- Bedroom i Room 9'x13`6 19,6x13 6 I 2 Car Garaqe Porch 1 ' Ih t {. No. Fee THE COMMONWEALTH OF MASS ACHUSETTS Bn:ered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 3pplication for 30iopooal Opotem Con.truction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) Complete System El Individual Components Location Address or Lot No. 21 1/1•e-1%2i A L Owner's Name,Address and Tel.No. 5it2 NvMiNe<T-,ZvgT d c Assessor's Map/Parcel If�/ '• a Z Lt S 4,F �{ Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. CA �d6 Erlls�lt�n•jd1 L-L-e Type of Building: Dwelling No.of Bedrooms -2— Lot Size t,S�eti� sq.ft. Garbage Grinder( ) Other Type of Building '5- le_ 44-vt-a No. of Persons Z Showers( ) Cafeteria( ) Other Fixtures Design Flow Z2 b gallons per day. Calculated daily flow Z Z'2. gallons. Plan Date 12-S - 'Z c o 4 Number of sheets Z- Revision Date Title y Size of Septic Tank f�a/ /oo o �4 ( Type of S.A.S. Z�r` ZJ 9'eA-.$ 1)Q-Sc= Description of Soil �2 0L4✓7 Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with.the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has bee issued b t ' of Health. gned Date Lolp 11 Application Approve by Date �6 Application Disapproved for the following reasons Permit No. Date Issued i .. ' 4 .-•j.Y�.,.a - R. It Je _77 No. C'. �7 /� ° 1 Fee © ,J0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computes ` Yes "< PUBLIC HEALTH DIVISION -0 N OF_BARNSTABLE, MASSACHUSETTS Z(pprtcation for M000ar Opmem Congtructton Permit 1x. Application for a Permih o,Construct( )Repair( )Upgrade( )Abandon( ) AComplete System ❑Individual Components Location Address or Lot No. :Owner's Name,Address and Tel.No. Sidi? Assessor's Map/Parcel ( o y 3 `3 v Z Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. C��Cw.'G�E Eh(E.t y.}jcl L C 0 5 G (fr P 7l.3 L_<7 rtio - 5r C-2 t C PL1,4 U Z-(o 3 ,L t c/. ✓7 r (L -I—i Pi Type of Building: Dwelling No.of Bedrooms -2- Lot Size 15",oQ o sq. ft Garbage Grinder( ) Other Type of Building S,,J ���..'i v No.of Persons Z- Showers( ) Cafeteria( ) Other Fixtures } Design.Flow ,Z Z-2. Z�'b gallons per day. Calculated daily flow gallons. Plan Date /2 2 4 - Number of sheets 2- Revision Date Title y, L4 Size of Septic Tank G A l /o o a r Type of S.A.S. 1 Z d)f Z.i i2(r-ev s re IM L�_ _. 't, ' Description of Soil SAP- J2/A✓) Nature of Repairs or Alterations(Answer when applicable) s Date last inspected: i Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title.5rof the Environmental Code and not to place the system in operation until a Certifi- cate of,Compliance has�been issued by t d of Health. 6 �a igned c Date V,' /S- Z> ` Application Approve by Date d�'� Application Disapproved for the following reasons J 1 t Permit No. aco 5 ® Date Issued O THE COMMONWEALTH OF MASSACHUSETTS -" BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed Repaired( )Upgraded( ) Abandoned( )by L r C .c).Q E� r p✓,_y c l L at � I V i tto 2,' A C 4--e- (e-,' k e 't has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No �"� °�� dated Installer (4419-ea , ,,4 C--In E'r gl/ L,r=5 Designer 3 5 C The issuance of this peprut shall not be construed as a guarantee that t system if c) � on as designed. Date t/ R 5 Inspecto ti — —---— ----- ---------------------- " No. G SV � r7~�© Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE. MASSACHUSETTS Mizpozar *pgtem Conq;tructton 3permit Permission is hereby granted to Construct f>e)Repair( )Upgrade( )Abandon( ) System located at 8l e-v}f c and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Constructio must be completed within three years of the date of ish s per '`r Date:' _Approved by - .. ' lov�,A of Barnstable �oFtxe r Regulatory Services srisrASM Thomas F. Geiler,Director Public Health Division 'RFD N1P�A Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office:,508-8624644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 8/31/05 Designer: _ BSC Group, Inc. Installer: l.gea;414 LA-t-cr U Q Address: . 657 Main Street #6 Address: �ox ?(-3 W. Yarmouth, MA 02673 Ce��tJv.�\4 �`1l� 02to3L On l Zo o S` CAP ; 6�r P,k3 Cs was issued a permit to install a (date) (installer) septic system at 81 victoria Lune based on a design drawn by (address) BSC Group,' Inc - dated 7/1-4/05 - (designer) X_ 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. Septitech installation, inspection, and certification by Septitech. I certify that the septic system referenced above was installed with major changes (i.ei 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. MARK D. aller s ature) CIVIL No.45937 9FG`187 �`�`i t3 (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE .ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form F i + r i COMMONWEALTH OF MASSACHUSETTS 1 EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS U NNW DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 MITT ROAINEY. ELLEN ROY HERZFELDER Governor Secretary KERRY HEALEY ROBERT W.GOLLEDGE,Jr. Lieutenant Governor Commissioner June 8,2005 Richard Capen Capewide Enterprises PO Box 763 Centerville,MA 02632 Re: Approval of Alternative System for Piloting Use=BRP WP64b Technology: SeptiTech M40ON .81 Victoria Lane,BarnUzble& DEP Transmittal Number: W060071 Dear Mr. Capen: The Department has reviewed your application, dated March 14, 2005 for installation of a SeptiTech M40ON alternative on-site sewage treatment and disposal system (the "System") at the above referenced facility. The application includes a plan dated December 3, 2004, with revisions dated June 1,2005, prepared and stamped by Mark D. Dibb, P.E. and Craig A. Field, P.E., consisting of two sheets and titled System Design for Sewage Disposal, #81 Victoria Lane, Centerville, Massachusetts,Prepared For: Mr. Richard Capen, Capewide Enterprises, PO Box 763, Centerville, MA 02632. The proposed System is located in a Department defined nitrogen sensitive area, a Zone H of a public water supply well. The System's design is based on a two-bedroom residence with a flow of 220 GPD, on a 15,000 square foot lot. The wastewater treatment System includes, in order of treatment, ` a 1,500 gallon septic tank, a 1,000 gallon SeptiTech M40ON treatment unit with integral discharge pump and a 12 foot wide by 25 foot long pressure dosed soil absorption system (SAS) for final, disposal. The SAS includes five one-inch diameter PVC laterals with Orenco orifice shields to be installed on the laterals. The SAS design percolation rate, based on testing of the soils in the SAS area, is 0.74 GPD per square foot. A reserve SAS area is shown on the plan adjacent to the proposed SAS. The proposed facility will be served with town water. This information is available in alternate format.Call Donald M.Gomes,ADA Coordinator at 617-556-1057.TDD Service-1-800-298-2207. DEP on the World Wide Web: http:/twww.mass.gov/dep i,"«1 Printed on Recycled Paper f - j DEP Transmittal Number: W060071 81 Victoria Lane,Barnstable Page: 2 of 5 The application includes a letter from the Barnstable Board of Health(BOH), dated January 21, 2005, approving the proposed System. The proposed residence is shown on the Town of Barnstable's Assessors map 148,parcel 047. The Department has reviewed the application in accordance with 310 CMR 15.285,Piloting Approval, and has determined that the above referenced location will be a suitable testing facility to evaluate nitrogen reduction to a total nitrogen concentration in the effluent of less than or equal to 19 mg/L. The System is consistent with the Department's SeptiTech Piloting Approval letter issued March 20, 2002 for the M40ON unit. The Department approves the application as submitted subject to the following conditions: 1. Installation and operation of the System shall be in strict conformance with this approval and the terms contained in the SeptiTech technology approval of March 20, 2002, and with applicable sections of Title 5, 310 CMR 15.000, as they maybe amended from time to time. In the event of a conflict between terms and conditions of this System approval and the SeptiTech technology approval,this approval shall control. 2. The plans shall be revised to show the frame and covers of the manholes and access ports of the septic tank and SeptiTech treatment unit, and the cleanouts for the SAS manifold and laterals installed and maintained at grade, to allow for regular sampling access and necessary operation and maintenance. A copy of the revised plan shall be submitted to the Department within 30 days of the date on this letter. 3. The note on Sheet -2 of 2, SeptiTech Processor Model M40ON shall be changed to read: "The control panel and any alarms shall be located in an area that is always accessible to the System operator." 4. Item 4 of the SeptiTech Notes on Sheet 2 of 2 shall be changed to read: "Provide quarterly 1 testing for the first 18 months of operation to include pH, CBOD, TSS, TN (TKN +NO3 +NO2)and water meter reading." 5. The System shall not be operated until the BOH issues a Certificate of Compliance. 6. The Department shall be notified at least five working days prior to the installation of the SeptiTech treatment unit. 7. The System owner shall have the System maintained in accordance with Section IV of the SeptiTech Piloting Approval. Additionally, the System owner must submit a copy of the "DEP Approved Inspection and O&M Form for Title 5 UA Treatment and Disposal Systems" and SeptiTech technology checklist to the Department and the Barnstable Board of Health within 45 days of each inspection. A certified operator of an appropriate grade must complete and.sign the forms. Copies of these forms are enclosed. r DEP Transmittal Number:W060071 81 Victoria Lane,Barnstable Page: 3 of 5 8. At least 30 days prior to System startup, the System Owner and the Company (SeptiTech, Inc.) shall submit to the Department and the BOH an Operation & Maintenance (O&M) manual and Contingency Plan for the System providing detailed operating instructions for the System and procedures to be followed in case of a System failure or alarm event, including corrective measures to be taken and procedures for notifying the BOH and the Department within five days of an alarm event or equipment failure. 9. Throughout its life, the System shall be under an O&M agreement. The initial agreement shall be for 18 months, subsequent agreements shall be for no less than one year. For the first 18 months of operation, SeptiTech, Inc. or its designated contractor shall provide O&M services for the System. The O&M agreement required by this approval shall provide that the operator is an appropriate Massachusetts certified operator, or operators as required by 257 CMR 2.00, has received training provided by the Company, and is competent in providing services consistent with the System's specifications,with applicable operation and maintenance requirements established by the Company and the System designer, and with any applicable requirements established by the Department. 10. Prior to the Barnstable Board of Health's issuance of a Certificate of Compliance, the System owner shall submit to the Department and the Board of Health a copy of a sampling agreement with the Company, including a sampling schedule. Subsequent sampling agreements shall be for no less than one year. At a minimum, the following effluent sampling and testing schedule is required by the System's Piloting approval:. Parameter Frequency Effluent Limits pH Quarterly 6-9 Carbonaceous biochemical Quarterly <_30 mg/L' oxygen demand(CBOD5) Total suspended solids(TSS) Quarterly <30 mg/L Total nitrogen(TN) Quarterly < 19 mg/L (TN=TKN+NO2+NO3) Alkalinity Quarterly NA Flow Quarterly Water meter reading lmg/L=milligrams per liter A. During the first 18 months of operation, excluding the first three months of startup ' operations, if the effluent concentration from the System exceeds the applicable TN, r DEP Transmittal Number: W060071 81 Victoria Lane, Barnstable Page: 4 of 5 CBOD, or TSS limits on two consecutive sampling events,the Company shall within 60 days submit a report to the Department and BOH explaining the reasons with recommendations for operational or design changes to prevent future violations. B. After 18 months of monitoring, if.the System is approved as acceptable by the Department, in accordance with Section IV item 3 of the Department's SeptiTech Piloting Approval, and at the written request of the System owner, the Department may reduce the monitoring requirements. C. The System owner in cooperation with the Company shall submit all monitoring data to the BOH and the Department within 45 days of the sampling date accompanied by the inspection form and checklists. The Department submittal shall be to: Department of Environmental Protection Watershed Permitting Program One Winter Street-6 h Floor Boston,MA 02108 Attn: Title 5 Program 11. No changes may be made to the approved plan or the System without the prior written approval of the Department. Prior to use of the System, the System owner shall comply with the provisions of Title 5, 310 CMR 15.021. 12. The System owner shall record in the appropriate registry of deeds a notice that discloses the existence of this Piloting approved alternative system and the involvement of the Department in the approval of the System. Prior to the Barnstable Board of Health's issuance of a Certificate of Compliance for the System, the System owner shall both record the notice in the registry and submit a certified registry copy of said notice showing book and page number to the Barnstable Board,of Health. 13. The System owner shall record in the appropriate registry of deeds a deed restriction granted to and approved by the Barnstable Board of Health limiting the total number of bedrooms, as"bedroom"is defined in Title 5,to two on the property served by the System. Prior to the Barnstable Board of Health's issuance of a Certificate of Compliance for the System, the owner shall both record the restriction in the registry and submit a certified registry copy of said restriction showing book and page number to the Barnstable Board of Health. 14. Prior to the sale of the facility, the System owner shall notify the new owner of the presence i of the System and provide a copy of this approval to the new owner. i 15. The System owner shall submit to the Department a copy of the Certificate of Compliance for the System within 14 days of the Board of Health's issuance of the Certificate of Compliance. y �l '1 DEP Transmittal Number: W060071 81 Victoria Lane,Barnstable Page: 5 of 5 16. A copy of the plans must be kept on-site at all times both during and after construction. 17. The system is not designed to accommodate garbage disposals. As such, garbage disposals shall not be used or installed at this facility. Should you have any questions regarding this matter, please do not hesitate to contact Dana Hill at(617)292-5867. erely, David Ferris,Acting Director Watershed Permitting Program Enclosures(addressee only): SeptiTech Piloting Approval letter issued March 20,2002 DEP Approved Inspection and O&M Form SeptiTech Technology 0&M checklist CC: Barnstable Board of Health The BSC Group,Inc., 657 Main St. (Rt. 28),Unit 6A, West Yarmouth,MA 02673 SeptiTech,Inc., 220 Lewiston Road, Grey,ME 04039 DEP SERO,Brian Dudley I i � I r BED 19747 P:s 103 —"W-26`3? DECLARATION OF RESTRICTION I, Leo F. Rockwood, of 41 Hadrada Lane, Centerville, Massachusetts, owner of Lot 13, shown on a plan of land entitled "Plan of Land in Centerville, Barnstable, Mass. for Normest Homes, Inc., scale 1"= 50', April 5, 1973, prepared by Barnstable Survey Consultants, Inc.," and recorded with the Barnstable County Registry of Deeds in Plan Book 309, Page 26, hereby impose the following restriction upon said land, which said restriction shall run with the land and be binding upon my successors and assigns thereto: Any dwelling constructed or placed upon the Premises shall contain no more than two (2) bedrooms unless and until (a) such dwelling is connected to the public sewer system, or(b)the Board of Health of the Town of Barnstable permits otherwise. Property Address: 81 Victoria Lane, Centerville, Massachusetts For title, see deed recorded with said Registry of Deeds in Book 3012, Page 315. WITNESS my hand and seal this (SWay of April, 2005. Leo F. Rockwood COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. I On this �k day of April, 2005, before me, the undersigned notary public, personally appeared Leo F. Rockwood, proved to me through satisfactory evidence of identification, whiach was uSp-(-- -I" 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. r C Ce .. -Y , Notary Public My Commission Expi<es:3ctr uc� I`1.Qt,U'� HELEN C.GRANGER Notary Public My commission exp w January 19,2W7 F:\WPDOCS\REAL\RESTRIC\BDHLTH\IMPOSE\RCI.DOC Commmeafth of M huseft P i DEED RESTRICTION K9 WHEREAS, Leo F. Rockwood of 41 Hadrada Lane, MA 02632 are the owners of 81 Victoria Lane located in Centerville Massachusetts hereinafter referred to as The locus property and being shown on a plan entitled"Subdivision Plan of Land in Centerville, Barnstable, Mass. For Normest Holmes, Inc. Scale 1"=50',April 5, 1973" which has been duly recorded in Barnstable County Registry of Deeds in Plan Book 3091 Page 26 Dated November 8, 1961 WHEREAS Leo F. Rockwood as the owner's of said lot have agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any existing home or newly built home, on said_lot as a pre-condition to obtaining a disposal works construction permit in compliance 310 CMR 15.00 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CMR 15.200, State Environmental Code, Title V., Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, is requiring that the agreement for the restriction on the number of bedrooms in any house on the lot be put on record with the Barnstable County Registry of Deeds by recording this document, I I ' NOW, THEREFORE, Leo F. Rockwood do hereby place the 41411A I following restriction on their above-referenced land in accordance with this agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and shall be binding upon all successors in title: 1. Leo F. Rockwood agree that any house located on the Locus property shall contain no more than Two (2) bedrooms. Leo F. Rockwood agree that this shall be a deed restriction, affecting 81 Victoria Lane located.in Centerville, MA, and,being shown on the plan recorded in Plan Book 309, Paged 26. For title of Property see the following deed: Book 3012, Page 315 Executed as a sealed Instrument day of Owner's signature Owner's signature Owner's signature COMMONWEALTH OF MASSACHUSETTS ss 20 Then personally appeared the above-named known to me to be the person's who executed the foregoing instrument and acknowledged the same to be their free act and deed, before me, Notary Public My commission expires: (date) r �F1HE DATE: (J 04— FEE: (S- G V (• BARNSfABLE. � MASS. REC. BY �ATED MA't A Town of Barnstable SCHED. DATE: Board of Health D O O 200 Main Street,Hyannis MA 02601 ffice. 8-862-4 4 Susan G.Rask,R_S. AX: �5�8-790-63 4 Sunnier Kaufman,M.S.P.H. Wayne A.Miller,M.D. Cn r Q VARIANCE REQUEST FORM aLOd ON Q' I �Prop(4jy Address:'' V ( G�r1a Apsessor s Map land Parcel Number: 1 '�{O `T'7 Size of Lot: ]S Ode? fi 51e Wetlands Within! 300 Ft. Yes Business Name: r/Jt C►t 91 D-,v No_ Subdivision Name: APPLICANT'S NAME:, ,��2�r O-Py( PhoneG Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON Name: oc e U �� LG'r. J> Name: �/ Address: �// />!/�/J i��g,11 i,J L /t/ Address: (Pr-) . X 1 f .�d44A Phone: Phone: 4. , E 1 5" — j,,5 'T VARIANCE FROM REGULATION 0 ist Reg.) REASON FOR VARIANCE(May attach if more space needed) '3l0 CM i2 I S.z/y (A- s-^A ee-t 3�ar Marl 3 u r s Ana rt 104 F by, A �O MAC o NATURE OF WORK: House Addition ❑❑❑❑❑❑ House Renovation O Repair of Failed Septic System 1 Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only). Full menu submitted(for grease trap variance requests only) Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance renewals [same owner/leasee only], outside dining variance renewals [same owner/leasee only], and variances to repair failed sewage disposal systems [only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne A.Miller,M.D.Chairman NOT APPROVED Sunnier Kaufman,M.S.P.H. z REASON FOR DISAPPROVAL Susan G.Rask,R.S. Q:\HEALTH\Application Forms\vAR2REQ.D0C °F IME Town of Barnstable • snarsrnar.E, • 9� 3 9 Board of Health Ateor A 200 Main Street,Hyannis MA 02601 Office: 508-8624644 Susan G.Rask,RS. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. July 29, 2004 Mr. Paul Schneider P.O. Box 84 Sandwich, MA 02563 R 84£ Vlet®rtaS�fre: ete r Ie �� ,} �d?.usux ✓?u� �a4:�xF,. ? ?si�,tta "sr.� �.�.� a`u?t�� ��� '�� a.£ `L,„r�'�' �`�,ruea e. .�,"�' Y.,.�.04.. Dear Mr. Schneider: Your request for a variance from Title 5, the State Environmental Code, 310 CMR 15.214, to construct and install a septic system designed for a new three bedroom home at 81 Victoria Street Centerville, is not granted. This 15,000 square feet parcel is located within Zone II District, which is classified as a nitrogen sensitive area. The State Environmental Code 310 CMR 15.214, restricts sewage flows to one bedroom per every 10,000 square feet of land within nitrogen sensitive areas. A three bedroom home generates an estimated 330 gallons of wastewater per day (110 gallons per bedroom). Your proposal would clearly exceed the maximum allowed wastewater to be discharged on this property. In 1999, a variance was granted to Mr. Daniel Johnson to construct a three bedroom home at this property before the transition rule period ended (before the January 1, 2000 deadline); however the applicant failed to obtain a disposal works construction permit from the Board of Health before the date the variance expired. Variances may only be granted when, in the opinion of the Board of Health, the applicant has demonstrated that (a) enforcement of the particular provision would be manifestly unjust and (b) the same degree of protection could be achieved without strict adherence to a particular provision or regulation. You did not demonstrate manifest injustice. You also did not provide information relative to how you could provide the same degree of environmental protection to this nitrogen sensitive area without strictly adhering to this particular provision of the State Environmental Code (e.g. with the use of innovative/alternative technology). Therefore your request for a variance was not granted. 00fHealth D. Town of Barnstable Schneider r _ TOWN OF BARNSTABLE C�THE OFFICE OF i HAMST : BOARD OF HEALTH MA86. 039• ��� 367 MAIN STREET dMpY�" HYANNIS,MASS.02601 December 30, 1999 Daniel Johnson 63 Capt. Alden's Lane Osterville, MA 02655 RE: 81 Victoria Street, Centerville Dear Mr. Johnson: You are granted a variance on behalf of your client Leo Rockwood, from 310 CMR 15.214, restricting sewage flows to one bedroom for every 10,000 square feet of land within Zone II districts. You are granted permission to construct an onsite sewage disposal system at 81 Victoria Street, Centerville,with the following conditions: (1) No more than two (2) bedrooms are authorized if a standard Title V septic system is proposed. If an alternative/innovative type system is proposed, no more than three (3) bedrooms are authorized. Dens, study rooms, finished attics, sleeping lofts and similar-type rooms are considered"bedrooms" according to the Massachusetts Department of Environmental Protection. (2) If three (3) bedrooms are proposed, the applicant shall submit revised house plans showing three (3) bedrooms maximum. (3) If two (2) bedrooms are proposed, the applicant shall submit revised house plans and revised site/septic system plans to the Board of Health for two bedrooms. Every room in the proposed dwelling shall be labeled indicating it's proposed use. (4) The applicant shall record a properly-worded deed restriction at the Barnstable County Registry of Deeds limiting the dwelling to the number of bedrooms proposed. The deed restriction shall be signed by the property owner. A copy of the recorded deed restriction shall be submitted to the Board of Health r�to obtaining a disposal works construction permit. johnsonl i � w The parcel is 15,000 square feet in size. This variance is granted because it is the Board's policy to grant applicants approvals to construct two (2) bedrooms on lots of less than 18,000 square feet in size if a standard Title V septic system is proposed. If an alternative/innovative system is proposed, the applicant may construct a three (3) bedroom dwelling on a lot of this size. Sincerely yours, Susa�ask, R.S. Chairperson Board of Health Town of Barnstable SGR/bcs johnsonl ' � C DATE: r edatE, FEE: ALM p'E1639. Town of Barnstable REC. BY • Board of Health SCHED. DATE: 367 Main Street,Hyannis MA 02601 Office: 508-790-6265 FAX: 508-790-6304 Susan G.Rask,R.S. Sumner Kaufman,M.S.P.H. Ralph A.Murphy,M.D. VARIANCE REM&I FORM 48 LOCATION Property Address: ( V tC7o.R.1.4 5-,0-C ttT C•t v ft t e- Assessor's Map and Parcel Number: _14 3/ 13 Size of Lot: /S 000 ±S c Wetlands Within 300 Ft. Yes Subdivision Name: No -- Business Name: APPLICANT Name: teo A-QC woad CONTACTP R ON Name:—714-iV 07 4 ff/VS O iJ Address:_ 41 htAOd-FDr4 "r1VC /ew/17 ytt Address: 6 3 CAI , Phone: C. c Phone: 1 Si" 1 4�0—I 9 1 e I FAX: FAX: (SEI VARIANCE FROM REGI1i AIM(ListReg.) REASON FOR VARiaNCF (May attach if more space needed) r7q r^41coxrl-y ui lrlritir ffv�>:� _or 44o PA� Rf�t6 7'� ��o L/ITTf-/n! �t�1 6-p� . 3 4 sJ S ALa.+(r V t el.a SlX i N�G/lRO� LiFN� E I�ArtvtLK cr4Y vA-tl iJ or i►a�--�0, /t- /S rNE 0^NioN OF 77i'Vr 4Eli F40JE'A- TN$-r /r 6-0,4 L.V LE ,.vtr�r= Jr V~Jc'JT' Ta cNIY .I9W-4 A 1,60hA-o••, I k1' t(to be completed by office staff-person receiving variance request application) Four(4)copies of plan submitted(including septic system plans and/or restaurant floor plans) Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variances only) Variance request application fee collected(no reerorlir eguard modifiation rcnewab,grease trap variance renewals(same owrwAeuee only,outside dining vmL-"renewals(same ownerAeasee only),and variances to repair failed sewage disposal systems lonly if no expansion to the building pmposedp Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G.Rask,R.S.,Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Ralph A.Murphy,M.D. Q:/WP/VARIREQ a. 148076 148076 ` � 148076 CANNON,MARILYN E CANNON,MARILYN E CANNON,MARILYN E 94 VICTORIA ST 94 VICTORIA ST 94 VICTORIA ST CENTERVILLE MA 02632 CENTERVILLE MA 02632 CENTERVILLE MA 02632 148048 148048 148048 GARLAND,JANE E GARLAND,JANE E GARLAND,JANE E 91 VICTORIA ST 91 VICTORIA ST 91 VICTORIA ST CENTERVILLE MA 02632 CENTERVILLE MA 02632 CENTERVILLE MA 02632 148109 148109 148109 GONSALVES,ALAN L& GONSALVES,ALAN L& GONSALVES,ALAN L& GONSALVES, LAURENE A GONSALVES,LAURENE A GONSALVES,LAURENE A 29 HADRADA LN 29 HADRADA LN 29 HADRADA LN CENTERVILLE MA 02632 CENTERVILLE MA 02632 CENTERVILLE MA 02632 148107 148107 148107 GUZMA,FRANK E GUZMA, FRANK E GUZMA,FRANK E 53 HADRADA LN 53.HADRADA LN 53 HADRADA LN CENTERVILLE MA 02632 CENTERVILLE MA 02632 CENTERVILLE MA 02632 148045 148045 148045 HEYER,WILLIAM J&TERYE L HEYER,WILLIAM J&TERYE L HEYER,WILLIAM J&TERYE L 63 VICTORIA ST 63 VICTORIA ST 63 VICTORIA ST CENTERVILLE MA 02632 CENTERVILLE MA 02632 CENTERVILLE MA 02632 148066 148066 148066 ` MANSEN, FLORENCE E MANSEN, FLORENCE E MANSEN, FLORENCE E %ZANELATTO,CARLOS&CICERA B %ZANELATTO,CARLOS&CICERA B %ZANELATTO,CARLOS &CICERA B 7 WARWICK WAY 7 WARWICK WAY 7 WARWICK WAY CENTERVILLE MA 02632 CENTERVILLE MA 02632 CENTERVILLE MA 02632 148065 148065 148065 OSULLIVAN, CORNELIUS V& OSULLIVAN,CORNELIUS V& OSULLIVAN,CORNELIUS V& OSULLIVAN, ROSE F OSULLIVAN,ROSE F OSULLIVAN, ROSE F 64 VICTORIA ST 64 VICTORIA ST 64 VICTORIA ST CENTERVILLE MA 02632 CENTERVILLE MA 02632 CENTERVILLE MA 02632 148047. 148047 148047 ROCKWOOD, LEO F ROCKWOOD,LEO F ROCKWOOD,LEO F 41 HADRADA LN 41 HADRADA LN 41 HADRADA LN CENTERVILLE MA 02632 CENTERVILLE MA 02632 CENTERVILLE MA 02632 148108 148108 148108 ROCKWOOD, LEO F&EUNICE F ROCKWOOD, LEO F&EUNICE F ROCKWOOD,LEO F&EUNICE F 41 HADRADA LN 41 HADRADA LN 41 HADRADA LN CENTERVILLE MA 02632 CENTERVILLE MA 02632 CENTERVILLE MA 02632 148046 148046 148046 SIMARANO,VINCENT J SIMARANO,VINCENT J SIMARANO,VINCENT J 186 RESEVOIR ST 186 RESEVOIR ST 186 RESEVOIR ST MARLBORO MA 01752 MARLBORO MA 01752 MARLBORO MA 01752 Town of ltanstable I'>{ Deparin►ent of Ileallh,Safely, and Environmental Services n �I►+� Public FIealtll Division Hale Q 367 Main Street,I lyannis MA 02601 yy' VA M7BTAnlF, ,�tv^r Al i639'll'`� Dale Scltedtaled l �) Eo ru• p 'Dime� �cc I'd. Soil Sccitability Assessment.f oi- Sewage Disposal Perfonncdlly: j),--rjocm- WilnesSedBy: ����Y Qe�•y^�t��((� LOCATION & ciim w�INI+ORIYIATION Location Address x� V,C/o /� / /� Olvncr's Name L f0 ��I I Cee���a--'-may/�/ Address e11 N�I� A-wI L C�EnItY,c�t CAE Assessor's A1ap/I'arccl: 0 4{SI/.3 I?ngineer's Name 10+JeCe jo9Ns oti1 NEW CONSTRUCTION REPAIR 'Telephone N 6) 4a O —L90 Land Use w`J as(ut,+Q.1uEL04 Slopes(°6)_ C C� Surface Stones /No j Digs, Distances from: Open Water Body It Possible Wel Area R Drinking Water Well ft Drainage Way Il Properly Line 3 O Il Other R SKETCI1: (Street name,dimensions of lot,exact localions of test holes&pert tests,locate wetlands in proximity to holes) S T P-1 } per-[ tl t ern 2.1A Srsl-Err Parent material(geologic) 0,)Yw41/4 Depth to Dedrock /Y.0T O�� Depth to Groundwater. Standing Water in Ilolc: NO T O$S Weeping front flit Dace NET Bgs Estimated Seasonal I ligh Groundwater ASS v t? /,20 DETERMINATION I+OR SI ASONAL IIIGII;WATI�R.1'A13LIs Method Used: Depth Observed standing in ohs.hole: in. Deplh to soil mottles: in. Depth In weeping from side of obs.hole: in. Groundwater Adjustment Il. Index Well I! _ _ Reading Dale: _ Index Well level. _ _ Adj.factor..-- All.i.Groundwater Level I ERCOLATION TES r ija e Observation I lole/I re-I %P'i Time at 9" //:0 i r . . Dcplh of Pere 3-2 'S5 Time at 6" 0:/1 :3D Start Pre-soak Time n /0,is Time(9"-6")Se"rn 3oS& End Pre-soak ;00 Rate Min./Inch Iar`QS eaM)S Site Suitability Assessment: Site Passed X Site Failed: Addilional Testing Needed(Y/N) Original: Public Ilealdt Division Observnlion Ilole Data To Ile Contpleled on Ilaelc j Copy: Applicant DEEP 01 SVRVA'I'ION IaOLL::LOG' hole # l Ueplh from Soil (lorizon . Soil'texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) tooling (Structure,Slones,Itoulderes. - ntsi cncy1!o(iravcl) /0YA / Not-.S,;S /<c144('ta 6 IN it-V 10 YA ; a8.� cc r Nu 010, -F/At 13 --- W 3J LT rT4, 61L 4.c2 L-- --- 72, 785 DELI' OBSERVATION HOLE LOG hole # a Depth I'ronr Soil I lot izon Soil Texhre Soil Color Soil Other Surface(in.) (IISDA) (Monsell) Mottling (Siruclorc,Slones,Boulderes. -- -- Consi�lcncv.°6 Uravc� to 40� 0 w Q ICIl:l., O/ !rj 1"Ip /.a YlL ��f /vor y+,Q,S /""t-f 'j(.� (9""-jam — �,nt --- �S�r®F/v i tAs(° A/Q a51 F.Pr�9SC� DEEP 013SE07ATION IIOLE 1,0(: hole # Depth From Soil I lorizon Soil Texture Soil Color Soil Olhcr Surl'ace(in.) (USDA) (Ntonsell) Molding (Slrucluic,Stones,nouldcics. -- — bulsislc-uicy, (ivavcl) DERT 01 8PAVATION I OLEP LOG Mule # Depth liom Soil I lorizon Soil Texture Soil Color Soil Other Surface(in.) (tlSDA) (Munsell) Willing (Structure,Stones,Ilooldcrcs. -- - C:rntSislet!�,10(;htvcl) I I flood lnsur__i(cc Rate Maly ` Above 500 ycm flood boundarj' NO r. Yes-- t. - - Within 500 year boundary No tics -- Wilhin 100 year flood boundary No 'k Yes-- Depth of N_itiltslll Occurrrh L, Pervious Material Does at least four feet of naturally occurring pervious lnslterial exist in all areas observed (Ilrougholll Ille area proposed for Ilse soil absorption system'? `des If n()(, what is the depth of nalurall), occurring pervious rlla(crial? �erlificalit�li I certify that on _ 11 r 9—�— (elate) I have passed the soil evaluator exanlinalion approved by the Department of Gnvironm.elltal Protection and dial the above analysis was performed by Ale consis,(ent with the required training, expertise nd experience described in 310 CM 15.017. Signature `r _—_---- -- Dale IlII�3f --_l_9_ DEVELpCAPEWIDE /4EN -.r v 1 _ - BAT { t KIrCI-IEN ; = - MASTER DININy BED RM; u BA ►9�x96 i LAND 2'D LEVEL: , 12 LIVING RM 19 X 131 BED RM BED RM 122X'106 106X 11� D� BED RM lAV w J 164X104 5TORAClE . LOWER 20OX 24*. LEVEL G;ARA.ClE I40X22• PAMIA.YR . . CAPEW I DE DEVELOPMENT CORP 300 IYANOUCH RD. NYANNI51 MA ' OZ601. Of f ICE 617-775-8020 No. THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH H O F ,AeiQ�6 d�Ae li Lf APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct < Repair ( ) Upgrade ( ) Abandon ( .) - Complete System ❑Individual Components �/ !/i G✓B�/,9 L�f/YC L �Q /V Location Owner's Name Map/Parcel# Address /3 Lot# Tele hone# � Installer's Name Designer's Name �r ke-,- -� Address I Address rr I?- Telephone# Telephone# Type of Building: /P— 0-5 / Lot Size '".90� Sq.feet Dwelling—No.of Bedrooms Garbage Grinder (op�,e"7 Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required) 1 O gpd Calculated design flow gpd Design flow provided 22 gpd Plan: Date ! 2• -?_ tv 6 Number of sheets / Revision Date Title Sk s EO,& Q�tS /ls� �'�.� J£a-1.4G�� .!�/�p�•4/ Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator -0H4",nDate of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date Inspections FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 ---------- ------- --- - ------- --------------- ---------------------------- -- No. THE COMMONWEALTH OF MASSACHUSETTS FEE 13`IW,,V-jr,-,49f1,£BOARD OF HEALTH CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System;Constructed( ),Repaired( ),Upgraded( ),Abandoned( ) by: at has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. dated Approved Design Flow (gpd) Installer Designer: Inspector Date The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 --- --------------------------------------------- ---- --------- -------- -- No. THE COMMONWEALTH OF MASSACHUSETTS FEE 1,YRIZ11-Jr,,1BGFBOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) an individual sewage disposal system at as described . in the application for Disposal System Construction Permit No. dated Provided: Construction shall be completed within three years of the date of this permit.All local conditions must be met. Date Board of Health FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W HOBBS&WARREN'm PUBLISHERS- BOSTON No. THE COMMOIVWEALTH_OF_MASSACHUSETTS -FEE BOARD OF HEALTHr APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct (<) Repair ( ) Upgrade ( ) Abandon ( ) Complete System ❑Individual Components lop Location Owner's Name Map/Parcel# Address O� -^ 5i 2 5 f Lot# Tel hone# Installer's Name Designer's Name 1 Address; Address Telephone# Telephone# Type of Building: /e E S O�� G �" Lot Size�S-9�� Sq.feet Dwelling—No.of Bedrooms .Z, Garbage Grinder Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required) 2 1 O gpd Calculated design flow gpd Design flow provided 2 Z gpd Plan: Date / 2-- 3- 0 G Number of sheets / Revision Date Title S Y S y' E/o? a f S /li/t G y/I -T,Cr�GAls c .mil/ T.::p o �� Description of Soil(s) -r 6' r /©G.•��'L Soil Evaluator Form No. Name of Soil Evaluator 0 . S'!//,"®^Date of Evaluation //— R'-- DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date Inspections FORM I 'APPLICATION FOR DSCP DEP APPROVED FORM 5/96 t No. THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH ` CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) ❑Complete System 1 The undersigned hereby certify that the Sewage Disposal System;Constructed( ),Repaired( ),Upgraded( ),Abandoned( ) at �.. has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built x •t1'' plans relating to application No. dated Approved Design Flow (gpd) Installer. Designer: Inspector Date The issuance of this certificate shall not be construed cs a guarantee that the system will function as designed. .. 9 Y 9 FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 r� No. THE COMMONWEALTH OF MASSACHUSETTS FEE 1< - A? FB0ARD OF HEALTH DISPOSAL SYSTEM-:CONSTRUCTION PERMIT Permissiori:=is hereby granted to Construct( ) Repair ( ) Upgrade ( ) Abandon ( ) an individual sewage disposal system at as described in the application for Disposal System Construction Permit No. dated Provided: Construction shall be completed within three years of the date of this permit.All local conditions must be met. Date Board of Health ' f FORM 2 - DSCP DEP APPROVED FORM 5/96 i FORM 1255 (REV 5/96) H&W HOBBS&WARREN TM PUBLISHERS- BOSTON MASSACHUSETTS 1 6 4 5 Capewide ENTERPRISES, LLC 53-574/113: f P.O.BOX 763 CENTERVILLE, MA 02632 (508)428-4028 .Y TO THE ,,..+-- o r%< iDEROF3Jr-nScA3iC DOLLARS =M0 �_i V ;`L '1 AUTHORIZED SIGNATURE 1� aeI if irorelm 0- • a s II100 LG4Slim 1:0 L 13057491: LO L073G33 Gila 1 No.'— FEE f,O COMMONWEALTH OF MASSACHUSETTS Board of Health, 64A.1-Ir o ix MA APPLICATION FOP, DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct Repair( ) Upgrade( ) Abandon( ) -, complete System ❑Individual Components Location ( tLT'►e--IA 5r4x-ci r Owner's Name I-E-0 Map/Parcel# Address 11 gApIL,q O4 Litt C e/v3Yti v/LL Lot# Telephone# S'®$) 4;-6 - 6-o©0 Installer's Name Designer's Name r4NlL j�,�KS a Address Address 63 C A-Pl-, A L9 W Ln ps 7-CXVI LLLr Telephone# Telephone# of $) ;L 9 l9 Type of Building Lot Size sq.ft. \Dwelling-No.of Bedrooms 3 /2,2-n101 E0) Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow(min.required) -73® gpd Calculated design flow Design flow provided .333 gpd Plan: Date it hL 3l 2 y Number of sheets f Revision Date Title JeL-46-G 0 j$.PJ5AL fySTY%-''N Description of Soil(s) M C D, F/M 9 Soil Evaluator Form No.(66k I-SWfo L,4 Name of Soil Evaluator &-J aEfoifaA Date of Evaluation It/,91-99 4 DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and. further agreq to not to c the sys em m oper n until a Certificate of Compliance has been issued by the Board of Health. Signed Date Inspections No. COMMONWEALTH Of MASSA'1 HUSETTS FEE Board of Health, , MA. CERTIFICATE Of COMPLIANCE Description of Work: ❑Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded ( ),Abandoned ( ) by: at has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. dated Approved Design Flow (gpd) Installer Designer: Inspector: Date: The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No. FEE COMMONWEALT14 Of MASSAC14USETTS Board of Health, , MA. CONSTRUCTIONDISPOSAL SYSTEM PERMIT Permission is hereby granted to; Construct( ) Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system at as described in the application for Disposal System Construction Permit No. dated Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date Board of Health �. dvsl NodA.YIS g. FEE 0 O COMMONWFALT14 Of MASSACW�SETIS I� f Board of Health, 6#A-,, rA6 t c ,MA. APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a`'Permit to ConstrucX Repair( ) Upgrade( ) Abandon( ) -Complete System O Individual Components Location g( \J tCT-Ve-iA 51-4LL t£r Owner's Name k w 0 0 Map/Parcel# Address 41 1.414 C ezv7t?ti v I LL tr Lot# Telephone# cog Q> s — (p p O Installer's Name T 8A Designer's Name 6A t GL J a WAS ,0^) Address Address (b 3 C A-PT, At)eV L OS 7-rA-VI LL9 Telephone# Telephone# rJ>g 0 — (�p Type of Building /Lt1l he-A/rtw L Lot Size sq.ft. s Dwelling-No.of Bedrooms 3 a/Of Ed Garbage grinder ( ) Other Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures ' Design Flow(min.required) 230 gpd Calculated design flow Design flow provided 3.33 gpd Plan: Date ' 11 7/2 9 Number of sheets / Revision Date Title r Description of Soil(s) // H e O. f/At 45 s/FND Soil Evaluator Form No.`� L6-- Name of Soil Evaluator Q.J e ct 4.(004 Date of Evaluation 11 9 9 DESCRIPTION OF REPAIRS OR ALTERATIONS t The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agreW to not to IDthe Veto in oper n until a Certificate of Compliance has been issued by the Board of Health. Signed Date Inspections Fk • \ No. C®�9[[�9[ONWEA]LT14 ®F MASS-ACIIUSETTS FEE Board of Health, ,MA. CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded ( ),Abandoned ( ) by: at has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. dated Approved Design Flow (gpd) Installer Designer: Inspector., Date: = F The issuance of'this-permit shall not be construed as a guarantee that the system will function as designed. No. FEE COMMONWEALT14 ®F MASSAC14USETTS Board of Health, MA. ➢ ISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is herebygranted to; Construct( ) Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system at as described in the application for Disposal System Construction Permit No. dated Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be met. Form 1255 Rev.5/96 A.M.Sulkiri Co.Boston,MA Date Board of Health r r _ :is : -- mni - -= a- -_ - - - x — _ -- v — _JOHN ----- _ _ _ 11 _ II _ ILl�lli�l—� 'IIIIII�III►Iil�l __ _ _ _ _ = 1_ now I I Bar hhr - - r 't \• ,. i — _ _ = _ !-narautacusrrl�n OF IMF I .J — a - � �Illblilil!I!IIIS = - ----------- _.. I II LOX12EXT.DECK A Yd' g y Yb' N'b' B'•4' TY.4• 5.�. B? 7a` 5./' , . _______ f�. I r'd H•xsB-z CBf4T 1'• r----r' i I 4 � ----1 --I I . I I . I e'a• 3'dN` T • �1 '• T iB IALLB L�EWEIKsRAL11 ^ - ; 1 I O 1 M ----_- J.� I T.� L _______________________ t -- ----___ ---- _ ---- ICAR GARA6F }' 21NINfi s t' r- ------- --------i' r -- - - -------- I- LINEN ° (. ---- -- ---------- - 1 ------- 10� 1 4'THICK ' •y 9$q - I I 1 1 1 I BASEMENT I 1 s CONC.BLAB 1 1 I t t 9 1 I p _L o Yb• s'A' 7•nb° . 1•°I 1''1 �•iNN;K o to I 1 kt A 9� - c -- 1 ({ 1 • 1 ( i•. ; LONG BLAB 9 1 1 Q IA 0 © f•• E E§3 E,9= b '`. ; ••, ,• ,? m v I 4 ® I e41R`Ln:ABovE ® re ee. I RIIBII WICEAJNG 1 1 I 1 1 53 tt� I-------------,1 1 D•3' 3 t•r 1 1'•1 I gam• g'� • _ ; Yam' A �• ( 1 '•I ( 1- _I- 1- Y FAMILY ROOM G 1 g UVIN 9 7 1 1 ; ••; -_ -E 0 @� St ; ®' 1• r•. 1 I 1•.1 i--- A�!•MQ'r 1 --1 I 1 b7XtY. •. 1 _ I 1 • 1 1'� r a E- E E E a E- TYP. E BO'X3D-xIY 1 '.1 Y•4• 1 LfR HEADER I tt9 I 1 I- COHG"G.W/bPd'RD. I V LONG FILLED COL. 1 '• I -- V-1014' t'•I I I '.t 9 � ` �. 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I ; Y 1 --------- 9 1 I I 1 - ------------ 1 9 1 Bw - --- 1 FIRST FLOOR PLAN 411. ma. 6 � FOUNDATIONPLAN ____________________ uXTu ux b 76• ' "/ B'd' Rb' 24IW4 9y Tr 00 � 9 m BEDROOM 62 g� `® T- M/BEDROOM ' ,{/—CEILING LINE 9V 14ALLWAY O u qt A x $TORAOF B'CONCRETE WALL A a1 T».ww A o pp ' DAIIPPROOfTHG CSA -. _ i 7 II % 4 APPROVED. / It_ �cEaa+G uNE �* Y X 4'KEY - 'POMED COHC.BLAB I 1D'X 70'LONG FTG. s 1 \\♦ COMPACTED GRANMAR D f00TP1G EOOTING DETAIL 8"CON R T uel I I STORAGE I @IPBAGE ______-_ 1 \ 1 \ 1 `\ _____--___-_ ------- ------ . 1 20X16 I 1 B•O' Ba' 1 Ib•-0' _ 1 SECOND FLOOR PLAN I I I g tI D R: CAPEWIDE ENTERPRISES JOB ADDRESS, gi VICTORIA LANE DESIGN CUSTON TWO BEDROOM HOME DATE REVISION DRAWN BY PAGE SCALE CENTERVILLE MA. 10-06-2004 WN I/4". NI/lTC 1 PIPtCNABE OF DRAWINGS LEAYEB PIBiLNASg=REBPONBIgLE FOR COMPLIANCE WITH ALL 3 EXACT--RED(FORCEMM OF ALL CONCRETE FOOTW.6 B ALL FOOTINGS BNALL DMXD BELOW FROSRJW VERY DEPTH. L�� LOCAL BNLDING CODE9 AND ORDINANCES.J B DEBIGN9 MAY NOT 8E HELD REBPONBIBLE BOC COND MHBT BE DEIERMBBD BY LOCAL RN)N6 AND ACCEPTABLE VERIFY BTRUC 4 RFtAL ELRIwTB FOR DESIGN/Edg EOS)BB-0STO FOR SIIE fANDIRONB OR FOR THE USE OF TIIEBE ORA09.L^aB pK CONBTRULTION. PRACTICE90F COHBiRI1C7IO1LYERIFT DESIGN WIM LOCAL ENGINEER. WNH LOCAL EWINEER AND BMDING OFFIM A WEST BARNSTABIE MA.OdGgB / -- -_ - __ . . -_---_ ' -- __ __ ,_._..,.. 4 - _ = _ �._. . - ........�._ ............a.,.,i - , I I � ":il. 1, : . t. I I.. 1� .�_ — I YL k.ji.srz,^s•-,we..,. v„_.:Yr1 I r , - is • .c -. ,.,1,gr '.>a , xc§k k r i;,t sa » y r ,. : ., .-..R y . ,� 1 , .. ,a t . r .r r.. ' .i"�TM , a y � �c� , l 1 V ,rye F 5 S M I P l C Y T . „.,. ,: w.., . , :.r . I . N G 5E T ,. " ,, �V- ,: a _ . , A - _ Y r ,d :,,,. 0.14 Sc LE . 1 o ., „ `; . :� . . s < �... D T' , : �6�J i ;, . 111� Ill t nT AREA /S, oo ,t SF 1 i 1i ! B�f x d �B.,. DariieI.,.B O'oh scan 2 0 24 G1A I-� jMIN) � piA ' z � ,�. � _'. ., r,'j M -1, . RIrJ i T, Ia� ti' W { S 1 ' 0 �'Witt�essed1;:8 Jerr Dunning Wiz�l�sYC�F�1NIs?: :r,Ja_ F.. ! � 3" �"' H 10 0 5 , Y , Y 9 S F 'V1 I an , I �ZI F� ti' SEA C`.;YS 1 Ft�f= �. F C Date.: Nflvember '9, 1999., , '4' °. -•C K I �- T. I 4. 40 e L44pp�� y I .. .. ... lkil l'M ,,LII'< i 4,. I flair f 1, 1 •-, F41�> Cif R 0 SL r! I FLO1+, LINE ,� , . - - q r-,,, 3 Sl:rl Diu E 14" L F1L7EA A 300 11' /co,oo' I . . '1'h�1 , ,,,,`,;_�r 301.3 _,a... I I '` .7 _.� _ I • cOwn ;`O�I~ .I�ZN 3�D SEPTiCYANK TO MEET „ � S y , , ,; aLiCaHTL'3fiGt ~FI TN14, I T,yE 4" CH kQ 7EE ~4'LtGilllD LE�L REQUIREMENTS OF !Ul ' sf�Raur GIN G :��IaDE, a Iva , GAS BAFFLE' 3ro txwR 15 226 FOR a"f 46r1 0,A ,'10YR3/2 Loarny f ine sand I 6., `24" : Bw, 14YR5 8 Loarm Line sand•t'II , 11 . i " CH 40 WATER TIGHTNESS,' > �� I(I 1 R) / Y I USED,Ni1ST SE SSALLD 4 ?EE � ETG R6F.EDS 500.31 LLJ WATEaT IGH T,REF.EDS 1W2".,I Ld 24" 72 C1, 2 . 5Y6/G Medium-fine sand - r i`, .. _F. FOR ESSEX ONLY. �= Q j, t t' � I I '�2,, -120" C2 2 . 9Yu/4 Medium sand a i n - ,�, ,�:.��) :� ` No Observed SNWT � ' ° � C'------ kfECHANICALLY 4 rr �,r' _� 6' i�flN.j c� v to C> COMPACTED , � , , sj No Obs�tved: Grc,trndwater I ' 4 CauSHEDSTONE 1a 0 �' I 1!"mil LI` L,CVE� �Z <-W4'.D►A. � j � �- ��. ....._�,._ )1 I o I x o I . _.__"_ `W .I 1;` FI`i I IANr.t?lM N�ONO 1 f! 6"'L X a W W X '.�'f N �;,. ; I , �1 . , . _ 1 . :t --. '�'-, ^' 0" - 3a" . /�. oam ine t�nra t---- _- ___- __._�_-__ _ _.__.� _._ O,A 1QX � " o i 4 ,r r a _ :: I f 1 a "3D BW, 1,OXfr,�/8 T,6nmy r111n n,irld E , ,� � I .. �). J „ , a ''" - P °e 4 - r- F - r } L t iJul TM GF `tt 4I;r' 11 1 ":�, , �'. :ii (�r 1r.Lf'� .i__-_ __, 4 I .3 0 $ G 1 a.r t l M d ,1 rn t. I tl c, r�a ti i LIc C I, L ..,J.,..,-K>..,..- -_..�,.,.�....�.,M- ._ 1d3� ' �tA''. 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J'1fyY.6litt��l 9, 14�9 I ��. �, - 1 R 1/8'' 'I/2 r 4� ,� a, , Ct_V <`� :__. _ _ ___-., 2"LAVE Y , : . w . 4' I t it . 04 ulls 1 fll.tul lt,ity •'' , -- 1 W N STONE,. • � I o�r3 � I ' .... _ Fr•1 �* �i.I ,�_._.., - .--� ...> ,,:._.....E .z OCt SLu AS EO -� / . �'" I I L N�S , �Oi . �ru3t3Slss (A.'l9` tea/ 1� ) I j` : ' "". 2N eJ57CjQ 2FORESSEX I } 2 ® � ► , ..., n _ Yl 4 4 i I t. r :TIF Y. .1lte +� LyIA w: .: Q 1. rc,r 1,_'r 9 , ., q t UAtaC�iING E1E1»e' . InI. Y.a 1, +� 3tW 111 1 4VAI.'s1 S.,oa I; I i �J•: 1w1,I,.t J M � ( � ), a 1 1, :iE►' X #. ri I,..:�,+,.i:.,.w,•<...�..�.. ,j 2 F 1 a 126 ° / oo b S z I 1. . ` . , k,..�..r...�._.......,'-~... Egypt r , „ i 1 �RaPoSE� r,4 C! 1 ,,� . -gin St 0� ` o .1:er T' ra t t , , .i - �:. r rt` r,6' 7�K I = 1 }., I r S U I l r ti ,, , e? CF Ci Y e ,T#�IN P. ,I M�r�y�Vll ;y 'r F t,- OF QMtIgIt t.I,.. TI - r .;A �J%QTU� ,•. �1 it a o . ,.t ,. �1� �-,.,.. ,,,,,,.: ' g>t 1(4 0 ) 1 �: , Bo+ TMliiiilTlsT"t LP1'�6 t V xN' D W �t.r q.l'ia: < (. �s I % n.. I� ____ — f7hV"'-6L1t, -�' %( ,�� )1I ndal:itan-. 99. 95 IQ I1. i 0 I In S S pt is Tan y 5, „�., a 7 t, ;� :;,.:.- o - r ''. r 3 ;i. xnY. 0�1G �i 11c T�Ink 99. 5.0 :. a; �' a �- I I Q,rE w ff ! �� -r I ROSE 1 (� S1R }GTIi�Ndi1�E ::_ , _:,t=« t .. . . i 1 :" , a.. r� - lnv. n ,Di. ibution ox 99. 40 , . a ... r :; 1 , 3 o , ri_ ; 10,3 1 �. .,-. m,,,. _, . E6 I w f ,. ? .. , L,jj st nv.: Di ib i n x 9,.,23 k ., A i , ,.�. , :i , w I % 3� ,i taut r u o Bo 9 awlr , t Q +�r I , �+ rI I I . Znv.-. a in. : Lea hin Feld , 99. 15 . 11 r ra t .' . I I ®q d C 9 i - _„_ sttaf 11!u �ion A Z �•,rI �J1cJ I , ,,.T ��. r i ,� r, , t `ov ,1 Inv•.. ,End of Leach_1n Field 99 . 00 R:, 1 � _ ,.. ( ,. I PT q . QS A �lTS G 9 MR I ,> , ,11 014 H/ Y 1 EAc fr .hTFf C I I Bot- crfi:' Lea E' e d 98:50` la 232 TIATIC' C6S .a. .J.: w ' ,. r ry .> i ttHn Ch'ing 1 _ , 1 3 � W N ¢ s rEco ,?. .,. "iF1p!$ i�tl1 tl1E P _ �._ L[ NSTIw yam.. - ` i, 1 A .. .. .....,�. I f�'l o1°5 s W, , t.,TP 1 0 8 W E.' HNT 1t}N,6'CI -+ Q U '' l v� 1 , 1,. a�. (Na b G / S . ) �'3 It•3 > v1 >�triJ�►S�-! P" z ____ L,� • •J a=,. *k'1 P +, ',: . o f a -.w. C� N 3 Q r ., N r:. ' .. . : ,:. x `: No,r ,.: ,.. ,,., a ,,.,. «:.. ',+� .., ,,. -.-_ ... -:. ., •,::.. ., s, ,,, ,. l ,. y r I "I k cHMA�K 19 N ,N - ulrb1 a a ; .�* 1 SOhi.it' .f �a*161iE l3 rfMII(f _;. .. ; , . �Fss.,r+E Et, - . :oir3 ! � w.,,: IN 6 0 � r ONE (,aW111O , _ LZQM ` STALLED t o ES&N ONLYI of ' ;or of 6,Bcr�IC _ 1 I /"4r+ IivLE �i 0II 10�,oet .� 101 1 QtA��� � I rods 4�r� i r U 11 Existin - - - I ._._.. too �-Contour 98 - - - ,, „� , r 1 I;° �. 00 ���� - ,....�... -.«._.--.....-.:.i.,.»r'1c......««s......._.-.+.airir$Wa,4 t6i 3:C.`�':..i'L-ci, . 2i rT+� .�. �`' I nj_. -' Proposed Contour 9 8 - .--___�....._,.___..__,-_._._,-J:-,..._..•.. __. r' c ( Ir Vc.,�"W49d< w,6, I . l to o , } �A"E EJJ r . Test P «+�"iS c-,,f.,:v er r . 1,-4 eimfr of it I i 1 ur,t,lrl£} aP eF P./ i^I STREET PA.4E e-T10 V I CTog/�} I q ,',zrer w r V 310 0 � W Cj S , .,' . ry .- �. , .,.•y r,�,rt:�3t�� :�na] 1 conform to th+e Ti _le ( � t-4 O Finished Fl©or E1 vati n ,,, o o r FE , � .: ,.Jq. e�„ .,-.:.,: - .,, ,t5 ', 1 ,_ - ns. La -j , •, h Re ulatio . u ._ ,>, / w r Heait ,w. , �:_..x t 9 C? _ i. -_ i o� rd 9f. �_. _ , .ab 11_ t -. .,.. . x - f.r :. ,i s:...,, . 1�� . _, A ', 11 .. _. ,. ._ ._.,..,-_,. "»"hex:... .... ..a.-.r.�- .-._; .,- a_ ;. ... w f; ... f .. w: .. -.. .. ... .. *Mi1MM. �,q '2� nea..:,f+Jx .J•1NeT" ,.. ,e+.'� . . ... ._ .,.. / 1.. :.,..-...«.., .... h_. :....,c. a. - '+ a _ _ _ _ _ _ t Y <1 1 B z v ' } x - .;;. ., - . . , . - tat U .L r c l r _ _ ., s.:.. W Y 1 ru _� �r __.. e r: kno n, 2. There at o i > _ . ,r, -Ir p .. . - _ 1, ,:. - _., _ v ,,, _- _..-- a rea. i, .,._ d va' .LeaTiin a _,.._.�. C)5EJC2 0E ,. . _ I W y�y yw _._..,__ o f t h e p � � , a :,.�...•- c•r..m- > �":tr Go- W.it, Q C C :�.: # y,-:...;, o-- T•, , :".cn,, W 4 '. . : ' .., �r 1 I d, 14, �' ;, I , r, , �s 1 W Z :vc Char,q(;,; �,re .�c be mJacl; irl t 1r ' Id witfir�uL the �,Pp W I Gas -Line G....-._.. ) Of Z m - - - _.____ __ .�_ — r . ineer. of the 13cJ�J.0 cif Health a,1a the design eng1. rr [L o - 4, ., ,:. u, , - h I t_;,,r EJ1eC. , Te1 . & Cabla F, . T, C � • 'e.r ... f;, 4 . Proposed. loachi ng .f ield .is not desic)ned for use with �_ Ijarba e (,t'1 i Loy u5 `�. �:Cai1t 11c.t.oi: to r1(3t: , y i)lCa cj:l�e l� lours prior. to "-r4 u �,J ., .., xIr I R i,) -Iik4rl , .- 4 tf� y4pira 1+1 s c O J , - .: .. . O1r. y r a � - A p0 E o 4 ? r � �, r1 �. eirl t r:ak ra x rcrn :,uL,�ilvigion Plan of. •� t. M ! 6. i ro ert:) a lr>a i fo.rm�i E' zl 1 , , , 4 I, ar1d f r1 C :�tat:r ry .l 1e NI1rn,.;tei :l,I e,, M11, E�x'«p1ar�#+!'by l� +rngt able 0 ` �CP sr�0'r40 ° v w ° h '� { Sur•Vey f't")rl»,t i/�iral�, .[nr.. � .T(),q(jp 1 Monahan, Jr. RLS, dated laq r4OP05E0 fRJ , ��li o� �4 k U 1�+ c rq-sr i fGE" l o3 s'o � t aak Xq ifi U �r � T s w,, +ti , _ 1�1)i j � 1 9t^r ;3, _ I --j LDGt°S ,1, p ¢ f c S o r It I n,,.Y. , , ./ AM t a er y 'I',TN, ti dJP1 'av i x . v ' MAXJ4AA6 .Q. Ms�,.�ar<J w.X♦ it S I t,,,� fi r` 0. p p A tF y - 7 r� b.� n I p i 3. I t, M¢ III , . *",r� �N? a K -I I , r , , t o from ' 330 GPD/Ac're ,to c W '� . 1 I. ♦�t<. , e-7 � C e�,r�tieotl � � ( I I�t?.glles t. tlticv t 0 _ OduC F t.:11s: 1e-4CIA I1U 11.1 ►-w � 11p -. r C— . ♦ , ,¢, . f,N I. - r :._ l' t,i;:irt1si a t) P �330 Rule, ANA 310 EMIL 1.7,.211,�� ; ' �: u Ko ,t.. 't ,r o . �oG 330 CaP1.�/U. 3A Ac. � '..o, 0G{l 1 , 1�1 _t I - ., L7 I o 1 y 'rz a 0 . V� - Y x c, �w i ti K __ !0ll3 f o,)(3 t I J rt ' �°� t� iso�aa� " I r to�"oa4 I _ .. 'U � I Or .., b v 4 M '"' ,y 4 A U!1 ,0 I I I CAI �. x i2+'0 J 3 H ^' I I I +1t �A , ,: E towttL Ap is I I " *'c[ t-- W (n O ,. - "' o' I o -.� d j c.cN sMrt°+ RG �,' /o ; 1 tp0o� 3 Bedrooms ( Proposed) ►-+ (n }- 'u 0 4 N Q t7 — *� '�, 1r `:, �Md, Y r. y,3 -� A i 1 ! s ,0� E___�' e+ «• ; �° r n�.A �y �U $1 t , ♦` �} 10 GPD/Bedroom Bedrooms - .330 GP W �- ';�1 X 3 - D kH o j- *-VA'?lcS �-'e r ♦t :ski,, eo/f � ♦ � b A4 a � AtN 0 v I - F-- n �-- ___- 30 ------._._ i trIt �,�� <,.�. ,_.�.e -*-� + 'i*" "" ' cA� ri ,�R�1o ,. .».....»e. vAt I PeT CO1dt 10r1c3 < 2 MPS ( 1 �'-1 ) (..� ,;w lam ,; 9.95 Sc {0 J,o l ----------- �e �c. Yt c, h t. W - I r S ,� ' .� ►A So�1 C1a9s C3a T (0 '�4 G/.� } Q t� �, I+ ,�. I , 9. p _ I } 'I PER+`. f(N O 1♦ ♦ t < A t4 N I �,i W 9,z3 9 S . veers o o I ♦ w% 4 r t.: a cRv►�r .tr i � , ` ,_ [L' 9.`.10 — / ! dt . �t Mt9 x �r o I r �ROPG3 'a1 Qdit�ia :. O y i 9 9: S P4005U C,F'A(_O�AJf- F/ELD ',i► 1 y �� 1� f 0�'tot*«dd �. tlj "� ,-,;,I , 6 P - , '1( p/y r,-16�r/cvd ,50 ! s crt ♦ r - 10f r , s , , ,M,y �; ,,� Te�3ching F'lelci : ; 0' L x 15'W x 0, 5' }I m I ' 1, 6�M �. 4 �r}a ; �, ,, ,,%Y,d -�i� 1 f - ..��,,�iiy t�! l,:t..�}I.i.:.,r1Z,� ii '41„1 7[ y� 41. 14 4J/ +'1. �' !R, I i.; � �,"iirri 1+ `:Y" „i 11 , i• r : y rrr I I I " I11 7,_t t+,1 t.e< r.h i nc� ('.(♦Y>.1C�' t, 3 �. P�l 1 e { k r > e I _y tTE LAIouT I � '�z � ' X �111�11l : 9 ___ 1 r, r. �I +:; CRoPo1E� ` 7.2 SCALEt I": 40L'i 1. r, , „ r t I. 8 99>9 • ¢ 1 /$00 �'Al,l.t7N ,Yia: ,- �Alr • N i '-, ....:+ . "11, t., �'°� �,,•" .,' � rG.+ .. v ! , 1 SEfrlc rK �� � �., �, 1;. 4 9 -{ v . I ;r I . 1 jx„ 1 ,, } I I. , I �k ,, r l x 1 �.. 1, — �� ji;p a+ i ' V/ " I,. �r��y YI I €�` ,� *d 1, 7 - ,. .; . - r y - .. .. , '•', : ,. Y r 9.a 1 , 4.. L W Q , I 1 � - i kpptl -! C= 9/,3 1 li g orb+ T iA Lf ) p . +► ® J. 1 s�u,r ,/ .,.1 �:+ as I r I . I t�k 1 N to c . . . , ! • 0� tW- , f w � I 0 i ,� u� LL I r'' 'I � I � o C r .��+ I -- T'- Y __ , f l I (''} , QtOo OtIO p�?0 pt' p O+Q9 O+ S'0 Otbo Of)O 04 Ba pt90 l't00 r.ti• y „o; i, M► ► I ., I i;V y r , . : �' k �+. ._.w ....._~. ._. ._ __r___�1 "7F-7_71-7 r 7777 f 4 7\ 'A 4 Ao� Y EPTICUNK P 17 �,l GALLON S , 4 IVALENT) %MODEL TK-15004SHEA CONCRETE) t6A tQU 'jam RAD 0 FINISHED a LOT AILEA Ir 006 �t' B.1'46hfi6o�n, 24"DIA 24"DI& 11MIN) 24"DIA Aj z orry ,D uni�inq . , "., RISER TO BE WNSTRUCTED T# U_ WITHIN V'OF FINISHED GRADE, 74 H 10 -OR AS SHOWN ON PROFILE OF ate i4ovember" SEPTIC SYSTEM.FOR ESSEXA. 47 CH MINIMUM OF A 24'�WATEA TIGHT S 40 COVER TO BE FLOW LINE z ZABEL FILTER A-300 SCH 40 CONSTRUCTED TO GRADE (COW R T 0 BE MOUN DE D 0 SEPTIC TANK TO MEET SLIGHTLY HIGHER THAN THE 4"SCH 40 TEE 0 4�LIQUID LEVEL REQUIREMENTS OF (n L06m'y fi n d nO �sa USED,MUST BE SEALED t2 4� t ' 310 CMR 15.226 FOR UROUNDING GRADE,OR IF NOT GAS BAFFLE w fine, sand 4",SCH 40 WATER TIGHTNESS, > 5 y 24 :,,, WATERTIGHT.AEF EDS 1M2.11 EE ETC REF.EDS SM31 LU FOR ESSEX ONLY. 7 2'� e �f di,ulm Saho MECHANICALLY M 0 ry ko.u ft d,W a d'�G MPACIED Er- tkk,l 55 0 CO CRU5HED StONE STABLE LVEL MSE I ty OIL V Iy1W x W" A n :Fla 'd 0 n 144 '01 z TH irid"K FIELD OF LtACMNG LINE, $Y C 1NO11 CROSS SECTION FINAL GRADE TO BE'STABILMD INISHED GRADE(SLOPE-.02) at d,, 0 1)(4 10 10k 10;-'ro 64CA C-r T'fMIN) 6�0C .94,74 4"SC4 40 PERF -�,N*Vm pr C, > 0 2"LAYER 1 IV' NU.'OF ACT UA ONLY) LEACHING FIELD DIO 5ffl'OnIFACE DIA. 6 ENSIONS: <1 3/4"-11/Z'DOUS LE WASHE 0A Li r jEDS 700,2.2 FOR ESSEX LINES,3 POUBLE WASHED STONE 0 '14 LDIST 2* 51, o- 00 37 LX 15WX0.5W STONE(EDS 70012 FOR ESSEXONLY) < END OF DIST RIOU FROMLABOVE PES MAY VARY Sc H 4 ACTUAL NO OF DIStIBUTION Pi TION LINES I( LEACHING FIELD TO MEET DETAIL )1EFEREKE NO,,OF BE CAPPED,UNLESS VENTED BE UIREMENTSOF310 DISTAIPUTION LINES AND PLAN VIEW, PLAN AND MOFILE) CM R 1 26Z oUn a t Ck 99 i'95 gjj�'t j Cj iT'4 n k 0 99. y 'Sep KC _%C 99.'50 01STAMMION PDX' A"A 9_9 4 0 .10 H 36 st'ribu x 60 t S't" 1bution 99.23 L r I .. r L.ir ? REMOVABLE COWR 9 5.,15� in"'of Leacb 4 SDI 40 OUT LET LATERAL� 5 CO DISTRIBUTION BOX TO MEET $HALL BESET LEVELFOR A z nd 99.00 om -®a ch it FJ6 Id REQUIREMENTS OF 310 CMR MINIMUM OF THE FIRST TWO z W L Ob 98. 50 15.M NATERTIG HINES$. W (D z y _j U 0 2#1 EACH DISTAISUTION'LINE EET AND CONNECTE TO om �No s :GW/ESliW 3 CONSTRUCTIL N,ETC� 6 TH 30 <1 U W 4#1 SCH 40" V, SOLID SCH 40 PVC PIPE 0 U oq MAA-K -14 NO.OF OUTLETS,3 13 13 4"tCH 40 INLET EE TO BE 0 6"CAI N) MENANIMLY CAUSHED (FORrESSEX A0 INSTALLED STONE V4"OW) TO ONLY)' 'STABLE too oil f f-/v e.)4 pot*IL K r-e +SS JE Ef" P, 1401M S v ri L i ri PA qt-e"T 7-0 Al 0 s ru ion loor 1E l I con t dt methods shall conform to the Title (310 0 Z 10 of LL and Bd CMR 15 rn.stabie 13oard Realth Regul or 'on C3 2.., There are no �nown,,-private- -or public wlls. within 100 'feet -x--o osed o reserve g he re of: pr n a <E 3 NOL chranges, ar6 t6 6 made, in efibld without the' approval, 0 f th 'of zn6 the rd If t ith o h i f i6la i s not desi�ned , or use ,w �garbage ,d 08al 0 fy Dig Safe, 72 hours pr or, to cloh t r 't ru c t i Ohr -4 844 con s 2 2 4C 6. Proporty line inf6rmtion taken from Subdivislon Plan of ry Bar 'stibe in �Cente MA# rPrepar 1,and ille Barns OL n -K X oh6l I n C Joseph Monahan, J r RLS,, 'date ft , 4,, d fFE I DjS0 44, L 04V jr T"TA V"IAWCZ SAWs 3B �O R PXG=TIONS 0 - st varianceto rodUCP t1jo Iroading rate from 330 GPD/Aare Roque 3 31D CIPD/O -3 4 A(�f f' _3:5 '60 Sr) , . ft K10 Rtl In VN LIJ <1: I 4r CAZtWATj*;S W (n &&tN S VA 44C5 f �r, om . D 9,95 P OL 89A ercolation Rate. -, < 2' MPI (TP-1 U f 69-10. 1 0 4 G/SF) ID PROPOSED LZACMM; AM Cy- cvv OT- D 5 rA- v7 0 Field 3 L x 5 W x 0 51 H; M teaching F X.:0 �7 4 G S F, Tot A 1 J,Aa j n C�pa C J t,y, 3 33 �D riE L y 0 U?* A X 6-14 L k V Al E f i e- W C, z In (D 0 0 z W 9; 0 0 _j co co <E 10 f3 S 07' 4--) Z 0 0 IU) Cn > _j X Uj <1 Q 0 (D 'NO W F2' --------- 5�.H 4- 14 00 0 t L 0 40 0 x REVISIONS SOIL TEST PIT DATA: P-9594 NO. DATE DESCRIPTION ASSESSORS MAP 148 TEST PIT -#1-_ TEST PIT #2- ASSESSORS MAP 148 PARCEL 108 ASSESSORS MAP 148 GRD. EL. 80.7 GRD. EL. 80.8 PARCEL 107 PARCEL 109 EST. HIGH GW. N/A EST. HIGH GW. N/A N60'46'18"E l 100.00' N60'46'18'E 16.91 0-A FILL-•0-A ' LOAMY FINE �SAN LOAMY FINE SAND 10YR 3 1 6" 10YR 3 1 19" CBDH� Bw'' ;: BW FOUND) GENERAL NOTES: LOAMY FINE SAN LOAMY FINE SAN AND 1. THIS PLAN IS FOR DESIGN AND 10YR 5 8 1QYR'S 8...` . / „ / „ CONSTRUCTION of THE SEWAGE 24 30 i HELD MED.` FINE AND MED. FINE AND DISPOSAL FACILITY ONLY. p 2. ALL CONSTRUCTION METHODS AND I 2.5Y.,:NE 6 2.5Y: 6 6 ` MATERIALS SHALL CONFORM TO MASS. D.E.P TITLE 5 AND LOCAL BOARD EL 74.7 72" EL 73.8 84" OF HEALTH REGULATIONS. = = 3. ALL PIPES LOCATED UNDER PAVEMENT w OR TRAVELED WAY SHALL BE SCHEDULE N/F Z 40 OR EQUAL „ OWN LEO F. ROCKWOOD Li OF LOCATED THERERNATHINKN50 FTP OFATE THELLS 55 ASSESSORS MAP 148 cL PROPOSED LEACHING FACILITY NOR Z f y PARCEL 47 w ° ANY KNOWN WELLS PROPOSED WITHIN "LOT 13" CftAIGA. c 150' OF ANY KNOWN LEACHING FACILITY. C2 C2 MED SAND MED SAND 15,000f S.F. Z lb�3 0 0 W�-� 5. WITHIN LIMIT OF EXCAVATION REMOVE 2.5Y 5/4 2.5Y 5/4 F ALL TOPSOIL, SUBSOIL AND OTHER 61.4' N � IMPERVIOUS MATERIAL INDICATES G.W.W. x NO OBS. „ NO OBS. G.W. „ w u0 6. REPLACE WITH CLEAN WASHED SAND 120 120 s_ ESTIMATED EL = 70.7 EL = 70.8 OR OTHER CLEAN GRANULAR SOILS SEASONAL: HIGH DATE: DATE: GROUND WATER SIEVE ANALYSIS: CONFORMING TO THE FOLLOWING 11/8/99 11 8 99 INDICATES / lox (MAX) BY WT. SHALL v OBSERVED PASS No. 50 SIEVE TEST BY:THE BSC GROUP. INC. TEST BY:THE BSC GROUP. INC. - GROUND WATER /L�3/D y d0 X OF No. 4 SIEVE SHALL ; DESIGN CRITERIA. .: PASS No. ,aO i WITNESSED BY: WITNESSED BY: O <5 R OF No. 4 SIEVE SHALL J. DUNNING J. DUNNING INDICATES 4� DESIGN FLOW: PASS No. 200 PERC. UNIFORMITY COEFFICIENT O No. 4 PERC. RATE: PERC. RATE: TEST 2 BEDROOMS AT 110 G.P.B./D 220 G.P.D. SIEVE </=6.0 2 MIN./INCH 2 MIN./INCH / 7. EXISTING UTILITIES WHERE SHOWN SOIL EVALUATOR SOIL EVALUATOR IN i IN THE DRAWINGS ARE APPROXIMATE. D. JOHNSON D. JOHNSON UNSUITABLE I MATERIAL . REQUIRED SEPTIC TANK: THE CONTRACTOR SHALL BE RESPON- 1 SIBLE FOR PROPERLY LOCATING AND SOIL CLASS: SOIL CLASS: 220/ X 200% _ 440 GAL. COORDINATING THE PROPOSED CON- 1 1 STRUCTON ACTIVITY WITH DIG-SAFE SEPTIC TANK PROVIDED: = 1500 GAL. AND THE APPLICABLE UTILITY L.T.A.R. L.T.A.R. ( COMPANY AND MAINTAINING THE EXISTING UTILITY SYSTEM IN SERVICE.0.74 G.P.D./SQ.FT. 0,74 G.P.D./SQ.FT. PROP. ASSESSORS MAP 148 DIG-SAFE SHALL BE NOTIFIED PER ASSESSORS MAP 148 cn 8�•Q � 1 SIZE OF LEACHING FACILITY REQUIRED: THE STATE OF MASSACHUSETTs PARCEL 4s DECK PARCEL ,48 r STATUTE CHAPTER 82, SECTION 409 "LOT 12" o oN LOT 14 DESIGN PERC. RATE: <2 MIN./ INCH AT TEL 1-888-344-7233. THE ENGINEER DOES NOT GUARANTEE x 96 i o LONG TERM APPL RATE 0.74 G.P.D/S.F. THEIR ACCURACY OR THAT ALL UTILITIES AND SUBSURFACE STRUCTURES N v, 220 - GPD + 0.74 GPD/SF = 298 S.F. ARE SHOWN. LOCATIONS AND co N ELEVATIONS OF UNDERGROUND UTILITIES DATUM: CA w TAKEN FROM RECORD VER VERIFY VERTICAL DATUM: ASSUMED z SIZE OF LEACHING FACILITY PROVIDED: PROP. PROPOSED �, LOCATION AND INVERTS OF UTILITIES GARAGE 2 BEDROOM r'i AND STRUCTURES AS'REQUIRED PRIOR BENCH MARK SET: NAIL SET IN PAVEMENT SLAB DWELLING USE 12 x25 PRESSURE DOSE To THE START of CONSTRUCTION. ELEV. = TOF = 82.0 LEACHING FIELD ELEVATION 80.00 0.0 8. THIS SYSTEM IS NOT DESIGNED FOR 81.33 THE USE OF A GARBAGE GRINDER. A GARBAGE GRINDER IS NOT 20.0' 27.7' ` BOTTOM = 12' X - 25'. = 300 RECOMMENDED DUE TO RECOGNIZED ADVERSE IMPACTS TO THE LEACHING a FACILITY. U z 81.2 co . 300 S,F x 0.74 GPD/SF = 222GPD s. THE ENGINEER IS TO BE NOTIFIED OF FLOOR PLANS: d M PROPOSED SEPTITECH �/ O ANY FIELD CHANGES WHAT MAY BE = o ALTER. SYSTEM REQUIRED. SEE ATTACHED. Sag I "t SEE SHEET 2 81.0 I 1"RETURN FOR DETAILS - --- - - - -- - LOCUS INFORMATION - • . . . . . / X 81.1 - - • /• 8t.0 \ CURkENT OWNER: LEO F. ROCKWOOD INVERT ELEVATIONS: TP#1 I PROPOSED - . . . 12 x25 I _ X 80.7 TITLE REFERENCE: DEED BOOK 3012, PAGE 315 *" BSC GRDUP iv . . I PRESSURE I . . . . _ - - ,,I a 657 Main Street, (RT. 28) Unit 6 TOP OF FOUNDATION 82.0 A DOSED i� . PLAN REFERENCE: PLAN BOOK 309, PAGE 26 W.Yarmouth Massachusetts LEACHING . . . I •� W.4 INVERT AT BUILDING 79.0 B I FIELD 50.6 • I o �� �� DAVID J. N ► ASSESSORS MAP: 148 02673 i - - - - a �-- -� : . : : 18� CRISPIN 4" INVERT AT SEPTIC TANK (IN) 78.75 CPARCEL: 047 508 778 8919 PROPOSED I -TP#2 - I - No.32112 ► - R AT SEPTIC TANK OUT 78.50 D • : : . : - � -_ DRIVEWAY 81.0 _ _ � � .� '�'��♦ ZONING DISTRICT: RD 1 PROJECT TITLE: - 'u SETBACKS 4" INVERT AT SEPTITECH (IN) 78.25 E --- • FRONT 30 8�;6: � - � SIDE 10' " INVERT AT SEPTITECH OUT 78.00 F -- ---- 4 ,, 1 C � � � -- REAR 10' i- PROPOSED , SYSTEM DESIGN. w � 12 x25 RESERVE � lZ'i / MINIMUM LOT SIZE: 87,120 S.F. INVERTS AT LEACHING FACILITY: J 7 I - - - - - EXIST. TOTAL LOT AREA: 15,000t S.F. FOR SEWAGE OVERLAY DISTRICT: GP 4 INVERT AT BEGINNING °. 80.8 10 NITROGEN SENSITIVE DISPOSAL OF LEACHING CHAMBER 78.5 G _ MIN 100.00' S60'46'18'W ,I -. X I 80.5 ZONE: ZONE II ELEVATION AT BOTTOMFEMA 78.0 H TO CBDH FOUND & HELD 100.00' N60o46'18"E / ZONE DISTRICT- "C" DATED 8 19 85 #81 OF LEACHING CHAMBER �_ NO OBSERVED GROUNDWATER So.5 PANEL #250001 0015 c - - ---- VICTORIA LANE BOTTOM OF HOLE 70.8 J ---- ----- ---_ __ N -----------�:-- -- -- - --- CENTERVILLE M 79.9 LOCUS PLAN: NO SCALE M ASSACH U SETTS I N A[) N VARIANCES REQUESTED. VICTORIA LANE �. �OJ LOCUS P \. PREPARED FOR: TITLE 5: SECTION 15.203: DESIGN FLOW OF 220 GPD REQUESTED IN LIEU OF �Pv Z �1G� q Mr. RICHARD CAPEN a Q CAPEWIDE ENTERPRISES Q - - ------------------------------------ THE MINIMUM OF 330 GPD REQUIRED. A TWO BEDROOM __ t� P.O. BOX 763 �� � ------- w V�P� CENTERVILLE DEED RESTRICTION IS TO BE RECORDED. _ ��� ►- MA 02632 s \ �Q'` Y (508) 428-4028 DATE: DECEMBER 3, 2004 w TITLE 5: SECTION 15.214 (1): DESIGN FLOW OF 220 GPD REQUESTED ON A \\ ` MI R COMP. DESIGN: K. HEATY USE OF ALTERNATIVE N 15,000t S.F LOT WITH THE \ Oq� CHECK: D. CRISPIN \ D // DRAWN: P. HAGIST TREATMENT. PLAN VIEW \ \ / FIELD: D. GAZZOLO / J. McCARTIN SCALE: 1 10 FEET // 1� HYANNIS FILE N0. 8764-SEP.DWG 0 5 10 20 FT, \\ ,` T �A�M��jT�-1 28 DWG N0. 5589-01 SHEET 1 OF 2 JOB NO. 4-8764.00 s a I t REVISIONS NO. DATE DESCRIPTION I I 'F lot✓__ GENERAL NOTES: DAVID J. SPIN a 1. THIS PLAN IS FOR DESIGN AND CIVIL OF THE SEWAGE No.3211112 ► DISPOSAL FACILITY ONLY. PROFILE : NOT TO SCALE: 2. ALL CONSTRUCTION METHODS AND MATERIALS SHALL CONFORM TO MASS. D.E.P TITLE 5 AND LOCAL BOARD OF HEALTH REGULATIONS. MANHOLE COVERS TO BE RAISED SEPTITECH NOTES 3. ALL PIPES LOCATED UNDER PAVEMENT OR TRAVELED WAY SHALL BE SCHEDULE TO WITHIN 6" OF FINAL GRADE I;- 3. DY 40 OR EQUAL 4. THERE ARE NO KNOWN PRIVATE WELLS LOCATED WITHIN 150 FT. OF THE MANHOLE COVERS MAX. EL.= 81.0 PROPOSED LEACHING FACILITY NOR TO EXISTING GRADE 1. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT ANY KNOWN WELLS PROPOSED WITHIN MIN. EL.= 80.5 150' OF ANY KNOWN LEACHING FACILITY. 1" PUMPBACK LINE 7 DIA• INSPECTION BY BOARD OF HEALTH AND PREMISSION OBTAINED 5. WITHIN LIMIT OF EXCAVATION REMOVE EXISTING GRADE " CONTROL FROM BOARD OF HEALTH. 4" PVC 1 LATERALS BOX t+ ALL TOPSOIL. SUBSOIL AND OTHER IMPERVIOUS MATERIAL SCH 40 z 2. ELECTRICAL PERMIT REQUIRED. 6. REPLACE WITH CLEAN WASHED SAND S MIN 196 E. L A CHING FIELD OR OTHER CLEAN GRANULAR SOILS 4" PVC /�`� �� � � 1= 78.50 3. SIGNED MAINTEANANCE CONTRACT REQUIRED TO BE CONFORMING To THE FOLLOWING SCH C 1= 78.50 SUBMITTED PRIOR TO ISSUANCE OF PERMIT. SIEVE ANALYSIS: BOT EL.= 78.00 10% (MAX) BY WT. SHALL =2X MIN " N 4. PROVIDE STANDARD TESTING QUARTERLY FOR FIRST YEAR PASS No. 50 SIEVE " 40 PVC 2 SCH 2 FORCE WITH THE RESULTS BEING SUBMITTED TO HEALTH BAFFLES I=78.25 ^ d0 x OF No. 4 SIEVE SHALL 1= ( ,) t MAIN MANIFOLD PIPEPASS No. 100 79.00 THE FOLLOWING PARAMETERS SHALL BE MONITERED: =78.75 TEE I=78.50 = I=78.00 BOTTOM OF HOLE 70.8 <5 x of No. 4 SIEVE SHALL PH, BOD, TSS, TKN, AND NITRATES. PASS No. 200 TEST PIT # 2 �` THE WATER METER READINGS SHALL ALSO BE MONITERED. UNIFORMITY COEFFICIENT O No. 4 �.. SIEVE </-6.0 PROPOSED 1500 GALLON 5. INITIAL 2 YEAR CONTRACT REQUIRED WITH SEP11TECH FOR MAINTENANCE 7- EXISTING UTILITIES WHERE SHOWN PRECAST CONCRETE PROPOSED 1000 GAL. PRECAST CONCRETE AND TESTING. YEAR TO YEAR CONTRACT REQUIRED THEREAFTER. IN THE DRAWINGS ARE APPROXIMATE. SEPTIC TANK TANK W/SeptiTech PROCESSOR CONTRACT TERMS TO BE APPROVED BY THE HEALTH DEPARTMENT. THE CONTRACTOR SHALL BE RESPON— (TO BE SUPPLIED BY SIBLE FOR PROPERLY LOCATING AND SEPTITECH) MODEL 400N 6. INSTALLATION TO BE IN ACCORDANCE WITH SEPTITECH SPECIFICATIONS COORDINATING THE PROPOSED CON— AND CERTIFICATION BY SEP11TECH REQUIRED. STRUCTION ACTIVITY WITH DIG-SAFE AND THE APPLICABLE UTILITY COMPANY AND MAINTAINING THE EXISTING UTILITY SYSTEM IN SERVICE. DIG-SAFE SHALL BE NOTIFIED PER THE STATE OF MASSACHUSETTS STATUTE CHAPTER 82, SECTION 409 AT TEL 1-888-344-7233. THE 1"DIA. SCH-40 PVC LATERALS - ENGINEER DOES NOT GUARANTEE THEIR ACCURACY OR THAT ALL UTILITIES AND SUBSURFACE STRUCTURES ORIFICE SHIELD OSINCCW PRESSURE DOSE SPECIFICATIONS .ORENCO SYSTEMS INC. ARE SHOWN. LOCATIONS AND ELEVATIONS OF UNDERGROUND UTILITIES PHONE 1-800-348-9843 TAKEN FROM RECORD PLANS. THE OR EQUAL CONTRACTOR SHALL VERIFY SIZE, LOCATION AND INVERTS OF UTILITIES PERFORATION SIZE: 1/4" DIAMETER AND STRUCTURES AS REQUIRED PRIOR 1/4" HOLE AT 5' O.C. PERFORATION SPACING 5' O.C. TO THE START OF CONSTRUCTION. ALTERNATE BETWEEN TOP SNAP-ON LATERAL DIAMETER 1" AND BOTTOM OF PIPE SHIELD MANIFOLD DIAMETER 2" 130" a THIS SYSTEM Is NOT DESIGNED FOR PERFORATIONS ON ADJACENT LATERALS THE USE OF A GARBAGE GRINDER. EXACT DIAMETER HOLES TO BE STAGGERED. _ A GARBAGE GRINDER IS NOT Z 3" RECOMMENDED DUE TO RECOGNIZED SHOULD BE SHOP DRILLED WI ' i ------------------------------- i ADVERSE IMPACTS TO THE LEACHING A DRILL PRESS TO ENSURE I I FACILITY. UNIFORMITY. REMOVE BURRS DRAINAGE SLOTS_ 9. THE ENGINEER IS TO BE NOTIFIED OF PRIOR TO PLACING PIPE. PRECAST SEPTIC TANK I ANY FIELD CHANGES THAT MAY BE ORIFICE SHIELD DETAIL _ _ _ REQUIRED. i 00 NOT TO SCALE i i c0 c0 - _ i 1 20" 7" DIA. CONTROL VALVE BOX AS (T�) MANUFACTURED BY AMETEK PLYMOUTH I 1 PRODUCTS DIVISION. PAT. #3858765 PVC OR APPROVED EQUALL i BSC GROUP CAP NUT � I ORIFICE SHIELDS AS TO BE BROUGHT TO WITHIN 3" OF �------------------------------------J MANUFACTURED BY ORENCO SYSTEMS INC. FINISHED GRADE PLAN VIEW �657 Mahn Street, (RT. 28) Unit 5 FINISHED GRADE 2% MIN. OR APPROVED EQUAL W` °Yarmouth Massachusetts 9'MIN-31W 02(673 COVER AIL 3 1/P' • ■ 4 2'-6r 5'-0" 5-0 _ ._.., ■ AIR IN PROJECT TITLE. CLEANOUT 12" MIN 5'-O' 2-6 IEITE� SEPTITECH CONTROL PANEL ALTERNATE PERFORATIONS SEE SYSTEM LAYOUT 36" MAX 2" MIN. OF 1/8" TO 1/4" ■ 5._0. 2" MIN. OF 1/8" �f0 1/4,* - . ,' -•> . •>. TO BE MOUNTED WITHIN HEATED - _ .. ..� - �>-. '- - ": ::.� -�. ... AREA OF DWELLING. ww_ DOUBLE WASHED STONE 5-0 2-1" 45' BEND COVER DOUBLE WASHED STONE SYSTEM DESIGN TOP STONE ELEV. 78.8 TOP STONE ELEV. 99•00 DISCHARGE PIPE INLET PIPE :: 1/8■ `> �, % FOR SEWAGE - / /1 I ` 3/16 DRAINDACK HOLE VE LE MEDIA DISPOSAL 1"PVC SCH 40 LATERALS po po 0o HOLE oo I l000 GALLON PRECAST SET LEVEL AT ELEV. 78.5 1/8" PERF. (TYP) �o 00 00 0 1" PVC SCH 40 po op 0 0 0 CONCRETE MONOLITHIC TANK 0 oo' LATERALS. (TYP) - r ■ r 6" OF 3 4" TO 1 1 2" - ^ `` HIGH WATER ALARM90' ELBOW 6 OF 3/4 TO 1 1/2 / / V M #81 ■ DOUBLE WASHED STONE DOUBLE WASHED STONE 6" OF 3/4 TO 1 1/2" ORIFICE SHIELDS AS LOW WATER ALARN VICTORIA , N 2 PVC SCH 40 TO BE PLACED ADJACENT DOUBLE WASHED STONE MANUFACTURED BY ORENCO SYSTEMS INC. V I CT/�p I /` LANE 8 FORCE MAIN 2" SCH 40 PVC MANIFOLD PIPE " TO 1/8" VENT HOLE r OR APPROVED EQUAL V R A PITCH 0.005 BACK TO FORCE MAIN. 1/8 PERFORATION TO BE PLACED AND BENEATH VALVE BOX 1/8 PERFORATIONS ALTERNATED ��AT�+ PUMP DISCHARGE PUMP AT THE 6 O'CLOCK POSITION AT THE EVERY 5'-0" AT THE 12 O'CLOCK - Lp". CEN TER VI LLE MID POINT OF EACH LATERAL UNE - - N 1/8" PERFORATION TO BE PLACED POSITION. (TYP) rnPa -_, NEAR THE CROWN OF THE PIPE ... ,��. WATER LEVEL w IN THE 45' BEND = - - 'A`�`Ml - _ _ -�` �a MASSACHUSETTS � AT THE END OF EACH LATERAL `� �=:-`� `�- -�� � `��•: •: : �`��=- -"�� `.`=_- '��`'-• `' ` v -o i -6' CRUSHED STONE USE - " °�C ``5- -`` � SECTION A - A SECTION B B ��a _ t N 0 T TO SCALE UPLIFT STABILIZER (rYPJ NOT TO SCALE 1 Y SEPTITECH PROCESSOR PREPARED FOR: MODEL M40ON Mr. RICHARD CAPEN M CAPEWIDE ENTERPRISES P.O. BOX 763 `g CENTERVILLE g MA 02632 (508) 428-4028 a DATE: DECEMBER 3, 2004 'o COMP. DESIGN: K. HEALY Z CHECK: D. CRISPIN a DRAWN: P. HAGIST w 02 FIELD: D. GAZZOLO / J. McCARTIN FILE NO. 8764—SEP.DWG DWG NO. 5589-01 JOB N0. 4-8764.00 SHEET 2 OF 2 co -a a - - -