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HomeMy WebLinkAbout0020 GRISTMILL PATH - Health 20 Gristmill. Path 047-092 Marstons Mills �j TOWN OF BARNSTABLE LOCATION S 6 S"1' 1 Ll— roWrIA SEWAGE # 1.23 VILLAGE MA-W. fd 0S PA l Li�S ASSESSOR'S MAP & LOT Y 7—o 12, INSTALLER'S NAME&PHONE NO. �i� -0 Z SEPTIC TANK CAPACITY LEACHING FACILITY:(type) 500 6ki, if Cifk#1%,a ize) :�-)C 9-00 NO, OF BEDROOMS 0 - BUILDER OR OWNS Ll PL4 LA r PERMIT DATE: 3 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by PI." e1 J .u voki kss0 t9 s THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .10 ---..OF. Aliptiration for Disposal Works Tonotrurtion Punfit Application is hereby made for a Permit to Construct ( �o� r Repair ( ) an dividual Sewage Disposal Syst at--- - �V,4 L �- '- a rss or Lot No. .............. ...._ ........................ ......... ._.. ........................ W n Address a Pq Installer Address Q Type of Buildi, Size Lot___` _��dSq. feet g --••----- p ( ) Garbage Grinder ( ) Dwellin No. of Bedrooms.._______.________. Expansion Attic aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ------------------------------ - --- - ------------------------------------------- Q ` � ------------- g V____ __________gallons per person per day. Total daily flow___._________ ___.__._. gallons. W Desi n Flow______________________ �_ WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth.............. x Disposal Trench-No_____________________ Widt _�_____.,�___i____Apt Len otal leaching area:______________-•___sq. ft. Seepage Pit No._�________________ Diameter__//`r_u_ De o nle __.______________.__ Total leaching area___�6�.�tr-Yt. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by-------------------------------------------------------------------------- Date---------------------------------------- Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ 4, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Deptli to ground water------------------------ 9 -••--•--------------------••--- --------------- - - - - -------------------••------------------------ Description of Soil_________________________________ �!_ -------------------------------------------------------- x W VNature of Repairs or Alterations—Answer when applicable._____________________________________________________________________________________________ ------------------••----------------•--•-•---------------•-------------------------------------------•----•--•----------------•----------------------------------------------__---------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate p Ce t cate of Compliance has bqekissued by the board of Health. - - Date Application Approved By_. --- -- ----••- --•------ ------ �//a 7_ D e Application Disapproved for the following reasons----------------------------------- ------- ---•----- -= --------------------------------------------------------------------------- ------ -------------------------------------------- Date PermitNo......................................................... Issued------.. . .._�_�__`- ---.?>_------------- Da �- II No....ot...... ....... FiD$... ...... `:........ THE COMMONWEALTH OF MASSACHUSETTS BOAR® F HEALTH ...............oF........: .:... s, .. --- . Appliration for Biiposal Works Tonitrnrtion Prrmit Application is hereby made for a Permit to Construct ( 4<or Repair ( ) an Jpdividual Sewage Disposal Systegp at vno . -•- .._. ........ L a o -Address or Lot No. - --•---• ...................... ....... wn Address a '= ..........•• -------- Installer Address Q Type of Buildi Size Lot--- _4` `--Sq. feet -� Dwelling ZZ No. of Bedrooms......... .........................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons._•________________________• Showers — Cafeteria Other fixtures --------------------------------------- ---- W Design Flow...................., ...........gallons per person per day. Total daily flow...........__.-._-_-_---......____._gallons. WSeptic Tank—Liquid capacity............gallons Length---------------- Width---------------- Diameter---------------- Depth---------------- x Disposal Trench—No..................... IvVid ___.___._ ffi Len , ....___ otal leaching area....................sq. ft. Seepage Pit No.,/............... Diameter_. ._ f. 3__ D pt Fife o nlet____________________ Total leaching area._.: __._. t. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date......................................... W Test Pit No. 1................minutes per inch Depth of Test Pit----------_......... Depth to ground water-___________________._.. 41 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Dept to ground water____-•______----___-___. M --------------------------------- - • . D Description of Soil................................. ' ----- •-- -5- -- - - - -- x W ----------------------------------------------------------------------------•----------•--------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable-----------------------------------------------------------------------------.............___ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. A Date "� Application Approved By.___ :;.._. ,_ y Application Disapproved for the following reasons----------------------------------------•- -------------------------------------•------------------- ..---•----------------------•----•----------------------------------------..............----•--=--...•--------.-------------------------------------------------------------------------------------- Date Permit No......................................................... Issued------ - -�Z.�,.�._._... Date THE COMMONWEALTH OF MASSACHUSETTS 69p BOARD OF HEALTH J - f! A } �,� ......... ...................OF............rt:.! e: �..+.'..:!��.i.-c- +�....................... (9rdifiratr of "Tamphonrr THIS IS TO CERTIFY, That the IndividuaSewage Disposal System constructed ( or Repaired ( ) by . . -.... ^4 , e Installer r at._-•--•-o-�... ------`' --- - t l' i -1- �,�,�. % ° -��= ........................................................x ' -- ---- -------------a.---- - has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No...�A ___________________________ dated_______` "_ _ �__ _.......... 23 THE ISSUANCE OFT IS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE,THAT THE SYSTE"--W LL FUNCTI SATISFACTORY. ` DATE f---... --•------------------------- Inspector--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............ t. ' ..........OF.... r€{jv?-c- .vf_.e............................ r No.. ' --------- FEE .......... ' i��o�ttl ork� C�lan�$���io�t ��rroti� -' • Permissionis hereby granted.........................-0__f___:! _........................................... .................................................... to Construct or Repair ( )fan Individual Sewage Disposal System ' at No.---- ' ` '..• = �"` '�� = � i. 3. <r S )l...,�,:s --- Str"eet as shown on the application for Disposal Works Construction e it Dated-------- ------- _ DATE----. :_.. 1...,/__`-- r.:..,.. Board of Health B FORM 1255 HOBBS & WARREN, INC., PUBLISHERS Massachusetts Department of Environmental Protection Bureau of Resource.Protection— Wastewater Management Program r TITLE 5 PROGRAM - - a M.G.L.c.21 §§26-53,310 CMR 15.000 For Reduction in Sampling or Inspection of I/A Systems ATTENTION: Uy Phu General Information. OWNER NAME: Uy Phu IIFP FACILITY iD FASTP82 OWNER ADDRESS: 20 Gristmill Path,Marston Mills,MA 02648 LOCATION OF I/A SYSTEM 20 Gristmill Path,Marston Mills c Alternative On-Site System Sampling and.Iris ection The DEP,Watershed Permitting Program records indicate that t system serving your facility is a: MicroFAST.5 with a ❑Remedial Use Approval ❑Piloting Approval Provisional Use Approval ❑Certification for- General Use requiring that throughout its life,the MicroF,AST..5 system shall be under a maintenance agreement and. inspected, ❑Monthl Q� uarterly Semiannually-seasonal' and the❑influent and �ffluent, and shall be monitored for, ❑flow �pH [�BOD I`SS 024otal Nitrogen p Other as specified in either the facility approval letter for your system or as required:by the Department's IA Technology Approval. All facilities shall submit.monitoring results to the-Department. ApprovallDenial of Reduction in Sampling and Inspection. From the date of issuance.of this notice,you may take the following actions: deduce sampling from four times to once peryear.Field testing of effluent shall be completed as detennined necessary by the.System f operator/inspector. ":educe sampling to twice per year,once two weeks after startup and office within two weeks.of shutdown of system. Lj Reduce sampling to once per year,within two weeks of shutdown ❑ Reduced sampling denied,continue sampling per your approval Results of sampling indicate the system is'not meeting permit limits for Total Nitrogen(TN)parameter(s),please complete 4 additional quarter(s)ofsampling.After completion of four consecutive samples demonstrating the system meets approval requirements the.Department would consider another written request to reduce onitorin . Continue inspections per the Approval letter. ❑ Reduce inspections to(or continue inspections)twice per year,once two weeks after startup and.once within.two weeks of.shutdown. The System owner(or your designated facility Operator) must submit annually the required ins tion and sampling data by;.❑January 3 1"for the previous calendar year,or ElSeptember:30'h for the previous twelve months,or March 1"for the.previous calendar year. Annual Samplinn Requirements(if anprove'd•forannual samolincl, If the concentration of BOD and TSS and/or TN)in the annual effluent sample from yours stem exceeds the 30 m L or 19 m L limits,then within 45 days of the:annual sample you must both.have your system sampled4gain and submit the results to the Department. Provided that the second sample meets the3Omg/L(and/or 19 mg/L)limits for:BOD,TSS I(and/or TN),you may resume annual monitoring of your system: However,if the second sample does not meet the 30mg/L(and/or 19 mg/L)limit for BOD,TSS(and/or TN), you must resume sampling your system four times per year. Following four consecutive samples demonstrating;the system meets the 30 mg/L(and/or 19 mg/L)limits for BOD and TSS.(and/or TN),the Department would favorably consider another written request to reduce monitoring TN limits only apply to those systems located in a Title 5 defined nitrogen sensitive area. All information shall be submitted to:DEP Boston Office,Title 5 Program,One Winter Street/5`h Floor,.Bosion,:MA 02108 Local Compliance Issues These changes are conditioned upon your compliance with the Approval and the requirements of this notice.Please.be aware the change(s)does not apply to local requirements. You should discuss any changes from local requirements;if any apply to your m,with your local Board of.Health.You should check with the local Board prior to reducing inspeetioti,sampling and rting to ensure that any reduction is consistent with any, local requirements. If you have any questions Please.contact:. a• a[dill at (617)292-5867 8 o L 4 DATE 1 SUE : Signature) {Title} CC:Marston Mills Board of Health and Wastewater Treatment Services,Inc.,44 Cotntrterical Street,Raynham,MA 02767 44 Commercial Street - Raynham, MA 02767 April 19, 2007 Tel: (508) 880-0233 Fax: (508) 880-7232 L Division of Water Pollution Control Department of Environmental Protection One Winter Street— 6'h Floor Boston, MA 02108 Attention: Mr. Steve Corr Subject: Request for Test Reduction - Provisional FAST Treatment System Reference: Serial Number 2N811 20 Gristmill Path- Marstons Mills, MA v �- J Dear Mr. Corr: Attached please find the results for testing performed at the property of Uy Phu;20 `o Ca Gristmill Path Marstons Mills MA. As the operator of this system, we are requesting that the testing requirements bereducpd for this unit. If more information is requested, please call. Please forward a copy of your decision to our office. Thank you. Sincerely, Wastewater Treatment Services, Inc. Service Department cc: Barnstable Board of Health Homeowner Mailing Address: Uy Phu 20 Gristmill Path Marston's Mills, MA 02648 1NCµ0RP0RATE0 8450 Cole Parkway ■ Shawnee, KS 66227 ■ Phone: 913-422-0707 ■ Fax: 913-422-0808 e-mail: onsite@biomicrobics.com ■ www.biomicrobics.com ■ 800-753-FAST(3278) January 6, 2006 Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 Re: Provisional test results Dear Board of Health Official: Enclosed are the field test results and inspection forms for the 3rd quarter of 2005: 20 Gristmill Path Marston's Mills,- `f This unit had its first test this quarter. The unit has started nitrification, and we hope to see continued improvement into the 4`h quarter. If you have any questions or concerns please do not hesitate to contact me. Regards, z ri Allison Blodig, REHS Regulatory Affairs Coordinator Bio-Microbics, Inc. (913)422-0707 C... r o ry —a i I � I � I N C 0 R P 0 R A T E 0 8450 Cole Parkway m Shawnee, KS 66227 m Phone 913-422-0707 m Fax: 912-422-0808 3888 e-mail: onsite cDbiomicrobics.com w www.biomicrobics.com m 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FASTO System INSTALLATION AUTHORIZED SERVICE PROVIDER 20 Gristmill Path Installation Address Marston Mills,MA 02648 Name Wastewater Treatment Services,Inc. Owner Name Uy Phu Street Mail Address: Mail Address 44 Commercial Street 20 Gristmill Path Raynham, MA 02767 Marston's Mills,MA 02648 City State Zip 508-880-0233 508-880-7232 Phone 508-420-1557 Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pump out MicroFAST.5 2N811 03/14/2005 EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS. . Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating if resent Blower(s) Air Inlet Filter Clean X Blower Hood Vents Clear X Excessive Noise X Excessive Vibration X Treatment unit(s) Unusual Odor Pum out Required: X Primary Settling Zone Aerobic Treatment Zone EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 3 Bedrooms H Standard Units Color SomeSusp Matter Temperature 77.0 Odor None Comments: TECHNICIAN SERVICE DATE Joan Peterson 08/10/2005 Massachusetts Department of Environmental Protection � P Bureau of Resource Protection - Title 5 DEP Approved Inspection .and 0&M Form for Title 5 I/A Treatment and Disposal Systems _ 3888 A. Installation Important: Uy Phu When filling out Owner forms on the computer,use 20 Gristmill Path only the tab key Facility Street Address to move your- Marstons Mills 02648 cursor-do not use the return City Zip key. Mailing address of owner, if different: VQ 20 Gristmill Path Street Address/PO Box: Marston's Mills MA 02648 'e0s" City State Zip (508-420-1557 ext. Telephone Number B. Authorized Service Provider Wastewater Treatment Services, Inc. 0&M Firm 44 Commercial Street Street Address Raynham MA 02767 City State Zip (508)—880-0223 ext. Telephone Number Joan Peterson 9166 Certified Operator Name Certification Number. C. Facility/System Information 2N811 Bio-Microbics, Inc. MicroFAST.5 DEP ID Manufacturer's Name&ID Model Name&Number 03/14/2005 Installation Date Start of Operation Approval Type:_General X Provisional _Piloting _Remedial Seasonal Residence—used less than 6 mo./year:_Yes X No D. Operating Information 08/10/2005 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended —Yes X No Color: SomeSuspMatter Odor: None Effluent Description DEPMicroFASTnew.doc-911/05 Page 1 of 2 LlMassachusetts 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 3888 E. Sampling Information Samples Taken: X Influent X Effluent Parameters sampled: X pH X BOD X TSS—TN X Other(list below) Other 1 , Alkalinity Other 3 Other 2 Description of any maintenance performed since previous inspection &during this inspection: Cleaned Filter,,,Splash Recycle, Notes and Comments: Also tested: CBOD, Nitrate, TKN, Nitrite. F. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached technology operation and maintenance checklist,and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Joan Peterson 08/10/2005 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 Piloting & Provisional Use- General Use—by September 31 st of each year for the within 30 days of inspection 30th of each year for the previous calendar year date previous 12 months Department of Environmental Protection Attention: Title 5 Program One Winter Street, 61h Floor Boston. MA 02108 DEPMicroFASTnew.doc-9i1i05 Page 2 of 2 GROUNDWATER ,ANALYTICAL Inorganic Chemistry Field 10: E fluent Matrix: Aqueous Project: `P692-N811 Received: 08-10-0515:50 Client: Wastewater Treatment Services Lab ID: 86364-01 Sampled: 08-10.05 14:00 Container 1 L Plastic Preservation: Cool Analyte . IRes Units RL OF volume .Analyzed QC Batch Method: Inst "tiro[ Result Carbonaceous BOD 11 mg/L 6 3 100 mL 08-10-05 20:09 BOD-2156-W SM 5210 B 3 LID Solids,Total Suspended 45 mg/L 10 1 100 mL 08-11-05 08:18 TSS-1121-W SM 2540 D 4 Mw Nitrate(as Nitrogen) 3.9 mg/L 0.02 1 S mL 08-10-05 17:37 NI-2689-W `"""'°' " " 1 DDW Nitrite(as Nitrogen) 0.11 mg/L 0.02 1 5 mL 08-10-0517:37 NI-2689-W ESM °1D7-0 ,.0 ' 1 DDW M v0°n pH 7.5 pH NA 1 50 mL 08.10-05 17:20 PH-1954-W 500-H+8 2 DDw Alkalinity,Total(as CaCO3) 60 mg/L 5 1 100 mL 08.18-05 10:08 ALK-0382-W 1 Ave Lab ID: 86364-02 Sampled: 08-10-05 14:00 Container. 250 mL Plastic Preservation: H2SO4/Cool Analyte . Result Untts RL DF:Volume ;:Anal ed yz QC Batch Method Inst Nitrogen,Total Kjeldahl(TKN) 22 mg/L 0.5 1 zomL 0&v-0s 1oa7 TKN-1686 W '`hN1O101O6SAjEP 1 Ave Method Reference: Methods for Chemical Analysis of Water and Wastes,US EPA,EPA-600/4-790-020(Revised 1983),and Methods for the Determination of Inorganic Substances in Environmental Samples,US EPA,EPA/600/R-93/100(1993),and Standard Methods for the Examination of Water and Wastewater,APHA,Twentieth Edition(1998),and Test Methods for Evaluating Solid Waste,US EPA,SW-846,Third Edition,Update III(1996). Report Notations: BRL Indicates concentration,if any,is below reporting limit for analyte. Reporting limit is the lowest concentration that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample size and dilution. RL Reporting Limit. DF Dilution Factor. 1 Instrument ID: Lachat 8000 Autoanalyzer 2 Instrument ID: Accumet AR50 3 Instrument ID: YSI 5100 4 Instrument ID: Mettler AT 200 Balance Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 • GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID:- nfluent \ _ � Matrix: Aqueous - Project: Phu 2N811 Received: 08-10-05 15:50 Client: Wastewater Treatment Services Lab ID: 86364-03 Sampled: 08-10-05 14:00 Container. 1 L Plastic Preservation: Cool Analyte Result Units RL DF volume Analyzed QC Batch Method Inst k>i" Biochemical Oxygen Demand 310 mg/L 200 113 2.7 mL 0&10-05.16:44 BOD-2157-W SM 5210 B 3 )W Solids,Total Suspended 93 mg/L 10 1 100 mL 08-11-05 08:18 TSS-1121-W SM 2540 D 4 MW Nitrate(as Nitrogen) BRL mg/L 0.02 1 5 mL 08-10-05 17:39 NI-2689-W 1 DDW 4w 02 n Nitrite(as Nitrogen) 0.04 mg/L 0.02 1 5 mL 0&10-05 17:39 NI-2689-W '"~"a1a70"3 6A1 1 DDW �ww+a n pH 6.8 pH NA 1 50mL 08-10-0517:23 PH-1954-W SM4500-11+113 2 DDW Alkalinity,Total(as CaCO3) 150 mg/L 5 1 100mL 08-18-0510:09 ALK-0382-W 1 Avg Lab ID: 86364-04 Sampled: 08-10-05 14:00 c-tame.:250 mL Plastic Preservation: H2SO4/Cool Analyte' Result Un1ts RL DF'-volume `Analyzed. QC Batch ?' Method ' Inst wir Nitrogen,Total Kjeldahl(TKN) 36 mg/L 0.5 1 20 mL 1 08-17-05 10:18 TKN-1686-W °6rO1Ep 1 AVB )S1.L Method Reference: ' Methods for Chemical Analysis of Water and Wastes,US EPA,EPA-600/4-790-020(Revised 1983),and Methods for the Determination of Inorganic Substances in Environmental Samples,US EPA,EPA/600/R-93/100(1993),and Standard Methods for the Examination of Water and Wastewater,APHA,Twentieth Edition 0998),and Test Methods for Evaluating Solid Waste,US EPA,SW-846,Third Edition,Update III(1996). Report Notations: BRL Indicates concentration,if any,is below reporting limit for analyte. Reporting limit is the lowest concentration that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample size and dilution. RL Reporting Limit, DF Dilution Factor. 1 Instrument ID: Lachat 8000 Autoanalyzer 2 Instrument ID: Accumet AR50 3 Instrument ID: YS15100 4 Instrument ID: Mettler AT 200 Balance Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 I '' t� c �-3 �� �OC�QDQO I N C O R P O R A T E D 8450 Cole Parkway ■ Shawnee, KS 66227 ■ Phone: 913-422-0707 ■ Fax: 913-422-0808 e-mail: onsite@biomicrobics.com ■ www.biomicrobics.com 800-753-FAST(3278) August 23, 2005 Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 Y Re: Provisional test results Dear Board of Health Official: Enclosed are the field test results and inspection forms for the second quarter of 2005: 20 Gristmill Path Marstons Mills This unit was installed in March of this year and was in start up when sample in June. It appears to be nitrifying and results should continue to improve. If you have any questions or concerns please do not hesitate to contact me. Regards, Allison Blodig, REHS Regulatory Affairs Coordinator Bio-Microbics, Inc. (913)422-0707 cc: Massachusetts file for 20 Gristmill Path, Marstons Mills IN=CO R 0 R MAT 8450 Cole Parkway II Shawnee, KS 66227 II Phone 913-422-0707 m Fax: 912-422-0808 3890 e-mail: onsite(a)biomicrobics.com II www.biomicrobics.com m 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 20 Gristmill Path Installation Address Marston Mills,MA 02648 Name Wastewater Treatment Services,Inc. Owner Name Uy Phu Street Mail Address: Mail Address 44 Commercial Street 20 Gristmill Path Raynham, MA 02767 Marston's Mills,MA 02648 City State Zip 508-880-0233 508-880-7232 Phone 508-420-1557 Fax e-mail Phone Fax e-mail INSTALLATION,INFORMATION.. Model No. Serial No. Date of Installation Date of last pump out MicroFAST.5 2N811 03/14/2005 EQUIPMENT 'YES,_ NO MAINTENANCE PERFORMED AND COM ffiNTS Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating if resent Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment unit(s) Unusual Odor Pum out Required: Primary Settling Zone Aerobic Treatment Zone EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 3 Bedrooms H Standard Units Color Clear Temperature Odor None Comments: TEST ONLY. TECHNICIAN SERVICE DATE Joan Peterson 06/10/2005 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEh Approved Inspection and O&M Form for Title 5 I/A Tr eatment and Disposal Systems 3890 A. Installation Important: Uy Phu When filling out Owner forms on the computer,use 20 Gristmill Path only the tab key Facility Street Address to move your Marstons Mills 02648 cursor-do not use the return C��' Zip key. Mailing address of owner, if different: 1Q 20 Gristmill Path Street Address/PO Box: Marston's Mills MA 02648 City State Zip (508-420-1557 ext. Telephone Number B. Authorized Service Provider Wastewater Treatment Services, Inc. O&M Firm 44 Commercial Street Street Address Raynham MA 02767 city State Zip (508)—880-0223 ext. Telephone Number Joan Peterson 9166 Certified Operator Name Certification Number C. Facility/System Information 2N811 Bio-Microbics, Inc. MicroFAST .5 DEP ID Manufacturer's Name&ID Model Name&Number 03/14/2005 Installation Date Start of Operation Approval Type:_General X Provisional _Piloting —Remedial Seasonal Residence—used less than 6 mo./year:_Yes X No D. Operating Information 06/10/2005 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended _Yes X No Color: Clear Odor: None Effluent Description DEPMicroFASTnew.doc-6/29/05 Page 1 of 2 f 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 E. Sampling Information 3890 Samples Taken: X Influent X Effluent Parameters sampled: X pH X BOD X TSS—TN X Other(list below) Other 1 Ammonia, Alkalinity Other 3 Other 2 Description of any maintenance performed since previous inspection &during this inspection: Notes and Comments: TEST ONLY. Also tested: CBOD, Nitrate, TKN, Nitrite. F. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Joan Peterson 06/10/2005 Operator Signature Date System owner must submit this report,technology 0&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January Piloting & Provisional Use- General Use—by September 31 s`of each year for the within 30 days of inspection 301h of each year for the previous calendar year date previous 12 months Department of Environmental Protection Attention: Title 5 Program One Winter Street, 61h Floor Boston. MA 02108 DEPMicroFASTnew.doc•6/29/05 Page 2 of 2 GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: INF 20 Gristmill,Marstons Mills Matrix: Aqueous Project: Phu/2N811 Received: 06-10-0512:55 Client: Wastewater Treatment Services Lab ID: 84619-03 Sampled: 06-10-05 11:15 container: 1 L Plastic Preservation: Cool Analyte' Result Units RL;' Df;volume; Analyzed: ,,:QC.:Batch Method: .InsY A" Biochemical Oxygen Demand 600 mg/L 200 300 1 mL 06-10-05 20 31 BOD-2096-W SM 5210 B 3 LID l Solids,Total Suspended 220 mg/L 10 1 70 mL 06.13-05 10:37 TSS-1092-W I SM 2540 D 4 DEB Nitrate(as Nitrogen) 0.14 mg/L 0.02 1 5 mL 06-10-05 17:16 NI-2613-W It"'1P101-04{n"' 1 DDW 45 03 f) Nitrite(as Nitrogen) 0.23 mg/L 0.02 1 5 mL 06-10-05 17:16 NI-2613-W L-'h"1°107—' ($M 1 DDW 4Sa 3r pH NA 1 50 mL 06-10-05 15:32 PH-1917-W SM 4500-H+B 2 DDW pH 7.3 Lab ID 84619-04 Sampled: 06 10-05 11 15 container: 250 mL Plastic Preservation: H2SO4/Cool Apatyte ;7W & q `3 ResultST :Untts RL_ y zD °Vdljuine M yied QC Batch` t M od §fair Ammonia(as Nitrogen) 25 mg/L 1 5 +10 m1 1 06.14-0516:32 AM-1493-W '�1D+olos3B SM .wo++e3e,a 1 1K Nitrogen,Total Kjeldahl(TKN) 40 mg/L 0.5 1 20 mL 06 17-05 14:56 TKN-1646 W `'a"°'°'-06S-0�P 1 AVB u).r, Method Reference: Methods for Chemical Analysis of Water and Wastes,US EPA,EPA-600/4-790-020(Revised 1983),and Methods for the Determination of Inorganic Substances in Environmental Samples,US EPA,EPA/600/R-93/100(1993),and Standard Methods for the Examination of Water and Wastewater,APHA,Twentieth Edition(1998),and Test Methods for Evaluating Solid Waste,US EPA,SW-846,Third Edition,Update III(1996). Report Notations: BRL Indicates concentration,if any,is below reporting limit for analyte. Reporting limit is the lowest concentration that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample size and dilution. RL Reporting Limit. DF Dilution Factor. 1 Instrument ID: Lachat 8000 Autoanalyzer 2 Instrument ID: Accumet AR50 3 Instrument ID: YSI 5100 4 Instrument ID: Mettler AT 200 Balance I Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: EFF 20 Gristmill,Marstons Mills Matrix: Aqueous Project: Phu/2N811 Received: 06-10-0512:55 Client: Wastewater Treatment Services Lab ID: 84619-01 Sampled: 06-10.05 11:00 Container. 1 L Plastic Preservation: Cool Analyte Result .Units RL. DE volume Analyzed ° '`QC Batch,. .Method Inst Analyst Carbonaceous BOD 28 mg/L 2 15 20 mL 06-10-05 21:01 BOD-2095-W SM 5210 B 3 LID Solids,Total Suspended 65 mg/L 10 1 100 ml 06-13-05 10:37 TSS-1092-W SM 2540 D 4 DEB Nitrate(as Nitrogen) 2.4 mg/L 0.1 5 1 mL 06-10-05 17:31 NI-2613-W 4sowvw n 1 DDW Nitrite(as Nitrogen) 11 mg/L 0.1 5 1 mL 06-10-05 17:31 NI-2613-W uchi1O10'°"C'SA .X 03 R 1 DDW pH 6.6 pH NA 1 50 mL 06-10-05 15:26 PH-1917-W SM 4500 H+B 2 DDW Lab ID 84619-02 Sampled 06 10-05 11 00 Container. 250 mL Plastic Preservation: H2SO4/Cool t Resul > Utlt RLsa a AndlyZed .. .� ,�QC Bate '„1 Method Inst Analyse Ammonia(as Nitrogen) 4.6 mg/L 0.2 1 50 mL 06-14-05 16.19 AM-1493-W t.�n."oiotos.e sM 45m«roe.Q 1 1K Nitrogen,Total Kjeldahl(TKN) 12 mg/L 0.5 1 20 mL 06-17-05 15:39 TKN-1646 �ss� 1 AVB Method Reference: Methods for Chemical Analysis of Water and Wastes,US EPA,EPA-600/4-790-020(Revised 1983),and Methods for the Determination of Inorganic Substances in Environmental Samples,US EPA,EPA/600/R-93/100(1993),and Standard Methods for the Examination of Water and Wastewater,APHA,Twentieth Edition 0998),and Test Methods for Evaluating Solid Waste,US EPA,SW-846,Third Edition,Update III(1996). Report Notations: BRL Indicates concentration,if any,is below reporting limit for analyte. Reporting limit is the lowest concentration that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample size and dilution. RL Reporting Limit. DF Dilution Factor. 1 Instrument ID: Lachat 8000 Autoanalyzer 2 Instrument ID: Accumet AR50 3 Instrument ID: YSI 5100 4 Instrument ID: Mettler AT 200 Balance Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 44 Commercial Street Raynham, MA Tel: (508)1 b80=0233 Fax: (508) 880-7232 March 22, 2005 s Barnstable Board of Health 200 Main Street. Hyannis; MA 02601 Attention: Board of Health Agent Reference: Home FAST Treatment Serial Number: 2N811 Attached please find a copy of the Product Registration Report for the FAST Treatment System for work performed on 03/14/2005 at the home of Uy Phu located at 20 Gristmill Path, Marstons Mills,MA.,Also, attached is a copy of the fully executed Inspection& Effluent Testing Agreement. If you have any questions or require additional information please do not hesitate to call. Sincerely, Donna L. Callahan Enclosures ..:�JF..li: 64i ..f:; ._ J- ..., .. vt+ t .. ( e _ _ • 74 st rr a t_ U6LQ1 W`C 0 A=Pn R_A Y .E 0 8450 Cole Parkway a Shawnee, KS 66227 >s Phoh6�913-422-070T us Fax: 912-422-0808'� .. e-mail: onsiteO)biomicrobics.com w www.biomicrobics corn w 800-753-FAST(3278) T PRODUCT REGISTRATION REPORT Product Registration Report must be completed and returned to Bio-Microbics, Inc. in order to effect warranty. Date of Start-Up 3/ "�Date Shipped to End User 8/18/04 Serial #2N811 OWNER NAME Uy Phu ADDRESS 20 Gristmill Path CITY/STATE/ZIP Marstons Mills,MA 02648 PHONE/FAX BIO-MICROBICS DISTRIBUTOR ' NAME Wastewater Treatment Services,Inc. ADDRESS 44 Commercial Street CITY/STATE/ZIP Ra am, MA 02767 PHONE/FAX 508-880-0233 FAX: 508-880-7232 INSTALLER NAME James Holler ADDRESS P.O.Box 702 CITY/STATE/ZIP Marston Mills,MA 02648 PHONE/FAX 508420-0280 CONSULTING ENGINEER if.a licable ` NAME John Doyle ADDRESS P.O.Box 595 CITY/STATE/ZIP West Falmouth,MA 02574 PHONE/FAX 508-563-1994 Good Bad NA Good Bad NA ELECTRICAL PANEL(S) / TREATMENT UNIT(S) 1 Visual Alarm Operating �( ❑ ❑ Air vent clear D ❑ Audio Alarm Operating ❑ ❑ Septic tank level ❑ BLOWER(S) Septic tank meets min. size A O Wired for correct voltage JET ❑ Septic tank filled to O _/ operating level Filter el m piped correctly �1� ❑ Air Lift Operation �7( ❑ Filter element installed Ld ❑ Recirculation tube in place ❑ Blower hood secure ❑ � ❑ Blower works correctly Fasteners tight Qf ❑ WATER-TIGHT JOINTS Blower located within 100'of ❑ O Treatment unit to septic tank ❑ treatment unit Air line clear �j ❑ Entrance tube to insert cover ❑ O Air inlet screen clear ❑ Insert to insert cover ❑ Blower hood vents clear ❑ Discharge line connection Factory Authorized Personnel: Title: Firm: Wastewater Treatment Services Inc. Date: =a tPft;r 44 Commercial Street� ��" J r; Please complete all items marked,,, �Raynham;M 3itiir da t�Cs'k< .k including three signatures. Mail . signed originai contract to. ,� ,. .. E _+.,:;h r �s� ,i' �• Wastewater Treatment Services-Inc. t' -_,Tel:_(508);880 0233 !' 44 Commercial Street Ravnham.MA 02767 Fax:-(508)880-7232 INSPECTION AND EFFLUENT TESTING AGREEMENT Agreement entered into by and between Wastewateff reattnent Services,Inc. (herein called WTS)and the FAST®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 4 times per yeaithat this Agreement remains in effect,with the first: inspections beginning =D. These inspections will include: 1) Testing of the sludge depth in the septic tank. 1) Inspection,power testing and clean/replace intake filter of the air blower. 1) Inspection of the alarm system. 1) Inspect overall condition of FAST®System. I 1) Notification to OWNER of any problems encountered. 1) Service other than routine maintenance will b,ebilled at an hourly rate,plus travel and parts. WTS shall notify the local board of heltlrend Departn.ent 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 standard labor rates of$74.00 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 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. I , J, ' k �* �.,A. r, e�:uwy3lrrprir,..,.:...v Nt+., x +—,.�ii. ♦».r +�. This is"a; two-year contract which will be billed annually. All payments are nofi refundable OWNER's=t t 3 ,t +g. 'Y. ti J U eF�,;. r}tij:�> i4#'� ✓Y" 4.'+�t4f{N r failure to pay4invoices promptly or to otherwise comply with this contract may resutt m suspensiorr of �J J., service, cancellation of contract an&or nAification of warranties, at the election of WTS This agreement is not assignable withou"t"the cons'erit of'wVTS and will remain in force until canceled by erther� party through written notice. y,; j MANUFACTURER MODEL NO. SERIAL NO. LOCATION ANNUAL RATE Bio-Microbics MicroFAST a / Marstons Mills,MA $420.00 EQUIPMENT OWNER °4 astewater Treatment Services Inc. Signed by OWNER: '---- }¢ T 1y Phu �..- ess: f 20 Gristmill Path 44 Commercial Street Raynham,MA 02767. }. : Tele: (508) 880-0233 *City: State: Zip: Fax: (508) 880-7232 Marstons Mills MA 02648 *Telephone 508-454-6656 Effective Date of Agreement 3 o,,) *Daytime Telephone OWNER understands that(1)ANNUAL RATE payment is for one year only of this two-year'agreement and is non-refundable; and(2)Current law requires OWNER to maintain a service agreement for the life of the FAST®System. I HAVE READ AND:UNDERSTAND THE FOREGOING. *Signed by OWNER: Influent& Effluent Testing Influent& Effluent sample taken monthly for the'fiirst six months then quarterly thereafter and delivered to a qualified testing lab for evaluation. Results sent to State.and local Agencies as well as the OWNER. OWNER is responsible for providing acceptable aCCCss to effluent to enable a grab sample to be taken for laboratory testing performed. PERMIT: *(PLEASE CHECK ONE) ( )GENERAL ( )REMEDIAL (X)PROVISIONAL *SPECIAL CONDITIONS PER LOCAL BOARD OF HEALTH(Y)or(N)if YES,please attach copy of permit (X ) CBOD5,TSS,pH,Nitrate, Nitrite,TKN, Ammonia ( ) Other: *Cost for testing: $340.00/visit Operator assigned: William Everett Telephone: (508)400-3868 *Engineer: John Doyle *Approval for Effluent Testing Ho owner's Signaure 9Uastecua��reatiizere�c1eroices; .�iu� - 44 Commercial Street : 014H15219068 W Ra nham, MA 02767 w Q y -j $0 . 370 U = 03/22/2005 0. N Mailed From02767 D Barnstable Board of Health 200 Main Street Hyannis, MA 02601 c�24w��oao2 02: Fii „ ifi .Ii��il. „ ;il+il[i; li „111Fli „ I,I1 . i i i 17 It It tit !'t 'I It I H .t It III tit IItt I tttt(11 t &R SALES & SERVICE, INC. October 29, 2004 ld3a HIIV3l 318d1SNLIV9,40 NMOl Uy Phu 20 Gristmill Path ti00Z Z T AON Marston Mills, MA 02648 G3A13338 Dear Homeowner, t We understand the FAST® Septic System located at the above address has been installed. According to our records we have not performed a start-up of this unit,which was included in the original purchase price. A professional start-up of your FAST®unit must be done for warranty and state compliance purposes. Per the Massachusetts Department of Environmental Protection, your FAST®unit may not be used without a professional start-up. Also,the system must receive service and testing to be in compliance with Title V. We request that you contact us in the next 30 days to advise on the current status of the system. Thank you for your assistance in this matter. r Please call our office with any questions. Sincerely, Lauren Dunlap CC: Town of Barnstable 200 Main St. Hyannis, MA 02601 . 44 Commercial St. .' Raynham,MA 02767 Tele.508 823 9566 Fax 508.880 7232 �y OF ByIHJ' New !/A System Permit Summary Sheet ¢?TTACNUS"� Site Information Town: Town Permit# 2.00`I — tZ 3' .Assessor Map/Parcel: 6L-1 6q Unique Town'ID # Site Address: 20 (�e-f 57 ri M H Owner Name: U �j P h v Alternate Name: Home Phone.-(SDI- 1 c-1 !�_G Mailing Address: Work Phone: Title 5 Information 3 i,Rc Building Type/Use: Sim rZA-+m, - �CStr`�ay.^ Design Flow: ZJ3� (gpd) Seasonal Use? Yes ❑ No.❑ Unknown ❑ Bedrooms: J Title V N.S.A.? Yes`p' No ❑ Unknown ❑ Lot Size: Non-standard components: Please list all components e.g. 1/A treatment unit, pump chamber, pre-and post equalization tanks, pressure distribution SAS, effluent filter, UV unit, etc., and maintenance schedule for each component e.g. quarterly, 2Vyr, annual, etc. r� If- Zoo u « 1 . c. ►-CL.m 6e.✓� w Z `f' sly e v I 0"V, 25 I/A Treatment Unit Make and Model# -F-AST �� DEP Permit Type: ❑ General Board Approval Date: 2- p 2ooy COC Date: 8 1 1 Lj N9Provisional rZ_V,-.e L y oy O & M Contract Entity:iA)T S / El Remedial Contract Start Date: Contract Duration: 9_4 a 5 ❑ Pilot r-- Unit Installation Date: to ZH o�1 Unit Startup Date: to OS DEP.Permit ID#: Influent/Effluent Monitoring Requirements and Water Quality Limits Please indicate water quality parameters that must be monitored and any town mandated water quality limits;if no limits are shown, we will assume parameters and effluent limits specified in the system's DEP approval will apply. �Z 6� Effluent pH�� BODS ❑ CBOD TSS\t� T I\Rr- Nitrate!-EL Nitrite.`_ Organic N ❑ Ammonia.®�__ TKN . Fecal Coliform ❑ Total P ❑ Organic P ❑ TDS ❑ Oil/Grease ❑ Conductance ❑ Alkalinity's Water Usage ❑ Temp. ❑ Monitoring Schedule: Other Applicable Limits: Influent pH ❑ BOD5 ❑ CBOD ❑ TSS ❑ TN ❑ Nitrate ❑ Nitrite ❑ Organic N ❑ Ammonia ❑ TKN ❑ Fecal Coliform ❑ Total P ❑ Organic P ❑ TDS ❑ Oil/Grease ❑ Conductance ❑ Alkalinity ❑ Water Usage ❑ Temp. ❑ Monitoring Schedule: Other Applicable Limits: BCDHE Tracking # Please return this sheet to: FAX: 508-362-2603 Email: bciatech@cape.com J. C -. b� I(� 2c IA. �44.,e/r\t X. Proposed Monitoring Plans of I/A Systems: GRANTED A. John Doyle representing Richard Cox- 20 Gristmill Path, 26,515 WITH square feet parcel, three bedrooms, FAST 0.5 Unit, proposal to CONDITIONS monitor influent and effluent monthly for the first six months, quarterly thereafter for pH, BOD, TSS, TKN, NO3-N, and ammonia. (1) No more than three bedrooms total are authorized. (2)The applicant shall record a properly worded deed restriction,signed by the property owner, at the Registry of Deeds restricting the number of bedrooms at this property to the maximum allowed, before obtaining a disposal works construction permit. (3) The applicant shall obtain written approval from MA DEP prior to obtaining a disposal works construction permit. �' '06) Mar 25 04 01 : 59p 508 880-7232 p. 1 /?iA 44 Commercial Street-Raynham, MA 02767 Tele: 508-880-0233 Fax: 508-880-7232 Fax Cover Sheet TO: Board of Health DATE: March 25, 2004 ATTN: FAX#: 508-790-6304 FROM: Donna Callahan SUBJECT: 20 Gristmill Path TOTAL PAGES: 3 (Including Cover) Marstons Mills,MA Per the request of Mr.Uy Phu,we are faxing over a copy of this agreement. Mar 25 04 01 : 59p � 508 880-7232 p. 2 'WavllUClf!'/' .`:-,-_e '�Ine12f 44 Commercial Street Please complete all items marked Raynham, MA including three signatures. Mail 02767 signed original contract to: Wastewater Treatment Services Inc 44 Commercial Street Tel: (508) 880-0233 Ra3Mharn.MA 02767 Fax: (508) 880-7232 INSPECTION AND EFFLUENT TESTING AGREEMENT Agreement entered into by and between Wastewater Treatment Services,Inc. (herein called WTS) and the FAST®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 4 times per year that this Agreement remains in effect, with the first inspections beginning These inspections will include: 1) Testing of the sludge depth in the septic tank. 1) Inspection,power testingand clean/re lace intake p e filter of the air blower. 1) Inspection of the alarm system. 1) Inspect overall condition of FAST®System. 1) Notification to OWNER of any problems encountered. 1) 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 Deparmicnl 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 standard labor rates of$74.00 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 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. Mar 25 04 01 : 5910 508 880-7232 p. 3 This is a two-year contract which will be billed annually. All payments are non-refundable. OWNER's failure to pay invoices promptly or to otherwise comply with this contract may result in suspension of service, cancellation of contract and/or nullification of warranties, at the election of WTS. This agreement is not assignable without the consent of WTS and will remain in force until canceled by either party through written notice. MANUFACTURER MODEL NO, SERIAL NO. LOCATION ANNUAL RATE Bio-Microbics MicroFAST Marstons Mills,MA $420.00 EQUIPMENT OWNER astewater Treatment Services Inc. *Signed b gn y OWNER: Uy Phu Signed: *Address: 20 Gristmill Path 44 Commercial Street Raynham,MA 02767 Tele: (508) 880-0233 *City: State: Zip: Fax: (508) 880-7232 Marstons Mills MA 02648 *Telephone 508-454-6656 Effective Date of Agreement *Daytime Telephone OWNER understands that(1)ANNUAL RATE payment is for one year only of this two-year agreement and is non-refundable; and(2)Current law requires OWNER to maintain a service agreement for the life of the FAST®System. I HAVE READ AND UNDERSTAND THE FOREGOING. *Signed by OWNER: Influent & Effluent Testing Influent& Effluent sample taken monthly for the first six months then quarterly thereafter and delivered to a qualified testing lab for evaluation. Results sent to State and local Agencies as well as the OWNER. OWNER is responsible for providing acceptable access to effluent to enable a grab sample to be taken for laboratory testing performed. PERMIT: *(PLEASE CHECK ONE) ( )GENERAL ( )REMEDIAL (X)PROVISIONAL *SPECIAL CONDITIONS PER LOCAL BOARD OF HEALTH(Y) or(N) if YES, please attach copy of permit (X )CBOD5,TSS,pH,Nitrate,Nitrite,TKN, Ammonia ( )Other: *Cost for testing: $340.00/visit Operator assigned: William Everett Telephone: (508)400-3868 *Engineer: John Doyle *Approval for Effluent Testing Homeowner's Signature I t J&R SALES & SERVICE, INC. March 25, 2004 Town of Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Attention: Dr. Wayne Miller Dear Dr. Miller: I am in receipt of the testing requirements for 20 Gristmill Path, Marstons Mills. I wanted to let you know of recent changes to the State's Provisional Permit requirements. If you would like to incorporate these new guidelines into your Town's requirement, I have enclosed a copy for your review. As you will see, the biggest changes for residential units is to test and service quarterly and gg g q Y only test the effluent from the FAST unit. If you should choose to adapt the new guidelines, we would appreciate a revised requirement for this homeowner. Thank you for your time. Very truly yours, James R. Dunlap 1 Cc: Thomas McKean as commercial St. Raynham,MA 02767 Tele.508.823.9566 Fax 508.880.7232 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-6600 MITT ROMNEY Governor ELLEN ROY HERZFELDER Secretary KERRY HEALEY Lieutenant Governor ROBERT W.GOLLEDGE,Jr. Commissioner MODIFIED PROVISIONAL USE APPROVAL Pursuant to Title 5, 310 CMR 15.000 Name and Address of Applicant: Bio-Microbics,Inc. 8450 Cole Parkway Shawnee, KS 66227 Trade name of technology: MicroFAST Treatment System Models MicroFAST 0.5,0.75,0.9, 1.5, 3.0,4.5 and 9.0;HighStrengthFAST Treatment System Models HighStrengthFAST 1.0, 1.5, 3.0,4.5 and 9.0 and NitriFAST Treatment System Models NitriFAST 0.5,0.75, 1.0, 1.5, 3.0,4.5 and 9.0 (hereinafter the"System"). Schematic drawings illustrating the System and a technology checklist are attached and is part of this Approval. Transmittal Number: W019014 Date of Issuance: January 27,2004 Expiration date: January 27,2009 Authority for Issuance Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000,the Department of Environmental Protection hereby issues this Modified Approval to: Bio-Microbics,Inc., 8450 Cole Parkway,Shawnee,KS 66227(hereinafter"the Company"), for Provisional Use in the Commonwealth of Massachusetts for the System described herein. Sale and use of the System are conditioned on and subject to compliance by the Company and the owner(s)of each installed system(hereinafter,the"owner(s)"or the"System owner(s)")with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Approval constitutes a violation of 310 CMR 15.000. Glenn Haas,Director Date Division of Watershed Management Department of Environmental Protection This information is available in alternate format Call Debra Doberty,ADA Coordinator at 617-292-5565.TDD Service-14 00-298-2207. DEP on the World Wide Web: httpJlwww.mass.gov/dep +� Printed on Recycled Paper Bio-Microbics Modified Provisional Use Approval Page 2 of 10 I. Purpose 1. The purpose of this Modified Approval is to allow installation and operation of all approvable Systems submitted to the local approving authorities as of the date of this Modified Approval on a Provisional Use basis, in order to further evaluate the capabilities and performance of the System. The specific goals of the further evaluation are to determine: i. if the System is capable of consistently reducing the total nitrogen (TN= TKN+NO2+NO3)concentration in the effluent discharged to the soil absorption system(SAS) so that the Department may allow an increase in the loading rate per acre on a General Use basis in areas subject to nitrogen loading limitations, ii. if the System is capable of meeting or exceeding effluent limitations for a Recirculating Sand Filter(RSF) set forth at 310 CMR 15.202(4),and iii. if at least 90 percent of the installed Systems perform at a level at least equivalent to that of an RSF as set forth in 310 CMR 15.202(4). 2. With the necessary local permits and local approvals required by 310 CMR 15.000,this Modified Provisional Use Approval authorizes the use and installation of the System in Massachusetts,and requires testing so that the Department can determine whether the System consistently can or cannot function to effectively reduce total nitrogen in the effluent. 3. The System may only be installed on facilities that meet the criteria of 310 CMR 15.286(4)and are approved by the local approving authority. II. Design Standards 1. The System is a Fixed Activated Sludge Treatment(FAST) system with Models MicroFAST 0.5,0.75,0.9 and 1.5, HighStrengthFAST 1.0 and 1.5 and NitriFAST 0.5,0.75, 0.9 and 1.5 consisting of a single tank having a primary settling zone and an aerobic biological zone. Solids are trapped in the primary settling zone where they settle. In the aerobic zone,the bacteria colony attaches itself to the surface of a submerged media bed and feeds on the sewage as it circulates. Models MicroFAST,HighStrengthFAST and NitriFAST 3.0,4.5,and 9.0 consist of a standard Title 5 septic tank for settling solids and a second tank with the submerged media for aerobic treatment. 2. Models MicroFAST 0.5,0.75 and 0.9,HighStrengthFAST 1.0 and NitriFAST 0.5, 0.75 and 0.9 shall be installed in the second compartment of a two-compartment septic tank with a total liquid capacity of at least 1,500 gallons. Models MicroFAST, HighStrengthFAST and NitriFAST 1.5 shall be installed in the second compartment of a 3000 gallon tank. The two-compartment septic tank shall be installed between the building sewer and a standard Title 5 Soil Absorption System(SAS)constructed in accordance with 310 CMR 15.100- 15.279, subject to the provisions of this Approval. Models MicroFAST, Blo-Microbics Modified Provisional Use Approval Page 3 of 10 HighStrengthFAST and NitriFAST 3.0,4.5 and 9.0 shall be installed between a septic tank designed in accordance with 310 CMR 15.223 and the SAS. 3. The System shall be installed in series between the building sewer and the soil absorption system of a standard Title 5 system constructed in accordance with 310 CMR 15.100— 15.279, subject to the provisions of this Approval. 4. New Construction less than 2,000 Rnd: When the System is used in areas subject to the nitrogen loading limitations of 310-CMR 15.214, an increase in calculated allowable nitrogen loading per acre is allowed for facilities with a design flow of less than 2,000 gallons per day (gpd) as provided in 310 CMR 15.217(2). When used in such areas: i. for residential facilities,the design flow shall not exceed 660 gallons per day per acre(gpda),and the System shall not exceed 19 milligrams per liter(mg/L)total nitrogen(TN)concentration in the effluent measured as the total TKN(total Kjeldhal,Nitrogen),NO3-N(Nitrate nitrogen)and NO2-N(Nitrite nitrogen). ii. for non-residential facilities,the.design flow shall not exceed 550 gpda, and the System shall not exceed 25 mg/L TN concentration in the effluent. 5. New Construction 2,000 gpd to less than 10,000 gpd: For all facilities with design flows of 2,000 gpd to less than 10,000 gpd,the design flow shall not exceed 440 gpda and the System shall not exceed 25 mg/L TN concentration in the effluent. III. General Conditions 1. All provisions of 310 CMR 15.-000 are applicable to the use and operation of this System,the System Owner and the Company,except those that specifically have been varied by the terms of this Modified Approval. 2. This Modified Approval shall be binding on the System Owner and on its agents, contractors, successors,and assigns,and the Company and its officers, employees,agents,contractors,successors,and assigns. Violation of the terms and conditions of this Modified Approval by any of the foregoing persons or entities,respectively, shall constitute violation of this Modified Approval by the System owner or the Company unless the Department determines otherwise. 3. Any required operation and maintenance,monitoring and testing shall be performed by the Company or its approved operators in accordance with a Department approved plan. Any required sample analysis shall be conducted by an independent U.S. EPA or Department approved testing laboratory,or a Department approved independent university laboratory,unless otherwise approved by the Department in writing. It shall be a violation of this Modified Approval to falsify any data collected pursuant to an approved testing plan,to omit any required data or to fail to submit any report required by such plan. Bio-Microbics Modified Provisional Use Approval Page 4 of 10 4. The facility served by the System and the System itself shall be open to inspection and sampling by the Department and the local approving authority at all reasonable times. 5. In accordance with applicable law,the Department and the local approving authority may require the System owner(s) to cease operation of the system and/or to take any other action deemed necessary to protect public health, safety,welfare and the environment. 6. The Department has not determined that the performance of the System will provide a level of protection to public health,safety,welfare and the environment that is at least equivalent to that of a sanitary sewer system. Accordingly,no System shall be upgraded or expanded, if it is feasible to connect the facility to a sanitary sewer,unless as allowed by 310 CMR 15.004. 7. Design, installation and operation shall be in strict conformance with the Company's approved plans and specifications,310 CMR 15.000 and this Modified Approval. 8. The System is approved in connection only with the discharge of sanitary wastewater.Any non-sanitary wastewater generated or used at the facility served by the System shall not be introduced into the System and shall be lawfully disposed of. 9. All effluent samples shall be taken at a flowing discharge point,i.e.-distribu tion box,pipe entering a pump chamber or other location from the treatment unit approved by the Department in writing. Any required influent sample shall be taken at a location that will provide a representative sample of the influent. Influent sample locations shall be determined by the System designer and the Company and shall be selected so that the influent characteristics are not changed by the System recycle. 10. Effluent discharge concentrations shall meet or exceed secondary treatment standards of 30 mg/L carbonaceous biochemical oxygen demand(CBOD5)and 30 mg/L total suspended solids(TSS). 11. For Systems installed at residential facilities with design flows less than 2,000 gpd,TN concentration in the System effluent shall not exceed 19 mg/L. For Systems installed at all non-residential facilities and residential facilities with design flows 2,000 gpd or greater,TN concentration in the System effluent shall not exceed 25 mg/L. N. Conditions Applicable to the System Owner 1. Prior to installation of the System,the proposed owner shall obtain a Disposal System Construction Permit in accordance with 310 CMR 15.020 from the local approving authority. The application to the local approving authority shall include a certification signed by the Company or its designee that the System has been designed in accordance with the Company's requirements, 310 CMR 15.000 (Title 5)and this Modified Approval. The Certification shall be consistent with the model attached hereto as Exhibit A. This Company certification in no way Blo-Microbics Modified Provisional Use Approval Page S of 10 changes the requirements of 310 CMR 15.220(1)and(2). Department approval of the System design is not required unless the Department determines on a case- by-case basis pursuant to its authority at 310 CMR 15.003(2)(e)that the proposed System requires its review. 2. The System owner shall at all times have the System properly operated and maintained in accordance with this Modified Approval,the designer's operation and maintenance requirements and the Company's Department approved procedures and sampling protocols. 3. Operation and Maintenance agreement: i. Throughout its life,the System shall be under an operation and maintenance(O&M)agreement. The System owner shall be responsible for maintaining a contract with the Company or the Company's approved operation and maintenance contractor throughout the Provisional Use Approval period unless and until the System is Certified for General Use by the Department. Subsequent to General Use Certification of the system,O&M agreements shall be for at least one year and may be with any Massachusetts certified operator of the appropriate grade that has received training by the Company on the operation of the System. ii. No System shall be used until an O&M agreement is submitted to the local approving authority which: a. provides for the contracting with the Company or a Company approved operation and maintenance contractor that has been trained by the Company to operate the System consistent with the System's specifications and any additional operation and maintenance requirements specified by the designer,the local approving authority,or the Department; b. contains procedures for notification to the Department and the local approving authority within five days of knowledge of a System failure and for corrective measures to be taken immediately; r C. contains a plan to determine the cause of effluent total nitrogen limit violations that occur anytime after the first three months of operation,if such violations occur on two consecutive sampling events; d. provides the name of an operator,which must be a Massachusetts certified operator if one is required by 257 CMR 2.00,that will operate and monitor the System(hereinafter the "System operator"). The System operator must inspect and operate and maintain the System at least every three months and anytime there is an alarm event for residential facilities with a design flow less than 2,000 gpd and,unless otherwise approved in writing by the t Blo-Microbics Modified Provisional Use Approval Page 6 of 10 Department,at least monthly for facilities with a design flow 2,000 gpd or greater and all non-residential facilities. 4. Anytime the System operator is changed,within seven days of such change,the System owner shall notify the local approving authority and Company in writing and submit a copy of the new agreement to operate and monitor the System to the local approving authority and the Company. The new operator must have received Company approved training on the System. 5. The System owner shall furnish the Department or the local approving authority any information,which either entity may request regarding the System,within 21 days of the date of receipt of that request. 6. Prior to transferring any or all interest in the facility served by the System,or any portion of the facility,including any possessory interest,the System owner shall provide written notice of all conditions contained in this Approval to the transferee(s). Any and all instruments of transfer and any leases or rental agreements shall include as an exhibit attached thereto and made a part thereof a copy of this Modified Approval for the System. 7. For year round residential facilities with design flows less than 2,000 gpd,effluent from the System shall be monitored at least once per calendar quarter. Any sample collected within 60 days or more than 90 days of a previous sample shall not be considered a required quarterly sample. For all non-residential facilities and residential facilities with design flows of 2,000 gpd or greater,both influent and effluent shall be monitored monthly. The following parameters shall be monitored:pH,influent BOD5,effluent CBODS,TSS,alkalinity and TN. Each time the System is monitored,d,the water meter,if a water meter is install shall installed, be read and the water use recorded. 8. For seasonal residential facilities where the residence is occupied fewer than six months per year,effluent from the System shall be monitored twice per season; initially 45 days after occupancy,and if the residence is occupied during an additional calendar quarter,once during that following quarter prior to System shut down. The following parameters shall be monitored: pH, CBOD5,TSS,TN and alkalinity. Each time the System is monitored,the water meter, if a water meter is installed, shall be read and the water use recorded. 9. Prior to the issuance of a Certificate of Compliance for the System,the System owner shall record and/or register in the appropriate Registry of Deeds and/or Land Registration Office,a Notice disclosing the existence of the alternative septic system subject to this Approval on the property. If the property subject to the Notice is unregistered land,the Notice shall be marginally referenced on the owner's deed to the property. Within 30 days of recording and/or registering the Notice,the System owner shall submit the following to the local approving authority: (i)a certified Registry copy of the Notice bearing the book and page/instrument number and/or document number, and(ii)if the property is unregistered land,a Registry copy of the owner's deed to the property,bearing the marginal reference. i Bio-Microbics Modified Provisional Use Approval Page 8 of 10 name and address of the proposed new owner and a written agreement between the existing and proposed new owner containing a specific date for transfer of ownership,responsibility,coverage and liability between them. All provisions of this Modified Approval applicable to the Company shall be applicable to successors and assigns of the Company,unless the Department determines otherwise. 3. The Company shall make available to owners,operators,designers and installers of the System,in printed and electronic format: minimum installation requirements; an operating manual,including information on substances that should not be discharged to the System;a protocol for collecting samples;a maintenance checklist;and a recommended schedule for maintenance of the System. 4. The Company shall institute and maintain a program of operator training and continuing education. The Company shall maintain and annually update,and make the list of qualified operators available by March 1"of each year. The Company shall also make the fist known to the local approving authorities,the Department and users of the technology. 05) The Company or its designee shall conduct a review of the System prior to the sale of any unit to ensure that the proposed use of the System is consistent with the unit's capabilities and shall certify in writing,as described in paragraph N.1. above,that the intended use conforms to this Modified Approval and any requirements of the Company and submit a copy of that certification to the local approving authority and the System owner. 6� Prior to the issuance of a Certificate of Compliance for the System,the Company or its designee shall conduct an inspection of the facility prior to system startup and certify in writing to the local approving authority and the System owner that the unit has been installed in accordance with the Company's requirements and this Modified Approval.The Certification shall be consistent with the model attached hereto as Exhibit B. This certification in no way changes the requirements of 310 CMR 15.021(3). 7. The Company or the Company's approved operation and maintenance contractor shall maintain a contract with the System owner throughout the Provisional Use Modified Approval period until the System is Certified for General Use by the Department that: a. provides for operating and maintaining the System with an operator that has been trained by the Company to operate the System consistent with the System's specifications and any additional operation and maintenance requirements specified by the designer or by the Department; b. contains procedures for notification to the System owner,the Department and the local approving authority within five days of knowledge of a System failure and for corrective measures to be taken immediately; Bio-Microbics Modified Provisional Use Approval Page 7 of 10 10. Prior to the issuance of a Certificate of Compliance for the System,the Company shall submit to the local approving authority and the System owner a signed certification that the System has been installed in accordance with the Company's requirements and this Modified Approval. This certification in no way changes the requirements of 310 15.021(3). The System owner shall not make any changes to the System including landscaping that changes access to the System without the approval of the Company and the local approving authority. V. Conditions Applicable to the Company 1. By March 0 of each year,the Company shall submit an annual report to the Department signed by a corporate officer, general partner or Company owner that contains all sampling and inspection information collected on the System for the previous calendar year and presents a report on the System's capability to meet the Modified Approval's effluent requirements. The report shall include the following information: i. Details on total number of units of the System sold for use in Massachusetts during the previous year;the address of each installed System,the owners name and address,the type of use(e.g.residential, commercial, school,institutional)and the design flow and model; ii. Date when system was installed and started up; iii. Tabulation of the sampling parameters and results with backup inspection and laboratory sheets available upon request; iv. Statistical analysis of the sampling results including but not limited to average and mean values with the percentage of systems that are meeting the effluent limits compared to the systems that are out of compliance; V. Tabulation of systems that are out of compliance,reasons for non- compliance and any corrective action taken including but not limited to design, installation and/or operation or maintenance changes required to reach compliance; vi. The inspection results recorded on a Department approved inspection form and a technology checklist,copies of which are attached to this Modified Approval. The forms must be completed by the System operator and submitted to the Department with the annual report. vii. A general summary of the results for the year,any recommended changes to the design, installation and/or operation and maintenance procedures and a schedule for implementing those changes; and viii. The three year report on the operation of the System shall be prepared as required by item 8 below. 2. The Company shall notify the Director of the Watershed Permitting Program at least 30 days in advance of the proposed transfer of ownership of the technology for which this Modified Approval is issued. Said notification shall include the Blo-Microbics Modified Provisional Use Approval Page 9 of 10 C. contains a plan to determine the cause of effluent limit violations for total nitrogen excluding the first three months of operation, if such violations occur on two consecutive sampling events;and d. provides the name of an operator, which must be a Massachusetts certified operator if one is required by 257 CMR 2.00,that will operate and monitor the System(hereinafter the "System operator"). The System operator must inspect and operate and maintain the System at least every three months and anytime there is an alarm event for residential facilities with a design flow less than 2,000 gpd and,unless otherwise approved in writing by the Department at least monthly for facilities with a design flow 2,000 gpd or greater and for all non-residential facilities 8. The Company shall conduct a performance evaluation in accordance with 310 CMR 15.286(6) starting after at least 50 systems have been installed under this approval issued to the Company or to Smith&Loveless,Inc. or for prior versions of these approvals and operating for at least three years.In those cases where the Company also installed and collected operating results from Pilot Use Systems or other Systems located in areas not defined as DEP nitrogen sensitive areas,the results from those Systems can be used in the 50 System total,provided that the Company can document that the models installed are the same models this Approval applies to,and that inspection and sampling was conducted in accordance with this Approval,and that the results were collected over a three year period.A report shall be submitted to the Department no more than 180 days beyond the three year period evaluating whether at least 90 percent of the units installed for at least three years are meeting the effluent limits as presented in Section III items 10 and 11 and describing any changes in the design,installation and/or operation or maintenance that have been or will be taken to meet the 90 percent target.If the System does not meet the 90 percent requirement,the report shall detail the changes that must be made in design,installation and/or operation or maintenance to meet the goal and include a schedule containing a deadline for implementing those changes. 9. The Company shall furnish the Department any information that the Department requests regarding the System within 21 days of the date of receipt of that request. 10. The Company shall include copies of this Modified Approval with each System that is sold. In any contract executed by the Company for distribution or re-sale of the System,the Company shall require the distributor or re-seller to provide each purchaser of the System with copies of this Modified Approval 11. If the Company wishes to continue this Modified Approval beyond its expiration date,the Company shall apply for and obtain a renewal of this Modified Approval. The Company shall submit a renewal application at least 180 days before the expiration date of this Modified Approval,unless written permission for a later date has been granted in writing by the Department. This Modified Blo-Microbics Modified Provisional Use Approval Page 10 of 10 Approval shall continue in force until the Department has acted on the renewal application. 12. The Department may require the Company to perform evaluations of system performance,conduct tests,and take corrective action when,based upon a preponderance of the available data and information,it is necessary to take such actions to ensure technology performance complies with this Modified Approval. VI. Reporting 1. All notices and documents required to be submitted to the Department by this Modified Approval shall be submitted to: Director Watershed Permitting Program Department of Environmental Protection One Winter Street-6th floor Boston,Massachusetts 02108 2. All inspection forms and sampling results collected by Operation and Maintenance contractors shall be submitted to both the Department and the Company. VIL Rights of the Department 1. The Department may suspend,modify or revoke this Modified Provisional Use Approval for cause,including,but not limited to,non-compliance with the terms of this Modified Approval,non-payment of the annual compliance assurance fee, for obtaining the Modified Approval by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for discontinuance of the Modified Approval,or as necessary for the protection of public health,safety,welfare or the environment,and as authorized by applicable law. The Department reserves its rights to take any enforcement action authorized by law with respect to this Modified Approval and/or the System against the System owner, System operator,and/or the Company. VIII. Expiration date 1. Notwithstanding the expiration date of this Modified Approval,an pp y System sold and installed prior to the expiration date of this Modified Approval or any continuation of this Modified Approval,that is approved, installed and maintained in compliance with this Modified Approval(as it may be modified)and 310 CMR 15.000,may remain in use unless the Department,the local approving authority, or a court requires the System to be modified or removed,or requires discharges to the System to cease. Final MPUA Bio-Micro J&R SALES & SERVICE, INC. March 25, 2004 Town of Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Attention: Dr. Wayne Miller Dear Dr. Miller: I am in receipt of the testing requirements for 20 Gristmill Path, Marston Mills. I wanted to let you know of recent changes to the State's Provisional Permit requirements. If you would like to incorporate these new guidelines into your Town's requirement, I have enclosed a copy for your review. As you will see, the biggest changes for residential units is to test and service quarterly and only test the effluent from the FAST unit. If you should choose to adapt the new guidelines, we would appreciate a revised requirement for this homeowner. Thank you for your time. Very truly yours, G 'h 'e-Sc� James R. Dunlap Cc: Thomas McKean as cammer6al sL Flaynham.MA 02767 Tole.508 823.9566 Fax 508.880.7232 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617.292.6600 MITT ROMNEY Governor ELLEN ROY HERZFELDER Secretary I�RRY HEALEY Lieutenant Governor ROBERT W.GOLLEDGE,Jr. Commissioner MODIFIED PROVISIONAL USE APPROVAL Pursuant to Title 5, 310 CMR 15.000 Name and Address of Applicant: Bio-Microbics,Inc. 8450 Cole Parkway Shawnee,KS 66227 Trade name of technology: MicroFAST Treatment System Models MicroFAST 0.5,0.75,0.9, 1.5, 3.0,4.5 and 9.0; HighStrengthFAST Treatment System Models HighStrengthFAST 1.0; 1.5, 3.0,4.5 and 9.0 and NitriFAST Treatment System Models NitriFAST 0.5,0.75, 1.0, 1.5,3.0,4.5 and 9.0 (hereinafter the "System"). Schematic drawings illustrating the System and a technology checklist are attached and is part of this Approval. Transmittal Number: W019014 Date of Issuance: January 27,2004 Expiration date: January 27,2009 Authority for Issuance Pursuant to Title 5 of the State Environmental Code,310 CMR 15.000,the Department of Environmental Protection hereby issues this Modified Approval to: Bio-Microbics,Inc., 8450 Cole Parkway,Shawnee,KS 66227(hereinafter"the Company"), for Provisional Use in the Commonwealth of Massachusetts for the System described herein. Sale and use of the System are conditioned on and subject to compliance by the Company and the owner(s)of each installed system(hereinafter, the"owner(s)"or the"System owner(s)")with the terms and conditions set forth below.Any noncompliance with the terms or conditions of this Approval constitutes a violation of 310 CMR 15.000. Glenn Haas, Director Date Division of Watershed Management Department of Environmental Protection Tb s informadon Is avaftbie he akernate format Ca0 Debra Doherty,ADA Coordlaator at 617-292-SM&TDD Service-1-800-298.2207. DEP on the World W49 Web: httpJAvww.mass.gov/dep Printed on Recycled Paper Bio-Microbics Modified Provisional Use Approval Page 2 of 10 I. Purpose 1. The purpose of this Modified Approval is to allow installation and operation of all approvable Systems submitted to the local approving authorities as of the date of this Modified Approval on a Provisional Use basis, in order to further evaluate the capabilities and performance of the System. The specific goals of the further evaluation are to determine: i. if the System is capable of consistently reducing the total nitrogen (TN= TKN+NO2+NO3)concentration in the effluent discharged to the soil absorption system(SAS) so that the Department may allow an increase in the loading rate per acre on a General Use basis in areas subject to nitrogen loading limitations, I if the System is capable of meeting or exceeding effluent limitations for a Recirculating Sand Filter(RSF)set forth at 310 CMR 15.202(4),and iii. if at least 90 percent of the installed Systems perform at a level at least equivalent to that of an RSF as set forth in 310 CMR 15.202(4). 2. With the necessary local permits and local approvals required by 310 CMR 15.000,this Modified Provisional Use Approval authorizes the use and installation of the System in Massachusetts,and requires testing so that the Department can determine whether the System consistently can or cannot function to effectively reduce total nitrogen in the effluent. 3. The System may only be installed on facilities that meet the criteria of 310 CMR 15.286(4)and are approved by the local approving authority. II. Design Standards 1. The System is a Fixed Activated Sludge Treatment(FAST)system with Models MicroFAST 0.5, 0.75,0.9 and 1.5,HighStrengthFAST 1.0 and 1.5 and NitriFAST 0.5,0.75, 0.9 and 1.5 consisting of a single tank having a primary settling zone and an aerobic biological zone. Solids are trapped in the primary settling zone where they settle. In the aerobic zone,the bacteria colony attaches itself to the surface of a submerged media bed and feeds on the sewage as it circulates. Models MicroFAST,HighStrengthFAST and NitriFAST 3.0,4.5,and 9.0 consist of a standard Title 5 septic tank for settling solids and a second tank with the submerged media for aerobic treatment. 2. Models MicroFAST 0.5,0.75 and 0.9, Hi hStren g gthFAST 1.0 and NitriFAST 0.5, 0.75 and 0.9 shall be installed in the second compartment of a two-compartment septic tank with a total liquid capacity of at least 1,500 gallons. Models MicroFAST, HighStrengthFAST and NitriFAST 1.5 shall be installed in the second compartment of a 3000 gallon tank. The two-compartment septic tank shall be installed between the building sewer and a standard Title 5 Soil Absorption System(SAS)constructed in accordance with 310 CMR 15.100- 15.279, subject to the provisions of this Approval. Models MicroFAST, Blo-Microbics Modified Provisional Use Approval Page 3 of 10 HighStrengthFAST and NitriFAST 3.0,4.5 and 9.0 shall be installed between a septic tank designed in accordance with 3 10 CMR 15.223 and the SAS. 3. The System shall be installed in series between the building sewer and the soil absorption system of a standard Title 5 system constructed in accordance with 310 CMR 15.100— 15.279,subject to the provisions of this Approval. 4. New Construction less than 2.0 end: When the System is used in areas subject to the nitrogen loading limitations of 310 CMR 15.214, an increase in calculated allowable nitrogen loading per acre is allowed for facilities with a design flow of less than 2,000 gallons per day (gpd) as provided in 310 CMR 15.217(2). When used in such areas: i. for residential facilities, the design flow shall not exceed 660 gallons per day per acre(gpda),and the System shall not exceed 19 milligrams per liter(mg/L)total nitrogen(TN)concentration in the effluent measured as the total TKN(total Kjeldhal Nitrogen),NO3-N(Nitrate nitrogen)and NO2-N(Nitrite nitrogen). ii. for non-residential facilities,the design flow shall not exceed 550 gpda, and the System shall not exceed 25 mg/L TN concentration in the effluent. 5. New Construction 2.000 gpd to less than 10,000 gp : For all facilities with design flows of 2,000 gpd to less than 10,000 gpd,the design flow shall not exceed 440 gpda and the System shall not exceed 25 mg/L TN concentration in the effluent. III. General Conditions 1. All provisions of 310 CMR 15:000 are applicable to the use and operation of this System,the System Owner and the Company,except those that specifically have been varied by the terms of this Modified Approval. 2. This Modified Approval shall be binding on the System Owner and on its agents, contractors, successors,and assigns,and the Company and its officers, employees,agents,contractors,successors,and assigns. Violation of the terms and conditions of this Modified Approval by any of the foregoing persons or entities,respectively,shall constitute violation of this Modified Approval by the System owner or the Company unless the Department determines otherwise. 3. Any required operation and maintenance,monitoring and testing shall be performed by the Company or its approved operators in accordance with a Department approved plan. Any required sample analysis shall be conducted by an independent U.S. EPA or Department approved testing laboratory,or a Department approved independent university laboratory,unless otherwise approved by the Department in writing. It shall be a violation of this Modified r Approval to falsify any data collected pursuant to an approved testing plan,to omit any required data or to fail to submit any report required by such plan. Blo-Mlcrobics Modified Provisional Use Approval Page 4 of 10 4. The facility served by the System and the System itself shall be open to inspection and sampling by the Department and the local approving authority at all reasonable times. 5. In accordance with applicable law, the Department and the local approving authority may require the System owner(s) to cease operation of the system and/or to take any other action deemed necessary to protect public health, safety,welfare and the environment. 6• The Department has not determined that the performance of the System will provide a level of protection to public health,safety,welfare and the environment that is at least equivalent to that of a sanitary sewer system. Accordingly,no System shall be upgraded or expanded, if it is feasible to connect the facility to a sanitary sewer,unless as allowed by 310 CMR 15.004. 7. Design, installation and operation.shall be in strict conformance with the Company's approved plans and specifications, 310 CMR 15.000 and this Modified Approval. 8• The System is approved in connection only with the discharge of sanitary wastewater.Any non-sanitary wastewater generated or used at the facility served by the System shall not be introduced into the System and shall be lawfully disposed of. 9. All effluent samples shall be taken at a flowing discharge point,i.e:distribution box,pipe entering a pump chamber or other location from the treatment unit approved by the Department in writing. Any required influent sample shall be taken at a location that will provide a representative sample of the influent. Influent sample locations shall be determined by the System designer and the Company and shall be selected so that the influent characteristics are not changed by the System recycle. 10. Effluent discharge concentrations shall meet or exceed secondary treatment standards of 30 mg/L carbonaceous biochemical oxygen demand(CBODS)and 30 mg/L total suspended solids(TSS). 11. For Systems installed at residential facilities with design flows less than 2,000 gpd, TN concentration in the System effluent shall not exceed 19 mg/L. For Systems installed at all non-residential facilities and residential facilities with design flows 2,000 gpd or greater,TN concentration in the System effluent shall not exceed 25 mg/L. IV. Conditions Applicable to the System Owner 1. Prior to installation of the System,the proposed owner shall obtain a Disposal System Construction Permit in accordance with 310 CMR 15.020 from the local approving authority. The application to the local approving authority shall include a certification signed by the Company or its designee that the System has been designed in accordance with the Company's requirements, 310 CMR 15.000 (Title 5)and this Modified Approval. The Certification shall be consistent with the model attached hereto as Exhibit A. This Company certification in no way w 1310-Microbics Modifled Provisional Use Approval , Page S of 10 changes the requirements of 3 10 C MR 15.220(1)and(2). Department approval of the System design is not required unless the Department determines on a case- by-case basis pursuant to its authority at 310 CMR 15.003(2)(e)that the proposed System requires its review. 2. The System owner shall at all times have the System properly operated and maintained in accordance with this Modified Approval, the designer's operation and maintenance requirements and the Company's Department approved procedures and sampling protocols. 3. Operation and Maintenance agreement: i. Throughout its life,the System shall be under an operation and maintenance(O&M)agreement. The System owner shall be responsible for maintaining a contract with the Company or the Company's approved operation and maintenance contractor throughout the Provisional Use Approval period unless and until the System is Certified for General Use by the Department. Subsequent to General Use Certification of the system,O&M agreements shall be for at least one year and may be with any Massachusetts certified operator of the appropriate grade that has received training by the Company on the operation of the System. ii. No System shall be used until an O&M agreement is submitted to the local approving authority which: a. provides for the contracting with the Company or a Company approved operation and maintenance contractor that has been trained by the Company to operate the System consistent with the System's specifications and any additional operation and maintenance requirements specified by the designer,the local approving authority,or the Department; b. contains procedures for notification to the Department and the local approving authority within five days of knowledge of a System failure and for corrective measures to be taken immediately; C. contains a plan to determine the cause of effluent total nitrogen limit violations that occur any time after the first three months of operation,if such violations occur on two consecutive sampling events; d. provides the name of an operator,which must be a Massachusetts certified operator if one is required by 257 CMR 2.00,that will operate and monitor the System(hereinafter the "System operator"). The System operator must inspect and operate and maintain the System at least every three months and anytime there is an alarm event for residential facilities with a design flow less than 2,000 gpd and, unless otherwise approved in writing by the I _ Blo-Microbics Modified Provisional Use Approval Page 6 of 10 Department, at least monthly for facilities with a design flow 2,000 gpd or greater and all non-residential facilities. 4• Anytime the System operator is changed,within seven days of such change,the System owner shall notify the local approving authority and Company in writing and submit a copy of the new agreement to operate and monitor the System to the local approving authority and the Company. The new operator must have received Company approved training on the System. 5. The System owner shall famish the Department or the local approving authority any information, which either entity may request regarding the System,within 21 days of the date of receipt of that request. 6. Prior to transferring any or all interest in the facility served by the System,or any portion of the facility,including any possessory interest,the System owner shall provide written notice of all conditions contained in this Approval to the transferee(s). Any and all instruments of transfer and any leases or rental agreements shall include as an exhibit attached thereto and made a part thereof a copy of this Modified Approval for the System. 7. For year round residential facilities with design flows less than 2,000 gpd,effluent from the System shall be monitored at least once per calendar quarter. Any sample collected within 60 days or more than 90 days of a previous Y p sample shall not be con sidered a required erl � Y sample. For all non-residential facilities and residential facilities with design flows of 2,000 gpd or greater,both influent and effluent shall be monitored monthly. The following parameters shall be monitored:pH,influent BODs,effluent CBOD5,TSS,alkalinity and TN. Each time the System is monitored,the water meter,if a water meter is installed,shall be read and the water use recorded. 8. For seasonal residential facilities where the residence is occupied fewer than six months per year,effluent from the System shall be monitored twice per season; initially 45 days after occupancy,and if the residence is occupied during an additional calendar quarter,once during that following quarter prior to System shut down. The following parameters shall be monitored:pH,CBOD5i TSS,TN and alkalinity. Each time the System is monitored,the water meter, if a water meter is installed, shall be read and the water use recorded. 9. Prior to the issuance of a Certificate of Compliance for the System,the System owner shall record and/or register in the appropriate Registry of Deeds and/or Land Registration Office,a Notice disclosing the existence of the alternative septic system subject to this Approval on the property. If the property subject to the Notice is unregistered land, the Notice shall be marginally referenced on the owner's deed to the property. Within 30 days of recording and/or registering the Notice,the System owner shall submit the following to the local approving authority: (i)a certified Registry copy of the Notice bearing the book and page/instrument number and/or document number, and(ii) if the property is unregistered land, a Registry copy of the owner's deed to the property,bearing the marginal reference. Bio-Microbics Modifled Provisional Use Approval Page 8 of 10 name and address of the proposed new owner and a written agreement between the existing and proposed new owner containing a specific date for transfer of ownership, responsibility,coverage and liability between them.All provisions of this Modified Approval applicable to the Company shall be applicable to successors and assigns of the Co mpany,ompany,unless the Department determines otherwise. 3. The Company shall make available to owners,operators,designers and installers of the System, in printed and electronic format: minimum installation requirements; an operating manual, including information on substances that should not be discharged to the System;a protocol for collecting samples; a maintenance checklist;and a recommended schedule for maintenance of the System. 4. The Company shall institute and maintain a program of operator training and continuing education. The Company shall maintain and annually update,and make the list of qualified operators available by March 1 a of each year. The Company shall also make the list known to the local approving authorities,the Department and users of the technology. 5. The Company or its designee shall conduct a review of the System prior to the sale of any unit to ensure that the proposed use of the System is consistent with the unit's capabilities and shall certify in writing,as described in paragraph IV.1. above,that the intended use conforms to this Modified Approval and any requirements of the Company and submit a copy of that certification to the local approving authority and the System owner. Prior to the issuance of a Certificate of Compliance for the System,the Company or its designee shall conduct an inspection of the facility prior to system startup and certify in writing to the local approving authority and the System owner that the unit has been installed in accordance with the Company's requirements and this Modified Approval.The Certification shall be consistent with the model attached hereto as Exhibit B.This certification in no way changes the requirements of 310 CMR 15.021(3). 7. The Company or the Company's approved operation and maintenance contractor shall maintain a contract with the System owner throughout the Provisional Use Modified Approval period until the System is Certified for General Use by the Department that: a. provides for operating and maintaining the System with an operator that has been trained by the Company to operate the System consistent with the System's specifications and any additional operation and maintenance requirements specified by the designer or by the Department; b. contains procedures for notification to the System owner,the Department and the local approving authority within five days of knowledge of a System failure and for corrective measures to be taken immediately; Blo-Microbics Modifed Provisional Use Approval Page 7 of 10 10. Prior to the issuance of a Certificate of Compliance for the System,the Company shall submit to the local approving authority and the System owner a signed certification that the System has been installed in accordance with the Company's requirements and this Modified Approval. This certification in no way changes the requirements of 310 15.021(3). The System owner shall not make any changes to the System including landscaping that changes access to the System without the approval of the Company and the local approving authority. V. Conditlons Applicable to the Company 1• By March I'of each year,the Company shall submit an annual report to the Department signed by a corporate officer,general partner or Company owner that contains all sampling and inspection information collected on the System for the previous calendar year and presents a report on the System's capability to meet the Modified Approval's effluent requirements. The report shall include the following information: i. Details on total number of units of the System sold for use in Massachusetts during the previous year,the address of each installed System,the owner`s name and address,the type of use(e.g..residential, commercial, school,institutional)and the design flow and model; I Date when system was installed and started up; iii. Tabulation of the sampling parameters and results with backup inspection and laboratory sheets available upon request; iv. Statistical analysis of the sampling results including but not limited to average and mean values with the percentage of systems that are meeting the effluent limits compared to the systems that are out of compliance; V. Tabulation of systems that are out of compliance,reasons for non- compliance and any corrective action taken including but not limited to design,installation and/or operation or maintenance changes required to reach compliance; vi. The inspection results recorded on a Department approved inspection form and a technology checklist,copies of which are attached to this Modified Approval. The forms must be completed by the System operator and submitted to the Department with the annual report. vii. A general summary of the results for the year,any recommended changes to the design, installation and/or operation and maintenance procedures and a schedule for implementing those changes; and viii. The three year report on the operation of the System shall be prepared as required by item 8 below. 2. The Company shall notify the Director of the Watershed Permitting Program at least 30 days in advance of the proposed transfer of ownership of the technology for which this Modified Approval is issued. Said notification shall include the Blo-Microblcs Modifed Provisional Use Approval Page 9 of 10 C. contains a plan to determine the cause of effluent limit violations for total nitrogen excluding the first three months of operation,if such violations occur on two consecutive sampling events;and d. provides the name of an operator, which must be a Massachusetts certified operator if one is required by 257 CMR 2.00,that will operate and monitor the System(hereinafter the "System operator"). The System operator must inspect and operate and maintain the System at least every three months and anytime there is an alarm event for residential facilities with a design flow less than 2,000 gpd and,unless otherwise approved in writing by the Department at least monthly for facilities with a design flow 2,000 gpd or greater and for all non-residential facilities 8. The Company shall conduct a performance evaluation in accordance with 310 CMR 15.286(6) starting after at least 50 systems have been installed under this approval issued to the Company or to Smith&Loveless,Inc. or for prior versions of these approvals and operating for at least three years.In those cases where the Company also installed and collected operating results from Pilot Use Systems or other Systems located in areas not defined as DEP nitrogen sensitive areas,the results from those Systems can be used in the 50 System total,provided that the Company can document that the models installed are the same models this Approval applies to,and that inspection and sampling was conducted in accordance with this Approval,and that the results were collected over a three year period.A report shall be submitted to the Department no more than 180 days beyond the three year period evaluating whether at least 90 percent of the units installed for at least three years are meeting the effluent limits as presented in Section III items 10 and 11 and describing any changes in the design,installation and/or operation or maintenance that have been or will be taken to meet the 90 Percent target. If the System does not meet the 90 percent requirement,the report shall detail the changes that must be made in design,installation and/or operation or maintenance to meet the goal and include a schedule containing a deadline for implementing those changes. 9. The Company shall furnish the Department any information that the Department requests regarding the System within 21 days of the date of receipt of that request. 10. The Company shall include copies of this Modified Approval with each System that is sold. In any contract executed by the Company for distribution or re-sale of the System, the Company shall require the distributor or re-seller to provide each purchaser of the System with copies of this Modified Approval 11. If the Company wishes to continue this Modified Approval beyond its expiration date, the Company shall apply for and obtain a renewal of this Modified Approval. The Company shall submit a renewal application at least 180 days before the expiration date of this Modified Approval,unless written permission for a later date has been granted in writing by the Department. This Modified Bio-Microbics Modified Provisional Use Approval Page 10 of 10 Approval shall continue in force until the Department has acted on the renewal application. 12. The Department may require the Company to perform evaluations of system performance,conduct tests,and take corrective action when, based upon a preponderance of the available data and information,it is necessary to take such actions to ensure technology performance complies with this Modified Approval. VI. Reporting 1• All notices and documents required to be submitted to the Department by this Modified Approval shall be submitted to: Director Watershed Permitting Program Department of Environmental Protection One Winter Street-6th floor Boston,Massachusetts 02108 2. All inspection forms and sampling results collected by Operation and Maintenance contractors shall be submitted to both the Department and the Company. VII._ Rights of the Department 1• The Department may suspend,modify or revoke this Modified Provisional Use Approval for cause,including,but not limited to,non-compliance with the terms of this Modified Approval,non-payment of the annual compliance assurance fee, for obtaining the Modified Approval by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for discontinuance of the Modified Approval,or as necessary for the protection of public health,safety,welfare or the environment,and as authorized by applicable law. The Department reserves its rights to take any enforcement action authorized by law with respect to this Modified Approval and/or the System against the System owner,System operator,and/or the Company. VIII. Expiration date 1. Notwithstanding the expiration date of this Modified Approval,any System sold and installed prior to the expiration date of this Modified Approval or any continuation of this Modified Approval,that is approved,installed and maintained in compliance with this Modified Approval(as it may be modified)and 310 CMR 15.000,may,remain in use unless the Department, the local approving authority, or a court requires the System to be modified or removed,or requires discharges to the System to cease. Fora!AQUA Bio-Mim 04/05/04 MON 22:41 FAX Q 002 CERTIFICATION STATEMENT FOR: FAST® WASTEWATER TREATMENT SYSTEM DESIGN I, Allison Blodig attest under the pains and penalties of perjury: i that I am the agent for Bio-Microbics, Inc. in the Commonwealth of Massachusetts and am employed by Bio-Microbics, Inc.; ii that based on the information supplied to us by the designer of record of which we relied, the plans and specifications for the FAST® located at 20 Gristmill Path, Marston Mills have been prepared in accordance with the Bio-Microbics, Inc. — FAST® design specifications and technology approval dated January 27, 2004. iii That the technology, as designed, is capable of meeting the required effluent standards, provided the system is properly operated, described in the technology approval dated January 27, 2004. I am aware that there are significant penalties including, but not limited to possible fines and imprisonment for willfully submitting false, inaccurate, misleading or incomplete information. I am also aware that submitting false, inaccurate, misleading or incomplete information could lead to modification, suspension or revocation of any technology approval granted to Bio-Microbics, Inc. Signature Regulatory Affairs Coordinator Title April 6 2004 Date 04/05/04 MON 22:41 FAX 9 003 NOTIC E TO OCCUPANT The wastewater that is produced by your residence or business is treated by FAST®,an advanced wastewater treatment system.The FAST®treatment unit is located on your property Yand is an on-site treatments stem. Any,on-site treatment and disposal system will work properly provided the occupants of the premises do not place harmful substances in the system.Therefore,certain standards must be followed in order to receive optimal performance from your FAST®system. You may be interested to know that most of these same standards are also important to follow even for those who are connected to a municipal or city sewer treatment system or conventional f septic systems. Please refer to the list below for important information on how to help keep your treatment system performing as it should. In addition to these standards,all required maintenance must be completed in a timely j manner. DO NOT SHUT THE BLOWER OFF(Notify your maintenance provider if it appoars to be functioning improperly or if you will be leaving the property for an extended period of time.) DISINFECTANTS OR BLEACHES Use in accordance with manufacturers recommendations and sparingly. Quaternary ammonia sanitizers(found E primarily in commercial settings)or pine oil cleaners should not be used. i DETERGENTS Should be low-suds,biodegradable,and low phosphate. (Some examples are:Arm&Hammer,ALL,and Ecolab® Products(commercial use)) PAPER PRODUCTS Use white toilet paper products.Some natural bacteria do not eat color dyes in paper and therefore do not breakdown colored paper.Non-bleached paper(brown in color)takes a long time to breakdown due to the increased level of wood pulp. NO TOILET BOWL TABLETS SHOULD BE USED. i NO DISCHARGE FROM WATER SOFTENERS SHOULD GO INTO THE SYSTEM. r NO ANIMAL FATS,SUCH AS BACON GREASE,LARD,OR ANY OTHER OILS SHOULD GO INTO THE SYSTEM, (Normal cleaning of pots and pans is acceptable). NO DRAIN CLEANERS SHOULD BE USED.(Vinegar and balling soda is good substitute. As a last resort chemical drain cleaners can be used,but use sparingly because they are toxic to the bacteria in the I system.) NO LIQUID FABRIC SOFTENERS SHOULD BE USED. (These products typically contain quaternary ammonia which is toxic to the bacteria. Please use dryer sheets.) t' NO HARSH CHEMICALS OR TOXINS SHOULD BE PUT INTO THE SYSTEM (i.e.Floor stripping waste/household paints/solvents/thinners/caustic cleaners/pesticides/herbicides etc.) i OBJECTS NOT TO BE PUT INTO THE SYSTEM j DISPOSABLE DIAPERS CAT LITTER SANITARY NAPKINS E BANDAGES CIGARETTE BUTTS AUTOMOTIVE FLUIDS RAGS STRING STICKS j MUD CONDOMS PLASTICS METAL OBJECTS PAPER TOWELS CORN COBS ANIMAL BONES MELON RINDS COFFEE GROUNDS HOME BREWERY WASTE EGGSHELLS Laundry Wash Loading It is recommended that wash loads be spread throughout the week. 6 Septic Tank Additives.Enzymes,and Bacteria Under normal circumstances these would be unnecessary with advanced treatment systems and not recommended for traditional septic systems. f I 04/05/04 MON 22:40 FAX R001 _ ` I 1 � INCORPORATEO 8450 Cole Parkway Shawnee, KS 66227 • Phone: 913-422-0707 • Fax: 913-422-0808 e-mail; onsite@biomicrobics.com • www,biomicrobics.com • 800-753-FAST (3278) FACSIMILIE TRANSMITTAL To: Tom McKean Fax Number: (508) 790-6304 Company: BOH Official for Title 5 septics Date: April 6, 2004 From: Allison Blodig Number of Pages: 3 Subject: Design Certification for Notes: What follows if the signed design certification for a project in your jurisdiction of Massachusetts. I have also included our"Notice to Occupant" to give to the homeowners that will be occupying this location. The operators will also be reminding the homeowners of this information frequently. This information is very important to the operation of the system, which in turn can help your constiuents be relieved of some of the testing burdens in a timely manner. The installation itself will need to be certified by our distributor in the area BEFORE the installation is covered up. This is another area of great importance as improper installation can cause performance issues. Thank you, Allison Blodi g Town of Barnstable na�rs'rn�a , • , " . ,0 Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,MS Wayne Miller,M.D. REVISED:April 29, 2004 ` Testing Requirements Mr. John Doyle, P.E. P.O. Box 595 W. Falmouth, MA 02574 RE: . 20 Grlstm.(II Pafh, Marstons Mills; MA A 47 092. Dear Mr. Doyle, You are granted a conditional variance on behalf of your clients, Richard Cox, Uy Phu, and Kimberly Valdes, to construct an onsite sewage disposal system at 20 Gristmill Path, Marstons Mills. The variance granted is as follows: 310 CMR 15.217: To increase the calculated allowable nutrient loading per acre by using technology certified by DEP for enhanced nutrient removal. This variance is granted with the following conditions: (1) No more than three (3) bedrooms are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) 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 the maximum number of bedrooms allowed. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) The applicant shall obtain the approval of MA DEP prior to obtaining a disposal works construction permit. Q:HEALTH/WP/DoylePhu y w� (4) The septic system with innovative technology components shall be installed in strict accordance with the engineered plans dated January 30, 2004. 1 (5) The designing engineer shall supervise the construction of the onsite sewage disposal system with innovative technology components and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the plans dated January 30, 2004. (6) The wastewater effluent shall be monitored monthly during the first six months of operation, then quarterly thereafter for pH, BOD, TSS, TKN, NO3-N, and ammonia. This variance is granted because the proposed plan appears to meet the design standards contained within the State Environmental Code, Title 5 and local Health Regulations. Si erely yo s, ayn Miller, M.D. Chair an Cc: James Dunlap Q:HEALTH/WP/DoylePhu Town of Barnstable NAM 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. February 25, 2004 Mr. John Doyle, P.E. P.O. Box 595 W. Falmouth, MA 02574 stm�l)REOG �'at MarstonsMlll dIUTA �";A �4Q � ` ���� Dear Mr. Doyle, You are granted a conditional variance on behalf of your clients, Richard Cox, Uy Phu, and Kimberly Valdes, to construct an onsite sewage disposal system at 20 Gristmill Path, Marstons Mills. The variance granted is as follows: 310 CMR 15.217: To increase the calculated allowable nutrient loading per acre by using technology certified by DEP for enhanced nutrient removal. This variance is granted with the following conditions: (1) No more than three (3) bedrooms are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) 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 the maximum number of bedrooms allowed. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. 3 The applicant shall obtain the approval of MA DEP prior to obtaining a ( ) pp pp p 9 disposal works construction permit. . (4) The septic system with innovative technology components shall be / installed in strict accordance with the engineered plans dated January 30, V 2004. Q:HEALTH/WP/DoylePhu I � (5) The designing engineer shall supervise the construction of the onsite sewage disposal system with innovative technology components and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the plans dated January 30, 2004. (6) The influent and wastewater effluent shall be monitored monthly during °y the first six months of operation, then quarterly thereafter for pH, BOD, 3� TSS, TKN, NO3-N, and ammonia. This variance is granted because the proposed plan appears to meet the design standards contained within the State Environmental Code, Title 5 and local Health Regulations. Since ly your , Wa ne iller, M.D. Ch irm n i Q:HEALTH/WP/Doyle?hu Town of Barnstable MAM 9111 . 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. February 25, 2004 Mr. John Doyle, P.E. P.O. Box 595 W. Falmouth, MA 02574 Dear Mr. Doyle, You are granted a conditional variance on behalf of your clients, Richard Cox, Uy Phu, and Kimberly Valdes, to construct an onsite sewage disposal system at 20 Gristmill Path, Marstons Mills. The variance granted is as follows: 310 CMR 15.217: To increase the calculated allowable nutrient loading per acre by using technology certified by DEP for enhanced nutrient removal. This variance is granted with the following conditions: (1) No more than three (3) bedrooms are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) 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 the maximum number of bedrooms allowed. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) The applicant shall obtain the approval of MA DEP prior to obtaining a disposal works construction permit. (4) The septic system with innovative technology components shall be installed in strict accordance with the engineered plans dated January 30, 2004. Q:HEALTH/WP/DoylePhu 4 (5) The designing engineer shall supervise the construction of the onsite sewage disposal system with innovative technology components and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the plans dated January 30, 2004. (6) The influent and wastewater effluent shall be monitored monthly during the first six months of operation, then quarterly thereafter for pH, BOD, TSS, TKN, NO3-N, and ammonia. This variance is granted because the proposed plan appears to meet the design standards contained within the State Environmental Code, Title 5 and local Health Regulations. Sinc ly your , Wa ne iller, M.D. Ch irm n Q:HEALTH/WP/DoylePhu No. r J2s1v�1 Fee THE COMMONWEALTH OF MASSACHUSETTS 0T Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2pplication for Migozaf *pztem Con!6truction Permit Application for a Permit to Construct(X)Repair( )Upgrade( )Abandon( ) Complete System O Individual Components Location Address or Lot No. 2 o 61ZI S J'14` L 194 TH . Owner's Name,Address and Tel.No. V Assessor's Map/Parcel lqht0 *7 � /In ,D�0C�1O4 SO P-6 L/I Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. !i/Gt� i70 CZ1/�/�/—/ ,d N.42s� /uS ®8- 4Zb - ®2S© Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow -3 3O gallons per day. Calculated daily flow f�IZOi/isl� �4- gallons. Plan Date - 3n ' Number of sheets Z Revision Date Title '/T� Size of Septic Tank ISe)O (� p�.S Type of S.A.S. 1 2'!f)it X 2 Descri tion of Soil� 6 -7 dt Y f" L-041 7 L 6i1-M y 51fA1,J 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 u til a Certifi- cate of Compliance has been iss this Board of Health. - - Signed -- Date Application Approved by Date Application Disapproved f e following reasons Permit No. ,—123 Date Issued 312- 0 �. �„ _ _ '-'-. --••�. .......�.._.r..,�...�v._..�,- ,.r .--. .,. _ __-- �e .,.,,,� .,q,.._,„" .... .+_:- «:.tee,.?: No., 1 / E 2 2 S U r� Fee / l THE COMMONWEALTH OF MASSACHUSETTS d_'r.. Entered in computer: / (Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Y ZfppYication-for Migogar *p!6tem Cougtruction Permit Application for a Permit to Construct X)Repair( )Upgrade( )Abandon( ) Complete System ❑Individual Components Location Address or Lot No. 20 G/Z/5�"!yf/ L /�fJ 7H Owner's Name,Address and Tel.No. Assessor's Map/Parcel W *7 pA C, 9 Z 39 C O/G G.Q In W 2 0 Oh SO p-*54 4,,x 516 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. ✓im 110LL'6�4 ✓, .oayZ-E /4ss0C1-47'E s 9 1-116!1 2 i i/L��- /Z D /70 cGO V6 2F/ Alif y - iyp2s, �i«s ..5•48- 420 - OZ96 �, ,ff� Dv l _5'o8-,S63-/99 Type of Building: Dwelling No.of Bedrooms Lot Size 7-6� ,5 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons. ' '! Showers( ) Cafeteria( ) Other Fixtures ttA VISIOAI 3¢8 Design Flow -�3 �" '� gal ns per day Calculated daily flow gallons. Plan Date /- 30 -0¢ Number of sheets ' -2' ws -K Revision Date Title 51 TE/Se u1466 /474 L y, PWy 4- '014 T5 Size of Septic Tank ISO-0 6&10A Type of S.A.S. 2 l0`r X 2 S' C',�•4�Il crl� Descr3iption of Soil, G 7 5744M L/ L0— 7 " ,4 3'V L.O lf-M y 5,f-�t/,Q l32`' LODS� 7"D �i kJ4 _S'4Q R ~ 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- cateof Compliance has been issued by this Board of Health. 'Signedµ e - - Dat l( Application^Approved by r f4v Date /8l la f Application Disapproved ory a following reasons v r / r Permit No. (W y Date Issued 3 2 7lo y ------ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed(k )Repaired( )Upgraded( ) Abandoned( )by ^" 4)h( f S has been constructed 'n accordance with the provisions of Title 5 and the for Disposal System Construction Permit o.2r),at/-r a z � /!,p p y N dated Installer Designer _ r The issuance of this permit shall not be construed as a guarantee that the system will fu ction as designed. I Date �l�l�..tl Inspector� �� w /1 C� 9 (' T No. 9—no Ai_. i 2a Fee / )l�01 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLEIfNMASSACHUSETTS ' ° $ :ogar_ ipgtern Couf trurtton Vernt t\ Permission is hereby'granted to Construct( ',��R p( )Upgrade( )Abandon( System located.at and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Cons ction mtjst be,completed within three years of the date of this t. Date: 0 ' Approved by �. ; f I _ TOWN OF BARNSTABLE LOCATION 2'0 C2 f l LZ- PA- SEWAGE # P U0 �2 VILLAGE M ha-S-rc 1JS A4 1 t"'S ASSESSOR'S MAP & LOT n q 7- , INSTALLER'S NAME&PHONE NO. V--S 140 L4 7e, '41Z 10 Z ~ SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 5P0 &kL i CA*" ize) NO.OF BEDROOMS BUILDER OR OWNE IA. P.t4a PERMITDATE: 3 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility Feet Furnished by �1.Pt 1� �'6 J : yo t�u7 �$'�a+td&m t . Ai ;31w- Z 47-°-D 4 � -® 2- -1> e ' . 4 auk 44 Commercial Street Please complete all items marked Raynham, MA including three signatures. Mail / Y� 02767 signed original contract to: Wastewater Treatment Services,Inc. Tel: (508) 880-0233 44 Commercial Street . �y Fax: (508) 880-7232 Raynham•MA 02767 INSPECTION AND EFFLUENT TESTING AGREEMENT Agreement entered into by and between Wastewater Treatment Services,Inc. (herein called WTS) and the FAST®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 4 times per year that this Agreement remains in effect,with the first inspections beginning These inspections will include: 1) Testing of the sludge depth in the septic tank. 1) Inspection,power testing and clean/replace intake filter of the air blower. 1) Inspection of the alarm system. 1) Inspect overall condition of FAST®System. 1) Notification to OWNER of any problems encountered. 1) 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 standard labor rates of$74.00 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 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. r i f• � t This is a two-year contract which will be billed annually. All payments are non-refundable. OWNER's failure to pay invoices promptly or to otherwise comply with this contract may result in suspension of service, cancellation of contract and/or nullification of warranties,at the election of WTS. This agreement is not assignable without the consent of WTS and will remain in force until canceled by either party through written notice. MANUFACTURER MODEL NO. SERIAL NO. LOCATION ANNUAL RATE Bio-Microbics MicroFAST Marstons Mills,MA $420.00 EQUIPMENT OWNER Wastewater Treatment Services,Inc. *Signed by OWNER: AWUy Phu Signed: *Address: 20 Gristmill Path 44 Commercial Street Raynham,MA 02767 Tele: (508) 880-0233 *City: State: Zip: Fax: (508) 880-7232 Marstons Mills MA 02648 *Telephone 508-454-6656 Effective Date of Agreement *Daytime Telephone OWNER understands that(1)ANNUAL RATE payment is for one year only of this two-year agreement and is non-refundable; and(2)Current law requires OWNER to maintain a service agreement for the life of the FAST®System. I HAVE READ AND UNDERSTAND THE FOREGOING. *Signed by OWNER: Effluent Testing Effluent sample taken quarterly and delivered to a qualified testing lab for evaluation. Results sent to State and local Agencies as well as the OWNER. OWNER is responsible for providing acceptable access to effluent to enable a grab sample to be taken for laboratory testing performed. PERMIT: *(PLEASE CHECK ONE) ( ) GENERAL ( ).REMEDIAL (X)PROVISIONAL *SPECIAL CONDITIONS PER LOCAL BOARD OF HEALTH(Y)or(1)if YES,please attach copy of permit (X ) CBOD,TSS,pH,Nitrate,Nitrite,TKN, Alkalinity ( ) Other: *Cost for testing: $255.00/visit Operator assigned: William Everett Telephone: (508)400-3868 *Engineer: John Doyle *Approval for Effluent Testing Homeowner's Signature AAMA4NSP 2a.wpd Town of Barnstable °FI"E' Regulatory Services Thomas F.Geiler,Director ems• Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-79M304 Installer & Designer Certification Forth Date: 3 0j Z0 6� Designer: Installer• "'4gln Address: Address: C- . FALMOUTIJ OZ534 /72.9- On a u%M H�!l P rr was issued a permit to install a (d e) (installer) septic system at 2 2��7/n/1 /�fIT� based on a design drawn by (address) dOyLL fts56C/�9T�s dated (designer) I certify that the septic'system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical,relocation of any component of the septic system)but in accordance with State& Local Regulations. Plan revision or certified as-built by designer to follow. « ,KK r JOHN �� 00 LE,III (Installer's Signature) `d SUVNI Ptesigner's Signature) (Affix Designer's Stamp Isere) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTIT THIS FORM' AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE MIMI IC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form I �OF THEE DATE: C s FEE: * EARNSTABLE, y MASS. �ArED MA't A�0 REC. BY Town of Barnstable SCMD. DATE: Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kau&nan,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM LOCATION Property Address: ZG' -sly/�< AXT� Assessor's Map and Parcel Number: M' +7 1.9 Z. �/2 Size of Lot: Wetlands Within 300 Ft. Yes Business Name: No Subdivision Name: /�yIr3C-r�c.�y APPLICANT'S NAME: U Y PNU l/4L.Dcs Phone -Off Did the owner of the property authorize/you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON Name: ,66,, —lj Name: Address:-36 �iILISjiWILL /J ,7V 4111i/3Ji,-� Address: �X• Sqs //l�'���4U7� O�S7� Phone: /l��'���-lp�,.S� Phone: VARL4NCE FROM REGULATION gist Reg.) REASON FOR VARIANCE(May attach if more space needed) Tc' 1 e / Tits 407 .6G4 4�T/d i3y Pie .�'Tiil/ ��D1/✓.S/ = � US� O� �l�G`�'D�.�}ST D-S l�sy'i7 7 ,4�L��v' ,�r�/L NATURE OF WORK: House Addition 1100000 House Renovation ❑ Repair of Failed Septic System ❑ Checklist(to be completed by office staff-person receiving variance request application) �— 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]) i� Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G.Rask,R.S.,Chairman NOT APPROVED Summer Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Wayne A.Miller,M.D. Q:\HEALTH\WPFILES\VARIREQ.DOC : Matt-, iv-4" 14L3 Ur II-7 3/0" I549 1/4^ 4257 IRIJYL 3m , ol h _ �' FAMILY : +°- I o Mr 49, Ni '3 ' '. "' ! .q •,i�.:i`: �y _ �ii�"' .^ P'e�I'tr".-�7 ..;vFR`'. BEAR �a M3Ff„�ROOM•'2 k' :4257 1R 1 ED 4� 6'1 1/2'. td-1D•1/2' 7-1 1%P W-3.3/0 r• IV-X- 74r . W- Nm1yVa p OiIC I1V. TG ....,.STHwh'.8 WSIGNEQ TO 8 !/4" RI;i� y, pM/r au�aemrrDal ame R8R8d0.48iRJ:8135'Igl::. flRP.'K"'/ I11/'PH/:,• e ' r j' COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 MITT ROMNEY ELLEN ROY HERZFELDER Governor Secretary KERRY HEALEY ROBERT W.GOLLEDGE,Jr. Lieutenant Governor Commissioner MODIFIED PROVISIONAL USE APPROVAL Pursuant to Title 5, 310 CMR 15.000 Name and Address of Applicant: Bio-Microbics, Inc. 8450 Cole Parkway Shawnee, KS 66227 Trade name of technology: MicroFAST Treatment System Models MicroFAST 0.5, 0.75, 0.9, 1.5, 3.0, 4.5 and 9.0; HighStrengthFAST Treatment System Models HighStrengthFAST 1.0, 1.5, 3.0, 4.5 and 9.0 and NitriFAST Treatment System Models NitriFAST 0.5, 0.75, 1.0, 1.5, 3.0, 4.5. and 9.0 (hereinafter the "System"). Schematic drawings illustrating the System and a technology checklist are attached and is part of this Approval. Transmittal Number: W019014 Date of Issuance: January 27, 2004 Expiration date: January 27, 2009 Authority for Issuance Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000, the Department of Environmental Protection hereby issues this Modified Approval to: Bio-Microbics, Inc., 8450 Cole Parkway, Shawnee, KS 66227 (hereinafter "the Company"), for Provisional Use in the Commonwealth of Massachusetts for the System described herein. Sale and use of the System are conditioned on and subject to compliance by the Company and the owner(s) of each installed system (hereinafter, the "owner(s)"or the "System owner(s)")with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Approval constitutes a violation of 310 CMR 15.000. aas, Di ector bate Division of Watershed Management Department of Environmental Protection This information is available in alternate format.Call Debra Doherty,ADA Coordinator at 617-292-5565.TDD Service-1-800-298-2207. DEP on the World Wide Web: http://www.mass.gov/dep Zhu Printed on Recycled Paper Bio-Microbics Modified Provisional Use Approval Page 2 of 10 I. Purpose 1. The purpose of this Modified Approval is to allow installation and operation of all approvable Systems submitted to the local approving authorities as of the date of this Modified Approval on a Provisional Use basis, in order to further evaluate the capabilities and performance of the System. The specific goals of the further evaluation are to determine: i. if the System is capable of consistently reducing the total nitrogen (TN= TKN+NO2+NO3) concentration in the effluent discharged to the soil absorption system (SAS) so that the Department may allow an increase in the loading rate per acre on a General Use basis in areas subject to nitrogen loading limitations, ii. if the System is capable of meeting or exceeding effluent limitations for a Recirculating Sand Filter(RSF) set forth at 310 CMR 15.202 (4), and iii. if at least 90 percent of the installed Systems perform at a level at least equivalent to that of an RSF as set forth in 310 CMR 15.202 (4). 2. With the necessary local permits and local approvals required by 310 CMR 15.000, this Modified Provisional Use Approval authorizes the use and installation of the System in Massachusetts, and requires testing so that the Department can determine whether the System consistently can or cannot function to effectively reduce total nitrogen in the effluent. 3. The System may only be installed on facilities that meet the criteria of 310 CMR 15.286(4) and are approved by the local approving authority. II. Design Standards 1. The System is a Fixed Activated Sludge Treatment (FAST) system with Models MicroFAST 0.5, 0.75, 0.9 and 1.5, HighStrengthFAST 1.0 and 1.5 and NitriFAST 0.5, 0.75, 0.9 and 1.5 consisting of a single tank having a primary settling zone and an aerobic biological zone. Solids are trapped in the primary settling zone where they settle. In the aerobic zone, the bacteria colony attaches itself to the surface of a submerged media bed and feeds on the sewage as it circulates. Models MicroFAST, HighStrengthFAST and NitriFAST 3.0, 4.5, and 9.0 consist of a standard Title 5 septic tank for settling solids and a second tank with the submerged media for aerobic treatment. 2. Models MicroFAST 0.5, 0.75 and 0.9, HighStrengthFAST 1.0 and NitriFAST 0.5, 0.75 and 0.9 shall be installed in the second compartment of a two-compartment septic tank with a total liquid capacity of at least 1,500 gallons. Models MicroFAST, HighStrengthFAST and NitriFAST 1.5 shall be installed in the ` second compartment of a 3000 gallon tank. The two-compartment septic tank shall be installed between the building sewer and a standard Title 5 Soil Absorption System (SAS) constructed in accordance with 310 CMR 15.100 - 15.279, subject to the provisions of this Approval. Models MicroFAST, r ` I Bio-Microbics Modified Provisional Use Approval Page 3 of 10 HighStrengthFAST and NitriFAST 3.0, 4.5 and 9.0 shall be installed between a septic tank designed in accordance with 310 CMR 15.223 and the SAS. 3. The System shall be installed in series between the building sewer and the soil absorption system of a standard Title 5 system constructed in accordance with 310 CMR 15.100— 15.279, subject to the provisions of this Approval. 4. New Construction less than 2,000 gpd: When the System is used in areas subject to the nitrogen loading limitations of 310 CMR 15.214, an increase in calculated allowable nitrogen loading per acre is allowed for facilities with a design flow of less than Z 000 gallons per day (gpd) as provided in 310 CMR 15.217(2). When used in such areas: i. for residential facilities, the design flow shall not exceed 660 gallons per day per acre (gpda), and the System shall not exceed 19 milligrams per liter(mg/L)total nitrogen (TN) concentration in the effluent measured as the total TKN(total Kjeldhal Nitrogen),NO3-N (Nitrate nitrogen) and NO2-N(Nitrite nitrogen). ii. for non-residential facilities, the design flow shall not exceed 550 gpda, and the System shall not exceed 25 mg/L TN concentration in the effluent. 5. New Construction 2,000 gpd to less than 10,000 .gpd: For all facilities with design flows of 2,000 gpd to less than 10,000 gpd, the design flow shall not exceed 440 gpda and the System shall not exceed 25 mg/L TN concentration in the effluent. III. General Conditions 1. All provisions of 310 CMR 15.000 are applicable to the use and operation of this System, the System Owner and the Company, except those that specifically have been varied by the terms of this Modified Approval. 2. This Modified Approval shall be binding on the System Owner and on its agents, contractors, successors, and assigns, and the Company and its officers, employees, agents, contractors, successors, and assigns. Violation of the terms and conditions of this Modified Approval by any of the foregoing persons or entities, respectively, shall constitute violation of this Modified Approval by the System owner or the Company unless the Department determines otherwise. 3. Any required operation and maintenance, monitoring and testing shall be performed by the Company or its approved operators in accordance with a Department approved plan. Any required sample analysis shall be conducted by an independent U.S. EPA or Department approved testing laboratory, or a Department approved independent university laboratory, unless otherwise approved by the Department in writing. It shall be a violation of this Modified Approval to falsify any data collected pursuant to an approved testing plan, to omit any required data or to fail to submit any report required by such plan. Bio-Microbics Modified Provisional Use Approval Page 4 of 10 4. The facility served by the System and the System itself shall be open to inspection and sampling by the Department and the local approving authority at all reasonable times. 5. In accordance with applicable law, the Department and the local approving authority may require the System owner(s) to cease operation of the system and/or to take any other action deemed necessary to protect public health, safety, welfare and the environment. 6. The Department has not determined that the performance of the System will provide a level of protection to public health, safety, welfare and the environment that is at least equivalent to that of a sanitary sewer system. Accordingly, no System shall be upgraded or expanded, if it is feasible to connect the facility to a sanitary sewer, unless as allowed by 310 CMR 15.004. 7. Design, installation and operation shall be in strict conformance with the Company's approved plans and specifications, 310 CMR 15.000 and this Modified Approval. 8. The System is approved in connection only with the discharge of sanitary wastewater. Any non-sanitary wastewater generated or used at the facility served by the System shall not be introduced into the System and shall be lawfully disposed of. 9. All effluent samples shall be taken at a flowing discharge point, i.e.- distribution box, pipe entering a pump chamber or other location from the treatment unit approved by the Department in writing. Any required influent sample shall be taken at a location that will provide a representative sample of the influent. Influent sample locations shall be determined by the System designer and the. Company and shall be selected so that the influent characteristics are not changed by the System recycle. 10. Effluent discharge concentrations shall meet or exceed secondary treatment standards of 30 mg/L carbonaceous biochemical oxygen demand (CB0D5) and 30 mg/L total suspended solids (TSS). 11. For Systems installed at residential facilities with design flows less than 2,000 gpd, TN concentration in the System effluent shall not exceed.19 mg/L. For Systems installed at all non-residential facilities and residential facilities with design flows 2,000 gpd or greater, TN concentration in the System effluent shall not exceed 25 mg/L. W. Conditions Applicable to the System Owner 1. Prior to installation of the System, the proposed owner shall obtain a Disposal System Construction Permit in accordance with 310 CMR 15.020 from the local approving authority. The application to the local approving authority shall include a certification signed by the Company or its designee that the System has been designed in accordance with the Company's requirements, 310 CMR 15.000 (Title 5) and this Modified Approval. The Certification shall be consistent with the model attached hereto as Exhibit A. This Company certification in no way Bio-Microbics Modified Provisional Use Approval Page 5 of 10 changes the requirements of 310 CMR 15.220 (1) and (2). Department approval q P PP of the System design is not required unless the Department determines on a case- by-case basis pursuant to its authority at 310 CMR 15.003(2)(e) that the proposed System requires its review. 2. The System owner shall at all times have the System properly operated and maintained in accordance with this Modified Approval, the designer's operation and maintenance requirements and the Company's Department approved procedures and sampling protocols. 3. Operation and Maintenance agreement: i. Throughout its life, the System shall be under an operation and maintenance (O&M) agreement. The System owner shall be responsible for maintaining a contract with the Company or the Company's approved operation and maintenance contractor throughout the Provisional Use Approval period unless and until the System is Certified for General Use by the Department. Subsequent to General Use Certification of the system, O&M agreements shall be for at least one year and may be with any Massachusetts certified operator of the appropriate grade that has received training by the Company on the operation of the System. ii. No System shall be used until an O&M agreement is submitted to the local approving authority which: a. provides for the contracting with the Company or a Company approved operation and maintenance contractor that has been trained by the Company to operate the System consistent with the System's specifications and any additional operation and maintenance requirements specified by the designer, the local approving authority, or the Department; b. contains procedures for notification to the Department and the local approving authority within five days of knowledge of a System failure and for corrective measures to be taken immediately; C. contains a plan to determine the cause of effluent total nitrogen limit violations that occur any time after the first three months of operation, if such violations occur on two consecutive sampling events; d. provides the name of an operator, which must be a Massachusetts certified operator if one is required by 257 CMR 2.00, that will operate and monitor the System (hereinafter the "System operator"). The System operator must inspect and operate and I maintain the System at least every three months and anytime there is an alarm event for residential facilities with a design flow less than 2,000 gpd and, unless otherwise approved in writing by the Bio-Microbics Modified Provisional Use Approval Page 6 of 10 Department, at least monthly for facilities with a design flow 2,000 gpd or greater and all non-residential facilities. 4. Anytime the System operator is changed, within seven days of such change, the System owner shall notify the local approving authority and Company in writing and submit a copy of the new agreement to operate and monitor the System to the local approving authority and the Company. The new operator must have received Company approved training on the System. 5. The System owner shall furnish the Department or the local approving authority any information, which either entity may request regarding the System,within 21 days of the date of receipt of that request. 6. Prior to transferring any or all interest in the facility served by the System, or any portion of the facility, including any possessory interest, the System owner shall provide written notice of all conditions contained in this Approval to the transferee(s). Any and all instruments of transfer and any leases or rental agreements shall include as an exhibit attached thereto and made a part thereof a copy of this Modified Approval for the System. 7. For year round residential facilities with design flows less than 2,000 gpd, effluent from the System shall be monitored at least once per calendar quarter. Any sample collected within 60 days or more than 90 days of a previous sample shall not be considered a required quarterly sample. For all non-residential facilities and residential facilities with design flows of 2,000 gpd or greater, both influent and effluent shall be monitored monthly. The following parameters shall be monitored: pH, influent BOD5, effluent CBOD5, TSS, alkalinity and TN. Each time the System is monitored, the water meter, if a water meter is installed, shall be read and the water use recorded. 8. For seasonal residential facilities where the residence is occupied fewer than six months per year, effluent from the System shall be monitored twice per season; initially 45 days after occupancy.,and if the residence is occupied during an additional calendar quarter, once during that following quarter prior to System shut down. The following parameters shall be monitored: pH, CBOD5, TSS,TN and alkalinity. Each time the System is monitored, the water meter, if a water meter is installed, shall be read.and the water use recorded. 9. Prior to the issuance of a Certificate of Compliance for the System, the System owner shall record and/or register in the appropriate Registry of Deeds and/or Land Registration Office, a Notice disclosing the existence of the alternative septic system subject to this Approval on the property. If the property subject to the Notice is unregistered land, the Notice shall be marginally referenced on the owner's deed to the property. Within 30 days of recording and/or registering the Notice, the System owner shall submit the following to the local approving authority: (i) a certified Registry copy of the Notice bearing the book and page/instrument number and/or document number; and (ii) if the property is unregistered land, a Registry copy of the owner's deed to the property, bearing the marginal reference. Bio-Microbics Modified Provisional Use Approval Page 7 of 10 10. Prior to the issuance of a Certificate of Compliance for the System, the Company shall submit to the local approving authority and the System owner a signed certification that the System has been installed in accordance with the Company's requirements and this Modified Approval. This certification in no way changes the requirements of 310 15.021(3). The System owner shall not make any changes to the System including landscaping that changes access to the System without the approval of the Company and the local approving authority. V. Conditions Applicable to the Company 1. By March ls`of each year, the Company shall submit an annual report to the Department signed by a corporate officer, general partner or Company owner that contains all sampling and inspection information collected on the System for the previous calendar year and presents a report on the System's capability to meet the Modified Approval's effluent requirements. The report shall include the following information: i. Details on total number of units of the System sold for use in Massachusetts during the previous year; the address of each installed System, the owner's name and address, the type of use (e.g. residential, commercial, school, institutional) and the design flow and model; ii. Date when system was installed and started up; iii. Tabulation of the sampling parameters and results with backup inspection and laboratory sheets available upon request; iv. Statistical analysis of the sampling results including but not limited to average and mean values with the percentage of systems that are meeting the effluent limits compared to the systems that are out of compliance; V. Tabulation of systems that are out of compliance, reasons for non- compliance and any corrective action taken including but not limited to design, installation and/or operation or maintenance changes required to reach compliance; vi: The inspection results recorded on a Department approved inspection form and a technology checklist, copies of which are attached to this Modified Approval. The forms must be completed by the System operator and submitted to the Department with the annual report. vii. A general summary of the results for the year, any recommended changes to the design, installation and/or operation and maintenance procedures and a schedule for implementing those changes; and viii. The three year report on the operation of the System shall be prepared as required by item 8 below. 2. The Company shall notify the Director of the Watershed Permitting Program at least 30 days in advance of the proposed transfer of ownership of the technology for which this Modified Approval is issued. Said notification shall include the Bio-Microbics Modified Provisional Use Approval Page 8 of 10 name and address of the proposed new owner and a written agreement between the existing and proposed new owner containing a specific date for transfer of ownership, responsibility, coverage and liability between them. All provisions of this Modified Approval applicable to the Company shall be applicable to successors and assigns of the Company, unless the Department determines otherwise. 3. The Company shall make available to owners, operators, designers and installers of the System, in printed and electronic format: minimum installation requirements; an operating manual, including information on substances that should not be discharged to the System; a protocol for collecting samples; a maintenance checklist; and a recommended schedule for maintenance of the System. 4. The Company shall institute and maintain a program of operator training and continuing education. The Company shall maintain and annually update, and make the list of qualified operators available by March 1"of each year. The Company shall also make the list known to the local approving authorities, the Department and users of the technology. 5. The Company or its designee shall conduct a review of the System prior to the sale of any unit to ensure that the proposed use of the System is consistent with the unit's capabilities and shall certify in writing, as described in paragraph IV.1. above,that the intended use conforms to this Modified Approval and any requirements of the Company and submit a copy of that certification to the local approving authority and the System owner. 6. Prior to the issuance of a Certificate of Compliance for the System, the Company or its designee shall conduct an inspection of the facility prior to system startup and certify in writing to the local approving authority and the System owner that the unit has been installed in accordance with the Company's requirements and this Modified Approval. The Certification shall be consistent with the model attached hereto as Exhibit B. This certification in no way changes the requirements of 310 CMR 15.021(3). 7. The Company or the Company's approved operation and maintenance contractor shall maintain a contract with the System owner throughout the Provisional Use Modified Approval period until the System is Certified for General Use by the Department that: a. provides for operating and maintaining the System with an operator that has been trained by the Company to operate the System consistent with the System's specifications and any additional operation and maintenance requirements specified by the designer or by the Department; b. contains procedures'for notification to the System owner, the Department and the local approving authority within five days of knowledge of a System failure and for corrective measures to be taken immediately; Bio-Microbics Modified Provisional Use Approval Page 9 of 10 C. contains a plan to determine the cause of effluent limit violations for total nitrogen excluding the first three months of operation, if such violations occur on two consecutive sampling events; and d. provides the name of an operator, which must be a Massachusetts certified operator if one is required by 257 CMR 2.00, that will operate and monitor the System (hereinafter the "System operator"). The System operator must inspect and operate and maintain the System at least every three months and anytime there is an alarm event for residential facilities with a design flow less than 2,000 gpd and, unless otherwise approved in writing by the Department at least monthly for facilities with a design flow 2,000 gpd or greater and for all non-residential facilities 8. The Company shall conduct a performance evaluation in accordance with 310 CMR 15.286(6) starting after at least 50 systems have been installed under this approval issued to the Company or to Smith&Loveless, Inc. or for prior versions of these approvals and operating for at least three years. In those cases where the Company also installed and collected operating results from Pilot Use Systems or other Systems located in areas not defined as DEP nitrogen sensitive areas, the results from those Systems can be used in the 50 System total, provided that the Company can document that the models installed are the same models this Approval applies to, and that inspection and sampling was conducted in accordance with this Approval, and that the results were collected over a three year period. A report shall be submitted to the Department no more than 180 days beyond the three year period evaluating whether at least 90 percent of the units installed for at least three years are meeting the effluent limits as presented in Section III items 10 and 11 and describing any changes in the design, installation and/or operation or maintenance that have been or will be taken to meet the 90 percent target. If the System does not meet the 90 percent requirement, the report shall detail the changes that must be made in design, installation and/or operation or maintenance to meet the goal and include a schedule containing a deadline for implementing those changes. 9. The Company shall furnish the Department any information that the Department requests regarding the System within 21 days of the date of receipt of that request. 10. The Company shall include copies of this Modified Approval with each System that is sold. In any contract executed by the Company for distribution or re-sale of the System, the Company shall require the distributor or re-seller to provide each purchaser of the System with copies of this Modified Approval 11. If the Company wishes to continue this Modified Approval beyond its expiration date, the Company shall apply for and obtain a renewal of this Modified Approval. The Company shall submit a renewal application at least 180 days before the expiration date of this Modified Approval, unless written permission for a later date has been granted in writing by the Department. This Modified Bio-Microbics Modified Provisional Use Approval Page 10 of 10 Approval shall continue in force until the Department has acted on the renewal application. 12. The Department may require the Company to perform evaluations of system performance, conduct tests, and take corrective action when, based upon a preponderance of the available data and information, it is necessary to take such actions to ensure technology performance complies with this Modified Approval. VI. Reporting 1. All notices and documents required to be submitted to the Department by this Modified Approval shall be submitted to: Director Watershed Permitting Program Department of Environmental Protection One Winter Street - 6th floor Boston,Massachusetts 02108 2. All inspection forms and sampling results collected by Operation and Maintenance contractors shall be submitted to both the Department and the Company. VII. Rights of the Department 1. The Department may suspend, modify or revoke this Modified Provisional Use Approval for cause, including,but not limited to, non-compliance with the terms of this Modified Approval,non-payment of the annual compliance assurance fee, for obtaining the Modified Approval by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for discontinuance of the Modified Approval, or as necessary for the protection of public health, safety, welfare or the environment, and as authorized by applicable law. The Department reserves its rights to take any enforcement action authorized by law with respect to this Modified Approval and/or the System against the System owner, System operator, and/or the Company. VIII. Expiration date 1. Notwithstanding the expiration date of this Modified Approval, any System sold and installed prior to the expiration date of this Modified Approval or any continuation of this Modified Approval, that is approved, installed and maintained in compliance with this Modified Approval (as it may be modified) and 310 CMR 15.000, may remain in use unless the Department, the local approving authority, or a court requires the System to be modified or removed, or requires discharges to the System to cease. Final MPUA Bio-Micro RE C'0-LE LINE NOTES SEE NOTE I BLOWER MUST BE WITHIN 101) FEET DF I J UNIT WITH LESS THAN 4 ELBOW'- P i Hi' PIPING SYSTEM(i21uli FT.). FOR DISTAMCC-1 f GREATER THAN! 100 FEET—CONSLILT F*1',J-Ir]c L 1 BLOWER MU':T BE LOCATED ABOVE NUF'HAL SEE NOTE 7 FLOOD LEVELS, 2. RUN VENT 10 DESIRED LOCATI014 OR: CAP OBSCRVATION/VENI PIPE WITH 6' VENT 0 W1 W2 GRATE. SEE ADDITIONAL VIEWS DRAWING AND SEE TABLE FOR SIZING. Z1, ALL APPURTENANCES TO THE FAST eg SETTLING ZONE TREATMENT ZONE rd SEPTIC TANK. PUMPOUTS, ETC.) MOST COHFCiP!! IN GALLONS IN GALLONS CAPACITY) (LIOUID CAPACITY) TO HASSACHUSETTS STATE CODES. L2- SEE CHART SEE CHART 4. BLOWER CONTROL SYSTEM BY BIO-MICROBICS, INC HF], ljlIjG TAHI-' BLOIE-'it.HOOD 6' OBSEF1VATIO1,1/\/ErJT ',EE 1,10,1CIOBIc". V.17 NOTENOTEFORT 'LEE HUTS 2. V1 DIA o-il rill Ium) 10TE 1 5. COP)RIGHT iC*- c001, BID-NICROBIC" lr:, PUMP OUT PORTS [Nl PIPE GFliON TEE NOTE 2. 6. MUST INCREASE TANK SIZE B1 10% IF MINIMUM OF 10 INCHES IS USED BETWEEN THE UNIT AND THE BASE OF THE TANK. CONSULT I I 1ZHI I I I I El I 1E1 I El 11-1 1=1 1=1 I 1=1 I E 11111 III_ I HE I F,PH r g=1161,F1, ELECTRIC CONDUIT 7. THE PRIMARY COMPARTMENT MAY BE A (TO BLOWER SEPARATE TANK. I. IEM) i-2' Ill— PVC AIR LINE CONTROL ".'E-L E I. FOUR LEG ExIENSIONS MAY BE USED ID ui,iir IN lf&W ELIMINATING HIE 1ILF11 FOR IHE I-ID. P.EFEP M INSTALLATION HAim"IL EEL-L 11 T- 1-T L FOR HORL INFEJPMArlDN. -LINE - -ICAr101 PECYI--LE LINE FOP. DE(*IITPIF 11 A. ST TREaTCIJ ZINFLUENr NOTE WASH SEE TABLE ON PAGE: SEE 110TE 7 0.5.0.75,0.9, 1.0&1.5 FASTw UNITS DIM CHART A F B (CUT VIEW)MA -FTILITIG 70HE TREATMENT ZONE C IN GAl,LDl1J-- 11, MIN, IN THE INTEREST OF VE(JIMOLOGICAL PROGRESS, ALL PF,1CjDIjiT: APE MID I I' LhAJILI I.APAI-11Y, HC' CHAP,I �",UbjECI 1*0 DESIGN AND/OP MATERIAL CHANGE WITHDIJT 11011(:E. Date 9-16-02 0.5,0.7 5, 0;9, 1.0 & B10-I' MICROBICS R P 0 R A T E D T *1 5 FASTry Units (Pla n and Cut Views) for Massachusetts y III' -------_---- r L2 LI — L—J L_J L .;� LIFTING HALE SE T T L I N G -S T. INFLUENi WASTE Z❑NE eE D J /22" DIA MANHOLE/ OBSERVATION PORT E"",ENT / V1 DIA. VENTING PIPE i 1ININUM) 1--�? V2 DIA. (RECOMMENDED) j ALL --� C❑MP❑NENETS T❑ SEPTIC FEET TANK /`SEE NOTE 2. 1 MUST MEET B 6' OBSERVATION PORT— '011 MASSACHUSETTS IN GALLONS I I IT-1(LIQUID r—-I III r— r - TITLE S � 4'CAPACITY) I �jl I 7- 1 SEPTIC TA��lF: SEE CHART REI ULATI❑IDS THEAT11E NT \6 F ST,MCIDULE RECYCLE LINE 7❑I\1F 4 (BY 610-1,1ICROBICS) (SEE NOTE 7) L1 I ELL`:'IN I1) ORIGINAL FEET ARE ON THE BASE.OF BE DONE Ofi ALL ELEVEN LEG EXTENSION . r;-;,_ F, :'T IREAIMENT MODULE. LEG EXTENSIUrI_: WHEN THE PRpVIDCD Imo• El_UNC;ATIUN IS FOUND -I-,E TO BE ATTACHED TO THE ORIGINAL FEET IPJ'<UFF1CIEr11-. L'SEE ADDITIONAL VIEWS TU 5>CiPFURT THE FAST MODULE. (SEE ADDITIONAL VIEWS) 5. ANCHOR ALL LEG EXTENSIONS INTO THE BASE OF THE TANK EXCEPT THE CENTER LEG EXTENSION. _. THE PROVIDED LEG EXTEI,JSIENS SHOULD BE PLACE BOLTS AT OPPOSITE CORNER- OF THE FOOT PLACED ON EACH CORRESPONDING FOOT EXTEPJSIOI`I BATE. 1F ELENGAI'1IVG THE LEG EX1"ENSIOfv`; OF THE FA .T MODULE WITH THE PROVIDED PACT �3" (� '.4cn IN HEIGHT. THE CENTER LEG H-'RDWAPE. I:SEE ADDITIONAL VIEWS) EXTENSION* XTENSION MUST ALSO BE BOLTED TO THE 1ANh BASE. - ALL APPURTENANCES TO FAST (e.g. SEPTIC T,:FdI PUMP OUTS, ETC.) MUST CONFORM TO 6. FOUR-'WAY P'v,- TEE 1a PROV'IDED F.', THE ,+I_L HASS.ACHUSETTS STATE CODES, FACTORY AS WELL AS F'VC PIPE EXTEI'IDIIIG FROM THE TEE HOP,I=ONTALLY IN BOTH DIP.ECTIONS ARID CAPPED OFF OUTSIDE OF THE IN THE INTEREST OF TECHNOLOGICAL PROGRESS, ALL PR0D0-1_ .', "E 4. TO ELONGATE THE LEG PAST THE PROVIDED MODULE LINER. THE AIRLINE 1•11.1'7T COME IIv SUBJECT TO DESIGN AND/OR MATERIAL CHANGE WITHOUT NOTICE 12' (39.5cm), CUT THE 3.9' DIA. (9.8cr1) FOOT FROM THE TOP AND ATTACH TO THE PVC TEE. Date 9-16-02 EXTENSION 111T0 TWO SEPARATE PIECES. THEN 4.5 & 9.0 FASZ" CUT A 4" SCH 40 PVC PIPE TO THE DESIRED LENGTH AND SLIP THE PIPE END EVER THE TOP 7, RECYCLE LINE FOR DENITRIFICATION' BIO- MICROBICS Units (Plan View) -UT SECTION AND THE BOTTOM CUT SECTION OF N C O R P O F A T E O Massachusetts THE FOOT EXTENSION, ATTACH PIPE WITH ':TAINLESS STEEL SCF,EWS. ELONGATION MUST — w BMI NDIE BLOWER wlrH HOOD PER MAS°.ACHSETTS SEE TABLE ON PAGE: :BY BIU-NICROBICS' IiiLE REGULAT]ON PER MA$REGU ATI SEE MOTE�1. TITLE 5 REGULATION 4.5i9.0 FASTS DIA OBSERVATION UNITS DIM CHART PORT — (CUT VIEW)MA T ► / rf1-_--nL-'Ti r=_m- - -I - _ - -_=1 -I- I I- -I =__ I I- =u 1=n- _ -1- - I �1,FMI 1 i-i9� ��—m IT— �Tti _ _ _ I=I jl�-MI TI-JT_ L - -�- �- ----�Fil- ->T= I-j�j= `7,JDIA. MI1T_ITTE -rn-tnPE I—,—lil—II III—II III—"' �F—r �/�DIA. MIN. VENTING FIRE u— �1„ FIT)=1 _III�IL—III=111_I1 I /i VZ DIA. RECOMMENDED I ELECTRICAL CONDUIT ITT 11- IIIII-11F RUBBER GASKET-- TO BLOWER CONTROL SYSTEM' SEE NOTE 3. BPACINr,, SEE i DDIA. MIN. BLOWER. PIPING OPTIONS ON /SEE NOTE 2. ADDITIONAL VIEWS -—-— - — _ _ DRAWING i 17, TL c-43cri. - - - j A H - SETTLING l xz ZOTIE ` v� a' DIA. c38cn) ALL •`.'�..',•. RCCICLE LIT•' COMPONENTS B �v EASL TREATED TO SEPTIC' EFFLUENT TAI,4K MUST TREATMENT 3^ c7.6c.-O �- MEET TONE MASSACHUSETTS IN GALLONS �' uaLL <1 _LE Ezln,>1mc :CC IIDfC TITLE 5 'LIOUlo U Ea orREv. FAST.INSERT AIJCHO0 G'OLT^ ,BY AST.!CROBICS� SEFf1C TANK CAPaC1AR _ ul• EImL SEE CHART SEE tJOTE c�. REGULATIONS JLJTF i BLOWER MUST BE WITHIN 100 FEET (305M) OF FASTS, PIPE WITH STAINLESS STEEL SCREWS. EQUAL d, COPYRIGHT (C) 2001, 610-MICROBICS, INC. UNIT WITH LESS THAN 4 ELBOWS. FOR DISTANCES ELONGATION MUST BE DONE ON EACH LEG WHEN THE GREATER THAN 100 FEET--CONSULT FACTORY. BLOWER PROVIDED 12' IS FOUND INSUFFICIENT. SEE NOTE. THE 3.0 UNIT COMES WITH A LID AND CAN EITFIEP PE BASE MUST BE ABOVE NORMAL FLOOD LEVEL. ADDITIONAL VIEW; DRAWITIG. HUNG FROM THE TOP OF THE TANK, OR LEG EXTENSIONS CAN BE USED ELIMINATING IFIE NFE-11 FOR THE LID. L. THE FACTORY RECOMMENDS CONNECTING AT LEAST ONE 5. (11) ❑RIGITIAL FEET ARE ON THE BATE OF THE FAST LEPIGTH OF GALVANIZED PIPE TO THE DISCHARGE SIDE TREATMENT MODULE. EACH LEG EXTENSIONI IS TO OF THE BLOWER. TO PREVENT HEAT FATIGUE CAUSED BE ATTACHED TO THEIR CORRESPONDING FOOT WITH BI BLOWER. FRICTION. D❑ NOT RUN GALVANIZED PIPE THE PROVIDED HARDWARE. LEPIGTH INTO THE CONCRETE TANK. E. ANCHOR ALL LEG EXTENSION;; TO THE BA'oE OF THE FLO`..EFc CONTROL SISTEIM BY BIO-HICROEICS. INC. TANti. EXCEPT THE CENTER LEG EXTENSION. PLACE BOLTS AT ❑PFO=.IIE CORNERS OF THE FOOT EXTENSION IN THE INTEREST OF TECHNOLOGICAL PROGRESS, ALL PRODUCT-- APE TO FLOi!'.,A-fE THE FOOT PAST THE PROVIDED l2' BASE. IF ELONGATING THE LEG EXTENSIONS PAST 23' SUBJECT TO DESIGN AND/OR MATERIAL CHANGE WITHOUT NOTICE._ Sri E?:TENS'.101•J. CLIT THE 3.9' DIA i,Q4cl•1, LEG (58.4cr lfJ HEIGHT THE CENTEP LEG EXTENSION MUST Date 9-1V-02 T 11-101.1 lydT❑ T d[I SEPARATE PIECES. NEXT. CUT AL'--O BE BOLIED E10%::N. A!JCHOR BOLTS ARE NOT 4.5 & 9.0 FAST,:; -:) ✓i PIPE: TO THE DESIRED LENGTH AIVU PROVIDED. CI.LP 11-1E 1OF' CUT SECTION Al^ID THE BIO MICROBICS�� Units (Cut View) _._ 'Ei71GrJ OF THE LEG E'^.TEIISIOtJ ATTACH ;. RUI^! N./ENT TO DLe.IF.'ED LOCATION .SEE TABLE --------- INCORPORAT6D Massachusetts tl- lNl ..a.,.... ..,., ..o m•o,,,u,• BM F— W1 W H L I 500 1000 5 (GAL) A L"I 500 l000 4 4 / 4 7.5 59' 5 4 54' 49' 0,75 (GAL) (GAD 500 1000 0.9 (GAL) (GAL) 4 47. 9 54 54' 49' 4' -1 49' .GAL: -1 ri L C7, t ,,- C,A L A = E T T L I 1\10 ZONE (LIQUID CAPACIT'Y,, B = FA'STCR) CHAMBER (LIQUID CAPACITY) C = INFLUDIT APERTURE HEIGHT VI = VENT '-7"IZE ( MINIMUM) H = F A S'T®R HEIGHT L I FAST CR)LENGTH c'TOTAL) IN THE INTEREST OF TECHNOLOGICAL PROGRESS, ALL PRODUCTS AREli- p-JEIT TO DESIGN AND/OR MATERIAL CHANGE WITHOUT NOTICE. L Ef = FAST®R LENGTH (HAI'dGING" Date 9-16-02 0.5, 0.75, 0.9, `,d I = FAST ®WIDTH ('TOTAL) B10 1.0 & 1.5 FASTo - c V FA�: TOF, WIDTH (HA1,1GING , 9—M-19ROBICS Units Dims Chart N C 0 R P 0 A A T E 0 (Cut View) MA C, i.... ....................... ........ ....... _ ............... ..........-. ........ ... ............ ..... ..... ..... ......................... ........... ....................... .. . ..... . .......... I r ' H I MASS. i 1 W:ac� } _ ...................................._..............__...._...... ..........__................... _. i f i S,S, ,,.NS F�L-F_!_i�to i i1i1�1S I ,jti i, �N1' I ( 510 .J4k � i f ? $ i 1 i �:ry V E _.. _ 7 i I f f IN THE JNTE.REST OF TECHNOLOGICAL PRMSRESS, ALL. PRODC,I`TS AR: T`l BERIGN AND/OR �'ATERTAL CHA,Nf'.' ',r11'}TOUT NOTICE:. ate.... .. .._8'_14-0_1........... 3.0 4.5 & 9.0 FAST: hfllCi���IC Units ®inns Chart :W�"°0AATED (Cut View) MA . :.: SMF - Y , i4 r ',uh• E - Y y z UNIT A D 'VA \i ce ' I^E L1 L2 WI W2 H D U I i I PIA 4�1� -TITLE 5 --- G.., ---- 4y,; GALL❑N� I�i,: 1�f�" -� REGULATIONS \ � 310 CMR 15.000 i •- i • i I I MASS. TITLE 5 REGULATIONS 84831 y.0 310 CMR 1`i�i" 12" 1� ," --- 83" --- 72.5„ 31, 1c„ 15.000 GALLONS A = SETTLIfvJG Z❑NE LIGIUID C.APAI�=I1 Y) E� = FA. O T CHAI��IDEf=' ' LI_L;��._�Ili �_ Af-'rtl_ I� I `.'I - `✓E[,,IT IZE <PIIHIP,,III `�/EN1 SIZE CREC❑f�1NIEf`�IDED: II = AIR LINE DIAMETER L1 = FASTO LENGTH (I TOTAL') W1 = FASTE) WIDTH (TOTAL) _ _ _ IN THE INTEPEST OF TECHNOLOGICAL F'POGRESS, ALL FRODUIIS r... 1-1 = FA TIE.) HEIIJ r H lT❑T AL ' UEiECI TO DESIGN ANTI/OR MATERIAL CHANGE WITHOUT NOTICE.- L2 = EAST(p, LEN TH (IHANGII,JG 3.0 ❑NL`;' , Date 9-16-0—_. 4.5 & 9.0 FAST; EAST WIDTH (HAIv,iGING 3.0 ❑NL) 310- Units Dims Chart MICROBICS U = CLEARANCE UNDER UNIT (MINIMUM; I....I..^TE° (Cut View) MA _ _ BMI---- reD GJ U°t U5: 1 ep t KUVt=191 IHL_ VKLML ouu 01PU olteo F. Doc:958, 851 02-27-2004 3:38 BARNSTABLE LAND COURT REGISTRY NOTICE: The Toren of Barnstable reccrnmends that the applicant seek legal advice to prepare a properly wcrded deed restric5w document. DEED RESTRICTION WHEREAS, ,rdR CbX'T-ru�Ize�S�satng, C -rni,�_Co*ofFa'it� In�GsfYnervJ` (owner's name) Tros+' 13!j CMker Rd Wei 8jgro, }"te, MA a IVY _MA 'bo",rt# (address) 6to 479e is the owner of i S{7ni/( I�Q�-�+ located (address) at Ma rsln as M;11 s 0 Zlo�8 , MA (hereinafter referred to as and being shown on a plan entitled "Subdivision of Land in MA, Property of Q la ,t ? ,5t,6�tu ti2-M4f11 .e M wsu O,��- �' C.v z ` r r`�2 J et al, J_ r°-1 :� .�' fei 1 �Jduly recorded in Barnstable County Registry of Deeds in Plan Book -` � , Page ; Or on Land Court Plan Number Copt m WHEREAS,{;eC.�a n� A CoX d~ su5�n A3CZ A,0eowncs6r of said lot has��d� (owner's name) / agreed with the Town of Barnstable Board of Health to a restriction as to the `f1/3 9G number of bedrooms which can be included in any home built on said lot as a 2)0W ►aex ' pre-condition to obtaining a disposal works construction permit in compliance 6 b with 310 CMR 15.000 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 compiance with 310 CMR 15.200, State Environmental*Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this property, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document, deedr J.n,Feb GJ U14 UDS 1-lp 1'KUUtNI IHL VKtMI Dues D-ru 0"Co N. o r � --1-a stees o�+ke Cox 'farm t�y NOW, THEREFORE,�ickarl ��usa1A CO-A does hereby place the 1 nve 5}4nt-Trvsf (owners name) following restriction on his above-referenced land in accordance with his Y agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: 1. �i SI,►iilt Pga" . Nq,rS4o nS,k.71< may hav constructed (address) upon the lot a house containing no more thane �3) bedrooms. -RI_AA A- CQY_d-- SoSfn A-CoXagrees that this shall be,permanent deed (owners name) �b =r-iy�}+r► z. Pa-'Ft. restriction affecting_�M located on 114, r)s MA, and being shown on the plan recorded in Plan Book-f�, Paged ,T ,9__. Or on Land Court Plan For title of 11/1)Y g see the following deed: Book G � , Page Or Land Court Certificate of Title Number . 30 Z/ Executed as a sealed Instrument day of00 wnees signature V �= Owner's signature , a� Owner's signature COMMONWEALTH OF MASSACHUSETTS ss 20 a`/ Then Tronally peared the above-named a Cc) �`� , A &--x known to me to be the person who executed the foregoing instrument and acknowledged the same to b free act a d deed, before me, Notary Public My commission expires: ` (date) RREND A C.,ANDERSON, !Votary Public fir Comrrissson Expires March 6,2G09 deadr ' r DOM%664,746 05-02-1996 04 t00 CTF#1140548 TITLE NOT EXAMINED BRMSTRBLE LR110 COURT REGISTRY DIST MASSACHUSETTS QUITCLAIM DEED PROPERTY ADDRESS: 30 Gristmill Path,Marston Mills Barnstable County,MA We,RICHARD A.COX and SUSAN A.COX,as tenants by the entirety,for consideration paid,and in full consideration of less than one hundred dollars grant to RICHARD A. COX and SUSAN A. COX,Trustees of the COX FAMILY INVESTMENT TRUST,dated April 3,1996,to be recorded herewith, of 30 Gristmill Path,Marston Mills,Barnstable County,MA with qultclalm covenants that certain parcel of land situated in Barnstable(Marstons Mills)in the County of Barnstable and said Commonwealth of Massachusetts,bounded and described as follows: Southeasterly by Gristmill Path,one hundred twenty-five(125)feet; Southwesterly by Lot 3",two hundred fifty-raven and 16/100(257.16)feet; Northwesterly by a portion of Lot 304,seventy-four and 11/100(74.11)feet;and Northeasterly by Lots 397 and 396,two hundred eighty-two and 32/100(282.32)feet. All of said boundaries are determined by the Court to be located as shown on subdivision plan 30751-H dated August 19,1971,drawn by Barnstable Survey Consultants,Inc.,Surveyors,and filed in the Land Registration Office at Boston,a copy of which is filed in the Barnstable County Registry of Dads in Land Registration Book 290 Page 53 with Certificate of Title No.36923 and said land is shown thereon as L= M. The abovedescribed land is conveyed subject to and with the benefit of the rights,easements,restriction, reservation,and rights of way of record insofar as the same are in force and applicable as set forth or referred to in the deed to RICHARD A.COX and SUSAN A.COX,in the Barnstable County Land Court Certificate of Title No.59399,dated July 24,1973,to which reference may also be made for title. 'Ln_rrndio convey all our real estate located at 30 Gristmill Pathrerewrving to ourselves,however,a e above said premises during the rem ' arty ur 'etime,during _urbielrtime the r ease,let or license the same,and shall be entitled to all rents,fees,or profits ut wit ut the right to Pif Rt. During our lifetime,we shall o all insurance,maintenance,foe, erg ex erases relating to the premis pay all taxes assessed or imposed with respect thereto,and all principa crest mortgages thereon. Witness my hand and seal this day of�Gl�. 1996. �/ �/LQ' RICHARD A. COX DdSAX A. COX The Commonwealth of Massach7OX is Barnstable,ss. , 1"6 Then personally appeared the above named RICHARD A. and SUSAN A. COX, as aforesaid,and acknowledged the foregoing instrument to be their free act and deed before me. Charles C.Case,Jr. -Notary P lic My Commission expires: 12/0 /2000 %f. it TAKE REE 1MY OF 0M SARNSTABLE COUNTY REGISTRY OF DEEDS A�.T-RUUE COPY,ATTEST V -J f d� Form of Trustee Certificate for Nominee Trust [NAME OF TRUST] TRUSTEE CERTIFICATE The undersigned hereby certifies as follows: -So-can A 06X [is/aregall the] Trustee(s) of 5 FrnP r t Tf2 u/d/t dated ��3 f (F, and recorded with the Far as l County District Registry of Deeds [Land Court Records] at Book C- I qc , Page 5 q Q , [or registered as Document Number as noted on [Transfer] Certificate of Title No. amended by ], as dated and recorded with the County District Registry of Deeds [Land Court Records] at Book , Page , [or registered as Document Number-(z ' ' 8 as noted on [Transfer] Certificate of Title No.11f o zf- "Trust". 2. The trust is in full force and effect and has not been amended or modified, except as 4 provided above, and has not been revoked as of the date hereof. ° 0 1 The undersigned has [ha ] full power and authority and has [have] been directed by the beneficiaries of the Trus „ --fesfle o certain premises situated at A o C-R(S—FM I .L 10ATH1 M A(Z2 7 a nv,6 MILLS bPTNS 1 AOL County, Massachusetts ("Premises"V in rnnnPrtinn thara�a�ith to execute. and deliv r on behalf of the ny and all documents with respect to said transaction, including, but not limited to, a deed y ndersigned conveying the Premises to i4y Pk. o�u-d Kovtda -ie,�1/aki"n full consideration of the s $ I G,F Doo -- [a promissory note of the undersigned in the amount of$ payable to and as security therefor, a mortgage of the Premise said lender], togetherrwith 3 any other agreements, assignments, certificates, affidavits, settle tatements and H r riPcirahlP in ffPotl)atin, Said trancactl0 „ Executed as a sealed instrument this o? day of,-/e.& , 2FM. Trustee and not individually ` 40 BARNISTABLE COUNTY RERGUE COPSTRY Y DEEDS AT ATT ST ` H JOHN F.MEADE,REGISTER - 12i12112001 7 u-14 41,Cr / /9 4, 155 9ARRSTA9<E REGISTRY OF DEEDS RECEIPT Printed:82-27-2884 @ 15:38:24 BARJOHN$F. MEADE,LAND OREGISTREGERSTRY Trans#: 71968 Oper:JOYT DIANNE P JENSEN Dock 958851 Ctl#: 2259 Rec:2-27-2884 @ 3:38:12p BARN DOC DESCRIPTION TRANS ART 1 COX RICHARD A RESTRICTION 38.88 Recording fee Surcharge CPA $28.88 20.08 State Fee $N.06 28.60 Surcharge Tech $5.08 5.08 Document Copy -Man 3•N Total fees: 78.96 *** Total charges: 78.08 CHECK PM 850 78.80 �l� ;' �. "t ��`� `� �� I _ _ _ May 16 03 10: 00a 508 880-7232 p. I COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS y DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292.560.0 �,. ARGEO PAUL CELLUCCL Govemor TRUDY COXE Secretary DAVID B.STRUHS Commi-AOIIer PROVISIONAL USE APPROVAL Pursuant to Title 5, 310 CMR 15,000 Name and Address of Applicant: Bio-Microbics,Inc. 8271 Melrose Drive Lenexa,KS 66214 Trade name of technology and model: Micro FAST Treatment System Model Number 23-001- 750 (hereinafter the"System"). Date of Application: July 30, 1997 Transmittal Number: 123602 Date of Issuance: September 16, 1998 Expiration date: September 16, 2003 Authority for Issuance Pursuant to Title 5 of the State Environmental Code, 310 CUR 15.000,the Department of Environmental Protection hereby issues this Approval to: Bio=Micrabics, Inc., 8271 Melrose Drive,Lenexa,KS 66214(hereinafter"the Company"),for Provisional Use of the System described herein. Sale and use of the System are conditioned on and subject to compliance by the Company and the System owner/operator with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Approval constitutes a violation of 310 CMR 15.000. 9117/98 Lealdon Langley, Acting Program Director Date Watershed Permitting Program Tb&inlbus-Gon Is ayainnble In attermtte normal by calling oarADA Coordinator at(617)574-66 M OF.P on the Wodd W(de Web: httPjmw v.mabnetstate.ma.u&'dep May 16 03 10: 00a 506 880-7232 p. 2 Micro FAST Provisional Use Approval 1. Purpose 1. The purpose of this approval is to allow use of the System in Massachusetts,on a provisional basis,while also allowing the capabilities and performance of the System to be tested further. The.specific goals of the further testing are to determine: a. whether the System is capable of consistently reducing the nitrogen concentration in-the effluent discharged to the soil absorption system so that the Department may allow an increase in the loading rate per acre in areas subject to nitrogen loading limitations. b. whether the System is capable of meeting or exceeding effluent limitations equivalent.to those of a Recirculating Sand Filter. 2. This Provisional Approval authorizes the use of the System in Massachusetts, and requires testing so that the Department can determine whether the System consistently can or cannot function effectively. 3. The System may be installed only on facilities that meet the criteria of 310 CMR 15.286(4), i.e. remedial sites, or for new construction or increased flow where a system in compliance with 310 CMR 15.000 can be built,where no sewer connection is feasible. II. Alternative Design Standards to be Evaluated 1. The System shall be installed in the second compartment of a two compartment septic tank with a total liquid capacity of at least .1,500 gallons. 2. The System is approved for use at facilities with a maximum design flow of 330 gallons per day. 3. Equivalent technotoBy to a Recirculating Sand Filter: The Company seeks to demonstrate that the effluent to be discharged to the soil absorption system shall not exceed the following criteria: — BODS: 30 mg/liter and a minimum of 85%of influent BOD5 shall be removed — TSS: 30 mg/liter and a minimum of 85%of influent TSS shall be removed — Total nitrogen: 25 mg/liter and a minimum of 40%of influent total N shall be removed — pH shall not vary more than 0.5 standard units from the influent 4. New Construction in areas subject to nitrogen Ioading limitations: In accordance with 310 CZAR 15.217(2),based on the design flow criteria in 310 CMR 15,203, an increase in calculated allowable nitrogen loading per acre is allowed with the use of the System. The System may be used in areas subject to nitrogen loading limitations under 310 CMR 15,214. When the System is used in such areas. a. for residential facilities,the design flow of the facility based on 310 CMR 15.203 shall not exceed 660 gallons per day per acre, the total nitrogen concentration in the effluent from the System shall not exceed 19 mg/liter and a minimum of 55% of the influent total nitrogen concentration shall be removed. May 16 03 10: 01a 506 880-7232 p, 3 Micro FAST Provisional Ilse Approval b. for non-residential facilities, the design flow of the facility based on 310 CMR 15.203 shall not exceed 550 gallons per day per acre,the total nitrogen concentration in the effluent from the System shall not exceed 25 mg/liter and a minimum of 40%of the influent total nitrogen concentration shall be removed. These limitations are based on the highest nitrogen loading rate credit of a technology with General Use Certification so that if the System needs to be replaced,there will be an approved technology ogy available to replace it. 5. Isolated lots and expansions to existing residential homes: For any isolated lot,or existing residential house of fewer than three bedrooms that was in existence prior to August 1, 1994,in areas subject to nitrogen loading limitations,310 CMR 15.214,new construction or an expansion of up to three bedrooms(330 gpd)is allowed with the use of this System, provided the facility owner meets the conditions in 310 MR 15.005 (3). III. General Conditions 1. The provisions of 310 CMR 15.000 are applicable to the use of the System,except those that specifically have been varied by the terms of this Approval. 2. The facility served by the System,and the System itself, shall be open to inspection and sampling by the Department and the local approving authority at all reasonable times. 3. In accordance with applicable law,the Department or the local approving authority may require the owner of the System to cease use of the System and/or to take any other action as it deems necessary to protect public health, safety, welfare or the environment. 4. The Department has not determined that the performance of the System will provide a level of protection to the environment that is at least equivalent to that of a sewer. Accordingly,no new System shall be constructed, and no System shall be upgraded or expanded,if it is feasible to connect the facility to a sanitary sewer,unless a variance as provided for in 310 CMR 15.004(4)(b)is obtained. 5. Design,installation and use of the System shall be in strict conformance with the Company's DEP approved plans and specifications and 310 CMR 15.000,subject to the exceptions in this Approval. 5. The required operation and maintenance, monitoring and testing shall be performed in accordance with a Department approved plan. The required analyses shall be conducted by a U.S. EPA or Commonwealth of Massachusetts approved testing laboratory. It shall be a violation of this Approval to falsify any data collected pursuant to an approved testing plan,to onvt any required data or to fait to submit any report required by such plan. W. Special Conditions applicable to the System Owner/Operator 1. The System is approved for the treatment and disposal of sanitary sewage only. Any wastes that are non-sanitary sewage generated or used at the facility served by the System shall not be introduced into the System and shall be lawfully disposed of. 2. The owner/operator of the System shall at all times properly operate and maintain the System. May 16 03 10: 02a 506 080-7232 p. 4 Micro FAST Provisional Use Approval 3. The owner/operator shall furnish the Department,within a reasonable time,any information that the Department may request regarding the operation and performance of the System 4. The owner of a facility served by the System shall provide a copy of this Approval,prior to the signing of a purchase and sale agreement for the facility served by the System or any portion thereof;to any new owner. 5. If at any time the Department determines that the System is not adequate to perform with the nitrogen reductions specified above,then the owner shall replace the System with a technology that has been certified for General Use or with a system that otherwise meets the requirements of 310 CMR 15.000 within a timeframe established by the Department. 6. Prior to installation of the System,the(proposed)owner/operator shall submit to the Department the written approval of the local approving authority,together with a copy.of the complete application that was submitted to the local approving authority. The application shalt be deemed approved by the Department if,within 30 days of receipt of a complete application, the Department fails, in writing,to: a. request additional information from the proposed owner/operator; b. grant approval,which may include any conditions the Department deems appropriate, including, but not limited to,financial assurances,to protect public health, safety, welfare or the environment;or C. deny approval of the System. In the event that the Department requests additional information from the proposed owner/operator,the 30 day period for Department review shall commence upon the Department's receipt of such additional information_ 7. As part of an application to install and use the System for new construction, as defined by 310 CMR 15.000,the proposed owner/operator of the System shall demonstrate that an on-site sewage treatment and disposal system designed in accordance with 310 CMR 15.000 can be installed on the facility. Plans submitted as part of an application shall include adequate detail to demonstrate the site meets the criteria of 310 C1VIR 15.286(4) (a), or(b)for remedial situations or new construction or increased flow,respectively. 8. Maintenance agreement:. a. Throughout its life, the System shall be under a maintenance agreement. No maintenance agreement shall be for less than one year. b. No System shall be used until a maintenance agreement and contingency plan are approved by the Department and the local approving authority which: provides for the contracting of a person or firm competent in providing services consistent with the System's specifications and the operation and maintenance requirements specified by the design engineer and any specified by the Department; contains procedures for notification to the Department and the Iocal approving authority within 24 hours of a system failure or alarm event and for corrective measures to be taken immediately. May 16 03 10: 03a 508 880-7232 p. 5 Micro FAST Provisional Use Approval provides the name of the Massachusetts certified operator or operators, if P P one is required by 257 CMK 2.00,that will operate the System. The operator must maintain the System at least every three months and anytime there is an alarm event. The provisions of 314 CyM 12.00 are incorporated herein and apply to the maintenance and operation of the System V. Special Conditions applicable to the Company 1. Before January 31st of each year,the Company shall submit to the Department,a report, signed by a corporate officer, general partner, or Company owner, that contains information on the System for the previous calendar year. The report shall state the number of units of the System sold for use in Massachusetts during the previous year.The report also shall include the address of each System,the owner's name and address,the type of use(residential, commercial, school,institutional)and the design flow;all known failures,malfunctions, and corrective actions taken and the address of each such event. 2. The Company shall notify the Director of the Watershed Permitting Program at least 60 days in advance of the proposed transfer of ownership of the technology for which this Approval is issued. The notice shall include the name and address of the new owner,the date of transfer,and the respective responsibilities of the parties relative to the System. Unless the Department determines otherwise within 30 days of receipt of said notice,this Approval automatically will transfer to the new owner. 3. The Company shall furnish the Department,within a reasonable time,any information that the Department requests regarding the System. 4. Prior to its sale of the System,the Company shall provide the purchaser with a copy of this Approval. In any contract for distribution or sale of the System,the Company shall require the distributor or seller to provide the purchaser of the System, prior to any sale of C ste,'th a copy of this Approval_ch System installed under this Approval,the Company shall monitor the influent to stem and the effluent monthly for the first six months of operation,and quarterly fter. At a minimum, the following parameters shall be monitored.- pH,BODS, TSS, NO3-N, and ammonia. Every time the system is monitored,the water meter reading e recorded. — _____ ----------- 6. The Company shall submit all monitoring data collected on the System,whether required by this Approval or otherwise performed, to the Department within 30 days of the sampling date. After three years of monitoring and at the request of the Company, the Department may reduce or eliminate the monitoring requirements. 7. For each System installed,the Company shall instruct the operator or operators on the proper maintenance and operation of the System. 8. If the Company wishes to continue this Approval after its expiration date,the Company shall apply for and obtain a renewal of this Approval. The Company shall submit a renewal application at least 180 days before the expiration Hate of this Approval,unless written permission for a later date has been granted by the Department. Mad 16 03 10: 04a 508 880-7232 p. 6 a Micro FAST Provisional Use Approval VI. Reporting All notices and documents required to be submitted to the Department shall be submitted to: Director Watershed Permitting Program Department of Environmental Protection One Winter Street-6th floor Boston,Massachusetts 02108 Vil. Rights of the Department The Department may suspend,modify or revoke this Approval for cause, including,but not limited to,noncompliance with the terms of this Approval,non-payment of any annual compliance assurance fee, for obtaining the Approval by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for discontinuance of the Approval,or as necessary for the protection of public health,safety,welfare, or the environment, and as authorized by applicable law. The Department reserves its rights to take any enforcement action authorized by law with respect to the System against the owner or operator of the System, and/or the Company. VM.Expiration date Notwithstanding the expiration date of this Approval,any System installed prior to the expiration date of this Approval,and approved,installed and maintained in compliance with this Approval(as it may be modified)and 310 CMR 15.000, may remain in use unless the Department, the local approval authority,or a court requires the System to be modified or removed, or requires discharges to the System to cease. M1CROTRV -- APPLecAN?3; UY PHU ANd X/MBERLY YAK&S - - 39 ::..CAvOkLc-b M -b0W RO.A b _ � EAST FA�v10UTH, MA. 02 S3G ' 7"EL. : .SOB- �.S•¢' GGS'G P Cn /oZ'Z V►d•. 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W lid w UY Aivd e V.41-des P4AAI MEIN 4F-S. Piyv K/rL! Eil'L Y 5. SYSTEM COM.POIVENTS mmi-L SE /NSIOAA.tEb ;ON 4-.�8 5`E :LE-1/EL; A S SCALE ; ° �'► Za aX4C771411-1- PATy ANb ZROCS TO 6 -PCIe W0 CMA 15..228 61) MA.esTON-5 M/1-1.5 , Nl A . 6. LOGA?70N Ofi. THE "�PAGT.._�L.ONlL�I� t/NlT TDB BE��!'111I�.D. /N ��. F/EL.©. J/q�t/UAXy .?D� Z0Q4 Xe.4.4 E AS N47C-b ✓, -DOYLE ASS0C/A7X-5 508- -9G 3• l994 P o- Box 59s W. FAL-A40!/Tiy MA• 0Z57¢ L V Pf'L/c,gNTS. , u r PR II ANC K/M13� Y L D c o 3 yv o R 5 L dUTH O 53G EATF�IM , MA ,, ,• O8_ TEL. S 4_9*;�_ G G SG - � P x z /O v. • G OTE. E PuRPo 5G of TsllS APPL! ATioiV pLrl�/ is Tv o6TAiN 7we N 7H / F - E/1M SS/ON 4 Tf/E �OA�D O ff�ALTN �v�2 //%S�ii►L G�9 T�'G�/v OF ' k ELL WELG . Y 77-IE N G.�IS'T 7;eF 9TMENT UN/? %ry Dve.6E,2 Tp`YARY Td�% 4v3/1-y D E /O /N E ZONE 0/v CONT 14LI71 TO T A.e �9 /ei9 T TN R G L T al S. Z S/S G F Z ; 110 0 Jr 5 . 2 03 X . • = b - a ' c1, `= o S 2 a o G - J 0 Ot - G G Jr D P V ti • s s 141,4P 47 P4 G 92 b 3 o • ` ° i 51 ti P x 2 ! 0 a J . Z c. E • v � E 3 Z Z c, F m b : r d s Y 0 -o _ o el' Z 0 5 d 0 F -o f • o a 0 3 o _ A X , P d /oS / o q o \ - k d' - D A -SE.a�ic r�vk'WITH V4 OQ Z �� 3• q 0 ti �r ti d •� v. 1 of b t* .8 o JONq • - r P. , 00YLE,tti „i r • k ,.,, ` Nlo.3DMW -� w o ' ROP ? : •, •9. �q LISTER � a �'O � SURA� 5/7E AA/„D SE WA 49 E PL A N Zk a `9 �, 1 �, ►� P 3 e• 'O� PREPARED FoR E RL,Y Vi LDES/2 PA �N /MB 177 1 E„ 1r y. �. ,�,.i s � D L. t� c ` PiPOPos 3 ,B�oeo M a w�� liv .1 S J ,, S /G G AT m � � .,0. ��g.i.,. 20 G.�/ TM h/ t � G 7i v N , b 3 � P Q O E, �c - /Y T 14/A�S// .l WELL/NG CONN TFD TO s I UyA, c GENTE,2Y GL T S 'RV/LL Cr /�IARSTo NS M L c.s _ �. ,1 , � �� - :TOP oA' co,vC. 64u�.d D SGAd E. / ..20 _ ,/AN!/�9R 0 2 0 0 4• k/ATE y 3�/STi2/CT. ` • •. � = U EX/sT p '•, ELL- • W � x ,o p X D 595-; W I=4L"ovTH, MA 02.S74 _ -- - SEW,. 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SAM W/y/TE 1 F/N, G/?AAC-`MJAJ, S1-6PE OF 2%a 4" MAX. 20"`)- CavEles G"Mq� Pe/fC, RATE : Z4 6. 4, /w 7 M/N, --- .. tCL EC.CON1�U l T E Z' M/AI. A 1 R PIPING G•� M.4X fi9ie 2 M N�/N. 9 MINI. 2 COVER or ...• yD157".<�80X .W/G"SUMP " n � �� SCH. 4o PVG 4" 9 N WvERT 3� MAx. Y4 - /Z s'ToNE /04e�COL.AT/DeV .1�EPTAI ¢4 4.2 4 ;0 scH.4: . PvG 4 O sc . /oo•4o 3 FLOYU LINE . '� � ,. : _ .- . = N 40 f'VC rNV•COf.32: � ,. V. I NV• - CNV- S D/L S 7r-X744I ,4L G'GASS • ONE q 102, 12 loo.97 '�` 100.80 3/4."-)'/Z" tW, WA514 c 2' EcRvSNF� roN� 2LEACH1 000 GAL. N11C1e0 FAST r 0.5 I NSERT EL- 98.G D 500 GAL, 6.�� BY bIO-MICROB)Cs M 1© -5.7, ,r SOILS ABSORPTION SYSTEM ' G BFp or- CRUSH E •. • . . . .•..•.• Of b a . .�:•,...• EL. 42.90 �,tH 5 TOME 0 o OF 7`�'-6r PIT 8 TT M PIT o ooHA 1900 GAL.LOAI PrZECAsT -5t TIC TAN/; P: as a WITN MICCOFAST •S- IN5Ele ooYi.�,tfn H T Nb. LO' N G H /O AD/ � N 0 Su • CohISTR.tJCT/ON .4N.D OPERATib/V 1. THE �.FAs ' ' uNLT _s1-IALL 8E 1N5TgLL6b AND /"IA1AMA1NC�D II�J 5<! cc ANc1= WrTi� c�IZT1FicATioN s�oR PRovlstonlA� usE Pv� .4NT A Old _ -ro -r 7`L� = 310 G MR 1 n DO. CONTAc-r joHN ROWL.AAJZ A ,>.. �.�t`,)R P, N I-4CT 25 O lc A S T/N G ,D ,2 OR N G ' CO T (�- PROD UGTS FOR ILIA/NT N NGE,?� � A N EP Tl -�I AT T&L s SoS -77I 6570. WASHED sToNE • �0A OF Mq L P E�S o B� ,scN, 40 /TN`WATE�e T/ANT '.Jo 1 Ts •� �Arr� 2. A L IP T W 4 o fU4. I ti _ 2 o EBEIr raN E A L / 1 Z lD , , )SooG._. NAMaERs o ,,a T / S .qh/d j�s 6/V CR1TEiZ/A EN SO 6c TO Vt=Nlc ULA 1-0,qb/NG SHALL 4 o y 3. ,4NY COMPON TS ,B�/ R _ s N Be- ©F N-2o 4 DAB CA cl ,� ACCO A 6 S/7� S P/4 TY - 4 I+YA3H6rD S7oNE �o� S E6.D .D I sCOVE Q 0): SD/Ls .DIFFER/w c Ff-OM -MST: PI T Ie65I1LT5 i� �P�EPA/2L.D FOR A ly 1 i N o J..DOYc:E ASSOCI S SI-IALc CAUSE frog NOTIG G4T o F _ T W _ _. _ UY P v .9Nd k/MBEiQG�Y 1/AL.d ES. P4:AAJ VIEW OF s:A-s._ 5, S S E Co PoIVItNTs 5'HALc. -Be tNSTAL.teb C N �4 .S, Sr- LEVEL. SCALE 1- = 10. 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