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HomeMy WebLinkAbout0195 ROUTE 149 - Health ADDRESS: 195 HERRING RUN PLACE CONDOS Units A — I (11 units) REPORTS on OMNI SEPTIC SYSTEM From : BENNETT ENVIRONMENTAL ASSOCIATES DATE: ANNUAL ENDING (4 QTRS) 9/23/2010 ANNUAL ENDING (4 QTRS) 9/21/2012 ANNUAL ENDING (4 QTRS) 9/21/2015 ANNUAL ENDING (4 QTRS) 9/22/2016 ** * * SEE STORAGE BOX # 40 In Attic I i Town of Barnstable Barnstable ANlmedcaCKY US& Board of Health396 1 prFa ' 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi November 13, 2013 Mr. Randall Cox 195 Route 149, Unit B Marstons Mills, MA 02648 RE. Operation and IVIa>ntenance (O&M) of your Innovative/Alternative (OMNI) System at' ` 195 Route 149, #B, Marstons Mills A 078 018 40B x Herring Run Place Condo Dear Mr. Cox, You are granted permission to reduce operation and maintenance of your innovative/alternative technology (OMNI 2000 Recirculating Sand Filter system) at 195 Route 149,#B to two times per year. A public hearing was held before the Board of Health on November 12, 2013. The Board reviewed your previous years of service records in regards to the operation and maintenance of your innovative system as well as the testing results of the effluent wastewater. The system has been functioning very well with the median total nitrogen level at or below 19 mg/liter, which meets the discharge limits. Permission is granted to reduce the frequency of operation and maintenance of your I/A system at your property will the following conditions: The wastewater effluent shall be tested for Total Nitrogen once per year. +:• `Operation and Maintenance Inspections shall be conducted twice per year in accordance with MA DEP Regulations. y Since ly, ayne iller, M.D.; Chairman BOA OF HEALTH QAWPFILES\CoxlAOperationand Maintenance2011doc. Message Page 1 of 1 McKean, Thomas From: Randy Cox [randycox2009@yahoo.com] Sent: Monday, October 07, 2013 8:59 AM To: Health Subject: Re: reduction of inspections to my septic system Mr. McKean My wife and I only live at 195B Route 149 about 4 weeks a year. Thank you for your help. Randy Cox From: Health <Health@town.barnstable.ma.us> To: Randy Cox <randycox2009@yahoo.com> Sent: Monday, October 7, 2013 6:48 AM Subject: RE: reduction of inspections to my septic system Hello Again, I have a follow-up question: Do you reside at 195B Herring Run les than six months per year? or greater than six months per year? Sincerely, Thomas McKean -----Original Message----- From: Randy Cox (mailto:randycox2009@yahoo.com] Sent: Sunday, October 06, 2013 4:21 PM To: Health Subject: reduction of inspections to my septic system Mr. Tom McKean My name is Randall Cox I live at 195B Route 149 Marstons Mills, Ma 02648. I would like to request my septic system inspections be considered for a reduction. I have lived at this address for 10 years in June 2013 and have had my system tested 4 times a year. We live in one of the nine homes in the Herring Run Place. I'm working out of state and would not be able to attend the board meetings this year. What can I do to be represented at the meeting for the boards consideration for the testing reduction? Thank you for any help you can give me. My phone number is 602-289-7409 anytime. If I need to do anything additional please let me know. Randy Cox 11/6/2013 Page 1 of 1 4:y a I McKean, Thomas Herrim4 Run Place 195 Route 149,• AO))) +. From: Randy Cox [randycox2009@yahoo.com] Marstons Mills kx :_ Sent: Sunday, October 06, 2013 4:21 PM �� To: Health Subject: reduction of inspections to my septic system Mr. Tom McKean My name is Randall Cox I live at 195B Route 149 Marstons Mills, Ma 02648. 1 would like to request my septic system inspections be considered for a reduction. I have lived at this address for 10 years in June 2013 and have had my system tested 4 times a year. We live in one of the nine homes in the Herring Run Place. I'm working out of state and would not be able to attend the board meetings this year. What can I do to be represented at the meeting for the boards consideration for the testing reduction? Thank you for any help you can give me. My phone number is 602-289-7409 anytime. If I need to do anything additional please let me know. Randy Cox 10/7/2013 CarmodyTM Service History Page 1 of 2 Sampling Report Tracking Number: BAR49195RSF-B Name: Randal Cox Site Address: 195-B Route 149 Marstons Mills, MA Mail Address: P.O. Box 1418 Marstons Mills, MA Assigned.Provider: Bennett Environmental Associates, Inc. From Property Profile Management Level: General with Nitrogen Requirements Selected Service Provider ID: 12580 Selected Service Provider: Bennett Environmental Associates, Inc. Report Filed By: David C Bennett Components that were sampled: 1: RSF Last Report Dates Lid Depth Inspection: 9/12/2013 Septic Tank: Maintenance: None Filed Lift Tank/Siphon Chamber: Pump: None Filed Aeration Unit: Date & Time Serviced: 9/6/2012 1:00:00 PM Notes/Comments/Message Effluent quality passed field testing parameters. System is operating or Other Observations: correctly. (Viewable by Regulators and Service Providers ONLY!) Laboratory Alpha Analytical Sampling Report Questions Sampler Name jJoseph Smith i Data Quality IGood Sample TypeI grab Effluent (Leave item blank if not tested) BOD5 Amount (mg/L) Nitrate Amount'(mg/L) 3--8--`-- Nitrite Amount(mg/L) 0.08 pH Amount.(mg/L) TKN Amount(mg/L) 13.2 Total Nitrogen (mg/L) 11.7.08 TSS Amount(mg/L) http://carmody.biz/Pump/Service_Reports.aspx?ha=1&hi=1&po=1&id=970043&permit_i... 10/7/2013 CarmodyTM Service History Page 2 of 2 This report only describes the conditions at the time of service and under the conditions of use at that time.This report does not address how the system will perform in the future under the same or different conditions of use.Carmody,Compass and Septic Search are independent business entities and are not associated with business practices or liabilities assumed by the inspection,inspectors and or their business entities. "This is a copy of an electronic document generated from Carmody. ©Copyright 2013 CDs Holding, Inc.All tights reserved. Report Active Question Color Key: (Sample)=Required Question I I httD://carmodv.bi.z/Pumn/Service Reports.as-ox?ha=l&hi=1&po=1&id=970043&permit i... 10/7/2013 CarmodyTM Service History Page 1 of 8 F4rmOdy TM Environmental Management Services Odyr BARNSTABLE County, Massachusetts -Thomas McKean - 10/7/2013 Main Menu Service History Home _ Log Out How To:All Tutorials Print Service History A I for Passwords Support Phone/Fax Report Tech Problem Property Information Change/Request Form Change Password Property ID BAR49195RSF-B(Tracking Number) Carmody Trainin Links Map Register Event File a Service Event Name Cox, Randal How To:File Event Site Address 195-B Route 149 Data Resources Marstons Mills, MA Search for a Property Service Activi _ I Create a Report Service Statistics Create an Excel File Statistics Report Total Service Events (To Date) 46 Split Parcels Setup Review Questions Send Payment View Onsite Service History: 1� �2 �3 All Years r Include Inactive Show All Reports Service History -All Date Report Type Entered Gallons Recorded By or Comments Date Pumped Disposal Serviced Site 9/19/2013 0 Bennett Sampling +, 9:14 AM Environmental Report 9/12/2013 Associates, 1:30 PM Inc. Using: The Web Site 9/19/2013 0 Bennett "*Inspection** Conducted O&M view 9:13 AM Environmental along with effluent 9/12/2013 Associates, quality field testing 1:30 PM Inc. and pulled effluent ----- samples for lab Using: The analysis. Web Site 6/10/2013 0 Bennett "Inspection** Conducted O&M :�View 11:09 AM Environmental along with effluent `Pant_M 6/6/2013 Associates, quality field testing. 12:00 PM Inc. Using: The Web Site 3/13/2013- 0 Bennett **inspection** Conducted O&M �" view x 1a-' 8:13 AM. Environmental along with effluent -r"In 3/8/2013 Associates, quality field testing 12:30 PM Inc. i htt-o:Hcarmody.biz/pump/Service History.aspx?permit id=254224 10/7/2013 CarmodyTM Service History Page 2 of 8 Using: The Web Site 1/2/2013 System No service No service event 12:00 AM Generated recorded reported within 1/2/2013 service schedule: 12:00 AM 09/06/2012 to 01/01/2013. Notes: No service event was recorded by the system for this component: Sample Report(Effluent) 1/2/2013 0 Bennett **Inspection** Seasonal use 12:58 PM Environmental residence with little Pant 12/28/2012 Associates, to no flow currently. 2:00 PM Inc. Effluent quality ------ passed field testing Using: The parameters. Web Site 9/14/2012 0 Bennett Sampling Effluent quality . 1:26 PM Environmental Report passed field testing ;Prints 9/612012. Associates, parameters.System 1:00 PM Inc. is operating ------ correctly. Using: The Web Site 9/14/2012 0 Bennett **Inspection** System is operating 1:24 PM Environmental correctly. Effluent Pant 9/6/2012 Associates, quality passed field 1:00 PM Inc. testing parameters. . ---- Pulled effluent Using: The samples for lab Web Site analysis. 6/11/2012 0 Bennett **Inspection** Conducted O&M, vi"ew: 12:18 PM Environmental effluent quality field 6/8/2012 Associates, testing.System 2:30 PM Inc. needs new electrical ------ handhole, and 3 new Using: The polylok top riser Web Site sections for access covers to recirculation tank, pump chamber, and septic tank. 3/20/2012 0 Bennett **Inspection**` Conducted O&M visit 12:58 PM Environmental along with effluent "Pant 3/15/2012 Associates, quality field testing. 8:30 AM Inc. Using: The Web Site 1/2/2012 System No service No service event 12:00 AM Generated recorded reported within 1/2/2012 service schedule: 12:00 AM 09/14/2011 to 01/01/2012. Notes: No service event was recorded by the system for this ffft-o://carmod-v.biz/Dum-o/Service History.asox?permit id;254224 10/7/2013 CarmodyTM Service History Page 3 of 8 component: Sample Report(Effluent) 12/22/2011, 0 Bennett - "*Inspection"* System is 2:21 PM Environmental functioning properly. Prin#t.i; 12/21/2011 Associates, Effluent quality 2:15 PM Inc. passed field testing ------ parameters. Using: The Web Site 9/23/2011 0 Bennett Sampling 2:35 PM Environmental Report 9/14/2011 Associates, 3:1.5 PM Inc. Using: The Web Site 9/23/2011 0 Bennett 'Inspection*" Conducted O&M, �view 2:34 PM Environmental effluent quality field < Prfin ` 9/14/2011 Associates, testing and pulled 3:15 PM Inc. effluent samples for ------ lab analysis. Using: The Web Site 6/13/2011 0 Bennett "*Inspection'' Conducted general view► 11:58 AM Environmental O&M and effluent " 6/13/2011 Associates, quality field testing. 9:30 AM Inc. I Using: The Web Site 3/14/2011 0 Bennett "*Inspection*" Conducted O&M andE" View 1:36 PM Environmental effluent quality field Pant 3/8/2011 Associates, testing 2:30 PM Inc. Using: The Web Site 1/6/2011 0 Bennett "Inspection" Conducted General 1:21 PM Environmental O&M and field 1/4/2011 Associates, testing. 11:15 AM Inc. Using: The Web Site 1/2/2011 System No service No service event 12:00 AM Generated recorded reported within 1/2/2011 service schedule: 12:00 AM 09/08/2010 to 01/01/2011. Notes: No service event was recorded by the system for this component: RSF 1/2/2011 System No service No service event. 12:00 AM Generated recorded reported within 1/2/2011 service schedule: 12:00 AM 09/08/2010 to 01/01/2011. Notes: No service event was recorded by the J htt-o://carmodv.biz/oumi)/Service History.aspx?permit id=254224 10/7/2013 LarmodyTM Service History Page 4 of 8 system for this component: Sample Report(Effluent) 9117/2010 0 Bennett Sampling View f> 7:04 AM Environmental Report 9/8/2010 Associates, 2:00 PM Inc. Using: The Web Site 9/17/2010 0 Bennett —Inspection*" Performed O&M visit 7:02 AM Environmental along with field Pant, 9/8/2010 Associates, testing, and pulled 2:00 PM Inc. effluent sample for ------ lab analysis. Using: The Web Site 6/ 2/2010 0 Bennett **Inspection** O&M and field 7:35 AM Environmental sampling sPrme a�`s 6/1 012 01 0 Associates, maintenance visit. 9:00 AM Inc. Using: The Web Site 3/22/2010 0 Bennett **Inspection** Conducted General 1:27 PM Environmental O&M visit along with 3/17/2010 Associates, field testing 1:00 PM Inc. Using: The Web Site 1/11/2010 0 Bennett **Inspection** 7:21 AM Environmental 1/6/2010 Associates, 12:30 PM Inc. Using: The Web Site 1/2/2010 System No service No service event 12:00 AM Generated recorded reported within 1/2/2010 service schedule: 12:00 AM 08/06/2009,to 01101/2010. Notes: No service event was recorded by the system for this component: RSF 1/2/2010 System No service No service event 12:00 AM Generated recorded reported within 1/2/2010 service schedule: 12:00 AM 07/01/2009 to .01101/2010. Notes: No service event was recorded by the system for this component: Sample Report(Effluent) 9/16/2009 OMNI **MESSAGE** The System Needs 1:49 PM Environmental Came From Follow Up Service Systems, Inc. Message Board (Component http://carmody.biz/pump/Service History.aspx?permit_id=254224 10/7/2013 CannodyTM Service History Page 5 of 8 9/16/2009 Replacement or 10:04 AM Service, Components Made Accessible for Inspection or Sampling, System Pumping,etc.) 9/16/2009 0 OMNI "*Inspection*" � ►r�ew .., 10:04 AM Environmental 8/6/2009 Systems, Inc. 3:30 PM ----- Using: The Web Site 4/21/2009 0 OMNI Sampling : V,ew`,,. _ >! 10:09 AM Environmental Report 4/9/2009 Systems, Inc. 11:00 AM ------ Using: The Web Site 4/13/2009 0 OMNI *"Inspection** 8:18 AM Environmental ;`Pant a 4/9/2009 Systems, Inc. 11:00 AM ------ Using: The Web Site 1/27/2009 0 OMNI Sampling ° View . 10:07 AM Environmental Report Pant�i 1/14/2009 Systems, Inc. 12:30 PM ------ Using: The Web Site 1/15/2009 0 OMNI "*Inspection"* `. w 8:05 AM Environmental ti < prmt::a 1/14/2009 Systems, Inc. 12:30 PM ------ Using: The Web Site OMNI f"Saved 22 mg/L> 19 mg/L 7/10/2009 Environmental Sample for Nitrate Amount: 2:44 PM Systems, Inc: Message— 28 mg/L> 19 mg/L for Total Nitrogen 35 mg/L>30 mg/L for BOD5 Amount: 12/12/2008 Environmental NI "Saved mental Sample 20.2 mg/L> 19 mg/L 7:52 PM Systems, Inc. Message"" for Nitrate Amount 23.62 mg/L> 19 mg/L for Total Nitrogen 8/1312008 0 OMNI 'Inspection** 12:19 PM Environmental Print• 8/13/2008 Systems, Inc. 10:00 AM ------ Using: The Web Site 12/11/2008 0 OMNI Sampling Y ►fiewi 11:26 AM Environmental Report 6/18/2008 Systems, Inc. 3:50 PM ------ Using: The Web Site 5/19/2008 0 OMNI 'Inspection*' 12:17 PM Environmental Print 5/6/2008 Systems, Inc. 1:30 PM ------ htt-o://carmody.biz/i)um-o/Service History.aspx?permit id=254224 10/7/2013 CarmodyTM Service History Page 6 of 8 Using: The Web Site 12/11/2008 0 OMNI SamplingView 11:25 AM Environmental Report `_Print 5/6/2008 Systems, Inc. 12:00 PM ------ Using: The . Web Site 12/11/2008 0 OMNI Sampling �_ b 11:22 AM Environmental Report Pant u 3/11/2008 Systems, Inc. 12:30 PM ------ Using: The Web Site 3/11/2008 0 OMNI *"Inspection*" view 'r 1:14 PM Environmentalf Pantr 3/11/2008 Systems, Inc. 12:30 PM -- Using: The Web Site 2/28/2008 OMNI **MESSAGE** Homeowenr current 9:28 AM Environmental with testing contract 2/28/2008 Systems, Inc. as of 2-12-08 9:28 AM 8/31/2007 0 OMNI **Inspection** Found toggle switch lfiew 4 12:29 PM Environmental for recirculation F Pritit 8/23/2007 Systems, Inc. pump in the control 10:00 AM ------ panel in the off Using: The position,turned Web Site recirculation toggle switch to auto and pump resumed normal functionality. 10/4/2007 OMNI **MESSAGE** The System Needs 9:08 AM Environmental Came From Follow Up Service 8/16/2007 Systems, Inc. Message Board (Component 11:35 AM Replacement,or Service,Components Made Accessible for Inspection or Sampling, System Pumping,etc.) 8/29/2007 OMNI **MESSAGE** All Required 1:49 PM Environmental Came From Inspection Activities 8/16/2007 Systems, Inc. Message Board Were Preformed for 11.35 AM This System 8/16/2007 0 OMNI **Inspection** System needs furthers View ' .- 11:35 AM Environmental evaluation, Seasonal Print 8/1 312 0 0 7 Systems, Inc. residence, no acess 10:30 AM ------ to dwelling, left a Using: The doorknob hanger for Web Site homeowner to contact our office for a supplementary visit. 8/29/2007 . OMNI **MESSAGE** System not 1:48 PM Environmental Came From functioning. 8/1/2006' Systems, Inc. Message Board 8:31 AM 8/1/2006 0 OMNI **Inspection** Unable to Service vi 8:31 AM Environmental system, need to gain print 7/31/2006 Systems, Inc. access to dwelling to 3:00 PM ----- figure out what is http://Carmody.biz/pump/Service_History.aspx?permit_id=254224 10/7/2013 LarmodyTM Service History Page 7 of 8 Using: The goin on, system is Web Site believed to be turned off,as it is a seasonally used system 4/11/2006 0 OMNI **Inspection*" 12:40 PM Environmental Pant; z= a 4/5/2006 Systems, Inc. 2:00 PM ------ Using: The Web Site 2/21/2006 0 OMNI **Inspection** Seasonal System, ;Y lfiew .af 3:51 PM PM Environmental Turned off until 12/12/2005 Systems, Inc. spring 12:00 AM ------ Using: Data Import 2/21/2006 0 OMNI —Inspection** System turned off View : x 3:51 PM Environmental Print <; 8/9/2005 Systems, Inc. 12:00 AM ------ Using: Data Import 2/21/2006 0 OMNI —Inspection** No Acess to building 3:51 PM Environmental could not check, Pant 5/23/2005 Systems, Inc. system turned off,so 12:00 AM ------ I could not check Using: Data audible alarm Import 2/21/2006 0 OMNI "Inspection" �+► 3:51 PM Environmental Prrnt 2/23/2005 Systems, Inc. 12:00 AM ------ Using: Data Import 5/2/2005 0 OMNI **Inspection— no access to house View >`s 10:16 AM Environmental homeowners live in = pant 12/8/2004 Systems, Inc. NH for winter 8:00 AM ------ months Using: The Web Site 2/21/2006 0 OMNI **Inspection** 3:51 PM Environmental Pant < 12/8/2004 Systems, Inc. 12:00 AM ------ Using: Data Import 4/13/2005 0 OMNI Sampling Sample results lfiew _ 2:56 PM Environmental Report obtained from OMNI 8/2/2004 Systems, Inc. excel spreadsheets 8:00 AM ----- files Using: The Web Site 2/21/2006 0 OMNI —Inspection** 3:51 PM Environmental 8/2/2004 Systems, Inc. 12:00 AM --- Using: Data Import 4/13/2005 0 OMNI Sampling Sample results 1i MJ `. 2:55 PM Environmental Report obtained from OMNI = Pruit`: 5/26/2004 Systems, Inc. excel spreadsheets 8:00 AM ------ files . http-//`carmody.biz/pump/Service_History.aspx?permit_id=254224 10/7/2013 CarmodyTM Service History Page 8 of 8 Using: The Web Site 2/21/2006 0 OMNI "*Inspection** r..;view ; 3:51 PM Environmental Prmt. _ 5/26/2004 Systems, Inc. 12:00 AM ------ Using: Data Import 2/21/2006 0 OMNI *"Inspection** 3:51 PM Environmental 5/8/2003 Systems, Inc. 12:00 AM ------ Using: Data Import Total Gallons Pumped=0 This is a privately operated web site. Sponsorship does not constitute an endorsement from any participating regulatory agency. Copyright©2013 Carmody®.All rights reserved. Legal I Privacy http://c=ody.biz/pump/Service_History.aspx?permit_id=254224 10/7/2013 CarmodyTM Service History Page 1 of 2 Sampling Report Tracking Number: BAR49195RSF-B Name: Randal Cox Site Address: 195-B Route 149 Marstons Mills, MA Mail Address: P.O. Box 1418 Marstons Mills, MA Assigned Provider: Bennett Environmental Associates, Inc. From Property Profile Management Level: General with Nitrogen Requirements Selected Service Provider ID: 12580 Selected Service Provider: Bennett Environmental Associates, Inc. Report Filed By: David C Bennett Components that were sampled: 1: RSF Last Report Dates _Lid Depth Inspection: 9/12/2013 Septic Tank: Maintenance: None Filed Lift Tank/Siphon Chamber: Pump: None Filed Aeration Unit: Date & Time Serviced: 9/12/2013 1:30:00 PM Notes/Comments/Message None Recorded or Other Observations: (Viewable by Regulators and Service Providers ONLY!) Laboratory Alpha Analytical i :', Sampling Report Questions- Sampler Name lJoseph Smith Data Quality Good Sample Type grab Effluent (Leave item blank if not tested) BOD5 Amount(mg/L) j Nitrate Amount(mg/L) Nitrite Amount(mg/L) 10.025 pH Amount(mg/L) TKN Amount(mg/L) 12.11 Total Nitrogen (mg/L) 17.34 TSS Amount(mg/L) http://carmody.biz/Pump/Service_Reports.aspx?ha=1&hi=1&po=l&id=10765 5 8&permit_... 10/7/2013 CarmodyTM Service History Page 2 of 2 This report only describes the conditions at the time of service and under the conditions of use at that time.This report does not address how the system will perform in the future under the same or different conditions of use.Carmody,Compass and Septic Search are independent business entities and are not associated with business practices or liabilities assumed by the inspection,inspectors and or their business entities. **This is a copy of an electronic document generated from Carmody. ©Copyright 2013 CDS Holding, Inc.All rights reserved. Report Active Question Color Key: (Sample)=Required Question I http://carmody.biz/Pump/Service_Reports.aspx?ha=1&hi=1&po=1&id=107655 Upermit_... 10/7/2013 Message _/ P� Page 1 of 1 McKean, Thomas From: Randy Cox [randycox2009@yahoo.com] Sent: Monday, October 07, 2013 8:59 AM *13 To: Health Subject: Re: reduction of inspections to my septic system Mr. McKean My wife and I only live at 195B Route 149 about 4 weeks a year. Thank you for your help. Randy Cox From: Health <Health@town.barnstable.ma.us> To: Randy Cox <randycox2009@yahoo.com> Sent: Monday, October 7, 2013 6:48 AM Subject: RE: reduction of inspections to my septic system Hello Again, I have a follow-up question: Do you reside at 195E Herring Run les than six months per year?or greater than six months per year? Sincerely, Thomas McKean -----Original Message----- From: Randy Cox [mai Ito:ra ndycox2009@yahoo.com] Sent: Sunday, October 06, 2013 4:21 PM To: Health Subject: reduction of inspections to my septic system Mr. Tom McKean My name is Randall Cox I live at 195B Route 149 Marstons Mills, Ma 02648. I would like to request my septic system inspections be considered for a reduction. I have lived at this address for 10 years in June 2013 and have had my system tested 4 times a year. We live in one of the nine homes in the Herring Run Place. I'm working out of state and would not be able to attend the board meetings this year. What can I do to be represented at the meeting for the boards consideration for the testing reduction? Thank you for any help you can give me. My phone number is 602-289-7409 anytime. If I need to do anything additional please let me know. Randy Cox 10/7/2013 Message Page 1 of 1 Crocker, Sharon �S "`` " T7 �a From: McKean, Thomas on behalf of Health Sent: Monday, October 07, 2013 8:45 AM 17 ' To: 'Randy Cox' /�- Cc: Crocker, Sharon; Malkus, Karen Subject: RE: reduction of inspections to my septic system Good Morning, The next available Board of Health meeting will be held on Tuesday November 12, 2013 at 3:00 p.m., at the Town Hall Building, 367 Main Street Hyannis, second floor Hearing Room. We will place your request onto that agenda. I don't have an answer to your question regarding your need for representation. Perhaps you can request someone else (i.e. friend, neighbor, an attorney)to represent you at that meeting. Sincerely, Thomas McKean -----Original Message----- From: Randy Cox [mailto:randycox2009@yahoo.com] Sent: Sunday; October 06, 2013 4:21 PM To: Health Subject: reduction of inspections to my septic system Mr. Tom McKean My name is Randall Cox I live at 195B Route 149 Marstons Mills, Ma 02648. 1 would like to request my septic system inspections be considered for a reduction. I have lived at this address for 10 years in June 2013 and have had my system tested 4 times a year. We live in one of the �ine I homes in the Herring Run Place. I'm working out of state and would not be able to attend the board meetings this year. What can I do to be represented at the meeting for the boards consideration for the testing reduction? Thank you for any help you can give me. My phone number is 602-289-7409 anytime. If I need to do anything additional please let me know. Randy Cox .r 10/7/2013 l Town of Barnstable Barnstable °p IKE ray Board of Health edcaG"i y'"�S. 200 Main Street, Hyannis MA 02601 m 2007 o°ArfO MA't� OFFICE: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi Randy Cox, 195 Route 149, Unit#B, Marstons Mills, MA 02648 ACKNOWLEDGEMENT OF RECEIPT: October 21, 2013 We have receivedyour submission to the Board of Health Re: 195 route 149 — B, 11arstons 94iChs for a hearing to reduce your monitoring requirements for your 11A septic system: Thankyou. Your item will be heard at the Board of Health Meeting on the: Date of: Tuesday, November 12, 2013 You, or a representative for you, is expected to be present to answer questions the Board may have. Meeting Location: Town Hall, 367 Main St, Hyannis Hearing Room, Second Floor Time: . 3:00—6:00 P.M. Approximately three days prior to meeting, an agenda will be sent out to you— once it is available. It will also be available on line at the town website: www.town.bamstable.ma.us Go to ..."Boards & Committees > Board of Health - or- Go to Official Agendas QAAGENDAS BOH\Iet Receipt ofBOH Submission 2013.doe THE rely Barnstable " Town of BarnstableAFAm edcacm BARN ' Board of Health � �s� a ' 200 Main Street, Hyannis MA 02601 2007 Office: 508-8624644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi October 11, 2013 Barbara,A. Ryshavy PO Box 1001 Marstons Mills, MA 02648 RE. Operation and-lVMintenance(O&M) of your Innovative/Alternative (OMNI) System at 195 Route 149, #F; Marstons Mills A 078-018-40Fr , Herring Run Place Condo Dear Ms. Ryshavy, You are granted permission to reduce operation and maintenance of your innovative/alternative technology (OMNI 2000 Recirculating Sand Filter system) at 195 Route 149, #F to two times per year. A public hearing was held before the Board of Health on October 8, 2013. The Board reviewed your previous years of service records in regards to the operation and maintenance of your innovative system as well as the testing results of the effluent wastewater. The system has been functioning very well with the median total nitrogen level at or below 19 mg/liter, which meets the discharge limits. Permission is.granted to reduce the frequency of operation and maintenance of your I/A system at your property will the following conditions: ❖ The wastewater effluent shall be tested for Total Nitrogen once per year. ❖ Operation and'Maintenance Inspections shall be conducted twice per year in accordance with MA DEP Regulations. Since ely, ayn' Miller, M.D., Chairman Q`AW PFILES\RyshavyOperationandMaintenance2013.doe HERRING RUN PLACE,UNIT#F 195 Route.149 ° I Marstons Mills i McKean, Thomas M/P 078-018-40F °From: bry [bryshavy@aol.comj Sent: Tuesday, September 17, 2013 11:29 AM To: Health Cc: bryshavy@aol.com Subject: Request to get on Oct. 8 Agenda for Board of Health Meeting To: Wayne Miller, M.D. From: Barbara A Ryshavy I am requesting to be put on the October 8, 2013 Board of Health Meeting agenda to have the inspection, monitoring, testing and maintenance status of my Recirculating Sand Filtration System reviewed for approval of a reduction in frequency from four times per year to two times per year. I am the homeowner at 195F Route 149 and have had the existing Recirculating Sand Filtration System since the home was built in 2002. The system is currently being monitored, inspected, tested, and maintained by Bennett Environmental Associates. This'is my primary residence which I occupy 12 months of each year. I will send in my application and provide the necessary information prior to this meeting. I thank you for your attention to this request. My kind regards, Barbara A Ryshavy 9/18/2013': Carm-PdyTM Service History Page 1 of 8 Property History Property Information Property ID BAR49195RSF-F (Tracking Number) Name Ryshavy, Barbara Site Address 195-F Route 149 Marstons Mills, MA Service Statistics Total Service Events (To Date) 55 Service History -All Date Report Type Entered Gallons Recorded By or Comments Date Pumped Disposal Site Serviced 9/19/2013 0 Bennett Sampling 8:49 AM Environmental Report 9/12/2013 Associates, Inc. 9:40 AM ------ Using: The Web Site 9/19/2013 0 Bennett "Inspection" Conducted O&M visit along with effluent 8:47 AM Environmental quality field testing and pulled effluent 9/12/2013 Associates, Inc. samples for lab analysis. 9:40 AM ------ Using: The Web Site 6/10/2013 0 Bennett "Inspection" Conducted O&M, along with effluent quality 10:55 AM Environmental field testing. Replaced faulty high level alarm 6/6/2013 Associates, Inc. float switch in Recirculation tank. 10:30 AM ------ Using: The Web Site 3/7/2013 0 Bennett "Inspection" System is operating correctly. Effluent 8:50 AM Environmental quality passed field testing parameters. 3/6/2013 Associates, Inc. 10:30 AM ------ Using: The Web Site 1/2/2013 System Generated No service No service event reported within service 12:00 AM recorded schedule: 09/06/2012 to 01/01/2013. 1/2/2013 12:00 AM Notes: No service event was recorded by the system for this component: Sample Report(Effluent) 1/2/2013 0 Bennett "Inspection" System is not functioning properly. Received 11:02 AM Environmental permission from owner to order and install a 12/28/2012 Associates, Inc. new control panel. Did not conduct field 11:30 AM ------ '� http://carmody.biz/pump/Service_History.aspx?pmode=l&permit_id=254229&ha=10 9/23/2013 CarmodyTM Service History Page 2 of 8 Using: The Web testing due to system not functioning Site properly. 9/18/2012 0 Bennett Sampling System was not functioning upon arrival. 2:02 PM Environmental Report Power to system was tripped in basement 9/6/2012 Associates, Inc. (old control panel). System operational upon 9:00 AM ------ departure. Collected samples on 9-6-12, Using: The Web diagnosed problem on 9-5-12. Site 9/18/2012 0 Bennett "Inspection" System was not functioning upon arrival. 2:01 PM Environmental Power to system was tripped in basement 9/6/2012 Associates, Inc. (old control panel). System operational upon 9:00 AM ------ departure. Collected samples on 9-6-12, Using: The Web diagnosed problem on 9-5-12. Site 6/12/2012 0 Bennett "Inspection" System operating correctly. Effluent quality 1:27 PM Environmental passed field testing parameters. 6/8/2012 Associates, Inc. 10:30 AM ------ Using: The Web Site 3/21/2012 0 Bennett "Inspection" Conducted general O&M visit along with 11:55 AM Environmental effluent quality field testing. 3/12/2012 Associates, Inc. 1:30 PM ------ Using: The Web Site 1/2/2012 System Generated No service No service event reported within service 12:00 AM recorded schedule: 09/14/2011 to 01/01/2012. 1/2/2012 12:00 AM Notes: No service event was recorded by the system for this component: Sample Report(Effluent) 12/22/2011 0 Bennett "Inspection" System functioning correctly. Effluent quality 2:48 PM Environmental passed field testing parameters. 12/21/2011 Associates, Inc. 11:00 AM ------ Using: The Web Site 9/27/2011 0 Bennett Sampling 8:33 AM Environmental Report 9/14/2011 Associates, Inc. 11:15 AM ------ Using: The Web Site 9/27/2011 0 Bennett "Inspection" Conducted general O&M, effluent quality field 8:32 AM Environmental testing, and pulled annual samples for lab 9/14/2011 Associates, Inc. analysis. 11:15 AM ------ Using: The Web Site 6/13/2011 0 Bennett "Inspection" Conducted O&M along with effluent quality 10:50 AM Environmental field testing. 6/10/2011 Associates, Inc. 9:45 AM ------ Using: The Web Site http://carmody.biz/pump/Service_History.aspx?pmode=l&permit_id=254229&ha=l0 9/23/2013 CannodyTM Service History Page 3 of 8 3/15/2011 0 Bennett **Inspection** Conducted O&M along with effluent quality 12:45 PM Environmental field testing 3/9/2011 Associates, Inc. 11:15 AM ------ Using: The Web Site 1/6/2011 0 Bennett **Inspection** Conducted O&M, and field testing 2:12 PM Environmental 1/4/2011 Associates, Inc. 1:45 PM ------ Using: The Web Site 1/2/2011 System Generated No service No service event reported within service 12:00 AM recorded schedule: 09/09/2010 to 01/01/2011. 1/2/2011 12:00 AM Notes: No service event was recorded by the system for this component: RSF 1/2/2011 System Generated No service No service event reported within service 12:00 AM recorded schedule: 09/09/2010 to 01/01/2011. 1/2/2011 12:00 AM Notes: No service event was recorded by the system for this component: Sample Report(Effluent) 2/25/2011 Bennett *'Saved Sample 26 mg/L> 19 mg/L for TKN Amount : 26.87 9:26 AM Environmental Message" mg/L> 19 mg1L for Total Nitrogen Associates, Inc. 9/17/2010 0 Bennett Sampling 10:13 AM Environmental Report 9/9/2010 Associates, Inc. 1:00 PM ------ Using: The Web Site 9/17/2010 0 Bennett "Inspection** Conducted O&M inspection,field testing, and 10:10 AM Environmental pulled effluent sample for lab analysis 9/9/2010 Associates, Inc. 1:00 PM ------ Using: The Web Site 6/14/2010 0 Bennett **Inspection** General O&M visit, and field sampling 3:05 PM Environmental conducted 6/9/2010 Associates, Inc. 11:00 AM ------ Using: The Web Site 3/22/2010 0 Bennett **Inspection** General O&M visit, and field testing. 1:09 PM Environmental Replaced faulty low level float switch with a 3/17/2010 Associates, Inc. new one. 12:00 PM ------ Using: The Web Site 3/1/2010 Bennett **MESSAGE** The System Needs Follow Up Service 9:43 AM Environmental Came From (Component Replacement or Service, 1/8/2010 Associates, Inc. Message Board Components Made Accessible for Inspection 1:36 PM or Sampling, System Pumping, etc.) 1/8/2010 0 Bennett **Inspection** On/Off float switch in recirculation tank is not 1:36 PM Environmental functioning correctly and needs replacement. http://carmody.biz/pump/Service_History.aspx?pmode=l&permit_id=254229&ha=10 9/23/2013 CarmodyTM Service History Page 4 of 8 1/6/2010 Associates, Inc. Homeowner is aware of situation and will be 3:00 PM ------ having float switch replaced with a functional Using: The Web one. Site 1/2/2010 System Generated No service No service event reported within service 12:00 AM recorded schedule: 08/27/2009 to 01101/2010. 1/2/2010 12:00 AM Notes: No service event was recorded by the system for this component: RSF 1/2/2010 System Generated No service No service event reported within service 12:00 AM recorded schedule: 07/01/2009 to 01101/2010. 1/2/2010 12:00 AM Notes: No service event was recorded by the system for this component: Sample Report(Effluent) 9/16/2009 OMNI **MESSAGE** The System Needs Follow Up Service 1:51 PM Environmental Came From (Component Replacement or Service, 9/16/2009 Systems, Inc. Message Board Components Made Accessible for Inspection 10:11 AM or Sampling, System Pumping, etc.) 9/16/2009 0 OMNI **Inspection** 10:11 AM Environmental 8127/2009 Systems, Inc. 11:25 AM ------ Using: The Web Site 4/24/2009 OMNI **Saved Sample 31 mg/L> 30 mg/L for BOD5 Amount : 21.4 1:12 PM Environmental Message** mg/L> 19 mg/L for Total Nitrogen Systems, Inc. 4/17/2009 0 OMNI Sampling 9:22 AM Environmental Report 4/8/2009 Systems, Inc. 10:45 AM ------ Using: The Web Site 4/8/2009 0 OMNI **Inspection** O&M Conducted Effluent Sample Pulled 1:26 PM Environmental 4/8/2009 Systems, Inc. 10:45 AM ------ Using: The Web Site 1/15/2009 0 OMNI **Inspection** 11:38 AM Environmental 1211712008 Systems, Inc. 12:30 PM ------ Using: The Web Site 8/13/2008 0 OMNI **Inspection** System needs electrical repair, left 12:16 PM Environmental homeowner a notice to contact me. 8/13/2008 Systems, Inc. 9:00 AM ------ Using: The Web Site 3/17/2008 0 OMNI **Inspection** 7:58 AM Environmental 3/14/2008 Systems, Inc. 11:30 AM ------ http://carmody.biz/pump/Service_History.aspx?pmode=l&permit_id=254229&ha=10 9/23/2013 Carm-odyTM Service History Page 5 of 8 Using: The Web Site 8/31/2007 0 OMNI **Inspection** 12:31 PM Environmental 8/23/2007 Systems, Inc. 10:45 AM ------ Using: The Web Site 8/15/2007 0 OMNI **Inspection** 1:27 PM Environmental 8/13/2007 Systems, Inc. 8:30 AM ------ Using: The Web Site 5/2/2007 OMNI *Saved Sample 9:19 AM Environmental Message— 44 mg/L> 30 mg/L for BOD5 Amount Systems, Inc. 4/18/2007 0 OMNI **Inspection** 9:08 AM Environmental 4/16/2007 Systems, Inc. 1:30 PM ------ Using: The Web Site 5/3/2007 OMNI **MESSAGE** The System Needs Follow Up Service 11:10 AM Environmental Came From (Component Replacement or Service, 11/14/2006 Systems, Inc. Message Board Components Made Accessible for Inspection 6:41 AM or Sampling, System Pumping, etc.) 11/14/2006 0 OMNI **Inspection** 6:41 AM Environmental 11/13/2006 Systems, Inc. 1:30 PM ------ Using: The Web Site 8/1/2006 0 OMNI **Inspection** 8:06 AM Environmental 7/31/2006 Systems, Inc. 2:15 PM ------ Using: The Web Site 5/2/2007 OMNI "Saved Sample 24.0 mg/L> 19 mg/L Nitrate 9:19 AM Environmental Message— 27.2 mg/L> 19 mg/L TN Systems, Inc. 5/8/2006 0 OMNI Sampling 1:34 PM Environmental Report 4/6/2006 Systems, Inc. 10:50 AM ------ Using: The Web Site 4/11/2006 0 OMNI **Inspection** 1:06 PM Environmental 4/6/2006 Systems, Inc. 10:50 AM ------ Using: The Web Site 4/24/2007 0 OMNI Sampling 2:00 PM Environmental Report Systems, Inc. http://carmody.biz/pump/Service_History.aspx?pmode=l&permit_id=254229&ha=10 9/23/2013 CarmodyTM Service History Page 6 of 8 12/12/2005 ------ 1:30 PM Using: The Web Site 2/21/2006 0 OMNI "Inspection" 3:51 PM Environmental 12/12/2005 Systems, Inc. 12:00 AM ------ Using: Data Import 4/24/2007 0 OMNI Sampling 1:59 PM Environmental Report 8/9/2005 Systems, Inc. 1:00 PM ------ Using: The Web Site 2/21/2006 0 OMNI "Inspection"* 3:51 PM Environmental 8/9/2005 Systems, Inc. 12:00 AM ------ Using: Data Import 4/24/2007 0 OMNI Sampling 1:57 PM Environmental Report 5/23/2005 Systems, Inc. 1:00 PM ------ Using: The Web Site 2/21/2006 0 OMNI "Inspection" 3:51 PM Environmental 5/23/2005 Systems, Inc. 12:00 AM ------ Using: Data Import OMNI 37 mg/L exceeded the limit of 19 mg/L for 9/1/2005 Environmental `Saved Sample TKN Amount : 38.5 mg/L exceeded the limit 10:53 AM Systems, Inc. Message— of 19 mg/L for Total Nitrogen OMNI 274 mg/L exceeded the limit of 30 mg/L for 9/1/2005 Environmental Saved Sample BOD5 Amount : 35 mg/L exceeded the limit of 10:53 AM Systems, Inc. Message" 19 mg/L for TKN Amount : 35 mg/L exceeded the limit of 19 mg/L for Total Nitrogen 4/24/2007 0 OMNI Sampling 1:55 PM Environmental Report 4/8/2005 Systems, Inc. 12:20 PM ------ Using: The Web Site 2/21/2006 0 OMNI "Inspection" 3:51 PM Environmental 4/8/2005 Systems, Inc. 12:00 AM --- Using: Data Import 4/24/2007 0 OMNI Sampling 1:53 PM Environmental Report 2/23/2005 Systems, Inc. 10:50 AM -- Using: The Web Site 2/21/2006 0 OMNI "Inspection" 3:51 PM Environmental Systems, Inc. http://carmody.biz/pump/Service_History.aspx?pmode=l&permit_id=254229&ha=10 9/23/2013 CarnajadyTM Service History Page 7 of 8 2/23/2005 ------ 12:00 AM Using: Data Import 4/22/2005 0 OMNI Sampling 2:53 PM Environmental Report 12/22/2004 Systems, Inc. 8:00 AM ------ Using: The Web Site 2/21/2006 0 OMNI "*Inspection*" effluent very clear, brownish tinge coloring to 3:51 PM Environmental it. no suspended soils in effluent. 12/22/2004 Systems, Inc. 12:00 AM ------ Using: Data Import 2/21/2006 0 OMNI **Inspection*" 3:51 PM Environmental 12/16/2004 Systems, Inc. 12:00 AM ------ Using: Data Import 5/2/2005 0 OMNI "*Inspection" need to replace control panel next visit 10:09 AM Environmental 12/8/2004 Systems, Inc. 8:00 AM ------ Using: The Web Site 2/21/2006 0 OMNI **Inspection** 3:51 PM Environmental 12/8/2004 Systems, Inc. 12:00 AM ------ Using: Data Import 2/21/2006 0 OMNI "*Inspection"* 3:51 PM Environmental 8/4/2004 Systems, Inc. 12:00 AM ------ Using: Data Import 2/21/2006 0 OMNI **Inspection" 3:51 PM Environmental 7/9/2004 Systems, Inc. 12:00 AM ------ Using: Data Import 2/21/2006 0 OMNI **Inspection** 3:51 PM Environmental 12/4/2003 Systems, Inc. 12:00 AM ------ Using: Data Import 2/21/2006 0 OMNI **Inspection** 3:51 PM Environmental 5/8/2003 Systems, Inc. 12:00 AM ------ Using: Data Import 4/22/2005 0 OMNI Sampling 2:51 PM Environmental Report 12/5/2002 Systems, Inc. 8:00 AM ------ Using: The Web Site 2/21/2006 0 OMNI **Inspection** 3:51 PM Environmental http://carmody.biz/pump/Service_History.aspx?pmode=l&permit_id=254229&ha=10 9/23/2013 Carmr*)dyTM Service History Page 8 of 8 12/5/2002 Systems, Inc. 12:00 AM ------ Using: Data Import 2/21/2006 0 OMNI "Inspection" 3:51 PM Environmental 10/18/2002 Systems, Inc. 12:00 AM ------ Using: Data Import Total Gallons Pumped=0 http://carmody.biz/pump/Service_History.aspx?pmode=l&permit_id=254229&ha=10 9/23/2013 pF'THE r Barnstable Town of BarnstableAg-ft edc,cm EBLA MAS& Board of Health , ► Arfn °` 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi October 11, 2013 Carolyn.C. Keating PO Box 1492 Marstons Mills, MA 02648 RE:,,Operation and Maintenance (O&M) of your.-Innovative/Alternative (OIVINI) System.at 195 Route 149,-#I,.Marstons Mills A= 078 0'1,8-40I Herring Run Place Condo Dear Ms. Ryshavy, You are granted permission to reduce operation and maintenance of your innovative/alternative technology (OMNI 2000 Recirculating Sand Filter system) at 195 Route 149, #1 to two times per year. A public hearing was held before the Board of Health on October 8, 2013. The Board reviewed your previous years of service records in regards to the operation and maintenance of your innovative system as well as the testing results of the effluent wastewater. The system has been functioning very well with the median total nitrogen level at or below 19 mg/liter, which meets the discharge limits. Permission is granted to reduce the frequency of operation and maintenance of your I/A system at your property will the following conditions: The wastewater effluent shall be tested for Total Nitrogen once per ,year. ❖ ,Operation and Maintenance Inspections shall be conducted twice per year in accordance with MA DEP Regulations. Sincere , Wayne Ma ler, M.D., Chairman" Q:\WPFILES\KeatingOperation andMaintenance2013.doe HERRING RUN PLACE, UNIT# I } 195 Route 149 Marstons Mills l M/P`078-018-40I i I McKean, Thomas From: Carolyn Keating [cckeating@comcast.net] Sent: Thursday, September 26, 2013 11:41 AM To: , J Health Subject: Request Permission for Test Frequency Reduction ATT: WAYNE MILLER, MD, CHAIRMAN, BOARD OF HEALTH MR. TOM MCKEAN Dear Dr. Miller: I am requesting permission to reduce the FREQUENCY OF TESTING of my septic system, located at 195-I HERRING RUN PLACE. 195-I Route 149, MARSTONS MILLS, Massachusetts. I believe you and Mr. Tom McKean are familiar with this system, as 'there are nine homes in all in this complex. We are currently being tested by Bennett Environmental Services, who have served us carefully and well for a number of years. Presently we are tested four (4) times a year, and would like to have this number reduced. May I please be placed on your agenda for October 8? Thank you very much for your help. Sincerely, Carolyn C. Keating 508 420-3768 P. 0. Box 1492 Marstons Mills MA 02648 i i i i 1 CarmodyTM Service History Page 1 of 2 CarmodyTM Environmental Management Services BARNSTABLE County, Massachusetts —Thomas McKean -9/30/2013 Main Menu Service History Home Log Out How To:All Tutorials ' si__ry Apply for Passwords Printt Service Histo Support Phone/Fax Report Tech Problem Property Information Chan ae uest Form Chan a P/Rassword Property ID BAR49195RSF-I (Tracking Number) Carmody Training Links Map Register Event File a Service Event Name Keating, Carolyn How To:File Event Site Address 195-1 Route 149 Data Resources Marstons Mills, MA Search for a Property Service Activity Create a Report Service Statistics Create an Excel File Statistics Report Total Service Events (To Date) 51 Split Parcels Setup 6 a.. 1 Review Questions Send Pa ment ❑ View Onsite Service History: 1 2 3 All Years r7' Include Inactive Show All Reports Service History - 1 Year Date Report Type Entered Gallons Recorded By or Comments Date Pumped Disposal Site Serviced 9/17/2013 0 Bennett Sampling i .View 1:13 PM Environmental Report Print: - 9/11/2013 Associates, Inc. 9.00 AM ------ Using: The Web Site 9/17/2013 0 Bennett "Inspection"* Conducted general :c-: ►flew n 1:12 PM Environmental O&M along with Print';, Y 9/11/2013 Associates, Inc. effluent quality field 9:00 AM ------ testing and Using: The Web collected effluent Site samples for lab analysis 6/7/2013 0 Bennett "Inspection" Conducted O&M = Vew 1:22 PM Environmental along with effluent 6/5/2013 Associates, Inc. quality field 9:00 AM ------ testing. Using: The Web Site 3/7/2013 0 Bennett **Inspection** System is operating Iuiew;; 9:34 AM Environmental correctly. Effluent ""` Pr�nti 3/6/2013 Associates, Inc. quality passed field 9:00 AM ------ testing parameters. Using: The Web Observed system Site cycle while on Site. 1/2/2013 System No service No service event 12:00 AM Generated recorded reported within CarmodyTM Service History Page 2 of 2 1/2/2013 service schedule: 12:00 AM 09/05/2012 to 01/01/2013. Notes: No service event was recorded by the system for this component: Sample Report(Effluent) 1/2/2013 0 Bennett **Inspection** System is operating 2:11 PM Environmental correctly. Effluent Pr"i„t 12/27/2012 Associates, Inc. quality pass field 9:15 PM ------ testing parameters. Using: The Web Site Total Gallons Pumped=0 This is a privately operated web site. Sponsorship does not constitute an endorsement from any participating regulatory agency. Copyright©2013 Carmody(D.All rights reserved. Legal I Privacy CarmodyTM Service History Page 1 of 3 Carmody TM Environmental Management Services 4dy BARNSTABLE County, Massachusetts—Thomas McKean — 9/30/2013 Main Menu Service History/ Home Log Out How To:All Tutorials ...._.._.__...__.___„_.__....__.._.._...,_._.. Apply for Passwords Print Service History) Support Phone/Fax Report Tech Problem Property Information Change/Request Form Change Password Property ID BAR49195RSF-I (Tracking Number) Carmody Training Links Map Register Event File a Service Event Name Keating, Carolyn How To:File Event Site Address 195-1 Route 149 Data Resources Marstons Mills, MA Search for a Property Service Activity Create a Report Service Statistics Create an Excel File Statistics Report Total Service Events (To Date) 51 Split Parcels Setup a:, Review Questions Send Payment View Onsite Service History: El Years r! Include Inactive Show All -' Reports Service History - 2 Years Date Report Type Entered Gallons Recorded By or Comments Date Pumped Disposal Serviced Site 9/17/2013 0 Bennett Sampling ;, ►fie+^i 1:13 PM Environmental Report 9/11/2013 Associates, Inc. 9:00 AM ------ Using: The Web Site 9/17/2013 0 Bennett "*Inspection" Conducted general s view iri 1:12 PM Environmental O&M along with Prmt 9/11/2013 Associates, Inc. effluent quality field 9:00 AM ------ testing and Using:The Web collected effluent Site samples for lab analysis 6/7/2013 0 Bennett "*Inspection"* Conducted O&M 1:22 PM Environmental along with effluent '•�: Pei11 ^ 6/5/2013 Associates, Inc. quality field testing. 9:00 AM ------ Using: The Web Site 3/7/2013 0 Bennett "Inspection"* System is operating 9:34 AM Environmental correctly. Effluent Prmt 3/6/2013 Associates, Inc. quality passed field 9:00 AM ------ testing parameters. Using:The Web Observed system Site cycle while on Site. 1/2/2013 System No service No service event 12:00 AM Generated recorded reported within CarmodyTM Service History Page 2 of 3 1/2/2013 service schedule: 12:00 AM 09/05/2012 to 0110112013. Notes: No service event was recorded by the system for this component: Sample Report(Effluent) 1/2/2013 0 Bennett "*Inspection" System is operating 2:11 PM Environmental correctly. Effluent .-V' .Print 12/27/2012 Associates, Inc. quality pass field 9:15 PM ------ testing parameters. Using: The Web Site 9/14/2012 0 Bennett 'Inspection" Conducted general lfiew' 1:44 PM Environmental O&M along with Print` 9/5/2012 Associates, Inc. effluent quality field 9:30 AM ------ testing and pulled Using: The Web effluent samples for Site lab analysis. 9/14/2012 0 Bennett Sampling 1:41 PM Environmental Report Pant=: 9/5/2012 Associates, Inc. 9:30 AM ------ Using:The Web Site 6/11/2012 0 Bennett 'Inspection" Conducted O&M View; 11:38 AM Environmental visit along with J�Print; 6/7/2012 Associates, Inc. effluent quality field 3:25 PM ------ testing. Using:The Web Site 3/20/2012 0 Bennett ''"Inspection" Conducted general lfiew , 1:14 PM Environmental O&M, effluent Print.A " 3/12/2012 Associates, Inc. quality field testing, 11:00 AM ------ and replaced top Using:The Web polylok riser Site sections on septic tank and on ' recirculation tank. 1/2/2012 System No service No service event 12:00 AM Generated recorded reported within 1/2/2012 service schedule: 12:00 AM 0 9/1 412 0 1 1 to 01/0112012. Notes: No service event was recorded by the system for this component: Sample Report(Effluent) 12/30/2011 0 Bennett "Inspection" Conducted general " lriew 1:21 PM Environmental O&M visit. Effluent Prmf! 1 2121/201 1 Associates, Inc. quality passed field 9:45 AM ------ testing parameters. Using:The Web Site [Total Gallons Pumped=0 I CarmodyTM Service History Page 1 of 2 CarmodyTm Environmental Management Services .. ody BARNSTABLE County, Massachusetts-Thomas McKean-9/30/2013 Main Menu Sampling Report (Home Question Color Key: (Sample)=Required Question Lo Out How To:All Tutorials Tracking Number: BAR49195RSF-I i fOr PasswOrds Name: Carolyn Keating ISupport Phone/Fax Report Tech Problem Site Address! 195-1 Route 149 'Chan elRe uestForm Marstons Mills,MA Chan a Password Mail Address: 195-1 Route 149 Carmod Training Marstons Mills, MA Register Event Assigned Provider: Bennett Environmental Associates, Inc. File a service Event From Property Profile i How To:File Event Management Level: General with Nitrogen Requirements Data Resources !Search for a Property Selected Service Provider ID: 12580 ;Service Activi Selected Service Provider: Bennett Environmental Associates, Inc. I.Create a Report Create an Excel File Report Filed By: David C Bennett Statistics Report IS lit Parcels Components that were sampled: Setup 1: RSF I Review Questions Send Payment Last Report Dates Lid Depth Inspection: 9/11/2013 Septic Tank: Maintenance: None Filed Lift Tank/Siphon Chamber: Pump: None Filed Aeration Unit: Date&Time Serviced: rg / 11 / 2013 @ F9 7: 00 AM Month /Day /Year Notes/Comments/Message None Recorded or Other Observations: (Viewable by Regulators and Service.Providers ONLY.I) Laboratory Alpha Analytical �_ Sampling Report Sampler Name Joseph Smith Data Quality Good Sample Type grabZi Effluent (Leave item blank if not tested) BOD5 Amount(mg/L) Nitrate Amount.(mg/L) 6.6 Nitrite Amount(mg/L) 0 22 pH Amount(mg/L) TKN Amount(mg/L) F2.33 Total Nitrogen(mg/L) 9.15 TSS Amount(mg/L) This report only describes the conditions at the time of service and under the conditions of use at that time.This report does not address how the system will perform in the future under the same or different conditions of use.Carmody,Compass and Septic Search are independent business entities and are not associated with business practices or liabilities assumed by the inspection,inspectors.and or their business entities. —This is a copy of an electronic document generated from Carmody. ©Copyright 2013 CDS Holding,Inc.All rights reserved. CarmodyTM Service History Page 1 of 2 CarmodyTM Environmental Management Services ody BARNSTABLE County, Massachusetts-Thomas McKean -9/30/2013 Main Menu Sampling Report Home Question Color Key: (Sample)=Required Question LogOut ut Ho To:All Tutorials Tracking Number: BAR49195RSF-I Awpply for Passwords _ Name: Carolyn Keating Support Phone/Fax Report Tech Problem_ Site Address: 195-1 Route 149 Change/Request Form Marstons Mills, MA Change Password Mail Address: 195-1 Route 149 Carmody Training Marstons Mills, MA Register Event Assigned Provider: Bennett Environmental Associates, Inc. File a Service Event From Property Profile How To:File.Event Management Level: General with Nitrogen Requirements Data Resources Search for a Propertv Selected Service Provider ID: 12580 Service Activi Selected Service Provider: Bennett Environmental Associates, Inc. Create a Report Create an Excel File Report Filed By: David C Bennett 1Statistics Report s lit Parcels Components that were sampled: Setup 1: RSF Review Questions Send Payment Las Report Dates Lid Depth Inspection: 9111l2013 Septic Tank: Maintenance: None Filed Lift Tank/Siphon Chamber: Pump: None Filed Aeration Unit: Date&Time Serviced: �9 -/�-;/ 21­1012 @�-: 30 AM Month /Day /Year Notes/Comments/Message None Recorded or Other Observations: Viewable by Regulators and Service Providers ONLY.r) Laboratory Sampling Report Sampler Name Joseph Smith Data Quality Good Sample Type grab Effluent (Leave item blank if not tested) BOD5 Amount(mg/L) Nitrate Amount(mg/L) 3,7 Nitrite Amount(mg/L) 10.14 pH Amount(mg/L) �— TKN Amount(mg/L) L3 Total Nitrogen(mg/L) r14 TSS Amount(mg/L) This report only describes the conditions at the time of service and under the conditions of use at that time.This report does not address how the system will perform in the future under the same or different conditions of use.Carmody,Compass and Septic Search are independent business entities and are not associated with business practices or liabilities assumed by the inspection,inspectors and or their business entities. "This is a copy of an electronic document generated from Carmody. ©Copyright 2013 CDS Holding,Inc.All rights reserved. A pF1 tOh, Barnstable Town of Barnstable �sac IA MASS.MAS BLE, • Board of Health - 1 a ATFD MAtb 200 Main Street, Hyannis MA 02601 2007 I Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi October 11, 2013 Mr. Stephen S. Dane PO Box 603 Marstons Mills, MA 02648 RE: -Operation and Maintenance (O&M) of your Innovative/Alternative (OMNI)-System at' 195'Route 149;#D; Marstons Mills A=-078-01-8 401) Herring Run Place Condo Dear Mr. Dane, You are granted permission to reduce operation and maintenance of your innovative/alternative technology (OMNI 2000 Recirculating Sand Filter system) at 195 Route 149, #D to two times per year. A public hearing was held before the Board of Health on October 8, 2013. The Board reviewed your previous years of service records in regards to the operation and maintenance of your innovative system as well as the testing'results of the effluent wastewater. The system has been, functioning very well with the median total nitrogen level at or below 19 mg/liter, which meets the discharge limits. Permission is granted to reduce the frequency of operation and maintenance of your I/A system at your property will the following conditions: ❖ The wastewater effluent shall be tested for Total Nitrogen once per year. ❖ Operation and Maintenance Inspections shall be conducted twice per year in accordance with MA DEP Regulations. I Since y, Wa Y Pet, M.D., Chairman BOAHEALTH Q:\WPFILES\DANE OperationandMaintenance2013.doc HERRING RUN PLAICE, UNIT# d z; 195 Route 149 Stephen & Pamela Dane Marstons Mills PO Box 603 M/P 078-018-40D Rte 149 D Herring Run Place Marstons Mills, MA 02648 September 16, 2013 Wayne Miller, MD Chairman of the Board Board of Health Hyannis, MA 02601 I am writing to request a hearing on October 8, 2013 regarding the sampling and testing of my OMNI 2000 Recirculation Sand Filtration System for my residence at 195-D Route 149, Marstons Mills. The system was installed in 2002-2003 and I moved into my home on June of 2003. The installation of my system did not require a variance from any state or local regulations, and my property is not located within any Well Protection (WP) Zones or any Groundwater Protection (GP) Zones. In 2009 The Board of Heath granted us permission to reduce sampling and monitoring of the system to once per year. We have now been in our home for over 10 years and each year we have had our system tested and maintained on a quarterly basis. Please see attached found on mass.gov site—Sand Filter Approval Letter regarding Systems. I am at this time requesting that future maintenance of my RSF system be done on a yearly basis. As in the past it will be performed by a Massachusetts certified operator for wastewater management. We should also note that during the winter we are away 48 days and our system every year has always passed with flying colors. If at any time these regular inspections indicate my system is not in compliance, I will take the necessary actions to resolve and correct any problem. We also have a monitoring device inside our home that monitors the pumps and the tanks. Thanking you in advance for your consideration. Sincerely; Page I of 2 McKean, Thomas From: greatdaneproductions@comcast.net Sent: Tuesday, September 17, 2013 8:45 AM To: McKean, Thomas Subject: Fwd: Sand Filter Approval from DEP & Hearing letter Hi Tom, It was nice talking with you once again. Please see attached letter regarding hearing for Oct. 8th with our request to go on yearly maintenance of our RSF System. Below is the forward on System Approval.Letter. Let me know if it looks ok to submit and I have everything you need. Bennett Environmental has been submitting our testing results since 2009 so, your office should have those results. Thanks again for all your help. Stephen Dane 508- 428- 1024 Sand Filter Approval Letter from DEP ii. The operator must inspect, and maintain the System according to the following, and anytime there is an alarm event. a. For Systems in use year round: 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. The followingparameters shall be monitored: H effluent B P p C ODS, TSS, alkalinity and TN (TKN+NO3-N+NO2-N). Each time the System is monitored, the water meter, if a water meter is installed, shall be read and the water use recorded. All monitoring data shall be submitted to the Department and the local approving authority per Section IV, item 8 below. After two years of monitoring and at the written request of the System owner, the local approving authority may reduce the inspection and monitoring requirements for residential systems to two inspections per year with field testing for pH,.DO and turbidity and laboratory testing for TN: Filter Approval Letter from DEP For Systems in use seasonally,- easonally where the facility is occupied fewer than six months per year; effluent from the System shall be monitored twice per season; 9/17/20:13 CarmodyTM Service History Page 1 of 1 Property History Property Information Property ID BAR49195RSF-D (Tracking Number) Name Dane, Stephen Site Address 195-D Route 149 Marstons Mills, MA Service Statistics Total Service Events (To Date) 52 Service History - 1 Year Date Report Type Entered Gallons Recorded By or Comments Date Pumped Disposal Site Serviced 9/20/2013 0 Bennett Sampling 11:58 AM Environmental----Report 9/12/2013 Associates, Inc. 10:30 AM ------ Using: The Web Site 9/20/2013 0 Bennett "*Inspection** Conducted general O&M along with 11:57 AM Environmental effluent quality field testing, pulled 9/12/2013 Associates, Inc. effluent samples for lab analysis. 10:30 AM ------ Using: The Web Site 6/7/2013 0 Bennett "*Inspection** Conducted O&M along with effluent 12:07 PM Environmental quality field testing. 6/5/2013 Associates, Inc. 12:30 PM . ----- Using: The Web Site 3/13/2013 0 Bennett **Inspection" O&M visit along with effluent quality 7:43 AM Environmental field testing. 3/8/2013 Associates, Inc. 11:30 AM ------ Using: The Web Site 1/2/2013 System Generated No service No service event reported within service 12:00 AM recorded schedule: 09/06/2012 to 01/01/2013. 1/2/2013 12:00 AM Notes: No service event was recorded by the system for this component: Sample Report(Effluent) 1/2/2013 0 Bennett **Inspection** System is operating correctly. Effluent 12:39 PM Environmental quality passed field,testing parameters. 12/28/2012 Associates, Inc. 12:10 PM ------ Using: The Web Site Total Gallons Pumped=0 htt-o://carmody.biZ/pump/Service Historv.asnx?-Dmode=l&hermit id=254227&cidd=6351... 9/23/2013 CarmodyTM Service History Page 1 of 7 Property History Property Information Property ID BAR49195RSF-D (Tracking Number) Name Dane, Stephen Site Address 195-D Route 149 Marstons Mills, MA Service Statistics Total Service Events (To Date) 52 Service History -All Date Report Type Entered Gallons Recorded By or Comments Date Pumped Disposal Site Serviced 9/20/2013 0 Bennett Sampling 11:58 AM Environmental Report 9/12/2013 Associates, Inc. 10:30 AM ------ Using: The Web Site 9/20/2013 0 Bennett "Inspection" Conducted general O&M along with effluent 11:57 AM Environmental quality field testing, pulled effluent samples 9/12/2013 Associates, Inc. for lab analysis. 10:30 AM ------ Using: The Web Site 6/7/2013 0 ' Bennett "Inspection" Conducted O&M along with effluent quality 12:07 PM Environmental field testing. 6/5/2013 Associates, Inc. 12:30 PM ------ Using: The Web Site 3/13/2013 0 Bennett "Inspection" OEM visit along with effluent quality field 7:43 AM Environmental testing. 3/8/2013 Associates, Inc. 11:30 AM ------ Using: The Web Site 1/2/2013 System No service No service event reported within service 12:00 AM Generated recorded schedule: 09/06/2012 to 01/01/2013. 1/2/2013 12:00 AM Notes: No service event was.recorded by the system for this component: Sample Report (Effluent) 1/2/2013 0 Bennett "Inspection" System is operating correctly. Effluent quality 12:39 PM Environmental passed field testing parameters. 12/28/2012 Associates, Inc. 12:10 PM ------ http://cannody.biz/pump/Servic e History.aspx?pmode=1&permit_id=254227&ha=10 9/23/2013 CarmodyTM Service History Page 2 of 7 Using: The Web Site 9/14/2012 0 Bennett Sampling System is operating correctly. Effluent quality 1:06 PM Environmental Report passed field testing parameters. 9/6/2012 Associates, Inc. 10:45 AM ------ Using: The Web Site 9/14/2012 0 Bennett *"Inspection" System operating correctly. Pulled effluent 1:04 PM Environmental samples for lab analysis. Effluent quality 9/6/2012 Associates, Inc. passed field testing parameters. 10:45 AM ------ Using: The Web Site 6/11/2012 0 Bennett "*Inspection" Conducted general O&M, effluent quality field 12:45 PM Environmental testing. 6/8/2012 Associates, Inc. 1:30 PM ------ Using: The Web Site 3/21/2012 0 Bennett "*Inspection" Conducted O&M visit along with effluent 1:31 PM Environmental quality field testing. Requested that 3/13/2012 Associates, Inc. homeowner have recirculation tank pumped 3:00 PM ------ out due to solids accumulation. Using: The Web Site 1/2/2012 System No service No service event reported within service 12:00 AM Generated recorded schedule: 09/14/2011 to 01/01/2012. 1/2/2012 12:00 AM Notes: No service event was recorded by the system for this component: Sample Report(Effluent) 12/28/2011 0 Bennett "Inspection*" System is not functioning correctly. 11:28 AM Environmental Recirculation tank pump is not functioning. 12/21/2011 Associates, Inc. Dosing pump is functioning properly. Notified 1:40 PM ---- homeowner of problem, granted verbal Using: The Web authorization for repair. Effluent quality Site passed field testing parameters. 9/27/2011 0 Bennett Sampling 8:44 AM Environmental Report 9/14/2011 Associates, Inc. 2:40 PM ------ Using: The Web Site 9/27/2011 0 Bennett "*Inspection" Conducted general system O&M, effluent 8:43 AM Environmental quality field testing, and pulled annual effluent 9/14/2011 Associates, Inc. samples for lab analysis. 2:40 PM ------ Using: The Web Site 6/13/2011 0 , Bennett "*Inspection" Conducted general O&M and effluent quality 11:16 AM Environmental field testing. 6/10/2011 Associates, Inc. 1:00'PM ------ Using: The Web Site i htt;, //�armnr�irhi�/nmm�/CPYVI(P. TNi.ctnry ncnx?mmnrlP.=1 RTnermit id=754?.?.7k..hn=10 /9.011 CarmodyTM Service History Page 3 of 7 3/14/2011 0 Bennett "Inspection" Conducted O&M and effluent quality field 1:11 PM Environmental testing. 3/8/2011 Associates, Inc. 1:00 PM ---- Using: The Web Site 1/6/2011 0 Bennett "Inspection" Conducted O&M,field testing. 12:58 PM Environmental 1/4/2011 Associates, Inc. 10:15 AM ------ Using: The Web Site 1/2/2011 System No service No service event reported within service 12:00 AM Generated recorded schedule:.09/08/2010 to 01/01/2011. 1/2/2011 12:00 AM Notes: No service event was recorded by the system for this component: RSF 1l2/2011 System No service No service event reported within service 12:00 AM Generated recorded schedule: 09/08/2010 to 01/01/2011. 1/2/2011 12:00 AM Notes: No service event was recorded by the system for this component: Sample Report(Effluent) 9/17/2010 0 Bennett Sampling 9:00 AM Environmental Report 9/8/2010 Associates, Inc. 11:15 AM ------ Using: The Web Site 9/17/2010 0 Bennett "Inspection" Conducted O&M,field testing, and pulled 8:56 AM Environmental effluent sample for lab analysis 9/8/2010 Associates, Inc. 11:15 AM ------ Using: The Web Site 6/22/2010 0 Bennett "Inspection" O&M and Field Sampling Visit. 7:22 AM Environmental 6/9/2010 Associates, Inc. 4:00 PM ---- Using: The Web Site - 3/22/2010 0 Bennett "Inspection" General O&M visit along with field testing 1:18 PM Environmental 3/1.6/2010 - Associates, Inc. 11:00 AM ------ Using: The Web Site 1/8/2010 0 Bennett "Inspection" 2:06 PM Environmental 1/6/2010 . Associates, Inc. 11:30 AM ------ Using: The Web Site 1/2/2010 System No service No service event reported within service 12:00 AM Generated recorded schedule: 08/26/2009 to 01/01/2010. Notes: httD://carmodv:biz/-Dump/Service Historv.aspx?pmode=l&permit id=254227&ha=10 9/23/2013 CarmodyTM Service History Page 4 of 7 1/2/2010 No service event was recorded by the system 12:00 AM for this component: RSF 1/2/2010 System No service No service event reported within service 12:00 AM Generated recorded schedule: 07/0112009 to 01101/2010. 1/2/2010 12:00 AM Notes: No service event was recorded by the system for this component: Sample Report(Effluent) 9/15/2009 0 OMNI "Inspection" 10:18 AM Environmental 8/26/2009 Systems, Inc. 10:00 AM ------ Using: The Web Site 4/17/2009 0 OMNI Sampling 9:24 AM Environmental Report 4/8/2009 Systems, Inc. 11:45 AM ------ Using: The Web Site 4/8/2009 0 OMNI "Inspection" O&M Conducted Effluent Sample Pulled 1:18 PM Environmental 4/8/2009 Systems, Inc. 11:45 AM ------ Using: The Web Site 1/12/2009 0 OMNI Sampling 1:03 PM Environmental Report 12/17/2008 Systems, Inc. 2:00 PM ------ Using: The Web Site 1/12/2009 0 OMNI "Inspection" 1:02 PM Environmental 12/17/2008 Systems, Inc. 2:00 PM ------ Using: The Web Site 12/11/2008 . OMNI **Saved Sample 19 mg/L> 19 mg/L for Nitrate Amount : 22.51 12657 PM Environmental Message*" mg/L> 19 mg/L for Total Nitrogen Systems, Inc. 12/11/2008 0. OMNI Sampling Resubmit,sorry hit wrong button on last one 11:34 AM Environmental Report 8/4/2008 Systems, Inc. 1:30 PM ------ Using: The Web Site .12/11/2008 0 OMNI Sampling 11`.28 AM Environmental Report 8/4/2008 Systems, Inc. 1:30.PM. ------ Using: The Web Site 8/6/2008 0 OMNI "Inspection" 8:58 AM Environmental 8/4/2008 Systems, Inc. 1:00 PM --- h I 11ttn•//r.armndv hies/nmm-n/4ervice Ni.tnrv.a.nx?mmnde=l&nermit id=2.54227&ha=10 9/23/2013 CarmodyTM Service History Page 5 of 7 Using: The Web Site 4/23/2008 OMNI **Saved Sample 19 mg/L> 19 mg/L for Nitrate Amount : 22 1:33 PM Environmental Message' mg/L> 19 mg/L for Total Nitrogen Systems, Inc. 3/24/2008 0 OMNI Sampling 1:30 PM Environmental Report 3/11/2008 Systems,Inc. 10:00 AM ------ Using: The Web Site 3/11/2008 0 OMNI **Inspection** 1:29 PM Environmental 3/11/2008 Systems, Inc. 10:00 AM ------ Using: The Web Site 2/28/2008 OMNI **MESSAGE** Homeowner Current with testing contract as of 9:29 AM Environmental 2-14-08 2/28/2008 Systems, Inc. 9:27 AM 12/6/2007 0 OMNI Sampling 11:31 AM Environmental Report 11/9/2007 Systems, Inc. 12:20 PM ------ Using: The Web Site 8/15/2007 0 OMNI **Inspection** 1:28 PM Environmental 8/13/2007 Systems, Inc. 10:20 AM ------ Using: The Web Site 5/9/2007 0 OMNI **Inspection** 8:32 AM Environmental 5/3/2007 Systems, Inc. 3:00 PM ------ Using: The Web Site OMN5/2/2007 **Saved Sample 21.2 mg/L> 19 mg/L for Total Nitrogen: 31 9:18 AM Environmental Systems, Inc. Message— mg/L> 30 mg/L for TSS Amount 5/2/2007 OMNI **Saved Sample 23 mg/L> 19 mg/L for Nitrate Amount : 23.1 9:18 AM Environmental Message* mg/L> 19 mg/L for Total Nitrogen Systems, Inc. 11/13/2006 0 OMNI **Inspection** Top Riser is damaged and cannot get cover to 8:45 AM Environmental secure properly 11/11/2006 Systems, Inc. 2:40 PM ------ Using: The Web Site 8/16/2006 0 OMNI **Inspection** Replaced faulty pump in recirculation tank. 7:42 AM Environmental 8/1512006 Systems, Inc. 3:30 PM ------ Using: The Web Site httn•//%armnriv hip/nmmn/Service Hstorv.asnx?nmode=l&hermit id=254227&ha=10 9/23/2013 CarmodyTM Service History Page 6 of 7 8/31/2007 OMNI **MESSAGE** Equipment needs service. ::: 08/31/07 -System 9:15 AM Environmental Came From operating properly at last inspection -CB . 8/1/2006 Systems, Inc. Message Board 8:21 AM 8/1/2006 0 OMNI **Inspection** 8:21 AM Environmental 7/31/2006 Systems, Inc. 2:45 PM ------ Using: The Web Site 5/8/2006 0 OMNI Sampling 1:26 PM Environmental Report 4/6/2006 Systems, Inc. 1:00 PM ------ Using: The Web Site 4/11/2006 0 OMNI **Inspection** 12:44 PM Environmental 4/5/2006 Systems, Inc. 1:00 PM ------ Using: The Web Site 4/24/2007 0 OMNI Sampling 3:03 PM Environmental Report 12/12/2005 Systems, Inc. 3:30 PM ------ Using: The Web Site 2/21/2006 0 OMNI **Inspection** 3:51 PM Environmental 12/12/2005 Systems, Inc. 12:00 AM ------ Using: Data Import 4/24/2007 0 OMNI Sampling 3:01 PM Environmental Report 8/9/2005 Systems, Inc. 3:00 PM ------ Using: The Web Site 2/21/2006 0 OMNI **Inspection** 3:51 PM Environmental 8/9/2005 Systems, Inc. 12:00 AM ------ Using: Data Import 4/24/2007 0 OMNI Sampling 3:00 PM Environmental Report '5/23/2005 Systems, Inc. 3:00 PM ------ Using: The Web Site 2/21/2006 0 OMNI **Inspection** 3:51 PM Environmental 5/23/2005 Systems, Inc. 12:00 AM - http://carmody.biz/pump/Service_History.aspx?pmode=l&permit_id=254227&ha=10 9/23/2013 CarmodyTM Ser. ice History Page 7 of 7 Using: Data Import 9/1/2005 OMNI "Saved Sample 5.4 mg/L exceeded the limit of 5 mg/L for 10:53 AM Environmental Message— Nitrite Amount : 19.5 mg/L exceeded the limit Systems, Inc. of 19 mg/Lfor Total Nitrogen 4/24/2007 0 OMNI Sampling 2:58 PM Environmental Report 2/23/2005 Systems, Inc. 12:10 PM ------ Using: The Web Site 2/21/2006 0 OMNI "*Inspection"* 3:51 PM Environmental 2/23/2005 Systems, Inc. 12:00 AM ------ Using: Data Import 5/2/2005- 0 OMNI "*Inspection" 10:13 AM Environmental 12/8/2004 Systems, Inc. 10:45 AM ------ Using: The Web Site 4/22/2005 0 OMNI Sampling 2:49 PM Environmental. Report 12/8/2004 Systems, Inc. 8:00 AM ------ Using: The Web Site 2/21/2006 0 OMNI "*Inspection" 3:51 PM Environmental 12/8/2004 Systems, Inc. 12:00 AM --- Using: Data Import 2/211/2006 0 OMNI "*Inspection" 3:51 PM Environmental 5/26/2004 Systems, Inc. 12:00 AM ------ Using: Data Import 2/21/2006 .0 OMNI "*Inspection" 3:51..PM Environmental 11/20/2003- Systems, Inc. 12:00 AM ------ Using: Data Import 2/21/2006 0 OMNI "*Inspection" 3:51 PM, Environmental 9/16/2063 Systems, Inc. 12:00 AM Using: Data. Import Total..Gallons Pumped=0 http://carmody.biz/pump/Service History.aspx?pmode=l&permit_id=254227&ha=10 9/23/2013 �ofTHE Tp Barnstable ,? p� Town of Barnstable A&AmeicaCdy I,9 MARSBt t,� Board of Health Ig F �O i639•- �� S AlF0 MAJA' 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi February 26, 2009 Mr. Thomas Fehnel 195A Route 149 Marstons Mills, MA 02648 RE: Sampling of Wastewater Effluent from your Innovative/Alternative (OMNI) System at - 195A`Route 149, Marstons•Mills �/a 61V 1491RCe A= 078-018-40A Dear Mr. Fehnel, Your request to discontinue sampling and monitoring of the wastewater effluent from your onsite sewage disposal system consisting of innovative/alternative technology (OMNI 2000 Recirculating Sand Filter system) at 195 Route 149, #A , is not Granted. A public hearing was held before the Board of Health on January 13, 2009. The hearing was continued until February 10, 2009. On February 10, 2009, the applicant was not present. However, after some discussion, the Board voted unanimously to require additional testing and monitoring. The Board has received a total of only two test results taken from this I/A system . This does not meet the MA DEP minimum sampling requirement of testing quarterly for two years. A total.of eight tests are required. Once eight samples are collected and sampled, you may come back to the Board for another review. You must continue with the current frequency of testing the wastewater effluent from the I/A system at your property: ❖ The wastewater effluent shall continue to be tested quarterly per year. Operation and Maintenance Inspections shall be conducted on a regular basis in accordance with MA DEP Regulations. Sine ely, -4 ayn iller, M: '.., irman QAWPFILESUA Monitoring Adj FehniFkteI492009.doc 1 F. -odq Thomas Fehnel 196A ROU19 149 Marston,Mills Ma.02648 772 Searomek Or. Winter Spring,Ft.32708 1218/08 Thomas McKean; Board of Heal 200 Main Street Hyannis, MA 02601 Dear Thomas McKean; I am writing to request a hearing on January 13, 2008 regarding the sampling and testing of my OMNI 2000 Recirculating Sand RWatieon Systom for my residence at 195A Route 1.49,Marstons MIAs. The system was installed in 2002-2003 and I moved into my home on dune 2005. The installation of my system did not require a variance from any state or local regulations, and my prop"is not looted wftNn any well PmWc8orr(WP)zones or any Groundwater Protection(GP)Zones. Sampina of my system was conducted in 2004(1)2008(1)only 2 samples Rave reported rest for E fluenL 8.3Total Nitrogen. The 2 results were below b-A 25- rnmigram per fiter ftk and the median msutt for the only two samples was 5.3 rngfL. I paid OMNi ErrAronmental Systems;Inc.$600.00 for 4 test in 2008 and have received only one rests for the testing in 2M. S5ee attact+ed results received from the County of Ba�rrtsb3e DeperUnerit of Health and Environmental Protection. I am at this time requesting that hwftw testing of my RSF system be dlsoontSnued as I w%be cor6v ng with quarterly Operation and Maintenance inspections of my system on a yeasty basis which will be performed by a Massachusetts ceffied operator for water maxi gernent. If at any time these regular inspections indices my system is not in compliance, I will take the necessary actions to resolve anacond any problem►. Thanking you in advance for your consideration of this request. Sir�erely, _ '" Thomas Fehnsl Ft - 195 RT 149 BARNSTABLE UNIT A Service Date Service Provider Notes/Comments Sample results obtained from OMNI excel 12/8/2004 8:00 OMNI Environmental Systems, Inc. spreadsheets files 3/11/200811:00 OMNI Environmental Systems, Inc. Effluent:Total Nitrogen Effluent:BODS 1.51 3 6.712 L } w Effluent:Nitrate Effluent:Nitrite Effluent:TKN 0.8 0 0.7 4.5 0.01 2.2 Effluent:TSS Effluent:PH 5 7.2 3 7.4 aFtt+e T�k Barnstable Town of Barnstable M-Ammea chy $Afa619aL E-b Board OrMealth MASS. , 200 Main Street, H annis MA 02601 ; V , y 2007 Office: 508-962-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi February 3, 2009 Mr. Randy Cox PO Box 1418 Marstons Mills, MA 02648 RE: Sampling of Wastewater Effluent from your Innovative/Alternative (OMNI),System at 195 Route 149, #B, Marstons Mills A= 078-018-40B Dear Mr. Cox, Your request to discontinue sampling and monitoring of the wastewater effluent from your onsite sewage disposal system consisting of innovative/alternative technology (OMNI 2000 Recirculating Sand Filter system) at 195 Route 149, #B , is not 14ranted. However, The Board does •?rant a reduction of the testing requirement to semi-annual. A public hearing was held before the Board of Health on January. 13, 2009. The Board has received the report of four test results with a median total nitrogen level of 14.6 mg/l . This does meet the MA DEP maximum discharge limits for total nitrogen. However, the Board requires the review of eight test results. Once the median of six to eight test results are within MA DEP maximum discharge limits for total nitrogen, you may come back to the Board for another review. At this time, you-are granted permission to reduce the frequency of testing the wastewater effluent from the I/A system at your property: ❖ The wastewater effluent shall be reduced to twice per year. ❖ Operation and Maintenance Inspections shall be conducted on a regular basis in accordance with MA DEP Regulations-. The Board voted unanimously to allow you to reduce the testing to twice yearly for total nitrogen. Sincer Y� W ne iller, P , n BOA OF HEALTH Q,\WPFILES\IA Monitor.Adj Cox Rte149 B Jan2009.doc - r 4 ✓ ti- Randy Cox 195B Route 149 P.O. Box 1418 Marstons, Mills Ma. 02648 12/8/08 Thomas McKean Board of Health 200 Main Street Hyannis, MA 02601 Dear Thomas McKean, I am writing to request a hearing on January 13, 2009 regarding the sampling and testing of my OMNI 2000 Recirculating Sand Filtration System for my residence at 195E Route 149, Marstons Mills. The system was installed in May 10, 2003 and I moved into my home on June13, 2003. The installation of my system did not require a variance from any state or local regulations, and my property is not located within any Well Protection (WP) Zones or any Groundwater Protection (GP) Zones. Sampling of my system was conducted in 2004 (2), 2008 (2) only 4 samples have reported results for Effluent: 14.6 average Total Nitrogen. The 4 results were below the 25-milligram per liter limits. I paid OMNI Environmental Systems; Inc. $520.00 for 4 test in 2008. 1 have not received 2 of the 4 testing results. See attached results received from the County of Barnstable Department of Health and Environmental Protection. I am at this time requesting that further testing of my RSF system be discontinued, as I will be continuing with quarterly Operation and Maintenance inspections of my system on a yearly basis, which will be performed by a Massachusetts certified operator for wastewater management. If at any time these regular inspections indicate my system is not in compliance, I will take the necessary actions to resolve and correct any problem. Thanking you in advance for your consideration of this request. Sincerely, Randy Cox Home '," System Informatior.► Test Result:► Add Record:► Admir ► Logir► Public Home ► Links► System Manager , ro'ect Name: OUTE149_195B_BARNSTABLE View All Close All ® Owner Information First I Last City State Phone Ownership End Date Add Contract Add Action Randal jCox IMarston Mills MA 15084205284 Add Contract Add Action Brian jDacey lCenterville MA 15087711040 6/13/2003 ® System O&M Status and Requirements Owner Account Information DueDate Desc Amount IsActive IsPending IsPaid 1/1/2009 Effluent Sampling (Testing) Contract Premium for 260 True False r 1/1/2009 - 6/30/2009. Annual Maintenance Agreement Premium ford 1/01/08 10/1/2008 - 11/01/09 (please note that your maintenance 350 True False E agreement is not valid until payment is received). 7/1/2008 Effluent Sampling (Testing) Contract Premium for 260 True False r 7/1/2008 - 12/30/2008. 2/27/2008 Effluent Sampling (Testing) Contract Premium for 260 True False r 1/1/2008 - 6/30/2008. Annual Maintenance Agreement Premium for 11/01/07 10/1/2007 - 11/01/08 (please note that your maintenance 350 True False r agreement is not valid until payment is received). Annual Maintenance Agreement Premium for 11/01/06 10/1/2006 - 11/01/07 (please note that your maintenance 350 True False E agreement is not valid until payment is received). Annual Maintenance Agreement Premium for 11/01/05 10/1/2005 - 11/01/06 (please note that your maintenance 350 True False r agreement is not valid until payment is received). Annual Maintenance Agreement Premium for 11/01/04 12/30/2004- 11/01/05 (please note that your maintenance 350 True False agreement is not valid until payment is received). General System Information Date Installed 5/10/2003 Status On-Line System Type 3-Bed H-1 o wi Pc Regulator Adjustment Required 0 Pumping Required 03 Repair Required 0 Third Party Update 3/11/2008 Project Name ROUTE149_195B_BARNSTABLE System Address Herring Run 195B State MA Zip 02648 City lBamstable n. (Edit "System Settings Seasonal Use F Recirculation Ratio F i Controls Type Simplex--Orenco If�< Fixed Backflow Percent 50 Loading Rate (gpd/sf) 5 Flow (gpd) 330 Float 1 Function on/off/timer Float 1 Height(inches) 6 Float 2 Function override Float 2 Height(inches) 28 Float 3 Function high level alarm Float 3 Height(inches) 36 Float 4 Function Float 4 Height(inches) Bypass Valve Height(inches) 124 Edit Add Adjustment Record Application Links Maintenance Contracts Start I End I Terms 11/1/20041 11 Life of Ownership—t View Contract Edit Testing Contracts Current Owner Actions Scheduled Maintenance and Sampling Visits Maintenance Visits Visit Pumping ST RT Pump Pump OVR1 HL F F Results Date Required Sludge Sludge On Off Count Count DOST DORT Ammonia Nitrate Pending View/Edit 8/13/2008 r 4 3 r View/Edit 6/18/2008 r 6.2 20 r View/Edit 5/6/2008 r 2 1.0 8.6 20 r View/Edit 3/11/2008 r 10 1 4.5 7.5 0 30 r View/Edit 8/23/2007 r 3 1 1234 System Adjustment Te ting Information Visit Date Ammonia TKN Nitrite Nitrates TN CBOD BOD TSS Alk I PH Sample Location ID View/Edit 6/18/2008 6 0 22 28 29 17 6.8 View/Edit 5/6/2008 3.4 0.02 20.2 23.62 35 12 6.9 View/Edit 8/2/2004 6.3 1.8 5.2 13.3 8 5 6.6 3 View/Edit 5/26/2004 1.7 0.56 11 13.26 8 5 6.9 3 © 2006 OMNI Environmental Systems, Inc. Perot-YHE T�ty� Barnstable A ���,, Town of Barnstable A&Ammica City i°A MASS. 01 1� Board of Health t 90�� ib m ArfD MA� 200 Main Street, Hyannis MA 02601 , _O07 t Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. hinichi Sawayanagi January 28, 2009 Mr. Normand Barclou 195.Route 149, #C Marstons Mills, MA.02648 RE: Sampling of Wastewater Effluent from your Innovative/Alternative (OMNI) System at. 195 Route 149, #C, Marpstons Mills ` A= 078-018-40C Dear Mr. Barclou, Your request to discontinue sampling and monitoring of the wastewater effluent from your onsite sewage disposal system consisting of innovative/alternative technology (OMNI 2000 Recirculating Sand Filter system) at 195 Route 149, #C , is not 14ranted. A public hearing was held before the Board of Health on January 13, 2009. . The Board has received the report of ten test results with a median total nitrogen level of 45.2 mg/1 . This does not meet the MA DEP maximum discharge limits for total nitrogen. However, the Board did notice the'-most recent three test results for total nitrogen are substantially lower. Once the median drops within MA DEP maximum discharge limits for total nitrogen,you may come back to the Board for another review. ` At this time, you must continue with the current frequency of testing the wastewater effluent from the I/A system at your property: •:� The wastewater effluent shall continue-to be tested quarterly per ❖ Operation and Maintenance Inspections shall be conducted on a regular basis in accorda e with MA DEP Regulations. Sinc e y W ne ller, M.D., Chairman A F HEALTH Q:\WPFILES\fA Monitor Adj Barclou Rte149 Jan2009.doc Normand Barclou 195C Route 149 Marstons, Mills Ma. 02648 12/8/08 Thomas McKean Board of Health 200 Main Street Hyannis, MA 02601 Dear Thomas McKean, 1 am writing to request a hearing on January 13, 2009 regarding the sampling and testing of my OMNI 2000 Recirculating Sand Filtration System for my residence at 195C Route 149, Marstons Mills. The system was installed in 2002-2003 and I moved into my home on Feb. 2003. The installation of my system did not require a variance from any state or local regulations, and my property is not located within any Well Protection (WP) Zones or any Groundwater Protection (GP) Zones. Sampling of my system was conducted in 2004 (2) 2005 (4) 2006 (1) 2007 (1) and 2008 (2). Two of ten samples have reported result for the last two consecutive samples was 11.9 & 8.4 mg/L. I paid OMNI Environmental Systems, Inc. $500.00 for 4 test in 2008 and have received only two testing results. See attached results received from the County of Barnstable Department of Health and Environmental Protection. I am at this time requesting that further testing of my RSF system be discontinued as I will be continuing with quarterly Operation and Maintenance inspections of my system on a yearly basis which will be performed by a Massachusetts certified operator for wastewater management. If at any time these regular inspections indicate my system is not in compliance, I will take the necessary actions to resolve and correct any problem. Thanking you in advance for your consideration of this request. Sincerely, lvel'� (� \?) Normand Barclou _ i BAR49195RSF-C Norman Barcelou 508-428-3575 Effluent: Effluent: Effluent:T Effluent:T Service Date Service Provider Notes/Comments Nitrate Nitrite KN otal . Effluent:BODS Effluent:TSS Effluent:pH Nitrogen 5/26/2004 8:00 OMNI Environmental Systems, Inc. 46 0.37 0 46.37 10 5 &3 12/22/2004 8:00 OMNI Environmental Systems, Inc. 6 5.2 72 83.2 9 0 7.6 2/23/2005 11:11 OMNI Environmental Systems, Inc. 46 0.26 0 46.31 7 0 5.2 5/23/2005 11:11 OMNI Environmental Systems, Inc. 52 0.1 0 52.1 15 6.1 8/9/2005 11:11 OMNI Environmental Systems, Inc. 33 0.2 2 35.2 9 6.3 12/12/2005 11:11 OMNI Environmental Systems, Inc. 44 0.09 0 44.1 3 5.2 4/6/2006 11:20 OMNI Environmental Systems, Inc. 68 0.06 0 68.1 0 6 4.7 Alkalinity,and pH both low:Alk at 8 ppm,and pH at 5.6, CBOD is also low at 3 11/9/2007 11:55 OMNI Environmental Systems, Inc. ppm 24 0.06 2.8 26.9 4 81 5.6 5/6/2008 13:00 OMNI Environmental Systems, Inc. 4.7 0.08 7.1 11.9 18 37 7/23/2008 13:00 OMNI Environmental Systems, Inc. 3 0 5.41 8.4 5 22 45 2'MEQIAIU�TN E F f + r J 7 - pp THE TpjLL J Barnstable Town of Barnstable A&ftmiicaCity �* BARNS-FABLE,A MASS. Board' of Health M 1639. pArF°MAC A . 200 Main Street, Hyannis MA 02601 ?007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. hmichi Sawayanagi January 28, 2009 Mr. Stephen S. Dane PO Box 603 Marstons Mills, MA 02648 RE: Sampling of Wastewater Effluent from your Innovative/Alternative (OMNI) System at 195 Route 149, #D, Marstons Mills A= 078-018-40D Dear Mr. Dane, You are granted permission to reduce sampling and monitoring of the'wastewater effluent from your onsite sewage disposal system consisting of innovative/alternative technology (OMNI 2000 Recirculating Sand Filter system) at 195 Route 149, #D to once per year. A public hearing was held before the Board of Health on January 13, 2009. The Board has received and reviewed the eight test results with a median total nitrogen level of 1-9.1 mg/l which meets the discharge limits. Permission is granted to reduce the frequency of testing the wastewater effluent from your I/A system at your property will the following conditions: ❖ The wastewater effluent shall be tested for Total Nitrogen once per year. ❖ Operation and Maintenance Inspections shall be conducted on a regular basis in accordance with MA DEP Regulations. The Boa voted una i u 1 t all o s o ow you to reduce the testing to once earl for total nitrogen. Y Y g yearly g Sincer Wa e ler, D., Chairman B OA O HEALTH - Q:\WPFILES\IA Monitor Adj Dana Rtel49 D Jan2009.doc R t h November 28,2008 Stephen S. Dane P.O. Box 603 Marston Mills, MA 02648 508-420-1024 Thomas McKean Board of Health 200 Main Street Hyannis, MA 02601 Dear Thomas, I am writing to request a hearing on January 13th 2009 regarding the sampling(testing) of my OMNI 2000 Recirculation Sand Filter System at my residence at 195-D Route 149, Marstons Mills. The system was installed in 2002-2003 and I moved into my home on June 16, 2003. The installation of my system did not require any variance from any state or local regulations, and my property is not located in any Well Protection(WP)zones or any Ground Water Protection(GP)zones. Sampling of my system was conducted in 2004 - (1), 2005 -(4), 2006 - (1), 2007- (1), and 2008—(1) All eight(8) samples have reported results for Effluent—Total Nitrogen, and all were below the 25 milligram per liter limit. See attached results received from the County of Barnstable Department of Health&Environmental Protection. I am at this time requesting that further testing of my RSF system be discontinued, as I will be continuing with quarterly Operation and Maintenance inspections of my system on a yearly basis which will be performed by a Massachusetts certified wastewater service provider. If at any time these inspections are not in compliance, I will take the necessary actions to resolve the problem. Thanking you in advance for your consideration. Stephen S. Dane I BAR49195RSF D Effluent: Effluent: Effluent: Effluent:Total Effluent: Effluent: Effluent: Effluent: Service Date Service Provider Nitrate Nitrite TKN Nitrogen Am a°n� BODS TSS pH . OMNI Environmental 12/8/2004 8:00 Systems, Inc. 0.1 5.41 5.4 19.5 17 5 6.7 OMNI Environmental 2/23/2005 12:10 Systems, Inc. 23 0.06 0 23.1 12 0 6.8 . OMNI Environmental 5/23/2005 15:00 Systems, Inc. 10 0.21 11 21.2 31 7.1 OMNI Environmental 8/9/2005 15:00 Systems, Inc. 2.3 0.081 5.9 8.3 26 6.8 OMNI Environmental 12/12/2005 15:30 Systems, Inc. 14 0.54 4.3 18.8 10 16 6.6 OMNI Environmental 4/6/2006 13:00 Systems, Inc. 14 0.54 4.3 18.8 10 16 6.6 OMNI Environmental 11/9/2007 12:20 Systems, Inc. 6.1 0.161 3.1 9.41 0.21 3 2 6.8 OMNI Environmental 3/11/2008 10:00 Systems, Inc. 19 0.16 2.8 22 0,6 2 7 6.5 19.15 median TN OFIKE loty Barnstable Town of Barnstable > RARNSPABLE. 9 MASS. Board of Health Qj i6Sq. ♦0 ArFD 39. 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi January 28, 2009 Mr. David Walsh PO Box 302 Marstons Mills, MA 02648 RE: Sampling of Wastewater Effluent from your Innovative/Alternative (OMNI) System at -195 Route 149, #E, Marstons Mills A=078-018-40E Herring Run Place Condo - Dear Mr. Cox, Your request to discontinue sampling and monitoring of the wastewater effluent from your onsite sewage disposal system consisting of innovative/alternative technology (OMNI 2000 Recirculating Sand Filter system) at 195 Route 149, #E , is not granted. A public hearing was held before the Board of Health on January 13, 2009. The Board has received the report of four test results with a median total nitrogen level of 14.6 mg/l . This does meet the MA DEP maximum discharge limits for total nitrogen. However, the Board requires the review of eight test results. Once the median of eight test results are within MA DEP maximum discharge limits for total nitrogen, you may come back to the Board for another review. At this time, you must continue with the current frequency of testing the wastewater effluent from the I/A system at your property: •'• The wastewater effluent may be reduced to twice per year. ❖ Operation and Maintenance Inspections shall be conducted on a regular basis in accordance with MA DEP Regulations. Sincerely, , r ay e Mi 4, 1h'airn-no BOARD OF HEALTH Q:\WPFILES\IA Monitor Adj Walsh Rte149 E Jan2009.doc I . � 40 j /0_Z667 David I. Walsh —tea P.O. Box 302 Marstons Mills, MA 02648 December 8, 2008 Thomas McKean Board of Health 200 Main Street Hyannis, MA 02601 Dear Thomas McKean, I am writing to request a hearing on January 13, 2009 regarding the sampling and testing of my OMNI 2000 Recirculating Sand Filtration System for my residence at 195-E Route 149, Marstons Mills, The system was installed in 2002-2003 and I moved into my home September, 2005. It was previously owned and occupied. The installation of my system did not require a variance from any state or local regulations, and my property is not located within any Well Protection (WP) Zones or any Groundwater Protection (GP) Zones. Sampling of my system was conducted in 2004 - (1), 2005 - (2), 2006 - (1), 2008 - (2). All six samples have reported results for Effluent: Total Nitrogen. All six were below the 25 milligram per liter limit and the median result for the six consecutive samples was 19.2 mg/L. See attached results received from the County of Barnstable Department of Health and Environmental Protection. I am at this time requesting that further testing of my RSF system be discontinued since I am assuming that the remaining two will be within the guidelines as well. I will be continuing with quarterly Operation and Maintenance inspections of my system on a yearly basis which will be performed by a Massachusetts certified operator for wastewater management. If at any time these regular inspections indicate my system is not in compliance, I will take the necessary actions to resolve and correct any problem. Thanking you in advance for your consideration of this request. ' cerely�, David Walsh Al, BAR49195RSF-E Service Date Service Provider Effiuent:Nitrate Effluent:Nitrite Effluent:TKN Effluent:Total Nitrogen Effluent:BOD6 Effluent:TSS - 12/8/2004 8:00 OMNI Environmental S tems,Inc. 2.6 0.37 19 21.97 23 ',19 2/23/200511:15 OMNI Environmental Systems,Inc. 8.7 0.28 .8.6 17.6 0 5/231200513:20 OMNI Environmental Systems,Inc. 7.6 0.4 10 18 ;z,�, 416/200612:00 OMNI Environmental Systems,Inc. 8 0.85 13 21.9 8 11 3/1 4/2008 1 2:20 OMNI Environmental Systems,Inc. 1.3 0.12 19 20.4 19 22 8/13/2008 9:001 OMNI Environmental S tems,Inc. 141 ol 2.3 16-31 301 1 19.2 MEDIAN TN I I i Op THE w,y Barnstable Town of Barnstable P rye o� J A6-NmericaCltd IM BA LE,MASS. Q - Board of-Health 9 MASS. m m OpAI 039. f° As 200 Main Street, Hyannis MA 02601 zoos Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi January 28, 2009 Barbara A. Ryshavy PO Box 1001 Marsttons Mills; MA 02648 RE: Sampling of Wastewater Effluent from your Innovative/Alternative (OMNI) System at 195 Route 149, #F, Marsstons Milllssy A= 078-018-40F Dear Ms. Ryshavy, You are granted permission to reduce sampling and monitoring of the wastewater effluent from your onsite sewage disposal system consisting of innovative/alternative technology(OMNI 2000 Recirculating,Sand Filter system)at 195 Route 149, #F to once per year. A public hearing was held before the Board of Health on January 13, 20.09. The Board has received and reviewed eight test results with a median total nitrogen level of 14.85 mg/land meets the discharge limits. Permission is granted to reduce the frequency of testing the wastewater effluent from your I/A system at your property will the following conditions: ❖ The wastewater effluent shall be tested for Total Nitrogen once per year. ❖ Operation and Maintenance Inspections shall be conducted on a regular basis in accordance with MA DEP Regulations. The Board voted unanimously to allow you to reduce the testing to once yearly for total nitrogen. Since Y, I Miller M.D. y > Chairma B O OF HEALTH Q:\WPFILES\IA Monitor Adj Ryshavy Rtel49 Jan2009.doc Barbara A. Ryshavy PO Box 1001 Marstons Mills, MA 02648 December 8,2008 Thomas McKean Board of Health 200 Main Street Hyannis, MA 02601 Dear Thomas McKean, I am writing to request a hearing on January 13, 2009 regarding the sampling and testing of my OMNI 2000 Recirculating Sand Filtration System for my residence at 195-F Route 149, Marstons Mills. The system was installed in 2002 and I moved into my home on May 16, 2002. The installation of my system did not require a variance from any state or local regulations, and my property is not located within any Well Protection OW) Zones or any Groundwater Protection (GP)Zones. Sampling of my system was conducted in 2002—(1), 2004—(1), 2005 (5), and 2006 (1). All eight samples have reported results for Effluent Total Nitrogen. Five of the eight results were below the 25 milligram per liter limit and the median result for the last six consecutive samples was 14.85 mg/L. See attached results received from the County of Barnstable -Department of Health and Environmental Protection. I am at this time requesting that further testing of my RSF system be discontinued as I will be continuing with quarterly Operation and Maintenance inspections of my system on a yearly basis which will be performed by a Massachusetts certified operator for wastewater management. If at any time these regular inspections indicate my system is not in compliance, I will take the necessary actions to resolve and correct any problem. Thanking you in advance for your consideration of this request. Sincerely, Barbara A. Ryshavy S 1 195 RT 149 BARNSTABLE UNIT F Service Date Service Provider Effluent:Nitrate Effluent:Nitrite Effluent:TKN 12/5/2002 8:00 OMNI Environmental Systems, Inc. 35 12/22/2004 8:00 OMNI Environmental Systems, Inc. 0.87 0.63 3 2/23/200510:50 OMNI Environmental Systems, Inc. 13 0.22 1.5 4/81200512:20 OMNI Environmental Systems, Inc. 5.9 2.9 3.6 5/23/200513:00 OMNI Environmental Systems, Inc. 10 0.37 4.6 8/9/200513:00 OMNI Environmental Systems,Inc. 4.6 0.1 2 12/12/2005 13:30 OMNI Environmental Systems, Inc. 7.3 0.0 5.3 4/6/200610:50 OMNI Environmental tems, Inc. 2 0. 3.2 a EfftuenCToW Nftmw Efflu=*BODSI EfflueftTSS Effl 2741 38. 1 7- 14.7 0 6.8 12. 1 9 6. 15 261 7.1 6.8 11 6. 12. 2 6. 27 0 1 14.85 MEDIAN TN �P�op�He rO� t Barnstable � ,y o �,� Town of Barnstable City Il , aft, ASS. E. Board of Health l'9 MASS. Q ��foVAv 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi January 28, 2009 Kimberly J. Straubing PO Box 863 Marstons Mills, MA 02648 RE: Sampling of Wastewater Effluent from your Innovative/Alternative (OMNI) System at << 195 Route 149, #G,.Marstons Mills A= 078-018-40G + c22/�/G use/ �L/�� �o�✓Do . . Dear Ms. Straubing, You are granted perrrussion to reduce sampling and monitoring of the wastewater effluent from your onsite sewage disposal system consistirr-g-of nnov ve/aiternative_te,,G ielogy (OMNI 2000 Recirculating Sand Filter system) at 195 Rourrr49, #G to once per year. A public hearing was held before the Board of Health on January 13, 2009. The Board has received and reviewed nine test results which average total nitrogen level of 13.42 mg/l and meets the discharge limits_ -Permission is granted to reduce the frequency of testing the wastewater effluent from your I/A system at your property will the following conditions: ❖ The wastewater effluent shall be tested for Total Nitrogen once per year. Operation and Maintenance Inspections shall be conducted on a"regular basis in accordance with MA DEP Regulations. The Board voted unanimously to allow you to reduce the testing to once yearly.for total nitrogen.- _ Sincerely, a e Miller, M.D., Cr ' BO RD OF HEALTH +3 - Q:\WPFILES\IA Monitor Adj Straubing Rte149 Jan2009.doc s s. A pFTNE TpW Barnstable �� Town of Barnstable y 1 AS-amedcacity na7;0: ;ij Board of Health 9 m Op `g� 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: .508-790-6304 Paul Canniff,D.M.D. _Junichi Sawayanagi January 28, 2009 Kimberly J. Straubing PO Box 863 Marstons Mills, MA 02648 RE: Sampling of Wastewater Effluent from your Innovative/Alternative (OMNI) System at 195 Route'149, #G, Marstons Mills A= 078-018-40G Dear Mrit O . You are granted permission to reduce sampling and monitoring of the wastewater effluent from your onsite sewage disposal system consisting of'innovative/alternative technology (OMNI 2000 Recirculating Sand Filter system) at 195 Route 149, #G to once per year. A public hearing was held before the Board of Health on January 13, 2009. The Board has received and reviewed nine test results which average total nitrogen level of 13.42 mg/1 and meets the discharge limits. Permission is granted to reduce the frequency of testing the wastewater effluent from your I/A system at your property will the following conditions: The wastewater effluent shall be tested for Total Nitrogen once per year. ❖ Operation and Maintenance Inspections shall be conducted on a regular basis in accordance with MA DEP Regulations. The Bo d voted unanimously to allow you to reduce the testing to once yearly for total nitrogen. S.in ly, ayne filler, D., Chairnian BOA OF HEALTH Q:\WPFILES\IA Monitor Adj Straubing Rte149 Jan2009.doc Kimberly J Straubing PO Box 863 Marston Mills,Ma 02648 December 170'2008 Thomas McKean Board of Health 200 Main Street Hyannis,Ma 02601 Dear Thomas McKean, Lam writing to request a hearing on January 13,2008 regarding the sampling and testing of my OMNI 2000 Recirculating Sand Filtration System for my residence at.195G Route 149,Marston Mills. The system was installed in 2002-2003 and I moved into my home in October of 2004. The installation of my system did not require a variance from any state or local regulations;and my property is not located within any Well Protection(WP)Zones, or any Groundwater Protection(GP)Zones. Sampling of my system was conducted in 2004-3,20054,2006-1 and 2008-1.All 9 samples have reported results for Effluent:Total Nitrogen. See attached results received from the Barnstable Department of Health and Environmental Protection. T ..i A.:..4: ..a:... - - i niii-nt Una iii�'iG rG1�ij,SlI n ;1. g.dint further testing ofLmy-RSF.system be discontinued as I will be continuing with my quarterly Operation and Maintenance inspections of my system on a yearly basis which will be performed by a Massachusetts certified operator for wastewater nanngemt.If at any tirne these regular inspections indicate my system is not is compliance,'I wily tale necessary actions to resolve.and correct the problem, Th is2'iii you l i ivaiai ii you Re d _ imberly I St t bmg t � � YYl �l SAR49195RSF Service Date Service Provider Sampler Name sample Effluent: Effluent: Effluent Effluent:Total Effluent: Effluent: Effluent: Type Nitrate Nitrite TKN Nitrogen SODS TSS pH,, OMNI Environmental 526=413:06 S Inc. :: Jos h R.Smith tab 17 0.3 p 17.3 3 5 68 OMNI,Environmental 82i200411' S ms,Inc. Joseph R.Smith rats 8.9 0.1ti 3.1 12.2 14 12 6.8 OMNI Environmental 12/812004 8. S ems,Inc. tab 8.9 0.15 9.9 17.05 9 5 .6.5 OMNI Environmental 223200511:40 S stems,Inc. Joseph R.Smith gab 17 0.06 0' 17.1 160 6.3. OMNI Environmental W3=0514.00 Systems,Inca Jose h R.Smith tab 7.9 1.7 4.4 - 14 23 7.3 . OMNI Environmental 80200514 S ems,Inc. Jose h R.Smiih tab 3.6 0.18 1:8 5.6 9 6.5 OMNI Environmental 12112200514:30 S ems,Inc. J h R.Smith tab 6.6 O.i 1 4.6 11.3 10 6.5 OMNI Environmental 41620061230 Systems,Inc. J h R.Smith tab 13 0.15 5.3 18.5 5 16 6.2 OMNI Environmental 311 42008 1 3:00 S stems,Inc. ...Joseph R.Smith gab 5.5 0 2 14 M eCQf�-hJ = 4- AV? Of SHE TO P� ky Barnstable Town of Barnstable 4*I A8-AmeeicaCily nArt,is-rABLE, + � MASS. a _ Board of Health 9 O ibgq, ,�gm �ArFb""A�All 200 Main Street Hyannis MA 02601 ' Y 2007 Office: 508-862-4644 Wayne Miller;M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi January 28, 2009 Mr. Leonard H. Julius 195 Route 149, #H Marstons Mills, MA 02648 RE: Sampling of Wastewater Effluent from your"Innovative/Alternative (OMNI) System at 195 Route 149;#H, Marstons Mills A= 078-018-40H ��zi�✓� cc�✓ P41-C- 6AID o. Dear Mr. Julius, You are granted permission to reduce sampling and monitoring of the wastewater effluent from your onsite sewage disposal system consisting of innovative/alternative technology (OMNI 2000 Recirculating Sand Filter system) at 195 Route 149, #H to once per year. A public hearing was held before the Board of Health on January 13, 2009. The Board has received and reviewed the eight test results which average total nitrogen level of 17.4 mg/1 and meets the discharge limits. Permission is granted to reduce the frequency of testing the wastewater effluent from your I/A system at your property will the following conditions: ❖ The wastewater effluent shall be tested for Total Nitrogen once per year. ❖ Operation and Maintenance Inspections shall be oditducted on a regular basis in accordance with MA DEP Regulations. The Board voted unanimously to allow you to reduce the testing to once yearly for total nitrogen. Sinc ' :y o yne filler, , Chairman BOA OF HEALTH Q:\WPFILES\IA Monitoring Adj Julius Rtel49 H Jan2009.doc Leonard H. Julius 195 Rt. 149#H Marstons Mills, MA 02648 December 8, 2008 Thomas McKean Board of Health 200 Main Street Hyannis, MA 02601 Dear Thomas McKean, I am writing to request a hearing on January 13, 2009 regarding the sampling and testing of my OMNI 2000 Recirculating Sand Filtration System for my residence at 195-H Route 149, Marston Mills. The system was installed in 2002-2003 and I moved into my home In October 2005. The installation of my system did not require a variance from any state or local regulations, and my property is not located within any Well Protection(WP)Zones or any Groundwater Protection(GP)Zones. Sampling of my system was conducted in 2004—(2), 2005 44), 2006 -(1)and 2008 —(1) All eight samples have reported results for Effluent: Total Nitrogen. All eight results were below the 25 milligram per liter limit. See attached results received from the County of Barnstable Department of Health and Environmental Protection. I am at this time requesting that further testing of my RSF system be discontinued as I will'be continuing with quarterly Operation and Maintenance inspections of my system on a yearly basis which will be performed by a Massachusetts certified operator for wastewater management. If at any time these regular inspections indicate my system is not in compliance, I will take the necessary actions to resolve and correct any problem. .Thanking you in advance for your consideration of this request. Sincerely, Leonard H. Julius 195 Rt. 149#H Marstons Mills, ;MA 195 RT 149 BAR-NSTABLE UNIT K , Service ®ate Service Provider Effluent:Nitrate Effluent-Nitrite- Effluent:TKN 8/2/2004 80.0 OMNI Environmental Systems, Inca 14 0.4 5.8 12/8/2004 8:00 OMNI Environmental Systems, Inc. 211 0.23 1 2/23/2005 10:40 OMNI Environmental Systems, Inc. 19 0.22 3.2 5/23/2005 12:20 OMNI Environmental Systems,Inc. 15 0.17 2.3 8/9/2005 1230 OMNI Environmental Systems, Inc. 19 0.04 1.8 12/12/2005 13:00 OMNI Environmental Systems, Inc. 5.8 0.12 2.7 4/6/2006 1020 OMNI Environmental Systems, Inc. 5.7 0.25 5.5 7/23/2008 12:80 OMNI Environmental Systems, Inc. 3.1 0 13 Effiluent:Totat" Effluent BOD5 Effluent:TSS Effluent:PH Nitrogen 20.E 6 26 6.6 22.23 10 5 _ 6 22.4 16 p 6.1 21 6.7 20.8 9 6.4 8.6 _ 3 6.7 11.5 13 12. 6.7 16.11 291 28 i . i VHe fQ�p Bastable rn Town of Barnstable 1 , It BARNS V MASS.7AULE,/=_ Board of Health - AMm�cac �Q m. p i63 �0 Arfa MAC a. 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi January 28, 2009 Carolyn C. Keating PO Box 1492 Marstons Mills, MA 02648 RE: Sampling of Wastewater Effluent from your Innovative/Alternative (OMNI) System at 195 Route 149, #I,Marstons Mills,- A= 078-018-40I 4/v /-Llgee 0-aA1,80 - Dear Ms. Ryshavy, You are granted permission to reduce sampling and monitoring of the wastewater effluent frofti your onsite sewage disposal system consisting of innovative/alternative technology (OMNI 2000 Recirculating Sand Filter system) at 195 Route 149, #I to once per year. A public hearing was held before the Board of Health on January 13, 2009. The Board has received and reviewed eight test results with a median total nitrogen level of 16.55 mg/1 and meets the discharge limits. Permission is granted to reduce the frequency of testing the.wastewater effluent from your I/A system at your property will the following conditions: ❖ The wastewater effluent shall be tested for Total Nitrogen once per year. •3 Operation and Maintenance Inspections shall be conducted on a regular basis in accordance with MA DEP Regulations. The Board voted unanimously to allow you to reduce the testing to once yearly for total nitrogen. Sincere,y, he iller, .D., Chairma BOA OF HEALTH Q:\WPFILES\IA Monitor Adj Keating Rte149 Jan2009.doc , ` A December 11, 2008 d�►��� �/(�- Thomas McKean Board of Health 200 Main Street Hyannis MA 02601 Dear Mr. McKean: I am writing to request a hearing on January 13, 2009 regarding the sampling and testing of my OMNI 2000 Recirculating Sand Filtration System for my residence at_195-I Route 149, Marstons Mills.__—_. The system was installed in 2002-2003; I moved into my home on June 30, 2003. The installation of my system did not require a variance from any state or local regulations, and my property is not located within any Well Protection (WP) Zones or any Groundwater Protection (GP) Zones. Sampling of my system was conducted in 2004 - (2), 2005 - 4, 2007 - (1) and 200.8 (1). All eight samples have reported results for Effluent: Total Nitrogen. All of the eight results were at or below the 25 milli-gram per liter limit. The median Total Nitrogen result was reported as 16.55 mg/L.. See attached results received from the County of Barnstable Department of Environmental Protection. I am at this time requesting that further testing of my RSF system be discontinued as I will be continuing with quarterly Operation and Maintenance inspections-of my system on a yearly basis which will be performed by a Massachusetts certified operator for wastewater management. If at any time these regular inspections indicate my system is not in-compliance, I will take the necessary actions to resolve and correct any problem. Thanking you in advance for your consideration of this request. Sincerely, 67 n; - 1 t, lJNll"I Service Date` Service Provider Effluent: Effluent: Effluent: Effluent:Total Effluent: Effluent: Effluent: Nitrate (Nitrite. TKN Nitrogen BODS TSS PH. OMNI Environmental b. 8/2l2004 8:00 Systems, lnc. 0.79 0.451 24 25.24 49 38 7 OMNI Environmental 12/8/2004 8:00 Systems, Inc. 1.5 0.3 4.2 Ei 14 g 7 OMNI Environmental 2/23/2005 10`15 Systems, Inc. 21 ; 0.26 0.6 21.9 29 0 6:8 OMNI Environmental 5/23/2605 12.00 Systems, Inc. 17V 0.6 3 20.6 13 . 711 OMNI Environmental 8/9/2005 1200 Systems; Inc. 5.2 0.11 2.5 7.8 9 6.9 OMNI Environmental 12/12/2005 12:30 Systems, Inc. 13 0.13 2.1 15.2 0 7 OMNI Environmental 11/9/2007 10:45 Systems, Inc. 9.8 0.2 2,21 12.2 2 1 6.9 OMNI Environmental . . 5/6/2008 12:00 Systems, Inc. 17 0.23 0.7 17.91 1 5 . 16.55 median TN I 3IR .12e.£ ilste s, Inc. A` UVIN .; -, East I"W r.—.-out*h Hi, ErzvironmentulSystems,.lyze. September 5, 2008 Stephen Dane P.O. 603 Marstons Mills, MA 02648 RE: RTE149 195D BARNSTABLE—Services Contract Dear Mr. Dane: .. Congratulations! Our records indicate that you have successfully completed your testing requirements. We have submitted all required information to the authorities informing them of completion. At this time testing of your system is no longer required and your account has been adjusted accordingly. OMNI Environmental Systems, Inc. (OMNI) is pleased to be your service provider and we always welcome comments and suggestions from our clients on how we can better serve you. You are now eligible for maintenance options. Due to completion of local requirements for testing You are-now allowed to choose from the following maintenance options: 1. Jn4� Ins ections—includes four 4 inspections a year at a cost of 350 2. ual Ins ection—includes two 2 inspections a year at a cost of 200 s ections—includes one 1 inspection a year at a cost of 150 he Qtured according to work items required due to the length between service inspections. ` As thEproprietors we recommend a maintenance frequency of four(4)times per year to revent tch issues before they become problems and ensure proper system performance. The 0abovcfr inspections and reporting only,they do not cover any costs for emergency visit%o . }- `ou curre ly receiving Quarterly inspections. Please contact our office if you wish to change your serviplan. Please remember, the key to a proper functioning septic system is proper system operation and maintenance. To learn more about OMNI Operation and Maintenance Services, and what you can do to keep your system functioning optimally, visit our website at www.omnirsf.com for more information. If you have any questions, please feel free to contact me. ` Sincerely, r ,. Joseph R. Smith, Operations Manager OMNI Environmental Systems, Inc. Cc: Local Board of Health ' errtive ic t _cam € ,r OMW Enviroa?mentaf Systems,Dic. %Y5t _3'Sr; U tl r i_3"_, ,r. Environmenlal Systems,Inc.. September 5, 2008 David, Jeffrey& Kimberly Straubing P.O. Box 683 Marstons Mills, MA 02648 RE: Rte. 149195-G—Services Contract Dear Mr. David: Congratulations! Our records indicate that you have successfully completed your testing requirements. We have submitted all required information to the authorities informing them of completion. At this time testing of your system is no longer required and your account has been adjusted accordingly. OMNI Environmental Systems, Inc. (OMNI) is pleased to be your service provider and we always welcome comments and suggestions from our clients on how we can better serve you. You are now eligible for maintenance options. Due to completion of local requirements for testing you are now allowed to choose from the following maintenance options: 1. Quarterly Inspections—includes four(4) inspections a year at a cost of$350 2. Semi-Annual Inspection—includes two (2) inspections a year at a cost of$200 3. Annual Ins ections—includes one 1 inspection a year at a cost of 150 w Threes ar structured according to work items required due to the length between service inspections. As tffe tech logy proprietors we recommend a maintenance frequency of four(4)times per year to 4 pre&�t and/ r catch issues before they become problems and ensure proper system performance. The �Pabdf2feesa for inspections and reporting only,they do not cover any costs for emergency 6--visits or se S. CT ,You a currer►, receiving Quarter) inspections. Please contact our office if you wish;to change your Wervis plan. a yFleas�ememAer, the key to a proper functioning septic system is proper system operation and maintenance. To learn more about OMNI Operation and Maintenance Services, and what you can do to keep your system functioning optimally, visit our website at www.omnirsf.com for moreinformation. If you have any questions, please feel free to contact me. Sincerely, Joseph R. Smith, Operations Manager OMNI Environmental Systems, Inc. Cc: Local Board of Health Alae4'natiVe Septic Technology Spqi 4 S 5 P-0343 Enviranmmntv.i Systems, Inc. .5 gas.Fa'sr-cki-1t Environ)nentalSystems,Inc. September 5, 2008 Carolyn Keating P.O. Box 1492 Marstons Mills, MA 02648 RE: ROUTE149 1951 BARNSTABLE--Services Contract Dear Ms. Keating: Congratulations! Our records indicate that you have successfully completed your testing requirements. We have submitted all required information to the authorities informing them of completion. At this time testing of your system is no longer required and your account has been adjusted accordingly. a OMNI Environmental Systems, Inc. (OMNI) is pleased to be your service provider and we always welcome comments and suggestions from our clients on how we can better serve you. You are now eligible for maintenance options. Due to completion of local requirements for testing you are, allowed to choose"from the following maintenance options: Quarterly Inspections—includes four(4) inspections a year at a cost of$350 2. -Semi-Annuai.lnspection—includes two (2) inspections a year at a cost of$200: 3. Arinual.Inspections—includes one (1) inspection a year at a cost of$150 The fees are structured according to work items required due to the length between service inspections. As the technology proprietors we recommend a maintenance frequency of four(4)times per year to prevent and/or catch issues before they become problems and ensure proper system performance. The above fees are-for inspections and reporting only,they do not cover any costs for emergency visits or services. You are currently receiving Quarterly inspections. Please contact our office if you wishto change your service plan. rt Please rem:, mber, the key to a proper functioning septic system is proper system operation and U3 ma&enanc . To learn more about OMNI Operation and Maintenance Services, and what you can do to ti kee7your s tem functioning optimally, visit our website at www.omnirsf.com,for more.information. N If yMhave.a . uestions,.please feel free to contact me. <tSince�ely, A. . JosepV-R:;-Smithti Operations,Manager: Cc: Local Board of Health Alternative Septic Technolog-y 508 548-0343 _ OMNI Einvirorrnent-at Systenisy Inc. OMNA , P.0- 3e.x 123 5 c st F r, t� h H; T' r Environmental Systems,Inc. September 5, 2008 Lawrence Freni 5 Milberry Lane Acton, MA 01720 RE: ROUTE 149 195E BARNSTABLE—Services Contract Dear Mr. Freni: Congratulations! Our records indicate that you have successfully completed your testing requirements. We have submitted all required information to the authorities informing them of completion. At this time testing of your system is no longer required and your account has been adjusted accordingly. OMNI Environmental Systems, Inc. (OMNI) is pleased to be your service provider and we always welcome comments and suggestions from our clients on how we can better serve you. You are now eligible for maintenance options Due to completion of local requirements for testing you are now allowed to choose from the following maintenance options: 1. Quarterly Inspections—includes four(4) inspections a year at a cost of$350 2. Semi-Annual Inspection—includes two (2) inspections a year at a cost of$200 3. Annual Inspections—includes one(1) inspection a year at a cost of$150 The.fees are structured according to work items required due to the length between service inspections. As the technology proprietors we recommend a maintenance frequency of four(4)times per year to prevent and/or catch issues before they become problems and ensure proper system performance. The above fees are for inspections and reporting only,they do not cover any costs for emergency visits or services. h You are currently receiving Quarterly inspections. Please contact our office if you wish to change your service plan_ Please remember, the key to a proper functioning septic system is proper system operation and maintenance. To learn more about OMNI Operation and Maintenance Services, and what you can do to keep your system functioning optimally, visit our website at www.omnirsf.com for more information. If you have ny questions, please feel free to contact me. Sin©W rely, •3..r t J08eph ki. Smith, Operations Manager OMNI lakonme tal Systems, Inc. '- tV Cc: I Board o,Health .. A ternative Septic Technology f EXCERPTS FROM BOARD OF HEALTH MINUTES 2001 195 Route 149, MARSTONS MILLS Excerpt from 8/21/01 Meeting. Next on the agenda, John Falacci, HamHom Realty Trust, 195 Route 149, Marstons Mills, requested permission to eliminate pressure dosing if only eighteen bedrooms are proposed (instead of 27). Susan Rask informed Mr. Falacci that he may eliminate pressure dosing if the plans were revised to show 18 bedrooms. Q:\MINUTES\2001 Minutes\EXCERPTS\EXCERPTS FROM BOARD OF HEALTH MINUTES 2001.doc t= . Environrnenttal Systems,Ine. ..,.. February 28, 2008 RandairCox P�,O. Box 1418 NarstonMills, 1 A mom:; RE: ROUTEl, 49_195B_BARNSTABLE — Services Contract i Dear Mr`Cox: We.have received your signed contract(s) and payment for the above referenced system and are pleased to inform you that your system is currently in compliance with all Sampling (testing) and Maintenance requirements. There is nothing further for you to do at this point as we will notify all regulatory officials for you as part of our service. Additionally, you will be notified upon completion of your requirements and when it is time to have your system pumped OMNI Environmental Systems, Inc. (OMNI) is pleased to be your service provider and we always welcome comments and suggestions from our clients on how we can better serve you. Please remember, the key to a proper functioning septic system is proper system operation and maintenance.. To learn more about OMNI Operation and Maintenance Services, and what you can do to keep your system functioning optimally, visit our website at www.omnirsf.com for more information. If you have.any,questions, please feel free to contact me. Sincerely, Joseph R..Smith, Operations Manager, OMNI Environmental Systems, Inc. Cc`. Local Board of Health,: `Department of Environmental Protection (PEP) 48-03.3 _ UM NI Environmental Systenis, Inc, OMNI r f ::6'15 Easta dh , 3 «y- Environrnenia Systems,Inc. February 28, 2008 Stephen Dane P.O. Box 603 Narstons Mills, MA 02648 RE: ROUTE149 195D BARNSTABLE — Services Contract Dear Mr. Dane: We have received your signed contract(s) and payment for the above referenced system and are pleased to inform you that your system is currently in compliance with all Sampling (testing) and Maintenance requirements. There is nothing further for you to do at this point as we will . notify all regulatory officials for you as part of our service. Additionally, you will be notified upon completion of your requirements and when it is time to have Your system pumped. OMNI Environmental Systems, Inc. (OMNI) is pleased to be your service provider and we always welcome comments and suggestions from our clients on how we can better serve you. Please remember, the key to a proper functioning septic system is proper system operation and maintenance. To learn more about OMNI Operation and Maintenance Services, and what you can do to'keep your system functioning optimally, visit our website at www.omnirsf.com for more information. If you have any questions, please feel free to contact me. Sincerely, Joseph R.'Smith, Operations Manager OMNI Environmental Systems, Inc. Cc: Local Board of Health Department of Environmental Protection (DEP) Alternative Sfat ec"n log - M;at€:.1"v C'.L!" #1we sz Try:: t r' tia ' ir4r e>k six s _-'s';...4a sp Inc, - - f NI 5 E..s t �a ,.,t:s Environmental Systems, Inc. f February 28, 2008 Carolyn Keating P.O. Box 1492 Narstons Mills, MA 02648 RE: ROUTE149 1951 BARNSTABLE - Services Contract Dear Ms. Keating: We have received your signed contract(s) and payment for the above referenced system and are pleased to inform you that your system is currently in compliance with all Sampling (testing) and Maintenance requirements. There is nothing further for you to do at this point as we will notify all regulatory officials for you as part of our service. Additionally, you will be notified upon completion of your requirements and when it is time to have your system pumped. OMNI Environmental Systems, Inc. (OMNI) is pleased to be your service provider and we always welcome comments and suggestions from our clients on how we can better serve you. Please remember, the key to a proper functioning septic system is proper system operation and maintenance. To learn more about OMNI Operation and Maintenance Services, and what you can do to keep your system functioning optimally, visit our website at www.omnirsf.com for more information. If you have any questions, please feel free to contact me. Sincerely, 1 Joseph R. Smith, Operations Manager OMNI Environmental Systems, Inc. Cc: Local Board of Health Department of Environmental Protection (DEP) Afternative P.O. BOX 128 465 East Falmouth Highway East Falmouth,MA 02536 EnvironMenla Sysleins,lrire, December 19, 2007 Barbara Ryshavy P.O. Box 1001 Marstons Mills, MA 02648 Re: ROUTE149 195E BARNSTABLE An audit of our records indicate that your Testing Contract with us either has never been issued or has been canceled due to none payment. A renewal agreement may not be needed at this time as any original ccntracts can be r Oinstateu once payment has been received. To ensure your compliance, please contact our office at 508.548.0343 to review your account and payment options that are available. For your convenience we accept all maior credit cards and offer automatic credit card billing options Your system was required to have quarterly sampling for the first two years of operation and as of today's date your system is currently out of compliance. I am sure you have questions about this requirement and the status of your account. In an effort to streamline this audit process and clearly communicate all necessary information I ask that you contact me directly to discuss how we can assist you in fulfilling this requirement. These testing requirements are important to insure your system is performing correctly. We understand how things can often be overlooked and forgotten about. However, your system provides a very important service in protecting the environment and these regulations are in place to insure proper operation. Additionally, you are required by the local Board of Health and the Massachusetts Department of Environmental Protection (DEP) under 257 CMR 2.00.to maintain a valid Operation and Maintenance Contract and Testing Contract (when applicable) with a Massachusetts certified operator of the appropriate grade for the life of the system. We value our business and lock forward to ^roviding , continuing p d y r y ,you with o eraic an maintenance services. Please note that we are required by both local and state I regulations to report all non-compliance situations to the authorities. na Please feel free to contact me anytime for questions. u - Sincerely, G = Matthew C. Costae President Alternative Wastewater Technology M;_mufarct.,ring cor;strUcUon a Service la - P.O. Box 128 :.r ` 465 East Falmouth Highway East Falmouth, MA 02536 Env onrnent Systo 3,I December 19, 2007 Francine K. Walsh P.O. Box 302 Marston Mills, MA 02648 Re: ROUTE149 195E BARNSTABLE An audit of our records indicate that your Testing Contract with us either has never been issued or has been canceled due to none payment. A renewal agreement may not be needed at this time as any original contracts can be reinstated once payment has been received. To ensure your compliance, please contact our office at 508.548.0343 to review your account and payment options that are available. For your convenience we accept all major credit cards and offer automatic credit card billing options Your system was required to have quarterly sampling for the first two years of operation and as of.today's date your system is currently out of compliance I am sure you have - questions about this requirement and the status of your account In an effort to streamline this audit process and clearly communicate all necessary information I ask that you contact me directly to discuss how we can assist you in fulfilling this requirement. These testing requirements are important to insure your system is performing correctly. We understand how things can often be overlooked and forgotten about. However, your system provides a very important service in protecting the environment and these regulations are'in place to insure proper operation. Additionally, you are required by the local Board of Health and the Massachusetts Department of Environmental Protection (DEP) under 257 CMR 2.00 to maintain a valid Operation and Maintenance Contract and Testing Contract (when applicable) with a —`Massachusetts certified operator of the appropriate grade for the life of the system. We,value,your,business and look forward to providing you with continuing operation and maintenance services. Please note that we are required by both local and state regulations to report all non-compliance situations to the authorities. Please.feel free to contact me anytime for questions. Sincerely, :Matthew C. Costa President Alternative Wastewater Technology gy Manufacturing Cori strtiction Service P:O. Box 128 _ 465 East Falmouth Highway . O NI East Falmouth, MA 02536 Environmen#aCSysfems,jn . December 19, 2007 j Randal Cox 1 Balsam Way, Apt#213 Manchester, NH 03102 Re: ROUTE149 1956 BARNSTABLE An audit of our records indicate that your Testing Contract with us either has never been issued or has been.canceled due to none payment. A renewal agreement may not be needed at this time as any original contracts can be reinstated once payment has been received. To ensure your compliance, please contact our office at 508.548.0343 to review your account and payment options that are available. For your convenience we accept all major credit cards and offer automatic credit card billing options Your system was required to have quarterly sampling for the first two years of operation and as of today's date your system is currently out of compliance I am sure you have questions about this requirement and the status of your account In an effort to streamline this audit process and clearly communicate all necessary information I ask that you contact me directly to discuss how we can assist you in fulfilling this requirement. These testing requirements are important to insure your system is performing correctly. We understand how things can often be overlooked and forgotten about. However, your system provides a very important service in protecting the environment and these regulations are in place to insure proper operation. Additionally, you are required by the local Board of Health and the Massachusetts Department of Environmental Protection (DEP) under 257 CMR.2.00 to maintain a valid Operation and Maintenance Contract and Testing Contract (when applicable) with a Massachusetts certified operator of the appropriate grade for the life of the system. We value your business and look foryard to providing you with continuing operation and maintenance services. Please note that we are required by both local and state regulations to report all non-compliance situations to the authorities. Please feel free to contact me anytime for questions. Sincerely, 1 . Matthew C. Costa President Aiter°native Wastewater Technology Manufacturing Construction 6 Service P.O. Box 128 465 East Falmouth Highway IVINI East Falmouth, MA 02536y,r � � �, Systems,I�tc December 19, 2007 Normand Barcelou P.O. Box 1404 Marstons Mills, MA 02648 Re: ROUTE149 195C BARNSTABLE An audit of our records indicate that your Testing Contract with us either has never been issued or has been canceled due to none payment. A renewal agreement may not be needed at this time as any original contracts can be reinstated once payment has been received. To ensure your compliance, please contact our office at 508.548.0343 to review your account and payment options that are available. For your convenience we accept all maior credit cards and offer automatic credit card billing options Your system was required to have quarterly sampling for the first two years of operation and as of today's date your system is currently out of compliance I am sure you have questions about this requirement and the status of your account In an effort to streamline this audit process and clearly communicate all necessary information I ask that you contact me directly to discuss how we can assist you in fulfilling this requirement. These testing requirements are important to insure your system is performing correctly. We understand how things can often be overlooked and forgotten about. However, your system provides a very important service in protecting the environment and these regulations are in place to insure proper operation. Additionally, you are required by the local Board of Health and the Massachusetts -. Department of Environmental Protection (DEP) under 257 CMR 2.00 to maintain a valid - - - Operation and Maintenance Contract and Testing Contract (when applicable) with a Massachusetts certified operator of the appropriate grade for the life. of the system. We value your business and look forward to providing you with continuing operation and maintenance services. Please note that we are required by both local and state regulations to report all non-compliance situations to the authorities. Please feel free to contact me anytime for questions. Sincerely, Matthew C. Costa President Alternative Wastewater Technology Manufac€.caring C ons€:nUc.t.ion Service. d P.O. Box 128 `- 465 East Falmouth Highway OMNI East Falmouth, MA 02536 nvi U mentaC Systems,1pc. December 19, 2007 Stephen Dane 195-1 Route 149 Marstons Mills, MA 02648 Re: ROUTE149 195D BARNSTABLE An audit of our records indicate that your Testing Contract with us either has never been issued or has been canceled due to none payment. A renewal agreement may not be needed at this time as any original contracts can be reinstated once payment has been received. To ensure your compliance, please contact our office at 508.548.0343 to review your account and payment options that are available. For your convenience we accept all major credit cards and offer automatic credit card billing options. Your system was required to have quarterly sampling for the first two years of operation and as of today's date your system is currently out of compliance. l am sure you have questions about this requirement and the status of your account. In an effort to streamline this audit process and clearly communicate all necessary information I ask that you contact me directly to discuss how we can assist you in fulfilling this requirement. These testing requirements are important to insure your system is performing correctly. We understand how things can often be overlooked and forgotten about. However, your system provides a very important service in protecting the environment and these regulations are in place to insure proper operation. Additionally, you are required by the local Board of Health and the Massachusetts Department of Environmental Protection (DEP) under.267 CMR 2.00 to maintain a valid Operation and Maintenance Contract and Testing Contract (when applicable) with a - Massachusetts certified operator of the appropriate grade for the life of the system. We value your business and look forward to providing you t with continuing operation and maintenance services. Please note that we are required byboth local and state regulations to report all non-compliance situations to the authorities. Please feel free to contact me anytime for questions. Sincerely, Matthew C. Costa President Alternative Wastewater technology Manufacturing e Construction s Service P.O. Box 128 465 East Falmouth Highway East Falmouth, MA 02536 nviro r na'a,C Sy,.stexa s,Inc- December 19, 2007 David, Jeffrey & Kimberly Straubing P.O. Box 683 Marstons Mills, MA 02648 Re: ROUTE149 195G BARNSTABLE An audit of our records indicate that your Testing Contract with us either has never been issued or has been canceled due to none payment. A renewal agreement may not be needed at this time as any.original contracts can be reinstated once payment has been received. To ensure your compliance, please contact our office at 508.548.0343 to review your account and payment options that are available. For your convenience we accept all major credit cards and offer automatic credit card billing options Your system was required to have quarterly sampling for the first two years of operation and as of today's date your system..is currently out of compliance. l am sure you have questions about this requirement and.the status of your account. In an effort to streamline this audit process and clearly communicate all necessary information I ask that you contact me directly to discuss how we can assist you in fulfilling this requirement. These testing requirements are important to insure your system is performing correctly. We understand how things can often be overlooked and forgotten about. However, your system provides a very important service in protecting the environment and these regulations are in place to insure proper operation. Additionally, you are required by the local Board of Health and the Massachusetts Department of Environmental Protection (DEP) under-257 CMR 2.00 to maintain a valid Operation and Maintenance Contract and Testing Contract (when applicable) with a Massachusetts certified operator of the appropriate grade for the life of the system. ' We value your business and look forward to providing you with continuing operation and maintenance services. Please note that we are required by both local and state -regulations.to report all non-compliance situations to the authorities. Please feel free to,contact me anytime for questions. .Sincerely, atthew.C. Costa President Alternative Wastewater Technology irtuFact:rir Cori>f:E,.; :€on Service P.O. Box 128 ` 465 East Falmouth Highway East Falmouth, MA 02536 Env}runmenifxl Systems,Inc. December 19, 2007 Tom Feninel 772 Bear Creek Circle Winter Springs, FL 32708 Re: ROUTE149 195A BARNSTABLE An audit of our records indicate.that your Testing Contract with us either has never been issued or has been canceled due to none payment. A renewal agreement may not be needed at this time as any original contracts can be reinstated once payment has been received. To ensure your compliance, please contact our office at 508.548.0343 to review your account and payment options that are.available. For your convenience we accept all major credit cards and offer automatic credit card billing options Your system was required to have quarterly sampling for the first two years of operation and as of today's date your system is currently out of compliance. I am sure you have questions about this requirement and the status of your account. In an effort to streamline this audit process and clearly communicate all necessary information I ask that you contact me directly to discuss how we can assist you in fulfilling this requirement. These testing requirements are important to insure your system is performing correctly. We understand how things can often be overlooked and forgotten about. However, your system provides a very important service in protecting the environment and these regulations are in place to insure proper operation. Additionally, you are required by the local Board of Health and the Massachusetts - Department of Environmental Protection (DEP) under.257 CMR 2.00 to maintain a valid Operation and Maintenance Contract and Testing Contract (when applicable) with a Massachusetts certified operator of the appropriate grade for the life of the system. We value your business and look forward to providing you with continuing operation and maintenance services. Please note that we are required by both local and state regulations to report all non-compliance situations to the authorities. Please feel free to contact me anytime for.questions. Sincerely, Matthew tt ew C. Costa President Alternative wastewater Technology Manufacturing R Construct:on Service ........... P.O. Box 128 465 East Falmouth Highway OWN! East Falmouth, MA 02536 lJ��l�t Envowam"tal Systems,Inw. December 19, 2007 Leonard Julius P.O. Box 1055 Marstons Mills, MA 02648 Re: ROUTE149_195H_BARNSTABLE An audit of our records indicate that your Testing Contract with us either has never been issued or has been canceled due to none payment. A renewal agreement may not be needed at this time as any original contracts can be reinstated once payment has been received. To ensure your compliance, please contact our office at 508.548.0343 to review your account and payment options that are available. For your convenience we accept all major credit cards and offer automatic credit card billing options Your system was required to have quarterly sampling for the first two years of operation and as of today's date Your system is currently out of compliance I am sure you have questions about this requirement and the status of your account. In an effort to streamline this audit process and clearly communicate all necessary information I ask that you contact me directly to discuss how we can assist you in fulfilling this requirement. These testing requirements are important to insure your system is performing correctly. We understand how things can often be overlooked and forgotten about. However, your system provides a very important service in protecting the environment and these regulations are in place to insure proper operation. Additionally, you are required by the local Board of Health and the Massachusetts Department of Environmental Protection (DEP) under 257 CMR 2.00 to maintain a valid Operation and Maintenance Contract and Testing Contract (when applicable) with a Massachusetts-certified operator of the appropriate grade for the life of the system. We value your business and look.forward to providing you with continuing operation and maintenance services. Please note that we are required by both local and state regulations to report all non-compliance situations to the authorities. Please feel free to contact me anytime for questions. Sincerely, Matthew C. Costa President Alternative wastewater Technology Manufacturing a Co;struction Service P.O. Box 128 465 East Falmouth Highway 1l1�f East Falmouth, MA 02536 Environmental Systems,lac. December 19, 2007 Carolyn Keating P.O. Box 1492 Marstons Mills, MA 02648 Re: ROUTE 149 1951 BARNSTABLE An audit of our records indicate that your Testing Contract with us either has never been issued or has been canceled due to none payment. A renewal agreement may not be needed at this time as any original contracts can be reinstated once. payment has been received. To ensure your compliance, please contact our office at 508.548.0343 to review your account and payment options that are available. For your convenience we accept all major credit cards and offer automatic credit card billing options. Your system was required to have quarterly sampling for the first two years of operation and as of today's date Your system is currently out of compliance. I am sure you have questions about this requirement and the status of your account. In an effort to streamline this audit process and clearly communicate all necessary information I ask that you contact me directly to discuss how we can assist you in fulfilling this requirement. These testing requirements are important to insure your system is performing correctly. We understand how things can often be overlooked and forgotten about.. However, your system provides a very important service in protecting the environment and these regulations are in place to insure proper operation. Additionally, you are required by the local Board of Health and the Massachusetts Department of Environmental Protection (DEP) under 257 CIVIR 2.00 to maintain a valid Operation and Maintenance Contract and Testing Contract (when applicable) with a Massachusetts certified operator of the appropriate grade for the life of.the system. We value your business and look forward to providing you with continuing operation and maintenance services. Please note that we are required by both local and state regulations to report all non-compliance situations to the authorities. Please feel free to contact me anytime for questions. Sincerely, Matthew C. Costa President Alternative Wastewater Technology Mcin',J; I:I;nng o Corsi:ruclJon a Service P.O. Box 128 — 465 East Falmouth Highway, NJ East Falmouth, MA 02536 Environ!nent l-Systems,Inc: December 19, 2007 Peter E. Marney 15 Oldham Rd Osterville, MA 02655 Re: OLDHAM 15 BARNSTABLE An audit of our records indicate that your Testing Contract with us either has never been issued or has been.canceled due to none payment.A renewal agreement may not be needed at this time as any original contracts can be reinstated once payment has been received. To ensure your compliance, please contact our office at 508.548.0343 to review your account and payment options that are available. For your convenience we accept all major credit cards and offer automatic credit card billing options Your system was required to have quarterly sampling for the first two vears of operation and as of today's date Your system is currently out of compliance I am sure you have questions about this requirement and the status of your account. In an effort to streamline this audit process and clearly communicate all necessary information I ask that you contact me directly to discuss how we can assist you in fulfilling this requirement. These testing requirements are important to insure your system is performing correctly. We understand how things can often be overlooked and forgotten about. However, your system provides a very important service in protecting the environment and these regulations are in place to insure proper operation. Additionally,you are required by the local Board of Health.and the Massachusetts Department of Environmental Protection (DEP) under 267 CMR 2.00 to maintain a valid Operation and Maintenance Contract and Testing Contract (when applicable) with a Massachusetts certified operator of the appropriate grade for the life of the system. We value your business and look fo.,,.vard to providing you with continuing operation and maintenance services. Please note that we are required by both local and state regulations to report all non-compliance situations to the authorities. Please feel free to contact me anytime for questions. Sincerely, Matthew C. Costa President Alternative Wastewater Technology P.O. Box 128 _ = 465 East Falmouth Highway OMNI, East Falmouth, MA 02536 nvironmental`Systems,Inc.. December 19, 2007 David, Jeffrey & Kimberly Straubing P.O. Box 683 Marstons Mills, MA 02648 Re: ROUTE149_195G_BARNSTABLE Our records indicate that your Operation and Maintenance Contract with us has expired or been canceled due to none payment. A renewal agreement is not needed at this time as your original contract can be reinstated once payment has been received. To ensure uninterrupted service and support, please contact our office at 508.548.0343 to review your account and payment options that are available. For your convenience we accept all major credit cards and offer automatic credit card billing options Our comprehensive service and support keeps your critical environmental wastewater treatment system up and running. We understand how things can often be overlooked and forgotten about. However, your system provides a very important service in protecting the environment and does require regular maintenance to insure proper operation. Additionally, you are required by the local Board of Health and the Massachusetts Department of Environmental Protection (DEP) under 257 CMR 2.00 to maintain a valid Operation and Maintenance Contract and Testing Contract (when applicable) with a Massachusetts certified operator of the appropriate grade for the life of the system. We value your business and look forward to providing you with continuing operation and maintenance services. Please note that we are required by both local and state regulations to report all non-compliance situations to the authorities. Furthermore, please be aware that.unless the system is properly maintained;you will be responsible for any imposed fines and or repairs. Please feel free to contact me anytime for questions. Sincere) , Jafthew C. Costa President Alternative Wastewater Technology Manufa turfing Construction Service, P.O. Box 128 "= 465 East Falmouth Highway OMNW&r East Falmouth, MA 02536 EnviroomenQ7systems,In December 19, 2007 Joe Dipilato 4 Gentian Circle Osterville, MA 02655 Re: GENTIAN 4 BARNSTABLE Our records indicate that your Operation and Maintenance Contract with us has expired or been canceled due to none: payment. A renewal agreement is not needed at this time as your original contract can be reinstated once payment has been received. To ensure uninterrupted service and support,please contact our office at 508.548.0343 to review your account and payment options that are available. For your convenience we accept all maior credit cards and offer automatic credit card billing options. Our comprehensive service and support keeps your critical environmental wastewater treatment system up and running. We understand how things can often be overlooked and forgotten about. However, your system provides a very important service in protecting the environment and does require regular maintenance to insure proper operation. Additionally, you are required by the local Board of Health and the Massachusetts Department of Environmental Protection (DEP) under 257 CMR 2.00 to maintain a valid Operation and Maintenance Contract and Testing Contract(when applicable) with a Massachusetts certified operator of the appropriate grade for the life of the system. We value your business and look forward to providing you with continuing operation and maintenance services. Please note that we are required by both local and state regulations to report all non-compliance situations to the authorities. Furthermore,. -- -- please be aware that unless the system is properly maintained, you will be responsible for any imposed fines and or repairs. Please feel-free to contact me anytirne for questions. Sincerely atthew C. Costa President Alternative Wastewater Technology t COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS q. d M DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 195 Route 149 Unit E Marstons Mills MA 02648 Owner's Name: Larry Freni Owner's Address: Same r Date of Inspection: September 6,2005 Job#05-274 Name of Inspector: PATRICK M.O'CONNELL Company Name: SEPTIC INSPECTION SERVICES CO. Mailing Address: 189 CAMMETT ROAD MARSTONS MILLS MA 02648 Telephone Number: 508-428-1779 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a D approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system` �ttt tun►►F�� 0 �� �OFMq• '','��� _X_ Passes Conditionally Passes O2 Needs Further Evaluation by the Local Approving Authority _ P RI =_ Fa' ELL Inspector's Signature• Date: 9/6/05 '�,, T RRtIF\��'oQ,•`�� The system inspector shall '''oi FS INSPEG y p submit a copy of this inspection report to the Approving Authority(Board of Hear�iiort",`` DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments: System is functioning properly and receives regular maintenance inspections for RSF. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page I Page 2 of l l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 195 E Route 149,Marstons Mills Owner: Larry Freni Date of Inspection: September 6,2005 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: _XX_ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND) in the for the following statements.If"not determined"please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing.tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: T41.f incnArtinn 17^—4/1 annnn 2 Page 3 of 11 OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 195 E Route 149,Marstons Mills Owner: Larry Freni Date of Inspection: September 6,2005 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. _ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: To]. G incnPrfinn T7^—r,ii ciinnn 3 Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 195 E Route 149,Marstons Mills Owner: Larry Freni Date of Inspection: September 6,2005 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No _X_ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool _X_ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _X_ Liquid depth in cesspool is less than 6"below invert or available volume is less than ''/z day flow _X_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped _X_ Any portion of the SAS,cesspool or privy is below high ground water elevation. _X_ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone 1 of a public well. X Any portion of a cesspool or privy is within 50 feet of a private water supply well. _X_ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] _No_(Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply _ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. Titla C Tnenr+ntinn Fnr 4/1 ci�nnn 4 Page 5 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 195 E Route 149,Marstons Mills Owner: Larry Freni Date of Inspection: September 6,2005 Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No _X_ _ Pumping information was provided by the owner,occupant,or Board of Health _X_ Were any of the system components pumped out in the previous two weeks? _X_ Has the system received normal flows in the previous two week period? X_ Have large volumes of water been introduced to the system recently or as part of this inspection? _X_ _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) _X_ _ Was the facility or dwelling inspected for signs of sewage back up? _X_ _ Was the site inspected for signs of break out? _X_ _ Were all system components,excluding the SAS,located on site? _X _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? _X _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no _X_ Existing information. For example,a plan at the Board of Health. _X_ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] T41.r,Tncna+ *;^n 17^ m 4/1 cnnnn 5 Page 6 of l l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 195 E Route 149,Marstons Mills Owner: Larry Freni Date of Inspection: September 6,2005 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms):330 Number of current residents: 0 Does residence have a garbage grinder(yes or no): Yes Is laundry on a separate sewage system(yes or no): No [if yes separate inspection required] Laundry system inspected(yes or no): Seasonal use: (yes or no): No Water meter readings,if available(last 2 years usage(gpd)): 2003—96,000 gal.2004—49,000 gal.=198 gpd. Sump pump(yes or no): No Last date of occupancy: Occasional weekend use. COMMERCIALANDUSTRIA L Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sqft,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no):_ Non-sanitary waste discharged to the Title 5 system(yes or no):_ Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records: Tank has never been pumped Source of information: Owner Was system pumped as part of the inspection(yes or no): No If yes,volume pumped:_gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM _Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool _Privy _Shared system(yes or no)(if yes,attach previous inspection records, if any) _X_Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank _Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: 2002 Were sewage odors detected when arriving at the site(yes or no): No Tiffs 4 incnpa tin"Rnrm 4/1 a11nnn 6 Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 195 E Route 149,Marstons Mills Owner: Larry Freni Date of Inspection: September 6,2005 BUILDING SEWER: XX (locate on site plan) Depth below grade: I' Materials of construction:_cast iron _X_40 PVC_other(explain): Distance from private water supply well or suction line: 30' Comments(on condition of joints, venting,evidence of leakage,etc.): SEPTIC TANK: XX (locate on site plan) Depth below grade: I Material of construction:_X_concrete_metal_fiberglass_polyethylene —other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: 10.5' long x 5.8' wide— 1500 gal. Sludge depth: 3" Distance from top of sludge to bottom of outlet tee or baffle:30" Scum thickness: trace Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 14" How were dimensions determined: STICK WITH HINGE FLAP. Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Tees intact and clear,liquid level at bottom of outlet invert Outlet tee has effluent filter. GREASE TRAP: No (locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Title C TncnAntinn 7 Page 8 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 195 E Route 149,Marstons Mills Owner: Larry Freni Date of Inspection: September 6,2005 TIGHT or HOLDING TANK: No (tank must be pumped at time of inspection) (locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass_polyethylene other(explain): Dimensions: Capacity: Qal lons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: No (if present must be opened) (locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): PUMP CHAMBER: XX (locate on site plan) Pumps in working order(yes or no): Yes Alarms in working order(yes or no): Yes Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): All pumas and alarms in working order,floats are properly positioned Titlo i lncnortlnn {?nrm 4/1 aiInnn 8 Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 195 E Route 149,Marstons Mills Owner: Larry Freni Date of Inspection: September 6,2005 SOIL ABSORPTION SYSTEM(SAS): XX (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: leaching chambers,number: leaching galleries,number: leaching trenches,number, length: leaching fields,number,dimensions: overflow cesspool,number: _X—innovative/alternative system Type/name of technology: Recirculating Sand Filter Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): Leaching system shows no evidence of hydraulic failure or saturation CESSPOOLS: No (cesspool must be pumped as part of inspection) (locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,.etc.): PRIVY: No (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): Titlo C Tnonontinn Rnrm Aii ai,)nnn 9 Page 10 of l l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 195 E Route 149,Marstons Mills Owner: Larry Freni Date of Inspection: September 6,2005 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Common Driveway Driveway Water service 17 Garage 26 31 22 15 14 Title. C Tnanoo-tinn Rnr (.il ai,)nnn 10 f Page 11 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 195 E Route 149,Marstons Mills Owner: Larry Freni Date of Inspection: September 6,2005 SITE EXAM Slope None Surface water None Check cellar Dry Shallow wells None Estimated depth to ground water: More than l2 feet Please indicate(check)all methods used to determine the high ground water elevation: _X_Obtained from system design plans on record-If checked,date of design plan reviewed: 9/12/02 Observed site(abutting property/observation hole within 150 feet of SAS). Checked with local Board of Health-explain: Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Pere test performed on 3/24/98 found no water at 12' Titles C Tncnartinn Rnrm 411 Vinon 11 AIFE �- OF MA.�SSAC 3` ' CaMMON a �_ �Sa:TT� ... EXECUTIVE OFFICE OF ENVIRON`MEN74' L(yf DEPARTMENT OF ENVIRONMENTAL PROTECTION i 6 e tl 17 TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address- ( �(C�} (�! K //"" Owner's Name: Owner's Address- eIA�C C"V,vt, C 6 `y- Date of Inspection: p � Name of Inspector leake print) m;I C I e�'�'� Company Name. ✓4r(c Evri vl�e..r>y � Mailing Address: '{gyp ti Telephone Number: 60$-3$s_ 6 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes Conditionally Passes _ K Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: , f�& Date: , The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional o ice of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address bow the system will perform in the future under the same or different conditions of use. I�- as Title 5 Inspection Form 6/15/2000 P i 0 Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 19 S ti Q f l s19�� Owner:� g Date of Inspection: Inspection Summary: Check AAC,D or E/ALWAYSewroplete all of Section D A. System Passes: I have-not found any informatio ich indicates that any of the failure criteria described in 310 CMR I5.303 or in 310 CMR 15.304 exist y failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section p4d to be replaced or repaired.The system,upon completion of the replacement or repair,as approved b e Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the folio statements.If`not determined"please explain. The septic tank is metal and over 20 years old*or the tic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or failure is imminent.System will pass inspection if the existing tank is replaced with a complying septic tank approved by the Board of Health. *A metal septic tank will pass inspection if it is stru y sound;not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is able. ND explain: Observation of sewage backup o reak out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, ed or uneven distribution box.System will pass inspection if(with approval of Board of Health): broken pipes)aze.replaced obstruction is removed distribution box is Ieueled or replaced ND explain: The system r pumping more than 4 times a year due to broken or obstructed pipes)_The system will pass inspection if( approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of i i OFFICIA.I,INSPEcTlo FORM-NOT FOR VOLUNTARY ASSESSMENTS SIJBSYlItFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address:_�Q H 2,f IQ 04-- r Owner: ,p Q Date of Inspection: C. Further Evaluation is Required by the Board of Health: - Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. I. System will pass unless Board of Health determines in accordance with 310 CMR I5.303(l)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: — Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone I of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well".Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: �� 1u[vtf Cyulva4wa. �'o be own ,� � b� Dm n 1 1".NVtraK � 3 +Page 4 of l l OFFICIAL,INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM A. PARTA CERT WICATIUN(continued) Property Address: it Rf P a Owner: Date of Inspection: OS D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections_ Yes No Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool -� Liquid depth in cesspool is less than 6"below invert or available volume is less than%2 day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number 4- of times pumped _ Any portion of the SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Ad Any portion of a cesspool or privy is within 50 feet of a private water supply well. r Any portion of a cesspool or privy is less than I00 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis_IThis system passes if the well water analysis, performed at a DEP certified laboratory,for coHferm bacteria and volatile organic'compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than S ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.) (Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either ""yes or �o to each of ollowing: (The following criteria apply to large systems' addition to the criteria above) yes no the system is within 400 et of a surface drinking water supply the system is wi 200 feet of a tributary to a surface drinking water supply — _ the system' ocated in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II o a public water supply well If you have ans ered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Sec . D above the large system has failed.The owner or operator of any large system considered a significant under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. a system owner should contact the appropriate regional office of the Department. 4 Page 5 o€l 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: / k "elOwner..—/i/�QAt P /� � Date of Inspection: Check if the following have been done.You must indicate`Yes"or"no"as to each of the following- Yes No Z— _ Pumping information was provided by the owner,occupant,or Board of Health �i Were any of the system components pumped out in the previous two weeks? Has the system received normal flows in the previous two week period a Have large volumes of water been introduced to the system recently or as part of this inspection? — Were as built plans of the system obtained and examined?(If they were not available note as N/A) Was the facility or dwelling inspected for signs of sewage back up? _ Was the site inspected for signs of break out? Were all system components,excluding the SAS,located on site? _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? 4 _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no Existing information.For example,a plan at the Board of Health. _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable){310 CMR 15.302(3)(b)J 5 Page 6ofII OFFICIAL. INSPECTION FORM—NOT FOR YOLUN-rARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL,SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address:. Owner: Date of Inspection: RESIDENTIAL FLOW CONDITIONS Number of bedrooms(design): 4/ Number of bedrooms(actual): DESIGN flow based on 3I0 CMR 15.203 (for example: i 10 gpd x#of bedrooms): Y�O Number of current residents: Does residence have a garbage grinder(yes or no):Xb Is laundry on a separate sewage system(yes or no): A [if yes separate inspection required) Laundry system inspected(yes or no)AV Seasonal use:(yes or no): AJO Water meter readings,if available(last 2 years usage(gpd)): Sump pump(yes or no)AJV Last date of occupancy: _Z COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CAR 15.203): Basis of design flow(seats/persons/sgft,e Grease trap present(yes or no):_ opd Industrial waste holding tank pres t{yes or no): Non-sanitary waste discharge the Title 5 system(yes or no):— Water meter readings,if av 'able: East date of occupancy/ OTHER(describe . Pumping Records GENERAL INFORMATION Source of information. Was system pumped as part of the inspection(yes or no): bb If yes, volume pumped: Qallons—How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM _Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool _Privy _Shared system(yes or no)(if yes,attach previous inspection records,if any) Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank _Attach a copy of the DEP approval Other(describe): , Approximate age of all components,dA installed(if known)and source of information: Were sewage odors detected when arriving at the site(yes or no): /UO 6 Page 7ofII OFFICE INISPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: o r H kt 1 f Owner: r.Ak Date of Inspection: Q 1 /p S— BUILDING SEWER(locate on site plan) . Depth below grade: OR Materials of construction: cast iron Y( 40 PVC_other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: f (locate on site plan) Depth below grade: �D ' Material of construction: K concrete_metal fiberglass_polyethylene —other(explain) If tank is metal fist age:_ Is age confn med certificate) by a Certificate of Compliance(yes or no):—(attach a copy of Dimensions: /,7'� 94,1 Sludge depth-3�� Distance from top of sludge to bottom of outlet tee or baffle: 30�► Scum thickness: as Distance from top of scum to top of outlet tee or baffle: 6 u Distance from bottom of scum to bottom of outlet tee or baffle: 14" How were dimensions determined:_ /'✓1 reJ Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): _r&A `Fa s $OW14 40 4 4 ace a te} -t w e a c9l GREASE TRAP:_(locate on site plan) Depth below grade: Material of construction:_concrete_metal �ass olyethylene other (explain): Dimensions: Scum thickness: Distance from top of scum to top of ou t tee or baffle: Distance from bottom of scum to b om of outlet tee or baffle: Date of last pumping: Comments(on pumping reco endations,inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,a dence of leakage,etc.): 7 Wage 8 of I I OFFICIAL INSPECTION FORM--NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: (0t K Rf IfM r Owner: -agaQ, Date of Inspection: TIGHT or HOLDING TANK: (tank;me -----1fibe puped a of inspectionxlocate on site plan) Depth blow grade: Material of construction: concrete rglass__polyethylene other(explain): Dimensions: Capacity: g Design Flow: alIons/day Alarm present(yes or no): Alarm level: Al in working order(yes or no): Date of last pumping: X. Comments(condition alarm and float switches,etc.): DISTRIBUTION BOX: (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert_ Comments(note if box is Ievel and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of bob e;c..): QL- PUMP CHAMBER: K (locate on site plan) Pumps in working order(yes or no):. Alarms in working order(yes or no): P5 f Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): n A. i j t 8 Page 9 of 11 OFFICIAL INSPECTION FOR_ —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SE*ACE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: ot 2{ �� Owner- — Date of inspection; SOIL ABSORPTION SYSTEM(SAS):1C(locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number:_ Leaching chambers,number. leaching galleries,number: 9_leaching trenches,number,length: (® q r K 7S' leaching fields,number,dimensions: overflow cesspool,number: K _innovative/alternative system Type/name of technology: Sw��• `'k/I bc� O tM y�� ��tviWq pte Comments(note condition of soil,signs of hydraulic failure,level of ponding;damp soil,condition of vegetation, etc.): 1 �cc:10 c. 80. l tJ iUA lu�c CESSPOOLS: (cesspool must be pumped as part of inspection)(Iocate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwa inflow(yes or no): Comments(note con ' ion of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note con ation of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): f 9 Page 10 of 11 OFFICIAL INSPECTION FORAM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 101S 14 Q► i Owner. Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two waters benchmarks-Locate all wells within 100 feet.Locate where public permanent reference landmarks or P apply enters the building. l S4�P' I caw lY Page !l of 11 OFFICIAL INSPECTION FOR —$ $NUS'FORVOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE AGE DISPOSAL SYSTEM EM Y INSPECTION OkM PART C SYSTEM INFORMATION(continued) Property Address:_L 5 �{ 2r �q Owner: Date of Inspection: S] TE EXAM Slope 4'@5 Surface water wQ Check cellar qft Shallow wells M Estimated depth to groundwater ® feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators,installers-(attach documentation) X Accessed USGS database-explain: You must describe how you established the high ground water elevation: 11 09/23/05 13:04 Z 5085480350 LCR, INC P.04 GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID; Herring Run-H Matrix: Aqueous Project: OMNI Environmental Systems Received: 08-09-05 17:25 Client: OMNI Environmental Systems Lab ID: 86346-07 Sampled: 08-09-05 12:30 Container; I L Plastic Cool Anal to Result Units RL DF Volume Analyzed QC Batch Method Inst Analva -----------­ ....... Carbonaceous BOD 4 mg/L 3 1 240 mL 08.1"512:06 80D-21S6-W SM 5210 8 3 UD Solids,Total Suspended BRL mg/L 10 1 100 nit. 08-11-0508.,18 -.TSS-1121-W SM 2540 D 4 MW pH 6.4 pH NA 1 50 mL 0"9-05 18:44 PH-1953-W SM 4500-H+B 2 LJD Lab ID: 86346-15 Sampled: 08-09-05 12:30 container;500 ml.Plastic Preservation: Cool QC Batch Method Inst —IYSI Analyte Result Units RL DF e A.n.a1,yz.ed­, Nitrate(as Nitrogen) 19 mg/L 0.1 5 i mL 08-09-05 19:40 NI-26B7-W .�1. Noj F) SM I DDW Nitrite(as Nitrogen) 0.04 mg/L 0.02 1 5 rn L 08-09-051 9:17 N 1-26 8 7•W F"t(w I DDW ------------ Lab ID: 86346-23 Sampled: 08-09-05 12:30 Container. 250 rnL Plastic Preservation: H2SO4/Cool Analyle Result Umts RL DF volume Analyzed-I' 4C Batch Method Inst Analy6l _ Nitrogen,Total Kieldahl(TKI 1.8 mg/L 0. 08-15-0509:29 TKN-1695. AV8 Method Reference: Methods for Chemical Analysis of Water and Wastes,US EPA,EPA-60014-790-020(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 0 998),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. DIF Dilution Factor. I Instrument ID: LachatBOOOAutoanalyzer 2 Instrument ID: Accumet ARSO 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 09/23/05 13:03 a 5085480350 LCR, INC P.03 Massachusetts Department of Environmental Protection: Bureau of Resource Protection;,rjue 5 ., System 'Operation and Maintenance Inspection Checklist A. Installation & Service Information V . Faciftf VeetAddress Date of Senriae CRY OperatorlO M Fhm Inspect&rlots if B. Septic tank{s) pumping Is rdgiiired. Inspect&clean effluent Sludge Pumping Required: Yes❑ Na;4 Sludge Depth: Z tee fluor. Effluent tee.fllter: Yecgo,No❑ if yes.in dean at least yearly.j] Clean as$�smy. C.Recirculation tank inspect for sludge. Check if sludge accumulating Pumping required: Yes❑ N 'Odor ppobigms:Yes❑ N Q yes,desertpiron Iinspect for iludge. D.- Equalization tank(If Installed) C 89*..lf sludge accumulating Pumping required: Yes❑ No['f InApect Pua4v& . E. Purrrpst'swttches, floats, alarm system electrical svintic ,test as necessary.Run Pump inspections(all units) i(ProWer .deverare i pumps i�rnaaua mode.Rreeonl r gs ,Test pump alternator,or reowd hours . Houre.otopwWon from metiers& ®Float switches ; Counters. Check all switches for operellon WT88t alarm if non-MMwonirf,oorrecdve awffigs) Note if weeds& F. Recirculation Sand Filter debris are present on bed.Clew9mainW n 0 . Inspect for ponding Pontding Present:Yes❑ N� bed surface to allow ( Clean bed: Yes❑ No pr opcii&n of the OCR system. stributlon pipes Flush:Yes�O N Brush: Yes❑ N. [I Check head loss In pipes Headloss and owuments G. Sample Collection Ye� No �Z��a `6 3 if yes� LmD CSS MH ON []Other �A'" S 09/23/05 13:01 a 5085480350 LCR, INC P.02 OMNI VW11virovime1 cal Syst:e:ms, Inc. Contract for Operation and Maintenance Services Owners Name Leonard Julius System Location Route 149 Unit 195H Home Address 11226 Rivers Bluff Circle Town Barnstable City,State Zip Bradenton,FL 34202 DEP File No. Phone System Type OMNI RSF Billing Address Contract Terms Life of Ownership city,State Zip Contract Start I Upon Transfer of Property NOTE:OMNI Environmental Systems shall not be responsible for any misuse or Improper operation by non-omni personnel or the system owner,and any operation NOT In accordance with the OMNI RSF System Owner's and Operator's Manual. Terms and Agreement for Standard and Preventative Maintenance Innovative/Alternative Technology OMNI Is hereby authorized to render Standard and Preventative Maintenance for the OMNI Recirculating Sand Filter listed at the above address for the contract period specified above under"Contract Terms". This agreement may be terminated or extended by the system owner by providing OMNI Environmental Systems.Inc(OMNI),with 30 days written notice of intent. OMNI will provide the system owner with thirty(30)days written notice of its changes to the current pricing schedule. The system owner will not be obligated to renew contract in the event of any pricing changes. OMNI will be obligated to provide all prepaid services In the event of any pricing changes. This agreement consists of all Standard and Preventative Maintenance listed in the Owners and Operators Manual. This agreement will include quarterly inspections as required by the Department of Environmental Protection(DEP). It is the responsibility of the system owner to supply any local or state septic system approvals and/or conditions to OMNI. This agreement includes routine maintenance inspections and does not include costs occasioned by neglect,misuse and accident or consumables. This agreement does not Include travel costs for the Islands and any locations outside a 20 mile radius of East Falmouth. This agreement DOES NOT COVER ANY TESTING/SAMPLING REQUIREMENTS. In consideration of the services contained In this agreement the system owner agrees to pay OMNI Environmental Systems,Inc.the sum specified in the payment options section for the above maintenance agreement on a prepayment basis. Payment is due fifteen (15) days from Invoice Date prior to execution of services and will be subject to any applicable late charges. Monthly payees are excluded from prepayment requirements. This agreement is not assignable by either party and is non-refundable for any prepaid services.This agreement will not become effective until the first payment as outlined below has been received by OMNI Environmental Systems,Inc. If the terms and conditions contained herein,Including the terms and conditions set forth on the enclosed documentation tilled TERMS AND CONDITIONS,are acceptable,kindly sign and return one(1)copy of this contract along with the first prepaid payment. It is understood and agreed that the foregoing,including the TERMS AND CONDITIONS set forth will constitute the full and complete agreement between the parties to this agreement. The contract offer expires thirty(30)days from the date hereof,but may be accepted at any later date at the sole option of OMNI, The undersigned agrees to the following payment schedule: Select payment option below by marking appropLiate box. See Terms and Conditions for details on Rayments options. Pa ment options: 1 $29 Month/ $100 Quarterl $165 Semi-Annual 350 Ye$ art ;hereby Zeuth , Project Scope of Work,terms and conditions are satisfactory and are hereby accepted. OMNI is d to provide the serv' s as specified. U 1411—r- JILA,' Qettrsonnel f � Dat Print Name(Owner) System Chner Signature Date 09/23/05 12:59 a 5085480350 LCR. INC P.01 t Enviromnergtal Systems, 1t1C. r Contract for Sampling) i g) Services � La ► t Owners Name Leonard Julius System Location Route 149 Unit 195H Home Address 11226 Rivers Bluff Circle Town Barnstable City,State Zip Bradenton,FL 34202 DEP File No. Phone System Type OMNI RSF Billing Address Contract Terns 2 Years city,State Zip ' Contract Start I U on Transfer of property NOTE:OMNI Environmental Systems shall not be responsible for any misuse or improper operation by non-omni personnel or the system owner,and any operation NOT In accordance with the OMNI RSF System Owner's and Operator's Manual. Terms and Agreement for Sampling Services Innovative/Alternative Technology OMNI is hereby authorized to render sampling(testing)services for the Innovative/Alternative Technology listed at the above address for the contract period specified above under"Contract Terms". This agreement maybe terminated or extended by the system owner by providing OMNI Environmental Systems, Inc(OMNI)with 30 days written notice of Intent. OMNI will provide the system owner with thirty(30) days written notice of its changes to the current pricing schedule. The system owner will not be obligated to renew contract In the event of any pricing changes. OMNI will be obligated to provide all prepaid services in the event of any pricing changes. This Contract DOES NOT INCLUDE any Standard and Preventative Maintenance,costs occasioned by neglect,misuse and accident or consumables, and any travel costs for the Islands or locations not within a 20 mile radius of East Falmouth. This Contract DOES NOT COVER ANY OPERATION AND MAINTENANCE SERVICES. This Contract Includes quarterly samples tested for Total Suspended Solids(TSS),Nitrate Nitrogen(NO3-N),Total Kjeldahl Nitrogen(TKN),Nitrite Nitrogen(NO2-N),Biochemical Oxygen Demand(BOD),and pH by a Commonwealth of Massachusetts certified laboratory. In consideration of the services contained in this agreement the system owner agrees to pay OMNI Environmental Systems, Inc. the sum specified in the payment options section for the above referenced sampling contract on a prepayment basis.Payment is due fifteen(15)days from Invoice Date prior to execution of services and will be subject to any applicable late charges. Monthly payees are excluded from prepayment requirements and must contact OMNI for account setup. This agreement is not assignable by either party and Is non-refundable for any prepaid services.This agreement will not become effective until the first payment(outlined below)has been received by OMNI. If the terms and conditions contained herein,including the terms and conditions set forth on the enclosed documentation titled TERMS AND CONDITIONS,are acceptable,kindly sign and return one(1)copy of this contract along with the first payment. It is understood and agreed that the foregoing, including the TERMS AND CONDITIONS set forth will constitute the full and complete agreement between the parties to this agreement. The contract offer expires thirty(30)days from the date hereof,but may be accepted at any later date at the sole option of OMNI. The undersigned agrees to the following payment schedule: Select Payment option below by marking appropriate box. See Terms and Conditions for details on Vyments options. Payment O tlons: 1 $40 Month) save$20 $135 Quarter) ❑ $260 Semi-Annual $500 Yeas The above costs, Project Scope of Work, terms and conditions are satisfactory and are hereby accepted. OMNI is hereby authorized t pr vide the ervices as specified. Auth zed OMNI Personnel Date / II PoflGtr3i'i Pnnl Name(Owner)lun�14 ( , r C( System Owner Signature Date Alternative Septic Technology Manufacturing 'resting . Maintenance l i COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION Y TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address l�>} 1`t j I a f{;tK� R�� ���� =_ C 9 moOwners Name•Owners Address:Date of Inspection: 0 y ! , Name of inspector:jpl se print) � alji co Company Name: P(C �,n ram.~. Mailing Address: To Box eRk_ m ♦s Q 6`E Telephone Number: �z CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: b(( Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails .41 Inspector's Signature: DateJV Qedi6��5� The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. p Notes and Comments C,,hj a,� e 0hkiOK S OK �V` . Q `� o` ' ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. y F Title 5 Inspection Form 6/152000 page I r PAP 2of11 OFFICIAL INSPECTION FOR —NOT FOR VOLUNTARY ASSESSMENTS NTS SUBSURFACE SEWAGE DESPDSALSYS'I ERA INSPECTION FORM PARS'A CE ICATI®N(continued) Property Address: 19 S H Q+ 1 " Owner. � — � tZ Date of inspection• Inspection Summary: Check AAC D or E/AILWAYSeamplete,all of Section D A. System Passes: I have-not found any informati ich indicates that any of the failure criteria described in 310 CUR 15.303 or in 310 CUR 15.304 e ' y failure criteria not evaluated are indicated below_ Comments: IL System Conditionally Passes: One or more system components as described in the"Conditional Pass"section Po6d to be replaced or repaired.The system,upon completion of the replacement or repair,as approved b e Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the folio statements.If`not determined"please explain- The septic tank is metal and over 20 years old*or the ptic tank(whether metal or not)is structurally unsound,exhibits.substantial infiltration or exfiitration or failure is imminent.System will pass inspection if the existing tank is replaced with a complying septic tank ved by the Board of Health. *A metal septic tank will pass inspection if it is y sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is "able. ND explain: Observation of sewage backup o reek out or ingh static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, ed or uneven distribution box.System will pass ins�on if(with approval of Board of Healtb): broken pipe(s)are zoplaced obstructim its removed distribution box is leveled or replaced ND explain: The system r pumping more than 4 times a year due to broken or obstructed pipe(s).The syst=will pass inspection if( approval of the Board of Heap): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of I I OFFICIAL INSPECTION FORD-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A n CERTIFICATION(continued) Property Address: oil of Owner: Q Date of Inspection: C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order t etermine if the system is failing to protect public health,safety or the environment. I. System will pass unless Board of health determines in accordance with 10 CMR 15.303(l)(b)that the system is not functioning in a manner which will protect public heals ,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated land or a salt marsh 2. System will fail unless the Board of Health(and blic Water Supplier,if any)determines that the system is functioning in a manner that protects the ublic health,safety and environment: _ The system has a septic tank and soil a rption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surfs water supply. _ The system has a septic tank and S and the SAS is within a Zone 1 of a public water supply_ _ The system has a septic tank d SAS and the SAS is within 50 feet of a private water supply well. The system has a septic and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well** ethod used to determine distance **This system passes if well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile ganic compounds indicates that the well is free from pollution from that facility and the presence of onia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria ggered.A copy of the analysis must be attached to this form. Y 3. Other: 3 Page 4 of 1 I OFFICIAL PfSPECnON PO -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DOW06AL SYSTEM INSPECTION FORM PART A. CERTIi CATION(continued) Property Address: /qt (qq P Owner: Date of Inspection: O$� D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections. Yes 140 A Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool --_9� Liquid depth in cesspool is less than 6"below invert or available volume is less than h day flow Required pumping more than 4 times in the last year NLQT due to clogged or obstructed pipe(s).Number of times pumped _ Any portion of the SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. R' Anypottion of a cesspool or privy is within a Zone 1 of a public well. A Any portion of a cesspool or privy is within 50 feet of a private water supply well. _ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis.IThis system passes if the wen wateranalysis, performed at a DEP certified laboratory,for cafferm bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of aanmonia nitrogen and nitrate nitrogen is equat to or less than 5 plain,provided that no other ire criteria are triggered.A copy of the analysis antest be attached to this form.] (Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CNM 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a with a design flow of I0,0W gpd to 15,0W Imo• s You must indicate either"yes"or"no"to each of ollowin ('I7ae following criteria apply to large systems' addition to the criteria alcove) yes no the system is within 400 t of a surface drial�g water supply _ V the system is 200 feet of a tributary to a surface drinking water supply _ te ystem' ocated in a nitrogen sensitive area(Interim Wellhead Protection Area-IRIPA)or a mapped H a public water supply well If you have ered-yes-to any question in Section E the system is considered a significant threat,or answered es"in D above the a stem"y large system has failed.The owner or r of an large stern considered a operator Y a system significant eat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. a system owner should contact the appropriate regional office of the Dement. 4 Page 5 of 11 OFFICL4L I19NSPECITO FIRM$—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAI,SYSTEM INSpECTI®N F€}I PST B CHECKLIST Property Address: / // (<{f �s1Fr.cs Owner: , Date of Inspection: Check if the following have been done.You must indicate"yes"or"tno"as to each of the following: Yes No Pumping information was provided by the owner,occupant,or Board of Health Were any of the system components pumped out in the previous two weeks? _ Has the system received normal flows in the previous two week period? Have large volumes of water been introduced to the system recently or as part of this inspection Were as built plans of the system obtained and examined?(1f they were not available note as N/A) _ Was the facility or dwelling inspected for signs of sewage back up? _ Was the site inspected for signs of break out? _ Were all system components,excluding the SAS,located on site? ,,�� _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition ofthe baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no Existing information.For example,a plan at the Board of Health. a Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)j310 CMR 15.302(3)(b)] 5 I Page b or I I OFFICIAL SPECTTON FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPECTION FORM, PART C SYSTEM INFORMATION Property Address: n�� f JC�Q Owner:_ �C�t a,& -- Date of Inspection:_ Q Al RESIDENTIAL FLOWCONDITIONS Number of bedrooms(design): Number of bedrooms(actual): 1( DESIGN flow based on 310 CMR 15203(for example: 110 epd x#of bedrooms): Y40 Number of current residents: 0 Does residence have a garbage grinder(yes or no): A.0 Is laundry on a separate sewage system(yes or no): i!b [if yes separate inspection required] Laundry system inspected(yes or no):/t!� Seasonal use:(yes or no AJO Water meter readings,if available(last 2 years usage(Z•pd)): Sump pump(yes or no)AV Last date of occupancy � — COlV MERCIAL/iNDUSTRUL "Type of establishment: Design flow(based on 310 CMR 15.203):_ °pd Basis of design flow(seatslpersons/sgft,e . Grease trap present(yes or no}: Industrial waste holding tank Ares (yes or no):_ Non-sanitary waste discharge the Title 5 system(yes or no):_ Water meter readings,if a able: Last date of occupancy/ OTHER(descnbe Pumping Records . INFORMATIONGENERAL INFORMATION Source of information: Was system pumped as part of the inspection(yes or no):AoV If yes, volume pumped. gallons—How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool —ivy Shared system(yes or no)(if yes,attach previous inspection records,if any) Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) —Tight tank _Attach a copy of the DEP approval —Other(describe): Approximate age of all components,date installed(ifknown)and source of information: Were sewage odors detected when arriving at the site(yes or no): A10 6 Page 7 of 11 I Ii I<IC AL INSPECrO FORM—NOT FOR VOLUNTARY ASSESS NTS SUBSLqt#ACE SEW-AGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) ;Property Address: g5 H kt t9y Owner.7jLLjnRe,2. Date of Inspection:_ q(01 BUILDING SEWER(locate on site plan) . Depth below grade: A& Materials of construction cast iron _( 40 PVC_other(explain): Distance from private water supply well or suction line: Continents(on condition of joints,venting,evidence of leakage,etc_): SEPTIC TANK: Y (locate on site plan) Depth below grade: apt' Material of construction: of concrete_theta}—fiberglass polyethylene —other(explain) If tank is metal list age:certificate) _ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of A Dimensions: Sludge depth:..-. Distance from top of sludge to bottom of outlet tee or baffle: JO" Scum thickness:—A!— . Distance from top of scum to top of outlet tee or baffle: tj Distance from bottom of scum to bottom of outlet tee or baffle: 14" How were dimensions determined: o e u�r� Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): [[,, iEL^ &w.s Sou ;J f . tl e t k lac c.�.s 4 ' C wel e t� 4&foe mwfiaq Awkt-d-k. Kx,.b _ ..,L. GREASE TRAP:_(locate on site plan) Depth below grade:_ Material of construction:_concrete_metal fi a ass_polyethylene other (explain): — — Dimensions: Scum thickness: Distance from top of scum to top of tee or baffle: Distance from bottom of scum to om of outlet tee or baffle: Date of last pumping: Comments(on pumpitag rec endations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert, Bence of leakage,ete.): 7 Pages of 11 OFFICIAL RiSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENT'S SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: fi 1( 1&(4f Owner. * M 0, Date of Inspection: TIGHT or HOLDING TANK: (tank must be pumped a of inspection)(locate on site plan) Depth blow grade: Material of construction: concrete to —fiber-glass ipolyethylene other(expWm): Dimensions: Capacity: Resign Plow: allons/day Alarm present(yes or no): Alarm level: Al mi working order(yes or no): Bate of last pumping: Comments(condition alarm and float switches,etc.): DISTRIBUTION BOX: (if present must be openedj(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distn`bution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of bo c.): ams PUMP CHAMBER: K (locate on site plan) Pumps in working order(yes or no):. Alarms in working order(yes or no): P.'S Comments(note condition of pump chamber,condition of pumps and appurtenances,etc_): nn 8 Page 9 of i 1 OFFICIAL ENSPECTION FOR —NOT FOR VOLUNTARY ASSESS ,-,-TS SLSL' `ACE SEWAGE DISPOSAL SYSTEM INSPECTION WORM PART C SYSTEM INFORMATION(continued) Property Address: q'St+ Owner: Bate of Inspection: 4 f eZ Q S SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: leaching chambers,number: leaching galleries,number K_leaching trenches,number,length: 1® 4 K 75— r leaching fields,number,dimensions: overflow cesspool,number CK innovativeraltemative system Type/name of technology: 5o04( .�a. l O - - - ot Comments(note condition of soli,signs of hydraulic failure,level ofponding,damp soil,condition of�eta on,`�K � etc_): _ CESSPOOLS: (cesspool must be pumped as part of m' spection)(locate on site plan) Number and configuration: Depth tog of liquid to inlet invert: Depth of solids layer. Depth of scum Layer. Dimensions of cesspool: Materials of construction. Indication of groundw inflow(yes or no): Comments(note con ' ion of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc_): PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note con ition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc_): 9 e Page 1 d of i 3 OF CIAL INSPE-4 '.SON FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FOB PAIN'C SYSTEM INFORMATION(continued) Property Address: JrJ S J4 Q_J- t � ter: Date of inspection: S"TCH OF SEWAGE DISpGSAIl SYSTEM Provide a sketch of the sewage disposal system including ties to at least two benchmarks-Locate all wells within I oo feet_Locate where Public waters Permanent reference Iandmarks or P uPP Y enters the building. sett P42-e 1 ofOFFICLAL l 1 I? 5?ECTTO: FOB—NOT FOR VOLUNTARY ASSESSMIEN T S SUBSURFACE SEWAGE DISPOSAL sySTEM INSPECTION FORM PART C SYSTEM INFORtMATION(continued) Property Address 5 if $ qq Owner:�e Date of inspection: SITE EXAM Slope YES Surface water Po Check cellar Ve.5 Shallow wells (ram Estimated depth to ground water,,W_feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators,installers_(attach documentation) 1C Accessed USGS database-explain: You must describe how you established the high around water elevation: 5 e.� C tlR.`�t afA Cr O Il Town of Barnstable Regulatory Services * BARNSTABLE, 9 MASS. $ Thomas F. Geiler,Director Qp 039. ♦0 p�EDMA'�A Public Health Division** Thomas McKean, Director 367 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 July 11,2001 Mr. John Falacci Ham Home Realty Trust P.O. Box 1224 Hyannis, MA 02601 RE: 195 ROUTE 149, MARSTONS MILLS Last night the Board of Health voted to hold a public hearing regarding the inspection 1 and testing of the nine Micro Fast Treatment Systems to be located at 195 Route 149 Marstons Mills, Massachusetts. As you are aware, the Board of Health Regulatory Part VIII, Section 12.00 provides the Board authority to impose additional conditions regarding effluent water quality standards and/or monitoring requirements. The hearing will be held at the Town Hall, second floor Hearing Room, 367 Main Street Hyannis, Massachusetts. Sincerely yours. Thomas McKean