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HomeMy WebLinkAbout0195 ROUTE 149 UNIT 7 - Health (6) , 1!,�st &Unit 1 Route 149 I onMills 78 . 018Unit 1 ram=- i i R OMNN Environme.Wal Systems,Inc. OMNI RSF Operation and Maintenance Inspection Checklist A. Installation & Service Information s Facility Street Addre s WDate of Service �A City Operator/O&M Firm System Startup Date Weather Conditions B. Septic Tank <; Sludge Pumping Required: Yes E] No� [I Sludge Depth: 0 Scum Depth: Effluent tee filter: YesE] N oU' If yes, inspect 0&clean at least yearly El If the sludge layer is within 12"of the outlet invert,recommend that the homeowner have the septic tank pumped,note the approximate scum layer thickness as well.Also,inquire if the homeowner has a pumping schedule established with a licensed septage hauler,if not recommend a two to four year pumping schedule depending on how heavily the system is used, C. Recirculation Tank El Check if sludge accumulating Pumping required: Yes El Nop Odor problems: Yes F-1 N If yes,description Effluent tee filter: Yes n N� If yes, inspeGtE] &clean at least yearly El If the sludge layer is greater than 4"request that the homeowner pump out the recirculation tank in order to prevent clogging of the filter modules. Note the characteristics of the effluent coming out of the manifold this may indicate that the filter bed may need servicing. D. Equalization Tank (if installed) Sludge Pumping Required: Yes El No 0 El Sludge Depth: E]Scum Depth: Effluent tee filter: Yes El No 0 If yes, inspect❑ &clean at least yeadyE] Same inspection criteria as septic tank: E. Pump Chamber I Vault(if Installed) Pump Inspections(all units) �* If problems,describe Float switches Check all switches for operation Make Sure the pump is operational by pulling up the float switch;if the pump is not operational immediate corrective actions need to be taken. r' F. Pumps, Switches, Floats,Alarm System Pump Inspections(all units) If problems,describe Test pump alternator, or record hours pr,- )v Hours of operation Float switches Check all switches for operation !�Test alarm If non-functioning,corrective actlon(s) Make sure pump(s),Float(s)and audible alarm(s)are functional,if not make a note so that corrective actions can be made. G. Filter Modules ("Sand Filters") S, Z ' r Inspect for ponding Ponding Present:Yes❑ No Clean bed: Yes❑ NoI Distribution pipes Flush:Yes❑ No Brush: Yes❑ No r Any obstruction of airflow to filter modules: Yes❑ No If Yes, explain below(i.e.snow,dirt) To inspect the condition of the filter modules remove the mulch layer at one corner of the filter module area, then lift the filter fabric so that the media can be inspected through the end of the contactor. The media should have a thin biomass layer growing on it and should have a brownish shaggy coloration.If the surface of the filter module area appears to be clogged,or the biomass layer is too think it is suggested to completely expose the filter modules,and rake the filter beds thoroughly,then wash the filter beds down with a garden hose(with a pressure nozzle on it).Then Recover the filter beds as they were found. H. Sample Collection Yel No❑ If yes: ❑BOD ❑TSS ❑pH ATN �jOther All samples are to be taken from the manifold located in the recirculation tank,and are to be stored in sterile, laboratory supplied containers.In order to prevent any cross-contamination from a previous sample rinse the dip cup into the effluent stream at the manifold three times so that a representative sample can be obtained. Make sure to wear proper safety equipment while pulling samples(i.e.rubber gloves). System Notes: vor n F Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Tom Fehnel filling out forms Owner on the computer, use only the tab Route 149 Unit 195-A key to move your Facility Street Address cursor-do not Marstons Mills 02648 use the return City Zip key. �a Mailing address of owner, if different: 722 Bear Creek Circle Street Address/PO Box: Winter Springs FL 32708 City State Zip (407) 971 -0477 ext. Telephone Number B. Authorized Service Provider BENNETT ENVIRONMENTAL ASSOCIATES, INC. O&M Firm 1573 Main Street/ PO Box 1743 Street Address Brewster MA 02631 City State Zip (508) 896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF DEP ID Manufacturer ID Model Number 8/25/03 8/25/03 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ® Yes ❑ No D. Operating Information 6/5/14 3/7/14 Inspection Date Previous Inspection Date 4" Sludge , 0" Scum Pumping Recommended ❑ Yes ® No Sludge Depth(to be checked yearly) t5aiom.doc•rev. 11-07-05 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 7.0 SU DO 5.5 mg/L Turbidity 0.42 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑ TN ❑ Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing. Notes and Comments: The residence is listed for sale and is currently unoccupied. The system is operating correctly, and effluent quality passed field testing parameters. t5aiom.doc•rev. 11-07-05 Page 2 of 3 r, LlMassachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and ®&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. &S�Z'"' , 2 - �&�23�It4 Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31 st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31 th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6t Floor Boston, MA 02108 t5aiom.doc•rev. 11-07-05 Page 3 of 3 e `r Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Tom Fehnel filling out forms Owner on the computer, use only the tab Route 149 Unit 195-A key to move your Facility Street Address cursor-do not Marstons Mills 02648 use the return City Zip key. Mailing address of owner, if different: 722 Bear Creek Circle Street Address/PO Box: Winter Springs FL 32708 City State Zip (407) 971 -0477 ext. Telephone Number B. Authorized Service Provider BENNETT ENVIRONMENTAL ASSOCIATES, INC. O&M Firm 1573 Main Street/ PO Box 1743 Street Address Brewster MA 02631 City State Zip (508) 896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF DEP ID Manufacturer ID Model Number 8/25/03 8/25/03 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ® Yes ❑ No D. Operating Information 9/16/14 6/5/14 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5aiom.doc•rev. 11-07-05 Page 1 of 3 w LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and ®&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 7.0 SU DO 5.0 mg/L Turbidity 0.50 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ❑ BOD ❑ CBOD ❑ TSS ® TN ® Other(list below) NO3 NO2 TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Notes and Comments: The residence is listed for sale and is currently unoccupied. The system is operating correctly, and effluent quality passed field testing parameters. t5aiom.doc•rev. 11-07-05 Page 2 of 3 a LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. qZ dwi Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 315t of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6t Floor Boston, MA 02108 t5aiom.doc•rev. 11-07-05 Page 3 of 3 IVIN Environmental Systems,Inc. OMNI RSF Operation and Maintenance Inspection Checklist A. Installation &Service Information IQ 3t Facility Street Address Date of Service` i City Operatod0&M Firm System Startup Date Weather Conditions B. Septic Tank ii ,,0 Sludge Pumping Required: Yes❑ No Sludge Depth: (4 ' Scum Depth. Effluent tee filter. Yes❑ No�K If yes, inspect❑&clean at least yearly❑ If the sludge layer is within 12"of the outlet invert,recommend that the homeowner have the septic tank pumped,note the approximate scum layer thickness as well.Also,inquire if the homeowner has a pumping schedule established with a licensed septage hauler, if not recommend a two to four year pumping schedule depending on how heavily the system is s used. � \\ C. Recirculation Tank SU *Check if sludge accumulating Pumping required: Yes❑ No ` � Odor problems: Yes ElNoZ9 If yes,descriptlon Effluent tee filter: Yes❑ Nv� If yes, inspect❑&clean at least yearly❑ If the sludge layer is greater than 4"request that the homeowner pump out the recirculation tank in order to prevent clogging of the filter modules. Note the characteristics of the effluent coming out of the manifold this may indicate that the filter bed may need servicing. 13 D. Equalization Tank(if installed) Sludge Pumping Required: Yes❑ No❑ ❑Sludge Depth: ❑Scum Depth: Effluent tee filter: Yes❑ No❑ If yes, inspect E]&clean at least yearly❑ Same inspection criteria as septic tank: E. Pump Chamber!Vault(if Installed) Pump Inspections(all units) If problems,describe Float switches Check all switches for operation Make Sure the pump is operational by pulling up the float switch;if the pump is not operational immediate corrective actions need to be taken. c F. Pumps, Switches, Floats, Alarm System Pump Inspections(all units) If problems,describe ?t4Test pump alternator,or record hours Hours of operation �J Float switches Check all switches for operation Test alarm If non-functioning,corrective action(s) Make sure pump(s),Float(s)and audible alarm(s)are functional,if not make a note so that corrective actions can be made. ` G. Filter Modules "Sand Filters" ) Inspect for ponding Ponding Present:Yes❑ No I Clean bed: Yes❑ No VDistribution pipes Flush:Yes❑ No4 Brush; Yes❑ No� &Any obstruction of airflow to filter modules: Yes o No❑ If Yes,explain below(i.e. snow,dirt) To inspect the condition of the filter modules remove the mulch layer at one corner of the filter module area, then lift the filter fabric so that the media can be inspected through the end of the contactor. The media should have a thin biomass layer growing on it and should have a brownish shaggy coloration.If the surface of the filter module area appears to be clogged,or the biomass layer is too think it is suggested to completely expose the filter modules,and rake the filter beds thoroughly,then wash the filter beds down with a garden hose(with a pressure nozzle on it).Then Recover the filter beds as they were found. H. Sample Collection Yes❑ Nov If yes: ❑BOD ❑TSS ❑pH ❑TN ❑Other All samples are to be taken from the manifold located in the recirculation tank,and are to be stored in sterile, laboratory supplied containers.In order to prevent any cross-contamination from a previous sample rinse the dip cup into the effluent stream at the manifold three times so that a representative sample can be obtained. Make sure to wear proper safety equipment while pulling samples(Le, rubber gloves). System Notes: .n ��' N NL Serial No:09221409:11 ' A A N,A L Al I C A L ANALYTICAL REPORT Lab Number: L1421312 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: David Bennett Phone: (508)896-1706 Project Name: FEHNEL RESIDENCE Project Number: BEA09-10156 Report Date: 09/22/14 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(LA000065),ME(MA00086), PA(68-03671),USDA(Permit #P-330-11-00240),NC(666),TX(T104704476),DOD(L2217),US Army Corps of Engineers. Eight Walkup Drive,Westborough, MA 01581-1019 508-898-9220 (Fax)508-898-9193 800-624-9220-www.alphalab.com fiA/�?I'lr1 k.w'ww_r cw• Page 1 of 15 Serial No:09221409:11 Project Name: FEHNEL RESIDENCE Lab Number: L1421312 Project Number: BEA09-10156 Report Date: 09/22/14 Alpha Sample Collection Sample ID Client ID Matrix Location Date/Time Receive Date L1421312-01 EFFLUENT WATER MARSTONS MILLS, MA 09/16/14 08:50 09/16/14 Page 2 of 15 / � I Serial No:09221409:11 Project Name: FENNEL RESIDENCE Lab Number: L1421312 Project Number: BEA09-10156 Report Date: 09/22/14 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet all of the requirements of NELAC,for all NELAC accredited parameters.The data presented in this report is organized by parameter(i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE",respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific% recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.All specific QC information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications.Soil/sediments, solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances the specific failure is not narrated but noted in the associated QC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. HOLD POLICY For samples submitted on hold,Alpha's policy is to hold samples(with the exception of Air canisters)free of charge for 21 calendar days from the date the project is completed.After 21 calendar days,we will dispose of all samples submitted including those put on hold unless you have contacted your Client Service Representative and made arrangements for Alpha to continue to hold the samples.Air canisters will be disposed after 3 business days from the date the project is completed. Please contact Client Services at 800-624-9220 with any questions. I,the undersigned, attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. �� Lura L Troy Authorized Signature: `` Title: Technical Director/Representative Date: 09/22/14 Page 3 of 15 h �� Serial No:09221409:11 INORGANICS MISCELLANEOUS Page 4 of 15 Serial No:09221409:11 Project Name: FEHNEL RESIDENCE Lab Number: L1421312 Project Number: BEA09-10156 Report Date: 09/22/14 SAMPLE RESULTS Lab ID: L1421312-01 Date Collected: 09/16/14 08:50 Client ID: EFFLUENT Date Received: 09/16/14 Sample Location: MARSTONS MILLS,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry-Westborough Lab Nitrogen,Nitrite ND mg/I 0.050 -- 1 09/17/14 03:59 44,353.2 DB Nitrogen,Nitrate 3.6 mg/1 0.10 -- 1 09/17/14 03:59 44,353.2 DB _ ....... . ......... ---- - _........ ...... ... .- ... ---- -. _ ........ - Nitrogen,Total Kjeldahl 1.55 mg/I 0.300 -- 1 09/17/14 12:18 09/18/14 22:05 30,4500N-C AT /G LvHA Page 5 of 15 Serial No:09221409:11 Project Name: FENNEL RESIDENCE Lab Number: L1421312 Project Number: BEA09-10156 Report Date: 09/22/14 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry',;Westborough Lab for sample(s). .01 Batch: WG722581-1 Nitrogen,Nitrate ND mg/I 0.10 1 09/17/14 01:49 44,353.2 DB General Chemistry=Westborough Lab for sample(s): 01 Batch: WG722584-1 Nitrogen,Nitrite ND mg/I 0.050 1 09/17/14 01:52 44,353.2 DB General Chemistry-Westborough Lab for sample(s)::01 Batch: WG722791-1' Nitrogen,Total Kieldahl ND mg/I 0.300 1 09/17/14 12:18 09/18/14 21:53 30,4500N-C AT Yt, ylf L � t7�L Page 6 of 15 Serial No:09221409:11 Lab Control Sample Analysis Project Name: FEHNEL RESIDENCE Batch Quality Control Lab Number: L1421312 Project Number: BEA09-10156 Report Date: 09/22/14 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qual Limits RPD Qual RPD Limits General Chemistry VVestbor`ough Lab,"Associated sample(s): 01 Batch -WG722581-2 . Nitrogen,Nitrate '100 - 90-110 - Gen.eral:Chem istry-Westborotgh Lab _Associated sample(s):.01- Batch:'WG722584-2 Nitrogen,Nitrite 96 - 90-110 20 ........ _.._ ........... _._.. ._ ._........ ._... General Chemistry-Westborough Lab-Associated sample(s)::01 Batch: WG.722791-2 Nitrogen,Total Kjeldahl 100 78-122 ........ Page 7 of 15 `� Serial No:09221409:11 Matrix Spike Analysis Project Name: FEHNEL RESIDENCE Batch Quality Control Lab Number: L1421312 Project Number: BEA09-10156 Report Date: 09/22/14 Native MS MS MS MSD MSD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits General..Chemistry Westborough Lab Associated.sample(s): 01 QC Batch ID: WG722581-4 QC Sample: L1421265-01 .Client ID:- IVIS•Sample Nitrogen, Nitrate 0.32 4 4.3 99 83-113 6 General°Chemistry-:Westborough Lab-Associated'sample(s): 01 QC Batch ID: WG722584-4 QC Sample:L1421'296-01 Client ID`. MS Sample Nitrogen,Nitrite ND 4 3.9 99 - 80-120 - 20 General,Ch.emistry.='Westborough L-abAssociated sample(s): 01 QC'Batch ID: WG722791-4 `QC Sample:�L1421281-01 :Client:ID: MS Sample Nitrogen,Total Kjeldahl 1.53 8 10.1 107 - 77-111 24 Page 8 of 15 % Lr BSA Serial—No:OW21409:1 1 Lab Duplicate Analysis Project Name: FENNEL RESIDENCE Batch Quality Control Lab Number: L1421312 Project Number: BEA09-10156 Report Date: 09/22/14 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits _ - . General Chemistry 1Nestborough�Lab Associated sample(s) - 01 QC Batch ID: -WG722581-3 'QC Sample: L1421265 01 Client ID: DUP'Sample . Nitrogen,Nitrate 0.32 0.28 Mg/1 13 Q 6 General Chemistry Westborough,Lab Associated sample(s) V ,QC Batch ID, WG722584-3 :`QC Sample: L1421296-01. Cllent`ID: :DUP.—Sample: ... .._ -. ... Nitrogen,Nitrite ND ND mg/I Nc 20 General Chemistry Westborough Lab Associated sample(s). 01: QC Batch ID:<:WG722791,3 QC Sample_-L1421281-01 Client;ID: DUP Sample Nitrogen,Total Kjeldahl 1.53 1.85 mg/I 19'. 24 .y Page 9 of 15 I?Ha Serial No:09221409:11 Project Name: FEHNEL RESIDENCE Lab Number: L1421312 Project Number: BEA09-10156 Report Date: 09/22/14 Sample Receipt and Container Information Were project specific reporting limits specified? YES Reagent H2O Preserved Vials Frozen on: NA Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C Pres Seal Analysis(*) L1421312-01A Plastic 250m]H2SO4 preserved A <2 4.8 Y Absent TKN-4500(28) L1421312-01 B Plastic 250ml unpreserved A 7 4.8 Y Absent NO2-353(2),NO3-353(2) *Values in parentheses indicate holding time in days /*44 'PHA Page 10 of 15 - Serial No:09221409:11 Project Name: FENNEL RESIDENCE Lab Number: L1421312 Project Number: BEA09-10156 Report Date: 09/22/14 GLOSSARY Acronyms EDL -Estimated Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting limit(RL).The EDL includes any adjustments from dilutions,concentrations or moisture content,where applicable.The use of EDLs is specific to the analysis of PAHs using Solid-Phase Microextraction(SPME). EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,_spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit(RE.).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC Not Calculated: Tenn is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NI Not Ignitable. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Footnotes 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Total:With respect to Organic analyses,a'Total'result is defined as the summation of results for individual isomers or Aroclors.If a'Total' result is requested,the results of its individual components will also be reported.This is applicable to'Total'results for methods 8260,8081 and 8082. Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Data Qualifiers A Spectra identified as"Aldol Condensation Product". B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit.For NJ-related projects(excluding Air),flag only applies to associated field samples that have detectable concentrations of the analyte,which was detected above the reporting limit in the associated method blank or above five times the reporting limit for common lab contaminants(Phthalates,Acetone,Methylene Chloride,2-Butanone). C Co-elation:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. Report Format: Data Usability Report l^ � Page 11 of 15 Seri al_No:09221409:11 Project Name: FEHNEL RESIDENCE Lab Number: L1421312 - Re Project Number: BEA09 10156 Report Date: 09/22/14 Data Qualifiers G The concentration may be biased high due to matrix interferences(i.e,co-elution)with non-target compound(s).The result should be considered estimated. II The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes fiom the time of sample collection. I The lower value for the two columns has been reported due to obvious interference. M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICS),where the identification is based on a mass spectral library search. P The RPD between the results for the two columns exceeds the method-specified criteria. Q The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R -Analytical results are from sample re-analysis. RE -Analytical results are from sample re-extraction. S -Analytical results are from modified screening analysis. J Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICS). ND Not detected at the reporting limit(RL)for the sample. Report Format: Data Usability Report l.' HA p.._- XA- Page 12 of 15 Serial—No:09221409:11 Project Name: FENNEL RESIDENCE Lab Number: L1421312 Project Number: BEA09-10156 Report Date: 09/22/14 REFERENCES 30 Standard Methods for the Examination of Water and Wastewater.APHA-AWWA- WPCF. 18th Edition. 1992. 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100, August 1993. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error,the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the field. Page 13 of 15 Serial No:09221409:11 Certification Information Last revised April 15,2014 The following analytes are not included in our NELAP Scope of Accreditation: Westborough Facility EPA 524.2: Acetone, 2-Butanone(Methyl ethyl ketone(MEK)), Tert-butyl alcohol, 2-Hexanone, Tetrahydrofuran, 1,3,5-Trichlorobenzene,4-Methyl-2-pentanone (MIBK), Carbon disulfide, Diethyl ether. EPA 8260C: 1,2,4,5-Tetramethylbenzene,4-Ethyltoluene, lodomethane (methyl iodide), Methyl methacrylate, Azobenzene. EPA 8330A/B: PETN, Picric Acid, Nitroglycerine,2,6-DANT, 2,4-DANT. EPA 8270D: 1-Methyl naphthalene, Dimethylnaphthalene,1,4-Diphenylhydrazine. EPA 625: 4-Chloroaniline,4-Methylphenol. SM4500: Soil: Total Phosphorus,TKN, NO2, NO3. EPA 9071: Total Petroleum Hydrocarbons, Oil&Grease. Mansfield Facility EPA 8270D: Biphenyl. EPA 2540D: TSS EPA TO-15: Halothane, 2,4,4-Trimethyl-2-pentene, 2,4,4-Trimethyl-1-pentene,Thiophene, 2-Methylthiophene, 3-Methylthiophene, 2-Ethylthiophene, 1,2,3-Tri methyl benzene, Indan, Indene, 1,2,4,5-Tetra methyl benzene, Benzothiophene, 1-Methylnaphthalene. The following analytes are included in our Massachusetts DEP Scope of Accreditation,Westborough Facility: Drinking Water EPA 200.8: Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TI; EPA 200.7: Ba,Be,Ca,Cd,Cr,Cu,Na; EPA 245.1: Mercury; EPA 300.0: Nitrate-N, Fluoride, Sulfate; EPA 353.2: Nitrate-N, Nitrite-N; SM4500NO3-F: Nitrate-N, Nitrite-N; SM4500E-C, SM4500CN-CE, EPA 180.1, SM2130B,SM4500C1-D,SM2320B, SM2540C, SM4500H-B EPA 332: Perchlorate. Microbiology: SM9215B; SM9223-P/A, SM9223B-Colilert-QT, Enterolert-QT. Non-Potable Water EPA 200.8: AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI,Zn; EPA 200.7:AI,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,Ti,TI,V,Zn; EPA 245.1, SM4500H,6, EPA 120.1, SM2510B,SM2540C,SM2340B, SM2320B, SM4500CL-E, SM4500E-BC, SM426C, SM4500NH3-BH, EPA 350.1: Ammonia-N, LACHAT 10-107-06-1=B:Ammonia-N, SM4500NO3-F, EPA 353.2: Nitrate-N, SM4500NH3-BC-NES, EPA 351.1,SM4500P-E, SM4500P-B, E,SM5220D, EPA 410.4, SM5210B, SM5310C, SM4500CL-D, EPA 1664, SM14 510AC, EPA 420.1, SM4500-CN-CE, SM2540D. EPA 624:Volatile Halocarbons&Aromatics, EPA 608: Chlordane, Toxaphene,Aldrin, alpha-BHC, beta-BHC, gamma-BHC,delta-BHC, Dieldrin, DDD, DDE, DDT, Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs EPA 625: SVOC(Acid/Base/Neutral Extractables), EPA 600/4-81-045: PCB-Oil. Microbiology: SM9223B-Colilert-QT; Enterolert-QT, SM9222D-MF. For a complete listing of analytes and methods, please contact your Alpha Project Manager. Page 14 of 15 Serial_No:09221409:11 I D'ate.RecStl irisLab:• ,.f'•A CHAIN OF CUSTODY RAPE 1 F1 �: .�: _��•;�� ��. CH Project Information ❑ FAX ® EMAIL ® Same as Client info PO#:10155. Westborough,MA Mansfield,MA Project Name:Fehnel Residence TEL:508-898-9220 TEL:508.822-9300 ❑ ADEx' ❑ Add'[Deliverables 'FAX:SOM98.9193 FAX SOM22-3289 Regulatory Requirements/Report Client Information Project Location:Marstons.Mills,MA State/Fed Program Criteria . Client:Bennett Environmental Associates Project.#:BEA09-10156 Address:1573 Main Street/•P.O.Box 1743 Project Mana er:David C.Bennett Brewster,MA 02631 ALPHA Quote#: Phone:508-896-1706 Turn-Around Time .ANALYSIS Fax:508-896-5109 ®Standard ❑Rush(ONLY IFPRE-APPROVEDi SAMPLE HANDLING Filtration Email:.sfarrenkdpf@bennett-ea.com ❑ Done ❑These samples have been Previously analyzed byAlpha Due Date: Time: ® Not Needed ❑ Lab to do Other Project Specific Requirements/Comments/Detection Limits: Preservation . • ❑ Lab to do (Please specify below) Plf?WA LabID ' Sample ID Collection Sample Sampler's z II �(LablJse�O.giy)'zt;'•' Date Time Matrix Initials @ Z . Sample Spocinc Z I`_ Comments EfFluatit '. :�� . GNU ® ❑ El ❑ ❑... ❑ .❑. ❑ ❑ ❑ ❑ z El v ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑. ❑ ❑ o 0 o a ❑ 11 ❑ ❑ ❑ ❑ ,� •''�ti l rile'";.v" {:+i El El FT El El ❑ ❑ ❑ ❑ El 11 0 El 41 dr'.<.•i z e P � �; YP € J;, ;.. .. O fe D i'PleaSd,p ContainerTririt'clAsrijwgitily15r; '7�end'cd PreSBfvatlVeinplAtAly,._SamjSlestcan4g pottie iii ed:ln antl ,`:.,4• :y 4 Reiin wished Date Recel e B : . DatelTime tfumaibtind time%... :Cvilirnotl::: Y =s(a[f until;any;amgiguitles;ar9;; �� r9so[4ed.Allaa o, sutiitSitted eieaubjActto?'. W: FORM ND:01-01ReNJ) .ftp f/ Aipfia;s;Psymeht Tei(hs'.;.. ,,: (rev.2`MPR-09) [t,•.. '.:.f::::".1.. Page 15 of 15 4 Environmentil—Systems,Ineq OMNI RSF Operation and Maintenance Inspection Checklist A. Installation& Service Information V3 L) Facility Street Address Date of ServIce 71 City Operator/O&M Firm 5kj�\ System Startup Date Weather Conditions B. Septic Tank Sludge Pumping Required: Yes E] Nk— a El Sludge Depth: El Scum Depth: Effluent tee filter: YesE] 1\16�5( If yes,inspect El&clean at least yearly El If the sludge layer is within 12"of the outlet invert,recommend that the homeowner have the septic tank pumped,note the approximate scum layer thickness as well.Also,inquire if the homeowner has a pumping schedule established with a licensed septage hauler, if not recommend a two to four year pumping schedule depending on how heavily the system is used. tt C. Recirculation Tank 5 \ El Check if sludge accumulating Pumping required: Yes C1 No El Odor problems: Yes E] No n If yes,description Effluent tee filter: YesEj N46 If yes,inspect El &clean at least yearly❑ If the sludge layer is greater than 4!'request that the homeowner pump out the recirculation tank in order to prevent clogging of the filter modules. Note the characteristics of the effluent coming out of the manifold this may indicate that the filter bed may need servicing. D. Equalization Tank(if installed) Sludge Pumping Required: Yes El No[1 0 Sludge Depth: F1 Scum Depth: Effluent tee filter. Yes El No U If yes, inspect El&clean at least yearly El Same inspection criteria as septic tank: E. Pump Chamber/Vault(if Installed) �f Pump Inspections(all units) If problems,describe Float switches Check all switches for operation Make Sure the pump is operational by pulling up the float switch;if the pump is not operational immediate corrective actions need to be taken. 'v F. Pumps, Switches, Floats, Alarm System Pump Inspections(all units) If problems,describe Q Test pump alternator,or record hours Hours of operation Float switches Check all switches for operation Test alarm If non-functioning,corrective action(s) Make sure pump(s),Float(s)and audible alarm(s)are functional,if not make a note so that corrective actions can be made. G. Filter Modules ("Sand Filters") J�S\�) NX Inspect for ponding pp�� Ponding Present:Yes El No Clean bed: Yes ElNoO' Distribution pipes Flush:Yes❑ No(] Brush: Yes❑ No m Any obstruction of airflow to filter modules: Yes❑ No Q§If Yes,explain below(i.e.snow,dirt) To inspect the condition of the filter modules remove the mulch layer at one corner of the filter module area, then lift the filter fabric so that the media can be inspected through the end of the contactor. The media should have a thin biomass layer growing on it and should have a brownish shaggy coloration.If the surface of the filter module area appears to be clogged,or the biomass layer is too think it is suggested to completely expose the filter modules,and rake the filter beds thoroughly,then wash the filter beds down with a garden hose(with a pressure nozzle on it).Then Recover the filter beds as they were found. H. Sample Collection Yes❑ NotA, If yes: ❑BOD ❑TSS ❑pH ❑TN ❑Other All samples are to be taken from the manifold located in the recirculation tank,and are to be stored in sterile, laboratory supplied containers. In order to prevent any cross-contamination from a previous sample rinse the dip cup into the effluent stream at the manifold three times so that a representative sample can be obtained. Make sure to wear proper safety equipment while pulling samples(i.e.rubber gloves). System Notes: Cc C; t\j� , � e n o� ea�ttl',�y�t�r.��, OMNI RSF Operation and Maintenance Inspection Checklist A. Installation & Service Information Facility Street Address Date of 8ervice rM h�S `M �\`� —130 -svY.&' I City Operator/O&M Firm System Startup Date Weather Conditions B. Septic Tank 1v� �pw�►- 0'r, �j a-�IN\ Vr 5"'� Sludge Pumping Required: Yes❑ Not ❑ Sludge Depth: ❑ Scum Depth: Effluent tee filter: Yes ❑ NoV If yes, inspect❑ &clean at least yearly❑ If the sludge layer is within 12"of the outlet invert,recommend that the homeowner have the septic tank pumped,note the approximate scum layer thickness as well.Also,inquire if the homeowner has a pumping schedule established with a licensed septage hauler,if not recommend a two to four year pumping schedule depending on how heavily the system is used. C. Recirculation Tank ❑Check if sludge accumulating Pumping required: Yes❑ NoVL Odor problems: Yes ❑ N6j& If yes,description Effluent tee filter: Yes❑ N&A, If yes, inspect❑&clean at least yearly❑ If the sludge layer is greater than 4"request that the homeowner pump out the recirculation tank in order to prevent clogging of the filter modules. Note the characteristics of the effluent coming out of the manifold this ` may indicate that the filter bed may need servicing. 1 ' D. Equalization Tank(if installed) Sludge Pumping Required: Yes❑ No❑ ❑Sludge Depth: ❑ Scum Depth: Effluent tee filter: Yes❑ No❑ If yes, inspect❑&clean at least yearly ❑ Same inspection criteria as septic tank: E. Pump Chamber 1 Vault(if Installed) Pump Inspections(ail units) If problems,describe Float switches _ Check all switches for operation Make Sure the pump is operational by pulling up the float switch;if the pump is not operational immediate corrective actions need to be taken. R F. Pumps, Switches, Floats, Alarm System Pump Inspections(all units) If problems,describe Test pump alternator, or record hours Hours of operation Float switches Check all switches for operation Test alarm If non-functioning,corrective action(s) Make sure pump(s),Float(s)and audible alarm(s)are functional,if not make a note so that corrective actions can be made. rr G. Filter Modules ("Sand Filters") Inspect for ponding Ponding Present:Yes❑ No� Clean bed: Yes❑ NoJ Distribution pipes Flush:Yes❑ Nop Brush: Yes ElNo% Any obstruction of airflow to filter modules: Ye No❑ If Yes, explain below(i.e. snow, dirt) Shp�,J To inspect the condition of the filter modules remove the mulch layer at one corner of the filter module area, . then lift the filter fabric so that the media can be inspected through the end of the contactor. The media should have a thin biomass layer growing on it and should have a brownish shaggy coloration. If the surface of the filter module area appears to be clogged,or the biomass layer is too think it is suggested to completely expose the filter modules,and rake the filter beds thoroughly,then wash the filter beds down with a garden hose(with a pressure nozzle on it).Then Recover the filter beds as they were found. H. Sample Collection Yes❑ N4 N If yes: ❑BOD ❑TSS ❑pH ❑TN ❑Other ' All samples are to be taken from the manifold located in the recirculation tank,and are to be stored in sterile, laboratory supplied containers. In order to prevent any cross-contamination from a previous sample rinse the dip cup into the effluent stream at the manifold three times so that a representative sample can be obtained. Make sure to wear proper safety equipment while pulling samples(i.e. rubber gloves). System Notes: jo i I n Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Tom Fehnel filling out forms Owner on the computer, use only the tab Route 149 Unit 195-A key to move your Facility Street Address cursor-do not Marstons Mills 02648 use the return City Zip key. Mailing address of owner, if different: r� , 722 Bear Creek Circle Street Address/PO Box: Winter Springs FL 32708 City State Zip (407) 971 -0477 ext. Telephone Number B. Authorized Service Provider BENNETT ENVIRONMENTAL ASSOCIATES, INC. O&M Firm 1573 Main Street/PO Box 1743 Street Address Brewster MA 02631 City State Zip (508) 896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF DEP ID Manufacturer ID Model Number 8/25/03 8/25/03 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year. ® Yes ❑ No D. Operating Information 3/7/14 12/31/13 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5aiom.doc•rev. 11-07-05 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and ®&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 7.0 SU DO 6.0 mg/L Turbidity 0.17 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑TN ❑ Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing. Notes and Comments: The residence is listed as for sale and is currently unoccupied. The system is operating correctly, and effluent quality passed field testing parameters. t5aiom.doc^rev. 11-07-05 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31 st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6t Floor Boston, MA 02108 t5aiom.doc•rev. 11-07-05 Page 3 of 3 n LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and ®&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Tom Fehnel filling out forms Owner on the computer, use only the tab Route 149 Unit 195-A key to move your Facility Street Address cursor-do not Marstons Mills 02648 use the return key. City Zip �a Mailing address of owner, if different: 722 Bear Creek Circle Street Address/PO Box: Winter Springs FL 32708 City State Zip (407) 971 -0477 ext. Telephone Number B. Authorized Service Provider BENNETT ENVIRONMENTAL ASSOCIATES, INC. O&M Firm 1573 Main Street/ PO Box 1743 Street Address Brewster MA 02631 City State Zip (508) 896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF DEP ID Manufacturer ID Model Number 8/25/03 8/25/03 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ® Yes ❑ No D. Operating Information 12/31/13 9/12/13 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5aiom.doc•rev. 11-07-05 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 7.0 SU DO 5.0 mg/L Turbidity 0.67 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑ TN ❑ Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing. Notes and Comments: The residence is listed as for sale and is currently unoccupied. The system is operating correctly, and effluent quality passed field testing parameters. t5aiom.doc-rev. 11-07-05 Page 2 of 3 .� Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 Ll DEP Approved Inspection and ®&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. �" '"-" '4q'�k\Lk Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31 st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston, MA 02108 t5aiom.doc•rev. 11-07-05 Page 3 of 3 T BENNETT ENVIRONMENTAL ASSOCIATES, INC. LICENSED SITE PROFESSIONALS,ENVIRONMENTAL SCIENTISTS,GEOLOGISTS,SANITARIANS 1573 Main Street,P.O.Box 1743 (508)896-1706 Brewster,MA 02631 fax(508)896-5109 LETTER OF TRANSMITTAL' TO: DATE: JOB NUMBER: Brian Baumgaertel,Program Coordinator 12/7/09 BEA09-10156 Barnstable County Department of Health and Environment 3195 Main Street/P.O.Box 427 Barnstable,MA 02630 REGARDING: Innovative/Alternative Septic System Maintenance Contracts SHIPPING METHOD: Regular Mail 0 Pick Up ❑ Priority Mail ❑ Hand Deliver ❑ Express Mail ❑ Other ❑ Certified Mail ❑ Green Card/RR ❑ COPIES DATE DESCRIPTION 1 10/22/09 Unit 195-A Herring Run Place-Marstons Mills,MA �T X A r C) For review and comment: ❑ For approval:- ❑ As requested: ❑ " @ For your„Z REMARKS: ` _.g Please find enclosed authorized operation and maintenance agreements for the above referenced residence..Thank you. �� a M cc:Barnstable Board of Health FROM: Samantha Farrenkopf,Wastewater Program Coordinator If enclosures are not as noted,kindly notify us at once_ BENNETT ENVIRONMENTAL ASSOCIATES, INC. LICENSED SITE PROFESSIONALS,ENVIRONMENTAL SCIENTISTS,GEOLOGISTS,SANITARIANS 1573 Main Street,P.O.Bog 1743 (508)896-1706 Brewster,MA 02631 fax(508)896-5109 LETTER OF TRANSMITTAL TO: DATE: JOB NUMBER: Brian Baumgaertel,Program Coordinator 11-17-09 Various Barnstable County Department of Health and Environment 3195 Main Street/P.O.Box 427 Barnstable,MA 02630 REGARDING: Innovative/Alternative Septic System Maintenance Contracts SHIPPING METHOD: Regular Mail F Pick Up ❑ Priority Mail ❑ Hand Deliver ❑ Express Mail ❑ Other ❑ Certified Mail ❑ Green Card/RR ❑ COPIES DATE DESCRIPTION 1 10/22/09 Unit 195-B Herring Run Place-Marston Mills,MA 1 10/22/09 Unit 195-C Herring Run Place-Marstons Mills,MA 1 10/22/09 Unit 195-D Herring Run Place-Marstons Mills,MA 1 10/19/09 Unit 195-E Herring Run Place-Marstons Mills,MA 1 10/22/09 Unit 195-F Herring Run Place-Marstons Mills,MA 1 10/22/09 Unit 195-G Herring Run Place-Marstons Mills,MA P r _4 1 10/22/09 Unit 195-H Herring Run Place-Marstons Mills,MA a - ! 1 10/19/09 Unit 195-I Herring Run Place-Marstons Mills,MA is rv � i For review and comment: ❑ For approval: ❑ As requested: ❑ Fol�;Y.our use: ❑ REMARKS: �- Please find enclosed authorized operation and maintenance agreements for the above referenced residences. Thank you.NQ cc:Barnstable Board of Health FROM: Samantha Farrenkopf,Wastewater Program Coordinator If enclosures are not as noted,kindly notify us at once RECEIVED NOV 0 4 2009 BENNETTENVIRONMENTALAssoC'IATES, INC. LICENSED SITE PROFESSIONALS 6 ENVIRONMENTAL SCIENTISTS 0 GEOLOGISTS 0 SANITARIANS 1573 Main Street-P.O. Box 1743, Brewster, MA 02631 508-896-1706 © Fax 508-896-5109 www.bennett-ea.com • PROPOSAL October 19,2009 (revised October 22,2009) Mr. &Mrs.Randy CoxFe P.O. Box 1418 C Marstons Mill,MA 02648 � � RE: OPERATION AND MAINTENANCE CONTRACT Innovative/Alternative Wastewater Treatment System: OMNI RSF Unit 195-B Herring Run Place—Marstons Mills,MA Dear Mr. &Mrs. Cox, BENNETT ENVIRONMENTAL ASSOCIATES, INC., is pleased to provide a proposal for professional .services for the operation, maintenance and environmental monitoring of the innovative/alternative wastewater treatment system for you and your neighbors as described in accordance with the governing regulations under 310 CMR 15.00 as regulated under the Barnstable Health Department. These services include quarterly inspections for standard operation and maintenance of the treatment system,as well as annual effluent sampling for total nitrogen. The costs for such services are presented below as an annual cost reflecting standard laboratory fees and reporting requirements. This contract and the quoted annual costs are good for a period of two years subsequent to the date of the first operation and maintenance event scheduled for December 2009. QUARTERLY INSPECTION/MAINTENANCE/SAMPLING:Inspect I/A system and take field measurements of dissolved oxygen,pH and turbidity on a quarterly basis. Collect treated effluent wastewater samples on an annual basis under a proper chain-of-custody for analysis by a MA certified laboratory for nitrite/nitrate/TKN for total nitrogen. At the time of sampling events the conditions of the system will be inspected and documented with regards to the blower units,sludge level and associated piping. REPORTING/FILING: Review laboratory results relative to conditional requirements of the system under the MA DEP and local Board of Health approvals. Prepare DEP transmittal forms on a quarterly basis. File inspection reports on the Barnstable County online database quarterly. File sampling reports on the Barnstable County online database annually for effluent sampling. Submit laboratory report and DEP transmittal forms to MA DEP,Barnstable County Department of Health and Environment,local Board of Health,and associated vendors/contractors,as appropriate,on an annual basis. Professional Fees Operation/Maintenance and Reporting $ 350.00/year/system Laboratory Analysis[Total Nitrogen(NO2,NO3,TKN)] $ 76.56/sample/year Barnstable County Data Base Fee $ 50.00/system/2010* *Noted: I/A systems located in Barnstable County are required to report inspection and sampling results on the Mass Septic online database for use by the Barnstable County Department of Health and Environment(BCDHE)and the local Boards of Health. At this time,BCDHE has found it necessary to institute annual user fees for filings on this required database,of$25 for the year 2009 and$50 per year thereafter. • .a. 1 EMERGENCY SPILL RESPONSE Q WASTE SITE CLEANUP SITEASSESSMENT Q ENVIRONMENTAL PERMITTING LAND USE PLANNING WATER SUPPLY DEVELOPMENT,OPERATION&MAINTENANCE 6 WASTEWATER TREATMENT,OPERATION&MAINTENANCE OCTOBER 19,2009 COX/PROPOSAL PAGE 2 OF 2 UNIT 195B HERRING RUN PLACE,MARSTONS MILLS,MA At the time of inspections the wastewater treatment equipment will be inspected to ensure that the system is working as designed. Should repair or replacement of equipment or sludge pumping be necessary beyond standard maintenance, such material and additional time beyond that of a normal inspection will be billed at time and expense. Therefore, if you are in agreement with this proposal and wish to proceed with the work as outlined, please sign the authorization below and return an original to our office. If you have any questions or need additional information,contact me directly at your earliest convenience. Sincerely BENNETT ENVIRONMENTAL ASSOCIATES, INC. Samantha Farrenkopf, WWTO 4M Wastewater Program Coordinator Cc. David Bennett,President [internal] Encl. Terms&Conditions(2009)/Fee Schedule(2008) 7 _2 - 0 AUTHORIZATION: j�-'' ,DATE: / � RREIVEO NOY a 5 BENNETTENVIRONMENTALAssOC'IATES, INC. LICENSED SITE PROFESSIONALS © ENVIRONMENTAL SCIENTISTS 0 GEOLOGISTS 0 SANITARIANS 1573 Main Street-P.O. Box 1743, Brewster, MA 02631 508-896-1706 © Fax 508-896-5109 0 www.bennett-ea.com .4- to ref 7 PROPOSAL October 19,2009 (revised October 22,2009) Mr.&Mrs.Paul Tangusso 29 Cedarview Circle ? y Milford,MA 01757U ® Ij RE: OPERATION AND MAINTENANCE CONTRACT Innovative/Alternative Wastewater Treatment System: OMNI RSF Unit 195-C Herring Run Place—Marstons Mills,MA Dear Mr. &Mrs. Tangusso, BENNETT ENVIRONMENTAL ASSOCIATES, INC., is pleased to provide a proposal for professional services for the operation, maintenance and environmental monitoring of the innovative/alternative wastewater treatment system for you and your neighbors as described in accordance with the governing regulations under 310 CMR 15.00 as regulated under the Barnstable Health Department. These services include quarterly inspections for standard operation and maintenance of the treatment system,as well as annual effluent sampling for total nitrogen. The costs for such services are presented below as an annual cost reflecting standard laboratory fees and reporting requirements. This contract and the quoted annual costs are good for a period of two years subsequent to the date of the first operation and maintenance event scheduled for December 2009. QUARTERLY INSPECTION/MAINTENANCE/SAMPLING:Inspect I/A system and take field measurements of dissolved oxygen,pH and turbidity on a quarterly basis. Collect treated effluent wastewater samples on an annual basis under a proper chain-of-custody for analysis by a MA certified laboratory for nitrite/nitrate/TKN for total nitrogen. At the time of sampling events the conditions of the system will be inspected and documented with regards to the blower units,sludge level and associated piping. REPORTING/FILING: Review laboratory results relative to conditional requirements of the system under the MA DEP and local Board of Health approvals. Prepare DEP transmittal forms on a quarterly basis. File inspection reports on the Barnstable County online database quarterly. File sampling reports on the Barnstable County online database annually for effluent sampling. Submit laboratory report and DEP transmittal forms to MA DEP,Barnstable County Department of Health and Environment,local Board of Health,and associated vendors/contractors,as appropriate,on an annual basis. Professional Fees Operation/Maintenance and Reporting $ 350.00/year/system Laboratory Analysis [Total Nitrogen(NO2,NO3,TKN)] $ 76.56/sample/year Barnstable County Data Base Fee $ 50.00/system/2010* *Noted: I/A systems located in Barnstable County are required to report inspection and sampling results on the Mass Septic online database for use by the Barnstable County Department of Health and Environment(BCDHE)and the local Boards of Health. At this time,BCDHE has found it necessary to institute annual user fees for filings on this required database,of$25 for the year 2009 and$50 per year thereafter. 1 EMERGENCY SPILL RESPONSE Q WASTE SITE CLEANUP C SITE ASSESSMENT Q ENVIRONMENTAL PERMITTING LAND USE PLANNING WATER SUPPLY DEVELOPMENT,OPERATION&MAINTENANCE Q WASTEWATER TREATMENT,OPERATION&MAINTENANCE OCTOBER 19,2009 TANGUSSO/PROPOSAL PAGE 2 OF 2 UNIT 195C HERRING RUN PLACE,MARSTONS MILLS,MA At the time of inspections the wastewater treatment equipment will be inspected to ensure that the system is working as designed. Should repair or replacement'of equipment or sludge pumping be necessary beyond standard maintenance, such material and additional time beyond that of a normal inspection will be billed at time and expense. Therefore, if you are in agreement with this proposal and wish to proceed with the work as outlined, please sign the authorization below and return an original to our office. If you have any questions or need additional information,contact me directly at your earliest convenience. Sincerely BENNETT ENVIRONMENTAL ASSOCIATES, INC. Samantha Farrenkopf,WWTO 4M Wastewater Program Coordinator Cc. David Bennett,President[internal] Encl. Terms&Conditions(2009)/Fee Schedule(2008) AUTHORIZATION: , DATE: RECEIVED OCT 3 p 42H9 BENNETTENVIRONMENTAL '.AsSOCIATESI INC. LICENSED SITE PROFESSIONALS 0 ENVIRONMENTAL SCIENTISTS 0 GEOLOGISTS 0 SANITARIANS 1573 Main Street-P.O. Box 1743, Brewster, MA 02631 0 508-896-1706 0 Fax 508-896-5109 0 www.bennett-ea.com PROPOSAL October 19,2009(revised October 22,2009) Mr. Stephen Dane EJILE Copy P.O.Box 603 Marstons Mills,MA 02648 RE: OPERATION AND MAINTENANCE CONTRACT Innovative/Alternative Wastewater Treatment System:OMNI RSF Unit 195-D Herring Run Place—Marstons Mills,MA Dear Mr.Dane, BENNETT ENVIRONMENTAL ASSOCIATES, INC., is pleased to provide a proposal for professional services for the operation, maintenance and environmental monitoring of the innovative/alternative wastewater treatment system for you and your neighbors as described in accordance with the governing regulations under 310 CMR 15.00 as regulated under the Barnstable Health Department. These services include quarterly inspections for standard operation and maintenance of the treatment system,as well as annual effluent sampling for total nitrogen. The costs for such services are d laboratory fees presented below as an annual cost reflecting are goodfor a�eriod of two yearand s bseq'uentg requirements. This o the date of the first contract and the quoted annual g p operation and maintenance event scheduled for December 2009. QUARTERLY INSPECTION/MAINTENANCE/SAMPLING:Inspect I/A system and take field measurements of dissolved oxygen,pH and turbidity on a quarterly basis. Collect treated effluent wastewater samples on an annual basis under a proper chain-of-custody for analysis by a MA certified laboratory for nitrite/nitrate/TKN for total nitrogen. At the time of sampling events the conditions of the system will be inspected and documented with regards to the blower units,sludge level and associated piping. REPORTING/FILING: Review laboratory results relative to conditional requirements of the system under the MA DEP and local Board of Health approvals. Prepare DEP transmittal forms on a quarterly basis. File inspection reports on the Barnstable County online database quarterly. File sampling reports on the Barnstable County online database annually for effluent sampling. Submit laboratory report and DEP transmittal forms to MA DEP,Barnstable County Department of Health and Environment,local Board of Health,and associated vendors/contractors,as appropriate,on an annual basis. . $ 350.00/year/system Professional Fees Operation/Maintenance and Reporting $ 76.56/ ear/systear Laboratory Analysis[Total Nitrogen(NO2,NO3,TKN)] $ 50.00/sampl /Year Barnstable County Data Base Fee 2010* *Noted:,I/A systems located in Barnstable County are required to report inspection and sampling results on the Mass Septic online database for use by the Barnstable County Department offlealth and Environment(BCDHE)and the local Boards of Health. At this time,BCDHE has found it necessary to institute annual user fees for filings on this required database,of$25 for the year 2009 and$50 per year thereafter. 1 E CLEANUP S ITEASSESSMENT 0 ENVIRONMENTAL PERMITTING 0 LAND USE PLANNING WAST E SITE O EMERGENCY SPILL RESPONSE 0 &MAINTENANCE 'WASTEWATER TREATMENT,OPERATION WATER SUPPL Y DEVELOPMENT,OPERATION&MAINTENANCE _� OCTOBER 19,2009 DANE/PROPOSAL PAGE 2 OF 2 UNIT 195D HERRING RUN PLACE,MARSTONS MILLS,MA At the time of inspections the wastewater treatment equipment will be inspected to ensure that the system is working as designed. Should repair or replacement of equipment or sludge pumping be necessary beyond standard maintenance,such material and additional time beyond that of a normal inspection will be billed at time and expense. Therefore, if you are in agreement with this proposal and wish to proceed with the work as outlined, please sign the authorization below and return an original to our office. If you have any questions or need additional information, contact me directly at your earliest convenience. Sincerely BENNETT ENVIRONMENTAL ASSOCIATES, INC. Samantha Farrenkopf, WWTO 4M Wastewater Program Coordinator Cc. David Bennett,President[internal] Encl. Terms&Conditions(2009)/Fee Schedule(2008) AUTHORIZATION: ,DATE: 10 p RECEIVEn OCT 2 6 7009 BENNETTENVIRONMENTAL. ASSOCIATES INC. LICENSED SITE PROFESSIONALS 0 ENVIRONMENTAL SCIENTISTS 0 GEOLOGISTS 0 SANITARIANS 1573 Main Street-P.O. Box 1743, Brewster, MA 02631 0 508-896-1706 0 Fax 508-896-5109 0 www.bennef-ea.com PROPOSAL October 19,2009 1 D 3 Mr. &Mrs.David Walsh P.O.Box 302 Marstons Mills,MA 02648 I L E COPY RE: OPERATION AND MAINTENANCE CONTRACT Innovative/Alternative Wastewater Treatment System:OMNI RSF Unit 195-E Herring Run Place—Marstons Mills, MA Dear Mr. &Mrs. Walsh, BENNETT ENVIRONMENTAL ASSOCIATES, INC., is pleased to provide a proposal for professional services for the operation, maintenance and environmental monitoring of the innovative/alternative wastewater treatment system for you and your neighbors as described in accordance with the governing regulations under 310 CMR 15.00 as regulated under the Barnstable Health Department. These services include quarterly inspections for standard operation and maintenance of the treatment system,as well as annual effluent sampling for total nitrogen. The costs for such services are presented below as an annual cost reflecting standard laboratory fees and reporting requirements. This contract and the quoted annual costs are good for a period of two years subsequent to the date of signed authorization. QUARTERLY INSPECTION/MAINTENANCE/SAMPLING:Inspect I/A system and take field measurements of dissolved oxygen,pH and turbidity on a quarterly basis. Collect treated effluent wastewater samples on an annual basis under a proper chain-of-custody for analysis by a MA certified laboratory for nitrite/nitrate/TKN for total nitrogen. At the time of sampling events the conditions of the system will be inspected and documented with regards to the blower units,sludge level and associated piping. REPORTING/FILING: Review laboratory results relative to conditional requirements of the system under the MA DEP and local Board of Health approvals. Prepare DEP transmittal forms on a quarterly basis. File inspection reports on the Barnstable County online database quarterly. File sampling reports on the Barnstable County online database annually for effluent sampling. Submit laboratory report and DEP transmittal forms to MA DEP,Barnstable County Department of Health and Environment,local Board of Health,and associated vendors/contractors,as appropriate,on an annual basis. Professional Fees Operation/Maintenance and Reporting $ 350.00/year/system Laboratory Analysis[Total Nitrogen(NO2,NO3,TKN)j $ 76.56/sample/year Barnstable County Data Base Fee $ 50.00/system/2010* * Noted: I/A systems located in Barnstable County are required to report inspection and sampling results on the Mass Septic online,database for use by the Barnstable County Department of Health and Environment(BCDHE)and the local Boards of Health. At this time,.BCDHE has found it necessary to institute annual user fees for filings on this required database,of$25 for the year 2009 and$50 per year thereafter. 1 EMERGENCY SPILL RESPONSE `.WASTE SITE CLEANUP (, SITE ASSESSMENT ENVIRONMENTAL PERMITTING LAND USE PLANNING WATER SUPPLY DEVELOPMENT,OPERATION&MAINTENANCE 6 WASTEWATER TREATMENT,OPERATION&MAINTENANCE OCTOBER 19,2009 WALSH/PROPOSAL PAGE 2 OF 2 UNIT 195E HERRING RUN PLACE,MARSTONS MILLS,MA At the time of inspections the wastewater treatment equipment will be inspected to ensure that the system is working as designed. Should repair or replacement of equipment or sludge pumping be necessary beyond standard maintenance, such material and additional time beyond that of a normal inspection will be billed at time and expense. Therefore, if you are in agreement with this proposal and wish to proceed with the work as outlined, please sign the authorization below and return an original to our office. If you have any questions or need additional information, contact me directly at your earliest convenience. Sincerely BENNETT ENVIRONMENTAL ASSOCIATES, INC. SW eL— Saman a Farrenko f, WWTO 4M Wastewater Program Coordinator Cc. David Bennett,President[internal] Encl. Terms&Conditions(2009)/Fee Schedule(2008) AUTHORIZATION: DATE. �� S DECEIVED OCT 3 0 2009 BENNETTENVIRONMENTAL ASSOCIATES, INC. LICENSED SITE PROFESSIONALS 0 ENVIRONMENTAL SCIENTISTS 0 GEOLOGISTS 0 SANITARIANS 1573 Main Street-P.O. Box 1743, Brewster, MA 02631 ©508-896-1706 Fax 508-896-5109 www.bennett-ea.com PROPOSAL October 19,2009(revised October 22,2009) Ms. Barbara Ryshavy E, LE COPY . P.O. Box 1001 Marstons Mills,MA 02648 RE: OPERATION AND MAINTENANCE CONTRACT Innovative/Alternative Wastewater Treatment System: OMNI RSF Unit 195-F Herring Run Place—Marstons Mills,MA Dear Ms. Ryshavy, BENNETT ENVIRONMENTAL ASSOCIATES, INC., is pleased to provide a proposal for professional services for the operation, maintenance and environmental monitoring of the innovative/alternative wastewater treatment system for you and your neighbors as described in accordance with the governing regulations under 310 CMR 15.00 as regulated under the Barnstable Health Department. These services include quarterly inspections for standard operation and maintenance of the treatment system,as well as annual effluent sampling for total nitrogen. The costs for such services are presented below as an annual cost reflecting standard laboratory fees and reporting requirements. This contract and the quoted annual costs are good for a period of two years subsequent to the date of the first operation and maintenance event scheduled for December 2009. QUARTERLY INSPECTION/MAINTENANCE/SAMPLING:Inspect I/A system and take field measurements of is dissolved oxygen,pH and turbidity on a quarterly basis. Collect treated effluent wastewater samples on an annual basis under a proper chain-of-custody for analysis by a MA certified laboratory for nitrite/nitrate/TKN for total nitrogen. At the time of sampling events the conditions of the system will be inspected and documented with regards to the blower units,sludge level and associated piping. REPORTING/FILING: Review laboratory results relative to conditional requirements of the system under the MA DEP and local Board of Health approvals. Prepare DEP transmittal forms on a quarterly basis. File inspection reports on -the Barnstable County online database quarterly. File sampling reports on the Barnstable County online database annually for effluent sampling. Submit laboratory report and DEP transmittal forms to MA DEP,Barnstable County Department of Health and Environment,local Board of Health,and associated vendors/contractors,as appropriate,on an annual basis. Professional Fees Operation/Maintenance and Reporting $ 350.00/year/system Laboratory Analysis(Total Nitrogen(NO2,NO3,TKN)] $ 76.56/sample/year Barnstable County Data Base Fee $ 50.00/system/2010* *Noted: I/A systems located in Barnstable County are required to report inspection and sampling results on the Mass Septic online database for use by the Barnstable County Department of Health and Environment(BCDHE)and the local Boards of Health. At this time,BCDHE has found it necessary to institute annual user fees for filings on this required database,of$25 for the year 2009 and$50 per year thereafter. 1 EMERGENCY SPILL RESPONSE Q WASTE SITE CLEANUP 6 SITEASSESSMENT 6 ENVIRONMENTAL PERMITTING 6 LAND USE PLANNING WATER SUPPLY DEVELOPMENT,OPERATION&MAINTENANCE O WASTEWATER TREATMENT,OPERATION&MAINTENANCE OCTOBER 19,2009 RYSHAVY/PROPOSAL PAGE 2 OF 2 UNIT 195F HERRING RUN PLACE,MARSTONS MILLS,MA At the time of inspections the wastewater treatment equipment will be inspected to ensure that the system is working as designed. Should repair or replacement of equipment or sludge pumping be necessary beyond standard maintenance, such material and additional time beyond that of a normal inspection will be billed at time and expense. Therefore, if you are in agreement with this proposal and wish to proceed with the work as outlined, please sign the authorization below and return an original to our office. If you have any questions or need additional information, contact me directly at your earliest convenience. Sincerely BENNETT ENVIRONMENTAL ASSOCIATES, INC. Samantha Farrenkopf,WWTO 4M Wastewater Program Coordinator Cc. David Bennett,President [internal] Encl. Terms&Conditions (2009)/Fee Schedule(2008) i AUTHORIZATION: ,DATE: BENNETTENVIRONMENTALAssoC'IATEs, INC. LICENSED SITE PROFESSIONALS 0 ENVIRONMENTAL SCIENTISTS 0 GEOLOGISTS 0 SANITARIANS 1573 Main Street-P.O. Box 1743, Brewster, MA 02631 0 508-896-1706 0 Fax 508-896-5109 0 www.bennef-ea.com PROPOSAL October 19,2009 (revised October 22,2009) 3 Mr. Jeffrey David&Ms.Kim Straubing P.O..Box 863 Marstons Mills, MA 02648 f=-; copy RE: OPERATION AND MAINTENANCE CONTRACT Innovative/Alternative Wastewater Treatment System: OMNI RSF Unit 195-G Herring Run Place-Marstons Mills,MA Dear Mr. David&Ms. Straubing, BENNETT ENVIRONMENTAL ASSOCIATES, INC., is pleased to provide a proposal for professional services for the operation, maintenance and environmental monitoring of the innovative/alternative wastewater treatment system for you and your neighbors as described in accordance with the governing regulations under 310 CMR 15.00 as regulated under the Barnstable Health Department. These services include quarterly inspections for standard operation and maintenance of the treatment system,as well as annual effluent sampling for total nitrogen. The costs for such services are presented below as an annual cost reflecting standard laboratory fees and reporting requirements. This contract and the quoted annual costs are good for a period of two years subsequent to the date of signed authorization. QUARTERLY INSPECTION/MAINTENANCE/SAMPLING:Inspect I/A system and take field measurements of dissolved oxygen,pH and turbidity on a quarterly basis. Collect treated effluent wastewater samples on an annual basis under a proper chain-of-custody for analysis by a MA certified laboratory for nitrite/nitrate/TKN for total nitrogen. At the time of sampling events the conditions of the system will be inspected and documented with regards to the blower units,sludge level and associated piping. REPORTING/FILING: Review laboratory results relative to conditional requirements of the system under the MA DEP and local Board of Health approvals. Prepare DEP transmittal forms on a quarterly basis. File inspection reports on the Barnstable County online database quarterly. File sampling reports on the Barnstable County online database annually for effluent sampling. Submit laboratory report and DEP transmittal forms to MA DEP,Barnstable County Department of Health and Environment,local Board of Health,and associated vendors/contractors,as appropriate,on an annual basis. Professional Fees Operation/Maintenance and Reporting $ 350.00/year/system Laboratory Analysis[Total Nitrogen(NO2,NO3,TKN)] $ 76.56/sample/year Barnstable County Data Base Fee $ 50.00/system/2010* * Noted: I/A systems located in Barnstable County are required to report inspection and sampling results on the Mass Septic online database for use by the Barnstable County Department ofHealth and Environment(BCDHE)and the local Boards of Health. At this time,BCDHE has found it necessary to institute annual user fees for filings on this required database,of$25 for the year 2009 and$50 per year thereafter. 1 EMERGENCY SPILL RESPONSE Q WASTE SITE CLEANUP SITEASSESSMENT Q ENVIRONMENTAL PERMITTING G LAND USE PLANNING WATER SUPPLY DEVELOPMENT,OPERATION&MAINTENANCE Q WASTEWATER TREATMENT,OPERATION&MAINTENANCE RECEIVED OCT 2 6 20U� OCTOBER 19,2009 DAVID-STRAUBING/PROPOSAL PAGE 2 OF 2 UNIT 195G HERRING RUN PLACE,MARSTONS MILLS,MA At the time of inspections the wastewater treatment equipment will be inspected to ensure that the system is working as designed. Should repair or replacement of equipment or sludge pumping be necessary beyond standard maintenance, such material and additional time beyond that of a normal inspection will be billed at time and expense. Therefore, if you are in agreement with this proposal and wish to proceed with the work as outlined, please sign the authorization below and return an original to our office. If you have any questions or need additional information, contact me directly at your earliest convenience. Sincerely BENNETT ENVIRONMENTAL ASSOCIATES, INC. Irn E E Y Samantha Farrenkopf, WWTO 4M Wastewater Program Coordinator Cc. David Bennett,President [internal] Encl. Terms&Conditions (2009)/Fee Schedule(2008) AUTHORIZATION: ` _ , DATE: 6 3 d RECEIVED OCT 2 6 2009 BENNETTENVIRONMENTALAssoC'IATES, INC. LICENSED SITE PROFESSIONALS 6 ENVIRONMENTAL SCIENTISTS 6 GEOLOGISTS & SANITARIANS 1573 Main Street-P.O. Box 1743, Brewster, MA 02631 A 508-896-1706 6 Fax 508-896-5109 www.bennett-ea.com PROPOSAL 4 October 19,2009 10 1 3 Mr. &Mrs.Leonard Julius T P.O.Box 1055 EFILE CO Marstons Mills,MA 02648 P r RE: OPERATION AND MAINTENANCE CONTRACT Innovative/Alternative Wastewater Treatment System: OMNI RSF Unit 195-H Herring Run Place—Marstons Mills,MA Dear Mr. &Mrs.Julius, BENNETT ENVIRONMENTAL ASSOCIATES, INC., is pleased to provide a proposal for professional services for the operation, maintenance and environmental monitoring of the innovative/alternative wastewater treatment system for you and your neighbors as described in accordance with the governing regulations under 310 CMR 15.00 as regulated under the Barnstable Health Department. These services include quarterly inspections for standard operation and maintenance of the treatment system,as well as annual effluent sampling for total nitrogen. The costs for such services are presented below as an annual cost reflecting standard laboratory fees and reporting requirements. This contract and the quoted annual costs are good for a period of two years subsequent to the date of signed authorization. QUARTERLY INSPECTION/MAINTENANCE/SAMPLING:Inspect I/A system and take field measurements of ` dissolved oxygen,pH and turbidity on a quarterly basis. Collect treated effluent wastewater samples on an annual basis ,under a proper chain-of-custody for analysis by a MA certified laboratory for nitrite/nitrate/TKN for total nitrogen. At the time of sampling lin events the conditions of the system will be inspected and documented with regards to the blower units,sludge level and associated piping. REPORTING/FILING: Review laboratory results relative to conditional requirements of the system under the MA DEP and local Board of Health approvals. Prepare DEP transmittal forms on a quarterly basis. File inspection reports on the Barnstable County online database quarterly. File sampling reports on the Barnstable County online database annually for effluent sampling. Submit laboratory report and DEP transmittal forms to MA DEP,Barnstable County Department of Health and Environment,local Board of Health,and associated vendors/contractors,as appropriate,on an annual basis.: a Professional Fees Operation/Mai.ntenance and Reporting $ 350.00/year/system Laboratory Analysis[Total Nitrogen(NO2,NO3,TKN)] $ 76.56/sample/year Barnstable County Data Base Fee $ 50.00/system/2010* * Noted: I/A systems located in Barnstable County are required to report inspection and sampling results on the Mass Septic"online database for use by the Barnstable County Department ofHealth and Environment(BCDHE)and the local Boards of Health. At this time,BCDHE has found it necessary to institute annual user fees for filings on this required database,of$25 for the year 2009 and$50 per ' year thereafter:. EMERGENCY SPILLRESPONSE WASTE SITE CLEANUP Q SITEASSESSMENT Q ENVIRONMENTAL PERMITTING LAND USE PLANNING WATER SUPPLY,DEVELOPMENT,OPERATION&MAINTENANCE 0 WASTEWATER TREATMENT,OPERATION&MAINTENANCE OCTOBER 19,2009 JULIUS/PROPOSAL PAGE 2 OF 2 UNIT 195H HERRING RUN PLACE,MARSTONS MILLS,MA At the time of inspections the wastewater treatment equipment will be inspected to ensure that the system is working as designed. Should repair or replacement of equipment or sludge pumping be necessary beyond standard maintenance, such material and additional time beyond that of a normal inspection will be billed at time and expense. Therefore, if you are in agreement with this proposal and wish to proceed with the work as outlined, please sign the authorization below and return an original to our office. If you have any questions or need additional information, contact me directly at your earliest convenience. Sincerely BEENNETT ENVIRONMENTAL ASSOCIATES,INC. Samantha Farrenko f, WWTO 4M Wastewater Program Coordinator Cc. David Bennett,President[internal] Encl. Terms &Conditions (2009)/Fee Schedule(2008) p DATE: AUTHORIZATION: r o RECEIVE® OC]"BENNETTENVIRONMENTAL ASSOCYANIS9 INC. LICENSED SITE PROFESSIONALS ENVIRONMENTAL SCIENTISTS 8 GEOLOGISTS A SANITARIANS 1573 Main Street-P.O.Box 1743,Byre MA 02631 d 508-896-1706 Fax 508-896-5109 www.bennett-ea.com PROPOSAL October 19,2009 1 p c 3 Ms. Carolyn Keating P.O.Box 1492 Marston Mills,MA 02648 RE: OPERATION AND MAINTENANCE CONTRACT Innovative/Alternative Wastewater Treatment System:OMNI RSF Unit 195-I Herring Run Place—Marston Mills,MA Dear Ms. Keating, BENNETT ENVIRONMENTAL ASSOCIATES, INC., is pleased to provide a proposal for professional services for the operation, maintenance and environmental monitoring of the innovative/alternative wastewater treatment system for you and your neighbors as described in accordance with the governing regulations under 310 CMR 15.00 as regulated under the Barnstable Health Department. These services include quarterly inspections for standard operation and maintenance of the treatment system,as well as annual effluent sampling for total nitrogen. The costs for such services are presented below as an annual cost reflecting standard laboratory fees and reporting requirements. This contract and the quoted annual costs are good for a period of two years subsequent to the date of signed authorization. t�- QUARTERLY INSPECTION/MAINTENANCE/SAMPLING:Inspect I/A system and take field measurements of dissolved oxygen,pH and turbidity on a quarterly basis. Collect treated effluent wastewater samples on an annual basis under a proper chain-of-custody for analysis by a MA certified laboratory for nitrite/nitrate/TKN for total nitrogen. At the time of sampling events the conditions of the system will be inspected and documented with regards to the blower units,sludge level and associated piping. REPORTING/FILING: Review laboratory results relative to conditional requirements of the system under the MA DEP and local Board of Health approvals. Prepare DEP transmittal forms on a quarterly basis. File inspection reports on the Barnstable County online database quarterly. File sampling reports on the Barnstable County online database annually for effluent sampling. Submit laboratory report and DEP transmittal forms to MA DEP,Barnstable County Department ofHealth and Environment,local Board ofHeaM,and associated vendors/contractors,as appropriate,on an annual basis. Professional Fees Operation/Maintenance and Reporting $ 350.00/year/system Laboratory Analysis[Total Nitrogen(NO2,NO3,TKI)] $ 76.56/sample/year Barnstable County Data Base Fee $ 50.00/system/2010* *Noted:I/A systems located in Barnstable County are required to report inspection and sampling results on the Mass Septic online database for use by the Barnstable County Department of Health and Environment(BCDHE)and the local Boards of Health. At this time,BCDHE has found it necessary. to institute annual user fees for filings on this required database,of$25 for the year 2009 and$50 per year thereafter. EMERGENCY SPILL RESPONSE ® WASTE SITE CLEANUP Q SITE ASSESSMENT ENVIRONMENTAL PERMITTING LAND USE PLANNING WATER SUPPLY DEVELOPMENT,OPERATION&MAINTENANCE 6 WASTEWATER TREATMENT,OPERATION&MAINTENANCE OCTOBER 19,2009 KEATINWROPOSAL PAGE 2 OF 2 UNIT 195I HERRING RUN PLACE,MARSTONS MILLS,MA At the time of inspections the wastewater treatment equipment will be inspected to ensure that the system is working as designed. Should repair or replacement of equipment or sludge pumping be necessary beyond standard maintenance, such material and additional time beyond that of a normal inspection will be billed at time and expense. Therefore, if you are in agreement with this proposal and wish to proceed with the work as outlined, please sign the authorization below and return an original to our office. If you have any questions or need additional information,contact me directly at your earliest convenience. Sincerely BENNETT ENVIRONMENTAL ASSOCIATES,INC. Samantha Farrenkopf, WWTO 4M Wastewater Program Coordinator Cc. David Bennett,President[internal] Encl. Terms&Conditions(2009)/Fee Schedule(2008) AUTHORIZATION: DATE: 1-888-450-OMNI .. (508) 548-0343 OFFICE " MANUFACTURING P.O. Box 128 Falmouth Technology Park 465 East Falmouth Highway 520 Thomas B. Landers Road East Falmouth, MA 02536 En iron e*04stems,fi� East Falmouth, MA 02536 August 27, 2003 z MARMr. Thomas A. McKean, Health Agent TOwNOFBarnstable Board of Health NEAL 200 Main Street Hyannis, MA 02601 RE: Recirculating Sand Filter Systems Operation and Maintenance Inspections Dear Mr. McKean: Enclosed, please find a copy of.the Recirculating Sand Filter Systems Operation and Maintenance Inspection Checklist for the property located at Lot 18, Route 149, Unit 1, Herring Run, Marstons Mills, MA. If you have any questions or need additional information, please contact me as soon as possible. Sincerely, M w . Co ta, President OMNI Environmental Systems, Inc. Encl. RSF System Reports 1 D.E.P. Certified wastewater Operators Recirculating Sand Filters Manufacturing 9 Testing . Maintenance Installations Massachusetts Department of Environmental Protection Bureau of Resource Protection-Title 5 RSF System Operation and Maintenance Inspection , Checklist A. Installation & Service Information r '� D Facility StrZ Address Date of SepAce city Operator/O&M Firm inspect&note if B. Septic'tank(s) pumping is required. Inspect&clean effluent Sludge Pumping Required: Yes❑ No$( ❑Sludge Depth: tee filter. Effluent tee filter. Yes No❑ If yes, inspect( &clean at least yearly Clean as necessary. C. Recirculation tank Inspect for sludge. ❑Check if sludge accumulating Pumping required: Yes❑ No Odor problems:Yes❑ No(� if yes,description Inspect for sludge. D. Equalization tank (if installed) ❑Check if sludge accumulating Pumping required: Yes❑ No❑ Inspect pumps& . E. Pumps, switches, floats, alarm system electrical switches,test as necessary.Run Pump Inspections(all units) , If problems,descn'be pumps in manual Test pump alternator,or record hours mode.Record readings Hours,of operation from meters& Float switches _ counters. Check all switches for operation lyTestalatm If non-functioning,corrective action(s) Note if weeds& F. Recirculation Sand Filter debris are present on bed.Clean/maintain [P inspect for ponding Ponding Present:Yes❑ No0 bed surface to allow a ElClean bed: Yes N proper operation of the system. ❑Distribution pipes Flush:Yes,❑ No❑ Brush: Yes❑ No❑ ❑Check head loss in pipes Headloss and comments •G. Sample Collection Yes❑ No If yes: ❑BOD ❑TSS ❑pH ❑TN ❑Other Y 1-888-450-OMNI (508) 548-0343 OFFICE MANUFACTURING • P.O. Box 128 Falmouth Technology Park 465 East Falmouth Highway 520 Thomas B. Landers Road East Falmouth, MA 02536 �iwiron entat4ste s,Inc., East Falmouth, MA 02536 Ri-�'F1� r�- t August 27, 2003 MAR 1 9 2004 Mr. Thomas A. McKean, Health Agent TOW NOUN N OF RNSDEPTABLE Barnstable Board of Health 200 Main Street Hyannis, MA 02601 RE: Recirculating Sand Filter Systems Operation and Maintenance Inspections Dear Mr. McKean: Enclosed, please find the copies of the Recirculating Sand Filter Systems Operation and Maintenance Inspection Checklist for the property located at Lot 18, Route 149, Unit 2 Herring Run, Marstons Mills, MA. If you have any questions or need additional information, please contact me as soon as possible. Sincerel , tteI e osta, President nvironmental Systems, Inc. Encl. RSF System Reports I D.E.P. Certified wastewater Operators Recirculating Sand Filters Manufacturing • Testing • Maintenance • Installations ' Massachusetts Department of Environmental Protection Bureau of Resource Protection-Title 5 RSF System Operation and Maintenance Inspection Checklist A. Installation Service Information ��t �c✓i �V1 U� _ Facility Street ss Date of Se ice6'rV1 At'Ll X— City Operator/O&M Inspect&note if B. Septic'tank(s) pumping is required. Inspect&clean effluent Sludge Pumping Required: Yes❑ No ❑Sludge Depth: tee filter. Effluent tee filter. Yes K No❑ If yes, inspect q&_clean at least yearly Clean as necessary. C. Recirculation tank Inspect for sludge. ❑Check if sludge accumulating Pumping required: Yes❑ No.q Odor plroblems: Yes❑ No[ If yes,description Inspect for sludge. D. Equalization tank (if installed) ❑Check if sludge accumulating Pumping required: Yes❑ No❑ Inspect pumps& . E. Pumps, switches, floats, alarm system electrical switches,test LA as necessary.Run rM'Pump Inspections(all units) , It problems,describe pumps in manual T est pump alternator,or record hoursmode.Record readings Hours,of operation from meters& Float switches counters. Check all switches for operation Test>alarm If non-functioning,corrective action(s) Note if weeds& F. Recirculation Sand Filter debris are.present on bed.Clean/maintain nspect for ponding Ponding Present:Yes[INo bed surface to allow El Clean bed: Yes❑ proper operation of the system. ❑Distribution pipes Flush:Ye,�.O (do❑ Brush: Yes❑ No❑ D.C.heck head loss in pipes Headloss and comments •G. Sample Collection Yes❑ No(� . If yes: ❑BOD E]TSS ❑pH E]TN E]Other tea.. t 14 _ Massachusetts Department of Environmental Protection '. Bureau of Resource Protection-Title 5 RSF System operation and Maintenance Inspection ,Checklist A. Installation & Service Information 1 Fadlityareet A sG s t Date of Service. City Operator/O trm Inspect&note if B. Septic"tank(s) pumping is required. Inspect&clean effluent Sludge Pumping Required: Yes❑ No[ ❑Sludge Depth: tee filter. Effluent tee filter: Yes No If yes,inspect &clean at least yearly Clean as necessary. C. Recirculation tank Inspect for sludge. ❑Check if sludge accumulating Pumping required: Yes❑ No Odor problems: Yes❑ No[ if yes,description Inspect for sludge. D. Equalization tank (if installed) ❑Check if sludge accumulating Pumping required: Yes❑ No❑ Inspect pumps& . E. Pumps, switches, floats, alarm system electrical switches,test as necess •Run t ump Inspections(all units) , if problems,describe pumps in manual Test pump alternator,or record hours mode.Record readings Hours.of operation from meters& Float switches counters. Check all switches for operation kTestalarrn if non-functioning,corrective actions) Note if weeds& F. Recirculation Sand Filter debris are present on bed. Clean/maintain Inspect for pond ing Ponding Present:Yes❑ No bed surface to allow Clean bed: Yes❑ No proper operation of the system. ❑Distribution pipes Flush:Yes .60 No❑ Brush: Yes❑ No❑ ❑Check head loss in pipes Headloss and comments -G. Sample Collection Yes❑ No� If yes: ❑BOD OTSS ❑pH EITN []Other DEC. 5.2002 5:06PM BAYSIDE BUILDING C0.5087750155 N0.395 P.1/1 .� 05J0� . ..�� d .vv�"vvuou LGR, InL r,B3 1 • 1 1 1�8a -4SQ�OMTTI (508)349.0343 vlrh�t,'li-r,',4r'h'C01r,1dASS' Aft �s.; }= hlANt/k;It:741ItING t:�lf'!cr'or.� nq SS J+.�,ire!2d' I h2rrmagth Teehnv►o Ptak-l ' 40 Rprl''elu�orah 114gkim), OMNI R1' lil�cmc l"tYrcatru O NI' 5J(J 7r+0p1�YF.LgrlilMs ltnqi Garr RitluraUlr,MA 02,536 J�T'1. ,�1 kgs►Falgruruh,Atf a?s.PG �`r:v�ro►arn�ltd��'�ya ltravrs.lltc. MAINTENANCE AGRMIVIENT ,�`, ,.�, 1,i1 iy 'V�° r Iii1WI�1IlII�1lIv11NHk ANfL1dilUlyY'Ii1 nos s V'I��dIN' Y}�7?I .i 1' ! L�S I,;#, t I M fli�►q ii�N I, Property Owner: Bayside Bulldirlg, Inc, � Propalty Location: Unit 1, Herring Run, Route-140 agdrarw P.o, Box 05 Town; Marston Mills Properly Rhnno: NIa City,Wte21p: Centerville, MA 02632 Allemate Phone; 60a 771,1040 II 1 1 I !!iRliih1ii118I!Il�a;�hin�iu a4Nifltil,t$I I>ihililU;'t�I ll, ^yPl !1j111� _ ,�f4lq�li�$iiHrollliilf. MINIM start Pate; 11/1I2002 F-nd bate: 11/1 f2D03 Terms; "'i''° 5�950,00 Terms and Agreement for Standard and Preventative Maintenance OMNI 2000 Recirculating Send Filter You are hereby authorized to render Standard arld Preventative Maintenance for the OMNI 2000 Recirculating Sand Filter listed at the above address for the contract period of (1)Yowr(s). This agreement may be extellded by the land owner.for an addltlonal agreed upon term by providing OMNI EnvironMental Systems, Inc, with 30 clays written notice of intent to extend, OMNI Environmental Systesnts, inc. will provide the land owner with 30 days written notice of its then current pricing schedule should the land owner elect to extend this agreement, The agreement consists of all Standard and Pramntativa Malntononce Iisted In the Operators Manual, The OMNI 2000 R80ncV18(ing Ssnd Flfter has a 3 year manufacutres warranty agolnef all defective components Including?parts and 140or. This agreement Includes Semi-annul site visits and does not Include costs occasloned by negil", misuse and accident or consumables, This agreement does not include travel coati for the islands any locations not within a 20 mile radius of Gast Falmouth, in consideration of the services contained in this agreemenl we agree Io pay OMNi Environmental Systems, Inc. the sum of$$350.06 for the above r'nalntenance agreement. payment Is due 10 days from Invoice Date. This agreement Is not In effect until payment has been received by OMNI Environmental systems, Inc. This agreemlent Is not assignable by eithor party without the prior written consent of the other party and Is neither non-cancellable and non-refundable, y Please Print Name cri d 51gr►atur ate Land t] nor s Signature pate OMNi OnvImnrnsn(al S)eten7A,Inc, , lltl �.Cl7VJC 1 5b�1"103/®tiHYS`L��tIUlLL114� ��;�4Jti(�5b15� LCR) IgLU.d41 t .'1ib02 1-866-450-OMNT (-SOS)$49.0343 oryx w—04Pr(XV,MAIM rl r {! M aNrTr�S='rv1rJNG C RPr<:<ua,bJd,s PA Rn);lay �tr<�, wMl- 1�d�rmklrll 7ikgi+Ndl��� �,,ro rroaaar 46 Lfor/I'JI(jurle 11Pu1m l * *� ti?n 1h()iirpaA/�rrrrfnrs Arab! &rsrf RTrnnu1h,MA 02S36 O,1�'�,}�� !.'tt��llirlroVnlirr�,11�A 02336 $vvironmenl'At��s{�►ala,I�tc, , Itl � ! y,y Il, +rl�ljei�lfiII Fri r li r '#E11I 11 f�;ll.'r; ',,I •;'li��l{IC d{tl„rl (,i"l�II �2d r rn ,,,. ,�, ,.. ;, :: ,{! ,,�,,,.�alr .RI I��I�JI;�Itlll,li -• ;ail Ai •r,+41„ " """"".emu Property Brian T. pacey P orty Lot 16-Unit 1 --Route 149 *wn*h: I ooalion; Address; P. O. Box 85 lawn: Barnstable property Phone: N 1 A Olty, Centerville, MA 02632° Allornata t'hone: N/A Stare Zip YETI rr .� 'I Yl. ,fk•..,,,r,,,.;�'I"IUl 1 "rk,:�,1.� ,.� ..,F,!!Ir' ,�,1~I. :i;,,,.;ri:;IF,4,L' ,N n.lArlF �,�.'r}i{":'�I-wry ,T��.vt t q+�'��',,,,, •juitr r.,lAt!,�rn� 16111Skli�,ii" .;r„��!I ••,h Ilul(i„' ,,•711!ii�'� �, t'fl}>"�•kE'!:'q•[,; ,�,+,HyI, � .•••-•.... 'nirli'�'I II�lr7Yiild r a��.rtNli 1 r 11 7r YII{m,n�ll r�'n1n,1,:kfr�'r+rYyln,.u,d.{llnnillllnl I,I 1��r�„�;iiAw�4iht li'.I.A�.,.Pi�ar�,r,r 1.,,.iY'✓'iik,,.x:l�r I!I Nl,r<a�.+x..�rt,•�I�I'ifr$kl���!isl%�irP!'Vii�IrN"r:,Jf��ln,,-a'�ji''1"'"G'�S�I:u�� !i!♦,l,I l,rNrX,i,4, .!�1{fI,ILH.Irr re_,,, ....I I���i ' ii,ii.. i..,i i9,. I Illi!i1: ,,,,,Y.14M•IV.Iu NY1l' I' ,�� a+l.+rd---�--.—^. ,r Isv. _ •rtd,� ��r-%., I ,,. �I":'r���f .(�.. ryll.. start 11/15/02 end 111116/03 Per $DAD `fatal Cost Date, Date; Incident Terms and Agreernent for Effluent"testing OMNI 2000 Recirculating Sand Filter t You are hereby authorized to render Efnuent Testing for the OMNI 2000 Recirculating sand Pilter listed at the above address for the contreot period of two yesre, This agrearneni maybe extended by the landowner for an additional agreed upon form by providing OMNI Enlalronmental Systems,Inc.with 30 days written notice of Intent to extend. OMNI will provide the landowner with notice of It's current,prloing schedule should the landowner elect to extend this agreement' �s This egreement consists of bl-annual testing for.Total suspended solids(l:PA 16Q.2),Total Nltnaoon' . (EPA 350r1-351.4), 'total phosphorous(EPA 365,1)and Biochemical Oxygen Demand EPA(406-A), All testing shall be performed by a laboratory certified by the Commonwealth of Masaaohusstti: OMNI Environmental Systems, Inc.shall provide the landowner and local approving authority with te3b-TeSl1ItS, In consideration of the services contained In this agreement we agree to pay OMNI Etivironm®rital Systems, Inc.the suns Qf$350,00 per Incident. Payment is due 10 days from Invoice date. This agreement is not In effect until payment has been recelved by OMNI Environmental Systems, Inc. This agreement Is not assignable by either patty without prior written consent of the other party and Is neither non-cancelable nor nonrrefon0aNe, I^� Please Print Name b ' I`3J° t r d gr re Q to Lan wner's signature pate., M I�nvlm►tmonral 5yctont�,Inc. �3 . DEC. 3.2002 5:33PM BAYSIDE BUILDING CO.5087750155 N0.348 P.1i6 ®3i9� .. ..� A WvW.7wu. w LCRr 111%. 1-.02 1-898-450.OMNI (549)540-0343 GFf1C:h'—!'4rrC:an,M�'�S ,,t mANrjrpxe,Y'lJ1dN0 CAPhcuo,MASI P,D.Bar lTB +Ba ., kkirlmouth Thellnaingy?Vr/h fpylam Preool 463 Emal P;*1014111 I11011K;V *T 52011imrlgsB.lgedera hood Rank0thimilh,MA 025,16 OMNI Zoo1"Wrifoolh,AM 02556 �17VLA'Ur1r+JNilt'A���1►S/dpl,1,1'tcr. . n 1� l �r M i +�t'rl. ....—�, —ter.y,_•_mi,, II yiei � w ��i (''i • " ',. Jh; i(1iltd� C�;�kf ','ja)lnndilly'!t� fC�' M�!Il; ,fl:i�'Pi�ilNlil�� '�NB�Im� 1�$y� �ea�lll� !j lttlli t� 1� 5.: I ;J: 1 IX1�IIk; j ti.il•�'q 'j'i�l�]I,A, J i1h1C;,�R„�'1 i i, 1:1''�til'�''•'1.1. �,i I' '.' '' �� .J,r'�.u ,it,' Property Brian T. Dacey Pmportq Lot 16-Unit 1 Route 149 Owner, l 00,91i= Address: P. O, Box 95 Town, Bamstable Property Phone: N/A City, Centerville, MA 02632 Alternate Phone: N/A State Zip • —'q'eq'",�' 1t uW ,.1 1 1 r; .. "':'t.::' ;"Y'�.�}1 w.! , An " tS...o— '•m'.In " 6 s7.1. �LJ,Jt>�((r�1 Ik' fl!HI9ff?ii" r.J�r ,•,I ["ar"r i.,�c::?navFi1'y .iidiLlt^c"QI Ga''II o 1H ' �1°I!!F' ir:�rl •i:inil'J;'�fi.'..�I 7__?1_,•i iR id�'I�jli.4 vYull,xrlgUl.; .�iJ11wINgl) 1 n,W:riuJ,n;I;'�� �:,1. _.. .I .,i:iia....,..�e11 flrvlwuvl T i(l 5; 11nv11 18 i�ur Ilrilitl"vnrlpin,l` 'IF•Vwl hIi NIJ., (l try„ yl l /t .,1„ ,1� „ �.I Y.'J '111 1q 711 ,1 n^'1"I i41141111'1I�11H 1..„ , ''11 i1�1i�' IIYI"'•r j"' igil•�m I '.r..;lilt 111a1 "�•. ., 'l ii lily. 'i. I.. '''ill' ,NJh..I '1f7�1,�dWd1=-,i i�.t�I1X11Hi,'!I — - ' start Per' 0,00 Total cost start 11/15102 r;d � 11%�5103 $ Date: onto; Incident ti - Terms and Agreement for Effluent Testing OMNI 2000 Recirculating Sand Filter You are hereby authorized to render Effluent Testing for the OMNI 2000 Recirculating Sand Filter listed at the above address for the contract period of two years. This agreement maybe extended by the landowner for an eddltional agreed upon term by providing OMNI Environmental Systems,Inq.with 30 days written noticia of Intent to extend, OMNI will provide the landowner with notice of It's curre.rit-prioin9 schedule should the landowner elect to extend this agreement. ". f' This agreement consists of bl•annual testing for,Total suspended Solids(EPA 160.2),Total Nltrcgen- (EPA 350,1-351.4), Total Phosphorous(EPA 365.1)and Biochemical Oxygen Demand EPA(40S."j), All testing shall be performed by a laboratory eertffied by the Commonwealth of Msssachusettt. OMNI Environmental Systems, Inc.shall provide the landowner and local approving authority with test-results, In consideration of the services contained In this agreement we agree to pay OMNI Environmental Systems, Inc.the sum of$360.00 per Incident. Payment is due 10 daye from Invoice date, 'this agreement Is not In effect until payment has been received by OMNI Environmental Systems,Inc. This agreement is not assignable by either party without prior wrl0an consent of the other party and Is neither non-cancelable nor,ton-refundable, 2/<I-n/ % !70 GZ`r Please Pr' t Name PI m o �dc;r A/1 AZ_ t d re D te� ,Lan wner's Signature Dete , en , MJV1P Eavirwimaritial Sy6lonis,Inv. 1-888-450-OMNI `' '*.�(508)548-6424 - OFFICE P.O.Box 128 OMNI MANUFACTURING 465 East Falmouth Highway Falmouth Technology Park East Falmouth, MA 02536 bi v «r faa nlal,,S vstems,Inc. East Falmouth, MA 02536 December 6, 2002 Attn: David Stanton Barnstable Health Department 200 Main Street Hyannis, MA 02601 RE: ROUTE 149, LOT 18, UNIT 1 — BARNSTABLE, MA Dear Mr. Stanton: The OMNI Recirculating Sand Filter at the above referenced address has been installed and is operating in accordance with the engineers design plan. It has a maintenance agreement in place and will be maintained as outlined in the attached "Maintenance Agreement". If you have any further questions don't hesitate to contact us. Sincerely, Matthew C. Costa , I CC: John Bowes, Bayside Building, Inc. 1 ®E L TOWN OF E3AR vS7HBLE HEALTH DEPT. D.E.P.Certified wastewater Operators Recirculating Sand Filters Manufacturing • Testing • Maintenance • Installations e: LL to w it o j�Z co co WUZ I WQ CO 1L _ Za3� 1 ee eer 1 �O W U -� - i CO jeT. wn. c!)Q�,o CO - i' o is— 7 - .... - I - � � ��-Q I01T'/ELEV/!.TItSN 1. . � r'I b,-yt:BATRO0IM\.\_ 41 ; RInSt vcuT '� 508-426-6191 01 w PrTW Q I ,M` I .J� I ^I •\\ •1r�_I O'. IOILr In v M'lOth411. eviln 1 I 4wrer w lauw Cu+T�t unto -- •\'Miyl Plaatl Ttluar. D 9f IgOS O wwQer. ropyrl9ni O I/DD Mifrr Sea Im FRONT. EIE.VATION yl s -FIRST FLOOR PLAN S Al S' nrumin.ry peel. I/roue py OCO.,.le my.Any e r 11 I1 tl<Ily proNehr 7 - - 1�._:.I- .10:0� ....:, i:O '-110'•IrL,•.IYI....' r p iS r"_�•:I C —_ `"pPTICYrIG I-UlAR:GOi:-"'.-i► a � O � 1 IFMT L—1-4 A... I __ I r_ 1 IG �'►.V•n M.cO•C. flat � � i I j � .w•.o tore.nutol�rm. . 509-428-6191 1 � I9UNOm - -...... esigns I .•.... .:6�N 104.E•MNMtI 1�' toprrl9nr O 1111 1. eLL--2nn am �i � r.wc�.rui ou{w•.v �_._ _.. -Ari;.6ulCfdal:_....'—:�.' I• r , _ � j ' rr•nmm,ry pun,,ne�,romr ey oc.o.,.•re er m omy.any orn.r m•a •uy yrommu dlvuf)w_. µI W:fND3.2y_p:11.WYJM. _... ' � I •I A L I - 308-06.6191 evlln 7 z 1...: .. .. ®ustom e.[OnS toprrlpnlOIts - , .:-, wa awi Nr✓cw.rY.rgwava pp F .:¢OCR...._ FXMUI 4G"_ _ J r.rnmin.ry pun.. Lyoun pr oc.D.ur a.In mr.wny omn„ ury p.ompne I%s- qq uN TOWN OF BARNSTABLE Cc LOCATION l D� � �:g' SEWAGE # 00 f 3 i VILLAGE . ° ". ASSESSOR'S MAP & LOT ^7 9=/F INSTALLER'S NAME&PHONE NO. r-17 SEPTIC TANK CAPACITY Z oa x60,C LEACHING II FACILITY: (type) (size) 2 NO. OF BEDROOMS BUILDER OR OWNER_ N '�`%• '' -�� � PERMTTDATE: d COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility ___Feet Private Water Supply Well and Leaching Facility (If any wells exist on.site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within.300 feet of leaching facility) Feet Furnished by a l y/ 4R 111 r i No. �Qol — .. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Application for Mitpooal *pgtem Construction 3derntit Application for a Permit to Construct( Repair( )Upgrade( )Abandon( ) LeComplete System ❑Individual Components Location Address or Lot No. Cl Owner's Name,Address and Tel.No. # ,1 95 G-xgsiae GukGer% Assessor'sMap/Parcel t� AL / D, �OX as D I 2<- Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 55"D eUv-d& --12-t PH,0So3-771-7 5rio Type of Building: Dwellin No.of Bedrooms 3 Lot Size &5�56sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 w gallons per day. Calculated daily flow 3-3 g gallons. Plan Date 7 060 NumbeT of sheets v2 Revision Date 6 y 00 n Title /' e.t Size of Septic Tank /SD© all Type of S.A.S. Description of Soil (� A a" :1-0 - 13 2 ,�oP Nature of Repairs or Alterations(Answer when applicable) �A�c �izc1� Date last inspected: DESIGNING ENGINEER MUST SUPERVISE INSTALLATION AND CERTIFY IN WRITING Agreement: THE S STE The undersigned agrees to ensure the construction and maintenance of the ® �r S� aQio1� Tem in accordance with the provisions of Title 5 of the Environment 1 Code and not to place the system t eration until a Certifi- cate of Compliance has been iss rt oard of Health. r Signed ued Date 3 o�oZ D Application Approved by Date 3 Application Disapproved for the following reasons Permit No. 2-W J—3 93 Date Issued d { * No. W ((( 1.►a,r I,` $ 1 ;� Fee���Entered M computer: THE COMMONWEALTH OF SSACHUSETT�.S - f Yes PUBLIC`HEALTH DIVISION- TOWN OF BARNSTABLE., MASSACHUSETTS pprication for ig oga�r 6votem Cpnztruction .erntct .-. Application for a Permit to Construct( -Repaio—. ),Upgrade( )Abandon( ) ?Complete System.' Individ al Components Location Address or Lot No. �} / 1/�� Owner's Name,Address and Tel.No. Assessor's Map/Parcel 7 6?/l 0 c Installer's Name,Address,and Tel.No. g�,wc e A+G¢-.` j�(�, Designer's Name,Address and To.No. ; 55-0 itv -� py�.5o�'-77,-7�,t = (ASS l sg. , �1-.:c sb�-5 ' o a 6 7 3 - - ' �U, :J Type of Building: Dwellin No.of Bedrooms Lot Size ag5�sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 gallons per day. Calculated daily flow 3 3 9. S gallons. Irlan Date / 7/ D©0 Numb r of sheets 11� Revision Date 6 /r ;2 O©/ t Title PiA, a Size of Septic Tank /5DO a j Type of S.A.S. Description of Soil ('�-- .� ��,µ 0 .�, 30 3f0 - /_3 Nature of Repairs or Alterations(Answer when applicable) '. Date last inspected: Agreement: `=-The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system - in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by it, s oard of Health. r '`" • � Signed Date :3 k� O� Application Approved by Date 3 - D 2 Application Disapproved for the following reasons Permit No. 3 9,3 Date Issued 3h.2 X 2 THE COMMONWEALTH OF MASSACHUSETTS - _ BARNSTABLE, MASSACHUSETTS (Certificate of (Com Lance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed(✓)Repaired( )Upgraded( ) Abandoned( )by A-'L4-"� -u +-�- at / has been constructed in}accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.�W I ' 3 3 dated 2 .2 Installer Designer The issuance of this erTnit shall not be construed as a guarantee that the.syst ftfunction as:disign�ed. Date �1 u Inspectors ✓ No. cjQ I �3 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mi5po5ar *pgtem Construction j3ermit Permission is hereby granted to Construct Repair( )Upgrade( Abandon( )P System located at 11.5 � y Mh .- ��.,t G�1 # and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this ermit. Date: Approved by e,V�• TOWN OF BARIv'STABLE � LOCATION SEWAGE # 00 l — . 3 VLF LAGS :�r''�: � F%�/� ASSESSOR'S MAP & LOT 7 9' INSTALLER'S NAME&PHONE NO. W 4J-&1,3 SEPTIC TANK CAPACITY/- O 7`j7WC y/ C/- :5A!'FJO F1 Z,+F., . S LEACHING FACILITY: (type) (size) -09 NO. OF BEDROOMS BUILDER OR OWNER ZRIAS C&P PERMITDATE: d r f COMPLIANCE DATE: tf Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet �� Furnished by _ { � � � r� [°. �- �` i �l � ^�� i � .. i i r: (((� ....�� 'J I i QiQ No. - _ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pplicatton for M!6po$ar *proem Com6trurtion Vermtt Application for a Permit to Construct( Y)Repair( )Upgrade( )Abandon( ) [►?Complete System ❑Individual Components Location Address or Lot No. Route /yy /Var54on-s In /Is Owner's Name,Address and Tel.No. Assessor's Map/Parcel H G/�<! /,n�� / � c)5 #am "°m ���/ty Tru sf I O O G/ PO &X %aa V hl Qv2nis IVA 50-79/39 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 62rl LeaVO.5.5a, Jr. S-01F 5`/a-&1g93 BSS !)eSryn, Inc, r5o�-SS/0-S�dS� AS Pabne,- lye Fahnvufh 44 /��/�af�iarir,e Epp tPs/Pa! ,Ca/mouth /YIA Type of Building: wellin No.of Bedrooms_ `3 _ Lot Size f/ 5v/!Zsq. ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3.3 U gallons per day. Calculated daily flow 3 3 8,2,5 gallons. Plan Date 00,0 Number of sheets 1i Revision Date e',&Awa/ Title a ae- 5ahjurkre. Se &5'a S Size of Septic Tank 150d (5-a > Type of S.A.S. Description of Soil U- 9 i/ Sdt)//L/ /0!! /g md) } Nature of Repairs or Alterations(Answer when applicable) Alen) don f wc/-/on ms!s ,. ';VISE f INST, ' :;711TING TH Date last inspected: eLAN. Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to pl system in operation until a Certifi- cate of Compliance has been i ued this oard ealth. /� Signe Date�G/ -1171 Application Approved by Date Application Disapproved for the following reasons Permit No. f::a- ® I Date Issued ` THE COMMONWEALTH OF MASSACHUSETTS �'�' GNING ENGINEER MUST SUPERVISE BARNSTABLE, MASSACHUSE ES IALLATION AND CERTIFY IN WRITING �ME SYSTEM WAS INSTALLED IN STRICT Certificate of �Compltanl�e ANCETOPLAN. THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed)Repaired( )Upgraded( ) Abandoned( )by at k yNk T k 41 IZT•Ay�1 6 NO ks has beenconstructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No " 37'�,dated (C Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector No.` �L.CJ 13 ^' •Ro¢. Fee ®� '-- j THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye's PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS , -3pprfcation for Mtgpaal *pgtem Congtruction Permit Application for a Permit to Construct(Y)Repair( )Upgrade( )Abandon( ) [P Complete System El Individual Components Location Address or LdNo. Rp Uf e /Yy IVW34065 /nd//5 Owner's Name,Address and Tel.No. P� JCS N4n'! filOm r a/7)/ TruS7`- Assessor's Map/Parcel 7 /�� 0n/7' P d ,Qox /a a /'r/y annis /W!q.Sod" Installer's Name,Address,and Tel.No. ' Designer's Name,Address and Tel.No. r 6 earl da✓O.Ssa, Tr. Bess _hes i yt), A.5� Aa llner- A✓P Fo/mou-I-At /I1 A /6 Ile"n,e -S A/ FQ/ln0a7 , In, !I Type of Building: wellin< No.of Bedrooms� �'- �`"`' Lof°-Size'_ 561�Zsq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design`Flow JU gallons per day. Calculated daily flow 8. 5 `gallons. Plan Date ,27 1,9 Number of sheets "' i Revision Date l lel,14DD/ rTitle 11,1an P r SP S 6_5a r Size of Septic Tank 27 o Type of S.A.S: r-e re. r i o[f/br1 Description of Soil L/) ' ,SGInll l loa r» 9- 3&i� 'd L Dar» V .SQ )d Nature of Repairs or Alterations(Answer when,applicable) We Date last inspected: zY Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system : in accordance with the provisions of Title 5 of the Environmental Code and not to pl system in operation until a Certify cate of Compliance has been i ued this oard ealth. /� Signe Dated/ , 07 77 Application Approved by Date Application Disapproved for the following reasons Permit No. f"> n 0 1 _ Date Issued 4, l r --------------------------------------- — THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS,-,,". Certifirate of Compliance ' THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed )Repaired ( )Upgraded( ) Abandoned( )by I I _ at >�11 T' ��•�� �`\ , Nl S has been construcMcJL • accordance with the provisions of Title 5 and the for Disposal System Construction Permit NoQED " _ 1r dated Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date ` Inspector f -- No. �.(�� }9! Fee Sri THE COMMONWEALTH OF-MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS x migpog4, 6pgtem Cottgtructton Permit Permission is hereby granted to Construct 'L)-Repair( )Upgrade( )Abandon( ) .:System located at' ' ,�.E/ � 2o,_)(t? `andvas described in the above Application for,Disposal System Construction Permit.The applicant recognizes his/her duty to n' scp plyq> Tit1� 5 rid the'following local provisions ors ciall conditions. 7 Pr Constructihn,, us a comps tedl�within three years of dhl;date of thi4yerrrA �veo:bt j i i Ark } 1 - T 3,r X 1 , M S 7-D /J ram.- Q � aa r F f-57-6 - I 114 j t L r ' - OMNI 2000 RECIR. CULA TING SAND FILTER PROFILE & DETA.ILS S. WA. . SST '.1V1� NOT TO SCALE 6 5 3 2 NOTE: RISERS AND COVERS TO WITHIN 6" OF FINISH GRADE CD 00a 6,> PINE BARK MULCH OMNI 20C,) R CIRCULATING SANG FILTER 0-1 } 2 MObULh:S REQUIRED e FILTER FABRIC COVER Y I (NO SUB., I ITUTION) AIRATION HOODS FINISH GRADE=56.6 Ems' (3) COVERS TO GRADE - 8 0- F.FL.=59,0 1.5" PRES5UR12ED LINE j s SEPTIC r - 3 PVC RETURN LINE I EFFLUENT FIL1 ,R & TANK= 56.0 � 0.9 TOP OF 'I o GAS BAFFLE- RE�.IRC. �. R.S.F. Acme Precast Plodel PL122 _ FINISH GRADE 53.5-55.5 TANK= 56.0 SLQ,�,E TYp, o- I AM,t� _ a i _ I r I i 51.1 . : . .. .. . ..:. _ , IM• FLOW .... , • � - .- .. . 3 PEASTONt 51.,> SPLITTER - - KEY MAP HOUSE 1 ,� ,4. INV._ 51.4 51.15 ---- '- 52.�3 -- ,.. .. 1 _ '-1 f 2" PVC �[.- <. . . 1 60 G' e d • .�/ .: a .. ° I 49000 50,85 <v 3 , GAS LIQUID AC BAFFLE fi LEVEL 52.2 - 24 H R. R S. ,, y 'd UMp ON d a' ;. ° ° -HIGH WATER ALARM ..: 4 :, -. ., . a 31(4,d T 1. 1/2 .CRUSHEtr,. . 4 0.2 WAS40 5ToR' I 150C, GALLON SEPTIC TANK , LOW WATER SHUT OFF 1 UMP OFF d. . 9 •• . .: ., aa py{ �d ,:o a •• d W t t .�.. .. SET LEVEL "OMNI 12000 1000 GALLON 0 _ ;50.2 II I II TANK ' EFFLUENT FILTER RECIRCULATION Ob4Nl 200b PUMP CHAMBER BOTTOM r A � s . �oell@r NO SUBSTITUTION SOIL �i.C)S� P�IDN S � ( > STEM 250 GAL.PUMP CHAMBER BY PASS ORIFACE • NOTE: TIMER AND EVENT COUNTER : ESINEDY 0THE1S VALVE" cu -r. , - ,> CHECK SHOULD BE M0.� � �rRCD FROM 4 15 LONG 1 .00 DIA. PVC LATERALS C- � CONTROL PANEL i 1 DESIGN SPECIFICATIONS EACH WITH FIVE 1 4 DIA. HOLES S�'ACED I , 3 O.C. ALONG PIPE INVERT. e th <1� 200 slevd 2mm to 4ml�n size Sand Filter Media 24 min. d / S �� , TWO TRENCHBS. 325 LONG, 7 s r bedl-oom G �a WIDE WITH AVERAGE DAILY FLOW 55 d er person e S 9P �P i �E� 9 DESIGN CRi`�ERIA 2' > EFFECTIVE DEPTH. 8.1 APART s ren th-BOG;�� 230 m Ilter/residential , � Wastewater t g 9� � a 3 F _ NUMBER OF BEDROOM5 � Re Circulation Ratio . :. 4. 1 ti / o PERSONS PER BEDROOM 2 . C a 150% of de,>I n :flow Use a 1000 al. tank X � Re Circulation Tank Size ;, � ,I x 57.84 9 I W 55, OILY FLOW PER ER50N 9 o BdG5 5 d sf C p 5 Rate d sf 1150 Loading Rate E�esldential Loading X � Sand .Filter Loa P � ) � 9P � 330 9 ( � 9 �9 TOTAL DAILY FLOW. S01 L EVALUATOR'S � _ 44.,.9 s . � . �30 al. . ® 0.74 al. s.f. LUATOR S 0 Sand Filter Surface Area ;, SA Flow d Loadln Rats d ftr. LEACHING AREA. REQUIRED a ( 9 9 / ) szo 9�, 9 9p De th from Soil Soil Soil Soil Other 457.! s . !c. P , N ! ACHING AREA PROVIDED a _ LE _ OVIDED . 69.E S.F. f'R d 5 d Sf 56 S.F. ' REQ ) Surface `Hor. Texture color 9 P � 9P � � C Matt. Relative 446.3 0.74 x 33$.25 c: � 10 � -�' RING CAPACi�'Y PROVID D 9 p ( )( ) x .9 ., �EAC E Ir!tches (USDA) Munsel Factors --- ; Li ._._._ � ;....�- � a - � - - x 103% 650 d n um Size 33d + , ><330 I F Re-Circulation P P C )� 9P C r. DEEP :..:.OBSERVATION H - TP _ i CALCULATIONS _ J�,9 HOLE F 1 � I 5 .2 k es.�n � 68.75 als. 60 mi n. cycle �- I 9 A w� 1 � 1 n . ICi r 0 B A T' n i / 5 x l:.74 129.$ � i x 6 gP f w w _ .5 7.2 - l t / � septic tank , ( G� �tL V s t c to , Same I _ Sand Filter Set backs s ._ 8 S P S iJEWALL TP F r -30 1 .: $ B L S rn 4 _ x .7� 0. x 2 0 0 1 8 If �Q8.38 � .4 F s i { 9P 5 / �r t OM NI 2000 RE-CIRCULATING G , 58 l _ d. 0.�4 457.1 s.f. / 338.25 s t / 9 P �o FILTER 2 MODULES REQ. "` ff SAND ) ( w 0 o x _ c0 132 C M S o � GEN ERAL NO t t✓ 9 -� ONE MODU LE PI PED BACK 70 N tom. 22. 4 t a .� 1 s. 2 ARE .a 3 ELEVATIONS :SHOWN A 1. ALL E EVA � SEPTIC TANK � I 0 x � SE tic , F SLIMED. k ` a AS 6.9 o o ;. 6 G _ ,. to T MODULE PIPED BACK 0 h � ONE a �_ F SYSTEM 10 B� , 2. ALL PIPES hN THE S _� L o.r DEEP OBSERVATION� E ATI ON HOLE F 2 ATION TANK RE CIRCUL .•-+ s cr CAST IRON OR SCHEDULE 4U P.V.C.P . 0 . . . UNSUITABLE MA IERtAL f� ff 0 RE CIRCULATION TANK � RE MOVE ALL U x se.2s �` OMNI 1200 _ x S � 0 g A S L �.as / ' ors .. ,..�--� V ELEVATION _ 3 1 BENEATH THE INVERT .p PR310C MIS 15.255(5) � R A RADIUS OF 5 AS E GALLON SEPTIC TANK FO 0 ` 1500 GAL » f, _. 6 � AN COARSE w 5 .7 d AND BACKFILL W CLEAN $ 30 B L S P 1 / / .39 �. 5 5s Z1 ! _3.8 . i 1. 0.11 , t AR MATERIAL. ,. GRANULAR 53.7 R 1 CHAMBE 0 I PUMP >- 0 F E CLEAN ti l 4. ALL BACK ILL SHALL B �� -•. � 30 �132 C M S uRe sroP A�. ATERI L FREE x Q 4. i l COARSE "GRANULAR M 58.39 N , k 0 S81 8 co STONES. ix FROM DEBRIS & LARGE Xb .2 X W.83a 1 1 1 5. C HRISTOPHER COSTA & Assoc... NOTIFIED WHEN THE 4�.3 ; i 1 UST BE N01• Eb ; Z 1 w 1 1 M X .31 R TO PRIOR , TMISINSTALLED� -P 5YS E _ .. .. PERC I - 1. - PERCOLATION RATE <5M IN. INCH l i 1 : x 57.,3 k` 1. 58.11 T h,.R INS EC 10 ao c _ BACKFILLING FOR p rn , DEPTH TO GROU = s z r t NDWATER .NONE ENCOU NTERED W NOTED Al .. 6. UNLESS OT HERWISE ISE NO E .. , h `` _ 1 . t 4 . JEI�RY DUNNING or OBS R'd - � t�_ E IONS BY. -I' X X 54.24 ... ST M COMPONENTS SHALL Dc 0 0 5Y E J -v ASSES S LOT 22 V� BaU.! CE G. MURP INSTALLED 1N ACCORDA NCE ITI• HY 9 OF TAKEN t A EN BY. --- - � t � t X 1 84'1 A k SAPIfTA Y m 1 M AS5ACHUSETTS TITLE V R � 3 24 • 9$ O r :.DATE 1- ESTED. 0 1 l I N.DOUGLltiS 9 o .SEWED CODE_AND LOCAL RULES SCHNEID, R d ^7 _ E APPLICABLE IN A w RICH MAY. B �W o CI VIL F-- 9 WO RKMAN-LIKE MANNER. m. i X 50.6 N0.3061 h O x 56. 82 l NOT �' PLAIN. a 0 » 7. THi.. LOT IS IN THE FLOOD L N. �45, TO INST ALLERS R C�TE N GRINbER WILL NOT BE rV $. A GARBAGE N HE SYSTEM. 3 INSTALLED 0 T - 4 h- X M. D : MAD TO THIS PLAN i YOU MUST BE AN OMNI ENVIRONhlENTA L 'SYSTEMS 9. NO CHANGES SHALL BE E FROM CHRISTO�'HER PRIOR APPROVAL C I :, WITHOUT R w CAN 3 ECO M E CERTI FIED CERTIFIED INSTALLER. YOU COS TA & Assoc. Q - �. AS E CO NTACT TA CT -, TIME 0 F INST ALLATION. PLEASE AT THE T E ROP-R - ANOTIFIED FG� THE PF C H SHALL BE 1 DIG SAFES � APPLIC�:I�T. BA 1 v, d. .a YS DE BUILDING , CO. INC, 4 0 OMNI FOR DETAILS , : r , OMNI AT, 1 88$ 5 it �! , >- L I,,�. P�tIOR TO, . . �- LOCATION OF EXISTING UT` � .. �. tF_ � q QL S PRO POSED Ro.p EXCAVATION.' . OSED � -� DWELLING LOCATION THRbUG 6H z 1 OMNI 2000 PRODUCTS AVAILABLE _ CHINS s OPHER ) �'RC POSEIJ SET�AGE SYSTEM E� LOCATION I- OMNI ENVIRONMEN TAL SYSTEMS A7 1 888� 450 OMNI _ ATION C051•A T B LOCATfED Z 12. OMNI 2000 00NTROL PANEL 0 E No. ;31305 IN � INSIDE DWBLLING IN A:VISIBLE �3c AUDIE�LE ' LOCATION. c� o q ram° N i t N 5 '1'b /1/ _< OMNI 00 0 g10 FILTE R Curotf ONE T. CO _. 14. ONLY OM 2 , LOT � 18L UNIT 1 R�UTE 1 NO SUBST ITUTIONS o 2 D Z REVISIONS7 J BARN�5 T ABLE m M ARS1"ONS MI r•r� MASSAC'HUS E7`T S PLAN VIEW L w i SCALE: . .S NOTED BATE. 9 .12 02 I- " SCALE: 1 20 C E . PLAN �c TOPOcR OAR TI LOT R WN B : JAB CHECKED D A Y a LEGEND BY. C.C. JOB NO.. N �Y.- DONE PROP. SPOT EL V. -E X60.5 C,HRl`S.� TOPH ER COST EXIST. SPOT ELEV. - ,, y A Bc assoc. x56.0 4 _ � Flood C The:site is situated in Fo I -- _ rn N t ,�'S DESIGN_ � P.O. BOX 128 465 B. FALMOUTH H Y. PROP. CONTOUR 46 � W i 1� EXIST. CONTOUR .�- ASSESSORS MAP LOT 18 . rN0. oAE DESCRIP 11 ON FALMOUTH - MAS SACHUSETTS - _-- _77i -