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HomeMy WebLinkAbout0127 ACRE HILL ROAD - Health 1.27 Acre Hill. Road Barnstable A=297 - 079 \ ra 1 ¢} TOWN OF BARNSTABLE LOCATION H l>> _ SEWAGE # VILLAGE nn ! _ ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. iC Dlae� B- OU2- C.Q-r-VP SEPTIC TANK CAPACITY 1.5W QaL LEACHING FACILITY: (type);4)rWf cA3pe 305 0 (size) 3§ to NO.OF BEDROOMS y BUILDER OR OWNER A t n PERMITDATE: ( ` 1s _ 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) Ill l Feet Edge of Wetland and Leaching Facility(If any wetlands exist t within 300 feet of leaching facility) /`J{`� Feet Furnished by �� 1 a 3 �y e � 6 t � .,�a b� p3 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in ter: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ltl DYY isposal *pstrm Construction Permit Application for a Permit o Construct epair( ) Upgrade( ) Abandon( ) ❑Complete System ividual Components Location�rAd Address or Lot o. Ao+ej ,i 4( Ow is Name,Address, Tel. Asses'sorr''s Map/Parcel �q �f`G(,+ ACIC!L 1 S al� A Installer's N ,Address,and Te.No. v� - �'0�3(� Desi ispName Address,and Tel.No. }� D , 1 j Arils Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures /, Design Flow(min.required) 4�o gpd Design flow provided gpd Plan Date M"Al-2- N ber of s ets Revision Date Title1c, , Size of Septic Tank („d�-TType of S.A.S. Description of Soil 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 Enviro tal Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board / Signed Datei���'�� Application Approved by Date Application Disapproved by Date for the following reasons Permit No. 1 Date Issued No. �� Z dr ' i Fee V THE COMMONWEALTH`OF MASSACHUSETTS Entered;ncom uteri n' t i YeLZ PUBLIC HEALTH DIVISION ---TOWN OF BARNSTABLE, MASSACHUSETTS •fir appIi�aFt�r sposil Opstrm Construction`Permit 4_ Application for a Permit o Construct epair( ) Upgrade O Abandon( ) ❑Complete System 0 ividual Components Location Address or Lot b. -� � � Qy n�'a�Q Ow is Name,Address,�dTel.N AsdsoF's"Map/Parcel Installer's Name,Address,and Tel.No. 58 -y •0�3� Desi o.er's Name,Address,and Tel. 6-It- I-MrWia fta kvg!��j 7F IV,5tNtl­ 016S g7k Type.of Buildings Dwelling No.of Bedrooms '� Lot Size �sq.ft. Garbage Grinder( ) Other e,Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures IJesign Flow(min.required) ���} gpd Design flow provided gpd 'Plan \Date /Y)." I 22. Number of s eets Revision Date Title Size of Septic ank it Type of S.A.S. 421 Description of Soil 1 Mature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of4he 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 Certificate of Compliance has been issued by this Board of Signeda!(,/- Date -c Application Approved by Date Application Disapproved by Date for the following reasons /�y s Permit No. aC3 r�2 Date Issued --------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by at, 11, r has been constructed in accordance « with the provisions of Title 5 09tbe for D' o al System Construction Permit No.2019-Pi l dated r- Installer Designer #,bedrooms t. Approved design flow god T The issuance o this ermit shall not be construed as a guarantee that the system will. ftio�Xsdesigned. y Date Inspector _ No. ���_ �' Fee ( �V THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Die-posal 6pstem Construction 3permit Permission is hereby granted to Construct( ) R air( ) ,Upgrade( ) A Abandon( ) System located at g Y^yt S Iww and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with a Title 5 and the following local provisions or special conditions. g Provided:Construction must be completed within three years of the date of this permit. ! Date G"(`C Approved by Bk 32092 IF's 212 OIL 27753 136-1 7—'2019 01 10 =16 t GRANT OF TITLE 5 NITROGEN LOADING RESTRICTION AND EASEMENT ON NITROGEN CREDIT LAND (where Grantee seeks nitrogen credit land from third party Grantor) 310 CMR 15.216 This GRANT OF TITLE 5 Nitrogen Loading Restriction AND EASEMENT on Nitrogen Credit Land . made by Mary Anne Brewin Perry, Peter Brewin,and John A. Brewin,Jr., as joint tenants, of 135 Acre Hill Road, Barnstable,Barnstable County,Massachusetts 02630("Grantor(s)"). WITNESSETH c WHEREAS,Grantor(s)being the owners in fee simple of that certain parcel of land located in Barnstable, NBarnstable County,Massachusetts,with the buildings and improvements thereon,pursuant to a deed from Mary P.Brewin o to Grantor,dated November 5, 1998,and recorded with the Barnstable County Registry of Deeds in Book 11817,Page 339, Q said parcel of land being more particularly bounded and described therein,attached hereto and made a part hereof,and being ai shown as LOT 30 on a plan entitled,"Subdivision Plan of Land in Barnstable Massachusetts,for James X. Smith,Scale 1" a = 100"',dated May 1976,prepared by Cape Cod Survey Consultants,A Division of Boston Survey Consultants,Ind.Route h 132,Hyannis,Mass.",recorded with the Barnstable County Registry of Deeds in Plan Book 311,Page 11 (the"Property"); and m WHEREAS,Dana R.Marcotte and Ann-Marie Marcotte,husband and wife,as tenants by the entirety, a of 127 Acre Hill Road,Barnstable,Barnstable County, Massachusetts,("Grantee(s)of the Benefited Property")being the owners in fee simple of that certain parcel of land located in Barnstable,Barnstable County,Massachusetts,with the buildings and improvements thereon, pursuant to a deed from Peter Kelly, Trustee of Kelly-White Real Estate Trust u/d/t dated December 18,1984 to Grantee of the Benefited Property,dated December 12,1986,and recorded with the Barnstable County Q Registry of Deeds in Book 5448,Page 211,said parcel of land being more particularly bounded and described therein and M made a part hereof,and being shown as LOT 32 on a plan entitled,"Subdivision Plan of Land in Barnstable Massachusetts, for James K. Smith,Scale 1"= 100"',dated May 1976,prepared by Cape Cod Survey Consultants,A Division of Boston Survey Consultants,Ind.Route 132,Hyannis,Mass.",recorded with the Barnstable County Registry of Deeds in Plan Book 311,Page 1 I ("Benefited Property");and y .7 c WHEREAS, the Benefited Property has the benefit of a Title 5 Nitrogen Loading Restriction and a Easement on Nitrogen Credit Land,being more particularly bounded and described as shown on plan entitled"Site Plan& Septic System Upgrade Plan,"dated March 22,2019,prepared by Baxter Nye,Engineering&Surveying for Dana&Anne Marie Marcotte,attached hereto as Exhibit"A"(the"Nitrogen Credit Land Restriction/Easement");and WHEREAS,the Nitrogen Loading Facility Aggregation Plan has been approved by the Town of Barnstable Board of Health,200 Main Street,Hyannis,Massachusetts 02601,and,if required,the Massachusetts Department of Environmental Protection("MassDEP"or"Department")] in accordance with the Department's "Guidelines for Title 5 Aggregation of Plans and Nitrogen Loading;" said approval being based upon the agreement by Grantor to incur certain obligations regarding the number of bedrooms,as defined in 310 CMR 15.002,and/or the wastewater discharge design flow in any improvements located on the Property and maintenance of the Facility Land Restriction and Easement to ensure protection of the nitrogen loading limitation of 330 gpd/acre discharge standard pursuant to the Town of Barnstable General Ordinances,Chapter 232 Wastewater Discharge in nitrogen-sensitive areas or in areas serving new construction where the residential use of both on-site systems and drinking water supply wells are proposed; and to grant to the Grantee of the Benefited Property and to the municipality acting by and through the Town of Barnstable Board of Health, Hyannis, Massachusetts, a perpetual easement to ensure maintenance of the Nitrogen Credit Land Restriction/Easement area as nitrogen credit land including, but not limited to,removal of any prohibited uses and in connection herewith a perpetual easement to pass and repass over the Property for purposes of inspection to ensure compliance with and fulfillment of the terms of this Nitrogen Credit Land Restriction/Easement as hereafter set forth; NOW,THEREFORE,pursuant to the provisions of 310 CMR 15.216,Grantor does hereby GRANT to the Grantee of the Benefited Property and to the Town of Barnstable, a Massachusetts municipal corporation situated in 1 Barnstable County,having an address at 367 Main Street,Hyannis,Massachusetts 02601,acting by and through its Board of Health("Local Approving Authority")for nominal, non-monetary consideration, with QUITCLAIM COVENANTS, a TITLE 5 NITROGEN LOADING RESTRICTION AND EASEMENT on NITROGEN CREDIT LAND("Nitrogen Credit Land Restriction/Easement") consisting of approximately 3,588 square feet in, on, upon, through, over and under the Property,the terms and conditions of which are as follows: PURPOSE: The purpose of this restriction and easement is to protect and preserve the quality and quantity of ground water resources in the area of the public and private wells in the Town of Barnstable,Massachusetts in order to ensure a safe and healthy public and private water supply for the present and future inhabitants of the area It shall also be for the specific purpose of limiting the introduction of nitrogen and other pollutants into,and maintaining the natural uptake of pollutants and the recharge of the ground water which takes place on the Property for the said water supply and for the specific benefit of the above referenced Benefited Property. OBLIGATIONS AND EASEMENT: 1. Prohibitions. Grantor agrees to restrict the number of bedrooms, as defined pursuant to 310 CMR 15.002, in any improvements on the credit land(a/k/a Property)to three(3)bedrooms or other equivalent design flow not to exceed 377.6 gpd. Grantor further agrees to maintain the Nitrogen Credit Land Restriction/Easement as nitrogen credit land by prohibiting activities which have a detrimental effect on nitrogen loading on the Nitrogen Credit Land Restriction/Easement,including but not limited to wastewater discharges,the use of nitrogen fertilizer,the introduction of artificial impervious surfaces,the raising, breeding or keeping of animals, livestock or poultry for commercial purposes, and the creation or introduction of land under water. A change in the condition of the Nitrogen Credit Land Restriction/Easement which results in the Property or a portion thereof being within a Velocity Zone or a Regulatory Floodway will render the Nitrogen Credit Land Restriction/Easement or said portion thereof ineligible for nitrogen credit pursuant to 310 CMR 15.216. 2.Easements.In creating this Nitrogen Credit Land Restriction and Easement,Grantor hereby grants to the Grantee of the Benefited Property and to the Local Approving Authority,its agents,contractors,subcontractors and employees a perpetual EASEMENT to enter upon and the right to bring equipment onto the Property to do any and all acts deemed necessary to maintain the Property as nitrogen credit land,together with a right to pass and repass by foot and by vehicle over Property for said purposes,and for purposes of inspecting the Property to ensure compliance with and fulfillment of the terms of this Nitrogen Credit Land Restriction/Easement. 3. Severability. If any court or other tribunal determines that any provision of this instrument is invalid or unenforceable, such provision shall be deemed to have been modified automatically to conform to the requirements for validity and enforceability as determined by such court or tribunal. In the event the provision invalidated is of such a nature that it cannot be so modified,the provision shall be deemed deleted from this instrument as though it had never been included herein. In either case,the remaining provisions of this instrument shall remain in full force and effect. 4.Enforcement.Grantor expressly acknowledges that a violation of the terms of this instrument could result in the following: (i) upon determination by a court of competent jurisdiction,in the issuance of criminal and civil penalties,and/or equitable remedies, including, but not limited to, injunctive relief, such injunctive relief could include the issuance of an order to modify or remove any improvements constructed upon the Nitrogen Credit Land Restriction/Easement in violation of the terms of this Nitrogen Credit Land Restriction/Easement;and (ii) in the assessment of penalties and enforcement action by the Local Approving Authority and DEP to enforce the terms of this Nitrogen Credit Land Restriction/Easement,pursuant to Title 5;M.G.L.c.I 11,§§ 17,31,122, 124, 125, 125A, 127A through 1270,and 129;and M.G.L.c.83,§11. 5. Provisions to Run with the Land. This Nitrogen Credit Land Restriction/Easement sets forth the rights, liabilities, agreements and obligations upon and subject to which the Nitrogen Credit Land Restriction/Easement or any portion thereof, shall be left unimproved or according to which said Nitrogen Credit Land Restriction/Easement may be improved, held, used, occupied, leased, sold, hypothecated, encumbered, or conveyed. The'rights, liabilities, agreements and obligations herein set forth shall run with the Property and the Benefited Property,as applicable thereto,and any portion thereof and shall inure to the benefit of and be binding upon Grantor, Grantee of the Benefited Property,and all parties claiming by, through or under the Local Approving Authority or Grantor. The rights hereby granted to the Grantee of the Benefited 2 i Property, the Local Approving Authority, and their respective successors and assigns, constitute their perpetual right to enforce this Nitrogen Credit Land Restriction/Easement.Grantor hereby covenants for himself/herself/itself and his/her/its executors,administrators,heirs,successors and assigns,to stand seized and hold title to the Property,as applicable thereto, and any portion thereof,subject to this Nitrogen Credit Land Restriction/Easement,provided, however,that a violation of this Nitrogen Credit Land Restriction/Easement shall not result in a forfeiture or reversion of Grantor's title to the Property, as applicable thereto. 6.Concurrence Presumed.It being agreed that Grantor and all parties claiming by,through or under Grantor shall be deemed to be in accord with the provisions herein set forth and to agree for and among themselves and any party claiming by,through or under them, and their respective agents, contractors, sub-contractors and employees, that the Nitrogen Credit Land Restriction/Easement herein established shall be adhered to and not violated and that their respective interests in the Property and the Nitrogen Credit Land Restriction and Easement,as applicable thereto, shall be subject to the provisions herein set forth. 7. Incorporation into Deeds, Mormages, leases and Instruments of Transfer. Grantor hereby agrees to incorporate this Nitrogen Credit Land Restriction/Easement,in full or by reference, into all deeds,easements,mortgages, leases, licenses, occupancy agreements or any other instrument of transfer by which an interest in and/or a right to use the Property,or any portion thereof,is conveyed. 8. Recordation. Grantor shall record and/or register this Nitrogen Credit Land Restriction/Easement with the appropriate Registry of Deeds and/or Land Registration Office within 30 days of the latter of.receipt from the Local Approving Authority of the approved Restriction/Easement or the expiration of the 60-day DEP constructive approval period pursuant to 310 CMR 15.216. Grantor shall file with the Local Approving Authority and the DEP a certified Registry copy of this Nitrogen Credit Land Restriction/Easement as recorded and/or registered within 30 days of its date of recordation and/or registration. 9. Amendment and Release. This Nitrogen Credit Land Restriction/Easement may be amended or released only upon approval by the Local Approving Authority. Release of this Nitrogen Credit Land Restriction/Easement shall be granted by the Local Approving Authority in the event the Benefited Property is connected to a municipal sewer system and the septic system serving the Benefited Property is abandoned in accordance with 310 CMR 15.354 or the Benefited Property is no longer located within a nitrogen sensitive area pursuant to 310 CMR 15.215. Any such amendment or release shall be recorded and/or registered with the appropriate Registry of Deeds and/or Land Registration Office and a certified Registry copy of said amendment or release shall be filed with the Local Approving Authority and the DEP within 30 days of its date of recordation and/or registration. 10. Term. This Nitrogen Credit Land Restriction/Easement shall run in perpetuity and is intended to conform to M.G.L. c.184,§26,as amended. 11.Rights Reserved.This Nitrogen Credit Land Restriction/Easement is granted to the Grantee of the Benefited Property and the Local Approving Authority in connection with the approval of a Nitrogen Loading Facility Aggregation Plan. pursuant to 310 CMR 15.216 and the Department's"Guidelines for Title 5 Aggregation of Flows and Nitrogen Loading." It is expressly agreed that acceptance of the Nitrogen Credit Land Restriction/Easement by the Local Approving Authority[or constructive approval of the Nitrogen Loading Facility Aggregation Plan by the Department of Environmental Protection] shall not operate to bar,diminish,or in any way affect any legal or equitable right of the Local Approving Authority or DEP to issue any future order with respect to the Property and the Benefited Property,as applicable thereto,or in any way affect any other claim,action,suit,cause of action,or demand which the Local Approving Authority or DEP may have with respect thereto.'Nor shall acceptance of Nitrogen Credit Land Restriction/Easement serve to impose any obligations, liabilities,or any other duties upon the Local Approving Authority. 12. Effective Date. This Nitrogen Credit Land Restriction/Easement shall become effective upon its recordation and/or registration with the appropriate Registry of Deeds and/or Land Registration Office. 3 r WITNESS the execution hereof under sea7%ryiAnne .__ 12019. I Brewin Perry STATE OF COUNTY OFmr��o On this day of 5v �� ,2019,before me,the undersigned notary public,personally appeared Mary Anne Brewin Perry, and proved to me through satisfactory evidence of identification, being my own personal knowledge of the identity of the signatory or a valid driver's license,to be the person whose name is signed on the preceding or attached document, who swore or affirmed to me that the contents of the document are truthful and accurate to the best of her knowledge and belief,and acknowledged,swore or affirmed tome that she signed it voluntarily for its stated purpose. ,..ereocr.0V. I. 1 'Y,� P ,Z, KAREN HORN ` y 4q�ota '4 Notary Pubic h''c>.r-ar jocavr ,Notary Public COMMONWEALTH OF MASSACHUSE"b 4, : My Commission Expires - My Commission Expires: 3. October 25. 2024 ^` -;� +f' 4 WITNESS the execution hereof under seal this day of 2019. Peter$ win STATE OF COUNTY OF On this day of , 2019, before me, the undersigned notary public, personally appeared Peter Brewin, and proved to me through satisfactory evidence of identification, being my own personal knowledge of the identity of the signatory or a valid driver's license,to be the person whose name is signed on the preceding or attached document, who swore or affirmed to me that the contents of the document are truthful and accurate to the best of his ` knowledge and belief,and acknowledged,swore or affirmed to me that he signed it voluntarily for its stated purpose. Notary Public SEE ATTROIED CUT04 TE olN1E, ..NOTAaY INtiIAIS My Commission Expires: 5 CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of Orange On 10 cF 2uh-t ,�O)q before me,,�._Tak r,,5 E c ,+E,- gdk, Notary Public, personally appeared �E�E r" 3 (— F W i who proved to me on the basis of satisfactory evidence to be the person(s) whose She/ is re subscribed to the within instrument and acknowledged to me that e/they executed the same i his er/their authorized capacity(ies), and that by er/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. ,LAMES ECHTERNACH COMM...2249289 NOTARY KOUCtAUFORMA ;114 - ORAN6Et�UNTY 41 Signature My Tenn tv.kqA 6,2022 ADDITIONAL INFORMATION (OPTIONAL) DESCRIPTION OF THE NOTARY PUBLIC ATTACHED DOCUMENT CONTACT INFORMATION (,rAtx.+-f T 1V°t� id 7-naLm i sk ���"`^ The UPS Store (Title or description ofWhed downent) j 22431 Antonio Pkwy B 160 Rancho Santa Margarita,CA 92688 (Title or description o attached doc4hent continued) (949)858-1234 tel Number of pages l Document Date 10 tq (949)589-1234 fax store 1672@theupsstore.com (Additional information) www.TheUPSStore.com/1672 i WITNESS the execution hereof under seal this day of tx 14 p 2019. hn A.Brewin,Jr. STATE OF COUNTY OF On this day of - 2019, before me, the undersigned notary public, personally appeared John A. Brewin 1J .,and proved to me through satisfactory evidence of identification,being my own personal knowledge of the identity of the signatory or a valid driver's license, to be the person whose name is signed on the preceding or atf4phed document, who swore or affirmed to me that the contents of the document are truthful and accurate to the best of'his knowledge and belief,and acknowledged,swore or affirmed to met a signed it voluntarily for its stat 1-d ; F e� Notary Public y Commission Expires: zD '` z.i t�00 6 The Town of Barnstable Board of Health hereby approves and accepts this Grant of Title 5 Nitrogen Loading Restriction and Easement on Nitrogen Credit Land. ;wn of Barnstable Board of Health By:Paul J.Ca iff,D.M.D. M Title:Chairman Date:114 3 ,2019 COMMONWEALTH OF MASSACHUSETTS Barnstable,ss. On this 31 day of��_,2019,before me,the undersigned notary public,personally appeared Paul J. Canniff,D.M.D.,and proved to me through satisfactory evidence of identification,being my own personal knowledge of the identity of the signatory or a valid driver's license,to be the person whose name is signed on the preceding or attached document,who swore or affirmed to me that the contents of the document are truthful and accurate to the best of his/her knowledge and belief,and acknowledged,swore or affirmed to me that he/she signed it voluntarily for its stated purpose as Chairman of the Town of Barnstable Board of Health. EVAN C.LEACH ac k ,Notary Public NOTARY PUME COMMONNEALTNOPlIA$SACKMM My Commission Expires: My Come.Eom Nov.14,2025 llltylao2s Exhibi - A t aa� BAXTER NYE ENGINEERING — & SURVEYING R-k)— � ta�rAPf Ib / mU LPd AfwprS 'AL 79 M Sheet-sa.AP / o c r_zq \ o v rA.gnfo. t ji ,�rp (r,a� a�'•'„ - - I a I Nrnfa Vw ft nt.MW 'i� h6 � rr -6yf�w Rwne-(506)rn-73D2 / - vw�rm � an{' I .gym own.amo:m . .,,.., mte ;�3'1'.:,•.t� we+ I ,, �I.HsrneN v 1 Y.\ � `, � ��'`J!a `d��,�,y�"� ;A✓ `'��T Locus Map Scale 1 = 500' a alb .. a;: 4. ds.Aa6far gig GENERAL NOTES 3rnNf Ern . �/= .... pp � � \. .fauQ oi6fn. �I� bDcfgs v a slam _ f/ o-e�0or w Dd" �.., \ a 1 4A4gf WF m.110t0 D1 a3vmeF�tD '' irfSAOr , .0rA1 aA 0q � My3 I .`,{ _ M1M 0'AA!4 AnOr q 86 M .1. Dome rro min Hoummle a wam D.w AO.q su - ' n 1 001b OAI0f0091q S O412bI11B Im®Ig0R0rq 00 AAfQ tlr HfPNbgtli HmmC. 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O a 8 Anne Marie Mariearemlte �__._ •--.—��— •..� �—'_;�_� _. a.q nit6lntww DHPRrY.efL oAnvanoa Agmata Ef®1 .Tt '�� _— l ��—/ L1 // { h I AA Lm eb pouf DHAIrrIHaPlArfa wPlvfa sofa 127 Acre Hill Road „.,. 1 f_ hh .fwAq.mma.H ls�amfa mmsPUL�Pm mrlH n� Barnstable.Ms. 1 I1 ,li xWfLllaYf ADQR1.IRCP.®LAYP.I)• CL CD _.a._ ��-- � / ) � 4f Y�MMf AIC YA.AIDIrfT44lWOtgAtS 6dPH lfy � '" "•._ ------� - / r /' I � {� fmTmrwrfuavaKAa�'��Hemsfnmmrls moww ALOH of IaAn>,a - )/ `/, // d �.°aiv�wm wlravml►�H vawnameegtlsmamr o.eer,nrc !�' 1 / ,. / �Im IIH:w DE0.01eoaD llmlfH.W tlDMggtl40 / I �� .I" 1. .I Y// I I DH Potl.foa xroa nfrmRev aowH�Em 127 Am HIM Road 11 Barnstable,MA at0. .• 7 � ) I' ebl�'HnD�nn3s Poaalel.A D.altla oaam CA ( N gID1Eft fR.qIM q LR l4 t-�OF�� MIMO AI¢.A Ml(41m1 P 4 I :nun«mwim�m's:om i c mmaA.oi(r..mHu�A ,. ( DEH Anq lmm•IDMP[101�!®q�IH DIfMfYMrIW(aA 1DlDlmlq f[ •.,•. I _ ) ORKDI"C.SOHatlr 4A0®[Wr:nn aD40A�0merpeH OmeDO lrft . mmnAlf eR14 A lWA 3601f4gnflA a00A1f3 FARE f ImD 0O0R qlq Aq am .i / ) aDmRa x mrAx+a Aau mr Qmm.mAnrrq 1630E H®o. " \ A.tfH 11004tq aql aa9Ml@lOq[e OP�Im LLlff Pf01O AHlnv.HfP I 0iB 0®OJOfA1fR O.atR U)s t0.ATaf 1[40.T 0f.3N1 P IRmDO1D1U0.f6 '� ' / { \ HOR K�tl6�4Yrt Q,Yl�fpld H�[w�giAHtOD.IRpIDEO .� p®�gm1A�01 A'�.fID'19P0 M9gIDIQ VgbO , - �'�\\ V ) _ M[NHg0�M�0W0�anNR0fm1@le<11H0P 10MID'Pnl[59nM .�� I - -. � / � gnfi tlff plf[n gIDON,p�101H1'44aan Plca [aAR OPIt 1 S '".� 1� '.-.t-J,..: Y, .. i tlA0f q6 f;gIIf 3AVl1�4"OIom PMrHAlH,qOm orlon AO tlq mIfH AAfIq bRlf llq tlDl llV4rSOR A.161014 pfD Snf ET TIiIE Site Plan&Septic A0 m0H 911.lgMRAA00®RO541a3M 1%f%. i v { { �� fDwaAoemcebtl®nAA3fmtlAe SyS&MUnrademan A..r.."C 1.0 \ \ anre:r403.v.xqA p 0 20 e0 f 1 \ E K raT I. Garage connector nformttoon BLUE = EXISTING Mech RED:=. NEW o 5 3 car garage 0 a` c 0 garage `ore oa`r deck with connector _ e° A steps o Marcotte ouse a c �a �a0 garage Q 1st floor layout God o - L i .. .. ry .. Zf GlosetFull ba :,Ktch]en bBe room ull bat .. oom .. .Bedroom .. Walk-in G`O. ... ... .. - - Closet Bedroom Marcotte House and - Full bath garage . room 2nd floor level Maste ' ... .. .. Bedroo .. GRANTED WITH CONDITIONS. The Board voted to grant the variances enumerated on page 3 of 3 of the plan with the following conditions: 1) at time of septic permit issuance, the water main must locate (believed to be in the center of the road) and distance to the SAS provided. If the separation does not meet setbacks, the Board requests a liner be added to the SAS on the outer side (side facing road/water main), and 2) the Board approves the percolation test to be done at the time of installation and approves the signing off on a building permit for the foundation prior to the percolation test. IV. Nitrogen Aggregate Plan: Matthew Eddy, Baxter Nye Engineering, representing Dana and Ann Marie Marcotte, owners — 127 Acre Hill Road, Barnstable, Map/Parcel 297-079,1.23 acre (54,506 sq.ft.) lot, proposing 127 Acre Hill Road (the Facility Land) receive credit land from 135 Acre Hill Road, 1.23 acre (53,425 sq.ft.) lot. APPROVED WITH RECORDING TO REGISTRY OF DEEDS.. I The Board approved the nitrogen aggregate, Ian with #127 receiving credit of 3,578 sf �p I� from #135­:A.cre Hill Rd which will allow (127 tt now have 4 bedrooms. The property t #135 is providing the Credit Land a 7 p g ,5 8 square feet of their property will not be e�ertn�available to them for septic calculatio he nitrogen aggregate plans will be documented and recorded on both deeds #127 and #135 at the Registry of Deeds. (No need for bedroom deed restrictions to be recorded as the information will be provided in the nitrogen aggregate documentation.) V. Variance — Food: Ifti Bhatti and Mohammad Raz, new owners of Auntie Anne's Pretzels — Cape Cod Mall, 793 lyannough Road, Hyannis, requesting a grease trap variance due to configuration of mall. GRANTED WITHOUT CONDITIONS. The Board granted the grease trap variance with no conditions. (DPW supports the issuance of the grease trap-variance.) VI. Request for Determination (Cont.): Laura Kelley, President of Protect Our Cape Cod Aquifer (POCCA) requests a favorable vote from the Board of Health to draft and adopt a future regulation to prohibit the use of the chemical glyphosate at all municipally-owned properties (Continued from March 2019 meeting). NO REGULATION ADOPTED. The Board voted to not issue a regulation to prohibit the use of glyphosate. (It is currently needed in specific situations.) VII. Hearing — Underground Storage Tank: Linda Whitcomb, Charles, Marie, Cara, Donna, owner(s) — 88 Greenwood Avenue, Hyannis, underground storage tank over 30 years old, continued from February 2019 Page 2 of 3 BOH 4/23/19 Town of Barnstable OF THE Tp� , o Regulatory Services Richard V. Scali,Interim Director • BARNSTABLE, ' . Public Health Division 1639. ♦� °rfu MA+° Thomas McKean,Director 200 Main Street,Hyannis,NIA 02601 Office: 508-862-4644 Fax: 508-7.90-6304 Installer&Designer Certification Form Date: D-1, 2-0t Sewage Permit# Z.o i 1 -2-L I Assessor's Map\Parcei Designer: 9- hl id 9 LVG Installer: 11 .S�, LA K Address: -b WaO,'C � STD\ Address: - o2-bY On Ia. i g .fl lap was issued a permit to install a. (date) (installer) septic system at.1Z:1 6C 4kL-Z-. based on a design drawn by l (address) ki ,dated (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the t distribution box and/or septic tank. Strip out (if required) was inspected and the soils_ were found satisfactory. I certify that the septic system referenced above was installed with major changes (i:e: greater than 10' lateral relocation of the SAS or any vertical relocation of any component. of the septic system) but in accordance with.State &Local Regulations. Plan revision or certified as=built by designer to follow. Strip out (if required)was inspected and the,soils were found satisfactory. I certify that the "system referenced above was constructed in e with the terms of the 1\A approval letters (if applicable) STEPHEN. GN D. MATSON -, ns 11er s Signature) CIVIL ` a No.46345 w SS/DNAL esigner's Signature) (Affix Designers p Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-. BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THAW YOU. QASepticTesigner Certification Form Rev 8-14-13.doc Town of Barnstable Regulatory Services do Richard V. Scali,Director Public Health Division BAxrtsrearZ, q ' t6:sAC a �' Thomas McKean,Director 200 Main Street,Hyannis,MA.02601 Office, 508-862-4644 Fax: 508-790-6304 Homeowner Certification Form for Alternative S stem s Property Address: %� ac z r\J` "0AI Assessor's Map\Parcel: C -t 07 Property Owners Name: i 1 Its In accordance with Massachusetts DEp alternative system approval letters, the following certification information is required by the Owner of record, The Owner of record must place an "x" in the applicable box next to each line certifying the information. Yes N\A I have been provided a copy of the Title 5 I/A technology Approval letters. (15 page Standard Conditions letter and the specific technology letter) ( ❑ 1 have been provided with the Owner's Manual [H� ❑ I have been provided with the Operation and Maintenance Manual E3 For Systems installed under a Remedial Use Approval, I agree to fulfill my responsibilities to provide a Deed Notice as required by 310 CMR 15.287(10) / and the Approval ® For Systems installed under a Remedial Use Approval,I agree to fulfill my responsibilities to provide written notification of the Approval to any new Owner,as required by 310 CMR 15.287(5) ® ❑ If the design does not provide for the use of garbage grinders, the restriction is understood and accepted ® ❑ Whether or not covered by a warranty,I understand the requirement to repair,replace, modify or take any other action as required by the Department.or the LAA,if the Department or the LAA determines the System to be failing to protect public health and safety and the environment, as defined in 310 CMR 15,303 I, ft% rk agree to comply with all terms and conditions above, ro erty Owners ted n e a �� Property Owners Signature Date Note: This form must be submitted along with the septic system disposal works permit application for all I\A- systems including new construction, repairs\upgrades, with and without aggregate (stone) and with conventional design criteria or credited design criteria. Q:\Septic\IA homeowner certification 2.doc r > z y2b Town of Barnstable fe A,O� Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Paul J.Canniff,D.M.D. FAX 508-790-6304 John Norman Donald A.Guadagnoli,M.D. June 2, 2019 Mr. Matthew Eddy, P.E. Baxter Nye Engineering and Surveying 787 North Street Hyannis, MA 02601 RE: 127 Acre Hill Rod (A 297-079)/Nitrogen Credit Land at 135 Acre Hill Road (A= 2 - arnstable, Massachusetts Dear Mr. Eddy, You are granted permission to utilize nitrogen aggregation in order to add a fourth bedroom and upgrade the onsite sewage disposal system 127 Acre . Hill Road Barnstable, Massachusetts, on behalf of your client Dana and Ann Marie Marcotte, (hereinafter the "Owner") with the following conditions: 135 Acre Hill Road, Barnstable (1); The nitrogen aggregation credit land, identified as a 3,588 square feet area at the westerly section at Parcel,080 on Assessor's Map 297, known as 135 Acre Hill Road Barnstable, shall be restricted in use in strict accordance with 310 CMR 15.216 of the State Environmental Code, Title V. This identified nitrogen aggregation credit land area must remain pervious. Any impervious structure(s) shall not be allowed. This credit land shall not have any manmade sources of nitrogen, shall not receive any fertilization, and shall not be, used for keeping, raising, or breeding animals. (2), The Owner shall execute and record at the Barnstable County Registry of Deeds a deed restriction, approved by the Town Attorney, restricting the nitrogen aggregation credit land area so that there will be no impervious pavement nor any impervious structures constructed; so that there will be no manmade sources of nitrogen, including fertilization; and so that there will'be no keeping, raising, nor breeding of any animals. The nitrogen aggregation credit land is identified as a 3,588 square feet area of land at the westerly section at Parcel 080 on Assessor's Map 297, known as 135 Acre Hill Road Barnstable. A copy of the QAEddy 127 Acre Hill Road Nitrogen Aggregation 2019.docx i recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3): No more than 330 gallons of wastewater discharge per day are authorized to be discharged at 135 Acre Hill Road Barnstable, identified as Parcel 080 on Assessor's Map 297. (4)` The Owner shall execute and record at the Barnstable County Registry of Deeds, a deed restriction, approved by the Town Attorney, restricting the property at 135 Acre Hill Road Barnstable, identified as Parcel 080 on Assessor's Map 297, to a maximum daily wastewater discharge of 330 gallons per day. 127 Acre Hill Road, Barnstable (5) No more than 440 gallons of wastewater discharge per day are authorized to be discharged at 127 Acre Hill Road Barnstable, identified as Parcel 79 on Assessor's Map 297. (6): The Owner shall execute and record at the Barnstable County Registry of Deeds, a deed restriction, approved by the Town Attorney, restricting the property at 127 Acre Hill Road Barnstable, identified as parcel 79 on Assessor's map 297, to a maximum daily.wastewater discharge of 440 gallons per day. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (9) The onsite sewage disposal system shall be Upgraded in substantial conformance with engineered plans dated March 22, 2419. (10) The designing engineer shall supervise the construction of the onsite sewage disposal systems and shall certify in writing to the Board of Health that the system was upgraded in substantial compliance with engineered plans dated March 22, 2019. This permission is granted, without the necessity of granting variance relief, based upon the agreement that restrictions will be recorded limiting the maximum Wastewater discharge quantities on each lot. There will be. no increase in flow overall compared to the existing allowable daily wastewater discharges for these two lots combined. Also restricted nitrogen aggregation -credit land, identified as a 3,588 square feet area at the westerly.section at Parcel 080 on Assessor's Map 297, (at 135 Acre Hill Road Barnstable) .will remain pervious and will be restricted from any use which would contribute manmade sources of nitrogen to the groundwater in this area. S cerely ours I a. ff, D. al n Q:\Eddyl27Acr Hill Road Nitrogen Aggregation 2019.docx . DATE: I $95.00 FEE*: W * BARNB'PABLF, 9 MAS& t `1 REC.BY: C Town of Barnstable - r aa SCHED.DAT,I , -�� Board of Health3 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 N-; Paul J.Canniff,D.M.D. FAX: 508-790-6304 Donald A.Guadagnoli,M.D. Junichi Sawayanagi REQUEST FORM LOCATION Property Address: 127 ACRE HILL ROAD Assessor's Map and Parcel Number: 297 Size of Lot: 079 Wetlands Within 300 Ft. Yes Business Name: No X Subdivision Name: APPLICANT'S NAME: DANA&AN MARIE MALCOTTE Phone 617-828-1159 Did the owner of the property authorize you to represent him or her? Yes X No PROPERTY OWNER'S NAME CONTACT PERSON Name: DANA&ANN MARIE MALCOTTE Name: MATTHEW EDDY Address: 127 ACRE HILL ROAD Address: 78 NORTH STREET Phone: 617-828-1159 Phone: 508-771-7502 EMAIL: meddy(aD_baxter-nye.com VARIANCE FROM REGULATION(Inct.Reg.Code it) REASON FOR VARIANCE(May attach separate sheet if more space needed) N/A- Request for Nitrogen Aggregate NATURE OF WORK: House Addition LxJ House Renovation LJ Repair of Failed Septic System Checklist (to be completed by office staff-person receiving variance request application) Please submit first four on list as 5 collated packets. X A. Five(5)copies of the completed variance request form X B. Five(5)copies of MA DEP approval letters for Innovative/Alternative septic system(when proposing an I/A system or secondary treatment unit(S.T.U.). X C. Five(5)hard copies of engineered plan submitted(e.g.septic system plans)and one(1)electronic version submitted to email: healtb@town.bamstable.ma.us X D.Five(5)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans)and one(1)electronic version. X A completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or R.S. X Signed letter stating that the property or business owner authorized you to represent him/her for this request N/A Applicant must notify abutters by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only). N/A Full menu—Five(5)copies of full menu submitted(for grease trap variance requests only). Fee Submitted*$95.00 for the following variances: 1) New construction, 2) Septic repairs with increase in flows, and 3)New owner/new lessee applying for food, pool. or body art variances. Exemptions from Variance Fee: 1) Septic repair without an increase in flow and variances granted at the counter,2)Monitoring Plans,and 3)Temporary Food(not a"variance"). N/A Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Paul J.Canniff,Chairman NOT APPROVED ° Donald A.Guadagnoli,M.D. C:\Users\decollik\Apppata\Local\Microsoft\Windows\INetCache\Content.Outlook\QDLJENHC\VARIREQ Rev APR 4- 2018.docx . }car garage \ . » ! . v . \ . . . .. , . . . . . . r � I -4� \ \ ar \ \t\e House. � . . . . . . . ® \ . \rage % \- floor layout, . � 3c � Pantry, Closet Fuli bate n g I 30 �, � � ��`•s� DOWfi 1 Livi Be roomy ull Bedroom e~ Walk-in Closet . BedroomMarcotte House and :. , Full bathL :garage room I 2Lnd" :f loor Maste, ft Beiiroo f BAXTER NYE ENGINEERING & SURVEYING Registered Professional Engineers and Land Surveyors 78 North Street,31 Floor,Hyannis,MA 02601 Tel: (508)771-7502 Fax: (508)771-7622 April 2, 2019 Town of Barnstable Board of Health Dr.Canniff,Chairman Mr.Thomas McKean, Director Barnstable Health Department 200 Main St. Hyannis, MA 02601 RE: 127 Acre Hill Road,Barnstable,MA Board of Health Filing Dear Chairman, members of the Board and Mr. McKean: On behalf of our client,we are submitting the attached materials which address the request for a Nitrogen Aggregation Plan for Lots#127 and#135. Five copies of the engineering plans,floor plans,and the septic system checklist are attached here for your consideration. Please schedule this request to be heard at your next available hearing. We are proposing Nitrogen Aggregation with#127 being the Facility Land and#135 providing the Credit Land. . These lots lie within a DEP Zone II as well the Town's Wellhead Protection Overlay District. The most restrictive for the flow limitations comes from the Wellhead Protection Overlay District requirements being 330 GPD/43,560 sf. As such,septic design flows allowed on the two lots is as follows: • 127 Acre Hill Road—54,506 sf x 330 GPD/43,560 sf=412.9 GPD • 135 Acre Hill Road—53,425 sf x 330 GPD/43,560 sf=404.7 GPD • Total Flow Allowed between these two lots is 817.6 GPD. The septic design flows proposed are as follows: • 127 Acre Hill Road—4 bedrooms x 110 GPD=440 GPD(proposed flow which is an increase of one bedroom over existing) • 135 Acre Hill Road—3 bedrooms x 110 GPD=330 GPD(existing flow) • Total proposed flow on the two lots is 770 GPD, less than 817.6 GPD allowed. Applying nitrogen aggregation across the two lots: • 127 Acre Hill Road requires additional credit land of: 0 440 GPD(proposed)—412.9 GPD(on facility land)=27.1 GPD in credit land required. 0 27.1 GPD x 43,560 sf/330 GPD=3,578 sf. Land Surveys • Site Design • Subdivisions 9 Septic Design • Wetland Filings • Planning t April 2,2019 Town of Barnstable Board of Health RE: 127 Acre Hill Road,Barnstable,MA • Therefore,a credit land restriction of 3,578 sf is applied to the property at 135 Acre Hill Road to the benefit of 127 Acre Hill Road(the Facility Land). This credit land restriction area is shown on the enclosed engineering plans. • For the credit land property at 135 Acre Hill Road,the area remaining for septic flow is: 0 53.525 sf—3,578 sf=49,847 sf. 0 49,847 sf x 330 GPD/43,560 sf=377.6 GPD allowed. o Flow of 330 GPD existing on 135 Acre Hill Road is less than the allowed 377.6 GPD. Thank you for your time and consideration for the request. Very truly yours, Baxter Nye Engineering&Surveying Matthew Eddy, P.E. Managing Partner Cc: 0:\2019\2019-003\ADMIN\PERMITS-Applications and Approvals\BOH\2019-003 BOH Nitrogen Aggregation request.docx Page 2 BAXTER NYE ENGINEERING& SURVEYING 78 North Street,31 Floor,Hyannis,MA 02601 Tel: (508)771-7502 Fax: (508)771-7622 TRANSMITTAL BAXTER NYE ENGINEERING & SURVEYING zU*� Registered Professional Engineers and Land Surveyors 78 North Street,31 Floor,Hyannis,MA 02601 Tel:(508)771-7502 Fax:(508)771-7622 hat a Date: Aril 5,2019 To: Town of Barnstable - Total No.Pages: Board of Health BN Job No.: 2019-003 200 Main Street Subject: Dana Marcotte Hyannis,MA 02601 127 Acre Hill Road Barnstable,MA cc: File We are sending you E Attached ❑Under Separate Cover ❑Via Fax(No. of pages including Transmittal Sheet) ❑First Class Mail/Registered#: ; ❑ Overnight ❑Pick up E Hand Delivery The following documents: E Prints/Plans ❑ Specifications ❑Estimates/Proposal ❑ Change Order❑ Shop Drawings ❑Reports/Calculations ® Other DATE COPIES NO. PAGES DESCRIPTION 04-02-19 1 1 Owner Letter of Authorization 04-05-19 1 7 Town of Barnstable-Checklist 5 1 BOH—Hearing Request Form 04-02-19 5 2 Baxter Nye Letter to BOH—Dr.Canniff/T.McKean 5 2 Floor Plans— lst and 2"d Floor—8 '/2"x I I" 03-22-19 5 2 BN Plan Sheets C1.0&Cl.I —24"x 36" 02-19-15; 5 6 MassDEP—Approval for General Use—Applicant: Infiltrator Water Rev.06- Technologies,LLC,PO Box 768,Old Saybrook,CT 06475 12-15 These items are transmitted as checked below: ❑ For Your Use ❑As Requested ❑Returned For Corrections ❑ For Review And Comment ❑For Approval ❑For Distribution Remarks: Matthew Eddy, P.E. Managing Member MEP/spk 0:\2019\2019-003WDMIN\TRANSMITTALS\2019-003-BOH-Variance REquest-04-05-19.dou /File Note: This transmittal contains privileged information.Please contact the sender immediately if this transmittal is illegible, incomplete or not intended for your use.Thank you. t April 2,2019 Town of Barnstable RE: 121 Acre Hill Road,Barnstable,MA:.. .: To whom it mav:concerti: I:Dana Marcotte.owner.of 127 Acre Hill Road. Barnstable,MA,do hereby authorize Baxter Nye Engineering and Surveying to represent us_in matters concerning site design, review permitting, and hearings for the above noted address. Thank you for your.consideration.. Very truly your., t Dana Marcotte _... 127 Acre Hill Road _... .... .... Barnstable.MA OANI9\2OI9-003�kDMMPERMITS-Applications and Approvals\BOH4�019-003 LI authorization to represent.docx i Land Surveys • Site Design 9 Subdivisions Septic Design. • Wetland Filings a Planning Commonwealth of Massachusetts Executive Office of Energy &Environmental Affairs Department of Environmental Protection One Winter Street Boston, MA 02108.617-292-5500 Charles D.Baker Matthew A.Beaton Governor Secretary Karyn E.Polito Martin Suuberg Lieutenant Governor Commissioner APPROVAL FOR GENERAL USE Pursuant to Title 5, 310 CMR 15.000 Name and Address of Applicant: Infiltrator Water Technologies, LLC. P.O. Box 768 , 6 Business Park Road Old Saybrook, CT 06475 Trade name of technology and model: High Capacity chamber, High Capacity H-20 chamber', Quick4 High Capacity chamber, Quick4 High Capacity HD chamber, Quick4 Plus High Capacity chamber (fl- inch invert), Quick4 Plus High Capacity chamber (13-inch invert), Standard chamber, Quick4 Standard chamber, Quick4 Standard HD chamber, Quick4 Plus Standard chamber (5.3-inch invert), Quick4 Plus Standard chamber (8.0-inch invert), Quick4 Plus Standard LP (Low Profile) chamber (3.3-inch invert), Quick4 Plus Standard LP (Low Profile) chamber (8-inch invert), Infiltrator 3050 (Storm Tech SC-740) chamber, Equalizer 24 chamber, Quick4 Equalizer 24 chamber, Equalizer 36 chamber, Quick4 Equalizer 36 chamber, Quick4 Equalizer 24 LP (Low Profile) chamber(6 inch invert), and Quick4 Equalizer 24 LP (Low Profile) chamber (2 inch invert) (hereinafter the "System"). Schematic drawings of the System and a design and installation manual are a part of this Certification. This approval allows the installation of the above identified chambers without aggregate. Transmittal Number: X259183 Date of Revision: February 19,2015,modified June 12, 2015 Authority for Issuance Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000, the Department of Environmental Protection hereby issues this Certification to: Infiltrator Water Technologies, LLC., P.O. Box 768, 6 Business Park Road, Old Saybrook, CT 06475 (hereinafter "the Company"), for General Use of the System described herein. The sale, design, installation, and use of the System are conditioned on compliance by the Company, the Designer, the Installer and the System Owner with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Approval constitutes a violation of 310 CMR 15.000. O�J A/--rg- June 12,2015 David Ferris,Director Date Wastewater Management Program Bureau of Water Resources This information is available in alternate format,Call Michelle waters-Ekanem,Diversity Director,at 617-292-5751.TTY#MassRelay Service 1-800-439-2370 MfassDEP website:wvi�v.mass.govidep Printed on Recycled Paper Infiltrator Chamber,Infiltrator Water Technologies. Page 2 of 6 Approval for General Use—June 12,2015 I. Design Standards 1. The models listed in Table 1 are covered under this Certification. Table 1: Chamber Dimensions Dimensions Invert Model W x L x H Height Inches Inches Equalizer 24 15 x 100 x 11 6 Quick4 Equalizer 24 16 x 48 x 11 6 Quick4 Equalizer 24 LP (6-inch invert) 16 x 48 x 8 62 Quick4 Equalizer 24 LP (2-inch invert) 16 x 48 x 8 2 Equalizer 36 22 x 100 x 13.5 6 Quick4 Equalizer 36 22 x 48 x 12 6 Standard Chamber 34 x 75 x 12 6.5 Quick4 Standard 34 x 48 x 12 8 Quick4 Standard HD 34 x 48 x 12 8 Quick4 Plus Standard(5.3-inch invert) 34 x 48 x 12 5.3 Quick4 Plus Standard (8-inch invert) 34 x 48 x 12 8 Quick4 Plus Standard LP (3.3-inch invert) 34 x 48 x 8 3.3 Quick4 Plus Standard LP (8-inch invert) 34 x 48 x 8 83 Infiltrator 3050 or StormTech SC-740 51 x 85.4 x 30 22.254 High Capacity Chamber 34 x 75 x 16 11 High Capacity H-20'Chamber 34 x 75 x 16 11 Quick4 High Capacity 34 x 48 x 16 11.5 Quick4 High Capacity HD 34 x 48 x 16 11.5 Quick4 Plus High Capacity(8-inch invert) 34 x 48 x 14 8 Quick4 Plus High Capacity(13-inch invert) 34 x 48 x 14 135 ' This approval allows the use of the high capacity H-20 chambers but makes no determination as to the chambers meeting the H-20 loading requirements. z Includes Infiltrator MultiportTM invert adapter attached to the side of the end cap. 3 Includes Quick4 Plus Periscope adapter attached to the top of the Quick4 Plus All-in-One 8 Endcap. 4 Only systems installed with this invert height shall be allowed to use the effective leaching area associated with this model in Table 2. 5 Includes Quick4 Plus Periscope adapter attached to the top of the Quick4 Plus All-in-One 12 Endcap. 2. The System is an open-bottom leaching unit molded from polyolefin resin. It can be installed without aggregate or distribution pipe as an absorption trench or as a bed or field. If the System is installed with stone aggregate then the "Effective Leaching Area" in Tables 2 and 3 is not applicable, and must be designed in accordance with the provisions of 310 CMR 15.000. f Infiltrator Chamber,Infiltrator Water Technologies. Page 3 of 6 Approval for General Use-June 12,2015 3. The total effective leaching area for any Chamber Model shall be calculated by multiplying the Effective Leaching Area per square foot of chamber times the total length of chamber from end cap to end cap including end caps. 4. For new construction or upgrades, the applicant can size the System in a trench configuration, using the effective leaching areas presented in Table 2. Table 2: Effective Leaching Area in Trench Configuration for New Construction and Remedial Sites' Effective Effective Model Leaching? Leaching Area Area SF/LF SF/LF Equalizer 24 3.76 N/A Quick4 Equalizer 24 3.90 N/A Quick4 Equalizer 24 LP (6-inch invert) 3.90 N/A Quick4 Equalizer 24 LP (2-'inch invert) 2.78 N/A Equalizer 36 4.73 N/A Quick4 Equalizer 36 4.73 N/A Standard Chamber 6.53 N/A Quick4 Standard 6.96 N/A Quick4 Standard HD 6.96 N/A Quick4 Plus Standard(5.3-inch invert) 6.20 N/A Quick4 Plus Standard (8-inch invert) 6.96 N/A Quick4 Plus Standard LP (3.3-inch invert) 5.65 N/A Quick4 Plus Standard LP (8-inch invert) 6.96 N/A Infiltrator 3050 or StormTech SC-740 N/A 6.71 High Capacity Chamber 7.79 N/A High Capacity H-20' Chamber' 7.79 N/A Quick4 High Capacity 7.93 N/A Quick4 High Capacity HD 7.93 N/A Quick4 Plus High Capacity(8-inch invert) 6.96 N/A Quick4 Plus High Capacity(13-inch invert) 7.93 N/A 6 Effective April 21,2006,310 CMR 15.251(1)(b)maximum trench width is 3 feet. '. Effective leaching area is equal to 1.67 (bottom width+(2x invert height)) for Systems 3 feet or less in width. 8. Effective leaching area is equal to 1.0 (3 +(2x invert Height)) for Systems with a width greater than 3 feet. 9. The maximum trench width allowed to calculate effective leaching area is 3 feet. 5. Systems installed on remedial sites shall be allowed to utilize the effective leaching areas presented in Tables 2 or 3, or additional reductions in soil absorption system may be allowed. In no instance shall the reduction in the soil absorption system required in 310 CMR 15.242 exceed the maximum reduction allowed for alternative systems approved in accordance with 310 CMR 15.284. I , Infiltrator Chamber,Infiltrator Water Technologies. Page 4 of 6 Approval for General Use—June 12,2015 6. For new construction or an upgrade, the applicant can size the System in bed or field configuration, using the effective leaching areas presented in Table 3. Table 3: Effective Leaching Area for Bed or Field Configuration New Construction and Remedial Sites Effective Model Leaching10 Area SF/LF Equalizer 24 2.09 Quick4 Equalizer 24 2.23 Quick4 Equalizer 24 LP (6-inch invert) 2.23 Quick4 Equalizer 24 LP (2-inch invert) 2.23 Equalizer 36 3.06 Quick4 Equalizer 36 3.06 Standard Chamber 4.73 Quick4 Standard 4.73 Quick4 Standard HD 4.73 Quick4 Plus Standard (5.3-inch invert) 4.73 Quick4 Plus Standard(8-inch invert) 4.73 Quick4 Plus Standard LP (3.3-inch invert) 4.73 Quick4 Plus Standard LP (8-inch invert) 4.73 Infiltrator 3050 or StormTech SC-740 7.10 High Capacity Chamber 4.73 High Capacity H-20' Chamber 4.73 Quick4 High Capacity 4.73 Quick4 High Capacity HD 4.73 Quick4 Plus High Capacity(8-inch invert) 4.73 Quick4 Plus High Capacity(13-inch invert) 4.73 10. Effective Leaching area is equal to 1.67 times bottom width only. 7. When the System is used with a secondary treatment unit approved in accordance with 310 CMR 15.284 or 15.288, additional reductions in soil absorption system may be allowed. In these situations the reduction in the SAS cannot exceed the maximum allowed under the secondary treatment units approval. In no instance shall the reduction in the soil absorption system area required in 310 CMR 15.242 exceed the maximum reduction allowed for alternative systems approved in accordance with 310 CMR 15.284. H. Special Conditions 1. The System is an approved Alternative Chamber for use as an Alternative Soil Absorption System. In addition to the Special Conditions contained in this Approval, the System shall comply with the "Standard Conditions for Alternative SAS with General Use Certification and/or Approved for Remedial Use" (the Infiltrator Chamber,Infiltrator Water Technologies. Page 5 of 6 Approval for General Use—June 12,2015 'Standard Conditions'), except where stated otherwise in these Special Conditions. 2. New Construction This Certification is for the installation of a System to serve new construction or an existing facility with a proposed increase in flow, for which a site evaluation in compliance with 310 CMR 15.000 has been approved by the Approving Authority and the site meets the siting requirements for new construction, as provided in Paragraph 6 in section II Design and Installation Requirements of the Standard Conditions. 3. Remedial Site This General Use Certification also applies to the installation of a System for the upgrade or replacement of an existing failed or nonconforming system,provided that the facility meets the siting requirements for upgrades, as provided in Paragraph 7 in section II Design and Installation Requirements of the Standard Conditions 4. The System shall be exempt from the minimum inlet spacing requirements of 310 CMR15.253. 5. The System shall have a minimum of one inspection port through the top of one of the chambers. The inspection port shall be capped with a screw type cap and accessible to within three inches of finish grade. 6. When the System is installed in trench configuration, then the system shall comply with these requirements: a) Length(each trench) 100 feet maximum (310 CMR 15.25 l(1)(a)); b) Width (each trench) 2 feet minimum to 3 feet maximum (310 CMR 15.251(1)(b)). - Chambers greater than 3 feet wide, when specifically approved, are subject to other Special Conditions and limitations; c) The minimum separation distance between any two trenches shall be two times the effective width or depth of each trench, whichever is greater, or where the area between trenches is designated as reserve area, three times the effective width or depth of each trench, whichever is greater(310 CMR 15.251(1)(d)); d) The effective leaching area shall be calculated using the bottom area and a maximum of two feet(per side) of side wall area for each trench (310 CMR 15.251(1)(e)); e) Trenches shall be situated, where possible, with their long dimension perpendicular to the slope of the natural soil. Where possible they shall follow the contour lines (310 CMR 15.251(2)); f) Trenches constructed at different ele ations shall be designed to prevent effluent from the higher trench(es) flowing into the lower trench(es) (310 CMR 15.251(3)); g) The area between trenches may be designated as system reserve area only where the separation distance between the excavation sidewalls of the primary trenches is at least three times the effective width or depth of each trench, whichever is greater(310 CMR 15.251(4)) - Chambers greater than 3 feet Infiltrator Chamber,Infiltrator Water Technologies. Page 6 of 6 Approval for General Use—June 12,2015 wide, when specifically approved, shall be separated by three times the actual width and are subject to other Special Conditions and limitations; and h) Effluent distribution lines exceeding 50 feet in length shall be connected and venting provided in accordance with 310 CMR 15.241 (3 10 CMR 15.251(11)). 7. When installed in trench configuration, approved Alternative Chambers greater than 3 feet wide: a) shall be installed with a minimum separation distance between any two trenches of two times the actual width of the chamber, or where the area between trenches is designated as reserve area, three times the actual width of the chamber; and b) shall only be entitled to a maximum effective width of 3 feet for the purposes of calculating total effective leaching area. 8. When installed in a bed or field configuration, the System may be installed . without distribution piping, but must comply with the following requirements in 310 CMR 15.252: a) the use of leaching beds or fields is restricted to systems with a calculated design flow of less than 5,000 gpd per leaching bed or field (3 10 CMR 15.252(1)); b) the maximum length of chambers in series shall be 100 feet(3 10 CMR 15.252(2)(b)); c) separation distance between adjacent beds/fields shall be ten feet(310 CMR 15.252(2)(f)); and d) the effective leaching area shall include only the bottom area, not the sidewalls (3 10 CMR 15.252(2)(i)). 9. For Systems constructed in fill and installed, the System shall be installed as specified in 310 CMR 15.255 Construction in Fill, except the minimum 15 foot horizontal separation distance to be provided between the soil absorption area and the adjacent side slope shall be measured horizontally from the top of the chamber. 10. The System is exempt from 310 CMR 15.287, specifically items: (5) requiring written notification of alternative system prior to property transfer, (6)need for a certified operator, (9)need for an operation and maintenance contract with an operator and (10) deed notice requirement. ® f Commonwealth of Massachusetts Executive Office of Energy &Environmental Affairs Department of Environmental Protection One Winter Street Boston, MA 02109.517-292-5500 Charles D.Baker Matthew A.Beaton Governor ' Secretary Karyn E.Polito Martin Suuberg Lieutenant:Governor Commissioner Standard Conditions for Alternative Soil Absorption Systems with General Use Certification and/or Approved for Remedial Use Revised: March 5, 2018 These Standard Conditions apply to Alternative Soil Absorption System(Alt. SAS) technologies for disposal-only as well as for technologies providing both treatment and disposal. Currently these approved alternative technologies include the following, Alt. SAS Disposal-Only, • Contactor, Field Drain Contactor, and Recharger Chambers,by Cultec, Inc. •' Biodiffuser&ARC Chambers,by Infiltrator Systems, Inc. • Infiltrator Chambers,by Infiltrator Systems, Inc. • Eljen Mantis M5,by Eljen Corp. Alt. SAS Treatment with Disposal -Patented Sand Filters, • Eljen GSF Geotextile Sand Filter System,by Eljen Corp. •': Enviro-Septic Wastewater Treatment System,by Presby Environmental, Inc. •! Advanced Enviro-Septic System,by Presby Environmental, Inc. • Simple-Septic Wastewater Treatment System, by Presby Environmental, Inc. •: Infiltrator ATL system,by Infiltrator Systems, Inc. • GeoMat Leaching System,by Geomatrix Systems, LLC. An alternative SAS may be appropriate for new construction, increases in flow, or for the upgrade of ail existing failing,failed,or nonconforming system where reducing the disturbance of the site is desired. Alternative Disposal-Only technologies approved by the Department may be substituted for conventional SAS's allowed under Title 5. The alternative Chamber technologies,when compared to conventional Title 5 chambers,provide options from some of the Title 5 requirements such as offering plastic instead of concrete chambers and eliminating the need for stone aggregate around the chamber while allowing higher loading rates and reduced effective leaching area. Other options include Chambers installed with aggregate meeting the requirements of Title 5,however Alternative Chambers used with aggregate are not allowed higher loading rates which must remain the same as required by Title 5 for conventional chambers with aggregate. In addition to alternative Chambers, This information is available in alternate format.Call Michelle Waters-Ekanem,Diversity Director,at 617-292-5751.TTY#MassRelay Service 1-800.439-2370 MassDEP Website:www.mass.gov/dep Printed on Recycled Paper f Standard Conditions for Alternative Soil Absorption Systems Page 2 of 16 General Use and Remedial Use Approvals Last revised March 5,2018 disposal-only approved Alt. SAS technologies also include the Mantis M5 pipe and sand System design. Alternative Treatment with Disposal technologies approved by the Department refer to alternative leaching systems that have demonstrated higher removal of organics and suspended matter prior to the percolation of wastewater into underlying unsaturated pervious soils when compared to conventional leaching systems. Higher loading rates are allowed than would be permissible with a conventional design and additional relief from other design standards is permissible for upgrades. A System approved under these Standard Conditions consists of a septic tank conforming to the requirements of Title 5, either conventional or UA approved; followed by the Alt. SAS which may provide for a reduced effective leaching area. The use of an approved Alt. SAS, subject to these Standard Conditions, requires among other things: • A Disclosure Notice in the Deed to the property for installed Systems according to the following: • when installing an Alt. SAS Disposal-Only System(chambers or E1jen Mantis M5) a Disclosure Notice in the Deed to the property is not required; • when installing an Alt. SAS Treatment with Disposal-Patented Sand Filters System under the General Use Certificate a Disclosure Notice in the Deed to the property is not required; • when installing an Alt. SAS Treatment with Disposal-Patented Sand Filters System under the Approval for Remedial Use a Disclosure Notice in the Deed to the property is required in accordance with 310 CMR 287(10); • Certifications by the Designer and the Installer(310 CMR 15.021(3)); • Notification within 24 hours by the System Owner to the Local Approving Authority (LAA) of any System failure; • When System requires pumping prior to the SAS, 24-hour emergency wastewater storage capacity above the elevation of the high level alarm; • System Owner Acknowledgement of Responsibilities, in accordance with these standard conditions and the Technology Approval's Special Conditions. f This Approval does not address the use of the following alternative SAS's,which are covered under separate Title 5 I/A Program Approvals: a) Drip Dispersal Systems b) Bottomless Sand Filters Definitions and References The term"System"refers to the approved technology in combination with the other components of an on-site treatment and disposal system that may be required to serve a facility in accordance with 310 CMR 15.000. Standard Conditions for Alternative Soil Absorption Systems Page 3 of 16 General Use and Remedial Use Approvals Last revised March 5,2018 The term"Approval" or"Certification"refers to these Standard Conditions; the Special Conditions contained in the Technology Approval, the General Conditions of 310 CMR 15.287, and any Attachments. The phrase "new construction" always refers to construction of a new facility or any increase in actual or design flow to any existing system above the approved capacity. The phrase "upgrade of a system" or the term"upgrade" or the term"remedial site" refers to any repair, modification, or replacement of a whole system or a component of an existing failing, failed or nonconforming system where there is no increase in the actual or design flow to the system. The Conditions contained herein MUST be read in conjunction with any Special Conditions that are technology-specific I: Purpose l. These Standard Conditions shall apply to all Alt. SAS technologies identified in a General Use Certification or a Remedial Use Approval as either a Disposal-Only technology or a Treatment with Disposal technology as listed above. In addition to the Special Conditions contained in the technology-specific Approvals,the System shall comply with all these "Standard Conditions for Alternative Soil Absorption Systems", except where stated otherwise in the Special Conditions. 2. The sale, design, installation, and use of the System shall be subject to these requirements for all systems that submit a complete Disposal System Construction Permit(DSCP) application after the effective date of these Standard Conditions. Existing systems and systems for which a complete DSCP application was submitted prior to the effective date of these requirements shall not be subject to the design and installation requirements, however, the System Owner, the Service Contractor, and the Company shall be subject to all other requirements contained herein. 3. With the other applicable permits or approvals that may required by Title 5, the Approval authorizes the installation and use of the System in Massachusetts. All the provisions of Title 5, including the General Conditions for Alternative Systems (310 CMR 15.287), apply to the sale, design, installation, and use of the System, except those provisions that specifically have been varied by this Approval. 4. Provided that the Local Approving Authority (LAA) approves the System in conformance with the Department's Approval for the System, Department review and approval of the site-specific System design and installation is not required unless the Department determines on a case-by-case basis, pursuant to its authority at 310 CMR 15.003(2)(e), that the proposed System requires Department review and approval. II. Design and Installation Requirements 1. Where any contradiction may exist in design standards between the Company guidance and the requirements of Title 5 or this Approval, the design shall meet the Standard Conditions for Alternative Soil Absorption Systems Page 4 of 16 General Use and Remedial Use Approvals Last revised March 5,2018 standards of Title 5 and this Approval unless the Company guidance is more stringent. 2. In accordance with 310 CMR 15.240(6), absorption trenches should be used whenever possible. Accordingly, approved Disposal-Only and Treatment with Disposal Alt. SAS Systems shall be used in trench configuration whenever possible, unless a different configuration is allowed by the Approval(s) Special Conditions. 3. The Alternative System shall include a properly sized and constructed septic tank, designed in accordance with 310 CMR 15.223-15.229 or approved as an Alternative technology per 15.280-15.288, connected to the building sewer and followed in series by the approved Alternative Soil Absorption System. A 1,000 gallon septic tank may be allowed in accordance with the provisions of 310 CMR 15.404(3)(a). 4. The Alternative System shall be installed in a manner which does not intrude on, replace, or adversely affect the operation of any other component of the subsurface sewage disposal system. 5. The Designer shall be a Massachusetts Registered Professional Engineer or a Massachusetts Registered Sanitarian, including when designing systems for repair, provided that such Sanitarian shall not design a system with a discharge greater than 2,000 gallons per day. 6. For new construction or increases in flow, the System shall be subject to the following: a) The System may only be installed in soils with a percolation rate of up to 60 minutes per inch (MPI); b) A site evaluation, in compliance with 310 CMR 15.100 through 15.107, must be approved by the Approving Authority and the site must meet the siting requirements for new construction; c) The record drawings, approved by the LAA, must clearly indicate an area for a full- sized conventional primary SAS and a full-sized conventional reserve area that are for the sole purpose of on-site sewage disposal; d) Where the System has reduced the effective leaching area, as allowed by the Standard Conditions, the installation shall not disturb the site in any manner that would preclude the future installation of the conventional full-sized primary SAS without encroaching on the reserve area; and e) Except for the installed SAS, the System Owner shall riot construct any permanent buildings or structures or disturb the site in any manner that would encroach on the area approved for a full-sized conventional primary SAS or the area approved for a full-sized conventional reserve SAS. 7. For the upgrade of a system, the installation of the proposed System shall be subject to the following: a) The System may only be installed in soils with a percolation rate of up to 90 minutes per inch (MPI); f Standard Conditions for Alternative Soil Absorption Systems Page 5 of 16 General Use and Remedial Use Approvals Last revised March 5,2018 b) Prior to approving the installation of the System,the LAA must determine there is no increase in the actual or proposed design flow; c) Prior to Local Approval of the System, the Designer shall show on the plans the maximum available area for a conventional system (without reserve) designed in accordance with the standards of 310 CMR 15.100 through 15.255. d) The proposed System must include the approval by the LAA for the upgrade or replacement of all other existing components, as necessary,to comply with the standards of Maximum Feasible Compliance (MFC) of 310 CMR 15.404; e) The record drawings, approved by the LAA, must clearly indicate an area for the best feasible replacement system that could be installed in the event that the proposed Alternative Soil Absorption System fails or it is determined that it is not capable of providing equivalent environmental protection; f) When evaluating the best feasible replacement system that could be installed in the event that the proposed Alternative Soil Absorption System fails or it is determined that it is not capable of providing equivalent environmental protection, the Designer shall consider these options in the following order: i. a conventional system designed in accordance with the standards of 310 CMR 15.100 through 15.255 that can be built feasibly, with the exception of providing a reserve area(15.248); ii. a conventional system that can only be built feasibly under a Local Upgrade Approval (LUA); iii. where a conventional system cannot be built feasibly under a LUA, a Bottomless Sand Filter, in conjunction with a Secondary Treatment Unit; iv. where a System can only be built feasibly with variances, a System that has been demonstrated to vary the design requirements of 310 CMR 15.000 to the least degree necessary and have the least effect on public health, safety, welfare and the environment(the System may be an Alternative System with variances); or v. a tight tank. g) The installation of the proposed System shall not disturb the site in any manner that would preclude the future installation of the best feasible replacement system that could be installed to replace the proposed System. Components of the proposed System may be sited in an area for the future installation of the best feasible replacement system,provided that it does not render the area unusable for a potential future replacement system; and h) Except for the installed SAS, the System Owner shall not construct any permanent buildings or structures in the area for the best feasible replacement system that could be installed to replace the proposed System and the System Owner shall not disturb the site in any other manner that would preclude the future installation of the best feasible replacement system. 8. Alternative Design Standard to 310 CMR 15.242(1)(a) Effluent Loading Rates i Standard Conditions for Alternative Soil Absorption Systems Page 6 of 16 General Use and Remedial Use Approvals Last revised March 5,2018 For new construction or increases in flow, the required effective leaching area may be reduced up to 40 percent when using the loading rates for gravity systems of 310 CMR 15.242(1)(a), provided: a) no variance is granted for a reduction in depth to groundwater; b) no variance is granted for a reduced depth of pervious material; and c) a minimum of 400 square feet of effective leaching area shall be installed if any proposed reduction in the leaching area would result in less than 400 square feet of effective leaching area; (Facilities with small flows that would not require 400 sq.ft. of effective leaching area,when designed in accordance with Title 5, may be built with less than 400 sq. ft. provided that no reduction in effective leaching area i is taken). 4 9. Alternative Design Standard to 310 CMR 15.242(1)(a) and 15.245(4), Effluent Loading Rates For the upgrade of a system,the System shall be subject to the following: g) For soils with a percolation rate of 60 minutes or less per inch, the size of the SAS may be sized with 40 percent less effective leaching area than required when using the loading rates for gravity systems of 310 CMR 15.242(1)(a); h) For soils with a percolation rate of between 60 and 90 minutes per inch, the size of the SAS may be sized with 40 percent less effective leaching area than required when using the loading rate of 0.15 gpd/square foot as specified by 310 CMR 15.245(4); i) Unless allowed under the Special Conditions for the Technology, no additional reduction in the effective leaching area is allowed under an LUA or a variance that would result in a reduction greater than 40% of that which would be required under 310 CMR 15.242(1)(a) and 15.245(4),respectively. Any other deviations to design standards, except the effective leaching area, may be granted under LUA or a variance; and j) A minimum of 400 square feet of effective leaching area shall be provided if any proposed reduction in the leaching area would result in less than 400 square feet of effective leaching area. Where 400 square feet of effective leaching is not feasible, the greatest effective leaching area shall be installed provided that no more than a 40 percent reduction is taken. 10. Specific Conditions for Treatment with Disposal Alt. SAS Technologies a) The use of aggregate as specified in 310 CMR 15.247 is not allowed with Patented Sand Filters. b) Unless determined necessary by the Designer or Company,the System shall not be used with pressure distribution for any design flow. When installed for a facility with a design flow of 2,000 gpd or greater, approved Patented Sand Filter Systems are exempt from the requirement for pressure distribution under 310 CMR 15.231. Standard Conditions for Alternative Soil Absorption Systems Page 7 of 16 General Use and Remedial Use Approvals Last revised March 5,2018 , c) Patented Sand Filters shall not be installed in a Nitrogen Sensitive Area(NSA)to serve facilities with actual or design flows of 2,000 GPD or greater since those facilities require installation of a Recirculating Sand Filter(RSF) or equivalent technology. Patented Sand Filters may be installed as a disposal-only alternative technology when used in addition to an approved Secondary Treatment Unit (reduction of BOD/TSS). When a Patented Sand Filter is used in this type of septic system design, only the reductions permitted in the Secondary Treatment Unit's (STU) alternative technology approval, such as a reduction in SAS size, depth of naturally occurring pervious material or depth to groundwater, are allowed. d) For upgrades only, a reduction in the depth to groundwater and/or a reduction in the pervious material may be taken in accordance with Section II,paragraph 5 of the Standard Conditions for Secondary Treatment Units Approved for Remedial Use. In no case, shall the reductions allowed under the Standard Conditions for Secondary Treatment Units be combined with any reduction provided by this Approval, the alternative technology's Remedial Use Approval Special Conditions or with any reduction that may be allowed under the procedures of Local Upgrade Approval or variance procedures of 310 CMR 15.401-415. 11. Specific Conditions for Disposal-Only Alt. SAS Technologies a) In a NSA, as defined in 310 CMR 15.215, Alternative Systems serving facilities with actual or design flows of 2,000 GPD or greater must include treatment with a RSF or equivalent technology, as required by 310 CMR 15.202(1). Under this Approval,Disposal-Only Alt. SAS.technologies shall not be installed in an NSA to serve facilities with actual or design flows of 2,000 GPD or greater unless installed in conjunction with a RSF or equivalent technology. b) For new construction or up rg ades, a reduction in the effective leaching area may be taken in accordance with the conditions and limitations imposed by the approval of the Secondary Treatment Unit employed. (approved Alternative Chambers may be installed with or without aggregate for the disposal of effluent from an approved Secondary Treatment Unit, see paragraph 11(e)below.) For upgrades only, a reduction in the depth to groundwater and/or a reduction in the, pervious material may be taken in accordance with the conditions and limitations imposed by the Remedial Use Approval of the Secondary Treatment Unit employed. In no case, shall the reductions allowed under the Secondary Treatment Unit approval be made less stringent. In no case, shall the reductions allowed under the Secondary Treatment Unit approval be combined with any reduction provided by this Approval or combined with any reduction that may be allowed under the procedures of Local Upgrade Approval or the variance procedures of 310 CMR 15.401-415. c) For the upgrade of a system, installations without secondary treatment are entitled to reductions in depth to groundwater or depth of naturally occurring pervious material only to the limits that may be allowed by the LAA under the procedures of Local Upgrade Approval or the variance procedures of 310 CMR 15.401-415. d) The use of aggregate as specified in Title 5, 310 CMR 15.247 is not required. Standard Conditions for Alternative Soil Absorption Systems Page 8 of 16 General Use and Remedial Use Approvals Last revised March 5,2018 Chambers Specific Standard Conditions, e) The installation of approved Alternative Chambers with aggregate is allowed provided that it complies with the aggregate requirements of 310 CMR 15.247. However, when approved Alternative Chambers are installed with aggregate the reduction in effective leaching area provided by Standard Conditions II (8) and (9) is not allowed. Only when upgrading a system, approved Alternative Chambers installed with aggregate may be allowed a reduction in effective leaching area(up to 25%)under the limitations and procedures of a Local Upgrade Approval (310 CMR 15.401-405). f) Effluent pressure distribution shall be provided for actual or design flows of 2,000 gpd or greater and shall be designed in accordance with Department guidance. The effluent loading rates provided in 310 CMR 15.242(1)(b) for pressure distribution may be utilized, but no reduction in the effective leaching area as may be provided under this Approval may be taken when using the loading rates for pressure distribution, as stated in the regulation. 12. All System control units,valve boxes; distribution piping, conveyance lines and other System appurtenances shall be designed and installed to prevent freezing. 13. When pumping is required to a distribution box or to a SAS pressure distribution tank, the System pump chambers/tanks shall be equipped with sensors and high-level alarms to protect against high water due to pump failure,pump control failure, loss of power, system freeze ups,backups, etc. Emergency storage shall be provided when pumping to discharge is employed, including but not limited to,pressure distribution. Emergency storage capacity for wastewater above the high level alarm shall be provided equal to the daily design flow of the System including an additional allowance for the volume of all drainage which may flow back into the System when pumping has ceased. 14. System control panel(s) including alarms and controls shall be mounted in a location always accessible to the operator(Service Contractor). Any System malfunction and high water alarms shall be readily visible and audible for the facility occupants and the Service Contractor and shall be connected to circuits separate from the circuits serving the operating equipment and pumps. 15. The System shall not include any relief valve or outlet for the discharge of wastewater to prevent flooding of the system,back up or break out. 16. Any System structures with exterior piping connections located within 12 inches of or lower than the Estimated Seasonal High Groundwater elevation shall have the connections made watertight with neoprene seals or equivalent. 17. In compliance with 310 CMR 15.240(13), a minimum of one (1) inspection port shall be provided within the SAS consisting of a perforated four inch pipe placed vertically down to the elevation of the SAS interface with the underlying unsaturated pervious Standard Conditions for Alternative Soil Absorption Systems Page 9 of 16 General Use and Remedial Use Approvals Last revised March 5,2018 soils to enable monitoring for ponding. The pipe shall be capped with a screw type cap and accessible to within three inches of finish grade. (A locking cap at-grade is preferred) Facilities with multiple SAS's shall have an inspection port in each. 18. Upon submission of an application for a Disposal System Construction Permit (DSCP),the Designer shall provide to the Local Approving Authority: a) proof that the Designer has satisfactorily completed any required training by the Company for the design and installation of the Technology; b) certification of the design by the Company for any residential system with a design of 2,000 gpd or more or for any proposed non-residential system or if required by the Special Conditions for an approved Technology; c) certification by the Designer that the design conforms to the Approval, any Company Design Guidance, and 310 CMR 15.000; and d) a certification, signed by the Owner of record for the property to be served by the Technology, stating that the property Owner: i. has been provided a copy of the Title 5 I/A technology Approval, the Owner's Manual, and the Operation and Maintenance Manual, and the Owner agrees to comply with all terms and conditions; ii. for Systems installed under a Remedial Use Approval, the owner agrees to fulfill his responsibilities to provide written notification of the Approval to any new Owner, as required by 310 CMR 15.287(5); iii, if the design does not provide for the use of garbage grinders, the restriction is understood and accepted; and iv. whether or not covered by a warranty, the System Owner understands the requirement to repair, replace, modify or take any other action as required by the Department or the LAA, if the Department or the LAA determines the System to be failing to protect public health and safety and the environment, as defined in 310 CMR 15.303. f 19. The System Owner and the Designer shall not submit to the LAA a DSCP application for the use of a Technology under this Approval if the Approval has been revised, reissued, suspended, or revoked by the Department prior to the date of application. The Approval continues in effect until the Department revises, reissues, suspends, or revokes the Approval. 20. The System Owner shall not authorize or allow the installation of the System other than by a locally approved Installer and, if required by the Company, a person certified or trained by the Company to install the System. 21. Prior to the commencement of construction, the System Installer must certify in writing to the Designer,.the LAA, and the System Owner that(s)he is a locally approved System Installer and, if required by the Company, is certified by or has received appropriate training by the Company. I . Standard Conditions for Alternative Soil Absorption Systems Page 10 of 16 General Use and Remedial Use Approvals Last revised March 5,2018 22. The Installer shall maintain on-site, at all times during construction, a copy of the approved plans, the Owner's manual, the O&M manual, and a copy of the Approval. 23. Prior to the issuance of a Certificate of Compliance the following shall be provided: a) the System Installer and Designer must provide certification in writing to the LAA that the System has been constructed in compliance with the terms of the Approval; and b) For System upgrades installed under a Remedial Use Approval the System Owner shall provide a copy of record and/or register the Deed Notice required by 310 CMR 15.287(l0),to the LAA. The Deed Notice shall be completed as follows: i. a certified Registry copy of the Deed Notice bearing the book and page/or document number; and F ii. if the property is unregistered land, a copy of the System Owner's deed to the property as recorded at the Registry,bearing a marginal reference on the System Owner's deed to the property. i The Notice to be recorded shall be in the form of the Notice provided by the Department. 24, The Department has not determined that the performance of the System will provide a level of protection to public health and safety and the environment that is at least equivalent to that of a sanitary sewer system. a) If it is feasible to connect a new or existing facility to the sewer, the Designer shall not propose an Alternative System to serve the facility and the facility Owner shall not install or use an Alternative System; and b) When a sanitary sewer connection becomes feasible after an Alternative System has been installed, the System Owner shall connect the facility served by the System to the sewer within 60 days of such feasibility and the System shall be abandoned in compliance with current Code requirements,unless a later time is allowed in writing by the Department or the LAA. III. Operation and Maintenance 1. For Systems with design flows of 2,000 gpd or greater where the effective leaching area installed is less than 75% of that required by Title 5 (310 CMR 15.240(4)), measurement of the depth of ponding within the SAS above the interface with the underlying unsaturated pervious soils shall be performed once per year by means of the inspection port(s) and any other available access to the distribution system. Inspector must be an Approved System Inspector. 2. Whenever an Alt. SAS system's inspection port ponding depth is measured and indicates the ponding level within the SAS is above the invert of the distribution system, an additional measurement shall be made 30 days later. If the subsequent reading indicates the elevation of ponding within the SAS is above the invert of the distribution system, the System Owner shall be responsible for the submittal to the I Standard Conditions for Alternative Soil Absorption Systems Page 11 of 16 General Use and Remedial Use Approvals Last revised March 5,2018 LAA within 60 days of the follow-up inspection, a written evaluation of the System with recommendations for changes in the design, operation, and/or maintenance. The written evaluation with recommendations shall be prepared by a Designer and the submission shall include all monitoring data and inspection reports for the previous 3 years. Recommendations shall be implemented, as approved by the LAA, in accordance with an approved schedule, provided that all corrective measures are implemented consistent with the limitations described in Paragraph IVA. 3. For Systems less than 2,000 gpd or facilities where the effective leaching area installed meets the requirements of Title 5, the System shall not be required to be inspected at any greater frequency than would be required if the facility was served by a conventional system,unless the LAA, Company, or Designer requires more frequent inspection. 4. If at any time a septic system with an Alt. SAS is inspected by a System Inspector, the following shall be recorded, at a minimum: a) date,time, air temperature, and weather conditions; b) observations for objectionable odors; c) observations for signs of breakout of sanitary sewage in the vicinity of the Alternative System; d) depth of ponding within the SAS; e) identification of any apparent violations of the Approval; f) since the last inspection, whether the system had been pumped with date(s) and . volume(s)pumped; g) sludge depth and scum layer thickness, if measured; h) when responding to alarm events, the cause of the alarm and any steps taken to address the alarm and to prevent or reduce the likelihood of future similar alarm events; i) field testing results when performed as part of the site visit; j) samples taken for laboratory analysis and results of previous samples, if any k) any cleaning and lubrication performed; 1) any adjustments of control settings, as recommended or deemed necessary; m) any testing of pumps, switches, alarms, as recommended or deemed necessary; n) identification of any equipment failure or components not functioning as designed; o) parts replacements and reason for replacement,whether routine or for repair; and p) further corrective actions recommended, if any. 5. The System Owner shall maintain copies of any service records or inspection reports and all reports and notifications to the LAA for a minimum of three years. Standard Conditions for Alternative Soil Absorption Systems Page 12 of 16 General Use and Remedial Use Approvals Last revised March 5,2018 6. Unless directed by the LAA to take other action, the System Owner shall immediately cease discharges or have wastewater hauled off-site, if at any time during the operation of the Alternative System the system is in failure as described in 310 CMR 15.303(1)(a), items 1 or 2 (sewage backing up into facilities or breaking out to the surface). IV. Additional System Owner Requirements 1. For System upgrades installed under Remedial Use Approval,prior to signing any agreement to transfer any or all interest in the property served by the System, or any portion of the property, including any possessory interest, the System Owner shall provide written notice, as required by 310 CMR 15.287(5), of all conditions contained in the Approval to the transferee(s). Any and all instruments of transfer and any leases or rental agreements shall include as an exhibit attached thereto and made a part of thereof a copy of the Approval for the System. The System Owner shall send a copy of such written notification(s)to the.LAA within 10 days of giving such notice to the transferee(s). 2. The System Owner shall not install, modify, upgrade, or replace the System except in accordance with a valid DSCP issued by the LAA which covers the proposed work. 3. Upon determining that the System is failing to protect public health and safety and the environment, as defined in 310 CMR 15.303, the System Owner shall be responsible for the notification of the LAA within 24 hours of such determination. 4. In the case of a System that has been determined to be failing to protect public health and safety and the environment, an equipment failure, alarm event, components not functioning as designed, components not functioning in accordance with manufacturers' specifications, or violations of the Approval, the System Owner shall provide written notification within five days, describing corrective measures to the local board of health and the Company and may only propose or take corrective measures provided that: a) all emergency repairs, including pumping, shall be in accordance with the limitations and permitting requirements of 310 CMR 15.353; b) the design of any repairs or upgrades are consistent with the System Approval; c) the design of any repairs or upgrades requiring a DSCP shall be performed by a Designer who is a Massachusetts Registered Professional Engineer or a Massachusetts Registered Sanitarian, provided that such Sanitarian shall not design a system with a discharge greater than 2,000 gallons per day. d) the installation of any repairs or upgrades requiring a DSCP shall be done by an Installer with a currently valid Disposal System Installers Permit and, if training is required, the Installer shall be certified by the Company as qualified to install the System. 5. To determine whether cause exists for modifying, revoking, or suspending the Approval or to determine whether the conditions of the Approval have been met, the f Standard Conditions for Alternative Soil Absorption Systems Page 13 of 16 General Use and Remedial Use Approvals Last revised March 5,2018 System Owner shall furnish the Department any information that the Department requests regarding the System,within 21 days of the date of receipt of that request. 6. The Approval shall be binding on the System Owner and on its agents, contractors, successors, and assigns, including but not limited to the Designer, Installer, and mService Contractor. Violation of the tens and conditions of the Approval by any of the foregoing persons or entities, respectively, shall constitute violation of the Approval by the System Owner unless the Department determines otherwise. V. Company Requirements 1. The Approval shall only apply to the model unit(s)with the same model designation(s) specified in the System Approval and meet the same specifications, operating requirements, and plans, as provided by the Company or its authorized agent at the time of the application. Any proposed modifications of the unit(s), installation requirements, or operating requirements shall be subject to the review of the Department for inclusion under a modification of the Approval. The Designer shall be responsible for the selection of the appropriate model unit(s) as applicable. The Company shall be responsible for verification of the appropriate model unit(s) as part of any review of proposed installations that may be required by Paragraph V.3 of these Standard Conditions or the Special Conditions in the Approval. 2. Prior to submission of an application for a DSCP, the Company or its authorized agent shall provide to the Designer and the System Owner: a) All design and installation specifications and requirements; b) An owner's manual and, if alarms are provided, including response procedures; c) A copy of the Company's warranty; and d) If training or certification is required by the Company, lists of qualified Designers, Installers, and Service Contractors. 3. Prior to the submission of an application for a DSCP, for all nonresidential Systems and any System with a design flow of 2,000 gpd or greater, the Company shall submit to the Designer and the System Owner, a certification by the Company or its authorized agent that the design conforms to the Approval and all Company requirements and that the proposed use of the System is consistent with the Technology's capabilities. The authorized agent of the Company responsible for the design review shall have received technical training in the Company's products. 4. If the Company requires trained or certified Designers, Installers, or Service Contractors, the Company or its authorized agent shall make available programs of training and continuing education, as necessary. The Company or its authorized agent shall maintain, annually update, and make available by February 15`h of each year, lists of trained or certified Designers, Installers, and Service Contractors. If training or certification is required, the Company shall not sell the Technology to an Installer unless the Installer is trained or certified to install the System by the Company. Similarly, if training is required, the Company shall ensure distributors �I Standard Conditions for Alternative Soil Absorption Systems Page 14 of 16 General Use and Remedial Use Approvals Last revised March 5,2018 and resellers of the Technology shall not sell the Technology to an Installer unless the Installer is trained or certified to install the System by the Company. 5. As part of any training programs for Designers, Installers, or Service Contractors, the Company or its authorized agent shall provide each trainee with a copy of this Approval with the design, installation, O&M, and owner's manuals that were submitted as part of the Approval. 6. The Company shall provide, in printed or electronic format, the System design, installation, O&M, and Owner's manuals, and any updates associated with this System Approval, to the System Owners,Designers, Installers, Service Contractors, vendors, resellers, and distributors of the System. Prior to publication or distribution in Massachusetts, the Company shall submit to the Department for review a copy of any proposed changes to the manual(s)with reasons for each change, at least 30 days prior to issuance. The Company shall request Department approval for any substantive changes which may require a modification of the Approval. 7. Prior to its sale of any System that may be used in Massachusetts, the Company shall provide the purchaser with a copy of this Approval with the System design, installation, O&M, and Owner's manuals. In any contract for distribution or sale of the System, the Company shall require the distributor or seller to provide the purchaser of a System for use in Massachusetts with copies of these documents,prior to any sale of the System. 8.. To determine whether cause exists for modifying, revoking, or suspending the Approval or to determine whether the conditions of the Approval have been met, the Company shall furnish the Department any information that the Department requests regarding the Technology within 21 days of the date of receipt of that request. 9. Within 60 days of issuance by the Department of these Conditions and any other revisions to the Approval, the Company shall provide written notification of changes to the Approval to all distributors and resellers of the System. 10. The Company shall provide written notification to the Department's Director of the Wastewater Management Program at least 30 days in advance of the proposed transfer of ownership of the technology for which this Approval is issued. Said notification shall include the name and address of the proposed owner containing a specific date of transfer of ownership, responsibility, coverage and liability between them. All provisions of this Approval applicable to the Company shall be applicable to successors and assigns of the Company,unless the Department determines otherwise. 11. The Company shall maintain copies of: a) the Approval; b) the installation manual specifically detailing procedures for installation of its System; I Standard Conditions for Alternative Soil Absorption Systems Page 15 of 16 General Use and Remedial Use Approvals Last revised March 5,2018 c) an owner's manual and, if alarms are required, including alarm response procedures; d) a copy of the Company's warranty; and e) if training or certification is required, lists of qualified Designers and Installers. 12. The Company shall maintain the following additional information for `Treatment with Disposal' Systems installed in Massachusetts, and make it available to the Department within 30 days of a request by the Department: a) the address of each facility where the System was installed, the Owner's name and mailing address (if different), the type of use (e.g. residential, commercial, institutional, etc.), the design flow, the model installed; and b) the installation date, start-up date, current operational status. 13. The Approval shall be binding on the Company and its officers, employees, agents, contractors, successors, and assigns, including but not limited to dealers, distributors, and resellers. Violation of the terms and conditions of the Approval by any of the foregoing persons or entities, respectively, shall constitute violation of the Approval by the Company unless the Department determines otherwise. VI. General Requirements 1. Any System for which a complete Disposal System Construction Permit("DSCP") Application is submitted while the Approval is in effect, may be permitted, installed, and used in accordance with the Approval, unless and until: a) the Department issues modifications or amendments to the Approval which specifically affect the installation or use of a System installed under the Approval for the System; or b) the Department, the local approval authority, or a court requires the System to be modified or removed or requires discharges to the System to cease. 2. All notices and documents required to be submitted to the Department by the Approval shall be submitted to: Director Wastewater Management Program Department of Environmental Protection One Winter Street - 5th floor Boston, Massachusetts 02108 3. The'Department may suspend, modify or revoke the Approval for cause, including,but not limited to, non-compliance with the terms of the Approval, for obtaining the -Approval by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for discontinuance of the Approval, or as necessary for the protection of public health, safety, welfare or the environment, and as authorized by applicable law. The Department reserves its i Standard Conditions for Alternative Soil Absorption Systems Page 16 of 16 General Use and Remedial Use Approvals Last revised March 5,2018 rights to take any enforcement action authorized by law with respect to the Approval and/or the System against the Company, a System Owner, a Designer, an Installer, and/or Service Contractor. DEED RESTRICTION WHEREAS, Dana R. Marcotte and Ann-Marie Marcotte, husband and wife, tenants by the entirety, of 127 Acre Hill Road, Barnstable, MA 02632 (the "Owners") are the record owners of a certain parcel of land located in Barnstable, Barnstable County, Massachusetts, with the buildings and improvements thereon, pursuant to a deed from Peter Kelly, Trustee of Kelly-White Real Estate Trust u/d/t dated December 18, 1984 to Grantee of the Benefited Property, dated December 12, 1986, and recorded with the Barnstable County Registry of Deeds in Book 5448, Page 211, said parcel of land being o more particularly bounded and described therein, being shown as LOT 32 on a plan a entitled, "Subdivision Plan of Land in Barnstable Massachusetts, for James K. Smith, Scale 1" = 10.0"', dated May 1976, prepared by Cape Cod Survey Consultants, A Division of Boston Survey Consultants, Ind. Route 132, Hyannis, Mass.", recorded with the Barnstable County Registry of Deeds in Plan Book 311, Page 11 (the "Property"). L 00 WHEREAS, the Owners of said lot have agreed with the Town of Barnstable Board of cHealth to a restriction as to the number of bedrooms which can be included in any home built on said lot as a pre-condition to obtaining a building permit in compliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; a WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting a building permit in compliance with 310 CMR 15,200, State Environmental Code, Title V, :Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and aauthorizing the issuance of a building permit for the construction of a house addition on;this Property, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable o County Registry of Deeds by recording this document. a NOW, THEREFORE, the Owners do hereby place the following restriction on their Property in accordance with their agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors and assigns in title: The Property located at 127 Acre Hill Road may have constructed upon the lot, a house containing no more than four.(4) bedrooms. The Owners agree that this shall be a permanentdeed restriction affecting the Property. For Owners' title, see deed recorded with the Barnstable County Registry of Deeds in Book 5448, Page 211. 1 Executed as a sealed instrument on this day of , 2019. Dana R. Marcotte Ann-Marie Marcotte COMMONWEALTH OF MASSACHUSETTS Barnstable, SS. On this day of 2019, before me, the undersigned notary public, personally appeared Dana R. Marcotte and Ann-Marie Marcotte, and proved to me through satisfactory evidence of identification, which was a valid drivers' License or my own personal knowledge, to be the persons whose names are signed on the preceding or attached document, and acknowledged to me that they signed it voluntarily for its stated purpose. Notary Public: ..My Commission Expires: 2 Upon.recording, mail to: Bureau of Resource Protection,Wastewater Management Department of Environmental Protection Southeast Regional Office 20 Riverside Drive Lakeville,MA 02347 GRANT OF TITLE 5 NITROGEN LOADING RESTRICTION AND EASEMENT ON NITROGEN CREDIT LAND (where Grantee seeks nitrogen credit land from third party Grantor) 310 CMR 15.216 c This GRANT OF TITLE 5 Nitrogen Loading Restriction AND EASEMENT on Nitrogen Credit Land made as of this day of 2019,by Mary Anne Brewin Perry,Peter Brewin, and John A. Brewin, Jr.,as joint tenants,of 135 Acre Hill Road,Barnstable,Barnstable County,Massachusetts 02630("Grantor(s)"). WITNESSETH ca WHEREAS, Grantor(s) being the owners in fee simple of that certain parcel of land located in Barnstable, Barnstable County, Massachusetts, with the buildings and improvements thereon, pursuant to a deed from o Mary:P. Brewin to Grantor, dated November 5, 1998, and recorded with the Barnstable County Registry of Deeds in Book Q 11817, Page 339, said parcel of land being more particularly bounded and described therein, attached hereto and made a part hereof, and being shown as LOT 30 on a plan entitled, "Subdivision Plan of Land in Barnstable Massachusetts, for James K. Smith, Scale 1" = 100"', dated May 1976, prepared by Cape Cod Survey'Consultants, A Division of Boston Survey Consultants, Ind. Route 132, Hyannis, Mass.", recorded with the Barnstable County Registry of Deeds in Plan �a Book 311,Page 11 (the"Property");and a WHEREAS, Dana R. Marcotte and Ann-Marie Marcotte, husband and wife, as tenants by the a entirety, of 127 Acre Hill Road, Barnstable, Barnstable County, Massachusetts, ("Grantee(s) of the Benefited Property") being:the owners in fee simple of that certain parcel of land located in Barnstable,Barnstable County,Massachusetts, with the buildings and improvements thereon, pursuant to a deed from Peter Kelly, Trustee of Kelly-White Real Estate Trust ;? u/d/t dated December 18, 1984 to Grantee of the Benefited Property, dated December 12, 1986, and recorded with the d Barnstable County Registry of Deeds in Book 5448, Page 211, said parcel of land being more particularly bounded and described therein and made a part hereof, and being shown as LOT 32 on a plan entitled, "Subdivision Plan of Land in Barnstable Massachusetts, for James K. Smith, Scale 1" = 100"', dated May 1976, prepared by Cape Cod Survey Consultants, A Division of Boston Survey Consultants, Ind. Route 132, Hyannis, Mass.", recorded with the Barnstable County Registry of Deeds in Plan Book 311,Page 11 ("Benefited Property");and 0 WHEREAS, the Benefited Property has the benefit of a Title-5 Nitrogen Loading Restriction and a Easement on Nitrogen Credit Land, being more particularly bounded and described as shown on a plan entitled"Site Plan & Septic System Upgrade Plan," dated March 22, 2019, prepared by Baxter Nye, Engineering & Surveying for Dana & Anne: Marie Marcotte, attached hereto as Exhibit "A", and to be recorded herewith (the "Nitrogen Credit Land Restriction/Easement");and WHEREAS, the Nitrogen Loading Facility Aggregation Plan has been approved by the Town of Barnstable Board of Health, 200 Main Street, Hyannis, Massachusetts 02601, and, if required, the Massachusetts Department of Environmental Protection("MassDEP"or"Department")] in accordance with the Department's"Guidelines for Title 5 Aggregation of Plans and Nitrogen Loading;"said approval being based upon the agreement by Grantor to incur certain obligations regarding the number of bedrooms, as defined in 310 CMR 15.002, and/or the wastewater discharge design flow in any improvements located on the Property and maintenance of the Facility Land Restriction and Easement to ensure protection of the nitrogen loading limitation of 330 gpd/acre discharge standard pursuant to the Town of Barnstable General Ordinances, Chapter 232 Wastewater Discharge in nitrogen-sensitive areas or in areas serving new construction where the residential use of both on-site systems and drinking water supply wells are proposed;and to grant to the Grantee of the Benefited Property and to the municipality acting by and through the Town of Barnstable Board of Health, Hyannis, Massachusetts, a perpetual easement to ensure maintenance of the Nitrogen Credit Land Restriction/Easement area as nitrogen credit land including, but not limited to, removal of any prohibited uses and in 1 connection herewith a perpetual easement to pass and repass over the Property for purposes of inspection to ensure compliance with and fulfillment of the terms of this Nitrogen Credit Land Restriction/Easement as hereafter set forth; NOW, THEREFORE, pursuant to the provisions of 310 CMR 15.216, Grantor does hereby GRANT to the Grantee of the Benefited Property and to the Town of Barnstable, a Massachusetts municipal corporation situated in Barnstable County,having an address at 367 Main Street, Hyannis,Massachusetts 02601, acting by and through its Board of Health ("Local Approving Authority") for nominal, non-monetary consideration, with QUITCLAIM COVENANTS, a TITLE 5 NITROGEN LOADING RESTRICTION AND EASEMENT on NITROGEN CREDIT LAND ("Nitrogen Credit Land Restriction/Easement") consisting of approximately 3,588 square feet in, on, upon, through, over and under the Property,the terms and conditions of which are as follows: ' PURPOSE: The purpose of this restriction and easement is to protect and preserve the quality and quantity of ground water resources in the area of the public and private wells in the Town of Barnstable,Massachusetts in order to ensure a safe and healthy public and private water supply for the present and future inhabitants of the area It shall also be for the specific purpose of limiting the introduction of nitrogen and other pollutants into, and maintaining the natural uptake of pollutants and the recharge of the ground water which takes place on the Property for the said water supply and for the specific benefit of the above referenced Benefited Property. OBLIGATIONS AND EASEMENT: 1. Prohibitions. Grantor agrees to restrict the number of bedrooms, as defined pursuant to 310 CMR 15.002, in any improvements on the credit land(a/k/a Property)to three(3)bedrooms or other equivalent design flow not to exceed 377.6 gpd. Grantor further agrees to maintain the Nitrogen Credit Land Restriction/Easement as nitrogen credit land by prohibiting activities which have a detrimental effect on nitrogen loading on the Nitrogen Credit Land Restriction/Easement, including but not limited to wastewater discharges,the use of nitrogen fertilizer,the introduction of artificial impervious surfaces, the raising, breeding or keeping of animals, livestock or poultry for commercial purposes, and the creation or introduction of land under water. A change in the condition of the .Nitrogen Credit Land Restriction/Easement which results in the Property or a portion thereof being within a Velocity Zone or a Regulatory Floodway will render the Nitrogen Credit Land Restriction/Easement or said portion thereof ineligible for nitrogen credit pursuant to 310 CMR 15.216. 2. Easements. In creating this Nitrogen Credit Land Restriction and Easement, Grantor hereby grants to the Grantee of the Benefited Property and to the Local Approving Authority, its agents,contractors,subcontractors and employees a perpetual EASEMENT to enter upon and the right to bring equipment onto the Property to do any and all acts deemed necessary to maintain the Property as nitrogen credit land,together with a right to pass and repass by foot and by vehicle over Property for said purposes,and for purposes of inspecting the Property to ensure compliance with and fulfilhnent of the terms of this Nitrogen Credit Land Restriction/Easement. 3. Severability. If any court or other tribunal determines that any provision of this instrument is invalid or unenforceable, such provision shall be deemed to have been modified automatically to conform to the requirements for validity and enforceability as determined by such court or tribunal. In the event the provision invalidated is of such a nature that it cannot be so modified, the provision shall be deemed deleted from this instrument as though it had never been included herein. In either case,the remaining provisions of this instrument shall remain in full force and effect. 4. Enforcement. Grantor expressly acknowledges that a violation of the terms of this instrument could result in the following: (i) upon determination by a court of competent jurisdiction, in the issuance of criminal and civil penalties,and/or equitable remedies, including, but not limited to, injunctive relief, such injunctive relief could include the issuance of an order to modify or remove any improvements constructed upon the Nitrogen Credit Land Restriction/Easement in violation of the terms of this Nitrogen Credit Land Restriction/Easement;and (ii) in the assessment of penalties and enforcement action by the Local Approving Authority and DEP to enforce the terms of this Nitrogen Credit Land Restriction/Easement, pursuant to Title 5; M.G.L. c.111, §§ 17, 31, 122, 124, 125, 125A, 127A.through 1270,and 129;and M.G.L.c.83, §11. 2 5. Provisions to Run with the Land. This Nitrogen Credit Land Restriction/Easement sets forth the rights, liabilities, agreements and obligations upon and subject to which the Nitrogen Credit Land Restriction/Easement or any portion thereof,shall be left unimproved or according to which said Nitrogen Credit Land Restriction/Easement may be improved, held, used, occupied, leased, sold, hypothecated, encumbered, or conveyed. The rights, liabilities, agreements and obligation`s herein set forth shall run with the Property and the Benefited Property, as applicable thereto, and any portion thereof and shall inure to the benefit of and be binding upon Grantor, Grantee of the Benefited Property,and all parties claiming by,through or under the Local Approving Authority or Grantor. The rights hereby granted to the Grantee of the Benefited Property, the Local Approving Authority,_and their respective successors and assigns, constitute their perpetual right to enforce this Nitrogen Credit Land Restriction/Easement. Grantor hereby covenants for himself/herself/itself and his/her/its executors, administrators, heirs, successors and assigns, to stand seized and hold title to the Property, as applicable thereto, and any portion thereof, subject to this Nitrogen Credit Land Restriction/Easement,provided, however, that a'violation of this Nitrogen Credit Land Restriction/Easement shall not result in a forfeiture or reversion of Grantor's title to the Property,as applicable thereto. 6. Concurrence Presumed. It being agreed that Grantor and all parties claiming by, through or under Grantor shall be deemed to be in accord with the provisions herein set forth and to agree for and among themselves and any party claiming by,through or under them,and their respective agents,contractors,sub-contractors and employees,that the Nitrogen Credit Land Restriction/Easement herein established shall be adhered to and not violated and that their respective interests in the Property and the Nitrogen Credit Land Restriction and Easement, as applicable thereto, shall be subject to the provisions herein set forth. 7. Incorporation into Deeds, Mortgages, leases and Instruments of Transfer. Grantor hereby agrees to incorporate this , Nitrogen Credit Land Restriction/Easement, in full or by reference, into all deeds, easements, mortgages, leases, licenses, occupancy agreements or any other instrument of transfer by which an interest in and/or a right to use the Property,or any portion thereof,is conveyed. 8. Recordation. Grantor shall record and/or register this Nitrogen Credit Land Restriction/Easement with the appropriate Registry of Deeds and/or Land Registration Office within 30 days of the latter of: receipt from the Local'Approving Authority of the approved Restriction/Easement or the expiration of the 60-day DEP constructive approval period pursuant to 310 CMR 15.216. Grantor shall file with the Local Approving Authority and the DEP a certified Registry copy of this Nitrogen Credit Land Restriction/Easement as recorded and/or registered within 30 days of its date of recordation and/or registration. 9. Amendment and Release. This Nitrogen Credit Land Restriction/Easement may be amended or released only upon approval by the Local Approving Authority. Release of this Nitrogen Credit Land Restriction/Easement shall be granted by the Local Approving Authority in the event the Benefited Property is connected to a municipal sewer system and the septic system serving the Benefited Property is abandoned in accordance with 310 CMR 15.354 or the Benefited Property is no longer located within a nitrogen sensitive area pursuant.to 310 CMR 15.215. Any such amendment or release shall' be recorded and/or registered with the appropriate Registry of Deeds and/or Land Registration Office and a certified Registry copy of said amendment or release shall be filed with the Local Approving Authority and the DEP within 30 days of its:date of recordation and/or registration. 10. Term. This Nitrogen Credit Land Restriction/Easement shall run in perpetuity and is intended to conform to M.G.L. c.184 §26,as amended. 11. Rights Reserved. This Nitrogen Credit Land Restriction/Easement is granted to the Grantee of the Benefited Property and the Local Approving Authority in connection with the approval of a Nitrogen Loading Facility Aggregation Plan pursuant to 310 CMR 15.216 and the Department's "Guidelines for Title 5 Aggregation of Flows and Nitrogen Loading." It is expressly agreed that acceptance of the Nitrogen Credit Land Restriction/Easement by the Local Approving Authority [or constructive approval of the Nitrogen Loading Facility Aggregation Plan by the Department of Environmental Protection] shall not operate to bar, diminish, or in any way affect any legal or equitable right of the Local Approving Authority or DEP to issue any future order with respect to the Property and the Benefited Property,as applicable thereto,or in any way affect any other claim, action, suit, cause of action, or demand which the Local Approving Authority or DEP may have with respect thereto. Nor shall acceptance of Nitrogen Credit Land Restriction/Easement serve to impose any obligations, liabilities,or any other duties upon the Local Approving Authority. 12. Effective Date. This Nitrogen Credit Land Restriction/Easement shall become effective upon its recordation and/or registration with the appropriate Registry of Deeds and/or Land Registration Office. 3 f WITNESS the execution hereof under seal this day of 12019. Mary Anne Brewin Perry STATE OF COUNTY OF On this day of 2019, before me, the undersigned notary public, personally appeared Mary Anne Brewin Perry, and proved to me through satisfactory evidence of identification, being my own personal knowledge of the identity of the signatory or a valid driver's license, to be the person whose name is signed on the preceding or attached document, who swore or affirmed to me that the contents of the document are truthful and accurate to the best of her knowledge and belief, and acknowledged, swore or affirmed to me that she signed it voluntarily for its stated purpose. Notary Public My Commission Expires: 4 WITNESS the execution hereof under seal this day of 12019. Peter Brewin STATE OF COUNTY OF On this day of , 2019, before me, the undersigned notary public, personally appeared Peter Brewin, and proved to me through satisfactory evidence of identification, being my own personal knowledge of the identity of the signatory or a valid driver's license, to be the person whose name is signed on the preceding or attached document, who swore or affirmed to me that the contents of the document are truthful and accurate to the best of his knowledge and belief, and acknowledged,swore or affirmed to me that he signed it voluntarily for its stated purpose. Notary Public My Commission Expires: 5 WITNESS the execution hereof under seal this day of 2019. John A.Brewin,Jr. STATE OF COUNTY OF On this day of 2019, before me, the undersigned notary public, personally appeared John A. Brewin,Jr:, and proved to me through satisfactory evidence of identification,being my own personal knowledge of the identity of the signatory or a valid driver's license,to be the person whose name is signed on the preceding or attached . document, who swore or affirmed to me that the contents of the document are truthful and accurate to the best of his knowledge and belief, and acknowledged,swore or affirmed to me that he signed it voluntarily for its stated purpose. Notary Public My Commission Expires: 6 The Town of Barnstable Board of Health hereby approves and accepts this Grant of Title 5 Nitrogen Loading Restriction and Easement on Nitrogen Credit Land. Town of Barnstable Board of Health By. Title: Date:: 2019 COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. On this day of ,2019,before me,the undersigned notary public,personally appeared and proved to me through satisfactory evidence of identification,being my own personal knowledge of the identity of the signatory or a valid driver's license,to be the person whose name is signed on the preceding or attached document,who swore or affirmed to me that the contents of the document are truthful and accurate to the best of his/her knowledge and belief,and acknowledged,swore or affirmed to me that he/she signed it voluntarily for its stated purpose as of the Town of Barnstable Board of Health. Notary Public My Commission Expires: i 7 �p McKean,:Thomas From: evanleachesq@gmail.com Sent: Tuesday, May 14, 2019 9:01 AM To: McKean, Thomas Cc: 'David V Lawler; dana.marcotte@comcast.net Subject: RE: Nitrogen Loading Restriction and Easement Perry et al 135 Acre Hill Road Hi Tom, I have been assisting:Dave with the preparation of the easement documents. The bedroom limit for 135 Acre Hill Road is noted under Obligations and Easements item 1. As excerpted below: OBLIGATIONS AND EASEMENT: 1.Prohibitions Grarito agrees to restrict the number,of bedrooms,as defined pursuant to 310 CMR 15.002,in any improvements on the credit land,(a/k/a Property)to_three(3) bedrooms'or other equivalent design flow not to exceed 377.6 gpd. Grantor further agrees to maintain the Nitrogen Credit Land Restriction/Easement as nitrogen credit land by prohibiting activities which have a detrimental effect on nitrogen loading on the Nitrogen Credit Land Restriction/Easement, including but not limited to wastewater discharges, the use of nitrogen fertilizer, the introduction of artificial impervious surfaces,the raising,breeding or keeping of animals,livestock or poultry for commercial purposes,and the creation or introduction of land under water. A change in the condition of the Nitrogen Credit Land Restriction/Easement which results in the Property or a portion thereof being within a Velocity Zone or a Regulatory Floodway will render the Nitrogen Credit Land Restriction/Easement or said portion thereof ineligible for nitrogen credit pursuant to 310 CMR 15.216. Also, I will work with Dave to prepare the deed restriction that you requested for 127 Acre Hill Road. Regards, Evan C. Leach, Esq. Attorney LEACH LAW LLC p: 508-375-7929 f: 508-778-4600 a: 540 Main Street, Suite 8, Hyannis,,MA 02601 w: ek�Nr cachl wll;c.com e cvzna!ICaehI',,I\ IIC_a>m CONFIDENTIAL COMMUNICATION This e-mail transmission(and/or the attachments accompanying it) may contain confidential information belonging to the sender which is protected by the attorney-client privilege.The information is intended only for the use of the intended recipient. If you are not the intended recipient,you are hereby notified that any disclosure,copying,distribution or the taking of any action in reliance on the contents of this information is strictly prohibited.Any unauthorized interception of this transmission is illegal. If you have received this transmission in error, please promptly notify the sender by reply e-mail,and then destroy all copies of the transmission. } From: cKean, Thomas" <Thomas.McKeangtown.barnstable.ma.us> Date: Friday, May 10, 2019 at 1:28 PM To: David:Lawler <davidgdlawlerlaw.com> 1 1 Cc: "Houghton, David" <David.Houghton e,town.barnstable.ma.us> Subject: RE: Nitrogen Loading Restriction and Easement Perry et al 135 Acre Hill Road Hi David, In reference to the paragraph that reads as follows, or if not there, somewhere else in the document where appropriate- will you revise the document to include, clearly and specifically, a notation of the maximum number of bedrooms allowed at this property at 135 Acre Hill Road.Also there should be a separate document noting and limiting the maximum number of bedrooms allowed at 127 Acre Hill Road . I recall we discussed this during the Board of Health hearing. ---------------------------------------------------------------------------------------------------------------------------------------------------------------- --------------- `WHEREAS, the Nitrogen Loading Facility Aggregation Plan has been approved by the'Town of Barnstable Board of Health, 200 Main Street, Hyannis, Massachusetts 02601, and, if required, the Massachusetts Department of Environmental Protection ("MassDEP" or "Department")] in accordance with the Department's "Guidelines for Title 5 Aggregation of Plans and Nitrogen Loading;" said approval being based upon the agreement by Grantor to incur certain obligations regarding the number of bedrooms, as defined in 310 CMR 15.002, andlor the wastewater discharge design flow in any improvements located on the Property and maintenance of the Facility Land Restriction and Easement to ensure protection of the nitrogen loading limitation of 330 gpd/acre discharge standard pursuant to the Town of Barnstable General Ordinances, Chapter 232 Wastewater Discharge in nitrogen-sensitive areas or in areas serving new construction where the residential use of both on=site systems and drinking water supply wells are proposed; and to grant to the Grantee of the Benefited Property and to the municipality acting by and through the Town of Barnstable Board of Health, Hyannis, Massachusetts, a perpetual easement to ensure maintenance of the Nitrogen Credit Land Restriction/Easement area as nitrogen credit land including, but not limited to, removal of any prohibited uses and in connection herewith a perpetual easement to pass and repass over the Property for purposes of inspection to ensure compliance with and fulfillment of the terms of this Nitrogen Credit Land Restriction/Easement as hereafter set forth;... ' From: David Lawler [mailto:david(�bdlawlerlaw.com] Sent: Thursday, May 09, 2019 4:27 PM To: McKean, Thomas Cc: Houghton, David; Matthew Eddy; Dana Marcotte; dana.marcotte@comcast.net; Evan Leach Subject: Re: Nitrogen Loading Restriction and Easement Perry et al 135 Acre Hill Road Tom, My apologies, I dragged the wrong document onto the email.As such please see the correct document.Again I.believe David Houghton has approved it with respect to legal content and I just need you to review on behalf of the Board of Health. Thank you for your prompt attention to this matter. Again sorry:for the confusion, David David V. Lawler The Law Offte of David V. Lawler,P.C. 2 540 Main Street.Suite 8 [1yannis,MA:02601 (508)778-0303 NOTICE: This e-mail transmission is intended only for the use of the person to whom it is addressed and may contain information that is attorney- client privileged,confidential and/or exempt from disclosure under applicable law and/or which constitutes work product. If you are not the person to whom it is addressed,you are hereby notified that any reading,examination,dissemination,disclosure,forwarding,copying or distribution of,or f the taking of any action in reliance on,this e-mail transmission,its contents and any attachments thereto,except to deliver such items to the addressee,is strictly prohibited and that such prohibition will be vigorously enforced. If you have received this e-mail in error,please notify us immediately by reply e-mail or by telephone. From: David Lawler<david@dlawlerlaw.com> Date:Thursday, May 9, 2019 at 4:05 PM To: "McKean,Thomas" <Thomas.McKean @town.barnstable.ma.us> Cc: "Houghton, David" <David.Houghton @town.barnstable.ma.us>, Matthew Eddy<meddy@baxter-nye.com>, Dana Marcotte <DMarcotte@dellbrookjks.com>, "dana.marcotte@com Cast.net" <dana.marcotte@comcast.net>, Evan Leach <evanleachesq@gmail.com> Subject: FW: Nitrogen Loading Restriction and Easement Perry et al 135 Acre Hill Road Tom, Please see attached nitrogen loading restriction easement which David Houghton has approved concerning the legal portion of the document.Matt Eddie has assisted with the engineering components,I asked that you please review and either approve or make recommended changes. I understand that you are very busy but my client has very tight deadlines to utilize the property. Your prompt attention would be much appreciated. Any questions give me a call or email, Thanks, David David V. Lawler The Law Office of David V.Lawler,P.C. 540 Main Street,Suite 8 Hyannis,MA 02601 (508)778-0303 NOTICE: This e-mail transmission is intended only for the use of the person to whom it is addressed and may contain information that is attorney- client privileged,confidential and/or exempt from disclosure under applicable law and/or which co CAUTION:This email originated from outside of the Town of Barnstable! Do not click links, open attachments or reply, unless you recognize the sender's email address and know the content is safe! CAUTION:This email originated from outside of the Town of Barnstable! Do not click links, open attachments or reply, unless you recognize the sender's email address and know the content is safe! 3 McKean,Thomas From: evanleachesq@gmail.com Sent: Tuesday, May 14, 2019 10:38 AM To: 'David V Lawler' Cc: McKean, Thomas; dana.marcotte@comcast.net; meddy@baxter-nye.com Subject: Nitrogen Aggregation Easement - 127 & 135 Acre Hill Road, Barnstable Attachments: Deed Restriction - 127 Acre Hill Road.docx; Nitrogen Aggregation - MDEP Easement Document - Acre Hill Road.docx Hi Dave, Please find revised final drafts of the proposed Easement and Deed Restriction in relation to 127 & 135 Acre Hill Road in Barnstable.' Let me know if there are any further revisions.needed. Thank you, Evan C. Leach, Esq. Attorney LEACH LAW LLC p: 508-375-7929 a f: 508-778-4600 a: 540 Main Street, Suite 8, Hyannis, MA 02601 w: Www.lea.chl<Mllc.aom e: evan i%Ieachla%vllc.coi7i i CONFIDENTIAL COMMUNICATION This e-mail transmission (and/or the attachments accompanying it)may contain confidential information belonging to the sender which is protected by the attorney-client privilege.The information is intended only for the use of the intended recipient. If you are not the intended recipient,you are hereby notified that any disclosure,copying,distribution or the taking of any action in reliance on the contents of this information is strictly prohibited.Any unauthorized interception of this transmission is illegal. If you have received this transmission in error, please promptly notify the sender by reply e-mail,and then destroy all copies of the transmission. CAUTION:This email originated from outside of the Town of Barnstable! Do not click links, open attachments or reply, unless you recognize the sender's email address and know the content is safe! 1 TOWN OF BARNSTABLE _ Ll'GATION ��,'2, ���''eJ ,�, �p� SEWAGE# ®d 7 VILLAGE ,fl.aE ASSESSOR'S MAP&PARCEL Q97•—t��_ INSTALLERS NAME&PHONE NO. _l l 141-/4-17'7 )D 2 S^ / SEPTIC TANK CAPACITY /0 oCs LEACHING FACILITY: (type//ji ,U,ty��SC� (size)NO.OF OF BEDROOMS OWNERS MARC 02!7,E PERMIT DATE: 7� Q� 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 i A3 53" THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) IA 'k m / �C(�'J LI DATA No. ®o ? Fee 00 1 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for �Dtgpogal 6pgtem Con0tructiou Permit Application for a Permit to Construct( ) Repair(grade( ) Abandon( ) ❑Complete System ❑Individual Components / Ae`, yiL ,�,�O Location Address or Lot No. Owner's Name,Address;and Tel.No. Assessor's Map/Parcel _ o77 /P n nl 9 A RL Installer's Name,Address,and Tel.No. �� �fIU6 F Designer's Name,Address and Tel.No.r4'W E/V AI /V(F_P, e Type of Building: Dwelling No.of Bedrooms Lot Size / sq.ft. Garbage Grinder ( ) Other Type of Building / No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil 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 Certificate of Compliance has been issued by this Board of Health. lgned Date Application Approved b Date c9� o' Application Disapproved by: Date for the following reasons Permit No. c J Date Issued G�i` No. aco ,•s .. Fee i a " t , '� x Entered in com puter: ��H��COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS es f V, ZippYication for Miooal *p!tem Con0tructton Permit Application for a Permit to Construct Repair U r'adef' Abandon pp O p (�pg �c.O O Complete System ❑Individual Components Location Address or Lot No./;2 7 1-114L kbApU Owner's Name,Address;and Tel.No. f �rV S7VA Assessor's i�a roc Assessor's Map/Parcel' _ 0 1pl" h,T n 110 N grAR L/ Installer's Name,Address,and Tel.No. CV 1"-1 AM T)l -Designer's Name,Address and Tel.No. �26 ,moo-rL77AC. s /* o Type of Building: Dwelling No.of Bedrooms Lot Size �/, s^sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required)_ gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Z:):D Type of S.A.S. Description of Soil Nature of Reap'}ir s or Alterations(Answer when applicable) r Date last inspected: Agreement: The undersigned agreer sot eris a-the coiistfuction anl�rna ntena ice of the afot`e-described on-site sewage disposal system in accordance with the provisions of Title 4f the Environmental Code and not to place•the system in.operation until a Certificate of Compliance has been issued by this Board of Health. Signed v Date Q Application Approved b Date Application Disapproved by: Date for the following reasons Permit No. ca-7 :3 A9— Date Issued ————————————— ---------- - ------- ------ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (Upgraded ( ) Abandoned( )by /�//.CL/�� ,��iGT ill .�1�/(�Ti�t G 4 at�TT� ,z has been constructed in//accordance with the/provisions of Title 5 and the for Disposal System Construction Permit No. !<�--dated // �i Installer AV/Z- IA*29 Designer ?�4 kPEAJ #bedrooms 4/ —73 Approved design flo gpd The issuance of this permit shall not be construed as a guarantee that the sys in will f i n as de ign Date G Inspect ---------------------------------------------- No. C000? —3/ Fee /, THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS Mutopool �&p.5tem Construction Permit Permission is hereby granted to Construct ( ) Repair (v) Upgrade ( ) Abandon ( ) System located at T/�(; j /�/,(1_ ,� L) 2:�2tkl and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Constru tion must be completed within three years of the da e of this p t. Date � � Approve i Town of Barnstable .° .� Regulatory Services BAWMAULL Thomas F.Geiler,Director 9. Public Health Division Thomas McKean, Director - 200 Main Street,Hyannis,NIA 02601 1 Office: 508-862-4644 Fax: 503-790-6304 Installer& Designer Certification Form Date: -7 12, Sewage Permit# Assessor's Map\Parcel 97 0?1 Designer: i r>'r(, I I' t-tA ! Installer: Address: OT, jk C V Address: 1 On (date) (installer) was issued a permit to install a septic system at lga(e M// /a*4-0 based on a design drawn by (address) dated ` (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box. and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or anv vertical relocation of any component of the septic system) but in accordance with State& Local Regulations. Plan revision or certified as-built by designer to follow. f Moss' Insta ler's Signature) . 1 �G/ EEO I Q#ITA11L esigner's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BA STABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORNI AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form 3-264'doc r Town of Barnstable. P# oF� Department of Regulatory Services • Public ]Health Division Date KAM r ! ` 200 Main Street,Hyannis MA 02601 F D Date Scheduled Time Fee Pd. i so-it Suitability Assessment for Sewage Disposal� Performed Byy C�1 i Witnessed By l 1LAl_� 11�t�-' i . LOCATION& GENERAL INFORMTI0N L=ation Address 7 Rv t ' Owner's Name A I ,fig_, . Address 12-7 A6f e l�!ILL— RO p l�--� j -r En neces Name ei✓1. Assessor's Ma rcel: �rl / I + NEW CONSIRU(.PON REPAIR I V Telephone#5 9 36 Land Use e l 'I ��''1 Slopes(%') ' - I / Surface Stones Distances from: Open Water Body ? ft Possible Wee Area ' ft Drinking Water Well ft Drainage Way , ft Property Line � ft Other ft i SKETCH:(Street name,dimensiods of lot,exact locations of test holes&pere tests,locate wetlands in proximity to holes) Scree 3C--1,J0q-6& P,A->j DP'� 0c .I • i i i 1 • } I y- it I Pent meal(geijloI ic) C Ot�. ��' S L� Depth to Bedrock �c4 . I, tJ� Depth to GroundwaWr Standing Water in Hole:' N i Weeping from Pet Face a ,.I r � Estimated Seasonali1jigh Groundwater JA i D 'rER1VIINATION FOR SEASONAL JUGH HATE,R TA19LE Method Used: tl Depth dbsem d standing;; obs.hole: ia. Depth to Soll mottles: ft. Depth toil ping from side of obs.hole i in, oroun.&4ter Adjustment Index Well# _ Reading Date: Index Well level A Adj.{ActOr Adj.Groundwater I.evel.,,,,e ®t PERCOLATION.TEST D$tp Time 1� Observation Time( " �S e at 9 Hole# Time -Ttm �—, Depth of Pere ®'7 a 10 Time(91'41) 2 -- ------ Start Pre-soak Time.0 C l0 End Pre-soak y Rate MinJInch ! yf Site Suitability Assessment: Site Passed Site Fur Additional Testing Needed(Y/N) led; - Original:.Public He'ilth Division Observation Hole Data To Be Completed on Back-------- ***If percolagon test is to be conducted within.100' of wetland,you must first notify the Barnstable Cd.#servation Division at least one(1)wedk prior to beginning. r DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soif'Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consis e c %Gravel) �'-71+ 7 - 26 P,) Lauilland log � - ` � v I 268- ?� E=w►e smb 2,5 DEEP OBSERVATION HOLE LOG Hole# Y Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. nsistenc.%Gravel) .2't- 3V 1� LOAAQ S&JO v ,Q 32 12D. C �'i.� , � 2• 7f3 DEEP OBSERVATION HOLE LOG Hole# V 4 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsiste c %Gravel DEEP OBSERVATION HOLE 1,04 Hole# N �— Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (U ) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. ra I Flood Insurance Rate May: Above 500 year flood boundary No— Yes Within 500 year boundary No Yes Within 100 year flood boundary No Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring per v'ous material exist.in all areas observed throughout the o area proposed for the soil absorption system? t If not,what is the depth of naturally occurring per ous material? v ` Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Enviro'mental Protection and that the above analysis was performed by me consistent with the required tra 'n expertise and experience described in 3:10 CMR 15.017. `lm �0 Signature � Date Q:\SEPfIC\PERCFORM.DOC �Ti • t�'� �•sZ 1.4�''t' -e.l DATE: O l A) fiJ�- /�� $95.00 FEE*: + BARMABM ' 9 AS& A REC.BY: = 7 Town of Barnstable Board of Health SCHED.DATI 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Paul J.Canniff,D.M.D. FAX: 508-790-6304 Donald A.Guadagnoli,M.D. Junichi Sawayanagi TJ REQUEST FORM LOCATION Property Address: 127 ACRE HILL ROAD Assessor's Map and Parcel Number: 297 Size of Lot: 079 Wetlands Within 300 Ft. Yes Business Name: . No X Subdivision Name: APPLICANT'S NAME: DANA&ANN MARIE MALCOTTE Phone 617-828-1159 Did the owner of the property authorize you to represent him or her? Yes X No PROPERTY OWNER'S NAME CONTACT PERSON Name: DANA&ANN MARIE MALCOTTE Name: MATTHEW EDDY Address: 127 ACRE HILL ROAD Address: 78 NORTH STREET Phone: 617-828-1159 Phone: 508-771-7502 EMAIL: meddy(@_baxter-nye.com VARIANCE FROM REGULATION(Incl.Reg.Code a) REASON FOR VARIANCE(May attach separate sheet if more space needed) N/A- Request for Nitrogen Aggregate NATURE OF WORK:'House Addition x House Renovation LJ Repair of Failed Septic System Checklist (to be completed by office staff-person receiving variance request application) Please submit first four on list as 5 collated packets. X 1 _ A. Five(5)copies of the completed variance request form X B. Five(5)copies of MA DEP approval letters for Innovative/Alternative septic system(when proposing an I/A system or secondary treatment unit(S.T.U.). X C. Five(5)hard copies of engineered plan submitted(e.g.septic system plans)and one(1)electronic version submitted to email: health@town.bamstable.ma.us X D. Five(5)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans)and one(1)electronic version. X A completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or R.S. X. Signed letter stating that the property or business owner authorized you to represent him/her for this request N/A Applicant must notify abutters by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only). N/A Full menu-Five(5)copies of full menu submitted(for grease trap variance requests only). Fee Submitted*$95.00 for the following variances: 1) New construction, 2) Septic repairs with increase in flows, and 3)New owner/new lessee applying for food, pool or body art variances. Exemptions from Variance Fee: 1) Septic repair without an increase in flow and variances granted at the counter,2)Monitoring Plans,and 3)Temporary Food(not a"variance"). N/A Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Paul J.Canniff,Chairman NOT APPROVED Donald A.Guadagnoli,M.D. C:\Users\decol1ik\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\QDLJENHC\VARIREQ Rev APR 4- 2018.docx BAXTER NYE ENGINEERING & SURVEYING Registered Professional Engineers and Land Surveyors 78 North Street,31 Floor,Hyannis,MA 02601 Tel: (508)771-7502 Fax:(508)771-7622 April 2,2019 Town of Barnstable Board of Health Dr.Canniff,Chairman Mr.Thomas McKean, Director Barnstable Health Department, 200 Main St. Hyannis, MA 02601 RE: 127 Acre Hill Road,Barnstable,MA Board of Health Filing Dear Chairman, members of the Board and Mr. McKean: On behalf of our client,we are submitting the attached materials which address the request fora Nitrogen Aggregation Plan for Lots#127 and#M. Five copies of the engineering plans,floor plans,and the septic system checklist are attached here for your consideration. Please schedule this request to be heard at your next available hearing. We are proposing Nitrogen Aggregation with#127 being the Facility Land and#135 providing the Credit Land. These lots lie within a DEP Zone II as well the Town's Wellhead Protection Overlay District. The most restrictive for the flow limitations comes from the Wellhead Protection Overlay District requirements being 330 GPD/43,560 sf. As such,septic design flows allowed on the two lots is as follows: • 127 Acre Hill Road—54,506 sf x 330 GPD/43,560 sf=412.9 GPD • 135 Acre Hill Road—53,425 sf x 330 GPD/43,560 sf=404.7 GPD • Total Flow Allowed between these two lots is 817.6 GPD, The septic design flows proposed areas follows: • 127 Acre Hill Road—4 bedrooms x 110 GPD=440 GPD(proposed flow which is an increase of one bedroom over existing) • 135 Acre Hill Road-3 bedrooms x 110 GPD=330 GPD(existing flow) • Total proposed flow on the two lots is 770 GPD, less than 817.6 GPD allowed. Applying nitrogen aggregation across the two lots:' • 127 Acre Hill Road requires additional credit land of: J 0 440 GPD(proposed)—412.9 GPD(on facility land)=27.1 GPD in credit land required. 0 27.1 GPD x 43,560 sf/330 GPD=3,578 sf. Land Surveys • Site Design • Subdivisions • Septic Design • Wetland Filings • Planning d April 2,2019 Town of Barnstable Board of Health <• RE: 127 Acre Hill Road,Barnstable,MA • Therefore,a credit land restriction of 3,578 sf is applied to the property at 135 Acre Hill Road to the benefit of 127 Acre Hill Road(the Facility Land). This credit land restriction area is shown on the enclosed engineering plans. • For the credit land property at 135 Acre Full Road,the area remaining for septic flow is: o 53.525 sf—3,578 sf=49,847 sf. o 49,847 sf x 330 GPD/43,560 sf=377.6 GPD allowed. o Flow of 330 GPD existing on 135 Acre Hill Road is less than the allowed 377:6 GPD. Thank you for your time and consideration for the request. Very truly yours, Baxter Nye Engineering&Surveying Matthew Eddy, P.E. Managing Partner Cc: 0:\2019\2019-003\ADM I N\PERM ITS-Applications and Approvals\BOH\2019-003 BOH Nitrogen Aggregation request.docx t Page 2 BAXTER NYE ENGINEERING & SURVEYING , 78 North Street; 31 Floor,Hyannis,MA 02601 Tel: (508)771-7502 Fax: (508)771-7622' ` TOWN OF BARNSTABLE ° LOCA11011 /z 7 Ance- &1 ,6 SELVAGE # 7l-Y 6- "1 VILLAGE` �� a ASSESSOR'S MAP 6� LOT ' INSTALLER'S NAME si PIIONE NO. r SEPTIC TANK CAPACITY 2-000!jc 1 o LEACHING FACILITY:(type) LE'ridl4l J _(size. ) Q�) NO. OF BEDROOMS_ '�__PRIVATE WELL OR . UBLIC WATE i BUILDER OR OWNER DATE PERMIT ISSUED: DATE COLIPLIANCE ISSUED: VARIANCE GRANTED: Yes No 4A Illy v - ► "=NEW ASSESSOR'S MAP Nio.-2 PARCEL 0 L,,5, CAT10 SEWAG E PERMIT NO. Lci 4 .;k 7a"-4-7�Acrx' Wil R4. V, LLAGE I N S T A LLER'S NAME A ' ADDWRISMAPNO• PARCEL NO• U l9 e U I L D E R OR OWNER ,�Dan& �. Marcortie, DA T E PERMIT ISSUE D DAT E COMPLIANCE ISSUED -7 - .7 � - 1 .,J Ex ISii).13 Poosc PCP ` � •BoJ� � Q C not ) THE COMMONWEALTH OF MASSACHUSETTS BOAR® 0- F 1, EALTH .. . ..........................OF................................_....: . pphratinn for Uhipaii al Works Tonstrurtiun rrrutit Application is hereby made for a Permit to Construct (� or Repair ( ) an Individual Sewage Disposal System at: -•• - - •-- / _ /� 9�Loca ion•-rAdddress J p or Lot No. p�� !6/�Ul .�!� a..../.!.l+�iT."S.i�.il 5� 1 .��1 '1� a k...S-=`�-n • --- t—�/l -- ....------ - __:.:t ail.fit l�_ 1�1�._ Owner j j Address ! J I wif _ •----------------•.... •• r Installer Address PQ UType of Building Size Lot.S.Y-; .�1 P......Sq. feet Dwelling—No. of Bedrooms__........)�t .....................Expansion Attic ( ) Garbage Grinder Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures . ............................ . . W Design Flow...............t$10.G,A(.............gallons per person per day. Total daily flow..........33k?................gallons. WSeptic Tank—Liquid capacity-AM..gallons Length................ Width................ Diameter--------------.. Depth................ x Disposal Trench—No. .................... Width.................... Total Length.............•...... Total leaching area_._........._.....--sq. ft. Seepage Pit No......../.......... Diameter.................... Depth below inlet....... ......... _. Total leaching area.._� ...sq. ft. Z Other Distribution box Dosing tank '~ Percolation Test Results Performed by._..e Srk` ti'__b'.N} .__ nL........................... Date.......!.��_..L•- __._19�T. Test Pit No. 1------- ......minutes per inch Depth of Test Pit....../3........ Depth to ground water------------------------ 4q Test Pit No. 2....... ------minutes per inch Depth of Test Pit.....13....___._ Depth to ground water-_4/0A... tv bit )j aj._.__.__!____________________�_.._...._........._._._.___._......_. ..........__..__._... O Description of Soil....... P. .T`a�? x�....__4. YIS. ..fl U =� P7Yt ..�! x W UNature of Repairs or Alterations—Answer when applicable................................................................................................ --------------------------------•----------------------------------------------------•••--•-•••-••--•••-•----•----------------•-•-------•---•-•-----••-•---------•------------•-•--•••---•••....•..----- Agreement: The undersigned agrees to install the afor edescribed Individual Sewage Disposal System in accordance with the provisions of 1_T p 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beenid by the b of healltSigned r�... % i • ! �� �58 _._. Application Approved B _... Date Application Disapproved for the following reasons:......................................................................................... .................... --------------------•--------•-------•----------------------•--------•---------------•-•---•--------------•••••••-••-•-••-•-•-•-••-•------••----•••--•---------......-----------------------•-•••-•-•-•- Date PermitNo....jY7 6 -•---••............... Issued]........................................................ Date No.- 2...yk-3- Fins....2.5............... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ..................... ...................OF......................................... ........................................ Appliration for Disposal Works Tonstrurtion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ........................ .............. .. .--.._....---•--.............--•-•------_.... .................... 7 �j .................... 4 Location-Address or Lot No. ......................--.......................................................................... .........-----......•---------•----•--............---•--•......:_..........•....................._ Owner Address W Instaaer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building .............. No. of ersons.........._......•...._.__.. Showers — Cafeteria a yP g --------•----• P ( ) ( ) Q' Other fixtures ....-•••---•-•--•-•------------• . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid*capacity............gallons Length................ Width................ Diameter________-___--_ Depth................ Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--_----------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by-------------•---•---•-•-•--------•....••-------------•---•---•--•-•••... Date-----.................................. Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water......................... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a •---•-•-•----•--------------•••-••------------------••----•.........•-•--•--•--••------•------------......................................................... 0 Description of Soil........................................................................................................................................................................ W V ---•---••••••-----•••---•-••••••••---•---•••••-•---••--••---•••--•-•--•------••••--------------••••••........--••--•-----•--------•---•-----••-•...----••--•-••-----••-••••---••-------------••--------- W UNature of Repairs or Alterations—Answer when applicable.............................•..........____....____....._.______..____.__._.__..._...._.....__. --------------------------------------------------------------------------------------------•-----------------------------------------------------------------------------------------•----•-------•--• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'I ATLE ; of the State Sanitary Code—The undersigned 'further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed.................................................................... -------•----.... Application Approved By....... ......... ..... 4 /0 .... � 7 Date Application Disapproved for the following reasons:-----•--------••--------------••----•-------------------------•-------------•---------------------------....._._ ---------------------•-----------.....•....--•---•---------------•---•-•-------------------•-•-•-........._.........--.•..•..----•-••------------.....-----------------------------------------------•--- ec Date PermitNo...Q. .....V6�__3......................_ Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH %2 .....OF......... /`1 Trrtif iratr of Tompliunrr THI IS TO CERTIFY, Th t the Individual Sewage Disposal System constructed � or Repaired ( } Installer has been installed in accordance with the provisions of TiTIE j of The State Sanitary Code as described in the application for Disposal Works Construction Permit ....... dated---________________________________•---.---•--. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD�n OF HEALTH � .,. FEE._.....5.............. io oo �Works Tonotrtt.rtion rrutit Permission is hereby granted----- u+ ........ ........................................ .................................... to Construct 0C) or Repair ( ) an Individ/u/al /Sewage Disposal System ..-at No..............�-Gz_1 �_.� . -�-..1.7 a L�............................................ Jtreet as shown on the application for Disposal Works Construction Permit N __:�_ �J__ Dated.......................................... ............. �� i, "IF '. Board o[ Hea lth �A --------------.------•--•t....... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS APPLICATION rcr. FE;RCOLATION`TE NO LOCATION L 1 )ra 14 - - VILL�GE DATE APPLICANT k� FEE ADDRESS TELEPHONE NO.9 � 16 a Non-refundable) ENGINEER �. TELEPHONE NO. DATE- SCREDULED I'm,-, C 44 !!,'�� (Applicant's signature S_= L_ SUB- DIVISION NAME DATE Z' ` TIME SXPANSION AREA: YES�NO _ ENGINEER )� TON WATER&.PRIVATE WELI _ < ,��• BOARD OF HEALTH EXCAVATOR SKETCH: (Street name,etc. ,dimensions of lot, exact location of test holes and percolation testis, locate wetlands in proximity- to test holes) NOTES: r. .9 N w� PERCOLATION RATE:� 4"C'kA l TEST HOLE NO: A, _ ELEVATION: TEST HOLE NO: ELEVATION:3. i L 3 3 4 4 5 � ' .G 6 • � 8 9 10 10• 11 11 :.Q--- 12 12 ;} 13 �. 13 �S 14 is -_.� 14 .. P DI Q�_, pv ZITS,01 16 16 SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD) LEACHING PITS LEACHING TRENCHES_ UNSUITABLE- FOR SUB-SURFACE SEWAGE. REASONS: �-.- °NOTE: , ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST,APPLICATION ' ORIGINALS COMPLE1E2_1H-KK 1R;;V By r, AN12 RETURNED TO BOARD OF HEALTH COPY: RETAINED BY APPLICANT IAN HI �f.•;;~j 'o,1' '?�.� LEGEND Lq o WAY q PROPOSED CONTOUR S �. `��' ® PROPOSED SPOT GRADE. EXISTING CONTOUR . 1140 ly OP + 96.52 EXISTING SPOT GRADE _ = ELI I. G�STCR W `1ij .SgPJ/TA/�� y I Q W— EXISTING WATER SERVICE �. 1 L l % TEST PIT y a t osyi� millmillaw .' 237.62 ft ------------------------------ ------ ------ G 1000TRAI I LOCUS MAP N.T.S. 5 NC Existing Leach Pit (See Note 10) GENERAL NOTES: SNE� I 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. { j 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS \ OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE % ��<v LOCAL RULES AND REGULATIONS. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR GO�QP�O v \\\ !�1os TO INSPECTI NEER D APPROVAL BY THE BOARD OF HEALTH AND THE LOT 32 G GAO _ �I rn 4. ANY CONDITIONS ENCOUNTERED FROM THOSE SHOWN H REON DURING S HALL IO BE CONSTRUCTION TO THE DESIGN DES GN / AREA = 54,478 sf Op /� \ t o ENGINEER BEFORE CONSTRUCTION CONTINUES. 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. �O� \� �� �� 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF �( 0,p�� \ j HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. BENCH MARK 7, WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. PAINT SPOT IN DRIVEWAY 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED BARNSTABLE GIS DATUM 106 ELEVATION = 10ATUM TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. _ 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY �41 — j THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING \ CONSTRUCTION. 1 d\ 10. EXISTING LEACH PIT TO BE PUMPED, CRUSHED AND REMOVED 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY 02— TM �`\\ \ \ & •9 z o� ti� \\\ j \\ 13. NO PRIVATE WELLS WITHIN 150 FT. OF PROPOSED LEACHING _� \ I \ 14. REMOVE ALL UNSUITABLE SOILS 5 FT. AROUND LEACHING TO EL. 89.59 OR TOP OF C3 LAYER AND REPLACE WITH CLEAN MEDIUM SAND. �� wo�� I \ \ \\�� I 15. ALL PIPING TO BE 4" SCH 40 ® 1/8-/FT (UNLESS SPECIFIED OTHERWISE N. �� 9Oryrc, ' �� . \ \\ \ J 16. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW FOR THE USE OF A GARBAGE GRINDER 350.00 ft 17. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING----------------- ------------------------ �-----------------------------------'- '------------------------------------------------------'----_-------------------'Oo 640.10 ft ----- 10 2 PROPOSED SEPTIC SYSTEM UPGRADE PLAN 127 ACRE HILL ROAD, BARNSTABLE, MA Prepared for: Dana Marcotte SURVEY REFERENCE: MAP" 297 Engineering by: Surveying by: SCALE DRAWN JOB. NO. CERTIFIED PLOT PLAN BY: DAVID SANICKI, PLS LOT.•079 DARRENM.MEYER,R.S. Boo—Tech EnvironmenW 1"-30' DMM, DEED BOOK. 5448 POBraA-� " ^17-- (508) 364-0894 DATED: AUGUST 13, 1987 EASTSANDMCH,MA02537 DEED PA GE.• 211 DATE CHECKED SHEET NO. i 5osse2zs22 _ 1�i>!_07 DMM . / 1 of 2 f f r E ELEV. TOP FOUNDATION (Existing) FINISH GRADE= 105.0 = 109.73� F.GEL: 109.0 F.G.EL• 109.0 F.G. EL: 105.5 :4 f MAINTAIN 2% MIN SLOPE OVER LEACHING AREA A' v COVERS TO WITHIN 6 OF GRADE s" INSPECTION PORT ` L = 40 W/IN 6" OF FINISH GRADE �. " 6" • 4" SCH 40 PVC L = 5' 1o"t ® S= 1% (MIN.) B ° ° ° ° ° ° ° ° ° ° ° ° (MIN.) 14' ® S= 1% A: TEE'S ARE TO BE 4" SCH 40 PVC I N ' V.103.5 ° ° ° ° ° ° ° ° ° ° ° INV. INV.103.3 ° J EXISTING OUTLET GAS PROPOSED DB-3 ° ° ° O ° ° 0 ° ° ° BAFFLE ••. .. . • . . H-10 DISTRIBUTION BOX AS& Aft 25' I INV. 106.81 EXISTING 1000 GALLON SEPTIC TANK i NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INVERTS PRIOR TO CONSTRUCTION RUER FAW stirs 9" MIN. 2) D-BOX SHALL BE SET LEVEL AND TRUE TO PER TITLE 5 GRADE ON A MECHANICALL COMPACTED SIX �� OF q`• 9G INC CRUSHED S ONE BASE, AS� SPECIFIED IN BREAKOUT EL. = 102.5 310 C INV. ELEV.=102.0 AR ,r 3) REPLACE EXISTING 1,000 GALLON SEPTIC "IyER r-' TANK WITH 1500 GALLON SEPTIC TANK J�4�' '-'� 24" " o - ooua�w�sNm slave JO 5 No. 1140 " IF 4 INSTALL FAILED, UNDERSIZED. Z INLET OUTLET TEES AS REQUIRED ) I BOTTOM EL.= 100.0 /NI/ERT SEPTIC SYSTEM PROFILE S1E I- 48» 50» 8„ SANITAR�P L`�i '� SEPARATION 5.00 FT. 146"INFILTRATOR 3050 SPECIFICATIONS BOTTOM OF TH-1 EL: 95.0 SOIL ABSORPTION SYSTEM (SECTION) SOIL LOGS DESIGN CRITERIA NUMBER OF BEDROOMS: 3 BEDROOOM DATE: JULY 5, 2007 SOIL TEXTURAL CLASS: ' CLASS 1 (0.74 GPD/SF) SOIL EVALUATOR: DARREN MEYER, R.S., CSE DESIGN PERCOLATION RATE: <2 MIN/IN ° WITNESS: DONNA MIORANDI DAILY FLOW: 110 G.P.D. DESIGN FLOW: 330 G.P.D. kEALTH AGENT GARBAGE GRINDER: NO (not designed for garbage grinder) INLET END Elev. TH-1 Depth Elev. TH-2 Depth SEPTIC TANK: 330 gpd x 2 = 660 gpd USE EXIST. 1,000 GALLON SEPTIC TANK .5 (OPEN) A 0" 104.10 A 0" (330) = 445.94 S.F. 105.0 StNYDRY LOAM S'ONYDRY4OAM LEACHING AREA REQUIRED: 74 4.5`DIA ACCESS PORT FOR INSPECTION. 104.42 B 4/3 7" 103.10 B 12" USE THREE (3) INFILTRATOR 3050 UNITS WITH 4 FT. STONE LOAMY SAND LOAMY SAND ON THE SIDES & 1.3 FT. STONE ON ENDS: 25' L x 12.16' W x 2'D 10YR 5/8 10YR 5/8 BOTTOM AREA: 25 x 12.16 = 304 SF 102.84 C1 26" 101.43 Cl 32" SIDE AREA: (25 + 12.16) X 2 X 2 = 148.64 SF TOTAL SQUARE FEET PROVIDED = 452.6 vs. 445.94 REQ'D 0 0 0 0 0 0 0 0 0 0 0 DESIGN FLOW PROVIDED: 0.74(452.6 S.F.) = 334.95 G.P.D. vs. 330 G.P.D. req'd j . . " . . . . 0 PERC®99.94 PROPOSED SEPTIC SYSTEM UPGRADE PLAN MED. SAND MED. SAND 127 ACRE HILL ROAD, BARNSTABLE, MA INFILTRATOR. 3050 2.5Y 7/3 + 2.5Y 7/3 OMVEaner SOILS/DEPTH Prepared for: Dana Marcotte NOMINAL CHAMBER SPECIFICATIONS AT TIME of INSTALL PER ASST. HEALTH ACENT Engineering by: Surveying by: SCALE DRAWN JOB. NO.. „ 95.0 120 DARRENM.MEYER,R.S. Eco-Tech EmvhvnmenW N.T.S. DMM SIZE (W x H x L) 51 x 30 x 85.4 Polo.°.91. (508) 364-0894 WEIGHT 80.0 LBS. - PERC RATE <2 MIN/IN. ("C" HORIZON) ,PERC RATE <2 MIN/IN. ("C" HORIZON) EAST SANDWICH,MA02537 DATE CHECKED SHEET NO. NO GROUNDWATER OBSERVED NO GROUNDWATER OBSERVED 508-W2-2922 07/14/07 DMM 2 Of 2 - EXISTING EGA { RVICE AND 3A1 METER TO BE RELOCATED. ' YE MAP 297 PARCEL 078 �,"' COORDINATE WITH UTLITY csa , BAXTER N 107 1A1a5 �` t ' 1 g N/F RONALD C. & GAIL M. TIVEY -. - "'- COMPANY 1� , ,., tt w ! s! .sµ"„�$�. ..� z p• 3 k :.}sayg , # d LOT 33 py p q r I ,;" �u + BOOK 22599 j PAGE 15 10 .8 I t 50 ,' ------S-X t- k C MAP 297 PARCEL ?7 Fire 4, 01� SF _ -- 237.65 ,�---�-106 t rn t F HELON F SCOTT C 10 ,7 - ��_ , �� �. _.� , BAXTER NYE MAP 297 PARCEL 016 °10 I 01 �107��J ter LOT 2�3 Lond 1 3 �435 4+W9 � s ��. N F THOMAS F. AND KAREN VE�TORINO, TR , � � « w, � � � 1 01 HOOK 24992/PAGE 217 > r 4 ? EOP t c 43,€312 SF 470 VETORINO REALTY TRUST ------ - e a 0 �' LOT 82_B _ _----- ---- -- CONCRETE ROPO EDD� ILDING , µ mat + 10 ENGINEERING & ------ 1 SIDE BUILOINC� SETBACK AC STEPS i07. TO 31' BOOK 2 910/PAGE 346 - CONDENSER 07.6 ADD11ION �� �107.2 1398 � � AND FF� ELEV.=109.8 N1a '" 1, SURVEYING 207,015 SF T LANL33NG / �� �� °° pC ^� I? g ;t, 62 SITE CCNORE _ -- 0 .1 SST STEPS 107.2 � 1 Js i ' s AsT"���� 17A � LOCUS AND 10 , _..... :f .. Registered Professional Engineers q L NDII I c 106i 7 m,.... ' 1450 rr. i r � T � 1�s1 and Land Surveyors ` EXISTING SHED TO � Qd o ,�'�j�, .w i 1 y e 1 OigI v. OUT t BE RELOCATED �- E c rl� ��, ay =106.2 �� 3 1C3 .6 108.B 1oa 101 .4 78 North Street - 3rd Floor CD , , PROPOSER ED1 E -•BENCHMARK 45 LF SCH 40 NOF NEW DRIVEWAY MAG NAIL IN DRIVEWAY g� 12 ELEV. 106.95 } 184 134 Hyannis Massachusetts 02601 PVC ® S-2.0% 140 ` INv. IN 107 ,- __ _.- 1 i��xi" Phone - 508 771-7502 105.3f I. ilv-..:; TIE IN EXISTING > LP 9 ' �' EXISTING SEPTIC MAP 297 PARCEL, 075 #¢ FOX - (508) 771-7622 5 07.E TANK TO BE I1fF IIEhIIN S AND IAI}f A �;€IE:AIN } lid ®A SEWER PIPE. www.boxter-nye.com , rpy va Y INVERT = 105.3f. , ,�' f� t00 PUMPED DRY, LOT 296 CONTRACTOR TO ., c REMOVED-AND, BOOK 11395/GAGE 198 1660 r INV. OUT �-��'y „�-PROPERLY DISPOSED 43, 71� SF =. �.. t( . VERIFY IN FIELD .� � �� .- � �0 �- PRIOR TO �`�' `�' ' =105.05t f ,A.- OF OFF SITE 106 S CONSTRUCTION 4 0 �1 a, S ' m I cn 163Ct 50' 11 f __ 20 lu I � 1000 � w '"VENT yh15 75 �It1r g 1 µ BRICK ... ,, ®...._,............ ; 1+500 x v d i d" " ' STEPS GALLON , .7 ,., Z Z _� SEPTIC �� ; ;�". r' w w � NEW 1�500 GALL01��"T11(0 `"�- '- It7.��. '"� 106.8 .-� �5 g <,r r,y :�. ,� LANDING TANK I4.5 R �yz K tr ��OMFlARTM�NT SEPTIC'��, -;�.. c f! _ TANK. - 5.2 1 ,1 .7 04.7`' ;f 1 6 26.12! �.___ _��� = 1= Locus 11'lap Scale 1 � 500 ;. t w1 ,5 0 03.6fr SAWCUT EXISTING DRIVEWAY z 1 ? GENERAL NOTES! 31_ EF SCH"' 0 >' ! J J STAMP STAMP L r f a PAVING, TYP. REMOVE AND _ 100.3 100 -•- ,1 ;` `'�� REPLACE DRIVEWAY = = 1. LOCUS AREA IS COMPRISED OF ,y 9 .3 �:�.A PRCI IaA TF9® ?2 p 1A r 4C�� U U • . "�N OF Mqs ' I- I•- PER CURRENT ASSESSORS RECORD;: s�o �N OF p I ^0 �; t \ MATTHEw tiG rya ' Sq�, _ PTIC TEt 7 W. cn y a • `� -1 02. f� �� \ 1 OWNER: DANA R. AND ANN MARIE M�RC071E � " EDDY N �° SHAPIE m T1E Itw`TO,Eris-nkr D-BOX. � a DEED BOOK 5448 PAGE 211M. .' INV. IN = 1O2 5t l A I ° 101.3 0 1tc, CIFnL MALLLON - � LISTINO SAS AND Ok, r G -� IVo.48687 1 ASSESSORS MAP 297, PARCEL 079 No.43183 co rr r `CONTRACTOR TO ERIF'K IN �` D-B X TO 12EMAIN. PLAS7P CC 770 J 7t. t E TELEPF40N � � 127 ACRE HILL ROAD �r' 90.1 FIELD P IOfi_Mg7 ° �� Q � � SEA\ A� , LIB 101.4 �F i PEDESTAL TRIO, SERVICE � I0� 3. PROJECT BENCHMARK: AS SHOWN 01 THIS PLAN °���c�sre '®�� Q��ss`a`'P� MAP 297 PARCEL 079 8 CONSTRUCTION ONTR CTOR TO S u ER IFXO AT10N � � � �,° RO ,MATE LOGAT40s� ELEC DANA R. AND ANN P�ARIE MALOOTTE `� " �! ° ��. ,�K-'INSTALL ONE NEW � 0. ��- L10E-� LOT 32 96.4 INFILTRATOR 3050 I 01. \ ° 1 �ST1oN 4. ZONING INFORMATION: BOOK 544 /PAGE 211 100,4 �� CHAMBERS WITH BtLILOLF --STONE PER � -="` _P1 STIC,GAS L.It� -�-��" � _'- ZONING DISTRICT: RF-1 RESIDENTIAL, 54'S06 SF DET°AILS1 SHEET C1.1 rELEMPEDES L ' �' -' C---,�- - $ 1 CURRENT MINIMUM ZONING REQUIREMENTS: O N S U L N T t ' 05,2 I ° ! .IO `4 ' ' i MIN. LOT AREA = 87120 SF RPOD OVERLAY �_ -_---------------- C1,' 1 C11, � � I # I� 101.2 t0fi'�t 112, , 1Fa` SlD BUILDING bl- K_-------- f j F�€STING E- ( ) ---------- LOGA 7 t Olt �_ -]-,) , _} _C I VE �- - '- - MIN. LOT FRONTAGE = 20' ------- ---- 4' A TER ' a - . MIN. LOT WIDTH SETBACKS.= 12 FRONT = 30 MAIN r, �� ' `",�- �'��,'-1,•9aMIN SIDE = 15', REAR =_15' SPK MAXIMUM BUILDING HEIGHT = 30 FT OR 2.5 STORIES - I"a0,1 MAP 297 PARCEL 080 MAXIMUM LOT COVERAGE = 50% N/F EVELYN E. ROBBINS - LO°I" 31 1 OVERLAY DISTRICTS: RPOD, WP BOOK 7179/PAGE 22 55,135± SF 5. A TITLE SEARCH HAS NOT BEEN PEFORMED FOR THIS SITE. THERE MAY BE RIGHTS BY OTHERS, EASEMENT, CONSULTANT - TAKINGS, MORTGAGES, RIGHT OF WAYS ETC. NOT DEPICTED. IF DETERMINED TO BE NECESSARY, A TITLE SEARCH SHALL BE PERFORMED BY OTHERS AND SUPPLIED TO BAXTER NYE ENGINEERING do SURVEYING. ' - 6. THE PROPERTY LINE INFORMATION S40WN IS BASED ON CURRENT AVAILABLE RECORD INFORMATION CONSISTING OF U 0L �,- U CE._.�.----- I IC - - E,� , G I AND DEEDS. THE EXISTING FEATUM S'SHOWN HEREON WERE OBTAINED FROM AN ON THE GROUND FIELD SURVEY t TELEPHONE L -- '- lJ � ,< 0 PERFORMED BY BAXTER NYE ENG,NENE NG do SURVEYING ON JANUARY 23, 2019. FEATURES ON LOT 1135 OBTAINED L101 - 111, I� FROM TOWN OF BARNSTABLE CiS,M�:JPING. '' ..\ PEDESTAL L CL 4CIE-��-___--- Yrf� gk i APPROXIMATE LOCATION ELI CTRICAL SERVIUG _ (-t =� - �� 0,7 - UGE� UCH � . r, \ 11� = 111.3 a I 7. COMMUNITY PANEL NUMBER. 25fIG,�. � OEM `" - THE FLOOD INSURANCE RATE MAP rIAIES THIS AREA AS ZONE X q, - ," P \STIC GAS LIN 112.2 _ - =?- 1 -- ------ DRIVEWAY 1 8. ENVIRONMENTAL INFORMATION: ,4 ­E ` 11 t1.8 PREPARED FOR 112.3� c 11 .7 / _ } I PER MASS CIS OLIVER AS OF 03/13/20 9. t iISTII IG t - - �- _ 101.2 t t j- t t 112<6 111.4 - 11 , ,--- - I Dana & Anne Marie Marcotte --1 - SITE DOES NOT APPEAR TO BE IM i�` I SIN AN A.C.E.C. (AREA OF CRITICAL ENVIRONMENTAL CONCERN). W - - - - <1 - a - / I W� ; 127 Acre Hill Road g7.1 '12" \N {�, 'SPK �- � - �` l I SITE DOES NOT APPEAR TO BE WITHIN AN AREA OF ESTIMATED HABITAT OF RARE WILDLIFE AS 640.10' MAP 297 PARCEL BIN `�� �� �W MAPPED ON MASS GIS OLIVER PER NHESP-*ESTIMATED HABITATS OF RARE WILDLIFE" FOR USE WITH Barnstable, Ma. N jF EVELYN E. RCBBIN - I LOT 1 -�� � THE MA WETLANDS PROTECTION ACT' REGULATIONS (310 CMR 10).' 87°1 '12" I BOOK 7179/PAGE 220 1 e• SITE DOES NOT APPEAR TO BE W1TIIN A PRIORITY HABITAT AS MAPPED ON MASS GIS OLIVER PER 55,135 SF 2 0.00 I / / I NHESP 'PRIORITY HABITATS OF RAFE SPECIES" FOR SPECIES UNDER THE MASSACHU SETTS ENDANGERED SPECIES ACT, REGULATIONS (321 CMR 10). 1 b SITE DOES NOT APPEAR TO CONTAN A CERTIFIED VERNAL POOL AS MAPPED ON MASS GIS OLIVER • - �--'" PER NHESP 'CERTIFIED VERNAL P06LS.' PROJECT TITLE EXISTING 1 � DRIVEWAY / SITE DOES NOT APPEAR TO BE WI71IN A WETLAND RESOURCE AREA AS MAPPED ON MASS GIS 1 / I SYSTEM. • SITE APPEARS TO BE WITHIN A ST,rTE APPROVED ZONE II GROUNDWATER RECHARGE PROTECTION 127 Acre Hill Road 22.80' AREA. Barnstable, MA / I SITE DOES NOT APPEAR TO BE WI7A A ZONE OF CONTRIBUTION TO A SALTWATER ESTUARY "- I (BARNSTABLE B.O.H. REG. 360-45) NITROGEN A GR GAT10N 1 I I 9. UTILITY INFORMATION SHOWN ,0,I�(; CREDIT LAND 1 AREA = ( THE CONTRACTOR SHALL CONTACT JIG SAFE (AT 1-888-DIG-SAFE) AND UTILITY COMPANIES TO LOCATE THE LOCATION OF 3,588 SF I ALL EXISTING UTILITIES, AT LEAST HOURS PRIOR TO THE START OF CONSTRUCTION. EXISTING UNDERGROUND INFRASTRUCTURE, UTILITIES, CONDIJI'S AND LINES ARE SHOWN IN AN APPROXIMATE WAY ONLY, MAY NOT BE LIMITED TO THOSE SHOWN HEREIN AND HAVE E?EN RESEARCHED BASED ON THE AVAILABLE UTILITY RECORDS NOTED HEREON. THE • WOODED I CONTRACTOR AGREES TO BE FULLYRESPONSIBLE FOR ANY AND ALL DAMAGES WHICH MIGHT BE OCCASIONED BY THE • CONTRACTOR'S FAILURE TO LO CATt:SAID INFRASTRUCTURE AND UTILITIES EXACTLY. IF FIELD CONDITIONS DIFFER FROM PLAN 1 I INFORMATION, THE CONTRACTOR SHILL. NOTIFY THE ENGINEER IMMEDIATELY FOR POSSIBLE REDESIGN. 1 n I SOURCE INFORMATION FROM PLANS HAS BEEN COMBINED WITH OBSERVED EVIDENCE OF UTILITIES TO DEVELOP A VIEW OF Cn „ 'p 1 ACRE HILL ROAD THOSE UNDERGROUND UTILITIES. HOWEVER, LACKING EXCAVATION, THE EXACT LOCATION OF UNDERGROUND FEATURES MAP 297 PARCEL 076 ERR `- CANNOT BE ACCURATELY, COWPLEALY AND RELIABLY DEPICTED. WHERE ADDITIONAL OR MORE DETAILED INFORMATION IS N/F NARY AraNE BREW IN PERRY, PETER \ REQUIRED, THE CLIENT IS AD`ASED HAT EXCAVATION MAY BE NECESSARY. BREVIIN JOHN A BREW IN, SIR. I • LOT 30 E300K 11817/RAGE-339 I UTILITIES NOTED HEREON AS 'COME{ED' ARE SHOWN BASED ON SOURCE INFORMATION 1 53,425 SF °' (RECORD PLANS) OBTAINED FROM L1ILITY COMPANIES AND/OR MUNICIPALITIES. LOCATIONS OF 'COMPILED' UTILITIES SHOWN 1 I ARE TO BE CONSIDERED APPROXIM;7E ONLY. -- EXISTING SEPTIC SYSTEM INFORMATON FOR LOT 1127 OBTAINED FROM SEPTIC SYSTEM AS-BUILT CARD BY WILLIAM DINEER, DATED 727/07, ON FILE AT BOARD OF HEALTH. EXIS71NG SEPTIC SYSTEM INFORMATION FOR LOT 11:f OBTAINED FROM SEPTIC SYSTEM AS-BUILT CARD BY • 1 VETORINO BROS. INC., DATED 5/18,'79, ON FILE AT BOARD OF HEALTH. DATE DESCRIPTION • I SHEET TITLE LIJ1 I TOWN WATER SERVICE SHOWN ON 111S PLAN FROM WATER DEPARTMENT SKETCH 1546 DATED = 1 = I 03/05/07. ■ U.0. • w w APPROXIMATE I GAS SERVICE SHOWN ON PLAN PERNATIONAL GRID SKETCH SW2729 RCVD 112212019 Site Plan & Septic E LOCATION I J J SEPTIC EXISTING SYSTEM I ELECTRIC LINE SHOWN ON THIS Pl..4t PER EVERSOURCE PLAN DATED 111812019 INDICATING System Upgrade Plan a U U I UNDERGROUND SERVICE I N O < 1 I SHEET NO 1 \ C100 GB/D \ a DATE : MARCH 22, 2019 20 0 20 40 g 1 \ SCALE IN FEET a 0 0 00= SCALE : 1"=20' a0 , DRAWN BY: SDM CHECKED BY: MINE ,1 O B NO: 2019-003 F I L E: 2019-003 SP.dw o 0 i BAXTER NYE I" ) " TJ`RJNG & SU11VFY1N( TYPICAL SYSTEM PROFILE [' N ," IN NOT TO SCALE SEPTIC SYSTEM NOTES: BAXTER NYE 1. ALL MATERIALS SHALL MEET H-20 LOADING REQUIREMENTS. 2. SEPTIC SYSTEM DESIGNED WITH OUT GARBAGE GRINDER DISPOSAL. ENGINEERING & SET ALL MANHOLE COVERS TO WITHIN 6* OF FINISH GRADE. TOP OF FINISH FLOOR 109.8' RISERS COVERS SHALL BE WATERTIGHT SURVEYING FINISH GRADE 107.5± FINISHED GRADE = 108.0± FINISH GRADE 10231± FINISHED cmF OVER NEW LEACHING CHAMBERS = 103.66 to 104.7 Registered Professional Engineers TOP OF TANK=10 6.5 3* MIN. tv- and Land Surveyors 30 LF-4* SCH 40 PVC OS=8.22X 4' SCH 40 PVC 1: INSTALL ONE INSPECTION " MIN. MIN. 4' SCH 40 PVC COMPACTED FILL PORT IN ACCORDANCE WITH VENT 78 North Street - 3rd Floor 12: (min) Cover MANUFACTURERS DOUBLE-\ INV OUT- 105.05± EXISTING OUTLET La In WASHED STONE IN=105.30± IN. "-�miw 0 36 (max) Cover RECOMMENDATIONS Hyannis, Massachusetts 02601 CONTRACTOR TO 11� I VERIFY IN FIELD PVC TEE TOP OF STONE ELEV=102.0 10 1 4" SCH. 40 PVC 101.50 PRIOR TO LIQUID i:. Tt- -i- -,t i CHAMBER TOP ELEV= MIN. CONSTRUCTION LEVEL --GAS BAFFLE 2 Phone - (508) 771-7502 4'_ GAS INV IN - 6. SUMP CHAMBER INV IN=101.0± 102 5± 6' SUMP INV OUT 102,33± " Fox - (508) 771-7622 REINFORCED CONCRETE BAFFLE CONTRACTOR TO 24 www.boxter-nye.com 6* CRUSHED VERIFY IN FIELD EFFECTIVE CONSTRUCTION DEPTH STONE BASE PRIOR TO CHAMBER BOT. .0 ot ELEV 99UNSUITABLE SOILS, IF ENCOUNTERED BELOW 5' MIN THE PEASTONE ELEV (TOP OF SAS), SHALL BE REMOVED TO THE "C HORIZON* AS REQUIRED 1,500 GALLON TWO-COMPARTMENT SEPTIC TANK EXISTING DISTRIBUTION BOX SEE CONSTRUCTION NOTE #5 HEREON. SHOREY ST1500 H2O OR EQUAL TO BE INSTALLED ON A LEVEL STABLE BASE SEPTIC TANK SHOULD BE CLEANED ANNUALLY SOIL ABSORPTION SYSTEM (SAS) LEACHING CHAMBER (TYPICAL) NTS LIQUID DEPTH IN SEPTIC TANK DEPTH OF OUTLET TEE BELOW FLOW LINE 4 FEET 14 INCHES S T A M P S T A M P 5 FEET 19 INCHES V"A OFrk 6 FEET 24 INCHES 7 FEET 29 INCHES MATTHEW P. 8 FEET 34 INCHES W. EDDY CML COO) 43183 PAVEMENT O/STE WELL GRADES GRANULAR BACKFILL CONTAINING si 11VA REMOVE STONE AND EVEN DISTRIBUTION OF PARTICLE SIZES WITH NO AASHTO M288 CLASS 2 12.17 NON ' MORE THAN 12% PASSING THE #200 SIEVE, 3 EXISTING TIE INTO EXISTING -WOVEN GEOTEXTILE COMPACTED TO A MINIMUM OF 95% OF THE INFILTRATOR 3050\ CHAMBERS FINISHED GRADE STANDARD PROCTOR DENSITY. C(ON S U L VA N T I - PROPOSED 7-7-7-7 INFILTRATOR 3050 12" MIN. 36"MAX. 18" MIN. DIST. LINE IN 4.16' 12.16' 6" MIN. TOP OF CHAMBER S - EPTIC CONSTRUCTION NOTES PIPE INVERT I n-2n 1 TO 2" DOUBLE 24" 1. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH TITLE V OF THE STATE SANITARY DOUBLE WASHED STONE WASHED STONE EFFECTIVE CODE DATED SEPTEMBER 9, 2016, AS AMENDED THROUGH THE DATE OF THIS PLAN, & ANY LOCAL RULES & 3' DEPTH REGULATIONS APPLICABLE. 1.25' 22.5- INFILTRATOR 3050 n CONSULTANT 25' 1.25'! -11.5, CHAMBER AND 2. ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING BY THE ENGINEER. ELEVATION INFORMATION 35.25' . 4* .4.17' 4' 3050 END CAP MUST NOT BE CHANGED WITHOUT WRITTEN PRIOR APPROVAL BY THE ENGINEER. 3. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILLING, NOTIFY THE BOARD OF HEALTH AGENT AND PLAN VIEW SECTION ENGINEER FOR INSPECTION. NOT TO SCALE NOT TO SCALE 1, INFILTRATOR 3050 H-20 WHEEL WAD CROSS SECTION 4. ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4" SCHEDULE 40 PVC. UNLESS OTHERWISE NOTED HEREIN. 5. EXCAVATE UNSUITABLE MATERIAL AS NOTED, TO THE "C HORIZON- , FOR A HORIZ. DISTANCE OF 5' .SURROUNDING THE LEACHING FIELD, AND REPLACE WITH CLEAN SAND PER 310 CMR 15.255 TO THE TOP ELEVATION OF THE SAS. : 6. INSULATE ALL PIPES AGAINST FREEZING AS REQUIRED WHEN LESS THAN 3' OF COVER. PREPARED FOR 7. THE SEPTIC SYSTEM DESIGN DOES NOT INCLUDE GARBAGE GRINDER DISPOSALS. LEACHING AREA REQUIREMENTS I Dana & Anne Marie Marcotte 8. CAUTION: THE CONTRACTOR SHALL CONTACT DIG SAFE (AT 1-888-DIG-SAFE) AND UTILITY COMPANIES TO 127 Acre Hill Road NITROGEN LOADING LIMITATION: 330 GPD PER 43,560 SF' LOCATE ALL EXISTING UTILITIES, AT LEAST 72 HOURS BEFORE THE START OF CONSTRUCTION. THE CONTRACTOR SHALL DETERMINE THE EXACT LOCATION, BOTH HORIZONTALLY AND VERTICALLY, OF ALL 127 ACRE HILL ROAD EXISTING PERMIT # 2007-312 EXISTING UTILJITIES BEFORE THE START OF ANY WORK. THE LOCATION OF EXISTING UNDERGROUND UTILITIESBarnstable, Ma. ARE SHOWN IN AN APPROXIMATE WAY ONLY, MAY'NOT BE LIMITED TO THOSE SHOWN HEREON AND HAVE ALLOWED FLOW AS FOLLOWS: NOT BEEN INDEPENDENTLY VERIFIED BY THE OWNER OR ITS REPRESENTATIVE. THE CONTRACTOR AGREES TO 127 ACRE HILL ROAD = 54,506 SF x 330143560 = 412.9 GPD BE FULLY RESPONSIBLE FOR ANY AND ALL DAMAGES WHICH MIGHT BE OCCASIONED BY THE CONTRACTOR'S SOIL EVALUATOR: DATE 07/05/07 FAILURE TO LOCATE THE UTILITIES EXACTLY. IF ELEVATION INFORMATION DIFFERS FROM PLAN INFORMATION, THE CONTRACTOR SHALL NOTIFY THE ENGINEER IMMEDIATELY FOR POSSIBLE REDESIGN. AT UTJUTY TOTAL ALLOWED FLOW = 412.9 GPD DARREN MEYER, R.S., CSE EXIST. PERMIT # 2007-312 CROSSINGS, VERIFY IN FIELD THE LOCATION / INVERTS OF ELECTRIC, GAS, TELEPHONE & DATA/COMM AND ECO-TECH ENVIRONMENTAL BARNSTABLE RELOCATE IF CONFLICTING WITH PROPOSED INVERTS PER THE ENGINEERS DIRECTION. THE CONTRACTOR TOTAL PROPOSED FLOW = 440 GPD (PROPOSED FLOW GREATER THAN ALLOWED FLOW) P.O.BOX 981 BOARD OF HEALTH AGENT. SHALL PRESERVE ALL UNDERGROUND UTILITIES AS REQUIRED. EAST SANDWICH, MA DONNA MIORANDI, R.S. 9. THE PROPOSED UTIUTY CONNECTIONS SHOWN HEREON ARE SCHEMATIC. FINAL LAYOUT SHALL BE AS PROJECT TITLE APPLY NITROGEN AGGREGATION TO 127 AND 135 ACRE HILL ROAD: TEST PIT I TEST PIT 2 DETERMINED BY THE APPROPRIATE UTILITY COMPANY. 127 ACRE HILL ROAD REQUIRES ADDITIONAL CREDIT LAND OF. 440 GPD - 412.9 GPD = 27.1 GPD IN CREDIT on G.S.E. = 104.0± G.S.E. = 103.1± NOTES, 127 Acre Hill Road 27.1 GPD x 43560 SF/330 GPD = 3,578 SF A; SANDY LOAM A; SANDY LOAM APPLY CREDIT LAND RESTRICTION OF 3,578 SF OVER 135 ACRE HILL ROAD. 10 YR 413 10 YR 413 1. ALL CONSTRUCTION SHALL BE PERFORMED IN ACCORDANCE WITH MHDSS, TOWN Barnstable, MA ON 135 ACRE HILL ROAD THIS LEAVES AREA FOR SEPTIC FLOW OF: 7" (ELEV. 103.42) 12- (ELEV. 102.10) ORDINANCES, REQUIREMENTS, AND SPECIFICATIONS. 53,425 SF - 3,578 SF = 49,847 SF B; I OYR 5/8 ; LOAMY SAND 8; 1 OYR 5/8 ; LOAMY SAND 2. EXISTING PAVING EDGES SHALL BE SAWCUT TO CREATE A CLEAN EDGE WHERE IT 49,847 SF x 330 GPD/43560 SF = 377.6 GPD 26- (ELEV. 101.84) 32" (ELEV. 100.43) IS TO BE TIED INTO NEW PAVING, OR WHERE ASPHALT IS REMOVED ADJACENT TO FLOW OF 330 GPD EXISTING ON 135 ACRE HILL ROAD (EXISTING PERMIT # 78-772) WHICH ASPHALT WHICH IS TO REMAIN. BROKEN OR UNSTABLE PAVEMENT SHALL BE IS LESS THAN THE ALLOWED 377.6 GPD C 2.5Y 713 ; MED. SAND C ; 2.5Y 713 ; MED. SAND REMOVED AND SUBBASE REPLACED WITH SUITABLE COMPACTED MATERIAL PER PAVEMENT SECTION DETAIL HEREIN. ANY SAWCUT LINES SHOWN ON THE PLANS ARE APPROXIMATE ONLY. THE EXACT EDGE OF SAWCUT SHALL BE DETERMINED BY THE RESIDENTIAL: 4 BEDROOMS 120- (ELEV. 94.0) CONTRACTOR IN THE FIELD TO PROPERLY BLEND TO THE SURROUNDING GRADES. NO WATER OBSERVED NO WATER OBSERVED PROPOSED ASPHALT SHALL BE PROPERLY BUTTED AND BLENDED TO SURROUNDING x 110 GPD/BEDROOMASPHALT WHICH IS TO REMAIN. THE 'BLENDED TRANSITION BETWEEN PROPOSED AND TOTAL DESIGN FLOW = 440 GPD EL. 94.0 PERC 0 ELEV 98.94 EXISTING ASPHALT SHALL BE WITH AN APPROXIMATE 1.5% GRADE UNLESS OTHERWISE GARBAGE GRINDER (NOT INCLUDED) = NIA RATE= <2 MIN/IN IDENTIFIED. THE JOINT SHALL NOT BE ABRUPT. CLASS I SOIL PERC RATE = <5 MIN, Z INC (CLASS 1) 3. DIMENSIONS SHOWN ARE TO OUTSIDE FACE OF FOUNDATION OR FACE OF CURB LTAR = 0.74 GPD/S.F. VERIFY WHERE APPLICABLE. SOILS/DEPTH AT MIN. LEACHING AREA OF S.A.S. REQUIRED TIME OF 440 GPD/ 0.74 GPD/S.F. = 595 S.F. MIN. INSTALLATION PER ASST. HEALTH AGENT PROPOSED SYSTEM 4 INFILTRATOR 3050 UNITS WITH 4 FT OF STONE ON THE SIDES AND 1.3 FT' AND 3' OF STONE ON ENDS: DATE DESCRIPTION 35.25 FT L X 12.16' W X 2' D SIDEWALL AREA: (12.16' + 35.25)x 2'(2) SHEET TI 189.6 S.F. pTLE BOTTOM AREA: (12.16' x 35.25') 428.6 S.F. Setic System U. TOTAL EFFECTIVE LEACHING AREA: 618.2 S.F. Upgrade Profile and E SYSTEM DESIGN CAPACITY = 618.2 SF x 0.74 GPD/SF = 458 GPD SEPTIC TANK SIZING: FIRST COMPARTMENT=440 GPD x 2007. = 880 GAL Details 0. SECOND COMPARTMENT=440 GPD x 100% = 440 GAL SHEET NO (48 HR AND 24 HR = 880 + 440 = 1320 GAL) USE 1500 GALLON TWO COMPARTMENT SEPTIC TANK C DATE :MARCH 22, 2019 20 0 20 40 0- SCALE IN FEET > S C A L E :1"=20' DRAWN BY:SDM CHECKED BY: JOB NO:2019-003 F I L E: 2019-003 SP.dwQ 0