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Home My Public Portal AboutBOH07.21.21packet�RwST' 0 Board of Health Penny Holeman Annette Graczewski Joe Ford Jeannie Kampas Kimberley Crocker Pearson Health Director Amy von Hone Assistant Health Director Sherrie McCuIlough Senior Department Assistant Tammi Mason Town of Brewster Board of Health 2198 Main St., Brewster, MA 02631 brhealth@brewster-ma.gov (508) 896-3701. BOARD OF HEALTH MEETING AGENDA 2198 Main Street July 21r 2021 at 7:OOPM Pursuant to Chapter 20 of the Acts of 2021, this meeting will be conducted in person and via remote means, in accordance with app locabbe iaw. This means that members of the public body may access this meeting in person, or via virtual means. In person attendance will beat the meeting location listed above, and it is possible that any or al members of the public body may attend remotely. No in-person attendance of members of the public will be permitted, and public pa rtic 1pati on in any public hearing conducted during this meet ingsha11 be by remote means only. Members of the public who whish to access the meeting may do so in the following manner: Phone. Call [301}715.8592 or (312)626.6799. Webinar l0: 820 4394 4509 Passcode: 979174 To request to speak: Press •9 and wall to be recog nlzed. ZoomWebfnar: httns:11us02Web.zoom.us1i1820439445097nwd=MvtnM2kvUExKb� R51 OhmMb d�a3�9 Passcode: 979174 To request to speak: Tap zoom "Raise Hand", then wait to be recognized. When required by law or allowed by the Chair, persons wishing to provide public comment or otherwise participate In the meeting, may do so by accessing the meeting remotely, as noted above. Additionally, the meeting will be broadcast live, in real time, via Live broadcast (Brewster GovernmentTV Channel 18), Livestream (Westream.bre wster-ma.gov) or Video recording (tv.brewster-ma.gov) 1. Call to Order 2, Chairman's announcements 3. Citizens forum 4. Jeff Prall - Leaching Facility Setback Regulation variance request - 40 Daisy Lane (continued from 7/7/21) 5, Discussion on potential BOH initiatives 6. Liaison reports 7. Matters not reasonably anticipated by the Chair 8. . Next meeting: August 4, 2021 9. Informational items: a. Monthly report white Rock Commons b. Monthly report Routine inspection report for 39 McGuerty Road c. Monthly report for Kings Landing d. Blood Drive information 10.. Adjournment Date Posted: Date Revised: Received by Town Clerk: 7/15/2021 llfileserverl6lrdocuments$ItmasonlDesktoplAgenda template.docx O'"""" �Re►vsr TOWN Or BRr, WSTER 'z 2] 98 MAINS7'itECT BRCWSTER, MA 02631 Y pHoNE: (508) 896-3701 EXT 1120 FAx: (508) 896-4538 BRHEALTHc.BREWSTER-MA.GaV WWW.pg WSTER-MA.GoV Received: X/ Paid: All /5e r Abutter Deadline: 6;:- k Date: ie -27,20 -Lt. &�/ 14klt'? -7-7-21 OFrtc$ of HEALTH DEPARTMENT Application for Board of Health Variances DIn-House Local Upgrade Approval )KPublic Hearing SUB3ECT PROPERTY ADDRESS: 140 0,415 UA -NE Map: 64 Parcel: Boon: Rage: LC Certificate: LC Plan: Lot: Name of Applicant: -'r- PILL Mailing Address: 60 W1 A 5 Y-1wroW IMA,` 4-6 Telephone # 6I '.510—(0696 Email: �' �' i :r i Qlv s �"A C �4' , IIJ ET Owner(s) of Record 'J"(-x_9Lj C NIrtlll, PILAU— C/o C .j 10 Mailing Address: ` T 14i1Nq0W 41A- ' 1PP'4 5 Design Engineer/Sanitarian: Mailing Address: Telephone #: Email address: Firm/Company Name: Signature: Iicant ngineer C C►*t i QfJs LCov" • cJ" New Construction ❑ Voluntary Upgrade ❑Addition/Alteration ❑ Failed system []Real Estate Transfer X C► to Pb Reason far failure, 1'��L Design flaw of existing system:) Design flow of proposed system: %9 f3QQ Total sewage flow of site: Total lot size (sf): Conservation Commission approval required: yes ❑ no Id Order of Conditions/Det, Of Applicability attached ❑ Date of ConCom hearing: List of all Variances from State and Local codes add sheets if ne 5, Sec. #: description of Variance s Approved by: Date Health Department N:IHealtlAROH regAInHouse Septic Local Upgrade Approval 2o191Varianccapplication FINAL NOW JLLABLF FORM 12.19,19.doox L A�S�, �r i 1 ,►s�1"�f � our, Oot.A -5 , PLAN 5 - _..-_Ll3 l �� " t��. ��t�1 [ L� �.tlL�� f�f�] �IS.YL.+�Ca � �]�7 �Q ! �;•�. 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Flt M�H 91 * 9 A �00 � N 71 6 0 F7 L L. c D N ro CL ti tim o m z a�:r m gm i Town of Brewster OFFICE or: �5...,: BOARD OF HEALTH i..., ..,(508) 896-3701 EXT.#20 BRENVSTCR, MA5SACFIUSGTI•S 02631-1898 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM APPENDIX BREWWSTER REGULATION Map �(f Lot 161 Property Address: 40 Daisy Ln Other Address: Name of Inspector: Darrell Stone Company Name, Address, and Phone dumber: Cape Cod Se tic Inspection (5081-240-2500 PD Box 1456 East Harwich MA 42545 Date of inspection: 6-7-2021 This inspection represents (Check One) Real Estate Transfer i[ A) System Passes B) System Conditionally Passes Septic tank covers are more than 12 inches below the finished grade. x C) Further Evaluation is required by the Board of Health X The leaching facility or facilities are located within 300 feet of a pond or lake. Alteration/Addition Records show excessive pumping three or mare times within any eighteen (18) month period for residentiai or commercial property; except for required grease trap maintenance for commercial property. D) System Fails (Brewster Real Estate Transfer Regulation requirements) The system is in a state of disrepair such that it cannot function as it was orlg1nally intended: The lack of a 4 food protective zone between the bottom of the system and the groundwater; Any other problem as defined by the Board of Health or its Director; The sewage disposal system consists of a single cesspool, or cesspools, The Brewster Health Department has reviewed and accepted this report based on the information contained therein. This inspection reflects the present condition of the Sanitary System and is not any guarantee as to the life or future condition of said system. Date Approving Authority Please be advised of ADDITIONAL. BOARD OF HEALTH REGULATIONS: I. Ail private weils are required to be analyzed prior to approval of the Subsurface Sewage Disposal System Inspection Form, and sixty (60) days prior to transfer of property. 2. All underground tanks must be registered with Board of Health and are subject to testing requirements. Owner information is required for every page. Important: when fiFing out forms on the computer, use only the tab key to move your cursor - do not use the return key. r rcnrn Commonwealth of Massachusetts 7a0, fficW �nspectlon Fou vrn Subsurface Sewage Disposal System Farm - Not for Voluntary Assessments 40 Daisy Ln - Property Address CJP Trust Owner's Name Brewster CityFrown MA 02631 6-7-2021 State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. A. Inspector Information Darrell Stone Name of Inspector Cape Cod Septic Inspection Company Name P.O. Box 1466 Company Address Harwich Citylrown (508) 240-2500 Tetephone Number B. Certification Ma State 514995 License Number 02645 Zip Code I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ❑ Passes 2. L1Conditi Ity Passes ' - 3, ® Needs urt Ir Evaluatio y e L ell Approving Authority 4, ❑ Fails �J 6-10-2021 Inspe t s Signa r Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP) within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note. This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection sloes not address how the system will perform in the future under the same or different conditions of use. t5insp.doa • keV. 7 7 2612 0 10 Toa 5 ofriclel Inspectlon Form: Su6sufface sewage ❑€spnsal Sysiofn -page 1 0 18 Owner Information is required for every page. Commonwealth of Massachusetts TKIe 5 OfficoW hispection F«virn Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 40 Daisy Ln Property Address COIF' Trust owner's Name Brewster Citylrown C. Inspection Summary MA 02631 State Zip Code Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: 6-7-2621 Date of Inspection ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.364 exist. Any failure criteria not evaluated are indicated below. Comments: 2) System Conditionally Passes: ❑ one or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box forges", "no" or "not determined" (Y, N, ND) for the following statements. If "not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure Is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. * A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): 15h9p.da0 - rov.7126120,5 Title 5 official W8peclbn FCM Subsurface Sewaga 01spsal Syslem - Pa go 2 or 18 . Commonwealth of [Massachusetts T'Me 5 OffidW hispectkaic� l� a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 40 Daisy Ln Property Address - - CJ P Trust Owner owner's Name information is required for every Brewster MA 02631 6-7-2021 page. Cityrrown State Zip Code Date of inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipes). The system will pass inspection if (with approval of the Board of Health): ❑ broken pips(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) Further Evaluation is Required by the Board of Health: ® Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with M CMF: 16.303(1)t b) that the system is not functioning in a manner which will protect public health, safety and the environment: f5insp,doO . ray.71261201& TIIIQ 5 Official Inspection Fcrn1: 8ubsvfaca Selvage Disposal Sys tett • Page 5 of 10 Owner Information Is required for every page. Commonwealth of Massachusetts Title 5 OfficW kiiapevdan Famn Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 40 Daisy Ln Property Address CJP Trust Owner's Name Brewster CityFrown C. Inspection Summary (cont.) MA 02631 6-7-2021 State Zip Code date of Inspection ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 54 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: ** This system passes if the well water anatysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: The leaching facility is within 300' of a pond 4) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or "No" to each of the following for all inspections: Yes No 11 © Backup of sewage into facility or system component due to overloaded or Clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5irnsp.doc • rev. VW2010 Title 5 O7 IMI Inspacticr Form: Subsurface Sewage 1)1sp08a1 System - Page 4 0f 18 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments P 40 Daisy Ln the system is within 400 feet of a surface drinking water supply Property Address ❑ CJ P Trust ❑ Owner Owner's Name the system is located in a nitrogen sensitive area (Interim Wellhead Protection information Is Brewster required for every MA 02631 6-7-2021 page. Citylrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ © Liquid depth in cesspool is less than 6" below invert or available volume is less than % day flow ❑ ® Required pumping more than 4 times in the last year IVO idue to clogged or obstructed pipe(s). Number of times PLImped: ❑ © Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ❑Q Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DFP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ © The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ ® The system faits. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either "yes" or "no" to each of the following, in addition to the questions in Section C.4. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area -- IWPA) or a mapped Zone II of a public water supply well i5insp. doc • rev. 712612016 TO a 5 Official inspsclion Form; Subsurface Savrago DlsposEl Sys[em • Pago 5 of 18 Owner Information Is required for every page. Commonwealth of Massachusefbs Title 5 Official lnspac un Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 40 Daisy Ln Property Address CJP Trust Owner's Name Brewster Cltylrown 0- Inspection Summary (cont.) MA 02631 6-7-2021 State Zip Code Date of Inspection If you have answered "yes" to any question In Section C.5 the system is considered a significant threat, or answered "yes" to any question in Section C.4 above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section C.4 shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate "yes" or "no" for each of the following for all inspections: Yes No ❑ © Pumping information was provided by the owner, occupant, or Board of Health ❑ © Were any of the system components pumped out in the previous two weeks? © ❑ Has the system received normal flows in the previous two week period? ❑ © Have large volumes of water been introduced to the system recently or as part of this Inspection? ® ❑ Were as built plans of the system obtained and examined? (if they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner (and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System DSAS) on the site has been determined based on; © ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] €51nsp. doc • rev. 712612015 Tills 5 0fftial Inspect\,jn Form: Subsurface Sewage Disposal SyMem - Pages of 18 Commonwealth of Massachusetts r i�Vda 5 Ufu uivao kispecUou n FormSubsurface Sewage Disposal System Form -Not for Voluntary Assessments 1. Residential Flow Conditions: MA 02631 6-7-2021 State Zip Code Date of Inspection Number of bedrooms (design): 3 Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x ## of bedrooms): 330 Description: 3 bedroom residential dwelling 2 Number of current residents: Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: 40 Daisy Ln property Address ❑ Yes Cid P Trust Owner Ownei's Name information is Brewster required for every © No page. city/Town ❑ No D. System Information 1. Residential Flow Conditions: MA 02631 6-7-2021 State Zip Code Date of Inspection Number of bedrooms (design): 3 Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x ## of bedrooms): 330 Description: 3 bedroom residential dwelling 2 Number of current residents: Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes © No Seasonal use? ® Yes ❑ No Water meter readings, if available (last 2 years usage (gpd)): 53.4 gpd Detail: 2020 - 24,000 gal 2019 - 15,000 gal Sump pump? ❑ Yes © No current Last date of occupancy: Date 15nsp.duc • ray. 712612018 Tito 5 0f0dat Inspection Form: Subsurface Sewage ❑WPGSW Sysiem • Page 7 of 18 Owner information Is required for every page. Commonwealth of Massachusetts Title a Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 40 Daisy Ln _ Properly Address CJP Trust Owner's Name Brewster MA 02631 6-7-2021 CityfTown State Zip Code Date of Inspection D. System information (cont.) 2. Commerciallindustrial Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.203): Basis of design flow (seatslpersons/sq.ft., etc.): Grease trap present? Water treatment unit present? If yes, discharges to: Industrial waste holding tank present? Non -sanitary waste discharged to the Title 5 system? Water meter readings, if available: Last date of occupancy/use: Other (describe below): 3. Pumping Records: Source of Information: Was system pumped as part of the inspection? If yes, volume pumped: How was quantity pumped determined? Reason for pumping: Gallons per day (g pd) ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Date 912017 Discount Septic Pumping 508 240-2500 gallons ❑ Yes ® No t5fnop. doc - rev. MOV2018 Tille 5 OMNI Inspection Form: Suburface Sewaga Disposal System � Page 6 Of 18 Commonwealth of Massachusetts . Title 5 Official inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 4 y 40 Daisy Ln Property Address CJP Trust Owner Owner's Name information is Brewster MA 02631 6-7-2021 required for every State Zip Cade Date of Inspection page. cityrrown D. System Information {cant.} 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the i1A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other (describe): Approximate age of all components, date Installed (if known) and source of information: 1995 per BoH Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer (locate on site plan): Depth below grade: Material of construction: ❑ cast iron ® 40 PVC ❑ other (explain): Distance from private water supply well or suction line: 27"+I_ feet feet Comments (on condition of joints, venting, evidence of leakage, etc.): Apparent good condition t5lnsp.doc • rev, 7/26/2010 Title 5 OtOziai Inspection Foran: Subsurface Sewage Ddspasat SYMM - Page 9 of 1a Commonwealth of Massachusetts � ��e Offhispection V'or��rr= � r� Subsurface Sewage Disposal System Form - Not for Voluntary Assessments D. System Information (cont.) 6, Septic Tank (locate on site plan); Depth below grade: Material of construction: © concrete ❑ metal ❑ fiberglass 62631 6-7-2621 Zip Code Date of Inspection 22" feet ❑ polyethylene ❑ other (explain) If tank. is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No n Dimensions: 1060 gallo Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 27" 112" Scum thickness Distance from top of scum to top of outlet tee or baffle 6 Distance from bottom of scum to bottom of outlet tee or baffle 16" How were dimensions determined? Sludge judge Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grade to inlet cover 10" Outlet 12" Normal liquid level No sign of leakage SCH 40 outlet tee Recommended next maintenance pumping within 1,5 years Recommended maintenance pumping every 2-3 years 151nsp,doc - rev. 712 612 0 1 0 In Ile 5 Official ln5neclicn Form: Subsurface Sewaga Plspvs©I System' Page i0 0f I 40 Daisy Ln Property Address CJ P Trust Owner Owner's Name information is Brewster MA required for every Cityrrown State page. D. System Information (cont.) 6, Septic Tank (locate on site plan); Depth below grade: Material of construction: © concrete ❑ metal ❑ fiberglass 62631 6-7-2621 Zip Code Date of Inspection 22" feet ❑ polyethylene ❑ other (explain) If tank. is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No n Dimensions: 1060 gallo Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 27" 112" Scum thickness Distance from top of scum to top of outlet tee or baffle 6 Distance from bottom of scum to bottom of outlet tee or baffle 16" How were dimensions determined? Sludge judge Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grade to inlet cover 10" Outlet 12" Normal liquid level No sign of leakage SCH 40 outlet tee Recommended next maintenance pumping within 1,5 years Recommended maintenance pumping every 2-3 years 151nsp,doc - rev. 712 612 0 1 0 In Ile 5 Official ln5neclicn Form: Subsurface Sewaga Plspvs©I System' Page i0 0f I • Commonwealth of Massachusetts Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 40 Daisy Ln _ D. System Information (cont) 7. Grease Trap (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal Dimensions: Scum thickness 02531 5-7-2021 Zip Code Date of Inspection feet ❑ fiberglass ❑ polyethylene ❑ other (explain): Distance from top of scum to top of outlet tee of baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: bate Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.); . 8. Tight or Holding Tanis (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal Dimensions: Capacity: Design Flow: Wn9p.doc • rev.1126120143 ❑ fiberglass ❑ polyethylene ❑ other (explain): ons gallons per day TiI[a 5 official Inspe cl bn Form: Subsurface Sewage olsp osaI Systom • PO90 TT cd 18 Property Address CJP Trust Owner owner's Name information is Brewster MA required for every page. CitylTown State D. System Information (cont) 7. Grease Trap (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal Dimensions: Scum thickness 02531 5-7-2021 Zip Code Date of Inspection feet ❑ fiberglass ❑ polyethylene ❑ other (explain): Distance from top of scum to top of outlet tee of baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: bate Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.); . 8. Tight or Holding Tanis (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal Dimensions: Capacity: Design Flow: Wn9p.doc • rev.1126120143 ❑ fiberglass ❑ polyethylene ❑ other (explain): ons gallons per day TiI[a 5 official Inspe cl bn Form: Subsurface Sewage olsp osaI Systom • PO90 TT cd 18 Commonwealth of Massachusetts ode 5 Official lnsp Hun F urrn Subsurface Sewage Disposal System Form - Not for Voiuntary Assessments 40 Daisy Ln Proparty Address CJP Trust Owner Owners Name information Is Brewster required for every page• cityl-rown D. System Information (cont.) 8. Tight or Holding Tank (cont.) MA 62631 6-7-2021 State Zip Code Date of Inspertbn Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order Date of last pumping: pate Comments (condition of alarm and float switches, etc.): * Attach copy of current pumping contract (required). Is copy attached? 9. Distribution Bo)c (if present must be opened) (locate on site plan): 0° ❑ Yes ❑ No ❑ Yes ❑ No Depth of liquid level above outlet invert - Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Grade to box 2" OK condition 1 outlet Normal liquid level No scum No sign of leakage No sign of failure i5insp.Goa - ray. 712612018 Tide 6 0ffloled Inspection Fwn: SubsurraCo Sewage ONp $M Syslem • Page 12 N 18 Cornmonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments -,� 40 Dalsy Ln Property Address CJP Trust Owner Owner's Name information is required for every Brewster NAA 02631 6-7-2021 page. CItyfrown State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber (locate on site pian): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): t5fnsp.d= • rev. 712612018 TI Ile 5 Official Inspection Form: Subsurfars Sewage olspasal Sysiem • Pails 13 of 16 * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ® leaching pits 1 number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovativelalternative system Type/name of technology: t5fnsp.d= • rev. 712612018 TI Ile 5 Official Inspection Form: Subsurfars Sewage olspasal Sysiem • Pails 13 of 16 • Commonwealth of Massachusetts Title 5 Official Inspection Form ug Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 40 Daisy Ln l, Property Address CJP Trust Owner Owner's Name information is Brewster MA 02631 6-7-2021 required Far every page, cityliown State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) {cont.} Comments (note condition of soil, signs of hydraulic failure, vegetation, etc.): 1, (6x6') pit with stone Grade to SAS 66" Cover to grade No sign of hydraulic failure level of ponding, damp soil, condition of Bottom 145" ponding 6" 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan); Number and configuration Depth —top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 15Snep.doo • rev. 7126120113 Title 5 O}Adal irlspectlon Form: Subsurface Sewage DisposW System • Page 14 of 1a Owner information is required for every page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 40 Daisy Ln Property Address CJP Trust Owners Name Brewster MA 02531 6-7-2021 Cityrr'own State Zip Code Date of Inspection D. system information (cont.) 13. Privy {locate on site plan}; Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.); f5kjsp.dQo • rsv. M61208 TIB9 5 oft.1d Inspoollon Form: Sub3vrfare Sewage QIIspoas9 System • Page 15 of 18 Commonwealth of Massachusetts Title 5 Official inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments NW, 40 Daisy Ln Property Address CJ P Trust Owner owner's Name equir ed faatlfo is every rBrewster MA 02631 6-7-2021 requir page. cilyrrown State Zip Cade Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below; ® hand -sketch in the area below ❑ drawing attached separately ,REAR � I A � 1 t I 1 2 3 Ew 4` fie POM 3 10 l5lnsp.doc • rev. 71202018 TIIIe 5 official Inspection Form: ftbeurfaca Sewage Ugsposml System • Page 15 of 18 1 �L A 'l }yam l{ ~�•l �i � I Owner Information is required for every page. Commonwealth of Massachusetts Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 40 Daisy Ln Property Address UP Trust Owner's Name Brewster MA 02631 6-7-2021 Cityrrown state Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water ® Check cellar ❑ Shallow wells >4 Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation: ❑C Obtained from system design plans on record If checked, date of design plan reviewed., 1995 Date Observed site (abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health - explain: test hole results from plan dated 5/13/1986 Checked with local excavators, installers - (attach documentation) Accessed USGS database - explain: You must describe haw you established the high ground water elevation: Shat elevations during the inspection Grade over pit ELV. 50.0 Assumed Bottom of SAS ELV. 37.92 Pond ELV. 32.08 Separation =5.84 Before filing this Inspection Report, please see Report Completeness Checklist on next page. 151mp.doC • rev, 71261201U TW5 offcfaI Inspoctian Form: Sl14SLOBCB SOWeJaO DIS pos31 SYOd M • Pago 17 of 18 Owner Information Is required for every page, Commonwealth of Massachusetts Subsurface Sewage Disposal System Porth - Not for Voluntary Assessments 46 Daisy Ln _ Property Address CJP Trust Owner's Nam Brewster MA 02631 6-7-2621 CitylTown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked © C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed ® D. System Information: For 8: Tight/Holding Tank — Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc • rev. VM2010 Tltfe 5 0fflclal in9pecticn Form: Subswface Sewage 01sp Sal system • Page 18 of 18 TOWN OF BREWSTER ADDENDUM TO DEP SEPTIC INSPECTION REPORT Inspection Location 44 Daisy Ln 1. Residential Pro ei Bedrooms (incl, den, setiving roont, once) 3 Family Rooms Living Rooms 1 Bathrooms 3 Dining Rooms 1 Kitchens ? Other: Total: 9 2. Floor Plan: Show all doors including basement: Map & Parcel Commercial Pro e Employees Toilets Rooms with Bath Square Feet 3, Is the septic system, as inspected, in full compliance with either Yes X the 1978 (X__) or 1995 (!) Title 5 code? If not, list deficiencies No 4. Is the system in the Zone II (Water Resource Protection Yes . No X District)? Lot size: 1 it �F �LJ _ j _ ►` cs.p e- - - - _s I -S{-tI –s - — 3, Is the septic system, as inspected, in full compliance with either Yes X the 1978 (X__) or 1995 (!) Title 5 code? If not, list deficiencies No 4. Is the system in the Zone II (Water Resource Protection Yes . No X District)? Lot size: 1 TOWN OF BREWSTER ADDENDUM TO DEP SEPTIC INSPECTION REPORT Inspection Location 40 Daisy La Map & Parcel 5. Is there a 4' separation (1978 code) or a 5' separation (1995 code) Yes X No between the bottom of the S.A.S. and adjusted groundwater? TOP OF FOUNDATION 6. Town Water (LK) or Private Well (___) Distance from nearest septic system component: 14'+ 7. Wetlands or surface water within 100' of septic system? Yes No X Distance from nearest septic system component: 100'+ 8. Groundwater flow direction 9, Type of pipe used in system PVC X Orangeberg Other 10 Sanitary tees or baffles in place (Yes —No —N/A?) Septic tank inlet Yes Septic tank outlet Yes Pump chamber inlet nla D -box inlet if pumped system n1a Grease hap inlet nla Grease trap outlet nla Risers — 1978 code within 12 inches of grade on septic tank Yes Risers — 1995 code within 6 inches of grade on all components nla One inspection port on S.A.S. (1995 code) Yes 2 k I E W S D E c� 0 4_1 A� 0 iz, %. - �R_ /w 4� Town. of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 PHONE: 508.896.3701 EXT. 1120 FAX: 508,896,4538 brheHlth@brewster-nia.g_o%, WWW.BREWSTER-MA.GOV AGENDA ACTION ITEM FORM BOH Variance Agenda Item 9 In -House Local Upgrade Approval F1 Other: El Board of Health Meeting Date: July 7, 2021 Project Locatioh: 40 Daisy Lane Map & Parcel: 56/79 Owner's Name & Address: Jeffrey & Cynthia ' Prall c/o CJP Timt 80 Hayden Rowe Street Hopkinton, MA 01748 Applicant: same as above Date Requested: June 22, 2021 Health Department Amy L, vori Hone, R.S,, C�H.O. Director Sherrie McCullough, R.S. Assistant Director Tammi Mason Senior Department Assistant Title 5 Variance Request: Yes 13 No El Board of Health Variance Request: YesE] NoE)300'Pond Setback Other: YesEl NoEl 1. Outside Zone 11 and Town Water 2. InESA— existing dwelling and septic system within 140'+/- of Schoolhouse Pond 3. Real Estate Transfer Inspection June 7, 2021 for Proposed Addition Health Director's Comments and Recommendations: - 1 The property consists of an existing 3 bedroom dwelling with a 1995 Title 5 septic system consisting of a 1000 gal septic tank, distribution box, and a 6' leach pit with 2' stoneapproved for a 3 bedroom dwelling per office records. The property borders the southeasterly side of Schoolhouse Pond, The existing septic. leach pit is approximately 14 0" from the closest edge of the pond and approximately.5.84' +/- above the edge of the pond elevation per the June 7, 2021 Title 5 Inspection Report. The leach pit is not showing signs of hydraulic failure (6" ponding in a 72" deep pit). 2. The applicant is proposing a 14' x 36' addition to the existing dwelling. The addition will consist of a garage and family room. No additional bedrooms are proposed. N:\Hea1th\B OH Mecti ng Notes\DOH He arin g Note M 0 Dai sy Ln M 56P79 Agenda. V nriance Action Item Form D7.07-202 I.docx 3. Per the Water Table Map of Brewster and Harwich, groundwater is flowing northwesterly towards the pond. Based on the location of the leach pit, the pit is located upgradient of Schoolhouse Pond. 4. Map References: - Cape Cod Water Resources Classification Map 1, 6/18/2010 (Map referenced in approved BOH Regulation Regarding Variance Requests for On -Site Sewage Disposal System Applications): lot and septic system are located within the Freshwater Recharge Area. - Septic System Buffers and Groundwater Flow Directions near Brewster's Ponds, 1/26/2016 (Map referenced in Draft BOH Regulation of Sewage Disposal Systems to Protect Surface Waters and Pond Water Quality, 2016): the lot and septic system are located within proposed septic system setback delineated boundary. Draft regulation not currently approved by BOH. Septic system pre-existed draft regulation and map. - Water -Table Map of Brewster and Harwich, 1987 (Map referenced in approved BOH Regulation Regarding Variance Requests for On -Site Sewage Disposal System Applications): septic system located upgradient of southeasterly end of pond. 5. Title 5: no variances requested — pre-existing conditions Town of Brewster: a. SAS 140' to Pond edgelBVW, 160' variance request per Leach Facility Set Back Regulation (5) 6. Approval with the following reasons: a. Septic system has a passed Title 5 Inspection Report dated 06/07/2021 and indicates the system is properly functioning. b. The leach facility is greater than the minimum 5' separation above the pond elevation/groundwater required under Title 5 regulations. Per file records, the leach facility. is approximately 5.84' above groundwater/pond elevation. c. The proposed addition will not increase sewage flow to the existing septic system. The existing septic system is large enough to accommodate the existing 3 bedrooms and the proposed addition (non -bedroom space). The proposed addition does not meet the Title 5 Definition of New Construction: New Construction - The construction of a new Building for which an -occupancy permit is required or an increase in the actual or design flow to any system or an increase in the actual or design flow to any nonconforming system or an increase in the design flow to any system above the existing approved capacity. New construction shall not include replacement or repair of a building in existence as ofMarch 31, 1995 that has been totally or partially destroyed or demolished, provided there is no.increase in design flow, no increase in design flow above the existing approved capacity to any system, no increase in the number of dwellings or dwelling units or no increase in the number of bedrooms in any dwelling or dwelling unit. N:V-4eaItM13OH Meeting NotesTOH Hearing NotoA4 0 Daisy 1,n M56P79 Agenda. Varianco Action Item Fnnn 07.07.2021.docx Ln {, !. -Z:yt�)A d Aee5 401 , wo Z- F0 w_ , Uassification flap I ropes I � l h r i 4 WIle s Regional. Policy Plan (Effective January x6, 2009) Amended -- Effective Judy 3, 2009 Amended -- Effective June 18, 2oio Resource Areas: 0 Wellhead Protection Areas Tderllfed We$head Protection Areas: (Zones of Contrikilon), Department or Environmental Protection and £OEA MassG1S 2010, Cape Cod Cammissfon Water Resources Staff, andyvarouus private consulting firms. . Public Supply Wells s Public Water Supply Well 0 Srrlali Volume Wells, Nor-Translent Small Volume Wells, Transient o Proposed Publk Water Supply Well A Surface Wader supply Locations of pubk community surfare and groundwarter s0pp{y sources and public non-coub muolty supp{y sources. Department or Environmental Protecticn and EOFA MassGt52010, and Cape Cod Comimissfon Water Resources Staff, Potential Water Supply Areas Potential Put & Water Supply Tracts: from the'Priority Land Acqulsilion Assessment Project" (PLAAP), June 1999, updated MOB. Lower Cape data from the lower Cape Water qual ty Task rorce, 2001. r L k: I Freshwater Recharge Arcus Freshwater Recharge Area: Areas sflown are those Identified To DATE by the HSGs (see reports ZO04-5914 and 2004-5181), the Massachusetts Estuaries project, and the Cape Cad Ccvmmisslon Water Resources Staff, ZOOS. Qualityiter redAreas: Developed Areas Development such as medt rn and htgh density residential, mutt faml}y res}dentlal, urysewered residential lots less than 20,O00 square Feat, cornmmiat and imdustrlai areas determined from d[vjtaI parcel and assessors' data and Macconneli landuse: 1999. Created by LIMass-Amherst Resource dapping Project in cooperation wkh the £OFA MassGiS pro,'ect arvJ the Cape Cod Comff-4r,4on. Potential Plumes from Waste Sites Potential Plumes from Waste Slte Areas: Created from private constAing firms, the Air Farce Center for E"Ineerirv9 and the Ent4onment and the Cape Cod Commissbri Water Resources Staff. Waste site Areas Areas that include landrllls, septage, and wastewater treatment plarA discharge sites determined from dlgltal parcel and assessors' data and dtgltai MacConn ell land use: 1999. Created by the WNass-Amherst Resource Mapping Project in cooperation with the EDEA MassGIS project and the Cape Cod Cown0sslori. Water Quality Imprrovement Areas: Water fp:rality Impaired Areas that are located In Pr maty Resource Areas. Tus Meq Was produced by tie Cape cod Cnmm:S*Ws Geographic m*m,atWn Systeak DapoM14. tfor the Reslapal Pdiry Plan update, effective 7arrrary 16, 1r169, vAtl, aby arewndnrents listed b6m., Data Yneed•rwds eilecave July 3, Ion lnCwnq DEP torte us, CEP Publk SS,pply Wens, and rhe Cape Cod Canmkaron KAPLF. Data amendments elfectnre ]one 10, 200 indd4M YMihead Protecdan Areas and DEPP4b8c Sup*Vids. The Cape Cod Counlston k a "kTi of earnstablaCointy. CorreWom are trelcome at the cap- Cod Commis.�ondTke or wnmR gls�pe[oECDmrnlsrian-erg. This rnap Is 16 dn%1've amd all depleted baundariz are approximate. It W khknded For plendug pupows only - - rmt sne spedRt purposes. CAPE COIF COMMISSION it�l � + �+�ttl/4 i�i�is�ii■i��llliii� . iA al•��.f. �•• r . z m A U " r �b z r 1 lis x� A � f r�{S;f p a llti� m iIf no.ill m L�-t > 00 0 �p ++ xrril- is O I11 -Loon �zz 1 I N 0w it NN Nd Lk 0". 0 UP In M NW IP t I f1�Q��o l^7 �' txSAmFx ri e.n mN� rn MI -A n i m m z 0 x 0 i" p - R_ a rn4 L p z ttl p f? ez�� a f3 2s'il"4�' • VN ii•l r; iin 1 II �I fl• C �Vq It, ❑ Cm�a� h Iln �: m mm 0 ftl <ED u l9 A �; I fljl.l p p rr h � U1 -42 m m 66 �S I'm -mu 1 m -Z tt?y� i�+ - v z r p m -iN,n -i l { A -PI❑ m elf �Ll ..rNi7 ❑ ❑n Z agmA t 10 L SID R mxoF D wtt,{ D .tn❑ b - k❑- - g A 0� o -i �} _ 111 1, r V ❑ j r V z� n f i r Z r �. S� i A�— i � m j� 5 ❑ �C C a Z i3 ,i li i3VlII @ ?' A In N D o Y X x 111 111 Al £ '4K rK� � [fin m �!! +i - �5• u I � �I+ qy � � -1 !A Ili "I.xm mprd F�31z+d '• l}1't m � � m IN s n m�z❑ rl 111 `p ir�F- 14 : \\ r run i' � r� �mPL + iFllq Id �Z v = x t n5 `il In jl tj to nl p m x Iq Z 10 m m EFo�PrH E 0 l` m yg m f = rn ti IN �mA� [n7 �a ann ' z 0z [Ilona pI... oNt� Npelzr -1 ii z �n p? Z L1 f ❑ �t l;. t Q{A vxtom l p flmm� Uy - } x� �] PIP I, 0 r 4 [7 z As r tmpl f L11[�n m f7'°: PC{Amv °a��7}mm m rpM'D (7�r i❑ m�NiZS Oz 1— 0 ❑ �otn x on� tim ,Mn Zr, a 't *p1 ❑'�z � �G61Q� m-isriz?t �D_ r F sn x0) m FN ¢ ` m"15Ill a� le l„ll _C1 1 r1 Imm r r r� p��❑A N m q � zyzi�y , 111 [e Pl C C1 O v Tr - z S �t art �❑ z m it„_lu 11l C, v i(1s i1 AGENDA ACTION ITEM FORM- Supplemental Information BOH Variance Agenda Item In -House Local Upgrade Approval ❑ Other: Board of Health Meeting Date: July 7, 2021, Continued Hearing July 21, 2021 Project Location: - 40 Daisy Lane Map & Parcel: 56179 Owner's Name & Address: Jeffrey & Cynthia Prall c/o CJP Trust 80 Hayden Rowe Street, Hopkinton, MA 01748 Additional Documentation; 1. Leaching Facility Setback to a Water Course Regulation — Adopted 12118170, Amended 7121187 a. Requires minimum 100' between leach facility and water course (streams, pond, open and subsurface drains, fresh and saltwater marsh lands) 2. Leaching Facility Setback to Water Course Regulation — Amended 4121198 a. Requires minimum 200' between leach facility and river or open and subsurface drains b. Requires minimum 100' between fresh and saltwater marsh lands, inland and coastal banks, ponds, and leach facilities c. Regulation amended to incorporate 200' jurisdictional review within Rivers Bill under Wetlands Protection Act 3. Sun -unary from CC Commission Water Scientist Ed Eichner —1130104 a. Review of pond protection provisions in Brewster Health, Conservation, and subdivision bylaws and regulations b. Recommends evaluation of water quality data from citizen monitoring combined with watershed delineations and other physical features of ponds c. Review of 2001 and 2002 water quality data showed 8 out of 26 ponds had significant impairment and 18 out of 26 ponds exceeded impacted thresholds d. Impacts from existing development should be addressed in regulation changes e. Review management options within watersheds and ponds to discern if regulatory changes are most cost effective f. 300' setback recommendation established from federal Clean Lakes Program based on capacity of sandy soils to bind phosphorus 4. Town Counsel Letter of Recommendation Atty. Sarah Turano-Flares — 12/14/04 a. Proposed changes to local BOH regulations to include Leach Facility Setback Regulation and Real Estate Transfer Regulation b. BOH proposed redraft of BOH regulations into one law and approve language for 300' setback from ponds and lakes - 2005 5. Leaching Facility Setback Regulation — Adopted 911106, Amended 12/18/12 a. Incorporates 100' setback between leach facility and Surface Water and 300' setback from Pond or Lake b. Designates substandard leach facility and requirement that leach component be located at maximum feasible distance to surface water, pond or lake at time of Real Estate Transfer 6. Real Estate Transfer Regulation — Adopted 5119187, Amended 111]188, 1119189, 1119193, 312193, 811195, 5123106, 1111117 a. Revised 5123106 to include 300' setback to pond requirement 7. Rapid Watershed Assessment for Schoolhouse Pond —1212014 141243 Brewster Rapid PondAssessment_Report 11109B_FINAL.pdf (horsle,L itten.com) N:1Health\BOH Meeting Notes\BOH Hearing Notesl40 Daisy Ln M56P79 Agenda -Variance Action Item Form Supplemental 07.15.2021.doex R�Ws Town of Brewster OFFICE W LLotR � F,d BOARD Olr HEALTH r + w � Y It Brewster, Massachusetts 624:1 to LEACHING FACILITY SET BACK TO A WATER COURSE In accordance with the Massachusetts General Laws, Chapter111 Section 31, the Hoard of Health adopts the following regulation: All leaching facilities of a sewage disposal system shall not be located or installed less than -100 feet from a water- course including streams, ponds, open and subsurface drains, fresh or saltwater marsh land and inland and coastal banks, as defined by the Town of Brewster Wetland Protection Bylaw. December 18, 1970 Amended July 21, 1987 s Paula J. Charip6gne, Chairman Terence M. Hay", vi(/e-Chairman Jolin M. Mulkey, Member -at -Lar e BE wsr Town of Brewster OSCE OF: vU a s BOARD OF u ALTH r [q BREWSTER, MASSACHUSETTS 02631-1898 (508) 896-3701 EXT.N20 r�C�RpORAsiO `f e. i s. isos LEACHING FACILITY SET BACK TO A WATER COURSE In accordance with the Massachusetts General Laws, Chapter 111, Section 31, the Board of Health adopts the following regulation. All leaching facilities of a sewage disposal system shall not be located or installed less than 200 feet from a river or open and subsurface drains. In the case of fresh or saltwater marsh land, inland and coastal banks, and ponds, leaching facilities shall not be located less than 100 feet as defined by the Town of Brewster Wetland Protection Bylaw and Regulation. Effective: December 18, 1970 Amended; July 21, 1987 Amended: April 21, 1998 Len Avery, Chairman Doris Franzago Donna Sawchuk BREWSTER BOARD OF HEALTH Elizabeth Collins, Vice Chairman David H. Corcoran c CAPE CCD COMMISSION 3225 MAIN STREET P.O. BOX 226 BARNSTABLE, MA 02630 (508)362-3B28 FAX (508) 362-3136 E-mail: frontdesk@capecodcommission.org WATER EMAIL: water@capecodcornmission.org MEMORANDUM TO: Brewster Board of Health Brewster Conservation Commission CC: Carroll Johnson, Long Pond Watershed Association FROM: Ed Eichner, Water Scientis� DATE: - January 30, 2004 RE: Review of pond protection provisions in town health, conservation, and subdivision bylaws and regulations As a result of September 2003 votes by the Town of Brewster Conservation Commission and Board of Health and a subsequent meeting in December, the Town requested that the Cape Cod Commission review freshwater pond protection provisions in current Town health, - conservation, and planning bylaws and regulations. Included in this review, which is discussed below, are recommendations regarding changes that the Board and Commission may want to consider to better protect Brewster's ponds. Board of Health Re ulations Under Massachusetts General Laws, Boards of Health are responsible for disease prevention and control and health and environmental protection. Boards of Health administer state regulations for the departments of Public Health and Environmental Protection. State laws (MGL Chapter 111, Section 31) also provide Boards of Health with the ability to adopt more stringent local regulations to better address local conditions provided that proper public discussion procedures are followed. Brewster currently has six iocal Board of Health regulations: Water Quality Report, Septic System Inspection/Maintenance Program., Real Estate Transfer, animal prohibition on public beaches, Animal Regulations, and leaching facility set back to a water course. The most pertinent of the local regulations for pond protection are discussed below: a. Water Quality Report (effective 1115188) This regulation requires development projects with Title 5 flows of greater than 2,000 per day or with residential densities greater than one unit per acre to prepare a Water Quality Report. The key requirement of the regulation is that the report must, in part, "demonstrate that no significant impact to water resources will occur as a result of the project, and that the nutrient contribution of the proposed project, when added to the existing and potential nutrient level of other developments and acreage within the specific File: BREregulatoryreviewPonds 1 of 5 recharge area will not result in nutrient levels that exceed the receiving water's critical eutrophic level." Specific requirements for lakes and ponds are detailed including phosphorus loading factors and a critical eutrophic level of 0.02 mg/l (20 µg11} total phosphorus. b. Leaching facility set back to a water course (amended 7121187) This regulation requires septic system leachfields to be located beyond 100 feet from ponds and lakes. c. Animal Regulations (last revision effective date 11127192). This regulation includes requirements about drainage and waste disposal for farm animals and poultry. Among the requirements are provisions to place barns, coops, and manure piles at,least 100 feet from wetlands. I Real Estate Transfer (last revision effective date 8111195) This regulation details inspection steps to be taken to bring older septic systems up to current regulations when a property changes ownership. Discussions and Recommendations The regulation requiring the Water Quality Report provides good framework for protection of pond ecosystems. The Town may want to consider revisions to this regulation and the others discussed above to better incorporate pond -specific information that has been developed in the last few years, to provide a more cohesive set of regulations, and to address single family residences, which are the primary source of the water quality impacts observed in Brewster's ponds. The requirement to develop a Water Quality Report begins by understanding whether a proposed project is within a pond watershed. From discussions with town staff, only a handful of ponds have watersheds delineated. As a result of groundwater models newly developed by the US Geological Survey, watersheds or contributing areas to Brewster's ponds could be developed to facilitate the review of projects. By providing these watersheds rather that requiring their delineation by applicants, the town could create greater regulatory certainty for the development community. Using the water quality data that has been developed for many of Brewster's ponds in the last few years could also provide additional certainty. This information could be used by the town to determine which ponds have exceeded the "critical nutrient level" described in the regulation. Through the efforts of volunteer monitors and free laboratory services from Cape Cod National Seashore and. the School of Marine Science and Technology at the University of Massachusetts -Dartmouth, water quality data has been collected from more than 25 ponds in town. This water quality data also presents the town with the opportunity to identify pond specific critical levels rather than using the generalized limit currently specified in the regulation. This effort would require combining this data together with physical data about the ponds and determining which ponds already have water quality problems, those that might have problems in the future based on buildout potential, and those that are unlikely to have water quality problems given existing zoning and land use patterns. Getting a better understanding of the pond -specific critical levels would also allow the town to begin to understand options that may be available to improve the water quality in the ponds that are above their critical levels. The Water Quality Report regulation only applies to larger developments. If the town developed management options and an understanding of water quality concerns for each of the individual ponds that have been monitored, the town could use an amended version of the real File; BREregulatoryreviewl'onds 2 of 5 estate transfer regulation to specify management activities for all types of development within specific pond watersheds. Better understanding of each pond's condition would also allow the town to consider modifying the 100 ft leachfield setback for select ponds or specifying appropriate shoreline uses based on slope and condition of the pond. Finally, the town should consider revising the waste disposal requirements in the animal regulation. Allowing uncovered manure piles 100 ft from wetlands, including ponds or estuaries, represents a significant potential nutrient source that could mostly be addressed if these piles were required to be covered by a simple roof. This requirement could also be revisited following the review of individual ponds. Conservation Commission By -Law and Regulations The Conservation Commission administers the local provisions of the state Wetlands Protection Act (MGL Chapter 131, Section 40). In order to complete its responsibilities, the town has approved a by-law and subsequent regulations to help implement the by-law. Any activities on or within 100 ft of various resource areas, including ponds and lakes, must file with the Conservation Commission. In addition, any activities. beyond 100 ft judged to impact any of resource areas considered under the by-law can also be reviewed by the Conservation Commission. The regulation lists specific requirements for each of the resource areas considered under the by-law. The town regulation generally focuses on the land within the jurisdictional area rather than on the water. So, for example, the sections concerning ponds and lakes (Sections 2.09, 3.01, and 3.03) discuss conditions of the bank of the pond or the land under the pond. Most pertinent of these provisions for ponds is the variance provisions in Section 3.03, which requires any activity under review "shall not impair..ground and surface quality; and the capacity of said land to provide breeding habitat, escape cover and food for fisheries." In large part, this provisions means that the Conservation Commission must decide what constitutes an "impairment" of water quality. Maintenance of existing structures is specifically allowed. Discussions and Recommendations Given the proceeding discussion of using the available water quality data to develop management strategies for specific ponds, this type of effort could also be used to better define "impairment" within the context of the Conservation Commission regulations. If a pond is already impaired, activities within its watershed have the potential to further impair it. The Conservation Commission may want to consider water quality offsets for any activities within watersheds to such ponds; for example, activities that add nutrients would have to be offset by activities that remove equivalent or greater quantities. The Conservation Commission may also want to consider using existing bylaw provisions to assert jurisdiction over all activities within these watersheds, not just those within the 140 ft area. Another factor that the Commission may want to review is the role of water level fluctuations in determining the jurisdictional area. In the definitions of an inland bank (Section 3.01(2)(c)), bordering land subject to flooding (Section 3.04(2)(a)(3)), and isolated land subject to flooding (Sections 3.04(2)(b)(1) and 3.04(2)(b)(3)) there are a number of parameters that aright be better determined through the use of the Cape's High Groundwater Methodology (Cape Cod Commission's Technical Bulletin 92-001). Because of the sandy soils on the Cape, water in depressions is usually a reflection of the water table; depressions are filled higher when water levels are high and they become dry or only minimally filled when water levels drop. Application of the High Groundwater Method to shallow depressions within reasonable File; BREregolatoiyreviewPonds 3 of 5 groundwater fluctuation zones would allow the Conservation Commission to, identify areas that might be a concern. Application of the method would also allow the Conservation Commission to rely on a proven tool rather than relying on infrequent observations or year-to-year recharge fluctuations. Finally, Section 1.03(b) of the town's regulation prohibits leaching facilities within the 104 ft jurisdictional area "unless the applicant can demonstrate that there will be no alteration of the ground or surface water, .. and no adverse impact upon any of the interests specified in the By-law..." This provision is consistent with the Board of the Health setback requirement and would require consultation between the two boards to provide the alternative -setbacks discussed above. Subdivision Rules and Re lationslZonin The Planning Board administers local subdivision rules and regulations under provisions in the state Subdivision Control Law (MGL Chapter 41, Section 81K through 816G). In these local regulations there are provisions for design of road buffer ships, sewage assessments, stormwater designs, and general environmental assessments. These regulations generally apply to any -subdivision of land provided that appropriate subdivisions did not occur previously. Of particular pertinence to protection of ponds are the provisions in the regulations requiring the submittal of an "Environmental and Community Impact Analysis" for developments with the potential of creating 10 or more lots (Chapter 294-10(A)(8)) or 8 or more commercial lots. This Analysis, the details of which are described in the regulation, is similar to the Board of Health's Water Quality Report, but more comprehensive. The Analysis is required to detail "all primary and secondary environmental and community impacts, both beneficial and adverse, anticipated as a result of the proposed development." Use of lots is determined by town Zoning Bylaws (Chapter 179 of Brewster Town Code). Included among the zoning provisions is a section designating a Wetlands Conservancy District. This district mirrors the resource areas addressed under the Conservation Commission by-law and regulations and allows development within these areas subject to a special permit procedure. The special permit is issued in consultation with the Conservation Commission. Another special permit process in the Zoning Bylaws is the provision for Planned Residential Developments. Compact residential developments are encouraged by this section and it includes submittal of information that essentially mirrors the Environmental and Community Impact Analysis required in the Subdivision Rules. Discussions and Recommendations The Zoning Bylaws appear to replicate many of the provisions of the Subdivision Bylaw and regulations and Conservation Commission regulations, and a more limited portion of the local Board of Health regulations. The Environmental and Community Impact Analysis is targeted at larger developments, likely with the thought that impacts associated with smaller developments have already been evaluated. Given the water quality of some of the ponds and the extent of development in the town, it would appear that smaller developments and existing developments should be addressed to improve water quality. SUMMARY Brewster already has a number of existing regulations and by-laws in place that could be modified to better protect the water quality in the town's ponds. However, it is recommended that a first step in considering any modifications should be an evaluation of the water quality data Pile. BREregulatoryreviewPonds 4 of 5 available from the citizen monitoring combined with delineations of watersheds and other physical features of the ponds. Last April, I presented a review of 2001 and 2002 water quality data to the town's pond monitoring volunteers. Data at that time showed that 8 of the 26 ponds monitored had significant impairinents and 18 of the 26 exceeded impacted thresholds. These findings suggest that whatever changes contemplated for the town's regulations and by-laws should include some components to address impacts from existing development. This also reinforces the need to review management options within both the watersheds and the ponds to discern whether regulatory changes are the most cost-effective option for improving and protecting pond water quality and how extensively existing development will need to be addressed. Related to this evaluation is the opportunity to review the phosphorus limit (20 ggll total phosphorus) used in the Board of Health's Water Quality Report regulation. Data from all the ponds sampled during the 2001 PALS snapshot suggests that the appropriate Cape Cod phosphorus limit is between 7.5 and 10 µg/l. Preliminary review of the 2002 and 2003 PALS Snapshot data again suggests that the limit is lower than used by the Board of Health, but further suggests that there may be differences between limits for shallow and deep ponds. Reviewing Brewster"s water quality data may provide an opportunity to detail pond-specific phosphorus limits or a set of depth-dependent limits for Brewster's ponds. Although a town-wide water quality evaluation is recommended to address the impacts of existing development, future development will potentially worsen conditions in the already impaired and impacted ponds. Many of the protective measures conventionally recommended for ponds have become standard management practices; these include providing adequate natural shoreline buffers and appropriate setbacks for septic system leachf elds. Shoreline buffers are a function of the slope; the steeper the slope, the greater the opportunity for runoff and nutrients to enter ponds. Conservation Commission regulations provide the opportunity to require any permitted activities along the banks of ponds to offset impacts; with an identification of impacted ponds, the Conservation Commission could consider formal no-net nutrient additions and/or requirements to improve water quality. Septic system leachfield setbacks are somewhat more problematic. The County's Regional Policy Plan recommends a 300 ft setback for leachfields, but many properties, especially existing properties, are not long or deep enough to fully accommodate this setback. The 300 ft setback recommendation carne from the federal Clean Lakes Program based on the capacity of sandy soils to bind phosphorus. Evaluation of phosphorus movement in sandy soil has shown, however, that it is generally a question of time before phosphorus throughout a watershed will reach a pond; the leading edge of phosphorus from a septic system moves approximately 1 meter per year (Robertson, et al., 1998). Based on this movement, it would take approximately 91 years for septic system phosphorus to move 300 ft. The current 100 ft setback required by the town's Board of Health, Conservation Commission, and Zoning by-laws and regulations would be traversed in about 30 years. It is reconunended that the town consider altering the regulations to require the 300 ft setback, but allow a variance procedure to provide theemaxiffi& rTeasible setYack with a minimum setback of 100 ft. This recommendation could be modiE far: specific ponds once the eva uatron o pon water quality is completed. The above recommendations will require development of modified wording for the existing regulations. Please contact me at your earliest convenience if you would like to discuss the above recommendations, development of proposed regulatory wording changes or any other pond protection strategies. File. BREregulatoryreviewPonds 5 of 5 ZI SSO N AND VEARA ATTORNEYS AT LAW RICHARD L. ZISSON EDWARD E. VEARA E. JAMES VEARA PAUL V. 8ENATTI SARAH A. TURANO-FLORES LISA M. WESTERVELT* MICHAEL I. FLORES MARY E. PYLES** CHRISTOPHER A. VEARA ANNE E. BATCHELDER ALISHA S. TOMASINO *ALSO ADMITTED IN NEW YORK **ALSO ADMITTED IN ARIZONA 865 PROVIDENCE HIGHWAY DEDHAM, MASSACHUSETTS 02026-8825 TEL (781) 329-1 1 10 FAX {7841 329-5119 828 MAIN STREET -BOX 2031 QLD KINGS HIGHWAY DENNIS, MASSACHUSETTS 02638-0043 TEL (508) 385-60.31 FAX (508) 385-6914 December 14, 2004 Nancy Ellis Ice Brewster Health Agent Brewster Town Offices 2198 Main Street Brewster MA 02631 Re: Proposed Changes to Local Board of Health Regulations Dear Ms. Ice: In September of 2003, the Brewster Board of Health and the Brewster Conservation Commission voted to have the Cape Cod Commission "CCC") review the freshwater pond protection regulations currently existing in the Town. The CCC issued its report in Januaxy of 2004 and, as part of its recommendations, urged the Town to consider adopting regulations which would require a 340 foot setback from all ponds -within the town, but to allow a variance procedure providing for a maximum feasible minimum setback of 100 feet. Several weeks ago, we were provided with some draft language for some proposed changes to existing Board of. Health regulations in order to address this issue and were asked to review the same. This letter is written. in response to your inquiry. The first proposed change is to the existing Leaching Facility Set Back to a Water Course regulation, originally adopted on December 18, 1970 and amended on July 21, 1957. This regulation presently reads, as follows: "In accordance with Massachusetts General Laws, Chapter 111, Section 31, the Board of Health adopts the following regulation: "All leaching facilities of a sewage disposal system shall not be located or installed less than 100 feet from a watercourse including streams, open and subsurface drains, fresh or saltwater marsh land, and inland and coastal banks, as defined by the Town of Brewster Wetland Protection Bylaw." ZISSON AND VEARA Ms. Ice December 14, 2004 Page 2 The new language is proposed to be added to the end of this regulation, as follows: "All leaching facilities of a sewage disposal system associated with newly developed property shall be located or installed more than 300 feet from ponds' as defined by the Brewster Wetland Protection Bylaws. Leaching facilities of an existing sewage disposal system within 300 feet shall be considered substandard at the time of a real estate transfer and replacement leaching facilities shall be located 300 feet from the pond or lake, unless lot configuration or other factors prevent this setback from being attained; in these cases, the maximum feasible distance from the pond or lake shall be determined by the Board of lIealth or its director." In my opinion, this proposed language generally achieves the purpose of providing for a 300 foot setback to ponds or lakes (i.e., ponds or lakes as distinct from streams, open and subsurface drains, fresh and saltwater marsh land, and inland and coastal banks which are governed by the existing paragraph of this regulation), as outlined by the CCC report of January of 2004. The Board may want to consider re -naming the regulation, as it now governs not only watercourses, but additional water bodies, as well. Inaddition, there are several,which concern me and which should be further addressed before this regulation is adopted, First, the proposed language may conflict with the first paragraph in situations where the top of an inland bank is very close to the water's edge of the pond or lake itself. In some situations, an inland bank can rise for several feet (sometimes hundreds of feet) before it reaches its top. In those cases, the top of the inland bank (governed by the first paragraph of your regulation), sits in a different physical location than the pond or lake. In other situations, the inland bank is short and lies directly adjacent to the water of the pond or lake. In the latter situations, the first paragraph of this regulation would conflict with the proposed language. The first paragraph would dictate that the leaching component be 100' from the inland bank, whereas the next paragraph requires a separation of 300'. If the inland bank and edge of pond or lake are in the same location, there will be a conflict between these two provisions. This inconsistency needs to be remedied. I would suggest consulting with the Conservation Commission before we attempt to resolve this problem. Second, the phrase "a sewage system associated with newly developed property" is a bit vague. It is not clear to me whether the Board of Health intends this language is to include only neve development on previously vacant land or whether it is intended to include new development on previously developed land (i.e., an addition on a house that increases the design flow to the existing system). This analysis is somewhat along the lines of "new construction" under the Title 5 provisions. The term "new construction" under Title 5 does not simply refer to ' The words "or lake" should be added here to provide consistency for the rest of- this fthis regulation and for the Real Estate Transfer Regulation. Z[SSON AND VLARA Ms. Ice December 14, 2004 Page 3 new buildings, but also to any increase in the design flow above the "approved capacity." Thus, under Title 5, even though you are not adding any new development, if you are increasing the use of an existing structure such that the design flow rises to above the approved capacity, that is considered "new construction" for purposes of Title 5. I notice there is a definition for "developed property" in the Read Estate Transfer Regulations, that regulation would not carry over to this one without a direct reference. The Board of Health should determine whether it wants this new regulation to apply ons to development on previously undeveloped property, or whether it want this new language to apply more broadly, and then revise the above -quoted phrase more precisely to reflect that intent. Depending upon what the intent is, I will be happy to suggest language for this purpose. The third issue that concerns me relative to the above -quoted language is the fact that it imposes a 300' setback for "newly developed property" with no variance mechanism. While a variance mechanism is provided for "leaching facilities for of an existing sewage disposal system," no parallel provision is provided for "newly developed property." This is of concern because it may result in rendering a currently vacant, otherwise buildable lot, unbuildable by virtue of the new regulation. In other words, there may be a lot of sufficient square footage that it is buildable for zoning purposes, but it may be very narrow and, therefore, there may be no location on the property that is 300' from the pond. Under these circumstances, a regulatory taking might result. Therefore, I recommend that this -proposed language be revised to provide for a variance for all situations, and not simply those related to "existing sewage disposal systems." This 'issue maybe addressed by placing aperiod after the words "pond or lake" in the fifth line of the proposed language and then replacing the remaining language with the following . sentence: "If the setbacks required by this regulation cannot be attained due to lot configuration or other factors, the leaching component shall be located at a maximum feasible distance from the pond or lake as determined by the Board of Health or its director." The proposed additional changes to the Real Estate Transfer Regulation also appear to generally achieve the objective of requiring a 300 foot setback to ponds or lakes. The first of the proposed changes is contained in Section 1.4 of the regulations, a section defining "marginal systems." The neve language identifies a "system located within 300 feet of a pond or lake" as being a "marginal system." There are three problems with this language. First, the Leaching Facility Set Back to a Water Course Regulation identifies such systems as being deemed "substandard," not "marginal." Moreover, under the Real Estate Transfer Regulations, marginal systems are subject to further review before they are considered a public health threat. The definition for "substandard" states that a system is substandard if it does not conform with Title 5 or local board of health regulations and, as such, must be upgraded automatically. As the Board is changing the local Leaching Facility Set .back to Water Course ZISSON AND VLARA Ms. Ice December 14, 2004 Page 4 Regulation to contain the 340' setback requirement, if a leaching component is within 300'. of a pond, it would be in violation of this local regulation and, as such, under the Real Estate Transfer Regulation, automatically deemed "substandard." Therefore, I do not believe it is necessary to include the language proposed under Section. 1.4. Even if it were necessary to add the language, I do not believe it is appropriate under the definition section for "marginal system." In addition, the proposed language for Section 1.4 states that "systems" within 300' are considered marginal. The Board's objective, as I understand it, is to have the "leaching component" set back 300 feet, not the entire "system." In any event, if I understand the intent of the Board correctly, I -do not believe the proposed language for Section 1.4 is necessary and my recommendation is that the ezitire provision -should be deleted. The second proposed revision to the Real Estate Transfer Regulation appears in "Section V, Instructions, Subsection 5.8." It states, as follows: "5.8. If the inspection reveals that the sewage disposal system leaching facility or facilities are located within 300 feet of a pond or lake, then the leaching facility or facilities shall be deemed substandard and must be upgraded to comply with [Title 5 and local Board of Health regulations]." Generally, this regulation is fine as written, however, I have an overriding concern with the entire Real Estate Transfer Regulation in that I do not see a general variance mechanism included for situations where compliance is not feasible. While there are specific exceptions to exact compliance listed in Section IV of this regulation, there is no general variance. As such, there is no variance mechanism provided for the new setback provision. This should be included in order to avoid a situation wherein a regulatory taking claim could be made. Therefore, I recommend that the following sentence be added to this new Section 5.8, similar to the language suggested above for the other regulation: "If the setbacks required by this regulation cannot be attained due to lot configuration or other factors, the leaching component shall be located at a maximum feasible distance from the pond or lake as determined by the Board of Health or its director." Having suggested the variance language for both provisions, I must note that the words "other factors" concern me as the phrase is very broad. This phrasing was taken from the original proposed language in the Leaching Facility Set Back to Water Course Regulation. If possible, the Board of Health should be more precise as to what it means by "other factors." This language opens the door for arguments that cost and financial constraints should be considered as "other factors" and I do not believe this is what the Board of Health intended. This concludes my specific comments relative to the proposed changes to the Leaching Facility Set Back to Water Course Regulation and the Real Estate Transfer Regulation. There are many other comments that could be made relative to these regulations as a whole, as well as, the other four (4) regulations which together comprise the Brewster Board of Health Regulations. ZI SSO N ANO V EARA Ms. Ice December 14, 2004 Page 5 It rs_Rrobably time to update_these regulations by combining them into-a single body of law, In this manner, consistency and readability will be enhanced and general legal omissions or errors can be corrected. In updating your regulations, l suggest that the Board utilize the assistance of the Cape Cod Commission, which can give you model regulations to review and can provide technical assistance as you craft new ways to address the public health concerns in Brewster. If you would like my assistance in contacting the Cape Cod Commission and setting up a discussion for this purpose, please do not hesitate to contact me. Otherwise, if you have any questions regarding the foregoing opinion, or would like my assistance in further drafting some language after some of the issues I raised are clarified, please do not hesitate to contact me. Thank you. Sincerely, 1,)"h a 0�� I" Sarah A. Turano-Flores STFI cc: Board of Health Board of Selectmen Charles Sumner, Town Administrator N11- _ �,. Town of Brewster vtiR a Y=tiF ' Health Department 2198 Main Street w C Brewster, Massachusetts 02631-1898 (508) 896-3701 Ext. 1120 FAX (508) 896-4538 LEACHING FACILITY SET BACK 1. Authority. In accordance with Massachusetts General Laws, Chapter 1.11, Section 31 and 127A, the Brewster Board of Health hereby adopts the following regulation to supplement the provisions of the State Environmental Code, Title 5: Standard Requirements for the Siting, Construction, inspection, Upgrade and Expansion of On -Site Sewage Treatment and Disposal Systems and for the Transport and Disposal of Septage (hereinafter, "Title 5"). These regulations shall take effect on September 1, 2006. 2. Purpose. The purpose of this regulation is to provide a greater degree of protection to environmental and public health, to protect water quality, and Implement the recommendations of the Federal Clean Lakes Program deemed necessary to eliminate the effects of septic system phosphorus on water bodies in Brewster. 3. Surface Waters. Except as provided in Section 4 set forth below, all new and replacement leaching facilities of sewage disposal systems in Brewster shall be located and installed more than 100 feet from any surface water, as defined in 310 CMR 15.AD2, including without limitation, rivers, streams, springs, reservoirs, impoundments, estuaries, wetlands, coastal waters and certified vernal pools, 4. Ponds and Lakes. All new and replacement leaching facilities of sewage disposal systems in Brewster shall be located or installed more than 300 feet from all ponds and lakes, as defined by the Town of Brewster Wetland Protection Bylaws and Regulations. S. Substandard Existing Systems. All leaching facilities of existing sewage disposal systems within 100 feet of any Surface Water or 300 feet of a Pond or Lake shall be considered substandard at the time of Real Estate Transfer and upgrades In accordance with the Real Estate Transfer Regulation shall be required. If the setbacks required by this regulation cannot be attained due to lot configuration or other factors, the leaching component shall be located at a maximum feasible distance from the surface water, pond or lake, as determined by the Board of Health. 6. New Subdivisions. New subdivisions shall be designed to accommodate the setback distances required under this regulation and no new lots shall be created unless and until it is. demonstrated to the satisfaction of the Board of Health that development on each lot can accommodate the required setback distances. The "maximum feasible distance" provisions of Section 5 do not apply to new subdivisions. Adopted: December 18, 1970 Amended: July 21, 1986 Adopted: May 23, 2006 Effective: September 1, 2006 Amended: December 18, 2012 Joayf'ne Hughers;, ChgIV9t'n I Skidmore, Vice Chairman ith Joh Mar y Chaffee C `\' l 0 Q_N c: A 11 �- . j— NO �0&1 Annie S Town Clerk TOWN OF BRE, WSTER OFFICE OP HLIALTFi DEPARTMENT .� 219$ MAIN STREET # "s i BRE STLR, MA 02631 _ �► PHONE: (5 08) 896.3701 EXT 1120 FAx: (508) 896-4538 BRHEALTH©BRR W STER-MA. GG V REAL ESTATE TRANSFER REGULATION The Brewster Board of Health voted to adopt the following Regulation at its meeting held on May 19, 1987, and amended on November 1, 1988, under the authority of Chapter 111, Section 31 of the General. Laws of Massachusetts, to better protect the Public Health of the inhabitants of the Town of Brewster, Barnstable County, Massachusetts. The effective date of this Regulation will be January 1, 1988. All deeds recorded on or after January 1, 1988 will be subject to this regulation, RFY.'TMATTOX Prior to selling, conveying or transferring the title to real property situated in the Town of Brewster and containing an existing Residential, Commercial or Industrial sewage disposal system, the Owner thereof shall have an open inspection of said system(s). The inspection shall be performed by a Massachusetts Registered Professional Engineer, Massachusetts Registered Sanitarian or DEP approved System Inspector person who: (a.) in the opinion of the approving authority is qualified to perform such inspections; (b.) has one year documented experience in satisfactorily performing such inspections; and (c.) has used or gained skills that demonstrate sufficient competence to perform such inspections. if it is determined by the Board of Health that the system constitutes a danger to the Public Health, the Board shall order the owner to make repairs or replace the system. PURPOSE To determine and to protect the Public Health from potential and present sources of pollution to ground water or,salt water from existing sewage disposal systems, the Board of Health requires that the owner(s) of a developed property in Brewster obtain an open inspection of the existing septic system prior to the time of the transfer of that property. SECTION I - DEFINITIONS Preamble - All other definitions not in this Regulation will be defined by Title 5, 314 CMR 15.01. 1.1 COMPONENT: Any septic tanks, distribution boxes and leaching facilities. W W W.BREWSTER-MA.GOV RETR Page 2 1.2 DEVELOPED PROPERTY: A parcel of laxed with a man --made structure erected upon it which has affixed to it an in-gr'o-and sewage system(s). 1.3 FAILED SYSTEM: A failed system is defined as one in which there is evidence of sewage flow to the surface; evidence of overload of the system; the system is in such a state of disrepair that it cannot function as originally intended; Lack of a four (4) foot protective zone between the bottom of the system and ground water; or any other problem as defined by the Board of Health or its Director. 1.4 MARGINAL SYSTEM: A marginal system is defined as having one or several of the following problems: The system could not be judged because of an extended period of non-use; there are problems with the individual components of the system or with the system location; records show excessive pumping three or more times within any eighteen (18) month period for residential or commercial property, except for required grease trap maintenance for commercial property; presence of visible ferric sulfide stains, the system is inadequate for intended use; system is located within 100 feet of a domestic water supply well, wetland or watercourse or any other problem defined by the Board of Health or its Director. 1.5 OPEN INSPECTION: All components of the septic system(s) attached to the existing structure(s) will be uncovered and a visual inspection conducted. 1.6 SUBSTANDARD SYSTEM: A system which does not conform to 310 CMR 15.00, the State Environmental Code, Title 5, Minimum Requirements for the Subsurface Disposal of Sewage and the Brewster Board of Health Regulations. 1.7 TRANSFER OF PROPERTY: An act by which the title of a property is conveyed from one person to another except as noted in Section 4.1, SECTION 11 -, STANDARDS 2.1 For the purpose of this Regulation, reference is made to the standards and provisions of Title 5 of the Statue Sanitary Code, and to the existing regulations of the Brewster Board of Health Regulations for Subsurface Sewage Disposal. SECTION ITT - ENFORCEMENT AUTHORITY 3,1 The Board of Health Director is authorized to issue Notices of Violation, Cease and Desist Orders, or other Administrative enforcement orders to compel compliance with the terms of these RETR Page 3 Regulations for Subsurface Sewage Disposal. 3.2 In addition to any other remedy, the Board of Health and/or its Director may take any enforcement action deemed appropriate, including but not limited to Criminal Prosecution, to seek a fine in accordance with Chapter 111, Section 31, or Civil Action in the Courts of the Commonwealth for injunctive relief or money damages or both, or Civil and Criminal enforcement. SECTION TV - EXCEPTIONS 4.1 This Regulation shall not apply to a sale under power of sale contained in a bona fide mortgage affecting the property. 4.2 This Regulation shall not apply to a sale of property having a sewage system that has been installed, repaired or replaced and which has received a satisfactory inspection report from the Health Director within twenty-four (24) months of,the Closing, provided additional living space has not been added and/or there has been no change in intended use. The date of issuance of the Certificate of Compliance will begin the twenty-four (24) months time period. A copy of the Disposal Works Construction Permit and/or other evidence, approved by the Board of Health or its Director, must be submitted in lieu of the Certificate of Inspection thirty (30) days prior to each Real Estate Transfer. 4.3 In the case of a Title 5 system, the Board of Health may waive the requirements for an inspection in appropriate cases. All requests for waivers shall be in writing. 4.4 Real Estate Transfers otherwise subject to this Regulation which take place within two (2) years of an inspection under this Regulation and found to be in good working order, may be exempt from this Regulation upon review and approval by the Board of Health or its Director. A copy of the original Certificate of Inspection Form must be submitted to the Board of Health or its Director for review thirty (30) days prior to Real Estate Transfer. 4.5 Sellers and buyers who transfer an existing structure with the intent to demolish and replace the existing system with a Title 5 system may apply to the board of Health or its Director for exemption from this Regulation. The seller and the buyer must comply together in writing showing that both parties have agreed to the arrangements and accept joint responsibility for seeing that the new system is installed. An Engineer hired by the party(s) must RETR Page 4 provide in writing that he/she has been contracted to do the plan and that a preliminary survey of the lot in question shows that a septic system in compliance with Title 5 and Town of Brewster Regulations can be installed on the lot. A proposed time frame for the demolition and installation must be submitted at the time of application. SECTION V - INSTRUCTIONS 5.1 .The Inspection by the Engineer or Sanitarian should Cake place not more than 180 days nor less than thirty (30) days prior to the transfer of property. The Board of Health must receive the Inspection Form and Certificate of Compliance within seven (7) days of the Inspection. In addition, the Engineer or Sanitarian should give copies to the Owner and to any Buyer or Broker identified with the transfer. In the event there is no buyer at the time of Inspection, copies must be given by the.Owner to the Buyer preferably before the property is put under agreement. 5.2 Establishing ground water levels; Unless exempted from this requirement by the Board of Health or its Director, septic systems or components of systems that are located below elevations of fifteen (15) feet (using USGS mean sea level datum) and/or within 100 feet of a wetland are required to have a test boring or deep observation hole dug in order to establish the ground water level. When depth to ground water has been measured it should be adjusted to reflect the adjusted depth using the procedures outlined in Estimating Highest Groundwater Levels for Construction and Land Use Plannin - A Cape Cod, Massachusetts Exa�Ie, Michael H. Frimptex and Martha N. Fisher, USGS Water Resources Investigations 83-412. 5.3 If the Inspection finds evidence of a failed system, such as sewage on the surface or sewage draining into any waterways or wetlands, the Board of Health or its Director shall determine within fourteen (14) days after receiving the Inspection Form whether or not the system constitutes a danger to the Public Health and whether and to what extent the system should be repaired or replaced. The Board of Health or the Health Director shall notify the owner by Certified Mail within seven (7) days of its determination, accompanied by any order requiring the system to be repaired or replaced. 5.4 if the Inspection finds evidence of sewage on the surface or draining into any waterways or wetlands, the Board of Health or its Director is to be notified by the Engineer or Sanitarian within RETR Page 5 twenty-four (24) hours. 5.5 If the Inspection finds the system to be "Marginal", the Board of Health or its Director shall decide within fourteen (14) days after receiving the Inspection Form whether or not the system constitutes a danger to the Public Health and whether and to what extent the system should be repaired, replaced, or be subject to further inspection as the Board or its Director deems appropriate under the circumstances. The Board of Health or the Health Director shall notify the owner by Certified Mail within seven (7) days of its determination, accompanied by any order requiring the system to be repaired, replaced or subject to further inspection. 5.6 If the Inspection reveals that the covers to the septic tank or cesspool are more than twelve (12) inches below the finished grade, the covers shall be brought up to within twelve (12) inches of the finished grade. 5.7 If the Inspection reveals that the sewage disposal system consists of a single cesspool, or cesspools, then the system shall be deemed substandard and must be upgraded to comply with 310 CMR 15.00, the State Environmental Code, Title 5, Minimum Requirements for the Subsurface Disposal of Sewage. 5.8 If the inspection reveals that the sewage disposal system leaching facility or facilities are located within 300 feet of a pond or lake, then the leaching facility or facilities shall be deemed substandard and must be upgraded to comply with 310 CMR 1.5.000, the State Environmental Code, Title 5 and Brewster Board of Health Regulations. If the setbacks required by this regulation cannot be attained due to lot configuration or other factors, the leaching component shall be Located at a maximum feasible distance from the pond or lake as determined by the Board of Health or its director. 5.9 The allowable time for the repair, replacement or further inspection will be determined by the Board of Health or its Director, and will be contained in the order to the Owner. 5.10 if any repair or replacement is required, the Health Director shall inspect the work and make a written report thereof, stating that the work is satisfactory or unsatisfactory, and whether and to what extent further work or inspections are required. 5.11 Copies of the Inspection, Determination, order and Report shall RETR Page6 Be filed with the Board of Health and shall be available for public inspection and copying. Adopted: May 19, 1987 Amended: Effective: January 1, 1988 Effective: Amended: November 1, 1988 Amended: Amended: February 7, 1989 Effective: Amended: January 19, 1993 Amended: Effective: March 1, 1993 Effective: Amended: November 1, 2017(email & website changes) Effective: November 1, 2017 Brewster Board of Hezil.th armen( ScM.rzo, OVM, Chairman Annette t Colette Williams, Town Clerk March 2, 1993 March 1.2, 1993 August 1, 1995 August 11, 1995 May 23, 2006 September 1.,200E sklaj, MT Massachusetts Executive Office of Health and Human Services ^ Department of Public Health ' Manual of Laws and Regulations Relating to Boards of Health January 2810 Massachusetts Department of Public Health 250 Washington Street Boston, MA 02108 Determination by the Commissioner is made in the following manner: If, as a result of a study, inspection, or survey, the DPH or DEP determines that the board _ of health has not effected compliance with the Sanitary or Environmental Code, DPH or DEP will send a notice to the board of health. The notice gives the board of health a reasonable amount of time to effect compliance, and requests the board to notify the DPH or DEP as to what action has been taken to effect compliance with the Code. If the board of health fails to provide this information, or if DPH or DEP decides that insufficient action has been taken to effect compliance, it will be. deemed that the board of health has failed in its duties, and DPH or DEP may assume the board's -power to effect compliance. Certain statutes provide for "coordinate powers" of DPH with local boards of health (e.g. M.G.L.c.11l §7 concerning the investigation of contagious or infectious diseases), or "concurrent responsibility and authority" (e.g. M.G.L. c. 111 §198 concerning enforcement of lead poisoning prevention and control statutes). RULE MAKING: PROCEDURES FOR MAKING LOCAL REGULATIONS Historically, legislation and regulation have been tools for translating knowledge of causes of disease and ill -health into programs for the protection of public health. Boards of health may determine that regulations are necessary to control the causes or to outline methods of dealing with a public health problem. Local regulations may not be inconsistent with state or federal regulations, but may be more stringent. Most state regulations are called "minimum standards" and local beards are authorized to make stricter standards. The process of drafting regulations usually requires collaboration between the board of health and the town counsel or city solicitor who provides or coordinates the legal expertise necessary for the proper drafting of the regulations. If the town or city employs a health officer, he/she may be asked to assume responsibility for defining and documenting the problem and drafting a proposed regulation (with the assistance of the city or town's attorney) for presentation to the board. The board then considers the issues, holds hearings as necessary, and makes the final decision. Regulations may be prospective in nature. That is, boards of health may require precautions to avoid potential dangers as well as to restrict conditions proven to be harmful. (Benes et. al.1995). M.G.L. c. 111 §31 is an unusually broad grant of authority which empowers boards of health to adopt "reasonable health regulations." The power of boards of health to adopt regulations under section 31 is extensive and "provides a comprehensive, separate, additional source of authority for health regulations" (Benes et. al. 1995). The following section is intended to assist the board in drafting regulations. Note that the first step in this process is developing and checking the rationale - the nature, documentation, extent and impact of the problem or need - before the board of health 30H Guidebook • May, IW7 ' Legal,. Autnorlly anu r'MUM PART Il. General Organization & Authority A. Creation and General Authorizing Statutes The general structure, powers, and duties of local boards of health are found at M.G.L. c. 111 s.26-33. Boards have authority to adopt and enforce reasonable health regulations under M.G.L. c.111, s.31. Case law upholds boards' authority to adopt regulations that are more restrictive than state standards so long as the local regulations do not conflict with state law and are not specifically preempted. B. Regionalization Boards of health and municipal health departments may form regional health districts for the purpose of enhancing health services, providing efficient use of resources, and receiving certain grants. M.G.L. c. 111 s. 27A-2 Regionalization agreements are technical legal documents that need to be carefully and specifically drafted with input from counsel for each of the participating cities/towns. For example, agreements need to be specific and detailed about whether, and under what circumstances, individual cities/towns retain direction and control over their public employees even when the employees are performing duties in another town. Many other legal issues need to be addressed by city/town attorneys in regionalization agreements. Participation in a regional district requires approval from the city or town governing body as well as the participating boards of health. Page 4 Potential Brewster Board of Health Initiatives These initiatives are to be developed by the Hoard of Health in partnership with the Brewster Health Department. 1) Create Brewster Board of Health (BOH) Mission and Vision statements. Mission explains the BOH purpose for being; Vision describes what is to be achieved in long-term (i. e. 10 years). 2) Create and sustain BOH institutional knowledge as individual members with varying backgrounds and formal education continually rotate on and off the BOH. The aim is to improve the quality and consistency of service the BOH provides to both the Brewster Department of Health and Brewster residents. a. Develop and maintain a standard on -boarding process for new BOH members. b. Develop a set of in-house training modules for BOH members that address: i. routine BOH procedures, ii. foundational knowledge' about local Massachusetts BOH roles, responsibilities, and protections, and iii. technical knowledge needed to consistently and appropriately address routine issues that appear on the BOH meeting agendas. c. Create and maintain a simple training documentation and tracking system for BOH in-house training. d. Encourage professional development of BOH members so they stay informed about new or current public health developments, and identify ways to support BOH member training provided by County, State, and Massachusetts professional associations. (This training is provided with no or minimum associated costs.) 3) Incorporate team -building exercises into working meetings to provide the BOH members with a common language and tools to help BOH members better understand (and more effectively work with) each other and the Health Department. 4) Establish proactive goals and objectives that have measurable outcomes, and trach metrics, so information and performance can be easily shared with other Town of Brewster officials and Brewster residents. Suggestions include: a. Conduct a systematic review of The Legal Handbook for Massachusetts Boards of Health, 316 Edition, 2021 to compare the Brewster BOH's performance with current expectations. Identify opportunities for improvement. b. Conduct a systematic review of the 2020 Census information regarding Brewster residents, and identify specific target areas to improve the public health of Brewster residents. c. Review select Brewster BOH regulations, and conduct an assessment as to how well any particular regulation is being implemented. Identify opportunities for improvement based on findings. d. Begin to implement routine documented comparisons of regulatory templates and Brewster BOH regulations to provide historical documentation regarding decisions made, and the basis for these decisions. This will aid future Brewster BOH members and help them to understand what is in the Brewster BOH regulations and why, so future decisions can be made in a more knowledgeable and efficient manner. e. Add a place for a description of changes to the document history section of Brewster BOH regulations, so future readers can better understand what changes were made to the regulation and why. Add documented reviews of regulations even if no changes in the text were made. f. Encourage greater outreach regarding public health issues that impact various Brewster population sub -sets by forming liaisons with other town boards (e.g., Board of Education, Counsel on Ageing). * Foundational knowledge is defined as facts, theories, principles, methods, skills, terminology, and modes of reasoning that are essential to more advanced or independent learning. 2021-07-14 Operational Goals: Foster a culture that views residents as customers and town services as the product; Improve communication between town committees, boards and employees involving all in the decision making process where practical so each understands how the work they perform contributes to the town's overall success in meeting objectives; - Establish a process for submission of electronic applications and create electronic access for viewing of public records; Policy Goals: Establish a process for succession planning to identify new leaders within departments and on boards or committees to ensure experienced and capable employees and board members are appropriately trained and possess the required expertise required to prepare them to assume leadership roles as they become available. Consider appointments vs. election to boards or committees where requisite knowledge of the matters under consideration of the board or committee is imperative to sound decision making and encourage boardlcommittee members to become engaged in community activities where interests over -lap; Consider implementation of land -use protection policies to ensure current, minimally developed properties remain minimally developed (example: 3 golf courses). Board of Health In-flight and goals Determine if an additional layer of local oversight is required for oversight of Marijuana Establishments; determine if CBD sales should also be addressed and draft regulations as determined necessary; Consider use of IA technology in environmentally sensitive areas; Consider modification of current variance review practice to include in-house variance review creating a customer -centric process that saves both time and money for residents and consider modification of current licensing process to include department approvals and compliance with licensing variance requests and non-compliance issues to BOH improving the process for local business. LlMassachusetts Department of Environmental Protection � eDEP Transaction Copy_ Here is the file you requested for your records. To retain a copy of this file you must save and/or print. Username: EBELAIR Transaction ID: 1285682 RECEIV D JUL 02 2021 F3 F2 ❑EP�TMENT7H Document: Groundwater Discharge Monitoring Report Forms Size of File: 1026.59K Status of Transaction: Submitted Date and Time Created: 8117/2021:11:52:02 AM Note: This file only includes forms that were part of your transaction as of the date and time indicated above. if you need a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. UUI CCIU V1 11C.7UUf VG [ 1LlGUlIVIl - VI VLII IU YYCiLGI U1.]VI ICiI J, 1 IVul 0111 1. f > 1loll INCH IIWGI ,. Groundwater Permit 2. Tax identification Number DISCHARGE MONITORING REPORT 2021 MAY MONTHLY 3. Sampling Month & Frequency A. Facility Information Important:When filling out forms on 1. Facility name, address: the computer, use BREWSTER MANOR only the tab key to a. Name move your cursor - 873 HARWICH ROAD do not use the return key. b. Street Address BREWSTER JMA 02531 C. City d. State e. Zip Code 2. Contact information: DAVID FELDMAN a. Name of Facility Contact Person 7817079527 dfeldman@wingatehealthcare.com b. TeEephone Number c. e-mail address 3. Sampling information: 5/25/2021 R] ANALYTICAL a. Date Sampled (mmlddfyyyy) b. Laboratory Name NICOLE SKYLESON c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Discharge Monitoring Report - 2021 May Monthly T_ Alt forms for submittal have been completed. 2.- This is the last selection, 3. I_ Delete the selected form. gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 UuI CCiG VI ItG.]VGIVG 1 IVtCVtivll - Vl vll[IIt YYatGf ilIJVlIC11 l,G 1 JWVP-111 1. r Glllflt IYLIII IUl . Groundwater Permit ` '•-•• 2. Tax identification Number DISCHARGE MONITORING REPORT 2021 MAY MONTHLY 3. Sampling Month & Frequency D. Contaminant Analysis Information • For "0', below detection limit, less than (<) value, or not detected, enter "ND" • TNTC = too numerous to count. (Fecal results only) ■ NS =Not Sampled 1. Parameter[Contaminant 2. Influent 3. Effluent 4. Effluent Method Units Detection limit WD 14.5 �NID 13.0 MGIL TSS 12.0 1 ND _j 12.0 MGA - � TOTAL SOLIDS 1$0 MGIL AMMONIA -N 0.46 MGIL NITRATE -N 13J 0.050 MGIL TOTAL NITROGEN(NO3+NO2+TKN) 13.00_- — f 10.25 MGIL OIL & GREASE 0.69 Q.50 w MGIL infeffrp-blank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 Important when filling out forms on the computer, use only the tab key to move your cursor - do not use the return key, l66 r�rr VLIIGQW VI I IGaVLl14G I I V�G4�I V11 - VI VLII ILJ YYQ LGI Vla]4..1 ILII LUG 1 I VUI CII I I F. f GIIIIII INUII14GI Groundwater Permit 2. Tax identification Number MONITORING WELL DATA REPORT 2021 MAY MONTHLY k 3. Sampling Month & Frequency A. Facility Information 1. Facility name, address: BREWSTER MANOR a. Name 73 HARWICH ROAD b. Street Address 6REWSTER IMA 02531 C. City d. State e. Zip Code 2. Contact information: DAVID FELDMAN a. Name of Facility Contact Person 7817479527 b. Telephone Number 3. Sampling information: dfeld man@wingatehealthcare.cam o, e-mail address 5/26/2021 WHITEWATER a. Date Sampled [mmlddlyyyy] b. Laboratory Nam DOUG MURPHY c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency J Monitoring Well Data Report - 2021 May Monthly F' All forms for submittal have been completed. 2, r This is the last selection. 3. r Delete the selected form. t gdpols 2015-09-15.doc - rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 _ 4 U r VQU �I IXC. Uu I 4 I I� ��IILI VV Gild u1.7�11q I LUG I I�lJl 0111 f. r VCII t I• ~..f Groundwater Permit MONITORING WELL DATA REPORT 2. Tax identification Number ' 2021 MAY MONTHLY & sampling Month & Frequency 1 C. Contaminant Analysis Information • For "0", below detection limit, less than (<) value, or not detected, enter "ND" ■ TNTC = too numerous to count. (Fecal results only) • NS = Not Sampled • DRY = Not enough water in well to sample. Parameter/Contaminant MW1 MW2 MW3 MW4 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 PH 116.2 6.1 16 j 16 S.U. STATIC WATER LEVEL 159.59 58.88 59.44 126.67 11 FEET SPECIFIC CONDUCTANCE X472 1596 j 1226 T 11 148 UMHQSIC Well #: 5 Well #: 6 mwdgwp-blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Important -.When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. r L GI UQU U1 I%GQ] UI UG 1 IU%GUL1U11 - t 1UUI IU VVU LGI VPOLA 1C1t VV I ILdI Lll 11 Groundwater Permit DAILY LOG SHEET A. Facility Information Facility name, address: 6REWSTER MANOR a. Name 873 HARWICH ROAD b. Street Address 1. r CI 11111 IYUI I IUQI 2. Tax identification Number 2021 MAY DAILY 3. Sampling Month & Frequency BREWSTER MA 02031 C. City d. State e. Zip Code 2. Contact information: DAVID FELDMAN a. Name of Facility Contact Person 7817079527 b. Telephone Number 3. Sampling information: ldfeldman@wingatehealthcare.com c. e-mail address 15/31/2021 JWHITEWATER a. Date Sampled (mmldd/yyyy) b. Laboratory Name DOUG MURPHY c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Daily Log Sheet - 2021 May Daily T_ All forms for submittal have been completed 2. 7 This is the last selection. 3. F, Delete the selected form. T gdpols 2015-09-15.doc • rev, 09/15115 Groundwater Permit Daily Log Sheet • Page 1 of 1 L-- uy1COU VI I\GJVUILGI IVlClillyll-'a�IVyllUYxg4G1 L.I.�VIICLl1�.01 FV1J.l alll 1. fIIllllll lVSFI11�-+cl Groundwater Permit DAILY LOG SHEET �. Tax identification Number 12021 MAY DAILY 3. Sampling Month &Frequency C. Daily Readings/Analysis Information Date Effluent Reuse Irrigation Turbidity Influent pH Effluent Chlorine UV Flow GPD Flow GPD Flow GPD pH Residual Intensity {mgll) NO) 1 1871 2 148 � 3 �+! 1421 I ��j I J X6.9 j �� _ jE 13 4 J 135 I��ij�� i L�J 3.5 $ 1474 I J 6.9 3.8 6 4 1 7 1442 4.6 $ 1�05� 1 1252 6.9 111 2.1 175 I J 1 ` J� 6.8 1.6 12 13 32 _ ! �� ` j fi.9 ��j 1.44 563 6.8 14 1311 6.99 fl.8 75 3506 F�E-�] 16 3464 17 ��j 5626 � �—I! J 1 7857 J ��-- 199 3050 20 526 ' 1.2 21 1074 i 1J 6.9 1.2 22 140 23 1102 24 111584 1.4 25 426 I I�I 6.9 7.3 26 51 �I�JII 6.9 f8�� 27 1092 I_ 6.9 8.1 28 1177 6.9 29 72 I 31 1036 j gdpols.doc • rev. 09/15/15 Groundwater Permit Dally Log Sheet • Page 1 of 1 •� 1J411 CUU V1 F1VOVUI VG 1 4WLGVLIVII - UI VUP IVVVC trP L POS IICiI"JG I IL.LjI Cilli I. f Gl 11111 riui Pivvl Groundwater Permit ' 2. Tax identification Number Facility Information lmpartant:When JBIREWSTER MANOR filling out forms on a. Name the computer, use only the talc key to 873 HARWICH ROAD move your cursor - b. Street Address do not use the JBIREWSTER MA 02631 return key. C. City d. State e. Zip Code Certification VQ "I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the Ill dli information, the information submitted is, to the best of my knowledge and belief, true, accurate and complete. I am aware that the are significant penalties for submitting false information, including the possibility of fine and imprisonment For knowing violations." ELIZABETH BELAIR 6117/2021 Any person signing a. Signature b. pate (mmlddlyyyy) a document under 314 CMR 5.14(1) or (2) shall make the Reporting Package Comments following PLANT DID NOT MEET ALL DISCHARGE PERMIT REQUIREMENTS FOR MAY 2021. TIN =13. THE certification PLANT IS NOT IN FULL OPERATION AND EXPERIENCING LOW FLOWS OF LESS THAN 1000PD. If you are filing electronic -ally and want to attach additional comments, select the check box. F gdpols 2015-09-15.doc • rev. 49/15/15 Groundwater Permit • Page 1 of 1 J.M. O'Reilly & Associates, Engineering & Land Surveying Services 1573 Main Street, 2nd Floor, P.O. Box 177 Brewster, AIA. 02631. (508) 896-6601 Fax (508) 896-6602 TO: Department of Environmental Protection DATE Attn: Title 5 Program 1 One Winter Street, 5th Floor DEP Approved Inspection Form wl Signed Operator Signature page Boston, MA 02108 Shipping Method: Regular Mail 0 Federal Express Lab Results Certified Mail UPS F1 Priority Mai] Pick Up Express Mail n Hand Deliver irECEIVE0 jUL 14 2021 SREWSTER HEALTH DEpAWUMENT DATE: 07/09/2021 ETTER OF SMITTAL JOB NUMBER: 8082W White Rock Commons Subdivision, White Rock Road, Brewster COPIES DATE DESCRIPTION 1 06/10/21 DEP Approved Inspection Form wl Signed Operator Signature page SeptiTech Form Lab Results For review and comment: F-1 For approval: ❑ As Requested: F7 For your use: 71 REMARKS: cc: John M. O'Reilly, P.E., P.L.S. Board of Health Client From: GJB If enclosures are not as noted, kird]y notify us at once Site/Address: White Rock Commons Subdivision White Rock Road Brewster, MA 02631 Date: 0 6/1 01202 1 Time: 11:00 am Rep: Greg Brehm 1. Remove lids & covers on processor. Visually inspect media & spray pattern. GJB (Initial) 2. Exercise entire system in maintenance mode. GJB (initial) a. Recirculation pump(s) b. Pumpback pump(s) c. Discharge pump(s) 3. Perform maintenance/cleaning tasks required for proper operation of unit. GJB (Initial) a. Spray headers b. Media c. Screen 4. Take effluent sample from sample tube GJB (Initial) 5. Record following values from controller read-out (Discharge Pump) GJB (Initial) Days Runtime: 7 7 Hours Runtime: 17 17 Seconds Runtime: 3152.5 eaa., 6. Record controller program version: Commercial GJB (Initial) 7. Record controller firmware version: V121 GJB (Initial) S. List parts and supplies used: None GJB (Initial) 9. Return system to "run' mode GJB (Initial) 14. Re -install covers and lids on processor. GJB (Initial) 11. Check air intake muffler for obstruction and proper draw. GJB (Initial) General Notes and Remarks: The system is operating correctly mechanically. Effluent quality passed field tests. Effluent sample collected for lab analysis. C:11jemWmlAppdolaV.ocolWficroaolllWimiaxx�Tempomry Fm ct Fl SConlmf.0u4u��1'u.42Tig41�scplitchdce LlMassachusetts Department of Environmental Protection Bureau of Resource Protection -- Title 5 DER Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important: When White Rock Commons Subdivision filling out forms Owner on the computer, use only the tab White Rock Road key to move your Facility Street Address cursor - do not Brewster 02631 use the return City Zip key. N Mailing address of owner, if different: P.O. Box 3843 Street Address/PC Box: New Haven CT 06525 City State Zip (203) 312 - 3484 ext. Telephone Number B. Authorized Service Provider J. M. O'Reilly & Associates, Inc. O&M Firm 1573 Main Street - P.O. Box 1773 Street Address Brewster MA 02631 City State Zip (508) 896 - 6601 ext. Telephone Number Greg Brehm Certified Operator Name G. Facility/System Information BREW-Sou157-Sep Septitech DEP ID Manufacturer ID Unknown Installation Date 16149 Certification Number January 2016 Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting Seasonal Residence — used less than 6 mo,/Year: ❑ Yes D. Operating Information M3000N [Model Number ❑ Remedial ON e 05/10/2021 03/15/2021 Inspection Date Previous Inspection Date Sludge Depth (to be checked yearly) Pumping Recommended ❑ Yes ® No t5aiom.doe • rev. 04-11-13 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 [/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other (specify): Odor: ❑ musty ® earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 7.0 SU DO 4.0 mg/L Turbidity 0.77 NTU 6 tog 2 or greater 40 or fess Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for SOD and. TSS. F. Sampling Information Samples Taken: ❑ Influent M Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ® BOD ❑ CBOD M TSS ® TN ❑ Other (list below} See attached lab results Other 4 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: Maintenance completed per manufacturer's checklist. Notes and Comments: The system is operating correctly mechanically, ESaiam.doc • rev. 04.11-13 Page 2 of 3 ELII�Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified op 'rator in accordance with 257 CMR 2.00. . L 07/09/2021 operator 8igndture Date System owner must submit this report, technology O&M checklist, and any required sampling results tc the local board of health as follows for each inspection performed: Remedial Use — by January 315' of each year for the previous calendar year Piloting Use - within 45 days of inspection date Provisional Use -- by March 31t1 of each year for the previous 12 months General Use — by September 30t1 of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 5th Floor Boston, MA 02908 t5aiorn.doc • rev. 04-11-13 Page 3 of 3 ENVIROTECH LABORATORILSr, INC. ALL CERT. NO : MMA 063 8 Jan Sebastian Drive Sandwich, MA 02563 (508) 88&-6460 1-800-339-6460 FAX (508)888-6446 Thursday, Jury 8, 2021 :Sample 7 me A 11:40 J. M. O'Reilly & Associates, Inc. 1573 Main 5t., PO Bax 1773 Brewster, MA 02631 Units ProjectName: .Messier Comments: Project Number. 8082W Sampled By: GJB Lab Order Number: WW -211310 Date Received: 06110121 ,S4mp.ta Type Effluent :Sample 7 me A 11:40 SovIeDate 08410121 Camirtenis White. Rack Partners LLC Septffech Parameters Units TestResults IseportableLimits DateAnalyzed Analyst Method 130135 -flay mglL BRL 2.0 WOW TM SM 5714 B Kjeldhal Nitrogen mglL 2.9 4.80 0710E+21 K$ M4500-Norg B - Nitrate -N mglL 6.20 0.01 06112121 SID EPA 300.0 Nitrite -N rnglL 0.173 0.006 05112121 SIJ EPA 300.0 Total Nitrogen mg1L 9.3 NA 07108/21 KB Calculation Total Suspended Solids rnglL BRL 1.5 M15121 AMB SM 2540 13 Afl samples were analyzed within the established guidelines of USEPA approved methods with all requirements met, unless otherwise nored at the end ofa given sample's analytical results, We certify that the following results are true and accurate to the bast of our knowledge. BRL=below reportable limits *see attached Ronald J. Saari Laboratory Director Page 1 of 1 W uj p I' C W • Wi � O �. yC �, ry V I �� z Ql J.' to 8 N4 t �. 't Lu � N - r 0 CD — -4o 0co co q � ti Cc y W C►} "� v �7 �J Cl y L r a fur]r t � � LL P63. � U � 12. ��777 t`cxJ- UI €3 y N zi Q CO U} rl - — •— --- _ J.M. O' Reilly & Associates, Inc. Engineering & Land Surveying Services 1573 Main Street, 2nd Floor, P.O. Box 1773 Brewster, NIA 02631 (508) 896-6601. Fax (508) 896-6602 TO: Department of Environmental Protection Attn: Title 5 Program One Winter Street, 5th Floor Boston, MA 02108 _Shipping Method: Regular Mail 0 Federal Express Certified Mail UPS ❑ Priority Mail Pick Up Express Mail ❑ Hand Deliver DATE: 07/09/2021 39 McGuerty Road Brewster, MA 02531 LETTER OF TRANSMITTAL JOB NUMBER: 8248BVV COPIES DATE DESCRIPTION' 1 06/10/21 Routine Inspection Form DEP Approved Inspection Form Lab Results For review and comment: = For approval: 1-1 As Requested: 17 For your use: LZI 0P"AP Q— cc: John M. O'Reilly, P.E., P.L.S. Board of Health Client From: GJI3 If enclosures are not as noted, kindly notify us at once FIELD INSPECTION & SERVICE REPORT FASToz) wastewater treatment systems INSTALLATION AUTHORIZED SERVICE PROVIDER Installation Address 39 McGuerty Road Na111eJ.M. O'Reilly & Associates, inc. Owner Name Lowell & Susan Outstay Street 1573 Mein street, Brewster, MA Mail Address 39 McGuerty Road Mail Address P.O. Box 1773 city Brewster State MA zip 02631 city Brewster state MA zip 02631 Phone 508-237-2106 Fax Phone 508-896-6601 Fax 508-896-6602 e-mail susanbakerMtMgmail.cOm e-mail ghrehm@jmoreillyassoc.com Model No. MicroFast 0.5 Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment Unit(s) Unusual Odor Fumpout Required: 1?rimar 5ettlizig Zone Aerobic Treatment Zone EFFLUENT(options) Estimated Dailv Flow Color Temp Odor INSTALLATION INFORMATION Serial No. Date of Installation Date of last Pumpout Unknown unknown unknown MAINTENANCE PERFORMED YES NO .AND COMMENTS system Is operating correctly mechanically. X X x X X X X LIMIT RESULT 6-9 S.U. 6.5 Clear mar 64 Musty odor Effluent samples col:ected far lab 10" sludge, ,25" scum 12" sludge, 0 scum Effluent quality passed field testing. Alkabity = 20, Mai - S.D. NO2 = 0A Musty ' DO= 4,0 mg/L Turbidity= 6.50 NTU OWNER SIGNATURE TECHN ' AN S �TA,TURE SERVICE DATE .ff X6/1012021 Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. ALA Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 UA Treatment and Disposal Systems A. Installation Lowell & Susan Outslay Owner 39 McGuerty Road Facility Street Address Brewster 02631 City Zip Mailing address of owner, if different: Street Add res s1P0 Sox. City (508) 237 - 2106 ext. Telephone Number State B. Authorized Service Provider J, M. O'Reilly & Associates, Inc. O&M Firm 1573 Main Street Street Address Brewster MA 02631 City State Zip (508) 896 - 6601 ext. Telephone Number Greg Brehm Certified Operator Name C. Facility/System Information BREW-McG039-FAS Bio-microbics DSP ID Manufacturer I❑ unknown Installation Date 16149 Certification Number unknown Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting Seasonal Residence — used less than 6 mo./year: ❑ Yes D. Operating Information 06/10/2021 Inspection Date 10" Sludge Depth (to be checked yearly) Microfast 0.5 Model Number ❑ Remedial • 03/15/2021 Previous Inspection Date Pumping Recommended ❑ Yes ® No t5aiom.doc • rev. 04-11-13 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 ®EP Approved Inspection and O&M Form for Title 5 11A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ Other (specify): Odor: ® musty ❑ earthy ❑ moldy Effluent Solids: ® no ❑ some ❑ turbid ❑ offensive ❑ turbid pH 6.5 SU DO 4.0 mg/L Turbidity 6.5 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard ]Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ® BOD ❑ CBOD ® TSS ® TN ❑ Other (list below) see lab results other 1 other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: System is operating correctly mechanically. Notes and Comments: System is showing signs of maturing and improvem6nt from first visit. t5aiom.doc • rev. 04-11-13 Page 2 of 3 Massachusetts Department of Environmental Protection bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified op!jator in accordance with 257 CMR 2.00. 07 109/2021 operator Signature, Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local Board of health as follows for each inspection performed: Remedial Use — by January 315t of each year far the previous calendar year Piloting Use -within 45 days of inspection date Provisional Use -- by March 31th of each year for the previous 12 months General Use — by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 5th Floor Boston, MA 02108 t5aiom.doc • rev- 04-11-13 Page 3 of 3 ENVIROTECII LABORATORIES, INC. MA CERT. NO.: M MA 063 8 Jan Sebastian Drive Sandwich, MA 02563 (508)888-6460 1-800-339-6460 FAX (508)888-6446 Thursday, July 8, 2021 J. M. O'Reilly &Associates, Inc. 1573 Main St„ PO Box 1773 Brewster, AM 02631 ProjeciNarme: ❑utslay Comments: Project Number: 8614W Sampled By: GJB Lab artier Number: WW 211311 Date Received: 06110121 A11 samples 3vere analyzed within the established guidelines of US EPA approved methods ivith rill requirements met, unless othenvise noted at the end of a given sample's analytical results. We certify that the following results are true and accurate to the best of our knowledge. BAL=below reportable limits *see aaached By. Ronald J Saari Laboratory Director Page 1 of 1 0 .y 0 . 0 a -PA z c°1i v LO �] td w CO es u1 �- ,o-3 U1 stn w LU z R z C xC W' L�2�� z a •- to ❑ W � LLpu ; w U D � g LU GL (n U PS Q TF U Q 7 c C] LL a V 23 9 st. tr ,C a C CL opo P/) ii —` -- _ COASTAL engineering co. TECHNICAL SFRVICES 260 Cranberry Highway 0rieans, MA 02653 508.255.6511 P 508.255.6700 F Orleans I Sandwich I Nantucket coastalengineerin gcomp a ny.com To: Preservation of Affordable Housing Attn: Mike Fitzgerald 40 Court Street Suite 700 Boston, MA 02108 Subject: King's Landing Apartments 3 State Street Brewster, MA Permit #934-1 Plans []Copy of Letter []Specifications We are sendine the following items: Date: Via: ®Other RECEIVE❑ JUL a 7 72021 E311EWSTER H15ALTH TRAMOW-r-At 06/30/2021 Project No. WBR007.00 ®1st Class Mail []Pick up ]Certified Fed Ex Copies Date No. Description 1 0512021 934-1 Daily Log Sheet 1 05/28/2021 934-1 Quarterly 5 Monthly Monitor Well Data Report w/Laboratory Test Results 1 05/04/2021 934-1 Monthly Monitor Well Data Report (Field tested data) 1 06/30/2021 934-1 1 eDEP Electronic Receipt These are transmitted as checked below: []for approval Efor your use ®as requested Ofor review & comment Remarks: Enclosed are the recent reporting forms for the wastewater treatment facility at the above -referenced location, Effluent test results show high levels of Total Nitrogen that exceed the upper discharge limit due to levels of TKN. We will adjust the system settings and use of process control chemicals to help improve treatment of the system. The average daily flow was approximately 10,420 gpd. If you have any questions regarding this report or the WWTF, please do not hesitate to contact us, cc: Brewster Board of Health By: Chad A. Simmons, WWTPO CC Commission Horsley Witten Group, Inc. AquaPoint.3 LLC NOTE: If enclosures are not as noted, please contact us at (508) 255-6511 DAD 0CMWBR\©07\TRANSM[TTALsNTRAN5KTTAL (APRIL 213ZI).000 Orleans I sandwich I Nantucket Date 1 2 3 4 5 6 7 a 9 10 11 12 13 14 1s 16 17 18 19 24 21 22 23 24 25 26 27 28 29 30 31 Massachusetts Department of Environmental Protection 1934 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2, Tax identification Number DAILY LOG SHEET 221 MAY DAILY 3. Sampling Month & Frequency C. Daily Readings/Analysis Information Effluent Reuse Irrigation Turbidity Influent pH Flow GPD Flow GPD Flow GPD Effluent Chlorine UV pH Residual Intensity (mgll) (°Io} gdpols.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater discharge Program Groundwater Permit DISCHARGE MONITORING REPORT D. Contaminant Analysis Information • For "0", below detection limit, less than (<) value, or not detected, enter "ND" • TNTC = too numerous to count. (Fecal results only) • NS = Not Sampled 1. Parameter/Contaminant Units Bol] MG& TSS MG/L TOTAL SOLIDS I *IL AMMONIA -N MGL NITRATE -N MG/L TOTAL NITROGEN(NO3+NO2+TKN) MG/L OIL & GREASE MGIL 934 1. Permit Number 2. Tax identification Number 2021 MAY MONTHLY j 3, Sampling Month & Frequency 2. influent 3. Effluent 194 17 4. Effluent Method Detection limit 2.0 180 19 _ 1.5 1448 22.0 12.20 jo.61 14,70 0.050 ND 1,0 infeffrp-blank.doc • rev. 09/15115 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 It Tuesdav, June 15, 2021 Coastal Engineering Co. 260 Cranberq Highway Orleans, AV 02653 ProjectNaltle: Project Nrltrtber: Sainpled By: Lab Order Nunther: Date Received. EATYROTECH LABORATORIES, INC. MA CERT. NO.: M --MA 063 8 Jan Sehastian Drize Sandivich, .AIA 02563 (508)888-6460 1-800-339-6460 FAX(508)888-6446 Kings Landing FV 8008.00 Chad ,4 ,4iwntons WW -211218 05128121 Contntetlts: Sample Type Influent Sample Time A 09:00 - 09:00 Sample Dale 05/27/21 - 05/28/21 Comments Parameters Units Test Results Reportable Litnits Date Analyzed Analyst Merhad BOD 5-0ay mg1L 94 2.0 05128!21 TM SM 5210 B Kleldhal Nitrogen rnglL $8 0.60 06/12/21 KS M4500-Norg B - Ammonia -N. mg1L 22.0 0.50 08/07/21 TM SM4500 NH3 C Nitrate -N mglL BRL 0.01 05/29/21 SD EPA 300.0 Nitrite -IN mglL BRL 0.006 05/29/21 SD EPA 300.0 Total Solids mg1L 448 5.0 06114/21 AMS SIM 2540 B Total Suspended Solids rnglL 80 1.5 06l07121 AMB Sha 2540 D Allsamples were analyzed wilkin the established gaidellnes of US EPA approved tnethods with all requirements stet, unless athenvise noted at rhe ead of u given sample's analy ical results. File certify that the following results are true acrd accurate to the hest of aur knowledge: RRL=helow reportable Ihnits °sca attached By: rMAU1&AA"%. Rot:ald J. Saari Laboratory Director Page 1 of 2 7-• o V f u LL 0 F�� 0 u� rrr co - tt L4 Ct3 co a 63 l!3 ¢i C L Q7 Q.1 F- �l ry N M w W pe ca z z a Li D7 Li u R LL L9 7 M LL In o nom_ C a .T KC Ln GL E W N OlL_.i N '� GQ C C.1 p E E v rp [n L � 41E ca z z a Li D7 Li u R LL L9 I nom_ E E E 41E o u N Clz 3LLLLI Li- Q 1� a c c Ma V] k r -moi— t= aq EliV'] •= tip � Ui u� w L' LA l �t r r51 ❑7 :.j S tr} Cry iii T[3 Ia. aldures 3 •dwaD - 11 Lo .D aj fu ru �` .- rd a Lo �.,� ¢cul W =.. �n �[ F is E R f'A ci ru r ED ra c fl � n Li ru w c fu fu E A Ln i G.. Q— V +� a 'm •� rJ b 0 .--r 65 L 1, V [ij Gti �j _V7 X L_ aj f -'R 0 Ln I Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT C. Contaminant Analysis Information 1934 [ 1. Permit Number i 2. Tax identification Number 2021 MAY M )NTHLY 3. Sampling Month & Frequency • For "0", below detection limit, less than (<) value, or not detected, enter "ND" • TNTC = too numerous to count. (Fecal results only) • NS = Not Sampled • DRY = Not enough water in well to sample. Parameter/Contaminant HW -1 HW -2 HW -3 HW -4 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 PH 5.986.14 16.25 1 6.18 S.U. STATIC WATER LEVEL [22.64 21.78j 122.02 19.15 FST SPECIFIC CONOUCTANCE 300 510 X270 400 UMH0&C Well #: 5 C Well #: 6 mwdgwp-blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 711/2021 eDEP - MassDEP's OnlineFiling System ' MassDEP Horne I Contact I Privacy Policy w M. PassaEP's Online Filing System Usemame:CASDW Nickname: COASTAL260 - k • • � s r FTCansaction QHervieW Trans# 1289442 iD# 334 Groundwater Discharge Monitoring Report Forms Forms Signature Receb ipt Summary & Receipt Print Receipt Exit Your submission is complete. Thank you for using eDEP's online reporting system. Select My eDEP to see a list of your transactions. Click Print Receipt to save a copy of this receipt for your records. DEP Transaction ID: 1289442 Date and Time Submitted: 6130/2021 4:32:35 PM Other Email: DEP Transaction ID: 1289442 Date and Time Submitted: 6/30/2021 4:32:35 PM Other Email: DEP Transaction ID: 1289442 Date and Ttme Submitted: 6130/20214:32:36 PM Other Email : DEP Transactlon ID: 1289442 Date and Time Submitted: 6/30120214:32:35 PM Other Email : Form Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax identification Number: 352432096 location; 3 STATE STREET Address: BREWSTER ZIP: 02631 -s/ Daily Log Sheet(2021 MAY DAILY) Form Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 352432096 location: 3 STATE STREET Address: BREWSTER ZIP: 02631 4/ Monitoring Well Data Report('t - 2021 May Monthly) Form Name: Groundwater Discharge Monitoring Report Forms https:/Iedep,dep.mass.gov/eDEP/PagesIReceipt,aspx 112 1/2021 Facility Information: Tax Identification Number: 352432096 location: 3 STATE STREET Address: BREWSTER ZIP: 02631 -&/ Discharge Monitoring Report(1 - 2021 May Monthly) Form Name: Comments eDEP - MassDEP's OnlineFiling System . . ... . .. ....... . . ............ ..... ....... . 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