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HomeMy Public PortalAboutBOH12.15.21packetBoard of Health Penny Holeman Annette Griczewski Joe Ford Jeannie Kampas Kimberley Crocker Pearson Health Director Amy von Hone Assistant Health Director Sherrie McCullough Senior Department Assistant Tammi Mason Town of Brewster Board of Health 2298 Main St., Brewster, MA 02631 brhealth@brewster-ma.gov (508) 896.3701 BOARD OF HEALTH MEETING AGENDA 27.98 Main Street December 15, 2021 at 7:OOPM Pursuant to Chapter 20 of the Acts of 2021, this meeting will be conducted via remote means, in accordance wlth applicable law. This means that members of the public body may access this meeting via virtual means. No in-person attendance of members of the public will be permitted, and pubilc participation in any public hearing conducted during this meeting shall be by remote means only. Members of -he public who wish to access the meeting may do so in the following manner: Phone. Call (301)715-8592 or (312)626-6799. Webinar 10: 820 4394 4509 Aasscode: 979174 To request to speak: Press *9 and wait to be recognized. Zoom Webinar: httos:11us02Web.zoom.us/1/820439445097mad=MvtuMZkvUExKbUI R50hmM01Zb3dQZM 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 broodcnst (Brewster Government -TV Channel is), Livestream (Irvestream.brewster-mo.gov) or Hideo recording (tv.brews ter-ma.gov) 1. Call to Order 2. Chairman's announcements 3. Citizens forum 4. Covid update 5. Presentation by Tracy Tong, Barnstable County Department of Health & Environment on I/A Septic System County Database Program 6. Discussion of DEP I/A approved letters (Amy von Hone) 7. Continued discussion on liaison appointments 8. Liaison Reports 9. Matters not reasonably anticipated by the Chair 10. Items for next agenda 11. Next meeting: January 5, 2021 12. Informational items: a. Monthly report for Serenity (Wingate) b. Monthly report for Serentiy (Wingate) c. Monthly report for Cape Cod Sea Camps d. Routine Inspection report for 7--9 Thousand Oaks e, Inspection report for White Rock Commons f. Monthly report for Kings Landing 13. Adjournment Date Pasted: Date Revised: 12/9/2021 Ilfileserver151rdocuments$ltmasonlDesktoplAgenda template.docx Received by Town Clerk: ""'40' V t g 0<4 '� � i�i 0 *Wdo 10 Town of Brewster 2198 MAI[N STREET BREWSTER, MASSACIfUSE-ITS 02631-1898 PHONE: 508.896,3701 EXT. 1120 FAX: 508.896.4538 brhealth@brewster-ma.gov WWW.BREWSTER-MA.GOV AGENDA ITEMS UPDATE December 15, 2021 4. Update on Brewster positive COVID- 19 numbers a. Brewster active cases and trends b. Age demographics c. Vaccination rates d. Barnstable County Data e. Omicron Variant update Health Department Amy L. von Hone, R.S., C.H.O. Ditector Sherrie McCullough, R.S. Assistant Director Tarnmi Mason Senior Department Assistant 5. Presentation on Innovative/Alternative Septic System County Database Program by Tracy Long, Bamstable County Department of Health and Environment 6. Brewster Innovative and Alternative Septic Systems a. I/A Summary by DEP Approval Type b. I/A List by Brewster Address c. I/A Summary by Technology d. I/A Permit Summary of Sampling Parameters e. I/A Monthly Report from County f. DEP Approval Letters — FAST System g. Ripples 2022 Brewster Ponds Coalition Article — Septic Systems Threaten Brewster's Ponds Compiled by Amy von Hone, Health Director N:\HealthWOH Meeting Noles\130H Hearing Notes\BOH Hearing Notes 12.15.2l.doex Ln m u 0 u Ai W A� LM z r -I N 0 Q,1 E w u Qj in O N 0 00 L u L f6 C cI1 U i m r -I i Qj Z 4- ❑ 4-J V cu (1) imv') 0 Ln It � M M N 4 rte-] '] O O u ",'Wil" LZITL LZITL OZ/TL I-bL/TLTl, ETIINI 9/LL-L£IOT O£IOT/bZIOL £Z/OL-LLIOL 91 OT 61flL-oT ZIaL-9£IZ/6 5ZI6-6Lf6 8TI6-Zl/6 bTI6-6Z/sTI6-S16 M8-ZZI8 -SOS "Lla-sls LI8-L/8 TE/L-SZ/L �ZIL-sLIL LTIL-LLIL OLIL-ti/L £I -LZI9 9Z�9-OZI9 6LI9-EN19 ZLI9-9I9 S/9-OEIS 6ZI5'£ZIS ZZ/S-9115 SL/S-6I5 8/S Z/S S -S L/ZIti H tiZ1ti�8Tlti Ll/b-IIIb v anti �Ib E/b LZ/£-8ZI£ LZ/E aZl£-STI£ EL 9IE-8ZIZ ro LZIZ-TZIZ OZ '-'T £TIZ-LIZ ry 9/Z-T£/L OE/L-bZIT �, £ZIL-LT/T � 6IL E/T IL E ZIL-LZIZT 9ZIZL-OZIZi � 61 Z U ZL a ZT/ZL-9/ZT SIZz-6Z/TT � 8ZILT-ZZ/IL TZ 11 ININ/I sJTT /I T£/OL-5Z/DL � bZIOT-BLIOL � 000011-111/l/1"rn QL £/01-LZ6 9Z/6-OZ/6 m 6TI6-€L/6 ZTI6-9/6 0 S/6 -O£/8 a F71R-.�71R ■ iii!■+ a+ �E+ tea{ • fs rc= �M w w� NEW i -- v imv') 0 Ln It � M M N 4 rte-] '] O O u ",'Wil" LZITL LZITL OZ/TL I-bL/TLTl, ETIINI 9/LL-L£IOT O£IOT/bZIOL £Z/OL-LLIOL 91 OT 61flL-oT ZIaL-9£IZ/6 5ZI6-6Lf6 8TI6-Zl/6 bTI6-6Z/sTI6-S16 M8-ZZI8 -SOS "Lla-sls LI8-L/8 TE/L-SZ/L �ZIL-sLIL LTIL-LLIL OLIL-ti/L £I -LZI9 9Z�9-OZI9 6LI9-EN19 ZLI9-9I9 S/9-OEIS 6ZI5'£ZIS ZZ/S-9115 SL/S-6I5 8/S Z/S S -S L/ZIti H tiZ1ti�8Tlti Ll/b-IIIb v anti �Ib E/b LZ/£-8ZI£ LZ/E aZl£-STI£ EL 9IE-8ZIZ ro LZIZ-TZIZ OZ '-'T £TIZ-LIZ ry 9/Z-T£/L OE/L-bZIT �, £ZIL-LT/T � 6IL E/T IL E ZIL-LZIZT 9ZIZL-OZIZi � 61 Z U ZL a ZT/ZL-9/ZT SIZz-6Z/TT � 8ZILT-ZZ/IL TZ 11 ININ/I sJTT /I T£/OL-5Z/DL � bZIOT-BLIOL � 000011-111/l/1"rn QL £/01-LZ6 9Z/6-OZ/6 m 6TI6-€L/6 ZTI6-9/6 0 S/6 -O£/8 a F71R-.�71R ■ Lor) V u 0 nu W -rj V 4—) .V) W n� +W V ! n� w L� 0 �V) N W Ln 0 V 0 U 0 H W. 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Ir11 it Illli I r 1 �«Mcoq����� M~ gym. =c c na c cc c ,c e � r"� a �rH �� g=� _u, cam '4d r� fir eb "' Y _sem= T4 Date (3 -Ray period) 12020 & 2021) Fkst prewnpthe posNh, ease was quarantinedon M20; Incubation Period . 14 Days; Data presented in 3. day penh dswhich equal -1/4 of the Incuhariun Period; Slnee 711/2 1, to smoath repans egaenm aeele ft and hollday� case nepons covering several days prior ham been dirldcd bythe eunber N Jars to Strovea daiT,—rageForthepedod- Scarce; V. Hank Mrnstabte County Hospitalizations, Last Report: Not Cumulative Cumulative 3 -Day Avg. of ICU Percent Med/Sung ICU Beds Barnstable Barnstable Beds Occupied Occupied County Cases County Persons in Hasp. of Beds (Last Report) (Last Re part) (Confirmed) Heaths (Med/Sorg+ICU) Occupied 12/6/2021 Cape Cod Hospital 26 3 Owl Falmouth Hospitai a 1 34 4 20,484 538 38.3 11% COVIN -19 Epidemiological Curve --New Deaths (Confirmed + Probable) Barnstable County, as of 1216/21 5:0v pm (New Deaths per 3 -Day Period) Fs -3 8 Deaths; 2GA94 Confirmed Cases' S tate state 1fi waehin Pandemic 16 Pangemdt 1 W gem! Handal. Wasn2 Wave3 l3hM, Wave4 - Begins Begins 5129121 Begins 14 13 12 12 1 11 itl 10 1 so 8 s � 6 5 SS S S 4 4 4 4444 4 444 4 a 3 3 3 3 33 2dt 2 21 2 2 x: z z 2 2 n III I I III �I�� �II+�k 1t� Mjj�� _ _ Mgarvm�Ea�e�ccca� Ace= ? as aae 5;5;1, ����aa a'I c5 � S�� a am as a� tae n e� �"aa�~���°�= as as ~ ~ ~ ~ Date13-Dav Period)(2020 & 20211 " First presumptive posltim case was quarantined on 316120; In cubatlon Period • 14 Days; Data presermd in 3 -day penuds which equal ^114 of the Incubatwo, Peeled m Probable cases hart not been Charted since 11/6110 and numbered 531 at that Moe - Vaira Harik, M.S. Assistant County Administrator Barnstable County, MA Cell: 774-487-9435 Email: vharik�barnstablecoun�.org Sm rce: V. Hanle, Sarnstab!e County; Using data provEded bythe MA Department of Public Health Amy von Hone From: KC Pearson <kimberley.crocker.pearson@gmail.com> Sent: Monday, December 6, 2021 9:10 AM To: Amy von Hone; Sherrie McCullough Subject: Omicron Update Dear Amy and Sherrie: As you know, the COV ID 19 Omicron variant has been detected in Massachusetts this past week. I have just gotten off of an update webinar and wanted to share the main points with you. This is based on early data from South Africa where they have the most experience with this variant. • Transmissibility: Omicron variant appears more transmissible than previous variants, with a doubling time of 1.5 days versus 2.0-2.2 days for Delta • Severity: Primarily anecdotal evidence from South Africa suggests that the Omicron variant produces generally milder disease; however, severe Gases have occurred in both adults and children. Like previous variants, severe cases tend to present later - weeks 2-4 - with hypoxia being the primary presenting problem however 70% of these patients do not require oxygen and the average hospital stay has been 2.8 days. They have not experienced the same pressure on ICU beds that was seen with previous variants, and the disease responds to the same treatment regimen as previous variants. • Reinfection Rates: Most notably, Omicron appears to have a higher reinfection rate in patients with prior disease, with a ratio of 2.4. This suggests that either natural immunity is not as protective against this variant or that protective natural immunity has waned in those becoming reinfected. This would argue far a benefit for individuals who have had COVID disease receiving the vaccine. ■ Vaccines: There are not enough data to make any conclusions about the effectiveness of vaccines against Omicron from South Africa. It has been reported that some number of those contracting Omicron have been vaccinated, and it might be that the lower severity of cases reflects partial immunity due to vaccines but it is too soon to make that statement based on evidence. Demand for vaccines is very high at the moment and it has become difficult to find booster appointments at the commercial sites (CVS, Walgreens, etc...) There is a hypothesis that the initial antibody boost achieved by the booster may be helpful in reducing the severity of Omicron, but again, it is too soon to make a definitive statement on this. Kim N (6 � � C L co 0 00 cm) O D LU CL U I Z W 75 Z LU 0 (D J Z C) W N N V F -- z w z 0 z w Q z F a z = w J W [� Lu a = z ,1 ¢ 0 U � � w w cr uL ¢ > d _ w H � z � z LU 0 0 J U ¢ W U W J Z > m 0 � 4 J a F- } > L) o z ¢ z cc z ¢ t _ m ca v 0 c v _ {--' 0 [Q [Ii E - 0 4-j . 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F e a C) L1 r E c nen !1 dE •`'.e.°�i �� � � Y W Y � a s �. •� „' � Gl .. � O P � w 4• n as a E g n S _ n y v� Y E Q q�_t 4� o IV Y T 6 �a L a C) r � � Lu IIA System Town Summary Town of Brewster, Massachusetts Barnstable County Department of Health and Environment P.O. Box 427, Barnstable, MA 02630 General Permit Information Courts by DEP Approval Type Count General 38 Remedial 7 Provisional 8 Pilot 8 Unknown 26 Counts by Property Type Type Count Single Family 61 Multi -Family 4 Commercial 14 Unknown 0 Counts by Occupancy Type Count Year -Round 57 Seasonal 3 Unknown 23 Barnstable County Septic Management Program Amy vonHone - Town of Brewster 3:23 pm Main Permits Reports Compliance Contractors Technologies Help Home > Permits A C) M. Filter Permits Add Permit Permit # Site Address Village Owner Name Map Parcel 2002-75 127 Beach Plum Lane Conact, Anthony 33 87 2010-59 306 Blueberry Pond Drive Crawley-Hossfeld, Joyce 27 75-1 2003-154 141 Brewster Road Fredrick Development Corp. 24 45 2002-946 19 Buming Bush Way Williamson, Barbara 33 267 2005-167 26 Carsons Way Crowley, Anne 36 37-109 2011-14 35 Carson's Path Bonanno, Joseph 2007-24 56 Carsons Way Powers, Ken and Julie 36137 106 201141 47 Carsons Way MacKoul, Matthew and Judith 2006-56 40 Carsons Way Jones, Maria and Jeffrey 36 37-107 2012-2 19 Cedar Hill Road Bell, Grace 38 20 2009-67 121 Fiddlers Lane Ryone, Allen 18 55 006-153 199 Hamilton Cartway Nayak, Ranganath And Sandra 47 83-1 2008-52 62 Harvest Lane Weiditz, John 5 238 2001-16 158 Jonathans Way Howes, Elizabeth 42 112-1 2007-36 42 Konohassett Cartway Carty, Joseph and Diana 41 11 2003-85 1597 Long Pond Road Freiner, David 47 .114 2005-191 15 Lower Road Luke Brewster Realty Trust 20 39 2000-167 1350 Main Street McKenna, Christina 23 46 2005-142 1993 Main Street Murphy, Peter 17 24 2009-21 3057 Main Street Camp Wono Inc. 8 a 2006-75 523 Main Street Hickok, Steve 22 94 2007-116 89 Main Street Kevorkian, John 21 4 2004-161 1646 Main Street The Latham Centers, Ino. 24 21 Unknown 540 Main Street Nickerson, Thomas B. 22 38-1 2002-63 56 McGuerty Road Bassett, Randall and Megan 94 88 Unknown 26 Nancy May Path Ellis, Patricia 7-11 4 2000-48 78 Old Red Top Road Conragan, Aram and Sylvia 38 116 2002-235 160 Cid Red Top Road Wirtzt Nelson and Meridith 37 65 Unknown 65 Pelts Fishing Road McLaughlin, Joseph and Diane 29 18-22 Unknown 2907 Route 6A Fitzpatrick, Susan 14 001 95-138 2298 Route 6A Eddy Elementary School Nauset Regional School District 16 80 2004-139 17 Russells Path Fitzgerald, Tom 33 57 2007-59 320 Satucket Road Cash, Frances 37 29 2006-02 242 Seaway Bisat, Trustee, Don 6 24 2005-164 42 Sixpenny Lane Hayes, Mark 19 10,12 2008-10 5 36 Southern Eagle Cartway Minster, David 30 18-1 200'&28 842 Stony Brook Road Moroney, Thomas 36 20 2002464 468 Stony Brook Road Our Lady of the Cape 22 83 00� 102 Susan Lane Hark, Matthias And Helen 24 40-14 2008-103 75 Swift Lane MacGregor 5 21 2008-42 90 The Channel Henry, John 4 38-1 2007-109 57 The Channel Way Dunbar, Howard 17 7 2006-50 7 Thousand Oaks Drive Harrigan, Steven and Eunice 107 21 Unknown 12-3 Trevor Lane Ocean Edge Condominium Trust 2006-41 120 Woodlands Lane Zuckerman, Joshua 45 67 Page 1 of 1, showing 83 records out of 83 total, starting on record 1, ending on 83 Permit # Site Address Village Owner Name Map Parcel Unknown 85 Olde Owl Pond Road Tupper, Steven 2014-110 255 Robins Hill Road Hayes, Elizabeth 2014-16 157 South Orleans Road White Rock Partners LLC 52131-1 33-1 2011-73 60 Carsons Way Masse, Rosemary and Joseph 36 105 2015-48 0 Sachemus Trall Capevfew Development LLC 78 137 2015-10 5 Carsons Way Murphy, William and Diane 2015-12 34 Captain Connolly Road Shiel, Jean Ann 2015-67 Granite State Court Cape Associates 30 30-7 2013-106 53 Sheep Pond Circle Smeltzer, Mean and Marjorie 2016-03 300 Faster Road Tully, Mark and Dana 79 25 2016-31 56 Six Penny Lane Terrenzi, Eunice 37 27 2005-164 42 Six Penny Lane Howland, David 19 10 & 12 Unknown White Rock Road Unknown 2916.61 6 Seaman's Lane Rhoads, Abigail 12 71 2016-91 54 Thousand Oaks Drive Norris, Lawrena H. 108 23 2016-123 50 Sea Meadow Lane James Kuhesch Trustee 37 71 2016-48 39 McGuerty Road Smith, Mark 94 75 2017-05 1657 Main Street Town of Brewster Fire Station 56 6 2017-33 254 Robbins Hill Road Maguire, William 38 84 2017-67 298 Robbins Hill Road Canyon Capital III LLC 38 80 2017-103 110 Long Pond Road Lepa rd, Larry and Susan 85 111 2017-122 102 Cedar Hill Road Rosenfeld, Jonathan 38 29 2017-127 2639 Main Street Brewster Main Street Realty LLC 89 19 2017-128 2639 Main Street Cumberland Farms Inc 89 18 2017-126 Lot 6 Mill Pond Drive Smith, Michael 34 48 2017-43 40 Cranview Read Zevon, Sanford and Madeline 10 66 Unknown 75 Johnson Cartway Susan Johnson Trustee 61 20 2018-85 11 Frederick Court Brewster Housing Authority 56 67 2016-69 14 Carsons Path Baroni, Jeffrey 23 67 Unknown 50 Sarah Maker Lane Aberle, Leslie 85 138 2018-84 4 Alden Drive Ruth Begley Trustee 56 89 2017-30 88 Hamilton Cartway Leist, Sage 93 11 2019-56 119 North Pond Drive Multi, Calvin and Karen 89 fit 2019-74 200 Brier Lane Drake, .lack and Nancy 48 45 2019-68 72 Johnson Cartway Johnson, Bruce 61 21 Unknown 54 John Wings Lane Veitch, Bettina 23 47 Unknown 80 Colonial Way Hangma, Dale 129 21 2021-76,83 Greenland Pond Road Walz, Richard 94 27 Page 1 of 1, showing 83 records out of 83 total, starting on record 1, ending on 83 Component Information Counts by Component Type Technology Count Advantex 2 Bioclere 5 Concrete Septic Tank 1 Disinfection Unit I FAST 21 Hoot Aerobic Systems 1 Perc-Rite Drip Dispersal 2 Pump Chamber 1 Septitech Treatment System 2 Singulair Bio -Kinetic VVWT System 5 Waterloo Biofilter 1 Waterloo EC -P 1 White Knight InnoculatorlGenerator 2 TOTAL 45 Counts by Inspection Frequency Frequency Count None Required Q Quarterly 19 Bi -Annually 11 Yearly 15 Other a Sampling Information Number of Permits with Sample Parameter Type Parameter Count Alkalinity 2 BODS 10 CBOD 4 DO 3 Nitrate 20 Nitrite 19 No Parameters 61 Settleable Solids 1 TKN 19 TSS 11 Temperature F 1 Total Dissolved Phosphorus 3 Total Iron 3 Total N 19 Total P 3 Water Use 1 pH 12 TOTAL. 192 Number of Permits with Sampling Frequency Frequency Count None Required 0 Quarterly 66 Bi -Annually 47 Yearly 18 Other 0 R;bbbb (dkkk�kkk\§ §9§2292--2 !272222§2;§3 � kkk222|k(/§ !«ge@am;RB;q fkkk�§§�E§6i 23333/§:�§! !k =G §J| � k\� kk\k k\��\k£ �!=m k�/k£ !] d! §§ §! §■2 R 2;§ 7�l�■ ) , = all =� R;bbbb (dkkk�kkk\§ §9§2292--2 !272222§2;§3 � kkk222|k(/§ !«ge@am;RB;q fkkk�§§�E§6i 23333/§:�§! N 0 Ln r -I N v N Ui .o C3 c 0 4-' � Q 4° 4t m � o U fir'] LO Q 4-jN 4-1 L a " Q) ) Ln ❑ ❑ � UD ._ Lo C) a Q) o .. C) o o 0 v 4-j❑ •Q) 0 r v o v ►1f d Q) o 4-1 o a •~_. v� Q v 0 .� C: bbo °a) '� Ln .�' 4-1 a ° a� a a +3 V a a j- -qt e . v N Ui .o C3 c 0 0 Q u 0 W i V) W U c 0 E 0 4� W w J 0 r r� 4-J u ■ i i -J LI) 1j W rW' V c Q3 0 c 0 0. 0 Q. 0 Ln 4� E 0 X 0 c 0 . i r �■ 0 A r�� 9% V) 4-) u n' L W 4-J -I--) c r , � V I V) v 0 .� 0 CL r i 0 (1) a Lo CL Lo Lu c: E au ❑, Q p +� +, .� V u ._ o ° 0 z u a)u CY) Q. 0 .� cLLI� w a) 0 Commonwealth of Massachusetts Executive Office of Energy & Environmental Affairs Department of Environmental Protection One Winter Street Boston, MA 02108.517 -29P -550a Charles D. Baker Matthew A. Beaton Governor Secretary Karyn E. Polito Martin Suuberg Lieutenant Governor Commissioner CERTIFICATION FOR GENERAL USE Pursuant to Title 5, 310 CMR 15.000 Name and Address of Applicant: Bio-Microbics, Inc. 8450 Cole Parkway Shawnee, KS 66227 Trade name of technology and models: FAST Treatment Systems with Nitrogen Reduction including models MieroFASTID 0.5, 0.75, 0.9, 1. 5, 3.0, 4.5, 9. 0, HighStrengthFASTO 1. 0, 1. 5, 3.0, 4.5, 9.0 and NitriFASYM 0.5, 0.75, 1.0, 1.5, 3.0, 4. 5, 9.0 (all hereinafter the "System") for facilities with design flows less than 2,000 gallons per day (GPD). Schematic drawings illustrating the models and an Inspection Checklist are part of this Certification. Transmittal Number: X232831 Date of Issuance: December 29, 2010, revised March 20, 2015 Authority for Issuance: Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000, the Department of Environmental Protection (hereinafter "the Department") hereby issues this General Use Approval to: Bio-Microbics, Inc., 8450 Cole Parkway, Shawnee, KS 66227 (hereinafter "the Company"), approving the above referenced FAST technology (hereinafter "the Technology" or "System") for use in the Commonwealth of Massachusetts subject to the conditions herein. Sale and use of the Technology are subject to compliance by the Company, the Designer, the System Installer, the Operator, and the System Owner with the terms and conditions herein. Any noncompliance with the terms or conditions of this Certification constitutes a violation of 310 CMR 15.000. ojogle-,-, David Ferris, Director Wastewater Management Program Bureau of Water Resources March 20, 2015 Date I. Purpose This information is available in alternate format. Call Michelle Waters-Ekanem, Diversity Director, at 617-292-5751, TTY# MassRelay Service 1-800439-2370 MassDEP Website: www, mass.govldep Printed on Recycled Paper Certification for General Use Page 2 of 10 Bio-Microbics FAST <2,000 GPD Nitrogen Reducing 1. Subject to the conditions of this Approval and any other local requirements, the purpose of this Approval is to allow the use of the System in Massachusetts on a General Use basis. With the necessary permits and approvals required by 310 CMR 15.000, this Certification authorizes the installation and use of the System in Massachusetts. 2. The System may be installed for residential facilities with design flow less than 2,000 GPD where a system in compliance with 310 CMR 15.000 exists on-site or could be built and for which a site evaluation in compliance with 310 CMR 15.000 has been approved by the local approving authority; or by the Department if Department approval is required by 310 CMR 15.000. This Approval allows for the use of the System as an equivalent alternative technology in accordance with 310 CMR 15.202 on facilities for nitrogen reduction in a Department designated nitrogen sensitive or limited area as defined in 310 CMR 15.214 and 15.215. Non-residential facilities are not allowed under this approval. Non-residential facilities include properties with businesses and/or commercial establishments, 3. The technology shall meet or exceed the following effluent discharge requirements: • Effluent Total Nitrogen (TN} concentration of 19 mg/L (for 660 gallons per day per acre -gpda- loading) or 25 mg/L (for 550 gpda loading). ■ Effluent pH range shall be 6.0 to 9.0. • The System is approved for use at facilities with a maximum design flow less than 2,000 GPD. 4, The System Owner or the designated System Operator (or `Operator') has responsibility for oversight and sampling of the System if the property served was allowed to increase the discharge rate per acre above 440 gpda in an area subject to Nitrogen Loading Limitations. The System Owner will be required to repair, replace, modify or take any other action as required by the Department or the local approving authority, if the Department or the local approving authority determines that the System is not capable of meeting the required reduction in nitrogen in the effluent. The Company is responsible for the approved technology as described below. YY. General Description of the Technology and Design Standards 1. The tank containing the FAST0 insert is installed between the building sewer and the soil absorption system (SAS). The SAS shall be designed and constructed in accordance with 310 CMR 15,100 - 15.279 and subject to the provisions of this Certification, Technology Description - The FASTO system is an aerobic wastewater treatment system that utilizes a completely submerged fixed film process to treat organics and nitrify, and a passive recycle system for denitrification. Each model contains submerged media specific to the application. Microorganisms grow on the media and remove soluble contaminants from the wastewater, utilizing them as a source of energy for growth and production of new microorganisms. The FAST@ system insert consists of a liner around the media and an airlift to provide aeration and mixing within the confines of the liner. The area outside the liner in the septic tank remains anoxic for denitrification and a passive recirculation system Certification for General Use Page 3 of 10 Bio-Microbiics FAST <2,000 GPD Nitrogen Reducing moves the aerated wastewater to the outside of the liner to obtain denitrification. The aeration and circulation inside the liner are provided by a blower that pumps air into a draft tube that extends down the center of the media. Treated effluent passes out of the aerobic zone of the treatment plant through a pipe connected directly to a baffled quiescent area in the liner. Final effluent is discharged to a soil absorption system. Specific model considerations are as follows: ■ The MicroFAST® 0.5, 0.75 and 0.9, HighStrengtbFAST@ 1.0 and Nitri.FAST® 0.5, 0.75 and 0.9 are installed in the second compartment of a two-compartment tank with a total liquid capacity of at least 1,500 gallons constructed in accordance with 310 CMR 15.226. ■ The MicroFASTS, HighStrengthFAST® and NitriFASTO 1.5 are installed in the second compartment of a two compartment 3000 -gallon tank constructed in accordance with 310 CMR 15.226. ■ The MicroFASTV, HighStrengthFASTO and NitriFASTO 3.0 is installed in a separate tank constructed in accordance with 310 CMR 15.226 and located between a standard Title 5 septic tank, designed in accordance with 310 CMR 15.223 and 15.224, and the soil adsorption system (SAS). In this larger system, an additional recycle pump may be needed to send nitrified effluent back to the septic tank for added denitrification. Consult the Company for proper layout. ■ The NitriFASTO models can also be used for additional nitrification in series after the MicroFASTV models or HighStrengthFAST@ models. In this configuration the tanks used for the NitriFASTO shall be constructed in accordance with 314 CMR 15.226 and meet the minimum dimensions and volumes required by the Company. ■ Flow equalization may also be employed prior to the FAST® system depending on the type of facility. Consult Company for proper layout. All access ports and manhole covers shall be readily removable, of durable material and installed and maintained at grade to allow for maintenance of the System. No structures shall be located directly upon or above the access locations which could interfere with performance, access, inspection, pumping, or repair. Sufficient access for infrequent maintenance of the System treatment media and all other treatment works shall be evaluated, and addressed in the System design if necessary, by the designer. System control panel(s) including alarms shall be mounted in a location accessible to the operator of the System. 4. Wastewater Loading and Effluent Concentration Design Standards For new residential construction in an area subject to the Nitrogen Loading Limitations of 310 CMR 15.214, and the facility does not meet with the Nitrogen Loading Limitations pursuant to the aggregation provisions of 310 CMR 15.216, an increase in calculated nitrogen loading per acre is allowed for facilities with design flow less than 2000 gpd with limitations as follows: ■ The design flow shall not exceed 660 gallons per day per acre (gpda) and the total nitrogen (TN) concentration in the effluent shall not exceed 19 milligrams per liter (mgt); or Certification for General Use Page 4 of 10 Bio-Microbics FAST <2,000 GPD Nitrogen Reducing • The design flow shall not exceed 550 gallons per day per acre (gpda) and the total nitrogen (TN) concentration in the effluent shall not exceed 25 milligrams per liter (mg/L). • TN is measured as the total of TKN (Total Kjeldhal Nitrogen), NO3-N (Nitrate nitrogen) and NO2-N (Nitrite nitrogen). 111. General Conditions I . The provisions of 310 CMR 15.000 is applicable to the use and operation of this System, the System owner and the Company, except those that specifically have been varied by the terms of this Certification. 2. Any required operation and maintenance, monitoring and testing shall be performed in accordance with a Department approved plan. Any required sample analysis shall be conducted by an independent U.S. EPA or DEP approved testing laboratory, or a DEP approved independent university laboratory, unless otherwise provided in the Department's written approval. It shall be a violation of this Certification to falsify any data collected pursuant to an approved testing plan, to omit any required data or to fail to submit any report required by such plan. 3. The facility served by the System and the System itself, shall be open to inspection and sampling by the Department and the local approving authority at all reasonable times. 4. In accordance with applicable law, the Department and the local approving authority may require the System owner to cease operation of the system and/or to take any other action as it deems necessary to protect public health, safety, welfare or the environment. The Department has not determined that the performance of the System will provide a level of protection to public health and safety and the environment that is at least equivalent to that of a sanitary sewer system. Accordingly, no System shall be upgraded or expanded, if it is feasible to connect the facility to a sanitary sewer, unless as allowed by 310 CMR 15.004. 6. Design, installation, and use of the System shall be in strict conformance with the Company's DEP approved plans and specifications and 310 CMR 1.5.000, subject to this Certification. IV. Conditions Applicable to the System Owner I . The System owner shall at all times have the System properly operated and maintained by a Company approved Operator in accordance with this Certification, the designer's operation and maintenance requirements and the Company's approved procedures. 2. The System is certified only in connection with the discharge of sanitary wastewater from facilities with a design flow of less than 2000 gpd. Any non -sanitary wastewater generated and/or used at the facility served by the System shall not be introduced into the System and shall be lawfully disposed of. Certification for General Use Page 5 of 10 Bio-Microbics FAST <2,000 GPD Nitrogen Reducing The System Owner shall provide access to the site for the System Operator to perform inspections, maintenance, repairs, responding to alarm events, field testing, and sampling as may be required by the Approval. Operation and Monitoring Requirements 4. System effluent total nitrogen (TN) concentrations shall not exceed 19 or 25 mglL and effluent pH shall not be less than 6.0 or more than 9.0. Field test observations of dissolved oxygen (DO) shall equal or exceed 2 mglL and for Turbidity shall be equal or less than 40 NTU, 5. All samples shall be taken at a flowing discharge point, i.e. distribution box, pipe entering a pump chamber or other Department approved location from the treatment unit. 6. Inspection, operation and maintenance (O&M), sampling, and field testing of the System required by the Approval shall be performed by a Company approved Operator who has been certified at a minimum of Grade Level 4 (four) by the Board of Registration of Operators of Wastewater Treatment Facilities, in accordance with Massachusetts regulations 257 CMR 2.00, and is an approved Title 5 System inspector in accordance with 310 CMR 15.340. 7. Prior to commencement of construction of the System, the System Owner shall provide to the local approving authority a copy of a signed O&M Agreement that meets the requirements of paragraph IV (8). The System Owner shall maintain, at all times, an O&M Agreement with a qualified System Operator approved by the Company. The Agreement shall be at least for one year and include the following provisions: a) The name of a System Operator who is an approved System Inspector in accordance with 310 CMR 15.340 and who meets any additional qualification requirements specified in the Approval; b) The System Operator must inspect the Alternative System as required by paragraph N (9) and (12); c) The System Operator shall be responsible for submitting the monitoring results to the System Owner in accordance with paragraph IV (13) and to the local approving authority in accordance with paragraph IV (14); and d) In the case of a System failure, an equipment failure, alarm event, components not functioning as designed, or violations of the Approval, procedures and responsibilities of the System Operator and System Owner shall be clearly defined for corrective measures to be taken immediately. The System Operator shall agree to provide written notification within five days, describing corrective measures taken, to the System Owner and the local board of health.. The System Owner shall comply with the following monitoring requirements if the System is subject to a TN concentration limit in accordance with paragraph II (4): Certification for General Use Page 6 of 10 Bio-Microbics FAST <2,000 GPD Nitrogen Reducing a) Year-round installations shall be inspected and have effluent sampled for at least the TN parameter quarterly for the first year, then a minimum of twice/year thereafter, at least 5 months apart and with at least one sample taken between December 1 and March 1 of each year. Field testing shall be completed per paragraph IV (11) below, and as determined necessary by the System Operator. See DEP Field Testing Protocol at htip:Ilwww.mass.govldeplwaterllawsl policies. htm#t5pols. Wastewater flow shall be recorded at each inspection, see `Flow Metering' paragraph IV (10). b) Seasonal installations shall be inspected and have effluent sampled for at least the TN parameter a minimum of twice/year. At least one sample must be taken 30 to 60 days after each seasonal occupancy begins. A second sample must be taken no less than 2 months after the first sample. Field testing shall be completed per paragraph IV (11) below, and as determined necessary by the System Operator. Wastewater flow shall be recorded at each inspection, see `Flow Metering' paragraph IV (10). c) Systems in operation prior to issuance of this Approval, which have received approval of sampling reduction from the Department may continue with that System monitoring frequency. Properties occupied at least 6 months per year are considered year-round properties. Properties occupied less than 5 months per year are considered seasonal properties. TN is measured as the total of TKN (Total Kjeldhal Nitrogen), NO3 N (Nitrate nitrogen) and NO2-N (Nitrite nitrogen). 10. Flow Metering: Reporting of residential System water use is not required, however it is recommended the Operator record water meter readings if available at all inspections, or otherwise estimate System flow, to assist in addressing possible operational problems or issues. Flow measurement when recorded shall be based on: a) actual metering data of wastewater flow to the System or actual water meter data of flow to fixtures that discharge to the wastewater system; or b) actual water meter data for the total facility with either actual meter data or estimated flows for non -wastewater usage subtracted from the total facility water usage. If estimating the wastewater portion of metered water usage, the System Operator shall provide a best estimate of wastewater discharged to the System with the method of estimating, such as pump run times, occupancy rates, adjustment due to seasonal outdoor watering use, etc.; or c) for Systems installed under a prior Approval that did not include a wastewater flow data reporting requirement, if no flow meters are available, the System Operator shall provide a best estimate of wastewater discharged to the System with the method of estimating, such pump run times, occupancy rate, etc. 11. Field Testing: Temperature, turbidity, pH and DO shall be measured and recorded in the field whenever the effluent is sampled for TN. See applicable sections of the Department's Field Testing Protocol at http:llwww.mass.govldeplwaterldawsl policies. htm#t5pols. Certification for General Use Page 7 of 10 Bio-Mierobics FAST <2,000 GPD Nitrogen Reducing 12. At a minimum, the System Operator shall inspect the System: a) quarterly for the first year then two times per year thereafter; b) in accordance with the approved O&M manual, the Designer's operation and maintenance requirements, and the requirements of the local approving authority; and c) any time there is an alarm event, equipment failure, or system failure. Recordkeeping and Reporting 13. Within 60 days of any site visit, the System Operator shall submit an O&M report and inspection checklist to the System Owner and the Company. It is recommended the System Owner and Company maintain copies of these items for possible Department audit. The O&M report shall include, at a minimum: a) for a System failing, any corrective actions taken.; b) wastewater analyses, wastewater flow data, field testing results and inspection checklists; c) any violations of the Approval; d) any determinations that the System or its components are not functioning as designed or in accordance with the Company specifications; and e) any other corrective actions taken or recommended. 14, By February 15th of each year the System Owner or the System Operator if designated by the owner, shall submit to the local approving authority all monitoring results with all O&M reports and inspection checklists completed by the System Operator during the previous 12 months. 15. Upon determining that the System has failed, as defined in 310 CMR 15.303, the System Operator shall notify the System Owner immediately. 16. Upon determining that the System has failed, as defined in 310 CMR 15.303, the System Owner and the System Operator shall be responsible for the notification of the local approving authority within 24 hours of such determination. 17. The System Owner shall notify the Approving Authority and the Company in writing within seven days of any cancellation, expiration or any other change in the terms and/or conditions of the O&M Agreement required by Paragraph IV (8). 18. Violations of the TN concentration in the System effluent shall not constitute a failure of the System for the purposes of 24-hour notification or 5 -day written reporting as required in Paragraphs IV (16) and (8). 19. The System owner shall provide a copy of this Approval, prior to the signing of a purchase and sale agreement for the facility served by the System or any portion thereof, to the proposed new owner. Certification for General Use Page 8 of 10 Bio-Microbics FAST <2,000 GPD Nitrogen Reducing 20. The System owner shall furnish the Department any information that the Department requests regarding the System, within 21 days of the date of receipt of that request. 21. Prior to issuance of a Certificate of Compliance of the System, and after recording and/or registering the Notice required by 310 CMR15.287(10), the System Owner shall provide to the Local Approving Authority a copy of: (i) a certified Registry copy of the Notice bearing the book and page/or document number; and (ii) if the property is unregistered land, a Registry copy of the System Owner's deed to the property, bearing a marginal reference on the System Owner's deed to the property. The Notice to be recorded shall be in the form of the Notice provided by the Department. 22, Prior to signing any agreement to transfer any or all interest in the property served by the System, or any portion of the property, including any possessory interest, the System Owner shall provide written notice of all conditions contained in the Approval to the transferee(s). Any and all instruments of transfer and any leases or rental agreements shall include as an exhibit attached thereto and made a part of thereof a copy of the Approval for the System. The System Owner shall send a copy of such written notification(s) to the Local Approving Authority within 10 days of giving such notice to the transferee(s). V. Conditions Applicable to the Company 1, The Company shall notify the Director of the Wastewater Management Program at least -30 days in advance of the proposed transfer of ownership of the technology for which this Certification is issued. Said notification shall include the name and address of the proposed new owner and a written agreement between the existing and proposed new owner containing a specific date for transfer of ownership, responsibility, coverage and liability between them. All provisions of this Certification applicable to the Company shall be applicable to successors and assigns of the Company, unless the Department determines otherwise. 2. The Company shall develop maintain and update as necessary the following: minimum installation requirements; an operating manual, including information on substances that should not be discharged to the System; a maintenance checklist; and a recommended schedule for maintenance of the System consistent with the Department's requirements essential to consistent successful performance of the installed Systems. 3. The Company shall institute and maintain a program of operator training and continuing education. The Company shall maintain and annually update, and make available the list of qualified operators by February 15th and make the list known to local approving authorities, the Department and to users of the technology. 4. The Company shall furnish the Department any information that the Department requests regarding the System, within 21 days of the date of receipt of that request. S. The Company shall include copies of this Certification and the procedures described in Section V (3) with each System that is sold. In any contract executed by the Company for distribution or resale of the System, the Company shall require the distributor or re -seller to provide each purchaser of the System with copies of this Certification and the procedures described in Section V (3). Certification for General Use Page 9 of 10 Bio-Microbics FAST <2,000 GPD Nitrogen Reducing 6. A copy of the wastewater analyses, wastewater flow data, field testing results, and System Operator O&M reports and inspection checklists from each installed System shall be maintained by the Company or its designee for possible Department audit. 7. If the Company wishes to continue this Certification after its expiration date, the Company shall apply for and obtain a renewal of this Certification. The Company shall submit a renewal application at least 180 days before the expiration date of this Certification, unless written permission for a later date has been granted in writing by the Department. This Certification shall continue in force until the Department has acted on the renewal application. VY. Conditions Applicable to the System Designer 1. Upon submission of an application for a DSCP, the Designer shall provide to the local approving authority: a) a certification, signed by the owner of record for the property to be served by the System, stating that the property owner: i) has been provided a copy of the Approval, the Owner's Manual, and the Operation and Maintenance Manual, if applicable, and the Owner agrees to comply with all terms and conditions; ii) has been informed of all the owner's costs associated with the operation including, when applicable: power consumption, maintenance, sampling, recordkeeping, reporting, and equipment replacement; iii) understands the requirement for a service contract; iv) agrees to fulfill his responsibilities to provide a Deed Notice as required by 310 CMR 15,287(10) and the Approval; v) agrees to fulfill his responsibilities to provide written notification of the Approval to any new owner, as required by 310 CMR 15.287(5); vi) if the design does not provide for the use of garbage grinders, the restriction is understood and accepted; vii) if the design is for an upgrade of failed or nonconforming system, the System Owner has been provided a copy of the evaluation of the existing system; viii) whether or not covered by a warranty, the System Owner understands the requirement to repair, replace, modify or take any other action as required by the Department or the local approving authority, if the Department or the local approving authority determines that the Alternative System is not capable of meeting the performance standards; and b) a certification, signed by the Designer that the design conforms to the Approval with Conditions and 310 CMR 15.000. VII. Reporting 1. All notices and documents required to be submitted to the Department by this Certification shall be submitted to: Certification for Genera! Use Page 10 of 10 Bio-Microbics FAST <2,000 GPD Nitrogen Reducing Director Wastewater Management Program Department of Environmental Protection, One Winter Street - 5th floor Boston, Massachusetts 02108 VIII. Rights of the Department 1. The Department may suspend, modify or revoke this Certification for cause, including, but not limited to, non-compliance with the terms of this Certification, non-payment of the annual compliance assurance fee, for obtaining the Certification by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for discontinuance of the Certification, or as necessary for the protection of public health, safety, welfare or the environment, and as authorized by applicable law. The Department reserves its rights to take any enforcement action authorized by law with respect to this Certification and/or the System against the owner or operator of the System and/or the Company. Transmittal: X232831 (formerly W 10 123 8) Commonwealth of Massachusetts Executive Office of Energy & Environmental Affairs Department of Environmental Protection One Winter Street Boston, MA 02108 • 617-292-5500 Charles D. Baker Matthew A. Beaton Governor Secretary Karyn E. Polito Martin Suuherg Lieutenant Governor Commissioner PROVISIONAL USE APPROVAL - RENEWAL Pursuant to Title 5, 310 CMR 15.000 Name and Address of Applicant: Bio-Microbics, Inc. 8450 Cole Parkway Shawnee, KS 66227 Trade Name of technology and models: MicroFAST Treatment System with Nitrogen Reduction. Models: MicroFASTO 0.5, 0.75, 0.9, 1.5, 3.0, 4.5, and 9.0; HighStrengthFASTO 1.0, 1.5, 3.0, 4.5, and 9.0 and NitriFASTV 0.5, 0.75, 1.0, 1.5, 3 A, 4.5 and 9.0 for facilities with design flows less than 10,000gpd (all hereinafter the "System" or "the Technology"). Schematic drawings illustrating the System and the technology checklist are on file with and are part of this Approval. MassDEP Transmittal No.: X266685 Date of Renewal: July 28, 2015 Expiration date: July 28, 2020 Authority for Issuance Pursuant to Title 5 of the State Environmental Code, 310 CMR 15:000, the Department of Environmental Protection thereinafter "the Department") hereby issues this Provisional Approval to: Bio-Microbics, Inc., 8450 Cole Parkway, Shawnee, KS 65227 (hereinafter "the Company"), approving the System for use in the Commonwealth of Massachusetts subject to the conditions herein. Sale and use of the Technology are subject to compliance by the Company, the Designer, the Installer, the Operator, and the System Owner with the terms and conditions herein. Any noncompliance with the terms or conditions of this Certification constitutes a violation of 310 CMR 15.000. David Ferris, Director Wastewater Management Program Bureau of Resource Protection July 28, 2015 Date chis information Is avaIlable in alternate format. Cali Michelle Waters-Ekanem, Diversity Director, at 617.292-5751. TTY# Mass Re lay Service 1-1300-439-2370 MassDEP Website: www.mass.gov/dep Printed on Recycled Paper Provisional Use Approval — Renewed July 28, 2015 Page 2 of ) 7 Biollficrobics FAST- Nitrogen Redaktion rip to 10, 000 gpd 1. Purpose Subject to the conditions of this Approval and any other local requirements, the purpose of this Approval is to allow installation and operation of at least 50 on-site sewage disposal systems utilizing the Technology in Massachusetts in order to conduct a performance evaluation of the capabilities of the Technology during the first 3 years of operation of each system, in accordance with Title 5 — 310 CMR 15.285 (7), Provisional Approval of Alternative System. The specific goals of the Performance Evaluation are to determine: ■ if the Technology is capable of consistently meeting the concentration limits for total nitrogen (TN) of 25 milligrams per liter (mglL) for non-residential installations with design flows less than 2,000 GPD, and, 25 mglL for residential and non-residential installations with design flows from 2,000 GPD to less than 10,000 gpd, in the effluent discharged to the soil absorption system. In areas subject to nitrogen loading limitations, increases in the discharge rate per acre may be allowed when the nitrogen concentration discharged to the soil is reduced; and ■ if the Technology is an equivalent alternative technology to a recirculating sand filter ("RSF") and may be substituted for the RSF as a required component of a System designed to serve a facility or facilities with a design flow of 2,000 gpd or more to be located in a Nitrogen Sensitive Area in accordance with the requirements of 310 CMR 15.202. The Company is responsible for oversight and sampling of the systems during the Performance Evaluation.Upon completion of the Performance Evaluation the Owner has responsibility for continued oversight and sampling of the system. The System Owner will be required to repair, replace, modify or take any other action as required by the Department or the local approving authority, if the Department or the local approving authority determines that the System is not capable of meeting the required reduction in nitrogen in the effluent. II. General Description of the Technology The tank containing the EAST® insert is installed between the building sewer and the soil absorption system (SAS). The SAS shall be designed and constructed in accordance with 310 CMR 15.100 - 15.279 and subject to the provisions of this Certification. Technology Description - The FAST@ system utilizes a completely submerged fixed film process to treat organics and nitrify, and a passive recycle system for denitrification. Each model contains submerged media specific to the application. Microorganisms grow on the media and remove soluble contaminants from the wastewater, utilizing them as a source of energy for growth and production of new microorganisms. The FAST system insert consists of a liner around the media and an airlift to provide aeration and mixing within the confines of the liner. The area outside the liner in the septic tank remains anoxic for denitrification and a passive recirculation system moves the aerated wastewater to the outside of the liner to obtain denitrification. The aeration and circulation inside the liner are provided by a blower that pumps air into a draft tube that extends down the center of the media. Treated effluent passes out of the aerobic zone of the treatment plant through a pipe connected directly to a baffled quiescent area in the liner. The System may be equipped with chemical feed to control alkalinity and provide a carbon source to aid Provisional Use Approval — Renewed July 28, 2015 Page 3 of 17 BioMicrobics FAST - Nitrogen Reduction up to 10, 000 gpd denitrification when required by the wastewater constituents. Specific model considerations are as follows: • The MicroFAST® 0.5, 0.75 and 0.9, HighStrengthFASTO 1.0 and NitriFAST® 0.5, 0.75 and 0.9 are installed in the second compartment of a two-compartment tank with a total liquid capacity of at least 1,500 gallons constructed in accordance with 310 CMR 15.226. • The MicroFASTO, HighStrengthFASTO and NitriFAST® 1.5 are installed in the second compartment of a two compartment 3000 -gallon tank constructed in accordance with 310 CMR 15.226. • The MicroFASTO, HighStrengthFAST® and NitriFASTO 3.0, 4.5 and/or 9.0 models are installed in a separate tank constructed in accordance with 310 CMR 15.226 and located between a standard Title 5 septic tank, designed in accordance with 310 CMR 15.223 and 15.224, and the soil adsorption system (SAS). These larger models may need an additional recycle pump to send nitrified effluent back to the septic tank for added denitrification. Consult the Company for proper layout. • The NitriFASTO models can also be used for additional nitrification in series after the MicroFASTO models or HighStrengthFASTO models. In this configuration the tanks used for the NitriFASTO shall be constructed in accordance with 310 CMR 15.226 and meet the minimum dimensions and volumes required by the Company. • Flow equalization may also be employed prior to the FAST® system depending on the type of facility. Consult company for proper layout. All access ports and manhole covers shall be readily removable, of durable material and installed and maintained at grade to allow for maintenance of the System. No structures shall be located directly upon or above the access locations which could interfere with performance, access, inspection, pumping, or repair. Sufficient access for infrequent maintenance of the System treatment media and all other treatment works shall be evaluated, and addressed in the System design if necessary, by the designer. System control panel(s) including alarms shall be mounted in a location accessible to the operator of the System. For System sampling of influent, a sampling location not impacted by recycled wastewater shall be a part of the System design. The use of the Technology under this Approval requires: • Disclosure Notice in the Deed to the property; Certifications by the Company, the Designer, and the Installer; • System Owner Acknowledgement of Responsibilities; • A certified operator under contract for periodic inspection and maintenance; • Periodic sampling; • Recordkeeping and reporting; and • An external power supply. Provisional Use approval —Renewed July 28, 2015 Page 4 of 17 BioMicrobics FAST- Nitrogen Reduction up to 10,000 gpd III. Conditions ❑f Approval A. Basis for Conditions 1. The term "System" refers to the Technology in combination with any other components of an on-site treatment and disposal system that may be required to serve a Facility in accordance with 310 CMR 15.000. 2. The term "Approval" includes the Special Conditions, Standard Conditions, General Conditions of 310 CMR 15.287, and the approved Attachments. 3. Items required by this Approval include: a) Performance Evaluation Plan (PEP) with sampling and analysis requirements and approved by the Department. The PEP must be submitted to the Department for review and approval within ba days of issuance of this Approval and meet the requirements of the Department's Guidance for the Preparation of Performance Evaluation Plans < 2, 000 GPD, and, Guidance for the Preparation of Performance Evaluation Plans 2, 000 GPD or Greater; b) minimum System installation requirements; c) company schematic drawings and specifications; d) Owner's Manual, including information on substances that should not be discharged to the System; e) Operation and Maintenance manual, including but not limited to, operator qualification requirements, inspection requirements, sampling and analysis requirements, recordkeeping requirements, and/or reporting requirements; and f) MassDEP Operation and Maintenance (O&M) and I/A Technology Inspection Checklists. B. Special Conditions For Systems less than 2,000 GPD The Technology is approved for use with System's serving non-residential facilities with a design flow less than 2,000 gallons per day, subject to the following additional conditions: 1. The System may only be installed to serve facilities where a fully conforming Title 5 system with a reserve area exists on-site or could be built on-site in compliance with the design standards for new construction of 310 CMR 15.000, and for which a site evaluation in compliance with 310 CMR 15.000 has been approved by the Approving Authority. A fully conforming Title 5 system may include other approved alternative technologies in accordance with the conditions imposed on the alternative technologies. 1 Subject to the provisions of this Approval, the Technology shall be installed in a manner which neither intrudes on, replaces a component of, or adversely affects the operation of all other components of the System designed and constructed in accordance with the standards for new construction of 31.0 CMR 15.200 - 15.279. Provisional Use Approval — Re?tewed Judy 28, 2015 Page 5 of 17 BioMicrobics FAST -- Nitrogen Reduction up to 10, 000 gpd Effluent Limit and Monitoring Requirements for Systems less than 2,000 GPD, 3. If the System is installed to serve new construction in an area that is subject to the Nitrogen Loading Limitations of 310 CMR 15.214 and the facility does not meet the Nitrogen Loading Limitations pursuant to the aggregation provisions of 310 CMR 15.216, the System shall not be designed to receive and shall not receive more than 440 gallons of design flow per day per acre (gpda), except as allowed by 310 CMR 15.217: a) For non-residential facilities, an increase in the flow rate per acre is allowed up to a design flow up to 550 gpda provided that the facility meets a Total Nitrogen (TN) effluent limit of 25 mgll or less. The System Owner shall repair, replace, modify or take any other action as required by the Department or the local approving authority, if the Department or the local approving authority determines that the System is not capable of meeting the total nitrogen concentration limits in the effluent. Violation of the TN concentration in the System effluent shall not require notifications as required in paragraphs D (13) and (14). 4. Prior to Department approval of the Company's Performance Evaluation Plan, the Company shall be responsible for the following monitoring requirements for all System installations that are subject to a total nitrogen concentration limit in accordance with paragraph B (3). Sampling shall include pH, BOD5, TSS and TN), unless otherwise stated. Flow shall be recorded at each inspection, see "Flow Metering" below. a) Year-round facilities shall be inspected and effluent sampled quarterly. b) Seasonal properties shall be inspected and effluent sampled a minimum of twice per year, with at least one annual sample taken 30 to 60 days after seasonal occupancy and a second sample taken no less than 2 months after the first sample. c) After 12 rounds of monitoring, sampling may be reduced to TN only quarterly. Reduced sampling shall also include Field Testing of System wastewater when determined necessary by the operator, see DEP Field Testing Protocol at ht :lltiintinv.mass. ovleealdocslde lwatei17awsli-thru-zltestsam . d . Properties occupied at least 6 months per year are considered year-round properties. Properties occupied less than 6 months per year are considered seasonal properties. 5. During the Performance Evaluation period, the Company shall follow the monitoring requirements specified in the Performance Evaluation Plan as approved by the Department for installed Systems. 6. After the Performance Evaluation period by the Company, and until this Approval is modified, terminated, or superseded by a General Use Certification, the System Owner shall comply with the following monitoring requirements if the System is subject to a total nitrogen concentration limit in accordance with paragraph B (3). a) Year-round properties shall be inspected and sampled for at least the TN parameter a minimum of twice per year, at least 5 months apart and with at least one sample taken between December 1 and March 1 of each year. Field testing shall be completed as determined necessary by the System operator, see DEP Field Testing Provisional Use Approval — Renewed July 28, 2015 Page b of 17 BioMicrobics FAST- Nitrogen Reduction up to 10,000 gpd Protocol at htt :Ilwww,ma.vs. ovleealdocsldeIwaterllawsli-thru-zltestsam . d . Water meter readings shall be recorded at each inspection, see "Flow Metering" below. b) Seasonal properties shall be sampled for at least the TN parameter a minimum of twice/year. At least one annual sample must be taken 30 to 60 days after each seasonal occupancy. A second sample must be taken no less than 2 months after the first sample. Field testing of the System shall be completed as determined necessary by the operator. Water meter readings shall be recorded at each inspection, see "Flow Metering" below. 7. Flow Metering - At a minimum, for all systems installed prior to this Approval, water meter flow data shall be recorded each time the system is inspected and sampled by the System Operator. For systems installed after the effective date of this Approval, wastewater flow data shall be recorded each time the system is inspected and sampled by the System Operator and may be based on: a) actual metering data of wastewater flow to the system; or b) water meter data for the total facility with metered non -wastewater flows, if available, subtracted from the total facility water usage. 8. Field Testing: Turbidity, pH and Apparent Color - Turbidity, pH, DO and apparent color shall be measured and/or recorded in the field when determined necessary by the operator. See applicable sections of the Department's Field Testing Protocol at htt :Ilwww.mass. ovleealdocslde Iwaterllawsli-thru-zliestsam . d . 9. At a minimum, the System Operator shall inspect the System: a) two times per year; b) in accordance with the approved O&M manual, the Designer's operation and maintenance requirements, and the requirements of the local approving authority; and c) any time there is an alarm event, equipment failure, or system failure 10. The System Operator shall collect samples and obtain analysis results from an approved lab, perforin field testing required by the Approval and submit results within 60 days of the site visit to the System Owner. 11. If the Company successfully demonstrates the effectiveness of the System to reduce nitrogen loadings during the Performance Evaluation period, a minimum of three years, the System Owner shall operate the System subject to the requirements of the General Use Certification, if issued, for this technology, C. Special Conditions for Systems 2,000 to less than 10,000 GP The Technology is approved for use with a System serving a facility with a minimum design flow of 2000 gallons per day and a maximum design flow less than 10,000 gallons per day (GPD), subject to the following additional conditions: Provisional Use Approi�al — Renewed July 28, 2015 Page 7 of 17 BioMicrobics FAST - Nitrogen Reduction up to 10,000 gpd 1. The approved technology may be substituted for the RSF as a required component of a System designed to serve a facility or facilities with a design flow of 2,000 gpd or more to be located in a Nitrogen Sensitive Area in accordance with the requirements of 310 CMR 15.202. When substituted for the RSF, the design, installation, use, and operation of the System shall comply with all the conditions of 310 CMR 15.202.(1) to 15.202(5) applicable to an RSF or an equivalent alternative technology, except those provisions that specifically have been varied by the conditions of the Approval. 2. The System shall include the installation of a septic tank, designed in accordance with 310 CMR 15.223 —15.229, connected to the building sewer and followed by the Technology installed in series between the septic tank and the SAS. Subject to the provisions of this Approval, the Technology shall be installed in a manner which neither intrudes on, replaces a component of, or adversely affects the operation of all other components of the System designed and constructed in accordance with the standards for new construction of 310 CMR 15.200 - 15.279. Effluent Limits and Monitoring Requirements for Systems 2,000 to 10,000 GPD, If the System is installed to serve new construction in an area that is subject to the Nitrogen Loading Limitations of 310 CMR 15.214 and the facility does not meet with the Nitrogen Loading Limitations pursuant to the aggregation provisions of 310 CMR 15.216, the System shall not be designed to receive and shall not receive more than 440 gallons of design flow per day per acre (gpda), except an increase in the flow rate per acre is allowed up to a design flow up to 550 gpda provided that the facility meets a TN effluent limit of 25 mgll or less. The System Owner shall repair, replace, modify or take any other action as required by the Department or the local approving authority, if the Department or the local approving authority determines that the System is not capable of meeting the total nitrogen concentration limits in the effluent. Violations of the total nitrogen concentration in the System effluent shall not constitute a failure of the System for the purposes of reporting as required in Paragraphs D (13) and (14). 4. Effluent Total Nitrogen - The System shall not exceed a TN concentration of 25 mgll in the System effluent. S. Effluent BODS, TSS and pH - If the System is located in a Nitrogen Sensitive Area, the effluent discharge concentrations shall not exceed secondary treatment standards of 30 mg/L BOD,5 and 30 rng/L TSS and the effluent pH range shall be 6.0 to 9.0. b. Prior to Department approval of the Company's Performance Evaluation Plan, the Company shall be responsible for the following monitoring requirements for all System installations that are subject to a total nitrogen concentration limit in accordance with paragraphs C (i & 3). Sampling shall include pH, BODS, TSS and TN, unless otherwise stated. Flow shall be recorded at each inspection, see C (10) "Flow Metering" below. a) For year-round properties, if the facility is not in a Nitrogen Sensitive Area, the effluent shall be monitored monthly for 36 months and monitored thereafter for Provisional Use Approval — Renewed July 28, 2015 Page 8 of 17 BioMicrobics FAST - Nitrogen Redarction up to 10, 000 gpd Total Nitrogen only on a quarterly basis. Reduced sampling shall also include Field Testing of System wastewater when determined necessary by the operator. b) For year-round properties, if the facility is located in a Nitrogen Sensitive Area: (i) For year-round properties, if the facility is located in a Nitrogen Sensitive Area, the effluent shall be monitored monthly for 36 months and monitored thereafter for pH, BOD5i TSS and Total Nitrogen on a quarterly basis. (ii) The influent shall be monitored quarterly for pH, BODS, TSS and Total Nitrogen for a minimum of 12 quarters. c) Seasonal properties shall be inspected and sampled monthly only when occupied. Properties occupied at least 6 months per year are considered year-round properties. Properties occupied less than 6 months per year are considered seasonal properties. 7. During the Performance Evaluation period, the Company shall follow the monitoring requirements specified in. the Performance Evaluation Plan for installed Systems. Upon completion of the Performance Evaluation, after the Performance Evaluation period by the Company, and until this Approval is modified, terminated, or superseded by a General Use Certification, the System Owner shall comply with the following monitoring requirements: a) If the System is located in a Nitrogen Sensitive Area, the System Owner shall comply with the following monitoring requirements for TN: (i) Year-round facilities shall be sampled a minimum of once/quarter, at least 2 months apart. (ii) Seasonal properties shall be sampled a minimum of twice/year. At least one annual sample must be taken 30 to 60 days after occupancy. A -second sample must be taken no less than 2 months after the first sample. b) If the System is subject to a total nitrogen concentration limit in accordance with Paragraphs C (1 & 3), the System Owner shall monitor only TN according to the frequency requirements of Paragraphs C (8)(a)(i & ii). c) Year-round properties, and seasonal facilities when occupied, shall be inspected a minimum of quarterly and sampled for at least the TN parameter. Field Testing of System wastewater shall be completed when determined necessary by the operator, see DEP Field Testing Protocol at htW://www.mass.jzovleealdoeLldeplwaterllawsli- thru-z1tes1sanip.pdf Water meter readings shall be recorded at each inspection, see "Flow Metering" below. d) The System Owner shall not be required to monitor influent BOD5i TSS, pH, and TN as specified in 310 CMR 15.202 (4)(c). Properties occupied at least 6 months/year are considered year-round properties. Properties occupied less than 6 months/year are considered seasonal properties. 9. At a minimum, the System Operator shall inspect the System: a) once per quarter. Provisional Use Approval — Renewed July 28, 2015 Page 9 of 17 BioMicrobics FAST - Nitrogen Reduction tip to 10, 000 gpd b) in accordance with the approved O&M manual, the Designer's operation and maintenance requirements, and the requirements of the local approving authority; and c) any time there is an alarm event, equipment failure, or system failure. 10. Flow Metering - At a minimum, for all systems installed prior to this Approval, water meter flow data skull be recorded each time the system is inspected and sampled by the System Operator. For systems installed after the effective date of this Approval, wastewater flow data shall he recorded each time the system is inspected and sampled by the System Operator and may be based on: a) actual metering data of wastewater flow to the system; or b) water meter data for the total facility with metered non -wastewater flows, if available, subtracted from the total facility water usage. 11. Field Testing: pH, DO, turbidity and color shall be measured and/or recorded in the field when determined necessary by the operator. See applicable sections of the Department's Field Testing Protocol at http:llwww. mass. goyleealdocsldeplwaterllawsli- thru-zltestsain . d . D. Standard Special Conditions 1, Department review and approval of the System design and installation is not required unless the Department deterinines on a case-by-case basis pursuant to its authority at 310 CMR 15.003(2) (e) that the proposed System requires Department review and approval. 2. Any System for which a complete Disposal System Construction Permit (DSCP) application is submitted while this Approval is in effect, may be permitted, installed, and used in accordance with this Approval unless the Department, the local approval authority, or a court requires the System to be inodifted or removed or requires discharges to the System to cease. 3. The System Owner shall provide access to the site for purposes of sampling the System in accordance with the Company's technology Performance Evaluation Plan approved by the Department, in addition to providing access for performing inspections, maintenance, repairs, and responding to alarm events. 4. The System Owner shall ensure that no permanent buildings or structures, other than the System, are constructed in the area for the installation of all the components of a fully conforming Title 5 system with a reserve area. The area for a fully conforming Title 5 system with a reserve area shall not otherwise be disturbed by the System Owner in any manner that will render it unusable for future installation of a fully conforming Title 5 system. 5. The Department has not determined that the performance of the System will provide a level of protection to public health and safety and the environment that is at least equivalent to that of a sanitary sewer system. Accordingly, the Designer shall not Provisional Use Approval — Renewed July 28, 2015 Page 10 of 17 BioMicrobics FAST - Nitrogen Reduction up to 10, 000 gpd propose and the System Owner shall not construct a new system or an upgrade or expansion of an existing system if it is feasible to connect the facility to a sanitary sewer. When a sanitary sewer connection becomes feasible, the facility served by the System shall be connected to the sewer within 60 days of such feasibility and the System shall be abandoned in compliance with 310 CMR 15.354, unless a later time is allowed in writing by the Department. 6. For the purposes of inspection and maintenance, all System tanks, access ports, and manholes shall have readily removable impermeable covers of durable material provided at grade, except the septic tank access covers are not required to be at grade. The System processing tank's two manholes, over the inlet and outlet, shall have a minimum opening of 20 inches. No structures shall be located directly upon or above the access locations which could interfere with performance, access, inspection, pumping, or repair. 7. All access ports and manhole covers shall be installed at grade to allow for maintenance of the System. 8. System alarms and controls shall be housed within a weather protected enclosure mounted in a location readily accessible to the operator. Operation and Maintenance 9. Inspection, operation and maintenance (O & M), sampling, and field testing of the System required by this Approval shall be performed by a System Operator with the following qualifications: a) is an approved System Inspector in accordance with 310 CMR 15.310; b) has been trained by the Company and whose name appears on the Company's current list of qualified operators; and c) has been certified at a minimum of Grade Level 4 (four) by the Board of Registration of Operators of Wastewater Treatment Facilities, in accordance with Massachusetts regulations 257 CMR 2.00. The name of the Operator shall be included in the O&M agreement required by Paragraph D (10). 10. Prior to the use of the System, the System Owner shall enter into an O&M Agreement with a qualified contractor and submit the Agreement to the Approving Authority and the Company. The Agreement shall be at least for one year and include the following provisions: a) The System Operator must have the qualifications specified in Paragraph D (9). b) The System Operator must inspect the System in accordance with the Approval and anytime there is an equipment failure, System failure, or other alarm event; c) In the case of a System failure, an equipment failure, alarm event, components not functioning as designed or in accordance with the Company specifications, or violations of the Approval, procedures and responsibilities of the Operator and System Owner shall be clearly defined for corrective measures to be taken immediately. The System Operator shall agree to provide written notification within Provisional Use Approval — Renewed July 28, 2015 Page 11 of 17 BioMicrobics FAST- Nitrogen Reduction up to 10,000 gpd five days describing corrective measures taken to the System Owner, the Company, and the local board of health. d) The System Operator shall determine the cause of total nitrogen effluent limit violations if they occur and take corrective actions in accordance with the approved O & M Manual. e) Procedures and responsibilities for recording quarterly or monthly wastewater flows must be defined, see Paragraphs B (7) and C (10), Flow Metering. 11. At all times, the System Owner shall maintain an O & M Agreement that meets the requirements of Paragraph D (10). 12. The System Owner and the System Operator shall properly operate and maintain the system in accordance with this Approval, the Designer's operation and maintenance requirements, and the requirements of the local approving authority. Recordkeeping and Reporting 13. Upon determining that the System has failed, as defined in 310 CMR 15.303, the System Operator shall notify the System Owner immediately, 14. Upon determining that the System has failed, as defined in. 310 CMR 15.303, the System Owner and the System. Operator shall be responsible for the notification of the local approving authority within 24 hours of such determination. 15. In the case of a System failure, an equipment failure, alarm event, components not functioning as designed or in accordance with the Company specifications, or any violations of the Approval, the System Owner and the System Operator shall be responsible for the written notification of the local approving authority and the Company within five days describing corrective measures taken. 16. Within 60 days of any site visit, the System Operator shall submit an O&M report and inspection checklist to the System Owner and the Company. The O&M report and inspection checklist shall include, at a minimum: a) for a System failing, any corrective actions taken. b) wastewater analyses, wastewater flow data, and field testing results; c) any violations of the Approval; d) any determinations that the System or its components are not functioning as designed or in accordance with the Company specifications; and e) any other corrective actions taken or recommended. 17. By February 15th of each year, the System Owner shall submit to the local approving authority all monitoring results with all O&M reports and inspection checklists completed by the System Operator during the previous 12 months. Provisional Use Approval -- Renewed July 28, 2015 Page 12 of 17 BioMicrobics PAST - Nitrogen Reduction up to 10,000 gpd 18. A copy of the wastewater analyses, wastewater flow data, field testing results, and System Operator O&M reports and inspection checklists shall be maintained by the Company. It is recommended the System Owner also maintain copies of these items. 19. The System Owner shall notify the Approving Authority in writing within seven days of any cancellation, expiration or other change in the terms and/or conditions of the O&M Agreement required by Paragraph D (10). E. Special Conditions Specific to the Company 1. The Approval shall only apply to model units with the same model designations specified in this approval and meet the same specifications, operating requirements, and plans, as provided by the manufacturer at the time of the application. Any proposed modifications of the units shall be subject to the review of the Department for coverage under the Approval. 2. The Company shall implement the Performance Evaluation Plan, as submitted and approved by the Department, and shall be responsible for all data collection and submissions to the Department until a final determination on the Performance Evaluation has been made by the Department. 3. Until a final determination has been made by the Department on a completed Performance Evaluation, the Company shall submit to the Department an annual report by February 15`h of each year that includes the following: a) a table of all sample data collected for all systems installed to date and all information required by the Department as part of the approved Performance Evaluation Plan; b) any recommended changes to the approved Performance Evaluation Plan; and c) a list of pending applications for system installations which have been submitted to local approving authorities. d. The Company shall institute and maintain a program of Installer training and continuing education that is at least offered annually. The Company shall maintain and annually update, and make available the list of qualified Installers by February 15th of each year. The Company shall certify that the Installers on the list have taken the training and passed the Company's training qualifications. 5. The Company shall institute and maintain a program of Designer training and continuing education, as approved by the Department. The Company shall maintain and annually update, and make available the list of qualified Designers by February 15`h of each year. The Company shall certify that the Designers on the list have taken the training and passed the Company's training qualifications. 6. The Company shall institute and maintain a program of Operator training and continuing education, as approved by the Department. The Company shall maintain and annually update, and make available the list of qualified Operators by February 15th of each year. The Company shall certify that the Operators on the list have taken the training and passed the Company's training qualifications. Pmvisional Use Approml — Renewed July 28, 2015 Page 13 of 17 BioMicrobics FAST - Nitrogen Reduction up to 10, 000 gpd 7. The Company shall not sell the Technology to an Installer unless the Installer is trained to install the System by the Company. IV. Certification and Notification Requirements 1. Thirty (30) days prior to submitting an application for a DSCP, the Company or its representative, or the System Designer, shall provide to the Approving Authority a certification, signed by the owner of record for the property to be served by the unit, stating that the property owner: a) has been provided a copy of the Provisional Use Approval and all attachments and agrees to comply with all terms and conditions; b) has been informed of all the owner's costs associated with the operation including power consumption, maintenance, sampling, recordkeeping, reporting, and equipment replacement; c) understands the requirement for a contract with a company approved operator and has been provided a current list of all approved operators; d) agrees to fulfill his responsibilities to provide a Deed Notice as required by 310 CMR 15.287(10) and the Approval; and e) agrees to fulfill his responsibilities to provide written notification of the Approval conditions to any new owner, as required by 310 CMR 15.287(5). 2. Upon submission of an application for a DSCP to the Approving Authority, the Company shall submit to the Approving Authority, with a copy to the Designer and the System Owner, a certification by the Company or its authorized agent that the design conforms to this Approval and that the proposed use of the Systerri is consistent with the unit's capabilities and all Company requirements. The review shall include evaluation of the need for installation of water meter(s) at each facility. An authorized agent of the Company responsible for the design review shall have received technical training in the Company's products. 3. Prior to delivery of the treatment unit to the site for installation, the Company shall have received a copy of a signed contract for a minimum period of one year with a Company approved Operator and the initial Owner/Occupant of the property. A copy of the signed Operator contract shall be provided to the local approving authority within thirty (30) days of treatment unit delivery. 4. Prior to the commencement of construction, the System Installer must certify in writing to the Designer and the System Owner that (s)he has taken the Company's training, passed the Company's training qualifications, and is listed on the Company's list of Installers. 5. Prior to the issuance of a Certificate of Compliance by the Approving Authority: a) In accordance with 310 CMR 15.021(3), the System Installer and Designer must certify in writing that the System has been constructed in compliance with 310 CMR 15.000, the approved design plans, and all local requirements, including any local approving authority site-specific requirements; Provisional Use Approval -- Renewed July 28, 2015 Page 14 of 17 BioMicrobics FAST- Nitrogen Reduction up to 10,000 gpd b) In accordance with 310 CMR 15.021(3), the Designer must certify in writing that any changes to the design plans have been reflected on as -built plans which have been submitted to the Approving Authority by the Designer; c) As a condition of this Approval, the System Installer and Designer must certify to the Approving Authority in writing that the System has been constructed in compliance with the ternns of this Approval; and d) An authorized agent of the Company must certify to the Approving Authority in writing that the installation was done by a qualified Installer approved by the Company and the installation conforms to this Approval. The authorized agent of the Company responsible for the inspection of the installation shall have received technical training in the Company's products. 6. Prior to signing any agreement to transfer any or all interest in the property served by the system, or any portion of the property, including any possessory interest, the System Owner shall provide written notice of all conditions contained in the Approval to the transferee(s). Any and all instruments of transfer and any leases or rental agreements shall include as an exhibit attached thereto and made a part of thereof a copy of the Approval for the System. The System Owner shall send a copy of such written notification(s) to the Local Approving Authority within 10 days of such notice being given. V. Standard Conditions 1. The provisions of 310 CMR 15,000 are applicable to the design, installation, use and operation of a System utilizing an approved or certified alternative technology, except those provisions that specifically have been varied by the conditions of this Approval. 2. The design, installation, and use of the System must conform to the terms and conditions of the Approval and the Department approved attachments. 3. The facility served by the System and the System itself shall be open to inspection and sampling by the Department and the local approving authority at all reasonable times. Standard Conditions Applicable to the System Owner 4. This Approval shall be binding on the System Owner and on its agents, contractors, successors, and assigns. Violation of the terms and conditions of this Approval by any of the foregoing persons or entities, respectively, shall constitute violation of this Approval by the System Owner unless the Department determines otherwise. The System Owner shall obtain all necessary permits and approvals required by 310 CMR 15,000 prior to the installation and use of the System in Massachusetts. 6. The System is approved for the treatment and disposal of sanitary sewage only. The System. Owner shall not introduce any wastes that are not sanitary sewage into the System, The System Owner shall dispose of wastes generated or used at the facility that are not sanitary sewage by other lawful means. Provisional Use Approtijal — Renewed July 28, 2015 Page 15 of 17 BioMicrobics FASB'-- Alitrogen Reduction up to 10,000 gpd 7. Prior to issuance of the Certificate of Compliance and after recording and/or registering the Deed Notice required by 310 CMR15,287 (10), the System Owner shall submit the following to the Local Approving Authority: (i) a certified Registry copy of the Notice bearing the book and page/or document number; and (ii) if the property is unregistered land, a Registry copy of the System Owner's deed to the property, bearing a marginal reference on the System Owner's deed to the property. The Notice to be recorded shall be in the form of the Notice provided by the Department. The System Owner shall at all times have the installed System properly operated and maintained in accordance with the most recent O&M provisions of this Approval for the alternative technology and in accordance with any additional requirements of the Approving Authority. The most recent O&M provisions of this Approval for the alternative technology are available from the Department, 9. The System Owner shall furnish the Department any information that the Department requests regarding the System, within 21 days of the date of receipt of that request. Standard Conditions Applicable to the Designer 10. The Designer shall be a Massachusetts Registered Professional Engineer or a Massachusetts Registered Sanitarian, including when designing systems for repair, provided that such Sanitarian shall not design a system to discharge more than 2,000 gallons per day. 11. Prior to the application for a DSCP, the Designer shall provide the System Owner with a copy of this Approval. Standard Conditions Applicable to the Company 12. This Approval shall be binding on the Company and its officers, employees, agents, contractors, successors, and assigns. Violation of the terms and conditions of this Approval by any of the foregoing persons or entities, respectively, shall constitute violation of this Approval by the Company unless the Department determines otherwise. 13. The Company shall include copies of the Approval with each System that is sold. In any contract executed by the Company for distribution or re -sale of the System, the Company shall require all vendors, distributors, and resellers to provide each purchaser of the System with copies of the Approval. 14. The Company shall make available, in printed and electronic format, the approved Attachments and any approved updates associated with the Approval, to the System Owners, Operators, Designers, Installers, vendors, resellers, and distributors of the System. 15. The Company shall submit to the Department for approval any proposed updates or changes to the Attachments to the Approval. 16. The Company shall notify all System Owners, resellers, and distributors of changes to the Approval within 60 days of issuance by the Department. Provisional Use Approval -- Reserved ,Lely 28, 2015 Page 16 of 17 RioMicrobics FAST - Nitrogen Reduction tap to 10,000 gpd 17. The Company shall notify the Department's Director of the Wastewater Management Program at least 30 days in advance of the proposed transfer of ownership of the Technology for which the Approval is issued. Said notification shall include the name and address of the proposed owner containing a specific date of transfer of ownership, responsibility, coverage and liability between thetas. All provisions of the Approval applicable to the Company shall be applicable to successors and assigns of the Company, unless the Department determines otherwise. 18. The Company shall furnish the Department any information that the Department requests regarding the Technology within 21 days of the date of receipt of that request. 19. If the Company wishes to continue the Approval after its expiration date, the Company shall apply for and obtain a renewal of the Approval. The Company shalt submit a renewal application at least 180 days before the expiration date of the Approval, unless written permission for a later date has been granted in writing by the Department. Upon receipt of a timely and complete renewal application, the Approval shall continue in force until the Department has acted on the renewal application. Reporting 20. All notices and documents required to be submitted to the Department by the Approval shall be submitted to: Director Wastewater Management Program Department of Environmental Protection One Winter Street - 5th floor Boston, Massachusetts 02108 Rights of the Department 21. The Department may suspend, modify or revolve the Approval for cause, including, but not limited to, noncompliance with the terms of the Approval, non-payment of any annual compliance assurance fee, for obtaining the Approval by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for discontinuance of the Approval, or as necessary for the protection of public health, safety, welfare, or the environment, and as authorized by applicable law. The Department reserves its rights to take any enforcement action authorized by law with respect to the Approval and/or a System utilizing the Technology against the Company, the Designer, the System Owner, the Installer, and/or the Operator of the System. VI. General Conditions Title 5 Reizulations 310 CMR 15.287: "General Conditions for Use of Alternative Systems Pursuant to 310 CMR 15.284 through 15.286" Provisional Use approval — Renewed Judy 28, 2015 Page 17 of 17 BioMicrobics FAST - Nitrogen Reduction up to 10, 000 gpd "The following conditions shall apply to all uses. of alternative systems pursuant to 310 CMR 15.284 through 15.286: (1) All plans and specifications shall be designed in accordance with 310 CMR 15.220. (2) Any required operation and maintenance, monitoring and testing plans shall be submitted to the Department and approved prior to initiation of the use. Monitoring and sampling shall be performed in accordance with a Department approved plan, Sample analysis shall be conducted by an independent U.S. EPA or Commonwealth of Massachusetts approved testing laboratory, or an approved independent university laboratory, unless otherwise provided in the Department's written approval. It shall be a violation of 310 CMR 15.000 to omit from, a report or falsify any data collected pursuant to an approved testing plan. (3) The facility served by the alternative system and the system itself shall be open to inspection and sampling by the Department and the Local Approving Authority at all reasonable times. (4) The Department and/or the Local Approving Authority may require the owner or operator of the system to cease operation of the system and/or to take any other action necessary to protect public health, safety, welfare and the environment. (5) The owner or operator shall provide written notice to any new owner or operator that the system is an alternative system. Such notice shall include notice of the general conditions and any special conditions applicable to the system and its owner. (6) The owner or operator, or the proponent of the alternative system, shall obtain and provide the Department with a determination from the board of certification of operators of wastewater treatment facilities established pursuant to M.G.L. c. 21, § 34A as to whether a certified operator is required for operation of the alternative system. The Department shall waive this requirement if it has on file a determination for the alternative system, and shall notify the owner, operator, or proponent of the determination. (7) It is a violation of 310 CMR 15.000 to install, construct, or operate an alternative system except in full compliance with the written approval and 310 CMR 15.287. (8) The Department may require the issuance of a groundwater discharge permit pursuant to 314 CMR 5.40 (groundwater discharge program) for any alternative system. (9) The system owner shall maintain an operation and maintenance contract with a Massachusetts certified operator where one is required by 257 CMR 2.00, or otherwise with a person qualified to operate and maintain the system in accordance with the Department's written approval. (10) Prior to obtaining a Certificate of Compliance for installation of a new or upgraded system, the system owner shall record in the chain of title for the property served by the alteinative system in the Registry of Deeds or Land Registration Office, as applicable, a Notice disclosing both the existence of the alternative on-site system and the Department's approval of the system. The system owner shall also provide evidence of such recording to the Local Approving Authority. Commonwealth of Massachusetts Executive Office of Energy & Environmental Affairs Department of Environmental Protection One Winter Street Boston, MA 021 ❑8.617-P92-5500 DEVAL L PATRICK RICHARD K. SULLIVAN JR. Governor Secretary TIMOTHY P. MURRAY KENNETH L KIMMELL Lieutenant Governor Commissioner REVISION OF APPROVAL FOR REMEDIAL USE Pursuant to Title 5, 310 CMR 1.5.00 Name and Address of Applicant: Bio-Microbics, Inc. 8450 Cole Parkway Shawnee, KS 66227 Trade name of technology and models: MicroFASTO Treatment System Models MicroFASTO 0. 5, 0.75, 0.9, 1,5, 3.0, 4.5 and 9.0; HighStrengthFAST® Treatment System Models HighStrength FASTO 1. 0, 1. 5, 3.0, 4.5 and 9.0 and NitriFASTO Treatment System Models NitriFASM 0. 5, 0.75, 1.0, 1.5, 3.0, 4.5 and 9.0 (hereinafter called the "System"). Schematic Drawings illustrating each System, a design and installation manual, an owner's manual, an operation and maintenance manual, and an inspection checklist are part of this Approval. Transmittal Number; W 072367 Date of Issuance: June 16, 2006 (modified January 23, 2008) Revision date: November 05, 2012 Authority for issuance Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000, the Department of Environmental, Protection hereby issues this Approval for Remedial Use to: Bio-Microbics, Inc.,8450 Cole Parkway, Shawnee, KS 66227, (hereinafter "the Company"), approving the System described herein for Remedial Use in the Commonwealth of Massachusetts. The sale, design, installation, and use of the System are conditioned on compliance by the Company, the Designer, the Installer, the Service Contractor, and the System Owner with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Approval constitutes a violation of 310 CMR 15.000. David Ferris, Director Wastewater Management Program, Bureau of Resource Protection November 05, 2012 Date This Information Is available In alternate format. Cali Michelle Waters-Ekanem, Diversity Director, at 617-292-6751. TIDD4 1-866-539-7622 or 1-617-574.6858 MassDEP Website: wwW.rnasS,govldep Printed on Recycled Paper biomicro.doc Bio-Microbies, Inc. - MicroFASTOD, HighStrengthFAST®, NitriFASTO Revision of Approval for Rcanedia[ Use Revision Date: November 05, 2012 Page 2 of 3 Technology Description The System is a Secondary Treatment Unit (STU). The Systems, MicroFAST® 0.5, 0.75, 0.9, 1.5, 3.0, 4.5 and 9.0, and HighStrengthFASTQ 1.0, 1.5, 3.0, 4.5 and 9.0, and, NitriFAST® 0.5, 0.75, 0.9, 1.5, 3.0, 4.5 and 9.0 units are installed in a tank or tanks having a primary settling zone and an aerobic biological zone. Solids settle in the primary settling zone that is quiescent. In the aerobic zone, the sewage is continually agitated and aerated. Bacteria in the sewage attach to the surface of a submerged plastic media; they reproduce by consuming the organic material in the sewage. Conditions of Approval The term "System" refers to the STU in combination with the other components of an on-site treatment and disposal system that may be required to serve a facility in accordance with 310 CMR 15.000. The term "Approval" refers to the technology -specific Special Conditions, the conditions applicable to all STU's with Remedial Use Approval, the General Conditions of 310 CMR 15.287, and any Attachments. For Secondary Treatment Units that have been issued Remedial Use Approval for the upgrade or replacement of an existing failed or nonconforming system., the Department authorizes reductions in the effective leaching area (3 10 CMR 15.242), the depth to groundwater (3 10 CMR 15.212), and/or the depth of naturally occurring pervious material (3 10 CMR 15.240(1)) subject to the conditions that apply to all Secondary Treatment Units Approved for Remedial Use and subject to the Special Conditions applicable to the Technology, Special Conditions 1. The System is Secondary Treatment Unit Approved for Remedial Use. In addition to the Special Conditions contained in this Approval, the System shall comply with all the "Standard Conditions for Secondary Treatment Units Approved for Remedial Use", except where stated otherwise in these Special Conditions. 2. The System is approved for facilities where the local approving authority finds that: a) there is no increase in the actual or proposed design flow; b) the System is for the upgrade of a failed, failing or nonconforming system; and c) a conventional system with a reserve area, designed in accordance with the standards of 310 CMR 15.100 through 15.255, cannot feasibly be built on-site. biomiero.doc Bio-Microbics, Inc. - MicroFAST®, HighStrengtbFAST®, NitriFAST® Revision of Approval for Remedial Use Revision Date: November 05, 2012 Page 3 of 3 3. The MicroFAST® 0.5, 0.75 and 0.9, HighStrengthFAST® 1.0 and NitriFASTO 0.5, 0.75 and 0,9 are installed in the second compartment of a two-compartment tank with a total liquid capacity of at least 1,500 gallons constructed in accordance with 310 CMR 15.226. 4. The MicroFASTO, HighStrengthFAST® and NitriFAST® 1.5 are installed in the second compartment of a two compartment 3,000 -gallon tank constructed in accordance with 310 CMR 15.225. 5. The MicroFAST®, HighStrengthFASTO and NitriFAST® 3.0, 4.5, and 9.0 units are installed in a separate tank constricted in accordance with 310 CMR 15.225. The units are located between a standard Title 5 septic tank, designed in accordance with 310 CMR 15.223 and 15.224, and the soil adsorption system (SAS). 6. Access shall be provided to all tanks in the primary settling and aerobic biological zones in accordance with 310 CMR 15.228 (2). The primary settling tank shall have at least three manholes with readily removable impermeable covers of durable material provided at grade. Two manholes, over the inlet and outlet of the primary settling tank, shall have a minimum opening of 20 inches. All access ports and manhole covers shall be installed and maintained at grade to allow for maintenance of the System. biomicro.doc `' " •.� • - v , 'r _ � r � _ _ ' � mss; ��t,Iei ;+- y" _ -r ��+�� c� ri:.i�+;�'¢ . y �;' •ice - 7 4"-i �� + ,irif r. iF: �. •-t. -= ` It r 'i'Fx��.-' i�' S -{� S� J•fJ � �•-`" 1�s•r i.-' . tenlL JL Bie t L F �• r� 7 ' �' •Xf r � ' � }•111 �' .4 �� • . �.� FFFF-.z j.�i ' : e� /i I �. � � - .may'. ai � ���- � �_ .. _ • y.. _a r, ;r��. _ Ax.al's°"K, ���`' r � 1 � 'F. "� .s r - .1. _ f.:' a .q, • _ '" ' ��•rs Kai. •�•j 7,'n - I ^-?V.�Y�l 1 r ..�=�� �.�-v�_: + .ice f-;. R ]� �^r.^ '�" � � 3 r. ���'• ,.j.�= .^��,' .•� _}-� "" � _ . . _,.: 1 ' •+4 + l r i . t, � f � ria r"' � � � w� :i •, " 'rr,�"^ t N .: „may . .:_ '. , "gipEll1 �f By John Keith and Sara McCabe Everyone in Brewster — residents and visitors alike — enjoys our many wonderful ponds. But there is a major and growing threat to these ponds: septic systems. They also threaten our beautiful saltwater bay beaches. Already, a number of ponds have had periodic un- healthy cyanobacteria levels that caused closures to swimming and other recreation. Breakwater and Ellis Landing beaches were closed several times last summer due to high fecal coliform counts. The trend is increasing pond and bay water quality problems at an accelerating rate. If we want clean ponds and healthy water in the future, action must be taken to address the largest threat to our water quality — septic systems. Understanding the Threat One hundred percent of Brewster's wastewater goes to septic systems. Everything that is flushed down the toilet or goes down the sink or bathtub goes to septic tanks, then out to underground leaching systems that release the wastewater to the ground. Homes, schools, restaurants, large developments — everyone's waste- water goes into the ground and mixes with the existing groundwater. This same groundwater is the source of 0 all water in our ponds, and also of all drinking water in Brewster, whether from private wells or the town water system (which obtains water from several well fields in town). Contaminants from septic systems were once thought to be Captured in soils below leach fields and not signifi- cantly impact ponds or the sea. However, studies now show that nutrients from septic systems da r` impact our ponds and the sea, and this occurs faster than once thought.;.... There are four gen- °` a `–d wM', M y..r.°.1h. eral types of water pollu- tion that can impact our ponds: 1) Harmful bacteria, -w --- which usually comes from fecal matter from Cyanobacteria bloom – people or animals and Wafers Pond, summer 2022 can cause illness. Coli- form is a type of bacteria present in fecal matter and is used as an indicator that water may contain harmful bacteria. Properly operating septic systems do a good job of killing harmful bacteria. However, if overloaded or not pumped out regularly (every three years is rec- ommended) harmful bacteria can be released, (There Large swaths of Brewster are now categorized as -urbanized' by the US, Census Bureau. are also many non -harmful bacteria; septic systems re- quire healthy populations of non -harmful bacteria to digest waste matter in sewage.) 2) Solids that are either suspended as fine par- ticles which make water unclear, or dissolved such as salts. Septic systems and the soils below leaching sys- tems do a good job preventing the release of suspended solids. Salts pass through septic systems and soils but are generally not at levels of concern to our ponds or drinking water. 3} Toxic chemicals such as solvents, pesticides and household cleaners. This category also includes unused medicines. Septic systems generally do not remove these chemicals. Because we don't want them in our ponds or drinking water, they should never be disposed of into septic systems. 4) Nutrients, especially phosphorus and nitrogen, are chemicals that enable the growth of plants, algae, and cyanobacteria. They are a growing problem im- pacting our ponds. Unfortunately, septic systems re- move only a small fraction of the nutrients present in wastewater. Septic systems are by far the largest source of nutrient discharges to our ponds. All living cells contain phosphorus and nitrogen; they are present in the DNA of all living things and are essential for the energy processes that keep us alive. So it is not surprising that these nutrients are also present in our wastes (urine, fecal matter, food wastes, etc.). In the right amounts, nutrients such as nitrogen and phosphorus are a good thing—essential to the health of plants and animals. However, an overabundance in ponds or sea water promotes excessive or harmful algae and cyanobacteria blooms. Cyanobacteria blooms can release toxins that are harmful to people and'pets. Also, cyanobacteria, and algae blooms deplete oxygen in pond water, which can result in fish kills and loss of aquatic life (e,g., turtles and other species) that require high-quality water. Such blooms have forced the clo- sures of Cliff, Lower Mill, Schoolhouse, Seymour, 7 Walkers and other ponds in recent years. This loss of freshwater recreation sources (swimming, fishing, boating) ultimately leads to a loss of property value and tourism revenue as well. Most of the nutrients discharged to septic systems --- typically 75 to 90% — pass through them into the soil below. The soil binds the nutrients, but only so much. Eventually, the soil is sat- urated, so the nutrients go into the groundwater below. The nutrients then flow with the groundwater until a pond is reached, where they become available to the pond life, such as plants, algae, and cyanobacteria. We have a legacy of nutrients in our ponds due to agriculture, grazing, and other past practices. Runoff of lawn fertilizers also contributes nutrients to ponds in some areas. But the largest source of nutrients to our ponds by far is our septic systems. The amount dis- charged to ponds varies greatly from pond to pond, depending on a host factors, such as the number of septic sys- tems "upstream" from the ponds, how close the septic systems are to a pond, the systems' ages, and how many people they serve (e.g., single family house, condo complex, camp- ground, etc,). The range can be from. 30% to as much as 80% of nutrients in ponds (and Cyanobacteria bloom– the Bay) from septic Seymour Pond summer 2Q21 systems. "In areas with heavy residential land uses on the pond watersheds, nutrient pollution from septic systems and fertilizers remains the primary cause of water quality degradation and decline in ecosystem integrity," explains Aquatic Ecologist Sophia Fox with the Cape Cod National Seashore. Some people ask, "But 1 have a Title 5 septic system, so how can my system be a problem?" Title 5 was introduced in Massachusetts in the early 1990s, designed to improve septic designs of the past and eliminate cesspools that presented risks of transmitting human pathogens into water and wells. Title 5 septic systems were never intended to remove nutrients, and in fact provide little reduction before emitting nu- trients into the subsoil and groundwater. Story continues on page 10 Continued from page 7 B revs ter's Efforts and Challenges Efforts to reduce the impact of nutrient discharges in Brewster and all of Cape Cod have focused mostly on nitrogen discharges to saltwater, They have largely ignored phosphorus and freshwater. To date, the town has worked on several stormwater runoff projects to reduce nutrients in freshwater ponds, which certainly help, but don't focus on the biggest source: septic systems. "Restoration of Brewsterls — and all of Cape Cod's --- ponds, estuaries, and other natural systems is going to have to happen one septic system at a time and one lawn at a time," says Andrew Gottlieb, executive director of the Association to Preserve Cape Cod. M..., Water Resource Management Plan in 2009 and form- ing a Comprehensive Water Planning Committee. The town protected drinking water wells, made large land acquisitions, improved roads, and reduced stormwater runoff to ponds. These were steps in the right direc- tion, but clearly more action is needed, notably a pian to address nutrient loadings from septic systems. There are several temporay measures that can be taken to reduce nutrient levels in ponds—notably phosphorus. In particular, alum has been applied to Long, Upper Mill, and Cliff ponds by the town or Nickerson State Park. Alum causes phosphorus to form particles that settle to pond bottoms, where they are biologically unavailable to plants and algae. However, alum is only a temporary fix, as the phos- phorus particles will eventually break down and be- come biologically available again after a number of years. And its results have been mixed. Cliff Pond has continued to have cyano- bacteria blooms each summer. And while Long Pond enjoyed immediate im- provement in water clarity, phosphorus levels returned to pretreatment levels v within one year. The most effective long- term solution is to address the source: _ septic systems. I :�I `: '• - Developing a Plan Septic systems work well and generally do not cause a nutrient problem in rural a . r w areas with wide spacing between sys- tems. They were fine when Brewster had only a few thousand people. But our population has grown tenfold since the mid -24th century, and the town density is now such that continued use of septic systems will only result in continued, and accelerating, degradation of our ponds and overall water quality. VN'e need a comprehensive long-range Plan, evaluating different solutions, and we must begin the planning process immediately. "Controlling phosphorus requires a muld- pronged approach," explains Brian Baumgaertel, the director of the Massachusetts Alternative Septic System Test Center. "It all comes down to source reduction, which means you must first consider either sewer sys- tems or septic upgrades and alternative septic systems --- even composting toilets — then add in robust fertil- izer restrictions, improved land -use practices, and stormwater management." Other Cape towns, including Chatham, Orleans, and Falmouth, have built sewer systems and sewage treatment plants to replace septic systems, particularly in high-density areas. Harwich and Mashpee are also I"Anmrn I � :.SY{R. This Brewster Ponds Atlas map shows how surface and groundwater flows to ponds. Since nutrients generally do not present a direct health hazard, most of the time, most of our ponds — for now — have water quality that is acceptable for swimming, boating, and fishing, However, as stated above, high levels of nutrients cause algae and cyano- bacteria blooms that create health risks to people and pets as well as fish kills, making the water unsafe for recreation, The trend is not good; over the last decade, more ponds and beaches have had closures due to un- healthy conditions for humans and pets. Sometimes the town has had to post warning signs telling visitors to stay out of the water for weeks at a time. If we do nothing to address the problem of nutrients from sep- tic systems, we can expect this bad trend to get worse, with more frequent loss of use of our ponds and likely resulting impacts and property values. Brewster took early and commendable action to address water quality issues, initiating an Integrated 10 moving forward with sewer connections and/or plants. Constructing a sewerage system is a very expensive option, and one that Brewster has resisted, As shown by the Massachusetts Alternative Septic System Test Center, it is possible to upgrade septic systems to re- move nutrients through a variety of technologies. Wellfleet is testing more sophisticated Innovative and Alternative (I/A) septic systems, designed for nutrient reduction. For Brewster, the most cost-effective solu- tion may be some combination of upgrades of septic systems, particularly in areas "upstream" of ponds, along with possible sewage treatment plants for high- density wastewater generation areas or specific pond remediation measures; a scientifically sound study is needed to determine the best approach. i Phosphorus Travel phoepSoro;trawls in Groundwater i down -gradient onti, { adsorbed arPond 19 from Septic Systems '` rea:hnd t —_ .. S�pdc Leach FEeSd f PF�aphorus } 5ap&T; dscharged Septic system Impacts pondI S How septic system wastewater travels to a a pond "We've been picking off the low -hanging fruit but avoiding the biggest problem," says Susan Bridges, president of the Brewster Ponds Coalition. "As long as the inputs continue, the problem remains. So long as our septic systems are leaching phosphorus and ni- trogen, these nutrients are ending up in our ponds." Brewster is graced with more pond acreage than any other town on Cape Cod, and our ponds are one of our most valuable resources. More than 700 Brew- ster properties are either pond -front or pond -view. Thousands more people enjoy these jewels through public or deeded access points, Tens of thousands of visitors come to Brewster, with our ponds being a major attraction. The ponds are critical to our way of life in Brewster. Although there is no ideal solution that will meet all needs, we must prioritize creating a far-reaching water quality plan that addresses the prob- lems arising from septic systems. For sources atilt further Infor+nation, please visit brewsterponds.org About the Authors John Keith is an en- _. vironmental engi- neer, founding and current board member of the BPC. He currently works on clean-up of toxic contamination sites in developing coun- tries. In the past he led the air and water pollution programs of the New Jersey DEP and the environment, health, and safety programs for a major..pharmaceutical company. over the last three years, john has been leading a demonstra- tion project to improve water quality in Elbow Pond. john grew up swimming in the ponds of Brewster, has had a part-time home here for 25 years, and finally moved to Brewster full-time in 2019.. Sara McCabe is a writer, editor, and publications special {= ist with 20+ years f= of experience pro- - ducing magazines, books, web content, and other com- munications. As the editor of Bats maga- zine for Bat Conser- vation International, she worked with research biologists around the globe. As director of cus- tom publishing at Texas Monthly, she produced hundreds of publications for clients such as the Texas Parks and Wildlife Department and the Texas and Georgia Departments of Economic Development. You can learn more about Sara's work at saramccabe.com. Yo merrmbership donation. supports . pports Citizen Science Program: A $125. donationfunds one cyanobdcteria.test plus equipment ti Massachusetts 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; 1314652 Document: Groundwater Discharge Monitoring Report Forms Size of File: 1023.60K Status of Transaction: Submitted Date and Time Created: 1012012021:11:10:57 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. L IJPGU VI 11G.]VUI VG I 1 VIGVUVIT - L IVU 114 WWOtUI 6 IQUI IC1I G 1 [ VI,ICll 11 I. r VI I III $MUI II VI T I+ Groundwater Permit 2. Tax identification Number MONITORING WELL DATA REPORT 2021 SEP MONTHLY -Iil 3. Sampling Month & Frequency A. Facility Infolrmation Important:When filling out forms on I, Facility name, address: the computer, use ISREWSTER MANOR only the tab key to a, Name move your cursor - 873 HARWICH ROAD do not use the return key. b. Street Add res s BREWSTER IMA 102631 ray C. City d. State e. Zip Code 2. Contact information: DAVID FELDMAN a. Name of Facility Contact Person 7817079527 dfeldman@vwingatehealthcare.com b. Telephone Number c. e-mail address 3. Sampling information: 9/29/2021 JWHITEWATER a. Date Sampled (mmlddtyM) b, laboratory Name DOUG MURPHY c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Monitoring Well Data Report - 2021 Sep Monthly X- All forms for submittal have been completed. 2, r This is the last selection. 3. r Delete the selected form. gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 r. _ s Groundwater Permit MOMTORING WELL DATA REPORT 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. 2. Tax identification Number 2021 SEP MONTHLY 3 Sam l' M P ung ❑nth & Frequencv Parameter/Contaminant MW1 MW2 MW3 MW4 Units Well #; 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #; S PH S.U. srAnc wAri=R LEVEL 59.5 58.92 59.89 26.71 FEET SPECIFIC CONDUCTANCE 5O2 524 29� 212 UMHU5IC mwdgwp-blank.doe - rev. 09/15/15 Monitoring Well Data for Groundwater Permit • page 1 of 1 �J Important:When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. ver UOU W1 i •coeur uv r r ULU�LIUI i - �i wur iu vV V Mk ur au' iar yo i i W+jt ai 1 r Groundwater Permit DAILY LOG SHEET A. Facility Information 1. r vi 1111L 11UPI IWGr 2. Tax identification Number 2021 SEP DAILY 3. Sampling Month & Frequency 1. Facility name, address: DREWSTER MANOR a. Name 873 HARWICH ROAD b, Street Address BREWSTER IMA 102631 c. City d. State e. Zip Code 2. Contact information: ]DAVID FELDMAN a. Name of Facility Contact Person 7817079527 1cfeldman@wingatehealthcare.com b. Telephcme Number 3. Sampling information: c. e-mail address 9/30/2021 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 Daily Log Sheet - 2021 Sep Daily 7-1 r- All forms for submittal have leen completed. 2,- This is the last selection. 3.- Delete the selected farm. gdpd[s 2015-09-15.doc • rev. 09/15/15 Groundwater Permit Daily Lag Sheet • Page 1 of 1 -- Groundwater Permit DAILY LOG SHEET C. Daily Readings/Analysis Information Date Effluent Reuse Irrigation Turbidity Influent pH Flow GPD Flaw GPD Flow GPD 1 I_-.___._�J 2 4449 j �I 3 4 5 s 7 57 8 3147 9 6857 10 3198 11 168 12 2886 J 13 3235_ _ 14 1761 15 3350 16 2049 -- 17 4585 18 1807 ] 19 3013) 20 3866 j 21 1749 22 23 25'13 �- 24 2336 25 2948 26 3096 27 1195,9 28 2887 ��Jj 29 2775 30 1686 31 2. Tax identification Number 2021 SEP DAILY j 3. Sampling Month & Frequency Effluent pH 7.1 7.1 j 7.1 7 6.9 7F-=-] 6.8 5.9 6.9 6.9 FA7 7 7.1 7.1 7.1 7.2 7.2 f:—= 7.1 Chlorine Residual {mgrl) tN Intensity ell.) 3.6 6.6 4.5 I---- 3.7 5.9 . 5,7 5.5 4 6.3 52 5.5 5 3.1 3.7 2.8 3.7 12.8 E353 T gdpols.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 u Important:When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. rah rim LJ VI UOU VI I%GQuu11..G 1 1Vkv V%IV1l - VI Vu11tAYY Ptul VIQLi 101 -JV 1 1Vy1 t]111 Groundwater Permit DISCHARGE MONITORING REPORT A. Facility Information t. r cl knit IYu111VQ1 2. Tax identification Number 2021 SEP MONTHLY 3. Sampling Month & Frequency 1. Facility name, address: SREWSTER MANOR a. Name $73 HARWICH ROAD b. Street Address BREWSTER MA 102631 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: dfeldman a@wingatehealthcare.cam c. e-mail address 9/29/2021 JR1 ANALYTICAL a. Date Sampled (mmlddlyyyy) b. Laboratory Name NICOLE SKYLESON c. Analysis Performed By (Name) S. Form Selection 1. Please select Form Type and Sampling Month & Frequency Discharge Monitoring Report- 2021 Sep Monthly F All forms for submittal have been completed. 2. F This is the last selection. 3. r Delete the selected form. w gdpols 2015-09-15.doc • rev. 09115/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Groundwater Permit DISCHARGE MONITORING REPORT D. Contaminant Analysis Information • For "0m, below detection limit, less than (<) value, or not detected, enter "ND" • TNTC = too numerous to count. (Fecal results only) • NS = Not Sampled 2. Tax identification Number 2021 SEP MONTHLY 3. Sampling Month&Frequency 1. Parameter/Contaminant 2. Influent 3. Effluent 4. Effluent Method Units Detection limit BW 112 KD j 3.0 MG1L - - TSS 30 ND [270_ MG+L TOTAL SOLIDS 244, J MGL _ AMMONIA•N 10.54 MCS NITRATE -N 10.0 0.050 MG1- TOTAL NrrROGEN(NO3+NO2+TION) MC -WL OIL & GREASE 1 10.50 MGs` infeffrp-blank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 Impartant:when filling out forms on the computer, use only the tab key to move your cursor - do not use the return key, Any person signing a document under 314 CMR 5.14(l) or (2) shall make the following certification If you are fling electronic -ally and want to attach additional comments, select the check box. F, UGI GQU VI ! %G. W AI UG 1 ! V%GULt U11 - V1 WMI IU VY QLCI L 1L,.11R11J. C ! ! VV1 QI11 Groundwater Permit Facility information BREWSTER MANOR a. Name 73 HARWICH ROAD P. 1 01111IL IYUIIIUGI 2. Tax identification Number b. Street Address BREWSTER 02E31 -- c. City d. State e. Zip Code Certification "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 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 vilolations." ELIZABETH BELAIR 110/20/2021 a. Signature b. Date (mmlddlyyyy) gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit • Page 1 of 1 u Impartant:when filling out forms on the computer, use only the tab key to move your cursor - do not use the return key, Any person signing a document under 314 CMR 5.14(l) or (2) shall make the following certification If you are fling electronic -ally and want to attach additional comments, select the check box. F, UGI GQU VI ! %G. W AI UG 1 ! V%GULt U11 - V1 WMI IU VY QLCI L 1L,.11R11J. C ! ! VV1 QI11 Groundwater Permit Facility information BREWSTER MANOR a. Name 73 HARWICH ROAD P. 1 01111IL IYUIIIUGI 2. Tax identification Number b. Street Address BREWSTER 02E31 -- c. City d. State e. Zip Code Certification "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 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 vilolations." ELIZABETH BELAIR 110/20/2021 a. Signature b. Date (mmlddlyyyy) gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit • Page 1 of 1 Massachusetts 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. RR. Username: EBELAIR Transaction ID: 1323326 Document: Groundwater Discharge Monitoring Report Forms Size of File: 1314.55K Status of Transaction: Submitted Date and Time Created: 1111912021:10:17:56 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. VUI UUU VI I %GQ] UI 1. 1 I ULGL ILUI L - VI VU IU VV U LGI VP~1G1 yG 1 I VWl "rI I 1. 1 GI IIIIL IYU11 IUCI Groundwater Permit 2. Tax identification Number MONITORING WELL DATA REPORT 2021 OCT MONTHLY L 3. Sampling Month & Frequency A. Facility Information importantmhern filling out forms on 1. Facility name, address: the computer, use gREWSTER MANOR only the tab key to a. Name move your cursor - 873 HARWICH ROAD do not use the return key. b. Street Address 13REWSTER JIMA 02631 rds C. City d. State e. Zip Code 2, Contact information: MW JA� DAVID FELDMAN a. Name of Facility Contact Person 7817079527 dfeldman@wingatehealthcare.com b. Telephone Number c. e-mail address 3. Sampling information: 110/265/2021 WHITEWATER a. Date Sampled (mmlddlyyyy) b. Laboratory Name DOUG MURPHY c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Monitoring Well Data Report - 2021 Oct Monthly r- All forms for submittal have been completed. 2. r 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 I �,l Groundwater Permit MONITORING WELL DATA REPORT 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. 2. Tax identification Number 2021 OCT MONTHLY , 3. Sampling Month & Frequency ParametertContaminant MWI MW2 MW3 MW4 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 PSI 6.2 63. 16.1 F.1 S.U. STATIC WATER LEVEL 59.6g 58.9859.95 26.78 FEET SPECIFIC CONDUCTANCE 404 488 W- 277 186 UMH051C Well #: 5 Well #: 6 mwdgwp-blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 VV GCM VI IXC. VVI VG 1 IWL�LLIU11 - V1 WU1 I"WVU kGl L."O"101 JW I IUIV.I QI 11 1. r V1lo1l IV U1 I VGI . _ Groundwater Permit DAILY LOG SHEET 2. Tax identification Number 2021 OCT DAILY 3. Sampling Month & Frequency A. Facility Information Important:When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. VQ raw Facility name, address: BREWSTER MANOR a. Name 873 HARWICH ROAD b. Street Address BREWSTER MA 02631 C. Clty d. State e. Zip Code 2. Contact information: DAVID FELDMAN a. Name of Facility Contact Person 7817079527 b, Telephone Number 3. Sampling information: 10/31/2021 a. Date Sampled (mmlddlyyyy) DOUG MURPHY c. Analysis Performed By (Name) B. Form Selection dfeld man@wingatehealthcare.com c. e-mail address VWH ITEWATER b. Laboratazy Name 1. Please select Form Type and Sampling Month & Frequency Daily Log Sheet - 2021 Oct Daily r All forms for submittal have been completed. 2.- This is the last selection. 3. Delete the selected form. T gdpols 2015-09-15.doc • rev. 09/15115 Groundwater Permit Daily Log Sheet • Page 1 of 1 Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 ... Groundwater Permit DAILY LOG SHEET C. Daily Readings/Analysis Information Effluent Reuse Irrigation Turbidity Influent pH Flow GPD Flow GPD Flow GPD 2. Tax identification Number 2021 OCT DAILY 3. Sampling Month & Frequency Effluent Chlorine UV pH Residual Intensity (mgM r/6) 3.5 IJ L 2.4 3.2 2.2 J 2.1 3.9 4.1 2.1 2.1 �21 J 3.4 4.8 ^ J 4.1 3.4 3.3 j Q 3.4 gdpdis.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 LUI VQU VI I %W�WUI VG I I I - VI VUI IU YY 0IGI L LQ] t 1 t1J. G 1 I VUl al 11 I . r Gf IIIA INUIIIIJGI Groundwater Permit 2. Tax identification Number DISCHARGE MONITORING REPORT 2021 OCT MONTHLY 3. Sampling Month & Frequency A. Facility Information Important:When filling out forms on 1. Facility name, address: the computer, use JBRILWSTER MANOR only the tab key to a. Name move your cursor - do not use the 873 HARWICH ROAD return key. b. Street Address BREWSTER MA 02631 Q C. City d. State e. Zip Code Ilk 2. Contact information: DAVID FELDMAN a. Name of Facility Contact Person 7817079527 ldfeldman@wingatehealthcare.cam b. Telephone Number c. e-mail address 3. Sampling information: 10/26/2021 a. Date Sampled (mmiddlyyyy) NICOLE SIKYLESON RI ANALYTICAL b. Laboratory Name o. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Discharge Monitoring Report - 2021 Oct Monthly F All forms for submittal have been completed. 2. r This is the last selection. 3. r Delete the selected form. gdpols 2015-09-15.doc • rev. 09/15115 Groundwater Permit Daily Log Sheet • Page 1 of 1 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 2. Tax identification Number 2021 OCT MONTHLY 3. Sampling Month & Frequency , 1. ParametertContaminant 2, Influent 3. Effluent 4. Effluent Method Units Detection limit eOD �8.0 ND3.0 MG(L T55 17.0 ' 12.0 2.0 MG& TOTAL SOLIDS 220 MG& _- --J AMMONIA•N NO NITRATE -N 7i 7 0.050 mat 1 TOTAL NITROGEN(NO3+NO2+TION) 7.7 0.50 M&L - OIL & GREASE � ND ! F0,50 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. Q fkfiramA� i mi GVu VI I%wJVQI4G I IULUI LIVII - VI UUI IU I U11ML IYuulucl Groundwater Permit 2. Tax identification Number MONITORING WELL DATA REPORT 2021 QUARTERLY 4 3. Sampling Month & Frequency A. Facility Information Facility name, address: ]BREWSTER MANOR a. Name 873 HARWICH ROAD b, Street Address BREWSTER MA 02631 C. City d. State e. Zip Code 2. Contact information: DAVID FELDMAN a. Nam of Facility Contact Person 7817079527 b. Telephone Number 3. Sampling information: 10/26/2021 a. Cate Sampled (mmlddlyyyy) NICOLE SKYLESON c. Analysis Performed By (Name) S. Form Selection dfeld man@wingatehealthcare. com c. e-mail address R] ANALYTICAL b. Labcratory Name 1, Please select Form Type and Sampling Month & Frequency Monitoring Well Data Report - 2021 Quarterly 4 r All forms for submittal have been completed. 2. r- This is the last selection. 3. r- Delete the selected form. gdpols 2015-09-15.doc • rev. 09/15115 Groundwater Permit Daily Log Sheet • Page 1 of 1 ;.. Groundwater Permit MONITORING WELL DATA REPORT 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. 2 Tax identification Number 2021 QUARTERLY 4 3. Sampling Month & Frequency Parameter/Contaminant MW1 MW2 MW3 MW4 Units Well #: 1 Well #. 2 Well #. 3 Well #: 4 NITRATE -N [0.67 0. 66 0.64 MG/L TOTAL NITROGEN(NO3+NO2+TK 0 67 0.67 10.66 1.23 MG+L Well #: 5 Well #: 6 mwdgwp-blank.doc • rev, 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 L L.II VCU UI 1 %VQUU] VG I I VL�VIIVI l - VI VU IU YYCI LGI L IJLI in, MG 1 I Vyl al i 1. r CI Illll IYuf11 VC1 Any person signing a document under 314 CMR 5.14(1) or (2) shall make the following certification If you are fling electronic -ally and want to attach additional comments, select the check box. a. Signature b. Date (mmlddlyyyy) gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit • Page 1 of 1 Groundwater Permit lk".1 2. Tax identification !Number Facility Information Impartant:when gREV�STER MANOR filling out farms on the computer, use a. Name only the tab key to $73 HARWICH ROAD move your cursor - b. Street Address do not use the BREWSTER MA 02631 return key. C. City d. State e. Zip Code r� Certification " I certify under penalty of law that this document and ail 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 Aw 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 11/19/2Q21 Any person signing a document under 314 CMR 5.14(1) or (2) shall make the following certification If you are fling electronic -ally and want to attach additional comments, select the check box. a. Signature b. Date (mmlddlyyyy) gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit • Page 1 of 1 COASTAL engineering co. TECHNICAL SERVICES 260 Cranberry Highway Orleans, MA 02653 508.255.6511 P 508.255,6700 F Orleans I Sandwich I Nantucket coastalenginee ringcompany.com To: Brewster Town Hall Date: Board of Health Department Via: 2198 Main St Brewster, MA 02631 Subject: Cape Cod Sea Camps 3057 Main Street Brewster, MA GWDP 977-0 F] Plans ❑ Copy of Letter Specifications We are sendino the fellawing items: TRANSMITTAL 11/11/2021 Project No. C1684S.02 ®ist Class Mail DPick up oCertified Fed Ex ® Other REC LIVE D FNL r 13 2021 BREV\ 5TER HEALTH Dlr.-PAP,TMEN`f Copies Date No. Description 1 0912021 C16845.02 Daily Log Sheet (Not field-tested — Camp is Closed) 1 0912021 016845.02 Monthly Discharge Monitor Report (Not sampled — Camp is Closed) 1 11/11/2021 C16845.02 eDEP Electronic Receipt These are transmitted as checked below: Ffor approval ®for your use Das requested []for review & comment ❑ Remarks: Enclosed are the recent monthly reporting forms for the system at the above referenced location under GWDP 977-0. The laundry mat has been shut down since the camp has been closed. No flow or pH was able to be recorded and the distribution box was not sampled. Please do not hesitate to contact us if you have any questions or comments. JGSIacc By: John G. Schnaible, R.S. Cc: Ed Barber, Associate Director, Facilities VIA EMAIL: effikapecodseacamps,com VIA EMAIL: nw arran3367 mail,com NOTE, if enclosures are not as noted, please contact us at (508) 255-5511 a:1t10C1C1680D116845.021Transmitto?s12021-11-11 Transmittal (G1WQP September 2021).dor Orleans I Sandwich I Nantucket Massachusetts Department of Environmental Protection 977 ' Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number DAILY LOG SHEET 2021 SEP 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 (mgtl) (11/1.) 1 NS NS 2 NS 3 4 NS 5 NS 6 NS N5 7 NS N5 8 NIS 9 NS NS 10 NS C J NS 11 NS NS NS 12 NS IJ NS f 13 NS NS �J 14 NS I NS 15 NS NS I� 16 NS� NS 17 NS N5 18 NS NS 19 NS Q �j NS 20 NS �J NS 1J 21 NS NS 22 NS '� r�� NS 23 NS C� NS 24 NS NS T -� 25 NS NS 26 NS NS 27 NS NS FL� 28 NS NS �- 29 NS j NS 30 NS _J N5 I�1 31 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 Il Groundwater Permit MONITORING WELL DATA REPORT 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 i..AUNDRYEFFL Units Well #: 1 TS5 N5 MGIL OIL & GREASE N S MG& FOAMING AGENTS (MBAs) NS MGA - 977 1. Permit Number 2. Tax identification Number 2021 SEP MONTHLY 3. Sampling Month & Frequency Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 5 mwdgwp-blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 11!11121, 2:48 Plot r MassIDEP's Online Filing System Receipt Summary/Receipt eDEP - klasslDEP's OrilineFiling System Your submission is complete. Thank you for using DEP's online reporting system. You can select "My eDEP" to see a list of your transactions. DEP Transaction 1D: 1318370 Date and Time Submitted: 11/11/2021 2:44:38 PM Other Email : DEP Transaction ID: 1318370 Date and Time Submitted: 11/11/2021 2:44:38 PM Other Email : DEP Transaction ID: 1318370 Date and Time Submitted: 11/11/2021 2:44:38 PM Other Email : Form Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 043070847 location: 3057 MAIN STREET Address: BREWSTER ZIP: 02631 Daily Log Sheet(2021 SEP DAILY) Form Name: Groundwater Discharge Monitoring Report Forms Facility information: Tax Identification Number: 043070847 location: 3057 MAIN STREET Address: BREWSTER ZIP: 02631 Monitoring Well Data Report(l - 2021 Sep Monthly) Form Name: Comments MassDEP Home i Contact I Privacy Policy Usemame:CASOMR name: COASTAL260 Forms Signature Recaetpt print receipt Exit MyPEEP MassDEP Home I Contact i Privacy Policy MassDEP's online Filing System ver.15,21.0.0* 2019 MassDEP https://ede p. de p. ma ss.govIe D E P/ P age siP ri ntRecei pt. as px 1!1 J.M. O'Reilly & Associates, Inc. LETTER OF Engineering & Land Surveying Services 1573 Main Street, 2nd Floor, P.O. Box 1773 ,,,-.,v-, --.- TRANSMITTAL Brewster, MA 02631 C E I V ' (508) 896-6601------- - - _ •- , Fax (508) 896.6602 ` Department of Environmental Protection DATE Attn: Title 5 Program 1 One Winter Street, 5th Floor Routine Inspection Form Boston, NIA 02108 Shipping Method: Regular Mail 0 Federal Express Lab Results Certified ]Mail F� UPS Priority Mail ❑ Pick Up F] Express Mail n Hand Deliver II H1 DATE: D C PAR 7 r r f JOB NUMBER: 10/25/2021 9109W 7-9 Thousand Oaks Drive Brewster, MA 02631 COPIES DATE DESCRIPTION 1 09//7121 Routine Inspection Form DEP Approved Inspection Form Lab Results For review and comment: ❑ For approval: F] As Requested: ❑ For your use: 0 Ri✓MARK5- cc: John M. O'Reilly, P.E., P.L.S. Board of Health Client From: GJB If enclosures are not as noted, kindly notify us at once Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. 00 ��X Massachusetts Department of Environmental Protection Bureau of Resource Protection -- Title 5 DEP Approved Inspection and O&M Form for Title 5 IIA Treatment and Disposal Systems A. Installation Christian Diaz Owner 7-9 Thousand Oaks Drive Facility Street Address Brewster City Mailing address of owner, if different: Street AddresslPO Box: 02631 Zip City State zip 774) 216 - 1280 ext. Telephone Number 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 16149 Certification Number Advantex DEP 1D Manufacturer ID unknown Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting Seasonai Residence -- used less than 6 mo.1year: ❑ Yes D. Operating Information 09/17/2021 Inspection Date 6" Sludge Depth (to be checked yearly) AX20 Model Number ❑ Remedial ® No Previous Inspection Date Pumping Recommended ❑ Yes ® No t5aiom.doc • rev. 04-11-13 Page 1 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 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 30.8 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: gpa Parameters sampled: ❑ phi ® BOD ❑ CBCD ® 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 was pumped out in August 2021, had not been serviced for years. First O&M visit. _ Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and ®&M Form for Title 5 11A 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. 1 am a Massachusetts certified cperat9in accordance with 257 CMR 2.00. 10125/2021 Operator Signature Date System owner must submit this report, technology 0&M checklist, and any required sampling results to 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 311E 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, 5t'' Floor Boston, MA 02108 t5aiom.doc - rev. 04-11-13 Page 3 of 3 �al�nTwe Field Maintenance Report Pfnpe* 0nmrlrr dit M Cement epemror Christian Diaz Pravlcm CJB -J.M. O'Reilly sya Address 16'.5�. contact Phone 7-9 Thousand Oaks Drive 2nd Camf><-utmsnt 774-216.-1280 AX 13se1D r cuanty to II Podf Fm3lrttm r Halo of test faspecllan Retrieve O&M Info Daily fluty Recfro raft ' ter setfings: perform Meld Sampling/Observations NM 115 t KTtrs[PHL6•al 11.0[E•6) 30.8 6.5 14.0 Odor of Sample Typical nilwty []Earthy ❑1:loldy Flan-typkal ❑Sulfide ❑Cabbiage aoQay Dllyfilm in pVU Des ❑X too Foam In tank ❑Yes X o Check Control Panel aedreAmps 9ischargeAmps 12.58 NIA Audible and vlsusl alarms ❑X OK Dist (one (telemetry copy) ❑ Yes 0N0 Inspect/Glean Pump System Inspect Glean Ri4prlt.ld ................. . .. X❑ Splice aox................... Float Cords .................. X Floats........................0 ❑ Pump ....................... 0 F]Blotube° Fliter ................. ❑X ❑ BfoWbe, Pump Vault ❑X ❑ Recirculating5pl[tlerValve....... ❑X d Measure Sludge/Scum Sludge Scum m Comrpwtmmt Cement Pmvinus ❑Replaced tN hems? Pravlcm Clean 4" 16'.5�. Er ❑xorm t Dxcessive 2nd Camf><-utmsnt Current AraYlous Intake Vent 0 Pre* m InspectMean Discharge Pump System 6" 18"29' Inspect inspect lnspect/Clean Advan7ex Filter Gleaned textile sheets9 ❑Replaced tN hems? Inspect Clean Odor. ❑X Norrnai aungent l atersfls/Orifices 0 11afonmit; ❑xorm t Dxcessive Pad 90ttcrrt ❑X 1-1BrldginglPonding: X❑PianoaNnor ❑acesalve Intake Vent 0 ❑ InspectMean Discharge Pump System Final/Safety InspOction Inspect inspect Clean RIMIl_3d 0 Floats 0 Summary/Recommendations spllce Box 0 Pump 0 ❑ Flout cords ❑X ❑Otft.a Insped/Service Other System Components inspect Maan Ina�-p-elcI Glean Dishtlectlon Equipment ❑ ❑ 13lspersal LaleradslOdifces I 1 ❑ nlsparsal�}ye Additional Services Rendered Gleaned textile sheets9 ❑Replaced tN hems? ❑ReplaoedfUsed miher Berns? Parts used; W a Warranty, B - Billable (L/ apprepdata selection) w B Item Number Description LEE Final/Safety InspOction &$V refnstali-d ❑X lids bolted on X❑>'tanifofd reconnected; flush valvas closed Noonlrai panel reactivated Summary/Recommendations O A QSystem pedurmmng; no further actfcin needed needs pumping []call for service ❑Otft.a Commenta system operating correctly mechanically. Effluent quality failed field tests due to high Turf&fly. Previeus Asltwas to assess system, as it has no been ser& -ed in years, tank was pumped in August 2021 Signature Cate W117/202i Fax completed form to 1.866.384-7404 ENVIR�JJO/TE'}►Cf�HlLAB(�}�OR'+{�A�.'�TORIEMA nlS, INC 8 fats ,Sebastian Drive Sandwich, MA 02.163 (508)888-6460 1-880-339-6460 FAX (508)888-6446 Thursday, October 14, 1027 .I.A1 ©'Reilly & Associates, lrtc. 1573 Main St., PO Bay: 1773 t Ana{YLSd Brewster, AM 02631 IYtet!laft ProjectNcame: Diaz 7-9 T7 mesarld Oaks Dr Conineents: Project Number: 8614W Sampled By: GB Lab Order Number: WW -212202 Date Received: 09117121 ite Sarrrp►s Type Sarvle :Q' me Srataple &rte Effluent A 09:25 09/17/21 F'rtrrrn�tlers t `ni[.► TrsY Restrtts Reportabb! Limits a .. mo1L 11 2.0 Mg/— L 18.0 0.01 suspended bol ; mg1L �'nmlttents t Ana{YLSd :laSiii:�t IYtet!laft 09117/21 CLM SM 521013 10/08127 KBIMS M4500-Norg 09118121 S❑ EPA 300.0 00+18127 SD EPA 300.0 10M4121 KBIMS Calculation 101a5121 MS SM 2540 C 09/21121 CLM ; 10-107-06-1)F All samples ivere analyzed within the established guidelines of US EPA approved methods with alf requirements mel, urdess atherIvIse ,ealed at tine end ofa given saotpleIs analytical resalts. We certify that thefollowing resifts are true and acettrate to the best of ❑irr knowledge. B.IlG=below reportable limits *see attadmd By, A Ronald J. Saari Laboratory Director Page 1 of 1 c > o fey rn ro 'n N 0 0 0 � 0 m o d m 1Po w�i w � � Q. [G SG W w � n al z o' `P 0 00 w m a Ul W > a 4' ca ro to U) N q m z n G�7 a 0 D b ni r Q 0 CD CD P W 0 CL a q J.M. O'Reilly & Associa#es, Inc. Engineering & Land Surveying Services 1573 Main Street, 2nd Floor, P.O. Box 1773 Brewster, MA 02631 (508) 896-6607. Fax (508) 896-6602 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 Federal Express Lab Results Certified Mail UPS Priority Mail F7 Pick Up Express Mail n Hand Deliver FI LETTER OF TRANSMITTAL s3P,cv+' T- D -rli ' - -t i D1.'' ;7 DATE: F10/25/2021 JOB NUMBER: 8082W White Rock Commons Subdivision, White Rock Road, Brewster COPIES DATE DESCRIPTION 1 09/20/21 DEP Approved Inspection Form wl Signed Operator Signature page SeptiTech Farm Lab Results For review and comment: ❑ For approval: ❑ As Requested: ❑ For your use: cc: John M. O'Reilly, P.E., P.L.S. Board of Health Client From: GJB If enclosures are not as noted, kindly notify us at once Site/Address: White Rack Commons Subdivision White Rack Road Brewster, MA 02631 Date: 09120/2021 Time: 10:15 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 pumps) b. Pumpback pump(s) c. Discharge pump(s) 3. Perform maintenance/cleaning tasks required for proper operation of unit. a. Spray headers b. Media c. Screen 4. Take effluent sample from sample tube 5. Record following values from controller read-out (Discharge Pump) Days Runtime: 8 8 Hours Runtime: 12 11 Seconds Runtime: 9914.5 9340.2 GJB (Initial) GJB (Initial) GJB (Initial) 5, Record controller program version: Commercial GJB (Initial) 7. Record controller firmware version: W121 GJB (Initial) S. List parts and supplies used: Recirculation pump #1 was replaced earlier in September 2021 GJB (Initial) 9. Return system to "run' mode GJB (Initial) 10. 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:�F3wr�L dmNpp➢oialFaeolUAkraeomWindoxYCl'cnpuaryl�uemn FilnSComrn�auilookSI.Qt7PDQYLeepiiickdx L M�E Massachusetts Department of Environmental Protection Bureau of Resource Protection Title 5 DEP Approved Inspection and O&M Form for Title 5 IIA Treatment and Disposal Systems Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. Q A. Installation White Rock Commons Subdivision White Rock Road Facility Street Address Brewster Mailing address of owner, if different: P.O. Box 3843 Street Address/PO Box: New Haven CT City (203) 312 - 3484 ext, Telephone Number Slate B. Authorized Service Provider J. M. O'Reilly & Associates, Inc. D&M Firm 1573 Main Street - P.O. Box 1773 Street Address Brewster MA City State (508) 896 - 6601 ext. Telephone Number Greg Brehm Certified Operator Name 02631 ZIP 16149 Certification Number 06525 Zip 02631 Zip C. Facility/System Information BREW-Sou157-Sep Septitech M300ON REP I❑ Manufacturer ID Model Number Unknown January 2016 Installation date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence -- used less than 6 mo,/year: ❑ Yes ® No D. Operating Information 09/20/2021 06/10/2021 Inspection Date Previous Inspection Date 14" Sludge Depth {to checked yearly] Pumping Recommended Yes [I No ® t5aiomAoc • rev. 04-11-13 Page 1 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 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 17.5 NTLI 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: gpa Parameters sampled: ❑ pH ® SOD ❑ CBO❑ ® TSS ® TN ❑ Other (list below) See attached lab results Other 1 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. Advised homeowner association to have the septic tank pumped. Recirculation pump #1 was faulty and replaced. t5aiom.doc • rev. 04-11-13 Page 2 of 3 Lll�Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DI=P Approved Inspection and O&M Form for Title 5 IIA 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 Massachusett c rtified o el for in accordance with 257 CMR 2.00, 1 10/25/2021 Operator ig_ a ure 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 31 5{ of each year for the previous calendar year Piloting Use - within 45 days of inspection date Provisional Use — by March 31th of each year for the previous 12 months General Use — by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 51h Floor Boston, MA 02108 t5aiam.doc • rev. 04-11-13 Page 3 of 3 ENVIROTECHLABORATORIES, INC. ALL CERT NO.: M --MA 063 8 Jan ,Sebastian Drive Sandwich, MA 02563 (508)888-6460 1-800-339-6460 FAX(508)888-6446 JV&Jaesday, October 20, 2021 J.M. O'Reilly & Associates, Inc. 1573 Main St., P4 Box 1773 Brewster, AfA 02631 ProjectName: Messier Comments., Project Number: 8082W Sampled By: Greg.Brehm /rah Order Number: WW -212213 Date Received: 09120121 Due to instrument error Burring initial 130=1301D run. Run was repeated out of sample hold time. All samples were at:aly2ed wltltill tke established guidelines of US EPA approved methods svitlr all requirements met, unless otherwise hated a[ the end of a givers sample's analytical results, We certify that thefollowtng results are true and aeeurare to the best of our knowledge. ERL=below reportable limbs *see attached By: Ronald f Saari Lafioratory Director Page 1 of 1 Go u ro � a � Q �4tr � I W �e TI 0 b ❑ m 0. c r 1 Z O Z v co � 1 y. IV Cp H ci a A v N • Y rp Q � R v n 4 W x =r C7 I F CDN c ..Y C.. f11 ; @ y �v D @ w Q N a a E. Z w cv as m w — z O �. ro y A C ro 4 O N O k � � � N COASTAL engineering co. TECHNICAL SERVICES 260 Cranberry highway Orleans, MA 02653 508.255.6511 P 508.255,6700 F Orleans I Sandwich I Nantucket coastalengine eri ngcomp a ny,rom To: James Watt King's Landing Apartments 3 State Street Brewster, MA 02631 Subject: King's Landing Apartments 3 State Street Brewster, MA Permit #934-1 Plans ECopy of Letter 05pecifications We are sendinl3 the followine items: Date: Via: ®Other TRANSMITTAL 11/09/2021 Project No. WBR007.00 ®1st Class Mail []Pick up DCertified [Fed Ex t "IV 12 2391 :r_�FINSTFR HE=ALTH 17F-PA1-:IIlAENT Copies Date No. Description 1 0912021 934-1 Daily Log Sheet 1 09/30/2021 934-1 Quarterly Discharge Report w/Laboratory Test Results 1 09/30/2021 934-1 Quarterly Monitor Well Data Report w/Laboratory Test Results 1 09/30/2021 934-1 Monthly Monitor Well Data Report (Field -Tested Data) 1 11/09/2021 934-1 eDEP Electronic Receipt These are transmitted as checked below: [for approval ®for your use ®as requested [for review 5 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 elevated 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 10,307 gpd. HW -2 indicated high levels of Total Nitrogen due to elevated levels of Nitrate. HW -4 was found dry during the date of sampling. None of the other wells exceeded their upper containment limits. Additional parameters sampled: Fecal Coliform — <100 ml If you have any questions regarding this report or the WWTF, please do not hesitate to contact us. cc: Brewster Board of Health CC Commission Horsley Witten Group, Inc. AquaPoint.3 LLC NOTE: If enclosures are not as note 0:10flC1W \W BR10071TRANSM1,MAts1TRANSMITTAL Orleans I Sandwich I Nantucket By: Chad A. Simmons, WWTPO -_-- -- Massachusetts Department of Environmental Protection 934 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number `... Groundwater Permit i 2. Tax identification Number r ;4 DAILY LOG SHEET 2021 SRP DAILY !L 3. Sampling Month & Frequency C. Daily Readings/Analysis Information Date Effluent Reuse irrigation Turbidity influent pH Effluent Chlorine Uv Flour GPD Flow GPD Flow GPD pH Residual Intensity [mg![] N-) 1 10367 6.93- 2 11492 6.91 7.30 3 10976 y 7.02 7.33 4 9629 _1 5 9882 B 9996 �- 7 10801 6.90 17.28 8 9762 9 11037 10 11270 rr 7.01 11 9527 12 13 10782 14 10606 6.91 ^J 7.33 15 110299 1 6.96 7.29 16 10962 5.90 7.37 17 10272 5.88 7.31 J 18 9695 [� j [ 19 10143 20 11637 I 6.81 7.34 21 9924 22 10691 �� 5.93 7.38 23 9987 6.97 7.40 24 10283 _� �I 6.91 7.36 25 25 10574 27 111$6 5.83 7.31 28 941 D 6.98 7.40 29 9582 _� 6.9E 7.43 30 g125 Q 6.59 7.48 �- i 31 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 t<7 value, or not detected, enter 'ND" • TNTC = too numerous to count. (Fecal results only) • NS = Not Sampled 934 1. Permit Number r— �, Tax identification Number 29021 SEP MONTHLY 3. Sampling Month & Frequency 1. ParameterlContaminant 2. Influent 3. Effluent 4, Effluent Method Units Detection limit BOER 110 12 5.Q - MGIL TSS 80 8,3 5.0 MG,!L TOTAL SOLIDS 4c� MG -IL AMMONLA-N 23.1 MG. -1L MTPATE-N 0.93 0,10 MG.+L TOTAL. NITR0GEN(NO3+NO2+TKN) 15.18 0.050 MG:'L OIL & GREASE IND 1,0 MG,L infeffrp-blank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 X\. HA A4NA�LLYITIGAL ANALYTICAL REPORT Lab Number: L2152065 Client: Coastal Engineering Company 260 Cranberry Highway Route 6A Orleans, MA 02553 ATTN: Chad Simmons Phone: (508) 255-6511 Project Name: CAPE COQ 5 CENTS SAVINGS BANK Project Number: WOR015.00 Report Date: 10/04/21 Serial No:10042118:09 The original project report/data package is held by Alpha Analytical. This report/data package is paginated and should be reproduced only in its entirety. Alpha Analytical holds no responsibility for results andlor data that are not consistent with the original. Certifications & Approvals: MA (M-MA086), NH NELAP (2454), CT (PH -0574), IU (200077), ME (MA00086), MD (348), NJ (MA935), NY (11148), NO (257001666), PA (68-03671). RI (LA000065), TX (Ti04704475), VT (VT -0935), VA (460195), USDA (Permit #P330-17.00196). Eight Walkup Drive, Westborough, MA 01 581-1 01 9 508-898-9220 (Fax) 508-898-9193 800-524-9220 - www.alphalab.com Page 1 of 16 Project Name: CAPE COD 5 CENTS SAVINGS BANK Project Number: WOR015,00 SAMPLE RESULTS Lab ID: L2152065-01 Date Analytical Client ID: EFFLUENT Prepared Analyzed Sample Location: 20 WEST ROAD, ORLEANS, MA Sample Depth: M atrix: Water 09/28/21 14:40 121,2540❑ Parameter Result Qualifier Units RL General Chemistry - Westborough Lab . MR 1 Solids, Total Suspended ND mgll 5.0 Nitrogen, Nitrite 0,14 mgll 0.050 Nitrogen, Nitrate 6.0 mg/l 0.10 Nitrogen, Total Kjeldahl 2.54 m411 0.300 BOD, 5 day 5.3 mgll 2.0 Page 5 of 16 Serial—No: 10042118:09 Lab Number: L2152065 Report Date: 10/04/21 Date Collected: 09/23/21 14:45 Date Recelved: 09/24/21 Field Prep: Not Specified Dilution Date Date Analytical MDL Factor Prepared Analyzed Method Analyst NA 1 09/28/21 14:40 121,2540❑ AC 1 .... ...... ..... ..... ...._ 09/25/2104:38 _ .......... .................. 44,353.2 . MR 1 0912512105:03 44,353.2 MR t 10/02/21 1411 10/04/21 16:03 121,4500NH3-H AT NA 1 09/25/21 09:55 09/30/21 10:30 121,52108 JT O C¢ a) m [6 IL •-- • r n d t d •� R � L� ��hSi Ll llob� Ll m a o i❑� Z 171 ❑ ❑�❑� Ll c Lt❑'❑❑❑ d ❑❑' , r,j` w•C ®❑ ❑1❑, t p ..0 ❑ ❑1❑ ❑ ❑ o� _ C ❑Uh a , El s ■ ❑ ❑ Sul- -11 U tON 'ZON ' 5CJ09 - ..._ Al a� In' 0. m 3 E In p o E L. Z} � L M ° 2 E 7 IL w _. L E A C, z a m � F ci E s Q J � C a • TI N C _'n . [jy W W fig i CVch EL I L � • SCJ {L to F3. { eL O C¢ a) m [6 IL /�L AMA L Y T! CAL ANALYTICAL REPORT Lab Number: L2153315 Client: Coastal Engineering Company 260 Cranberry Highway Route 6A Orleans, MA 02653 AT N: Chad Simmons Phone: (508) 255-6511 Project Name: ICINGS LANDING BREWSTER Project Number: WBR007.00 Report Date: 10/19/21 Serial NoA 0192115:09 The original project reporl/data package is held by Alpha Analytical. This report/data package is paginated and should be reproduced only in its entirety. Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications & Approvals: MA (M-MA086), IVH NELAP (2064), CT (PH -0574), IL (200077), ME (MA00066), MR (348), NJ (MA935), NY (11148), NC (257001665), PA (68-03671), RI (LA000065), TX (T104704476), VT (VT -0935), VA (460195), USDA (Permit 0P330-17-00195), Eight Walkup Drive, Westborough, MA 01 581-1 01 9 508-898-9220 (Fax) 508-898-9293 800-624-9220 - www.alphalab.com Page 1 of 18 Serial No:10192115:09 Project Name: KINGS LANDING BREWSTER Lab Number: L2153315 Project Number: WBR007.00 Report Date: 10/19/21 SAMPLE RESULTS Lab ID: L2153315-01 Date Collected: 09/30/21 08:00 Client ID: INFLUENT(COMPOSITE) Date Received: 09/30/21 Sample Location: 3 STATE ROAD, BREWSTER, MA Field Prep: Not Specified Sample Depth: Matrix: Water L]LRHA Page 5 of 18 Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry - Westborough Lab Solids, Total 450 mg/l 20 NA 2 - 10/07/21 68:45 121,25408 DW Solids, Total Suspended 80. .................... mgll 20 NA 4 10/07/21 15:25 121,2540D _ AC Nitrogen, Ammonia 23.1 mg.1l 0.375 - 5 10114/21 12:01 10118,121 17:16 121,4500NH3-BH AT Nitrogen, Total Kjeldahl 32.0 mgA 1.50 5 10/15/2106:51 10/18/21 11:47 121,4500NH3-H KP BOD, 5 day 110 mg11 30 NA 15 10/01121 12:30 10/06/21 10:25 121,521013 MT L]LRHA Page 5 of 18 Project Name: KINGS LANDING BREWSTER Project Number: WBR007.00 SAMPLE RESULTS Lab ID: L2153315-02 Client lD: EFFLUENT(COMPOSITE) Sarnple Location: 3 STATE ROAD, BREWSTER, MA Sample Depth: Matrix: Water Parameter Result Qualifier Units RL General Chemistry -Westborough Lala 10/07/21 15,25 121,25403 Solids, Total Suspended 8.3 mgll 5.0 Nitrogen, Ammonia 10,8 mgll 0.075 Nitrogen, Nitrite 0.55 mg/1 0.050 Nitrogen, Nitrate 0.93 mgll 0.10 Nitrogen, Total Kjeldahl 13.7 Mg/1 0.300 ........ ..... ._.... ........ ... BCD, 5 day 12. .................................... mg/1 _...... .. . 5.0 Page 6 of 18 Serial No:10192115:09 Lab Number: L2153315 Report hate: 10/19/21 Date Collected: 09/30/21 08:00 Date Received: 09/30/21 Field Prep: Not Specified Dilution Date Date Analytical MDL Factor Prepared Analyzed Method Analyst NA 1 10/07/21 15,25 121,25403 AC - 1 ......................... 1011412112:01 10/18/2117:17121,45001\11-13-13H AT - 1 - 10%0112105:13 44,353.2 MR 1 1010112105:13 44,353.2 MR 1 1011512106:51 1011812111:48 121,450ONH3-H KP _... --...... NA 2.5 -... ............. _......_.......................................... ........._..._._....._-..... 10,'01121 12:30 10106,121 10:25 ..._ .... ........................... . -.-. 1211521013 MT Project Name: KINGS LANDING BREWSTER Project Number: WBR007.00 SAMPLE RESULTS Lab ID: L2153315-03 Client ID: POST EQ Sample Location: 3 STATE ROAD, BREWSTER, MA Sample Depth: 44,353.2 MR Matrix: Water Parameter Result Qualifier Units Rt. General Chemistry . Westborough Lab Nitrogen, Nitrate 4.0 mgll 0.10 Nitrogen, Total Kjeldahl 15.8 mg/1 0.300 Page 7 of 18 Serial No:10192115:09 Lab dumber: 1-2153315 Report Date: 10/19/21 Date Collected: 09130/21 08:00 Date Received: 09/30/21 Field Prep: Not Specified Dilution Date Date Analytical MDL Factor Prepared Analyzed Method Analyst 1 5010112105:18 44,353.2 MR 1 10/15/21 0651 10/18/21 11:49 121,450ONH3-H KP ■ f s� UN " Hip �. X; {� Q D a` C7 a i € 3 a El D El El _7 m x ju} �� >° h i ❑ ] La ❑❑ y Q — s Q ❑ c ' 1:1 ID ❑ ❑ ❑ ❑ lI EL El 117113 0 ' i ' v i1 a' CON _ ❑❑❑❑®e c f r ® ❑ EHN 0 El ❑ ❑ b z z N7ii ©❑©®� ❑ ,�g7�j .� Z el�Y � _..v_ .w JCL .--.._ ❑ ©❑ �® ❑ ❑ ❑ ❑ ❑ ❑ IlJ l '.] E C" © [Ell ©} Q SJ '544 PD ❑ ❑ ❑ r V u 6 i c a yILL 03 Q Z g g jg 3 ~� ❑ E t� R D m _ E BQ d rn Q ® O U. Q E a rs z a R � R L L7 R1 ❑ r -L LU � N � rq.� � �C n u [ CD. S ,..S[1 [€1° `�l• G wrq U y 0N m ro 0i u {' v a g � � w w❑ �n d_ w '+� a ENVIROTECHLABORATOR.IES, INC MA CERT. NO.: MA 063 8 Jan Sebastian Drive Sandwich, HA 02563 (508)888-6460 1-800-339-6460 FAX(508)898-6446 Monday, November 8, 2011 Sample Time A: 08:00 Coastal Engineering Co. Colnnzaws 260 Cranberry Highway Units Orleans, MA 02653 Duce Analyzed Analyst Method ProjectName. Kings Landing Comments. Project Nwnber: TVBR007. 00 Sampled By. Chad Simmons Lab Order Number: WW -212312 Date Received. • 09130121 Sample 7:1pe Effluent Sample Time A: 08:00 SanspleDare 09130'21 Colnnzaws Parameters Units Test Results Reportable Limits Duce Analyzed Analyst Method Qil & Grease Grab Mq/L BRL 1.0 t olt6121 KB EPA 1E64 Fecal Coliform CFU1100 rnl X10 10/100mI 09/30/21 KF @ 18:00 5M 9222 ALlsamples were analyzed within the established guidelines of US EPA app raved methods with all requirements met, unless otherwise noted at the end of a given sample's analytical results. We cerlify that the fallowing results are true and accurate to the best of our knowledge. BRL=belvw reportable limits "see attached gy� Ronald J. Saari Laboratory Director Page 1 of 1 0 W 0 U LL 0 z d U U) i co co co 0 Lo X cu LL 0 co CD [h 0 0 O (O ro DO ly OJ Cr) LO 0 CL (D T m L- -u' E M LO 0 p 0 3 spry d c � � a c J { N yj G L u c C C: o ��a v -0 o E G � E Lo to — N ui N m J O CO G m d V% COCO y Lnm vQi ci °v 3: U U7 p Ln ca 0 m Z Z o C }� CL CL CL U) p � � J Nj G U7 p T � cyN N ¢moi N N s U) N Ir- U c c c c i7 _j U 0 J_ L LI _..I9�-1 r U 1 9 63 m�p p mijew 91dwss -rs dwoo f2 n.0 gejE) (D (3 16 (TU) U) U z r Er V z z U G a] LLl n LIQ a di J 0] Q LL. w LL LU E jro p mQ- q p � X N r r- =°Z)o ��❑❑ 0) CPN�N� Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater permit MONITORING WELL DATA REPORT C. Contaminant Analysis Information X934 1. Permit Number I 2. Tax identification Number 12021 QUARTERLY 3 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 -t HW -2 HW -3 HW -4 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 NITRATE -N 0 8 19 1.4 DR� W FRGIL TOTAL NiTROGFN{NO3+NO2+TK 1.41 19�^ DRY 1.7 KIGIL TOTAL PHOSPHORUS ASP 0.384 4.119 I 10, 841 DRY MG/L ORTHO PHOSPHATE Q.007 0.040 ND DRY MGA - Well #: 5 Well #: 6 mwdgwp-blank.doc - rev. 09115/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 - Massachusetts Department of Environmental Protection 1934mm j Bureau of Resource Protection - Groundwater Discharge Pmgrarn 1, Permit Number Groundwater Permit 2. Tax identification Number S MONITORING WELL DATA REPORT 2021 51=1=' MONTHLY 3. Sampling Month & Frequency C. Contaminant Analysis Information • For "C", below detection limit, less than tc7 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 HW4 Units Well #: 1 Well #: 2 Well M 3 Well #: 4 Well M 5 Well #: 6 6.43 6,43 T 5.89 DRY S.U. STATIC WATER LEVEL x21,$620.92 19.95 _ f DRY FEST I SPECIFIC CONDUCTANCE 600 810 320 DRY UMHOSIC mwdgwp-blank.doc • rev, 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 ;�L HA ANA LY.TI CAL Serial No:10182116:43 ANALYTICAL REPORT Lab Number: L2153312 Client: Coastal Engineering Company 260 Cranberry Highway Route 6A Orleans, MA 02653 ATTN: Chad Simmons Phone: (508) 255-6511 Project Name: KINGS LANDLING BREWSTER Project Number: WBR007.00 Report Date: 10/18/21 The original project report/data package is held by Alpha Analytical. This reporVdata package is paginated and should be reproduced only in its entirety. Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certificatinns & Approvals: MA (M-MA086), NH NELAP (2064), CT (PH -0574), IL (200077), ME (MA00086), MD (348), NJ (MA935), NY (11148), NC (25700/666), PA (68-03671), RI (LA000065), TX (T104704476), VT (VT -0935), VA (460195), USDA (Permit #P330-17-00196). Eight Walkup Drive, Westborough, MA 01581-1019 508-898-9220 (Fax) 508-898-9193 800-624-9220 - www.alphalab.corn FHA Page 1 of 18 Seria! No:10182116:43 Project Name: KINGS LANDLING BREWSTER Lab Dumber: L2153312 Project Number: WBR007.00 Report Date: 10/18/21 SAMPLE RESULTS Lab ID: L2153312-01 Date Collected: 09130/21 10:15 Client ID: HW -1 Date Received: 09/30/21 Sample Location: 3 STATE ROAD, BREWSTER, MA Field Prep: Not Specified Sample Depth: Matrix: Water .Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Anaiysl General Chemistry - Westborough Lab Nitrogen, Nitrite ND mgll 0.050 1 10101121 05:04 44,353.2 MR _..- ........... ... ..--..-..-_.............................. Nitrogen, Nitrate ......................._.........-.......-.................- 0.81 .�-...........-- mg,1 - 0,10 - 1 _........._.._....-. ...._ ......... .........__._.. . - 10/01/21 05:04 44,353.2 MR Nitrogen, Total Kjeldahl 0.600 mail 0.300 1 10115/2106:51 10/18/21 11:44 121,4500NH3-H KP Phosphorus, Total 0.384 Mg/1 0,010 - 1 10/08/21 09:00 10/08/21 13:42 121,4500P -E SD Phosphorus, Orthophosphate 0.007 mg/1 0.005 1 - 10/01/21 06:34 121,4500P -E KA Page 5 of 18 Project Name, KINGS LANDLING BREWSTER Project Number: WBR007.W SAMPLE RESULTS Lab ID: L2153312-02 Client ID: HW -2 Sample Location: 3 STATE ROAD, BREWSTER, MA Sample Depth: Matrix: Water Parameter Result Qualifier Units Rt Serial No:10182116:43 Lab Number: L2153312 Report Elate: 10/18/21 Date Collected: 09/30/21 10:30 Date Received: 09/30/21 Field Prep: Not Specified Dilution Date Date Analytical MDL Factor Prepared Analyzed Method Analyst General Chemistry - Westborough Lab Nitrogen, Nitrite N❑ mgll 0.050 1 10/01/21 05:10 44,353.2 MR ...... _.....- Nitrogen, Nitrate 19. mg/1 0.50 ' 5 10/01/21 06:16 44,353.2 MR Nitrogen, Total Kjeldahl ND mgll 0.300 1 10/15/21 06:51 10/18/21 11:45 121,4500NH3-H KP Phosphorus, Total 0.119 mgll 0.010 1 10101+21 09:00 10/08/21 13:43 121,450OP-E SD Phosphorus, Orthophosphate 0.040 ..............---._...._............. ................_...._............................ mgll ..... ....... ...... ......... _... 0.005 ............. .. .... 1 ........................................._................._-................ - 10/01/21 08:34 121,4500P -E ................ 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Page 6 of 18 Project Name: KINGS LANDLING BREWSTER Project Number: WBR007.00 SAMPLE RESULTS Lab I D: L2153312-03 Date Analytical Client ID: HW -3 Prepared Analyzed Sample Location: 3 STATE ROAD, BREWSTER, MA Sample Depth: 10/01 /21 05:11 44,353.2 INR Matrix: Water 1010112106:17 44,353.2 Parameter Result Qualifier Units RL General Chemistry - Westborough Lab KP 1 Nitrogen, Nitrite ND mgll 0.050 !Nitrogen, Nitrate 1.4 mgll 0.10 Nitrogen, Total Kjeldahl 0.300 mgll 0.300 Phosphorus, Total 0.841 mgli 0.010 Phosphorus, Orthophosphate ND mgA 0.005 Page 7 of 18 Serial No:10182116:43 - Lab Number: L2153312 Report Date: 10/18/21 Date Collected: 09/30/21 10:45 Date Received: 09/30/21 Field Prep: Not Specified Dilution Date Date Analytical MDL Factor Prepared Analyzed Method Analyst 1 10/01 /21 05:11 44,353.2 INR 1 1010112106:17 44,353.2 MR 1 101i5�12106:51 1011812111:46 121,45GDNH3-H KP 1 1010812109:00 1010812113;44 121,4500P -E SID 1 1010112106:34 121,4500P -E KA /.11VHA m tV co O O Z T a) a 0 D Q [ilLL �I..F Z r..: 0 G P }pJ c�ri Ly ❑ ❑ � t ❑ 4 � tx t� rl d c c?6•�c ��o', jb ❑ ` R 0. ©C gel N ❑ n i -T d d c?6•�c ��o', jb ❑ ` R N ❑ n i -T d I 11❑ El � C? 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