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HomeMy Public PortalAboutBOH4.20.22Packet,,� \ %owl tl I I 11;111/// v:, F- W in 0 C,* Boaxd of Health Penny Holeman Annette Graczewski Joe Ford Jeannie Kampas Kimberley Crocker Pearson Health Director Amy von Hone Assistant Health Director Sherrie McCullough Senior Department Assistant Tamn-d Mason Town of Brewster Board of Health 2198 Main St., Brewster, MA 02631 brhealth@brewster-ma.gov (508) 896-3701 BOARD OF HEALTH MEETING AGENDA 2198 Main Street April 20,2022 at 7:OOPM Purs u ant to Cha pter 20 of the Acts of 2021, this meeting wiJ I be ro n d u cted I n person a nd vl a remote mea ns, I n accord a nce with a ppl icabl e I aw. Thismeansth members ofthe public b -pa rsqn attend a nce of m em be rs of th e ody Toy �cpf!ss��hls meeting In pel�qq Pr via virtual means. No In WbIT��ii-6 prmitted, a nd pubil c pa rticipatio n In a ny publ Ic h ea ri ng cond ucte d d u Fi ng t his meeting shal I be by re mote mea ns o n ly, M embers of the p u blIc who wish to access th E! meeti ng m ay do so I F) th e fo Ilowi ng ma n ne r: Phone. Call (301)715-8592 or (312)626-6799. Webinar 11)� 820 4394 4509 Passcode: 979174 To re q uest to s pea k: Press *9 and wait to be recogni zed. Zoom Webinar. https://usD2Web.zoom.us/6/82043944509?pwd=MMM2kvUExKbU1RSChmMOlZb3dO.ZzO Passcode� 979174 To req u est to spea k� Tap Zoom "Rais�e H a n d', then wait to be rerog n lze d When required by law or allowed by the Chair, persons wishing to provide public comment or olherwIS8 participate In the meeting, may do so by accessfrig the meeting remotely, as noted above. Additionally, the meeting will be broadcast live, in real time, via Me broadcast (Brewster G ove mm ent TV Cha n n e 118), Livestrearn (livestreGm. brewster-ma. gov) or Video recording (tv.brewster-ma.gov) 1. Call to Order 2. ChairmWs announcements 3. Citizens forum: Members of the public may address the Board of Health on matters not on the meeting agenda for a maximum 3,5 minutes at the Chair's discretion. Under Open Meeting Law, the Board of Health is unable to reply but may add items presented to a future agenda 4. Discuss & possibly vote on Bedroom Definition Regulation and Real Estate Transfer Regulation 5� Consent Agenda a. In House Variance - 55 Anchors Aweigh Road 6. Discuss Step Ladder Theory of Groups - Penny Holeman 7. Liaison Reports 8. Matters not reasonably anticipated by the Chair 9. Items for next agenda 10. Next meeting: May 4, 2022 11. Informational items: a. Monthly report for Serenity at Brewster (formally'vAlingate b. Monthly report for Ocean Edge C. Massachusetts Public Health Council letter d. Covid cases update 12. Adjournment Date Posted: Date Revised: Received by Town Clerk: 4/14/2022 \\fileserverl6\rdocuments,$\ttnason\Desk-top\Agendatemplate.doex 9 R 11"j 5 E, alp, Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02 63 1-1 898 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.4538 brhealth@brew.ster-ma.gov W W W.BREW STER-MA.GOV AGENDA ITEMS UPDATE April 20, 2022 Health Department Amy L, van Hone, R.S., C.H.O. Director Sherrie McCullough, R.S. Assistant Director Tammi Mason Senior Department Assistant 4. Discuss Brewster Bedroom Definition and Real Estate Transfer Regulation a. Draft Brewster Bedroom Definition Regulation with proposed revisions b. Orleans and Harwich Bedroom Definition Regulations c. MA Title 5 Regulation — Bedroom Definition d. Brewster Real Estate Transfer Regulation 5. Consent Agenda a. In -House Variance Approval — 55 Anchors Aweigh Road 6. Discussion and comments on Step Ladder Theory of Groups Compiled by Amy von Hone, Health Director N;1HealtMBOH Meeting Notes\BOH Hearing Notes\BOH Hearing Notes 04.20.22.docx TOWN OF BREWSTER BOARD OF HEALTH LOCAL REGULATION TO SUPPLEMENT TITLE 5 STATE ENVIRONMENTAL CODE BEDROOM DEFINITION FOR THE PURPOSE OF SIZING SEPT;G SYSTEM 1. Authority. In accordance with Massachusetts General Laws, Chapter 111, Sections 31 and 127A, the Brewster Board of Health hereby adopts the following regulation to supplement the provisions of the State Environmental Code, Title 5: Standard Requirements for the Siting, Construction, Inspection, Upgrade and Expansion of On -Site Sewage Treatment and Disposal Systems and for the Transport and Disposal of Septage (hereinafter, "Title 5"). 2. Purpose. The purpose of this regulation is to provide a greater degree of protection to environmental and public health, to protect groundwater from contamination, prevent the spread of disease, and provide greater clarification of the definition of "bedroom" as that term is used by the Board in applying the provisions of Title 5 and the Brewster Board of Health Regulations pertaining to on-site sewage treatment and disposal systems. This regulation is only intended to assist the Board of Health in sizing a subsurface sewage disposal system; it is not to be applied to other Federal, State or Town Regulations. 3. Definition. To the extent application of this definition will not result in an interpretation less stringent than the provisions of Title 5, the term "bedroom" shall be defined as follows for the purpose of sizing a subsurface sewage disposal system (proposed and existing): Bedroom: "Any portion of a dwelling which is designed to furnish the minimum isolation necessary for the use as a sleeping area and otherwise meets the following criteria: (a) floor space of no less than 70 square feet (b) for new construction, a ceiling height of no less than seven feet three inches (c) for existing houses and mobile homes, a ceiling height of no less than seven feet zero inches (d) an electrical service and ventilation; and (e) at least one window. Living rooms, dining rooms, kitchens, hall, bathrooms, unfinished cellars, and unheated storage areas over garages are not considered bedrooms. Single family dwellings shall be presumed to have at least three bedrooms. Where the total number of rooms for single family dwellings exceeds eight, not including bathrooms, hallways, unfinished cellars and unheated storage areas, the number of bedrooms presumed shall be calculated by dividing the total number of rooms by two then rounding down to the next lowest whole number. The applicant may design a system using design flows for a smaller number of bedrooms than are presumed in this definition by granting to the Approving Authority a deed restriction limiting the number of bedrooms to the smaller number. A finished room over a free standing or attached garage (heated or unheated) is considered a bedroom if it meets the bedroom definition criteria. 4. Design Flows. An applicant must design and install systems using design flows for the number of bedrooms determined hereunder unless the Brewster Board of Health makes the specific determination, after a public hearing, that a system using design flows for a smaller number of bedrooms will not negatively impact the N:1HaaIthlBOH regs and p ol icie s1Eed roo m Defi n it! onlB rewste r Bedroom Definition Regulation DRAFT 4.14.22.doc public health, safety, welfare, or the environment and unless the Board of Health approves an appurtenant deed restriction, running with the land and in favor of the Board, limiting the property to the smaller number of bedrooms. S. Privacy Elimination. A room that meets the definition of a bedroom may be altered with the following options, including but limited to: a. Removal of privacy door and construction of a minimum 4' cased opening; or b. Existence of two separate cased openings that combine to be greater than or equal to 6'; or c. Access to a bedroom required by walking through another room that meets the definition of bedroom. The walk-through room shall not be considered a bedroom. d. Loft area consisting of three walls and a half wall not exceeding 42" in height e. Unheated Sunroom/Porch. A heated Sunroom/Porch must provide direct access to another room with minimum 4' cased opening. 6. Floor Plans and Inspections. To determine compliance with any provision of the foregoing regulation, a floor plan must be filed with the Brewster Board of Health for the Health Agent to make a determination as to bedroom count. If the Health Agent deems it necessary, he or she may refer the determination of the bedroom count to the Board of Health for a vote. If the Board of Health, by a majority vote of its members, deems that an inspection of an existing residence would be helpful to confirm the bedroom count, the Health Agent shall have the authority to inspect the premises and report back to the Board his or her findings. Adopted: May 23, 2006 Effective: September 1, 2006 Amended: October 17, 2006 Effective: Upon Publication Amended: July 22, 2008 Effective: Upon Publication Amended: March 10, 2015 Effective: May 22, 2015 Amended: Effective: Penny Hoieman, Chairman Board Jean Kampas, Vice Chairman Of Health Annette Graczewski Joseph Ford Kimberley Crocker Pearson Colette Williams, Town Clerk N:lHealftBOH regs and policies\Bedroom DefinitionlBrewster Bedroom Definition Regulation DRAFT 4.14.22.doc ORLEANS BOARD OF HEALTH: BEDROOM DEFINITION BEDROOM - Any portion of a dwelling which meets the Minimum Standards of Fitness for Human Habitation (Chapter II) and is designed to furnish the minimum isolation necessary for use as a sleeping area, and includes, but is not limited to, bedroom, den, study, sewing room, sleeping loft or enclosed porch, but does not include kitchen, bathroom, dining room, halls, living room, sun porch (as defined in these regulations) or unfinished basement. For the purposes of this regulation a room with a 6' (minimum) cased opening that opens directly into another habitable room or a hallway that leads to a habitable room is not considered isolated. Cased openings must not be fitted with a door. Rooms that do not meet the strict definition of a bedroom must be reviewed by the Board of Health on a case by case basis. SUN (PORCH) ROOM — A room designed to have a minimum of 40% glazed area (window area) of the total combined exterior wall and ceiling area of the room. In calculating the total glazed area only the translucent or transparent window area should be considered (rough opening or unit dimension shall not be considered). HARWICH BOARD OF HEALTH: BEDROOM DEFINITION A bedroom is defined as a room providing privacy, intended primarily far sleeping and consisting of all of the following: (a) floor space of no less than 70 square feet; (b) for new construction, a ceiling height of no less than seven feet three inches; (c) for existing houses a ceiling height of no less than seven feet zero inches; (d) an electrical service and ventilation; and (e) at least one egress door or window. Privacy elimination is defined by having a 5' wide (or greater) cased opening for new construction, a 4' wide (or greater) cased opening for existing construction, or having two separate cased openings that combine to be greater than or equal to 6'. No glass doors, blinds, hanging beads, shower curtains, nor any other obstructions shall be installed within the five feet or four feet opening. Rooms consisting of three walls and 1/2 wall not exceeding 42" in height shall NOT be considered a bedroom. Rooms over free standing garages that have heat, a bathroom, or both, that provides privacy ARE considered bedrooms. Rooms over attached garages with direct access to the house that provides privacy ARE considered bedrooms. If it is necessary to walk through a room to access another room, then the walk through roam is NOT considered a bedroom because privacy is not provided. N:\HeaIth\BOH regs and poIicies\Bedroom Detinition\orleans and Harwkh Bedroom Defi n It Ion S. d 0 cx 310 CMR, 15.000 DEPARTMENT OF ENVIRONMENTAL- PROTECTION THE STATE ENVIRONMENTAL CODE, TITLE 5. STANDARD REQUIREMENTS FOR THE SITING, CONSTRUCTION, INSPECTION, UPGRADE AND EXPANSION OF ON-SITE SEWAGE TREATMENT AND DISPOSAL SYSTEMS AND FOR THE TRANSPORT AND DISPOSAL OF SEPTAGE 15.002: Definitions Bedroom - A room providing privacy, intended primarily for sleeping and consisting of all of the following: (a) floor space of no less than 70 square feet; (b) for new construction, a ceiling height of no less than seven feet three inches; (c) for existing houses and for mobile homes, a ceiling height of no less than seven feet zero inches; (d) an electrical service and ventilation; and (e) at least one window. Living rooms, dining rooms, kitchens, halls, bathrooms, unfinished cellars and unheated storage areas over garages are not considered bedrooms. Single family dwellings shall be presumed to have at least three bedrooms. Where the total number of rooms for single family dwellings exceeds eight, not including bathrooms, hallways, unfinished cellars and unheated storage areas, the number of bedrooms presumed shall be calculated by dividing the total number of rooms by two then rounding down to the next lowest whole number. The applicant may design a system using design flows for a smaller number of bedrooms than are presumed in this definition by granting to the Approving Authority a deed restriction limiting the number of bedrooms to the smaller number. Design Flow - The quantity of sanitary sewage, expressed in gallons per day (gpd), for which a system must be designed in accordance with 310 CMR 15.203. Effective 9/9/2015 W\Health\BQH regs and policies\Bedroom Deffnition\Tltle 5 310 CMR 15.[342 Bedroom definituGn.docx epewer TowN or, BRE, WSTrm OFFICE OF 2198 MAIN STREET HUALTF[ DEPARTMENT o s i BREMSTER, MA 02631. r ' PHONE: (5 08) 8 96-3 701 EXT 1120 FAx: (568) 896-4538 BRHEALTH (�[ BREWSTER-MA.GDV REAL ESTATE TRANSFER REGULATION The Brewster Board of Health voted to adopt the following Regulation at its meeting held on May 19, 1987, and amended on November 1, 1988, under the authority of Chapter 111, Section 31 of the General Laws of Massachusetts, to better protect the Public Health of the inhabitants of the Town of Brewster, Barnstable County, Massachusetts. The effective date of this Regulation will be January 1, 1988. All deeds recorded on or after January 1, 1988 will be subject to this regulation. REGULATION Prior to selling, conveying or transferring the title to real property situated in the Town of Brewster and containing an existing Residential, Commercial or industrial sewage disposal system, the Owner thereof shall have an open. Inspection of said system(s). The inspection shall be performed by a Massachusetts Registered Professional. Engineer, Massachusetts Registered Sanitarian or DEP approved System Inspector person who: (a.) in the opinion of the approving authority is qualified to perform such inspections; (b.) has one year documented experience in satisfactorily performing such inspections; and. (c.) has used or gained skills that demonstrate sufficient competence to perform such inspections. If it is determined by the Board of a danger to the Public Health,,the repairs or replace the system. PURPOSE Health that the system constitutes Board shall order the owner to make To determine and to protect the Public Health from potential and present sources of pollution to ground water or.salt water from existing sewage disposal systems, the Board of Health requires that the Owner(s) of a developed property in Brewster obtain an open Inspection of the existing septic system prior to the time of the transfer of that property. SECTION I -- DEFINITIONS Preamble -- All other definitions not in this Regulation will be defined by Title 5, 31.0 CMR 15.01. 1.1. COMPONENT: Any septic tanks, distribution boxes and leaching facilities. W W W.BREWSTER-MA.GOV RETR Page 2 1.2 DEVELOPED PROPERTY: A parcel of land with a man-made structure erected upon it which has affixed to it an in --ground sewage system(s). 1.3 FAILED SYSTEM: A failed system is defined as one in which there is evidence of sewage flow to the surface; evidence of overload of the system; the system is in such a state of disrepair that it cannot function as originally intended; lack of a four (4) foot protective zone between the bottom of the system and ground water; or any other problem as defined by the Board of Health or its Director. 1.4 MARGINAL SYSTEM: A marginal system is defined as having one or several of the following problems: The system could not be judged because of an extended period of noxi. --use; there are problems with the individual components of the system or with the system location; records show excessive pumping three or more times within any eighteen (18) month period for residential or commercial property, except for required grease trap maintenance for commercial property; presence of visible ferric sulfide stains; the system is inadequate for intended use; system is located within 100 feet of a domestic water supply well, wetland or watercourse or any other problem defined by the Board of Health or its Director, 1.5 OPEN INSPECTION: All components of the septic system(s) attached to the existing structure(s) will be uncovered and a visual inspection conducted. 1.6 SUBSTANDARD SYSTEM; A system which does not conform to 310 CMR 15.00, the State Environmental Code, Title 5, Minimum Requirements for the Subsurface Disposal of Sewage and the Brewster Board of Health Regulations. 1.7 TRANSFER OF PROPERTY: An act by which the title of a property is conveyed from one person to another except as noted in Section 4.1. SECTION II - STANDARDS 2.1 For the purpose of this Regulation, reference is made to the standards and provisions of Title 5 of the State Sanitary Code, and to the existing regulations of the Brewster Board of Health Regulations for Subsurface Sewage Disposal. SECTION III -- ENFORCEMENT AUTHORITY 3.1 The Board of Health Director is authorized to issue Notices of Violation, Cease and Desist Orders, or other Administrative enforcement orders to compel compliance with the terms of these RETR Page 3 Regulations for Subsurface Sewage Disposal. 3.2 in addition to any other remedy, the Board of Health and/or its Director may take any enforcement action deemed appropriate, including but not limited to Criminal Prosecution, to seek a fine in accordance with Chapter 111, Section 31, or Civil Action in the Courts of the Commonwealth for injunctive relief or money damages or both, or Civil and Criminal enforcement. SECTION IV - EXCEPTIONS 4.1 This Regulation shall not apply to a sale under power of sale contained in a bona fide mortgage affecting the property. 4.2 This Regulation shall not apply to a sale of property having a sewage system that has been installed, repaired or replaced and which has received a satisfactory inspection report from the Health Director within twenty-four (24) months of the closing, provided additional living space has not been added and/ox there has been no change in intended use. The date of issuance of the Certificate of Compliance will begin the twenty-four (24) months time period. A copy of the Disposal Works Construction Permit and/or other evidence, approved by the Board of Health or its. Director, must be submitted in lieu of the Certificate of Inspection thirty (30) days prior to each Real Estate Transfer. 4.3 In the case of a Title 5 system, the Board of Health may waive the requirements for an inspection in appropriate cases. All requests for waivers shall be in writing. 4.4 Real Estate Transfers otherwise subject to this Regulation which take place within two (2) years of an inspection under this Regulation and found to be in good working order, may be exempt from this Regulation upon review and approval by the Board of Health or its Director. A copy of the original Certificate of Inspection Form must be submitted to the Board of Health or its Director for review thirty (30) days prior to Real Estate Transfer. 4.5 Sellers and buyers who transfer an existing structure with the intent to demolish and replace the existing system with a Title 5 system may apply to the board of Health or its Director for exemption from this Regulation. The seller and the buyer must comply together in writing showing that both parties have agreed to the arrangements and accept joint responsibility for seeing that the new system is installed. An Engineer hired by the party(s) must RETR Page 4 provide in writing that he/she has been contracted to do the plan and that a preliminary survey of the lot in question shows that a septic system in compliance with Title 5 and Town of Brewster Regulations can be installed on the lot. A proposed time frame for the demolition and installation must be submitted at the time of application. SECTION V - INSTRUCTIONS 5.1 The Inspection by the Engineer or Sanitarian should take place not more than 180 days nor less than thirty (30) days prior to the transfer of property. The Board of Health must receive the Inspection Form and Certificate of Compliance within seven (7) days of the Inspection. In addition, the Engineer or Sanitarian should give copies to the Owner and to any Buyer or Broker identified with the transfer. In the event there is no buyer at the time of Inspection, copies must be given by the Owner to the Buyer preferably before the property is put under agreement. 5.2 Establishing ground water levels: Unless exempted from this requirement by the Board of Health or its Director, septic systems or components of systems that are located below elevations of fifteen (15) feet (using USGS mean sea level datum) and/or within 100 feet of a wetland are required to have a test boring or deep observation hole dug in order to establish the ground water level. When depth to ground water has been measured it should be adjusted to reflect the adjusted depth using the procedures outlined in Estimating Highest Groundwater Levels for Construction and Land Use Planning - A Cane Cod, Massachusetts Example, Michael H. Frimpter and Martha N. Fisher. USGS Water Resources Investigations 83-412. 5.3 If the Inspection finds evidence of a failed system, such as sewage on the surface or sewage draining into any waterways or wetlands, the Board of Health or its Director shall determine within fourteen (14) days after receiving the Inspection Form whether or not the system constitutes a danger to the Public Health and whether and to what extent the system should be repaired or replaced. The Board of Health or the Health Director shall notify the owner by Certified Mail within seven (7) days of its determination, accompanied by any order requiring the system to be repaired or replaced. 5.4 If the Inspection finds evidence of sewage on the surface or draining into any waterways or wetlands, the Board of Health or its Director is to be notified by the Engineer or Sanitarian within RETR Page 5 twenty-four (24) hours. 5.5 if the Inspection finds the system to be "Marginal", the Board of Health or its Director shall decide within fourteen (14) days after receiving the Inspection Form whether or not the system constitutes a danger to the Public Health and whether and to what extent the system should be repaired, replaced, or be subject to further inspection as the Board or its Director deems appropriate under the circumstances. The Board of Health or the Health Director shall notify the owner by Certified Mail within seven (7) days of its determination, accompanied by any order requiring the system to be repaired, replaced or subject to further inspection. 5.5 If the Inspection reveals that the covers to the septic tank or cesspool are more than twelve (12) inches below the finished grade, the covers shall be brought up to within twelve (12) inches of the finished grade. 5.7 If the Inspection reveals that the sewage disposal system consists of a single cesspool, or cesspools, then the system shall be deemed substandard and must be upgraded to comply with 310 CMR 15.00, the State Environmental Code, Title 5, Minimum Requirements for the Subsurface Disposal of Sewage. 5.8 if the inspection reveals that the sewage disposal system leaching facility or facilities are located within 300 feet of a pond or lake, then the leaching facility or facilities shall be deemed substandard and must be upgraded to comply with 310 CMR 15.040, the State Environmental Code, Title 5 and Brewster Board of Health Regulations. If the setbacks required by this regulation cannot be attained due to lot configuration or other factors, the leaching component shall be located at a maximum feasible distance from the pond or lake as determined by the Board of Health or its director. 5.9 The allowable time for the repair, replacement or further inspection will be determined by the Board of Health or its Director, and will be contained in the order to the Owner. 5.10 if any repair or replacement is required, the Health Director shall inspect the work and make a written report thereof, stating that the work is satisfactory or unsatisfactory, and whether and to what extent further work or inspections are required. 5.11 Copies of the Inspection, Determination, order and Report shall RETR Page 5 Be filed with the Board of Health and shall be available for public inspection and copying. Adopted: May 19, 1987 Effective: January 1, 1988 Amended: November 1, 1988 Amended: February 7, 1989 Amended: January 19, 1993 Effective: March 1,.1993 Amended: November 1, 2017(email Effective: November 1, 2017 Amended: Effective: Amended: Effective: Amended: Effective: & website changes) Colette Williams, Town Clerk oa March 2, 1993 March 12, 1993 August 1, 1995 August 11, 1995 May 23, 2005 September 1,2005 � FCEIVE� dp€war{ TOWN OF BREWSTER e� 2198 MAIN STREET MAR ` Q 702 HE r a BREWSTER, MA 02631 °r =_ PFIoNE: (508) 896-3701 EXT 1120 ° FAx.(508)896-4538E3R1-W_q3 FILAL.TH SRHEALTH SREWSTER-MA.GQ 2!LtLE �T 'F[CE OF /� DEPARTMENT WWW . BREW STER-M A. GOV Received: 3 2D 2.2- Paid:975 C-4*101 Application for Board of Health Variances Abutter Deadline: 411, Iv, I�In-House Local Upgrade Approval ❑Public Hearing Date: 3128122 SUBJECT PROPERTY ADDRESS: 55 Anchors Aweigh road Map:Parcel: 79-92-0 Book: Page: LC Certificate: LC Pian: Lot: 7 Name of Applicant: Michael Ortwein Mailing Address: 2618 Covington Place Bloomington Village MI 48301 Telephone # 617-306-6564 Owner(s) of Record : Estate to Nanci Ortwein Email: Mlchael.ortweinLag mail.com Mailing Address: 2618 Covington Place Bloomington Village MI 48301 Design Engineer/Sanitarian: Keith Fernandes Mailing Address: PO Box 268 South Dennis MA 02660 Telephone #: 508-432-1635 Firm/Company Name: pig it Construction LLC Email address: Keith F@digitcon.net Signature: A plicant or Engineer New Construction ❑ Voluntary Upgrade L1 Add ition/Alteratio n Cl Failed system ❑ Rea l Estate Transfer W Design flow of existing system: Unknown (3bedroom) Reason for failure: Cesspool Design flow of proposed system: 330 Total sewage flow of site: 330 Total lot size (sf): 6,800 sf Conservation Commission approval required: yes D no EZ order of Conditions/Det. Of Applicability attached ❑ Date of ConCom hearing: List of all Variances from State and Local codes (add sheets if needed) TITLE 5 Sec. #: Description of Variance(s) Va+ia atOGMR 15.211(Selbaas) 1) Sail absorption system not 10' from south property line - Wheld - 41 variance 2) Sail absorption system not 10' from west property line - Theld - 3' variance 3) Septic tank not 10' from west property line - 6'held - 4' variance Approved by: /,,� e.2- -)- N.\HeaithlB0F1 regsVnHouse Septic Local Upgrade Approval 2 019Warianc eapp I i cation FNAL NONFILLABLE FORM 12.18.19.docx CERTIFIED MAIL RETURN RECEIPT REQUESTED BREWSTER IN-HOUSE SEPTIC LOCAL UPGRADE APPROVAL NOTICE: Date: 3/28122 Re• Map: Lot: Subject Address Dear Abutter: Please be advised that an application for septic local upgrade approvals from the regulations of the Massachusetts Department of Environmental Protection, Title 5 and/or the Town of Brewster Regulations for Subsurface Disposal of Sewage, has been submitted to the Brewster Health Department for approval. The following variances are requested: List of all variances from State and Town Codes Title 5, Sec # Description of Variance(s) 1) Soil absorption system not 10' from south property line - 6'held - 4' variance 2) Soil absorption system not 10' from west property line - 7'held - 3'variance 3) Septic tank not 1 O' from west property line - 6'held - 4' variance The application and plans are available for review and comment at the Brewster Health Department, Brewster Town Offices, 2198 Main Street Brewster, Monday through Friday (excluding holidays) from 8:30 a.m, to 4:00 p.m. Sincerely, App I ica nt/Representative CC: Brewster Health Department N:\Health\BOH regs\1nHouse Septic Local Upgrade Approval 201 9\1 nhousevaria nceabutternotif [cation NONFILLABLE FORM 12.11.19.docx §E§§ ShEL mow- §OOG 05§2 - § a 0 . /]�», \, v\ /} � ■r•too § 3 -- � \� \ e \ 7 § � oefnuoOoa.P_\ -!�•| � R (Li§���\® ' § w n / - u o -) 96h9 §hE. 0000 83h2 020 - ■r•too § . , ... 7 § � oefnuoOoa.P_\ $ 0000 052 020L T259 §§E� 0000 Og§2 020± „UZI-3 :nt£ III JHn nc�:3 nen. April 14, 2022 Town of Brewster 2198 1biAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.4538 brhealth@brewster-ma. eov W W W.BREWSTER-MA.GO V Health Department Amy L. von Hone, R.S., C.H.O. Director Sherrie McCulIough, R.S. Assistant Director Tammi Mason Senior Department Assistant Notice of Board of Health Variance Approval/Deed Restriction - Estate of Nanci L. Ortwein c/o Michael Ortwein 2618 Covington Place Bloomington Place, MI 48301 RE. 66 Anchors Aweigh Road, Brewster, MA Map: 79 Parcel: 821 LCC 1423241 LCP 12014-B Sh. 2 Lot 77 Owner of Record; Nanci L. Ortwein Dear Mr. Ortwein: On April 14, 2022 the Brewster Health Department reviewed and approved the following variances for the septic system upgrade at the above address per engineered plans by Dig -It Construction, LLC dated revised April 12, 2022: Title 5: CMR 15.211 Maximum Feasible Compliance a. 4' variance, proposed 6' separation between SAS Facility and southerly property line b. 3' variance, proposed 7' separation between SAS Facility and westerly property line c. 4' variance, proposed 6' separation between Septic Tank and westerly property line Town of Brewster: None In granting the above variance, the Health Department imposes the following Order of Conditions: The property consists of an existing three (3) bedroom dwelling. No additional bedrooms allowed without further review by the Board of Health. 2. Prior to issuance of the Certificate of Compliance, this Variance Approval Letter must be properly recorded at the Barnstable County Registry of Deeds and a recorded copy of same shall be furnished to the Brewster Health Department as proof of the recording. 3. Variances shall expire within one (1] year of the date of this approval. Please feel free to contact me if you have any comments or questions on the above. I can be reached at the Health Department, 508-896-3701, ext. 1120. Sincer my L. von Hone, R.S,, C.H.O. Director of Health cc: Dig -It Construction, LLC, P.O. Box 268, South Dennis, MA 02660 File rJ:\Health\BDH Decision Lette rs\Se pt ic Variance In -House Dew] ons\Title 5 Brewster ApprovaIs\55 Anchors Aweigh Rd InHoaseApprova104.14.2022.doc Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02 63 1-1 898 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.4538 brhealth rr,brewster-ma.gov W W W.BREWSTER-MA.GOV AGENDA ACTION I'T'EM FORM BOH Variance Agenda Item ❑ In -House Local Upgrade Approval Other: El Health Department Amy L. von Hone, R.S., C.H.O. Director Sherrie McCullough, R.S. Assistant Director Tammi Mason Senior Department Assistant Board of Health Meeting Date: Consent Agenda Project Location: 55 Anchors Aweigh Road Map & Parcel: 79192 Owner's Name & Address: Estate of Nanci L. Ortwein 2618 Covington Place Bloomington Village, MI 48301 Applicant: Michael Ortwein, 2618 Covington Place, Bloomington, MA 48341 Date Requested: March 20, 2022 Title 5 Variance Request: Yes® No ❑ Board of Health Variance Request: Yes ❑ NoM Cl ick here to enter text. Other: Yes ® No ❑ 1. Outside Zone II and existing Town water 2. Upgrade of existing failed cesspools servicing existing 3 -bedroom dwelling Property History: 1. The existing property consists of an existing 3 -bedroom dwelling serviced by town water and a primary cesspool with an overflow cesspool. The applicant proposes to upgrade the system to a Maximum Feasible Compliant Title 5 septic system. The proposed septic system will consist of a proposed H2O 1500 -gal septic tank, proposed H2O distribution box, and a 25' x 12.83' x 2' H2O Leach Chamber system for a maximum 3 -bedroom capacity septic system. 2. The existing lot is 5,800 s.f, with limited available area for the proposed Title 5 Maximum Feasible Compliant septic system. Additionally, the water lines servicing the subject dwelling and the abutting westerly dwelling (rear of 455) are both originating from the water main off Anchors Aweigh Road and run through the limited available area for the new septic system to service #55. Both water lines will be sleeved within 10' of all proposed septic components. N:1HealtMBOH Meeting Notes\BOH Hearing Notes155 Anchors Aweigh Road M79P92 Agenda.Variance Action Item Form 04.U8.22,doex 3. The following variances are requested: Title 5, 15.211: a. 4' variance, proposed 6' separation between the SAS facility and southerly property line b. 3' variance, proposed 7' separation between the SAS facility and westerly property line c. 4' variance, proposed 6' separation between the Septic Tank and westerly property line Town of Brewster: None 4. Discussion Points: a. Water lines (55 Anchors Aweigh and 58 Pilots Way) within 10' of proposed septic components b. Portion of SAS facility within existing gravel driveway — system vented, H2O components c. Setback variances to property lines, location of abutting septic systems and foundations in relation to proposed leach facility 5. Approval with the following conditions: a. Approve the septic variance as requested above with the following conditions: i. There will be no addition of the number of bedrooms -in the residential structure without further BOH review. A copy of the BOH Approval Letter to be recorded at the Barnstable County Registry of Deeds prior to issuance of the Certificate of Compliance upon completion of the septic system installation. A copy of the recorded letter to be placed on file at the BOH. ii. Variance will expire one (1) year from the date of the BOH Approval. NAHealth\BOH Meeting Notes\BOH Hearing Notes155 Anchors Aweigh Road M79P92 Agenda.Variance Action Item Form 04.08.22.docx STEP LADDER THEORY OF GROUPS 5 Vision Where are we going? 4 Where can we go? Goals 3 What's our task? Group Identity 2 Who are we? Trust Who are you? Safety Who am I? A"big vision" (organizational for instance) could be the catalyst for a group process which then leads to the individuals growing together through the steps to understand each other, to understand the tasks needed to be accomplished, and then to create a new vision of what is possible next as a group. Any time problems occur, the group needs to revisit the earlier steps and build again - even as fair as Step 1 (safety). The process is cyclical and depends on people and events. This is a simple yet powerful theory of group and team process including sequential series of steps that groups of 2 or more people need in order to be effective together. These steps, if you use thein, will help any group be more effective. Models from Cornell University's Harold D. Craft Leadership Program Page -1 roups are formed for various reasons. Once they are formed, the individuals in the group will need to learn about each other and learn to work well together to both enjoy and succeed at their reason for being in the first place. Step I is creating safety - this is about who am I - the first question anyone asks is "who am I" in this group and what influence will I have. How will people treat me? Will people listen to me? Once I feel secure about who I am - that I won't be put down or ridiculed—then I am able to move into Step 2. Which is moving into "who are you" (the others in the group) and "how do you think". What are your strengths? What can you do? What resources do you bring to the group? What issues do you have? When we know more about each other, we begin to build trust, which leads to Step 3. Intimacy or Group Identity is just a way of saying that T understand you/us better and comes as a result of increasing closeness and a comfort level with each other. Once I feel safe, have built some trust, and understand who others are in the group, we can build "who are we' together. This leads us to Step 4.. We can then explore what's possible, what can we do as a group, and given our skills as people in this group - when we put that all together, what can we do? Once we're secure in who we are as a group, we can deal with what we're supposed to be doing - what's the goal or the task. We then can focus outward and look at the work to be done. Often we jump right into the goal or task without building the safety or trust or understanding our group's resources. We ignore what motivates people and what they need to be fully engaged in the task at hand - thereby making the group less effective. Finally - once we know each other, our resources, and understand what we can do as a group, we can move into Step 5. We can now look forward to the future as a group. What are our dreams as a group - where can we go, what is our new vision? At any point a group may need to stop and rebuild, For instance, if any trauma or important change happens, (a leader leaves, membership changes, or members have a serious conflict), then we often need to return to the beginning for a time. It is critical to re -build where needed -- often at the safety step, but it may be trust, it may be looking at the group as a whole. People will automatically ask "am I safe in this group" because of the trauma/change, It is highly predictable that, troubling events often get projected into our minds as something that could happen to us next; or that now things are different and different is change, and change may feel threatening. Truth telling grows as safety grows, and the balance between process and task is a learned "sense" of what's needed during the life of the group. Understanding the various steps is important - measuring to learn where the group is, is important. Then consciously facilitating and designing the group gatherings to address the needs for task and process is critical to ongoing effectiveness of both the individuals in the group and the group as a whole. Models from Cornell University's Harold D. Craft Leadership Program Page 2 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: 1352049 SFR 0 4 ZUL1 FIE DEPARTMENT rH Document: Groundwater Discharge Monitoring Report Forms Size of File: 1023.04K Status of Transaction: Submitted Date and Time Created: 311712022:3:38:49 PM Note: This fife 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. WW1 VQU VI I%UJWUI VU 1 IVLUI%IWII- VI VUI IVVVCLUI L IQILICL lj. 1 IWU1 RI 11 i.1 V11111L IYU11JIJV[ _ Groundwater Permit 2. Tax identification Number DAILY LOG SHEET 2022 FEB DAILY 3. Sampling Month & Frequency A. Facility Information Important:WVhen filling out forms on 1. Facility name, address: the computer, use JBIREWSTER MANOR only the tab key to a. Name move your cursor - 873 HARWICH ROAD do not use the return key. b. Street Address BREWSTER IMA 10263Vill, 1 r C. City d. State e. Zip Code 2. Contact information: run DAVID FELDMAN a. Name of Facility Contact Person 7817079527 dfeld man@wingatehealtheare.com b. Telephone Number c, e-mail address 3. Sampling information: 2/28/2022 WHITEWATER a. Date Sampled (mm/Wyyyy) b. Laboratory Name DOUG MURPHY c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Dally Log Sheet - 2022 Feb Daily T T_ 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. 09115/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 i .. . Groundwater Permit DAILY LOG SHEET C. Daily Readings/Analysis Information Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 1s 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Effluent Reuse Irrigation Turbidity Influent pH Flow GPD Flow GPD Flow GPD 2. Tax identification Number 2022 FES DAILY 3. Sampling Month & Frequency Effluent Chlorine PH Residual (mg11) UV Intensity N gdpd[s.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 L U1 GGLl UI I%�_aVUI UG 1 IULGUIIVII - VI UUI IV VVOkCl VIJVI 1C1IJU 1 IUM Cil 11 I. 1 Glilllt IYUMMU1 Groundwater Permit }1: 2. Tax identification Number MONITORING WELL DATA REPORT 2022 FEB MONTHLY 3. Sampling Month & Frequency A. Facility Information Important:When filling out forms on 1. Facility name, address: the computer, use JBIREWSTER MANOR only the tab key to a. Name move your cursor - - $73 HARWICH ROAD do not use the return key. b. Street Address BREWSTER MA 02631 VQ. C. City d. State e. Zip Code 2. Contact information: rrra DAVID FELDMAN a. Name of Facility Contact Person 7$17079527 dfeldman@wingatehealthcare.com b. Telephone Number c. e-mail address 3. Sampling information: 2/19/2022 JWHITEWATER a. Date Sampled (mmJddlyyyy) b. Laboratory lame DOUG MURPHY c. Analysis Performed By [Name] B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Monitoring Well Data Report - 2022 Feb Monthly - All forms for submittal have been completed. 2.- This is the last selection. 3. Delete the selected form. gdpols 2015-09-15.doc • rev, 09115/15 Groundwater Permit Daily Log Sheet • Page 1 of 'I Groundwater Permit 2. Tax identification Number }. MONITORING WELL DATA REPORT 2022 FEB MONTHLY 3, Sampling Month & Frequency C. Contaminant Analysis Information • For "o", below detection limit, less than (<) value, or not detected, enter "ND' • TNTC = too numerous to count. (Fecal results only) • NS =Not Sampled • DRY = Not enough water in well to sample. Parameter/Contaminant MW1 MW2 MW3 MW4 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6 PH 6.3 6.2 6.5 6.4 S.U. STATIC WAFER LEVEL 58.73 58.85 51.66 29.98 FEET SPECIFIC CONDUCTANCE 444 260 1 212 [AMI MC mwdgwp-blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 yLAI GOU VI 1%W,7UUI1 U 1 IVlCLLi V14 - VI VUI IU YY Q LGI Vi Ql 1101 -JG 1 IVlji Cil 11 I. 1 VI1111L 1MU111V01 _ Groundwater Permit 2. Tax identification Number DISCHARGE MONITORING REPORT ' 2022 FEB MONTHLY 3. Sampling Month & Frequency D. Contaminant Analysis Information • For "0" below detection limit, less than (<) value, or not detected, enter "ND" • TNTC = too numerous to count. (Fecal results only) • N5 = Not Sampled 1. Parameter/Contaminant 2. Influent 3. Effluent 4. Effluent Method Units Detection limit BOD 12 NQ 3.9 W -01 - TSS 17 ND 2.0 MGA - TOTAL SOLIDS 340 MG/L AMMONIA -N ND� MG/L. NITRATE -N 5.8 9.050 -- -� MGA - TOTAL NITROGEN(NO3+NO2+TKN) 8,8 0.50 MG& OIL & GREASE 0.84 0.50 MGIL infeffrp-blank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 Impaftant: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(1) or (2) shall make the following certification If you are filing electronic -ally and want to attach additional comments, select the check box. F' UUI GU VI I■GaVVI VC I IV%GVLIVII - V1 VUI[U VVQLUI V10W ILLI UG I IVLJ.1 CI; II Groundwater Permit Facility Information REWSTER MANOR i . r ci mit Ivumwvi 2. Tax identification Number a. Name 873 HARWICH ROAD b. Street Address BREWSTER MA 102631 C. City d. State e. Zip Cane Certification "I certify under penalty of law that this document and all attachments were prepared under my direction or superdision 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 violations." ELIZABETH BELAIR 3/17/2022 a. Signature b. Date (mrrVddfyyyy) gdpols 2015.09-15.doc • rev. 09115115 Groundwater Permit • Page 1 of 1 March 16, 2022 Bryan Webb [via email] Ocean Edge Resort 2907 Main Street Brewster, MA 02631 RE: Ocean Edge Resort Wastewater Treatment Facility Monthly Operations Report — February 2022 Dear Mr. Webb: WestonOSampson 55 Walkers Brook Orme, Slits 100, Read ry, DAA 01867 Tel: 978,532.1900 Enclosed please find the Monthly Operations Reporting Package for the Ocean Edge Resort wastewater treatment facility "WWF) located at 832 Village Drive in Brewster, MA, Weston & Sampson Services, Inc. would like to note the following: ■ All regulated effluent parameters of samples collected throughout the month were reported to be within their respective permissible limits. • Data was filed with MassDEP electronically, via eDEP. A copy of the transaction Is included in this package. If you have any questions or concerns regarding this report, or the wastewater treatment facility, please feel free to contact me at wsscompliance@wseinc.com. Regards, WESTON & SAMPSON SERVICES, INC. r /f James R. Tringale Compliance Coordinator cc: Brewster Board of Health {via email} FR Mahony Associates (via email) westo nan dsam pson.com offices In: MA, CT, NH, Vi, NY, NJ, PA, SC & FL Fi 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: WSSINC Transaction ID: 1355024 Document: Groundwater Discharge Monitoring Report c=orms Size of File: 1023.65K Status of Transaction: Submitted Date and Time Created: 411212022:9:59:55 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. Important:When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. VQ rim 0& 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit DAILY LOG SHEET A. Facility Information 1. Facility name, address: OCEAN EDGE CONFERENCE CTR a. Name 633 1. Permit Number 2. Tax identification Number 2022 FEB DAILY 3. Sampling Month & Frequency EROUTE 6A b. Street Address BREWSTER IMA 102631 C. City d. State e. Zip Code 2. Contact information: MES R. TRINGALE a. Name of Facility Contact Person 9785321900 IWSSCompliance@wseinc.cam b. Telephone Number c. e-mail address 3. Sampling information: 2/1/2022 ONSITE MEASUREMENTS a. Date Sampled (mmldd+yyyy) b. Laboratory Name CHRIS VIGNEAU c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Daily Log Sheet - 2022 Feb Daily rr 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. 09115/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection 1633 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number DAILY LOG SHEET 2022 FEB DAILY 3. Sampling Month & Frequency C. Daily Readings/Analysis Information Date Effluent Reuse Irrigation Turbidity Influent pH Effluent Chlorine tN Flow GPD Flow GPD Flaw GPD pH Residual Intensity (mgfl) [°I®} 1 3177 1 E 7.06 7.78 2 4910 7.02 7.67 3 ff5372 7.0D 7.61 4 7.05 7.58 5 7576 6 7576 7 767fi 7.03 7.67 8 3675 7.07 7.74 9 24D9 7.09 7.88 10 3392 7.12 7.61 11 3433 7.13 7.71 12 7463 13 7463 14 7463 7.09 7.76 15 3323 i 7.14 7.74 16 228 7.11 7.74 17 3290 7,16 7.76 18 2259 � 7.08 7.73 �� 19 2 211 99D34 22 9D34 7.07 7.62 23 8640 7.12 7.63 24 10700 �J 7.06 7.71 25 5 26 9702 _ _l 7.09 I 7.64 27 9702 28 m7d 29 30 31 gdpols.doc • rev. 09/15115 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection 1633 _ Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Ll Groundwater Permit 2, Tax identification Number MONITORING VVELL DATA REPORT 2022 FEB MONTHLY 3. Sampling Month & Frequency A. Facility Information Impprtant:When filling out forms on 1. Facility name, address: the computer, use OCEAN EDGE CONFERENCE CTR only the tab key to a. Na= move your cursor - do not use the ROUTE 6A return key. b. Street Address SREWSTER IMA 02631 rpq C. City d. State e. Zip Code 2. Contact information: JAMES R. TRINGALE a. Name of Facility Contact Person 9785321908 WSSCompliance@wseinc.com b. Telephone Number c. e-mail address 3. Sampling information: 2!1612022 JONSITE MEASUREMENTS a. Date Sampled (mmldd(yyyy) b. Laboratory Name CHRIS VIGNEAU c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Monitoring Well Data Report - 2022 Feb Monthly T- 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 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit MONITORING ►,'YELL. DATA REPORT 633 1. Permit Number 2. Tax identification Number 2022 FEB MONTHLY-- - -- — 3. Sampling Month & Frequency 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. ParameterlContaminant DG2 DG3 DG4 DG5 UG1 Units Well #: 1 Wall #: 2 Well #: 3 Well #: 4 Well #: 5 PH 6.90 6.44 6.70 6.60 IE S.U. STATIC WATER LEVELI`�6—.7= 45,4 43.0 47.9 41.2 FEET SPECIFIC CONDUCTANCE 5510 1430 1590 320 390 umflos/c Well #: 6 mwdgwp-blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit - Page 1 of 1 Massachusetts Department of Environmental Protection 1633 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number DISCHARGE MONITORING REPORT 2022 FEB MONTHLY Ll- 3. Sampling Month & Frequency A. Facility Information lmportant:when filling out forms on 1. Facility name, address: the computer, use JOCEAN EDGE CONFERENCE CTR only the tab key to a. Name move your cursor - ROUTE 6A do not use the return key. b. Street Address BREWSTER IMA 102631 tD G. City d. State e. Zip Ccde 1,0 2. Contact information: JAMES R. TRINGALE a. Name of Facility Contact Person 9785321900 JWSSCompliance@wseinc.com b. Tek phone Number 3. Sampling information: c. e-mail address 2/16/2022 Rl ANALYTICAL a. [late Sampled (mmlddlyyyy) b. Laboratory Name VARIOUS ANALYSTS c. Analysis Performed By (Name) B. Form Selection 1. Please select Farm Type and Sampling Month & Frequency Discharge Monitoring Report - 2022 Feb Monthly + r- All farms for submittal have been completed. 2. This is the last selection. 3. Delete the selected form. gdpols 2015-09-15.doc • rev. 019/15/15 Groundwater Permit daily Log Sheet • Page 1 of 'I Massachusetts Department of Environmental Protection 1633 J Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number DISCHARGE MONITORING REPORT 2022 FEB LIMONTHLY 3. Sampling Manlh - Frequency D. Contaminant Analysis Information ■ For "0", below detection limit, less than {<) value, or not detected, enter "ND" ■ TNTC = too numerous to count. (Fecal results only) • NS = Not Sampled 1. Parameter/Contaminant 2. Influent 3. Effluent A. Effluent Method Units Detection limit > ND Fo 1 MG/L . _ ..._.. - - ---� _J _ Ts5 9.5 I Z.o_ IJF�+L TOTAL SOLIDS 510 f VfWL -- -- AMMONIA -N6.5 --- MG1- - -f NITRATE-N 0.16 {].050 h9CvL TOTAL NITROGEN(NO3+NO2+TKN) 12.46 MGIL OIL&GREASE IND 10:50 VIGIL -- --.-..j -. infeffrp-blank.doc • rev. 09115/15 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. Any person signing a document under 314 CMR 5.94{1} or (2) shall make the following certification If you are filing electronic -ally and want to attach additional comments, select the check box. r Massachusetts Department of Environmental Protection 1633 Bureau of Resource Protection - Groundwater discharge Program 1. Permit Alumber Groundwater Permit 2. Tax identification Number Facility Information OCEAN EDGE CONFERENCE CTR a. Name JROUTE 6A b, Street Address BREWSTER MA 102631 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 accordarx:e with a system designed to assure that qual1fie d 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, trus, accurate and complete. I am aware that the are significant penalties for submitting false information, including the possibility of fine and Imprisonment for kndaing violations" i49ARIANNA COOMBS 13128/2022 a. Signature b. Date (mrrdddlyyyy) gdpols 2015-09-15,doc • rev. 09/15/15 Groundwater Permit • Page 1 of 1 M L ANALYTICAL Specialists in Environmental Services LABORATORY REPORT WSS Inc.dba Weston & Sampson Date Received: Attn: Chris Vigneau Date Reported: 55 Walkers Brook Drive P.U. Number Suite 100 Reading, MA 01 967 Work Order #: 2202-02431 Project Name: PROJECT# 25364 OCEAN EDGE RESORT - MONTHLY 2/16/2022 2/23/2022 Page 1 of 2 Enclosed are the analytical results and Chain of Custody for your project referenced above. The sample(s) were analyzed by our Warwick, R1 laboratory unless noted otherwise. When applicable subcontracted results are noted and subcontracted reports are enclosed in their entirety. All samples were analyzed within the established guidelines of US EPA approved methods with all requirements met, unless otherwise noted at the end of a given sample's analytical results or in a case narrative. The Detection Limit is defined as the lowest level that can be reliably achieved during routine laboratory conditions. These results only pertain to the samples submitted for this Work Order # and this report shall not be reproduced except in its entirety. We certify that the following results are true and accurate to the best of our knowledge. If you have questions or need further assistance, please contact our Customer Service Department. Approved by: 001 ■ Nicole Skyleson Data Reporting Manager Laboratory Certification Numbers (as applicable to sample's origin state): Warwick RI * R1 LAI00033, MA M-RI015, CT PH -0508 Page 2 of 2 R.I. Analytical Laboratories, Inc. Laboratory Report WSS Inc.dba Weston & Sampson Work Order #: 2202-02431 Project Name: PROJECT# 253 64 OCEAN EDGE RESORT - MONTHLY Sample Number: 001 Sample Description: INFLUENT Sample Type: COMPOSITE Sample Date 1 Time; 2/16/2022 @ 05:45 Sample Number: Sample Description: Sample Type: Sample Date 1 Time; PARAMETER BOD 5 Total Suspended Solids Nitrite (as N) Nitrate (as N) T`KN (as N) Sample Number: Sample Description: Sample ?ape : Sample Date 1 Time: 402 EFFLUENT COMPOSITE 2/16/2022 @ 06:00 SAMPLE RESULTS -<10 9.5 0.10 0,16 2.2 003 EFFLUENT GRAB 2/16/2022 @ 06:15 DET. LIMIT UNITS 10 mgll 2.0 niel 0.050 mgl] 0.050 mg11 0.50 mpll SAMPLE DET. PARAMETER RESULTS LIMIT UNITS Oil & Grease Oravimetric ¢0,50 0.50 mg/l METHOD SM5210B 21ed SM2540D 2011 EPA 300.0 EPA 300.0 SM4500NOrg-D 18-21ed DATEITIME ANALYZED 2/17/2022 15:04 2/18/2022 12:22 2/17/2022 5:56 2117/2022. 5:56 2/17/2022 11:00 ANALYST LKB KPG TP TP VRA DATE/TIME METHOD ANALYZED ANALYST EPA 1664A 2!2112022 16:23 JMD SAMPLE DET. DATEITIME PARAMETER RESULTS LIMIT UNITS METHOD ANALYZED ANALYST BODS 38 30 mgll SM521 OB 21ed 211712022 15:21 LKB Total Suspounded Solids 84 2.0 mg/l SM2540D 2011 2/18/2022 12:22 KPG Total Solids 510 10 m911 SM2540B 18-2ied 2/16/2022 21:00 TP Amnonia (as N) 615 0.40 m911 LPA 350.1 2/18/2022 12:56 FMD Sample Number: Sample Description: Sample Type: Sample Date 1 Time; PARAMETER BOD 5 Total Suspended Solids Nitrite (as N) Nitrate (as N) T`KN (as N) Sample Number: Sample Description: Sample ?ape : Sample Date 1 Time: 402 EFFLUENT COMPOSITE 2/16/2022 @ 06:00 SAMPLE RESULTS -<10 9.5 0.10 0,16 2.2 003 EFFLUENT GRAB 2/16/2022 @ 06:15 DET. LIMIT UNITS 10 mgll 2.0 niel 0.050 mgl] 0.050 mg11 0.50 mpll SAMPLE DET. PARAMETER RESULTS LIMIT UNITS Oil & Grease Oravimetric ¢0,50 0.50 mg/l METHOD SM5210B 21ed SM2540D 2011 EPA 300.0 EPA 300.0 SM4500NOrg-D 18-21ed DATEITIME ANALYZED 2/17/2022 15:04 2/18/2022 12:22 2/17/2022 5:56 2117/2022. 5:56 2/17/2022 11:00 ANALYST LKB KPG TP TP VRA DATE/TIME METHOD ANALYZED ANALYST EPA 1664A 2!2112022 16:23 JMD is IZI tir x do m E c d CL (=Ivy) kwollloo leosj C� :sle}ayy 0] cn � .a LLI U L VZ9 PO4I6W -- SDOA L ❑ U z (V990 eseetwo I Io — eno G b � a eleydsoyd lel❑l — d 1 C:) Q U elsyds04d 04110 — d -p � Cn cb ti c: C) O N se u8604N alu❑wu V — ERN E w ueBWI!N 14eple()4 10101— N)II r InIn ❑ I• uopolnoleo u960 -41N iel❑,i -- N -L 00 C m 0 12 N BE u6504IN e1V1IIN —'ON W Y [V L9 CL m co i N Se U060JIlN a;u;IN - zoN Li? 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A a to t? r , U] z 3 c 0 a a CL E The Commonwealth of Massachusetts Department oflndustrialAccidents Office of Investigations Lafayette City Center 2 Avenue de Lafayette, Boston, MA 02111-1750 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name(13usiness/Organiaation/Individual): David Amato DBA DFT Construction Address:18 Gladstone Ave xp.Wareham, MA 02571 Phone #:413-433-3890 Are you an employer? Check the appropriate box: 1. ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).` have hired the sub -contractors 2.M 1 am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.t required.] 5. ❑ We are a corporation and its 3. ❑ I am a homeowner doing all work officers have exercised their myself. [No workers' comp. right of exemption per MGL insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. Building addition 10.❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.❑ Roof repairs 13. ❑ Other *Any app licant that checks box # 1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 1Con tractors that check this box must attached an additional sheet showing the name of the sub• contractors and state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp, policy number. I ant an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy # or Self -ins. Lic. #: Expiration Date: Fob Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided alcove is true and correct. David Amato Digitally signed by David Amato Signature; Date: 2022.04.13 15:02:58 -04'00' Date: Phone #: 4134333890 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Issuing Authority (check one): 1011oard of Health 20 Building Department Inspector 6.00ther Contact Person: Permit/License # 30City/Town Clerk 4.0 Electrical Inspector 50'lumbing Phone #: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub -contractors) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. if an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Lafayette City Center, 2 Avenue de Lafayette Boston, MA 02111-1750 Tel. (517) 727-4900 or 1 -877-MASSAFE Revised 7-2014 Fax (617) 727-7749 www.mass.gov/dia CHARLES D, BAKER Governor KARYN E. POLITO Lieutenant Governor The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health 259 Washington Street, Boston, MA 02108-4619 Date: April d, 2022 To: Members of the Massachusetts State and Local Public Health Workforce Dear Colleagues, MARYLOU SUDDERS Secretary MARGRET R. COOKE Commissioner Tel: 617-624-6000 www.mass.govld ph The members of the Massachusetts Public Health Council would like to vigorously applaud the local and state public health workforce for extraordinary service during COVID-19 and we are writing to express our appreciation for all of your work during the pandemic. Managing COVID-19 over the past two years has been complex and difficult. Members of this workforce have worked long hours, managed adherence to continually evolving scientific information, handled upset and disgruntled patients and residents, all the while needing to adapt to regulations and develop guidelines for wearing masks, closing buildings, and distributing vaccine. This has been overwhelming for everyone involved. We are especially impressed with the range of your efforts in battling COVID-19 — providing continuous data reporting, operating vaccine clinics, overseeing contact tracing, managing local testing efforts, and advising town administrators, councils, and select boards. Thank you for each of these activities. And thank you for continuing to address the broad range of other ongoing public health responsibilities of our state and local health departments. The Public Health Council is also aware of other stressors caused by COVID-19. While overseeing the pandemic for the state, you also have managed personal and family obligations. Some members of this workforce have lost family and friends, and some have experienced COVID-19 themselves. State and local public health workers have been harassed and threatened while carrying out this vital work. For each of these losses and challenges, please accept our acknowledgement and sympathy. As Public Health Council members, we convene monthly to review, advise, and make regulations for Massachusetts. We are partners with you in protecting and enhancing the public's health. You have our wholehearted appreciation for continuing to keep our state healthy. 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