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HomeMy Public PortalAboutBOH5.4.22packetBoard of Health Penny Holeman Annette Graczewski Joe Ford Jeannie Kampas Kimberley Croc%er Pearson Health Director Amy von Hone Assistant Health Director Sherrie McCullough Senior Department Assistant Tamm! Mason Town of Brewster Board of Health. 2198 Main St., Brewster, MA 02631 brhealth@brewster-ma.gov (548) 896-3701 BOARD OF HEALTH MEETING AGENDA 2198 Main Street May 4, 2022 at 7:00PM Pursuant to Chapter 20 of the Acts of 2023„ this meeting will be conducted in person and via remote means, in accordance with applicable lave. This means that members of the public body may access this meeting In person or via virtual means_ Na in-person attendance a{members_oFthe public wiiI be permitted, and public participation in any public hearing conducted during this meeting shat[ he by remote means only. Members of the public who wish to access the meeting may do so In the Wloveing manner: Phone: Call (301)715-8592 or (312)626-6799. Webinar ID: 8204394 4509 Passcode: 979174 To request to speak: Press *9 and wait to be recognized. Loom Webinar: httus02Web.zoom.us 82043944509? pwd=1N M2kvUExKbt11R59hmIM012b3d QZz09 Passcode: 979174 To -request tospeak:.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 he broadcast live, in real time, via Live broadcast (Brewster GovernmentTV Channel 18), Livestreum (IW5trearn.brewster-ma.gov) or Video recording (tv.brewster-ma.gov) 1. Call to Order —2. Chairman s -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. 7.M. O' 61IIy & Associates - 235 Briex Larne Title 5 and Localvariarice requests 5. Continued discussion on the Bedroom Definition 6. Discuss Massachusetts Department of Public Health Excellence Grant 7. Review & approve minutes from: 1/19/22; 2/16/22; 2/23/22 and 3/2/22 8. Liaison Reports 9. Matters not reasonably anticipated by the Chair 10. Items for next agenda 11. Next meeting: May 18, 2022 12, Informational items: a. Monthly report for Serenity at Brewster (formally Wingate) b. Monthly report for Icings Landing C. Covid cases update 13. Adjournment Date Posted: Date Revised: 4/28/2022 Ilfileserverl61rdocuments$lttnasonOesktoplAgenda tempiate.docx Received by Town Clerk: l J.M. O�REILLY & ASSOCIATES, INC. �p ❑ � PROFESSIONAL ENGINEERING, LAND SURVEYING & ENVIRONMENTAL SERVICES Baas Site Dcvelopinent • Property Line • Subdivision • Sanitary • Land Court • Environmental Permitting V April 13, 2022 Job # 8779A Town of Brewster Brewster Board of Health 2198 Main Street Brewster, MA 02531 RE: Variance Request - Wood Residence 2.35 Brier Lane, Brewster Map 48, Parcel 23 Dear Board Members: REC E_ IVE Ill.) APR 13 2922 BREMSTER HEALTH DGPAP1'P.+II-P4T On behalf of our client, Mary Ellen Wood J.M. O'REILLY & ASSOCIATES, INC. requests the Brewster Board of Health review and grant the necessary variances to the State and Town of Brewster Sanitary regulations for the proposed installation of a Title 5 Sewage Disposal System to serve the existing 2 bedroom single-family dwelling at the above referenced property. WETLAND RESOURCE, The wetland resources associated with the subject property are Bordering Vegetated Wetland to a stream (A River) and Land Subject to Coastal Storm Flowage. The landward extent of the Bordering Vegetated Wetland (BVW) is the most restrictive resources for the proposed placement of the sewage system. A portion of the parcel is also subject to the 100 year flood boundary, Zone AE, as shown on the FIRM Maps. The parcel is surrounded by the Bordering Vegetated Wetland (BVW), with BVW's on all four sides of the property. Also of note is the groundwater flow for the parcel. The groundwater flows in a northerly direction towards the stream and ultimately to the Bay. Please review the Site Plan for the location of the BVW and the Inner and Outer Riverfront Areas. The parcel is low lying with groundwater table very close to the surface of the ground around the dwelling. The groundwater level was determined based on the elevation of the adjacent bog to the south of the property. Evidence of high water was found within the bog and determined to be elevation 12.5. PROJECT NARRATIVE: The subject property was subject to a Board of Health review for a replacement home by a potential buyer of the parcel, back in January 2020. The previous buyer, opted not to purchase 1573 MAIN STREET, P.O. Box 1773, BREWSTER, MA o2631 • PHONE: (508) 896-66oI • FAX: (508) 896-66o2 WWW.JMOREI LLYASSOC.COM the property and Ms. Woods has since purchased the property and is looking to replace the cesspool system which is currently servingthe dwelling. The current proposal is to address the replacement of the cesspool with a Title 5 Sewage System. The currently proposed sewage system is the same type of system that was previously approved. The proposed system has been shifted to address the retainage of the existing well and the elimination of municipal water service. The proposed sewage system consists of a 1500 gallon septic tank with a F.A.S.T, Treatment Unit, a 1500 gallon pump chamber and a raised leaching bed. The leaching facility is proposed to be a drip -dispersal leaching facility and will be a pressure -dosed system. Due to the elevation of the groundwater, the leaching facility needs to be elevated to about 3.5 to 4 feet above the existing grade. The elevated leaching facility will be contained within a concrete retaining wall. The leaching facility is a pert -rite drip dispersal system to take advantage of a shallow dispersal field. The sewage flow will be treated by the F.A.&T, treatment unit within the septic tank. The FAST Unit will treat the effluent to reduce the nitrogen to a higher level over a conventional Title 5 system. The proposed sewage system does require variances from the State (Title 5) and Town of Brewster Sanitary Regulations. VARIANCES: 310 CMR 15.211 (Setbacks 1. Soil Absorption System (SAS) is not 50 feet from Wetland Resource (BVW) 11 feet held; 39 foot variance requested. 2. SAS is not 10 feet from property line 8 feet held; 2 foot variance requested. 3. Septic tank is not 25 feet from wetland resource 14 feet held; 11 foot variance requested. 4. Pump chamber is not 25 feet from wetland resource 18 feet held; 7 foot variance requested VARIANCE: 310 CMR 15.220 SOIL TESTING 5. Percolation Testing not performed due to high groundwater; Use of sieve test results for soil classification and percolation rate. VARIANCE: 310 15,248 Reserve Area 6. No Reserve Area provided; Removal and replacement is requested. LOCAL REGULATIONS: 7. SAS not 100 feet from wetland resource 11 feet held; 89 foot variance requested Wood Project Board of Health Variance 235 Brier lane, Brewster April 13, 2022 J M C -8779A The location of the leaching facility is within 11 feet of the BVW to the south. The leaching facility was positioned to tape advantage of the groundwater flow direction. The regional groundwater flow for the area is to the north, towards Cape Cod Bay. The river resource on the property is to the north of the proposed leaching facility. The proposed leaching facility is about 130 feet away from the river resource. The introduction of the FAST unit allows, under current remediate use permit, for a 2 feet reduction in groundwater setback to the bottom of the leaching facility. The plans calls for a 1 foot reduction to the high groundwater separation to the perc-rite dispersal system. The proposed groundwater separation is 4 feet. J ► r� ) r tfAtho ! Enclosed please find six (6) copies of the Sewage Disposal System Plan, a copy of the certified abutters list, and a copy of the letter sent to the abutters, Maps & Filing fee of $75.00. A representative from our office will be present at your May 4, 2022 meeting so as to discuss the proposal in greater detail and to answer any questions you may have. Very truly yours, J. M. O'REILLY & ASSOCIATES, INC. John M. O'Reilly, P.E., P.L.S. Principal Enc. Plans (6), application, fee & abutter information CC: Owner John M. O'Reilly, P.E., P.L.S. wood Project Board of Health Variance 235 Brier Lane, Brewster April 13, 2022 JM❑ -8779A ORwsr TOWN OF BRE, WSTER OA d `��i` • ��'� ► 2198 MAIN STREET S _; s _ BrtL1vSTER, MA 02631 r PHONE: (5 08) 996-3701 Em, 1120 ° FAx: (508) 896-4538 euw+° 13R13EALTt1 rr BRI:WSTER-MA.GOV WWW.$REWSTER-MA.GOV OFFICE OF HEAI.TH DEPARTp1CNT Received: Paid: c ; ' 9i Application for Board of Health Variances Abutter Deadline: ❑In -House Local Upgrade Approval [OPublic Hearing Date: 411312022 SUBJECT PROPERTY ADDRESS: 235 Brier Lane Map:48 Parcel: 23 Book: 34818 Page: 164 LC Certificate: LC Plan: Lot: Name of Applicant: Mary Ellen Wood Mailing Address: 680 W. Hickory Street, Louisville, Co 80027 Telephone # 343-717-3003 Owner(s) of Record : Same Mailing Address: Email: maryellenwood68@gmaii.com Design Engineer/Sanitarian: John M. O'Reilly, P.E..P.L.S Mailing Address: P.O. Box 1773, Brewster, MA 02631 Telephone #: 508-896-5601 Firm/Company Name: J.M. O'Reilly & Associates, Inc. Email address: joreilly@jmoreillyassoc.com Signature: Appet'ant or Engineer New Construction ❑ Voluntary Upgrade ❑Additic lteration ® Failed system ❑ Rea l Estate Transfer ❑ Design flow of existing system: 220 GPD Design flow of proposed system: 220 ce© Total sewage flow of site: 220 GPD Conservation Commission approval required: yes 10 no ❑ Order of Conditions/Det. Of Applicability attached ❑ Reason for failure: Cesspool Total lot size (sf): 21,600 SF Date of ConCom hearing: 412612022 List of all Variances from State and Local codes add sheets if needed TITLE 5 Sec. #: Description of Variance(s) See Attached Brewster Re , #; Description of Variance(s) See Attached Approved by: ate: Health Department N:1HealthlBOH regsllnHouse Septic Local Upgrade Approval 2019Warianceapplication FINAL NONFILLABLE FORM 12.18.19.doex J.M. O REILLY &. AS SoCIATES, INC. PROFESSIONAL ENGINEERING, LAND SURVEYING & ENVIRONMENTAL SERVICES Site Development • Property Line • Subdivision • Sanitary . Land Court • Environmental Permitting VARIANCE APPLICATION -- 235 Brier Lane (Page 2) The following are the variances being requested from the State Sanitary Code 310 CMR 15.000 and the Town of Brewster Regulations: VARIANCES: 310 CMR 15.211 Setbacks 1. Soil Absorption System (SAS) is not 50 feet from Wetland Resource (BVW) 11 feet geld; 39 foot variance requested. 2. SAS is not 10 feet from property line 8 feet held; 2 foot variance requested. 3. Septic tank is not 25 feet from Wetland Resource (BVW) 14 feet held; 11 foot variance requested. 4. Pump chamber is not 25 feet from Wetland Resource (BVW) 18 feet held; 7 foot variance requested S. to 4-11 (.- • 7':E,4 'j Glial 7 / VARIANCE: 310 CMR 15.220(4) [SOIL TESTING) 5. Percolation Testing not Performed at time of Deep Observation Holes Substitute Soil Sieve Analysis for Percolation Testing. VARIANCE: 310 CMR 15.248 (Reserve Area 6. No Reserve Area provided due to lack of suitable space VARIANCES: 310 CMR 15.227(5) INLET OUTLET PIPES 7.) Proposed inlet and outlet pipes into Septic Tank and Pump Chamber are 12 inches above Groundwater, Variance Requested; Gasket Connection and hydraulic cement proposed. VARIANCES: Brewster Board of Health 'Leach ing, Facil ily Setback Re ulation' 8.) Leaching Facility not 100' from Bordering Vegetated Wetland 11 feet held 89 foot variance 1573 MAIN STREET, P.D. Box 1773, BREWSTER, MA 02631 • PHONE: (508) 896-66oi . FAx: (508) 896-6602 W W W.JMOREILLYASSOC.COM CERTIFIED MAIL RETURN RECI£PT REQUESTED BREWSTER BOARD OF HEALTH PUBLIC HEARING NOTICE Date: 4/13/2022 Re: 235 Brier Lane Map: 48 Lot: 23 Subject Address Dear Abutter: A public hearing has been scheduled for the Brewster Board of Health to take action on an application for variances from the regulations of the Massachusetts Department of Environmental Protection, Title 5, and/or the Town of Brewster Regulations for Subsurface Disposal of Sewage. The following variances are requested: List of all variances from State and Town Codes Title 5, Sec. # Description of variance(s) See Attached Brewster Reg. # Description of variance(s) See Attached Said hearing will be held at the Brewster Town Offices, 2198 Main Street, Brewster, on May 4, 2022 at 7:00 p.m. The application and plans are available for review at the Brewster Health Department, Brewster Town Offices, 2198 Main Street, Brewster, MA, Monday through Friday (excluding holidays) from 8:34 a.m. to 4:Q0 p.m. Sincerely, ,-jOMJ 0 Xe,; Applicant/Representative CC: Brewster Health Department N:\Health\BOH regs\1nHouse Septic Local Upgrade Approval 2019\Pu61ichearingabutternotification NONFILLABLE FORM 12.11.19.docx J.M. OREILLY & ASSOCIATES, INC. PROFESSIONAL ENGINEERING, LAND SURVEYING & ENVIRONMENTAL SERVICES Site Development • Property Line • Subdivision • Sanitary • Land Court • Environmental Permitting VARIANCE APPLICATION — 235 Brier Lane (Page 2) The following are the variances being requested from the State Sanitary Code 310 CMR 15.000 and the Town of Brewster Regulations: VARIANCES: 314 CMR 15.211 (Setbacks) 1. Soil Absorption System (SAS) is not 50 feet from Wetland Resource (BVW) 11 feet held; 39 foot variance requested. 2. SAS is not 10 feet from property line 8 feet held; 2 foot variance requested. 3. Septic tank is not 25 feet from Wetland Resource (BVW) 14 feet held; 11 foot variance requested. 4. Pump chamber is not 25 feet from Wetland Resource (BVW) 18 feet held; 7 foot variance requested VARIANCE: 310 CMR 15.220(4) (SOIL VESTING 5. Percolation Testing not Performed at time of Deep Observation Holes Substitute Soil Sieve Analysis for Percoiation Testing. VARIANCE: 310 CMR 15.248 (Reserve Area) 6. No Reserve Area provided due to lack of suitable space VARIANCES: 310 CMR 15.227(5) (INLETIOUTLET PIPES 7.) Proposed inlet and outlet pipes into Septic Tank and Pump Chamber are 12 inches above Groundwater. Variance Requested; Gasket Connection and hydraulic cement proposed. VARIANCES: Brewster Board of Health 'Leaching Facility Setback Regulation' 8.) Leaching Facility not 100' from Bordering Vegetated Wetland 11 feet held 89 foot variance 1573 MAIN STREET, P.O. Box 1773,BREWSTER, MA 02631 'PHONE: (5o8) 896-66or . FAx: (5o8) 896-660z WWW.JMOREILLYASSOC.COM w$> Certified by: iO4• o.,,�+�s TOWN OF BREWSTER, MAo u a BOARD OF ASSESSORS {+I 0L _ 2198 Main Street Brewster, MA 02631 +- c !amts M. Gallagher, MAA ''-"sig^,^ Deputy Assessor Abutters List Within 65 feet of Parcel 4812310 491110 49115610 336 LOWER ROAD f � 0 BRIER LANE 1 4812310 1 235 BRIER LANE f 4812210 0 BRIER LANE N 70 d 70 ft Key Parcel 16 Owner Localion 6Aaimghees mallim Cu S7 2i CdlCount 2158 48-22.0-E BREWSTER CONS ERVATDON TRUST O BRIER LANE 36 REO TOP ROAD BREWSTER MA 02531 (19-29) TRUSTEES 2212 48-23-0-R (19-78) 2156 49-1-0-R (19-27) 2157 49-155-0-E (19-28) SULLIVAN JEANNE H CIO WOOD MARY ELLEN 335 LOWER ROAD LLC BREWSTER CONSERVATION TRUST TRUSTEES 235 BRIER LANE 680 W HICKORY STREET 336 LOWER ROAD 4334 POTOMAC AVENUE O BRIER LANE 36 REDTOP ROAD LOUISVILLE CO OOD27 DALLAS TX 75205 BREWSTER INA 02631 417=22 Page 1 48-22-0-E 48-23-0-R 49-1-0-R BREWSTER CONSERVATION TRUST TRUSTEES 36 RED TOP ROAD BREWSTER, MA 02631 49-156-0-E BREWSTER CONSERVATION TRUST TRUSTEES 36 RED TOP ROAD BREWSTER, MA 02631 SULLIVAN JEANNE H CIO WOOD MARY ELLEN 680 W HICKORY STREET LOUISVILLE, CO 80427 336 LOWER ROAD LLC 4334 POTOMAC AVENUE DALLAS, TX 75205 Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.4538 brhealth@bi-ewster-ma.gov W W W.BRE WSTER-MA. GOV AGENDA ACTION ITEM FORM BOH Variance Agenda Item In -House Local Upgrade Approval ❑ Other: ❑ Board of Health Meeting Date: May 4, 2022 Health Department Amy L. von Hone, R. S„ C.H.O. Director Sherrie McCullough, R.S. Assistant Director Tammi Mason Senior Department Assistant Project Location: 235 Brier Lane Map & Parcel; 48123 Owner's Name & Address: Mary Ellen Wood 680 W. Hickory Street Louisville, CO 80027 Applicant: same as owner Date Requested: April 13, 2422 Title 5 Variance Request: Yes® No❑ Board of Health Variance Request: Yes® No❑ 100' Wettand Setback Other: Yes ❑ No ❑ 1. Outside Zone II and maintain private well 2. In ESA — existing dwelling and septic system within 100' of bordering vegetated wetland, groundwater within 6' to surface 3. Repair of failed septic system per property transfer, no increase in flow. BOH approval of variance application on February 5, 2020 for a raze and replace of 2 -bedroom dwelling with installation of new septic system and connection to town water. New proposal is for septic system upgrade only. Project History: 1, The existing property consists of an existing 2 bedroom dwelling with a private well and a 1000 gal septic tank and leach field permitted in 1969 per office records (information not confirmed). The property is surrounded by Bordering Vegetated Wetland bordering an old bog and a conservation defined river. The existing septic system is located within 25' of the closest edge of wetland and actual location is unknown. The current system is located below existing grade of the property and is probably located at or below existing groundwater elevations, 2. The applicant proposes to upgrade the existing failed system. The existing septic system is to be upgraded with a 1500 -gal Septic Tank with a MicroFAST 0.5 Unit, 1500 -gal Pump Chamber, N:1HealthlBOH Meeting Notes\BOH Hearing Notes1235 Brier Ln M48P23 Agenda.Variance Action Item Form 04.22.22. docx and a Pere -Rite Drip Dispersal Leach Field constructed within a concrete retaining wail which will substantially increase the separation distance between the existing leach field and groundwater. The following variances are requested: Title 5: a. SAS 11' to BVW, 39' variance request b. SAS 8' from property line. 2' variance request c. Septic Tank 14' to BVW, 11' variance request d. Pump Chamber 18' to BVW, 7' variance request e. Tank/Pump Chamber pipe inverts located minimum 12" above groundwater f. Percolation Test not conducted, Sieve Analysis used for percolation rate c5 min/inch g. No Reserve Area, no increase in flow proposed h. Well 51.9' to SAS, 48.1' variance request i. Septic Tank 25' to Well, 25' variance request j. Pump Chamber 30' to Well, 20' variance request Town of Brewster: k. SAS 11' to BVW, 89' variance request 3. Brewster Conservation Commission Approval Order of Conditions issued 1128120 for original proposal and new hearing scheduled for 4126122 Discussion Points: Town Water vs. continued use of existing well with setback variances to proposed septic system ❑ Groundwater flow o Existing local well regulations do not require mandatory connection to town water o Proposed installation of IIA systems: MicroFAST and Perc-Rite systems for secondary treatment o Recent well test indicates water quality within drinking water standards MicroFAST 0.5 Remedial Approval O & M Requirements: ❑ Inspection and field tests (pH, BOD, TSS) required lx/year ❑ Additional parameters to be monitored a Limited reduction to groundwater from SAS allowed if wetland or well setback variances a Registry recording of Approval Pere -Rite Drip Dispersal Remedial Approval O & M Requirements: ❑ Inspection and field tests required Ix/year ❑ Registry recording of Approval Minimum Requirements: - Maximum 2 Bedrooms without fiu-ther review by the BOH - Owner shall maintain a valid Operation and Maintenance Agreement (minimum 1 year contract) with a certified System Operator for both the MicroFAST and Pere -Rite Drip Dispersal systems throughout the life of the septic system. Both systems to be monitored a minimum 1Xlyear for the parameters as outlined in the most current DEP approval letters for each system. - The MicroFAST and Perc-Rite systems shall be registered with the Barnstable County Department of Health and Environment and all data to be submitted per the requirements of the County UA Maintenance Program. 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. N:1Hea MBOH Meeting NetesTOH HearingNotes1235 Brier Ln M4SP23 Agenda. Variance Action item Farm 04.22.22.dozx x m a� 0 Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 P14ONE: 508.896.3701 EKE 1120 FAX: 508.896.4538 brhealtb brewster-ma.gov W W W.BREW STER-MA.GOV IIealth Department Amy L. von Hone, R.S., C.110. Director Sherrie McCullough, R.S. Assistant Director `rainmi Mason Senior Department Assistant Notice of Board of Health Variance Approval/Deed Restriction February 11, 2020 Jim Lavelle —Applicant 4719 Cale Avenue, Apt. 410 Dallas, TX 75205 RE: 235 Brier Lane, Brewster, MA Map: 48 Parcel: 231 Book: 4856 Page: 252 Lot: 23 Owner of Record: Jane E. Perry Dear Mr. Lavelle: At the meeting of February 5, 2020, the Brewster Board of Health voted to approve the following variances for the raze and replace of an existing two bedroom dwelling, and the construction of a new subsurface sewage disposal system at the above address per engineered plans by J. M. O'Reilly & Associates, Inc. dated Revised January 28, 2020: Title 5: 310 CMR 15.211 (Setbacks) a. 42' variance, 8' separation between SAS and Wetland (BVVV) b. 2' variance, 8' separation between SAS and Property Line c. 11' variance, 14' separation between Septic Tank and Wetland (BVVV) d. 11' variance, 14' separation between Pump Chamber and Wetland (BVVV) 310 CMR 15.220(4) (Soil Testing) a. Percolation testing not performed. Substitute a Soil Sieve Analysis for Percolation Testing 310 CMR 15.248 (Reserve Area) a. No Reserve Area proposed due to lack of suitable space. 310 CMR 15.227(5) (1nlettOutlet Pipe Inverts) a. inlet and Outlet Septic Tank and Pump Chamber Pipe Inverts are less than 12" above groundwater Town of Brewster: Leaching Facility Setback Regulation a. 92' variance, 8' separation between SAS and Wetland (BVW) As part of the approval of the above variances, the proposed subsurface sewage disposal system will include the installation of. 1. Perc-Rite Drip Dispersal Leach Field under DEP Remedial Approval (Transmittal #x236091, .dated Revised March 20, 2015) WHealthlBOH Decision Letters\Title 5 Va ria ncesM30H 8eptic Variance ApprovaW235BrierLane BOHApprova02.05.2020.doc 2. MicroFAST 0.5 Internal Unit under DEP Remedial Approval {Transmittal #W072367, dated November 5, 2012 and Standard Conditions for Secondary Treatment Units Approved for Remedial Use dated November 30, 2016}} In granting the above variances, the Board of Health imposes the following Order of Conditions: 1. Throughout its life, the Pere -Rite Drip Dispersal Unit and the MicroFAST 0.5 Unit shall be under an operation and maintenance agreement with a certified operator for a minimum of one. 1) year. A signed copy of the most current contract must be on fife at the Brewster Healtth Department and the Barnstable County Department of Health and the Environment (BCHDE) at all times. Both units shall be registered with BCDHE annually per the Barnstable County I A Monitoring Program. 2. The monitoring program for the wastewater treatment systems shall follow the parameter schedules as outlined in the above DEP Remedial Approval Letters. Copies of the inspection and maintenance reports are to be submitted to the BCDHE within thirty (30) days of the inspection date. Data provided to the BCDHE must be provided in a format acceptable to BCDHE. 3. The proposed dwelling and the septic system have been approved for a maximum two (2) bedrooms based on the Brewster Board of Health Bedroom Definition. 4. The entry to the Work -Out Area, Study, and Playroom of the proposed dwelling shall be a minimum five foot (5) cased opening to ensure a maximum two bedrooms in the dwelling. 5. If the property is a rental, the owner must agree to limit the number of occupants based on the size of the system. 6. Prior to issuance of -the Certificate of Compliance, certification of the septic system by the Pere Rite Drip Dispersal Unit and MicroFAST Unit consultants and the Design Engineer to the Health Department is required. 7. Prior to the start of any construction, 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. 8. Variances shall expire within one (1 ) year of the date of the hearing. 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, Monday through Friday, during the business hours of 9:00 a.m. to 10:30 a.m. Sincerely, yL. von Hone, R.S., C.H.O. irector fof Health cc: J.M. O'Reilly, P.O. Box 1773, Brewster, MA 02631 File N:1HeaI[MBOH DecisIon Lette rs\Ti t le 5 VarianceABO H septic Variance Approva I M23 5 13 r i e r La n e B0HApprova102.05,2020,doc q g --z-3 T CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory (M-MA009) Recipient; Jeanne H Sullivan Order No.: 620122383 UMTS SullivanHJe Report Dated: 10/05/2020 METHOD # A. NALYs7 235 Briar Ln Submitter: Jeanne H Sullivan Nitrate as Nitrogen Brewster, MA 02631 Description: 235 Briar Ln, Brewster Laboratory iD#: 20122383-01 Matrix: Water- Drinking Water Sample #: Sampled: 09/17/2020 10:30 By: Collection Address: 235 Briar Ln, Brewster Received: 09/1712020 11:36 By: Ksoldat Sample Location: Turn Around: Standard Routine ITEM RESULT UMTS RL MCL METHOD # A. NALYs7 TE• STED TIME Nitrate as Nitrogen 0.63 mg1L 0.10 10 EPA 3+00.0 CL 09/1812020 Capper 0.19 mg1L 0.10 1 EPA 200.8 CL 09/2312020 12:56 Iron 0.13 mg1L 0.10 0,3 F -PA 200.8 CL 09/23/2020 12:66 Manganese NID mglL 0.025 0.05 EPA 200.8 CL 09123/2020 12:56 Sodium 30 mgll- 2.5 20 EPA 200.8 CL 09/23/2020 12:56 Total Colifonn Absent PIA 0 ❑ SM 92238 RG 09/17/2420 19:40 Conductance 270 umohstcm 2.0 EPA 120.1 LX 09/1712020 11:57 pH 6.5 PH AT 25C NA 6.5-8.5 SM 4500 -H -B LX 09/17/2026 11:57 Sodium level is above the maximum contaminant level. Those on a low sodium diet may wish to consult a physician, Attached please find the laboratory certified parameter last. Approved By: �fnr_rr7 (Lab Manager) ND = None Detected RL = Reporting Limit MCL = Maximum Contaminant Level 3195 Main Street, PO. Box 427, Barnstable, MA 02630 Ph: 508-375.6605 Page: 1 of 1 MassDEP DEVAL L PA:rRiCK GOV[51'iior TIMUFHY P. MURRAY Lieutanant GoUurnor Commonwealth of Massachusetts Executive Office of Energy & Environmental Affairs Department of Environmental Protection One Winter Street Boston, MA 02108.617-292-5500 LiICHARD K SULUVAN JR. seoratury KENNETH L. KiMMELL coinmiuuiorior REVISION OF APPROVAL FOR REMEDIAL USE Pursuant to Title 5, 310 CMR 15.00 Name and Address of Applicant: Bio-Microbics, Inc. 8450 Cole Parkway Shawnee, KS 66227 Trade name of technology and models: MicroFAST8 Treatment System Models MicroFASM 0. 5, 0.75, 0.9, 1.5, 3.0, 4.5 and 9.0; HighStrengthFASTO Treatment System Models HighStr•ength FASTO 1. 0, 1. 5, 3.0, 4.5 and 9.0 and NitriFAST® 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 072357 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 formal, Call Michelle Waters•Ekanem, Diversity Director, at 617-252-5751. TQD# 1.866.539-7622 or 1.617.574-6868 MassDEP Website: www.mass.govldep Printed on Recycled Paper Rimm iri•n_dnc Bio-Microbles, Inc. - MicroFASTO, HighStrengtbFAST®, NitriFAST® Revision of Approval for Remedial Use Revision Date: November 45, 2012 Page 2 of 3 Technoloizy Description The System is a Secondary Treatment Unit (STU). The Systems, MicroFASTO 0.5, 0.75, 0.9, 1. 5, 3.0, 4.5 and 9.0, and HighStrengthFAST® 1.0, 1.5, 3.0, 4.5 and 9.0, and, NitriFASTV 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 ADDroval 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 314 CMR 15.000. The term "Approval" refers to the technology -specific Special Conditions, the conditions applicable to all STD'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. bion icro.doc Bio-Microbles, Inc. - MicroFASTO, HighStrengthFAST®, Nitr!FAST® Revision of Approval for Remedial Use Revision Date: November 05, 2012 Page 3 of 3 3. The MicroFASTO 0.5, 0.75 and 0.9, HighStrengthFAST® 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. 4. The MicroFASTO, HighStrengthFASTO and NitriFASTO 1.5 are installed in the second compartment of a two compartment 3,000 -gallon tank constructed in accordance with 310 CMR 15.226. 5. The MicroFASTC, HighStrengthFAST® and NitriFAST® 3.0, 4.5, and 9.0 units are installed in a separate tank constructed in accordance with 310 CMR 15.226. The twits are located between a standard Title 5 septic tank, designed in accordance with 310 CMR 15.223 and 15.22.4, and the soil adsorption system (SAS). 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 Standard Conditions for Secondary Treatment Units for Remedial Use Page 3 of 18 Revised November 30, 2016 II. Design and Installation Requirements 1. Effluent BODS, TSS and pH - The effluent discharge concentrations from the Secondary Treatment Unit to the SAS shall not exceed secondary treatment standards of 30 mg/L BODS and 30 ing/L TSS and the effluent pH range shall be 6.0 to 9.0. 2. The Designer shall be a Massachusetts Registered Professional Engineer or a Massachusetts Registered Sanitarian, including when designing systems for repair, provided that such Sanitarian shall not design a system with a discharge greater than 2,000 gallons per day. 3. Except where the Approval specifically states otherwise, the Alternative System shall be installed in a manner which does not intrude on, replace, or adversely affect the operation of any other component of the subsurface sewage disposal system designed and constructed in accordance with the standards of 310 CMR 15.200 - 15.279. 4. Except where the Approval specifically states otherwise, the Alternative System shall include a properly sized and constructed septic tank, designed in accordance with 310 CMR 15.223 — 15.229, connected to the building. sewer and followed in series by the Technology and the SAS; 5. Alternative Desip Standards - Provided that the Designer demonstrates that the impact of the proposed Alternative System has been considered and the design requirements of 310 CMR 15.000 have been varied to the least degree necessary so as to allow for both the best feasible upgrade within the borders of the lot and the least effect on public health, safety, welfare and the environment, the local approving authority may allow any combination of the following alternative design standards without the need for granting a variance under 310 CMR 15.400 or obtaining Department approval: a) If a reduction in the size of the SAS is necessary, the size of the SAS may be reduced up to 50 percent from the effective leaching area required when using the loading rates for gravity systems of 310 CMR 15.242(1)(a) for Systems sited in soils with a percolation rate of 60 minutes or less per inch, or for soils with a recorded percolation rate of between 60 and 90 minutes per inch, the loading rates of 310 CMR 15.245(4). (Alternatively, the effluent loading rates provided in 310 CMR 15.242(1)(b) for pressure distribution may be utilized, however, no reduction in the effective leaching area may be taken when using these loading rates, as stated in the regulation.); and/or b) If a reduction in the depth to groundwater required by 310 CMR 15.212 is necessary, the depth to groundwater may be reduced by up to 2 feet, resulting in a minimum separation distance of two feet in soils with a recorded percolation rate of more than two minutes per inch and three feet in soils with a recorded percolation rate of two minutes or less per inch, measured from the bottom of the soil absorption system to the high groundwater elevation; and/or c) If a reduction in the depth of the naturally occurring pervious material layer is necessary, a proposed reduction of up to 2 feet may be allowed in the four feet of naturally occurring pervious material layer required by 310 CMR 15.240(1) provided Standard Conditions for Secondary Treatment Units for Remedial Use Page 4 of 18 Revised November 30, 2016 that it has been demonstrated that no greater depth in naturally occurring pervious material can be met anywhere on the site. 6. Any proposed reduction in the required depth to groundwater, specified in 310 CMR 15.212, may only be approved when: a) An approved Soil Evaluator who is a member or agent of the local Approving Authority determines the high groundwater elevation; b) No reduction is granted under LUA for setbacks from public or private wells, bordering vegetated wetlands, surface waters, salt marshes, coastal banks, certified vernal pools, water supply lines, surface water supplies or tributaries to surface water supplies, or drains which discharge to surface water supplies or their tributaries, is allowed; and c) In accordance with 310 CMR 15.212(2), for systems with a design flow of 2,000 gpd or greater, the separation to high groundwater as required by 310 CMR 15.212(1) shall be calculated after adding the effect of groundwater mounding to the high groundwater elevation as determined pursuant to 310 CMR 15.103(3). The Alternative Design Standards for effective leaching area, depth to groundwater, and depth of naturally occurring pervious material contained in the Department's Standard Conditions for Secondary Treatment Unit Approved for Remedial Use shall not be made less stringent by the local Approving Authority under the LUA provisions of 310 CMR 15.405 or under the variance procedures of 310 CMR 15.411. The local Approving Authority may vary other design requirements under the LUA provisions of 310 CMR 15.405 or under the variance procedures of 310 CMR 15.411. 8. Except those allowed under LUA and the Approval, any further deviation from the siting and design requirements of 310 CMR 15.000 for the remedial use of a Secondary Treatment Unit shall require the following: a) The applicant may propose the use of a Bottomless Sand Filter (BSF) as the means of on-site effluent disposal in conjunction with a Secondary Treatment Unit. The installation and use of the BSF must be in accordance with the conditions of the Remedial Use Approval issued by the Department for the BSF; and/or b) The applicant may request the approving authority to grant a variance. 9. The proposed use of a Secondary Treatment Unit Approved for Remedial Use shall be subject to the following: a) the approved record drawings, on file with the local approving authority, shall clearly indicate an area for the best feasible upgrade that could be installed to replace the proposed System, including the STU, in the event that the proposed System fails or it is determined that it is not capable of providing equivalent environmental protection; b) the installation of the proposed System shall not disturb the site in any manner that would preclude the future installation of the best feasible upgrade that could be installed to replace the proposed System. Components of the proposed System may Standard Conditions for Secondary Treatment Units for Remedial Use Page 8 of 18 Revised November 30, 2016 310 CMR 15.354, unless a later time is allowed in writing by the Department or the local Approving Authority. III.Operation and Maintenance, Effluent Quality, Monitoring, and Inspection From start up and thereafter, the System Owner and Service Contractor shall be responsible for the proper operation and maintenance of the System in accordance with this Approval, the Designer's O&M requirements, the Company's O&M requirements, and the requirements of the local Approving Authority. The System Owner and Service Contractor shall be responsible for compliance with the sampling, monitoring, and inspection requirements. Any inspection, operation, maintenance, or monitoring requirements remain in effect until the conditions are modified, terminated, or superseded by a new Approval. 2, To ensure proper operation and maintenance (O&M) of the System, the System Owner shall enter into an O&M Agreement with a qualified Service Contractor whose name appears on the Company's current list of Service Contractors and has been certified, at a minimum, at Grade Level II (two) by the Board of Registration of Operators of Wastewater Treatment Facilities, in accordance with Massachusetts regulations 257 CMR 2,00. 3. The System shall comply with the following monitoring requirements and effluent limits. The required O&M Agreement with the Service Contractor shall include the following monitoring schedule, at a minimum, subject to modifications that may be required by Paragraphs I11.8.a)and 8.b): Parameter Monitoring Sample - Location Eff uent Fre uenc T e Limits See PH frequency grab effluent to SAS 6 to 9 specified below See turbidity frequency specified measure effluent of treatment unit < 40 NTU below See Measure and settleable frequency measure effluent of record mlll solids specified treatment unit only below See Record color frequency visual effluent of observation specified observation treatment unit only below Standard Conditions for Secondary Treatment Units for Remedial Use Revised November 30, 2016 Page 9 of 18 Monitoring Sample Effluent Parameter Location Limits Fre uenc Type See dissolved frequency effluent of L2tDi 1 oxygen (D.O.) specified me`rsure treatment unit below Depth of once every Inspection port to See Paragraph Ponding year measure bottom of SAS III.10 Within SAS Thickness of Septic tank or floating Once every measure other process Pump out, as grease/scum 3 years tank where solids necessary la er are retained Depth of Septic tank or Sludge and Once every other process Pump out, as distance to 3 years measure .tank where solids necessary effluent are retained tee/filter/outlet 4. An individual household shall be monitored at least once every 12 months (exclusive of alarm responses or other maintenance visits). 5. Facilities (residential and nonresidential) with a design flow of less than 2,000 gpd, other than an individual household, shall be monitored a minimum of twice/year with a minimum of 5 months since the last monitoring inspection (exclusive of alarm responses or other maintenance visits) and a maximum of 7 months between monitoring inspections. & Facilities (residential and nonresidential) with a design flow of 2,000 gpd or greater shall be monitored quarterly not less than 2 months since the last monitoring inspection (exclusive of alarm responses or other maintenance visits) and not more than 4 months between monitoring inspections. 7. For Systems that include a Bottomless Sand Filter (BSF) for effluent disposal, the monitoring requirements shall be as specified in the BSF Remedial Use Approval. 8. Systems installed under this Remedial Use Approval shall be subject to the following Performance Requirements: a) Whenever field tests indicate a pH outside the specified range, an exceedance of the turbidity limit, or D.O. below the desired minimum, the Service Contractor shall make adjustments and/or repairs to the System, as deemed necessary during the inspection, and collect an effluent sample for laboratory analysis for BODS and TSS; b) For an individual household, if laboratory analyses indicate an exceedance of 30 mg/L BODS or 30 mg/L TSS, the Service Contractor shall conduct a follow-up inspection and field-testing within 180 days of the original inspection date. Should the follow-up field-test indicate a pH outside the specified range, an exceedance of Standard Conditions for Secondary Treatment units for Remedial Use Page 10 of 18 Revised November 30, 2016 the turbidity limit, or D.O. below the desired minimum, the Service Contractor shall make adjustments and/or repairs to the System, as deemed necessary during the inspection, and collect another effluent sample for laboratory analysis for BODS and TSS; and c) Whenever two consecutive monitoring rounds for any Secondary Treatment Unit include at least one exceedance of the limits for BODS or TSS, the System Owner shall be responsible for submitting to the local Approving Authority, within 90 days of the second exceedance of the limits for BODS or TSS, a written evaluation with recommendations for changes in the design, operation, and/or maintenance of the System. The written evaluation with recommendations shall be prepared by the Service Contractor or a Designer and the submission shall include all monitoring data, inspection reports, and laboratory analyses since the last annual report to the local Approving Authority. Recommendations shall be implemented, as approved by the local Approving Authority, in accordance with an approved schedule, provided that all corrective measures are implemented consistent with the limitations described in Paragraph N.9. 9. Each time an Alternative System is visited by a Service Contractor the following shall be recorded, at a minimum: a) date, time, air temperature, and weather conditions; b) observations for objectionable odors; c) observations for signs of breakout of sanitary sewage in the vicinity of the Alternative System, which indicate a failure of the Alternative System; d) depth of ponding within the SAS, if measured e) identification of any apparent violations of the Approval; f) since the last inspection, whether the system had been pumped with date(s) and volume(s) pumped; g) sludge depth and scum layer thickness, if measured; h) when responding to alarm events, the cause of the alarm and any remedial steps taken to address the alarm and to prevent or reduce the likelihood of future similar alarm events; i) field testing results when performed as part of the site visit; j) samples taken for laboratory analysis, if any; k) any cleaning and lubrication performed; 1) any adjustments of control settings, as recommended or deemed necessary; m) any testing of pumps, switches, alarms, as recommended or deemed necessary; n) identification of any equipment failure or components not functioning as designed; o) parts replacements and reason for replacement, whether routine or for repair; and p) further corrective actions recommended, if any. Standard Conditions for Secondary Treatment Units for Remedial Use Page 11 of 18 Revised November 30, 2015 10. Whenever an SAS inspection port measurement indicates the ponding level within the SAS is above the invert of the distribution system, an additional measurement shall be made 30 days later. If the subsequent reading indicates the elevation of ponding within the SAS is above the invert of the distribution system, the System Owner shall be responsible for submitting to the local Approving Authority, within 60 days of the follow up inspection, a written evaluation with recommendations for changes in the design, operation, and/or maintenance of the System. The written evaluation with recommendations shall be prepared by the Service Contractor or a Designer and the submission shall include all monitoring data, inspection reports, and laboratory analyses for the previous year. Recommendations shall be implemented, as approved by the local Approving Authority, in accordance with an approved schedule, provided that all corrective measures are implemented consistent with the limitations described in Paragraph IV.9. I t. Unless directed by the local Approving Authority to take other action, the System Owner shall immediately cease discharges or have wastewater hauled off-site, if at any time during the operation of the Alternative System the system is in failure as described in 310 CMR 15.303(1)(a)l or 2, backing up into facilities or breaking out to the surface. IV. Additional System Owner and Service Contractor Requirements 1. The System Owner shall not install, modify, upgrade, or replace the System except in accordance with a valid DSCP issued by the local Approving Authority which covers the proposed work. 2. Prior to commencement of construction of the System and after recording and/or registering the Deed Notice required by 310 CMR 15.287 (10), the System Owner shall provide to the local Approving Authority a copy of. a) a certified Registry copy of the Deed Notice bearing the book and page/or document number; and b) 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. 3. Prior to signing any agreement to transfer any or all interest in the property served by the System, or any portion of the property, including any possessory interest, the System Owner shall provide written notice, as required by 310 CMR 15.287(5) of all conditions contained in the Approval to the transferee(s). Any and all instruments of transfer and any leases or rental agreements shall include as an exhibit attached thereto and made a part of thereof a copy of the Approval for the System. The System Owner shall send a copy of such written notification(s) to the local Approving Authority within 10 days of giving such notice to the transferee(s). MassDEP Charles R. Baker Governor Karp E. Polito Lieutenant Governor Commonwealth of Massachusetts Executive Office of Energy & Environmental Affairs Department of Environmental Protection One Winter Street Boston, MA 02108.617-292-5500 APPROVAL FOR REMEDIAL USE Pursuant to Title 5, 310 CMR 15.000 Name and Address of Applicant: American Manufacturing Company, Inc. 22011 Greenhouse Road, P.O. Box 97 Elkwood, VA 22718 Mattltew A. Beaton Secretary Martin Suuberg Commissioner Trade name of technology and model: PERC-RITE Drip Dispersal System, Models QM(WD), ASD -15, ASD -25 & ASD -40 (hereinafter called the "System"). A schematic drawing of a typical System, a Design Manual and a technology checklist are attached and are a part of this Approval. Transmittal Number: X236091 Date of Issuance: March 4, 2011, 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 hereby issues this Approval for Remedial Use to: American Manufacturing Company, PO Box 97, Elk -wood, VA 22718 (hereinafter "the Company"), approving the System described herein for remedial use in the Commonwealth of Massachusetts. Sale and use of the System are conditioned on compliance by the Company 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 15.400. (0a te March 20 2015 David Ferris, Director Date Wastewater Management Program Bureau of Water Resources This Information is avaiiahle In alternate format. Call Michelle Waters•Ekanem, Diversity Director, at 017-292.5751. TTY# MassRelay Service 1.600-439.2370 MassDEP Website: www.mass.govldep Printed on Recycled Paper Approval for Remedial Use Page 2 of 7 PERC-RITE Drip Dispersal System — revised March 20, 2015 I. Purpose 1. The purpose of this Approval is to allow use of the System in Massachusetts to repair subsurface sewage disposal systems, on a Remedial Use basis. 2. With the necessary permits and approvals required by 310 CMR 15.000, this Approval for Remedial Use authorizes the use and installation of the System in Massachusetts. 3. The System may only be installed on facilities that meet the criteria of 310 CMR 15.2.84(2). The System is used to dispose of wastewater from an alternative system approved in accordance with 314 CMR 15.280 through 15.289 with effluent discharge concentrations that meet or exceed secondary treatment standards of 30 mg1L biochemical oxygen demand (BQD5) and 30 mg/L total suspended solids (TSS), and from conventional Title 5 septic systems. 4. This Approval for Remedial Use authorizes the use of the System where the local approving authority finds that the System is for upgrade of a failed, failing or nonconforming system and the design flow for the facility is less than 10,000 gallons per day (GPD). Il. Design and Construction Standards Standards 1. The System, a subsurface drip distribution technology, is equivalent to a pressure distribution system designed in accordance with the Department's Pressure Distribution Guidance. In the event of conflict between the terms and conditions of this System's technology approval and Title 5, this approval shall control. 2. The System is a pressure distributed subsurface wastewater drip dispersal (disposal) system that replaces a soil absorption system (SAS) designed in accordance with 31 d CMR 15.000. The System is designed to distribute effluent from a treatment system (IIA or conventional) and discharge it at a minimum depth of 6 inches below finished grade; it includes a pump, control panel, a filter module/hydraulic unit and drip dispersal zone(s). The dispersal zone includes small diameter flexible polyethylene tubing with pressure compensating emitters located at two foot spacing within the tubing. The emitters operate on a pressure differential across the emitter. Effluent wastewater is discharged in small doses from the emitters. Dispersal field dosing is timed and controlled electronically to provide pre-programmed volumes of effluent for discharge to each dispersal zone. The System includes a return line that allows periodic flushing of the dispersal tubing. All drip zone supply and return pipes that are maintained filled with effluent after a pump cycle shall be buried below the frost line or properly insulated. All drip tubing and shallow manifolds shall be designed to drain into the soil or back to the pump chamber upon completion of the pump cycle. The System shall include single (the QMAVD model) or two-stage (the ASD models) automatic backwashing disc filters within the filter module and air vents in each dispersal zone. Each zone shall have air release valves at the high points of manifolds and check valves on each return manifold in multi -zone systems. The system shall be equipped with a totalizing flow meter. 3. The System may be installed in the A, B or C soil horizon or in fill material meeting the specifications at 310 CMR 15.255(3) at a minimum depth of b inches below the finished grade. 4. All access ports and manhole covers shall be installed and maintained at grade to allow for maintenance of the System. Approval for Remedial Use Page 3 sof 7 FERC -RITE Drip Dispersal System -- revised March 20, 2015 S. The control panel including alarms and controls shall be mounted in a location always accessible to the System operator. 6. The System may be installed in soils with a percolation rate of up to 90 minutes per inch (MPI). The System shall not be installed in Class IV soils as defined in 310 CMR 15.243. 7. Effluent loading rates shall be as specified in 310 CMR 15.242(1)(a) and (b)with the exception of Class IV soils. 8. The System shall be designed and constructed with drip tubing with a spacing of 24 inches unless obstructions are encountered or in cases where more than the required tubing is provided and equally distributed within the approved appropriately sized subsurface disposal area in which case a minimum separation of 12 inches is allowed. As much as possible the System shall be designed to provide equal distribution across the designated disposal area, 9. The System does not require a five foot over dig as indicated at 310 CMR 15.255(5). 10. The System includes the following: a. Pumps capable of providing pressure of 10-60 psi throughout the dispersal zone(s). Each drip dispersal zone shall be dosed a minimum of four times per day, or as recommended by the Company. Duplex pumping shall be provided for facilities with design flows of 2000 gpd or greater. The pump chamber, combined with available storage in the pretreatment units if provided, shall provide at least one -day storage as required by 310 CMR 15.231. b. Timed dosing for the drip system with a times- controller capable of operating the system during peak flow events without high-level alarms. c. Automatically backwashed filter(s) capable of screening particles larger than 115 microns prior to discharge of the effluent to the drip tubing. Filter(s) backwash shall be conveyed back to a separate settling tank or to the septic tank. d. Air vents in a zone shall be placed at a higher elevation than the drip tubing in that zone but below the ground surface. Air vents shall be accessible from finished grade and insulated to prevent freezing. e. Drip tubing lines installed as level as possible on contour and a minimum of 6 inches below finished grade. Drip line spacing is typically 24 inches with drip tubing emitters spaced 24 inches on center. More than the minimum length of tubing may be utilized within a properly sized soil absorption system. When the drip lines spacing is greater than 24 inches by 24 inches, the size of the dispersal field shall be increased to provide equal distribution with adequate tubing separation. The drip dispersal tubing shall be automatically forward flushed after a pre-programmed number of dosing cycles as determined by the Company. Flushing velocity shall be at least 2 feet per second at the distal end(s) of each drip dispersal lateral within a zone. All drip line flushwater shall be conveyed back to a separate settling tank or to septic tank. f. The effective effluent dispersal area is calculated using the total area of the drip tubing system including a one -foot addition on each side or two square feet per foot of drip tube when tubing is spaced two feet apart. No sidewall credit shall be given for this System. Approval for Remedial Use Page 4 of 7 PERC-RITE Drip Dispersal System — revised March 20, 2015 g, The dispersal area shall not be installed under a paved surface, or in areas of routine traffic, parking or storage of heavy equipment. In addition no planting or soil excavation shall be done in or within 5 feet of the drip disposal area after its installation. The system may be designed to allow for installation of drip tubing up to five feet from a building cellar wall. h. No change in existing surface slope over the dispersal field is required to comply with 310 CMR 15.240(10). 11. All System control units, valve boxes, drip dispersal lines, conveyance lines and other System appurtenances shall be designed and installed to prevent freezing per the Company's recommendations. 12. The System designer shall provide plans and specifications prepared in accordance with 310 CMR 15.220 for all proposed System installations to the approving authority with required standard details and installation instructions. 13. Drip tubing may be installed with a vibratory plow, a static plow, a narrow trencher (<6" width), by hand trenching, or by scarifying the surface and bedding the drip tubing in clean sand meeting the requirements for fill material in Title 5 at 310 CMR 15.255(3) with cover consisting of sand and topsoil meeting the 6 inch minimum depth requirement. Vegetative cover must be replaced for installations where it is removed or buried during installation. 14. Drip tubing shall not be installed when soils are frozen or saturated. 15. Prior to System start up, a clean water test of the System shall be performed in the presence of the Company's representative and the approving authority to check for leaks and to ascertain and verify system design flush and dose rates. I& System unit malfunction and high water alarms shall each be connected to an independent power source from the operating pump(s) run from the main power source of the facility. 17. For Systems with a design flow of 2,000 gpd or greater, the System shall be equipped to provide a flow meter and automatic remote telemetric notification to the operation and maintenance (O&M) provider. 18. Installation of inspection ports is not required for this System. III. Allowable Soil Absorption System Design 1. Any reduction in System design sizing or setbacks shall be based on the MassDEP approved reduction allowed for the alternative treatment system that precedes the System or by variance or local upgrade approval in accordance with Title 5. IV, General Conditions 1, All provisions of 310 CMR 15.000 are applicable to the use of this System, the System owner and the Company, except those that specifically have been varied by the terms of this Approval. Approval for Remedial Use Page 5 of 7 PERC-RITE Drip Dispersal System — revised March 20, 2015 2. Any required operation and maintenance, monitoring and testing shall be performed in accordance with a Department approved 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 and the environment. 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 sewer system. No System shall be installed, upgraded or expanded, if it is feasible to connect the facility to a sanitary sewer, unless as allowed by 310 CMR 15.004. When a sanitary sewer connection becomes feasible, the facility served by the System shall be connected to the sewer, within 50 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 approving authority. 5. Design, installation and operation shall be in strict conformance with the Company's DEP approved plans and specifications, 310 CMR 15.000 and this Approval. V. Conditions Applicable to the System Owner 1. The System is approved for the treatment and disposal of sanitary sewage only. Any wastes that are non -sanitary sewage generated or used at the facility served by the System shall not be introduced into the System and shall be lawfully disposed. 2, The System owner shall have the Company or its designee conduct a design review for any proposed non-residential System or any residential System with a design flow 2,000 GPD or greater to ensure that the proposed use of the System is consistent with the unit's capabilities. Operation and Maintenance Agreement: A. Throughout its life, the owner shall operate and maintain the System in accordance with the Company and designer's operation and maintenance requirements and this Approval. To ensure proper operation and maintenance (O&M), the owner shall enter into an O&M agreement. No O&M agreement shall be for less than one year. B. No System shall be used until an O&M agreement is submitted to the approving authority which provides for the contracting of a person or firm trained by the Company as provided in Section VI (5) and competent in providing services consistent with the System's specifications, with the operation and maintenance requirements specified by the Company and the designer, and with any specified by the Department. The O&M agreement shall also contain procedures for notification to the Department and the local hoard of health within five days of a System failure or alarm event and for corrective measures to be taken immediately. It shall also require the System inspector, at each site visit and anytime there is an alarm event, to conduct an inspection using the Company's technology checklist of the System's filter system, pumps, valves, etc., disposal area where the System is installed for signs of breakout or dampness and complete any required maintenance. The System owner Approval for Remedial Use Page 6 of 7 FERC -RITE Drip Dispersal System —revised March 20, 2015 shall at all times have the System properly operated and maintained in accordance with this Approval, the designer's operation and maintenance requirements and the Company's approved procedures and sampling protocols. The System owner shall notify the Department and the local approving authority in writing within seven days of any cancellation, expiration or any other change in the terms and/or conditions of their O&M agreement. 4. Prior to transferring 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 this 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 thereof a copy of this Approval for the System. The System owner shall send a copy of such written notification(s) to the Department and local approving authority within 14 days of such notice being given. 5. By January 31 st of each year for the previous year, the System owner shall submit to the local approving authority all data collected in accordance with item 3, above, including all Department Title 5 IA O&M checklists and System technology checklists completed during the previous calendar year by the System operator for each inspection performed 6. After final inspection of the System by the Approving Authority but prior to the issuance of a Certificate of Compliance for the System, the System owner shall record and/or register in the appropriate Registry of Deeds and/or Land Registration Office, a Notice disclosing both the existence of the alternative septic system subject to this Approval on the property and the Department's approval of the System. If the property subject to the Notice is unregistered land, the Notice shall be marginally referenced on the owner's deed to the property. Within 30 days of recording and/or registering the Notice, the System owner shall submit the following to the Department and the local approving authority: (i) a certified Registry copy of the Notice bearing the book and page/instrument number and/or document number; and (ii) if the property is unregistered land, a Registry copy of the owner's deed to the property, bearing the marginal reference. VI. 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 Approval 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 Approval applicable to the Company shall be applicable to successors and assigns of the Company, unless the Department determines otherwise. 2. The Company shall develop and submit to the Department within 60 days of the effective date of this Approval: minimum installation requirements; an operating manual, including information on substances that should not be discharged to the System; and a recommended schedule for maintenance of the System essential to consistent successful performance of the installed Systems. Approval for Remedial Use Page 7 of 7 PERC-RITE Drip Dispersal System — revised March 20, 2015 3. The Company shall make available, in print and electronic format, the referenced procedures and protocol in Section VI (3) to owners, operators, designers and installers of the System. 4. The Company shall institute and maintain a program of operator training and continuing education, as approved by the Department. The company shall update the list of qualified operators and make the list known to users of the technology. 5. The Company or its designee shall conduct a design review for any proposed non- residential System or any residential System with a design flow 2,000 GPD or greater to ensure that the proposed use of the System is consistent with the unit's capabilities, 6. The Company shall furnish the Department any information that the Department requests regarding the System within 21 days of the receipt of that request. 7. The Company shall include copies of this Approval and the procedures and protocol described in Section VI (3) for each System that is sold. Also, in any contract executed by the Company for distribution or re -sale of the System, the Company shall require the distributor or reseller to provide each purchaser of the System with copies of this Approval and the procedures and protocol described in Section VI (3). 8. The Company shall comply with 310 CMR 15.000 and all the Department policies and guidance that apply and as they may be amended from time to time. VII. Reporting 1. All notices and documents required to be submitted to the Department by this Approval shall be submitted to: Director Wastewater Management Program Department of Environmental Protection One Winter Street - 5th floor Boston, Massachusetts 02108 VIII. Rights of the Department The Department may suspend, modify or revoke this Approval for cause, including, but not limited to, non-compliance with the terms of this Approval, non-payment of the 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 this Approval and/or the System against the owner, or operator of the System and/or the Company. MassOEP Charles R. Baker Governor . Karyn E. Polito Lieutenant Governor Commonwealth of Massachusetts Executive Office of Energy & Environmental Affairs Department of Environmental Protection One Winter Street Boston, MA 02108.617-292-55017 Standard Conditions for Secondary Treatment Units Approved for Remedial Use Last Revision Date: November 30, 2016 Matthew A. Beaton Secretary Martin Suuberg Commissioner A Secondary Treatment Unit (STY]) is an alternative technology that may be used as a component of an on-site sewage disposal system where soil or site conditions make conventional soil absorption systems more costly to construct or infeasible. A conventional system may be more costly to construct or infeasible where there is a shallow water table and/or limited area for the siting of a conventional system. As compared to a conventional system, in certain instances, an STU provides for higher loading rates (smaller leaching area) and may require less land area, potentially less fill, and less disturbance of the site. The System consists of an STU designed to reduce the organic material and solids in the wastewater which reduces the demand for treatment in the soil absorption system. A conventional septic tank precedes the STU unless exempt by the Special Conditions for a specific Technology. The use of an STU in accordance with this Approval for Remedial Use requires, among other things: • A Disclosure Notice in the Deed to the property (3 10 CMR 15.287(10)) (A Deed Notice template is available from the Department); • Certifications by the Designer and the Installer (3 10 CMR 15.021(3)); • A Massachusetts certified operator who has received training for the technology and is under contract for periodic inspection and maintenance (3 10 CMR 15.287(1.0)); • Periodic sampling, recordkeeping, and reporting, in accordance with this Approval; • Notification within 24 hours by the System Owner to the local approving authority of any System failure; • When pumping is required to discharge to the SAS, 24-hour emergency wastewater storage capacity above the elevation of the high level alarm; and • System Owner Acknowledgement of Responsibilities, in accordance with this Approval. This Informalian is available in alternate format. Cali Michelle Waters-Ekanem, Diversity Director, at 6'17-292-5753. TTY# Mass Relay Service 1-800-439-2370 Mass DEP Website: wevw.mass.govldep Printed on Recycled Paper Standard Conditions for Secondary Treatment Units for Remedial Use Page 2 of 18 Revised November 30, 2016 Definitions and References: 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 terra "Approval" refers to these Standard Conditions applicable to all STU's with Remedial Use Approval, the Special Conditions contained in the Technology -specific Approval, the General Conditions of 310 CMR 15.287, and any other Attachments. The Conditions contained herein MUST be read in conjunction with any Special Conditions that are Technology -specific. I. Purpose Approval for Remedial Use allows the use of the Alternative System only where the local Approving Authority finds that the Alternative System is for the upgrade or replacement of an existing failed, failing or nonconforming system with a design of flow of less than 10,000 gpd, where there is no increase in the actual or proposed design flow, and where 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. 2. The sale, design, installation, and use of the System shall be subject to these requirements for any -system that submits a complete Disposal System Construction Permit (DSCP) application after the effective date of these Standard Conditions. Existing Systems and Systems for which a complete DSCP application was submitted prior to the effective date of these requirements shall not be subject to the design and installation requirements, however, the System Owner, the Service Contractor, and the Company shall be subject to all other requirements contained herein. 3. With the other applicable permits or approvals that maybe required by 310 CMR 15.000, the Approval authorizes the installation and use of the Alternative System in Massachusetts. Except those provisions that specifically have been varied by this Approval, the provisions of 310 CMR 15.000, including the General Conditions of 310 CMR 15.287, apply to the sale, design, installation, and use of the System. 4. Unless stated otherwise in the Special Conditions that apply to a specific Technology, all the conditions contained in this document shall apply to secondary treatment units which have obtained Remedial Use Approval. (Special Conditions may be more or less stringent than the requirements of this document.) 5. Provided that the local Approving Authority approves the Alternative System in conformance with the Department's Technology Approval, Department review and approval of the site-specific System design and installation is not required unless the Department determines on a case-by-case basis, pursuant to its authority at 310 CMR 15.003(2)(e), that the proposed System requires Department review and approval. Standard Conditions for Secondary Treatment Units for Remedial Use Page 3 of 18 Revised November 30, 2016 II. Design and Installation Requirements 1, Effluent BOD5, TSS and pH - The effluent discharge concentrations from the Secondary Treatment Unit to the SAS shall not exceed secondary treatment standards of 30 mg1L BDD5 and 30 mg/L TSS and the effluent pH range shall be 6.0 to 9.0. 2. The Designer shall be a Massachusetts Registered Professional Engineer or a Massachusetts Registered Sanitarian, including when designing systems for repair, provided that such Sanitarian shall not design a system with a discharge greater than 2,000 gallons per day. 3. Except where the Approval specifically states otherwise, the Alternative System shall be installed in a manner which does not intrude on, replace, or adversely affect the operation of any other component of the subsurface sewage disposal system designed and constructed in accordance with the standards of 310 CMR 15.200 - 15.279. 4. Except where the Approval specifically states otherwise, the Alternative System shall include a properly sized and constructed septic tank, designed in accordance with 310 CMR 15.223 —15.229, connected to the building sewer and followed in series by the Technology and the SAS; Alternative Design Standards - Provided that the Designer demonstrates that the impact of the proposed Alternative System has been considered and the design requirements of 310 CMR 15.000 have been varied to the least degree necessary so as to allow for both the best feasible upgrade within the borders of the lot and the least effect on public health, safety, welfare and the environment, the local approving authority may allow any combination of the following alternative design standards without the need for granting a variance under 310 CMR 15.400 or obtaining Department approval: a) If a reduction in the size of the SAS is necessary, the size of the SAS may be reduced up to 50 percent from the effective leaching area required when using the loading rates for gravity systems of 310 CMR 15.242(1)(a) for Systems sited in soils with a percolation rate of 60 minutes or less per inch, or for soils with a recorded percolation rate of between 60 and 90 minutes per inch, the loading rates of 310 CMR 15.245(4). (Alternatively, the effluent loading rates provided in 310 CMR 15.242(1)(b) for pressure distribution may be utilized, however, no reduction in the effective leaching area may be taken when using these loading rates, as stated in the regulation.); and/or b) If a reduction in the depth to groundwater required by 310 CMR 15.212 is necessary, the depth to groundwater may be reduced by up to 2 feet, resulting in a minimum separation distance of two feet in soils with a recorded percolation rate of more than two minutes per inch and three feet in soils with a recorded percolation rate of two minutes or less per inch, measured from the bottom of the soil absorption system to the high groundwater elevation; and/or c) If a reduction in the depth of the naturally occurring pervious material layer is necessary, a proposed reduction of up to 2 feet may be allowed in the four feet of naturally occurring pervious material layer required by 310 CMR 15.240(l) provided Standard Conditions for Secondary Treatment Units for Remedial Use Page 4 of 18 Revised November 30, 2016 that it has been demonstrated that no greater depth in naturally occurring pervious material can be met anywhere on the site. 6. Any proposed reduction in the required depth to groundwater, specified in 310 CMR 15.212, may only be approved when: a) An approved Soil Evaluator who is a member or agent of the local Approving Authority determines the high groundwater elevation, b) No reduction is granted under LUA for setbacks from -public or private wells, bordering vegetated wetlands, surface waters, salt marshes, coastal banks, certified vernal pools, water supply lines, surface water supplies or tributaries to surface water supplies, or drains which discharge to surface water supplies or their tributaries, is allowed; and c) In accordance with 310 CMR 15.212(2), for systems with a design flow of 2,000 gpd or greater, the separation to high groundwater as required by 310 CMR 15.212(1) shall be calculated after adding the effect of groundwater mounding to the high groundwater elevation as determined pursuant to 310 CMR 15.103(3). The Alternative Design Standards for effective leaching area, depth to groundwater, and depth of naturally occurring pervious material contained in the Department's Standard Conditions for Secondary Treatment Unit Approved for Remedial Use shall not be made less stringent by the local Approving Authority under the LUA provisions of 310 CMR 15.405 or under the variance procedures of 310 CMR 15.411. The local Approving Authority may vary other design requirements under the LUA provisions of 310 CMR 15.405 or under the variance procedures of 310 CMR 15.411. 8. Except those allowed under LUA and the Approval, any further deviation from the siting and design requirements of 310 CMR 15.000 for the remedial use of a Secondary Treatment Unit shall require the following: a) The applicant may propose the use of a Bottomless Sand Filter (BSF) as the means of on-site effluent disposal in conjunction with a Secondary Treatment Unit. The installation and use of the BSF must be in accordance with the conditions of the Remedial Use Approval issued by the Department for the BSF; and/or b) The applicant may request the approving authority to grant a variance. 9. The proposed use of a Secondary Treatment Unit Approved for Remedial Use shall be subject to the following: a) the approved record drawings, on file with the local approving authority, shall clearly indicate an area for the best feasible upgrade Haat could be installed to replace the proposed System, including the STU, in the event that the proposed System fails or it is determined that it is not capable of providing equivalent environmental protection; b) the installation of the proposed System shall not disturb the site in any manner that would preclude the future installation of the best feasible upgrade that could be installed to replace the proposed System. Components of the proposed System may Standard Conditions for Secondary Treatment Units for Remedial Use Page 5 of IS Revised November 30, 2016 be sited in an area for the future installation of the best feasible upgrade, provided that it does not render the area unusable for a potential future upgrade; and c) except for the installed SAS, the System Owner shall not construct any permanent buildings or structures in the area for the best feasible upgrade that could be installed to replace the proposed System and the System Owner shall not disturb the site in any other manner that would preclude the future installation of the best feasible upgrade. 10. When identifying the hest feasible upgrade that could be installed to replace the proposed System, the Designer shall consider these options in the following order: a) a conventional system designed in accordance with the standards of 310 CMR 15.100 through 15.255 that can be built feasibly, with the exception of providing a reserve area (15.248); b) a conventional system that can only be built feasibly under a Local Upgrade Approval (LUA); c) where a conventional system cannot be built feasibly under a LUA, a Bottomless Sand Filter, in conjunction with an STU; d) where a System can only be built feasibly with variances, a System that has been demonstrated to vary the design requirements of 310 CMR 15,000 to the least degree necessary and have the least effect on public health, safety, welfare and the environment (the System may be an Alternative System with variances); or e) a tight tank. 11. For the upgrade or replacement of an existing failed or nonconforming system in a nitrogen sensitive area (NSA), as defined in 310 CMR 15.215, Systems serving facilities with actual or design flows of 2,000 GPD or greater must include treatment with a Recirculating Sand Filter (RSF) or equivalent technology, as required by 310 CMR 15.202(1). Secondary Treatment Units with Remedial Use Approval are not approved as an RSF equivalent technology and shall not be installed in a NSA, as defined in 310 CMR 15.215, to serve facilities with actual or design flows of 2,000 GPD or greater. (The technology may also have a separate approval for nitrogen reduction, but must be installed under that approval, when appropriate.) 12. Except for septic tank covers which are not required to be at grade, the frames and covers of the other access manholes and ports of the System components shall be watertight, made of durable material, and shall be installed and maintained at grade, to allow for necessary inspection, operation, sampling and maintenance access. Manholes brought to final grade shall be secured to prevent unauthorized access. No structures which could interfere with performance, access, inspection, pumping, or repair shall be located directly upon or above the access locations. 13. Any System structures with exterior piping connections located within 12 inches of or lower than the Estimated Seasonal High Groundwater elevation shall have the connections made watertight with neoprene seals or equivalent. Standard Conditions for Secondary Treatment Units for Remedial Use Page 6 of 18 Revised November 30, 2016 14. All System control units, valve boxes, distribution piping, conveyance lines and other System appurtenances shall be designed and installed to prevent freezing. 15. The System control panel including alarms and controls shall be mounted in a location always accessible to the operator (or service contractor), When pumping is required to discharge to the SAS, the System shall be equipped with sensors and high-level alarms to protect against high water due to pump failure, pump control failure, -loss of power, system freeze ups, or backups. Emergency storage shall be - required when pumping to discharge is employed, including pressure distribution. Emergency storage capacity for wastewater above the high level alarm shall be provided equal to the daily design flow of the System and the storage capacity shall include an additional allowance for the volume of all drainage which may flow back into the System when pumping has ceased. 16. System malfunction alarms or high water alarms shall be readily visible and audible for the facility occupants and the Service Contractor and the alarms shall be connected to circuits separate from the circuits serving operating equipment and pumps. 17. The System shall not include any relief valve or outlet for the discharge of wastewater to prevent flooding of the system, back up or break out. 18. In compliance with 310 CMR 15.240(13), a minimum of one (1) inspection pori shall be provided within the SAS consisting of a perforated four inch pipe placed vertically down to the elevation of the SAS interface with the underlying unsaturated pervious soils to enable monitoring for ponding. The pipe shall be capped with a screw type cap and accessible to within three inches of finish grade. (A locking cap at -grade is preferred for annual inspection.) 19. Upon submission of an application for a Disposal System Construction Permit (DSCP), the Designer shall provide to the local Approving Authority: a) proof that the Designer has satisfactorily completed any required training by the Company for the design and installation of the Technology; b) for any proposed non-residential System or any residential System with a design flow 2,000 GPD or greater, certification by the Company as specified in Paragraph V.3; c) certification by the Designer that the design conforms to the Approval, any Company Design Guidance, and 310 CMR 15.000; and d) a certification, signed by the Owner of record for the property to be served by the Technology, stating that the property Owner: i) has been provided a copy of the Approval, the Owner's manual, and the Operation and Maintenance manual and the Owner agrees to comply with all terms and conditions; ii) has been informed of all the Owner's estimated costs associated with the operation including, when applicable: power consumption, maintenance, sampling, recordkeeping, reporting, and equipment replacement; Standard Conditions for Secondary Treatment Units for Remedial Use Page 7 of 18 Revised November 30, 2016 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; and vii} 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 Depai tment or the local Approving Authority determines that the Alternative System is not capable of meeting the performance standards. 20. The System Owner and the Designer shall not submit to the local Approving Authority a DSCP application for the use of a Technology under this Approval, if the Approval has been revised, reissued, suspended, or revoked by the Department prior to the date of application. The Approval continues in effect until the Department revises, reissues, suspends, or revolves the Approval. 21. The System Owner shall not authorize or allow the installation of the System other than by a locally approved Installer and, if required by the Company, a person certified or trained by the Company to install the System: 22. Prior to the commencement of construction, the System Installer must certify in writing to the Designer, the local Approving Authority, and the System Owner that (s)he is a locally approved System Installer and, if required by the Company, is certified by or has received appropriate training by the Company. 23. The Installer shall maintain on-site, at all times during construction, a copy of the approved plans, the Owner's manual, the O&M manual, and a copy of the Approval. 24. Prior to the issuance of a Certificate of Compliance by the local Approving Authority, the System installer and Designer must provide, in addition to the certifications required by 310 CMR 15.021(3), certifications in writing to the local Approving Authority that the System has been constructed in compliance with the terms of the Approval. 25. 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, If it is feasible to connect a new or existing facility to the sewer, the Designer shall not propose an Alternative System to serve the facility and the facility Owner shall not install or use an Alternative System. When a sanitary sewer connection becomes feasible after an Alternative System has been installed, the System Owner shall connect the facility served by the System to the sewer within 60 days of such feasibility and the System shall be abandoned in compliance with Standard Conditions for Secondary Treatment Units for Remedial Use Page 8 of 18 Revised November 30, 2016 310 CMR 15.354, unless a later time is allowed in writing by the Department or the local Approving Authority. III. Operation and Maintenance, Effluent Quality, Monitoring, and Inspection 1. From start up and thereafter, the System .Owner and Service Contractor shall be responsible for the proper operation and maintenance of the System in accordance with this Approval, the Designer's O&M requirements, the Company's O&M requirements, and the requirements of'the local Approving Authority. The System Owner and Service Contractor shall be responsible for compliance with the sampling, monitoring, and inspection requirements. Any inspection, operation, maintenance, or monitoring requirements remain in effect until the conditions are modified, terminated, or superseded by a new Approval. 2. To ensure proper operation and maintenance (O&M) of the System, the System Owner shall enter into an O&M Agreement with a qualified Service Contractor whose name appears on the Company's current list of Service Contractors and has been certified, at a minimum, at Grade Level Il (two) by the Board of Registration of Operators of Wastewater Treatment Facilities, in accordance with Massachusetts regulations 257 CMR 2.00. 3. The System shall comply with the following monitoring requirements and effluent limits. The required O&M Agreement with the Service Contractor shall include the following monitoring schedule, at a minimum, subject to modifications that may be required by Paragraphs III.S.a)and 8.b): Parameter Monitoring Sample Location Effluent Limits Fre luency See ___Type_ pH frequency grab effluent to SAS 6 to 9 specified below See turbidity frequency uenc measure effluent of 44 NT[J specified treatment unit below See pleasure and settleable frequency measure effluent of record mlll solids specified treatment unit only below See Record color frequency visual effluent of observation specified observation treatment unit only below Standard Conditions for Secondary Treatment Units for Remedial Use Page 9 of 18 Revised November 30, 2016 Parameter Monitoring Sample Location Effluent Limits Frequency Type See dissolved frequency measure effluent of 2 mgll oxygen (D.O.) specified treatment unit — below Depth of once every Inspection port to See Paragraph Ponding year treasure - bottom of SAS IIT.IO Within SAS Thickness of Septic tank or floating Once every other process Pump out, as grease/scum 3 years measure tank where solids necessary layer are retained -Depth of Septic tank or Sludge and Once every other process Pump out, as distance to 3 years measure tank where solids necessary effluent are retained tee/filter/outlet 4. An individual household shall be monitored at least once every 12 months (exclusive of alarm responses or other maintenance visits). Facilities (residential and nonresidential) with a design flow of Tess than 2,444 gpd, other than an individual household, shall be monitored a minimum of twice/year with a minimum of 5 months since the last monitoring inspection (exclusive of alarm responses or other maintenance visits) and a maximum of 7 months between monitoring inspections. 6. Facilities (residential and nonresidential) with a design flow of 2,000 gpd or greater shall he monitored quarterly not less than 2 months since the last monitoring inspection (exclusive of alarm responses or other maintenance visits) and not more than 4 months between monitoring inspections. 7. For Systems that include a Bottomless Sand Filter (BSF) for effluent disposal, the monitoring requirements shall be as specified in the BSF Remedial Use Approval, Systems installed under this Remedial Use Approval shall be subject to the following Performance Requirements: a) Whenever field tests indicate a pH outside the specified range, an exceedance of the turbidity limit, or D,O. below the desired minimum, the Service Contractor shall make adjustments and/or repairs to the System, as deemed necessary during the inspection, and collect an effluent sample for laboratory analysis for BODS and TSS; b) For an individual household, if laboratory analyses indicate an exceedance of 30 mg/L BODS or 30 mg/L TSS, the Service Contractor shall conduct a follow-up inspection and field-testing within 180 days of the original inspection date. Should the follow-up field-test indicate a pH outside the specified range, an exceedance of Standard Conditions for Secondary Treatment Units for Remedial Use Page 10 of 18 Revised November 30, 2016 the turbidity limit, or D.O, below the desired minimum, the Service Contractor shall make adjustments and/or repairs to the System, as deemed necessary during the inspection, and collect another effluent sample for laboratory analysis for BODS and TSS; and c) Whenever two consecutive monitoring rounds for any Secondary Treatment Unit include at least one exceedance of the limits for BODS or TSS, the System Owner shall be responsible for submitting to the local Approving Authority, within 90 days of the second exceedance of the limits for BOD$ or TSS, a written evaluation with recommendations for changes in the design, operation, and/or maintenance of the System. The written evaluation with recommendations shall be prepared by the Service Contractor or a Designer and the submission shall include all monitoring data, inspection reports, and laboratory analyses since the last annual report to the local Approving Authority. Recommendations shall be implemented, as approved by the local Approving Authority, in accordance with an approved schedule, provided that all corrective measures are implemented consistent with the limitations described in Paragraph 1V.9. 9. Each time an Alternative System is visited by a Service Contractor the following shall be recorded, at a minimum: a) date, time, air temperature, and weather conditions; b) observations for objectionable odors; c) observations for signs of breakout of sanitary sewage in the vicinity of the Alternative System., which indicate a failure of the Alternative System; d) depth of ponding within the SAS, if measured e) identification of any apparent violations of the Approval; f) since the last inspection, whether the system had been pumped with date(s) and volume(s) pumped; g) sludge depth and scum layer thickness, if measured; h) when responding to alarm events, the cause of the alarm and any remedial steps taken to address the alarm and to prevent or reduce the likelihood of future similar alarm events; i) field testing results when performed as part of the site visit; j) samples taken for laboratory analysis, if any; 1e) any cleaning and lubrication performed; 1) any adjustments of control settings, as recommended or deemed necessary; m) any testing of pumps, switches, alarms, as recommended or deemed necessary; n) identification of any equipment failure or components not functioning as designed; o) parts replacements and reason for replacement, whether routine or for repair; and p) further corrective actions recommended, if any. Standard Conditions for Secondary Treatment Units for Remedial Use Page 11 of 18 Revised November 30, 2016 10. Whenever an SAS inspection port measurement indicates the ponding level within the SAS is above the invert of the distribution system, an additional measurement shall be made 30 days later. If the subsequent reading indicates the elevation of ponding within the SAS is above the invert of the distribution systema., the System Owner shall be responsible for submitting to the local Approving Authority, within 60 days of the follow up inspection, a written evaluation with recommendations for changes in the design, operation, and/or maintenance of the System, The written evaluation with recommendations shall be prepared by the Service Contractor or a Designer and the submission shall include all monitoring data, inspection reports, and laboratory analyses for the previous year. Recommendations shall be implemented, as approved by the local Approving Authority, in accordance with an approved schedule, provided that all corrective measures are implemented consistent with the limitations described in Paragraph IV.9. 11. Unless directed by the local Approving Authority to take other action, the System Owner shall immediately cease discharges or have wastewater hauled off-site, if at any time during the operation of the Alternative System the system is in failure as described in 310 CMR 15,303(1)(a) I or 2, backing up into facilities or breaking out to the surface. N. Additional System. Owner and Service Contractor Requirements 1. The System Owner shall not install, modify, upgrade, or replace the System except in accordance with a valid DSCP issued by the local Approving Authority which covers the proposed work. 2. Prior to commencement of construction of the System and after recording and/or registering the Deed Notice required by 310 CMR 15.287(l0), the System Owner shall provide to the local Approving Authority a copy of a) a certified Registry copy of the Deed Notice bearing the book and page/or document number; and b) 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. 3. Prior to signing any agreement to transfer any or all interest in the property served by the System, or any portion of the property, including any possessory interest, the System Owner shall provide written notice, as required by 310 CMR 15.287(5) of all conditions contained in the Approval to the transferee(s). Any and all instruments of transfer and any leases or rental agreements shall include as an exhibit attached thereto and made a part of thereof a copy of the Approval for the System. The System Owner shall send a copy of such written notification(s) to the local Approving Authority within 10 days of giving such notice to the transferee(s). Standard Conditions for Secondary Treatment Units for Remedial Use Page 12 of 18 Revised November 30, 2015 4. The System Owner and Service Contractor shall properly operate and maintain the System in accordance with the Approval, the Designer's O&M requirements, the Company's O&M requirements and the requirements of the local Approving Authority. 5. 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 N.6. 6. The System Owner and the Service Contractor shall maintain on-site, at all times, a copy of the approved plans, the Owner's Manual, the O&M Manual, a copy of the Approval, and a copy of the O&M Agreement. The O & M agreement shall be at least for one year and include the following provisions: a) . The name of a Service Contractor who meets the qualifications specified in the Approval; b) The Service Contractor must inspect the Alternative System as required by the Approval; c) The Service Contractor shall be responsible for obtaining lab analyses and submitting the monitoring results to the System Owner and the local Approving Authority in accordance with the reporting requirements; 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 Service Contractor and System Owner shall be clearly defined for corrective measures to be taken immediately. The Service Contractor shall agree to provide written notification within five days, describing corrective measures taken, to the System Owner, the local board of health, and the Company. 7, The Service Contractor shall notify the System Owner of any changes to the terms and conditions of the Approval within 60 days of any changes. 8. Within one year of any changes to the terms and conditions of the Approval, the System Owner shall amend, as necessary, the O&M Agreement required by Paragraph N.6 to reflect the changes to the terms and conditions of the Approval. 9. In the case of a System failure, an equipment failure, alarm event, components not functioning as designed, components not functioning in accordance with manufacturers' specifications, or violations of the Approval, the Service Contractor shall provide written notification within five days, describing corrective measures taken, to the System Owner, the local board of health, and the Company and may only propose or take corrective measures provided that: a) all emergency repairs, including pumping, shall be in accordance with the limitations and permitting requirements of 310 CMR 15.353; b) the design of any repairs or upgrades are consistent with the Alternative System Approval; Standard Conditions for Secondary Treatment Units for Remedial Use Page 13 of 18 Revised November 30, 2016 c) the design of any repairs or upgrades requiring a DSCP shall be performed by an individual meeting the qualifications of Paragraph 11.2; d) the installation of any repairs or upgrades requiring a DSCP shall be done by an Installer with a currently valid Disposal System Installers Permit, in accordance with 310 CMR 15.019 and the installer shall also comply with Paragraph II.22. The System Owner shall also be responsible for ensuring written notification is provided within five days to the local board of health. 10. The System Owner shall provide access to the site for the Service Contractor to perform inspections, maintenance, repairs, responding to alarm events, field testing, and sampling as may be required by the Approval. 11. At a minimum, the Service Contractor shall inspect, properly operate, and properly maintain the System: a) any time there is System failure, equipment failure, or an alarm event; b) in accordance with the O&M manual and Designer requirements; c) in accordance with the requirements of the local Approving Authority; and d) in accordance with the Approval. 12. The Service Contractor shall collect samples, if required by the Approval, and obtain analysis results from an approved laboratory, perform any required field testing, and submit results to the System Owner with the O&M report and inspection checklist within 60 days of the site visit, The O&M report and inspection checklist shall include, at a minimum, any required wastewater analyses, any required flow data, and all the information required to be recorded for a maintenance inspection of an Alternative System. 13. The System Owner and the Service Contractor shall maintain copies of any wastewater analyses, wastewater flow data, field testing results, the Service Contractor's O&M reports, inspection checklists, and all reports and notifications to the local Approving Authority for a minimum of three years. 14. Upon determining that the System is in violation of the Approval or the System has failed, as defined in 310 CMR 15.303, the Service Contractor shall notify the System Owner immediately. 15. Upon determining that the System has failed, as defined in 310 CMR 15.303, the System Owner and the Service Contractor shall be responsible for the notification of the local Approving Authority within 24 hours of such determination. 16. In the case of a System failure, an equipment failure, violations of the Approval, an alarm event, or components not functioning as designed or in accordance with the Company specifications, the Service Contractor shall provide written notification to the Company within five days describing proposed corrective measures or corrective measures taken. Standard Conditions for Secondary Treatment Units for Remedial Use Page 14 of 18 Revised November 30, 2016 17. Violations of the BOD5, TSS, or pH 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 provisions applicable to all Alternative Systems. Breakout constitutes a failure of the System. If breakout occurs, the Service Contractor and System Owner shall comply with the 24-hour notification or 5 -day written reporting provisions applicable to all Alternative Systems. 18. By March 1 st of each year, the System Owner and the Service Contractor shall be responsible for submitting to the local Approving Authority all O&M reports, all monitoring results, and inspection checklists completed by the Service Contractor during the previous calendar year. 19. The System Owner and the Service Contractor shall provide written notification to the local Approving Authority within seven days of any cancellation, expiration or other change in the terms and/or conditions of a required O&M Agreement with a Service Contractor, The Service Contractor shall provide written notification to the Company within seven days of any cancellation, expiration or other change in the terms and/or conditions of a required O&M Agreement with a System Owner. 24. By March 1 st of each year, the Service Contractor shall be responsible for submitting to the Company copies of all O&M reports including alarm event responses, all monitoring results, violations of the Approval, inspection checklists completed by the Service Contractor, notifications of system failures, and reports of equipment replacements with reasons during the previous calendar year. 21. To determine whether cause exists for modifying, revoking, or suspending the Approval or to determine whether the conditions of the Approval have been met, the System Owner shall fiunish the Department any information that the Department requests regarding the System, within 21 days of the date of receipt of that request. 22. The Approval shall be binding on the System. Owner and on its agents, contractors, successors, and assigns, including but not limited to the Designer, Installer, and Service Contractor. Violation of the terms and conditions of the Approval by any of the foregoing persons or entities, respectively, shall constitute violation of the Approval by the System Owner unless the Department determines otherwise. V. Company Requirements The Approval shall only apply to model units with the same model designations specified in the Technology Approval and meet the same specifications, operating requirements, and plans, as provided by the Company at the time of the application. Any proposed modifications of the units, installation requirements, or operating requirements shall be subject to the review of the Department for inclusion under a modification of the Approval. The Designer shall be responsible for the selection of the appropriate model unit except, for systems of 2,000 gpd or more and nonresidential systems, the Company Standard Conditions for Secondary Treatment Units for Remedial Use Page 15 of 18 Revised November 30, 2016 shall be responsible for verification of the appropriate model unit as part of the review of proposed installations under a Remedial Use Approval. 2. Prior to submissions of an application for a DSCP, the Company shall provide to the Designer and the System Owner; a) All design and installation specifications and requirements; b) An operation and maintenance manual, including: i) an inspection checklist; i"s) recommended inspection and maintenance schedule; iii) monitoring (i.e. water use and power consumption) and sampling procedures, if any; iv) alarm response procedures, if any, and troubleshooting procedures; c) An owner's manual, including alarm response procedures, if any; d) Estimates of Owner's costs associated with the operation including, when applicable: power consumption, maintenance, sampling, recordkeeping, reporting, and equipment replacement; e) A copy of the Company's warranty; and f) Lists of qualified Service Contractors and, if training is required, qualified Designers and Installers. Prior to the submission of an application for a DS CP, for all nonresidential Systems and Systems with design flows of 2,000 gpd or greater, the Company shall submit to the Designer and the System Owner, a certification by the Company or its authorized agent that the design conforms to the Approval and all Company requirements and that the proposed use of the System is consistent with the Technology's capabilities. The authorized agent of the Company responsible for the design review shall have received technical training in the Company's products. d. The Company shall maintain programs of training and continuing education for Service Contractors. Training shall be made available at least annually. If the Company requires trained Designers or Installers, the Company or its authorized agent shall institute programs of training and continuing education that is separate from or combined with the training for Service Contractors. The Company or its authorized agent shall maintain, annually update, and make available by February 15th of each year, lists of Service Contractors and, if certification or training is provided by the Company, Designers and Installers. The Company or its authorized agent shall certify that the Service Contractors and, if training is required, Designers and Installers on the lists have taken the appropriate training and passed the Company's training qualifications. The Company or its authorized agent shall further certify that the Service Contractors on the list have submitted to the Company all the reports required by Paragraphs N, 16, 19, and 20, The Company or its authorized agent shall not re -certify a Service Contractor if the Service Contractor has not complied with the reporting requirements for the previous year. Standard Conditions for Secondary Treatment Units for Remedial Use Page 16 of 18 Revised November 30, 2015 5. If training is required, the Company shall not sell the Technology to an Installer unless the Installer is trained to install the System by the Company. The Company shall require, by contract, that distributors and resellers of the Technology shall not sell the Technology to an Installer unless the Installer is trained to install the System by the Company. b. As part of the required training programs for Designers, Installers, and Service Contractors, the Company shall provide each trainee with a copy of this Approval with the design, installation, O&M, and owner's manuals that were submitted as part of the Approval. 7. The Company shall provide, in printed or electronic format, the System design, installation, O&M, and Owner's manuals, and any updates associated with this technology Approval, to the. System Owners, Designers, Installers, Service Contractors, vendors, resellers, and distributors of the System. Prior to publication or distribution in Massachusetts, the Company shall submit to the Department for review a copy of any proposed changes to the manual{s} with reasons for each change, at least 30 days prior to issuance. The Company shall request Department approval for any substantive changes, as stated in Paragraph V.8. 8. Prior to publication or distribution in Massachusetts, when substantive changes in the design, installation, operation, or maintenance of the System may be outside the limits of this Approval and may require a modification of this Approval or may be the basis for a separate Approval, the Company shall request approval by the Department. 9. Prior to its sale of any System that may be used in Massachusetts, the Company shall provide the purchaser with a copy of this Approval with the System design, installation, O&M, and Owner's manuals. In any contract for distribution or sale of the System, the Company shall require the distributor or seller to provide the purchaser of a System for use in Massachusetts with copies of these documents, prior to any sale of the System. 10. To determine whether cause exists for modifying, revoking, or suspending the Approval or to determine whether the conditions of the Approval have been met, the Company shall furnish the Department any information that the Department requests regarding the Technology within 21 days of the date of receipt of that request. 11. Within 60 days of issuance by the Department, the Company shall provide written notification of changes to the Approval to all Service Contractors servicing existing installations of the Technology and all distributors and resellers of the Technology. 12. The Company shall provide written notification to the Department's Director of the Wastewater Management Program at least 30 days in advance of the proposed transfer of ownership of the Technology for which 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 them. Standard Conditions for Secondary Treatment Units for Remedial Use Page 17 of 18 Revised November 34, 2416 13. The Company shall maintain copies of: a) the Approval; b) the installation manual specifically detailing procedures for installation of its System; c) an owner's manual, including alarm response procedures, if any; d) an operation and maintenance manual, including: i) an inspection checklist; ii) recommended inspection and maintenance schedule; iii) monitoring requirements and recommendations(including water use and power consumption when required) and sampling procedures; iv) alarm response procedures, if any, and troubleshooting procedures. e) estimates of the operating costs provided to the Owner, including, when applicable: power consumption, maintenance, sampling, recordkeeping, reporting, and equipment replacement; f) a copy of the Company's warranty; and g) lists of trained Service Contractors and, if training or certification is required, Designers and Installers. 14. The. Company shall maintain the following information for the Systems installed in Massachusetts: a) the address of each facility where the Technology was installed, the Owner's name and address (if different), the type of use (e.g. residential, commercial, institutional, etc.), the design flow, the model installed; b) the installation date, start-up date, current operational status; c) the name of the Service Contractor, noting any cancellations or changes to any Service Contracts; d) a summary of system failures, system malfunctions, and violations of the Approval with the date of each event and corrective actions taken to reach compliance, including but not limited to: design changes; installation changes; operation/maintenance changes; monitoring changes; and/or changes in roles and responsibilities for the manufacturer, vendors, designers, installers, operators, and owners; and e) copies of all Service Contractor records submitted to the Company, including all O&M reports with alarm event responses, all monitoring results, inspection checklists completed by the Service Contractor, notifications of system failures, and reports of equipment replacements with reasons. All of the information required by this Paragraph shall be maintained by Company and shall be made available to the Department within 34 days of a request by the Department. 15. The Approval shall be binding on the Company and its officers, employees, agents, contractors, successors, and assigns, including but not limited to dealers, distributors, and resellers. Violation of the terms and conditions of the Approval by any of the foregoing Standard Conditions for Secondary Treatment Units for Remedial Use Page 18 of 18 Revised November 30, 2016 persons or entities, respectively, shall constitute violation of the Approval by the Company unless the Department determines otherwise VI. General Requirements 1. Any System for which a complete DSCP Application is submitted while the Approval is in effect, may be permitted, installed, and used in accordance with the Approval, unless and until: a) the Department issues modifications or amendments to the Approval which specifically affect the installation or use of a System installed under the Approval for the System; or b) the Department, the local approval authority, or a court requires the System to be modified or removed or requites discharges to the System to cease. 2. All notices and documents required to be submitted to the Department by the Approval shall be submitted to: Director Wastewater Management Program Department of Environmental Protection One Winter Street - 5th floor Boston, Massachusetts 02108 3. The Department may suspend, modify or revoke the Approval for cause, including, but not limited to, 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, a Designer, a System Owner, an Installer, and/or Service Contractor. DRAFT Rev. 4.29.22 TOWN OF BREWSTER BOARD OF HEALTH LOCAL REGULATION TO SUPPLEMENT TITLE 5 STATE ENVIRONMENTAL CODE BEDROOM DEFINITION 1. Authority. In accordance with Massachusetts Genera] Laws, Chapter 1.11, 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"j. 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 prpvide greater clarification of the definition of "bedroom" as that term is used_bythe Board in applying the provisions of Title 5 and the Brewster Board of Health Regulations pertalning 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 dedgn a system using design flows for a smaller number of bedrooms than are presurned 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 junheatecb_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:LHedthWH regs and pdiaeslBedmom QefnitioMilrew ter Bed-com Harrtitbn rlegUation 4RAF r 4.28.22.doo Commented [AvH11: BOH camment 4/20/22 regarding unhealed roams being used as bedrooms duo to nature or rental prapenies on Cape Ced. Need to be specific about "heated)unheated" in definition. DRAFT Rev. 4.28.22 public health, safety, welfare, or the environment and unless the Board of Health approves an appurtenant deed restriction, running w1th 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 G'; 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 Sunronm%Parchmu pdedirect to another room with a_ minimum 4' cased opening. SUN (PORCH) ROOM — A room designed to have a minimum of 10% glazed area (window area) of the total �Combineo exterior wall and calling area of the o --m-- .-In_calculating_ thototal_glazed _area_only the translucent_or transparent window area should be considered (rough opening or unit dimension shall not be considered). 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 repoft back-tq the Board bls of her findings. Adopted: May 23, 2046 Effective: September 1, 2006 Amended: October 17, 2006 Effective: Upon Publication Amended: July 22, 2003 Effective: Upon Publication Amended: March 10, 2015 Effective: May 22, 2015 Amended: Effective: Penny Holeman, Chairman Board lean Kampas, Vice Chairman Of Health Annette Graczewski Joseph Ford Kimberley Crocker Pearson Colette Williams, Town Clerk N:%Healthl80H togs and policlas%godroom Deff1 tW)Brewster Bedroom DorinlGon Regulatlon DRAFT 4.2a.22.doc Commented [AWH2]: BOH comment 4120122 regarding use of sunrooms and need for doors fo help prevent loss of heat from remaining portion of dwelling. _. Commented [AV H31.&m rn/Forch definition from Orleans Bedroom definition - may elimitive the requirement for a cased opening if the room is heated 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 d1menslon shall not be considered). HARWICH BOARD OF HEALTH: BEDROOM DEFINITION A bedroom is defined as 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 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 room is NOT considered a bedroom because privacy is not provided. Ni\HeaEth\BOH regs and pollctes\Bedroom Definition\Weans and Harwkh Bedroom Definitions.docx 310 CMR: 15.000 DEPARTMENT OF ENVIRONMENTAL PROTECTION THE STATE ENVIRONMENTAL CODE, TITLE S: 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 he designed in accordance with 310 CMR 15.203, Effective 9/9/2016 N:\Heaith\BOH regs and polkles\Bedroom Deflnition\Title 5 310 CMR 15.002 Bedroom D+efinition.dou BARNSTABLE COUNTY PE PAA I H E NT OF HEALTH AN O EM AONMEN T - MDPH-Public Health Excellence (PHE) Grant - CROSS -JURISDICTIONAL SHARING Background Massachusetts has 351 cities and towns, each of which has an autonomous Board of Health. Given the disparity in size and resources among municipalities, this has led to inconsistencies in local public health capacity to carry out statutory powers and duties and in resources available to smaller or less affluent communities. Despite its value, the use of shared services in Massachusetts has been limited. The Special Commission on Local and Regional Public Health (SCLRPH) recommended that the number of Massachusetts local boards of health utilizing cross -jurisdictional services or shared services be increased as part of its blueprint for a more effective and efficient local public health system. The Commission noted in its final report (available at www,mass. ov/or s/s ecial-commission-on-local-and-re ional- ublic-health) "By pooling resources, functions, and expertise, a consortium of cities and towns, especially those that are smaller or less prosperous, can improve compliance with their statutory and regulatory mandates and expand the protections and opportunities they offer residents". Shared services can be beneficial for health departments that believe by working together— pooling resources, sharing staff, expertise, funds and programs— across boundaries, they can accomplish more than they could do alone. The national Center for Sharing Public Health Services (CSPHS) has identified a spectrum of public health sharing arrangements ranging from as needed or limited shared service arrangements to full regionalization/consolidation of all health services. The spectrum provides useful framing for considering options for cross jurisdictional sharing. This grant represents a unique opportunity to transform the Massachusetts local public health system into a public health system of the 21St Century thereby improving health and enhancfng equity for all. Building on existing infrastructure and respecting local autonomy, Massachusetts and Barnstable County can offer new ways to organize and support local health departments to raise standards, strengthen collaboration, better use technology, improve skills, and stabilize resources. PROGRAM PURPOSE: HOW: WHO: Expand and formalize Governance Board will Barnstable County will shared services include a representative facilitate the project by working arrangements to improve from each town and will with health agents and the compliance with statutory meet regularly under Governance Board to inform mandates and provide a established rules of the direction of the program. more comprehensive and procedure to make The MA Dept. of Public Health equitable set of public democratic decisions and MA Association of Health health services with a about cross jurisdictional Boards will be involved in sustainable business model. policies, personnel, oversight, resources, and operations, and finances. Support. ■ Municipailly■ • •• • ■ ■ • • ■ • • PHASE II AS$f551AEHi Look at results from Phase I and examine our priorities to develop a plan or plans for implementation. Sample agreements and resources for development of agreements are available through MDPH, MAHB and the Center for Sharing Public Health DECISION- Services CSPHS . To assist with developing plans, the CSPHS �A[IHOo-RIK MAKING has identified a spectrum of public health sharing arrangements UAWATION PROCESS extending from as needed or limited shared service arrangements to full regional izationlconsolidation of all health services. As funding is made available, and needs have been established, HPLEMEHEAA[]N two additional staff will be hired to provide services to each town. **NOTE** Focus on ensuring implementation meets the overall plan and goals forthe sharing arrangement(s) as well as for the individual, participating municipalities. As opportunities to improve are identified, the governing body will continue to provide guidance to the Cross Jurisdictional Sharing Coordinator for the continued development of the program. Next Steps: • Confirm each town's participation in project and identify town representatives. • Town will complete and return Letters of Commitment. • Set up initial meeting to develop governance structure. • Hire Cross- Jurisdictional Sharing (CJS) Coordinator. ** Each municipality shall retain its board of health legal authority unless a municipality votes to delegate part or all of its authority to the governance board and the governance board votes to accept it. Boards of health must approve agreements to delegate their legal authority." IMPORTANT DETAILS: Grant award is for up to $300,000.00 annually for a duration of 3 years. There is the opportunity to renew the option 3 times, at 3 years for each option with a possible end date of June 30, 2033. Payment of funds will be in periodic installments based on completion of deliverables. • Per MDPH RFP: o Any funds designated in the budget that are unspent in any fiscal year will not be available for expenditure -in -.the -subsequent fiscal .year -without-a-formal contract amendmentre-authorizing these funds. The maximum obligation of the contract will automatically be reduced by the amount of the unspent funds from the prior fiscal year. o Grant funds can be used for staff salaries, benefits, payroll taxes, consultants, facilities, travel, program supplies, and related expenses. The primary purpose of this procurement is to expand local public health capacity by adding staff and/or consultants to provide direct public health services. o The lead applicant may charge up to 16% to the grant for administrative costs. Funds cannot be used for equipment without prior written approval from DPH. Funds cannot be used for capital expenses under any circumstances. Funds cannot be used to supplant existing municipal funding for public health services. Requirements- Commitments o Designate a management position from lead entity to coordinate between municipalities and with DPH. o Submit letters of commitment to be part of the Shared Services Area from all participating municipalities by March 30, 2022. o CJS Coordinator will provide quarterly invoices and progress updates. First one due April 30, 2022. o CJS Coordinator will attend monthly check-in meetings with DLRH staff. o Submit a full, detailed workplan for the shared service area by late summer/ early fall. Governance Committee will help develop this and it will be completed by CJS Coordinator. o Submit a detailed strategic plan that includes sustainability plans within 12 months of the end of current CCVID-t 9 public health emergency. Governance Committee will help develop this and it will be completed by CJS Coordinator. ❑ All towns will participate in MDPH needs/ resource assessment in early summer. Details to follow. o All towns will commit to utilizing MAVEN, MUS, workforce standards provided in Blueprint, and new local public health data reporting system under development. • Example programs from other, previous PHE recipients: o Tick-borne illness surveillance and mitigation. o Shared inspectional services. ❑ Direct community health outreach. o Public health training program. o Mental health assessment and services a� o na � L 0 a � o a � z N ❑ as cu zs0 0tw L C 0 r� a ;7, U OJ u v �o E o a U ❑ ❑rU a o ❑ 7 .- 4 0 C txo cu L 0- Q] 0 E a au -0 ❑ u o r� 76 o a -D U � ❑ a U � a� M ❑ L 4 Q) - m O u rz O > U cn ❑ o - w Ln 41 = c ca 41N N m {9 E y+ N O EL q N rrs ma aCa oma d) L_ Q N p 0 ca N� ��=- 0CL u)— o o � c O `a U C o Q 0 � +L+ C = Lei C M N {6 E Q. E �E�o >0 v a' Eo '~ 'D �-'o= m N- Eam 4- W o 4)- . 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E 6 ❑ C N li.l a1 C .7 _ i�Cf L -a ++ iF C u V m, E (a ,1-� -G w U r.7 L w � N ❑ • �yL W (n ❑ :l , :E T R ❑ Ln Q a1 N N Q 46 -0 � ❑ CL N a Q7 = -0 Q � ❑ ❑ ❑ 4- � ❑ OC lx U L3 LL 1= 01 d ❑ CC Lt C/1 ❑- .� ❑ 0- V d^ ■ ■ • • ■ • • • • • ■ / • Ltl > M QC1 ❑ L rLa m L wV z Q ❑ aJ t~ Cr- 4-- ❑ 0 uli r- r d ru U O lit LLq 7 [a ?_ A .ra ❑ C ay vVi al W r 2 i .w A .� p sn �n "� LA m v z d 'r c� c�i ❑ `-' ❑o c ❑ m o d ❑ �' m N .3 c m � a.l o L c o +, w LU oC N u m� a) ai m y 7 ra 7 � V N N ❑ �' L 7 l7A Q iMJ 7 t D 7 V Z [J7 .� — to Q u O., Lli rr v m aa) ami i s rn °4 2 2 m LULnD D Q y t] y W y ❑ 'n wQ 0 }� ur l � zu W Ln x a Dr z v O = z 2 �Ln �y LU ¢ ,� �z !' o a m o Z Lu ++ rr C V ,� 11.1 Q = J LL a C EA d CA = rnN 0 Q N L .fi n o o a H LU ❑ z a c i� 0 g. 41 C ❑ Q] [O E ❑ V f6 43 C E N 4- rq T 4� u a� Q3 E L c L t 5 a ❑ CL of m Q� m ❑ a �Q x P OJ u L C Q1 N W Cl) 01 Q1 0 ❑ O CC❑ C❑ CC❑ CCD � 7 2 S 2 S S S p'r- d J d J a J Q J d J d J Z C C C C C C C LU m i n} ru ns m w m 0 LL Q CC W- [r w 0. or U w -cs P ❑ LL 0 � H LL 2 � d d p CLO � C vi C 'm C Q7 C f ❑ d E C C N N U Q `❑o ❑ T a a d U U U S N V1 N Q7 V [6 s.. 41 O li 4L L Uc Y L m L OL 0 CL O w U Q❑ O a. 6 R [o 0 O C m U 00 cc ❑ t o E S v v rua c F E 2 a F F Vi i U Z U 7 2 u 0 S 2 2 rCCa ¢uj = ¢ p e 2 W v a QCC o U U C QC C d CQ C c Ln C LL J V, t/ C Li_ W [h z uj d L7 J 2 p 0 Q m w a z N W< Q LU z of CL 0 � 0 z zo 0 ❑ L, Q a _ x t a = z c i� 0 g. 41 C ❑ Q] [O E ❑ V f6 43 C E N 4- rq T 4� u a� Q3 E L c L t 5 a ❑ CL of m Q� m Application Response ORGANIZATION NAME: Barnstable County Department of Health and Environment ADDRESS: 3195 Main Street VENDOR CODE: VC6000194979 CONTACT PERSON: Erika Woods TITLE: Deputy Director TELEPHONE: 508-375-6620 FAX: EMAIL: ERIKA.WOODS@BARNSTABLECOUNTY.ORG The Barnstable County Department of Health and Environment (BC DH£) was first established in 1927 to provide regional public and environmental health support to the county's 15 -towns. While the County provides some regional services to towns such as bathing beach sampling and tobacco control, the majority of required LBOH duties are provided by each individual town with varying populations and resources. Larger towns with larger departments can cover most required services while smaller ones are spread thin and often have a conservation component associated with their department. Our goal for this proposal is to bring immediate assistance to the towns while working regionally to assess needs and services to better address our regional needs. Dur proposal would consist of a program director who wiII be tasked with conducting a county wide, systematic, needs assessment to identify public and environmental health issues and resources in Barnstable County. Our assessment will look closely at the current public health services and capabilities in each town, and as a region, with a focus on developing shared service arrangements that make sense for the towns to promote health and achieve health equity. In addition, the program director will work with participating towns to identify staff training needs and will find or develop training that is appropriate to those needs and is in line with the recommendations of the Special Commission on local and Regional Public Health. This program director will also oversee two project assistants who will immediately start providing support directly to participating towns, in the form of inspectional and administrative services. They will serve as additional staff as well as expand on regional programs such as cyanobacteria working group and the hoarding task force. As the program progresses, these project assistants will be re -tasked as the long-term strategy is developed by the governance committee. RFR 214333 Public Health Excellence Grant Program for Shared Services Attestation Form Applicant Name: As an applicant for the Public Health Excellence Grant Program for Shared Services, l will 1j* designate a management position from lead entity to coordinate between municipalities and with DPH; 2) submit letters of commitments to be part of the Shared Services Area from all municipalities by June 36; 3) provide quarterly invoices and progress updates; 4) attend monthly check-in meetings with OLRH staff; 5) submit a full, detailed workplan for the shared service area within 3 months of the end of the current COVID-19 public health emergency; 6) submit a detailed strategic plan that includes sustainability plans within 12 months of the end of current COV(❑ -19 public health emergency; and 7) commit to utilizing MAVEN, MIIS, workforce standards provided in Blueprint, and new local public health data reporting system under development, If our application is successful, I understand that failure to comply with these requirements could lead to termination of contract. Au orr;_,ed gnature and Date Print Name and Title RER # 214333 — Public Health Excellence Grant Program for Shared Services Application Response Applying to: Only checkone FTo expand current shared services arrangements to include additional municipalities, complete Application 1. ®To expand current shared services arrangements to provide a more comprehensive set of public health services and/or sustainable business model, complete Application 2. F—]To establish a new cross -jurisdictional shared services arrangement, complete Application 3. A COMPLETE RFR RESPONSE MIDST INCLUDE: • Application form — compete information above and based on check box selected, complete Application 1,2, or 3 below • Signed Attestation form • 12 -month Program Budget Application Forml To expand current shared services arrangements to include more municipalities Lead Municipality/Regional Planning Agency/Federally-recognized Tribe: List municipalities in current Shared Services Area: Municipality Population % of Type of Type of Board of Environmental Government Health Justice City/Town Elected/Appointed Population If additional rows are needed, please attach a separate sheet. List proposed added municipalities: Municipality Population % of Type of Type of Board of Environmental Government Health Justice City/Town Elected/Appointed Population If additional rows are needed, please attach a separate sheet. Provide a brief description of the shared service area and plan for expansion, including rationale. Specifically state how the addition of municipalities strengthens the current shared services arrangement and advances the effectiveness, efficiency and equity of the delivery of public health services (text limit 2,0DO characters, approximately 300 words). Provide information about the current staffing in each municipality of your proposed shared services arrangement. Indicate FTE of each position listed below. Provide the number of FTEs rather than number of personnel. For example, if there are three part-time staff who provide inspections for a total of 1.5 FTE, enter 1.5 not 3. Municipality Health Inspector Public Health Epidemiologist Clerk Director/Health Nurse Age nt If additional rows are needed, please attach a separate sheet. Indicate FTE for all current and proposed shared service staff roles. Provide brief rationale for additional staff .Provide the number of FTEs rather than number of personnel. For example, if there are three part-time staff who provide inspections for a total of 1.5 FTE, enter 1.5 not 3. If additional rows are needed, please attach a separate sheet. Application Form2 To expand current shared services arrangements to provide a more comprehensive set of public health services and/or sustainable business model. Lead Municipality/Regional Planning Agency/Federally-recognized Tribe submitting response: Barnstable County Department of Health and Environment List municipalities in current Shared services Area: Municipality Population % of Type of Environmental Government Justice City/Town Population Type of Board of Health Elected/Appointed ****see attached If additional rows are needed, please attach a separate sheet. Provide information about the current staffing in each municipality of your shared service area. Indicate FTE of each position listed below. Provide the number of FTEs rather than number of personnel. For example, if there are three part-time staff who provide inspections for a total of 1.5 FTE, enter 1.5 not 3. Municipality Health Inspector Public Health Epidemiologist Clerk Director/Health Nurse Agent ****See attached If additional rows are needed, please attach a separate sneer. Indicate FTE for all current and proposed shared service staff roles. staff .Provide the number of FTEs rather than number of personnel. staff who provide inspections for a total of 1.5 FTE, enter 1.5 not 3. Provide brief rationale for additional For example, if there are three part-time If additional rows are needed, please attach a separate sheet. Provide a brief description and rationale of how your proposed expansion of shared services arrangement will provide a more comprehensive set of public health services and/or a sustainable business model within your existing shared services area. Include how your proposal advances the effectiveness, efficiency and equity of the delivery of public health services (text limit 2,000 characters, approximately 300 words). The Barnstable County Department of Health and Environment (BCDHE) was first established in 1927 to provide regional public and environmental health support to the county's 15 -towns. While the County provides some regional services to towns such as bathing beach sampling and tobacco control, the majority of required LBOH duties are provided by each individual town with varying populations and resources. Larger towns with larger departments can cover most required services while smaller ones are spread thin and often have a conservation component associated with their department. Our goal for this proposal is to bring immediate assistance to the towns while working regionally to assess needs and services to better address our regional needs. Our proposal would consist of a program director who will be tasked with conducting a county wide, systematic, needs assessment to identify public and environmental health issues and resources in Barnstable Current Proposed Rationale shared additional FTE shared FTE Shared Services Coordinator 0 1 BCDHE project coordination Health Director/Agent Deputy/Assistant Director Inspector 2 Immediate assistance to towns Public Health Furse Epidemiologist Clerk Other If additional rows are needed, please attach a separate sheet. Provide a brief description and rationale of how your proposed expansion of shared services arrangement will provide a more comprehensive set of public health services and/or a sustainable business model within your existing shared services area. Include how your proposal advances the effectiveness, efficiency and equity of the delivery of public health services (text limit 2,000 characters, approximately 300 words). The Barnstable County Department of Health and Environment (BCDHE) was first established in 1927 to provide regional public and environmental health support to the county's 15 -towns. While the County provides some regional services to towns such as bathing beach sampling and tobacco control, the majority of required LBOH duties are provided by each individual town with varying populations and resources. Larger towns with larger departments can cover most required services while smaller ones are spread thin and often have a conservation component associated with their department. Our goal for this proposal is to bring immediate assistance to the towns while working regionally to assess needs and services to better address our regional needs. Our proposal would consist of a program director who will be tasked with conducting a county wide, systematic, needs assessment to identify public and environmental health issues and resources in Barnstable Application Form 3 Establish a new cross -jurisdictional shared service arrangement. Lead Municipality/RegionaI Planning Age ncy/FederaIly-recognized Tribe submitting response: Briefly describe the capacity of the lead entityto coordinate the shared services arrangement (text limit 2,000 characters, approximately 300 words). Briefly describe any current or history of collaboration among the proposed cross -jurisdictional municipalities, such as emergency preparedness coalitions, tobacco control collaborative, Mass in Motion, etc. (text limit 2,000 characters, approximately 300 words), List proposed municipalities for new snared service arrangement: Municipality Population % of Type of Type of Board of Environmental Government Health Justice City/Town Elected/Appointed Population If additional rows are needed, please attach a separate sheet. Provide a brief description of the proposed shared service area and rationale for developing this arrangement. Specifically state how the cross -jurisdictional arrangement will increase the proposed shared services arrangement's capacity to strengthen and advance the effectiveness efficiency, and equity of the delivery of public health services (text limit 2,000 characters, approximately 300 words). Provide information about the current staffing in each municipality of your proposed cross -jurisdictional area.lndicate FTE of each position listed below. Provide the number of FTEs rather than number of personnel. For example, if there are three part-time staff who provide inspections for a total of 1.5 FTE, enter 1.5 not 3. Municipality Health Inspector Public Health Epidemiologist Clerk Director/Health Nurse Agent If additional rows are needed, please attach a separate sheet. Provide proposed FTE for shared staffing arrangement. Provide the number of FTEs rather than number of personnel. For example, if there are three part-time staff who provide inspections for a total of 1.5 FTE, enter 1.5 not 3. If additional rows are needed, please attach a separate sneer. Massachusetts Department of Public Health Office of Local and Regional Health Public Health Excellence Grant Program for Shared Services RFR #214333 Municipality Statement of Commitment Working Name of Shared Services Arrangement or Name of Lead Municipality or Agency: Municipality submitting this form: Each municipality should complete a Municipality Statement of Commitment form and return to the lead municipality or agency. Check each box below to affirm that your municipality understands and intends to ❑ Cooperate with the lead municipality/agency to ensure compliance with the scope of services far the Public Health Excellence Grant Program for Shared Services. ❑ Use funds provided under this program only to augment rather than replace current municipal 'Funding for public health staff or services. Form must be signed by a municipal chief executive and board of health chair (see note below). Name Name Titie Date Title Date Please provide a brief explanation if this form has not been signed by the date agreed upon with your OLRH Program Coordinator: Note far the lead municipal lty/agency: This form must scanned and sent by e-mail on or before the date agreed upon with your 0LRH Program Coo rdinatorto: LocaIregio nal PubIicheaIth @ massmaii.state, ma.us Town of Brewster 2198 MAIN STREET BRFWST'EIZ, MASSACHUSETTS 02631-1898 PHONE: 508.896.3701. EXT. 1120 FAX: 508.896.4538 brhealth@brewster-ma.gov W W W.BRE W STER-MA.GOV Board of Health Meeting Wednesday January 19, 2022, at TOOPM Remote Meeting Health Department Array L. von Hone, R.S., C.H.O. Director Sherrie McCullough, R.S. Assistant I]irector Tatnmi Mason Senior Department Assistant Board members attending remotely: Penny Holeman, MPH, MA, M5, Chair; Jeannie Karnpas, Vice Chair, Annette Graczewski, MT (ASCP); Joe Ford and Kimberley Crocker Pearson, MS, MD, MPH Others attending remotely: Amy von Hone, R.S., C.H.O., Health Director, Sherrie McCullough, R.S., Assistant Health Director, Tammi Mason, Senior Department Assistant, Chris Miller, Natural Resource Director, David Michniewicz, Coastal Engineering and Mark Nelson, Horsley -Witten Anyone wishing to listen to the meeting can do so via Live Broadcast (Brewster Government TV Channel 18) or by Livestream at www.livestream.brewster-ma. ov or by video recording (www.ty.brewster-ma.goy) 1. Call to Order Meeting was called to order at 7:OOPM 2. Chairman's announcements Upcoming free vaccination clinics and PCR clinics are scheduled in Barnstable, Hyannis, Falmouth, and Provincetown. Please visit the Barnstable County Department of Health and Environment for specific details. Two weeks ago, CDC endorsed the recommendation to expand eligibility of booster doses to those 12 to 15 years old and recommended that adolescents aged 12 to 17 years of age receive booster doses 5 months after completing the Pfizer and Moderna vaccine series. CDC recently published a study that showed flu vaccination protected children from serious flu illness even when they were infected with a flu virus that was antigenically different from the vaccine virus. If anyone would like to be added to the email distribution list to receive Board of Health agendas, please contact the Health Department at (508)896-3701 ext. 1120 3. Citizen's forum None. 4. Covid update Mrs. von Hone stated that the number of cases is starting to come down. There were 118 positives during the peals 2 weeks ago and it is now down to 54. This seems to be the trend all over the Cape. Long term care facilities are also starting to see a decline in their positive numbers. They are continuing to do weekly testing. Most of the cases are coming from outside the facility. N:1Healthlfram ShariIMSWORK FOLDERSIMEETINGSIBOH\Jan1922m.doc BOH 1119122 Minutes Page 2 Vaccination resources are still available at local pharmacies and Cape Cod Community College. Testing is still being offered at the Melody Tent, Barnstable County Department of Health & Environment, and the Orleans DPW. Residents can check the Barnstable County website for more information. Homebound vaccinations are still a work in progress. The Health department is working with the COA and the VNA to help get these residents their boosters. The Federal Government is giving out free test kits. www.covidtests.go_v_ . This is also posted on the Town's website. The Department of Public Health has a new tool to access your vaccine card. www.myyaxrecords.ma.gov , enter some information and they will send a digital copy of your records. Mrs. Graczewski spoke about the symptoms of Omicron and how they are significantly different from the other strains. Mrs. von Hone stated that the 2 prominent symptoms with Omicron are sore throat and had headaches. People that are vaccinated that have gotten the Omicron strain have been testing negative at the beginning and the end of the illness. This strain is more infectious, and the cases seem milder. S. Mask Mandate discussion and note to extend or modify Mrs. von Hone stated that on December 15, 2021, because of the surge of cases, the Board voted to have a temporary mask mandate in Municipal buildings except for Freeman's Grill at Captains Golf Course. The mandate was to continue until the end of this Board meeting [1119122]• Her recommendation is to extend the mandate because the cases are still high (around 14%). Motion: Extend the current mask mandate in the municipal buildings except for Freeman's Grill at Captains Golf Course, until the March 2,2022; BOH meeting. Motion: Joe Ford Second: Kimberley Crocker Pearson Vote: Annette Graczewski — yes Action: Motion carried Joe Ford —yes Jeannie Karn pas — yes Kimberley Crocker Pearson -yes Penny Holeman - yes Motion: Do not extend the current mask mandate to the general public/public spaces Motion: Joe Ford Second: Kimberley Crocker Pearson Vote: Annette Graczewski — yes Action: Motion carried Joe Ford —yes Jeannie Kampas —yes Kimberley Crocker Pearson -yes Penny Holman — yes 6. Discuss and note on BOH Nitrogen Loading Regulations — Mark Nelson, Horsley Witten Mark Nelson went over the proposed regulation and spoke about a few changes he made to the regulation. He went over the spreadsheets that are included for engineers. David Michniewicz, Coastal Engineering/Resident spoke about his concerns and asked for clarification on the spreadsheets. He brought up that this spreadsheet seems to deviate from the State Regulations. There was back and forth discussion on the regulation and how it was going to work. Chris Miller, Natural Resources Director spoke about the regulation. N:`,Health\from 5hari\MSWORK FOLDERS\MEETiNGS\BOH\Jan1922m.doc BOH 1/19/22 Minutes Page 3 Motion: Approve the Brewster Board of Health Nitrogen Loading Regulations as put forth with the understanding that assumptions in the calculations are reasonable and we could accept at this time requests for the use of nitrogen fixing vegetation or other types of nitrogen reducing landscaping could be considered as variances going forward. Motion: Annette Graczewski Second: Kimberley Crocker Pearson Vote: Annette Graczewski -- yes Action: Motion carried Joe Ford — abstain Jeannie Kampas—yes Kimberley Crocker Pearson —yes Penny Holeman — yes 7. Discuss and possibly vote about perceived need for supplemental local SOH Marijuana Regulations Mrs. Graczewski told the Board that the last time this was discussed was 2019. The adult only shop is scheduled to open sometime in September of 2022. She stated that she did reach out to 4 surrounding towns (Wareham, Mashpee, Provincetown and Bourne) that already had adult only shops open and asked the Health Directors if there were any issues. 3 out of the 4 responded and stated that they had no problems, 2 of. the TowrK had Local regulations and 1 of those Tow.n's.reg uIation required inspections {which added to.the burden of the Health Department staff}. The Brewster BOH was previously split on whether to have a regulation, Mrs. von Hone stated that she agreed with the previous Health Director that local regulations were not necessary. She feels confident that the State regulations are already restrictive. Motion: Table this discussion indefinitely. Motion: Joe Ford Second: Annette Graczewski Mote: Annette Graczewski — yes Action: Motion carried Joe Ford --yes Jeannie Kampas —yes Kimberley Crocker Pearson — yes Penny Holeman - yes Mr. Ford asked that his motion be amended to the following: Motion: The Brewster Board of Health has made the decision to not have a local Marijuana Regulation. Motlon: Joe Ford Second: Annette Graczewski Vote: Annette Graczewski —yes Action: Motion carried Joe Ford — yes Jeannie Kampas — yes Kimberley Crocker Pearson — yes Penny Holeman — yes 8. Discuss and possibly vote on drafting a letter opposing Pilgrim Nuclear Power Plan radioactive water release into Cape Cod Bay Mrs. von Hone stated that the Association for the Preservation of Cape Cod (APCC) put out a letter of concern about the discharge of radioactive water in Cape Cod Bay (CCB). The Selectboard also wrote a letter expressing opposition to the dumping of the water. The APPC is encouraging other Boards to follow suite. Dr, Pearson asked if anyone had info on what the nature and concentration of isotopes is in the water that is proposed to be discharged. Ms. Holeman stated that she didn't and thought getting more information would be helpful. Mrs. Graczewski stated that the company isn't calling it "radioactive", they are calling it "contaminated". It is low level radiation that they held on property for a period and they've treated it somehow, and it would be low level radiated water that they would be dumping into CCB. There are two alternatives to this. One would be to evaporate and the other would be to truck it to an offsite place. N.\Health\from Shari\MSWORK FOLDERS\MFETfNGS\BOH\Jan1922m.doc BOH 1/19/22 Minutes Pag 4 There are 2 letters, ane that APCC wrote asking the BOH to write to Senators, Congressmen and various public figures opposing the plan and the letter that the Selectboard wrote to the CEO of the Company. Ms. Holeman stated that she would like to get more information before writing a letter. Motion: Write letter in opposition of dumping the radioactive water into Cape Cod Bay using the APCC template. Motion: Joe Ford Second: Annette Graczewski Vote: Annette Graczewski.- yes Action: Motion carried. Joe Ford —yes Jeannie Karnpas—yes Kimberley Crocker Pearson —yes Penny Holeman - no Mrs. von Hone will send letter and have a copy given to the Board. 9. Liaison Reports Dr. Pearson stated that there had been no Water Quality Review Committee meeting. Mrs. Graczewski stated that the Recycling Committee had met on 1/6/22 and the new program (separating glass from single stream recycling) is going well. 10. Matters not reasonably anticipated by the Chair Mrs. van Hone stated that there will be ajoint Selectboard and Board of Hea€th meeting next Thursday at 5P M. Mark Nelson will be giving a presentation on the Town's current Integrated Water Management Plan. 11. Items for next agenda Dr. Pearson asked that a discussion on the contents of the vats at the Pilgrim Power Plant be placed on the agenda. 12. Next meeting: February 2, 2022 Noted. Informational items were noted. Meeting adjourned at 9:05PM 'Accompanying documents in packet: Agenda, Covid update information, informational items N-.\HeaIth`,from ShariIMSWORK FOLDERS\MEETINGS\BOH\Jan1922m.doc Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 PHONE: 508.895.3701 EXT. 1120 FAX: 508.896.4538 brhealth brewster-ma. ov W W W.BREWSTER-MA.GOV Board of Health Meeting Wednesday February 16, 2022, at 7:00PM Remote Meeting Health Department Amy L. von Hone, R.S„ C.H.O. Director Sherrie McCullough, R.S. Assistant Director Tammi Masan Senior Department Assistant Board members attending remotely: Penny Holeman, MPH, MA, MS, Chair; Jeannie Kampas, Vice Chair; Annette Graczewski, MT (ASCP) and Kimberley Crocker Pearson, M5, MD, MPH Board members absent: Joe Ford Others attending remotely: Amy van Hone, R.S., C.H.O., Health Director and Tammi Mason, Senior Department Assistant Anyone wishing to listen to the meeting can do so via Live Broadcast (Brewster Government TV Channel 18) or by Livestream at www.livestream.brewster-ma.gov or by video recording {www.tv.brewster-ma.gov] 1. Cali to Order - Meeting was called to order at 7:OOPM 2. Chairman's announcements Free vaccination clinics and PCR clinics continue to be offered on the Cape. They are scheduled in Barnstable, Hyannis, Falmouth, and Provincetown. Please visit the Barnstable County Department of Health and Environment for specific details and to make appointments. Yesterday, the Massachusetts Department of Public Health updated guidance regarding the use of face coverings and masks by people who are fully vaccinated against COVID-19. Fully vaccinated persons should wear a mask or face covering when indoors (and not in your own home) if you have a weakened immune system and if; a. you are at increased risk for severe disease Because of your age or underlying medical condition b. if someone in your household has a weakened immune system and is at increased risk for severe disease or is unvaccinated For more information, please visit the website of the Massachusetts Department of Public Health. On February 11th, the CDC publicized data from two reports that showed COVID-19 boosters remain safe, and that they continue to offer high levels of protection against severe disease over time, and during Omicron and Delta waves. On February 14'h, the CDC announced that COVID-19 vaccination during pregnancy protected 61% of babies from being hospitalized with COVID-19. 84% of babies who were hospitalized were born to mothers who were not vaccinated. Of the babies admitted to the intensive care unit, and who were the sickest babies, 88% were born to unvaccinated mothers. If anyone would like to be added to the email distribution list to receive Board of Health agendas, please contact the Health Department at (508)896-3741 ext. 1120. N:1Healthlfrom ShariIMSWORK FOLD£RSIMEETlNGS\BOHIFebl622m.doc BOH 2/16/22 Minutes Page 2 3. Citizen's forum Laura Marshall, 8 Ebenezer Lane. She has a child in the Brewster school system and feels that it is time the BOH end the mask mandate in the schools Bill Jennings, 34 Thousand Oaks. He stated that he feels it is time for the BOH to end the mask mandate in the schools. Laura Strunk, 70 Hillary's Cartway. She stated that the School District has refused to make a decision and is leaving it up to the BOH. It has been extremely hard on the kids, and she feels that the BOH should end the mask mandate in the schools. 4. Covid update Mrs. von Hone stated that the number of cases has dropped significantly in the last few weeks (77% drop). We are back down to pre surge levels. The school cases are dropping also. As the Chair announced earlier, the DPH has issued a new mask advisory. Those that are positive have to quarantine for 5 days and then continue to wear a mask for days 6-10 when in public. DECE (Department of Early Childhood Education) announced that on February 2811, masks will no longer be required in the schools. Local school districts have the option of continuing the mask mandate if they choose. Masks will still be required on school buses. The Town will be handing out COVID home tests to residents on. March 51h at Captains Golf Course. This will be a drive thru distribution. There are a limited number of kits. There are 3 time slats and are done by last name. Residents can get more information on the Town's website. 5. Discuss and possible approve the final draft of Nitrogen Loading Regulations (including Town Counsel edits) Mrs. von Hone went over the changes that were made. Motion: Approve the final draft of the Nitrogen Loading Regulation. Motion: Annette Graczewski Second: Kimberley Crocker Pearson Vote: Annette Graczewski —yes Action: Motion carried Jeannie Kampas —yes Kimberley Crocker Pearson — yes Penny Holeman —yes 6. Discuss /comment on BOH 2021 Town Report Mrs. Graczewski thanked Ms. Holeman for doing the report. Dr. Pearson stated that her name had been spelled incorrectly. The Board was ok with the report. 7. Review & approve minutes from 11/15/21; 12/1/21 Motion: Approve minutes for 11/15/21 and 12/1/21 as written. Motion: Kimberley Crocker Pearson Second: Jeannie Kampas Vote: Annette Graczewski — abstain Action: Motion passed Jeannie Kampas — yes Kimberley Crocker Pearson — yes Penny Holeman —yes S. liaison Reports Dr. Pearson stated that the Water Quality Review Committee had not met. N:\Health\from Shari\MSWORK FOLDERSIMEETINGS\60H1Febl622m.doc BOH 2/16/22 Minutes Page 3 Mrs. Graczewski stated that the Recycling Committee met last week. On November 1, 2022, a new ban on disposal of textiles and mattresses will go into effect. She also spoke about Beautify Brewster on April 23, 2022. 9. Matters not reasonably anticipated by the Chair None 10. Items for next agenda Dr. Pearson stated that she would have a report from the Massachusetts Pesticide Board for the second meeting in March. 11. Next meeting: March 2, 2022 Noted. Informational items were noted. Meeting adjourned at 7:52PM *Accompanying documents in packet: Agenda, COVID update information, informational items N:\Health\from Shari\MSWORK FOLDERS\MEETINGS\B0H\Feb1622mAoc oz% W "ooll k F_ W LDL -R 4.:. fo — a. 1.9 N1111;uIllimm Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 PHONE: 508.896,3701 EXT. 1120 FAX: 508.896.4538 brhealth@brewster-ma.p,ov WWW.BREWSTFR-MA.GOV Board of Health Emergency Meeting We d n esd ay Fe bru a ry 2 3, 2 022, at 5:00 P M Remote Meeting Health Department Amy L, von Hone, R.S., C,H.O. Director Sherrie McCullough, R.S. Assistant Director Tammi Mason Senior Department Assistant Board members attending remotely. Penny Holeman, MPH, MA, MS, Chaiir, Jeannie Kampas, Vice Chair, Joe Ford and Kimberley Crocker Peawn, MS. MD. MPH Board members absent: Annette Graczewski, MT (ASCP) 0 th e rs a tte n d ii ng remo tely: Amy vo n H o n e, R.S., C. RO,, Hea Ith Di recto r; S he rd a M _CCu I I o u g h, R,S., Assi sta nt H ea Ith Di rector a nd Tam m i M a so n, Sen i o r Department Assistant Anyone wis hi n g to I isten to the rn eeti ng ca n cl o so via Live B road east (Brewste r Gove rn m e ri t TV C h a n n e 118) o r b y Livestrea m at www.livestrearn.brewster-ma- or by video recording (www.tv.brewster-ma.gov) 1. Call to Order The meeting was called to order at 5:00PM. 2. Chairman's announcements Because this is an emergency meeting, it w1i I I be run a bit differently. Attendees that would like to speak, please use the 'raise your hand' button. 3. Discussio n and possib I e vote to revo ke, mod ify o r extend mas k m a n d ate i n a] I municill pal b u i Id I ngs Mrs. von Hone stated that on December 15, 2021, the Board of Health made a mandatory mask mandate for all municipal building and vehicles. On January 29, 2022, the Board extended that mask mandate to March 2, 2022. On February 9, 2022, the Department of Early Childhood Education issued a memo that their mask mandate would end on February 28 1h The Town did seek an opinion from Town Counsel to make sure that the Town did have legal authority to enforce the mask mandate in the schools. They did state that the Town did lin fact have authority to enforce a mask mandate in the schools. Mrs. von Hone also -stated that she has also been consulting with Mary Ellen Reed, Nurse Supervisor for the Nauset School System and was asked to hold an emergency meeting with regards to the mask mandate. Motion. Revoke the mask mandate effective immediately Motion:JoeFord Second. Kimberley Crocker Pearson Vote: Jeannie Kampas —yes Action: Motion carried Joe Ford —yes Kimberley Crocker Pearson — yes Penny Holeman —yes Meeting adjourned at 5!22PM N.-\Health\frorn Shari\MSWORK FOLDERS\MEFTINGS\BOH\Feb2322m.doc Town of Brewster 2198 MAIN STREET BRFWSTER, MASSACHUSETTS 02631-1898 PHONE: 508.896.3701 EXT. I120 FAX. 508.896.4538 brhea1 th@brewstor-ma_gov W W W.BRE W STER-MA.GOV Board of Health Meeting Wednesday, March 2, 2022, at 7:00 PM Remote Meeting Health Department Amy L. von Hone, R.S., C.H.O. Director Sherrie McCullough, R.S. Assistant Director Tammi Mason Senior Department Assistant Board members attending remotely: Penny Holeman, MPH, MA, MS, Chair; Jeannie Kampas, Vice Chair; Joe Ford and Kimberley Crocker Pearson, MS, MD, MPH Board members absent: Annette Graczewski Others attending remotely: Sherrie McCullough, R.S., Assistant Health Director, Tammi Mason, Senior Department Assistant, John O'Reilly, J.M. O'Reilly & Associates and Shayna Giampietro, Practice Manager for Brewster Veterinary Hospital Anyone wishing to listen to the meeting can do so via Live Broadcast (Brewster Government TV Channel 18) or by Livestream at www.livestream.brewster-ma. ov or by video recording www.tv.brewster-ma. ov) 1. Call to Order Meeting was called to order at TOOPM 2. Chairman's announcements Free Covid-19 vaccination clinics and PCR clinics continue to be offered on the Cape. They are scheduled 1n Barnstable, Hyannis, Fa [mouth, and Provincetown. Please visit the Barnstable County Department of Health & Environment for specific details and to make appointments. Four free Covid-19 test kits can be ordered through the United States Postal Service. Visit the Barnstable County Department of Public Health and Environment website to easily access a link. On February 23`d, the Massachusetts Department of Public Health {DPH} today reminded residents that free treatment options are available that can be used to prevent severe illness and hospitalization from Covid-19, Several treatments, including monoclonal antibody infusions and oral therapeutics, are widely available across the Commonwealth. Treatment is available for people who are at increased risk of severe disease, test positive for Covid-19 and have symptoms, even mild ones (such as runny nose or cough). Residents who think they may be eligible and have questions on whether treatment is right for them, should contact their medical provider or call the Covid-19 Self -Referral Treatment Line aperated by Gotham's. The Gotha m's call line is a free resource that can help refer individuals to sites for monoclonal antibody treatments. The number is (508)213-1380. These treatments options have been authorized by the FDA for the treatment of Covid-19 in individuals ages twelve and over who are at higher risk for severe Covid-19 illness. There are five treatment options in Massachusetts, and two must be taken within the first 5 days of your first Covid-19 symptom. N:\Health\from Shari\MSWORK FOLD ERS\MEETINGS\BOH\March222m.doc BOH 3/2/22 Minutes Page 2 If anyone would like to be added to the email distribution list to receive Board of Health agendas, please contact the Health Department at {548}896-3701 ext. 1120. 3. Citizen's forum None 4. Covid Update Mrs. McCullough stated that the number of positive cases has been steadily decreasing. Testing, vaccination, and booster sites have also seen a drop in the numbers. For the week of February 6 — 12th, there were a total of eleven cases. The week of February 13 -19th, there was a total of nineteen cases. The week of February 20 -26th, there were seven cases. The Town mask mandate was rescinded at an emergency Board of Health meeting on February 26, 2022. It was effective immediately. The Nauset School District also changed to "mask optional." There were varying dates of effect because there are several Towns.. On March 5, 2022, the Town will be handing out Covid home test kits at the Captain's Golf Course from 10-2:30PM. Proof of residency will be required, and each household will get two kits (which is 4 tests). More information can be found on the Town's website. 5. J.M. O'Reilly & Associates Inc. — Title 5 and Local variance requests for 56 Underpass Road John O'Reilly, J.M. O'Reilly & Associates and Shayna Giampietro, Practice Manager from Brewster Veterinary Hospital were present remotely. Mr. O'Reilly stated that they are asking far the foIlowing.varia nces: 1. To allow the proposed system to be 60" below grade 2. To allow the SAS to be 61' from bordering vegetative wetland/isolate wetland Mr. O'Reilly stated that this system is currently in failure and the owners are pumping on a routine basis to make sure there is no overflow of the septic. In sizing the system, it was based on the square footage of the building as office space. Also included was square footage for potential additions, which are not considered "additional flow" or expansion of use. The design will be 500 gallons per day. There will be a 1500 - gallon tank, a 1000 -gallon secondary tank, a d -box and a leaching galley that will be 46' long, 13' wide and 2' deep. There is a large old bog on the south and west side and a smaller one on the north side. The SAS is proposed to be 62' away from the north side bog. Although not necessary, nitrogen calculations were done and were less than 5PPM. Dr. Pearson asked if they would be doing any pesticide dips on the animals. Ms. Giampietro stated that no grooming is done there, so no pesticide dips. Motion: Approve the variances as requested. Motion: Joe Ford Second: Kimberley Crocker Pearson Vote: Joe Ford -- yes Action: Motion carried Kimberley Crocker Pearson --yes Jeannie Kampas—yes Penny Holeman —yes N:\Health\from Shari\MSWORK FOLDERS\MEETINGS\BOH\March222m.doc BOH 3/2/22 Minutes Page 3 6. Open Meeting Law Complaint - William Jennings -- February 16, 2022, meeting -- discussion of complaint and possible note authorize response thereto Motion: Vote to acknowledge the Open Meeting Law complaint and to authorize Town Counsel to respond. Motion: Joe Ford Second: Kimberley Crocker Pearson Vote: Joe Ford - yes Action: Motion carried Kimberley Cracker Pearson -yes Jeannie Kampas-yes Penny Hal eman -yes 7. Discuss holding in person/hybrid meetings Mr. Ford asked that this be placed on the agenda. He would like to see the Board go back to meeting in person. Mrs. McCullough stated that the Selectboard would be meeting to discuss this policy on March 7th. 8. Consent agenda a. 120 Run Hill Road - Leaching Facility Setback Regulation variance Motion: Approve the consent agenda Motion: Joe Ford Second: Kimberley Crocker Pearson Vote: Joe Ford -yes Action: Motion carried Kimberley Crocker Pearson - yes Jeannie Kampas -yes Penny Hal eman -yes 9. Liaison Reports Dr. Pearson stated that the Water Quality Review Corn mittee meeting had been cancelled and she did not have anything to report. 10. Matters not anticipated by the Chair Nothing. 11. Items for next agenda Mr. Ford mentioned that the Selectboard will be discussion re opening Town Hall on Monday and Friday's. 12. Next meeting: March 16, 2022 Noted Informational items were noted. Meeting adjourned at 7:31 PM *Accompanying documents in packet: Agenda, COVID update information, Variance request information for 55 Underpass Road, Information items N:\Health\from 5hari\MSINORK FOLDERS\MEETINGS\BOH\March222m.doc 4/17.4/23 d 4/3-4/9 d' d' 3/21-3/26 LO �t 3/6-3/12 H 2/20-2/26 O N 2/6.2/12 n M cc 1/23-1/29 00 m 1/9-1/15 a � 12/26-1/1 n 12/12-12/18 N 11128-12/4 Q M 11114-11/20 � O7 m ].0131-11/6 Ln --- - - - --- Ln 10/1740/23 - Ln Ln 1013-10/9 01) m L a) 9/19.9/25 r 71 I m 9/5-9/11 - 8122-8128 m [1� cz rn 7125-7131 Ln m �. 7/11-7/17m Q 6/27-7/3 n. -00 ...... _... . m i 5 �. 5/30.6/22 m m u m 512-5/8 SIi -u-i 4/18=4/24 .- .- H .� 3121-3127 - - 3f7-3/13 _.. .- LF) 2121-2/2700 .- • O 2/1-2113 is Q� tN 1/24-1/30 48- F- ❑_ rVp 12/27-1/2 m 12/27.1/2 - .. .. fin. .. 12/13-12119 o rV. N40 11/2s-1z/s � �n 11/15-11/21 r -t 1111-1117 H 10/18-10/24 0 4-» m 10/4-10110 o 9/20-9/26 0 9/6-9/12 - N O 4 8T23 829 U v v08/9.8/15 dp N 7/26.8/1. _ n N 7/12-7/18 [{} C:,6/28-7/4 7 0 CJ o 6/14-6/20 O N 5/31-6/6 O H 5/17-5/23 O m 0 5/3-5/9 Ln 4/19-4125 4/5-4/11 r-1 3/22-3128 0 0 ry fD o o 00 0 io 0 0 nr 0 Vi Ln Ln aLr)� _ M o N 4 1 >' Ln m r14F � i T Ln,�• - T CU �rLj -'gym M N Q o �' ' a Ln f1 ■ � L L L L L L � � � Pp T 7-' �. T -.T T ..._....Cl) .....-�.. N w o L CP CL w o m n [V CSI cn LD To m 0 rljo .� anCU Q � o �n� jjj U m _ o 0 CL a Q V tkO a ry a v o a a i2i i L L L L L� fo [6 fV [6 m N [O A 7- 7- 7- 7- 7- 7- M rCY)i N C? d' L } '-? � T O 4 O 0 6 O 0 C) O rl N m �t VI iD f, CO 0 9 ❑ 0 m ■ 0 0 orvmwa(nHHo .�N mNo p N 4 N DO m ul �G H o m00.1m rn N °Q H",'ILmi o m m m N m oo m r! ri H N N O H N r, n C4 Y1 n O1 ri C!i N N �tl' N N N O W I� Cr00 ' H H1 00 ri N N 11 O N w a n m 't n n cccoO o d m v a oo ca oo n H H H W m m 0 H co n W n tl1 n M r l N N N Lo N 00 00 M n ��pp pp ri r! 4 5 7 � C � a � m m ti Ln m rn m a in oms�nmM"'al H N q p N In j y � � 6 c y L in ct n i.n m , � o H N N H o H QI n Wm 61 N W .� 00 N d' dl N m A Ln m . -i ri rvi ti m to m m m 't y a INl a Q7 n L; N H 0 m V �mm��mmmm� COASTAL engineering co. TECHNICAL SERVICES 260 Cranberry Highway Orleans, MA 02653 508.255.6511 P 508.255.6700 F Orleans I Sandwich I Nantucket co astalengineeringcompa ny.com To: Jacquelyn Linehan, Property Mgr. date: King's Landing Apartments via: 1200 South State Street Brewster, MA 02631 Subject: King's Landing Apartments 3 State Street Brewster, MA Permit #934-1 T Av_ S-NT T T A L 04/14/2022 Project No. W1314007.00 ®1st Class Mail ❑Pick up ❑Certified ❑Fed Ex ❑Plans ❑Copy of Letter ❑Specifications Mather We are sending the following items: Copies Date No. Description 1 0312022 934-1 Daily Log Sheet 1 03/302022 934-1 Monthly Discharge Report w/Laboratory Test Results 1 03/09/2022 934-1 Quarterly 6 Monthly Monitoring Well Report {Field-tested Data 1 04/14/2022 934-1 e0EP Electronic Receipt These are transmitted as checked below: ❑for approval ®for your use ®as requested ❑for review 6 comment ❑ Remarks: Fnclosed are the recent reporting forms for the wastewater treatment facility at the above -referenced locatlon. Monthly system test results indicate high levels of Total Nitrogen that exceed the upper discharge limit due to elevated levels of TKN. Monthly system test results also indicate high levels of Boo and Total Suspended Solids, 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 10,913 gpd. If you have any questions regarding this report or the WWTF, please do not hesitate to contact us. cc: Brewster Board of Health By: Chad A. Simmons, WWTPO CC Commission Horsley Witten Group, Inc. AquaPoint.3 LLC NOTE: if enclosures are not as noted, please contact us at (508) 255-6511 D,100C\W�WBR\007WILE Copr1TRANSMMAr [MARCH 2O22].aoc Orleans I sandwich I Nantucket Massachusetts Department of Environmental Protection 934 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number v Groundwater Permit 2. Tax identification Number DAILY LOG SHEET 2022 MAR DAILY 3. Sampling Month & Frequency C. Daily Readings/Analysis Information Date Effluent Reuse Irrigation Turbidity Influent pH Effluent Chlorine IN Flow GPD Flow GPD Flow GPD pH Residual Intensity (Mg/1) (°Io) 1 1 0,836 7.11 7.51 2 10 _ _ ,179 J� T.ii 7.39 �J 3 10,319 �m 7.20 7.43 4 10,370 I� !� 7.14 7.40 $ 10,641 F:=] 6 1111,643 7 12,408 7.22 7.38 8 9,962 7.25 7.43 9 1'1,588 � � � 7.20 7.51 10 19,997 7.28 7.53 11 11,020 12 13 10,873 1�J 14 10,978 7.35 7.49 15 9,819 7.17 7.21 16 11,37 1 7.24 7.36 17 .10,746 � 7.30 7.27 18 10,944 7.16 7.30 19 1.9,844 L { 20 11,145 �J 21 10,119 7.39 7.36 22 10,306 � 7.30 7.33 23 12,496 7.17 7.30 24 9,767 !� 7.14 7.34 10,351 25 7.29 7.45 26 9,566 27 10,110 _ 28 10,172 7.25 7.40 �J 29 9,638 �J 7.22 7.38 30 9,197 7.17 7.42 31 17.29 7.40 gdpols.doc • rev. 09115/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection. g34 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit f I 2. Tax identification Number DISCHARGE MONITORING REPORT 2022 MAR 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 550 35 � 12 MGlL Tss 1460 45 20 MG1- TOTAL SOLIDS 1200 MGIL AMMONIA -N 127.5 MG1L NITRATE -N 0.22 o.10 MGA - TOTAL NITROGEN(NO3+NO2+TKN) 31.60 0.050 MGL OIL & GREASE ND J 1.0 MG& infeffrp-blank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 HA A N A L Y T I C A L ANALYTICAL REPORT Lab Number: L2212297 Client: ATTN: Phone Project Name: Project Number: Report Date: Coastal Engineering Company 260 Cranberry Highway Route 6A Orleans, MA 0265, Chad Simmons (508) 255-6511 KINGS LANDING P WBR007.00 03/23/22 Serial No:03232210:13 The original project repo rUdata package is held by Alpha Analytical. This report/data package is paginated and should be reproduced anly in its entirety. Alpha Analytical holds no responsibility for results and/or data that are riot consistent with the original. Certifications & Approvals; MA (M-MA086), NH NELAP (2064), CT (PH -6574), IL (206677), ME (MA6D086), MD (348), NJ (MA935), NY (11148), NC (25700/666), PA (68.03671), RI (LA000065), TX (T 10470 4476), 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.a[phalab.com Page 1 of 18 Serial No:03232210:13 Project Name: KINGS LANDING BREWSTER Lab Number: L2212297 Project Number: WBR007.00 Report Date: 43/23/22 SAMPLE RESULTS Lab ID: L.2212297-01 Date Collected: . 03/09/22 09:30 Client ID: HW -1 Hate Received: 03/09/22 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 Analyst General Chemistry - Westborough Lab Nitrogen, Nitrite ND mgii 0.050 1 03/10/22 10:59 44,353.2 ................. MR -�. _...__.....--......_...._ Nitrog—en, Nitrate ....._..._..._............ -._...... ._...............m_—. 0.93 mga ........ 0.10 - 1 _...._------- --- ............. 03110+22 10:59 44,353.2 MR Nitrogen, Total Kjeldahl __ _ 0.346 mgA _ 0.300 - 1 03/17/2200:30 03/17/2221;30 12-1,4500111-13-H AT ............ ......._....... _...... .. Phosphorus, Total _ 4.68 -m9A 0.250 - 25 0311812211:40 0311912209:45 121,4500P -E SD Phosoh rUs' ,l7rt hosphate 0.007 mgli 0.005 i 0311012201:29 121,4500P -E KA HA Page 5 of 18 Project Name: KINGS LANDING BREWSTER Project dumber: WBR007.00 SAMPLE RESULTS Lab ID: L2212297-02 Client I D: HW -2 Sample Location: 3 STATE ROAD, BREWSTER, MA Sample Depth: Matrix: Water Parameter Result Qualifier Units RL General Chemistry - Westborough Lab Serial No:03232210:13 Lab Number: L2212297 Report Date: 03/23/22 Date Collected: 03/09122 09:45 Date Received: 03/09/22 Field Prep: Not Specified Dilution Date Date Analytical MDL Factor Prepared Analyzed Method Analyst Nitrogen, Nitrite ND mgll 0.050 1 03/10/22 11:06 44,353.2 MR Nitrogen, Nitrate 21. mg1l 0.50 5 - 03/10/22 11:21 44,353.2 MR Nitrogen, Total Kjeldahl ND mg/1 0.300 1 93/17/22 00:30 03/17/22 21:31 121,4500NH3-N AT Phosphorus, Total 0,553 mgll 9.100 10 03/18/22 11:00 93/19/22 09:46 121,4500P -E SD Phosphorus, Orthophosphate 0.058 mgA 0.005 ........... 1 ................... - 03/10/22 01:30 ................ . 121,4500P -E KA Page 6 of 18 Serial No:03232210:13 Project Name: KINGS LANDING BREWSTER Lab Number: L2212297 Project Number: WBR007.00 Report date: 03/23/22 SAMPLE RESULTS Lab I D: L2212297-03 Date Collected: 03/09/22 10:00 Client ID: HW -3 Date Received: 03/09/22 Sample Location: 3 STATE ROAD, BREWSTER, MA Field Prep: Not Specified Sample Depth: Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL 9ADL Factor Prepared Analyzed Method Analyst General Chemistry - Westborough Lab Nitrogen, Nitrite ND mgA 0.050 1 - 03/10/22 91:11 44,353.2 ..... MR -......-.. ....... _....... _...__ Nitrogen, Nitrate ........ _.............. ._.................. -1.6 ....... --............ ..-._.................... mgA 0.10 ........ - 1 ...... ._..... ......_......... -..--_....... - 03/10/22 11:1.1 44,353.? MR Nitrogen, Total Kjeldahl --0.391 mgA 0.300 - - 1 03/17/22 09:30 03/17/22 21:32 121,450ONH3-H AT Phosphorus,Total 0.325 mglt 0.0i0 - 1 0311812211:00 0311912209:47 121,4500P -E SD .... - ......- -- - - - ---- --- Phosphorus,Orthophosphate _._- - -..... _-._._........ Np . ......... ..._.-...-...... mgll - _ 0.005 _..... _ ........ - - 1 ...... - .. . _...... 0311012201:30 121,4500P E KA Page 7 of 18 N N co CV C3 1p0 Z I C17 I , =911 Q L7 Z ❑ M ❑ ❑ � b V ❑ CL a 4 � IL ❑ ❑ I� ❑ a�7 t? 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Tax identification Number MONITORING WELL DATA REPORT 2022 MAR 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 ■ pRY.= Not enough water in well to sample. Parameter/Contaminant HSN -1 HW -2 HW -3 HW -4 Units Well #: 1 Well #: 2 Well #:.3. Well #: 4 PH 5.78 6.23 5.8 [ DRY S'U. STATIC WATER LEVEL 24.73 21.76 j 22.00 j I DRY FEET SPECIFIC CONDUCTANCE 180 27Q 400 1 DRY UMHOSIC Well #: 5 Well #: 6 C mwdgwp-blank.doc • rev. 09/15115 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater discharge Program Groundwater Permit MONITORING WELL DATA REPORT C. Contaminant Analysis Information 934 1. Permit Number Z Tax identification Number 2022 QUARTERLY 1 3. Sampling Month & Frequency • For "0", below detection limit, less than (<) value, or not detected, enter "ND" • TNTC = too numerous to count. (Fecal results only) • NS = Not Sampled • DRY = Not enough water in well to sample. Parameter/Contaminant HW -1 HW -2 HW3 HW -4 Units Well #: 'I Well #: 2 Well #: 3 Well #: 4 NITRATE -N p.g321 1.6 DRY MGIL TOTAL NrrROGEN(NO3+NO2+TF[ 1.28 211.99 DRY MGIL TOTAL PHOSPHORUS AS P 4.f78 F553 0.32 DRY MGIL ORTHO PHOSPHATE p,p07 0.058 ND ❑RY MGIL Well #: 5 0 Well #: 6 mwdgwp-blank.doc - rev. 09/15/15 Monitoring Well Data for Groundwater Permit - Page 1 of 1 ■ ATMA LYTF CA L ANALYTICAL REPORT Lab Number: L2216390 Client: Coastal Engineering Company 260 Cranberry Highway Route 6A Orleans, MA 02653 ATTN: Chad Simmons Phone: (508)255-6511 Project Name: KINGS LANDING BREWSTER Project Number: WBR007.00 Report Date: 04/12/22 Serial No:04122218:35 The original project report/data package is held by Alpha Analytical. This repoWdata package is paginated and should he reproduced only in its erntlrety. Alpha Analytical holds no responsibility far results and/or data that are not consistent with the original. Certifications & Approvals: MA (WPAA086), NH NELAP (2064), CT (PH -0574), IL (200077), ME (MA00086), MD (348), NJ (MA935), NY (11148), NC (257001666), PA (68.03671), RI (LA000065), TX (T104704476), VT (VT -0935), VA (460195), USDA (Permit 0P330-17-00196). Eight Walkup Drive, Westborough, MA 01581-1019 508-898-9220 (Fax) 508-898-9193 800-624-9220 - www.alphalab.com 7\ Page 1 of 20 Project Name: KINGS LANDING BREWSTER Project Number: WBR007.00 SAMPLE RESULTS Lab ID: L2216390-01 Client ID: INFLUENT(COMPOSITE) Sample Location: 3 STATE ROAD, BREWSTER, MA Sample Depth: Matrix: Water Parameter Result Qualifier Units RL General Chemistry - Westborough Lab Serial No:04122218:35 Lab Number: L2216390 Report Date: 04/12/22 Date Collected: 03/30/22 08:00 Date Received: 03/30/22 Field Pre{: Not Specified Dilution Date Date Analytical MOL Factor Prepared Analyzed Method Analyst Solids, Total 1200 mg/1 20 NA 2 04/01/22 08:30 121,25408 DW Solids, Total Suspended 460 mgA 50 NA 10 - 04/04/22 20:00 121,25400 MD Nitrogen, Ammonia 27.5 mgil 0.750 - 10 0410212204:23 04/05/22 19:57 121,4500NH3-13H AT Nitrogen, Total Kjeldahl 39.1 mg/1 1.50 - 5 04/08/22 00:18 04/08/22 20:04 121,4500NH3-H AT BOD, 5 day 550 mg/1 120 NA ............................ 60 03/31/22 22:42 04/05/22 16:55 121,52106 ............ JD ;[T( IHA Page 6 of 20 Serial No:04122218:35 Project name: KINGS LANDING BREWSTER Lab Number: L2216390 Project Number: WBR007.00 Report Date: 04/12122 SAMPLE RESULTS Page 7 of 20 Date Collected: 03/30/22 08:00 Lab ID: L2216390-02. Date Received: 03/30122 Client ID: EFFLUENT(COMPOSITE) Not Specified Sample Location: 3 STATE ROAD, BREWSTER, MA f=ield Prep: Sample Depth: Matrix: Water Dilution Date Date Analytical Result Qualifier units RL MDL Factor Prepared Analyzed Method Analyst parameter General Chemistry - Westborough Lab 04104/22 20:00 121,2540D MD Solids, Total Suspended 45. mg/l _ .�. 20 NA 4 __........... _ 4410512219:58 121,450DNH3-BH A -..........................---..-_._._........................... Nitrogen, Ammonia _._._... _.�.-_�. ... _1-9.1 mgA 0.750 - -- 10 04/02/22 04:23 03131/22 08:07 44,353.2 KA Nitrogen, Nitrite 0.078 _ mgr! - ... - 0.050 --.. . 1 - 0313112208:07 44,353.2 KA ----...... .............------...........-._.._......._.... Nitrogen, Nitrate 0.22 _ ... ............... . ............ mg/l _.._ .........- . -. mgll 0. 1 - --5 - - ...._ --•....-- -....- ..... _........._... 04/0812200'.18 04108/2220.05 121,4500NH3-H - ....... --.... A Nitrogen, Total Kjeldahl 31.3 mgR ..........__..�.._...__� 12 ....... NA 6 03!31122 22:42 04/05/221 E:55 121,521 D R JD BOD, 5 day 35. Page 7 of 20 Project Name: KINGS LANDING BREWSTER Project Number: WBR007,00 SAMPLE RESULTS Lab ID: L2216390-03 Client ID: POST EQ(GRAB) Sample Location: 3 STATE ROAD, BREWSTER, MA Sample Depth: Matrix: Water Parameter Result Qualifier Units RL General Chemistry - Westborough Lab Nitrogen, Nitrate 2.6 mgil 0.10 Nitrogen, Total Kjeldahl 31.4 mgli 1.50 Page 8 of 20 Serial No:04122218:35 Lab Number: L2216390 Report Date: 04/12/22 Date Collected: 03/30/22 08:15 Date Received: 03130/22 Feld Prep: Not Specified Dilution Date Date Analytical MDL Factor Prepared Analyzed Method Analyst I - 03/31/22 08;09 44,353.2 KA 5 04/09/22 01:39 04/11/22 20:01 121,450ONH3-H AT 11 PHA I €Fu 7 . -E FF aIsyy�pNp __ - _ _ -� W d � Li❑❑❑❑0D SC 5 u p r SEs ❑� -JLLl ❑ - © Ll � c. ■ t ❑ ® ❑ ❑ 4 EJa _ o ILI } 4 � 1} ff ❑❑❑❑❑�❑❑❑❑❑ 1 {❑❑ p r. a F EDM V � ❑❑❑®❑i❑�❑ 1 1 � IYJLY Li� ® ❑ 7�{�{� MMEJP❑❑ J- gry ' orr `nay ❑ ❑ M ❑ ❑ ❑ I0' i❑ , €[f S3 m �. Gel N❑0❑❑ ❑❑❑ILl El CO3 F-1 Q m 0 ri � ' ra a r i� � m CP w �. Q a 9n w Q ' 10 LU `F a 'a. U yr o 2, N {p [@ 3 ■ momm: is .Y d' .47.. Ai CI eq �y c3 P e.q CL tL d a ¢ LL 0 ��.',yy' •. QL LU. v fir#• c� 8r 4 8 O o W z � r� 0 b. 4lR V� R n. Ld � }' CL c3 ra N 9 4.3 97 4/14J22.10:53 AM MassDEP's Onllne Filing System 1 1 4 F-* i IReceipt Summary/Receipt eDEP - MasSDEP's OnlineFiiing System MassDFP Home i Contacd l Privacy Policy Lame: COASTSDMR Nickname: COASTAL2fi0 - --- .. _. - ti • .... - Forms Signature Receipt 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 ID: 1363738 Date and Time Submitted: 4/1412022 10:50:29 AM Other Email : DEP Transaction ID: 1363738 Date and Time Submitted: 4/14/2022 10:50:29 AM Other Email : DEP Transaction ID: 1363738 Date and Time Submitted: 4/14/2022 10:50:29 AM Other Email: DEP Transaction ID: 1363738 Date and Time Submitted: 411412022 10:50:29 AM Other Email : DEP Transaction ID: 1363738 Date and Time Submitted: 411412022 10:50:29 AM Other Email : Form Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 352432096 location: 3 STATE STREET Address: BREWSTER ZIP: 02631 Daily Log Sheet(2022 MAR DAILY) Form Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 352432096 location: 3 STATE STREET Address: BREWSTER ZIP: 02631 print receipt Exit https:/Iedep-dep.mass.gov/eDEPIPages)PdntRacelpt.aspx 112 Massachusetts Department of Environmental Protection I 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: 1362437 Document: Groundwater Discharge Monitoring Report Forms Size of File: 1025.97K Status of Transaction: submitted Date and Time Created: 412112022:11:56:21 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. Massachusetts Department of Environmental Protection 1599 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax Identification Number DISCHARGE MONITORING REPORT 2022 MAR MONTHLY 3. Sampling Month & Frequency A. Facility Information Important:When filling out forms on 1. Facility name, address: the computer, use 1,9ERENITY 13REWSTER WWTF only the tab key to a. Name move your cursor - 873 HARWICH ROAD do not use the return key. b. Street Address BREWSTER MA 42539 C. City d- State e- Zip Code 2. Contact information: reran DAVID FELDMAN a. Name of Facility Contact Person 7817079527 dfeldman@wingatehealthcare.com b. Telephone Number c. e-mail address 3. Sampling information: 3/25/2022 WH ITEWATER a. Date Sampled (mmlddlyyyy) b. Laboratory Name NICOLE SKYLESON c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Discharge Monitoring Report - 2022 Mar Monthly 11 All forms for submittal have been completed. 2. F This is the last selection. 3. F Delete the selected form. gdpols 2015-09-15.doc • rev. 09/151/5 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection 1599 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number L71,,, Groundwater Permit 2. Tax identification Number DISCHARGE MONITORING REPORT 2022 MAR 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. ParameterlContaminant 2. influent 3. Effluent 4. Effluent Method Units Detection limlIt BOD j21 [No MaIL .3.0 TSS j 18 2.0 12.0 MG(L TOTAL SOLIDS 860 I�1GiL AMMONIA -N 1().47 MG+L NITRATE -N 7.4 Malt TOTAL NITROGEN(NO3+NO2+TKN) 7,g - p,50 MGIL OIL & GREASE IND 10.50 MGL infeffrp-blank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 Ll Important:When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. rib :] IL AV rew Aj Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater discharge Program Groundwater Permit DAILY LOG SHEET A. Facility Information 1. Facility name, address: SERENITY BREWSTER WWTF a. Name 873 HARWICH ROAD b. Street Address BREWSTER IMA r, City d- State 2. Contact information: 1. Permit Number 2. Tax identification Number 2022 MAR QAILY 3. Sampling Month & Frequency 102531 e- Zip Code JDAVID FELDMAN a. Name of Facility Contact Person 7817079527 dfeldman@wingatehealthcare.com b. Telephone Number c. e-mail address 3. Sampling information: X313112022 a. Date Sampled (mmlddlyyyy) DOUG MURPHY e. Analysis Performed By (Name) B. Form Selection WHITEWATER b. Laboratory Name 1. Please select Forth Type and Sampling Month & Frequency J Daily Log Sheet - 2022 Mar Daily r- All forms for submittal have been completed. 2. r This is the last selection. 3. r Delete the selected form. If gdpols 2015-09-15-doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection ,599 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number DAILY LOG SHEET 2D22 MAR DAILYLAI J 3. Sampling Month & Frequency C. Daily Readings/Analysis Infoirmation 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 Effluent Reuse Irrigation Turbidity Influent pH Effluent Chlorine UV Flow GPD Flow GPD Flow GPD pH Residual Intensity (mg/1) (0/0 gdpols.doc • rev. 09/15/15 Groundwater Permit Daily Lag Sheet • Page 1 of 1 Important:When filling out forms an the computer, use only the tab key to move your cursor - do not use the return key. r� mvfl 6N Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT A. Facility Information 1, Facility name, address: SERENITY BREWSTER WWTF a. Name 873 HARWICH ROAD b. Street Address JBREWSTER r. City 2. Contact information: 599 1. Permit Number 2. Tax identification Number 2022 MAR MONTHLY 3. Sampling Month & Frequency MA 102631 I State e. Zip Code JDAVI❑ FELDMAN a. Name of Facility Contact Pelson 7817079527 ldfeldrnan@wingatehealthcare.com b. Telephone Nu7tof c. e-mail address 3. Sampling information: 3/9/2022 1WHITEWATFR a, Date Sampled (mmlddlyyyy) b. Laboratory Name DOUG MURPHY c. Analysis Performed By [Name] B. Farm Selection 1. Please select Form Type and Sampling Month & Frequency Monitoring Well Data Report - 2022 Mar Monthly T- All forms for submittal have been completed. 2. r- This is the last selection. 3.- Delete the selected forth. gdpols 2015-09-15.doc • rev. 09/15115 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection 599 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit L] 1 2, Tax identification Number MONITORING WELL DATA REPORT 2022 MAR 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. ParameterlContamin ant MWf MW2 MW3 MW4 Units Well #: 1 Well 9: 2 Well 4: 3 Well #: 4 Well #: 5 Well #: 6 PH 6_5� 6;A 6.7 16.6 S.U. STATIC WATER LEVEL 58.66 58.73 51.51 29.81 FE17 SPECIFIC CONDUCTANCE 325 222 367 j 188 UMHOSrC mwdgwp-blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Important:When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. Any person signing a document under 314 CMR 5.14(l) or (2) shall make the following certification If you are fNing electronic -ally and want to attach additional comments, select the check box. r Massachusetts Department of Environmental Protection f [-- - Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number Information ISERENITY BREWSTER WWTE a. dame 873 HARWICH ROAD b. Street Address BREWSTER c. City INA 102631 d. State e, Zip Code 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 veho 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 passibility of fine and imprisonment for knowing violations." ELIZABETH BELAIR 14/21/2022 a. S}gnature b. pate (mmlddlyyyy) gdpols 2415-09-15.doc • rev. 49/15/15 Groundwater Permit • Page 1 of 1