ࡱ> M \bjbj== "WWBl&&&&&&&:BBB8CC:ijEVG"HHHHHHbididididididi$Mk mmi&HHHHHi"R&&HHi"R"R"RHJ&H&Hbi"RHbi"R "R\:Fa,&&aH~E }j:@BLJnra ai0i|aR-nOh-na"R::&&&&Index for the Department of Public Works Instructions Department of Public Works Home Page Pg 2 Cemetery Operations & Maintenance Page - Pg 3 Cemetery Operations & Maintenance (Regulations) Page - Pg 4 7) Cemetery Planting Form (Pg 8) should have the following information Trash &Recycling Page - Pg 9 Residential Drop off Trash & Recycling Pg 10 & 11 Transfer Station Oak Bluffs - Pg 12 Roads, Sidewalks & Basins - Pg 13 Report a Drainage Problem (Form) Pg 14 Report a Sidewalk Problem Pg 15 Report a Town Road Problem - Pg 16 Request a Road Cut Permit Pg 17 &18 Parks & Recreation Services - Pg 19 Contract & Procurement Services - Pg 20 Tree Warden Services Pg 21 Form for Shade Tree Trimming or Removal - Pg 22 Sewerage Operations - Pg 23 Sewerage Regulations Pg 24 - 32 Sewage Connection Permit Pg 33 - 34 DEPARTMENT OF PUBLIC WORKS HOME PAGE Pg 2 The Department of Public Works is divided into the following sections. These links should appear on the Home page of the DPW portion of the site. Each category is a subdepartment of the DPW and should have its own home page under the DPW umbrella. Therefore, each of these links should link to its corresponding sub-site  HYPERLINK "http://tisburygov.org/content/126/484/505/139.aspx" Cemetary Operations & Maintenance HYPERLINK "http://tisburygov.org/content/126/484/508/148.aspx" Trash & Recycling  HYPERLINK "http://tisburygov.org/content/126/484/511/156.aspx" Roads, Sidewalks & Basins HYPERLINK "http://tisburygov.org/content/126/484/514/165.aspx" Parks & Recreation  HYPERLINK "http://tisburygov.org/content/126/484/517/183.aspx" Contract Procurement HYPERLINK "http://tisburygov.org/content/126/484/520/186.aspx" Tree Warden HYPERLINK "http://tisburygov.org/content/126/484/523/189.aspx" Sewerage Operations The Homepage should also have the following information Town of Tisbury Department of Public Works  HYPERLINK "http://tisburygov.org/content/126/484/505/139.aspx" Cemetary Operations & Maintenance HYPERLINK "http://tisburygov.org/content/126/484/508/148.aspx" Trash & Recycling  HYPERLINK "http://tisburygov.org/content/126/484/511/156.aspx" Roads, Sidewalks & Basins HYPERLINK "http://tisburygov.org/content/126/484/514/165.aspx" Parks & Recreation  HYPERLINK "http://tisburygov.org/content/126/484/517/183.aspx" Contract Procurement HYPERLINK "http://tisburygov.org/content/126/484/520/186.aspx" Tree Warden HYPERLINK "http://tisburygov.org/content/126/484/523/189.aspx" Sewerage Operations The Tisbury Department of Public Works is a service organization, operating under the direction of an elected board of five Public Works Commissioners, and is responsible for providing essential services to the Town's citizens and for maintaining the Town's infrastructure. Essential services include Town road maintenance, sewage plant operations, trash and recycling services for residents, cemetery services, lifeguard services, park scheduling services and a summer recreation program. Board Members: Fred Thifault, Chairman Leo De Sorcy Arthur Dickson David Ferraguzzi John Thayer ******* ***** ***** Office Hours: 8:30 AM - 4:30 PM, Mon. - Fri. excl. Holidays Location: 115 Highpoint Lane, Vineyard Haven, Ma. (Directions; From downtown Vineyard Haven, proceed up State Road until you reach the Mini-Golf ; Turn left at the next road and proceed to the top of the hill; Turn left at the top of the hill and proceed to the end of the road) Mailing Address: P.O. Box 4268, Vineyard Haven, Ma. 02568 Telephone: (508) 696-4220 Emergency Telephone: (508) 693-1212 Fax: (508) 696-4221 Email:  HYPERLINK "mailto:dpw@ci.tisbury.ma.us" dpw@ci.tisbury.ma.us Meetings: 2nd & 4th Mondays at 7PM, except holidays Contact: Fred LaPiania, DPW Director CEMETARY OPERATIONS & MAINTENANCE PAGE - Pg 3 The Cemetery operations and Maintenance page should have the following links and information. Tisbury Department of Public Works Cemetery Services  HYPERLINK "http://tisburygov.org/content/126/484/505/140.aspx" Regulations HYPERLINK "http://tisburygov.org/content/126/484/505/146.aspx" Cemetery Planting Permit Form******* ***** ***** The Tisbury Department of Public Works manages Town Cemetery Services which include cemetery plot transactions and cemetery maintenance. *** Office Hours: 8:30 AM - 4:30 PM, Mon. - Fri. excl. Holidays Location: 115 Highpoint Lane, Vineyard Haven, Ma. (Directions; From downtown Vineyard Haven, proceed up State Road until you reach the Mini-Golf ; Turn left at the next road and proceed to the top of the hill; Turn left at the top of the hill and proceed to the end of the road) Mailing Address: P.O. Box 4268, Vineyard Haven, Ma. 02568 Telephone: (508) 696-4220 Emergency Telephone: (508) 693-1212 Fax: (508) 696-4221 Email:  HYPERLINK "mailto:dpw@ci.tisbury.ma.us" dpw@ci.tisbury.ma.us Meetings: 2nd & 4th Mondays at 7PM, except holidays Contact: Fred LaPiania, DPW Director CEMETARY OPERATIONS & MAINTENANCE (Regulations - Pg 4 7) The Cemetery Operations and Maintenance Regulations page should have the following information Approved by the Board of Public Works Commissioners, March 11, 1996 Article 21 It was voted that the Town approve the following rules and regulations pertaining to the use and operation of the various cemeteries under the jurisdiction of its Board of Public Works Commissioners, at the Annual Town Meeting held on April 22, 1996, which rules and regulations shall supersede all previous rules and regulations previously adopted by the Town. FORWARD The Charter for the Town of Tisbury that was enacted by the State Senate and House of Representatives on December 4th, 1989 provides that: "There shall be established in the Town of Tisbury, hereinafter, in this act, referred to as the Town, a Department of Public Works under the jurisdiction of a Board of Public Works Commissioners. Said department shall have charge and responsibility of all Public Works operations of the Town, including but not limited to the following: highway, sewer, solid waste collection and disposal, cemetery, park and playground maintenance of all municipal buildings except those under the jurisdiction of the school department, and other operations as may be deemed necessary or desirable. The Board of Public Works Commissioners shall have the power to make all policy decisions relating to the operations of public works throughout the Town." This booklet is designed to inform the public as directly as possible of the rules and regulations that the Board of Public Works Commissioners have developed over the years. The Commissioners encourage the public to comment on its needs and suggestions for improvement. Regular meetings are held to conduct business and the public is always welcome. TOWN OF TISBURY CEMETERY RULES AND REGULATIONS The Board of Public Works Commissioners has set forth the following rules and regulations for the ownership, use and care of burial sites in the Town's cemeteries. The authority to do this is found in Chapter 114 of the Massachusetts General Laws. The Commissioners have the right to layout Town owned cemeteries or land set aside for the use of Town owned cemeteries into lots, and shall set aside a suitable portion as a public burial place for the use of the inhabitants, free of charge. They may sell or convey to any person, resident or NonResident, the exclusive right of burial and of erecting tombs and cenotaphs upon any lot and of ornamenting the same, upon such terms and conditions as prescribed therein. The proceeds of such sales shall be paid into the Town treasuries, be kept separate from other funds, and be appropriated to reimburse the Town for the cost of the land, its care, improvement and embellishment, or the enlargement of the cemetery. Any exceptions to these regulations due to extraordinary circumstances must be applied for by letter to the Board of Public Works Commissioners who will review and approve or disapprove the request and only after a Public Hearing is held and Public comment is received with regard to the requested exception. OWNERSHIP OF LOTS 1. The owner of a lot or grave is limited to interning human dead in that site. The owner also has a limited right to build a monument and plant flowers or shrubs. These limitations are outlined in other sections of these regulations. 2. When a lot is purchased, the owner will be given a deed. The deed will give the owner the rights to use that lot as set forth by the Commissioners. The deed may contain certain specific terms and conditions for use of this lot. Copies of lost deeds may be obtained by contacting the Public Works Office, located at 89 State Road, Vineyard Haven. One full size lot will measure 10 Ft long by 5 Ft Wide. One Cremation Lot will measure 4 Ft long by 4 Ft wide within the Oak Grove Cemetery and 2 Ft Square at the West Chop cemetery. 3. The Commissioners set the price of the lots. All lots must be paid for at the time of sale unless there are extenuating circumstances for which the Commissioners may offer a payment plan to the purchaser. No interments or improvements to a lot may be made by the purchaser of a lot until the lot has been paid for in full. A deed will not be issued to a purchaser until the lot has been paid for in full. The following rates are herein established: Four Grave Full Sized Lots : Resident - $1200 NonResident - $1800 Two Grave Full Sized Lots: Resident - $ 600 NonResident - $ 950 Single Grave Full Sized Lot: Resident - $ 300 NonResident - $ 500 Cremation Lots: Resident - $ 150 NonResident - $ 250 All interments will be arranged by a private licensed Funeral Parlor who is responsible for notifying the Department of Public Works before any interment takes place. 4. The owner of a lot or lots may transfer ownership of that property by deed if such a transfer is approved by the Commissioners. The owner does not have the right to lease the property. No transfer of deed will be permitted which would involve the removal of human remains. 5. In the event of the death of the owner of the lot or grave, title shall pass or descend as provided by the Statutes of Massachusetts in force at that time. The Commissioners will require proof of the rights of ownership to such a grave or lot. 6. Reuse of an occupied grave will not be permitted except: upon the request and with the consent of a relative or descendant of the decedent occupying the grave, providing that no other descendant objects; to provide for the burial of a relative or descendant of the decedent occupying the grave; and if the remains of the decedent occupying the grave will remain in the grave. 7. The Town may take over the ownership of a grave in a cemetery provided that such grave has not been used for a period of fifty years and that ownership thereof cannot be ascertained. If such ownership is ascertained after such taking the Town shall pay the fair value of such grave at the time of the taking to the owner thereof. 8. The Town may take over the ownership of an unoccupied grave after a minimum of seventy five years has elapsed after the issuance of a license for the grave by the Town and that the Town cannot locate the owner or the owner's successor in interest after a diligent search. If the ownership of the license is ascertained after such a taking occurs, then the Town shall pay the fair value of the license at the time of its taking to the owner. 9. The Town will not alienate or appropriate to any other use than that of a burial ground, any tract of land which has been for more than one hundred years used as a burial place; and no portion of such a burial ground shall be taken for public use without special authority from the general court. "Burial Place", as referred to in this section, shall include unmarked burial grounds, known or suspected to contain the remains of one or more American Indian(s). 10. The Town may take charge of an abandoned or neglected burying ground and keep it in good order, but no property rights shall be violated and no body shall be disinterred. CARE OF LOTS 1. The Commissioners are responsible to ensure the general maintenance and upkeep of the cemeteries and the lots within the cemeteries under "perpetual care". Perpetual care means the cutting of grass of the grave or lot at reasonable intervals, raking and cleaning, reseeding or other work that may be necessary to keep the lot or lots in good condition uniformly throughout the cemetery. This care does not include flower or plant maintenance or repairing or replacing of gravestones or other markers unless the Town owns the lot or grave except in the case of damage to stones, shrubs or trees due to acts of nature or vandalism which is included in perpetual care. Perpetual care moneys will be set aside in an account established therefore at a rate of 75% of the cost of the lot. The remaining fee will be transferred to the Town's General Fund to cover the administrative costs of operating the cemetery. 2. The Commissioners may receive gifts or bequests for maintaining cemeteries or cemetery lots, which shall be paid into the Town treasury and, with the accounts thereof, shall be kept separate from the other money and accounts of the Town. The Town shall invest all such funds in accordance with the stipulations, if any, accompanying them; otherwise shall invest them as ordered by the Commissioners and pay the income therefrom upon their order or with their approval. MONUMENTS AND OTHER STRUCTURES 1. Only one monument may be placed per lot. A foundation must be placed under each monument. That foundation and monument may only be placed by a professional which normally provides such a service in the community unless explicitly waived by the Commissioners. Markers may not be set to embrace two or more graves. All markers shall be flush with the ground. No wooden crosses shall be allowed. 2. The Town shall not be liable for damage to monuments or markers. Markers may be of granite, marble or bronze, but the use of limestone, sandstone, cast or cement stone and metals for monuments shall not be allowed. Monuments may be made of native boulders. 3. The owner of the lot has the right to plant flowers around a monument or marker, but does not have the right to plant trees, shrubs, nor other plants on the lot or erect a fence, curbing, hedge or any other landmark without the approval of the Commissioners. The Director of the Department of Public Works has the right to remove any shrub, hedge, root, branch, or flower may be deemed as detrimental to any other lot or lots and may have removed unsightly flowers, old vases and other containers that may be detrimental to the looks of the lot or the cemetery in general. the Town will not be held liable to any owner for the cost of such items. 4. No other structure but markers or monuments may be placed on a lot. 5. The following maximum sizes and may be used for monuments or markers: LOT SIZE MAXIMUM DIMENSION LOT SIZE MAXIMUM DIMENSION One Grave Not Allowed Two Grave 3 Ft x 1 Ft Base Four Grave 5 Ft x 2 Ft Base Six Grave 5 Ft x 2 Ft base Eight Grave 6 Ft x 2 ft Base Markers 2 Ft x 1 Ft 6. Cremation Lots will measure 4 Ft x 4 Ft in the Oak Grove Cemetery. Only two foot by one foot markers may be placed on Cremation Lots flush with the ground at a location approved by the Director of the Department of Public Works and only one marker per lot is allowed. There may be up to four cremated remains interned per full size lot and only one marker per full sized lot allowed, and up to two remains interned per cremation lot. USE OF LOTS 1. No undertaker or other person shall bury or otherwise dispose of a human body, or remove therefrom a human body which has not been buried, or exhume a human body and remove or transfer the body until they have received a permit from the Board of Health or its agent appointed to issue such permits. No such permit shall be issued until there shall have been delivered to such board, agent, or clerk, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of original interment, by a satisfactory certificate of the attending physician. If there is no attending physician, a physician who is a member of the Board of Health or one hired by it shall upon application make the certificate required of the attending physician. The Board of Health after receiving such a certificate will transmit it to the Department of Public Works for registration. 2. No permit for the burial of a deceased veteran, known to be such, shall be issued unless and until an affidavit shall have been filed with the Board of Health by the undertaker or other persons authorized to make such a burial or disposition. A certified copy of the affidavit will be transmitted by the Board of Health to the Veteran's Grave Officer. 3. Upon the burial, removal, or cremation of a body, the Director of the Department of Public Works shall endorse the accompanying permit and shall make and preserve in the files of the cemetery a record of such a burial or interment. GENERAL REGULATIONS 1. All persons walking through the cemeteries must keep on the pathways and not trespass on lots except for gaining access to their own lot. Parents must take full responsibility for their children and not permit them to stand on headstones. 2. Funeral processions may not be interrupted. Other than those attending, no person may be within 200 Ft of the interment ceremony. 3. Noise within the cemetery grounds will be kept to a minimum, except for those pieces of equipment necessary to maintain the grounds or excavate graves. 4. Cemeteries are open from sunrise to one half hour after sunset. 5. The speed limit for vehicles within the cemetery grounds is 5 MPH. 6. Funerals will not be allowed on Sundays, New Year's Day, Memorial Day, Independence Day, Thanksgiving Day, Veteran's Day, or Christmas Day. 7. All burial cases must be sectional concrete or monolithic containers. 8. No open flame will be allowed in the cemetery. Vigil lights must be approved by the Board of Public Works Commissioners. 9. Although Dogs are allowed to be walked on the grounds of the Oak Grove Cemetery, Dog owners must clean up after their dogs and the owners must ensure that dogs do not trespass on any grave. 10. There will be a fifty dollar ($50) fine imposed against individuals found in violation of any of the general regulations. ************************************************************ Cemetery Planting Form (Pg 8) should have the following information TOWN OF TISBURY DEPARTMENT OF PUBLIC WORKS B O X 4 2 6 8, 1 1 5 H I G H P O I N T R O A D V I N E Y A R D H A V E N, M A S S A C H U S E T T S 02568 T E L E P H O N E (508) 696-4220 F A X (508) 696-4221 Use this formfor a "Cemetery Planting Request" Date: _____________ Time: __________ Location of Grave Stone: _________________________________________________ (Lot Number, Road Name) Nature of Planting: _________________________________________________ Name of Owner of Lot: ________________________________________________ Phone Number: ________________________________________________ TRASH & RECYCLING PAGE - Pg 9 should have the following links and information Tisbury Department of Public Works Trash & Recycling Services ResidentialDrop-off Trash & Recycling  HYPERLINK "http://tisburygov.org/content/126/484/508/152.aspx" Directions - Hours of Operation- Information- Fee ScheduleTransfer Station (Oak Bluffs)  HYPERLINK "http://tisburygov.org/content/126/484/508/155.aspx" Schedule******* ***** ***** The Tisbury Department of Public Works provides residential trash and recycling service and the management of a central drop off area. *** Office Hours: 8:30 AM - 4:30 PM, Mon. - Fri. excl. Holidays Location: 115 Highpoint Lane, Vineyard Haven, Ma. (Directions; From downtown Vineyard Haven, proceed up State Road until you reach the Mini-Golf ; Turn left at the next road and proceed to the top of the hill; Turn left at the top of the hill and proceed to the end of the road) Mailing Address: P.O. Box 4268, Vineyard Haven, Ma. 02568 Telephone: (508) 696-4220 Emergency Telephone: (508) 693-1212 Fax: (508) 696-4221 Email:  HYPERLINK "mailto:dpw@ci.tisbury.ma.us" dpw@ci.tisbury.ma.us Meetings: 2nd & 4th Mondays at 7PM, except holidays Contact: Fred LaPiania, DPW Director Residential Drop off Trash & Recycling Pg 10 & 11 should have the following information DEPARTMENT OF PUBLIC WORKS VINEYARD HAVEN, MA Rates Effective May 1, 2003 ***** Residential Drop-Off Trash & Recycling (Directions: From down island, proceed up State Road until you reach the Mini-Golf ; Turn left at the next road and proceed to the top of the hill; Turnright at the top of the hill and proceed to the end of the road) Hours of Operation & Fee Schedule Hours of OperationMonday thru Friday 8:00 AM - 3:00 PMSaturday & Sunday8:00 AM - 3:00 PM Fee ScheduleMATERIAL DESCRIPTION New Fee GENERALRefuse per 32-gallon container - Resident $ 4.00Refuse per 32-gallon container - Non-Resident $ 7.00Bulky Items (Mattress, Box Spring, Couch, Padded Chairs) $12.00Scrap Metal (all types) per 32 gallon container $12.00HOUSEHOLD GOODSAppliances (no freon) $13.00Small Appliances $ 2.00Lawn Mowers (push) $ 7.50Lawn Mowers (riding) $20.00Lawn Mowers (tractor) $26.00Bath Tubs (cast iron) $13.00Sinks (cast iron) $ 7.00Radiators per foot (cast iron) $ 3.50Water Heaters (less than 100 gallons) $13.00Water Heaters (100 gallons or over) $23.00Base Board Heaters per foot $ 0.40Pipes per foot (1 inch diameter or more) $ 0.40Pipes per foot (less than 1 inch diameter) $ 0.20Vacuum Cleaners $ 5.00Grills (gas) $ 8.50Grills (charcoal) $ 5.50TV's/Monitors $15.00Fluorescent Lights (Tubes) $1.00AUTO PARTSMetal Bumpers, Fenders $ 5.00Catalytic Converters, Mufflers, Radiators $ 2.75Doors $ 6.25Engines (without oil) $13.00Generators, Starters $ 1.50Transmission $ 6.50Tires W/Rim Cars $ 3.75Tires - Truck $10.50Mopeds (no gas) $26.00Bicycles $6.00Car Seats $12.00RECYCLABLES-Residents (unlimited) and Non-residents (1 barrel of refuse disposed)-Cans, Corrugated Cardboard, Glass Bottles and Jars, Magazines, NewspapersCatalogs, Phone Books, #1 - #7 Plastics $ 0.00 Transfer Station Oak Bluffs - Pg 12 should have the following information OAK BLUFFS TRANSFER STATION OAK BLUFFS, MA Hours of Operation Hours of OperationMonday thruSaturday 7:00 AM - 3:00 PM Roads, Sidewalks & Basins - Pg 13 should have the following links and information Tisbury Department of Public Works Roads, Sidewalks, & Basins FORMS  HYPERLINK "http://tisburygov.org/content/126/484/511/161.aspx" Report a DRAINAGE Problem HYPERLINK "http://tisburygov.org/content/126/484/511/162.aspx" Report a SIDEWALK Problem HYPERLINK "http://tisburygov.org/content/126/484/511/163.aspx" Report a TOWN ROAD Problem HYPERLINK "http://tisburygov.org/content/126/484/511/164.aspx" Request a Road Cut Permit ******* ***** ***** The Tisbury Department of Public Works maintains all Town roads and sidewalks, to include pothole repair, sidewalk construction and repair, road resurfacing, and snow removal. Private roads are not part of our responsibility, except for possible emergency snow removal. *** Office Hours: 8:30 AM - 4:30 PM, Mon. - Fri. excl. Holidays Location: 115 Highpoint Lane, Vineyard Haven, Ma. (Directions; From downtown Vineyard Haven, proceed up State Road until you reach the Mini-Golf ; Turn left at the next road and proceed to the top of the hill; Turn left at the top of the hill and proceed to the end of the road) Mailing Address: P.O. Box 4268, Vineyard Haven, Ma. 02568 Telephone: (508) 696-4220 Emergency Telephone: (508) 693-1212 Fax: (508) 696-4221 Email:  HYPERLINK "mailto:dpw@ci.tisbury.ma.us" dpw@ci.tisbury.ma.us Meetings: 2nd & 4th Mondays at 7PM, except holidays Contact: Fred LaPiania, DPW Director Report a Drainage Problem (Form) Pg 14 should have the following information TOWN OF TISBURY DEPARTMENT OF PUBLIC WORKS B O X 4 2 6 8, 1 1 5 H I G H P O I N T R O A D V I N E Y A R D H A V E N, M A S S A C H U S E T T S 02568 T E L E P H O N E (508) 696-4220 F A X (508) 696-4221 Use this form to "Report a DRAINAGE PROBLEM" Date: _____________ Time: __________ Location of Problem: _________________________________________________ (Road Name, Nearest Intersection) Nature of Problem: _________________________________________________ Name of Reporter: ________________________________________________ Phone Number: ________________________________________________ Do you desire a response? Y/N (circle one) Report a Sidewalk Problem Pg 15 should have the following information TOWN OF TISBURY DEPARTMENT OF PUBLIC WORKS B O X 4 2 6 8, 1 1 5 H I G H P O I N T R O A D V I N E Y A R D H A V E N, M A S S A C H U S E T T S 02568 T E L E P H O N E (508) 696-4220 F A X (508) 696-4221 Use this form to "Report aSIDEWALK PROBLEM" Date: _____________ Time: __________ Location of Problem: _________________________________________________ (Road Name, Nearest Intersection) Nature of Problem: _________________________________________________ Name of Reporter: ________________________________________________ Phone Number: ________________________________________________ Do you desire a response? Y/N (circle one) Report a Town Road Problem - Pg 16 should have the following information TOWN OF TISBURY DEPARTMENT OF PUBLIC WORKS B O X 4 2 6 8, 1 1 5 H I G H P O I N T R O A D V I N E Y A R D H A V E N, M A S S A C H U S E T T S 02568 T E L E P H O N E (508) 696-4220 F A X (508) 696-4221 Use this form to "Report aTOWN ROAD PROBLEM" Date: _____________ Time: __________ Location of Problem: _________________________________________________ (Road Name, Nearest Intersection) Nature of Problem: _________________________________________________ Name of Reporter: ________________________________________________ Phone Number: ________________________________________________ Do you desire a response? Y/N (circle one) Request a Road Cut Permit Pg 17 &18 should have the following information TOWN OF TISBURY DEPARTMENT OF PUBLIC WORKS B O X 4 2 6 8, 1 1 5 H I G H P O I N T R O A D V I N E Y A R D H A V E N, M A S S A C H U S E T T S 02568 T E L E P H O N E (508) 696-4220 F A X (508) 696-4221 ROAD CUT PERMIT WITHIN TOWN ROAD LAYOUT TOWN OR TISBURY Name of Contractor/Utility Company: __________________ Mailing Address of Contractor/Utility Company: ______________________ ______________________ ______________________ Name of Point of Contact: _____________________ Phone Number: _________________ Name of Road to be Cut: Location of Cut (Nearest Intersection and Pole Number): Depth, Width, and Length of Cut: Depth: _____ Width: ______ Length: _______ Dates of Work: _______________________________ Restoration of Road Structure Proposed Compaction Lift Depth: _______Pavement Thickness: ___________ Backfill Material: Note: It is highly recommended that backfill material be compacted at 6 - 10 inch lifts, be a RAP product, four inches below the pavement, and that the pavement being placed is at least the thickness of the existing pavement or three inches thick, whichever is greater. Cold patch is permitted to be used as a temporary pavement material when the Asphalt plant is shut down for the season, however, the patch must be replaced prior to the summer season after the plant reopens in the Spring.Approved: _________________________ Signature, DPW Director, Date Not Approved: _________________________ Signature, DPW Director, Date If not approved, the following reason(s) are provided: __________________________________________ __________________________________________ __________________________________________ In issuing this permit, the contractor or utility company understands that it is responsible for the condition of the road section repaired by the contractor or utility in perpetuity until the DPW seals or alters the repair work in any way, at which time, the DPW will assume the maintenance of the repaired section An administrative fee of $25.00 is required to be paid to the Town of Tisbury upon issuance of the road cut permit. This fee is waived for any municipal utility or its contractors. Emergency Situations do not require a permit to filed prior to the commencement of any repair work. A permit should be filed at the earliest possible time after the repair is completed. Parks & Recreation Services - Pg 19 should have the following information Tisbury Department of Public Works Parks & Recreation Services The Tisbury Department of Public Works manages and operates a summer recreation program which includes a tennis instruction program, a swimming instruction program and a tennis reservation program. The Department also provides lifeguard services on Town beaches and provides Playing Field scheduling services for it's soccer field, softball field, baseball field, and volleyball court. The Department also maintains these park facilities. *** Office Hours: 8:30 AM - 4:30 PM, Mon. - Fri. excl. Holidays Location: 115 Highpoint Lane, Vineyard Haven, Ma. (Directions; From downtown Vineyard Haven, proceed up State Road until you reach the Mini-Golf ; Turn left at the next road and proceed to the top of the hill; Turn left at the top of the hill and proceed to the end of the road) Mailing Address: P.O. Box 4268, Vineyard Haven, Ma. 02568 Telephone: (508) 696-4220 Emergency Telephone: (508) 693-1212 Fax: (508) 696-4221 Email:  HYPERLINK "mailto:dpw@ci.tisbury.ma.us" dpw@ci.tisbury.ma.us Meetings: 2nd & 4th Mondays at 7PM, except holidays Contact: Fred LaPiania, DPW Director Contract & Procurement Services - Pg 20 should have the following information Tisbury Department of Public Works Contract Procurement Services To procure goods and services from the private sector in support of maintaining and operating the town's infrastructure. The Tisbury Department of Public Works publishes requests for quotations, invitations for bid, and requests for proposals to procure these services. For goods and services estimated to be greater than $5000 in value and less that $25,000, requests for quotations following M.G.L. 30B procurement regulations normally apply. For goods and services which exceed $25,000 in value, sealed bids are solicited through the invitation for bid process. For construction work greater than $10,000 and less than $25,000 in value, sealed bids are solicited using an invitation for bids under M.G.L. Chapter 30, 39M. For construction work greater than $25,000 in value, sealed bids are solicited through an invitation for bid under M.G.L. Chapter 149. All public works projects are required to follow prevailing wage laws, and statutory bonding requirements. All invitations for bids are published in the legal section of the Cape Cod Times or the Boston Globe. Office Hours: 8:30 AM - 4:30 PM, Mon. - Fri. excl. Holidays Location: 115 Highpoint Lane, Vineyard Haven, Ma. (Directions; From downtown Vineyard Haven, proceed up State Road until you reach the Mini-Golf ; Turn left at the next road and proceed to the top of the hill; Turn left at the top of the hill and proceed to the end of the road) Mailing Address: P.O. Box 4268, Vineyard Haven, Ma. 02568 Telephone: (508) 696-4220 Emergency Telephone: (508) 693-1212 Fax: (508) 696-4221 Email:  HYPERLINK "mailto:dpw@ci.tisbury.ma.us" dpw@ci.tisbury.ma.us Meetings: 2nd & 4th Mondays at 7PM, except holidays Contact: Fred LaPiania, DPW Director Invitation for Bid ListingsBid Opening DateClick on the Links below to see details Request for Quotation ListingsDue DateClick on the Links below to see details Tree Warden Services Pg 21 should have the following link and information Tisbury Department of Public Works Tree Warden Services  HYPERLINK "http://tisburygov.org/content/126/484/520/187.aspx" Form for Shade Tree Trimming or Removal******* ***** ***** The Tisbury Department of Public Works manages the Town's "Shade Tree Program" under the Massachusetts General Law, Chapter 87, "Shade Tree Law", which includes all trees within Town Road Layouts. *** Office Hours: 8:30 AM - 4:30 PM, Mon. - Fri. excl. Holidays Location: 115 Highpoint Lane, Vineyard Haven, Ma. (Directions; From downtown Vineyard Haven, proceed up State Road until you reach the Mini-Golf ; Turn left at the next road and proceed to the top of the hill; Turn left at the top of the hill and proceed to the end of the road) Mailing Address: P.O. Box 4268, Vineyard Haven, Ma. 02568 Telephone: (508) 696-4220 Emergency Telephone: (508) 693-1212 Fax: (508) 696-4221 Email:  HYPERLINK "mailto:dpw@ci.tisbury.ma.us" dpw@ci.tisbury.ma.us Meetings: 2nd & 4th Mondays at 7PM, except holidays Contact: Fred LaPiania, DPW Director Form for Shade Tree Trimming or Removal - Pg 22 should have the following information TOWN OF TISBURY DEPARTMENT OF PUBLIC WORKS B O X 4 2 6 8, 1 1 5 H I G H P O I N T R O A D V I N E Y A R D H A V E N, M A S S A C H U S E T T S 02568 T E L E P H O N E (508) 696-4220 F A X (508) 696-4221 Use this form to "Request a shade tree trimming or removal Date: _____________ Time: __________ Location of Tree: _________________________________________________ (Road Name, Nearest Intersection) Nature of Problem: _________________________________________________ Name of Reporter: ________________________________________________ Phone Number: ________________________________________________ Do you desire a response? Y/N (circle one) Sewerage Operations - Pg 23 should have the following links and information Tisbury Department of Public Works Sewage Operations  HYPERLINK "http://tisburygov.org/content/126/484/523/197.aspx" Sewerage RegulationsFORMS:  HYPERLINK "http://tisburygov.org/content/126/484/523/191.aspx" Sewage Connection Permit ******* ***** ***** The Tisbury Department of Public Works is responsible for operating and maintaining the Town's Sewage Plant and it's Distribution System, which includes a 100,000 gallons per day (GPD) plant, and over 85 grinder pumps within the Distribution System. *** Office Hours: 8:30 AM - 4:30 PM, Mon. - Fri. excl. Holidays Location: 115 Highpoint Lane, Vineyard Haven, Ma. (Directions; From downtown Vineyard Haven, proceed up State Road until you reach the Mini-Golf ; Turn left at the next road and proceed to the top of the hill; Turn left at the top of the hill and proceed to the end of the road) Mailing Address: P.O. Box 4268, Vineyard Haven, Ma. 02568 Telephone: (508) 696-4220 Emergency Telephone: (508) 693-1212 Fax: (508) 696-4221 Email:  HYPERLINK "mailto:dpw@ci.tisbury.ma.us" dpw@ci.tisbury.ma.us Meetings: 2nd & 4th Mondays at 7PM, except holidays Contact: Fred LaPiania, DPW Director Sewerage Regulations Pg 24 - 32 should have the following information TOWN OF TISBURY Regulations of Sewage and Septage Collection Treatment and Disposal Approved by the Board of Public Works Commissioners DEFINTIONS: Unless specifically indicated otherwise, the meaning of terms used in these regulations shall be as follows: ABATEMENTS OF USER FEES Any formal request made to the Board of Public Works Commissioners for mitigation of user fees, or extension of payments due. BILLING PERIOD User fees will be billed out to each customer at the end of each quarter; ie. July 1st, October 1st, January 1st and April 1st of each year. All payments must be made 30 days after issuance. Any payments not received within 30 days of issuance will be considered delinquent. BOD Biochemical oxygen demand A measure of strength of domestic waste, which is the quantity of oxygen, utilized in the biochemical oxidation of organic matter under standard laboratory procedures in 5 days at 20 degrees centigrade, expressed in mg/liter. B.O.H. Shall mean the Tisbury Board of Health. B.O.P.W.C. Shall mean the Board of Public Works Commissioners. BUILDING DRAIN Shall mean that part of the lowest horizontal piping of a building drainage system, which collects roof, floor (other than bathroom and kitchen) or other drainage and conveys it to the exterior of the building. CHIEF OPERATOR The individual, licensed by the state, at a grade level equal to or higher than the grade of the plant, and is responsible for the operation, testing and maintenance of the WWTF and the sewage collection system including the submission of mandated reports to the D.E.P. D.E.P. Department of Environmental Protection. D.P.W. Department of Public Works administered by an independently elected Board of Public Works Commissioners, as established by statute. DOMESTIC WASTE Shall mean the liquid waste that would normally be generated by kitchen and bathroom facilities. FLOW Is the volume of sewage over time though a pipe and shall be measured in gallons per day. GREASE TRAP An external watertight structure designed to pre-treat commercial kitchen waste before discharging into the town's sewer system. Its purpose is to separate grease from the sewage waste stream, in order to dispose of those wastes separately. No domestic waste shall be allowed to enter any external grease trap, and must be sized in accordance with D.E.P./B.O.H. regulations. INDUSTRIAL WASTE Shall mean the liquid waste from an industrial manufacturing processes, such as photograph processing, electroplating or printing. INTERCEPTOR (grease or sand) A device designed and installed so as to separate and retain deleterious hazardous, or undesirable matter from the sewage waste stream while permitting domestic sewage to discharge into the town's sewer system. OIL & GREASE Any material (animal, vegetable or hydro carbon) which is extractable from an acidified sample of waste by freon or other designated solvents and as determined by the appropriate standard procedure. PERSON Shall mean any individual, firm, company, association society, corporation, or group. pH Shall mean the logarithm of the reciprocal of the weight of hydrogen ions in grams per liter of solution. PLANT OPERATOR The individual licensed by the state to operate and maintain the WWTF and works directly for the chief operator. PRETREATMENT- The reduction of the amount of pollutants, the elimination of pollutants, or the alteration of the nature of the pollutant's properties in wastewater prior to or in lieu of discharging or otherwise introducing such pollutants into the Town's Sewage Collection System. Garbage disposals are a permitted type of pretreatment. PROPERTY OWNER The person who has deeded ownership of property connected to the Town's sewage collection system, as registered with the Duke's County registry of deeds. SEPTAGE Shall mean any pump out of on site domestic sewage waste from title 5 disposal systems (excluding waste containing grease, fats, or oils) or from holding tanks containing domestic sewage wastes from marine recreational vehicles. SEPTAGE HAULERS Shall mean vehicles outfitted to pump out liquid/solid waste permitted by the Tisbury Board of Health. SERVICE AREA Is described in article 10 "Figure 1: Phase IV Centralized Service Area" drawn by Stone Environmental Inc. (voted April 11, 2000) or as modified by Town vote. SEWAGE Shall mean a combination of the water carried domestic waste from residences, businesses, institutions and industrial establishments. SEWAGE CONNECTION PERMIT A permit issued by the Board of Public Works Commissioners for sewer connections within the sewage area to the WWTF, which must be approved 5 business days prior to work commencing on the connection and all related piping. SEWAGE COLLECTION SYSTEM Shall mean all exterior facilities for collecting, pumping, treating and disposing of domestic sewage, which carries sewage, and to which storm surface, and ground water are not permitted SEWAGE AND SEPTAGE FEES user fees established by the Board of Public Works Commissioners as approved annually by Town vote for the reimbursement of the cost associated with processing domestic sewer and septage wastes. SEWAGE REVIEW BOARD A board empowered to recommend to Town meeting any changes to assigned flows within the service area, or to recommend an increase to the service area. Increases in flows/strength for (2) years after these Regulations are adopted will not be permitted. Under extraordinary circumstances if approved by both the Board of Public Works Commissioners and the Sewage Review Board, user fee abatements and flow penalties maybe waived in whole or in part. STOP WORK ORDER A letter issued by the Board of Public Works Commissioners, which shall cause the property owner or agent to immediately cease operations and comply with regulations or cause to be remedied any condition in variance with these regulations, which the D.P.W. Director, or Chief Operator believes to be unsafe. The Board of Health will be notified immediately and a copy of this letter will be forwarded to the Board of Health and Tisbury Building Inspector. STORM DRAIN Shall mean a collection system, which carries storm and surface waters and drainage, but excludes sewage and industrial waste. WWTF Waste Water Treatment Facility, which is a publicly owned treatment works, which is designed to treat domestic sewage of those properties designated within the service area and septage for property owners within the Town of Tisbury as operated under the authority of the Board of Public Works Commissioners. REGULATIONS: The Board of Public Works Commissioners have set forth the following regulations for the Town's WWTF. The WWTF shall provide economical and timely wastewater processing service and SEPTAGE processing service to the Town of Tisbury. The efficient operation of the WWTF will protect the ground waters of Martha's Vineyard by treating the wastewater so that the water discharged from the WWTF will meet D.E.P. permitting standards. These Regulations provide the necessary administrative processes and billing rates for SEWAGE and SEPTAGE treatment for its customers. Adherence to these regulations will allow the facility to continue its operation and maintenance programs in an effective and efficient manner. The PROPERTY OWNER shall be required to install at their expense, PRETREATMENT or FLOW equalizing facilities for any waters or waste, if at the discretion of the B.O.P.W.C. acting on the recommendation of the CHIEF OPERATOR their FLOW or biological loading is greater than 300 mg/liter B.O.D. their FLOW will exceed their FLOW allotment or the WWTF ability to treat that particular waste stream. Such equipment shall be maintained continuously by the PROPERTY OWNER at their expense. All installations of pretreatment facilities must be permitted by the appropriate town inspectors. There shall be a SEWAGE CONNECTION PERMIT furnished by the Department of Public Works upon which the PROPERTY OWNER shall make application for service. This application will be valid for a period of 60 days from approval and is valid only for the original conditions for which it was issued. The permit application shall include plans detailing the proposed connection, or other documentation as required by the DPW. Increase in FLOW to that which was granted on the initial application shall require a new permit, and a Town vote. The issuance of a permit by the DPW does not preclude other permit requirements of the Town of Tisbury. The PROPERTY OWNER of any building connected to the SEWAGE COLLECTION SYSTEM shall make available to the D.P.W., upon written request, any and all Material Safety Data Sheets used in the process, manufacturing, treatment, or cleaning of any materials that may enter the SEWAGE COLLECTION SYSTEM. INSTALLATION Upon receiving an approved SEWAGE CONNECTION PERMIT, the PROPERTY OWNER may install the connection within the following parameters: 1.) Any connection to the SEWAGE COLLECTION SYSTEM shall be made under the supervision of the D.P.W. No unauthorized PERSON shall uncover, make any connection with, or opening into, use, alter, or disturb any part of the SEWAGE COLLECTION SYSTEM without first obtaining written permission from the D.P.W. BUILDING DRAIN and STORM DRAIN connections, to the SEWAGE COLLECTION SYSTEM are not permitted. The SEWAGE COLLECTION SYSTEM is only designed to treat DOMESTIC WASTE. 3.) The PROPERTY OWNER must install all sewage lines, pumps and electrical work through to Town property in accordance with the engineering details provided by the B.O.P.W.C., as a condition of obtaining a SEWAGE CONNECTION PERMIT. The PROPERTY OWNER will provide the Town with written permission to access the PROPERTY OWNER'S property in order to maintain system pumps or system controls, all gravity lines on private property are the responsibility of the PROPERTY OWNER. Any owner requested disconnect for any reason such as owner renovation work shall be re-established for a reconnection fee equaling 125% of the actual cost incurred by the Town of Tisbury to reconnect. Any outstanding delinquent payments will be reviewed by the B.O.P.W.C. and they may recommend to the B.O.S. that a lean be placed on the property of the PROPERTY OWNER whose delinquent in payment for the amount owed. 6.) Initial and semi-annual "in process" inspections of sewage pumps, pipe valves, and control systems, shall be done by the D.P.W. Director ,CHIEF OPERATOR, or Plant Operator personnel. A 24-hour notice to the PROPERTY OWNER of any inspection will be provided. Inspections will only be scheduled during normal business hours. 7.) All work to install sewage piping and equipment must be done in accordance with the design detail provided by the B.O.P.W.C., and comply with all state plumbing, building and electrical codes. Deviation from the prescribed procedures and materials shall be cause for issuance of a STOP WORK ORDER until compliance is met. Any requested deviation must be approved, in writing by the D.P.W. 8.) Grease, oil and sand INTERCEPTORS shall be provided when, at the discretion of the B.O.P.W.C. acting on the recommendation of the CHIEF OPERATOR, they are necessary for the proper handling of liquid waste. All INTERCEPTORS and types and capacity approved by the B.O.P.W.C. shall be located exterior to the facility and be readily accessible for cleaning and inspection, and their installation will require the appropriate town inspector permits. 9.) The following pollutants are prohibited from entering the SEWAGE COLLECTION SYSTEM: Waste which would create a fire or explosive hazard. Waste which would cause corrosive structural damage, or have a pH lower than 5.5. Solids or viscous materials, in the amounts, which will cause obstructions to FLOW. Chemicals which will cause interference with normal bio-mass activity in the WWTF. Heat (104 degrees Fahrenheit) in amounts, which will inhabit biological activity, resulting in biomass activity interference. Waste which could cause excessive amounts of discoloration. INDUSTRIAL WASTE 10.) Notice of Accidental Discharge: Any person or party responsible for, or becoming aware of the discharge of any prohibited substance, shall report it immediately to the D.P.W./B.O.H. so the necessary precautions can be taken to minimize the deleterious effects of the discharge. The PROPERTY OWNER shall file a full written explanation to the B.O.P.W.C. and the B.O.H. within (24) hours of the accidental discharge detailing the cause as well as what measures will be taken to ensure future accidental discharges are prevented. 11.) Pressure Line Check Valves: The incorporation of a check valve and ball valve assembly with a cast iron cover assembly at grade shall be required on all pressure lines from the pump chamber to the sewer main, this shall be at the owners expense. The ball valve assembly can be located at the property line. The type of assemblies (specifications) to be furnished by the D.P.W. MAINTENANCE 1.) PRETREATMENT: When required, the owner of any property serviced by the WWTF carrying INDUSTRIAL WASTE may require PRETREATMENT prior to entering the SEWAGE COLLECTION SYTEM and shall install a suitable monitoring manhole as detailed by the D.P.W. together with such necessary meters and other appurtenances in the building to facilitate observation, sampling, and measurement of the waste. Such a manhole, when required, shall be accessible and safely located, external to the building. The manhole shall be installed by the PROPERTY OWNER at their expense, and shall be maintained so as to be safe and accessible at all times. 2.) Equipment Maintenance: The DPW shall have the responsibility of maintaining all pumps, pump chambers, control panel, alarms and all associated equipment, not including sewage pipes, within the SEWAGE COLLECTION SYSTEM. Cost of maintenance of said equipment unless otherwise indicated shall be the responsibility of the PROPERTY OWNER. Service calls The DPW will provide two service calls annually at no expense to the PROPERTY OWNER. Any additional service calls will be billed to the PROPERTY OWNER at a rate of $ 25.00 per hour. All buildings connected to the SEWAGE COLLECTION SYSTEM shall have water meters installed and the ability to read and access the meter by D.P.W. personnel. 3.) Control Panel: Properties connected to the pressurized sewer main must have the control panel's auto dialer alarm connected to the PROPERTY OWNER'S telephone line at the property and have access to it. The telephone line will only be used by the equipment when trouble is detected and is used to signal the WWTF in case of a serious malfunction. The PROPERTY OWNER'S phone line will not be affected in anyway, other than the intermittent signaling to the WWTF. The PROPERTY OWNER is prohibited from opening or tampering with the control panel, unless approved by the DPW. 4.) Grease Trap/Interceptor Maintenance: The PROPERTY OWNER must maintain any required GREASE TRAP or INTERCEPTOR so as not to cause a problem to the WWTF, which includes but is not limited to pumping and cleaning the units on a regularly schedule basis. The PROPERTY OWNER shall make available to the D.P.W. copies of the GREASE TRAP pump outs when requested. It is the PROPERTY OWNER'S responsibility to dispose of the GREASE TRAP or INTERCEPTOR'S contents in accordance with B.O.H./D.E.P. regulations, but in no case will such contents be accepted at the WWTF. 5.) Guidelines for Connecting to the pressurized sewer main (Does not apply to gravity feed connections). Please see Appendix A. 6.) Regulations for receiving SEPTAGE to the WWTF SEPTAGE Permits - All permits shall be issued by the B.O.H. to SEPTAGE HAULERS, and shall be limited to 4000 gallons per day unless approved by the PLANT OPERATOR. No SEPTAGE will be accepted at the WWTF without a permit. SEPTAGE may be denied in all or in part if in the judgment of the WWTF operator the SEPTAGE would cause a problem to the WWTF treatment process. Any pH adjustments to incoming septage will be done prior to discharge to the WWTF. PROPERTY OWNERS are responsible for arranging and paying for the service of SEPTAGE HAULERS. Hours of operation for receiving SEPTAGE Monday through Friday from 8:00AM to 11:00AM and 1:00PM to 3:00PM. The B.O.P.W.C. has the option of changing/modifying the hours to best suit the WWTF's needs. Emergency Pump Out Disposal All emergency pump out disposals shall go through the B.O.H. emergency pump-out process and will be limited to the one load only. 7.) SEWAGE AND SEPTAGE FEES SEPTAGE disposal fees are $ 113.00 per 1000 gallons, which do not include the pump out permit fee issued from the B.O.H. The fee will be $300.00 for dumping during non-posted hours. SEWAGE disposal fees are $.0075/gallon, based on water meter readings. Penalties If determined by the B.O.P.W.C. that a PROPERTY OWNER has used more than their assigned allocation of wastewater, a penalty shall be assessed for that amount per gallon, per quarter. The assessment shall be 125% of the cost per gallon over the allocated amount on a per quarter basis, and if not corrected within 30 days after the first day the penalty is assessed, an additional assessment of $100.00 per day will be charged until corrected. SEWAGE USER FEES will be invoiced through the Town Hall for each user within the SERVICE AREA, for each BILLING PERIOD. 8.) SEWAGE REVIEW BOARD A SEWAGE REVIEW BOARD shall be established to review requests for increases to the approved FLOWS within the SERVICE AREA. The SEWAGE REVIEW BOARD will recommend to the annual or special Town meeting disposition of requests for increases to flow or increases to the service area. Considerations in making the decisions will include but not be limited to the impact on the WWTF, with regard to the FLOW and concentration and other wastewater characteristics. The SEWAGE REVIEW BOARD will consist of one member from the elected boards of the B.O.H., Finance Committee, Planning Board, Board of Selectmen, D.P.W., or their designated representatives. ABATEMENTS OF USER FEES All ABATEMENT OF USER FEES must be requested of the B.O.P.W.C., in writing detailing the justification, which may include those who qualify under CLAUSE 41C or Qualifying Veterans. Date:_________________ Permit#_____________________ (Office use only) Tisbury DPW Sewer Connection Permit (All information printed/typed) Owner of Property: ______________________________________________ Mailing Address: ________________________________________________ Street Address: __________________________________________________ Septic Tank Pumped: Y/N (Circle one) Date________________ Septic Tank Filled I.A.W. BOH Reg. Y/N (Circle one) Date________________ Installer/Contractor: _____________________________________Date________________ Name of Insurance Carrier: __________________________________________ (Attached copy of insurance certificate) Address: _________________________________________________________ Plumbing Permit Required Y/N (Circle one) Permit#_______________ Electrical Permit Required Y/N (Circle one) Permit#_______________ Board of Health Permit Required Y/N (Circle one) Permit#_______________ Type of Service: Gravity/Pressure (Circle one) Check Valve Installed (Gravity) Y/N (Circle one) Check Valve/Ball Valve Installed (Pressure) Y/N (Circle one) Inspected By: DPW______________________________ Date_______________ BOH______________________________ Date_______________ Plumbing__________________________ Date_______________ Electrical__________________________ Date_______________ Attach detailed sketch of work signed by contractor: Permission to Maintain Equipment - I ________________________ hereby give permission to duly NAME OF OWNER authorized employees of the Town having the proper credentials to enter my property for the purpose of inspections, observation, reading measurements, sampling, repair and maintenance of any portion of the SEWAGE COLLECTION SYSTEM. ___________________________ ________________________ Owner Signature Date Appendix A Top of grinder basin will be level with finished landscaping, and must be accessible at all times (ex: not under decks, walkways, or have heavy objects placed on them). Manhole risers are not authorized unless approved by the D.P.W. Inlet from house connection should be cut opposite of the rail assembly. All discharge piping will meet Massachusetts Plumbing code standards and will have 6 inches of sand under and 6 inches of sand over the pipe, standard excavation installation. Directional boring installations are exempt from back fill requirements. All discharge piping will be marked with sewer tape no deeper than 12 inches from finished grade for standard excavation. Directional boring installations will require some means of pipe detection. All discharge piping connections must be inspected by the D.P.W. before back filling. Grinder basin must be accessible at all times (ex: not under decks, walkways, or have heavy objects placed on them). Grinder basin will be level and back-filled to finished grade before the pump can be installed and wired. All conduit must be installed by a licensed electrician. Conduit from the control panel to the grinder must not cross over or under discharge piping, and shall not be in the same trench as the discharge piping. All conduit must be 1" for Simplex grinders and 1 " for Duplex grinders. You may use 1 " conduit for Simplex grinders if you reduce to 1" into the control panel. All conduit and fittings will be electrical and not water pipe. All conduit must be inspected by the Town wiring inspector before backfilling, for standard excavations. The control panel must be mounted in an accessible area and mounted on the dwelling structure, being aware that all state codes must be met, in particular to meeting the appropriate separation requirements between propane appurtenances and electrical devices. Wiring from the load center in the house to the disconnect and from the disconnect to the control panel must be complete and energized. (Turn breakers off in disconnect box and control panel) Lightening arrestor must be wired to top terminals of disconnect breaker. Disconnect must be grounded, green wires from feed and control panel, white wires from lightening arrestor must be mounted to bar and ground screw installed. For 2-hp simplex and 2-hp duplex pumps the voltage is 240 single phase, in the case of a commercial voltage of 208 the contractor is required to have a buck boost transformer installed to supply the required voltage. No sewage discharge lines shall be in the same trench as the domestic water line and shall be installed with the separation criteria as required by the Massachusetts Plumbing Code. All wiring from the control panel to the pump chamber must be insulated individually with the color code recommended by the manufacture. Gravity piping must have cleanouts installed for each change in pipe direction and these cleanouts must be accessible at finished grade. Sewage Connection Permit Pg 33 - 34 should have the following information FEE______________ PERMIT#___________ Tisbury DPW Sewer Connection Permit Owner:_________________________________________ Date ______________ Bill to:_________________________________________ Address:________________________________________ Location of work:_________________________________ Septic Tank Pumped: Y/N Date ______________ Septic Tank Filled I.A.W. BOH Reg. Y/N Date ______________ Installer _______________________________________ Phone______________ Address________________________________________ Plumbing Permit Required Y/N Permit#____________ Electrical Permit Required Y/N Permit#____________ Type of Service: Gravity _________________ Pressure_____________________ Check Valve Installed (Gravity) Y/N Check Valve/Ball Valve Installed (Pressure) Y/N Inspected By: DPW______________________________ Date_______________ BOH______________________________ Date_______________ Plumbing___________________________ Date_______________ Electrical___________________________ Date_______________ Location Sketch:  PAGE  PAGE 1 6[\^bcd12:almp%?JKfopQz  ) * + , l m ~  " # 5 $0J>*B*CJOJQJ^JaJph jU 5>*CJ\ 5>*\aJ$aJ$>*aJ$>* 5>*CJ\5\ 5>*\L67cd:p%JKop)R`$a$B[R+ 7 8 9 : ; < z[$\$n$$IfT\ ?*634a $$Ifa$ 5 6 7 8 9 < = > ~  % & 9 : ; < w    I J [ \ ` a       W X l m n o Ų$0J>*B* CJOJQJ^JaJph5CJOJQJ\^JaJ0JCJOJQJ^JaJ$0J>*B*CJOJQJ^JaJph<CJaJ jUF< = ; < = > @>>Y$$IfF %?*6    34a $$Ifa$[$$IfF %?*6    34a> v w  ]    n w[$\$n$$IfT\ ?*634a $$Ifa$$a$ )*67EFIYZefghvh]R]h]CJOJQJ^JaJCJOJQJ^JaJ5CJOJQJ\^JaJCJ$OJQJaJ$CJOJQJaJ5\#5B* CJOJQJ\^JaJph!0JB* CJOJQJ^JaJph$0J>*B* CJOJQJ^JaJph5CJOJQJ\^JaJ0JCJOJQJ^JaJCJ$aJ$CJaJ$0J>*B*CJOJQJ^JaJph jU FfgLE$a$J$$IfT0%  634a$If$\$a$Y$$IfF %?*6    34a%0@UeiyDKL"#./01qrҳҳvtoo\ooo$0J>*B*CJOJQJ^JaJph jU<$0J>*B* CJOJQJ^JaJph5OJQJ\^J0JOJQJ^J 5>*CJ\0J5CJOJQJ\^JaJ#j5CJOJQJU\^JaJ0JCJOJQJ^JaJ5CJOJQJ\^JaJCJOJQJ^JaJ'0J6B* CJOJQJ]^JaJph$L0DHJ{H$$IfT0?*  634a $$Ifa$ $[$\$a$$a$rCDGJXY#:;deyzz|46õáÔÔÂÂrõõkgkÔÔ>*CJ 5>*CJ\0J5CJOJQJ\^JaJ#j5CJOJQJU\^JaJ0JCJOJQJ^JaJ'0J6B* CJOJQJ]^JaJph5CJOJQJ\^JaJ5CJOJQJ\^JaJ0JCJOJQJ^JaJCJ$aJ$CJaJ jU$0J>*B*CJOJQJ^JaJph&{|  <4 5$7$I$s0jjdddj$If $$Ifa$s$K$L$IfT"  0!634` ab$IfK$$If $$Ifa$ 6=>   ;<3 4 4$5$6$7$H$I$3%4%G'H' ) ))))*)N)O)P)Z)k)l))))))))))))) *ʹ~ʑ~ʑ~ʑ~5OJQJ\^J0JOJQJ^J0J>*OJQJ^J!0JB* CJOJQJ^JaJph@0JCJOJQJ^JaJ!0JB*CJ$OJQJ^JaJ$phCJaJ0JCJOJQJ^JaJ#5B*CJOJQJ\^JaJph!0JB*CJOJQJ^JaJph1I$4%H' )O)P))))) * **+,0q$K$L$IfD  0634` ab$IfK$$If * * ***++,,;.<.//F1G133333333e7f7=9>9?9@9^9_9::;;y>z>>> ? ?????&?'?/?0?8?9?B?C?D?M?N?Y?Z?c?d?t?u?v???????????????????AAAA0JOJQJ^J!0JB* CJOJQJ^JaJph@0JCJOJQJ^JaJCJaJT,<./G13333f7>9@9_9:;z>> ???'?0?9?C?$IfK$$If$IfK$ $$Ifa$$IfC?D?N?Z?d?u?v????^VVVV^VVV$IfK$$K$L$Ifi\Q"0"634iab ????????AAVV4PP$If$K$L$Ifi\Q"0"634iab$IfK$ AAAEEFEFFGGGGGGHH#I$IIIJJGJHJJJK KKK\L]LLLMMMMM6M>MeMuMMM?NBNrNsNNNNN O O O!OSOVOOCJOJQJaJOJQJ5OJQJ\ 0JOJQJCJ$OJQJaJ$>*CJ 5>*CJ\<eh@r@CJaJB*CJOJQJaJph0JCJOJQJ^JaJ!0JB* CJOJQJ^JaJph@:AAFEFGGGH$IIJHJJ KK]LLMMMMdM5$$IfK0***634Ka$If $$Ifa$dMeM@NBNsNNN O!OTOVOOOOO3P4PrPPQ $$Ifa$$a$[$\$OOOOOO4PVPWPqPrPPPPPPPQQQQ8Q:Q;Q{Q|QQQQQQQ8R9RRRнqc5CJOJQJ\^JaJ5CJ$OJQJ\^JaJ$CJ$aJ$CJaJ$0J>*B*CJOJQJ^JaJph jUCJOJQJ^JaJ!0JB* CJOJQJ^JaJph$0J>*B* CJOJQJ^JaJph5CJOJQJ\^JaJ0JCJOJQJ^JaJ 5>*CJ\OJQJCJOJQJaJ$QQ:QQQQQQ9RQLL$a$Y$$IfF ?*6    34a$If $$Ifa$C$$If  634` a9R>RtTT-UHU[UwU}UVVVVV$Ifb$$IfT0634ab $$Ifa$$a$ RSSTTT.T/TXTYTmTnTTTTTUU,U-UGUHUZU[UvUwU|U~UUUVݾݾxhV#0J6B* CJOJQJ]aJph5B* CJOJQJ\aJph0JB* CJOJQJaJph 0JB*phCJOJQJaJ0JB*CJaJph 5>*\ 5>*CJ\0J5CJOJQJ\^JaJ#j5CJOJQJU\^JaJ0JCJOJQJ^JaJ5CJOJQJ\^JaJ'0J6B* CJOJQJ]^JaJphVVVVVVVVVVVVVVWWWWWWW2W3W4W;W*\ 5>*CJ\CJOJQJaJ 0JB*ph0JCJaJWYIYJYuYvYYYYYYYZZ*Z+ZDZEZZZ`ThXd$$IfT!0]634ab$IfZZ[Z|Z}ZZZZZZZZZ[["[#[7[8[0|8xtTd$Ifd$$IfT!0]634ab8[P[Q[f[g[~[[[[[[[[[X`@H4 d$$IfT!0]634ab$If [[A\B\q\r\01d$$IfT!0]634ab$Ifd$$IfT:!0]634abr\t\u\\\\\\]]],]>]~~$Ifb$$IfTu!0!634ab $$Ifa$$a$[$\$ \\\\\\\]]]]]+],]=]>]?]B]\]_]d]e]]]]]]]]]]]^^{pgbb jUCJOJQJaJ0JB* CJaJph$0J>*B* CJOJQJ^JaJph5CJOJQJ\^JaJ0JCJOJQJ^JaJ>*CJ 5>*\CJ 5CJ\ 5>*CJ\CJaJ0JB* CJaJph0JB* CJOJQJaJph%56B* CJOJQJ\]aJph0JB*CJaJph!>]?]A]]]]]];^^^X_}}xoooo $$Ifa$$a$[$\$w$$IfT0u!8\ 0!634ab ^'^(^1^2^9^:^;^<^|^}^^^^^^^^^^^^^^^^^^^;_<_F_G_V_W_X_Y__``````````aa5CJOJQJ\^JaJ0JCJOJQJ^JaJ0JCJ$OJQJ^JaJ$0JCJOJQJ^JaJCJ$aJ$CJaJCJaJjCJUaJ jU&5>*B*CJOJQJ\^JaJph$0J>*B*CJOJQJ^JaJph1X_Y_```b(c)c*c+c,c-c.c/c0c1c[$\$$a$l$$If\ ?*634aaaabb+b-bFbGbjblbbbbbbbbbbbcc'c8cXccccccc2fKfwfxfzffff'i(iBiFiKiMirisitiuiiiil7l8l9lBlпп>*>*CJ 5\0JCJ$aJ$ 5>*\ 5>*CJ\0J5CJOJQJ\^JaJ!j0JCJOJQJU^JaJ0JCJOJQJ^JaJ5CJOJQJ\^JaJ'0J6B* CJOJQJ]^JaJph91c2c3c4c5c6c7c8ccccbdddddd2eEexezeeeff.f/f0f1f$a$[$\$1f2fxfyfzfUgWgggg%h8hkhmhhhhh!i"i#i$i%i&i'i(isiti$a$[$\$tiuiPjRjjjj!k4kgkikkkkklliljlklFmHmmn#osoozp$a$BlClhliljlkl{lllEmFmGmHmImXmYmpmqmmmnn"o#orosoooppypzpfrgrhrrr.s/s0s1shsssss)u*uuuvvvvvvvvڽѽѬѬ 5>*CJ\ 5CJ\>*CJ>*CJaJCJaJ5CJOJQJ\aJ0JCJOJQJaJCJOJQJaJCJOJQJaJOJQJ5OJQJ\ 0JOJQJCJ$OJQJaJ$ 5>*\5\9zpgrhrr/s1sss*uuvvvv'wxxx{{{$a$$IfE$$If!  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