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HomeMy WebLinkAbout0019 ANGUS WAY - Health Angus VV Ay Centerville A= 251 - 04? i i 9 V Q ® CO) e m W � i �o a I N Zo 0 .� Pfl 0 N � V` C� r Inspection report stored on Q drive : Q:\IA Systems\I-A Inspection Reports Zo 19 N u 2-0 Ll / h y +T �n 13 ter . r ENNET I` ENVIRONMENTAL ASSOCIATES, INC. LICENSED SITE PROFESSIONALS,ENS'IRO1NN.fL TALSCIENTISTS,GEOLOGISTS,ENGINEERS 1573 Main Street,P.O.Box 1743 (508).8964.706 Brewster,MA 02631 fax(508)896-5109 LETTER OF TRANSMITTAL TO: DATE: JOB NUMBER: i4iassachusetig Department ofEnvironmental Protection I,13lf19 BEA16-10864 Attention:Title 5 Program 1 Winter Street-6tli Floor Boston,_MA 02108 REGARDING:) Schiestl&Downey Residence 19 Angus Way. SHIPPING WICT1 01); Centerville,MA Regular Mail ® Pick Up Priority Mail ® Hand Deliver Express Mail ❑ OUier ❑ Certified Mail ® Green CardRR COPIES DATE DESCRIPTION 1 DEP Approved Inspection and O&M Form for Title 5 v'4 Treatment and Disposal Systems(April,July and October 2018;January 2019) 1 Amphidronic Inspection Checklist(April,Rily and October 2018;Jwuary 2019), 1 Vl li 18 Alpha Analytical Laboratory report 1 7131118 Alpha Analytical Laboratory report 1 10,125118 Alpha Analytical Laboratory report 1_ 1115/19 Alpha Analytical]Laboratory report ,For r view and comment: For approval: As requested: ❑ FM your We: � t REMARKS: Please find enclosed the DEP Inspection and b&i4I Forms,Amphidrome Inspection Ch©cklists,Prid laboratory analytical results to], opera"tiori and maintenance corrdueted at the abgtie referenced property during the reporting period. ;lf yoct Lave any questions or require additional information,please contact us at your earliest convenience: Thank you; cc,Barnstable Board of Health(via cinail] Stefan and Patricia Schiestl&Patricia Downey Property Owners[-via email] Tanurty Piazza-F.R Mahimy[via email] 1?ROM: Samantha Farrenkopf,Operations and Compliance Coordinator 1f enclosums are net:as noted,E ittdty notify us at or tee - —I ENNETT ENVIRONMENTAL ASS®CIATES9 INC. LICENSED SITE PROFESSIONALS,ENVIRONMENTAL SCIENTISTS,GEOLOGISTS,ENGINEERS 41573 Main Street,P.O.Bog 1743 (508)596-1706 Brewster,MA 02631 fax(508)596-5109 LETTER OF TRANSMITTAL TO: DATE: JOB NUMBER: Massachusetts Department of Environmental Protection 2/3/17 BEA16-10869 Attention:Title 5 Program 1 Winter Street-6th Floor Boston,MA 02108 REGARDING: Schiestl&Downey Residence 19 Angus Way SHIPPING METHOD: Centerville,MA Regular Mail ❑ Pick Up ❑ Priority Mail ❑ Hand Deliver ❑ Express Mail ❑ Other ❑ Certified Mail ® Green Card/RR 0 COPIES DATE DESCRIPTION 1 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems(April,July and October 2016,January 2017) 1 Amphidrome Inspection Checklist(April,July and October 2016,January 2017) 1 4/13/16 Alpha Analytical Laboratory report 1 7/11/16 Alpha Analytical Laboratory report 1 10/20/16 Alpha Analytical Laboratory report 1 1/18/17 Alpha Analytical Laboratory report For review and comment: ❑ For approval: ❑ As requested: ❑ For your use: REMARKS: Please find enclosed the DEP Inspection and O&M Forms,Amphidrome Inspection Checklists,and laboratory analytical reports for operation and maintenance conducted at the above referenced property during the reporting period. If you have any questions or require additional information,please contact us at your earliest convenience. Thank you. cc:Barnstable Board of Health Stefan and Patricia Schiestl&Patricia Downey-Property Owners Tammy Piazza-FR Mahony[via email] FROM: Samantha Farrenkopf,Wastewater Program Manager If enclosures are not as noted,kindly notify us at once r k- .........�.�... � IVI il5�dG11U�GlW 6/Ct.Ja1inIcIoLvK e..uvANv ..e.vee...... . Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Stefan and Patricia Schiestl & Patricia Downey filling out forms Owner on the computer, 19 A Wa use only the tab Angus y key to move your Facility Street Address cursor-do not Cewnterville 02632 use the return City Zip key. Mailing address of owner, if different: tab Street Address/PO Box: tenon City State Zip (516)250 -3144 ext. Telephone Number B. Authorized Service Provider Bennett Environmental Associates, Inc. O&M Firm 1573 Main Street/PO Box 1743 Street Address Brewster MA 02631 City State Zip (508) 896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information FR Mahony Amphidrome DEP ID Manufacturer ID Model Number Unknown 2/28/2008 Installation Date Start of Operation Approval Type: ❑ General ® Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information . 1/11117 10/13/16 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5aiom.doc•rev.04-11-13 Page 1 of 3 >J T l Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 ®EP Approved Inspection and ®&M Form for. Title 5 I/A Treatment and Disposal-systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ❑ no ® some 7.0 SU 6.0 mg/L 1.90 NTU pH 6 to 9 DO 2 or greater Turbidity 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ® BOD ❑ CBOD ® TSS ®TN ® Other(list below) Nitrate Nitrite TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Notes and Comments: All mechanical components of the system are operating correctly. Effluent quality passed field testing _parameters. t5aiom.doc•rev.04-11-13 Page 2 of 3 AmphadromeTm Inspection Checklist Wastewater Facility Location al n`� Day/Date Operator/Firm 'vwl {� Facility Type: Amphidrome Plus Single Dual Design Parameters:Effluent Flow kgpd BOD TSS NH3 NO3� To#al N Fecal Coliform Actual Data- (latest lab result) *field results day avg. Flow kgpd DOD TSS NH3 NO3 Total-N Fecal Coiiform No. of Treatment Cycles/24hrs 24 hr Timer Reset Cycle Beginning/End times Train 1-1 2 3 4 Train 2-1 2 3 4 Backwash Cycles-TIC Train 1-1 2 3 4 Train-2-1 23 4 Denite BW Frequency/TIC 1 2 RETURN CYCLES Train 1-No. of Return cycles Time after high float Train 2-No. of Return cycles Time after high float Equipment Run Time TIC PB1 m/d PB2 m/d BWB1 m/dBWB2 m/d RP1 m/d RP2 m/d BWP1 m/d BWP2 m/d DFPl m/d DFP2 m/d DBWP1 m/d DBWP2 m/d M Pumps 1 m/d 2 m/d 3 m/d 4 m/d EFF Pumps 1 m/d 2 m/d 3 m/d 4 m/d Meth.Pump Amph.#1 m/d Amph#2 m/d Denite m/d Alk Pump/loc. #1 m/d- #2 m/d- #3 m/d- COUNTERS No. of Discharges off of High float Amp1BW Amp1FBW Amp2BW Amp2FBW DBW DFBW Equipment OFF-LINE/Reason 1. 2. 3. 4. Anoxic Tank Sludge DOB/water level / VMetive Jobs WWIActive Jobs IA SystemslSchiest1108691Appw&ces10869Unspection108691Amphidiome Insp I CheckHst.doc Amphidlr•omeTm Inspection Checklist Date -- [ di Location �r Time In r d e Out (r Participants: Review of Site Visit l.�` /f h �te�`9� `r"s"•Lc` .fr'f a C..+ y, �F'�i'' `�� p r"�z"'�G..G't�F'C�'L.. �'�7'�ff�i:;sc ��!"�t✓L's� ^' LY.rP�'1'"�'� Gls�.fN�, � AM , `1� ��, �L t iv i y 61, fly 17A G ej2 4 Iie- 4 f v i VAActive Jobs WMActivc Jobs lA SysteulslScluestl108691Appeudices1086911nspection108691Amphidrome lusp 2 Checklist.doe r 1 massacnuseuts uu Pd1 t111C1 t— Bureau of Resource Protection -Title 5 ®EP Approved Inspection and O&M Form for Title 5 9/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts ce ified operator in accordance with 257 CMR 2.00. Operator Signature N3Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health as follows for each inspection performed: Remedial Use—by January 315t of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 5th Floor Boston, MA 02108 Page 3 of 3 t5aiom.doc•rev.04-11-13 ,ff 8v6. AtNA� ;Y.,T 16 A L ANALYTICAL REPORT Lab Number: L1701147 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: David Bennett Phone: (508)896-1706 Project Name: SCHIESTL RESIDENCE Project Number: BEA16-10869 Report Date: 01/18/17 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(LA000065),ME(MA00086), PA(68-03671),VA(460195),MD(348),IL(200077),NC(666),TX(T104704476),DOD(1-2217),USDA(Permit #P-330-11-00240). Eight Walkup Drive,Westborough, MA 01581-1019 508-898-9220 (Fax)508-898-9193 800-624-9220-www.alphalab.com �I A Page 1 of 15 Serial No:01181720:26 Project Name: SCHIESTL RESIDENCE Lab Number: L1701147 Project Number: BEA16-10869 Report Date: 01/18/17 Alpha Sample Collection Sample ID Client ID Matrix Location Date/Time Receive Date L1701147-01 EFFLUENT WATER CENTERVILLE, MA 01/11/17 09:45 01/12/17 Page 2 of 15 Project Name: SCHIESTL RESIDENCE Lab Number: L1701147 Project Number: BEA16-10869 Report Date: 01/18/17 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet NELAP requirements for all NELAP accredited parameters unless otherwise noted in the following narrative.The data presented in this report is organized by parameter (i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample,followed by the Laboratory Batch Quality Control at the end of each parameter.Tentatively Identified Compounds (TICs),if requested,are reported for compounds identified to be present and are not part of the method/program Target Compound List, even if only a subset of the TCL are being reported.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE", respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific%recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.All specific QC information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications.Soil/sediments,solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances the specific failure is not narrated but noted in the associated QC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. HOLD POLICY For samples submitted on hold,Alpha's policy is to hold samples(with the exception of Air canisters)free of charge for 21 calendar days from the date the project is completed.After 21 calendar days,we will dispose of all samples submitted including those put on hold unless you have contacted your Client Service Representative and made arrangements for Alpha to continue to hold the samples.Air canisters will be disposed after 3 business days from the date the project is completed. Please contact Client Services at 800-624-9220 with any questions. I,the undersigned,attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. GUl P.mita Naia<. zed Signature: nature:g Title: Technical Director/Representative Date: 01/18/17 Page 3 of 15 Serial No:01181720:26 INORGANICS MISCELLANEOUS Page 4 of 15 z Project Name: SCHIESTL RESIDENCE Lab Number: L17O1147 Project Number: BEA16-10869 Report Date: 01/18/17 SAMPLE RESULTS Lab ID: L1701147-01 Date Collected: 01/11/17 09:45 Client ID: EFFLUENT Date Received: 01/12/17 Sample Location: CENTERVILLE,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry .Westborough Solids,Total Suspended 13. mg/I 5.0 NA 1 - 01/13/17 11:00 121,2540D DW Nitrogen,Nitrite 0.083 mgll_ 0.050 — 1 __ ___01/12/17 22:47 44,353.2_ MR Nitrogen,Nitrate 10. mg/I 0.50 — 5 - 01/12/17 23:26 44,353.2 MR Nitrogen,Total Kjeldahl 19.4 mg/I 0.600 — 2 01/12/17 23:00 01/13/17 22:31 121,4500N-C AT BOD,5 day 2.4 mgll 2.0 NA 1 01/13/17 06:30 01/18/17 08:30 121,5210E TE Os ar Page 5 of 15 Serial_No:01181720:26 Project Name: SCHIESTL RESIDENCE Lab Number: L1701147 Project Number: BEA16-10869 Report Date: 01/18/17 Method Blank Analysis Batch (duality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst 4_ General Chemistry Westborough Lab for samples) 01'"Batch :WG969233-1"�. Nitrogen,Nitrate ND mg/I 0.10 1 - a01/12/1722:24 44,353.2 s. MR General Chemistryr�� Westborough ---ab forsample(s) 01.::Batcli �WG969234-,1, `wb Y• wa�v.'x'e'S V -, n.r_,'�V4'— ^i..t ... 9*1u/.«,. - I,1.«....., 'A e. •. /„'. .. Nitrogen,Nitrite ND mg/I 0.050 — 1 - 01/12/1722:27 44,353.2 MR Gener"al Chemistry="Westborough'Lab for sample(s).`01 Batch: WG969252-1 Nitrogen,Total Kjeldahl ND mg/I 0.300 — 1 01/12/1723:00 01/13/1722:23 121,4500N-C AT General Chemistry Westborough Lab for sample(s): 01° Batch:,WG969306=1 Solids,Total Suspended ND mg/I 5.0 NA 1 - 01/13/1711:00 121,2540D DW General Chemistry-Westborough Lab for sample(s): 01 Batch: WG969323-1 BOD,5 day ND mg/I 2.0 NA 1 01/13/1706:30 01/1811708:30 121,5210B TE %� FiAL Page 6 of 15 Serial No:01181720:26 - Lab Control Sample Analysis Project Name: SCHIESTL RESIDENCE Batch Quality Control Lab Number: L1701147 Project Number: BEA16-10869 Report Date: 01/18/17 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qual Limits RPD Qual RPD Limits General;Chemistry Westborough�rLab Associated samples),01 Batch WG969233 2 -._ 90-110 Nitrogen,Nitrate General.Chemistry :Westborough".Lab Assoclated�sample(s) 01 Batch WG969234 2 Nitrogen,Nitrite 16 `- -:V - 90-110 - 20 General Chemistry=.Westborough Lab Associated�sample(s) 01 Batch WG969252 � _. .:.... .« ..._.'....+.x ,._.5.:...-..n,.._.. i5..,x-...,....�. ar-._:r.., ..w.. -..... Ax.....:..+-..e...: ..-`.._.+;-.r...a.- ... ... .k Nitrogen,Total Kjeldahl BTU';; - 78-122 - General Chemistry ,'11Vestborough:Lab Assoclatetl samples) 01 Batch V1IG969323 2 __._ -- ---.- 85-115 BOD,5 day 93:. - 20 _._. _. . .._.... ....... ... e 7 of 15 Pa fix,. g �� HA Serial No:0118172O:26 Matrix Spike Analysis Project Name: SCHIESTL RESIDENCE Batch Quality Control Lab Number: L1701147 Project Number: BEA16-10869 Report Date: 01/18/17 Native MS MS o MS MSD MSD Recovery RPD /o Parameter Sample Added Found Recovery Qual Found %Recovery Qual Limits RPD Qual Limits General Chemist p O W- -- - -- ry :W,estborough Lat ;Associated;sarn le s ;0,1- °QCFBatch ID:`WG969233-4Y QC.Sampfe L17A1059-01r ,t:ientlD.'' Nitrogen,Nitrate No 4 4.0 100 83-113 - 6 General Chemistry Westborough Lab`Associatedrsarnple(s) 01 : .QCiBatchtlD.^WG969234-4' QC"Sample L17Q1059=0:'L.. Client ID °CMS Samples Nitrogen,Nitrite No 4 4.0 80-120 _- 20_ -.>.r� ..._y.-..e."tY+-'.--.w•:w�.. ®.,....-..e*'-+v+r.•r.- -,-'r_-'R:. ,.......,,..:._...-.-._,.- _-,r_.:r _«...-r,.--..-wine:....-nw.,.. ....-.,.;r-.._�...-...+-_ .K, ._..,ry e,.. _r-.,, _ General Chemistry Westborough Lab Associated, ample(s) r01 QC.Batch;ID:-WG969252-4`: QC;:Saro le::L1701;145-02 Client ID,: MS`Sam '� Nitrogen,Total Kjeldahl 2.32 16 13,0 `=67 'i Q _ _ 77-111 - 24 • , . QC Batch ID:'WG9 6923 3 QC Samle70.1145-02 Client D MS SampleAssociatedsampes) 01'GeneralCiemistry WesoroguLab p BOD,5 day 4.2 100 180 ''172., Q - - _ 50-145 35 _........................_..... .. .::.••:.::.:.............................................._._......................... -..............-.........................................._.........................__......_......._...........;......... . I`\ 'age-8 of 15 PHA Serial No:01181720:26 '- Lab Duplicate Analysis Lab Number: L1701147 Project Name: SCHIESTL RESIDENCE Batch Quality Control Project Number: BEA16-10869 Report Date: 01/18/17 _Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits General;Chemistry'-;1Nestborough Lab;Assoclatedsarnple(s):."01° QC Batch!! D.:WG969233 3 . QC`Sample . L1701059 0.1 Client"ID: DUP Sample J Nitrogen,Nitrate ND ND eral ChemWestbor .. ., _. .. : µ . . ,. . .. . . " 02.59 01 :Client ID: DUP S aam s� 01- QC Bach I WG96 923 `QC'Sam e L1701hLa` Assoclate G66 msstY ou9 ample Nitrogen,Nitrite ND ND mg/I NC' 20 General Chemistr ,xWestboro:ugh.Lab:Ass,pciatedsamp.le(s)..0.1 QC Batch,ID WG969252 3 QC Sample L17011,45 02 Client ID DUP Sample Y _. _.:._..:.. _. .- .... .. --- _ ...- Nitrogen,Total Kjeldahl 2.32 2.28 mg/I 2 }, �,: . r _ -- ,Client ID: DLLP,Sample . - �,_, ,»� GeneraltChemistry-Westborough"Lab Assoclated'sample(s) 01 QC°Batch,ID WG969306 2 QC Sample. RL1'701101 01 .�..._. . _. _ ,r.w. ... z.. .. _ .: �_, ,.�... x . Solids,Total Suspended 160 180 mg/I 4 12 29 General,Chemistry Westborough,Lab Assoclated�sample(s)y 01 QG:Batch ID WG969323 4 F QC Sample L17011m45 02k Client ID, DUP,`Sample� i -� 35 BOD,5 day 4.2 2.1 mg/I 67,. Q Page 9 of 15 ,� �� Serial_No:01181720:26 Project Name: SCHIESTL RESIDENCE Lab Number: L1701147 Project Number: BEA16-10869 Report Date: 01/18/17 Sample Receipt and Container Information Were project specific reporting limits specified? YES Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C Pres Seal Analysis(*) L1701147-01A Plastic 250ml H2SO4 preserved A <2 3.5 Y Absent TKN-4500(28) L1701147-01 B Plastic 950ml unpreserved A 8 3.5 Y Absent NO2-353(2),BOD-5210(2),NO3- 353(2) L1701147-01 C Plastic 950ml unpreserved A 8 3.5 Y Absent TSS-2540(7) *Values in parentheses indicate holding time in days ` Page 10 of 15 � Project Name: SCHIESTL RESIDENCE Lab Number: L1701147 Project Number: BEA16-10869 Report Date: 01/18/17 GLOSSARY Acronyms EDL Estimated Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting limit(RL).The EDL includes any adjustments from dilutions,concentrations or moisture content,where applicable.The use of EDLs is specific to the analysis of PAHs using Solid-Phase Microextraction(SPME). EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NDPA/DPA -N Nitrosodiphenylamine/Diphenylan i e. NI Not Ignitable. NP Non-Plastic:Term is utilized for the analysis of Atterberg Limits in soil. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values;although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. STLP Semi-dynamic Tank Leaching Procedure per EPA Method 1315. TIC Tentatively Identified Compound:A compound that has been identified to be present and is not pact of the target compound list(TCL)for the method and/or program.All TICS are qualitatively identified and reported as estimated concentrations. Footnotes 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Total:With respect to Organic analyses,a'Total'result is defined as the summation of results for individual isomers or Aroclors.If a'Total' result is requested,the results of its individual components will also be reported.This is applicable to'Total'results for methods 8260,8081 and 8082. Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Data Qualifiers A Spectra identified as"Aldol Condensation Product". B The analyte was detected above the reporting limit in the associated method blank Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(I Ox)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox) the concentration found in the blank For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit.For NJ-related projects(excluding Air),flag only applies to associated field samples that have detectable concentrations of the analyte,which was detected above the reporting limit in the associated method blank or above five times the Report Format: Data Usability Report Page 11 of 15 Serial_No:01181720:26 Project Name: SCHIESTL RESIDENCE Lab Number: L1701147 • Project Number: BEA16-10869 Report Date: 01/18/17 Data Qualifiers reporting limit for common lab contaminants(Phthalates,Acetone,Methylene Chloride,2-Butanone). C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. G The concentration may be biased high due to matrix interferences(i.e,co-elution)with non-target compound(s).The result should be considered estimated. H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I The lower value for the two columns has been reported due to obvious interference. M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICS),where the identification is based on a mass spectral library search. P The RPD between the results for the two columns exceeds the method-specified criteria. Q The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R Analytical results are from sample re-analysis. RE Analytical results are from sample re-extraction. S Analytical results are from modified screening analysis. J Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICs). ND Not detected at the reporting limit(RL)for the sample. Report Format. Data Usability Report T.? a. Page 12 of 15 Project Name: SCHIESTL RESIDENCE Lab Number: L1701147 Project Number: BEA16-10869 Report Date: 01/18/17 REFERENCES 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100, August 1993. 121 Standard Methods for the Examination of Water and Wastewater.APHA-AWWA-WEF. Standard Methods Online. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error,the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation,cooling, containers, sampling procedures, holding time and splitting of samples in the field. hA Page 13 of 15 S e ri a l_N o:01181720:26 Alpha Analytical, Inc. ID No.:17873 Facility: Company-wide Rev.:17810 Department: Quality Assurance Published Date: 1/16/201711 evisio AM Title: Certificate/A roval Program Summary pp g Page 1 of 1 Certification Information The following analytes are not included in our Primary NELAP Scope of Accreditation: Westborough Facility EPA 624:m/p-xylene,o-xylene EPA 8260C:NPW: 1,2,4,5-Tetramethylbenzene;4-Ethyltoluene,Azobenzene;SCM:lodomethane(methyl iodide),Methyl methacrylate,1,2,4,5- Tetramethylbenzene;4-Ethyltoluene. EPA 8270D: NPW:Dimethylnaphthalene,1,4-Diphenylhydrazine;SCM:Dimethylnaphthalene,1,4-Diphenylhydrazine. EPA 300: DW:Bromide EPA 6860: NPW and SCM:Perchlorate EPA 9010: NPW and SCM: Amenable Cyanide Distillation EPA 9012B: NPW:Total Cyanide EPA 9050A: NPW:Specific Conductance SM3500: NPW:Ferrous Iron SM4500:NPW: Amenable Cyanide,Dissolved Oxygen;SCM:Total Phosphorus,TKN,NO2,NO3. SM5310C:DWDW:Dissolved Organic Carbon Mansfield Facility SM 2540D: TSS EPA 3005A NPW EPA 8082A:NPW: PCB:1,5,31,87,101,110,141,151,153, 180, 183,187. EPA TO-15:Halothane,2,4,4-Trimethyl-2-pentene,2,4,4-Trimethyl-1-pentene,Thiophene,2-Methylthiophene, 3-Methylthiophene,2-Ethylthiophene,1,2,3-Trimethylbenzene,Indan,Indene,1,2,4,5-Tetramethylbenzene,Benzothiophene,1-Methylnaphthalene. Biological Tissue Matrix: EPA 3050B The following analytes are included in our Massachusetts DEP Scope of Accreditation Westborough Facility: Drinking Water EPA 300.0:Nitrate-N,Fluoride,Sulfate;EPA 353.2:Nitrate-N,Nitrite-N;SM4500NO3-F:Nitrate-N,Nitrite-N;SM4500E-C,SM4500CN-CE,EPA 180.1, SM2130B,SM4500CI-D,SM232013,SM2540C,SM4500H-B EPA 332'.Perchlorate;EPA 524.2: THMs and VOCs;EPA 504.1:EDB,DBCP. Microbiology:SM921513;SM9223-P/A,SM9223B-Colilert-QT,SM9222D. Non-Potable Water SM4500H,B,EPA 120.1,SM2510B,SM2540C,SM232013,SM4500CL-E,SM4500E-BC,SM4500NH3-BH,EPA 350.1:Ammonia-N,LACHAT 10-107- 06-1-B:Ammonia-N,SM4500NO3-F,EPA 353.2:Nitrate-N,EPA 351.1,SM4500P-E,SM450013-13,E,SM4500SO4-E,SM522013,EPA 410.4, SM5210B,SM5310C,SM4500CL-D,EPA 1664,EPA 420.1,SM4500-CN-CE,SM25401). EPA 624:Volatile Halocarbons&Aromatics, EPA 608:Chlordane,Toxaphene,Aldrin,alpha-BHC,beta-BHC,gamma-BHC,delta-BHC,Dieldrin,DDD,DDE,DDT,Endosulfan I,Endosulfan II, Endosulfan sulfate,Endrin,Endrin Aldehyde,Heptachlor,Heptachlor Epoxide,PCBs EPA 625:SVOC(Acid/Base/Neutral Extractables),EPA 600/4-81-045:PCB-Oil. Microbiology:SM9223B-Colilert-QT;Enterolert-QT,SM9221E. Mansfield Facility: Drinking Water EPA 200.7:Ba,Be,Cd,Cr,Cu,Ni,Na,Ca.EPA 200.8:Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TL.EPA 245.1 Hg. Non-Potable Water EPA 200.7:Al,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,TL,Ti,V,Zn. EPA 200.8:Al,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TL,Zn. EPA 245.1 Hg. SM2340B For a complete listing of analytes and methods,please contact your Alpha Project.Manager. Document Type: Form Pre-Qualtrax Document ID: 08-113 Page 14 of 15 Serial_No:01181720:264 ' L ed i R t D(� ae- en eb.•. CH Ih® @d'� Vr USTODY PAGE,1-.DF'1 1:f 1:�,I:,11 1.ALPHA.Job . l., I`.�"1 A A'CN'AKL-Y�T 1-t—A C. Westborough,MA: Mehsfleli;MA.. FAX R EMAIL ®`.Same asrClienta'iafo,. PO#:10869. TEL 50"S.. 226 'TEL 50&9Z$930'0 ProJe.Ct INa:111L:5b111eStI FReSiden e Q.Add'FDe)Cverablos i�'ADEx FAX.508'898-9t83.• ..4x508A22=3288 e o eo Protect uddlion Cet fervtile;-MA stereFed Program;: .... Criterle; Client.EennettEnvironmentai A peola$es: Pro ecf#.BEA16,1 UStil3 . Address:..15T3 Main Street;!P b ;Bok 1743 Pro ectMan.a er`,fJz3vid.0 Bennett Brewster,-VA 610'1 ALPFfAQuote:;#s:. Phone�50'$�89'6'-7:70'6 . e ANALYSIS-. Fax.508=896 51b9: .-, Standard 0,J•2U6h':(ONLY,IF PRE-APpROV81)i M1,aaE`HANDCING' ' FIl $cJ Bntail:.sfarrenkopfbenrttft e9 coda' VM 0 IJQe P0Ate: Time:' 0 NotNeaded. 0 Cab to do'• I Other Project.Specific.Regtairements/Ci mment_51poecti6q.Limits:. jo eryar<o� • 0 Lab:to do p ' (pleasespeclty' 0 .. boloM. m .. ALPHA.Lab ID' S`2nlple ID Collection; Sahtp1b.- Sarnplei's Z Date Time m(Leb:Use'Only). Matriic tii8als ,� N, ZZ SaMptu5peetfic- '. Y ' Comments Udl "?; ..G' . Effluent. .. :fJi .l ": I C':: V_ .�:,: ' : .q o 0 0 0 a - oo. 0000: El E1 j FT 4. o. ;o o :o; o o aa :aa: oao a o o : a o o o. a0000 .Q 71 a ooa ;q o .00.- ' ' M o. Container Type . "' P P t) O D ,`Pleaae,ptintcleaily;,legibly i re5erVativeB ;anticompletely Samples can ��f/ lin shed B not be;logged hand,,, q ' y:•. Dete.f lrne Received By: Date/Tlme. 6rnaround,Erneclockwlll,not start until any amblguttles are 'resolved,'NIsamples u submitted are subject to i ioaatno Siatnau) !d-6. Alpha's Payment:Terms. (rev IeAVR:aBj €: rd'd'L /62/l Page 15 of 15 JVjdb;*C11i116h�GLL0 1J1WjJC41 UnI611�v1 reu ...... . Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Stefan and Patricia Schiestl &Patricia Downey filling out forms Owner on the computer, use only the tab 19 Angus Way key to move your Facility Street Address cursor-do not Cewnterville 02632 use the return City Zip key. Mailing address of owner, if different: r� Street Address/PO Box: reran City State Zip (516)250-3144 ext. Telephone Number B. Authorized Service Provider Bennett Environmental Associates, Inc. O&M Finn 1573 Main Street/ PO Box 1743 Street Address Brewster MA 02631 City State Zip (508) 896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information FR Mahony Amphidrome DEP ID Manufacturer ID Model Number Unknown 2/28/2008 Installation Date Start of Operation Approval Type: ❑ General ® Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information > 10/13/16 7/5/16 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5aiom.doc•rev.04-11-13 Page 1 of 3 r L-,WWI Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 ®EP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ❑ no ® some pH 7.6 t0 9 U DO 4.0 0 mg ter Turbidity 1.38 NTU 9 40 or less Sh ould a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD'and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ® BOD ❑ CBOD ® TSS ® TN M Other(list below) Nitrate Nitrite TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Notes and Comments: All mechanical components of the system are operating correctly. Effluent quality passed field testing parameters. t5aiom.doc•rev. - -0 4 11 13 Page 2 of 3 -J Y `/'A&HA A44 A'L'Y T / C A L ANALYTICAL REPORT Lab Number: L1632832 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: David Bennett Phone: (508)896-1706 Project Name: SCHIESTL RESIDENCE Project Number: BEA16-10869 Report Date: 10/20/16 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. NJ 000065),ME PCertifications&Approvals: MA A(68-03671).VA(460195),MDN(348),8IL(200077),NC(666),TX(T104704476)3DOD(L221P)(USDA(Permit 1 -00240).0086), Eight Walkup Drive,Westborough, MA 01581-1019 508-898-9220 (Fax)508-898-9193 800-624-9220-www.alphalab.com Page 1 of 15 Serial_No:10201612:28 Project Name: SCHIESTL RESIDENCE Lab Number: L1632832 Project Number: BEA16-10869 Report Date: -10/20/16 Alpha Sample Sample ID Collection Client ID Matrix Location Date/Time Receive Date L1632832-01 EFFLUENT WATER CENTERVILLE, MA 10/13/16 10:40 10/13/16 'age 2 of 15 Project Name: SCHIESTL RESIDENCE Lab Number: L1632832 Project Number: BEA16-10869 Report Date: 10/20/16 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet NELAP requirements for all NELAP accredited parameters unless otherwise noted in the following narrative.The data presented in this report is organized by parameter (i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample,followed by the Laboratory Batch Quality Control at the end of each parameter.Tentatively Identified Compounds (TICs),if requested,are reported for compounds identified to be present and are not part of the method/program Target Compound List, even if only a subset of the TCL are being reported.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE", respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific%recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.All specific QC information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications.Soil/sediments,solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances the specific failure is not narrated but noted in the associated QC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. HOLD POLICY For samples submitted on hold,Alpha's policy is to hold samples(with the exception of Air canisters)free of charge for 21 calendar days from the date the project is completed.After 21 calendar days,we will dispose of all samples submitted including those put on hold unless you have contacted your Client Service Representative and made arrangements for Alpha to continue to hold the samples.Air canisters will be disposed after 3 business days from the date the project is completed. Please contact Client Services at 800-624-9220 with any questions. I,the undersigned, attest under the pains and penalties of perjury that,to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Michelle M.Morris Authorized Signature: Title: Technical Director/Representative Date: 10/20/16 i` KA Page 3of15 Serial_No:10201612:28 INORGANICS MISCELLANEOUS Page 4 of 15 Project Name: SCHIESTL RESIDENCE Lab Number: L1632832 Project Number: BEA16-10869 Report Date: 10/20/16 SAMPLE RESULTS Lab ID: L1632832-01 Date Collected: 10/13/16 10:40 Client ID: EFFLUENT Date Received: 10/13/16 Sample Location: CENTERVILLE,MA Field Prep: Not Specified Matrix: Water Dilution - Date Date Analytical Parameter Result Qualifier units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry-.Westborough Lab, Solids,Total Suspended ND mg/I 5.0 NA 1 ___— 10/17/16 13:05 121,2540D _SG __ _ 10/14/16 01:11 44,353.2 MR Nitrogen,Nitrite ND mg/I 0.050 _ - ------_—_-- ----------------------- — 1 - 10/14/16 01:11 44,353.2 MR Nitrogen,Nitrate 6.8 mg/I 0.10 Nitrogen,Total Kjeldahl 1.35 mg/I 0.300 — 1 10/18/16 10:57 10/19/16 20:43 121,4500N-C AT — _ — 1— 10/14/16 06:50 10/19/16 10:15 — 121,5210B JC BOD,5 day ND mg/l 2.0 NA F Page 5 of 15 Serial_No:10201612:28 Project Name: SCHIESTL RESIDENCE Lab Number: L1632832 Project Number: BEA16-10869 Report Date: 10/20/16 Method Blank-Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepares! Analyzed Method Analyst General Chemistry. Westborough Lab for samples) 01 Batch:-WG941908-1 x.' Nitrogen,Nitrate ND mg/I ` 0.10 1 - 10/14/16 00:17 44,353.2 MR General Chemistry Westborough Lab for'sampie'(s): 01 Batch. WG941909=1 Nitrogen,Nitrite ND mg/I 0.050 1 10/44/16 00:20 44,353.2 MR Genera)Chemistry 7 Westborough Lab for sample(s): 01 Batch: WG942016-1 BOD,5 day ND mg/I 2.0 NA 1 10/14/16 06:50 10/19/16 10:15 121,5210B JC General Chemistry`-Westborough Lab for sample(s): 01 .Batch: VUG942676-1 Solids,Total Suspended ND rng/l 5.0 NA 1 - 10/17/16 13:05 121,254013 SG General Chemistry=Westborough Lab for sampie(s): 01 Batch: WG943086-1 - Nitrogen,Total Kjeldahl ND mg/I 0.300 — 1 10/18/1610:57 10/19/16 20:28 121,4500N-C AT Page 6 of 15 Serial No:10201.612:26 Lab Control Sample Analysis Project Name: SCHIESTL RESIDENCE Batch Quality Control Lab Number: L1632832 Project Number: BEA16-10869 Report Date: 10/20/16 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qual Limits RPD Qual RPD Limits ._-__ .. _...... .__ ._ - _. - GeneralChemistry,-•Westborough,Lab •Associated,sample(s). 0,1, Batch WG941908-2 . - _._ 90-110 Nitrogen,Nitrate -.w General Chemistry.-Westborough'.L'ab Associated sampie(s): 01 Batch WG94190 _. 90-110 20 Nitrogen,Nitrite _. .._.._ ... - _._..._. General`Chemistry.--V11estbor Associated ough�Lab arnple(s):>01 Batch. WG942016-2 - l' d _ . -- — —� _ 85-115 20 94 _...... _...._._. BO ..5 day __.... General Chemistry, Westboroughlab'`Assoclated samples) 01 Batch WG943086 1.00_..-� Nitrogen,Total Kjeldahl 78-122 Page 7 of 15 Serial_No:10201612:28 Matrix Spike Analysis Project Name: SCHIESTL RESIDENCE Batch Quality Control Lab Number: L1632832 Project Number: BEA16-10869 Report Date: 10/20/16 Native MS MS MS IVISD MSD Recovery RPD 2arameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits General:C.hemistry:.-Westborough`Cati Associated:sample(s)�0.1. 'QC:Batch;ID W.G941908`'4:' QC';Sampla 1L1632833-01., Client,ID.:^-MS Sa'}mple Nitrogen, Nitrate ND 4 43 1108 r - 83-113 - 6 Gen eral`Chernistry 'Westborough Lab Associated sample(s)' 01 %QC Batch ID:;;,WG94:1.9O9-4 i QC-Sample: ,1632833-Q1 Client ID "MS Sample117 ;.F Nitrogen,Nitrite ND 4 �,. s4 , 4.0 100. - - 80-120 - 20 General:Chemistry-Westborough Lab AssociatedEsam le s : 01 QC'Batch ID.WG942016-4 ,: .QC;,Sam le;'L16000 " p 10 Client D rMS Sarnpte{ , BOD,5 day 200 •:° .1. 100 320 "116` '° 50-145 _ ------— _ -------- --- --- - 35 -----------3eneral,Chemist Chemistry- W-.estbo-r ough La b Ass6 cia e d q,M . - -—_ < —Sampl sO01 QCB ID WG943086-4 QC'Sample':11632799=01 ClientID 3-M -- Sample-­t V `:, Nitrogen,Total Kieldahl 1.08 8 9.04 100, _ . ....._..._ - 77-111 24 ige8of15 Serial No:10201612:28 Lab Duplicate Analysis Project Name: SCHIESTL RESIDENCE Batch Quality Control Lab Number: L1632832 Project Number: BEA16-10869 Report Date: 10/20/16 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits General Chemistry Westborough Lab Associated`sample,(s): 01 QC Batch'ID: WG941908-3 QC Sample. 'L 1632833=01 Client ID:: DUP Sample Nitrogen,Nitrate ND ND mg/I -NC" .- 6 P Genera' hemist. Westborou, h Lali Associated.sam le s . 01 QC Batch ID WG941909-3' . QC Sam le.. L1,,632833=01 Client.ID: DUPsSample. rY- 9, _ . . ND ND mg/I NC�,` ' 20 Nitrogen,Nitrite VUG942016-3 QC Sam le 06DO010-79..Client ID'.�DIJP'Sarnple Generaf�.Chemistry Westborough Lab Associated sample(s) 01 QC Batch 1p P - , _ 5 _» 35 BOD,5 day 210 mg/I. General Chemistry-1Ne'stborough Lab Associated sample(s): 01'l QC'BatchrlD WG942676-2 <QC Sampler>L1.632732-01. Client ID:` DUP Sample w _ _ 47 44 mg/I 29 Solids,Total Suspended k. ._ - ... General Chemistry-Westborough;Lab Associated sample(s). °01 QC'Batch ID WG94308.6-3 QC'Sample L1632799 01 Client IDS DUP`Sa p _. Nitrogen,Total Kjeldahl 1.08 1.08 mg/I 24 u Page 9 of 15 Serial_No:1O201612:28 Project Name: SCHIESTL RESIDENCE Lab Number: L1632832 . Project Number: BEA16-10869 Report Date: 10/20/16 Sample Receipt and Container Information Were project specific reporting limits specified? YES Cooler Information Custody Seal Cooler B Absent Container Information I Temp Container ID Container Type Cooler pH deg C Pres Seal Analysis(*) L1632832-01A Plastic 250ml H2SO4 preserved B <2 2.8 Y Absent TKN-4500(28) L1632832-01 B Plastic 950ml unpreserved A 8 3.5 Y Absent NO2-353(2),BOD-5210(2),NO3- 353(2) L1632832-01C Plastic 950ml unpreserved A 8 3.5 Y Absent TSS-2540(7) C�*Values in parentheses indicate holding time in days HA Page 10 of 15 '' - _• Lab Number: L1632832 Project Name: SCHIESTL RESIDENCE Project Number: BEA16-10869 Report Date: 10/20/16 GLOSSARY Acronyms EDL Estimated Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting limit(RL).The EDL includes any adjustments from dilutions,concentrations or moisture content,where applicable.The use of EDLs is specific to the analysis of PAHs using Solid-Phase Microextraction(SPME). EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NDPA/DPA N Nitrosodiphenylamine/Diphenylamine. NI Not Ignitable. NP Non-Plastic:Term is utilized for the analysis of Atterberg Limits in soil. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values;although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. STLP Semi-dynamic Tank Leaching Procedure per EPA Method 1315. TIC Tentatively Identified Compound:A compound that has been identified to be present and is not part of the target compound list(TCL)for the method and/or program.All TICS are qualitatively identified and reported as estimated concentrations. Footnotes I The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Total:With respect to Organic analyses,a'Total'result is defined as the summation of results for individual isomers or Aroclors.If a'Total' result is requested,the results of its individual components will also be reported.This is applicable to'Total'results for methods 8260,8081 and 8082. Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Data Qualifiers A Spectra identified as"Aldol Condensation Product'. B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(lox) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(IOx)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit.For NJ-related projects(excluding Air),flag only applies to associated field samples that have detectable concentrations of the analyte,which was detected above the reporting limit in the associated method blank or above five times the Report Format: Data Usability Report Page 11 of 15 Serial—No:10201612:28 Project Name: SCHIESTL RESIDENCE Lab Number: L1632832 , Project Number: BEA16-10869 Report Date: 10/20/16 Data Qualifiers reporting limit for common lab contaminants(Phthalates,Acetone,Methylene Chloride,2-Butanone). C Co-elution:The target analyte co-elutes with a known lab standard(i.e.-surrogate,internal standards,etc.)for co-extraeted analyses. D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. G The concentration may be biased high due to matrix interferences(i.e,co-elution)with non-target compound(s).The result should be considered estimated. H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I The lower value for the two columns has been reported due to obvious interference. M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICS),where the identification is based on a mass spectral library search. P The RPD between the results for the two columns exceeds the method-specified criteria. Q The quali ty ty control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R Analytical results are from sample re-analysis. RE Analytical results are from sample re-extraction. S Analytical results are from modified screening analysis. J -Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICS). ND -Not detected at the reporting limit(RL)for the sample. Report Format: Data Usability Report Page 12 of 15 e: Lab Number: L1632832 Project Nam SCHIESTL RESIDENCE Project Number: BEA16-10869 Report Date: 10/20/16 REFERENCES 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100,August 1993. 121 Standard Methods for the Examination of Water and Wastewater.APHA-AWWA-WEF. Standard Methods Online. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error,the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. volume,We strongly urge our clients to comply with EPA protocol regarding sample , preservation, cooling, containers,sampling procedures, holding time and splitting of samples in the field. . Page 13 of 15 _No:10201612:28 Alpha Analytical, Inc. Serial ID No.:17873 Facility: Company-wide Revision 7 Department: Quality Assurance Published Date: 8/5/2016 11:25:56 AM Title: Certificate/Approval Program Summary Page 1 of 1 Certification Information The following analytes are not included_ in our Primary NELAP Scope of Accreditation: Westborough Facility EPA 624:m/p-xylene,o-xylene EPA 8260C:NPW:1,2,4,5-Tetramethylbenzene;4-Ethyltoluene,Azobenzene;SCM:lodom eth ane(methyl iodide),Methyl methacrylate,1,2,4,5- Tetramethylbenzene;4-Ethyltoluene. — EPA8270D: NPW:Dimethylnaphthalene,1,4-Diphenylhydrazine;SCM:Dimethylnaphthalene,1,4-Di hen Ih drazine. EPA 300: DW.Bromide p y y EPA 6860: NPW and SCM:Perchlorate EPA 9010: NPW and SCM: Amenable Cyanide Distillation EPA 901213: NPW:Total Cyanide EPA 905OA: NPW:Specific Conductance SM3500: NPW:Ferrous Iron SM4500:NPW: Amenable Cyanide,Dissolved Oxygen;SCM:Total Phosphorus,TKN,NO2,NO3. SM531OC:DIN:Dissolved Organic Carbon Mansfield Facility SM 2540D: TSS EPA 3005A NPW EPA8082A:NPW: PCB:1,5,31,87,101,110,141,151,153,180,183, 187. EPA T045:Halothane,2,4,4-Trimethyl-2-pentene,2,4,4-Trimethyl-l-pentene,Thiophene,2-Methylthiophene, 3-Methylthiophene,2-Ethylthiophene,1,2,3-Trimethylbenzene,Indan, Indene,1,2,4,5-Tetramethylbenzene,Benzothiophene,1-Methyinaphthalene. Biological Tissue Matrix: EPA 3050B The following analytes are included in our Massachusetts DEP Scope of Accreditation Westborough Facility: Drinking Water EPA 300.0:Nitrate-N,Fluoride,Sulfate;EPA 353.2:Nitrate-N,Nitrite-N;SM4500NO3-F:Nitrate-N,Nitrite-N;SM4500E-C,SM4500CN-CE,EPA 180.1, SM2130B,SM4500CI-D,SM2320B,SM2540C,SM450OH-B EPA 332:Perchlorate;EPA 524.2: THMs and VOCs;EPA 504.1:EDB,DBCP. Microbiology:SM921513;SM9223-P/A,SM9223B-Colilert-QT,SM9222D. Non-Potable Water SM45001-1,13,EPA 120.1,SM2510B,SM2540C,SM2320B,SM4500CL-E,SM4500E-BC,SM4500NH3-BH,EPA 350.1:Ammonia-N,LACHAT 10-107- 06-1-B:Ammonia-N,SM4500NO3-F,EPA 353.2:Nitrate-N,EPA 351.1,SM4500P-E,SM4500P-B,E,SM4500SO4-E,SM5220D,EPA 410.4, SM5210B,SM5310C,SM4500CL-D,EPA 1664,EPA 420.1,SM4500-CN-CE,SM254013. EPA 624:Volatile Halocarbons&Aromatics, EPA 608:Chlordane,Toxaphene,Aldrin,alpha-BHC,beta-BHC,gamma-BHC,delta-BHC,Dieldrin,DDD,DDE,DDT,Endosulfan I,Endosulfan II, Endosulfan sulfate,Endrin,Endrin Aldehyde,Heptachlor,Heptachlor Epoxide,PCBs EPA 625:SVOC(Acid/Base/Neutral Ectractables),EPA 600/4-81-045:PCB-Oil. Microbiology:SM9223B-Colilert-QT;Enterolert-QT,SM9222D-MF. Mansfield Facility: Drinking Water EPA 200.7:Ba,Be,Cd,Cr,Cu,Ni,Na,Ca.EPA 200.8:Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TL.EPA 245.1 Hg. Non-Potable Water EPA 200.7:AI,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,TL,Ti,V,Zn. EPA 200.8:Al,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TL,Zn. EPA 245.1 Hg. SM2340B For a complete listing of analytes and methods,please contact your Alpha Project Manager. Document Type: Form Pre-Qualtrax Document ID: 08-113 Paae 14 of 15 Serial No:10201612:28 Dace CHAIN OF CUSTODY PAGE 1 OF i Rr� 1.0 1 I!G ALPHA Job#: µ.�'�'(a f'a - �. A • [�. FAX EMAIL ® Same as Client Irrfo PO 1t:10869 Westborough,MA Matistield,MA. ;Project:Name:.Schiestl Residence TEL:508-895-9220: TEL:SO(i:e22.9300. ❑ SEX p :Aaa',I Deliverables FAXt.S08498.9193, FAX:508-8224188 ° ° • •° r MIRProjecfLocation:.Centenf111e,.MA Stare/FedFm raM tirlterla Client;Bennett Environmental Associatet3 :Pro:ect# BEA10=10860 Address:157.3 Main Street:Y P:O,Box 17443 Pro etit'Manager:David C,Bennett ` ..Brewster,.MA d2631 ALPHA'Quote:#; Phone:':508-896=1.7Q6 ANALYSIS Fax:508-891-6109 Z ztandard. D Rush(ONLY IF PRE=APPRdVED) SAMPLE HANDLING ° 'Flltrairon Emaifasfarrenkopf@benneft-oexom d.Done Due:Qate: Time: I@ Not Needed ❑These samples'have been PreWousl yatielyzedbyAlpha ❑ Lab'to'do Other Project Specific'Requiremehts/Qommertts/Deter t'iorf LIM.its; Preservation ° ❑ Lab to do Q (Please'specify O . below) 0 ai e�. ALPHA Lab:ID Sample ID C.olleotion Sample Samp.lat s z' (Lab Use Only) Date Tme Matrix Inttlals +°? tQ' Z samplepe°'Sitic C°mments iG n . ❑. •❑ �. . s 3'd .CU Effluent. 10/'13// 1.. . tD WVV Cad 3 . o ❑ ❑ ❑ a ❑ ❑ ❑ oa ❑ ❑ El ❑ ❑ F1 ❑ ❑ ❑ ❑ ❑ EJ ❑ ❑ ❑ ❑ o a ❑ ❑ ❑ ❑ ❑ - o ❑ ❑ ❑ ❑ ❑ ❑ ❑ o ❑ o ❑ a ❑ .❑ ❑ ❑ ❑ ❑ a ❑ Contaitier.Type P P P _ PleaseO O D and completely.Samples can Preservative -. completely. not be logged In and Reli ad By- Date/T.ime ReceivadB DaefTime turnaroundtlme clock Oilllnot •�� start until any emblgultles are — -� �' �p ��.J resolved.All samples _ / submitted are subject to Alpha's Payment Terms, FORM N0:01-01(4NJj f (for•2WR-09) ,f Page 15 of 15 Am hidroMeTM InSpeetion CheekliSt �Cb1?4/ Wastewater Facility Location Ij Day/Date I 0 AV I Operator/Firm Y .< Facility Type: Amphidrome_ Plus Single Dual Design Parameters:Effluent Flow kgpd BOD TSS NH3 NO3 Total-N Fecal Cohform Actual Data; (latest lab result)*field'results day avg. Flow kgpd BOD TSS NH3 NO3 Total-N Fecal Coliformrrt No. of Treatment Cycles/24hrs 24 hr Timer Reset Cycle Beginning/End times Train 1-1 2 3 4 Train 2-1 2 3 4 Backwash Cycles-TIC Train 1-1. 2 3 4 Train-2-1 2 3 4 Denite BW Frequency/TIC 1 2 RETURN CYCLES Train 1 No. of Return cycles Time after high float Train 2-No. of Return cycles Time after high float Equipment Run Time TIC PB 1 m/d PB2 ln/d BWB1 m/d BWB2 m/d RP 1 m/d RP2 m/d B WP 1 m/d B WP2 m/d DFP1 m/d DFP2 m/d DBWP1 m/d DBWP2 m/d INF Pumps 1 m/d 2 m/d 3 m/d 4 m/d EFF Pumps 1 m/d 2 told 3 m/d 4 m/d Meth.Pump Amph.#1 m/d Amph#2 m/d Denite m/d Alk Pump/loc. #1 m/d- #2 m/d- #3 m/d- COUNTERS No. of Discharges off of High float Amp1BW Amp1FBW Amp2BW Amp2FBW DBW DFBW Equipment OFF-LINE/Reason 2. PV 3. 1 4. Anoxic Tank Sludge DOB/water level / VAActive Jobs WMActive Jobs IA SystemslSchiestl108691Appendices1o869linspection108691Amphidrome Insp 1 Checklist.doc .AmphidromeTO InSpection Cheeldist Bate Location / / flit, -a- Time In 10`©6) Out Participants! Review of Site Visit 1 a)C nc 1 Pro r-e5 rollj fPC` , - ry r -rr aat 'cam' ,0 Nh - 7 No - 6 r�(G - yo LoLly A I VAActive Jobs WMActive Jobs IA SysteniASchiest1108691Appendicesl0869Vnspectionl08691Amphidrome Lisp 2 Cheeklist.doc LlBureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 UA Treatment and Disposal Systems A. Installation Important:When Stefan and Patricia Schiestl & Patricia Downey filling out forms Owner on the computer, 19 Angus Wa use only the tab key to move your Facility Street Address cursor-do not Cewnterville 02632 use the return City Zip key. Mailing address of owner, if different: Q Street Address/PO Box: ienen City State Zip (516)250-3144 ext. Telephone Number D. Authorized Service Provider Bennett Environmental Associates, Inc. O&M Firm 1573 Main Street/PO Box 1743 Street Address Brewster MA 02631 City State Zip (508) 896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information FR Mahony Amphidrome DEP ID Manufacturer ID Model Number Unknown 2/28/2008 Installation Date Start of Operation Approval Type: ❑ General ® Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 4/6/16 7/5/16 Inspection Date Previous Inspection Date Pumping Recommended ❑ Yes ® No Sludge Depth(to be checked yearly) Page 1 of 3 t5aiom.doc•rev.04-11-13 LlMassachusetts Department of Environmental Protection ton Bureau of Resource Protection - Title 5 DEP Approved Inspection and OW Form for Title 5 I/A Treatment and Disposal Systems E. Field 'resting Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy El moldy El offensive El turbid Effluent Solids: ❑ no ® some 7.0SU 3.0m /L0.68 PH "6 to s DO 2 or greater Turbidity 0 orr less U Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH JZ BOD❑ CBOD ® TSS 2 TN® Other(list below) Nitrate Nitrite TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Notes and Comments: All mechanical components of the system are operating correctly. Effluent quality passed field testing parameters. t5aiom.doc•rev.04-11-13 Page 2 of 3 HA . _r1►3T1'IA_,jL`Y.T 1 C iA L ANALYTICAL REPORT Lab Number: L1620638 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: David Bennett Phone: (508)896-1706 Project Name: SCHIESTL RESIDENCE Project Number: BEA16-10869 Report Date: 07/11/16 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(LA000065),ME(MA00086), PA(68-03671),VA(460195),MD(348),IL(200077),NC(666),TX(T104704476),DOD(1-2217),USDA(Permit #P-330-11-00240). Eight Walkup Drive,Westborough, MA 01581-1019 508-898-9220 (Fax)508-898-9193 800-624-9220-www.alphalab.com Page 1 of 15 Serial_No:07111614:45 Project Name: SCHIESTL RESIDENCE Project Number: BEA16-10869 Lab Number: 1-1620638 Report Date: 07/11/16 Alpha Sample ID Sample Collection Client ID Matrix Location Date/Time Receive Date L1620638-01 EFFLUENT WATER CENTERVILLE, MA 07/05/1610:10 07/05/16 'age 2 of 15 - �'/L11:Y'hirl Project Name: SCHIESTL RESIDENCE Lab Number: L1620638 Project Number: BEA16-10869 Report Date: 07/11/16 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet NELAP requirements for all NELAP accredited parameters unless otherwise noted in the following narrative.The data presented in this report is organized by parameter (i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample,followed by the Laboratory Batch Quality Control at the end of each parameter.Tentatively Identified Compounds (TICs),if requested,are reported for compounds identified to be present and are not part of the method/program Target Compound List, even if only a subset of the TCL are being reported.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE", respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific%recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.All specific QC information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications.Soil/sediments,solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances the specific failure is not narrated but noted in the associated QC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. HOLD POLICY For samples submitted on hold,Alpha's policy is to hold samples(with the exception of Air canisters)free of charge for 21 calendar days from the date the project is completed.After 21 calendar days,we will dispose of all samples submitted including those put on hold unless you have contacted your Client Service Representative and made arrangements for Alpha to continue to hold the samples.Air canisters will be disposed after 3 business days from the date the project is completed. Please contact Client Services at 860-624-9220 with any questions. I,the undersigned, attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. �. ,4mita N:a,ilc Authorized Signature: : = ' Title: Technical Director/Representative Date: 07/11/16 Page 3 of 15 Serial_No:07111614:45 T INORGANICS MISCELLANEOUS Page 4 of 15 Project Name: SCHIESTL RESIDENCE Lab Number: L1620638 Project Number: BEA16-10869 Report Date: 07/11/16 SAMPLE RESULTS Lab ID: L1620638-01 Date Collected: 07/05/16 10:10 Client ID: EFFLUENT Date Received: 07/05/16 Sample Location: CENTERVILLE,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemist Westborou h Lab: _rYl, �.9 Solids,Total Suspended ND mg/I 5.0 NA 1 - 07/07/16 00:34 121,2540D MC Nitrogen,Nitrite 0.084 ____J mg/I_ _ 0.050___=_ _ 1 _"_ _07/06116 20:26 44,353.2 MR 07/06/16 20:26 44,353.2 MR Nitrogen,Nitrate 7.8 mg/l 0.10 — 1 - — 2 07/07l16 17:00 07/O8/16 13:36 121,4500N-C JO Nitrogen,Total Kjeldahl 1.10 mg/I 0.600 BOD,5 day 7.2 mg/l 2.0 _NA__ 1 07/06/16 04:00 07/10/16 22:00 121,5210B TA Page 5 of 15 Serial No:07111614:45 Project Name: SCHIESTL RESIDENCE Lab Number: L1620638 Project Number: BEA16-10869 Report Date: 07/11/16 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry,.=Westborough Lab for samples)°",01 1350i.' WG910516-1} ; BOD,5 day ND mg/I 2.0 NA 1 07/06/16 04:00 07/10/16 22:00 121,5210B+ TA General Chemistry 1Nestbor6ugh,Lab for sample(s): 01 Batch: WG910807-1 Nitrogen,Nitrate -- Np - — _ mg/I - —0.10 _ -- 1 _ 07/06/1620:00 44,353.2 MR General Chemistry Westborough Lab for sample(s): 01 Batch: WG916810-1 Nitrogen,Nitrite ND mg/l _ 0.050 — 1 - 07/06/16 20:06 44,353.2 MR General Chemistry-Westborough Lab for sample(s): 01 Batch: WG910673-1 Solids,Total Suspended ND mgA 5.0 NA 1 07/07/16 00:34 121,2540D MC General Chemistry-Westborough Lab for sample(s): 01 Batch: WG.911237-1 Nitrogen,Total Kjeldahl ND mg/1 0.300 1 07/07/16 17:00 07/08/1613:10 121,4500N-C JO ....... ...... ...................................... ........................ ........................... ..... ... c`• Hai` Page 6 of 15 Serial No:07111614:45` Lab Control Sample Analysis Project Name: SCHIESTL RESIDENCE Batch Quality Control Lab Number: L1620638 Project Number: BEA16-10869 Report Date: 07/11/16 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qual Limits RPD Qual RPD Limits General'Chemistry VUestporough.Lab, Associated sample(s): 01 Butch WG910516 2 ... . 85-115 20 99 --- BOD,5 day General':Chemistry-Westliorough;Lab Associated samples) °01 Batch V1IG9108.07 2 ' w :. _ __._ _._.._. .. . _. . _. Nitrogen,Nitrate 98 90-110 Gener' 'Chemistry-Westborough Lab' Associated samples) 01 Batch WG9108T0 2 �`_ . _. Nitrogen,Nitrite 90-110.....- .._ __...._... _,, --...... --. . .._._...-_ __...__...._ 20 GeneralFChemistry-:Westborough,Lab Associated samp.le(s) 0.1 Batch WG911237 2 - _ , _ . .• , _. _ ._..... _,. ... •� . . x._ .._., w_ .. .s ....._._ . ,._.._ a . 78-122 Nitrogen,Total Kjeldahl - . .... ...... ....... ..._......... . ._._...._............_.._...._....... ..... .. . . a Page 7 of 15 �°'� Serial_No:07111614:45 Matrix Spike Analysis Project Name: SCHIESTL RESIDENCE Batch Quality Control Lab Number: L1620638 Project Number: BEA16-10869 Report Date: 07/11/16 Native MS MS o MS MSD MSD Recovery RPD Parameter Sample Added Found /oRecovery Qual Found %Recove Qua[ Limits RPD Qual Limits General Chemist g -Chemistry. Westborou h;Lab.:Associated sam le s ;01 , QC Batch.ID:MG91:0516= °.QC.Sample::L1'62063.8=01. Client;ID: EFFLUENT, BOD,5 day 7.2 100 110 107 - - 50-145 - 35 General Chemistry 'VUestborou9 ab Associated sample(s):01 QC;Batch:'ID:WG91`0807'4:7 QC-Saml5le: L4'620506-0.1 Client'ID MS Sample' Nitrogen,Nitrate —4.7 4 8.7 100 - 83-113 - g General Chemistry Westborou0161 Associated samples) 01 QC-Batch ID WG91.0810-4 QC Sam Ie:L1 sM_ _. a 620506 , p .. 01 Client ID -MS Sample'` {•�a�Y,�~�s. k_ w _. _._.q_ v �.� ....�. Nitrogen,Nitrite 0.057 4 - - 4.2 104,." - - 80-120 20 General Chemistry-"Westborough;Lab Associated sample(s:)r 01 QC'Batch ID::',WG91 1237=4 QC Sample: L1,620637.=01 Client ID j:MS Samples ` „ .,_. Nitrogen,Total Kieldahl 39.1 8 44.3 118 Q 77-111 24 9 '. a e8of15 ' 'wiN1Lv�iow Serial No:07111614:45 Lab Duplicate Analysis Lab Number: L1620638 Project Name: SCHIESTL RESIDENCE Batch Quality Control Project Number: BEA16-10869 Report Date: 07/11/16 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits .y_ g_� GenerahChemistr Westborou h Cab Associated sample(s): 01 QC Batch=lD WG91051.6-3 QC Sample: L1620637-01 Client ID: DUP Sample v w _..,• _ . BOD,5 day 86 160 mg/I 60 _ Q _.._ .._....._ .. General:Chemistry-.Vlleborough Lab As ociated. ample(s). .01.r QCBatchklD WG91!0807 3 QC Sample: L16205.06 01 Client ID: DUPiSarnple st Nitrogen,Nitrate General.Chernistry,:-;-Westborough Lab Assoaatedsample(s).. 01 QG Batch ID `1NG910810 3 QC Sample �L1620506 01 Client ID: DUP�Sample Nitrogen,Nitrite 0,057 0.063 mg/I _. _,.. . ..,. - Client IR: DU 'Sample, _. General Chemistry 'V1lestboroughjLab.IAssociatedisample(s). .01. ,:QC Batch ID 1NG910873 2 _QC Sample "L1.620233 01 w _ 220 220 mgll 0. 29 , Solids,Total Suspended General:'Chemistry-Westborough.Cab Associated'sample_(s) 01 QC;Batch1D. WG911237 3, .QC,S'ample. 't1620637 01 Client ID DUP Sample _ 11- c 24 Nitrogen,Total Kjeldahl 39.1 38 9 mg/I %d LPHA Page 9 of 15 Serial_No:O7111614:45 Project Name: SCHIESTL RESIDENCE Lab Number: L1620638 Project Number: BEA16-10869 Report Date: 07/11/16 Sample Receipt and Container Information Were project specific reporting limits specified? YES Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C Pres Seal ,analysis(*) L1620638-01A Plastic 250ml H2SO4 preserved A <2 3.3 Y Absent TKN-4500(28) L1620638-01 B Plastic 950ml unpreserved A 7 3.3 Y Absent NO2-353(2),BOD-5210(2),NO3- 353(2) L1620638-01C Plastic 950ml unpreserved A 7 3.3 Y Absent TSS-2540(7) *Values in parentheses indicate holding time in days HA Page 10 of 15 =�� -_ _• - Project Name: SCHIESTL RESIDENCE Lab Number: L1620638 Project Number: BEA16-10869 Report Date: 07/11/16 GLOSSARY Acronyms EDL Estimated Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting limit(RL).The EDL includes any adjustments from dilutions,concentrations or moisture content,where applicable.The use of EDLs is specific to the analysis of PAHs using Solid-Phase Microextraction(SPME). EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free froin the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NDPA/DPA N-Nitrosodiphenylamine/Diphenylamine. NI Not Ignitable. NP Non-Plastic:Term is utilized for the analysis of Atterberg Limits in soil. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values;although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. STLP Semi-dynamic Tank Leaching Procedure per EPA Method 1315. TIC Tentatively Identified Compound:A compound that has been identified to be present and is not part of the target compound list(TCL)for the method and/or program.All TICS are qualitatively identified and reported as estimated concentrations. Footnotes I The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Total:With respect to Organic analyses,a'Total'result is defined as the summation of results for individual isomers or Aroclors.If a'Total' result is requested,the results of its individual components will also be reported.This is applicable to'Total'results for methods 8260,8081 and 8082. Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B. .)The codes for the reference method documents are provided in the References section of the Addendum. Data Quatitiers A Spectra identified as"Aldol Condensation Product". B The analyte was detected above the reporting limit in the associated method blank Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(I0x)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(I Ox) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit.For NJ-related projects(excluding Air),flag only applies to associated field samples that have detectable concentrations of the analyte,which was detected above the reporting limit in the associated method blank or above five times the Report Format: Data Usability Report Page 11 of 15 Serial No:07111614:45 Project Name: SCHIESTL RESIDENCE Lab Number: L1620638 Project Number: BEA16-10869 Report Date: 07/11/16 Data Qualifiers reporting limit for common lab contaminants(Phthalates,Acetone,Methylene Chloride,2-Butanone). C Co,elution:The target.analyte-co-elutes with-a-known-lab standard(i-.e surrogate internal standards,etc_)for'co-extracted analyses. D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. G The concentration may be biased high due to matrix interferences(i.c,co-elution)with non-target compound(s).The result should be considered estimated. H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I The lower value for the two columns has been reported due to obvious interference. M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICs),where the identification is based on a mass spectral library search. P The RPD between the results for the two columns exceeds the method-specified criteria. Q The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R Analytical results are from sample re-analysis. RE Analytical results are from sample re-extraction. S Analytical results are from modified screening analysis. J Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICs). ND -Not detected at the reporting limit(RL)for the sample. Report Format: Data Usability Report Page 12 of 15 Project Name: SCHIESTL RESIDENCE Lab Number: L1620638 Project Number: BEA16-10869 Report Date: 07/11/16 REFERENCES 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100, August 1993. 121 Standard Methods for the Examination of Water and Wastewater.APHA-AWWA-WEF. Standard Methods Online. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error,the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the.field. rtia Page 13 of 15 Alpha Analytical, Inc. Seria I_No:07111614:45ID No.:17873 Facility: Company-wide Revision 6 Department: Quality Assurance Published Date: 2/3/2016 10:23:10 AM Title_:_Certiticate/Approval Program Summary Page 1 of 1 Certification Information The following analytes are not included in our Primary NELAP Scope of Accreditation: Westborough Facility EPA524.2:1,2-Dibromo-3-chloropropane,1,2-Dibromoethane,m/p-xylene,o-xylene EPA 624:2-Butanone(MEK),1,4-Dioxane,tert-Amylmethyl Ether,tert-Butyl Alcohol,m/p-xylene,o-xylene EPA 625: Aniline,Benzoic Acid,Benzyl Alcohol,4-Chloroaniline,3-Methylphenol,4-Methylphenol. EPA 101 OA: NPW: Ignitability EPA 601OC: NPW:Strontium;SCM: Strontium EPA8151A: NPW:2,4-DB,Dicamba,Dichloroprop,MCPA,MCPP;SCM: 2,4-DB,Dichloroprop,MCPA,MCPP EPA 8260C:NPW:1,2,4,5-Tetramethylbenzene;4-Ethyltoluene,Azobenzene,Isopropanol;SCM:lodomethane(methyl iodide),Methyl methacrylate (soil);1,2,4,5-Tetramethylbenzene;4-Ethyltoluene. EPA8270D: NPW:Pentachloronitrobenzene, 1-Methylnaphthalene,Dimethylnaphthalene,1,4-Diphenylhydrazine;SCM:Pentachloronitrobenzene,1- Methylnaphthalene,Dimethylnaphthalene,1,4-Diphenylhydrazine. EPA 9010: NPW: Amenable Cyanide Distillation,Total Cyanide Distillation EPA 9038: NPW: Sulfate EPA 905OA: NPW:Specific Conductance EPA 9056:NPW:Chloride,Nitrate,Sulfate EPA 9065: NPW:Phenols EPA 9251: NPW:Chloride SM3500: NPW:Ferrous Iron SM4500:NPW: Amenable Cyanide,Dissolved Oxygen;SCM:Total Phosphorus,TKN,NO2,NO3. SM531OC:DWDW:Dissolved Organic Carbon Mansfield Facility EPA 8270D:NPW: Biphenyl;SCM: Biphenyl,Caprolactam EPA 8270DSIM Isotope Dilution: SCM: 1,4-Dioxane SM 254OD: TSS SM2540G: SCM:Percent Solids EPA 1631E:SCM: Mercury EPA 7474: SCM: Mercury EPA 8081B:NPW and SCM:Mirex,Hexachlorobenzene. EPA 8082A:NPW: PCB:1,5,31,87,101,110,141,151,153,180,183,187. EPA 8270SIM: NPW and SCM: Alkylated PAHs. EPA TO-15: Halothane,2,4,4-Tdmethyl-2-pentene,2,4,4-Trimethyl-1-pentene,Thiophene,2-Methylthiophene, 3-Methylthiophene,2-Ethylthiophene,1,2,3-Tdmethylbenzene,Indan,Indene,1,2,4,5-Tetramethylbenzene,Benzothiophene,1-Methylnaphthalene,n- Butylbenzene,n-Propylbenzene,sec-Butylbenzene,tert-Butylbenzene. Biological Tissue Matrix: 8270D-S/M;3050B;3051A;7471B;8081B;8082A;602OA:Lead;827OD:bis(2-ethylhexyl)phthalate,Butylbenzylphthalate, Diethyl phthalate,Dimethyl phthalate,Di-n-butyl phthalate,Di-n-octyl phthalate,Fluoranthene,Pentachlorophenol. The following analytes are included in our Massachusetts DEP Scope of Accreditation,Westborough Facility: Drinking Water EPA 200.8:Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TI; EPA 200.7:Ba,Be,Ca,Cd,Cr,Cu,Na;EPA 245.1:Mercury; EPA 300.0:Nitrate-N,Fluoride,Sulfate;EPA 353.2:Nitrate-N,Nitrite-N;SM4500NO3-F:Nitrate-N,Nitrite-N;SM4500E-C,SM4500CN-CE,EPA 180.1, SM2130B,SM4500Ci-D,SM23206,SM2540C,SM450OH-B EPA 332:Perchlorate. Microbiology.SM9215B;.SM9223-PIA,SM922313-Colilert-QT,Enterolert-QT. Non-Potable Water EPA200.8:AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI,Zn; EPA200.7:AI,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,Ti,TI,V,Zn; EPA 245.1,SM4500H,B,EPA 120.1,SM2510B,SM2540C,SM234013,SM232013,SM4500CL-E,SM4500E-BC,SM426C,SM4500NH3-BH,EPA 350.1:Ammonia-N,LACHAT 10-107-064-B:Ammonia-N,SM4500NO3-F, EPA 353.2:Nitrate-N,SM4500NH3-BC-NES,EPA 351.1,SM4500P-E,SM4500P-B,E,SM5220D,EPA 410.4,SM521013,SM5310C,SM4500CL-D, EPA 1664,SM14 510AC,EPA 420.1,SM4500-CN-CE,SM2540.D. EPA 624:Volatile Halocarbons&Aromatics, EPA 608:Chlordane,Toxaphene,Aldrin,alpha-BHC,beta-BHC,gamma-BHC,delta-BHC,Dieldrin,DDD,DDE,DDT,Endosulfan I,Endosulfan II, Endosulfan sulfate,Endrin,Endrin Aldehyde,Heptachlor,Heptachlor Epoxide,PCBs EPA 625:SVOC(Acid/Base/Neutral Extractables),EPA 60014-81-045:PCB-Oil. Microbiology:SM9223B-Colilert-QT;Enterolert-QT,SM9222D-MF. For a complete listing of analytes and methods,please contact your Alpha Project Manager. Document Type: Form Pre-Qualtrax Document ID: 08-113 Pane 14 of 1.ri Serial No:07111614:45, -CUS ODY PAGE-1 OF•1 + �.'Date'Redd 'AVHA:Job# CHAN OF . • • J c+ n FAX ® EMAIL Sarnv:as Client info. PO J!:10869. Wastborough,MA Mansfield,.MA: Project Name:Schlestl Residehce (] ' TEL'508-8984220 TEL:'S08�022.9300: [� ADEx! Add'I;Deliveratiles, FAX:508-888.9193... FAX:508-822-3288 • PtoJectLooatl:(int'GenterViile,.MA State/FedBro rem Criteria PTMA Clieft Benneft'Environmental Associates PtdledkBEA1.6-10869' Address:1573 Main Streetf P.O.goX.1:743% Pro'ect Manager:Davld'C:'.Bennett; Brewster;NIA 02631 ALP.HA al:10e:.#;.. . phone:Sbe-89..6-1705 J ' ANALYSIS .. ° SAMPLE HANDLING Fax:508-896-5109 .0 Standard. Rush(ONLY IF PRE-APPROVED) Fl*atlon Email'sfarrel*' f@bennett=ea com Q Done ®::Nat Needed aveboenPreviouslyanlyed b Du bdte: 7lne❑Thesebamples A -0,Lab to do Other.Pro eCt:Speclfio Requirements/Comrner tsl otion.Limits: PreservoUon • El Lab t'o do (Please apeelly. co a; ALPHA Lab ID Sample lD` Colle1.ction,. Sarbple Sampler's z Midrik In'itiels �ei (Lab'UseOnly) Date Time ¢ Z eomaots SommoritserfSe' 3 0 Efflu'ent J:j.: (�:r VV41V: ❑ ❑ ❑ ❑ ❑ o ❑ o ❑ o M7 0 M El I Li ❑ oo ❑ a :o: ❑ M_ F1 ❑ o - o ❑ 0 9 Container Type P P P Please.print clearly,.legibly, PI eS:eNatlVe 0 O ;D and complelal�.'Samples can" not be loggedn and Relic) is 18 :: D teiTime Received By! Date/Time turnaround 8me clock will'not„ Y tart until any.amblgulges are, i 'resolved;:All samples:, ' 1 s Payment Terms. t; Alpha 'tted are subject to PORM:N0:0i01(IirJ) _ ' (ray.74AP3A0) Page 15 of 15 AmphidrolmeTM Inspection Checklist . Wastewater Facility Location > VK L/ S L'� Day/Date_ �' t' Operator/Firm_ 6 Facility Type: Amphidrome Plus Single Dual Design Parameters:Effluent Flow kgpd BOD TSS N143 NO3 Total-N Fecal Coliform Actual Data: (latest lab result)"field results day avg. Flow kgpd BOID TSS NR3 NO3 Total-N Fecal Coliform No. of Treatment Cycles/24hrs 24 hr Timer Reset Cycle Beginning/End times Train 1-1 2 3 4 Train 2-1 2 3 4 Backwash Cycles-TIC Train 1-1 2 3 4 Train-2-1 2 3 4 Denite BW Frequency/TIC 1 - 2 RETURN CYCLES Train 1-No. of Return cycles Time after high float Train 2-No. of Return cycles Time after high float Equipment Run Time TIC PB1 m/d PB2 m/d BWB1 m/d BWB2 m/d RP1 m/d RP2 m/d BWP1 m/d BWP2 m/d DFP1 m/d DFP2 m/d DBWPI m/d DBWP2 m/d INF pumps I m/d 2 m/d 3 m/d 4 m/d EFF Pumps 1 m/d. 2 m/d 3 m/d 4 m/d Meth.Pump Amph.#1 m/d Amph#2 m/d Denite m/d Alk Pump/loc. #I m/d- #2 m/d- 93 m/d- COUNTERS No. of Discharges off of High float AmpIBW Amp1FBW Amp2BW Amp2FBW DBW DFBW Equipment OFF-LINE/Reason 1. 2. 3. 4. Anoxic Tank Sludge DOB/water level / V:%ctive Jobs WMAeiive Jobs 1A Systems Schiest1108691AppendicesIO869\Impectioni08691Ampliidrome Insp 1 Cheeklist.doe r Amphidrome"m Inspection Checklist Date j Location_ Time In--9,[ out f�%05 Participants: Review of Site Visit Lf EX6��� f'Y-C t r L•i�btd�i J�f s a tcf tC ` 2 Z f �✓t � _� d�Y(�i%j 0r �• � rJ�J�c3P� C�f, PrG� ILi�c I 7-1 ��C ��is��` f3�j,�•,,," �` ��e�CL`f�d� �:bj�CS � It ALP >,:f Rio 0 bo 310 U VAActive Jobs WW1Active Jobs IA SystemslSchiesdIO8691Appendices10869\Inspection108691Amphidrome Insp 2 Checkhst.doe IYICI01-1)0i.IIua1W&L.a va.Nw...c.vu. ... ----.. - - --- - - Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 6 A. Installation Important:When Stefan and Patricia Schiestl & Patricia Downey filling out forms Owner on the computer, 19 Angus Way use only the tab key to move your Facility Street Address cursor-do not Cewnterville 02632 use the return City Zip key. Mailing address of owner, if different: Street Address/PO Box: .ream City State Zip (516)250-3144 ext. Telephone Number B. Authorized Service Provider Bennett Environmental Associates, Inc. O&M Firm 1573 Main Street/PO Box 1743 Street Address Brewster MA 02631 city State Zip (508)896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information FR Mahony Amphidrome DEP ID Manufacturer ID Model Number Unknown 2/28/2008 Installation Date Start of Operation Approval Type: ❑ General ® Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information NA 4/6/16 Inspection Date Previous Inspection Date 10"sludge, 0"scum Pumping Recommended ❑ Yes ® No Sludge Depth(to be checked yearly) Page 1 of 3 t5aiom.doc•rev.04-11-13 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 ®EP Approved Inspection and ®&M Form for Title 5.1/A Treatment and Disposal Systems E. Field- Testing . Field Inspection: Color: ❑ gray ❑ brown ® clear ❑turbid ❑ Other(specify): Odor: ® musty El earthy El moldy El offensive El turbid Effluent Solids: ❑ no ® some 7.0SU 3.0m /L 16.1 pH 6 to s DO 2 or greater Turbidity 40 or less U Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH Z BOD ❑ CBOD ® TSS ® TN ® Other(list below) Nitrate Nitrite TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Notes and Comments: All mechanical components of the system are operating correctly. Effluent quality passed field testing parameters. t5aiom.doc r rev.04-11-13 Page 2 of 3 AmphidromeTm Inspection Checklist I Wastewater. acility Location Day/Date 1. Operator/Firm"Zi4=- 5M 1 N- '13 Vil- Facility Type:Amphidrome__Z?_1__ Plus Single Dual Design.Parameters:Effluent Flow kgpd BOD TSS N143 NO3 Total-N Fecal Coliform Actual Data: (latest lab result)*field results day avg. Flow kgpd ROD TSS NH3 NO3 Total-N Fecal Coliform No. of Treatment Cycles/24hrs 24 hr Timer Reset Cycle Beginning/End times Train 1-1 2 3 4 Train 2-1 2 3 4 Backwash Cycles-TIC Train 1-1 2 3 4 Train-2-1 2 3 4 Denite BW Frequency/TIC 1 2 RETURN CYCLES Train 1 No. of Return cycles Time after high float Train 2-No. of Return cycles Time after high float Equipment Run Time TIC PBl m/d PB2 m/d BWB1 m/dBWB2 m/d RP1 m/d RP2 m/d BWPI m/d BWP2 m/d DFPI m/d DFP2 m/d DBWP1 m/dDBWP2 m/d INF Pumps 1 m/d 2 m/d 3 m/d 4 m/d EFF Pumps I m/d 2 m/d 3 m/d 4 m/d Meth.Plunp Amph.#1 m/d Amph#2 m/d Denite m/d Alk Pump/loc.. #1 m/d- #2 m/d- #3 m/d- COUNTERS No.of Discharges off of High float Amp1BW AmplFBW Amp2BW Amp2FBW DBW DFBW Equipment OFF-LINE/Reason 1. 2. 3. 4. Anoxic Tank Sludge DOB/water level / WActive Jobs WMActive Jobs IA SystemslSchiest110869\Appendices1Q869\hWection10869�Amphidrome Insp 1 Checklist.doe AmphidroimeTm Inspection Checklist Date ���� Location Time In Out Participants: Review Gf Site Visit �+P Y�. ��M�r�� �' � �L�r-�-•�•Ci°� i1i`r-..�✓�v'+L�--�S c�.✓ r.�C� C.a3�f,/�-W� . C3�-�— c t Uol VAActive Jobs WW1Active Jobs lA SystemslSchiestl108691Appendices10869\lnspection10869\Amphidton?= > Checklist.doc _::,=> r `=1` ViA 1C. ,A,fK,A,•L.Y T ) C A L ANALYTICAL REPORT Lab Number: L1609958 Client: Bennett Environmental Associates 1573 Main Street Brewster,MA 02631 ATTN: David Bennett Phone: (508)896-1706 Project Name: SCHIESTL RESIDENCE Project Number: BEA16-10869 Report Date: 04/13/16 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(LA000065),ME(MA00086), PA(68-03671),VA(460195),MD(348),IL(200077),NC(666),TX(T104704476),DOD(1 9217),USDA(Permit #P-330-11-00240). Eight Walkup Drive,Westborough, MA 01581-1019 508-898-9220 (Fax)508-898-9193 800-624-9220-www.alphalab.com HA Page 1 of 15 Serial No:04131610:47 Project Name: SCHIESTL RESIDENCE Lab Number: 1-1.609958 Project Number: BEA16-10869 Report Date: 04/13/16 Alpha Sample Collection Sample ID Client ID Matrix Location Date/Time Receive Date L1609958-01 EFFLUENT WATER CENTERVILLE, MA 04/06/16 08:00 04/06/16 Page 2 of 15 L�1?IiA, A'ww olw♦ Project Name: SCHIESTL RESIDENCE Lab Number: L1609958 Project Number: BEA16-10869 Report Date: 04/13/16 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet NELAP requirements for all NELAP accredited parameters unless otherwise noted in the following narrative.The data presented in this report is organized by parameter (i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample,followed by the Laboratory Batch Quality Control at the end of each parameter.Tentatively Identified Compounds (TICs),if requested,are reported for compounds identified to be present and are not part of the method/program Target Compound List, even if only a subset of the TCL are being reported.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE", respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific%recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.All specific QC information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications.Soil/sediments,solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances the specific failure is not narrated but noted in the associated QC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. HOLD POLICY For samples submitted on hold,Alpha's policy is to hold samples(with the exception of Air canisters)free of charge for 21 calendar days from the date the project is completed.After 21 calendar days,we will dispose of all samples submitted including those put on hold unless you have contacted your Client Service Representative and made arrangements for Alpha to continue to hold the samples.Air canisters will be disposed after 3 business days from the date the project is completed. Please contact Client Services at 800-624-9220 with any questions. I,the undersigned, attest under the pains and penalties of perjury that,to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report,such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Melissa Cripps Authorized Signature: Title: Technical Director/Representative Date: 04/13/16 ¢_ A Page 3of15 Serial No:04131610:47 INORGANICS MISCELLANEOUS Page 4 of 15 - 'Project name: SCHIESTL RESIDENCE Lab Number: L1609958 Project Number: BEA16-10869 Report Date: 04/13/16 SAMPLE RESULTS Lab ID: L1609958-01 Date Collected: 04/06/16 08:00 Client ID: EFFLUENT Date Received: 04/06/16 Sample Location: CENTERVILLE,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst 71 General Chemist Westborou h Lafj 1 32. mg/I 15 NA 3 04/08/16 16 15 121 2540D DW Solids,Total Suspended --- —.. -— -----------------------__...__------.....-----......_----......_..._.._...------.........._..------..__.....---------- - ----- 04/06/16 21:53 44,353.2 MR Nitrogen,Nitrite 0.25 mg/I 0.050 - 1 MR Nitrogen,Nitrate 1.7 mg/I 0.10 - 1 - 04/06/16 21:53 44,353.2 "---- "------ -` — 10 04/11/1619:45 04/12/1622:50 121,4500N-C AT Nitrogen,Total Kjeldahl 36.1 mg/I 3.00 - BOD,5 day 8- mg/1 5.0 NA 2.5 04/07/16 05:35 04/11/16 23:45 121,5210B TA --------- ------ ---._.._..-- - --- ..__...._..-----------------------.._._-..._..__.-._........................ - T �J > Page 5 of 15 Serial No:04131610:47 Project(dame: SCHIESTL RESIDENCE Lab Number: L1609958 Project Number: BEA16-10869 Report Date: 04/13/16 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry Westborough Lab forsample(s) 01 ,Batch WG881048=1 ,Ni ..-_. --.—._.__. .--_-...-._...__........_____._. _ a• t Nitrogen,Nitrate ND mg/i 0.10 1 04/06/16 20:17 44,353.2 MR GeneraLChemisfry Westborough L`ati for sarnple(s) 01 ;r Batch WG88:1049-1 Nitrogen,Nitrite ND mg/I 0.050 - 1 04/06/16 20:23 44,353.2 MR - - - - -- -- --------- .---- General Chemistry Westborough Lab for samples) 01 Batch: WG881141 BOD,5 day ND mg/I 2.0 NA 1 04/07/16 05:35 04/11/16 23:45 121,5210B TA -' -- — ----- ------------ -- ----------- — General.Chemistry-Westborough Lab for samples) 01 Batch;'WG881578.=1 a . — _ Solids,Total Suspended ND mg/I 5.0 NA 1 04/08/16 16:15 121,2540D DW General Chemistry-Westborough Lab forsample(s). Q1''Batcl : WG882526.1 <, Nitrogen,Total Kjeldahl --—_- ND --- mg/I 0.300_ - 1 04/11/16 19:45 04/12/16 22:23 121,4500N-C AT Page 6 of 15 Serial No:0413161O:47 Lab Control Sample Analysis Protect Name: SCHIESTL RESIDENCE Batch Quality Control Lab Number: L1609958 Protect Number: BEA16-10869 Report Date: 04/13/16 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qual Limits RPD Qual RPD Limits GeFe- Ch try-'W emisestborough Lab- Associated samples) atc 01 •Bh WG881 O4'8 2' (U Nitrogen,Nitrate f - 90 90-110 _- ---- ---___---- ;General Chemist Westborough'LabwAssociate`dsample(s) 01 Batch - _ - - Nitrogen,Nitrite 102: - - - 90 110 _ ___ ._----- 20 _ :._ _ ;General Chemistry-VVestb ough Lab As os elated samples) O1i Batch 1NG881,141 2 _ mm - 85-115 20 r, 94 _..- - ---.--- BOD,5 day ;. _._.._ ___. .__-_ _....._. .__. W.. �.,�,..,-...-.g-m General Chemistry. "WestboroughLabAssoclated,sample(s):>01t. iB'atch WG882526 77-7•- 78-122 - 9 9Z: , Nitrogen,Total K�eldahl ;. HA Page 7 of 15 Serial_No:04131610:47 Matrix Spike Analysis Project Name: SCHIESTL RESIDENCE Batch Quality Control Lab Number: L1609958 Project Number: BEA16-10869 Report Date: 04/13/16 Native MS MS o MS MSD MSD Recovery RPD Parameter Sample Added Found /oRecovery Qual Found %Recove Qua[ Limits RPD Qual Limits Gene,ral`.Chernistry W,estborough,LabyAssociate(sample(s). 01 ' -QC Batch-lD4'1%UG8.8104_ _ _ 8,4, QCSampleL1.609880-01 Ghent ID CMS Sample )w; Nitrogen,Nitrate . . _ 8.6 4 12 85. � _ . .._ ._..- .. . 83-1413 �...,. - 6 ., .m -:..- +_..--. arm m.- . ....wwx' - Generai.Chemistry-Westboro,ugh'Lab,Assoc iatedsample(s) 01QCBatchFlD` WG881049 4 C S _ Q ample. L1:609880=Q1� :Client ID 'MS{Sample ` Nitrogen,Nitrite No 4 4.0 100' - - -- -- -- 20 General Chemisfry Westboro:ghlLatAssocatedrsarnple,(s ,0,1 drrQC,rBatch ID.-W m - -#G881,1.41_4e QCSampleL'16Q9879 02,E Client ID:; MS:Sample F.- N y: _.___ -_ ._ .:_.� : BOD,5 day 12 100 140 50-145 - 35 General Chemistry zWestboroughLab^'Associated ` " w _ C4Batch�ID=;WG882526 4:" QC;Sample' L1609401-0.1" Client ID:�MS'Sarnple Nitrogen,Total Kieldahl 2.66 Bc _ 10.2 92 , 77-111 _ - 24 'age 8 of 15 x' Serial No:04131610:47 Lab Duplicate Analysis Lab Number: L16O9958 Project Name: SCHIESTL RESIDENCE Batch Quality Control Report®age; 04/13/16 Project Number: BEA16-10869 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits GeneraVChemistry-'UVestborough'L ab `Associated.sample(s): 61. QC Batch 1D: WG881 048=3 QC.Sample. L160988O-01 Client 1^D: DUP Sample _ 8.6 8.6 Mg/1 Nitrogen,Nitrate -�0 - — _ __.p _- _ General Chemistry Westborough Lab -Associate.isample(s) 01 - QC_Batch IDS WG881049 3 -QC Sample L4609880-01 Client Ip. .DUP .amp e T._. . ... ,. a . ND ND Mg/1 ~Nc_9 20 Nitrogen,Nitrite General:Chernlstry-Westborough�Lab�Associatedisample(s) 01 QC f3atch ID WG881�141 3`A QC Sample }L16O9872'02 Client ID `DUP Sarn le 35 mg/l 0 BOD,5 day 78=2 QC Sample L160993O_ Ce t{ID , DUP Sample 'Genera-iPChe ample(s)s 01 mtyrNo 920 mg/I 3_ 29 Solids,Total Suspended 890 - - --�-- ------ - �-- - W - Sample: LJ-J 09401=01 Client ID:,:'DUP Sample .-.�.. ._.,,..7.. <.. +..w'°... w.....-..,.. _� General Chemistry Westborough°L'ab: Associated samples) 01 4QC,Batch ID G882526-3 ,QC$ w.._ .._�_ . ..�M . .�. :. . .. 3.18 mg/I �11 _ 24 Nitrogen,Total Kjeldahl 2.86 'HA Page 9of15 Serial_No:04131610:47 Project Name: SCHIESTL RESIDENCE Lab Number: L1609958 Project Number: BEA16-10869 Report Date: 04/13/16 Sample Receipt and Container Information Were project specific reporting limits specified? YES Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C pres Seal Analysis(*) L1609958-01A Plastic 250ml H2SO4 preserved A <2 2.2 Y Absent TKN-4500(28) L1609958-01 B Plastic 950ml unpreserved A 7 2.2 Y Absent NO2-353(2),BOD-5210(2),NO3- 353(2) L1609958-01 C Plastic 950ml unpreserved A 7 2.2 Y Absent TSS-2540(7) *Values in parentheses indicate holding time in days �I Page 10 of 15HA 7rI- ' Project Name: SCHIESTL RESIDENCE Lab Number: L16O9958 Project Number: BEA16-10869 Report Date: 04/13/16 GLOSSARY Acronyms cro Estimated Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated EDLquantified below the reporting limit(RL).The EDL includes any values,when those target analyse concentrations are e content,where applicable.The use of EDLs is specific to the analysis of adjustments from dilutions,concentrations or moistur PAHs using Solid-Phase Microextraction(SPME). EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory For Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS :Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NI Not Ignitable. NP Non-Plastic:Term is utilized for the analysis of Atterberg Limits in soil. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. STLP Semi-dynamic Tank Leaching Procedure per EPA Method 1315. TIC Tentatively Identified Compound:A compound that has been identified to be present and is not part of the target compound list (TCL)for the method and/or program.All TICs are qualitatively identified and reported as estimated concentrations. Footnotes 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Total:With respect to Organic analyses,a'Total'result is defined as the summation of results for individual isomers or Aroclors.If a'Total' result is requested,the results of its individual components will also be reported.This is applicable to'Total'results for methods 8260,8081 and 8082. Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Data Qualifiers A Spectra identified as"Aldol Condensation Product". B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(IOx)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit For NJ-related projects(excluding Air),flag only applies to associated field samples that have detectable concentrations of the analyte,which was detected above the reporting limit in the associated method blank or above five times the reporting limit for common lab contaminants(Phthalates,Acetone,Methylene Chloride,2-Butanone). Report Format: Data Usability Report / Foil Page 11 of 15 Serial_No:04131610:47 . Project Name: SCHIESTL RESIDENCE Lab Number: L1609958 Project Number: BEA16-10869 Report Date: 04/13/16 Data Qualifiers C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. . E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. G The concentration may be biased high due to matrix interferences(i.e,co-elution)with non-target compound(s).The result should be considered estimated. The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I The lower value for the two columns has been reported due to obvious interference. M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICS),where the identification is based on a mass spectral library search. P -The RPD between the results for the two columns exceeds the method-specified criteria. Q The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R Analytical results are from sample re-analysis. RE Analytical results are from sample re-extraction. S Analytical results are from modified screening analysis. J Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICS). ND Not detected at the reporting limit(RL)for the sample. Report Format: Data Usability Report -:. Page 12 of 15 - -Project Blame: SCHIESTL RESIDENCE Lab Number: L1609958 Project Number: BEA16-10869 Report Date: 04/13/16 REFERENCES 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100, August 1993. 121 Standard Methods for the Examination of Water and Wastewater.APHA-AWWA-WEF. Standard Methods Online. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error,the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers,sampling procedures, holding time and splitting of samples in the field. HA Page 13 of 15 No:04131610:47_ Alpha Analytical, Inc. Serial ID No.:�7873 Facility: Company-Wide Revision 6 Department: Quality Assurance Published Date: 2/3/2016 10:23:10 AM Title: Certificate/Approval Program Summary Pape 1 of 1 Certification information The following analytes are not included in our Primary NELAP Scope of Accreditation: Westborough Facility EPA524.2:1,2-Dibromo-3-chloropropane, 1,2-Dibromoethane,m/p-xylene,o-xylene EPA 624:2-Butanone(MEK), 1,4-Dioxane,tert-Amylmethyl Ether,tert-Butyl Alcohol,m/p-xylene,o-xylene EPA 625: Aniline,Benzoic Acid,Benzyl Alcohol,4-Chloroaniline,3-Methylphenol,4-Methylphenol. EPA 101OA: NPW: Ignitability EPA 601 OC: NPW:Strontium;SCM: Strontium EPA 8151A: NPW:2,4-DB,Dicamba,Dichloroprop,MCPA,MCPP;SCM: 2,4-DB,Dichloroprop,MCPA,MCPP EPA 8260C:NPW:1,2,4,5-Tetramethylbenzene;4-Ethyltoluene,Azobenzene,Isopropanol;SCM:lodomethane(methyl iodide),Methyl methacrylate (soil);1,2,4,5-Tetramethylbenzene;4-Ethyltoluene. EPA 8270D: NPW:Pentachloronitrobenzene, 1-Methylnaphthalene,Dimethylnaphthalene,l,4-Diphenylhydrazine;SCM:Pentachloronitrobenzene,1- Methylnaphthalene,Dimethylnaphthalene,1,4-Diphenylhydrazine. EPA 9010: NPW: Amenable Cyanide Distillation,Total Cyanide Distillation EPA 9038: NPW: Sulfate EPA 905OA: NPW:Specific Conductance EPA 9056: NPW:Chloride,Nitrate,Sulfate EPA 9065: NPW:Phenols EPA 9251: NPW:Chloride SM3500: NPW:Ferrous Iron SM4500:NPW: Amenable Cyanide,Dissolved Oxygen;SCM:Total Phosphorus,TKN,NO2,NO3. SM531 OC:DWDW:Dissolved Organic Carbon Mansfield Facility EPA 8270D:NPW: Biphenyl;SCM: Biphenyl,Caprolactam EPA 8270DSIM Isotope Dilution: SCM: 1,4-Dioxane SM 254OD: TSS SM2540G: SCM:Percent Solids EPA 1631E:SCM: Mercury EPA 7474: SCM: Mercury EPA 808IB:NPW and SCM:Mirex,Hexachlorobenzene. EPA8082A:NPW: PCB: 1,5,31,87,101,110, 141, 151, 153,180,183, 187. EPA 8270-SIM: NPW and SCM: Alkylated PAHs. EPATO-15:Halothane,2,4,4-TNmethyl-2-pentene,2,4,4-Tdmethyl-1-pentene,Thiophene,2-Methylthiophene, 3-Methylthiophene,2-Ethylthiophene, 1,2,3-Trimethylbenzene,Indan,Indene, 1,2,4,5-Tetramethylbenzene,Benzothiophene,1-Methylnaphthalene,n- Butylbenzene,n-Propylbenzene,sec-Butylbenzene,tert-Butylbenzene. Biological Tissue Matrix: 8270D-S/M,•3050B;3051A;7471B;8081B;8082A;6020A:Lead;827OD:bis(2-ethylhexyl)phthalate,Butylbenrylphthalate, Diethyl phthalate,Dimethyl phthalate,Di-n-butyl phthalate,Di-n-octyl phthalate,Fluoranthene,Pentachlorophenol. The following analytes are included in our Massachusetts DEP Scope of Accreditation,Westborough Facility: Drinking Water EPA200.8:Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TI; EPA200.7:Ba,Be,Ca,Cd,Cr,Cu,Na;EPA245.1:Mercury; EPA 300.0:Nitrate-N,Fluoride,Sulfate;EPA 353.2:Nitrate-N,Nitrite-N;SM4500NO3-F:Nitrate-N,Nitrite-N;SM4500E-C,SM4500CN-CE,EPA 180.1, SM2130B,SM4500CI-D,SM232013,SM2540C,SM450OH-B EPA 332:Perchlorate. Microbiology.SM921513;SM9223-P/A,SM9223B-Colilert-QT,Enterolert-QT. Non-Potable Water EPA200.8:AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI,Zn; EPA200.7:AI,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,Ti,TI,V,Zn; EPA 245.1,SM4500H,B,EPA 120.1,SM251013,SM2540C,SM2340B,•SM2320B,SM4500CL-E,SM4500E-BC,SM426C,SM4500NH3-BH,EPA 350.1:Ammonia-N,LACHAT 10-107-06-1-B:Ammonia-N,SM4500NO3-F, EPA 353.2:Nitrate-N,SM4500NH3-BC-NES,EPA 351.1,SM4500P-E,SM4500P-B,E,SM5220D,EPA 410.4,SM521013,SM5310C,SM4500CL-D, EPA 1664,SM14 510AC,EPA 420.1,SM4500-CN-CE,SM2540D. EPA 624:Volatile Halocarbons&Aromatics, EPA 608:Chlordane,Toxaphene,Aldrin,alpha-BHC,beta-BHC,gamma-BHC,delta-BHC,Dieldrin,DDD,DDE,DDT,Endosulfan 1,Endosulfan Il, Endosulfan sulfate,Endrin, Endrin Aldehyde,Heptachlor,Heptachlor Epoxide,PCBs EPA 625:SVOC(Acid/Base/Neutral Extractables),EPA 600/4-81-045:PCB-Oil. Microbiology:SM9223B-Colilert-QT;Enterolert-QT,SM9222D-MF. For a complete listing of analytes and methods,please contact your Alpha Project Manager. Document Type: Form Pre-Qualtrax Document ID: 08-113 Page 14 of 15 Serial No:04131.610:47. CH AI A-�f O F V S.U, O DY PAGE:1.OF ti Date,Redd in Lab: r 1 µAL'PHA Jobw p V 7•..A;��Aj1:�.Y,9�T'1'C:'d'!.L Project Information r Billing, 171 FAX EMAIL ®: Same as Client info PO#:10.869 Westborough,MA Mansfteld,:MA TEL;':508.898=9220. TEL•,508.822-9300 Project-Name::SChiestl Residence ❑.ADEx [� Add'I Deliverables FAx:•508.!54`19S FAX'506-8224288 Regoatory Requirbm-entslReport. Qlient InformationProjectLocation:_Centerv111e.,MA State/Fed Pro rem Criteria Client:Bennett Environmehtal Ass6ciates. Pro ect#i BEA1 6-108159: Address:1-673 Main Street/P.O.Box 174 ' Pro ect`Mana er..David C:Bennett Brewster;MA 02631 ALPHA Quote#;. Phone:608-996-1706 1 ANALYSIS Fax:=508-896-5109. ®Standard ❑Ru.sh'(ONLYIF PRE-APPROVED), SAMPLE HANDLING Filtration Emafl:diarrenkopf@bennett=ea.com- p Done ❑These samples have.been:Freviously,analyzed by Alptia, DUB Date: YIIYte: ® Not Needed Ll:Lab to do Other Projer,t:Specific Requirements/Comments/Detection Limits:: Preservation" ❑ Lab to do (Please O spoeliy below) m. di. ALP...HA.Lab ID Sample ID Collection Sampte Sampler's (Lab Use Only) Date Time Wattv Initla! . � n Y Samplespesffe Comments (' Effluent WIN. Q" ❑ ❑ ❑ ❑ ❑. ❑ ❑ © ❑ a ❑ ❑ ❑ ❑ ❑ ❑ '❑ ❑ .❑ ❑ ❑ ❑ ❑ ❑ ❑ n ❑ ❑. ❑ ❑ ❑ ❑ ❑ 3 Container type. P P P - Please print.clearly,legibly Preservative; O 0 D' „and completely;<Semplas,can 'riot 6e lugged in and _Jke Ilnquie y: Daterrime Received By:: ( DateM-me Ivinarcund time ciocl(w(ll not, cam/ l °stertuntil anyamb(yultfes are- �y J�• Y" 1 L1,. \�� ll, � -\� rasolve0',All artiples; "`1 a (. submitted are subJRcl.w PORMN0;01•etp•N!) r \ 't"•,. i' Z' '.� YAlpha%Payment Terms. '(rev.29•APR-0D)' t., { Page 15 of 15 - yamToe" f.r.mahony &associates inc. water supply and pollution control equipment f rm e tel. 781-982-9300 • fax. 781-9824056 www.frmahony.com • www.amph%ome.com info@frmahony.com W 273 Weymouth Street• Rockland MA 02370 a s r W March 1, 2016 cola Mr. Stephen Schiestl CV�l 19 Angus Way Centerville, MA. 02632 RE: Single Family AmphidromeO Maintenance Contract Dear Mr. Schiestl; Per your request on February 29, 2016, F.R. Mahony & Associates, Inc. will not be renewing the O &M maintenance contract for 19 Angus Way in Centerville, MA. Your current contract expires on 3/31/2016. Please be advised that it is a requirement of the state that your system, which has a provisional approval, maintains an active O & M contract which includes two maintenance visits and two lab samples annually to confirm that your system is operating within the states guidelines. It is F.R. Mahony's obligation to notify your local BOH and the MA DEP that you no longer have an active contract on the system with F.R. Mahony, and it is your obligation to notify them with your new maintenance provider. Please feel free to contact me should you have any questions. Very truly yours, Dawn Marcinkus Service Coordinator Cc: Barnstable BOH MA DEP 41 Bayberry Hill Road 140 Country Walk Road 3906C Tower Hill Road 30 DuPaul Street W. Townsend, MA 01474 Schenectady NY 12306 Wakefield, RI 02879 Southbridge, MA 01550 tel. 978.597.0703 cell. 774.402.0354 cell. 781.561.6555 tel. 508.765.0051 fax. 978.597.0704 fax. 781-982-1056 fax. 781-982-1056 fax. 508.765.1244 BARNSTABLE COUNTY ° DEPARTMENT OF HEALTH AND ENVIRONMENT BARNSTABLE COUNTY COMPLEX 3195 MAIN STREET/ PO BOX 427 Phone: (508) 375-6613 BARNSTABLE, MASSACHUSETTS 02630 FAX (508) 362-2603 ssACHS3S� TDD (508) 362-5885 January 20th, 2015 Patricia Downey 19 Angus Way Centerville, MA 02632 RE: Operation and Maintenance Contract for the Innovative/Alternative Septic System Installed at 19 Angus Way in the town of Barnstable. Dear Patricia Downey, Our records indicate that the operation and maintenance contract with A&B Canco for your innovative/alternative wastewater treatment system may have expired or was cancelled as of January 20th, 2015. To date we have not received evidence that you have entered into a new operation and maintenance contract. . I am writing to remind you that the Massachusetts Department of Environmental Protection (MA DEP) and the Town of Barnstable require you to keep an operation and maintenance (0&M contract in effect at all times for your system. ) Information about these requirements may be found at https://septic.barnstablecountyhealth.org, My department oversees I/A septic system management and compliance efforts for the Board of Health in your town.We are authorized by the Barnstable Board of Health to contact you to inform you of the above requirement and to request your compliance.Accordingly, please forward a copy of a signed contract via mail,fax or e-mail within fifteen (15)days of receipt of this letter. For your convenience, I am enclosing a list of wastewater operators we are aware of that do business in Barnstable County. The firms listed operate multiple types of I/A technologies and are not associated with any particular technology or vendor. Please be advised that if you do not respond within fifteen (15) days of your receipt of this letter by forwarding a copy of a signed contract, I may refer you to the Barnstable Board of Health for further enforcement action.You may be required to appear before the Barnstable Board of Health to show cause as to why you have not maintained the required contract. I can be reached at 508-375-6901; my Fax number is (508)362-2603. 1 can also be reached via email at Iwright@barnstablecounty.org.Thank you for your prompt attention to this matter. Sincerely, Lindsey Wright CC: Barnstable Board of Health Enclosures (1): Certified Wastewater Treatment System Operators List Certified Letter Number:70123050000035219255 Fax Send Report OCT-31-201413:03 FRI Fax Number : 15087906304 Name BARNST HEALTH Name/Number 915083622603 Page 3 Start Time - OCT-31-2014 13:02 FRI Elapsed Time 00'40" Mode STD ECM Results [O.K] TOWN OF BARNSTABLE Hcalth Division - 200 Main Street-Flyannis,MA 02601 1' AX Data u Number of pages inrlwiing cover sheet: 7j TO: FROM: Town of 13amstablc: Hcahh Division Phone: Phone: 508-862-4644 Fax phone: 2. —2 c—c) Fax phone: 508-790-6304 CC: REMARKS: ❑ Urgent t5Aor your ❑ Reply ASAP ❑ Please comment review rcm Ls-vim--- 1-)i P-P, c-V\8- c,C. f v2+'Y1 1 e re c/, I TOWN OF BARN STAB L E. Health Division— 200 Main Street -Hyannis, MA 02601 �p IMEFAX Tpk e lARiVSCABL Date:E, : -- y Number of pages including cover sheet: fD MA'S TO: FROM: Town of Barnstable Health Division' Phone: Phone: 508-862-4644 Fax phone: Fax phone: 508-790-6304 CC: REMARKS: ❑ Urgent �$&or your ❑ Reply ASAP ❑ Please comment review ` C,-VN � v U 4-e cl -e rc v, (Z f 'tj�y B�N'fi a Nbw I/A System Permit Summary Sheet iu� a� Site Information � caasw'��5 Town: (5 Ae-USIA(bL -Town Permit#_ Z.1�C5--� 24 3 Assessor Map/Parcel: 2S I (-)'4 Unique Town ID# Site Address: Ce:r-)-4e-rut ( ( e , /-�- G 2C 32 Owner Name: i-1, e--� Alternate Name: Home Phone: Mailing Address: . zf mf_ ,. c�� Work Phone: Title 5 Information Building Type/Use: 'S1 n- AI-e—.. Vim" (� Design Flow: 3 3- D (gpd) Seasonal Use? Yes ❑ No�K ,Unknown ❑ Bedrooms: 3 Title V N.S.A.? Yes ❑ No ❑ Unknown ❑ Lot Size: Lf S lot- Non-standard components: 3�'a`�-"'�"' 5'P1' > Z--0-r- Please list all components e.g. 1/A treatment unit,pump chamber, pre-and post equalization tanks,pressure distribution SAS, effluent filter, UV unit, etc., and maintenance schedule for each component e.g. quarterly, 2x/yr, annual, etc. I/A Treatment Unit Make and Model# A r,,oh%ic� ru-,--n-e DEP Permit Type: ❑ General Board Approval Date: COC Date: Provisional O & M Contract Entity: F,2 - m a-V\6y-, �And- 6 z- ❑ Remedial Contract Start Date: b( 63- Contract Duration: Z ❑ Pilot Unit Installation Date:`61 * w� � Unit Startup Date: DEP Permit ID#: Influent/Effluent Monitoring Requirements and Water Quality Limits Please indicate water quality parameters that must be monitored and any town mandated water quality limits;if no limits are shown, we will assume parameters and effluent limits specified in the system's DEP approval will apply. Effluent pHZ BODS ❑ CBOD JS� TSS-Z TN ❑ Nitrate Ejt�_ Nitrite': — Organic N ❑ Ammonia ❑ TKN _ Fecal Coliform ❑ Total P ❑ Organic P ❑ TDS ❑ Oil/Grease ❑ Conductance ❑ rAlkalinity W Water Usage ❑ Temp. ❑ Monitoring Schedule: /U'Y-. Other Applicable Limits: ca_., 6, -e-g ue ect - � cce c >3o� Influent pH ❑ BOD5 ❑ CBOD ❑ TSS ❑ TN ❑ Nitrate ❑ Nitrite ❑ Organic N ❑ Ammonia ❑ TKN ❑ Fecal Coliform ❑ Total P ❑ Organic P ❑ TDS ❑ Oil/Grease ❑ Conductance ❑ Alkalinity ❑ Water Usage ❑ Temp. ❑ Monitoring Schedule: Other Applicable Limits: BCDHE Tracking# Please return this sheet to: FAX: 508-362-2603 Email: bciatech@cape.com Raw 1JA- I >l :i �l�'frr: ary Sheet hiFt'e I:ntormation Town: CV-U 'Vi Town Permit# Assessor Map/Parcel: Unique Town tD# Site Address: AQ _...... Owner Name: Alternate Name: 4-ieme Phone: Mai ing Address: Work Phone: EIS—54o— 33 , 77118 5 Information Suilding Type/Use: Design Flow: � �+ c.Y:,,:: Seasonal'Use? Yes ko Unknown ❑ Bedrooms: Title V N.S.A.? Yes ❑ No❑ Unknown❑ �m X Lot Size: � '1,:�;. Plir,>'.n-standard complonerrts: Pi"Oa se list al1 components e.g. 1/A treatment unit,pump chamber,pre-and post equalization tanks,pres,5ure IS A 5'. effluent filter., UV unit, etc,,and.maifOenarece schedule for each corppomerr.t e.g. quarterly, 2x/yr, annua, trm,ant UnR Puke and Model# DEP Permit Type: Cl Gm i ozird Approval Date: COC Date: CI & M Contract Entity: ❑ Ref1l r;,i s.: Contract Start Date: Contract Duration: E] Pilo Uni,; Installation Date: Unit Startup Date: DEP Permit ID#: Infllaent/Effituent Ntm. itorins Requiremen'ts and Water Quality Limits Pleqa;e Indic&ta water quality pararrreters that must be morlliored and any town mandated water qua ty linqitsf iM i n &,Fe shown, we will assume parameters and effluent limits specified in the system's DEP approval will apply. � Effflijent pH� BOO Nitrate ❑ Nitrite ❑ Organic Ammonia [] TF I',;'1,., Fe(sol Conform ❑ Total P Organic P ❑ TDS ❑ i1!t�re�;ise•. i Co id'uctanc® ❑ Alkalinity Water Usage ❑ Temp. ❑ d-, co Mar I'oring Schedule', Other Applicable Limits: la�l'��Il�iient pH ❑ BODE ❑ CSOD ❑ TSS ❑ "rN Nitrate Q' Nitrite ❑ Organic N ❑ Ammonia ❑ TKN _.._ Fecal Coliform ❑ Total P ❑ Organic P ❑ TDS ❑ Oil/Grease C oliductance ❑ Alkalinity ❑ Water Usaga [�� Temp. ❑=M-onitoring Schedule: Other Applicable Limits: B(::[:FIE Tracking# Please return this sheet to: FAX: 508-362-2503 Email: 14*0 E10/80 39tid Sd3GNti-13P bb888b5805 C,[:Si: Serial_No:06161017:08 Project Name: Lab Number: AMPHIDROM 1 L1008573 Project Number: Not Specified Report Date: 06/16/10 SAMPLE RESULTS Lab ID: L1008573-01 Date Collected: 06/09/10 10:30 Client ID: 19 ANGUS WAY Date Received: 06/09/10 Sample Location: MASSACHUSETTS Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General"Chemistry-WestboroughLab .,t Alkalinity,Total 86 mg CaCO3/L 2.0 NA 1 - 06/14/10 09:45 30,232013 SD Solids,Total Suspended 45 mg/l 10 NA 2 - 06/14/10 11:30 30,2540D DW Nitrogen,Nitrite ND mg/l 0.05 - 1 - 06/10/10 18:56 44,353.2 DD Nitrogen,Nitrate 11 mg/l 0.50 — 5 - 06/10/10 19:40 44,353.2 DD Nitrogen,Total Kjeldahl 3.8 mg/l 0.30 — 1 06/14/10 01:00 06/15/10 19:52 30,4500N-C DD BOD,5 day 7.4 mg/I 2.0 NA 1 06/10/10 01:25 06/15/10 07:50 30,5210E JT Q'I f i ,Page 6 of 18 f r. ma'hony&associates,inc. rm water supply and pollution control equipment 273 Weymouth Street-Rockland, MA 02370 F.R. Mahony&Associates,Inc. 3o DuPaul Street Southbridge,MA 01550 Mr.Thomas McKean Barnstable Town Board of Health 200 Main Street Hyannis, MA 026oi February 28, 2oo8 RE: Start-up inspection for an Amphidrome®System located at:.19 Angus Way, Centerville,MA Dear Mr. McKean: On February 28, 2oo8, F. R. Mahony&Associates,Inc. performed a start-up inspection on the Single Family Amphidrome®Wastewater Treatment System located t t the above referenced location. The System has been installed properly and all equipment has been tested and is ti operating as designed. ' C� The system has been approved under Provisional Approval. ' If you have any further questions or concerns about this start up inspection ple se feelN 3 free to contact me directly at this office. Very truly yours, F. R. MAHONY&ASSOCIATES, INC. Tammy Piazza Service Department Tel: 508-765-0051 Cc: Mike.Sellito, Stephen Schiestl,MA DEP o ✓ ya-i � Fee THE COMMONWEALTHTH OF MASSA`� Utf Entered in computer: PUBLIC HEALTH DIVMSION - TOWN OF BARNSTABLE, MASSACHUSETTS Ye Zipprication for �Bi5pozal 6pgtem Con5tructton permit Application for a Permit to Construct 94 Repair( ) Upgrade( ) Abandon( ) ;9 Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. /I ANC u S GJ.9 ; ���% - e/y A 6 S1"/E 57 L Assessor's Map/Parcel 1647 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. A>9MLlD7T/ C6,,,1574. �i/�h.� �v�'gt., �v V1F_y A-Z5 � �SSdG D. RDk `Z4 Z9 mh!wege 0 Ma, az�49 Type of Building: ld86 Dwelling No.of Bedrooms 3 Lot Size 20 6 L S sq.ft. Garbage Grinder (4A Other Type of Building s/DE",­7)Ae- No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) _33® gpd Design flow provided :E_j gpd Plan Date M Z1267 Number of sheets Z Revision Date / � 2g 24)6 '7 Title Sip 6- sq S;mz lz-gegl R-z m�F PZ_4o Size of Septic Tank Type of S.A.S. /V1ga70,� Description of Soil Nature of Repairs or Alterations Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this rd alth Sig Date I — `` Application Approved by Date Application Disapproved by: Date for the following reasons c Permit No. Date Issued � 4T� Fee ' , _ - ''THE CO ON 'J�' LT-H OF MASSAHI ETTTS Entered in computer: Yet � � PUBLIC HEALTH DIVISION TOWNf OF BARNSTABLE%,M,SSACHUSETTS �.. applicati0t� for igtlO al bpgtemc Construct on Permit °. Application for a Permit to Construct) ,Repair( ) Upgrade( ) Abandon( 's'Co pl a System ❑Individual Components Location Address or Lot No. _ Owner's Name,Address,and Tel.No. ' /4 ANC,uS &,O , Assessor's Map/Parcel Z 04 7 t Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. ��?OGL077/ Clo -1-57Z. .t�r��iovs as�. sv�e,.�fvNG i9ssoe . A-D. &1k `Z4 7-9YA5h- oz6491 Type of Building: Dwelling No.of Bedrooms 3 Lot Size ' 6`L 5 sq.ft. . Garbage Grinder (kb) 1 Other Type of Building I��S/Drcl�+r/,9/ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3`�G) gpd Design flow provided gpd Plan Date M1944 14. 706 Number of sheets Revision Date MAY 2!j, ,7�_ r Title 5F'97C (/S J!Fi0 /Z-r-,�A/)-1U q-,e4, P,cj4-ay Size of Septic Tank /rD0 l,4G —Type of S.A.S. T,P—^,Gd l ��aC Nl4k j,j Description of Soil s � Nature of Repairs or Alterations Answer when applicable) UP60Zl�►�7/N '7 ji�fJ�zG>af�C -77j /4� Date last inspected-� Agreement: v The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate-of. Compliance has been issued Vthisand -Heal / /Si � e n , ,, Date ( ///_ J`/iJ,jam/ L1 Application Approved by �l '„f�/,,� �-/� ,� _ ,�,� � Date Application Disapproved by: Date for the following reasons V �, 4 , Permit!qo. Date Issued ------ --- .. --i 1 --------------- T-- ----------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Co'mpf iance THIS IS TO CERTI Y,that the On-site Sewage Dis al System Constructed Repaired ( ) Upgraded ( ). Abandoned( )byo���/Q at �� I�,V�(J 5 [�(Jfi►y l�y2�//Ly has been cone truct d' ;ocordance with the provisions of Title 5 and the for Disposal System Construction Permit No. "' � dated Installer 1?rol ,�� Designers #bedrooms / n Approved design flow /� gpd The*qnce offtthls�peermit shall not be co str ed asa,,guarantee that the systemC�`il' yion as designed'.( vDate % //)�/! 'I/ '!�( t� ::EC �� %r Inspector l/1 Q/lt/.lif7 l IAt'itilES� ilk No. D f Fee ....w�" /THE-COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS ligogar *pgtem Congtruction Permit Permission is hereby granted to Construct O Repair ( ) Upgrade ( ) Abandon ( ) System located at US WA/t C4 A /LV/GL E and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. Date ( / I / /�— Approved by 1 i i 04108/20%;8 12:49 5085403344 JELANDERS PAGE 02/04 08:36 Rrom:®ORTOLOTTI CONST 5084289399 To:50854a3344 P.2/4 Town of Barnstable ® Regulatory Services Thomas F.Geller,Director Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,XA,02601 I , ®t'fic6i; 508-862-4644 Fax: 508•790.6304 Iastnller Degiai�er C�I�ti�eaia Ja loe Sewage Permit# 2&V2 3 Assessor's MapkParcel Dc�,sl lraea°9 Instniler: ess: lox -Igo' Address; d Pk . /° On 1111 le 7'; DI®' ��v w-as issued a permit to install a date i�sYa er sew!:I is system at f I W O based an a design drawn by ;&1/.I adds�s 1310 I certify that the scptipi system referenced above was installed subst-intially according to 'w n� the design, which array;include minor approved changes such as lateral r.Iocs.tion of the distribution, box ancLbr septic tank. Stripout (if required) was inspected and the soils w6re found satisfactory'. �n I �ertify that the septi.e system referenced above was installed with ffngjor change; (i.e. greater than 16 lateratlrelocation of the SAS or any vertical relocation of any component ofithe septic system)but in accordance with State &Local Regulations, Ilan revision or ceifified as-built by-designer to follow. Stripout (if required) was insp®cfed and the soils were found sedisfactor). �ifgRP�ly�m �iIn , . s igaflture dn�uiif;�LN phi}r�i:?•C.hLILL.Y [rt,1�; CIVI. % 1 Riper's tgnat� Af � far 1� ,1eAS YJ1Z1eT tO BAANS BLE HEALTH RT'IIa, PVC' �T gSSU. U TIL O BITi—T CAJID Y Txg',I &MUAALE PUBLICgD 1 S,XQ1�> THANK Y t�:141! ci �,�e�l�eeee Cartifiaation Form Rev 03<09=06.doo 041108!20"8 12:49 5085403344 JELANDERS PAGE 04f04 FaF'P? FJS�8�11%IB 08:36 From:BOP.TOLOTTI CONST To:50 P.4/4 $r y if Yj�✓ Q Yj� � pW 1 IIl 8 U s � .�S i I u a 0-4/08/2U8 12:49 5085403344 JELANDERS PAGE 03/04 i1F;:;?.•0 - F91%'6 08:36 From:90RTOLOTTI CONST SCAe4289399 To:SM5403344 P.3/4 OWN OF BARN'S'TABLE Imp'.�1� r qQ(�'(�,�q�G O�9[/�= o fqd ,y LOCATION SE�/L$dJE � SPILLAGE ASSESSOR'S MAP& PARCEL ��V1 2NISTA,LLERS NAME&PRONE 740. _ '��� — 3 - MPTIC TANK CAPACITY 12ACHMG FACILITY: (type) '" (size) aEQ NO. Of BEDROOMS 3 OWNER_49 4 FIEFIv T DATE: f d�—- 2 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater f able to the Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) 'Edge of Wetland and Leaching Fac lity (If any wetlands exist widAn 300 feet of leaching facili. �-IAIXISHED BY 9 1 . °p'f1iE T Town of Barnstable DAMSTAASS Board of Health ♦6 59. tie ED"`AY� 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,DMD Junichi Sawayanagi June 18, 2007 Mr. Jack Landers-Cauley, P.E. P.O. Box 364 West Falmouth, MA 02574 RE: 19 Angus Way, Centerville A= 251-047 Dear Mr. Landers-Cauley, You are granted permission on behalf of your client, Stefan Schiestl, to construct and utilize an innovative/alternative (I/A) nitrogen reduction system at 19 Angus Way, Centerville, Massachusetts. This permission is granted with the following conditions: (1) The floor plan (house plans) shall be revised to show three bedrooms maximum. (2) No more than three (3) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (3) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to three (3) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (4) The engineered plans shall be revised to show a reserve area. (5) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health Q:\WPFILES\Landei-sCauleyShiestl2007.doc that the system was installed in substantial compliance with the revised plans. (6) The wastewater effluent shall be tested quarterly for the first two years of operation for nitrates, TKN, pH, CBOD, TSS, TN, and alkalinity. (7) After the two year period of testing quarterly has ended, the applicant may request permission from the Board to request a reduction in testing frequency. (8) The applicant shall submit a copy of the signed two-year Operation and Maintenance Agreement (O&M) between the contractor and the homeowner to the Board of Health. The engineer or O& M contractor shall conduct inspections to the I/A system a minimum of twice yearly. This permission is granted because the proposed plan appears to meet all of the provisions of the State Environmental Code, Title 5 and all of the Town of Barnstable Board of Health Regulations. Sincer yours, Wayne Mil r, M.D. Chairman Q:\WPFILES\LandersCauleyShiestl2OO7.doc. 1 i 07--a a2�--2007 a 10 : 14ram. DEED RESTRICTION Whereas, Patricia A. Downey of PO Box 452 Fishers Island, NY 06390 is the owner of 19 Angus Way located in Centerville, Town of Barnstable, MA and being shown as lot 44 on a plan entitled "Revision of a Portion of Lots, Wequaquet Heights, Centerville, Mass., belonging to Benjamin F. Teel, Scale 1"-100% October 20, 1958, Nelson Bearse & Richard Law, Surveyors, Centerville, Mass."duly recorded with Barnstable Deeds November 28, 1958, Book 144, Page 153. Whereas, Patricia A. Downey as the owner of said lot has agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on said lot as a pre- condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmeetal Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; Whereas, the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in . compliance with 310 CMR 15.200, State Environmental Code, Tile V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this property, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document, NOW THEREFORE, Patricia A. Downey does hereby place the following restriction on her above-referenced land in accordance with her agreement with the Town of Barstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: 1. 19 Angus Way Centerville, MA may have constructed upon the lot a house containing no more than Three (3) bedrooms. Patricia A. Downey agrees that this shall be permanent deed restriction affecting 19 Angus Way located in Centerville, MA, and being shown on the plan recorded in Plan Book 144, Paged 153. For title of 19 Angus Way see the following deed: Book 7383, Page 235. it I Executed as a sealed instrument .a day of June, 2007. Owners Signature Owners Signature COMMONWEALTH OF MASSACHUSETTS ':�u4011K Chute N �ss F,sl,Lvs lji n e_ A p ao o 71 , 2007 Then personally appeared the above-namedjRLjer v-e ch,L Known to me to be the person who executed the foregoing in trument and acknowledged the same to be free act and deed, before me, ROXANNE SPAULDING UBLIG,STATE OF NEW YORK Publ C Notary No.01SP6113042 QUALM 11 1)IN SUP OLK COUNTY MY COMM MON L•VIHLS AUG.0,20 D My commission expires: 9 0 Ell BARNSTABLE REGISTRY OF DEEDS I{ t f r.M060ny &aaaociatas,inc. rmwater supply and pollution control equipment 273 waymouth shs�•Ae M—k MA 02370 . June 19, 2007 RE: 19 Angus Way, Centerville, MA 02632 Side Family AmphidromeO Wastewater Treatment System, Provisional Approval Maintenance Contract To Whom It May Concern: Attached please find a draft copy of FRMA's Maintenance contract for a Single Family Amphidrome®Wastewater Treatment System. I have included a copy of the Department of Environmental Protections Provisional Approval information for your records. This will explain the sampling requirements based on both seasonal and year round occupancy of the facility. After an installation inspection has been satisfactorily completed by F.R Mahony & Associates, Inc. the homeowner will be invoiced for a maintenance contract renewable every two years. Once payment was received, the Amphidrome® system would then be put on our O & M schedule. Costs associated with sampling would be the responsibility of the homeowner as noted on page 2, item # 11 of the maintenance contract. The price of the contract may vary depending on occupancy. Year round occupancy requires quarterly O & M and sampling. Seasonal occupancy requires two visits per season with sampling. The maintenance contract is invoiced annually at $500.00 per year, for year round occupancy and $ 240.00 per year for seasonal occupancy. If you have any further questions please feel free to contact me directly at this office. Very truly yours, F.R. MAHONY &ASSOCIATES, INC. Tammy Piazza Service Department Tel: 508-765-0051 ........................................................................................................................x.............so....00z.....Aso......... mahony & associates inc. water supply and pollution control equipment . r. tel. 781.982.9300 fox. 781.982.1056 frma info®frmahony.com • www.Frmahony.com 273 Weymouth Street • Rockland,MA 02370 AWHIDROMES MAINTENANCE CONTRACT (DRAM Mr.and Mrs.Shiestl 19 Angus Way Centerville.MA 02632 The purpose of this agreement,in accordance to Provisional Appravai by the Board of Health,is to provide inspection of the system indicated in this agr+eemesrt,in order to enga=proper operation and diagnosis or current and possible future problems. The painculars of this agreement are as follows: 1. This periodic maintenance agreement commences(up=start date),2007 and continues in effect for period of(2)years. 2. F_R MaIMM and Associates,Inc (FRMA)agrees to famish a service repmtseomtive to perform four (4)maintenance visits per ytrar aver the period of two(2)years from the date indicated in this agreement. 3. Each visit by an FRMA service representative will be for a period of up to two(2)hours,to be arranged between the hours of 8:00 AM and 5:00 PM,Monday through.Friday,excluding holidays. 4. A rimchanical and instruntenal inspection will be performed at each visit on the system covered by this agreement to include the following. Blowers—Proem and Backwash Motor(Amp Draw) Belts Lubrication Measumment Pumps Ijmw Float System Amphidromeg Unit Media Inspection fting Air Flow Backwash Controls Confirm Automatic Function Record Stored Data Check Indication Lights Fuses �Nsing System I As required b t Sampbngcollection (see 2,item#11 As required by permit 5. All operating parameters will be reviewed and appropriate Austments and calibrations will be performed. 6. The FRMA service represenmve will provide labor to replace parts necessary to bring the covered system within p xgxr operating parameters(up to the amount specified in the agreement). 7. Parts will be supplied either liom the owner,or purchased from FRMA. 136A Stickney Hill Rood 30 DuPaul Street 41 Bayberry Hill Road 236 Winthrop Center Road Union, CT 06076 Southbridge, MA 01550 W.Townsend, MA 01474 Winthrop, ME 04364 tel. 860.684.0393 tel. 508.765.0051 tel. 978.597.0703 tel, 207.395.d55d fax. 860.851.9752 fax. 508J65.1244 fax. 978.597.0704 fox. 207.395.4561 ........................................................................................................................XV.j...00:80,.L,00Z/,8,1/9.0......... b t 8. The FRMA seiv=represenjanvewill make motions for the replaces of addrixonal parts that camrot be addressed at the time of the scheduled visit,if such conditions are found to e2dsL 9. Igor charges for selv=visits beyond the four(4)scheduled visits will be charged at timonormal al rate of$75.001man hour and the Cost of Na tion. This iwludes labor pt+ovidCd t e goarW,y visits which exceeds the time indicated in this 89=UICUL 10.FRMA agrees to respond within a reason"period of time to any alarm event and to notify DEP and the Loral Board of Health within five(5)days of the event or system failure. 1 l.The owner is responsible for all costs associated with the analysis for the samples taken fixing ft qunterly visits during the length of the Contract. 12,periodic pumping of the system and proper dispose►of its cmtcau upon the recommendation of the FRMA service neprewntative is the responSRA y of the owner. rst 13, The purchase price of this agreement is$500.0 per year,due annually for twa years. e en payn�is due 30 days from the date of this aunt�•the second parymc�nt is due the first year anniversary of tbW CCUUML 14_Either FRMA or the owner may terminate this agreement fox'any reason 1?mvided it has given the other party 30 days advance written notice Of its h*nt to gate. In the event that either party terminates this agreement in aocWjance with this paxnm*FPMA will refund the pro-rated pot M of the animal fee for any otustauding maintenance v"- The following patties have agreed to the conditions of this agreement: IM MAIEJONY&ASSOCIATES,INC. Owner Signed: Signed U 'r'1y Title: Hate: Date' 6, 0,7 - ti ............. LOfb0.4. I........................................................................................................................ t g TOWN OF BARNSTABLE LOCATION ,�/S � _ SEWAGE# ey 1) VILLAGE Co,,t, r,•c. 61w/l£ ASSESSOR'S MAP&PARCEL A/ —01,/7 INSTALLERS NAME&PHONE NO. C4 X _ ����9,�r 9 9 SEPTIC TANK CAPACITY /aud LEACHING FACILITY.:(type) 571D„r-d9e (size) X l3' ti NO.OF BEDROOMS OWNER Ot✓��i PERMIT DATE: //-/,f O COMPLIANCE DATE: F C� Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 'Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY Q ° 7;Sri A I � C ' 'r p , N o r� +� Z 3-3 ,Is., 2 31 315 36 d °gYF4E TO1r, ° Town of Barnstable 4 MRNS7ra13t.le. "sue Board of Health i43q. �� f0 MA�� 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,DMD Junichi Sawayanagi June 18, 2007 Mr. Jack Landers-Cauley, P.E. P.O. Box 364 West Falmouth, MA 02574 RE: 19 Angus Way, Centerville A= 251-047 Dear Mr. Landers-Cauley, You are granted permission on behalf of your client, Stefan Schiestl, to construct and utilize an innovative/alternative (I/A) nitrogen reduction system at 19 Angus Way, Centerville, Massachusetts. This permission is granted with the following conditions: (1) The floor plan (house plans) shall be revised to show three bedrooms maximum. (2) No more than three (3) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (3) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to three (3) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (4) The engineered plans shall be revised to show a reserve area. (5) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health Q:\WPFILES\LandersCauleyShiestl2007.doc that the system was installed in substantial compliance with the revised Y p plans. (6) The wastewater effluent shall be tested quarterly for the first two years of operation for nitrates, TKN, pH, CBOD, TSS, TN, and alkalinity. (7) After the two year period of testing quarterly has ended, the applicant may request permission from the Board to request a reduction in testing frequency. (8) The applicant shall submit a copy of the signed two-year Operation and Maintenance Agreement (O&M) between the contractor and the homeowner to the Board of Health. The engineer or O& M contractor shall conduct inspections to the I/A system a minimum of twice yearly. This permission is granted because the proposed plan appears to meet all of the provisions of the State Environmental Code, Title 5 and all of the Town of Barnstable Board of Health Regulations. Sincer yours, Wayne Mil r, M.D. Chairman 'Q:\WPFILES\LandersCauleyShiest12007.doc I df' DATE: +'' i3Atk1�'JN$tE, FEE: MAIM REC. BY T�V'V�l �� Barn, SCEBD. DATE: Boar of Hea r z 200 Main Street, Hyannis MA 02601. � Office: 508-862-4644 /` Wayne A.Miller,M.D. FAX: 508-790-6304 j�- �V1Q+VTiG70y/l)�4v!�w� �� Paul J.Canniff,D.M.D. REM MST MM L-OCATION Property Address: Us t 1 Assessor's Map and Parcel Number: �S --O Size of Lot: -203 0 1 rJ 1 {� ' Wetlands Within'00 Ft. Yes .Business Name: LAQ. �1oo..5 �utt..Uf � ✓>�hiGi�� No_'004,. Subdivision Name: _ APPLICANT'S NAME: �. Phone � 15� -- ®3 6--- Did the owner of the property authorize you to represent m or her? Yes 3' No PROPERTY OWNER'S'•A CONTACT>PERS f):�i Name: S A —1-_ ��S � Name: ��Lk- I�ln�n��s-- Address. • lam- PLA w ►S R f�S J S* ni0 � ) Address � X HIV � Phone: t� --}'S•, --© jL� Phone: — ®•, 1 T � �- -3� VARIANCE FROM REGULaATIflN(U.It Res;,) REAaaN FOR VARIA1riC�;(May attach if more space needed) NATURE OF WORK: House Addition ❑ h`1i 1[' House Renovation Repair of Failed Septic System ❑ Checklist (to he completed�v ofce staff-person receiving variance request application) Please subnut copies in 4 separate completed sets. Four(4)copies of the completed variance request form — Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (forTitle V and/or local sewage regulation variances only) i Full menu submitted(for grease trap variance requests only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/leasee only], outside dining variance renewals(same owner%leasee only?,and variances to repair failed sewage disposal systems [only if no expansion to the building proposed]) Variance request,submitted at least 15 days prior to meeting date VARIANCE APPROVED NOT APPROVED Wayne Miller,Chairman REASON FOR DISAPPROVAL Paul J.Canniff,D.M.D. C:\Documents and Sett1*ngs\deco11ik\Local. Settings\Temporary Internet P41es\0LX1\VARIREQ,DOC .un..i.un usya�.wa u.ray VY•Le:>U YVM r- Lv�.V(N4Hv WHC .-ru..a nn rayr,c u a - eern®ee.r I I ... AD-w 13 Thankfu.t I.atie Cotuit,NIA 02635 508-428-4O97 Fax:508.428-77N email:lagson@eapecod.net June 7. 2007 Yawn of Damstable Health Department Re: 19 Angus Way CeVen(iIle,AAA 4ltentative sep is s�stern hearing June l2,2O07 I, Patricia bow-r a•Sc;hiestl, as owner of Lhe subject property herby auihorize Ni& Lagadinos [builder], Greg tiiacDougal [suin eyor] and Jack .anders Cauley[engineer]to speak aMd act on my behalf, in all mattes relative-to the tive alte�tYtz septic system application for: 19 Angus Way Centerville, MA i Signature of k.Mr.er r Date •+(Ak. Print Iti arne 2L99-BBL- 1O9 SniO lauslsl sjaysld WdGS :Zi L00a LO unp Z 10 Z e6ed Nd Z VS I Z sgWli L00 IL19:9420 ;uawjjedap uipi!nd a{geuwe8:ei sowpe6e j PN UOJA From:Nick Lagadinos To:Barnstable Buildin Department Date:W712007 Time:2:15:12 PP.1 Page 1 of o� Thant.ul Lane Cotuit,MA 02635 BUR rS G 508-428-4097 Fax 508-428-7709 i Email lagcon(opecod.net �1 To: Barnstable Buildin Department From : Nick Lagadinos Company : Company : Lagadinos Building and Design Inc. Fax Number : 5087906230 Fax Number : 508-428-7709 Subject : FW: Pages including cover page: 2 Time : 2:15:08 PM Date : 6/7/2007 MESSAGE Attention: Sharon Re:, Angus W'ay Center\rille Alternative Septic Hearing 6-12-07 Sharon, H:.re is another permission form adding Jack Landers Cauley and Greg MacDougal to the list if they are needed. Call if you need anything else. Thanks. Nick Lagadinos I 06/H/2007 10; 19 FAX Amphidrome Modified Provisional Use Approval Page 4 of 11 d. provides the name of an operator,which must be a Masswhuseli s certified operator if one is required by 257 CMR 2.00,that will operate and monitor the System(hereinafter the"System operator").The System operator must inspect and operate and maintain the System at least every three months and anytime there is an alarm event for residential facilities with a design flow less than 2,000 gpd and, unless otherwise approved in writfbg by,the Department,at least monthly for facilities with a design flow 2,0(k gpd or greater and all non-residential facilities. 4. Anytime the System operator is changed, within seven days of such change;,the. System owner shall notify the local approving authority and Company in writing and submit a copy of the new agreement to operate and monitor the System to the local approving authority and the Company. The new operator must have recci•v&! Company approved training on the System. 5. The System owner shall furnish the Department or the local approving authority any information,which either entity may request regarding the System,wAbin 21 days of the date of receipt of that request. 6. Prior to transferring any or all interest in the facility served by the System,or any portion of the facility, 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 th=to and made a part thereof°a copy of this Modified Approval for the System. 7. For year round residential facilities with design flows less than 2,000 gpd, e:ffdtie7.i from the System shall be monitored at least once per calendar quarter. Any I sample collected within 60 days or more than 90 days of a previous sample shall � not be considered a required quarterly sample. For all non-residential facilities and residential facilities with design flows of 2,000 gpd or greater,both influent and effluent shall be monitored monthly. The following parameters shall be monitored:pH,influent BODs, effluent CBODs,TSS, alkalinity and TAT. Each time the System is monitored,they water meter,if a water meter is installers,sl al I be read and the water use recorded. 8, For seasonal residential facilities where the residence is occupied fewer than six months per year, effluent from the System shall be monitored twice per season; initially 45 days after occupancy,and if the residence is occupied during an additional calendar quarter,once during that following quarter prior to SysterrA shut down. The following parameters shall be monitored:pH,CBOD..s,TSS,'FIN' and alkalinity. Each time the System is monitored,the water meter,if a wa.tut meter is installed,shall be read and the water use recorded, 9. Prior to the issuance of a Certificate of Compliance for the System,the S)Is'lern owner shall record and/or register in the appropriate Registry of Deeds and/or Land Registration Office,a Notice disclosing the existence of the alternative- septic system subject to this Approval on the property. If the property subject 1tc the Notice is unregistered land,the Notice shall be marginally referenced.an 1he E,9/Lt:l 39Vd SN3QNb-13L' bbE80bS86S E T :9"[ 1.L'';`-;'•r,,,r(: �i 06/0E/2007 10: 18 FAX f.r_ mahony 6 assaelotes, Inc r water supply and pollution control oquipment is 2"Woymuurh OrmuP-RoCllland.MA 02370 June 4, 2007 RE: Provisional Approval, Single Family Amphidrorne*Wastewater Treatmic nt Systems Maintenance Contract To Whom It May Concern: Attached please find a draft copy of F'RMA°s Maintenance Contract for aSzee Family AmphidroJmeO Wastewater Treatment System. I have included a copy of the Department of Environmental Protections Approval information, for your records. This will explain the sampling ru ::r based on both seasonal and year round occupancy of the facility. After a Start -up Inspection hale been satisfactorily completed by F,R. Mahony°',ii Field technician, a maintenance contract and invoice would be sent to the homeowner. Once payment was received the system would then be put on ixiT h � M schedule, Costs associated with sampling would be the responsibility of ,k Lq, homeowner as noted on page 2, item #11 of the Maintenance Contract- The price of the maintenance contract may vary depending on the occupancy. round occupancy requires quarterly maintenance and sampling. Seasonal occupancy requires two maintenance w/sampling visits per season. The maintenance contract is invoiced annuelly @ $500.00 per year, for-Wuo r:r,,: occupancy and $240.00 per year, for seasonal occupancy. Both are ren'.'vs bl� Fr two (2) years- If you have any further questions please feel free to contact me at this oil . Very truly yours, F.R. MAHONY &ASSOCIATES, INC. Tammy Pima Service Department Tel: 508-765-0051 80/90 39Vd ScJ3QNV-13f tib888V9809 EZ 5 T :'.:i<:i 06/0','2007 15:09 FAX I I $. The' � iA ma ke xWomm uftli s for ft of addiUmd l than� a ddmsed at the time of the scboduted visit,if such emadhions We&turd to exiS. 9. La for samoe vim beyond the four(411ua mc �hidos hibtx js'ovld®d at the tre of e 0,�; s huff and t2se cost of uansp q which exceeds the time mdcabd in th s a peemcnt 10.Fpj LA.lk to mpand within a mmmbie pmod of Um ID any*un event and to DEP ad Of Hewth within.five(5)days of the event or gstealtt MM, I 11. 1he awRW is m oasmk fm all yoga mamsad with the analysis for the■aeaples takM dluiAg tfte &MM the leagth of the camem 12. or the wow and prom dbpmd of its oo Ams ttpon the teoumatettdadon of�� �I<eptesenudw is ft respm mbtltty of the OWWr. 13. price of this� isLj&oo per ym.dw any ibrtwo(a)�- 3" ipsy"Mas 30�ffam ftdate of this � the®eWnil peayilneat is dw aaas y $gym Yoh of this Qm9fWL 14.Bit]4fiame or the owner may ootn loft this agt�oattxmt for a[ty T �'"it halts 9kve$ pmtthisin HOWIdattee with this P Ph,FI2MAwillrefimdthapto-atedpottsaaQ'tlt'z an.aaitNw visits. I The knowing Mites have spud to the=wi ions of this a4preett►etd. 1p.]L A&WNY&ASSOCIAM INC. Qwa+er i 'lYtle: Dew. Date: i EIB/SO 39ad sd3GWt 3f VVEEOVSses Gi :5i 08/G4/2007 15'06 FAX 11 i water supply and pollution control equipment r. mahqn & Imocliat a Inc. ral. 781,992,9300 1nfoGfrrrohony,co m ocka27.2;Weymouthnd, A0 • f•a xw, w7 b®1.f,r5�r i;i'c,„,' ;r;.,;��,_'a. .c __ .. 1 AMPIUDROMFS MAINTENANCE CONTRACT i MRAg"j') Mr.and Mrs.S cSd 1.9 Angus Waq Centxville,MA I I i The M me of agreement,inaocmdance to PmrAsional Appr"by t9te Board of i is W pt k1C of iLe smm indicated sn tbis ag meat,in tattler tQ et><sute proper opetafian and ftpuis of curroata fat=pvoblems. The par[isulM of*b agumm ate as follows: 1. =of dioui>,teoanc:e a u wmmeuods(sw up d9c),2007 and com'iamg W t fW (2) 2. F.R�UWmmiI and Aseoaiatles,Inc.O RMA)agrees to fuze&a service nggVaCUtj1ive tD perg AmZ (4) visits par year user the period of two(2)years firm the datc m&cmd in tbie be 3. Ea*vies[ an FAMA stavine refire he tit a potivd at up to two(2)horse,tob t*=the Lours of 8: degi 00 AM and 5:00 PK Mon thra'agb Fndey,exoh'd'" I , I I 4, A lland ingmmoemftl bmpwdm WM be performed as each vat an the aye wvcvd by trim agMwncmu include the following: B ere— and Bad wash Motor(Amp Draw) WIS Lubaicalm Amp Draw FlDat System Zhnit Alfodsa Insp�tiaae AirFlow Badmash >zols I Confirm Arc Function R000rd Stared Data ' Fum As Z ircm1l) 1 As=Wrod tri V=1 5. All pmoctm will be reviewed and apptupd=84 t md calibrations will be sta N=reptesenl uvo will provide labor to repl8oe Potts neooseaty to bring[he e0r+' 5d 6. T�te IPmPer Ong P (up to am t3o wnt s=flied in the fit). a�m� 7., pig will 1}e supplied ettim Svm thrc owAer,or gtucltased bvm FRM& l:• iA Stiekney H111 oad I 30 DvPoul Slreet Al Bayberry Hill Road 236 Wln?hraat ':'errt:er ;;• ; Southbrid MA 01530 W. Townrmnd, MA 01474 Winthrofr, P, f °Ali i�o U.1 on e, 9 , CT 06076 rel. F . 860,68d.039'3 ►el, 508.765.0051 reL 978,597.0703 rrr� 860.851.975,2 4ax, 508,765,1244 fox. 978.597,0704 fox, Ei0/V0 39dd RITINVU tib880b9809 8T:5 t 06/04,1'2007 15:05 FAX I F.r.motion 4k Q�fo ictas, Inc. water supply and pollution Conlml equipment 273 vl,Wma"M Haul• and,MA 028P0 I June 4, 201' RE: Wovis onai Approval, Single Family Amphid mmeS Wastewater TMMMIA Systems N ainter ance Contract To Whom it May Concern: Attached lela�e d a draft copy of FRMA's Maintenance Contract for a ;i:�, Family Air,I phi =M Wastewater I)matment system. I I have included 1.copy of the Department of Environmental Protections o tS�i�c;u Approval inifffo 'on, for your records. This will explain the sampling ui'er►`' based on both sonal and year round occupancy of the facility. After a 8 I _U1 Inspection has been satisfactorily corr>,pleted by F.T. Maticir«y'I Field tech 'clan a maintenance contract and invoice Would then be put (;lu.r: homeown . On payment was received the sys M schedu . Co is associated with sampling would be the resporLsibllity'of'!:'h�: homeownCr as r oted on page 2, item#11 of the Maintenance Contract. The price of the maintenance contract may vary depending on the occupant. nd u requires quarterly maintenance and sampling. Stawilal rou p� n aso occupan requ a two maintenance�v/s�p�g visits per se 9►amr�:l°x�,E���•I; The train nan ar contract is invoiced annually @$500.00 per ye , fig° occupancy and 240.04 per year', for seasonal occupancy• Both isle re nev,:°;blr two (2) Years. I If you ha a aay further questions please feel free to contact me at this aa- Very V4 your 5, F.R. MAj[ONY & ASSOCIATES, INC. Tammy 14870-2 Service i iepartent Tel: 508 765-0 51 { I I E!0/E0 39Vd S83QNV-13t' VVEEOVS80S ET S L i E;/29/2007 14:03 15087906230 BUILDING R. 3 FIOr'�Nick Laga6ml 'f0;pm$this all �:��7001 Elmer+2Ta0�WrA Town Of Barnstable Rega(atory semc s TtieMM F.Gelmr�Di wa, Butldivg])[Vision Tom Perry, Bandi f ,,, =0mKim°-feet HYMkim,MA 0=1 Otlgcm: SM862.40 B Fiat: 506 74�R:�i�:gT Pd P esr P Y Ow1► e r Must Ce"mPletc and Sign,This Section IITIWng A Builder aR Own=of rAr waliem P"P=ry � hearb�sntb►ooae_ WI�� „r� -�f11,� --��- co ILu oa RW Hai£ in all sr+e1► slave to VMk Ru'4a1CUsed by*is B P�*pglic}alon fat: � / AL ( clam ofJc ) i ' r ' S�paaxto os � � Q:R�Cttfava�•�l�s��.r [ •d 2Z�S-BBL-iE9 gnTn PUSTsi sJSUSTA WHRF II d.rlW." 1; 1 ' OO/N 30dd Si 13GNd13C VVEC0b980S Ci :S1. '.-i J.E.LANDERS-CAULEN,P.E. civil-environmental engineering P.O.Box. 364 West I-*aIrnou.th, MA 02574 (508)-540-7733; 508-540-3022 508-540-3344 (fax) 1:3.irnstable Board of Health ,fun;; (4, Administrator: Thomas Mckean lidalth Division 200 Main Street l:i.irnstable, MA 02601 Re: 19 Angus Way Centerville Barnstable, MA Administrator, Enclosed are a property owner form, a.letter dated: June 4, 2007, a standard.maintenance ccntr;: .,..•,:i a l:onion of the Modified Provisional Use Approval which specifies the testing schedules and pz;nar of.ers e •,Iic;'a yr ill be tested. Lastly, we have also enclosed anew 1/A System Permit Summary Sheet that nmi;s 0(e s6, Hr,d, testing procedure that is to be implemented. It is our opinion the Single Family Amphidrome Wastewater Treatment system is a techmol,)oy a i .:,;;i� achieve performance levels that can treat the effluent and protect the environment health of tho rt6j hLc 14itlt regard to the standards of Title V, if properly maintained. We recommend the Board of aplo-r I:,le application before you. Someone from our office will attend the meeting. If you have any questions please call our.,0;1. soon as possible. Thank you for cooperation in this matter. Lan ers-Caul y,PF, Board of health-variance SO TO 3£tid Si33CIW_13f bb££8b9809 £t : 1 ?13 [ isi : r 1rUl� TOWN OF BARNSTABLE LOCATI&�S I 0,13C,US L VSEWAGE # VILLAGE C�W1T�'6t�1tL� ASSESSOR'S MAP 6i LOT r INSTALLER'S NAME & PHONE NO. Y-W t ` ,7 i SEPTIC TANK CAPACITY (,000 4&u-au) LEACHING FACILITY:(type) Q tf G (size) W 2 NO. OF BEDROOMS Z PRIVATE WELL OR 4B7LIC WATER BUILDER OR OWNER V'*.° r-L%r J DATE PERMIT ISSUED: `DATE COLIPLIANCE ISSUED: Z I lZ-I 8S VARIANCE GRANTED: Yes No ./ �S l �; �/- r + q � �� y\ � �\ � ��' o r �� �� � �. ��� r FX Mahony & Associates Products Page 1 of 3 I-r. Mahony & associotes, inc. 273 Weymouth St., Rockland, MA 02370 r M. 781 982-9300 fax 781)982-1056 SEQUENCING BATCH AERATED / ANOXIC BIOFILTER RBC PLANTS ENGINEERS - PROPERTY OWNERS - DEVELOPERS View_Animation_of the Amphidromee Process Amphidrome has General. Provisional and Remedial approval from MADEP The ultimate solution in wastewater processing is http://www.frmahony.com/frmahony.htm 5/29/2007 f 'R. Mahony & Associates Products Page 2 of 3 A W 0- -A FIM1111111111111111W .Q �V s� .:•c�;�- r -a c^s�'Lt 2a7ta�,^ � ��s.Wr � 1 ` �� ��� �f yt.. s 4 J } �n 5;" y t View Animation of the Amphidrome® Process This innovative process for wastewater treatment is.especially designed for filtration with the simultaneous removal of BOD, ammonia, suspended solids and nitrate-nitrogen. The system is a fixed film sequencing batch biological filter. The performance of the deep-bed Amphidrome@ is guaranteed to produce an effluent which meets or surpasses regulatory standards. . ECONOMICAL FILTRATION HIGH TREATMENT LEVEL . REDUCED LEACHING AREA . APPROVED UNDER MASSACHUSETTS TITLE V FOR PILOTING F.R. Mahony &Associates, Inc. provides process design, equipment, technical guidance and testing of a complete Amphidrome® System: . Amphidrome® Biological Filter Media http://www.frmahony-com/frmahony.htm 5/29/2007 F-R. Mahony &Associates Products Page 3 of 3 . Valves, Backwash Air Blowers and Pumps . Stainless Steel Internals . Startup, Testing and Instruction by a Trained Representative . Instrumention and Controls . Operations and Training Manuals http://www.frmahony.com/fimahonv.htm I At No. .'. kes... Fps.... L.0........_ ' 04+ THE COMMONWEALTH OF MASSACHUSETTS a5 BOARD OF HEALTH OF......... Z- ------- ----------------- ApplirFation for Diopooal Works Towilrurtion Famit Application is hereby made for a Permit to Construct ( ) or Repair ( Wan Individual Sewage Disposal System at: t •.-� F �_Tygc�tion-Address �c G� A� r Lot No. • r /•�/ ......................................•........ ..........--------.....c................----- -----------•-•----.............------•-----------. wner ��� Address W ?!!_......... ( ................. .......... .....--•.............................•-•--- Installer Address QType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms------------ ----------------------- ---Expansion Attic ( ) Garbage Grinder ( ) '4 Other—Type e of Building No. of persons............................ Showers Ga Yp g ----•-•--------------•------ P ( ) —. Cafeteria ( ) Q' Other fixtures -------------------------------- • . W Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons. WSeptic Tank—Liquid capacitytj. .gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width...._..._...._.._ Total Length.................... Total leaching area....................sq. ft. Seepage Pit No------I............ Diameter.........6-------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water_._-__---_.-.-----_----- r-T4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_-____--.-__-._-__-__-_. W --------•----•--------------•••-----••-----•--•--••-•-•-•--------•--•-•---•--•--•--••.....--•----•-------------•------------------------------------------- O Description of Soil...(__'.--.........SLIA—.NL.___________________' w... g x V -------••------------••-•----•••----•••---------•--••--•-•---•--•-•-•---•-----•-•-•--------•----•---------•--------•••-•--•--•......-•-------------••-...---•-•-•----••-•------•--•--•-••-----•---- W U Nature of Repairs or Alterations—Answer when applicable.-NSNO --------#4_17-0........ (Q ......S'tU7Fr _. j. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with t'1T�-14•� the provisions of l s i IZ- 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued(( by the board of health. Signed.'.j�._...44L ......................... ................................ Date Application Approved By............ = Date Application Disapproved for the following reasons---------------------•------------------•----------------------••----------------•------------•----._...------. ---•-..•--•---•--••-•---•...................•---•-••---••-••-----••--•--••----•-•--•.........•------•••----•--•--•---------------•••-------•-----•----------•-•--••-------------•-••----•---•-----_..... Date Permit No...... .. Issued----------------••-----•------.--••- --------3��--------------------- ..------...------- Date No.AAk6... FEB Lv. .. ............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................0 F......... .......................................... Appliratiou for Uhipviial Workii Tamilrurthin Vamit Application is hereby made for a Permit to Construct or Repair ( L- an Individual Sewage Disposal System at: .........At�_SLI.......W). ................. ----- .................................................................................................. L i Address or Lot No. 1 I� / ........................ .................................................... ....0 A/............ 1W.................................................................................. Owner Address .................................................. Installer Address Type of Building Size Lot............................Sq.-feet U aDwelling—No. of Bedrooms------------b%v-----­---­---­----------Expansion Attic Garbage Grinder PL4 Other—Type of Building ............................ No. of persons....................._______ Showers Cafeteria P4Other fixtures ----------------------------------------------- W ............................................gallons ------------------------------------------- ........................................................... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 04 Septic Tank—Liquid capacity(,.�.gallons Length................ Width__........_...__ Diameter__-......._..._. Depth........__...__. Disposal Trench—No..................... Width---- ------ ....... Total Length_____........._.___. Total leaching area--------------------sq. f t. Seepage Pit No------/............ Diameter....._.._:_.__.. Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. I----------------minutes per inch Depth of Test Pit___.__._........._.. Depth to ground water_-_-_-_-_........__.___. Test Pit No. 2................minutes per inch Depth of Test Pit__.............._... Depth to ground water____-___-_---___.______- -------------------------------------- ...................................................................................................................... 0 Description of Soil--- ..........sva_4411 ....................2................./_?.�J.)-------- .................... x U ....................................................................................................................... ................................................................................. -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable._LNSIY!�l�........K)1_94........ ...... ...................................................................................................................................................I....................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. ......................... ................................ Date - Application Approved By............ -------7-m- __ --:n- 4_1 's. (�V Date Application Disapproved for the following reasons:................................................................................................................ ......................................................................................................................................................................................................... Date Permit No.._... PV------------------------------------------- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .. ................0 ..................................... .. ........ .. T-5ertifiratr of foot liaanr�e THIS IS TO CERTLE Y, That the Individual. Sewage Disposal System constructed or Repaired (L.-� bir 14a 4c r'_1-7 .................................................................................................................................................................................................... at......6......... ........... _k t 401 ....................... staller ............................................................................................. has been installed in accordance with the provisions of TIT 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No...... ............................ dated-_...------- ................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..................... ---------------------------- Inspector.................... ............................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....................0 ........................................... 0..�j oc FEE. . .............N ......... Diaposal Permission is hereby granted..'.,. `_. .......................................................................................... to Construct or Repair an Individual Sewage Disposal System at No...Acl-------- .........---C(c-W'\k *�_V%%_�. ............................. ......................................................................................... Street <_� R 144 as shown on the application for Disposal Works Construction Permit No ................... Dated_......................................... ............................. ...N...�j-----------------------*------------------*--------- DATE-----------------_- ...... ............................ Board of Health FORM 1255 HOBBS & WARREN. INC., PUBLISHERS TOWN OF BARNSTABLE . ILOCATI G SE.WACE # I VILLAGE C ASSESSOR'S MAP SY LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY p � LEACHING FACILITY:(ty � a (size lvi�/ 2 - NO. OF BEDROO�� _ I T OR U t BUILDER OR OWNER DATE.PERMIT ISSU IDATE COUPLIANCE ISSUE f VARIANCE GRANTED: Yes O ✓ Stamp: U C C � 2 .U) .o N LO Q o Zo CV N Q 00 - 04 C O00 o am O L c 24'-3j' •� Q Iy LL O U C N n Q 0 E --I o U 7'-9z' '-3q' �_ = Y co N E (6 00 f0 2X8 DORMER RAFTERS U) � co •� STMRWELL 2X8 CEILING JOISTS (L3 � M E R-30 INSULATION O ASPHALT ROOF „ SHINGLES N BATH +1.9x 7. Xi" CDX SHEATHING R-30 INSULATION 2X10 RAFTERS z� W M } Q Sauna 8'x5' ?� J J <n J 8'-7�' }-3'-8�'—#-3'-10�'--f--3'-10�'—, - //'► (� � o c'im `I in 1n W12x30Steel A Z W 9z x 2-2 I-JO'St Beam Q M )�" BLUEB 16"O.C. W 0) w WHITE CEDAR SHI S 5" TW U HOUSEWRAP m EXERCISE ROOM /y" CDX SHEATHING o� R-13 FIBERGLASS INS. 2X4 STUDS 2j" x 11 a" I Joist YWOOD SUBFLOOR Antique Heart R4-19LF FIBERGLASS INS. Pine Wood 2X6 P.T. SILL (o Floor Yq" SILL SEAL TITLE: 8" POURED CONCRETE Sec A—A WALL ON 8" X 16" FOOTING 2nd Floor ze 4" POURED CONCRETE FLOOR LIVING AREA OVER COMPACTED FILL 802 sq ft DATE ISSUED: 10" X 16" POURED 05-10-20917 CONCRETE KEYED FOOTING REVISIONS: 12'-L 7'-10' 4'-3j' y. 24'-31. DRAWN BY: NL PROJECT#: DRAWING NO.: A-2 t� D m D n � o' 36-0' 1•-9• 14'_3' 11-0' ' 10' 1-111 + + ]wzaafi ___-_ I I I I I 1 N F0 N D U w;p Ar I I I I j 5852'J)I008 Ar I -------------- NY NH I I ti C 9 S (J AIW £ V JII� 1 cm 1 AI12•-0• 12-0' I I I I I I CLOSET ________ __________ __ N _ ______ '-2' 5'-10' 3'-2' '-8' 2'-8' 3'-6' 0 ___________ ____________�„__ ' I ry - ____�________-__________________________ ____ 2 0c(�x ��!m� ❑ El �J1J I� t , �—= sw o7 *'m y= - A ---------------------------------- Rn a A I � 31611RL TN2N9 TN261fi TYLHfi TNRNO TY!l41fi A ' A ]060 % y C N �m ��//�� 11'-10' 12'-2, CD ' W �/J � 1�' r1n n J N O + m N 3 A O O N O !J I N a Q C1.11 w f N d A u N 15'-9' u V FT 0]00 -4�, iNRaafi FNHfi LA d w A \ o w co rDp A Jo -o � I--4'-$04r3" + 0 DC-An oO mW-H w CDdjCL3z m m m mn --------------- 0 Y Nmma. N ----- ----- O TWt0310 0W � OO RO q K+ 3' II 3'-9'-L3'-11' - 5' 1 12-6' 5'-10' 7-8' '-3- 15-9' 3-0' 51'-0- z m b o `n m m SCHIESTL HOME Lagadinos Building and Design Inc. o � Custom Homes, Additions, Renovations ' p xx n m I 0 0 13 Thankful Lane Cotuit, MA 02635 4 0 19 ANGUS WAY Tel.508-428-4097 Fax 508-428-7709 CENTERVILLENA email lagcon@capecod.net MARSTONS MILLS (BLOWER IS TO BE LOCATED WITHIN 75' OF THE AMPHIDROME Pr'� �j �rLO I REACTOR IN A SHELTERED LOT 20 '�, LOCATION AT AN ELEVATION O HIGHER THAN THE TOP OF THE LOCUS G) �� AMPHIDROME REACTOR. POJ F, .1 �o N �s COVER TO M �� O GRADE (typical) a ROV � LOT 45 ON LOCUS MAP LOT 21 \� s' + ANOXIC TANK PLAN REF: 144/153 \" ^ 00\ � SEPTIC TANK DEED REF: 738�3/235 ZONING: RD-1 PROP. p `1'/ �® RETURN LINE ASSESSORS MAP: 251 PARCEL 047 L T 44 14"OAK 3—BED. AMPHIDROME REACTOR FLOOD ZONE: "C" HOUSEGROUNDWATER PROT. OVERLAY DIST. A.M. 251 /47 �' • \� T.0.F._ AREA=20,015± S.F. \O 75 0' -_-`S CLEARWELL CHAMBER 1,000 ,O GALLON CAPACITY I 10"HOLLY 3SEPTIC SYSTEM - -- -- - -- _ VENT PIPE SYSTEM --- - Qh! p WITH CARBON FILTER REPAIR/UPGRADE PLAN ASPHALT` # DRIVEWAY `� ' � � LOCATED AT: ° p _______=_ ��_ ___- ;�O `�°� #1 #19 -ANGUS WAY -� BSERVATION .'� CEN TER VI LLE MA. ________ PORT _ o � � (typical � 00, O _ I `<' ` �►e°°°°° - PREPARED FOR APPLICANT: O J -- - 'W �''/ J \ ` '// 7�O��P`GISTFgfgs-1 OLE LOT 43 '�� ___ ; `� `L -y a o�� PTEPHEN� c+�GmO► PATRICIA DOWNEY N C/O SCHIESTL DOYLE P s � W ^� �j • �c � Pv O �\ ° �� \o' �9,1 S S I O� P ► ) ,, V E V v' P MAY 14, 2007 EXISTING HOUSE AND SEPTIC ,�� � ` REV. 7/3/07 SYSTEM (TO BE REMOVED) SQ, N1 ' ` Oro `�` L� 01 /G� Os� y\ \ ` G' SCALE: 1"=20' NOTES: TP#2 MCP LL F\� T `�\ O �J d D 'USE' ` ,� ON I \ U 35101 � ~ 3 MacDougall Surveying TANKS AREA NOT FURNISHED BY �v,� \� 'ij `\ _ g y g & Associates F.R. MAHONY & ASSOCIATES. !� /�\J� TP#4 , P.O. Box 2428 TANKS MUST BE APPROVED BY BENCHMARK: -'Q�P� i Mashpee, Mo. 02649 F.R. MAHONY & ASSOCIATES. PS PH. (508)419-1086 TOP OF CATCH ,%F fax (508)419-1087 BASIN ELEV.=72.50' email: macdou allsurve omcast.net (DATUM: G.I.S.f) , 'k.�G SHEET 1 OF 3 JL-C MACD1098 J}® I y ✓ f xopF FOUNDATION COVERS TO FINISH GRADE ELEV.= 75.0 10' MINIMUM ( �B- 1/2 F WASHED STONE OR FILTER FABRIC ,......... EL= 73.0 ..,. �. ................................................................... ......... .......................................... L 73.0 4" SCHEDULE 40 P.V.C. OR EQUAL ....................................,.,., EL= 70. OBSERVATION CLEAN SAND FILL 9" MIN. PITCH 1/4" PER FOOT PORTS PER 310 CMR 15.255 MIN I ° 014 go a ° 0-0-0-0-CEO °° °° °° °°° VENT PIPE INVERT i SEE PAGE 3 FOR DETAILS OF AMHPIDRUME SYSTEM ' 0 0 0 0 °° ° 0 0 0 ° 0 0 0 °° °°coy 00 0 0 ° o 0 0 0 0 0 0 °0 0 0 moo° SYSTEM INVERT 10" o 00 00 00 °°°00 00 0 00 000 0° 0pli o 00 0° 0 0o 00 0 0° o°0 00 0�°0° ° EL= 71.50 EL= 71.25 8" ?0 10 cp � °�ac od ac °�ecp °00o u� 0� u� °�od °maw o a f qv I00 00 00 0000°�00000®000 0a000°m00oo0moo0o°0000o EL= 69.3 SEWERAGE SYSTEM INVERTS AND CONSTRUCTION DETAILS TO BE PROVIDED 30.0' BY ENGINEER AND F.R. MAHONY 3i4• T0 ,-,i2' SOIL ABSORBTION (TRENCH FORMATION) Z i WASHED STONE SYSTEM (S.A.S.) 15.0' X 30.0' 06 0 v PROFILE OF BOTTOM OF TEST HOLE ELEV.= 61.0' SEWAGE DISPOSAL SYSTEM (NO GROUND WATER) (NOT TO SCALE) GENERAL NOTES I TEST PIT RESULTS: 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P., OBSERVATION HOLE #1 EL.=73.0 SOIL TEST DATE: 05 08 07 TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS 73.0 ELEV. DEPTH IN. HORIZON TEXTURE COLOR MOTTLING OTHER. B.O.H. AGENT: DONALD DESMARAIS 72.25 0-9 FOR SUBSURFACE DISPOSAL OF SEWAGE. " A SANDY LOAM 1OYR3Z2 ------ ---- SOIL EVALUATOR: BRUCE G. MURPHY, R.S. 2. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE 70.0 9-36" B SANDY LOAM JOYR5Z6 ------ ---- EXCAVATOR: RON'S EXCAVATION CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE 61.0 36-144" C MEDIUM SAN 10YR6 8 ------ UNDER OR WITHIN 10' OF DRIVES OR PARKING AREAS THEN THEY MUST WITHSTAND H-20 LOADING. NO GROUNDWATER ENCOUNTERED * NOTE: NOTIFY MACDOUGALL SURVEY 48 HOURS PRIOR TO INSPECTION 3. UTILITIES SHOWN ON PLAN ARE APPROXIMATE ONLY, THE EXCAVATION CONTRACTOR SHALL CALL "DIG-SAFE" AT OBSERVATION HOLE #2 EL.=73.0 DESIGN DATA: 1-800-344-7233 AT LEAST 5 DAYS PRIOR TO ANY EXCAVATION PERCOLATION RATE <2 MIN./IN. TOP AT 42" TO VERIFY LOCATION 73.0 ELEV. DEPTH IN. HORIZON TEXTURE COLOR MOTTLING OTHER NUMBER OF BEDROOMS......... 3 4. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE �. 72.25 0-9" A SANDY LOAM 10YR3 2 =----- - NO OR WITHIN 6 OF GRADE SHALL BE MORTARED IN PLACE. --- GARBAGE DISPOSAL................. 5. FINISH GRADE SHALL HAVE A MINIMUM OF 2% GRADE 70.0 9-36" B SANDY LOAM 1oYR5 s ------ ---- TOTAL ESTIMATED FLOW OVER THE S.A.S. AND DISTRIBUTION BOX. 61.0 36-144" C MEDIUM SAN 10YR6 8 ------ PERC (110 GAL./BR./DAY X 3 BR.) 6. SEPTIC TANK SANITARY TEES SHALL BE CONSTRUCTED OF NO GROUNDWATER ENCOUNTERED 330GPD X 200% = 660 GAL SCHEDULE 40 PVC AND SHALL EXTEND A MINIMUM OF 6" ABOVE USE 1500 GAL. SEPTIC TANK THE FLOW LINE AND SHALL BE ON THE CENTERLINE AND LOCATED DIRECTLY UNDER THE CLEANOUT MANHOLES. OBSERVATION HOLE #3 EL.=73.0 7. THE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9 INCHES. 8. THE OUTLET SANITARY TEE SHALL BE EQUIPPED WITH A GAS 73.0 JELEV. DEPTH IN. HORIZON TEXTURE COLOR MOTTLING OTHER ` BAFFLE, 4 INCHES IN DIAMETER AND CONTRUCTED OF 4" PVC. 72.25 0-9" A SANDY LOAM 10YR3 2 ------ --- 0H Of gffi 70.0 9-36" B SANDY LOAM 10YR5 6 ------ - i9�, 9. LOCUS PARCEL 047 ON ASSESSORS MAP 251 IS NOT AFFECTED BY -- s�.c SOIL CLASSIFICATION................__�____ 61.0 36-144" C MEDIUM SAN 10YR6 8 ------ � JOHPd G�- A SPECIAL FLOOD HAZARD AREA. y PS_C� 1LEY ,` DESIGN PERCOLATION RATE.....:!-Z-M R.�IN. NO GROUNDWATER ENCOUNTERED C% EFFLUENT LOADING RATE......... 74__ _ 10. CHANGES OR REVISIONS TO SEPTIC DESIGN REQUIRE NOTIFICATION C • -; TO MACDOUGALL SURVEYING FOR B.O.H. AND DESIGN REVIEW !o.35101 ���. REQUIRED LEACHING CAPACITY.....3 GAL/DAY AND APPROVAL. OBSERVATION HOLE #4 EL.=73.0 •off © 30LEACHING CAPACITY PROVIDED.....333 GALDAY 11. CONTRACTORS / INSTALLERS SHALL VERIFY GRADES AND PERCOLATION RATE <2 MIN./IN. TOP AT 42" u ,r=P"� C ELEVATIONS AND SITE CONDITIONS PRIOR TO COMMENCING 73.0 IELEV. DEPTH IN. HORIZON TEXTURE COLOR IMOTTLING OTHER WORK ON THE SITE. ANY CHANGES REQUIRE NOTIFICATION 72.25 0 9" A SANDY LOAM 10YR3 2 -- BOTTOM: (15.0' x 30.0')(.74)= 333 GAL/DAY TO MACDOUGALL SURVEY FOR APPROVAL. 70.0 9-36" B SANDY LOAM 1OYR5 6 ------ ---- TOTAL= 333 GAL/DAY 12. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE 61.0 36-144" C MEDIUM SAN 10YR6/8 ------ PERC WITH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. NO GROUNDWATER ENCOUNTERED t JL-C # MACD1098 REV. 7/3/07 MAY 9, 2007 SHEET 2 OF 3 F PIPING AND CONDUIT NOTES: ALL INTERNAL PIPING SUPPLIED BY FIRMA AND INSTALLED BY OTHERS 3/4"AIRLINE TO BLOWERS WEATHERPROOF 2.A.LL`EXTERNAL PIPING AND CONDUIT SUPPLIED AND INSTALLED BY OTHERS, _ (SUPPLIED BY FIRMA) " EQUIPMENT UNLESS OTHERWISE NOTED ON PLAN. BLOWER ENCLOSURE ELECTRICAL POWER TO SYSTEM 13.ELECTICAL PENETRATIONS INTO TANKS MUST BE SEALED TO PREVENT CORROSIVE SEWERAGE SYSTEM INVERTS AND TELEPHONE SERVICE POWER CORDS AND FLOATS ARE �— GASES FROM ENTERING CONTROL PANEL CONSTRUCTION DETAILS TO BE PROVIDED WIRED DIRECTLY TO CONTROL PANEL TELEPHONE&ELECTRIC TO BE IN SEPARATE CONDUIT BY ENGINEER AND, F.R. MAHONY E CIT NEMA4A OPTIONAL NEMA 4X CONTROL 1" ( CABLE CONDUIT PANEL FOR OUTDOOR MOUNTING F { 0 I/2"MINIMUM �y CMAX� NOTE:WATER TIGHT BOOT 2"VENT TO LEACHING FIELD (SEALED WITH HYDRAULIC CEMENT) CONTINUOUS SLOPE-SEE NOTE 9 TYPICAL FOR ALL TANK PENETRATIONS RETURN&BACKWASH NOT BY FIRMA TO CONTROL PANEL / QUICK ' DISCONNECT TO BLOWER/,,TO CONTROL PANEL (TYP) 2' DIA. REACTOR E-- DIFFUSION BAFFLE . .r BURIED RISER COVER 4'-6' 6'-9' 4' INLET INFLUENT 6' 3' LINE • BACKWASH& EFFLUENTPUMPS IAL EFFLUI NT + • THROUGH TAI IK WALL ...• a . t 12'-7' WEATHERPROOF ENCLOSURE FOR CONTROL PANEL AND BLOWER (OPTIONAL ENCLOSURE SUPPLIED BY FIRMA SHOWN) OTHER OPTIONS INCLUDE: 2000 GALLON ANOXIC TANK I. WEATHERPROOF CONTROL PANEL INVERT SLIGHTLY ABOVE 2. CONTROL PANEL LOCATED INSIDE GARARGE OR HOUSE ELEVATION GF TOP OF MEDIA WITH REMOTE ACCESS PORT RISER COVER TO BE 3. ROCK ENCLOSURE FOR BLOWER BURIED 6"BELOW GRADE 24'.MEDIUM DUTY CAST IRON BOLTED ' FINAL ENCLOSURE TYPE AND LOCATION MANHOLE COVER TO GRADE(TYP) FINISHED GRADE � AIRLINE To BLowERs � rr �(l (WITHIN 75' OF CLEARWELL) MUST BE 2"VENT TO LEACHING FACILITY V N4KA X/ APPROVED BY FIRMA MA MEDIUM DUTY CAST IRON MANHOLE COVER S)GRADE (TYP 2 LOCATIONS) 4"RETURN BACKWASH t --_— ------ — QUICK-DISCONNECT VALVE FOR EFFLUENT PUMP MIN.VOLUME-200GAL. MIN WATER LEVEL _ 1�1 O OOOOO T - - - - - - - 12' 6J CHECK V Efi -- ------------ 6'-1' DIFFUSION } 9'-11' eAFFLE :� OVERALL HEIGHT 4'-2'(4' 0' MINIMUM) #L' 000 GALLON TANK •! .. •�CRY i�,':S'• r GENERAL NOTES: 2000 GALLON ANOXIC TANK I. TANKS ARE 4000 PSI CONCRETE-STEEL REINFORCED. I \ 2 l +••• :• -�t 2. CONCRETE CONFORMS TO ACI 318-16-4.5.1 AND ACI 318-16-4.5.2. PROFILE (NTS) `_ P 3. TANKS ARE TO BE APPROVED FOR USE IN F.R. MAHONY AMPHIDROME SYSTEMS BACKWASH/RETURN PUMP �'{!'0 OF APPROVED TANK SUPPLIERS LISTED ON THIS DRAWING. 4. TANKS ARE NOT PROVIDED BY F.R. MAHONY (FIRMA) I 'HI �q, 5. TOP OF REACTOR IS LOCATED AT FINISHED GRADE. ANOXIC TANK DEPTH SHOULD FIRMA APPROVED TANK SUPPLIERS: I ;.ice LA q Lr1I C E, r-04 BE COORDINATED WITH REACTOR INLET I. MERSHON CONCRETE, BORDENTOWN, NU 1 ! 1 6. BLOWERS AND CONTROL PANEL MUST BE LOCATED IN A WEATHER-PROOF ENCLOSURE. 2. SCITUATE RAY PRECAST, MARSHFIELD, MA 35101 /J (SEE NOTE THIS SHEET) 7. BLOWERS MUST BE LOCATED AT AN ELEVATION HIGHER THAN THE TOP OF THE REACTOR 8. ALL ELECTRICAL JUNCTION BOXES MUST BE LOCATED AT LEAST 18" ABOVE GRADE - BELOW-GRADE JUNCTION BOXES ARE NOT PERMITTED. 9. VENT PIPING MUST HAVE CONTINUOUS SLOPE TO LEACHING FACILITY JL-C # MACD1098 REV. 7/3/07 MAY 9, 2007 SHEET 3`OF' 3' Stamp: , 2 12 C 0 mp �fiV�'�ld� A i a•_a. 2'_s. ,_s, 3,_a. � 3._a. 2,_e. ._B. 3._a. i 0 � � -r -r o I �Q cc I'- - R0301m•s56]/B• 1 T( '•+• O Step Li9h5 I7MAS 6]I9'' TN'[af6WNp � � � = -� 0ffi U inc�t�ohre �- DRM + C xvN - '2MW V tU � WCCU oO o � �`e CV 0 O - OSection n I— m m C-C J U ce) ai E 12"-24' 7-91. ,qig•_ m s r.. F•- N P ilfr K— m :. iu 7_3 iv m _ 9'-a• —4"-2• (U + O F I n I 1 in _ zs wau m.Podcot Dem m Ebn Reae,m in Fbp Res I - 72--17'-04' 3'-IDg' 3'-10 ' I Q '-a 3' T '-5' '-5'. 3'-T 3'-lOj CLOSET 3 DD tnr 19Tra Ro 1111 111 0 t - Tem 'aaGlaa F•tlttDOD 2twR1ot5 th19�Rt9]R' W o RO3D 1l8•z So T/9• R03D 1B•x52]IB• T✓ its Ta^'� G� i $I,eiuot9 en a HarpWD 5 p RO]2• � R0301/5 z64]/B• � ' N D R0421 u'a'c ..s ERe n LLJ Vaulted Ceiling .R.a21M. 19 \\ ,, R 4218•s 19]/� n,.n -� steaeeaaRec This area v% - � m J o F "a J to J O Ei .Rea nl H V �. Vaulted Plaster Ceiling , RowReat Z H o N Q Z Ii up Flat.0 ailing - . BATH 2 2 U This Area ST.sa -' zsss m U -42 J LIBRARY 11'9 x 135 ('•_1D4' 3'-104' ,} _ 3•_6' ` q c P V/ xti Des Great zsse zwa - zsse c oom t T-a 31'x 2 P6 / -itt w woos -1 3 ENTRY i 'x97 .-m sa§e 'a"" `0 TITLE: �^ f TN2mh�p� - emaooaN 12 WaHs 1 fu m + - i xe58 RO 110'sn8] Beaapoara t2 Weis 'W�C"� wan Wooa Cap \-.`Woc d Section DECK col mns Bedroom 2 � � 0LO5Ef 13'8 x 147 /� /� vam A First Floor A-/1 Z 5x S77 N 16. �. _ twxetla �oo, t i - _ oxt�rira�.s Roxt .so]nt• r--- ---------t r-- --t [Z8 latform 7 DATE ISSUED: 7 OS-t0-2007 x 4'2 + REVISIONS: la, R.O.1DP 112• 862K•oecoxrepe floor ' Ta coeRo:llP.ta• ---------� Section ex� D —12-3j' 8-Ci LIVING AREA I �D DRAWN BY: 2675 sq ft L PROJECT#: 4-311• 15' 34 -DRAWING NO.: -3 ' A-1 I 243 1/2 _ 12'21/4 7.912 4'33/4 L i .. eu Moldable srniRw / Ships Ladder to L ft 0 --- ------- ATTIC IC 42 sq ft 78 sq ft 102 BATH _ / __ sq ft ................._............. z! ... /...................................................._._..........._ r� ATTIC i 3•9 1116 41 sq ft Ell Sauna 3a1rz LIVING AREA 87118 3•8U2 3103/4 3.10314 222 sq ft s New Attic Loft 0 153 sq ft rop osed Attic Loft Eg' �3$ 14'315/16 i I _ No window No doors EXERCISE ROOM 7 ft.Balcony Open to Living room Below 436sgre Moveable Ships Ladder Access Z. _ ATTIC o n Antique Heart Pine Wood Floor H RO 301/8'x 52 7/6' ___j =3 7'10 LIVING AREA 802 sq ft 171 3/4 7'10 4'3 3/4 24'3 1/2 Ey-k511 Vl C Mo able Shi Ladder to L ft ATTIC TIC 42 sq ft 78 sq ft ATTIC 3'9 1/16 41 sq ft _ I R, 381/2 LIVING AREA W 222 sq ft M < 0 New Attic Loft 00 -�.0 153 sq ft Proposed Attic Loft _0 3 6 14'3 15/16 s' No window No doors 7 ft. Balcony Open to Living room Below Moveable Ships Ladder Access ATTIC 57 sq ft r r ' r RO 30 1/8"x 56 7/8'• ...............111iIII...F�......�..__..1'..::::::_:::�:' -- Step Lights 1 RO 301/B"x 56 718" 1 ............................. .._.................. ....... Porch Rafters 2x10 16"O.C. 146 4n 2x8 Ceiling Joists + Rafters 2x10 16"O.C. Flat Ceiling Flat Ceiling with -52 Tay wGu MASTER BDRM Crown Mid. 349 sq ft 0 2,10 Joists 16'OC - b Flat Ceiling with d Crown Mid. DEC Section aa8wn r� J I �2x C Ing Joists 2x10 Roof Rafters { - Va�e�eiling 12' 2x8 Ceiling JOists `�_I T 1"p 1Gk- Master Bedroom Vaulted ceiling 12' 3 21 Kitchen Area arcREN - Roof Rafters 2x10 16"O.C.Typical + C, + o ' 2x6 Wall for Pocket Door Ridge 2x12 or 11 7/8 LVL Typical 2x10 Dormer Rafters 16"O.C. Elec.Re lam 1/2"CDX Roof Sheathing Lay on Valley 2x10 Ceiling Joists Great Room Floor eat e Lay on Valley b CLOSET Lay on Valley + @ RO 30 1/8"x 19 7/9" RO 36 1/ x 19 7/8"each 45 sq ft N Tempered Glass RO 30 1/8'x 19 7/8" RO 301/8"x 567/8" RO 301/8"x 52718 RO 301/��x 647/647/ — R072"x 3= ass R0301/8"x647/8" Shelving and Hanging R°d — ¢, -- Tempered GI P ...Window 83"above (1 r r I I Plattorm I I I I I X O 42 1/B"x 64 7/e I MASTER BA I R0421/8" 64 /" S m 7R '....................................._...._......._......_........_........................_...._..........' 1 1 - I RO 42 1/8'x t R 42 1/8"x 19 7/8" I I Sh Antique Heart Pine I VaultekCeilin II s /" II I B Ewa m — Stairs and Rail This a a S� II II I 0 2nn Jaisa 1a•oc HALL m �c II II II Ceiling I m m I I l i I I I I Flatael^n9 I E c.R iant CD I i ----- I I I I I I u o x Vat d Ceiling II II II I I 14' i BATH 2 — — — — This Area 58 aq It LIBRARY I 1 174sgft 0 125 sq Beam t Wall Height k HALL ............................: DesLE] Great Room 8 I I i I I 659 s ft e II �° m�aF, 11 Proposed Loft Framing II � II Woo earn Wood ee c II Platform UNDR A zo.An 3w II 1- - - - - ENTRY V — — — — — I Floor Joists 2x10 16"O.C. 126 sq ft I 3/4"T and G Advantec Subfloor I Beadboard 12 Walla Installed with GLue and Screws i. I Beadboard 12 Walls wRh Wood Cap RO 26 1/8"x 46 7/" I I with Wood CaP............. .............................. 2x4 Framing Col mns BATM 2 00 _ R-13Insulation ARAGE DECK closer aowa I — 188 sq ft R-30 Ceiling Insulation s - zeagt 60 sq ft +own R-19 Floor Insulation ENTRY „ 7 1/2"Blueboard with Plaster walls and Ceiling a 125 sq _.... ? 2 1/2"Antique Heart Pine flooring go 34 1 RO 34 1/8"x 60 7/8" II II j 2x8 Porch Ceiling Joists Ste Platform 12x30 — t&*ers �>�10 16"O.C. 1/2"1 Joist 16" C. t"Advantec I I D I Second Floor eathing I i jed and Screw stened ransom above R.O 110 x 14" + S B tBnRoof Framing LIVING AREA Existing Room Over Garage 2732 sq ft I�LV.7C l ao L-ay vi i v caliquy 36 1/ " x 19 7/8" each 45 sq ft RO 30 1/8"x 19 7/8" C" r72" x 3" Tempered Glass RO 30 1/8"x 64 7/8" Shelving and Hanging Rod .......................................................................... .......................................................... ............................ O 42 1/8"x 64 7/8" I I I S m I MASTER BATH R 42 1/8"x 19 7/8" I I I Sh ^ II I I I x II I Zea I I N HALL 00 Flat Ceiling I I 79s ft I I X EI c. Radiant o o FI or Heat Val d Ceiling__ _ I I I y I — —N — — — — — — — — J .O BATH 2 0 N .. ° 58 sq ft ° N 0 Beam t Wall Height _ U— it Room o 9sgft Wood ea o Proposed Loft Framing X f� N I I V Floor Joists 2x10 16" O.C. 3/4" T and G Advantec Subfloor Beadboard 1/2 Walls Installed with Glue and Screws with Wood Cap - - ...-........._..__...-...........__............. .... ............................... ..... 2x4 Framing col mns BAT" _ e_ o� R-131nsulation 40sgft 188 sq ft R-30 Ceiling Insulation j R-19 Floor Insulation ENTRY 1/2" Blueboard with Plaster walls and Ceiling 125 sq f -LR 30 1 " x 5 7/8 _ 2 1/2" Antique Heart Pine flooring 0 RO 34 1/8"x 60 7/8" x 0 7/8" II �p Platform I -ll,Mt afters 2�x1016„ O.C. Second Floor II II s s s a 0 00 - ou �' X � X �piw wztXno � � \ X p - — p � � � � NIpj 3� N X 0 O O (n CD O C N ' .Zl CD = A CD Now ni ={ N g M a nW -Mo m pc � aa n T waG) m � � nm m o X � cn (D o c °c = o o m o 0 CL � nai �Q 2) CD aCD CD g � v, =r CD CD CD n m m am � ° � O A Cn a (a . v v y CD r � CD v oCD ? cn m a i Y CD 1 � N N Q n � o y O N O x. 00 rr�� o '_" 0 � A _ o \VmmJ F O O O O X iI1 N wpwo c cn O CD 5 � O o v c O v -o CD Q CL o• N O y i:%t�4.�'• '?:;<.Y b��.ti t�.;��. •i..,y`i f:� .�aJ iw,�•7:;:;v1':i11'L`, -- e Q p p D < - r- Lagadinos Building and Design Inc. 3 `m z 0 z r m m SCHIESTL HOME ° W ° o Custom Homes, Additions, Renovations o �{ s o ( 13 Thankful Lane Cotuit, MA 02635 CD N S 19 ANGUS WAY Tel.508-428-4097 Fax 508-428-7709 CENTERVII LE,MA email lagcon@capecod.net V