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HomeMy WebLinkAbout0073 HOLLY LANE - Health 73 Holly Lane Centerville. P A = 229. 016 No.42101/3 ORA 1000 (� 0 0 ,1 1( f r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 73 Holly Lane Property Address Wells Fargo Bank Owner Owner's Name information is required for every Centerville MA 02632 March 30, 2012 page. Cityrrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way.Please see completeness checklist at the end of the form. Important:When A. General Information filling out forms on the computer, use only the tab 1. Inspector: key to move your cursor-do not David D. Coughanowr, R.S. use the return Name of Inspector key. Eco-Tech Environmental Company Name 43 Triangle Circle Company Address Sandwich MA 02563 Cityrrown State Zip Code 508 364-0894 1328 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 16.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 2 S March 30, 2012 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of,the DEP.The original should be sent to the system owner and copies sent to the buyerjf applicable,and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does;not address how the system will perform in the future under the same or different conditions of.:use-, Cf{J 3'e i i 01 L/ 15ins•11110 Title 5 Official Inspection Form:S dace Sewage Disposal System-Page 1 of 17 l Commonwealth of Massachusetts ' -- - Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 73 Holly Lane Property Address Wells Fargo Bank Owner Owner's Name information is required for every Centerville MA 02632 March 30, 2012 page. City/Town state Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E I always complete all of Section D A) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: Inspector's Note==> The septic system described herein is deemed to pass this Real Estate Transfer Inspection if it does not meet any of the failure criteria enumerated in Section D on pages 4-5. The scope of this inspection is limited to health and environmental compliance and the septic system has been evaluated according to the conditions observed on the day it was inspected. No estimate or guarantee of system longevity is made or implied by a passing determination. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): t5ins•1111110 Title 5 Ofrxial Inspection Form:Subsurface Sewage Disposal System-Page of 17 i I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 73 Holly Lane Property Address Wells Fargo Bank Owner Owner's Name informrequired is Centerville MA 02632 March 30, 2012 required for every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh [Sins•11/10 We 5 Official Inspection Form:Subsurfaoe Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments °e 73 Holly Lane Property Address Wells Fargo Bank Owner Owner's Name information is required for every Centerville MA 02632 March 30, 2012 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier,if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system(SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well"*. Method used to determine distance: This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other. D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y day flow 15ins•11110 Title 6 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 73 Holly Lane Property Address Wells Fargo Bank Owner Owners Name information is required for every Centerville MA 02632 March 30, 2012 page. cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. The system fails. I have determined that one or more of the above failure ❑ ® criteria exist as described in 310 CMR 15.303, therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System.Page 5 or 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 73 Holly Lane Property Address Wells Fargo Bank Owner Owner's Name information is required for every Centerville MA 02632 March 30, 2012 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330 gpd t5ins•11110 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 6 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 73 Holly Lane Property Address Wells Fargo Bank Owner Owner's Name information is required for every Centerville MA 02632 March 30, 2012 page. Citylrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): 155 gpd Detail: 2010, 2011 Sump pump? ® Yes ❑ No Last date of occupancy: not determined Date Commerciallindustrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•111111 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts lugTitle 5 Official Inspection Form Saisurface Sewage Disposal System Form -Not for Voluntary Assessments 73 Holly Lane Property Address — Wells Fargo Bank Owner Owners Name reformation is required for every Centerville MA 02632 March 30, 2012 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: agent Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system(yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ® Other(describe): pump chamber Tills 5 Official Inspecdon Form:Subsurface Sewage 000s8l System•page tl of 17 t5ins•11r10 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 73 Holly Lane Property Address Wells Fargo Bank Owner Owner's Name information is required for every Centerville MA 02632 March 30, 2012 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: Age: 16 years. System installed in 1996 per previous inspection report of 2004 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 1 feet Material of construction: ® cast iron ❑40 PVC ❑other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Sewer line appears structurally sound with no evidence of leakage or backup into dwelling. Septic Tank(locate on site plan): Depth below grade: 0.25 feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 10.5 x 5 x 6-1500 gallon tank Sludge depth: 4 in t5ins•11110 Title 5 Offtial Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 73 Holly Lane Property Address Wells Fargo Bank Owner Owner's Name information is every Centerville required for eve MA 02632 March 30, 2012 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 30 in Scum thickness 4 in Distance from top of scum to top of outlet tee or baffle 8 in Distance from bottom of scum to bottom of outlet tee or baffle 12 in How were dimensions determined? previous inspection report Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): :) Liquid level at outlet invert. Pumping not required at this time, but maintenance pumping is recommended within and every 2 years. Tank and tees appear structurally sound and functioning as intended. No evidence of leakage in or out was observed. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•11111110 Title 5 official inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 73 Holly Lane Property Address Wells Fargo Bank Owner Owner's Name information is Centerville MA 02632 March 30,2012 required for every _ page. CiWrown State tip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): 'Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 15ins-11110 Title 5 Ofrictal Inspection Forth:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 73 Holly Lane Property Address Wells Fargo Bank Owner Owner's Name information is required for every Centerville MA 02632 March 30, 2012 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert at outlet inverts Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover,any evidence of leakage into or out of box, etc.): D-Box appears structurally sound and functioning as intended. No evidence of leakage in or out was observed. Few solids in sump. No staining above the normal operating level was observed Pump Chamber(locate on site plan): Pumps in working order: ® Yes ❑ No Alarms in working order: ❑ Yes ® No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Float switch for pump was activated and pump was observed to operate. Float switch for high water alarm was lifted, but no alarm, visual or audible,was observed at control panel in dwelling. Test button on panel was depressed and audio alarm did sound. Recommend that a maintenance professional troubleshoot alarm switch. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: 15ins-11110 Title 5 official Inspection Forth:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 73 Holly Lane Property Address Wells Fargo Bank Owner Owner's Name information is required for every Centerville MA 02632 March 30, 2012 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: 1 -46 ft x 12 ft ❑ overflow cesspool number: ❑ innovative/altemative system Type/name of technology: Comments(note condition of soil, signs of,hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Soils above leaching field appear unsaturated. No evidence of surface ponding, breakout, lush vegetation,or other evidence of hydraulic failure was observed. An observation hole was dug into leaching field stone and no effluent contact staining was observed in the stone or overlying soils. Cesspools(cesspool must be pumped as part of inspection)(locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins-11/10 rdle 6 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Y " 73 Holly Lane Property Address Wells Fargo Bank Owner Owner's Name information is required for every Centerville MA 02632 March 30, 2012 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•11110 Titla 6 otricial Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 73 Holly Lane Prop dy Address Wells F o Bank Owner Cwna1's Name Infoemt<os Is Centerville requUed for emy MA 02632 March 30.2012 page. Cliylrown state ZIP Cade Date of Inspeftn D. System Information (cant.) Sketch Of Sewage Disposal System:Provide a view of the sewage disposal system,Including des to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet,Locate where public water supply enters the building.Check one of the boxes below: ® hand-sketch In the area below ❑ drawing attached separately R If i 130 0 z0 SE PT IC © TWK nu tip c H�nBE R aD.Bon U kcH (a& FIi LO 0 TRH: On•11110 ?die 5 OftW kgwcbn FQ=&ftdm Swage Ok=d 87 M•Fege 1S d 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 73 Holly Lane Property Address Wells Fargo Bank Owner owner's Name information is required for every Centerville MA 02632 March 30, 2012 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 4.6 feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health-explain: Previous inspection report ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Previous inspection report indicates bottom of system is 4.6 feet above high groundwater. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•11110 Title 5 official tnspectlon Form:Subsurface Sewage Disposal System•Page 16 of 17 a Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 73 Holly Lane Property Address Wells Fargo Bank Owner Owners Name information is required for every Centerville MA 02632 March 30, 2012 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A, B, C, D,or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file l5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 I TOWN OF BARNSTABLE LOCATION He11 Ank- SEWAGE # VILLAGE /► �t ► ASSESSOR'S MAP & LOT 0 01 INSTALLER'S NAME& PHONE NO. 1 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) Ly► r�� (size) NO. OF BEDROOMS 3 e BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: 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 leac�ng facility)l Feet Furnished by 7--e ey"0✓x �d/C' Qa- 31 a 'I 3 f33� aq.` Ay- );n g4- 130 Si'�eAT RECEIVED COMMONWEALTH OF MASSACHUSE17S NOV 2 9 2004 TOWN OF BARNS TABLE EXECUTIVE OFFICE OF ENVIRONMENTAL AF,FAIRS LTH DEPARTMENT OF ENVIRONMENTAL PROTECTION PARCEL LOT TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 73 Holly Lane Centerville,MA 02632 Owner's Name: John&Christy Laverty Owner's Address: Date of Inspection: October 26, 2004 Name of Inspector: (Please Print) James M. Ford Company Name: James M. Ford Mailing Address: P.O.Box 49 Osterville,MA 02655-0049 Telephone Number: (508) 862-9400 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ✓ Passes Conditionally Passes Needs urther Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: October 27. 2004 The system inspector shall sub a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 . Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 73 Holly Lane Centerville, MA Owner: John&Christy Laverty Date of Inspection: October 26. 2004 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: ✓ I have not found any information which indicates that any of the failure criteria described in 310 CUR 15.303 or in 310 CUR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined",please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain:. 2 I 3 Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 73 Holly Lane Centerville,MA Owner: John&Christy Laverty Date of Inspection: October 26, 2004 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CAM 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 73 Holly Lane Centerville,AM Owner: John&Christy Lavertv Date of Inspection: October 26, 2004 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than''/z day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped-_. ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] No (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 7' Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 73 Holly Lane Centerville,AM Owner: John&Christy Laverty Date of Inspection: October 26, 2004 Check if the following have been done: You must indicate"yes"or"no"as to each of the following: Yes No ✓ Pumping information was provided by the owner,occupant,or Board of Health ✓ Were any of the system components pumped out in the previous two weeks? ✓ _ Has the system received normal flows in the previous two week period? ✓ Have large volumes of water been introduced to the system recently or as part of this inspection? ✓ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ✓ Was the facility or dwelling inspected for signs of sewage back up? ✓ _ Was the site inspected for signs of break out? ✓ _ Were all system components,excluding the SAS,located on site? ✓ _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? ✓ _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes No ✓ _ Existing information. For example,a plan at the Board of Health. ✓ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)]. 5 f Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 73 Holly Lane Centerville,MA Owner: John&Christy Laverty Date of Inspection: October 26, 2004 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): . 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330 Number of current residents: 3 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): n/a [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings,if available(last 2 years usage(gpd)): 2003-63,000 gals.;2002-16,000 gals. Sump Pump(yes or no): No Last date of occupancy: Currently occupied COMMERCIALANDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): end Basis of design flow(seats/persons/sgtetc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Unavailable Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: _gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ✓ Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes,attach previous inspection records,if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Installed in 1996-per design plans Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 73 Holly Lane Centerville,MA Owner: John&Christy Laverty Date of Inspection: October 26, 2004 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _40 PVC _other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 2" Material of construction: ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1500 zal. Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: 4" Distance from top of scum to top of outlet tee or baffle: 8" Distance from bottom of scum to bottom of outlet tee or baffle: 12" How were dimensions determined: Measuring stick Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Tees were present. The liquid level was even with the outlet invert. There did not appear to be any signs of Ieakaw. GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: concrete _metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of,scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): 7 Page 8-of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 73 Holly Lane Centerville, MA Owner: John&Christy Laverty Date of Inspection: October 26, 2004 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Even Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): The D-box was level. No solids were present. There did not appear to be any signs offailure or backup from the leach field PUMP CHAMBER: ✓ (locate on site plan) Pumps in working order(yes or no): Yes Alarms in working order(yes or no) Yes Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): The liquid level was normal. 1 cycled the pump and the pump was in working condition The steel cover was to grade 8 I. t Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 73 Holly Lane Centerville,MA Owner: John&Christy Laverty Date of Inspection: October 26, 2004 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: leaching chambers,number: leaching galleries,number: leaching trenches,number,length: ✓ leaching fields,number,dimensions: 46'x 12'x 6"(per design plans) overflow cesspool,number: Innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): I duiz down in the stone in the leach field and the stone was clean There did not appear to be any signs offailure The bottom to Qrade was 28". The leach field was across the street in a vacant lot with a higher elevation CESSPOOLS: None (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: None (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): 9 I t 1 Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 73 Holly Lane —Centerville,MA Owner: John&Christy Laverty Date of Inspection: October 26, 2004 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. 3Ll A a a Ay- la1 g4- 130 5r,-d7- 03 - # -73 0 - r4 - 10 Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 73 Holly Lane Centerville.d4A Owner: John&Christy Laverty Date of Inspection: October 26, 2004 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 4.6' feet Please indicate(check)all methods used to determine the high ground water elevation: ✓ Obtained from system design plans on record-If checked,date of design plan reviewed: 11196 Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: The bottom ofthe leach field to grade was approximately 28"(located in a mound across the street) According to the design plans on file.-around water was observed at 4.6'and the high-around water adiustment was 75' This report has been prepared and the system inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied,relating to the system, the inspection and/or this report. 11 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A RECEIVED CERTIFICATION Property Address: 73 Holly Lane APR 1 7 2002 Centerville, MA 02632 TOWN OF BARNSTABLE Owner's Name: Adrienne&Patrick Fontaine . HEALTH DEPT. Owner's Address: Same Date of Inspection: April 5, 2002 5� 13 Name of Inspector: (Please Print) James M Ford Company Name: James M. Ford Mailing Address: P.O. Box 49 Map:229 Osterville,MA 02655-0049 Parcel: 016 Telephone Number: (508) 862-9400 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ✓ Passes Conditionally Passes Need Further Evaluation by the Local Approving Authority Fail Inspector's Signature: Date: April 6, 2002 The system inspector shall subm t copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. I Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 73 Holly Lane Centerville, MA Owner: Adrienne&Patrick Fontaine Date of Inspection: April 5, 2002 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: ✓ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health, will pass. Answer yes, no or not determined(Y,N,ND) in the for the following statements. If"not determined", please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 I - Page 3 of 1 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 73 Holly Lane Centerville, MA Owner: Adrienne&Patrick Fontaine Date of Inspection: April 5, 2002 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone I of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 1 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 73 Holly Lane Centerville, MA Owner: Adrienne&Patrick Fontaine Date of Inspection: April 5, 2002 D. System Failure Criteria applicable to all systems: You must indicate either`yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6" below invert or available volume is less than ''/z day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be.attached to this form.] No (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either`yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area- IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of 1 I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 73 Holly Lane Centerville, MA Owner: Adrienne&Patrick Fontaine Date of Inspection: April S, 2002 Check if the following have been done: You must indicate"yes"or"no"as to each of the following: Yes No ✓ Pumping information was provided by the owner, occupant,or Board of Health ✓ Were any of the system components pumped out in the previous two weeks? ✓ _ Has the system received normal flows in the previous two week period? ✓ Have large volumes of water been introduced to the system recently or as part of this inspection ? ✓ Were as built plans of the system obtained and examined?(if they were not available note as N/A) ✓ Was the facility or dwelling inspected for signs of sewage back up? ✓ Was the site inspected for signs of break out? ✓ _ Were all system components,excluding the SAS, located on site? ✓ Were the septic tank manholes uncovered, opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum ? ✓ _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes No ✓ Existing information. For example,a plan at the Board of Health. ✓ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)]. 5 Page 6 of I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 73 Holly Lane Centerville, MA Owner: Adrienne&Patrick Fontaine Date of Inspection: April 5, 2002 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: 2 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system (yes or no): No [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings, if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Currently occupied CO MMERCIALANDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): pd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system (yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Unavailable Was system pumped as part of the inspection (yes or no): No If yes, volume pumped: _gallons-- How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ✓ Septic tank, distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Approximately 1996-per design plans Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 73 Holly Lane Centerville, MA Owner: Adrienne&Patrick Fontaine Date of Inspection: April 5, 2002 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _40 PVC _other(explain): Distance from private water supply well or suction line: Comments(on condition of joints, venting, evidence of leakage, etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 2" Material of construction: ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1500 gal. Sludge depth: 1" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: 2" Distance from top of scum to top of outlet tee or baffle: 10" Distance from bottom of scum to bottom of outlet tee or baffle: 12" How were dimensions determined: Measuring stick Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): Tees were present. The liquid level was even with the outlet invert. There were no signs of leakage. GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): 7 Page 8 of I I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 73 Holly Lane Centerville, MA Owner: Adrienne&Patrick Fontaine Date of Inspection: April S, 2002 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches, etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Even Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover, any evidence of leakage into or out of box,etc.): The D-box was level. There were no signs of leakage or solids. There were no signs of backup or failure from the leach field. PUMP CHAMBER: ✓ (locate on site plan) Pumps in working order(yes or no): Yes Alarms in working order(yes or no) n/a Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): The liquid level was normal. The pump was cycled and worked fine. The alarm was not cycled, since nobody was home. The cover was to grade. 8 Page 9 of 1 I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 73 Holly Lane Centerville, MA Owner: Adrienne&Patrick Fontaine Date of Inspection: April S, 2002 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: leaching chambers, number: leaching galleries,number: leaching trenches,number, length: ✓ leaching fields,number, dimensions: 46'x 12'x 6"-per design plans overflow cesspool, number: Innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil,condition of vegetation, etc.): The leach field was located, but not dug up. There were no signs of failure or backup in the D-box. The bottom to grade was approximately 28". The leach field was located across the street in a higher elevation vacant lot. CESSPOOLS: None (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth -top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): PRIVY: None (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation, etc.): 9 Page 10 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 73 Holly Lane Centerville MA Owner: Adrienne&Patrick Fontdine Date of Inspection: April S, 2002 Map:229 Parcel: 016 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. a f33- aq.� A4- la1 �y- 130 STieAT q* °L3 - -73 10 ' Page 1 1 of i l OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 73 Holly Lane Centerville, MA Owner: Adrienne&Patrick Fontaine Date of Inspection: April 5, 2002 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water feet Please indicate (check) all methods used to determine the high ground water elevation: ✓ Obtained from system design plans on record- If checked, date of design plan reviewed: 11196 Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: The bottom of the leach field to grade was approximately 28"in a mound across the street. Using the design plans on file, water was found at 4.6'and the high ground water adjustment was.75'. This report has been prepared and the system inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the system, the inspection and/or this report. 11 I I PESCE ENGINEERING AND ASSOCIATES P.O. Box 321 Osterville, MA 02655 Phone/Fax 508-428-3730 March 7, 2001 Mr. Glen E. Harrington, R.S. Town of Barnstable Board of Health 367 Main Street Hyannis, MA 02601 Subject: As-Built Inspection for Septic System Upgrades at 73 & 93 Holly Lane, Centerville, Septic System Installation Permit# 97-409 Dear Glen, am writing to confirm for the record, that I have conducted construction inspections of the new septic systems installed during August and September 1997 (on a separate lot on Holly Lane) to serve the properties located at 73 & 93 Holly Lane (owners: Davis and Janet Dunbar). I inspected the site on four occasions for: 1) inspection of the initial excavation, 2) inspection of the construction of the concrete retaining walls, 3) inspection of the pump chambers, and 4) Inspection for final backfill of the two systems. The final inspection was conducted on September 22, 1997. All workmanship and construction has been completed satisfactorily. Additionally, the septic systems were installed properly, and in accordance with the approved design plans, dated November 16, 1996 and revised December 1, 1996. Thank you for your help on this project, and as always, please call if you have any questions. Sincerely, Edward L. Pesce, P.E. E cc: �. z zoo) j Mr. & Mrs. Dunbar Mr. Rich L'Heureux, CapeSury TOWN HEALTH EPT. TOWN OF BARNSTABLE �N T OFFICE OF sea ear, ont. BOARD OF HEALTH Mit 367 MAIN STREET O MI1Y k' HYANNIS, MASS. 02601 February 18, 1988 Mr. Camille-Zaino 53 Grandview Drive So. Yarmouth, Ma 02664 Dear Mr. Zaino: You are granted multiple variances from Title 5, of the State Environmental Code, and Town of Barnstable Health Regulations for the upgrading of two ouslte sewage disposal systems at Lots 9, 10, 11, and 12 Holly Lane, Centerville, listed as Parcels 15 and 16 on Assessor's Map Number 229. The following conditions apply: (1) The septic system must be installed in strict.accordance to the plan. (2) The designing engineer must be onsite and supervise construction of the sewage disposal sytem and certify in writing to the Board, that his design has been strictly adhered to. (3) The three dwellings must be connected to public water. (4) The "Quonset Hut", located adjacent to the proposed two (2) car garage must be removed. (5) It shall be recorded on the deed that the "family room" cannot be rented or leased. (6) The dwelling designated as dwelling #1 on plan dated December 4, 1987, revised December 14, 1987, by Down Cape Engineering, cannot have more than two bedrooms and one family room. Sewing rooms, dens, lofts, enclosed porches, finished cellars, and similar type rooms are considered bedrooms according to the Department of Environmental Quality Engineering. (7) The dwelling designated as dwelling #2 on the site plan dated December 4, 1987, revised December 14, 1987, by Down Cape Engineering, cannot have more than one (1) bedroom. Sewing rooms, dens, lofts, enclosed porches, finished cellars, and similar type rooms are considered bedrooms according to the Department of Environmental Quality Engineering. (8) The dwelling designated as dwelling #3 on the site plan dated December 4, 1987, revised December 14, 1987 by Down Cape Engineering, cannot have more than three (3) bedrooms. Sewing rooms, dens, lofts, enclosed porches, and similar type rooms are considered bedrooms according to the Department of Environmental Quality Engineering. Mr. Camille Zaino Lots 9, 10, 11, and 12 Holly Lane Centerville a Page 2. (9) It shall be recorded on the deed that the onsite sewage disposal systems shall be pumped ever 3 Y three ( ) years and written cert ification ion the Board by a licensed septage hauler. submitted to (10) Variance expires March 1, 1989. These variances are granted because the existing cesspools are sitting in the groundwater and are in all probability contributing to the pollution of the herring Run and Long Pond. It would appear that the proposed onsite sewage disposal system will alleviate a source of contamination. Very tiuly yours, Gr6ver C. M. Farrish, M.D. Chairman BOARD OF HEALTH TOWN OF BARNSTABLE GF/bs Copy to: Lynne Whiting D:E.Q.E.Lakeville Frank Mazzacappa No. r , Fee 100 THE COMMONWEALTH OF MASSACHUSETTS � PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2pplication for Bigpogar *pgtem Congtruction permit Application is hereby made for a Permit to Construct( )or Repair `(�)an On-site Sewage Disposal System at: Location Address or Lot No Owner's Name,Address and Tel.No. 7/ 13 Installer's Address,and Tel.No. esigner's Name,Address an Tel.No. g�3/30 �9 � �'AU�� t AccoG- P 0• Ao, 32,1 0s'r _ �ieV?LLI� oy Type of Building: ` 91AG� Dwelling No.of Bedrooms 41arbage Grinder/t/A Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures SAG / 6 Design Flow 33,9 S gt��l gallons per day. Calculated daily flow [ S gallons. Plan Date Number of sheets Z- Revision Date Title G S g fi ne gg 9?,+qs/ l� N Description of Soil 11 C-"r T`) Nature of Repairs or Alterations(Answer when applicable) S or GAS Gel, �D T 5 s S G 106 Date last inspected: T�' - , y/� �R>-A AfH �c `ri�,TFt'� Wq _ CERTi ST SUP Agreement: ���E T S 11yST M4 The undersigned agrees to ensure the construction and maintenance of the afore described onOsvaapq�a in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a cate of Compliance has been issued this Board Healjh. Signe Date 7 Application Approved by a Application Disapproved for the following reasons Permit No. Date Issued ——————————————————————————————————————THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed( )or repaired/replaced( )on by for as has,beea constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.Q 9 4 dated Use of this system is conditioned on compliance with the provisions set forth below: 3 * 7 No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS niqual *p�.tem Onoltruction Permit Permission is hereby granted to t 1' '1 to construct( )rep�1}r( )an On-site Sewage System located at }. ' 4Z 7 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. All construction must be completed within two years of the date below. Date:. �� x,' Approved b�__- -7 �1HE�y, Town of Barnstable J3,► MASS. Board of Health y MASS. 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 FAX: 508-775-3344 December 19, 1996 Edward L. Pesce, P.E. Pesce Engineering and Associates 3 Leona lane Osterville, MA 02655 RE: Assessor's map 229, Parcels 15 and 16 Dear Mr. Pesce: You are granted multiple variances, on behalf of your client, David Dunbar, to construct replacement on site sewage disposal system(s). This system will replace cesspools located at 72 and 93 Holly Lane with septic tanks connected to a single soil absorption system at Lot #5 Holly Lane. The variances granted are as follows: 310 CMR 15.211 (1): To install a soil absorption system 94 feet from a private well in lieu of the 150 feet separation distance required. 310 CMR 15.211 (1): To install a soil absorption system 6 feet from the property line in lieu of the required ten (10) feet separation distance required. 310 CMR 15.255 (2) (11): To install a soil absorption system zero feet to the edge of a retaining wall, in lieu of the ten (10) feet separation distance required. 310 CMR 15.212: To install a soil absorption system only four(4) feet above the maximum adjusted groundwater table in lieu of the required five (5) feet separation distance. i pesce2 The variances are granted with the following conditions: (1) The system shall be installed in strict accordance with the submitted plans dated revised December 1, 1996. (2) The designing engineer shall supervise the construction of the shared system and shall certify in writing to the Board of Health that the system was installed in strict accordance with the submitted revised plans. (3) The shared system must be inspected every year, in accordance with Title 5, the State Environmental Code. The variances are granted because the existing systems consist of cesspools which are, in all probability, sitting in the groundwater table and are located much closer to the private wells in the area. This replacement "shared" system meets the maximum feasible compliance criteria outlined in Title 5, the State Environmental Code and may alleviate a source of pollution to the herring run and nearby pond. Sincerely yours, /04-<Dl�(� Susan G. Rask, R.S. Chairman Board of Health Town of Barnstable SGR/bcs cc: Jerome Dunning pesce2 1�► (b PESCE ENGINEERING AND ASSOCIATE ��ILIAIiLY �� 3 Leona Lane DEC 1 6 199 S a Osterville, MA 02655 °'�. Voice/FAX (508) 428-3730 KAM Decem Town of Barnstable Board of Health 367 Main Street Hyannis, MA 02601 SUBJECT: Request for Variances for Septic System Repairs located at 93 & 73 Holly Lane, Centerville, MA Dear Board Members, The purpose of this letter is to request variances to Title 5 for a septic system repair (design drawings attached) located at the subject properties owned by Janet and David Dunbar. The following list outlines the variances required as a result of our previous discussions during the past hearings on this project: a. 310 CMR 15.211(1) Less than 100 ft. from well to septic leaching area(94 ft. actual). b. 310 CMR 15.211(1) Less than 10 ft. sideline setback from property line to leaching area (6.2' actual). c. 310 CMR 15.255(2)(g) Less than 10 separation from edge of leaching field area to edge of retaining wall ( . �"' ��I�� e�ta�a� Z.\ d. 310 CMR 15.212 4 ft. rather than 5 ft. separation of bottom of leaching system from adjusted high groundwater (in accordance with the provisions of 15.404(2)(b) - when full compliance is not feasible for the upgrade of a system. Thank you for your help with this project, and please call if you have any questions. Sincerely, Edward L. Pesce, P.E. cc: Mr. &Mrs. Dunbar I IIU. oI i�i T TOWN Ur DAnNSTABLE DATE, - 'I C,�`� rrlcE br• FEE t VA1111iint qA 1 , .Or HEALTH RECEIVED BY goal , `► ,. _ E 35l MAIN 3TIlEET IlYAIMIS,MASS.02601 13, S EP 4 , V1lI1�11.CtCE REQUEST FORK �4 `a°`'' r ' ALT, VAtIMICE S MUST nP- "UnMT.TTF.1) FIFTEEN_ (151 DAYS PRIOR TO THE ;CHESSDUIXI) HOARD OF HEA1,11 Mr.rm,11zr1G. -' NAME OF APPLICANT David'& Janet Dunbar TBL. N0. 771-4913 AUURESS OF APPLICANT 93 Holly 'Lane, Centerville, MA NAME OF OWNER OF PROPERTY Same as Applicant SUBDIVISION NAME N/A DATE APPROVED . j ASSESSORS MAP AND PARCEV NUM ER Map #229, Lots #15 & 16 LOCATION OF REQUEST #93 #73 _Holly Lane, Centerville SIZE OF LOT (s) 26,570(461�a)--Q,FT WETLANDS WITHIN 200 FT.YBS XX VARIANCE FROM REGULATION(List Regulation) Barnstable Reg. N Seat":. 1 .14 (< 250' from watercourse), Sect. 1 .15 (< 5' above max, adj. groundwater e Tit 310CMR15.2'11 (1 ), seti5acK als c , 310 CMR15.212(b), Depth to Groundwater REASON FOR VARIANCP,(May attach if more space In needed) TO allow therepair/upgrade of existing aged and non-conforming septic systems with new Title 5 type systems. FOUR COPIES OF PLAN MUST BE SUBMITTED CLEARLY OUTLININU VARIANCE REQUEST. VARIANCE APPROVED NOT APPROVED REASON FOR DISAPPROVAL BRIAN R. GRADY, R.S. , CHAIRMAN . SUSAN Go RASKI R.S. 76SEP11 C. SNOW, M.D. BOARD OF, REALTII TORN OF BARNSTABLR / I 362-4541 939 main street rt 6a yarmouth port mass 02675 down cape engineering civil engineers& land surveyors structural design Mr. Thomas McKean July 18, 1990 Arne H.Ojala P.E.,R.L.S. land court Barnstable Health Agent Richard R.Fairbank P.E. surveys Barnstable Town Hall South Street Hyannis, MA 02601 site planning RE: Septic Upgrade Plan Marquette Credit Union sewage system #73, 85 & 87 Holly Land (Lots 8,9, 10 & 11) designs Centerville, MA * (Previous Owner: Camille Zaino) inspections Dear Tom: Enclosed please find 3 copies of the site plan, for the above permits referenced project dated Revised 7/13/90 and one check in the amount of $50 for an extension and modification of the variances granted on February 18, 1988. The new owners of the properties, unlike the previous owners, do not have any plans for adding on to the existing buildings. However, they would like to upgrade the septic systems. They are also proposing to use the existing wells and omit the installation of a water main and water services . As we discussed on July 16, 1990, I will be present at the Board of Health meeting on July 24, 1990 to review the project with the Board. If you have any questions or require any additional information please call me at 362-4541 . Sincerely Thomas J. McLellan Down Cape Engineering, Inc. TJM/pl TJM718B CC: Marquette Credit Union PO Box H Woonsocket, RI 02895 Jim Sweeney PO Box 610 Yarmouthport, MA 02675 � Commonwealth of Massachusetts Executive Office of Environmental Affairs Department of Environmental Protection Southeast Regional Office William F. Weld Gorsmor Daniel S.Greenbaum commin1w r ra r r ;3Gr { � February 25, 1994 Mr. Steven Hayes RE: BARNSTABLE-ER S92-0951 Amresco Bank of Rhode Island 73 Holly Lane, Centerville 89 Jefferson Avenue NOTICE OF RESPONSIBILITY Warwick, Rhode Island 02888 M.G.L. Chapter 21E, 310 C� 40.000 Release Tracking Number:4-6047 URGENT LEGAL MATTER: PROMPT ACTION NECESSARY CERTIFIED MAIL: RETURN RECEIPT REQUESTED NOTICE OF RESPONSIBILITY M.G.L. c. 21E. 310 CMR 40.0000 Dear Mr. Hayes: The Department of Environmental Protection (the "Department") received oral notification on December 24, 1992 that there is or has been a release of oil at the above referenced property which requires one or more response actions. The Department has received a report entitled "Emergency Remedial Response Initial Report" dated February 1993, prepared by Coastal Engineering Company, which indicates that a release of oil and/or hazardous material has occurred at the location referenced above. The term "release" refers to both a recent, sudden spill of oil and/or hazardous material or "historical" contamination that is identified through some level of investigation. Accordingly, the Department has reason to believe that the property, or portions thereof, is a disposal site as defined in the Massachusetts oil and Hazardous Materials Release Prevention and Response Act, M.G.L. c. 21E, and the Massachusetts Contingency Plan (the "MCP") , 310 CMR 40. 0000. The cleanup of disposal sites is governed by M.G.L. c. 21E and the MCP. The purpose of this notice is to inform you of your legal responsibilities under State law for assessing and/or remediating the release at this property. For purposes of this Notice of 20 Riverside Drive 9 Lakeville,Massachusetts 02347 • FAX(508)947-M7 • Telephone (508) 946-2700 S i✓ _2— Responsibility, the terms and phrases used herein shall have the meaning ascribed to such terms and phrases by the MCP unless the context clearly indicates otherwise. STATUTORY LIABILITIES The Department has reason to believe that you (as used in this letter, "you" refers to PRP) are a Potentially Responsible Party (a "PRP") with liability under M.G.L. c. 21E s. 5, for response action costs. Section 5 makes the following parties liable to the Commonwealth of Massachusetts: current owners or operators, of a site where oil or hazardous materials are located; any person who owned or operated a site at the time hazardous material was stored or disposed of; any person who arranged for the transport, disposal, storage or treatment of hazardous material to or at a site; any person who transported hazardous material to a transport, disposal, storage or treatment site from which there is or has been a release or threat of release of such material; and any person who otherwise caused or is legally responsible for a release or threat of release of oil or hazardous material at a site. This liability is "strict", meaning it is not based on fault, rather it is based solely on your status as an owner, operator, generator, transporter or disposer.. It is also "joint and several" , meaning that you may be liable for all response action costs incurred at the site, regardless of the existence of any other liable parties. The MCP requires responsible parties to take necessary response actions at properties where there is or has been a release and/or threat of release of oil and/or hazardous material. If you do not take the necessary response actions, or fail to perform them in an appropriate and timely manner, the Department is authorized by M.G.L. c. 21E to perform the work. By taking such actions, you can avoid liability for response action costs incurred by the Department in performing these actions and any sanctions which may be imposed for failure to perform response actions under the MCP. You may be liable for up to three (3) times all response action costs incurred by the Department. Response action costs include, without limitation, the cost of direct hours spent by Department employees arranging for response actions or overseeing work performed by persons other than the Department or its contractors, expenses incurred by the Department in support of those direct hours, and payments to the Department's contractors. (For more detail on cost liability, see 310 CMR 40. 1200: Cost Recovery. ) The Department may also assess interest on costs incurred at the rate of twelve percent (121) , compounded annually. To secure r-1 '*y -3- payment of this debt, the Commonwealth may place liens on all of your property in the Commonwealth. To recover the debt, the Commonwealth may foreclose on these liens or the Attorney General may bring legal action against you. In addition to your liability for up to three (3) times all response action costs incurred by the Department, you may also be liable to the Commonwealth for damages to natural resources caused by the release. Civil and criminal liability may also be imposed under M.G.L. c. 21E, S 11, and civil administrative penalties may be imposed under M.G.L. c. 21A, S 16, for each violation of M.G.L. c. 21E, the MCP or any order, permit or approval issued thereunder. ACTIONS UNDERTAKEN TO DATE AT THE SITE Information on file with the Department indicates that the following actions have been performed to date at this site: 1. Removal of a 300 gallon home heating oil underground .storage tank (UST) ; 2. Contaminated soil was removed and recycled; 3 . A monitoring well (MW-1) and passive vapor recovery system were installed in the UST grave to address residual contamination; and 4. The two (2) private wells on the property and the two (2) private wells on the abutting property were sampled and tested for contamination; and 5. Three additional groundwater sampling rounds were performed on MW-1 in April, July and October 1993. Sample results for volatile organic compounds (VOCs) were below reportable levels (BRL) . NECESQWRY RESPONSE ACTMON-0 AM APPLICABLE DEADLINES This site shall not be deemed to have had all the necessary and required response actions taken for it unless and until all substantial hazards presented by the release and/or threat of I elease have been eliminated and a level of No Significant Risk exists or has been achieved in compliance with M.G.L. c. 21E. and the MCP. The MCP requires persons undertaking response actions at a site to submit to the Department a Response Action Outcome Statement prepared by a Licensed Site Professional upon determining that a level of No Significant Risk already exists or has been achieved at the site. 1 � r, -4- Unless otherwise provided by the Department, a responsible party has one year from the initial date notice of a release or threat of release is provided to the Department pursuant to 310 CMR 40.0300 or from the date the Department issues to him or her a Notice of Responsibility, whichever occurs earlier, to submit to the Department either a completed Tier Classification Submittal and, if appropriate, a completed Tier I Permit Application, or a Response Action Outcome Statement. The deadline for these submittals for this site is February 25, 1995. This deadline constitutes an enforceable Interim Deadline established pursuant to 310 CMR 40. 0000. In addition, the MCP requires persons undertaking response actions to perform Immediate Response Actions in response to sudden releases, Imminent Hazards and Conditions of Substantial Release Migration. Such persons must continue to evaluate the need for Immediate Response Actions and notify the Department immediately if such a need exists. The Department encourages parties with liabilities under M.G.L. c. 21E to take prompt action in response to releases and threats of release of oil and hazardous materials. By taking prompt action, you may significantly lower your cleanup costs and avoid the imposition of, or reduce the amount of, certain permit and annual compliance assurance fees payable under 310 CMR 4.00 (e.g. , no annual compliance and assurance fee is due for Response Action Outcome Statements submitted to the Department within 120 days of the initial date of release notification) . PROCEDURES TO FOLLOW TO UNDERTAKE RESPONSE ACTIONS You must employ or engage a Licensed Site Professional to manage, supervise or actually perform the necessary response actions at this site. You may obtain a list of the names and addresses of these licensed professionals from the Board of Registration of Hazardous Waste Site Cleanup Professionals at (617- 556-1145) . You should notify the Department in writing no later than 5:00 p.m. on March 25, 1994, if you intend to undertake response actions at this disposal site. If you fail to provide a response to this notice as requested, or fail to undertake the necessary response actions in accordance with the MCP, the Department may perform the necessary response actions and take appropriate legal action against you. -5- If you have any further questions, please contact Julie Hutcheson at the letterhead address or at 508-946-2852. All future correspondence communications regarding the site should reference the following Release Tracking Number: 4-6047. Very Y trul yours, Qaa� Richard F. Packard, Chief Emergency Response Section PjJH/re CERTIFIED MAIL #P 337 625 782 RETURN RECEIPT REQUESTED cc: Barnstable Fire Department 3249 Main Street Barnstable, MA 02630 Barnstable Board of Health P.O. Box 534 Hyannis, MA 02601 DEP-SERO, Data Entry r Registered Professional Engineers&Land Surveyors Orleans: (508) 255-6511 Coastal EngineeringCo. Hyannis: (508) 778- inc_ Fax: (508) 255-6 00 700 •Civil&Architectural Engineering/Site/Foundation/Shore Protection/Sanitary- •Consultants for Structural Analysis,Project Feasibility,Environmental• 260 Cranberry Highway •Land Surveying• Orleans, MA 02653 File No. : C-13-312 October 21 , 1993 MA DEP - SERO - ERS - BWSC ATTN: Mr. Richard Packard 20 Riverside Drive, Route 105 Lakeville, MA 02347 Re: CENTERVILLE, MA: S92-0951 73 Holly Lane Amresco Bank of Rhode Island Emergency Remedial Response - Final Ouarterly Report Dear Mr. Packard: Enclosed please find the analytical results for a groundwater sample collected at the above referenced site on 10/04/93. These results represent the fourth and final round of quarterly sampling performed in accordance with the "Initial Report" filed with the Department on 2/04/93 in order to comply with the contingencies for the Department's "No Further Action" decision at the property. The groundwater quality results for MW-1 show that all parameters were below . reporting limits (BRL•) . Based on the result of the year-long monitoring program which showed continued improvement in water quality, culminating in the 10/04/93 samples, it is our opinion that there is minimal apparent environmental hazard or risk to public health and safety relative to off-site migration of contamination at this time. Consequently, we plan no further remedial actions or monitoring. We request that you confirm this decision in writing, stating that the Department concurs with our conclusions and that no further remedial actions are required at this time. Should you have any questions or require additional information, please contact our office at your convenience. Sincerely, COASTAL ENGINEERING CO. , INC. Todd J. Palmatier, TJP/ca Hydrogeologist , Enclosure cc: Steven Hayes/Bob Sampson, Amresco Bank of Rhode Island Deputy Chief Whitely, Osterville-Centerville Fire Department Brian Cobb, Cobb Real Estate i Gerry Dunning, Barnstable Board of Health Printed on recycled paper f !' .r" '°1: Groundwater Analytical, Inc. GROUND WATERi 228 Main Street ANALYTICAL _ q Buzzards Bay, MA 02532 Telephone (508) 759-4441 199. ( FAX (508) 759 4475 October 19, 1993 Mr. Todd Palmatier Coastal Engineering, Inc. 260 Cranberry Highway Orleans, MA 02653 Dear Todd: Enclosed is the Volatile Organic Analysis performed for the DEPCO 73 Holly Ln project, number C13-312, sampled on 10-04-93. This project was processed for Standard Two Week turnaround. A brief description of the Quality Assurance/Quality Control procedures employed by Groundwater Analytical , and a statement of our state certifications are contained within the report. This letter authorizes the release of the analytical results and should be considered a part of this report. Should you have any questions concerning this report, please do not hesitate to contact me. Sincerely, Jonathan R. Sanford Vice President JRNcac Enc osures j r l/ GROUNDWATER ANALYTICAL EPA METHOD 602 Volatile Aromatics (GC/PID) Field ID: MW-1 Lab ID: 6117-01 Project: DEPCO 73 Holly Ln/C13-312 Batch ID: VG3-0143-W Client: Coastal Engineering Sampled: 10-04-93 Cont/Prsv: 40mL VOA Vial/NaHSO4 Cool Received: 10-05-93 Matrix: Aqueous Analyzed: 10-08-93 PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) (ug/L) Benzene BRL 1 Toluene BRL 1 Chlorobenzene BRL 1 Ethylbenzene BRL 1 m+p-Xylene * BRL 1 o-Xylene * BRL 1 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene BRL 1 QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS a,a,a-Trifluorotoluene 30 29 98 % 87 - 113 BRL = Below Reporting Limit. * Non-target compound. Method Reference: Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). GR13UNLIWATER 228 main Buzzards Bay,eMA 02532 CHAIN-OF-CUSTODY RECORD Ns :_09406 ANALYTICAL Telephone(508)759-4441 AND WORK ORDER FAX(508)759-4475 Project Name: Firm: TURNAROUND ANALYSIS REQUEST pt Volatiles semivolatllas Pest/Herb Metals capons waste to Uther t1'& CCU 73doll L�, (�oas f STANDARD(10 Business Days) Project Number: Address: ❑ PRIORITY(5 Business Days) 'D r a r C L3 -3 (a Z 10 C Cm?a 1,, / [ ❑ RUSH(RAN- ) o w w w o ti �, (Rush requires Rush Authorization Number) d p ct Z a 0 m E o ❑ g Sampler Name: City/State/Zip: o J w a a y; o m LL ❑❑❑❑ ❑ ❑ ❑❑❑❑ ❑ ❑❑ a Please FAX YES ❑ NO a 0� per" J FAX Number: P�) ZSJ-6 N ry Co� 0 0 o e o 0 Project Manager: Telephone: a N g o t . 'Q I{�,a( :� �.5 —G S�I BILLING y o o y '� o ❑ o0 00❑ $ " ' M . 0 INSTRUCTIONS: Use separate line for each container(except duplicates). Purchase Order No: l ,3+` N m ❑ o ❑ m Q a e 6 Sampling Matrix Container(s) Preservation Filtered `� S _ i O 0800 00 D ❑act' o ❑ ¢ O ❑ ¢ o 0H x = W v ms o R ;>o Z LABORATORY t 2 a NUMBER ❑ m 8 2SAMPLE 05 E (Lab Use Only) w % m m m w IDENTIFICATION _ i ism ❑ ❑ ❑ ❑ []Do ❑ o ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ VI 3 iJ t A9 v� (.v- (o 11 — 01 / w } m 3 I J Q Z 0 m4in i4�EJ REMARKS SPECIAL INSTRUCTIONS PROJECT SPECIFIC MATRIX CHAIN-OF-CUSTODY RECORD SPIKES and DUPLICATES NOTE:All samples submitted subject to Standard Terms and Conditions on reverse hereof. Shipping/Airbill Number: Many regulatory programs and EPA Relinquished b mpl r: Date Time Received by: methods require project specific matrix q Y / spikes and/or duplicates.matrix Each requested TslyS� �� b[ � C� matrix spike(MS),matrix spike duplicate (MSD)and sample duplicate should be Date Time Received by: Custody Seal Number: listed above as a separate sample.Each Relinquished by: MS,MSD and sample duplicate requires an additional sample aliquot. ❑YES.Please perform a project specific Relinquished b Da Time Re ived by bo atory: MS,MSD or sample duplicate as q y requested above. Cooler Serial Number: ❑NO.Please do not perform a project specific MS,MSD or sample Method of Shipment: ❑ GWA Couri Jr ❑ Express ❑ Fe raI Expre duplicate analysis for this project. p ❑ UPS ❑ H nd ❑ GROUNDWATER ANALYTICAL QUALITY ASSURANCE QA/QC Program Statement Groundwater Analytical conducts an active Quality Assurance program to ensure the production of high quality, valid data. This program closely follows the guidance provided by Interim Guidelines and Specifications for Preparing Quality Assurance Project Plans, US EPA QAMS-005/80 (1980) , and Test Methods for Evaluating Solid Waste, US EPA SW-846, Third Edition (1986) . ' Quality Control protocols include Standard Operating Procedures (SOPS) developed for each analytical method. SOPs are derived from US EPA methodologies and other established references. Equipment and facility maintenance conform to Good Laboratory Practices (GLPs) . Standards are prepared from commercially obtained reference materials of certified purity, and documented for traceability. Quality Assessment protocols for most organic analyses include a minimum of one calibration standard, one method blank, one laboratory control sample, and one matrix spike/duplicate pair for each sample batch. All samples, standards, blanks, laboratory control samples and matrix spikes are spiked with internal standards and surrogate compounds. GC/MS systems are tuned to BFB ion abundance criteria daily, or for each 12 hour operating period, whichever is more frequent. Quality Assessment protocols for most inorganic analyses include a minimum of one calibration standard, one method blank, one sample duplicate, one laboratory control sample, and one matrix spike/duplicate pair for each sample batch. Standard curves are derived from one reagent blank and four concentration levels. Curve validity is verified by standard recoveries within plus or minus ten percent of the curve. Batches are used as the basic unit for Quality Assessment. A Batch is defined as twenty or fewer samples which are analyzed together with the same method sequence and the same lots of reagents and with the same manipulations common to each sample within the same time period or in continuous sequential time periods. Method Blanks are used to assess the level of contamination present in the analytical system.. Method Blanks consist of reagent water or purified soil . Method Blanks are taken through all the appropriate steps of an analytical method. Sample data reported is not corrected for blank contamination. Laboratory Control Samples are used to assess the accuracy of the analytical method. A Laboratory Control Sample consists of reagent water or purified soil spiked with a group of target compounds representative of the method analytes. Accuracy is defined as the degree of agreement of a measured value with the true or expected value. Percent Recoveries for. the Laboratory Control Sample are calculated to assess accuracy. Surrogate Compounds are used to assess the effectiveness of the method in dealing with each sample matrix. Surrogate Compounds are organic compounds which are similar to organic analytes of interest in chemical behavior, but ' which are not normally found in environmental samples. Percent Recoveries are calculated for each Surrogate Compound. t GROUNDWATER ANALYTICAL QUALITY ASSURANCE Laboratory Control Sample Recovery Category: EPA Method 602 Batch ID: VG3-0143-WL Matrix: Aqueous Units: ug/L Laboratory Control Sample SPIKE SPIKED PERCENT QC ANALYTE ADDED RESULT RECOVERY LIMITS Benzene 50 54 109 % 76-127 Toluene 50 53 105 % 76-125 Chlorobenzene 50 52 104 % 75-130 All calculations performed prior to rounding. Quality Control Limits are defined by the methodology, or alternatively based upon the historical average recovery plus or minus three standard deviation units. GROUNDWATER ANALYTICAL QUALITY ASSURANCE Method Blank Category: EPA Method 602 Batch ID: VG3-0143-WB1 Matrix: Aqueous PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) (ug/L) Methyl tertiary Butyl Ether * BRL 5 Benzene BRL 1 Toluene BRL 1 Chlorobenzene BRL 1 Ethylbenzene BRL 1 m+p-Xylene * BRL 1 o-Xylene * BRL 1 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene BRL 1 QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS a,a,a-Trifluorotoluene 30 29 98.% 87 - 113 BRL = Below Reporting Limit. * Non-target compound. Method Reference: Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). GROUNDWATER ANALYTICAL QUALITY ASSURANCE State Certification CONNECTICUT Certificate Number Department of Health Services PH-0586 Potable Water, Wastewater/Trade Waste, Sewage/Effluent, and Soil: Purgeable Halocarbons, Purgeable Aromatics, Pesticides, Phenols, Oil and Grease, Aluminum, Antimony, Arsenic, Beryllium, Cadmium, Chromium-T, Chromium-VI, Cobalt, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Nickel, Potassium, Selenium, Silver, Sodium, Thallium, Tin, Vanadium, Zinc, Cyanide, TDS, Ammonia, TKN, Nitrate, Ortho-Phosphate, Alkalinity, Hardness, Chloride, Fluoride, pH, Conductivity MAINE Certificate Number Department of Human Services N/A Reciprocal certification in accordance with Massachusetts certification for drinking water parameters. MASSACHUSETTS Certificate Number Department of Environmental Protection MA103 Potable Water: Antimony, Arsenic, Barium, Beryllium, Cadmium, Chromium, Copper, Lead; Mercury, Nickel, Selenium, Silver, Thallium, Nitrate-N, Nitrite-N, Fluoride, Cyanide, Calcium, Total Alkalinity, Total Dissolved Solids, pH, Langelier Index, Trihalomethanes, Volatile Organic Compounds, 1,2-Dibromoethane, 1,2-Dibromo-3-chloropropane. Non-Potable Water: Aluminum, Antimony, Arsenic, Beryllium, Cadmium, Chromium, Cobalt, Copper, Iron, Lead, Manganese, Mercury, Molybdenum, Nickel, Selenium, Silver, Strontium, Thallium, Titanium, Vanadium, Zinc, pH, Specific Conductivity, Total Dissolved Solids, Total Hardness, Calcium, Magnesium, Sodium, Potassium, Total Alkalinity, Chloride, Fluoride, Ammonia-N, Nitrate-N, Kjeldahl-N, Orthophosphate, Total Cyanide, Oil and Grease, Total Phenolics, Volatile Halocarbons, Volatile Aromatics, Chlordane, Aldrin, Dieldrin, DOD, DOE, DDT, Heptachlor, Heptachlor Epoxide, Polychlorinated Biphenyls (Water), Polychlorinated Biphenyls (Oil). MICHIGAN Certificate Number Department of Public Health N/A Drinking Water: Antimony, Arsenic, Barium, Beryllium, Cadmium, Chromium, Copper, Cyanide, Fluoride, Lead, Mercury, Nickel, Nitrate, Nitrite, Selenium, Silver, Sodium, Sulfate, Thallium, Total Trihalomethanes, Regulated and Unregulated Volatile Organic.Chemicals. NEW HAMPSHIRE Certificate Number Department of Environmental Services 202791-A/B Drinking Water: .Lead, Selenium, Silver, Thallium, Trihalomethanes, Volatile Organics, Antimony, Arsenic, Barium, Beryllium, Cadmium, Chromium, Copper, Mercury, Nickel, Fluoride, Total Filterable Residue, Calcium, Alkalinity, pH, Corrosivity, Total Cyanide, Vinyl Chloride, DBCP and EDB. Wastewater:. Arsenic, Beryllium, Cadmium, Cobalt, Copper, Iron, Mercury, Manganese, Nickel, Lead, Selenium, Zinc, Antimony, Silver, Thallium, Molybdenum, Strontium, pH, Total Hardness, Calcium, Sodium, Potassium, Total Alkalinity, Chloride, Fluoride, Nitrate-N, TKN, Orthophospates, Total Phenolics, Oil & Grease, PCBs in Oil, Pesticides, Volatile Organics, Titanium, Total Cyanide, PCBs in Water. RHODE ISLAND Certificate Number Department of Health A54 Potable Water: Antimony, Arsenic, Barium, Beryllium, Cadmium, Chromium, Copper, Lead, Mercury, Nickel, Selenium, Silver, Thallium, Nitrate, Nitrite, Fluoride, Turbidity, Chlorine, Total Filterable Solids, Calcium, pH, Alkalinity, Sodium, Corrosivity, Sulfate, Cyanide, Trihalomethanes, Chlorinated Hydrocarbon Pesticides, PCBs, Herbicides, Volatile Organic Compounds (EPA 524.2 and 504) and PAHs. Non-potable and Waste Waters: Aluminum, Arsenic, Beryllium, Cadmium, Cobalt, Chromium, Copper, Iron, Mercury, Manganese, Nickel, Lead, Selenium, Vanadium, Zinc, Antimony, Silver, Thallium, Molybdenum, Strontium, Titanium, pH, Conductance, TDS, Hardness, Calcium, Magnesium, Sodium, Potassium, Alkalinity, Chloride, Fluoride, Sulfate, Ammonia, Nitrate, Orthophosphate, TKN, Total Phosphorous, Cyanide, Non-filterable solids, Oil and Grease, Total Phenolics, Chlorine, PCBs in Water, PCBs in Oil, Chlorinated Hydrocarbon Pesticides, Volatile Halocarbons, Volatile Aromatics, Acid Extractables and Base/Neutral Extractables. BILL OF LADING POLICY # WSC-89-001 BILL OF LADING #: C13-312 DATE: 2/02/93 DEP CASE S92-0951 GENERATOR NAME/ADDRESS: SITE OF.GENERATION: Amresco Bank of Rhode Island STREET 73 Holly Lane P.O. Box 8399 TOWN Centerville Warwick, RI 02888 STATE MA CONTACT/TEL #: Steve Hayes - 401-467-3700 TRANSPORTATION ACCIDENT? Y _X N Bob Sampson -. 401-781-5122 MATERIAL DESCRIPTION (TOTAL PROTECTED QUANTITY): NONE CONTAMINATED SOIL: 12 8 CONTAMINATED DEBRIS: # absorbent pads 0 # absorbent booms wt(tons) vol(cu ids) vol(cu yds) speedy dri _� other (specify) TYPE OF CONTAMINATION: ANALYSES ATTACHED? gasoline X #2 oil _ #4 oil _ #6 oil _ other(specify)_ Volatiles: _ Y X_ N TPH: L Y _ N TRANSPORTER NAME/ADDRESS: DESTINATION FACILITY NAME/ADDRESS: Atlantic Tank Services Trimount Bituminous Products Company P.O. Box 94 1101 Turnpike Street South Dennis, MA 02660 Stoughton, MA 02072 CONTACT/TEL. #: Art MCCO Mi C k- 508-385-5100 TYPE OF FACILITY: X Recycling Landfill Incinerator EPA ID#: MAD 981213531 PERMIT #: 5-90-020 GENERATORS SIGNATURE: I MU JDOEDATE: 2/12/9 3 (Above items must be completed prior to DEP authorization) AUTHORIZATION: DEP SIGNATURE (originating region): DATE: (If applicable) DEP SIGNATURE (destination region): DATE: TRUCK/TRACTOR REGISTRATION rt (tons vol cu da f � QUANTITY SHIPPED: t.,. ) ( y ^) TRAILER ttEG.61..ATIOTd TOTAL PROJECTED LEFT SITE AT DATE SHIPPED TO DATE GENERATOR OR RECEIVING FACILITY REPRESENTATIVES THIS LOAD (estimated) SIGNATURE: REMAINING TO BE SHIPPED I TRANSPORTER'S SIGNATURE: DATE: RECEIVING FACILITY REPRESENTATIVE'S SIGNATURE DATE: ARR. TIME: GENERATOR IS RESPONSIBLE FOR RETURNING COMPLETED FORM WITHER 5 DAYS TO: DEPARTMENT OF ENVIRONMENTAL PROTECTION BWSC/EMERGENCY RESPONSE BRANCH ONE WINTER STREET, 5TH FLOOR BOSTON, MA 02108 AND THE ORIGINATING REGIONAL OFFICE FALSIFICATION OR MISREPRESENTATION OF ANY OF THE INFORMATION ON THIS BILL OF LADING IS A VIOLATION OF M.G.L. 21C AND 310 CMR 30.006 AND 30.007 AND IS SUBJECT TO APPROPRIATE STATUTORY OR REGULATORY PENALTIES. GROUNDWATER ANALYTICAL EPA METHOD 418. 1 (Modified) Total Petroleum Hydrocarbons (IR) Field ID: Stockpile Lab ID: 4343-06 Project: DEPCO-Atlantic Tank/C13-312 Batch ID: HI-0293-X Client: Coastal Engineering Sampled: 12-24-92 Cont/Prsv: 500ml Glass/Cool Received: 12-29-92 Matrix: Soil Percent Moisture: 14 % Extracted: 12-30-92 Analyzed: 12-31-92 PARAMETER CONCENTRATION REPORTING LIMIT (mg/Kg) (mg/Kg) Total Petroleum Hydrocarbons 12,000 830 Elevated reporting limit due to required sample dilution. BRL = Below Reporting Limit. Calculations based on dry sample weight. Method Reference: Method 418.1 (Spectrophotometric, Infrared) - Petroleum Hydrocarbons, Total Recoverable, Methods for Chemical Analysis of Water and Wastes, US EPA E=:1-600/4-7=-020, Revised (1983). Adapted for solids by Method 35:10 (Modified) - Soxhlet Extraction, Test Methods for Evaluating Solid Was,e, US EPA S1,-846, Third Edition (1986). S Registered Professional Engineers & Land Surveyors 508 255-6511 CL-rcistalEngineeringCo. •Civil&Architectural Engineering/Site/Foundation/Shore Protection/Sanitary •Consultants for Structural Analysis, Project Feasibility,Environmental• 260 Cranberry Highway •Land Surveying• Orleans, Mass. 02653 File No. : C-13-312 February 4, 1993 Mr. Richard Packard Emergency Response Section, BWSC Massachusetts Department of Environmental Protection SERO-Lakeville Hospital Lakeville, MA 02347 Re: CENTERVILLE, MA: 592-0951 73 Holly Lane Amresco Bank of Rhode Island Emergency Remedial Response - Initial Report Dear Mr. Packard: Pursuant to Department notification on 12/24/93, Coastal Engineering Co. , Inc. , as agent for the Amresco Bank of Rhode Island has prepared a report on Emergency Remedial Response action taken at the above referenced property relative to the . release of #2 fuel oil from an on-site underground storage tank. This report includes, as "Supporting Documentation"", a site plan showing private wells, resource areas and monitor well locations, a Field Response Log, laboratory analysis of water samples, tank testing/tank removal permits and groundwater flow information. A Bill of Lading has further been attached for Department authorization to transport contaminated soils excavated to the Bardon-Trimount recycling Facility in .Stoughton, MA. On 12/24/92, Coastal Engineering was called to the site by Atlantic Tank on the. determination of soil and groundwater impact resulting from a leaking 300 gallon UST. Research indicated that 100 gallons of #2 fuel oil was delivered to the site in mid-December. On 12/23/92, the Barnstable County Health and Environmental Department (BCHED) performed a soil vapor test of the tank indicating possible leakage. On notification of results, Atlantic Tank transferred 80 of 100 gallons out of the vessel indicating a ±20 gallon release. The UST showed perforations on removal as noted by Coastal Engineering. Site conditions showed near surface occurrence of groundwater (5'±) , private wells in the area and abutting wetland resource areas. Soil removal operations were conducted under the supervision of Coastal Engineering using the HNU GP 101 photoionization detector and a-10 'ppm response level to identify impacted areas.. A total of 8± yards of contaminated soils were removed in an 8' (1)x6' (w) area to groundwater. The area of excavation was limited by the structural integrity of the adjacent dwelling and banking for the Herring Run. Some residual soil contamination was noted in the sidewall area between 4' and. 5' at the groundwater interface. On Department notification, a monitor well and passive vapor recovery system were constructed and installed in the UST grave to address residual contamination. Prior to leaving the site, a composite sample was taken at the contaminated soil stockpile for TPH analysis. DEP-ERS-Richard Packard. Page 2. February 4, 1993 On 12/28/92, water samples were collected at monitor well MW-1 an private wells at 73, 76, 90 and 93 Holly Lane for VOC analysis (EPA 601/602) . These test results indicate no BTEX impact to any of the private wells tested although aesthetic quality of the drinking water in the wells was noted as poor (hydrogen sulfide) . The sample of groundwater at MW-1 in the contaminant source area showed low levels of toluene, ethylbenzene and xylene. The concentration of these contaminants are significantly below drinking water thresholds (ORSGL). As such minimal groundwater and/or environmental impact is indicated and no imminent threat to public health, safety or welfare is apparent. Monitor well MW-1 was re-sampled on 1/25/93 to substantiate these findings. BTEX concentrations were reported at even lower levels in this second round of sampling. Based on these findings, it is my current opinion that no imminent hazard to public health or safety or significant environmental impact has occurred at the property as a result of the fuel oil release identified on 12/24/92. As a result, a No Further Action decision is requested for the property with the contingency for a one year quarterly groundwater monitoring program. This program would require VOC analysis (EPA 601/602) be performed on a groundwater sample taken at monitor well MW-1. Should drinking water standards be exceeded, abutting private wells would be included in the monitoring program and the need for additional remedial response would be addressed. Quarterly reports would be filed with the MA DEP and copied to the Barnstable Health Department and Centerville-Ostervi Ile Fire Department. The test results for 1/25/93 will serve as the initial quarter with the next round of sampling scheduled for April, 1993. I have enclosed a "Bill of Lading" for your . authorization to. transport contaminated material to an approved recycling facility. Should you have any questions regarding the project or need additional information, please call me directly at your convenience. I look forward to your reply. Very truly yours, COWAL ENGI ERING CO. , INC. David C. Bennett, R.S. , P.G. Hydrogeologist DCB/ca Enclosures: Bill of Lading (2/2/93) :S92-0951 Supporting Documentation: Emergency Remedial Response. . . (Feb.93) cc: Steven Hayes/Bob Sampson, Amresco Bank of Rhode Island Deputy Chief Whitely, Oster-Centerville Fire Department Gerry Dunning, Barnstable Health Department Brian Cobb, Cobb Real Estate Art McCormick, Atlantic Tank Services P�oFtHEro�y TOWN OF BARNSTABLE OFFICE OF BAB1f STABLE, =PASS. BOARD OF HEALTH f639. 367 MAIN STREET HYANNIS, MASS. 02601 October 4, 1989 Mr. and Mrs. Camille Zaino 93 Holly Lane Centerville, Ma 02632 Dear Mr. and Mrs. Zaino: Your request to the Board of Health to require your abutters to connect to Town water at 76 and 90 Holly Lane, Centerville, cannot be granted. Water tests performed April 22, 1989 by a certified laboratory collected from the private well located at 90 Holly Lane, Centerville, indicates the water .- "meets the recommended limits for drinking of all (above) tested parameters." The Town of Barnstable Board of Health Private Well Protection Regulation, Section 19: Town Water, states "the Board of Health may at it's discretion require single family, multi-family, or commercial structures located within 300 feet of a municipal water line, to connect to municipal water. Based on the evidence presented to date, the Board of Health declines to exercise it's discretion to require your abuttors to connect to Town water at 76 and 90 Holly Lane, Centerville. Very t my yours, Grover C. M. Farrish, M.D. Chairman BOARD OF HEALTH TOWN OF BARNSTABLE GF/bs copy: Ruth Weil r " January 4 1988 Board of Health Town of Barnstable Re: Variance request Lots 8,9,10,11 on Holly Lane, Centerville, MA Bear Board Members: Please be advised that we the undersigned abutters to Lots 8, 9, 10, 11 wish to voice our emphatic opposition to any relaxation of the septic requirements of the MA D.E.Q.E. Title V. The lots in question border or are in close proximity to Long Pond and a herring run that empties into the Centerville River. The land is only a few feet higher in elevation than the water level of Long Pond. In the Spring when the pond level rises, the back yard of the Eldridge land has twice in the last nine years been lower than the water table. The basement of the Tracy°s house has periodically been flooded by the same high water table. Even in the Summer when the water table subsides it is still no more than two feet below the basement level of the Eldridges. Both the Eldridge and Tracy properties are located across the herring run from the lots in question. It is not just the close proximity of lots 8, 9, 10, 11 to Long Pond and the herring run that make them ecologically sensitive. The real cause for our concern is the high water table of this low lying area which will cause any septic system to lie within or dangerously close to the water table. It is for this reason that we oppose any expansion of any existing septic systems on these properties, and any variance from the requirements of MA D.E.Q.E. Tide V Regulatiuns. Thank you for your attention to this matter. Very truly yours, n , ' � f- / reduced to 10' (a variance of 15' is requested) Barnstable regulations: - By-law eff. May 26, 1983 - leach field to be located 72' from herring run (a variance of 28' is requested) - By-law eff. May 26, 1983 - reserve to be 64' frcin herring run (a variance of 36' is requested) - By-law eff. Oct. 22, 1974 - leach field to be 58' fran a well on owner's lot (a variance of 92' is requested) - By-law eff. Oct. 22, 1974 - reserve to be 40' fran a well on owner's lot (a variance of 110' is requested) - By-law eff. Oct. 22, 1974 - leach field to be 68' fran a well on an abuttor's lot (a variance of 82' is requested) - By-law eff. Oct. 22, 1974 - reserve to be 48' fran a well on an abuttor's lot (a variance of 102' is requested) TOWN OF BARNSTABLE Qy�f TN E Tp�♦ OFFICE OF BeaaeTAMi BOARD OF HEALTH riur. 'moo i63s• 367 MAIN STREET DYI1Yk' HYANNIS, MASS. 02601 February 18, 1988 Mr. Camille Zaino 53 Grandview Drive So. Yarmouth, Ma 02664 Dear Mr. Zaino: You are granted multiple variances from Title 5, of the State Environmental Code, and Town of Barnstable Health Regulations for the upgrading of two ausite sewage disposal systems at Lots 9, 10, 11, and 12 Holly Lane, Centerville, listed as Parcels 15 and 16 on Assessor's Map Number 229. The following conditions apply: (1) The septic system must be installed in strict.accordance to the plan. (2) The designing engineer must be onsite and supervise construction of the sewage disposal sytem and certify in writing to the Board, that his design has been strictly adhered to. (3) The three dwellings must be connected to public water. (4) The "Quonset Hut", located adjacent to the proposed two (2) car garage must be removed. (5) It shall be recorded on the deed that the "family room" cannot be rented or leased. (6) The dwelling designated as dwelling #1 on plan dated December 4, 1987, revised December 14, 1987, by Down Cape Engineering, cannot have more than two bedrooms and one family room. Sewing rooms, dens, lofts, enclosed porches, finished cellars, and similar type rooms are considered bedrooms according to the Department of Environmental Quality Engineering. (7) The dwelling designated as dwelling #2 on the site plan dated December 4, 1987, revised December 14, 1987, by Down Cape Engineering, cannot have more than one (1) bedroom. Sewing rooms, dens, lofts, enclosed porches, finished cellars, and similar type rooms are considered bedrooms according to the Department of Environmental Quality Engineering. (8) The dwelling designated as dwelling #3 on the site plan dated December 4, 1987, revised December 14, 1987 by Down Cape Engineering, cannot have more than three (3) bedrooms. Sewing rooms, dens, lofts, enclosed porches, and similar type rooms are considered bedrooms according to the Department of Environmental Quality Engineering. Mr. Camille Zaino Lots 9, 10, 11, and 12 Holly Lane Centerville Page 2. (9) It shall be recorded on the deed that the onsite sewage disposal systems shall be pumped every three (3) years and written certification submitted to the Board by a licensed septage hauler. (10) Variance expires March 1, 1989. These variances are granted because the existing cesspools are sitting in the groundwater and are in all probability contributing to the pollution of the Herring Run and Long Pond. It would appear that the proposed onsite sewage disposal system will alleviate a source of contamination. Very tiuly yours, Gr6ver C. M. Farrish, M.D. Chairman BOARD OF HEALTH TOWN OF BARNSTABLE GF/bs Copy to: Lynne Whiting D:E.Q E.Lakeville Frank Mazzacappa I Rafael L. Bras, Ph.D., P.E. Consulting Hydrologist and Engineer 44 Percy Road Rm. 48-31 1, M_I.T. Lexington, Ma., 02173 Cambridge, Ma. 02139 Tel: 617 — B62 - 1436 Tel: 617 — 253 — 2117 May 10, 1988 Conservation Commission Town of Barnstable 367 Main St. Hyannis, Ma. 02601 Re: Subsurface sewage disposal -- proposed variances to 310 CMR 15.03(7)(1) of Title V of the State Environmental Code for Camille Zaino, lots 9, 10, 1 1, 12, Holly Lane, Centerville, Me. Dear Commission Members: On behalf of Mrs. Mina Brown of 76 Hotly Lane, Centerville, Ma., I have reviewed the plans for septic upgrade of Camille Zaino as prepared By Down Cape Engineering and dated Dec. 7 , 1987. 1 strongly urge that the extraordinary Tittle V variances requested be denied. The proposed plan would present a hazard to the neighbors and lead to contamination of the Herring Run and Long Pond. Following are some major problems with the plan, each of sufficient concern to call for disapproval. A. The intended leaching fields and implied significant increase in flow from separate dwellings will change the groundwater flow patterns locally. The elevated systems will effectively be sources of contaminated water at elevations higher than the natural groundwater system. This will facilitate and speed up flow of contaminants into the Herring Run as well as into the neighbors wells. My client intends and desires to continue use of her well system. Given that, to request variances of over half the legal distance to a well is contrary to good judgement. With a potential natural gradient of 5 ft. per hundred as shown in the plans, and silty sand and gravel in the top 48 inches of soil, horizontal travel times to the Herring Run could be a matter of 1 Rafael L. Bras, Ph.D., P_E. Consulting Hydrologist and Engineer 44 Percy Road Rm. 48-31 1, M.I.T_ Lexington, Me., 02173 Cambridge, Me. 02139 Tel: 617 — 862 — 1436 Tel: 617 — 253 — 2117 weeks or even days. This will be compounded by the increased gradients induced by the elevated leaching fields. It should be kept in mind that the leaching fields wilt not remove or alter many of the toxic waste, heavy metals and some organics, found in household sewage. These contaminants will quickly find their way to the Herring Run and to the neighbors well systems. B. The elevated design provides for slightly over a foot of soil cover over the leaching pipes. Under such conditions the overburden will be nearly saturated with contaminated water almost all the time due to exfiltration and capillary rise effects. Occasionally it will be completely saturated because of high water table and rains. Below the pipes it will always be saturated. The plan calls for a sewage application rate equivalent to an inch of rainfall every day! This will present a health and safety problem. Smells will be unavoidable in such situations. The danger of direct contact with sewage by neighborhood children tempted to play in the high ground will be significant. This problem will be worse during heavy rains which could result in surface drainage of contaminated water from the elevated system. It will be even worse during winter (particularly melt periods) when freezing of the highly exposed leaching fields will seriously limit percolation capacity and make the marginal system inoperative. C. The soils and water table in the area are not conducive to leaching field operation. To request a variance of 15 feet in the removal of soil around the field (over half of the 25' required by law) is again making a bad situation worse. D. Historically the three properties in question have been used as a family summer compound, hence, waste loadings have been limited. This intended use is clear from the common cesspool system serving both properties and from post denials of similar plans by the Town. 2 Rafael L. Bras, Ph-D., P.E. Consulting Hydrologist and Engineer 44 Percy Road _ Rm. 48-31 1, M.I.T. Lexington, Ma., 02173 Cambridge, Ma. 02139 Tel: 617 - 862 - 1436 Tel: 617 - 253 - 2117 Approval of this unsatisfactory system will legally separate dwellings 1 and 3 which should be expected to result in independent occupancy of dwelling 3 and ultimate sale - waste loadings will be for above what they have been. E. The submitted plans are insufficient to clearly determine the performance of the leaching fields and their impact on the groundwater supplies. It is not clear whether dwelling 1 will remain as 2 bedroom or 3. Will dwelling 3 remain as an independent unit? How many bathrooms will the dwellings have as modified? Dwelling 1 already has a livinglfamilyroom. What will be the intended use be if, as the plan states, a new family room is added? Will new bathrooms be installed? What criteria, and based on how many residents, is the design flow for the leaching system based on? Three hundred thirty gallons per day and no disposal assumption seem low given normal waste production in Massachusetts for dwellings of similar affluence and size. In summary, the proponents are asking for very major deviations of established law and design practice. I have never before seen such a plan in a high density residential area nor so close to protected waters. Approval will endanger the water quality of the Herring Run and Long Pond. It will endanger the water supply of the neighbors which they have relied on for generations and is protected by state and federal law. Since Rofa L. Bras, PhD., P.E. Ma . Lic. No. ENCO029572 cc: Barnstable Water Pollution and Control Dept. Barnstable Health Department 3 Rafael L. Bras, Ph.D., P.E. Consulting Hydrologist and Engineer 44 Percy Road Rm. 48-31 1, M.I.T. Lexington, Me., 02173 Cambridge, Me. 02139 Tel: 617 - 862 - 1436 Tel: 617 - 253 - 2117 Mr. Francis Broadhurst, Selectmen Mr. William Friel, Selectman Mr. Marty Flynn, Selectman Mr. Brett Rowe, D.E.Q.E., Southeast Region 4 YX U 02 exe�� CAW, !/P�?Q'/4�72PJ2�Q��j2lRll �I L��!%2QP./ gi Gilbert T. Joly v Regional Olrector. March 7, 1988 Board of Health RE: BARNSTABLE—Subsurface Sewage 367 Main Street Disposal—Proposed Variances to Hyannis, Massachusetts 02601 310 CMR 15.03(7) (1) of Title 5 of The State Environmental Code for Camille Zaino, hots 9, 10, 11,, and 12, Holly Lane Dear.Board Members: The Department of Environmental Quality Engineering is in receipt of your letter dated February 18, 1988, and a plan dated December 14, 1987, requesting variances to 310 CMR 15.03(7) (1) of Title 5 of The State Environmental Code at the! referenced location. The Department has had an engineer review the submitted plan and has determined ,that design deficiencies are evident, therefore, the Department disapproves said variances. Please be advised, it is the Department's policy not to allow an increase in square footage to any structure which requires an upgraded (or repaired) subsurface sewage disposal system which is located within one hundred 100) feet of an existing water supply well. In addition, the repaired leaching facility or any further leaching facility will not be located closer to the existing wells than existed between the failed system and the existing wells. If you have any questions, please contact Mr. Brett Rowe at the above telephone nur,ber. Very truly yours, Je Gould, Chicf W r 1 ution Control Section G/BR/lm cc: Dawn i Cape Engineering, Inc. ; Route 6A Yatmuth Port, MA 02664 TOWN OF BARNSTABLE OFTMETQ OFFICE OF )AHa9TAHL BOARD OF HEALTH rl1�a 367 MAIN STREET 1639.k�� HYANNIS, MASS. 02601 MAY December 21, 1988 Mr. Camille Zaino 93 Holly Lane Centerville, Ma 02632 Dear Mr. Zaino: Your request for an extension of the expiration time for the variance granted to you February 18, 1988, to install onsite sewage disposal systems at Lots 9, 10, 11, and 12, Holly Lane, Centerville, is not granted. The Department of Environmental Quality Engineering "disapproved said variances" according to their letter dated March 7, 1988. Also, the variances approved by the Town of Barnstable Board of Health expires March 1, 1989, several months from now. It is the opinion of the Board that you shall obtain approval from the Department of Environmental Quality Engineering prior to requesting an extension of the variances previously granted. Very truly yours, rover C. M. Farrish, M.D. Chairman Ann Jane Eshbaugh 2 J.)oard mes H. Croc , Sr. of alth own of Barnstable GF/bs 7675 civil engineers& land surveyors structural desig December 8, 1987 land court E surveys Barnstable Board of Health site planning Barnstable Town Hall 367 Main Street Hyannis, MA 02601 sewage system designs Reference: Request for Variances on Lots 8, 9, 10, & 11, Holly Lane, Centerville inspections Dear Members of the Board: permits are proposing an upgrade of the septic facilities for dwellings located on Lots 8, 9, 10, & 11, Holly Lane, Centerville. The existing facilities consist of two cesspools which are sitting in the ground water, twenty feet away from the herring run. Even though the variances being requested are extensive, the proposed system is as close to state and local regulations as . possible, taking into account the existing conditions. Our primary concerns were the ground water level and the resource areas. The leach facilities of each system are mounded and enclosed by concrete retaining walls to maintain a four foot distance above the adjusted water level. We chose to encroach upon the property lines with the leach fields to maximize the distance from the herring run. Variances from the wells in the area have been requested because they are currently being used. , �- e,--- e-4- ij 31 ins lation o e wa er o ere are s iton ing roposed to g #1: tw car ga ge, s orch, fami r Con e ing e ten al inpr v t of situ i fr an iro s d the t invol d to a se ements, e est that yo rove roposed additio Variances requested: System #1: Title V variances: - reg. 15.03(7) - septic tank and purrp chamber to be located 4' fran the property line (a variance of 6' is requested) - reg. 15.03(7) - leach facility to be located 7' fresn the property line (a variance of 3' is requested) - reg. 15.06(17) - invert of septic tank outlet to be at el. 23.79' (a variance of 1.4' is requested) - reg. 15.02(17) - 25' removal around leach field to be reduced to 10' (a variance of 15' is requested) Barnstable regulations: - By-law eff. May 26, 1983 - leach field to be located 54' fran herring run (a variance of 46' is requested) - By-law eff. May 26, 1983 - reserve to be located 56' fran herring run (a variance of 44' is requested) - By-law eff. Oct. 22, 1974 - leach field to be 77' fresn a well on owner's lot - dwelling #1 (a variance of 73' is requested) - By-law eff. Oct. 22, 1974 - leach field to be 69' from a well on owner's lot .- dwelling #3 (a variance of 81' is requested) - By-law eff. Oct. 22, 1974 - reserve to be 124' from a well on owner's lot - dwelling #1 (a variance of 26' is requested) - By-law eff. Oct. 22, 1974 - reserve to be 40' frcin a well on owner's lot - dwelling #3 (a variance of 110' is requested) j - By-law eff. Oct. 22, 1974 - leach field to be 62' from a well on an abuttor's lot (a variance of 88' is requested) - By-law eff. Oct. 22, 1974 - reserve to be 53' fran a well on an abuttor's lot. (a variance of 97' is requested) - By-law eff. Oct. 22, 1974 - leach field to be 52' from a well on an abuttor's lot (a variance of 98' is requested) - By-law eff. Oct. 22, 1974 - reserve to be 49' fran a well on an abuttor's lot (a variance of 101' is requested) System #2: Title V variances: - reg. 15.03(7) - leach facility to be located 7' fran property line (a variance of 3' is requested) - reg. 15.03(7) - reserve to be located 6' fran property line (a variance of 4' is requested) - reg. 15.06(17) - invert of septic tank outlet to be at 23.55' (a variance of 1.65' is requested) - reg. 15.02(17) - 25' removal around leach field to be I ' CEC File No. : C-13-312 EMERGENCY REMEDIAL RESPONSE INITIAL REPORT SUPPORTING DOCUMENTATION CENTERVILLE, MA: S92-0951 73 Holly Lane Amresco Bank of Rhode Island FEBRUARY, 1993 Prepared for: Amresco Bank of Rhode Island P.O. Box 8399 Warwick, RI 02888 ' Prepared by: Coastal Engineering Co. , Inc. 260 Cranberry Highway Orleans, MA 02653 Appendix A: Site Sketch Plan, ERM-1 ' Appendix B: Field Response Log Appendix C: Laboratory Analysis Appendix D: Tank Testing/Removal Permits ' Appendix E: Groundwater Map a -a a x a i 1 1 1 i 1 1 1 i I 1 1 1 1 1 r 1 1 1 1 1 1 1 1 1 1 1 r � � 1 3 m 1 t I 1 1 1 1 1 r 1 i 1 ' it i 1 1 1 II r Registered Professional Engineers & Land Surveyors (508) 255 651 Coasta]EngineeringCo. •Civil&Architectural Engineering/Site/Foundation/Shore Protection/Sanitary • Consultants for Structural Analysis,Project Feasibility, Environmental• 260 Cranberry Highway •Land Surveying• Orleans, Mass. 02653 File No. : C713-312 Page 1 of 2 ' FIELD RESPONSE LOG Spill IN S92-0951 PROPERTY OWNER: Amresco Bank of Rhode Island ATTN: Steven Hayes 89 Jefferson Avenue Warwick, R. I. 02888 (401 ) 467-3700 PROPERTY LOCATION: ' 73 Holly Lane (off Pine Street) Centerville, MA BACKGROUND INFORMATION: 300 gallon UST failed soil vapor testing by BCHE. - 100 gallons of fuel delivered within last week with no heat usage; only 80 gallons recovered in preparation of UST removal . - UST shows various perforations. Sheen on groundwater in tank grave at depth of 5 ft. ' = Dwelling vacant with no occupancy, wells shut off. ENVIRONMENTAL CONDITIONS: - Private well for dwelling within 25' . Herring Run within 20,' . Long Pond within 1 ,000' . Groundwater at 5' . REMEDIAL RESPONSE ACTIONS: Date: 12/23/92 Coastal Engineering Co. , Inc. receives call from Atlantic Tank Time: 4:00 pm on negative test at site. Soil vapor conducted by BCHED. Atlantic Tank transfers fuel out of tank and gets permits to pull . S92-0951/C-13-312 Page 2. January 22, 1993 REMEDIAL RESPONSE ACTIONS: Date:. 12/24/92 Atlantic Tank calls Coastal Engineering Co. , Inc. , to site on Time: 9:30 am tank removal based on occurrence of contaminated sand. Barnstable Fire (Deputy Whitely) and Health (Gerry Dunning) Departments notified and called to site. Holes noted in tank. 1 Excavation of contaminated soils in area 8' (1)x6' (w)x5' (d). Sidewalls clean except within 6" of groundwater interface. Sheen noted on groundwater at 5 ft. depth. 1 Date: 12/24/92 Coastal Engineering Co. , Inc. at site to inspect conditions Time: 10:30 am and assess environmental impact. MA DEP notified of the situation with recommendation to set monitor well in tank grave to determine amount, if any, of free product and groundwater quality. Further recommendation to install passive vapor system and test private wells at site. Authorization granted by Rich Packard to proceed with recommendations. Time: 11 :00 am Install monitor well in tank grave and backfill around well with 3/8 aggregate. Unable to secure additional aggregate due to Christmas holiday. Flag hole and schedule additional work on Monday, December 28, 1992. Contact neighbors with offer ' to test private wells per Amresco request. Time: 12:00 pm Sample stockpile and secure with approximately. 8 yards of material . Depart site. Date: 12/28/92 Atlantic Tank returned to site to finish construction and Time: 10:00 am installation of passive vapor recovery system and monitor well . UST grave backfilled around vent and monitor well . Time: 2:00 pm Coastal Engineering Co. , Inc. to site to sample monitor well , ' on-site private wells (2) and abutters' wells (2). No free product noted in MW-1 on development and purging. No smell noted in any of the private._ ells. END OF LOG -� Submitted by: COASTAL ENGINEERING CO. , INC. David C. Bennett, R.S. , P.G. Hydrogeologist DCB/ca 1 t 1 1 1 1 1 1 r �f�, 1 1 1 1 1 1 1 r i � � i t 1 Groundwater Analytical, Inc. GROUNDWATER . 228 Main Street ANALYTICAL Buzzards Bay, MA 02532 Telephone (508) 759-4441 — i FAX (508) 759-4475 January 5, 1993 -. �........,..�. r Mr. David C. Bennett Coastal Engineering, Inc. 260 Cranberry Highway Orleans, MA 02653 Dear Dave: Enclosed are the Volatile Organic and Total Petroleum ,Hydrocarbons Analyses performed for the DEPCO-Atlantic Tank project, number C13-312, sampled on 12-24-92 and 12-28-92. This project was processed for Priority One Week turnaround. A brief description of the Quality Assurance/Quality Control procedures employed by Groundwater Analytical , and a statement of our state certifications are contained within the report. This letter authorizes the release of the analytical results and should be considered a part of this report. Should you have any questions concerning this report, please do not hesitate to contact me. ' Sincerely, Jonathan R. Sanford Vice President i JRNcac Enc osures 1 1 GROUNDWATER ANALYTICAL EPA METHODS 601 and 602 Volatile Organics (GC/PID/ELCD) Field ID: Private Well-73 Holly Lab ID: 4343-01 Project: DEPCO-Atlantic Tank/C13-312 Batch ID: VHA-1123-W Client: Coastal Engineering Sampled: 12-28-92 Cont/Prsv: 40ml VOA Vial/NaHSO4 Cool Received: 12-29-92 Matrix: Aqueous Analyzed: 01-01-93 PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) (ug/L) Dichlorodifluoromethane BRL 5 Chloromethane BRL 1 Vinyl Chloride BRL I Bromomethane BRL 5 Chloroethane BRL I Trichlorofluoromethane BRL 1 1,1-Dichloroethene BRL I Methylene Chloride - BRL 1 trans-1,2-Dichloroethene BRL I Methyl tertiaryy Butyl Ether * BRL 10 1,1-Dichloroethane BRL 1 cis-1,2-Dichloroethene * BRL I ' Chloroform BRL 1 1,1,1-Trichloroethene BRL 1 Carbon Tetrachloride BRL 1 Benzene BRL 1 1,2-Dichloroethane BRL 1 Trichloroethene BRL 1 1,2-Dichloropropane BRL 1 Bromodichloromethane BRL I 2-Chloroethylvinyl Ether BRL 1 trans-1,3-Dichloropropene BRL 1 Toluene BRL 1 cis-1,3-Dichloropropene BRL 1 1,1,2-Trichloroethene BRL I Tetrachloroethene BRL 1 Dibromochloromethane BRL 1 Chlorobenzene BRL 1 Ethylbenzene BRL 1 m+p-Xylene * BRL 1 o-Xylene * BRL I Bromoform BRL I 1,1,2,2-Tetrachloroethane BRL 1 1,3-Dichlorobenzene BRL I 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene BRL 1 QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS Bromochloromethane 30 31 102 % 83 - 117 Fluorobenzene 30 31 102 % 87 - 113 BRL = Below Reporting Limit. * Non-target compound. Method References: Method 601 - Purgeable Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). GROUNDWATER ANALYTICAL I EPA METHODS 601 and 602 Volatile Organics (GC/PID/ELCD) Field ID: MW-1/73 Holly Ln Lab ID: 4343-02 Project: DEPCO-Atlantic Tank/C13-312 Batch ID: VHA-1123-W Client: Coastal Engineering Sampled: 12-28-92 Cont/Prsv: 4Oml VOA Vial/NaHSO4 Cool Received: 12-29-92 Matrix: Aqueous Analyzed: 01-01-93 PARAMETER CONCENTRATION REPORTING LIMIT (u9/L) (ug/L) Dichlorodifluoromethane BRL 5 Chloromethane BRL I Vinyl Chloride BRL 1 Bromomethane BRL 5 Chloroethane BRL 1 Trichlorofluoromethane BRL 1 1,1-Dichloroethene BRL 1 Methylene Chloride BRL I trans-1,2-Dichloroethene BRL 1 Methyl tertiaryy Butyl Ether * BRL 10 1, 1-Dichloroethane BRL 1 cis-1,2-Dichloroethene * BRL 1 Chloroform BRL 1 1,1,1-Trichloroethane BRL 1 Carbon Tetrachloride BRL 1 Benzene BRL 1,2-Dichloroethane BRL i Trichloroethene BRL 1 1,2-Dichloropropane BRL 1 Bromodichloromethane BRL 1 2-Chloroethylvinyl Ether BRL 1 trans-1,3-Dichloropropene BRL I Toluene 2 1 cis-1,3-Dichloropropene BRL I 1,1,2-Trichloroethane BRL 1 Tetrachloroethene BRL 1 Dibromochloromethane BRL 1 Chlorobenzene BRL 1 Ethylbenzene 4 1 m+p-Xylene * 25 1 o-Xylene * 14 1 - ,� Bromoform BRL 1 1,1,2,2-Tetrachloroethane BRL I 1,3-Dichlorobenzene BRL 1 ' 1,4-Dichlorobenzene BRL I 1,2-Dichlorobenzene BRL 1 QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS Bromochloromethane 30 27 88 % 83 - 117 % Fluorobenzene 30 31 103 % 87 - 113 % 1 BRL = Below Reporting Limit. * Non-target compound. Method References: Method 601 - Purgeable Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). ■ GROUNDWATER ANALYTICAL EPA METHODS 601 and 602 Volatile Organics (GC/PID/ELCD) Field ID: Private Well-93 Holly Lab ID: 4343-03 Project: DEPCO-Atlantic Tank/C13-312 Batch ID: VHA-1123-W Client: Coastal Engineering Sampled: 12-28-92 Cont/Prsv: 4Oml VOA Vial/NaHSO4 Cool Received: 12-29-92 Matrix: Aqueous Analyzed: 01-01-93 PARAMETER CONCENTRATION REPORTING LIMIT (u9/L) (u9/L) Dichlorodifluoromethane BRL 5 Chloromethane BRL 1 Vinyl Chloride BRL 1 Bromomethane BRL 5 Chloroethane BRL 1 Trichlorofluoromethane BRL 1 1,1-Dichloroethene BRL 1 Methylene Chloride BRL 1 ' trans-1,.2-Dichloroethene BRL 1 Methyl tertiaryy Butyl Ether * BRL 10 1,1-Dichloroethane BRL 1 cis-1,2-Dichloroethene.* BRL 1 Chloroform BRL 1 1,1, 1-Trichloroethane BRL 1 Carbon Tetrachloride BRL I Benzene BRL 1 1,2-Dichloroethane BRL I Trichloroethene BRL 1 1,2-Dichloropropane BRL 1 Bromodichloromethane BRL 1 2-Chloroethylvinyl Ether BRL 1 trans-1,3-Dichloropropene BRL 1 Toluene BRL I cis-1,3-Dichloropropene. BRL 1 1,1,2-Trichloroethane BRL I Tetrachloroethene BRL 1 Dibromochloromethane BRL 1 Chlorobenzene BRL 1 Ethylbenzene BRL I m+p-Xylene * BRL I o-Xylene * BRL 1 Bromoform BRL 1 1,1,2,2-Tetrachloroethane BRL 1 1,3-Dichlorobenzene BRL 1 1 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene BRL 1 QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS Bromochloromethane 30 30 100 % 83 - 117 Fluorobenzene 30 30 102 % 87 - 113 BRL = Below Reporting Limit. * Non-target compound. Method References: Method 601 - Purgeable Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). GROUNDWATER ANALYTICAL EPA METHODS 601 and 602 Volatile Organics (GC/PID/ELCD) ' Field ID: Private Well-76 Holly Lab ID: 43 -43 04 Project: DEPCO-Atlantic Tank/C13-312 Batch ID: VHA-1123-W Client: Coastal Engineering Sampled: 12-28-92 Cont/Prsv: 40ml VOA Vial/NaHSO4 Cool Received: 12-29-92 Matrix: Aqueous Analyzed: 01-01-93 PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) (ug/L) Dichlorodifluoromethane BRL 5 Chloromethane BRL I Vinyl Chloride BRL 1 Bromomethane BRL 5 Chloroethane BRL 1 Trichlorofluoromethane BRL 1 1,1-Dichloroethene BRL 1 Methylene Chloride BRL 1 trans-1,2-Dichloroethene BRL 1 Methyl tertiary Butyl Ether * BRL 10 1,1-Dichloroethane BRL 1 cis-1,2-Dichloroethene * BRL 1 Chloroform BRL 1 1,1,1-Trichloroethane BRL 1 Carbon Tetrachloride BRL 1 Benzene BRL 1 1,2-Dichloroethane BRL 1 Trichloroethene BRL 1 1,2-Dichloropropane BRL 1 Bromodichloromethane BRL 1 2-Chloroethylvinyl Ether BRL 1 trans-1,3-Dichloropropene BRL 1 Toluene BRL 1 cis-1,3-Dichloropropene BRL 1 1,1,2-Trichloroethane BRL 1 Tetrachloroethene BRL 1 Dibromochloromethane BRL 1 Chlorobenzene BRL 1 Ethylbenzene BRL 1 m+p-Xylene * BRL 1 o-Xylene * BRL 1 -� Bromoform BRL 1 1,1,2,2-Tetrachloroethane BRL 1 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene BRL 1 ' 1,2-Dichlorobenzene BRL 1 QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS Bromochloromethane 30 29 98 % 83 - 117 Fluorobenzene 30 31 103 % 87 - 113 I BRL = Below Reporting Limit. * Non-target compound. Method References: Method 601 - Purgeable Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). l '' A t 1 1 1 1 1 1 1 1 � � 1 e i 1► 1 � I 1 1 1 1 1 1 1 1 i 1 1 �L ' GROUNDWATER ANALYTICAL EPA METHODS 601 and 602 Volatile Organics (GC/PID/ELCD) Field ID: Private Well-90 Holly Lab ID: 4343-05 Project: DEPCO-Atlantic Tank/C13-312 Batch ID: VHA-1123-W Client: Coastal Engineering Sampled: 12-28-92 Cont/Prsv: 40ml VOA Vial/NaHSO4 Cool Received: 12-29-92 Matrix: Aqueous Analyzed: 01-01-93 PARAMETER CONCENTRATION REPORTING LIMIT (u9/L) (ug/L) Dichlorodifluoromethane BRL 5 i Chloromethane BRL 1 Vinyl Chloride BRL 1 Bromomethane BRL 5 Chloroethane BRL 1 I Trichlorofluoromethane BRL 1 1,1-Dichloroethene BRL 1 Methylene Chloride BRL 1 trans-1,2-Dichloroethene BRL 1 Methyl tertiaryy Butyl Ether * BRL 10 1,1-Dichloroethane BRL 1 cis-1,2-Dichloroethene * BRL 1 Chloroform BRL 1 1,1, 1-Trichloroethane BRL 1 Carbon Tetrachloride BRL 1 Benzene BRL 1 I 1,2-Dichloroethane BRL 1 Trichloroethene BRL 1 1,2-Dichloropropane BRL 1 Bromodichloromethane BRL 1 2-Chloroethylvinyl Ether BRL 1 trans-1,3-Dichloropropene BRL 1 Toluene BRL 1 cis-1,3-Dichloropropene BRL 1 1,1,2-Trichloroethane BRL 1 Tetrachloroethene BRL 1 Dibromochloromethane BRL 1 Chlorobenzene BRL 1 Et!hylbenzene BRL 1 m+p-Xylene * BRL 1 o-Xylene * BRL 1 Bromoform BRL 1 1,1,2,2-Tetrachloroethane BRL 1 1,3-Dichlorobenzene BRL 1. 1 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene BRL 1 QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS Bromochloromethane 30 31 104 % 83 - 117 Fluorobenzene 30 31 102 % 87 - 113 BRL = Below Reporting Limit. * Non-target compound. Method References: Method 601 - Purgeable Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). j • i ' GROUNDWATER ANALYTICAL EPA METHOD 418.1 (Modified) Total Petroleum Hydrocarbons (IR) 1 Field ID: Stockpile Lab ID: 4343-06 Project: DEPCO-Atlantic Tank/C13-312 Batch ID: HI-0293-X Client: Coastal Engineering Sampled: 12-24-92 Cont/Prsv: 500ml Glass/Cool Received: 12-29-92 Matrix: Soil Percent Moisture: 14 % Extracted: 12-30-92 Analyzed: 12-31-92 1 PARAMETER CONCENTRATION REPORTING LIMIT (mg/Kg) (mg/Kg) Total Petroleum Hydrocarbons 12,060 830 1 1 Elevated reporting limit due to required sample dilution. BRL = Below Reporting Limit. Calculations ' based on dry sample weight. Method Reference: Method 418.1 (Spectrophotometric, Infrared) - Petroleum Hydrocarbons, Total . Recoverable, Methods for Chemical Analysis of Water and Wastes, US EPA EPA-600/4-79-020, Revised (1983). Adapted for solids by Method 3540 (Modified) - Soxhlet Extraction, Test Methods for Evaluating Solid Waste, US EPA SW-846, Third Edition (1986). i GROUNDWATER 228 Main Street CHAIN-OF-CUSTODY RECORD ANALYy Buzzards Bay, MA 02532 N4 4055 TICAL Telephone (508) 759-4441 AND WORK ORDER FAX (508) 759-4475 Project Name: Firm: �jy fin. TURNAROUND ANALYSIS REQUEST .s/^'i W r�,1 fVP,•`�i�'�p. �'�7"`' 1J�'I F�a.Y-} ��-V�•• Vol•lu•s simlwlatli••I PesUN•rb w•tni8 crb— w-w Other - ❑ STANDARD(10 Business Days) Project Number: Address: LL m �.t3-31Z �, PRIORITY(5 Business Days) 0 0 a r r ❑ RUSH (RAN-1 0 ;❑❑ ��8, o =` S'ammyplle'r NaJmmee:/�/},}'} Cit /State/ZI (Rush requires Rush Authorization Number) ¢F J m co U r Z U y" m x V'� `-U•GI, �.P y p r• •ft. v 0 0 w F 0 <0 0 F a a 3 F ] ii � 5 0 Please FAX YES ❑ NO ❑o❑❑ ❑ 0000 ❑ m ❑o - a �55-6T0�0 � FAX Number: a Project Manager: m < ° ❑ 1 9 Telephone: z A Ar 69$72e6 E{)1 BILLING o 0 a (a m� 8 C o ❑ ❑ ❑ ❑ ❑❑ ❑❑❑ tL > INSTRUCTIONS: Use separate line for each container(except duplicates).i Purchase Order No: Ct3-312 o pp Cl❑ r Sampling Matrix Containers) Preservation Fine red g g ' 5 m o <o Z ❑ ❑ ❑ ❑ ❑ ❑ - 0-1 M O = ❑ SAMPLE ¢ m LABORA UMBERTORY w ❑ $ i Z 5 $ ❑ S ❑ w IDENTIFICATION )¢' m J Q $ c 8 g $ ¢ m e V < i3 i 2 w o (I abN Use Onty) h $ o �, .3 j a F 3 y 3 Z -� -� N Z 2 S S - ) 2 tt ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 000 El ❑ ❑ H ❑ 3 I -Z!iS u1i?Ivmbl X 2- X X �' 3 1 0 3W rrw-t -o t5 �i3tb1 U% Ix Ik x gab 1 to X g )� �:ao 01 Z ►� i t I:00 A 4�3T6 a Z O REMARKS/SPECIAL INSTRUCTIONS PROJECT SPECIFIC MATRIX CHAIN-OF-CUSTODY RECORD SPIKES and DUPLICATES Marry regulatory programs and EPA NOTE:All samples submitted subject to Standard Terms and Conditions on reverse hereof. Shipping/Airbill Number methods require project specific matrix R quished b ampl Date Time R by: spikes andbr duplicates.Each requested 1 , ��\ �' w e matrix spike(MS),matrix spike duplicate. /l.-. tL 7� I V r' (MSD)and sample duplicate should be listed above as a separate sample.Each Re inquished by: Date 'Time Micelved by: Custody Seal Number: MS,MSD and sample duplicate requires an additional sample aliquot. ❑YES.Please perform a project specific R MS,MSD or sample duplicate as Relinquished by: Dat Time Received by Laboratory: requested above. ❑NO.Please do not perform a project ` Cooler Serial Number. IrAn specific MS,MSD,)r sample duplicate analysis for this project. ethod of Shipment: GWA Co rier ❑ Elpress Mail O Federal Express ❑ UPS 0 Hand 0 1 , ' GROUNDWATER ANALYTICAL QUALITY ASSURANCE QA/QC Program Statement Groundwater Analytical conducts an active Quality Assurance program to ensure the production of high quality, valid data. This program closely follows the guidance provided by Interim Guidelines and Specifications for Preparing Quality Assurance Project Plans, US. EPA QAMS-005/80 (1980) , and Test Methods for Evaluating Solid Waste, US EPA SW-846, Third Edition (1986) . Quality Control protocols include Standard Operating Procedures (SOPS) developed for each analytical method. SOPS are derived from US EPA methodologies and other established references. Equipment and facility maintenance conform to Good Laboratory Practices �GLPs) . Standards are prepared from commercially obtained reference materials of certified purity, and documented for traceability. Quality Assessment protocols for most organic analyses include a minimum of one calibration standard, one method blank, one laboratory control sample, and one matrix spike/duplicate pair . for each sample batch. All samples, standards, blanks, laboratory control samples and matrix spikes are spiked ' with internal standards and surrogate compounds. GC/MS systems are tuned to BFB ion abundance criteria daily, or for each 12 hour operating period, whichever is more frequent. Quality Assessment protocols for most inorganic analyses include a minimum of one calibration standard, one method blank, one sample duplicate, one laboratory control sample, and. one matrix spike/duplicate pair for each sample batch. Standard curves are derived from one reagent blank and four concentration levels. Curve validity is verified by standard recoveries within plus or minus ten percent of the curve. .� Batches are used as the basic unit for Quality Assessment. A Batch is defined as twenty or fewer samples which are analyzed together with the same method sequence and the same lots of reagents and with the same manipulations common to each sample within the same time period or in continuous sequential time periods. .Method Blanks are used to assess the level of contamination present in the -analytical system. Method Blanks consist of reagent water or purified soil . Method Blanks are taken through all the appropriate steps of an analytical method. Sample data reported is not corrected for blank contamination. Laboratory Control Samples are used to assess the accuracy of the analytical method. A Laboratory Control Sample consists of reagent water or purified soil spiked with a group of target compounds representative of the method analytes. Accuracy is defined as the degree of. agreement of a measured value with the true or expected value. Percent Recoveries for the Laboratory Control Sample are calculated to assess accuracy. Surrogate Compounds are used to _assess the effectiveness of the method in dealing with each sample matrix. Surrogate Compounds are organic compounds which are similar to organic analytes of interest in chemical behavior, but ' which are not normally found in environmental samples. Percent Recoveries are calculated for each Surrogate Compound. r GROUNDWATER ANALYTICAL ' QUALITY ASSURANCE Laboratory Control Sample Recovery Category: EPA Methods 601 and 602 Batch ID: VHA-1123-WL Matrix: Aqueous Units: ug/L Laboratory Control Sample SPIKE SPIKED PERCENT QC ANALYTE ADDED RESULT RECOVERY LIMITS ' 1,1 Dichloroethene 50 41 83 % 61-145 Benzene 50 50 100 % 76-127 Trichloroethene 50 47 95 % 71-120 Toluene 50 48 96 % 76-125 Chlorobenzene 50 46 92 % 75-130 1 I All calculations performed prior to rounding. Quality Control Limits are defined by the methodology, or alternatively based upon the historical average recovery plus or minus three standard deviation units. GROUNDWATER ANALYTICAL QUALITY ASSURANCE Method Blank Category: EPA Methods 601 and 602 Batch ID: VHA-1123-WB1 Matrix: Aqueous ' PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) (u9/L) Dichlorodifluoromethane BRL 5 Chloromethane BRL 1 Vinyl Chloride BRL 1 Bromomethane BRL 5 Chloroethane BRL 1 Trichlorofluoromethane BRL 1 1, 1-Dichloroethene BRL 1 ' Methylene Chloride BRL 1 trans-1,2-Dichloroethene BRL 1 Methyl tertiaryy Butyl Ether * BRL 10 1,1-Dichloroethane BRL 1 cis-1,2-Dichloroethene * BRL 1 Chloroform BRL 1 1,1,1-Trichloroethane BRL 1 Carbon Tetrachloride BRL 1 Benzene BRL 1 1,2-Dichloroethane BRL 1 Trichloroethene BRL 1 1,2-Dichloropropane BRL 1 Bromodichloromethane BRL 1 2-Chloroethylvinyl Ether BRL 1 trans-1,3-Dichloropropene BRL 1 Toluene BRL 1 cis-1,3-Dichloropropene BRL 1 1,1,2-Trichloroethane BRL 1 Tetrachloroethene BRL 1 Dibromochloromethane BRL 1 Chlorobenzene BRL 1 Ethylbenzene BRL 1 ' m+p-Xylene * BRL 1 o-*Xyl ene * BRL 1 Bromoform BRL 1 1,1,2,2-Tetrachloroethane BRL 1 - , 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene BRL . 1 QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS Bromochloromethane 30 27 89 % 83 - 117 Fluorobenzene 30 31 102 % 87 - 113 BRL = Below Reporting Limit. * Non-target compound. Method References: Method 601 - Purgeable ' Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). GROUNDWATER ATEE? ANALYTICAL QUALITY ASSURANCE Laboratory Control 'Sample Recovery ' Category: EPA Method 418.1 (Modified) Batch ID: HI-0293-XL Matrix: Soil ' Units: mg/Kg Laboratory Control Sample ' SPIKE SPIKED PERCENT QC ANALYTE ADDED RESULT RECOVERY LIMITS Fuel Oil No. 2 880 880 100 % 80-120 l i All Calculations performed prior to rounding. Quality Control Limits are defined by the methodology, or ' alternatively based upon the historical average recovery plus or minus three standard deviation units. ' GR13UNDWATER ANALYTICAL QUALITY ASSURANCE Method Blank ' Category: EPA Method 418.1 (Modified) Batch ID: HI-0293-XB1 Matrix: Soil PARAMETER CONCENTRATION REPORTING LIMIT ' (mg/Kg) (mg/Kg) Total Petroleum Hydrocarbons BRL 30 BRL = Below Reporting Limit. Calculations based on dry sample weight. Method Reference: Method 418.1 (Spectrophotometric, Infrared) - Petroleum Hydrocarbons, Total Recoverable, Methods for Chemical Analysis of Water and Wastes, US EPA EPA-600/4-79-020, Revised (1983). Adapted for solids by Method 3540 (Modified) - Soxhlet Extraction, Test Methods for Evaluating Solid Waste, US EPA SW-846; Third Edition (1986). ' 'GROUNDWATER ANALYTICAL ' QUALITY ASSURANCE State Certification ' CONNECTICUT Certificate Number Department of Health Services PH-0586 ' Potable Water, Wastewater/Trade Waste, Sewage/Effluent, and Soil: Purgeable Halocarbons, Purgeable Aromatics, Pesticides, Phenols, Oil and Grease, Aluminum, Antimony, Arsenic, Beryllium, Cadmium, Chromium-T, Chromium-VI, Cobalt, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Nickel, Potassium, Selenium, Silver, Sodium, Thallium, Tin, Vanadium, Zinc, Cyanide, TDS, Ammonia, TKN, Nitrate, 1 Ortho-Phosphate, Alkalinity, Hardness, Chloride, Fluoride, pH, Conductivity MAINE Certificate Number Department of Human Services N/A ' Reciprocal certification in accordance with Massachusetts certification for drinking water parameters. MASSACHUSETTS Certificate Number ' Department of Environmental Protection MA103 Potable Water: Antimony, Arsenic, Barium, Beryllium, Cadmium, Chromium, Copper, Lead, Mercury, Nickel, ' Selenium, Silver, Thallium, Nitrate-N, Nitrite-N, Fluoride, Cyanide, Calcium, Total Alkalinity, Total Dissolved Solids, pH, Langelier Index, Trihalomethanes, Volatile Organic Compounds, 1,2-Dibromoethane, 1,2-Dibromo-3-chloropropane. Non-Potable Water: Aluminum, Antimony, Arsenic, Beryllium, Cadmium, Chromium, Cobalt, Copper, Iron, Lead, Manganese, Mercury, Molybdenum, Nickel, Selenium, Silver, Strontium, Thallium, Titanium, Vanadium, Zinc, pH, Specific Conductivity, Total Dissolved Solids, Total Hardness, Calcium, Magnesium, Sodium, Potassium, Total Alkalinity, Chloride, Fluoride, Ammonia-N, Nitrate-N, Kjeldahl-N, Orthophosphate, Total Cyanide, Oil and Grease, Total Phenolics, Volatile Halocarbons, Volatile Aromatics, Chlordane, Aldrin, Dieldrin, DDD, ODE, DDT, Heptachlor, Heptachlor Epoxide, Polychlorinated ' Biphenyls (Water), Polychlorinated Biphenyls (Oil). MICHIGAN Certificate Number Department of.Public Health N/A Drinking Water: Antimony, Arsenic, Barium, Beryllium, Cadmium, Chromium, Copper, Cyanide, Fluoride Lead PP Y > Mercury, Nickel, Nitrate, Nitrite, Selenium, Silver, Sodium, Sulfate, Thallium, Total Trihalomethanes, Regulated and Unregulated Volatile Organic,Chemicals. NEW HAMPSHIRE Certificate Number Department of Environmental Services 202791-A/B Drinking Water: Lead, Selenium, Silver, Thallium, Trihalomethanes, Volatile Organics, Antimony, Arsenic, Barium, Beryllium, Cadmium, Chromium, Copper, Mercury, Nickel, Fluoride, Total Filterable ' Residue, Calcium, Alkalinity, pH, Corrosivity, Total Cyanide, Vinyl Chloride, DBCP and EDB. Wastewater: Arsenic, Beryllium, Cadmium, Cobalt, Copper, Iron, Mercury, Manganese, Nickel, Lead, Selenium, Zinc, Antimony, Silver, Thallium, Molybdenum, Strontium, pH, Total Hardness, Calcium, Sodium, Potassium, Total Alkalinity, Chloride, Fluoride, Nitrate-N, TKN, Orthophospates, Total Phenolics, Oil & Grease, PCBs in Oil, Pesticides, Volatile Organics, Titanium, Total Cyanide, PCBs in Water. RHODE ISLAND Certificate Number Department of Health N/A Recognition of Massachusetts certification. i i 1953 1953 GR13 ,N®����� ) Groundwater Analytical, Inc. `•Y '+ 228 Main Street ANALYTICAL NALYTIC A Buzzards Bay, MA 02532 Telephone (508) 759-4441 FAX (508) 759-4475 January 27, 1993 Mr. David C. Bennett Coastal Engineering, Inc. ' 260 Cranberry Highway Orleans, MA 02653 Dear Dave: 1 Enclosed is the Volatile Organic Analysis Performed for the DEPCO 73 Holly Lane project, number C13-312, sampled on 01-25-93. This project was processed ' for Rush turnaround. A brief description of the Quality Assurance/Quality Control procedures employed by Groundwater Analytical , and a statement of our state ' certifications are contained within the report. This letter authorizes the release of the analytical results .and should be considered a part of this report. ' Should you have any questions concerning this report, please do not hesitate to contact me. ' Sincerely, Jonathan R. Sanford Vice President I JRNcac Enc osures 1 i ' GROUNDWATER ANALYTICAL ' EPA METHODS 601 and 602 Volatile Organics (GC/PID/ELCD) ' Field ID: MW1 Lab ID: 4513-01 Project: DEPCO/73 Holly Lane/C13-312 Batch ID: VHA-1138-W Client: Coastal Engineering Sampled: 01-25-93 Cont/Prsv: 40ml VOA Vial/NaHSO4 Cool Received: 01-26-93 Matrix: Aqueous Analyzed: 01-27-93 PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) (ug/L) Dichlorodifluoromethane BRL 5 ' Chloromethane BRL 1 Vinyl Chloride BRL 1 Bromomethane BRL 5 Chloroethane BRL 1 Trichlorofluoromethane BRL 1 1,1-Dichloroethene BRL 1 Methylene Chloride BRL 1 trans-1,2-Dichloroethene BRL 1 ' 1,1-Dichloroethane BRL 1 cis-1,2-Dichloroethene * BRL 1 Chloroform BRL 1 1,1,1-Trichloroethane BRL 1 Carbon Tetrachloride BRL 1 Benzene BRL 1 ' 1,2Dichloroethane BRL 1 Trichloroethene BRL 1 1,2 Dichloropropane . BRL 1 Bromodichloromethane BRL 1 2=Chloroethylvinyl Ether BRL 1 trans-1,3-Dichloropropene BRL 1 Toluene BRL 1 cis-1,3-Dichloropropene BRL 1 1,1,2-Trichloroethane BRL 1 Tetrachloroethene BRL 1 Dibromochloromethane BRL 1 Chlorobenzene BRL 1 Ethylbenzene 2 1 m+pp Xylene * 9 1 o-Xylene * 8 1 Bromoform BRL 1 1,1,2,2-Tetrachloroethane BRL 1 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene BRL 1 QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS Bromochloromethane 30 28 94 % 83 - 117 ' Fluorobenzene 30 30 101 % 87 - 113 BRL = Below Reporting Limit. * Non-target compound. Method References: Method 601 - Purgeable Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). t GROUNDWATER ew,/� Buz Main Street CHAIN-OF-CUSTODY RECORD bq�i�'Kg®Lf•"®/r�if/yT�R Buzzards Bay, MA 02532 N° 3947 ANALYTICAL Telephone (508) 759-4441 AND WORK ORDER FAX (508) 7594475 Project Name: Firm: TURNAROUND ANALYSIS REQUEST ,t I ❑ STANDARD(10 Business Days) Vwantes S«rwvotatu„I paat/Herb Metals ,,,� other Project Number: Address: Z�v fSC�R-� ( Days) 0 r r s i q►1 ❑ PRIORITY 5 Business Da � �K RUSH (RAN. !?3 ) o ��D� o�� S " S Sampler Name: Ci /State/Zi (Rush requires Rush Avthorlrasion Number) F m o o E tY p Please FAX YES ❑ NO o o a ❑ ❑ ❑❑00, o y;jI 00 eta �. �iu�unt t3tx �t,L�l,tl. r�l a, o FAX Number: 40P-Z4 ;—(e7D0 a Project Manager: Telephone: g} yj x m `3 ¢ € a ❑ •/ V �.J l`���V `�/ ~ti ` BILLING o n 8S X ,X n w Cy g O fO O ❑ O ❑ ❑O ❑O❑ a > INSTRUCTIONS: Use separate line for each container(except duplicates). Purchase Order No: C�_31Z o ❑ gg ❑ 3 Sampling Matrix Contalner(s) Preservation Filtered Q $ $ o m = a o = > o Z ❑ ❑ ❑ ❑ ❑ O O ❑act O 2 ¢ 8 D ABORA o LTORY z x _ SAMPLE x . 1 NUMBER ru t ] J �+ IDENTIFICATION E D (Lab Use Only) � � � $ R 8 ggg[Oi $ m^~ � Y ❑ � v III MWI x 1 J XI W . r m z v 0 REMARKS/SPECIAL INSTRUCTIONS PROJECT SPECIFIC MATRIX CHAIN-OF-CUSTODY RECORD SPIKES and DUPLICATES Marry regulatory programs and EPA NOTE:All samples submitted subject to Standard Terms and Conditions on reverse hereof. Shipping/Airbill Number methods require project specific matrix li uis pi Date Time Received by: spikes and/or duplicates.Each requested t t matrix spike(MS),matrix spike duplicate (L8 •6= 1`v r'T (MSD)and sample duplicate should be Ilsted above as a separate sample.Each Relinquished by: Date Time r Custody Seal Number. MS,MSD and sample duplicate requires an additional sample aliquot. -1 O YES.Please perform a project spedfic Iv MS,MSD or sample duplicate as Relinquished by: Date Time Received by Laboratory: requested above. ❑NO.Please do not perform a project Cooler Serial Number. specific MS,MSD or sample duplicate analysis for this project. Method of Shlp nt: GWA C Z1J ❑ Exp ess Will 0 Federal Express UPS 0 Hand 0 �'�� ' GROUNDWATER ANALYTICAL ' QUALITY ASSURANCE Laboratory Control Sample Recovery Category: EPA Methods 601 and 602 Batch ID: VHA-1138-WL Matrix: Aqueous ' Units: ug/L Laboratory Control Sample SPIKE SPIKED PERCENT QC ANALYTE ADDED RESULT RECOVERY LIMITS 1,1 Dichloroethene 50 40 79 % 61-145 Benzene 50 49 98 % 76-127 Trichloroethene 50 46 93 % 71-120 Toluene 50 47 94 % 76-125 Chlorobenzene 50 46 93 % 75-130 I 1 All calculations performed prior to rounding. Quality Control Limits are defined by the methodology, or alternatively based upon the historical average recovery plus or minus three standard deviation units. M GROUNDWATER ANALYTICAL QUALITY ASSURANCE Method Blank Category: EPA Methods 601 and 602 Batch ID: VHA-1138-WB1 Matrix: Aqueous PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) (ug/L) ' Dichlorodifluoromethane BRL 5 Chloromethane BRL 1 Vinyl Chloride BRL 1 Bromomethane BRL 5 Chloroethane BRL 1 Trichlorofluoromethane BRL 1 1,1-Dichloroethene BRL 1 Methylene Chloride BRL 1 trans-1,2-Dichloroethene BRL 1 Methyl tertiaryy Butyl Ether * BRL 10 1,1-Dichloroethane BRL 1 ' cis-1,2-Dichlo.roethene * BRL 1 Chloroform BRL 1 1,1,1-Trichloroethane BRL 1 Carbon Tetrachloride BRL 1 Benzene BRL 1 1,2-Dichloroethane BRL 1 Trichloroethene BRL 1 ' 1,2-Dichloropropane BRL 1 Bromodichloromethane BRL 1 2-Chloroethylvinyl Ether BRL 1 trans-1,3-Dichloropropene BRL 1 Toluene BRL 1 cis-1,3-Dichloropropene BRL 1 1,1,2-Trichloroethane BRL 1 ' Tetrachloroethene BRL 1 Dibromochloromethane BRL 1 Chlorobenzene BRL 1 Ethylbenzene BRL 1 m+p-Xylene * BRL 1 o-Xylene * BRL 1 Bromoform BRL 1 ' 1,1,2,2-Tetrachloroethane BRL 1 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene BRL 1 ' QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS Bromochloromethane 30 26 86 % 83 - 117 IFluorobenzene 30 30 99 % 87 - 113 BRL = Below Reporting Limit. * Non-target compound. Method References: Method 601 - Purgeable, Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986): i It t � I R m 1 � � Ii 1 1 1 1 i r 1 1 i 1 1 1 1 1 r yo�TNrro`. The. Town of Barnstable Health Department 367 Main Street, Hyannis, MA 02601 rua Office 508-790-6265 Thomas A. McKean FAX 508-775-3344 Director of Public Health December 23, 1992 DEPCO Credit Union P. O. . Box 8399 ' Warwick, RI 02888 Attention: Steven Hayes RE: Order To Remove Underground Fuel Storage, System Located at 73 Holly Lane, Centerville. Dear Mr. Hayes: Soil contamination in close proximity to the underground fuel storage tank located at 73 Holly Lane, Centerville, indicates the possibility that the tank may be leaking, according to Charlotte Stiefel of the Barnstable County Health and Environmental Department. You are directed to remove this underground fuel storage tank Y 9 g within seventy-two (72) hours of this notice You may request a hearing before the Board of Health if a written petition requesting same is received by the Board within seven ' (7 ) days of receipt of this order. Failure to comply with an order of the Board of Health may result in a fine of up to $500, each day's failure to comply with. ' 'his order, when signed b the Director of Public Health, shall g Y constitute as an order of the Board of Health. PER 0 ER OF TH=OARD ALTH ' Thomas A.. McKean Director of Public Health TOWN OF BARNSTABLE I TM/bcs cc: Board of Health Donna Miorandi David Dunbar 1 FFH 01':` F. t, rr+;3 -OSTERVILLE•MARSTONS MILLS FIRE DISTRICT CEt�i ERV1l.t. OFFICE OF THE FIRE DEPARTMENT ' 1926 1875 Houte 28 • Centervillo, MA 02632-3117 508.790.2380 • FAX: 508.790.2385 J& 4 Fareng?on,Chiol G!Gn S Wdtvz,l au'OdntF;re Insp,tbr Craw E Wniraloy,6opury Cnio( !:a^:n O'L Mad-loci/.hw;ecsr.cF ro In;pYrcr ' 21E SURVEY REQUEST FORM ' DATE: APPLICANT: NAME: David Bennett PHONE: /� COMPANY: �.((Z F�4 P a�TT%rT�.r��g Cn ' ADDRESS: 260 Cranberry Highway, Orleans, NIA 02653 i — . REPRESE.NTING: NAME: PHONE: ' COMPANY: ADDRESS: pROPERT -S TO RE $QRVEYED: (AT $10.00 PER PROPERTY) ADDRESS: lilnl 1 y 1 �n4+_ (�'� t ' ADDRESS: ' ADDRESS: I ADDRESS: ' ADDRESS: ADDRESS: 1 TOTAL COST FOR SURVEY: $ 10.00 (JMAKE CHECKS PAYABLE TO: C.O.M.M. FIRE DEPARTMENT) C.O.M.M. FORM l 88 rr �r r rr rr �r rr �r rr �r rr rr rr �r r rr r rr rr LL it KAMZ MID ADDRESSOF 1 S C` (ten • - ` `lA�f'i. r.. �; APP±?CVFD TANK YARD --44_.ttri _ �. APPROVED TA.'7K YARD MO. Tank Yard Ledger 502 CXR 3-Z(4) Number: / del -r Penalty of Iarw Z. have per�rxsall L / C ,' ''- a}pxovrd tank Yard" by flrn Y exanir�ed the --�= -� � r0ra t.ion or 3 /1�s�t nrage tbeguiatir 592 C 3.00 Pttn+isicrosf�P+ s`ww in oc�nfcrn ,.* xshi ith liaesac}�--���^!�`/�A vaI id perati t �q 1 Appc- v iryq t � ire Prevp�ti this Lark to tY LOCAL }t8ad of P is e S tee 1 ^a torte Tasilc cn Marne and offici s Yam. rnt FUIDi G q and owner or a•ners authorLed representat[ve: S- -� This ai Tn receipt of disposal t be returnad to0cal "++TE S,(2gD EU.ZDB / head of the f ire^�- �l/ i ►+8trt tO 02 Cry 3 t 0 {FAC71 \K K.Lsp HAVE A �7PT �t FORM F.P. o ) PPJt9'AL.5CFFICB iL W L.J lL l� W L �y {1I Imo, �W W ' -- -­FEB Cl +� lt.:07 E;11 .•:,=:T.FI�'E GEr'?"........ - P.a ` j .FORM F.P.. 292 (rev. 9190) 011e 611111Tu1s1tonlIf1l lif maolltlf4ttutfil ` U r Department of Public I'S"afiet Division of Fire Prevention and Regulation ' Amic11 m rf A P xr, Am Pf.Flm, min nwoya ANb TRANSPORTATION TO APPROVED TANK YARD P'DIDi_. Q1920 Permit # _ Date December- 24, 1 Centerville City,Town a MUM J' C . 82 S . 4 0 14 . 0 t . • FE 10-.00 r �0►�� OIC 9225 8 063 NUMBER Fee Paid:.+ I� LL�t.J start date n accordance with the provisions of Chapter 148, See. 3CA, H.G.L. , 527 CMR 9.00 application is hereby made by:_ Atlantic Tank Service - street Addresu & City or 'Town: P.O. Box 94, S. Dennis, MA 02660 Signature or applicant: Applicants name printedt _. For permission to remove and transport one underground storage tank from. owner: Amresco Eank of�Rl street-Address: 13 Holly Lane, Centerville 4_T , rirm transporting waste: Atlantic Tank Services State Li,c. # NIAV000010999 hazardous waste nanifest. f £.P.A. # Approved tank yard: T r. Grant _ _ # 03501 Tank yard Address: Readville t Kk ' Type of inert gas: UL tank #: Tank capacity: �00 Substance last stored: fI2 Fuel Oil December 24, 92 January 7, 93 Date of issue: Date of expiration: Si nature Title of Officer granting permit, 1 s KEEP o I IN ASAPPLICATION AND ISS "DUPLICATE. AS PERM � T Q ' FEB 0,1, CEf,ITERYILL.E-NTERVILLE-MA.RSTOP!3 MILLS ' FIRE DfST�?ICT 1875 ROUTE 28 CENTER`IILLE,MA.. 02634 ' (508) 790-2380\FAXz (508) 790-2385 OIL/HA?ARDOUS MATERIAL PELEASE FORM ' F.A '. (O88 LOCATION' ' ADDRE55 OF PELEASE: I',S ' DATE OF RELEAZE: PPCAJUCT RELEASED' �' ���-,►-�G o►l _ EST!MATED ul ANTITY ���.;o��F,.) CCNPECTIVE ACTI0`1 TAfIM BY.PESPCIWABLE PARTY'-� )+�- ^�� 6Lrk=rO NOTIFICATIC+15. RP,E MPAR7I1ENT:YH (/),No; 1 ATc TIME: 14AT:C,r,AL TcP. C. i ) .aT=. 12-ii'-�`!_ T;rIE. _ 2 � DEPT. GF CNvIPONNEr'1TAL Prf�TE+_TI- r; YES ( lO i l Cu�.TE: 1Z-Z �+'-TINE._LLA5 D�'-i OIL SP!LL COKrPLINATOP: YES ( i No O DATE: TOWN BOARD i;F HE AL TH' YES ()ATE: f?-'8 `�'- TIME'-Cla: to TOWN HAREGRf'IA'3- .: YES ( ) NO i i DATE: _ Till: ' OTHER Af;ENCIES. COMMENTS !_�I( t1t�,,,�,)-�r�C� -'Z_S? �; �Q � ; � l�.J�? f,.! .c_.U2-�<r�►,�r��,o -� s1� * "GQr-►� r.)GnQ 720 L(e ' -sr �,� .�T.�yN�,Pa t �� —nf;T�1 r4� �';�L. �►.) i^�'1�)�f!> A�`3i."� . REPORT�UDg � C' r��'�L- 9A�F,,1�1rL:T�e.l �' DATE,_ L21,4�Z_ A t A i 1{• COPY- .' y INK O Y- f•AGPT CF HE LTa +�H►,_ 1,_P. r I,�t DEP�•PTi�E.lT YE__..�Ct,F, D.E.fJ P T,I. C„P. E� , ■ FEB Y JYF\ T. ! /�► 1 T .>N_� -c-) L -r'r1C�l -- 1 .F:..... Lo'n •P tn'eiii::..::: `�. r• •'I'•wn' bite' ...... `' :•�':':.`::'.'. !r •� e l,O r •!' .Jai::;:::::• �'� :>�:`.�:`��:::::.;:'.`.�'�'.:'`�'':� 'pry (P�1•• '•� ti:•.ii 7 i:.e ....pt �. I' -�]; I�'�'•.,' •i' ,, .:r•;;.::iaiiitiitiititiiii �,�`''�'�''.'•` 1W, '-!ie\ :�' ti ta'r[; , .ittci........ ............i:it tJ y •. ,�;1 CO I a.^ O �... .... r OR ........� _1, Jim mot......:. .:K':k• 60 tjee ». v5' SO C�tTL "ink SO 26 �d of,Al'• Z (l� p iiia'�?r.'t:i:it f•:':':}r':::' 1 p 0% •r•:C o r� _ ..... .•": .:'fir `'+• :j. - ' v.. 'I•'• , -�" 0.. iaii:f�'r iiciitii ita............... :j''''.'""N' :i• �.;. act .. C u ii is .. tir,:.•,::: sruddr BnY I '`• ', - �' t� :sf.''l �'v.::i:::...:•:::iiiiii.iiitit <•,. . . �r ©r�( \p - .1�� '••Yl , •'r: � r� 1 `.••:� .'.'a.LQ• :::::.�::a::�::y :f {•f.7,r r .; •y0 .�E'��;\` .��.\. art... .:,Garr:):':;.;..;:�/::': Cranb�r.y ' :'I ' l •'R,.?� Slot �' { �rr;• .T {I�hM• �,a�N l !.. tit C 0 ° rai villci�:�'Y ` �, .'•'� ` 1� t. tLS�I' %''` ':;%:•N� ;rY• a;:;• CraiKCiI�C' VF3eaCn 'r'l •Lr•� I I' �JI• 1• •'1;'i��'•' Beach Nock y.. 1 a� 0° ('ENrll':RVII,LE HARBOR W Islan C c� O v »�wnnl SOURCE: CAPE COD PLANNING AN® ECONOMIC DEVELOPMENT COMMISS ' 1982 ' CEC File No. : C-13-312 EMERGENCY REMEDIAL RESPONSE QUARTERLY REPORT SUPPORTING DOCUMENTATION CENTERVILLE, MA: S92-0951 73 Holly Lane Amresco Bank of Rhode Island APRIL, 1993 fPrepared for: Amresco Bank of Rhode Island P.O. Box 8399 Warwick, RI 02888 Prepared by: Coastal Engineering Co. , Inc. 260 Cranberry Highway Orleans, MA 02653 I Apperdix A: Laborut.ory Analysis Registered Professional Engineers& Land Surveyors _ (508) 255 6511 Coastal EngineeringCo. Fax: (508) 255-6700 inc. •Civil&Architectural Engineering/Site/Foundation/Shore Protection/Sanitary •Consultants for Structural Analysis,Project Feasibility,Environmental• 260 Cranberry Highway ' •Land Surveying• Orleans, MA 02653 File No. : C-13-312 1 April 28, 1993 1 Mr. Richard Packard, ERS, BWSC MA DEP - SERO 20 Riverside Drive, Route 105 Lakeville, MA 02347 ' Re: CENTERVILLE, MA: S92-0951 73 Holly Lane Amresco Bank of Rhode Island Emergency Remedial Response Quarterly Report Dear Mr. Packard: Pursuant to the filed with the Department by Coastal Engineering Co. , Inc. , dated 2/24/93, the groundwater test results represent the second round of quarterly sampling for a one year monitoring program. This filing includes analytical test results for a sample taken 4/05/93. A Certificate of Recycling for contaminated soil is also included for your use. Groundwater quality results for MW-1 indicates that volatile organic compound (VOC) levels are now below reporting level (BRL). Based on these findings, there is no apparent groundwater impact or concern relative to off-site migration of contamination. Coastal Engineering shall continue quarterly monitoring with the next sampling date scheduled for 7/05/93. This round of sampling 1 and analysis of the monitor well is being conducted to satisfy contingencies for the Department's "No Further Action" decision at the property. Should you have any questions or require additional information, please contact me at your convenience. Very truly yours, AST L ENGINYER0. , J hn G. SchnaR.S. JGS/ca Enclosure cc: Steven Hayes/Bob Sampson, Amresco Bank of Rhode Island Deputy Chief Whitely, Oster-Centerville Fire Department Gerry Dunning, Barnstable Health Department Brian Cobb, Cobb Real Estate Printed on recycled paper rR 1 1 1 i 1 1 1 1 1 1 � i i � . i BandonTrimount -7. ts,ubsicliary ARDON .RIMO INC. ru1993 of Evered Bardon USA,Inc. AFFILIATES: April 6, 1993 amount Bituminous Products Company Trimount International Mr.. Dave Bennett Terminal Systems,Inc. Coastal Engineering [he Guyott Company 260 Cranberry Highway Lynn Sand&Stone Co. Orleans, MA 02653 imeone Corporation I Re: Soil , Amresco Bank ardonTrimount Environmental Services 73 Holly Lane Centerville, MA 0 Blanchard Road .0.Box 39 Dear Mr. Bennett : urlington Massachusetts The recyclable soil from the above address was received 1803-0039 y at our facility on April 5 , 1993 . Attached are the ee: c shipper' s log of soil receipts which total 5. 475 tons 617-221--221-8400 along with bills of lading. lax: i;221-8452 We will issue a "Certificate of Recycling" upon processing. Thank you for recycling soil at our Stoughton facility . ' Yours truly, David M. Peter', Manager Environmental Services BTES/1400 Chippers Log 2 : 10: 56 pm Apr 5, 1993 Product I 'lant 01 IF ustomer. I Job :'51 CAPE EXCAVATING 13 HOLLY LANE ENTERVILLE, MA DEP #S92-0951 thippers Log 2: 10: 56 pm Apr 5, 1993 1 ruck Ticket# LBS Tons Acc/Tons Time & Date Fob/Del 00073794 10, 950 5 .475 5 .475 12 : 26 : 11 04/05/93 F r 1 i r g. m r i i � ' 1 I ;-•. -� - '' ` Groundwater Analytical, Inc. GROUNOWATER ? ;- ? F 228 Main Street ANALYTICALt. _ - Buzzards Bay, MA 02532 Telephone (508) 759-4441 J FAX (508) 759-4475 April 20, 1993 Mr. David C. Bennett Coastal Engineering, Inc. 260 Cranberry Highway Orleans, MA. 02653 Dear Dave: Enclosed is the Volatile Organic Analysis performed for the DEPCO-73 Holly project, number C13-312, sampled on 04-05-93. This project was processed for Standard Two Week turnaround. A brief description of the Quality Assurance ualit Control procedures P Q y /Q y o employed by Groundwater Analytical , and a statement of our state certification r t. This letter authorizes the s are contained within the report. z p ' release of the analytical results and should be considered a part of this report. Should you have any questions concerning this report, please do not hesitate to contact me. Sincerely, Jonathan R. Sanford Vice President JRS�cac Enc osures ' GROUNDWATER ANALYTICAL EPA METHOD 602 Volatile Aromatics (GC/PID) Field ID: MW-1 Lab ID: 4914-01 ' Project: DEPCO-73 Holly/C13-312 Batch ID: VA-0119-A Client: Coastal Engineering Sampled: 04-05-93 Cont/Prsv: 40ml VOA Vial/NaHSO4 Cool Received: 04-06-93 ' Matrix: Aqueous Analyzed: 04-08-93 PARAMETER CONCENTRATION REPORTING LIMIT ' (ug/L) (ug/L) Benzene BRL 1 Toluene BRL 1 Chlorobenzene BRL 1 Ethylbenzene BRL 1 m+pp-Xylene * BRL 1 o-Xylene * BRL 1 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene BRL 1 QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS a,a,a-Trifluorotoluene 30 33 110 % 87 - 113 BRL Below Reporting Limit. * Non-target compound. Method Reference: Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). GROUNDWATER Buzzards Main Street CHAIN—OF—CUSTODY RECORD N4 3675 Buzzards Bay, MA 02532 ANAL°`T1CAL Telephone (508)759-4441 AND WORK ORDER FAX(508) 759-4475 Project Name: Firm: TURNAROUND ANALYSIS REQUEST N1M'o- 'r• other Volatiles Semlvoletilee PeatMerb Metals ca�ee vt..te 'ASTANDARD(10 Business Days) Project Number: Address: El PRIORITY(5 Business Days) r r / ## c mp° ` 00 .0 .0 m LL i✓ , "'�, 0 �� �� L ' � ❑ RUSH(RAN- ) _ w w w ` (Rush requires Rush Authorization Number) a jn Coo t) mF m ,� <U V E c ❑ r Sampler Name: City/State/Zip: o f w� a m a a y 3 LL Please FAX ❑ YES ❑ NO °Doc] ° ° 0000 ° ❑° !!� Y tt, a Jov,N G'�' G1a1�P��L� '� t1S r N' ��� FAX Number: m a a ° Project Manager: Telephone: a s N o g y m a m ° =• a n T71 •'I S ', BILLING y 0 0 0 0 0 0 0 0 e m m m ❑ Purchase Order No: /1 j � L m m `� r INSTRUCTIONS: Use separate line for each container(except duplicates). v W " ° r o O N O O O N O t7 0= N ] is Matrix Container(s) Preservation Filtered = m Sampling z o a o 0 0 0 0 o a a 0 ¢ ¢ o ° o F- '? f z y LABORATORY w _ $ x 'o W a tv- g NUMBER k LL 3 $ 8 - o a< - ❑ S U SAMPLE w fe N a o a $ $ $ o or o a:r c r f3 .y f a (Lab Use Only) g ❑m ❑ m❑ ❑m ❑m❑❑ ❑'v ❑ w IDENTIFICATION v m ❑o c❑g e x X — > z3 z 4 3 O \ y co ------------- = -11 i i -H-�t FI 7 1 J Q Z PROJECT SPECIFIC MATRIX CHAIN-OF-CUSTODY RECORD REMARKS/SPECIAL INSTRUCTIONS SPIKES and DUPLICATES E:All samples s •tte su jact to Standard Terms and Conditions on reverse hereof. Shipping/Airbill Number: Many regulatory programs and EPA methods require project specific matrix Reli u" hed Sam D to Time Received by: spikes and/or duplicates.Each requested matrix spike(MS),matrix spike duplicate it J n U (MSD)and sample duplicate should be at Time eceived by: Custody Seal Number: listed above as a separate sample.Each Re,in uis ed by: MS.MSD and sample duplicate requires an additional sample aliquot. ❑YES.Please perform a project specific Relinquished b 4ae Time Received by Laboratory: n MS,MSD or sample duplicate as q y requested above. �11 Cooler Serial Number: ❑NO.Please do not perform a project 3 A.L /V1 specific MS,MSD or sample Method of Shipm t:�GWA Courier ❑ Express Mail ❑ Federal Express duplicate analysis for this project. 0 UPS ❑ Hand ❑ ' GROUNDWATER ANALYTICAL QUALITY ASSURANCE QA/QC Program Statement Groundwater Analytical conducts an active Quality Assurance program to ensure the production of high quality, valid data. This program closely follows the guidance provided by Interim Guidelines and Specifications for Preparing Quality Assurance Project Plans, US EPA QAMS-005/80 (1980) , and Test Methods for Evaluating Solid Waste, US EPA SW-846, Third Edition (1986) . ' Quality Control protocols include Standard Operating Procedures (SOPS developed for each analytical method. SOPS are derived from US EPA methodologies and other established references. Equipment and facility maintenance conform to Good Laboratory Practices (GLPs) . Standards are prepared from commercially obtained reference materials of certified purity, and documented for traceability. Quality Assessment protocols for most organic analyses include a minimum of one calibration standard, one method blank, one laboratory control sample, and one matrix spike/duplicate pair for each sample batch. All samples, standards, blanks, laboratory control samples and matrix spikes are spiked with internal standards and surrogate compounds. GC/MS systems are tuned to BFB ion abundance criteria daily, or for each 12 hour operating period, whichever is more frequent. Quality Assessment protocols for most inorganic analyses include a minimum of one calibration standard, one method blank, one sample duplicate, one laboratory control sample, and one matrix spike/duplicate pair for each sample ' batch. Standard curves are derived from one reagent blank and four concentration levels. Curve validity is verified by standard recoveries within plus or minus ten percent of the curve. Batches are used as the basic unit for Quality Assessment. A Batch is defined as twenty or fewer samples which are analyzed together with the same method sequence and the same lots of reagents and with the same manipulations common to each sample within the same time period or in continuous sequential time periods. Method Blanks are used to assess the level of contamination present in the 1 analytical system. Method Blanks consist of reagent water or purified soil . Method Blanks are taken through all the appropriate steps of an analytical method. Sample data reported is not corrected for blank contamination. Laboratory Control Samples are used to assess the accuracy of the analytical method. A Laboratory Control Sample consists of reagent water or purified soil spiked with a group of target compounds representative of the method analytes. Accuracy is defined as the degree of agreement of a measured value with the true or expected value. Percent Recoveries for the Laboratory Control Sample are calculated to assess accuracy. Surrogate Compounds are used to assess the effectiveness of the method in dealing with each sample matrix. Surrogate Compounds are organic compounds which are similar to organic analytes of interest in chemical behavior, but which are not normally found in environmental samples. Percent Recoveries are calculated for each Surrogate Compound. ' GROUNDWATER ANALYTICAL QUALITY ASSURANCE Laboratory Control Sample Recovery Category: EPA Method 602 Batch ID: VA-0119-AL Matrix: Aqueous ' Units: ug/L Laboratory Control Sample SPIKE SPIKED PERCENT QC ANALYTE ADDED RESULT RECOVERY LIMITS Benzene 50 54 109 % 76-127 ' Toluene 50 55 109 % 76-125 Chlorobenzene 50 53 106 % 75-130 1 � ' All calculations performed prior to rounding. Quality Control Limits are defined by the methodology, or alternatively based upon the historical average recovery plus or minus three standard deviation units. GROUNDWATER ANALYTICAL QUALITY ASSURANCE Method Blank Category: EPA Method 602 Batch ID: VA-0119-AB1 Matrix: Aqueous ' PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) (ug/L) ' Methyl tertiary Butyl Ether * BRL 10 Benzene BRL 1 Toluene BRL 1 Chlorobenzene BRL 1 Ethylbenzene BRL 1 m+p-Xylene * BRL 1 o-Xylene * BRL 1 1,3-Dichlorobenzene BRL 1 ' 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene BRL 1 ' QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS - a,a,a-Trifluorotoluene 30 32 108 % 87 113 BRL = Below Reporting Limit. * Non-target compound. Method Reference: Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). M GROUNDWATER ANALYTICAL QUALITY ASSURANCE State Certification CONNECTICUT Certificate Number ' Department of Health Services PH-0586 Potable Water, Wastewater/Trade Waste, Sewage/Effluent, and Soil: Purgeable Halocarbons, Purgeable Aromatics, Pesticides, Phenols, Oil and Grease, Aluminum, Antimony, Arsenic, Beryllium, Cadmium, ' Chromium-T, Chromium-VI, Cobalt, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Nickel, Potassium, Selenium, Silver, Sodium, Thallium, Tin, Vanadium, Zinc, Cyanide, TDS, Ammonia, TKN, Nitrate, Ortho-Phosphate, Alkalinity, Hardness, Chloride, Fluoride, pH, Conductivity ' MAINE Certificate Number Department of Human Services N/A Reciprocal certification in accordance with Massachusetts certification for drinking water parameters. MASSACHUSETTS Certificate Number Department of Environmental Protection MA103 Potable Water: Antimony, Arsenic, Barium, Beryllium, Cadmium, Chromium, Copper, Lead, Mercury, Nickel, ' Selenium, Silver, Thallium, Nitrate-N, Nitrite-N, Fluoride, Cyanide, Calcium, Total Alkalinity, Total Dissolved Solids, pH, Langelier Index, Trihalomethanes, Volatile Organic Compounds, 1,2-Dibromoethane, 1,2-Dibromo-3-chloropropane. Non-Potable Water: Aluminum, Antimony, Arsenic, Beryllium, Cadmium, Chromium, Cobalt, Copper, Iron, Lead, Manganese, Mercury, Molybdenum, Nickel , Selenium, Silver, Strontium, ' Thallium, Titanium, Vanadium, Zinc, pH, Specific Conductivity, Total Dissolved Solids, Total Hardness, Calcium, Magnesium, Sodium, Potassium, Total Alkalinity, Chloride, Fluoride, Ammonia-N, Nitrate-N, Kjeldahl-N, Orthophosphate, Total Cyanide, Oil and Grease, Total Phenolics, Volatile Halocarbons, Volatile Aromatics, Chlordane, Aldrin, Dieldrin, DOD, DOE, DDT, Heptachlor, Heptachlor Epoxide, Polychlorinated ' Biphenyls (Water), Polychlorinated Biphenyls (Oil). MICHIGAN Certificate Number Department of Public Health N/A ' Drinking Water:. Antimony, Arsenic, Barium, Beryllium, Cadmium, Chromium, Copper, Cyanide, Fluoride, Lead, Mercury, Nickel, Nitrate, Nitrite, Selenium, Silver, Sodium, Sulfate, Thallium, Total Trihalomethanes, Regulated and Unregulated Volatile Organic Chemicals. ' NEW HAMPSHIRE Certificate Number Department of Environmental Services 202791-A/B Drinking Water: Lead, Selenium, Silver, Thallium, Trihalomethanes, Volatile Organics, Antimony, ' Arsenic, Barium, Beryllium, Cadmium, Chromium, Copper, Mercury, Nickel, Fluoride, Total Filterable Residue, Calcium, Alkalinity, pH, Corrosivity, Total Cyanide, Vinyl Chloride, DBCP and EDB. Wastewater: Arsenic, Beryllium, Cadmium, Cobalt, Copper, Iron, Mercury, Manganese, Nickel, Lead, Selenium, Zinc, Antimony, Silver, Thallium, Molybdenum, Strontium, pH, Total Hardness, Calcium, Sodium, Potassium, Total ! Alkalinity, Chloride, Fluoride, Nitrate-N, TKN, Orthophospates, Total Phenolics, Oil & Grease, PCBs in Oil, Pesticides, Volatile Organics, Titanium, Total Cyanide, PCBs in Water. RHODE ISLAND Certificate Number ' Department of Health A54 Potable Water: Antimony, Arsenic, Barium, Beryllium, Cadmium, Chromium, Copper, Lead, Mercury, Nickel, ! Selenium, Silver, Thallium, Nitrate, Nitrite, Fluoride, Turbidity, Chlorine, Total Filterable Solids, Calcium, pH, Alkalinity, Sodium, Corrosivity, Sulfate, Cyanide, Trihalomethanes, Chlorinated Hydrocarbon Pesticides, PCBs, Herbicides, Volatile Organic Compounds (EPA 524.2 and 504) and PAHs. Non-potable and Waste Waters: Aluminum, Arsenic, Beryllium, Cadmium, Cobalt, Chromium, Copper, Iron, Mercury, Manganese, ' Nickel, Lead, Selenium, Vanadium, Zinc, Antimony, Silver, Thallium, Molybdenum, Strontium, Titanium, pH, Conductance, TDS, Hardness, Calcium, Magnesium, Sodium, Potassium, Alkalinity, Chloride, Fluoride, Sulfate, Ammonia, Nitrate, Orthophosphate, TKN, Total Phosphorous, Cyanide, Non-filterable solids, Oil and Grease, Total Phenolics, Chlorine, PCBs in Water, PCBs in Oil, Chlorinated Hydrocarbon Pesticides, Volatile Hialocarbo.ns, Volatile Aromatics, ?d Extractables and :_�sa/Neutral Extractables. f _ 1 1 CEC File No. : C-13-312 ' EMERGENCY REMEDIAL RESPONSE QUARTERLY REPORT SUPPORTING DOCUMENTATION 1 CENTERVILLE, MA: S92-0951 73 Holly Lane t Amresco Bank of Rhode Island JULY, 1993 1 Prepared for: Amresco Bank of Rhode Island P.O. Box 8399 Warwick, RI 02888..... 1 Prepared by: Coastal Engineering Co. , Inc. 1 260 Cranberry Highway Orleans, MA 02653 1 1 1 Appendix A: Laboratory Analysis , 1 1 1 Registered Professional Engineers&Land Surveyors Orteans: (508) 255_6511 CoastalEngineeringi-10. Hyannis: (508) 778-9600 inc. Fax: (508) 255-6700 •Civil&Architectural Engineering/Site/Foundation/Shore Protection/Sanitary• rY 260 Cranberry Highway •Consultants for Structural Analysis,Project Feasibility,Environmental• •Land Surveying• Orleans, MA 02653 ' File No. : C-13-312 July 29,. 1993 IMr. Richard Packard, ERS, BWSC MA DEP - SERO I 20 Riverside Drive, Route 105 Lakeville, MA 02347 ' Re: CENTERVILLE, MA: S92-0951 73 Holly Lane Amresco Bank of Rhode Island Emergency Remedial Response - ' Quarterly Report Dear Mr. Packard: Enclosed please find the analytical results for a groundwater sample collected at the above referenced site on 7/12/93. These results represent the third round of quarterly sampling performed in accordance with the "Initial Report" filed ' with the Department on 2/04/93 in order to comply with the contingencies for the Department's "No Further Action" decision at the property. The groundwater quality results for MW-1 show very low levels of volatile organic compounds (VOC). The concentrations are at, or just above the reporting limits and are far below MMCL's. It is our opinion that these levels represent an extremely small amount of residual oil. Furthermore, based on these findings, the levels detected do not constitute a risk of off-site migration to downgradient receptors. IThe fourth quarterly sampling is scheduled for October, 1993. Please do not hesitate to call or write if you have any questions or require additional ' information. Sincerely, COASTAL ENGINEERING CO. , INC. �� � Todd J. Palmatier, Hydrogeologist TJP/ca ' Enclosure cc: Steven Hayes/Bob Sampson, Amresco Bank of Rhode Island Deputy Chief Whitely, Osterville-Centerville Fire Department Brian Cobb, Cobb Real Estate Gerry Dunning, Barnstable Board'of Health Printed on recycled paper i 7 i r i i � i � I � � 1 J ' Groundwater Analytical, Inc. GROUNDWATER 228 Main Street ANALYTICALBuzzards Bay, MA 02532 ' Telephone (508) 759-4441 FAX (508) 759-4475 (ini July 28, 1993 f � - 1.93 ' Mr. Todd Palmatier Coastal Engineering, Inc. 260 Cranberry Highway ' Orleans, MA 02653 Dear Todd: Enclosed is the Volatile Organic Analysis performed for the Depco 73 Holly Lane project, number C13-312, sampled on 07-12-93. This project was processed for Standard Two Week turnaround. A brief description of the Quality Assurance/Quality Control procedures employed by Groundwater Analytical , and a statement of our state ' certifications are contained within the report. This letter authorizes the release of the .analytical results and should be considered a part of this report. Should you have any questions concerning this report, please do not hesitate to contact me. Sincerely, ' Jonathan R. Sanford Vice President JRS/cac Enclosures i GROUNDWATER ANALYTICAL EPA METHOD 602 Volatile Aromatics (GC/PID) I Field ID: MW-1 Lab ID: 5556-01 Project: Depco 73 Holly Lane/C13-312 Batch ID: VG2-0184-W Client: Coastal Engineering Sampled: 07-12-93 ' Cont/Prsv: 40ml VOA Vial/NaHSO4 Cool Received: 07-14-93 Matrix: Aqueous Analyzed: 07-16-93 PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) (ug/L) Benzene BRL 1 Toluene BRL 1 Chlorobenzene BRL 1 Ethylbenzene 1 1 m+p-Xylene * 4 1 ' o-Xylene * 3 1 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene BRL 1 ' 1,2-Dichlorobenzene BRL 1 QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS a,a,a-Trifluorotoluene 30 32 108 % 87 - 113 1 1 �I 1 1 ' I BRL = Below Reporting Limit. * Non-target compound. Method Reference: Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). 1 GROUNDWATER Main Street Bu CHAIN-OF-CUSTODY RECORD Buzzards Bay, MA 02532 N4 5233 Telephone(508)759-4441 AND WORK ORDER ANALYTICAL FAX(508) 759-4475 Project Name:IDCPC-,-� Firm: TURNAROUND ANALYSIS REQUEST a n rao�Q �L {fi t;• Wattles sem Po ivolatiles svHerb Metals c.rpcns wuie Other ^�r. �(/ ,, � STANDARD(10 Business Days) Project Number: Address: ❑ PRIORITY(5 Business Days) to o o a ,t $� z c� ` m u- a ❑ RUSH(RAN ) o w r�i w a, 08° ° _m E m CO Rush requires Rush Authorization Number r 2 m° al v_Z xfO v m m E g _ Sampler Name: City/State/Zip: ( ° ) o § w r a r a 83 ° 1 ❑❑❑❑ ❑ ❑ ❑❑❑❑ ❑ v, ❑❑ m Please FAX DYES ❑ NO s FAX Number. m Q Q a o Project Manager: Telephone: ' // < N N o a P- ❑ P d "PL141 •r�. j`7 `���( BILLING N o o a o a o o a o ✓ INSTRUCTIONS: Use separate line for each container(except duplicates). Purchase Order No: L4 „3 7 s I o a p W D m a ¢ Sampling Matrix Container(s) Preservation Filtered c N o $ c S o> m z O O ❑ ❑ O ❑ ❑ ❑a o. ❑ d a ❑ ir ❑ a Z > N LABORATORY _ g g'—`J m ? w SAMPLE ¢ o 0 F NUMBER H t IL J p 5 p Q 0 ¢ u, > J rn J O a n p m ' u�j cc a~ C m O t w IDENTIFICATION k' E a e (�� i N W ° (Lab Use Only) m g g $ g m m o o U Q 3 v°i 3 i z = = X > _ ¢ ❑ ❑ ❑ ❑ ❑ ❑ a S o ooa 5 o a °o ,- n o - - 3 �3 �1 �J— Ssr - o/ W 5 J Q Z O REMARKS SPECIAL INSTRUCTIONS PROJECT SPECIFIC MATRIX CHAIN-OF-CUSTODY RECORD SPIKES and DUPLICATES NOT :All samples putimit Id subject to Standard Terms and Conditions on reverse hereof. ShippinglAirbill Number: Many regulatory programs and EPA methods require project specific matrix li q had UY Sa pl r: Date Time Received by: spikes andbr duplicates.Each requested ,' 11 matrix spike(MS),matrix spike duplicate 'r ! ',3'� Afly- (MSD)and sample duplicate should be listed above as a separate sample.Each R inquishecl J D to Time Ald0w7d b . Custody Seal Number: MS.MSD and sample duplicate requires an additional sample aliquot. ❑YES.Please perform a project specific MS,MSD or sample duplicate as Relinquished by: Date Time , Rec ' b�Laboratory- requested above. l / r3s Cooler Serial Number: ❑NO.Please do not perform a project specific MS,MSD or sample duplicate analysis for this project. Shipment GWA Co tier ❑ Express ail ❑ Federal Express 4metkdof UPS 0 Hand 0 i ' GROUNDWATER ANALYTICAL ' QUALITY ASSURANCE QA/QC Program Statement Groundwater Analytical conducts an active Quality Assurance program to ensure ' the production of high quality, valid data. This program closely follows the guidance provided by Interim Guidelines and Specifications for Preparing Quality Assurance Project Plans, US EPA QAMS-005/80 (1980) , and Test Methods for Evaluating Solid Waste, US EPA SW-846, Third Edition (1986) . ' Quality Control protocols include Standard Operating Procedures (SOPs) developed for each analytical method. SOPS are derived from US EPA ' methodologies and other established references. Equipment and facility maintenance conform to Good Laboratory Practices (GLPs) . Standards are prepared from commercially obtained reference materials of certified purity, and documented for traceability. ' Quality Assessment protocols for most organic analyses include a minimum of one calibration standard, one method blank, one laboratory control sample, and one matrix spike/duplicate pair for each sample batch. All samples, ' standards, blanks, laboratory control samples and matrix spikes are spiked with internal standards and surrogate compounds. GC/MS systems are tuned to BFB ion abundance criteria daily, or for each 12 hour operating period, whichever is more frequent. ' Quality Assessment protocols for most inorganic analyses include a minimum of one calibration standard, one method blank, one sample duplicate, one laboratory control sample, and one matrix spike/duplicate pair for each sample batch. Standard curves are derived from one reagent blank and four concentration levels. Curve validity . is verified by standard recoveries within plus or minus ten percent of the curve. ' Batches are used as the basic unit for Quality Assessment. A Batch is defined as twenty or fewer samples which are analyzed together with the same method sequence and the same lots of reagents and with..-the same manipulations common ' to each sample within the same time period or in continuous sequential time periods. Method Blanks are used to assess the level of contamination present in the ' analytical system. Method Blanks consist of reagent water or purified soil . Method Blanks are taken through all the appropriate steps of an analytical method. Sample data reported is not corrected for blank contamination. ' Laboratory Control Samples are used to assess the accuracy of the analytical method. A Laboratory Control Sample consists of reagent water or purified soil spiked with a group of target compounds representative of the method ' analytes. Accuracy is defined as the degree of agreement of a measured value with the true or expected value. Percent Recoveries for the Laboratory Control Sample are calculated to assess accuracy. ' Surrogate Compounds are used to assess the effectiveness of the method in dealing with each sample matrix. Surrogate Compounds are organic compounds which are similar to organic analytes of interest in chemical behavior, but which are not normally found in environmental samples. Percent Recoveries are ' calculated for each Surrogate Compound. ' GROUNDWATER ANALYTICAL QUALITY ASSURANCE ' Laboratory Control Sample Recovery ' Category: EPA Method 602 Batch ID: VG2-0184-WL ' Matrix: Aqueous Units: ug/L Laboratory Control Sample SPIKE SPIKED PERCENT QC ANALYTE ADDED RESULT RECOVERY LIMITS ' Benzene 50 57 114 % 76-127 Toluene 50 54 109 % 76-125 Chlorobenzene 50 56 111 % 75-130 1 All calculations performed prior to rounding. Quality Control Limits are defined by the methodology, or alternatively based upon the historical average recovery plus or minus three standard deviation units. GROUNDWATER ANALYTICAL ' QUALITY ASSURANCE Method Blank Category: EPA Method 602 Batch ID: VG2-0184-WB1 Matrix: Aqueous ' PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) (ug/L) ' Methyl tertiary Butyl Ether * BRL 10 Benzene BRL 1 Toluene BRL 1 Chlorobenzene BRL 1 Ethylbenzene BRL 1 m+p-Xylene * BRL 1 o-Xylene * BRL 1 ' 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene BRL 1 ' QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS a,a,a-Trifluorotoluene 30 27 89 % 87 - 113 I BRL = Below Reporting Limit. * Non-target compound. Method Reference: Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). ' GROUNDWATER ANALYTICAL QUALITY ASSURANCE State Certification ' CONNECTICUT Certificate Number Department of Health Services PH-0586 Potable Water, Wastewater/Trade Waste, Sewage/Effluent, and Soil: Purgeable Halocarbons, Purgeable ' Aromatics, Pesticides, Phenols, Oil and Grease, Aluminum, Antimony, Arsenic, Beryllium, Cadmium, Chromium-T, Chromium-VI, Cobalt, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Nickel, Potassium, Selenium, Silver, Sodium, Thallium, Tin, Vanadium, Zinc, Cyanide, TDS, Ammonia, TKN, Nitrate, Ortho-Phosphate, Alkalinity, Hardness, Chloride, Fluoride, pH, Conductivity ' MAINE Certificate Number Department of Human Services N/A Reciprocal certification in accordance with Massachusetts certification for drinking water parameters. ' MASSACHUSETTS Certificate Number Department of Environmental Protection MA103 Potable Water: Antimony, Arsenic, Barium, Beryllium, Cadmium, Chromium, Copper, Lead, Mercury, Nickel, ' Selenium, Silver, Thallium, Nitrate-N, Nitrite-N, Fluoride, Cyanide, Calcium, Total Alkalinity, Total Dissolved Solids, pH, Langelier Index, Trihalomethanes, Volatile Organic• Compounds, 1,2-Dibromoethane, 1,2-Dibromo-3-chloropropane. Non-Potable Water: Aluminum, Antimony, Arsenic, Beryllium, Cadmium, Chromium, Cobalt, Copper, Iron, Lead, Manganese, Mercury, Molybdenum, Nickel, Selenium, Silver, Strontium, Thallium, Titanium, Vanadium, Zinc, pH, Specific Conductivity, Total Dissolved Solids, Total Hardness, Calcium, Magnesium, Sodium, Potassium, Total Alkalinity, Chloride, Fluoride, Ammonia-N, Nitrate-N, Kjeldahl-N, Orthophosphate, Total Cyanide, Oil and Grease, Total Phenolics, Volatile Halocarbons, Volatile ' Aromatics, Chlordane, Aldrin, Dieldrin, DDD, DOE, DDT, Heptachlor, Heptachlor Epoxide, Polychlorinated Biphenyls (Water), Polychlorinated Biphenyls (Oil). MICHIGAN Certificate Number ' Department of Public Health N/A Drinking Water: Antimony, Arsenic, Barium, Beryllium, Cadmium, Chromium, Copper, Cyanide, Fluoride, Lead, Mercury, Nickel, Nitrate, Nitrite, Selenium, Silver, Sodium, Sulfate, Thallium, Total Trihalomethanes, Regulated and Unregulated Volatile Organic Chemicals. iNEW HAMPSHIRE Certificate Number Department of Environmental Services 202791-A/B Drinking Water: Lead, Selenium, Silver, Thallium, Trihalomethanes, Volatile Organics, Antimony, Arsenic, Barium, Beryllium, Cadmium, Chromium, Copper, Mercury, Nickel, Fluoride, Total Filterable Residue, Calcium, Alkalinity, pH, Corrosivity, Total Cyanide, Vinyl Chloride, DBCP and EDB. Wastewater: Arsenic, Beryllium, Cadmium, Cobalt, Copper, Iron, Mercury, Manganese, Nickel, Lead, Selenium, Zinc, ' Antimony, Silver, Thallium, Molybdenum, Strontium, pH, Total Hardness, Calcium, Sodium, Potassium, Total Alkalinity, Chloride, Fluoride, Nitrate-N, TKN, Orthophospates, Total Phenolics, Oil & Grease, PCBs in Oil, Pesticides, Volatile Organics, Titanium, Total Cyanide, PCBs in Water. RHODE ISLAND Certificate Number Department of Health A54 Potable Water: Antimony, Arsenic, Barium, Beryllium, Cadmium, Chromium, Copper, Lead, Mercury, Nickel, ' Selenium, Silver, Thallium, Nitrate, Nitrite, Fluoride, Turbidity, Chlorine, Total Filterable Solids, Calcium, pH, Alkalinity, Sodium, Corrosivity, Sulfate, Cyanide, Trihalomethanes, Chlorinated Hydrocarbon Pesticides, PCBs, Herbicides, Volatile Organic Compounds (EPA 524.2 and 504) and PAHs. Non-potable and Waste Waters: Aluminum, Arsenic, Beryllium, Cadmium, Cobalt, Chromium, Copper, Iron, Mercury, Manganese, Nickel, Lead, Selenium, Vanadium, Zinc, Antimony, Silver, Thallium, Molybdenum, Strontium, Titanium, pH, Conductance, TDS, Hardness, Calcium, Magnesium, Sodium, Potassium, Alkalinity, Chloride, Fluoride, Sulfate, Ammonia, Nitrate, Orthophosphate, TKN, Total Phosphorous, Cyanide, Non-filterable solids, Oil and Grease, Total Phenolics, Chlorine, PCBs in Water, PCBs in Oil, Chlorinated Hydrocarbon Pesticides, Volatile Halocarbons, Volatile Aromatics, Acid Extractables and Base/Neutral Extractables. �. CE-UTE.W,`r 111 t~, r0A, 4 E•y MAp �.� ff 1 I "n-r To `,C.�►4 1 `'FHJT' 2' PVC _ ��►`K .-•- �-1� '1 , Mom- I '�, ,.vi it ► y t 1 �Z"PYC .vl 7' E nr "?D �aC�FF1.t� _ _ FQnPn�� TIC,7WT" !ULT'Y a ° I W Ct { 1 j t I _ y r7� ! + � -in Apprec j 6i?AVC - I�.IE� 1 V�1 LL ` ..._` . _. 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