HomeMy WebLinkAbout0513 MAIN STREET (CENT.) - Health (2) 513 Main Street
Centerville
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Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
4c 508 Main St.
Property Address
Sandra Mercandetti
Owner Owner's Name o
information is required for Centerville Ma. 02632 1/03/2008
every page. City/Town State Zip Code Date of Inspection
Inspection results must be submitted on this form. Inspection forms may not be altered in any
way.
Important:When filling out A. General Information
forms on the
computer,use 1. Inspector:
only the tab key
to move your Robert Paolini
cursor-do not Name of Inspector
use the return
key. Capewide Enterprises,LLC
Company Name
rab P.O.Box 763
Company Address
Centerville Ma. 02632
erum City/Town State Zip Code
(508)428-4028 S14454
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 15.000). The system:
® Passes ❑ Conditionally Passes ❑ Fails
"s
❑ Needs Further E a uation b the Local Approving Authority
M
\ l 1/03/2008
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 sharea`�ystem or
has a design flow of 10,000 gpd or greater, the inspector and the system owne shall srUbmit trh-p
report to the appropriate regional office of the DEP. The original should be sen to the system owner
and copies sent to the buyer, if 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.
508 Main St.•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
M 508 Main St.
Property Address
Sandra Mercandetti
Owner Owner's Name
information is required for Centerville Ma. 02632 1/03/2008
every page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
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:
The septic system is in proper working order at the present time.
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
508 Main St.•12/07 Title.5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
�M 508 Main St.
Property Address
Sandra Mercandetti
Owner Owner's Name
information is required for Centerville Ma. 02632 1/03/2008
every page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
B) System Conditionally Passes (cont:):
❑ distribution box is leveled or replaced
ND Explain:
r
❑ 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:
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 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.
508 Main St.-12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15
Commonwealth of Massachusetts,
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
^M 508 Main St.
Property Address
Sandra Mercandetti
Owner Owner's Name
information is required for Centerville Ma. 02632 1%03/2008
every page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
C) Further Evaluation is Required by the Board of Health (cont.):
❑ 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 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
El ® 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 Y2 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.
508 Main St.•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15
r
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
508 Main St.
Property Address
Sandra Mercandetti
Owner Owner's Name
information is required for Centerville Ma. 02632 1/03/2008
every page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
D) System Failure Criteria Applicable to All Systems (cont.):
Yes No
❑ ® 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.
0 ® 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.
508 Main St.•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15
. Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
,M 508 Main St.
Property Address
Sandra Mercandetti'
Owner Owner's Name
information is required for Centerville Ma. 02632 1/03/2008
every page. City/Town 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)]
508 Main St..12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System.Page 6 of 15
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
508 Main St.
Property Address
Sandra Mercandetti
Owner Owner's Name
information is required for Centerville Ma. 02632 1/03/2008
every page. City/Town State Zip Code Date of Inspection
D. System Information;
Residential Flow Conditions:
Number of bedrooms (design): 7 Number of bedrooms (actual): 7
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 770
Number of current residents: 1
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
Seasonaluse? ❑ Yes ® No
Water meter readings, if available last 2 ears usage d 2006:7,000
g ( y g (gpd)): 2007:16,000
Sump pump? ❑ Yes ® No
Last date of occupancy: 1/03/2008Date
Commercial/Industrial 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:
Last date of occupancy/use: Date
Other(describe):
508 Main St.•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 15
. Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
508 Main St.
Property Address
Sandra Mercandetti
Owner Owner's Name
information is required for Centerville Ma. 02632 1/03/2008
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
General Information
Pumping Records:
Source of information:
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)
❑ Tight tank. Attach a copy of the DEP approval.
❑ Other(describe):
Approximate age of all components, date installed (if known)and source of information:
System installed 1987
Were sewage odors detected when arriving at the site? ❑ Yes ® No
508 Main St.-12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 15
I
. Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
M 508 Main St.
Property Address
Sandra Mercandetti
Owner Owner's Name
information is required for Centerville Ma. 02632 1/03/2008
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Building Sewer(locate on site plan):
16"
Depth below grade: feet
Material of construction:
❑ cast iron ® 40 PVC ❑ other(explain):
Distance from private water supply well or suction line. 10+
feet
Comments (on condition of joints, venting, evidence of leakage, etc.):
Joints appear tight.No evidence of Ieakage.System vented through the house vents.
Septic Tank (locate on site plan):
2'
Depth below grade: 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: 2000 gallon
3"
Sludge depth:
Distance from top of sludge to bottom of outlet tee or baffle 29
1
Scum thickness
6"
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle 14"
How were dimensions determined? Measured
508 Main St.-12107 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 15
�. Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
GSM 508 Main St.
Property Address
Sandra Mercandetti
Owner Owner's Name
information is required for Centerville Ma. 02632 1/03/2008
every page. City/Town State Zip 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.):
Pump septic tank every 2 years.lnlet and outlet tees are in place.No evidence of Ieakage.Tank
appears to be structurally sound.
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
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):
508 Main St.•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15
i
. Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
^M 508 Main St.
Property Address
Sandra Mercandetti
Owner Owner's Name
information is required for Centerville Ma. 02632 1/03/2008
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Tight or Holding Tank(cont.)
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
Distribution Box (if present must be opened) (locate on site plan):
Depth of liquid level above outlet invert No
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.):
Box is Ievel.Box has 3 outlet laterals with equal distribution.No evidence of solids carryover.No
evidence of leakage into or out of box.
Pump Chamber(locate on site plan):
Pumps in working order: ❑ Yes ❑ No
Alarms in working order: ❑ Yes ❑ No
508 Main St.-12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15
. Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
508 Main St.
Property Address
Sandra Mercandetti
Owner Owner's Name
information is required for Centerville Ma. 02632 1/03/2008
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.):
Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
Type:
® leaching pits number:
3-1000 gallon
❑ leaching chambers number:
❑ leaching galleries number:
❑ leaching trenches number, length:
❑ leaching fields number, dimensions:
❑ 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.):
Sandy dry soil.No signs of hydraulic failure.All pits were dry of time of inspection:Stain lines Pit#1
was47"to invert.Pit#2 was 44" and Pit#3 was 50"
508 Main St.-12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 15
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
508 Main St.
M
Property Address
Sandra Mercandetti
Owner Owner's Name
information is required for Centerville Ma. 02632 1/03/2008
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
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
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.):
568 Main St.•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 15
I
Map Page 1 of 2
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Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form.-Not for Voluntary Assessments
cwM 508 Main St.
Property Address
Sandra Mercandetti
Owner Owner's Name
information is required for Centerville Ma. 02632 1/03/2008
'
every page. City/Town 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: Bottom of LP 12'
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:
❑ Checked with local excavators, installers- (attach documentation)
❑ Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
USED:Gaherty& Miller model 12/16/94 ground water elevations.USED:USGS Observation Well
data.USED:Technical Bulletin 92-000-01 plate#2 annual ranges of ground water elevations.
508 Main St.-12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15
Town of Barnstable
�p 1HE Tp�
Regulatory Services
B&MSTABLE ; Thomas F. Geiler,Director
ATFD �p Public Health .Division
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
This septic system inspection report was completed by a private inspector who is certified
by the State of Massachusetts, Department of Environmental Protection.
Although the Town of Barnstable Health Division received the original/copy of this
report; this Division does not warranty the functionality of the septic system in the future
nor does this Division agree with any technical observation s and interpretations
contained within this report,
In addition,by receiving this report the Town of Barnstable Health Division does not
automatically approve the number of bedrooms listed within this report. The actual
number of bedrooms approved at a particular property would-be listed on the"Disposal
Work Construction Permit".
If you should have any questions regarding this report,please contact the certified Septic
System Inspector who conducted the inspection.
1
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� A
' CEC File No. : C-13-322
EMERGENCY REMEDIAL RESPONSE
QUARTERLY REPORT
' SUPPORTING DOCUMENTATION
BARNSTABLE, MA: S93-0014
' 508 Main Street
(Centerville)
The Boston Five Cents Savings Bank
1 '
JUNE, 1993
Prepared for:
' The Boston Five Cents Savings Bank
ATTN: Keith Nisbet
1669 Falmouth Road
Centerville, MA 02632
Prepared by:
Coastal Engineering Co. , Inc.
260 Cranberry Highway
' Orleans, MA 02653
' Appendix A: Laboratory Analysis
Appendix B: Recycling Facility Correspondence
Appendix C: Bill of Lading
1
Registered Professional Engineers&Land Surveyors (508) 255-6511
1 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-13-322
June 8, 1993
Mr. Leonard Pinaud,
DEP - SERO - ERS - BWSC (7c),20 Riverside Drive, Route 105
Lakeville, MA 02347
Re: BARNSTABLE, MA: S93-0014
' 508 Main Street, Centerville
Boston Five Cents Savings Bank
Emergency Remedial Response -
1 Quarterly Report
Dear Mr. Pinaud:
' In accordance with our last filing on February 24, 1993, please find enclosed
copies of the analytical results from the sampling of monitoring well, MW-1, at
the above referenced site. This quarterly sampling analysis for volatile organic
' compounds is submitted in support of our assertion, stated in our 2/24/93
correspondence, that no further action is required at the site.
The enclosed groundwater analysis results, utilizing EPA Method 602, did not
detect BTEX compounds above the reporting limits of 1 ppb. This indicates that
no BTEX contamination has migrated to MW-1, downgradient from the release. The
next round of quarterly sampling will be performed in August.
The contaminated soil which was excavated at the site during the emergency
response was removed from the site under a Bill of Lading (BOL) on 5/24/93 and
1 transported to the Bardon Trimount Recycling Facility in Stoughton, MA. We have
enclosed a copy of the shipper's log of soil receipts, the completed BOL and
correspondence from Bardon-Trimount. We will forward the Certificate of
Recycling to your office upon receipt.
Please do not hesitate to call or write if you have any questions or require
additional information.
Very truly yours,
' COASTAL ENGINEERING CO., INC.
' Todd J. Palmatier,
Hydrogeologist
TJP/ca
' Enclosures: Supporting Documentation
cc: Keith Nisbet, Boston 5 (c/o J. Martens)
Donna Z. Miorandi, Barnstable Health Department `
Lt. Eric Huebler, Barnstable Fire Department
Printed on recycled paper I
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GROUNDWATER Groundwater Analytical, Inc.
228 Main Street
Buzzards Bay, MA 02532
ANALYTICALJ41
.................... Telephone (508) 759-4441
' FAX (508) 759-4475
' June 3, 1993
' Mr. Thomas Joy
Coastal Engineering, Inc.
260 Cranberry Highway
1 Orleans, MA 02653
Dear Thomas:
Enclosed is the Volatile Organic Analysis performed for the Boston 5/508 Main
St project, number C13-322, sampled on 05-17-93. 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
' Enc osures
GROUNDWATER
ANALYTICAL
EPA METHOD 602
Volatile Aromatics (GC/PID)
Field ID: MW-1 Lab ID: 5185-01
Project: Boston 5/508 Main St/C13-322 Batch ID: VA-0152-A
Client: Coastal Engineering Sampled: 05-17-93
Cont/Prsv: 4Oml VOA Vial/NaHSO4 Cool Received: 05-18-93
' Matrix: Aqueous Analyzed: 05-28-93
PARAMETER CONCENTRATION REPORTING LIMIT
' (u9/L) (u9/L)
Benzene BRL I
Toluene BRL I
1 Chlorobenzene BRL I
Ethylbenzene BRL I
m+ -Xylene * BRL
1
o- ylene * 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
a,a,a-Trifluorotoluene 30 31 103 % 87 - 113
BRL = Below Reporting Limit. * Non-target compound. Method Reference: Method 602 - Purgeable
Aromatics, 40 C.F.R. 136, Appendix A (1986).
228 Main Street CHAIN-OF-CUSTODY RECORD
GROUNDWATER Buzzards Bay, MA 02532 N2 5695
ANALYTICAL Telephone (508) 759-4441 AND WORK ORDER
FAX (508) 759-4475
Project Name: -// Firm: TURNAROUND ANALYSIS REQUEST
�05�011 lj CjO� 11,{ - ^f� 6hA5('A�, ' �/_`11�t��`� Voletllea Semlwletllea PeaUNerb Metels coo",,. W U,
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other
Project Numbe : Address: ❑ PY(5 Business Days) .9 ca
RIORIT s`
G 13 -3ZZ, Zoo GRnNBERRy l 14gWAy ❑ RUSH (RAN- )
, > ° m oo to oZ LL ao
(Rush requires Rush Authorization Number) wSam ter Name: City/State/Zip O P f 5 d a ❑e=Y
to Co 32 Z
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Please FAX DYES ONO :l❑❑❑ ❑ ❑ °°O° ° " 0
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Project Manager: Telephone: o a g o 0 ❑ r
�btll� �Cr �UI��A►>3 —so$-ems ��s << LL >
BILLING � o
INSTRUCTIONS: Use separate line for each container(except duplicates). Purchase Order No: G��3�v H c 8 U
Lu g 8 < m
_ > m
Sampling Matrix Container(s) Preservation Filtered @ g g m m ^z a 2 o T o
_ ❑ ❑ ❑ ❑ Cl ❑ ❑ ❑aa _ o 'm tc
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REMARKS/SPECIAL INSTRUCTIONS PROJECT SPECIFIC MATRIX CHAIN-OF-CUSTODY RECORD
SPIKES and DUPLICATES
Many regulatory programs and EPA NOTE:All samples submin subjoct to Standard Terms and Conditions on reverse hereof.Many Number:
methods require project specific matrix linquishe byVSMDate Time Received by:
spikes and/or duplicates.Each requested Q� ��
matrix spike(MS),matrix spike duplicate 4031�+
(MSD)and sample duplicate should be
listed above as a separate sample.Each elinquished by: Date Time Wadjived by: 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: JDaa Time eceived by Laboratory:
requested above. ^❑NO.Please do not perform a project o ��tKJ Cooler Serial Number:
specific MS,MSD or sample
duplicate analysis for this project. Method of Shipment: GWA Courier ❑ Express Mail ❑ Federal Express
UPS 11 Hand 0
i GROUNDWATER
ANALYTICAL
QUALITY ASSURANCE
iQA/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.
i
i
GROUNDWATER
ANALYTICAL
QUALITY ASSURANCE
Laboratory Control Sample Recovery
Category: EPA Method 602
Batch ID: VA-0152-AL
Matrix: Aqueous
' Units: ug/L
Laboratory Control Sample
' SPIKE SPIKED PERCENT QC
ANALYTE ADDED RESULT RECOVERY LIMITS
Benzene 50 55 109 % 76-127
Toluene 50 56 112 % 76-125
Chlorobenzene 50 54 108 % 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
' Categgory: EPA Method 602
Batch ID: VA-0152-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 I
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 31 102 % 87 - 113
1
' 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, ODD, 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.
fNEW 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.
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BardonTri mounnt
F11DON 11j�MOUNT,INC.
sidiary of
`/ 2'6 1�93
red Bardon USA,Inc.
____...;__---------
JLIATES: May 25, 1993
ount Bituminous
Products Company
InternationalMr. Dave Bennett
jount
erminal Systems,Inc. Coastal Engineering
The Guyott Company 260 Cranberry Highway
in Sand&Stone Co. Orleans, MA 02653
eone Corporation
Bardon Trimount
Environmental Services Re: Soil , Boston Five Cent Savings
508 Main Street
Ilanchard Road Barnstable, MA
P.O. Box 39
jls,isngton3-00setts39Dear Mr. Bennett :
3-00
Telephone: The recyclable soil from the above address was received
221.8400 at our facility on May 24, 1993. Attached are the
shipper's log of soil receipts which total 27 .145 tons
617.221.8452 along with bills of lading.
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
1
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Shippers Log 3 : 40 : 34 pm May 24, 1.993
Product I
•
Plant 01
Customer. I
1 Job 014
EAST .HARWICH HEATING
508 MAIN STREET
BARNSTABLR, MA
DEP #S93-0014
Shippers Log 3 :40 :35 pm May 24, 1993
Truck Ticket# LBS Tons Acc/Tons Time & .Date Fob/Del
CHI52 00075269 28, 070 14. 035 14. 035 12 : 30: 05 05/24/93 F
j CHI61 00075270 26,220 13 . 110 27 . 145 12:31 : 31 05/24/93 F
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' 70 BLANCHARL7 RID .
B U R L I N G T O N , MA . 0 1 8 0 3
' TEL : C 61 '7 221 — 8400
]CUSTOMER JOB
******** *** Cust# 30001'
TOUGHTON PLANT EAST HARWICH HEATING Job# 014
ASH SALE W/TAX 508 MAIN STREET Truck# CHIS2
BARNSTABLR, MA Mix# 76
CK # DEP #S93-0014 Name
REC SOIL OIL
j
Operator
Ticket#
' Tare TOT PL
Net Gross ���„ ,
30200 . 0 28070 . 0 58270 . 0 i � ,� ��,�,� g
Cost/Ton Percent Tax Load Cost Amount Tax Dest Charge Total Cost
50 . 00 701 .75 701 . 75
Load Tons Fob/Del LOCATION
' I 14. 035 F SCALE
pm May 24 1. 99S
JECE I ED BY
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BILL OF LADING
POLICY # WSC-89-001
BILL OF LADING is C-13-322 DATE: 2/23/93 mm case #: S93-0014
GENERATOR NAME/ADDRESS: SITE OF GENERATION:
The Boston Five Cents Savings Bank STREET 508 Main Street
1669 Falmouth Road TOWN Barnstable (Centerville)
Centerville MA . 02632 STATE Massachusetts
' CONTACT/TEL N: _Keith Nisbet - �'...+ TRANSPORTATION ACCIDENT? Y _X_ N
(800) 257-8667
MATERIAL DESCRIPTION (TOTAL PROTECTED QUANT •v
\ O r✓// None
' CONTAMINATED SOIL: 45 30 CONT IxATED'bEHAIS:. # absorbent
r nt pads # absorbent booms
wt(tons) vol(cu yds fll roL(qu yds>=epeedy dri other (specify)
TYPE OF CONTAMINATION: �`
C ANALYSES ATTACHED?
gasoline X N2 oil — #4 oil — #6 oil — othe $gecif Volatiles: — Y - N TPH: Y N
TRANSPORTER NAME/ADDRESS: DESTINATION FACILITY NAME/ADDRESS:
East Harwich Heating, Inc. Trimount Bituminous products Company
1621 Orleans Road 1101 Turnpike street
East Harwich, MA 02645 Stoughton, MA 02072
CONTACT/TEL. #: John Martens TYPE OF FACILITY: X Recycling _Landfill_Incinerator
508 2-527 4 EPA ID#: MAD 981213531 PBRMIT #: B-90-020
GENERATOR'S SIGNATURE: for Boston Five DATE: 2/23/93
(Above items must be completed prior to P authorization)through John Martens
AUTHORIZATION: DEP SIGNATURE (originating region): DATE:
(If applicable) DEP SIGNATURE (destination region): DATE:
TRUCK/TRACTOR REGISTRATION �`/ /�- `7�'y QUANTITY SHIPPED: wt (tons) vol (cu yda)
TRAILER REGISTRATION _3z/30 TOTAL PROJECTED
LEFT SITE AT /6: 15 DAM ,S �/-c13 SHIPPED TO DATE
GENERATOR OR RECEIVING FACILITY REPRESENTATIVES THIS LOAD (estimated)
SIGNATURE: REMAINING TO BE SHIPPED
TRANSPORTER'S SIGNATURE: DATE:
RECEIVING FACILITY REPRESENTATIVE'sf SIGNATURE': - (A— DATE: �y ARR. TIME:
GENERATOR IS RESPONSIBLE F ING COMPLETED FORM WITHIN 5 DAYS TO:
DEPARTMENT OF ENVIAONME rAL PR==CN
BWSC/EMERGENCY RESPONSE BRANCH G�
ONE WINTER STREET, 5TH FLOOR , i r /
BOSTON, MA 02108 / U 3 S
AND
THE ORIGINATING REGIONAL OFFICE
FALSIFICATION OR MISREPRESENTATION OF ANY OF THE INFORMATION ON THIS BILL OF LADING IS A VIOLATION OF
M.C.L.•21C AND 310 C"IR 30.006 AND 30.007 A2.'D IS SUE- CT TO APPROPRIATE STATUTORY nR pz-r-trT.zmnav
Registered Professional Engineers & Land Surveyors (508) 255-651
CoastalEngineeringCo.
inc.
• Civil&Architectural Engineering/Site/Foundation/Shore Protection/Sanitary
g g 260 Cranberry Highway
•Consultants for Structural Analysts, Protect Feasibility, Environmental
•Land Surveying• Orleans, Mass. 02653
File No . : C-13-322
February 24 , 1993
M,r. Leonard Pinaud ,
Emergency Response Section, BWSC
Massachusetts Department of
Environmental Protection
SERO-Lakeville Hospital
Lakeville , MA 02347
Re : BARNSTABLE, MA: S93-0014
508 Main Street , Centerville
Boston Five Cents Savings Bank
Emergency Remedial Response -
Initial Report
Dear Mr. Pinaud:
Pursuant to our on-site meeting of 2/07/93 , Coastal Engineering
Co . , Inc . , has prepared the attached filing for the above
referenced project relative to remedial measures taken at the site .
Research shows that approximately 125 gallons of #2 fuel oil leaked
from a 275 gallon above ground storage tank . Response actions
taken to date include contaminated soil removal and stockpiling ,
test borings with soil sampling and analysis with the construction
of a downgradient -monitor well with groundwater analysis . This
report includes as "Supporting Documentation" to these activities:
Site Plan ERM-1 ( 2/23/93 ) , field response log , laboratory analysis
of groundwater and soil samples , borehole logs with photo ionization
screening , fuel delivery,,records , and a map of regional groundwater
contours with public water supply( s ) designated. A Bill of Lading
has also been enclosed for Department authorization to transport
contaminated soils excavated from the site to the Bardon-Trimount
Facility in Stoughton , MA.
On 1/07/93 , Coastal Engineering was called to the site by East
Harwich Heating who had discovered the leaking above-ground 275
gallon #2 fuel oil storage tank upon investigation of a "no-heat"
call . A 1/16" hole caused by metal corrosion was noted in the
bottom of the tank adjacent to the west side of the private
dwelling ( see Appendix . A) . Fuel delivery records indicate that
approximately 125 gallons of fuel oil was released to the natural
soil below the tank. Notification was made to the MA DEP (Pinaud)
regarding site conditions and findings . Soil removal and
stockpiling operations were subsequently initiated and inspected
by Coastal Engineering as shown on the Field Response Log (Appendix
B) . A cistern for the abandoned private well and roof drains was
discovered during soil removal. operations . Water within the
DFP/SERO/ERS/Pinaud Page 2 . February 24 , 1993
cistern had a sheen of fuel oil and had to be pumped and disposed
of at the Hyannis Treatment Plant ( Appendix E) . Photoion:ization
screening of soils showed limited lateral extent of fuel oil
contamination.
A hand boring was conducted to a depth of 16 ' . Photoionization
screening of soils showed contamination extended to this depth as
qualified by the TPH analysis (Appendix C ) . Soil removal
operations could not be extended beyond 16 ' due to potential
structural damage related to undermining the foundation. A 'total
of approximately 30 yards of contaminated soils were excavated and
stockpiled. Based on the available data from stockpile TPH and the
assumption of 1 yard of soil = 3 ; 000 lbs . ; 1 gallon of oil = 8
lbs . ; a total of 76 . 5 gallons of fuel oil is present in the
contaminated soils stockpiled. [ ( 30 yds . X 3 , 000 lbs . /yd. ) X 0 . 68%
TPH wt/wt _ 8 lbs . /gal . = 76 . 5 gallons]
On the recommendation of Coastal Engineering , a downgradient
monitor well was authorized and installed to assess potential
groundwater impact and the need for additional remedial response
(Appendix D) . The test: boring for the well was conducted
approximately 25 ' from the spill location. Split spoon samples
were collected at 5 ' intervals for photoionization screening . Soil
samples at. 8-10 ' and 13-15 ' displayed detector response in excess
of 10 ppm but laboratory confirmation of findings reported TPH
values as Below Reporting Limit (BRL ) ( 00 ppm) No visual' or
olfactory evidence of contamination was noted in these samples .
The test boring showed a silty sand horizon at 19-23 ' . This
material appeared. to have low permeability and- would be effective
in limiting the vertical migration of fuel contamination. On the
completion of the, test boring to 50 (.SWL -40 ' ± ) , a 2" monitor well
with 10" screen was set across the groundwater interface for VOC
testing . Groundwater samples were collected on 1/18/93 and 1/25/93
for laboratory analysis (EPA 601/602 ) . Results show no evidence
ofigroundwater contamination with all compounds being reported as
BRL. Ambient air quality inside the dwelling was re-tested on
1/25/93 with the HNU photoionization detector. No detector
response as recorded for the basement or first floor areas .
These findings indicate that no significant environmental impact
and/or risk to human health or safety is apparent at this time .
Environmental conditions at the property show confining geologic
conditions and groundwater at significant depth with no private
wells , public water supply - Zone II protective radii or wetlands
within 1 , 000 ' of the property. Based on this information, it is
the opinion of Coastal Engineering that a No Further Action"
decision could be granted by the Department on the subject property
contingent on contaminated soil recycling and a one year quarterly
groundwater monitoring program at MW-1 .
DEP/SERO/ERS/Pinaud Page 3 . February 24 , 1993
We have attached for your authorization A Bill of Lading for the
off-site transport and recycling of contaminated soils to the
Bardon-Trimount Facility in Stoughton, MA. Please sign and return.
Water analysis for the 1/25/93 sample will represent the initial
quarterly test . Additional quarterly testing of groundwater
samples will be scheduled for 5/93 , 8/93 and 11/93 . Laboratory
analysis will be filed with the Department with a Certificate of
Recycling . Should you have any questions regarding the project or
need additional information, please call me directly at your
earliest convenience . I look forward to yotir prompt reply.
Very truly yours ,
t)d
AL EN N RIN CO. , INC .
Bennett , R. S . , P.G.
Hydrogeologist
DCB/ca
Enclosures : Bill of Lading
Supporting Documentation. . . Feb. 1993
cc : Keith Nisbet , Boston 5 (c/o J . Martens )
Donna Z . Miorandi , Barnstable Health Department
Lt . Eric Huebler , Barnstable Fire Department
f
BILL OF LADING
POLICY # WBC-89-001
BILL OF LADING f: C-13-322 DATE: 2/23/93 DBp CASE /z S93-00.14
.GENERATOR NAME/ADDRESS: SITE OF GENERATION:
The Boston Five Cents Savings Bank STREET 508 Main Street
1669 Falmouth Road TOWN _ Barnstable (Centerville)
Centerville, MA 02632 STD _Massachusetts
CONTACT/TEL #: _ Keith Nisbet - TRANSPORTATION ACCIDENT? Y N
(800) 257-8667
MATERIAL DESCRIPTION (TOTAL PROJECTED QUANTITY):
None
CONTAMINATED SOIL: 45 30 CONTAMINATED DEBRIS: N absorbent pads N absorbent booms_
wt(tons) vol(cu yds) vol(cu yds) speedy dri other (specify)
TYPE OF CONTAMINATION: ANALYSES ATTACHED?
_ gasoline _X #2 oil _ #4 oil _ #6 oil _ other(specify)_ Volatiles: _ Y _ N TPH: Y _ N
TRANSPORTER NAME/ADDRESS: DESTINATION FACILITY NAME/ADDRESS:
East Harwich Heating, Inc. Trimount Bituminous Products company
1621 Orleans Road 1101 Turnpike Street
East Harwich, MA 02645 Stoughton, MA 02072
CONTACT/TEL. k: John Martens TYPE OF FACILITY: X Recycling Landfill Incinerator
508 2-527 4 EPA ID#: MAD 961213531 PSRMIT f: 0-90-020
GENERATOR'S SIGNATURE: for Boston Five DATE: _2/23/93
(Above items must be completed prior to P authorization)through John Martens
AUTHORIZATION: DEP SIGNATURE (originating region): DATE:
(If applicable) DEP SIGNATURE (destination region): DATE:
TRUCK/TRACTOR REGISTRATION QUANTITY SHIPPED: wt (tons) vol (cu yds)
TRAILER REGISTRATION TOTAL PROJECTED
LEFT SITE AT DATE SHIPPED TO DATE
GENERATOR OR RECEIVING FACILITY REPRESENTATIVES THIS LOAD (estimated)
SIGNATURE: REMAINING TO BE SHIPPED
TRANSPORTER'S SIGNATURE: DATE:
RECEIVING FACILITY REPRESENTATIVE'S SIGNATURE DATE: ARR. TIME:
GENERATOR IS RESPONSIBLE FOR RETURNING COMPLETED FORM WITHIN 5 DAYS TO:
DEPAJaMENT 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.
V- r f
No..,�!�....1..
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
TOWN OF BARNSTABLE
Appiirii#ion for 11ispoaai Works Towitrnrtinn thrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at: G
.... .................................. .......•----•-•.....--•--••-•----•••-----•--••---••-•-•••--...-----•---......_•--•--........-•-•--
` 1 ation-Ad ess or Lot No.
Owner Address
Installer Address
Type of Building �-� Size Lot----------------------------Sq. feet
�--� Dwelling—No_�m& ___MQ%'_s....-.............Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
Other fixtures -----------------------------------------------------
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
W
Test Pit No. 1________________minutes per inch Depth of Test Pit---------_.......... Depth to ground water........................
44 Test Pit No. 2................minutes per. inch Depth of Test Pit---:................ Depth to ground water........................
9 ...................................
------------------------------
-.........
_---------
•••--•--------------------------
•-------------
•••-----
-----------• ----
0 Description of Soil........................................................................................................................................................................
W
U -----------------------
---------
-------------------------------------
•--•----------------
•---------------
•-----------
•-------------------
•-----------------
---------
W
U Nature of Repairs or Alterations—Answer when applicable...............................................................................................
................•------...---------•-------•----...•---------•--•--•-- ...........................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE S of the State Environmental Code— e undersi ed further agrees not to place the
system in operation until a Certificate of Compliant s b��- y and ofhe h.
Signed �r....--- - .................... --------................................
Date
Application Approved BY ..-...- � --------- ------------- ------- .......
Dace
Application Disapproved for the following reasons- -------------------------------------------------------------------------------------- ------------ -- ----------- ---
------------------------------------------------------------------------ ---------- ---- ----------------------- -- ------------------------------------------------------------------------- ........................................
Permit No. --..--- -- It.. ...� ..................... Issued -..-....-...-...-...--..--..--...... Dare
— Dace
ff �V/ 7 ya
THE COMMONWEALTH OF MASSACHUSETTS r'k.
BOARD OF HEALTH
r
TOWN OF BARNSTABLE
Appliration for Uispaaal Works Tonstrnr#inn rrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage, Disposal
System at
eE-�- c6)I-IfUlk
............................................. .. .............................................................................................
►1 ?..,�, o ation-Add ss� or Lot No.
.........................
•-•••••-----•.......................•.....-•-.............-•--••.............---••-----------__••-
a ) n Owner Address
Installer Address
Type of Building Size Lot...........................Sq. feet
�-, Dwelling— -------_---:----Expansion Attic ( ) Garbage Grinder
aOther—Type of Building ............................ No. of persons......--.............--.---- Showers ( ) — Cafeteria ( )
dOther fixtures -----•------------------------------------------------•-••------•-•---•--••---....•--•--•--••••-•-••••--•-----•-•-•-•--•--•-•....---•----.........---
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter--.--.------- _ Depth................
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No.............. ...... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. I................minutes per inch Depth of Test Pit......--............ Depth to ground water..--....................
fZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
P4 .....-••----------------•---................--•------------•-•--•-••----••...................................................................................
0 Description of Soil........................................................................................... ---------------------- .....................................................
W11
Z .....--•----•---------------•------......•-•---....------------....--•----•-------------•-••-•--•--•---••----••-••------....----.........------••--..........................................••••••.... f
U Nature of Repairs or Alterations—Answer when applicable...................................:............................................................
----------------------------•---------------------------------------------------------------•-•----•----•-----------------...---------------------...----------------------••-••--•..........--......--
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code The undersigned further agrees not to place the
system in operation until a Certificate of Compliance,h„as been.is ue}d-by the��rd of he h.
Signed. . ..... -/
v _
....�..- 'e--" ----------'---------------------------------------------------- ------------- Date
y;_ . ..............
Application Approved By .......... �, ! - .';I_
.................----------..........................................------------- ---------
Application Disapproved for the following reasons: ................. .....----............-------------........................................------------------------------------
-------------------------------------
-- ------Lf---7--y----------------- Daa Issued . - Date
Permit No. ------- te
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
ILErtifiratr of Contyliance.
THIS IS X.,
E Y, That the Individual Sewage Disposal System constructed ( ) or Repairedby
'T Installer
at ---------------g-...
�... ...-.. !1 CQ !s........... '/. I.......---....---.... ----------------............--------------------------------------------------------------
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. ............ dated ----------.....................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT IBE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE - ........... t `J Inspector . ----.....•......... .......... ...........---- -- ---
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
C{
TOWN OF BARNSTABLE
No.... ( � FEE.. .............
Elisposal Workii TomAr ion ami#
Permission is hereby granted............!U- ---• ----------------------------------------•---•------..............-----......
to Construct ( ) or Repair an Individual Sewage Dispal System
at No................. 1.44 r ......Z.� ----- ------------
Street
as shown on the application for Disposal
osal Works Construction Permit No. -��... Dated........................................
................................ .e ...........__.
DATE................................................................................
Board of Health
FORM 36508 HOBBS&WARREN.INC..PUBLISHERS