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0037 HINCKLEY ROAD - Health
31 Hinckley Rd., Hyannis NEW ENGLAND TILE CORP. t-T 0 i o v i i � e o Town of Barnstable 3 aA 93 BABNBTABM 0 Me A ,e$ Growth Management Department RFD MPt+ ,O�aOF @AANS1P�c www.town.barnstable.ma.us/growthmanagement Elizabeth Jenkins Interim Director Staff Report Special Permit No. 2017-015 -JEND, LLC . he°'.q.'vpti4« Section 240-25(C) -Conditional Use Spec ialgPermit Modification of Special Permit 201.5,'002 Expand and relocate the existing service and sales to a;.ne'w business and modify condition. No. 2 of Special Permit 2015-002 to allow for storage.of greater than household quantities of hazardous materials . Date: . March 13, 2017 To: Zoning Board of �°'`�`k AppedNnn%., From: Anna Brigham, Principal P I'd nn6r Applicant: JEND, L L C Property Address: 37 Hinckley4Road yHyannis " ; 0 Assessor's Map/Parcel: 31 1/Ol 84 Zoning: Business (B) ah Highw�ay,�B;us ness(HB) and Groundwater ,,,Protection (GP)�Ov�eay Zoning Districts Filed:February 10,2017 4hk Heanng:March 22 2017, Decision Due: June b,2017 ,.,xy., ,,:,: .;•fit Copy o Public Notice JEND, LLC seeks to modify,,,peci6'Wermit No 2015-002 to expand and separate a conditional use permitted,�pClt ant to Sect,n 240 25(C)(1x}to allow expansion of the service and sales use into spaces `currently occupledby a retail/wholesale use and to maintain existing wholesalb7 arehouse spkace� Further, the.,Applicant seeks to modify condition No. 2 of Special 4 X.,. PerrnlVA'0, 2015-002 to allow for storage of greater than household quantities of household materlaIAK�`The subject property is Located at 37 Hinckley Road, Hyannis, MA as shown on Assessor's Wap,311 as Parch018. It is in the Business, Highway Business, and Groundwater Protection Ovedtlxays Districts. .s !Background__ The subject property is a .57 acre developed lot with frontage on Hinckley Road. The developed portion of lot is located)n the Highway Business District; the northeast corner of the lot is zoned Business. It is in the Groundwater Protection Overlay District. The lot is improved with a 13,936 sq.ft industrial building. The structures appear to be two pre- fabricated metal warehouse buildings with an internal connection. There is a parking area for about 8 cars in the front of the building. Currently two businesses operate on the property: Heritage Turbine and New.England Tile Co, Inc. 200 Main Street,Hyannis,MA 02601(o)508-862-4786(f)508-862-4784 367 Main Street,Hyannis,MA 02601(o)508-862-4678(11 5 08-862-4 78 2 According to the Applicant, Heritage Turbine inspects, repairs, and sells parts for aircraft turbine engines. New England Tile Co, Inc. conducts retail and wholesale sales. Their space includes a retail showroom and some warehouse space. Pro p___osal & Relief Requested The applicant is requesting a modification of Special Permit No. 2015-002 to expand and separate a conditional use presently granted under Section 240-25 C (1) and to modify condition No. 2. The applicant seeks to split the uses of the tile retail/wholesale presently occupying approximately 10,000 square feet. The intent is to have the prior showroom converted into the same sales service/office use as contained in the Heritage Turbine space. The space presently dedicated to wholesale/warehouse will rear �ti'i"h wholesale/warehouse space. The result will be three businesses at this location. Finally, the applicant seeks to modify Special Permit 20150`02 Condition No. 2 to allow for storage of greater "than household quantities of hazardous materials f_,,the Board of Health approval is obtained. s 51b, �,_� Section 240-25 HB District allowed uses are as fot-ows: �.. WIC. A. Principal permitted uses. The following uses are permitted in the HB Business District: (1) Office; but not including medical office. (2) Bank; but not consisting in whole or in part of drive-in bank or drive-up automatic teller. B. Accessory uses. (Reserved for future use.) C. Conditional uses. The following uses are permitted as conditional uses in the HB District, provided that a special permit is first obtained from the Zoning Board of Appeals subject to the provisions of§ 240-125C herein and subject to the specific standards for such conditional uses as required in this section: (1) Any use permitted in the B District not permitted in Subsection A herein, subject to the following: (a) Such uses do not substantially adversely affect the public health, safety, welfare, comfort or convenience of the community. The proposed use is a'llowied in th`e Business (B) district. Staff Comments : • The sit' Iik located within ba�Groundwater Protection Overlay District. The Board may wish to have thePtitioner confirrnthat no hazardous materials are involved with the service of the aircraft engine parts. s 4 i &4N • It appears the property is not currently connected to public sewer. There is an eight inch sewer line in Barnstable Road. The Board may want to ask the applicant to explore the possibility of connecting the buildings to Town sewer. • There are no changes to the business, building, or site. The Building Commissioner r. wed the existing site and uses and issued a Site Plan approval letter dated January 7, 2014. Proposed Special Permit Findings _ For all Special Permits, the Board is required to make general findings pursuant to § 240- 125(C). The Board should review the evidence presented by the Applicant, staff, and members 200 Main Street,Hyannis,MA 02601(o)508-862-4786(f)508-862-4784 367 Main Street,Hyannis,MA 02601(o)508-862-4678(f)508-862-4782 of the public and, after weighing such evidence, is encouraged to articulate if and how the evidence contributes to each of the required findings. 1. In Application No. 2017-015 JEND, Inc., has requested a Conditional Use Special permit Special Permit to modify Special Permit No. 2015-002 to expand and separate a conditional use permitted pursuant to Section 240-25(C)(1) to allow expansion of the service and sales use into space currently occupied by a retail/wholesale use and to maintain existing who lesale/wareho use.space. Further, the Applicant seeks to modify condition No. 2 of Special Permit No. 2015-002 to allow for.storage of greater than household quantities of household materials. 2. The property is addressed as 37 Hinckley Road, Hyannis, MAasshown on Assessor's Map 311 as Parcel 018. E 3. Section 240-25(C)(1) of the Zoning Ordinance allows any use permitte i in the B District with a Conditional Use Special Permit. Retail and wholesal".., es and sales ooms, retail trade services and shops, and any other business uses�of a similar nature arepermitted in the HB District with a special permit from this Board. 4 5 4. The Building Commissioner re ned the existing site and0.wses and issued a Site Plan approval letter dated January 2015. , � s 5. After an evaluation of all the evidence presented, the prgposal fulfills the spirit and intent of the Zoning Ordinance and would not represent a substantiadetriment to the public good or the neighborhood affected. �� �` Al wti �.< 6. The proposed use of the property will ndt,,substantially adversely affect the public health, safety, welfare, comfort or convenience of?the coffim" ityq; 7. The proposed commercial use of the existing,building inconsistent with the Local Comprehensive Plan" this`°,area as a Regional Commercial Center. Should the Boardfmdto grantthe Special%:Permixt;°No. 2017-015, it may wish to consider the following conditrons,�, � �� , 8. Spec aI Permit No. 2017 015 is" granted to JEND, Inc. for a Conditional Use Special Permit to4mdify Special PermEtNo. 20150:02 to expand and separate a conditional use permitted pursuantto Section 240':25(C)(1)G,to allow expansion of the service and sales use into space currently�occtupied by a retail/wholesale use and to maintain existing wholesale/warehouse space. Further the Applicant seeks to modify condition No. 2 of Special Permit No. 2015- 002 to allow forstorage otifa"greater than household quantities of household materials. The property is addresysed;.as 37 Hinckley Road, Hyannis, MA as shown on Assessors Map 311 as Parcel • 9. The improvements .4 shall be in substantial conformance with the sketch plan entitled "37 Hinckley Road, Hyannis" included in the application. 10. The decision shall be recorded at the Barnstable County Registry of Deeds and copies of the recorded decision shall be submitted to the Zoning Board of Appeals Office and the Building Division prior to issuance building permit. The rights authorized by this special permit must be exercised within two years, unless extended. 200 Main Street,Hyannis,MA 02601(o)508-862-4786(f)508-862-4784 367 Main Street,Hyannis,MA 02601(o)508-862-4678(f)508-862-4782 T ar Copies: Applicant c/o Attorney David Lawler Attachments: Application Site Plans Building Plans Assessor's Record Aerial Photo �v Y4 X. k "k.•Y�9yk�s gy°rY�.`Yxi;A�Y . Y,�'r 4Yt. `b`'eY:bk•`kxb Y'+,�x k 4.Y x'sbb��q'4.Yk...••� `� AM`g b 1, b Y"bk' 4'ka rh r \x x i S 4 YS`t`4� Yx"a"r'Y �..;.�.°4v�k .Y ,43`'byb,,��'x•�'.•;bY S ':_".k�.x`x�' • xxvx :xh°'" Y`'y�xb4y�'..hi Y'k SR"•�S'r . Y 51 ti k•-`.�}�4`.b°xb*.,�,� •r T�:gx� �'u4x5'i'4,xry xs k4 �bb bb• IXlk t 200 Main Street,Hyannis,MA 02601(o)508-862-4786(f)508-862-4784 367 Main Street,Hyannis,MA 02601(o)508-862-4678(f)508-862-4782 , (r TOWN OF/�BARNSTABLE LOCATION 3 7 `t'1i AJ6r_('-A, Kt a SEWAGE# 201 Y- 6� VILLAGE ttj a/\n k S ASSESSOR'S MAP&PARCEL '$0 CJ' INSTALLER'S NAME&PHONE NO. � �7fn.� LLB -776-1003 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) �- Sr�a �/&� C�►Otrr�j(size) 22 x-q-63� NO. OF BEDROOMS�A OWNER lb_ c A0 t( ✓1/S� PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility (p Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY C W � w r o n W j r , No. d2.Gl�f qio�_ Fee ( W THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 0[pplitation for Misposal 6pstem ConstrUftion Vermit Application for a Permit to Construct( ) Repair( ) Upgrade(v/f Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. t KI � ���� Owner's Name,Address,and Tel.No. c{+j l 3 2 3 ®3 V-7 Assessor's Ma /Parcel trX- t-T Y TR✓S-1� iS P 31 1 o t$ SAX 4.50 o Pe^1AvY wa 14 Installer's Name,Address,and Te.No. Designer's Name,Address,and Tel.No.!�D Z71-73�7 po. &X Zo IZf wS i�. 4 Z6 3 Type of Building: Lai, C m � �3�_ 1-7-7-7 Dwelling No.of Bedrooms /n/ Lot Size Z�,p�{'r �= sq.ft. Garbage Grinder( ) Other Type of Building CoYh Al j& A i No.of Persons I Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided Z 5 gpd Plan Date M f 2g I 1 Y Number of sheets I Revision Date Title Size of Septic Tank /5e c, GAL = Type of S.A.S. 'I t"10 5`40 G ; G W f 5 Description of Soil 0 +,� �/C(� � - f I rA,2 , i "- IN,11 6 �j(Q '�� /?6 v lL�EO GsAP�2 -k wvk T Nature of Repairs or Alterations(Answer when applicable) 6 6W G (5r, ' &g v /M .yO.✓�H-U 137--V G S -Txlr/K, 14 -20 D-- Sdu 6,.1AW N zo c�j,�c•��ri:s wi AA N '„d are. Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date I-L I-1 LI Application Approved by Date Application Disapproved by Date for the following reasons Permit No. g l r Date Issued a K No. G �� Fee W THE C.OMMO�NWEALTH-'OF-MASSACCHUSETTS Entered in computer: Y$ PUBLIC HEALTH DIVISION - TOWN OF BARNSABLE, MASSACHUSETTS ftplitation for Disposal *p�stem ustrUttion 30Prmit Application for a Permit to Construct( )' Repair(" ) Upgrade(✓T Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. '3"1 I I!a C tC L.l '' aQA� 0` Owner's Name,Address,and Tel.No. C`y 1 .�Z 30 j Y 7 ff ( ex tZe11 i Y TRVSI— � Assessor's Map/Parcel 3 ( o g S A/Lrt 6o TA PVA/,vY LS Insttaal��ler's Name,Address,+and Te.No. s 1/ Designer's Name,Address,and Tel.No.5'0 8 271 -73 y 7 r 1 e�a1t.� 7-T att, ZP'/X !l5 170 ✓r701C Zo l 7-0Q.r'ev5 f ��. O7-h`2, '`'Type of Building: �7 0 2-7- Dwelling No.of Bedrooms Yv Lot Size 2 5.O`(� ` sq.ft. Garbage Grinder( ) Other Type of Building 01 ` No.of Persons ! Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) "2 Z gpd Design flow provided Z 5`� gpd Plan Date 1/1-7 l(�� Number of sheets ( Revision Date Title Q¢oynS[l d 5ewAG4 1 ro MAL. S�P Size of Septic Tank /boo GA C T e of S.A.S. TWO ) r P YP O Scan r�AC• G�law��rSti � n Description of Soil (� %1 L - � SQ2i � %��6 7/„ " 1 7G Nature of Repairs or Alterations(Answer when applicable) /3f11r-a-10 i./ J j -o- C,as 1n.51 l>' ,n/ef26Z 12rn /,rq -Tn,,/lz 3 /1 2.0 D-/:0'4- Sno Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in 1 accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed _ ( Date Application Approved by Date 1.2 l -(Lf Application Disapproved by Date / for the following reasons Permit No. U Date Issued .: THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CE TIF,that the O -site,Sewage Disposal system Constructed( ) Repaired( ) Upgraded Abandoned( )by JV L t 1 r at U has been constructed in accordance with the provisions of Title 5 Ld the for Disposal System Construction Permit No. (�61 Cf- '1�'Ldated Installer Designer #bedrooms tA74 Approved design flow gpd The issuance of this permit shall not be 96nstrued as guarantee that the system will ctio as designed. Date Inspector No. a 0 1 L4 Fee v[/ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal *pStem Construction 3pPrmit Permission is hereby granted to onstruct( ) Repair( ) Upgrade( ) Abandon( ) System located at 14 LA41 On, 4 A A Lf and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with t Title 5 and the following local provisions or special conditions. r+ Provided:Construction must be completed within three years of the date of this permit-- Date f - It� Approved by •.1 - Town of Barnstable Regulatory Services t Richard V. Scali,Interim Director • B ANSTAB i639�I E M^ Public Health Division n " Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: ( Sewage..Permit# :U1 Lt 67, Assessor's M�ap\Parcell Designer: _�ov}�,Q �AJ I y Installer: Address: eOX Zoe Address: 216 QJele AJ A y,-e_ old m24 o els- On i 2 Z was issued a permit to install a da e) (in aller) septic system at Hwic'K I-e ul fuiS based on a design drawn by (address LAJ A 91 dated '2 a 1 (designer) y I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in compliance with the terms of the IAA approval letters (if applicable) UNDA JD v Pf"To (Installer's Signature) QViL pt�, (Design V ignature) (Affix mp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc Wrokti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BA MARS,LE, ` 200 Main Street• Hyannis, MA 02601 prFOMP TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: uJ L 1,,VKt I+ Ie- (2o. Date: S�Q(q I i Location/Mailing Address: 3 ,V I,-- av%vlt 6 Contact Name/Phone: .S JL �VVe- -1 S 31 DD CeII dad- 31,-1 -3cr13 Inventory Total Amount: MSDS: o 10W Itk.e�- License#: Tier II : 00 Labeling: c%1t Ca�a,A Spill Plan: kill Oil/WaterSeparator: hi I A Floor Drains: K-)a Emergency Numbers: faS Storage Areas/Tanks: n;JA Emergency/Containment Equipment: Waste Generator ID: Al A Waste Product: Date&Amount of Last S ipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives ' Gasoline,jet fuel, aviation gas Y Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caul WGrout xN z insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries ,t SZ Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables 3 cleaw6..{sue Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" b115r0 (b d4 �o� �� oo ti J fi2s6f-( (including chloroform, formaldehyde, 1 '� �� hydrochloric acid, other acids) �oD .r��o� 3So 305-016 VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: t be, ,w v G .Y-S "A- no.,fps i VdUAI Inspector: aa ,, Facility Representative: b4 �tVK5 WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS °F IPE Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMAN Le. • - 200 Main Street• Hyannis, MA 02601 �F1639. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: kw E 1 1l Date: 7 6 ,6 Location/Mailing Address: 3-1 614eillzli 1(<X1a H Kl S Contact Name/Phone: e O So - S-31 o o dell -367- 3 Inventory Total Amount: MSDS: License#: Tier II : Labeling: Spill Plan: Oil/WaterSeparator: Floor Drains: Emergence Numbers: Storage Areas/Tanks: Emergency/Containment Equipment: Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil&stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform,formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: WkA QV ti q,Vt 1 L fi<--C> W i I) bb VI 1 Inspector: Facility Representative: WHITE COPY/ -HEALTH DEPARTMENT/CANARY COPY-BUSINESS °PIKE A Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMAN LE. • 200 Main Street• Hyannis, MA 02601 EoiAr°+"�0� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Ne W E,4,5 4 � 7'�'le- C D. Date: 2� 6 Location/Mailing Address: 1 3"7 of NG . e I4<x, H Yc 0 14,S Contact Name/Phone: I eve_ O,o . .56 r3- �!S-S 10 o e ell S`n B-367- 39q Inventory Total Amount: MSDS: License#: Tier II : Labelina: Spill Plan: Oil/WaterSeparator:E Floor Drains: Emergency Numbers: Storage Areas/Tanks: Emergency/Containment Equipment: Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink ` Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: r- ft7 0 V (l uC /I . t INFORMATION/RECOMMENDATIONS: VJi I I VWA/1DOVl 61) I ti J . C. e<o W M be, Y"i oo v"' q ' Inspector: (� I� Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 37-A Hinckley Rd. Property Address Rex Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11/28/2014 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. Please see completeness checklist at the end of the form. Important: A.When A General Information fillingng out farms on the computer, I D use only the tab 1. Inspector: key to move your 1 cursor-do not Linda J. Pinto use the return Name of Inspector key. Oceanside Septic, Inc. � Company Name P.O. Box 201 Company Address Brewster MA 02631 City/Town State Zip Code 508-896-1513 4432 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 ❑ Needs Further Evaluation by the Local Approving Authority Ins ctor'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 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. I t5ins•3/13 Tide 5 Official Inspecd :Subsurface Sewage Disposal ystem•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 37-A Hinckley Rd. Property Address Rex Realty Trust Owner Owners Name information is required for every Hyannis MA 02601 11/28/2014 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: ® 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: 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•3/13 Title 5 Olficiat Inspection Forth:Subsurface Sawage Disposal System•Page 2 of 17 F Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 37-A Hinckley Rd... Property Address Rex Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11/28/2014 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. 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): brokenpipe(s)are re laced Y N ND (Explain below): ❑ P ❑ ❑ ❑ ( P ) ❑ 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 t5ins•3113 Title 5 Cfficial Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 37-A Hinckley Rd. Property Address Rex Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11/28/2014 page City/Town 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 1/2 day flow t5ins•3/13 Title 5 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 37-A Hinckley Rd. Property Address Rex Realty Trust Owner owner's Name information is required for every Hyannis MA 02601 11/28/2014 page. City/Town 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 El El Area 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 3.7.-A.Hinckley Rd. Property Address Rex Realty Trust Owner Owner's Name information is H annis MA 02601 11/28/2014 required for every y 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? Z. ❑, 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 ® El 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: Z ❑ 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): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage CAsposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 37-A Hinckley Rd.. Property Address Rex Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11/28/2014 page. CityfTown State Zip Code Date of Inspection D. System Information Description: Number of current residents: Does residence have a garbage grinder? ❑ Yes ❑ No Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes ❑ No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ❑ No Water meter readings, if available(last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes ❑ No Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: Office/Sales Design flow(based on 310 CMR 15.203): M Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): factory/industrial/office Grease trap present? ❑ Yes 0 No Industrial waste holding tank present? ❑ Yes 0 No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ® No Water meter readings, if available: t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 or 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 37-A Hinckley Rd. Property Address Rex Realty Trust Owner Owner's Name information is Hyannis MA 02601 11/28/2014 required for every y page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Current Date Other(describe below): 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) 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): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments "Vo 37-A Hinckley Rd. Property Address Rex Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11/28/2014 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed(if known)and source of information: I Approximately 8 years per Board of Health records Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 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.): Tight Yes None Septic Tank(locate on site plan): 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: 1500 Gallon Sludge depth: 0" t5ins•3113 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 37-A Hinckley Rd. Property Address Rex Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11/28/2014 page. Cityfrown 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" Scum thickness 0" Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 18" How were dimensions determined? Tape Measure Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): The structural integrity of the septic tank appears sound. The inlet has a concrete cover 6"b.g. and the top of the tank is 21 b.g. There is a sch.40 PVC tee. The outlet has a concrete cover 6 b.g. and the top of the tank is 21"b.g. There is a sch. 40 PVC tee. The liquid level is at the outlet invert with no sign of backup or leakage. Risers were installed at the time of inspection. 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-3113 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 37-A Hinckley Rd. Property Address Rex Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11/28/2014 page. Cityrrown 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.): 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 !Sins•3113 Title 5 Official Inspection Form: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 37-A Hinckley Rd. Property Address Rex Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11/28/2014 page. Cityrown 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 0" 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 appeared to be in good condition with no sign of solids carryover. There is a concrete cover 24"b.g. There is one inlet and two outlets with speed levelers. Flow appears equal. The liquid level is at the outlet invert with no sign of backup or leakage. 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.): *If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System(SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Form: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 37-A Hinckley Rd. Property Address Rex Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11/28/2014 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: El leaching 500 gallon leaching pits number: chambers ® 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.): The leach chambers appear to be in good condition. There is a concrete cover 6"b.g., the top of the chamber is 44"b.g., and the bottom of the chamber is 70"b.g. The leach chambers were dry at the time of the inspection. There was no sign of hydraulic failure in the area of the SAS. 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•3113 Title 5 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 37-A Hinckley Rd. Property Address Rex Realty Trust Owner Owner's Name information is required for every �H annis MA 02601 11/28/2014 page. Cityrrown 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.): t51ns•3/13 Title 5 Official 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 37-A Hinckley Rd. Property Address Rex Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11/28/2014 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view 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. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately AI gglo7t 131 S410„ AZ Si f 7-'1 62 '1 �}3 35'C" 133 �°►'t,1j 3 4 4 310 1, AS 3tio11 b� 31� 311 N4_�'w TI LE LD }}�.1rt-AGE T��31NE W I : 1 _ � v✓ I v� LEFK-H ,,d \ i CNM31rfZs \ IT! o ° 'P A`L!L!Ivy V� S 1�vK D QoyC v 4AWj 41NGICLEy 2zA D t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 4 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 37-A Hinckley Rd. Property Address Rex Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11/28/2014 page. Cityrrown 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: -19' below the bottom of the SAS 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: May 25, 2006 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: According to the plan dated May 25, 2006 on record at the Board of Health, test holes were completed on site to EL=44.2+/-and no groundwater was encountered. The bottom of the leach chamber is EL=49.5+/-, showing at least 5.3'of separation. Adjusted seasonal groundwater is EL=30.5+/-as shown on theplan so there is approximately a 19 separation to estimated high groundwater. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 L_ Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 37-A Hinckley Rd. Property Address Rex Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11/28/2014 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 t5ins•3113 Title 5 official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 _ TOWN OF BARNSTABLE LOCATION J I - fj,Ack`!(y. ...rd 'SEWAGE#� O��� � r ,. a VILLAGE ASSESSOR'S MAP&PARCEL . 1K .p INSTALLERS N_ AME&PHONE NO. lnei . �,.�v&,;y,�p� /k yet i„rr,e r� SEPTIC TANK CAPACITY I.S7bo LEACHING FACILITY (tYP ) ,y"4,a r` (size) 11 X.1 ( i ) �C� NO. OF BEDROOMS f OWNER . PERiVIIT DATE .. COMPLIANCE DATE: `®� `•a&+ ° 7c Separation Distanc e 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 wetlands3exist p within 300 feet ofledching facility) Feet FURNISHED BY In -� �r A � rP s Nc [ � �� Al 0 0.0 0 d Co fJ` THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISbN - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zpplication for Ti5ponl *p5tem Construction Permit Application for a Permit to Construct( ) RepairX ) Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. 37A Hinckley Rd Hyannis Rex Realty Assessor'sMap/Parcel 311 _. 37A Hinckley Rd, Hyannis Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4—0 8.9 4 Wm E Robinson Sr Septic Eco-Tech PO Box 1089 Centerville 43 Triangle Ciri Sandwich Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder PO) Other Type of Building industrial p 1&3&tbf Persons Showers( ) Cafeteria(110) - Other Fixtures -� Design Flow(min.required) O&W�qO-e gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Install a new Title 5 septic system to plans of Eco-Tech, #ETE-2354 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the EnvironmeAal Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of He9kh. igned Date L nn Application Approved Date ' Application Disapproved by: Date for the following reasons Permit No. 0026 Date Issued .00 Al 00 ` ,fit "T THE COMMONWEALTH OF MASSACH'USETT$ I~' jEntered in computer: —. PUBLIC HEALTH DE�O N - TOWN OF BARNSTAB.LE, MASSAC�HUSETTS Yes ZppYication 'for 1h5pont 6p tetra Construction Permit A lication for a Permit to Construct Re air:(C ) Upgrade Abandon ❑Individual Components PP ( ) P Pg ( ) ( ) ❑ Co System ' P Location Address or Lot No. Owner's Name,Address,and Tel.No. t f r t 37A Hinckley Rd, Hyannis .Rex Realty L Assessor'sMap/parcel 311 ��A '57A Hinckley Rd,\Hyanni_' f i Installer's Name,Address,and Tel.No. 7 7 5—87 7 6 Designer's Name,Address and Tel.No. 3 6 4—,-0 8 9 4 Wm E Robinson Sr Septic Eco—Tech -NI F° PO Box 1089, Centerville 43 Ttianale Cir, Sandwich Type of Building: Dwelling No.of Bedrooms Lot Size . 'sq. ft. ' Garbage Grinder (o) _- Other Type of Building industrial p1".tof Persons x*>, Showers( ) Cafeteria(no) Other Fixtures Design Flow(miri.required) �gpd.(_'-�Design flow provided, �` gpd Plan Date Number of sheets[ Revision Date Title Size of Septic Tank' J Type_of S.A.S. ` Description of Soil (�T k...' Nature of Repairs or Alterations(Answer when applicable) Install a new Title 5 septic 1 system to plans of Eco h, ETE-2354 4 Date last inspected: Agreement: The undersigned agrees to ensure the construcfion and maintenance of the afore described on-site sewage disposal system in ° accordance with the provisions of Title 5 of the Envtronm tal Code and not to place the system in operation until a Certificate of Compliance has'been issued �Boardham. �igned Date Application Approved b Date s. Application Disapproved by: Date for the following reasons (' •l Permit No. _ t0 t Date Issued r+. _ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Rex R it e Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (X ) Upgraded ( ) ' Abandoned( )by Wm E Robinson Sr Septic Service 37A Hinc ey Road, Hyannis r. athas been constructed in accordance //•���� /�, with the provisionsr"o,'f,Title 5 and the for Disposal System Construction Permit No. Go LP dated Installer F-C��l Vic'-�`r\ Designer r�2),-Q #bedrooms '01���4 Approved design floWU 3 34:9 gpd The issuance of this permit sh I not b construed as a guarantee that the(3,stem will r 'If signed. Date Inspector— s ———————————————————————————----------------- No. r9 ' Fle 0 0.0 0 Rex Real THE COMMONWEALTH OF MASSACHUSETTS PUBLf6 HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS 1=i5po.5at 6p5tem Con5truction Permit Permission is hereby granted to Construct ( ) Repair ( X ) Upgrade ( ) Abandon ( ) System located at 37A Hinckley Road, Hyannis and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construct! n m7(0, be completed within three years of the date f this p � e i Date S � Approved b i Town of Barnstable OF ZHE T °''sti Regulatory Services BARN STABLE, Thoinas F. Geiler, Director • 9d3 MASS,3 . � Public Ilealt-h Division ATf0 -Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: Sewage Permit# Assessor's Nlap\Parcel 311 Designer: Eco-Tech Installer: Wm E Robinson Sr Septic Address: 43 Triangle Circle Address: PO Box 1089 Sandwich Centerville l y On Wm E Robinson Sr Sept4was issued a permit to instaIl a (date) (installer) C) s.e septic system at 37A Hinckley Rd Hyannis based on a design d%,a«n by `p a x (address) `I - Eco-Tech dated 05-25-06 r- (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State &- Local Regulations. Plan revision or certified as-built by design cr to follow. 1. ti OFRfgsS DAVID (Installers Signature) o D. m " COUGNANOWR NO.1093 (Z44 SNfiT Rk (Designer's Signature) iAfttx Des Otdrnp Here) PLEASE RETURN TO BAKNSTABLE PUBLIC FIEALTH DIVISION. CERTIFIC VTE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM •1t`D AS-BUILT GUtD ARE RECEIVED BY TILE BARINSTABLE PUBLIC IIEALTI-t DIVISION. TII NK YOU. Q: Healtn:Septic"Designer Certification For_- 6-0-1.doc Town of Barnstable P# /� Department of Regulatory Services - ' > Publicr suea. Health Division Date 200 Main Street,Hyannis MA 02601 Date Scheduled Time Fe e Pd. Soil Suitability Assessment for Sewage D' sal , Performed By: [f� lL C�J p Witnessed By:.. LT F r L INFORMATION �' (x 1 ViC Owner's Name � � ENGLu 71�C Address ,l ancel: `r f 0 �Ngineer'sName NO ID U• 60a,1��}U�,✓1' CTION REPAIR Telephone# Land Use 6-0 i° )"C'I`Cilel l Slopes(%) © S1 ova Surface Stones Distances from: Open Water BodyV V + [ (? }oS f1 ft Possible Wet Areea ft Drinking Water Well t7 I ft Drainage Way y ft Property Line `0 f ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands n_oroximirv_to holes) t HINCKLEY ROAD t - Q GROUNDWATER ADJUSTMENT; EXISTING GROUNDWATER LEVEL 'BASED ON TOWN OF BARNSTABLE IGIS DEPARTMENT RECORDS. I I INDICATED GW 27.00 INDEX WELL AIN-230 I ZONE D I I READING DATE APRIL. 2006 I I READING 23.1 ADJUSTMENT 3.5 — — -- I ADJUSTED GW 30.0.50 Parent material(geologic) �qcr c ` ov 4� Depth to Bedrock o Q Depth to Groundwater. Standing Water in Hole: Weeping from Pit Face p 17 Estimated Seasonal High Groundwater S 12 e p b O v e DETERWNATION FOR SEASONAL HIGH WATER TABLE Method Used: S Q e- a 0 v e Depth Observed standing in obs.hole: In. Depth to soil mottles: Depth to weeping from side of obs.hole: In' Index Well#—. in, Groundwater Adjustment ft. Reading Date: Index Well leveler Adj.fhctor Adj.Groundmterigvel,,, Observation PERCOLATION TEST We�, Time .� Hole# Ti me at 4" , 11",3 Depth of Perc 60 Time at 6" Start Pre-soak Time @ is '3 fit;h Time(9"-6") End Pre-soak '13 Rate MinJlnch a v P i � Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- J ***If percolation test is to be conducted within 100'of wetland,you must first notify the. Barnstable Conseli'vation Division at least one(1)week prior to beginning. ` ' - Q:XSEPTICIPERCFORM.DOC NO TEST PIT I PARENT MATERIAL:EPROGLACIRALD OUTWASH I ELEVATION = 54.75 +_ 2 MIN/INCH IN C SOILS DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 54.75 0-5 FILL 5-9 Ap LOAM 10 YR 2/2 NONE FRIABLE 9-36 B SANDY LOAM 10 YR 4/6 NONE FRIABLE 51.75 - 36-126 C MEDIUM TO 10 YR-5/4 NONE LOOSE COARSE SAND _ 44.25 NCOUNTER TEST PIT 2 PARENT MATERIANDNATERL: PROGLACA LD OUTWASH ELEVATION = 54.80 PERC AT 60 in 2 MIN/INCH IN C SOILS DEPTH SOIL USDA'SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 54.60 0-10 FILL 10-16 Ap LOAM 104 YR 3/2 NONE FRIABLE 16-36 B SANDY LOAM- 10 YR 4/6 NONE FRIABLE 51.63 + 38-132 C-- - MEDIUM TO - 10. YR 6/4 NONE LOOSE j COARSE SAND ' DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color. Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. Gravel) ,F { DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stories;Boulders. onsi ten 1 I, Flood Insurance Rate Mau: Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within too year flood boundary No Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the d for the soil absorption s _ area propose rP stem?Y If not,what is the depth of naturally occurring pervious material?.-- - Certification o 4 I certify that on S (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the'above analysis was performed by me consistent with . the requireA training,expertise and experience described in 310 CMR 15.017. Signature Date G 6 Q:\SEP-n0PERCFORM.DOC Geologic Services Corporation science,engineering&technology Certified Mail#70031680000058564021 June 9,2005 Mr. Steve Opdyke 37 Hinckley Road Hyannis, Massachusetts 02601 Re: ater a2n g and Testing Program �" W 37 Hinckley Road % € fi ca I yannis, MassachusettsCID v> Dear Mr. Op dyke:- o Geologic Services Corporation(GSC)would like to thank you on behalf of Motiva Enterpris s LLC (Motiva), for your cooperation during the latest sampling of your well on May 2, 2005. The sample collected on May 2, 2005 was analyzed for volatile organic compounds (VOCs) including the following petroleum hydrocarbon compounds: benzene,toluene, ethylbenzene,xylenes(BTEX),and methyl tertiary butyl ether(MtBE). No volatile organic compounds were detected in the groundwater sample collected from your well. If you have questions,you may contact the Massachusetts Department of Environmental Protections (MADEP's)Division of Water Supply(617)-292-5770, the Office of Research and Standards(617)-292-5570, or Mr. Mike Moran of the MADEP's Southeast Regional Office in Lakeville(508)-946-2700. Any of these offices can answer questions on standards and guidelines or potable water quality in general. As a part of the ongoing investigation, Motiva plans to sample your well on a quarterly basis. Once again,thank you for allowing us to sample your well. If you have any questions or require any additional information please contact Mr. David B.Weeks of Shell Oil Products US (SOPUS) at(845) 462-5225 or Mr. Blake Thompson of GSC at(978)486-0060 ext. 236. Sincerely, Geologic Services Corporation Blake Thompson Project Manager Attachment cc: David B. Weeks, SOPUS,PMB 301 1830 South Road, Unit 24, Wappingers Falls, NY 12590 Mr. Mike Moran,MADEP, Southeast Regional Office, 20 Riverside Drive, Lakeville, MA 02346 Mr.John Klimm, Hyannis Town Administrator, 367 Main Street,Hyannis MA 02601 CMr:Thomas-McKeari,.Hyannis Board of Health, 367 Mairi.Street, Hyannis MA 026011 Ref.#020811DB Ltr WSR Ltr 06-05 Providing Environmental Management Solutions to Business and Industry Since 1982 A 100%Employee-Owned ESOP Company 30 Porter Road • Littleton, MA 01460• Tel: 978.486.0060 1 800.522.8740 • Fax: 978.486.0630 www.gsc-global.com • e4lardcopy 2.U Flutarnated Report MelNOW England 06/03/05 Lxh . grie =: 4 Shell Oil GSCMA:98997780 (REIMBMA) 590 Iyannough Rd., Hyannis, MA GSC PO# MA02375 Accutest Job Number: M46998 Sampling Date: 05/02/05 Report.to: Geologic Services Corporation ryarnell@ma.gsc-global.com ATTN: Robin Yarnell Total number of pages in report: 2 t ��Q,��v��accoRe4�cm XTest results contained within this data package meet the requirements eZa nd of the National Environmental Laboratory Accreditation Conference Lab Director and/or state specific certification programs as applicable. Certifications:MA(M-MA136) CT(PH-0109) NH (250204) RI(00071) ME(MA136) FL(E87579) NY(23346) NJ(MA926) NAVY USACE This report shall not be reproduced,except in its entirety,without the written approval of Accutest Laboratories. New England 495 Tech Center West • Building I • Marlborough,MA 01752 • tel: 508-481-6200 • fax:508-481-7753 • http://www.accutest.com .: 1 of 21 A .. Sections: Table of Cone is -l- Section1: Sample Summary .................................................................................................... 3 Section 2: Case Narrative/Conformance Summary........................................I.........I........... 4 Section3: Saniple Resiihs ........................................................................................................ 5 3.1.: M46998-1: 37 HINKLEY-37 HINKLEY ..................................................................... 5 Section4: Misc. Forms ............................................................................................................ 8 4.1: Chain of Custody ............................................................... ....................................... 9 4.2: MCP Form .....:...............................................................................:............................... 10 4.3: Sample Tracking Chronicle ........................................................................................... 11 Section 5: GUMS V olatiles - CSC Data Summaries .............................................................. 1.2 5.1.: Method Blank Summary ................................................................................................ 13 5.2: Blank Spike Summary ..............................................:.................................................... 16 5.3: Duplicate Summary ............... ........ 19 5.4: Surrogate Recovery Summaries ..................................................................................... 21 i 2 of 21 Accutest LabLink@51526 12:26 03-Jun-2005 Sample Summary Shell Oil Job No: M46998 GSCMA:98997780 (REIMBMA) 590 Iyannough Rd., Hyannis, MA Project No: GSC PO#MA02375. Sample CoIlec�ted t Matrix Client Number Date Time By Received Code Type Sample ID 1VI46998 1 �05/02/05 13:55 MSJ 05/03/05 DW Drinking Water R3y7IINKIY37$IIINKLEY 3of21 CIACCUTEST. �m aim La (-j r a t o ri'.e. s SAMPLE DELIVERY GROUP CASE NARRATIVE Client: Shell Oil Job No M46998 Site: GSCMA98997780(REIMBMA)590Iyannough Rd.,Hyannis,MA Report Date 5/17/2005 5:13fl1 PM 1 Sample was collected on 05/02/2005 and were received at Accutest on 05/03/2005 properly,preserved,at 3.2 Deg.C and intact These Samples received an Accutest job number of M46998.A listing of the Laboratory Sample ID,Client Sample ID and dates of collection are presented in the Results Summary Section of this report. Except as noted below,all method specified calibrations and quality control performance criteria were met for this job.For more information,please refer to QC summary pages. Volatiles by GCMS By Method EPA 524.2 REV 4.1 Matrix AQ Batch ID: MSK232 ® All samples were analyzed within the recommended method holding time. M All method blanks for this batch meet method specific criteria. 0 Sample(s) M46998-1DUP were used as the QC samples indicated. The Accutest Laboratories of New England certifies that all analysis were performed within method specification.It is further recommended that this report to be used in its entnety.The Accutest Laboratories of NE,Laboratory Director or assignee as verified by the signature on the cover page has authorized the release of this report(M46998). Tuesday,May 17,2005 Page 1 of 1 MEJ 4 of.21 AID M46998 u'r Accutest LabLink@51526 12:26 03-Jun-2005 Report of Analysis Page 1 of 3 Client Sample ID: 37 HINKLEY-37 HINKLEY Lab Sample ID: M46998-1 Date Sampled: 05/02/05 Matrix: DW- Drinking Water Date Received: 05/03/05 Method: EPA 524.2 REV 4.1 Percent Solids: n/a Project: GSCMA:98997780 (REIMBMA) 590 Iyannough Rd.,Hyannis,MA File ID DF Analyzed By Prep Date Prep Batch Analytical Batch Run#1 K6822.1) 1 05/11/05 AT n/a n/a MSK232 Run#2 Purge Volume Run#1 5.0 ml Run#2 VOA List CAS No. Compound Result MCL RL Units Q 71-43-2 Benzene0,4 ND 5.0 0.50 ug/I 108-86-1 Bromobenzene `,Nb 0.50 ug/I 74-97-5 Bromochloromethane S i � 0.50 ug/I 75-27-4 Bromodichloromethane gND 0.50 ug/I 75-25-2 Bromoform AND 0.50 ug/I 74-83-9 Bromomethane ND ` 0.50 ug/1 104-51-8 n-Butylbenzene NI? 0.50 ug/l 135-98 8 sec-Butyl benzene NI 0.50 ug/1 98-06 6 tert-Butylbenzenell) 0.50 ug/I 108-90-7 ChlorobenzeneIV'D x 100 0.50 ug/I 75-00-3 Chloroethane N � 0.50 ug/1 67-66-3 Chloroform ND � � 0.50 ug/1 74-87-3 Chloromethane ND 0.50 ug/I 95-49-8 o-Chlorotoluene GNU` F 0.50 ug/I 106-43-4 p-Chlorotoluene NI3 0.50 ug/I 56-23-5 Carbon tetrachloride AND 5.0 0.50 ug/I 75-34-3 1,1-Dichloroethane 0.50 ug/I 75-35-4 1,1-Dichloroethylene N 7.0 0.50 ug/I N � 563 58-6 1,1-Dichloropropene 0.50 ug/I vn 96-12-8 1,2-Dibromo-3-chloropropane 0.20 0.50 ug/I 106-93-4 1,2-DibromoethaneND��� 0.050 0.50 ug/I 107-06-2 1,2-Dichloroethane AND 5.0 0.50 ug/I 78-87-5 1,2-DichloropropaneND 5.0 0.50 ug/I 142-28-9 1,3-Dichloropropane AND 0.50 ug/I 594-20-7 2,2-Dichloropropane AND 0.50 ug/I 124-48-1 DibromochloromethaneN 0.50 ug/I 74-95-3 Dibromomethane ¢NI3 0.50 u 1 1/ 75-71-8 Dichlorodifluoromethane N 0.50 ug/I 10061-01-5 cis 1,3 Dichloropropene ND � 0.50 ug/I 541-73-1 m-Dichlorobenzene 0.50 ug/I 95-50-1 o-Dichlorobenzene ND 600 0.50 ug/1 106-46-7 p-DichlorobenzeneNDs 75 0.50 ug/I ND = Not detected J = Indicates an estimated value MCL = Maximum Contamination Level(40 CFR 141) B = Indicates analyte found in associated method blank E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound Off 5of21 &MAWArMST. M46998 = Accutest LabLink@51526 12:26 03-Jmi-2005 Report of Analysis Page 2 of 3 P Y g Client Sample ID: 37 HINKLEY-37 HINKLEY Lab Sample ID: M4699871 Date Sampled: 05/02/05 Matrix: DW-Drinking Water Date Received: . 05/03/05 Method: EPA 524.2 REV 4.1 Percent Solids: n/a Project: GSCMA:98997780 (REIMBMA) 590 Iyannough Rd., Hyannis, MA VOA List CAS No. Compound Result MCL RL Units Q 156-60-5 trans-1,2-Dichloroethylene I), 100 0.50 ug/1 156-59-2 cis-1,2-Dichloroethylene 70 0.50 u /I 10061-02-6 trans-1,3-Dichloropropene ND 0.50 ug/l 108-20-3 Di-Isopropyl ether 3 l°D 0.50 ug/1 100-41-4 Ethylbenzene Nfil 700 0.50 ug/1 87-68-3 Hexachlorobutadiene AND ' 0.50 ug/I 98-82-8 Isopropylbenzene Np 0.50 ug/I 99 87-6 p-IsopropyltolueneD � x 0.50 ug/I 75-09-2 Methylene chloride ; 5.0 0.50 ug/1 1634=04-4 Methyl Tert Butyl Ether 0.50 ug/1 91-20-3 Naphthalene ANDa 0.50 ug/1 103-65-1 n-Propylbenzene 0.50 ug/I 100-42-5 StyreneI}�� 100 0.50 ug/1 994-05-8 tert-Amyl Methyl Ether 0.50 u g/1 637-92-3 tert-Butyl Ethyl Ether �� � 0.50 ug/l 630-20-6 1,1,1,2-Tetrachloroethane k"DG.� 0.50 ug/1 71-55-6 1,1,1-Trichloroethane D �, 200 0.50 ug/l 79-34-5 1,1,2,2-Tetrachloroethane AND ' 0.50 ug/1 79-00-5 1,1,2-Trichloroethane1 5.0 0.50 ug/l 87-61-6 1,2,3-Trichlorobenzene "ND 0.50 ug/1 96-18-4 1,2,3-TrichloropropaneI }� , 0.50 ug/1 i 120-82-1 1,2,4-Trichlorobenzene 70 0.50 ug/I 95-63-6 1,2,4-Trimethylbenzene ND�� 0.50 ug/t 108-67-8 1,3,5-TrimethylbenzeneN)J �w 0.50 ug/1 127-18-4 TetrachloroethyleneNL# 5.0 0.50 ug/I 108-88-3 Toluenes 1000 0.50 ug/1 7.9-01-6 Trichloroethylene 5.0 0.50 ug/1 75-69-4 Trichlorofluoromethane ItiU 0.50 ug/l 75-65-0 Tertiary Butyl Alcohol ND 10 ug/1. 75-01-4 Vinyl chloride13� �� � 2.0 0.50 ug/l m,p-Xylene IV°D 0.50 ug/l 95 47 6 o Xylene ND� 0.50 ug/1 1330-20-7 Xylenes (total) „ND 10000 0.50 ug/1 CAS No. Surrogate Recoveries Run# I Run#2 Limits 2199-69-1 1,2-Dichlorobenzene-d4 1,97%-� 70-130% 460-00 4 4 Bromofluorobenzene 70-130% ND = Not detected J = hndicates an estimated value MCL = Maximum Contamination Level (40 CFR 141) B = Indicates analyte found in associated method blank E = Indicates.value exceeds calibration range N Indicates presumptive evidence of a compound 6of21 Accutest LabLink@51526 12:26 03-Jun-2005 Report of Analysis Page 3 of 3 Client Sample ID: 37 HINKLEY-37 HINKLEY Lab Sample ID: M46998-1 Date Sampled: 05/02/05 Matrix: DW -Drinking Water Date Received: 05/03/05 Method: EPA 524.2 REV 4.1 Percent Solids: n/a Project: GSCMA:98997780 (REIMBMA) 590 Iyannough Rd., Hyannis, MA VOA List CAS No. Tentatively Identified Compounds R.T. Est. Conc. Units Q Tofal TIC Volatile ND = Not detected J = Indicates an estimated value MCL = Maximum Contamination Level (40 CFR 141) B = Indicates analyte found in associated method blank E = Indicates value exceeds calibration range N = Indicates presumptive evidenced a compound 7of21 .�. 'ill' Accutest LabLink@51526 12:26 03-Jun-2005 Custody Documents and Other Forms Includes the following where applicable: • Chain of Custody • MCP Form • Sample Tracking Chronicle 8of21 " CHAIN OF CUSTODY ®A^/''CC� �''�''� 495 Tech Center West,Bldg.1,Martbom,MA 01 T52 ,� (508)481-6200 Fax(508)481-7753 Accotest Job tl: b Client InformationFacdil In.,motion Anatytical Intorma4ion Consultants Name Protect N— Gwlogtc Services Corporation - SOPUS H annls Address Street 30 Porter Ave m nno Road RY dateZip city _____9tme m . Littleton MA 01460 —4. MA Pro oct Contact. David B.weeks btvolca contact, l ak t ho jK o � Phone E: 979486.0060 mvolce Phone 8 c 0 fax tl: 976d86-0830 LocaOon lDN 137772. _ m AFEN' POtl 6.a3-2 Colectio - - Preservation 3 . ' ot.. o s a Feb ID y Point of Collection Dele Tbpe -sampled By M. .a t 37 HINKLEY37 HINKL,EY 5=005 DW X TlarMrwmO bdormallon Data Defimeble Mcpnatiw Acmdesl L 'n Inl«nwi.1 .ld.U Day Tumarppnd Apl—d By: q C«omer W-A- O FUU CLP Day EMERGENCY q Cmmmacw'G^ Q Stata Farms 4 Day EMERGENCY q Fe0 Dsli.xabbs _0 Otsk Oellverabk Format_' 3 Day EMERGENCY q Otha _ a Ody EMERGENCY ❑1 Bey EMERGENCY - EmwpemyTlAls for FAX wLatdlnkOafs fiSC-PONM 76 Commerclel'A'=Rquks OMy AIGC'R nested:MCP CAM Oalaction Laeil R stad:Gw-1 Sample Cust must be OoeunaMad balaw each f e fare es'.I. ptaA Incl conrkY e1Ne a ry r� t� z �tY 2 s3os' 3 y` 4 1:4G998: Chain of C;ustodv Page 1 of 1 9021 T°E , Massachusetts Department BWSC-CAM Exhibit VII A-1 of Environmental Protection 21 May 2004 Revision No. 3.2 Bureau of Waste Site Cleanup Final Page 10 of 32 Title: MADEP MCP Response Action Analytical Report Certification Form rt H Laboratory Name: Accutest Laboratories of New England Project#: M46998 Project Location: GSCMA:98997780(REIMBMA)590 lyannough Rd., MADEP RTN None Hyannis, MA This form provides certifications for the following data set: M46998-1 Test Method: EPA 524.2 REV 4.1 i Sample Matrices: Groundwater Soil/Sediment () Drinking Water X Other: 8260E 8151A 8330 6010E 7470A/1A " 8270C ( 8081A VPH 6020 9014M z s 8082 ( 8021B EPH 7000 S 3 7196A LI e1e eV4g, Art lytu ( Wf 1ME of, Wv rla b 2 w tom., t M, �� , t An affirmative response to questions A,B, C,and D is required for"Presumptive Certainty status A Were all samples received by the laboratory in a condition consistent with Yes ❑ No' that described on the Chain-of-Custody documentation for the data set? Were all QA/QC procedures required for the specified analytical method(s) B included in this report followed,including the requirement to note and 0 Yes ❑ No discuss in a narrative QC data that did not meet appropriate performance standards or guidelines? Does the data included in this report meet all the analytical requirements C for"Presumptive Certainty",as described in Section 2.0(a),(b),(c)and 0 Yes ❑No ' (d)of the MADEP document CAM VII A,"Quality Assurance and Quality Control Guidelines for the Acquisition and Reporting of Analytical Data"? D VPH and EPH methods only:Was the VPH or EPH method run without Yes ❑No significant modifications,as specified in Section 11.3? A response to questions Eand F below is required for"Presumptive Certainty"status E Were all QC performance standards and recommendations for the U, Yes El No specified methods achieved? Refer to Narrative F Were results for all analyte-list compounds/elements for the specified n Yes U No ' method(s)reported? Refer to Narrative i All Negative responses must be addressed in an attached Environmental Laboratory case narrative. I the undersigned,attest under the pains and penalties of perjury that,based upon my personal inquiry of those responsible for obtaining the information,the material contained in this analytical report is,to the best of my knowledge and belief,accurate and complete. Signature: Position: Laboratory Director Printed Name: Reza Tand Date: 05/17/2005 on 10 cif 21 Iv. M46998 Accutest Laboratories Internal Sample Tracking Chronicle w Shell Oil Job No: M46998 GSCMA:98997780 (REIMBMA) 590 Iyannough Rd., Hyannis, MA Project No: GSC PO# MA02375 Sample Number Method Analyzed By Prepped By Test Codes 46 9�8°�i �u tcf � '��%tr E M46998-1 EPA 524.2 REV 4.1 11-MAY-05 20:13 AT V524STD+ Page 1 of 1 11 of.21 GIACCUTa M48848 Accutest LabLink@51526 12:26 03-Jwi-2005 v QC Data Summaries Includes the following where applicable: • Method Blank Summaries • Blank Spike Summaries • Matrix Spike and Duplicate Summaries • Surrogate Recovery Summaries 12 of 21 A M46998 Method Blank Summary Page I of 3 Job Number: M46998 Account: SHELLWIC Shell Oil Project: GSCMA:98997780 (REIMBMA) 590 Iyannough Rd., Hyannis,MA Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch MSK232-MB K6812.1) 1 05/11/05 AT n/a n/a MSK232 u, The QC reported here applies to the following samples: Method: EPA 524.2 REV 4.1 M46998-1 CAS No. Compound Result RL Units Q 71-43-2 BenzeneIYD � 0.50 ug/1 108-86-1 Bromobenzene ND 0.50 ug/I 74-97-5 BromochloromethaneNIa 0.50 ug/1 75-27-4 Bromodichloromethane 313D 0.50 ug/1 75-25-2 Bromoform tW 0.50 ug/1 74-83-9 Bromomethane N 3 0.50 ug/1 104-51-8 n-Butylbenzene 0.50 ug/1 135-98-8 sec-Butylbenzene ND' 0.50 ug/1 98-06-6 tert-Butylbenzene ND? 0.50 ug/1 108-90-7 Chlorobenzene AND;; 0.50 ug/1 75-00-3 Chloroethane P 0.50 ug/l Ag 67-66-3 Chloroforms ;` 0.50 ug/1 74-87-3 Chloromethane ND 0.50 ug/I 95-49-8 o-ChlorotoluenehID � 0.50 ug/I 106-43-4 p-Chlorotoluene 0.50 ug/l 56-23-5 Carbon tetrachloride ND 0.50 ug/1 75-34-3 1,1-Dichloroethane AND; 0.50 ug/l 75-35-4 1,1-Dichloroethylene ND 0.50 ug/1 0 563-58-6 1,1-Dichloropropene ND 0.50 ug/l 96-12-8 1,2-Dibromo-3-chloropropane S,N lg� 0.50 ug/l 106-93-4 1,2-Dibromoethane AND 0.50 ug/1 107-06-2 1,2-Dichloroethane 0.50 ug/I 78 87-5 1,2-Dichloropropane ANT `<0.50 ug/I 011 142-28-9 1,3-Dichloropropane 1D 0.50 ug/l 594-20-7 2,2 Dichloropropane ND 0.50 ug/l 124-48-1 Dibromochloromethane ND,; - 0.50 ug/l 74-95-3 Dibromomethane ND��� 0.50 ug/I 75-71-8 Dichlorodifluoromethane ND '0.50 ug/1 10061-01-5 cis-1,3-Dichloropropene ND �� 0.50 ug/I 541-73-1 m-Dichlorobenzene ND, s�:0.50 ug/l 95-50-1 o-Dichlorobenzene ND � 0.50 ug/l 106-46-7 p-Dichlorobenzene IDS 6 0.50 ug/l 156-60-5 trans-1,2-Dichloroethylene ND 0.50 ug/( 156-59-2 cis-1,2-Dichloroethylene ND 0.50 ug/l 10061-02-6 trans-1,3-Dichloropropene ND 0.50 ug/l 108-20-3 Di-Isopropyl etherNI3 - 0.50 ug/L 13 of 21 IMACCUTEST. M46998 _, Method Blank Summary Page 2 of 3 Job Number: M46998 Account: SHELLWIC Shell Oil Project: GSCMA:98997780 (REIMBMA) 590 Iyannough Rd., Hyannis,MA Sample File ID DF Analyzed By Prep Date Prep.Batch Analytical Batch MSK232-MB K6812.D 1 05/11/05 AT n/a n/a MSK232 cn The QC reported here applies to the following samples: Method: EPA 524.2 REV 4.1 M46998-1 CAS No. Compound Result RL Units Q 100-41-4 Ethylbenzene ND 0.50 ug/1 87-68-3 Hexachlorobutadiene �D a 0.50 ug/l 441 _-� � 98-82-8 Isopcopylbenzene NI3'. 0.50 ug/I 99-87-6 p-Isopropyltoluene 0.50 ug/1 75-09-2 Methylene chloride 0.50 ug/1 1634-04-4 Methyl Tert Butyl Ether Nb 0.50 ug/l 91-20-3 Naphthalene ND 2 7.0.50 ug/1 103-65 1 n-Propyl6enzene ND `' g 0 /l.50 u 100-42-5 Styrene ND: 0.50 ug/1 994 05-8 tert-Amyl Methyl Ether yl� k 0.50 ug/l 637-92-3 tert-Butyl Ethyl Ether ND 0.50 ug/1 8 630-20-6 1,1,1,2-Tetrachloroethane 0.50 ug/l N 71-55-6 1,1,1-Trichloroethane AND' , 0.50 ug/l 79-34-5 1,1,2,2-Tetrachloroethane ND, 0.50 ug/l 79 00 5 1,1,2-Trichloroethane D 0.50 . ug/l 87-61-6 1,2,3-Trichlorobenzene � D'g"'; _ 0.50 ug/l 96-18-4 1,2,3-Trichloropropane ND 0.50 ug/1 120-82-1 1,2,4-Trichlorobenzene ND 0.50 ug/1 95-63-6 1,2,4-Trimethylbenzene "'ND",' ug/I 108-67-8 1,3,5-Trimethylbenzene ND 0.50 ug/l. 127-18-4 TetrachloroethyleneD 0.50 ug/I 108-88-3 Toluene 0.50 ug/l 79-01-6 Trichloroethylene ND,� 0.50 ug/l 75-69 4 Trichlorofluoromethane I D 0.50 ug/l 75 65 0 Tertiary Butyl Alcohol rID% 1 10 ug/l 75-01-4 Vinyl chloride ND -0.50 ug/l m,p-Xylene 0.50 ug/l 95-47-6 o-Xylene ��NDa 0.50 ug/1 1330-20-7 Xylenes (total) i,ND 0.50 ug/I CAS No. Surrogate Recoveries Limits 2199-69-1 1,2 Dichlorobenzene d4 90% 70-130% 460-00-4 4-Bromofluorobenzene 100%� 70-130% 14 of 21 M46998 Method Blank Summary Page 3 of 3 Job Number: M46998 g Account: SHELLWIC Shell Oil Project: GSCMA:98997780 (REIMBMA) 590 Iyannough Rd., Hyannis, MA Sample File ID OF Analyzed By Prep Date Prep Batch Analytical Batch MSK232-MB K6812.D 1 05/11/05 AT n/a n/a MSK232 csr 3 The QC reported here applies to the following samples: Method: M46998-1 CAS No. Tentatively Identified Compounds R.T. Est. Conc. Units Q Total SIC>�tola(ile ^"�� ��? ug/l 15of21 Blank Spike Summary Page I of 3 Job Number: M46998 Account: SHELLWIC Shell Oil Project: GSCMA:98997780 (REIMBMA) 590 lyannough Rd., Hyannis, MA Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch MSK232-BS K6810.D 1 05/11/05 AT n/a n/a MSK232 cst N The QC reported here applies to the following samples: Method: EPA 524.2 REV 4.1 M46998-1 Spike BSP BSP CAS No. Compound ug/l ug/l % Limits 71-43-2 Benzene 5 5.3 06 70-130 108-86-1 Bromobenzene 5 5.2 UU5,Wq 70-130 74-97 5 Bromochloromethane 5 5.3 70-130 PI 75-27-4 Bromodichloromethane 5 5.0 (10 70-130 75-25-2 Bromofonn 5 4.9 .., 70-130 74-83-9 Bromomethane 5 5.5 L 70-130 104-51-8 n-Butylbenzene 5 4.9 `9 70-130 135-98-8 sec-Butylbenzene 5 5.3D6 70-130 98-06-6 tert-Butylbenzene 5 5.3 �16� 70-130 108-90-7 Chlorobenzene 5 5.4 ll)8 70-130 75-00-3 Chloroethane 5 6.1 f 70-130 67-66-3 Chloroform 5 5.4 _10S 70-130 74-87-3 Chloromethane 5 5.9 I $ 70-130 95-49-8 o-Chlorotoluene 5 5.2 10� 70-130 106-43-4 p-Chlorotoluene 5 5.3 0' 70-130 56-23-5 Carbon tetrachloride 5 5.5 �11{l, •5, 70-130 75-34-3 1,1-Dichloroethane 5 5.40& 70-130 75-35-4 1,1-DichloroethY lene 5 4.998� 70-130 563-58-6 1,1 Dichloropropene 5 5.3 ; 06 70-130 96-12-8 1,2-Dibromo-3-chloropropane 5 4.0 $ 70-130 106-93-4 1,2-Dibromoethane 5 5.2 � 70-130 107-06-2 1,2-Dichloroethane 5 5.306 70-130 �Q 78 87 5 1,2-Dichloropropane 5 5.43Q8 70-130 142-28-9 1,3-Dichloropropane 5 5.3 40 70-130 594-20-7 2,2-Dichloropropane 5 4.938 70-130 124-48-1 Dibromochloromethane 5 5.1 --102 70-130 .� 74-95-3 Dibromomethane 5 5.2 104 70-130 75-71-8 Dichlorodifluoromethane 5 5.4 08 70-130 10061-01-5 cis-1,3-Dichloropropene 5 5.21Q4s 70-130 541-73-1 m-Dichlorobenzene 5 5.2 r,104tO, 70-130 tb E 95-50-1 o-Dichlorobenzene 5 5.2 X, 70-130 106-46-7 p-Dichlorobenzene 5 5.1 70-130 156-60-5 trans-1,2-Dichloroethylene 5 5.2 104 70-130 156-59-2 cis-1,2-Dichloroeth lene 5 5.1 102AIN 70-130 10061-02-6 trans-1,3-Dichloropropene 5 5.5 11`0 70-130 108-20-3 Di-Isopropyl ether 5 5.2 ,•4 70-130 16 of 21 A Blank Spike Summary Page 2 of 3 Job Number: M46998 Account: SHELLWIC Shell Oil Project: GSCMA:98997780 (REIMBMA) 590 lyannough Rd:, Hyannis,MA Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch MSK232=BS K6810.1) 1 05/11/05 AT n/a n/a MSK232 vro N The QC reported here applies to the following samples: Method: EPA 524.2 REV 4.1 M46998-1 Spike BSP BSP CAS No. Compound ug/l ug/I % Limits 100-41-4 Eth Ibenzene 5 5.2 31104 70-130 y 87-68-3 Hexachlorobutadiene 5 4.8 96r 70130 98-82-8 Isopropylbenzene 5 5.5 g 70-130 99-87-6 p-Isopropyltoluene 5 5.1 402 70-130 75 09 2 Methylene chloride 5 5.3 1D 70-130 1634-04-4 Methyl Tert Butyl Ether 5 4.998 x 70-130 91-20-3 Naphthalene 5 4.4 70-130 103-65-1 n-Propylbenzene 5 5.3 106 ` 70 130 100-42-5 Styrene 5 5.2 104 70-130 994-05-8 tert-Amyl Methyl Ether 5 4.284g7 50 150 a � F 637-92-3 tert-Butyl Ethyl Ether 5 4.9 98 50-150 a 630-20-6 1,1,1,2-Tetrachloroethane 5 5.31U6s 70 130 71-55-6 1,1,1-Trichloroethane 5 5.4108 = 70-130 79-34-5 1,1,2,2-Tetrachloroethane 5 5.1 102 70-130 79-00-5 1,1,2-Trichloroethane 5 5.3206�� 70-130 87-61-6 1,2,3-Trichlorobenzene 5 4.7 9'4 70-130 96-18-4 1,2,3-Trichloropropane 5 4.6 92,E 70-130 120 82-1 1,2,4 Trichlorobenzene 5 4.9 98 70-130 95-63-6 1,2,4-Trimethylbenzene 5 5.2 A04 70 130 108-67-8 1,3,5-Trimethylbenzene 5 5.2 70 130 127-18-4 Tetrachloroethylene 5 5.3 106 70-130 108-88-3 Toluene 5 5.4 10'& '' 70 130 > 79-01-6 Trichloroethylene 5 5.5 110 70-130 75-69-4 Trichlorofluoromethane 5 5.8 "146K 70-130 75-65-0 Tertiary Butyl Alcohol 50 42.3 '8 70-130 75-01-4 Vinyl chloride 5 5.8 4i46 70-130 m,p-Xylene 10 10.7 7" 70-130 95-47-6 o-Xylene 5 5.4 108� 70-130 1330-20-7 Xylenes (total) 15 16.0 . . . < 70-130 CAS No. Surrogate Recoveries BSP Limits 2199-69-1 1,2-Dichlorobenzene-d4 �94% 70-130% 460-00-4 4-Bromofluorobenzene 101i%�� 70-130% Q 17 of 21 M46998 =... Blank Spike Summary Page 3 of 3 Job Number: M46998 Account: SHELLWIC Shelf Oil Project: GSCMA:98997780 (REI.MBMA) 590 Iyannough Rd., Hyannis, MA Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch MSK232-BS K6810.1) 1 05/11/05 AT n/a n/a MSK232. can N The QC reported here applies to the following samples: Method: EPA 524.2 REV 4.1 M46998-1 (a) Advisory control limits. 18 of 21 GACCUTESe Duplicate Summary Page I of 2 Job Number: M46998 Account: SHELLWIC Shell Oil i Project: GSCMA:98997780(REIMBMA) 590 Iyannough Rd., Hyannis, MA Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch M469984DUP K6823.D 1 05/11/05 AT n/a n/a MSK232 M46998-1 K6822.D 1 05/11/05 AT n/a n/a MSK232 csr i� The QC reported here applies to the following samples: Method: EPA 524.2 REV 4.1 M46998-1 M46998-1 DUP CAS No. Compound ug/I Q ug/1 Q RPD Limits 71-43-2 Benzene ND ND '11c > 30 108-86-1 Bromobenzene ND ND 3 30 74-97-5 Bromochloromethane ND ND 30 75-27-4 Bromodichloromethane ND ND Inc 30 75-25-,2 Bromoform ND ND ;nc 30 74-83-9 Bromomethane ND ND az 30 er� Se 104-51-8 n-Butylbenzene ND ND Inc 30 135-98-8 sec-Butylbenzene ND ND �ne 30 98-06-6 tert-Butylbenzene ND ND 30 108-90-7 Chlorobenzene ND ND nc 30 75-00-3 Chloroethane ND ND o" 30 nc� 67-66-3 Chloroform ND ND 30 74-87-3 Chloromethane ND ND 30 6Ap 95-49-8 o-Chlorotoluene ND ND c s 30 106-43-4 p-Chlorotoluene ND ND 30 56-23-5 Carbon tetrachloride ND ND In' 30 75-34-3 i,l-Dichloroethane ND ND 30 75-35-4 1,1-Dichloroethylene ND ND c0 ,, 30 563-58-6 1,1-Dichloropropene ND ND Inc 30 96-12-8 1,2-Dibromo-3-chloropropane ND ND c 30 106-93-4 1,2-Dibromoethane ND ND �� `Inc d 30 107-06-2 1,2-Dichloroethane ND ND ;�,�c rta �?� 30 06 78-87-5 1,2-Dichloropropane ND ND Inc ` 30 142 28 9 1,3 Dichloropropane ND ND r 30 594-20-7 2,2-Dichloropropane ND ND nc 30 124-48-1 Dibromochloromethane ND ND n 30 74-95-3 Dibromomethane ND ND xnc 1" 30 } 75-71-8 Dichlorodifluoromethane ND ND c 30 10061-01-5 cis-1,3-Dichloropropene ND ND 30 541-73-1 m-Dichlorobenzene ND ND 30 95-50-1 - o-Dichlorobenzene ND ND c 30 106-46-7 p-Dichlorobenzene ND ND nc x 30 156-60-5 trans-1,2-Dichloroethylene ND ND n 30 w 156-59-2 cis-1,2-Dichloroethylene ND ND nc s ; 30 10061-02-6 trans-l,3-Dichloropropene ND ND ;nc 30 108-20-3 Di-Isopropyl ether ND ND inc 30 19 of.21 M46998 P= Duplicate Summary Page 2 of 2 Job Number: M46998 Account: SHELLWIC Shell Oil Project: GSCMA:98997780 (REIMBMA) 590 Iyannough Rd., Hyannis, MA Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch M46998-1 DUPK6823.1) 1 05/11/05 AT n/a n/a MSK232 M46998-1 K6822.1) 1 05/11/05 AT n/a n/a MSK232 w The QC reported.here applies to the following samples: Method: EPA 524.2 REV 4.1 M46998-1 M46998-1 DUP CAS No. Compound ug/I Q ug/l Q RPD Limits &; r 30 100-41 4 Ethylbenzene ND ND anc�e 87-68-3 Hexachlorobutadiene ND ND c� ?; 30 98-82-8 Isopropylbenzene ND ND nc 30 99-87-6 p-Isopropyltoluene ND ND nc.-x,.,„. 30 P,"W?°"' 75-09-2 Methylene chloride ND NDn r 30 1634-04-4 Methyl Tert Butyl Ether ND ND n 30 91-20-3 Naphthalene ND ND Inc 30 103-65-1 n-Propylbenzene ND ND 61 30 100-42-5 Styrene ND ND � "� 30 994-05-8 tert-Amyl Methyl Ether ND NDnc� 637-92-3 . tert-Butyl Ethyl Ether ND ND 630-20-6 1,1,1,2-Tetrachloroethane ND ND nc,? 30 71-55-6 1,1,1-Trichloroethane ND ND 30 79-34-5 1,1,2,2-Tetrachloroethane ND ND 30 79-00-5 1,1,2-Trichloroethane ND ND `nc 30 87-61-6 1,2,3-Trichlorobenzene ND ND nc 30 96-18-4 1,2,3-Trichloropropane ND ND 30 120-82-1 1,2,4-Trichlorobenzene ND ND nc 30 95-63-6 1,2,4-Trimethylbenzene ND ND 0�ncb� : 30 108-67-8 1,3,5-Trimethylbenzene ND ND nc� 30 127-18-4 Tetrachloroethylene ND ND c ,M 30 108-88-3 Toluene ND_ ND 30 79-01-6 Trichloroethylene ND ND pc 30 75-69-4 Trichlorofluoromethane ND ND nc 30 75-65-0 Tertiary Butyl Alcohol ND ND 'nc 30 75-01-4 Vinyl chloride ND ND Inc 30 m,p-Xylene ND ND uc 30 95-47-6 o-Xylene ND NDnc 30 1330-20-7 Xylenes (total) ND ND Fn 30 CAS No. Surrogate Recoveries DUP M46998-1 Limits 2199 69-1 1,2 Dichlorobenzene d4 919'° 97% % 70-130% 460-00-4 4-Bromofluorobenzene 190°f° y95% t 70 130% ;. 20 of 21 u M46998 Volatile Surrogate Recovery Summary Page 1 of 1 Job Number: M46998 Account: SHELLWIC Shell Oil Project: GSCMA:98997780 (REIMBMA) 590 Iyannough Rd., Hyannis, MA Method: EPA 524.2 REV 4.1 Matrix: AQ Samples and QC shown here apply to the above method . Lab Lab Sample ID File ID S1 S2 M46998-1 K6822.D 95.0 M46998-1DUP K6823.DJ1 100.0 MSK232-BS K6810.1) g °0 106.0 MSK232-MB K6812.13 90'0 100.0 Surrogate Recovery Compounds Limits S1 = 1,2-Dichlorobenzene-d4 701g30% ,s S2 = 4-Bromofluorobenzene 7051""W A 21 of 21 `S( KLEINFELDER Employee-owned Certified Mail#70031680000058585606 November 30,2005 Mr.Steve Opdyke 37 Hinckley Road Hyannis,Massachusetts 02601 Re: Water Sampling and Testing Program 37 Hinckley Road, Hyannis,Massachusetts Dear Mr.Opdyke: GSCIKleinfelder would like to thank you on behalf of Motiva Enterprises LLC(Motiva),for your cooperation during the latest sampling of your well on October 10,2005. The sample collected on October 10,2005 was analyzed for volatile organic compounds(VOCs)including the following petroleum hydrocarbon compounds:benzene,toluene,ethylbenzene,xylenes(BTEX),and methyl tertiary butyl ether(MtBE). The sample collected from your well detected the presence of MtBE at a concentration of 0.79 micrograms per liter(ug/1). One ug/1 is equal to one part of the compound in one billion parts of water. A copy of the laboratory report is attached. The concentration of MtBE detected in the sample from your well on October 10, 2005,is below standards promulgated by the Massachusetts Department of Environmental Protection(MADEP); which allows up to 70 ug/1 for this compound in drinking water. If you have questions,you may contact the Massachusetts Department of Environmental Protections(MADEP's)Division of Water Supply(617)-292-5770,the Office of Research and Standards(617)-292-5570,or Mr.Mike Moran of the MADEP's Southeast Regional Office in Lakeville(508)-946-2700. Any of these offices can answer questions on standards and guidelines or potable water quality in general. As a part of the ongoing investigation,Motiva plans to sample your well again in January 2006. We will contact you to arrange a specific date and time. Once again,thank you for allowing us to sample your well. If you have any questions or require any additional information please contact Mr.David B.Weeks of Shell Oil Products US(SOPUS)at(845)462-5225 or Mrs.Moira Johnson of GSCIKleinfelder at(978)486-0060 ext.257. Sincerely, GSCIKleinfelder Moira S.Johnson \J cn U Project Manager t -� Attachment �- N � cc: David B.Weeks,SOPUS,PMB 301 1830 South Road,Unit 24,Wappingers Falls,NY 1259) M MADEP,Southeast Regional Office,20 Riverside Drive,Lakeville,MA 02346 Mr.John Klimm,Hyannis Town Administrator,367 Main Street,Hyannis MA 02601 Tho sma McKean,Hyannis Board'of Health;367-Mai Street,Hyannis MA 02-6 Ref.#020811DB Ltr WSR Ltr 11-05 KLEI,\EELDER '.0 Poiter Roacl. Littleton, i\1A 01460 1800) 522-8740 toll tree i9781 486-0060 phone 978!a 86-06>0 fax e-Hra'rdcopy 2.0 Antoinrrted Report New England 13 11/03/05 t C r a t 0 r ; e s TeclulicaltReport for' Shell Oil GSCMA:98997780 (REIMBMA) 590 Iyannough Rd., Hyannis, MA PO# MA02375 Accutest Job Number: M51679 Sampling Date: 10/10/05 Report to: GSC-Kleinfelder ryarnell@kleinfelder.com ATTN: Robin Yarnell Total number of pages in report: 11. ,14 accoRo4yc� 4 Test results contained within this data package meet the requirements Zeza and of the National Environmental Laboratory Accreditation Conference Lab Director and/or state specific certification programs as applicable. Certifications:MA(M-MA136) CT(PH-0109) NH(250204) Rl(00071) ME(MA136) FL(E87579) NY(23346) NJ(MA926) NAVY USACE This report shall not be reproduced,except in its entirety,without the wrilten approval of Acculesl Laboratories. New England 495 Tech Center West • Building 1 • Marlborough,MA 01752 • tel:508-481-6200 fax:508-481-7753 • blip://www.acculest.com ® 1 of 11 ACCtdR'EST Sections: Table ®f Contents Section1: Sample Summary.............................. .................................................................. 3 Section2: Case Narrative/Conformance Summary .............................................................. 4 Section. 3: Sample Results ............... 5 3.1: M51679-1: 37 HINKLEY-37 HINKLEY ..................................................................... 5 3.2: M51679-1A: 37 HINKLEY-37 HINKLEY (DUPLICATE) ........................................ 7 KIM Section4: Misc. Forms ............................................................................................................ 9 4.1: Chain of Custody ........................................................................................................... 10 4.2: MCP Form ..................................................................................................................... I 1 I ® 2 of 11 ACC.UTEST. M51679 Accutest LabLink@15:38 03-Nov-2005 Sample Summary Shell Oil Job No: M51679 GSCMA:98997780 (REIMBMA) 590 Iyannough Rd., Hyannis, MA Project No: PO# MA02375 Sampleollec#ed Matrix Client Number Date Time By Received Code Type Sample ID M51ti791 = 10/10/05 13:0O KM 10/12/05 AQ Ground Water e37 HINKLLY'37"HIIKLEY &1VI5167fi9 1Ay 10/10/05 13:00 KM 10/12/05 AQ Ground Water 3& 1,NKLEY---,3T NKLEY ® 3 of 11 ACPU TIE T M5167B « ........................._............................._..._..._....._ L a b c r a t o r i : s SAMPLE DELIVERY GROUP CASE NARRATIVE Client: Shell Oil Job No M51679 Site: GSCMA:98997780(REIMBMA)5901yannough Rd.,Hyannis,MA Report Date 11/2/2005 12:03:12 PM 1 Sample was collected on 10/10/2005 and were received at Accutest on 10/12/2005 properly preserved,at 2.6 Deg.C and intact. These Samples received an Accutest job number of M51679.A listing of the Laboratory Sample ID,Client Sample lD and dates of collection are presented in the Results Summary Section of this report. Except as noted below,all method specified calibrations and quality control performance criteria were met for this job.For more information,please refer to QC summary pages. Volatiles by GCMS By Method EPA 524.2 REV 4.1 Matrix AQ Batch ID: MSK373 m All samples were analyzed within the recommended method holding time. All method blanks for this batch meet method specific criteria. Sample(s) M51679-1 DUP were used as the QC samples indicated. N Blank Spike Recovery(s)for I,I-Dichloro ethane, 1,1-Dichloroethylene,Benzene,Bro moc hloro methane,Carbon tetrachloride, Chloroetbane,Chloroform,Dichlo rod ifluoromethane,Methylene chloride,Trichlorofluoromethane are outside control limits. Associated samples are non-detect for this compound. The Accutest Laboratories of New England certifies that all analysis were performed within method specification. It is further recommended that this report to be used in its entirety.The Accutest Laboratories of NE,Laboratory Director or assignee as verified by the signature on the cover page has authorized the release of this report(M51679). Wednesday,November 02.2005 Page 1 of 1 E® 4 of 11 ACCLfflEBT. M5167s Accutest LabLink915:38 03-Nov-2005 Report of Analysis Page 1 of 2 Client Sample ID: 37 HINKLEY-37 HINKLEY Lab Sample ID: M51679-1 Date Sampled: 10/10/05 Matrix: AQ - Ground Water Date Received: 10/12/05 Method: EPA 524.2 REV 4.1 Percent Solids: n/a Project: GSCMA:98997780 (REIMBMA) 590 lyannough Rd., Hyannis, MA File ID DF Analyzed By Prep Date Prep Batch Analytical Batch Run#1 K11252.D 1 10/17/05 AT n/a n/a MSK373 Run#2 Purge Volume Run#1 5.0 ml Run#2 VOA List CAS No. Compound Result RL Units Q 71-43-2 Benzene 1I) g 0.50 ug/I 108-86-1 Bromobenzene 0.50 ug/I 74 97-5 BromochloromethaneN11� 0.50 ug/I 75-27-4 Bromodichloromethane ND k 0.50 ug/I 75-25-2 Bromoform AID 0.50 ug/I 74-83-9 Bromomethane NID :0.50 ug/I 104-51-8 n-ButylbenzeneND �"0.50 ug/I 135-98-8 sec-Butylbenzene AND 0.50 ug/I 98-06-6 tert-Butylbenzene ND 0.50 ug/I 108-90-7 Chlorobenzene NIA 0.50 ug/I 75-00 3 Chloroethane AND 0.50 ug/I 67-66-3 Chloroform 0.50 ug/1 74-87-3 Chloromethane 0.50 ug/I 95-49-8 o-Chlorotoluene ND �� 0.50 ug/I 106-43-4 p-Chlorotoluene NDa 0.50 ug/I 56-23-5 Carbon tetrachloride AND 0.50 ug/I 75-34-3 1,1-Dichloroethane IUD 0.50 ug/I 75-35-4 1,1-Dichloroethylene AND ' ;_0.50 ug/l 563-58-6 1,1-Dichloropropene ND3 0.50 ug/I 96-12-8 1,2-Dibromo-3-chloropropane'NI) 0.50 ug/I 106-93-4 1,2-Dibromoethane ND F .� 0.50 ug/I 107-06-2 1,2-Dichloroethane AND 0.50 ug/I 78-87-5 1,2-Dichloropropane AND 0.50 ug/I 142 28 9 1,3 Dichloropropane ND 0.50 ug/I 594-20-7 2,2-DichloropropaneN r,-0.50 ug/I 124-48-1 Dibromochloromethane 0.50 ug/1 74-95-3 Dibromomethane AND 0.50 ug/I 75-71-8 Dichlorodifluoromethane ND '0.50 ug/I 10061-01-5 cis-1,3-Dichloropropene Nam,0.50 ug/I 541-73-1 m-Dichlorobenzene ND 0.50 ug/I 95-50-1 o-Dichlorobenzene Np 0.50 ug/I 106-46-7 p-Dichlorobenzene ND, ';0.50 ug/I ND = Not detected J = Indicates an estimated value RL = Reporting Limit B = Indicates analyte found in associated method blank E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound ffin 5 of 11 AcgLr EST. M51679 Accutest LabLink@15:38 03-Nov-2005 Report of Analysis Page 2 of 2 Client Sample ID: 37 HINKLEY-37 HINKLEY Lab Sample ID: M51679-1 Date Sampled: 10/10/05 Matrix: AQ - Ground Water Date Received: 10/12/05 Method: EPA 524.2 REV 4.1 Percent Solids: n/a Project: GSCMA:98997780 (REIMBMA) 590 lyannough Rd., Hyannis, MA VOA List CAS No. Compound Result RL Units Q 156 60 5 trans-l,2-Dichloroethylene AND& y : 0.50 ug/1 156-59-2 cis-1,2-Dichloroethylene ND' ; 0.50 ug/I 10061-02-6 trans-1,3-Dichloropropene NDfl =0.50 ug/I 108-20-3 Di-Isopropyl ether ND fig`0.50 ug/I 100-41-4 Ethylbenzene ND g: 0.50 ug/I 87-68-3 Hexachlorobutadiene ND > 0.50 ug/I 98-82-8 Isopropylbenzene ND 0.50 ug/1 99-87-6 p-Isopropyltoluene NDf'q ; 0.50 ug/I 75-09-2 Methylene chloride 0.50 ug/I 1634-04-4 Methyl Tert Butyl Ether 0 79 '`0.50 ug/I 91-20-3 Naphthalene 1V � r 0.50 ug/I 103 65 1 n Propylbenzene N ,u 0.50 ug/I 100-42-5 Styrene ND 0.50 ug/I 994-05-8 tert-Amyl Methyl Ether 0.50 ug/I 637-92-3 tert-Butyl Ethyl Ether ND 0.50 ug/t 630-20-6 1,1,1,2-Tetrachloroethane ND -0.50 ug/I 71-55-6 1,1,1-Trichloroethane N 4 0.50 ug/I 79-34-5 1,1,2,2-Tetrachloroethane ND 0.50 ug/I 79-00-5 1,1,2-Trichloroethane h1, 0.50 ug/I 87-61-6 1,2,3-Tri chi orobenzene ND 0.50 ug/l 96-18-4 1,2,3-Trichloropropane ND P 0.50 ug/l 120-82-1 1,2,4-Trichlorobenzene ND `0.50 ug/I 95-63 6 1,2,4 Trimethylbenzene NIA a 0.50 ug/1 108-67-8 1,3,5-Trimethylbenzene ICU � F 0.50 ug/l 127-18-4 Tetrachloroethylene N 0.50 ug/I f; 108-88-3 Toluene ND .0.50 ug/l 79-01-6 Trichloroethylene NDx � 0.50 ug/I 75-69-4 Trichlorofluoromethane ND ? 0.50 ug/I 75-65-0 Tertiary Butyl Alcohol N _= 10 ug/I 75-01-4 Vinyl chloride ND ;; 0.50 ug/I m,p-Xylene ND y 0.50 ug/I 95-47-6 o-Xylene ND =r 0.50 ug/I 1330-20-7 Xylenes (total) ND `` 0.50 ug/1 CAS No. Surrogate Recoveries Run# 1 Run#2 Limits 2199-69-1 1,2-Dichlorobenzene-d4 97'% 70-130% 460-00-4 4-Bromolluorobenzene 72% 70130% ND = Not detected J = Indicates an estimated value RL = Reporting Limit B = Indicates analyte found in associated method blank E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound ®® 6 of 11 A 'T Accutest LabLink@15:38 03-Nov-2005 Report of Analysis Page I of 2 Client Sample ID: 37 HINKLEY-37 HINKLEY (DUPLICATE) Lab Sample,ID: M51679-IA Date Sampled: 10/10/05 Matrix: AQ -Ground Water Date Received: 10/12/05 Method: EPA 524.2 REV 4.1 Percent Solids: n/a Project: GSCMA:98997780 (REIMBMA) 590 Iyannough Rd., Hyannis, MA File ID DF Analyzed By Prep Date Prep Batch Analytical Batch Run#1 K11253.D 1 10/17/05 AT n/a n/a MSK373 Run#2 Purge Volume Run#1 5.0 ml Run#2 VOA List CAS No. Compound Result RL Units Q 71-43-2 Benzene ND �,` 0.50 ug/I 108-86-1 Bromobenzene ND : 0.50 ug/I 74-97-5 Bromochloromethane ND 0.50 ug/I 75-27-4 Bromodichloromethane ND 0.50 ug/1 75-25-2 Bromoform ND 0.50 ug/1 74-83-9 Bromomethane NI? 4`0.50 ug/I 104-51-8 n-Butylbenzene ND 0.50 ug/l 135 98-8 sec Butylbenzene ND 0.50 ug/I 98-06-6 ter(-Butylbenzene ND 0.50 ug/1 108-90-7 Chlorobenzene ND§ �� 0.50 ug/1 75-00-3 Chloroethane ND y' 0.50 ug/l 67-66-3 Chloroform ND `0.50 ug/1 74-87-3 Chloromethane ND 0.50 ug/I 95-49-8 o-Chlorotoluene ND 0.50 ug/I 106-43-4 p-Chlorotoluene 0.50 ug/1 56-23-5 Carbon tetrachloride NDR S 0.50 ug/I 5� F 75 34-3 1,1 Dichloroethane 0.50 ug/I 75-35-4 1,1-Dichloroethylene ND ; 0.50 ug/1 563-58-6 1,1-Dichloropropene ND 3� x 0.50 ug/I 96-12-8 1,2-Dibromo-3-chloropropane AND' :0.50 ug/1 106-93-4 1,2-Dibromoethane NI) Y 0.50 ug/1 107-06-2 1,2-Dichloroethane IVI) 0.50 ug/1 78-87-5 1,2-Dichloropropane AND 0.50 ug/1 142-28-9 1,3-Dichloropropane ND 0.50 ug/1 594-20-7 2,2-Dichloropropane ND '0.50 ug/1 124 48 1 Dibromochloromethane NDfi 0,50 ug/1 74-95-3 Dibromomethane 0.50 ug/1 �. 75-71-8 Dichlorodifluoromethane ND 0.50 ug/1 10061-01-5 cis-1,3-Dichloropropene ND ' 0.50 ug/1 541-73-1 m-Dichlorobenzene Np :0.50 ug/1 95-50-1 o-Dichlorobenzene ND +. 0.50 ug/1 106-46-7 p-DichlorobenzeneND 0.50 ug/1 ND = Not detected J = Indicates an estimated value RL = Reporting Limit B = Indicates analyte found in associated method blank E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound ® 7 of 11 Accutest LabLink@15:38 03-Nov-2005 Report of Analysis Page 2 of 2 Client Sample ID: 37 HINKLEY-37 HINKLEY (DUPLICATE) Lab Sample ID: M516794A Date Sampled: 10/10/05 Matrix: AQ- Ground Water Date Received: 10/12/05 Method: EPA 524.2 REV 4.1 Percent Solids: n/a Project: GSCMA:98997780 (REIMBMA) 590 Iyannough Rd., Hyannis,MA VOA List CAS No. Compound Result RL Units Q 156-60-5 trans-1,2-Dichloroethylene ND s 0.50 ug/I 156-59-2 cis-1,2-Dichloroethylene NI3 0.50 ug/I 10061-02-6 trans-1,3-Dichloropropene NA 0.50 ug/I 108-20-3 Di-Isopropyl ether ND z N L9 y r _ 0.50 ug/I 100-41-4 Ethylbenzene ND =0.50 ug/I a=� 87-68-3 Hexachlorobutadiene ND x � _�0.50 ug/I 98-82-8 Isopropylbenzene 0.50 ug/I 99-87-6 Iso ro ltoluene ND ` '''p p py 0.50 ug/I 75-09-2 Methylene chloride ND� 0.50 ug/I 1634-04-4 Methyl Tert Butyl Ether 0.50 ug/I 91-20-3 Naphthalene ND r 0.50 ug/I 103-65-1 n-Propylbenzene N=U 0.50 ug/I 100-42-5 Styrene Nj � 0.50 ug/I 994-05-8 ter -Amyl Methyl Ether ND '0.50 ug/I 637-92-3 tent-Butyl Ethyl Ether 0.50 ug/I 630 20 6 1,1,1,2 Tetrachloroethane 0.50 ug/I 71-55-6 1,1,1-Trichloroethane N -0.50 ug/I 79-34-5 1,1,2,2-Tetrachloroethane 'Nll 0.50 ug/I 79-00-5 1,1,2-Trichloroethane ug/I 87-61-6 1,2,3-Trichlorobenzene ND '-0.50 ug/I 96-18-4 1,2,3 Trichloro ane ro ND P P '0.50 ug/I 120-82-1 1,2,4-Trichlorobenzene ND ft 0.50 ug/I 95-63-6 1,2,4-Trimethylbenzene Nb It a 0.50 ug/I 108-67-8 1,3,5-Trim ethyl benzene NIA `0.50 ug/I 127-18-4 Tetrachloroethylene 0.50 ug/I 108-88-3 Toluene ND � 0.50 ug/1 79-01-6 Trichloroethylene AND 0.50 ug/1 75-69-4 Trichlorofluoromethane ND 0.50 ug/I 75-65-0 Tertiary Butyl Alcohol NOD' 10 ug/I 75-01-4 Vinyl chloride 0.50 0.50 ug/I m,p-Xylene 0.50 ug/I 95-47-6 o-Xylene N15 ' 0.50 ug/I 1330-20-7 Xylenes (total) ND r kt ;q 0.50 ug/I CAS No. Surrogate Recoveries Run# 1 Run# 2 Limits 2199-69-1 1,2-Dichlorobenzene-d4 70 130% 460-00-4 4-Bromofluorobenzene 70-130% ND = Not detected J = Indicates an estimated value RL = Reporting Limit B = Indicates analyte found in associated method blank E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound ffirl 8 of 11 ACCUT'IEeST, ..._._... ......................... M51679 bor •<.ri e.: Accutest LabLink@ 15:38 03-Nov-2005 M1sc For1�s � t Custody Documents and Other Forms Includes the following where applicable: • Chain of Custody • MCP Form ® 9 of 11 UACPVTWPT M516579 _, aacr ee 0a CHAIN OF CUSTODY MACCU �`C77,T�a TE—_ 495 Tech Center West,Bldg.1,Marlboro,MA 01752 (508)481-6200 Fan:(508)481-7753 Accuteat Jobs M s -?9 Client Information „!;p;�q;- Facility IntammiGn 1 ..; „Jc}.__,., Analytical Information ."•e�+.G' Consultants Name Prolacl Ne -Geologic Services Corporation SOPUS H am nnls Address Street 30 Porte,Rd. 590 —h Road fry State p iA' State Littleton MA 01460 Hyannis MA R Project Contact: Moira Johnson Invoice Contact GSC 0" 4 1 3m Phone N: 978486-0060 l—ke Ph.-0 r.l Otj Fax q: 978-"0630 Location lDII 1 137772 N4 AFEM POa 15 m Collection Preservation . " a as $ g E 4a Field ID 1 Point of Collection Date T— Sampan By Matrix canes - w 37 HINKLEY-37 HINKLEY 10110/20,05 \S10 GW II I I I I X 'r lummouM adwmanun ^:,: Dale D.Weiable bdrcmnau ACMcsIL bdomiaaon :!T��. Sid.l4 Day Turnaround Approved By: a Commmdal'A' O FULL CLP 70ay EMERGENCY Q Commerctal'B' 0 State Forms OC e Day EMERGENCY Full D#r—blec O Disk 0.11—ble Formal_ 3 Dry EMERGENCY other 2Day EMERGENCY 1 Day EMERGENCY Bill GSC- Emer9er"VA Is W FAX or Labnnk Deta Commacial'A'•Resuns Only DMOC Re uaatod:MCP CAY Da-0—Limit R uested:GW-1 le L„sl must be dacumeMeO below eoch limeaysamples cno eyossesl.1 irrciWi _ e .. ma l�S •2 Y e 1 2 Ce 3 ra D :L /7:Sp 3 and 4 4 c r: �dwdW ear. reserve ap emP. OU sa 5 c ❑ 2. 6 1.151.679: Chain of Custody Page 1 of 1 14 of 11 _-. M51679 E.,,>or-- -r .- Massachusetts Department BWSC-CAM Exhibit VI A-1 1 of Environmental Protection 21 May 2004 Revision No. 3.2 Bureau of Waste Site Cleanup Final Page 10 of 32 ., ry Title: MADEP MCP Response Action Analytical Report Certification Form pp Z .r .�vs" �rY s`" i+'`' vPav%r oil 2L Laboratory Name: Accutest Laboratories of New England Project#: M51679 Project Location: GSCMA:98997780(REIMBMA)590 lyannough Rd., MADEP RTN None Hyannis,MA This form provides certifications for the following data set: M51679-1,M51679-1 A Test Method:EPA 524.2 REV 4.1 Sample Matrices: Groundwater X Soil/Sediment () Drinking Water () Other: () () 8260B ( 8151A 8330_U 6010B ) 7470A11A of ,, 8270C O 8081A O VPH O 6020 O 9014M 2 () Sspe r 8082 O 8021B O EPH O 7000 S 3 O 7196A O °�,�t'G� ��a ( ,�`� _S1/U�'�Mtsif�ic� 7�?>•S� . �� al �a= Ana �.�` ,..� �r F An affirmative response to questions A, B, C,and D is required for"Presumptive Certainty status A Were all samples received by the laboratory in a condition consistent with Yes ❑ No ' that described on the Chain-of-Custody documentation for the data set? Were all QA/QC procedures required for the specified analytical method(s) B included in this report followed,including the requirement to note and [] Yes ❑ No ' discuss in a narrative QC data that did not meet appropriate performance standards or guidelines? Does the data included in this report meet all the analytical requirements C for"Presumptive Certainty",as described in Section 2.0(a),(b),(c)and R1 Yes ❑No' (d)of the MADEP document CAM VII A,"Quality Assurance and Quality Control Guidelines for the Acquisition and Reporting of Analytical Data"? D VPH and EPH methods only: Was the VPH or EPH method run without E1 Yes ❑No ' significant modifications,as specified in Section 11.3? A response to questions E and F below is required for"Presumptive Certainty"status E Were all QC performance standards and recommendations for the EJ Yes No' specified methods achieved? Refer to Narrative F Were results for all analyte-list compounds/elements for the specified 0 Yes LJ No ' method(s)reported? Refer to Narrative , All Negative responses must be addressed in an attached Environmental Laboratory case narrative. I the undersigned,attest under the pains and penalties of perjury that,based upon my personal inquiry of those responsible for obtaining the information, the material contained in this analytical report is, to the best of my knowledge and belief,accurate and complete. Signature: -;;-� Position: Laboratory Director Printed Name: Reza Tand Date: 11/02/2005 ® 11 of 11 ACC JTr=ST M51679 f ` *CKLEINFELDER Employee-owned Certified Mail#70011940000131300462 August 26,2005 Mr. Steve Opdyke 37 Hinkley Road Hyannis,Massachusetts 02601 Re: Water Sampling and Testing Program 37 Hinkley Road Hyannis,Massachusetts Dear Mr.Opdyke: Geologic Services Corporation(GSC)would like to thank you on behalf of Motiva Enterprises LLC(Motiva),for your cooperation during the latest sampling of your well on July 21,2005. The sample collected on July 21,2005 was analyzed for volatile organic compounds(VOCs)including the following petroleum hydrocarbon compounds:benzene,toluene,ethylbenzene,xylenes(BTEX),and methyl tertiary butyl ether(MtBE). The sample collected from your well detected the presence of MtBE at a concentration of 0.52 micrograms per liter(ug/1). One ug/I is equal to one part of the compound in one billion parts of water. A copy of the laboratory report is attached. GSC notified you of the results via telephone on August 16,2005. The concentration of MtBE detected in the sample from your well on July 21,2005,is below standards promulgated by the Massachusetts Department of Environmental Protection(MADEP);which allows up to 70 ug/1 for this compound in drinking water. If you have questions,you may contact the Massachusetts Department of Environmental Protections(MADEP's)Division of Water Supply(617)-292-5770,the Office of Research and Standards(617)-292-5570,or Mr.Mike Moran of the MADEP's Southeast Regional Office in Lakeville(508)-946- 2700. Any of these offices can answer questions on standards and guidelines or potable water quality in general. As a part of the ongoing investigation,Motiva plans to sample your well on a quarterly basis. Once again,thank you for allowing us to sample your well. If you have any questions or require any additional information please contact Mr.David B.Weeks of Shell Oil Products US(SOPUS)at(845)462-5225 or Mrs Moira JohnsonGSCIKleinfelder at(978)486-0060 ext.257. Sincerely, GSC�KIei Ider �f Moira S.Johnson Project Manager Attachment cc: David B.Weeks,SOPUS,PMB 301 1830 South Road,Unit 24,Wappingers Falls,NY 12590 MADEP,Southeast Regional Office,20 Riverside Drive,Lakeville,MA 02346 Mr.John Klimm,Hyannis Town Administrator,367 Main Street,Hyannis MA 02601 Mr.'Thdmas McKean,Hyannis Board of Health,367 Main Street,Hyannis MA 02601 Ref.#020811DB Ltr WSR Ltr 08-05 KEENTEE^ER i0 Porter Road: Erttletor:, ,�1� 0;?6 i 8C0 �'2-8-4C ioi ;ee ;n; ,a - o &_ ' s AUG 1 p 2005 ® New England ®ACCUTEST 08/02/05 L a b o r a t o r i e s Technical::Report for Shell Oil GSCMA:98997780 (REIMBMA) 590 Iyannough Rd., Hyannis, MA GSC PO# MA02375 Accutest Job Number: M49467 Sampling Date: 07/21/05 Report to: GSC-Kleinfelder 30 Porter Road Littleton, MA 01460 ATTN: Blake Thompson Total number of pages in report: 5 ti u 4 Test results contained within this data package meet the requirements te and of the National Environmental Laboratory Accreditation Conference Lab Director and/or state specific certification programs as applicable. Certifications: MA(M-MA136) CT(PH-0109) NH(250204) RI(00071) ME(MA136) FL(E87579) NY(23346) NJ(MA926) NAVY USACE This report shall not be reproduced,except in its entirety,without the written approval of Accutest Laboratories. New England ■ 495 Tech Center West■ Building 1 ■ Marlborough,MA 01752 ■ tel:508-481-6200 m fax: 508-481-7753 ■ http://www.accutest.com 1 of 5 Accutest Laboratories Sample Summary Shell Oil GSCMA:98997780 (REIMBMA) 590 Iyannough Rd., Hyannis, MA Job No: M49467 Project No: GSC PO# MA02375 Sample ::Coll - Matrix Matrix Client Number Date Time By Received Code Type Sample ID M49467`I 07/21/05 09:00 MSJ '07/26/05 DW Drinking Water 37 H:INKLEY 37 H;INKLEY 2of5 Accutest Laboratories Report of Analysis Page I of 2 Client Sample ID: 37 HINKLEY-37 HINKLEY Lab Sample ID: M49467-1 Date Sampled: 07/21/05 Matrix: DW- Drinking Water Date Received: 07/26/05 Method: EPA 524.2 REV 4.1 Percent Solids: n/a Project: GSCMA:98997780 (REIMBMA) 590 Iyannough Rd., Hyannis, MA File ID DF Analyzed By Prep Date Prep Batch Analytical Batch Run#1 K9189.D 1 07/30/05 AT n/a n/a MSK307 Run#2 Purge Volume Run#1 5.0 ml Run#2 VOA List CAS No. Compound Result MCL RL Units Q 71-43-2 Benzene ND .: 5.0 0.50 ug/I 108-86-1 Bromobenzene ND 0.50 ug/I 74-97-5 Bromochloromethane ND 0.50 ug/I 75-27-4 Bromodichloromethane ND 0.50 ug/1 75-25-2 Bromofonn ND 0.50 ug/I 74-83-9 Bromomethane Nb 0.50 ug/I 104-51-8 n-Butylbenzene ND 0.50 ug/I 135-98-8 sec-Butylbenzene ND 0.50 ug/I 98-06-6 tert-Butylbenzene . ND 0.50 ug/I 108-90-7 Chlorobenzene Nb 100 0.50 ug/I 75-00-3 Chloroethane ND 0.50 ug/I 67-66-3 Chloroform N. 0.50 ug/I 74-87-3 Chloromethane ND 0.50 ug/I 95-49-8 o-Chlorotoluene ND 0.50 ug/1 106-43-4 p-Chlorotoluene ND 0.50 ug/1 56-23-5 Carbon tetrachloride Np 5.0 0.50 ug/I 75-34-3 1,1-Dichloroethane ND 0.50 ug/I 75-35-4 1,1-Dichloroethylene ND ` 7.0 0.50 ug/I 563-58-6 1,1-Dichloropropene ND 0.50 ug/I 96-12-8 1,2-Dibromo-3-chloropropane N:D 0.20 0.50 ug/1 106-93-4 1,2-Dibromoethane ND 0.050 0.50 ug/I 107-06-2 1,2-Dichloroethane Np ., _ 5.0 0.50 ug/1 78-87-5 1,2-Dichloropropane ND 5.0 0.50 ug/I 142-28-9 1,3-Dichloropropane ND 0.50 ug/I 594-20-7 2,2-Dichloropropane ND 0.50 ug/I 124-48-1 Dibromochloromethane ND 0.50 ug/I 74-95-3 Dibromomethane ND 0.50 ug/I 75-71-8 Dichlorodifluoromethane ND 0.50 ug/1 10061-01-5 cis-1,3-Dichloropropene ND 0.50 ug/I 541-73-1 m-Dichlorobenzene ND 0.50 ug/1 95-50-1 o-Dichlorobenzene ND 600 0.50 ug/1 106-46-7 p-Dichlorobenzene ND 75 0.50 ug/1 ND = Not detected J = Indicates an estimated value MCL = Maximum Contamination Level (40 CFR 141) B = Indicates analyte found in associated method blank E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound 3of5 r Accutest Laboratories Report of Analysis Page 2 of 2 Client Sample ID: 37 HINKLEY-37 HINKLEY Lab Sample ID: M49467-1 Date Sampled: 07/21/05 Matrix: DW- Drinking Water Date Received: 07/26/05 Method: EPA 524.2 REV 4.1 Percent Solids: n/a Project: GSCMA:98997780(REIMBMA) 590 Iyannough Rd., Hyannis, MA VOA List CAS No. Compound Result MCL RL Units Q 156-60-5 trans-1,2-Dichloroethylene ND 100 0.50 ug/I 156-59-2 cis-1,2-Dichloroethylene ND 70 0.50 ug/1 10061-02-6 trans-1,3-Dichloropropene ND 0.50 ugll 108-20-3 Di-Isopropyl ether ND 0.50 ug/1 100-41-4 Ethylbenzene ND 700 0.50 ug/I 87-68-3 Hexachlorobutadiene ND 0.50 ug/1 98-82-8 Isopropylbenzene N..D 0.50 ug/1 99-87-6 p-Isopropyltoluene ND 0.50 ug/I 75-09-2 Methylene chloride ND 5.0 0.50 ugh 1634-04-4 Methyl Tert Butyl Ether 052 0.50 ug/1 91-20-3 Naphthalene N..D 0.50 ug/I 103-65-1 n-Propylbenzene ND 0.50 ug/1 10042-5 Styrene ND 100 0.50 ug/I 994-05-8 tert-Amyl Methyl Ether N.D 0.50 ug/1 637-92-3 tert-Butyl Ethyl Ether N.D 0.50 ug/1 630-20-6 1,1,1,2-Tetrachloroethane ND 0.50 ug/1 71-55-6 1,1,1-Trichloroethane ND 200 0.50 ug/I 79-34-5 1,1,2,2-Tetrachloroethane N.D 0.50 ug/1 79-00-5 1,1,2-Trichloroethane ND 5.0 0.50 ug/1 87-61-6 1,2,3-Trichlorobenzene ND 0.50 ug/1 96-18-4 1,2,3-Trichloropropane ND 0.50 ug/I 120-82-1 1,2,4-Trichlorobenzene ND 70 0.50 ug/1 95-63-6 1,2,4-Trimethylbenzene ::.ND: 0.50 ug/1 108-67-8 1,3,5-Trimethylbenzene N:D 0.50 ug/I 127-18-4 Tetrachloroethylene ND 5.0 0.50 ug/I 108-88-3 Toluene ND 1000 0.50 ug/I 79-01-6 Trichloroethylene ND 5.0 0.50 ug/1 75-69-4 Trichlorofluoromethane Np 0.50 ug/1 75-65-0 Tertiary Butyl Alcohol ND 10 ug/I 75-01-4 Vinyl chloride N.D 2.0 0.50 ug/I m,p-Xylene ND 0.50 ug/1 95-47-6 o-Xylene ND 0.50 ug/I 1330-20-7 Xylenes (total) ND 10000 0.50 ug/I CAS No. Surrogate Recoveries Run# 1 Run#2 Limits 2199-69-1 1,2-Dichlorobenzene-d4 85% 70-130% 460-00-4 4-Bromofluorobenzene 8.$% 70-130% ND = Not detected J = Indicates an estimated value MCL = Maximum Contamination Level (40 CFR 141) B = Indicates analyte found in associated method blank E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound 4of5 all CHAIN OF CUSTODY MACCUTEST 495 Tech Center West, Bldg. 1,Marlboro,MA 01752 i (508)481-6200 Fax: (508)481-7753 Accutest Job#: ^^ Yq Client Information Facility i InformationAnalytical '•` 7 Information 7Address sultants Name =Projectame Geolo is Services Cor oration annls Street 0 Porter Ave 590 I annou h Road a Y ate p y State d Littleton MA 01460 H annis c MA � of Project Contact: David B.Weeks Invoice Contact:Slake Thompson K O Phone#: 978-486-0060 Invoice Phone# 978-486-0060 c 0 Fax M 978-486.0630 LocatlonID# 137772 A (9 AFE# PO# MA02375 Collection Preservation N Field ID/Point of Collection Date Time Sampled By Matrx bottles i 37 HINKLEY-37 HINKLEY '_ eNIMIM I 1h5S DW j Z Turnaround Information Data Deliverable Information Accutest Log-in Information 73Day ay Turnaround Approved By: ❑ Commercial"A" ❑ FULL CLP MERGENCY ❑ Commercial"B" O State Forms MERGENCY Full Dellverables ❑ Disk Deliverable Format_ a MERGENCY � Other 2 Day EMERGENCY 1 Day EMERGENCY Emergency T/A Is for FAX or Labllnk Data Commercial"A"-Results Only Sample Custody must be documented below each time sam I s han a posseslon,Including courier deilve e u s a amp a e me: ace v 7 _ e nqu a y: a e: eca v y: e u s e y amp e• 1 t/ 2 8 9 me, ace y; 2 PWM 3 a6 �;S �63v 3 e use to ma: ace v y: e u e y amp a me ace y; 4 5 5 ea reserve w ereyapP,ca e n ce amp. f A Geologic Services Corporation science,engineering&technology Certified Mail#70031680000058563796 November 18, 2004 Mr. Steve Opdyke 37 Hinckley Road Hyannis, Massachusetts Re: Water Sampling and Testing Program 37 Hinckley'Road, Hyannis,Massachusetts; Dear Mr. Opdyke: Geologic Services Corporation(GSC)would like to thank you on behalf of Motiva Enterprises LLC (Motiva),for your cooperation during the latest sampling of your well on September 16,2004. The sample collected on September 16,2004 was analyzed for volatile organic compounds(VOCs) including the following petroleum hydrocarbon compounds:benzene,toluene, ethylbenzene,xylenes (BTEX), and methyl tertiary butyl ether(MtBE). The sample collected from your well detected the presence of MtBE at a concentration of 1.2 micrograms per liter(ug/1). One ug/1 is equal to one part of the compound in one billion parts of water. A copy of the laboratory report is attached. This was discussed with you during the telephone conversation on October 22, 2004. The concentration of MtBE detected in the sample from your well on September 16,2004, is within current acceptable standards and j guidelines published by the Massachusetts Department of Environmental Protection(MA DEP),which allows up to 70 ug/l for this compound in drinking water. If you have questions,you may contact the MA DEP's Division of Water Supply(617)-292-5770,the Office of Research and Standards (617)-292-5570, or Mr. Mike Moran of the MA DEP's Southeast Regional Office in Lakeville(508)-946-2700. Any of these offices can answer questions on standards and guidelines or potable water quality in general. As a part of the ongoing investigation,Motiva plans to sample your well on a quarterly basis. Once again,thank you for allowing us to sample your well. If you have any questions or require any additional information please contact Mr.David B.Weeks of Shell Oil Products US (SOPUS)at(845) 462-5225 or Mr.Blake Thompson of GSC at(978)568-8740 ext. 236. 3 Sincerely, Geologic Services Corporation Blake Thompson Project Manager Attachment cc: David B.Weeks, SOPUS,PMB 301 1830 South Road,Unit 24,Wappingers Falls,NY 12590 Mr. Mike Moran,MADEP, Southeast Regional Office, 20 Riverside Drive,Lakeville,MA 02346 Mr.John Klimm,Hyannis Town Administrator, 367 Main Street,Hyannis MA 02601 CMr.Thomas McKean,Hyannis Board of Health, 367 Main Street,Hyannis MA.02601 Ref. #020811D Ltr WSR Ltr 11-04 Providing Environmental Management Solutions to Business and Industry Since 1982 A 100% Employee-Owned ESOP Company 15 Bonazzoli Avenue• Hudson, MA 01749 • Tel: 978.568.8740 1 800.522.8740 • Fax: 978.568.9316 www.gsc-global.com - OCT 0 5 2004 ®® New England ®ACC 10/04/04 Laboratories _.............._....._._....._......_............._.............._._.._........................_..-__.. ...............................--............... ._. _.__...__....._....._....._................................._.................._..........................._...._.. ....._........_................_... .—.................___.............-............................_....I....- ._....._....._...._...._.._.._................... ....._......_.............__......._................................. _.............._........._..........._._..... _...._.......... ...._...... .............__....._-..._..............._... Technical Report 1or Shell Oil GSCMA:97417484: 590 lyannough Rd., Hyannis, MA Accutest Job Number: M41911 Sampling Date: 09/16/04 Report to: Geologic Services Corporation 15 Bonazzoli Avenue Hudson, MA 01749 ATTN: Blake Thompson Total number of pages in report: 9 o`ttO"M►CCpR44� o�, Test results contained within this data package meet the requirements ZeZ�5.1 of the National Environmental Laboratory Accreditation Conference Lab Director and/or state specific certification programs as applicable. Certifications:MA(M-MA136) CT(PH-0109) NH(250204) RI(00071) ME(MA136) FL(E87579) NY(23346) NJ(MA926) NAVY USACE This report shall not be reproduced,except in its entirety,without the written approval of Accutest Laboratories. New England ■495 Tech Center West■Building 1 ■Marlborough,MA 01752 ■ tel:508481-6200■ fax:508-481-7753 •http://www.accutest.com lof9 Accutest Laboratories Sample Summary Shell Oil Job No: M41911 GSCMA:97417484: 590 Iyannough Rd., Hyannis, MA ..................... Sample :: lteed '''< ><' i;`;;ii.i Matrix Client ....................................... Number Date Time By Received Code Type Sample ID ............................... M419k1 I- 09/16/04 14:00 ARG 09/17/04 DW Drinking Water 37 HTNKLE 37 HTNI L Y ................................ �V€41911 2 09/16/04 11:30 ARG 09/17/04 AQ Trip Blank Water TRF BLANK ................................ M41... 3 09/16/04 11:35 ARG 09/17/04 AQ Field Blank Water FIEL D BLAI�[K: 2 of 9 Accutest Laboratories Report of Analysis Page I of 2 Client Sample ID: 37 HINKLEY-37 HINKLEY Lab Sample ID: M41911-1 Date Sampled: 09/16/04 Matrix: DW- Drinking Water Date Received: 09/17/04 Method: EPA 524.2 REV 4.1 Percent Solids: n/a Project: GSCMA:97417484: 590 Iyannough Rd., Hyannis, MA File ID DF Analyzed By Prep Date Prep Batch Analytical Batch Run#1 D39782.D 1 09/29/04 AT n/a n/a MSD2362 Run#2 Purge Volume Run#1 25.0 ml Run#2 VOA List CAS No. Compound Result MCL RL Units Q 71-43-2 Benzene ND:.::.;:.;:;;::; ; 5.0 0.50 ug/1 108-86-1 Bromobenzene ND.. ......: 0.50 ug/1 ......:................... ........................... 74-97-5 Bromochloromethane :>> > 0.50 ug/1 75-27-4 Bromodichloromethane I�(D;<::>: :: 0.50 ug/1 75-25-2 Bromoform NID............ ... 0.50 ug/I 74-83-9 Bromomethane hth ;;::;< 0.50 ug/I ........................... 104-51-8 n-Butylbenzene NIA 0.50 ug/1 135-98-8 sec-Butylbenzene ND<>>::::>:: > :: 0.50 ug/1 98-06-6 tert-Butylbenzene ND 0.50 ug/1 108-90-7 Chlorobenzene N 100 0.50 ug/1 ........................... 75-00-3 Chloroethane NDii < _ 0.50 ug/I 67-66-3 Chloroform N ..... : :..; 0.50 ug/1 ...................... ........................... 74-87-3 Chloromethane ND 0.50 ug/I 95-49-8 o-Chlorotoluene NID 0.50 ug/1 106 43-4 p-Chlorotoluene ND 0.50 ug/1 56-23-5 Carbon tetrachloride N ; ; ; > 5.0 0.50 ug/1 75-34-3 1,1-Dichloroethane ND 0.50 ug/1 75-35-4 1,1-Dichloroethylene IUD ;> `;; 7.0 0.50 ug/1 563-58-6 1,1-Dichloropropene NT3 0.50 ug/1 96-12-8 1,2-Dibromo-3-chloropropane ND:<:::;:; 0.20 0.50 ug/I 106-93-4 1,2-Dibromoethane h1D 0.050 0.50 ug/1 107-06-2 1,2-Dichloroethane tiiD:::::::::::::: : < 5.0 0.50 ug/1 ........................... ..._............... _. 78-87-5 1,2-Dichloropropane NIA: > > 5.0 0.50 ug/1 142-28-9 1,3-Dichloropropane ;Nl)....<::>: : <; 0.50 ug/I 594-20-7 2,2-Dichloropropane ND 0.50 ug/1 124-48-1 Dibromochloromethane ND.........._. 0.50 ug/I 74-95-3 Dibromomethane ND 0.50 ug/1 75-71-8 Dichlorodifluoromethane ND 0.50 ug/I 10061-01-5 cis-1,3-Dichloropropene ND 0.50 ug/1 541-73-1 m-Dichlorobenzene ND 0.50 ug/I 95-50-1 o-Dichlorobenzene ND 600 .0.50 ug/I 106-46-7 p-Dichlorobenzene NIl 75 0.50 ug/I ND = Not detected J = Indicates an estimated value MCL = Maximum Contamination Level (40 CFR 141) B = Indicates analyte found in associated method blank E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound 3of9 Accutest Laboratories Report of Analysis Page 2 of 2 Client Sample ID: 37 HINKLEY-37 HINKLEY Lab Sample ID: M41911-1 Date Sampled: 09/16/04 Matrix: DW-Drinking Water Date Received: 09/17/04 Method: EPA 524.2 REV 4.1 Percent Solids: n/a Project: GSCMA:97417484: 590 Iyannough Rd., Hyannis, MA VOA List CAS No. Compound Result MCL RL Units Q .......................... 156-60-5 trans-1,2-Dichloroethylene ND 100 0.50 ug/1 156-59-2 cis-1,2-Dichloroethylene ND 70 0.50 ug/1 10061-02-6 trans-1,3-Dichloropropene ND 0.50 ug/I 100-41-4 Ethylbenzene ND 700 0.50 ug/1 87-68-3 Hexachlorobutadiene ND 0.50 ug/I 98-82-8 Isopropylbenzene ND 0.50 ug/1 99-87-6 p-Isopropyltoluene ND.......:::.`.:: 0.50 ug/I .:......................... 75-09-2 Methylene chloride N.D..:::::,;;:: ;.;;5.0 0.50 ug/1 .......................... 1634-04-4 Methyl Tert Butyl Ether 12 0.50 ug/1 91-20-3 Naphthalene ND 0.50 ug/1 103-65-1 n-Propylbenzene ND 0.50 ug/1 100-42-5 Styrene ND 100 0.50 ug/1 630-20-6 1,1,1,2-Tetrachloroethane ND 0.50 ug/1 71-55-6 1,1,1-Trichloroethane ND..::..:;:.:.;:::;::; 200 0.50 ug/1 .........:................. ........................... ........................... 79-34-5 1,1,2,2-Tetrachloroethane ND 0.50 ug/I 79-00-5 1,1,2-Trichloroethane ND 5.0 0.50 ug/1 87-61-6 1,2,3-Trichlorobenzene ND 0.50 ug/1 96-18-4 1,2,3-Trichloropropane ND 0.50 ug/1 120-82-1 1,2,4-Trichlorobenzene ND 70 0.50 ug/1 .. D ... . 0.50 ug/195-63-6 1,2,4-Trimethylbenzene ............ .N. . ................ 108-67-8 1,3,5-Trimethylbenzene ND..:.,;;:: ;:.; 0.50 ug/1 .............. ........... .........................- ........................... 127-18 Tetrachloroethylene ND....;:..;.; ::;>:: 5.0 0.50 ug/1 4 108-88-3 Toluene ND 1000 0.50 ug/1 .. ............ ........................... ........................... 79-01-6 Trichloroethylene ND ;;:>;:.;;:; 5.0 0.50 ug/I N 75-694 Trichlorofluoromethane D....:....-.::.<i 0.50 ug/I .......................... ........................... 75-014 Vinyl chloride ND...._... ;,':.,_;: 2.0 0.50 ug/I _........._..... m,p-Xylene ND.. 0.50 ug/1 95-47-6 o-Xylene ND :;:_. 0.50 ug/1 1330-20-7 Xylenes (total) ND. 10" 0.50 ug/1 .......__..._.._...... ............... CAS No. Surrogate Recoveries Run#1 Run#2 Limits ......................... 2199-69-1 1,2-Dichlorobenzene-d4 %....' :;; 70-130% ......................... ......................... 460-00-4 4-Bromofluorobenzene 75% 70-130% ND = Not detected J = Indicates an estimated value MCL = Maximum Contamination Level (40 CFR 141) B = Indicates analyte found in associated method blank E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound 4 of 9 f Accutest Laboratories Report of Analysis Page 1 of 2 Client Sample ID: TRIP BLANK Lab Sample ID: M41911-2 Date Sampled: 09/16/04 Matrix: AQ-Trip Blank Water Date Received: 09/17/04 Method: EPA 524.2 REV 4.1 Percent Solids: n/a Project: GSCMA:97417484: 590 Iyannough Rd., Hyannis, MA File ID DF Analyzed. By Prep Date Prep Batch Analytical Batch Run#1 D39777.1) 1 09/29/04 AT n/a n/a MSD2362 Run#2 Purge Volume Run#1 25.0 nil Run#2 VOA List CAS No. Compound Result RL Units P Q 71-43-2 Benzene ND 0.50 ug/1 108-86-1 Bromobenzene ND 0.50 ug/1 74-97-5 Bromochloromethane ND 0.50 ug/1 75-27 4 Bromodichloromethane ND....__ `;.:.>0.50 ug/1 75-25-2 Bromoform N..D_ 0.50 ug/1 74-83-9 Bromomethane ND.... .. 0.50 ug/1 104-51-8 n-Butylbenzene ND...:: ::;:. 0.50 ug/I .............._......... 135-98-8 sec-Butylbenzene . 0.50 ug/1 : 98-06-6 tert-Butylbenzene 0.50 ug/1ND 108-90-7 Chlorobenzene 0.50 ug/1 75-00-3 Chloroethane N.D 0.50 ug/1 67-66-3 Chloroform ND 0.50 ug/1 .................... . ........................... ............... 74-87-3 Chloromethane ND....,::::ii : 0.50 ug/1 95-49-8 o-Chlorotoluene ND ::. r::.;; 0.50 ug/I 106-43-4 p-Chlorotoluene N.D . 0.50 ug/1 56-23-5 Carbon tetrachloride NI3 0.50 ug/1 75-34-3 1,1-Dichloroethane Nll : ... 0.50 ug/1 ......:.................... ........................... 75-35-4 1,1-Dichloroethylene ND ; .:::; 0.50 ug/I .................:......... 563-58-6 1,1-Dichloropropene . __ >.. 0.50 ug/1 96-12-8 1,2-Dibromo-3-chloropropane:.NI) 0.50 ug/1 106-934 1,2-Dibromoethane ND 0.50 ug/I 107-06-2 1,2-Dichloroethane ND 0.50 ug/1 78-87-5 1,2-Dichloropropane <ND 0.50 ug/1 142-28-9 1,3-Dichloropropane ND 0.50 ug/1 594-20-7 2,2-Dichloropropane ND . 0.50 ug/I .. 124-48-1 Dibromochloromethane 0.50 ug/1 74-95-3 Dibromomethane ND 0.50 ug/1 75-71-8 Dichlorodifluoromethane NI? 0.50 ug/1 10061-01-5 cis-1,3-Dichloropropene ND 0.50 ug/1 541-73-1 m-Dichlorobenzene ND 0.50 ug/1 .......... _._... 95-50-1 o-Dichlorobenzene ND 0.50 ug/1 106-46-7 p-Dichlorobenzene N:D 0.50 ug/1 ND = Not detected J = Indicates an estimated value RL = Reporting Limit B = Indicates analyte found in associated method blank E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound Sof9 Accutest Laboratories Report of Analysis Page 2 of 2 Client Sample ID: TRIP BLANK Lab Sample ID: M41911-2 Date Sampled: 09/16/04 Matrix: AQ- Trip Blank Water Date Received: 09/17/04 Method: EPA 524.2 REV 4.1 Percent Solids: n/a Project: GSCMA:97417484: 590 Iyannough Rd., Hyannis, MA VOA List CAS No. Compound Result RL Units Q 156-60-5 trans-1,2-Dichloroethylene ND 0.50 ug/1 156-59-2 cis-1,2-Dichloroethylene ND 0.50 ug/l 10061-02-6 trans-1,3-Dichloropropene ND 0.50 ug/I 10041-4 Ethylbenzene 1ID 0.50 ug/1 87-68-3 Hexachlorobutadiene ND 0.50 ug/1 98-82-8 Isopropylbenzene 1VD:::;;:;;;::>:<'; :; 0.50 ug/1 99-87-6 p-Isopropyltoluene ND: :: : 0.50 ug/1 75-09-2 Methylene chloride I IT);;::;:;: ; : 0.50 ug/l 1634-04-4 Methyl Tert Butyl Ether ND:;;;::::;; ::<: I 0.50 ug/1 ND 91-20-3 Naphthalene 0.50 ug/1 _L? .. ._...0.50 ug/l103-65-1 n-Propylbenzene N .. 100-42-5 Styrene 0.50 ug/l .. .................. ....I.......'_...... 630-20-6 1,1,1,2-Tetrachloroethane ND ;; ;; ; i 0.50 ug/1 71-55-6 1,1,1-Trichloroethane hID ; 0.50 ug/1 79-34-5 1,1,2,2-Tetrachloroethane NU:.;.:;.;;:;:;.;:>: 0.50 ug/1 79-00-5 1,1,2-Trichloroethane ;ND;;: ::;>:;: <: 0.50 ug/1 87-61-6 1,2,3-Trichlorobenzene N»....:._..;_ 0.50 ug/I 96-18-4 1,2,3-Trichloropropane ND.....,_::,;.., 0.50 ug/1 .:........-............... ........................... 120-82-1 1,2,4-Trichlorobenzene N 0.50 ug/1 95-63-6 1,2,4-Trimethylbenzene ND . .::; :.. 0.50 ug/1 108-67-8 1,3,5-Trimethylbenzene ;NA:.;;;:.;.,;>:;:;:. 0.50 ug/1 127-18-4 Tetrachloroethylene ND .. :.;::_. 0.50 ug/1 ..__... ........................... 108-88-3 Toluene ND 0.50 ug/1 79-01-6 Trichloroethylene N13;:; <::: :;:: ::; 0.50 ug/1 ........................... ........................... 75-69-4 Trichlorofluoromethane ND;;< i ; 0.50 ug/1 75-01-4 Vinyl chloride ND::;;;:;;::;:: :::; 0.50 ug/1 m,p-Xylene ND. , 0.50 ug/1 95-47-6 o-Xylene N:I1 ; 0.50 ug/1 1330-20-7 Xylenes (total) ND 0.50 ug/1 CAS No. Surrogate Recoveries Run#1 Run#2 Limits 2199-69-1 1,2-Dichlorobenzene-d4 ?i% i- 70-130% 460-00-4 4-Bromofluorobenzene70-130 ND = Not detected J = Indicates an estimated value RL = Reporting Limit B = Indicates analyte found in associated method blank E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound ,. ...- 6of9 Accutest Laboratories Report of Analysis Page 1 of 2 Client Sample ID: FIELD BLANK Lab Sample ID: M41911-3 Date Sampled: 09/16/04 Matrix: AQ- Field Blank Water Date Received: 09/17/04 Method: EPA 524.2 REV 4.1 Percent Solids: n/a Project: GSCMA:97417484: 590 Iyannough Rd., Hyannis, MA File ID DF Analyzed By Prep Date Prep Batch Analytical Batch Run#1 D39778.D 1 09/29/04 AT n/a n/a MSD2362 Run#2 Purge Volume Run#1 25.0 ml Run#2 VOA List CAS No. Compound Result RL Units Q 7143-2 Benzene ND 0.50 ug/1 108-86-1 Bromobenzene ND 0.50 ug/I 74-97-5 Bromochloromethane NO 0.50 ug/I . 75-27-4 Bromodichloromethane ND 0.50 ug/I 75-25-2 Bromoform ND 0.50 ug/I 74-83-9 Bromomethane N.D....._._: : ' 0.50 ug/I ......_..... . ........................... ........................... 104-51-8 n-Butylbenzene ND 0.50 ug/I 135-98-8 sec-Butylbenzene hID 0.50 ug/I _:........._........... ...................._. 98-06-6 tert-Butylbenzene 0.50 ug/I 108-90-7 Chlorobenzene ND 0.50 ug/I 75-00-3 Chloroethane N.D 0.50 ug/I 67-66-3 Chloroform ND 0.50 ug/I 74-87-3 Chloromethane ND 0.50 ug/I 9549-8 o-Chlorotoluene ND 0.50 ug/I 106-43 4 p-Chlorotoluene ND 0.50 ug/I 56-23-5 Carbon tetrachloride N;D........... ..'; 0.50 ug/I 75-34-3 1,1-Dichloroethane ND.._.:::::;:; 0.50 ug/I 75-35-4 1,1-Dichloroethylene N:.D 0.50 ug/l 563-58-6 i,1-Dichloropropee ND 0.50 ug/I 96-12-8 1,2-Dibromo-3-chloropropane ND. . i 0.50 ug/I 106-93-4 1,2-Dibromoethane ND .. 0.50 ug/I .........._. _...... ............... _..._. ........................... 107-06-2 1,2-Dichloroethane ND.......... ;. 0.50 ug/I ............... ... _.... ..........._.... ........................... 78-87-5 1,2-Dichloropropane ND . 0.50 ug/I 142-28-9 1,3-Dichloropropane ND 0.50 ug/I 594-20-7 2,2-Dichloropropane ND 0.50 ug/I 124-48-1 Dibromochloromethane ND 0.50 ug/I 74-95-3 Dibromomethane hID 0.50 ug/I 75=71-8 Dichlorodifluoromethane ;ND 0.50 ug/I 10061-01-5 cis-1,3-Dichloropropee ND 0.50 ug/1 541-73-1 m-Dichlorobenzene N.D 0.50 ug/I 95-50-1 o-Dichlorobenzene ND 0.50 ug/I 106-46-7 p-Dichlorobenzene N:D 0.50 ug/I ND = Not detected J = Indicates an estimated value RL = Reporting Limit B = Indicates analyte found in associated method blank E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound 7of9 Accutest Laboratories Report of Analysis Page 2 of 2 Client Sample ID: FIELD BLANK Lab Sample ID: . M41911-3 Date Sampled: 09/16/04 Matrix: AQ- Field Blank Water Date Received: 09/17/04 Method: EPA 524.2 REV 4.1 Percent Solids: n/a Project: GSCMA:97417484: 590 Iyannough Rd., Hyannis, MA VOA List CAS No. Compound Result RL Units Q 156-60-5 trans-1,2-Dichloroethylene ND_.:_.._;;:.;:;._ 0.50 ug/I 156-59-2 cis-1,2-Dichloroethylene ND..:..:. ;:.,, 0.50 ug/I 10061-02-6 trans-1,3-Dichloropropene ND.::.;::.>:<.»:>:;::< 0.50 ug/I 100-41-4 Ethylbenzene N)3:.;:.:.;;..;. 0.50 ug/I 87-68-3 Hexachlorobutadiene ND 0.50 ug/I „ 98-82-8 Isopropylbenzene .D...:;::;::;::;::i:::;:;;: 0.50 ug/I ........................... ..................... 99-87-6 p-Isopropyltoluene ND 0.50 ug/I 75-09-2 Methylene chloride d79 ; <<` 0.50 ug/I 1634-044 Methyl Tert Butyl Ether N:D:«:::>:<>: ; 0.50 ug/I 91-20-3 Naphthalene ]VD 0.50 ug/I 103-65-1 n-Propylbenzene ;:ND.;.:.:,.;:.;::;:.;.;:. 0.50 ug/I 100-42-5 Styrene IID:>;< 0.50 ug/I 630-20-6 1,1,1,2-Tetrachloroethane Np;: ;: ; 0.50 ug/I 71-55-6 1,1,1-Trichloroethane Nb 0.50 ug/I 79-34-5 1,1,2,2-Tetrachloroethane N <; ; 0.50 ug/I 79-00-5 1,1,2-Trichloroethane ND 0.50 ug/I 87-61-6 1,2,3-Trichlorobenzene ND 0.50 ug/1 96-184 1,2,3-Trichloropropane 1VD 0.50 ug/I 120-82-1 1,2,4-Trichlorobenzene ND:;:<:::;::;:;;;;::;; 0.50 ug/I 95-63-6 1,2,4-Trimethylbenzene ND 0.50 ug/I 108-67-8 1,3,5-Trimethylbenzene . : 0.50 ug/I 127-18-4 Tetrachloroethylene NI) << 0.50 ug/I 108-88-3 Toluene ND ;iiii0.50 ug/I 79-01-6 Trichloroethylene N13.._....:: .._., 0.50 ug/I ........................... ........................... ........................... 75-69-4 Trichlorofluoromethane hlD«: 0.50 ugh 75-01-4 Vinyl chloride ND 0.50 ug/I m,p-Xylene ND . 0.50 ug/I 95-47-6 o-Xylene NIA ; <; ; 0.50 ug/l 1330-20-7 Xylenes(total) ND 0.50 ug/I CAS No. Surrogate Recoveries Run#1 Run#2 Limits ......................... ......................... 2199-69-1 1,2-Dichlorobenzene-d4 761 «<< 70-130% ......................... ......................... ......................... 460-00-4 4-Bromofluorobenzene 76'% 70-130% ......................... ............ ND = Not detected J = Indicates an estimated value RL = Reporting Limit B = Indicates analyte found in associated method blank E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound 8of9 CHAIN OF CUSTODY 495 Tech Center West,Bldg.1,Marlboro,MA 01752 11ACCUTEST (508)481-6200 Fax: (508)481-7753 Accutest Job#: M Client information Facili Information Analytical Information`� l Consultants Name Project Name Geologic Services Cor oration SOPUS Hyannis Address Street 15 Bonazzoll Ave. 590 I annou h Road city ae P State Hudson MA 01749 Hyannis MA Project Contact: David B.Weeks Invoice Contact: Phone#: 978.568.8740 Invoice Phone# Fax 0: 978-568-9316 Location ID# 137772 AFE# PO# Collection Preservation a #Of 0 p O u a Field ID/Point of Collection Date Time Sampled By Matrix bottles _ W 1 37 HINKLEY-37 HINKLEY 0 /1/00 DW X )bn 3oC1 1 a fe, Accutest Log in Information Turnaround Information Data Deliverable Informaliori Std.14 Day Turnaround Approved By: 0 Commercial"A" Q FULL CLP 7 Day EMERGENCY 0 commercial"B" Q State Forms 4 Day EMERGENCY Full Deliverables Q Disk Deliverable Format_ 3 Day EMERGENCY Other 2 Day EMERGENCY ) 1 Day EMERGENCY L Off' !. G ill Emergency T/A Is for FAX or Lablink Data Commercial"A"m Results Only Sample Custody must be documented below each time samples change posseslon.Including courier deliv nqu a y amp er: aT1 R6001V90Y: Relinquishe me• -ve y: OV 1011.10 1 1 2 9 - - e n Shed y amp ar. me c a y: a mqu .e y: a ma: cave y: 3 (? 0 !'TOO 3 4 4 e n e a a c v Y: ea reserve w ere app oa e n oe pC emp. 5 5 O Geologic Services Corporation science,engineering&technology June 13,2003 RECEIVED E® Mr. Steve Opdyke 37 Hinckley Road JUN LBARNSTASLE 2003 Hyannis,Massachusetts TOWN OF Re: Water Sampling and Testing Program HEALEPT. 37 Hinckley Road Hyannis,Massachusetts Dear Mr. Opdyke: Geologic Services Corporation(GSC)would like to thank you on behalf of Motiva Enterprises LLC(Motiva),for your cooperation during the latest sampling of your well on April 22,2003. The sample collected on May 28,2003 was analyzed for volatile organic compounds(VOCs)including the following petroleum hydrocarbon compounds:benzene,toluene,ethylbenzene,xylenes(BTEX),and methyl tertiary butyl ether(MTBE). The sample collected from your well detected the presence of MTBE at a concentration of 2.5 micrograms per liter(ug/1). One ug/1 is equal to one part of the compound in one billion parts of water. A copy of the laboratory report is attached. The concentration of MTBE detected in the sample from your well on May 28, 2003, is within current acceptable standards and guidelines published by the Massachusetts Department of Environmental Protection(DEP),which allows up to 70 ug/l for this compound in drinking water. If you have questions,you may contact the DEP's Division of Water Supply(617)-292-5770,the Office of Research and Standards(617)-292-5570,or Mr.Mike Moran of the DEP's Southeast Regional Office in Lakeville(508)-946- 2700. Any of these offices can answer questions on standards and guidelines or potable water quality in general. As a part of the ongoing investigation,Motiva plans to sample your well on a quarterly basis. Once again,thank you for allowing us to sample your well. If you have any questions or require any additional information please contact Mr.David B.Weeks of Shell Oil Products US (SOPUS)at(845)462-5225 or Mr.Blake Thompson of GSC at(978) 568-8740 ext.236. Sincerely, Geologic Services Corporation r(i �.�., Michael C.Bricher Jeremiah M. Smith Project Manager Hydrogeologist Attachment cc: David B.Weeks,SOPUS,PMB 301 1830 South Road,Unit 24,Wappingers Falls,NY 12590 Mr.Mike Moran,MADEP, Southeast Regional Office,20 Riverside Drive,Lakeville,MA 02346 Mr. John F.Danehey,Esq.,Law Offices of Tufankjian,Danehey,Osterberg&McDonald,25 Crescent St., Brockton,MA 02301 Mr.John Klimm,Hyannis Town Administrator, 367 Main Street,Hyannis MA 02601 Mr. Thomas McKean,Hyannis Board-of Health,367 Main Street,Hyannis MA 02601 Ref.#020811 Ltr WSR Ltr 06-03 Providing Environmental Management Solutions to Business and Industry Since 1982 A 100% Employee-Owned ESOP Company 15 Bonazzoli Avenue • Hudson, MA 01749 • Tel: 978.568.8740 1 800.522.8740 Fax: 978.568.9316 www.gsc-global.com i OR Rw 8,04 11 a New Engtand 06/OS/03 1 Techrical Report far Equiva Services GSCMA:98997780 590 Iyannough Rd., Hyannis, MA 020811 Accutest Job Number: M32210 Report to: Geologic Services Corporation 15 Bonazzoli Avenue Hudson, MA 01749 ATTN: Blake Thompson Total number of pages in report: 6 `,A ACcpRO Test results contained within this data package meet the requirements /eza of the National Environmental Laboratory Accreditation Conference Lab Director and/or state specific certification programs as applicable. Certifications:MA(M-MA136) CT(PH-0109) NH(250203) RI(00071) ME(MA136) FL(E87579) NY(11791) NJ(MA926) IL(000589) NAVY USACE This report shall not be reproduced,except in its entirety, without the written approval of Accutest Laboratories. New England ■ 495 Tech Center West■ Building 1 ■ Marlborough,MA 01752 ■ tel: 508-481-6200 ■ fax: 508-481-7753 ■ http://www.accutest.com lof6 ate• , Accutest Laboratories Sample Summary Equiva Services GSCMA:98997780 590 Iyannough Rd., Hyannis, MA Job No: M32210 Project No: 020811 Sample Collected; .._..............:..._.........:::.:.::::::::: Matrix Client Number Date Time By Received Code Type Sample ID M32210 l 05/28/03 10:15 MW 05/29/03 DW Drinking Water 37 HINKLE:Y"HER.I�LEY 2of6 I Accutest Laboratories Report of Analysis Page 1 of 2 Client Sample ID: 37 HINKLEY-37 HINKLEY Lab Sample ID: M32210-1 Date Sampled: 05/28/03 Matrix: DW- Drinking Water Date Received: 05/29/03 Method: EPA 524.2 REV 4.1 Percent Solids: n/a Project: GSCMA:98997780 590 Iyannough Rd., Hyannis, MA File ID DF Analyzed By Prep Date Prep Batch Analytical Batch Run#1 D33236.D 1 05/30/03 AT n/a n/a MSD2055 Run#2 Purge Volume Run#1 25.0 ml Run#2 VOA List CAS No. Compound Result MCL RL Units Q 71-43-2 Benzene N175.0 0.50 ug/1 108-86-1 Bromobenzene ND .........;;' 0.50 ug/1 74-97-5 Bromochloromethane 0.50 ug/1 75-27-4 Bromodichloromethane ND 0.50 ug/1 75-25-2 Bromoform ND..._._ 0.50 ug/1 74-83-9 Bromomethane ND.. ._...' 0.50 ug/1 104-51-8 n-Butylbenzene ND 0.50 ug/1 135-98-8 sec-Butylbenzene ND 0.50 ug/1 98-06-6 tert-Butylbenzene ND 0.50 ug/1 108-90-7 Chlorobenzene 100 0.50 ug/1 75-00-3 Chloroethane ND. ........;. 0.50 ug/1 67-66-3 Chloroform ND 0.50 ug/1 74-87-3 Chloromethane ND 0.50 ug/1 95-49-8 o-Chlorotoluene ND 0.50 ug/1 106-43-4 p-Chlorotoluene N ;, 0.50 ug/1 56-23-5 Carbon tetrachloride NIJ 5.0 0.50 ug/1 75-34-3 1,1-Dichloroethane ND 0.50 ug/1 75-35-4 1,1-Dichloroethylene ND.....:;: ;;; 7.0 0.50 ug/I 563-58-6 1,1-Dichloropropene N 0.50 ug/I 96-12-8 1,2-Dibromo-3-chloropropane ND 0.20 0.50 ug/1 106-93-4 1,2-Dibromoethane ND 0.050 0.50 ug/1 107-06-2 1,2-Dichloroethane hID 5.0 0.50 ug/1 78-87-5 1,2-Dichloropropane N .. > 5.0 0.50 ug/1 142-28-9 1,3-Dichloropropane ND 0.50 ug/1 594-20-7 2,2-Dichloropropane ND 0.50 ug/1 124-48-1 Dibromochloromethane ND 0.50 ug/1 74-95-3 Dibromomethane ND 0.50 ug/1 75-71-8 Dichlorodifluoromethane ND 0.50 ug/1 10061-01-5 cis-1,3-Dichloropropene ND ... 0.50 ug/1 541-73-1 m-Dichlorobenzene ND.........,;.. .; 0.50 ug/1 95-50-1 o-Dichlorobenzene .. 600 0.50 ug/1 106-46-7 p-Dichlorobenzene ND .. 75 0.50 ug/1 ND = Not detected J = Indicates an estimated value MCL = Maximum Contamination Level (40 CFR 141) B = Indicates analyte found in associated method blank E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound 3of6 Accutest Laboratories Report of Analysis Page 2 of 2 Client Sample ID: 37 HINKLEY-37 HINKLEY Lab Sample ID: M32210-1 Date Sampled: 05/28/03 Matrix: DW- Drinking Water Date Received: 05/29/03 Method: EPA 524.2 REV 4.1 Percent Solids: n/a Project: GSCMA:98997780 590 Iyannough Rd., Hyannis, MA VOA List CAS No. Compound Result MCL RL Units Q 156-60-5 trans-1,2-Dichloroethylene ND 100 0.50 ug/1 156-59-2 cis-1,2-Dichloroethylene ND 70 0.50 ug/1 10061-02-6 trans-1,3-Dichloropropene ND .0.50 ug/1 108-20-3 Di-Isopropyl ether IID ;;; ; ii>; 0.50 ug/1 100-41-4 Ethylbenzene ND 700 0.50 ug/1 87-68-3 Hexachlorobutadiene ND 0.50 ug/1 98-82-8 Isopropylbenzene ND::.;;::;::;::;:; ::; 0.50 ug/1 99-87-6 p-Isopropyltoluene ND 0.50 ug/1 75-09-2 Methylene chloride ND 5.0 0.50 ug/l 1634-04-4 Methyl Tert Butyl Ether 2..,:5 ;;.;i.; 0.50 ug/1 91-20-3 Naphthalene ND 0.50 ug/1 103-65-1 n-Propylbenzene 0.50 ug/1 100-42-5 Styrene ND 100 0.50 ug/1 994-05-8 tert-Amyl Methyl Ether ND ::;;; ;< 0.50 ug/I 637-92-3 tert-Butyl Ethyl Ether N.D..........., 0.50 ug/1 630-20-6 1,1,1,2-Tetrachloroethane NIl 0.50 ug/1 71-55-6 1,1,1-Trichloroethane ND 200 0.50 ug/1 79-34-5 1,1,2,2-Tetrachloroethane ND 0.50 ug/1 79-00-5 1,1,2-Trichloroethane ND 5.0 0.50 ug/1 87-61-6 1,2,3-Trichlorobenzene ND 0.50 ug/I 96-18-4 1,2,3-Trichloropropane ND.....,......;i;; 0.50 ug/1 120-82-1 1,2,4-Trichlorobenzene ND 70 0.50 ug/1 95-63-6 1,2,4-Trimethylbenzene ND 0.50 ug/I 108-67-8 1,3,5-Trimethylbenzene AID : :.: ;:;;: 0.50 ug/1 127-18-4 Tetrachloroethylene ND 5.0 0.50 ug/1 108-88-3 Toluene ND 1000 0.50 ug/I 79-01-6 Trichloroethylene NIJ 5.0 0.50 ug/1 75-69-4 Trichlorofluoromethane ND 0.50 ug/1 75-65-0 Tertiary Butyl Alcohol ND: ;:;;i; 10 ug/1 75-01-4 Vinyl chloride ND 2.0 0.50 ug/1 m,p-Xylene NU; 0.50 ug/1 95-47-6 o-Xylene ND 0.50 ug/1 1330-20-7 Xylenes (total) ND: 10000 0.50 ug/1 CAS No. Surrogate Recoveries Run# 1 Run#2 Limits 2199-69-1 1,2-Dichlorobenzene-d4 IOQ.%. 70-130% 460-00-4 4-Bromofluorobenzene 86:% 70-130% i ND = Not detected J = Indicates an estimated value MCL = Maximum Contamination Level (40 CFR 141) B = Indicates analyte found in associated method blank E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound 4of6 i Accutest Laboratories Report of Analysis Page 1 of 1 Client Sample ID: 37 HINKLEY-37 HINKLEY Lab Sample ID: M32210-1 Date Sampled: 05/28/03 Matrix: DW- Drinking Water Date Received: 05/29/03 Method: MADER VPH 98-1 Percent Solids: n/a Project: GSCMA:98997780 590 Iyannough Rd., Hyannis, MA File ID DF Analyzed By Prep Date Prep Batch Analytical Batch Run#1 MN20052.1) 1 06/05/03 AP n/a n/a GMN624 Run#2 Purge Volume Run#1 5.0 ml Run#2 Volatile TPHC Ranges CAS No. Compound Result MCL RL Units Q ........................... C5- C8 Aliphatics (Unadj.) ND 50 ug/I C9- C12 Aliphatics (Unadj.) NLD 50 ug/1 C9- C10 Aromatics (Unadj ) ND. 50 ug/1 C5-C8 Aliphatics ND 50 ug/1 C9-C12 Aliphatics IrID 50 ug/1 C9- C 10 Aromatics NID 50 ug/1 CAS No. Surrogate Recoveries Run# 1 Run#2 Limits 615-59-8 2,5-Dibromotoluene $4;% 70-130% 615-59-8 2,5-Dibromotoluene 89.i% 70-130% ND = Not detected J = Indicates an estimated value MCL = Maximum Contamination Level (40 CFR 141) B = Indicates analyte found in associated method blank E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound 5of6 00 CHAIN OF CUSTODY ACCUTEST.6®1 61. ^ I 495 TECHNOLOGY CENTER WEST m BUILDING ONE UACCUTEST MARLBOROUGH,MA 01752 ACCUTEST QUOTE 4: TEL:508-481-6200 ® FAX,508-481-7753 CLIENT INFORMATION FACILITY INFORMATION ANALYTICAL INFORMATION B>flATRIX CODES ING C3 olog�i( . c°f/viCQ n � j 3 �� DW- ®laaT�cR !BEATER NAME_ PROJECT NAME ` GW- GROUND is c f l Ave— 440 Wmu- �AS7E ADD SS M q LOCATION WATER _ :5001-5 `h oLn yl l S M)R V, ` SO- SOIL CITY, STATE ZIP PROJECT NO.' SL- SLUDGE 09- OIL SEND REPORT TO: LIG- `} OTHER PHONE# �j7S -. (,`8 7q t FAX# ?�1(p LIQUID COLLECTION x PRESERVATIU. ON SOLID uj SAMPLACCUTE# FIELD ID/.POINT OF COLLECTION DATE TIME SAMPLED ED � ft® 8 z 2 a g � LAB USE ONLY. 3 ' Wn k I e -171 • s 3 10 JS 1►1 W DATA TURNAROUND INFORMATION DATA DELIVERABLE INFORMATION COMMENTS/REMARKS 0-4-4 DAYS STANDARD APPROVED BY: C>-STANDARD ❑ 7 DAYS RUSH ❑ COMMERCIAL"B " zoo,, O 48 HOUR EMERGENCY ❑ DISK DELIVERABLE O OTHER O STATE FORMS 14 DAY TURNAROUND HARDCOPY.EMERGENCY OR RUSH IS FAX ❑ OTHER(SPECIFY) DATA UNLESS PREVIOUSLY APPROVED SAMPLE CUSTODY MUST BE DOCUMENTED BELOW EACH TIME SAMPLES CHANGE POSSESION,INCLUDING COURIER DEL RY RELINQUISHED BY SA PLEB: 1 DATE TIME: RECEIVED BY: RELI QUISH DA E TIME: V vim,S REC VED Y: 1. 5 1Z/ 1.Cis 2„;+: 1 u�S 2 �' 2. REWOUI ED BY: O TI REC IVED B : RELINQUISHED BY: DATE TI E: RE ED BV: S 9 �3 1 3 3' 4 4. �. RE, QUISHE ATE T M1AE: RE I ED BY: SEAL q PRESERVE WHERE APPLICABLE ON ICE" TE TEMPERATURE 5. 5. BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT LABORATORY REPORT VOLATILE ORGANIC CHEMICAL ANALYTICAL RESULTS Client: NEW ENGLAND TILE Collection Date: 06/10/93 Mailing Address:37 HINCKLEY ROAD Date of Analysis: 06/10/93 HYANNIS MA 02601 Type of Supply: WELL Well Depth (FT) : Not Given Telephone Sample Location: 37 HINCKLEY ROAD LAT. (DDMMSS) : Not Given BARNSTABLE LONG. (DDMMSS) : Not Given Collector: DONNA MIORANDI Map/Parcel : 311-018 Affiliation: BOH Analytical Method: 502.1=1 , 502:2=2', 503.1=3 , 504=4 , 524 . 1=5, 524 . 2=6 , 502 .1/503= --------------------------------------------------------------------- Contaminants Anal . Result MCL Detection Detected Meth. ug/l ug/1 Limits (ug/1) --------------------------------------------------------------------- 1 , 1 Dichloroethane 2 1 .1 0 . 5 J Only those compounds listed above were detected. Attached is a list of compounds for which this sample was analyzed. NOTE: Contaminant levels equal to or exceeding the Detection Limits are reported. MCL means Maximum Contaminant Level for EPA-regulated compounds. (ug/l = micrograms per liter = Parts Per Billion) The Environmental Protection Agency has set Maximum Contaminant Levels (MCL) for the following compounds . This sample compares as follows : COMPOUND' MCL (in PPB) Benzene 5.0 * level not exceeded * Carbon Tetrachloride 5. 0 * level not exceeded * 1 , 2-Dichloroethane 5.0 * level not exceeded * 1 , 1-Dichloroethene 7 . 0 * level not exceeded * 1 , 4-Dichlorobenzene 75 * level not exceeded * 1 , 1 , 1-Trichloroethane 200 * level not exceeded * Trichloroethene 5. 0 * level not exceeded, * Vinyl Chloride 2.0 * level not exceeded Comments or additional compounds found: /3 + Thomas F. Bourne, Laboratory Director �� �\ e � . O � p � � v � BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT LABORATORY REPORT VOLATILE ORGANIC CHEMICAL ANALYTICAL RESULTS Client:.. NEW ENGLAND TILE Collection Date: 06/10/93 . . . _ Mailing Address: 37 HINCKLEY ROAD Date of Analysis:06/10/93 HYANNIS MA 02601 Type of Supply: WELL Well Depth (FT) : Not Given Telephone: Sample Location: 37 HINCKLEY ROAD LAT. (DDMMSS) : Not Given BARNSTABLE LONG. (DDMMSS) : Not Given Collector: DONNA MIORANDI Map/Parcel : 311-018 Affiliation: BOH Analytical Method: 502.1=1 , 502� 2=2, 503.1=3,, 504=4 , 524.1=5, 524 . 2=6, 502.1/503= ' Contaminants Anal . Result MCL Detection Detected Meth. ug/1 ug/l Limits (ug/1) --------------------------------------------------------------------- 1 , 1 Dichloroethane 2 1 .1 0.5 Only those compounds listed above were .detected. Attached is a list of compounds for which this sample was analyzed. NOTE: Contaminant levels equal to or exceeding the Detection Limits are reported. MCL means Maximum Contaminant Level for EPA-regulated compounds. (ug/l = micrograms per liter = Parts Per Billion) The Environmental Protection Agency has set Maximum Contaminant Levels (MCL) for the following compounds. This sample compares as follows: COMPOUND MCL (in PPB) Benzene 5.0 * level not exceeded * Carbon Tetrachloride 5.0 * level not exceeded * 1 , 2-Dichloroethane 5.0 * level not exceeded * 1 , 1-Dichloroethene 7 .0 * level not exceeded * 1, 4-Dichlorobenzene 75 * level not exceeded * 1 , 1 ,1-Trichloroethane 200 * level not exceeded * Trichloroethene 5.0 * level not exceeded * Vinyl Chloride 2.0 * level not exceeded * Comments or additional compounds- found: + Thomas F. Bourne , Laboratory Director I _ f ' Date: '� -- 9 TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: �L BUSINESS LOCATION: MAILINGADDRESS: Mail To: TELEPHONE NUMBER: - �� Board of Health Town of Barnstable CONTACT PERSON: �� P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMB 6 7 Hyannis, MA 02601 TYPEOFBUSINESS: d C,- Does your firm store an the toxic or hazardous materials listed below, either for sale or for you own use? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes IS phalt & roofing tar Fertilizers �Wr/Pa. ts, varnishes, stains, dyes PCB's acquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers i Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, Floor & furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids �S (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS TOWN OF BARNSTABLE M7777777E: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALT 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY 1 t09-9 { (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS l - Class: 7.Miscellaneous 4z-� QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Drum Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Woo Miscellaneous: S � 2 0/ / Po DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply Town Sewer ` Wublic O On-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination astie Product YES NO 1. 2. erson(s) Interviewed Inspector Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2.Printers BOARD OF HEALTH O satisfactory 3.Auto Body Shops �y / unsatisfactory- 4.Manufacturers COMPANYL�tT�1'"`7���� i ��� O (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS ''7f���ye��� �� Class: 7.Miscellaneous 5�� j�ANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS IN OUT IN OUT IN OUT '#&gallons Age Test Fuels: Gasoline Jet Fuel(A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil(C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSAIJRECLAMATION REMARK 1. Sanitary Sewage 2.Water Supply O Town Sewer OPublic O On-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank:MDC_ O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter -d YES Mo 1. 2. Person(s) Interviewed Inspector Date Date: 6-020 " Q2 TOXIC AND HAZARDOUS MATERIALS REGISTRATION FOR NAMEOFBUSINESS: L/ BUSINESS LOCATION: Z4�6?n MAILINGADDRESS: ° Mail To: j TELEPHONE NUMBER: 72 Board of Health ) Town of Barnstable CONTACTPERSON: P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: Hyannis, MA 02601 TYPEOFBUSINESS: (d,I U e Does your firm store any of the toxic or azardous materials listed below, either for sale or for you own use? - YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Paint brush cleaners Any other products with "poison" labels (including chloroform, formaldehyde, Floor& furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date. `h TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: Mao BUSINESS LOCATION: _ MAILINGADDRESS: Mail To: TELEPHONE NUMBER: ��' /� Board of Health Town of Barnstable CONTACTPERSON: / P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: l � Hyannis, MA 02601 TYPEOFBUSINESS: G �brp' Does your firm store any of the toxic or zardous materials listed below, either for sale or for you own use? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Paint brush cleaners Any other products with "poison" labels (including chloroform, formaldehyde, Floor & furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY " 4 `d i� O (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS,77 ��� Class: 7.Miscellaneous A Iolwl QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS IN OUT IN OUT IN OUT #&gallons Age Test 7 Fuels:Gasoline Jet Fuel(A) Diesel, Kerosene, #2(B) Heavy Oils: waste motor oil(C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2Aublic Water Supply �� (~ O Town Sewer XOn-site 4Vrivate 3. Indoor Floor Drains YES NO O Holding tank:MDC_ O Catch basin/Dry well . O On-site system 4. Outdoor Surface drains:YES NO ORDERS O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter as Name of Haule YES NO 1. 2. U A .�I_ 11/�Z� __. �P' . Person(s) Ina wed Inspector Date en THE COMMONWEALTH OF MASSACHUSETTS 1 ®� BOAR® OF HBA TH i..-- ---.- - OF......J6.. Aphration for Ropos at Worko Tonstrurtivaa Prrmit Application is hereby made for a Permit to Construct ( ) or Repair,( ) an Individual Sewage Disposal System tq:���1... .... ..: ocat �; ion »ess................................... ...../. � f . .....or o...... ^�^ w� dress ` »J/.. �J... wne � �.1� .rl��le�...�� �..... '�^��Cf�.p� .... .. �y7' ��➢ D��st ler e,`.Wp e'-17e Address Type "of t3uilding Size Lot._ =..r!S®..Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder �) Other—Type e of Building Gv l No. of ersons......:--......7 Showers — Cafeteria a YP g P Y--.-•--- ( ) P4 Other fixtures ........... :................. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. P� Septic Tank—Liquid capacity/A-DO•_.gallons Length................ Width................ Diameter................ Depth................ wDisposal Trench—No..................... Width....... Total Length----.----., . Total leaching area....................sq. ft. Seepage Pit No...I--------------- Diameter.kX - --Depth below inlet........ ....... otal leaching area....;I.'�_sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-� Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit..................... Depth to ground water-___--____.-__--_-..--.. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ O f� Description of Soil /J .. ..... U .................• •••• •-•--••-•--•----•----------••-•--...••----•--•--••--•................••--•--------•--•---•----------••--•---•-••••----•-•......•-•••-•••-- W -----------�-----P#7---- ----L_�_--- ---- ,............................................................................................................................. UNature of Repairs o Alterations—Answer when applicable................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bAisued.by the board of health. Signed.... --.-----1�'�.a.._... G� ........... 24;-t!_f,DaApplication Approved BY y ... � . r-�2- A Application Disapproved or the following reasons-----------------------_-- -----------.--.-----....---•--....•.-----...------_------•.........--------- PP PP f f 9 ..........-•-•-------------............................................................................................................................................................................ Date PermitNo.......................................................... Issued........................................................ Date L ' THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEA1 TH OF , pplirafion for Disposal Works T.>ns rur#ion jkrutft Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at K Location Address j f ...... ._ '{ '�'d' aC '^ .. .Or�✓st �:..._.. 4-Owner jCg,� y� t1 dress �a `r'_'-_7r•. s .`{..+$.'.^_ ^»?c-�.gr,?4.E,�.fir .A�....�,' e,�y�' ...s�.} .�i:t. ]{."-'�"`'____ - .y ...... a� ,�,_ ,�€as"n✓r_'=s.--..-•--••.__.. i *ty rr Inst er Hai, et�"1 d Address YP g Size Lot.;max q T e o ui din __ _....S . feet r-. g '"~°. ....................Expansion Attic ( ) Garbage Grinder Other g—Type of Building 1#10Ie :. Dwelling o. o Bedrooms....:........: ...:. pa yp g ;_ ,.. No. of persons------ :..... ....... Showers (: } — Cafeteria a' Other fixtures ._........ W Design Flow............................................gallons per person per day. Total daily flow._..__._::...................................gallons. WSeptic Tank—Liquid capacity/410__gallons Length................ Width................ Diameter................ Depth_...........-_-. x Disposal Trench=No_____________________ Width______............. _. Total Length__._.____._ _..___. Total leaching area:................:__sq. ft. Seepage Pit No �_______________ Diameter./,_- De th below inlet.____._.....____ Total leaching area__._.�V. -s ft. rs:= . P b q Z Other Distribution box ( ) ..Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date............... a ------------------------- 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........................ ••. •_. .. .. //-•••-•.....--•-••••.........-••................•---•--••--•-•••••._.......-•--•-•--•-••••__••-- Description of-'Soil........ , . e. r - U ' --•-•---------------- ------------------•----- -------------•----------------------------••••-- -----•------ _._._ ._._�______i_�___ ___ ___.`�.�_=•+�5:..... a............................................................................................................................ U Nature of Repairs of Alterations—Answer when applicable................................................................................................ -•-------------------•----•-----......_..._..------•-------•--•-----•--.........•--._.............-••-••-._._-_.....---•--------••---•--•--••-•••-•-•--••-----•-•-------.......•--•••----•••..._..._-_.- Agreement: The undersigned agrees .to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article YI of the State Sanitary Code ' The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed----- c «�.�.as^ t� D a t; Application Approved BY ._:.. f. .p/ •-----•.-----• ------- - - 2 Application Disapproved for the following reasons:............................ ____________________________________________________________D_.e____._....__.. .......................................•-•---•---••------••...._..•--••-••-•...__---•- Date PermitNo......................................................... Issued..............................._..........._............ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEAL.TH y " . .......:..OF..... g.alr.. . . C�rr��futttr of T�r�t�rlittnrr • TI "f� IS/TQCERTI- , That the Individual Sewage Disposal System constructed ( or Repaired ( ) by. ,!i�. ........ .t . „ --- ; �+' ................... ..........._._. -• e ,. li 5'4 I r� y j at.. -f✓�!r •--=� +� ?d ..�.�� _:�.- - s.•,� 1,,.�: -S,< »-�:"-'tl ,�r�^�_.r._.. /rv ._...,_-•-•----- has eeeen installed in accordance with-the prrdvisions of Article o�jThe State SanjLCode as desc bed m the application for Disposal Works Construction Permit No......................................... dated.---- --- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. (.DATE................... - eve_ "" -•••-•••--_.._. Inspector THE COMMONWEALTH OF MASSACHUSETTS .�' BOARD HEALTH .._.. .....-. Ae.. ................... No...... ..'^ �. FEE_ _ Permission i' ereby granted.... .._m.. _ to Congtru t or Repair ) ,an IndividuAV Sewage osal t at No. ... .. .................................." .�.. CS .... ,- Street as shown on the application for Disposal Works Construction unit _ Dated _ Buatd Uf 1-(calth ..DATE............... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS ALL PIPE ELEVATIONS SPECIFIED ARE INVERT ELEVATIONS E O W PROFILE TOP OF FOUNDATION RAISE COVERS TO WITHIN 6 in OF FINAL GRADE EL = 55.13 +— ONE INSPECTION RISER FOR * LEACHING GALLERY 55.00 /D—BOX MAX 2 1/2YSRTONE 1/8' 3" DROP � OF FLOW LINE P 52 00 14' A) 52.55 4B" GAS�� PRECAST 3/4"-1 1/4' B) 52.64 BAFFLE DRYWELL STONE EXISTING 51.75 6 in ``' BOTTOM OF STON LEACHING SOIL ABSORPTION 51.38 SYSTEM BASE � ���-,, 52.00 6 in STONE BASE 51.55 GALLERY 51.25 5.00 ft + 1500 GALLON (END VIEW) 4J50 e) 27.1 FL SEPTIC TANK iz 8.2 ft 8.8 ft 12.5 f t b) 18.6 ft ADJUSTED y 30.25 SEASONAL HIGH GROUNDWATER n g C nX I j °I) 6 mUl s m m a 'fi r O®p ® O O y �5 ' X T r W W ii r �oy ELECT;;;; W m � AO/....._._ ...�-r. Im 'etair_'^tr...'._'�'...'. 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SOIL_ TEST LOG DE-SIGN CALCULATIONS DATE OF TEST: MAY 22. 2006 DESIGN FLOW: FACTORY OR INDUSTRIAL PLANT WITHOUT CAFETERIA SOIL EVALUATOR: DAVID D. COUGHANOWR. R.S. 22 PERSONS AT 15 GPD PER PERSON = 330 GPD WITNESSED BY: DONALD DESMARAIS. HEALTH DEPT. I SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS NO PAARENOTUMAATERIAL:EPROGLAC ALD OUTWASH INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) TEST PIT I ELEVATION = 54.75 +- 2 MIN/INCH IN C SOILS DISTRIBUTION BOX: USE 3 OUTLET D-BOX. SOIL ABSORBTION SYSTEM: A 24 f t x 12.5 Ft x 2 Ft LEACHING GALLERY CAN LEACH DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING A b o t = ( 24 x 12.5 ) = 300 s f 54.75 A s d w = ( 24 + 24 + 12.5 + 12.5 ) x 2 = 146 sz Atot = 446 sf 0-5 FILL Vt 0.74 x 446 = 330.04 GPD 5-9 Ap LOAM 10 YR 2/2 NONE FRIABLE a USE A 24 Ft- x 12.5 f t x 2 f t GALLERY. Vt = 330.04 GPD > 330 GPD REOUIRED 51.75 9-36 B SANDY LOAM 10 YR 4/6 NONE FRIABLE t 36-126 C MEDIUM TO 10 YR 5/4 NONE LOOSE COARSE SAND LEACHING GALLERY 500 GALLON DRYWELL 44.25 DIMENSIONS AND DETAIL NO GROUNDWATER ENCOUNTERED CONSTRUCTION DETAIL USE H-10 UNIT TEST PIT 2 PARENT MATERIAL: PROGLACIAL OUTWASH INSTALL ONE INSPECTION ELEVATION = 54.80 PERC AT 60 in 2 MIN/INCH IN C SOILS DRYWELL UNIT STON RISER TO WITHIN SIX +- 8'-6-x 4'-10-x 2'-9' 2 f t EFF. DEPTH �+ INCHES IC FINAL GRADE AND INDICATE LOCATION 24.0 f t ON AS-BUILT PLAN DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING m 54.80 4, m 0-10 FILL mLq 0 33 Lq N Op�� 0 0 in 10-16 Ap LOAM 10 YR 3/2 NONE FRIABLE N oaaoQ0000[z] D00�� 16-38 B SANDY LOAM 10 YR 4/6 NONE FRIABLE I o000000000 000 51.63 cz:l c�] 1 38-132 C MEDIUM TO 10 YR 6/4 NONE LOOSE 3.5- 8.5 8.5' 3.5' G>g COARSE SAND 10 43.80 24.0 f t SCALE 2 to LEACHING GALLERY CROSS SECTION VIEW NOTES USE SHOREY PRECAST 500 GALLON LEACHING DRYWELL (H-10 LOADING) Iegr 2 to PEASTONE 0 2824 1n 3/4 in TO 26 1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN EFFECTIVE 2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/B INCH PER FOOT MINIMUM. i^ DEPTH 1-1/2 in GRAVEL In 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REOUIREMENTS OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15) 46 in 58 in 46 in 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. 150 in 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE Z) LINES EXITING D-BOX TO RUN LEVEL FOR 2'-0" BEFORE PITCHING DOWN �w 6) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATIQN; OF . LOW-FLOW FIXTURES GROUNDWATER ADJUSTMENT SEWAGE DISPOSAL SYSTEM PLAN AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC'-TANK'ti .l -TO SERVE EXISTING STRUCTURE EXISTING GROUNDWATER LEVEL 9) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LO'A®ING. (DO NOT> , BASED ON TOWN OF BARNSTABLE PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. l;,i GIS DEPARTMENT RECORDS. REX ^ REALTY TRUST 10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE ,START.ING ;:WORK. 37-A HINCKLEY ROAD HYANNIS. MA 1 INDICATED GW 27.00 11) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO'�GR, E'�ON�`'A LEVEL INDEX WELL AIW-230 STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED--ANDI.ON�TO WHICH ZONE D ECO-TECH ENVIRONMENTAL SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO ,MINIMIZE,,"UNEVEN SETTLING READING DATE APRIL. 2006 READING 23.1 43 TRIANGLE CIRCLE SANDWICH MA 02563 ADJUSTMENT 3.5 ADJUSTED GW 30.50 ETE-2354 MAY 25, 2006 2/2 { EL-OW PROFILE ALL PIPE ELEVATIONS SPECIFIED ARE INVERT ELEVATIONS TOP OF FOUNDATION RAISE COVERS TO WITHIN 6 in OF FINAL GRADE EL = 55.13 +— ONE INSPECTION RISER FOR ,m LEACHING GALLERY p �/ 55.00 D-BOX MAX 2 112YER OF STONE 1/8' 3" DROP � _FLOW LINE I I i i 52.00 10.. - 14' A) 52.55 4B" GAS�� PRECAST 3/4'-1 1/4' B) 52.64 BAFFLE STONE DRYWELL OF EXISTING 51.75 S O ~~ SOIL BOTTOM STONE 51.38 LEACHING SYSTEM BASE 52.00 6 in -STONE BASE 51.55 51.25 GALLERY 5.00 f t 1500 GALLON (END VIEW) 49.50 o) 27.1 F E SEPTIC TANK 8.2 FE 8.8 ft 12.5 FL b) 18.6 ft ADJUSTED y 30.25 SEASONAL HIGH GROUNDWATER oy�c� r ° y nx 3omAr�1 �� � y �y y � ym m� am A 2 � -a n� m�"m�2a D � On y yr rn� Q �m z W 0@13 m 1-NJ a:X m m n / N "o Y zrq Mx ho Nile n` / Y rn0 co Z 00 M O< -0 ,l COM,yO i y'�NO �O,Q \ �RF� i o,°j -0 y M N It o G , ey rti sF ��� �' `C �'z m z l� rn Z 02 0 C p IC/ CD v W y / g` `� 00 m f Tl � � � ;am-0 M '�RkNCEkAY / O cn<O Z 03 cn�ocn� cn Z =rump= (� (f7 `��� / n O 3 3� n oa r-' t1 �y �� 6m�r� �� �� i � O-4> > r-Z o y > M Z o3rn n NfTI Z�OOZ y = �� N�m000D U�U1�WN - m j z �Z C 7 � ' O '� ZM OG� 3 =< 3 > ' cnom N c� ej �W �� o i C �oo�m ��4 n X �rn ~(L0o'a1�UlU1�WN "mm h -, y(A OBI- CU Z �o�am rrl mNWU1�1Nm "WU11`)Op `' y° O 7 Morn O _. pro rn T 0 oMro M � M � <F-- Z ITIn0X ',D r z rn C� -< M M Cr) r-m cn z ch O 3 z� N cnawN � za y O r-rn(nz -0 , cc')0Zz W CO O > M N w A �� �CD-Irnmz OOl >o= cTl W O X Q co cn r N a z° (A O n 3 0 cn m nomo � Y mrnmNm ,�y ,C (� (nC O m cn -r z -� rn O CD ma � J' -irncom« O mz==c y OD O �� rnwq�irn ? tD ~m ~ l 3 rnOmm Or- ,IMz < LJn > �� mm ° com o> 3 ��y r Z �0 M;o N 0j _ G-) rn �� cn .4 N w d Z m O fm m --A> F n C)lmmaoNNn n� n 3 mcnoz 2coo� � � rn �-� a ° w w ^' mo 3 ^ Ogm20�0 M OO ri3�r.n rn m n ~ C� e n l J Z4Ogz� (n �o mz 0O < m cD m - _ � n—i d� n a Z rn �z�rn C� nF/A Z7 O —{ Z Z c� Or ;Omz �(n- z C rn ~O m Z (�m 2 rn O N� HINCKLEY ROAD zoo-+.� W 3 Z �3 m y ocrnzn� M rn Z M ~ � rnnl��� � o rn r- zo � Orn 0X0:KM N 3 0 a 'SOIL TEST - -LOG - -. . , 120ss DESIGN CALCULATIONS S�i,.� sGl� 100 DATE OF TEST: MAY 22. 2006 .�� 3 DESIGN FLOW: F- -h4L—f ��"A 'ETERIA SOIL EVALUATOR: DAVID D. COUGHANOWR. R.S. 22- PE ERS 330 GP WITNESSED BY: DONALD DESMARAIS. HEALTH DEPT. �� SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALL TEST PIT 1 PARENNO T UMATERIAL:NDWATER EPROGLACIRALD DUTWASH INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) ELEVATION = 54.75 +- 2 MIN/INCH IN C SOILS DISTRIBUTION BOX: USE 3 OUTLET D-BOX. SOIL ABSORBTION SYSTEM: A 24 Ft, x 12.5 Ft x 2 Ft LEACHING GALLERY CAN LEACH DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELLI MOTTLING A b o t_ = ( 24 x 12.5 ) = 300 s f 54.75 Asdw = ( 24 + 24 + 12.5 + 12.5 ) x 2 = 146 sF Atot = 446 sF 0-5 FILL Vt 0.74 x 446 = 330.04 GPD 5-9 Ap LOAM 10 YR 2/2 NONE FRIABLE USE A 24 Ft x 12.5 Ft, x 2 F t GALLERY. Vt = 330.04 GPD > 330 GPD REQUIRED 9-36 B SANDY LOAM 10 YR 4/6 NONE FRIABLE 51.75 36-126 C MEDIUM TO 10 YR 5/4 NONE LOOSE 44.25 COARSE SAND LEACHING GALLERY 500 GALLON DRYWELL DIMENSIDNS AND DETAIL NO GROUNDWATER ENCOUNTERED _ CONSTRUCTION DETAIL USE H-10 UNIT TEST PIT 2 PARENT MATERIAL: PROGLACIAL OUTWASH DRYWELL UNIT INSTALL ONE INSPECTION ELEVATION = 54.80 +- PERC AT 60 in : 2 MIN/INCH IN C SOILS e'-s x a -i0 X z'-g STON RISER TO WITHIN SIX 2 Ft EFF. DEPTH INCHES OF FINAL GRADE AND INDICATE LOCATION 24.0 Ft ON AS-BUILT PLAN DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING m 54.80 m 4. 0-10 FILL m L 0 3,3 10-16 Ap LOAM 10 YR 3/2 NONE FRIABLE N N o00000 ��o _ o0 0o a 00 16-36 B SANDY LOAM 10 YR 4/6 NONE FRIABLE �o a o o o C:7j 51.63 m ��DO� 1� 36-132 C MEDIUM TO 10 YR 6/4 NONE LOOSE 3.5" 8.5' 8.5' 3.5' G�8 COARSE SAND. 24.0 Ft SCALE 02 �n LEACHING GALLERY CROSS SECTION VIEW NOT USE SHOREY PRECAST 500 GALLON LEACHING DRYWELL (H-10 LOADING) Wr T 2 in PEASTONE 0II GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN 2824 to 3/4 1n TO 26 EFFECTIVE 2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM. DEPTH I-1/2 in GRAVEL 1n 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REOUIREMENTS OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15) 46 1n 58 1n 46 in 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. 150 1n 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE Zl LINES EXITING D-BOX TO RUN LEVEL FOR 2'-0" BEFORE PITCHING DOWN 8) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION--OF �L,.oW FLOW FIXTURES GROUNDWATER ADJUSTMENT SEWAGE DISPOSAL SYSTEM PLAN AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC :,TANK; t "t¢ -TO SERVE EXISTING STRUCTURE 9) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR ELOADING DO, NOT EXISTING GROUNDWATER LEVEL,_ PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. _,'``( ��if �r =°�' :`'t: BASED ON TOWN OF BARNSTABLE ,.. . . ' i j . GIS DEPARTMENT RECORDS. REX REALTY TRUST 10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE 'START.ING.` WORK. 37-A HINCKLEY ROAD HYANNIS, MA x ; A' I D SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE� TO 'GR"ADE, O• INDICATED GW 27.00 N A LEVEL INDEX WELL A1W-230 STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED ,AND='ON TO :WHICH ZONE D . ECO—TECH ENVIRONMENTAL SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO-MINIMIZE UNEVEN SETTLING READING DATE APRIL. 2006 READING 23.1 43 TRIANGLE CIRCLE SANDWICH MA 02563 ADJUSTMENT 3.5 ADJUSTED GW 30.50 ETE-2354 MAY 25. 2006 1 2/2 %j TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION . dap 31 ) Parcel o l y �P Gl ` a LPlication' , �� / Health Division Date Issued Conservation Division pplication Fee Planning Dept. Permit Fee 5 � Date Definitive Plan Approved by Planning Board Historic OKH Preservation/ Hyannis C9Project Street Address 3 r Village 1 S Owner Ji e:v n L LC Address lJuvclle-L,� 1�olvj Telephone Permit Request cz c 1 �� G �',r�e�0�,l' a64 L Square feet: 1 st floor: exae is mg proposed 2nd floor: existing proposed Total now Zoning District A� -1 VGX S Flood Plain Groundwater Overlay Project Valuation � Construction TypeMeTnl rud8 Q Lot Size (57 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Co vvl04 v6b�C 41 11 X Id l dL G Age of Existing Structure Historic House: Yes ❑ No On Old King's Highway: ❑Yes 0 No Basement Type: ❑ Full ❑ Crawl 0 Walkout ®'Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: existing Total Room Count (not inc. ding baths): existing new First Floor Room Count F el: Gas ❑ Oil ❑ Electric ❑ Other Heat Type,and. Central Air: YYes ❑ No Fireplaces: Existing New M Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ 'Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name � ��(-� Telephone Number ����� <� Address 1 Odd License#,f-51� 49og,6 �✓�/L(S �1if� 6Cl Home Improvement Contractor# l L4 267 la Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE, DATE A0 (�"� 621 47'' •' E L�2�fz 0V.6/'lf +,Il r i 1 . e ]fir. ♦ (\\qf �j t{� + �� L� .. �� YMIY�PI+ "� + .• ..may - �f '? « r' �t, r�i ty r `�'! � C' 1�l �y-�^'`�-<'�y�(��, ���� �,,� � { ,. a' •,`�'� -fin,r" 1` � �-j'I� _ - ` �•,� _ 4 j 4 �/ - t { y.. 1r.}.�',1�t�.�+ _I.-+�,� ,/ M1� �� __ j t� '�'• T ��Y\��• � � � �� CUri�Jf�c.e � �� I t � 1 G 4=— + -F--'�•--� � _ � ���1 tj AN ju Inn 5�i IZ- co J!_'oC.'F .� F _'•J+,. a� .+. �... f 1 ' , 1 t r.. t } ,�' �i + ,' o i S ii �,, f tt `t r b VN 17� 4 I i s. �p-at�'.'a.�:�.1 1• { I '�-�y�;-/�„`�� t �' 1• k � f i` % 7^- (�''�1• Y I j' I 'fia's.1.i,�y.r'• r �..r `/f- JI- { r , _.--� `(Ov' J`� p t *, 1H r - •� ate-. � f / _ ..j i 4. .f. � . . � r •{. � f ;, : t i -41 (1 J t -+ 7j fj: , RETAIL STORE HYANNIS, TOP OF SLAB EL=55.3± 24"DIAMETER(H-20 Rated)CAST ,RON cOVERS RA/SAD TO /N/5/l GRADE SYSTEM DESIGN CALL U LATI O N 5 MA LOCUS SEWAGE DESIGN FLOW REQUIRED: EL-54.8 f EL-55,Ot EL=55-0± RETAIL: 3938 S.F. @ 50 GPD/1000 S.F= 19G.9 GPD /yah WAREHOUSE: 15 GPD/PERSON @ 3 PEOPLE= 45 GPD ��gh i./�/./ 15-3. " / � / / TOTAL: 241.9 GPDSEWAGE DESIGN FLOW PROVIDED: TWO(2) 500 GALLON [,.EACH CHAMBERS WITH 2.5'OF13 STONE ALL AROUND Airport 53.3+ 52.5± J m ¢� Rotary Vt = R22.0 x 9.83) + 2(22.0 + 9.83)x 2]x.74 = 254.2 GPD PROVIDED GEOT5kT/LEPABRIC 254 GPD PROVIDED > 242 GPD REQUIRED (IN PLACE OF I/4'-112"PE 53.61 . 52.50 52.25 52.00 M 3/W- /-//2°STOJVE ASTo I SEPTICTANK CAPACITY REQUIRED: 1500 GALLON TWO COMPARTMENT TANK \ccp����d NE 51.B3 5/.50 t N T Fa EXist/ng } N 1ST COMPARTMENT: 242 GPD X 200% = 484 GALLONS 4 1000 GALLONS 6� 2ND COMPARTMENT: 242 GPD X 100% = 242 GALLONS 500 GALLON S GAS BAFFLE 49.50 /000 Ga!/ons 500 Gallons ) SEPTIC TANK CAPACITY PROVIDED: 1 500 GALLON TWO-COMPARTMENT SEPTIC TANK Longest Run TWO(2)5HOREYPRECA5T 500 5 7'�t SITE LOCUS 9' /6' GALLON LEACH 0HAMBER5 WITH 4' A GARBAGE DISPOSAL IS NOT PERMITTED WITH THIS DESIGN FLOW 1500 GALLON DB-E OF5TONEALL AROUND TWO-COMPARTMENT GALLON (END VIEW1 EL=43.8tBottom of Test dole NOT TO SCAM I-20 Rated SEPTIC TANK D-BOX LFACI CNA1V5fRS 51TE PLAN I .) Assessor's Map 3 ► ► Parcel O 18 (ti-20 Loading) (11-20 Loading) SCALE:Loading) SCALE: I° = 20' 2.) Certificate #I 17717 3.) Land Court Plan 1 15 1 9-E 4.) This property is in a Zone 11 of a Public F LOW PROF I LE I GG.98' Water Supply / // / // 5.) Flood Zone: C NOT TO SCALE i Pa rce I 0 18 Area=25,047 S.F.± LEGEND CONSTRUCTION NOTES EX15TING SPOT GRADE j 24x5 PROPOSED SPOT GRADE Existing Warehouse Space % to 24 EXISTING CONTOUR 1.)ALL WORK SHALL CONFORM TO THE STATE ENVIRONMENTAL CODE, TITLE 5 (3 10 CMR 1 5.000): STANDARD for Retail Store / REQUIREMENTS FOR THE SITING, CONSTRUCTION, INSPECTION, UPGRADE,AND EXPANSION OF ON-SITE SEWAGE / j - 24- PROPOSED CONTOUR TREATMENT AND DISPOSAL SYSTEMS AND FOR THE TRANSPORT AND DISPOSAL OF SEPTAGE,AND THE LOCAL BOARD OF x in / W WATER SERVICE LINE HEALTH REGULATIONS. / a- a OVERHEAD UTILITY LINES 2•) ANY SEPTIC SYSTEM COMPONENT INSTALLED IN A LOCATION WHERE THERE IS POTENTIAL FOR VEHICLES OK HEAVY U UNDERGROUND UTILITY LINES EQUIPMENT TO PASS OVER IT SHALL BE DESIGNED TO WITHSTAND AN H-20 LOADING. IF UNDER AN IMPERVIOUS SURFACE, / G GAS SERVICE LINE SYSTEM SHALL BE VENTED TO THE ATMOSPHERE. O / �� EDGE OF CLEARING FENCE 3.)TO MINIMIZE UNEVEN SETTLING,_SEPTIC TANKS SHALL BE INSTALLED ON A STABLE MECHANICALLY-COMPACTED BASE ON p Existing Retail Store % o iP LO SIX INCHES OF CRUSHED STONE. ✓ Top of Slab EL=55.3± / / Q5 TEST HOLE LOCATION / 'ST SEPTIC TANK 4.) COVERS OVER THE INLET AND OUTLET TEES OF THE SEPTIC TANK,THE DISTRIBUTION BOX,AND THE SOIL ABSORPTION DB DISTRIBUTION BOX SYSTEM SHALL BE RAISED TO WITHIN G"OF FINAL GRADE. LEACHING FIELDS,TRENCHES,AND OTHER 501L ABSORPTION SAS SOIL ABSORPTION SYSTEM SYSTEMS WITHOUT ACCESS MANHOLES 5HA�L HAVE AT LEAST ONE(1) INSPECTION PORT CONSISTING OF PERFORATED 4" PVC PIPE PLACED VERTICALLY TO THE BOTTOM OP THE SOIL ABSORPTION SYSTEM WITH A CAP,TIED WITH MAGNETIC � / Existing Office Space / MARKING TAPE, ACCES51BL--F TO WITHIN 3"OF FINAL GRADE. / and Showroom / 5.) PIPING SHALL CONSIST OF 4"SCHEDULE 40 PVC OK EQUIVALENT. PIPE SHALL BE LAID ON A MINIMUM CONTINUOUS / Top of Faundation EL=55.1± GRADE OF NOT LESS THAN 2% FROM THE BUILDING TO THE SEPTIC TANK,AND NOT LE55 THAN I%OTHERWISE. % nt I / / BENCHMARK � Ceer Concrete at Entry l G.) DISTRIBUTION LINES FOR THE SOIL ABSORPTION SYSTEM SHALL BE 4" DIAMETER SCHEDULE 40 PVC(OR EQUIVALENT) r / EL=55.3 (Assumed Datum) LAID AT 0,005 FT/FT. UNLESS OTHERWISE NOTED. LINES SHALL BE CAPPED AT END OK AS NOTED. 7.) LINES FROM THE DISTRIBUTION BOX TO BE LEVEL FOR THE FIRST TWO(2) FEET BEFORE PITCHING TO THE SOIL / ABSORPTION SYSTEM. DISTRIBUTION BOX SHALL BE WATER TESTED TO A55UKE EVEN DISTRIBUTION. I NSTALLER TO VERIFY THE LOCATION OF ALL 8.)GROUT TO BE USED AT ALL POINTS WHERE PIPES ENTER OR LEAVE ALL CONCRETE 5TRUCTUKE5 IN ORDER TO PROVIDE Fence / / /// // / ✓ // /// // //// / / / ///// / UNDERGROUND AND OVERHEAD UTILITIES A WATERTIGHT SEAL. 55.0 55. 6 a m ° S5 3 ° 55.s a 4`° 55.o PRIOR TO THE START OF ANY EXCAVATION o o ° n - ACTIVITIES AND RELOCATE AS NECESSARY 9.} HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO OPERATE OVER THE LIMITS OF THE SEWAGE DISPOSAL FIELD DURING O 2 °.�� a 55 ��5 _ .. a. THE COURSE OF CONSTRUCTION OF THE SYSTEM. g atl as \��= 1/� ---- ---�-, (SEE NOTE #! 5) 4 a I I I I Paved a ° ...°. '� - b , ° ----I 54.IG 10.) IN ACCORDANCE WITH 3 10 CMR 15.22 I, ALL SYSTEM COMPONENTS SHALL BE MARKED WITH MAGNETIC MARKING " L Conc 4 51.7 I I I TAPE. !0 5 Paved 4,:.Q L!� y- I -- ----� i w 1 ( 1 1 oQ e 54.94 4 o1✓ -1 I 1 1.)THERE ARE NO KNOWN WELLS WITHIN 100-OF THE PROPOSED 501L ABSORPTION SYSTEM. 5 m 554 a I Water &1_,trngSeptrcfor w 6nstingCesspooJ a" o Gates 51gn ofb,,5howroom 12.) FROM THE DATE OF THE INSTALLATION OF THE SOIL ABSORPTION SYSTEM UNTIL RECEIPT OF THE CERTIFICATE OF 54.4 v to be Abandoned a m �- Conc ° 4-, ° �IJNDA. . �► (See Node A2.l). COMPLIANCE,THE PERIMETER SHALL BE STAKED AND FLAGGED TO PREVENT USE OF THE AREA THAT MAY CAUSE DAMAGE p c7 9 a Slab �. ° Paved' P�N TO THE SYSTEM. 5a 4 ° °54 ° a a v 4, - 54 13.) THE DESIGNER WILL NOT BE RESPONSIBLE FOR THE SYSTEM AS DESIGNED UNLESS CONSTRUCTED AS SHOWN ON b PLAN, ANY CHANGES SHALL BE APPROVED IN WRITING BYTHE DESIGNER. a : a O d I GG.98' ' "' =/ONAL 14.)THE BOARD OF HEALTH REQUIRES INSPECTION OF ALL CONSTRUCTION BY AN AGENT OF THE BOARD OF HEALTH AND 4.2 ° C 52h63sin l�� 'tL� THE DESIGNER. THE DESIGNER SHALL CERTIFY IN WRITING THAT THE SEWAGE DISPOSAL SYSTEM WAS INSTALLED IN 5A_ _y a ° G3,& a 4 a 53.4 ACCORDANCE WITH THE TERMS OF THE PERMIT AND THE APPROVED PLANS. 48 HOURS ADVANCE NOTICE IS REQUESTED. 53.8 53.9 53.4 53.2 52.0 REVISION 1 2/0 1/14: Changed Septic Tank to Two-Compartment, Added P# 15.) LOCATION OF UTILITIES IS APPROXIMATE AND CONTRACTOR SHALL BE RESPONSIBLE FOR DETERMINING THE LOCATION OF ALL UNDERGROUND AND OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF ANY WORK.THIS INCLUDES, BUT 15 NOT Hinckley Road Prepared for: LIMITED TO, REQUESTS TO DIGSAFE, ANY PRIVATE UTILITY COMPANIES, AND THE LOCAL WATER DEPARTMENT. I G.) CONTRACTOR SHALL VERIFY THAT ALL WASTELINES ARE CONNECTED BY WATER TESTING WITHIN THE DWELLING PRIOR CC�� HOLE Way Rex Realty Trust TO INSTALLATION OF ANY SEPTIC COMPONENTS. TE✓T I 1 O LE LOGS Sarasota, FL 34240 17.) CONTRACTOR SHALL VERIFY EXISTING INVERT ELEVATIONS PRIOR TO INSTALLATION OF ANY SEPTIC SYSTEM Test Hole#I (E7-54.75±) Test Hole#2 (EL=54.80±) PrOp05ed SCWaG'e DI5PO5,1I 5y5teM COMPONENTS. 37 Hinckley Rd., Hyann15, MA Depth Layer Sod Class Soil Color Comments Depth Layer Sod Class Sod Color Comments 18.) INSTRUMENT SURVEY CONDUCTED FOR PROPOSED WORK ONLY. SITE PLAN SHALL NOT BE USED FOR STAKING, OR ANY OTHER PURPOSES. 0"-5" fill 0"-10., Fill Prepared by: 5"-9" Ap Loam 1 OYK 2/2 Friable 10"-1 G" Ap Loam I OYR 312 Friable 19.)THIS PLAN DOES NOT CERTIFY, GUARANTEE OR WARRANTY COMPLIANCE WITH DEEDED OR ZONING BYLAWS, 9"-3G" B Sandy Loam 1 OYR 4/G Friable 1 G"-38" B Sandy Loam I OYK 4/G Friable SPECIFICALLY, BUT NOT LIMITED TO, SIDELINE SETBACKS AND BUILDING HEIGHT RESTRICTIONS. OWNER IS RE5PONSIBIF 3G"-12G" C Medium-Coarse Sand I OYR,5/4 Loose-Pere @ GO" 38"-132" C Medium-Coarse Sand I OYK G14 Loose FOR OBTAINING SUCH A DETERMINATION FROM THE APPROPRIATE AUTHORITY. 20.)TEST HOLES COMPLETED PER STATE ENVIRONMENTAL CODE,TITLE 5. SOILS CAN BE VARIABLE AND TEST HOLE DATA � � _ •r 15 NO GUARANTEE OF 501L CONDITIONS IN OTHER AREAS. IF SOILS DIFFER FROM THOSE SHOWN IN THE SOILS LOGS, DATE V TESTING: DlAY 22, 200G P#11300 DESIGN ENGINEER 15 TO INSPECT THE SOILS PRIOR TO PROCEEDING WITH INSTALLATION Of ANY SEPTIC COMPONENTS. BOIL EVALUATOR: DAVID D. ESMACOUG AIS, BA R.S. BOARD OF HEALTH AGENT: DONALD DESMARAIS, BARNSTABLE HEALTH DEPARTMENT 0 20 L}Q 6O 31EPU 2 1.)EXISTING SEPTIC COMPONENTS TO BE LOCATED, PUMPED DRY, FILLED WITH CLEAN SAND AND ABANDONED IN PLACE. PERCOLATION RATE: LESS THAN 2 MIN/INCH IN"C"50115 ENGINEERING L41V€SIfSN AREA TO BE COMPACTED TO MINIMIZE SETTLING. NO GROUNDWATER ENCOUNTERED SCALE 1"=20' P.O.Box 201, Brewster,MA 02631 Phone:(508)896-1513 C:\Ocean5ide\05-Hinckley�05-Hinckley-51)5 Plan.dwg Date: 1 1/25/14 1 Scale: A5Shown I By: LJP I Check: MLA Project No.0514061