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HomeMy WebLinkAbout0071 OCEAN VIEW AVENUE - Health I Ocean View Avef\v-t-, Cotuit A = 034—045 i i i I f. i f 1 ADDRESS: 71 Ocean View Avenue, Cotuit REPORTS on OMNI SEPTIC SYSTEM From: BENNETT ENVIRONMENTAL ASSOCIATES DATE: ANNUAL ENDING 9/21/2016 (4 QTRLY) * * * * SEE STORAGE BOX # In Attic Inspection report stored on Q drive : Q:\IA Systems\I-A Inspection Reports \ BENNETT ENVIRONMENTAL ASSOCIATES9 LLC. (A Natural Systems Utilities Company) LICENSED SITE PROFESSIONALS,ENVIRONMENTAL SCIENTISTS,GEOLOGISTS,ENGINEERS 1573 Main Street,P.O.Box 1743 508-896-1706 Brewster,MA 02631 Fax 508-896-5109 LETTER OF TRANSMITTAL t TO: DATE: JOB NUMBER: Massachusetts Department of Environmental 9/9/19 K10583DA.S.IA.700 Protection Attention:Title 5 Program, REGARDING: 1 Winter Street-6th Floor Boston, MA 02108 Pickwick Realty Trust Evergreen 69 Realty Trust SHIPPING METHOD: 71 Ocean View Avenue 1 Cotuit, MA Regular Mail ❑ Pick Up Priority ❑ 1 Mail ❑ Hand Deliver ❑ P Express Mail ❑ Other ❑ Certified Mail ❑ Green Card/RR ❑ I COPIES DATE DESCRIPTION 1 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (December 2018; March and June) 1 OMNI Environmental Systems, Inc. RSF Operation and Maintenance Inspection Checklist (December 2018; March and June 2019) 1 12/13/18 Alpha Analytical laboratory report 1 3/28/19 Alpha Analytical laboratory report 1 6/13/19 Alpha Analytical laboratory report For review and comment: ❑ For approval: ❑ As requested: ❑ For your use: ❑✓ REMARKS: Please find enclosed the DEP Inspection and O&M Forms, OMNI RSF Operation and Maintenance Inspection Checklists, and laboratory analytical reports for operation and maintenance conducted at the above referenced property during the reporting period. At the time of this reporting,the September 2019 operation event is pending completion. If you have any questions or require additional information, please contact us at your earliest convenience. Thank you. cc: Barnstable Board of Health [via email] Andrew Newman and Alan Schlesinger-Trustees[via email] FROM: Samantha Farrenkopf, Operations and Compliance Coordinator if enclosures are not as noted,kindly notify us at once NOV-3-2010 11:09 FROM: T0:15087906304 P.1 " Air Safe, Inc. � 61 Endicott Sued,Bldg.32-1 Nur'waadr MA 02062 781-762.3390 F„rierb in Awhe+Kas and Muld Removal FAX TRANSMISSION na.Tr✓: 11 i'�S i� TOTAL NUMBER OF PAGES INCLUDING COV1:M TO: BARNSTABLE BOARD OF HEALTH FAX RECEIVING: 508-790-6300 PHONE 508-$62-4644 FAX SENDING: 781-762-2815 NOV-3-2010 11:09 FROM: TO:15087906304 P.2 4 J Unsachusetts Departntent of Environmental Protection 10011558;i-- - Bureau of Waste Prevention-Air Quality Number Project Revision Notification For Asbestos Notification ANF-001 and AQ 06 A. Facility Location fb"ft on ow 8 PICK WICK REALTY TRUST -- ------... �--- ordy tyre tab key 1.Name of Feplity tO mbV9 yam, 71 OCEAN VIEW OR tatrsa►-do not --- -------. 2.Street Address --......_.._.......................... ........- .... - _..__... Use the return �• NIA Zip Carle 744870352 S.Telephone Number 1rVsTRucmNS B. Project Cancelled 1. This Torn ig only evs►ia+we for Check here if this project islaras cancelled. or"fly of project date rnvisio�rts, C. Project Dates data number. va4datethat th 11l08120lf11 t 11l08/2090>ho location is correct 1. Stan�tae -O���1 add 2.i)rWrtal End Dnte,(mmlddNY.v.V)_._._..._-.------_�_.._._., for the ordered f dart 4. Enter your new 3.Lalesi Revised Start Ostte mtrJ-—.. ( d�YYYY) • 4.Latest Revised End Date(mmlddfyyyy) I projects datm s. caaiy ya r D. Revised Project Dates Sub"91 daft dwagm _. iil051=010 0— ._. ....._._ 111QSI�W _ 4.Revised Stan Q8ie nmtrddlyyyy) — ' iteiesed Eyed O�a'te 15 (naNddiyyyy? E. Other Project Revisions V) C>. - �� 0 F. Revision History_ � ra • ardoswm.doc•rev.2MO4 NOV-3-2010 11:09 FROM: TO:15087906304 P.3 I Commonwealth of Massachusetts !I 10M 1 SU3 Asbestos Notification Form ANF-001 DOOM Number Vftn out A. Asbestos Abatement Description fb the ter.use 1. a. is this facility fee exempt-ci town,district, municipal housing authority,owner-occupied only the tab key residence of flour units or less?U Yes ❑f No to move your cursor-do not b.Provide blanket decal number if applicable:use the return Blanket Decal Number key. 2. Facility Location: to PICK WICK REALTY TRUST 71 OCEAN VIEW OR S.MOO 21 FaCilmly b Address BARNSTABLE 10aM (77a)487.0352 c.Cityfrown d.State a.ZIP Code t.Telephoft Number INSTRUCTIONS 3• Wof ite Location: t.All ewtions of thla SAME frxm must be s.BUlltli C Namer9ulld'mo Location b.Building# C.Wing d.Flow e,Room competed in order to Comply wtm 4. Is the facility occupied? ❑Yes ✓ No DEP nos eMon repuiremerd9 or 310 CMR7.tS 5. Asbestos Contractor: and the Division of occupational AIR SAFE INC 61 ENDICOTT STREET witty(00S) a.Name b.Address mX% r mlo NORWOOD 020f2 78176=190 rmautr.m.rKs a►453 CMR e.12 c.Citvrrown d.Zip Code e.Telephone Number AC000464 t,DOS License Number g.Contract Type: Written ❑Verbal h.Fadlibt Contact Person I.Contact PemoMt Title JAIME E AMAYA AS060647 6' a.Name of On Ito SuparvisadForeman b.SuporAsortForoman DOS Ca cation Number 7. N A a.Name of Pro ect monitor _. __.__._.... _. .. d:Pro act Matlfor tSdS CertlA tlon'tuum�e� INA 8' a.Name of Asbestos Anayical Lab .Asbestos Anal he i f i 5 ce6on Number 11/OV2010 11/00/2010 Vic' 9- a.pmoct Stan b.find Data o 7AM-6PM �N c.Work nouns Mo rr. d.Work hours bdt un. 0 10. a.Whet type of project is this? c ❑� Demolition ©Renovation Repair ❑Other,please specify: b.Desalbe 11. e. Check abatement,procedures: ✓ Glove bag . ❑ Encapsulation o Enclosure El Disposal ordy 4 Cleanup []Other,specify: (]Full Cortteinnwt b.Dascribe 12_ Is the job being conducted: []✓ Indoors? ❑Outdoors7 ant001 ap.doc•10/02 Asbestos NotiAcatlon Form Page 1 of 3 6 NOV-3-2010 11:10 FROM: TO:15087906304 PA Commonwealth of Massachusetts _ ■ • l�IW►mber Asbestos Notification Form ANF-001 A. Asbestos Abatement Description (cunt.) LI 13. Total amount of each type of Asbestos Containing Materials(ACM)to be removed,enclosed,or er Wlated' e�of pea or uda(ilnear Ct�' �6"'I'�tai-otrier su'rtooes(square n)I _ c Boller,breaching,duc,lank - -d ---� d.Insulating cerhent __.f ---•--� surface coatings Lln, t Sq• Lin,lLLln fL Sq.ft.a.Corrugated oriayeredpoper 240 - �... t yy ----- I.TrpwrevSprayer CoaOng>s -- - pipe Insulatlon Lin.ft. Sq.ft. Lin.fL_ 1 (Sq.I g-Spray-on ikeprodng .h Trnnstbe board,wail board "Ln . i.Cloths,wwen fabrics `` J.Other,please speelfy; - - k.Thermal.send core pipe i _ L..y. _. __..-•-_-._.,___-..-__- —_I insulation1 g. ---- 14. Describe the decontamination system($)to be used: 3 CHAMBER OECON 15. Describe the containerizatlonldisposal methods to Comply with 310 CMR 7.15 and 453 CMR 6-14(2)_(9)=.. .. ... .._.._..._. ---- 16 Mil. POLY BAGS 16. For Emergency Asbestos Operations,the DEP and DOS officials who evaluated the emergency: ----..._...... —., c ate mm� ry�o o -- � I� a�ver _ �• i e.Name of DOS t]#Ea-1 - —__ - t'D09—af ciif Title - --" . Pate ImmldOry )otAuthoWlIori �n.TDouWive r it N c 17. Do prevailing wage rates as per M.G.L.C- 149 26.27 or 27A-F apply to this project? Yes'✓ No ` P 9 � p ,§ PP y p J C...J t. � B. Facility Description o 1- Current or prior use of facility; [RESiDENT110.L _ Q 2. Is the facility owner-occupied residential with 4 units or less? n Yes [;9 No 3. LSE .W_ .._ __ . _— -- a_Fadllly Owner Name b.Addreas{ t �o c.CICf !Town n� �- d-Zip Corte e.7el hone Numiber(area code and ax enslon).�. �w 4 i'R08ER'1 GASEY - (SAME - a.Name of Fadtl tanner's dnr g tQ Manager b.O q$8 ManagerAddr�ew k._........ ..,_..._------ -- I --- - - --- ---...._-..-_- -- d c.cft brawn `d.Zlp Code- e.Tetephone Number(area wade and extenalon) ■ anKI01ap.doc•1Qm Astlatm Notification Form•P92 2 of 3■ NOU-3-2010 11:10 FROM: TO:15087906304 P,5 Commonwealth of Massachusetts �L _ 100115983 i Asbestos Notification Form ANF-001 Decal Number B. facility Description (cunt.) a.Name of General Contractor b.Addreh:a a CityFrown d.Zds J e.T hone Number arhaa code and extension 1 t Contractors Workers Comp.Insurer o GnGt�r NlramhAr -- h.Ex WA mmkidlyy�y) 6. What is the size of this facility? A.Sciuor>s Feet e:Number o1 naon> C. Asbestos Transportation and Disposal 1. Transporter of asbestos-oontaining material from slte to temporary storage site(if neCessary). AIRSAFE Note:Transfer a N mo oFTransporter p d a Statlona must Comply with the a CKyfrown d.ZIP Code e.Telephone Number Solid Waste DlvWm 2. Transporter of asbestos-containing waste material tram removaAemporary site to final disposal site: Regutatiena 310 MR1 C g.000 a.Name of TranaQorter -- b.Address c.CI frown d,Zig_Code e.Telephone Number a. . 1 a.Refuse Transfer Station and Owner b.Address .� I 1�--•.1 `_._.._._ c.CI /Town d.Zip Code Fe,Telephone Numime 4. 11 NO REMOVAL,.DISTURBING ONLY DMC a.Final Disoosel Site Location Name b.Final Disposal Site Location Owner's Name NO REMOVAL,DISTURBING I ISOSTON c.FlFln-a�Dual S e AAOtg,a 0,Ci ITown I� � 02'f08 . e.State F.Zip Code g.Telephone Number M D. Certification N .............. _......y The undersigned hereby states,under the D F WALSH o _ I penaltles of pequry,that he/she has read the a Name b.Authorized SSl nature o Commonwealth of Magsachugette reguiatlons I► ` for the Removal,Contalriment or L.'wL -- �r Encapsulation of Asbestos,453 CMR 6.00 and, ' a PcsltionlTitle- d..Date(mmlddtov')� 310 CMR 7.15, and that the infotmatlon (781)762,3$$Q } r contained in this notification is true and Coned @.Telephone Number f.Reomsenting ° to the best of his/her knowledge and belief. 61 ENDICOTTp.Address } AIL RWOOD -... . - 6062 ......,._.� Z h.CitylTawn L ZIP Code anf001 sp.doc•1 W02 Asbootos Notification Forrn•Page 3 of 3 f� 41 BENNETT ENVIRONMENTAL ASSOCIATES, INC. LICENSED SITE PROFESSIONALS,ENVIRONMENTAL SCIENTISTS,GEOLOGISTS,ENGINEERS 1573 Main Street,P.O.Box 1743 (508)896-1706 Brewster,MA 02631 fax(508)896-5109 LETTER OF TRANSMITTAL TO: DATE: JOB NUMBER: Massachusetts Department of Environmental Protection 9/23/15 BEA13-10583 Attention:Title 5 Program 1 Winter Street-6th Floor Boston,MA 02108 REGARDING: Pickwick Realty Trust Evergreen 69 Realty Trust SHIPPING METHOD: 71 Ocean View Avenue Cotuit,MA Regular Mail ❑ Pick Up ❑ Priority Mail ❑ Hand Deliver ❑ Express Mail ❑ Other ❑ Certified Mail 0 Green Card/RR ❑ COPIES DATE DESCRIPTION 1 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems(December 2014;March,June and September 2015) 1 OMNI Environmental Systems,Inc.RSF Operation and Maintenance Inspection Checklist(December 2014;March,June and September 2015) 1 12/17/14 Alpha Analytical laboratory report IV 36.63 1 3/23/15 Alpha Analytical laboratory report ,IJ za 1 6/24/15 Alpha Analytical laboratory report TV -w-P 1 9/22/15 Alpha Analytical laboratory report ;'tJ 0L o For review and comment: ❑ For approval: ❑ As requested: ❑ For your use: n REMARKS: Please find enclosed the DEP Inspection and O&M Forms,OMNI RSF Operation and Maintenance Inspection Checklists,and laboratory analytical reports for operation and maintenance conducted at the above referenced property during the reporting period. If you have any questions or require additional information,please contact us at your earliest convenience. Thank you. cc:Bamstable,Board of Health Andrew Newman and Alan Schlesinger-Trustees FROM: David Bennett WWTO#6243/Samantha Farrenkopf WWTO#13265/Joseph Smith WWTO#12529/Greg BrehmWWTO#16149 If enclosures are not as noted,kindly notify us at once LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation ,.W Important:When Pickwick Realty Trust, Evergreen 69 Realty Trust c� filling out forms Owner on the computer, use only the tab 71 Ocean View Avenue key to move your Facility Street Address cursor-do not Cotuit 02635 use the return key. City Zip �1 Mailing address of owner, if different: 50 Federal Street Street Address/PO Box: Boston MA 02110 City State Zip (617) 574- 1102 ext. Telephone Number B. Authorized Service Provider Bennett Environmental Associates, Inc. O&M Firm 1573 Main Street/ PO Box 1743 Street Address Brewster MA 02631 City State Zip (508) 896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF-PR DEP ID Manufacturer ID Model Number 5/2011 Uknown Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ® Yes ❑ No D. Operating Information 12/9/14 9/3/14 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5aiom.doc•rev.04-11-13 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 Ll c. DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 7.0 SU DO 5.0 mg/L Turbidity 0.64 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent M Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ❑ BOD ® CBOD ® TSS ❑ TN ® Other(list below) Nitrate Nitrite TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Notes and Comments: All mechanical components of the system are operating correctly. Effluent quality passed field testing parameters. t5aiom.doc•rev.04-11-13 Page 2 of 3 I Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. �Ib Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health as follows for each inspection performed: Remedial Use—by January 31st of each year for the previous calendar year PilotingUse-within 45 days of inspection date — Y p Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 5th Floor Boston, MA 02108 t5aiom.doc•rev.04-11-13 Page 3 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Pickwick Realty Trust, Evergreen 69 Realty Trust filling out forms Owner on the computer, use only the tab 71 Ocean View Avenue key to move your Facility Street Address cursor-do not Cotuit 02635 use the return key. City Zip Mailing address of owner, if different: 50 Federal Street Street Address/PO Box: Boston MA 02110 City State Zip (617) 574- 1102 ext. Telephone Number B. Authorized Service Provider Bennett Environmental Associates, Inc. O&M Firm 1573 Main Street/ PO Box 1743 Street Address Brewster MA 02631 City State Zip (508) 896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF-PR DEP ID Manufacturer ID Model Number 5/2011 Uknown Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ® Yes ❑ No D. Operating Information 3/17/15 12/9/14 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5aiom.doc•rev.04-11-13 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 7.0 SU DO 4.0 mg/L Turbidity 2.23 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use g systems: reducing s nitrogen gpd Parameters sampled: ❑ pH ❑ BOD ® CBOD ® TSS ❑ TN ® Other(list below) Nitrate Nitrite TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Notes and Comments: The seasonal use system currently has little to no flow currently. All mechanical components of the system are operating correctly. Effluent quality passed field testing parameters. t5aiom.doc•rev.04-11-13 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. 15 Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health as follows for each inspection performed: Remedial Use— by January 31 st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 5th Floor Boston, MA 02108 t5aiom.doc•rev.04-11-13 Page 3 of 3 I Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Pickwick Realty Trust, Evergreen 69 Realty Trust filling out forms Owner on the computer, use only the tab 71 Ocean View Avenue key to move your Facility Street Address cursor-do not Cotuit 02635 use the return City Zip key. �n Mailing address of owner, if different: 50 Federal Street �I Street Address/PO Box: Boston MA 02110 City State Zip (617) 574- 1102 ext. Telephone Number B. Authorized Service Provider Bennett Environmental Associates, Inc. O&M Firm 1573 Main Street/ PO Box 1743 Street Address Brewster MA 02631 City State Zip (508) 896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF-PR DEP ID Manufacturer ID Model Number 5/2011 Uknown Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ® Yes ❑ No D. O Operating Information p 9 6/17/15 3/17/15 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5aiom.doc•rev.04-11-13 Page 1 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and ®&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown M clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 6.5 SU DO 6.0 mg/L Turbidity 2.17 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ❑ BOD ® CBOD ® TSS ❑ TN ® Other(list below) Nitrate Nitrite TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Notes and Comments: All mechanical components of the system are operating correctly. Effluent quality passed field testing parameters. t5aiom.doc•rev.04-11-13 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature v v Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health as follows for each inspection performed: Remedial Use—by January 31st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Pro ram One Winter Street, 5t Floor Boston, MA 02108 t5aiom.doc•rev.04-11-13 Page 3 of 3 i Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 J DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Pickwick Realty Trust, Evergreen 69 Realty Trust filling out forms Owner on the computer, use only the tab 71 Ocean View Avenue key to move your Facility Street Address cursor-do not Cotuit 02635 use the return key. City Zip �1 Mailing address of owner, if different: ty� 50 Federal Street Street Address/PO Box: Boston MA 02110 City State Zip (617) 574- 1102 ext. Telephone Number B. Authorized Service Provider Bennett Environmental Associates, Inc. O&M Firm 1573 Main Street/ PO Box 1743 Street Address Brewster MA 02631 City State Zip (508) 896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF-PR DEP ID Manufacturer ID Model Number 5/2011 Uknown Installation Date Start of Operation Approval Type: E General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: E Yes ❑ No D. Operating Information 9/14/15 6/17/15 Inspection Date Previous Inspection Date Sludge Depths Taken for All Tanks, See Notes Pumping Recommended ❑ Yes E No Sludge Depth(to be checked yearly) t5aiom.doc•rev.04-11-13 Page 1 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: M musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 7.0 SU DO 5.0 mg/L Turbidity 0.75 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ❑ BOD M CBOD ® TSS ❑ TN ® Other(list below) Nitrate Nitrite TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Sludge judge results: Beach House ST 3" sludge/3"scum; Porch ST 4" sludge/1" scum; Main House ST 0" sludge/0" scum; Worker House ST 4" sludge, 0" scum; Pre-Recirc ST'Y sludge/0"scum. All pump chambers inspected and effluent filters cleaned. Notes and Comments: All mechanical components of the system are operating correctly. Effluent quality passed field testing parameters. t5aiom.doc•rev.04-11-13 Page 2 of 3 I Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMRt 2.00. &14LIC-1) �'t C.D"' 9,`Z�1 Operator Signature ` Date T� System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health as follows for each inspection performed: Remedial Use—by January 31 st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 5t Floor Boston, MA 02108 t5aiom.doc^rev.04-11-13 Page 3 of 3 IWN _ En vrr onmenia-r Systems, Inc. OMNI RSF Operation and Maintenance Inspection Checklist A. Installation &Service Information A- QlC1Cr-1'-11 V", I III (�k V Q -V -W - Facility StreetAddress Date of S ce ` city Operator/O&M Firm N IL-1%r System Startup Date Weather Conditions B. Septic Tank Sludge Pumping Required: Yes❑ NW ❑Sludge Depth: ❑Scum Depth: Effluent tee filter: Yesx No❑ If yes, inspe t &clean at least yearly El If the sludge layer is within 12'of the outlet invert,recommend that the homeowner have the septic tank pumped,note the approximate scum layer thickness as well.Also,inquire if the homeowner has a pumping schedule established with a licensed septage hauler,if not recommend a two to four year pumping schedule depending on how heavily the system is used. 6,C4—S C-" qHki-\ ;6'r CA\ C. Recirculation Tank pN�, - , ❑Check if sludge accumulating Pumping required: Yes ❑ No�4 Odor problems: Yes❑ N If yes,description Effluent tee filter. Yes❑ NoW If yes, inspect❑&clean at least yearly❑ If the sludge layer is greater than 4"request that the homeowner pump out the recirculation tank in order to prevent clogging of the filter modules.Note the characteristics of the effluent coming out of the manifold this may indicate that the filter bed may need servicing. D. Equalization Tank (if installed) Sludge Pumping Required: Yes❑ No❑ ❑ Sludge Depth: ❑Scum Depth: Effluent tee filter: Yes❑ No ❑ If yes, inspect❑&clean at least yearly❑ Same inspection criteria as septic tank: E. Pump Chamber 1 Vault (if Installed) fj�,L\ Pump Inspections (all units) If problems,describe `Float switches Check all switches for operation Make Sure the pump is operational by pulling up the float switch;if the pump is not operational immediate corrective actions need to be taken. F. Pumps, Switches, Floats, Alarm System ,Pump Inspections(all units) 13��W�- 3 1�t- � If problems,describe Test pump alternator, or record hours Hours of operation Float switches Check all switches for operation j Test alarm _ If non-functioning,corrective action(s) i Make sure pump(s),Float(s)and audible alarm(s)are functional,if not make a note so that corrective actions can be made. G. Finer Modules ("Sand Filters") � - � I 0Inspect for ponding Ponding Present: Yes ElN -)Clean bed: Yes❑ N�jl( Distribution pipes Flush:Yes❑ N rush: Yes❑ N o1qI Any obstruction of airflow to filter modules: Yes[I NNof Yes, explain below(i.e. snow,dirt) I To inspect the condition of the filter modules remove the mulch layer at one corner of the filter module area, I P Y then lift the filter fabric so that the media can be inspected through the end of the contactor. The media should have a thin biomass layer growing on it and should have a brownish shaggy coloration.If the surface of the filter module area appears to be clogged,or the biomass layer is too think it is suggested to completely expose the filter modules,and rake the filter beds thoroughly,then wash the filter beds down with a garden hose with a pressure nozzle on it .Then Recover the filter beds as the were found. 9 ( p ) Y H. Sample Collection I YelZk No❑ If yes: ❑BOD�TSS ❑pH�TN ��oD Other ��3 j Nd Z 1 All samples are to be taken from the manifold located in the recirculation tank,and are to be stored in sterile, laboratory supplied containers.In order to prevent any cross-contamination from a previous sample rinse the dip cup into the effluent stream at the manifold three times so that a representative sample can be obtained. Make sure to wear proper safety equipment while pulling samples(i.e.rubber gloves). System Notes: l- �-�� �y�; � ,per-cSe• �, �e . v :1 .. ..� OMNI RSF Operation and Maintenance Inspection Checklist A. Installation & Service Information Facility S. eet t6ddress Date of S rvice �t City OperatorfO&M Firm System Startup Date Weather Conditions B. Septic Tank Sludge Pumping Required: Yes❑ N4, ❑Sludge Depth: ❑ Scum Depth: Effluent tee filter: Yed No❑ If yes,inspect &clean at least yearly❑ If the sludge layer is within 12'of the outlet invert, recommend that the homeowner have the septic tank pumped,note the approximate scum layer thickness as well.Also,inquire if the homeowner has a pumping schedule established with a licensed septage hauler,if not recommend a two to four year pumping schedule depending on how heavily the system is used. \ \ C. Recirculation Tank ✓\J ❑Check if sludge accumulating Pumping required: Yes❑ N es problems:roblems• Y ❑ NI _ If yes,description = Effluent tee filter: Yes❑ No� If yes, inspect❑ &clean at least earl ❑ Y Y If the sludge layer is greater than 4"request that the homeowner pump out the recirculation tank in order to prevent clogging of the filter modules. Note the characteristics of the effluent coming out of the manifold this may indicate that the filter bed may need servicing. ; \" D. Equalization Tank(if installed) Sludge Pumping Required: Yes❑ No❑ ❑Sludge Depth: ❑Scum Depth: Effluent tee filter: Yes❑ No❑ If yes, inspect❑&clean at least yearly❑ Same inspection criteria as septic tank: E. Pump Chamber I Vault(if Installed) Pump Inspections(all units) If problems,describe Ck� Float switches r t�3�P l \ bNe, Check all switches for operation Make Sure the pump is operational by pulling up the float switch;if the pump is not operational immediate corrective actions need to betaken. .� Low '5 F. Pumps, Switches, Floats, Alarm System r� -�Pump Inspections(all units) Qom` ��� \3 c-3, V31`V6 eA", If probiems,describe Test pump alternator, or record hours � �- �11\ c..,'% (,0 � Hours of operation Float switches i q �_ I `t vo V Check all switches for operation I Test alarm t i If non-functioning,corrective action(s) Make sure pump(s),Float(s)and audible alarm(s)are functional,if not make a note so that corrective actions can be made. Alf -io (� G. Filter Modules ("Sand Filters' Inspect for ponding Ponding Presbnt:Yes❑ NA, ,Clean bed: Yes❑ NOV CEDistribution pipes Flush:Yes❑ Nol� Brush: lies❑ Noo Any obstruction of airflow to filter modules: Yes(Z No❑ If Yes, explain below(i.e.snow,dirt) To inspect the condition of the filter modules remove the mulch layer at one corner of the filter module area, then lift the filter fabric so that the media can be inspected through the end of the contactor. The media should have a thin biomass layer growing on it and should have a brownish shaggy coloration.If the surface of the filter module area appears to be clogged,or the biomass layer is too think it is suggested to completely expose the filter modules,and rake the filter beds thoroughly,then wash the filter beds down with a garden hose(with a pressure nozzle on it).Thera Recover the filter beds as they were found. H. Sample Collection YeZZ No❑ If yes: ❑BOD%4TSS ❑pH QATN WOther GZfJP) *;'63 �C� L "vW All samples are to be taken from the manifold located in the recirculation tank,and are to be stored in sterile, laboratory supplied containers.In order to prevent any cross-contamination from a previous sample rinse the dip cup into the effluent stream at the manifold three times so that a representative sample can be obtained. Make sure to wear proper safety equipment while pulling samples(i.e.rubber gloves). System Notes: °U.¢p�.a� �•�� �..�3.,-rS J�,.V�`�.,� (�V�a��<.� ter. �`3 lam, ra.�xt r c QUM, Environme-n6_14stems,Jim OMNI RSF Operation and Maintenance Inspection Checklist A. Installation &Service Information ?. / Oeeeo V,eltJ/ve Facility Street Address Date of Ser%&' City Operator/O&M Firm P1 tj=((41 System Startup Date Weather Cond'itl ions C/4 cl�/-I C113 5IL4. B. Septic Tank Sludge Pumping Required: YesE] No El Sludge Depth: ❑Scum Depth: Effluent tee filter Yes)] NOO If yes,inspect F] &clean at least yearly El If the sludge layer is within 12"of the outlet invert,recommend that the homeowner have the septic tank pumped,note the approximate scum layer thickness as well.Also,inquire If the homeowner has a pumping schedule established with a licensed septage hauler, if not recommend a two to four year pumping schedule depending on how heavily the system is used. C. Recirculation Tank D Check if sludge accumulating Pumping required: Yes El Noill, Odor problems: Yes 0 No if yes,description Effluent tee filter. Yes D No If yes,inspect[:] &clean at least yearly D If the sludge layer is greater than 4"request that the homeowner pump out the recirculation tank in order to prevent clogging of the filter modules. Note the characteristics of the effluent coming out of the manifold this may indicate that the filter bed may need servicing. D. Equalization Tank(if installed) Sludge Pumping Required: Yes 0 No F1 F1 Sludge Depth: ❑ Scum Depth: Effluent tee filter. Yes 0 No F1 If yes,inspect 0&clean at least yearly F1 Same inspection crifteria as septic tank: E. Pump Chamber/Vault(if Installed) Pump Inspections(all units) I If problems,describe Float switches 12-( t cf. Check all switches for operation Make Sure the pump is operational by pulling up the float switch;if the pump is not operational immediate corrective actions need to be taken. IZ tag; F. Pumps, Switches, Floats, Alarm System ®Pump Inspections(all units) f problems,describe ®hest pump alternator, or record hours ©'Float switches �I , y r3 Hours of operation .j Check all switches for operation [q'f�est alarm �1 l_n�� If non-functioning,corrective action(s) Make sure pump(s),Float(s)and audible alarm(s)are functional, If not make a note so that corrective actions can be made. G. Filter Modules ("Sand Filters") W Inspect for ponding Ponding Present:Yes❑ No [Clean bed: Yes❑ No W [�'Distdbutlon pipes Flush:Yes❑ No�d Brush: Yes❑ No R' ❑Any obstruction of airflow to filter modules: Yes❑ No X if Yes,explain below(i.e.snow,dirt) To inspect the condition of the filter modules remove the mulch layer at one corner of the filter module area, then lift the filter fabric so that the media can be inspected through the end of the contactor. The media should have a thin biomass layer growing.on it and should have a brownish shaggy coloration. If the surface of the filter module area appears to be clogged,or the biomass layer is too think it is suggested to completely expose the filter modules,and rake the filter beds thoroughly,then wash the filter beds down with a garden hose(with a pressure nozzle on it).Then Recover the filter beds as they were found. H. Sample Collection Yes[ No❑ If yes: ❑BOD [ TSS ❑pH n(TN [YOther C° 'G �� �'f�dG11 ,1�1"' , .141'02- All samples are to be taken from the manifold located in the recirculation tank,and are to be stored in sterile, laboratory supplied containers.In order to prevent any cross-contamination from a previous sample rinse the dip cup into the effluent stream at the manifold three times so that a representative sample can be obtained. Make sure to wear proper safety equipment while pulling samples(i.e.rubber gloves). System Notes: �j(-'cc�y6trz/ C) i��5�c dJCC !�/t� % CrC�I�N''FC1 4r G -ekzefv.�J,l _ '` /�►c�!; j dN\ t _ .�� ! L. 1;1 .: ✓ r= (fG�G �` ! C�—W .�S Ct' Li r r I lZOO �UO3 C- T' A1112 $4bL NO I I environm..ento-t Systems,Inc. OMNI RSF Operation and Maintenance Inspection Checklist A. Installation &Service Information Facility Street Ad ress Dat of Service � _ `_` �r�.`,��•• \eta �. city Operator/O&M Firm System Startup Date ether Conditions . mac`} v�i:' B. Septic Tank ������ p ko w Sludge Pumping Required: Yes No �M Sludge Depth: ❑Scum Depth: Effluent flee filter: Yes❑ No❑ If yes, inspect❑&clean at least yearly❑ If the sludge layer is within 12"of the outlet invert,recommend that the homeowner have the septic tank pumped,note the approximate scum layer thickness as well.Also,inquire if the homeowner has a pumping schedule established with a licensed septage hauler,if not recommend a two to four year pumping schedule depending on how heavily the system is used. C. Recirculation Tank 0 �U�w� >Check if if sludge accumulating Pumping required: Yes❑ N Odor problems: Yes❑ N If yes,description Effluent tee filter: Yes❑ NJ If yes,inspect❑&clean at least yearly❑ If the sludge layer is greater than 4"request that the homeowner pump out the recirculation tank in order to prevent clogging of the filter modules.Note the characteristics of the effluent coming out of the manifold this may indicate that the filter bed may need servicing. D. Equalization Tank(if installed) Sludge Pumping Required: Yes❑ No❑ ❑Sludge Depth: ❑Scum Depth: Effluent tee filter: Yes❑ No❑ If yes, inspect❑ &clean at least yearly❑ Same inspection criteria as septic tank: I '00 E. Pump Chamber I Vault(if Installed) 4Pump Inspections(all units) If problems,describe ' VZE ,1=loat switches Check all switches for operation Make Sure the pump is operational by pulling up the float switch;ifthe pump is not operational immediate corrective actions need to be taken. _ = :-_- MEW- F. Pumps, Switches, Floats, Alarm System �-3 Pump Inspections(all units) t<�LAI If problems,describe Test pump alternator,or record hours Hours of operation Float switches Check all switches for operation Test alarm If non-functioning,corrective action(s) Make sure pump(s), Float(s)and audible alarm(s)are functional, if not make a not@ so that corrective actions can be made. G. Filter Modules ("Sand Filters") Inspect for ponding Ponding Present: Yes❑ NA Clean bed: Yes❑ N46 Distribution pipes Flush:Yes El Brush: Yes El NA y obstruction of airflow to filter modules: Yes❑ No%<lf Yes,explain below(i.e.snow,dirt) To inspect the condition of the filter modules remove the mulch layer at one corner of the filter module area, then lift the filter fabric so that the media can be inspected through the end of the contactor. The media should have a thin biomass layer growing on it and should have a brownish shaggy coloration, If the surface of the filter module area appears to be clogged, or the biomass layer is too think it is suggested to completely expose the filter modules,and rake the filter beds thoroughly,then wash the filter beds down with a garden hose(with a pressure nozzle on it).Then Recover the filter beds as they were found. H. Sample Collection Yg��kNo❑ If yes:❑BOSS ❑pH�TNCKOther All samples are to be taken from the manifold located in the recirculation tank,and are to be stored in sterile, laboratory supplied containers.In order to prevent any cross-contamination from a previous sample rinse the dip cup into the effluent stream at the manifold three times so that a representative sample can be obtained. Make sure to wear proper safety equipment while pulling samples(i.e.rubber gloves). System Notes: i Serial_No:12171413:25 ,N .;- HA AN,AL`,YT1C :4L ANALYTICAL REPORT Lab Number: L1429667 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: David Bennett Phone: (508)896-1706 Project Name: PICKWICK AND EVERGREEN REALTY Project Number: BEA13-10583 Report Date: 12/17/14 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(LA000065),ME(MA00086), PA(68-03671),USDA(Permit #P-330-11-00240),NC(666),TX(T104704476),DOD(1-2217),US Army Corps of Engineers. Eight Walkup Drive,Westborough, MA 01581-1019 508-898-9220 (Fax)508-898-9193 800-624-9220-www.alphalab.com Page 1 of15 Serial—No:12171413:25 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1429667 Project Number: BEA13-10583 Report Date: 12/17/14 Alpha Sample Collection Sample ID Client ID Matrix Location Date/Time. Receive Date L1429667-01 EFFLUENT WATER COTUIT, MA 12/09/14 13:45 12/10/14 Page 2 of 15 JtiA Serial No:12171413:25 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1429667 Project Number: BEA13-10583 Report Date: 12/17/14 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet all of the requirements of NELAC,for all NELAC accredited parameters.The data presented in this report is organized by parameter(i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter.if a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE",respectively.When multiple Batch Quality Control elements are reported(e.g.more than.one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific% recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.All specific QC information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications.Soil/sediments, solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances the specific failure is not narrated but noted in the associated QC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. HOLD POLICY For samples submitted on hold,Alpha's policy is to hold samples(with the exception of Air canisters)free of charge for 21 calendar days from the date the project is completed.After 21 calendar days,we will dispose of all samples submitted including those put on hold unless you have contacted your Client Service Representative and made arrangements for Alpha to continue to hold the samples.Air canisters will be disposed after 3 business days from the date the project is completed. Please contact Client Services at 800-624-9220 with any questions. I the undersigned, attest under the in g pains penalties of perjury that,to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Authorized Signature: Michelle M, Morris 1��'N�,`�'i`�"`�r"� Title: Technical Director/Representative Date: 12/17/14 A Page 3 of 15 { ' Serial—No:12171413:25 INORGANICS MISCELLAN OUS Page 4 of 15 Serial—No:12171413:25 Project Name: PICKWICK AND EVERGREEN REALTY, Lab Number: L1429667 Project Number: BEA13-10583 Report Date: 12/17/14 SAMPLE RESULTS Lab ID: L1429667-01 Date Collected: 12/09/14 13:45 Client ID: EFFLUENT Date Received: 12/10/14 Sample Location: COTUIT,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method, Analyst General Chemistry Westborough Lab Solids,Total Suspended ND mg/1 5.0 NA 1 - 12/11/14 16:20 30,2540D DW Nitrogen,Nitrite ND mg/1 0.050 - 1 - 12/11/14 03:17 44,353.2 DE .. ---- -- --.._ - ... ...----. -._. ._ ---.. _..._._ __._.. .----- --- - - ... -- Nitrogen,Nitrate 26. mg/I 1.0 - 10 - 12/11/14 06:14 44,353.2 DE ---------- - Nitrogen,Total Kjeldahl 4.63 mg/1 3.00 - 10 12/11/14 08:32 12/16/14 21:07 30,4500N-C AT CBOD,5 day ND mg/1 2.0 NA 1 12/10/14 23:30 12/15/14 19:50 30,5210E SE I ! o `I 3 e Page 5 of 15 Serial—No:12171413:25 Project Name: PICKWICK AND EVERGREEN REALTI Lab Number: L1429667 Project Number: BEA13-10583 Report Date: 12/17/14 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General.Chemistry.=Westborough Lab for sample()., 01. Batch: W6747479-1 CBOD,5 day ND mg/I 2.0 NA 1 12/10/14 23:30 12/15/14 19:50 30,521013 SE General Chemistry Wes- tborough Lab for Sal mple(s).. 01 Batch: WG747486-1:µ Nitrogen,Nitrate ND mg/I 0.10 1 12/11/14 02:18 44,353.2 DE General Chemistry=Westborough Lab,for sample(s)'' 0V' Batch: ,WG747487=1 ' Nitrogen,Nitrite ND mg/l 0.050 1 12/11/14 02:21 44,353.2 DE General Chemistry.-Westborough Lab forsample(s) 01 Batch: WG747578-1: Solids,Total Suspended ND mg/1 5.0 NA 1 12/11/14 16:20 30,2540D DW General Chemistry=Westborough Lab for sample(§): 01 . Batch`. 1NG747599-1 . Nitrogen,Total Kjeldahl ND mg/I 0.300 1 12/11/14 08:32 12/16/14 21:03 30,4500N-C AT ............ __.._._... ._....... ........_...._........._ ....... _._ ............_ ....................._..... .. ...... _............ . Page 6 of 15 Serial—No:12171413:25 Lab Control Sample Analysis Project Name: PICKWICK AND EVERGREEN REALTY Batch Quality Control Lab Number: L1429667 Project Number: BEA13-10583 Report Date: 12/17/14 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qual Limits RPD Qual RPD Limits General Chemistry 'Westborough'Lab Associated samples) 01 Batch 1NG74.7479 2' CBOD,5 day =86. "' - 47-104 49 GeneralhChemistry Westborough Lab ;Associated'sample(s): 01 Batch'WGZ47486 2 Nitrogen,Nitrate 7T09 - 90-110 - General Chemist Westborough Lab.'Associated.samples) 01 :,:Batch WG747487 2': ry : - -�� Nitrogen,Nitrite 90-110 20 General Chemistry Westborough Lab'Associated sample 01 Batch:.WG747599 2 Nitrogen,Total Kieldahl 100- "- - 78-122 Page 7 of 15 HA Serial—No:12171413:25 Matrix Spike Analysis Project Name: PICKWICK AND EVERGREEN REALTY Batch Quality Control Lab Number: L1429667 Project Number: BEA13-10583 Report Date: 12/17/14 Native MS MS MS MSD MSD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits General Chemistry-Westborough Lati:Associated°samole(s)- 01-> :QC Batch ID:-WG747479-4 QE,Sample. L1429.667-01 Client ID:.'EFFLUENT CBOD,5 day ND 100 97 97.:`' ,' - - 36-125 - 49 General Chernlstry=Westborough Lab Associated•sample(s), 01= 'QC Batch ID: WG747486-4 ,.. QC Sample. L1429582=05 Client ID:.NS,Sample Nitrogen, Nitrate 1.6 4 4.7 jg Q - - 83-113 6 _ - �. _ General Chemist# Westborou h Lab Associated sam Ie s 01 QC.Batch ID,1NG747487=4 QC-Sam le. L1429582=05 Client ID: MS Sam le rY.- 9 Nitrogen,Nitrite ND 4 4.7 ' 11;7""' 80-120 - 20 General Chemistry-Westborough Lab Associated�sample(s): 01,. QC.Batch ID:WG7475994 . QC:Sample L1:429611-02 Client ID. MS,Sample Nitrogen,Total Kjeldahl ND 8 8.36 104., - 77-111 - 24 _....__ .._..._.... .. ....... .. .. .. .__..__... ..._ . . _. .... _ .._..._ _..... Page 8 of 15ti� Serial—No:12171413:25 Lab Duplicate Analysis Project Name: PICKWICK AND EVERGREEN REALTY Batch Quality Control Lab Number: L1429667 Project Number: BEA13-10583 Report Date: 12/17/14 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits General Chemist Westborou h Lab Associated-sam le s :01. _. QC Batch ID. :1NG74:7479 3 ` _. rY : 9 .. p. O _ QC,:Sample: L1429667-01 .Client.ID EFFLUENT CBOD,5 day ND ND mg/I NC'. 49 General_Chemistry-:Westborough;Lab Ass ociated;sample(s): ,01 .,QC:Batch ID: WG747486 3`:.:-.QC-Sampler L1429582=05 Client:ID D.UP Sample Nitrogen,Nitrate 1.6 1.6 mg/I 6 General,Chemistry-,Westborough1ab.Associated sample(s):> 0.1 QC Batch ID. :V1/G747487:3. ;:QC:Sample :L1429582= Client-D 1CDUP Sample Nitrogen, Nitrite ND ND mg/I NC 20 General:Cherriistry We-stboroughLabAssociated ample(s) . 01.:':QC Batch ID ':1NG747578 3 :.QC Sample: :L1429593 01 Cllent ID. Solids,Total Suspended 170 150 mg/I 13 29 _ a r _. _ w _ .„. General.Chemistry Westborough Lab Associated sample(s):;01 ,..QC:Batch ID WG747599 3- QC;Sample:.L1429611-02 Client-ID. RUR Sample a _ , _v ,t. .....,_ . _...... . _ - _ -.__. .. rn. 1 sz__ Nitrogen,Total Kjeldahl ND ND mg/I NC 24 Page 9 of 15 �lL, F'A f,.--�,.�„a., Serial—No:12171413:25 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1429667 Project Number: BEA13-10583 Report Date: 12/17/14 Sample Receipt and Container Information Were project specific reporting limits specified? YES Reagent H2O Preserved Vials Frozen on: NA Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C Pres Seal Analysis(*) L1429667-01A Plastic 250ml H2SO4 preserved A <2 3.0 Y Absent TKN-4500(28) L1429667-01 B Plastic 950ml unpreserved A 8 3.0 Y Absent CBOD5(2),NO2-353(2),NO3- 353(2) L1429667-01 C Plastic 950ml unpreserved A 8 3.0 Y Absent TSS-2540(7) *Values in parentheses indicate holding time in daysti� Page 10 of 15 Serial—No:1217.1413:25 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1429667 Project Number: BEA13-10583 Report Date: 12/17/14 GLOSSARY Acronyms EDL Estimated Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting limit(RL).The EDL includes any adjustments from dilutions,concentrations or moisture content,where applicable.The use of EDLs is specific to the analysis of PAHs using Solid-Phase Microextraction(SPME). EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,fi-ee from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NI Not Ignitable. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM -Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Footnotes 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Total:With respect to Organic analyses,a'Total'result is defined as the summation of results for individual isomers or Aroclors.If a'Total' result is requested,the results of its individual components will also be reported.This is applicable to'Total'results for methods 8260,8081 and 8082. Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Data Qualifiers A Spectra identified as"Aldol Condensation Product". B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentraticns of the analyte at less than ten times(1 Ox)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit.For NJ-related projects(excluding Air),flag only applies to associated field samples that have detectable concentrations of the analyte,which was detected above the reporting limit in the associated method blank or above five times the reporting limit for common lab contaminants(Phthalates,Acetone,Methylene Chloride,2-Butanone). C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. D Concentration of analyte was quantified from diluted analyses.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. Report Format: Data Usability Report T HA Page 11 of 15 Serial—No:12171413:25 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1429667 Project Number: BEA13-10583 Report Date: 12/17/14 . Data Qualifiers G The concentration may be biased high due to matrix interferences(i.e,co-elution)with non-target compound(s).The result should be considered estimated. H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I The lower value for the two columns has been reported due to obvious interference. M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICs),where the identification is based on a mass spectral library search. P The RPD between the results for the two columns exceeds the method-specified criteria. Q The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R Analytical results are from sample re-analysis. RE Analytical results are from sample re-extraction. S Analytical results are fiom modified screening analysis. J Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICS). ND Not detected at the reporting limit(RL)for the sample. Report Format: Data Usability Report Page 12 of 15 Serial—No:12171413:25 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1429667 Project Number: BEA13-10583 Report Date: 12/17/14 REFERENCES 30 Standard Methods for the Examination of Water and Wastewater.APHA-AWWA- WPCF. 18th Edition. 1992. 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100, August 1993. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error,the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers,sampling procedures, holding time and splitting of samples in the field. = � Page 13 of 15 Serial-No:12171413:25 Certification Information Last revised December 16,2014 The following analytes are not included in our NELAP Scope of Accreditation: Westborough Facility EPA 524.2: Acetone, 2-Butanone (Methyl ethyl ketone (MEK)), Tert-butyl alcohol, 2-Hexanone,Tetrahydrofuran, 1,3,5-Trichlorobenzene,4-Methyl-2-pentanone (MIBK), Carbon disulfide, Diethyl ether. EPA 8260C: 1,2,4,5-Tetramethylbenzene,4-Ethyltoluene, lodomethane(methyl iodide), Methyl methacrylate, Azobenzene. EPA 8270D: 1-Methylnaphthalene, Di methyl naphthalene,1,4-Diphenylhydrazine. EPA 625: 4-Chloroaniline, 4-Methylphedol. SM4500: Soil: Total Phosphorus, TKN, NO2, NO3. EPA 9071: Total Petroleum Hydrocarbons, Oil&Grease. Mansfield Facility EPA 8270D: Biphenyl. EPA 2540D: TSS EPA TO-15: Halothane, 2,4,4-Trimethyl-2-pentene, 2,4,4-Trimethyl-1-pentene,Thiophene, 2-Methylthiophene, 3-Methylthiophene, 2-Ethylthiophene, 1,2,3-Trimethylbenzene, Indan, Indene, 1,2,4,5-Tetramethylbenzene, Benzothiophene, 1-Methylnaphthalene. The following analytes are included in our Massachusetts DEP Scope of Accreditation,Westborough Facility: Drinking Water EPA 200.8: Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TI; EPA 200.7: Ba,Be,Ca,Cd,Cr,Cu,Na; EPA 245.1: Mercury; EPA 300.0: Nitrate-N, Fluoride, Sulfate; EPA 353.2: Nitrate-N, Nitrite-N; SM4500NO3-F: Nitrate-N, Nitrite-N; SM4500E-C, SM4500CN-CE, EPA 180.1, SM2130B, SM4500C1-D, SM2320B,SM2540C, SM4500H-B EPA 332: Perchlorate. Microbiology: SM92151B; SM9223-P/A, SM9223B-Colilert-QT, Enterolert-QT. Non-Potable Water EPA 200.8:AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI,Zn; EPA 200.7:AI,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,Ti,TI,V,Zn; EPA 245.1,SM4500H,B, EPA 120.1, SM2510113,SM2540C,SM234013, SM2320B, SM4500CL-E,SM4500E-BC, SM426C, SM4500NH3-BH, EPA 350.1:Ammonia-N, LACHAT 10-107-06-1-B:Ammonia-N, SM4500NO3-F, EPA 353.2: Nitrate-N,SM4500NH3-BC-NES, EPA 351.1, SM4500P-E, SM4500P-B, E, SM5220D, EPA 410.4, SM521013,SM5310C,SM4500CL-D, EPA 1664, SM14 510AC, EPA 420.1, SM4500-CN-CE,SM25401). EPA 624: Volatile Halocarbons&Aromatics, EPA 608: Chlordane, Toxaphene,Aldrin, alpha-BHC, beta-BHC, gamma-BHC, delta-BHC, Dieldrin, DDD, DDE, DDT, Endosulfan I, Endosulfan ll, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs EPA 625: SVOC(Acid/Base/Neutral Extractables), EPA 60014-81-045: PCB-Oil. Microbiology: SM9223B-Colilert-QT; Enterolert-QT, SM9222D-MF. For a complete listing of analytes and methods, please contact your Alpha Project Manager. Page 14 of 15 Serial No:12171413:25 „. -1' 'ill�. D lie, 0.. .;�I- r.rr: _ t ;t p •.i ,.., CHAIN OF CUSTODY PAGE IOFI :.� .. QLPFIAJ8t54#,,� xa. �, 5Project Information •• • ► �. ► 0 MIM.1 • • Westborough,MA Mansfield,MA ❑ FAX ® EMAIL ® Same as Client info PO 9:10583 TEL:508-898-9220 TEL:SOM22-9300 Project Name:Pickwick and Evergreen Realty [IADEx ElAdd'I Deliverables FAX:508-898-9193 FAK 508-8223288 Regulatory ► ►. • • Project Location:Cotuit,MA State/FedProgram criteria Client:Bennett Environmental Associates Project#:BEA13.10583 Address: 1573 Main Street/P.O.Box 1743 Project Manager David C.Bdnnett Brewster, MA 02631 ALPHA Quote#: Phone:508-896-1706 ANALYSIS . Fax:508-896-5109 ®Standard ❑Rush(ONLY IF PRE-APPROVED) SAMPLE HANDLING Email:sfarrenkopf@bennett-ea.com t Filhafian , 2— It 0 Done ❑These samples have been Previously analyzed by Alpha Due Date: Time: 0 Not Needed ❑ Lab to do Other Project Specific Requirements/Comments/Detection Limits: Preservaflon • 0 Lab to do 0 (Please specify ca below) U =PLfWA:La6:ID Sample ID collection Sample Sampler's z '' Matrix Initials m (La Use:Only,) _ Date Time B N ZZ�: L:RI :dl,...... .. 0 Z Sample Speclflc Comments ee''}[{ Effluent �� VWV ® ® ® ❑ ❑ ❑ ❑ ❑' ❑ ❑ El 3 �::? 2: i ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ El El El 13 0 El El 0 El 0 0 t10 D Lo 3 Container Type P P P :. .. : .: Preservative o 0 D ,f?I,e s ;prf�tc„„learlyi(egibly. '; �z'I�ri{I��Litjpletely ua pies+.cart 41 R qulshed Daterrime IUE -celved B : Daterrime j u n a ilmle*cock?will n N t- s'prL�uritil;�enya�i,6lSpitle'SrK':e'; ' tI /� r L rr�� f r 6J � ; Kv ib V ! �esofFif3;8.::Hll;sampli:�'r�;G' FORM NO-01-01(t.NJ) 1 Y�+,Alptla�SlPaytnet)tj�er"s :r: .. Page 15 of 15 A' Serial_No:03231517:15 ILAAN'A HA ANALYTICAL REPORT Lab Number: L1505029 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: David Bennett Phone: (508)896-1706 Project Name: PICKWICK AND EVERGREEN REALTY Project Number: BEA13-10583 Report Date: 03/23/15 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(LA000065),ME(MA00086), PA(68-03671),VA(460195),MD(348),IL(200077),NC(666),Tx(T104704476),DOD(1-2217),USDA(Permit #P-330-11-00240). Eight Walkup Drive,Westborough, MA 01581-1019 508-898-9220 (Fax)508-898-9193 800-624-9220-www.alphalab.com P.A Page 1 of 15 Serial_N o:03231517:15 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1505029 Project Number: BEA13-10583 Report Date: 03/23/15 Alpha Sample Collection Sample ID Client ID Matrix Location Date/Time Receive Date L1505029-01 EFFLUENT WATER COTUIT, MA 03/17/15 10:45 03/17/15 Page 2 of 15 �� Serial No:03231517:15 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1505029 Project Number: BEA13-10583 Report Date: 03/23/15 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet all of the requirements of NELAC,for all NELAC accredited parameters.The data presented in this report is organized by parameter(i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE",respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific% recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.All specific QC information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications.Soil/sediments, solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances the specific failure is not narrated but noted in the associated QC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. HOLD POLICY For samples submitted on hold,Alpha's policy is to hold samples(with the exception of Air canisters)free of charge for 21 calendar days from the date the project is completed.After 21 calendar days,we will dispose of all samples submitted including those put on hold unless you have contacted your Client Service Representative and made arrangements for Alpha to continue to hold the samples.Air canisters will be disposed after 3 business days from the date the project is completed. Please contact Client Services at 800-624-9220 with any questions. I, the undersigned, attest under the pains and penalties of perjury that,to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Michelle M. Morris Authorized Signature: Title: Technical Director/Representative Date: 03/23/15 LA. f A8:�}'ir� Page 3 of 15 �� Serial No:03231517:15 INORGANICS MISCELLANEOUS A:_�.. Page 4 of 15 Serial No:O3231517:15 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1505O29 Project Number: BEA13-10583 Report Date: 03/23/15 SAMPLE RESULTS Lab ID: L1505029-01 Date Collected: 03/17/15 10:45 Client ID: EFFLUENT Date Received: 03/17/15 Sample Location: COTUIT,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistrv-m. borough Lab __ _. _.. _a..�. Solids,Total Suspended ND mg/I 5.0 NA 1 - 03/19/15 13:30 30,2540D MP Nitrogen,Nitrite ND mg/1 0.050 1 03/17/15 23:44 44,353.2 DE ... — .--- _.-- -----... ._-..._.__. .-. . ------ ------ Nitrogen,Nitrate 23. mg/1 0.50 — 5 03/18/15 02:05 44,353.2 DE -- --- -- -------------.... ---...-.._...—.........__.........---------- Nitrogen,Total Kjeldahl ND mg/1 0.300 — 1 03/17/15 20:45 03/18/15 22:59 30,4500N-C AT CBOD,5 day ND Mg/1 2.0 NA 1 03/17/15 22:15 03/22/15 18:45 30,5210B SE I 1L,L Firl Page 5 of 15 Serial_N o:03231517:15 Project Name: PICKWICK AND EVERGREEN REALTI Lab Number: L1505029 Project Number: BEA13-10583 Report Date: 03/23/15 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst ;Batch W 0 .. t., General Chemistry, Westborough Lab for,sample(s) ,01 , G76887 CBOD,5 day ND mg/I 2.0 NA 1 03/17/15 22:15 03/22/15 18:45 30,521013 SE General:Chemistry Westb ug L b'for sample-(s)., 01 Bat li'7MG768848 1 ?,.,H a. F•r k n.._rh-,�. 1m.:..... . .., ;ro+ s.t ,•.. ' , ,..n. a'! 4.a<,.,, e..±t M Nitrogen,Total Kjeldahl ND mg/I 0.300 — 1 03/17/15 20:45 03/18/15 22:54 30,4500N-C AT General Chemistry�y Westborough Lab for samples) 01 Batch:�WG768850'1 r Nitrogen,Nitrate ND mg/I 0.10 — 1 03/17/15 23:09 44,353.2 DE General Chemistry n Westborough Lab for samples) 01 Batch: WG76885171 Nitrogen,Nitrite ND mg/1 0.050 — 1 03/17/15 23:11 44,353.2 DE General Chemistry. .Westborougti L'abfotsample(s) 01, ,Batch`:;WG769365 ,1 Solids,Total Suspended ND mg/1 5.0 NA 1 03/19/15 13:30 30,2540D MP .._ ._._.... .._............... ....... _. _....... .... --.....__.._... ... ......._ ._.._.. ..._.. ... ....__......_......... Page 6 of 15 Serial No:O3231517:15 Lab Control Sample Analysis Project Name: PICKWICK AND EVERGREEN REALTY Batch Quality Control Lab Number: L15O5O29 Project Number: BEA13-10583 Report Date: 03/23/15 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qua[ Limits RPD Qual RPD Limits General Chemistry Westborough Lab Associated sample(s);: 01 Batch 'fUVG7688O7 2 CBOD,5 day 90, 47-104 49 ......... ...................................................... ................................................................. ............ __.._.._ _..._ _.._..._. .._ General Chemistry WesttioroughtLab Associated sample(s) O1 Batch �WG768848 Nitrogen,Total Kjeldahl " 95 78-122 Gene al�Cherrmistry=_Wesfiborou h Lab :Associatetlsam le s` 01_ :3Batch ;1NG76885O 2 a Nitrogen,Nitrate 101 i 90-110 ....... '' wr. General.Chemistry;=Westborough Lab A ss oclatedsample(s) 01 Batch =1NG768851 2 -77 _ -_...,..._. .____,t9_.. -y...c..:.....:.-... .._-..-.'...�.. _.:. .r.»..xv:..,-.3x...._,..;-._.. t ..x .._n r— _...._ -•_•__m.�..�....�..w ___ .. _.._.. -.ne. ,..-.-.. ,. _ ._.sx__.__._... _ ._..._. a......._.._..a. ..___.. _.___ _.__. ..__..... Nitrogen,Nitrite 99 - 90-110 20 Page 7 of 15 14A Serial No:03231517:15 Matrix Spike Analysis Project Name: PICKWICK AND EVERGREEN REALTY Batch Quality Control Lab Number: L1505029 Project Number: BEA13-10583 Report Date: 03/23/15 Native MS MS MS MSD MSD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits General Chemist, -ry-Westborough Lab Associatedesarnple(s).:01`. QC<Batch ID1NG768807-4 QC Sample. L1505029-0,1 , :Client ID;- EFFLUENT= CBOD,5 day ND 100 100 101-.�" 36-125 49 General Chemistry 'Westborough Lab Associated sam le s 01 6 QC Batch ID: WG768848 3 QC:.Sam,le L15Q4605=05 Client ID:MS Sarn le Nitrogen,Total Kjeldahl 1.11 8 8.86 — 97, - - 77-111 24 General!Chei t '.,Westborough Lab;Associated_sample,(s) 0,1;': QC;B:atch ID:.WG768850 4. QC Sample :L1505056 0:7 Client ID IMS Sarnple Nitrogen,Nitrate ND 4 4.7 =—�;�-8-tea Q 83-113 6 .,,—.r.....a„..,.,�.:,. ;�::,,�. .:�-a rw. . ,,. .,,:�.-...: ;-e....-,,,,.,-�.�..<..-.�«.�-_�a-�*�....�—_---'--.wwr.-.-x:: General Chemistry'Westborough;Lab'Associated samples) 01 °QC Batch ID WG768851 4° QC Sample L1504994 01 Client ID :MS,;Sample Nitrogen, Nitrite 0.37 4 5.1 118 80-120 20 Page 8 of 15t �a Serial No:03231517:15 Lab Duplicate Analysis Project Name: PICKWICK AND EVERGREEN REALTY Batch Quality Control Lab Number: L1505029 Project Number: BEA13-10583 Report Date: 03/23/15 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits eneral hemistry WesthoroughLab Associated sample(s):_;01:;.,QC:Batch4lD. WG768807..3:`; QC Sam ae: L9.504944.0;1 .Client.LD.:•DUPSam le t P CBOD,5 day ND ND mg/I NC"_.`'" 49 General.Chemistry ,,V1/estborough Lab Associated sample(s_, 01 <QC;Bafch ID WG.768848,4 : QC>Sam le L1:5.04605=04 Client ID;:DUP:Sam le - -....i.. ..<....s:..,F ......._..-..; _.x.....-;.: ..u.m :,.-'i,,;;,:„ .. ....- ..... Nitrogen,Total Kjeldahl 1.08 1.04 mg/I 4 24 General Chemist — y ry,= Westborough Lab Associated sample(s). 01 QC>;Batch ID. WG76:8850-3>'rQG$ample L:15Q5056 07..CUent ID: ;DUP:Sa.tnple_.- Nitrogen,Nitrate ND ND mg/I NC 6 ----- - - - --- — ----- — ---._.. ._... ................................... . ........... General Cherntstry ;WestboroughLab ;Associafed sam le s 01. QC,Batch ID. ,1NG768851, 3 :° QC`Sam 1e:; L1"50.4,994 01. Client ID..,D.UP Sam . . ._. .. .=,_ .. . .m... x,. . � � �r Nitrogen,Nitrite 0.37 0.37 mg/I °`l), 20 General;Chemistry-;Westborough:Lab Associatedsample(s) -01 QC`Batch ID WG7.69365-2 QC:Sam le.: L1'.5.05008 0:1' Client ID. D.UP .._. _ . ... .. w Solids,Total Suspended 1300 1600 mg/I 2I 29 _. -.._._ _.._ .. ...... - - . ------------- .. ........... Page 9 of 15 , Firs Serial No:03231517:15 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1505029 Project Number: BEA13-10583 Report Date: 03/23/15 Sample Receipt and Container Information Were project specific reporting limits specified? YES Reagent H2O Preserved Vials Frozen on: NA Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C Pres Seal Analysis(*) L1505029-01A Plastic 250ml unpreserved A 7 2.4 Y Absent NO2-353(2),NO3-353(2) L1505029-01 B Plastic 250ml H2SO4 preserved A <2 2.4 Y Absent TKN-4500(28) L1505029-01 C Plastic 950ml unpreserved A 7 2.4 Y Absent CBOD5(2) L1505029-01 D Plastic 950ml unpreserved A 7 2.4 Y Absent TSS-2540(7) *Values in parentheses indicate holding time in days rlc� A Page 10 of 15 Serial No:03231517:15 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1505029 Project Number: BEA13-10583 Report Date: 03/23/15 GLOSSARY Acronyms EDL Estimated Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting limit(RL).The EDL includes any adjustments from dilutions,concentrations or moisture content,where applicable.The use of EDLs is specific to the analysis of PAHs using Solid-Phase Microextraction(SPME). EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL -Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA -Not Applicable. NC Not Calculated: Tenn is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NI Not Ignitable. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Footnotes 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Total:With respect to Organic analyses,a'Total'result is defined as the summation of results for individual isomers or Aroclors.If a'Total' result is requested,the results of its individual components will also be reported.This is applicable to'Total'results for methods 8260,8081 and 8082. Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Data Qualifiers A Spectra identified as"Aldol Condensation Product". B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations ofthe analyte at less than ten times(I Ox)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(I Ox) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(I Ox)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit.For NJ-related projects(excluding Air),flag only applies to associated field samples that have detectable concentrations of the analyte,which was detected above the reporting limit in the associated method blank or above five times the reporting limit for common lab contaminants(Phthalates,Acetone,Methylene Chloride,2-Butanone). C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. Report Format: Data Usability Report Page 11 of 15 Serial No:03231517:15 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1505029 Project Number: BEA13-10583 Report Date: 03/23/15 Data Qualifiers G The concentration may be biased high due to matrix interferences(i.e,co-elution)with non-target compound(s).The result should be considered estimated. H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I The lower value for the two columns has been reported due to obvious interference: M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICS),where the identification is based on a mass spectral library search. P The RPD between the results for the two columns exceeds the method-specified criteria. Q The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R Analytical results are from sample re-analysis. RE Analytical results are from sample re-extraction. S Analytical results are from modified screening analysis. J Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICS). ND _ -Not detected at the reporting limit(RL)for the sample. Report Format: Data Usability Report L1L kri Page 12 of 15 i Serial No:03231517:15 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1505029 Project Number: BEA13-10583 Report Date: 03/23/15 REFERENCES 30 Standard Methods for the Examination of Water and Wastewater.APHA-AWWA- WPCF. 18th Edition. 1992. 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100, August 1993. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error,the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. I We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the field. Page 13 of 15 Serial No:03231517:15 Certification Information Last revised December 16,2014 The following analytes are not included in our NELAP Scope of Accreditation: Westborough Facility EPA 524.2: Acetone, 2-Butanone (Methyl ethyl ketone (MEK)), Tert-butyl alcohol, 2-Hexanone, Tetrahydrofuran, 1,3,5-Trichlorobenzene,4-Methyl-2-pentanone(MIBK), Carbon disulfide, Diethyl ether. EPA 8260C: 1,2,4,5-Tetramethylbenzene, 4-Ethyltoluene, lodomethane (methyl iodide), Methyl methacrylate, Azobenzene. EPA 8270D: 1-Methylnaphthalene, Dimethylnaphthalene,1,4-Diphenylhydrazine. EPA 625: 4-Chloroaniline, 4-Methylphenol. SM4500: Soil: Total Phosphorus, TKN,.NO2, NO3. EPA 9071: Total Petroleum Hydrocarbons, Oil &Grease. F Mansfield Facility ty EPA 8270D: Biphenyl EPA 2540D: TSS EPA TO-15: Halothane, 2,4,4-Trimethyl-2-pentene, 2,4,4-Trimethyl-1-pentene, Thiophene, 2-Methylthiophene, 3-Methylthiophene, 2-Ethylthiophene, 1,2,3-Trimethylbenzene, Indan, Indene, 1,2,4,5-Tetramethylbenzene, Benzothiophene, 1-Methylnaphthalene. The following analytes are included in our Massachusetts DEP Scope of Accreditation,Westborough Facility: Drinking Water EPA 200.8: Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TI; EPA 200.7: Ba,Be,Ca,Cd,Cr,Cu,Na; EPA 245.1: Mercury; EPA 300.0: Nitrate-N, Fluoride, Sulfate; EPA 353.2: Nitrate-N, Nitrite-N; SM4500NO3-F: Nitrate-N, Nitrite-N; SM4500E-C, SM4500CN-CE, EPA 180.1, SM2130B,SM4500C1-D, SM232013,SM2540C, SM450OH-B EPA 332: Perchlorate. Microbiology: SM921513; SM9223-P/A,SM922313-Colilert-QT, Enterolert-QT. Non-Potable Water EPA 200.8:AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI,Zn; EPA 200.7:AI,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,Ti,TI,V,Zn; EPA 245.1, SM4500H,B, EPA 120.1,SM25106,SM2540C,SM234013,SM232013, SM4500CL-E, SM4500E-BC, SM426C,SM4500NH3-BH, EPA 350.1:Ammonia-N, LACHAT 10-107-06-1-B:Ammonia-N, SM4500NO3-F, EPA 353.2: Nitrate-N,SM4500NH3-BC-NES, EPA 351.1, SM4500P-E, SM4500P-B, E,SM52201), EPA 410.4, SM521013, SM5310C,SM4500CL-D, EPA 1664, SM14 510AC, EPA 420.1,SM4500-CN-CE,SM25401). EPA 624:Volatile Halocarbons &Aromatics, EPA 608: Chlordane, Toxaphene,Aldrin, alpha-BHC, beta-BHC, gamma-BHC,delta-BHC, Dieldrin, DDD, DDE, DDT, Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs EPA 625: SVOC (Acid/Base/Neutral Extractables), EPA 600/4-81-045: PCB-Oil. Microbiology: SM9223B-Colilert-QT; Enterolert-QT, SM9222D-MF. For a complete listing of analytes and methods, please contact your Alpha Project Manager. Page 14 of 15 Serial No:03231517:15 _! _ �.:n„F.!;r a i§:o`, 4 '"'1 - •�i°F §=:::.'1-a':,:: .1 'Erie( >t•„'e�.: '::�:1`u',_ 1;'�J.." -•dF��*.�, ;I'. t. i%�I{q 7t.�'C;Y t. •.�. � �.. .,Jj�S. CHAIN O F CUSTODY PAGE 1 OF 1 D.a{+�Ft�e 2 �.".3:Ii ,ram.'y,m•�-.�i,f.�, Project • • Report Data Deliverables Billing Information 0 FAX ® EMAIL ® Same as Client info PO#:10583 Westborough,MA Mansfield,MA TEL:508-898-9220 TEL:60&822-930D Project Name:Pickwick and Evergreen Realty 0 ADEx Add'I Deliverables FAX:608-898.9193 FAX:508-8223288 ' Regulatory Requirernents/Report Client Information Project Location:Cotuit,MA State/Fed Pro ram Criteria Client:Bennett Environmental Associates Project#:BEA13-10563 Address:1573 Main Street/P.O.Box 1743 Project Manager David C.Bennett Brewster, MA 02631 ALPHA Quote#: Phone:508-896-1706TUrn-Around Time ANALYSIS ' Fax:508-896-5109 ®Standard ❑Bush(ONLY IF PRE-APPROVEDI SAMPLE HANDLING Filtration Email:sfarrenkopfo_bennett-ea•com 0 Done ❑These satnples have been Previously analyzed by Alpha Due Date: /�� Time: 0 Not Needed /l.�l. -.O:.Lab to do Other Project Specific Requirements/Comments/Detection Limits: Preservation ❑ Lab to do (Please specify 03 03 below) Sample ID Collection Sample Sampler's Z Matrix Initials �:: 'L''ati'•Use< Date Time @ -1�..•_.:.::...0.(51y�.: sample Specific ZComments y.::t ems'e V. li Effluent t `C IQ lk� WW J ® ❑ ❑ ❑ ❑ ❑ EJ El iFS ..a.. �5 � :;.: ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ry El El 11 Container Type P P P - P .3 � lgespnt�oteafl,ylegi,6i O 0 D - - y Preservative end comptetyt! s?�pl # er . 0,19 -d Reli hed DateMme Received By: Date/Time �n lljh?ot,'{4F f lar !e a -are'` r�0 \� 2 te'solv�d `411{Sa piss;::rr- ,!` su6(>at�iirare sjeulfq:'::': FORM NO:a1-et(4NJ( Cray.26-APR-099 Page 15 of 15 Serial_No:06241515:31 HA A.N A-L Y'.T ! CAL ANALYTICAL REPORT Lab Number: L1513780 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: David Bennett Phone: (508) 896-1706 Project Name: PICKWICK AND EVERGREEN REALTY Project Number: BEA13-10583 Report Date: 06/24/15 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(LA000065),ME(MA00086), PA(68-03671),VA(460195),MD(348),IL(200077),NC(666),TX(T104704476),DOD(1-2217),USDA(Permit #P-330-11-00240). Eight Walkup Drive, Westborough, MA 01581-1019 508-898-9220 (Fax) 508-898-9193 800-624-9220-www.alphalab.com fy� Page 1 of 16 Serial No:06241515:31 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1513780 Project Number: BEA13-10583 Report Date: 06/24/15 Alpha Sample Collection Sample ID Client ID Matrix Location Date/Time Receive Date L1513780-01 EFFLUENT WATER COTUIT, MA 06/17/15 10:00 06/18/15 Page 2 of 16 A�LPHA Serial—No:06241515:31 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1513780 Project Number: BEA13-10583 Report Date: 06/24/15 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet all of the requirements of NELAC,for all NELAC accredited parameters.The data presented in this report is organized by parameter(i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter.Tentatively Identified Compounds(TICs),if requested,are reported for compounds identified to be present and are not part of the method/program Target Compound List,even if only a subset of the TCL are being reported.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE",respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific%recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.All specific QC information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications.Soil/sediments,solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances the specific failure is not narrated but noted in the associated QC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. HOLD POLICY For samples submitted on hold,Alpha's policy is to hold samples(with the exception of Air canisters)free of charge for 21 calendar days from the date the project is completed.After 21 calendar days,we will dispose of all samples submitted including those put on hold unless you have contacted your Client Service Representative and made arrangements for Alpha to continue to hold the samples.Air canisters will be disposed after 3 business days from the date the project is completed. Please contact Client Services at 800-624-9220 with any questions. Page 3 of 16 a1tt„a Serial No:06241515:31 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1513780 Project Number: BEA13-10583 Report Date: 06/24/15 Case Narrative(continued) Nitrogen, Total Kjeldahl L1513780-01 has an elevated detection limit due to the dilution required by the sample matrix. I, the undersigned, attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Authorized Signature: 4S.rkM--P Lisa Westerlind Title: Technical Director/Representative Date: 06/24/15 ri Page 4 of 16 Serial No:06241515:31 INORGANICS MISCELLANEOUS Page 5 of 16 Serial No:06241515:31 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1513780 Project Number: BEA13-10583 Report Date: 06/24/15 SAMPLE RESULTS Lab ID: L1513780-01 Date Collected: 06/17/15 10:00 Client ID: EFFLUENT Date Received: 06/18/15 Sample Location: COTUIT,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry-Westborough Lab Solids,Total Suspended ND mg/I 5.0 NA 1 - 06/23/15 13:55 30,2540D DW -.. _..-._ . . ------ ........ ..-_. __ ... Nitrogen,Nitrite ND mg/I 0.050 — 1 - 06/18/15 19:53 44,353.2 MR Nitrogen,Nitrate 34. mg/1 0.50 -- 5 - 06/18/15 20:01 44,353.2 MR Nitrogen,Total Kjeldahl ND mg/I 3.00 -- 10 06/19/15 18:14 06/22/15 22:54 30,4500N-C AT _.. __... ...._........._.. .............. ----- ......... ..... _.._.. -._....._... ........ ........ -- ...-.. _........ -.........- _.._.._.._..... - --..... ... CBOD,5 day ND mg/I 2.0 NA 1 06/18/15 23:00 06/23/15 17:15 30,5210B SE 1w \I"A Page 6 of 16 Serial No:06241515:31 Project Name: PICKWICK AND EVERGREEN REALTI Lab Number: L1513780 Project Number: BEA13-10583 Report Date: 06/24/15 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst _-Chemistry--- .. �rr.�..�.._.._ +W:.- ._.:...-w....�w. .......w+`r: General Chemistry-Westborough Lab for samples) 01 Batch: WG795022-_1 Nitrogen,Nitrate ND mg/I 0.10 — 1 06/18/15 18:46 44,353.2 MR General Chemistry-Westborough Lab for sample(s): 01 Batch: WG795023 4. Nitrogen,Nitrite ND mg/I - 0.050 x 1 06/1 811 5 1 8:48 44,353.2 MR eneral Chemistry-Westborough Lab for sample(s): 01 Batc G h: WG795084=1 CBOD,5 day ND mg/I 2.0 NA 1 06/18/15 23:00 06/23/15 17:15 30,52108 SE General Chemistry-Westborough Lab for sample(s): 01 Batch: WG795431-1 Nitrogen,Total Kjeldahl ND mg/I 0.300 — 1 06/19/15 18:14 06/22/15 22:47 30,4500N-C AT General Chemistry-Westborough Lab for sample(s): 01 Batch: WG796102-1. Solids,Total Suspended ND mg/I 5.0 NA 1 06/23/15 13:55 30,25401) DW HA Ji ti, Page 7 of 16 Serial No:06241515:31 Lab Control Sample Analysis Project Name: PICKWICK AND EVERGREEN REALTY Batch Quality Control Lab Number: L1513780 Project Number: BEA13-10583 Report Date: 06/24/15 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qual Limits RPD Qual RPD Limits General Chemistry, -Westborough Lab Associated sample(s):-01 Batch:WG795022 2 Nitrogen,Nitrate 100 90-110 _ .......... ............. .. ......... .... General Chemistry-Westborough Lab. Associated sample(s): 01 Batch:WG795023-2 Nitrogen,Nitrite 102 90-110 20 General Chemistry-•Westborough'Lab Associated:sample(s): 01; Batch:UVG795084'=2' CBOD,5 day 87 47-104 49 General Chemistry-Westborough Lab 'Associated sample(s): 01, Batch: WG70 431-2 Nitrogen,Total Kjeldahl 104 78-122 Page 8 of 16 HA Serial No:06241515:31 Matrix Spike Analysis Project Name: PICKWICK AND EVERGREEN REALTY Batch Quality Control Lab Number: L1513780 Project Number: BEA13-10583 Report Date: 06/24/15 Native MS MS MS MSD MSD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits General Chemistry:-Westborougli`Lab Associated sample(s): 01 QC,Batch'ID:-WG795022-4 QC Sample: L1513716-02 Client ID:: MS'Sample '. Nitrogen, Nitrate 3.2 4 7.3 102 83-113 6� General Chemistry.-Westborough Lab Associated,sample(s): 01 QC BatchkID:,WG795023-4 QC Sample:,L151371'6702 Client ID- MS Sample Nitrogen, Nitrite 1.8 4 5.8 100 - 80-120 20 General-Chemistry:-Westborough,,Lab�Associated•sample(s): 0.1.- QC-,Batch.ID: WG795084=4 QC Sample-11513780-01, Client ID. EFFLUENT CBOD 5 day ND 100 94 - 94 36 125 49 _ ...... . ...... .. General Chemistry Westborough Lab-Associated sample(s):01 QC.Batch ID:1NG795431;-4 QC Sample: L1.513556,01, Client ID: MS Sample Nitrogen,Total Kjeldahl 0.595 8 8.32 96 j 77-111 24 Page 9 of 16 � � Serial No:06241515:a1 Lab Duplicate Analysis Project Name: PICKWICK AND EVERGREEN REALTY Batch Quality Control Lab Number: L1513780 Project Number: BEA13-10583 Report Date: 06/24/15 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits General Chemistry-Westborough Lab` Associated sample(s): 01 QC Batch ID: WG795022=3 QC Sample L15137.16-02`Client'ID: D-UP Sample Nitrogen, Nitrate 3.2 3.2 mg/I O 6 General Chemistry-Westborough-]Lab.,Associated sample(s): 01 QC Batch,ID:.W0795023-3 , QC Sample., L1513716-02 Client ID: DUP Sample Nitrogen,Nitrite 1.8 1.8 mg/I - 0 20 - General Chemistry-Westborough Lab Associated sample(s): 01 QC Batch ID: WG79.5084=3 QC Sample:. 1_1513780-01' Client ID.:. EFFLUENT CBOD,5 day ND ND mg/I NC 49 General Chemistry-Westborough Lab Associated sample(s): 01 QC Batch ilQ W,G795431=3 QC Sample: L1513556-01 Client IDc DUP Sample' ,_'_ q Nitrogen,Total Kjeldahl 0.595 0.671 mg/I 12 24 I - .-.. r .: ... ... ....:.... ...__ - .ter, ,. _- ... ... .._--. -. f. General Chemistry-Westborough Lab Associated sample(s): 01 , QC Batch'PID: `WG796102-2 QC Sample:. -L1513660-01 Client ID: DUP Sample. Solids,Total Suspended 240 250 mg/I4y 29 Page 10 of 16 'c HAI Serial No:06241515:31 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1513780 Project Number: BEA13-10583 Report Date: 06/24/15 Sample Receipt and Container Information Were project specific reporting limits specified? YES Reagent H2O Preserved Vials Frozen on: NA Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C Pres Seal Analysis(*) L1513780-01A Plastic 250ml H2SO4 preserved A <2 4.9 Y Absent TKN-4500(28) L1513780-01B Plastic 950ml unpreserved A 7 4.9 Y Absent CBOD5(2) L1513780-01C Plastic 250ml unpreserved A 7 4.9 Y Absent NO2-353(2),NO3-353(2) L1513780-01 D Plastic 950ml unpreserved A 7 4.9 Y Absent TSS-2540(7) tC4 *Values in parentheses indicate holding time in days /� �;a Nlo �. Page 11 of 16 Serial No:O6241515:31 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L151378O Project Number: BEA13-10583 Report Date: 06/24/15 GLOSSARY Acronyms EDL Estimated Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting limit(RL).The EDL includes any adjustments from dilutions,concentrations or moisture content,where applicable.The use of EDLs is specific to the analysis of PAHs.using Solid-Phase Microextraction(SPME). EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC -Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NI Not Ignitable. NP Non-Plastic:Term is utilized for the analysis of Atterberg Limits in soil. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. TIC Tentatively Identified Compound:A compound that has been identified to be present and is not part of the target compound list (TCL)for the method and/or program.All TICS are qualitatively identified and reported as estimated concentrations. Footnotes 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Total:With respect to Organic analyses,a'Total'result is defined as the summation of results for individual isomers or Aroclors.If a'Total' result is requested,the results of its individual components will also be reported.This is applicable to'Total'results for methods 8260,8081 and 8082. Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section ofthe Addendum. Data Qualifiers A Spectra identified as"Aldol Condensation Product". B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit.For NJ-related projects(excluding Air),flag only applies to associated field samples that have detectable concentrations of the analyte,which was detected above the reporting limit in the associated method blank or above five times the reporting limit for common lab contaminants(Phthalates,Acetone,Methylene Chloride,2-Butanone). C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. Report Format: Data Usability Report /'= NA Page 12 of 16 r Serial No:06241515:31 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1513780 Project Number: BEA13-10583 Report Date: 06/24/15 Data Qualifiers D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. G The concentration may be biased high due to matrix interferences(i.e,co-elution)with non-target compound(s).The result should be considered estimated. H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I The lowe_value for the two columns has been reported due to obvious interference. M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICs),where the identification is based on a mass spectral library search. P The RPD between the results for the two columns exceeds the method-specified criteria. Q The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R Analytical results are from sample re-analysis. RE Analytical results are from sample re-extraction. S Analytical results are from modified screening analysis. J Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICs). ND Not detected at the reporting limit(RL)for the sample. Report Format. Data Usability Report ,, .r, Page 13 of 16 Serial No:06241515:31 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1513780 Project Number: BEA13-10583 Report Date: 06/24/15 REFERENCES 30 Standard Methods for the Examination of Water and Wastewater.APHA-AWWA- WPCF. 18th Edition. 1992. 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100,August 1993. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error, the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the field. A tia Page 14 of 16 Serial No:06241515:31 Certification Information Last revised December 16,2014 The following analytes are not included in our NELAP Scope of Accreditation: Westborough Facility EPA 524.2:Acetone, 2-Butanone(Methyl ethyl ketone (MEK)), Tert-butyl alcohol, 2-Hexanone, Tetrahydrofuran, 1,3,5-Trichl6robenzene,4-Methyl-2-pentanone (MIBK), Carbon disulfide, Diethyl ether. EPA 8260C: 1,2,4,5-Tetramethylbenzene, 4-Ethyltoluene, lodomethane (methyl iodide), Methyl methacrylate, Azobenzene. EPA 8270D: 1-Methylnaphthalene, Dimethylnaphthalene,1,4-Diphenylhydrazine. EPA 625: 4-Chloroaniline,4-Methylphenol. SM4500: Soil: Total Phosphorus, TKN, NO2, NO3. EPA 9071: Total Petroleum Hydrocarbons, Oil &Grease. Mansfield Facility EPA 8270D: Biphenyl. EPA 2540D: TSS EPA TO-15: H_alothane, 2,4,4-Trimethyl-2-pentene, 2,4,4-Trimethyl-1-pentene, Thiophene, 2-Methylthiophene, 3-Methylthiophene, 2-Ethylthiophene, 1,2,3-Trimethylbenzene, Indan, Indene, 1,2,4,5-Tetramethylbenzene, Benzothiophene, 1-Methylnaphthalene. The following analytes are included in our Massachusetts DEP Scope of Accreditation,Westborough Facility: Drinking Water EPA 200.8: Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TI; EPA 200.7: Ba,Be,Ca,Cd,Cr,Cu,Na; EPA 245.1: Mercury; EPA 300.0: Nitrate-N, Fluoride, Sulfate; EPA 353.2: Nitrate-N, Nitrite-N; SM4500NO3-F: Nitrate-N, Nitrite-N; SM4500E-C, SM4500CN-CE, EPA 180.1,SM213013,SM4500C1-D, SM232013,SM2540C,SM4500H-B EPA 332: Perchlorate. Microbiology: SM921513; SM9223-P/A,SM9223B-Colilert-QT, Enterolert-QT. Non-Potable Water EPA 200.8:AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI,Zn; EPA 200.7:AI,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,Ti,TI,V,Zn; EPA 245.1,SM45001-1,13, EPA 120.1, SM251013, SM2540C,SM234013, SM232013,SM4500CL-E, SM4500E-BC, SM426C,SM4500NH3-BH, EPA 350.1:Ammonia-N, LACHAT 10-107-06-1-B: Ammonia-N, SM4500NO3-F, EPA 353.2: Nitrate-N,SM4500NH3-BC-NES, EPA 351.1, SM4500P-E, SM4500P-B, E, SM52201), EPA 410.4, SM521013, SM5310C, SM4500CL-D, EPA 1664, SM14 510AC, EPA 420.1,SM4500-CN-CE,SM25401). EPA 624:Volatile Halocarbons &Aromatics, EPA 608: Chlordane,Toxaphene,Aldrin, alpha-BHC, beta-BHC, gamma-BHC, delta-BHC, Dieldrin, DDD, DDE, DDT, Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs EPA 625: SVOC(Acid/Base/Neutral Extractables), EPA 600/4-81-045: PCB-Oil. Microbiology: SM9223B-Colilert-QT; Enterolert-QT, SM9222D-MF. For a complete listing of analytes and methods, please contact your Alpha Project Manager. Page 15 of 16 Serial No:06241515:31 i r CHAIN ®F CUSTODY PAGE 1 of 1 �t 5 Date Redd in Lab: �_ �_� ALPHA Job A.'N AL�•r r C A L Project InformationB illing Information. Westborough,MA Mansfield,MA FAX ® EMAIL ® Same as Client info PO.#:10563 TEL:SOM98-9220 TEL 508-822-9300 Project Name:Pickwick and Evergreen Realty F-1 ADEx [) Add'I Del(verables FAX:508-898-9193 FAX:508-822-3288 Regulatory Requirennents/Repoh, Project Location:Cotuit,MA State/Fed Pro ram Criteria Client:Bennett Environmental Associates Pro ect#:BEA13.10583 Address:1573 Main Street/P.O.Box 1743 Project Manager:David C.Bennett Brewster,MA 02631 ALPHA Quote A Phone:508-896-1706 Turn-Around Time ANALYSIS Fax:508-896_5109 ®Standard ❑ Rush(ONLY IF PRE-APPROVEDi SAMPLE HANDLING Email:sfarrenkopf@benneft-ea:com Filtration 0 Done ❑These samples have been Previously analyzed by Alpha Due Date: Time: 0 Not Needed Other Project Specific Requirements/Comments/Detection Lim ❑ Lab to do its: Preservation 0 Lab to do Om (Please specNy U beloM ALPHA Lab ID Sample ID Collection Sample Sampler's z (Lab Use Only? Date Time Matrix. Initials co z fA Y Sample specific Z F I- Comments t s Effluent /t7:OGi WW 67275 ® ® ® ❑ 0 ❑ 0 ❑ 0 El ❑ ❑ ❑ ❑ ❑ ❑ Li ❑ ❑` } ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ z U Li 0 El 0- 0 M El Container Type P P P a O 0 D - Please print clearly,legibly Preservative and completely. samples ran + > not tagged in and Reli fi ed By: Daterrime Received y: Date/Time turnaround time clock vein not !� 7r�^l• / r .slen unlit any ambiguities are rasolved All samples �! I r �s su kk+ J� bmitled are subis,to FORM NO:DL•041,W) _ CJ f i� !.Alpha's Payment Terms. t :ao-naR�st ✓ 1p'1�17211�_ Page 16 of 16 Serial No:09221519:16 G HA /' A�',N1A L-Y, I C A L . ANALYTICAL REPORT Lab Number: L1522582 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: David Bennett Phone: (508)896-1706 Project Name: PICKWICK AND EVERGREEN REALTY Project Number: BEA13-10583 Report Date: 09/22/15 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(LA000065),ME(MA00086), PA(68-03671),VA(460195),MD(348),IL(200077).NC(666),TX(T104704476),DOD(1-2217),USDA(Permit #P-330-11-00240). Eight Walkup Drive,Westborough, MA 01581-1019 508-898-9220 (Fax)508-898-9193 800-624-9220-www.alphalab.com Page 1 of 16 Serial No:09221519:16 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1522582 Project Number: BEA13-10583 Report Date: 09/22/15 Alpha Sample Collection Sample ID Client ID Matrix Location Date/Time Receive Date L1522582-01 EFFLUENT WATER COTUIT, MA 09/14/15 09:15 09/14/15 Page 2 of 16 �� Serial No:O9221519:16 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1522582 Project Number: BEA13-10583 Report Date: 09/22/15 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet all of the requirements of NELAC,for all NELAC accredited parameters.The data presented in this report is organized by parameter(i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter.Tentatively Identified Compounds(TICs),if requested,are reported for compounds identified to be present and are not part of the method/program Target Compound List,even if only a subset of the TCL are being reported.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE",respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific%recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.All specific QC information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications.Soil/sediments,solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances the specific failure is not narrated but noted in the associated QC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. HOLD POLICY For samples submitted on hold,Alpha's policy is to hold samples(with the exception of Air canisters)free of charge for 21 calendar days from the date the project is completed.After 21 calendar days,we will dispose of all samples submitted including those put on hold unless you have contacted your Client Service Representative and made arrangements for Alpha to continue to hold the samples.Air canisters will be disposed after 3 business days from the date the pro,,+ect is completed. Please contact Client Services at 800-624-9220 with any questions. F� Page 3 of 16 AIM, Serial No:09221519:16 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1522582 Project Number: BEA13-10583 Report Date: 09/22/15 Case Narrative (continued) Nitrogen, Total Kjeldahl L1522582-01: The sample has elevated detection limits due to the dilution required by the sample matrix. I,the undersigned, attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Kelly Stenstrom Authorized Signature: 1 Title: Technical Director/Representative Date: 09/22/15 HA Page 4 of 16 ` Serial No:09221519:16 INORGANICS MISCELLANEOUS Page 5 of 16 Serial No:O9221519:16 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1522582 Project Number: BEA13-10583 Report Date: 09/22/15 SAMPLE RESULTS Lab ID: L1522582-01 Date Collected: 09/14/15 09:15 Client ID: EFFLUENT Date Received: 09/14/15 Sample Location: COTUIT,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry-Westborough Lab . Solids,Total Suspended ND mg/1 5.0 NA 1 - 09/15/15 19:20 30,2540D RP Nitrogen,Nitrite ND mg/1 0.050 — 1 - 09/15/15 00:20 44,353.2 ML ..... ........ ........ ...... .. . . -.....-.. .......... . ----- ----... - ....... .... .---._-----... --------------------------- Nitrogen, Nitrate 10. mg/1 0.50 -- 5 - 09/15/15 00:42 44,353.2 NIL Nitrogen,Total Kjeldahl ND mg/1 0.600 — 2 09/16/15 07:27 09/16/15 22:32 4,351.31.1 (M) AT CBOD,5 day ND mg/1 2.0 NA 1 09/15/15 23:25 09/20/15 20:30 30,5210B SE HA Page 6 of 16 Serial— No:09221519:16 I Project Name: PICKWICK AND EVERGREEN REALTI Lab Number: L1522582 Project Number: BEA13-10583 Report Date: O9122/15 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry Westborough Lab forsample(s) 01 Batch WG821189 1` Nitrogen,Nitrate ND mg/I 0.10 — 1 09/14/15 23:37 44,353.2 ML General Chemistry Westborough La ki: for samples) 01 . Batch 1NG821190 1 .__ . Nitrogen,Nitrite ND mg/I 0.050 1 09/14/15 23:39 44,353.2 ML General Chemistry Westborough Lab for samples) 01 Batch.,.WG821531 1 Ax Solids,Total Suspended ND mg/I 5.0 NA 1 09/15/15 19:20 30,2540D y RP General Chemistry Westborough Lab` for samples) 01 Batch .WG821.571 1 N, _o. t_. _ CBOD,5 day ND mg/I 2.0 NA 1 09/15/15 23:25 09/20/15 20:30 30,5210B SE General Chemistry Westborou.gti Lab for sample(s): 01 T%Batch ING821720 1 s Nitrogen,Total Kjeldahl ND mg/I 0.300 1 09/16/15 07:27 09/16/15 22:14 4,351.31.1(M) AT . ......... ......._. __..._... ........- ......—............. . ._....... ... ........ ...... — ......_. .-..._._. .._._.-. _ -.......--..._ ...... _......._ �i?8 eA Page 7 of 16 Serial No:09221519:16 Lab Control Sample Analysis Project Name: PICKWICK AND EVERGREEN REALTY Batch Quality Control Lab Number: L1522582 Project Number: BEA13-10583 Report Date: 09/22/15 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qual Limits RPD Qual RPD Limits General Chemistry.-•Westborough Labr'Associated sample,(s). 01 Batch: WG821189-2 Nitrogen,Nitrate 796, - 90-110 - General,Chemistry. Westborough.Lab-Associated;sample(s):.01. Batch:.WG821190-2 _. _ -. _. . _ Nitrogen,Nitrite �102 - 90-110 - 20 General Chemistry-Westborou.gh Lab. .Associated sample(s). 01 -Batch: WG821571-2` CBOD,5 day p 83'" - 47-104 - 49 General Chemistry-Westborough Lab Associated samples) 0-1` 8atch:'WG821720-2 Nitrogen,Total Kjeldahl '9,1" 78-122 <n� Page 8 of 16 ` , / PHA a Serial No:09221519:16 Matrix Spike Analysis Project Name: PICKWICK AND EVERGREEN REALTY Batch Quality Control Lab Number: L1522582 Project Number: BEA13-10583 Report Date: 09/22/15 Native MS MS MS MSD MSD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits General•Chemistry Westborough Lab>Associated.aample.(s) 01.� .:QC;BatCh ID:'WG821:189-4 ; ;QC::Sample:L15225.15-01 Client ID.: MS:Sample'. -: Nitrogen,Nitrate 0.33 4 4.1 " 94 - 83-113 6 General Chemistry Westborough Lab,•Associatedlsample(s) 01 .. QC Batch ID <WG821.190 4; QC:Sample L1522515 0;1 Client ID;=MS Sample Nitrogen,Nitrite ND 4 4.1 102 - 80-120 - 20 Generall,Chemistry: Westborough LabiAssociated samples) 01 ;:QC Batch ID:,WG821571 4. QC:Sample 11522582-0,1 Client ID ;.:EFFLUENT. CBOD,5 day ND 100 70 ";70:-''" - - 36-125 - 49 , d`sRl �s) 01 QC Batch ID'WG821720=4QC SamPple .L15221,61 17. Client ID General Chemist -Wry_ , :'MS=Sacra lei P Nitrogen,Total Kjeldahl 0.550 8 7.9592 77-111 24 Page 9 of 16 %z� a Serial No:09221519:16 Lab Duplicate Analysis Project Name: PICKWICK AND EVERGREEN REALTY Batch Quality Control Lab Number: L1522582 Project Number: BEA13-10583 Report Date: 09/22/15 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits _Y..General'Chemist mp W -1 l . meryW .. va.u„ :fi...t:....-. a... .,.., _ e.d. w t .... ...aw.«. .e, ram..,.. .. ..3... .....M'.fi..,.... Nitrogen, Nitrate 0.33 0.34 mg/I 3 6 General Chemistry='Westborough`Lab iAssociated,sample(s) '01 „'QC"BatchID WG821190 3 QCiSample L1.522515-01 Client ID DUP Sa,rnple„ ; Nitrogen, Nitrite ND ND mg/I "`NC 20 , , , , ; C' ptbrough1ab.AsocaGenCmstryp-Ueso e W 1m . Gllent D DUP'Sample Solids,Total Suspended 420 460 mg/I "9 = 29 General,Chemistry .Westboroug,'ab,'Associated sample(s);: 01 .QC Batch ID..WG82157.-,1-3 QC,Sample:`L1522582-01 Client ID EFFLUENT CBOD,5 day ND ND mg/I NC 49 General=Chemistry-.Westborough,Lab Associated sample(s): 01= ;QC Batch.ID: WG821720 3':'-.QCSample;;, L'1522161 .1:7 Cllent ID DUP{Sample Nitrogen,Total Kjeldahl 0.550 0.578 mg/I LL, �5 24 Page 10 of 16 ?�? Serial_No:09221519:16 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1522582 • Project Number: BEA13-10583 Report Date: 09/22/15 Sample Receipt and Container Information Were project specific reporting limits specified? YES Reagent H2O Preserved Vials Frozen on: NA Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C Pres Seal Analysis(*) L1522582-01A Plastic 950ml unpreserved A 7 3.7 Y Absent CBOD5(2),NO2-353(2),NO3- 353(2) L1522582-01B Plastic 250ml H2SO4 preserved A <2 3.7 Y Absent TKN-351(28) L1522582-01C Plastic 950ml unpreserved A 7 3.7 Y Absent TSS-2540(7) I *Values in parentheses indicate holding time in daysl ��;,a Page 11 of 16 Serial No:09221519:16 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1522582 Project Number: BEA13-10583 Report Date: 09/22/15 GLOSSARY Acronyms EDL Estimated Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting limit(RL).The EDL includes any adjustments from dilutions,concentrations or moisture content,where applicable.The use of EDLs is specific to the analysis of PAHs using Solid-Pliase Microextraction(SPIvIE). EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NI Not Ignitable. NP Non-Plastic:Term is utilized for the analysis of Atterberg Limits in soil. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. TIC Tentatively Identified Compound:A compound that has been identified to be present and is not part of the target compound list (TCL)for the method and/or program.All TICS are qualitatively identified and reported as estimated concentrations. Footnotes 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Total:With respect to Organic analyses,a'Total'result is defined as the summation of results for individual isomers or Aroclors.If a'Total' result is requested,the results of its individual components will also be reported.This is applicable to'Total'results for methods 8260,8081 and 8082. Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Data Qualifiers A Spectra identified as"Aldol Condensation Product". B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit.For NJ-related projects(excluding Air),flag only applies to associated field samples that have detectable concentrations of the analyte,which was detected above the reporting limit in the associated method blank or above five times the reporting limit for common lab contaminants(Phthalates,Acetone,Methylene Chloride,2-Butanone). C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. Report Format: Data Usability Report Page 12 of 16 Serial No:09221519:16 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1522582 ` Project Number: BEA13-10583 Report Date: 09/22/15 Data Qualifiers D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. G The concentration may be biased high due to matrix interferences(i.e,co-elution)with non-target compound(s).The result should be considered estimated. H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I The lower value for the two columns has been reported due to obvious interference. M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICS),where the identification is based on a mass spectral library search. P The RPD between the results for the two columns exceeds the method-specified criteria. Q The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R Analytical results are from sample re-analysis. RE Analytical results are from sample re-extraction. S Analytical results are from modified screening analysis. J Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICS). ND Not detected at the reporting limit(RL)for the sample. I Report Format: Data Usability Report Page 13 of 16 Serial No:09221519:16 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1522582 Project Number: BEA13-10583 Report Date: 09/22/15 REFERENCES 4 Methods for Chemical Analysis of Water and Wastes. EPA 600/4-79-020. Revised March 1983. 30 Standard Methods for the Examination of Water and Wastewater. APHA-AWWA- WPCF. 18th Edition. 1992. 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100, August 1993. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error,the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the field. Page 14 of 16 r r Serial No:09221519:16 u Certification Information Last revised December 16,2014 The following analytes are not included in our NELAP Scope of Accreditation: Westborough Facility EPA 524.2: Acetone,2-Butanone (Methyl ethyl ketone(MEK)), Tert-butyl alcohol, 2-Hexanone, Tetrahydrofuran, 1,3,5-Trichlorobenzene, 4-Methyl-2-pentanone(MIBK), Carbon disulfide, Diethyl ether. EPA 8260C: 1,2,4,5-Tetramethylbenzene,4-Ethyltoluene, lodomethane(methyl iodide), Methyl methacrylate, Azobenzene. EPA 8270D: 1-Methyl naphthalene, Di methyl naphthalene,1,4-Diphenylhydrazine. EPA 625: 4-Chloroaniline, 4-Methylphenol. SM4500: Soil:Total Phosphorus,TKN, NO2, NO3. EPA 9071: Total Petroleum Hydrocarbons, Oil&Grease. Mansfield Facility EPA 8270D: Biphenyl. EPA 2540D: TSS EPA TO-15: Halothane, 2,4,4-Trimethyl-2-pentene, 2,4,4-Trimethyl-1-pentene,Thiophene, 2-Methylthiophene, 3-Methylthiophene, 2-Ethylthiophene, 1,2,3-Trimethylbenzene, Indan, Indene, 1,2,4,5-Tetramethylbenzene, Benzothiophene, 1-Methylnaphthalene. The following analytes are included in our Massachusetts DEP Scope of Accreditation,Westborough Facility: Drinking Water EPA 200.8: Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TI; EPA 200.7: Ba,Be,Ca,Cd,Cr,Cu,Na; EPA 245.1: Mercury; EPA 300.0: Nitrate-N, Fluoride, Sulfate; EPA 353.2: Nitrate-N, Nitrite-N; SM4500NO3-F: Nitrate-N, Nitrite-N; SM4500E-C, SM4500CN-CE, EPA 180.1, SM213013,SM4500CI-D,SM232013, SM2540C, SM4500H-B EPA 332: Perchlorate. Microbiology: SM921513; SM9223-P/A,SM9223B-Colilert-QT, Enterolert-QT. Non-Potable Water EPA 200.8:AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI,Zn; EPA.200.7:AI,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,Ti,TI,V,Zn; EPA 245.1,SM450011,13, EPA 120.1, SM251013,SM2540C,SM234013, SM232013,SM4500CL-E,SM4500E-BC, SM426C, SM4500NH3-BH, EPA 350.1:Ammonia-N, LACHAT 10-107-06-1-13:Ammonia-N, SM4500NO3-F, EPA 353.2: Nitrate-N, SM4500NH3-BC-NES, EPA 351.1,SM4500P-E,SM4500P-B, E, SM522013, EPA 410.4, SM521013,SM5310C,SM4500CL-D, EPA 1664, SM14 510AC, EPA 420.1, SM4500-CN-CE,SM254013. EPA 624:Volatile Halocarbons&Aromatics, EPA 608: Chlordane,Toxaphene, Aldrin,alpha-BHC, beta-BHC, gamma-BHC, delta-BHC, Dieldrin, DDD, DDE, DDT, Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs EPA 625: SVOC(Acid/Base/Neutral Extractables), EPA 600/4-81-045: PCB-Oil. Microbiology: SM9223B-Colilert-QT; Enterolert-QT, SM9222D-MF. For a complete listing of analytes and methods, please contact your Alpha Project Manager. Page 15 of 16 Serial No:09221519:16 CHAIN F CUSTODY PAGE I OF.1 Date Rec'd in Lab. ALPHA Job#: L r,S2Z t� kiwi-5 is . &CUliff6r,matio' n, .. . . D. �'.r C.A L s FAX ® EMAIL Sameas•Cllentinfo PO#:10583 Westborough,MA Mansfield;MA Project Name:Pickwick and Evergreen Realty TEL:508-898-9220 TEL:508-822-9300 ElADEX ❑ Add'I Deliverables FAX:508-898.9193 FAX:508.8223288 Project Location:Cotuit,MA State/Fed Program. criteria Client:Bennett Environmental Associates Project#:BEA13=1.0583 Address:1573 Main Street/P.O:BOX 1743 Project Manager:David C.Bennett Brewster,MA 02631 ALPHA Quote#: .Phone:508-896-1706 ANALYSIS Fa)c 508-896-5109 0 Standard ❑Rush(ONLY IF PRE-APPROVED) SAMPLE HANDLING Email:sfarrenkopf@bennett=ea:com Filtration 0 Done i�These Samples have been Previously analyzed by Alpha Due Dater Time: 0 Not Needed 0 Lab to do Other Project Specific Requirements/Comments/Detection Limits: Preservation 0 Lab to do 0 (Please specify Ubelow) Qi :G' ALPHA Lab ID Sample,ID Collection Sample Sampler's Z (Lab Use Only) Date Time Matrix Initials °) 2, to Z Sample Specific Z F F- Comments Effluent ��L °�� � 1NIN i� ® ® ® ❑ ❑ ❑ ❑. ❑ ❑ ❑ ❑ ❑ .3 ❑ ❑ ❑ ❑ ❑ ❑ ❑ El. El ❑ M ❑ ❑ ❑ ❑ ❑ El ❑ ❑ ❑ ❑ ED EY ❑ ❑ ❑ a ❑ ❑ ❑ ❑ ❑ ❑. ❑ ❑ ❑ ❑ ❑ 3 f Container Type P' P P O 0 D Please print clearly,legibly Preservativeandcomplately. Samples'rPn notbe logged inand Relin y: DateMme Received By: Date/Time turnaround time clock will not resolved•till sadip eus(ttes are --' C submitted 09 are subject to NR- FORM PtpNJ) ./ �L• f. /� Ike Alpha'sP'ayment Terms Page 16 of 16 BENNETT ENVIRONMENTAL ASSOCIATES, INC. LICENSED SITE PROFESSIONALS,ENVIRONMENTAL SCIENTISTS,GEOLOGISTS,ENGINEERS 1573 Main Street,P.O.Box 1743 (508)896-1706 Brewster,MA 02631 fax(508)896-5109 LETTER OF TRANSMITTAL TO: DATE: JOB NUMBER: Massachusetts Department of Environmental Protection 9/15/14 BEA13-10583 Attention:Title 5 Program 1 Winter Street-6th Floor Boston,MA 02108 REGARDING: Pickwick Realty Trust Evergreen 69 Realty Trust SHIPPING METHOD: 71 Ocean View Avenue Cotuit,MA Regular Mail ❑ Pick Up ❑ Priority Mail ❑ Hand Deliver ❑ Express Mail ❑ Other ❑ Certified Mail Green Card/RR COPIES DATE DESCRIPTION 1 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems(December 2013;March,June and September 2014) 1 OMNI Environmental Systems,Inc.RSF Operation and Maintenance Inspection Checklist(December 2013;March,June and September 2014) 1 12/17/13 Alpha Analytical laboratory report 1 2/11/14 Alpha Analytical laboratory report(resample) 1 3/17/14 Alpha Analytical laboratory report 1 6/13/14 Alpha Analytical laboratory report 1 8/5/14 Alpha Analytical laboratory report(resample) 1 9/10/14 Alpha Analytical laboratory report---- - For review and comment: ❑ For approval: ❑ As requested: ❑ For your use: REMARKS: Please find enclosed the DEP Inspection and O&M Forms,OMNI Environmental Systems,Inc.RSF Operation and Maintenance Inspection Checklists and laboratory analytical reports for operation and maintenance conducted at the above referenced property during the reporting period. If you have any questions or require additional information,please contact us at your earliest convenience. Thank you. cc:Barnstable Board of Health Andrew Newman and Alan Schlesinger-Trustees David C.Bennett,Principal [Internal] FROM: David C.Bennett,WWTO#6243/Samantha Farrenkopf,WWTO#13265/Joseph Smith,WWTO#12529 If enclosures are not as noted,kindly notify us at once LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Pickwick Realty Trust, Evergreen 69 Realty Trust filling out forms Owner on the computer, use only the tab 71 Ocean View Avenue key to move your Facility Street Address cursor-do not Cotuit 02635 use the return key. City Zip Mailing address of owner, if different: 50 Federal Street Street Address/PO Box: RM Boston MA 02110 City State Zip (617) 574- 1102 ext. Telephone Number B. Authorized Service Provider BENNETT ENVIRONMENTAL ASSOCIATES, INC. O&M Firm 1573 Main Street/ PO Box 1743 Street Address Brewster MA 02631 City State Zip (508) 896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF DEP ID Manufacturer ID Model Number 05/2011 Unknown Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 12/10/13 9/9/13 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5aiom.doc•rev. 11-07-05 Page 1 of 3 f Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and OW Form for Title 5 1/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown M clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 6.0 SU DO 5.0 mg/L Turbidity 1.53 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ❑ BOD ® CBOD ® TSS ® TN M Other(list below) Nitrate Nitrite TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Respond to a low level alarm at pump chmaber#2 and decrease pumping times on 10/8/13. Conduct an operation and maintenance event on 12/10/13. Collect effluent samples for field testing and laboratory analysis. Notes and Comments: The system is operating correctly. Effluent samples passed field testing parameters. t5aiom.doc•rev. 11-07-05 Page 2 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. 2>C�Za_4 Z_ r""&C_cs� — — qi '\Ck Operator Signature N j Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use— by.January 31st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Pro ram One Winter Street, 6t Floor Boston, MA 02108 I t5aiom.doc^rev. 11-07-05 Page 3 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Pickwick Realty Trust, Evergreen 69 Realty Trust filling out forms Owner on the computer, use only the tab 71 Ocean View Avenue key to move your Facility Street Address cursor-do not Cotuit 02635 use the return key. City Zip Mailing address of owner, if different: 50 Federal Street Street Address/PO Box: Boston MA 02110 city State Zip (617) 574 - 1102 ext. Telephone Number B. Authorized Service Provider BENNETT ENVIRONMENTAL ASSOCIATES, INC. O&M Firm 1573 Main Street/ PO Box 1743 Street Address Brewster MA 02631 city State Zip (508) 896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF DEP ID Manufacturer ID Model Number 05/2011 Unknown Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 3/10/14 12/10/13 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5aiom.doc•rev. 11-07-05 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and ®&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 7.0 SU DO 5.0 mg/L Turbidity 1.44 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: [❑ pH ❑ BOD M CBOD ® TSS ® TN ® Other(list below) Nitrate Nitrite TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Increase the recycle flow to the head of the works to promote better denitrification. Notes and Comments: The system is operating correctly. Effluent samples passed field testing parameters. t5aiom.doc•rev. 11-07-05 Page 2 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and ®&M Form for Title 5 I/A Treatment and Disposal Systems H.. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. ( Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use— by January 31 st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6t5 Floor Boston, MA 02108 t5aiom.doc•rev.11-07-05 Page 3 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Pickwick Realty Trust, Evergreen 69 Realty Trust filling out forms Owner on the computer, use only the tab 71 Ocean View Avenue key to move your Facility Street Address cursor-do not Cotuit 02635 use the return key. City Zip Mailing address of owner, if different: 50 Federal Street Street Address/PO Box: Boston MA 02110 City State Zip (617) 574- 1102 ext. Telephone Number B. Authorized Service Provider BENNETT ENVIRONMENTAL ASSOCIATES, INC. O&M Firm 1573 Main Street/ PO Box 1743 Street Address Brewster MA 02631 City State Zip (508) 896 - 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF DEP ID Manufacturer ID Model Number 05/2011 Unknown Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 6/5/14 3/10/14 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5aiom.doc•rev. 11-07-05 Page 1 of 3 A Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and ®&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 7.0 SU DO y 6.0 mg/L Turbidity 1.92 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods aanalyzed p t nd for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ❑ BOD ® CBOD ® TSS ® TN ® Other(list below) Nitrate Nitrite TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Notes and Comments: The system is operating correctly. Effluent quality passed field testing parameters. I t5aiom.doc•rev. 11-07-05 Page 2 of 3 i LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and ®&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston, MA 02108 t5aiom.doc•rev. 11-07-05 Page 3 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Pickwick Realty Trust, Evergreen 69 Realty Trust filling out forms Owner on the computer, use only the tab 71 Ocean View Avenue key to move your Facility Street Address cursor-do not Cotuit 02635 use the return key. City Zip �a Mailing address of owner, if different: 50 Federal Street Aloe Street Address/PO Box: Boston MA 02110 City State Zip (617) 574- 1102 ext Telephone Number B. Authorized Service Provider BENNETT ENVIRONMENTAL ASSOCIATES, INC. O&M Firm 1573 Main Street/PO Box 1743 Street Address Brewster MA 02631 City State Zip (508) 896 - 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF DEP ID Manufacturer ID Model Number 05/2011 Unknown Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 913/14 6/5/14 Inspection Date Previous Inspection Date 0" Scum, 0" Sludge Pumping Recommended ❑ Yes ® No Sludge Depth(to be checked yearly) t5aiom.doc.rev. 11-07-05 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 Ll DEP Approved pp ed Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 7.0 SU D01 5.0 mg/L Turbidity 0.43 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: ' gpd Parameters sampled: ❑ pH ❑ BOD ® CBOD ® TSS ® TN ® Other(list below) Nitrate Nitrite TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Checked all septic tank sludge depths and the function of all satellite lift stations on site. Septic tanks do not need pumping at this time, and all satellite lift stations are functioning properly. Notes and Comments: The system is operating correctly. Effluent quality passed field testing parameters. t5aiom.doc•rev. 11-07-05 Page 2 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Fora for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. sc�, 2M.4�'z�" (-)'��" gWv-\ Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31 st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Pro ram One Winter Street, 6t Floor Boston, MA 02108 t5aiom.doc•rev. 11-07-05 Page 3 of 3 R �z L�' nnrracnta Syst as,.Mc. OMNI RSF Operation and Maintenance Inspection Checklist A. Installation &Service Information Facility Street Address Date c Service UA City Operator/O&M Firm System Startup Date Weather Conditions B. Septic Tank Sludge Pumping Required: Yes❑ No%6\ ❑ Sludge Depth: ❑ Scum Depth: Effluent tee filter: YeCA No❑ If yes, inspect&clean at least yearly❑ If the sludge layer is within 12"of the outlet invert,recommend that the homeowner have the septic tank pumped,note the approximate scum layer thickness as well.Also, inquire if the homeowner has a pumping schedule established with a licensed septage hauler,if not recommend a two to four year pumping schedule depending on how heavily the system is used. C. Recirculation Tank" �y�-S �' ''"�'�' ``� ��- A,- l`3 heck if sludge accumulating Pumping required: Yes❑ No❑ Odor problems: Yes ❑ N&A If yes,description Effluent tee filter: Yes❑ Noca If yes, inspect❑&clean at least yearly❑ If the sludge layer is greater than 4"request that the homeowner pump out the recirculation tank in order to prevent clogging of the filter modules.Note the characteristics of the effluent coming out of the manifold this may indicate that the filter bed may need servicing. D. Equalization Tank (if installed) Sludge Pumping Required: Yes❑ No❑ ❑Sludge Depth: ❑ Scum Depth: Effluent tee filter: Yes❑ No❑ if yes, inspect❑&clean at least yearly❑ Same inspection criteria as septic tank: E. Pump Chamber!Vault(if Installed) '�'3m Pump Inspections(all units) r,� If problems,describe 2t Float switches Check all switches for operation Make Sure the pump is operational by pulling up the float switch;if the pump is not operational immediate corrective actions need to be taken. 21 i � 'I K'N 01 F. Pumps, Switches, Floats, Alarm System s t z•� L NJ V Pump Inspections(all units) .i � if problems de r1 e j4Test um alternator, or record hours V�I pump „ Hours of operation Float switches Check all switches for operation Test alarm If non-functioning,corrective action(s) Make sure pump(s), Float(s)and audible alarm(s)are functional,if not make a note so that corrective actions can be made. G. Filter Modules ("Sand Filters") e>\ VInspect for ponding Ponding Present:Yes❑ No o Clean bed: Yes❑ Nod Distribution pipes Flush:Yes❑ NcA Brush: Yes❑ No" ❑Any obstruction of airflow to filter modules: Yes❑ No VIf Yes, explain below(i.e. snow, dirt) To inspect the condition of the filter modules remove the mulch layer at one corner of the filter module area, then lift the filter fabric so that the media can be inspected through the end of the contactor. The media should have a thin biomass layer growing on it and should have a brownish shaggy coloration. If the surface of the filter module area appears to be clogged,or the biomass layer is-too think it is suggested to completely ex the filter modules and rake the filter beds thoroughly,then wash the filter beds down with P Y expose P � 9 Y� a garden hose(with a pressure nozzle on it).Then Recover the filter beds as they were found. H. Sample Collection Yes$] No❑ If yes: ❑BOD%6TSS ❑pH C,TN {00ther W y �'��- ► \`�" All samples are to be taken from the manifold located in the recirculation tank,and are to be stored in sterile, laboratory supplied containers.In order to prevent any cross-contamination from a previous sample rinse the ,dip cup into the effluent stream at the manifold three times so that a representative sample can be obtained. Make sure to wear proper safety equipment while pulling samples(i.e.rubber gloves). System Notes: \ �v•/�..c,`1� ���,.`C. ��`,�. �<'..fit, �?.:r. , �� � �¢�,•;��.,• W;� N .. E�vrr�o�� e�trrl S�stex�s, Inc. OMNI RSF Operation and Maintenance Inspection Checklist A. Installation & Service Information �a Facility Street Address Date of S rvice city OperatorIO&M Firm �0� System Startup Date Weather Conditions cl�\B. Septic Tank Sludge Pumping Required: Yes❑ No74 ❑Sludge Depth: ❑Scum Depth: Effluent tee filter: Yesf61 No❑ If yes, inspect❑ &clean at least yearly❑ If the sludge layer is within 12"of the outlet invert,recommend that the homeowner have the septic tank pumped,note the approximate scum layer thickness as well.Also,inquire if the homeowner has a pumping schedule established with a licensed septage hauler,if not recommend a two to four year pumping schedule depending on how heavily the system is used. C. Recirculation Tank su �c� � V - �Iyl- C\'V ,p ®k"', V\'S"X ❑Check if sludge accumulating Pumping required: Yes❑ No�( Odor problems: Yes ❑ No If yes,description Effluent tee filter: Yes❑ NdX If yes, inspect❑ &clean at least yearly❑ If the sludge layer is greater than 4"request that the homeowner pump out the recirculation tank in order to prevent clogging of the filter modules.Note the characteristics of the effluent coming out of the manifold this may indicate that the filter bed may need servicing. �l D. Equalization Tank (if installed) Sludge Pumping Required: Yes❑ No❑ ❑ Sludge Depth: ❑ Scum Depth: Effluent tee filter: Yes❑ No❑ If yes, inspect❑&clean at least yearly❑ Same inspection criteria as septic tank: E. Pump Chamber 1 Vault(if Installed) �, e VvWN� �aL��O�� ��`�c�� 43ump Inspections(all units) ,'r,,, f If problems,describe �I=loat switches Check all switches for operation Make Sure the pump is operational by pulling up the float switch;if the pump is not operational immediate corrective actions need to be taken. i F. Pumps, Switches, Floats, Alarm System 1,f Pump Inspections(all units) If problems,describe Test pump alternator, or record hours Hours of operation Float switches Check all switches for operation Test alarm If non-functioning,corrective action(s) Make sure pump(s), Float(s)and audible alarm(s)are functional,if not make a note so that corrective actions can be made. ( , G. Filter Modules ("Sand Filters") � s eo.re.r^ - Inspect for ponding Ponding Present:Yes❑ NC4 ,Clean bed: Yes❑ '" 't Distribution pipes Flush: Yes❑ Nsh Brush: Yes❑ No ny obstruction of airflow to filter modules; Yes No❑ If Yes, explain below(i.e. snow, dirt) i To inspect the condition of the filter modules remove the mulch layer at one corner of the filter module area, then lift the filter fabric so that the media can be inspected through the end of the contactor. The media should have a thin biomass layer growing on it and should have a brownish y g g shaggy coloration. If the surface of the filter module area appears to be clogged,or the biomass layer is too think it is suggested to completely expose the filter modules,and rake the filter beds thoroughly,then wash the filter beds down with a garden hose(with a pressure nozzle on it).Then Recover the filter beds as they were found. H. Sample Collection Yes4 No❑ If yes: ❑BOD .TSS ❑pH QTN (.Other 3 �oZ i 1\tip All samples are to be taken from the manifold located in the recirculation tank,and are to be stored in sterile, laboratory supplied containers. In order to prevent any cross-contamination from a previous sample rinse the dip cup into the effluent stream at the manifold three times so that a representative sample can be obtained. Make sure to wear proper safety equipment while pulling samples(i.e.rubber gloves). System Notes: A 'XI- Sc,��.. �r Zo1� r w V- 'r E'nvzr nmentur S..ystems, .zinc OMNI RSF Operation and Maintenance Inspection Checklist A. Installation & Service Information (may -30 Facility Street Address Date of Service City Operator/O&M Firm System Startup Date Weather Conditions B. Septic Tank(5) 5 Sludge Pumping Required: Yes ❑ NdK ❑Sludge Depth: ❑Scum Depth: Effluent tee filter: Yes , No❑ If yes, inspect&clean at least yearly❑ If the sludge layer is within 12"of the outlet invert,recommend that the homeowner have the septic tank pumped,note the approximate scum layer thickness as well.Also,inquire if the homeowner has a pumping schedule established with a licensed septage hauler, if not recommend a two to four year pumping schedule depending on how heavily the system is used. r C. Recirculation Tank ❑Check if sludge accumulating Pumping required: Yes❑ Nook Odor problems: Yes❑ N If yes,description Effluent tee filter: Yes❑ Nt� If yes, inspect❑&clean at least yearly❑ If the sludge layer is greater than 4"request that the homeowner pump out the recirculation tank in order to prevent clogging of the filter modules. Note the characteristics of the effluent coming out of the manifold this may indicate that the filter bed may need servicing. D. Equalization Tank (if installed) Sludge Pumping Required: Yes❑ No❑ ❑Sludge Depth: ❑Scum Depth: Effluent tee filter: Yes❑ No ❑ If yes, inspect❑&clean at least yearly❑ Same inspection criteria as septic tank: E. Pump Chamber/Vault(if Installed) Pump Inspections(all units) If problems,describe Float switches Check all switches for operation Make Sure the pump is operational by pulling up the float switch;if the pump is not operational immediate corrective actions need to be taken. `- A, Z ` i✓ F. Pumps, Switches, Floats, Alarm System Pump Inspections(all units) ` t -3 `If problems,,. escribe Test pump alternator,or record hoursV Hours of operation Float switches __ Check all switches for operation XTest alarm If non-functioning,corrective action(s) Make sure pump(s),Float(s)and audible alarm(s)are functional,If.not make a note so that corrective actions can be made. G. Filter Modules ("Sand Filters") Inspect for ponding Ponding Present:Yes ❑ NOA Clean bed: Yes❑ Ncla Distribution pipes Flush:Yes❑ No%� Brush: Yes❑ NA ny obstruction of airflow to filter modules: YesO No❑ If Yes, explain below(i.e. snow, dirt) To inspect the condition of the filter modules remove the mulch layer at one corner of the filter module area, then lift the filter fabric so that the media can be inspected through the end of the contactor. The media should have a thin biomass layer growing on it and should have a brownish shaggy coloration. If the surface of the filter module area appears to be clogged,or the biomass layer is too think it is suggested to completely expose the filter modules,and rake the filter beds thoroughly,then wash the filter beds down with a garden hose(with a pressure nozzle on it).Then Recover the filter beds as they were found. H. Sample Collection Ye No❑ If yes: ❑BOD4TSS ❑pH *N &ther All samples are to be taken from the manifold located in the recirculation tank,and are to be stored in sterile, laboratory supplied containers. In order to prevent any cross-contamination from a previous sample rinse the dip cup into the effluent stream at the manifold three times so that a representative sample can be obtained. Make sure to wear proper safety equipment while pulling samples(i.e.rubber gloves). System Notes: UVS Oy Environjventtid Systeyis, .Inc. OMNI RSF Operation and Maintenance Inspection Checklist A. Installation & Service Information Facility Street Address Da a of 8ervice city Operator/O&M Firm System Startup Date Weather Conditions B. Septic Wank Mt,,\\n Sludge Pumping Required: Yes❑ No Sludge Depth: Scum Depth: 0 Effluent tee filter: Yes No El If yes, inspec%&clean at least yearly If the sludge layer is within 12'of the outlet invert,recommend that the homeowner have the septic tank pumped,note the approximate scum layer thickness as well.Also,inquire if the homeowner has a pumping schedule established with a licensed septage hauler, if not recommend a two to four year pumping schedule depending on how heavily the system is used- C. Recirculation Tank �a\ c` 5� �?�� '+'�1'"^"�` � �`�� 4 r Check if sludge accumulating Pumping required: Yes❑ No Odor problems: Yes ❑ No�( If yes,description Effluent tee filter: Yes❑ N If yes, inspect[] &clean at least yearly❑ If the sludge layer is greater than 4"request that the homeowner pump out the recirculation tank in order to prevent clogging of the filter modules. Note the characteristics of the effluent coming out of the manifold this may indicate that the filter bed may need servicing. D. Equalization Tank (if installed) Sludge Pumping Required: Yes❑ No❑ ❑Sludge Depth: ❑ Scum Depth: Effluent tee filter: Yes❑ No❑ If yes, inspect❑ &clean at least yearly❑ Same inspection criteria as septic tank: E. Pump Chamber/Vault (if Installed) Pump Inspections Inspections(all units) If problems,describe [Float switches Y Check all switches for operation Make Sure the pump is operational by pulling up the float switch;if the pump is not operational immediate corrective actions need to be taken. i ff F. Pumps, Switches, Floats, Alarm System *um Inspections all units ­ (� z If problems,describe [ Test pump alternator, or record hours Hours of operation Float switches Check all switches for operation (ATest alarm If non-functioning,corrective action(s) Make sure pump(s), Float(s)and audible alarm(s)are functional,if not make a note so that corrective actions can be made. (' G. Filter Modules ("Sand Filters") vim Inspect for ponding Ponding Present:Yes❑ NcA Clean bed: Yes❑ Nc ]1 Distribution pipes Flush:Yes❑ N oM Brush: Yes❑ No ❑Any obstruction of airflow to filter modules: Yes❑ Nqy If Yes, explain below(i.e. snow, dirt) To inspect the condition of the filter modules remove the mulch layer at one corner of the filter module area, then lift the filter fabric so that the media can be inspected through the end of the contactor. The media should have a thin biomass layer growing on it and should have a brownish shaggy coloration.If the surface of the filter module area appears to be clogged, or the biomass layer is too think it is suggested to completely expose the filter modules,and rake the filter beds thoroughly,then wash the filter beds down with a garden hose(with a pressure nozzle on it).Then Recover the filter beds as they were found, H. Sample Collection Yes No❑ If yes: ❑BOk,TSS ❑pH TN Other t\:�0. ,;I�� ) ( ;� i All samples are to be taken from the manifold located in the recirculation tank,and are to be stored in sterile,. laboratory supplied containers.In order to prevent any cross-contamination from a previous sample rinse the dip cup into the effluent stream at the manifold three times so that a representative sample can be obtained. Make sure to wear proper safety equipment while pulling samples(i.e. rubber gloves). System Notes: i J1 � , I ll �' ' 'co" 31 la, 41 Go OV) V-zr, xIj Serial_No:12171312:03 HA :9 N A.L Y T I C A L. ANALYTICAL REPORT Lab Number: L1325141 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: David Bennett Phone: (508)896-1706 Project Name: PICKWICK AND EVERGREEN REALTY Project Number: BEA13-10583 Report Date: 12/17/13 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(LA000065),ME(MA00086), PA(68-03671),USDA(Permit #P-330-11-00240),NC(666),TX(T104704476),DOD(1-2217),US Army Corps of Engineers. Eight Walkup Drive,Westborough, MA 01581-1019 508-898-9220 (Fax)508-898-9193 800-624-9220-www.alphalab.com Page 1 of 16 Serial—No:12171312:03 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1325141 Project Number: BEA13-10583 Report Date: 12/17/13 Alpha Sample Collection Sample ID Client ID Location Date/Time L1325141-01 EFFLUENT COTUIT, MA 12/10/13 12:45 Page 2 of 16 Serial—No:12171312:03 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1325141 Project Number: BEA13-10583 Report Date: 12/17/13 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet all of the requirements of NELAC,for all NELAC accredited parameters.The data presented in this report is organized by parameter(i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE",respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific% recovery orIRPD value that is outside the listed Acceptance Criteria is bolded in the report.Performance criteria for CAM and RCP methods allow for some LCS compound failures to occur and still be within method compliance.In these instances,the specific failures are not narrated but are noted in the associated QC table.This information is also incorporated in the Data Usability format for our Data Merger tool where it can be reviewed along with any associated usability implications.Soil/sediments,solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances the specific failure is not narrated but noted in the associated QC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. HOLD POLICY For samples submitted on hold,Alpha's policy is to hold samples(with the exception of Air canisters)free of charge for 21 calendar days from the date the project is completed.After 21 calendar days,we will dispose of all samples submitted including those put on hold unless you have contacted your Client Service Representative and made arrangements for Alpha to continue to hold the samples.Air canisters will be disposed after 3 business days from the date the project is completed. Please contact Client Services at 800-624-9220 with any questions. AA tia Page 3 of 16 Serial—No:12171312:03 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1325141 Project Number: BEA13-10583 Report Date: 12/17/13 Case Narrative(continued) Nitrogen, Total Kjeldahl L1325141-01 has an elevated detection limit due to the dilution required by the sample matrix. I,the undersigned, attest under the pains and penalties of perjury that,to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. (l1 _. Cynthia McQueen Authorized Signature: Title: Technical Director/Representative Date: 12/17/13 1 Page 4 of 16 ldtia Serial Nol2171312:03 INORGANICS MISCELLANEOUS Page 5 of 16 Serial—No:12171312:03 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1325141 Project Number: BEA13-10583 Report Date: 12/17/13 SAMPLE RESULTS Lab ID: L1325141-01 Date Collected: 12/10/13 12:45 Client ID: EFFLUENT Date Received: 12/11/13 Sample Location: COTUIT,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry Westborodgh.Lab Solids,Total Suspended ND mg/I 5.0 NA 1 - 12/12/13 13:45 30,2540D DW Nitrogen,Nitrite 0.064 mg/1 0.050 -- 1 - 12/12/13 02:04 44,353.2 DB —------------------------------------------_--- --- - -- - ---------------------------------------- ---— - -----------------—------------------- --- —_._...__...- --....--_------------- Nitrogen,Nitrate 37. mg/I 1.0 10 - 12/12/13 02:39 44,353.2 DB ---......_............_..__..._.._._.. Nitrogen,Total Kjeldahl ND mg/I 3.00 10 12/14/13 12:15 12/16/13 21:34 30,4500N-C AT CBOD,5 day ND mg/I 2.0 NA 1 12/11/13 22:50 12/16/13 17:00 30,5210E SE � ha Page 6 of 16 Serial—No:12171312:03 Project Name: PICKWICK AND EVERGREEN REALTI Lab Number: L1325141 Project Number: BEA13-10583 Report Date: 12/17/13 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry-1e8tb6rough Lab for samples) WG658241 MOD,5 day ND mg/I 2.0 NA 1 12/11/13 22:50 12/16/13 17:00 30,52106 SE General"Chemistry Westborough Lab for samples) 013 Batch WG658258 1 .._. _.. ..... ._ e._.b�.._ _.,. Nitrogen,Nitrate ND mg/I 0.10 1 12/12/13 01 46- 44,353.2 DB — -- -----. .__. --- ---.- _.. ..— ------. ...-. -- ----_. . ..-- -. ------- ----- General Chemistry Westborough Lati for samples) 01 Batch ,UVG658259 1 Nitrogen,Nitrite ND mg/I 0.050 1 12/12/13 01:47 44,353.2 DB -------- General Chemistry y Westborough Lab for sample(s)�01* BatchyWG658309 Solids,Total Suspended ND mg/I 5.0 NA 1 12/12/13 13:45 30,2540D DW GeneraLChemstry Westborough Lab for samples) 01 :Batch 'WG659095 1 Nitrogen,Total Kjeldahl ND mg/I 0.300 1 12/14/13 12:15 12/16/13 21:15 30,4500N-d AT I l�i?FiA Page 7 of 16 Serial—No:12171312:03 Lab Control Sample Analysis Project Name: PICKWICK AND EVERGREEN REALTY Batch Quality Control Lab Number: L1325141 Project Number: BEA13-10583 Report Date: 12/17/13 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qual Limits RPD Qual RPD Limits GeneraliChemistry Westborough;Lab Associated sample(s) .01 Batch V1/G658241 2 CBOD,5 day 47-104 - 49 GeneralrChemistry ,Westbor gh Lab .'Associated sample(s)!01 Batch:,WG658258 2 - Nitrogen,Nitrate ib4'"' " - 90-110 - General Chemistry-.WestboroughiLab 'Asssociated sa'mple(s): 01 , Batch .1NG658259 2 >. Nitrogen,Nitrite r- �1,OSy. -„_j 90-110 - 20 General�Chemistry ,Westborough Lab ,Associatedaample(s) 01 Batch 1NG6590952w Nitrogen,Total Kjeldahl j ..._. 99. ...... - 78-122 - Page 8 of 16 —� HA Serial No:12171312:03 Matrix Spike Analysis Project Name: PICKWICK AND EVERGREEN REALTY Batch Quality Control Lab Number: L1325141 Project Number: BEA13-10583 Report Date: 12/17/13 Native MS MS MS MSD MSD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits Gene.ralxChemistry;-Westborough Lab.Assobi8ted sample(s):01 _ QC Bafeh ID 1NG658.241 4 , QC Sample: L1325141=0.1' ,Client,ID :;EFFLUENT. CBOD,5 day ND 100 86 86 36-125 49 General=Chemist =W.estborou h�Lab.;Associated.sam le s; 01 _.QC Batch (D:'1N.G658258 4 QC'Sam .le L1325;133.01. Client ID. MS Sar le . rY 9 p ( .) p p -- - - Nitrogen,Nitrate 0.27 4 4.0 :-;,92 - - 83-113 6 G QeneraCemis 94 m Cient IDM .ampletryoga Nitrogen,Nitrite ND 4 3.9 98 ': 80-120 20 Geneial Chem ._ _ _. - _....°..... ....... . QCis bu, hiLab,Associated sampr- W C Mam l.et esbor L _~ . ....................... Nitrogen,Total Kjeldahl 1.39 8 7.75 80 i - - 77-111 - 24 Page 9 of 16 / �;� Serial—No:12171312:03 Lab Duplicate Analysis Project Name: PICKWICK AND EVERGREEN REALTY Batch Quality Control Lab Number: L1325141 Project Number: BEA13-10583 Report Date: 12/17/13 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits ,General^;Chemistry .WestboroughiL-ab 'Associated samples) ,,01 : .BBatch ID: WG658241 3 QC;Sample. `L-1325141=01 CLientilD:;.EFFLUENT CBOD,5 day ND ND mg/I 'NC:` > 49 General=Chemistry 1Nestbocough Lab Associatedsample(s) 01 QC{Batch ID `1NG658258 3 QC;Sample r11325133 01; Client ID DUP, Sample 'e:.✓_ _v.:.._.;.x.:_ v ..._-. ... _.. %AFty_ mx3 _ _.:..-_'_.. -.. eo_•3....:. aw.._�:�.�:.c-�_a..5cv�.w,.x:M3ee..,c.:a�.+wa.-.psz,nor.5�—r.s�.,.,._9,.c�.-.,,.r-_�_..vcn.-r�W�,..�._�..rw.e...�ht.-�a.�.�-..-+[_ _Ya� _ 3.__.-�5-__.�iiss3_..W_�. .»a.a i..._a_..:me. - .-.-s.._.1 Nitrogen,Nitrate 0.27 0.26 mg/I 0,; 6 Ge!era l;Chemistry WestboroughrLab Associated sample(s):rO1 QCIBatch ID .1NG658259 3 QC Sample -L1.325,144 01' Client<ID. DOP.Sample Nitrogen,Nitrite ND ND mg/I rv, -NC',x-` 20 .....,.:r. -....,..a--... �,-.,_:r GeneraliChemistry Westborough�Lab Associated sample(s), O1 QC Batch:IlD WG658309 2 ; QC Sample :L13251 O3 01:EClient ID .DUP Sample Solids,Total Suspended 94 85 mg/I 10. 29 ,.-_..-.� ..<,.. _,..,_,; _.,�.. ,.; -:: _.• - :-:..� GeneralChemist Westborou hLab -Associated sam le s :01 QC Batch'ID 'WG659095-3 QC Sample L1325O31 01 ClientslD 'DUP.Sample ., Nitrogen,Total Kjeldahl 1.39 1.27 mg/I " = 9 `:5 24 Page 10 of 16 ;� � Serial—No:12171312:03 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1325141 Project Number: BEA13-10583 Report Date: 12/17/13 Sample Receipt and Container Information Were project specific reporting limits specified? YES Reagent H2O Preserved Vials Frozen on: NA Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C Pres Seal Analysis(*) L1325141-01A Plastic 250ml H2SO4 preserved A <2 2.8 Y Absent TKN-4500(28) L1325141-01B Plastic 1000ml unpreserved A 7 2.8 Y Absent CBOD5(2),NO2-353(2),NO3- 353(2) L1325141-010 Plastic 1000ml unpreserved A 7 2.8 Y Absent TSS-2540(7) *Values in parentheses indicate holding time in days ' y Page 11 of 16 , Serial—No:12171312:03 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1325141 Project Number: BEA13-10583 Report Date: 12/17/13 GLOSSARY Acronyms EDL Estimated Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting limit(RL).The EDL includes any adjustments from dilutions,concentrations or moisture content,where applicable.The use of EDLs is specific to the analysis of PAHs using Solid-Phase Microextraction(SPME). EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NI Not Ignitable. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Footnotes 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Data Qualifiers A Spectra identified as"Aldo]Condensation Product". B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(IOx)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit. C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. G The concentration may be biased high due to matrix interferences(i.e,co-elution)with non-target compound(s).The result should be considered estimated. H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I The lower value for the two columns has been reported due to obvious interference. Report Format: Data Usability Report Page 12 of 16 Serial—No:12171312:03 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1325141 Project Number: BEA13-10583 Report Date: 12/17/13 Data Qualifiers M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICS),where the identification is based on a mass spectral library search. P The RPD between the results for the two columns exceeds the method-specified criteria. Q The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R Analytical results are from sample re-analysis. RE Analytical results are from sample re-extraction. S Analytical results are from modified screening analysis. Report Format. Data Usability Report Page 13 of 16 Serial No:12171312:03 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1325141 Project Number: BEA13-10583 Report Date: 12/17/13 REFERENCES 30 Standard Methods for the Examination of Water and Wastewater.APHA-AWWA- WPCF. 18th Edition. 1992. 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100,August 1993. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error,the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the field. A6 tiA Page 14 of 16 Serial-No:12171312:03 Certification Information Last revised December 11,2013 The following analytes are not included in our NELAP Scope of Accreditation: Westborough Facility EPA 524.2: Acetone,2-Butanone(Methyl ethyl ketone(MEK)), Tert-butyl alcohol,2-Hexanone,Tetrahydrofuran, 1,3,5-Trichlorobenzene,4-Methyl-2-pentanone(MIBK), Carbon disulfide, Diethyl ether. EPA 8260C: 1,2,4,5-Tetramethylbenzene,4-Ethyltoluene, lodomethane (methyl iodide), Methyl methacrylate, Azobenzene. EPA 8330A/B: PETN, Picric Acid, Nitroglycerine, 2,6-DANT, 2,4-DANT. EPA 8270D: 1-Methylnaphthalene, Dimethyl naphthalene,1,4-Diphenylhydrazine. EPA 625: 4-Chloroaniline,4-Methylphenol. SM4500: Soil:Total Phosphorus,TKN, NO2, NO3. EPA 9071: Total Petroleum Hydrocarbons, Oil&Grease. Mansfield Facility EPA 8270D: Biphenyl. EPA TO-15: Halothane, 2,4,4-Trimethyl-2-pentene, 2,4,4-Trimethyl-1-pentene,Thiophene,2-Methylthiophene, 3-Methylthiophene, 2-Ethylthiophene, 1,2,3-Trimethylbenzene, Indan, Indene, 1,2,4,5-Tetramethylbenzene, Benzothiophene, 1-Methylnaphthalene. The following analytes are included in our Massachusetts DEP Scope of Accreditation,Westborough Facility: Drinking Water EPA 200.8:Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TI; EPA 200.7: Ba,Be,Ca,Cd,Cr,Cu,Na; EPA 245.1: Mercury; EPA 300.0: Nitrate-N, Fluoride,Sulfate; EPA 353.2: Nitrate-N, Nitrite-N; SM4500NO3-F: Nitrate-N, Nitrite-N; SM4500E-C, SM4500CN-CE, EPA 180.1,SM213013,SM4500CI-D,SM232013,SM2540C,SM450OH-B EPA 332: Perchlorate. Microbiology: SM921513; SM9223-P/A, SM9223B-Colilert-QT, Enterolert-QT. Non-Potable Water EPA 200.8:AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI,Zn; EPA 200.7:AI,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,Ti,TI,V,Zn; EPA 245.1,SM4500H,B, EPA 120.1, SM2510B, SM2540C,SM234013,SM232013,SM4500CL-E,SM4500E-BC, SM426C,SM4500NH3-BH, EPA 350.1:Ammonia-N,LACHAT 10-107-06-1-B:Ammonia-N, SM4500NO3-F, EPA 353.2: Nitrate-N,SM4500NH3-BC-NES, EPA 351.1, SM4500P-E,SM4500P-B, E,SM5220D, EPA 410.4, SM5210B, SM5310C,SM4500CL-D, EPA 1664, SM14 510AC, EPA 420.1,SM4500-CN-CE,SM2540D. EPA 624:Volatile Halocarbons&Aromatics, EPA 608: Chlordane,Toxaphene,Aldrin,alpha-BHC, beta-BHC, gamma-BHC, delta-BHC, Dieldrin, DDD, DDE, DDT, Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs EPA 625: SVOC(Acid/Base/Neutral Extractables), EPA 600/4-81-045: PCB-Oil. Microbiology:SM9223B-Colilert-QT; Enterolert-QT,SM9222D-MF. For a complete listing of analytes and methods, please contact your Alpha Project Manager. Page 15 of 16 _ Serial No:12171312:03 Date R Pid i.''L`a:a;. p:: / . CHAIN OF CUSTODY PAGE 1 OF 1 �I CPH'`A A��Job ProjectV • Report I • • Data DeliverablesBilling information ,.^.yU.�A Westborough,MA Mansfield,MA ❑ FAX ® EMAIL ® Same as Client Info PO#10583 TEL 808.898-9220 TEL Sna 822-9300 Project Name:Pickwick and Evergreen Realty ❑ ADEx ❑ Add'I Deliverables FAX:508-89B-9193 FAX SOM22-328a I E-i 1 RegUlat — • Requirements/Report InformationClient Project Location:Cotuit,MA StatelFed Program criteria Client:Bennett Environmental Associates Project#:BEA13-10583 Address:1573 Main Street/P.O.Box 1743 Project Manager:David C.Bennett Brewster,MA 02631 ALPHA Quote#: Phone:508-896-1706 . ANALYSIS Fax:508-896-5109 ®Standard ❑Rush(ONLY IF PRE-APPROVEDt SAMPLE HANDLING Email:sfarrenkopf@bennett-ea.com Filtration ❑ Done ❑These samples have been Previously analyzed by Alpha Due Date:'Z1 iS)eTlme: 0 Not Needed Other Project Specific Requirements/Comments/Detection Limits: ❑ Lab to do , Preservation • ❑ Lab to do Q (Please specify U below) ALPHA Lab.ID•..:.: Sample ID Collection Sample Sampler's z ;.(Lab?Use Onlq).,. Date Time Matrix Initials m Z (� �[ sample specific Z H comments Eiz°'ru : :.. Effluent UUV11 ® ® ® ❑ ❑ ❑ ❑ ❑ El El El El ' a. El 10 El El 7 ❑ ❑ , 's- ❑ ❑ ❑ ❑ ❑ ❑ -- El F I El 77 ❑ ❑ ❑ ❑ ❑ El ❑ ❑ 1 El ❑ El ❑ ❑ ❑ ❑ ❑ El El 11 0 El Container Type P P P preservative b O D _ {Plea a (ht ci�arlg`legly.°.. �nd;co0 ljgtely Adt.V010agediinadd '-t" ; Rell hed B DateMme eeived By: Datemme tyrn'erou0�;tim�.clgckk��Hiil[rjoY:.', , ei.1 59 1 t-1ly.'aafibigullies 3 L + soloed.":`:All:sampls.:: s. §ribmtte�j`are'eGbjeCGt6 FOR NO:Ot-01((-NJ) ! Cf•. - " ';Alpha's:Paymenl'Terins. -a Qev.26APR-09) WMsiU I Page 16 of 16 Serial_No:02111418:54 HA .:4NAI V IT CA:L ANALYTICAL REPORT Lab Number: L1403051 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: David Bennett Phone: (508)896-1706 Project Name: PICKWICK AND EVERGREEN REALTY Project Number: BEA13-10583 Report Date: 02/11/14 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(LA000065),ME(MA00086), PA(68-03671),USDA(Permit #P-330-11-00240),NC(666),TX(T104704476),DOD(1-2217),US Army Corps of Engineers. Eight Walkup Drive,Westborough, MA 01581-1019 508-898-9220 (Fax)508-898-9193 800-624-9220-www.alphalab.com Fl` Page 1 of 15 Serial No:02111418:54 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1403051 l Project Number: BEA13-10583 Report Date: 02/11/14 Alpha Sample Collection Sample ID Client ID Location Date/Time L1403051-01 EFFLUENT COTUIT, MA 02/06/14 13:45 AA Page 2 of 15 Serial No:O2111418:54 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1403051 Project Number: BEA13-10583 Report Date: 02/11/14 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet all of the requirements of NELAC,for all NELAC accredited parameters.The data presented in this report is organized by parameter(i.e..VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE",respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific% recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.Performance criteria for CAM and RCP methods allow for some LCS compound failures to occur and still be within method compliance.In these instances,the specific failures are not narrated but are noted in the associated QC table.This information is also incorporated in the Data Usability format for our Data Merger tool where it can be reviewed along with any associated usability implications.Soil/sediments,solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances the specific failure is not narrated but noted in the associated QC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. HOLD POLICY For samples submitted on hold,Alpha's policy is to hold samples(with the exception of Air canisters)free of charge for 21 calendar days from the date the project is completed.After 21 calendar days,we will dispose of all samples submitted including those put on hold unless you have contacted your Client Service Representative and made arrangements for Alpha to continue to hold the samples.Air canisters will be disposed after 3 business days from the date the project is completed. Please contact Client Services at 800-624-9220 with any questions. I,the undersigned, attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal,inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Authorized Signature: lk"Q( � Kelly Stenstrom Title: Technical Director/Representative Date: 02/11/14 Page 3 of 15 ' HA Serial No:02111418:54 INORGANICS MISCELLANEOUS Page 4 of 15 Serial No:O2111418:54 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1403051 Project Number: BEA13-10583 Report Date: 02/11/14 SAMPLE RESULTS Lab ID: L1403051-01 Date Collected: 02/06/14 13:45 Client ID: EFFLUENT Date Received: 02/07/14 Sample Location: COTUIT,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst GenerahChemistry VUestborotigh Lab Nitrogen,Nitrite ND mg/1 0.050 — 1 - 02/08/14 00:50 44,353.2 DB Nitrogen,Nitrate 40. mg/I 0.50 — 5 - 02/08/14 00:56 44,353.2 DB Nitrogen,Total Kjeldahl 4.19 mg/1 3.00 — 10 02/10/14 12:29 02/10/14 21:24 30,4500N-C AT Page 5 of 15 Serial No:02111418:54 Project Name: PICKWICK AND EVERGREEN REALTI Lab Number: L1403051 Project Number: BEA13-10583 Report Date: 02/11/14 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst Geri ral,Che s ry Westborough Lab for samples) 01 Batch WG669343 1 Nitrogen,Nitrate ND mg/l 0.10 1 02/08/14 00:40 44,353.2 DB General Chemistry Westborough Lab for samples) 01 Batch''WG669344 t Nitrogen,Nitrite ND mg/I 0.050 — 1 02/08/14 00:41 44,353.21 DB General Chemistry-Westborough Lab foraample(§) 01:`Batch 'WG669621 1. Nitrogen,Total Kjeldahl ND mg/I 0.300 1 02/10/14 12:29 02/10/14 21:16 30,4500N-C AT Page 6 of 15 Serial No:02111418:54 Lab Control Sample Analysis Batch Quality Control Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1403051 Project Number: BEA13-10583 Report Date: 02/11/14 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qual Limits RPD Qual RPD Limits r General Chemistry Westhorough Lab Associated sarnple(s} 01 Batch VVG669343 2 Nitrogen,Nitrate 103 90-110 - General Chemistry Westborough Lab Associated sampl es) 01 Batch WG669344 2 Nitrogen,Nitrite 96> - 90-110 - 20 General Chernlstry Westborough Lab Associated sample(s): 01 Batch .;UVG669621 Nitrogen,Total Kjeldahl i 7,7 99. '! - 78-122 - Page 7 of 15 /�H� ��-.,�.,<... Serial No:02111418:54 Matrix Spike Analysis Project Name: PICKWICK AND EVERGREEN REALTY Batch Quality Control Lab Number: L1403051 Project Number: BEA13-10583 Report Date: 02/11/14 Native MS MS MS MSD MSD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits General,Chemistry-Westborough Lab Associated sample(s) :01 QC Batch ID :WG669343 4 QC Sample::L1403041 01: Client ID MS Sample - Nitrogen,Nitrate 24 4 28 10*'_..77.11 83-113 - .e_ U _ A'YN6 General Chemistry--Westborough Lab;Associated sample(s).`01 QC+Batch ID.`WG669344 4. 'QC,Sample:,:L1.403041-01.- Client`ID:' MS Sample Nitrogen,Nitrite 0.11 4 4.1 100'. 80-120 20 _ ._.._._ _. . ...... General4Chemistry=Westborough Lab Associated,sample(s) 01 QC.Batch ID: WG669,621 4 QC Sample: L1402812-02 Client ID:-MS Sample' Nitrogen,Total Kjeldahl 5.34 8 12.8 `` ,93'..` ' - - 77-111 y - 24 ' Page 8 of 15 Serial No:02111418:54 Lab Duplicate Analysis Project Name: PICKWICK AND EVERGREEN REALTY Batch Quality Control Lab Number: L1403051 Project Number: BEA13-10583 Report Date: 02/11/14 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits Genera[Chemist rY Westborou h'L ab ' fles 01 QC.Batch ID 1NG669343 3 ;QC Sample:.:L14Q3041 01 Cllent'.ID pIJP_Sam le 9 Associaed sampO p Nitrogen,Nitrate 24 24 mg/I 0 6 • .-,._: .� :,�. . _.�,. ;. _ ,ems. _:.;-,...�....,,.:.,,,; .,.:, ..._... ,;.,. ....-; .,.,.��...:, ,- General Chemistr Westborou hLab Associated_sam' le s , 01 QC.Batch ID.;-WG669.344 3 ;::QC Sam le.<:L14:0,3041-0`9 ClLent ID. DUP Sam le . Nitrogen,Nitrite 0.11 0.11 mg/I 0 20 General Chemistry Westborough Lab'Associated samples) ;01 QC Batch ID :1NG669.621 3 ' QC Sample:::11402812 02_Client.ID DUP Sample Nitrogen,Total Kjeldahl 5.34 5.61 mg/I ".5 24 Page 9 of 15 � ?!�a, Serial No:02111418:54 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1403051 Project Number: BEA13-10583 Report Date: 02/11/14 Sample Receipt and Container Information Were project specific reporting limits specified? YES Reagent H2O Preserved Vials Frozen on: NA Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C Pres Seal Analysis(") L1403051-01A Plastic 250ml unpreserved A 7 3.6 Y Absent NO2-353(2),NO3-353(2) L1403051-01B Plastic 250ml H2SO4 preserved A <2 3.6 Y Absent TKN-4500(28) *Values in parentheses indicate holding time in days Page 10 of 15 I Serial No:O2111418:54 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L14O3O51 Project Number: BEA13-10583 Report Date: 02/11/14 GLOSSARY Acronyms EDL Estimated Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting limit(RL).The EDL includes any adjustments from dilutions,concentrations or moisture content,where applicable.The use of EDLs is specific to the analysis of PAHs using Solid-Phase Microextraction(SPME). EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC Not Calculated: Tenn is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NI Not Ignitable. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Footnotes I -The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Data Qualifiers A Spectra identified as"Aldol Condensation Product". B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(I Ox)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field sarnples that have detectable concentrations of the analyte above the reporting limit. C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. G The concentration may be biased high due to matrix interferences(i.e,co-elution)with non-target compound(s).The result should be considered estimated. H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I The lower value for the two columns has been reported due to obvious interference. Report Format: Data Usability Report r BHA IT Page 11 of 15 Serial No:02111418:54 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1403051 Project Number: BEA13-10583 Report Date: 02/11/14 Data Qualifiers M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICS),where the identification is based on a mass spectral library search. P The RPD between the results for the two columns exceeds the method=specified criteria. Q The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:Tlus flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R Analytical results are from sample re-analysis. RE Analytical results are from sample re-extraction. S Analytical results are from modified screening analysis. J Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICS). ND Not detected at the reporting limit(RL)for the sample. Report Format: Data Usability Report 4 Page 12 of 15 Serial No:02111418:54 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1403051 Project Number: BEA13-10583 Report Date: 02/11/14 REFERENCES 30 Standard Methods for the Examination of Water and Wastewater.APHA-AWWA- WPCF. 18th Edition. 1992. 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100, August 1993. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error,the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the field. y\ �a Page 13 of 15 Serial No:02111418:54 Certification Information Last revised December 11,2013 The following analytes are not included in our NELAP Scope of Accreditation: . Westborough Facility EPA 524.2: Acetone,2-Butanone(Methyl ethyl ketone(MEK)), Tert-butyl alcohol, 2-Hexanone,Tetrahydrofuran, 1,3,5-Trichlorobenzene,4-Methyl-2-pentanone(MIBK), Carbon disulfide, Diethyl ether. EPA 8260C: 1,2,4,5-Tetramethylbenzene, 4-Ethyltoluene, lodomethane(methyl iodide), Methyl methacrylate, Azobenzene. EPA 8330A/B: PETN, Picric Acid, Nitroglycerine,2,6-DANT, 2,4-DANT. EPA 8270D: 1-Methylnaphthalene, Dimethyl naphthalene,1,4-Diphenylhydrazine. EPA 625: 4-Chloroaniline,4-Methylphenol. SM4500: Soil:Total Phosphorus, TKN, NO2, NO3. EPA 9071: Total Petroleum Hydrocarbons, Oil &Grease. Mansfield Facility EPA 8270D: Biphenyl. EPA TO-15: Halothane, 2,4,4-Trimethyl-2-pentene, 2,4,4-Trimethyl-1-pentene,Thiophene, 2-Methylthiophene, 3-Methylthiophene, 2-Ethylthiophene, 1,2,3-Trimethyl benzene, Indan, Indene, 1,2,4,5-Tetramethylbenzene, Benzothiophene, 1-Methylnaphthalene. The following analytes are included in our Massachusetts DEP Scope of Accreditation,Westborough Facility: Drinking Water EPA 200.8: Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TI; EPA 200.7: Ba,Be,Ca,Cd,Cr,Cu,Na; EPA 245.1: Mercury; EPA 300.0: Nitrate-N, Fluoride, Sulfate; EPA 353.2: Nitrate-N, Nitrite-N; SM4500NO3-F: Nitrate=N, Nitrite-N; SM4500E-C, SM4500CN-CE, EPA 180.1,SM213013, SM4500CI-D, SM232013,SM2540C, SM4500H-B EPA 332: Perchlorate. Microbiology: SM921513; SM9223-P/A,SM9223B-Colilert-QT, Enterolert-QT. Non-Potable Water EPA 200.8:AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI,Zn; EPA 200.7:AI,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,Ti,TI,V,Zn; EPA 245.1,SM4500H,B, EPA 120.1, SM251013,SM2540C, SM234013, SM232013,SM4500CL-E, SM4500E-BC, SM426C, SM4500NH3-BH, EPA 350.1:Ammonia-N, LACHAT 10-107-06-1-B:Ammonia-N, SM4500NO3-F, EPA 353.2: Nitrate-N, SM4500NH3-BC-NES, EPA 351.1,SM4500P-E,SM4500P-B, E, SM5220D, EPA 410.4, SM521013, SM5310C, SM4500CL-D, EPA 1664, SM14 510AC, EPA 420.1, SM4500-CN-CE, SM254013. EPA 624:Volatile Halocarbons&Aromatics, EPA 608: Chlordane,Toxaphene, Aldrin, alpha-BHC, beta-BHC, gamma-BHC, delta-BHC, Dieldrin, DDD, DDE, DDT, Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs EPA 625: SVOC (Acid/Base/Neutral Extractables), EPA 600/4-81-045: PCB-Oil. Microbiology: SM9223B-Colilert-QT; Enterolert-QT, SM9222D-MF. For a complete listing of analytes and methods, please contact your Alpha Project Manager. Page 14 of 15 . .. . Serial No:02.11141 8:54. !c' .rl •.h1:; .7 v�j:. :till' �:t.':- 'T'. '�i,I(44Y�'�p; ;1�' ;a,' QateRectl m,Lab.).. k. a V # CUSTODY�'1 PAGE 1 OF .. . HA USTOD • ,;L �u.i ::9+ �::•' 'Si,:. ,v:�rxw;':�.., rc.:;ur>.> :,,+„�,.. n1C:�,i;Lii: Report Information Data Deliverables Billing Information Project Information " ❑:FAX ® EMAIL.. ® Same as Cllent Info Pot t0583. Westborough,MA Mansrield,MA Project.Name:Pickwick and Evergreen Realty. TEL:508�898.9220 TEL:508-822-9300 ❑ ADEx ❑ Add'I Deliverables FAX:.508-898-9193 .. FAX:508-B22-3288 Regulatory • •• InformationClient 1—:Project Location:Cotuit;MA State/Fed.Program Criteria Client:Bennett Environmental Associates Pro ect.#: BEA13.-10583 "Address:1573 Main Street/P':O,Box 1743 :Project Manager:David C.Bennett Brewster MA 02637 ALPHA Quote#: ... ... Phone508-896-1706. • - :.. ANALYSIS :. Fax:508-896-57 09 ®Standard: ❑Rush(ONLY IF PRE-APPROVED) SAMPLE HANDLING Filtration: . Email:sfarrenkopf@bennett-ea:com . Q.Done ❑These samples have been Previously analyzed by Alpha" Due Date: Time: 0 Not Needed :. � r,1/1 ❑ Lab to do Other Project Specific Requirements/Comments/Detection:Limits: Preservation • [t Lab to do ' ' . _ (Pleasespecify . befow) kF, ALPHP`Lab;tD• 1-;? Sample ID Collection : Sample .. Sampler's z' ' Matrix Initials Date Time _ c �' ;..; 6flmp1.9p•clfic Ommente ., 3 y l` E.ffluenf Z t, .:... ����' VwV..:. �3 :... ® .: : .❑.. ❑ ❑.. :❑ ❑. ❑.. 2 is Li El El El 13 El L1 El 11 El El 11 El . 10 Sri:: .:.i31:; r.Cn, •''''.v,'y.�;,t`.' �...,r. Con#airier Type Preservative ° ° slit ,, ntl. b1�t'�IAt91y, S �11es.carl.r ?.tiotl6edlog9ec(II�'�an';i•:;r?;`� .�;r' T li ulsh Daterllme Received By: Datelrime:. taiu-a Od taro kcloi k wiu t,oL i __ p V \ .. � F 1 ,'"\4s � �s l`ved:-All ;i.sutirnitted,are sii6jectto^ins:;'r:' FORMNO;Oi-otoN�I ; Alphaf'sFPaymerit;Teirits`: '. F. 19-APR-09J .. .. .� Page /5 of 15.. .. .. Serial_No:03171415:18 f' A.L Y T 1 CAL ANALYTICAL REPORT Lab Number: L1404933 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: David Bennett Phone: (508)896-1706 Project Name: PICKWICK AND EVERGREEN REALTY Project Number: BEA13-10583 Report Date: 03/17/14 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(LA000065),ME(MA00086), PA(68-03671),USDA(Permit #P-330-11-00240),NC(666),TX(T1.04704476),DOD(L2217),US Army Corps of Engineers. Eight Walkup Drive,Westborough, MA 01581-1019 508-898-9220 (Fax)508-898-9193 800-624-9220-www.alphalab.com fr;a Page 1 of 16 Serial No:03171415:18 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1404933 Project Number: BEA13-10583 Report Date: 03/17/14 Alpha Sample Collection Sample ID Client ID Location Date/Time L1404933-01 EFFLUENT COTU IT, MA 03/10/14 09:00 Page 2 of 16 Serial No:03171415:18 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1404933 Project Number: BEA13-10583 Report Date: 03/17/14 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet all of the requirements of NELAC,for all NELAC accredited parameters.The data presented in this report is organized by parameter(i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE",respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific% recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.Performance criteria for CAM and RCP methods allow for some LCS compound failures to occur and still be within method compliance.In these instances,the specific failures are not narrated but are noted in the associated QC table.This information is also incorporated in the Data Usability format for our Data Merger tool where it can be reviewed along with any associated usability implications.Soil/sediments,solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances the specific failure is not narrated but noted in the associated QC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. HOLD POLICY For samples submitted on hold,Alpha's policy is to hold samples(with the exception of Air canisters)free of charge for 21 calendar days from the date the project is completed.After 21 calendar days,we will dispose of all samples submitted including those put on hold unless you have contacted your Client Service Representative and made arrangements for Alpha to continue to hold the samples.Air canisters will be disposed after 3 business days from the date the project is completed. Please contact Client Services at 800-624-9220 with any questions. Page 3 of 16 _- Serial_No:03171415:18 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1404933 Project Number: BEA13-10583 Report Date: 03/17/14 Case Narrative(continued) Nitrogen, Nitrate L1404933-01 was analyzed for Nitrite within the method required holding time.An aliquot of sample was then preserved and analyzed for Nitrate. I,the undersigned, attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Authorized Signature: ` U ' Michelle M, Morris Title: Technical Director/Representative Date: 03/17/14 Page 4 of 16 Serial No:03171415:18 f INORGANICS MISCELLANEOUS Page 5 of 16 Serial No:03171415:18 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1404933 Project Number: BEA13-10583 Report Date: 03/17/14 SAMPLE RESULTS Lab ID: L1404933-01 Date Collected: 03/10/14 09:00 Client ID: EFFLUENT Date Received: 03/10/14 Sample Location: COTUIT,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst , _ ry _.' ough La General Chemist Westbor b� Solids,Total Suspended ND mg/1 5.0 NA 1 - 03/12/14 13:10 30,2540D DW -...__.....------ — — --- ------- ---- -.._............._............-..........._...- _......---._........_....___.. Nitrogen,Nitrite 0.020 mg/I 0.020 - 1 - 03/11/14 21:54 30,4500NO2-B TA ------- --... --------._..---.....- -- ..........--------- .._......... Nitrogen,Nitrate 33. mg/I 1.0 - 10 - 03/13/14 02:16 44,353.2 DB ---......._............ .............---...............----__......._...- --...... Nitrogen,Total Kjeldahl ND mg/I 0.300 1 03/11/14 18:33 03/12/14 19:46 30,4500N-C AT -------------.._..----- - --—...---._._.._...............-._......_...__.._...._..__....._...._..._..... ._............_-......_._....----..._.._..........._.._.__..... - ...- -- --- —-— ------------- CBOD,5 day ND mg/I 2.0 NA 1 03/11/14 21:50 03/16/14 16:05 30,5210B SE Page 6 of 16 Serial No:03171415:18 Project Name: PICKWICK AND EVERGREEN REALTI Lab Number: L1404933 Project Number: BEA13-10583 Report Date: 03/17/14 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry .:Westborough Lab for samples) 01 :•Batch:::WG67487.0 1. : *. Nitrogen,Total Kieldahl ND _ mg/I 0.300 — _r 1 u 03/11/14 18:33 03/12/14 19:39 30,4500N-C a AT General Chemistry ug Westboroh Lab forsa'mple(s) 01 Batch WG674885 1, . CBOD,5 day ND mg/1 2.0 NA 1 03/11/14 21:50 03/16/14 16:05 30,5210B SE General Chemistry Westboreugh Lab for samples) 01 Batch WG674939 1 �_..: Solids,Total Suspended ND rng/l 5.0 NA 1 03/12/14 13:10 30,2540D DW GeneraLGhemistry Westborough Lab forsa.mple(s) 01 Batch.;,.., 675160 1 Nitrogen,Nitrate ND mgA 0.10 1 03/13/14 01:11 44,353.2 DB General Ghemistry Westborough Lab for samples) 01 Batch WG675442 1 Nitrogen,Nitrite. ND mgA 0.020 1 03/11/14 21:52 30,4500NO2-B TA l�;� A Page 7 of 16 f S e ri a l_N o:03171415:18 Lab Control Sample Analysis Project Name: PICKWICK AND EVERGREEN REALTY Batch Quality Control Lab Number: L1404933 Project Number: BEA13-10583 Report Date: 03/17/14 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qual Limits RPD Qual RPD Limits General Chemistry _Westborough"Lab Associatedlsample(s,): 01 Batch:WG674870-2 Nitrogen,Total Kjeldahl "a94 78-122 - GeneralFCfemistryY-West6orouglL'a6i'Associatedsample(s):01 w.Batch:WG674885-2 - CBOD,5 day "�100' .= + - 47-104 49 General Chemistry° WesttoroughlLab -Associated sample(s)` Batch; WG675160 Nitrogen,Nitrate 100 w._6 - 90-110 - General Chemistry-Westborough Lab Associated"sample(,);01 Batch:'VVG675442-2' ___�:.. ___ �:, ._---�.:_ •- �w Nitrogen,Nitrite 92 # - 90-110 - 20 Page 8 of 16 Serial No:03171415:18 Matrix Spike Analysis Project Name: PICKWICK AND EVERGREEN REALTY Batch Quality Control Lab Number: L1404933 Project Number: BEA13-10583 Report Date: 03/17/14 Native MS MS MS MSD MSD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits General C.hemistry:'=Westborough Lab::Associatedsample,(s;): Batch IDG674:870 4 :; QGSample: L1405.005=0:1 Client ID MS Sample = Nitrogen,Total Kjeldahl 1.73 8 9.59 98 77-111 - 24 ,.-; -r..r.�,n .«.:.+.r. �.m...�.., p .:...a. .....may.,.:. .. '. ..e..., yl vv .....yr{..i.+.'.::...,. '...:r... ._.-...i.. ..,rv..,.. .... .:::... ..::..." n, ..,�...,. ;...-.:,a. :_fin.. ..x..... ......_.. ,. _ General Chemistry;=.Westborot gh Lab_:Asso.ciated sample(s): 01 :CGd tch ID;.WG674.885 4_ QC Sample: L140.4933=0.1 - Client ID °EFFLUENT' CBOD,5 day ND 100 120 '117 - - 36-125 - 49 ry: g ted sample(s.):01 QG-Batch ID ;VVG675160 4 ;; QC:Sample,:FL1404900 01 , Client ID : MS,,Sam le General Chemist Westborou h Lab Assodia Nitrogen, Nitrate 2.4 4 6.6 `106 - 83-113 - 6 General Chemistry-Westborough Lab,Associatedsample(s): 01 QC Batch ID;-;WG675442 4<_: QC=Sample: L1.400003=2$ Client ID ;:MS Sample Nitrogen,Nitrite ND 0.1 0.090 .90 - - 85-115 �- 20 Page 9 of 16 PHA Serial No:03171415:18 Lab Duplicate Analysis Project Name: PICKWICK AND EVERGREEN REALTY Batch Quality Control Lab Number: L1404933 Project Number: BEA13-10583 Report Date: 03/17/14 Parameter Native Sample Duplicate Sample Units RPD Qua[ RPD Limits General-Chemistry`-Westborough-Lab"Associated,sample(s):.<01,. .QC'Batch ID:'WG674870=3 QC Sample: 1_1405005-01 Client'ID: DUP'Sample Nitrogen,Total Kjeldahl 1.73 1.82 mg/I 5- 24 General Chemistry Westborough Lab Associated-samples) 01 QC Batch ID: WG674885-3 QC Sample. L140.4965-01: Clierit ID ;DUP Sample CBOD,5 day 5.3 5.4 mg/I 2 49 - --------- —------- ---- -- - --- —-- - ----- ---—. .. .------- ...... General Chemistry Westborough-Lab Associated samples) 01 ;QC Batch ID. WG674939 2 "QC Sample. L1405065 25 Client ID DUP Sample Solids,Total Suspended 39 31 mg/I 23 29 General Chemistry-',Westborough Lab Associated sample(s); 01 QC Batoh,ID:.0' G675160`3. QC�Sample:-L1404900-01 .Clienf113 DUP"Sample", Nitrogen,Nitrate 2.4 2.4 mg/I "1: "'`z 6 General Chemistry-Westborough,,Lab Associatedrsample(s):. 01 `�QC:Batch ID: =WG675442 3 QC Sample: L1400003=28 -ClientrID: DUP,Sample_ Nitrogen,Nitrite ND ND mg/I NC 20 ----- -------- Page 10 of 16 //4i\?F;A Serial No:03171415:18 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1404933 Project Number: BEA13-10583 Report Date: 03/17/14 Sample Receipt and Container Information Were project specific reporting limits specified? YES Reagent H2O Preserved.Vials Frozen on: NA Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C Pres Seal Analysis(*) L1404933-01A Plastic 250ml H2SO4 preserved A <2 2.2 Y Absent TKN-4500(28) L1404933-01 B Plastic 1000ml unpreserved A 7 2.2 Y Absent CBOD5(2),NO2- 4500NO2(2),NO3-353(2) L1404933-01C Plastic 1000ml unpreserved A 7 2.2 Y Absent TSS-2540(7) *Values in parentheses indicate holding time in days � PHA Page 11 of 16 Serial No:O3171415:18 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L14O4933 t Project Number: BEA13-10583 Report Date: 03/17/14 GLOSSARY Acronyms EDL Estimated Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting limit(RL).The EDL includes any adjustments from dilutions,concentrations or moisture content,where applicable.The use of EDLs is specific to the analysis of PAHs using Solid-Phase Microextraction(SPb,4E). EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC -Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NI Not Ignitable. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Footnotes 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Data Qualifiers A Spectra identified as"Aldo)Condensation Product". B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten tines(I Ox)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit. C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. G The concentration may be biased high due to matrix interferences(i.e,co-elution)with non-target compound(s).The result should be considered estimated. H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I The lower value for the two columns has been reported due to obvious interference. Report Format: Data Usability Report �L�Fi.� Page 12 of 16 Serial No:03171415:18 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1404933 Project Number: BEA13-10583 Report Date: 03/17/14 Data Qualifiers M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICS),where the identification is based on a mass spectral library search. P The RPD between the results for the two columns exceeds the method-specified criteria. Q The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R Analytical results are from sample re-analysis. RE Analytical results are fiom sample re-extraction. S Analytical results are fiom modified screening analysis. J Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICs). ND Not detected at the reporting limit(RL)for the sample. Report Format: Data Usability Report a'"—�C•iA Page 13 of 16 Serial No:03171415:18 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1404933 Project Number: BEA13-10583 Report Date: 03/17/14 REFERENCES 30 Standard Methods for the Examination of.Water and Wastewater.APHA-AWWA- WPCF. 18th Edition. 1992. 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100, August 1993. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error,the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the field. Page 14 of 16 Serial No:03171415:18 Certification Information Last revised December 11,2013 The following analytes are not included in our NELAP Scope of Accreditation: Westborough Facility EPA 524.2:Acetone,2-Butanone(Methyl ethyl ketone(MEK)), Tert-butyl alcohol, 2-Hexanone,Tetrahydrofuran, 1,3,5-Trichlorobenzene,4-Methyl-2-pentanone (MIBK), Carbon disulfide, Diethyl ether. EPA 8260C: 1,2,4,5-Tetramethylbenzene,4-Ethyltoluene, lodomethane(methyl iodide), Methyl methacrylate, Azobenzene. EPA 8330A/B: PETN, Picric Acid, Nitroglycerine, 2,6-DANT, 2,4-DANT. EPA 8270D: 1-Methyl naphthalene, Di methyl naphthalene,1,4-Diphenylhydrazine. EPA 625: 4-Chloroaniline,4-Methylphenol. SM4500: Soil: Total Phosphorus,TKN, NO2, NO3. EPA 9071: Total Petroleum Hydrocarbons, Oil&Grease. Mansfield Facility EPA 8270D: Biphenyl. EPA TO-15: Halothane, 2,4,4-Trimethyl-2-pentene, 2,4,4-Trimethyl-1-pentene,Thiophene, 2-Methylthiophene, 3-Methylthiophene, 2-Ethylthiophene, 1,2,3-Tri methyl benzene, Indan, Indene, 1,2,4,5-Tetramethylbenzene, Benzothiophene, 1-Methyinaphthalene. The following analytes are included in our Massachusetts DEP Scope of Accreditation,Westborough Facility: Drinking Water EPA 200.8: Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TI; EPA 200.7: Ba,Be,Ca,Cd,Cr,Cu,Na; EPA 245.1: Mercury; EPA 300.0: Nitrate-N, Fluoride, Sulfate; EPA 353.2: Nitrate-N, Nitrite=N; SM4500NO3-F: Nitrate-N, Nitrite-N; SM4500E-C, SM4500CN-CE, EPA 180.1,SM213013,SM4500C1-D, SM232013,SM2540C, SM450OH-B EPA 332: Perchlorate. Microbiology: SM921513; SM9223-P/A,SM9223B-Colilert-QT, Enterolert-QT. Non-Potable Water EPA 200.8:AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI,Zn; EPA 200.7: AI,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,Ti,TI,V,Zn; EPA 245.1,SM45001-1,6, EPA 120.1, SM251013,SM2540C,SM23406, SM232013, SM4500CL-E, SM4500E-BC, SM426C,SM4500NH3-BH, EPA 350.1:Ammonia-N, LACHAT 10-107-06-1-B:Ammonia-N, SM4500NO3-F, EPA 353.2: Nitrate-N,SM4500NH3-BC-NES, EPA 351.1, SM4500P-E, SM4500P-B, E,SM52201), EPA 410.4, SM521013,SM5310C,SM4500CL-D, EPA 1664,SM14 510AC, EPA 420.1, SM4500-CN-CE,SM254013. EPA 624: Volatile Halocarbons&Aromatics, EPA 608: Chlordane,Toxaphene, Aldrin, alpha-BHC, beta-BHC, gamma-BHC, delta-BHC, Dieldrin, DDD, DDE, DDT, Endosulfan I, Endosulfan Il, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs EPA 625: SVOC(Acid/Base/Neutral Extractables), EPA 600/4-81-045: PCB-Oil. Microbiology:SM9223B-Colilert-QT; Enterolert-QT,SM9222D-MF. For a complete listing of analytes and methods, please contact your Alpha Project Manager.. Page 15 of 16 - - Serial No:0317141-5:18 ..... :�.. CHAIN O'F C ST®DY PAGE, OF AV - •1'� �...,t �i:'t� 't:�x .^.1��:ry ':i'•: ':# .r�r�i i�'... f.L Ri. i 'r• -y. �G.. :.� �. •:T a � :� 3�.. f�''1'�.:?-',�t2�ie 3.�'�.1^'::.:. _:ice%.'..<..i �.�.� :i•:�'i:��� :...rv:7.�. is • • . Report ►• Information • Deliverables • • •t. - - =7. 1•, Westborough,MA Mans []:FAX. . : ® EMAIL ® Same as Client info PO#:16593. .. field "' . Project.Name:Pickwick and Evergreen ,MA Realty. TEL:508-898.9220 TEL--508-822-9300 AD Ex ❑ Add'I Deliverables 'FAX:.808-898-9193. FAX:508.822-.3288 Regulatory • •• Project Location:Cotult,MA Stale/Fed.Pro rani . .'... Criteria .:.:... Client:Bennett Environmental Associates Project.#; BEA13-10583 Address:1573 Main Street/P.O.Box 1743 Project Manager:David C.'Bennett Brewster,MA 02631 . . . .: .. ALPHA Qdote At: Phone:508-896-1706 Around TimeANALYSIS. . Fax:508-896:5109 ®Standard: Q Rush(ONLY IF:PRE-APPROVED) SAMPLE HANDLING Filtration Eniail:sfarrenkdpf@bennett-ea:com ' ❑ Done ❑These samples have been Previously analyzed by Alpha Due.Date �' Time: ® Not Needed:. ' 7 ❑ Lab to do Other Project Specific Requirements/Comments/Detection:Limits. Preservation • ❑ Lab to do :. O (Please specffy m below) U w a ... ` PHA L;3)j<€D;: .. Sample ID Collection Sample': Sampler's. z !' (LabUseOnlyj?4;r Date :Time . trix Itlals �.Ma In •.' � ;�,� sample speettic Comments - " Effluent WVV: ® 101.r . ❑ ❑ ::ET. ❑ :❑ Elau" ❑. ' :::ti: ❑ ❑ ❑ 0 ❑ .o: ❑ o ❑ - 'El I El 0 ❑' UP ❑ ❑ ❑ ❑ El ❑ ❑ El0 El ❑ ❑ El3 Container Type P. P : ? .. 'Sri _— }i tclearl lei`Ll --.— 147 R 'nquish y::. DateMme Rectived By: : Date/Time ;�turnerouncljinje. ink. ifd(q r to sot�eill glsainPl�Gae3. to D 3 .red FORM 110:07-01(4N.) /" i41Ft)a':sil?ayine t`Te�ry"+��s�:'r':T"s�?' Q.v.24APft-09) .. �• �� ILAI �! .4,•`;lT. :,,,� :i' ;i. ^:Q-.-.:;' .. Page 16 of 16 Serial_No:06131413:46 H A r ANALYTICA L ANALYTICAL REPORT Lab Number: L1412351 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: David Bennett Phone: (508)896-1706 Project Name: PICKWICK AND EVERGREEN REALTY Project Number: BEA13-10583 Report Date: 06/13/14 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(LA000065),ME(MA00086), PA(68-03671),USDA(Permit #P-330-11-00240),NC(666),TX(T104704476),DOD(1-2217),US Army Corps of Engineers. Eight Walkup Drive,Westborough, MA 01581-10 19 508-898-9220 (Fax)508-898-9193 800-624-9220-www.alphalab.com /; ?tia Page 1 of 16 Serial No:06131413:46 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1412351 Project Number: BEA13-10583 Report Date: 06/13/14 Alpha Sample Collection Sample ID Client ID Location Date/Time L1412351-01 EFFLUENT COTUIT, MA 06/05/14 13:00 Page 2 of 16 Serial No:06131413:46 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1412351 Project Number: BEA13-10583 Report Date: 06/13/14 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet all of the requirements of NELAC,for all NELAC accredited parameters.The data presented in this report is organized by parameter(i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE",respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific% recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.Performance criteria for CAM and RCP methods allow for some LCS compound failures to occur and still be within method compliance.In these instances,the specific failures are not narrated but are noted in the associated QC table.This information is also incorporated in the Data Usability format for our Data Merger tool where it can be reviewed along with any associated usability implications.Soil/sediments,solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances the specific failure is not narrated but noted in the associated QC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. HOLD POLICY For samples submitted on hold,Alpha's policy is to hold samples(with the exception of Air canisters)free of charge for 21 calendar days from the date the project is completed.After 21 calendar days,we will dispose of all samples submitted including those put on hold unless you have contacted your Client Service Representative and made arrangements for Alpha to continue to hold the samples.Air canisters will be disposed after 3 business days from the date the project is completed. Please contact Client Services at 800-624-9220 with any questions. JALi iA Page 3 of 16 „�.. Serial No:06131413:46 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1412351 Project Number: BEA13-10583 Report Date: 06/13/14 Case Narrative (continued) Nitrogen,Total Kjeldahl L1412351-01 has an elevated detection limit due to the dilution required by the sample matrix. I,the undersigned, attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Authorized Signature: �. Uuuy' Michelle M. Morris Title: Technical Director/Representative Date: 06/13/14 Page 4 of 16 Serial- No:06131413:46 INORGAIN LlICS MISCELLANEOUS Cl Page 5 of 16 Serial No:O6131413:46 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1412351 Project Number: BEA13-10583 Report Date: 06/13/14 SAMPLE RESULTS Lab ID: L1412351-01 Date Collected: 06/05/14 13:00 Client ID: EFFLUENT Date Received: 06/06/14 Sample Location: COTUIT,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry-Westborough Lab Solids Total Suspended ND mg/I 5.0 NA 1 06/12/14 14:30 30,2540D DW _—.... ...----------- _. ------- —.. _..... - ---- -------- -------- -- - — -----— _.. -- — ._.._ . ----.._. Nitrogen,Nitrite ND mg/I 0.050 1 - 06/07/14 01:11 44,353.2 DB Nitrogen,Nitrate 31. mg/I 1.0 - 10 06/07/14 02:38 44,353.2 DB Nitrogen,Total Kjeldahl ND mg/I 3.00 10 06/07/14 14:30 06/09/14 20:47 30,4500N-C AT ._ CBOD 5 day 2.4 mg/I 2.0 NA 1 06/06/14 21:50 06/11/14 16 10 30,521013 SE Page 6 of 16 Serial No:06131413:46 Project Name: PICKWICK AND EVERGREEN REALTI Lab Number: L1412351 Project Number: BEA13-10583 Report Date: 06/13/14 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry-Westborough Lab for sample(s): .01 Batch: WG665861=1 Nitrogen,Nitrate ND mgfl 0.10 1 06/07/14 00:03 44,353.2 DB General Chemistry-Westborough Lab for sample(s) 01 Batch: WG695862-1' Nitrogen,Nitrite ND mg/l 0.050 1 06/07/14 00:05 44,353.2 DB General Chemistry-Westborough Lab for sample(s); 01 Batch: WG695874-1 CBOD,5 day ND mgfl 2.0 NA 1 06/06/14 21:50 06/11/1416:10 30,521013 SE General Chemistry-Westborough Lab for sarnple(s)- 01 Batch' WG695997-1 Nitrogen,Total Kjeldahl ND mgll 0.300 1 06/07/14 14:30 06/09/14 20:28 30,4500N-C AT General Chemistry-Westborough Lab for sample(s): 01 Batch:.WG697229-1 Solids,Total Suspended ND mgfl 5.0 NA 1 06/12/14 14:30 30,2540D DW ''&\PHA Page 7 of 16 Serial No:06131413:46 Lab Control Sample Analysis Project Name: PICKWICK AND EVERGREEN REALTY Batch Quality Control Lab Number: L1412351 Project Number: BEA13-10583 Report Date: 06/13/14 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qual Limits RPD Qual RPD Limits General Chemistry-Westborough Lab Associated sample(s): 01 Batch: WG695861-2 Nitrogen,Nitrate 93. 90-110 - General-Chemistry-Westborough Lab,Associated sample(s): 01 Batch: WG695862-2 Nitrogen,Nitrite 100 - 90-110 - 20 General Chemistry Westborough Lab Associated sample(s): 01 Batch:WG695874-2 CBOD,5 day 91 - 47-104 49 General Chemistry-Westborough Lab Associated sample(s): 01 Batch: WG695997-2 Nitrogen,Total Kjeldahl 96 78-122 - Page 8 of 16 _q &PHA Serial No:06131413:46 Matrix Spike Analysis Project Name: PICKWICK AND EVERGREEN REALTY Batch Quality Control Lab Number: L1412351 Project Number: BEA13-10583 Report Date: 06/13/14 Native MS MS MS MSD MSD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits General Chemistry Westborough Lab Associated 41. sample(s): 01 . QC Batch)D:�WG695861 4 QC-Sample: L1412252-03. Client ID MS Sample Nitrogen, Nitrate 0.53 4 4.4 98 - 83-113 6 General Chemistry Westborough Lab Associated sample(s): 01', QC Batch,ID: WG695862 4: QC Sample: L1412311-01 Client.ID: MS Sample Nitrogen,Nitrite ND 4 4.4 109 - 80-120 - N 20 " General`Chemistry Westborough.Lab Associated.sample(s): 01. QC'Batch.ID: WG695874-4, : QC Sample: 1-1412351=01 Client ID: EFFLUENT CBOD,5 day 2.4 100 100 98. - 36-125 - 49 General Chemistry'-Westborough Lab.Associated sample(s): 01- . QC:BatchdD: WG695997-4 QC Sample:.L1412205-01 Client ID.: MS Sample . Nitrogen,Total Kjeldahl ND 8 7.52 94` - 77-111 - 24 r. Page 9 of 16 � ��;� Serial No:06131413:46 Lab Duplicate Analysis Project Name: PICKWICK AND EVERGREEN REALTY Batch Quality Control Lab Number: L1412351 Project Number: BEA13-10583 Report Date: 06/13/14 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits General Chemistry-Westborough Lab Associated sample(s): 01 QC,Batch ID: WG695861-3 QC Sample: L1412252-03 Client ID: DUP Sample Nitrogen,Nitrate 0.53 0.53 mg/I 0 6 General Chemistry-Westborough Lab Associated sample(s): 01 QC Batch ID: WG695862-3 QC Sample: L1412311-01 Client ID: DUP Sample. Nitrogen,Nitrite ND ND mg/1 NC 20 General Chemistry-Westborough Lab _Associated sample(s): 01 QC Batch ID: WG695874-3 QC Sample: L1412351-01 Client'ID: EFFLUENT CBOD,5 day 2.4 ND mg/I NC 49 General Chemistry-Westborough Lab Associated sample(s): 01 QC.Batch ID: WG695997-3 QC Sample: L1412205-01 Client:ID: .DUP Sample Nitrogen,Total Kjeldahl ND ND mg/I NC 24 General Chemistry Westborough-Lab Associated<sample(s): 01 QC Batch ID: WG697229-2 QC Sample: R1-1412212=01 Client ID: DUP Sample Solids,Total Suspended 400 390 mg/I 3 29 Page 10 of 16 _' �?HA Serial No:06131413:46 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1412351 Project Number: BEA13-10583 Report Date: 06/13/14 Sample Receipt and Container Information Were project specific reporting limits specified? YES Reagent H2O Preserved Vials Frozen on: NA Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C Pres Seal Analysis(*) - L1412351-01A Plastic 250ml H2SO4 preserved A <2 3.8 Y Absent TKN-4500(28) L1412351-01B Plastic 1000ml unpreserved A 8 3.8 Y Absent CBOD5(2),NO2-353(2),NO3- 353(2) L1412351-01C Plastic 1000ml unpreserved A 8 3.8 Y Absent TSS-2540(7) *Values in parentheses indicate holding time in days ` L?a9a Page 11 of 16 - Serial No:06131413:46 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1412351 Project Number: BEA13-10583 Report Date: 06/13/14 GLOSSARY Acronyms EDL Estimated Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting limit(RL).The EDL includes any adjustments from dilutions,concentrations or moisture content,where applicable.The use of EDLs is specific to the analysis of PAHs using Solid-Phase Microextraction(SPME). EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NI Not Ignitable. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Footnotes I The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Total:With respect to Organic analyses,a'Total'result is defined as the summation of results for individual isomers or Aroclors.If a'Total' result is requested,the results of its individual components will also be reported.This is applicable to'Total'results for methods 8260,8081 and 8082. Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Data Qualifiers A Spectra identified as"Aldol Condensation Product". B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit. C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. G The concentration may be biased high due to matrix interferences(i.e,co-elution)with non-target cornpound(s).The result should be considered estimated. Report Format: Data Usability Report Page 12 of 16 Serial No:06131413:46 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1412351 Project Number: BEA13-10583 Report Date: 06/13/14 Data Qualifiers H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I The lower value for the two columns has been reported due to obvious interference. M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICS),where the identification is based on a mass spectral library search. P The RPD between the results for the two columns exceeds the method-specified criteria. Q The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R Analytical results are from sample re-analysis. RE Analytical results are from sample re-extraction. S Analytical results are from modified screening analysis. J Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICs). ND Not detected at the reporting limit(RL)for the sample. Report Format: Data Usability Report PHA Page 13 of 16 Serial No:06131413:46 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1412351 Project Number: BEA13-10583 Report Date: 06/13/14 REFERENCES 30 Standard Methods for the Examination of Water and Wastewater.APHA-AWWA- WPCF. 18th Edition. 1992. 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100, August 1993. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error, the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the field. . ,ALPHA LPHA Page 14 of 16 Serial No:06131413:46 Certification Information Last revised April 15,2014 The following analytes are not included in.our NELAP Scope of Accreditation: Westborough Facility EPA 524.2: Acetone,2-Butanone (Methyl ethyl ketone (MEK)),Tert-butyl alcohol, 2-Hexanone, Tetrahydrofuran, 1,3,5-Trichlorobenzene, 4-Methyl-2-pentanone(MIBK), Carbon disulfide, Diethyl ether. EPA 8260C: 1,2,4,5-Tetramethylbenzene, 4-Ethyltoluene, lodomethane(methyl iodide), Methyl methacrylate, Azobenzene. EPA 8330A/B: PETN, Picric Acid, Nitroglycerine, 2,6-DANT, 2,4-DANT. EPA 82701): 1-Methyl naphthalene, Dimethyl naphthalene,1,4-Diphenylhydrazine. EPA 625: 4-Chloroaniline,4-Methylphenol. SM4500: Soil: Total Phosphorus,TKN, NO2, NO3. EPA 9071: Total Petroleum Hydrocarbons, Oil&Grease. Mansfield Facility EPA 8270D: Biphenyl. EPA 2540D: TSS EPA TO-15: Halothane, 2,4,4-Trimethyl-2-pentene, 2,4,4-Trimethyl-1-pentene, Thiophene, 2-Methylthiophene, 3-Methylthiophene, 2-Ethylthiophene, 1,2,3-Trimethyl benzene, Indan, Indene, 1,2,4,5-Tetramethylbenzene, Benzothiophene, 1-Methylnaphthalene. The following analytes are included in our Massachusetts DEP Scope of Accreditation,Westborough Facility: Drinking Water EPA 200.8: Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TI; EPA 200.7: Ba,Be,Ca,Cd,Cr,Cu,Na; EPA 245.1: Mercury; EPA 300.0: Nitrate-N, Fluoride, Sulfate; EPA 353.2: Nitrate-N, Nitrite-N; SM4500NO3-F: Nitrate-N, Nitrite-N; SM4500E-C, SM4500CN-CE, EPA 180.1, SM2130B,SM4500CI-D,SM232013, SM2540C, SM4500H-B EPA 332: Perchlorate. Microbiology: SM9215113; SM9223-P/A, SM9223B-Colilert-QT, Enterolert-QT. Non-Potable Water EPA 200.8: AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI,Zn; EPA 200.7:AI,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,Ti,TI,V,Zn; EPA 245.1, SM4500H,B,EPA 120.1, SM2510113, SM2540C,SM23406, SM2320B, SM4500CL-E, SM4500E-BC, SM426C, SM4500NH3-BH, EPA 350.1:Ammonia-N, LACHAT 10-107-06-1-B:Ammonia-N, SM4500NO3-F, EPA 353.2: Nitrate-N,SM4500NH3-BC-NES, EPA 351.1, SM4500P-E, SM4500P-B, E, SM5220D, EPA 410.4, SM5210B,SM5310C,SM4500CL-D, EPA 1664, SM14 510AC, EPA 420.1, SM4500-CN-CE, SM2540D. EPA 624: Volatile Halocarbons&Aromatics, EPA 608: Chlordane,Toxaphene, Aldrin, alpha-BHC, beta-BHC, gamma-BHC, delta-BHC, Dieldrin, DDD, DDE, DDT, Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs EPA 625: SVOC (Acid/Base/Neutral Extractables), EPA 600/4-81-045: PCB-Oil. Microbiology: SM9223B-Colilert-QT; Enterolert-QT,SM9222D-MF. For a complete listing of analytes and methods, please contact your Alpha Project Manager. Page 15 of 16 Serial No:06131413:46 }: ';fit rY�` o'i4 1 .�..,:- 'ir'� :z''.F"S'.i.. *�-'fl,:. •vS:r ,i`. - •�•� •• -, N OF CUSTODY �t.'.. CHAIN PAGE 1 OF 1 ;�'•': �..::;:: ,Y2`:'t�:'.c�'-�S 3�'.�':�'�-�. ,�.t-'t;.; a•'u:;..:�. ."[•;. r( L ❑ FAX ® EMAIL ® same as Client info PO#:10583 Westborough,MA Mansfield,MA Project Name:Pickwick and Evergreen Realty = TEL:5OM98-9220 TEL SOU22-9300 ❑ ADEx ❑ Add'I Deliverables FAX:508.898.9193 FAX 5OM223288 Regulatory -- • ••rt Limits Project Location:Cotuit,MA State/FedProgram Criteria Client:Bennett Environmenfil Associates Project*BEA13-10583 - Address:1573 Main Street/P.O.Box 1743 Project Manager:David C.Bennett Brewster,MA 02631 ALPHA Quote#: Phone:508-896-1706 Turn.Around ANALYSIS Fax:508-896-5109 ®Standard ❑Rush(ONLY IF PRE-APPROVED) SAMPLE HANDLING Filtration Email:sfarrenkopf@bennett-ea.com 0 Done ❑These samples have been Previously analyzed by Alpha Due Date: ime: 0 Not Needed d Lab to do Other Project Specific Requirements/Comments/Detection Limits: preservation • 0 Lab to do (Please spaces Cn below) U ai ALPHMM'k I : • t Sample ID Collection Sample Samplers z " Date Time Matrix InitialsCO Y_:r (Lafi Llse Oril.yjS y':F __.�.-._......... ......C.Gu�..._� Z H h Comments Sample specific Effluent WW ® ® ❑ ❑ ❑ Ll ❑ ❑ ❑ ❑ s ED RN D ❑ ❑ ❑ ❑ ❑ ❑ a ❑ , :::>:zt:_ ❑ ❑ ❑ ❑ D 11 EJ ❑ ❑ ❑ 3 Container Type P P P Plees�I nJ1,c(as Preservative 0 0 D - an51cQ{gPltely'Ssii1(les':tR:: n'41tbe cg9a l- arid': .: . Inquis y: Datefrime Rec 'ved By: Date/TiMe tlirria�:'.,di'tri$;ylo6kwill;"of:,[ � ��`� �=start ui Il�ah,;:y:amblguitl9share r.; �J-' ' f f soj edoAgsamples' ;:: , •\ s�bgi�C'�d;§(gspbJeOffo ,:•f �'•:;: VA FORM N0:01-0111-14Jy ..` - (rev.29APM9) le . :.. .. Page 16 of 16 Serial_No:08051417:48 13 HA A N A L X.T 1 C A L - ANALYTICAL REPORT Lab Number: L1416999 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: David Bennett Phone: (508)896-1706 Project Name: PICKWICK AND EVERGREEN REALTY Project Number: BEA13-10583 Report Date: 08/05/14 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals:.MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(LA000065),ME(MA00086), PA(68-03671),USDA(Permit #P-330-11-00240),NC(666),TX(T104704476),DOD(1-2217),US Army Corps of Engineers. Eight Walkup Drive,Westborough, MA 01581-1019 508-898-9220 (Fax)508-898-9193 800-624-9220-www.alphalab.com .^ a�HA Page 1 of 15 Serial No:080514.17:48 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1416999 Project Number: BEA13-10583 Report Date: 08/05/14 Alpha Sample Collection Sample ID Client ID Matrix Location Date/Time Receive Date L1416999-01 EFFLUENT WATER COTUIT, MA 07/30/14 07:20 07/30/14 Page 2 of 15 IAIPHA Serial No:08051417:48 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1416999 Project Number: BEA13-10583 Report Date: 08/05/14 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet all of the requirements of NELAC,for all NELAC accredited parameters.The data presented in this report is organized by parameter(i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE",respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific% recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.Performance criteria for CAM and RCP methods allow for some LCS compound failures to occur and still be within method compliance.In these instances,the specific failures are not narrated but are noted in the associated QC table.This information is also incorporated in the Data Usability format for our Data Merger tool where it can be reviewed along with any associated usability implications.Soil/sediments,solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances the specific failure is not narrated but noted in the associated QC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. HOLD POLICY For samples submitted on hold,Alpha's policy is to hold samples(with the exception of Air canisters)free of charge for 21 calendar days from the date the project is completed.After 21 calendar days,we will dispose of all samples submitted including those put on hold unless you have contacted your Client Service Representative and made arrangements for Alpha to continue to hold the samples.Air canisters will be disposed after 3 business days from the date the project is completed. . Please contact Client Services at 800-624-9220 with any questions. I, the undersigned, attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. �Authorized Signature: •�" 9' Michelle M, Morris Title: Technical Director/Representative Date: 08/05/14 Page 3 of 15 - �"� Serial No:08051417:48 INORGANICS MISCELLANEOUS Page 4 of 15 Serial No:O8051417:48 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1416999 Project Number: BEA13-10583 Report Date: 08/05/14 SAMPLE RESULTS Lab ID: L1416999-01 Date Collected: 07/30/14 07:20 Client ID: EFFLUENT Date Received: 07/30/14 Sample Location: COTUIT,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry-Westborough Lab Nitrogen,Nitrite 1.6 mg/1 0.050 1 07/31/14 03:08 44,353.2 DB --------- ------ --- - -- .-...__... -.._..._._..---------------------------------------------------._.._.-----...------- ------ - .._.....- --- --- Nitrogen,Nitrate 4.1 mg/1 0.10 -- 1 - 07/31/14 03:08 44,353.2 DB Nitrogen,Total Kjeldahl 51.9 mg/1 3.00 -- 10 07/30/14 22:15 07/31/14 23:13 _ 30,4500N-C AT Page 5 of 15 Serial No:08051417:48 Project Name: PICKWICK AND EVERGREEN REALTI Lab Number: L1416999 Project Number: BEA13-10583 Report Date: 08/05/14 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry-Westborough Lab for sample(s): 01 Batch: WG710040-1 Nitrogen,Total Kjeldahl ND mg/I 0.300 1 07/30/14 22:15 07/31/14 23:08 30,4500N-C AT General Chemistry-Westborough Lab for sample(s): 01 Batch: WG710041-1 Nitrogen,Nitrate ND mgll 0.10 1 07/31/14 02:07 44,353.2 DB General Chemistry-Westborough Lab for sample(s): 01 Batch: WG710042-1 Nitrogen,Nitrite ND mg/I 0.050 1 07/31/14 02:08 44,353.2 DB l�Lr HA Page 6 of 15 Serial No:08051417:48 Lab Control Sample Analysis Batch Quality Control Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1416999 Project Number: BEA13-10583 Report Date: 08/05/14 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qual Limits RPD Qua[ RPD Limits General Chemistry,Westborough Lab Associated-sample(s): 01 ' Batch: WG710040-2 Nitrogen,Total Kjeldahl 97 - 78-122 - General Chemistry, Westborough Lab Associated sample(s):0.1 Batch: WG710041-2 Nitrogen,Nitrate 100 - 90-110 - General Chemistry,-,Westborough Lab Associated sample(s):0.1 Batch: WG710042=2 Nitrogen,Nitrite 95 90-110 - 20 Page 7 of 15 Serial No:08051417:48 Matrix Spike Analysis Batch Quality Control Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1416999 Project Number: BEA13-10583 Report Date: 08/05/14 Native MS MS MS MSD MSD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits General Chemistry-Westborough Lab Associated sample(s): 01 QC Batch ID: WG710040-4 QC Sample: L1417023-01 Client ID: MS Sample Nitrogen,Total Kjeldahl ND 8 7.10 89 - 77-111 24 General Chemistry-Westborough Lab Associated sample(s): 01 QC Batch ID: WG710041-4 QC Sample: L1416997-01 Client ID: MS Sample Nitrogen,Nitrate 7.7 4 13 132 Q - - 83-113 - 6 General Chemistry. Westborough Lab Associated.sample(s): 01 QC Batch ID: WG710042-4 QC Sample: L1416997-01 Client ID: MS Sample Nitrogen,Nitrite ND 4 3.9 .98 - - 80-120 - 20 Page 8 of 15 ?FiA Serial No:08051417:48 Lab Duplicate Analysis Project Name: PICKWICK AND EVERGREEN REALTY Batch Quality Control Lab Number: L1416999 Project Number: BEA13-10583 Report Date: 08/05/14 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits General Chemistry Westborough'Lab Associated sample(s): OT QC.Batch ID: ,WG710040-3 ,QC Sample: L1.417023-01 Client ID:.;DUP Sample.. Nitrogen,Total Kjeldahl ND ND mg/I NC 24 General Chemistry-Westborough Lab Associated sample(s): 01 QC Batch ID: WG7.10041=3 QC Sample: L1416997-01 Client-ID: DUP Sample Nitrogen,Nitrate 7.7 9.3 mg/1 -18 Q 6 ..._., General Chemistry Westborough Lab Associated sample(s):-01 QC.Batch.ID: WG710042-3 . QC Sample: L1416997-0.1 .Client ID:;DUP-Sample- Nitrogen,Nitrite ND 0.050 mg/I NC 20 Page 9 of 15 _ LPNA Serial No:08051417:48 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1416999 Project Number: BEA13-10583 Report Date: 08/05/14 Sample Receipt and Container Information Were project specific reporting limits specified? YES Reagent H2O Preserved Vials Frozen on: NA Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C Pres Seal Analysis(*) L1416999-01A Plastic 250ml unpreserved A 8 2.3 Y Absent NO2-353(2),NO3-353(2) L1416999-01 B Plastic 250ml H2SO4 preserved A <2 2.3 Y Absent TKN-4500(28) *Values in parentheses indicate holding time in days Page 10 of 15 Serial No:08051417:48 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1416999 Project Number: BEA13-10583 Report Date: 08/05/14 GLOSSARY Acronyms EDL Estimated Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting limit(RL).The EDL includes any adjustments from dilutions,concentrations or moisture content,where applicable.The use of EDLs is specific to the analysis of PABs using Solid-Phase Microextraction(SPME). EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NI Not Ignitable. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Footnotes 1 -The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Total:With respect to Organic analyses,a'Total'result is defined as the summation of results for individual isomers or Aroclors.If a'Total' result is requested,the results of its individual components will also be reported.This is applicable to'Total'results for methods 8260,8081 and 8082. Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Data Qualifiers A Spectra identified as"Aldol Condensation Product". B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit. C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. G The concentration may be biased high due to matrix interferences(i.e,co-elution)with non-target compound(s).The result should be considered estimated. Report Format: Data Usability Report BHA Page 11 of 15 Serial No:08051417:48 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1416999 Project Number: BEA13-10583 Report Date: 08/05/14 Data Qualifiers H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I The lower value for the two columns has been reported due to obvious interference. M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICs),where the identification is based on a mass spectral library search. P The RPD between the results for the two colmnns exceeds the method-specified criteria. Q The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R Analytical results are from sample re-analysis. RE Analytical results are from sample re-extraction. S Analytical results are from modified screening analysis. J Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICs). ND Not detected at the reporting limit(RL)for the sample. Report Format: Data Usability Report Page 12 of 15 Serial No:08051417:48 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1416999 Project Number: BEA13-10583 Report Date: 08/05/14 REFERENCES 30 Standard Methods for the Examination of Water and Wastewater.APHA-AWWA- WPCF. 18th Edition. 1992. 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100, August 1993. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error,the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable. for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the field. ,,ALPHA .Page 13 of 15 Serial No:08051417:48 Certification Information Last revised April 15,2014 The following analytes are not included in our NELAP Scope of Accreditation: Westborough Facility EPA 524.2: Acetone, 2-Butanone(Methyl ethyl ketone (MEK)), Tert-butyl alcohol, 2-Hexanone, Tetrahydrofuran, 1,3,5-Trichlorobenzene,4-Methyl-2-pentanone (MIBK), Carbon disulfide, Diethyl ether. EPA 8260C: 1,2,4,5-Tetramethylbenzene,4-Ethyltoluene, lodomethane (methyl iodide), Methyl methacrylate, Azobenzene. EPA 8330A/B: PETN, Picric Acid, Nitroglycerine, 2,6-DANT,2,4-DANT. EPA 8270D: 1-Methylnaphthalene, Dimethyinaphthalene,1,4-Diphenylhydrazine. EPA 625: 4-Chioroaniline,4-Methylphenol. SM4500: Soil:Total Phosphorus, TKN, NO2, NO3. EPA 9071: Total Petroleum Hydrocarbons, Oil&Grease. Mansfield Facility EPA 8270D: Biphenyl. EPA 254OD: TSS EPA TO-15: Halothane, 2,4,4-Trimethyl-2-pentene, 2,4,4-Trimethyl-1-pentene,Thiophene, 2-Methylthiophene, 3-Methylthiophene, 2-Ethylthiophene, 1,2,3-Tri methyl benzene, Indan, Indene, 1,2,4,5-Tetramethylbenzene, Benzothiophene, 1-Methyinaphthalene. The following analytes are included in our Massachusetts DEP Scope of Accreditation,Westborough Facility: Drinking Water EPA 200.8: Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TI; EPA 200.7: Ba,Be,Ca,Cd,Cr,Cu,Na; EPA 245.1: Mercury; EPA 300.0: Nitrate-N, Fluoride, Sulfate; EPA 353.2: Nitrate-N, Nitrite-N; SM4500NO3-F: Nitrate-N, Nitrite-N; SM4500E-C, SM4500CN-CE, EPA 180.1, SM2130B,SM4500CI-D, SM232013, SM2540C, SM450OH-B EPA 332: Perchlorate. Microbiology: SM9215113; SM9223-P/A, SM9223B-Colilert-QT, Enterolert-QT. Non-Potable Water EPA 200.8:AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI,Zn; EPA 200.7:AI,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,Ti,TI,V,Zn; EPA 245.1, SM4500H,B, EPA 120.1, SM251013,SM2540C, SM234013, SM2320B, SM4500CL-E, SM4500E-BC, SM426C, SM4500NH3-BH, EPA 350.1:Ammonia-N, LACHAT 10-107-06-1-B:Ammonia-N, SM4500NO3-F, EPA 353.2: Nitrate-N, SM4500NH3-BC-NES, EPA 351.1,SM4500P-E, SM4500P-B, E,SM5220D, EPA 410.4, SM5210B, SM5310C, SM4500CL-D, EPA 1664, SM14 510AC, EPA 420.1, SM4500-CN-CE, SM2540D. EPA 624: Volatile Halocarbons&Aromatics, EPA 608: Chlordane, Toxaphene,Aldrin, alpha-BHC, beta-BHC, gamma-BHC, delta-BHC, Dieldrin, DDD, DDE, DDT, Endosulfan I, Endosulfan Il, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs EPA 625: SVOC (Acid/Base/Neutral Extractables), EPA 600/4-81-045: PCB-Oil. Microbiology: SM9223B-Colilert-QT; Enterolert-QT, SM9222D-MF. For a complete listing of analytes and methods, please contact your Alpha Project Manager. Page 14 of 15 Serial No:08051417:48 CHAIN OF CUSTODY -t`4 a� b ::: -------- ztE;RaCOdn Lab: �y 2 st PAGE 1 OF 1 / -30- PHA Jo-Js "'-e.1•�:'.,a..� ReportInformation Data Deliverables Billing Information ❑ FAX ® EMAIL ®Same as Client Info: PO 10583 Westborough.MA Maaafield,NIA Project Name:Pickwlck and Evergreen Realty TEL:50aA09A220 TEL:50"22-9300 ❑ADEX ❑Add']Deliverables ' FAX 508-998-9193 FAX:6081 Regulatory i6iremontsiReport Limits Project Location:Cotuit,MA Stat.1Fed Pro rem, Cdtena Client:Bennett Environmental Associates Pro ect#:BEA13-10583 Address:1573 Main Street/P.O.Box 1743 Project Manager:David C.Bennett Brewster MA 02631 ALPHA Quote#: Phone:508.896.1706 ANALYSIS Fax:508-896-5109 ®Standard ❑Rush(ONLY IF PRE-APPROVEO) SAMPLE HANDLING Fit do. Email:sfarrenkopf0bennett-ea.com ❑ooaa ❑These aempleanaae been Prevlaucyanely:atlbyAlpha Due Date:5— Tima: ®Not Needed Other Project Specific Requirements/Comments/Detection Limits: ❑Lab 1.dopress U.. ❑Lab to do (please apeolry bolo '•:A11PH4 Lab'ID;!' Sample ID Collec0on Sample samplers '(Lati Use`Only) Dale Time Matdx I Initials - ,_Z m fosoeema commanu Effluent '� 0 l�. _ w/w J ® ❑ z ❑ 0 F1 El'. ❑ El El El El El ❑ ❑ ❑ ❑ ❑ El 0 El El 0 El Contalner Type P p 0 D - Flaasa;fa]ii'demty','.Ie9161Y�, Preservative ^dn0 obmplelely.$aMples C,'M�! - - - 'not he loa9etl,,ln Relln hed By Date rims Received By: Datarrlme ieinaroJrW dme cloy<,wilI not eleit u"rei any'emhidulllee ero' - 9r l 3 TQ�d lt� 'kG reeaved wt>emvles:; z' owmwl - hfilnad ara sublaautd5; p1N'BPaymanl:Tarnj4=- Inr�u�uaovl /y Page 15 of 15 Serial No:09101418:01 -' L? A AN.AL`YT / CA L ANALYTICAL REPORT Lab Number: L1420199 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: David Bennett Phone: (508)896-1706 Project Name: PICKWICK AND EVERGREEN REALTY Project Number: BEA13-10583 Report Date: 09/10/14 A The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(LA000065),ME(MA00086), PA(68-03671),USDA(Permit #P-330-11-00240),NC(666),TX(T104704476),DOD(1-2217),US Army Corps of Engineers. Eight Walkup Drive, Westborough, MA 01581-1019 508-898-9220 (Fax)508-898-9193 800-624-9220-www.alphalab.com `oY L Page 1 of 16 re Serial No:09101418:01 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1420199 Project Number: BEA13-10583 Report Date: 09/10/14 Alpha Sample Collection Sample ID Client ID Matrix Location Date/Time Receive Date L1420199-01 EFFLUENT WATER COTUIT, MA 09/03/14 14:20 09/04/14 Page 2 of 16 �� Serial No:09101418:01 i Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L142O199 Project Number: BEA13-10583 Report Date: 09/10/14 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet all of the requirements of NELAC,for all NELAC accredited parameters.The data presented in this report is organized by parameter(i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE",respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific% recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.Performance criteria for CAM and RCP methods allow for some LCS compound failures to occur and still be within method compliance.In these instances,the specific failures are not narrated but are noted in the associated QC table.This information is also incorporated in the Data Usability format for our Data Merger tool where it can be reviewed along with any associated usability implications.Soil/sediments,solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances the specific failure is not narrated but noted in the associated QC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any.associated usability implications. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. HOLD POLICY For samples submitted on hold,Alpha's policy is to hold samples(with the exception of Air canisters)free of charge for 21 calendar days from the date the project is completed.After 21 calendar days,we will dispose of all samples submitted including those put on hold unless you have contacted your Client Service Representative and made arrangements for Alpha to continue to hold the samples.Air canisters will be disposed after 3 business days from the date the project is completed. Please contact Client Services at 800-624-9220 with any questions. Page 3 of 16 � Serial No:09101418:01 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1420199 Project Number: BEA13-10583 Report Date: 09/10/14 Case Narrative(continued) Nitrogen, Nitrite L1420199-01 has an elevated detection limit due to the dilution required by the sample matrix. Nitrogen,Total Kjeldahl L1420199-01 has an elevated detection limit due to the dilution required by the sample matrix. I,the undersigned, attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Authorized Signature: &,0026WCristin Walker Title: Technical Director/Representative Date: 09/10/14 HA Page 4 of 16 =f ` Serial No:09101418:01 INORGANICS MISCELLANEOUS Page 5 of 16 Serial No:O9101418:01 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1420199 4 Project Number: BEA13-10583 Report Date: 09/10/14 SAMPLE RESULTS Lab ID: L142O199-01 Date Collected: 09/03/14 14:20 Client ID: EFFLUENT Date Received: 09/04/14 Sample Location: COTUIT,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry=Westborough Lab Solids,Total Suspended ND mg/1 5.0 NA 1 - 09/09/14 13:50 30,2540D DW ------------- --------- Nitrogen,Nitrite ND mg/1 0.25 -- 5 - 09/05/14 02:52 44,353.2 DB ....... ... ....... ..._ . _..._......_. _--._. .... .. . ......... Nitrogen,Nitrate 21. mg/1 0.50 - 5 - 09/05/14 02:52 .44,353.2 DB -- -------...--. . ------------....- ......_.__.. __._. - .._ . _............. .........-- _---------------- .........__........ ._..._.......-------- - --- - — ------ Nitrogen,Total Kjeldahl ND mg/I 3.00 - 10 09/05/14 12:43 09/08/14 22:52 30,4500N-C AT ._--...... .....-..- ...... .... ..._....... . ...._,_. ...... _ ..__..._.. __..- CBOD,5 day ND mg/I 2.0 NA 1 09/04/14 21:45 09/09/14 16:00 30,5210B SE ��L11�F;A Page 6 of 16 Serial No:09101418:01 47 Project Name: PICKWICK AND EVERGREEN REALTI Lab Number: L1420199 Project Number: BEA13-10583 Report Date: 09/10/14 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry-Westborough Lab for sample(s): 01 Batch:. W6719323=1 CBOD,5 day ND mg/I 2.0 NA 1 09/04/14 21:45 09/09/14 16:00 30,5210B SE General Chemistry-Westborough Lab for sample(s): 01, Batch: WG71939471 Nitrogen,Nitrate ND mg/I 0.10 -- 1 09/05/14 01:02 44,353.2 DB General Chemistry-Westborough Lab for sample(s): 01 Batch:-WG7.19397-1 Nitrogen,Nitrite ND mg/1 0.050 -- 1 09/05/14 01:05 44,353.2 DB v General Chemistry-Westborough Lab for sample(s): 01 Batch: WG719600-1 Nitrogen,Total Kjeldahl ND mg/I 0.300 1 09/05/14 12:43 09/08/14 22:46 30,4500N-C AT General Chemistry-Westborough Lab-for sample(s): 01 Batch:,. WG720303-1 Solids,Total Suspended ND mg/I 5.0 NA 1 09/0911413:50 30,2540D DW _. .... ...... .. _.. :..........._....... ...... .. ............. .. _.. ..... .... ......... .... ... . Page 7 of 16 Serial No:09101418:01 Lab Control Sample Analysis Project Name: PICKWICK AND EVERGREEN REALTY Batch Quality Control Lab Number: L1420199 Project Number: BEA13-10583 Report Date: 09/10/14 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qual Limits RPD Qual RPD Limits General Chemistry-WestboroughL•ab Associated sample(s): 01 Batch: WG719323-2 CBOD,5 day 71 - 47-104 - 49 General'Chemistry-Westborough'Lab Associatedsample(s): 01 Batch:WG719394-2 Nitrogen,Nitrate 99 90-110 - General Chemistry.-Westborough'Lab-Associated sample(s): 01 -Batch: WG719397 2 . Nitrogen,Nitrite 96 - 90-110 20 General Chemistry=Westborough Lab Associatedaample(s): 01 Batch: WG719600-2 Nitrogen,Total Kjeldahl 90 - 78-122 - Page 8 of 16LPtiA Serial No:09101418:01 Matrix Spike Analysis Project Name: PICKWICK AND EVERGREEN REALTY Batch Quality Control Lab Number: L1420199 Project Number: BEA13-10583 Report Date: 09/10/14 Native MS MS MS MSD MSD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits General;Chemistry- Westborough Lab Associated sample(s): 01 QC Batch ID: WG719323-4 .,.QC'Sample: L1420098-01, Client ID:.MSSample. CBOD,5 day 2.6 100 78 76 36-125 49 General Chemistry-Westborough Lab Associated sample(s): 01 QC Batch ID: WG719394-4. ., QC Sample::L1420168-01 Client ID: MS Sample Nitrogen,Nitrate 2.5 4 6.5 99 - - 83-113 6 General Chemistry-:Westborough Lab Associated.sample(s): 01 Y;QC'Batch iD:-WG719397-4 QC Sample:11420235-01 Client ID:. MS Sample, Nitrogen,Nitrite ND 20 20 99 80-120 20 General Chemistry-Westborough=Lab Associated sample(s): 01 QC`Batch ID:,WG719600-4. QCSample: L1420143701 Client ID:. MS Sample Nitrogen,Total Kjeldahl 0.451 8 7.59 89, - - 77-111 24 1 Page 9 of 16i�1���,a Serial No:09101418:01 Lab Duplicate Analysis Project Name: PICKWICK AND EVERGREEN REALTY Batch Quality Control Lab Number: L1420199 Project Number: BEA13-10583 Report Date: 09/10/14 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits General Chemistry-Westborough Lab Associated,sample(s): 01 QC Batch ID: WG719323-3 QC Sample: L1420098-02 Client ID: DUP Sample. CBOD,5 day 24 24 mg/1 0 49 General Chemistry-Westborough Lab Associated sample(s): 01 QC Batch ID: WG719394=3 QC Sample: L1420168-01 Client ID: DUP Sample Nitrogen,Nitrate 2.5 2.5 mg/I 0 6 General Chemistry-Westborough Lab Associated sample(s): 01 QC Batch ID: WG719397-3 QC Sample: L1420235-01 Client ID: DUP Sample Nitrogen,Nitrite ND ND mg/I NC 20 General Chemistry-Westborough Lab zAssociated�sample(s): 01. QC Batch ID: WG719600-3 QC Sample: L1420143=01 Client ID: DUP Sample Nitrogen,Total Kjeldahl 0.451 0.450 mg/I 0 24 General Chemistry-Westborough Lab Associated,sample(s): 01 QC Batch ID: WG720303-2 QC Sample: L1420171-01 Client ID:. DUP Sample Solids,Total Suspended 3200 3000 mg/I 6 29 Page 10 of 16 �'A&"Pt;A Serial No:09101418:01 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1420199 Project Number: BEA13-10583 Report Date: 09/10/14 Sample Receipt and Container Information Were project specific reporting limits specified? YES' . Reagent H2O Preserved Vials Frozen on: NA Cooler Information Custody Seal Cooler A Absent Container Information Temp Container I'D Container Type Cooler pH deg C Pres Seal Analysis(*) L1420199-01 A Plastic 250ml H2SO4 preserved A <2 4.6 Y Absent TKN-4500(28) L1420199-01 B Plastic 1000ml unpreserved A 7 4.6 Y Absent CBOD5(2),NO2-353(2),NO3- 353(2) L1420199-01C Plastic 1000ml unpreserved A 7 4.6 Y Absent TSS-2540(7) 5\ Values in parentheses indicate holding time in days LPHA Page 11 of 16 ' Serial No:09101418:01 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1420199 Project Number: BEA13-10583 Report Date: 09/10/14 GLOSSARY Acronyms EDL Estimated Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting limit(R.Q.The EDL includes any adjustments from dilutions,concentrations or moisture content,where applicable.The use of EDLs is specific to the analysis of PAHs using Solid-Phase Microextraction(SPME). EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD. Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable, NC Not Calculated: Tenn is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NI Not Ignitable. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Footnotes I The reference for this analyte should be considered modified since this analyte is absent fiom the target analyte list of the original method. Terms Total:With respect to Organic analyses,a'Total'result is defined as the summation of results for individual isomers or Aroclors.If a'Total' result is requested,the results of its individual components will also be reported.This is applicable to'Total'results for methods 8260,8081 and 8082. Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Data Qualifiers A Spectra identified as"Aldol Condensation Product". B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(IOx) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit. C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E -Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. G -The concentration may be biased high due to matrix interferences(i.e,co-elution)with non-target compound(s).The result should be considered estimated. Report Format: Data Usability Report Page 12 of 16 Serial No:09101418:01 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1420199 Project Number: BEA13-10583 Report Date: 09/10/14 Data Qualifiers H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I The lower value for the two columns has been reported due to obvious interference. M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICs),where the identification is based on a mass spectral library search. P The RPD between the results for the two columns exceeds the method-specified criteria. Q The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R Analytical results are from sample re-analysis. RE Analytical results are fiom sample re-extraction. S Analytical results are from modified screening analysis. J Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICS). ND Not detected at the reporting limit(RL)for the sample. Report Format: Data Usability Report 1k F(F\ ,.� HA R w� Page 13 of 16 Serial_No:09101418:01 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1420199 Project Number: BEA13-10583 Report Date: 09/10/14 REFERENCES 30 Standard Methods for the Examination of Water and Wastewater. APHA-AWWA- WPCF. 18th Edition. 1992. 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100, August 1993. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error,the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the field. \i?hA Page 14 of 16 r r Serial No:09101418:01 Certification Information Last revised April 15,2014 The following analytes are not included in our NELAP Scope of Accreditation: Westborough Facility EPA 524.2: Acetone,2-Butanone (Methyl ethyl ketone (MEK)),Tert-butyl alcohol, 2-Hexanone, Tetrahydrofuran, 1,3,5-Trichlorobenzene,4-Methyl-2-pentanone (MIBK), Carbon disulfide, Diethyl ether. EPA 8260C: 1,2,4,5-Tetramethylbenzene,4-Ethyltoluene, lodomethane(methyl iodide), Methyl methacrylate, Azobenzene. EPA 8330A/B: PETN, Picric Acid, Nitroglycerine, 2,6-DANT, 2,4-DANT. EPA 8270D: 1-Methyl naphthalene, Di methyl naphtha lene,1,4-Diphenylhydrazine. EPA 625: 4-Chloroaniline,4-Methylphenol. SM4500: Soil: Total Phosphorus, TKN, NO2, NO3. EPA 9071: Total Petroleum Hydrocarbons, Oil&Grease. Mansfield Facility EPA 8270D: Biphenyl. EPA 254OD: TSS EPA TO-15: Halothane, 2,4,4-Trimethyl-2-pentene, 2,4,4-Trimethyl-1-pentene, Thiophene, 2-Methylthiophene, 3-Methylthiophene, 2-Ethylthiophene, 1,2,3-Trimethylbenzene, Indan, Indene, 1,2,4,5-Tetramethylbenzene, Benzothiophene, 1-Methylnaphthalene. The following analytes are included in our Massachusetts DEP Scope of Accreditation,Westborough Facility: Drinking Water EPA 200.8: Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TI; EPA 200.7: Ba,Be,Ca,Cd,Cr,Cu,Na; EPA 245.1: Mercury; EPA 300.0: Nitrate-N, Fluoride, Sulfate; EPA 353.2: Nitrate-N, Nitrite-N; SM4500NO3-F: Nitrate-N, Nitrite-N; SM4500E-C, SM4500CN-CE, EPA 180.1, SM213013, SM4500CI-D,SM232013, SM2540C, SM450OH-B EPA 332: Perchlorate. Microbiology: SM9215113; SM9223-P/A,SM9223B-Colilert-QT, Enterolert-QT. Non-Potable Water EPA 200.8: AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI,Zn; EPA 200.7: AI,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,Ti,TI,V,Zn; EPA 245.1,SM4500H,B, EPA 120.1, SM251013, SM2540C,SM2340B, SM2320B, SM4500CL-E,SM4500E-BC, SM426C, SM4500NH3-BH, EPA 350.1:Ammonia-N, LACHAT 10-107-06-1-B:Ammonia-N, SM4500NO3-F, EPA 353.2: Nitrate-N, SM4500NH3-BC-NES, EPA 351.1, SM4500P-E, SM4500P-B, E, SM52201), EPA 410.4, SM521013,SM5310C, SM4500CL-D, EPA 1664, SM14 510AC, EPA 420.1,SM4500-CN-CE, SM2540D. EPA 624:Volatile Halocarbons&Aromatics, EPA 608: Chlordane, Toxaphene, Aldrin,alpha-BHC, beta-BHC, gamma-BHC, delta-BHC, Dieldrin, DDD, DDE, DDT, Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs EPA 625: SVOC (Acid/Base/Neutral Extractables), EPA 600/4-81-045: PCB-Oil. Microbiology: SM9223B-Colilert-QT; Enterolert-QT, SM9222D-MF. For a complete listing of analytes and methods, please contact your Alpha Project Manager. Page 15 of 16 Serial No:09101418:01 ' PAGE DateRec'dinLab: CHAIN OF CUSTODY OF ALPHA Job#: :;A •ject • • •• • • i_ 1 • . • • ,. ❑'FAX Z.EMAIL ® Same as Client info PO#:10583 Westborough,MA Mansfield,MA Project Name:Pickwick and Evergreen Realty `Y TEL:508.898-9220 TEL 50M22-9300 ❑ ADEX ❑ Add'I Dellverables FAX:508-898-9193 FAX:508-822-3268 Regulatory Requirements/Report InformationProject Location:Cotuit,MA State/Fed Program Criteria Client:Bennett Environmental Associates Project* BEA13-10583 Address:1573 Main Street/P.O.Box 1743 Project Manager:David C.Bennett Brewster,MA 02631 ALPHA Quote#: Phone:508-896-1706 d Time ANALYSIS Fax:508-896-5109 ®Standard ❑Rush(ONLY IF PRE-APPROVED) SAMPLE HANDLING Filtration Email:sfarrenkopf@bennett-ea.com A i(f�(y [3 Done ❑These samples have been Previously analyzed by Alpha Due Date. !!! ( Time: ® Not Needed ❑ Lab to do Other Project Specific Requirements/Comments/Detection Limits: Preservation • ❑ Lab to do (Please specify O m below) ai .b ALPHA Lab ID Sample ID Collection Sample Sampler's Z (Lab Use'Oniy) Date Time Matrix Initials Sample Specific .. .. _ - Z Comments Effluent. �✓� WW ® ® ® ❑ ❑ ❑ ❑ ❑ ❑ 3 El EEJ1 ❑ ❑ ❑ ❑ 0 0 El ❑ F ❑ EJ ❑ El ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 3 Container Type P P P.lease print,clearly;legibly: /r Preservative 0 O D a nd'completely...Sai6piescan::, not be lagged in anti' - Reli uished Daterrime ReC ived By: Daterrime turnaround time.clock will not, L1 [c atartLnlil any ambiguities are, ^ ,U� resolved. AII.'samples:: / ubmitted are subject to' FORM NO:0141(1•RJ) �� `Alpha's Payment Term, Page 16 of 16 fi r BENNETT ENVIRONMENTAL ASSOCIATES, INC. LICENSED SITE PROFESSIONALS,ENVIRONMENTAL SCIENTISTS,GEOLOGISTS,ENGINEERS 1573 Main Street,P.O.Box 1743 (508)896-1706 Brewster,MA 02631 fax(508)896-5109 LETTER OF TRANSMITTAL TO: DATE: JOB NUMBER: Massachusetts Department of Environmental Protection 9/24/13 BEA13-10583 Attention:Title 5 Program 1 Winter Street-6th Floor Boston,MA 02108 REGARDING: Pickwick Realty Trust Evergreen 69 Realty Trust SHIPPING METHOD: 71 Ocean View Avenue ` Cotuit,MA Regular Mail ❑ Pick Up ❑ Priority Mail ❑ Hand Deliver ❑ Express Mail ❑ Other ❑ Certified Mail ❑X Green Card/RR ❑ COPIES DATE DESCRIPTION 1 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems(September 2013) 1 OMNI Environmental Systems,Inc.RSF Operation and Maintenance Inspection Checklist(September 2013) 1 9/16/13 Alpha Analytical laboratory report For review and comment: ❑ For approval: ❑ As requested: ❑ For'your_use: REMARKS: Please find enclosed the DEP Inspection and O&M Form,OMNI Environmental Systems,Inc.RSF Operation and Maintenance Inspection Checklist and laboratory analytical report for operation and maintenance conducted at the above referenced property during the reporting period. If you have any questions or require additional information,please contact us at your earliest convenience. Thank you. cc:Barnstable Board of Health Andrew Newman and Alan Schlesinger-Trustees David C.Bennett,Principal[Internal] Matthew Costa,OMNI Environmental Systems,Inc. FROM: David C.Bennett,WWTO#6243/Samantha Farrenkopf,WWTO 413265/Joseph Smith,WWTO#12529 If enclosures are not as noted,kindly notify us at once Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&MForm for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Pickwick Realty Trust, Evergreen 69 Realty Trust filling out forms Owner on the computer, use only the tab 71 Ocean View Avenue key to move your Facility Street Address cursor-do not Cotult 02635 use the return key. City Zip Mailing address of owner, if different: 50 Federal Street Street Address/PO Box: Boston MA 02110 City State Zip (617) 571 - 1102 ext. Telephone Number B. Authorized Service Provider BENNETT ENVIRONMENTAL ASSOCIATES, INC. O&M Firm 1573 Main Street/PO,Box 1743 Street Address Brewster MA 02631 City State Zip (508) 896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF DEP ID Manufacturer ID Model Number 05/2011 Unknown Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence-used less than 6 Mo./year: ❑ Yes ® No D. Operating Information 9/9/13 NA Inspection Date Previous Inspection Date 0"sludge, 0"scum Pumping Recommended ❑ Yes ® No Sludge Depth(to be checked yearly) t5aiom.doc•rev. 11-07-05 Page 1 of 3 LEIMassachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ❑ no ❑ some pH 6.0 SU DO 5.0 mg/L Turbidity 1.45 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing; effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ® BOD ❑ CBOD ® TSS ®TN ® Other(list below) Nitrate Nitrite TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Notes and Comments: Effluent samples passed field testing parameters. t5aiom.doc•rev.11-07-05 Page 2 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. &"I . ckULL � Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 315t of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 311h of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection §i Attention: Title 5 Pro ram One Winter Street, 6t Floor Boston, MA 02108 t5aiom.doc•rev. 11-07-05 Page 3 of 3 VTVI r U_ Envzranm4wtal'`Systems, Inc.. OMNI RSF Operation and Maintenance Inspection Checklist A. Installation & Service Information *11 0 ce-"'N - - Facility Street Address Date of SA.Tvice city Operator/O&M Firm System Startup Date Weather Conditions B. Septic Tank`10 Sludge Pumping Required: Yes❑ No❑ ❑ Sludge Depth: ❑ Scum Depth: Effluent tee filter: Yes❑ No❑ If yes, inspect❑ &clean at least yearly❑ If the sludge layer is within 12"of the outlet invert, recommend that the homeowner have the septic tank pumped,note the approximate scum layer thickness as well.Also, inquire if the homeowner has a pumping schedule established with a licensed septage.hauler, if not recommend a two to four year pumping schedule depending on how heavily the system is used. C. Recirculation Tank 'oCheck if sludge accumulating Pumping required: Yes ❑ No Odor problems: Yes ❑ Nom If yes,description Effluent tee filter: Yes❑ No l" If yes, inspect❑ &clean at least yearly❑ If the sludge layer is greater than 4"request that the homeowner pump out the recirculation tank in order to prevent clogging of the filter modules. Note the characteristics of the effluent coming out of the manifold this may indicate that the filter bed may need servicing. D. Equalization Tank (if installed) Sludge Pumping Required: Yes ❑ No❑ ❑ Sludge Depth: ❑ Scum Depth: Effluent tee filter: Yes ❑ No ❑ If yes, inspect❑ &clean at least yearly❑ Same inspection criteria as septic tank: E. Pump Chamber/Vault (if Installed) Xpump Inspections(all units) q�fIf problems,describe Float switches Check all switches for operation Make Sure the pump is operational by pulling up the float switch;if the pump is not operational immediate corrective actions need to be taken. F. Pumps, Switches, Floats, Alarm System t(Pump Inspections (all units) If problems,describe Test pump alternator, or record hours '" -� %1­N XHours of operation Float switches I Check all switches for operation ,Test alarm If non-functioning,corrective action(s) Make sure pump(s), Float(s)and,audible alarm(s)are functional, if not make a note so that corrective actions can be made. f G. Filter Modules ("Sand Filters") 5�)Oje11A.N L-�,VT Inspect for ponding Ponding Present: Yes❑ Noo El Clean bed: Yes N , Distribution pipes Flush:Yes ❑ No Brush: Yes El \ No ] Any obstruction of airflow to filter modules: Yes ❑ No Im If Yes, explain below(i.e. snow, dirt) To inspect the condition of the filter modules remove the mulch layer at one corner of the filter module area, then lift the filter fabric so that the media can be inspected through the end of the contactor. The media should have a thin biomass layer growing on it and should have a brownish shaggy coloration. If the surface of the filter module area appears to be clogged,or the biomass layer is too think it is suggested to completely expose the filter modules,.and rake the filter beds thoroughly,then.wash the filter beds down with a garden hose(with a pressure nozzle on it).Then Recover the filter beds as they were found. H. Sample Collection Ye 'No ❑ If yes: ❑BOD(\.'M--'TSS ❑pH MTN DfOther C-3t�Vt All samples are to be taken from the manifold located in the recirculation tank,and are to be stored in sterile, laboratory supplied containers.In order to prevent any cross-contamination from a previous sample rinse the dip cup into the effluent stream-at the manifold three times so that a representative sample can be obtained. Make sure to wear proper safety equipment while pulling samples(i.e.rubber gloves). System Notes: Sri ri S�\ � �,� .,�'.n� C�vcd� �'�,af�- " .�y�-��� �. ��5`� siv�o��� e i.�.�,�,s�•, � v .j r m�..� �7Y� P `C'v'`�/•. �' �.�J�a t^sa. �" ���v�j W\ �-, s� C4.�1t�..Y t �� 4; ,0 Serial No:09161313:47 HA ANALYTICAL ANALYTICAL REPORT Lab Number: L1317690 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: Samantha Farrenkopf Phone: (508)896-1706 Project Name: PICKWICK AND EVERGREEN REALTY Project Number: BEA13-10583 Report Date: 09/16/13 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(IA000065),ME(MA00086), PA(68-03671),USDA(Permit #P-330-11-00240),NC(666),TX(T104704476),DOD(1-2217),US Army Corps of Engineers. Eight Walkup Drive,Westborough, MA 01581-1019 508-898-9220 (Fax)508-898-9193 800-624-9220-www.alphalab.com ALPHA Page 1 of 19 Serial No:09161313:47 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1317690 Project Number: BEA13-10583 Report Date: 09/16/13 Alpha Sample Collection Sample ID Client ID Location Date/Time L1317690-01 EFFLUENT COTUIT, MA 09/09/13 15:00 Page 2 of 19 Serial No:09161313:47 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1317690 Project Number: BEA13-10583 Report Date: 09/16/13 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet all of the requirements of NELAC,for all NELAC accredited parameters.The data presented in this report is organized by parameter(i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE",respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific% recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.Performance criteria for CAM and RCP methods allow for some LCS compound failures to occur and still be within method compliance.In these instances,the specific failures are not narrated but are noted in the associated QC table.This information is also incorporated in the Data Usability format for our Data Merger tool where it can be reviewed along with any associated usability implications.Soil/sediments,solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances the specific failure is not narrated but noted in the associated OC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications. Please seethe associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical . Standards requested on the Chain of Custody. HOLD POLICY For samples submitted on hold,Alpha's policy is to hold samples free of charge for 21 calendar days from the date the project is completed. After 21 calendar days,we will dispose of all samples submitted including those put on hold unless you have contacted your Client Service Representative and made arrangements for Alpha to continue to hold the samples. Please contact Client Services at 800-624-9220 with any questions. r � Page 3 of 19 ! �� Serial No:09161313:47 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1317690 Project Number: BEA13-10583 Report Date: 09/16/13 Case Narrative(continued) Nitrogen,Total Kjeldahl L1317690-01 has an elevated detection limit due to the dilution required by the sample matrix. I,the undersigned, attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Cy _ Cynthia McQueen Authorized Signature: Title: Technical Director/Representative Date: 09/16/13 Page 4 of 19 OL Serial No:09161313:47 INORGANICS MISCELLANEOUS Page 5 of 19 Serial No:09161313:47 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L131769O Project Number: BEA13-10583 Report Date: 09/16/13 SAMPLE RESULTS Lab ID: L1317690-01 Date Collected: 09/09/13 15:00 Client ID: EFFLUENT Date Received: 09/10/13 Sample Location: COTUIT,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry Westborough Lab': Solids,Total Suspended ND mg/1 5.0 NA 1 - 09/12/13 14:10 30,2540D DW --.-............---..........__.........—.. .._..._........._...__.......--._.. Nitrogen,Nitrite ND mg/I 0.050 -- 1 - 09/11/13 01:02 44,353.2 DB Nitrogen,Nitrate 41. mg/I 1.0 -- 10 - 09/11/13 01:22 44,353.2 DB ....... _. .. . ..._.. _. ....._.._ . ........ .. ......_. _ .._... .. -.....__ .._.._. ._ . ...... ......... Nitrogen,Total Kjeldahl ND mg/I 3.00 -- 10 09/11/13 08:45 09/11/13 20:49 30,4500N-C AT ..- .-... ..._-...._ ....._. ._ _._._.. ......... .._.... __.., _ _. -.._ _ --- ----._.. ._.. ._...._. CBOD,5 day ND mg/1 2.0 NA 1 09/10/13 23:20 09/15/13 17:45 30,5210E SE i �LZI:�EiA Page 6of19 Serial'-No:O9161313:47 Project Name: PICKWICK AND EVERGREEN REALTI Lab Number L1317690 Project Number: BEA13-10583 Report Date: 09/16/13 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry Westborough Lab for ssmple(s) 01 Batch WG635115 1 M k' .. ... „::_.. , ,•;:3> ,._....:.,:,. ! _ram Batch- 6`3"M:...-' .- ... CBOD,5 day ND mg/I 2.0 NA 1 09/10/13 23:20 09/15/13 17:45 30,521013 SE General Chemistry Westborough Lab for, q tBatch 1WG635122 1 Nitrogen,Nitrate ND mg/l 0.10 . 1 - 09/11/13 00:35 44,353.2 DB General Chemistry-Westborough Lab for sample(s)� O11YBatch * Nitrogen,Nitrite ND mg/I 0.050 1 09/11/13 00:38 44,353.2 DB x , General Chemist V1/estb.orou h Lab folRsam le s 01 Batch 'WG635268 1 Nitrogen,Total Kjeldahl ND mgll 0.300 1 09/11/13 08:45 09/11/13 20:14 30,4500N-C AT es orough Lab for samples) 01 Batch WG635523 1 f k z, General Chemist Wtb :A. Solids,Total Suspended ND mg/I 5.0 NA 1 - 09/12/13 14:10 30,2540D DW Page 7 of 19 Serial No:09161313:47 Lab Control Sample Analysis Project Name: PICKWICK AND EVERGREEN REALTY Batch Quality Control Lab Number: L1317690 Project Number: BEA13-10583 Report Date: 09/16/13 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qual Limits RPD Qual RPD Limits General Chemistry-Westborough,Lab-.Associated:sample(s):Al zBatch:;WG635115 2 - MOD,5 day '86;- - 47-104 - 49 General Chemistry,-Westborough`Lab Associated samples) 01 = ;:Batch WG635122-2 . Nitrogen,Nitrate `99 - 90-110 - General Chemist Westborou h Lab Associated sam le s 01 Batch:;<WG635124 2 ry 9 P ( ) Nitrogen,Nitrite € ''::'99"4'. :' - 90-110 - 20 General;Chemist Westborou h:Lab"Associated sam le s :-'01 Batch:WG635268-2 Nitrogen,Total Kjeldahl 7. gg _ 78_122 - Page 8 of 19 ���� Serial No:09161313:47 Matrix Spike Analysis Batch Quality Control Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1317690 Project Number: BEA13-10583 Report Date: 09/16/13 Native MS MS MS MSD MSD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits x m �. N GenerakChemistry'=WestboroughlLab.Associated,sample(s);01 QC BatchxlD':1NG635115-4 t:: QC Sample L1317,.690 01 : Client ID EFFLUENT _ _... _ 4v- _ - emu. CBOD,5 day ND 100 90 36-125 - 49 General Chemistry;=Westborough°Lab Associated sample(s): 01 'QC`Batch ID '1NG635122 4n ' QC?Sample.=L131`7689'01 ClientiID !-MS`,Sample ..:.......:.:_..„. ......... .,.sv,:,.,.`:r:,.�.--+ -,...,...,._.,e-..;._..,..,..-..w..._.�..- ten..».:e--. a....;_..._....,.::... --.:..._,.. .,...,.„.:.. .,._.:.-.a«._ .E,..:.»s. .»,.M..-,::r�si..-_.......G....oc;_-:a., ,.,.,. ... .,.._...3 x:,.»...«.,._._..._- Yw..�....�._._�,.. _.. _-. Nitrogen,Nitrate 1.3 4 5.2 97 - - 83-113 6 General Chemistry Westborough`Lab_AssociatedEsample(s) 01 ?QC.Batch IDWG635124t4 .QC,Sample L131768901 " Client ID IVIS Sample _ _.. _. .^ Nitrogen,Nitrite _—_—_--_0.094 4 —3.9— 96F^' S rt ----� -- —� — 80-120 - 20 General Chemis 317619 05 try=",WestboroughLabrAssociatedaample(s). 01 ,QC;Batch,ID =1NG635268�4QC Sample:'L1Client ID MS+Sampled p ___.»�>:x�'.:-..�:...r....�..:.- ...:..,�,G,.�:•fa....a.,... _..a.....w...s- - - �:a.:-a�.�..__p.r,,a... _ �.w.._F�-... ._�;`: Nitrogen,Total Kjeldahl ND 8 7.13 r '89 - - 77-111 - 24 Page 9 of 19 Serial No:09161313:47 Lab Duplicate Analysis Project Name: PICKWICK AND EVERGREEN REALTY Batch Quality Control Lab Number: L1317690 Project Number: BEA13-10583 Report Date: 09/16/13 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits General Chemistry;-Westborough Lab Associated"sample(s): 01 QC Batch`ID: WG635115-3 QC Sample: L1317690-01 Client ID:-.EFFLUENT CBOD,5 day ND ND mg/I NC. 49 Genera l,Chemistry ;Westborough°Lab Associated sample(s) .01 WQCBatch ID:�WG635122-3, .QC-Sample: `.Ll317689 01'Client"ID `DUP`Sample Nitrogen,Nitrate 1.3 1.3 mg/1 Or 6 General Chemistry-Westborough"Lab Associated sample(s): 01 QC Batch,,ID: WG635124-3 QC°Sample: L1317689=0.1; Client ID:`-DUP'Sample- Nitrogen,Nitrite 0.094 0.096 mg/I 42' "-• 20 General Chemistry-.Westborough Lab Associated samples) 01 `. QC Batch ID: WG635268-3 QC-Sample: :L131761:9=05-Client ID::DUP Sample Nitrogen,Total Kjeldahl ND ND mg/1 ,NC y' 24 General Chemistry 'Westborough L'ab..:Qssociated sample(s):`01 ` QC:Batcli ID" WG635523-2 .'QCSample: L131,7668-01 'Client'ID ,-DUP Sample Solids,Total Suspended 2100 2300 mg/I 7 9. 7, 20 A Page 10 of 19 f NIL, �,.. Serial No:09161313:47 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1317690 Project Number: BEA13-10583 Report Date: 09/16/13 Sample Receipt and Container Information Were project specific reporting limits specified? YES Reagent H2O Preserved Vials Frozen on: NA Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C Pres Seal Analysis(*) L1317690-01A Plastic 250ml H2SO4 preserved A <2 3.0 Y Absent TKN-4500(28) L1317690-0113 Plastic 1000ml unpreserved A 7 3.0 Y Absent CBOD5(2),NO2-353(2),NO3- 353(2) L1317690-01C Plastic 1000ml unpreserved A 7 3.0 Y Absent TSS-2540(7) *Values in parentheses indicate holding time in days ! Page 11 of 19 Serial No:09161313:47 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1317690 Project Number: BEA13-10583 Report Date: 09/16/13 GLOSSARY Acronyms EDL Estimated Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting limit(RL).The EDL includes any adjustments from dilutions,concentrations or moisture content,where applicable.The use of EDLs is specific to the analysis of PAHs using Solid-Pbase Microextraction(SPME). EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NI Not Ignitable. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Footnotes 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Data Qualifiers A Spectra identified as"Aldol Condensation Product". B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit. C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. G The concentration may be biased high due to matrix interferences(i.e,co-elution)with non-target compound(s).The result should be considered estimated. H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I The lower value for the two cohmms has been reported due to obvious interference. Report Format: Data Usability Report A��ti� Page 12 of 19 Serial No:09161313:47 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1317690 Project Number: BEA13-10583 Report Date: 09/16/13 Data Qualifiers M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICS),where the identification is based on a mass spectral library search. P The RPD between the results for the two columns exceeds the method-specified criteria. Q The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R Analytical results are from sample re-analysis. RE Analytical results are from sample re-extraction. S Analytical results are from modified screening analysis. J Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICS). ND Not detected at the reporting limit(RL)for the sample. Report Format: Data Usability Report !:`P A Page 13 of 19 Serial No:09161313:47 Project Name: PICKWICK AND EVERGREEN REALTY Lab Number: L1317690 Project Number: BEA13-10583 Report Date: 09/16/13 REFERENCES 30 Standard Methods for the Examination of Water and Wastewater.APHA-AWWA- WPCF. 18th Edition. 1992. 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100,August 1993. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error, the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to,damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the field. Page 14 of 19 Serial No:09161313:47 Certificate/Approval Program Summary Last revised August 29,2013 -Westboro Facility The following list includes only those analytes/methods for which certification/approval is currently held. For a complete listing of analytes for the referenced methods,please contact your Alpha Customer Service Representative. Connecticut Department of Public Health Certificate/Lab ID: PH-0574. NELAP Accredited Solid Waste/Soil. Drinking Water (Inorganic Parameters: Color, pH, Turbidity, Conductivity, Alkalinity, Chloride, Free Residual Chlorine, Fluoride, Calcium Hardness, Sulfate, Nitrate, Nitrite, Aluminum, Antimony, Arsenic, Barium, Beryllium, Cadmium, Calcium, Chromium, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Nickel, Selenium, Silver, Sodium, Thallium, Zinc, Total Dissolved Solids, Total Organic Carbon, Total Cyanide, Perchlorate. Organic Parameters: Volatile Organics 524.2,Total Trihalomethanes 524.2, 1,2-Dibromo-3-chloropropane(DBCP)504.1, Ethylene Dibromide(EDB)504.1, 1,4- Dioxane (Mod 8270). Microbiology Parameters: Total Coliform-MF mEndo (SM9222B), Total Coliform - Colilert (SM9223, Enumeration and P/A), E. Coli. - Colilert (SM9223, Enumeration and P/A), HPC - Pour Plate (SM9215B), Fecal Coliform-MF m-FC(SM9222D), Fecal Coliform-EC Medium (SM 9221 E). Wastewater/Non-Potable Water (Inorganic Parameters: Color, pH, Conductivity, Acidity, Alkalinity, Chloride, Total Residual Chlorine, Fluoride, Total Hardness; Silica, Sulfate, Sulfide, Ammonia, Kjeldahl Nitrogen, Nitrate, Nitrite, 0- Phosphate, Total Phosphorus, Aluminum, Antimony, Arsenic, Barium, Beryllium, Boron, Cadmium, Calcium, Chromium, Hexavale,nt Chromium, Cobalt, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Strontium, Thallium, Tin, Titanium, Vanadium, Zinc, Total Residue (Solids), Total Dissolved Solids, Total Suspended Solids (non-filterable), BOD, CBOD, COD, TOC, Total Cyanide, Phenolics, Foaming Agents (MBAS), Bromide, Oil and Grease. Organic Parameters: PCBs, Organochlorine Pesticides, Technical Chlordane, Toxaphene, Acid Extractables (Phenols), Benzidines, Phthalate Esters, Nitrosamines, Nitroaromatics & Isophorone, Polynuclear Aromatic Hydrocarbons, Haloethers, Chlorinated Hydrocarbons; Volatile Organics, TPH (HEM/SGT), CT- Extractable Petroleum Hydrocarbons(ETPH), MA-EPH, MA-VPH. Microbiology Parameters:Total Coliform-MF mEndo (SM9222B), Total Coliform-MTF (SM9221 B), E. Coli-Colilert (SM9223 Enumeration), HPC-Pour Plate (SM9215B), Fecal Coliform-MF m-FC(SM9222D), Fecal Coliform-A-1 Broth (SM9221 E), Enterococcus-Enterolert. Solid Waste/Soil(Inorganic Parameters: pH, Sulfide,Aluminum,Antimony,Arsenic, Barium, Beryllium, Boron, Cadmium,. Calcium, Chromium, Hexavalent Chromium, Cobalt, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Thallium, Tin, Vanadium, Zinc, Total Cyanide, Ignitability, Phenolics, Corrosivity, TCLP Leach (1311), SPLP Leach (1312 metals only), Reactivity. Organic Parameters: PCBs, PCBs in Oil, Organochlorine Pesticides, Technical Chlordane, Toxaphene, CT-Extractable Petroleum Hydrocarbons (ETPH), MA-EPH, MA-VPH, Dicamba, 2,4-D, 2,4,5-T, 2,4,5-TP(Silvex), Dalapon, Volatile Organics (SW 8260), Acid Extractables (Phenols) (SW 8270), Benzidines (SW 8270), Phthalates (SW 8270), Nitrosamines (SW 8270), Nitroaromatics & Cyclic Ketones (SW 8270), PAHs (SW 8270), Haloethers (SW 8270), Chlorinated Hydrocarbons (SW 8270). ) State of Illinois Certificate/Lab ID: 003155. NELAP Accredited. Drinking Water (Inorganic Parameters: SM2120B, 2320B, 2510B, 2540C, SM4500CN-CE, 4500E-C; 4500H-B, 4500NO3-F, 5310C, EPA 200.7,200.8,245.1, 300.0. Organic Parameters: EPA 504.1,524.2.) Wastewater/Non-Potable Water (Inorganic Parameters:. SM21206, 2310B, 2320B, 2340B, 2510B, 2540B, 2540C, 2540D, SM4500CL-E, 4500CN-E, 4500E-C, 4500H-B, 4500NH3-H, 4500NO2-B, 4500NO3-F, 4500P-E, 4500S-D, 4500S03-B, 5210B, 5220D, 5310C, 5540C, EPA 120.1, 1664A, 200.7, 200.8, 245.1, 300.0, 350.1, 351.1, 353.2, 410.4, 420.1. Organic Parameters: EPA 608,624, 625.) Hazardous and Solid Waste (Inorganic Parameters: EPA 1010A, 1030, 1311, 1312, 6010C, 6020A, 7196A, 7470A, 7471 B, 9012B, 9014, 9038, 9040C, 9045D, 9050A, 9065, 9251. Organic Parameters: 8011 (NPW only), 8015C, 8081 B, 8082A,8151A, 8260C, 8270D, 8315A,8330.) Maine Department of Human Services Certificate/Lab ID:2009024. Drinking Water(Inorganic Parameters: SM9215B, 9222D, 9223B, EPA 180.1, 353.2, SM2120B, 2130B, 2320B, 2510C, 2540C, 4500CI-D,4500CN-C, 4500CN-E, 4500E-C, 4500H+B, 4500NO3-F, 5310C, EPA 200.7, EPA 200.8, 245.1, EPA 300.0. Organic Parameters:504.1, 524.2.) Wastewater/Non-Potable Water (Inorganic Parameters: EPA 120.1, 1664A, 300.0, 350.1, 351.1, 353.2, 410.4, 420.1, 8315A, 9010C, SM2120B, 2310B, 2320B, 2510B, 2540B, 2540C, 2540D, 426C, 4500CI-E, 4500CN-C, 4500CN-E, 4500E-B, 4500E-C, 4500H+B, 4500Norg-C, 4500NH3-B, 4500NH3-H, 4500NO2-B, 4500NO3-F, 4500P-B, 4500P-E, 4500S2-D, 4500S03-B, 5540C, 5210B, 5220D, 5310C, 9010B, 9030B, 9040C, 7470A, 7196A, 2340B, EPA 200.7, 6010C, 200.8, 6020A, 245.1, 1311, 1312, 3005A, Enterolert, 9223B, 9222D. Organic Parameters: 608, 624, 625, 8011, gp811�, 8082A, 8330, 8151A, 8260C,8270D, 3510C, 3630C, 5030B, ME-DRO, ME-GRO, MA-EPH, MA-VPH.) Page 75 of�l9 Serial No:09161313:47 Solid Waste/Soil (Inorganic Parameters: 9010B, 9012A, 9014, 9040B, 9045C, 6010C, 6020A, 7471 B, 7196A, 9050A, 1010, 1030, 9065, 1311, 1312, 3005A, 3050B, 9038, 9251. Organic Parameters: ME-DRO, ME-GRO, MA-EPH, MA- VPH, 8260C, 8270D, 8330,8151A, 8081B, 8082A,3540C,3546, 3580A, 3620C,3630C, 5030B, 5035.) Massachusetts Department of Environmental Protection Certificate/Lab ID: M-MA086. Drinking Water (Inorganic Parameters: (EPA 200.8 for: Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TI) (EPA 200.7 for: Ba,Be,Ca,Cd,Cr,Cu,Na,Ni) 245.1, (300.0 for: Nitrate-N, Fluoride, Sulfate); (EPA 353.2 for: Nitrate-N, Nitrite-N); (SM4500NO3-F for: Nitrate-N and Nitrite-N); 4500E-C, 4500CN-CE, EPA 180.1, SM2130B, SM4500CI-D, 2320B, SM2540C, SM4500H-B. Organic Parameters: (EPA 524.2 for: Trihalomethanes, Volatile Organics); (504.1 for: 1,2- Dibromoethane, 1,2-Dibromo-3-Chloropropane), EPA 332. Microbiology Parameters: SM9215B; ENZ. SUB. SM9223; ColilertQT SM9223B; MF-SM9222D.) Non-Potable Water(Inorganic Parameters:, (EPA 200.8 for: AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI,Zn); (EPA 200.7 for: AI,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,Ti,TI,V,Zn); 245.1, SM4500H,B, EPA 120.1, SM2510B, 2540C, 2340B, 2320B, 4500CL-E, 4500E-BC, 426C, SM4500NH3-BH, (EPA 350.1 for: Ammonia-N), LACHAT 10-107-06-1-B for Ammonia-N, SM4500NO3-F, 353.2 for Nitrate-N, SM4500NH3-BC-NES, EPA 351.1, SM4500P-E, 4500P-B,E, 5220D, EPA 410.4, SM 5210B, 5310C, 4500CL-D, EPA 1664, SM14 510AC, EPA 420.1, SM4500-CN-CE, SM2540D. Organic Parameters: (EPA 624 for Volatile Halocarbons,Volatile Aromatics),(608 for: Chlordane,Toxaphene,Aldrin, alpha-BHC, beta-BHC, gamma-BHC, delta-BHC, Dieldrin, DDD, DDE, DDT,Endosulfan I, Endosulfan Il, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs-Water), (EPA 625 for SVOC Acid Extractables and SVOC Base/Neutral Extractables), 600/4-81-045-PCB-Oil. Microbiology Parameters: (ColilertQT SM9223B; Enterolert-QT:SM9222D-MF.) New Hampshire Department of Environmental Services Certificate/Lab ID:200307. NELAP Accredited. Drinking Water(Inorganic Parameters: SM 9222B, 9223B, 9215B, EPA 200.7, 200.8, 300.0, SM4500CN-E, 4500H+B, 4500NO3-F,2320B,2510B,2540C,4500E-C, 5310C, 2120B, EPA 332.0. Organic Parameters:504.1, 524.2.) Non-Potable Water(Inorganic Parameters: SM9222D, 9221 B, 9222B, 9221 E-EC, EPA 3005A, 200.7, 200.8, 245.1, SW- 846 6010C, 6020A, 7196A, 7470A, SM3500-CR-D, EPA 120.1, 300.0, 350.1, 350.2, 351.1, 353.2, 410.4, 420.1, 426C, 1664A, SW-846 9010B, 9010C, 9030, 9040B, 9040C, SM2120B, 2310B, 2320B, 2340B, 2540B, 2540D, 4500H+B, 4500CL-E, 4500CN-E, 4500NH3-H, 4500NO3-F, 4500NO2-B, 4500P-E, 4500=S2-D, 4500SO3-B, 5210B, 5220D, 2510B, 2540C, 4500E-C, 5310C, 5540C, LACHAT 10-204-00-1-A, LACHAT 10-107-06-2-D, 3060A. Organic Parameters: SW-846 3510C, 3630C, 5030B, 8260C, 8270D, 8330, EPA 624, 625, 608, SW-846 8082A, 8081 B, 8015C, 8151A, 8330., 8270D-SIM.) Solid& Chemical Materials (Inorganic Parameters: SW-846 6010C, 6020A, 7196A, 7471 B, 1010, 1010A, 1030, 9010C, 9012B, 9014, 9030B, 9040C, 9045C, 9045D, 9050, 9065, 9251, 1311, 1312, 3005A, 3050B, 3060A. Organic Parameters: SW-846 3540C, 3546, 3050B, 3580A, 3620D, 3630C, 5030B, 5035, 8260C, 8270D, 8270D-SIM, 8330, 8151A, 8015B,8015C,8082A, 8081B.) New Hampshire Department of Environmental Services Certificate/Lab ID:2064. NELAP Accredited. Drinking Water(Organic Parameters: EPA 524.2: Di-isopropyl ether(DIPE), Ethyl-t-butyl ether(ETBE),Tert-amyl methyl ether(TAME)). Non-Potable Water(Organic Parameters: EPA 8260C: 1,3,5-Trichlorobenzene. EPA 8015C(M): TPH.) Solid& Chemical Materials(Organib Parameters: EPA 8260C: 1,3,5-Trichlorobenzene.) New Jersey Department of Environmental Protection Certificate/Lab ID: MA935. NELAP Accredited. Drinking Water (Inorganic Parameters: SM9222B, 9221 E, 9223B, 9215B, 4500CN-CE, 4500NO3-F, 4500E-C, EPA 300.0, 200.7, 200.8, 245.1, 2540C, SM2120B, 2320B, 2510B, 5310C, SM4500H-B. Organic Parameters: EPA 332, 504.1, 524.2.) Non-Potable Water(Inorganic Parameters: SM5210B, EPA 410.4, SM5220D, 4500CI-E, EPA 300.0, SM2120B, 2340B, SM4500E-BC, EPA 200.7,200.8, 351.1, LACHAT 10-107-06-2-D, EPA 353.2,SM4500NO3-F,4500NO2-B, EPA 1664A, SM5310B, C or D, 4500-PE, EPA 420.1, SM510ABC, SM4500P-B5+E, 2540B, 2540C, 2540D, EPA 120.1, SM2510B, SM15 426C, 9222D, 9221B, 9221C, 9221E, 9222B, 9215B, 2310B, 2320B, 4500NH3-H, 4500-S D, EPA 350.1, 350.2, SW-846 1312, 7470A, 5540C, SM4500H-B, 4500SO3-B, SM3500Cr-D, 4500CN-CE, EPA 245.1, SW-846 9040B, 9040C, 3005A, 3015, EPA 6010B, 6010C, 6020, 6020A, 7196A, 3060A, SW-846 9010C, 9030B. Organic Parameters: SW-846 8260B, 8260C, 8270C, 8270D, 8270C-SIM, 8270D-SIM, 3510C, EPA 608, 624, 625, SW-846 3630C, 5030B, 8011, 8015C, 8081A,8081B,8082, 8082A, 8151A,8330, 1,4-Dioxane by NJ Modified 8270, 8015B, NJ EPH.) li Page sChemical Materials(inorganic Parameters: SW-846, 6010B, 6010C, 6020, 6020A, 7196A, 3060A, 9030B, 1010, A, 1030, 1311, 1312, 3005A, 3050B, 7471A, 7471B, 9010C, 9012B, 9014, 9038, 9040B, 9040C, 9045C, 9045D, Serial No:09161313:47 9050A, 9065, 9251. Organic Parameters: SW-846 80156, 8015C, 8081A, 808113, 8082, 8082A, 8151A, 8330, 826013, 8260C, 8270C, 82701), 8270C-SIM, 8270D-SIM,3540C, 3546, 3580A, 3620C, 3630C, 503013, 5035L, 5035H, NJ EPH.) New York Department of Health Certificate/Lab ID: 11148. NELAP Accredited. Drinking Water (Inorganic Parameters: SM922313; 9222B, 921513, EPA 200.8, 200.7, 245.1, SM5310C, EPA 332.0, SM23206, EPA 300.0, SM212013, 4500CN-E, 4500E-C, 4500NO3-F, 2540C, SM 2510B. Organic Parameters: EPA 524.2, 504.1.) Non-Potable Water (Inorganic Parameters: SM9221 E, 9222D, 9221 B, 92226, 92156, 521013, 5310C, EPA 410.4, SM52201), 2310B, 2320B, EPA 200.7, 300.0, SM4500CL-E, 4500E-C, SM15 426C, EPA 350.1, SM4500NH3-BH, EPA 351.1, LACHAT 10-107-06-2, EPA 353.2, SM4500-NO3-F, 4500-NO2-B, 4500P-E, 234013, 2540C, 2540B, 25401), EPA 200.8, EPA 6010C, 6020A, EPA 7196A, SM3500Cr-D, EPA 245.1, 7470A, SM212013, 4500CN-CE, EPA 1664A, EPA 420.1,SM14 510C, EPA 120.1, SM251013, SM4500S-D, SM5540C, EPA 8315A, 3005A, 3015, 9010C, 9030B. Organic Parameters: EPA 624, 8260C, 82701), 8270D-SIM, 625, 608, 80816, 8151A, 8330, 8082A, EPA 3510C, 503013, 8015C, 8011.) Solid&Hazardous Waste(Inorganic Parameters: EPA 1010A, 1030, EPA 6010C, 6020A, 7196A, 747113, 8315A, 9012B, 9014, 9065, 9050A, 9038, 9251, EPA 1311, 1312, 3005A, 305013, 9010C, 9030B, 9040C, 9045D. Organic Parameters: EPA 8260C, 82701),8270D-SIM, 8015C, 8081B, 8151A, 8330, 8082A, 3540C, 3546, 3580A, 5035A-H, 5035A-L.) North Carolina Department of the Environment and Natural Resources Certificate/Lab ID :666. (Inorganic Parameters: SM2310B,232013,4500CI-E,4500Cn-E, 9012B, 9014, Lachat 10-204-00-1-X, 1010A, 1030,4500NO3-F, 353.2,4500P-E,4500SO4-E, 300.0,4500S-D, 531013, 5310C, 6010C, 6020A,200.7, 200.8,3500Cr-B, 7196A, 245.1, 7470A, 7471B, 1311,1312. Organic Parameters:608,8081B, 8082A, 624,826013,625, 8270D,8151A,8015C, 504.1, MA-EPH, MA-VPH.) Drinking Water Program Certificate/Lab ID: 25700. (Inorganic Parameters: Chloride EPA 300.0. Organic Parameters: 524.2) Pennsylvania Department of Environmental Protection Certificate/Lab ID :68-03671. NELAP Accredited. Drinking Water(Inorganic Parameters:200.7,200.8, 300.0, 332.0,212013, 23206,2510B, 2540C,4500-CN-CE,4500E- C,4500H+-B,4500NO3-F, 5310C.Organic Parameters: EPA 524.2, 504.1) Non-Potable Water(Inorganic Parameters: EPA 120.1, 1312, 3005A,3015,3060A, 200.7, 200.8,410.4, 1664A, SM2540D, 521013, 52201),4500-P,BE,245.1, 300.0, 350.1, 350.2, 351.1, 353.2,420.1, 6010C,6020A, 7196A, 7470A, 9030B, 212013,231013,2320B, 25106, 254013,2540C, 3500Cr-D,426C,4500CN-CE, 4500CI-E,4500E-B,4500E-C, 4500H+-B,4500NH3-H,4500NO2-13,4500NO3-F,4500S-D,4500S03-B,5310BCD, 5540C, 9010C, 9040C. Organic Parameters: EPA 3510C, 3630C, 503013, 625,624,608,808113, 8082A, 8151A, 8260C,8270D, 8270D-SIM, 8330, 8015C, NJ-EPH.) Solid& Hazardous Waste (Inorganic Parameters: EPA 350.1, 1010, 1030, 1311, 1312, 3005A, 30506, 3060A, 6010C, 6020A, 7196A, 747113, 9010C, 9012B, .9014, 90406, 90451), 9050A, 9065, SM 4500NH3-131-1, 903013, 9038, 9251. Organic Parameters: 3540C, 3546, 3580A, 3620C, 3630C, 5035, 8015C, 80816, 8082A, 8151A, 8260C, 82701), 8270D- SIM,8330, NJ-EPH.) Rhode Island Department of Health Certificate/Lab ID: LA000065. NELAP Accredited via NJ-DEP. Refer to MA-DEP Certificate for Potable and Non-Potable Water. Refer to NJ-DEP Certificate for Potable and Non-Potable Water. Texas Commisson on Environmental Quality Certificate/Lab ID:T104704476. NELAP Accredited. Non-Potable Water(Inorganic Parameters: EPA 120.1, 1664,200.7,200.8,245.1, 245.2, 300.0, 350.1, 351.1, 353.2, 410.4,420.1,6010,_6020,7196,7470,9040, SM 21206,2310B,232013, 2510B, 254013,2540C, 25401),426C,4500CL- E,4500CN-E,4500E-C,4500H+B,4500NH3-H,4500N0213,4500P-E,4500 S2 D, 510C, 5210B,5220D, 5310C, 5540C. Organic Parameters: EPA 608,624,625,8081, 8082, 8151,8260,8270,8330.) Solid&Hazardous Waste(Inorganic Parameters: EPA 1311, 1312,9012,9014, 9.040, 9045,9050, 9065.) Virginia Division of Consolidated Laboratory Services Certificate/Lab ID:460195.NELAP Accredited. Drinking Water(Inorganic Parameters: EPA 200.7, 200.8, 300.0, 2510B, 212013,2540C,4500CN-CE,245.1, 232013, 4500E-C,4500NO3-F,4500H+B, 5310C.Organic Parameters: EPA 504.1, 524.2.) Non-Potable Water(Inorganic Parameters: EPA 120.1, 1664A,200.7, 200.8, 245.1, 300.0, 350.1, 351.1, 351.2,3005A, 3015, 1312, 6010B, 6010C, 3060A, 353.2,420.1, 234013, 6020, 6020A, SM4500S-D, SM4500-CN-CE, Lachat 10-204- Page&g M31H64500NO2-B34500NO3-BF,4500 S03-BB4500H B,4 0 PE,510AC, 5210B, 5310B1 310C,0 54005901 Cm Serial No:09161313:47 903013, 9040C.Organic Parameters: EPA 3510C, 3630C,5030B, 82606,608,624, 625, 8011, 8015C, 8081A, 8081B, 8082, 8082A, 8151A, 8260C, 8270C, 8270D,8270C-SIM,8270D-SIM,8330, ) Solid&Hazardous Waste(,Inorganic Parameters: EPA 1010A, 1030, 3060A, 3050B, 1311, 1312, 601013, 6010C, 6020, , 7196A, 7471A,7471B, 6020A, 9010C, 9012B, 9030B,9014, 9038, 9040C, 9045D, 9251, 9050A, 9065.Organic Parameters: EPA 503013, 5035, 3540C, 3546, 35506,3580A, 3620C, 3630C, 6020A, 826013,8260C, 8015B,8015C, 8081A, 80816, 8082, 8082A, 8151A, 8270C, 8270D, 8270C-SIM, 8270D-SIM, 8330.) Department of Defense, L-A-B Certificate/Lab ID: L2217. Drinking Water(Inorganic Parameters: SM 4500H-B.Organic Parameters: EPA 524.2, 504.1.) Non-Potable Water (Inorganic Parameters: EPA 200.7, 200.8, 6010C, 6020A, 245.1, 7470A, 904013, 901013, 180.1, 300.0, 332.0, 6860, 351.1, 353.2, 9060, 1664A, SM 4500CN-E, 4500H-B, 4500Norg-C, 4500NO3-F, 5310C, 213013, 232013, 234013, 2540C, 5540C, 3005A, 3015, 9056, 7196A, 3500-Cr-D. Organic Parameters: EPA 8015C, 8151A, 8260C, 8270D,8270D-SIM, 8330A, 8082A, 8081B,3510C, 503013, MassDEP EPH, MassDEP VPH.) Solid&Hazardous Waste(Inorganic Parameters: EPA 200.7, 6010C,6020A, 7471A, 6860, 1311, 1312, 3050B,7196A, 9040B, 9045C,9010C,9012B,9251, SM3500-CR-D,4500CN-CE, 2540G, Organic Parameters: EPA 8015C, 8151A, 8260C, 8270D,8270D-SIM,8330A/B-prep,8082A, 8081B,3540C, 3546,3580A, 5035A, MassDEP EPH, MassDEP VPH.) The following analytes are not included in our current NELAP/TNI Scope of Accreditation: EPA 524.2: Acetone, 2-Butanone (Methyl ethyl ketone (MEK)), Tert-butyl alcohol, 2-Hexanone, Tetrahydrofuran, 1,3,5- Trichlorobenzene, 4-Methyl-2-pentanone (MIBK), Carbon disulfide, Diethyl ether. EPA 8260B: 1,2,4,5- Tetramethyl benzene, 4-Ethyltoluene. EPA 8260 Non-potable water matrix: lodomethane (methyl iodide), Methyl methacrylate. EPA 8260 Soil matrix: Tert-amyl methyl ether (TAME), Diisopropyl ether.(DIPE), Azobenzene. EPA 8330A: PETN, Picric Acid, Nitroglycerine, 2,6-DANT, 2,4-DANT. EPA 8270C: Methyl naphthalene, Dimethyl naphthalene, Total Methylnapthalenes, Total Dimethyl naphthalenes, 1,4-Diphenylhydrazine. EPA 625: 4-Chloroaniline, 4-Methylphenol. Total Phosphorus in a soil matrix,TKN in a soil matrix, NO2 in a soil matrix, NO3 in a soil matrix. EPA 9071: Total Petroleum Hydrocarbons, Oil &Grease. Page 18 of 19 Serial_No:09161313:47 CHAIN OF CUSTODY PAGE 10 Da( F1 ALPHAJOb e Rec'd in Lab: KA Project Information Report Information Data Deliverables Billing Information [] FAX ® EMAIL ® Same as Client Info PO#:10583 'b- Westborough,MA Mansfield,MA Project Name:Pickwick and Evergreen Realty TEL:508.898.9220 TEL 5as-s22-9300 ❑ ADEx ❑ Add1 Deliverables FAX:508-898-9193 FAX 598.8223288 Regulatory Requirements/Report Project Location:Cotuit,MA State/Fed P ram Criteria Client:Bennett Environmental Associates Project*BEA13-10583 Address:1573 Main Street/P.O.Box 1743 Project Manager:David C.Bennett Brewster.MA 02631 1 ALPHA Quote#: Phone:508-896-1706Turn-Around ANALYSIS • Fax 508-896-5199 ®Standard ❑Rush(ONLY IF PRE-APPROVED) SAMPLE HANDLING >Tl"p Done Email:sfarrenkopf@_bennatt-ea.com l�(�y .i❑These samples have been Previously analyzed by Alpha Due Date: Time: ® Not Needed p Lab to do Other Project Specific Requirements/Comments/Detection Limits: Preservarlan • p Lab to do m0 {Please spec y belmv) U ai 'S4l:PtiA:Lab ID., Sample ID Collection Sample Sampler's z (Lab;Use Only) Date Time Matrix Initials - .. .. . . 2s c ample spedae Z F, comments [ (p L V• Effluent t �� =c"Z WIN ® ® ❑ ❑ ❑ s = ❑ ❑ :.: .. .... . .. ❑ ❑ ❑ ❑ ❑ ❑ El 1010 ❑ ❑ ❑ ❑ 0 ❑ ❑ ❑ ❑ 3 R Container Type P P P - - - Pleme print cleadSj Aeglbly Preservative 0 O D - - - ;andcompletely. Samples'can..: %not ba logged in and Relinquished Daterrime Recelved By: DateTme tumaround.lime clock wfll:not �t start until s6k'ambigultles.are reeolvetl�Altsarnplea submltted are subjebt to' Alpha s Payment Terms. FORNO:NO1.at(FW) ' n.v.as•raah / Page 19 of 19 BEN;-NETTENVIRONMENTALAssociATiF,s, INC* LICENSED SITE PROFESSIONALS 6 ENVIRONMENTAL SCIENTISTS & GEOLOGISTS & ENGINEERS 1573 Malin Street-P.O. Box 1743, Brewster, MA 02631 0 508-896-1706 0 Fax 508-896-5109 Q www.bennett-ea.com F� t� � PROPOSAL July 30, 2013 vx4 Andrew Newman,Trustee Alan J. Schlesinger, Trustee c/o Craig Ashworth EB Norris & Son, Inc. 138 Osterville West Barnstable Road Osterville, MA 02648 RE: OPERATION AND MAINTENANCE CONTRACT Innovative/Alternative Wastewater Treatment System 7.1 Ocean View Avenue-Cotuit, MA Dear Mr.Newman and Mr. Schlesinger, BENNETT ENVIRONMENTAL ASSOCIATES,INC.(BEA)is pleased to provide you with a budget estimate for professional services relative to the operation and maintenance of the Innovative/Alternative Wastewater Treatment System located at the above referenced property. The collection and laboratory analysis of samples collected from the effluent of the septic treatment system is a required condition of the system, as set forth by the MA Department of Environmental Protection (MA DEP)to qualify treatment capacity on a quarterly basis. As such, work proposed by BEA includes the inspection and collecti . of wash. vate8 samples for laboratory analysis,as well as the preparation of the required forms for�x tributioiRo theme 17- appropriate town and state offices. Additionally,at the time of such sampling,blowers,filt&I ands associated piping will be inspected to assure working condition and regularly scheduled maintenance performed on a fixed cost basis will be invoiced quarterly. Should any repair or treatment system components replacement be required, or additional sampling beyond the quarterly, requireants Ln necessary,you will be notified to authorize the additional work and expenses. The following budget represents estimated annual costs through one year of service to in lc ude four sampling and inspection events. These annual costs are valid for two years subsequent to the date of the first inspection. Please note that this contract runs with the property. As such,it is your responsibility to notify our office in writing of any sale of the subject property so that there is no disruption of services. Furthermore, you are required to notify any buyer of the transfer of this contract. > EMERGENCY SPILL RESPONSE A WASTE SITE CLEANUP A SITE ASSESSMENT 6 PERMITTING A SEPTIC DESIGN&INSPECTION WATER SUPPLY DEVELOPMENT,OPERATION&MAINTENANCE A WASTEWATER TREATMENT,OPERATION&MAINTENANCE NLY 30,2013 NEWMAN/SCHLESINGEP/PROPOSAL PAGE 2 OF 2 I/A W WTO&M QUARTERLY INSPECTION/MAINTENANCE/SAMPLING- Inspect I/A.system and take field measurements of dissolved oxygen, pH, and turbidity. Collect treated effluent wastewater samples under a proper chain-of-custody for MA certified laboratory analysis of CBOD, TSS and nitrite/nitrate/TKN for total nitrogen. At the tune of sampling events the conditions of the system will be inspected and documented with regards to the blower units,sludge level and associated piping. REPORTING/FILING Review inspection,field-testing,and laboratory analytical report relative to conditional requirements ofthe system under the MA DEP and local Board of Health approvals. Prepare DEP transmittal forms and submit inspection and sampling reports on the Barnstable County Department of Health and Enviromment online database on a quarterly basis. Submit laboratory report and DEP transmittal forms to MA DEP,local Board of Health,and associated vendors/contractors,as appropriate,on an annual basis. Professional Services $845.00 Laboratory Analysis [4x TSS,CBOD,nitrate/nitrite/TKN] $340.40 TOTAL ANNUAL EXPENSE: $1185.40* TOTAL COST PER EVENT: $ 296.35 *Note:UA systems located in Barnstable County are required to report inspection and sampling results on the MA Septic online database for use by the Barnstable County Department of Health and Environment(BCDHE)and the local Boards. of Health. At this time,BCDHE has found it necessary to institute annual user fees for filing on this required database. This fee is$50 per year. This fee will be included on your invoice on an annual basis. Therefore,if you are in agreement and wish to proceed with the work as outlined,please sign the authorization below indicating acknowledgement and acceptance of our Terms&Conditions and return one copy of this proposal to our office. Should you have any questions or need additional information,please contact me directly at our office. Very truly yours, BENNETT ENVIRONMENTAL ASSOCIATES, INC. i ara Ris Business Manager cc: Samantha Farrenkopf, Wastewater Program Coordinator encl. Abbreviated Terms&Conditions (2011)/Fee Schedule (2010) �j AUTHORIZATION: - � - , DATE: TOWN OF BARNSTABLE LOCATION —1 VL A-')eSEWAGE# J-6 t i— 103. / `VILLAGE CL%rr.A r t— ASSESSOR'S MAP&PARCEL pie¢ INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 1 S eo0 -4—.fL. f LEACHING FACILITY: (size) NO.OF BEDROOMS OWNERGtCwtGIG PERMIT DATE: 4 -/TI—t P COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility lei dr• Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) eet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) t4 Feet FURNISHED BY �!�. �>Z�pvr��� u�.,4.��y ,��� ►mow f y���► A � , gj I r= � 8- , i � �I' � � . TOWN OF BA��RN��S,�.TABLE LOCATION -1 Q Q�� LAC-LA .mac A SEWAGE# Q�- VILLAGE e�a—t e.C_.I !,r- ASSESSOR'S MAP&PARCEL (Q_3 --d ZfS_ INSTALLER'S NAME&PHONE NO. �t�iC3L[rt�l SEPTIC TANK CAPACITY �E , acts:. LEACHING FACILITY:(type) T�e L ho ems- (size) 1Af+' x_76 r NO.OF BEDROOMS ? ' OWNER C-K-L01�t� R_a✓*i_T`I PERMIT DATE: �'•S� 18 COMPLIANCE DATE: Separation Distance Between the: _ Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility -5 Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) hl A- Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY c� r> �p r r: fill IV,or4 t 1 S -,5, p 4 , r i fa (Ir 1 � Le � W T OF BARNSTABLE LOCATION_-'1 L V 1 e 1= SEWAGE# .i.L8 i tb VILLAGEt.t`l ASSESSOR'S MAP&PARCEL O INSTALLER'S NAME&PHONE NO. -t ® L-6771 C�N�[ ,® SEPTIC TANK CAPACITY LEACHING FACILITY:(type) 4-1 La_b (size) � r r NO.OF BEDROOMS / OWNER i C-(C431C t< R sk4„% '.ZcAS s�— PERMIT DATE: j® COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility / Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) tit /�• Feet FURNISHED BY 10 0 0 `� P)WN OF BARNSTABLE LOCATION 0 G 6-n V-�, SEWAGE # V"1LAGE (.r 11` s _ ASSESSOR'S MAP & LOT _' S NAME&PHONE NO. ol SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO. OF BEDROOMS c BUILDER OR OWNER Kad-LA.,- 0/1 o-w 41 cf . G r. PERMTrDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum`Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) _ _ Feet Edge of Wetland and Leaching Facility(lf.any wetlands exist within 300 feet of leaching facility) Feet Furnished by - � ,,4� '' . �� 4 TOWN OF ARNSTABLE NTION V MA VJ?U) tZ//P—. SEWAGE# ZOO?—��y � _ASSE^SSOR'S MAP&PARCEL (J DLl /y� INSTALLER'S NAME&PHONE NO. D/ �OI�'v� 7 71`7- SEPTIC TANK CAPACITY LEACHING FACILITY:(type) 1-5-00 Q GAl (size) N01.017 BEDROOMSl.f OWNER < 1 �/'J /� PERMIT DATE: I9 1 r6 Q9 COMPLIANCE DATE: Separation Distance Between the: Nl1ximum Adjusted Groundwater Table to the Bottom of Leaching Facility feet Private Water Supply Well and Leaching Facility(if any wells exist on site or within 200 feet of leaching facility) feet Edge of Wetland and Leaching Facility(if any wetlands exist within 300 feet of leaching facility). feet FURNISHED BY / � s ��- 4 3 4 1/ 2Z d �z p o 1 - Ill , 17 5"- 3 q r �S /7 1 TOWN OF BARNSTABLE CATION O CtAn W'q,. SEWAGE# ViI.LA�rE coved- ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY /SGV TAn k C6 jvou l - A r: J. 4;EACHING FACILITY:(type) R;r l GV0 GX fo (size) y �� NO.OF BEDROOMS o'L. OWNER tfAW f0/ PERMIT DATE:, COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY 1�1 JOcc�?ilh T. FOi1 £L P13 �' a ►a 1 No: 2 0 (� 6 FeeSo THE COMMONWEALTH OF MASSACHUSETTS Entered incom uteri PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS es Apphratiou for disposal 6pstrm Construction Permit Application for a Permit to Construct(-I'- Repair( ) Upgrade( ) Abandon( ) ❑Complete System �hdividual Components Location Address or Lot No.71 (�� ► o �� Owner's Name,,�Ad(,�esss,and Tql.No. av "p;�1r w gCe�.l Assessor's Map/Parcel -5 _ N Installer's N e,Address, )and Tel.N Desi er's Name,Address,and Tel.No. Wk©tll/ r 1 I "�^�'���..esiF'� nL off- Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 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 a Nature of Repairs or Alterations(Answer when applicable) . k ; � rn� r.Cho --33 (o Date last inspected: Agreement: The undersigned agrees to ensure the construction andmVntenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Enviro nta ode and not to place the system in operation until a Certificate of Compliance has been issued by this Board c Hea ti Signed V Date Application Approved by Date Application Disapproved b Date for the following reasons Permit No 201 I—j 0 Date Issued N / , S --- o. I I � �'� s ;1' Fee Cj THE COMMONWEALTWOF MASSACHUSETTS Entered in computer PUBLIC HEALTH DIVISION - Td F BARNSTABLE, MASSACHUSETTS ; _�S NS application for Disposal �&pstem Construction i3ermit Application for a Permit to Construct'(%' Repair O Upgrade( ) Abandon( ) ❑Complete Systemdividual Components ` G Location Address for Lot No.7J0(Ek/1 V►eV O_yvne�r�s Ne,,Address, d Tgl.No. �N'+. � �`CCee� resj r�rr Assessor's Map/Parcel Installer's N=e,Addy re and Tel. Designer's Na pie,Address,and Tel.No. so 6''-1 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building _ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 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) `y� t+�. Tc�n� Sit� jt W(r- \\•\C-5 )�-o ?Ad -33 Date last inspected: Agreement: n��L The undersigned agrees to ensure the construction and-rill-Rintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5-of the Envi onmenta ode and not to place the system in operation until a Certificate of Compliance has been issued by this Board f Health Signe `f _ Date !//// Application Approved byIF) P��p. Date �► 1 J '� Application Disapproved b Date for the following reasons Permit No. ")o - l U 3 Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( � Repaired( ) Upgraded( ) Abandoned( )by Gum► 6-7-- at 71 Ayp- , (o has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated /°)411 Installer Designer #bedrooms Approved design okV gpd The issuance of th s p it shall not be construed as a guarantee that the system w`1 functi n as design d. Date S I} n Inspector I"/-------------------------- --------------�­­­ - - --- ------ ---------S -------------- No. ':2 o I/ -l o 3 : ' Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction permit Permission is hereby granted to Construct( -) Repair( ) Upgrade( ) Abandon( ) System located at 7( (�ceq r �/t Cl� A" ('AA and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Con truct'on mus'be completed within three years of the date of this permit 1 Date �� /(� �/ Approved by MAY-25-2011 10:19 From:BORTOLOTTI CONST 5084289399 To:15087906304 P.1/2 05/� l2ett 12:01 5@e4269617 SULLIVAN ENG INC FACE 02 Town of Barnstable Regulatory Services Thomas F. Geller,mrector p"s'AM Public Health Division Tbiomas McKean,Director 200 Main Street, Hyannis,MA 02601 0fr'ice; SM862-4644 Fax: S08•79lW04 .Date: ?-t 11 ,. Sewage Permit#_ &-t o� Assessor's Map/Parcel d � Installer Designer: itr�� F ;. ,,,.a. '�.e Installer: Address, .o Address; On / r++� was issued a permit to install a. date installer septic system at It based on a.design drawn by address signer x certify that the septic system referenCed above was installed substantially according to the desist, which may include minor approved changes such as 1$term relocation of the distribution box and/or septic tank. Spout (if required) was inspected and the soils were found satisfactory, I certify that the Septic system referenced above was ina lied with major changes (i.e. greater than 10' lateral relocation of the SAS Or any vertical relor-Won of any component of the septic tern)but in accordance with State &focal Regulations. .Plan revision or certified - it by designer to follow. Stripout(if required) w ected and tho soils were sat isfactory, TH OF tl�s JOHN c. O IL :[nsta ler's Span ture CIVIL No.4818E TEA`�� S/ONAL igner's ign Lure) (Affix) Siggner's p are SFBA�RXSgT"Er, P1HL D S- >SYJCJLIR AAMC S AB X R -111 YC q�b!'tTco lemt9ldtbignea+can9fioaefan farm dtx - ` I[iENNETT ENVIRONMENTAL ASSOCIATES INC. LICENSED SITE PROFESSIONALS d ENVIRONMENTAL SCIENTISTS & GEOLOGISTS 0 ENGINEERS 1573 Main Street-P.O. Box 1743, Brewster, MA 02631 & 508-896-1706 & Fax 508-896-5109 www.bennett-ea.com BEA10-10299 February 26, 2011 Mr. Michael Whiteside, Case Officer MA DEPARTMENT OF ENVIRONMENTAL PROTECTION(MA DEP) Southeast Regional Offices(SERO) Bureau of Waste Site Cleanup/Emergency Response Section(BWSC/ERS) 20 Riverside Drive Lakeville, MA 02347 RE: IMMEDIATE RESPONSE ACTION COMPLETION REPORT WITH CLASS A RESPONSE ACTION OUTCOME STATEMENT Pickwick Realty Trust- RTN 4-23049 71 Ocean View Ave.—Cotuit, MA [Assessor's Map 34, Parcel 45] ;. Dear Mr. Whiteside, BENNETT ENVIRONMENTAL ASSOCIATES, INC., (hereinafter:referred to as BEA) has prepared the following Immediate Response Action Completion Statement (IRAQ with a Class A Response Action Outcome Statement (RAO) and Supporting Documentation as representing initial discovery; environmental assessment and subsequent,. remedial response activities conducted in -connection with.the above referenced:.location in accordance with the provisions of 310 CMR 40,0427:and 40.1036(2) respectively. This work has been conducted in an effort to mitigate environmental and human health hazardsassocatedwith the historic release of an apparent small quantity of gasoline from an abandoned underground storage tank (UST) located at the property.:...- The abandoned UST. was discovered during extensive construction activities at—the ZE subject property. The tank`was discovered partially underlying a building, formerly used,as a multi-car garage. Subsequent to; pumping the contents. and removing the tank, petroleum impacted soils were discovered as realized by photoiomzation screening by "jai headspace" methods (> 100 ppmv). Following Release Notification and MA DEP verbal authorizations - some 20 yards of significantly impacted soils were excavated and taken off-site for'recycling`at a -- - -- -.licensed_asphalt-.batching_faci-Iity_under-a..full_y_.executed_Bill._.of__Lading.__End_point_samping_of�='_ the sidewall and bottom of hole areas reported all VPH/EPH fractional compounds and ta�rget'-n VOC and PAH analytes at background or trace concentrations significantly below the applicable Method 1 —Risk Characterization standards. Environmental conditions documented in the area of the former underground tank, as the defined Site under RTN 4-23049, represent a condition of"No Significant Risk" for all potential human exposures and environmental hazards. As such, the Immediate Response Actions taken for the removal of all significantly impacted soils was successful in meeting regulatory objectives to absolve any potential exposure risk as supported by the confirmatory sampling and laboratory analysis conducted. 1 EMERGENCY SPILL RESPONSE 6 WASTE SITE CLEANUP 0 SITE ASSESSMENT PERMITTING 0 SEPTIC DESIGN&INSPECTION WATER SUPPLY DEVELOPMENT,OPERATION&MAINTENANCE & WASTEWATER TREATMENT,OPERATION&MAINTENANCE FEBRUARY 26,2011 PICKWICK REALTY TRUSTBEAI 1-10299 PAGE 2 OF 10 IRA COMPLETION/A2 RAO,RTN 4-23049 The sum of this information documents regulatory compliance by the PRP and provides the technical rationale and justification for this Immediate Response Action (IRA) Completion Statement with a Class A, Response Action Outcome (RAO) in support of project closure under the Massachusetts Contingency Plan (MCP) in accordance with 310 CMR 40.0000. Although a Class A-1 RAO may be justified as end point samples likely reflect background conditions, a Class A-2 is filed as a conservative measure for the trace concentration of the C9-C 12 aliphatic in one of the sidewall areas (1.4 mg/kg) as nominally above the laboratory reporting limit (1.3 mg/kg) and as more than 500 times below the most restrictive S-1/GW-1, Method 1 Risk Characterization standard(1,000 mg/kg). This work has been conducted under LSP oversight in a manner consistent with the MCP Response Action Performance Standards (RAPS) pursuant to 310 CMR 40.0191 and the QA/QC policies of BENNETT ENVIRONMENTAL ASSOCIATES, INC. The facts and statements herein are, to the best of our knowledge, a true and accurate representation of the Site activities, remedial response actions and environmental conditions associated with the project. ENVIRONMENTAL CONDITIONS [Refer to Appendix A] The subject property at 71 Ocean View Avenue in Cotuit, MA is located approximately 1,000 feet southeast of the intersection of Ocean View Avenue and Main St., on the east side of Ocean View Avenue. The property contains 4.661 acres of residential land area and is developed by a 2-story Colonial-style dwelling, originally constructed in 1924. The surrounding area is moderately developed with year round and seasonal use residential dwellings, with some commercial properties located to the east along Main St. Access to the subject property and area of release is unrestricted with high frequency/low intensity of use with children potentially present [Refer to Figure 1]. As such, residents of and visitors to the property are identified as the primary potential human receptors. The Site, as the area where oil was released or migrated to from the point of release, is a small portion of the subject property as located in the central portion of the lot some 50' off the northern sideline where the driveway enters the property. The tank was located off the northeast corner of the former multi-vehicle garage. The Site contains approximately 400 SF of land area as focusing a targeted investigation. Hydrologic references indicate groundwater exists at 5' NGVD (+/-) as projected within some 25' of grade surface. Regional groundwater contours indicate a southeasterly flow direction towards Cotuit Bay and Nantucket Sound beyond. Site-specific groundwater flow is assumed as consistent as the site is on the southern side of a peninsula with the closest zero-head boundary to the southeast. As such, Cotuit Bay and Nantucket Sound are identified as primary potential environmental receptors [Refer to Figure 2]. According to the MA DEP BWSC GIS mapping program, the subject property is not located within the Zone H Protective Radius of a Public Water Supply (PWS), nor is it located FEBRUARY 26,2011 PICKWICK REALTY TRUST/BEAI 1-10299 PAGE 3 OF 10 IRA COMPLETION/A2 RAO,RTN 4-23049 within the Zone A protective radius of any surface water reservoir. No private wells are known to exist within 500' of the Site wherein the area is serviced by the Barnstable municipal water supply and distribution system. The subject property is located within a Potential Drinking Water Source Area (PDWSA) as being located within a potentially productive, medium-yield aquifer and a Sole Source Aquifer, as designated by the EPA. Based on this mapping, as well as the proximity to groundwater, the GW-1 and GW-3 groundwater categories are applicable to Method 1 — Risk Characterization, per 310 CMR 40.0974. Based on Site conditions relative to frequency/intensity of use and accessibility of soils, the S-1 and S-2 (GW-1/GW-3), Method 1 — Risk Characterization standards are applicable to soil impact in accordance with the provisions of 310 CMR 40.0975. These standards were developed in consideration of potential ingestion, inhalation and environmental/dermal contact exposures and in review of potential leaching of contaminants to groundwater(GW-1/GW-2/GW-3). BACKGROUND [Refer to Appendix B] During construction activities at the property, an abandoned 700-gallon UST was discovered as partially underlying a garage at the property. The trustees of the property engaged the services of Tank Removal Services LLC., (TRS) to remove the vessel. The tank was located under the northeast corner of the garage as formerly attached to the Carriage House at the subject property. The tank was approximately 9' long and approximately 3' in diameter and was noted to be an older tank with heavy gage steel and riveted construction. In preparation of the tank removal, TRS had noted the tank was filled with oily-water. Auto Body Solvent Recovery Corp. of Boston, MA pumped the UST out and approximately 500- gallons of oily water was transported off-site under a MA Hazardous Waste Manifest, included for reference in Appendix C. TRS personnel contacted BEA to provide technical assistance for the field testing and screening of soils for petroleum hydrocarbons, as consistent with Cotuit Osterville Marstons Mills (COMM) Fire Department standard of practice. On January 6, 2011, BEA personnel were on-site to conduct assessment activities and provide technical assistance. TRS personnel then called to request the presence of COMM Fire Department personnel prior to removing the tank from it's grave. Cotuit Fire Department personnel (Chief Christopher Olsen) arrived at the property and authorized the removal of the tank. Subsequent to the tank being removed from the grave,the bottom of the tank was observed to be wet and discolored soils were observed_beneath the entire length of the tank although no substantial corrosion or holes were _ identified. The tank was subsequently loaded into a truck and taken to Brockton Iron&Steel Co. in Brockton, MA for recycling under permits issued by the Fire Department [Appendix C]. ENVIRONMENTAL ASSESSMENT [Refer to Appendix B] Subsequent to the removal of the tank, BEA personnel collected representative soil samples of the bottom of hole and sidewall areas of the tank grave. Soil samples were prepared for field screening of total organic vapors (TOVs). Each soil sample was placed in a 250- milliliter glass jar and sealed with an aluminum septum. The soil samples were agitated to develop organic vapors. The soil samples were then screened with a photoionization detector FEBRUARY 26,2011 PICKWICK REALTY TRUSTBEAI 1-10299 PAGE 4 OF 10 IRA COMPLETION/A2 RAO,RTN 4-23049 (PID) [Thermo Environmental OVM 580B for TOVs as evidence of petroleum impact in ] p p accordance with the "jar headspace" techniques described with in MA DEP policy WSC-94-400. Results of the PID screening were as follows: Location PID SW-N: 0-3' 21.2 SW-S: 0-3' 50.1 SW-W: 0-3' 48.1 SW-E: 0-3' 2.5 BOH-E @ 3' 209 BOH-W @ 3' 59.2 Based on a PID reading in the bottom of hole - east sample in excess of 100 ppm, a 72- hour notification condition was apparent under the provisions of 310 CMR 40.0313(2). On the identification of the Reportable Condition, further work was suspended pending owner notification and the hole was covered with plastic sheeting and plywood pending advising the owner of the obligation to make such notification and proceed with remedial response actions with LSP oversight as subject to MA DEP authorization. BEA personnel field preserved a representative soil sample for qualifying laboratory analysis. The BOH-E@3' sample was preserved in the field and submitted for total petroleum hydrocarbons (TPH), volatile petroleum hydrocarbons (VPH) and lead analysis in consideration of contaminated soil disposal options and risk characterization. On January 7, 2011, subsequent to contact and discussion with the Trustees, BEA was authorized to make Release Notification and to seek approvals for remedial response actions. BEA personnel contacted MA DEP personnel (Michael Whiteside, Case Officer) to review Site conditions and the circumstances of the release discovery. The Department subsequently granted authorization for the removal of up to 25 cubic yards of soil under an Immediate Response Action(IRA). The MA DEP assigned Release Tracking Number(RTN)4-23049 to the Site. IMMEDIATE RESPONSE ACTION [Refer to Appendix C] Soils _ On January 18, 2011, BEA personnel traveled to the Site to provide technical assistance and inspect and document the mechanical removal of petroleum-impacted soils by Bortolotti Construction, Inc. (BCI). A small amount of stockpiled material was generated during site construction activities including some grading of the area of release due to the house move. BCI personnel began by placing this stockpiled material in a waiting 10-wheeled dump truck for transport to Aggregate Industries asphalt-batching facility in South Dennis, MA under an approved Bill of Lading. Subsequent to moving the contaminated stockpile BCI personnel began removing soil from the area of the tank grave. Contaminated soils were excavated to a depth of approximately 5' bgs. Representative sidewall and bottom of hole samples were collected from FEBRUARY 26,2011 PICKWICK REALTY TRUST/BEA1 I-10299 PAGE 5 OF 10 IRA COMPLETION/A2 RAO,RTN 4-23049 within the excavation and screened in the field with a PID. Concentrations of TOVs from representative sidewall and bottom of hole samples ranged from non-detect (ND) on the West sidewall to 1.5 ppm at the bottom of hole sample. A Dexsil PetroFlag field test was performed on the bottom of hole sample to determine the relative amount of TPH in the sample as calibrate with a weathered gasoline response factor. The PetroFlag test reported concentrations of 0 ppm TPH in the BOH@5' sample. Based on PID and Dexsil field screening results the operator was instructed no further soil would need to be removed from the excavation. The representative sidewall samples were preserved in the field for VPH analysis, while the bottom of hole sample was also preserved for EPH analysis and put in a cooler with ice for transport to a MA Certified laboratory for analysis. A total of 29.37 tons (20 cubic yards) of impacted soil was removed-from the 14' x 9' x 5' deep excavation and transported to Aggregate Industries asphalt-batching plant in South Dennis on this day. The,approved MA Bill of Lading is attached for reference in Appendix C. BEA received the laboratory results associated with the confirmatory soil samples on January 27, 2011. The laboratory data reported all EPH with target analytes and VPH with target BTEX concentrations in all sidewall and bottom of hole samples, as Below Reporting Limit (BRL) or at trace concentrations. In all cases, the reporting limit concentration, or concentration reported, was below the applicable S-1 and S-2/GW-1 and GW-3 and the most stringent S- 1/GW-1, GW-2 and GW-3, Method 1 - Risk Characterization threshold concentrations. In fact, other than the low-level residual fractional VPH concentrations were detected in the western sidewall sample (C9 to C 12 aliphatic 1.4 mg/kg), background conditions were achieved. As such, laboratory analysis of soil samples at the extent of excavation represent a condition of"No Significant Risk" to any ingestion, inhalation or direct contact exposures, and potentiality for leaching to groundwater or any environmental impact to wetland resources. Results of laboratory analysis are summarized in the Risk Characterization section of this filing. RISK CHARACTERIZATION [Refer to Appendix D] Soil _ As presented, the S-1 and S-2/GW-1 and GW_3 soil categories are applicable in consideration of Method 1-Risk Characterization, as consistent with the provisions of 310 CMR 40.0975. These standards were developed to evaluate potential ingestion (S-1), inhalation (S-2) and environmental/dermal contact (S-3) exposures, and in consideration of potential leaching of contaminants to groundwater (GW-1/GW-2/GW-3). For the purposes of risk characterization, the most stringent S-1 Method 1-Risk Characterization standards are also considered. Laboratory analysis received January 27, 2011 reported residual fractional VPH impact in a single sidewall sample as significantly below the applicable S-1 and S-2/GW-1 and GW-3 and most stringent S- 1/GW-1, Method 1 — Risk Characterization standards [Refer to Tablemaker Summary — FEBRUARY 26,2611 PICKWICK REALTY TRUSTBEAI I-10299 PAGE 6 OF 10 IRA COMPLETION/A2 RAO,RTN 4-23049 Appendix D]. As such, laboratory analytical as compared to the most restrictive Method 1 -Risk Characterization standards has demonstrated a condition of No Significant Risk associated with discreet exposure point concentration in soils at the extent of the excavation. Groundwater With groundwater projected at 25'below grade surface and no residual impact reported in the bottom of hole endpoint soil sample with all EPH/VPH and target analyte concentrations reported as BRL with reporting concentrations below the most restrictive S-1/GW-1, Method 1 Risk Characterization Standard, no potential for groundwater impact associated with the subject Site is apparent. Wherein the S-1/GW-1 soil standards are developed in consideration of potential leaching to groundwater, a finding of No Significant Risk is associated with groundwater conditions underlying the Site as associated with the subject release in support of the Class A-2,Response Action Outcome. DATA USABILITY ASSESSMENT & REPRESENTATIVENESS EVALUATION The following presents a discussion of the Site information used to support the RAO as required by 310 CMR 40.1056(2)(k) and incorporating the guidance provided in Mass DEP Policy WSC- 07-350. It provides an evaluation and demonstration of the adequacy of the spatial and temporal data sets used to support the RAO and makes conclusions on the accuracy,precision and sensitivity of the data used. Conceptual Site Model During extensive construction activities at the subject property, an abandoned UST was discovered partially underlying a former garage building. Subsequent to the removal of the UST, petroleum impacted soils were discovered. During field screening of soil samples, a concentration in excess of 100-ppm was observed in soils surrounding the tank, triggering a 72- hour notification condition. It was apparent from the property history, nature of multi structure development and observed Site conditions, that the underground tank was likely associated with the historic ---fueling-of-private-vehicles--at-the property-and/or--used--to-fuel_.-a._emergency_generator-_at__the- compound. Sometime subsequent to the abandonment, it is likely that water accumulated in the tank and displaced oily water to surrounding soils. These factors would account for the tank holding water and the exterior condition of the vessel and the nominal extent of gasoline related soil impact around the former vessel. Field Screening PID screening and Dexsil PetroFlag field-testing were conducted to qualify petroleum FEBRUARY 26,2011 PICKWICK REALTY TRUST/BEAI 1-10299 PAGE 7 OF 10 IRA COMPLETION/A2 RAO,RTN 4-23049 concentrations in the field. In some cases, field observations were used to identify significant impact in soils and to make informed dynamic decisions in the field in advance of submitting samples for MA Certified analyses. Samples with higher levels of TOVs, PetroFLAG concentrations, discoloration and/or odor were assumed more contaminated then the surrounding area. Comparison of visual and olfactory observations, TOV and Dexsil PetroFlag screening indicates the screening data correlates well with the laboratory analytical data. Sampling Locations The removal of soils was performed based on field screening and visual observations and progressed to clean soil. PID and Dexsil PetroFlag field screening was used to qualify the extent of contaminated soil removal. TPH "fingerprint" analysis was used to evaluate the source of contamination and identify the contaminants of concern(COC). Soil samples were collected for analyses from the extent of soil removal from representative bottom of hole and sidewall areas. Based on PID/PetroFlag screening data, the worst-case soil samples were preserved for risk-based EPH/VPH and target PAH/BTEX analyses. Five soil samples from the area of release were collected for analyses from the extent of soil removal. The samples were placed in appropriately preserved laboratory containers and stored on ice in a cooler, and subsequently within a refrigerator, pending shipment to the laboratory under a properly executed chain-of-custody. Field duplicates or trip blanks were not collected or considered necessary because the disposal Site was small, the removal operations had produced clean conditions and QA/QC protocols were employed and documented. Temporal Data Soil samples were collected subsequent to the removal of impacted material. Due to the nature of soil removal as the primary remedial strategy, chronological data for soils was not necessary and confirmatory end point samples were relied on for risk characterization. These results provide a preponderance of physical evidences supporting LSP Opinions rendered. Field Completeness The analytical data set is complete. Data from the extent of excavation was obtained as representing the extent of significant impact and the limits of contaminated soil removal. The complete data set supports the RAO wherein all QA/QC thresholds and Presumptive Certainty requirements were met or that modifications were technically justified. Noted issues within analytical reliability and data usability were 1) some of the samples had surrogates above the recommended recovery limits, 2) two samples were received with greater than a 25% difference in the weight of the sample and the weight of the methanol (preservative). Both of these non- conformances point to a minor loss of methanol from the appropriate sample containers. In all FEBRUARY 26,2011 PICKWICK REALTY TRUSTBEAI 1-10299 PAGE 8 OF 10 IRA COMPLETION/A2 RAO,RTN 4-23049 cases low methanol and high surrogate recovery result in a positive bias, wherein concentrations are reported as BRL and at trace concentrations, significantly below the.RCS-1 standards, these results are appropriate to document No Significant Risk where actual concentrations are lower than reported. Data Inconsistency No inconsistent data was identified. Visual observations, odors and field screening were generally well correlated. No significant inconsistency was identified between the field screening of end-point soil samples and their respective laboratory analyses. Data Not Used The complete analytical data set associated with confirmatory end-point soil samples was considered. Additionally, disposal characterization was considered to limit or exclude certain target analytes in impacted soils. Specifically lead testing was employed in the positively biased "worst case" samples so as to exclude lead testing in the confirmatory soil samples collected at the extent of excavation. Data Usability The analytical data used was validated and justified as representative of environmental conditions. Soil samples from the extent of excavation were collected as representing discrete exposures in representative soil categories as a measure of frequency and intensity of use. The methods utilized (PID, Dexsil PetroFlag soil screening, EPH, VPH, Lead) all respond to the contaminants of concern identified in the release and are appropriate for a release of gasoline. Based on the Representativeness Evaluation, the analytical data quality of all of the final end-point soil samples has been reviewed. The analytical data provided in support of this RAO have met the method quality control requirements and performance standards for "Presumptive Certainty" as described in CAM VH A, Section 2.0 (a), (b), (c), and (d) or have been evaluated as comparable to CAM requirements. (Refer to Appendix D). The validity and defensibility of the analytical data used to support the findings of the RAO for this Site with respect to accuracy, precision and completeness pursuant to 310 CMR 40.1056(2)(k) have therefore been satisfied. It has been determined that the Site data is sufficiently representative of actual Site conditions and may be used to support this Class A-2 RAO. Deficiencies noted in the MA Disposal Characterization were noted as having no bearing on the RAO and this data was deemed suitable for the intended solid waste licensing requirements for the asphalt batching facility consideration. FEBRUARY 26,2011 PICKWICK REALTY TRUSTBEAII-10299 PAGE 9 OF 10 IRA COMPLETION/A2 RAO,RTN 4-23049 Background Feasibility A review of cost and feasibility to meet background conditions through additional soil removal was considered as part of this IRA, in accordance with the provisions of 310 CMR 40.1020. A trace concentration of C9-C12 aliphatic (1.4 mg/kg) was reported in one of the sidewall areas as nominally above the detection limit (1.3 mg/kg) and as more than 500 times less than the most restrictive S-1/GW-1, Method 1 — Risk Characterization standards. All other sidewall and bottom of hole endpoint samples reported all other fractional EPH/VPH compounds and target PAH and VOC analytes as below the reporting limits. Although such conditions may actually represent background conditions, certainly the data indicates that current environmental conditions associated with non-persistent, naturally degrading petroleum hydrocarbons within potentially accessible meets the "Conditions of Categorical Infeasibility" established in Section 9.3.2 of the MA DEP policy"Conducting Feasibility Evaluations Under the MCP" (04-160). Wherein a trace level concentration is more than 500 times less than the most restrictive S-1/GW-1, Method 1 — Risk Characterization standard, and as certainly within the analytical sensitivity error, any additional soil removal would not decrease any exposure risks wherein none presently exist. As such, there is no benefit to the additional costs and is categorically infeasible as logistically and financially unjustified. CONCLUSIONS Based on the successful removal of impacted soils from identified area of impact, a condition of"No Significant Risk" exists for all activities and uses of the Site, as associated with soil conditions in the areas evaluated, wherein no significant impact to the environment and risk to human receptors was qualified by field screening and laboratory analytical testing. As such, a permanent solution has been achieved and a Class A-2, Response Action Outcome (RAO) without an Activities and Use Limitation (AUL) is applicable for the closure of this project, in accordance with the provisions of 310 CMR 40.1036 and 40.1056. The findings of this investigation, as represented herein, set forth the rationale and technical justifications for the LSP opinions offered, as established by the certifications made on the attached Transmittal Forms. The LSP opinions are based on the available data and _ regulations in effect at the time.of this rg porting.__Should you have_any questions_regarding._the _ project or require additional information,please contact me at your earliest convenience. S nce y, B NN ONMENTAL ASSOCIATES, INV vi C. nnett, LSP rcject Manager Directo of Environmental Services entist Ik FEBRUARY 26,2011 PICKWICK REALTY TRUST/BEAI I-10299 PAGE 10 OF 10 IRA COMPLETION/A2 RAO,RTN 4-23049 Encl. Supporting Documentation [Appendices A-E] Cc: Mr. Andrew Newman, Trustee - Pickwick Realty Trust Mr. Travis Cundiff,Foreman—E.B.Norris & Son Chief Christopher Olsen—Cotuit Fire Department) Thomas McKean-Barnstable Board of Health' John Klimm- Barnstable Town Manager' Ms. Cynthia Martin, Barnstable Health Department' 'Narrative,Title Page and Site Plan provided under public notice distribution requirements pursuant to paperwork reduction policy. Full copies of reports(electronic or paper)provided on written request. IMMEDIATE RESPONSE ACTION COMPLETION REPORT WITH CLASS A-2 RESPONSE ACTION OUTCOME STATEMENT SUPPORTING DOCUMENTATION MA DEP RTN 4-23049 Pickwick Realty Trust 71 Ocean View Ave. - Cotuit,MA [Barnstable Assessors' Map 34, Parcel 45] BEA11-10299 FEBRUARY 26,2011 Prepared By: BENNETT ENVIRONMENTAL ASSOCIATES, INC. 1573 Main Street—P.O. Box 1743 Brewster, MA 02631 David C. Bennett, LSP On Behalf Of: Pickwick Realty Trust C/o Andrew Newman- Trustees 7 Wells Ave., Suite 23 Newton, MA 02459 Prepared for: MA Department of Environmental Protection(MA DEP) Southeast Regional Office (SERO) 20 Riverside Drive—Lakeville,MA 02347 Mr. Michael Whiteside, Case Officer Appendix A: Reference Plans - Figure 1: Site Locus Plan [USGS Topographic Quad.,Cotuit,MA 1998] (excerpt) - Figure 2: Groundwater Resources of Cape Cod,MA [LeBlanc et al, 1986] (excerpt) - Figure 3: MA DEP BWSC GIS Map [2006] - Site Plan IRA-1, entitled"Immediate Response Action Completion...",Prepared by BENNETT ENVIRONMENTAL ASSOCIATES, INC.,dated February 1,2011 Appendix B: Field Reports - Field Log Ap.pendix_C:Envir-on-mental-Records- __ - Hazardous Waste Manifest(004120955JJK—500 gallons `Waste Petroleum Oil') - Tank Removal Permit/Disposal Receipt - BWSC-101: Release Log Form - BWSC-104: Response Action Outcome Transmittal Form - BWSC-105: Immediate Response Action Transmittal Form - BWSC-112: Bill of Lading/Aggregate Industries Soil Recycling Submittal Appendix D: Laboratory Analytical Results - Groundwater Analytical Laboratory, Inc. (1/13/2011, 1/27/2011) - Tabulated Endpoint Soil Summary vs Method 1 —Risk Characterization Standards Appendix E: Site Health& Safety Plan Appendix F: Quality Assurance—Quality Control Plan J ti ' BEN NETT ENVIRONMENTAL ASSOCIATES, INC. LICENSED SITE PROFESSIONALS,ENVIRONMENTAL SCIENTISTS,GEOLOGISTS,ENGINEERS 1573 Main Street,P.O.Box 1743 (508)896-1706 Brewster,MA 02631 fax(508)896-5109 LETTER OF TRANSMITTAL TO: DATE: JOB NUMBER: Mr.Michael Whiteside,Case Officer 03/08/2011 BEA10-10299 MA DEP-SERO B W SC/ERS 20 Riverside Drive REGARDING: Lakeville,MA 02347 IMMEDIATE RESPONSE ACTION COMPLETION REPORT WITH CLASS A RESPONSE ACTION OUTCOME STATEMENT Pickwick Realty Trust-RTN 4-23049 SHIPPING METHOD: 71 Ocean View Ave.—Cotuit,MA[Assessor's Map 34,Parcel 45] Regular Mail ❑ Pick Up ❑ Priority Mail ❑ Hand Deliver ❑ Express Mail ❑ Other uploaded X❑ Certified Mail ❑ Green Card/RR ❑ COPIES DATE DESCRIPTION 1 02/26/2011 IMMEDIATE RESPONSE ACTION COMPLETION REPORT WITH CLASS A RESPONSE ACTION OUTCOME STATEMENT Pickwick Realty Trust-RTN 4-23049 71 Ocean View Ave.—Cotuit,MA[Assessor's Map 34,Parcel 45] For review and comment: ❑ For approval: ❑ As requested: ❑ For your use: 0 REMARKS: cc: Mr.Andrew Newman,Trustee-Pickwick Realty Trust Mr.Travis Cundiff,Foreman—E.B.Norris&Son Chief Christopher Olsen—Cotuit Fire Department(narrative,index,site plan) Thomas McKean-Barnstable Board of Health(narrative,index,site plan) John Klimm-Barnstable Town Manager(narrative,index,site plan) Ms.Cynthia Martin,Barnstable Health Department(narrative,index,site plan) FROM: John Tadema-Wielandt/gjb If enclosures are not as noted,kindly notify us at once i t e SOS 548-0343 OMNI Environmental Systems, Inc. 01VI P.O. Box 128 Environmental Systems,Inc. 465 East Falmouth Highway East Falmouth, MA 02536 August 4, 2010 Pickwick Realty Trust c/o The Beacon Companies 50 Federal St., 4th Floor Boston, MA 02110 RE: OCEANVIEW 71 BARNSTABLE - Maintenance Service Contract Dear Mr. Newman: OMNI Environmental Systems, Inc.(OMNI)is pleased to submit the following Maintenance Contract for your review and approval. This contract is an agreement by OMNI to provide the services necessary to perform the maintenance of an Innovative/Alternative(I/A)Septic Technology located at the above referenced property as required and outlined in the local and/or state septic system approvals and/or bylaws. The OMNI Maintenance Contract has been designed to fulfill the Department of Environmental Protection (DEP) and local Board of Health requirements for operating and maintenance of an approved (I/A) technology. This contract is based on the information supplied to OMNI by the system owner and/or their representative(s)with regard to maintenance requirements. The outlined contract does not include any sampling(testing)services.The system owner is responsible for the following: supplying OMNI with all local and state septic system approvals, payments as outlined for maintenance services,and sampling (testing)services for the system as recommended by the manufacturer. For your convenience OMNI accepts all major credit cards and is now offering payment options for customers with accounts in good standing. Please note,for monthly.payment options a credit card is required. If you choose the monthly payment option there is no need to enclose payment,you will be contacted by OMNI to setup your account. Please carefully read all Terms and Conditions listed below. Should you have any questions with regard to the Contract,Terms and Conditions or any additional services, please feel free to contact our office. You may authorize the contract by signing and returning a copy with the payment as per the selected payment option. Sincerely yours, Matthew C. Costa, President OMNI Environmental Systems, Inca Alternative Septic Technology . Manufacturing Testing Maintenance t4 Contract for Maintenance Services Owners Name Pickwick Realty Trust Project Name OCEANVIEW_71_BARNSTABLE Home Address c/o The Beacon Companies System Location 71 Ocean View Avenue 50 Federal St.,4th Floor City,State Zip Boston,MA 02110 Contract Start Upon Installation Contact Name Andrew Newman Contract Terms Life of ownership Phone "MISSING'INFORMATION" System Type 1 OMNI RSF Notes NOTE:OMNI Environmental Systems shall not be responsible for any misuse or improper operation by non-omni personnel or the system owner,and any operation NOT in accordance with the OMNI RSF System Owner's and Operator's Manual. Terms and Agreement for Maintenance Services Innovative/Alternative Technology OMNI is hereby authorized to render Standard and Preventative Maintenance for the Innovative/Alternative septic system listed at the above address for the contract period specified above under"Contract Terms". This agreement may be terminated or extended by the system owner by providing OMNI Environmental Systems,Inc(OMNI).with 30 days written notice of intent. OMNI will provide the system owner with thirty(30) days written notice of its changes to the current pricing schedule. The system owner will not be obligated to renew contract in the event of any pricing changes. OMNI will The obligated to provide all prepaid services in the event of any pricing changes. This agreement consists of all Standard and Preventative Maintenance listed in the Owners and Operators Manual. This agreement will include Quarterly inspections as required by the Department of Environmental Protection(DEP). It is the responsibility of the system owner to supply any local or state septic system approvals and/or conditions to OMNI. This agreement includes routine maintenance inspections and does not include costs occasioned by neglect,misuse and accident or consumables. This agreement does not include travel costs for the Islands and any locations outside a 20 mile radius of East Falmouth. This agreement DOES NOT COVER ANY TESTING/SAMPLING REQUIREMENTS. In consideration of the services contained in this agreement the system owner agrees to pay OMNI Environmental Systems,Inc.the sum specified in the payment options section for the above maintenance agreement on a prepayment basis. Payment is due fifteen (15) days from Invoice Date prior to execution of services and will be subject to any applicable late charges. Monthly payees are excluded from prepayment requirements. This agreement is not assignable by either party and is non-refundable for any prepaid services.This agreement will not become effective until the first payment as outlined below has been received by OMNI Environmental Systems,Inc. If the terms and conditions contained herein,including the terms and conditions set forth on the enclosed documentation titled TERMS AND CONDITIONS,are acceptable,kindly sign and return one(1)copy of this contract along with the first prepaid payment. It is understood and agreed that the foregoing,including the TERMS AND CONDITIONS set forth will constitute the full and complete agreement between the parties to this agreement. The contract offer expires thirty(30)days from the date hereof,but may be accepted at any later date at the sole option of OMNI. The undersigned agrees to the following payment schedule: Select pa ment option below by marking appropriate box. See Terms and Conditions for details on payments o tions. Payment Options For O eration&Maintenance Visits $200 Per Visit❑ The above costs,terms and conditions are satisfactory and are hereby accepted. OMNI is hereby authorized to provide the services as specified. Authorized OMNI Personnel Date [SIGN AND RETURN THIS COPY] Print Name(Owner) System Owner Signature Date Alternative Septic Technology Manufacturing • Testing Maintenance r yet XL Er;v,,rat`-tetz..fli �,y5 fi ?s, ii -. Contract for Maintenance Services Owners Name Pickwick Realty Trust Project Name OCEANVIEW_71_BARNSTABLE Home Address c/o The Beacon Companies System Location 71 Ocean View Avenue 50 Federal St.,4th Floor City,State zip Boston,MA 02110 Contract Start Upon Installation Contact Name Andrew Newman Contract Terms Life of ownership Phone "MISSING'INFORMATION" System T OMNI RSF Notes NOTE:OMNI Environmental Systems shall not be responsible for any misuse or improper operation by non-omni personnel or the system owner,and any operation NOT in accordance with the OMNI RSF System Owner's and Operator's Manual. Terms and Agreement for Maintenance Services Innovative/Alternative Technology OMNI is hereby authorized to render Standard and Preventative Maintenance for the Innovative/Alternative septic system listed at the above address for the contract period specified above under"Contract Terms". This agreement may be terminated or extended by the system owner by providing OMNI Environmental Systems,Inc(OMNI).with 30 days written notice of intent. OMNI will provide the system owner with thirty(30)days written notice of its changes to the current pricing schedule. The system owner will not be obligated to renew contract in the event of any pricing changes. OMNI will be obligated to provide all prepaid services in the event of any pricing changes. This agreement consists of all Standard and Preventative Maintenance listed in the Owners and Operators Manual. This agreement will include Quarterly inspections as required by the Department of Environmental Protection(DEP). It is the responsibility of the system owner to supply any local or state septic system approvals and/or conditions to OMNI. This agreement includes routine maintenance inspections and does not include costs occasioned by neglect,misuse and accident or consumables. This agreement does not include travel costs for the Islands and any locations outside a 20 mile radius of East Falmouth. This agreement DOES NOT COVER ANY TESTING/SAMPLING REQUIREMENTS. In consideration of the services contained in this agreement the system owner agrees to pay OMNI Environmental Systems,Inc.the sum specified in the payment options section for the above maintenance agreement on a prepayment basis. Payment is due fifteen (15) days from Invoice Date prior to execution of services and will be subject to any applicable late charges. Monthly payees are excluded from prepayment requirements. This agreement is not assignable by either party and is non-refundable for any prepaid services.This agreement will not become effective until the first payment as outlined below has been received by OMNI Environmental Systems,Inc. If the terms and conditions contained herein,including the terms and conditions set forth on the enclosed documentation titled TERMS AND CONDITIONS,are acceptable,kindly sign and return one(1)copy of this contract along with the first prepaid payment. It is understood and agreed that the foregoing,including the TERMS AND CONDITIONS set forth will constitute the full and complete agreement between the parties to this agreement. The contract offer expires thirty(30)days from the date hereof,but may be accepted at any later date at the sole option of OMNI. The undersigned agrees to the following payment schedule: Select payment option below by marking appropriate box. See Terms and Conditions for details on payments options. Payment Options For Operation&Maintenance Visits $200 Per Visit❑ The above costs,terms and conditions are satisfactory and are hereby accepted. OMNI is hereby authorized to provide the services as specified. Authorized OMNI Personnel Date [CLIENT;S COPY] Print Name(Owner) System Owner Signature Date Alternative Septic Technology Manufacturing Testing • Maintenance 9.TECHNICAL ADVICE AND ASSISTANCE Provider's warranty shall not be enlarged,and no obligation or liability shall arise,as a result of Provider's rendering of technical advice,facilitates or services in connections with Consumer's order for the services furnished.Although any technical advice furnished,or recommendation made,by Provider or any representative of Provider concerning any use of application of any products or services furnished under this contract is believed to be reliable,Provider makes no warranty,expressed or implied,of results to be obtained. 10.DELIVERY OF SERVICES The time for services rendered is approximate and is estimated from the date of Sampling Contract inception with complete information and local and/or state approvals and drawings as may be necessary. The obligation of Provider to deliver or perform services and the obligation of Consumer to furnish specifications for purchase and take the products or services stated on the front hereof shall be suspended by fire, floods,accidents,act of God,war or acts of war,strikes,lock-outs,slow-downs,picketing or other labor - controversies,sabotage,riots,civil commotions,default or failure of carriers,shortage of labor,inability to obtain materials from regular sources,whether or not a kind hereinbefore specified,to the extent that such happening or contingency limits or prevents the services,sale or delivery of any products or the performance of any services by the Provider or the purchase or taking thereof by the Consumer,except,however,that not withstanding the foregoing,the Consumer shall not be excused from accepting and paying for services which are completed or in the process of being completed at the time. Upon the elimination of cessation of any such happening or contingency the obligation of Provider to deliver or perform services and the obligation of Consumer to purchase and take the products or services shall be reinstated. If by request of the Consumer with acquiescence by the Provider,,service is delayed beyond the original service date for a reason other than as set forth above in this Section 4,the Consumer will pay a reasonable charge for expenses caused by the delay,and after the delay is ended,the agreement will be completed at the prices and on the terms and conditions agreed to in this document. The products contracted for under this Contract cannot be canceled except with the written consent of the Consumer and then only with reimbursement for services rendered as agreed upon by the Consumer. 12.ASSIGNMENT The Consumer may not assign any of the Consumer's rights hereunder: 13.DISPUTES The parties'agreement in respect of the services shall be deemed to be entered into in Massachusetts and to be a Massachusetts contract and shall be governed and construed in accordance with the laws of the Commonwealth of Massachusetts. Provider and Consumer specifically agree that any legal action brought relating to services purchased or relating to this contract will be commenced in Massachusetts within one(1) year after the relevant claim arises,failing which such claim shall be barred notwithstanding any longer statutory period of limitations. All objections to venue are hereby waived by both parties,and Consumer consents to service of process by certified mail addressed to the same address at that address designated for delivery.of the services . purchased hereunder. In the event of any such litigation under or arising out of the agreement,the prevailing party . shall be entitled to its costs, including reasonable attorney's fees. 14.SEVERABILITY In the event that any work,phrase,clause sentence,or other provision hereof shall violate any applicable statue,ordinance,or rule of law in any jurisdiction in which it is used,such provision shall be ineffective to the extent of such violation without invalidating any other provision hereof. 15.ENTIRE AGREEMENT -This document contains the entire agreement between Provider an Consumer and constitutes the final,complete and exclusive expression of the terms of the agreement,all prior or contemporaneous , written or oral agreements or negotiations with respect to such terms as are included herein or are the subject matter hereof being merged herein. By way of illustration and not limitation,Consumer's order shall be deemed to incorporate,without exception,all the terms and conditions hereof notwithstanding any order form of Consumer containing additional or contrary terms or conditions,unless Consumer shall have expressly advised Provider to the contrary in a writing apart from the printed provisions of such order form,and no acknowledgment by Provider of,or reference by Consumer to,or performance by Provider under an order of Consumer shall be deemed to be acceptance by Provider of any such additional or contrary printed terms or conditions by a written instrument signed by one of Provider's office. 16.GOVERNING LAW This document and the sale of any products hereunder shall be governed by and construed in accordance with the laws of the Sate of Massachusetts. Whenever there is a conflict of laws,the laws of the State of Massachusetts shall prevail. Alternative Septic Technology Manufacturing e Testing Maintenance 33�No. U Fee _ l THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pprtcatiou for �Digonl *p5tem Con5tructiou Permit Application for a Permit to Construct(Repair( ) Upgrade( ) Abandon( ) [?"Complete Complete System ❑Individual Components Location Address or Lot No. "7 Eti �-t` Owner's Narpe,Addre s,and T 1.No. Assessor's Map/Parcel L!e-Mc `c°^ eL n'�� S� �`�e \�� y� Hao� 03 -cyS t 4en MA cztle Installer's Na Address,and Tel-ND- R De$%ner's Name,Address and Tel.No. � t "V S �. 1�X fill ?ter ��.�/T':�•�I etc N5`i —11 1 — 3 US�av e2�SS Sa�-`1 Z1i 3`I Type of Building: Dwelling No.of Bedrooms ,Z].1 Lot Size sq. ft. Garbage Grinder RO) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 113C? gpd Design flow provided 5197 gpd Plan Date i Number of sheets Revision Date p ' Title �ra asp r7' L ►C Size of Septic Tank (ltld �S13tI�+ ,1;5�0}3,3 Type of S.A.S. 36 7L144 �rC55dm'r is O. Description of Soil 1��1 IZ �s'`f 0-I' " 1LL 1�;-3E -6 lN4-,(Z Ile S1 k LWmj SAnn� -80 C; t arvt, t e"R Q(4 Oka s64) bu"� C2 cmf& W4 r4 0 SA AD Nature of Repairs or Alterations(Answer when applicable) Z .n� ee-zQ (,o4rw"c 67 70011\ 6yv _71z9 ie 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 t mental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board . ea Signed Date �� L j Application Approved by Date /t� Application Disapproved by: Date for the following reasons Permit No. ?.v w —33 Date Issued ,P--S /o No.. O 1 dip ar ( j �I ' Fee THE COMMONWEALTH.OF MASSACHUSETTS Entered in computer: , PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes -= Application for Migoar *pztem Cow5truction Perron Application for a Permit to Construct(--J"IRepair( ) Upgrade( ) Abandon( ) l XComplete System ❑Individual Components , S Location Address or Lot No.-7 . ft,n Vito 1\VQ, Owner's Narpe,Add s,and T 1.No. J �' , the R,tk�.,c4 g �r - �4ndct�1�c.�m�,nZr. 1 VO f11f �jCG��n l'V: penrC�-SU FcGICra`S�, yt�`Assessor's R Map/Parcel to3 _04T 't•5\., MA OZ11m �f I' t j Installer's Na Address,and Tel:. Dell ner's Name,Address and Tel.No. c1t�� �U:o� F '• eta, -7-1 — �r3S9 �,<� ,r a24 3"Sc(.Sti Sob-4zv 33ti� Type of Building: Dwelling No.of Bedrooms Z-,fi Lot Size-, sq. ft. Garbage Grinder (40) } Other Type of Building f�. No.of Persons Showers(. ) Cafeteria( ) Other Fixtures Design Flow(min. required) 3�3o gpd Design flow provided 3 11- gpd Plan Date 010 Number of sheets 3 Revision Date p / , Title V)j4fbWCk !Se t • Size of Septic Tank �pi><1 IOUtI�� �I;SJp l� SttJ Type of S.A.S.3a x1y4 �rC55,K.Tie Description of Soil��l �Z',OS`� 0-IS�tFlll. LAW& 1 o7(S'1�p Lwmn , SAAjz) - :{ot80" C , l��tt lo`t�(e{(o ►nka SRM� r3(l �" C.-L (o(y rnt0 SMu7 Nature of Repairs or Alterations(Answer when applicable) t �. flw An»any 1�,c� 016110 -Am Zdn�n� 1cez� on,rrnC�c� rnP-i "7�Z��10 , Date last inspected: r 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 thn`vi7nmental Code and not to place the system in operation until a Certificate of _Compliance has been issued by this'Board of`Healt{h. Signed •;. , Date -71-�,q1/J - I' � �Application Approved by D t s_�t•, { NIJ Application Disapproved by: Date i for the following reasons ! a Permit No. (� " u ' 33 to Date Issued 'l U /THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY;that the On-site Sewage Disposal System Constructed Repaired ( ) Upgraded ( ) Abandoned( )by x-J(E'+laIl/ °1 at V Yu (bi A has been constructed in accordance with the provisions f Title 5 and the for Disposal System Construction Permit No. 2 00 B 6 dated Installer (frr'C;0/1 1 Designer #bedrooms 2 7? Approved design flow `�, 3 C) gpd The issuance of this pe(r}mi sha lnot be construed as a guarantee that the system wi' func o designed. Date 1 I Inspector ---------_— ---_---_— — -----_y No. �r Fee i5 O THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION — BARNSTABLE, MASSACHUSETTS Bi5pogar *pgtem Congtruction hermit Permission is`hereby granted to Construct ) Repair ( ) Upgrade ( ) Abandon ( ) System located at -71 0(-ean View k,e, (AJ" and as described in the above Application for Disposal System Construction Permit.The applicant recogiiizes.,his/her duty to comply,with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of t ermi . Date -S-r y Approved by r' _ Stanton, David 4 From: McKean, Thomas Sent: Thursday, July 29, 2010 1:42 PM To: Stanton, (David Subject: Fw: 71 Ocean View Drive Cotuit 127P From: Houghton, David To: McKean, Thomas Cc: 'Michael Ford' <mdfesg1@verizon.net>; Weil, Ruth Sent: Thu Jul 29 12:20:53 2010 Subject: 71 Ocean View Drive Cotuit 127P Tom: It appears that Attorney Ford's contention is correct that the planning board endorsement of the ANR plan on January 28, 2008 grandfathered the lot shown on that plan (I don't have it) under G. L. c. 111 s. 127P from application of BOH regs both title 5 and local enacted between 01/28/2008 and 1/28/2011, i.e. the project will be governed byregs in effect on 01/28/2008. It would be specifically grandfathered from code ch. 360 s. 45, protection of saltwater estuaries. 71 Ocean View is different from the Independence Park. cases in that the subdivision came first and is much more remote in time, although it is a question for another day whether and how many and how frequently one could file ANRs to gain exemption under G. L. c. 111 s. 127P. 4 f 8/5/2010 . AlC/J G _ F EZ FO(LI4�10eJ. s F O t sTFZ t.C Z O 'ice 130 1,A 1 _ 72` ?2------------- 4 -- 5 9733 , - -._3 e a L L2( *Tr st'� .s - _ e A S try to pro 2/3 _ O U 5 t rU 6S. )7 � 8 z 3 �C �8�•4tc.ovl5 w �o s ` o u � _ � �b���^,� !`�-,.,n. �p� ,,�r.�6.�• �S` ova t'x'E,n.A.'id .r.. clos 196 R d aAf �y `� 7� 27 Gs�L WJ13s O OASS PEP ���;.Gg� ��►����. �, -rry�.tit�� _.. {K.A,cv P - _ ... ._ _ -ok.i oss ------ ...... Q .55 - - - 3_2o F'f D .2'7 - z t�• �83 � 28 LO -Q�- - \Ak° �'+' T fR 4� _ Y E2.S 3„ �ca� CLOG A .� J COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL, PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 Governor BOB---- BOB DURAND Secretary I.AUREN A.LISS Commissioner TITLE 5 PRESSURE DISTRIBUTION DESIGN GUIDANCE Effective Date: May 24,2002 Polic # BRP/D -- WWWpeP/G02-2 Pr pplicability BRP/DWM/Watershed permitting/Title 5 Program Sers unedes• Guidance dated 1/18/95 Reeulation Reference• 310 CMR 15.254 . ... AM ved By: [signed] Cynthia Giles PURPOSE: The purpose of this document is to guide pressure distribution designers, reviewers and contractors in the design and construction of on-site w distribution systems consistent with the requirements of Title 5. astewater pressure INTRODUCTION- Uniform application of septic tank effluent throughout (SAS) .is an important factor in the Proper the soil absorption system treatment and disposal stem p Per operation of an on-site. subsurface sewage SP sy (system). Gravity application does not provide uniform distribution and-can-create localized ponding-,vithin-the"SAS: This--can inhibit proper treatment and 1s of special concern in larger g systems where failure rates have been documented-to be' higher than in smaller, residential.systems. Pressure distribution networks can be employed as a means of a_c hieving uniform application and can overcome some-of the limitations of gravity distribution systems. The construction procedures of the distribution network are just as important as esign or - - s3' ormance. ood design wi -poor-constnzctYon may re t 1n network operating poorly and may result m failure of the pressure distribution system. It is important that the designer,the installer,and the board of health inspector understand the principles of operation of the pressure distribution network before construction commences.Weather considerations should also be anticipated, especially if the network i _ _ f Pressure Distribution Design Guidance Table 2 Maximum Manifold Length(ft)For Various Manifold Diameters Given the Lateral Discharge Rate and Lateral Spacing(from: Otis, 1981) Lateral Manifold Manifold Di_sch-. a Rate _ Manifold k. Manifold Manifold Di %,n Diameter-.1 /� Diameter-=.2" ��- iameter=3�'1 ;� Manifold End Lateral Spacing Later Spacing Diameter 4 Diameter=5" Maaifol $ p g Lateral Spacing g Lateral Spacing Lateral Spacing Center $ ft ft ft 2 4 6 8 10 2 4 6 8 10 2 $ Manifold 4 j� $ 16 2 8 10 2 4 6 8 10 2 4 6 8 10 la / 4 8 6 8 10 10812 1620 121424 - - 26 8 56 70 42 64 .8496110 84 134 174 200 240 ._ -- `' 40 26 _ __�._._ ._.._ ._ 4tM54 70 54 84 106 128 — -2. --._ ...2 4 6 -- 1 50 r 4 8 6 8 10 _ 12 16 24 24 30 20 2636 48 60 42 64 84 96 40 8 10 110 10 12 18 16 20 16 24 30 32 40 34 52 66 80 50.._ /_ 25 2 4 6 8 8 12 12 16 20 90 14 20 24 32 40 30 44 60 72 60 / 30 2 4 80 8 12 18 1620 12 16 24 24 30 26 40 48 64 70 / 70 35 2 6 8 12 8 10 10 16 18 24 30 24 36 48 56 80- / 40 2 60 6 8 6 8 10 10 12 18 16 20 22 32 42 46 90__ / .._.45. . . 2 4. 8 6 8 10 60 8 12. 18 16 20 20 28 42 46 100 /: 50 50 4 4 6 S 10 8 12 12 16 20 18 28 36 40 110 / 55 50 4 4 6 8 10 8 12 12 16 20 16 24 36 40 120. /. 60 40 4 4 6 8 10 6 8 12 16 10 16 24 30 32 130 / 65 40 4 4 6 8 10 6 8 12 16 .10 14 24 30 32 140 / 70 2 4 6 8 40 6 8 12 8 10 14 20 24 32 150 / 75 40 2 .4. 6 6 8 12 8 10 '14 20 .24 32 160 / 80 2 q 6 30 6. 8 6 8 10 12 20 24 32 170 / 85 2 4 6 30 4 8 6 8 10 12 20 24 24 180 / 90 30 2 '4. 4 8 6 8 .10 12 16 24 24 190 / 95 2 4 30 4 8 6 8 10 12 16 18 24 200 / 100 30 2 4 4 4 6 8 10 10 16 18 24 30 3 Pressure Distribution Design Guidance ' APPENDIX B . 10 Perforation Diameter: 9 1/4 -in. (6.4 rnMJ _.... ._......-_... __- 1M W a +rA $ 11/2' e_ 0 4 - 2 a 2 4' _m O 10 20 3 40 5A 60 . 70 80 90 100 110 120 130 14o 150 Lateral Length (ft.) .Minimum Lateral Diameter for Plastic Pipe (C 150) Versus Perforation, SPatcing and:Lateral Length for- 1/4 in. Diameter Perforations (Otis, 1981) 10 -Perforation Diameter. a 5IlB-in: (7.9 71' Mj 7 1 eCL 6 1 1µ, • - ef 5 2tl e - .0 4 O 3 3' a 2 - 0 S� O 10 20 30 40 - SQ :.60... 70 80 .9 O 700= 11 O 120 130-140 150 _ Lateral- Length (ft.) �.±-.-imams--Lame-ra-l--Si-a�et _ • . - - er-fgr-RTastic-Pipe-( � Spacing-and Lateral Length for- 5/16• in. Diameter Perforations (Otis, 19$31 FIGURE 8a & 8b: Minimum Lateral `Diameter vs. Perforati Spacing &Lateral Len on inch diamet ' on 8a can be used for 1/8 Lateral Perforations) . Pressure Distribution Design Guidance APPENDIX C Sable 1 Perforation Discharge Rates in Gallons per Minute vs. Perforation Diameter --------and-In-L-ine-Pressure(adapted from Otis-1-981) - . - Perforation Diameter(inches) -- ---- b-Line 1/8- /4 5/16 Pressure 318 7/16 - 1/2-:_ ._ .9/16 _. 5/8 1.0 0.18 0. gPm 1.15 1.66 2.26 2.95 3.73 4.60 1S 0.22 0 0 1.41 2.03 2.76 3.61 4.57 5.64 2.0 0.26 1 1.63 2.34 119 4.17 5.27 6.51 1.17 1.82 D62 3.57 4.66 5.90 7.28 3.0 0.32 1.28 1.99- 2.87 3.91 5.10 6.46 7.97 3.5 0.34 1.38 2.15 3.10 4.22 5.51 6.98 8.61 4.0 0.37 1.47 2.30 3.3.1 4.51 5.89 7.46 9.21 4.5 0.39 1.56 2.44' 3.52 4.79 . 6.25 7.91 9.77 5.0 0.41 1.65 .2.57 3.71 5.04. 6.59 8.34 10.29 NOTE: Figures for 1/8 inch perforation diameters compiled by P. Spath,B. Dudley, 2001 ( ) 3MW SERIES ' 1 , 3" Non-Clog Wastewater Pumps Vertical Discharge 2" Solids Handling - 3450 RPM 21/2" Solids Handling - 1750 RPM FRE E MOTOR WILL DELIVER MANY YEARS OF E SERVICE led motor for maximum heat dissipation onstant bearing lubrication. torque, permanent split capacitor(PSC), phase motors, No starting switches or rels to wear out. nal eal leak probe warns of seal leak tion. (Dual seal motors only.) Helps nt costly motor damage, s have on winding current and tem- /pera ure sensitive overload. (Single phase ■ Motor is held in place by 4 bolts, Easily removed if Service is ever needed, PRODUCT CAPABILITIES EHeadsTo 330 gpm 20.82 1ps 92 ft. 28.0 mng 21/2 in. 63.5 mm 2 in. 50.6 min Liquids Handling raw sewage,rain.water, S ® effluent Intermittent Liquid Temp. 140°F 60°C Winding Insulation Temp. 2667 130°C (Class B) Available Motors 1750 rpm 3450 rpm HE HEAVY-DUTY MYERS 3MW SERIES SEWAGE (single phase are psc type; 11/2-3 HP 1 3 HP PUMPS ARE DESIGNED FOR USE IN RESIDENTIAL three phase need Myers 208/230 volt lfd,60 Hz RAW SEWAGE AND LIGHT COMMERCIAL APPLICA control panel.) 208/230/460/575 volt, TIONS. 3MW pumps are available in single and 3pJ, 60 Hz double seal configuration, The enclosed two vane Third Party Approval UL Pending,CSA impeller provides high efficiency pumping and Acceptable pH Range 6-9 easily handles trashy solids normally found in Specific Gravity sewage applications. This series is offered with ty 35 Viscosity -35S 28SU ' vertical discharge and easily adapts to a quick- Discharge, Vertical disconnect slide rail system. For more information, Miu Sump Dia, (Duplex) 48 in, 3 NPT nimm 1.9.m call your Myers distributor or the Myers Ohio sales office at 419-289-1144, ADVANTAGES BY DESIGN Construction Materials Motor Housing,Seal cast iron, class 30 ■ High efficiency hydraulic design cuts pumping Housing,Volute Case ASTM A48 costs and extends life of fluid end components, Enclosed 2-Vane Impeller ductile iron, class 65 "■ TWo-vaned rounded port impellers easily handle ASTM A536 solids at high operating efficiencies, Power, Control Cords SJOW/sJOWA, sow/SOWA, 20 ft. -■_0ffered;n tin o_speeds_to_coverlagar o_peratlng _— Mchuc �range, -single_type._21____ ■ Hydraulic end virtually maintenance free. NO standard-carbon/ceramic close running tolerances have to be maintained P optional tungsten carbide Pump, Or adjusted, P. Motor Shaft 416 SST lusted, i F■ Volute seal ring replaces in minutes if wear Fasteners 300 series SST should occur with no adjustments needed, WHERE INNOVATION MEETS TRADITION ® ISO 9001 Registered Quality System M"rs Pentair Pmnp Group P win pm swim � . ;fir . � �„ • ' • •, ••l• . 32 sl.����- 1 '".�•,� . . . . ■■■ 11111116 ►eeeeeeeeeeeee® �e � ��ee � �e . . WRO 12909111 \ ,\ ■■■■■■n■■n■ ■ec' � e � eeee FIER---- -iiii■■s�■i■■■i::::::::� eell / Is �- • MENEM ■■■■■■■■■■■■■■■■■■■■■■■MEMO ON MENNEN■ SUBMERSIBLE _ ■EEO■■■■■■■■■■■■■■■■■■■■ Model: 3MW Speed:3450 RPM M mom OEM ONE mg ■■■■■■■■■■■■■■■■■■■■■■■■ • ■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ON OWN IN no MENNEN MEMO MEN No ONEEME a ME No • 0 N■■MOM■■MENEMMMMNM NOON■■■■D■ Ir9b ONNE MDEMMENEMMEMMDON■E■■MOM ■■.e_ ■MMgoN■ �•sM -•EM■■ MONMEEM MiiiNOONON MEN wmmmmmmm No SEEN -o\MNI:.e0■®M■■■M-I—MMEMNONE ■■NNENM.!NEMDONG-ft_om muclom a No MEN MEN■EM■■MMM■■■MMMMs����M�M��:�.�M■MMMM■M OSEMEO��S�■M���EMNEEME® NoME ' EMEMEMENNOMMOMMEMENoNoENMEMEMEMEMEMEEMENEEM am ■EMMEMEMOMMEMEMENMEMMEOMMM■■■■■■■MODE■ME ®EMEMEMENNNE■MENNE■■■■NN■■MNM■■■■■■■NEED■ • • e • • .• • :• •• •• • • • •• • r r Factor r r r: r r r r 7 2.7 r2310 r . e1.0 r r r: r r2.1 • r r r r r r e r 460 : . r575r = • 2.4 1.0 r213 r r .. r 3.3 • • • r rr r r r 3.4 r • 7.0 7.0 460 e r2.4 e r • r • r e e : 3.4 r r rr ILL I r • e r r r r • e e18.0 18.0 r e r e r r r r e r r r r r r r r r r r r p�F tbly� DATE: FEE: * IAR IAATAHLE • (�(/�1 1639. A REC. BY VT p�'d Town of Barnstable SCHED. DATE: ,Board of Health 200 Main Street;iiya-iin—Is MA 02601 Office: 508- Wayne A.Miller,M.D. FAX: SOR-790-4644 90 6304 Junichi Sawayanagi Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION Property Address: Cc(_'&i) Vi't'n r) v,- u C�E'fGl 7L Assessor's Map and Parcel Number: d Size of Lot: Wetlands Within 300 Ft. Yes 1 Business Name: No Subdivision Name: 4 �- APPLICANT'S NAME: a• 1CQbe�f f (etw ,Ti': Phone 6 )7 J:711 — 7 '10 Did the owner of the property authorize you to represent hit or her? Yes w", No PROPERTY OWNER'S NAME CONTACT PERSON Name: P/Gk 401^6-k eA,1 I/-4If Name:5"-/1i'Vd-✓? �71c_ Lip S,iL rr�Ce rn,^~� Address:,,� lob./-kj .Sf — F/ pr Address: /9'd. �OX �"9, �s�rY�Y/e Gb2ln Pheitie- /3c��ax , -,,t4/f Da//6 Phone: U�Olf- 4o2�-- 3 y NeeLo 17 VARLANCE FROM REGULATION(List Reg.) REASON FOR ay attach if more space needed) :`N- 16 NATURE OF WORK: House Addition 1 House Renovation.0 Repair of Failed Septic Systemr�t t{ Checklist (to be completed by office staff-person receiving variance request application) } Please submit copies in 4 separate completed sets. _✓ Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) / Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) _✓ Signed letter stating that the property owner authorized you to represent him/hcr for this request L✓.r7 Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only], outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Junichi Sawayanagi REASON FOR DISAPPROVAL Pau!J.Cannift,D.M.D.' C:\Users\decollik\AppData\Local\Microsoft\P:indows\Temporary Internet Files\Content.Outlook\\nA,-T9o9n7\\%TA IREQ.DOC Pickwick Realty Trust c/o Sidman Family Office 50 Federal Street—41h Fl. Boston, MA 02110 May 19 2010 Town of Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Re: 71 Ocean View Avenue, Cotuit Map 034 Parcel 045 Dear Members of Barnstable Board of Health: As Trustee of the Pickwick Realty Trust, please be advised that Sullivan Engineering, Inc. (and its employees) has permission and authority to represent the property owners of the above referenced real estate before your Board in all matters pertaining to the septic system at the above referenced property. Sincerely, Robert Casey, Trustee The.Pickwick Realty.Tru 1 GSDOCS\1988398.1 ii, )ecuon itip Page 1 of 1 Search the Laws Go To: PART I.ADMINISTRATION OFTHE GOVERNMENT T—bd: _ IJ ,i Sea h TIE XVI.PUBLIC HEALTH e: '��� TITLE CHAPTER 111.PUBLIC HEALTH NUISANCES Chapter 111: Section 127P. Land covered by subdivision-plan; application of state environmental code Section 127P. Whenever a person has submitted a subdivision plan, or a preliminary subdivision plan which is followed within seven months by a definitive plan,or a plan referred to in section eighty-one P of chapter forty-one,the land shown on such plan shall be governed by provisions of the state environmental code, or of the provisions of local board of health regulations which differ from said code, which are in effect at the time of first submission of said plan. Said provisions shall apply during the time such plan is being processed, including the time required to pursue or await the determination of an appeal relative to said plan. If such plan is approved, or if it is found such approval under the subdivision control law is not required, such provisions shall apply for a period of three years from the date of the endorsement of such approval or from the endorsement that approval under the subdivision control law is not required. f http://www.mass.gov/legis/laws/Mgl/l I 1-127p.htm 5/21/2010 Town of Barnstable,MA Page 1 of 2 ARTICLE XV Protection of Saltwater Estuaries(§360-45) [Adopted 6-30-2008] §360-45 Interim regulations. [Amended 2-10-2009] Purpose. (1) The findings of a state-wide estuary investigation indicate that a substantial portion of the Town's saltwater estuaries are in jeopardy from the long-term buildup of nitrate-nitrogen, primarily from the subsurface discharge of sewage effluent. These findings have caused the Massachusetts Department of Environmental Protection to establish total maximum daily loads(TMDL)for nitrogen for the watershed areas of these estuaries."Watershed" is defined as the area of land from which water flows downhill into a particular body of water. In these nitrogen- impaired estuaries the TMDL will require an actual reduction in the amount of nitrate-nitrogen discharged into these embayments. Since most of the nitrate-nitrogen in these watersheds is from subsurface discharge of sewerage effluent intor the groundwater that flows to these embayments,and since it is likely that a plan for corrective action will take years to formulate and implement,the Board is adopting the following interim regulations to mitigate the adverse impact to these estuaries from such discharges.The Town has long recognized the need to protect its water resources and has imposed discharge limits on subsurface disposal of sewage in other nitrogen sensitive areas_The restrictions proposed herein are similar to those imposed by Town ordinance anaftr Board of Health regulation in other nitrogen sensitive areas in the Town. These regulations are temporary and will be in effect only until the Town adopts and implements a Comprehensive Plan to address the nitrogen reduction required in these estuary systems by the proposed TMDL. (2) To date, final reports have been produced for Popponesset Bay,Three Bays and the Centerville River watersheds.All three of these estuary systems will require a reduction in total nitrogen discharge in order to meet the state-mandated TMDL. Further reports are expected on Lewis Bay and Barnstable Harbor. B. Restrictions. No permit for the construction of an individual sewage disposal system on any building lot shall be granted within the watersheds for the estuaries that have been identified as requiring a reduction in the current TMDL of nitrate-nitrogen as identified by the map entitled"Massachusetts Estuary Project, Zones of Contribution to Saltwater Estuaries, Town of Barnstable, March 10, 2008,"unless the following standards are met: The maximum allowable discharge of sanitary sewage, based on the sewage design flow criteria listed in 310 CMR 15.203, Title 5, of the State Environmental Code, shall not exceed 440 gallons per 40,000 square feet of lot area,with the following exceptions: (a) For approved building lots on which no building currently exists and that are less than 30,000 square feet in area, the maximum allowable sewage discharge shall be 330 gallons. (b) For parcels with existing buildings, the maximum allowable flow shall be either 440 gallons per 40,000 square feet, except as described in Subsection = above or whatever is currently permitted, whichever is greater. (2) Nothing in this regulation shall prohibit the approval by the Board of Health of any application involving the maintenance, repair or alteration of an existing individual sewage disposal system, provided that said application does not involve an increase in design flow as defined by existing Board of Health regulations. Where an increase in design flow is involved,the applicant must demonstrate compliance with this regulation. C. Variances. A variance from this regulation may be granted by the Board of Health only if the applicant can demonstrate that: http://www.ecode360.com/?custId=BA2043 5/24/2010 , lbwn of Barnstable, MA Page 2 of 2 Connection to Town sewer is not available; and (2) That enforcement thereof would do manifest injustice; and The alternative proposal will provide the same degree of environmental protection as a design in full conformance with this regulation. This standard shall be met by a site/septic design which results in equilibrium concentrations of nitrate/nitrogen at the down-gradient property line not exceeding five ppm, utilizing the Cape Cod Commission formulas found in its Technical Bulletin 91-001 (final). In undertaking this calculation, the applicant may utilize off- site lands located elsewhere in the Estuaries Contribution Area as defined by the map entitled "Massachusetts Estuary Project, Zones of Contribution to Saltwater Estuaries, Town of Barnstable, March 10, 2008," provided that: (a) The existing nitrogen loading for the off-site property is included in the calculations; and (b) A deed restriction limiting the off-site property to the current nitrogen loading as stated in the calculations and running to the Barnstable Board of Health or other entity suitable to that Board is recorded at the Barnstable Registry of Deeds in the titles to both the subject property and the off-site property. The restriction shall be in a form suitable to the Barnstable Town Attorney. Proof of recording shall be provided to the Board of Health, the Town Assessing Department and the Town Building Department prior to the issuance of a DWIP for the subject property- http://www.ecode360.com/?custld=BA2043 http://www.ecode360.com/?custId=BA2043 5/24/2010 s ' e', b_YLI I- 0 � No. l�a`s"� I y Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION­_TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2ppliLation for Disposal bpetem Construction jhrmit Application for a Permit to Construct( ) Repair V) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. / Clt Ca.n Vj �,J/4✓C_ Owner's Name,Ad ress,and Tel.N i e C�o f u I"'t P:ck w ie_K e�jTrKt t J �'vbrart C'ee Assessor's Map/Parcel jnzVo3q PA_rL-eJoL)< 010 &v 60 Fewterd Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 08 -y��—33 y c/ // 1�r7��o�j' CO��� 7 �1_�39� sue.►►;vu,� ��yl h CnP_d'�%�.�71C. ` 7 /k r e.r 6 5`e Ox A /,, ,Yr e 4,55 Type of Building: Dwelling No.of Bedrooms Lot Size. �'o (�[p Ct( S Garbage Grinder(/7 0 Other Type of Building'&ych Nogg �edrl�O o Parsons j1Cr lei ✓l�howers( ) Cafeteria{/W Other Fixtures 0 . Design Flow(min.required) '6 00 gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title C 6,241 rDL v� "Size of Septic Tank e ' A.S. .[�{��-t).a Description of Soil On Pla-n Co -re- Pend /i 05y- %fO hrelr'-1 On /�:3" .,All Alamer ID4,r514 aelitoi;A-- hrmo /berm _<oeC t ye t P I , cA. , ,7� /�D r»kn �nCvun j Nature of RUpAi�or Alte a�s wer when app icable) fr 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 o alth. 7 1 Signed *11� Date ZG,3 q Application Approved by �. {�17 p 'S Date Application Disapproved by Date . for the following reasons Permit No. A 009 1 Date Issued 6—I�'d 00 '56 No. �`. / Fee " THE COMMONWEALTWOF MASSACHUSETTS Entered in computer: r Yes x, PUBLIC HEALTH DIVISI °--ATO N Off" BARNSTABLE, MASSACHUSETTS' r application for bisposar,6pstern Construction Permit � i Application for a Permit to Construct( ) Repair W Upgrade( .) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.,'/ CC can v°'e w r4 V t° Owner's Name,Address,and Tel.No. �Pube rt Cdt Cop r. Assessor's Ma /Parcel �,y? p n-� o3 Pc v oL < 0'/v e L'�mr a. �,� 5U re:etefaj Sf+ ' (ill D Installer's Name,Address,and Tel No. Designer's Name,Address,and Tel.No. '500, -q�i� S f>k.)4 46ti Y /.7 -'7r . 77i= (3�% `71�cr � r Rd 6vX Cow 0-Atrv,%Ie du406S Type of Building: __ ; Dwelling No.of Bedrooms Lot Size �..�= ^7—s (�(o � Garbage Grinder Other Type of Building�Q� F;b+.t-So_ � bed/ON'oIo Ptrsons /lP (+h0,M r r�howers( ) Cafeteria(/ o Other Fixtures /-O o i7 Design Flow(min.required) 00 gpd Design flow provided ,2 gpd Plan Date i Number of sheets / Revision Date Title . e 6Q4 /0 h L ra_�,. _ m�� .�G�b Size of Septic Tank UU toft rf e o S.A.S. kg CCA J'Yp L° ",hpf DeNcnptiion of Soil or) /410 (0 7'� t ! / � �e°rC /«Z° r* T'�c f hn lr- 1 - /.3" -A'l1 l6-r,4er /Ui,r 3 - �,'y" 01 brojo1 el Jj nv.d -s t—rG o Nat ure'of R pairs o 4ite afions(Answer weer ppr-cable) n �YO�'"'�'` r P Date last inspected: Agreement: The undersigned ag-ees 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 oL,ealth. '- " Signed Date 6�Z3 a Application Approved by 17• 'S Date r Application Disapproved by Date for the following reasons Permit No. pOq � Date Issued b'I j d THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTY,that the On-site Sewage Disposal system Constructed( ) Repaired(X) Upgraded( ) Abandoned( )by at rf/ Q:Cj,- h Vj' � fide ( oht J'•)L has been constructed in accordance pD a( with the provisions of Title 5 and the for Disposal System Construction Permit No. ,Iw 'l jq dated � — �6`0 j Installer Designer #bedrooms Approved design flow gP d The issuance of this permit shall not be construed as a guarantee that the system willrfunc)ti n as designekl Date � f1 Inspector A - -- - - -- - _ - - _ THE COMMONWEALTH OF MASSACHUSETTS I Fee PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal bpstem Construction permit Permission is hereby granted to Construct( ) Repair(N Upgrade( ) Abandon( ) System located at 7/ 0 G(-Q./-) W ye �/)fu/ � and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date 4,—((� c3 Approved by f r � of Barnstable Regulatory Services MAM �� Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-63.04 Installer& Designer Certification Form -: - Date: n ewage Permit#_ZoO 1-l8LI Assessor's Map\Parcel--0-3 o''tS- --_._ — Designer: Installer: Address: Cl,%il 97, Address: J Gas�`yV XI On Sn� /� � 6P,2 was issued a permit to install a (date) (installer) septic system at -71 O cect n V :J nsVe,n, CaU- based on a design drawn by .(address) Suliw - dated h (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 R gulations. Plan revision or certified as-buil' dq i* er to follow. Ik Of PMR _ (Installer's_S tur_e) - _ _ I/ A - - Mo.'29733 ® 4 •' A E �� (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE.PUBLIC HEALTH DIVISION.CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE f RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.THANK YOU. Q:Health/Septic/Designer Certification Form 3 26-04.doc 0 r r opZ�e raw ,. Town of Barnstable I* 1« nAwis-rAuc.E, 9e "Ass. i639• Board of Health -o �� DTfD M). A 200 Main Street, Hyannis MA 02601 . Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 awayanagi Paul J.CAE riff,D.M.D.. July 7, 2009 U Mr. Peter Sullivan Sullivan Engineering PO Box 659 �(J Osterville, MA 02655 RE: 71 Ocean View Avenue, Cotuit A= 034 - 045 Dear Mr. Sullivan You are granted a conditional variance, on behalf of your client, J. Robert Casey, Trustee, to construct an onsite sewage disposal system at 71 Ocean View Avenue, Cotuit. The variances granted are as follows: Section 360-1: The septic tank of.the beach/bath house will be located within 50 feet from the top of a coastal bank, in lieu of the one-hundred (100) feet minimum separation distance required. Section 360-1: The septic tank of the beach/bath house will be located 50 feet away from a Tidal Pond, in lieu of the one-hundred (100) feet minimum separation distance required. Section 360-2: The septic tank will be located within shifting sands. These variances are granted without conditions: The septic system plan,approved,by the Board of Health is dated May 1, 2009. (1) The system shall be installed in strict accordance with the revised engineered plans, with the leaching facility to be placed within the existing) _ septic easement at 38 Stetson Lane. r , (2) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the plans. Q:\WPFILES\71 OceanViewAveCot2009 SepticVar.doc 1- u These variances are granted because the physical size of the lot (4.66 acres) will meet the maximum feasibility of the septic. Sincerely yours, Wayne A. Miller, M.D. - Chairman b . Q:\WPFILES\71 OceanViewAveCot2009 SepticVar.doc 2- �pP IHF Tp� Town of Barnstable • BARNSfABLE, ' MASS 1639. $ Board of Health prED MAC A. 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 JunichiSawayanagi Paul J.Canniff,D.M.D.. July 7, 2009 Mr. Peter Sullivan Sullivan Engineering PO Box 659 Osterville, MA 02655 RE: 71 Ocean View Avenue, Cotuit A= 034 - 045 Dear Mr. Sullivan You are granted a conditional variance, on behalf of your client, J: Robert Casey, Trustee, to construct an onsite sewage disposal system at 71 Ocean View Avenue, Cotuit. The variances granted areas follows: Section 360-1: The septic tank of the beach/bath house will be located within 50 feet from the top of a coastal bank, in lieu of the one-hundred (100) feet minimum separation distance required. Section 360-1: The septic tank of the beach/bath house will be located 50 feet away from a Tidal Pond, in lieu of the one-hundred (100) feet minimum separation distance required. Section 360-2: The septic tank will be located within shifting sands. These variances are granted without conditions: The septic system plan approved by the Board of Health is dated May 1, 2009. (1) The .system shall be .installed in strict accordance with the revised '� engineered plans. 51Y, IP !W (2) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system,was installed in substantial compliance with the plans. Q:\WPFILES\71 OceanVieWAveCot2009 SepticVandoc I p � These variances are granted because the physical size of the lot (4.66 acres) will meet the maximum feasibility of the septic. Sincerely yours, W e Miller, M.D. Chairm Q:\\VPPILES\71 OceanViewAveCot2009 SepticVar.doc 2- { tNE DATE: �5 �`� ®9 FEE: 9J' CK sAlttvsTABLE dal MASS _ 1639. 10� REC. BY U) Town of Barnstable I / SCHED. DATE: Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Wayne A.Miller,M.D. FAX: 508-790-6304 Paul J.Canmf�D.M.D. VARIANCE REQUEST FORM ~� LOCATION Property Address: f s Assessor's Map and Parcel Number: d 3 q o L4J Size of Lot: 4•(. 6 aC- Gs Wetlands Within 300 Ft. Yes ✓ Business Name: No Subdivision Name: APPLICANT'S NAME: Z N v bt r* O�J-b -- rr= Phone i 7 , 4 1 Did the owner of the property authorize you to represent him or her? Yes ✓ No PROPERTY OWNER'S NAME CONTACT PERSON Name:J- 1�D",& Name: Lt.61 J v /if— C h q 1 ra Address: `5D F-PAtra.! 5 f 4'}k- P 10 D r Address: 760,01 n . Yh ►4. 0a J 1 D �� .n✓a"1 J�. ►4 OoZ JV Phone: (01-1 4 1'10 Phone: '50 r - L-/Qt X—- VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) ch 3/,6~ l 5eL ceJzil'c7 le 6 nK P00' fc-A6LIlrez Tel s0' 0 rave°de ® ' 12reY, xc,4- .}bra of LoQJ A ,nl� ® �360�-d �0►l %w),X6 � ® -�iK 76 &e 10&kd- ik, shy oS�ytd�otkh sL NA OF WORK: House Addition ❑❑ ❑❑ House Renovation ❑ Repair of Failed Septic Systdin Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. C ✓ Four(4)copies of the;completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) m Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) _ Signed letter stating that the property owner authorized you to represent him/her for this request . f Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at ap licam's a se.(f��Title V N p and/or local sewage regulation variances only) 70 _ Full menu submitted(for grease trap variance requests only) , = t� Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same own easce only], outside dining variance renewals [same owner/leasee only],and variances to repair failed sewage disposal systems[only if io expansiddto thed�urlding ProPo ]) Ln m Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Paul J.Camriff,D.M.D. REASON FOR DISAPPROVAL C:\Documents and Settings\decollik\Local Settings\Temporary Internet Fi1es\0LK1\VARIREQ.D0C i I goulston&storrs counsellors at law J.Robert Casey jrcasey@goulstonstorrs.com (617)574-4170 Tel (617)574-7570 Fax May 7, 2009 Town of.Barnstable Board of Health 200 Main Street Hyannis, MA 02601 RE: 71 Ocean View Drive, Cotuit Map 034 Parcel 045 Dear Board of Health, As a trustee of the Pickwick Realty Trust, please be advised that Sullivan Engineering, I Inc. has permission to represent the property owner before your Board in all matters pertaining to the septic system at the above referenced property. Siinncer- y J. Robert Casey JC/ma G4[iOC s\19J2734.1 Goulston&Storrs,A Professional corporation • Boston • DC • London' • New York 400 Atlantic Avenue Boston,Massachusetts 02110-3333 • 617.482.1776 Tel • 617.574.4112 Fax • www.goulstonstorrs.com `A Subsidiary of Goulston&Storrs,PC 06/15/2009 11:36 50$4283115 SULLIVAN ENG INC PAGE 02 TRANS. NO.: V 1,,E 145, -2c bg CITY/TOWN: Coma APPLICANT. -Y. 446 MCC C Ar S IN i'C ADDRESS: % Q c- V J E\V tT' DESIGN FLOW: — 600 gpd REVIEWED BY: DATE: N/A. OK TNO Legal boundaries denoted 310 CMR 15.220(4 a Street,Lot,tax parcel number and lot number noted on plan[310 CMR 15.220 4 u ✓' Locus Provided 310 CMR 15.2204 t Plan proper scale? (1"=40'for plot plans, 1'=20'or fewer for components) 310 CMR 15.220 4 Easements shown 310 CMR 15:220 4 System located totally on lot served [310 CMR 15.405(l)(a)for upgrades]-if not, a variance is required 310 CMR 15.412 4 Location of impervious surfaces(driveways,paddng areas etc.) 310 CMR 15.220 4 d ✓` Location all buildings existing and proposed 310 CMR 15.220(4)(c)] Location and dimensions of system components and reserve areas. 310 CMR 15.220 4 e No System Calculations 310 CMR 15.22 4 daily flow septic tank capacity(required andprovided) WOO soil absorption (required andprovided) whether system designed for garbage grinder Vol North wow 310 CMR 15.220 4 Existing andproposed contours 310 CMR 15.22 4 Location and log of deep observation holes (existing grade el. on each test) [310 CMR 15.22 4 �• Names of soil evaluator and BOH representative [310 CMR 15.220(4)(hand i ✓ et u� Location and date of percolation tests(performed at proper 0. eo+ ►� elevation?) [310 CMR 15.220 4 i Percolation test results match loading rate? 310 CMR 15.242 Certification statement by Soil Evaluator 310 CMR 15.220(4)6)] Observed and Adjusted groundwater(method for adjustment given or indicated) [310 CMR 15.103(3)and 310 CMR 115.220(4)(n)] Address 71 Q�I1 11�f �oT �� Sheet 1 of 7 06/15/2009 11:36 50$4283115 SULLIVAN ENG INC PAGE 03 N/A OK NO Location of every water supply,public and private, [310 CMR 15.220(4 ; ��• within 400 feet of the proposed system location'in the case of surface water supplies and gravel packed public water• 1 .. ✓ i within 250 feet of the proposed system location in the case within 150 feet of the proposed system location in the case of private water supply wells Location of all surface waters and wetlands located up to 100 ft. beyond setbacks listed in 310 CM.R 15.211 and any catch basins K� located within 50 f 310 CMR 15.2 4 Water lines and other subsurface utilities located[310 CMR 15.220 4 m if water line cross see 310 CMR 15.211 1 1 Profile of system showing invert elevations of all system components and the bottom of the SAS 310 CMR15.220 4 o Stamp of desi er r310 CMR 15.220 1 and 310 CMR 15.220 2 Stamp of Registered Land Surveyor(required if construction activities within 5 ft. of lot line 310 CMR 15.220(3)] Test Holes adequate(two in each of the primary and reserve unless trenches as permitted in 310 CMR 15.102(2)or as approved for an upgrade under LUA at 310 CMR 15.405 1 Test hole adequate to demonstrate four feet of suitable material? f 310 CMR 15.103(4)] Test Holes adequate to confer adequate groundwater separation? V0000, 310 CNM 15.103Q)] Benchmark-withiri`50-75'of 310 CMR 15.220 4 Materials specifications noted? [various sections of 310 CMR 15.000 System componedts not>36" deep(unless Local Upgrade jApproval or LUA 310 CXM 15.405 1 Address O(ega) Vbew Sheet2of7 06/15/2009 11:36 50$4283115 SULLIVAN ENG INC PAGE 04 F � i N/A OK INO. Size OK? 310 CUR 15.223 1 Inlet tee located ten inches below flow line 310 CMR 15.227 Outlet tee 14"or 14" +5"per foot for increase ft depth[.310-CMR . 15.227(6)] 1/ Outlet tee with gas ba$Ie or approved filter 310 CUR 15.227 4 Note regarding installation on stable compacted base (310 CMR 1 15.228 Separation between inlet and outlet tees(no less than liquid 4� th 310 CUR 15.227 2 Inlet/Outlet elevations at least 12"above high groundwater (except as descn-W 310 CMR 15227(5)) or permitted for V/ upgrades under LUA 310 CMR:15.405 1 Minimum cover 9"(Tanks buried more than 9 must have risers on all openings and on the d-box) [310 CUR 15.2228(1)and 310 CUR 15.232 3 Three access covers (inlet and outlet must be 20" or greater)- middle access at least 8" 7/0 310 CUR 15.229(2)1 Access to within 6."of.grade -one port for systems<1 000gpd, two for systems>1000 310 CN1R 15.228 2 All at-grade covers secured to unauthorized access? .[310 CUR 15.228(2)] > 10 ft from building foundation 310 CMR 15.211 1 Buo calculationRequired/Done 310'CMR 15.221 g ✓' H-20 Where r riaie? 310 CMR 15,226(3)] Setbacks from resources 310 CMR 151111 vor Required when otheuthan single-family dwelling or flow>1000 d 310 CUR 1 .223 1 First compartment 200%daily flow; Second compartment 100% daily flow 310 CUR 15.224(2)and 3 "U"pipe through of over baffle,outlet of each compartment with as baffle or appmved filter D10.CMR 15224 4 Address 71 OWSreJ V wE•) Sheet 3 of 7 06/15/2009 11:36 50$4283115 SULLIVAN ENG INC PAGE 05 N/A OK NO Located at least ten feet from any water line?[310 CMR 15.2 2 Disposal piping at least 18"below water line(when water and sewer cross, see 310 CMR 15.21 1 1 1 Clesnonts vided? 310 CNR 15.22 8 -� Thrust blocks specified in force maims?310 CMR 15.221 c Slope of sewer line not less than 0.01 (1/811/8) 0.02 preferable 310 CMR 15.222 ✓ Proper pitch on all runs? (.005 within gravity-distributed trenches and beds) r310 CMR 15.251 9 and 310 CUR 15.252(2)(c)] Siphonproblem/ eachfield below pump chamber ✓ Endcaps or vent manifoldspecified? Size and orientation of discharge holes specified? (not smaller than 3/8"not larger than 5/811) [310'CMR 15.251(8)and 310 CMR 15.252 2 Materials specified (310 CMR 15.251(5)specifies various pipe types allowed) ✓ i Stable compacted base[310 CMR 15.221(2)and 310 CMR ✓, 15.232 2 a Splash plate orb e-tee required on inlet/provided?(when pressure sewer to d-box or steep pitch of gravity sewer) [310 CMR 15.323(3)(a)] Riser if deeper than 9" r310 CMR 15.232 3 Inside minimum dimension 12" 310 CMR 1523 2 Minimum sump 6" r310 CMR15.232 3 e Watertight cover if<2000gpd);waterproof manhole if>2000gpd 310 CMR 15.232 3 d . Capacity(emergency storage above working-design flow)? [310 CMR 231 2 Proper setbacks r310 CMR 15.211 same as septic tanks Watertight 20-in minium access manhole at least 20"MUST BE _ /► TO GRADE 310 CMR 15.231(5)] V Service components accessible(not too deep with piping, disconnects accessible Alarm floats-alarm on circuit separate from pumps ecified? Exceeds two units must have two pumps operating in lead-lag mode. 310 CMR 15.231(6)and 8 Stable Co acted Base 310 CMR 15.221(2)] IBuoyancy calculations needed?Provided? F310 CMR 15.221 8 Address -7( Q(PeJ Vtt%,j Sheet 4 of 7 06/15/2009 11:36 50$4283115 SULLIVAN ENG INC PAGE 06 N/A OK NO Calculations correct? 4 feet of naturally occurring material demonstrated? [310 CMR 15.240 1 %v� 17 Required separation to undwgter? 310 CMR 15.212 Aggegate specified as double washed F310 CMR 15.247 2 System Venting required/provided? (system under driveway or >36" 310 CMR 15.241 ✓' TnspeOtion ports specified and within 3^final grade? [310 CMR 15.240 13 Breakout requirements met?(No violation of breakout elevation within 15 R of SAS unless barrier) [310 CMR 15.211(1)[41 and Guidance Document Chambers and Gal. in trench configuration supplied with inlet every 20 ft 310 CMR 15.253 Y Each structure with one inspection manhole(if>2000 gpd must be to a) [310 CMR 15.253(2)] 1/ Ag=gate 1'minimum-4'maximum. 310 CMR 15.253 1 2' sidewall credit maximum 310 CMR 15.253 1 a Ynbed configuration,inlet ev 40: . ft. 310 CMR 15.253 ,✓ Width 2'minimum 3'maximum 310 CUR.15.251 1 100 feet-maximum length J310 CMR 15.251 1 a t/ Minimum separation 2x effective depth or width whichever Lgreater 3x if reserve between trenches 310 CMR 251 1 d Situated along contours 310 CMR 15.251 2 Breakout OK? r310 CMR 15.211(IN41 and Guidance Documentl I �i minimum 2 distribution lines 3,10 CMR 15.252. 2 a - Maximum separation between lines 6' 310 CM R15.252 2 d U/' Maximum separation between lines and outside of bed 4'[310 CMR 15.252 2 e Aggregate depth below discharge pipes 6"minimum, 12" maximum,. 310 CMR 15.2520(9)1 --to S aration betwem beds 10'minimum. 310 CMR 15.252 2 Bottom area used in calculations only 310 CMR 15252001 i Address__ oceej� yj&x> Sheet 5 of 7 f 06/15/2009 11:36 50$4283115 SULLIVAN ENG INC PAGE 07 N/A OIL I NO Pressure Dosed System ? .Provided pump and piping calculations as r uimd 310 CMR 15.22 4 r . '1.000 Pressure dosiugrequked on all systems>2000gpd or alternative systems under remedial approval [310 CMR 15.254(2)and I/A Remedial Use royals] i/ If used in gmvelless system-make sure jet is directed as not to scour soil interface fGuidance Document '�✓ Inspections once per year(sy%=s<2000 gpd)or quarterly >2000 dgood to note on pl= 310 CMR 15.254(2)(4)1 C01's9mcrion in fill -Did the plan specify that the fill shall meet the specification of 310 CMR 15Z55 3 ? S� Impervious barrier and/or reWning wall? Guidance Document Impervious barrier installation must be supervised by designer r310 CMR 15.255 2 Retaining wall must be designed by Registered Professional Engineer 310 CMR 15.255 2 a W Side slope no exceed 3:1 ? r310 CMR 15.25501 Breakout requirements met? [310 CMR 15.252(2) and Guidance Docameut , At least 5 ft.from impervious barrier to edge of SAS (10 ft. recommended) [310 CMR 15.255 (2)(ell Check DEP Aproval letters for credits and design conditions I WO- If used with pressure dosing do not allow pressure disci ...ge to scour soil interface Was DEP Approval Leiter provided and/or have you reviewed the letter for conditions? Is the technology being properly applied and does it meet all DEP Appmval Conditions?, Is there a note on the plan regarding the requirement for Perpetual maintenance a eat? Wool Any alarms involved on s arate circuits Did the applicant submit as operation and maintenance manual? too', Has applicant submitted a copy of a maintenance Are the variances listed on the plan? [310 CMR 15.220 RLS Stamp necessary on plan if a component is within five `,,,o feet of Property line 310 CMR 15.412(4)] New construction or increased flow proposed- [Refer to 310 CMR 15.414 I Address -7► 0 V t61.1 Sheet 6 of 7 06/15/2009 11:36 5094283115 SULLIVAN ENG INC PAGE 08 N/A OK NO Is the system in a Designated itrogen Sensitive Area Zone r a public supply well)? [310 CUR 15.214, 310 CMR 15.215 and 310 CMR 15.216-also refer to Policy regarding-11pWades of such existing terns Is the system proposed on the same lot as served by private well? �. 310 CMR 15.214(2)] V Are the nitrogen loads proposed in compliance? [310 CUR 15m1 t s tic tank? 310 CMR 15.2296 rn hared 310 CMR 15.290 Address '71 Me" Vtlsxl Sheet 7 of 7 06/15/2009 11: 36 50$4283115 SULLIVAN ENG INC PAGE 01 SULLIVAN ENGINEERING INC . 508 - 428 - 3344 PH 508 - 428 - 3115 F X FACSIMILE TRANSMITTAL SHEET TO: FROM: Sharon Crocker Peter Sullivan COMPANY: DATE: 6/15/M FAX NUMBER TOTAL NO.OF PAGES,INCLUDING COVER 5W790-6304 8 PHONCEnNoUoMLBER SENDER'S REFERENCE NUMBER: 508-862-{644 RE: YOUR REFERENCE NUMBER 71 Ocean View Ave.Cotuit ❑URGENT ❑FOR REVIEW ❑PLEASE COMMENT ❑PLEASE REPLY ❑PLEASE REGYCLE NOTES/COMMENTS: Sharon Per Tom's request please find attached the check rat fm 71 Ocean View Ave Cotuit Any quest;inns Please give me or John a call. Peter COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENERGY& ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 DEVAL L.PATRICK IAN A.BOWLES Governor _ _Secretary . TIMOTHY P.MURRAY Lieutenant Governor LAURIE BURT Commissioner CERTIFICATION FOR GENERAL USE Pursuant to Title 5, 310 CMR 15.000 GENERIC—Recirculating Sand Filter(secondary or nitrogen reducing) Trade name of technology and model: Recirculating Sand Filter designed in accordance with Department guidance(hereinafter the "System"). An inspection checklist and design guidance are part of this approval. , Date of Issuance: September 9,2008 Authority o ty for Issuance _ Pursuant to Title 5 of the State Environmental Code,310 CMR 15.006,the Department of Environmental Protection hereby issues this Certification for General Use certifying General Use'lin the Commonwealth of Massachusetts of the System described herein. Installation and use of the System are conditioned on and subject to compliance by the System owner with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Certification constitutes a violation of 310 CMR 15.000: September 9, 2008 Glenn Haas,Acting Assistant Commissioner Date Bureau of Resource Protection This information is available in alternate format Call Donald M.Gomes,ADA Coordinator at 617-556-1057.TDDH 1-866-539-7622 or 1-617-574-6868. MassDEP on the World Wide Web: h8o://www.mass.aov/deo Certification for General Use-Generic 2 of 7 Recirculating Sand Filter(secondary or nitrogen reducing) I. Purpose 1. The purpose of this Certification is to clarify the use of the Recirculating Sand Filter(the `System' or `RSF')in Massachusetts on a General Use basis in accordance with 310 CMR 15.202(3). 2. With the necessary permits and.approvals required by 310 CMR 1.5.000,this Certification authorizes the installation and use of the System in Massachusetts. 3. The_Systemmaybe installed on.all facilities.where a system_in compliance with 310 CMR 1.5.000.exists on site.or.could be built and-for which a_site evaluation incompliance with•310 CMR 15.000 has been approved by the local approving authority; or by DEP, if DEP approval is required by 310 CMR 15.000. 4. Use of the System technology shall meet the following requirements: Effluent discharge concentrations shall not exceed 30 mg/L BOD and 30 mg/L TSS, and,total nitrogen of 25 mg/L when increasing the loading rate to 550 gallons per day/acre (gpda)in accordance with 310 CMR 15.217(2). Effluent shall also have a pH range of 6.0 to 9.0 and a maximum design flow of 10,000 gpd. H. Design-Standards 1. The System must be designed in accordance with the Department's guidance titled :Recirculating Sand Filters Design Guidance, dated April 2006, and as it may be amended from time to time. This guidance can be viewed on DEP's internet site at http://www.mass.gov/dep/water/laws/policies.htm#t5guid,within the Title 5/Septic Systems Guidance section. 2. The System shall be installed in series between the septic tank and the soil absorption system (SAS)of a standard Title 5 system in a manner which neither intrudes on,replaces a component of, or adversely affects the operation of a Title 5 system as constructed in accordance with 310 CMR 15.100 through 15.279, subject to the provisions of this Certification. A Massachusetts registered professional engineer or registered sanitarian shall design a System in accordance with 310 CMR 15.220(1). 3. The System consists of a recirculation tank and pump,and an underdrained sand filter. Effluent from a standard septic p tank discharges to the recirculation tank,where it mixes with the effluentreturned from the sand filter.The mixture is periodically pumped onto and evenly distributed over the surface of the sand filter. A collection underdrain, at the bottom of the filter collects the effluent and returns it by gravity to the recirculation tank(or if the tank is full,to the pump chamber). The mixture of septic tank effluent and filter effluent is periodically discharged either b gravity orb pumping to the SAS for final disposal. P Y g Y l� .� Y P P� g P 4. Access shall be provided to all System tanks in accordance with 310 CMR 15.228 (2) for i proper operation and maintenance. Septic tanks and Systems with integrated septic tanks incorporating settling compartments, shall have at least three manholes with readily removable impermeable covers of durable material provided at grade. Two manholes, over the inlet and outlet shall have a minimum opening of 20 inches. All other access ports and manhole covers shall be installed and maintained at a to allow for maintenance of the Control System.� y panel(s) including alarms shall be mounted in a location accessible to the System operator. I i i t Certification for General Use-Generic 3 of 7 Recirculating Sand Filter(secondary or nitrogen reducing) 5. New Construction less than 2000 GPD: For residential Systems less than 2,000 GPD,the SAS size required by 310 CMR 15.242,LTAR:Effluent Loading Rates can be reduced by 50 percent provided that the facility is designed according to Section I, item 4(a)and complies with the requirements of Section IV,item 2. a: Systems with a-50 percent-reduced SAS shall include a pressure-distribution system for effluent disposal designed in-accordance with Department guidance. 6. New-Construction for Ali Non-Residential Facilities and Residential Facilities with Desi Flows 2,000 GPD toles- than 10 000 GPD: No reduction in SAS field size is allowed under this approval-. 7. New Construction: When the System is used in areas subject to the nitrogen loading limitations of 310 CMR 15.214, an increase in calculated allowable nitrogen loading per acre is allowed for facilities as provided in 310 CMR 15.217(2). When used in such areas: a. For all facilities,the design flow shall not exceed 550 gpda, and the System effluent shall not exceed 25 milligrams per liter(mg/L)total nitrogen(TN) concentration measured as the-total of TN(Total Kjeldhal Nitrogen),NO3-N(Nitrate nitrogen)and NO2-N(Nitrite nitrogen). M. General Conditions 1. The provisions of 310 CMR 15.000 are applicable to the use and operation of this System,the System owner and the System designer, except those that specifically have been varied by the terms of this Certification. 2. Department approval of Systems serving residential facilities with design flows less than 2000 gpd is not required, unless a DEP variance to Title 5 is required for the facility. 3. The applicant shall obtain approval from the local approving authority and shall submit an application for approval using form BRP WP 57 to the Regional Office of DEP for Systems serving all non-residential facilities.and all residential facilities with design flows of 2000 gpd or greater. 4. The local approving authority shall submit a copy of all System approvals, including the date of approval,design flow of System, applicant and location of the System to the Department at the following address: Wastewater Management Program, Title 5 Department of Environmental Protection One Winter Street 5th floor Boston, Massachusetts 02108 5. Any required operation and maintenance,monitoring and testing shall be performed in accordance with a Department approved plan. Any required sample analysis shall be conducted by an independent U.S. EPA or DEP approved testing laboratory, or a DEP approved independent university laboratory,unless otherwise provided in the Department's written approval. It shall be a violation of this Certification to falsify any data collected t Certification for General Use-Generic 4 of 7 Recirculating Sand Filter(secondary or nitrogen reducing) pursuant to an approved testing plan,to omit any required data or to fail to submit any report required b eq y such plan. 6. The facility served by the System and the System itself, shall be open to inspection and sampling by the Department and the loca l approving authority at all reasonable times. 7. In accordance with applicable law,the Department and the local approving authority may -require the owner of the System to cease operation of the'system and/or to take any other action as it deems necessary to protect public health, safety,welfare or the environment. 8 The Department has not determined that the performance of the System will provide a level of protection to.public health and safety and-the environment that is at least equivalent to that of a sewer. Accordingly,no System shall be upgraded or expanded;if it is feasible to connect the facility to a sanitary sewer,unless as allowed by 310 CMR 15.004. 9. Design,installation and operation of the System shall be in strict conformance with the Department's Guidance titled Recirc4lating Sand Filters Design Guidance, dated April 2006 and as it may be amended from time to time, and this Certification. IV. Conditions Applicable to the System Owner 1. The System is certified in connection with the discharge of sanitary wastewater only. Any non-sanitary wastewater generated and/or used at the facility served by the System shall not be introduced into the System and shall be lawfully disposed of. 2. New Construction less than 2000 ;end: For residential Systems with a design flow less than 2000 GPD,the System owner initially shall size the SAS in accordance with 310 CMR 15.242 to-demonstrate that a conventional Title 5 SAS, including a reserve area, can be installed on the site..The System owner can then reduce the size of the SAS as calculated in 310 CMR 15.242 by 50 percent.No additional reduction in sizing based on innovative technology shall be taken. The total area required in the initial sizing,which must include the area designated for the System and the primary and reserve area, shall be preserved and the System owner shall ensure that no permanent structures, excluding the System and 50 percent reduced SAS, or other structures are constructed on that area and that the area is not disturbed in any manner that will render it unusable for future installation of a conventional Title 5 SAS. 3. All samples shall be taken at a flowing discharge point, i.e. distribution box,pipe entering a pump chamber or other Department approved location from the treatment unit. Any required influent sample shall be taken at a point that will provide a representative sample of the influent. Influent sample locations shall be determined by the system designer, subject to the j Department's written approval. 4. Operation and Maintenance A. General Requirements: i. Throughout its life,the owner shall operate and maintain the System in accordance with the RSF design guidance,the System designer's operation and maintenance requirements and this Approval. To ensure proper operation and maintenance (O&M),the owner shall enter into an O&M agreement.No O&M agreement shall be I for less than one year. i i r I t Certification for General Use-Generic 5 of 7 Recirculating Sand Filter(secondary or nitrogen reducing) ii. No System shall be used until an O&M agreement is submitted to the local approving authority which: a Provides the name of an operator competent in providing services consistent with the System's specifications,which must be a Massachusetts certified operator if one is required by 257 CMR 2.00,that will operate and monitor the System (hereinafter the "System operator"). The System owner shall,notify the Department and local approving authority, in writing,within seven days of a change in the operator of th g p e System. b.- Contains procedures for notification to the Department and the local approving authority within five days of knowledge of a System failure,malfunction or alarm event and for corrective measures to be taken immediately; B. Systems designed in accordance with Section II, item 7, in a Department designated nitrogen sensitive or limited area as defined in 310 CMR 15.214 and 15.215 shall meet the following requirements: i. Effluent shall meet the requirements in 310 CMR 15.202(4): 30 mg/L Carbonaceous Biochemical Oxygen Demand(CBOD5), 30 mg/L Total Suspended Solids(TSS), and 25--mg/L Total Nitrogen(TN).-Effluent pH shall be maintained between 6.0 and 9:0. ii. The operator must inspect,and maintain the System according to the following, and anytime there is an alarm event. a. For Systems in use year round: effluent from the System shall be monitored at least once per calendar quarter. Any sample collected within 60 days or more than 90 days of a previous sample shall not be considered a required quarterly sample. The following parameters shall be monitored:pH, effluent CBOD5, TSS, alkalinity and TN(TKN+NO3-N+NO2-N). Each time the System is monitored, the water meter, if a water meter is installed, shall be read and the water use recorded. All monitoring data shall be submitted to the Department and the local approving authority per Section IV, item 8 below. After two years of monitoring and at the written request of the System owner,the local approving authority may reduce the inspection and monitoring requirements for residential systems to two inspections per year with field testing for pH, DO and turbidity and laboratory testing for TN. b. For Systems in use seasonally,where the facility is occupied fewer than six months per year;,effluent from the System shall be monitored twice per season; initially 45 days after occupancy and prior to shutdown, and if the facility is occupied during an additional calendar quarter, once during that following quarter prior to System shut down. The following parameters shall be monitored: pH, CBOD5,TSS, TN and alkalinity. Each time the System is monitored,the water meter,if a water meter is installed,_shall be read and the water use recorded_All monitoring data shall be submitted to the Department and the local approving authority per Section IV, item 8 below. After two seasons of monitoring and at the written request of the System owner,the local approving authority may reduce the inspection and monitoring requirements for residential systems to annual inspections with field testing for pH, DO and turbidity and laboratory testing for TN. Certification for General Use-Generic 6 of 7 Recirculating Sand Filter(secondary or nitrogen reducing) c. For all non-residential systems after three years of monitoring and at the written request of the System owner,the local approving authority may reduce the inspection and monitoring requirements to quarterly inspections with field testing for pH,DO and turbidity and effluent-only laboratory testing for TN. iii. The System Owner or Operator shall provide a plan to the local approving authority within 30 days to.determine the cause-of efluent limit violations for TN if violations occur on.two consecutive sampling-events. C. Systems designed in accordance with Section II, items 5 and 6, shall meet the following requirements: i. Effluent shall not exceed 30 mg/L TSS and 30 mg/L BODS. Effluent pH shall be maintained between 6.0 and 9.0. ii. The operator must inspect and maintain the System according to the following, and anytime there is an alarm event: a. For residential Systems installed with a 50 percent reduced SAS,the operator must inspect, field test effluent and maintain the System at least every six months. For single family residential Systems insta lled with a standard sized SAS;the inspections and field testing of effluent shall be conducted at least once per year in accordance with the Departments policy,Inspection and Sampling in Title S I/A Single Family Home Remedial and General Use Treatment Systems with Design Flows less than 2,000 GPD dated January 1, 2006. The Department's Inspection and Sampling policy can be viewed on the internet at hap://mass.gov/dep/water/laws/policies him*5pols. b. For all other Systems 2,000 GPD or greater,and non-residential Systems,the operator must inspect, field test effluent and maintain the System at least every three months. For all non-residential systems after three years of monitoring and at the written request of the System owner,the local approving authority may reduce the monitoring requirements to effluent-only laboratory sampling of BOD5 and TSS. Quarterly inspections can be reduced for these large systems. iii. The System Owner or System Operator shall provide a plan to the local approving authority within 30 days to determine the cause of effluent limit violations for BOD and or TSS if violations occur on two consecutive sampling events for the same parameter. 5. The System owner shall provide a copy of this Certification,prior to the signing of a purchase and sale agreement for the facility served by the System or any portion thereof,to the proposed new owner. 6. The System owner shall furnish the Department any information that the Department requests regarding the System,within 21 days of the date of receipt of that request. 7. By September 30th of each year,the System owner shall submit to the Department and the local approving authority a DEP Inspection O&M Form for Title S I/A Treatment and Disposal Systems and RSF technology checklist, completed by the System operator for each inspection performed during the previous 12 months. Any effluent quality data obtained shall also be provided. 1 Certification for General Use-Generic 7 of 7 ` Recirculating Sand filter(secondary or nitrogen reducing) 8. Prior to the issuance of a Certificate of Compliance for the System,the System owner shall record and/or register in the appropriate Registry of Deeds and/or-Land Registration Office, a Notice disclosing the existence of the alternative septic system subject to this Approval on the property. If the property subject to the Notice is unregistered land,the Notice shall be marginally referenced on the owner's deed to the property. Within-30 days of recording d/or registering the Notice,the System owner shall submit the following to the local ap anproving-authority: (i)a certified Registry copy of the Notice bearing the.book and page/instrument number and/or document number; and(ii)if the property_is unregistered land, a-Registry copy of the owner's deed to the property,bearing the marginal reference. V. Reporting _ 1. All notices and documents required to be submitted to the Department by this Certification shall be submitted to: Director Wastewater Management Program Department of Environmental_Protection One Winter Street- 5th floor Boston,Massachusetts 02108 VI. Rights of the Department 1. The Department may suspend,modify or revoke this Certification for cause,including, but not limited to,non-compliance with the terms of this Certification, any change in or discovery of conditions that would constitute grounds for discontinuance of the Certification,or as m necessary for the protection of public health, safety,welfare or the environent, and as authorized by applicable law. The Department reserves its rights to take any enforcement action authorized by law with respect to this Certification and/or the System against the owner or operator of the System and/or the designer or the installer. Town of Barnstable Regulatory Services Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 July 18, 2007 Mr Frederick Crawford 1 71 Ocean View Avenue Cotuit, MA 02635 ORDER TO COMPLY WITH STATE ENVIROMENTAL CODE, TITLE 5 The septic system located at 71 Ocean View Avenue, Cotuit,MA was last inspected on July 2"d, 2007,by James M. Ford, a certified inspector for the State of Massachusetts. The inspection of the septic system showed that the system"Failed"under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: Single cesspools automatically fail in the Town of Barnstable You have 11 2 years from the date of the system failure to bring the system into compliance. If there are any.questions about this reminder, please feel free to contact the Barnstable Health Department. BARNSTABLE HEALTH EPARTMENT T omas A. McKean,R.S., C.H.O. Agent of the Board of Health COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL:AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE.5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 71 Ocean View Avenue Cotuit, AIA 02635 Owner's Name: Frederick Crawford Owner's Address: Date of Inspection: July 2, 2007 Name of Inspector: (Please Print) Jaynes M, Ford Company Name: James M. Ford Mailing Address: P.O.Box 49 Osterville,MA 02655-0049 Telephone Number: (508)862-9400 3 CERTIFICATION STATEMENT • , I certify that I have personally inspected the sewage disposal system at this address and that the information rep�ed below is true, accurate and complete as of the time of the inspection. The inspection was perfonned based on.m)� training and experience in the proper function and maintenance of on site sewage disposal systems. ci,am a DEP- approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system:I (Title 5 system) ✓ Passes ; Condit nallyPasses E (Floor drains) ✓ Needs rther Evaluation by the Local Approving Authon (Single c spool) ✓ Fails a M Inspector's Signature: Date: July 11, 2007 The system inspector shall sub,mi4 copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comibents ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of I I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 71 Ocean View Avenue Cotuit, MA Owner: Frederick Crawford Date of Inspection: July 2, 2007 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: ✓ I have not found any information which indicates that any of the failure criteria.described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined",please explain. The septic tank is metal and over 20 years old* or.the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is irr ninent. System will pass inspection if the i existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain:_ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 71 Ocean View Avenue Cotuit, MA Owner: Frederick Crawford Date of Inspection: July 2, 2'007 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in,order to detennine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment:_ The system has a septic tank and soil.absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. t 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 coliforn bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: Unable to locate floor drains in the garage It appears that the pipes are going under the paved driveway. 3 Page 4 of 11 OFFICIAL INSPECTION FORM, -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTH ICATION (continued) Property Address: 71 Ocean View Avenue Cotuit, MA Owner: Frederick Crawford p Date of Inspection: July 2, 2007 q D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or.system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution b x above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6p'below invert or available volume is less than day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. I I I ✓ Any portion of a cesspool or privy is withina 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 I ess than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the.well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analyst's must be attached to this form.] Yes/No Yes/No The system fails. I have detennin�d that one or more of the above a'( ) y _ bo failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to detennine what will be necessary to correct the failure. NOTE: SINGLE CESSPOOLS AUTOMATICALLY� AIL IN THE TOWN OF BARNSTABLE E. Large System: To be considered a large system the system must sej ve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes" or"no"to each of the ft loowing: (The following criteria apply to large systems in additie to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen se sitive 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 the system is considered a significant threat, or answered "Yes" in Section D above the large system has failed. the owner or operator of any.large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 71 Ocean View Avenue Cotuit, MA Owner: Frederick Crawford Date of Inspection: July 2, 2007 Check if the following have been done: You must indicate"yes"or"no"as to each of the following: Yes No ✓ Pumping information was provided by the owner,occupant,or Board of Health ✓ Were any of the system components pumped out in the previous.two weeks ✓ _ Has the system received normal flows in the previous two week period? ✓ Have large volumes of water been introduced to the system recently or as part of this inspection? ✓ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ✓ Was the facility or dwelling inspected for signs of sewage back up? ✓ Was the site inspected for signs of break out? ✓ Were all system components,excluding the SAS,located on site? ✓ _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions, depth of liquid,depth of sludge and depth'of scum? ✓ Was the facility owner(and occupants.if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems The size and location of the Soil Absorption System (SAS)on the site has been determined based on: Yes No ✓ _ Existing information. For example,a plan at the Board of Health. ✓ _ Detennined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)]. 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 71 Ocean View Avenue Cotuit, MA Owner: Frederick Crawford Date of Inspection: July 2, 2007 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): n1a Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): n1a Number of current residents: I Does residence have a garbage grinder(yes or no): n1a Is laundry on a separate sewage system(yes or no): n1a [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings, if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Currently occupied COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: . OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Unavailable Was system pumped as part of the inspection`(yes or no): . No If yes, volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ✓ Septic tank, distribution box, soil absorption system ✓ Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes,attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval . Other(describe): Approximate age of all components, date installed(if known)and source of information: The single cesspool was original, approx. 1920s11930s• Title 5 installed in 1992 Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 71 Ocean View Avenue Cotuit, MA Owner: Frederick Crawford Date of Inspection: July 2, 2007 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _40 PVC other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 1411 . Material of construction: ✓ concrete metal _fiberglass polyethylene ' _other(explain) ' If tank is metal list age: Is age confi;med by a Certificate of Compliance(yes or no)' (attach a copy of certificate) Dimensions: 1500 gal. Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 30 Scum thickness: 1" 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: 10" How were dimensions determined: Measuring stick Comments (on pumping reconunendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.). Cement tees were present. The liquid level was even with the outlet invert There did not appear to be any signs of leakage GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 7 Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 71 Ocean View Avenue _ Cotuit, MA Owner: Frederick Crawford Date of Inspection: July 2, 2007 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Connnents (condition of alarm and float switches,etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: -- Convnents(note if box is level and distribution to outlets equal,any evidence of solids carryover, any evidence of leakage into or out of box,etc.): The D-box was level. No solids were present. PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no): Alarns in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances, etc.): 4 8 r q ' Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued)' Property Address: 71 Ocean View Avenue Coiuit, MA Owner: Frederick Crawford Date of Inspection: July 2. 2007 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type ✓ leaching pits,number: 1 -6'x 6'(1000 zi7L)with 4'stone(per design plans) leaching chambers,number: leaching galleries,number: leaching trenches,number, length: leaching fields,number, dimensions: overflow cesspool,number: Innovative/alternative system Type/name of technology: Continents (note condition of soil,signs of hydraulic failure, level of ponding, damp soil,condition of vegetation,etc.): The pit had 2"ofliauid on the bottom The scum line was at the same level There did not appear to be any signs of failure. { CESSPOOLS: ✓ (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: 1 single(to back apartment) Depth-top of liquid to inlet invert: .Depth of solids layer: Depth of scum layer: Dimensions of cesspool: 5'W x 6'T x T bottom to grade Materials of construction: Indication of groundwater inflow(yes or no): Cornments (note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation,etc:): The cesspool had 2'ofliauid. There were signs ofpast failure A steel cover was to grade. Note:Single cesspools automatically . fail in the Town ofBarnstable. PRIVY: :None (locate on site plan) Materials of construction: Dimensions: Depth of solids: Coirunents(note condition of soil,signs-of hydraulic failure, level of ponding,condition of vegetation,etc.): 9 Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued). Property Address: 71 Ocean View Avenue _ _Cotuil, .AM Owner: Frederick Crawford Date of Inspection: July 2, 2007 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch.of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. � 1 LV ;3/ Floor DrAins 460o . 9A(Ale,134 IC ----------------- 10 c _ .L Page 11 of 11 0 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 71 Ocean View Avenue Cotuit, MA . Owner: . Frederick Crawford Date of Inspection: July 2, 2007 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 25 +/- feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain: Topographic and water contours maps Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Using Barnstable topographic and water contours maps, the snaps.were showingapptroxintately 25'+/-to ground water at this site. This report has been prepared only for the septic system and components described herein. This septic system has been inspected as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the septic system, the inspection, this report and/or any components of the septic system which have not been located and inspected. 11 - COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 JANE SWIFT UV Governor BOB DURAND Secretary LAUREN A.LISS Commissioner TITLE 5 PRESSURE DISTRIBUTION DESIGN GUIDANCE Effective Date: May 24, 2002 Policy BRP/DWM/WpeP/G02-2' Pro ram Applicability BRP/DWM/Watershed Permitting/Title 5 Program Supersedes: Guidance dated 1/18/95 Regulation Reference: 310 CMR 15.254 Approved By: [signed] Cynthia Giles PURPOSE: The purpose of this document is to` guide pressure distribution designers, reviewers and contractors in the design and construction of on-site wastewater pressure distribution systems consistent with the requirements.of Title 5: INTRODUCTION: Uniform application of septic tank effluent throughout the soil absorption system (SAS) is an important factor in the proper operation of an on-site subsurface sewage treatment and disposal system (system). Gravity application does not provide uniform distribution and can create localized ponding within the SAS. This can inhibit proper treatment and is of special concern in larger systems where failure rates have been documented to be higher than in smaller, residential systems. Pressure distribution networks can- be employed as a means of achieving uniforrn application and can overcome some of the limitations of gravity distribution systems. The construction procedures of the distribution network are just as important as design for system performance. Good design with poor construction may result in the network operating poorly and may result in failure of the pressure distribution system. It is important that the designer, the installer, and the board of health inspector understand the principles of operation of the pressure distribution network before construction commences. Weather considerations should also be anticipated, especially if the network Pressure,Distribution Design Guidance is to be installed in conjunction with a mound. In such cases, freezing weather may have an adverse effect on pipes that contain water. Construction practices may vary from those described herein. However, common sense and good engineering practice should prevail when installing these systems. TEXT: Pressure Distribution is the even dispersal of septic tank or otherwise treated effluent over a soil absorption system whereby the effluent is pumped from a pump chamber through a force main to a network of pipes or distribution laterals having discharge orifices, and then discharged over the soil absorption system. I. DESIGN CONSIDERATIONS: The pressure distribution network usually consists of l to 3 inch perforated distribution laterals connected by a central or end manifold of larger diameter. A pump or pumps pressurize the network and are sized to provide relatively uniform distribution of effluent. Because the perforations in the distribution laterals are loaded at approximately the same pressure, they will discharge at approximately the same rate. In-line Pressure: The pressure network should be designed to provide a minimum of 2.5 feet of head at the distal ends of the laterals. The variation in flow rate between the beginning and distal end of a lateral should not exceed 10%. Perforation Spacing: Uniform distribution,can best be achieved by providing as many uniformly spaced perforations as is practical. Minimum perforation size should be 'Is in. because smaller perforations will tend to clog. Maximum perforation size should be such that the even distribution of effluent within the distribution laterals is not adversely affected while maximizing the number of perforations used. An effluent tee filter shall be used with all pressure distribution systems to prevent clogging and shall be installed prior to the pump chamber. Spacing between perforations shall not exceed five feet; however, shorter spacings are more desirable. In bed systems, the perforations between any two laterals can be staggered so that they lie on the vertices of isosceles triangles (see Figure 1). In this case, the number of perforations in each lateral may differ. When'doing discharge calculations, all perforations'must be accounted for. Manifolds: To minimize flow variation, the manifold should have as small a volume as possible. Also, .in order to minimize leakage as the network is pressurized, the manifold should be installed below the distribution laterals so that it fills and pressurizes before discharge from the perforations occurs. In some instances, it may'be appropriate to install the manifold above or at the same elevation as the laterals based on the elevations of other components of the system. Page 2 of 29 Pressure Distribution Design Guidance PERFORATIONS (TYP.) C O O A B O O O LATERALS A B • O O C `0 0 <5 FT --► FIGURE 1 —ALTERNATIVE LATERAL PERFORATION LAYOUTS F r II. DESIGN PROCEDURE: Step 1: Lay Out a Network Establish dimensions of the SAS to be used based on site condition, flow rate, and soil conditions. The designer should consider the design of the network layout, with special attention to the lateral length and spacing between laterals. The distribution network should be laid out for conventional leaching trenches or leaching fields using manifolds and distribution laterals. Different configurations are possible. Central, end or off-center manifolds connecting the distribution laterals are options depending on site conditions (see Figures 2 and 3). Central manifolds are preferred, as they tend to minimize lateral length and manifold size. In order to minimize leakage from the perforations nearest the manifold, the laterals may be installed above the manifold elevation thus filling the entire manifold before discharge. l Y a Provisions must be°made to drain the laterals to prevent freezing using standard engineering practices. Care should be taken to prevent the entire lateral from draining into the soil absorption system from a single drainage perforation in the lateral. Page 3 of 29 1 Pressure Distribution Design Guidance FINISHED GRADE 2%MIN-� 12"MIN. 2"MIN. 1/8"TO 1/2" 36"MAX. DOUBLE WASHED STONE--,__., COVER on a o� LATERAL LATERAL oo� . TEE o0 00 6"MIN 3/411 TO 1-1/2,, TEE DOUBLE WASHED STONE CENTER MANIFOLD FIGURE 2 - DISTRIBUTION NETWORK- CENTER MANIFOLD FINISHED GRADE 2% MIN- ,1l1, ,1�1. \ A All, 12"MIN 36 MAX 2"MIN. 1/8"TO COVER 1WOBLE WASHED STONE 90°ELBOW-� ` LATERAL TEE —\ o 00 o0 00 END MANIFOL 6"MIN.3/4"TO 1- '_/ DOUBLE WASHED. STONE PERFORATION(TYP.) FIGURE 3 - DISTRIBUTION NETWORK- END MANIFOLD Step 2: Select Perforation Size and Spacing The design should provide as many perforations as possible. Perforations can range between 1/8 inch and 5/8 inch in size. Smaller perforation diameters allow for more uniform distribution; however, no holes smaller than '/8 inch shall be used. Larger diameter perforations permit longer laterals with greater spacings between perforations. However, this can result in localized ponding in the soil absorption system beneath the perforation and reduce the effectiveness of the distribution of effluent within the system. Spacing between the perforations shall not exceed'5 feet. Air must be vented out of the laterals at the beginning of each dosing cycle. One option is to drill a perforation vent hole at the distal end of the elbow of the lateral sweep, below the stone aggregate; as shown in Figure 4. Laterals must drain to the soil absorption system or the pump chamber between dosings. Page 5 of 29 Pressure Distribution Design Guidance ACCESS BOX CAP NUT (COVER TO BE PLACED_ - - 3" MAX. BELOW FINISHED GRADE) _ dh, dli, alb dh, 45'BENDS OR SWEEPN CLEANOUT 2" MIN, 1/8" TO 1/2" DOUBLE WASHED STONE VENT HOLE DISTAL END PERFORATION TO BE PLACED NEAR THE CROWN OF THE - LATERAL PIPE IN THE 45° BEND OR SWEEP oo AT THE END OF EACH LATERAL 3/4" TO 1 1/2" DOUBLE WASHED STONE �� t 6" OF 3/4" TO.1 1/2" DOUBLE.WASHED STONE _ TO VENT HOLE AND BENEATH ACCESS BOX - 4 FIGURE 4—END CLEANOUT DETAIL Acceptable configurations of the discharge perforations on any lateral in a system shall be located between the 10 :00 o' clock position and the 2 :00 o' clock position if oriented upward or between the 5 : 00 o' clock position and the •7 : 00 o' clock position if oriented downward. A shield is required for any perforations located between the 10:00 o'clock and 2:00 o'clock positions and for any perforations located at the 6:00 o'clock position to reduce scouring of the soil above or below the laterals. Examples of acceptable shields include, but are not limited to, half diameter pipe, chambers and manufactured orifice shields (see Figures 5, 6 and 7). h 1/2 DIAMETER PIPE ` (SHIELD) PERFORATIONS 12"MIN. DIRECTED UPWARD 36"MAX. COVER 2"MIN.OF 1/8"TO 1/4" DOUBLE WASHED STONE LATERALS(TYP.) o . 6"MIN.OF 3/4"TO 1-U2" o DOUBLE WASHED STONE FIGURE 5 LATERAL WITH SHIELD UPWARD Page 6 of 29 Pressure Distribution Design Guidance CHAMBER(SHIELD) 4MAX. 2"MIN.OF 1/8'"TO 1/4"DOUBLE WASHED STON PERFORATIONS DIRECTED UPWARD LATERALS(TYP.) 0 6"MIN.OF 3/4"TO 1-1/2 00 00 00 DOUBLE WASHED STONE FIGURE 6 - LATERAL WITH CHAMBER AS SHIELD 12"MIN. 36"MAX. COVER 2"MIN.OF 1/8"TO 1/4" DOUBLE WASHED STONE moo oo LATERALS(TYP.) o J o 6"MIN.OF 3/4"TO 1-1/2" o� v . oo DOUBLE WASHED STONE PERFORATIONS DIRECTED ORIFICE DOWNWARD ) SHIELD FIGURE 7—LATERAL WITH SHIELD DOWNWARD- Step 3: Determine the Lateral Pipe Diameter Figures 8A through 8G, Appendix B, can.be used to determine the appropriate lateral diameter given perforation number and size, spacing and lateral length. These figures were developed by Otis (1982) based on the Hazen-Williams equation using a coefficient of Cn equal to 150. This is based on plastic pipe and allows for a maximum 10% head loss from the supply end to the distal end of the pipe. Page 7 of 29 Pressure Distribution Design Guidance Step 4: Calculate the Lateral Discharge Rate The lateral discharge rate equals the perforation discharge rate times the number of perforations in the lateral. Table 1 in Appendix C can be used to determine this rate or it can be determined directly from the orifice equation: q = 11.79d2hod" where q is the perforation discharge rate in gallons per minute (gpm), d is the perforation diameter in inches, and hd is the in-line distal head pressure in feet. (An orifice coefficient of 0.6 for sharp edged orifices is assumed). The' value 11.79 is a dimensionalist coefficient that •varies with the characteristics of the opening in the perforation. The total lateral'discharge rate is q x N where N is the total number of perforations in the lateral. The in-line distal head pressure is an important design parameter. A minimum distal head pressure of 2 .5 feet shall be maintained to minimize variation in the system and provide a construction tolerance; however, hd should not be so excessive as to cause unnecessary friction losses in the network. Step 5: Calculate the Manifold Size Table 2 in Appendix C provides the diameter for a manifold that is to be uniform throughout its length. The diameter obtained is that which limits head loss from the manifold inlet to the distal end to no more than 10%. Telescoping manifolds may be used to reduce piping costs. The following equation (Otis, 1982) is used to calculate F; values in each lateral segment: a i.ss F; (9.8X= 10- )Q� where Q; is the flow in the manifold segment in gallons per minute. The F; values are empirical friction factors for each manifold segment. The value (9.8 x 10-4) is a coefficient that is based on friction losses as effluent passes through a plastic pipe. Using these values, the manifold diameter, Dm, is calculated by: Page 8 of 29 Pressure Distribution Design Guidance M 0.21 ILE m f hd Where M is the number of manifold segments,.Li is the length i1h segment (i.e. lateral spacing) in feet, f is the fraction of the total head loss desired for that manifold segment f or series of segments, and hd is the distal head pressure in the lateral in feet. To ensure that the head loss is less than 10%, f must be less than or equal to 0.1/ (total number of manifold segments)x number of the manifold segment for the section under design. F Step 6: Determine the Dose Volume The minimum demand dose volume should be five to ten times the volume of the distribution lateral network. The nomograph in Appendix D can be used to calculate pipe volume. This volume should not exceed the required dose volume, calculated by dividing - the average daily flow by the dosing frequency. When timed dosing is used, the dose volume can be reduced. If the manifold crown elevation lies below the lateral invert elevation, do not include the manifold pipe volume. Step 7. Calculate Minimum Pump Discharge Rate The minimum pump discharge rate is determined by adding the perforation (lateral) discharge rates. Step 8. Calculate the Total Friction Losses The total friction losses are the sum of losses in the force main and the discharge lateral network. The friction loss in the force main between the dosing chamber and the discharge lateral network is calculated based on the minimum discharge rate determined in Step 7. The appropriate equation from Hazen-Williams is: 2.11 1.85 • Friction Loss,=Ld(3.55 Q,,,�Ch Dd ) f - where Ld is the length of the force main from the dosing chamber to the discharge lateral network inlet in ft, Dd is the pipe diameter (of the force main) in inches; and Q. is the discharge rate in gallons per minute. C his equal to 150, which is the Hazen-Williams Friction Factor for plastic pipe. The value 3.55 is a dimensionless coefficient that is based on energy loss as effluent passes through a plastic pipe. Add the network losses that are equal to 1.31 hd, where hd is the distal head pressure selected for the network. Include losses due to tees, gate. valves, check valves, bends, etc. using standard friction factors for fixtures. Step 9. Select the Pump Unit Page 9 of 29 r Pressure Distribution Design Guidance 4 The pump selection should follow standard engineering practice. The pump should be sized based on the total dynamic head (TDH) and the discharge rate required for the network. The TDH includes the static lift and appurtenant friction losses as well as the friction losses in the network computed in step 8. Manufacturer's pump curves should be used to select the proper pump for the project. Step 10. Size the Pump Chamber The pump chamber must be designed to discharge the appropriate volume at the required rate with each dose. The chamber volume is determined based on the dosing . volume from Step 6 plus a volume allowance for the drainage which may.flow back to the chamber from the force main and manifold pipes when the pumping has ceased. Title 5 requires that the dosing chamber have an emergency storage capacity above the high water alarm equal to the daily design flow volume of the system. Title 5.also requires that all pump chambers.-be equipped with level controls and alarm switches. Level controls shall include pump on/pump off switches for single pump systems and pump off/lead pump on/lag pump on for dual pump systems. Dual pump systems must alternate the lead and lag pump every pump cycle. High water alarm switches shall be provided and shall be on a separate circuit from the pump level control. A quick disconnect or other assembly to allow easy removal of the pump from the pump chamber should be incorporated into the design. A gate valve or globe valve may also be installed in the discharge line within the pump chamber or within a valve box outside of the chamber to allow final adjustments of pressure during the clear water test. If effluent is to be pumped down hill, a '/a inch siphon-breaker hole or anti-siphon valve_ shall be installed in the supply line in the pump chamber. This hole serves to break any vacuum in the system and prevents siphoning of effluent out of the chamber. If effluent is to be pumped uphill, a drain back hole shall be installed in the supply line (Figure 8) within the pump chamber to drain the manifold after pumping has stopped. RISER -VALVE BOX(OPTIONAL) GATE OR GLOBE VALVE INLET TO PRESSURE DISTRIBUTION NETWORK STORAGE CAPACITY SIPHON-BREAK OR ALARM DRAIN BACK HOLE PUMP ON CHECK VALVE(IF REQ'D) PUMP OFF LEVEL CONTROL(TYP.) PUMP CHAMBER SUPPLY LINE(FORCE MAIN) Page 10 of -9 QUICK DISCONNECT Pressure Distribution Design Guidance Title 5 requires that the pump and high water alarm must be placed on separate electrical circuits. Electrical connections shall be designed in accordance with the State Electrical Code. Power cords shall be connected to watertight NEMA Approved receptacles and not located inside the pump chamber.- Electrical wiring from the pump chamber to the facility shall meet the State Electrical Code. Surge protectors are recommended to protect the pump and controls. 310 CMR 15.000, Title 5, requires watertight construction to prevent surface water or groundwater from intrusion into system components. Other Design Alternatives This Guidance does not restrict the designer from using other designs that meet the basic requirements of Title 5 or this document. For example,the Department will allow the designer to divide the SAS into zones for pressure distribution provided that all zones are dosed before any zone is dosed again. The designer may choose timed dosing versus demand dosing when appropriate. The designer must demonstrate that the design meets the objectives of this Guidance,which are to ensure wastewater is distributed evenly over an entire leaching area. III. CONSTRUCTION: The design and construction of the soil absorption system shall be in accordance with 310 CMR 15.000. The perforated pipe to be used as laterals in the distribution network shall be either predrilled by the manufacturer or carefully drilled by the installer. The pipe, either furnished with the discharge orifices or drilled by the installer, shall be inspected for proper size and placement by the designer prior to installation. The piping used for the distribution laterals should be laid out and cut to the design lengths. Perforations should be checked for correct design size and orientation. After installation, the positioning of the laterals should be rechecked. The sweep or elbow, with a removable end cap, should be placed at the distal end of each lateral for maintenance access and pressure testing (see Figure 4). Before the soil absorption system is backfilled,.the sweeps should be placed inside a short length of 4 or 6 inch diameter pipe to provide easy access. The cap should be installed to within 3 inches of finished i grade. Page 11 of 29 f - Pressure Distribution Design.Guidance Prior to completion of backfillin a clear water test shall be performed to verify g P the distal head pressure and confirm that each lateral is discharging equal flow within design tolerances. After the laterals are in place and tested and the orifice shields are installed, if required, the soil absorption system can be backfilled in accordance with 310 CMR 15.240 (9), (10) and (11). To prevent solids carryover or clogging of the pressure distribution laterals or associated pumps and piping, Department approved effluent tee filters or approved equivalent technologies shall be installed prior to or within pump chambers of any pressure distribution system, unless an approved I/A technology is used that doesn't require a filter. Routine maintenance is necessary fora pressure distribution system to continue to work properly. The Department is developing an Inspection and Maintenance Guidance Document for use with pressure distribution systems.. IV. LIST OF REFERENCES: The following references provide additional details and examples for the design of pressure distribution networks. It is highly recommended that the designer and approving authority obtain copies of these documents. 1. Otis, Richard J., 1982, -"Pressure Distribution Design for Septic Tank Systems Journal of Environmental Engineering (ASCE), Vol. 108, No. EE1, February, 1982. 2. Otis, Richard J., "Onsite Wastewater Disposal Distribution Networks for Subsurface Soil Absorption Systems" National Small Flows Clearinghouse, West Virginia University, P.O. Box 6064, Morgantown, WV.,2506-6064. 3. USEPA, 1980, "Design Manual: Onsite Wastewater Treatment and Disposal Systems EPA 625/1-80-012,.Cincinnati, Ohio presdistguidance.4.18.02-approved.doc ` t Page 12 of 29 Pressure Distribution Design Guidance APPENDIX A DESIGN EXAMPLE #1 End Manifold Lateral Network 40 ft' Force Main 25 ft L------------------ ------------1 l 50 ft f Soil Absorption'System Pump Chamber FIGURE 1-1 END MANIFOLD CONFIGURATION FOR A SOIL ABSORPTION SYSTEM ON A LEVEL SITE A pressure,network for a soil absorption system (SAS) is to be designed to receive an average daily flow of 550 gal for a 5-bedroom dwelling. The SAS is to be t25 ft x 40 ft. The pump chamber is to be located 50 ft from the network inlet. Step 1. Lay out the Network Two layouts would be suitable for this system. The distribution laterals can be fed either by an end or a central manifold. An end manifold requires 5 laterals and a central manifold requires 10 laterals, each one half the length of an end manifold lateral (see Figure 1-1). An end manifold will�be used,in this example. Page 13 of 29 I Pressure Distribution Design Guidance. Step 2. Select Perforation Size and Spacing Perforations 1/4 inch in diameter with a maximum spacing of 5 ft (Other combinations may be as suitable.) Step 3. Select Lateral Diameter To insure uniform effluent application over the entire length of the lateral trench, the first and last perforations in the lateral will be located one-half the perforation spacing from either end of the lateral: Lateral length=40 ft— (1/2 x 5) = 37.5 ft From Figure 8a: Minimum diameter for a 37.5 ft lateral with 5 ft perforation spacing is 1 %4 inches. Step 4. Calculate the Lateral Discharge Rate A minimum in-line pressure of 2.5 ft is to be used. From Table 1: a '/4 inch perforation will discharge 1.17 gpm No. of Perforations/Lateral = 40/5 = 8 Lateral Discharge Rate = 8 x 1.17 gpm = 9.4 gpm Step 5. Calculate the Manifold Size The manifold diameter is to be uniform along its length to simplify construction. Manifold length 4 x 5 ft = 20 ft, From Table 2, an end manifold with a lateral discharge rate of 9.4 gpm and lateral spacing of 5 ft can have a maximum length of 20 ft for a 2 inch diameter manifold or 44 ft for a 3 inch diameter manifold. Use a 3 inch diameter manifold. Step 6. Determine Dose Volume The crown elevation of the manifold should be located below the lateral invert elevation. The manifold and delivery line drain back into the pump chamber at the end of each dose. Therefore, the minimum dose volume is based on the lateral pipe volume only. The minimum dose volume is 5 to 10 times the total lateral volume. Total length of 1 1/4 inch laterals = 5 pipes x 40 ft = 200 ft Area 1 1/4 inch laterals = 7E(r)2 = Tc(0.052)2 = 0.0085 sf Page 14 of 29 Pressure Distribution Design Guidance Total pipe volume = 0.0085 sf. x 200 ft = 1.7 cf 1.7 cf x 7.48ga1/cf = 12.7 gal Minimum Dose Volume of 5 to 10 times the pipe volume 12.7 gal (5 to 10) = 64 to 127 gal Dose as frequently as possible, e.g., 8 doses per day(dpd) 550 gpd / 8 dpd= 69 gal per dose (other combinations may be just as suitable) ` Since the manifold and delivery line will drain back to the pump chamber, the pumping volume must be increased to equal the volume in the manifold and delivery line. The volume increase is equal to 20 ft of 3 inch manifold pipe volume and 50 ft of 2 inch delivery pipe of 9 gallons. Therefore: Pumping Volume = dose vol+drain back vol= 69 gal + (7.4 gal+ 3.2 gal) = 79.6 gal Step 7. Calculate the Minimum Discharge Rate Minimum Discharge Rate = 9.4 gpm/ lateral x 5 laterals =47 gpm Step 8. Calculate Total Friction Loss Ld = 50 ft(length of force main) Ch= 150 (If plastic pipe) Dd =2 inch (diameter of force main) Q,,,=47 gpm (discharge rate) Friction Loss = Ld(3.55Q./ChDd2.63)1.85 = 50 ft (3.55 x 47/ 150 x 2 2.63)1.85 = 2.08 ft Network Losses = 1.31 hd = 1.31 x 2.5 ft= 3.28 ft Total Losses = 2.08 ft + 3.28 ft = 5.36 ft (round up and use 6 ft) (Losses in the pump chamber and the network due to tees, gate valves, check valves, bends, etc., must also be added to total losses.) Step 9. Select the Pump Unit Total Pumping Head= Static head+Friction Losses If the pump off elevation in the pump chamber is 5 ft below the lateral invert elevation, the total pumping head is: Page 15 of 29 Pressure Distribution Design Guidance 5 ft + 6 ft(friction losses from Step 8) or 11 ft Using head-discharge curves provided by the manufacturer, a pump able to discharge at least 47 gpm against 11 ft of head is selected. Step 10. Size the Pump Chamber Only one pump will be used on systems with a daily design flow of less than 2,000 gallons per day. A reserve volume equal to one day's average flow is necessary in case of pump failure. Therefore,a volume of 79.6 gallons (dose volume + drain-back volume) + 550 gallons (average daily flow) or 630 gallons, must be provided between the pump off switch elevation and the pump chamber invert elevation. The high water alarm switch is located just above the pump on switch. . y l � Page 16 of 29 r Pressure Distribution Design Guidance DESIGN EXAMPLE#2 130 ft 65 ft -------- ------------- ------------------- - --- - ----- ------- ------- ------------- ; — W � 5ft 77 l00 ft Central Manifold 7 -A Soil Absorption System 200 ft Force Main Pump Chamber FIGURE 2-1 SYSTEM* WITH CENTRAL MANIFOLD CONFIGURATION FOR SOIL ABSORPTION SYSTEM *Design flows from 2,000 gpd to less than 10,000 gpd A pressure distribution network for a soil absorption system (SAS) is to be designed to receive an average daily flow of 8,400 gal.-The SAS will be 100 ft x 130 ft. The pump chamber is to be located 200 ft from the network.inlet. Page 17 of 29 Pressure Distribution Design Guidance Step 1. Lay Out a Network A central manifold configuration,is selected as shown in Figure 2-1. Step 2. Select Perforation Size and Spacing Perforations are to be %4 inch diameter spaced 5 ft apart. Step 3. Select Lateral Diameter From Figure 8a: 1 %2 inch laterals are required Step 4. Select Lateral Discharge Rate A minimum in-line pressure of 2.5 ft is to be used. From Table 1: Perforation Discharge Rate = 1.17 gpm No. of Perforations/lateral = 65/5 = 13 Lateral Discharge Rate = 13 x 1.17 = 15 gpm/lateral Step 5. Calculate Manifold Size This system is too large to determine the manifold size from Table 2. Therefore, the manifold diameter is determined based on the flow rate necessary to feed the distribution laterals and friction factors using standard hydraulic calculations. The designer must first divide the manifold network of 40 laterals (20 on each side of the manifold) spaced five feet apart resulting in 19 manifold segments (10015 — 1). Individual friction factors (Fi ) in each segment are determined from: F; _(9.8 x 10-4�'1.85 t where Q; is the flow in each manifold segment. The general equation for manifold diameter is: M 0.21 �LjFj D m th d d where D,,,is the manifold diameter, Li is the length of the manifold segment (in feet), F;is the friction factor in'the manifold segment, f is the fraction of the .total head loss desired in that segment and hd is the desired distal head pressure in the system. Since the designer needs to limit head loss throughout the manifold to Page 18 of 29 Pressure Distribution Design Guidance less than 10%, f must be less than or equal to 0.1. A single diameter manifold can be calculated by: M 0.21 LY—F' Sft x 881.87 0.21 D. = '-1 = = 7.8 inches or an 8 inch pipe fhd 0.1x2.5ft Thus, an 8 inch manifold would be required. A single diameter manifold is not necessary. In order to save costs and improve performance, a telescoping manifold allowing smaller diameter pipe downstream can be designed. In this design, the value for f would be equally divided among all the segments and would be calculated as 0.1/19. The results of the actual calculations are shown in Table 2-1, the procedure for the first and second segment are as follows: First Segment F1 =(9.8 x 10-4) Ogpm"" =0.53 0.21 a5ft x 0.53 D 1 = =3.05 inches or 4 inches 0.1 x 2.5ft 19 Second Segment J F2 =(9.8)00'�0gpmI-" =1.91 0.21 Sft x 2. D 2 = 44 =3.63 inches or 4 inches 0.1 2xx2.5ft 19 remembering that 2.44 F; _ (F1 + F2) _ (0.53 + 1,91). Table 2-1 Results of Calculations to Determine Manifold Segment Diameters Page 19 of 29 Pressure Distribution Design Guidance Segment Q;, D., Segment Q;, Number gpm F; Y F inches Number gpm F; F,. inches 1 30 0.53 0.53 3.05 11 330 44.72 195.58 6.37 2 60 1.91 2.44 3.62 12 360 52.53 248.11 6.58 3 90 4.04 6.48 4.09 13 390 60.91 309.02 6.77 4 120 6.88 13.36 4.48 14 420 69.86 378.88 6.96 5 150 10.40 23.76 4.83 15 456 79.37 458.25 7.14 6 180 14.57 38.33 5.14 16 480 89.44 547.69 7.31 7 210 19.38 57.71 5.42 17 510 100.05 647.74 7.48 8 240 24.81 82.52 5.68 18 540 111.21 758.96 7.63 9 270 30.85 113.37 5.93 19 570 122.91 881.87 7.79 10 300 37.49 150.86 6.16 Inlet 600 135.15 1017.01 7.94 Remember that Q; in Column (2) is based on 15 gpm per lateral and that each segment has two laterals. Thus, manifold segments: 1-2 are 4 inch segments 3-9 are 6 inch segments 10-19 are 8 inch segments Step 6. Determine Dose Volume The crown of the manifold is to be located below the lateral inverts. The manifold and delivery lines drain back into the pump chamber at the end of each dose. Therefore, the minimum dose volume is based'on the lateral pipe volume only. The minimum dose volume is 5 to 10 times the total pipe volume. Minimum Dose Volume=Area 1 %.inch lateral x lateral length x No. of Laterals x (5 to 10)= 7r(0.052)2 x 65 ft x 40 x (5 to 10) x 7.48 gal/cf = 1190 to 2387 gallons Dose leaching field as frequently as possible. e.g., use 1200 gal/dose Doses per day= 8,400ga1/day =7doses/day 1,200ga1/dose Must add volume draining back to pump chamber from manifold and delivery pipe to volume in chamber. 4 inch manifold= 10 ft7r(0.17)2 =0.087sf x 10ft = 0.87cf 6 inch manifold= 35 ft7r(0.25)2 = 0.19sf x 35ft = 6.8cf 8 inch manifold= 55 ft Tc (0.333)2= 0.35 sf x 55 ft= 19.2 cf 200 ft of 1 1/5 in delivery pipe=200 x 7c (0.0625)2=2.4 cf 0.87cf + 6.8cf + 19.2 cf+2.4 cf= 29.3 cf Page 20 of 29 Pressure Distribution Design Guidance 29.3 cf x 7.48 gal/cf=220 gal draining back to pump chamber Minimum pump volume=dose volume+drain back volume = 1200 gal + 220 gal = 1440 gal Step 7' Calculate Minimum Discharge Rate Minimum Discharge Rate= 15 gpm/lateral x 40 laterals =600 gpm Step 8 Calculate Total Friction Loss Ld =200 ft Ch= 150 (delivery pipe is plastic) Dd = 1 %2 inch Q,,,=600 gpm Delivery Loss (200 ft of 8 inch) =Ld(3.55Qn,/ChDd 2'63)1'85 =200 (3.55 x 600/ 150 x 82.63)1.85= 1.09 ft Network Losses= 1.31 hd= 1.31 x 2.5 = 3.28 ft Total Losses= 3.28 ft+ 1.09 ft=4.37 ft(round up and use 5 ft) (Losses due to tees, valves, bends, etc., must also be added to total losses.) Step 9. Select the Pump Unit(s) In this instance, two alternating pumps will be used. Total Pumping Head= Static Head+,Friction Losses If the pump shut-off level in the pump chamber is 5 ft below the lateral inverts, the total pumping head is: 5 ft+ 5 ft (friction losses from Step 8) or 10 ft— Using head-discharge curves provided by the manufacturer, select a pump able to discharge at least 600 gpm against 10 ft of head. Step 10. Size the Pump Chamber There will be two alternating pumps, a reserve volume equal to one day's average flow is necessary in case of electrical outages. Therefore, a volume of 1,440 gallons (dose volume+drain back volume) + 8,400 gallons (average daily flow) or 9,840 gallons must be provided between the pump off switch and the pump chamber invert. The high water alarm switch is located just above the pump,on switch, the backup (lag)pump on switch is located just above the high water alarm switch. Page 21 of 29 Pressure Distribution Design Guidance APPENDIX B 10 Perforation Diaraleter= 1/4 -in. (6.4 MMJ 9 8 .p 7 1- 1 1/4• e 6 1 1/2' CL w 5 20 " a 4 a ro ` 3 w 3" 2 q / 4' .0 O 10 20 30 40 50 60 70 $O 90 100 110 120 130 140 150 Lateral Length (ft.) Minimum Lateral Diameter' for Plastic Pipe (Ch = 150) Versus Perforation- Spacing and, Lateral Length for- 1/4 in. Diameter Perforations (Otis, 1981). � 10 Perforation Diameter: 5/15-in (7.9 MM.) 9 w 7 o 1� 1 1/4" c 1 1/2p . 5 2u ® 4 cc 3 a 3 2 4" �— 1 6" 0 0 10 20 30 . 40 ..50 60 70 80 - g0 . 100 110 120 i30 140 150 LatisraI Length (ft.) Minimum Lateral Diameter for Plastic Pipe (Ch. = 154) .Ve.rsus Perforation Spacing and Lateral Length.for 5/16' in. Diameter Perforations (Otis, 1981 ) FIGURE 8a & 8b: Minimum. Lateral Diameter vs. Perforation Spacing & Lateral Length. (Figure 8a can be used for 1/8 inch diameter perforations) . Page 22 of 29 Pressure Distribution Design Guidance 14 perforation ;Diameter: 3/8 -in. (9.5 mm.) 9 8 .. 7 11/41 A .5 2" c ° 0 4 a 3 w e 2 4" . 1 cH O V 0 10 20 . 30 40 -50 60 70 80 9.0 100 110 12.0 130 140 150 Lateral Length (ft.) Minimum Lateral Diameter for Plastic Pipe (Ch = 150). Versus Perforation Spacing and Lateral Length for 3/8 in. Diameter Perforations (Itis, 1981 ) ao - iaerf oration. Diameter 1'Ite-in. (11.1 rnmj. 9 8 1• 7 1 1/4• tM CL 5 3 c 4 a 1~ 4 2- 1 6' 0 0--. 10:....20. .30. 40 50• BG.. ..70 '_ 80 ....90 100 110 120 .130 140-.150........ Lateral Length (ft.) Minimum Lateral Diameter for-Plastic Pipe (Ch a 150) Versus Perforation Spacing'and, Latera) Length far 7%16 in. Diameter Perforations (Otis, 1981) FIGURE 8c & 8d: Minimum Lateral 'Diameter vs. Perforation Spacing & Lateral Length Page 23 of 29 Pressure Distribution Design Guidance 1O Perforation Diarnoter. 1/2 -in. 02.7 MM.) 8 ' 7 1 1/4 1/ c 2• as cA $ 3; a 4 c 3 4 M 2 b ' 6 .0 0 10 20 30 40 80 EO 70 80 90 100, 110 120 130 .140 150 Lateral Length . (ft.) Minimum Lateral Diameter for Plastic Pipe .(Ch = 150) Versus Perforation Spacing'and Lateral Length for 1/2 in, Diameter Perforations (Otis, 1981) 10 Perforation Olarnater, 9/10-irs: (14.3 MM.) 9 r 7 1p 1/4 n 6 2• o $ r. - a . 3 4~ m 2 1 5' 0 0 10 �20 30 '40 50 BO 70 80 90 100 110 120 130. 140 150 -- Lateral Length (ft.) Minimum Lateral Diameter-for Plastic Pipe (Ch = 750.) Versus Perforation Spacing and...Laterat: Length•,for. 9/16--in. Diameter Perforations. (Otis., 1981) FIGURE 8e & 8f: Minimum -Lateral Diameter. vs. Perforation Spacing & Lateral Length Page 24 of 29 Pressure Distribution Design Guidance 10 Perforation Diameter: 5/8-in. (15.9 mm.) 9 8 • 7 ao 1 e 6 2 N 5 e 3 o a s y aQ7. 2 cry .. 1 6 ' Q , 0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 Lateral Length (it.) Minimum Lateral Diameter for Plastic Pipe (Ch 150) Versus Perforation. Spacing and Lateral Length for 5/8 in. Diameter perforations (Otis, 1981 ) FIGURE 8g: Minimum Lateral Diameter vs. Perforation Spacing & Lateral Length Page 25 of 29 Pressure Distribution Design Guidance . APPENDIX C Table 1 Perforation Discharge Rates in Gallons per Minute vs. Perforation Diameter and In-Line Pressure (adapted from Otis, 1981) Perforation Diameter (inches) In-Line 1/8 1/4 5/16 3/8 7/16 1/2 9/16 5/8 Pressure It 9Pm 1.0 0.18 0.74 1.15 - 1.66 2.26 2.95 3.73 4.60 1.5 0.22 0.90 1.41 2.03 2.76 3.61 4.57 5.64 2.0 0.26 1.04 1.63 2.34 119 4.17 5.27 6.51 2.5 0.29 1.17 1.82 2.62 3.57 4.66 5.90 7.28 3.0 0.32 1.28 1.99 2.87 3.91 5.10 6.46 7.97 3.5 0.34 1.38 2.15 3.10 4.22 5.51 6.98 8.61 4.0 0.37 1.47 2.30 3.31 4.51 5.89 7.46 9.21 4.5 0.39 1.56 2.44 3.52 4.79 6.25 7.91 9.77 5.0 0.41 1.65 2.57 3.71 5.04 6.59 8.34 10.29 NOTE: Figures for 1/8 inch perforation diameters compiled by P. Spath, B. Dudley, (2001) Page 26 of 29 Pressure Distribution Design Guidance Table 2 Maximum Manifold Length(ft) For Various Manifold Diameters Given the Lateral Discharge Rate and Lateral Spacing (from: Otis, 1981) Lateral Manifold Manifold. Manifold Manifold Manifold Manifold Discharge Rate Diameter= 1'/4" Diameter= 1 '/2" Diameter=2" Diameter=3" Diameter=4" Diameter=5" F Lateral Spacing Lateral Spacing Lateral Spacing Lateral Spacing Lateral Spacing Lateral Spacing ifol ft ft ft ft ft ft Center 2 4 6 8 10 2 4 6 8 10 2 4 6 8 10 2 4 6 8 10 2 4 6 8 10 2 4 6 8 10 Manifold 10 / 5 4 8 6 8 10 10 8 12 16 20 12 16 24 24 30 26 40 48 5670 42 64 84 96110 84 134 174 200 240 20 / 10 4 4 6 4 4 6 8 10 6 8 12 16 20 1624 30 32 40 26 40 54 64 70 54 84 106128 150 30 / 15 2 2 4 6 4 8 6 8 10 12 16 24 24 30 20 2636 48 60 42 64 84 96 110 40. / 20 4 4 6 8 10 10 12 18 16 20 16 24 30 32 40 34 52 66 80 90 50 / 25 2 4 6 8 8 12 12 16 20 14 20 24 32 40 30 44 60 72 80 60 / 30 2 4 A 12 18 16 20 12 16 24 24 30 26 40 48 64 70 70 / 35 2 6 8 12 8 10 10 16 18 24 30 24 36 48 56 60 80 1 40 2 6 8 6 8 10 10 12 18 16 20 22 32 42 46 60 90 ✓ 45 2 4 .8 6 8 10 8 12 18 16.20 20 28 42 46 50 100 50 4 4 6 8 10 8 12 12 16 20 18 28 36 40 50 110 / 55 4 4 "6 8 10 8 12 12 16 20 16 24 36 40 40 120 60 4 4 .6 8 10 6 8 12 16 10 16 24 30 32 40 130 65 4 4 6 8 10 6 8 12 16 10 14 24 30 32 40 140 70 2 4 6 8 6 8 12 8 10 14 20 24 32 40 150 i 75 2 4 6 6 8 12 8 10 14 20 24 32 30 160 i 80 2 4 6 6 8 6 8 10 12 20 24 32 30 170 % 85 2 4 6 4 8 6 8 10 12 20 24 24 30 180 i 90 2 4 4 8 6 8 10 12 16 24 24 30 190 % 95 2 4 4 8 6 8 10 12 16 18 24 30 200 / 100 2 4 4 4 6 8 10 10 16 18 24 30 Page 27 of 29 f Pressure Distribution Design Guidance APPENDIX D eoo T00 4 600 160 5o0 140 1S0 400 i20 110 300 1 80 200 TO . .. Y M E 26 4 60 0 20 i � o SD ' 10 . « ° a 40 3 a OQ 5 80 " YO 4 w J , o Z. S 70. . a 30 SO 2 a0 50 6 d0 1 50 40 20 60 70 F 30 BO so 10o 150 20 200 .e a2so. Nomograph for Determining the Total Pipe. Volume Given the Diameter; ,o L Length and Number of Laterals (Manifolds) (Otis: 1981) Page 27 of 27 Pressure Distribution Design Guidance Page 29 of 29 �. TOWN OF BARNSTABLE,� ,�, -ro,: l D�- )CATION , (jJ' SEWAGE # VILLAGE �° , ASSESSOR'S MAP & LOT Q 3 y- 0 YS NSTALLER'S NAME & PHONE NO. c SEPTIC TANK CAPACITY �VILEACHING FACILITY:(type) ap " _(size) rMoo NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER �. DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED:_ VARIANCE GRANTED: Yes No (/� F 13 fig,' qq jj � - No.../ =-X�. � Fxs........ Q ........ THE COMMONWEALTH OF MASSACHUSETTS �. BOAR® OF HEALTH Yf11f- --------------------------------- Appliratiou for Uiipuiittl Works Tv iiuu_rfiun Famit Application is hereby made for a Permit to Construct or Repair` ( ) an Individual Sewage Disposal �o System at ............................................ ......... ............•....... ........•-------- •----•------------------........-•------- Location-Add r ss o�Lot Np. Owner Address N� W ................. ............••--•.........-----------•--•••-•......------..................._.._.............•••.. Installer Address //�� 6 Q Type of Building Size Lot.._lP_/ q. feet U Dwelling_No. of Bedrooms__ _.1 ................ _Expansion Attic W Garbage Grinder (/( (C Other—Type T e of Building '.......___.. No. of persons............................ Showers — Cafeteria a YP g P ( ) ) a W Design Flow..............Other fixtures .15 ! gallons per person per day. Total (Jai y 49w.................../_..... +��...'.�•-_--_.gajl ns. WSeptic Tank—Liquid capaciry............gallons Length/c_P_.------- Widt4'..l.-..... Diameter ------- Depth,.:`....._.. x Disposal Trench—No. .................... Wid ........ Total Length.................... Total leaching area___--_---_--------sq. ft. Seepage Pit No.__..4tp2--------- Diameter....14/K Depth below inlet...... _._....... Total leaching area..&//9....sq. ft. Z Other Distribution box (�� Dosin tank ( ) ,�5�'I�� 1 p-�� �,2 '" Percolation Test Results Performed by._.VXk2C�- ..-.--_.... Date....t.........................�:..--...` Test Pit No. 1..4--:?7%minutes per inch Depth of Test Pit_____ = -------- Depth to ground water.C' e . Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Ri __,........_...r... r----'--.._ .. ................... O Description of Soil--•'�' ��=-----•- / ? � ��-'.._...� ` �r ...... �j � ---------------------• x c., �� - - ...........................--- -- ------------------- -- ----------------------------- ----------- ---- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... Agreement: . The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complianc as been issued by the board health. Signed ---.-,- ---- . . . ................... .L--...... .- ........ � Application Approved By ........... .......................................... .... ..... Date Application Disapproved for the following reasons' ---------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------- ............---- Permit No. -----%. -:- ................................. ... ..................... Issued --------------------------- Date T + No......... .....-,.y1 Fss............._............ _ s, THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CJC�LJ.. ------....OF...Y.cl/ 5/..lC.!..fL_t- Appliration flax Disposal larks CMG ,4% Gr ilan rxnti Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at oe- r ................................................../'jU�... ..._7 ... ........ ... ........ r Location- ddr ss G o Lot N ` ` Owner Address NC W 14 -•••........•••-•••-•--•---------••---------...Installer ......................................... ..•-••----•-•........._........---•--•--••-..Add•--.....-••-•-...............•..............-••- Installer Address dType of Building Size Lot_._49__{______ q. feet T Dwelling--No. of Bedrooms__. ____________________________Expansion Attic Vj Garbage Grinder ( i Other—Type of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures -____-_--_................. . _ Design Flow..•.........._." _ S`J gallons per person perAay. Total daily flow...................,......_�a____�_..._._ lons. WW CEO fS G20 ___ C Septic Tank—Liquid'capacity............gallons Length;,O A......_.. Widthk_./ ..._ Diameter. .............. Depth7!__.______..._. x Disposal Trench—No..................... WidthlOOFT....... Total Length.................... Total leaching area.......... ....sq. ft. Seepage Pit No.....�____-__-- Diameter--___�4./.K Depth below inlet.._...6....._._. Total leaching area__���....sq. ft. Z Other Distribution box ( �" Dosintank ( ) 5 '� - �� P �1CIU ►z-Z..-5� Percolation Test Result Performed by.__._ .� .. _______________________�Date....................................... aTest Pit No. 1__�-_--47-minutes per inch Depth of Test Pit.....L?........ Depth to ground watene -e✓_)Z� fZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water---------............... O Description of Soil... _-.. ---....-- !-.V. +�U�J SG/�-_r. (� x ' U •-•..............•-••••....... --- ---------------•--• ---•- • •-•_._. ----------------------••. U Nature of Repairs or Alterations—Answer when applicable............................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board.of health. - ' Date : -- t Signed ------ ...........L / j�.......----- ------- Z :.... Alication Approved B { !' '- .--c�................................................. ...... .................... r ,, Date Application Disapproved for the following reasons: ........................................................... ..... ...........................:........ . ------. --------- ---- ----------------------------- --- --- ------ ----- ---- --- ----------------------------------- -- ------------------------------------------------- ------------ ------- --- -- ---------------- G Dare J Permit No. ..._1..a .".��' f..... ........... --- .. Issued ..---------. ------ ---- I r Date k THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......................... ------------- OF .....................................1- C{ C.C�.-------------------------------- C�er#tf ratr of ontyltana THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by------------------------ ---------------------------------------------------------------- -- -------- ---- --- ----- ---------- ------------------------------------------- ------------------------ ------ ------ ---- AAInstaller at -------- ne--E,.\Y'1�-- I t�� l /"tV-C=-.-...(f �" -�------------------------------------------------------------------------------------------------------------- .... has been installed in accordance with the provisions of TITLE 5�of The State Environmental Code as described in c the application for Disposal Works Construction Permit No. -- r ..-- ., -------------- dated -----.-.-----.....---........................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE DATE...............................�-.:-.- b. ....... ..... Inspector .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -- `��` ..........................................OF... '.l�S�`�.......�............... Ste , FEE-•-0--01-----.-...-- Disposal Works T-Ponstr ion rrtnit Permissionis reb� anted........................................................---••----------------•--...----•---------------------•-•-••-•----........--•-•-•----- ? . c to Construct or IFepair`(t ) an Individual Se rage Dis osal System atNo......... �- .- !�f a._.. v.L ._._. Q t ----------------------------------•-------------------------------•-----•--•-••--..... Street G� as shown on the application for Disposal Works Construction Permit No42-1:::.t'?�___ Dated.......................................... •-----------------------•• -------------------------------•-•--••----••-•------- CJ Board of Health DATE---•---•--------- f� % ................................ FORM 1255 HOSES & WARREN. INC.. PUBLISHERS COTUIT, MFERENCE i MA -Barnstable Assessor's Map 34 Parcel 45 -Subdivision Plan of Land, Dated June 29, 1993 C5 I T E LAN s,-nooi 5t by Baxter & Nye, Inc. Surveyors i LOCUS SCALE I "= 100' NOTE: This Site Plan Was Not Prepared From > Any Instrument Survey And Under No Q See Detail Circumstances Should The Distances, Bearing And/Or Other Features Shown Be Used To � ! main 1f f Cotuit Bay Establish Property Lines. W KEY MAP f/f f z LEGEND Q W SOIL SAMPLE U O DETAIL Former Guest House Carriage House Moved to SCALE I "_ I O' (Demoh5hed) Western Portion of Property Razed Portion of Buildinej Cotuit Bay i � Approximate Location of 700-gal _---- U5T (9' x 3'0) ,----- RTN 4-23049 PROJECT: THE PICKWICK REALTY TRUST c/o ANDREW NEWMAN,ESQUIRE i ! 7 WELLS AVENUE,SUITE 23-NEWTON,MA 02459 11I; IMMEDIATE RESPONSE ACTION COMPLETION REPORT 71 OCEAN VIEW AVE-COTUIT,MA 02635 BENNETT ENVIRONMENTAL ej BEA ASSOCIATES, INC. '3 Area of CIa55 -2 RAO cS LICENSED SITE PROFESSIONALS,ENVIRONMENTAL SCIENTISTS, Area of Impact GEOLOGIST,ENGINEERS / Q 1.00 200 300 1 1573 MAIN STREET,P.O.BOX 1743,BREWSTER,MA 02361 14' X ✓' x 5' (D)} PHONE:(509)896-1706 w .bennette com FAX:(508)896-5109 Extent of Excavation .DATE: SCALE: BY: CHECK: .JOB NUMBER l� 02/01/11 As Noted JTW/s DCB BEA10=10299 _ I � / ZONE: 1 (RPOD) (n/ Area (min.)87,120 SF \ :1 `1�-"�� .s .\ v Frontage(min)20' y (;4Wtt \ ....i'� Width (min) 125' - Setbacks: �"y Loch a 6 � [/ V Front 30" / 1 Side 15' r !, Rear iS an- ♦ j F - W - i� REVISED GROUNDWATER PROTECTION OVERLAY DISTRICT.- Aquifer 4 N z AP - Prote District ((. coon D ty a FEMA FLOOD ZONE •' a // )__- % -/' / \ \\C r/ N Zone C, B, A13(EL12). & V17(EL/4) -. o � , • (- Lot Jr `.` Y, ' _ / ,' \\ \ -.\ ec j9ii j/ access Easement. e Panel N 250001 0018 D (rev, July 2, 1992) - „N 1 / / Over E+mtmg Orrve T t1 ' 1 179,193tSF_t_/pland 4.11tAC r°Oman rew arenae LOCATION ION MAP e o n a See LC Doc I.698.96J 3IJ25tSF Weflarid�. 0.713AC ! I ,�/ � _ L/S •\ � \ ) / - ' 1'=2000't - F 2I0,3183SF to MLW 4.83±AC i - ASSESSORS REF:. Map 034: Parcel 045 as . \ DIRECTIONS: $ `J ' •� I �l I/ I / _ � I ' \,. S?4 // t"" 1 � � '' - :From Hyannis-Take Route 28 towards Cbtuik Take a left onto Putnam Avenue at a set of lights, i - and follow to the.end;'Take a left onto Main Street Bear left onto Ocean View Avenue, and J eA♦ _ / \ \ \ \ 69/ S - v site is on the left, N71. - .. i. • - i , i e Pa:p , % \ f e o r, '. '• ,:' ' ••w_•' ;� i. �'. ELD'S)aRY Stayep D re-., ` • - - , • 0.' .' / ' ���� '_. Lem� �� n6 ><� 1 ,�,vh'6} .-m _ alEO .iA.. '.. :. n'ELLIle6 / / , ., \♦. =' Se _ - � �I...`4...._, •.rr..7 ' -::.'l: /L`.\� _ ry v i ." ., / / .- fi •�^•^+- e' �44q' •Bem�� YIELLI .'..5.9 ,. ,.:.J. .Sa-._ wI^7� ;. �. � � \` 3',.. aE a'eM g rosE na� W 8:•ul l�, itZ•.. S ,.:a1. Ow,�M . cuai e\., µ. 7pf � 100 .. -„� MaLlyam'9>6o ,{.- M - �� ♦ .. L w:w4 5 - - .n - ' �sin •� ' ry �I 1 • ' e l - /a N/s• _ - - r _- _� :. : :., /.,- / ma's� - ., � � `°„�4 l� a, 5"W 4.. r o' _ IOD '' / r 1 _ - 737 Oce N/A- / Steven E.Hirsch LOT 3 rust RBatty /` I .- Plan Book 263/41'- .1 40, s , ea Zo 1 , \ r StevanRE.Nirsch - r .. .. LOT eLW S \ \ Plan Book 263/41 Edge �- s •., t - .. //c�ar N74-j Bg \�- ' __ -, _ ._ 9\.c' w - lR77 ey2 .9pR'$`T3'6, E;• _ __� _. '•� ° - -. _ 5 /B `Sic • .- '' �\y - _ \ f h fled Datee Jul 3, Wq . • a^ / �__ \) l� _ /(S_ PI°n 6o°k 3o6/96I; _ LEGEND � plan e°a iea/4I ytilocey th \ /9B s .// + " ® S.-Manhole Deciduous Tree Pry"L,,1v,Sal �\ `K�o - •p t: ® Electric Manhole ®. Catch Basin / \ \sSSB•. Coniferous Tree \ ign ® Catch Basin (round) / sr° ° a=,,,e,?u a`o/O'Hydrant S N \. O Ion Pipe O Light Post / r Stake& Tack © FEMA Zone Un- 6' Gas Gate As Shorn On FlRM - ? m N78 /: d \1/•d ❑ CB DH Concrete Bound w Drift hole 'Water Gate n I / / e O Pa a 25000 0018 0 � O 8 56 '.j p $B .. rer July 2. 1992 - r � y w un 'W OH Stone Bound �B d w n/ /Drift hole. ® Well � � a � "33 SSM O PK ail - Lvndrard Edge O Vent Plpe L1MlT Or UMOEVELfWED COASTAL BARRIER 0/Dune / Fnd O Steel Re-bar w/Schofield Cap O Utility Pole - pemured 1990 SM As Shown On FIRM /_ Fnd O Survey Marker Pin atw—Overhead Wires —\ : 95,�. cJ• '.l 1 -35--Elevation Contour Pants,(16-'Ilyz 182 i v July 2,/992 NOTES: -- PREPARED FOR: PREPARED BY: _ TITLE: Proposed Building f.) The property line information snow- was - The Pickwick Realty Trust Ivan Bereznicki Associates,Inc.-.- CapeSu ry Re I ocat I Anctrew Newman, Trustee ARCHITECT On & DemO I I t I On co compiled from .-liable record information. g Wend,t street \7 Parker Road A} 2.) The topographic information was obtained C1C the Beacon Companies Cambridge,W 02138 Oster rile MA 0265.5 A from n on the ground 7 curvey91NOdrmed an 5O re:deral St., 4th Floor 71 Ocean View Avenue or between 28/DC/07 and 19/Nrforme _ (6777 as4.51ee (61T786B-S)aa (sob)420-399CO(Se06'420-3995/°+ 3.) The datum used is NOW) '29, o fixed mean Boston MA 0211 P r�aPecod.net .sea level datum. - 30 - p 16. 30 sD 7P0 Draft: RD -Field: MLL/RRL/DWB Barnstable (apt-io,. Mass. W - Review: IB .Camp.- C323RRL DATE: , SCALE rr_ .30' ` �_ Project: 1DtD.00 Project: August 1 2010 1 - - - T C ;�`� TASLE THE PICKWICK REALTYTRUST, r GUEST HOUSE 71 OCEAN VIEW AVENUE, r V COTUIT, MASSACHUSETTS NOVEMBER 19, 2010 ARCHITECTURAL SYMBOLS OEJ(IHB0R Dodd vRNDDw NUMBE3L 101 WERIORD00RNUMBER 101 'M NUMBER ATEVMNNUM®! V E%tHdOR E(EVAn0W BUBDPIG SECTION MARI®t CIA M.I IB INR:IN0R 9EVA11ON MARKER 1C DRAWING LIST MATERIAL SYMBOLS ARCHITECTURAL ARCHITECT O EAuliNu wALL RIDm DrARAnoN --- -- - .. 1VAN BEREZNICKI ASSOCIATES, INC. SRE PUW.P0.0PoSm TTILIICTNETBGWUING - 9 WENDELL STREET, EEMOLTTION WALL PLYWOOD �JJ Q.° Po Rom— ��CAMBRIDGE, MA. 02�13.8 N.t flRTTR00R fYAN O EW WALL ® WDOD (617) 354-5188; (617) 868-5764 MASONRY WALL PL SiER AT.1 NDRTHaO WEST EMDRORflEV/DIONS AB.R EASTa®S01lftt IXSEPoOR EIEVAn01b ABBREVIATIONS LANDSCAPE ARCHITECT CIVIL ENGINEER HAWK DESIGN, INC. SULLIVAN ENGINEERING aT a.TERODE F N ft. 0..v 0.c, aw cEMIER ' ARcn, uaN0. F4. R EO D.D. DUTNDEDIMf'TER 277 MAIN STREET -7 PARKER ROAD 8.0. BOTTOM OF FA. FA[E OF OW. OPPOSDE "" FAM F— E °° °'°°"° 'BOSTON MA 02129 OSTERVILLE MA 02655 BM BEgA F.O.F FAZE OFflNTH P.SL. PAIULaR S11LYID Llx@R BRG. BENUNG F.OS Fa£OF Snp PL. N/RE - t f f CEM. CENI91 FOIfID. PoIDOAT°N P.T. DRFSAAETREAIED GLICL C°ENf9lE"DInE°ND1Nf FFSS. F.DE W. RWaTO STRUCTURAL aR CLEAR fTG. Fo0nNG R@6. RDMORDrw C.U. CONCIEtENAWNNIBRT GA GAGE READ. mum w CO— G4V. GaVadlE S.F. S OOR roNC. co— R. GRADE SIM SIMIAR Cd6T. coNSNOIC. I1GT. IQw —. SIEDflCA— 51.0 GENDIAL egTFS aD STI81C1Wpt DEraLT CONY. coMlp m K. NOR z$ . STD. STANOND DA uAMEtER ,,. NGN PoINT TTL. TIEEL T], flRSTfIDDRfltAMNGPlM1 - - -- GENERAL CONTRACTOR STRUCTURAL ENGINEER DUA oUElAON M. INGHi STIaCT. TTRUCiIRAL D.L. DURAOrIL11SHER ,<. ,aM TBG TDUMEBGRODVE Q., Po�,R,,,„°w,,, .E..B. .NORRIS Ft SON INC. COWEN ASSOCIATES INC. DMG. DANnNG LG. LONG TJ.I. TpE3 JOIST DI/L. DOWE1 L.L.N. LONGLEGNOWEOr?a. T.O. TOP OF f EXH °"° g �` T.O FA FACN C. TOPWCONLRETE 138 OSTERVILLE-WEST BARNSTABLE ROAD 29 VESTAROADf lF. IOW PoIM T.OS. TOPW.T f.. EF. ERGR L.V.L LANNAT®VBEHtLWBER T.O.W. TOPOFWALL `J E ` "° A c "°"M"" U.O.N. "`" OSTERVILLE MA. 12655 NATICK MA. 01760 LL. LLLVAnmJ M:CH. MEC1W11c U.O.N. 100ES OTNNNRSENOTLU F.. EABFl13EM MFRT. MN0IFACTWES LFW. 1•FRRIIFN f f ET' E 10 "" Mc" "'F �"'""°� (508) 428-1165; (508)428-1196 (508) 655-39.76;(508) 655-4284 DE. E#EPTION ML. MCR0.lAM W WIDTN DE. EAWAIR! ADS. METAL WI WIIN DD. N.T. NFM0E 9 WF. WIDE FIANGF 1WR STEEL F.D. BOOR OPAIN N.T.T. NOt TO STALE W.WF. WEDI®WIE FAB@C 0benftmn:M6Assoclates,Inc.,Arotdtects-File:to orkV/epollo516men Guest Houle-,S-FOUNCAM PLAN-PAIde66y trelp at 3:44 Phi,11/19/2010 m O F C b z z (!>N _VEriIINv.— V.I.F. V.I.F. II � i =1 - - - - - - - - ;2- - - - — I I 1 I ="— — — I. ifgT ft �g y CgMF I I I I Aa"� g i PIE- -p �a - 1 i L--_�-6 I� .IF. 7' 1/2" 3'-8"�i'-8",I. 8'-i t/2" ...1 0'-B" 9 1 _• HIM, t S_�� r I i �—e'-r va• :; 1 . 67rl LV.I.F. 19 I TIP, .&24 — U a m . I \I I L. — —. —V.I.F— — �y .- I I I of i 19 0 ID ® II. ( II 8 - �'` t a i - -- a we.z4 I s-3LF.ssy66 o gxg x gxg — - Y.I.F. a' 15 t I � -d:ry I I QF eh —-1 I I II I a I F • ��� I II I a._ / l b m. ii _ I I ————————J L———————————+. 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N y Q$ $ ARCHITECTS 0 9 WMMMLMMrr,CAMBHIDC3E,MA02138 A �1 O § BARMBFAMZ(CarUM•MA s TM(617)3543186 FAX:(617)66&5764 0 Men Berardcld 6Aceotletes,Inc..A"teNs-Re:teem midlepoBoiSidmen Guest Heuse-15-SECOND FLOOR PLAN-Rioted bya818 at 3:44 PM,11119M10 �m m 0 a o sp -n 0 it z gal I I I I • I I i 4-10 _ s 1 1 IRE, 11 1 � I I � 1 e , I I I I 1 I � I � I I I I I ' t ' I ' I 1 I ' I I d I rf� 1 a 1 I � ' I ' 1 I I I I 1 1 I � ' I 1 I I I I j 1 - I 1 1 � � I - I I I I Iice• q y ------ Aft P ` CA H --————————-———— ——————— — ----- o m m THE PICKWICK REALTY TRUST a IVANBEREZNICKI ASSOCIATES;INC. 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J IVY- - vikM t u- / 13C / illy/' k �Z P (ZCr '3+ U lei i. nQ L!J ! !_`-( �t•.Gt�J = '�� '...' yC �1;7 = �-�'t j �/� � '' a GC:1r.-. ac7 �+-r;� fi<<._t_ /�.f►?s�'�+f7 'Ttr TA-uK. .=. 3zX 2 = D C,A U - T�',c� �M 23•v DI 'cy5 � 4 PIT 4( W�TH o F= - U t�,ZC-A p &- Z,!S, F 61 1 p -FL-:*�e, v*I s (V� .0 tc:c u L 105 y C S'JLLIVApi ell ►,.-) TES A ru 01 4 C i Fe, e M am" ' j l-�r�� OF' rH T \ F � .7 r .t r G ►� 1.�aT a► ����, �J C n t� �c-✓�t NU � - � ,. tvr �� LSD �vv /cam SQ1DH O WNERZPREPARED FOR: Fnd The Pickwick Realty Trust REFERENCES' ST J. Robert Casey, Trustee Land Court Case # 9216 A, & 39770 C & D y p- c% Goulston & Stoors Cert. # 184833 , CorvlT 400 Atlantic Avenue Boston MA 021 10--3333 Cert. # 149650 & 149651 aarLOCUS AD z o N Ced pH _ , i ` . ,1&ALAND i K ©'' ASSESSORS REF • . . Q I- i .. ` ` -�,..•°� � Map 034, Parcel 045 z CB/DH .. �• F d Location Map Fnd 93s,, REVISED GROUND WA TER 1"=2000'f IN CB - "-� PROTECTION OVERLAY DISTRICT: "7/�p� a Fnd Oce4°9r phds Hole Access Easement ZONE: V E. '' # �cLor OInstit4te Over Existing Drive AP -- Aquifer Protection District N �3'�s ll J9� c 3977� To Ocean View Avenue RF 1 (RPOD) LyS See LC Doc #698,963 Area (min.) 87,120 SF o Frontage (min) 20' Fnd cs/DH Width (min) 125 Setbacks: o z ry; •4.�' C„i Fron t 30 55 7' a FEMA FLOOD ZONE Side 15' m a N L J�" ,' �. , t• Rear 15' •�I M Zone C, 8, , �Qo �, Fnd F d A93(EL?2) & V17 (EL14) 179,193±SF Upland 4.111AC +�; Panel # 250001 0018 D (rev. July 2, 1992) '' 31 125±5F Wetland a 711AC © �� o�se �p4 S91DH 210,318±SF to ML W 4.83±AC y o 2S' ce/bH ----_ # o Poved 24.9' Fnd 275.0' a O stone Crer 9 CB H nd Approval under the Subdivision Control Law is not required m o e°2o H s ,`o�'0' BA STABLE' P It�IG BOARD o• M ; Paved 40 w :,Ih� 65.2porkin9 -�� U 0� t9QH \` Stone WON - - Gorden SB/!JH a J' 11 --- e+ BNB¢3• `�� CQ/DFl Fnd` ah �> y $•A2 �' ��` `�` Fnd G Zpt�e� Q 41 �O w ry .20 / 4 �i G Q� .a nd •�Yt� 3 ``.` Top Of Bonk '\ •�� J��'"�C' N/F U Steven E. Hirsch 13, Ocean / Plan Book 263/41 ��� `�` FEMA Zone Lines F'�q c Landward Edge (P. /.' --. art 6000 r bi • As Shown On FIRM \o,`.� Of Dune ,/ P/ r y T , �� `.Ponel ,4 250001 0018 D 6 �s 880�6t Date �O ReO/t . °n Book ?6 '�st 7 CS `. rev July 2, 1992 �- CB/DH No determination as to compliance with B i" / 4.7 Fnd the Zoning Ordinance requirements has FEMA Zones______ ----'' ./ ,.' �? been made or intended by above ve ._._.--- � //�/ � � o C8/DH •.,� A13(EL12) r'' / �. • •1= endorsement. N/F Fnd eh a r / ' Steven E. Hirsch , N Mean High Water LOT 1 `•` ��` , i/// l3SSS As Shown On LCC 39770-C Ian Book 263/41 F e Stone Groin (Burried) Hwy \\ of Fnd l As Shown On Plan by of o Schofield Doted July 3, 1976. LOT 5 e Bo (See Pion Book 306/96) ''---_ Pion Book 263/41 �4`��tio� 1 ��Bo god -Post �cr, 1l11 se `yet 0 N �` 6, .tic► � . 4' v / PLAN OF LAND ���o s N,52ss agNo� ry� IN ; • '�s`3-,'ter `33 s 471 BARNSTABLE, .710 r $•� o�c i (CO TUI T) /'r Approximate Mean Low Water � �0 (EL---0.8' NGVD) 29/DEC/07 MASCACHUSETTS Based on k "M Data And Benchmark 28SC" DECEMBER 2 7, 200 7 SCALE: 1 =4,0 > Legend: , ® Sewer Manhole 6 Deciduous Tree SHOWN AS LOT 5 ON LCC 39770C ® Electric Coniferous Tree 0 Catch Basin (round) I certify that this actual survey was round in accordance with the on Petitioner: The Pickwick Realty Trust 4- Hydrant Sign made g O Iron Pipe Light Post the Land Court Instructions of 2006 40 o 20 40 so 160 (Q Stake & Tack © Gas Gate on or between January 11, 1999 El CB/DH Concrete Bound w/ Drill hole IN Water Gate and January 15, 2008. O SB/DH Stone Bound w/ Drill hole G well O PK nail O Vent Pipe yr F d O Steel Re--bar w/ Schofield Cap <> Utility Pole Prepared by. F. O Survey Marker Pin a�� =HP. ° �v ' C !' e , u ry N bo'o0" E Field Traverse Line U�uREUX H 7 Parker Road 2�41' - w/ Bearing & distance , No.9ts12 __.---- --'' ' Osterville MA 02655 fte dOO /S'0AA/ pg (508)420-3994 (508)420-3995 fax `75rofes5ionol Land Surveyor Dote copesurvOcapecod.net COMP.: RRL CHECK. RRL DRAWN: RRL FIELD: MLL/RRLI'M FILE. C323_5g1=JOB. :C-323.5 -2: ( o07 VENT BE naD DETERMINED FINAL LOCATION TO FEMA FLOOD ZONE DIRECTIONS: DESIGN DATA SEPTIC NOTES Zone C, B, A 13(EL 12), & V 17 (EL 14) From Hyannis - Take Route 28 towards Co t u i t; Beach House-1 Bedroomuo GPD 1.Location of Utilities Shown on This Plan Ate Approx.At Least 72 Hours 1} 4 Panel # 250001 0018 D (rev. July 2, 1992) Take a left onto Putnam Avenue at a set of lights, 16 Changing Rooms Q 10 GPD /(�C� Prior to Any Excavation For Ibis Project the Contractor Shall Make and follow to the end; Take a left onto Main Appartment-3Bedrooms@110GPD the Required Notification to Dig Safe(1-888-3447233). • � :=. � �� � k��" F.F. EL. 4 A Street; Bear left onto Ocean View Avenue, and Na Garbage Grinder 2.The Contractor is Required to Seam Appropriate Permits From Town F.G. EL 29.0 REVISED GROUNDWATER g 3. SewerConstruction Cmuwat�S�ly Lines Both l.�sShall site is on the left, #71. PROTECTIONOVERLAY DISTRICT. Be Constructed of Class"'�" . "� `;, � •� � .: Total Daily Flow=600 GPD See Note 6 (typ.)No Increase In Flow.;';^• - _p" , e •• � Assure Watertightness. In General,Water Lines Shall be Constructed in F.G. EL 22.0 F.G. EL. 22.0 t 13•• + k' x r AP - Aquifer Protection District Coordination With CotuitWAM and Shall beinAocordance f TANK SIGNS [� With 248 CMR 1.00-7.00&310 CMR 15.OD. Ivrt EL 20.83 Flow EquAhers �" C� L+ Installer To mr. t r f � a f Fr • ZONE Beach House:260 GPD x 200% 520 Gallons 4.A Minimum of 9"of Cover is Required for All Components. EL 27.oo f As Required Use 3000 Gallon Tank S.All Sinrchrres Buried Three Feet or More or Subject Confirm Prior 1500 Gallon W/2000 Gallon Septic Comportment g Septic EL H-20 18 83 r• $ to Vehicular Traffic to be H-20 Loading.It is the Engmeees To Any Work _ 1 5 Im1 EL 19.25 RF-1 RPOD Recommendation that H-2o Always be vain. rf 1t(9 ( ) Appartment-330 GPD+27 P 600 GPD ' Splice into Existing Une D-Box , ur` � � , ,� ,• ,. - vet s�,,�• t t,� �,+} . 0� p Septic Approx. 100 LF. Of New Una r � } Area (min.) 87,120 SF Use a lsoo� tc Tank H-� EL Y 6.lnstsll Risers and Covers 14 Within 6"of Finished Grade Over ' ate rs ' , nk let Sweep 1 C Barr g Fron to e (min) 20 and One Ling Cheer•The Riser Wall,�Box Also See Note 3 To Be Instaffed On J Chamber 16.25 LEACHING AREA Shall be Waternght . `• � � �� � � � ,; `����y. �rj� Width (min) 125' �. a e pore Hose tf ? �•' Setbacks: 600 GPD/0.74 TAR 811 SF Required 7. Install Secured Watertight Risers and Cover to Grade Over Pump B ding. T's els 1n +•`' t< s,� r „w' I. _ as Per Title 5 a r x Fron t 30' �\ Sidewall=2(12'+49 9'�'=247 SF ed � Baff 1 z•' "$�5 rCa^�-c��...rK �ii'h 4r!S+eS' r� �♦ i Chamber Outlet s • ° W I I \ I Bottom Area=(12'z 49'-9"}-597 SF 8.Septic System to be Installed in Accordance With 310 CMR 15.00 6t ' " •s.lr'" �a wJ" ",Ira+' ;5. '} ..ri' nr::.�^r.:rxtzvzn:»." ti - - ,. Side 15 844 SF Total Provided 248 CMR 1.00-7.00 Latest Revision and the Town of Barnstable "_�::::::::n r:::a::t:; ?;.....:�=;t:-;;? Rear 15 � - 1 \ 1 I 1 Board of Health Regulations. »•^ -- a �j \ Estimated High Groundwater LOCATION MAP z o�� I(Z, ' ( I \ LEACHING CHAMBER DESIGN 9.All Piping Shall Have e a 40 PVC " DEVELOPED PROFILE OF SYSTEM Per TH 6 1 1 p2 k/, -__. I \ ,�/'~- / 10.D-Box Shall Have a Minimum Inside Dimension of 12",and a Mmirmma 3 d \ All to be Schedule 40. Use " n 1 =2000 p - \ \ !"� / / Sump of 6 A Splash Pia=or Baffle Tee is Requited for 2 Line. m ( \ 1` ``` - \ ` CRAW\ ski / 5-500 Gal.Leaching Chambers in a 11.The Separation Distance Between the Septic Tank,and Tank Inlets and M \ -1 _ 12'x 49'-9"Washed Stone Fields a Shown. Outlets Shalt be No Less than the Liquid Depth.Inlet Tees Shall Extend NOT TO SCALE ASSESSORS REF: / , I ___ / ,y0! ! / a Minimum of 10"Below the Flow Line,Outlet Tees Shall Extend 14" Mom+ I / t l --., 93,4 j.,/ // I ' ! T Below the Flow Line,and Shall be Equiped With a Gas Baffle for the Septic Map 034, Parcel 045 i Tank,and a Department Approved Effluent Filter for the Tank. PERC TEST: 12,054 ' 1 dot 5 \\ / , __- / \ \ Access Easement "- ` \ \ \ \ Over Existing Drive PERFORMED BY:JOHN O'DEA,BIT- SULLIVAN ENGINEERING , � 179,19 ±SE Upland 4.11_+AC \� �` I / �� �3•R / /� \ 1 \ � \ raw. To Ocean Wow Avenue SOIL EVALUATOR NO.2911 .�y `\ 19J��, \ \ \ , \ ! See LC Doc 1698,963 F•a� Grade WITNESSED BY:DONNA MIORANDI,R.S.-TOWN OFBARNSTABLE 1 J1,125fSF Wetland 0.71±AC J 1 J I \ \ , \ / DECEMBER 21,2007 210,318-+SF to MLW \\ 4.83-+AC / I J l / )1 \ 1 1 \ \ _ / 7be g,N�' 3' Max. TH-3 \ OL'.Z-ade Hie 9"Min Coro ted Fill Filter /nsfj°f�oPh/c Fabric TEST HOLE- 1 TEST HOLE-2 ` \ I J J / / l / ! / 1 ` \ \a, i, �,,, tc�0, io And/Or EL.30.5 EL.30.8 torn \ I J l r / / ` \ \ \ \ 39>j� 1/8' - 1/2" •:::>V t't'I'}Yh'r}Y 1 t{""S:•Vl."'•}:Y}SN}�1"t`ir'Y?r^.:?4:•:vyy}}?1.�:Sj}:iyavtYe:a:YilY:??4i:?•Y?4y:•i}i�li•}:^iL?»}i: u:....T.! :.t,..a,.l, .5r:..Yu......nor at.nth........ f Jr P°O $lane :h4:•}}'r.?i?v'l.?vYa}r.:i:x.?i:rrnra avr a:Sox:.:r:.v::::::::......i:ii:}}P :•.•.•av::.hWFI�;{r,.htir,a:.V.:?:i••d^vklx:]t:avvr.:4::a�•r:::c::• a / C� / J I / \ �4 s Loan avt P:Y}:•'tiro.{{?{•} 'r.�':'�3{.... yy rxi'••:v''yY:{r,.}1?tiv`'frxca. cLa•�} ?r{[i7%`..?fit:ixt :{•x}z.t'}{ri na'v?r.iSi?:.`•' 4/ 1 r I r I \ ti}'�J!ut?:{::::z:v^�v\ai\4y�'a"�4,}{;::{s]r:�:}v::r»r.�•; cal4:Ll y�t4,.ty»v:��i}:a�:$nth.:t{�KS»rl.F:{iti{k�•ttdSa�,:rn4 / 1 l I � ' I \ �y. 3/4" - 1 1/2. "{:r.,.Y•. nrr{rg.:zq:l lax 7A?vyititr•54:•'Y+�ii:?tnI.ry!f?tiy ?x.{vi, .rTJ!• :.{v{{.aa•g.i•r.:ga{rw:�t(ii"nY�fC{;'Cry / 1 / \ I M ;a•albr.•r.:.nktiaRJ-ia.5{$":«x:"a..".n...C.?t.....x....:..n.:.. 29.4 ..s.ar'ra.a....n'�nr'•.a4.rak: .n ..ar:a.....:aa.`a\".•a:4ta 291.E 4 �i J / f 1 I ` 7' TH-i, \ \ \ _ /. LEACHING :s:::.rr:x::.rar:. •• :: •?•8{•«i'fxy::i. :z�9yii.4}::y}}r}Y• MI., hya _. I / / CHAMBER SO�bee Washed ........ ..v:¢g:...;.; v......: y.r.y.;.;::.}a}.r.•y}:i{:iyYY. .7.•:i?ivY}::{i�.r... 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CROSS SECTION OF CHAMBER NO GROUNDWATER ENCOUNTERED C2 LAYER 2.5Y 614 LIGHT YELLOWISH13ROWN I 1 / W //276 0' / / I ` J / '� to O \ r;{ dam,- �'� / NOT TO SCALE 132" MED SAND 19.8 Y 1 1 // - , \ ` • • • a F �`• • • • • •-�,- y • \ \ ©n a 870 / Drive ®NO GROUNDWATER ENCOUNTER � 1 !/ / � / �♦ � �\ / \ � � • • • • CV7e OPW �J `'--- \`sr- TEST HOLE-3 TEST HOLE-4 . 11 �/ �--.. •�,.''// /// /// / /! // •A � \� �-'// ---- \ \�� • � '� /� ` �I k ................ EL 39.5 EL 38.5 / / ! / • • / \ pw°'' a o•ary '` 'l I r�� 1 b9 �1 :::ratt:::xz:r::ar:::a:x••:. ...rar::::a::^:.::... ..a..n......a ...tv:+{:�: r'»�.:4:•:•iiYs:^xtr:v::x:.v}:i.:va•Ar:.:•':....ar.:: I ttl • �" / / / / 9" ....,...."....".............r......,.:.vykaw;::::::.r:;......,,..,,, ..yk:}.n.Stv.x..fnr..z.........tur.-t.r....;;.........n.....t......... }� ! / / • / • �` . •:a:•xa}::•:;;.....•••:::::::•rar::::r.::y:;... n•.\?\•Yt:..a. a.h.'xl:.. V ...:..:::a'::.;...�...... ...n:Yar:::a� ::r.:":r:nr•••a RVr:V: ..VC•:::'y'.nt::r Wtrr:::t.:: �j / t tii•«•;}}::::::::•:. .:::.... ?i?{{?iii:Civi::x Y�i{:{{l,.}r7:kv}\t{�yzt...rv: ::vi•:"ks::F k:v'iri}: !� V / / / "' // �.. ..• �tonw� \` ?St sy\ i fl�� yy 1 `�.- • • • " ...r.;:g:?.:v:d?}yils "r::.^......;.....n;:•???i:�:iCi "..a;....y«��{�e..'. ':•.wn<.....r7tra..�vk.la.. /� 1 5•.?a+irr !�:.Fii"^'?iiizyYii•&"ar•.vn..zx::•Y:z.::.0:::::.::::.r:.:•v:na.v..w.• 38.3 !:ii•«•:«4:••:•?rair?t�v.>�• �\r:•:;rr.•.icz':a?.zr.rn..v arlr.•a:^x:::•.r:::nv:.`• "�rn n37.2 . 36- � '. J/ // // Ifl .i./� /. /�\\,� / /.+ -...-- _ •-R�•2-fi'"-`- \.^/t nc •• [�/)'�.!/7 " • • • �1• I' y'S?Y:}y.':::::•::•:??'y:: �y:!?�}::::•??':'.� «}1V::::J�r':�. rh:YNtYI'tt? *1 �• ,�// / / • / ' / � �•'„�\ •�\ / t z.::.l? n.: m: r / / / �,� .�' ••••`•It1 ,f'1•iT1t•N•,a• / 7 / • • \ / O qz}:env::::::.xv:x •...y"....:....•....n.........:....".;:}:. :..."4lar�x,r't.^ .a:^:..v.r .n:tlniy{'r.::t?•l. O ...V. i^•� .+ \-'Y f 2 r� • ..n;r:::zx::::::. .... .r, "' o / / ''/ +C ..+' •• Z / •fOQ� • • i / / / Q \2L01' 4::v::nr:.Y::ax: it«}rii:"Y.iiaY%Yr •.n. »"t\':} Fir 4� `-0 �" /"' • �' f '....' \ C • �i �1l �' //gyp t'' L nyFY•»:i:Y.l•:?tiwart:: r :iii:crrr':i :::nt�:x:a5:hx?t:?r::•.t r. :: aC•.:z:{•r.: ¢C �j �.-.• / �`- 17.Q"' .._.• •M •.. / • " ..a::::Y•r:':ar?r: t. �lra.r:'ryr:{.J{tt•}} "y::•R:rttx^:r•r.Y. 4• .W:..::•1... V n� ::.• '•�' "....r...n.:z...Yi'a: ': 5h.ntr.{?..lr....:ar 35.5 ��..^ �...•' , �� - / •i _ r•�,,"_..,\ "� Pp�/n [°nh 30 •y•Y•?i;::::;.i:ri:::::}.a.. ::v:i«r:i:::t{:?�;:i:s:37.0 36 '• - q \ Cl LAYER IOYR 6/6 Cl LAYER lOYR 6/6 2 ti a / / y /.' • - _ O- 5170 32.5 � Q /g _-- �-,yaf '�.�-„�_ ...-�•-• i � / // //•�.i-�/ !:��� ,/ \ I\ •• • JI //I/•'• �i••// / M/FBROWNISH YELLOW BROWNISH YELLOW U MED.SANIDMED.SAND 72 38" PERC TEST 36.3 C2 LAYER 2.SY6/4 lP`� -.� � u.n \ ` •---►�, �..` � 23 23; \ \ �-•� 25 GALLONS IN 6 MIN. LIGHT YELLOWISH BROWN ad - / / ( �` / • / _ \- esza / i r' i , 1• / ' / / ----- - �^ \ \ • O �\ & •• �\ \ ••• N•••ill•••J• 11`" 86" PERC RATE<2MINi1N OXAX=0.74 .3 120" MED SAND 28.5 -- -� - -- -__ - �' • �! •• //// / / / x . •• �2 C2 LAYER 2.5Y 6/4 NO GROUNDWATER ENCOUNTERED � _ __f aW / / • \ •• / / / / LIGHT YELLOWISH BROWN ` - • �.. - -' /!_ + i 11• \ / %/ I/ // �•:� '� - t \` \\ \x k ` �� O O \ \ Garden '" •• �1�QI 120" MED SAND 29.5 se/bN `115 0 ` ---� �%''' \ 1\ \ ///�!!/ 0 / - \` `���� ` �e+-feo\ \\x\\ ` • \ \ \ t / G 1(OSA) NO GROUNDWATER ENCOUNTERED / Fnd gi>6.O l N / - ---�,_� / ^\ I ••• / ! / / f - -- - '�7 �\ \ \ \\k \ • • • \ \`_\*+�22 SITE PASSED \ TEST HOLE-5 TEST HOLE-6 y i�? �+4 .,,a,~ /i�/ \ \ �� \ '� UNWITNESSED05114/09 EL.22.0 iJNWiTNESSF,D05/14/09 EL.5.5 d in p /Ifj 1 S /// ! / ��5 /// \ \ I 1\ -22-- _ - /�� /=3' / O a•:•x•:rrm::::•:r:rv«::acr:::::::r•:::::a::-::::.ra::r:•. }i}'l:}�::a•.r:s..s... ..a,..n.......,t..;....ar:z�:.iiF......;..:g:::::. w / / �l` i _ "'�/// -�ii/i i�i t� :an•:::::.v:.v. :{.n...;..:' };i;ji•:rr&> /' N✓� \ O) \ °� 1 I \ -•/ /ice ii i t� ••%<. %r'•::tt: :?'t:... ..,1;: +?r.?:y;`3:•''•:}y.n�:x•}y: C2 LAYER 614 13 i l:l::::::::.:.......r.t......... 7 N / tewsn E. Hirsch \ :{{1Y t{r:':{rr r. .y......tt:•Y::.rr....y.. "ii�liii�itii::::l.:ari.¢:kvtNa{•P:i Y........lair i•}Lxv}r'.r.;iy �ea/� / / r LOT 3 \ .� \ \ \ 7•\ �21-' •• SJj � / 29 .•...•..•....••••• rd.a.........."......"aa.a......su....19.6 LIGHT YELLOWISH BROWN t'/e Fhd l \ \ ••Ina•••• • y •• •• ll r':•:'•:;« i «tl$ .:...":.. ;''j;tfi;'`s»?':; MED SAND LD st W Rea/ty / I /Plan Book 263/41r •�•••Mj� i1�,� •• a Lam • �!s• .,r t.......a..a::.:.:.a"..........u:•::r•.^•arxa^avtv..; • • \ / - ^i ....... fif3 �:�:'?�r......•" 50 1.33 a/air a r? �y / / \ \ � \\ \ 1 1 ••••••• • 51"" ra.:m.� nv:hyar5•::::z::r.r'17.8 y w".•i. •a::x v •:vxnrra••:::r:. GROUNDWATER ENCOUNTERED ?s.�/¢1 \ \ �` \ I 1 ••• // i// �/% ' CI LAYER IOYR 6/6 / � \ �. \ `�•'� 1 I 1 � 1 I ` \ � 4� / /F - //�i////i �� � ��: , BROWNISH YELLOW �Q 0 3� 1`_ �eNC\\\ \ �\ \\ I / ) 1\ 1\ \ �� i rr_' J /��i ''d�• l ��'J `� ' ' 84" MED.SAND 15.0 �W . \ nd , C2 LAYER 2.5Y 614 ( \\ •\ \ ) C \ \\ ` _ _-- 40- LIGHT YELLOWISH BROWN ` J\ \ �\ �� \'� \ _ ,-' /f r 1 BAN 132 NO GROUNDWATERODSAC C ENCOUNTERED 11.0 \ \\ \ `�. - - Landrd Edge Locate Junction Box -��^= _ - -- _-to_ \% iC '� / / J/ / �Y• /✓ \ `�^ \ - A / /i/ .''; ` Top Of Bank/ / Outside of Tank N/F Paw I Oi \ \ = p --_ _ : Steven E. Hirsch ..� N7``�e9 _' �``..� /• /. Pump Power & Float Control LOT 1 1 \ \\ / \ ¢� ,,�� ��� `� -- --7 ✓/'/ I / //:' }/( : Cables Installed In Accordance Plan Book 263/41 ! '� \ ly__ 'dal, F _ /� With Federal, State & Local No and) \ \ - _ -7- - "n�_ or'r\ . _ -- r v /"---T--\ / / 9� 1`�QySs6'• : Bldg. & Elec. Codes w_eta�wY�„�_�-_•QO_ \ w w Alarm To Be On Separate \ r\\ i. \ S Grob► (Bur►fasd) Service From Pumps �- � �'---^..•�_-� \/ \` � / / j/S10 /• .�c� - 1/2'0 Gaiv. Plpe 7 -1 ' '`�``\� \\ \ \ ``\~ r"w,�' % / r ►9 m y A. For Float Support \ �-• / A On Plan by' yield Dated JWf 1978 / \ \j l O See Plan t3ook06 / F.G. EL 6.of •r \ ll =-•- .=:.,? a\\, \ \\ l •� 1 �( 5' TO D-Box w NP sn.e /(�,' ------s- Z°n r LOT 5 \ \ 00, r• 4'0 Sadt. 40 PVC \ 0 For Manhole1 \ �� / to a From Septic Tank 24"0 Open)ng Above Plan Book 263/41 ��ti C kl \ \ \\ , Compartment Frame & Cover P, �� \� 'Post Le end: 4. 0 Approx. 265 L.F. \ \ ra• lam-'ore�iwwi�m :/ .rl� ✓/' I Provide thrust Blocks /f f°ky't� �` / : xjro'L �'� PUMP COMPARTMENT PLAN VIEW DET��1 L As Required / / ��, 4OE ,: ,. ! / : Qs Sewer Manhole �• 4•TT Provide 2 Cleanouts FERIA Zone Lines 9 T s'y� Electric Manhole Equal g / As Shown On FIRM ?6• /V75 ! : • NOT TO SCALE At E of Una `v ® Catch Basin Along Al The to Pond y 250001 0018 D `T�t, '�+ �556"W: :i j! ' See Also Note 3 rev Jul 2, 1992 EL 3.00 Septic Chamber Pump ChamberLandward Edge ® Catch Basin (round) Net Volume 1,570 Gallons. Net Volume LIMIT Of UNDEVELOPED COASTAL BARRIER Of Dune 7 Conduit Thru Chamber For 1 p• (Identified 1990) /• 1T Hydran t Power & Float Cables 24"0 Manhole hover in, *10" Tee's on Compartment Inlets 750 Gallons As Shown On FIRM ?6 {cOTc�' : 9"Min. *14' Tee w Effluent Fllter on First See Detail Panel l/250001 0018 D O iron Pipe Finished Cover EL 1.33 Compartment Outlet � rev July Z 1992 Q Stake & Tack Fram *Comportments shod be j•/ ' / : :' - .' / : Interconnected w/4"0 Vented , / •/ CB/DH Concrete Bound Inverted U Shaped Pipe VARIANCES REQUIRED BOUYANCY CALCS 4"0 Sah. 40 PVC w/ Drill hole i / ► From Septic Tank " NOTE-Variances are from the Town of 3,000 Gallon H-20 Septic Tank Compartment iv Drill 1/8 0 Hole *Tank to be Monolithic or Barnstable Board of Health Regulations Dry Dead Weight=36,000 LBS O SB/DH Stone Bound For Drain Factory Certified Water Tight for Beach/Bath House Tank Only.No y Inv. Z75 Uplift 64 LBS/FT3(T X 1T)=7,616 LBS/F1' �, P'TAR w/ Drill hole Emergency Stara a To D-Box row e o on- e e m Bo om do Waterproofed/Seated o Volume 526 Gag E Min. 2' Cover Title 5 Variances 6.42 FT'X 7,616 LBS/FI=48,895 LBS 9+ •+� for Bo ne w/2 Coats of Approved Sealant S� I{�� O PK nail ,� Code of the Town of Barnstable Provide I'of Concrete in Bottom of Tank 33 � Alarm On El. 0.55 e ?o FSSM nd Steel Re-bar a Chapter 360-1-Setback Requirements L'X 6'X 16'=96 CF X 150 LBS/CF-14,400 LBS m *On Site System to Coastal Bank&Tidal Waters Total Weight of Tank=50,400 LBS / c^ w/ Schofield Cap Pump On El. 0.30 0 PUMP DEVELOPE PROFILE OF lad Required-50'Provided To Top ofCoastai Bank ance Request *Assumes F d O Survey Marker Pin Pumps off D. -0.20 g 5dviddtoT $ 2.0 sch. 40 PVC PROPOSED 3000 GALLON `°' ''ete '° -SOP Provided to Tidal Dona d Check IVa Pipe 2 COMPARTMENT H-20 TANK So'VarianoeReq.,ac .. Chapter 360-2-Soil Stability Deciduous Tree Top of Cone. EL -0.50 Batta,r, EL __Z90 INOTES: PREPARED FOR: PREPARED BY. n7LE. Site Pla Coniferous Tree Bottom of n Secure of Cat hamber Top 1.) The intent of this plan is for the permitting of The Pickwick Realty Trust 1 H.P. Myers ease Pump Stable Compacted a septic upgrade only Only wetland resources as J. Robert Casey Trustee Sullivan Engineering, Inc. CapeSury Proposed Septic Upgrade 1"►or Approved Equal defined by Title 5 are shown. Additional resources -v- Sign *Prior us to Ordering Pumps the tyContractor which may im act the site may be resent. c/o Goulston & Stoors PO Box 659 7 Parker Road For Beach / Bath House & Appartment Must Confirmtin the Compatibility of the y P y P 400 Atlantic Avenue Osteryill e, MA 02655 # Light Post Existing Electrical Service Osterville MA 02655 0 © Gas Gate 2.) The property line information shown was p Water Gate compiled from available record information. Boston MA 02110-3333 (508)428-3344 (508)428-3115 fox (508) 420-399 (508) 442capesurvOc�c9999 f x At 71 Ocean View Avenue T~ ® Well PUMP COMPARTMENT SECTION DETAIL 3.) The topographic information was obtained /"� .. O Vent Pipe from on on the ground survey performed on Bart l stabl e �COtuit) Massiff Q) e4 -a Utility Pole NOT TO SCALEor between 28/DEC/07 and T9/NOV/08. 40 0 20 40 80 120Draft: JOD Freld: MLL/RRL/DWB � � -oHw Overhead Wires • Review: PS Comp.: MLL RRL DATE. May1 2009 SCALE: ' „ = 40, --35--- Elevation Con tour 4.) The datum used is NGVD 29, a fixed mean P•� / sea level datum. Project: 21007 Project: C323 , VENT FINAL Lt3CttT1GtJ TO ' •� FEMA FLOOD ZONE DIRECTIONS: _ , a naD dJExRmfN&D �� SI�f TIC NO i'l S &EL12 A13 B C Zone ' , , , V1'7 EL14rom Hyannis - Take Route towards ou • Heath Hvust=..#6tar,un'f 1t GPD ( ) ( ) F Hi Tk Rt 28 t d Ctit t s C I.3..cvaationoft•)riblic5 sho«•n on Tiii.ltlan Aix Appiox,MLeaat 72 1-lntug Panel # 250001 0018 D (rev. July 2, 1992) Take a left onto Putnam Avenue at a set of lights, 16 C:hanking Rr-(ww ,f,,l0 7I11) t�fiftr Sil.4rIY NXC:list}Ptl l r r_r�l, txrts,Ot t:h�c:,c"ottilo shat>Mal, and follow to the end, Take` a left onto Main r.• t� ) O r equirrd Notiflh;,tiiin x D>g Side F 1-�)t•s44-: .,,. 'a A.P.A�n)anl-:i 33rdri`onf� C to t.il('} ± f, i,',,,• - -• .. Street, Bear left onto- Ocean:. View Avenue, and , >:;1.',hct.t)r1G1'S)Cfr?)-.i;;ttcquircdu)4Cv`Alit:r'�TtRrE)(lflAti'.C)L111}6L� 'rt`•n1'fi3`i'k} •F• 2' , REVISED GROUNDWATER NeGi l}:lgeCiraider <, Fa Et. 29.0 �f site is on the left, #71. w r+ kttu };)rCss;tsttuctit,oC)rtittet111y'Ch=st`,tui. _ 3.44lswrf, ., S wee C.ines it'ttsi Crt)c.<13ralvi Suonly Lila;,%W t rt}, SWili PROTECTION OVERLAY DISTRICT. Pots?Daily Flow..60tt CAD tit t r,,.,.:-,)c'teo oti(la:m 1 t}i'rcM;Znra PiP`C Mli Shall be W(kf t It_5tatd TOea Note 6 (tw:) .w .... No l.ncrcasc in I aw ,zut�T-si::riigttir,o-,s: C»" CivnirvC:bt'atrt Liti S#r4i4 h� ;,s F.G, EL 22.D t t'ntt,tc:t�;' F.G. EL Z2:0 . Y y - Aquifer Protection District ----- -- AP Q L:o�izttinntztu}1VtIh t"tfttru 4't)IA:r,2r)d Shalt tsc;irz�i>,oritar+.ec �. TA.NK.DESi.GNI S with 20 C 11411.L00-7.00<t-?'lo C.-MR.15,00: �J E1.. 24,a��' Flow-EGuilfzars } : } , sr 1 1- l i .A 3tittimtntt t,f'} ui'C:ovLr tg IZixCuir tC(t•r,�11 C.nml;ta)cx:in, 1 l R8 Requuad t [3s,aeh,I:Cuttac,_e~< f..Ill.)�c.,$ .n J2 J t.sP.i.ai).. rr.,-:. Installer To ? • ZONE. s I.All Slrue'ttrres curt d`bri+b Fiat or Store or Svbjet t Contlrrn Prior - 15,„,.tX}6 Halton lnttt Ei t9 5di i t;�rehivWCo Tr)1�lctobali-2UC»NOin <1th�th,fv Inc-trs To An Work t f5t10 Garton r E .: Wr'?Ui}t}t:i sit%)ri r tic C oln arwwr,t Lr Y _tg 25 �- --r_ F11 # 2' 2 f P R fZF-1 RPOD Re�ratnnter.tJ:tro,tti)atCi2.t)"Aiv.a.ct�cUs�ci. Et 1U u..z0 ^ -"~ __ E i )artinvii • t, PD t-2? OPT) t) ,PT) Splice tnEo Exis#fn - " a 1}C 8 Sap#fc Tcnk �; t .mil a` :'t C}Ci U . ' ::, ,. _. i, iill __........ nay � ., ,, ,, !i,ir4�t<'tlC lttsu's n.4[.•?Terc ua WitF.sii 6 of Finished tsrtt,e Livc!Sepity Approx. 100 L.F.i4f New Line , F°t Area min. 87,120 SF t,tr� l..tJu c,rdlon 5c)tic'I'mk tt-«, ...t. •.<.: .,., ".,_� .; ..•,'-... ( s � .. , '2; '.. ,• r Sweep Line As Required � T�r.i,1n.zt;tr)ett._sclrt,Tani:-tnte., lssnk t,osnpantrea=�'+:tir,i.)-C3ot,; `� Provide t: Cieartou# Leaehtng t_ Frontage(min.) 20 { - Eir1iC Ch'rr T..Cacl)ittLr tal•'•ra'iikr,"Oita l2rcet=rttti t,t?vvr()ra r•'the l)-t�v� To Se installed 7rr C.hcsmbes r Also. Sae Note 3 I:I;AC RING AREA. Stable airy ac ass Width (min) 125 L, st•.�tt b,:wt�t;rritt�t: n t ,}f (),74 S •. 1 t.lull:..rc.ir u"at fi c R)su ,.)) f. )t, ,,r s s f3ed 7"° & So,rats •.;•,<•. ..,.;....fr:xfi.:.r..::•...:.rti,;;•z;::4avuA<•:::�:•.<, c . _ Setbacks: �i i .?T't� (.C�(LT AR) �i A..t .Ctcut)trw• )� ec, e twit s a(,ova,r}tt .rt,t.C)..,r Pf rr.l? d ng, s, y.• u) / i ,r_ as Her 716a b' Front 30 sat;��tl . �l ' a�'..y'� 2a^y;r t t.f->ovllrrr t Jilrli�f• O �\ ( \ "t 7e it t`"'7' '7)") i} ff} 7,Y`tdL,'•,'t'.51:Y�."'.`'.'.S:Y.•..l d:W:. `ej. �i/ I3r.s.tftitt:�rta• C_ .a`ty_J')�Su,St: Y.,..t}.t.c 5�,trlu4;bcIty>G;tt:xT ui,�iu..t<,ttncc�j'isl}3l, t_�il.�.C.9.t. �; •t, Side 15 t .'x 1 , ! , •y. .?° Fa f :•h,:::t':;1.'S:':•:t;l>:;+:1;;'•;.:.,.:�;;l.nl.S•,'4'?:..J:.Y.rS;! s I r Total •..-.ti t".CYiTt s.00 :,00 L:..u.,,st Rtr•�i,itiri nn,i tha Tut�'n<)f L3arrttnta.lTa t7 - rt-•-, , . }�y dart SE'Te taC C s)video Rear 15 � 1 � I r iir)uxC,}f C1t;;liUs Rt'!~ulesn4. F1 p t�ai c5 l J ` + + y 9,All l'3piat,ra to Sell.40 PVC. F'somoted High Groundwater LOCATION MAP = o I 1.:C AC HIN{�t"�HAI�i13I:.:IZ,DESIGN , -+ ibd ` �YCJ� ` -i.---/ / 0.D-Bm 1ha11 Have a:%finimufti In"ide Dirr ensiott(if 12'.am,a kfinirr:tvst k per TH-16 f�=2oo0' x, / : tl >�� r. �>:�:�ttl���: t}�� f DEVELOPED PROFILE OF SYSTEM u} L "1 / / Sump of fr A Sphwh Clare or T3atur Voc is Ct,egaittra for ,Lim, \ �.. _".-�-T \ GNAW\r / / S ,5t}tl tial.Lunchsttp C:ha))�tteu it r: ;1,'r1W S palet)on Di"Wnt tic seen}tt e-eptic 7 zn1;,.i}IJ C rrrik 3t 1.t f,t;%i • I � _ I / 12'; ,Ig'-9'�vstg=i Stow Fields; SNur,'u. Otok•E�Shall bo; i,Lef;t;than 1h4 t_qu d?�erut:Inlet��t� sh�11 E�t�,�t�: � jo* �ye' NOT TO SCALE ASSESSORS REF.. / I - t ►^° ., , t I l +. .`' •r / "/�j� / /) r ' a Mini].t:ni of i Q"&lot4 he.Flntti C. nc Out 3't=Sba13,1-,'%uW C4', rS�t)I� Ucil0nk the t"#t)w t-iac;arld Sh til.be C vt :a WWI))Gx,;Bat'`la ft)r'dlt;y^ tic v e C x I Map 034, Parcel 045 Fhd t f 1 -- C �•/ / J , y �' a n,t:.t Dgx1firni ni Apprm:td I P}fn�;)r f•ihex:i,r the Tank. w t of-+ -.,•.` � .� /' � � / /...�... // / � ,, \\ � � / �''r-'^ 4 prof #f pT,j •;)gait D.,. ..,,..., tY ME: EI ,s"�t.ldVit'Q 1 t:'utNEHINO " �" 179.1 Wand 4.11f•AC. �, -. ( 1 i�' ,.., ! ,n \ 1 L' `. \ },.,, To ocsar► vkw��er►us r or"•'j f 125fSF Wetlyr�id 0.71tAC f r. / 1. . 91� \\ \ \ \\ /! 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Z.>,�.r:':10`:"t{r):r + i..,i.•..}.1. ?tt,1?.a•6 J � , � / /' ( �.. :,' � r/ t1Rt)Yt\1tis%x T S�;)F° Nf 0 IN."H 1"PLLt)L; _ �_� ._..._.___.. ,_._..�•�____..__._._.�____.- .._.._____.._ ___ .•• / ,zit a ,> , ,:..r,. -; .,:r,".:'.:r > :: ',`3 GALLONS r4 'tltti,4. / ` _ .a Q(Y S?F€>y,'tiii ?r.i Yt}nt T_i2Ci.3?E Ati*.:71.,L .c_ .1...; } �- .: CROSS SECTION OF CHAMBER 31„1 f..<I A 5. , ' w / 276 o• / sr;' \ \ ;. .� NOT TO SCALE Ddvo R. •.. .A r. .. . . .. ...,.< . .n. .n A .r ,,• n ... � . .,,_ �r�•r .. . ..Y,: f. / u .... .. .,. .4A .<' .• ¢.. S, .'•.,A..<....A�..t'R)S" n..<.bJ'fA.�Y.,...<..Tv.;.A.t!, �,5..,�.,.:. '�' .,4...,.., tf. T ...c / .'r.. r.� / ..•.' J•. Cr/ .. .. r._ ... .n..st.Y..,,..,Ylr'. .. .. .'Y A<,J.YA / /.. , '\..: / / • .- .'D ... -.. ... ty, .. .. .FAA ' Jl"• .. I• /. :.: r ,:. � S ,•"•,�•••. • � •♦ii11, ,'�J!•• � " / 2 -:... ...<N.44.., .Y���1Y•1....,Y 44.p:J.Y.: ... 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'1 ' \ V �. �i /: r,+<'"".� /•/•/✓//f.•� V- �(�' /♦ i'( ).i'v;�}t��.t_,,,?;. � V r 0 # ,,,,.-3''♦ .J ► L`_-,. �.fi'3� �.'''` \ \ t �t ,� � � r � � \ \ �t � rr"'' ..-. �/��%�''`� / >'' •f � .--..-''..-• ' �. N , ti, :t?tt' Tl:i,tattlStiti.Rr ':t:L ) \ \" . /j aid►,. ?>•' 3tt`G t t.o \ r `� \ -.. �. F "' / �r / .,i.-J� // r f 4.7Landward Edp }!!r `� .� /•. �,f r .i:•'.etrs �.�2,.1i::?l;�tE;i�.Ff) � ` � � _ W l..._,., ...- '•'�� "'/ / // CJ � /r , Of 0 no Locate Junction Box Outside of Tonic N/!< taotra Est \ \ \ ` r«+1 `� k / /r :,c` �T Or Burk i f Sbm`E Hirsch I 14 \ \ \ 7 `" ._ aP f" 1 Pumpf ower do Float Control LOT J txe,reor \ \ -^ •�j M. `�.� _ ) CabJa.R Installed to Acctxdanra- Pin"Book 263/41 Wth Federal, State & Local \ \ '. '^ ^7_ \ _ .' —7-. / •�i3 :•, Bldg. & Elec. Codes Fwne) � "°iy_w _ Atarm 10 Be On Separate ^: - '%/` �� \ \- { / / /Sf ors✓Qrali► (Bixried) , Service' From Purnpe ra.r. 1/2 Gals P F.F•.EL. 7.0 '',.1 /X f r h �� \ r \ / Doted iAllby 19 ' / ui+J For float support 1 /r' :sr : \ - \ \j \ ra.n Tf frtu a f, 1 :�Book �06 } , — _ �► Lora �, �, .,� � w�, -��c '���.. r• :� . : . 410 Sch. 40 PVC 24 0 Opening Above Plan Book'Y03/4i From tic Tank \ `Y'1 of yavd • Coen 9 S0i' For Manhole {a-P t .\ d a Compuartment Frame & Cover '`3� %Povit �'�•. �\\���5�. ``yam _ C*� _ � X � c' Legend. --3•-2--- �l . � .. TO D-Box � �� � , -...••-,.,,, \� % •., a•r iip�.n+ttn}:Ms;•}n..ttithr ,,,�,: -� Approx. 265,LF, ♦� Provide Thrust"$locks / fe y a a01a tv `v t, a ,l / ,p lily �' \ And Lrnolnwlccx�'�ItlIDC' �• \ ., 1. MP COMPARTMENT PLAN VIEW DETAIL �' s Sewer Manhole PUMP _.E `� _- --' id Required / 1pr�ti,y�� O Provide 2 Cleonouts FEWA Zone Lhea fs �S �*' /: :d . \�' / L. 4,T7 ® Electric Manhole At Equal spacing :4' 1. A f NOT`TO SCALE I Afang Ilia Line / P. ShoNn O, � �. �. Catch Basin Sae also Nato 3 r*v AN Z 199Z0018 D ?�3 � .r,.� i° ' , /•%/ ?� '` ® €L, 3.00 Pump chamber" '' Landward Edge •,?r``�,,`'.,• ,`// Septic Chamber p z ��_'/ /"?' ® Catch Basin (round) Net Volume urr Or U VEA?E OW COASTAL SAMM or Dune :s' ; Conduit Trtru Chtrrrtarr For Manhole fCt" Net Volume 3.57D ct}flans. dentiled 1090 / O- s 24`0 Man e _ ._.._.r._ _. w- ---- r�- *IO" Too's on Comportment lnle#s 750 Gallons 5 �"�a4: /. '' - 4"•71{t . 1• ° Hydrant Po we,- Fr�tt cob;e ,A, shown dt EIRAi 4, •/! -.,,�., kc# 1 Frame �c Cover 9' Min •t4" Tea w/Effluent Fi7#er on first See [1etaH Panty 2'50001 0018 0" ,,/• p Iron Pipe, 'mac ode {{ cater Et. t.33 Comportment Shall ___ ___' rov rFdY Z;1992 /. t / T *Compartments Shalt be " . . / Stoke & Tack p Interconnected w/4"a} Vented r ' O CB/ ,H Concrete Bound Inverted ti Shaped Pipe ' RIt1I�10ES KEQt17REI I3tJ[TYANC.Y(;z IM `�i / 4'!1 s�tr. 4v F�vC . r w� Drill h01@ From Septic Tank Ni:)Tf -i"ai:ances Ko 06)u ih+r Town(if 3,000 Gaiinrt 11-20;iatnt o"ti,nk iJt!1 t a Hare * / OF Compartment Gat n Tank to be Monolithic or I3.+rr}aGtbla33ca tti of H i=Etlt Rs lout rf.i 1 El; f.Jeae it't.i lit =3ti.dit)Q T l"3Z S OH Stone Bound - Far Drafty T O B� Factory Certified Yla#er Tight Inv, To D-Box tat f3;.ach?Rath Lttme,T`aii3 Chit;.N. llplitt-=''641_15S, I`-{7X IT)''.614s1.J35'�-T .�� Provide 1 cif C rate in $o & C�trC)terproofeedjSealed .• • , . w Drill hole Emergency stara,�eDill tom Talc 7 urra.}cv,jf,cTu}rid, 6.42.C'TK X _616.L;Bgil,` =�43,st'} 113a / ")'- ibirr. 2CoverApprow•d Sealant , ,. - Volume 528 Ga. y" /r ---�� for'8o nc tvf 2 Goats of x O PK" nail ar t_rks yr cl)a t�.tn"af.k3santsuibCe T ro,taa t of c nntnai :n FStitio•tt t�1 T.at)l • � gip,,�,1 Alarm On El, 0.55 F�-�f�0 p� GhukpWr 3W 1.. Scttr}ck fttgvtircmctlLs C X b`Ji tii' 'c)G t'F.�s t i BSff h.1�,, J'.t.t._85 ML SSM — m "Oti Cite Ckgtarn"to C.ov�w1 TSank&1 id-4 W utevi Total lis ight ot'Tank' 50,00- ' p Steel Re barLis Fnd Purrs On a. ©.� DEVELOPS PROFILE OF silo'R ired :tf`1�rovided To Top rr Coamal plan � ���,,r: w/ Schofield Cap t Pun)o `` T r >,J't/triaitt;t:iti�ttwt ".1:;r;utn:�sC':multi}•ft•;t�snm�•r::it•ty SM O SurveyMarker Pin Pumps off Ef• -0.20 g , PROPOSED 3000 GALLON n {ti k-`wtian:c Ro lix-A Threaded Pipe 2 COMPARTMENT H-20 TANK vfyl t�{ Deciduous.Tree Tap or Conc. f+. -a.SC 13rn, El: -2rx3 t NOTES: - PREPARED FOR: PREPARED BY TIRE: PI T Site Plan A01S 's p� a °p 1.) The intent of this plan is for the permitting of The Pickwick Realty. Trust Coniferous Tree Bottom n'F Chamber stahla CeTROCted-1 a septic upgrade only. Onl wetland resources as 1 H.P. at s Pump P P y Y Proposed r Septic Upgrade or roved F uol easy defined 'b Title 5 are shown. Additional resourcestJ Robert 0a�ey," Trustee uLl�yan n tne��'�n, , I .C. n Approved 4 *Prior to Ordering Pumps the Contractor y r�' � -Q- Sig which may impact the site may be present: Must Confirm the Compatrbitity of the CO �iUUrIStOI?' t4C �tQUI"S Pt? Box 6S9 7 Parker Rotd n For Beach Bath House & A ailment 4- Light Post i xtsLrng £tectrfaat se <iGe OsterYille„ M q 0255 fps#erVille MA U2��a pp 2. : 'The ro art line information shown was 400 Atlantic 'Avenue � p y �. Gas Cote _ coin IPd from available information. _ (508)42e-334* (508)42e-s11.5 fox {�oa) 42v-�ss4 (508) 42a-3sss faX 1+• o water Gate P Boston MA 02110 - 3333 At 71 Ocean View Avenue Well PUMP COMPARTMENT SECTION DETAIL capestiri�ropeccrd.n�rt 3.) The topographic information wos obtained from an on the ro na Surve performed on r Bamstable Mass. to O Vent Pie P Daft: JOD Field: MLL RRL DWB Cotu►t p qq y <- UtilityPole or between 28/DEC/u07 and f9/NOV/08. 40 0 20 40 80 �20 'NOT TO SCALE Y ._.__�.. s —oHw Overhead' Wires 4.) The datum:used:Is NGVD '29, a fixed mean Review PS Comp,: MLL/RRL DATE: SCALE: �r _ r N --35 -- Elevation Con tour sea level datum. Project: 21007 Prr�)eet: c323 May 1 2049 40 i DESIGN DATA 30.00 DESIGN FLOWS ! OMNI RSF DESIGN CALCULATIONS EXISTING BEACH HOUSE 28 00 B.F. 20.50 ELECTRICAL HAND HOLE 1 Bedoom @ 110 GPD = 110 GPD Sand Filter Media 24" minimum depth <1% #200 sieve (SUPPLIED BY OMNI) 16 Changing Rooms ® 10 GPD = 160 GPD 28.00 19.75 Total = 270 GPD ':', : :'', . 24.75 J7 Average Daily Flow Flow = 3,130 GPD (SEE SYSTEM COMPONENT DESIGN NOTES) .00 EXISTING COTTAGE Wastewater Strength BOD5 = 230 m L 9 9/ �= rNIM 1 ���II�- I11 ICI I----- I`u..`tLt.� , I2 Bedrooms © 110 GPD = 220 GPD3 ;: _. lIIII1IIlI I--II111 III ? I`� 11 =11I Total = 220 GPD _ l-� l 1 1 1 I 1 1 1 1 I-- I 11=111E I =1I I I IW ; 11 T 1 - 11--I[1 1 - - I '' '" I I I . .I l l 1�I I I(= __: :__. _ ; Recirculation Ratio 8: 1 (variable adjusted by operator) - =��! I _ ! `U"__ 111 .--P II €.€ �, �6 -L �- ..:I � � � : •• I I� 1 11�1 I 11 �1 --I DTI I�=t -1 1�1T(= I - ��lM = I=� T_ 1-7, -1 - I.I::-- PROPOSED MAIN HOUSE I II=11 :1 _ 11 1 111= 5-0.02 MIN. 1=I Il .I ® I =11 -111= I:__ 19.00-- 1�I l-� �I��_LL 19 Bedrooms ® 110 GPD = 2090 GPD Recirculation Tank Size 150% of Design 'Flow (per Title V) :. • Il 111 11 - I11= I -111 - 11 III - �.M 11 - 11=11 - 111 = 11'-illl - 1 r ' •1 ! II � -1, lI I Iml 1- _ s-0.01 !l - --�1_-- Total = 2090 GPD 1.5 x 3,130 = 4.695 (5,000 GALLON TANK PROVIDED) I !--1 - I1 :; l - MIN. : ,.,'• l �!! 1- - I -=1 1=��1 -I w - - ?..: l�l_ 1- 1 I -1 : i 25.50 1==�� I l o SCHD. 40 PVC TEE _ -I ,_ w _ - l l -� l � l I I� 1 I 1- 11--I I' 1=1 I I-!I I 25.00 !I�1, � l� I � � =11�1�1 111��:I PROPOSED RELOCATED DWELLING Sand Filter Loading Rate Loading Rate (LR) = 1610 / BOD5I -1 llW ll 1, ?' 1 I1 lj�Il- :1 IF;; !- I 11 5 Bedrooms © 110 GPD = 550 GPD LR Loading Rate r `.;� - I- l:• -- fill 1 �� 1;• - I MIN. l -` 9 17.9 3 .., �1� -I �1 =1 ==1 1 o 1 I I1 '[ `• 14" EFFLUENT FILTER �`;- I Total = 550 GPD BOD5 = Septic effluent mg/L 11 �11 [ 11 �II-6! II -fI[ I III II I1� � -I =� II .I 1 I11- 111 [ I 1610 = Conversion factor L .• ::; I I1- I .: 11- II I1 I!I _-I !� !. :1- - 111 ., TOTAL = 3130 GPD l 1 -I L�1 _ I, ll l! 1 1 �� 1 I- � _ ";• 11�E 1.=-� ��I 1�- �, 11=1 I" .:;.•• 1 I1 � 1 1�11_ ., 1 I 1 F- 11 : '- lam. , NO GARBAGE GRINDERS PROPOSED 1610 / 230 mg/L - 7 gpd/ft2 �.; ,, III l 1111 1 ' '•J' --11 - 1 ICI -III 1 III- 1 Liz l 1 -1 :, , I 11 1 ___I 1}:�_ 11-11_III_ I(-� 1�__�j ; '.I �_� �.� °I 1 awZ 0= .-=�I 1 � I I IE 11 IN ANY OF THE STRUCTURES : •1. '• i ^ , = :•,. ;.�: •':•: � I EXISTING 3,000 GALLON 1 "TI '~ I -I ! _-�_ . t _I 1,500 GALLON SEPTIC TANK Sand Filter Surface Area (SA) _ (Flow gpd) / (Loading Rate gpd/ft2) 11- II I11 III SEPTIC TANK H-20 _ I- I1=Ill .• •''�1I�= I1 1-III H-2o PRODUCT - - 1 I l I 1 S,. ACME 1 T: 11 SEPTIC TANK DESIGN 3 130 d 7 d s ft = 447 s ft. Re Required I- I 111111 SEE PERMIT 2009-184 ll 11-111-II ' :,.'' •• I- I� IIT II PRECAST MODEL OR EQUAL o=�O ' ����� I ._ 9 P / 9 P / q q q I [ =1 l-- l 1 l-111=11 ELF) w:i- ;1=1 I�111 11�I I ..,;•. : �:: : 1 -I l I I_- T f - i= TIT 1 1 lTI ;•:<:' �.: - I 3_ _ I NOTE: ALTHOUGH A 2 COMPARTMENT TANK OR 2 TANKS IN SERIES3 OMNI RSF H-20 10X17 Filter Modules Re Required lid 1; li 1T1=�� �= t= TiT-�- loll 17.50T lIIIL Il q ;••,....' ! 1 I I ll 1I I®-- I!� 1 �11 :.•1. I� � 1 I -�-1I �- .I`I_ -_ �,,_ IS ONLY REQUIRED FOR THE MAIN HOUSE THE DESIGN UTILIZES I..- ,� I l I= 1�- u -I 1 1�EI =l ...111-- 1 �I 1 ill ll1 1 1 1 I F 1 (1-1 1= 1� I - I--- !- l -I • I 2 TANKS IN SERIES FOR EACH DWELLING FOR EASE IN RECIRCULATION. Recirculation PumpSize = Dail Flow X Recirculated Flow + Back Flow �' . I - - � � �� T �� ADJUST FLOATS 20.25 1 � I=11�1 lll _l l TANKS ARE NOTED IN DESIGN AND SECTION VIEWS AS' FIRST AND 3 130 x 8 + 70 = 25 745 y d ALARM 11.65 SECOND TANKS. THE FIRST TANK FOR EACH DWELLING IS INDIVIDUAL, 9P AS REQUIRED ON 10.65 25,745 24hrs = 1 073 al per hour variable cycles - adjusted b operator) R O1 AND THE SECOND TANK IS COMMUNAL. Pumps Provided b OMNI 9 (100 gallons/min min © 11 ft. Total Head) y i11 bFF 9.651. � 1111 p y g / BEACH HOUSE FIRST TANK PROFILE COTTAGE FIRST TANK PROFILE 1�i1ll-- J 1 -1NMIIIII1- 2 Required NOT TO SCALE i_. - 11=11 8.00 FIRST SEPTIC TANK DESIGN NOT TO SCALE1 l - 1 I -Il- EXISTING BEACH HOUSE 750 GALLONf CUSTOM EJECTOR TANK 270 GPD X 200% = 540 Gallons Required Discharge Pump Size 111=1 1 111 _f 11_11 4 I.D. - H-20 PRODUCT ACME (115 gallons/min ® 28 ft. Total Head - 3 O Discharge) _ PRECAST_MODEL_OR EQUAL Existing 2000 Gallon Compartment Of l �=1 _ � 11 3000 Gallon Tank Complies Myers 3 Non, Clog 3MW50 RPM - Or Approved Equal =! - I .w-=I 111'-= � l ��.11 ---13 - P 2 Required ��[1-[ 11� I I�11�--•-I I(--•-W3 I l--(E I------I I� (---�-1 EXISTING COTTAGE coTTAGE 33.0o MAIN HOUSE EJECTOR PUMP 220 GPD X 200% = 440 Gallons Required Sand Filter Module Setbacks Same as Title V Septic Tank Proposed 1500 Gallon Tank B.F. 29.50 NOT TO SCALE P PROPOSED MAIN HOUSE LEACHING AREA DESIGN ELECTRICAL HAND HOLE 2090 GPD X 200% = 4180 Gallons Required Effluent Loading Rate = 0.74 GPD/SF 32.00 29.00 Proposed 4500 Gallon Tank 3130 Gallons / 0.74 GPD/SF = 4230 SF Required 32.00 r. : 29.00 29.00 PROPOSED RELOCATED DWELLING Proposed 30' X 144' Field = 4320 SF Provided ;:r. -, . 27.25 t ••,. 26.41 550 GPD X 200% 1100 Gallons Required ;'' ' Proposed 1500 Gallon Tank .... •1 ;';;:. 1 -- ;1-- ,- p L -d I- 1-p -1 Tloll 1 � 1 __ 1 �1�=l I.�-� I -�- �I I I ._t �1 I_---.�1 1. !II---.1'• I l-�.I 1 ='1 l m=-= ,' • I 1 111�11 11 1 I I�l 1 �I -III „•w 1 l=1l!�l 1 I- l l 1 l 1� l-- I 11 I�..1 I�1-J I I I 1=1 I I �(1 III SECOND SEPTIC TANK DESIGN ;.:., llI ,� . .1 .I =I h=11 1 .1 1 3=IL(-1 1 1 _�� - ! 11 -� II==l._1=.IEllI1 11 I1 IC -- _! I_� S=U.02 MIN. 1 -1 ��� L 1 �I S=o.02 MIN. -U= �I ill �--- 3130 Gallons Required 1= I =1 l =1 l _ I-� 'l" ILA- Il �ll1 � L = Proposed 3500 Gallon Tank i - P .�... �" Il 01-%��I� ; •' � 11 I 111 5-0.01 MIN�l�'jlll � �•'"'•• '..�ill-�llll RECIRCULATION TANK DESIGN scHD. 4o PVC TEE -- _ -: Q g 29.25 1 -� I o 27.00 nl l o J - 27.5o 11' ,-1�I1 _ [ 26.66 - ! scHD. 40 PVC TEE �_I� - l -_ QQ l 3130 Gallons X 150% = 4695 Gallons Required ; 1111hl�ll 111 Il� �' I1- 1 1 �lhl! ?{�lll 1l -Il oscHD. 40 I1--JIB• l 1 11:, I. III -1 1:• 1 26.20 �l.. _ Proposed 5000 Gallon Compartment x•1'� .. .•,.•;_ � PVC TEE � w o - 1-- ' 29 EFFLUENT FILTER l =1l I l I[ -1l: 14 EFFLUENT FILTER _ l I I 1: w - l- ,'� ;1�11 ALARM 24.00 ll If : 1 l 1:�1 11 l 1-- l .: l 1-=I :• ::••' �G� II l .: I_I l I=:-I1_I.--I 1.: ON 23.50 = ll OFF 23.00 I l w. _� _ I l 1 I----llIi �, •. •i 111 -:J •. _ - 4500'GALLON SEPTIC TANK - W 1 ;j00 - T . •.... 1. ll l I I�I GALLON SEPTIC 'TANK 5}~_+- It= _1, !I :, . .. ,.�.w : .. ...•:- . A iH-20 'PRODUCT 1- ACME ;_T- �I :. H-20 PRODUCT ACME ~! l - -I -- i 1 = 1,000 GALLON.SEPTIC TANK " ` ''� •'.• �1 I 1 1 PRECAST MODEL OR EQUAL l � 11 I 1 PRECAST MODEL OR EQUAL 11_ � - 1 1 , =III I _ IT =TII=I I l_ 111 I It I I H-20 PRODUCT ACME 111 I ll, If Ill! TfT=T� 11 I! 1I1 I1 11-���11 ''.+ :.• l 1111 �_lll1 - 1 �_Il _ Il �Il 1= l=IEIj Il _I�IL ll -I 1 PRECAST MODEL OR EQUAL �..�.1- - I 20.42 21.91 21.45 PERC TEST: 12,054 - PERFGRMED BY:JOHN O'DEA,EIT- O.N1 SULLIVAN ENGINEERING MAIN HOUSE FIRST TANK PROFILE RELOCATED DWELLING FIRST TANK PROFILE SOIL EVALUATORN0.2911 ', WITNESSED BY:DONNA MIORANDI,R.S.-TOWN OF BARNSTABLE DECEM13ER 21,2007 NOT TO SCALE NOT TO SCALE TEST HOLE- I TEST HOLE-2 TEST HOLE-3 I EL.30.5 EL.30.8 EL.39.5 " 1, ;;;:';:';:•;;:.:;•:.;}};;;: ;;:';:•:•;:::':::....:;>: •;:::;;:;;:{• }:'}.::}:;;; 6 -8 H AN D H OLES W LOCKABLE COVERS : :: ::::: ..........:..:':•:.::::::::::::::::::::::::. .....................................................•.......................... :.::::::.:::::.:::::::::::::::.::::::::::::::::::::.::::::::::•:::•::::::•::. / I; }:}::.•:::•:::::::.:::::::::::::::::•:::•.:::::::::::::::::::...............:::.: HRU OUT SYSTEM NOTES is 8.3 I :2t`: ii:t i`::;:;: :i: :$i:i: r:i:si:`<: :............... i.....ii:t i 3 %;i>S 29.4 15"?•'.•:i�iiz:�iis�:�:�i:� :iii :�r :i:i:tii'i�f:�ii : : tt>29.6 5 13" �i :?ii::? :�i:;-'.:�iaisis�is%�.`• r:ii�r�rf�i:�ifi:�: ....................:. . ... :. .. .: :::.....::......... ::::;::;:::::::: ::::::.:::::::'::'::::; •. . ELECTRICAL HAND HOLE :................. :::':::::':::::.:::.::.: �A:.. ...:....•. '..:.::::•::::::::::':::::: :•:::•::::':::::::::.:.:. . •:.................................: '''• ::::::::::::::::::•::::3;GAt;itX S16:::::.:.:::.::::::. ::::::::::::::::::: tVYi9t?I:c•:;•::•:::•::;::::::: ::::::::::.::.:::Sty t3V3 .732t#XX4?T.:::::::::::::::::: :::::.::::::.::::::.:::•::• • . :. „•::::::::.:::.::::;::::::::•::' 1. Location of Utilities Shown on This Plan Are A rox. At Least 72 Hours ::::•:::::::•::::::::::::.. "•::::::::::::::.:::.::::. OAIt�":S2D,::::::::::::::::::::.:27.8 30 "::::::::::::•:::::::::::::: dAh2Y:S ::...:...................37.0 34 ..................... ... p6�1 SAS..................... 27.7 36 28.75 2 PRESSURIZED CI LAYER 10YR6/6 CI LAYER10YR6/6 CI LAYER10YR6/6 PVC LINE Prior to Any Excavation For This Project the Contractor Shall Make BROWNISH YELLOW BROWNISH YELLOW BROWNISH YELLOW 24.00 28.75 28.33 S=1% MIN. 1 1/4" SCH 40 PVC LATERALS the Required Notification to Dig Safe (1-888-344-7233). 84" MED.SAND 23.5 MED.SAND MED.SAND C2 LAYER 2.5Y 6/4 44" PERC TEST 27.1 38" PERC TEST 36.3 24.50 2. The Contractor is Required to Secure Appropriate Permits From Town LIGHT YELLOWISH BROWN 25 GALLONS IN 8 MIN. 25 GALLONS IN 6 MEN. 24.25 35.00 Agencies For Construction Defined by. This Plan. 120" MED SAND 20.5 80" PERC RATE<2MIN/IN TAR=0.74 24.1 86" PERC RATE<2M1N/IN LTAR=0.74 32.3 C2 LAYER 2.5Y 6/4 _ "+ 3. If Sewer Lines Must Cross Water Supply Lines Both Lines Shall LIGHT YELLOWISH BROWN LIGHT YELLOWISH BROWN q -•- -- ---- � Be Constructed of Class 150 Pressure Pipe and Shall be Water Tested to 132" MED SAND 19.8 120" MED SAND 29.5 - l 1I I I I I 11 I I III l I� I 3! l 1 4 NO GROUNDWATER ENCOUNTERED C2 LAYER 2.SY 6/4 NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED Watertightness.t I g 1 I t nConstructed in _mom Assure Wat ess In General, Water Lines Shall be : . ..• - a.. .w„ ..r., .__. PITCH LATERALS TOWARD MANIFOLD I Coordination With Cotuit Water, and Shall be in Accordance 1 ..... j �^-^..- ,_..... •:•'r,'r,:}%tJ+¢{:{:{ti?.ri;yi'il.y....t•S V:..{:}::.........kA.......{..{. I l l-ml I l I 11l l 1 111 l 11 11 aL--1 1 l 1111 I 1 - 1 _ . .:'?...;.faiW{.?J, ,'.•{g.1!`�>s:�: a:>.>�:t>.:,:a:>:�;::• cv With 248 CMR 1.00 7.00 & 310 CMR 15.00. E- + I µ = rrtart•:,:>rx•}}a TEST HOLE-s � TEST HOLE 6 I I I 1 111 I I l l 1 I I I 1 I .... .............{................. I I I T---1 11---"-l 1--� TEST HOLE 4 = --=1 lR 1� 1" l �-l -I -- -- { V;.,.•,..,...;..:..:,.. 4. A Minimum of 9 of Cover is Required for All Components. 14 0 EL.22.0 ED 5/14/09 EL.5.5 S 0 01 MIN. � �� � „� � � 0 1 l 1 """" l�"""""����'"W'.1 l"'' ""'"" l�"""""l 1""`" 1 q P EL.38.5 UNWITNESSED OS/ / 9 iINWITNESS 0 :{;'•t;;'•;k;,;.,:}.:';::�}iysy.".•:;;•:k��;>.��:'tS;;;;{:3�1:t3??'t?;;,�tHstt fi)1�r„k e _ ,.x{...fie} ...xy {�s}>a}Ie�{�...t ,r1 . -! --I 1 I -1 - _ ! j � � { �� _ T --_ _ ;..._ 5. All Structures Burred Three Feet or More or Sub'ect ............... ................... ... ...........:......:".::::::.::::.::: .................•............................................... ::}::}:{•:s.{}:.>.h..::,.':}.:.N,:::::'::'::: .:::':t.:,•:.::.t.:::::t>.::.:VJ.:•: l oo -( t- i �. _ .....""",... ::J:tJ:J:..t't:.V:. •t:�'}>:'{':{{'{}:;n:ti{:ti;.>:}R}}:{{'}}l;:;{' I l-ITI_IT-� ----1 1-1 ---- 1 T - Imo.. :: :::::. :::•. ::•:::::::.::::.:::<:::•.-:::•::.::. Y 4 ...............,::••:":::::::'f :•&:••A•::e:�:•::;:•::;{•::•:::::::::�:::::;" 2 LAYER 2.5 6/ ._. _ -i -�-._ _ {+{•}};:},t.:•:}r{�t....... . . ......................................... . _._. ..._. w.... ...,. ..a�•.�............ .................. c SCHD. 40 PVC TEE - :::.............. ::............................................................. :;::;;:::.>::;•::;•}:.::•::'::::::::.:::::::::.:::.::::•::::::::::::::::::::::::::. _ _ _ _ to Vehicular ::::::::::.:::::.::::::::::.::. :.:.::•.:...:................................................................. -_ - cula Traffic to be H 20 Loading. It Is the Engineer's I t 11 I1 ! �I I I Tl 9 LIGHT YELLOWISH BROWN o T 3 PVC MANIFOLD I6"•a•::•::•:}:•::•}:•:�>:•}:•;;:;:•::;;:;:"::• ::::::::•::{•a:t•}:•;:•;:•::.:::::::::::::•::.;:::•37.2 ..................... � .� SEE DETAIL SHEET ;:I °�_. .� ,-.- � .. .� .-. I l l 1, l J�11 1. l 1 - l- l=�-`� 1 1 l l Recommendation that H-20 Always be Used. :; :;Hr�A�IneIn?3lYs fa»>i>:>:::;:::;»:;:;>s:: ::.::....;:: >z Awe xoRix >:;;;:';;;;:•;;;; MED SANDIII Y 0 1.33 I I I --�� OMNI RSF - Tl ! ��_! I - ! �_ I I 34.00 33.50 :::<:::>::»;»s....... i awi acxv •:;;;;;;;; .............:........................................................................... ___ _ _ 6. Install Risers and Covers to Within 6 of Finished Grade Over ::::::::::::::::•::::.::::.. .. ••. ::.:':::::::::.:::,:::' „:::.::::::::::::::::::::::.• 11 l 1 1 1 1 I lTl�l 1 _l 1 l FILTER I l l I l�11 1 l l l 1 l l 1 l 1 1 36" ....... �a :::::::::::::::::::::::::ass s1 ................"...."..... tM . A ......................... 1za GROUNDWATER II 1 . IER - I I I 1 T I! 11 I ll I Il II l l MODULES I- 1 IMW I Il 11 111=l I T=� 1 I All Components. C1 LAYER 10YR 6/6 CI LAYER 10YR 6/6 19 EFFLUENT FIL - - p - PRESSURE DOSING MANIFOLD SYSTEM BROWNISH YELLOW BROWNISH YELLOW l -� l 1- 13__. l l=�l 7. Septic System to be Installed in Accordance With 310 CMR 15.00 & 72" MED.SAND 32.5 84" MED.SAND 15.o _ �' 248 CMR 1.00 - 7.00 Latest Revision and the Town of Barnstable C2LAYER2.SY6/4 C2 LAYER 2.5Y6/a 1 * ill ll ' _ lljj �. 24.75 Board of Health Regulations. LIGHT YELLOWISH BROWN LIGHT YELLOWISH BROWN Ill�ll 1 tE1 3" PRESSURIZED TRANSPORT LINE 9 " ' '"`' " •' ' '""" 24.17 SLOPED TOWARD DOSING CHAMBER Piping 120" MED SAND 28.5 132" MED SAND 11.0 1 . 1 l,! 1 - l I1 I 8. All Pi in to be Sch. 40 PVC. NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED 31 ~[Il 3,500 GALLON SEPTIC TANK 1 Ill l l 9. The Separation Distance Between the Septic Tank Inlets and H-20 PRODUCT - ACME ITV I I I 28 50 outlets Shall be No Less than the Liquid Depth. Inlet Tees Shall Extend l 11- PRECAST MODEL OR EQUAL 1 11" 6,000 GALLON W. I I-' I RETURN LINE TO a Minimum of 10" Below the Flow Line. Outlet Tees Shall Extend I � .1- --I I - �I I® �! �I I- � oMNI RSF � -m � BOTTOM OF TH-4 l Ill 1 1 11=llllIlIl=1�1Il T1�11 1 =T RECIRCULATION TANK � I T RECIRCULATION TANK Below the Flow Line as Shown on the Tank Sections, and Shall be SITE PASSED !� 111 •lI I �I1 �-- �I �� NO GROUNDWATER � .. ��.m„ ..�...�.,..._. �.�� ��� ��• �t��.'': r �� " ��. 1 - �:��1 , ,.Il Equiped With a Department Approved Effluent Filter. 10. The Design Engineer Will Inspect the Installation of the System 15.17 in Accordance With 310 CMR 15.021 (2) at a Minimum 18.83 per the Following Schedule; After Initial Excavation, Prior to Backfilling, During Backfilling, Final Inspection of Components; 6" MIN. MECHANICALLY COMPACTED Final Inspection of Running System Including Pumps and Alarms. CRUSHED STONE OR IN SITU MATERIAL SECOND TANK TO LEACHING PROFILE TYPICAL ALL STRUCTURES NOT TO SCALE i Add Ejector Pump For Main House & Pump Chamber for Relocated Guest House NOTES: PREPARED FOR PREPARED BY: TITLE. D c } System OFNj�s (Sheets. 4 & 5 Only) DATE: 06115111 Proposed V empiti V ysLem Modify Driveway & Lower Patio The Pickwick Realty Trust QQ Sections JO A. ti ' Update Utilities & Grading Des n & & Add Lower Gate DATE: 05120111 Andrew Newman, TrUStee Sullivan Engineering, Inc. g 0. 68 c/o The Beacon Companies Po Box 0 At �- II / p Osterville, o Rotate Relocated Dwelling MA 02655 0 `cG1STER� ��Q Sheet 2 of 3 Only DATE: 01113111 50 Federal St. 4th Floor (508)428-3344 (508)428-9617 fax 71 Ocean View Avenue LO FS/6NAL�NG\� Shift Relocated Dwelling Footprint 33't North Boston MA 02110 & Modify Addition To It Bamstable'Sheef 2 of 3 Only DATE: 11/19/10 � � MassmCotuitShift Proposed Dwelling Footprint 20'f East 30 0 15 30 60 120 Draft: JODaoi Eliminate Pool House & Retain Caretakers Res. DATE: 1%8110 Review: PS DATE: SCALE: REVISION: Increase Pool House Septic Tank To 1500 Gal. DATE: 09110110 Project: 21007 August 1 2�10 y . _ 4" PVC GRAVITY MAIN FROM AC POWER 24" H2O LOADING SEPTIC TANK SUPPLY LOCATED 1 1/2" CONDUIT „ IN ELECTRICAL MANHOLE 2 PVC FORCE MAIN TO HAND-HOLE 2" PVC FORCE MAIN To H2O LOADING HEAVY INLET OF SEPTIC TANK FILTER MODULES TOP COVER TOP EL.=28.33 OMNI RSF PRESSURE DISTRIBUTION LL 3" PVC FORCE MAIN co 2 FORCED MAIN TO FINAL DISCHARGE ao FROM RECIRCULATION TANK 'P ri•%'hl"L,t•a :-fuh"S• '..�;pp J,(-tt'�' :A.t,(s`t�) .t ..(••w'. •'• .t':ia+3Mtt F i I" rtlV wA•..• ,M• ..r . .,. •� h }. . .A ^'0• :$ .. S' "•t! 'F.. t' i ••'.' :•t.1 k. .•;Ynn )a. .r .�',• fi:.'•�T .:� •[ `•� ? •+:••a -4, 'I�•tai •+. •al P .�!• C' wr.i;. .r.Yt.. ::Sk+L�1 v.t.•F •' ! av f{aJ ,e.•1,e�. 1♦ �j d', B4 'oA.. x• t;r: • atwr� ;,1 •{.J ;tt,�w'n:j�,�' .•iw,stlF.•I;•V., .i�. •'M1.. N�.+y,7� .A•>•11... t.t w, r. r.•u. s, I. t•• b,n f.a f•'1 J• •,,:.,+ ► S& t �•.� 6•'I..h �c• t t ��.+ S.L.. '.,(` •ak2.:'v'+jT"��'rJi�r \ ?�1`i,(.ti •:�7�7ir:�1�� 'w rya, rtrhj�..K•1, M •1A�. 1 i;utat•� .�f,,},yi�,r ,S•' ••`•, s�,,,4.1 '•irr;.. :Tr• a ��,yfy��lY�� .t:� L�•S;�t♦•�'• ',��w�y�,4'1'�r:i;�{j 3).7ti�,'N •'��`1s s .I. '•�'.�'1••yl�wr•K•;aS♦,,! 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END-SECTION VIEW SECTION VIEW 17'-0' .A. :}. ra• ••pa�' .1 ,1 �,Z�l ':%' �•I.;LY, Yl',',1.• .t'y 'r,1,'Y`'t•i t- 1•�►s• ':a• .f.•wi.ara..}'.a<. r, y r r•%1, y• : F. ,Syfj' .• ,1 .,. }r s ai,7„ •!F, r t•► 'A rws'tis ;�tl '�. r•3t..•'� .w,^fa.• {":: .•• •'+•:+Y l''� w;wi'•,:ly '{ dyi '�)IY•s. 1j,�/ n•,.�,- u.:f• r '7�' aSis•+r 1+. � ..}'� �..f Y;.a J t, i };.i R r 1's• g''1 wq,,l a 9.. •;d :},: i.\.ror.. w:'••I`S�;'),�• .fryA ,,, •.ar�e(.,.jyy$lt.�{:ir.14•iisa'a:f: :,•n•j'ti'.. •a t 7j,S.+.1'•,.,r t: :'417:•1�.y ,,,J, •ra .4• •v+)••"'.Vy Sri•♦�...'}^.•1.r;i• � , r'a. va �Y;,'S•{r,Z 'YV�.. •„u•w FR n.ti�t, b.•t•'f/' !st ✓.•.� .{•wL�C•+ 4� •'1i •w....�f,.•p; ri t. t,l.•i,. .�•^ .... .•. •-. n. ...K ){•r �.' ~, ,•,• .a w r :.+� v w r �'fr, h•':S♦ ,1,Q Ze.v,•)r' Ma ;•I, N;' A :•t r s a.-irl!t1 r r \r•♦ 1 1 . ''I r♦ ._• y^,�Ik, at! ;7'•'.r+!. 'a.} ,,tt '}.• s. .;t yy.. r• T 1:•� •'\. v.• I. •'fY�••i t �� �) �^• H -20 OMNI RSF FILTER MODULE 9' �.�. .NOT TO SCALE •., -:_� SECTION VIEW END-SECTION VIEW `0 yt. (TANK ONLY) NOTESIre .s! •Kit; 1 ) OMNI RSF FILTER MODULE (NO SUBSTITUTES) II o a 2•) FILTER MODULES SHALL BE STEEL REINFORCED CONCRETE. Oi.. PIPING NOTES: II FLOAT NOTES: RSF PUMP NOTES: „ CONTROL PANEL NOTES: CONCRETE MINIMUM STRENGTH: 5,000 p.s.i. AT 28 DAYS. 4 RETURN LINE FROM FILTER MODULES ALL PUMP FLOATS ARE TO BE LOCATED TWO (2) PUMPS PROVIDED BY t OMNI USE (1) OMNI TELEMATRY CONTROL PANEL. STEEL REINFORCEMENT: ASTM - A-615 - 68, GRADE 60. AND 4" INLET FROM SEPTIC TANK AWAY FROM INLET FLOW SET UP AS LEAD AND LAG WITH PANLE TO CONTROL RECIRCULATION PUMPS •- ALL ENTER ON SAME SIDE OF TANK ALL FLOATS TO HAVE 4" TETHER AUDIBLE AND VISUAL ALARMS. AND FINAL DISCHARGE PUMPS. 3.) FILTER MODULES AND RISERS TO WITHSTAND H-20 LOADING WERE LOCATED f :: t 4" RETURN LINE FROM FILTER MODULES USE (1) 20 AMP, 240V CIRCUIT FOR PUMPS & PANEL TO BE MOUNTED OUTSIDE OF DWELLINGS. UNDER PAVEMENT, DRIVES OR TRAVELED WAYS. '=i r ENTERS ONE SIDE OF FLOW SPUTTER AND 1. PUMP ON/OFF SEPARATE (1) 15 AMP 120V CIRCUIT FOR ALARMS. F. ;. EXITS ON OPPOSITE SIDE TO LEACHING FIELD 2. TIMER OVERRIDE 4.) ALL PIPE CONNECTIONS AND CONCRETE CONSTRUCTION SHALL BE WATERTIGHT. 3. HIGH WATER ALARM ' DISCHARGE PUMP NOTES: 5.) 24" MANHOLE COVER TO BE BROUGHT TO FINAL GRADE. TWO (2) PUMPS PROVIDED BY OMNI SET UP AS "LEAD" AND •' 17 AUDIBLE AND VISUAL ALARMS. WITH 6•) INLET AND OUTLETS TO BE SCHEDULE 40 PVC. �Sa :�� �• t.••t ,•4, .,, _ ., •,.w". �,,, 1 r" a i« s• �*. a .✓a � y q i., w••.;tr r.�IISq .•,r• }'. a.:a♦ ;y aa' .,4 A„},•,•w• .�: t);•:,Z•e•I•s,,f�:p..� t +{:a• , 1 ,ii.#.y'.��' ,,,, •♦. }w:!''!�i I a`�,r yC isil> I ;S f 1.,.';,tri+'_`' ♦�'�y.T �2^r•a�..,. +,..�'.a "?w'h`[,•i.' •�. ,,a. F%-• 'i,avj.y :�"s Y. �`. -i;: b+. �l � '•h' t' •.a• .s .t^�'>`�.�". s• ..•:� �. ..r./:;�..�• ,,.�ir1♦1•a' :::.ri,r.r.+•. �. � •cr,:t.:•,,,,.1 � •,j >a.r �• PLAN�VIEW ,�,•„r,,,,,,•..,r; 5;,;a• �' �: ��• ..>., �. • ,. .. USE (1) 20 AMP, 240V CIRCUIT FOR PUMPS & 30" RISER AND COVER Rk: '�1� SEPARATE (1) 15 AMP 120V CIRCUIT FOR ALARMS. CLEANOUT SWEEP FOR LAST MODULE IN SERIES s THE RSF & DISCHARGE PUMPS CAN :r 0 O �'x. tf' BE WIRED ON THE SAME CIRCUITS. CONNECTOR FOR MODULES IN SERIES 48X48" ACCESS HATCHES 6 -8 HANDHOLE W/LOCKABLE COVERS rl, �!~ ��} .;•- THRUM-OUT SYSTEM _ FINISH GRADE '; 1 1/4 FEMALE ADAPTER & PLUG a�{ C/ti(4) RECESSED Q •`� ���'; .x LIFTING EYES ;!?: 144' `� PEASTONE THRU-OUT C L E A N �♦ � 1 1/4 LATERAL EXTENSIO - S B K F I L L E :L' i)°''� .:�;,:.%%y;^i� •" Ir•a,;et';=:�a:�•�ri 9, .,, , ;.1:�;:).C4 �.7:•u";'.,:;....'r+k "`rrt :s •r. r aY 2'-�" 72' 72' 0 tP.V.C. .Ya� .: :•.r• >f ♦3r4y:. 1. r.:i• �� ..wt...r.�,-�a•ry•,c� ,.� .;vN ' :�i•{ix. s 0 FINISH GRAD ORIFACE SHIELD 4"� SCH 40 PVC 36' 6-8' HANDHOLE (TYPJ "BY ZABEL' PERFORATIONS DOWN 6' PLAN VIEW THRU-OUT VENT AS SHOWN 1 1/4" 90' ELBOW 5/32" ORIFACE C� 5' O.C. ALONG LATERA 5,000 GALLON 1,000 GALLON RECIRCULATION CHAMBER LEACH FINAL �l 1/4#0 LATERAL (TYPa) DISCHARGE N ,.'' �:'. :,,...♦,;,.: ,•:• '`" �.'<';'. $ �,;", r ;:.<.;.::..` .:' CHAMBER 4'0 VENT LINE (TYP.) 5/32'Sb ORIFACE (TYP.) z :.�.. :,.,,,., a:•: �;,� ., • ..' •.�a ., ;,� i.' : •;�:,:'.-f '�.."•� • �:e PITCH LATERALS TOWARD MANIFOLD 6,000 GAL. "OMNI RSF" RECIRCULATION TANK DETAIL 4'-3" OVER MANIFOLD 30' 90' SCH.40 ELECTRIC NOT TO SCALE 5/_0" 2,_6, N CONDUIT THRU- U 0 T NOTES 1'-0" 1•) OMNI RSF RECIRCULATION TANK (NO SUBSTITUTES). �--�+— 3'-6' 3"� MANIFOLDS 2"X1 1/4" TEE 2.) RECIRCULATION TANK SHALL BE STEEL REINFORCED CONCRETE. 12" OF 3/4" TO 1-1/2" CONCRETE MINIMUM STRENGTH: 5,000 p.s.i. AT 28 DAYS. DOUBLE WASHED STONE STEEL REINFORCEMENT: ASTM - A-615 - 68, GRADE 60. 3 PVC MANIFOLD PITCH TOWARD PUMP CHAMBER 3.) RECIRCULATION TANK AND RISERS TO WITHSTAND H I120 LOADING WERE LOCATED UNDER [INVERT EL.=34.00 PAVEMENT, DRIVES OR TRAVELED WAYS. 1/4" DRAIN HOLE BENEATH EACH LATERAL 4•) ALL PIPE CONNECTIONS AND CONCRETE CONSTRUCTION SHALL BE WATERTIGHT. PRESSURE DISTRIBUTION FIELD PRESSURE DOSING MANIFOLD SYSTEM � 5 ) MANHOLE COVER AND HATCHES TO BE BROUGHT TO, FINAL GRADE. DE�'ALLED PLAN VIEW HANDHOLE SYSTEM �R 6 INLET AND OUTLETS TO BE SCHEDULE 40 PVC. SCALE: 1" = 10' NOT TO SCALE NO.29733 CML 7 ) WATER TIGHT TESTING TO BE PERFORMED AND APPROVED BY OMNI PRIOR TO BACKFILL II, I I NOTES: PREPARED FOR: PREPARED BY- TITLE: • Proposed Septic System Modify Driveway & Lower Patio The Pickwick Realty Trust . Update Utilities & Grading & Add Lower Gate DATE. 05120111 Sullivan Andrew Newman, Trustee Su van Engineering, Inc. Details Rotate Relocated Dwelling cl0 The Beacon Companies PO Box 659 /fit Sheet 2 of 3 Onlys DATE: 01113111Jr' o Federal St., 4th Floor Osterville, MA 02655 o Shift Relocated DwellingFootprint 33 t North (508)428-s.344 508 428-961� fox & Modify Addition ToIt Boston MA o2� �o O 71 Ocean View Avenue ts� Sheet 2 of 3 Only DATE: 11 19/10 Shift Proposed Dwelling Footprint` 20'f East 30 0 15 30 s0 Draft: JOD Bamstable COtUtf aEliminate Pool House & Retain Caretaker's Res. { 12o ) Mass, DA TE: 10108110 Review: PS SCALE: ' REVISION: Increase Pool House Septic Tank To 1500 Gal. DATE 09110/10 DATE Project: 21007 August 1, 2010 d t � s r DESIGN DATA 28.50 DESIGN FLOWS OMNI RSF DESIGN CALCULATIONS 26.50 26.75 EXISTING BEACH HOUSE 1 Bedoom 0 110 GPD = 110 GPD Sand Filter Media 24" minimum depth <1% #200 sieve (SUPPLIED BY OMNI) 26.50 16 Changing Rooms 0 10 GPD 160 GPD ' ':' 'zr.: 23.00 Total = 270 GPD Average Daily Flow Flow 3,130 GPD (SEE SYSTEM COMPONENT DESIGN NOTES) D7 22.75 00 DO UU UL PROPOSED POOL HOUSE Wastewater Strength BOD5 = 230mg/L 2 Bedrooms 0 110 GPD =. 220 GPD fn A.-t - Total = 220 GPD o 8:1 (variable - adjusted by operator) Recirculation Rati PROPOSED MAIN HOUSE Flow (per Title V) Recirculation Tank Size 150% of Design 0.01 MIN.19 Bedrooms @ 110 GPD 2090 GPD 1.5 x 3,130 4.695 (5,000 GALLON TANK PROVIDED) Z,SCHD. 40 PVC TEE 24.50 Total = 2090 GPD SCHD. 40 PVC TEE 23.25 J C� Sand Filter Loading Rate Loading Rate (LR) 1610 BOD5 PROPOSED TENNIS HOUSE -T 5 Bedrooms 0 110 GPD 550 GPD LR = Loading Rate 14" EFFLUENT FILTER Total = 550 GPD BOD5 Septic effluent mg/L 1610 Conversion factor TOTAL = 3130 GPD NO GARBAGE GRINDERS PROPOSED 1610 230 mg/L = 7 gpd/ft2 -W!R=---- - IN ANY OF THE STRUCTURES EXISTING 3,000 GALLON • 1,000 GALLON SEPTIC TANK SEPTIC TANK H-20 DUCT - ACM Sand Filter Surface Area (SA) = (Flow gpd) (Loading Rate gpd/ft2) H-20 PRO EQUAL 1,000 GALLON SEPTIC TANK - SEE PERMIT 2009-184 PRECAST MODEL OR EQUAL H-20 PRODUCT - ACME SEPTIC TANK DESIGN 3,130 gpd / 7 gpd/sq. ft = 447 sq. ft. Required PRECAST MODEL OR EQUAL NOTE: ALTHOUGH A 2 3 OMNI RSF H-20 1OX17 Filter Modules Required COMPARTMENT TANK OR 2 TANKS IN SERIES IS ONLY REQUIRED FOR THE MAIN HOUSE THE DESIGN UTILIZES • 6" MIN. MECHANICALLY COMPACTED 2 TANKS IN SERIES FOR EACH DWELLING FOR EASE IN RECIRCULATION. Recirculation Pump Size = Daily Flow X Recirculated Flow + Back Flow CRUSHED STONE OR IN SITU MATERIAL 18.50 TANKS ARE NOTED IN DESIGN AND SECTION VIEWS AS FIRST AND 3,130 x 8 + 705 = 25,745 gpd TYPICAL ALL STRUCTURES 0 SECOND TANKS. THE FIRST TANK FOR EACH DWELLING IS INDIVIDUAL, 25,745 / 24hrs = 1,073 gal per hour (variable cycles - adjusted by operator) AND THE SECOND TANK IS COMMUNAL. Pumps Provided by OMNI = (100 gallons/min 0 11 ft. Total Head) BEACH HOUSE FIRST TANK PROFILE POOL HOUSE FIRST TANK PROFILE FIRST SEPTIC TANK DESIGN2 Required NOT TO SCALE NOT TO SCALE EXISTING BEACH HOUSE Discharge Pump Size 270 GPD X 200% = 540 Gallons Required (115 gallons/min @ 28 ft. Total Head - YO Discharge) 32.0038.50 Existing 2000 Gallon Compartment Of 3000 Gallon Tank Complies Myers 3" Non Clog 3MW50 RPM - Or Approved Equal 2 Required PROPOSED POOL HOUSE Sand Filter Module Setbacks Same as Title V Septic Tank 33.00 220 GPD X 200% = 440 Gallons Required 31.00 Proposed 1000 Gallon Tank (Additional Required Capacity Provided in Second Septic Tank) 36.50 i .&T / 31.25 LEACHING AREA DE5-!G Effluent Loading Rate 0.74 GPD/SF 28.50 28.25 ]7 PROPOSED MAIN HOUSE U 3130 Gallons / 0.74 GPD/SF = 4230 SF Required 2090 GPD X 200% = 4180 Gallons Required kr-rdl Proposed 4500 Gallon Tank Proposed 30' X 144' Field 4320 SF Provided PROPOSED TENNIS HOUSE 550 GPD X 200% = 1100 Gallons Required P,Av, -=0.02 MIN 102 MIN. Proposed 1500 Gallon Tank SECOND SEPTIC TANK DESIGNSCHD. 40 PVC TEE ------ Z,SCHD. 40 PVC TEE 29.00 C� I 3130 Gallons Required 28.75 Proposed 3500 Gallon Tank T 14" EFFLUENT FILTER-] 29* EFFLUENT FILTER RECIRCULATION TANK DE SIG 3130 Gallons X 150% = 4695 Gallons Required Proposed 5000 Gallon Compartment 4,500 GALLON SEPTIC TANK 1.500 GALLON SEPTIC TANK H-20 PRODUCT - ACME I H-20 PRODUCT - ACME PRECAST MODEL OR EQUAL LT. PRECAST MODEL OR EQUAL t 21.67 24.00.-- MAIN HOUSE FIRST TANK PROFILE TENNIS HOUSE FIRST TANK PROFILE NOT TO SCALE NOT TO SCALE 6"-8" HANDHOLES W/ LOCKABLE COVERS THRU-OUT SYSTEM NOTES ELECTRICAL HAND HOLE 38.00 1. Location of Utilities Shown on This Plan Are Approx. At Least 72 Hours 31.00 21 PRESSURIZED Prior to Any Excavation For This Project the Contractor Shall Make 2 31.00 PVC LINE 30.08 S-1% MIN. 1 .1/4" SCH 40 PVC LATERALS the Required Notification to Dig Safe (1-888-34.4-7233). 26.50 2. The Contractor is Required to Secure Appropriate Permits From Town 26.25 36.00 Agencies For Construction Defined by This Plan. * 3. If Sewer Lines Must Cross Water Supply Lines Both Lines Shall Be Constructed of Class 150 Pressure Pipe and Shall be Water Tested to Assure Watertightness. In General, Water Lines Shall be Constructed in PITCH LATERALS TOWARD MANIFOLDCoordination With Cotuit Water, and Shall be in Accordance With 248 CMR 1.00 - 7.00 & 310 CMR 15.00. S=O MIN. ------- 4. A Minimum of 9" of Cover is Required for All Components. 5. All Structures BuriedThree Feet or ore or Subject nni 03T to Vehicular Traffic to be H-20 Loading. It is the Engineer's • SCHD. 40 PVC TEE L 3" PVC MANIFOLD Recommendation that H-20 Always be Used. SEE DETAIL SHEET 3 T OMNI RSF 1 35.00 34.50 6. Install Risers and Covers to Within 6" of Finished Grade Over PERC TEST: 12,054 19" EFFLUENT FILTER FILTER.- PRESSURE DOSING MANIFOLD SYSTEM All Components. FEKFORMW BY:JOHN ODEA.BIT- SULLIVAN ENGINEEROC 7. Septic System to be Installed in Accordance With 310 CMR 15.00 & SOIL EVALUATOR Na 2911 248 CMR 1.00 - 7.00 Latest Revision and the Town of Barnstable WITNESSED By.DONNA M10RANDI,R.S.-TOWN OF BARNSTABLE 26.50 Board of Health Regulations. DEMMER 21,2W 50L 5.9 9 3" PRESSURIZED TRANSPORT LINE 8. All Piping to be ,Sch. 40 PVC. Tank Inlets and SLOPED TOWARD DOSING CHAMBER TEST HOLE-1 -2 TEST HOLE-3 W 9. The Separation Distance Between the Septic JEL 30.5 TEST HOLE 18L• 30.9 EL 39.5 3,500 GALLON SEPTIC TANK Outlets Shall be No Less than the Liquid Depth. Inlet Tees Shall Extend H-20 PRODUCT - ACME a Minimum of 10" Below the Flow Line. Outlet Tees Shall Extend CAST MODEL OR EQUAL 6,000 GALLON RETURN-LINE TO OL 29A .6 3 LuTau_ OMNI RSF RECI�cULATION TANK Below the Flow Line as Shown n the Tank Sections, and Shall be 3" RECIRCULATION TANK Equiped With a Department Approved Effluent Filter. 10. The Design Engineer Will Inspect the Installation of the System 3" 27.8 C1 LAYER 1 .37.0 C1 LAYER IOYR&6 BROWNISH YELLOW 17.17 in Accordance With 310 CMR 15.021 2 at a Minimum BROWNISHYELWW BROWNISH YELLOW MED.SAM -23-5 MED.SAM 27.1 MED.SAM . 36.3 20.83 per the Following Schedule; After Initial Excavation, Prior to C2 LAYER 15Y 614 44' PERC TEST 3r PERCIEST Backfilling, During Backfilling, Final Inspection of Components; 25 GALLONS IN SMIN. 25 GALLONS IN 6 MiN. Alarms. LIGHT YELLOWISH BROWN 2MWWaXW-0,74) 2LI PERC RATE<2MIN11N(LTAR-0,74) W 6" MIN. MECHANICALLY COMPACTED Final Inspection of Running System Including Pumps and Alarms. MED SAND 05 900 PERC RATE< SUUIVAN 120' NO GROUNDWATER ENCOUNTERED 2� C2 LAYER 2.5Y 614 C2 LAYER 2-5Y 6M - CRUSHED STONE OR IN SITU MATERIAL SEC OND 'TANK TO LEACHING PROFILE LIGHT YELLOWISHBROWN LIGHT YELLOWISH BROWN TYPICAL ALL STRUCTURES No.29733 132*1 M SAM 19.8 12V MED SAM .- 29.5 NOT TO SCALE NOGROUNDWAMENCOUKERM NO GROUNDWATER ENCOUNTERED TEST HOLE'-4 TEST HOLE-5 , TEST HOLE-6 EL 38.5 UNWITNESSED05AN09 EL 22.0 UNWITNESSED105114109 EL 5.5 System C2 LAYER 2.5Y 6/4 71 TLE: Proposed Septic 0M HE PREPARED BY 501IM90 - RED 1 .6 LIGHT YELLOWISH BROWN N 0 71ES. PREPARED FOR: 179r yam: 2Sr MED SAM 1133 Design & Sections M.g . 1111....... GROUNDWATER ENCOUNMED The Pickwick Realty Trust 36* FEWER, 135-5 1 17.9 Sullivan Engineering, Inc. CI LAYER IOYR 6t6 J. Robert Casey, Trustee BROWNISH YELLOW BROWNISH YELLOW I MED.SAND INO PO Box 659 At L2" MED.SAM C2 LAYER 2.5Y&4 c/o The Beacon Companies Osterville, MA 02655 C2 LAYER 2_5Y 614 LIGHT YELLOWISH BROWN I LIGHT YELLOWISHBROWN 22 50 Federal St., 4th Floor (508)428-3344 (508)428-3115 fox 71 C7cea n Vie w A ven ue MED SAND 2 MED SAND 11.0 NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED Boston MA 02110 Q) 30 0 15 30 60 120 Ora ft: JOD Bamistable (cotuit), Mass.I I I I I Review: PS DATE: SCALE: SITE PASSED = = M X=:=A - May 3. 2010 1 Z3 IF-111 EMM-M-E-Ems Project: 21007 7� 273. 7rF-=11 % 4" PVC GRAVITY MAIN FROM 24" H2O L❑ADING SEPTIC TANK AC POWER SUPPLY LOCATED 1 1/2" CONDUIT 2" PVC FORCE MAIN TO IN ELECTRICAL 2" PVC FORCE MAIN TO MANHOLE HAND—HOLE H2O LOADING HEAVY INLET OF SEPTIC TANK FILTER MODULES TOP COVER TOP EL.=11.33 OMNI RSF PRESSURE DISTRIBUTION \ 2-3" PVC FORCE MAIN FROM RECIRCULATION TANK TO FINAL DISCHARGE Ot••• .' , :\' Mw.• n . I: (.A4: '�•:,'P,ia.: "• fh(f L .•:1, .:Y �i. \.•u:''tie`'�)r :-•�i'•• :}Stl L�„ •.;r:��'ss,,,'S:: ^ "tit•�t} F ' :Nr�•C.i,i•,.vLi'`•';a?y�..,i:��tr��,;,.b.:• :Y'::Sir • •.y"Si...) :�'i�;y7•" 7^,,'•i'Sr',•..t h•'p'�r'.., `er"r:`•1+• ^i1•..•:�: ' 4.i y h'�'.}v,a{•5'���7.4 :.:'�:}f:r ,..'L•. }/• K't y.�.}„ t.a� r,t t ✓.•ems!>:rM'• '•>• Krj��,•:fs: s•.• .y .�•t•r•• r� 4,,t {S°k;•.•r{� r•.-:.,,•: 1 ;' ,h•Y/'•V,.'tr:l • i,...t �rq,.,,f!::7, :?,T v i11i t' .r y.. P ;.i.L .2:' t •�•w:!� .•.t •"')ir•a:iLL •'►v.,X; .f..•,�' r tt•..•• Y'r�i,Z'.F:•• '• 7t^",L.?i/�'tSi.,, '.. ••? �•;,Y'[4K, i`♦(:, 1,.e .' �;• C.., r ,•vt .�� .i.. ti,:^. :} ra. ..tf •�;. �� ., ',, ;"'lri ... M `�\„�,j• r•.i{d:•i:)•'t:i•v �i8••' , '�,•;;1'.l'' •`�!• 'r'�.n• - .;Ji•. 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Y ...a.:i:•E•'ru�'»titii"❖:i'r•:iE^�ii�••{•�i: L•' (h .(i r• ..................... . :....................... :712::.^:A:•::.^:J:.•fi::t^:t::^:t:l.'77::::::VNJ:.'.•::}:'..tt.•.•IY:A:tYh•:Y:t::�:•�'•l: ••ir : t::::7:•..5..�.71L':f::L•.❖:t:�:J�S'::1�.'.t':"•::•:�ht'::�Y:t::tt•:Y.:'::t':.:7:C.�:::1:•l:ttt.•:•t.LY: r . . . .... . ....... . ........... ....................O• .............. ........... .... .. ... .. . . . ..........:................................:................ • .^:Jl:llJ:::RR:J• h:':l:!llt:l:L•Nl:l••t:.'..tiJ. ......•...h.Jt'lltSJh11:.::'ll::::t.•:.:1:t..:'/1::1.•.2•J1N:::::•::::5: ' ............. ..................................... ....................................................................................::::S:�d:�N::St.:.'...•:S::::•l:.t::::•:::•.'::::S::NYh•.•.:•::. ,,.. f: L r/ M1 f ::r.•: L J .) n •j A r: �y� ✓• •Lh •i'r n "'A ✓r N4•• Z r. w7 •.' :tii•'r.':•:�:Zvi�^s�}e:'::tii•F}?::tif:�i::::i: ':?i::...:ii�•vii: �}7�iti':t:•�ifii ')- t ..J. l:^::.•t:tti:::S•l.^. . .. :..�::::::::.:A'::::::5:1::1::::1::1::1::::::'::::::::::::L ::::.:t::.L':: : :::::::::::::::::::::::.:::::.: .... v r... :s:::ll::.•r::::::::s::::•:.v:a^.•r:: ................................................................... r:::t::::::::::::•::::::::::::::::•:::::: :::::::::::x::::::::::.:::.t::•::c:::s:::.ts:::^ S r• r L ::t:: ry t rlrr• t . ,•' ter• i '�tf: INVERT EL. 26.50 -- a. 'r a •r s• ^�r r�yr yy�� :rit•'rirriiri3i�tivk�iira:i'%{ii•i:•:'�� L 1• •::::::::•t:::.r:::1�::::'t::::�A'!::•:a:•::::::::::•::::.:::....:::: ::•:::Y::.•.x't::x:t::'IL::::.'I.X•t.'t:•t:.t•«:Rf.1::4Rx•:l:::Sva:t:�.�::;•.•::::::::a::::':::::::�:::.^.::..•. ... ...................... ....: 24 HR RESERVE CAPACITYR a 7,• • i x•• r 'f• r d }' .tit' ••"i%S:):• •�:• :,. „{.,.;: ♦•' ✓' }.•n'tL`.:•y1i•, '� L..A,:� .•+} I .r:•f.. •:.,.• •:) .a• +t. :y},�•�: :ti!{• ABOVE HIGH WATER ALARM •/s; n ..n ..)•:K.:,�•,� •:�. •'�,n.,tJ�a�:Y�•,, .�`3i...ta :t•...,�•3T..•. ;•''•': .:.; :,..�' ..,.•..;; :.c.:�•:;,��•,...... ,,s,; r. ";:�::.,�: r/, , ..'- ••�;•;sy'4-:�.,. .:7 w..J3 'r•. �+...�. t t} �;,• r� 1� a, ..'^ ;�A• ...I 17.•,.. ..L.r'r� t••£:, .^•+. �:� •.•. �u ': � �1n• &., .1.• •� � r t :� d •'i"?. .'s' �.` +:.' 'H t�3.s�,.•q '�.. :�r.:..f n. •e••'.• .'�. r t• rr s' `� ;,; t�: 9r 16r 6r I j END—SECTION VIEW SECTION VIEW r •• r1. /y Lwi _�. } •'�' \fir: 17'—U' _I 4 :t �:t.' .•� dx• ., L^. i' :6_ l:w }sa ': ,.,.'•••SrA-••:Sr, i '.";•'?i` uL r ��•:..t''•' :'\• nr w.!„9t + !,,'p i'►Y••• + .'•is •,i.r. .f'r r �..+,.••�,. `nA .l. +• h, L ) .+;•'�d. �: Z:.''• � i• �.i''' 7;L ... �.u4r.,ly� ,«•L r••i•. ' ::" N'trM •)• r t'.r• aY rt `vVVN :Y' t•. • .!r f.LN A♦ (.r •' Y•. ..,,}t.•N •tr .r. rrw•.r J• AJ•'••„ t•3'�a*:': �h ., i ••S S .t{.,•w L. tr«"'). A.Ltt r•• .3• r7 7,w ,.•. � �•. O . {.•' •r \. v S •t. r•G. w: f•. ) •i ��,' �.w Q: ••' '.5.:�„i1• b Y f N �. .L.•`t f. •AY ,,. « .t.te 1'). W••.v• '..'`w,• f�;,y�n Lr :��•' •••: •J+.7 v .'!!.':.r r,tj! l• "�. ••thy•. :�:xi,i►i.' •. �•!.'.?.••;-0'4r. r♦ •A l• a a.t••!?:' ld •. }•'' ,1J+fi ".,r t MODULE LE a '�� ..- r •�'- ?' 'tr H -20 OMNI RSF FILTER M0 A••� ••�� _T 16r 6, --- NOT TO SCALE 9' � �44 �7t SECTION VIEW END—SECTION VIEW NOTES (TANK ONLY) 1 ) OMNI RSF FILTER MODULE (NO SUBSTITUTES) sw 2•) FILTER MODULES SHALL BE STEEL REINFORCED CONCRETE. PIPING NOTES: FLOAT NOTES: RSF PUMP NOTES: CONTROL PANEL NOTES: CONCRETE MINIMUM STRENGTH: 5,000 p.s.i. AT 28 DAYS. ze 4" RETURN LINE FROM FILTER MODULES ALL PUMP FLOATS ARE TO BE LOCATED TWO (2) PUMPS PROVIDED BY OMNI USE (1) OMNI TELEMATRY CONTROL PANEL. STEEL REINFORCEMENT: ASTM — A-615 - 68, GRADE 60. ;�. AND 4 INLET FROM SEPTIC TANK AWAY FROM INLET FLOW SET UP AS "LEAD" AND "LAG" WITH PANLE TO CONTROL RECIRCULATION PUMPS.. ALL ENTER ON SAME SIDE OF TANK " AUDIBLE AND VISUAL ALARMS. AND FINAL DISCHARGE PUMPS.` 3.) FILTER MODULES AND RISERS TO WITHSTAND H-20 LOADING WERE LOCATED r,; ALL FLOATS TO HAVE 4 TETHER USE (1) 20 AMP, 240V CIRCUIT FOR PUMPS & PANEL TO BE MOUNTED OUTSIDE OF DWELLINGS. UNDER PAVEMENT, DRIVES OR TRAVELED WAYS. 4" RETURN LINE FROM FILTER MODULES ENTERS ONE SIDE OF FLOW SPLITTER AND 1. PUMP ON/OFF SEPARATE (1) 15 AMP 120V CIRCUIT FOR ALARMS. ALL PIPE CONNECTIONS AND CONCRETE CONSTRUCTION SHALL BE WATERTIGHT. EXITS ON OPPOSITE SIDE TO LEACHING FIELD ' 2• TIMER OVERRIDE 4•) 3. HIGH WATER ALARM x w DISCHARGE PUMP NOTES: 5.) 24" MANHOLE COVER TO BE BROUGHT TO FINAL GRADE. TWO (2) PUMPS PROVIDED BY OMNI °; 'r :. ,:r•r:ri;i,t �, '�., : ; o-. SET UP AS "LEAD" AND "LAB" WITH as': :A iKy�,,.:.,.• ;�: >/r .i.� ♦t ..R.r;...., '"`' ��i•, L'•«ti,' �KI..1 .,,,•'�t(•.•-L tYi{•.` 4'K T� �•, tT/ ')S� t•-., ����•.h�••1..t. .: Y. i'�•ri" ••t.:� ::,"r: 40.`'Q 17 AUDIBLE AND VISUAL ALARMS. 6. INLET AND OUTLETS TO BE SCHEDULE 40 PVC. +� ��� •.� �•�`• t•:ci s. ns; PLAN VIEW f L. t ..w �•..„ r.N/,. 1. r vtv L r .t.-N; ..� i.�•.•>'• L :a.M:Y..ti, • , ,7� ; :_ •:i�,, . :;�.:i � •;,,.--� �' :�'a;' ..tr;; ?•y=j:.,,: USE (1) 20 AMP, 240V CIRCUIT FOR PUMPS & SEPARATE (1) 15 -AMP 120V CIRCUIT FOR ALARMS. CLEANOUT SWEEP FOR LAST MODULE IN SERIES 30" .RISER AND. COVER :�_' •. •t��' THE RSF & DISCHARGE PUMPS CAN CONNECTOR FOR MODULES IN SERIES BE WIRED ON THE SAME CIRCUITS. 48X48 ACCESS HATCHES 6"-8" HANDHOLE W/LOCKABLE COVERS THRU—OUT SYSTEM r j.1 �" c• ( ( I I I I ( FINISH GRADE 1 1/4" FEMALE ADAPTER & PLUG ,ig _(4) RECESSED Q '; 144' PEASTONE THRU—OUT C L E A N 1 1/4" LATERAL EXTENSIO �K LIFTING EYES �`" � B A C K F I L L TO FINISH GRADE 2!_0. 72 72' M ORIFACE SHIELDS 4"0 SCH.40 P.V.C. K •.._ t ,!•t;r0.,,.s ;:•..L'•i• ti {x! v�l::t.•`.;.,,•'y:q•�+c �4itN•l.:t;:y. a. ;i•yam..iy'hw"•F•y`:;,.• . ,• •, • ,,, .�.; " » » PERFORATIONS DOWN :e' �;,., a..•^?i.•.r �'` '^rt�..�;. •).-•� .,�,•. �. M Y;+,tfi; �:.M•.-. �;�.,• :�.'.. ��=-;r °-r 36 6-8 HANDH❑LE (TYPJ BY ZABEL 60 L—i THRU—OUT VENT AS SHOWN PLAN VIEW 1 1/4" 90• ELBOW 1/4" ORIFACE ® 5' O.C. ALONG LATERAL 5,000 GALLON 1,000 GALLON \—I ' N . M' /' Y'J' • ,t: :S 1/4 � LATERAL (TYP,) •" • .,• .. .. � . `-; •'� RECIRCULATION CHAMBER LEACH FINAL N ' ''•M `1t' ' `"'�' ` ' -' DISCHARGE z ;�;: :.;..�,: :�. , ,y"�,: ,i :,�. ,.; ••' r,,:.; . �. +�. , :.;)^: .... 4"� VENT LINE CTYP.) `:,. •a, :., i ,;.,,• ..,. ).., t , : .:. �„ '.�; . CHAMBER 1/4'0 ❑RIFACE (TYPJ PITCH LATERALS TOWARD MANIFOLD 6,000 GAL. "OMNI RSF" RECIRCULATION TANK DETAIL 30,4 -3 • OVER MANIF❑LD --- 90' SCH.40 ELECTRIC NOT TO SCALE 5'-0' 2�—fi"� CONDUIT THRU—OUT NOTES r-6, 1•) OMNI RSF RECIRCULATION TANK (NO SUBSTITUTES). 2"X1 1/4" TEE E►.—3'-6' 3'0 MANIF❑LDS 2.) RECIRCULATION TANK SHALL BE STEEL REINFORCED CONCRETE. \-12- OF 3/4" TO 1-1/2" CONCRETE MINIMUM STRENGTH: 5,000 p.s.i. AT 28 DAYS. DOUBLE WASHED STONE STEEL REINFORCEMENT: ASTM — A-615 — 68, GRADE 60. 3" PVC MANIFOLD PITCH TOWARD' PUMP CHAMBER 3.) RECIRCULATION TANK AND RISERS TO WITHSTAND, H-20 LOADING WERE LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS. . 1/4" DRAIN HOLE BENEATH EACH LATERAL PRESSURE DOSING MANIFOLD SYSTEM 4•) ALL PIPE CONNECTIONS AND CONCRETE CONSTRUCTION SHALL BE WATERTIGHT. PRESSURE DISTRIBUTION FIELD MANHOLE COVER AND HATCHES TO BE BROUGHT TO FINAL GRADE. DETAILED LED PLAN VIEW H AN DH OLE SYSTEM 5,) NOT TO SCALE PEM 6 ) INLET AND OUTLETS TO BE SCHEDULE 40 PVC. SCALE: 1" = 10' SIPIt(YA 7 WATER TIGHT TESTING TO BE PERFORMED AND APPROVED BY OMNI PRIOR TO BACKFILL. Mo. 28733 SIT �1AL NOTES. _ PREPARED FOR: PREPARED BY- TITLE: Proposed Septic System . The Pickwick Realty Trust Details J. Robert Casey, Trustee Sullivan Engineering, Inc. c/o The Beacon Companies ies PO Box 659 At M / p Osterviile, MA 02655 0 5p0 Federal St., 4th Floor 50$Fe MA Ot .� 0 (508)428-3344 (508)428-3115 fax 71 Ocean view Avenue co Bamstable Cotuit �Draft: MaSS. 30 p 15 30 60 120 JOD � t Review: PS DATE: SCALE: Project: 21007 Mai/ 3y 2010 i ZONE: 5�3 PROPETY LINE t ATER SERVICE(420'f STREET TO HYD., 228�t HYD. TO HOUSE) RF RPOD F ' t GAS SERVICE (602'f STREET TO HOUSE) ( ) I I 120 SF U" `v 1 ELECTRI� SERVICE (400'f POLE TO TANS., 221'f TRANS. TO HOUSE) Area (min.) 87, ' o \ GENERATOR SERVICE (253'f GEN. TO TRANS.) Frontage (min) 150' COOLING SYSTEM (390'f TAN TO HOUSE) Width (min) -- � Q Setbacks: . a P . ■ t ° H rya r r N 1 t ! \ Front 30' .;. •"" • k 3 r . l ..IU / J •'h, , zoo°' Side o U End o_ v Z d Rear 15 r r m \ _ ` - \ ; CB/DH \w f � / I ANT�� Fn_ , ; - c \ \ OVERLAY DISTRICTS: Is Ps BENt H MARK I • a '` , APT/o RPOD Resource Protection Overlay District SB/DH / „ g3 / TCq EL. 7.6 / AP - Aquifer Protection District g EW - Estuarine Watershed (N/A Due to Zoning Freeze) � � ' Wo V A �' TM c � e Ins graph \ FEMA FLU , r 4te \ FLOOD ZONE \ oT j — nd / / / / j \ ti \ 00 3g j> Zone C, B, A 13(EL 12), & V17 (EL 14) r TH_4 \ \ \ OF \ Panel # 250001 0018 D (rev. July 2, 1992) = x r ._...- 1 N MAP L AT 3• , OC O Lawn lg , DETAIL _ PROP f L I _ f PROPOSED I I �' \ ' ' \ / NOT TO SCALE 1 2000 ' PRESSURE f + j ASSESSORS REF. Lawn DISTRIBUTION FIELDf �/ f 1 \ / f j 30 X 144' r` _.. _ o j / \ 1 / Map 034, Parcel 045 / I L , 1 TH-3 0 f ! PRUPO Lawn PROPOSED \ DIRECTIONS: RESERVE AREA PROPOSED l M�DU TLER $ rn 1 / THRUST BLOCKS Lawn E "' From Hyannis - Take Route 28 towards Cotuit; / f U 30' X 144' TYPICAL AL / PRESSURE BEN j / / PR s m_ \ �. r / # Take a left onto Putnam Avenue at a set of lights, ' PROPOSED and follow to the end, Take a left onto Main w (21 TOTAL } ( 1 I o oAL_ Street; Bear left onto Ocean View Avenue, and RE l NK \ d _ f5.`� 450�,p GAL. 2; t/ Q oP� _2 ~ 5 sE�TIC TANK site is on the left, #71. SEP�/C T A f ! \ \ d FF=29.s• j SS H / \ n S Fnd O O y pos �c B/DH p Q GA Fd TAA / . 8 .og / Lot 5 RELOCATED/ .� ��.�� �� 179,193fSF Upland 4.11±AC � (UNDER ONS�j'/�t/CTION / '� \ `�"` ~, � \\ �. \ o, oo' '�G� G �. � f EL. 39.75 i / -,/ / r \ EEVEQ �Q \a 31,125fSF Wetland 0.71 AC / y (�\ s oUIR ` -@ �p �� - ,` i 1 210,318±SF to MLW 4.83±AC BASEM�F,POT SLAB- 1 --_ tone �� EL. r'orchAl / 7'* / OQp,pCi �✓ / ~ ,,�Se\\ ryry+� st°onewon � O� f 1 Q �pC� 51 / I r ✓ \ 1ARI1.11I111f111y1/11I M11'11fS} IV. • ,O �pOJ �� t, . o O O ! \I 1 1 1 _ 2 - / ` -. 1 GQ��,■ �o Q Gp��, 17--� r \ 0 t, PROPOSED 5 JeQ^ E l �� / / 1 \ `OPP "� - 1 Iy+ L� 6G�t �C'�FO �V� F ' ' \ \\ a'eoi\A 2 `O rn p \ DR/VEWAy f, -- 3 NIZ N Q' 0 GA �4i _'U -' .; � PTIC TANK / ,tf/ 11� I d / / �.e�` 50" - - 1 �oQP\C�P s3 — ,< / / ✓ / ' O f Lam,, e,. Oi '{ 'I�o 1 111 { /-1 �,/ �" / --' ,,,_ ` ~ " "'•` ,,,e ' ,., ~. 1 f. \ ' ., \ \ ` ,G ✓ " ^... ...,-.'"�__ 'T .. /,. 1 / t.. , Ii11 ` f t,�• ,e '"p •/ / `✓ „'"^^'~ .._._. \\ ``` "", .,� "`, � ,.,, • ■ ■ ■ ■ ■ ■ ■ ■ • ■ • • • ■ ° ■ „`! \ 1 1 1 1 1 1 1 1 I J•$$1/1 1. ! —` 'N` ``` -__ '__��____-`` _ / / 1 /7� � 111 ) / 1�1/t jI I , .,-^r �.� -,✓� � ...- -- \ �` \ � .,,,,, -•.,� , -.., ..�, 1.. `-- '- •... ■ !Q � ',, 1 . _._ . 2 '.. —.L—_. / .\ \ 1�1 ; / / if llfl( / ''',. �•-/✓ `` ` .� 5 1 /` ( /� 4 se o , � �` � �.. / j5 Q �1 \ /// / r" -..'"` ^,^ . y ., C.. _ Fnd A,, ' f — / \ 1 j ` f �/'� ___�-�O "/' `� \ \ to f `(`�' 10 cejbi� ` ` F, / _ 9 •-/ w E / / / _ \ I, J ,w,,.. .�-V;�i=',,. =: ..-f,j f / / , I - / /�nu-• -_, _. ,� � i I 3 Oi •-'" // •/'^"��\i.�. '.-."' '"'"" ..'"'// i%` ✓-'� ' ''/ ._..... ✓/ (�r ' '� / --W-- _- .,. -...' "- - ,`^ .''` \\ ` ""•. "� � \ ` ~ �oxORG O 1 1 1 11 1 r 11�tt 1 1 i 1 -- �'•y✓'� f ..i ../i Q �O , \� .-•-•'r � r,.,,/f� / / // / r)„S• f✓� ..----.... _•--_._,.5,—,.— `" „1 � t \ •, `� a�R@ 1 \ � I 11 �f' /' \ (� ?2 .... ,,,, '' �� ' Nj 3` ,.W.., .,.,,` .''� ,,�, ! / ,/ / .� .a'4 �'�' /. ,✓ "`_'. \ ..' \. 1 \ w I �' / Fnd '' r /�r^ o i� ,,,,,, ,,,-� O •^` .�3 c /,'`r/ / / �,c�G.� 1 1 sell 1 11119 1 .r` 22""' / ''� •\ �'/,,,�"..r%..-' r„r,,'',. -'"/ 7'r � `/// / \ \ •:'J � \ \ � 1 I 1 111 1 \ -1 1 1 1 ""�,,.,. .... f r'.-•. f �„�� '`./!-".,,-•. 131 pceo N/F j / / _ r / / / n �/ ✓ (Steven E. Hirsch Tr ew Re SM / / f r / LOT 3 P/on BLOT o/ty / Fnd �r ( Plan Book 263/41 �\ \ \ ~` I \ \ 9 ' �t6 ��e - / ! `' 'J /' t` f��/f �' ' e %� r —l- ook 26 �� . 1 \ D,c3p I ! Lawn i \ �•--. �� %, / t Wy r/i' 3/41 � ~ f `rFl�,`�o-f- f 4 � �� � / 2 ' -- /'%'".�%�J�Y '��\6 �' \\ C" SIB _ rf,. rr✓ %1" ' OGr �`9�J a \ a _ 1 1 \ �\ / • _ t~ -1 /, ' ' f Fnd r f / ~ W� 4.7' ,eid stone Edge r _ -- _ """ - - / �� �� t Landward Edge ZZ Of Ddne / Oi Lawn N/F Pond ' Q1O I, �' _ Top Of Bankf Steven E. Hirsch U Z \ \ T`3`'369 _ -�-__ off• � f r. - - \^ LOT 1 Control I `•� \ �* i Plan Book 263/41 Gate $Sw °ko - _._ __ �39 _ ✓/' � E l d� mr / 'ell9- ��\p _._.Fenr:e� .._ .� • -� -" � ~- .... \..-��i ,,,� i' i',,,, __ --7-•... 1 � ,)3�r• yes . .' .• (� , Not Found) ` Walkway cam© ✓ EI=7� f / B eµ. r.',. EI=5.9•/ EXISTING �' ISI�nll;rolif (B'urried) / •�oDi� - . Ei=�. ✓ 3000 GAL. TANK f A hown' On Plan by,' k� Lawn top 1 1 b s�/� f / m q f "- _ ` ��. (PERMIT 2009-184) ! 3"choVeld Dated July 3, 197�• / / ig. w t ` -•- s\` >, \ p (.'(See Plan Book 306/96)•/ f �+ d] r Shed J� ��.� '�� \ O — _. _ -6— Legend. o , - N '/ LOT 5 Pond 9 \ 5 \� \� , f / Deciduous Tree e Plan Book 263/41 ,�fLl �� 79 /y w r Sewer Manhole o `., 8 y _; ' TH-s + �/ / / ( QQ Electric Manhole ��`P�����, �; - `.,�6�~ soh \ / top of bkt4d o / ( ® Catch Basin P �` �� ; `, ti tio` e Post Coniferous Tree F� �'� \\ ,''\ $e R+ Catch Basin (round) Hydrant -II- Sign O Iron Pie i 6 �� t1 P � Light Post % � � •O• Approximote Mean Low,Watee / ' / (EL==0.8' NGVD1 291DEC107 / ,lL/� OC, Stake & Tack ❑ Gas Gate % St \ =70' Based on USACE Data t �\ ' O CB/DH Concrete Bound w/ Drill hole E Water Gate j� A% e��F%' \ co op�' And Benchmark "M28SC- 1 J' ���,�`G� / o SB/DH Stone Bound w/ Drill hole ® Well FEMA Zone Lines Bo OTs �sc �' \ R*" /.' 1 O PK nail pp As Shown On FIRM o� y,�o Gj 1 ssMO Steel Re-bar w Schofield Ca O Utility PPole Panel # 250001 0018 D 63i11� �o�\ E1=64, .� S6„w Fnd / P y rev Jul Z 1992 a top of blkhd s ` ,, sM O Survey Marker Pin —oHw Overhead Wires y Landward Edge c`� �� .\ Fnd -- -35— - Elevation Contour LIMIT Of UNDEVELOPED COASTAL BARRIER Of Dune \ �\ (Identified 1990) ,+ ;• /, �28 TT, 0 As Shown On FIRM �E�09. / •/� :95f• : CpJC)' Panel # 250001 0018 D /.' DETAIL .� •�on� ' : .' .' :.rev July Z 1992 / f NOT TO SCALE Add E'l'ector Pump For Main House & Pump Chamber for Relocated uest House NOTES: PREPARED FOR: PREPARED BY. TITLE: Proposed Se tIC System Sheets 4 & 5 Only) DATE: 06115111 Modify Driveway & Lower Patio 1.) The property line information shown was �NOFMgs Update Utilities & Grading compiled from available record information. The Pickwick Realty Trust CapeSury & Utlllt Slte PlanNCG & Add Lower Gate DATE: 05120111 p Andrew Newman, Trustee Sullivan Engineering, Inc. y (0 c o The Beacon Companies ies Po Box 65s 7 Parker Road � EA �, I 2.) The topographic information was obtained / P Osterville, MA 02655 Osterville MA 02655 t o Rotate Relocated Dwelling from on on the ground survey performed on N L Sheet 2 of 3 Only DATE: 01/13/11 or between 28/DEC/07 and T9/NOV/08. 50 Federal St., 4th Floor (508)428-3344 (508)428-9617 fax (508) 420-3994 (508) 420-3995 fax �1 Ocean VI eW AVenUe �o, �FGIS.yER� <ti, Shift Relocated Dwelling Footprint 33'f North J.) The datum used is NGVD '29, a fixed mean Boston MA 02110 Modify Addition TO it capesurvc�apecod.net s/ONAa ��e I Sheet 2 of 3 Only DATE: 11/19110 sea level datum. Footprint 20't East r f Barnstable (cotLlit) Mass. Sh/ft Proposed Dwelling Footp 30 0 15 30 60 120 D a t. JOD Field: MLL/RRL/DWB � � Q) Eliminate Pool House & Retain Caretaker s Res. DATE: 1%8/10 Review: PS Comp.: MLL/RRL DATE: SCALE. REVISION: Increase Pool, House Septic Tank To 1500 Gal. DATE: 09110110 Project: 21007 Project: C323 AUgU$t �� 2�10 1 �� = 3�� ZONE. y:. fi• ;:'js•+• • ; ' �,i z 'f;l _ RF-1 (RPOD) s Area (min. 87,120 SF •.y , � ¢. . . Frontage (min) 20' ftt ! i \ 1 Width (min) 125' r'�. h 1r M1 z N , ° W Setbacks: : �, � � � � Fron t 30CB Side 15' £ Q z o_jv Izd"1 11p2k7 ( \ / Rear 15' ( \ ( Fnd AP ,/ - \ OVERLAY DISTRICTS: 0 ) BENbH M RK t }R a Yr eUsrx ^ - �� Te EL. 7.6 � RPOD - Resource Protection Overlay District SBID" I 1 t 93�Sj' PROPOSED AP Aquifer Protection District � Y4 , RSF FI7LER 7a 8ao d,s EW - Estuarine Watershed i0� A(IN. TYPICAL MODULES InstI eon HALICOMP ENTS PROPOSED r FEMA FLOOD ZONE TH-4500 AL. \ � SOT / � ''�• '.� "� ., �y� �` w .----PROPOSED t / \ ! / ! / / / \ SEP\TIC T, w\ \ 0 30e Zon e C, B, A 13(EL 12), & V17 (EL 14) �. RESER _ \ / Access Easement Panel J VE AREA \ / /� '' \ PRO SED� \ \ / Over ExistingDrive n # 250001 0018 D (rev. July 2, 1992) 1 30 X 1 1 I N �'/ D00_AL. \f LOCATION MAP \ Lawn To Ocean View Avenue ! ( 1 'il // / •i'34 ,7, _ ``79.ems•1\\ E LRC. -TANK 1 ` \ / See LC Doc o� l #698,963 � �- W Lawn / J �j-� PROPOSED \ / 1"=2000'f / / }J �. \3500� GAS.. -fish / 0 TH-3/ �/ / / `SEP77CI TANK , 1 ` \ _ / ASSESSORS REF: oo:'i W / / / •- -..- 1 \ Map 034, Parcel 045 Q m `i Lawn a 0e W / \ 4 /° nd DIRECTIONS: \ �. 0 4JVtJ� \ } \\ \` � _ `� .�•=` � $24 Lawn ' / ,� v;,d \ } l �/ From Hyannis - Take Route 28 towards Cotutt; °c ` = \ \ \ -- Eq TH-1 �'' _ I Y CONNECTION Take a left onto Putnam Avenue at a set of lights, Sa \ \ '� Q..o pRO�� Y / / 2" - 4" and follow to the end; Take a left onto Main OR 6$ / Street, Bear left onto Ocean View Avenue, and \� I 11 \ •8$ 4500 GAD site is on the left, #71. U ! I \ i -2 / ` SEPTIC TANK o I / Fn 1 / VV\ Lawn /a}N / 1 1 i ► ;•_ \ \ • • . 8 '09' Los •a / ( �► ' \ L°""'` / / Drive 1 ( — _ ` / • • `` 179,193±SF Upland 4.11±AC .37 / / 31,125±SF Wetland 0.71±AC 210,318±SF to MLW 4.83±AC f', / a -- _ _ / I �OQOJc�"5v // �\>j sF0 1, • ,L ��♦O Q .--36 ►)- / '-'/ '' '/ • s:n m rse vT 9T m r i, • . �� - tt' • \ e •E ,••� // Q/%/ I �'�.,,,, `�'q �• .•. _ Lawn \ +.� \ A O •. O \ • •\'\ r / ` t lS}\ ,' // /�t. / / �\ \ F 9As 1000 GAL./ o - - i '- i_ ✓ / / / ,fit / , \ i •`•,,• I! i/ / / '- \ \\ \\ , ?p���� ' . pg�Q ./SEP 7iC•TANK �{' \ QQRQQOO <' i9 , // r _ ` ` �.\ \\ • • Q Q'Q� i & 1000 !sAt' \ \ O \ •••••�•�� ��•�• r.-/ •� �,� / /! / /�y// W \\ \ \\\ QR�Qj'♦' PUMP MAMBER \ \ F �� \ • �� ,- 2 -� • i' \ \ •• ` \ l /!/ / / / '� / \\ \ \\• �� (t,38'f T6 STATE BAI��}- sF 17 .0Ctj 0 ` w I ( ---f- /' \ ,•�\ \ / r ,,!�,. _- — _ ;`\ �. \\ \\ TH-5 Cows \ r — / `� / 26 C �(E1.\A) ee 4¢35 r / - _ .- _ \ ` / Zan W Q) 3 / �/'/ / • • --..� `� \ �„ \ \ 1 Fnd �� c¢ @ F = // / / 1 / -5 \\ \' �� V \ \ / \\ .ti ` ,,, \� / / MAH •` 0 �$$ .✓/,/� / / / �• :J/ / / / — ...._ •,.. \ Q , \ co o ' \ ✓ ` \ \. / • �•• ••i��"�+� •,,, , •• .— 22—' / / \ •-' •/i%�j, » "'ice'!...j . or 131 Ocean � -� / r i eveLOT 3 irsch \ \h \\ \\ �� �•••����� •��yC ( / \ 21^ Tres ew Read / Fnd J .- JPlan Book 263/41 r \ \ \ \ \\ ` / ' \ \ !q �o i ! y e a 011 � r �.� J / pIa [OT 2 ty y/ l / i,r \ \ \ \ \ \ I s ''eat — \ v . \ �- ! I '--_ / ,' / —7 su�.'dr� 41 n Book 26 c / i \ \ �� \ \ \ ch ! ! ! ( 1" Lawn \ 20. �r _ / f1rr i '� NO. 29733 le♦ . AX \t $ I K ,��• \ ''� ° �\ \\ \ ! ! I \ op - N/F \ \ \ \$\� ` \ \ �` ` / ' ~— : i- T j 1 / // //� '/ '� / . J cep Steven E. Hirsch \ 4►I -/ / LOT 1 1 E7eid 9fone \ J d -.- ' Land war Ede Plan Book 263/41 Edg ) _ — - +.._ , / /� /' /' p g / IQ)I FId LaC-- i Pond p( \ \ \ ,,,., ,� -.-.`--a•--:. _ T��•----.� -�•.�-.• � `J _- To f�,!•as_ tal Ban ~' .,,��� ��✓//'/ '"�` \ / � // \ ..►•-5. :• / /, /. �. Qom,• _(SSWe) _ control \ \ \ N � \, — '~` ., ��•_ ` - /// .'�.' / N / Gdte \,\S \ ��ssW Not Found) \ \ \' r7F-�.i_'@Q /\ 0 7 .•. ``` ` ` �.— ._ ..• \�✓o' '/ / '/ "'�` '-7- ` .\ / !/ �• 9? •,vq` . V ' WalkwaY / X ass h V EXISTING / lStonlGrot' (Burried) � \ v\ ` topza \ 30;70 GAL. TANK / AVSVown On Plan by,' Lawn It �l \ {PERMIT 2009-184) / 9choeld Dated July 3. 197�' / w/� \ 11 _ _ .r..•..-- -•-•-•- .,..� � \5.�\ \ \j \ J J o J/ (See Plan Book 306196) shed / \ °� NON /��• '`•. \ l p Pond `�• \ \\ \ , / / : : �8 , n j'� u' LOT 5 �`• /; L Et.1 ENLJ Plan Book 263/41 'b� �'� \ \ Sf- r \ L�y��O!Q'��`1 1 �� 8 6 \ y'.�,c T11-6 NIX 6 / top of s Sewer Manhole a Deciduous Tree P��1.,,��L ; �..-� `•` \ \\\�. \ \ •Post (DElectric Manhole / :_.f \\�,\ '� ,� e� :• : ® Catch Basin b / Coniferous Tree i \ � SeSN �, '�'• �' , � ® Catch Basin (round) ' Approximate Mean Low.wotei ' S \ •(ELa�o.8•NGwI 29/tEc/a7 1 �1 o Hydran t —o— Sin ./ f�°V N \ \ \ of eased on USACE Data '�'•GO O Iron Pipe Light Post / p�° for and a@nark '7►t28sc-/� / h�t� Stake & Tack c FEMA Zone Lines Boo s ''sc > �+" /: \ 1: /r Gas Gate As Shown On FIRM k h : / y�o N..-/4 O CB/DH Concrete Bound w/ Drill hole ® Water Gate Panel # 250001 0018 D 263i�� goo ;��;. ,�/525"'$6•.W: / / G°� 4�, eon O SB/DH Stone Bound w/ Drill hole ® Well rev July 2, tss2 �6 t•p orwwid 3 U PK nail O Vent Pie Landward Edge o 3f' - % SSM p LIMIT Of UNDEVELOPED COASTAL BARRIER Of Dune : '� /� en0 O Steel Re-bar w Schofield Ca -O- Utility Pole Identified 1990 / 728 Fnd / p As On FIRM o-89:• / y �1{co c y O sM O Survey Marker Pin oHw Overhead Wires ,p of /• :/ 5y�• , i) / Fnd - --35- - Elevation Contour Panel # 250001 0018 D aono rev July Z 1992 NOTES: PREPARED FOR: PREPARED BY 7177-E' Proposed• Septic System 1.) The property line information shown was The PickwiCapeSurv - p compiled from available record information. ek Realty Trust Site PlanJ. Robert Casey, Trustee SullivanEngineering, Inc. M 2.) The topographic information was obtained PO Box 659 7 Parker Road from an on the Around survey performed on c% The Beacon Companies Osterville, MA 02655 Osterville MA 02655 t o Or between 28/DEC/07 and T9/NOV/08. 50 Federal St., 4th Floor (508)428_3344 (508)428-3115 fox (508) 420-3994 (508) 420-3995 fox 71 Ocean View Avenue T� 3.) The .datum used is NGVD '29, a fixed mean Boston MA 02110 copesurvfaapecod.net sea level datum. Draft: Barnstable (cotUit) Mass. 30 0 15 30 60 120 JOD Feld: MLL/RRL/DWB � 4) Review: PS Comp.: MLL/RRL DATE: SCALE: �� � 1 May 3 2010 1 = 30 2 007 P v Project: C323 J J Pro ect: 1 T- x. 7 ZONE: *: •{ /$ I t RF-1 (RP00) c I I Area. (min. 87,120 SF .? I Fronto e (min) 20' j.� ` 1 1 J Wfdth min) 125 41 t t ! Setbac s: o o°1 1 1 ► -, i Front 30' t . x>sd t 1 rp2 k>, ( \ ,yam -- / Side 15 _AS Rear 15 • if. '` • `• ' REVISED .�.. I �'- / , ��— .. � S GROUNDWATER sa , J / PROTECTION OVERLAY DISTRICT: � _ *• ' Fad I t 1 •`~.• ,` `3„6j' /' / I / `• \ ._ ,` -- / •'/ 1 / )he N/,� AP - Aquifer Protection District w t. t • - — — — __ / \ / �/ / ,, ,0.1 zcd toy. FEMA FLOOD ZONE t / / \ \ , \ 39 / Zone C. B, Ai3 EL12 & V17 EL14 , Lot 5 / ... \ \ / Access Easement ( )► ( ) >. .. Over Existing Drive Panel 1250001 0018 D (rev. July 2, 1992) 179,1V-+-SE.Upland 4.11&Ae � — — I I I N �,3• 9 ��\ � \ � � � � \� ,�,, To Ocean view Avenue � LOCATION MAP o, ` ` / / Z•-10 \1 1 1 // See LC Doc 1698.963 } -31,125tSF Wet/ond� 0.711AC i 1 / I \ 1 1 a .t 210,318fSF to MLW \ 4.83fAC / J / l / 1 1 t t t / \ ASSESSORS REF.: 1�' j Map 034. Parcel 045 Iowa \ t I I / / / , , ` \ \ d Lawn DIRECTIONS: �/ � /� , I / � • I � 1 l !` i \ � s2 4 , Lam � _ From Hyannis Toke Route 28 towards Cotuit, NR �,yor ' / I / ( ) , ` .7 1 �\ ` N. , /. 1�c Take o left onto Putnam Avenue at o set of fights, ica a I / / 1 J ` > 4• ` \ / and follow to the end, Toke a left onto Main Q c I \\ \ � , . 69 8g• / Street; Bear left onto Ocean View Avenue, and f site is on the left, 1. rt - Fad / \ PoNy / w 00 29 Lem 00, 00 \ O / fig �,• CQWY / // / '/ i �" ..-�� / �•` ' / ,� •�S C v► . d�s9 _ /fit le A 1AJ Oc N A O '' •/ ` •� '� ..•' '.' / /.•• / i.•,-.i' �` �X «-. •.'" -'r,,. '� �1' ^1~ �' "'r / ' T+' 'Z� \•�CQ \ .Ot' Y / J✓ L r. -, YJ lor WA A LOW clez N. ell • . _ .. �. . Garden / r sett'� 1 yS•p ' '�•" " ~"`"` '"., --- J/�/' \\ , ///�/// .�' k7 .;% -- ..\ `• ``���, �a"�`ior� `��'� ~`' -- '' \\ I t-Qa N)6.O , N�'..• --! J ! } i'�" .~,\1�, / J///l///// �// r.% /�-'•-- --�6 �T`. , _ L ` \ ' +,�„ ``x \ '"'�• \ „ 22-- l0� r I\ J ✓ //I// / f/ /1� j° •-"26� L ` .�` ` � `\ �`` 1 /�, / A Q3 Zak r r / _ r r r S / 01 / r .,.. _ CSC ¢s / / / / / �.• \ \ \ gene\ ` 1 .►• // /i ► • / / / / r.•' / even t« Hirsch ` J = %... /� ' ' ex..t K n dew / Ad I LOT 3 +� \ \ \ / \ ` �q 1 .-2 S�i / ` / ,e�•'". �� ` 1 • Trtsf Rty ' /Pfos Book'263/41 r' 1 \ \ \ \ \ ! \ \ \ t�," �pn . r �,, • / ` , -- ///! P Q �y I / \ `\ \♦\'� ` 1 l I ( @� Lawn ........ / 2s3/�r _ o I J / I �. `` I I I t J� I �4� - •." „ i/, NSERVA BARNS T 'c0 TION 9 it '� . . � : � ! , 3� �. _. , � '���• �\\\ \ `� I I J 1 `\ --� .. a-,:•... ��./r�j,: / -- g�tet � , , • ��g2021� ol Ole loeat:ior.oft3eeatnc. i f '.�' �3 \ ` \ ; I ` � \ �` ., .. ';:::%:�•• _._. „•. r.••�i -- •-•'''�%//�jg -i / / �. E IN ;a 110;Df 00•t9t•JCLiO• -/ i ; ,i \ \ r`• \ `• ♦ .,, _ - �,. �� H` A J { Steven E Hirsch `\ } :' WI \ \ �.� .•- •.... ,.. / 1 iii' 4,y SEP 2011 LOT f • - / e� 1 Pan Book 263141 Fd9. ) , -- .,.,. ^X i �p / _ / / / .../ / . . Landw d Edge / aQ� ••r p�' Sly/ ! + d• \ ` �'~ +r; -~ -- Of z �awJi"-�.. _...__ .-. ••- / i•//�/ / �Qi / / :'Pwd ,r is *por Floor i e re[ a r \ -` ..�.'►' .F---- / .. s O \ \ r• i i .01 tr`N'' •`S \\`\. `UVI / '�� � M O~ `` . ��• ` 1 ~~ '' ✓�/, %�'� / / /•/'• 1,/ �tllw•• • / -•7- -- „J -j��- _ _....fir. ! I 't • L—W %o• J 70 Not Fovnd\ � \ 1�ybtltMp fJw7�\ _ ..+J� .." 1-. .7 49. �r YS` 'DD QR y ,i+ - r ..• ~''�\ �`` `\ `'' " ./� ° Q-7. ° t= s�011e/Cj%1 (BU/rfed) .• ••�� p` .0 _ - ... .__-_.__ ..1 / �, -...... -- -' ��•` \ rap t i / owtt'On Plant by, rk� /• , •• ' xo�ws o ~Wd Dated July .� 1974e A• acjan l�tovc�ii C +:.•r to~epJ+rn �'p 'w ` II �,�..,•..•...--•---.. •-•...-•., � = \�` \\ I \ l r(See Plan BookJ06/96)�/ ""'--• �O k C� '� Or ense►t6. to N • f r✓''• -`• � � \ • \,f• . � .._. .� s` / � ! or WOK 5 Pond �`� \ t e S '/ r• LOT 5 LEGEND \ Plan Book 263141 ,�ti10�' `� `7 �,y r :'f :• . • .• . • •• j SECTION DETAIL ��� P �� a Dec►duous Tree 1 %Post �• SCALE 1" = 4' ® Sewer Manhole �+ "�.,� \ �.. "BY OTHERS* ® Electric Manhole .,1, '•: fh a•- •` �'\ S9:S , `''tea@ :• ,Y / / y • ScoPE of w,oRi� ® Catch Basin 'y S \ t) TEMPORARILY RELOCATE ® / Exist j PORTION OF sTRUCUTRE Catch Basin (round) Coniferous Tree f �s'`y\ �`•o ,i „Qe.IhJs;•Lor. , :�/'•./,� 0 : 1; y Hydrant r s� \ .,d ,(a.-;•o ,vew1 • '�• �o , / / / t, /�-Y•.._ O „ 2) REPLACE PILE FOUNDATION. _1W_ Sign e Nam. °°t' �OtQ 3) REPLACE ROTTEN WOOD 0 Iron Pipe Light Post / A,o t�i� • oene a ►,t�.=�' 'y ��•�. AS REQUIRED. • ���r yi :%• „• _ j h ' ,� p Q Stake & Tack ® FEMA Zone Lines f / ' t 4 ELEVATE FLOOR i'-9" Gas Gote - s �°� .%: tio� . 1/4 '/ 1 ) Wafer As Shown On FIRM /. C? ��: p 5) ELEVATE ROOF f=3". �'� .: : O CB/OH Concrete Bound w/ Drill hole i@ Gate Pant 250001 0018 D �s`�i�� ��s�S"S N•' / ' .�d �N� 9� �: F M het°in i 6} PRUNE VEGETATION OVER O SB/DH Stone Bound w/ Drill hole ® Well rev July Z 1992 oie.ga •3 spW ,.►/. ti� Bottom Of t ROOF AS REQUIRED. 7 4 PK nail • Landward Edge o •fit#' '�` •/ -q fi • O Vent Pipe LIMIT Of UNDEVELOPED COASTAL BARRIER Of Dune ;• '� % in Coastal Bonk Board"" Beach Fed 0 Steel Re-6or w Schofield Co •O• U#ilit Pole �. t • \ / P Y (Identified 1990) r,� ,.j• :r28 rr{ 8168� S is ur a n : . . :• •. ,. M Pi _ Contour Pane1250001 :• f% .•8 o1c) ;• F��S �R� �°` S vey 'rker oHw Overhead Wires As Shown On FIRM tde9: '�' S c J• -• ' . 1 35-- --Elevation C 1 0018 D •� .,:•• ;> �' �• o, T �� •f3FGCh.j/: 'vtha�Gf%s�• ..._•� y .' ••'''� •''•�. Fs ONAaE°'C •1 S W ,' rev Jld Z 1992 / s� NO PREPARED FOR: PREPARED Y. TES: PEP B TITLE: Plan --- 1.j Ttie intent of this plan is for the permitting of Site U Li c crate repairs and alterotions to the existing beach / --- — bath houst. Only wetland resources affectingthis The Pickwick Realty Trust Retaining Wall ..... _.._ — ' Y A work ore shown. Additional resources y Sullivan Engineering, Inc. CapeSury Pro osed Re airs & Alterations J Robert Case , Trustee g� g, p p Landward Dune e • M : rs8,'; which may Impact the site may be present. c/o The Beacon Co ponies PO Box 659 7 Parker Rood - or Existrn Beach / E3ath House .._ S TO •H.• °. Osterville MA 02655 Osterville MA 02655 g Limit Of Undeveloped w 3 : 2.) The property line information shown was ' p 54 Federal St., 4th Floor + coastal Barrier �':� : compi eel from available record Information. (508)428--3344 (508)428-3115 fox (508) 420-3994 5l) 420-3995 fax At 7'1 Ocean View Avenue �~- `� Pond (Identified 1990} .~ BOSt01? MA 02110 ewesu�pecodnet \� As Shown On FIRM c .� 3.) The topographic Information was obtained _ . ? Panel 1250001 0018 D �° from an on the round surve performed on .w QQ Draft: J0D Field: Bams Co#vi# a) rev July 2, 1992 or between 28/0EC/07 and P/NOV/O8. 30 p 15 30 60 t le M r t20 MLL/RRL/DWB � C �� ��� � PLATY VIEW DETAIL, 4.) The datum used is NGVD '29, a fixed mean Review: PS Comp.: MLL/RRL DATE: SCALE: �r r � SCALE 1" - 20' sea level datum. Project. 21007 Se tember 16, 2011 1 = a3a Project: C323 p } t,. ZONE. i•t! 1 ° rlWae ? � Area (min.) 87,120 SF o I l I Frontage (min) 20' ' ,"pj 1 Width (min) 125 . . ,.'+� . , Setbacks: • ' g �o�- o \• 1 j Front 30' • -o: §A�4 s elu z o c� U ce/DN Side 15 : v Z Fnd ,10 / \., r/ / o � mot• •� --- � Rear 15MPSOM CBIDH ' REVISED GROUNDWATER •° ' i4, �r ' PROTECTION OVERLAY DISTRICT: SB/DH / Fnd ) / -- /f /� / The N/F AP - �Aquifer Protection District , ,,.._. _..._ ._..... \ -- __._ '/ / ` ` t / ( ✓! f/ r 0Ce p o0o'S+ y ./ a' � 19L% `,� _ - - - __ / - 1 f� f' \ `• \ L plost?t 10 e h c% FEMA FLOOD ZONE w ce l / ~ % 1 L CC T /O i z N Zon e C B A 13(EL 12) & V17 (EL 14) d° o \ / f Access Easement Panel # 250001 0018 D (rev. July 2, 1992) \ Over Existing Drive v tll3. ' / ✓ '. \ \ \ > > ` Lawn To Ocean View Avenue LOCATION MAP See LC Doc #698,963 rn \ Lawn f� j co 1"=2000'f ASSESSORS REF.: Map 034, Parcel 045 ^ I I \ CS H Lawn f l nd_ DIRECTIONS: Lawn / From Hyannis - Take Route 28 towards Cotuit; Take a left onto Putnam Avenue at a set of lights, and follow to the end; Take a left onto Main SM cv iFnd Street; Bear left onto Ocean View Avenue, and z`o U / ' \ \ 6g) site is on the left, #71. U _j IVA ` 11-awn \ no 1 SB/D t V 3 r1j Fnd / / , a -r 4, 6 CBIDH O fJ /' ' � O � - Lawn 09, a RELOCA TED / v1 :" i' y v �~~ Ov 0 / / Drive o / DWELLING,. x� EXISTING SEP Q � 0 60�� / - v (UNDER i - Q� \ 0 0 0 CONS�UCTION) / OPOSE9 1,500 \\ ~ INV. Et, 19.Op � \ O S�G� `,3;. ~. EL. 39.75 / J 5� \ -~ SEE 1 N SPEC TAN P - BASEM H-20 EPTIC TANK \ P �_ 9 P \ OQ \ W s -, � F.F. � � \ s JULY 2, 2007 D�0 � � � G _� � P� � El r SLABS - f1V EL. 27�0 / o \ \ p one 6 Q • Q G 1 EL. 29.75 10' e �5 I arch 0 s v MIN. SE ALSO PkR�11,T -� �► ,• L 2010•�36 / 'r o\\ _... RV. y 1 ] c f I 69 �I / o , � �rtwa•���. � i2 01oJ 0 O J �_ Q E W O PQSED o°o 3 2 Rll/EWAY v�rp'li I.L _35 rf o �35 , f o r °Je Bd l ;i If/ �/�0/f / s r ay ,.;; \ ` t3`>, *fVe -- :.;;x �, \ { j rf / J/ ✓ / 47 RQ,oQ 01`'' ' `' *_..`� Oj 0 r `rs � e 1.6' /` �/ \1 ' { / � r ',•�� 0• SF� �\ o� -� o OQ \ 1 t � se/DH ,,.,,, 15 O llr000 __. Fnd N7 O N l \ j �����\ / /� / /r' g9' Zoo `35 11/ � _, . y {.. � r \ � f �� /r�'' J JIl� % / ''• '� �Or'" Fe"�..._.._.. �. _.._.. _ 5��,, .cejol�.` �'`-`�s�, ,,., \ 0 .\. 2' _ �1 - ' n o- ' / ✓�. P .�\ moo, // / _ o - \ - �Ox0 10 �������ti���i //j✓+ ri � \_� r:..=- _ .., / .-�i ✓'r' _ __. ___ V� y 1 22, Fence _ ,•..:._.- --,_, ' / / . r� / � ,.,• ,.,. � / \ Fnd .;,.-•-, r- - %/ 46 O e N/F sM lI / ✓ .� �Sfeven E. Hirsch \ O � ` t ROPOSED I ^ N F • c 0/7 Vek Fnd I / j LOT 3 1= \ \ \ / \ l q LIMIT Trust Reo/t Plan Book 263/41 \ \ �o/I - "" WORK - /on Book 2401 / / / \ \ l\ _ cn ( I t 24 26�3/4 00 / j 1 \� 1 ? ' �ii J�. /- r � x\ / t \ \..r tel • / Fnd +\ \\ Op SI e I 6 l//. /g\ o N/F \ ` - .s• r i' r�'r r /' 4.7' \ Fnd ~ - I Steven E. Hirsch } W / \_ \ - `~ - - _ rc f ~-� -f_ . ���r��' '•'' j \r �O / '� LOT 1 Plan Book 263/41 I Stone Edge 1 , .. y _ '- _`— �-- `� / / /'//' Landward Edge _ \ Of Dune f O F d -�- 1 Lawn_ Pond I I \ \ = - - O l Ban 10 Control \ \ .__ N�¢-� '�'9 \ ., ``_.. �. ..�, __\ Gote \s ~ \ ' '' Srocko — 1 � _..._ ..._.. _...._. ... °/ o' W eF -� . S9- (Ou�et ....... \ /°C/ ...f / // // _ _....... Not Found) \ Ei=Z2 \ , G —WalkWoy ~- top of \ ��� \� / i // / l 92 3aX �5�� . _ _ conc \ ��` °acre p_., �7, / '' �' \ e e � 'T EI= / EXISTING lStonellGroin' (Burried) / �c0 \\ El T3 t i 3000 GAL, TANK / A��howrt' On Plan by, m y / \`� \ Lawn \ I I (PERMIT 2009-184) schoeld Dated July 3, 197�• / w f \ ��� ..._ ,_ O ADJUST PUMP (See Plan Book 306/96)• / I _,> FLOATS AS N Shed — _ o \ \ o -ftEftltRE6 F- Pond N LOT 5 , �g �e �\ \ LEGEND \ Plan Book 263/41 '�`1 g /y o \ 8 e°c B top of blkhd Qs Deciduous Tree Sewer Manhole h�6 'dw„� k+5 Post \ j V Q Electric Manholerg° ® Catch Basin \,SSS\.. Coniferous Tree \6 \ p• Approximate`Mean Low.Water / /' ® Catch Basin (round) �' w (EL==0.B' NGw� 29/bEC/to ,�1• �1•� Hydrant Sign % S7eVe /V \ top of Based on US ACE Data / (0 G g , p Iron Pipe Light Post �.'`� conc 1 and Benchmark '-M2sse' / j �/ A Stake & Tack © Gas Gate FEMA Zone Lines °° °o�T 6y�sch \ Oh � ; // :�o� ���1�� ,\ N OF q� As Shown On FIRM CB/DH Concrete Bound w/ Drill hole 1E Water Gate / Panel # 250001 0018 D 3i�� °off/E,_s:4 0 SB/DH Stone Bound w/ Drill hole 0 Well rev July 2, 1992 �g top of blkl7d W /. Landward Edge o° 3f' -• �� O PK nail O Vent Pipe LIMIT Of UNDEVELOPED COASTAL BARRIER Of DuneSSM s8 Fnd O Steel Re-bar w/ Schofield Cap � Utility Pole (Identified 1990) k+h / . '728 j�• 0 /ST SM O Survey Marker Pin —OHw Overhead Wires As Shown On FIRM �foPsof' / ;/ ;95f• {ca1c�' SS�ONaL Fnd y — —35— — Elevation Contour Panel # 250001 0018 D conc rev July 2, 1992 f / NOTES: PREPARED FOR: PREPARED BY. TITLE: Site Plan 1.) The property line information shown was The Pickwick Realty Trust Inc. compiled from available record information. Sullivan Engineering, ICapeSury Proposed Temporary Septic Andrew Newman, Trustee V► 2.) The topographic information was obtained c/o The Beacon Companies PO Box 659 7 Parker Road from an on the round surveyperformed on / P Osterville, MA 02655 Osterville MA 02655 t O or between 281DEC107 and f91NOV108. 50 Federal St., 4th Floor (508)428-3344 (508)428-9617 fax (508) 420-3994 (508) 420-3995 fax 71 Ocean View Avenue ?_ 3.) The datum used is NGVD '29, a fixed mean Boston MA 02110 copesurv@copecod.net sea level datum. Draft: Field: Bamstable (COtuit) Mass. W 30 0 15 30 60 12o JOD MLL/RRL/DWBW Review: PS Comp.: MLL/RRL DATE: SCALE: _ Project: 21007 Project: C323 April 1 S, 2011 1 n = 30 LETTER OF TRANSMITTAL TO: DATE: JOB NUMBER: REGARDING: SHIPPING METHOD: Regular Mail Pick Up Priority Mail Hand Deliver Express Mail Other A NATURAL SYSTEMS UTILITIES COMPANY LICENSED SITE PROFESSIONALS * ENVIRONMENTAL SCIENTISTS * GEOLOGISTS * ENGINEERS 1573 Main Street, Brewster, MA 02631 * 508­896­1706 * Fax 508­896­5106 * www.bennett­ea.com BENNETT ENVIRONMENTAL ASSOCIATES, LLC. Certified Mail Green Card/RR COPIES DATE DESCRIPTION For review and comment: For approval: As requested: For your use: REMARKS: FROM: If enclosures are not as noted, kindly notify us at once t5aiom.doc • rev. 04-11-13 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. Pickwick Realty Trust, Evergreen 69 Realty Trust Owner 71 Ocean View Avenue Facility Street Address Cotuit City 02635 Zip Mailing address of owner, if different: 8 Newbury Street 5th Floor Street Address/PO Box: Boston City MA State 02116 Zip (781) 444 - 4270 ext. Telephone Number B. Authorized Service Provider Bennett Environmental Associates, LLC O&M Firm 1573 Main Street Street Address Brewster City MA State 02631 Zip (508) 896 - 1706 ext. 1140 Telephone Number Brian Fortin Certified Operator Name 15320 Certification Number C. Facility/System Information DEP ID OMNI Environmental Systems Manufacturer ID OMNI RSF-PR Model Number 5/2011 Installation Date Unknown Start of Operation Approval Type: General Provisional Piloting Remedial Seasonal Residence – used less than 6 mo./year: Yes No D. Operating Information 9/12/2023 Inspection Date 6/8/2023 Previous Inspection Date Sludge Depth (to be checked yearly) Pumping Recommended Yes No t5aiom.doc • rev. 04-11-13 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: gray brown clear turbid Other (specify): Odor: musty earthy moldy offensive turbid Effluent Solids: no some pH 7.58 SU 6 to 9 DO 6 mg/L 2 or greater Turbidity 1.13 NTU 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: Influent Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: pH BOD CBOD TSS TN Other (list below) Nitrate Other 1 Nitrite Other 2 TKN Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Notes and Comments: All mechanical components of the system are operating correctly. Effluent quality passed field testing parameters. t5aiom.doc • rev. 04-11-13 Page 3 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature 10/23/2023 Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health as follows for each inspection performed: Remedial Use – by January 31st of each year for the previous calendar year Piloting Use - within 45 days of inspection date Provisional Use – by March 31th of each year for the previous 12 months General Use – by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 5th Floor Boston, MA 02108 t5aiom.doc • rev. 04-11-13 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. Pickwick Realty Trust, Evergreen 69 Realty Trust Owner 71 Ocean View Avenue Facility Street Address Cotuit City 02635 Zip Mailing address of owner, if different: 8 Newbury Street 5th Floor Street Address/PO Box: Boston City MA State 02116 Zip (781) 444 - 4270 ext. Telephone Number B. Authorized Service Provider Bennett Environmental Associates, LLC O&M Firm 1573 Main Street Street Address Brewster City MA State 02631 Zip (508) 896 - 1706 ext. 1140 Telephone Number Brian Fortin Certified Operator Name 15320 Certification Number C. Facility/System Information DEP ID OMNI Environmental Systems Manufacturer ID OMNI RSF-PR Model Number 5/2011 Installation Date Unknown Start of Operation Approval Type: General Provisional Piloting Remedial Seasonal Residence – used less than 6 mo./year: Yes No D. Operating Information 12/5/2023 Inspection Date 9/12/2023 Previous Inspection Date Sludge Depth (to be checked yearly) Pumping Recommended Yes No t5aiom.doc • rev. 04-11-13 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: gray brown clear turbid Other (specify): Odor: musty earthy moldy offensive turbid Effluent Solids: no some pH 7.80 SU 6 to 9 DO 10 mg/L 2 or greater Turbidity 6.56 NTU 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: Influent Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: pH BOD CBOD TSS TN Other (list below) Nitrate Other 1 Nitrite Other 2 TKN Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Notes and Comments: All mechanical components of the system are operating correctly. Effluent quality passed field testing parameters. t5aiom.doc • rev. 04-11-13 Page 3 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature 1/10/2024 Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health as follows for each inspection performed: Remedial Use – by January 31st of each year for the previous calendar year Piloting Use - within 45 days of inspection date Provisional Use – by March 31th of each year for the previous 12 months General Use – by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 5th Floor Boston, MA 02108 t5aiom.doc • rev. 04-11-13 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. Pickwick Realty Trust, Evergreen 69 Realty Trust Owner 71 Ocean View Avenue Facility Street Address Cotuit City 02635 Zip Mailing address of owner, if different: 8 Newbury Street 5th Floor Street Address/PO Box: Boston City MA State 02116 Zip (781) 444 - 4270 ext. Telephone Number B. Authorized Service Provider Bennett Environmental Associates, LLC O&M Firm 1573 Main Street Street Address Brewster City MA State 02631 Zip (508) 896 - 1706 ext. 1140 Telephone Number Brian Fortin Certified Operator Name 15320 Certification Number C. Facility/System Information DEP ID OMNI Environmental Systems Manufacturer ID OMNI RSF-PR Model Number 5/2011 Installation Date Unknown Start of Operation Approval Type: General Provisional Piloting Remedial Seasonal Residence – used less than 6 mo./year: Yes No D. Operating Information 3/19/2024 Inspection Date 12/5/2023 Previous Inspection Date ST: 12" sludge 1" scum; Beachhse ST: 0" sludge, 0" scum; EQ tank: 2" sludge, 0" scum Pumping Recommended Yes No t5aiom.doc • rev. 04-11-13 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: gray brown clear turbid Other (specify): Odor: musty earthy moldy offensive turbid Effluent Solids: no some pH 8.08 SU 6 to 9 DO 8 mg/L 2 or greater Turbidity 0.69 NTU 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: Influent Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: pH BOD CBOD TSS TN Other (list below) Nitrate Other 1 Nitrite Other 2 TKN Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: Respond to a system alarm in January 2024. Diagnose a faulty high level float and complete float replacement on 2/23/24. Conduct an operation and maintenance event on 3/19/24. Collect effluent samples for field testing and laboratory analysis. Notes and Comments: All mechanical components of the system are operating correctly. Effluent quality passed field testing parameters. t5aiom.doc • rev. 04-11-13 Page 3 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature 5/1/2024 Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health as follows for each inspection performed: Remedial Use – by January 31st of each year for the previous calendar year Piloting Use - within 45 days of inspection date Provisional Use – by March 31th of each year for the previous 12 months General Use – by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 5th Floor Boston, MA 02108 t5aiom.doc • rev. 04-11-13 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. Pickwick Realty Trust, Evergreen 69 Realty Trust Owner 71 Ocean View Avenue Facility Street Address Cotuit City 02635 Zip Mailing address of owner, if different: 8 Newbury Street 5th Floor Street Address/PO Box: Boston City MA State 02116 Zip (781) 444 - 4270 ext. Telephone Number B. Authorized Service Provider Bennett Environmental Associates, LLC O&M Firm 1573 Main Street Street Address Brewster City MA State 02631 Zip (508) 896 - 1706 ext. 1140 Telephone Number Brian Fortin Certified Operator Name 15320 Certification Number C. Facility/System Information DEP ID OMNI Environmental Systems Manufacturer ID OMNI RSF-PR Model Number 5/2011 Installation Date Unknown Start of Operation Approval Type: General Provisional Piloting Remedial Seasonal Residence – used less than 6 mo./year: Yes No D. Operating Information 6/4/24 Inspection Date 3/19/2024 Previous Inspection Date ST: 8" sludge, 0" scum Sludge Depth (to be checked yearly) Pumping Recommended Yes No t5aiom.doc • rev. 04-11-13 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: gray brown clear turbid Other (specify): Odor: musty earthy moldy offensive turbid Effluent Solids: no some pH 8.67 SU 6 to 9 DO 10 mg/L 2 or greater Turbidity 2.10 NTU 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: Influent Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: pH BOD CBOD TSS TN Other (list below) Nitrate Other 1 Nitrite Other 2 TKN Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Notes and Comments: All mechanical components of the system are operating correctly. Effluent quality passed field testing parameters. t5aiom.doc • rev. 04-11-13 Page 3 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature 7/5/2024 Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health as follows for each inspection performed: Remedial Use – by January 31st of each year for the previous calendar year Piloting Use - within 45 days of inspection date Provisional Use – by March 31th of each year for the previous 12 months General Use – by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 5th Floor Boston, MA 02108 L2352983 Bennett Environmental Associates K10583DA.S.IA.700 PICKWICK AND EVERGREEN REALTY Client: Project Name: Project Number: 09/20/23 Eight Walkup Drive, Westborough, MA 01581-1019 Lab Number: Report Date: 508-898-9220 (Fax) 508-898-9193 800-624-9220 - www.alphalab.com 1573 Main Street Brewster, MA 02631 Samantha FarrenkopfATTN: ANALYTICAL REPORT Certifications & Approvals: MA (M-MA086), NH NELAP (2064), CT (PH-0826), IL (200077), IN (C-MA-03), KY (KY98045), ME (MA00086), MD (348), NJ (MA935), NY (11148), NC (25700/666), OH (CL108), OR (MA-1316), PA (68-03671), RI (LAO00065), TX (T104704476), VT (VT-0935), VA (460195), USDA (Permit #525-23-122-91930). (508) 896-1706Phone: The original project report/data package is held by Alpha Analytical. This report/data package is paginated and should be reproduced only in its entirety. Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Serial_No:09202319:39 Page 1 of 16 L2352983-01 Alpha Sample ID EFFLUENT Client ID COTUIT, MA Sample Location PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 Project Name: Project Number: Lab Number: Report Date: L2352983 09/20/23 09/12/23 13:20 Collection Date/TimeMatrix Receive Date WATER 09/12/23 Serial_No:09202319:39 Page 2 of 16 PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 Project Name: Project Number: Lab Number: Report Date: L2352983 09/20/23 Case Narrative I, the undersigned, attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Authorized Signature: Title: Technical Director/Representative Date: 09/20/23 The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted. Sample Receipt, Container Information, and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet NELAP requirements for all NELAP accredited parameters unless otherwise noted in the following narrative. The data presented in this report is organized by parameter (i.e. VOC, SVOC, etc.). Sample specific Quality Control data (i.e. Surrogate Spike Recovery) is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter. Tentatively Identified Compounds (TICs), if requested, are reported for compounds identified to be present and are not part of the method/program Target Compound List, even if only a subset of the TCL are being reported. If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported, the Laboratory ID of the re-analysis or re-extraction is designated with an "R" or "RE", respectively. When multiple Batch Quality Control elements are reported (e.g. more than one LCS), the associated samples for each element are noted in the grey shaded header line of each data table. Any Laboratory Batch, Sample Specific % recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report. In reference to questions H (CAM) or 4 (RCP) when "NO" is checked, the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances, the specific failure is not narrated but noted in the associated QC Outlier Summary Report, located directly after the Case Narrative. QC information is also incorporated in the Data Usability Assessment table (Format 11) of our Data Merger tool, where it can be reviewed in conjunction with the sample result, associated regulatory criteria and any associated data usability implications. Soil/sediments, solids and tissues are reported on a dry weight basis unless otherwise noted. Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. HOLD POLICY - For samples submitted on hold, Alpha's policy is to hold samples (with the exception of Air canisters) free of charge for 21 calendar days from the date the project is completed. After 21 calendar days, we will dispose of all samples submitted including those put on hold unless you have contacted your Alpha Project Manager and made arrangements for Alpha to continue to hold the samples. Air canisters will be disposed after 3 business days from the date the project is completed. Please contact Project Management at 800-624-9220 with any questions. Serial_No:09202319:39 Page 3 of 16 INORGANICS & MISCELLANEOUS Serial_No:09202319:39 Page 4 of 16 FF EFFLUENTClient ID: 09/12/23 13:20Date Collected: 09/12/23Date Received: Parameter Result Dilution Factor Matrix:Water COTUIT, MASample Location: L2352983-01Lab ID: Qualifier Units RL SAMPLE RESULTS Project Name: Project Number: Lab Number: Report Date: PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 L2352983 Field Prep: Date Analyzed Analytical Method Analyst Not Specified General Chemistry - Westborough Lab Solids, Total Suspended Nitrogen, Nitrite Nitrogen, Nitrate Nitrogen, Total Kjeldahl CBOD, 5 day ND ND 18. ND ND mg/l mg/l mg/l mg/l mg/l 1 1 5 1 1 5.0 0.050 0.50 0.300 2.0 09/14/23 12:54 09/13/23 07:07 09/13/23 07:18 09/20/23 14:55 09/18/23 17:28 121,2540D 44,353.2 44,353.2 121,4500NH3-H 121,5210B MRS KAF KAF KEP MKT Date Prepared - - - 09/19/23 22:58 09/13/23 20:33 09/20/23 MDL NA -- -- -- NA Sample Depth: Serial_No:09202319:39 Page 5 of 16 FF Parameter Result Dilution FactorQualifierUnitsRL Method Blank Analysis Batch Quality Control Project Name: Project Number: Lab Number: Report Date: PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 L2352983 Date Analyzed Analytical Method Analyst Date Prepared 09/20/23 Nitrogen, Nitrite Nitrogen, Nitrate CBOD, 5 day Solids, Total Suspended Nitrogen, Total Kjeldahl ND ND ND ND ND mg/l mg/l mg/l mg/l mg/l 1 1 1 1 1 0.050 0.10 2.0 5.0 0.300 09/13/23 04:11 09/13/23 04:25 09/18/23 17:28 09/14/23 12:54 09/20/23 14:42 44,353.2 44,353.2 121,5210B 121,2540D 121,4500NH3-H KAF KAF MKT MRS KEP - - 09/13/23 20:33 - 09/19/23 22:58 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1826769-1 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1826777-1 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1827217-1 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1827548-1 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1829313-1 MDL -- -- NA NA -- Serial_No:09202319:39 Page 6 of 16 Nitrogen, Nitrite Nitrogen, Nitrate CBOD, 5 day Solids, Total Suspended Nitrogen, Total Kjeldahl 100 104 85 89 104 - - - - - 90-110 90-110 41-119 80-120 78-122 - - - - - 20 49 Parameter LCS %Recovery LCSD %Recovery %Recovery Limits RPD RPD Limits General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1826769-2 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1826777-2 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1827217-2 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1827548-2 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1829313-2 Lab Control Sample Analysis Batch Quality ControlProject Name: Project Number: Lab Number: Report Date: PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 L2352983 09/20/23 Qual Qual Qual Serial_No:09202319:39 Page 7 of 16 Nitrogen, Nitrite Nitrogen, Nitrate CBOD, 5 day Nitrogen, Total Kjeldahl ND 2.5 ND ND 4.2 6.4 84 5.15 105 98 84 64 - - - - - - - - 80-120 83-113 36-125 77-111 - - - - 20 6 49 24 Parameter Native Sample MS Found MS %Recovery MSD Found MSD %Recovery Recovery Limits RPD RPD Limits General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1826769-4 QC Sample: L2352948-01 Client ID: MS Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1826777-4 QC Sample: L2352948-01 Client ID: MS Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1827217-4 QC Sample: L2352983-01 Client ID: EFFLUENT General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1829313-4 QC Sample: L2353010-01 Client ID: MS Sample 4 4 100 8 MS Added Matrix Spike Analysis Batch Quality Control Project Name: Project Number: Lab Number: Report Date: PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 L2352983 09/20/23 Qual Q Qual Qual Serial_No:09202319:39 Page 8 of 16 Nitrogen, Nitrite Nitrogen, Nitrate CBOD, 5 day Solids, Total Suspended Solids, Total Suspended Nitrogen, Total Kjeldahl ND 2.5 ND 84 120 ND ND 2.5 ND 76 110 ND mg/l mg/l mg/l mg/l mg/l mg/l NC 0 NC 10 9 NC 20 6 49 32 32 24 Units RPDParameterNative Sample Duplicate Sample RPD Limits General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1826769-3 QC Sample: L2352948-01 Client ID: DUP Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1826777-3 QC Sample: L2352948-01 Client ID: DUP Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1827217-3 QC Sample: L2352983-01 Client ID: EFFLUENT General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1827548-3 QC Sample: L2352998-01 Client ID: DUP Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1827548-4 QC Sample: L2353081-01 Client ID: DUP Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1829313-3 QC Sample: L2353010-01 Client ID: DUP Sample PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 Project Name: Project Number: L2352983Lab Number: Report Date: Lab Duplicate Analysis Batch Quality Control 09/20/23 Qual Serial_No:09202319:39 Page 9 of 16 *Values in parentheses indicate holding time in days L2352983-01A L2352983-01B L2352983-01C L2352983-01D Plastic 250ml H2SO4 preserved Plastic 250ml unpreserved Plastic 950ml unpreserved Plastic 950ml unpreserved B B B B <2 7 7 7 3.7 3.7 3.7 3.7 Y Y Y Y Absent Absent Absent Absent B Absent Cooler Custody Seal Cooler Information PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 TKN-4500(28) NO2-353(2),NO3-353(2) CBOD5(2) TSS-2540(7) Project Name: Project Number: L2352983Lab Number: Report Date: Sample Receipt and Container Information Container ID Container Type Cooler Temp deg C Pres Seal Container Information Analysis(*) 09/20/23 Were project specific reporting limits specified?YES <2 7 7 7 Frozen Date/Time Final pH Initial pH Serial_No:09202319:39 Page 10 of 16 Report Format:Data Usability Report GLOSSARY Project Name: Project Number: Lab Number: Report Date: L2352983PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 09/20/23 Acronyms DL EDL EMPC EPA LCS LCSD LFB LOD LOQ MDL MS MSD NA NC NDPA/DPA NI NP NR RL RPD SRM STLP TEF TEQ TIC Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the limit of quantitation (LOQ). The DL includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) Estimated Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit (RL). The EDL includes any adjustments from dilutions, concentrations or moisture content, where applicable. The use of EDLs is specific to the analysis of PAHs using Solid-Phase Microextraction (SPME). Estimated Maximum Possible Concentration: The concentration that results from the signal present at the retention time of an analyte when the ions meet all of the identification criteria except the ion abundance ratio criteria. An EMPC is a worst-case estimate of the concentration. Environmental Protection Agency. Laboratory Control Sample: A sample matrix, free from the analytes of interest, spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. Laboratory Control Sample Duplicate: Refer to LCS. Laboratory Fortified Blank: A sample matrix, free from the analytes of interest, spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. Limit of Detection: This value represents the level to which a target analyte can reliably be detected for a specific analyte in a specific matrix by a specific method. The LOD includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) Limit of Quantitation: The value at which an instrument can accurately measure an analyte at a specific concentration. The LOQ includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) Limit of Quantitation: The value at which an instrument can accurately measure an analyte at a specific concentration. The LOQ includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) Method Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit (RL). The MDL includes any adjustments from dilutions, concentrations or moisture content, where applicable. Matrix Spike Sample: A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. For Method 332.0, the spike recovery is calculated using the native concentration, including estimated values. Matrix Spike Sample Duplicate: Refer to MS. Not Applicable. Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. N-Nitrosodiphenylamine/Diphenylamine. Not Ignitable. Non-Plastic: Term is utilized for the analysis of Atterberg Limits in soil. No Results: Term is utilized when 'No Target Compounds Requested' is reported for the analysis of Volatile or Semivolatile Organic TIC only requests. Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration. The RL includes any adjustments from dilutions, concentrations or moisture content, where applicable. Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference (RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. Standard Reference Material: A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Semi-dynamic Tank Leaching Procedure per EPA Method 1315. Toxic Equivalency Factors: The values assigned to each dioxin and furan to evaluate their toxicity relative to 2,3,7,8-TCDD. Toxic Equivalent: The measure of a sample's toxicity derived by multiplying each dioxin and furan by its corresponding TEF and then summing the resulting values. Tentatively Identified Compound: A compound that has been identified to be present and is not part of the target compound list (TCL) for the method and/or program. All TICs are qualitatively identified and reported as estimated concentrations. - - - - - - - - - - - - - - - - - - - - - - - - - Serial_No:09202319:39 Page 11 of 16 Report Format:Data Usability Report Project Name: Project Number: Lab Number: Report Date: L2352983PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 09/20/23 Terms Analytical Method: Both the document from which the method originates and the analytical reference method. (Example: EPA 8260B is shown as 1,8260B.) The codes for the reference method documents are provided in the References section of the Addendum. Chlordane: The target compound Chlordane (CAS No. 57-74-9) is reported for GC ECD analyses. Per EPA,this compound "refers to a mixture of chlordane isomers, other chlorinated hydrocarbons and numerous other components." (Reference: USEPA Toxicological Review of Chlordane, In Support of Summary Information on the Integrated Risk Information System (IRIS), December 1997.) Difference: With respect to Total Oxidizable Precursor (TOP) Assay analysis, the difference is defined as the Post-Treatment value minus the Pre-Treatment value. Final pH: As it pertains to Sample Receipt & Container Information section of the report, Final pH reflects pH of container determined after adjustment at the laboratory, if applicable. If no adjustment required, value reflects Initial pH. Frozen Date/Time: With respect to Volatile Organics in soil, Frozen Date/Time reflects the date/time at which associated Reagent Water- preserved vials were initially frozen. Note: If frozen date/time is beyond 48 hours from sample collection, value will be reflected in 'bold'. Gasoline Range Organics (GRO): Gasoline Range Organics (GRO) results include all chromatographic peaks eluting from Methyl tert butyl ether through Naphthalene, with the exception of GRO analysis in support of State of Ohio programs, which includes all chromatographic peaks eluting from Hexane through Dodecane. Initial pH: As it pertains to Sample Receipt & Container Information section of the report, Initial pH reflects pH of container determined upon receipt, if applicable. PAH Total: With respect to Alkylated PAH analyses, the 'PAHs, Total' result is defined as the summation of results for all or a subset of the following compounds: Naphthalene, C1-C4 Naphthalenes, 2-Methylnaphthalene, 1-Methylnaphthalene, Biphenyl, Acenaphthylene, Acenaphthene, Fluorene, C1-C3 Fluorenes, Phenanthrene, C1-C4 Phenanthrenes/Anthracenes, Anthracene, Fluoranthene, Pyrene, C1-C4 Fluoranthenes/Pyrenes, Benz(a)anthracene, Chrysene, C1-C4 Chrysenes, Benzo(b)fluoranthene, Benzo(j)+(k)fluoranthene, Benzo(e)pyrene, Benzo(a)pyrene, Perylene, Indeno(1,2,3-cd)pyrene, Dibenz(ah)+(ac)anthracene, Benzo(g,h,i)perylene. If a 'Total' result is requested, the results of its individual components will also be reported. PFAS Total: With respect to PFAS analyses, the 'PFAS, Total (5)' result is defined as the summation of results for: PFHpA, PFHxS, PFOA, PFNA and PFOS. In addition, the 'PFAS, Total (6)' result is defined as the summation of results for: PFHpA, PFHxS, PFOA, PFNA, PFDA and PFOS. For MassDEP DW compliance analysis only, the 'PFAS, Total (6)' result is defined as the summation of results at or above the RL. Note: If a 'Total' result is requested, the results of its individual components will also be reported. Total: With respect to Organic analyses, a 'Total' result is defined as the summation of results for individual isomers or Aroclors. If a 'Total' result is requested, the results of its individual components will also be reported. This is applicable to 'Total' results for methods 8260, 8081 and 8082. Data Qualifiers A B C D E F G H I J M - - - - - - - - - - - Spectra identified as "Aldol Condensates" are byproducts of the extraction/concentration procedures when acetone is introduced in the process. The analyte was detected above the reporting limit in the associated method blank. Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times (10x) the concentration found in the blank. For MCP-related projects, flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times (10x) the concentration found in the blank. For DOD-related projects, flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times (10x) the concentration found in the blank AND the analyte was detected above one-half the reporting limit (or above the reporting limit for common lab contaminants) in the associated method blank. For NJ- Air-related projects, flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit. For NJ-related projects (excluding Air), flag only applies to associated field samples that have detectable concentrations of the analyte, which was detected above the reporting limit in the associated method blank or above five times the reporting limit for common lab contaminants (Phthalates, Acetone, Methylene Chloride, 2-Butanone). Co-elution: The target analyte co-elutes with a known lab standard (i.e. surrogate, internal standards, etc.) for co-extracted analyses. Concentration of analyte was quantified from diluted analysis. Flag only applies to field samples that have detectable concentrations of the analyte. Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. The ratio of quantifier ion response to qualifier ion response falls outside of the laboratory criteria. Results are considered to be an estimated maximum concentration. The concentration may be biased high due to matrix interferences (i.e, co-elution) with non-target compound(s). The result should be considered estimated. The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. The lower value for the two columns has been reported due to obvious interference. Estimated value. This represents an estimated concentration for Tentatively Identified Compounds (TICs). Reporting Limit (RL) exceeds the MCP CAM Reporting Limit for this analyte. 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. - Footnotes Serial_No:09202319:39 Page 12 of 16 Report Format:Data Usability Report Project Name: Project Number: Lab Number: Report Date: L2352983PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 09/20/23 Data Qualifiers ND NJ P Q R RE S V Z - - - - - - - - - Not detected at the reporting limit (RL) for the sample. Presumptive evidence of compound. This represents an estimated concentration for Tentatively Identified Compounds (TICs), where the identification is based on a mass spectral library search. The RPD between the results for the two columns exceeds the method-specified criteria. The quality control sample exceeds the associated acceptance criteria. For DOD-related projects, LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note: This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL. (Metals only.) Analytical results are from sample re-analysis. Analytical results are from sample re-extraction. Analytical results are from modified screening analysis. The surrogate associated with this target analyte has a recovery outside the QC acceptance limits. (Applicable to MassDEP DW Compliance samples only.) The batch matrix spike and/or duplicate associated with this target analyte has a recovery/RPD outside the QC acceptance limits. (Applicable to MassDEP DW Compliance samples only.) Serial_No:09202319:39 Page 13 of 16 Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error, the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the field. LIMITATION OF LIABILITIES 44 121 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100, August 1993. Standard Methods for the Examination of Water and Wastewater. APHA-AWWA-WEF. Standard Methods Online. Project Name: Project Number: Lab Number: Report Date: L2352983PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 REFERENCES 09/20/23 Serial_No:09202319:39 Page 14 of 16 Alpha Analytical, Inc.ID No.:17873 Facility: Company-wide Revision 20 Department: Quality Assurance Published Date: 6/16/2023 4:52:28 PM Title: Certificate/Approval Program Summary Page 1 of 1 Document Type: Form Pre-Qualtrax Document ID: 08-113 Certification Information The following analytes are not included in our Primary NELAP Scope of Accreditation: Westborough Facility EPA 624.1: m/p-xylene, o-xylene, Naphthalene EPA 625.1: alpha-Terpineol EPA 8260D: NPW: 1,2,4,5-Tetramethylbenzene; 4-Ethyltoluene, Azobenzene; SCM: Iodomethane (methyl iodide), 1,2,4,5-Tetramethylbenzene; 4- Ethyltoluene. EPA 8270E: NPW: Dimethylnaphthalene,1,4-Diphenylhydrazine, alpha-Terpineol; SCM: Dimethylnaphthalene,1,4-Diphenylhydrazine. SM4500: NPW: Amenable Cyanide; SCM: Total Phosphorus, TKN, NO2, NO3. Mansfield Facility SM 2540D: TSS. EPA TO-15: Halothane, 2,4,4-Trimethyl-2-pentene, 2,4,4-Trimethyl-1-pentene, Thiophene, 2-Methylthiophene, 3-Methylthiophene, 2-Ethylthiophene, 1,2,3-Trimethylbenzene, Indan, Indene, 1,2,4,5-Tetramethylbenzene, Benzothiophene, 1-Methylnaphthalene. Biological Tissue Matrix: EPA 3050B The following analytes are included in our Massachusetts DEP Scope of Accreditation Westborough Facility: Drinking Water EPA 300.0: Chloride, Nitrate-N, Fluoride, Sulfate; EPA 353.2: Nitrate-N, Nitrite-N; SM4500NO3-F: Nitrate-N, Nitrite-N; SM4500F-C, SM4500CN-CE, EPA 180.1, SM2130B, SM4500Cl-D, SM2320B, SM2540C, SM4500H-B, SM4500NO2-B EPA 524.2: THMs and VOCs; EPA 504.1: EDB, DBCP. Microbiology: SM9215B; SM9223-P/A, SM9223B-Colilert-QT,SM9222D. Non-Potable Water SM4500H,B, EPA 120.1, SM2510B, SM2540C, SM2320B, SM4500CL-E, SM4500F-BC, SM4500NH3-BH: Ammonia-N and Kjeldahl-N, EPA 350.1: Ammonia-N, LACHAT 10-107-06-1-B: Ammonia-N, EPA 351.1, SM4500NO3-F, EPA 353.2: Nitrate-N, SM4500P-E, SM4500P-B, E, SM4500SO4-E, SM5220D, EPA 410.4, SM5210B, SM5310C, SM4500CL-D, EPA 1664, EPA 420.1, SM4500-CN-CE, SM2540D, EPA 300: Chloride, Sulfate, Nitrate. EPA 624.1: Volatile Halocarbons & Aromatics, EPA 608.3: Chlordane, Toxaphene, Aldrin, alpha-BHC, beta-BHC, gamma-BHC, delta-BHC, Dieldrin, DDD, DDE, DDT, Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs EPA 625.1: SVOC (Acid/Base/Neutral Extractables). Microbiology: SM9223B-Colilert-QT; Enterolert-QT, SM9221E, EPA 1600, EPA 1603, SM9222D. Mansfield Facility: Drinking Water EPA 200.7: Al, Ba, Cd, Cr, Cu, Fe, Mn, Ni, Na, Ag, Ca, Zn. EPA 200.8: Al, Sb, As, Ba, Be, Cd, Cr, Cu, Pb, Mn, Ni, Se, Ag, TL, Zn. EPA 245.1 Hg. EPA 522, EPA 537.1. Non-Potable Water EPA 200.7: Al, Sb, As, Be, Cd, Ca, Cr, Co, Cu, Fe, Pb, Mg, Mn, Mo, Ni, K, Se, Ag, Na, Sr, TL, Ti, V, Zn. EPA 200.8: Al, Sb, As, Be, Cd, Cr, Cu, Fe, Pb, Mn, Ni, K, Se, Ag, Na, TL, Zn. EPA 245.1 Hg. SM2340B For a complete listing of analytes and methods, please contact your Alpha Project Manager. Serial_No:09202319:39 Page 15 of 16 Serial_No:09202319:39 Page 16 of 16 L2371567 Bennett Environmental Associates K10583DA.S.IA.700 PICKWICK AND EVERGREEN REALTY Client: Project Name: Project Number: 12/12/23 Eight Walkup Drive, Westborough, MA 01581-1019 Lab Number: Report Date: 508-898-9220 (Fax) 508-898-9193 800-624-9220 - www.alphalab.com 1573 Main Street Brewster, MA 02631 Samantha FarrenkopfATTN: ANALYTICAL REPORT Certifications & Approvals: MA (M-MA086), NH NELAP (2064), CT (PH-0826), IL (200077), IN (C-MA-03), KY (KY98045), ME (MA00086), MD (348), NJ (MA935), NY (11148), NC (25700/666), OH (CL108), OR (MA-1316), PA (68-03671), RI (LAO00065), TX (T104704476), VT (VT-0935), VA (460195), USDA (Permit #525-23-122-91930). (508) 896-1706Phone: The original project report/data package is held by Alpha Analytical. This report/data package is paginated and should be reproduced only in its entirety. Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Serial_No:12122310:17 Page 1 of 16 L2371567-01 Alpha Sample ID EFFLUENT Client ID COTUIT, MA Sample Location PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 Project Name: Project Number: Lab Number: Report Date: L2371567 12/12/23 12/05/23 10:10 Collection Date/TimeMatrix Receive Date WATER 12/05/23 Serial_No:12122310:17 Page 2 of 16 PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 Project Name: Project Number: Lab Number: Report Date: L2371567 12/12/23 Case Narrative I, the undersigned, attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Authorized Signature: Title: Technical Director/Representative Date: 12/12/23 The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted. Sample Receipt, Container Information, and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet NELAP requirements for all NELAP accredited parameters unless otherwise noted in the following narrative. The data presented in this report is organized by parameter (i.e. VOC, SVOC, etc.). Sample specific Quality Control data (i.e. Surrogate Spike Recovery) is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter. Tentatively Identified Compounds (TICs), if requested, are reported for compounds identified to be present and are not part of the method/program Target Compound List, even if only a subset of the TCL are being reported. If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported, the Laboratory ID of the re-analysis or re-extraction is designated with an "R" or "RE", respectively. When multiple Batch Quality Control elements are reported (e.g. more than one LCS), the associated samples for each element are noted in the grey shaded header line of each data table. Any Laboratory Batch, Sample Specific % recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report. In reference to questions H (CAM) or 4 (RCP) when "NO" is checked, the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances, the specific failure is not narrated but noted in the associated QC Outlier Summary Report, located directly after the Case Narrative. QC information is also incorporated in the Data Usability Assessment table (Format 11) of our Data Merger tool, where it can be reviewed in conjunction with the sample result, associated regulatory criteria and any associated data usability implications. Soil/sediments, solids and tissues are reported on a dry weight basis unless otherwise noted. Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. HOLD POLICY - For samples submitted on hold, Alpha's policy is to hold samples (with the exception of Air canisters) free of charge for 21 calendar days from the date the project is completed. After 21 calendar days, we will dispose of all samples submitted including those put on hold unless you have contacted your Alpha Project Manager and made arrangements for Alpha to continue to hold the samples. Air canisters will be disposed after 3 business days from the date the project is completed. Please contact Project Management at 800-624-9220 with any questions. Serial_No:12122310:17 Page 3 of 16 INORGANICS & MISCELLANEOUS Serial_No:12122310:17 Page 4 of 16 FF EFFLUENTClient ID: 12/05/23 10:10Date Collected: 12/05/23Date Received: Parameter Result Dilution Factor Matrix:Water COTUIT, MASample Location: L2371567-01Lab ID: Qualifier Units RL SAMPLE RESULTS Project Name: Project Number: Lab Number: Report Date: PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 L2371567 Field Prep: Date Analyzed Analytical Method Analyst Not Specified General Chemistry - Westborough Lab Solids, Total Suspended Nitrogen, Nitrite Nitrogen, Nitrate Nitrogen, Total Kjeldahl CBOD, 5 day ND ND 34. ND ND mg/l mg/l mg/l mg/l mg/l 1 1 5 1 1 5.0 0.050 0.50 0.300 2.0 12/06/23 00:21 12/07/23 07:12 12/07/23 07:18 12/08/23 13:42 12/11/23 17:26 121,2540D 44,353.2 44,353.2 121,4500NH3-H 121,5210B REM KAF KAF KEP JRG Date Prepared - - - 12/06/23 17:29 12/06/23 22:20 12/12/23 MDL NA -- -- -- NA Sample Depth: Serial_No:12122310:17 Page 5 of 16 FF Parameter Result Dilution FactorQualifierUnitsRL Method Blank Analysis Batch Quality Control Project Name: Project Number: Lab Number: Report Date: PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 L2371567 Date Analyzed Analytical Method Analyst Date Prepared 12/12/23 Solids, Total Suspended Nitrogen, Total Kjeldahl CBOD, 5 day Nitrogen, Nitrite Nitrogen, Nitrate ND ND ND ND ND mg/l mg/l mg/l mg/l mg/l 1 1 1 1 1 5.0 0.300 2.0 0.050 0.10 12/06/23 00:21 12/08/23 13:00 12/11/23 17:26 12/07/23 03:45 12/07/23 04:02 121,2540D 121,4500NH3-H 121,5210B 44,353.2 44,353.2 REM KEP JRG KAF KAF - 12/06/23 17:29 12/06/23 22:20 - - General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1860226-1 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1860488-1 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1860706-1 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1860745-1 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1860753-1 MDL NA -- NA -- -- Serial_No:12122310:17 Page 6 of 16 Solids, Total Suspended Nitrogen, Total Kjeldahl CBOD, 5 day Nitrogen, Nitrite Nitrogen, Nitrate 89 98 105 100 106 - - - - - 80-120 78-122 41-119 90-110 90-110 - - - - - 49 20 Parameter LCS %Recovery LCSD %Recovery %Recovery Limits RPD RPD Limits General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1860226-2 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1860488-2 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1860706-2 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1860745-2 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1860753-2 Lab Control Sample Analysis Batch Quality ControlProject Name: Project Number: Lab Number: Report Date: PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 L2371567 12/12/23 Qual Qual Qual Serial_No:12122310:17 Page 7 of 16 Nitrogen, Total Kjeldahl CBOD, 5 day Nitrogen, Nitrite Nitrogen, Nitrate 2.68 ND ND 16 9.71 83 4.5 20 88 83 112 102 - - - - - - - - 77-111 36-125 80-120 83-113 - - - - 24 49 20 6 Parameter Native Sample MS Found MS %Recovery MSD Found MSD %Recovery Recovery Limits RPD RPD Limits General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1860488-4 QC Sample: L2371537-02 Client ID: MS Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1860706-4 QC Sample: L2371732-01 Client ID: MS Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1860745-4 QC Sample: L2371527-01 Client ID: MS Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1860753-4 QC Sample: L2371527-01 Client ID: MS Sample 8 100 4 4 MS Added Matrix Spike Analysis Batch Quality Control Project Name: Project Number: Lab Number: Report Date: PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 L2371567 12/12/23 Qual Qual Qual Serial_No:12122310:17 Page 8 of 16 Solids, Total Suspended Solids, Total Suspended Nitrogen, Total Kjeldahl CBOD, 5 day Nitrogen, Nitrite Nitrogen, Nitrate 140 230 2.68 ND ND 16 150 210 3.16 ND ND 16 mg/l mg/l mg/l mg/l mg/l mg/l 7 9 16 NC NC 0 32 32 24 49 20 6 Units RPDParameterNative Sample Duplicate Sample RPD Limits General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1860226-3 QC Sample: L2371562-01 Client ID: DUP Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1860226-4 QC Sample: L2371556-01 Client ID: DUP Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1860488-3 QC Sample: L2371537-02 Client ID: DUP Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1860706-3 QC Sample: L2371732-01 Client ID: DUP Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1860745-3 QC Sample: L2371527-01 Client ID: DUP Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1860753-3 QC Sample: L2371527-01 Client ID: DUP Sample PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 Project Name: Project Number: L2371567Lab Number: Report Date: Lab Duplicate Analysis Batch Quality Control 12/12/23 Qual Serial_No:12122310:17 Page 9 of 16 *Values in parentheses indicate holding time in days L2371567-01A L2371567-01B L2371567-01C L2371567-01D Plastic 250ml H2SO4 preserved Plastic 250ml unpreserved Plastic 950ml unpreserved Plastic 950ml unpreserved C C C C <2 7 7 7 3.8 3.8 3.8 3.8 Y Y Y Y Absent Absent Absent Absent C Absent Cooler Custody Seal Cooler Information PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 TKN-4500(28) NO2-353(2),NO3-353(2) CBOD5(2) TSS-2540(7) Project Name: Project Number: L2371567Lab Number: Report Date: Sample Receipt and Container Information Container ID Container Type Cooler Temp deg C Pres Seal Container Information Analysis(*) 12/12/23 Were project specific reporting limits specified?YES <2 7 7 7 Frozen Date/Time Final pH Initial pH Serial_No:12122310:17 Page 10 of 16 Report Format:Data Usability Report GLOSSARY Project Name: Project Number: Lab Number: Report Date: L2371567PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 12/12/23 Acronyms DL EDL EMPC EPA LCS LCSD LFB LOD LOQ MDL MS MSD NA NC NDPA/DPA NI NP NR RL RPD SRM STLP TEF TEQ TIC Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the limit of quantitation (LOQ). The DL includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) Estimated Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit (RL). The EDL includes any adjustments from dilutions, concentrations or moisture content, where applicable. The use of EDLs is specific to the analysis of PAHs using Solid-Phase Microextraction (SPME). Estimated Maximum Possible Concentration: The concentration that results from the signal present at the retention time of an analyte when the ions meet all of the identification criteria except the ion abundance ratio criteria. An EMPC is a worst-case estimate of the concentration. Environmental Protection Agency. Laboratory Control Sample: A sample matrix, free from the analytes of interest, spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. Laboratory Control Sample Duplicate: Refer to LCS. Laboratory Fortified Blank: A sample matrix, free from the analytes of interest, spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. Limit of Detection: This value represents the level to which a target analyte can reliably be detected for a specific analyte in a specific matrix by a specific method. The LOD includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) Limit of Quantitation: The value at which an instrument can accurately measure an analyte at a specific concentration. The LOQ includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) Limit of Quantitation: The value at which an instrument can accurately measure an analyte at a specific concentration. The LOQ includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) Method Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit (RL). The MDL includes any adjustments from dilutions, concentrations or moisture content, where applicable. Matrix Spike Sample: A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. For Method 332.0, the spike recovery is calculated using the native concentration, including estimated values. Matrix Spike Sample Duplicate: Refer to MS. Not Applicable. Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. N-Nitrosodiphenylamine/Diphenylamine. Not Ignitable. Non-Plastic: Term is utilized for the analysis of Atterberg Limits in soil. No Results: Term is utilized when 'No Target Compounds Requested' is reported for the analysis of Volatile or Semivolatile Organic TIC only requests. Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration. The RL includes any adjustments from dilutions, concentrations or moisture content, where applicable. Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference (RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. Standard Reference Material: A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Semi-dynamic Tank Leaching Procedure per EPA Method 1315. Toxic Equivalency Factors: The values assigned to each dioxin and furan to evaluate their toxicity relative to 2,3,7,8-TCDD. Toxic Equivalent: The measure of a sample's toxicity derived by multiplying each dioxin and furan by its corresponding TEF and then summing the resulting values. Tentatively Identified Compound: A compound that has been identified to be present and is not part of the target compound list (TCL) for the method and/or program. All TICs are qualitatively identified and reported as estimated concentrations. - - - - - - - - - - - - - - - - - - - - - - - - - Serial_No:12122310:17 Page 11 of 16 Report Format:Data Usability Report Project Name: Project Number: Lab Number: Report Date: L2371567PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 12/12/23 Terms Analytical Method: Both the document from which the method originates and the analytical reference method. (Example: EPA 8260B is shown as 1,8260B.) The codes for the reference method documents are provided in the References section of the Addendum. Chlordane: The target compound Chlordane (CAS No. 57-74-9) is reported for GC ECD analyses. Per EPA,this compound "refers to a mixture of chlordane isomers, other chlorinated hydrocarbons and numerous other components." (Reference: USEPA Toxicological Review of Chlordane, In Support of Summary Information on the Integrated Risk Information System (IRIS), December 1997.) Difference: With respect to Total Oxidizable Precursor (TOP) Assay analysis, the difference is defined as the Post-Treatment value minus the Pre-Treatment value. Final pH: As it pertains to Sample Receipt & Container Information section of the report, Final pH reflects pH of container determined after adjustment at the laboratory, if applicable. If no adjustment required, value reflects Initial pH. Frozen Date/Time: With respect to Volatile Organics in soil, Frozen Date/Time reflects the date/time at which associated Reagent Water- preserved vials were initially frozen. Note: If frozen date/time is beyond 48 hours from sample collection, value will be reflected in 'bold'. Gasoline Range Organics (GRO): Gasoline Range Organics (GRO) results include all chromatographic peaks eluting from Methyl tert butyl ether through Naphthalene, with the exception of GRO analysis in support of State of Ohio programs, which includes all chromatographic peaks eluting from Hexane through Dodecane. Initial pH: As it pertains to Sample Receipt & Container Information section of the report, Initial pH reflects pH of container determined upon receipt, if applicable. PAH Total: With respect to Alkylated PAH analyses, the 'PAHs, Total' result is defined as the summation of results for all or a subset of the following compounds: Naphthalene, C1-C4 Naphthalenes, 2-Methylnaphthalene, 1-Methylnaphthalene, Biphenyl, Acenaphthylene, Acenaphthene, Fluorene, C1-C3 Fluorenes, Phenanthrene, C1-C4 Phenanthrenes/Anthracenes, Anthracene, Fluoranthene, Pyrene, C1-C4 Fluoranthenes/Pyrenes, Benz(a)anthracene, Chrysene, C1-C4 Chrysenes, Benzo(b)fluoranthene, Benzo(j)+(k)fluoranthene, Benzo(e)pyrene, Benzo(a)pyrene, Perylene, Indeno(1,2,3-cd)pyrene, Dibenz(ah)+(ac)anthracene, Benzo(g,h,i)perylene. If a 'Total' result is requested, the results of its individual components will also be reported. PFAS Total: With respect to PFAS analyses, the 'PFAS, Total (5)' result is defined as the summation of results for: PFHpA, PFHxS, PFOA, PFNA and PFOS. In addition, the 'PFAS, Total (6)' result is defined as the summation of results for: PFHpA, PFHxS, PFOA, PFNA, PFDA and PFOS. For MassDEP DW compliance analysis only, the 'PFAS, Total (6)' result is defined as the summation of results at or above the RL. Note: If a 'Total' result is requested, the results of its individual components will also be reported. Total: With respect to Organic analyses, a 'Total' result is defined as the summation of results for individual isomers or Aroclors. If a 'Total' result is requested, the results of its individual components will also be reported. This is applicable to 'Total' results for methods 8260, 8081 and 8082. Data Qualifiers A B C D E F G H I J M - - - - - - - - - - - Spectra identified as "Aldol Condensates" are byproducts of the extraction/concentration procedures when acetone is introduced in the process. The analyte was detected above the reporting limit in the associated method blank. Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times (10x) the concentration found in the blank. For MCP-related projects, flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times (10x) the concentration found in the blank. For DOD-related projects, flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times (10x) the concentration found in the blank AND the analyte was detected above one-half the reporting limit (or above the reporting limit for common lab contaminants) in the associated method blank. For NJ- Air-related projects, flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit. For NJ-related projects (excluding Air), flag only applies to associated field samples that have detectable concentrations of the analyte, which was detected above the reporting limit in the associated method blank or above five times the reporting limit for common lab contaminants (Phthalates, Acetone, Methylene Chloride, 2-Butanone). Co-elution: The target analyte co-elutes with a known lab standard (i.e. surrogate, internal standards, etc.) for co-extracted analyses. Concentration of analyte was quantified from diluted analysis. Flag only applies to field samples that have detectable concentrations of the analyte. Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. The ratio of quantifier ion response to qualifier ion response falls outside of the laboratory criteria. Results are considered to be an estimated maximum concentration. The concentration may be biased high due to matrix interferences (i.e, co-elution) with non-target compound(s). The result should be considered estimated. The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. The lower value for the two columns has been reported due to obvious interference. Estimated value. This represents an estimated concentration for Tentatively Identified Compounds (TICs). Reporting Limit (RL) exceeds the MCP CAM Reporting Limit for this analyte. 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. - Footnotes Serial_No:12122310:17 Page 12 of 16 Report Format:Data Usability Report Project Name: Project Number: Lab Number: Report Date: L2371567PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 12/12/23 Data Qualifiers ND NJ P Q R RE S V Z - - - - - - - - - Not detected at the reporting limit (RL) for the sample. Presumptive evidence of compound. This represents an estimated concentration for Tentatively Identified Compounds (TICs), where the identification is based on a mass spectral library search. The RPD between the results for the two columns exceeds the method-specified criteria. The quality control sample exceeds the associated acceptance criteria. For DOD-related projects, LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note: This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL. (Metals only.) Analytical results are from sample re-analysis. Analytical results are from sample re-extraction. Analytical results are from modified screening analysis. The surrogate associated with this target analyte has a recovery outside the QC acceptance limits. (Applicable to MassDEP DW Compliance samples only.) The batch matrix spike and/or duplicate associated with this target analyte has a recovery/RPD outside the QC acceptance limits. (Applicable to MassDEP DW Compliance samples only.) Serial_No:12122310:17 Page 13 of 16 Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error, the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the field. LIMITATION OF LIABILITIES 44 121 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100, August 1993. Standard Methods for the Examination of Water and Wastewater. APHA-AWWA-WEF. Standard Methods Online. Project Name: Project Number: Lab Number: Report Date: L2371567PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 REFERENCES 12/12/23 Serial_No:12122310:17 Page 14 of 16 Alpha Analytical, Inc.ID No.:17873 Facility: Company-wide Revision 20 Department: Quality Assurance Published Date: 6/16/2023 4:52:28 PM Title: Certificate/Approval Program Summary Page 1 of 1 Document Type: Form Pre-Qualtrax Document ID: 08-113 Certification Information The following analytes are not included in our Primary NELAP Scope of Accreditation: Westborough Facility EPA 624.1: m/p-xylene, o-xylene, Naphthalene EPA 625.1: alpha-Terpineol EPA 8260D: NPW: 1,2,4,5-Tetramethylbenzene; 4-Ethyltoluene, Azobenzene; SCM: Iodomethane (methyl iodide), 1,2,4,5-Tetramethylbenzene; 4- Ethyltoluene. EPA 8270E: NPW: Dimethylnaphthalene,1,4-Diphenylhydrazine, alpha-Terpineol; SCM: Dimethylnaphthalene,1,4-Diphenylhydrazine. SM4500: NPW: Amenable Cyanide; SCM: Total Phosphorus, TKN, NO2, NO3. Mansfield Facility SM 2540D: TSS. EPA TO-15: Halothane, 2,4,4-Trimethyl-2-pentene, 2,4,4-Trimethyl-1-pentene, Thiophene, 2-Methylthiophene, 3-Methylthiophene, 2-Ethylthiophene, 1,2,3-Trimethylbenzene, Indan, Indene, 1,2,4,5-Tetramethylbenzene, Benzothiophene, 1-Methylnaphthalene. Biological Tissue Matrix: EPA 3050B The following analytes are included in our Massachusetts DEP Scope of Accreditation Westborough Facility: Drinking Water EPA 300.0: Chloride, Nitrate-N, Fluoride, Sulfate; EPA 353.2: Nitrate-N, Nitrite-N; SM4500NO3-F: Nitrate-N, Nitrite-N; SM4500F-C, SM4500CN-CE, EPA 180.1, SM2130B, SM4500Cl-D, SM2320B, SM2540C, SM4500H-B, SM4500NO2-B EPA 524.2: THMs and VOCs; EPA 504.1: EDB, DBCP. Microbiology: SM9215B; SM9223-P/A, SM9223B-Colilert-QT,SM9222D. Non-Potable Water SM4500H,B, EPA 120.1, SM2510B, SM2540C, SM2320B, SM4500CL-E, SM4500F-BC, SM4500NH3-BH: Ammonia-N and Kjeldahl-N, EPA 350.1: Ammonia-N, LACHAT 10-107-06-1-B: Ammonia-N, EPA 351.1, SM4500NO3-F, EPA 353.2: Nitrate-N, SM4500P-E, SM4500P-B, E, SM4500SO4-E, SM5220D, EPA 410.4, SM5210B, SM5310C, SM4500CL-D, EPA 1664, EPA 420.1, SM4500-CN-CE, SM2540D, EPA 300: Chloride, Sulfate, Nitrate. EPA 624.1: Volatile Halocarbons & Aromatics, EPA 608.3: Chlordane, Toxaphene, Aldrin, alpha-BHC, beta-BHC, gamma-BHC, delta-BHC, Dieldrin, DDD, DDE, DDT, Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs EPA 625.1: SVOC (Acid/Base/Neutral Extractables). Microbiology: SM9223B-Colilert-QT; Enterolert-QT, SM9221E, EPA 1600, EPA 1603, SM9222D. Mansfield Facility: Drinking Water EPA 200.7: Al, Ba, Cd, Cr, Cu, Fe, Mn, Ni, Na, Ag, Ca, Zn. EPA 200.8: Al, Sb, As, Ba, Be, Cd, Cr, Cu, Pb, Mn, Ni, Se, Ag, TL, Zn. EPA 245.1 Hg. EPA 522, EPA 537.1. Non-Potable Water EPA 200.7: Al, Sb, As, Be, Cd, Ca, Cr, Co, Cu, Fe, Pb, Mg, Mn, Mo, Ni, K, Se, Ag, Na, Sr, TL, Ti, V, Zn. EPA 200.8: Al, Sb, As, Be, Cd, Cr, Cu, Fe, Pb, Mn, Ni, K, Se, Ag, Na, TL, Zn. EPA 245.1 Hg. SM2340B For a complete listing of analytes and methods, please contact your Alpha Project Manager. Serial_No:12122310:17 Page 15 of 16 Serial_No:12122310:17 Page 16 of 16 L2414886 Bennett Environmental Associates K10583DA.S.IA.700 PICKWICK AND EVERGREEN REALTY Client: Project Name: Project Number: 03/26/24 Eight Walkup Drive, Westborough, MA 01581-1019 Lab Number: Report Date: 508-898-9220 (Fax) 508-898-9193 800-624-9220 - www.alphalab.com 1573 Main Street Brewster, MA 02631 Samantha FarrenkopfATTN: ANALYTICAL REPORT Certifications & Approvals: MA (M-MA086), NH NELAP (2064), CT (PH-0826), IL (200077), IN (C-MA-03), KY (KY98045), ME (MA00086), MD (348), NJ (MA935), NY (11148), NC (25700/666), OH (CL108), OR (MA-1316), PA (68-03671), RI (LAO00065), TX (T104704476), VT (VT-0935), VA (460195), USDA (Permit #525-23-122-91930). (508) 896-1706Phone: The original project report/data package is held by Alpha Analytical. This report/data package is paginated and should be reproduced only in its entirety. Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Serial_No:03262410:36 Page 1 of 17 L2414886-01 Alpha Sample ID EFFLUENT Client ID COTUIT, MA Sample Location PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 Project Name: Project Number: Lab Number: Report Date: L2414886 03/26/24 03/19/24 08:30 Collection Date/TimeMatrix Receive Date WATER 03/19/24 Serial_No:03262410:36 Page 2 of 17 PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 Project Name: Project Number: Lab Number: Report Date: L2414886 03/26/24 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted. Sample Receipt, Container Information, and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet NELAP requirements for all NELAP accredited parameters unless otherwise noted in the following narrative. The data presented in this report is organized by parameter (i.e. VOC, SVOC, etc.). Sample specific Quality Control data (i.e. Surrogate Spike Recovery) is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter. Tentatively Identified Compounds (TICs), if requested, are reported for compounds identified to be present and are not part of the method/program Target Compound List, even if only a subset of the TCL are being reported. If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported, the Laboratory ID of the re-analysis or re-extraction is designated with an "R" or "RE", respectively. When multiple Batch Quality Control elements are reported (e.g. more than one LCS), the associated samples for each element are noted in the grey shaded header line of each data table. Any Laboratory Batch, Sample Specific % recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report. In reference to questions H (CAM) or 4 (RCP) when "NO" is checked, the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances, the specific failure is not narrated but noted in the associated QC Outlier Summary Report, located directly after the Case Narrative. QC information is also incorporated in the Data Usability Assessment table (Format 11) of our Data Merger tool, where it can be reviewed in conjunction with the sample result, associated regulatory criteria and any associated data usability implications. Soil/sediments, solids and tissues are reported on a dry weight basis unless otherwise noted. Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. HOLD POLICY - For samples submitted on hold, Alpha's policy is to hold samples (with the exception of Air canisters) free of charge for 21 calendar days from the date the project is completed. After 21 calendar days, we will dispose of all samples submitted including those put on hold unless you have contacted your Alpha Project Manager and made arrangements for Alpha to continue to hold the samples. Air canisters will be disposed after 3 business days from the date the project is completed. Please contact Project Management at 800-624-9220 with any questions. Serial_No:03262410:36 Page 3 of 17 Case Narrative (continued) PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 Project Name: Project Number: Lab Number: Report Date: L2414886 03/26/24 Nitrogen, Total Kjeldahl L2414886-01: The sample has an elevated detection limit due to the dilution required by the sample matrix. I, the undersigned, attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Authorized Signature: Title: Technical Director/Representative Date: 03/26/24 Serial_No:03262410:36 Page 4 of 17 INORGANICS & MISCELLANEOUS Serial_No:03262410:36 Page 5 of 17 FF EFFLUENTClient ID: 03/19/24 08:30Date Collected: 03/19/24Date Received: Parameter Result Dilution Factor Matrix:Water COTUIT, MASample Location: L2414886-01Lab ID: Qualifier Units RL SAMPLE RESULTS Project Name: Project Number: Lab Number: Report Date: PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 L2414886 Field Prep: Date Analyzed Analytical Method Analyst Not Specified General Chemistry - Westborough Lab Solids, Total Suspended Nitrogen, Nitrite Nitrogen, Nitrate Nitrogen, Total Kjeldahl CBOD, 5 day ND ND 30. ND ND mg/l mg/l mg/l mg/l mg/l 1 1 10 10 1 5.0 0.050 1.0 3.00 2.0 03/20/24 18:03 03/20/24 05:54 03/20/24 06:02 03/25/24 12:45 03/25/24 16:18 121,2540D 44,353.2 44,353.2 121,4500NH3-H 121,5210B REM KAF KAF KEP JRG Date Prepared - - - 03/22/24 11:39 03/20/24 18:52 03/26/24 MDL NA -- -- -- NA Sample Depth: Serial_No:03262410:36 Page 6 of 17 FF Parameter Result Dilution FactorQualifierUnitsRL Method Blank Analysis Batch Quality Control Project Name: Project Number: Lab Number: Report Date: PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 L2414886 Date Analyzed Analytical Method Analyst Date Prepared 03/26/24 Nitrogen, Nitrite Nitrogen, Nitrate CBOD, 5 day Solids, Total Suspended Nitrogen, Total Kjeldahl ND ND ND ND ND mg/l mg/l mg/l mg/l mg/l 1 1 1 1 1 0.050 0.10 2.0 5.0 0.300 03/20/24 02:28 03/20/24 02:30 03/25/24 16:18 03/20/24 18:03 03/25/24 12:18 44,353.2 44,353.2 121,5210B 121,2540D 121,4500NH3-H KAF KAF JRG REM KEP - - 03/20/24 18:52 - 03/22/24 11:39 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1898263-1 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1898265-1 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1898701-1 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1898703-1 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1899369-1 MDL -- -- NA NA -- Serial_No:03262410:36 Page 7 of 17 Nitrogen, Nitrite Nitrogen, Nitrate CBOD, 5 day Solids, Total Suspended Nitrogen, Total Kjeldahl 102 100 102 92 93 - - - - - 90-110 90-110 41-119 80-120 78-122 - - - - - 20 49 Parameter LCS %Recovery LCSD %Recovery %Recovery Limits RPD RPD Limits General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1898263-2 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1898265-2 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1898701-2 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1898703-2 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1899369-2 Lab Control Sample Analysis Batch Quality ControlProject Name: Project Number: Lab Number: Report Date: PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 L2414886 03/26/24 Qual Qual Qual Serial_No:03262410:36 Page 8 of 17 Nitrogen, Nitrite Nitrogen, Nitrate CBOD, 5 day Nitrogen, Total Kjeldahl 0.19 3.3 ND 6.23 4.9 6.8 69 14.2 118 88 69 100 - - - - - - - - 80-120 83-113 36-125 77-111 - - - - 20 6 49 24 Parameter Native Sample MS Found MS %Recovery MSD Found MSD %Recovery Recovery Limits RPD RPD Limits General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1898263-4 QC Sample: L2414870-01 Client ID: MS Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1898265-4 QC Sample: L2414870-01 Client ID: MS Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1898701-4 QC Sample: L2414886-01 Client ID: EFFLUENT General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1899369-4 QC Sample: L2414870-01 Client ID: MS Sample 4 4 100 8 MS Added Matrix Spike Analysis Batch Quality Control Project Name: Project Number: Lab Number: Report Date: PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 L2414886 03/26/24 Qual Qual Qual Serial_No:03262410:36 Page 9 of 17 Nitrogen, Nitrite Nitrogen, Nitrate CBOD, 5 day Solids, Total Suspended Solids, Total Suspended Nitrogen, Total Kjeldahl 0.19 3.3 ND 28 530 6.23 0.19 3.3 ND 29 470 6.99 mg/l mg/l mg/l mg/l mg/l mg/l 0 0 NC 4 12 11 20 6 49 32 32 24 Units RPDParameterNative Sample Duplicate Sample RPD Limits General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1898263-3 QC Sample: L2414870-01 Client ID: DUP Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1898265-3 QC Sample: L2414870-01 Client ID: DUP Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1898701-3 QC Sample: L2414886-01 Client ID: EFFLUENT General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1898703-3 QC Sample: L2414722-01 Client ID: DUP Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1898703-4 QC Sample: L2414814-01 Client ID: DUP Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1899369-3 QC Sample: L2414870-01 Client ID: DUP Sample PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 Project Name: Project Number: L2414886Lab Number: Report Date: Lab Duplicate Analysis Batch Quality Control 03/26/24 Qual Serial_No:03262410:36 Page 10 of 17 *Values in parentheses indicate holding time in days L2414886-01A L2414886-01B L2414886-01C L2414886-01D Plastic 250ml H2SO4 preserved Plastic 250ml unpreserved Plastic 950ml unpreserved Plastic 950ml unpreserved A A A A <2 7 7 7 2.3 2.3 2.3 2.3 Y Y Y Y Absent Absent Absent Absent A Absent Cooler Custody Seal Cooler Information PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 TKN-4500(28) NO2-353(2),NO3-353(2) CBOD5(2) TSS-2540(7) Project Name: Project Number: L2414886Lab Number: Report Date: Sample Receipt and Container Information Container ID Container Type Cooler Temp deg C Pres Seal Container Information Analysis(*) 03/26/24 Were project specific reporting limits specified?YES <2 7 7 7 Frozen Date/Time Final pH Initial pH Serial_No:03262410:36 Page 11 of 17 Report Format:Data Usability Report GLOSSARY Project Name: Project Number: Lab Number: Report Date: L2414886PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 03/26/24 Acronyms DL EDL EMPC EPA LCS LCSD LFB LOD LOQ MDL MS MSD NA NC NDPA/DPA NI NP NR RL RPD SRM STLP TEF TEQ TIC Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the limit of quantitation (LOQ). The DL includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) Estimated Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit (RL). The EDL includes any adjustments from dilutions, concentrations or moisture content, where applicable. The use of EDLs is specific to the analysis of PAHs using Solid-Phase Microextraction (SPME). Estimated Maximum Possible Concentration: The concentration that results from the signal present at the retention time of an analyte when the ions meet all of the identification criteria except the ion abundance ratio criteria. An EMPC is a worst-case estimate of the concentration. Environmental Protection Agency. Laboratory Control Sample: A sample matrix, free from the analytes of interest, spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. Laboratory Control Sample Duplicate: Refer to LCS. Laboratory Fortified Blank: A sample matrix, free from the analytes of interest, spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. Limit of Detection: This value represents the level to which a target analyte can reliably be detected for a specific analyte in a specific matrix by a specific method. The LOD includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) Limit of Quantitation: The value at which an instrument can accurately measure an analyte at a specific concentration. The LOQ includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) Limit of Quantitation: The value at which an instrument can accurately measure an analyte at a specific concentration. The LOQ includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) Method Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit (RL). The MDL includes any adjustments from dilutions, concentrations or moisture content, where applicable. Matrix Spike Sample: A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. For Method 332.0, the spike recovery is calculated using the native concentration, including estimated values. Matrix Spike Sample Duplicate: Refer to MS. Not Applicable. Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. N-Nitrosodiphenylamine/Diphenylamine. Not Ignitable. Non-Plastic: Term is utilized for the analysis of Atterberg Limits in soil. No Results: Term is utilized when 'No Target Compounds Requested' is reported for the analysis of Volatile or Semivolatile Organic TIC only requests. Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration. The RL includes any adjustments from dilutions, concentrations or moisture content, where applicable. Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference (RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. Standard Reference Material: A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Semi-dynamic Tank Leaching Procedure per EPA Method 1315. Toxic Equivalency Factors: The values assigned to each dioxin and furan to evaluate their toxicity relative to 2,3,7,8-TCDD. Toxic Equivalent: The measure of a sample's toxicity derived by multiplying each dioxin and furan by its corresponding TEF and then summing the resulting values. Tentatively Identified Compound: A compound that has been identified to be present and is not part of the target compound list (TCL) for the method and/or program. All TICs are qualitatively identified and reported as estimated concentrations. - - - - - - - - - - - - - - - - - - - - - - - - - Serial_No:03262410:36 Page 12 of 17 Report Format:Data Usability Report Project Name: Project Number: Lab Number: Report Date: L2414886PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 03/26/24 Terms Analytical Method: Both the document from which the method originates and the analytical reference method. (Example: EPA 8260B is shown as 1,8260B.) The codes for the reference method documents are provided in the References section of the Addendum. Chlordane: The target compound Chlordane (CAS No. 57-74-9) is reported for GC ECD analyses. Per EPA,this compound "refers to a mixture of chlordane isomers, other chlorinated hydrocarbons and numerous other components." (Reference: USEPA Toxicological Review of Chlordane, In Support of Summary Information on the Integrated Risk Information System (IRIS), December 1997.) Difference: With respect to Total Oxidizable Precursor (TOP) Assay analysis, the difference is defined as the Post-Treatment value minus the Pre-Treatment value. Final pH: As it pertains to Sample Receipt & Container Information section of the report, Final pH reflects pH of container determined after adjustment at the laboratory, if applicable. If no adjustment required, value reflects Initial pH. Frozen Date/Time: With respect to Volatile Organics in soil, Frozen Date/Time reflects the date/time at which associated Reagent Water- preserved vials were initially frozen. Note: If frozen date/time is beyond 48 hours from sample collection, value will be reflected in 'bold'. Gasoline Range Organics (GRO): Gasoline Range Organics (GRO) results include all chromatographic peaks eluting from Methyl tert butyl ether through Naphthalene, with the exception of GRO analysis in support of State of Ohio programs, which includes all chromatographic peaks eluting from Hexane through Dodecane. Initial pH: As it pertains to Sample Receipt & Container Information section of the report, Initial pH reflects pH of container determined upon receipt, if applicable. PAH Total: With respect to Alkylated PAH analyses, the 'PAHs, Total' result is defined as the summation of results for all or a subset of the following compounds: Naphthalene, C1-C4 Naphthalenes, 2-Methylnaphthalene, 1-Methylnaphthalene, Biphenyl, Acenaphthylene, Acenaphthene, Fluorene, C1-C3 Fluorenes, Phenanthrene, C1-C4 Phenanthrenes/Anthracenes, Anthracene, Fluoranthene, Pyrene, C1-C4 Fluoranthenes/Pyrenes, Benz(a)anthracene, Chrysene, C1-C4 Chrysenes, Benzo(b)fluoranthene, Benzo(j)+(k)fluoranthene, Benzo(e)pyrene, Benzo(a)pyrene, Perylene, Indeno(1,2,3-cd)pyrene, Dibenz(ah)+(ac)anthracene, Benzo(g,h,i)perylene. If a 'Total' result is requested, the results of its individual components will also be reported. PFAS Total: With respect to PFAS analyses, the 'PFAS, Total (5)' result is defined as the summation of results for: PFHpA, PFHxS, PFOA, PFNA and PFOS. In addition, the 'PFAS, Total (6)' result is defined as the summation of results for: PFHpA, PFHxS, PFOA, PFNA, PFDA and PFOS. For MassDEP DW compliance analysis only, the 'PFAS, Total (6)' result is defined as the summation of results at or above the RL. Note: If a 'Total' result is requested, the results of its individual components will also be reported. Total: With respect to Organic analyses, a 'Total' result is defined as the summation of results for individual isomers or Aroclors. If a 'Total' result is requested, the results of its individual components will also be reported. This is applicable to 'Total' results for methods 8260, 8081 and 8082. Data Qualifiers A B C D E F G H I J M - - - - - - - - - - - Spectra identified as "Aldol Condensates" are byproducts of the extraction/concentration procedures when acetone is introduced in the process. The analyte was detected above the reporting limit in the associated method blank. Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times (10x) the concentration found in the blank. For MCP-related projects, flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times (10x) the concentration found in the blank. For DOD-related projects, flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times (10x) the concentration found in the blank AND the analyte was detected above one-half the reporting limit (or above the reporting limit for common lab contaminants) in the associated method blank. For NJ- Air-related projects, flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit. For NJ-related projects (excluding Air), flag only applies to associated field samples that have detectable concentrations of the analyte, which was detected above the reporting limit in the associated method blank or above five times the reporting limit for common lab contaminants (Phthalates, Acetone, Methylene Chloride, 2-Butanone). Co-elution: The target analyte co-elutes with a known lab standard (i.e. surrogate, internal standards, etc.) for co-extracted analyses. Concentration of analyte was quantified from diluted analysis. Flag only applies to field samples that have detectable concentrations of the analyte. Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. The ratio of quantifier ion response to qualifier ion response falls outside of the laboratory criteria. Results are considered to be an estimated maximum concentration. The concentration may be biased high due to matrix interferences (i.e, co-elution) with non-target compound(s). The result should be considered estimated. The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. The lower value for the two columns has been reported due to obvious interference. Estimated value. This represents an estimated concentration for Tentatively Identified Compounds (TICs). Reporting Limit (RL) exceeds the MCP CAM Reporting Limit for this analyte. 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. - Footnotes Serial_No:03262410:36 Page 13 of 17 Report Format:Data Usability Report Project Name: Project Number: Lab Number: Report Date: L2414886PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 03/26/24 Data Qualifiers ND NJ P Q R RE S V Z - - - - - - - - - Not detected at the reporting limit (RL) for the sample. Presumptive evidence of compound. This represents an estimated concentration for Tentatively Identified Compounds (TICs), where the identification is based on a mass spectral library search. The RPD between the results for the two columns exceeds the method-specified criteria. The quality control sample exceeds the associated acceptance criteria. For DOD-related projects, LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note: This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL. (Metals only.) Analytical results are from sample re-analysis. Analytical results are from sample re-extraction. Analytical results are from modified screening analysis. The surrogate associated with this target analyte has a recovery outside the QC acceptance limits. (Applicable to MassDEP DW Compliance samples only.) The batch matrix spike and/or duplicate associated with this target analyte has a recovery/RPD outside the QC acceptance limits. (Applicable to MassDEP DW Compliance samples only.) Serial_No:03262410:36 Page 14 of 17 Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error, the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the field. LIMITATION OF LIABILITIES 44 121 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100, August 1993. Standard Methods for the Examination of Water and Wastewater. APHA-AWWA-WEF. Standard Methods Online. Project Name: Project Number: Lab Number: Report Date: L2414886PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 REFERENCES 03/26/24 Serial_No:03262410:36 Page 15 of 17 Alpha Analytical, Inc.ID No.:17873 Facility: Company-wide Revision 20 Department: Quality Assurance Published Date: 6/16/2023 4:52:28 PM Title: Certificate/Approval Program Summary Page 1 of 1 Document Type: Form Pre-Qualtrax Document ID: 08-113 Certification Information The following analytes are not included in our Primary NELAP Scope of Accreditation: Westborough Facility EPA 624.1: m/p-xylene, o-xylene, Naphthalene EPA 625.1: alpha-Terpineol EPA 8260D: NPW: 1,2,4,5-Tetramethylbenzene; 4-Ethyltoluene, Azobenzene; SCM: Iodomethane (methyl iodide), 1,2,4,5-Tetramethylbenzene; 4- Ethyltoluene. EPA 8270E: NPW: Dimethylnaphthalene,1,4-Diphenylhydrazine, alpha-Terpineol; SCM: Dimethylnaphthalene,1,4-Diphenylhydrazine. SM4500: NPW: Amenable Cyanide; SCM: Total Phosphorus, TKN, NO2, NO3. Mansfield Facility SM 2540D: TSS. EPA TO-15: Halothane, 2,4,4-Trimethyl-2-pentene, 2,4,4-Trimethyl-1-pentene, Thiophene, 2-Methylthiophene, 3-Methylthiophene, 2-Ethylthiophene, 1,2,3-Trimethylbenzene, Indan, Indene, 1,2,4,5-Tetramethylbenzene, Benzothiophene, 1-Methylnaphthalene. Biological Tissue Matrix: EPA 3050B The following analytes are included in our Massachusetts DEP Scope of Accreditation Westborough Facility: Drinking Water EPA 300.0: Chloride, Nitrate-N, Fluoride, Sulfate; EPA 353.2: Nitrate-N, Nitrite-N; SM4500NO3-F: Nitrate-N, Nitrite-N; SM4500F-C, SM4500CN-CE, EPA 180.1, SM2130B, SM4500Cl-D, SM2320B, SM2540C, SM4500H-B, SM4500NO2-B EPA 524.2: THMs and VOCs; EPA 504.1: EDB, DBCP. Microbiology: SM9215B; SM9223-P/A, SM9223B-Colilert-QT,SM9222D. Non-Potable Water SM4500H,B, EPA 120.1, SM2510B, SM2540C, SM2320B, SM4500CL-E, SM4500F-BC, SM4500NH3-BH: Ammonia-N and Kjeldahl-N, EPA 350.1: Ammonia-N, LACHAT 10-107-06-1-B: Ammonia-N, EPA 351.1, SM4500NO3-F, EPA 353.2: Nitrate-N, SM4500P-E, SM4500P-B, E, SM4500SO4-E, SM5220D, EPA 410.4, SM5210B, SM5310C, SM4500CL-D, EPA 1664, EPA 420.1, SM4500-CN-CE, SM2540D, EPA 300: Chloride, Sulfate, Nitrate. EPA 624.1: Volatile Halocarbons & Aromatics, EPA 608.3: Chlordane, Toxaphene, Aldrin, alpha-BHC, beta-BHC, gamma-BHC, delta-BHC, Dieldrin, DDD, DDE, DDT, Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs EPA 625.1: SVOC (Acid/Base/Neutral Extractables). Microbiology: SM9223B-Colilert-QT; Enterolert-QT, SM9221E, EPA 1600, EPA 1603, SM9222D. Mansfield Facility: Drinking Water EPA 200.7: Al, Ba, Cd, Cr, Cu, Fe, Mn, Ni, Na, Ag, Ca, Zn. EPA 200.8: Al, Sb, As, Ba, Be, Cd, Cr, Cu, Pb, Mn, Ni, Se, Ag, TL, Zn. EPA 245.1 Hg. EPA 522, EPA 537.1. Non-Potable Water EPA 200.7: Al, Sb, As, Be, Cd, Ca, Cr, Co, Cu, Fe, Pb, Mg, Mn, Mo, Ni, K, Se, Ag, Na, Sr, TL, Ti, V, Zn. EPA 200.8: Al, Sb, As, Be, Cd, Cr, Cu, Fe, Pb, Mn, Ni, K, Se, Ag, Na, TL, Zn. EPA 245.1 Hg. SM2340B For a complete listing of analytes and methods, please contact your Alpha Project Manager. Serial_No:03262410:36 Page 16 of 17 Serial_No:03262410:36 Page 17 of 17 L2432061 Bennett Environmental Associates K10583DA.S.IA.700 PICKWICK AND EVERGREEN REALTY Client: Project Name: Project Number: 06/18/24 Eight Walkup Drive, Westborough, MA 01581-1019 Lab Number: Report Date: 508-898-9220 (Fax) 508-898-9193 800-624-9220 - www.alphalab.com 1573 Main Street Brewster, MA 02631 Samantha FarrenkopfATTN: ANALYTICAL REPORT (508) 896-1706Phone: The original project report/data package is held by Alpha Analytical. This report/data package is paginated and should be reproduced only in its entirety. Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications & Approvals: MA (M-MA086), NH NELAP (2064), CT (PH-0826), IL (200077), IN (C-MA-03), KY (KY98045), ME (MA00086), MD (348), NJ (MA935), NY (11148), NC (25700/666), OR (MA-1316), PA (68-03671), RI (LAO00065), TX (T104704476), VT (VT-0935), VA (460195), USDA (Permit #525-23-122-91930A1). Serial_No:06182414:23 Page 1 of 17 L2432061-01 Alpha Sample ID EFFLUENT Client ID COTUIT, MA Sample Location PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 Project Name: Project Number: Lab Number: Report Date: L2432061 06/18/24 06/07/24 08:30 Collection Date/TimeMatrix Receive Date WATER 06/07/24 Serial_No:06182414:23 Page 2 of 17 PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 Project Name: Project Number: Lab Number: Report Date: L2432061 06/18/24 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted. Sample Receipt, Container Information, and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet NELAP requirements for all NELAP accredited parameters unless otherwise noted in the following narrative. The data presented in this report is organized by parameter (i.e. VOC, SVOC, etc.). Sample specific Quality Control data (i.e. Surrogate Spike Recovery) is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter. Tentatively Identified Compounds (TICs), if requested, are reported for compounds identified to be present and are not part of the method/program Target Compound List, even if only a subset of the TCL are being reported. If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported, the Laboratory ID of the re-analysis or re-extraction is designated with an "R" or "RE", respectively. When multiple Batch Quality Control elements are reported (e.g. more than one LCS), the associated samples for each element are noted in the grey shaded header line of each data table. Any Laboratory Batch, Sample Specific % recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report. In reference to questions H (CAM) or 4 (RCP) when "NO" is checked, the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances, the specific failure is not narrated but noted in the associated QC Outlier Summary Report, located directly after the Case Narrative. QC information is also incorporated in the Data Usability Assessment table (Format 11) of our Data Merger tool, where it can be reviewed in conjunction with the sample result, associated regulatory criteria and any associated data usability implications. Soil/sediments, solids and tissues are reported on a dry weight basis unless otherwise noted. Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. HOLD POLICY - For samples submitted on hold, Alpha's policy is to hold samples (with the exception of Air canisters) free of charge for 21 calendar days from the date the project is completed. After 21 calendar days, we will dispose of all samples submitted including those put on hold unless you have contacted your Alpha Project Manager and made arrangements for Alpha to continue to hold the samples. Air canisters will be disposed after 3 business days from the date the project is completed. Please contact Project Management at 800-624-9220 with any questions. Serial_No:06182414:23 Page 3 of 17 Case Narrative (continued) PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 Project Name: Project Number: Lab Number: Report Date: L2432061 06/18/24 Nitrogen, Total Kjeldahl L2432061-01: The sample has an elevated detection limit due to the dilution required by the sample matrix. I, the undersigned, attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Authorized Signature: Title: Technical Director/Representative Date: 06/18/24 Serial_No:06182414:23 Page 4 of 17 INORGANICS & MISCELLANEOUS Serial_No:06182414:23 Page 5 of 17 FF EFFLUENTClient ID: 06/07/24 08:30Date Collected: 06/07/24Date Received: Parameter Result Dilution Factor Matrix:Water COTUIT, MASample Location: L2432061-01Lab ID: Qualifier Units RL SAMPLE RESULTS Project Name: Project Number: Lab Number: Report Date: PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 L2432061 Field Prep: Date Analyzed Analytical Method Analyst Not Specified General Chemistry - Westborough Lab Solids, Total Suspended Nitrogen, Nitrite Nitrogen, Nitrate Nitrogen, Total Kjeldahl CBOD, 5 day ND ND 31. ND ND mg/l mg/l mg/l mg/l mg/l 1 1 10 10 1 5.0 0.050 1.0 3.00 2.0 06/09/24 12:37 06/08/24 04:29 06/08/24 04:38 06/18/24 12:15 06/13/24 09:25 121,2540D 44,353.2 44,353.2 121,4500NH3-H 121,5210B BAY KAF KAF KEP OCF Date Prepared - - - 06/17/24 21:21 06/08/24 07:30 06/18/24 MDL NA -- -- -- NA Sample Depth: Serial_No:06182414:23 Page 6 of 17 FF Parameter Result Dilution FactorQualifierUnitsRL Method Blank Analysis Batch Quality Control Project Name: Project Number: Lab Number: Report Date: PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 L2432061 Date Analyzed Analytical Method Analyst Date Prepared 06/18/24 Nitrogen, Nitrite Nitrogen, Nitrate CBOD, 5 day Solids, Total Suspended Nitrogen, Total Kjeldahl ND ND ND ND ND mg/l mg/l mg/l mg/l mg/l 1 1 1 1 1 0.050 0.10 2.0 5.0 0.300 06/08/24 02:43 06/08/24 02:54 06/13/24 09:25 06/09/24 12:37 06/18/24 11:57 44,353.2 44,353.2 121,5210B 121,2540D 121,4500NH3-H KAF KAF OCF BAY KEP - - 06/08/24 07:30 - 06/17/24 21:21 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1931436-1 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1931441-1 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1931473-1 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1931770-1 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1935387-1 MDL -- -- NA NA -- Serial_No:06182414:23 Page 7 of 17 Nitrogen, Nitrite Nitrogen, Nitrate CBOD, 5 day Solids, Total Suspended Nitrogen, Total Kjeldahl 104 100 102 103 93 - - - - - 90-110 90-110 41-119 80-120 78-122 - - - - - 20 49 Parameter LCS %Recovery LCSD %Recovery %Recovery Limits RPD RPD Limits General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1931436-2 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1931441-2 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1931473-2 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1931770-2 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1935387-2 Lab Control Sample Analysis Batch Quality ControlProject Name: Project Number: Lab Number: Report Date: PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 L2432061 06/18/24 Qual Qual Qual Serial_No:06182414:23 Page 8 of 17 Nitrogen, Nitrite Nitrogen, Nitrite Nitrogen, Nitrate Nitrogen, Nitrate CBOD, 5 day Nitrogen, Total Kjeldahl ND ND 1.5 ND ND 0.705 4.1 4.2 5.6 4.4 180 9.23 102 105 102 110 90 106 - - - - - - - - - - - - 80-120 80-120 83-113 83-113 36-125 77-111 - - - - - - 20 20 6 6 49 24 Parameter Native Sample MS Found MS %Recovery MSD Found MSD %Recovery Recovery Limits RPD RPD Limits General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1931436-4 QC Sample: L2431391-01 Client ID: MS Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1931436-6 QC Sample: L2431836-01 Client ID: MS Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1931441-4 QC Sample: L2431391-01 Client ID: MS Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1931441-6 QC Sample: L2431836-01 Client ID: MS Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1931473-4 QC Sample: L2431837-01 Client ID: MS Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1935387-4 QC Sample: L2432047-03 Client ID: MS Sample 4 4 4 4 200 8 MS Added Matrix Spike Analysis Batch Quality Control Project Name: Project Number: Lab Number: Report Date: PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 L2432061 06/18/24 Qual Qual Qual Serial_No:06182414:23 Page 9 of 17 Nitrogen, Nitrite Nitrogen, Nitrite Nitrogen, Nitrate Nitrogen, Nitrate CBOD, 5 day Solids, Total Suspended Solids, Total Suspended Nitrogen, Total Kjeldahl ND ND 1.5 ND ND 530 980 0.705 ND ND 1.5 ND ND 630 1100 0.873 mg/l mg/l mg/l mg/l mg/l mg/l mg/l mg/l NC NC 0 NC NC 17 12 21 20 20 6 6 49 32 32 24 Units RPDParameterNative Sample Duplicate Sample RPD Limits General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1931436-3 QC Sample: L2431391-01 Client ID: DUP Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1931436-5 QC Sample: L2431836-01 Client ID: DUP Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1931441-3 QC Sample: L2431391-01 Client ID: DUP Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1931441-5 QC Sample: L2431836-01 Client ID: DUP Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1931473-3 QC Sample: L2431837-01 Client ID: DUP Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1931770-3 QC Sample: L2429900-19 Client ID: DUP Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1931770-4 QC Sample: L2431798-02 Client ID: DUP Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1935387-3 QC Sample: L2432047-03 Client ID: DUP Sample PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 Project Name: Project Number: L2432061Lab Number: Report Date: Lab Duplicate Analysis Batch Quality Control 06/18/24 Qual Serial_No:06182414:23 Page 10 of 17 *Values in parentheses indicate holding time in days L2432061-01A L2432061-01B L2432061-01C L2432061-01D Plastic 250ml H2SO4 preserved Plastic 250ml unpreserved Plastic 950ml unpreserved Plastic 950ml unpreserved B B B B <2 7 7 7 5.3 5.3 5.3 5.3 Y Y Y Y Absent Absent Absent Absent B Absent Cooler Custody Seal Cooler Information PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 TKN-4500(28) NO2-353(2),NO3-353(2) CBOD5(2) TSS-2540(7) Project Name: Project Number: L2432061Lab Number: Report Date: Sample Receipt and Container Information Container ID Container Type Cooler Temp deg C Pres Seal Container Information Analysis(*) 06/18/24 Were project specific reporting limits specified?YES <2 7 7 7 Frozen Date/Time Final pH Initial pH Serial_No:06182414:23 Page 11 of 17 Report Format:Data Usability Report GLOSSARY Project Name: Project Number: Lab Number: Report Date: L2432061PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 06/18/24 Acronyms DL EDL EMPC EPA LCS LCSD LFB LOD LOQ MDL MS MSD NA NC NDPA/DPA NI NP NR RL RPD SRM STLP TEF TEQ TIC Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the limit of quantitation (LOQ). The DL includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) Estimated Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit (RL). The EDL includes any adjustments from dilutions, concentrations or moisture content, where applicable. The use of EDLs is specific to the analysis of PAHs using Solid-Phase Microextraction (SPME). Estimated Maximum Possible Concentration: The concentration that results from the signal present at the retention time of an analyte when the ions meet all of the identification criteria except the ion abundance ratio criteria. An EMPC is a worst-case estimate of the concentration. Environmental Protection Agency. Laboratory Control Sample: A sample matrix, free from the analytes of interest, spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. Laboratory Control Sample Duplicate: Refer to LCS. Laboratory Fortified Blank: A sample matrix, free from the analytes of interest, spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. Limit of Detection: This value represents the level to which a target analyte can reliably be detected for a specific analyte in a specific matrix by a specific method. The LOD includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) Limit of Quantitation: The value at which an instrument can accurately measure an analyte at a specific concentration. The LOQ includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) Limit of Quantitation: The value at which an instrument can accurately measure an analyte at a specific concentration. The LOQ includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) Method Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit (RL). The MDL includes any adjustments from dilutions, concentrations or moisture content, where applicable. Matrix Spike Sample: A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. For Method 332.0, the spike recovery is calculated using the native concentration, including estimated values. Matrix Spike Sample Duplicate: Refer to MS. Not Applicable. Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. N-Nitrosodiphenylamine/Diphenylamine. Not Ignitable. Non-Plastic: Term is utilized for the analysis of Atterberg Limits in soil. No Results: Term is utilized when 'No Target Compounds Requested' is reported for the analysis of Volatile or Semivolatile Organic TIC only requests. Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration. The RL includes any adjustments from dilutions, concentrations or moisture content, where applicable. Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference (RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. Standard Reference Material: A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Semi-dynamic Tank Leaching Procedure per EPA Method 1315. Toxic Equivalency Factors: The values assigned to each dioxin and furan to evaluate their toxicity relative to 2,3,7,8-TCDD. Toxic Equivalent: The measure of a sample's toxicity derived by multiplying each dioxin and furan by its corresponding TEF and then summing the resulting values. Tentatively Identified Compound: A compound that has been identified to be present and is not part of the target compound list (TCL) for the method and/or program. All TICs are qualitatively identified and reported as estimated concentrations. - - - - - - - - - - - - - - - - - - - - - - - - - Serial_No:06182414:23 Page 12 of 17 Report Format:Data Usability Report Project Name: Project Number: Lab Number: Report Date: L2432061PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 06/18/24 Terms Analytical Method: Both the document from which the method originates and the analytical reference method. (Example: EPA 8260B is shown as 1,8260B.) The codes for the reference method documents are provided in the References section of the Addendum. Chlordane: The target compound Chlordane (CAS No. 57-74-9) is reported for GC ECD analyses. Per EPA,this compound "refers to a mixture of chlordane isomers, other chlorinated hydrocarbons and numerous other components." (Reference: USEPA Toxicological Review of Chlordane, In Support of Summary Information on the Integrated Risk Information System (IRIS), December 1997.) Difference: With respect to Total Oxidizable Precursor (TOP) Assay analysis, the difference is defined as the Post-Treatment value minus the Pre-Treatment value. Final pH: As it pertains to Sample Receipt & Container Information section of the report, Final pH reflects pH of container determined after adjustment at the laboratory, if applicable. If no adjustment required, value reflects Initial pH. Frozen Date/Time: With respect to Volatile Organics in soil, Frozen Date/Time reflects the date/time at which associated Reagent Water- preserved vials were initially frozen. Note: If frozen date/time is beyond 48 hours from sample collection, value will be reflected in 'bold'. Gasoline Range Organics (GRO): Gasoline Range Organics (GRO) results include all chromatographic peaks eluting from Methyl tert butyl ether through Naphthalene, with the exception of GRO analysis in support of State of Ohio programs, which includes all chromatographic peaks eluting from Hexane through Dodecane. Initial pH: As it pertains to Sample Receipt & Container Information section of the report, Initial pH reflects pH of container determined upon receipt, if applicable. PAH Total: With respect to Alkylated PAH analyses, the 'PAHs, Total' result is defined as the summation of results for all or a subset of the following compounds: Naphthalene, C1-C4 Naphthalenes, 2-Methylnaphthalene, 1-Methylnaphthalene, Biphenyl, Acenaphthylene, Acenaphthene, Fluorene, C1-C3 Fluorenes, Phenanthrene, C1-C4 Phenanthrenes/Anthracenes, Anthracene, Fluoranthene, Pyrene, C1-C4 Fluoranthenes/Pyrenes, Benz(a)anthracene, Chrysene, C1-C4 Chrysenes, Benzo(b)fluoranthene, Benzo(j)+(k)fluoranthene, Benzo(e)pyrene, Benzo(a)pyrene, Perylene, Indeno(1,2,3-cd)pyrene, Dibenz(ah)+(ac)anthracene, Benzo(g,h,i)perylene. If a 'Total' result is requested, the results of its individual components will also be reported. PFAS Total: With respect to PFAS analyses, the 'PFAS, Total (5)' result is defined as the summation of results for: PFHpA, PFHxS, PFOA, PFNA and PFOS. In addition, the 'PFAS, Total (6)' result is defined as the summation of results for: PFHpA, PFHxS, PFOA, PFNA, PFDA and PFOS. For MassDEP DW compliance analysis only, the 'PFAS, Total (6)' result is defined as the summation of results at or above the RL. Note: If a 'Total' result is requested, the results of its individual components will also be reported. Total: With respect to Organic analyses, a 'Total' result is defined as the summation of results for individual isomers or Aroclors. If a 'Total' result is requested, the results of its individual components will also be reported. This is applicable to 'Total' results for methods 8260, 8081 and 8082. Data Qualifiers A B C D E F G H I J M - - - - - - - - - - - Spectra identified as "Aldol Condensates" are byproducts of the extraction/concentration procedures when acetone is introduced in the process. The analyte was detected above the reporting limit in the associated method blank. Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times (10x) the concentration found in the blank. For MCP-related projects, flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times (10x) the concentration found in the blank. For DOD-related projects, flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times (10x) the concentration found in the blank AND the analyte was detected above one-half the reporting limit (or above the reporting limit for common lab contaminants) in the associated method blank. For NJ- Air-related projects, flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit. For NJ-related projects (excluding Air), flag only applies to associated field samples that have detectable concentrations of the analyte, which was detected above the reporting limit in the associated method blank or above five times the reporting limit for common lab contaminants (Phthalates, Acetone, Methylene Chloride, 2-Butanone). Co-elution: The target analyte co-elutes with a known lab standard (i.e. surrogate, internal standards, etc.) for co-extracted analyses. Concentration of analyte was quantified from diluted analysis. Flag only applies to field samples that have detectable concentrations of the analyte. Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. The ratio of quantifier ion response to qualifier ion response falls outside of the laboratory criteria. Results are considered to be an estimated maximum concentration. The concentration may be biased high due to matrix interferences (i.e, co-elution) with non-target compound(s). The result should be considered estimated. The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. The lower value for the two columns has been reported due to obvious interference. Estimated value. This represents an estimated concentration for Tentatively Identified Compounds (TICs). Reporting Limit (RL) exceeds the MCP CAM Reporting Limit for this analyte. 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. - Footnotes Serial_No:06182414:23 Page 13 of 17 Report Format:Data Usability Report Project Name: Project Number: Lab Number: Report Date: L2432061PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 06/18/24 Data Qualifiers ND NJ P Q R RE S V Z - - - - - - - - - Not detected at the reporting limit (RL) for the sample. Presumptive evidence of compound. This represents an estimated concentration for Tentatively Identified Compounds (TICs), where the identification is based on a mass spectral library search. The RPD between the results for the two columns exceeds the method-specified criteria. The quality control sample exceeds the associated acceptance criteria. For DOD-related projects, LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note: This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL. (Metals only.) Analytical results are from sample re-analysis. Analytical results are from sample re-extraction. Analytical results are from modified screening analysis. The surrogate associated with this target analyte has a recovery outside the QC acceptance limits. (Applicable to MassDEP DW Compliance samples only.) The batch matrix spike and/or duplicate associated with this target analyte has a recovery/RPD outside the QC acceptance limits. (Applicable to MassDEP DW Compliance samples only.) Serial_No:06182414:23 Page 14 of 17 Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error, the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the field. LIMITATION OF LIABILITIES 44 121 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100, August 1993. Standard Methods for the Examination of Water and Wastewater. APHA-AWWA-WEF. Standard Methods Online. Project Name: Project Number: Lab Number: Report Date: L2432061PICKWICK AND EVERGREEN REALTY K10583DA.S.IA.700 REFERENCES 06/18/24 Serial_No:06182414:23 Page 15 of 17 Alpha Analytical, Inc.ID No.:17873 Facility: Company-wide Revision 21 Department: Quality Assurance Published Date: 04/17/2024 Title: Certificate/Approval Program Summary Page 1 of 1 Document Type: Form Pre-Qualtrax Document ID: 08-113 Certification Information The following analytes are not included in our Primary NELAP Scope of Accreditation: Westborough Facility EPA 624.1: m/p-xylene, o-xylene, Naphthalene EPA 625.1: alpha-Terpineol EPA 8260D: NPW: 1,2,4,5-Tetramethylbenzene; 4-Ethyltoluene;SCM:Iodomethane (methyl iodide), 1,2,4,5-Tetramethylbenzene; 4-Ethyltoluene. EPA 8270E: NPW: Dimethylnaphthalene,1,4-Diphenylhydrazine, alpha-Terpineol, Azobenzene; SCM: Dimethylnaphthalene,1,4-Diphenylhydrazine. SM4500: NPW: Amenable Cyanide; SCM: Total Phosphorus, TKN, NO2, NO3. Mansfield Facility SM 2540D: TSS. EPA TO-15: Halothane, 2,4,4-Trimethyl-2-pentene, 2,4,4-Trimethyl-1-pentene, Thiophene, 2-Methylthiophene, 3-Methylthiophene, 2-Ethylthiophene, 1,2,3-Trimethylbenzene, Indan, Indene, 1,2,4,5-Tetramethylbenzene, Benzothiophene, 1-Methylnaphthalene. Nonpotable Water: EPA RSK-175 Dissolved Gases Biological Tissue Matrix:EPA 3050B The following analytes are included in our Massachusetts DEP Scope of Accreditation Westborough Facility: Drinking Water EPA 300.0: Chloride, Nitrate-N, Fluoride, Sulfate; EPA 353.2: Nitrate-N, Nitrite-N; SM4500NO3-F: Nitrate-N, Nitrite-N; SM4500F-C, SM4500CN-CE, EPA 180.1, SM2130B, SM4500Cl-D, SM2320B, SM2540C, SM4500H-B, SM4500NO2-B EPA 524.2: THMs and VOCs; EPA 504.1: EDB, DBCP. Microbiology: SM9215B; SM9223-P/A, SM9223B-Colilert-QT,SM9222D. Non-Potable Water SM4500H,B, EPA 120.1, SM2510B, SM2540C, SM2320B, SM4500CL-E, SM4500F-BC, SM4500NH3-BH: Ammonia-N and Kjeldahl-N, EPA 350.1: Ammonia-N, LACHAT 10-107-06-1-B: Ammonia-N, EPA 351.1,SM4500NO3-F, EPA 353.2: Nitrate-N, SM4500P-E, SM4500P-B, E, SM4500SO4-E, SM5220D, EPA 410.4, SM5210B, SM5310C, SM4500CL-D, EPA 1664, EPA 420.1, SM4500-CN-CE, SM2540D, EPA 300: Chloride, Sulfate, Nitrate. EPA 624.1: Volatile Halocarbons & Aromatics, EPA 608.3: Chlordane, Toxaphene, Aldrin, alpha-BHC, beta-BHC, gamma-BHC, delta-BHC, Dieldrin, DDD, DDE, DDT, Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs EPA 625.1: SVOC (Acid/Base/Neutral Extractables). Microbiology: SM9223B-Colilert-QT; Enterolert-QT, EPA 1600, EPA 1603, SM9222D. Mansfield Facility: Drinking Water EPA 200.7: Al, Ba, Cd, Cr, Cu, Fe, Mn, Ni, Na, Ag, Ca, Zn. EPA 200.8: Al,Sb, As, Ba, Be, Cd, Cr, Cu, Pb, Mn, Ni, Se, Ag, TL, Zn. EPA 245.1 Hg. EPA 522, EPA 537.1. Non-Potable Water EPA 200.7: Al, Sb, As, Be, Cd, Ca, Cr, Co, Cu, Fe, Pb, Mg, Mn, Mo, Ni, K, Se, Ag, Na, Sr, TL, Ti, V, Zn. EPA 200.8: Al,Sb, As, Be, Cd, Cr, Cu, Fe, Pb, Mn, Ni, K, Se, Ag, Na, TL, Zn. EPA 245.1 Hg. SM2340B For a complete listing of analytes and methods, please contact your Alpha Project Manager. Serial_No:06182414:23 Page 16 of 17 Serial_No:06182414:23 Page 17 of 17